Text: SSB03231 Text: SSB03233 Text: SSB03200 - SSB03299 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. TOBACCO SETTLEMENT FUND – APPROPRIATIONS TO 1 2 DEPARTMENTS. There is appropriated from the tobacco 1 3 settlement fund created in section 12.65 to the following 1 4 departments for the fiscal year beginning July 1, 2000, and 1 5 ending June 30, 2001, the following amounts, or so much 1 6 thereof as is necessary, to be used for the purposes 1 7 designated: 1 8 1. To the department of human services: 1 9 a. To increase the reimbursement rate for all 1 10 noninstitutional medical assistance providers to the rate 1 11 provided under the federal Medicare program for such providers 1 12 for the fiscal year July 1, 2000, through June 30, 2001, and 1 13 to implement the resource-based relative value system of 1 14 reimbursement under the medical assistance program: 1 15 .................................................. $ 6,000,000 1 16 b. To increase the reimbursement rate to 75 percent of the 1 17 usual and customary rate for the fiscal year July 1, 2000, 1 18 through June 30, 2001, for dental services under the medical 1 19 assistance program: 1 20 .................................................. $ 3,600,000 1 21 c. To provide a cost-of-living adjustment for the fiscal 1 22 year July 1, 2000, through June 30, 2001, of 5 percent to 1 23 rehabilitative treatment and support services providers under 1 24 the medical assistance program: 1 25 .................................................. $ 3,100,000 1 26 d. To provide a cost-of-living adjustment for the fiscal 1 27 year July 1, 2000, through June 30, 2001, of 5 percent to 1 28 adoption, independent living, shelter care, and home studies 1 29 services providers: 1 30 .................................................. $ 500,000 1 31 e. To increase the reimbursement rate for the fiscal year 1 32 July 1, 2000, through June 30, 2001, for hospitals under the 1 33 medical assistance program by 3 percent over the reimbursement 1 34 rate in effect on June 30, 2000: 1 35 .................................................. $ 2,300,000 2 1 f. To increase the reimbursement rate for the fiscal year 2 2 July 1, 2000, through June 30, 2001, for home health care 2 3 services under the medical assistance program to the rate 2 4 provided for such services under the federal Medicare program: 2 5 .................................................. $ 2,400,000 2 6 g. To increase the reimbursement rate for the fiscal year 2 7 July 1, 2000, through June 30, 2001, for critical access 2 8 hospitals under the medical assistance program to the rate 2 9 provided for such hospitals under the federal Medicare 2 10 program: 2 11 .................................................. $ 250,000 2 12 h. To provide for expansion of home health care services 2 13 and habilitative day care under the medical assistance program 2 14 for children with special needs: 2 15 .................................................. $ 4,400,000 2 16 i. To provide for expansion of respite care services 2 17 provided through home and community-based waivers under the 2 18 medical assistance program: 2 19 .................................................. $ 1,200,000 2 20 j. To increase the reimbursement rate for the fiscal year 2 21 July 1, 2000, through June 30, 2001, to service providers 2 22 under the purview of the department of human services by 1 2 23 percent over the rates in effect on June 30, 2000: 2 24 .................................................. $ 550,000 2 25 Of the funds appropriated to the department of 2 26 human services under this subsection, $182,381 shall 2 27 be used to meet the maintenance of effort requirements 2 28 under the state supplementary assistance program. 2 29 The department of human services may adopt 2 30 emergency rules to implement this subsection. 2 31 2. To the department of human services for performance of 2 32 the evaluation required under this subsection: 2 33 .................................................. $ 35,000 2 34 The department of human services shall seek a waiver from 2 35 the health care financing administration of the United States 3 1 department of health and human services to implement a pilot 3 2 project in fiscal year 2000-2001 to study the effects of 3 3 providing continuous eligibility for children under the 3 4 medical assistance program. If the waiver is approved, the 3 5 pilot project shall be implemented in one rural and one urban 3 6 county, and the department shall enter into a contract with an 3 7 entity outside of the department to perform an evaluation of 3 8 the pilot project. The evaluating entity shall coordinate its 3 9 efforts with efforts of the United States department of health 3 10 and human services relating to evaluation of continuous 3 11 eligibility. The evaluating entity shall submit a report to 3 12 the general assembly on or before December 15, 2000, regarding 3 13 the findings of the pilot project including, but not limited 3 14 to, any increased costs which may be incurred through 3 15 continuous eligibility. The report shall also include 3 16 recommendations for discontinuation or expansion of the pilot 3 17 project. 