Text: HF00731 Text: HF00733 Text: HF00700 - HF00799 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 HOUSE FILE 732 1 2 1 3 AN ACT 1 4 RELATING TO APPROPRIATIONS FOR THE DEPARTMENT OF HUMAN 1 5 SERVICES AND INCLUDING OTHER PROVISIONS AND APPROPRIATIONS 1 6 INVOLVING HUMAN SERVICES AND HEALTH CARE, AND PROVIDING 1 7 EFFECTIVE DATES. 1 8 1 9 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 1 10 1 11 Section 1. EARLY CHILDHOOD FUNDING. 1 12 1. The appropriations made in 1998 Iowa Acts, chapter 1 13 1218, section 2, and 2000 Iowa Acts, chapter 1228, section 2, 1 14 subsection 1, paragraph "b", from the fund created in section 1 15 8.41 to the department of human services for the fiscal year 1 16 beginning July 1, 2001, and ending June 30, 2002, from moneys 1 17 received under the federal temporary assistance for needy 1 18 families (TANF) block grant shall be used for funding of 1 19 community-based programs targeted to children from birth 1 20 through five years of age, developed by community empowerment 1 21 areas as provided in this section. 1 22 2. The department may transfer federal temporary 1 23 assistance for needy families block grant funding appropriated 1 24 and allocated in this section to the child care and 1 25 development block grant in accordance with federal law as 1 26 necessary to comply with the provisions of this section. The 1 27 funding shall then be provided to community empowerment areas 1 28 for the fiscal year beginning July 1, 2001, in accordance with 1 29 all of the following: 1 30 a. The area must be approved as a designated community 1 31 empowerment area by the Iowa empowerment board. 1 32 b. The maximum funding amount a community empowerment area 1 33 is eligible to receive shall be determined by applying the 1 34 area's percentage of the state's average monthly family 1 35 investment program population in the preceding fiscal year to 2 1 the total amount appropriated for fiscal year 2001-2002 from 2 2 the TANF block grant to fund community-based programs targeted 2 3 to children from birth through five years of age developed by 2 4 community empowerment areas. 2 5 c. A community empowerment area receiving funding shall 2 6 comply with any federal reporting requirements associated with 2 7 the use of that funding and other results and reporting 2 8 requirements established by the Iowa empowerment board. The 2 9 department shall provide technical assistance in identifying 2 10 and meeting the federal requirements. 2 11 d. The availability of funding provided under this section 2 12 is subject to changes in federal requirements and amendments 2 13 to Iowa law. 2 14 3. The moneys distributed in accordance with this section 2 15 shall be used by communities for the purposes of enhancing 2 16 quality child care capacity in support of parent capability to 2 17 obtain or retain employment. The moneys shall be used with a 2 18 primary emphasis on low-income families and children from 2 19 birth to five years of age. Moneys shall be provided in a 2 20 flexible manner to communities, and shall be used to implement 2 21 strategies identified by the communities to achieve such 2 22 purposes. The strategies may include but are not limited to 2 23 developing capacity for regular child care, sick child care, 2 24 night shifts child care, and emergency child care; enhancing 2 25 linkages between the head start and early head start programs, 2 26 early childhood development programs, and child care 2 27 assistance programs; and implementing other strategies to 2 28 enhance access to child care. The moneys may be used to 2 29 either build capacity or for support of ongoing efforts. In 2 30 addition to the full-time equivalent positions funded in this 2 31 Act, 1.00 full-time equivalent position is authorized and the 2 32 department may use funding appropriated in this section for 2 33 provision of technical assistance and other support to 2 34 communities developing and implementing strategies with moneys 2 35 distributed in accordance with this section. 3 1 4. Moneys which are subject to this section which are not 3 2 distributed to a community empowerment area or otherwise 3 3 remain unobligated or unexpended at the end of the fiscal year 3 4 shall revert to the fund created in section 8.41 to be 3 5 available for appropriation by the general assembly in a 3 6 subsequent fiscal year. 3 7 Sec. 2. