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May 17, 2000 The Honorable Chester Culver Secretary of State State Capitol L O C A L Dear Mr. Secretary: I hereby transmit Senate File 2435, an act relating to appropriations for the Department of Human Services and including other provisions and appropriations involving human services and health care, providing effective dates, and providing for retroactive applicability. The human services appropriations bill is a vitally important measure for literally hundreds of thousands of Iowans. For many of our neighbors, family members, and friends, it provides the services they most need to assist families, assure basic health care for children, nursing home care for senior citizens, treatment for those with mental illness, and assistance for those with mental retardation or developmental disabilities. I am grateful that we, legislators and myself, were able to work together in several areas to bring about funding for needed services. This includes an additional $650,000 to expand the number of school liaisons to an additional 25 schools and expand the family support subsidy program so that an additional 50 youngsters with mental retardation may remain in their own homes. Senate File 2435 also includes the addition of $3.55 million to assist low income, working parents with child care and an additional $2.55 to community empowerment programs to assist communities with their efforts in child care and helping families reach self sufficiency. While I am supportive of some efforts this Legislature made, Senate File 2435 also provides funding that is $3.6 million below the level that I recommended at the beginning of the session. It also contains sections that are either flawed or negatively impact the Department of Human Services efforts to carry out its duties in an effective manner. Therefore, I am unable to approve Senate File 2435 in its entirety. Senate File 2435 is, therefore, approved on this date with the following exceptions, which I hereby disapprove. I am unable to approve the item designated as Section 4, subsection 1f, in its entirety. This language would put restrictions on implementing electronic benefit transfer in the most cost effective manner as required by federal regulations. I am unable to approve the designated portion of Section 8, subsection 11. This item purports to encourage the department to implement an adult mental health rehabilitation option under the medical assistance program. While I am supportive of this effort, this language relates to scheduling meetings for the next session and may have the opposite effect of the intended language by slowing down the process. For this reason, I am unable to support the designated portion of this item. I am unable to approve the item designated as Section 8, subsection 15, in its entirety. This language proposes that the department pursue options to provide
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