Text: SF02434 Text: SF02436 Text: SF02400 - SF02499 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. SOCIAL SERVICES BLOCK GRANT SUPPLEMENTATION. 1 2 There is appropriated from the fund created in section 8.41 to 1 3 the department of human services for the fiscal year beginning 1 4 July 1, 1999, and ending June 30, 2000, from moneys received 1 5 under the federal temporary assistance for needy families 1 6 block grant, the following amount, or so much thereof as is 1 7 necessary, to be used for the purpose designated: 1 8 For supplementation of the federal social services block 1 9 grant appropriation in 1999 Iowa Acts, chapter 193, section 1 10 12, due to the federal reduction in this block grant and the 1 11 corresponding decrease pursuant to 1999 Iowa Acts, chapter 1 12 193, section 16: 1 13 .................................................. $ 1,197,328 1 14 The moneys appropriated in this section are allocated for 1 15 the indicated programs and functions within the department as 1 16 follows: 1 17 1. General administration: 1 18 .................................................. $ 76,136 1 19 2. Field operations: 1 20 .................................................. $ 455,372 1 21 3. Child and family services: 1 22 .................................................. $ 68,111 1 23 4. Local administrative costs and other local services: 1 24 .................................................. $ 48,294 1 25 5. Volunteers: 1 26 .................................................. $ 5,278 1 27 6. Community-based services: 1 28 .................................................. $ 6,069 1 29 7. MH/MR/DD/BI community services (local purchase): 1 30 .................................................. $ 538,068 1 31 Sec. 2. EARLY CHILDHOOD FUNDING. 1 32 1. There is appropriated from the fund created in section 1 33 8.41 to the department of human services for the specified 1 34 fiscal years from moneys received under the federal temporary 1 35 assistance for needy families block grant pursuant to the 2 1 federal Personal Responsibility and Work Opportunity 2 2 Reconciliation Act of 1996, Pub. L. No. 104-193, the following 2 3 amounts, or so much thereof as is necessary, to be used for 2 4 the purposes designated: 2 5 a. For the fiscal year beginning July 1, 2000, and ending 2 6 June 30, 2001, for distribution in addition to previously 2 7 appropriated moneys to fund community-based programs targeted 2 8 to children from birth through five years of age developed by 2 9 community empowerment areas: 2 10 .................................................. $ 2,550,000 2 11 b. For the fiscal year beginning July 1, 2001, and ending 2 12 June 30, 2002, for distribution in addition to previously 2 13 appropriated moneys to fund community-based programs targeted 2 14 to children from birth through five years of age developed by 2 15 community empowerment areas: 2 16 .................................................. $ 2,550,000 2 17 2. The appropriation made in 1998 Iowa Acts, chapter 1218, 2 18 section 2, from the fund created in section 8.41 to the 2 19 department of human services for the fiscal year beginning 2 20 July 1, 2000, and ending June 30, 2001, and the appropriation 2 21 made in subsection 1, paragraph "a", from moneys received 2 22 under the federal temporary assistance for needy families 2 23 block grant shall be used for funding of community-based 2 24 programs targeted to children from birth through five years of 2 25 age, developed by community empowerment areas as provided in 2 26 this section. 2 27 3. The department may transfer federal temporary 2 28 assistance for needy families block grant funding appropriated 2 29 and allocated in this section to the child care and 2 30 development block grant in accordance with federal law as 2 31 necessary to comply with the provisions of this section. The 2 32 funding shall then be provided to community empowerment areas 2 33 for the fiscal year beginning July 1, 2000, in accordance with 2 34 all of the following: 2 35 a. The area must be approved as a designated community 3 1 empowerment area by the Iowa empowerment board. 3 2 b. The maximum funding amount a community empowerment area 3 3 is eligible to receive shall be determined by applying the 3 4 area's percentage of the state's average monthly family 3 5 investment program population in the preceding fiscal year to 3 6 the total amount appropriated and allocated in this section 3 7 for fiscal year 2000-2001. 3 8 c. A community empowerment area receiving funding shall 3 9 comply with any federal reporting requirements associated with 3 10 the use of that funding and other results and reporting 3 11 requirements established by the Iowa empowerment board. The 3 12 department shall provide technical assistance in identifying 3 13 and meeting the federal requirements. 3 14 d. The availability of funding provided under this section 3 15 is subject to changes in federal requirements and amendments 3 16 to Iowa law. 3 17 4. The moneys distributed in accordance with this section 3 18 shall be used by communities for the purposes of enhancing 3 19 quality child care capacity in support of parent capability to 3 20 obtain or retain employment. The moneys shall be used with a 3 21 primary emphasis on low-income families and children from 3 22 birth to five years of age. Moneys shall be provided in a 3 23 flexible manner to communities, and shall be used to implement 3 24 strategies identified by the communities to achieve such 3 25 purposes. The strategies may include but are not limited to 3 26 developing capacity for regular child care, sick child care, 3 27 night shifts child care, and emergency child care; enhancing 3 28 linkages between the head start and early head start programs, 3 29 early childhood development programs, and child care 3 30 assistance programs; and implementing other strategies to 3 31 enhance access to child care. The moneys may be used to 3 32 either build capacity or for support of ongoing efforts. In 3 33 addition to the full-time equivalent positions funded in this 3 34 Act, 1.00 full-time equivalent position is authorized and the 3 35 department may use funding appropriated in this section for 4 1 provision of technical assistance and other support to 4 2 communities developing and implementing strategies with moneys 4 3 distributed in accordance with this section. 4 4 5. Moneys which are subject to this section which are not 4 5 distributed to a community empowerment area or otherwise 4 6 remain unobligated or unexpended at the end of the fiscal year 4 7 shall revert to the fund created in section 8.41 to be 4 8 available for appropriation by the general assembly in a 4 9 subsequent fiscal year. 4 10 Sec. 3. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 4 11 GRANT. There is appropriated from the fund created in section 4 12 8.41 to the department of human services for the fiscal year 4 13 beginning July 1, 2000, and ending June 30, 2001, from moneys 4 14 received under the federal temporary assistance for needy 4 15 families block grant pursuant to the federal Personal 4 16 Responsibility and Work Opportunity Reconciliation Act of 4 17 1996, Pub. L. No. 104-193, which are federally appropriated 4 18 for the federal fiscal years beginning October 1, 1998, and 4 19 ending September 30, 1999, and beginning October 1, 1999, and 4 20 ending September 30, 2000, and beginning October 1, 2000, and 4 21 ending September 30, 2001, the following amounts, or so much 4 22 thereof as is necessary, to be used for the purposes 4 23 designated: 4 24 Moneys appropriated in this section shall be used in 4 25 accordance with the federal law making the funds available, 4 26 applicable Iowa law, appropriations made from the general fund 4 27 of the state in this Act for the purpose designated, and 4 28 administrative rules adopted to implement the federal and Iowa 4 29 law. If actual federal revenues credited to the fund created 4 30 in section 8.41 through June 30, 2001, are less than the 4 31 amounts appropriated in this section, the amounts appropriated 4 32 shall be reduced proportionately and the department may reduce 4 33 expenditures as deemed necessary by the department to meet the 4 34 reduced funding level: 4 35 1. To be credited to the family investment program account 5 1 and used for assistance under the family investment program 5 2 under chapter 239B: 5 3 .................................................. $ 44,035,883 5 4 2. To be credited to the family investment program account 5 5 and used for the job opportunities and basic skills (JOBS) 5 6 program, and implementing family investment agreements, in 5 7 accordance with chapter 239B: 5 8 .................................................. $ 19,980,113 5 9 3. For field operations: 5 10 .................................................. $ 12,870,415 5 11 4. For general administration: 5 12 .................................................. $ 3,227,683 5 13 5. For local administrative costs: 5 14 .................................................. $ 2,147,358 5 15 6. For state child care assistance: 5 16 ................................................. $ 23,219,567 5 17 a. Of the funds appropriated in this subsection, $200,000 5 18 shall be used for child care emergency and start-up grants in 5 19 accordance with this paragraph. The funding allocated in this 5 20 paragraph shall be used to provide emergency grants to 5 21 existing licensed or registered child care facilities having 5 22 negative financial circumstances that will cause the 5 23 facilities to close without outside assistance. The funding 5 24 shall also be used to provide start-up funding to develop new 5 25 licensed or registered child care facilities that will 5 26 increase the availability of child care slots in communities. 5 27 The department shall establish criteria for distribution of 5 28 the grant funding. The criteria shall include a requirement 5 29 that grant funding is used to further the long-term financial 5 30 survival of grant recipients, a requirement that funding is 5 31 targeted to facilities providing essential child care services 5 32 to low-income families, required disclosure of necessary 5 33 financial information, establishment of a maximum grant amount 5 34 and a maximum number of grants to be issued in order to make 5 35 funding available to as many facilities as possible, and other 6 1 provisions to ensure appropriate use of the funding. 6 2 b. Of the funds appropriated in this subsection, $200,000 6 3 shall be used for assistance to providers of child care to 6 4 school-age children in accordance with this paragraph. Moneys 6 5 allocated in this paragraph shall be used for grants to 6 6 licensed child care facilities providing care to school-age 6 7 children as of July 1, 2000. The grants shall be used to 6 8 increase the number of school-age children served, for 6 9 expansion of slots, or for transportation costs. The grant 6 10 requirements shall include provision for local match in the 6 11 form of cash, in-kind services, or other support. 6 12 c. Of the funds appropriated in this subsection, $300,000 6 13 shall be used for provision of educational opportunities to 6 14 registered child care home providers in order to improve 6 15 services and programs offered by this category of providers 6 16 and to increase the number of providers. The department may 6 17 contract with institutions of higher education or child care 6 18 resource and referral centers to provide the educational 6 19 opportunities. Allowable administrative costs under the 6 20 contracts shall not exceed five percent. 6 21 d. The application for any of the grants described in the 6 22 lettered paragraphs of this subsection shall not exceed two 6 23 pages in length. 6 24 7. For emergency assistance: 6 25 .................................................. $ 2,763,605 6 26 8. For mental health and developmental disabilities 6 27 community services: 6 28 .................................................. $ 4,620,848 6 29 9. For child and family services: 6 30 .................................................. $ 23,586,793 6 31 10. For child abuse prevention: 6 32 .................................................. $ 731,000 6 33 11. For pregnancy prevention grants on the condition that 6 34 family planning services are funded: 6 35 .................................................. $ 2,517,477 7 1 Pregnancy prevention grants shall be awarded to programs in 7 2 existence on or before July 1, 2000, if the programs are 7 3 comprehensive in scope and have demonstrated positive 7 4 outcomes. Grants shall be awarded to pregnancy prevention 7 5 programs which are developed after July 1, 2000, if the 7 6 programs are comprehensive in scope and are based on existing 7 7 models that have demonstrated positive outcomes. Priority in 7 8 the awarding of grants shall be given to programs that serve 7 9 areas of the state which demonstrate the highest percentage of 7 10 unplanned pregnancies of females age 13 or older but younger 7 11 than age 18 within the geographic area to be served by the 7 12 grant. 7 13 12. For technology needs and other resources necessary to 7 14 meet federal welfare reform reporting, tracking, and case 7 15 management requirements: 7 16 .................................................. $ 1,006,442 7 17 13. For supervised community treatment under child and 7 18 family services: 7 19 .................................................. $ 300,000 7 20 14. For volunteers: 7 21 .................................................. $ 45,327 7 22 15. For individual development accounts under chapter 7 23 541A: 7 24 .................................................. $ 200,000 7 25 Of the amounts appropriated in this section, $11,877,714 7 26 for the fiscal year beginning July 1, 2000, shall be 7 27 transferred to the appropriation of the federal social 7 28 services block grant for that fiscal year. 7 29 Eligible funding available under the federal temporary 7 30 assistance for needy families block grant that is not 7 31 appropriated or not otherwise expended shall be considered 7 32 reserved for economic downturns and welfare reform purposes 7 33 and is subject to further state appropriation to support 7 34 families in their movement toward self-sufficiency. 7 35 Sec. 4. FAMILY INVESTMENT PROGRAM ACCOUNT. 8 1 1. Moneys credited to the family investment program (FIP) 8 2 account for the fiscal year beginning July 1, 2000, and ending 8 3 June 30, 2001, shall be used in accordance with the following 8 4 requirements: 8 5 a. The department shall provide assistance in accordance 8 6 with chapter 239B. 8 7 b. The department shall continue the special needs program 8 8 under the family investment program. 8 9 c. The department shall continue to comply with federal 8 10 welfare reform data requirements pursuant to the 8 11 appropriations made for that purpose. 8 12 d. The department shall continue to make entrepreneurial 8 13 training available to families receiving assistance under the 8 14 family investment program. The department may contract for 8 15 these services. 8 16 e. The department shall continue expansion of the 8 17 electronic benefit transfer program as necessary to comply 8 18 with federal requirements. Notwithstanding 1998 Iowa Acts, 8 19 chapter 1218, section 5, subsection 1, paragraph "d", and 1999 8 20 Iowa Acts, chapter 203, section 5, subsection 1, paragraph 8 21 "d", the target date for statewide implementation of the 8 22 program is October 1, 2002. 8 23 f. The department, in entering into a contract relating to 8 24 the equipment to be used in implementation of the electronic 8 25 benefits transfer program in accordance with section 234.12A, 8 26 shall only enter into a contract which provides for the use of 8 27 a card which is compatible with the standards established for 8 28 electronic transfer of funds under chapter 527 for a multiple- 8 29 use terminal as defined in section 527.2, and which only 8 30 provides for receipt of state benefits and entitlements under 8 31 the purview of the department of human services. 8 32 2. The department may use a portion of the moneys credited 8 33 to the family investment account under this section, as 8 34 necessary for salaries, support, maintenance, and 8 35 miscellaneous purposes for not more than the following full- 9 1 time equivalent positions which are in addition to any other 9 2 full-time equivalent positions authorized by this Act: 9 3 ............................................... FTEs 8.00 9 4 3. The department may transfer funds in accordance with 9 5 section 8.39, either federal or state, to or from the child 9 6 care appropriations made for the fiscal year beginning July 1, 9 7 2000, if the department deems this would be a more effective 9 8 method of paying for JOBS program child care, to maximize 9 9 federal funding, or to meet federal maintenance of effort 9 10 requirements. 9 11 4. Moneys appropriated in this Act and credited to the 9 12 family investment program account for the fiscal year 9 13 beginning July 1, 2000, and ending June 30, 2001, are 9 14 allocated as follows: 9 15 a. For the food stamp employment and training program: 9 16 .................................................. $ 250,000 9 17 b. For the family development and self-sufficiency grant 9 18 program as provided under section 217.12: 9 19 .................................................. $ 5,697,825 9 20 (1) Of the funds allocated for the family development and 9 21 self-sufficiency grant program in this lettered paragraph, not 9 22 more than 5 percent of the funds shall be used for the 9 23 administration of the grant program. 