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 3 8 GRANT. There is appropriated from the fund created in section 3 9 8.41 to the department of human services for the fiscal year 3 10 beginning July 1, 2001, and ending June 30, 2002, from moneys 3 11 received under the federal temporary assistance for needy 3 12 families block grant pursuant to the federal Personal 3 13 Responsibility and Work Opportunity Reconciliation Act of 3 14 1996, Pub. L. No. 104-193, which are federally appropriated 3 15 for the federal fiscal years beginning October 1, 1999, and 3 16 ending September 30, 2000, beginning October 1, 2000, and 3 17 ending September 30, 2001, and beginning October 1, 2001, and 3 18 ending September 30, 2002, the following amounts, or so much 3 19 thereof as is necessary, to be used for the purposes 3 20 designated: 3 21 Moneys appropriated in this section shall be used in 3 22 accordance with the federal law making the funds available, 3 23 applicable Iowa law, appropriations made from the general fund 3 24 of the state in this Act for the purpose designated, and 3 25 administrative rules adopted to implement the federal and Iowa 3 26 law. If actual federal revenues credited to the fund created 3 27 in section 8.41 through June 30, 2002, are less than the 3 28 amounts appropriated in this section, the amounts appropriated 3 29 shall be reduced proportionately and the department may reduce 3 30 expenditures as deemed necessary by the department to meet the 3 31 reduced funding level: 3 32 1. To be credited to the family investment program account 3 33 and used for assistance under the family investment program 3 34 under chapter 239B: 3 35 .................................................. $ 39,287,318 4 1 2. To be credited to the family investment program account 4 2 and used for the job opportunities and basic skills (JOBS) 4 3 program, and implementing family investment agreements, in 4 4 accordance with chapter 239B: 4 5 .................................................. $ 20,830,113 4 6 3. For field operations: 4 7 .................................................. $ 12,885,790 4 8 4. For general administration: 4 9 .................................................. $ 3,238,614 4 10 5. For local administrative costs: 4 11 .................................................. $ 2,122,982 4 12 6. For state child care assistance: 4 13 .................................................. $ 28,638,329 4 14 Of the funds appropriated in this subsection, $200,000 4 15 shall be used for provision of educational opportunities to 4 16 registered child care home providers in order to improve 4 17 services and programs offered by this category of providers 4 18 and to increase the number of providers. The department may 4 19 contract with institutions of higher education or child care 4 20 resource and referral centers to provide the educational 4 21 opportunities. Allowable administrative costs under the 4 22 contracts shall not exceed 5 percent. The application for a 4 23 grant shall not exceed two pages in length. 4 24 7. For emergency assistance: 4 25 .................................................. $ 2,846,432 4 26 8. For mental health and developmental disabilities 4 27 community services: 4 28 .................................................. $ 4,349,266 4 29 9. For child and family services: 4 30 .................................................. $ 23,096,571 4 31 10. For child abuse prevention: 4 32 .................................................. $ 731,000 4 33 11. For pregnancy prevention grants on the condition that 4 34 family planning services are funded: 4 35 .................................................. $ 2,514,413 5 1 Pregnancy prevention grants shall be awarded to programs in 5 2 existence on or before July 1, 2001, if the programs are 5 3 comprehensive in scope and have demonstrated positive 5 4 outcomes. Grants shall be awarded to pregnancy prevention 5 5 programs which are developed after July 1, 2001, if the 5 6 programs are comprehensive in scope and are based on existing 5 7 models that have demonstrated positive outcomes. Grants shall 5 8 comply with the requirements provided in 1997 Iowa Acts, 5 9 chapter 208, section 14, subsections 1 and 2, including the 5 10 requirement that grant programs must emphasize sexual 5 11 abstinence. Priority in the awarding of grants shall be given 5 12 to programs that serve areas of the state which demonstrate 5 13 the highest percentage of unplanned pregnancies of females age 5 14 13 or older but younger than age 18 within the geographic area 5 15 to be served by the grant. 