Text: H01699 Text: H01701 Text: H01700 - H01799 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Amend House File 760, as amended, passed, and 1 2 reprinted by the Senate, as follows: 1 3 #1. Page 6, by striking line 14 and inserting the 1 4 following: 1 5 ".................................................. $ 23,491,419" 1 6 #2. Page 12, line 17, by striking the word "For" 1 7 and inserting the following: "From moneys 1 8 appropriated in this Act from the federal temporary 1 9 assistance for needy families block grant and credited 1 10 to the family investment program account, for". 1 11 #3. Page 12, lines 19 and 20, by striking the 1 12 words "cannot return to the parents' home" and 1 13 inserting the following: "may be at risk of becoming 1 14 dependent upon government benefits". 1 15 #4. Page 14, line 6, by inserting before the word 1 16 "review" the following: "food stamp program error 1 17 rate". 1 18 #5. Page 18, by striking lines 28 through 30 and 1 19 inserting the following: "the time of applying for 1 20 assistance. The range for the number of persons to be 1 21 served under this waiver at any one time is at least 1 22 35 and not more than 100 persons. Of the number of 1 23 persons served, a maximum of 10 person with physical". 1 24 #6. Page 20, line 13, by inserting after the words 1 25 "such services," the following: "counties,". 1 26 #7. Page 20, by striking line 24 and inserting the 1 27 following: 1 28 "14. The department shall work with county 1 29 representatives in aggressively taking the steps". 1 30 #8. Page 21, line 12, by inserting after the word 1 31 "assembly." the following: "The department may adopt 1 32 emergency rules to implement the provisions of this 1 33 subsection." 1 34 #9. Page 21, by striking lines 13 through 16. 1 35 #10. Page 21, line 19, by striking the figure 1 36 "$130,000" and inserting the following: "$65,000". 1 37 #11. Page 21, line 20, by striking the figure 1 38 "135C.36" and inserting the following: "249A.19". 1 39 #12. By striking page 21, line 26, through page 1 40 22, line 14. 1 41 #13. Page 22, by inserting before line 15, the 1 42 following: 1 43 "20. The department shall evaluate the feasibility 1 44 and fiscal impact of implementing twelve-month 1 45 continuous eligibility for children eligible for 1 46 medical assistance pursuant to chapter 249A. If in 1 47 accordance with federal law, the department may 1 48 implement the twelve-month continuous eligibility 1 49 policy on a less than a statewide basis. The 1 50 department shall submit a report of its evaluation of 2 1 the fiscal impact of the proposed policy and 2 2 recommendations to the general assembly by October 1, 2 3 1999. 2 4 21. The department shall develop a process for 2 5 enrollment that eliminates the face-to-face interview 2 6 for children eligible for medical assistance only. 2 7 The department may adopt emergency rules to implement 2 8 this subsection. 2 9 22. The department may adopt emergency rules to 2 10 implement section 249A.3, subsection 5A, as enacted by 2 11 this Act." 2 12 #14. Page 23, line 16, by striking the word 2 13 "department" and inserting the following: "HAWK-I 2 14 board". 2 15 #15. Page 23, by striking line 27 and inserting 2 16 the following: 2 17 ".................................................. $ 7,659,250" 2 18 #16. Page 23, line 28, by striking the word "may" 2 19 and inserting the following: "shall". 2 20 #17. Page 23, line 30, by striking the word "may" 2 21 and inserting the following: "shall". 2 22 #18. Page 24, by striking lines 8 through 15. 2 23 #19. Page 24, by inserting after line 15 the 2 24 following: 2 25 "5. Notwithstanding section 8.33, $10,750 of the 2 26 moneys appropriated to the department of human 2 27 services in 1998 Iowa Acts, chapter 1218, section 10, 2 28 that remain unencumbered or unobligated at the close 2 29 of the fiscal year shall not revert but shall remain 2 30 available for expenditure for the purposes designated 2 31 in this section until the close of the succeeding 2 32 fiscal year." 2 33 #20. Page 26, by striking line 14 and inserting 2 34 the following: 2 35 ".................................................. $ 5,050,750" 2 36 #21. Page 29, line 20, by striking the words 2 37 "department of justice" and inserting the following: 2 38 "judicial branch". 