9 24 (2) Based upon the annual evaluation report concerning 9 25 each grantee funded by previously appropriated funds and 9 26 through the solicitation of additional grant proposals, the 9 27 family development and self-sufficiency council may use the 9 28 allocated funds to renew or expand existing grants or award 9 29 new grants. In utilizing the increased funding to expand the 9 30 program, the council shall give consideration, in addition to 9 31 other criteria established by the council, to a grant 9 32 proposal's intended use of local funds with a grant and to 9 33 whether a grant proposal would expand the availability of the 9 34 program's services to a wider geographic area. 9 35 (3) Family development and self-sufficiency grantees shall 10 1 not supplant previous local funding with state or federal 10 2 funds. 10 3 (4) The department shall continue to implement the family 10 4 development and self-sufficiency grant program statewide 10 5 during FY 2000-2001. 10 6 c. For income maintenance reengineering: 10 7 .................................................. $ 700,000 10 8 d. For the diversion program and incentive grants as 10 9 follows: 10 10 (1) For the diversion subaccount of the family investment 10 11 program account: 10 12 .................................................. $ 3,200,000 10 13 Moneys allocated to the diversion subaccount shall be used 10 14 to continue the pilot initiative of providing incentives to 10 15 assist families who meet income eligibility requirements for 10 16 the family investment program in obtaining or retaining 10 17 employment, to assist participant families in overcoming 10 18 barriers to obtaining employment, and to assist families in 10 19 stabilizing employment and in reducing the likelihood of the 10 20 family returning to the family investment program. Incentives 10 21 may be provided in the form of payment or services. The 10 22 department may limit the availability of the pilot initiative 10 23 on the basis of geographic area or numbers of individuals 10 24 provided with incentives. The department shall attempt to 10 25 assess and screen individuals who would most likely benefit 10 26 from the services. The department shall continue the 10 27 diversion initiative in the fiscal year 2000-2001. In 10 28 addition to the full-time equivalent positions authorized in 10 29 this Act, 1.00 FTE is authorized and the department may use up 10 30 to $50,000 to facilitate community investment in welfare 10 31 reform and to support continuation of the diversion program. 10 32 The department may grant diversion moneys to the level of the 10 33 entity operating an initiative. The department may adopt 10 34 additional eligibility criteria as necessary for compliance 10 35 with federal law and for screening those families who would be 11 1 most likely to become eligible for the family investment 11 2 program if diversion incentives would not be provided. 11 3 (2) For continuation of innovative strategies on a 11 4 statewide or pilot project basis for supporting job retention, 11 5 family structure, or both, including services to noncustodial 11 6 parents and young parents: 11 7 .................................................. $ 650,000 11 8 (3) Of the moneys allocated in subparagraph (2), not more 11 9 than $250,000 shall be used to develop or continue community- 11 10 level parental obligation pilot projects. A pilot project 11 11 shall be operated with the goal of assisting parents who are 11 12 living apart in meeting their parental obligations and in 11 13 supporting their children. A pilot project may also seek to 11 14 prevent the separation of families by including families at 11 15 risk of separation in project services. Any pilot project 11 16 shall maximize the use of existing community resources for 11 17 family counseling, legal services, mediation, job training and 11 18 job skills development, substance abuse treatment and 11 19 prevention, health maintenance, and personal mentoring. Local 11 20 communities shall also be encouraged to provide financial 11 21 resources. 11 22 (a) Notwithstanding any other provision of law to the 11 23 contrary, the department shall develop procedures for the 11 24 pilot projects to expedite all of the following: 11 25 (i) The establishment and adjustment of support 11 26 obligations, with the consent of both parents, in a manner 11 27 which may deviate from the child support guidelines. 11 28 (ii) Changes in income withholding orders based on 11 29 individual case circumstances. 11 30 (iii) Satisfaction of a portion of support amounts owed to 11 31 the state based on cooperation and compliance by the 11 32 noncustodial parent with project requirements. 11 33 (iv) Adjustment of visitation and shared custody 11 34 arrangements in a manner which enhances the ability of each 11 35 parent to meet parental obligations. 12 1 (b) The department shall adopt rules for the development, 12 2 operation, and monitoring of a project; to establish the 12 3 minimum required amount of community support; to establish 12 4 expedited procedures; and to establish other criteria and 12 5 procedures as appropriate. 12 6 (c) The department shall use the funds authorized in this 12 7 subparagraph to employ one full-time equivalent position to 12 8 manage the pilot project or projects. The department shall 12 9 also use the authorized funds to employ other full-time 12 10 equivalent positions or to provide services, as necessary, to 12 11 assist in the coordination, development, and operation of 12 12 community-level pilot projects and to achieve the expedited 12 13 procedures established. Any full-time equivalent positions 12 14 authorized in this subparagraph subdivision are in addition to 12 15 any other full-time equivalent positions authorized by law. 12 16 (4) Of the moneys allocated in subparagraph (2), not more 12 17 than $200,000 shall be used to continue to study the impact 12 18 that moving unemployed family investment program parents into 12 19 employment has on the well-being of the children, the parent, 12 20 and the family. The department shall include in this well- 12 21 being study a method of actual contact with the families and 12 22 children, and shall consider broad-based impacts, such as 12 23 educational achievement, health status, housing stability, 12 24 family stability, and use of supportive social services. The 12 25 department shall also seek funding through foundations and the 12 26 federal government in order to supplement the funding for this 12 27 study. The results of the study shall be submitted to the 12 28 persons required by this Act to receive reports. 12 29 (5) Of the moneys allocated in subparagraph (2), not more 12 30 than $100,000 shall be used for providing additional incentive 12 31 payments to contracted agencies who demonstrate success at 12 32 completing well-being visits for families terminated from the 12 33 family investment program under a limited benefit plan. The 12 34 department shall use these funds to increase payments to 12 35 agencies who complete a higher percentage of well-being 13 1 visits, who achieve a significant percentage of visits in a 13 2 face-to-face format, or who are able to observe and interact 13 3 with the children during a significant percentage of visits. 13 4 5. Of the child support collections assigned under the 13 5 family investment program, an amount equal to the federal 13 6 share of support collections shall be credited to the child 13 7 support recovery appropriation. The remainder of the assigned 13 8 child support collections received by the child support 13 9 recovery unit shall be credited to the family investment 13 10 program account. 13 11 6. The department may adopt emergency administrative rules 13 12 for the family investment, food stamp, and medical assistance 13 13 programs, if necessary, to comply with federal requirements. 13 14 Prior to adoption of the rules, the department shall consult 13 15 with the welfare reform council and the chairpersons and 13 16 ranking members of the joint appropriations subcommittee on 13 17 human services. 13 18 7. The department may continue to streamline and simplify 13 19 the employer verification process for applicants, 13 20 participants, and employers in the administration of the 13 21 department's programs. The department may contract with 13 22 companies collecting data from employers when the information 13 23 is needed in the administration of these programs. The 13 24 department may limit the availability of the initiative on the 13 25 basis of geographic area or number of individuals. 13 26 Sec. 5. FAMILY INVESTMENT PROGRAM GENERAL FUND. There is 13 27 appropriated from the general fund of the state to the 13 28 department of human services for the fiscal year beginning 13 29 July 1, 2000, and ending June 30, 2001, the following amount, 13 30 or so much thereof as is necessary, to be used for the purpose 13 31 designated: 13 32 To be credited to the family investment program account and 13 33 used for family investment program assistance under chapter 13 34 239B: 13 35 .................................................. $ 35,545,738 14 1 1. The department of workforce development, in 14 2 consultation with the department of human services, shall 14 3 continue to utilize recruitment and employment practices to 14 4 include former and current family investment program 14 5 recipients. 14 6 2. The department of human services shall continue to work 14 7 with the department of workforce development and local 14 8 community collaborative efforts to provide support services 14 9 for family investment program participants. The support 14 10 services shall be directed to those participant families who 14 11 would benefit from the support services and are likely to have 14 12 success in achieving economic independence. 14 13 3. Of the funds appropriated in this section, $9,564,352 14 14 is allocated for the JOBS program. 14 15 4. The department shall continue to work with religious 14 16 organizations and other charitable institutions to increase 14 17 the availability of host homes, referred to as second chance 14 18 homes or other living arrangements under the federal Personal 14 19 Responsibility and Work Opportunity Reconciliation Act of 14 20 1996, Pub. L. No. 104-193, } 103. The purpose of the homes or 14 21 arrangements is to provide a supportive and supervised living 14 22 arrangement for minor parents receiving assistance under the 14 23 family investment program who, under chapter 239B, may receive 14 24 assistance while living in an alternative setting other than 14 25 with their parent or legal guardian. 14 26 Sec. 6. EMERGENCY ASSISTANCE. There is appropriated from 14 27 the general fund of the state to the department of human 14 28 services for the fiscal year beginning July 1, 2000, and 14 29 ending June 30, 2001, the following amount, or so much thereof 14 30 as is necessary, to be used for the purpose designated: 14 31 For emergency assistance to families with dependent 14 32 children for homeless prevention programs: 14 33 .................................................. $ 10,000 14 34 1. The emergency assistance provided for in this section 14 35 and federal moneys appropriated for this purpose in this Act 15 1 shall be available beginning October 1 of the fiscal year and 15 2 shall be provided only if all other publicly funded resources 15 3 have been exhausted. Specifically, emergency assistance is 15 4 the program of last resort and shall not supplant assistance 15 5 provided by the low-income home energy assistance program 15 6 (LIHEAP), county general relief, and veterans affairs 15 7 programs. The department shall establish a $500 maximum 15 8 payment, per family, in a twelve-month period. The emergency 15 9 assistance includes, but is not limited to, assisting people 15 10 who face eviction, potential eviction, or foreclosure, utility 15 11 shutoff or fuel shortage, loss of heating energy supply or 15 12 equipment, homelessness, utility or rental deposits, or other 15 13 specified crisis which threatens family or living 15 14 arrangements. The emergency assistance shall be available to 15 15 migrant families who would otherwise meet eligibility 15 16 criteria. The department may contract for the administration 15 17 and delivery of the program. The program shall be terminated 15 18 when funds are exhausted. 15 19 2. For the fiscal year beginning July 1, 2000, the 15 20 department shall continue the process for the state to receive 15 21 refunds of utility and rent deposits, including any accrued 15 22 interest, for emergency assistance recipients which were paid 15 23 by persons other than the state. The department shall also 15 24 receive refunds, including any accrued interest, of assistance 15 25 paid with funding available under this program. The refunds 15 26 received by the department under this subsection shall be 15 27 deposited with the moneys of the appropriation made in this 15 28 section and used as additional funds for the emergency 15 29 assistance program. Notwithstanding section 8.33, moneys 15 30 received by the department under this subsection which remain 15 31 after the emergency assistance program is terminated and state 15 32 or federal moneys in the emergency assistance account which 15 33 remain unobligated or unexpended at the close of the fiscal 15 34 year shall not revert to the general fund of the state but 15 35 shall remain available for expenditure when the program 16 1 resumes operation on October 1 in the succeeding fiscal year. 16 2 3. Of the funds appropriated in this section, $10,000 is 16 3 allocated to the community voice mail program to continue the 16 4 existing program. The funds shall be made available beginning 16 5 July 1, 2000. The community voice mail program shall submit 16 6 semiannual reports to the department which, at a minimum, 16 7 specify, on a county basis, the unduplicated number of 16 8 households participating in the program for the previous six- 16 9 month period. The report shall be submitted no later than the 16 10 last business day of the month immediately following the end 16 11 of the six-month period. 16 12 Sec. 7. CHILD SUPPORT RECOVERY. There is appropriated 16 13 from the general fund of the state to the department of human 16 14 services for the fiscal year beginning July 1, 2000, and 16 15 ending June 30, 2001, the following amount, or so much thereof 16 16 as is necessary, to be used for the purposes designated: 16 17 For child support recovery, including salaries, support, 16 18 maintenance, and miscellaneous purposes and for not more than 16 19 the following full-time equivalent positions: 16 20 .................................................. $ 6,471,841 16 21 ............................................... FTEs 272.40 16 22 1. The director of human services, within the limitations 16 23 of the moneys appropriated in this section, or moneys 16 24 transferred from the family investment program account for 16 25 this purpose, shall establish new positions and add employees 16 26 to the child support recovery unit if the director determines 16 27 that both the current and additional employees together can 16 28 reasonably be expected to maintain or increase net state 16 29 revenue at or beyond the budgeted level. 16 30 2. Nonpublic assistance application fees and other user 16 31 fees received by the child support recovery unit are 16 32 appropriated and shall be used for the purposes of the child 16 33 support recovery program. The director of human services may 16 34 add positions within the limitations of the amount 16 35 appropriated for salaries and support for the positions. 17 1 3. The director of human services, in consultation with 17 2 the department of management and the legislative fiscal 17 3 committee, is authorized to receive and deposit state child 17 4 support incentive earnings in the manner specified under 17 5 applicable federal requirements. 17 6 4. a. The director of human services may establish new 17 7 positions and add state employees to the child support 17 8 recovery unit or contract for delivery of services if the 17 9 director determines the employees are necessary to replace 17 10 county-funded positions eliminated due to termination, 17 11 reduction, or nonrenewal of a chapter 28E contract. However, 17 12 the director must also determine that the resulting increase 17 13 in the state share of child support recovery incentives 17 14 exceeds the cost of the positions or contract, the positions 17 15 or contract are necessary to ensure continued federal funding 17 16 of the program, or the new positions or contract can 17 17 reasonably be expected to recover at least twice the amount of 17 18 money necessary to pay the salaries and support for the new 17 19 positions or the contract will generate at least 200 percent 17 20 of the cost of the contract. 17 21 b. Employees in full-time positions that transition from 17 22 county government to state government employment under this 17 23 subsection are exempt from testing, selection, and appointment 17 24 provisions of chapter 19A and from the provisions of 17 25 collective bargaining agreements relating to the filling of 17 26 vacant positions. 17 27 5. If initiated by the judicial branch, the child support 17 28 recovery unit shall continue to work with the judicial branch 17 29 to determine the feasibility of implementing a pilot project 17 30 utilizing a court-appointed referee for judicial 17 31 determinations on child support matters. The extent and 17 32 location of any pilot project shall be jointly developed by 17 33 the judicial branch and the child support recovery unit. 17 34 6. Surcharges paid by obligors and received by the unit as 17 35 a result of the referral of support delinquency by the child 18 1 support recovery unit to any private collection agency are 18 2 appropriated to the department and shall be used to pay the 18 3 costs of any contracts with the collection agencies. 