Text: HF00714 Text: HF00716 Text: HF00700 - HF00799 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 HOUSE FILE 715
1 2
1 3 AN ACT
1 4 RELATING TO APPROPRIATIONS FOR THE DEPARTMENT OF HUMAN
1 5 SERVICES AND THE PREVENTION OF DISABILITIES POLICY
1 6 COUNCIL AND INCLUDING OTHER PROVISIONS AND APPROPRIATIONS
1 7 INVOLVING HUMAN SERVICES AND HEALTH CARE, AND PROVIDING
1 8 FOR EFFECTIVE AND APPLICABILITY DATES.
1 9
1 10 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 11
1 12 DIVISION I
1 13 APPROPRIATIONS
1 14 Section 1. FAMILY INVESTMENT PROGRAM GENERAL FUND. There
1 15 is appropriated from the general fund of the state to the
1 16 department of human services for the fiscal year beginning
1 17 July 1, 1997, and ending June 30, 1998, the following amount,
1 18 or so much thereof as is necessary, to be used for the purpose
1 19 designated:
1 20 To be credited to the family investment program account and
1 21 used for assistance under the family investment program under
1 22 chapter 239 or the JOBS program under chapter 249C, or under
1 23 chapter 239B, as created in Senate File 516, if enacted by the
1 24 Seventy-seventh General Assembly, 1997 Session:
1 25 .................................................. $ 9,060,000
1 26 1. The department of workforce development, in
1 27 consultation with the department of human services, shall
1 28 implement recruitment and employment practices to include
1 29 former and current family investment program recipients. The
1 30 department of workforce development shall submit a report of
1 31 the practices implemented and the results of the
1 32 implementation to the general assembly by January 1, 1998.
1 33 It is the intent of the general assembly that the
1 34 department of human services shall work with the department of
1 35 workforce development and local community collaborative
2 1 efforts to provide support services for family investment
2 2 program participants. The support services shall be directed
2 3 to those participant families who would benefit from the
2 4 support services and are likely to have success in achieving
2 5 economic independence. Community collaborative efforts
2 6 selected to provide support services shall have an existing
2 7 program providing support services with a significant local
2 8 match and a measurable record of success.
2 9 2. Of the funds appropriated in this section, $6,832,592
2 10 is allocated for the JOBS program.
2 11 3. The department shall work with religious organizations
2 12 and other charitable institutions to increase the availability
2 13 of host homes, referred to as second chance homes or other
2 14 living arrangements under the federal Personal Responsibility
2 15 and Work Opportunity Reconciliation Act of 1996, Pub. L. No.
2 16 104-193, } 103. The purpose of the homes or arrangements is
2 17 to provide a supportive and supervised living arrangement for
2 18 minor parents receiving assistance under the family investment
2 19 program who, under 1995 Iowa Acts, chapter 53, section 1,
2 20 subsection 3, paragraph "a", or under chapter 239B, as created
2 21 in Senate File 516, if enacted by the Seventy-seventh General
2 22 Assembly, 1997 Session, may receive assistance while living in
2 23 an alternative setting other than with their parent or legal
2 24 guardian.
2 25 Sec. 2. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK
2 26 GRANT. There is appropriated from the fund created in section
2 27 8.41 to the department of human services for the fiscal year
2 28 beginning July 1, 1997, and ending June 30, 1998, from moneys
2 29 received under the federal temporary assistance for needy
2 30 families block grant pursuant to the federal Personal
2 31 Responsibility and Work Opportunity Reconciliation Act of
2 32 1996, Pub. L. No. 104-193, which are appropriated for the
2 33 federal fiscal years beginning October 1, 1996, and ending
2 34 September 30, 1997, and beginning October 1, 1997, and ending
2 35 September 30, 1998, the following amounts to be used for the
3 1 purposes designated:
3 2 Moneys appropriated in this section shall be used in
3 3 accordance with the federal law making the funds available,
3 4 applicable Iowa law, appropriations made from the general fund
3 5 of the state in this Act for the purpose designated, and
3 6 administrative rules adopted to implement the federal and Iowa
3 7 law. If actual federal revenues credited to the fund created
3 8 in section 8.41 through June 30, 1998, are less than the
3 9 amounts appropriated in this section, the amounts appropriated
3 10 shall be reduced proportionately and the department may reduce
3 11 expenditures as deemed necessary by the department to meet the
3 12 reduced funding level:
3 13 1. To be credited to the family investment program account
3 14 and used for assistance under the family investment program
3 15 under chapter 239 or chapter 239B, as created in Senate File
3 16 516, if enacted by the Seventy-seventh General Assembly, 1997
3 17 Session:
3 18 .................................................. $ 97,288,698
3 19 2. For the job opportunities and basic skills (JOBS)
3 20 program, and implementing family investment agreements, in
3 21 accordance with chapter 249C, or chapter 239B, as created in
3 22 Senate File 516, if enacted by the Seventy-seventh General
3 23 Assembly, 1997 Session:
3 24 .................................................. $ 18,038,404
3 25 3. For field operations:
3 26 .................................................. $ 5,756,227
3 27 4. For general administration:
3 28 .................................................. $ 2,573,844
3 29 5. For local administrative costs:
3 30 .................................................. $ 1,732,617
3 31 6. For replacement of reductions in the federal social
3 32 services block grant with federal TANF block grant funds,
3 33 except for the allocation to child care:
3 34 .................................................. $ 4,546,031
3 35 7. For state child care assistance:
4 1 .................................................. $ 1,214,089
4 2 8. For emergency assistance:
4 3 .................................................. $ 375,049
4 4 Notwithstanding section 8.33, moneys appropriated in this
4 5 section of this Act which remain unencumbered or unobligated
4 6 at the close of the fiscal year shall not revert from the fund
4 7 from which appropriated but shall remain available for
4 8 allocation under law in the succeeding fiscal year.
4 9 Sec. 3. FAMILY INVESTMENT PROGRAM ACCOUNT.
4 10 1. Moneys credited to the family investment program
4 11 account for the fiscal year beginning July 1, 1997, and ending
4 12 June 30, 1998, shall be used in accordance with the following
4 13 requirements:
4 14 a. The department shall provide assistance in accordance
4 15 with chapters 239 and 249C or in accordance with chapter 239B,
4 16 as created in Senate File 516, if enacted by the Seventy-
4 17 seventh General Assembly, 1997 Session.
4 18 b. The department shall continue the special needs program
4 19 under the family investment program.
4 20 c. The department shall implement federal welfare reform
4 21 data requirements pursuant to the appropriations made for that
4 22 purpose.
4 23 d. The department shall continue expansion of the
4 24 electronic benefit transfer program as necessary to comply
4 25 with federal requirements. The target date for statewide
4 26 implementation of the program is July 1, 1999.
4 27 e. The department shall conduct an evaluation of the
4 28 welfare reform program and child well-being provisions to
4 29 measure the program's effectiveness, impacts on children and
4 30 families, and impacts across programs, and to identify
4 31 effective strategies.
4 32 f. The department shall continue to contract for services
4 33 in developing and monitoring an entrepreneurial training
4 34 program to provide technical assistance to families which
4 35 receive assistance under the family investment program.
5 1 g. For family investment agreements developed beginning
5 2 July 1, 1997, the maximum allowable time period for
5 3 postsecondary education is limited to twenty-four months.
5 4 2. The department may transfer funds in accordance with
5 5 section 8.39, either federal or state, to or from the child
5 6 day care appropriations made for the fiscal year beginning
5 7 July 1, 1997, if the department deems this would be a more
5 8 effective method of paying for JOBS program child care, to
5 9 maximize federal funding, or to meet federal maintenance of
5 10 effort requirements.
5 11 3. Moneys appropriated in this Act and credited to the
5 12 family investment program account for the fiscal year
5 13 beginning July 1, 1997, and ending June 30, 1998, are
5 14 allocated as follows:
5 15 a. For the food stamp employment and training program:
5 16 .................................................. $ 129,985
5 17 b. For the family development and self-sufficiency grant
5 18 program as provided under section 217.12:
5 19 .................................................. $ 2,328,805
5 20 (1) Of the funds allocated for the family development and
5 21 self-sufficiency grant program in this lettered paragraph, not
5 22 more than 5 percent of the funds shall be used for the
5 23 administration of the grant program.
5 24 (2) Based upon the annual evaluation report concerning
5 25 each grantee funded by previously appropriated funds and
5 26 through the solicitation of additional grant proposals, the
5 27 family development and self-sufficiency council may use the
5 28 allocated funds to renew or expand existing grants or award
5 29 new grants. In utilizing the increased funding to expand the
5 30 program, the council shall give consideration, in addition to
5 31 other criteria established by the council, to a grant
5 32 proposal's intended use of local funds with a grant and to
5 33 whether a grant proposal would expand the availability of the
5 34 program's services to a wider geographic area.
5 35 (3) Family development and self-sufficiency grantees shall
6 1 not supplant previous local funding with state or federal
6 2 funds.
6 3 c. For increasing participation in vocational and
6 4 postsecondary training which lasts not more than twelve
6 5 months:
6 6 .................................................. $ 998,400
6 7 d. For replacing reductions in the federal social services
6 8 block grant with federal TANF block grant funds, except for
6 9 the allocation to child care:
6 10 ................................................. $ 4,546,031
6 11 e. For child day care in place of funds previously
6 12 allocated from the federal social services block grant to
6 13 child care:
6 14 .................................................. $ 1,214,089
6 15 The department may transfer the allocation made in this
6 16 paragraph directly into the appropriation made in this Act for
6 17 child day care.
6 18 f. If an enactment of the Seventy-seventh General
6 19 Assembly, 1997 Session, establishes a new Code chapter 239B,
6 20 as created in Senate File 516, and provides for the
6 21 elimination of the work transition period under the family
6 22 investment program, the following allocations shall apply:
6 23 (1) For the diversion subaccount of the family investment
6 24 program account:
6 25 .................................................. $ 500,000
6 26 Moneys allocated to the diversion subaccount shall be used
6 27 for a pilot initiative of providing incentives to assist
6 28 families who would otherwise be eligible for the family
6 29 investment program in obtaining or retaining employment and to
6 30 assist participant families in overcoming barriers to
6 31 obtaining employment. Incentives may be provided in the form
6 32 of payment or services. The department may limit the
6 33 availability of the pilot initiative on the basis of
6 34 geographic area or numbers of individuals provided with
6 35 incentives. The department shall make recommendations on or
7 1 before January 15, 1998, regarding the potential benefits of
7 2 expanding the initiative. The department may adopt emergency
7 3 administrative rules in order to implement the provisions of
7 4 this subparagraph.
7 5 (2) For incentive grants of not more than $5,000 per grant
7 6 to community organizations serving as an operating
7 7 organization for administration of individual development
7 8 accounts in accordance with chapter 541A:
7 9 .................................................. $ 50,000
7 10 (3) For assistance associated with elimination of the
7 11 employment earnings disregard period when determining the
7 12 effective date of assistance for unemployed parent families:
7 13 .................................................. $ 150,000
7 14 4. Of the child support collections assigned under the
7 15 family investment program, an amount equal to the federal
7 16 share of support collections shall be deposited in the child
7 17 support recovery appropriation. The remainder of the assigned
7 18 child support collections and the state share of incentives
7 19 received by the child support recovery unit shall be deposited
7 20 in the family investment program account.
7 21 5. The department shall discontinue payment of the first
7 22 $50 of the assigned child support collected by the department
7 23 in any given month to an applicant for family investment
7 24 program assistance approved for assistance on or after the
7 25 effective date of this Act. A recipient who is approved to
7 26 receive assistance prior to the effective date of this Act
7 27 shall continue to be eligible to receive the payment until the
7 28 recipient is no longer eligible for the family investment
7 29 program, but shall not be eligible to receive the payment upon
7 30 reapplication and subsequent receipt of family investment
7 31 program assistance. The department may adopt emergency rules
7 32 to implement this subsection.
7 33 6. The department may adopt emergency administrative rules
7 34 for the family investment, food stamp, and medical assistance
7 35 programs, if necessary, to comply with federal requirements.
8 1 Prior to adoption of the rules, the department shall consult
8 2 with the welfare reform council, members of the public
8 3 involved in development of welfare reform policy established
8 4 in the 1993 legislative session, and the chairpersons and
8 5 ranking members of the joint appropriations subcommittee on
8 6 human services.
8 7 7. Moneys appropriated for the job opportunities and basic
8 8 skills (JOBS) program in 1996 Iowa Acts, chapter 1213, section
8 9 7, which remain unobligated or unexpended at the close of the
8 10 fiscal year beginning July 1, 1996, as provided in that Act,
8 11 shall be used for the JOBS program in the fiscal year
8 12 beginning July 1, 1997.
