Text: SSB03221 Text: SSB03223 Text: SSB03200 - SSB03299 Text: SSB 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 .................................................. $ 3,200,000 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 .................................................. $ 3,200,000 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. If the community empowerment 3 8 board's request for funding is received by the Iowa 3 9 empowerment board on or after August 1, 2000, the maximum 3 10 funding amount shall be prorated for the fiscal year and 3 11 rounded up to the nearest full month. 3 12 c. A community empowerment area receiving funding shall 3 13 comply with any federal reporting requirements associated with 3 14 the use of that funding and other results and reporting 3 15 requirements established by the Iowa empowerment board. The 3 16 department shall provide technical assistance in identifying 3 17 and meeting the federal requirements. 3 18 d. The availability of funding provided under this section 3 19 is subject to changes in federal requirements and amendments 3 20 to Iowa law. 3 21 4. The moneys distributed in accordance with this section 3 22 shall be used by communities for the purposes of enhancing 3 23 quality child day care capacity in support of parent 3 24 capability to obtain or retain employment. The moneys shall 3 25 be used with a primary emphasis on low-income families and 3 26 children from birth to five years of age. Moneys shall be 3 27 provided in a flexible manner to communities, and shall be 3 28 used to implement strategies identified by the communities to 3 29 achieve such purposes. The strategies may include but are not 3 30 limited to developing capacity for regular child day care, 3 31 sick child care, night shifts child care, and emergency child 3 32 care; enhancing linkages between the head start and early head 3 33 start programs, early childhood development programs, and 3 34 child day care assistance programs; and implementing other 3 35 strategies to enhance access to child day care. The moneys 4 1 may be used to either build capacity or for support of ongoing 4 2 efforts. In addition to the full-time equivalent positions 4 3 funded in this Act, 1.00 full-time equivalent position is 4 4 authorized and the department may use funding appropriated in 4 5 this section for provision of technical assistance and other 4 6 support to communities developing and implementing strategies 4 7 with moneys distributed in accordance with this section. 4 8 5. Moneys which are subject to this section which are not 4 9 distributed to a community empowerment area or otherwise 4 10 remain unobligated or unexpended at the end of the fiscal year 4 11 shall revert to the fund created in section 8.41 to be 4 12 available for appropriation by the general assembly in a 4 13 subsequent fiscal year. 4 14 Sec. 3. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 4 15 GRANT. There is appropriated from the fund created in section 4 16 8.41 to the department of human services for the fiscal year 4 17 beginning July 1, 2000, and ending June 30, 2001, from moneys 4 18 received under the federal temporary assistance for needy 4 19 families block grant pursuant to the federal Personal 4 20 Responsibility and Work Opportunity Reconciliation Act of 4 21 1996, Pub. L. No. 104-193, which are federally appropriated 4 22 for the federal fiscal years beginning October 1, 1999, and 4 23 ending September 30, 2000, and beginning October 1, 2000, and 4 24 ending September 30, 2001, the following amounts, or so much 4 25 thereof as is necessary, to be used for the purposes 4 26 designated: 4 27 Moneys appropriated in this section shall be used in 4 28 accordance with the federal law making the funds available, 4 29 applicable Iowa law, appropriations made from the general fund 4 30 of the state in this Act for the purpose designated, and 4 31 administrative rules adopted to implement the federal and Iowa 4 32 law. If actual federal revenues credited to the fund created 4 33 in section 8.41 through June 30, 2001, are less than the 4 34 amounts appropriated in this section, the amounts appropriated 4 35 shall be reduced proportionately and the department may reduce 5 1 expenditures as deemed necessary by the department to meet the 5 2 reduced funding level: 5 3 1. To be credited to the family investment program account 5 4 and used for assistance under the family investment program 5 5 under chapter 239B: 5 6 .................................................. $ 44,035,883 5 7 2. To be credited to the family investment program account 5 8 and used for the job opportunities and basic skills (JOBS) 5 9 program, and implementing family investment agreements, in 5 10 accordance with chapter 239B: 5 11 .................................................. $ 19,980,113 5 12 3. For field operations: 5 13 .................................................. $ 12,870,415 5 14 4. For general administration: 5 15 .................................................. $ 3,227,683 5 16 5. For local administrative costs: 5 17 .................................................. $ 2,147,358 5 18 6. For state child care assistance: 5 19 ................................................. $ 20,619,567 5 20 a. Of the funds appropriated in this subsection, $500,000 5 21 shall be used for child care emergency and start-up grants in 5 22 accordance with this paragraph. The funding allocated in this 5 23 paragraph shall be used to provide emergency grants to 5 24 existing licensed or registered child care facilities having 5 25 negative financial circumstances that will cause the 5 26 facilities to close without outside assistance. The funding 5 27 shall also be used to provide start-up funding to develop new 5 28 licensed or registered child care facilities that will 5 29 increase the availability of child care slots in communities. 5 30 The department shall establish criteria for distribution of 5 31 the grant funding. The criteria shall include a requirement 5 32 that grant funding is used to further the long-term financial 5 33 survival of grant recipients, a requirement that funding is 5 34 targeted to facilities providing essential child care services 5 35 to low-income families, required disclosure of necessary 6 1 financial information, establishment of a maximum grant amount 6 2 and a maximum number of grants to be issued in order to make 6 3 funding available to as many facilities as possible, and other 6 4 provisions to ensure appropriate use of the funding. 6 5 b. Of the funds appropriated in this subsection, $500,000 6 6 shall be used for assistance to providers of child care to 6 7 school-age children in accordance with this paragraph. Moneys 6 8 allocated in this paragraph shall be used for grants to 6 9 licensed child care facilities providing care to school-age 6 10 children as of July 1, 2000. The grants shall be used to 6 11 increase the number of school-age children served, for 6 12 expansion of slots, or for transportation costs. 6 13 c. Of the funds appropriated in this subsection, $400,000 6 14 shall be used for provision of educational opportunities to 6 15 registered child care home providers in order to improve 6 16 services and programs offered by this category of providers 6 17 and to increase the number of providers. The department may 6 18 contract with institutions of higher education or child care 6 19 resource and referral centers to provide the educational 6 20 opportunities. Allowable administrative costs under the 6 21 contracts shall not exceed five percent. 6 22 d. Of the funds appropriated in this subsection, $250,000 6 23 shall be used for grants to child care facilities registered 6 24 or licensed as of July 1, 2000, or for hospitals licensed as 6 25 of July 1, 2000, to provide child care to children with an 6 26 illness who are unable to attend school or a regular child 6 27 care facility due to their illness. The grant funding 6 28 allocated in this paragraph shall be used to expand the number 6 29 of slots in existing child care facilities and in licensed 6 30 hospitals that provide services to children with an illness. 6 31 7. For emergency assistance: 6 32 .................................................. $ 2,763,605 6 33 8. For mental health and developmental disabilities 6 34 community services: 6 35 .................................................. $ 4,620,848 7 1 9. For child and family services: 7 2 .................................................. $ 23,586,793 7 3 10. For child abuse prevention: 7 4 .................................................. $ 731,000 7 5 11. For pregnancy prevention grants on the condition that 7 6 family planning services are funded: 7 7 .................................................. $ 2,517,477 7 8 Pregnancy prevention grants shall be awarded to programs in 7 9 existence on or before July 1, 2000, if the programs are 7 10 comprehensive in scope and have demonstrated positive 7 11 outcomes. Grants shall be awarded to pregnancy prevention 7 12 programs which are developed after July 1, 2000, if the 7 13 programs are comprehensive in scope and are based on existing 7 14 models that have demonstrated positive outcomes. Priority in 7 15 the awarding of grants shall be given to programs that serve 7 16 areas of the state which demonstrate the highest percentage of 7 17 unplanned adolescent pregnancies. 7 18 12. For technology needs and other resources necessary to 7 19 meet federal welfare reform reporting, tracking, and case 7 20 management requirements: 7 21 .................................................. $ 1,006,442 7 22 13. For supervised community treatment under child and 7 23 family services: 7 24 .................................................. $ 300,000 7 25 14. For volunteers: 7 26 .................................................. $ 45,327 7 27 15. For individual development accounts under chapter 7 28 541A: 7 29 .................................................. $ 200,000 7 30 Of the amounts appropriated in this section, $11,877,714 7 31 for the fiscal year beginning July 1, 2000, shall be 7 32 transferred to the appropriation of the federal social 7 33 services block grant for that fiscal year. 7 34 Eligible funding available under the federal temporary 7 35 assistance for needy families block grant that is not 8 1 appropriated or not otherwise expended shall be considered 8 2 reserved for economic downturns and welfare reform purposes 8 3 and is subject to further state appropriation to support 8 4 families in their movement toward self-sufficiency. 8 5 Sec. 4. FAMILY INVESTMENT PROGRAM ACCOUNT. 8 6 1. Moneys credited to the family investment program (FIP) 8 7 account for the fiscal year beginning July 1, 2000, and ending 8 8 June 30, 2001, shall be used in accordance with the following 8 9 requirements: 8 10 a. The department shall provide assistance in accordance 8 11 with chapter 239B. 8 12 b. The department shall continue the special needs program 8 13 under the family investment program. 8 14 c. The department shall continue to comply with federal 8 15 welfare reform data requirements pursuant to the 8 16 appropriations made for that purpose. 8 17 d. The department shall continue to contract for services 8 18 in developing and monitoring an entrepreneurial training 8 19 program to provide technical assistance to families which 8 20 receive assistance under the family investment program. 8 21 e. The department shall continue expansion of the 8 22 electronic benefit transfer program as necessary to comply 8 23 with federal requirements. Notwithstanding 1998 Iowa Acts, 8 24 chapter 1218, section 5, subsection 1, paragraph "d", and 1999 8 25 Iowa Acts, chapter 203, section 5, subsection 1, paragraph 8 26 "d", the target date for statewide implementation of the 8 27 program is October 1, 2002. 8 28 f. The department, in entering into a contract relating to 8 29 the equipment to be used in implementation of the electronic 8 30 benefits transfer program in accordance with section 234.12A, 8 31 shall only enter into a contract which provides for the use of 8 32 a card which is compatible with the standards established for 8 33 electronic transfer of funds under chapter 527 for a multiple- 8 34 use terminal as defined in section 527.2, and which only 8 35 provides for receipt of state benefits and entitlements under 9 1 the purview of the department of human services. 9 2 2. The department may use a portion of the moneys credited 9 3 to the family investment account under this section, as 9 4 necessary for salaries, support, maintenance, and 9 5 miscellaneous purposes for not more than the following full- 9 6 time equivalent positions: 9 7 ............................................... FTEs 8.00 9 8 3. The department may transfer funds in accordance with 9 9 section 8.39, either federal or state, to or from the child 9 10 care appropriations made for the fiscal year beginning July 1, 9 11 2000, if the department deems this would be a more effective 9 12 method of paying for JOBS program child care, to maximize 9 13 federal funding, or to meet federal maintenance of effort 9 14 requirements. 9 15 4. Moneys appropriated in this Act and credited to the 9 16 family investment program account for the fiscal year 9 17 beginning July 1, 2000, and ending June 30, 2001, are 9 18 allocated as follows: 9 19 a. For the food stamp employment and training program: 9 20 .................................................. $ 250,000 9 21 b. For the family development and self-sufficiency grant 9 22 program as provided under section 217.12: 9 23 .................................................. $ 5,697,825 9 24 (1) Of the funds allocated for the family development and 9 25 self-sufficiency grant program in this lettered paragraph, not 9 26 more than 5 percent of the funds shall be used for the 9 27 administration of the grant program. 9 28 (2) Based upon the annual evaluation report concerning 9 29 each grantee funded by previously appropriated funds and 9 30 through the solicitation of additional grant proposals, the 9 31 family development and self-sufficiency council may use the 9 32 allocated funds to renew or expand existing grants or award 9 33 new grants. In utilizing the increased funding to expand the 9 34 program, the council shall give consideration, in addition to 9 35 other criteria established by the council, to a grant 10 1 proposal's intended use of local funds with a grant and to 10 2 whether a grant proposal would expand the availability of the 10 3 program's services to a wider geographic area. 10 4 (3) Family development and self-sufficiency grantees shall 10 5 not supplant previous local funding with state or federal 10 6 funds. 10 7 (4) The department shall continue to implement the family 10 8 development and self-sufficiency grant program statewide 10 9 during FY 2000-2001. 10 10 c. For income maintenance reengineering: 10 11 .................................................. $ 700,000 10 12 d. For the diversion program and incentive grants as 10 13 follows: 10 14 (1) For the diversion subaccount of the family investment 10 15 program account: 10 16 .................................................. $ 3,200,000 10 17 Moneys allocated to the diversion subaccount shall be used 10 18 to continue the pilot initiative of providing incentives to 10 19 assist families who meet income eligibility requirements for 10 20 the family investment program in obtaining or retaining 10 21 employment, to assist participant families in overcoming 10 22 barriers to obtaining employment, and to assist families in 10 23 stabilizing employment and in reducing the likelihood of the 10 24 family returning to the family investment program. Incentives 10 25 may be provided in the form of payment or services. The 10 26 department may limit the availability of the pilot initiative 10 27 on the basis of geographic area or numbers of individuals 10 28 provided with incentives. The department shall attempt to 10 29 assess and screen individuals who would most likely benefit 10 30 from the services. The department shall continue the 10 31 diversion initiative in the fiscal year 2000-2001. In 10 32 addition to the full-time equivalent positions authorized in 10 33 this Act, 1.00 FTE is authorized and the department may use up 10 34 to $50,000 to facilitate community investment in welfare 10 35 reform and to support continuation of the diversion program. 