2 39 #22. Page 29, line 22, by striking the words 2 40 "department of justice" and inserting the following: 2 41 "judicial branch". 2 42 #23. Page 29, line 26, by striking the words 2 43 "department of justice" and inserting the following: 2 44 "judicial branch". 2 45 #24. Page 31, lines 29 and 30, by striking the 2 46 words "Iowa juvenile home" and inserting the 2 47 following: "state training school at Eldora". 2 48 #25. Page 34, line 21, by striking the figure 2 49 "7,123,489" and inserting the following: "7,160,257". 2 50 #26. Page 39, by striking lines 25 and 26 and 3 1 inserting the following: "ordered services. Not more 3 2 than $15,000 of the funding allocated in this 3 3 subsection may be used for the purpose of training." 3 4 #27. Page 39, line 29, by striking the word 3 5 "specific" and inserting the following: "gender- 3 6 specific". 3 7 #28. Page 39, line 32, by striking the word "A" 3 8 and inserting the following: "As determined by the 3 9 department of management, a". 3 10 #29. Page 40, by striking lines 15 and 16 and 3 11 inserting the following: "management, up to an 3 12 additional $550,000 of the transferred moneys may be 3 13 credited to the appropriation in this section to 3 14 implement the recommendations of the". 3 15 #30. Page 40, by inserting after line 28 the 3 16 following: 3 17 "d. Of the moneys appropriated in this section, up 3 18 to $50,000 may be used to support the child welfare 3 19 services work group." 3 20 #31. Page 41, by striking lines 13 through 19. 3 21 #32. Page 42, by striking line 20 and inserting 3 22 the following: 3 23 "............................................... FTEs 856.39" 3 24 #33. Page 42, by striking line 25 and inserting 3 25 the following: 3 26 "............................................... FTEs 249.24 3 27 The amount allocated in this subsection is 3 28 sufficient for the mental health institute to make 3 29 budget adjustments in order to continue funding of the 3 30 inmate labor program and the work services center 3 31 contract, and to retain the nurse positions that were 3 32 in the final hiring stage in the spring of 1999 and 3 33 other permanent positions." 3 34 #34. Page 44, line 27, by inserting after the word 3 35 "methamphetamine." the following: "The proposal shall 3 36 identify a payment source other than counties for such 3 37 treatment." 3 38 #35. Page 45, by striking line 26 and inserting 3 39 the following: 3 40 ".............................................. FTEs 1,554.51" 3 41 #36. Page 45, by striking line 31 and inserting 3 42 the following: 3 43 ".............................................. FTEs 877.75" 3 44 #37. Page 45, by striking line 34 and inserting 3 45 the following: 3 46 ".............................................. FTEs 676.76" 3 47 #38. Page 49, by inserting after line 30 the 3 48 following: 3 49 "The department shall issue a request for proposals 3 50 for developmental disabilities basic support and 4 1 advocacy grants." 4 2 #39. Page 50, line 16, by inserting after the word 4 3 "community" the following: "living". 4 4 #40. Page 50, by striking lines 19 and 20. 4 5 #41. Page 50, line 28, by striking the word 4 6 "support" and inserting the following: "supported". 4 7 #42. Page 51, by striking line 33 and inserting 4 8 the following: 4 9 "................................................. $ 17,560,000" 4 10 #43. Page 55, by striking lines 12 and 13 and 4 11 inserting the following: "statewide supported 4 12 employment programs." 