8 13 8. Not more than the following amounts of the moneys
8 14 received under the temporary assistance for needy families
8 15 block grant and appropriated to the department pursuant to
8 16 1997 Iowa Acts, House File 125, section 1, which remain
8 17 unobligated or unexpended at the close of the fiscal year
8 18 beginning July 1, 1996, as provided in that Act, shall be used
8 19 for the following purposes in the fiscal year beginning July
8 20 1, 1997, in the order designated:
8 21 a. For emergency assistance:
8 22 .................................................. $ 224,951
8 23 b. For the JOBS program:
8 24 .................................................. $ 300,000
8 25 c. For family support community-based grants:
8 26 .................................................. $ 200,000
8 27 d. For pregnancy prevention grants:
8 28 .................................................. $ 250,000
8 29 e. For technology needs and other resources necessary to
8 30 meet federal welfare reform reporting, tracking, and case
8 31 management requirements:
8 32 .................................................. $ 2,950,000
8 33 9. Notwithstanding 1995 Iowa Acts, chapter 220, section
8 34 11, moneys appropriated to the department of human services
8 35 for purposes of costs associated with the development of the
9 1 X-pert computer system shall not revert on August 31, 1997,
9 2 but shall remain available for the purpose designated until
9 3 the close of the fiscal year beginning July 1, 1997.
9 4 Sec. 4. EMERGENCY ASSISTANCE. There is appropriated from
9 5 the general fund of the state to the department of human
9 6 services for the fiscal year beginning July 1, 1997, and
9 7 ending June 30, 1998, the following amount, or so much thereof
9 8 as is necessary, to be used for the purpose designated:
9 9 For emergency assistance to families with dependent
9 10 children for homeless prevention programs:
9 11 .................................................. $ 1,967,000
9 12 1. The emergency assistance provided for in this section
9 13 shall be available beginning October 1 of the fiscal year and
9 14 shall be provided only if all other publicly funded resources
9 15 have been exhausted. Specifically, emergency assistance is
9 16 the program of last resort and shall not supplant assistance
9 17 provided by the low-income home energy assistance program
9 18 (LIHEAP), county general relief, and veterans affairs
9 19 programs. The department shall establish a $500 maximum
9 20 payment, per family, in a twelve-month period. The emergency
9 21 assistance includes, but is not limited to, assisting people
9 22 who face eviction, potential eviction, or foreclosure, utility
9 23 shutoff or fuel shortage, loss of heating energy supply or
9 24 equipment, homelessness, utility or rental deposits, or other
9 25 specified crisis which threatens family or living
9 26 arrangements. The emergency assistance shall be available to
9 27 migrant families who would otherwise meet eligibility
9 28 criteria. The department may contract for the administration
9 29 and delivery of the program. The program shall be terminated
9 30 when funds are exhausted.
9 31 2. For the fiscal year beginning July 1, 1997, the
9 32 department shall continue the process for the state to receive
9 33 refunds of rent deposits for emergency assistance recipients
9 34 which were paid by persons other than the state. The refunds
9 35 received by the department under this subsection shall be
10 1 deposited with the moneys of the appropriation made in this
10 2 section and used as additional funds for the emergency
10 3 assistance program. Notwithstanding section 8.33, moneys
10 4 received by the department under this subsection which remain
10 5 after the emergency assistance program is terminated and state
10 6 moneys in the emergency assistance account which remain
10 7 unobligated or unexpended at the close of the fiscal year
10 8 shall not revert to the general fund of the state but shall
10 9 remain available for expenditure when the program resumes
10 10 operation on October 1 in the succeeding fiscal year.
10 11 3. Of the funds appropriated in this section, $10,000 is
10 12 allocated to the community voice mail program to continue the
10 13 existing program. The funds shall be made available beginning
10 14 July 1, 1997.
10 15 Sec. 5. MEDICAL ASSISTANCE. There is appropriated from
10 16 the general fund of the state to the department of human
10 17 services for the fiscal year beginning July 1, 1997, and
10 18 ending June 30, 1998, the following amount, or so much thereof
10 19 as is necessary, to be used for the purpose designated:
10 20 For medical assistance, including reimbursement for
10 21 abortion services, which shall be available under the medical
10 22 assistance program only for those abortions which are
10 23 medically necessary:
10 24 .................................................. $381,789,000
10 25 1. Medically necessary abortions are those performed under
10 26 any of the following conditions:
10 27 a. The attending physician certifies that continuing the
10 28 pregnancy would endanger the life of the pregnant woman.
10 29 b. The attending physician certifies that the fetus is
10 30 physically deformed, mentally deficient, or afflicted with a
10 31 congenital illness.
10 32 c. The pregnancy is the result of a rape which is reported
10 33 within 45 days of the incident to a law enforcement agency or
10 34 public or private health agency which may include a family
10 35 physician.
11 1 d. The pregnancy is the result of incest which is reported
11 2 within 150 days of the incident to a law enforcement agency or
11 3 public or private health agency which may include a family
11 4 physician.
11 5 e. Any spontaneous abortion, commonly known as a
11 6 miscarriage, if not all of the products of conception are
11 7 expelled.
11 8 2. Notwithstanding section 8.39, the department may
11 9 transfer funds appropriated in this section to a separate
11 10 account established in the department's case management unit
11 11 for expenditures required to provide case management services
11 12 for mental health, mental retardation, and developmental
11 13 disabilities services under medical assistance which are
11 14 jointly funded by the state and county, pending final
11 15 settlement of the expenditures. Funds received by the case
11 16 management unit in settlement of the expenditures shall be
11 17 used to replace the transferred funds and are available for
11 18 the purposes for which the funds were appropriated in this
11 19 section.
11 20 3. a. The county of legal settlement shall be billed for
11 21 50 percent of the nonfederal share of the cost of case
11 22 management provided for adults, day treatment, and partial
11 23 hospitalization in accordance with sections 249A.26 and
11 24 249A.27, and 100 percent of the nonfederal share of the cost
11 25 of care for adults which is reimbursed under a federally
11 26 approved home and community-based waiver that would otherwise
11 27 be approved for provision in an intermediate care facility for
11 28 persons with mental retardation, provided under the medical
11 29 assistance program. The state shall have responsibility for
11 30 the remaining 50 percent of the nonfederal share of the cost
11 31 of case management provided for adults, day treatment, and
11 32 partial hospitalization. For persons without a county of
11 33 legal settlement, the state shall have responsibility for 100
11 34 percent of the nonfederal share of the costs of case
11 35 management provided for adults, day treatment, partial
12 1 hospitalization, and the home and community-based waiver
12 2 services. The case management services specified in this
12 3 subsection shall be billed to a county only if the services
12 4 are provided outside of a managed care contract.
12 5 b. The state shall pay the entire nonfederal share of the
12 6 costs for case management services provided to persons 17
12 7 years of age and younger who are served in a medical
12 8 assistance home and community-based waiver program for persons
12 9 with mental retardation.
12 10 c. Medical assistance funding for case management services
12 11 for eligible persons 17 years of age and younger shall also be
12 12 provided to persons residing in counties with child welfare
12 13 decategorization projects implemented in accordance with
12 14 section 232.188, provided these projects have included these
12 15 persons in their service plan and the decategorization project
12 16 county is willing to provide the nonfederal share of costs.
12 17 d. When paying the necessary and legal expenses of
12 18 intermediate care facilities for persons with mental
12 19 retardation (ICFMR), the cost payment requirements of section
12 20 222.60 shall be considered fulfilled when payment is made in
12 21 accordance with the medical assistance payment rates
12 22 established for ICFMRs by the department and the state or a
12 23 county of legal settlement is not obligated for any amount in
12 24 excess of the rates.
12 25 4. The department may adopt and implement administrative
12 26 rules regarding a prepaid mental health services plan for
12 27 medical assistance patients. The rules shall include but not
12 28 be limited to service provider standards, service
12 29 reimbursement, and funding mechanisms. Notwithstanding the
12 30 provisions of subsection 3, paragraph "a", of this section and
12 31 section 249A.26, requiring counties to pay all or part of the
12 32 nonfederal share of certain services provided to persons with
12 33 disabilities under the medical assistance program, the state
12 34 shall pay 100 percent of the nonfederal share of any services
12 35 included in the plan implemented pursuant to this subsection.
13 1 5. The department shall utilize not more than $60,000 of
13 2 the funds appropriated in this section to continue the
13 3 AIDS/HIV health insurance premium payment program as
13 4 established in 1992 Iowa Acts, Second Extraordinary Session,
13 5 Chapter 1001, section 409, subsection 6. Of the funds
13 6 allocated in this subsection, not more than $5,000 may be
13 7 expended for administrative purposes.
13 8 6. Of the funds appropriated to the Iowa department of
13 9 health for substance abuse grants, $950,000 for the fiscal
13 10 year beginning July 1, 1997, shall be transferred to the
13 11 department of human services for an integrated substance abuse
13 12 managed care system.
13 13 7. The department of human services, in cooperation with
13 14 the Iowa department of public health and in consultation with
13 15 county representatives and affected providers, shall review
13 16 potential funding streams, treatment methods, and provider
13 17 options for expansion of dual diagnosis services, providing
13 18 both mental health and substance abuse services, and shall
13 19 report the findings of the review and recommendations to the
13 20 joint appropriations subcommittee on human services on or
13 21 before January 1, 1998.
13 22 8. The department shall continue the medical assistance
13 23 home and community-based waiver for persons with physical
13 24 disabilities as a means to further develop the personal
13 25 assistance services program under section 225C.46. The waiver
13 26 shall not be implemented in a manner which would require
13 27 additional county or state funding for assistance provided to
13 28 an individual served under the waiver. The waiver shall be
13 29 limited in application to persons with physical disabilities
13 30 who reside in a medical institution at the time of applying
13 31 for assistance and who have been residents of a medical
13 32 institution for a minimum of thirty consecutive days.
13 33 9. The department shall not expand the requirement of drug
13 34 prior authorization without prior approval of the general
13 35 assembly except to require prior authorization of an
14 1 equivalent of a prescription drug which is subject to prior
14 2 authorization as of June 30, 1997. The department shall adopt
14 3 administrative rules to implement this provision.
14 4 10. The department of human services, in consultation with
14 5 the Iowa department of public health and the department of
14 6 education, shall continue the program to utilize the early and
14 7 periodic screening, diagnosis, and treatment (EPSDT) funding
14 8 under medical assistance, to the extent possible, to implement
14 9 the screening component of the EPSDT program through the
14 10 school system. The department may enter into contracts to
14 11 utilize maternal and child health centers, the public health
14 12 nursing program, or school nurses in implementing this
14 13 provision.
14 14 11. The department shall continue the case study for
14 15 outcome-based performance standards for programs serving
14 16 persons with mental retardation or other developmental
14 17 disabilities proposed pursuant to 1994 Iowa Acts, chapter
14 18 1170, section 56. The department shall adopt rules applicable
14 19 to the programs included in the case study, request a waiver
14 20 of applicable federal requirements, and take other actions
14 21 deemed necessary by the department to continue the case study.
14 22 12. The department shall develop methodologies to directly
14 23 reimburse hospitals with medical assistance-approved graduate
14 24 medical education programs for the direct and indirect costs
14 25 of medical education programs at those hospitals and for a
14 26 disproportionate share payment as allowed by the federal cap
14 27 at those hospitals with qualifying programs. The level of
14 28 this reimbursement shall be equal to the amount of managed
14 29 care capitation payments attributable to direct medical
14 30 education plus indirect medical education add-on components
14 31 included as part of the capitated rate setting methodology and
14 32 to the amounts paid through the fee-for-service inpatient
14 33 diagnostic-related groups and outpatient ambulatory patient
14 34 groups hospital reimbursement systems for state fiscal year
14 35 1994-1995, with an adjustment, if the federal upper limits
15 1 test has not been exceeded, to allow an increase for state
15 2 fiscal year 1996-1997 costs. This subsection shall only apply
15 3 to any capitated payment contracts entered into after June 30,
15 4 1997. The department may adopt emergency rules to implement
15 5 this subsection.
15 6 13. The department, in consultation with the Iowa
15 7 department of public health, the department of elder affairs,
15 8 home and community-based service providers, consumers, and
15 9 members of the joint appropriations subcommittee on human
15 10 services, shall evaluate the feasibility of improving access
15 11 and delivery of services to consumers and of improving cost-
15 12 effectiveness by incorporating the personal care services
15 13 option into the medical assistance program.