11 1 The department may grant diversion moneys to the level of the 11 2 entity operating an initiative. The department may adopt 11 3 additional eligibility criteria as necessary for compliance 11 4 with federal law and for screening those families who would be 11 5 most likely to become eligible for the family investment 11 6 program if diversion incentives would not be provided. 11 7 (2) For continuation of innovative strategies on a 11 8 statewide or pilot project basis for supporting job retention, 11 9 family structure, or both, including services to noncustodial 11 10 parents and young parents: 11 11 .................................................. $ 650,000 11 12 (3) Of the moneys allocated in subparagraph (2), not more 11 13 than $250,000 shall be used to develop or continue community- 11 14 level parental obligation pilot projects. A pilot project 11 15 shall be operated with the goal of assisting parents who are 11 16 living apart in meeting their parental obligations and in 11 17 supporting their children. Any pilot project shall maximize 11 18 the use of existing community resources for family counseling, 11 19 legal services, mediation, job training and job skills 11 20 development, substance abuse treatment and prevention, health 11 21 maintenance, and personal mentoring. Local communities shall 11 22 also be encouraged to provide financial resources. 11 23 (a) Notwithstanding any other provision of law to the 11 24 contrary, the department shall develop procedures for the 11 25 pilot projects to expedite all of the following: 11 26 (i) The establishment and adjustment of support 11 27 obligations, with the consent of both parents, in a manner 11 28 which may deviate from the child support guidelines. 11 29 (ii) Changes in income withholding orders based on 11 30 individual case circumstances. 11 31 (iii) Satisfaction of a portion of support amounts owed to 11 32 the state based on cooperation and compliance by the 11 33 noncustodial parent with project requirements. 11 34 (iv) Adjustment of visitation and shared custody 11 35 arrangements in a manner which enhances the ability of each 12 1 parent to meet parental obligations. 12 2 (b) The department shall adopt rules for the development, 12 3 operation, and monitoring of a project; to establish the 12 4 minimum required amount of community support; to establish 12 5 expedited procedures; and to establish other criteria and 12 6 procedures as appropriate. 12 7 (c) The department shall use the funds authorized in this 12 8 subparagraph to employ one full-time equivalent position to 12 9 manage the pilot project or projects. The department shall 12 10 also use the authorized funds to employ other full-time 12 11 equivalent positions or to provide services, as necessary, to 12 12 assist in the coordination, development, and operation of 12 13 community-level pilot projects and to achieve the expedited 12 14 procedures established. Any full-time equivalent positions 12 15 authorized in this subparagraph subdivision are in addition to 12 16 any other full-time equivalent positions authorized by law. 12 17 (4) Of the moneys allocated in subparagraph (2), not more 12 18 than $200,000 shall be used to continue to study the impact 12 19 that moving unemployed family investment program parents into 12 20 employment has on the well-being of the children, the parent, 12 21 and the family. The department shall include in this well- 12 22 being study a method of actual contact with the families and 12 23 children, and shall consider broad-based impacts, such as 12 24 educational achievement, health status, housing stability, 12 25 family stability, and use of supportive social services. The 12 26 department shall also seek funding through foundations and the 12 27 federal government in order to supplement the funding for this 12 28 study. The results of the study shall be submitted to the 12 29 persons required by this Act to receive reports. 12 30 (5) Of the moneys allocated in subparagraph (2), not more 12 31 than $100,000 shall be used for providing additional incentive 12 32 payments to contracted agencies who demonstrate success at 12 33 completing well-being visits for families terminated from the 12 34 family investment program under a limited benefit plan. The 12 35 department shall use these funds to increase payments to 13 1 agencies who complete a higher percentage of well-being 13 2 visits, who achieve a significant percentage of visits in a 13 3 face-to-face format, or who are able to observe and interact 13 4 with the children during a significant percentage of visits. 13 5 5. Of the child support collections assigned under the 13 6 family investment program, an amount equal to the federal 13 7 share of support collections shall be credited to the child 13 8 support recovery appropriation. The remainder of the assigned 13 9 child support collections received by the child support 13 10 recovery unit shall be credited to the family investment 13 11 program account. 13 12 6. The department may adopt emergency administrative rules 13 13 for the family investment, food stamp, and medical assistance 13 14 programs, if necessary, to comply with federal requirements. 13 15 Prior to adoption of the rules, the department shall consult 13 16 with the welfare reform council and the chairpersons and 13 17 ranking members of the joint appropriations subcommittee on 13 18 human services. 13 19 7. The department may continue to streamline and simplify 13 20 the employer verification process for applicants, 13 21 participants, and employers in the administration of the 13 22 department's programs. The department may contract with 13 23 companies collecting data from employers when the information 13 24 is needed in the administration of these programs. The 13 25 department may limit the availability of the initiative on the 13 26 basis of geographic area or number of individuals. 13 27 Sec. 5. FAMILY INVESTMENT PROGRAM GENERAL FUND. There is 13 28 appropriated from the general fund of the state to the 13 29 department of human services for the fiscal year beginning 13 30 July 1, 2000, and ending June 30, 2001, the following amount, 13 31 or so much thereof as is necessary, to be used for the purpose 13 32 designated: 13 33 To be credited to the family investment program account and 13 34 used for family investment program assistance under chapter 13 35 239B: 14 1 .................................................. $ 35,545,738 14 2 1. The department of workforce development, in 14 3 consultation with the department of human services, shall 14 4 continue to utilize recruitment and employment practices to 14 5 include former and current family investment program 14 6 recipients. 14 7 2. The department of human services shall continue to work 14 8 with the department of workforce development and local 14 9 community collaborative efforts to provide support services 14 10 for family investment program participants. The support 14 11 services shall be directed to those participant families who 14 12 would benefit from the support services and are likely to have 14 13 success in achieving economic independence. 14 14 3. Of the funds appropriated in this section, $9,564,352 14 15 is allocated for the JOBS program. 14 16 4. The department shall continue to work with religious 14 17 organizations and other charitable institutions to increase 14 18 the availability of host homes, referred to as second chance 14 19 homes or other living arrangements under the federal Personal 14 20 Responsibility and Work Opportunity Reconciliation Act of 14 21 1996, Pub. L. No. 104-193, } 103. The purpose of the homes or 14 22 arrangements is to provide a supportive and supervised living 14 23 arrangement for minor parents receiving assistance under the 14 24 family investment program who, under chapter 239B, may receive 14 25 assistance while living in an alternative setting other than 14 26 with their parent or legal guardian. 14 27 Sec. 6. EMERGENCY ASSISTANCE. There is appropriated from 14 28 the general fund of the state to the department of human 14 29 services for the fiscal year beginning July 1, 2000, and 14 30 ending June 30, 2001, the following amount, or so much thereof 14 31 as is necessary, to be used for the purpose designated: 14 32 For emergency assistance to families with dependent 14 33 children for homeless prevention programs: 14 34 .................................................. $ 10,000 14 35 1. The emergency assistance provided for in this section 15 1 and federal moneys appropriated for this purpose in this Act 15 2 shall be available beginning October 1 of the fiscal year and 15 3 shall be provided only if all other publicly funded resources 15 4 have been exhausted. Specifically, emergency assistance is 15 5 the program of last resort and shall not supplant assistance 15 6 provided by the low-income home energy assistance program 15 7 (LIHEAP), county general relief, and veterans affairs 15 8 programs. The department shall establish a $500 maximum 15 9 payment, per family, in a twelve-month period. The emergency 15 10 assistance includes, but is not limited to, assisting people 15 11 who face eviction, potential eviction, or foreclosure, utility 15 12 shutoff or fuel shortage, loss of heating energy supply or 15 13 equipment, homelessness, utility or rental deposits, or other 15 14 specified crisis which threatens family or living 15 15 arrangements. The emergency assistance shall be available to 15 16 migrant families who would otherwise meet eligibility 15 17 criteria. The department may contract for the administration 15 18 and delivery of the program. The program shall be terminated 15 19 when funds are exhausted. 15 20 2. For the fiscal year beginning July 1, 2000, the 15 21 department shall continue the process for the state to receive 15 22 refunds of utility and rent deposits, including any accrued 15 23 interest, for emergency assistance recipients which were paid 15 24 by persons other than the state. The department shall also 15 25 receive refunds, including any accrued interest, of assistance 15 26 paid with funding available under this program. The refunds 15 27 received by the department under this subsection shall be 15 28 deposited with the moneys of the appropriation made in this 15 29 section and used as additional funds for the emergency 15 30 assistance program. Notwithstanding section 8.33, moneys 15 31 received by the department under this subsection which remain 15 32 after the emergency assistance program is terminated and state 15 33 or federal moneys in the emergency assistance account which 15 34 remain unobligated or unexpended at the close of the fiscal 15 35 year shall not revert to the general fund of the state but 16 1 shall remain available for expenditure when the program 16 2 resumes operation on October 1 in the succeeding fiscal year. 16 3 3. Of the funds appropriated in this section, $10,000 is 16 4 allocated to the community voice mail program to continue the 16 5 existing program. The funds shall be made available beginning 16 6 July 1, 2000. The community voice mail program shall submit 16 7 semiannual reports to the department which, at a minimum, 16 8 specify, on a county basis, the unduplicated number of 16 9 households participating in the program for the previous six- 16 10 month period. The report shall be submitted no later than the 16 11 last business day of the month immediately following the end 16 12 of the six-month period. 16 13 Sec. 7. CHILD SUPPORT RECOVERY. There is appropriated 16 14 from the general fund of the state to the department of human 16 15 services for the fiscal year beginning July 1, 2000, and 16 16 ending June 30, 2001, the following amount, or so much thereof 16 17 as is necessary, to be used for the purposes designated: 16 18 For child support recovery, including salaries, support, 16 19 maintenance, and miscellaneous purposes and for not more than 16 20 the following full-time equivalent positions: 16 21 .................................................. $ 6,454,841 16 22 ............................................... FTEs 275.22 16 23 1. The director of human services, within the limitations 16 24 of the moneys appropriated in this section, or moneys 16 25 transferred from the family investment program account for 16 26 this purpose, shall establish new positions and add employees 16 27 to the child support recovery unit if the director determines 16 28 that both the current and additional employees together can 16 29 reasonably be expected to maintain or increase net state 16 30 revenue at or beyond the budgeted level. 16 31 2. Nonpublic assistance application fees and other user 16 32 fees received by the child support recovery unit are 16 33 appropriated and shall be used for the purposes of the child 16 34 support recovery program. The director of human services may 16 35 add positions within the limitations of the amount 17 1 appropriated for salaries and support for the positions. 17 2 3. The director of human services, in consultation with 17 3 the department of management and the legislative fiscal 17 4 committee, is authorized to receive and deposit state child 17 5 support incentive earnings in the manner specified under 17 6 applicable federal requirements. 17 7 4. a. The director of human services may establish new 17 8 positions and add state employees to the child support 17 9 recovery unit or contract for delivery of services if the 17 10 director determines the employees are necessary to replace 17 11 county-funded positions eliminated due to termination, 17 12 reduction, or nonrenewal of a chapter 28E contract. However, 17 13 the director must also determine that the resulting increase 17 14 in the state share of child support recovery incentives 17 15 exceeds the cost of the positions or contract, the positions 17 16 or contract are necessary to ensure continued federal funding 17 17 of the program, or the new positions or contract can 17 18 reasonably be expected to recover at least twice the amount of 17 19 money necessary to pay the salaries and support for the new 17 20 positions or the contract will generate at least 200 percent 17 21 of the cost of the contract. 17 22 b. Employees in full-time positions that transition from 17 23 county government to state government employment under this 17 24 subsection are exempt from testing, selection, and appointment 17 25 provisions of chapter 19A and from the provisions of 17 26 collective bargaining agreements relating to the filling of 17 27 vacant positions. 17 28 5. If initiated by the judicial branch, the child support 17 29 recovery unit shall continue to work with the judicial branch 17 30 to determine the feasibility of implementing a pilot project 17 31 utilizing a court-appointed referee for judicial 17 32 determinations on child support matters. The extent and 17 33 location of any pilot project shall be jointly developed by 17 34 the judicial branch and the child support recovery unit. 17 35 6. Surcharges paid by obligors and received by the unit as 18 1 a result of the referral of support delinquency by the child 18 2 support recovery unit to any private collection agency are 18 3 appropriated to the department and shall be used to pay the 18 4 costs of any contracts with the collection agencies. 