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House Journal: Page 1598: Tuesday, April 18, 2000

24 allowed for the county's mental health, mental
25 retardation, and developmental disabilities services
26 fund under section 331.424a for the fiscal year
27 beginning July 1, 2000, the county shall repay the
28 assistance provided to the county in accordance with
29 this subsection in the succeeding fiscal year. The
30 repayment amount shall be limited to the amount by
31 which the actual amount levied was less than the
32 maximum amount allowed. Repayments shall be credited
33 to the tobacco settlement fund.
34 4. The department of human services, in
35 consultation with the risk pool board, shall develop
36 and submit a recommendation on or before December 1,
37 2000, to the governor and the general assembly
38 addressing provisions for counties receiving
39 assistance under this section to continue receiving
40 that assistance in subsequent fiscal years.
41 Sec. 4. SAVINGS ACCOUNT FOR HEALTHY IOWANS. There
42 is appropriated from the tobacco settlement fund
43 created in section 12.65 to the savings account for
44 healthy Iowans established within the tobacco
45 settlement fund, for the fiscal year beginning July 1,
46 2000, and ending June 30, 2001, the following amount:
47 ................…………………………................................ $ 3,800,000
48 Sec. 5. REVERSION. Any moneys appropriated under
49 this Act which are unexpended or unencumbered at the
50 end of the fiscal period ending June 30, 2001, shall

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1 revert to the tobacco settlement fund.
2 Sec. 6. Section 249A.3, subsection 1, Code
3 Supplement 1999, is amended by adding the following
4 new paragraph after paragraph k:
5 NEW PARAGRAPH. kk. Is an infant whose income is
6 not more than two hundred percent of the federal
7 poverty level, as defined by the most recently revised
8 income guidelines published by the United States
9 department of health and human services.
10 Sec. 7. NEW SECTION. 249A.20 NONINSTITUTIONAL
11 HEALTH PROVIDERS - REIMBURSEMENT.
12 Beginning November 1, 2000, the department shall
13 use the federal Medicare resource-based relative value
14 scale methodology to reimburse all applicable
15 noninstitutional health providers, excluding
16 anesthesia and dental services, that on June 30, 2000,
17 are reimbursed on a fee-for-service basis for
18 provision of services under the medical assistance
19 program. The department shall apply the federal
20 Medicare resource-based relative value scale
21 methodology to such health providers in the same
22 manner as the methodology is applied under the federal


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