15 14 Sec. 6. HEALTH INSURANCE PREMIUM PAYMENT PROGRAM. There
15 15 is appropriated from the general fund of the state to the
15 16 department of human services for the fiscal year beginning
15 17 July 1, 1997, and ending June 30, 1998, the following amount,
15 18 or so much thereof as is necessary, to be used for the purpose
15 19 designated:
15 20 For administration of the health insurance premium payment
15 21 program, including salaries, support, maintenance, and
15 22 miscellaneous purposes:
15 23 .................................................. $ 390,000
15 24 ............................................... FTEs 17.00
15 25 Sec. 7. MEDICAL CONTRACTS. There is appropriated from the
15 26 general fund of the state to the department of human services
15 27 for the fiscal year beginning July 1, 1997, and ending June
15 28 30, 1998, the following amount, or so much thereof as is
15 29 necessary, to be used for the purpose designated:
15 30 For medical contracts:
15 31 .................................................. $ 7,700,000
15 32 1. a. The department shall continue prospective drug
15 33 utilization review and may establish drug surveillance prior
15 34 authorization under the medical assistance program.
15 35 b. The department shall develop and implement an
16 1 individual patient tracking system to assess the effectiveness
16 2 of the drug prior authorization program. The system shall
16 3 include patient specific elements including, at a minimum, the
16 4 drug prescribed or requested, the alternative drug dispensed,
16 5 the quantity requested, the quantity dispensed, and the drugs
16 6 dispensed during required trials.
16 7 c. The department shall conduct a prior authorization
16 8 cost-effectiveness study, at no cost to the state, and shall
16 9 not use any entity or individual currently or previously
16 10 utilized by the department to perform the study.
16 11 d. The prospective drug utilization review and prior
16 12 authorization cost-effectiveness studies shall include, but
16 13 are not limited to, all of the following:
16 14 (1) The net cost of the substitution of brand name drugs
16 15 for which alternatives are required, including the drug
16 16 rebates, if applicable, under the Iowa prior authorization
16 17 regimen.
16 18 (2) The costs attributable to the ambulatory treatment of
16 19 iatrogenic, unexpected conditions which result when the
16 20 prescribed drug is not authorized and a substitution is made
16 21 under the Iowa prior authorization regimen, when it is
16 22 possible to determine that the conditions resulted from the
16 23 substitution of the alternative medication for the prescribed
16 24 medication.
16 25 (3) The costs attributable to institutionalization and
16 26 treatment for iatrogenic, unexpected conditions which result
16 27 when the prescribed drug is not authorized and a substitution
16 28 is made under the Iowa prior authorization regimen when it is
16 29 possible to determine that the condition resulted from the
16 30 substitution of the alternative medication for the prescribed
16 31 medication.
16 32 (4) The costs of prescribing mandates, such as requiring
16 33 two failures of generic drug treatment before allowing the
16 34 prescribing of a brand name alternative.
16 35 (5) The measurement of the cost-effectiveness of patient
17 1 outcomes under prior authorization compared to the patient
17 2 outcomes under prospective drug utilization review.
17 3 (6) The comparison of administrative costs for prior
17 4 authorization review and prospective drug utilization review.
17 5 The department shall review the methodology for calculating
17 6 and projecting costs savings and shall update the methodology,
17 7 if necessary.
17 8 The costs identified under the studies performed shall be
17 9 netted against the cost savings projected by the department to
17 10 accurately determine and report cost savings for the drug
17 11 prior authorization program.
17 12 The department shall submit a report of the studies to the
17 13 general assembly on or before March 1, 1998, for review.
17 14 Subsequent to that date, the general assembly may direct the
17 15 department to remove from the categories of prescription drugs
17 16 for which prior authorization is currently required, all of
17 17 the drugs for which the comparative studies establish that
17 18 prospective drug utilization review is at least as cost-
17 19 effective in patient outcomes as prior authorization.
17 20 2. a. In any managed care contract for mental health or
17 21 substance abuse services entered into by the department on or
17 22 after July 1, 1997, the request for proposals shall allow for
17 23 coverage by the contractor on a regional or statewide basis.
17 24 The department shall consult with the chairpersons and ranking
17 25 members of the joint appropriations subcommittee on human
17 26 services in developing the request for proposals and in
17 27 evaluating the responses. In determining whether a contract
17 28 shall be entered into to provide regional or statewide
17 29 coverage, the department shall consider the most effective
17 30 means of providing access to and delivery of services to
17 31 recipients of services and shall consider the cost-
17 32 effectiveness of the particular proposal.
17 33 b. The department, in consultation with the Iowa
17 34 department of public health, shall evaluate the feasibility of
17 35 combining coverage for mental health and substance abuse
18 1 services in any managed care contract entered into for these
18 2 services.
18 3 3. The department shall implement the plan, as submitted
18 4 to the general assembly on or before January 1, 1996, to
18 5 administratively pursue reimbursement for pharmacy services
18 6 for which a recipient of medical assistance also has third-
18 7 party coverage. The department may use increased collections
18 8 of pharmaceutical rebates or existing funds to implement this
18 9 subsection.
18 10 Sec. 8. STATE SUPPLEMENTARY ASSISTANCE. There is
18 11 appropriated from the general fund of the state to the
18 12 department of human services for the fiscal year beginning
18 13 July 1, 1997, and ending June 30, 1998, the following amount,
18 14 or so much thereof as is necessary, to be used for the purpose
18 15 designated:
18 16 For state supplementary assistance, funeral assistance, and
18 17 the medical assistance waiver for persons with mental
18 18 retardation rent subsidy program:
18 19 .................................................. $ 19,190,000
18 20 1. The department shall increase the personal needs
18 21 allowance for residents of residential care facilities by the
18 22 same percentage and at the same time as federal supplemental
18 23 security income and federal social security benefits are
18 24 increased due to a recognized increase in the cost of living.
18 25 The department may adopt emergency rules to implement this
18 26 subsection.
18 27 2. a. If during the fiscal year beginning July 1, 1997,
18 28 the department projects that state supplementary assistance
18 29 expenditures for a calendar year will not meet the federal
18 30 pass-along requirement specified in Title XVI of the federal
18 31 Social Security Act, section 1618, as codified in 42 U.S.C. }
18 32 1382g, the department may take actions including but not
18 33 limited to increasing the personal needs allowance for
18 34 residential care facility residents and making programmatic
18 35 adjustments or upward adjustments of the residential care
19 1 facility or in-home health-related care reimbursement rates
19 2 prescribed in this Act to ensure that federal requirements are
19 3 met. The department may adopt emergency rules to implement
19 4 the provisions of this subsection.
19 5 b. If during the fiscal year beginning July 1, 1997, the
19 6 department projects that state supplementary assistance
19 7 expenditures will exceed the amount appropriated, the
19 8 department may transfer funds appropriated in this Act for
19 9 medical assistance for the purposes of the state supplementary
19 10 assistance program. However, funds shall only be transferred
19 11 from the medical assistance appropriation if the funds
19 12 transferred are projected to be in excess of the funds
19 13 necessary for the medical assistance program.
19 14 3. The department may use up to $75,000 of the funds
19 15 appropriated in this section for a rent subsidy program for
19 16 adult persons to whom all of the following apply:
19 17 a. Are receiving assistance under the medical assistance
19 18 home and community-based services for persons with mental
19 19 retardation (HCBS/MR) program.
19 20 b. Were discharged from an intermediate care facility for
19 21 persons with mental retardation (ICFMR) immediately prior to
19 22 receiving HCBS/MR services.
19 23 The goal of the subsidy program shall be to encourage and
19 24 assist in enabling persons who currently reside in an ICFMR to
19 25 move to a community living arrangement. An eligible person
19 26 may receive assistance in meeting their rental expense and, in
19 27 the initial two months of eligibility, in purchasing necessary
19 28 household furnishings and supplies. The program shall be
19 29 implemented so that it does not meet the federal definition of
19 30 state supplementary assistance and will not impact the federal
19 31 pass-along requirement specified in Title XVI of the federal
19 32 Social Security Act, section 1618, as codified in 42 U.S.C. }
19 33 1382g.
19 34 Sec. 9. CHILD DAY CARE ASSISTANCE. There is appropriated
19 35 from the general fund of the state to the department of human
20 1 services for the fiscal year beginning July 1, 1997, and
20 2 ending June 30, 1998, the following amount, or so much thereof
20 3 as is necessary, to be used for the purposes designated:
20 4 For protective child day care assistance and state child
20 5 care assistance:
20 6 .................................................. $ 13,740,000
20 7 1. Of the funds appropriated in this section, $3,696,286
20 8 shall be used for protective child day care assistance.
20 9 2. Of the funds appropriated in this section, $8,215,889
20 10 shall be used for state child care assistance.
20 11 3. For the purposes of this subsection, the term "poverty
20 12 level" means the poverty level defined by the poverty income
20 13 guidelines published by the United States department of health
20 14 and human services. Effective October 1, 1997, the department
20 15 shall increase to 125 percent the maximum federal poverty
20 16 level used to determine eligibility for state child care
20 17 assistance. Based upon the availability of the funding
20 18 provided in subsection 2 the department shall establish
20 19 waiting lists for state child care assistance in descending
20 20 order of prioritization as follows:
20 21 a. Families with an income at or below 100 percent of the
20 22 federal poverty level whose members are employed at least 30
20 23 hours per week, and parents with a family income at or below
20 24 100 percent of the federal poverty level who are under the age
20 25 of 21 and are participating in an educational program leading
20 26 to a high school diploma or equivalent.
20 27 b. Parents with a family income at or below 100 percent of
20 28 the federal poverty level who are under the age of 21 and are
20 29 participating, at a satisfactory level, in an approved
20 30 training program or in an educational program.
20 31 c. Families with an income of more than 100 percent but
20 32 not more than 125 percent of the federal poverty level whose
20 33 members are employed at least 30 hours per week. Assistance
20 34 provided to families pursuant to this paragraph shall be
20 35 provided in accordance with a sliding fee scale developed by
21 1 the department.
21 2 d. Families with an income at or below 155 percent of the
21 3 federal poverty level with a special needs child as a member
21 4 of the family.
21 5 e. Families with an income at or below 100 percent of the
21 6 federal poverty level whose members are employed part-time at
21 7 least 20 hours per week.
21 8 The department may adopt emergency rules to implement the
21 9 provisions of this subsection.
21 10 4. Migrant seasonal farm worker families whose family
21 11 income is equal to or less than 110 percent of the United
21 12 States office of management and budget poverty guidelines are
21 13 eligible for state child care assistance. The monthly family
21 14 income shall be determined by calculating the total amount of
21 15 family income earned during the 12-month period preceding the
21 16 date of application for the assistance and dividing the total
21 17 amount by 12.
21 18 5. Nothing in this section shall be construed or is
21 19 intended as, or shall imply, a grant of entitlement for
21 20 services to persons who are eligible for assistance due to an
21 21 income level consistent with the requirements of this section.
21 22 Any state obligation to provide services pursuant to this
21 23 section is limited to the extent of the funds appropriated in
21 24 this section.
21 25 6. Of the funds appropriated in this section, $636,641 is
21 26 allocated for the statewide program for child day care
21 27 resource and referral services under section 237A.26.
21 28 7. The department may use any of the funds appropriated in
21 29 this section as a match to obtain federal funds for use in
21 30 expanding child day care assistance and related programs. For
21 31 the purpose of expenditures of state and federal child day
21 32 care funding, funds shall be considered obligated at the time
21 33 expenditures are projected or are allocated to the
21 34 department's regions. Projections shall be based on current
21 35 and projected caseload growth, current and projected provider
22 1 rates, staffing requirements for eligibility determination and
22 2 management of program requirements including data systems
22 3 management, staffing requirements for administration of the
22 4 program, contractual and grant obligations and any transfers
22 5 to other state agencies, and obligations for decategorization
22 6 or innovation projects.
22 7 8. Of the funds appropriated in this section, $1,191,184
22 8 is allocated for transitional child care assistance.
22 9 9. During the 1997-1998 fiscal year, the department shall
22 10 utilize the moneys deposited in the child day care credit fund
22 11 created in section 237A.28 for state child care assistance, in
22 12 addition to the moneys allocated for that purpose in this
22 13 section.
22 14 10. The department shall assist the Hispanic educational
22 15 resource center in Des Moines in identifying or providing
22 16 replacement funding if the elimination of previous allocations
22 17 made to the center under this section results in a negative
22 18 impact to the center in providing child day care services. If
22 19 replacement funding is not identified, the department shall
22 20 replace the funding with federal child care and development
22 21 block grant moneys.
22 22 11. The department shall consult with service providers in
22 23 evaluating the practice of requiring recipients of state child
22 24 care assistance to make a co-payment to service providers.
22 25 The evaluation shall consider the impact on system
22 26 administration, service providers, and others. The department
22 27 shall report the evaluation results to the governor and
22 28 general assembly on or before December 15, 1997.