18 5 Sec. 8. MEDICAL ASSISTANCE. There is appropriated from 18 6 the general fund of the state to the department of human 18 7 services for the fiscal year beginning July 1, 2000, and 18 8 ending June 30, 2001, the following amount, or so much thereof 18 9 as is necessary, to be used for the purpose designated: 18 10 For medical assistance, including reimbursement for 18 11 abortion services, which shall be available under the medical 18 12 assistance program only for those abortions which are 18 13 medically necessary: 18 14 .................................................. $422,451,028 18 15 1. Medically necessary abortions are those performed under 18 16 any of the following conditions: 18 17 a. The attending physician certifies that continuing the 18 18 pregnancy would endanger the life of the pregnant woman. 18 19 b. The attending physician certifies that the fetus is 18 20 physically deformed, mentally deficient, or afflicted with a 18 21 congenital illness. 18 22 c. The pregnancy is the result of a rape which is reported 18 23 within 45 days of the incident to a law enforcement agency or 18 24 public or private health agency which may include a family 18 25 physician. 18 26 d. The pregnancy is the result of incest which is reported 18 27 within 150 days of the incident to a law enforcement agency or 18 28 public or private health agency which may include a family 18 29 physician. 18 30 e. Any spontaneous abortion, commonly known as a 18 31 miscarriage, if not all of the products of conception are 18 32 expelled. 18 33 2. Notwithstanding section 8.39, the department may 18 34 transfer funds appropriated in this section to a separate 18 35 account established in the department's case management unit 19 1 for expenditures required to provide case management services 19 2 for mental health, mental retardation, and developmental 19 3 disabilities services under medical assistance which are 19 4 jointly funded by the state and county, pending final 19 5 settlement of the expenditures. Funds received by the case 19 6 management unit in settlement of the expenditures shall be 19 7 used to replace the transferred funds and are available for 19 8 the purposes for which the funds were appropriated in this 19 9 section. 19 10 3. a. The county of legal settlement shall be billed for 19 11 50 percent of the nonfederal share of the cost of case 19 12 management provided for adults, day treatment, and partial 19 13 hospitalization in accordance with sections 249A.26 and 19 14 249A.27, and 100 percent of the nonfederal share of the cost 19 15 of care for adults which is reimbursed under a federally 19 16 approved home and community-based waiver that would otherwise 19 17 be approved for provision in an intermediate care facility for 19 18 persons with mental retardation, provided under the medical 19 19 assistance program. The state shall have responsibility for 19 20 the remaining 50 percent of the nonfederal share of the cost 19 21 of case management provided for adults, day treatment, and 19 22 partial hospitalization. For persons without a county of 19 23 legal settlement, the state shall have responsibility for 100 19 24 percent of the nonfederal share of the costs of case 19 25 management provided for adults, day treatment, partial 19 26 hospitalization, and the home and community-based waiver 19 27 services. The case management services specified in this 19 28 subsection shall be billed to a county only if the services 19 29 are provided outside of a managed care contract. 19 30 b. The state shall pay the entire nonfederal share of the 19 31 costs for case management services provided to persons 17 19 32 years of age and younger who are served in a medical 19 33 assistance home and community-based waiver program for persons 19 34 with mental retardation. 19 35 c. Medical assistance funding for case management services 20 1 for eligible persons 17 years of age and younger shall also be 20 2 provided to persons residing in counties with child welfare 20 3 decategorization projects implemented in accordance with 20 4 section 232.188, provided these projects have included these 20 5 persons in their service plan and the decategorization project 20 6 county is willing to provide the nonfederal share of costs. 20 7 d. When paying the necessary and legal expenses of 20 8 intermediate care facilities for persons with mental 20 9 retardation (ICFMR), the cost payment requirements of section 20 10 222.60 shall be considered fulfilled when payment is made in 20 11 accordance with the medical assistance payment rates 20 12 established for ICFMRs by the department and the state or a 20 13 county of legal settlement is not obligated for any amount in 20 14 excess of the rates. 20 15 4. The department shall utilize not more than $60,000 of 20 16 the funds appropriated in this section to continue the 20 17 AIDS/HIV health insurance premium payment program as 20 18 established in 1992 Iowa Acts, Second Extraordinary Session, 20 19 Chapter 1001, section 409, subsection 6. Of the funds 20 20 allocated in this subsection, not more than $5,000 may be 20 21 expended for administrative purposes. 20 22 5. Of the funds appropriated to the Iowa department of 20 23 public health for substance abuse grants, $950,000 for the 20 24 fiscal year beginning July 1, 2000, shall be transferred to 20 25 the department of human services for an integrated substance 20 26 abuse managed care system. 20 27 6. In administering the medical assistance home and 20 28 community-based waiver for persons with physical disabilities, 20 29 the total number of openings for persons with physical 20 30 disabilities served at any one time shall be limited to the 20 31 number approved in the waiver by the secretary of the United 20 32 States department of health and human services. The openings 20 33 shall be available on a first-come, first-served basis. 20 34 7. The department of human services, in consultation with 20 35 the Iowa department of public health and the department of 21 1 education, shall continue the program to utilize the early and 21 2 periodic screening, diagnosis, and treatment (EPSDT) funding 21 3 under medical assistance, to the extent possible, to implement 21 4 the screening component of the EPSDT program through the 21 5 school system. The department may enter into contracts to 21 6 utilize maternal and child health centers, the public health 21 7 nursing program, or school nurses in implementing this 21 8 provision. 21 9 8. The department shall continue the case study for 21 10 outcome-based performance standards for programs serving 21 11 persons with mental retardation or other developmental 21 12 disabilities proposed pursuant to 1994 Iowa Acts, chapter 21 13 1170, section 56. 21 14 9. The department shall continue to pursue federal 21 15 approval of a medical assistance home and community-based 21 16 services waiver to allow children with mental retardation, who 21 17 would otherwise require ICF/MR care, to be served in out-of- 21 18 home settings of up to eight beds which meet standards 21 19 established by the department. If the waiver is not approved, 21 20 up to $1,487,314 of the funds appropriated in this section may 21 21 be transferred to the appropriation in this Act for child and 21 22 family services, to be used for group foster care maintenance 21 23 and services. 21 24 10. The department shall discontinue the following pilot 21 25 programs on July 1, 2000: 21 26 a. The telemedicine pilot program. 21 27 b. The physician supervised weight-loss pilot program. 21 28 11. The department shall work with county representatives 21 29 in aggressively taking the steps necessary to implement the 21 30 rehabilitation option for services to persons with chronic 21 31 mental illness under the medical assistance program through 21 32 use of county funding as a match for the federal funding. 21 33 12. Of the funds appropriated in this section, the 21 34 department shall use up to $414,000 to implement a disease- 21 35 specific pharmaceutical case management study, no later than 22 1 July 1, 2001, to measure the effects of case management for 22 2 medical assistance recipients identified by the department as 22 3 being at high risk for medication-related problems. The funds 22 4 shall be used to equally reimburse physician-pharmacist teams 22 5 for participation in the study. An advisory committee whose 22 6 membership consists of representatives of the Iowa medical 22 7 society, the Iowa pharmacy association, and the department of 22 8 human services shall establish and implement the 22 9 pharmaceutical case management study. The university of Iowa 22 10 colleges of medicine and pharmacy shall perform an evaluation 22 11 of the study at no cost to the state and shall submit a final 22 12 report of the findings of the evaluation and any 22 13 recommendations to the general assembly by December 15, 2002. 22 14 The department shall submit a progress report relating to the 22 15 program by December 15, 2001, and a final report by December 22 16 15, 2002, to the general assembly. The department may adopt 22 17 emergency rules to implement the provisions of this 22 18 subsection. 22 19 13. The department shall increase the medical assistance 22 20 eligibility income limit for pregnant women and infants under 22 21 the mothers and children category to 200 percent of the 22 22 federal poverty level. 22 23 14. If the health care financing administration approves a 22 24 waiver request from the department, the department shall 22 25 provide a period of 24 months of guaranteed eligibility for 22 26 medical assistance family planning services, regardless of the 22 27 change in circumstances of a woman who was a medical 22 28 assistance recipient when a pregnancy ended. 22 29 15. The department of human services shall seek a waiver 22 30 from the health care financing administration of the United 22 31 States department of health and human services to implement a 22 32 pilot project in fiscal year 2000-2001 to study the effects of 22 33 providing continuous eligibility for children under the 22 34 medical assistance program. If the waiver is approved, the 22 35 pilot project shall be implemented in one rural and one urban 23 1 county, and the department shall enter into a contract with an 23 2 entity outside of the department to perform an evaluation of 23 3 the pilot project. The evaluating entity shall submit a 23 4 report to the general assembly on or before December 15, 2000, 23 5 regarding the findings of the pilot project including, but not 23 6 limited to, any increased costs which may be incurred through 23 7 continuous eligibility. The report shall also include 23 8 recommendations for discontinuation or expansion of the pilot 23 9 project. Of the funds appropriated in this Act for medical 23 10 contracts, not more than $50,000 may be used for the 23 11 performance of the evaluation. 23 12 Sec. 9. HEALTH INSURANCE PREMIUM PAYMENT PROGRAM. There 23 13 is appropriated from the general fund of the state to the 23 14 department of human services for the fiscal year beginning 23 15 July 1, 2000, and ending June 30, 2001, the following amount, 23 16 or so much thereof as is necessary, to be used for the purpose 23 17 designated: 23 18 For administration of the health insurance premium payment 23 19 program, including salaries, support, maintenance, and 23 20 miscellaneous purposes, and for not more than the following 23 21 full-time equivalent positions: 23 22 .................................................. $ 400,721 23 23 ............................................... FTEs 17.00 23 24 Sec. 10. CHILDREN'S HEALTH INSURANCE PROGRAM. There is 23 25 appropriated from the general fund of the state to the 23 26 department of human services for the fiscal year beginning 23 27 July 1, 2000, and ending June 30, 2001, the following amount, 23 28 or so much thereof as is necessary, to be used for the purpose 23 29 designated: 23 30 For maintenance of the healthy and well kids in Iowa (HAWK- 23 31 I) program pursuant to chapter 514I for receipt of federal 23 32 financial participation under Title XXI of the federal Social 23 33 Security Act, which creates the state children's health 23 34 insurance program: 23 35 .................................................. $ 4,984,508 24 1 1. The department may transfer funds appropriated in this 24 2 Act for medical assistance to be used for the purpose of 24 3 expanding health care coverage to children under the medical 24 4 assistance program. The department shall provide periodic 24 5 updates to the general assembly of expenditures of funds 24 6 appropriated in this section. 24 7 2. A participating insurer shall provide a report to the 24 8 HAWK-I board and to the general assembly by January 15, 2001, 24 9 specifying the actual cost of providing monthly coverage to 24 10 eligible children under the children's health insurance 24 11 program. 24 12 3. Moneys in the HAWK-I trust fund are appropriated and 24 13 shall be used to offset any program costs for the fiscal year 24 14 beginning July 1, 2000, and ending June 30, 2001. 24 15 Sec. 11. MEDICAL CONTRACTS. There is appropriated from 24 16 the general fund of the state to the department of human 24 17 services for the fiscal year beginning July 1, 2000, and 24 18 ending June 30, 2001, the following amount, or so much thereof 24 19 as is necessary, to be used for the purpose designated: 24 20 For medical contracts: 24 21 .................................................. $ 8,276,282 24 22 In any managed care contract for mental health or substance 24 23 abuse services entered into by the department on or after July 24 24 1, 2000, the request for proposals shall provide for coverage 24 25 of dual diagnosis mental health and substance abuse treatment. 24 26 To the extent possible, the department shall also amend any 24 27 such contract existing on July 1, 2000, to provide for such 24 28 coverage. 24 29 Sec. 12. STATE SUPPLEMENTARY ASSISTANCE. There is 24 30 appropriated from the general fund of the state to the 24 31 department of human services for the fiscal year beginning 24 32 July 1, 2000, and ending June 30, 2001, the following amount, 24 33 or so much thereof as is necessary, to be used for the 24 34 purposes designated: 24 35 For state supplementary assistance, funeral assistance, and 25 1 the medical assistance home and community-based services 25 2 waiver rent subsidy program: 25 3 .................................................. $ 19,985,747 25 4 1. The department shall increase the personal needs 25 5 allowance for residents of residential care facilities by the 25 6 same percentage and at the same time as federal supplemental 25 7 security income and federal social security benefits are 25 8 increased due to a recognized increase in the cost of living. 25 9 The department may adopt emergency rules to implement this 25 10 subsection. 25 11 2. a. If during the fiscal year beginning July 1, 2000, 25 12 the department projects that state supplementary assistance 25 13 expenditures for a calendar year will not meet the federal 25 14 pass-along requirement specified in Title XVI of the federal 25 15 Social Security Act, section 1618, as codified in 42 U.S.C. } 25 16 1382g, the department may take actions including but not 25 17 limited to increasing the personal needs allowance for 25 18 residential care facility residents and making programmatic 25 19 adjustments or upward adjustments of the residential care 25 20 facility or in-home health-related care reimbursement rates 25 21 prescribed in this Act to ensure that federal requirements are 25 22 met. The department may adopt emergency rules to implement 25 23 the provisions of this subsection. 