18 4 7. The department shall expend up to $51,000, including 18 5 federal financial participation, for the fiscal year beginning 18 6 July 1, 2000, for a child support public awareness campaign. 18 7 The department and the office of the attorney general shall 18 8 cooperate in continuation of the campaign. The public 18 9 awareness campaign shall emphasize, through a variety of media 18 10 activities, the importance of maximum involvement of both 18 11 parents in the lives of their children as well as the 18 12 importance of payment of child support obligations. 18 13 Sec. 8. MEDICAL ASSISTANCE. There is appropriated from 18 14 the general fund of the state to the department of human 18 15 services for the fiscal year beginning July 1, 2000, and 18 16 ending June 30, 2001, the following amount, or so much thereof 18 17 as is necessary, to be used for the purpose designated: 18 18 For medical assistance reimbursement and associated costs 18 19 as specifically provided in the reimbursement methodologies in 18 20 effect on June 30, 2000, except as otherwise expressly 18 21 authorized by law, including reimbursement for abortion 18 22 services, which shall be available under the medical 18 23 assistance program only for those abortions which are 18 24 medically necessary: 18 25 .................................................. $400,662,028 18 26 1. Medically necessary abortions are those performed under 18 27 any of the following conditions: 18 28 a. The attending physician certifies that continuing the 18 29 pregnancy would endanger the life of the pregnant woman. 18 30 b. The attending physician certifies that the fetus is 18 31 physically deformed, mentally deficient, or afflicted with a 18 32 congenital illness. 18 33 c. The pregnancy is the result of a rape which is reported 18 34 within 45 days of the incident to a law enforcement agency or 18 35 public or private health agency which may include a family 19 1 physician. 19 2 d. The pregnancy is the result of incest which is reported 19 3 within 150 days of the incident to a law enforcement agency or 19 4 public or private health agency which may include a family 19 5 physician. 19 6 e. Any spontaneous abortion, commonly known as a 19 7 miscarriage, if not all of the products of conception are 19 8 expelled. 19 9 2. Notwithstanding section 8.39, the department may 19 10 transfer funds appropriated in this section to a separate 19 11 account established in the department's case management unit 19 12 for expenditures required to provide case management services 19 13 for mental health, mental retardation, and developmental 19 14 disabilities services under medical assistance which are 19 15 jointly funded by the state and county, pending final 19 16 settlement of the expenditures. Funds received by the case 19 17 management unit in settlement of the expenditures shall be 19 18 used to replace the transferred funds and are available for 19 19 the purposes for which the funds were appropriated in this 19 20 section. 19 21 3. a. The county of legal settlement shall be billed for 19 22 50 percent of the nonfederal share of the cost of case 19 23 management provided for adults, day treatment, and partial 19 24 hospitalization in accordance with sections 249A.26 and 19 25 249A.27, and 100 percent of the nonfederal share of the cost 19 26 of care for adults which is reimbursed under a federally 19 27 approved home and community-based waiver that would otherwise 19 28 be approved for provision in an intermediate care facility for 19 29 persons with mental retardation, provided under the medical 19 30 assistance program. The state shall have responsibility for 19 31 the remaining 50 percent of the nonfederal share of the cost 19 32 of case management provided for adults, day treatment, and 19 33 partial hospitalization. For persons without a county of 19 34 legal settlement, the state shall have responsibility for 100 19 35 percent of the nonfederal share of the costs of case 20 1 management provided for adults, day treatment, partial 20 2 hospitalization, and the home and community-based waiver 20 3 services. The case management services specified in this 20 4 subsection shall be billed to a county only if the services 20 5 are provided outside of a managed care contract. 20 6 b. The state shall pay the entire nonfederal share of the 20 7 costs for case management services provided to persons 17 20 8 years of age and younger who are served in a medical 20 9 assistance home and community-based waiver program for persons 20 10 with mental retardation. 20 11 c. Medical assistance funding for case management services 20 12 for eligible persons 17 years of age and younger shall also be 20 13 provided to persons residing in counties with child welfare 20 14 decategorization projects implemented in accordance with 20 15 section 232.188, provided these projects have included these 20 16 persons in their service plan and the decategorization project 20 17 county is willing to provide the nonfederal share of costs. 20 18 d. When paying the necessary and legal expenses of 20 19 intermediate care facilities for persons with mental 20 20 retardation (ICFMR), the cost payment requirements of section 20 21 222.60 shall be considered fulfilled when payment is made in 20 22 accordance with the medical assistance payment rates 20 23 established for ICFMRs by the department and the state or a 20 24 county of legal settlement is not obligated for any amount in 20 25 excess of the rates. 20 26 4. The department shall utilize not more than $60,000 of 20 27 the funds appropriated in this section to continue the 20 28 AIDS/HIV health insurance premium payment program as 20 29 established in 1992 Iowa Acts, Second Extraordinary Session, 20 30 Chapter 1001, section 409, subsection 6. Of the funds 20 31 allocated in this subsection, not more than $5,000 may be 20 32 expended for administrative purposes. 20 33 5. Of the funds appropriated to the Iowa department of 20 34 public health for substance abuse grants, $950,000 for the 20 35 fiscal year beginning July 1, 2000, shall be transferred to 21 1 the department of human services for an integrated substance 21 2 abuse managed care system. 21 3 6. In administering the medical assistance home and 21 4 community-based waiver for persons with physical disabilities, 21 5 the department shall aggressively pursue options to expand the 21 6 waiver to 100 openings and in implementing the expanded waiver 21 7 the total number of openings for persons with physical 21 8 disabilities served at any one time shall be limited to the 21 9 number approved in the waiver by the secretary of the United 21 10 States department of health and human services. The openings 21 11 shall be available on a first-come, first-served basis. 21 12 7. The department of human services, in consultation with 21 13 the Iowa department of public health and the department of 21 14 education, shall continue the program to utilize the early and 21 15 periodic screening, diagnosis, and treatment (EPSDT) funding 21 16 under medical assistance, to the extent possible, to implement 21 17 the screening component of the EPSDT program through the 21 18 school system. The department may enter into contracts to 21 19 utilize maternal and child health centers, the public health 21 20 nursing program, or school nurses in implementing this 21 21 provision. 21 22 8. The department shall continue the case study for 21 23 outcome-based performance standards for programs serving 21 24 persons with mental retardation or other developmental 21 25 disabilities proposed pursuant to 1994 Iowa Acts, chapter 21 26 1170, section 56. 21 27 9. The department shall continue to pursue federal 21 28 approval of a medical assistance home and community-based 21 29 services waiver to allow children with mental retardation, who 21 30 would otherwise require ICF/MR care, to be served in out-of- 21 31 home settings of up to eight beds which meet standards 21 32 established by the department. If the waiver is not approved, 21 33 up to $1,487,314 of the funds appropriated in this section may 21 34 be transferred to the appropriation in this Act for child and 21 35 family services, to be used for group foster care maintenance 22 1 and services. 22 2 10. The department shall discontinue the following pilot 22 3 programs on July 1, 2000: 22 4 a. The telemedicine pilot program. 22 5 b. The physician supervised weight-loss pilot program. 22 6 11. The department shall work with county representatives 22 7 in aggressively taking the steps necessary to implement the 22 8 rehabilitation option for services to persons with chronic 22 9 mental illness under the medical assistance program, and 22 10 county funding shall be used to provide the match for the 22 11 federal funding, except for individuals with state case 22 12 status, for whom state funding shall provide the match. The 22 13 department and county representatives shall appear in January 22 14 2001 before the joint appropriations subcommittee on human 22 15 services to report their proposals concerning implementation 22 16 of the option. 22 17 12. The department shall increase the medical assistance 22 18 eligibility income limit for pregnant women and infants under 22 19 the mothers and children category to 200 percent of the 22 20 federal poverty level. 22 21 13. If the health care financing administration approves a 22 22 waiver request from the department, the department shall 22 23 provide a period of 24 months of guaranteed eligibility for 22 24 medical assistance family planning services, regardless of the 22 25 change in circumstances of a woman who was a medical 22 26 assistance recipient when a pregnancy ended. 22 27 14. The department of human services shall review the 22 28 personal assistance services pilot project, and consumer- 22 29 directed care provisions and other home and community-based 22 30 services waivers utilized by the department and shall submit a 22 31 report to the governor and the general assembly by December 22 32 15, 2000, regarding options for termination, expansion, and 22 33 consolidation of the services and waivers. 22 34 15. The department shall aggressively pursue options for 22 35 providing medical assistance or other assistance to 23 1 individuals with special needs who become ineligible to 23 2 continue receiving services under the early and periodic, 23 3 screening, diagnosis, and treatment program under the medical 23 4 assistance program due to becoming 21 years of age, who have 23 5 been approved for additional assistance through the 23 6 department's exception to policy provisions, but who have 23 7 health care needs in excess of the funding available through 23 8 the exception to policy process. 23 9 16. The department shall adopt emergency rules providing 23 10 for reimbursement under medical assistance for family and 23 11 pediatric nurse practitioners who are employed by a hospital 23 12 and are providing services in a hospital-owned facility or in 23 13 another location that is not on or part of the hospital's 23 14 licensed premises. 23 15 17. Of the funds appropriated in this section, $100,000 is 23 16 allocated for development of options for implementation of a 23 17 personal assistance services program, based upon the 23 18 provisions outlined in House File 2380, as introduced in the 23 19 Seventy-eighth General Assembly, 2000 Session. 23 20 The department, in consultation with the department of 23 21 elder affairs, the Iowa department of public health, the 23 22 department of workforce development, the department of 23 23 education, division of vocational rehabilitation, the 23 24 department of economic development, the Iowa state association 23 25 of counties, Iowa creative employment options, the community 23 26 services affiliate of the Iowa state association of counties, 23 27 and the personal assistance and family support services 23 28 council, shall convene a planning committee on or before 23 29 September 1, 2000, which includes consumers and family 23 30 members, advocates of consumers, providers of services to 23 31 consumers, and the entities consulted with, to assist in the 23 32 development of a plan for a personal assistance services 23 33 program based on principles and standards described in this 23 34 chapter. The membership of the planning committee shall be 23 35 appointed in a manner so there are relatively equal 24 1 proportions of members with involvement in service management, 24 2 purchasing or approval, and members with an interest in or 24 3 involvement as a service consumer or advocate. The planning 24 4 committee shall also include four members of the general 24 5 assembly to serve in an ex officio, nonvoting capacity with 24 6 one each appointed by the following: senate majority leader, 24 7 senate minority leader, speaker of the house of 24 8 representatives, and minority leader of the house of 24 9 representatives. The department may contract for services to 24 10 support the planning committee. 24 11 The planning committee shall review federal guidelines and 24 12 other guidance, other states' approaches, and other resources 24 13 in its planning efforts. The planning committee shall submit 24 14 to the governor and the general assembly an initial set of 24 15 options on or before March 1, 2001, and a final set of 24 16 options, including a transition plan, on or before January 31, 24 17 2002. The options which the planning group shall provide 24 18 shall include but are not limited to all of the following: 24 19 a. Designate a lead agency to be responsible for 24 20 administering the personal assistance services program. 24 21 b. Provide that the personal assistance and family support 24 22 services policy council assist in the design, implementation, 24 23 marketing, and evaluation of the state's personal assistance 24 24 services program. 24 25 c. Provide a consumer-level administrative oversight and 24 26 technical assistance mechanism relating to the planning, 24 27 administrative rules development, and implementation of the 24 28 personal assistance services program. 24 29 d. Provide for a transition process, with action steps and 24 30 time lines, describing how the state will make personal 24 31 assistance services a viable option that is more cost- 24 32 effective and responsive to the needs and preferences of 24 33 consumers. 24 34 e. Describe a process for consolidating all 24 35 noninstitutional personal assistance services programs funded 25 1 through the medical assistance program. 25 2 f. Describe the type of personal assistance services to be 25 3 provided under the program. 25 4 g. Describe the method of delivery of personal assistance 25 5 services and how such services will be delivered statewide. 25 6 h. Evaluate the feasibility of further reducing costs and 25 7 addressing consumer needs and preferences through the 25 8 provision of auxiliary services such as assistive technology 25 9 and home modifications. 25 10 i. Describe a program intake process that will be uniform 25 11 throughout the state. 25 12 j. Review and consolidate the eligibility requirements, 25 13 intake processes, assessment tools, and other relevant 25 14 processes of all existing personal assistance services waiver 25 15 and pilot programs into a single, comprehensive system. 25 16 k. Describe the standards and mechanisms for copayments or 25 17 cost-sharing and the methods used to determine income 25 18 eligibility of persons with disabilities. 25 19 l. Determine quality assurance outcomes and safeguards 25 20 against physical, emotional, or financial abuse and 25 21 exploitation. 25 22 m. Describe the appeal process. 25 23 n. Describe how the barriers and disincentives that 25 24 currently discourage people from becoming personal assistants 25 25 can be removed. 25 26 o. Address the issues of provider and consumer liability. 25 27 p. Describe acceptable methods whereby independent 25 28 personal assistance services providers may pool resources to 25 29 ensure adequate coverage provisions for health insurance, 25 30 liability insurance, and workers' compensation insurance. 25 31 q. Consult with the health care financing administration 25 32 of the United States department of health and human services, 25 33 in reviewing and completing a plan for consolidation and 25 34 coordination of funding mechanisms and expenditures relative 25 35 to health care facility services, intermediate care facilities 26 1 for persons with mental retardation services, all covered home 26 2 and community-based services provided under section 1915(c) of 26 3 the federal Social Security Act, services provided under the 26 4 personal care option of the medical assistance program, and 26 5 frail elderly program services. The plan shall provide for 26 6 consolidation and coordination of funding mechanisms and 26 7 expenditures in order to provide funding for the personal 26 8 assistance services described in this subsection and shall 26 9 address the costs and potential cost offsets in implementing 26 10 the personal care option under the medical assistance program. 26 11 r. Develop options to capitalize on and leverage federal 26 12 funding to the maximum extent possible under the federal 26 13 Ticket to Work and Work Incentives Improvement Act of 1999, 26 14 Pub. L. No. 106-170 and the federal Workforce Investment Act 26 15 of 1998, Pub. L. No. 105-220. 