22 29 Sec. 10. CHILD SUPPORT RECOVERY. There is appropriated
22 30 from the general fund of the state to the department of human
22 31 services for the fiscal year beginning July 1, 1997, and
22 32 ending June 30, 1998, the following amount, or so much thereof
22 33 as is necessary, to be used for the purposes designated:
22 34 For child support recovery, including salaries, support,
22 35 maintenance, and miscellaneous purposes and for not more than
23 1 the following full-time equivalent positions:
23 2 .................................................. $ 6,605,000
23 3 ............................................... FTEs 226.22
23 4 1. The director of human services, within the limitations
23 5 of the moneys appropriated in this section, or moneys
23 6 transferred from the family investment program appropriation
23 7 for this purpose, shall establish new positions and add
23 8 employees to the child support recovery unit if the director
23 9 determines that both the current and additional employees
23 10 together can reasonably be expected to maintain or increase
23 11 net state revenue at or beyond the budgeted level. If the
23 12 director adds employees, the department shall demonstrate the
23 13 cost-effectiveness of the current and additional employees by
23 14 reporting to the joint appropriations subcommittee on human
23 15 services the ratio of the total amount of administrative costs
23 16 for child support recoveries to the total amount of the child
23 17 support recovered.
23 18 2. Nonpublic assistance application fees, federal tax
23 19 refund offset fees, and other user fees received by the child
23 20 support recovery unit are appropriated and shall be used for
23 21 the purposes of the child support recovery program. The
23 22 director of human services may add positions within the
23 23 limitations of the amount appropriated for salaries and
23 24 support for the positions. The director shall report any
23 25 positions added pursuant to this subsection to the
23 26 chairpersons and ranking members of the joint appropriations
23 27 subcommittee on human services and the legislative fiscal
23 28 bureau.
23 29 3. The director of human services, in consultation with
23 30 the department of management and the legislative fiscal
23 31 committee, is authorized to receive and deposit state child
23 32 support incentive earnings in the manner specified under
23 33 applicable federal requirements.
23 34 4. The director of human services may establish new
23 35 positions and add state employees to the child support
24 1 recovery unit or contract for delivery of services if the
24 2 director determines the employees are necessary to replace
24 3 county-funded positions eliminated due to termination,
24 4 reduction, or nonrenewal of a chapter 28E contract. However,
24 5 the director must also determine that the resulting increase
24 6 in the state share of child support recovery incentives
24 7 exceeds the cost of the positions or contract, the positions
24 8 or contract are necessary to ensure continued federal funding
24 9 of the program, or the new positions or contract can
24 10 reasonably be expected to recover at least twice the amount of
24 11 money necessary to pay the salaries and support for the new
24 12 positions or the contract will generate at least 200 percent
24 13 of the cost of the contract.
24 14 5. If initiated by the judicial department, the child
24 15 support recovery unit shall continue to work with the judicial
24 16 department to determine the feasibility of implementing a
24 17 pilot project utilizing a court-appointed referee for judicial
24 18 determinations on child support matters. The extent and
24 19 location of any pilot project shall be jointly developed by
24 20 the judicial department and the child support recovery unit.
24 21 6. The department shall expend up to $50,000, including
24 22 federal financial participation, for the fiscal year beginning
24 23 July 1, 1997, for a child support public awareness campaign.
24 24 The department and the office of the attorney general shall
24 25 cooperate in continuation of the campaign. The public
24 26 awareness campaign shall emphasize, through a variety of media
24 27 activities, the importance of maximum involvement of both
24 28 parents in the lives of their children as well as the
24 29 importance of payment of child support obligations.
24 30 7. The department shall continue the option to provide and
24 31 supervise a community service pilot project for absent parents
24 32 who are ordered by the court to perform community service for
24 33 failure to pay child support pursuant to section 598.23A.
24 34 8. The director of human services may enter a contract
24 35 with private collection agencies to collect support payments
25 1 for cases which have been identified by the department as
25 2 difficult collection cases if the department determines that
25 3 this form of collection is more cost effective than
25 4 departmental collection methods. The director may use a
25 5 portion of the state share of funds collected through this
25 6 means to pay the costs of any contracts authorized under this
25 7 subsection.
25 8 9. Surcharges paid by obligors and received by the unit as
25 9 a result of the referral of support delinquency by the child
25 10 support recovery unit to any private collection agency are
25 11 appropriated to the department and shall be used to pay the
25 12 costs of any contracts with the collection agencies.
25 13 10. The child support recovery unit shall initiate a
25 14 process to evaluate the satisfaction of consumers, including
25 15 both obligors and obligees, with the child support recovery
25 16 unit. The unit shall submit a report of the findings of the
25 17 evaluation to the joint appropriations subcommittee on human
25 18 services on or before December 15, 1997.
25 19 Sec. 11. JUVENILE INSTITUTIONS. There is appropriated
25 20 from the general fund of the state to the department of human
25 21 services for the fiscal year beginning July 1, 1997, and
25 22 ending June 30, 1998, the following amount, or so much thereof
25 23 as is necessary, to be used for the purposes designated:
25 24 For the operation of the state training school and the Iowa
25 25 juvenile home, including salaries, support, maintenance, and
25 26 miscellaneous purposes and for not more than the following
25 27 full-time equivalent positions:
25 28 For the state juvenile institutions:
25 29 .................................................. $ 13,869,000
25 30 ............................................... FTEs 320.77
25 31 1. The following amounts of the funds appropriated and
25 32 full-time equivalent positions authorized in this section are
25 33 allocated for the Iowa juvenile home at Toledo:
25 34 .................................................. $ 5,147,000
25 35 ............................................... FTEs 118.54
26 1 2. The following amounts of the funds appropriated and
26 2 full-time equivalent positions authorized in this section are
26 3 allocated for the state training school at Eldora:
26 4 .................................................. $ 8,722,000
26 5 ............................................... FTEs 202.23
26 6 3. During the fiscal year beginning July 1, 1997, the
26 7 population levels at the state juvenile institutions shall not
26 8 exceed the population guidelines established under 1990 Iowa
26 9 Acts, chapter 1239, section 21.
26 10 4. Of the funds appropriated in this section, $10,000
26 11 shall be used by the state training school and $8,000 by the
26 12 Iowa juvenile home for grants for adolescent pregnancy
26 13 prevention activities at the institutions in the fiscal year
26 14 beginning July 1, 1997.
26 15 5. Within the amount appropriated in this section, the
26 16 department may reallocate funds as necessary to best fulfill
26 17 the needs of the institutions provided for in the
26 18 appropriation.
26 19 Sec. 12. CHILD AND FAMILY SERVICES. There is appropriated
26 20 from the general fund of the state to the department of human
26 21 services for the fiscal year beginning July 1, 1997, and
26 22 ending June 30, 1998, the following amount, or so much thereof
26 23 as is necessary, to be used for the purpose designated:
26 24 For child and family services:
26 25 .................................................. $111,084,000
26 26 1. The department may transfer moneys appropriated in this
26 27 section as necessary to pay the nonfederal costs of services
26 28 reimbursed under medical assistance or the family investment
26 29 program which are provided to children who would otherwise
26 30 receive services paid under the appropriation in this section.
26 31 The department may transfer funds appropriated in this section
26 32 to the appropriations in this Act for general administration
26 33 and for field operations for resources necessary to implement
26 34 and operate the services funded in this section.
26 35 2. a. Of the funds appropriated in this section, up to
27 1 $29,153,146 is allocated as the statewide expenditure target
27 2 under section 232.143 for group foster care maintenance and
27 3 services.
27 4 b. The department shall report quarterly to the
27 5 legislative fiscal bureau concerning the status of each
27 6 region's efforts to contain expenditures for group foster care
27 7 placements in accordance with the regional plan established
27 8 pursuant to section 232.143.
27 9 c. The department shall not certify any additional
27 10 enhanced residential treatment beds, unless the director of
27 11 human services approves the beds as necessary, based on the
27 12 type of children to be served and the location of the enhanced
27 13 residential treatment beds.
27 14 d. (1) Of the funds appropriated in this section, not
27 15 more than $5,690,600 is allocated as the state match funding
27 16 for psychiatric medical institutions for children.
27 17 (2) The department may transfer all or a portion of the
27 18 funds allocated in this paragraph for psychiatric medical
27 19 institutions for children (PMICs) to the appropriation in this
27 20 Act for medical assistance and shall not amend the managed
27 21 mental health care contract to include PMICs.
27 22 e. Of the funds allocated in this subsection, $1,419,005
27 23 is allocated as the state match funding for 50 highly
27 24 structured juvenile program beds. If the number of beds
27 25 provided for in this paragraph is not utilized, the remaining
27 26 funds allocated may be used for group foster care.
27 27 f. It is the intent of the general assembly that of the
27 28 statewide expenditure target established in this subsection,
27 29 the moneys allocated in accordance with section 232.143 as the
27 30 budget target to each of the department's regions shall
27 31 constitute the region's annual budget for group foster care.
27 32 The representatives appointed by the department of human
27 33 services and the juvenile court to establish the plan to
27 34 contain expenditures for children placed in group foster care
27 35 ordered by the court within the budget target allocated to the
28 1 region shall establish the plan in a manner so as to ensure
28 2 the moneys allocated to the region under section 232.141 shall
28 3 last the entire fiscal year.
28 4 3. The department shall establish a goal that not more
28 5 than 15 percent of the children placed in foster care funded
28 6 under the federal Social Security Act, Title IV-E, may be
28 7 placed in foster care for a period of more than 24 months.
28 8 4. In accordance with the provisions of section 232.188,
28 9 the department shall continue the program to decategorize
28 10 child welfare services in additional counties or clusters of
28 11 counties.
28 12 5. The provisions of section 232.142, subsection 3,
28 13 requiring financial aid to be paid by the state for the
28 14 establishment, improvements, operation, and maintenance of
28 15 county or multicounty juvenile detention homes shall not apply
28 16 for the fiscal year beginning July 1, 1997. Section 25B.2,
28 17 subsection 3, shall not apply to this subsection.
28 18 6. The amount of the appropriation made in this section
28 19 available for foster care is based upon expansion of the
28 20 number of children in foster care who are eligible for federal
28 21 supplemental security income (SSI). The department may use up
28 22 to $200,000 of those funds to enter into a performance-based
28 23 contract to secure SSI benefits for children placed in foster
28 24 care. The contract shall include provisions for training of
28 25 department of human services and juvenile court staff,
28 26 completion of applications, tracking of application results,
28 27 and representation during the appeals process whenever an
28 28 appeal is necessary to secure SSI benefits. The department
28 29 may extend the contract for an additional two years.
28 30 Notwithstanding section 217.30 and section 232.2, subsection
28 31 11, and any other provision of law to the contrary, the
28 32 director or the director's designee on behalf of a child in
28 33 foster care may release medical, mental health, substance
28 34 abuse, or any other information necessary only to determine
28 35 the child's eligibility for SSI benefits, and may sign
29 1 releases for the information. In the case of a child in the
29 2 custody of juvenile court services, the state court
29 3 administrator or administrator's designee acting on behalf of
29 4 a child in foster care may release medical, mental health,
29 5 substance abuse, or any other information necessary only to
29 6 determine the child's eligibility for SSI benefits, and may
29 7 sign releases for the information. In any release of
29 8 information made pursuant to this subsection, confidentiality
29 9 shall be maintained to the maximum extent possible.
29 10 7. A portion of the funds appropriated in this section may
29 11 be used for emergency family assistance to provide other
29 12 resources required for a family participating in a family
29 13 preservation or reunification project to stay together or to
29 14 be reunified.
29 15 8. Notwithstanding section 234.35, subsection 1, for the
29 16 fiscal year beginning July 1, 1997, state funding for shelter
29 17 care paid pursuant to section 234.35, subsection 1, paragraph
29 18 "h", shall be limited to $7,403,905. The department shall
29 19 develop a formula, in consultation with the shelter care
29 20 committee and the judicial department, to allocate shelter
29 21 care funds to the department's regions. The department may
29 22 adopt emergency rules to implement this subsection.
29 23 9. Of the funds appropriated in this section, not more
29 24 than $577,128 may be used to develop and maintain the state's
29 25 implementation of the national adoption and foster care
29 26 information system pursuant to the requirements of Pub. L.
29 27 No. 99-509. The department may transfer funds as necessary
29 28 from the appropriations in this Act for field operations and
29 29 general administration to implement this subsection. Moneys
29 30 allocated in accordance with this subsection shall be
29 31 considered encumbered for the purposes of section 8.33.
29 32 10. Of the funds appropriated in this section, up to
29 33 $777,632 may be used as determined by the department for any
29 34 of the following purposes:
29 35 a. For general administration of the department to improve
30 1 staff training efforts.
30 2 b. For oversight of termination of parental rights and
30 3 permanency planning efforts on a statewide basis.
30 4 c. For personnel, assigned by the attorney general, to
30 5 provide additional services relating to termination of
30 6 parental rights and child in need of assistance cases.
30 7 d. For specialized permanency planning field operations
30 8 staff.