25 24 b. If during the fiscal year beginning July 1, 2000, the 25 25 department projects that state supplementary assistance 25 26 expenditures will exceed the amount appropriated, the 25 27 department may transfer funds appropriated in this Act for 25 28 medical assistance for the purposes of the state supplementary 25 29 assistance program. However, funds shall only be transferred 25 30 from the medical assistance appropriation if the funds 25 31 transferred are projected to be in excess of the funds 25 32 necessary for the medical assistance program. 25 33 3. The department may use up to $75,000 of the funds 25 34 appropriated in this section for a rent subsidy program for 25 35 adult persons to whom all of the following apply: 26 1 a. Are receiving assistance under a medical assistance 26 2 home and community-based services (HCBS) waiver. 26 3 b. Were discharged from a medical institution in which 26 4 they have resided or were at risk of institutional placement, 26 5 not to exceed 100 slots. Within available funding and 26 6 demonstrated need, the department may make subsidy funds 26 7 available to HCBS waiver-eligible adults meeting criteria in 26 8 paragraph "a" and this paragraph at any time on or after July 26 9 1, 1995. 26 10 The goal of the subsidy program shall be to encourage and 26 11 assist in enabling persons who currently reside in a medical 26 12 institution to move to a community living arrangement. An 26 13 eligible person may receive assistance in meeting their rental 26 14 expense and, in the initial two months of eligibility, in 26 15 purchasing necessary household furnishings and supplies. The 26 16 program shall be implemented so that it does not meet the 26 17 federal definition of state supplementary assistance and will 26 18 not impact the federal pass-along requirement specified in 26 19 Title XVI of the federal Social Security Act, section 1618, as 26 20 codified in 42 U.S.C. } 1382g. 26 21 Sec. 13. CHILD CARE ASSISTANCE. There is appropriated 26 22 from the general fund of the state to the department of human 26 23 services for the fiscal year beginning July 1, 2000, and 26 24 ending June 30, 2001, the following amount, or so much thereof 26 25 as is necessary, to be used for the purpose designated: 26 26 For child care programs: 26 27 ................................................. $ 5,050,752 26 28 1. Of the funds appropriated in this section, $4,414,109 26 29 shall be used for state child care assistance. 26 30 2. For the purposes of this subsection, the term "poverty 26 31 level" means the poverty level defined by the poverty income 26 32 guidelines published by the United States department of health 26 33 and human services. Based upon the availability of the 26 34 funding provided in this Act and other funding appropriated 26 35 for state child care assistance, the department shall 27 1 establish waiting lists for state child care assistance in 27 2 descending order of prioritization as follows: 27 3 a. Families with an income at or below 100 percent of the 27 4 federal poverty level whose members are employed at least 28 27 5 hours per week, and parents with a family income at or below 27 6 100 percent of the federal poverty level who are under the age 27 7 of 21 and are participating in an educational program leading 27 8 to a high school diploma or equivalent. 27 9 b. Parents with a family income at or below 100 percent of 27 10 the federal poverty level who are under the age of 21 and are 27 11 participating, at a satisfactory level, in an approved 27 12 training program or in an educational program. 27 13 c. Families with an income of more than 100 percent but 27 14 not more than 140 percent of the federal poverty level whose 27 15 members are employed at least 28 hours per week. 27 16 d. Families with an income at or below 175 percent of the 27 17 federal poverty level whose members are employed at least 28 27 18 hours per week with a special needs child as a member of the 27 19 family. 27 20 3. Nothing in this section shall be construed or is 27 21 intended as, or shall imply, a grant of entitlement for 27 22 services to persons who are eligible for assistance due to an 27 23 income level consistent with the requirements of this section. 27 24 Any state obligation to provide services pursuant to this 27 25 section is limited to the extent of the funds appropriated in 27 26 this section. 27 27 4. Of the funds appropriated in this section, $636,641 is 27 28 allocated for the statewide program for child care resource 27 29 and referral services under section 237A.26. 27 30 5. The department may use any of the funds appropriated in 27 31 this section as a match to obtain federal funds for use in 27 32 expanding child care assistance and related programs. For the 27 33 purpose of expenditures of state and federal child care 27 34 funding, funds shall be considered obligated at the time 27 35 expenditures are projected or are allocated to the 28 1 department's regions. Projections shall be based on current 28 2 and projected caseload growth, current and projected provider 28 3 rates, staffing requirements for eligibility determination and 28 4 management of program requirements including data systems 28 5 management, staffing requirements for administration of the 28 6 program, contractual and grant obligations and any transfers 28 7 to other state agencies, and obligations for decategorization 28 8 or innovation projects. 28 9 6. During the 2000-2001 fiscal year, the department shall 28 10 utilize the moneys deposited in the child care credit fund 28 11 created in section 237A.28 for state child care assistance, in 28 12 addition to the moneys allocated for that purpose in this 28 13 section. 28 14 Sec. 14. JUVENILE INSTITUTIONS. There is appropriated 28 15 from the general fund of the state to the department of human 28 16 services for the fiscal year beginning July 1, 2000, and 28 17 ending June 30, 2001, the following amounts, or so much 28 18 thereof as is necessary, to be used for the purposes 28 19 designated: 28 20 1. For operation of the Iowa juvenile home at Toledo: 28 21 .................................................. $ 6,296,956 28 22 ............................................... FTEs 136.54 28 23 It is the intent of the general assembly that beginning in 28 24 the fiscal year commencing on July 1, 2001, the Iowa juvenile 28 25 home at Toledo will serve only females. In preparation for 28 26 this change, the department shall develop service options to 28 27 appropriately place males for whom placement at the Iowa 28 28 juvenile home would otherwise be appropriate. The principal 28 29 option considered in placing males shall be placement at 28 30 existing state or community-based facilities. 28 31 2. For operation of the state training school at Eldora: 28 32 .................................................. $ 10,381,263 28 33 ............................................... FTEs 229.53 28 34 Of the funding appropriated in this subsection, $40,000 is 28 35 designated for aftercare services for persons who were placed 29 1 at the state training school at Eldora. 29 2 3. During the fiscal year beginning July 1, 2000, the 29 3 population levels at the state juvenile institutions shall not 29 4 exceed the population guidelines established under 1990 Iowa 29 5 Acts, chapter 1239, section 21, as adjusted for additional 29 6 beds developed at the institutions. 29 7 4. A portion of the moneys appropriated in this section 29 8 shall be used by the state training school and by the Iowa 29 9 juvenile home for grants for adolescent pregnancy prevention 29 10 activities at the institutions in the fiscal year beginning 29 11 July 1, 2000. 29 12 5. Within the amounts appropriated in this section, the 29 13 department may transfer funds as necessary to best fulfill the 29 14 needs of the institutions provided for in the appropriation. 29 15 Sec. 15. CHILD AND FAMILY SERVICES. There is appropriated 29 16 from the general fund of the state to the department of human 29 17 services for the fiscal year beginning July 1, 2000, and 29 18 ending June 30, 2001, the following amount, or so much thereof 29 19 as is necessary, to be used for the purpose designated: 29 20 For child and family services: 29 21 .................................................. $108,788,161 29 22 1. The department may transfer funds appropriated in this 29 23 section as necessary to pay the nonfederal costs of services 29 24 reimbursed under medical assistance or the family investment 29 25 program which are provided to children who would otherwise 29 26 receive services paid under the appropriation in this section. 29 27 The department may transfer funds appropriated in this section 29 28 to the appropriations in this Act for general administration 29 29 and for field operations for resources necessary to implement 29 30 and operate the services funded in this section. 29 31 2. a. Of the funds appropriated in this section, up to 29 32 $27,764,744 is allocated as the statewide expenditure target 29 33 under section 232.143 for group foster care maintenance and 29 34 services. 29 35 b. If at any time after September 30, 2000, annualization 30 1 of a region's current expenditures indicates a region is at 30 2 risk of exceeding its group foster care expenditure target 30 3 under section 232.143 by more than five percent, the 30 4 department and juvenile court services shall examine all group 30 5 foster care placements in that region in order to identify 30 6 those which might be appropriate for termination. In 30 7 addition, any aftercare services believed to be needed for the 30 8 children whose placements may be terminated shall be 30 9 identified. The department and juvenile court services shall 30 10 initiate action to set dispositional review hearings for the 30 11 placements identified. In such a dispositional review 30 12 hearing, the juvenile court shall determine whether needed 30 13 aftercare services are available and whether termination of 30 14 the placement is in the best interest of the child and the 30 15 community. 30 16 c. (1) Of the funds appropriated in this section, not 30 17 more than $7,059,682 is allocated as the state match funding 30 18 for psychiatric medical institutions for children. 30 19 (2) The department may transfer all or a portion of the 30 20 amount allocated in this lettered paragraph for psychiatric 30 21 medical institutions for children (PMICs) to the appropriation 30 22 in this Act for medical assistance. 30 23 d. Of the funds allocated in this subsection, $1,405,588 30 24 is allocated as the state match funding for 50 highly 30 25 structured juvenile program beds. If the number of beds 30 26 provided for in this lettered paragraph is not utilized, the 30 27 remaining funds allocated may be used for group foster care. 30 28 e. For the fiscal year beginning July 1, 2000, the 30 29 requirements of section 232.143 applicable to the juvenile 30 30 court and to representatives of the juvenile court shall be 30 31 applicable instead to juvenile court services and to 30 32 representatives of juvenile court services. The 30 33 representatives appointed by the department of human services 30 34 and by juvenile court services to establish the plan to 30 35 contain expenditures for children placed in group foster care 31 1 ordered by the court within the budget target allocated to the 31 2 region shall establish the plan in a manner so as to ensure 31 3 the moneys allocated to the region under section 232.141 shall 31 4 last the entire fiscal year. Funds for a child placed in 31 5 group foster care shall be considered encumbered for the 31 6 duration of the child's projected or actual length of stay, 31 7 whichever is applicable. 31 8 f. The funding allocation in this subsection provides 31 9 additional funding, compared to the prior fiscal year, in an 31 10 amount equal to the cost of 41 group foster care beds. It is 31 11 the intent of the general assembly that the additional funding 31 12 allow for the availability of at least 20 additional beds to 31 13 be available for placement of females. 31 14 3. The department shall continue the goal that not more 31 15 than 15 percent of the children placed in foster care funded 31 16 under the federal Social Security Act, Title IV-E, may be 31 17 placed in foster care for a period of more than 24 months. 31 18 4. In accordance with the provisions of section 232.188, 31 19 the department shall continue the program to decategorize 31 20 child welfare services in additional counties or clusters of 31 21 counties. 31 22 5. A portion of the funding appropriated in this section 31 23 may be used for emergency family assistance to provide other 31 24 resources required for a family participating in a family 31 25 preservation or reunification project to stay together or to 31 26 be reunified. 31 27 6. Notwithstanding section 234.35, subsection 1, for the 31 28 fiscal year beginning July 1, 2000, state funding for shelter 31 29 care paid pursuant to section 234.35, subsection 1, paragraph 31 30 "h", shall be limited to $7,155,611. 31 31 7. Of the funding appropriated in this section, up to 31 32 $627,616 may be used as determined by the department for any 31 33 of the following purposes: 31 34 a. For general administration of the department to improve 31 35 staff training efforts. 32 1 b. For oversight of termination of parental rights and 32 2 permanency planning efforts on a statewide basis. 32 3 c. For personnel, assigned by the attorney general, to 32 4 provide additional services relating to termination of 32 5 parental rights and child in need of assistance cases. 32 6 d. For specialized permanency planning field operations 32 7 staff. 32 8 8. The department may adopt administrative rules following 32 9 consultation with child welfare services providers to 32 10 implement outcome-based child welfare services pilot projects. 32 11 The rules may include, but are not limited to, the development 32 12 of program descriptions, provider licensing and certification 32 13 standards, reimbursement and payment amounts, contract 32 14 requirements, assessment and service necessity requirements, 32 15 eligibility criteria, claims submission procedures, and 32 16 accountability standards. 32 17 9. The department shall continue to make adoption 32 18 presubsidy and adoption subsidy payments to adoptive parents 32 19 at the beginning of the month for the current month. 32 20 10. Federal funds received by the state during the fiscal 32 21 year beginning July 1, 2000, as the result of the expenditure 32 22 of state funds appropriated during a previous state fiscal 32 23 year for a service or activity funded under this section, 32 24 shall be used as additional funding for services provided 32 25 under this section. Moneys received by the department in 32 26 accordance with the provisions of this subsection shall remain 32 27 available for the purposes designated until June 30, 2002, 32 28 notwithstanding section 8.33. 32 29 11. The department and juvenile court services shall 32 30 continue to develop criteria for the department regional 32 31 administrator and chief juvenile court officer to grant 32 32 exceptions to extend eligibility, within the funds allocated, 32 33 for intensive tracking and supervision and for supervised 32 34 community treatment to delinquent youth beyond age 18 who are 32 35 subject to release from the state training school, a highly 33 1 structured juvenile program, or group foster care. 33 2 12. Of the moneys appropriated in this section, not more 33 3 than $313,550 is allocated to provide clinical assessment 33 4 services as necessary to continue funding of children's 33 5 rehabilitation services under medical assistance in accordance 33 6 with federal law and requirements. The funding allocated is 33 7 the amount projected to be necessary for providing the 33 8 clinical assessment services. 33 9 13. Of the funding appropriated in this section, 33 10 $3,696,286 shall be used for protective child care assistance. 