3 18 3. To the Iowa department of public health: 3 19 a. For a tobacco use prevention and cessation program, 3 20 including efforts at the state and local levels, as provided 3 21 by the 2000 Session of the Seventy-eighth General Assembly: 3 22 .................................................. $ 9,345,394 3 23 b. For additional substance abuse treatment under the 3 24 substance abuse treatment program: 3 25 .................................................. $ 11,900,000 3 26 (1) The department shall use funds appropriated in this 3 27 paragraph to enhance the quality of and to expand the capacity 3 28 to provide 24-hour substance abuse treatment programs. 3 29 (2) The department shall use funds appropriated in this 3 30 paragraph to expand the length of individual client substance 3 31 abuse treatment plans, as necessary to reduce program 3 32 recidivism. 3 33 (3) The department shall use funds appropriated in this 3 34 paragraph to share research-based best practices for treatment 3 35 with substance abuse treatment facilities. 4 1 (4) The department shall use funds appropriated in this 4 2 paragraph to develop a results-based funding approach for 4 3 substance abuse treatment services. 4 4 (5) The department shall use funds appropriated in this 4 5 paragraph to develop a program to encourage individuals who 4 6 are successfully managing their substance abuse problems to 4 7 serve as role models. 4 8 c. For development of a healthy Iowans 2010 plan within 4 9 the Iowa department of public health: 4 10 .................................................. $ 1,800,000 4 11 (1) Of the funds appropriated in this paragraph, not more 4 12 than $1,000,000 shall be used for core public health 4 13 functions, including home health care and public health 4 14 nursing services, contracted through a formula by local boards 4 15 of health, to enhance disease and injury prevention services. 4 16 (2) Of the funds appropriated in this paragraph, not more 4 17 than $400,000 shall be used for the implementation and support 4 18 of a coordinated system of delivery of trauma and emergency 4 19 medical services. 4 20 (3) Of the funds appropriated in this paragraph, not more 4 21 than $400,000 shall be used for the establishment of a state 4 22 poison control center. 4 23 4. To the department of corrections: 4 24 .................................................. $ 610,000 4 25 a. Of the funds appropriated in this subsection, $127,217 4 26 is allocated to the second judicial district department of 4 27 correctional services to replace expired federal funding for 4 28 day programming. 4 29 b. Of the funds appropriated in this subsection, $35,359 4 30 is allocated to the third judicial district department of 4 31 correctional services to replace expired federal funding for 4 32 the drug court program. 4 33 c. Of the funds appropriated in this subsection, $191,731 4 34 is allocated to the fourth judicial district department of 4 35 correctional services for a drug court program. 5 1 d. Of the funds appropriated in this subsection, $255,693 5 2 is allocated to the fifth judicial district department of 5 3 correctional services to replace expired funding for the drug 5 4 court program. 5 5 Sec. 2. PURCHASE OF SERVICE CONTRACT PROVIDERS – 5 6 REIMBURSEMENT INCREASE. There is appropriated from the 5 7 tobacco settlement fund created in section 12.65 to the 5 8 property tax relief fund created in section 426B.1 for the 5 9 fiscal year beginning July 1, 2000, and ending June 30, 2001, 5 10 the following amount, or so much thereof as is necessary, to 5 11 be used for the purposes designated: 5 12 For assistance to certain counties with limited county 5 13 mental health, mental retardation, and developmental 5 14 disabilities services fund balances to pay reimbursement 5 15 increases in accordance with this section: 5 16 .................................................. $ 2,000,000 5 17 1. For the purposes of this section unless the context 5 18 otherwise requires: 5 19 a. "Basic eligibility for risk pool assistance", "risk 5 20 pool", and "risk pool board" mean the same as used in section 5 21 426B.5, subsection 3. 