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PAG LIN 1 1 1 2 SENATE FILE 2280 1 3 1 4 AN ACT 1 5 RELATING TO AND MAKING APPROPRIATIONS TO THE DEPARTMENT 1 6 FOR THE BLIND, THE IOWA STATE CIVIL RIGHTS COMMISSION, 1 7 THE DEPARTMENT OF ELDER AFFAIRS, THE IOWA DEPARTMENT OF 1 8 PUBLIC HEALTH, THE DEPARTMENT OF HUMAN RIGHTS, THE 1 9 GOVERNOR'S ALLIANCE ON SUBSTANCE ABUSE, AND THE 1 10 COMMISSION OF VETERANS AFFAIRS, AND PROVIDING EFFECTIVE 1 11 DATES. 1 12 1 13 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 1 14 1 15 Section 1. DEPARTMENT FOR THE BLIND. There is 1 16 appropriated from the general fund of the state to the 1 17 department for the blind for the fiscal year beginning July 1, 1 18 1998, and ending June 30, 1999, the following amount, or so 1 19 much thereof as is necessary, to be used for the purposes 1 20 designated: 1 21 For salaries, support, maintenance, miscellaneous purposes, 1 22 and for not more than the following full-time equivalent 1 23 positions: 1 24 .................................................. $ 1,579,592 1 25 ............................................... FTEs 97.50 1 26 Of the full-time equivalent positions appropriated for in 1 27 this section, 2.50 FTEs relate to the transition of personnel 1 28 services contractors to FTEs. The merit system provisions of 1 29 chapter 19A and the provisions of the state or union 1 30 collective bargaining agreements shall not govern movement 1 31 into these FTE positions until September 1, 1998. This 1 32 provision relating to the transition of personnel services 1 33 contractors shall apply to the period beginning July 1, 1998, 1 34 and ending September 1, 1998. 1 35 Sec. 2. CIVIL RIGHTS COMMISSION. There is appropriated 2 1 from the general fund of the state to the Iowa state civil 2 2 rights commission for the fiscal year beginning July 1, 1998, 2 3 and ending June 30, 1999, the following amount, or so much 2 4 thereof as is necessary, to be used for the purposes 2 5 designated: 2 6 For salaries, support, maintenance, miscellaneous purposes, 2 7 and for not more than the following full-time equivalent 2 8 positions: 2 9 .................................................. $ 1,154,368 2 10 ............................................... FTEs 38.50 2 11 Two of the FTEs appropriated for in this section relate to 2 12 the transition of personnel services contractors to FTEs. The 2 13 merit system provisions of chapter 19A and the provisions of 2 14 the state or union collective bargaining agreements shall not 2 15 govern movement into these FTE positions until September 1, 2 16 1998. This provision relating to the transition of personnel 2 17 services contractors shall apply to the period beginning July 2 18 1, 1998, and ending September 1, 1998. 2 19 If the anticipated amount of federal funding from the 2 20 federal equal employment opportunity commission and the 2 21 federal department of housing and urban development exceeds 2 22 $645,000 during the fiscal year beginning July 1, 1998, the 2 23 Iowa state civil rights commission may exceed the staffing 2 24 level authorized in this section to hire additional staff to 2 25 process or to support the processing of employment and housing 2 26 complaints during that fiscal year. 2 27 Sec. 3. DEPARTMENT OF ELDER AFFAIRS. There is 2 28 appropriated from the general fund of the state to the 2 29 department of elder affairs for the fiscal year beginning July 2 30 1, 1998, and ending June 30, 1999, the following amounts, or 2 31 so much thereof as is necessary, to be used for the purposes 2 32 designated: 2 33 1. For salaries, support, maintenance, miscellaneous 2 34 purposes, and for not more than the following full-time 2 35 equivalent positions: 3 1 .................................................. $ 543,284 3 2 ............................................... FTEs 28.00 3 3 2. For aging programs and services: 3 4 .................................................. $ 4,215,598 3 5 a. All funds appropriated in this subsection shall be 3 6 received and disbursed by the director of elder affairs for 3 7 aging programs and services. These funds shall not be used by 3 8 the department for administrative purposes, and not more than 3 9 $151,654 shall be used for area agencies on aging 3 10 administrative purposes, and shall be used for citizens of 3 11 Iowa over 60 years of age for case management for the frail 3 12 elderly, mental health outreach, Alzheimer's support, retired 3 13 senior volunteer program, care review committee coordination, 3 14 employment, adult day care, respite care, chore services, 3 15 telephone reassurance, information and assistance, and home 3 16 repair services, including the winterizing of homes, and for 3 17 the construction of entrance ramps which make residences 3 18 accessible to the physically handicapped. 3 19 b. Funds appropriated in this subsection may be used to 3 20 supplement federal funds under federal regulations. To 3 21 receive funds appropriated in this subsection, a local area 3 22 agency on aging shall match the funds with moneys from other 3 23 sources according to rules adopted by the department. Funds 3 24 appropriated in this subsection may be used for elderly 3 25 services not specifically enumerated in this subsection only 3 26 if approved by an area agency on aging for provision of the 3 27 service within the area. 3 28 c. It is the intent of the general assembly that the Iowa 3 29 chapters of the Alzheimer's association and the case 3 30 management program for frail elders shall collaborate and 3 31 cooperate fully to assist families in maintaining family 3 32 members with Alzheimer's disease in the community for the 3 33 longest period of time possible. 3 34 d. The department shall maintain policies and procedures 3 35 regarding Alzheimer's support and the retired senior volunteer 4 1 program. 4 2 3. The department may grant an exception for a limited 4 3 period of time, determined by the department to be reasonable, 4 4 to allow for compliance by persons regulated by the department 4 5 or applicants for assisted living certification with any part 4 6 of chapter 104A relative to buildings in existence on July 1, 4 7 1998. The determination of the period of time allowed for 4 8 compliance shall be commensurate with the anticipated 4 9 magnitude of expenditure, disruption of services, and the 4 10 degree of hazard presented. The department shall also be 4 11 authorized to modify the accessibility requirements otherwise 4 12 applicable to such applicants for buildings in existence on 4 13 July 1, 1998, if the department determines that compliance 4 14 with the requirements would be unreasonable, but only if it is 4 15 determined that noncompliance with the requirements would not 4 16 present an unreasonable degree of danger. 4 17 Sec. 4. GOVERNOR'S ALLIANCE ON SUBSTANCE ABUSE. There is 4 18 appropriated from the general fund of the state to the 4 19 governor's alliance on substance abuse for the fiscal year 4 20 beginning July 1, 1998, and ending June 30, 1999, the 4 21 following amounts, or so much thereof as is necessary, to be 4 22 used for the purposes designated: 4 23 1. For salaries, support, maintenance, miscellaneous 4 24 purposes, and for not more than the following full-time 4 25 equivalent positions: 4 26 .................................................. $ 414,888 4 27 ............................................... FTEs 10.00 4 28 2. For the Iowa substance abuse clearinghouse in Cedar 4 29 Rapids for staff, materials, and operating expenses: 4 30 .................................................. $ 32,894 4 31 Sec. 5. DEPARTMENT OF PUBLIC HEALTH. There is 4 32 appropriated from the general fund of the state to the Iowa 4 33 department of public health for the fiscal year beginning July 4 34 1, 1998, and ending June 30, 1999, the following amounts, or 4 35 so much thereof as is necessary, to be used for the purposes 5 1 designated: 5 2 1. a. PLANNING AND ADMINISTRATION DIVISION 5 3 For salaries, support, maintenance, miscellaneous purposes, 5 4 and for not more than the following full-time equivalent 5 5 positions: 5 6 .................................................. $ 1,948,346 5 7 ............................................... FTEs 53.50 5 8 (1) Of the funds appropriated in this lettered paragraph, 5 9 $738,185 shall be used for the chronic renal disease program. 