33 11 14. Of the moneys appropriated in this section, up to 33 12 $3,290,000 is allocated for the payment of the expenses of 33 13 court-ordered services provided to juveniles which are a 33 14 charge upon the state pursuant to section 232.141, subsection 33 15 4. 33 16 a. Notwithstanding section 232.141 or any other provision 33 17 of law, the amount allocated in this subsection shall be 33 18 distributed to the judicial districts as determined by the 33 19 state court administrator. The state court administrator 33 20 shall make the determination of the distribution amounts on or 33 21 before June 15, 2000. 33 22 b. Each judicial district shall continue the planning 33 23 group for the court-ordered services for juveniles provided in 33 24 that district which was established pursuant to 1991 Iowa 33 25 Acts, chapter 267, section 119. A planning group shall 33 26 continue to perform its duties as specified in that law. 33 27 Reimbursement rates for providers of court-ordered evaluation 33 28 and treatment services paid under section 232.141, subsection 33 29 4, shall be negotiated with providers by each judicial 33 30 district's planning group. 33 31 c. The department of human services shall develop policies 33 32 and procedures to ensure that the funds allocated in this 33 33 subsection are spent only after all other reasonable actions 33 34 have been taken to utilize other funding sources and 33 35 community-based services. The policies and procedures shall 34 1 be designed to achieve the following objectives relating to 34 2 services provided under chapter 232: 34 3 (1) Maximize the utilization of funds which may be 34 4 available from the medical assistance program including usage 34 5 of the early and periodic screening, diagnosis, and treatment 34 6 (EPSDT) program. 34 7 (2) Recover payments from any third-party insurance 34 8 carrier which is liable for coverage of the services, 34 9 including health insurance coverage. 34 10 (3) Pursue development of agreements with regularly 34 11 utilized out-of-state service providers which are intended to 34 12 reduce per diem costs paid to those providers. 34 13 d. Notwithstanding chapter 232 or any other provision of 34 14 law, a district or juvenile court in a department of human 34 15 services district shall not order any service which is a 34 16 charge upon the state pursuant to section 232.141 if there are 34 17 insufficient court-ordered services funds available in the 34 18 district distribution amount to pay for the service. The 34 19 chief juvenile court officer shall work with the judicial 34 20 district planning group to encourage use of the funds 34 21 allocated in this subsection such that there are sufficient 34 22 funds to pay for all court-related services during the entire 34 23 year. The eight chief juvenile court officers shall attempt 34 24 to anticipate potential surpluses and shortfalls in the 34 25 distribution amounts and shall cooperatively request the state 34 26 court administrator to transfer funds between the districts' 34 27 distribution amounts as prudent. 34 28 e. Notwithstanding any provision of law to the contrary, a 34 29 district or juvenile court shall not order a county to pay for 34 30 any service provided to a juvenile pursuant to an order 34 31 entered under chapter 232 which is a charge upon the state 34 32 under section 232.141, subsection 4. 34 33 f. Of the funding allocated in this subsection, not more 34 34 than $100,000 may be used by the judicial branch for 34 35 administration of the requirements under this subsection and 35 1 for travel associated with court-ordered placements which are 35 2 a charge upon the state pursuant to section 232.141, 35 3 subsection 4. 35 4 15. a. Of the funding appropriated in this section, 35 5 $4,758,000 is allocated to provide school-based supervision of 35 6 children adjudicated under chapter 232, including not more 35 7 than $580,000 from the allocation in this section for court- 35 8 ordered services. Not more than $15,000 of the funding 35 9 allocated in this subsection may be used for the purpose of 35 10 training. 35 11 b. To the extent possible, the personnel providing school- 35 12 based services shall be prepared with training or experience 35 13 relating to gender-specific programming to best intervene with 35 14 youth at risk of being found delinquent or determined to be a 35 15 child in need of assistance. 35 16 16. Of the moneys appropriated in this section, up to 35 17 $50,000 may be used to support the child welfare services work 35 18 group. 35 19 17. Of the funds appropriated in this section, $688,167 35 20 shall be used to provide day treatment and aftercare services 35 21 to juvenile females based upon a total of 100 slots, with an 35 22 average cost of $41 per day, for the school year and summer 35 23 school period. Funding shall be distributed in an equitable 35 24 manner, geographically, throughout the state and shall be 35 25 distributed proportionately to reflect actual service need. 35 26 18. The department shall maximize the capacity to draw 35 27 federal funding under Title IV-E of the federal Social 35 28 Security Act. 35 29 19. The department of human services shall convene a work 35 30 group to determine the most appropriate methodology and manner 35 31 for payment for services provided by psychiatric medical 35 32 institutions for children (PMICs) funded under this section. 35 33 The work group shall include representatives of providers of 35 34 such services, shall be geographically balanced, and shall be 35 35 representative of both large and small providers. The work 36 1 group's review shall include, at a minimum, retaining the 36 2 current reimbursement methodology, providing reimbursement 36 3 through the Iowa plan for behavioral health, providing 36 4 reimbursement and supervision through the rehabilitative 36 5 treatment and supported services program, or incorporating 36 6 PMIC services into a revised service system developed pursuant 36 7 to the recommendations of the legislative council's child 36 8 welfare services work group. A priority in any determination 36 9 shall be ensuring that the current level of federal financial 36 10 participation is maintained at the maximum level. A final 36 11 determination of the most appropriate methodology and manner 36 12 for payment shall be made and implemented no later than 36 13 December 10, 2000. The director of the department of human 36 14 services shall inform the general assembly of the final 36 15 determination no later than December 15, 2000. 36 16 20. Of the funds appropriated in this section, $118,642 is 36 17 allocated as the state match for the federal safe and stable 36 18 families grant available under Title IV-B of the federal 36 19 Social Security Act and this allocation shall not be used, 36 20 transferred, expended, or encumbered for any other purpose. 36 21 21. a. Notwithstanding section 234.39, subsection 5, and 36 22 notwithstanding section 8.33, $131,000 of the moneys 36 23 appropriated in 1999 Iowa Acts, chapter 203, section 15, 36 24 subsection 9, for the subsidized guardianship program shall 36 25 not revert at the close of the fiscal year but shall remain 36 26 available in the succeeding fiscal year to be expended for the 36 27 purposes of this section. 36 28 b. Notwithstanding section 8.33, any moneys transferred 36 29 pursuant to 1999 Iowa Acts, chapter 203, section 15, 36 30 subsection 20, paragraph "c", remaining unexpended or 36 31 unobligated at the close of the fiscal year shall not revert, 36 32 but shall remain available in the succeeding fiscal year to be 36 33 expended to complete the child welfare results-based reporting 36 34 mechanism. 36 35 Sec. 16. COMMUNITY-BASED PROGRAMS – ADOLESCENT PREGNANCY 37 1 PREVENTION. There is appropriated from the general fund of 37 2 the state to the department of human services for the fiscal 37 3 year beginning July 1, 2000, and ending June 30, 2001, the 37 4 following amount, or so much thereof as is necessary, to be 37 5 used for the purpose designated: 37 6 For community-based programs, on the condition that family 37 7 planning services are funded, including salaries, support, 37 8 maintenance, and miscellaneous purposes and for not more than 37 9 the following full-time equivalent positions: 37 10 .................................................. $ 280,228 37 11 ............................................... FTE 1.00 37 12 1. Funds appropriated in this section shall be used to 37 13 provide adolescent pregnancy prevention grants which comply 37 14 with the requirements provided in 1997 Iowa Acts, chapter 208, 37 15 section 14, subsections 1 and 2, and shall emphasize programs 37 16 which target the middle school level. 37 17 2. It is the intent of the general assembly that the 37 18 department of human services and the Iowa department of public 37 19 health shall continue to identify existing abstinence 37 20 education or community-based programs which comply with the 37 21 requirements established in section 912, subchapter V, of the 37 22 federal Social Security Act, as codified in 42 U.S.C. } 701 et 37 23 seq. for the matching of federal funds. 37 24 Sec. 17. FAMILY SUPPORT SUBSIDY PROGRAM. There is 37 25 appropriated from the general fund of the state to the 37 26 department of human services for the fiscal year beginning 37 27 July 1, 2000, and ending June 30, 2001, the following amount, 37 28 or so much thereof as is necessary, to be used by the division 37 29 of children and family services for the purpose designated: 37 30 For the family support subsidy program: 37 31 .................................................. $ 2,028,215 37 32 The department may use up to $267,000 of the moneys 37 33 appropriated in this section to continue the children-at-home 37 34 program in current counties and to expand to two new counties, 37 35 of which not more than $20,000 shall be used for 38 1 administrative costs. 38 2 Sec. 18. CONNER DECREE. There is appropriated from the 38 3 general fund of the state to the department of human services 38 4 for the fiscal year beginning July 1, 2000, and ending June 38 5 30, 2001, the following amount, or so much thereof as is 38 6 necessary, to be used for the purpose designated: 38 7 For building community capacity through the coordination 38 8 and provision of training opportunities in accordance with the 38 9 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D. 38 10 Iowa, July 14, 1994): 38 11 .................................................. $ 46,000 38 12 Sec. 19. MENTAL HEALTH INSTITUTES. There is appropriated 38 13 from the general fund of the state to the department of human 38 14 services for the fiscal year beginning July 1, 2000, and 38 15 ending June 30, 2001, the following amounts, or so much 38 16 thereof as is necessary, to be used for the purposes 38 17 designated: 38 18 1. For the state mental health institute at Cherokee for 38 19 salaries, support, maintenance, and miscellaneous purposes and 38 20 for not more than the following full-time equivalent 38 21 positions: 38 22 .................................................. $ 12,782,425 38 23 ............................................... FTEs 249.24 38 24 2. For the state mental health institute at Clarinda for 38 25 salaries, support, maintenance, and miscellaneous purposes and 38 26 for not more than the following full-time equivalent 38 27 positions: 38 28 .................................................. $ 7,219,958 38 29 ............................................... FTEs 138.59 38 30 3. For the state mental health institute at Independence 38 31 for salaries, support, maintenance, and miscellaneous purposes 38 32 and for not more than the following full-time equivalent 38 33 positions: 38 34 .................................................. $ 17,448,229 38 35 ............................................... FTEs 347.89 39 1 The state mental health institute at Independence shall 39 2 continue the 30 psychiatric medical institution for children 39 3 (PMIC) beds authorized in section 135H.6, in a manner which 39 4 results in no net state expenditure amount in excess of the 39 5 amount appropriated in this lettered paragraph. Counties are 39 6 not responsible for the costs of PMIC services described in 39 7 this subsection. Subject to the approval of the department, 39 8 with the exception of revenues required under section 249A.11 39 9 to be credited to the appropriation in this Act for medical 39 10 assistance, revenues attributable to the PMIC beds described 39 11 in this subsection for the fiscal year beginning July 1, 2000, 39 12 and ending June 30, 2001, shall be deposited in the 39 13 institute's account, including but not limited to any of the 39 14 following revenues: 39 15 a. The federal share of medical assistance revenue 39 16 received under chapter 249A. 39 17 b. Moneys received through client participation. 39 18 c. Any other revenues directly attributable to the PMIC 39 19 beds. 39 20 4. For the state mental health institute at Mount Pleasant 39 21 for salaries, support, maintenance, and miscellaneous purposes 39 22 and for not more than the following full-time equivalent 39 23 positions: 39 24 .................................................. $ 5,357,453 39 25 ............................................... FTEs 109.83 39 26 a. Funding is provided in this subsection for the mental 39 27 health institute at Mount Pleasant to continue the dual 39 28 diagnosis mental health and substance abuse program on a net 39 29 budgeting basis in which 50 percent of the actual per diem and 39 30 ancillary services costs are chargeable to the patient's 39 31 county of legal settlement or as a state case, as appropriate. 39 32 Subject to the approval of the department, revenues 39 33 attributable to the dual diagnosis program for the fiscal year 39 34 beginning July 1, 2000, and ending June 30, 2001, shall be 39 35 deposited in the institute's account, including but not 40 1 limited to all of the following revenues: 40 2 (1) Moneys received by the state from billings to counties 40 3 under section 230.20. 40 4 (2) Moneys received from billings to the Medicare program. 40 5 (3) Moneys received from a managed care contractor 40 6 providing services under contract with the department or any 40 7 private third-party payer. 40 8 (4) Moneys received through client participation. 40 9 (5) Any other revenues directly attributable to the dual 40 10 diagnosis program. 40 11 b. The following additional provisions are applicable in 40 12 regard to the dual diagnosis program: 40 13 (1) A county may split the charges between the county's 40 14 mental health, mental retardation, and developmental 40 15 disabilities services fund and the county's budget for 40 16 substance abuse expenditures. 40 17 (2) If an individual is committed to the custody of the 40 18 department of corrections at the time the individual is 40 19 referred for dual diagnosis treatment, the department of 40 20 corrections shall be charged for the costs of treatment. 40 21 (3) Prior to an individual's voluntary admission for dual 40 22 diagnosis treatment, the individual shall have been screened 40 23 through a county's single entry point process to determine the 40 24 appropriateness of the treatment. 40 25 (4) A county shall not be chargeable for the costs of 40 26 treatment for an individual enrolled in and authorized by or 40 27 decertified by a managed behavioral care plan under the 40 28 medical assistance program. 40 29 5. Within the funds appropriated in this section, the 40 30 department may transfer funds as necessary to best fulfill the 40 31 needs of the institutions provided for in the appropriation. 40 32 6. As part of the discharge planning process at the state 40 33 mental health institutes, the department shall provide 40 34 assistance in obtaining eligibility for federal supplemental 40 35 security income (SSI) to those individuals whose care at a 41 1 state mental health institute is the financial responsibility 41 2 of the state. 