26 16 Sec. 9. PHARMACEUTICAL CASE MANAGEMENT STUDY. There is 26 17 appropriated from the general fund of the state to the 26 18 department of human services for the fiscal year beginning 26 19 July 1, 2000, and ending June 30, 2001, the following amount 26 20 or so much thereof as is necessary, to be used for 26 21 implementation of a disease-specific pharmaceutical case 26 22 management study to measure the effects of case management for 26 23 medical assistance recipients identified by the department as 26 24 high risk for medication-related problems. The funds shall be 26 25 used to equally reimburse physician-pharmacist teams who 26 26 participate in the study. An advisory committee whose 26 27 membership consists of representatives of the Iowa medical 26 28 society, the Iowa pharmacy association, and the department of 26 29 human services shall establish and implement the 26 30 pharmaceutical case management study. The university of Iowa 26 31 college of public health, in conjunction with the colleges of 26 32 medicine and pharmacy, shall perform an evaluation of the 26 33 study at no cost to the state and shall submit a final report 26 34 of the findings of the evaluation and any recommendations to 26 35 the general assembly by December 15, 2002. The department 27 1 shall submit a progress report by December 15, 2001, and a 27 2 final report by December 15, 2002, to the general assembly. 27 3 The department shall adopt rules to implement this section 27 4 which comply with the notice of intended action requirements 27 5 of section 17A.4, subsection 1, and which may be adopted as 27 6 emergency rules pursuant to section 17A.5, subsection 2, after 27 7 notice is provided. The rules shall be reevaluated by the 27 8 department of human services with input from the Iowa medical 27 9 society and the Iowa pharmacy association, upon submission of 27 10 the final report or by December 15, 2002, whichever occurs 27 11 first: 27 12 .................................................. $ 414,000 27 13 Sec. 10. HEALTH INSURANCE PREMIUM PAYMENT PROGRAM. There 27 14 is appropriated from the general fund of the state to the 27 15 department of human services for the fiscal year beginning 27 16 July 1, 2000, and ending June 30, 2001, the following amount, 27 17 or so much thereof as is necessary, to be used for the purpose 27 18 designated: 27 19 For administration of the health insurance premium payment 27 20 program, including salaries, support, maintenance, and 27 21 miscellaneous purposes, and for not more than the following 27 22 full-time equivalent positions: 27 23 .................................................. $ 400,721 27 24 ............................................... FTEs 17.00 27 25 Sec. 11. CHILDREN'S HEALTH INSURANCE PROGRAM. There is 27 26 appropriated from the general fund of the state to the 27 27 department of human services for the fiscal year beginning 27 28 July 1, 2000, and ending June 30, 2001, the following amount, 27 29 or so much thereof as is necessary, to be used for the purpose 27 30 designated: 27 31 For maintenance of the healthy and well kids in Iowa (HAWK- 27 32 I) program pursuant to chapter 514I for receipt of federal 27 33 financial participation under Title XXI of the federal Social 27 34 Security Act, which creates the state children's health 27 35 insurance program: 28 1 .................................................. $ 4,984,508 28 2 1. The department may transfer funds appropriated in this 28 3 section to be used for the purpose of expanding health care 28 4 coverage to children under the medical assistance program. 28 5 The department shall provide periodic updates to the general 28 6 assembly of expenditures of funds appropriated in this 28 7 section. 28 8 2. The department shall provide a report to the HAWK-I 28 9 board and to the general assembly by January 15, 2001, 28 10 specifying the actual cost reported by each participating 28 11 insurer of providing monthly coverage to eligible children 28 12 under the children's health insurance program. 28 13 3. Moneys in the HAWK-I trust fund are appropriated and 28 14 shall be used to offset any program costs for the fiscal year 28 15 beginning July 1, 2000, and ending June 30, 2001. 28 16 4. The department of human services shall seek a waiver 28 17 from the health care financing administration of the United 28 18 States department of health and human services to permit 28 19 families with children who are eligible for medical assistance 28 20 to elect to participate under the HAWK-I program in lieu of 28 21 participation in the medical assistance program. If the 28 22 waiver is approved, the department shall implement the 28 23 provision. 28 24 5. Representatives of the community action program 28 25 agencies receiving funding from the state to provide outreach 28 26 for the HAWK-I program shall appear before the joint 28 27 appropriations subcommittee on human services in January 2001 28 28 to report the outcomes of the outreach efforts. 28 29 Sec. 12. MEDICAL CONTRACTS. There is appropriated from 28 30 the general fund of the state to the department of human 28 31 services for the fiscal year beginning July 1, 2000, and 28 32 ending June 30, 2001, the following amount, or so much thereof 28 33 as is necessary, to be used for the purpose designated: 28 34 For medical contracts: 28 35 .................................................. $ 8,426,282 29 1 In any managed care contract for mental health or substance 29 2 abuse services entered into or extended by the department on 29 3 or after July 1, 2000, the request for proposals shall provide 29 4 for coverage of dual diagnosis mental health and substance 29 5 abuse treatment provided at the state mental health institute 29 6 at Mount Pleasant. To the extent possible, the department 29 7 shall also amend any such contract existing on July 1, 2000, 29 8 to provide for such coverage. 29 9 Sec. 13. STATE SUPPLEMENTARY ASSISTANCE. There is 29 10 appropriated from the general fund of the state to the 29 11 department of human services for the fiscal year beginning 29 12 July 1, 2000, and ending June 30, 2001, the following amount, 29 13 or so much thereof as is necessary, to be used for the 29 14 purposes designated: 29 15 For state supplementary assistance, funeral assistance, and 29 16 the medical assistance home and community-based services 29 17 waiver rent subsidy program: 29 18 .................................................. $ 19,985,747 29 19 1. The department shall increase the personal needs 29 20 allowance for residents of residential care facilities by the 29 21 same percentage and at the same time as federal supplemental 29 22 security income and federal social security benefits are 29 23 increased due to a recognized increase in the cost of living. 29 24 The department may adopt emergency rules to implement this 29 25 subsection. 29 26 2. a. If during the fiscal year beginning July 1, 2000, 29 27 the department projects that state supplementary assistance 29 28 expenditures for a calendar year will not meet the federal 29 29 pass-along requirement specified in Title XVI of the federal 29 30 Social Security Act, section 1618, as codified in 42 U.S.C. } 29 31 1382g, the department may take actions including but not 29 32 limited to increasing the personal needs allowance for 29 33 residential care facility residents and making programmatic 29 34 adjustments or upward adjustments of the residential care 29 35 facility or in-home health-related care reimbursement rates 30 1 prescribed in this Act to ensure that federal requirements are 30 2 met. The department may adopt emergency rules to implement 30 3 the provisions of this subsection. 30 4 b. If during the fiscal year beginning July 1, 2000, the 30 5 department projects that state supplementary assistance 30 6 expenditures will exceed the amount appropriated, the 30 7 department may transfer funds appropriated in this Act for 30 8 medical assistance for the purposes of the state supplementary 30 9 assistance program. However, funds shall only be transferred 30 10 from the medical assistance appropriation if the funds 30 11 transferred are projected to be in excess of the funds 30 12 necessary for the medical assistance program. 30 13 3. The department may use up to $75,000 of the funds 30 14 appropriated in this section for a rent subsidy program for 30 15 adult persons to whom all of the following apply: 30 16 a. Are receiving assistance under a medical assistance 30 17 home and community-based services (HCBS) waiver. 30 18 b. Were discharged from a medical institution in which 30 19 they have resided or were at risk of institutional placement, 30 20 not to exceed 100 slots. Within available funding and 30 21 demonstrated need, the department may make subsidy funds 30 22 available to HCBS waiver-eligible adults meeting criteria in 30 23 paragraph "a" and this paragraph at any time on or after July 30 24 1, 1995. 30 25 The goal of the subsidy program shall be to encourage and 30 26 assist in enabling persons who currently reside in a medical 30 27 institution to move to a community living arrangement. An 30 28 eligible person may receive assistance in meeting their rental 30 29 expense and, in the initial two months of eligibility, in 30 30 purchasing necessary household furnishings and supplies. The 30 31 program shall be implemented so that it does not meet the 30 32 federal definition of state supplementary assistance and will 30 33 not impact the federal pass-along requirement specified in 30 34 Title XVI of the federal Social Security Act, section 1618, as 30 35 codified in 42 U.S.C. } 1382g. 31 1 Sec. 14. CHILD CARE ASSISTANCE. There is appropriated 31 2 from the general fund of the state to the department of human 31 3 services for the fiscal year beginning July 1, 2000, and 31 4 ending June 30, 2001, the following amount, or so much thereof 31 5 as is necessary, to be used for the purpose designated: 31 6 For child care programs: 31 7 ................................................. $ 5,050,752 31 8 1. Of the funds appropriated in this section, $4,414,109 31 9 shall be used for state child care assistance. 31 10 2. Nothing in this section shall be construed or is 31 11 intended as, or shall imply, a grant of entitlement for 31 12 services to persons who are eligible for assistance due to an 31 13 income level consistent with the requirements of this section. 31 14 Any state obligation to provide services pursuant to this 31 15 section is limited to the extent of the funds appropriated in 31 16 this section. 31 17 3. Of the funds appropriated in this section, $636,641 is 31 18 allocated for the statewide program for child care resource 31 19 and referral services under section 237A.26. 31 20 4. The department may use any of the funds appropriated in 31 21 this section as a match to obtain federal funds for use in 31 22 expanding child care assistance and related programs. For the 31 23 purpose of expenditures of state and federal child care 31 24 funding, funds shall be considered obligated at the time 31 25 expenditures are projected or are allocated to the 31 26 department's regions. Projections shall be based on current 31 27 and projected caseload growth, current and projected provider 31 28 rates, staffing requirements for eligibility determination and 31 29 management of program requirements including data systems 31 30 management, staffing requirements for administration of the 31 31 program, contractual and grant obligations and any transfers 31 32 to other state agencies, and obligations for decategorization 31 33 or innovation projects. 31 34 5. During the 2000-2001 fiscal year, the department shall 31 35 utilize the moneys deposited in the child care credit fund 32 1 created in section 237A.28 for state child care assistance, in 32 2 addition to the moneys allocated for that purpose in this 32 3 section. 32 4 Sec. 15. JUVENILE INSTITUTIONS. There is appropriated 32 5 from the general fund of the state to the department of human 32 6 services for the fiscal year beginning July 1, 2000, and 32 7 ending June 30, 2001, the following amounts, or so much 32 8 thereof as is necessary, to be used for the purposes 32 9 designated: 32 10 1. For operation of the Iowa juvenile home at Toledo: 32 11 .................................................. $ 6,305,133 32 12 ............................................... FTEs 136.54 32 13 It is the intent of the general assembly that beginning in 32 14 the fiscal year commencing on July 1, 2001, the Iowa juvenile 32 15 home at Toledo will serve only females. In preparation for 32 16 this change, the department shall develop service options to 32 17 appropriately place males for whom placement at the Iowa 32 18 juvenile home would otherwise be appropriate. The principal 32 19 option considered in placing males shall be placement at 32 20 existing state or community-based facilities. 32 21 2. For operation of the state training school at Eldora: 32 22 .................................................. $ 10,455,336 32 23 ............................................... FTEs 229.53 32 24 Of the funding appropriated in this subsection, $40,000 is 32 25 designated for aftercare services for persons who were placed 32 26 at the state training school at Eldora. 32 27 3. During the fiscal year beginning July 1, 2000, the 32 28 population levels at the state juvenile institutions shall not 32 29 exceed the population guidelines established under 1990 Iowa 32 30 Acts, chapter 1239, section 21, as adjusted for additional 32 31 beds developed at the institutions. 32 32 4. A portion of the moneys appropriated in this section 32 33 shall be used by the state training school and by the Iowa 32 34 juvenile home for grants for adolescent pregnancy prevention 32 35 activities at the institutions in the fiscal year beginning 33 1 July 1, 2000. 33 2 5. Within the amounts appropriated in this section, the 33 3 department may transfer funds as necessary to best fulfill the 33 4 needs of the institutions provided for in the appropriation. 33 5 Sec. 16. CHILD AND FAMILY SERVICES. There is appropriated 33 6 from the general fund of the state to the department of human 33 7 services for the fiscal year beginning July 1, 2000, and 33 8 ending June 30, 2001, the following amount, or so much thereof 33 9 as is necessary, to be used for the purpose designated: 33 10 For child and family services reimbursement and associated 33 11 costs as specifically provided in the reimbursement 33 12 methodologies in effect on June 30, 2000, except as otherwise 33 13 expressly authorized by law: 33 14 .................................................. $108,788,161 33 15 In addition to reimbursement methodology changes to 33 16 implement the recommendations of the child welfare work group 33 17 established by the legislative council, if the department has 33 18 completed its review of reimbursement methodologies for child 33 19 welfare services, has developed options for changing 33 20 methodologies for child welfare services that are 33 21 complementary to those being implemented in accordance with 33 22 the child welfare work group recommendations, and reported the 33 23 options to the persons designated by this Act to receive 33 24 reports, the department may implement one or more options on a 33 25 pilot project basis that affect not more than 50 children 33 26 during the course of the fiscal year. The department shall 33 27 adopt rules to implement any reimbursement changes for 33 28 services paid for in whole or in part under this section. 33 29 1. The department may transfer funds appropriated in this 33 30 section as necessary to pay the nonfederal costs of services 33 31 reimbursed under medical assistance or the family investment 33 32 program which are provided to children who would otherwise 33 33 receive services paid under the appropriation in this section. 33 34 The department may transfer funds appropriated in this section 33 35 to the appropriations in this Act for general administration 34 1 and for field operations for resources necessary to implement 34 2 and operate the services funded in this section. 34 3 2. a. Of the funds appropriated in this section, up to 34 4 $27,764,744 is allocated as the statewide expenditure target 34 5 under section 232.143 for group foster care maintenance and 34 6 services. 34 7 b. If at any time after September 30, 2000, annualization 34 8 of a region's current expenditures indicates a region is at 34 9 risk of exceeding its group foster care expenditure target 34 10 under section 232.143 by more than five percent, the 34 11 department and juvenile court services shall examine all group 34 12 foster care placements in that region in order to identify 34 13 those which might be appropriate for termination. In 34 14 addition, any aftercare services believed to be needed for the 34 15 children whose placements may be terminated shall be 34 16 identified. The department and juvenile court services shall 34 17 initiate action to set dispositional review hearings for the 34 18 placements identified. In such a dispositional review 34 19 hearing, the juvenile court shall determine whether needed 34 20 aftercare services are available and whether termination of 34 21 the placement is in the best interest of the child and the 34 22 community. 34 23 c. (1) Of the funds appropriated in this section, not 34 24 more than $7,060,104 is allocated as the state match funding 34 25 for psychiatric medical institutions for children. 34 26 (2) The department may transfer all or a portion of the 34 27 amount allocated in this lettered paragraph for psychiatric 34 28 medical institutions for children (PMICs) to the appropriation 34 29 in this Act for medical assistance. 34 30 (3) The department shall work with private providers of 34 31 PMIC services to develop and implement a plan that shall 34 32 substantially reduce or eliminate collection of client 34 33 participation by PMICs. The plan shall be implemented on or 34 34 before December 1, 2000. 