5 10 The types of assistance available to eligible recipients under 5 11 the program may include insurance premiums, travel 5 12 reimbursement, and prescription and nonprescription drugs. 5 13 The program expenditures shall not exceed this allocation. If 5 14 projected expenditures will exceed the allocation, the 5 15 department shall establish by administrative rule a mechanism 5 16 to reduce financial assistance under the renal disease program 5 17 in order to keep expenditures within the amounts allocated. 5 18 (2) Hospitals shall not collect fees for birth 5 19 certificates in excess of the amounts as set out in the 5 20 administrative rules of the Iowa department of public health. 5 21 (3) Of the funds appropriated in this lettered paragraph, 5 22 $118,055 shall be used to provide regulatory oversight of 5 23 accountable health plans. 5 24 (4) Of the funds appropriated in this lettered paragraph, 5 25 $46,658 shall be used for the purchase, verification, 5 26 updating, and storage of health data information. 5 27 (5) The department shall compile, correlate, and 5 28 disseminate data from health care providers, the state medical 5 29 assistance program, third-party payors, associations, and 5 30 other appropriate sources in furtherance of the purpose and 5 31 intent of this appropriation. 5 32 (6) The department shall request and receive information 5 33 from other state agencies similar to that required of third- 5 34 party payors for the purpose of dissemination of health data. 5 35 The department may enter into agreements for studies on 6 1 health-related questions and provide or make data available to 6 2 health care providers, health care subscribers, third-party 6 3 payors, and the general public. The department may purchase 6 4 data for the purpose of dissemination of health data 6 5 information. The department shall assure the confidentiality 6 6 of the data collected from other state agencies, hospitals, 6 7 and third-party payors under chapter 22. The compilation of 6 8 data information prepared for release or dissemination from 6 9 the data collected shall be a public record. The department 6 10 shall adopt administrative rules to address a contracting 6 11 process, define confidential information, set fees to be 6 12 charged for data, and prescribe the forms upon which the 6 13 information is to be made available. 6 14 b. PROFESSIONAL LICENSURE 6 15 For salaries, support, maintenance, miscellaneous purposes, 6 16 and for not more than the following full-time equivalent 6 17 positions: 6 18 .................................................. $ 1,108,819 6 19 ............................................... FTEs 16.00 6 20 The director of public health, when estimating expenditure 6 21 requirements for the boards funded under this paragraph, shall 6 22 base the budget on 85 percent of the average annual fees 6 23 generated for the previous two fiscal years. The department 6 24 shall confer with the boards funded under this paragraph in 6 25 estimating the boards' annual fee generation and 6 26 administrative costs. When the department develops each 6 27 board's annual budget, a board's budget shall not exceed 85 6 28 percent of fees collected, based on the average of the 6 29 previous two fiscal years. The department may expend funds in 6 30 addition to amounts budgeted, if those additional expenditures 6 31 are directly the result of a scope of practice review 6 32 committee or unanticipated litigation costs arising from the 6 33 discharge of the board's regulatory duties. Before the 6 34 department expends or encumbers funds for a scope of practice 6 35 review committee or an amount in excess of the funds budgeted 7 1 for a board, the director of the department of management 7 2 shall approve the expenditure or encumbrance. The amounts 7 3 necessary to fund the unanticipated litigation in the fiscal 7 4 year beginning July 1, 1998, shall not exceed 5 percent of the 7 5 average annual fees generated by the boards for the previous 7 6 two fiscal years. 7 7 c. EMERGENCY MEDICAL SYSTEMS 7 8 For salaries, support, maintenance, and emergency medical 7 9 services training of emergency medical services (EMS) 7 10 personnel at the state, county, and local levels, and for not 7 11 more than the following full-time equivalent positions: 7 12 .................................................. $ 1,039,914 7 13 ............................................... FTEs 14.00 7 14 If a person in the course of responding to an emergency 7 15 renders aid to an injured person and becomes exposed to bodily 7 16 fluids of the injured person, that emergency responder shall 7 17 be entitled to hepatitis testing and immunization in 7 18 accordance with the latest available medical technology to 7 19 determine if infection with hepatitis has occurred. The 7 20 person shall be entitled to reimbursement from the EMS funds 7 21 available under this lettered paragraph only if the 7 22 reimbursement is not available through any employer or third- 7 23 party payor. 7 24 2. HEALTH PROTECTION DIVISION 7 25 a. For salaries, support, maintenance, miscellaneous 7 26 purposes, and for not more than the following full-time 7 27 equivalent positions: 7 28 .................................................. $ 2,354,751 7 29 ............................................... FTEs 77.00 7 30 b. Of the funds appropriated in this subsection, $75,000 7 31 shall be used for chlamydia testing. 7 32 c. Of the funds appropriated in this subsection, $39,547 7 33 shall be used for the lead abatement program. 7 34 d. Of the funds appropriated in this subsection, $100,000 7 35 shall be allocated to and used by local boards of health to 8 1 ensure that core public health functions are maintained and to 8 2 support essential services in their communities. 8 3 e. The state university of Iowa hospitals and clinics 8 4 shall not receive indirect costs from the funds appropriated 8 5 in this subsection. 8 6 f. The division may retain fees collected from the 8 7 certification of lead inspectors and lead abaters pursuant to 8 8 section 135.105A to support the certification program. 8 9 g. The department shall establish a task force to evaluate 8 10 current infectious disease laws in the state and the extent to 8 11 which they provide, or fail to provide, a framework and 8 12 foundation for promoting public health. The task force shall 8 13 conduct an evaluation of the effectiveness of the infectious 8 14 disease laws, with the goal of making recommendations for a 8 15 comprehensive communicable disease statute intended to improve 8 16 local and state department of public health responsiveness to 8 17 needs for infectious disease prevention, treatment, and 8 18 education. 8 19 The task force shall be organized and administered by the 8 20 Iowa department of public health, and shall be comprised of 8 21 representatives from the department, directors or 8 22 representatives of county health departments or boards, 8 23 faculty members at the state university of Iowa and the 8 24 university of osteopathic medicine and surgery who instruct or 8 25 conduct research in the area of infectious disease and public 8 26 health, physicians specializing in the identification and 8 27 treatment of infectious disease, members of the general 8 28 public, and additional members as determined to be appropriate 8 29 by the department. Four members of the general assembly, one 8 30 each from the majority and minority parties, respectively, of 8 31 each house of the general assembly, shall be designated by the 8 32 division to serve as nonvoting ex officio members. The ex 8 33 officio members shall receive per diem and expenses pursuant 8 34 to section 2.12. Based on the recommendations of the task 8 35 force, the department shall submit a report for the proposed 9 1 contents of a comprehensive communicable disease statute to 9 2 the governor and general assembly by January 1, 2000. 