41 3 7. Each state mental health institute shall continue the 41 4 net budgeting accounting test of managing revenues and 41 5 expenditures attributable to the mental health institute in a 41 6 manner that permits the net state expenditure amount to be 41 7 determined. Each mental health institute shall submit a 41 8 status report in October 2000 to the governor and to the 41 9 persons required to be submitted reports by this Act. The 41 10 status report shall identify advantages and disadvantages of 41 11 utilizing the net budgeting approach and any changes in policy 41 12 or statute recommended to improve implementation of the 41 13 approach. 41 14 Sec. 20. STATE HOSPITAL-SCHOOLS. There is appropriated 41 15 from the general fund of the state to the department of human 41 16 services for the fiscal year beginning July 1, 2000, and 41 17 ending June 30, 2001, the following amounts, or so much 41 18 thereof as is necessary, to be used for the purposes 41 19 designated: 41 20 1. For the state hospital-school at Glenwood for salaries, 41 21 support, maintenance, and miscellaneous purposes and for not 41 22 more than the following full-time equivalent positions: 41 23 .................................................. $ 2,504,791 41 24 .............................................. FTEs 877.75 41 25 2. For the state hospital-school at Woodward for salaries, 41 26 support, maintenance, and miscellaneous purposes and for not 41 27 more than the following full-time equivalent positions: 41 28 .................................................. $ 1,708,814 41 29 .............................................. FTEs 676.76 41 30 3. a. The department shall continue operating the state 41 31 hospital-schools at Glenwood and Woodward with a net general 41 32 fund appropriation. The amounts allocated in this section are 41 33 the net amounts of state moneys projected to be needed for the 41 34 state hospital-schools. The purposes of operating with a net 41 35 general fund appropriation are to encourage the state 42 1 hospital-schools to operate with increased self-sufficiency, 42 2 to improve quality and efficiency, and to support 42 3 collaborative efforts between the state hospital-schools and 42 4 counties and other funders of services available from the 42 5 hospital-schools. The state hospital-schools shall not be 42 6 operated under the net appropriation in a manner which results 42 7 in a cost increase to the state or cost shifting between the 42 8 state, the medical assistance program, counties, or other 42 9 sources of funding for the state hospital-schools. Moneys 42 10 allocated in subsection 1 may be used throughout the fiscal 42 11 year in the manner necessary for purposes of cash flow 42 12 management, and for purposes of cash flow management the state 42 13 hospital-schools may temporarily draw more than the amount 42 14 allocated, provided the amount allocated is not exceeded at 42 15 the close of the fiscal year. 42 16 b. Subject to the approval of the department, except for 42 17 revenues under section 249A.11, revenues attributable to the 42 18 state hospital-schools for the fiscal year beginning July 1, 42 19 2000, shall be deposited into each state hospital-school's 42 20 account, including but not limited to all of the following: 42 21 (1) Moneys received by the state from billings to counties 42 22 under section 222.73. 42 23 (2) The federal share of medical assistance revenue 42 24 received under chapter 249A. 42 25 (3) Federal Medicare program payments. 42 26 (4) Moneys received from client financial participation. 42 27 (5) Other revenues generated from current, new, or 42 28 expanded services which the state hospital-school is 42 29 authorized to provide. 42 30 c. For the purposes of allocating the salary adjustment 42 31 fund moneys appropriated in another Act, the state hospital- 42 32 schools shall be considered to be funded entirely with state 42 33 moneys. 42 34 d. Notwithstanding section 8.33, up to $500,000 of a state 42 35 hospital-school's revenues that remain unencumbered or 43 1 unobligated at the close of the fiscal year shall not revert 43 2 but shall remain available to be used in the succeeding fiscal 43 3 year. 43 4 4. Within the funds appropriated in this section, the 43 5 department may transfer funds as necessary to best fulfill the 43 6 needs of the institutions provided for in the appropriation. 43 7 5. The department may continue to bill for state hospital- 43 8 school services utilizing a scope of services approach used 43 9 for private providers of ICFMR services, in a manner which 43 10 does not shift costs between the medical assistance program, 43 11 counties, or other sources of funding for the state hospital- 43 12 schools. 43 13 6. The state hospital-schools may expand the time limited 43 14 assessment and respite services during the fiscal year. 43 15 Sec. 21. MENTAL ILLNESS SPECIAL SERVICES. There is 43 16 appropriated from the general fund of the state to the 43 17 department of human services for the fiscal year beginning 43 18 July 1, 2000, and ending June 30, 2001, the following amount, 43 19 or so much thereof as is necessary, to be used for the purpose 43 20 designated: 43 21 For mental illness special services: 43 22 .................................................. $ 121,220 43 23 1. The department and the Iowa finance authority shall 43 24 continue the financing for existing community-based facilities 43 25 and the financing for the development of affordable community- 43 26 based housing facilities. The department shall assure that 43 27 clients are referred to the housing as it is developed. 43 28 2. The funds appropriated in this section are to provide 43 29 funds for construction and start-up costs to develop community 43 30 living arrangements to provide for persons with mental illness 43 31 who are homeless. These funds may be used to match federal 43 32 Stewart B. McKinney Homeless Assistance Act grant funds. 43 33 Sec. 22. SPECIAL NEEDS GRANTS. There is appropriated from 43 34 the general fund of the state to the department of human 43 35 services for the fiscal year beginning July 1, 2000, and 44 1 ending June 30, 2001, the following amount, or so much thereof 44 2 as is necessary, to be used for the purpose designated: 44 3 To provide special needs grants to families with a family 44 4 member at home who has a developmental disability or to a 44 5 person with a developmental disability: 44 6 .................................................. $ 53,212 44 7 Grants must be used by a family to defray special costs of 44 8 caring for the family member to prevent out-of-home placement 44 9 of the family member or to provide for independent living 44 10 costs. The grants may be administered by a private nonprofit 44 11 agency which serves people statewide provided that no 44 12 administrative costs are received by the agency. 44 13 Sec. 23. MI/MR/DD STATE CASES. There is appropriated from 44 14 the general fund of the state to the department of human 44 15 services for the fiscal year beginning July 1, 2000, and 44 16 ending June 30, 2001, the following amount, or so much thereof 44 17 as is necessary, to be used for the purpose designated: 44 18 For purchase of local services for persons with mental 44 19 illness, mental retardation, and developmental disabilities 44 20 where the client has no established county of legal 44 21 settlement: 44 22 .................................................. $ 13,800,000 44 23 If a county has a county management plan which is approved 44 24 by the director of human services pursuant to section 331.439, 44 25 the services paid for under this section are exempt from the 44 26 department's purchase of service system requirements. The 44 27 department shall adopt rules to implement the provisions of 44 28 this paragraph. 44 29 Sec. 24. MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES – 44 30 COMMUNITY SERVICES FUND. There is appropriated from the 44 31 general fund of the state to the mental health and 44 32 developmental disabilities community services fund created in 44 33 section 225C.7 for the fiscal year beginning July 1, 2000, and 44 34 ending June 30, 2001, the following amount, or so much thereof 44 35 as is necessary, to be used for the purpose designated: 45 1 For mental health and developmental disabilities community 45 2 services in accordance with this Act: 45 3 ................................................. $ 19,560,000 45 4 1. Of the funds appropriated in this section, $19,530,000 45 5 shall be allocated to counties for funding of community-based 45 6 mental health and developmental disabilities services. The 45 7 moneys shall be allocated to a county as follows: 45 8 a. Fifty percent based upon the county's proportion of the 45 9 state's population of persons with an annual income which is 45 10 equal to or less than the poverty guideline established by the 45 11 federal office of management and budget. 45 12 b. Fifty percent based upon the county's proportion of the 45 13 state's general population. 45 14 2. a. A county shall utilize the funding the county 45 15 receives pursuant to subsection 1 for services provided to 45 16 persons with a disability, as defined in section 225C.2. 45 17 However, no more than 50 percent of the funding shall be used 45 18 for services provided to any one of the service populations. 45 19 b. A county shall use at least 50 percent of the funding 45 20 the county receives under subsection 1 for contemporary 45 21 services provided to persons with a disability, as described 45 22 in rules adopted by the department. 45 23 3. Of the funds appropriated in this section, $30,000 45 24 shall be used to support the Iowa compass program providing 45 25 computerized information and referral services for Iowans with 45 26 disabilities and their families. 45 27 4. a. Funding appropriated for purposes of the federal 45 28 social services block grant is allocated for distribution to 45 29 counties for local purchase of services for persons with 45 30 mental illness or mental retardation or other developmental 45 31 disability. 45 32 b. The funds allocated in this subsection shall be 45 33 expended by counties in accordance with the county's approved 45 34 county management plan. A county without an approved county 45 35 management plan shall not receive allocated funds until the 46 1 county's management plan is approved. 46 2 c. The funds provided by this subsection shall be 46 3 allocated to each county as follows: 46 4 (1) Fifty percent based upon the county's proportion of 46 5 the state's population of persons with an annual income which 46 6 is equal to or less than the poverty guideline established by 46 7 the federal office of management and budget. 46 8 (2) Fifty percent based upon the amount provided to the 46 9 county for local purchase of services in the preceding fiscal 46 10 year. 46 11 5. A county is eligible for funds under this section if 46 12 the county qualifies for a state payment as described in 46 13 section 331.439. 46 14 Sec. 25. PERSONAL ASSISTANCE. There is appropriated from 46 15 the general fund of the state to the department of human 46 16 services for the fiscal year beginning July 1, 2000, and 46 17 ending June 30, 2001, the following amount, or so much thereof 46 18 as is necessary, to be used for the purpose designated: 46 19 For continuation of a pilot project for the personal 46 20 assistance services program in accordance with this section: 46 21 .................................................. $ 364,000 46 22 1. The funds appropriated in this section shall be used to 46 23 continue the pilot project for the personal assistance 46 24 services program under section 225C.46 in an urban and a rural 46 25 area. Not more than $36,400 shall be used for administrative 46 26 costs. The pilot project and any federal home and community- 46 27 based waiver developed under the medical assistance program 46 28 shall not be implemented in a manner which would require 46 29 additional county or state costs for assistance provided to an 46 30 individual served under the pilot project or the waiver. 46 31 2. It is the intent of the general assembly that for any 46 32 new applicants for personal assistance, priority shall be 46 33 given to providing assistance to individuals for education, 46 34 job training, and other forms of employment support. It is 46 35 also the intent of the general assembly that if other programs 47 1 become available which provide similar services, current 47 2 recipients of personal assistance for whom these similar 47 3 services are appropriate shall be assisted in attaining 47 4 eligibility for these programs. 47 5 3. Notwithstanding section 8.33, moneys appropriated in 47 6 this section that remain unencumbered or unobligated at the 47 7 close of the fiscal year shall not revert but shall remain 47 8 available to provide personal assistance payments until the 47 9 close of the succeeding fiscal year. 47 10 Sec. 26. SEXUALLY VIOLENT PREDATORS. 47 11 1. There is appropriated from the general fund of the 47 12 state to the department of human services for the fiscal year 47 13 beginning July 1, 2000, and ending June 30, 2001, the 47 14 following amount, or so much thereof as is necessary, to be 47 15 used for the purpose designated: 47 16 For costs associated with the commitment and treatment of 47 17 sexually violent predators including costs of legal services 47 18 and other associated costs, including salaries, support, 47 19 maintenance, and miscellaneous purposes and for not more than 47 20 the following full-time equivalent positions: 47 21 .................................................. $ 1,177,366 47 22 ............................................... FTEs 20.00 47 23 2. Notwithstanding section 8.33, $250,000 of the moneys 47 24 appropriated in 1999 Iowa Acts, chapter 203, section 30, that 47 25 remain unexpended or unobligated at the close of the fiscal 47 26 year shall not revert but shall remain available in the 47 27 succeeding fiscal year to be used for the purposes of this 47 28 section. 47 29 Sec. 27. FIELD OPERATIONS. There is appropriated from the 47 30 general fund of the state to the department of human services 47 31 for the fiscal year beginning July 1, 2000, and ending June 47 32 30, 2001, the following amounts, or so much thereof as is 47 33 necessary, to be used for the purposes designated: 47 34 1. For field operations, including salaries, support, 47 35 maintenance, and miscellaneous purposes and for not more than 48 1 the following full-time equivalent positions: 48 2 .................................................. $ 44,222,546 48 3 .............................................. FTEs 1,921.50 48 4 Priority in filling full-time equivalent positions shall be 48 5 given to those positions related to child protection services. 48 6 2. For regional offices, including salaries, support, 48 7 maintenance, and miscellaneous purposes and for not more than 48 8 the following full-time equivalent positions: 48 9 .................................................. $ 5,659,370 48 10 ............................................... FTEs 154.50 48 11 Sec. 28. GENERAL ADMINISTRATION. There is appropriated 48 12 from the general fund of the state to the department of human 48 13 services for the fiscal year beginning July 1, 2000, and 48 14 ending June 30, 2001, the following amount, or so much thereof 48 15 as is necessary, to be used for the purpose designated: 48 16 For general administration, including salaries, support, 48 17 maintenance, and miscellaneous purposes and for not more than 48 18 the following full-time equivalent positions: 48 19 ................................................. $ 13,423,100 48 20 ............................................... FTEs 366.00 48 21 1. Of the funds appropriated in this section, $57,000 is 48 22 allocated for the prevention of disabilities policy council 48 23 established in section 225B.3. 