4 13 #44. Page 56, by inserting after line 7 the 4 14 following: 4 15 "Sec. 200. SEXUALLY VIOLENT PREDATORS – FY 1998- 4 16 1999. There is appropriated from the general fund of 4 17 the state to the department of human services for the 4 18 fiscal year beginning July 1, 1998, and ending June 4 19 30, 1999, to supplement the appropriation made in 1998 4 20 Iowa Acts, chapter 1218, section 31, the following 4 21 amount, or so much thereof as is necessary, to be used 4 22 for the purposes designated: 4 23 For costs associated with the commitment and 4 24 treatment of sexually violent predators and for 4 25 salaries and support for not more than the following 4 26 full-time equivalent positions: 4 27 ................................................. $ 115,023 4 28 ............................................... FTEs 6.63 4 29 Notwithstanding section 8.62 or any other provision 4 30 of law to the contrary, moneys appropriated in this 4 31 section that remain unencumbered or unobligated at the 4 32 close of the fiscal year shall revert in accordance 4 33 with section 8.33." 4 34 #45. By striking page 57, line 28, through page 4 35 58, line 6. 4 36 #46. Page 58, by striking lines 7 through 9 and 4 37 inserting the following: 4 38 "g. Federally qualified health centers shall 4 39 receive cost-based reimbursement for 100 percent of 4 40 the reasonable costs for the provision of services to 4 41 recipients of medical assistance." 4 42 #47. Page 58, by inserting after line 19 the 4 43 following: 4 44 "1A. a. The basis for establishing the maximum 4 45 medical assistance reimbursement rate for nursing 4 46 facilities shall be the 70th percentile of facility 4 47 costs as calculated from the June 30, 1999, unaudited 4 48 compilation of cost and statistical data submitted by 4 49 each facility on medical assistance cost reports. A 4 50 facility which does not have a current cost report on 5 1 file with the department as of June 30, 1999, shall 5 2 continue to receive the per diem rate in effect for 5 3 that facility on June 30, 1999, until the facility's 5 4 costs are above that rate or until June 30, 2000, 5 5 whichever is earlier. A facility shall submit 5 6 semiannual cost reports beginning July 1, 1999, or 5 7 after, based on the closing date of the facility's 5 8 fiscal year. 5 9 b. To the extent funds are available within the 5 10 amount projected for reimbursement of nursing 5 11 facilities within the appropriation for medical 5 12 assistance in this Act for the fiscal year beginning 5 13 July 1, 1999, and within the appropriation for medical 5 14 assistance as a whole for the fiscal year beginning 5 15 July 1, 1999, the department shall adjust the maximum 5 16 medical assistance reimbursement for nursing 5 17 facilities to the 70th percentile, as calculated from 5 18 the December 31, 1999, unaudited compilation of cost 5 19 and statistical data for only those nursing facilities 5 20 which provide additional written documentation in a 5 21 cost report which demonstrates increased expenditures 5 22 for direct care in the form of wages during a cost 5 23 reporting period in that fiscal year. In order to be 5 24 eligible for the increased reimbursement, a nursing 5 25 facility must submit the cost report with the 5 26 additional documentation by June 30, 2000. To the 5 27 extent possible, the additional written documentation 5 28 shall be obtained from the expanded cost report 5 29 information submitted by nursing facilities in 5 30 accordance with paragraph "c". Any adjustment shall 5 31 take effect January 1, 2000. 5 32 c. The department of human services shall adopt 5 33 emergency rules requiring all nursing facilities to 5 34 submit a medical assistance cost report on or after 5 35 July 1, 1999, that incorporates the additional 5 36 documentation specified in this lettered paragraph. 5 37 Initially, the additional documentation shall provide 5 38 baseline information by describing the status of the 5 39 facility with reference to the information requested 5 40 as of July 1, 1999, and subsequently the additional 5 41 documentation shall describe the status of the 5 42 facility for the period of the cost report. The 5 43 additional documentation to be incorporated in the 5 44 cost reports shall include all of the following 5 45 information: 5 46 (1) Information concerning staffing costs 5 47 including the number of hours of care provided per 5 48 resident per day on all of the following: nursing 5 49 services provided by registered nurses, licensed 5 50 practical nurses, certified nurse aides, restorative 6 1 aides, certified medication aides, and contracted 6 2 nursing services; other care services; administrative 6 3 functions; housekeeping and maintenance; and dietary 6 4 services. 