9 3 h. The director of public health shall designate, as a 9 4 state poison center, any medical center in the state which is 9 5 operating a poison center on or before July 1, 1998. The 9 6 state poison center shall provide poison information, 9 7 telephone management advice and consultation, conduct hazard 9 8 surveillance to achieve hazard elimination, and provide 9 9 professional and public education in poison prevention, 9 10 diagnosis, and treatment, and shall provide any other services 9 11 or functions necessary to be classified as a certified poison 9 12 center. The director shall provide the necessary 9 13 documentation of the state poison center designation to the 9 14 poison center for certification by the American association of 9 15 poison control centers or other certifying organization. 9 16 3. SUBSTANCE ABUSE AND HEALTH PROMOTION DIVISION 9 17 a. For salaries, support, maintenance, miscellaneous 9 18 purposes, and for not more than the following full-time 9 19 equivalent positions: 9 20 .................................................. $ 693,489 9 21 ............................................... FTEs 40.80 9 22 (1) The division shall continue to coordinate with 9 23 substance abuse treatment and prevention providers regardless 9 24 of funding source to assure the delivery of substance abuse 9 25 treatment and prevention programs. 9 26 (2) The commission on substance abuse, in conjunction with 9 27 the division, shall continue to coordinate the delivery of 9 28 substance abuse services involving prevention, social and 9 29 medical detoxification, and other treatment by medical and 9 30 nonmedical providers to uninsured and court-ordered substance 9 31 abuse patients in all counties of the state. 9 32 (3) The division shall establish an interagency work group 9 33 to conduct an evaluation of the effectiveness of all existing 9 34 federal and state funded substance abuse treatment and 9 35 prevention programs in the state. Evaluation issues and 10 1 components to be examined by the interagency work group shall 10 2 include, but are not limited to, access to treatment; 10 3 identification of all state and federal funds spent on 10 4 treatment and prevention programs, including insurance plan 10 5 components and employee assistance programs; substance abuse 10 6 relapse rates; the reasons for different outcomes in different 10 7 programs; costs of service delivery; the relationship of 10 8 outcomes to cost offsets such as a decline in arrest rates and 10 9 hospitalizations; review of managed care approaches and 10 10 exemplary programs in other states; and the profiling of 10 11 clients by the types of substances abused. 10 12 The interagency work group shall be comprised of 10 13 representatives from the department of human services, the 10 14 department of public health, the department of corrections, 10 15 the governor's alliance on substance abuse, the state 10 16 department of personnel, and the judicial department. 10 17 The department shall submit a report containing the 10 18 recommendations of the interagency work group to the governor 10 19 and the general assembly by January 1, 2000. 10 20 b. Of the funds appropriated in this subsection, $15,000 10 21 is allocated to support the surveillance and reporting of 10 22 disabilities suffered by persons engaged in agriculture 10 23 resulting from diseases or injuries, including identifying the 10 24 amount and severity of agriculture-related injuries and 10 25 diseases in the state, identifying causal factors associated 10 26 with agriculture-related injuries and diseases, and evaluating 10 27 the effectiveness of intervention programs designed to reduce 10 28 injuries and diseases. The department shall cooperate with 10 29 the department of agriculture and land stewardship, Iowa state 10 30 university of science and technology, and the college of 10 31 medicine at the state university of Iowa in accomplishing 10 32 these duties. 10 33 c. For program grants: 10 34 .................................................. $ 8,390,159 10 35 (1) Of the funds appropriated in this lettered paragraph, 11 1 $193,500 shall be used for the provision of aftercare services 11 2 for persons completing substance abuse treatment. 11 3 (2) Of the funds appropriated in this lettered paragraph, 11 4 $950,000 shall be used by the Iowa department of public health 11 5 to continue the integrated substance abuse managed care 11 6 system. 11 7 4. FAMILY AND COMMUNITY HEALTH DIVISION 11 8 a. For salaries, support, maintenance, miscellaneous 11 9 purposes, and for not more than the following full-time 11 10 equivalent positions: 11 11 .................................................. $ 3,538,535 11 12 ............................................... FTEs 70.50 11 13 (1) Of the funds appropriated in this lettered paragraph, 11 14 at least $587,865 shall be allocated by the division for the 11 15 birth defects and genetics counseling program and of these 11 16 funds, $279,402 is allocated for regional genetic counseling 11 17 services contracted from the state university of Iowa 11 18 hospitals and clinics under the control of the state board of 11 19 regents. The birth defects and genetic counseling service 11 20 shall apply a sliding fee scale to determine the amount a 11 21 person receiving the services is required to pay for the 11 22 services. These fees shall be considered repayment receipts 11 23 and used for the program. 11 24 (2) Of the funds appropriated in this lettered paragraph, 11 25 the following amounts shall be allocated to the state 11 26 university of Iowa hospitals and clinics under the control of 11 27 the state board of regents for the following programs under 11 28 the Iowa specialized child health care services: 11 29 (a) Mobile and regional child health specialty clinics: 11 30 .................................................. $ 392,931 11 31 The regional clinic located in Sioux City shall maintain a 11 32 social worker component to assist the families of children 11 33 participating in the clinic program. 11 34 Of the funds allocated in this subparagraph subdivision, 11 35 $97,937 shall be used for a specialized medical home care 12 1 program providing care planning and coordination of community 12 2 support services for children who require technical medical 12 3 care in the home. 12 4 (b) Muscular dystrophy and related genetic disease 12 5 programs: 12 6 .................................................. $ 115,613 12 7 (c) Statewide perinatal program: 12 8 .................................................. $ 61,693 12 9 The department, in consultation with the advisory committee 12 10 for perinatal guidelines, shall develop and maintain the 12 11 statewide perinatal program based on the recommendations of 12 12 the American academy of pediatrics and the American college of 12 13 obstetricians and gynecologists contained in the most recent 12 14 edition of the "Guides for Perinatal Care", and shall adopt 12 15 rules in accordance with chapter 17A to implement those 12 16 recommendations. Hospitals within the state shall determine 12 17 whether to participate in the statewide perinatal program, and 12 18 select the hospital's level of participation in the program. 12 19 A hospital having determined to participate in the program 12 20 shall comply with the guidelines appropriate to the level of 12 21 participation selected by the hospital. 12 22 (3) Of the funds appropriated in this lettered paragraph, 12 23 $1,105,461 shall be used for maternal and child health 12 24 services. 12 25 (4) Of the funds appropriated in this lettered paragraph, 12 26 $165,391 shall be allocated for the office of rural health to 12 27 provide technical assistance to rural areas in the area of 12 28 health care delivery. 12 29 (5) Of the funds appropriated in this lettered paragraph, 12 30 $182,028 shall be used to develop, implement, and maintain 12 31 rural health provider recruitment and retention efforts. 