34 35 d. Of the funds allocated in this subsection, $1,405,588 35 1 is allocated as the state match funding for 50 highly 35 2 structured juvenile program beds. If the number of beds 35 3 provided for in this lettered paragraph is not utilized, the 35 4 remaining funds allocated may be used for group foster care. 35 5 e. For the fiscal year beginning July 1, 2000, the 35 6 requirements of section 232.143 applicable to the juvenile 35 7 court and to representatives of the juvenile court shall be 35 8 applicable instead to juvenile court services and to 35 9 representatives of juvenile court services. The 35 10 representatives appointed by the department of human services 35 11 and by juvenile court services to establish the plan to 35 12 contain expenditures for children placed in group foster care 35 13 ordered by the court within the budget target allocated to the 35 14 region shall establish the plan in a manner so as to ensure 35 15 the moneys allocated to the region under section 232.143 shall 35 16 last the entire fiscal year. Funds for a child placed in 35 17 group foster care shall be considered encumbered for the 35 18 duration of the child's projected or actual length of stay, 35 19 whichever is applicable. 35 20 f. The funding allocation in this subsection provides 35 21 additional funding, compared to the fiscal year ending June 35 22 30, 1999, in an amount equal to the cost of 41 group foster 35 23 care beds. It is the intent of the general assembly that the 35 24 additional funding allow for the availability of at least 20 35 25 additional beds to be available for placement of females. 35 26 3. The department shall continue the goal that not more 35 27 than 15 percent of the children placed in foster care funded 35 28 under the federal Social Security Act, Title IV-E, may be 35 29 placed in foster care for a period of more than 24 months. 35 30 4. In accordance with the provisions of section 232.188, 35 31 the department shall continue the program to decategorize 35 32 child welfare services in additional counties or clusters of 35 33 counties. 35 34 5. A portion of the funding appropriated in this section 35 35 may be used for emergency family assistance to provide other 36 1 resources required for a family participating in a family 36 2 preservation or reunification project to stay together or to 36 3 be reunified. 36 4 6. Notwithstanding section 234.35, subsection 1, for the 36 5 fiscal year beginning July 1, 2000, state funding for shelter 36 6 care paid pursuant to section 234.35, subsection 1, paragraph 36 7 "h", shall be limited to $7,155,611. 36 8 7. Of the funding appropriated in this section, up to 36 9 $627,616 may be used as determined by the department for any 36 10 of the following purposes: 36 11 a. For general administration of the department to improve 36 12 staff training efforts. 36 13 b. For oversight of termination of parental rights and 36 14 permanency planning efforts on a statewide basis. 36 15 c. For personnel, assigned by the attorney general, to 36 16 provide additional services relating to termination of 36 17 parental rights and child in need of assistance cases. 36 18 d. For specialized permanency planning field operations 36 19 staff. 36 20 8. The department may adopt administrative rules following 36 21 consultation with child welfare services providers to 36 22 implement outcome-based child welfare services pilot projects. 36 23 The rules may include, but are not limited to, the development 36 24 of program descriptions, provider licensing and certification 36 25 standards, reimbursement and payment amounts, contract 36 26 requirements, assessment and service necessity requirements, 36 27 eligibility criteria, claims submission procedures, and 36 28 accountability standards. 36 29 9. The department shall continue to make adoption 36 30 presubsidy and adoption subsidy payments to adoptive parents 36 31 at the beginning of the month for the current month. 36 32 10. Federal funds received by the state during the fiscal 36 33 year beginning July 1, 2000, as the result of the expenditure 36 34 of state funds appropriated during a previous state fiscal 36 35 year for a service or activity funded under this section, 37 1 shall be used as additional funding for services provided 37 2 under this section. Moneys received by the department in 37 3 accordance with the provisions of this subsection shall remain 37 4 available for the purposes designated until June 30, 2002, 37 5 notwithstanding section 8.33. 37 6 11. The department and juvenile court services shall 37 7 continue to develop criteria for the department regional 37 8 administrator and chief juvenile court officer to grant 37 9 exceptions to extend eligibility, within the funds allocated, 37 10 for intensive tracking and supervision and for supervised 37 11 community treatment to delinquent youth beyond age 18 who are 37 12 subject to release from the state training school, a highly 37 13 structured juvenile program, or group foster care. 37 14 12. Of the moneys appropriated in this section, not more 37 15 than $313,550 is allocated to provide clinical assessment 37 16 services as necessary to continue funding of children's 37 17 rehabilitation services under medical assistance in accordance 37 18 with federal law and requirements. The funding allocated is 37 19 the amount projected to be necessary for providing the 37 20 clinical assessment services. 37 21 13. Of the funding appropriated in this section, 37 22 $3,696,286 shall be used for protective child care assistance. 37 23 14. Of the moneys appropriated in this section, up to 37 24 $3,290,000 is allocated for the payment of the expenses of 37 25 court-ordered services provided to juveniles which are a 37 26 charge upon the state pursuant to section 232.141, subsection 37 27 4. 37 28 a. Notwithstanding section 232.141 or any other provision 37 29 of law, the amount allocated in this subsection shall be 37 30 distributed to the judicial districts as determined by the 37 31 state court administrator. The state court administrator 37 32 shall make the determination of the distribution amounts on or 37 33 before June 15, 2000. 37 34 b. Each judicial district shall continue the planning 37 35 group for the court-ordered services for juveniles provided in 38 1 that district which was established pursuant to 1991 Iowa 38 2 Acts, chapter 267, section 119. A planning group shall 38 3 continue to perform its duties as specified in that law. 38 4 Reimbursement rates for providers of court-ordered evaluation 38 5 and treatment services paid under section 232.141, subsection 38 6 4, shall be negotiated with providers by each judicial 38 7 district's planning group. 38 8 c. The department of human services shall develop policies 38 9 and procedures to ensure that the funds allocated in this 38 10 subsection are spent only after all other reasonable actions 38 11 have been taken to utilize other funding sources and 38 12 community-based services. The policies and procedures shall 38 13 be designed to achieve the following objectives relating to 38 14 services provided under chapter 232: 38 15 (1) Maximize the utilization of funds which may be 38 16 available from the medical assistance program including usage 38 17 of the early and periodic screening, diagnosis, and treatment 38 18 (EPSDT) program. 38 19 (2) Recover payments from any third-party insurance 38 20 carrier which is liable for coverage of the services, 38 21 including health insurance coverage. 38 22 (3) Pursue development of agreements with regularly 38 23 utilized out-of-state service providers which are intended to 38 24 reduce per diem costs paid to those providers. 38 25 d. Notwithstanding chapter 232 or any other provision of 38 26 law, a district or juvenile court in a department of human 38 27 services district shall not order any service which is a 38 28 charge upon the state pursuant to section 232.141 if there are 38 29 insufficient court-ordered services funds available in the 38 30 district distribution amount to pay for the service. The 38 31 chief juvenile court officer shall work with the judicial 38 32 district planning group to encourage use of the funds 38 33 allocated in this subsection such that there are sufficient 38 34 funds to pay for all court-related services during the entire 38 35 year. The eight chief juvenile court officers shall attempt 39 1 to anticipate potential surpluses and shortfalls in the 39 2 distribution amounts and shall cooperatively request the state 39 3 court administrator to transfer funds between the districts' 39 4 distribution amounts as prudent. 39 5 e. Notwithstanding any provision of law to the contrary, a 39 6 district or juvenile court shall not order a county to pay for 39 7 any service provided to a juvenile pursuant to an order 39 8 entered under chapter 232 which is a charge upon the state 39 9 under section 232.141, subsection 4. 39 10 f. Of the funding allocated in this subsection, not more 39 11 than $100,000 may be used by the judicial branch for 39 12 administration of the requirements under this subsection and 39 13 for travel associated with court-ordered placements which are 39 14 a charge upon the state pursuant to section 232.141, 39 15 subsection 4. 39 16 15. a. Of the funding appropriated in this section, 39 17 $4,108,000 is allocated to provide school-based supervision of 39 18 children adjudicated under chapter 232, including not more 39 19 than $580,000 from the allocation in this section for court- 39 20 ordered services. Not more than $15,000 of the funding 39 21 allocated in this subsection may be used for the purpose of 39 22 training. 39 23 b. To the extent possible, the personnel providing school- 39 24 based services shall be prepared with training or experience 39 25 relating to gender-specific programming to best intervene with 39 26 youth at risk of being found delinquent or determined to be a 39 27 child in need of assistance. 39 28 16. Of the moneys appropriated in this section, up to 39 29 $50,000 may be used to support the child welfare services work 39 30 group. 39 31 17. Of the funds appropriated in this section, the 39 32 department shall use $687,876 for day treatment and aftercare 39 33 services for juvenile females with provider selection made 39 34 through a request for proposals process. The goal of 39 35 providing the services is to ensure permanency, safety, and 40 1 self-sufficiency for juvenile females. 40 2 18. The department shall maximize the capacity to draw 40 3 federal funding under Title IV-E of the federal Social 40 4 Security Act. 40 5 19. The department of human services shall convene a work 40 6 group to determine the most appropriate methodology and manner 40 7 for payment for services provided by psychiatric medical 40 8 institutions for children (PMICs) funded under this section. 40 9 The work group shall include representatives of providers of 40 10 such services, shall be geographically balanced, and shall be 40 11 representative of both large and small providers. The work 40 12 group's review shall include, at a minimum, retaining the 40 13 current reimbursement methodology, providing reimbursement 40 14 through the Iowa plan for behavioral health, providing 40 15 reimbursement and supervision through the rehabilitative 40 16 treatment and supported services program, or incorporating 40 17 PMIC services into a revised service system developed pursuant 40 18 to the recommendations of the legislative council's child 40 19 welfare services work group. A priority in any determination 40 20 shall be ensuring that the current level of federal financial 40 21 participation is maintained at the maximum level. The 40 22 department and the work group shall appear in January 2001 40 23 before the joint appropriations subcommittee on human services 40 24 to discuss the work group findings and recommendations. 40 25 20. Of the funds appropriated in this section, $118,642 is 40 26 allocated as the state match for the federal safe and stable 40 27 families grant available under Title IV-B of the federal 40 28 Social Security Act and this allocation shall not be used, 40 29 transferred, expended, or encumbered for any other purpose. 40 30 21. a. Notwithstanding section 234.39, subsection 5, and 40 31 notwithstanding section 8.33, $131,000 of the moneys 40 32 appropriated in 1999 Iowa Acts, chapter 203, section 15, 40 33 subsection 9, for the subsidized guardianship program shall 40 34 not revert at the close of the fiscal year but shall remain 40 35 available in the succeeding fiscal year to be expended for the 41 1 purposes of this section. 41 2 b. Notwithstanding section 8.33, any moneys transferred 41 3 pursuant to 1999 Iowa Acts, chapter 203, section 15, 41 4 subsection 20, paragraph "c", remaining unexpended or 41 5 unobligated at the close of the fiscal year shall not revert, 41 6 but shall remain available in the succeeding fiscal year to be 41 7 expended to complete the child welfare results-based reporting 41 8 mechanism. 41 9 22. Any unanticipated federal funding that is received 41 10 during the fiscal year due to improvements in the hours 41 11 counted by the judicial branch under the claiming process for 41 12 federal Title IV-E funding are appropriated to the department 41 13 to be used for additional or expanded services and support for 41 14 court-ordered services pursuant to section 232.141. 41 15 Notwithstanding section 8.33, moneys appropriated in this 41 16 subsection that remain unencumbered or unobligated at the 41 17 close of the fiscal year shall not revert but shall remain 41 18 available for expenditure for the purposes designated until 41 19 the close of the succeeding fiscal year. 41 20 Sec. 17. COMMUNITY-BASED PROGRAMS – ADOLESCENT PREGNANCY 41 21 PREVENTION. There is appropriated from the general fund of 41 22 the state to the department of human services for the fiscal 41 23 year beginning July 1, 2000, and ending June 30, 2001, the 41 24 following amount, or so much thereof as is necessary, to be 41 25 used for the purpose designated: 41 26 For community-based programs, on the condition that family 41 27 planning services are funded, including salaries, support, 41 28 maintenance, and miscellaneous purposes and for not more than 41 29 the following full-time equivalent positions: 41 30 .................................................. $ 280,228 41 31 ............................................... FTE 1.00 41 32 1. Funds appropriated in this section shall be used to 41 33 provide adolescent pregnancy prevention grants which comply 41 34 with the requirements provided in 1997 Iowa Acts, chapter 208, 41 35 section 14, subsections 1 and 2, and shall emphasize programs 42 1 which target the middle school level. 42 2 2. It is the intent of the general assembly that the 42 3 department of human services and the Iowa department of public 42 4 health shall continue to identify existing abstinence 42 5 education or community-based programs which comply with the 42 6 requirements established in section 912, subchapter V, of the 42 7 federal Social Security Act, as codified in 42 U.S.C. } 701 et 42 8 seq. for the matching of federal funds. 42 9 Sec. 18. FAMILY SUPPORT SUBSIDY PROGRAM. There is 42 10 appropriated from the general fund of the state to the 42 11 department of human services for the fiscal year beginning 42 12 July 1, 2000, and ending June 30, 2001, the following amount, 42 13 or so much thereof as is necessary, to be used by the division 42 14 of children and family services for the purpose designated: 42 15 For the family support subsidy program: 42 16 .................................................. $ 2,028,215 42 17 The department may use up to $267,000 of the moneys 42 18 appropriated in this section to continue the children-at-home 42 19 program in current counties, of which not more than $20,000 42 20 shall be used for administrative costs. 42 21 Sec. 19. CONNER DECREE. There is appropriated from the 42 22 general fund of the state to the department of human services 42 23 for the fiscal year beginning July 1, 2000, and ending June 42 24 30, 2001, the following amount, or so much thereof as is 42 25 necessary, to be used for the purpose designated: 42 26 For building community capacity through the coordination 42 27 and provision of training opportunities in accordance with the 42 28 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D. 42 29 Iowa, July 14, 1994): 42 30 .................................................. $ 46,000 42 31 Sec. 20. MENTAL HEALTH INSTITUTES. There is appropriated 42 32 from the general fund of the state to the department of human 42 33 services for the fiscal year beginning July 1, 2000, and 42 34 ending June 30, 2001, the following amounts, or so much 42 35 thereof as is necessary, to be used for the purposes 43 1 designated: 43 2 1. For the state mental health institute at Cherokee for 43 3 salaries, support, maintenance, and miscellaneous purposes and 43 4 for not more than the following full-time equivalent 43 5 positions: 43 6 .................................................. $ 12,807,425 43 7 ............................................... FTEs 248.44 43 8 2. For the state mental health institute at Clarinda for 43 9 salaries, support, maintenance, and miscellaneous purposes and 43 10 for not more than the following full-time equivalent 43 11 positions: 43 12 .................................................. $ 7,220,487 43 13 ............................................... FTEs 138.59 43 14 3. For the state mental health institute at Independence 43 15 for salaries, support, maintenance, and miscellaneous purposes 43 16 and for not more than the following full-time equivalent 43 17 positions: 43 18 .................................................. $ 17,497,584 43 19 ............................................... FTEs 346.71 43 20 The state mental health institute at Independence shall 43 21 continue the 30 psychiatric medical institution for children 43 22 (PMIC) beds authorized in section 135H.6, in a manner which 43 23 results in no net state expenditure amount in excess of the 43 24 amount appropriated in this subsection. Counties are not 43 25 responsible for the costs of PMIC services described in this 43 26 subsection. Subject to the approval of the department, with 43 27 the exception of revenues required under section 249A.11 to be 43 28 credited to the appropriation in this Act for medical 43 29 assistance, revenues attributable to the PMIC beds described 43 30 in this subsection for the fiscal year beginning July 1, 2000, 43 31 and ending June 30, 2001, shall be deposited in the 43 32 institute's account, including but not limited to any of the 43 33 following revenues: 43 34 a. The federal share of medical assistance revenue 43 35 received under chapter 249A. 44 1 b. Moneys received through client participation. 