30 9 11. The department may adopt administrative rules
30 10 following consultation with child welfare services providers
30 11 to implement outcome-based child welfare services pilot
30 12 projects. The rules may include, but are not limited to, the
30 13 development of program descriptions, provider licensing and
30 14 certification standards, reimbursement and payment amounts,
30 15 contract requirements, assessment and service necessity
30 16 requirements, eligibility criteria, claims submission
30 17 procedures, and accountability standards.
30 18 12. Of the funds appropriated in this section, up to
30 19 $200,000 may be used to develop, in cooperation with providers
30 20 of children and family services, juvenile court, and other
30 21 interested parties, an outcomes-based approach for family-
30 22 centered, family preservation, family-community-based support,
30 23 and wrap-around services to evaluate and improve outcomes for
30 24 children and families. The department shall submit an
30 25 outcomes-based budget for these programs and shall submit the
30 26 budget with other budget documents required pursuant to
30 27 section 8.23. The department may adopt administrative rules
30 28 to implement this subsection.
30 29 13. The department shall continue to make adoption
30 30 presubsidy and adoption subsidy payments to adoptive parents
30 31 at the beginning of the month for the current month.
30 32 14. Federal funds received by the state during the fiscal
30 33 year beginning July 1, 1997, as the result of the expenditure
30 34 of state funds appropriated during a previous state fiscal
30 35 year for a service or activity funded under this section,
31 1 shall be used as additional funding for services provided
31 2 under this section. Moneys received by the department in
31 3 accordance with the provisions of this subsection shall remain
31 4 available for the purposes designated until June 30, 1999.
31 5 15. In each fiscal year, if the department determines that
31 6 sufficient funds are available under the appropriation in this
31 7 section, the department may transfer up to $135,136 to the
31 8 appropriation in this Act for field operations to fund up to
31 9 an additional 5.00 FTEs beyond the authorized limit to respond
31 10 to increased applications resulting from recruitment efforts
31 11 in order to increase the number of adoptions of children with
31 12 special needs.
31 13 16. In addition to the report for group foster care
31 14 placements, the department shall report quarterly to the
31 15 legislative fiscal bureau concerning the status of each
31 16 region's funding expenditures compared with allocations in the
31 17 regional plan for services provided under this section.
31 18 17. The department and juvenile court services shall
31 19 develop criteria for the department regional administrator and
31 20 chief juvenile court officer to grant exceptions to extend
31 21 eligibility, within the funds allocated, for intensive
31 22 tracking and supervision and for supervised community
31 23 treatment to delinquent youth beyond age 18 who are subject to
31 24 release from the state training school, a highly structured
31 25 juvenile program, or group care. The department shall report
31 26 the number of such exceptions granted and the related
31 27 expenditures to the joint appropriations subcommittee on human
31 28 services on or before January 1, 1998. The department may
31 29 adopt emergency administrative rules to implement this
31 30 subsection.
31 31 18. Of the moneys appropriated in this section, not more
31 32 than $900,000 is allocated to provide clinical assessment
31 33 services as necessary to continue funding of children's
31 34 rehabilitation services under medical assistance in accordance
31 35 with federal law and requirements. The funding allocated is
32 1 the amount projected to be necessary for providing the
32 2 clinical assessment services. The department shall submit a
32 3 report to the general assembly on or before January 1, 1998,
32 4 regarding the development of a new model for determining
32 5 rehabilitative needs in place of clinical assessment and
32 6 treatment teams. The department shall implement the new model
32 7 on or before June 30, 1998, in a manner so as to reduce
32 8 paperwork and other information requirements to the minimum
32 9 level necessary for compliance with the federal requirements
32 10 for the clinical assessment services.
32 11 19. The department shall adopt and implement emergency
32 12 rules to provide for user fees for international and private
32 13 adoptions. The fees collected shall be deposited in the
32 14 adoption administrative fund and shall be used to provide
32 15 these services.
32 16 Sec. 13. CONNER DECREE. There is appropriated from the
32 17 general fund of the state to the department of human services
32 18 for the fiscal year beginning July 1, 1997, and ending June
32 19 30, 1998, the following amount, or so much thereof as is
32 20 necessary, to be used for the purpose designated:
32 21 For providing training in accordance with the consent
32 22 decree of Conner v. Branstad, No. 4-86-CU-30871(S.D. Iowa,
32 23 July 14, 1994):
32 24 .................................................. $ 46,000
32 25 Sec. 14. COMMUNITY-BASED PROGRAMS – ADOLESCENT PREGNANCY
32 26 PREVENTION. There is appropriated from the general fund of
32 27 the state to the department of human services for the fiscal
32 28 year beginning July 1, 1997, and ending June 30, 1998, the
32 29 following amount, or so much thereof as is necessary, to be
32 30 used for the purpose designated:
32 31 For community-based programs, on the condition that family
32 32 planning services are funded, including salaries, support,
32 33 maintenance, and miscellaneous purposes and for not more than
32 34 the following full-time equivalent positions:
32 35 .................................................. $ 2,270,000
33 1 ............................................... FTEs 1.00
33 2 1. Of the funds appropriated in this section, $486,146
33 3 shall be used for adolescent pregnancy prevention grants,
33 4 including not more than $156,048 for programs to prevent
33 5 pregnancies during the adolescent years and to provide support
33 6 services for pregnant or parenting adolescents. It is the
33 7 intent of the general assembly that by July 1, 1999, grants
33 8 awarded under this subsection be required to meet the criteria
33 9 under subsection 2 including the provision of community-wide
33 10 services within the proximity of a community or region. In
33 11 addition to the awarding of grants, funds may also be used for
33 12 grant evaluation and for a statewide media campaign.
33 13 2. Of the funds appropriated in this section, $298,000
33 14 shall be used for grants to community or regional groups which
33 15 demonstrate broad-based representation from community
33 16 representatives including but not limited to schools,
33 17 churches, human service-related organizations, and businesses.
33 18 Priority in the awarding of grants shall be given to groups
33 19 which provide services to both urban and rural areas within
33 20 the proximity of the community or region and which provide
33 21 age-appropriate programs adapted for both male and female
33 22 youth at the elementary, middle, and high school levels. A
33 23 program shall focus on the prevention of initial pregnancies
33 24 during the adolescent years by emphasizing sexual abstinence
33 25 as the only completely safe and effective means of avoiding
33 26 pregnancy and sexually transmitted diseases and by providing
33 27 information regarding the comparative failure rates of
33 28 contraceptives, and by emphasizing responsible decision making
33 29 in relationships, managing of peer and social pressures,
33 30 development of self-esteem, the costs and responsibilities of
33 31 parenting, and information regarding the alternative of
33 32 adoption for placement of a child. The program shall also
33 33 include an evaluation and assessment component which includes
33 34 evaluation of and recommendations for improvement of the
33 35 program by the youth and parents involved. Evaluation and
34 1 assessment reports shall be provided to the department of
34 2 human services, at a time determined by the department in the
34 3 grant award. Community or regional groups interested in
34 4 applying for a grant under this subsection may be issued a
34 5 planning grant or may utilize grant moneys for the costs of
34 6 technical assistance to analyze community needs, match service
34 7 providers to needs, negotiate service provision strategies, or
34 8 other assistance to focus grant services provided under this
34 9 subsection. The technical assistance may be provided by
34 10 organizations affiliated with institutions under the authority
34 11 of the state board of regents or other organizations
34 12 experienced in providing technical assistance concerning
34 13 similar services.
34 14 3. It is the intent of the general assembly that the
34 15 department of human services and the Iowa department of public
34 16 health shall identify existing abstinence education or
34 17 community-based programs which comply with the requirements
34 18 established in section 912, subchapter V, of the federal
34 19 Social Security Act, as codified in 42 U.S.C. } 701 et seq.
34 20 for matching of federal funds to be received on or after
34 21 October 1, 1997.
34 22 4. Of the funds appropriated in this section, $731,014
34 23 shall be used by the department for child abuse prevention
34 24 grants.
34 25 Sec. 15. COURT-ORDERED SERVICES PROVIDED TO JUVENILES.
34 26 There is appropriated from the general fund of the state to
34 27 the department of human services for the fiscal year beginning
34 28 July 1, 1997, and ending June 30, 1998, the following amount,
34 29 or so much thereof as is necessary, to be used for the purpose
34 30 designated:
34 31 Payment of the expenses of court-ordered services provided
34 32 to juveniles which are a charge upon the state pursuant to
34 33 section 232.141, subsection 4:
34 34 .................................................. $ 3,290,000
34 35 1. Notwithstanding section 232.141 or any other provision
35 1 of law, the funds appropriated in this section shall be
35 2 allocated to the judicial districts as determined by the state
35 3 court administrator. The state court administrator shall make
35 4 the determination on the allocations on or before June 15.
35 5 2. a. Each judicial district shall continue the planning
35 6 group for the court-ordered services for juveniles provided in
35 7 that district which was established pursuant to 1991 Iowa
35 8 Acts, chapter 267, section 119. A planning group shall
35 9 continue to perform its duties as specified in that law.
35 10 Reimbursement rates for providers of court-ordered evaluation
35 11 and treatment services paid under section 232.141, subsection
35 12 4, shall be negotiated with providers by each judicial
35 13 district's planning group.
35 14 b. Each district planning group shall submit an annual
35 15 report in January to the state court administrator and the
35 16 department of human services. The report shall cover the
35 17 preceding fiscal year and shall include a preliminary report
35 18 on the current fiscal year. The administrator and the
35 19 department shall compile these reports and submit the reports
35 20 to the chairpersons and ranking members of the joint
35 21 appropriations subcommittee on human services and the
35 22 legislative fiscal bureau.
35 23 3. The department of human services shall develop policies
35 24 and procedures to ensure that the funds appropriated in this
35 25 section are spent only after all other reasonable actions have
35 26 been taken to utilize other funding sources and community-
35 27 based services. The policies and procedures shall be designed
35 28 to achieve the following objectives relating to services
35 29 provided under chapter 232:
35 30 a. Maximize the utilization of funds which may be
35 31 available from the medical assistance program including usage
35 32 of the early and periodic screening, diagnosis, and treatment
35 33 (EPSDT) program.
35 34 b. Recover payments from any third-party insurance carrier
35 35 which is liable for coverage of the services, including health
36 1 insurance coverage.
36 2 c. Pursue development of agreements with regularly
36 3 utilized out-of-state service providers which are intended to
36 4 reduce per diem costs paid to those providers.
36 5 4. The department of human services, in consultation with
36 6 the state court administrator and the judicial district
36 7 planning groups, shall compile a monthly report describing
36 8 spending in the districts for court-ordered services for
36 9 juveniles, including the utilization of the medical assistance
36 10 program. The reports shall be submitted on or before the
36 11 twentieth day of each month to the chairpersons and ranking
36 12 members of the joint appropriations subcommittee on human
36 13 services and the legislative fiscal bureau.
36 14 5. Notwithstanding chapter 232 or any other provision of
36 15 law, a district or juvenile court in a department of human
36 16 services district shall not order any service which is a
36 17 charge upon the state pursuant to section 232.141 if there are
36 18 insufficient court-ordered services funds available in the
36 19 district allocation to pay for the service. The chief
36 20 juvenile court officer shall work with the judicial district
36 21 planning group to encourage use of the funds appropriated in
36 22 this section such that there are sufficient funds to pay for
36 23 all court-related services during the entire year. The eight
36 24 chief juvenile court officers shall attempt to anticipate
36 25 potential surpluses and shortfalls in the allocations and
36 26 shall cooperatively request the state court administrator to
36 27 transfer funds between the districts' allocations as prudent.
36 28 6. Notwithstanding any provision of law to the contrary, a
36 29 district or juvenile court shall not order a county to pay for
36 30 any service provided to a juvenile pursuant to an order
36 31 entered under chapter 232 which is a charge upon the state
36 32 under section 232.141, subsection 4.
36 33 7. Of the funds appropriated in this section, not more
36 34 than $100,000 may be used by the judicial department for
36 35 administration of the requirements under this section and for
37 1 travel associated with court-ordered placements which are a
37 2 charge upon the state pursuant to section 232.141, subsection
37 3 4.
37 4 8. Of the funds appropriated in this section, not more
37 5 than $580,000 may be transferred to the appropriation in this
37 6 Act for child and family services and used to provide school-
37 7 based supervision of children adjudicated under chapter 232.