48 24 2. Of the funds appropriated in this section, $129,971 for 48 25 the fiscal year beginning July 1, 2000, shall be transferred 48 26 to the state university of Iowa for the university-affiliated 48 27 program for the support of Iowa creative employment options 48 28 (CEO). 48 29 3. If an expenditure reduction or other cost-saving 48 30 measure is deemed necessary to maintain expenditures within 48 31 the amount appropriated to the department in this section, the 48 32 department shall not implement the reduction or other measure 48 33 in a manner which reduces service funding for disability 48 34 rehabilitation programs, including but not limited to, 48 35 statewide supported employment programs. 49 1 4. Beginning July 1, 2000, the department shall terminate 49 2 the lease of office space used for consolidated data 49 3 management staff, in Des Moines, originally used for the X- 49 4 PERT program. 49 5 5. The number of full-time equivalent positions authorized 49 6 in this section includes a reduction of all but one of the 49 7 full-time equivalent positions previously assigned to the 49 8 state-county assistance team. The remaining one full-time 49 9 equivalent position that is assigned to the state-county 49 10 assistance team shall provide staffing services to the state- 49 11 county management committee. 49 12 Sec. 29. VOLUNTEERS. There is appropriated from the 49 13 general fund of the state to the department of human services 49 14 for the fiscal year beginning July 1, 2000, and ending June 49 15 30, 2001, the following amount, or so much thereof as is 49 16 necessary, to be used for the purpose designated: 49 17 For development and coordination of volunteer services: 49 18 .................................................. $ 118,250 49 19 Sec. 30. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY 49 20 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE 49 21 DEPARTMENT OF HUMAN SERVICES. 49 22 1. a. For the fiscal year beginning July 1, 2000, the 49 23 rate for skilled nursing facilities shall remain at the rates 49 24 in effect on June 30, 2000. 49 25 b. For the fiscal year beginning July 1, 2000, the 49 26 dispensing fee for pharmacists shall remain at the rate in 49 27 effect on June 30, 2000. The reimbursement policy for drug 49 28 product costs shall be in accordance with federal 49 29 requirements. 49 30 c. For the fiscal year beginning July 1, 2000, 49 31 reimbursement rates for inpatient and outpatient hospital 49 32 services shall remain at the rates in effect on June 30, 2000. 49 33 The department shall continue the outpatient hospital 49 34 reimbursement system based upon ambulatory patient groups 49 35 implemented pursuant to 1994 Iowa Acts, chapter 1186, section 50 1 25, subsection 1, paragraph "f". In addition, the department 50 2 shall continue the revised medical assistance payment policy 50 3 implemented pursuant to that paragraph to provide 50 4 reimbursement for costs of screening and treatment provided in 50 5 the hospital emergency room if made pursuant to the 50 6 prospective payment methodology developed by the department 50 7 for the payment of outpatient services provided under the 50 8 medical assistance program. 50 9 d. Reimbursement rates for rural health clinics, hospices, 50 10 independent laboratories, and acute mental hospitals shall be 50 11 increased in accordance with increases under the federal 50 12 Medicare program or as supported by their Medicare audited 50 13 costs. 50 14 e. Reimbursement rates for home health agencies shall 50 15 remain at the rates in effect on June 30, 2000. 50 16 f. Federally qualified health centers shall receive cost- 50 17 based reimbursement for 100 percent of the reasonable costs 50 18 for the provision of services to recipients of medical 50 19 assistance. 50 20 g. Beginning July 1, 2000, the reimbursement rates for 50 21 dental services shall remain at the rates in effect on June 50 22 30, 2000. 50 23 h. Beginning July 1, 2000, the reimbursement rates for 50 24 community mental health centers shall be increased by 16.63 50 25 percent over the rates in effect on June 30, 2000. 50 26 i. For the fiscal year beginning July 1, 2000, unless 50 27 otherwise specified in this Act, all noninstitutional medical 50 28 assistance provider reimbursement rates shall remain at the 50 29 rates in effect on June 30, 2000. 50 30 2. a. The basis for establishing the maximum medical 50 31 assistance reimbursement rate for nursing facilities shall be 50 32 the 70th percentile of facility costs as calculated from the 50 33 June 30, 2000, unaudited compilation of cost and statistical 50 34 data submitted by each facility on medical assistance cost 50 35 reports. A facility which does not have a current cost report 51 1 on file with the department as of June 30, 2000, shall 51 2 continue to receive the per diem rate in effect for that 51 3 facility on June 30, 2000, until the facility's costs are 51 4 above that rate or until June 30, 2001, whichever is earlier. 51 5 A facility shall submit semiannual cost reports beginning July 51 6 1, 2000, or after, based on the closing date of the facility's 51 7 fiscal year. 51 8 b. To the extent funds are available within the amount 51 9 projected for reimbursement of nursing facilities within the 51 10 appropriation for medical assistance in this Act for the 51 11 fiscal year beginning July 1, 2000, and within the 51 12 appropriation for medical assistance as a whole for the fiscal 51 13 year beginning July 1, 2000, the department shall adjust the 51 14 maximum medical assistance reimbursement for nursing 51 15 facilities to the 70th percentile, as calculated from the 51 16 December 31, 2000, unaudited compilation of cost and 51 17 statistical data for only those nursing facilities which 51 18 provide additional written documentation in a cost report 51 19 which demonstrates increased expenditures for direct care in 51 20 the form of wages during a cost reporting period in that 51 21 fiscal year. In order to be eligible for the increased 51 22 reimbursement, a nursing facility must submit the cost report 51 23 with the additional documentation by June 30, 2001. To the 51 24 extent possible, the additional written documentation shall be 51 25 obtained from the expanded cost report information submitted 51 26 by nursing facilities. Any adjustment shall take effect 51 27 January 1, 2001. 51 28 c. The cost report shall also include a line itemization 51 29 of in-home office expenses within the administrative cost line 51 30 item. 51 31 3. For the fiscal year beginning July 1, 2000, the maximum 51 32 cost reimbursement rate for residential care facilities 51 33 reimbursed by the department shall not be less than $24.26 per 51 34 day for the time period of July 1, 2000, through June 30, 51 35 2001. The flat reimbursement rate for facilities electing not 52 1 to file semiannual cost reports shall not be less than $17.36 52 2 per day for the time period of July 1, 2000, through June 30, 52 3 2001. 52 4 4. For the fiscal year beginning July 1, 2000, the maximum 52 5 reimbursement rate for providers reimbursed under the in-home 52 6 health-related care program shall not be less than $466.49 per 52 7 month for the time period of July 1, 2000, through June 30, 52 8 2001. 52 9 5. Unless otherwise directed in this section, when the 52 10 department's reimbursement methodology for any provider 52 11 reimbursed in accordance with this section includes an 52 12 inflation factor, this factor shall not exceed the amount by 52 13 which the consumer price index for all urban consumers 52 14 increased during the calendar year ending December 31, 1999. 52 15 6. Notwithstanding section 234.38, in the fiscal year 52 16 beginning July 1, 2000, the foster family basic daily 52 17 maintenance rate and the maximum adoption subsidy rate for 52 18 children ages 0 through 5 years shall be $14.00, the rate for 52 19 children ages 6 through 11 years shall be $14.78, the rate for 52 20 children ages 12 through 15 years shall be $16.53, and the 52 21 rate for children ages 16 and older shall be $16.53. 52 22 7. For the fiscal year beginning July 1, 2000, the maximum 52 23 reimbursement rates for adoption and independent living 52 24 services shall remain at the rates in effect on June 30, 2000. 52 25 The maximum reimbursement rates for other social service 52 26 providers shall remain at the rates in effect on June 30, 52 27 2000. However, the rates may be adjusted under any of the 52 28 following circumstances: 52 29 a. If a new service was added after June 30, 2000, the 52 30 initial reimbursement rate for the service shall be based upon 52 31 actual and allowable costs. 52 32 b. If a social service provider loses a source of income 52 33 used to determine the reimbursement rate for the provider, the 52 34 provider's reimbursement rate may be adjusted to reflect the 52 35 loss of income, provided that the lost income was used to 53 1 support actual and allowable costs of a service purchased 53 2 under a purchase of service contract. 53 3 c. The department revises the reimbursement rates as part 53 4 of the changes in the mental health and developmental 53 5 disabilities services system initiated pursuant to 1995 Iowa 53 6 Acts, chapter 206, and associated legislation. 53 7 8. The group foster care reimbursement rates paid for 53 8 placement of children out-of-state shall be calculated 53 9 according to the same rate-setting principles as those used 53 10 for in-state providers unless the director determines that 53 11 appropriate care cannot be provided within the state. The 53 12 payment of the daily rate shall be based on the number of days 53 13 in the calendar month in which service is provided. 53 14 9. For the fiscal year beginning July 1, 2000, the 53 15 reimbursement rates for rehabilitative treatment and support 53 16 services providers shall remain at the rates in effect on June 53 17 30, 2000. 53 18 10. For the fiscal year beginning July 1, 2000, the 53 19 combined service and maintenance components of the 53 20 reimbursement rate paid to a shelter care provider shall be 53 21 based on the cost report submitted to the department. The 53 22 maximum reimbursement rate shall be $79.70 per day. If the 53 23 department would reimburse the provider at less than the 53 24 maximum rate but the provider's cost report justifies a rate 53 25 of at least $79.70, the department shall readjust the 53 26 provider's reimbursement rate to the maximum reimbursement 53 27 rate. 53 28 11. For the fiscal year beginning July 1, 2000, the 53 29 department shall calculate reimbursement rates for 53 30 intermediate care facilities for persons with mental 53 31 retardation at the 80th percentile. 53 32 12. For the fiscal year beginning July 1, 2000, for child 53 33 care providers, the department shall set provider 53 34 reimbursement rates based on the rate reimbursement survey 53 35 completed in December 1998. The department shall set rates in 54 1 a manner so as to provide incentives for a nonregistered 54 2 provider to become registered. 54 3 13. Effective July 1, 2000, the maximum reimbursement rate 54 4 for psychiatric medical institutions for children (PMICs) 54 5 shall be increased to $145.74 per day, based on per day rates 54 6 for actual costs on June 30, 2000. 54 7 14. For the fiscal year beginning July 1, 2000, 54 8 reimbursements for providers reimbursed by the department of 54 9 human services may be modified if appropriated funding is 54 10 allocated for that purpose from the senior living trust fund 54 11 created in section 249H.4, as enacted in 2000 Iowa Acts, 54 12 Senate File 2193, or as specified in appropriations from the 54 13 tobacco settlement fund created in section 12.65. 54 14 15. The department may adopt emergency rules to implement 54 15 this section. 54 16 Sec. 31. MOTOR VEHICLE LICENSE REINSTATEMENT PENALTY – 54 17 DEPOSIT AND APPROPRIATION. Notwithstanding the deposit 54 18 provisions of sections 321.218A and 321A.32A, moneys collected 54 19 during the fiscal year beginning July 1, 2000, and ending June 54 20 30, 2001, by the state department of transportation pursuant 54 21 to those sections shall be deposited to the credit of the 54 22 department of human services for the fiscal year beginning 54 23 July 1, 2000, and ending June 30, 2001, and are appropriated 54 24 as follows: 54 25 1. An amount equal to ten percent of the costs of the 54 26 establishment, improvement, operation, and maintenance of 54 27 county or multicounty juvenile detention homes in the fiscal 54 28 year beginning July 1, 1999. Moneys appropriated in this 54 29 subsection shall be allocated among eligible detention homes, 54 30 prorated on the basis of an eligible detention home's 54 31 proportion of the costs of all eligible detention homes in the 54 32 fiscal year beginning July 1, 1999. Notwithstanding section 54 33 232.142, subsection 3, the financial aid payable by the state 54 34 under that provision for the fiscal year beginning July 1, 54 35 2000, shall be limited to the amount appropriated for the 55 1 purposes of this subsection. 55 2 2. For renewal of a grant to a county with a population 55 3 between 168,000 and 175,000 for implementation of the county's 55 4 runaway treatment plan under section 232.195: 55 5 .................................................. $ 80,000 55 6 3. For grants to counties implementing a runaway treatment 55 7 plan under section 232.195. 55 8 4. The remainder for additional allocations to county or 55 9 multicounty juvenile detention homes, in accordance with the 55 10 distribution requirements of subsection 1. 55 11 Sec. 32. TRANSFER AUTHORITY. Subject to the provisions of 55 12 section 8.39, for the fiscal year beginning July 1, 2000, if 55 13 necessary to meet federal maintenance of effort requirements 55 14 or to transfer federal temporary assistance for needy families 55 15 block grant funding to be used for purposes of the federal 55 16 social services block grant or to meet cash flow needs 55 17 resulting from delays in receiving federal funding, the 55 18 department of human services may transfer within or between 55 19 any of the appropriations made in this Act and appropriations 55 20 in law for the federal social services block grant to the 55 21 department for the following purposes, provided that the 55 22 combined amount of state and federal temporary assistance for 55 23 needy families block grant funding for each appropriation 55 24 remains the same before and after the transfer: 55 25 1. For the family investment program. 55 26 2. For emergency assistance. 55 27 3. For child care assistance. 55 28 4. For child and family services. 55 29 5. For field operations. 55 30 6. For general administration. 55 31 7. MH/MR/DD/BI community services (local purchase). 55 32 This section shall not be construed to prohibit existing 55 33 state transfer authority for other purposes. 55 34 Sec. 33. FRAUD AND RECOUPMENT ACTIVITIES. During the 55 35 fiscal year beginning July 1, 2000, notwithstanding the 56 1 restrictions in section 239B.11, recovered moneys generated 56 2 through fraud and recoupment activities are appropriated to 56 3 the department of human services to be used for additional 56 4 fraud and recoupment activities performed by the department of 56 5 human services or the department of inspections and appeals, 56 6 and the department of human services may add not more than 56 7 five full-time equivalent positions, in addition to those 56 8 authorized in this Act, subject to both of the following 56 9 conditions: 56 10 1. The director of human services determines that the 56 11 investment can reasonably be expected to increase recovery of 56 12 assistance paid in error, due to fraudulent or nonfraudulent 56 13 actions, in excess of the amount recovered in the fiscal year 56 14 beginning July 1, 1997. 