44 2 c. Any other revenues directly attributable to the PMIC 44 3 beds. 44 4 4. For the state mental health institute at Mount Pleasant 44 5 for salaries, support, maintenance, and miscellaneous purposes 44 6 and for not more than the following full-time equivalent 44 7 positions: 44 8 .................................................. $ 5,357,453 44 9 ............................................... FTEs 109.47 44 10 a. Funding is provided in this subsection for the mental 44 11 health institute at Mount Pleasant to continue the dual 44 12 diagnosis mental health and substance abuse program on a net 44 13 budgeting basis in which 50 percent of the actual per diem and 44 14 ancillary services costs are chargeable to the patient's 44 15 county of legal settlement or as a state case, as appropriate. 44 16 Subject to the approval of the department, revenues 44 17 attributable to the dual diagnosis program for the fiscal year 44 18 beginning July 1, 2000, and ending June 30, 2001, shall be 44 19 deposited in the institute's account, including but not 44 20 limited to all of the following revenues: 44 21 (1) Moneys received by the state from billings to counties 44 22 under section 230.20. 44 23 (2) Moneys received from billings to the Medicare program. 44 24 (3) Moneys received from a managed care contractor 44 25 providing services under contract with the department or any 44 26 private third-party payer. 44 27 (4) Moneys received through client participation. 44 28 (5) Any other revenues directly attributable to the dual 44 29 diagnosis program. 44 30 b. The following additional provisions are applicable in 44 31 regard to the dual diagnosis program: 44 32 (1) A county may split the charges between the county's 44 33 mental health, mental retardation, and developmental 44 34 disabilities services fund and the county's budget for 44 35 substance abuse expenditures. 45 1 (2) If an individual is committed to the custody of the 45 2 department of corrections at the time the individual is 45 3 referred for dual diagnosis treatment, the department of 45 4 corrections shall be charged for the costs of treatment. 45 5 (3) Prior to an individual's admission for dual diagnosis 45 6 treatment, the individual shall have been screened through a 45 7 county's single entry point process to determine the 45 8 appropriateness of the treatment. 45 9 (4) A county shall not be chargeable for the costs of 45 10 treatment for an individual enrolled in and authorized by or 45 11 decertified by a managed behavioral care plan under the 45 12 medical assistance program. 45 13 5. Within the funds appropriated in this section, the 45 14 department may transfer funds as necessary to best fulfill the 45 15 needs of the institutions provided for in the appropriation. 45 16 6. As part of the discharge planning process at the state 45 17 mental health institutes, the department shall provide 45 18 assistance in obtaining eligibility for federal supplemental 45 19 security income (SSI) to those individuals whose care at a 45 20 state mental health institute is the financial responsibility 45 21 of the state or a county. 45 22 7. Each state mental health institute shall continue the 45 23 net budgeting accounting test of managing revenues and 45 24 expenditures attributable to the mental health institute in a 45 25 manner that permits the net state expenditure amount to be 45 26 determined. Each mental health institute shall submit a 45 27 status report in October 2000 to the governor and to the 45 28 persons required to be submitted reports by this Act. The 45 29 status report shall identify advantages and disadvantages of 45 30 utilizing the net budgeting approach and any changes in policy 45 31 or statute recommended to improve implementation of the 45 32 approach. 45 33 Sec. 21. STATE HOSPITAL-SCHOOLS. There is appropriated 45 34 from the general fund of the state to the department of human 45 35 services for the fiscal year beginning July 1, 2000, and 46 1 ending June 30, 2001, the following amounts, or so much 46 2 thereof as is necessary, to be used for the purposes 46 3 designated: 46 4 1. For the state hospital-school at Glenwood for salaries, 46 5 support, maintenance, and miscellaneous purposes: 46 6 .................................................. $ 2,504,791 46 7 2. For the state hospital-school at Woodward for salaries, 46 8 support, maintenance, and miscellaneous purposes: 46 9 .................................................. $ 1,709,949 46 10 3. a. The department shall continue operating the state 46 11 hospital-schools at Glenwood and Woodward with a net general 46 12 fund appropriation. The amounts allocated in this section are 46 13 the net amounts of state moneys projected to be needed for the 46 14 state hospital-schools. The purposes of operating with a net 46 15 general fund appropriation are to encourage the state 46 16 hospital-schools to operate with increased self-sufficiency, 46 17 to improve quality and efficiency, and to support 46 18 collaborative efforts between the state hospital-schools and 46 19 counties and other funders of services available from the 46 20 hospital-schools. The state hospital-schools shall not be 46 21 operated under the net appropriation in a manner which results 46 22 in a cost increase to the state or cost shifting between the 46 23 state, the medical assistance program, counties, or other 46 24 sources of funding for the state hospital-schools. Moneys 46 25 allocated in subsection 1 may be used throughout the fiscal 46 26 year in the manner necessary for purposes of cash flow 46 27 management, and for purposes of cash flow management the state 46 28 hospital-schools may temporarily draw more than the amount 46 29 allocated, provided the amount allocated is not exceeded at 46 30 the close of the fiscal year. 46 31 b. Subject to the approval of the department, except for 46 32 revenues under section 249A.11, revenues attributable to the 46 33 state hospital-schools for the fiscal year beginning July 1, 46 34 2000, shall be deposited into each state hospital-school's 46 35 account, including but not limited to all of the following: 47 1 (1) Moneys received by the state from billings to counties 47 2 under section 222.73. 47 3 (2) The federal share of medical assistance revenue 47 4 received under chapter 249A. 47 5 (3) Federal Medicare program payments. 47 6 (4) Moneys received from client financial participation. 47 7 (5) Other revenues generated from current, new, or 47 8 expanded services which the state hospital-school is 47 9 authorized to provide. 47 10 c. For the purposes of allocating the salary adjustment 47 11 fund moneys appropriated in another Act, the state hospital- 47 12 schools shall be considered to be funded entirely with state 47 13 moneys. 47 14 d. Notwithstanding section 8.33, up to $500,000 of a state 47 15 hospital-school's revenues that remain unencumbered or 47 16 unobligated at the close of the fiscal year shall not revert 47 17 but shall remain available to be used in the succeeding fiscal 47 18 year. 47 19 4. Within the funds appropriated in this section, the 47 20 department may transfer funds as necessary to best fulfill the 47 21 needs of the institutions provided for in the appropriation. 47 22 5. The department may continue to bill for state hospital- 47 23 school services utilizing a scope of services approach used 47 24 for private providers of ICFMR services, in a manner which 47 25 does not shift costs between the medical assistance program, 47 26 counties, or other sources of funding for the state hospital- 47 27 schools. 47 28 6. The state hospital-schools may expand the time limited 47 29 assessment and respite services during the fiscal year. 47 30 7. If the department's administration and the department 47 31 of management concur with a finding by a state hospital- 47 32 school's superintendent that projected revenues can reasonably 47 33 be expected to pay the salary and support costs for a new 47 34 employee position, or that such costs for adding a particular 47 35 number of new positions for the fiscal year would be less than 48 1 the overtime costs if new positions would not be added, the 48 2 superintendent may add the new position or positions. If the 48 3 vacant positions available to a hospital-school do not include 48 4 the position classification desired to be filled, the 48 5 hospital-school's superintendent may reclassify any vacant 48 6 position as necessary to fill the desired position. The 48 7 superintendents of the hospital-schools may, by mutual 48 8 agreement, pool vacant positions and position classifications 48 9 during the course of the fiscal year in order to assist one 48 10 another in filling necessary positions. 48 11 Sec. 22. MENTAL ILLNESS SPECIAL SERVICES. There is 48 12 appropriated from the general fund of the state to the 48 13 department of human services for the fiscal year beginning 48 14 July 1, 2000, and ending June 30, 2001, the following amount, 48 15 or so much thereof as is necessary, to be used for the purpose 48 16 designated: 48 17 For mental illness special services: 48 18 .................................................. $ 121,220 48 19 1. The department and the Iowa finance authority shall 48 20 continue the financing for existing community-based facilities 48 21 and the financing for the development of affordable community- 48 22 based housing facilities. The department shall assure that 48 23 clients are referred to the housing as it is developed. 48 24 2. The funds appropriated in this section are to provide 48 25 funds for construction and start-up costs to develop community 48 26 living arrangements to provide for persons with mental illness 48 27 who are homeless. These funds may be used to match federal 48 28 Stewart B. McKinney Homeless Assistance Act grant funds. 48 29 Sec. 23. SPECIAL NEEDS GRANTS. There is appropriated from 48 30 the general fund of the state to the department of human 48 31 services for the fiscal year beginning July 1, 2000, and 48 32 ending June 30, 2001, the following amount, or so much thereof 48 33 as is necessary, to be used for the purpose designated: 48 34 To provide special needs grants to families with a family 48 35 member at home who has a developmental disability or to a 49 1 person with a developmental disability: 49 2 .................................................. $ 53,212 49 3 Grants must be used by a family to defray special costs of 49 4 caring for the family member to prevent out-of-home placement 49 5 of the family member or to provide for independent living 49 6 costs. The grants may be administered by a private nonprofit 49 7 agency which serves people statewide provided that no 49 8 administrative costs are received by the agency. 49 9 Sec. 24. MI/MR/DD STATE CASES. There is appropriated from 49 10 the general fund of the state to the department of human 49 11 services for the fiscal year beginning July 1, 2000, and 49 12 ending June 30, 2001, the following amounts, or so much 49 13 thereof as is necessary, to be used for the purposes 49 14 designated: 49 15 1. For purchase of local services for persons with mental 49 16 illness, mental retardation, and developmental disabilities 49 17 where the client has no established county of legal 49 18 settlement: 49 19 .................................................. $ 13,308,845 49 20 If a county has a county management plan which is approved 49 21 by the director of human services pursuant to section 331.439, 49 22 the services paid for under this section are exempt from the 49 23 department's purchase of service system requirements. The 49 24 department shall adopt rules to implement the provisions of 49 25 this paragraph. 49 26 2. For transfer to the appropriation in this Act for 49 27 medical assistance to be used for payment of the state portion 49 28 of the nonfederal share of medical assistance reimbursement 49 29 for services provided to eligible persons by certain qualified 49 30 intermediate care facilities for persons with mental 49 31 retardation (ICFMR) in accordance with this subsection: 49 32 .................................................. $ 300,000 49 33 For the purposes of this subsection, "eligible persons" 49 34 means persons with a brain or head injury who are determined 49 35 by the Iowa foundation for medical care to meet entrance 50 1 requirements for services at the ICFMR level. The 50 2 reimbursement rate for services provided to eligible persons 50 3 by those qualified ICFMRs established and issued a certificate 50 4 of need by the health facilities council, on or before June 50 5 30, 1999, for the primary purpose of serving persons with a 50 6 head or brain injury, shall be the facility's actual cost, as 50 7 determined from the annual actual cost reports submitted to 50 8 the department. The cost reports shall be subject to annual 50 9 audit by the department. Responsibility for payment of the 50 10 nonfederal share of reimbursement paid for services provided 50 11 to eligible persons shall be as follows: the county of legal 50 12 settlement is responsible for an amount equal to the 50 13 nonfederal share of the 80th percentile of ICFMR services and 50 14 the state is responsible for the remainder. 50 15 Sec. 25. MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES – 50 16 COMMUNITY SERVICES FUND. There is appropriated from the 50 17 general fund of the state to the mental health and 50 18 developmental disabilities community services fund created in 50 19 section 225C.7 for the fiscal year beginning July 1, 2000, and 50 20 ending June 30, 2001, the following amount, or so much thereof 50 21 as is necessary, to be used for the purpose designated: 50 22 For mental health and developmental disabilities community 50 23 services in accordance with this Act: 50 24 ................................................. $ 19,560,000 50 25 1. Of the funds appropriated in this section, $19,530,000 50 26 shall be allocated to counties for funding of community-based 50 27 mental health and developmental disabilities services. The 50 28 moneys shall be allocated to a county as follows: 50 29 a. Fifty percent based upon the county's proportion of the 50 30 state's population of persons with an annual income which is 50 31 equal to or less than the poverty guideline established by the 50 32 federal office of management and budget. 50 33 b. Fifty percent based upon the county's proportion of the 50 34 state's general population. 50 35 2. a. A county shall utilize the funding the county 51 1 receives pursuant to subsection 1 for services provided to 51 2 persons with a disability, as defined in section 225C.2. 51 3 However, no more than 50 percent of the funding shall be used 51 4 for services provided to any one of the service populations. 51 5 b. A county shall use at least 50 percent of the funding 51 6 the county receives under subsection 1 for contemporary 51 7 services provided to persons with a disability, as described 51 8 in rules adopted by the department. 51 9 3. Of the funds appropriated in this section, $30,000 51 10 shall be used to support the Iowa compass program providing 51 11 computerized information and referral services for Iowans with 51 12 disabilities and their families. 51 13 4. a. Funding appropriated for purposes of the federal 51 14 social services block grant is allocated for distribution to 51 15 counties for local purchase of services for persons with 51 16 mental illness or mental retardation or other developmental 51 17 disability. 51 18 b. The funds allocated in this subsection shall be 51 19 expended by counties in accordance with the county's approved 51 20 county management plan. A county without an approved county 51 21 management plan shall not receive allocated funds until the 51 22 county's management plan is approved. 51 23 c. The funds provided by this subsection shall be 51 24 allocated to each county as follows: 51 25 (1) Fifty percent based upon the county's proportion of 51 26 the state's population of persons with an annual income which 51 27 is equal to or less than the poverty guideline established by 51 28 the federal office of management and budget. 51 29 (2) Fifty percent based upon the amount provided to the 51 30 county for local purchase of services in the preceding fiscal 51 31 year. 51 32 5. A county is eligible for funds under this section if 51 33 the county qualifies for a state payment as described in 51 34 section 331.439. 