12 32 (6) The state university of Iowa hospitals and clinics 12 33 shall not receive indirect costs from the funds allocated in 12 34 this lettered paragraph. 12 35 (7) If during the fiscal year, the federal government 13 1 incorporates the special supplemental nutrition program for 13 2 women, infants, and children into a block grant, the 13 3 department of human services, Iowa department of public 13 4 health, or any other state agency which administers the block 13 5 grant shall require a competitive bid process for infant 13 6 formula purchased by or for families under the block grant. 13 7 (8) The Iowa department of public health shall administer 13 8 the statewide maternal and child health program, conduct 13 9 mobile and regional child health specialty clinics, and 13 10 conduct other activities to improve the health of low-income 13 11 women and children and to promote the welfare of children with 13 12 actual or potential handicapping conditions and chronic 13 13 illnesses in accordance with the requirements of Title V of 13 14 the federal Social Security Act. 13 15 (9) The department shall continue efforts to realize the 13 16 "Healthy Iowans 2000" goal of promoting prevention and health 13 17 promotion to improve the qualify of life of Iowans and to hold 13 18 down health care costs. 13 19 (10) Of the funds appropriated in this lettered paragraph 13 20 and allocated by the department to the Iowa child death review 13 21 team established in section 135.43, $5,000 shall be used to 13 22 establish a domestic abuse death review team. The membership, 13 23 authority, and operation of the domestic abuse death review 13 24 team shall be patterned after the child death review team, 13 25 with modifications specific to domestic abuse to be 13 26 established by the department by rule. The department shall 13 27 coordinate administrative costs between the child death review 13 28 team and the domestic abuse death review team, and shall 13 29 submit prefiled legislation in accordance with section 2.16 in 13 30 advance of the convening of the 1999 Session of the general 13 31 assembly for codifying the domestic abuse death review team 13 32 provisions. 13 33 b. Sudden infant death syndrome autopsies: 13 34 For reimbursing counties for expenses resulting from 13 35 autopsies of suspected victims of sudden infant death syndrome 14 1 required under section 331.802, subsection 3, paragraph "j": 14 2 .................................................. $ 9,675 14 3 c. For grants to the counties for public health nursing, 14 4 home care aide/chore, and senior health programs: 14 5 .................................................. $ 11,683,924 14 6 The local board of health and local board of supervisors 14 7 shall jointly determine which one shall be a contractor for 14 8 these funds in a single contract beginning July 1, 1998. For 14 9 those counties participating in a multi-county project, each 14 10 local board of health and local board of supervisors of 14 11 participating counties shall jointly agree upon the county 14 12 that will serve as the contractor with the department. The 14 13 department shall adopt administrative rules defining program 14 14 direction, a formula used for distributing money, and program 14 15 evaluation requirements for the three programs. The rules 14 16 shall contain provisions encouraging local entities receiving 14 17 moneys appropriated in this paragraph to collaborate and fully 14 18 cooperate in providing health services, and shall be 14 19 consistent with the requirements specified in 1997 Iowa Acts, 14 20 chapter 203, section 5, subsection 4, paragraph "c". The 14 21 funds appropriated in this lettered paragraph are allocated as 14 22 follows: 14 23 (1) For the public health nursing program: 14 24 .................................................. $ 2,511,871 14 25 (2) For the home care aide/chore program: 14 26 .................................................. $ 8,586,716 14 27 Of the funds appropriated for the home care aide/chore 14 28 program, no more than $500,000 shall be used for court-ordered 14 29 services for children. 14 30 (3) For the senior health program: 14 31 .................................................. $ 585,337 14 32 (4) Notwithstanding the program allocations made in 14 33 subparagraphs (1), (2), and (3), a county may continue or 14 34 submit to the department a new plan for an alternate 14 35 allocation of funding which provides for assuring the delivery 15 1 of existing services and the essential public health services 15 2 based on an assessment of community needs, and targeted 15 3 populations to be served under the alternate plan. The 15 4 department shall adopt rules to administer these programs. 15 5 The department may establish or continue demonstration 15 6 projects which provide for an alternate allocation of funds 15 7 based upon the proposed plan to provide essential public 15 8 health services as determined by the community health 15 9 assessment and targeted populations to be served. 15 10 d. For the physician care for children program: 15 11 .................................................. $ 411,187 15 12 The physician services shall be subject to managed care and 15 13 selective contracting provisions and shall be used to provide 15 14 for the medical treatment of children and shall include 15 15 coverage of diagnostic procedures, prescription drugs, and 15 16 physician-ordered treatments necessary to treat an acute 15 17 condition. Services provided under this lettered paragraph 15 18 shall be reimbursed according to medical assistance 15 19 reimbursement rates established as of July 1, 1998. 15 20 e. For primary and preventive health care for children: 15 21 .................................................. $ 75,000 15 22 Funds appropriated in this lettered paragraph shall be used 15 23 for the public purpose of providing a renewable grant, 15 24 following a request for proposals, to a statewide charitable 15 25 organization within the meaning of section 501(c)(3) of the 15 26 Internal Revenue Code which was organized prior to April 1, 15 27 1989, and has as one of its purposes the sponsorship or 15 28 support for programs designed to improve the quality, 15 29 awareness, and availability of health care for the young, to 15 30 serve as the funding mechanism for the provision of primary 15 31 health care and preventive services to children in the state 15 32 who are uninsured and who are not eligible under any public 15 33 plan of health insurance, provided all of the following 15 34 conditions are met: 15 35 (1) The organization shall provide a match of four dollars 16 1 in advance of each state dollar provided. 16 2 (2) The organization coordinates services with new or 16 3 existing public programs and services provided by or funded by 16 4 appropriate state agencies in an effort to avoid inappropriate 16 5 duplication of services and ensure access to care to the 16 6 extent as is reasonably possible. The organization shall work 16 7 with the Iowa department of public health, family and 16 8 community health division, to ensure duplication is minimized. 16 9 (3) The organization's governing board includes in its 16 10 membership representatives from the executive and legislative 16 11 branches of state government. 16 12 (4) Grant funds are available as needed to provide 16 13 services and shall not be used for administrative costs of the 16 14 department or the grantee. 16 15 f. For the healthy opportunities for parents to experience 16 16 success-healthy families Iowa (HOPES-HFI) program under 16 17 section 135.106: 16 18 .................................................. $ 952,000 16 19 (1) Of the funds appropriated in this lettered paragraph, 16 20 not more than $165,000 shall be used to continue the existing 16 21 infant mortality and morbidity prevention pilot projects in 16 22 Polk, Scott, and Woodbury counties with no more than 15 16 23 percent being used for administrative expenses. 16 24 (2) Of the funds appropriated in this lettered paragraph, 16 25 not more than $25,000 shall be used to continue supporting 16 26 multidisciplinary research into the cause of individual infant 16 27 deaths in the state and shall be used solely for research 16 28 purposes. 