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House Amendment 1456

Amendment Text

PAG LIN
  1  1    Amend House File 760 as follows:
  1  2    #1.  Page 10, line 23, by inserting after the word
  1  3 "services," the following:  "mediation,".
  1  4    #2.  Page 11, line 15, by inserting after the word
  1  5 "positions" the following:  "or to provide services".
  1  6    #3.  Page 14, line 14, by inserting after the word
  1  7 "deposits" the following:  ", including any accrued
  1  8 interest,".
  1  9    #4.  Page 14, line 15, by inserting after the word
  1 10 "state." the following:  "The department shall also
  1 11 receive refunds, including any accrued interest, of
  1 12 assistance paid with funding available under this
  1 13 program.".
  1 14    #5.  Page 14, line 21, by inserting after the word
  1 15 "state" the following:  "or federal".
  1 16    #6.  Page 20, line 33, by inserting after the word
  1 17 "drugs." the following:  "The department may adopt
  1 18 emergency rules to implement this subsection."
  1 19    #7.  Page 27, line 23, by inserting after the word
  1 20 "appropriate." the following:  "The principal option
  1 21 considered in placing males shall be placement at
  1 22 existing state facilities."
  1 23    #8.  Page 35, by striking lines 29 through 35, and
  1 24 inserting the following:
  1 25    "18.  The department shall evaluate the recidivism
  1 26 rates of the public and private treatment programs for
  1 27 juveniles, and shall submit an annual report of the
  1 28 evaluation, by December 15, 1999, to the persons
  1 29 designated in this Act for receipt of reports."
  1 30    #9.  Page 36, line 5, by inserting after the word
  1 31 "services." the following:  "Funding allocated in this
  1 32 subsection shall not be used for the purpose of
  1 33 training."
  1 34    #10.  Page 36, by striking lines 12 through 14 and
  1 35 inserting the following:
  1 36    "20.  a.  A necessary amount of the balance of
  1 37 moneys received by the department for the fiscal year
  1 38 beginning July 1, 1999, from the federal government,
  1 39 for the supplemental disproportionate share and
  1 40 supplemental indirect medical education adjustment
  1 41 applicable to state-owned acute care hospitals with
  1 42 more than 500 beds, that were transferred by such a
  1 43 hospital and deposited with the appropriation in this
  1 44 Act for medical assistance which are in excess of the
  1 45 state share for medical assistance, shall not be
  1 46 credited to the general fund of the state but instead
  1 47 shall be credited to the appropriation made in this
  1 48 section for use only as provided in this subsection.
  1 49    b.  The moneys credited to this appropriation shall
  1 50 be used if there is any reduction in the federal
  2  1 financial participation amount for rehabilitation
  2  2 treatment services from the amount projected by the
  2  3 department in creating its budget.  An additional
  2  4 amount of not more than $600,000 shall be used to
  2  5 implement the recommendations of the legislative
  2  6 council's child welfare services work group.  The
  2  7 recommendations to be implemented include but are not
  2  8 limited to securing additional federal financial
  2  9 participation under Title IV-E of the federal Social
  2 10 Security Act, developing an outcome-based data
  2 11 management system, and providing ongoing support for
  2 12 the work group activities.  The department shall seek
  2 13 to obtain additional federal financial participation
  2 14 under Titles XIX and IV-E of the federal Social
  2 15 Security Act for activities eligible to draw federal
  2 16 funding and shall coordinate with the work group in
  2 17 implementing this and other recommendations of the
  2 18 work group."
  2 19    #11.  Page 36, by inserting after line 18, the
  2 20 following:
  2 21    "22.  The department shall maximize the capacity to
  2 22 draw federal funding under Title IV-E of the federal
  2 23 Social Security Act and shall submit a quarterly
  2 24 report regarding such maximization to the legislative
  2 25 fiscal bureau, commencing with a report of the quarter
  2 26 beginning July 1, 1999."
  2 27    #12.  Page 43, by inserting after line 17 the
  2 28 following:
  2 29    "During the fiscal year beginning July 1, 1999, the
  2 30 state hospital-school at Glenwood shall unbundle
  2 31 pharmaceutical costs from the per diem charges for
  2 32 services at the hospital-school.  County billings
  2 33 under section 222.73 shall be reduced in an amount
  2 34 equivalent to pharmaceutical costs separately charged