51 35 Sec. 26. PERSONAL ASSISTANCE. There is appropriated from 52 1 the general fund of the state to the department of human 52 2 services for the fiscal year beginning July 1, 2000, and 52 3 ending June 30, 2001, the following amount, or so much thereof 52 4 as is necessary, to be used for the purpose designated: 52 5 For continuation of a pilot project for the personal 52 6 assistance services program in accordance with this section: 52 7 .................................................. $ 364,000 52 8 1. The funds appropriated in this section shall be used to 52 9 continue the pilot project for the personal assistance 52 10 services program under section 225C.46 in an urban and a rural 52 11 area. Not more than $36,400 shall be used for administrative 52 12 costs. The pilot project and any federal home and community- 52 13 based waiver developed under the medical assistance program 52 14 shall not be implemented in a manner which would require 52 15 additional county or state costs for assistance provided to an 52 16 individual served under the pilot project or the waiver. 52 17 2. It is the intent of the general assembly that for any 52 18 new applicants for personal assistance, priority shall be 52 19 given to providing assistance to individuals for education, 52 20 job training, and other forms of employment support. It is 52 21 also the intent of the general assembly that if other programs 52 22 become available which provide similar services, current 52 23 recipients of personal assistance for whom these similar 52 24 services are appropriate shall be assisted in attaining 52 25 eligibility for these programs. 52 26 3. Notwithstanding section 8.33, moneys appropriated in 52 27 this section that remain unencumbered or unobligated at the 52 28 close of the fiscal year shall not revert but shall remain 52 29 available to provide personal assistance payments until the 52 30 close of the succeeding fiscal year. 52 31 Sec. 27. SEXUALLY VIOLENT PREDATORS. 52 32 1. There is appropriated from the general fund of the 52 33 state to the department of human services for the fiscal year 52 34 beginning July 1, 2000, and ending June 30, 2001, the 52 35 following amount, or so much thereof as is necessary, to be 53 1 used for the purpose designated: 53 2 For costs associated with the commitment and treatment of 53 3 sexually violent predators including costs of legal services 53 4 and other associated costs, including salaries, support, 53 5 maintenance, and miscellaneous purposes and for not more than 53 6 the following full-time equivalent positions: 53 7 .................................................. $ 1,179,178 53 8 .............................................. FTEs 20.00 53 9 2. Notwithstanding section 8.33, $250,000 of the moneys 53 10 appropriated in 1999 Iowa Acts, chapter 203, section 30, that 53 11 remain unexpended or unobligated at the close of the fiscal 53 12 year shall not revert but shall remain available in the 53 13 succeeding fiscal year to be used for the purposes of this 53 14 section. 53 15 Sec. 28. FIELD OPERATIONS. There is appropriated from the 53 16 general fund of the state to the department of human services 53 17 for the fiscal year beginning July 1, 2000, and ending June 53 18 30, 2001, the following amounts, or so much thereof as is 53 19 necessary, to be used for the purposes designated: 53 20 1. For field operations, including salaries, support, 53 21 maintenance, and miscellaneous purposes and for not more than 53 22 the following full-time equivalent positions: 53 23 .................................................. $ 44,795,000 53 24 .............................................. FTEs 1,921.50 53 25 Priority in filling full-time equivalent positions shall be 53 26 given to those positions related to child protection services. 53 27 The amount appropriated in this section includes increased 53 28 funding of $147,454 to address staffing issues in regard to 53 29 child abuse assessment staff, social workers, and support 53 30 staff performing related functions and for increased 53 31 activities to improve cooperation between field staff, law 53 32 enforcement, county attorneys, and mandatory reporters in 53 33 addressing reports of child abuse. 53 34 2. For regional offices, including salaries, support, 53 35 maintenance, and miscellaneous purposes and for not more than 54 1 the following full-time equivalent positions: 54 2 .................................................. $ 5,659,370 54 3 ............................................... FTEs 154.16 54 4 Sec. 29. GENERAL ADMINISTRATION. There is appropriated 54 5 from the general fund of the state to the department of human 54 6 services for the fiscal year beginning July 1, 2000, and 54 7 ending June 30, 2001, the following amount, or so much thereof 54 8 as is necessary, to be used for the purpose designated: 54 9 For general administration, including salaries, support, 54 10 maintenance, and miscellaneous purposes and for not more than 54 11 the following full-time equivalent positions: 54 12 ................................................. $ 14,862,874 54 13 ............................................... FTEs 366.00 54 14 1. Of the funds appropriated in this section, $57,000 is 54 15 allocated for the prevention of disabilities policy council 54 16 established in section 225B.3. 54 17 2. Of the funds appropriated in this section, $129,971 for 54 18 the fiscal year beginning July 1, 2000, shall be transferred 54 19 to the state university of Iowa for the university-affiliated 54 20 program for the support of Iowa creative employment options 54 21 (CEO). 54 22 3. If an expenditure reduction or other cost-saving 54 23 measure is deemed necessary to maintain expenditures within 54 24 the amount appropriated to the department in this section, the 54 25 department shall not implement the reduction or other measure 54 26 in a manner which reduces service funding for disability 54 27 rehabilitation programs, including but not limited to, 54 28 statewide supported employment programs. 54 29 4. The number of full-time equivalent positions authorized 54 30 in this section includes a reduction of all but three of the 54 31 full-time equivalent positions previously assigned to the 54 32 state-county assistance team. One of the remaining full-time 54 33 equivalent positions shall provide staffing services to the 54 34 state-county management committee. 54 35 5. The general assembly is supportive of the department's 55 1 stated purposes in its efforts to review the services 55 2 administered by the department and the reimbursement 55 3 methodologies for those services. The general assembly 55 4 anticipates the department continuing its review and 55 5 consultation activities during the 2000 legislative interim in 55 6 order to submit recommendations and proposals for legislative 55 7 consideration during the 2001 legislative session and the 55 8 department shall not implement changes in the reimbursement 55 9 methodologies with express authorization in law. 55 10 Sec. 30. VOLUNTEERS. There is appropriated from the 55 11 general fund of the state to the department of human services 55 12 for the fiscal year beginning July 1, 2000, and ending June 55 13 30, 2001, the following amount, or so much thereof as is 55 14 necessary, to be used for the purpose designated: 55 15 For development and coordination of volunteer services: 55 16 .................................................. $ 118,250 55 17 Sec. 31. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY 55 18 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE 55 19 DEPARTMENT OF HUMAN SERVICES. 55 20 1. a. For the fiscal year beginning July 1, 2000, the 55 21 rate for skilled nursing facilities shall remain at the rates 55 22 in effect on June 30, 2000. 55 23 b. For the fiscal year beginning July 1, 2000, the 55 24 dispensing fee for pharmacists shall remain at the rate in 55 25 effect on June 30, 2000. The reimbursement policy for drug 55 26 product costs shall be in accordance with federal 55 27 requirements. 55 28 c. For the fiscal year beginning July 1, 2000, 55 29 reimbursement rates for inpatient and outpatient hospital 55 30 services shall remain at the rates in effect on June 30, 2000. 55 31 The department shall continue the outpatient hospital 55 32 reimbursement system based upon ambulatory patient groups 55 33 implemented pursuant to 1994 Iowa Acts, chapter 1186, section 55 34 25, subsection 1, paragraph "f". In addition, the department 55 35 shall continue the revised medical assistance payment policy 56 1 implemented pursuant to that paragraph to provide 56 2 reimbursement for costs of screening and treatment provided in 56 3 the hospital emergency room if made pursuant to the 56 4 prospective payment methodology developed by the department 56 5 for the payment of outpatient services provided under the 56 6 medical assistance program. 56 7 d. Reimbursement rates for rural health clinics, hospices, 56 8 independent laboratories, and acute mental hospitals shall be 56 9 increased in accordance with increases under the federal 56 10 Medicare program or as supported by their Medicare audited 56 11 costs. 56 12 e. Reimbursement rates for home health agencies shall 56 13 remain at the rates in effect on June 30, 2000. 56 14 f. Federally qualified health centers shall receive cost- 56 15 based reimbursement for 100 percent of the reasonable costs 56 16 for the provision of services to recipients of medical 56 17 assistance. 56 18 g. Beginning July 1, 2000, the reimbursement rates for 56 19 dental services shall remain at the rates in effect on June 56 20 30, 2000. 56 21 h. Beginning July 1, 2000, the reimbursement rates for 56 22 community mental health centers shall be increased by 16.63 56 23 percent over the rates in effect on June 30, 2000. 56 24 i. For the fiscal year beginning July 1, 2000, unless 56 25 otherwise specified in this Act, all noninstitutional medical 56 26 assistance provider reimbursement rates shall remain at the 56 27 rates in effect on June 30, 2000. 56 28 2. a. The basis for establishing the maximum medical 56 29 assistance reimbursement rate for nursing facilities shall be 56 30 the 70th percentile of facility costs as calculated from the 56 31 June 30, 1999, unaudited compilation of cost and statistical 56 32 data submitted by each facility on medical assistance cost 56 33 reports. At such time as the department implements a 56 34 transitional case-mix reimbursement methodology pursuant to 56 35 2000 Iowa Acts, Senate File 2193, nursing facilities shall be 57 1 reimbursed in accordance with the transitional payment system. 57 2 In developing the case-mix reimbursement methodology, the 57 3 department shall work with nursing facilities and patient 57 4 advocates in examining administrative costs. 57 5 b. Nursing facilities reimbursed under the medical 57 6 assistance program shall continue to submit cost reports and 57 7 additional documentation as required by rule. 57 8 c. The cost report required to be submitted by rule by 57 9 nursing facilities reimbursed under the medical assistance 57 10 program shall also include a line itemization of expenses 57 11 attributable to the home or principal office or headquarters 57 12 of the nursing facility, including but not limited to home- 57 13 office costs and management fees, within the administrative 57 14 cost line item. 57 15 d. The organizations representing certified nurse aides 57 16 and nursing facilities and other providers of services 57 17 employing certified nurse aides are requested to discuss how 57 18 nursing facilities and the other providers can improve the 57 19 ongoing training, communication skills development, mentoring, 57 20 and other activities intended to enhance the expertise of 57 21 certified nurse aides. It is the intent of the general 57 22 assembly that the organizations involved with the discussions 57 23 will make a presentation to the joint appropriations 57 24 subcommittee on human services during January 2001 concerning 57 25 their discussions and plans for improvements. 57 26 3. For the fiscal year beginning July 1, 2000, the maximum 57 27 cost reimbursement rate for residential care facilities 57 28 reimbursed by the department shall not be less than $24.26 per 57 29 day for the time period of July 1, 2000, through June 30, 57 30 2001. The flat reimbursement rate for facilities electing not 57 31 to file semiannual cost reports shall not be less than $17.36 57 32 per day for the time period of July 1, 2000, through June 30, 57 33 2001. 57 34 4. For the fiscal year beginning July 1, 2000, the maximum 57 35 reimbursement rate for providers reimbursed under the in-home 58 1 health-related care program shall not be less than $466.49 per 58 2 month for the time period of July 1, 2000, through June 30, 58 3 2001. 58 4 5. Unless otherwise directed in this section, when the 58 5 department's reimbursement methodology for any provider 58 6 reimbursed in accordance with this section includes an 58 7 inflation factor, this factor shall not exceed the amount by 58 8 which the consumer price index for all urban consumers 58 9 increased during the calendar year ending December 31, 1999. 58 10 6. Notwithstanding section 234.38, in the fiscal year 58 11 beginning July 1, 2000, the foster family basic daily 58 12 maintenance rate and the maximum adoption subsidy rate for 58 13 children ages 0 through 5 years shall be $14.00, the rate for 58 14 children ages 6 through 11 years shall be $14.78, the rate for 58 15 children ages 12 through 15 years shall be $16.53, and the 58 16 rate for children ages 16 and older shall be $16.53. 58 17 7. For the fiscal year beginning July 1, 2000, the maximum 58 18 reimbursement rates for adoption and independent living 58 19 services shall remain at the rates in effect on June 30, 2000. 58 20 The maximum reimbursement rates for other social service 58 21 providers shall remain at the rates in effect on June 30, 58 22 2000. However, the rates may be adjusted under any of the 58 23 following circumstances: 58 24 a. If a new service was added after June 30, 2000, the 58 25 initial reimbursement rate for the service shall be based upon 58 26 actual and allowable costs. 58 27 b. If a social service provider loses a source of income 58 28 used to determine the reimbursement rate for the provider, the 58 29 provider's reimbursement rate may be adjusted to reflect the 58 30 loss of income, provided that the lost income was used to 58 31 support actual and allowable costs of a service purchased 58 32 under a purchase of service contract. 58 33 c. The department revises the reimbursement rates as part 58 34 of the changes in the mental health and developmental 58 35 disabilities services system initiated pursuant to 1995 Iowa 59 1 Acts, chapter 206, and associated legislation. 59 2 8. The group foster care reimbursement rates paid for 59 3 placement of children out-of-state shall be calculated 59 4 according to the same rate-setting principles as those used 59 5 for in-state providers unless the director determines that 59 6 appropriate care cannot be provided within the state. The 59 7 payment of the daily rate shall be based on the number of days 59 8 in the calendar month in which service is provided. 59 9 9. For the fiscal year beginning July 1, 2000, the 59 10 reimbursement rates for rehabilitative treatment and support 59 11 services providers shall remain at the rates in effect on June 59 12 30, 2000. 59 13 10. For the fiscal year beginning July 1, 2000, the 59 14 combined service and maintenance components of the 59 15 reimbursement rate paid to a shelter care provider shall be 59 16 based on the cost report submitted to the department. The 59 17 maximum reimbursement rate shall be $79.70 per day. If the 59 18 department would reimburse the provider at less than the 59 19 maximum rate but the provider's cost report justifies a rate 59 20 of at least $79.70, the department shall readjust the 59 21 provider's reimbursement rate to the maximum reimbursement 59 22 rate. 59 23 11. For the fiscal year beginning July 1, 2000, the 59 24 department shall calculate reimbursement rates for 59 25 intermediate care facilities for persons with mental 59 26 retardation at the 80th percentile. 59 27 12. For the fiscal year beginning July 1, 2000, for child 59 28 care providers, the department shall set provider 59 29 reimbursement rates based on the rate reimbursement survey 59 30 completed in December 1998. The department shall set rates in 59 31 a manner so as to provide incentives for a nonregistered 59 32 provider to become registered. 59 33 13. Effective July 1, 2000, the maximum reimbursement rate 59 34 for psychiatric medical institutions for children (PMICs) 59 35 shall be increased to $147.20 per day, based on per day rates 60 1 for actual costs on June 30, 2000. 60 2 14. For the fiscal year beginning July 1, 2000, 60 3 reimbursements for providers reimbursed by the department of 60 4 human services may be modified if appropriated funding is 60 5 allocated for that purpose from the senior living trust fund 60 6 created in section 249H.4, as enacted in 2000 Iowa Acts, 60 7 Senate File 2193, or as specified in appropriations from the 60 8 tobacco settlement fund created in section 12.65. 60 9 15. The department may adopt emergency rules to implement 60 10 this section. 