16 29 (3) Of the funds appropriated in this lettered paragraph, 16 30 not more than $140,000 shall be used to continue existing mid- 16 31 level practitioners demonstration projects in Black Hawk, 16 32 Polk, and Scott counties. The funds shall be issued in three 16 33 equal grant amounts and shall be used to promote the use of 16 34 mid-level practitioners, which includes obstetrical- 16 35 gynecological nurse practitioners and family nurse 17 1 practitioners focusing on maternal and child health, to 17 2 improve access to prenatal care and obstetrical services. 17 3 (4) The remaining funds appropriated in this lettered 17 4 paragraph shall be used for the HOPES-HFI program. Any new 17 5 funds or funds in excess of that necessary to continue 17 6 existing programs shall be used by the department to expand 17 7 the program to counties with greatest need and the capacity to 17 8 deliver the services. Any funds contracted to agencies under 17 9 subparagraphs (1), (2), and (3) which are projected to be 17 10 unused at the close of the fiscal year shall be reallocated to 17 11 the HOPES-HFI program. 17 12 g. For primary care provider recruitment and retention 17 13 endeavors: 17 14 .................................................. $ 235,000 17 15 h. For the prospective minor parents decision-making 17 16 assistance program under chapter 135L, and for not more than 17 17 the following full-time equivalent positions: 17 18 .................................................. $ 33,134 17 19 5. STATE BOARD OF DENTAL EXAMINERS 17 20 For salaries, support, maintenance, miscellaneous purposes, 17 21 and not more than the following full-time equivalent 17 22 positions: 17 23 .................................................. $ 297,504 17 24 ............................................... FTEs 4.00 17 25 6. STATE BOARD OF MEDICAL EXAMINERS 17 26 For salaries, support, maintenance, miscellaneous purposes, 17 27 and for not more than the following full-time equivalent 17 28 positions: 17 29 .................................................. $ 1,222,782 17 30 ............................................... FTEs 19.00 17 31 7. STATE BOARD OF NURSING EXAMINERS 17 32 For salaries, support, maintenance, miscellaneous purposes, 17 33 and for not more than the following full-time equivalent 17 34 positions: 17 35 .................................................. $ 1,048,825 18 1 ............................................... FTEs 18.00 18 2 8. STATE BOARD OF PHARMACY EXAMINERS 18 3 For salaries, support, maintenance, miscellaneous purposes, 18 4 and for not more than the following full-time equivalent 18 5 positions: 18 6 .................................................. $ 752,697 18 7 ............................................... FTEs 12.00 18 8 9. The state board of medical examiners, the state board 18 9 of pharmacy examiners, the state board of dental examiners, 18 10 and the state board of nursing examiners shall prepare 18 11 estimates of projected receipts to be generated by the 18 12 licensing, certification, and examination fees of each board 18 13 as well as a projection of the fairly apportioned 18 14 administrative costs and rental expenses attributable to each 18 15 board. Each board shall annually review and adjust its 18 16 schedule of fees so that, as nearly as possible, projected 18 17 receipts equal projected costs. 18 18 10. The state board of medical examiners, the state board 18 19 of pharmacy examiners, the state board of dental examiners, 18 20 and the state board of nursing examiners shall retain their 18 21 individual executive officers, but are strongly encouraged to 18 22 share administrative, clerical, and investigative staffs to 18 23 the greatest extent possible. 18 24 11. A local health care provider or nonprofit health care 18 25 organization seeking grant moneys administered by the Iowa 18 26 department of public health shall provide documentation that 18 27 the provider or organization has coordinated its services with 18 28 other local entities providing similar services. 18 29 12. The department shall maintain the administrative rules 18 30 which were adopted in accordance with chapter 17A to implement 18 31 the scope of practice pilot project and shall maintain the 18 32 pilot project in accordance with 1997 Iowa Acts, chapter 203, 18 33 section 6. 18 34 13. The department shall establish a scope of practice 18 35 review committee for the purpose of reviewing existing 19 1 oversight of the nurse aide workforce to determine the 19 2 adequacy of nurse aide education and competency testing. 19 3 14. One and one-half of the FTEs appropriated for in this 19 4 section to the division of planning and administration, and 19 5 one of the FTEs appropriated for in this section to the 19 6 divisions of health protection, substance abuse and health 19 7 promotion, and family and community health, respectively, 19 8 relate to the transition of personnel services contractors to 19 9 FTEs. The merit system provisions of chapter 19A and the 19 10 provisions of the state or union collective bargaining 19 11 agreements shall not govern movement into these FTE positions 19 12 until September 1, 1998. This provision relating to the 19 13 transition of personnel services contractors shall apply to 19 14 the period beginning July 1, 1998, and ending September 1, 19 15 1998. 19 16 15. a. The department shall apply for available federal 19 17 funds for sexual abstinence education programs in accordance 19 18 with the federal Personal Responsibility and Work Opportunity 19 19 Reconciliation Act of 1996, Pub. L. No. 104-193, } 912. 19 20 b. It is the intent of the general assembly to comply with 19 21 the United States Congress' intent to assist welfare 19 22 recipients to terminate dependency upon government benefits by 19 23 promoting marriage, reducing the incidence of out-of-wedlock 19 24 pregnancies, and encouraging abstinence from sexual activities 19 25 outside of marriage with a focus upon those persons who are 19 26 most likely to bear children out-of-wedlock. 19 27 c. Any sexual abstinence education program awarded moneys 19 28 under the grant program shall meet the definition of 19 29 abstinence education in the federal law. Grantees shall be 19 30 evaluated based upon the extent to which the abstinence 19 31 program successfully communicates the goals set forth in the 19 32 federal law. 19 33 16. The department shall conduct a comprehensive 19 34 evaluation of the gambling treatment program provisions under 19 35 section 99D.7, subsection 21, and additions to and 20 1 distributions from the gambling treatment fund pursuant to 20 2 section 99E.10, subsection 1, paragraph "a". The evaluation 20 3 shall provide information and analysis concerning the number 20 4 of referrals to the program, assessments of the success rates 20 5 regarding outpatient and follow-up treatment, rehabilitation, 20 6 and residential treatment programs for persons affected by 20 7 problem gambling, and the extent to which information and 20 8 referral services, and education and preventive services, have 20 9 been determined to be effective in preventing the development 20 10 of problem gambling behavior or in reaching individuals in 20 11 need of treatment. The evaluation shall also provide an 20 12 analysis of funding levels and contain recommendations with 20 13 regard to future funding of the program and additional 20 14 treatment interventions. 