5 22 b. "Purchase of service provider" or "POS provider" means 5 23 a provider of sheltered work, work activity, supported 5 24 employment, job placement, enclave services, adult day care, 5 25 transportation, supported community living services, or adult 5 26 residential services paid by a county from the county's 5 27 services fund created in section 331.424A under a state 5 28 purchase of services or county contract. 5 29 2. a. For the fiscal year beginning July 1, 2000, the 5 30 counties receiving state payments from the property tax relief 5 31 fund shall provide a reimbursement increase for the fiscal 5 32 year to eligible POS providers. The purpose of the 5 33 reimbursement increase is to assist POS providers that have 5 34 increased the compensation of their service staff. 5 35 b. In order to be eligible, a POS provider's actual costs 6 1 of providing services must be in excess of the reimbursement 6 2 rate paid to the provider by the county as of June 30, 2000, 6 3 and the excess costs must be attributable, at least in part, 6 4 to service staff compensation. The documentation used in 6 5 determining whether a provider has increased its actual costs 6 6 shall be the applicable amounts submitted in the provider's 6 7 annual financial and statistical report for the fiscal year 6 8 beginning July 1, 1998, as compared to the applicable amount 6 9 submitted in that report for the fiscal year beginning July 1, 6 10 1999. 6 11 c. The county shall increase the POS provider's 6 12 reimbursement rate by the amount indicated in the 6 13 documentation, subject to a maximum of 5 percent over the 6 14 reimbursement rates paid by the county to that provider as of 6 15 June 30, 2000. 6 16 3. a. If a county projects that payment of the 6 17 reimbursement increase required pursuant to this section will 6 18 cause the county to meet the requirements for basic 6 19 eligibility for risk pool assistance during the fiscal year, 6 20 the county may apply to the risk pool board for assistance 6 21 from the moneys appropriated in this section. The board may 6 22 accept or reject an application for assistance in whole or in 6 23 part. The decision of the board is final. 6 24 b. The risk pool board shall adopt rules providing for 6 25 application procedures and deadlines, and other provisions for 6 26 distributing assistance moneys to such counties. The risk 6 27 pool board may adopt the rules on an emergency basis under 6 28 section 17A.4, subsection 2, and section 17A.5, subsection 2, 6 29 paragraph "b", to implement the procedures and requirements 6 30 and the rules shall be effective immediately upon filing 6 31 unless a later date is specified in the rules. Any rules 6 32 adopted in accordance with this paragraph shall also be 6 33 published as a notice of intended action as provided in 6 34 section 17A.4. 6 35 c. If moneys appropriated in this section are insufficient 7 1 to pay the total amount of assistance to all counties that are 7 2 determined by the risk pool board to be eligible for 7 3 assistance under this subsection, the total amount of 7 4 assistance shall be prorated among the eligible counties by 7 5 the risk pool board. Moneys appropriated in this section that 7 6 remain unencumbered or unobligated at the close of the fiscal 7 7 year shall revert to the tobacco settlement fund. 7 8 d. If a county receiving assistance under this section 7 9 does not levy the maximum amount allowed for the county's 7 10 mental health, mental retardation, and developmental 7 11 disabilities services fund under section 331.424A for the 7 12 fiscal year beginning July 1, 2000, the county shall repay the 7 13 assistance provided to the county under this section in the 7 14 succeeding fiscal year. The repayment amount shall be limited 7 15 to the amount by which the actual amount levied was less than 7 16 the maximum amount allowed. Repayments shall be credited to 7 17 the tobacco settlement fund. 7 18 4. The department of human service may adopt emergency 7 19 rules to implement this section. 