37 8 Sec. 16. MENTAL HEALTH INSTITUTES. There is appropriated
37 9 from the general fund of the state to the department of human
37 10 services for the fiscal year beginning July 1, 1997, and
37 11 ending June 30, 1998, the following amount, or so much thereof
37 12 as is necessary, to be used for the purposes designated:
37 13 For the state mental health institutes for salaries,
37 14 support, maintenance, and miscellaneous purposes and for not
37 15 more than the following full-time equivalent positions:
37 16 .................................................. $ 41,480,900
37 17 ............................................... FTEs 888.10
37 18 1. The funds appropriated and full-time equivalent
37 19 positions authorized in this section are allocated as follows:
37 20 a. State mental health institute at Cherokee:
37 21 .................................................. $ 13,199,400
37 22 ............................................... FTEs 296.98
37 23 b. State mental health institute at Clarinda:
37 24 .................................................. $ 6,324,400
37 25 ............................................... FTEs 136.82
37 26 c. State mental health institute at Independence:
37 27 .................................................. $ 17,133,200
37 28 ............................................... FTEs 366.82
37 29 For the fiscal year beginning July 1, 1997, the state
37 30 mental health institute at Independence shall implement a
37 31 pilot project accounting test of managing revenues and
37 32 expenditures attributable to the mental health institute in a
37 33 manner that permits the net state expenditure amount to be
37 34 determined. The mental health institute shall submit a
37 35 preliminary report in January 1998, and a status report in
38 1 October 1998, to the governor and the joint appropriations
38 2 subcommittee on human services concerning the pilot project.
38 3 The reports shall identify advantages and disadvantages of
38 4 utilizing the pilot project approach and any changes in policy
38 5 or statute identified to improve an implementation of the
38 6 pilot project approach.
38 7 d. State mental health institute at Mount Pleasant:
38 8 .................................................. $ 4,823,900
38 9 ............................................... FTEs 87.48
38 10 The department shall develop a plan for implementing a dual
38 11 diagnosis program at the state mental institute at Mount
38 12 Pleasant to commence July 1, 1998. The department shall
38 13 submit the plan to the governor and the general assembly on or
38 14 before January 2, 1998.
38 15 2. Within the funds appropriated in this section, the
38 16 department may reallocate funds as necessary to best fulfill
38 17 the needs of the institutions provided for in the
38 18 appropriation.
38 19 3. As part of the discharge planning process at the state
38 20 mental health institutes, the department shall provide
38 21 assistance in obtaining eligibility for federal supplemental
38 22 security income (SSI) to those individuals whose care at a
38 23 state mental health institute is the financial responsibility
38 24 of the state.
38 25 Sec. 17. HOSPITAL-SCHOOLS. There is appropriated from the
38 26 general fund of the state to the department of human services
38 27 for the fiscal year beginning July 1, 1997, and ending June
38 28 30, 1998, the following amount, or so much thereof as is
38 29 necessary, to be used for the purposes designated:
38 30 For the state hospital-schools, for salaries, support,
38 31 maintenance, and miscellaneous purposes and for not more than
38 32 the following full-time equivalent positions:
38 33 .................................................. $ 28,613,376
38 34 ............................................... FTEs 1508.00
38 35 1. The funds appropriated and full-time equivalent
39 1 positions authorized in this section are allocated as follows:
39 2 a. State hospital-school at Glenwood:
39 3 .................................................. $ 2,108,276
39 4 ............................................... FTEs 872.50
39 5 (1) The department shall implement a pilot project of
39 6 operating the hospital-school with a net general fund
39 7 appropriation. The amount allocated in this paragraph is the
39 8 net state appropriation amount projected to be needed for the
39 9 state hospital-school at Glenwood. Purposes of the pilot
39 10 project are to encourage the hospital-school to operate with
39 11 increased self-sufficiency, to improve quality and efficiency,
39 12 and to support collaborative efforts between the hospital-
39 13 school and counties and other funders of services available
39 14 from the hospital-school. The pilot project shall not be
39 15 implemented in a manner which results in a cost increase to
39 16 the state or cost shifting between the state, the medical
39 17 assistance program, counties, or other sources of funding for
39 18 the state hospital-school. Moneys allocated in this paragraph
39 19 may be used throughout the fiscal year in the manner necessary
39 20 for purposes of cash flow management, and for purposes of cash
39 21 flow management the hospital-school may temporarily draw more
39 22 than the amount allocated, provided the amount allocated is
39 23 not exceeded at the close of the fiscal year.
39 24 (2) In implementing the pilot project, subject to the
39 25 approval of the department, except for revenues under section
39 26 249A.11, revenues attributable to the state hospital-school
39 27 for the fiscal year beginning July 1, 1997, shall be deposited
39 28 into the hospital-school's account, including but not limited
39 29 to all of the following:
39 30 (a) Moneys received by the state from billings to counties
39 31 under section 222.73.
39 32 (b) The federal share of medical assistance revenue
39 33 received under chapter 249A.
39 34 (c) Federal Medicare program payments.
39 35 (d) Moneys received from client financial participation.
40 1 (e) Other revenues generated from current, new, or
40 2 expanded services which the state hospital-school is
40 3 authorized to provide.
40 4 (3) For the initial year of the pilot project, the
40 5 institution shall develop a report detailing the items for
40 6 which depreciation reimbursement funds would have been
40 7 utilized if the depreciation reimbursement had been retained
40 8 by the institution. This report shall be included with the
40 9 preliminary report submitted pursuant to subparagraph (5) in
40 10 January 1998.
40 11 (4) For the purposes of allocating the salary adjustment
40 12 fund moneys appropriated in another Act, the state hospital-
40 13 school at Glenwood shall be considered to be funded entirely
40 14 with state moneys.
40 15 (5) The state hospital-school and the department shall
40 16 submit a preliminary report in January 1998, and a status
40 17 report in October 1998, to the governor and the joint
40 18 appropriations subcommittee on human services concerning the
40 19 pilot project.
40 20 b. State hospital-school at Woodward:
40 21 .................................................. $ 26,505,100
40 22 ............................................... FTEs 635.50
40 23 2. Within the funds appropriated in this section, the
40 24 department may reallocate funds as necessary to best fulfill
40 25 the needs of the institutions provided for in the
40 26 appropriation.
40 27 3. The department may implement a pilot project to bill
40 28 for state hospital-school services utilizing a scope of
40 29 services used for private providers of intermediate care
40 30 facilities for persons with mental retardation services in a
40 31 manner which does not shift costs between the medical
40 32 assistance program, counties, or other sources of funding for
40 33 the state-hospital schools.
40 34 Sec. 18. MENTAL ILLNESS SPECIAL SERVICES. There is
40 35 appropriated from the general fund of the state to the
41 1 department of human services for the fiscal year beginning
41 2 July 1, 1997, and ending June 30, 1998, the following amount,
41 3 or so much thereof as is necessary, to be used for the purpose
41 4 designated:
41 5 For mental illness special services:
41 6 .................................................. $ 121,220
41 7 1. The department and the Iowa finance authority shall
41 8 develop methods to implement the financing for existing
41 9 community-based facilities and to implement financing for the
41 10 development of affordable community-based housing facilities.
41 11 The department shall assure that clients are referred to the
41 12 housing as it is developed.
41 13 2. The funds appropriated in this section are to provide
41 14 funds for construction and start-up costs to develop community
41 15 living arrangements to provide for persons with mental illness
41 16 who are homeless. These funds may be used to match federal
41 17 Stewart B. McKinney Homeless Assistance Act grant funds.
41 18 Programs or areas which have previously received funding shall
41 19 be eligible for additional funding under this appropriation.
41 20 Sec. 19. FAMILY SUPPORT SUBSIDY PROGRAM. There is
41 21 appropriated from the general fund of the state to the
41 22 department of human services for the fiscal year beginning
41 23 July 1, 1997, and ending June 30, 1998, the following amount,
41 24 or so much thereof as is necessary, to be used by the division
41 25 of children and family services for the purpose designated:
41 26 For the family support subsidy program:
41 27 .................................................. $ 1,670,000
41 28 The department may use up to $200,000 of the moneys
41 29 appropriated in this section to continue the children-at-home
41 30 program, of which not more than $30,000 shall be used for
41 31 administrative costs.
41 32 Sec. 20. SPECIAL NEEDS GRANTS. There is appropriated from
41 33 the general fund of the state to the department of human
41 34 services for the fiscal year beginning July 1, 1997, and
41 35 ending June 30, 1998, the following amount, or so much thereof
42 1 as is necessary, to be used for the purpose designated:
42 2 To provide special needs grants to families with a family
42 3 member at home who has a developmental disability or to a
42 4 person with a developmental disability:
42 5 .................................................. $ 53,212
42 6 Grants must be used by a family to defray special costs of
42 7 caring for the family member to prevent out-of-home placement
42 8 of the family member or to provide for independent living
42 9 costs. The grants may be administered by a private nonprofit
42 10 agency which serves people statewide provided that no
42 11 administrative costs are received by the agency. Regular
42 12 reports regarding the special needs grants with the family
42 13 support subsidy program and an annual report concerning the
42 14 characteristics of the grantees shall be provided to the
42 15 legislative fiscal bureau.
42 16 Sec. 21. MI/MR/DD STATE CASES. There is appropriated from
42 17 the general fund of the state to the department of human
42 18 services for the fiscal year beginning July 1, 1997, and
42 19 ending June 30, 1998, the following amount, or so much thereof
42 20 as is necessary, to be used for the purpose designated:
42 21 For purchase of local services for persons with mental
42 22 illness, mental retardation, and developmental disabilities
42 23 where the client has no established county of legal
42 24 settlement:
42 25 .................................................. $ 6,910,000
42 26 If a county has a county management plan which is approved
42 27 by the director of human services pursuant to section 331.439,
42 28 the services paid for under this section are exempt from the
42 29 department's purchase of service system requirements. The
42 30 department shall adopt rules to implement the provisions of
42 31 this paragraph.
42 32 Sec. 22. MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES –
42 33 COMMUNITY SERVICES FUND. There is appropriated from the
42 34 general fund of the state to the mental health and
42 35 developmental disabilities community services fund created in
43 1 section 225C.7 for the fiscal year beginning July 1, 1997, and
43 2 ending June 30, 1998, the following amount, or so much thereof
43 3 as is necessary, to be used for the purpose designated:
43 4 For mental health and developmental disabilities community
43 5 services in accordance with this Act:
43 6 .................................................. $ 17,400,000
43 7 1. Of the funds appropriated in this section, $17,121,138
43 8 shall be allocated to counties for funding of community-based
43 9 mental health and developmental disabilities services. The
43 10 moneys shall be allocated to a county as follows:
43 11 a. Fifty percent based upon the county's proportion of the
43 12 state's population of persons with an annual income which is
43 13 equal to or less than the poverty guideline established by the
43 14 federal office of management and budget.
43 15 b. Fifty percent based upon the county's proportion of the
43 16 state's general population.
43 17 2. a. A county shall utilize the funding the county
43 18 receives pursuant to subsection 1 for services provided to
43 19 persons with a disability, as defined in section 225C.2.
43 20 However, no more than 50 percent of the funding shall be used
43 21 for services provided to any one of the service populations.
43 22 b. A county shall use at least 50 percent of the funding
43 23 the county receives under subsection 1 for contemporary
43 24 services provided to persons with a disability, as described
43 25 in rules adopted by the department.
43 26 3. Of the funds appropriated in this section, $30,000
43 27 shall be used to support the Iowa compass program providing
43 28 computerized information and referral services for Iowans with
43 29 disabilities and their families.
43 30 4. The department shall submit an annual report concerning
43 31 each population served and each service funded in this section
43 32 to the chairpersons and ranking members of the joint
43 33 appropriations subcommittee on human services and the
43 34 legislative fiscal bureau.
43 35 5. Of the funds appropriated in this section, not more
44 1 than $248,862 shall be provided to those counties having
44 2 supplemental per diem contracts in effect on June 30, 1994,
44 3 which were originally initiated under 1993 Iowa Acts, chapter
44 4 172, section 16, subsection 2. The amount provided to each
44 5 county shall be equal to the amount the county would be
44 6 eligible to receive under the supplemental per diem contracts
44 7 in effect on June 30, 1994, if the contracts were continued in
44 8 effect for the entire fiscal year beginning July 1, 1997.
44 9 6. a. Funding appropriated for purposes of the federal
44 10 social services block grant is allocated for distribution to
44 11 counties for local purchase of services for persons with
44 12 mental illness or mental retardation or other developmental
44 13 disability.
44 14 b. The funds allocated in this subsection shall be
44 15 expended by counties in accordance with eligibility guidelines
44 16 established in the department's rules outlining general
44 17 provisions for service administration. Services eligible for
44 18 payment with funds allocated in this subsection are limited to
44 19 any of the following which are provided in accordance with the
44 20 department's administrative rules for the services: adult
44 21 support, adult day care, administrative support for
44 22 volunteers, community supervised apartment living
44 23 arrangements, residential services for adults, sheltered work,
44 24 supported employment, supported work training, transportation,
44 25 and work activity.
44 26 c. In purchasing services with funds allocated in this
44 27 subsection, a county shall designate a person to provide for
44 28 eligibility determination and development of a case plan for
44 29 individuals for whom the services are purchased. The
44 30 designated person shall be a medical assistance case manager
44 31 serving the person's county of residence. If an individual
44 32 does not have a case manager, the individual's eligibility
44 33 shall be determined by a social services caseworker of the
44 34 department serving the individual's county of residence. The
44 35 case plan shall be developed in accordance with the
45 1 department's rules outlining general provisions for service
45 2 administration.