20 15 Sec. 6. DEPARTMENT OF HUMAN RIGHTS. There is appropriated 20 16 from the general fund of the state to the department of human 20 17 rights for the fiscal year beginning July 1, 1998, and ending 20 18 June 30, 1999, the following amounts, or so much thereof as is 20 19 necessary, to be used for the purposes designated: 20 20 1. CENTRAL ADMINISTRATION DIVISION 20 21 For salaries, support, maintenance, miscellaneous purposes, 20 22 and for not more than the following full-time equivalent 20 23 positions: 20 24 .................................................. $ 222,159 20 25 ............................................... FTEs 6.60 20 26 2. DEAF SERVICES DIVISION 20 27 For salaries, support, maintenance, miscellaneous purposes, 20 28 and for not more than the following full-time equivalent 20 29 positions: 20 30 .................................................. $ 318,957 20 31 ............................................... FTEs 7.00 20 32 The fees collected by the division for provision of 20 33 interpretation services by the division to obligated agencies 20 34 shall be disbursed pursuant to the provisions of section 8.32, 20 35 and shall be dedicated and used by the division for continued 21 1 and expanded interpretation services. 21 2 3. PERSONS WITH DISABILITIES DIVISION 21 3 For salaries, support, maintenance, miscellaneous purposes, 21 4 and for not more than the following full-time equivalent 21 5 positions: 21 6 .................................................. $ 109,876 21 7 ............................................... FTEs 2.00 21 8 4. LATINO AFFAIRS DIVISION 21 9 For salaries, support, maintenance, miscellaneous purposes, 21 10 and for not more than the following full-time equivalent 21 11 positions: 21 12 .................................................. $ 150,089 21 13 ............................................... FTEs 3.00 21 14 5. STATUS OF WOMEN DIVISION 21 15 For salaries, support, maintenance, miscellaneous purposes, 21 16 and for not more than the following full-time equivalent 21 17 positions: 21 18 .................................................. $ 335,804 21 19 ............................................... FTEs 3.00 21 20 a. Of the funds appropriated in this subsection, at least 21 21 $125,775 shall be spent for the displaced homemaker program. 21 22 b. Of the funds appropriated in this subsection, at least 21 23 $42,570 shall be spent for domestic violence and sexual 21 24 assault-related grants. 21 25 6. STATUS OF AFRICAN-AMERICANS DIVISION 21 26 For salaries, support, maintenance, miscellaneous purposes, 21 27 and for not more than the following full-time equivalent 21 28 positions: 21 29 .................................................. $ 116,543 21 30 ............................................... FTEs 2.00 21 31 7. CRIMINAL AND JUVENILE JUSTICE PLANNING DIVISION 21 32 For salaries, support, maintenance, miscellaneous purposes, 21 33 and for not more than the following full-time equivalent 21 34 positions: 21 35 .................................................. $ 397,633 22 1 ............................................... FTEs 8.56 22 2 a. The criminal and juvenile justice planning advisory 22 3 council and the juvenile justice advisory council shall 22 4 coordinate their efforts in carrying out their respective 22 5 duties relative to juvenile justice. 22 6 b. Of the funds appropriated in this subsection, at least 22 7 $36,300 shall be spent for expenses relating to the 22 8 administration of federal funds for juvenile assistance. It 22 9 is the intent of the general assembly that the department of 22 10 human rights employ sufficient staff to meet the federal 22 11 funding match requirements established by the federal office 22 12 for juvenile justice delinquency prevention. The governor's 22 13 advisory council on juvenile justice shall determine the 22 14 staffing level necessary to carry out federal and state 22 15 mandates for juvenile justice. 22 16 8. COMMUNITY GRANT FUND 22 17 For the community grant fund established in section 232.190 22 18 for the fiscal year beginning July 1, 1998, and ending June 22 19 30, 1999, to be used for the purposes of the community grant 22 20 fund and for not more than the following full-time equivalent 22 21 positions: 22 22 .................................................. $ 1,600,494 22 23 ............................................... FTEs 2.32 22 24 9. SHARED STAFF. Except for the persons with disabilities 22 25 division which shall be administered by the director of the 22 26 department of human rights, the divisions of the department of 22 27 human rights shall retain their individual administrators, but 22 28 shall share staff to the greatest extent possible. 22 29 Sec. 7. COMMISSION OF VETERANS AFFAIRS. There is 22 30 appropriated from the general fund of the state to the 22 31 commission of veterans affairs for the fiscal year beginning 22 32 July 1, 1998, and ending June 30, 1999, the following amounts, 22 33 or so much thereof as is necessary, to be used for the 22 34 purposes designated: 22 35 1. COMMISSION OF VETERANS AFFAIRS ADMINISTRATION 23 1 For salaries, support, maintenance, miscellaneous purposes, 23 2 and for not more than the following full-time equivalent 23 3 positions: 23 4 .................................................. $ 269,657 23 5 ............................................... FTEs 5.00 23 6 The commission of veterans affairs may use the gifts 23 7 accepted by the chairperson of the commission of veterans 23 8 affairs, or designee, and other resources available to the 23 9 commission for use at its Camp Dodge office. The commission 23 10 shall report annually to the governor and the general assembly 23 11 on monetary gifts received by the commission for the Camp 23 12 Dodge office. 23 13 2. WAR ORPHANS 23 14 For the war orphans educational aid fund established 23 15 pursuant to chapter 35: 23 16 .................................................. $ 6,000 23 17 3. IOWA VETERANS HOME 23 18 For salaries, support, maintenance, miscellaneous purposes, 23 19 and for not more than the following full-time equivalent 23 20 positions: 23 21 .................................................. $ 41,912,604 23 22 ............................................... FTEs 803.64 23 23 Of the full-time equivalent positions appropriated for in 23 24 subsection 1, 1.82 FTEs relate to the transition of personnel 23 25 services contractors to FTEs. The merit system provisions of 23 26 chapter 19A and the provisions of the state or union 23 27 collective bargaining agreements shall not govern movement 23 28 into these FTE positions until September 1, 1998. This 23 29 provision relating to the transition of personnel services 23 30 contractors shall apply to the period beginning July 1, 1998, 23 31 and ending September 1, 1998. 23 32 a. The Iowa veterans home may use the gifts accepted by 23 33 the chairperson of the commission of veterans affairs and 23 34 other resources available to the commission for use at the 23 35 Iowa veterans home. 24 1 b. If medical assistance revenues are expanded at the Iowa 24 2 veterans home, and this expansion results in medical 24 3 assistance reimbursements which exceed the amount budgeted for 24 4 that purpose in the fiscal year beginning July 1, 1998, and 24 5 ending June 30, 1999, the Iowa veterans home may expend the 24 6 excess amounts to exceed the number of full-time equivalent 24 7 positions authorized for the purpose of meeting related 24 8 certification requirements or to provide additional beds. The 24 9 expenditure of additional funds received, as outlined in this 24 10 paragraph, is subject to the approval by the department of 24 11 management. 24 12 c. Any Iowa veterans home successor contractor shall not 24 13 consider employees of a state institution or facility to be 24 14 new employees for purposes of employee wages, health 24 15 insurance, or retirement benefits. 24 16 d. The chairpersons and ranking members of the joint 24 17 appropriations subcommittee on health and human rights shall 24 18 be notified by January 15 of any calendar year during which a 24 19 request for proposals is anticipated to be issued regarding 24 20 any Iowa veterans home contract involving employment, for 24 21 purposes of providing legislative review and oversight. 24 22 Sec. 8. GAMBLING TREATMENT FUND ALLOCATIONS. 