7 20 Sec. 3. SAVINGS ACCOUNT FOR HEALTHY IOWANS. There is 7 21 appropriated from the tobacco settlement fund created in 7 22 section 12.65 to the savings account for healthy Iowans, for 7 23 the fiscal year beginning July 1, 2000, and ending June 30, 7 24 2001: 7 25 .................................................. $ 5,000,000 7 26 Sec. 4. REVERSION. Any moneys appropriated under this Act 7 27 which are unexpended or unencumbered at the end of the fiscal 7 28 year beginning July 1, 2000, and ending June 30, 2001, shall 7 29 revert to the tobacco settlement fund. 7 30 Sec. 5. Section 12.65, Code 1999, is amended to read as 7 31 follows: 7 32 12.65 TOBACCO SETTLEMENT FUND. 7 33 1. A tobacco settlement fund is created in the office of 7 34 the treasurer of state. After payment of litigation costs, 7 35 the state portion of any moneys paid to the state by tobacco 8 1 companies in settlement of the state's lawsuit for recovery of 8 2 public expenditures associated with tobacco use shall be 8 3 deposited in the tobacco settlement fund. Moneys deposited in 8 4 the fund shall be used only as provided in appropriations from 8 5 the fundto the department of human services for the medical8 6assistance program and to the Iowa department of public health8 7for programs to reduce smoking by teenage youthfor purposes 8 8 related to health care, substance abuse treatment and 8 9 enforcement, tobacco use prevention and cessation, and other 8 10 purposes related to the needs of children, adults, and 8 11 families in the state. For purposes of this section, 8 12 "litigation costs" are those costs itemized by the attorney 8 13 general and submitted to and approved by the general assembly. 8 14 2. A savings account for healthy Iowans is created within 8 15 the tobacco settlement fund. Moneys, appropriated annually, 8 16 shall be deposited in the account and shall be invested to 8 17 provide an ongoing source of investment earnings. 8 18 3. Notwithstanding section 12C.7, subsection 2, interest 8 19 or earnings on investments or time deposits of the moneys in 8 20 the tobacco settlement fund or in the savings account for 8 21 healthy Iowans shall be credited to the tobacco settlement 8 22 fund or to the savings account for healthy Iowans, 8 23 respectively. 8 24 Sec. 6. Section 249A.3, subsection 1, Code Supplement 8 25 1999, is amended by adding the following new paragraph after 8 26 paragraph k: 8 27 NEW PARAGRAPH. kk. Is an infant whose income is not more 8 28 than two hundred percent of the federal poverty level, as 8 29 defined by the most recently revised income guidelines 8 30 published by the United States department of health and human 8 31 services. 8 32 Sec. 7. NEW SECTION. 249A.20 NONINSTITUTIONAL HEALTH 8 33 PROVIDERS – REIMBURSEMENT. 8 34 Beginning July 1, 2000, the department shall reimburse all 8 35 applicable noninstitutional providers, excluding providers of 9 1 anesthesia services, that on June 30, 2000, are reimbursed on 9 2 a fee-for-service basis under the medical assistance program 9 3 in an equitable manner that utilizes a methodology which 9 4 reflects the federal Medicare resource-based relative value 9 5 scale system to the greatest extent possible. The 9 6 reimbursement system required to be used by this section shall 9 7 be adjusted, annually, on July 1. 9 8 Sec. 8. Section 514I.8, subsection 1, Code 1999, is 9 9 amended to read as follows: 9 10 1. Effective July 1, 1998, and notwithstanding any medical 9 11 assistance program eligibility criteria to the contrary, 9 12 medical assistance shall be provided to, or on behalf of, an 9 13 eligible child under the age of nineteen whose family income 9 14 does not exceed one hundred thirty-three percent of the 9 15 federal poverty level, as defined by the most recently revised 9 16 poverty income guidelines published by the United States 9 17 department of health and human services. Additionally, 9 18 effective July 1, 2000, and notwithstanding any medical 9 19 assistance program eligibility criteria to the contrary, 9 20 medical assistance shall be provided to, or on behalf of, an 9 21 eligible infant whose family income does not exceed two 9 22 hundred percent of the federal poverty level, as defined by 9 23 the most recently revised poverty income guidelines published 9 24 by the United States department of health and human services. 9 25 Sec. 9. Section 514I.8, subsection 2, paragraph c, Code 9 26 1999, is amended to read as follows: 9 27 c. Is a member of a family whoseadjusted grossincome 9 28 does not exceedonetwo hundredeighty-fivepercent of the 9 29 federal poverty level, as defined in 42 U.S.C. } 9902(2), 9 30 including any revision required by such section. 9 31 Sec. 10. Section 514I.10, Code 1999, is amended to read as 9 32 follows: 9 33 514I.10 COST SHARING. 