6 5 (2) The starting and average hourly wage for each 6 6 class of employees. 6 7 d. The information submitted under paragraph "c" 6 8 shall be compiled by the department and provided to 6 9 the general assembly and any legislative committee 6 10 designated to consider human services reimbursement 6 11 rates and methodologies." 6 12 #48. Page 58, by striking lines 20 through 26. 6 13 #49. Page 59, by striking lines 22 through 27 and 6 14 inserting the following: 6 15 "6. For the fiscal year beginning July 1, 1999, 6 16 the maximum reimbursement rates for adoption and 6 17 independent living services shall be increased by 2 6 18 percent over the rates in effect on June 30, 1999. 6 19 The maximum". 6 20 #50. Page 60, line 18, by striking the figure 6 21 "1,985,916" and inserting the following: "2,652,296". 6 22 #51. Page 60, line 20, by striking the word and 6 23 figure "October 1" and inserting the following: "July 6 24 1". 6 25 #52. Page 60, by striking lines 24 through 27 and 6 26 inserting the following: "based on the cost report 6 27 submitted to the department. The maximum 6 28 reimbursement rate". 6 29 #53. Page 61, line 35, by striking the word 6 30 "previous" and inserting the following: "current". 6 31 #54. Page 62, by inserting after line 4 the 6 32 following: 6 33 "Sec. 100. 1998 Iowa Acts, chapter 1218, section 6 34 33, is amended by striking the section and inserting 6 35 in lieu thereof the following: 6 36 SEC. 33. DEPARTMENT OF HUMAN SERVICES – MOTOR 6 37 VEHICLE LICENSE REINSTATEMENT PENALTY – DEPOSIT AND 6 38 APPROPRIATION. Notwithstanding the deposit provisions 6 39 of sections 321.218A and 321A.32A, the moneys 6 40 collected during the fiscal year beginning July 1, 6 41 1998, and ending June 30, 1999, by the state 6 42 department of transportation pursuant to those 6 43 sections shall be deposited to the credit of the 6 44 department of human services for the fiscal year 6 45 beginning July 1, 1998, and ending June 30, 1999, and 6 46 are appropriated as follows: 6 47 For the establishment, improvement, operation, and 6 48 maintenance of county or multicounty juvenile 6 49 detention homes. 6 50 Moneys appropriated in this section shall be 7 1 allocated among eligible detention homes, prorated on 7 2 the basis of an eligible detention home's proportion 7 3 of the costs of all eligible detention homes in the 7 4 previous fiscal year. Notwithstanding section 7 5 232.142, subsection 3, the financial aid payable by 7 6 the state under that provision for the fiscal year 7 7 beginning July 1, 1998, shall be limited to the amount 7 8 appropriated in this section." 7 9 #55. Page 66, line 35, by inserting after the word 7 10 "needs;" and inserting the following: "options for 7 11 implementation of the resource-based relative value 7 12 system methodology to determine medical provider 7 13 reimbursement under the medical assistance program;". 7 14 #56. Page 67, line 3, by striking the words 7 15 "utilization based reimbursement;" and inserting the 7 16 following: "resource-based reimbursement; review of 7 17 nursing facility cost reports, including additional 7 18 written documentation, compiled by the department of 7 19 human services and submitted pursuant to requirements 7 20 in the reimbursement section of this Act;". 7 21 #57. Page 69, by striking line 17 and inserting 7 22 the following: 7 23 "Sec. . NEW SECTION. 237A.30 HIGH QUALITY 7 24 CHILD DAY CARE PROVIDERS. 7 25 1. The department shall accept nationally 7 26 recognized accreditations in identifying and listing 7 27 high quality child day care providers. Any registered 7 28 family or group home or licensed child day care 7 29 provider in this state that is accredited in good 7 30 standing by the national association for the education 7 31 of young children or the national association for 7 32 family child care shall be included in the listing. 