45 3 d. Services purchased with funds allocated in this
45 4 subsection must be the result of a referral by the person who
45 5 identified the services in developing the individual's case
45 6 plan.
45 7 e. Services purchased with funds allocated in this
45 8 subsection must be under a purchase of service contract
45 9 established in accordance with the department's administrative
45 10 rules for purchase of service.
45 11 f. The funds provided by this subsection shall be
45 12 allocated to each county as follows:
45 13 (1) Fifty percent based upon the county's proportion of
45 14 the state's population of persons with an annual income which
45 15 is equal to or less than the poverty guideline established by
45 16 the federal office of management and budget.
45 17 (2) Fifty percent based upon the amount provided to the
45 18 county for local purchase of services in the preceding fiscal
45 19 year.
45 20 g. Each county shall submit to the department a plan for
45 21 funding of the services eligible for payment under this
45 22 subsection. The plan may provide for allocation of the funds
45 23 for one or more of the eligible services. The plan shall
45 24 identify the funding amount the county allocates for each
45 25 service and the time period for which the funding will be
45 26 available. Only those services which have funding allocated
45 27 in the plan are eligible for payment with funds provided in
45 28 this subsection.
45 29 h. A county shall provide advance notice to the individual
45 30 receiving services, the service provider, and the person
45 31 responsible for developing the case plan of the date the
45 32 county determines that funding will no longer be available for
45 33 a service.
45 34 i. The moneys provided under this subsection do not
45 35 establish an entitlement to the services funded under this
46 1 subsection.
46 2 7. If a county has a county management plan which is
46 3 approved by the director of human services pursuant to section
46 4 331.439, the county shall be considered to have met the
46 5 requirements of subsection 2, and subsection 6, paragraphs
46 6 "b", "c", "d", "e", and "g". The department shall adopt rules
46 7 to implement the provisions of this subsection.
46 8 8. It is the intent of the general assembly that to the
46 9 extent possible, public funding for mental retardation and
46 10 developmental disabilities services should be used in a
46 11 flexible manner to reduce reliance on institutional-based
46 12 services. To this end, a county may amend the county's
46 13 service management plans for mental retardation and
46 14 developmental disabilities services submitted for the fiscal
46 15 year beginning July 1, 1997, under section 331.439, as
46 16 necessary for the county to provide appropriate assistance in
46 17 lieu of placement of an individual in an intermediate care
46 18 facility for persons with mental retardation or other
46 19 institutional placement. The appropriate assistance may be
46 20 modeled on the personal assistance and family support subsidy
46 21 programs under chapter 225C.
46 22 Sec. 23. PROVIDER REIMBURSEMENT – SHELTERED WORKSHOPS –
46 23 WORK ACTIVITY SERVICES. There is appropriated from the
46 24 general fund of the state to the department of human services
46 25 for the fiscal year beginning July 1, 1997, and ending June
46 26 30, 1998, the following amount, or so much thereof as is
46 27 necessary, to be used for the purpose designated:
46 28 For payment of an increased provider reimbursement for
46 29 sheltered workshops and work activity services:
46 30 .................................................. $ 160,000
46 31 The moneys appropriated in this section shall be allocated
46 32 to counties in accordance with the methodology for
46 33 distribution of local purchase of services moneys in section
46 34 22, subsection 6, paragraph "f", of this Act. The moneys
46 35 provided pursuant to this section shall be used to pay the
47 1 increase in reimbursement rates by one percent over the
47 2 reimbursement rate provided on June 30, 1997, for sheltered
47 3 workshops and work activity services.
47 4 Sec. 24. PERSONAL ASSISTANCE. There is appropriated from
47 5 the general fund of the state to the department of human
47 6 services for the fiscal year beginning July 1, 1997, and
47 7 ending June 30, 1998, the following amount, or so much thereof
47 8 as is necessary, to be used for the purpose designated:
47 9 For continuation of a pilot project for the personal
47 10 assistance services program in accordance with this section:
47 11 .................................................. $ 364,000
47 12 The funds appropriated in this section shall be used to
47 13 continue the pilot project for the personal assistance
47 14 services program under section 225C.46 in an urban and a rural
47 15 area. Not more than $36,400 shall be used for administrative
47 16 costs. The pilot project and any federal home and community-
47 17 based waiver developed under the medical assistance program
47 18 shall not be implemented in a manner which would require
47 19 additional county or state costs for assistance provided to an
47 20 individual served under the pilot project or the waiver.
47 21 It is the intent of the general assembly that for any new
47 22 applicants for personal assistance, priority shall be given to
47 23 providing assistance to individuals for education, job
47 24 training, and other forms of employment support. It is also
47 25 the intent of the general assembly that if other programs
47 26 become available which provide similar services, current
47 27 recipients of personal assistance for whom these similar
47 28 services are appropriate shall be assisted in attaining
47 29 eligibility for these programs.
47 30 Sec. 25. FIELD OPERATIONS. There is appropriated from the
47 31 general fund of the state to the department of human services
47 32 for the fiscal year beginning July 1, 1997, and ending June
47 33 30, 1998, the following amount, or so much thereof as is
47 34 necessary, to be used for the purpose designated:
47 35 For field operations, including salaries, support,
48 1 maintenance, and miscellaneous purposes and for not more than
48 2 the following full-time equivalent positions:
48 3 ................................................. $ 47,500,000
48 4 ............................................... FTEs 2,047.00
48 5 Of the full-time equivalent positions authorized in this
48 6 section, there are additional positions in excess of the
48 7 number authorized for the previous fiscal year. It is the
48 8 intent of the general assembly that of the additional
48 9 positions, up to 20 FTEs may be utilized for incremental
48 10 expansion of the assessment-based approach for responding to
48 11 reports of child abuse.
48 12 Sec. 26. GENERAL ADMINISTRATION. There is appropriated
48 13 from the general fund of the state to the department of human
48 14 services for the fiscal year beginning July 1, 1997, and
48 15 ending June 30, 1998, the following amount, or so much thereof
48 16 as is necessary, to be used for the purpose designated:
48 17 For general administration, including salaries, support,
48 18 maintenance, and miscellaneous purposes and for not more than
48 19 the following full-time equivalent positions:
48 20 ................................................ $ 14,100,000
48 21 .............................................. FTEs 383.00
48 22 Of the funds appropriated in this section, $57,090 is
48 23 allocated for the prevention of disabilities policy council
48 24 established in section 225B.3.
48 25 If an expenditure reduction or other cost-saving measure is
48 26 deemed necessary to maintain expenditures within the amount
48 27 appropriated to the department in this section, the department
48 28 shall not implement the reduction or other measure in a manner
48 29 which reduces service funding for disability rehabilitation
48 30 programs, including but not limited to, statewide supported
48 31 employment programs or reduces the drawdown of federal
48 32 funding.
48 33 Sec. 27. VOLUNTEERS. There is appropriated from the
48 34 general fund of the state to the department of human services
48 35 for the fiscal year beginning July 1, 1997, and ending June
49 1 30, 1998, the following amount, or so much thereof as is
49 2 necessary, to be used for the purpose designated:
49 3 For development and coordination of volunteer services:
49 4 .................................................. $ 98,900
49 5 Sec. 28. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY
49 6 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE
49 7 DEPARTMENT OF HUMAN SERVICES.
49 8 1. a. For the fiscal year beginning July 1, 1997, the
49 9 rate for skilled nursing facilities shall be increased by 3.3
49 10 percent over the rates in effect on June 30, 1997.
49 11 b. For the fiscal year beginning July 1, 1997, the
49 12 dispensing fee for pharmacists shall remain at the rate in
49 13 effect on June 30, 1997. The reimbursement policy for drug
49 14 product costs shall be in accordance with federal
49 15 requirements.
49 16 c. For the fiscal year beginning July 1, 1997,
49 17 reimbursement rates for inpatient and outpatient hospital
49 18 services shall be increased by 2.8 percent over the rates in
49 19 effect on June 30, 1997. The department shall continue the
49 20 outpatient hospital reimbursement system based upon ambulatory
49 21 patient groups implemented pursuant to 1994 Iowa Acts, chapter
49 22 1186, section 25, subsection 1, paragraph "f". In addition,
49 23 the department shall continue the revised medical assistance
49 24 payment policy implemented pursuant to that paragraph to
49 25 provide reimbursement for costs of screening and treatment
49 26 provided in the hospital emergency room if made pursuant to
49 27 the prospective payment methodology developed by the
49 28 department for the payment of outpatient services provided
49 29 under the medical assistance program.
49 30 d. Reimbursement rates for rural health clinics shall be
49 31 increased in accordance with increases under the federal
49 32 Medicare program.
49 33 e. Home health agencies certified for the federal Medicare
49 34 program, hospice services, and acute care mental hospitals
49 35 shall be reimbursed for their current federal Medicare audited
50 1 costs.
50 2 f. The basis for establishing the maximum medical
50 3 assistance reimbursement rate for nursing facilities shall be
50 4 the 70th percentile of facility costs as calculated from the
50 5 June 30, 1997, unaudited compilation of cost and statistical
50 6 data. However, to the extent funds are available within the
50 7 amount projected for reimbursement of nursing facilities
50 8 within the appropriation for medical assistance in this Act
50 9 for fiscal year beginning July 1, 1997, and within the
50 10 appropriation for medical assistance as a whole for fiscal
50 11 year beginning July 1, 1997, the department shall adjust the
50 12 maximum medical assistance reimbursement for nursing
50 13 facilities to the 70th percentile, as calculated on December
50 14 31, 1997, unaudited compilation of cost and statistical data
50 15 and the adjustment shall take effect January 1, 1998.
50 16 g. Federally qualified health centers shall be reimbursed
50 17 at 100 percent of reasonable costs as determined by the
50 18 department in accordance with federal requirements.
50 19 h. The reimbursement for dental services shall remain at
50 20 the rates in effect on June 30, 1997.
50 21 2. For the fiscal year beginning July 1, 1997, the maximum
50 22 cost reimbursement rate for residential care facilities
50 23 reimbursed by the department shall not be less than $22.20 per
50 24 day. The flat reimbursement rate for facilities electing not
50 25 to file semiannual cost reports shall not be less than $15.88
50 26 per day. For the fiscal year beginning July 1, 1997, the
50 27 maximum reimbursement rate for providers reimbursed under the
50 28 in-home health-related care program shall not be less than
50 29 $426.78 per month.
50 30 3. Unless otherwise directed in this section, when the
50 31 department's reimbursement methodology for any provider
50 32 reimbursed in accordance with this section includes an
50 33 inflation factor, this factor shall not exceed the amount by
50 34 which the consumer price index for all urban consumers
50 35 increased during the calendar year ending December 31, 1996.
51 1 4. Notwithstanding section 234.38, in the fiscal year
51 2 beginning July 1, 1997, the foster family basic daily
51 3 maintenance rate and the maximum adoption subsidy rate for
51 4 children ages 0 through 5 years shall be $13.01, the rate for
51 5 children ages 6 through 11 years shall be $13.77, the rate for
51 6 children ages 12 through 15 years shall be $15.48, and the
51 7 rate for children ages 16 and older shall be $15.47.
51 8 5. For the fiscal year beginning July 1, 1997, the maximum
51 9 reimbursement rates for nonrehabilitative treatment and
51 10 supportive services and for social service providers shall be
51 11 the same as the rates in effect on June 30, 1997, except under
51 12 any of the following circumstances:
51 13 a. If a new service was added after June 30, 1997, the
51 14 initial reimbursement rate for the service shall be based upon
51 15 actual and allowable costs.
51 16 b. If a social service provider loses a source of income
51 17 used to determine the reimbursement rate for the provider, the
51 18 provider's reimbursement rate may be adjusted to reflect the
51 19 loss of income, provided that the lost income was used to
51 20 support actual and allowable costs of a service purchased
51 21 under a purchase of service contract.
51 22 c. The department revises the reimbursement rates as part
51 23 of the changes in the mental health and developmental
51 24 disabilities services system initiated pursuant to 1995 Iowa
51 25 Acts, chapter 206, and associated legislation.
51 26 6. The group foster care reimbursement rates paid for
51 27 placement of children out-of-state shall be calculated
51 28 according to the same rate-setting principles as those used
51 29 for in-state providers unless the director determines that
51 30 appropriate care cannot be provided within the state. The
51 31 payment of the daily rate shall be based on the number of days
51 32 in the calendar month in which service is provided.