9 34 1. Cost sharing for eligible children whose family 9 35adjusted grossincome is at or below one hundred fifty percent 10 1 of the federal poverty level shall not exceed the standards 10 2 permitted under 42 U.S.C. } 1396(o)(a)(3) or } 1396(o)(b)(1). 10 3 2. Cost sharing for eligible children whose family 10 4adjusted grossincome is between one hundred fifty percent and 10 5onetwo hundredeighty-fivepercent of the federal poverty 10 6 level shall include a premium or copayment amount which is at 10 7 least a minimum amount but which does not exceed five percent 10 8 of the annual familyadjusted grossincome. The amount of the 10 9 premium or the copayment amount shall be based ona sliding10 10fee scale established by rule which is based onfamily 10 11adjusted grossincome andthesizeof the family. 10 12 Sec. 11. EMERGENCY RULES. If specifically authorized by a 10 13 provision of this Act, the department of human services may 10 14 adopt administrative rules under section 17A.4, subsection 2, 10 15 and section 17A.5, subsection 2, paragraph "b", to implement 10 16 the provisions and the rules shall become effective 10 17 immediately upon filing, unless the effective date is delayed 10 18 by the administrative rules review committee, notwithstanding 10 19 section 17A.4, subsection 5, and section 17A.8, subsection 9, 10 20 or a later effective date is specified in the rules. Any 10 21 rules adopted in accordance with the provisions of this 10 22 section shall also be published as notice of intended action 10 23 as provided in section 17A.4. 10 24 EXPLANATION 10 25 This bill relates to and makes appropriations from the 10 26 tobacco settlement fund. 10 27 The bill appropriates $24,300,000 in the fund to the 10 28 department of human services for all of the following: 10 29 1. Increasing the reimbursement rate for all 10 30 noninstitutional providers to the rate paid under the federal 10 31 Medicare program, and implementing the resource-based relative 10 32 value system, for the fiscal year beginning July 1, 2000, and 10 33 ending June 30, 2001. 10 34 2. Increasing the reimbursement rate for dental services 10 35 to 75 percent of the usual and customary rate for the fiscal 11 1 year beginning July 1, 2000, and ending June 30, 2001. 11 2 3. Providing a cost-of-living adjustment of 5 percent to 11 3 rehabilitative treatment services providers, for the fiscal 11 4 year beginning July 1, 2000, and ending June 30, 2001. 11 5 4. Providing a cost-of-living adjustment of 5 percent to 11 6 adoption, independent living, shelter care, and home studies 11 7 services providers, for the fiscal year beginning July 1, 11 8 2000, and ending June 30, 2001. 11 9 5. Increasing the reimbursement rate for hospitals by 3 11 10 percent over the rate in effect on June 30, 2000, for the 11 11 fiscal year beginning July 1, 2000, and ending June 30, 2001. 11 12 6. Increasing the reimbursement rate to home health 11 13 agencies to the rate provided to such agencies under the 11 14 federal Medicare program, for the fiscal year beginning July 11 15 1, 2000, and ending June 30, 2001. 11 16 7. Increasing the reimbursement rate for critical access 11 17 hospitals to the rate provided such hospitals under the 11 18 federal Medicare program, for the fiscal year beginning July 11 19 1, 2000, and ending June 30, 2001. 11 20 8. To provide for expansion of home health care services 11 21 under the medical assistance program for children with special 11 22 needs. 11 23 9. To provide for expansion of respite care services 11 24 provided through home and community-based waiver services 11 25 under the medical assistance program. 11 26 10. To provide an increased reimbursement rate of 1 11 27 percent to service providers under the purview of the 11 28 department of human services. 11 29 The bill provides that of the funds appropriated to the 11 30 department of human services, $182,381 is to be used to meet 11 31 the maintenance of effort requirements under the supplementary 11 32 assistance program. The bill provides for adoption of 11 33 emergency rules by the department. 11 34 The bill requires the department of human services to seek 11 35 a waiver from the health care financing administration to 12 1 implement a pilot project relating to continuous eligibility 12 2 under the medical assistance program. The bill also provides 12 3 for an evaluation of the pilot project and appropriates 12 4 $35,000 from the tobacco settlement fund to the department for 12 5 the evaluation. 