24 23 1. The moneys remaining unobligated or unexpended in the 24 24 gambling treatment fund created in section 99E.10, subsection 24 25 1, paragraph "a", Code Supplement 1997, at the end of the 24 26 fiscal year beginning July 1, 1997, and ending June 30, 1998, 24 27 are appropriated to the Iowa department of public health for 24 28 the fiscal year beginning July 1, 1998, and ending June 30, 24 29 1999, to be allocated as follows: 24 30 a. For transfer to the department of public safety to 24 31 combat methamphetamine use: 24 32 .................................................. $ 236,000 24 33 The funds transferred in this lettered paragraph shall be 24 34 utilized by the division of narcotics enforcement of the 24 35 department of public safety for undercover purchases of 25 1 methamphetamine by law enforcement agency and drug task force 25 2 personnel. 25 3 b. For transfer to the governor's alliance on substance 25 4 abuse for the establishment of an education program designed 25 5 to increase the availability of information relating to 25 6 methamphetamine abuse in Iowa schools and throughout the 25 7 media: 25 8 .................................................. $ 83,000 25 9 The funds transferred in this lettered paragraph shall be 25 10 used to assist in targeting an anti-methamphetamine message 25 11 specifically to Iowa teenagers through the school system and 25 12 through public service media advertisements. The education 25 13 program shall be coordinated by the drug enforcement and abuse 25 14 prevention coordinator in consultation with the Iowa drug 25 15 abuse prevention and education advisory council established in 25 16 section 80E.2. 25 17 2. a. There is appropriated from receipts in excess of 25 18 $1,900,000 deposited into the gambling treatment fund pursuant 25 19 to section 99E.10, subsection 1, paragraph "a", to the Iowa 25 20 department of public health, for the fiscal year beginning 25 21 July 1, 1998, and ending June 30, 1999, an amount sufficient 25 22 for funding of the allocation made in subsection 3. 25 23 b. For the fiscal year beginning July 1, 1998, and ending 25 24 June 30, 1999, an amount of the tax revenue received pursuant 25 25 to section 99D.15, subsections 1, 3, and 4 equal to three- 25 26 tenths of one percent of the gross sum wagered by the pari- 25 27 mutuel method shall be deposited into the gambling treatment 25 28 fund in addition to the other revenue deposited under law. 25 29 c. The amount appropriated pursuant to paragraph "a" shall 25 30 be based on the most recent projections for gross lottery 25 31 revenue, excursion boat and racetrack wagering revenue, and 25 32 tax revenue derived from pari-mutuel wagering, for the fiscal 25 33 year beginning July 1, 1998, and ending June 30, 1999. If the 25 34 amount appropriated based on the projection is insufficient 25 35 for full funding of the allocations, the allocations shall be 26 1 prorated proportionately. 26 2 3. The moneys appropriated in subsection 2 shall be 26 3 allocated as follows: 26 4 a. For the public health nursing program: 26 5 .................................................. $ 200,000 26 6 The funds appropriated in this paragraph shall be utilized 26 7 by the Iowa department of public health to establish a 26 8 competitive grant program to increase the availability of 26 9 public health nurses throughout the state, and shall be in 26 10 addition to funding allocated pursuant to existing contracts 26 11 entered into between the department and the local boards of 26 12 health and boards of supervisors. One-half of the funds 26 13 appropriated shall be awarded to county applicants with a 26 14 county population of less than 25,000, and the remaining one- 26 15 half shall be awarded to county applicants with a county 26 16 population of 25,000 or more. 26 17 A county may submit an application to the department for a 26 18 grant to expand the county's existing public health nursing 26 19 program by October 1, 1998, on application forms to be 26 20 developed by the department. Grant award criteria shall 26 21 include the extent to which existing allocations to the county 26 22 have successfully been utilized to maintain and expand the 26 23 public health nursing program for elderly and low-income 26 24 persons, the proportion of elderly and low-income persons 26 25 living in the county in relation to the total number of 26 26 elderly and low-income persons living in the state, and 26 27 proposals submitted by the county for expanding existing 26 28 services and programs to meet the particular needs of the 26 29 elderly and low-income persons residing within the county. A 26 30 county receiving a grant award may utilize the grant moneys to 26 31 expand existing subcontracts with a nonprofit nurses' 26 32 association, or an independent nonprofit agency, or for new 26 33 programs and services as proposed in the grant application. 26 34 The department shall submit a report to the general 26 35 assembly by January 1, 2000, regarding the effectiveness of 27 1 the competitive grant program in expanding public health 27 2 nursing care, and containing recommendations regarding future 27 3 utilization or expansion of the program. 27 4 b. For the provision of emergency medical services and 27 5 training of emergency medical services personnel: 27 6 .................................................. $ 78,000 27 7 c. For transfer to the Iowa law enforcement academy to be 27 8 used for the drug abuse resistance education program: 27 9 .................................................. $ 70,000 27 10 d. For transfer to the department of public safety for 27 11 costs associated with the training by the department of public 27 12 safety of state and local law enforcement personnel concerning 27 13 the recognition of and response to persons with Alzheimer's 27 14 disease: 27 15 .................................................. $ 70,000 27 16 e. For use by local boards of health to ensure that core 27 17 public health functions are maintained and to support 27 18 essential services in their communities: 27 19 .................................................. $ 150,000 27 20 f. For transfer to the department of elder affairs to be 27 21 used for the recruitment, retention, recognition, and training 27 22 of care review committee volunteers: 27 23 .................................................. $ 130,000 27 24 The department of elder affairs shall develop outcome 27 25 measurements regarding use of the funds transferred in this 27 26 lettered paragraph, and shall conduct a study of issues 27 27 including, but not limited to, how the funds were utilized, 27 28 liability for area agencies on aging, and access to nursing 27 29 home records. The department shall submit a report of the 27 30 results of the study to the general assembly by January 1, 27 31 2000. 27 32 g. For transfer to the department of public safety to 27 33 combat methamphetamine use: 27 34 .................................................. $ 200,000 27 35 The funds transferred in this lettered paragraph shall be 28 1 utilized by the department of public safety to enhance 28 2 existing programs or to initiate new efforts designed to 28 3 prevent and combat methamphetamine use. The department shall 28 4 submit a report of the expenditures made and a status report 28 5 on anti-methamphetamine efforts to the general assembly by 28 6 January 1, 2000. 28 7 3. Notwithstanding section 8.33, the moneys appropriated 28 8 in subsection 1 and allocated in subsection 2 that remain 28 9 unencumbered and unobligated on June 30, 1999, shall not 28 10 revert to any fund but shall remain available for expenditure 28 11 for the purposes designated during the fiscal year beginning 28 12 July 1, 1999. 28 13 4. The legislative fiscal committee shall conduct a review 28 14 of the operation of the gambling treatment fund, including 28 15 additions to and allocations from the fund, and submit a 28 16 report to the general assembly by January 1, 1999. 28 17 Sec. 9. VITAL RECORDS. The vital records modernization 28 18 project as enacted in 1993 Iowa Acts, chapter 55, section 1, 28 19 as amended by 1994 Iowa Acts, chapter 1068, section 8, and as 28 20 amended by 1997 Iowa Acts, chapter 203, section 9, shall be 28 21 extended until June 30, 1999, and the increased fees to be 28 22 collected pursuant to that project shall continue to be 28 23 collected until June 30, 1999. 