  2 35 to medical assistance is a result of the unbundling."
  2 36    #13.  By striking page 45, line 34, through page
  2 37 46, line 4, and inserting the following:
  2 38    "For the costs of a reimbursement increase in
  2 39 accordance with this section for sheltered work, work
  2 40 activity, support employment, job placement, enclave,
  2 41 adult day care, transportation, community supervised
  2 42 apartment living arrangements, and adult residential
  2 43 services paid by a county under a state purchase of
  2 44 service (POS) or county contract:  
  2 45 .................................................. $  2,000,000
  2 46    1.  A fiscal year 1997-1998 spending amount for the
  2 47 POS or county contract services designated above shall
  2 48 be determined for each county by identifying the
  2 49 amount expended for the services for fiscal year 1997-
  2 50 1998 in the county's expenditure report submitted by
  3  1 December 1, 1998, pursuant to section 331.439,
  3  2 subsection 1, paragraph "a".  The individual county
  3  3 spending amounts shall be combined by the department
  3  4 to identify a statewide spending amount.  The moneys
  3  5 appropriated in this section shall be distributed to
  3  6 counties based on a county's proportion of the
  3  7 statewide spending amount.
  3  8    2.  A county shall utilize the distributed moneys
  3  9 to increase reimbursement of those POS or county
  3 10 contract providers whose reimbursement is below the
  3 11 provider's cost or who utilize the reimbursement
  3 12 increase to enhance service staff compensation.  A
  3 13 county shall include a progress report describing the
  3 14 county's usage of the distributed moneys as an
  3 15 addendum to the county's expenditure report submitted
  3 16 by December 1, 1999, pursuant to section 331.439,
  3 17 subsection 1, paragraph "a", and a final report
  3 18 describing the usage as an addendum to the expenditure
  3 19 report submitted by December 1, 2000.  It is the
  3 20 intent of the general assembly that any amount that is
  3 21 not utilized for the required purposes shall be
  3 22 recovered in the fiscal year beginning July 1, 2000,
  3 23 by reducing the county's social services block grant
  3 24 local purchase allocation in an equivalent amount."
  3 25    #14.  Page 49, by inserting after line 33, the
  3 26 following:
  3 27    "5.  The department shall submit a quarterly
  3 28 report, commencing with the quarter beginning July 1,
  3 29 1999, to the legislative fiscal bureau specifying the
  3 30 number and type of full-time equivalent positions in
  3 31 the department that are funded but vacant."
  3 32    #15.  Page 52, by inserting after line 3, the
  3 33 following:
  3 34    "1A.  It is the intent of the general assembly
  3 35 that, subject to the recommendations of the human
  3 36 services provider reimbursement task force described
  3 37 in this Act, beginning with the fiscal year commencing
  3 38 July 1, 2000, the department shall utilize the
  3 39 resource-based relative value system methodology to
  3 40 determine medical provider reimbursement under the
  3 41 medical assistance program."
  3 42    #16.  Page 53, by striking lines 29 through 33, and
  3 43 inserting the following:  "services providers
  3 44 effective October 1, 1999."
  3 45    #17.  Page 54, by striking lines 19 through 22 and
  3 46 inserting the following:
  3 47    "   .  Effective July 1, 1999, the maximum
  3 48 reimbursement rate for psychiatric medical
  3 49 institutions for children (PMICs) shall be increased
  3 50 to $145.74 per day, based on per day rates for actual
  4  1 costs on June 30, 1999."
  4  2    #18.  Page 60, by striking lines 16 through 18, and
  4  3 inserting the following:  "department's budget.  The
  4  4 task force should be directed to".
  4  5    #19.  Page 62, by inserting after line 18, the
  4  6 following:
  4  7    "   .  Section 24, relating to reimbursement of
  4  8 social services providers." 
  4  9 
  4 10 
  4 11                               
  4 12 HEATON of Henry 
  4 13 
  4 14 
  4 15                               
  4 16 HOUSER of Pottawattamie 
  4 17 
  4 18 
  4 19                               
  4 20 ARNOLD of Lucas 
  4 21 
  4 22 
  4 23                               
  4 24 BLODGETT of Cerro Gordo 
  4 25 
  4 26 
  4 27                               
  4 28 JOHNSON of Osceola 
  4 29 HF 760.213 78
  4 30 pf/gg
     

Text: H01455                            Text: H01457
Text: H01400 - H01499                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index

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