60 11 Sec. 32. MOTOR VEHICLE LICENSE REINSTATEMENT PENALTY – 60 12 DEPOSIT AND APPROPRIATION. Notwithstanding the deposit 60 13 provisions of sections 321.218A and 321A.32A, moneys collected 60 14 during the fiscal year beginning July 1, 2000, and ending June 60 15 30, 2001, by the state department of transportation pursuant 60 16 to those sections shall be deposited to the credit of the 60 17 department of human services for the fiscal year beginning 60 18 July 1, 2000, and ending June 30, 2001, and are appropriated 60 19 as follows: 60 20 1. An amount equal to ten percent of the costs of the 60 21 establishment, improvement, operation, and maintenance of 60 22 county or multicounty juvenile detention homes in the fiscal 60 23 year beginning July 1, 1999. Moneys appropriated in this 60 24 subsection shall be allocated among eligible detention homes, 60 25 prorated on the basis of an eligible detention home's 60 26 proportion of the costs of all eligible detention homes in the 60 27 fiscal year beginning July 1, 1999. Notwithstanding section 60 28 232.142, subsection 3, the financial aid payable by the state 60 29 under that provision for the fiscal year beginning July 1, 60 30 2000, shall be limited to the amount appropriated for the 60 31 purposes of this subsection. 60 32 2. For renewal of a grant to a county with a population 60 33 between 168,000 and 175,000 for implementation of the county's 60 34 runaway treatment plan under section 232.195: 60 35 .................................................. $ 80,000 61 1 3. For grants to counties implementing a runaway treatment 61 2 plan under section 232.195. 61 3 4. The remainder for additional allocations to county or 61 4 multicounty juvenile detention homes, in accordance with the 61 5 distribution requirements of subsection 1. 61 6 Sec. 33. TRANSFER AUTHORITY. Subject to the provisions of 61 7 section 8.39, for the fiscal year beginning July 1, 2000, if 61 8 necessary to meet federal maintenance of effort requirements 61 9 or to transfer federal temporary assistance for needy families 61 10 block grant funding to be used for purposes of the federal 61 11 social services block grant or to meet cash flow needs 61 12 resulting from delays in receiving federal funding, the 61 13 department of human services may transfer within or between 61 14 any of the appropriations made in this Act and appropriations 61 15 in law for the federal social services block grant to the 61 16 department for the following purposes, provided that the 61 17 combined amount of state and federal temporary assistance for 61 18 needy families block grant funding for each appropriation 61 19 remains the same before and after the transfer: 61 20 1. For the family investment program. 61 21 2. For emergency assistance. 61 22 3. For child care assistance. 61 23 4. For child and family services. 61 24 5. For field operations. 61 25 6. For general administration. 61 26 7. MH/MR/DD/BI community services (local purchase). 61 27 This section shall not be construed to prohibit existing 61 28 state transfer authority for other purposes. 61 29 Sec. 34. FRAUD AND RECOUPMENT ACTIVITIES. During the 61 30 fiscal year beginning July 1, 2000, notwithstanding the 61 31 restrictions in section 239B.14, recovered moneys generated 61 32 through fraud and recoupment activities are appropriated to 61 33 the department of human services to be used for additional 61 34 fraud and recoupment activities performed by the department of 61 35 human services or the department of inspections and appeals, 62 1 and the department of human services may add not more than 62 2 five full-time equivalent positions, in addition to those 62 3 authorized in this Act, subject to both of the following 62 4 conditions: 62 5 1. The director of human services determines that the 62 6 investment can reasonably be expected to increase recovery of 62 7 assistance paid in error, due to fraudulent or nonfraudulent 62 8 actions, in excess of the amount recovered in the fiscal year 62 9 beginning July 1, 1997. 62 10 2. The amount expended for the additional fraud and 62 11 recoupment activities shall not exceed the amount of the 62 12 projected increase in assistance recovered. 62 13 Sec. 35. FINANCIAL ASSISTANCE SERVICES. 62 14 1. For purposes of this section, "financial assistance 62 15 services" means services or other assistance provided under 62 16 one or more of the following programs administered by the 62 17 department of human services: family investment program, 62 18 PROMISE JOBS program, medical assistance program, food stamp 62 19 program, state child care assistance program, refugee cash 62 20 assistance program, emergency assistance program, and child 62 21 support recovery program. 62 22 2. During the fiscal year beginning July 1, 2000, and 62 23 ending June 30, 2001, the department of human services may 62 24 continue to conduct a pilot program or pilot programs for 62 25 provisions of financial assistance services. 62 26 3. Any pilot program conducted in accordance with this 62 27 section shall be designed to meet one or more of the following 62 28 financial assistance services goals: 62 29 a. A reduction in paperwork for applicants and recipients 62 30 of services, or staff, or both. 62 31 b. Streamlining or expediting the eligibility 62 32 determination process, to decrease the length of time it takes 62 33 to inform applicants for financial assistance services as to 62 34 the disposition of their request for the services. 62 35 c. Streamlining or expediting the referral process for 63 1 family investment program applicants and recipients to other 63 2 financial assistance services such as PROMISE JOBS or child 63 3 support recovery, so that referrals can be initiated in a more 63 4 timely manner in order to help move applicants and recipients 63 5 more quickly to economic self-sufficiency or toward reduced 63 6 reliance on government assistance. 63 7 d. Improved coordination of the management of financial 63 8 assistance services as applicants for and recipients of the 63 9 services work toward economic self-sufficiency. 63 10 e. Identification of policies, procedures, and practices 63 11 that could be altered or eliminated without materially 63 12 affecting the desired results for the family assistance 63 13 services. 63 14 4. Any pilot program conducted in accordance with this 63 15 section is subject to the following limitations and 63 16 parameters: 63 17 a. Notwithstanding any administrative rule, that is not 63 18 based in federal law, the department may alter policies, 63 19 procedures, and practices to waive the administrative rule, 63 20 that are based in state law, provided that the alterations do 63 21 not decrease an applicant's or recipient's choice of, or 63 22 ability to obtain, financial assistance services from the 63 23 department in comparison with the financial assistance 63 24 services that would otherwise be available. The department 63 25 may operate one or more pilot projects under this paragraph, 63 26 in not more than fourteen counties. 63 27 b. If the department obtains a waiver of federal law or 63 28 regulation, the department may alter policies, procedures, and 63 29 practices that are based in federal law, provided that the 63 30 alterations do not decrease an applicant's or recipient's 63 31 choice of, or ability to obtain, financial assistance services 63 32 from the department in comparison with the financial 63 33 assistance services that would otherwise be available. The 63 34 department may operate one or more projects under this 63 35 paragraph, in not more than fourteen counties. 64 1 c. In order to facilitate rapid implementation, except as 64 2 provided in paragraph "d", any pilot program authorized under 64 3 this section is exempt from the rulemaking procedures and 64 4 rulemaking requirements of chapter 17A. However, following 64 5 development of the pilot program, the department shall provide 64 6 a list of the laws or rules being waived to the chairpersons 64 7 and ranking members of the joint appropriations subcommittee 64 8 on human services, the administrative rules review committee, 64 9 the administrative rules coordinator, the legislative fiscal 64 10 bureau, and the legislative service bureau. In implementing a 64 11 pilot program under this section, the department shall take 64 12 steps to make applicants and recipients of services aware of 64 13 their choices, expectations, rights, and responsibilities. 64 14 d. The department shall adopt emergency rules establishing 64 15 a framework for the pilot projects implemented under this 64 16 section. The rules shall identify the participating counties, 64 17 the maximum duration of each pilot project, and generally 64 18 describe the scope and nature of each pilot project. Within 64 19 this framework, the department retains broad discretion to 64 20 revise a pilot project without further rulemaking describing 64 21 the revision. 64 22 Sec. 36. CHILD PROTECTION EVALUATION. The department 64 23 shall fulfill the requirements of 1997 Iowa Acts, chapter 176, 64 24 section 23, and 1999 Iowa Acts, chapter 203, section 45, for 64 25 an independent evaluation of the child protection system by 64 26 including the evaluation elements in its independent review 64 27 contracted for in the Spring of 2000. 64 28 Sec. 37. 1991 Iowa Acts, chapter 169, section 9, as 64 29 amended by 1996 Iowa Acts, chapter 1071, section 1, is 64 30 repealed. 64 31 On or before December 15, 2000, the prevention of 64 32 disabilities policy council shall submit a report to the 64 33 governor and the general assembly providing findings and 64 34 recommendations regarding the activities and duties of the 64 35 commission and the need for its continuation. 65 1 Sec. 38. 1999 Iowa Acts, chapter 208, section 1, 65 2 unnumbered paragraphs 2 and 3, and subsection 4, are amended 65 3 to read as follows: 65 4 For distribution to counties of the county mental health, 65 5 mental retardation, and developmental disabilities allowed 65 6 growth factor adjustment, in accordance with section 331.438, 65 7 subsection 2, and section 331.439, subsection 3, and chapter 65 8 426B: 65 9 .................................................. $21,773,60265 10 20,982,446 65 11 The funding appropriated in this section is the allowed 65 12 growth factor adjustmentof 1.57 percentfor fiscal year 2000- 65 13 2001, and is allocated as follows: 65 14 4. For deposit in the risk pool created in the property 65 15 tax relief fund pursuant to section 426B.5, subsection 3: 65 16 .................................................. $2,000,00065 17 1,208,844 65 18 Sec. 39. 2000 Iowa Acts, Senate File 2193, section 20, 65 19 subsection 3, unnumbered paragraph 1, is amended to read as 65 20 follows: 65 21 To implement nursing facility provider reimbursement at the 65 22 seventieth percentile of facility costs as calculated from the 65 23 June 30, 2000, unaudited compilation of cost and statistical 65 24 data submitted by each facility on medical assistance cost 65 25 reports and to implement case-mix reimbursement methodology 65 26 changes: 65 27 .................................................. $ 17,750,000 65 28 Sec. 40. NEW SECTION. 225B.8 REPEAL. 65 29 This chapter is repealed July 1, 2001. 65 30 Sec. 41. Section 249A.3, subsection 1, paragraph k, Code 65 31 Supplement 1999, is amended to read as follows: 65 32 k. Is a pregnant woman or infant whose income is more than 65 33 the limit prescribed under the federal Medicare Catastrophic 65 34 Coverage Act of 1988, Pub. L. No. 100-360, } 302, but not more 65 35 thanonetwo hundredeighty-fivepercent of the federal 66 1 poverty level as defined by the most recently revised poverty 66 2 income guidelines published by the United States department of 66 3 health and human services. 66 4 Sec. 42. ARLENE DAYHOFF EDUCATIONAL COMPLEX. 66 5 1. The general assembly makes the following findings: 66 6 a. That Arlene H. Dayhoff recognized the important role of 66 7 good educational and recreational facilities in maintaining 66 8 the quality of the state training school's work with this 66 9 state's most troubled youth and worked tirelessly for approval 66 10 of new facilities. 66 11 b. That Arlene H. Dayhoff has the distinction of serving 66 12 during 1987-1997 as chairperson of the council on human 66 13 services, the primary policymaking body for the department of 66 14 human services, and having the longest tenure of anyone in 66 15 that office. 66 16 c. That Arlene H. Dayhoff is known for her active life in 66 17 service activity with her twenty-three years of employment in 66 18 the field of nursing and as a volunteer and board member with 66 19 many human services and health endeavors, including St. Luke's 66 20 hospital and hospital foundation, Iowa commission for the 66 21 blind, American red cross, Linn county association for mental 66 22 health, and Linn county retarded citizens, and has been 66 23 nationally recognized for her leadership by the national 66 24 governors' association distinguished service award. 66 25 d. That following her tenure on the council on human 66 26 services, Arlene H. Dayhoff continued her commitment to 66 27 troubled children by serving as co-chairperson of the 66 28 legislative council's child welfare work group from the work 66 29 group's creation in November 1997 through the present time. 66 30 e. That it is fitting to recognize Arlene H. Dayhoff's 66 31 many contributions to improving the lives of children with the 66 32 dedication of the new educational and recreational facilities 66 33 at the state training school in her name. 66 34 2. The educational and recreational facilities to be 66 35 dedicated in the spring of 2001 at the state training school 67 1 in Eldora, Iowa, are named the "Arlene Dayhoff Educational 67 2 Complex" in honor of Arlene H. Dayhoff and an appropriate 67 3 commemorative plaque shall be placed near the entrance of the 67 4 educational complex in recognition of Arlene Dayhoff and the 67 5 outstanding contribution she has made to the state training 67 6 school and the state of Iowa. 67 7 3. The state training school shall name any other newly 67 8 constructed facilities to be dedicated at the state training 67 9 school during the fiscal year beginning July 1, 1999, or July 67 10 1, 2000, as deemed appropriate by the state training school 67 11 administration to properly recognize individuals who have made 67 12 significant contributions to the juvenile justice system in 67 13 general or the state training school in particular. 67 14 Sec. 43. SUBSIDIZED GUARDIANSHIP – RULES – CONTINGENCY 67 15 – RETROACTIVITY. The rules adopted pursuant to 441 IAC 204 67 16 relating to the subsidized guardianship program shall not be 67 17 applicable until such time as funding is appropriated after 67 18 July 1, 2000, for this purpose by the general assembly. This 67 19 provision is retroactively applicable to April 1, 2000. 67 20 Sec. 44. EMERGENCY RULES. If specifically authorized by a 67 21 provision of this Act, the department of human services or the 67 22 mental health and developmental disabilities commission may 67 23 adopt administrative rules under section 17A.4, subsection 2, 67 24 and section 17A.5, subsection 2, paragraph "b", to implement 67 25 the provisions and the rules shall become effective 67 26 immediately upon filing, unless the effective date is delayed 67 27 by the administrative rules review committee, notwithstanding 67 28 section 17A.4, subsection 5, and section 17A.8, subsection 9, 67 29 or a later effective date is specified in the rules. Any 67 30 rules adopted in accordance with this section shall not take 67 31 effect before the rules are reviewed by the administrative 67 32 rules review committee. Any rules adopted in accordance with 67 33 the provisions of this section shall also be published as 67 34 notice of intended action as provided in section 17A.4. 67 35 Sec. 45. REPORTS. Any reports or information required to 68 1 be compiled and submitted under this Act shall be submitted to 68 2 the chairpersons and ranking members of the joint 68 3 appropriations subcommittee on human services, the legislative 68 4 fiscal bureau, the legislative service bureau, and to the 68 5 caucus staffs on or before the dates specified for submission 68 6 of the reports or information. 68 7 Sec. 46. EFFECTIVE DATES. The following provisions of 68 8 this Act, being deemed of immediate importance, take effect 68 9 upon enactment: 68 10 1. Section 1, relating to the social services block grant 68 11 supplementation. 68 12 2. Section 4, subsection 1, paragraph "f", relating to 68 13 electronic benefits transfer contracting. 68 14 3. Section 8, subsection 15, relating to the pilot project 68 15 for continuous eligibility under the medical assistance 68 16 program. 68 17 4. Section 16, subsection 2, paragraph "e", relating to 68 18 requirements of section 232.143, for the 2000-2001 fiscal 68 19 year. 68 20 5. Section 16, subsection 14, paragraph "a", relating to 68 21 determining allocation of court-ordered services funding. 68 22 6. Section 16, subsection 21, relating to nonreversion of 68 23 certain funding appropriated in 1999 Iowa Acts, chapter 203. 68 24 7. Section 27, subsection 2, relating to nonreversion of 68 25 moneys appropriated in 1999 Iowa Acts, chapter 203, section 68 26 30. 68 27 8. Section 36, relating to an independent evaluation of 68 28 the child protection system. 68 29 9. Sections 37 and 40, repealing 1991 Iowa Acts, chapter 68 30 169, section 9, as amended, and enacting new Code section 68 31 225B.8. 68 32 10. Section 42, subsection 3, authorizing the state 68 33 training school administration to name certain facilities to 68 34 be dedicated during fiscal year 1999-2000 or fiscal year 2000- 68 35 2001. 69 1 11. Section 43, relating to the applicability of certain 69 2 administrative rules involving subsidized guardianship. 69 3 SF 2435 69 4 pf/cc/26
Text: SF02434 Text: SF02436 Text: SF02400 - SF02499 Text: SF Index Bills and Amendments: General Index Bill History: General Index
© 2000 Cornell College and League of Women Voters of Iowa
Comments about this site or page?
webmaster@legis.iowa.gov.
Please remember that the person listed above does not vote on bills. Direct all comments concerning legislation to State Legislators.
Last update: Tue Aug 29 13:36:01 CDT 2000
URL: /DOCS/GA/78GA/Legislation/SF/02400/SF02435/000428.html
jhf