7 33 2. Providers included in the listing which remain 7 34 in good standing with the accrediting body and with 7 35 state regulation shall be designated as a gold seal 7 36 quality child day care provider. Any provider 7 37 included in the listing may publicly utilize the 7 38 designation as a gold seal quality child day care 7 39 provider. Child day care resource and referral 7 40 services shall be encouraged to make use of the 7 41 providers holding this designation as a resource in 7 42 quality improvement efforts and to identify these 7 43 providers in making referrals to the public. 7 44 3. Holders of the gold seal quality designation 7 45 shall be recognized annually in April during the week 7 46 of national recognition of young children. A 7 47 recognition event shall be hosted during that week by 7 48 a committee which may include but is not limited to 7 49 the governor, legislative leaders, department staff 7 50 and other child care experts, and the chairpersons and 8 1 ranking members of the legislative committees involved 8 2 with regulation or funding of child day care. 8 3 4. Subject to the availability of funding, an 8 4 eligible holder of the gold seal quality designation 8 5 receiving an initial or renewal national accreditation 8 6 may receive a one-time cash award in the year of 8 7 initial or renewal accreditation on or after July 1, 8 8 1999. Holders of the designation who received funding 8 9 assistance to obtain the initial or renewal national 8 10 accreditation under a grant administered by the child 8 11 development coordinating council or as part of being a 8 12 federal head start program are not eligible for the 8 13 cash award. Eligible holders of the designation may 8 14 receive a cash award of two hundred fifty dollars for 8 15 registered family and group day care home providers 8 16 and five hundred dollars for licensed centers." 8 17 #58. Page 69, by inserting before line 18 the 8 18 following: 8 19 "Sec. ___. Section 249A.3, Code 1999, is amended 8 20 by adding the following new subsection: 8 21 NEW SUBSECTION. 5A. In determining eligibility 8 22 for children under subsection 1, paragraphs "b", "f", 8 23 "g", "j", "k", "n", and "s"; subsection 2, paragraphs 8 24 "a", "c", "d", "f", and "g"; and subsection 5, 8 25 paragraph "b", all resources of the family, other than 8 26 monthly income, shall be disregarded." 8 27 #59. Page 69, by inserting before line 18 the 8 28 following: 8 29 "Sec. . Section 249A.18, Code 1999, is amended 8 30 to read as follows: 8 31 249A.18 COST-BASED REIMBURSEMENT – RURAL HEALTH 8 32 CLINICS AND FEDERALLY QUALIFIED HEALTHCLINICS8 33 CENTERS. 8 34 Rural health clinics and federally qualified health 8 35clinicscenters shall receive cost-based reimbursement 8 36 for one hundred percent of the reasonable costs for 8 37 the provision of services to recipients of medical 8 38 assistance, subject to limitations and exclusions8 39based on federal law and regulations as determined by8 40the director." 8 41 #60. Page 70, by inserting after line 14 the 8 42 following: 8 43 "5A. Section 10, subsection 5, relating to the 8 44 reversion of moneys appropriated for medical contracts 8 45 in 1998 Iowa Acts, chapter 1218, section 10." 8 46 #61. Page 70, line 16, by striking the words "Iowa 8 47 juvenile home" and inserting the following: "state 8 48 training school at Eldora". 8 49 #62. Page 70, by inserting after line 24 the 8 50 following: 9 1 " . Section 100, amending 1998 Iowa Acts, 9 2 chapter 1218, section 33." 9 3 #63. Page 70, by inserting after line 24 the 9 4 following: 9 5 " . Section 200, providing a fiscal year 1998- 9 6 1999 appropriation for costs associated with treatment 9 7 and commitment of sexually violent predators." 9 8 #64. By renumbering, relettering, or redesignating 9 9 and correcting internal references as necessary. 9 10 HF 760S 9 11 jp/cc/26
Text: H01699 Text: H01701 Text: H01700 - H01799 Text: H Index Bills and Amendments: General Index Bill History: General Index
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