56 15 2. The amount expended for the additional fraud and 56 16 recoupment activities shall not exceed the amount of the 56 17 projected increase in assistance recovered. 56 18 Sec. 34. FINANCIAL ASSISTANCE SERVICES. 56 19 1. For purposes of this section, "financial assistance 56 20 services" means services or other assistance provided under 56 21 one or more of the following programs administered by the 56 22 department of human services: family investment program, 56 23 PROMISE JOBS program, medical assistance program, food stamp 56 24 program, state child care assistance program, refugee cash 56 25 assistance program, emergency assistance program, and child 56 26 support recovery program. 56 27 2. During the fiscal year beginning July 1, 2000, and 56 28 ending June 30, 2001, the department of human services may 56 29 continue to conduct a pilot program or pilot programs for 56 30 provisions of financial assistance services. 56 31 3. Any pilot program conducted in accordance with this 56 32 section shall be designed to meet one or more of the following 56 33 financial assistance services goals: 56 34 a. A reduction in paperwork for applicants and recipients 56 35 of services, or staff, or both. 57 1 b. Streamlining or expediting the eligibility 57 2 determination process, to decrease the length of time it takes 57 3 to inform applicants for financial assistance services as to 57 4 the disposition of their request for the services. 57 5 c. Streamlining or expediting the referral process for 57 6 family investment program applicants and recipients to other 57 7 financial assistance services such as PROMISE JOBS or child 57 8 support recovery, so that referrals can be initiated in a more 57 9 timely manner in order to help move applicants and recipients 57 10 more quickly to economic self-sufficiency or toward reduced 57 11 reliance on government assistance. 57 12 d. Improved coordination of the management of financial 57 13 assistance services as applicants for and recipients of the 57 14 services work toward economic self-sufficiency. 57 15 e. Identification of policies, procedures, and practices 57 16 that could be altered or eliminated without materially 57 17 affecting the desired results for the family assistance 57 18 services. 57 19 4. Any pilot program conducted in accordance with this 57 20 section is subject to the following limitations and 57 21 parameters: 57 22 a. Notwithstanding any administrative rule, that is not 57 23 based in federal law, the department may alter policies, 57 24 procedures, and practices to waive the administrative rule, 57 25 that are based in state law, provided that the alterations do 57 26 not decrease an applicant's or recipient's choice of, or 57 27 ability to obtain, financial assistance services from the 57 28 department in comparison with the financial assistance 57 29 services that would otherwise be available. The department 57 30 may operate one or more pilot projects under this paragraph, 57 31 in not more than fourteen counties. 57 32 b. If the department obtains a waiver of federal law or 57 33 regulation, the department may alter policies, procedures, and 57 34 practices that are based in federal law, provided that the 57 35 alterations do not decrease an applicant's or recipient's 58 1 choice of, or ability to obtain, financial assistance services 58 2 from the department in comparison with the financial 58 3 assistance services that would otherwise be available. The 58 4 department may operate one or more projects under this 58 5 paragraph, in not more than fourteen counties. 58 6 c. In order to facilitate rapid implementation, except as 58 7 provided in paragraph "d", any pilot program authorized under 58 8 this section is exempt from the rulemaking procedures and 58 9 rulemaking requirements of chapter 17A. However, following 58 10 development of the pilot program, the department shall provide 58 11 a list of the laws or rules being waived to the chairpersons 58 12 and ranking members of the joint appropriations subcommittee 58 13 on human services, the administrative rules review committee, 58 14 the administrative rules coordinator, the legislative fiscal 58 15 bureau, and the legislative service bureau. In implementing a 58 16 pilot program under this section, the department shall take 58 17 steps to make applicants and recipients of services aware of 58 18 their choices, expectations, rights, and responsibilities. 58 19 d. The department shall adopt emergency rules establishing 58 20 a framework for the pilot projects implemented under this 58 21 section. The rules shall identify the participating counties, 58 22 the maximum duration of each pilot project, and generally 58 23 describe the scope and nature of each pilot project. Within 58 24 this framework, the department retains broad discretion to 58 25 revise a pilot project without further rulemaking describing 58 26 the revision. 58 27 Sec. 35. CHILD PROTECTION EVALUATION. The department 58 28 shall fulfill the requirements of 1997 Iowa Acts, chapter 176, 58 29 section 23, and 1999 Iowa Acts, chapter 203, section 45, for 58 30 an independent evaluation of the child protection system by 58 31 including the evaluation elements in its independent review 58 32 contracted for in the Spring of 2000. 58 33 Sec. 36. 1999 Iowa Acts, chapter 208, section 1, 58 34 unnumbered paragraphs 2 and 3, and subsection 4, are amended 58 35 to read as follows: 59 1 For distribution to counties of the county mental health, 59 2 mental retardation, and developmental disabilities allowed 59 3 growth factor adjustment, in accordance with section 331.438, 59 4 subsection 2, and section 331.439, subsection 3, and chapter 59 5 426B: 59 6 .................................................. $21,773,60259 7 21,273,602 59 8 The funding appropriated in this section is the allowed 59 9 growth factor adjustmentof 1.57 percentfor fiscal year 2000- 59 10 2001, and is allocated as follows: 59 11 4. For deposit in the risk pool created in the property 59 12 tax relief fund pursuant to section 426B.5, subsection 3: 59 13 .................................................. $2,000,00059 14 1,500,000 59 15 Sec. 37. Section 249A.3, subsection 1, paragraph k, Code 59 16 Supplement 1999, is amended to read as follows: 59 17 k. Is a pregnant woman or infant whose income is more than 59 18 the limit prescribed under the federal Medicare Catastrophic 59 19 Coverage Act of 1988, Pub. L. No. 100-360, } 302, but not more 59 20 thanonetwo hundredeighty-fivepercent of the federal 59 21 poverty level as defined by the most recently revised poverty 59 22 income guidelines published by the United States department of 59 23 health and human services. 59 24 Sec. 38. ARLENE DAYHOFF EDUCATIONAL COMPLEX. 59 25 1. The general assembly makes the following findings: 59 26 a. That Arlene H. Dayhoff recognized the important role of 59 27 good educational and recreational facilities in maintaining 59 28 the quality of the state training school's work with this 59 29 state's most troubled youth and worked tirelessly for approval 59 30 of new facilities. 59 31 b. That Arlene H. Dayhoff has the distinction of serving 59 32 during 1987-1997 as chairperson of the council on human 59 33 services, the primary policymaking body for the department of 59 34 human services, and having the longest tenure of anyone in 59 35 that office. 60 1 c. That Arlene H. Dayhoff is known for her active life in 60 2 service activity with her twenty-three years of employment in 60 3 the field of nursing and as a volunteer and board member with 60 4 many human services and health endeavors, including St. Luke's 60 5 hospital and hospital foundation, Iowa commission for the 60 6 blind, American red cross, Linn county association for mental 60 7 health, and Linn county retarded citizens, and has been 60 8 nationally recognized for her leadership by the national 60 9 governors' association distinguished service award. 60 10 d. That following her tenure on the council on human 60 11 services, Arlene H. Dayhoff continued her commitment to 60 12 troubled children by serving as co-chairperson of the 60 13 legislative council's child welfare work group from the work 60 14 group's creation in November 1997 through the present time. 60 15 e. That it is fitting to recognize Arlene H. Dayhoff's 60 16 many contributions to improving the lives of children with the 60 17 dedication of the new educational and recreational facilities 60 18 at the state training school in her name. 60 19 2. The educational and recreational facilities to be 60 20 dedicated in the spring of 2001 at the state training school 60 21 in Eldora, Iowa, are named the "Arlene Dayhoff Educational 60 22 Complex" in honor of Arlene H. Dayhoff and an appropriate 60 23 commemorative plaque shall be placed near the entrance of the 60 24 educational complex in recognition of Arlene Dayhoff and the 60 25 outstanding contribution she has made to the state training 60 26 school and the state of Iowa. 60 27 Sec. 39. SUBSIDIZED GUARDIANSHIP – RULES – CONTINGENCY 60 28 – RETROACTIVITY. The rules adopted pursuant to 441 IAC 204 60 29 relating to the subsidized guardianship program shall not be 60 30 applicable until such time as funding is appropriated after 60 31 July 1, 2000, for this purpose by the general assembly. This 60 32 provision is retroactively applicable to April 1, 2000. 60 33 Sec. 40. EMERGENCY RULES. If specifically authorized by a 60 34 provision of this Act, the department of human services or the 60 35 mental health and developmental disabilities commission may 61 1 adopt administrative rules under section 17A.4, subsection 2, 61 2 and section 17A.5, subsection 2, paragraph "b", to implement 61 3 the provisions and the rules shall become effective 61 4 immediately upon filing, unless the effective date is delayed 61 5 by the administrative rules review committee, notwithstanding 61 6 section 17A.4, subsection 5, and section 17A.8, subsection 9, 61 7 or a later effective date is specified in the rules. Any 61 8 rules adopted in accordance with this section shall not take 61 9 effect before the rules are reviewed by the administrative 61 10 rules review committee. Any rules adopted in accordance with 61 11 the provisions of this section shall also be published as 61 12 notice of intended action as provided in section 17A.4. 61 13 Sec. 41. REPORTS. Any reports or information required to 61 14 be compiled and submitted under this Act shall be submitted to 61 15 the chairpersons and ranking members of the joint 61 16 appropriations subcommittee on human services, the legislative 61 17 fiscal bureau, the legislative service bureau, and to the 61 18 caucus staffs on or before the dates specified for submission 61 19 of the reports or information. 61 20 Sec. 42. EFFECTIVE DATES. The following provisions of 61 21 this Act, being deemed of immediate importance, take effect 61 22 upon enactment: 61 23 1. Section 1, relating to the social services block grant 61 24 supplementation. 61 25 2. Section 4, subsection 1, paragraph "f", relating to 61 26 electronic benefits transfer contracting. 61 27 3. Section 6, subsection 2, relating to refunds of utility 61 28 and rent deposits for emergency assistance recipients. 61 29 4. Section 8, subsection 15, relating to the pilot project 61 30 for continuous eligibility under the medical assistance and 61 31 the healthy and well kids in Iowa program. 61 32 5. Section 15, subsection 2, paragraph "e", relating to 61 33 requirements of section 232.143, for the 2000-2001 fiscal 61 34 year. 61 35 6. Section 15, subsection 14, paragraph "a", relating to 62 1 determining allocation of court-ordered services funding. 62 2 7. Section 15, subsection 21, relating to nonreversion of 62 3 certain funding appropriated in 1999 Iowa Acts, chapter 203. 62 4 8. Section 26, subsection 2, relating to nonreversion of 62 5 moneys appropriated in 1999 Iowa Acts, chapter 203, section 62 6 30. 62 7 9. Section 35, relating to an independent evaluation of 62 8 the child protection system. 62 9 10. Section 39, relating to the applicability of certain 62 10 administrative rules involving subsidized guardianship. 62 11 EXPLANATION 62 12 This bill makes appropriations for the 2000-2001 fiscal 62 13 year for the department of human services and includes other 62 14 appropriations and provisions involving human services and 62 15 health care. 62 16 In regard to provider reimbursements, the bill provides 62 17 that the provider rates may be modified by appropriations from 62 18 the senior living trust fund, created in Code section 249H.4, 62 19 Senate File 2193 or in accordance with appropriations from the 62 20 tobacco settlement fund. 62 21 The bill continues appropriation of moneys to the 62 22 department of human services that are collected as a civil 62 23 penalty for licenses that are suspended, revoked, or barred. 62 24 The moneys are to be used for allocation to county and 62 25 multicounty juvenile detention homes, continuation of a grant 62 26 to a county for implementation of a runaway treatment plan, 62 27 and for grants to other counties for runaway treatment plans. 62 28 The bill includes transfer authority as necessary for the 62 29 department of human services to meet federal maintenance of 62 30 effort requirements for federal temporary assistance to needy 62 31 families block grant funding, for federal social services 62 32 block grant purposes, and for meeting cash flow needs 62 33 resulting in delays in receiving federal funding. 62 34 The bill suspends restrictions under current law in Code 62 35 section 239B.11 and appropriates certain recovered moneys 63 1 generated through fraud and recoupment activities to the 63 2 department of human services to be used for additional fraud 63 3 and recoupment activities. 63 4 The bill authorizes the department of human services to 63 5 continue and expand pilot programs for provision of financial 63 6 assistance services. The bill expands the authorization from 63 7 eight to 14 counties. Under the pilot project, the department 63 8 may suspend or waive administrative rules in order to attain 63 9 various goals stated in the bill. Various reports are 63 10 required. 63 11 The bill requires the department to fulfill a requirement 63 12 in prior law for an independent evaluation of the assessment- 63 13 based approach to child abuse reports by including the 63 14 evaluation elements in the independent review contracted for 63 15 by the department in the spring of 2000. This provision takes 63 16 effect upon enactment. 63 17 The bill includes legislative findings and provides that 63 18 educational and recreational facilities to be dedicated in the 63 19 spring of 2001 at the state training school in Eldora are to 63 20 be named the "Arlene Dayhoff Educational Complex". 63 21 The codified sections in the bill provide for a change in 63 22 eligibility requirements under the medical assistance program 63 23 in Code section 249A.3. The bill increases the income limit 63 24 from 185 percent of the federal poverty level to 200 percent 63 25 of the federal poverty level for pregnant women and infants 63 26 under the medical assistance program. 63 27 The bill also provides immediate effective dates for 63 28 certain provisions of the bill. 63 29 The bill provides for retroactive application of the 63 30 provisions relative to rules adopted for the subsidized 63 31 guardianship program. 63 32 LSB 5378SA 78 63 33 pf/gg/8
Text: SSB03221 Text: SSB03223 Text: SSB03200 - SSB03299 Text: SSB 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: Fri Mar 24 03:36:01 CST 2000
URL: /DOCS/GA/78GA/Legislation/SSB/03200/SSB03222/000323.html
jhf