28 24 Sec. 10. Section 99E.10, subsection 1, paragraph a, Code 28 25 Supplement 1997, is amended to read as follows: 28 26 a. An amount equal to three-tenths of one percent of the 28 27 gross lottery revenue shall be deposited in a gambling 28 28 treatment fund in the office of the treasurer of state. The 28 29 director of the Iowa department of public health shall 28 30 administer the fund and shall provide that receipts are 28 31 allocated on a monthly basis to fund administrative costs and 28 32 to provide programs which may include, but are not limited to, 28 33 outpatient and follow-up treatment for persons affected by 28 34 problem gambling, rehabilitation and residential treatment 28 35 programs, information and referral services,andeducation and 29 1 preventive services, and financial management services. 29 2 Sec. 11. Section 99F.11, subsection 3, Code 1997, is 29 3 amended to read as follows: 29 4 3. Three-tenths of one percent of the adjusted gross 29 5 receipts shall be deposited in thegamblers assistance29 6 gambling treatment fund specified in section 99E.10, 29 7 subsection 1, paragraph "a". 29 8 Sec. 12. Section 135.11, subsection 15, Code Supplement 29 9 1997, is amended to read as follows: 29 10 15. Administer the statewide public health nursing,and29 11 homemaker-home health aide, and senior health programs by 29 12 approving grants of state funds to the local boards of health 29 13 and the county boards of supervisors and by providing 29 14 guidelines for the approval of the grants and allocation of 29 15 the state funds. Program direction, evaluation requirements, 29 16 and formula allocation procedures for each of the programs 29 17 shall be established by the department by rule, consistent 29 18 with 1997 Iowa Acts, chapter 203, section 5. 29 19 Sec. 13. Section 232.190, Code 1997, is amended to read as 29 20 follows: 29 21 232.190 COMMUNITY GRANT FUND– FUTURE REPEAL. 29 22 1. A community grant fund is established in the state 29 23 treasury under the control of the division of criminal and 29 24 juvenile justice planning of the department of human rights 29 25 for the purposes of awarding grants under this section. The 29 26 criminal and juvenile justice planning advisory council and 29 27 the juvenile justice advisory council shall assist the 29 28 division in administering grants awarded under this section. 29 29 Thedepartmentdepartments of education, human services, 29 30 public health, and public safety, and the governor's alliance 29 31 on substance abuse shall advise the division onprograms which29 32meet thegrant application and selection criteriaestablished29 33for grant recipientsand performance measures for the 29 34 programs. Not more than five percent of the moneys 29 35 appropriated to the fund shall be used for administrative 30 1 purposes. 30 2 2. A city, county, or entity organized under chapter 28E 30 3 may apply to thedepartmentdivision for a grant on a matching 30 4 basis to fund juvenile crime prevention programs. The match 30 5 maycome from funds provided to the city, county, or entity30 6organized under chapter 28Ebe obtained from private sources, 30 7 other state programs, or federal programs.A city, county, or30 8entity organized under chapter 28E applying for a grant under30 9this section is encouraged to seek matching funds from, but30 10not limited to, the Iowa finance authority, the governor's30 11alliance on substance abuse, and under the state and federal30 12community reinvestment Acts. Applications shall state30 13specific outcomes sought to be obtained under a program funded30 14by a grant under this section.The division shall adopt rules 30 15 establishing required matching fund levels that progressively 30 16 increase as applicants receive a second or subsequent year of 30 17 consecutive funding through the community grant fund. The 30 18 division shall not accept an application for a fourth or 30 19 subsequent consecutive year of funding. However, cities, 30 20 counties, or entities organized under chapter 28E receiving 30 21 grants prior to July 1, 1998, may apply and receive funding 30 22 for an additional two consecutive years beyond June 30, 1998. 30 23 3.Programs awardedApplications for moneys from the 30 24 community grant fund shallinvolvedefine the geographical 30 25 boundaries of the site chosen to benefit from the funds from 30 26 this program and shall demonstrate a collaborative effort by 30 27 allchildren and family supportrelevant local government and 30 28 school officials and serviceproviders to provide services and30 29 agencies with authority, responsibilities, or other interests 30 30 within the chosen site. Proposed plans set forth in the 30 31 applications shall reflect a community-wide consensus in how 30 32 to remediate community problemsand may include programs30 33dealing with truancy which involve school district and30 34community partnerships, and programs involving judicial30 35district community-based corrections programsrelated to 31 1 juvenile crime and shall describe how the funds from this 31 2 program will be used in a manner consistent with the human 31 3 investment strategy of the state as developed pursuant to 31 4 section 8A.1. Services provided underthe programsa grant 31 5 through this program shall be comprehensive and utilize 31 6 flexible delivery systems. Thedepartment of human services31 7 division shall establish a point system for determining 31 8 eligibility for grants from the fund based upon the nature and 31 9 breadth of the proposed community juvenile crime prevention 31 10programsplans and the extent to whicha community has sought31 11to obtain additional public and private funding sources for31 12all or parts of the community's programthe proposals include 31 13 viable plans to sustain the funding and local governance of 31 14 the proposed juvenile crime prevention services and activities 31 15 following the proposed grant period. 31 16 4. The division shall provide potential applicants for 31 17 grant moneys with information describing performance measures 31 18 for this program and shall establish a monitoring system for 31 19 this program that requires participating cities, counties, and 31 20 entities organized under chapter 28E to report information 31 21 with which to measure program performance. The division shall 31 22 solicit input from cities, counties, and service-providing 31 23 agencies on the establishment of program performance measures 31 24 and the structure of the program monitoring system. 31 25 Applications for grant moneys shall state specific results 31 26 sought to be obtained by any service or activity funded by a 31 27 grant under this section and shall describe how their desired 31 28 results are related to the program's performance measures. 31 294.5. This section is repealed effective June 30,199831 30 2000. The division of criminal and juvenile justice planning 31 31and the department of human servicesshall submitaan annual 31 32 report to the general assembly by January 15, 1998,regarding 31 33 the program's performance measures and the effectiveness of 31 34 theprogramsservices and activities funded under this section 31 35in meeting the objectives contained in subsection 3. 32 1 Sec. 14. EFFECTIVE DATES. 32 2 1. Section 9 of this Act, relating to the vital records 32 3 modernization project, being deemed of immediate importance, 32 4 takes effect upon enactment. 32 5 2. Section 13 of this Act, amending section 232.190, takes 32 6 effect June 30, 1998. 32 7 32 8 32 9 32 10 MARY E. KRAMER 32 11 President of the Senate 32 12 32 13 32 14 32 15 RON J. CORBETT 32 16 Speaker of the House 32 17 32 18 I hereby certify that this bill originated in the Senate and 32 19 is known as Senate File 2280, Seventy-seventh General Assembly. 32 20 32 21 32 22 32 23 MARY PAT GUNDERSON 32 24 Secretary of the Senate 32 25 Approved , 1998 32 26 32 27 32 28 32 29 TERRY E. BRANSTAD 32 30 Governor
Text: SF02279 Text: SF02281 Text: SF02200 - SF02299 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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