12 6 The bill appropriates $9,345,394 to the Iowa department of 12 7 public health for a tobacco use prevention and cessation 12 8 program and $11,900,000 for additional substance abuse 12 9 treatment. Under this appropriation, the department is 12 10 directed to enhance the quality of and to expand capacity to 12 11 provide 24-hour substance abuse treatment programs for 12 12 children; to expand the length of individual client substance 12 13 abuse treatment plans, as necessary to reduce recidivism; to 12 14 share research-based best practices for treatment with 12 15 substance abuse treatment facilities; to develop a results- 12 16 based funding approach for substance abuse treatment services; 12 17 and to develop a program to encourage individuals who are 12 18 successfully managing their substance abuse problems to serve 12 19 as role models. 12 20 The bill appropriates $1.8 million to the Iowa department 12 21 of public health for development of a healthy Iowans 2010 plan 12 22 including the use of up to the following amounts for the 12 23 following purposes: $1,000,000 for core public health 12 24 functions including home health care and public health nursing 12 25 services contracted through a formula by local boards of 12 26 health, to enhance disease and injury prevention services; 12 27 $400,000 for the implementation and support of a coordinated 12 28 system of delivery of trauma and emergency medical services; 12 29 and $400,000 for establishment of a poison control center. 12 30 The bill appropriates $610,000 to the department of 12 31 corrections to replace federal funding for day programming and 12 32 for the drug court program, in certain judicial districts and 12 33 to provide funds for a drug court program in the fourth 12 34 judicial district. 12 35 The bill also makes an appropriation from the tobacco 13 1 settlement fund to the property tax relief fund and requires 13 2 counties to increase reimbursements to certain purchase of 13 3 services providers. The services are provided to persons with 13 4 mental illness, mental retardation, or developmental 13 5 disabilities. The appropriation is to assist certain counties 13 6 with insufficient mental health, mental retardation, and 13 7 developmental disabilities services fund balances to pay the 13 8 reimbursement increases. These counties may in some 13 9 circumstances apply for risk pool assistance and the decision 13 10 granting such assistance is to be made by the risk pool board. 13 11 The bill provides for adoption of emergency rules by the 13 12 department of human services related to this portion of the 13 13 bill. 13 14 The bill amends Code section 12.65, the tobacco settlement 13 15 fund, to provide for purposes for which the fund may be 13 16 appropriated. The amendment to this section also establishes 13 17 a savings account for healthy Iowans within the tobacco 13 18 settlement fund. Moneys appropriated to the account annually 13 19 are to be invested to provide an ongoing source of investment 13 20 earnings. The amendment to this section also provides that 13 21 interest on the moneys in the fund or in the account is to be 13 22 credited to the fund or the account, respectively. 13 23 The bill appropriates $5 million from the tobacco 13 24 settlement fund to the savings account for healthy Iowans for 13 25 the fiscal year beginning July 1, 2000, and ending June 30, 13 26 2001. 13 27 The bill also provides that if any moneys appropriated 13 28 under the bill are not expended or otherwise encumbered, all 13 29 moneys are to revert to the tobacco settlement fund. 13 30 The bill provides for reimbursement of certain providers 13 31 that are receiving reimbursement on a fee-for-service basis on 13 32 June 30, 2000, to be reimbursed under the federal Medicare 13 33 resource-based relative value scale methodology beginning July 13 34 1, 2000. The bill provides for adjustment of the 13 35 reimbursement on an annual bases. 14 1 The bill provides for changes in current law to increase 14 2 the income limit from 185 percent of the federal poverty level 14 3 to 200 percent of the federal poverty level for children under 14 4 19 years of age under the HAWK-I program and provides for 14 5 eligibility for an infant under the medical assistance program 14 6 whose family income does not exceed 200 percent of the federal 14 7 poverty level. 14 8 LSB 7173SC 78 14 9 pf/cls/14
Text: SSB03231 Text: SSB03233 Text: SSB03200 - SSB03299 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
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