51 33 7. For the fiscal year beginning July 1, 1997, the
51 34 combined service and maintenance components of the
51 35 reimbursement rate paid to a shelter care provider shall be
52 1 based on the cost report submitted to the department. The
52 2 maximum reimbursement rate shall be $76.61 per day. If the
52 3 department would reimburse the provider at less than the
52 4 maximum rate but the provider's cost report justifies a rate
52 5 of at least $76.61, the department shall readjust the
52 6 provider's reimbursement rate to the maximum reimbursement
52 7 rate.
52 8 8. For the fiscal year beginning July 1, 1997, the
52 9 department shall calculate reimbursement rates for
52 10 intermediate care facilities for persons with mental
52 11 retardation at the 80th percentile.
52 12 9. For the fiscal year beginning July 1, 1997, for child
52 13 day care providers, the department shall set provider
52 14 reimbursement rates based on the rate reimbursement survey
52 15 completed in December 1996. The department shall set rates in
52 16 a manner so as to provide incentives for a nonregistered
52 17 provider to become registered. The department shall review
52 18 the effects of providing a rate reimbursement incentive on
52 19 child day care availability including but not limited to any
52 20 change in the number of providers who are registered and the
52 21 effect on access to providers in rural and urban areas. The
52 22 department shall report the findings of the review to the
52 23 general assembly on or before January 2, 1998.
52 24 10. The department may, at no cost to the state, implement
52 25 a pilot project to examine use of a payment system for
52 26 pharmaceutical care services provided by pharmacists under the
52 27 medical assistance program.
52 28 11. The department of human services shall revise the
52 29 financial and statistical report form applicable to nursing
52 30 facilities to incorporate the recommendations made as the
52 31 result of the directive relating to nursing facilities in
52 32 accordance with 1996 Iowa Acts, chapter 1213, section 25,
52 33 subsection 12. The revisions shall include, but are not
52 34 limited to, the addition of a category labeled "Patient Care
52 35 Services" which shall be subdivided into the subcategories of
53 1 "Direct Patient Care Costs" and "Support Care Costs". Costs
53 2 associated with food and dietary wages shall be included in
53 3 the "Support Care Costs" subcategory. The department may
53 4 adopt emergency rules to implement this subsection.
53 5 12. For the fiscal year beginning July 1, 1997, the
53 6 reimbursement rate for psychiatric medical institutions for
53 7 children shall be increased by 3 percent over the rates in
53 8 effect on June 30, 1997.
53 9 13. The department may adopt emergency rules to implement
53 10 the provisions of this section.
53 11 Sec. 29. STATE INSTITUTIONS – CLOSINGS AND REDUCTIONS.
53 12 1. If a state institution administered by the department
53 13 of human services is to be closed or reduced in size, prior to
53 14 the closing or reduction the department shall initiate and
53 15 coordinate efforts in cooperation with the Iowa department of
53 16 economic development to develop new jobs in the area in which
53 17 the state institution is located. In addition, the department
53 18 may take other actions to utilize any closed unit or other
53 19 facilities and services of an institution, including but not
53 20 limited to assisting public or private organizations in
53 21 utilizing the services and facilities. The actions may also
53 22 include assisting an organization with remodeling and lease
53 23 costs by forgiving future rental or lease payments to the
53 24 extent necessary for a period not to exceed five years. The
53 25 department of human services and the department of economic
53 26 development shall submit a joint report to the chairpersons
53 27 and ranking members of the joint appropriations subcommittee
53 28 on human services on or before January 2, 1998, regarding any
53 29 efforts made pursuant to this subsection.
53 30 2. For purposes of this section, "state institution" means
53 31 a state mental health institute, a state hospital-school, the
53 32 state training school, and the Iowa juvenile home under the
53 33 authority of the department of human services listed in
53 34 section 218.1. If excess capacity exists at a state
53 35 institution beyond the capacity required for placements at the
54 1 institution under law, the department of human services may
54 2 enter into a contract with a managed care provider or an
54 3 organized delivery system for health care, to provide services
54 4 during the fiscal year beginning July 1, 1997, at the
54 5 institution for the plan or system without use of county
54 6 funds.
54 7 Sec. 30. PROGRAM SIMPLIFICATION – PAPERWORK REDUCTION.
54 8 The department of human services shall consult with providers
54 9 of services relating to child and family services and personal
54 10 assistance to review provider reporting requirements,
54 11 applicant and recipient process and documentation
54 12 requirements, and other paperwork and process requirements.
54 13 Following the review and no later than January 1, 1999, the
54 14 department shall implement a process which provides, at a
54 15 minimum, for a simplified means of demonstrating compliance of
54 16 providers, applicants, and recipients with document and
54 17 process requirements which shall include consolidation of
54 18 reports and forms and which may provide for submission of
54 19 reports and forms in an electronic format.
54 20 Sec. 31. JUVENILE JUSTICE ISSUES. The legislative council
54 21 is requested to establish a juvenile justice issues oversight
54 22 task force. If established, the task force should be directed
54 23 to consider the impact of juvenile problems, duplication in
54 24 intervention services, and gaps in service provision. The
54 25 membership of the task force should include interested members
54 26 of the joint appropriations subcommittees on human services,
54 27 health and human rights, justice system, and education and of
54 28 the standing committees for these subject areas.
54 29 Sec. 32. SERVICES RESTRUCTURING TASK FORCE.
54 30 1. The legislative council is requested to continue the
54 31 task force established for the 1996 interim of the general
54 32 assembly in order to develop a comprehensive proposal to
54 33 accomplish all of the following:
54 34 a. Devolution of the control of service delivery to the
54 35 local level.
55 1 b. Elimination of program duplication within the
55 2 department of human services and between the department of
55 3 human services and other departments including but not limited
55 4 to the Iowa department of public health, the department of
55 5 education, and the judicial department.
55 6 c. Reduction of paperwork, red-tape, and bureaucracy to
55 7 improve the quality of services delivery and consumer
55 8 satisfaction.
55 9 d. Evaluation of the adherence of the department of human
55 10 services to the department's mission statement.
55 11 2. In addition, the task force may address the following
55 12 topics: granting local authority to deliver public services,
55 13 use of public institutions and facilities, the possibility of
55 14 creating an agency for disability and rehabilitation services,
55 15 and development of a "seamless" system for referral of
55 16 families to child day care resources and public financial
55 17 assistance and collaborative programs.
55 18 Sec. 33. CHILDREN WITH MENTAL RETARDATION. It is the
55 19 intent of the general assembly to appropriate funding of
55 20 services to children with mental retardation in a manner so
55 21 that beginning July 1, 1998, separate funding categories for
55 22 the services will be pooled. The tentative name for the
55 23 combined funding pool is "Mental Retardation – Most
55 24 Appropriate Groupcare Initiative for Children" or "MR –
55 25 MAGIC". The service funding streams to be considered for the
55 26 funding pool shall include but are not limited to the
55 27 following services or programs to support children with mental
55 28 retardation and their families: family support subsidy,
55 29 intermediate care facility for persons with mental
55 30 retardation, medical assistance home and community-based
55 31 waiver services, group foster care, in-home services and other
55 32 support, state hospital-schools, and state cases. The
55 33 department of human services shall convene a work group to
55 34 make recommendations for implementation of the MR – MAGIC
55 35 funding pool. The work group shall include representatives of
56 1 the department, the personal assistance and family support
56 2 services council, service providers, families, and advocates.
56 3 The recommendations shall be submitted to the governor and
56 4 general assembly on or before October 15, 1997.
56 5 Sec. 34. MENTAL HEALTH – CHILDREN. The mental health and
56 6 developmental disabilities commission, the council on human
56 7 services, and the state-county management committee, shall
56 8 review mental health services for children with the goal of
56 9 assuring coordination, financing, and provision of effective
56 10 services. The commission, council, and committee shall submit
56 11 a report of findings and recommendations, which shall include
56 12 recommendations for proposed legislation, to the general
56 13 assembly on or before December 15, 1997.
56 14 Sec. 35. TRANSFER AUTHORITY. Subject to the provisions of
56 15 section 8.39, for the fiscal year beginning July 1, 1997, if
56 16 necessary to meet federal maintenance of effort requirements
56 17 or to transfer federal temporary assistance for needy families
56 18 block grant funding to be used for purposes of the federal
56 19 social services block grant, the department of human services
56 20 may transfer between any of the appropriations made in this
56 21 Act to the department for the following purposes, provided
56 22 that the combined amount of state and federal temporary
56 23 assistance for needy families block grant funding for each
56 24 appropriation remains the same before and after the transfer:
56 25 1. For the family investment program.
56 26 2. For emergency assistance.
56 27 3. For child day care assistance.
56 28 4. For child and family services.
56 29 5. For field operations.
56 30 6. For general administration.
56 31 This section shall not be construed to prohibit existing
56 32 state transfer authority for other purposes.
56 33 Sec. 36. YOUTH SERVICES DEPARTMENT – STUDY. The
56 34 legislative council is requested to establish an interim study
56 35 committee consisting of members of both political parties from
57 1 both houses of the general assembly to consider whether a
57 2 separate state department for youth services should be
57 3 established. The study may include, but is not limited to, a
57 4 review of existing programs and services provided to juveniles
57 5 in this state and the funding mechanisms for those programs
57 6 and services; identifying the various agencies currently
57 7 involved in the delivery of those programs and services to
57 8 juveniles; identifying areas in which programs and services
57 9 overlap; reviewing the approaches used and experiences of
57 10 other states in delivering juvenile services; and receiving
57 11 testimony from agency staff, service providers, and youth
57 12 services advocates on issues deemed relevant to the delivery
57 13 of juvenile services in this state. The committee may be
57 14 authorized to hire a consultant to provide the background
57 15 information requested by the committee. The committee should
57 16 be directed to submit its findings, together with any
57 17 recommendations, in a report to the general assembly session
57 18 which convenes in January 1998.
57 19 Sec. 37. EMERGENCY RULES. If specifically authorized by a
57 20 provision of this Act, the department of human services or the
57 21 mental health and mental retardation commission may adopt
57 22 administrative rules under section 17A.4, subsection 2, and
57 23 section 17A.5, subsection 2, paragraph "b", to implement the
57 24 provisions and the rules shall become effective immediately
57 25 upon filing, unless the effective date is delayed by the
57 26 administrative rules review committee, notwithstanding section
57 27 17A.4, subsection 5, and section 17A.8, subsection 9, or a
57 28 later effective date is specified in the rules. Any rules
57 29 adopted in accordance with this section shall not take effect
57 30 before the rules are reviewed by the administrative rules
57 31 review committee. Any rules adopted in accordance with the
57 32 provisions of this section shall also be published as notice
57 33 of intended action as provided in section 17A.4.
57 34 Sec. 38. REPORTS. Any reports or information required to
57 35 be compiled and submitted under this Act shall be submitted to
58 1 the chairpersons and ranking members of the joint
58 2 appropriations subcommittee on human services, the legislative
58 3 fiscal bureau, the legislative service bureau, and to the
58 4 caucus staffs on or before the dates specified for submission
58 5 of the reports or information.
58 6 Sec. 39. EFFECTIVE DATE. Section 15, subsection 1, of
58 7 this division of this Act, relating to determining allocation
58 8 of court-ordered services funding, and section 3, subsection
58 9 8, relating to remaining unobligated or unexpended funds for
58 10 the JOBS program, being deemed of immediate importance, take
58 11 effect upon enactment.
58 12 DIVISION II
58 13 CODIFIED PROVISIONS
58 14 Sec. 40. Section 232.52, subsection 2, paragraph e,
58 15 subparagraph (4), Code 1997, is amended to read as follows:
58 16 (4) The child has previously been placed in a treatment
58 17 facility outside the child's home or in a supervised community
58 18 treatment program established pursuant to section 232.191,
58 19 subsection 4, as a result of a prior delinquency adjudication.
58 20
58 21
58 22
58 23 RON J. CORBETT
58 24 Speaker of the House
58 25
58 26
58 27
58 28 MARY E. KRAMER
58 29 President of the Senate
58 30
58 31 I hereby certify that this bill originated in the House and
58 32 is known as House File 715, Seventy-seventh General Assembly.
58 33
58 34
58 35
59 1 ELIZABETH ISAACSON
59 2 Chief Clerk of the House
59 3 Approved , 1997
59 4
59 5
59 6
59 7 TERRY E. BRANSTAD
59 8 Governor
Text: HF00714 Text: HF00716 Text: HF00700 - HF00799 Text: HF Index Bills and Amendments: General Index Bill History: General Index
Iowa General Assembly
Search: House Bills and Amendments (77th General Assembly)
© 1997 Cornell College and League of Women Voters of Iowa
Comments about this site or page? webmaster@legis.iowa.gov. Please remember that the person listed above does not vote on bills. Direct all comments concerning legislation to State Legislators.
Last update: Thu Jul 3 13:41:15 CDT 1997
URL: /DOCS/GA/77GA/Legislation/HF/00700/HF00715/970424.html
jhf