5 16 12. For technology needs and other resources necessary to 5 17 meet federal welfare reform reporting, tracking, and case 5 18 management requirements: 5 19 .................................................. $ 1,182,217 5 20 13. For supervised community treatment under child and 5 21 family services: 5 22 .................................................. $ 300,000 5 23 14. For volunteers: 5 24 .................................................. $ 42,663 5 25 15. For individual development accounts under chapter 5 26 541A: 5 27 .................................................. $ 250,000 5 28 16. For the healthy opportunities for parents to 5 29 experience success (HOPES) program administered by the Iowa 5 30 department of public health to target child abuse prevention: 5 31 .................................................. $ 200,000 5 32 17. To be credited to the Iowa marriage initiative grant 5 33 fund created in section 234.45: 5 34 .................................................. $ 500,000 5 35 a. The moneys credited to the Iowa marriage initiative 6 1 grant fund pursuant to this subsection are appropriated to the 6 2 department for the fiscal year beginning July 1, 2001, and 6 3 ending June 30, 2002, to be used in accordance with this 6 4 subsection. 6 5 b. The department shall establish an Iowa marriage 6 6 initiative grant program to fund services to support marriage 6 7 and to encourage the formation and maintenance of two-parent 6 8 families that are secure and nurturing. 6 9 c. The program shall require that a grantee be a nonprofit 6 10 organization incorporated in this state with successful 6 11 experience in facilitating marriage promotion activities, 6 12 working with various faith-based organizations and the leaders 6 13 of the organizations, using media resources in promoting 6 14 marriage, making presentations to service and faith-based 6 15 organizations, and in raising private funding for activities 6 16 that support marriage. 6 17 d. The program activities funded by a grant shall include 6 18 but are not limited to working with individuals who are 6 19 authorized to solemnize a marriage under section 595.10 in 6 20 utilizing premarital diagnostic tools, to implement marriage 6 21 agreements developed by such individuals that provide for an 6 22 appropriate engagement period and premarital and postmarital 6 23 counseling, and to use volunteer mentors in program 6 24 activities. 6 25 e. Grants shall be awarded in a manner that results in 6 26 provision of services in an equal number of urban and rural 6 27 geographic areas. The department shall implement the grant 6 28 program so that the request for proposals is issued on or 6 29 before October 1, 2001, and so that any grants are awarded on 6 30 or before January 1, 2002. A grantee shall be required to 6 31 submit a quarterly financial report to the department and to 6 32 the legislative fiscal bureau and shall be subject to an 6 33 annual independent evaluation to assess accomplishment of the 6 34 purposes listed in paragraph "b". 6 35 f. The department shall provide a copy of the request for 7 1 proposals and shall submit a report concerning the proposals 7 2 received and grants awarded to those persons designated by 7 3 this Act to receive reports. The department may adopt 7 4 emergency rules to implement the provisions of this 7 5 subsection. 7 6 18. The department shall report on or before December 15, 7 7 2001, to the governor and to the persons designated by this 7 8 Act to receive reports providing a detailed analysis as to how 7 9 federal temporary assistance for needy families block grant 7 10 funding was expended during the previous fiscal year to 7 11 achieve the four purposes for the funding as outlined in 42 7 12 U.S.C. } 601(a). For each category of expenditure, the 7 13 analysis shall identify which of the four purposes was 7 14 addressed and the amount expended. 7 15 Of the amounts appropriated in this section, $11,612,112 7 16 for the fiscal year beginning July 1, 2001, shall be 7 17 transferred to the appropriation of the federal social 7 18 services block grant for that fiscal year. 7 19 Eligible funding available under the federal temporary 7 20 assistance for needy families block grant that is not 7 21 appropriated or not otherwise expended shall be considered 7 22 reserved for economic downturns and welfare reform purposes 7 23 and is subject to further state appropriation to support 7 24 families in their movement toward self-sufficiency. 7 25 Sec. 3. FAMILY INVESTMENT PROGRAM ACCOUNT. 7 26 1. Moneys credited to the family investment program (FIP) 7 27 account for the fiscal year beginning July 1, 2001, and ending 7 28 June 30, 2002, shall be used in accordance with the following 7 29 requirements: 7 30 a. The department shall provide assistance in accordance 7 31 with chapter 239B. 7 32 b. The department shall continue the special needs program 7 33 under the family investment program. 7 34 c. The department shall continue to comply with federal 7 35 welfare reform data requirements pursuant to the 8 1 appropriations made for that purpose. 8 2 d. The department shall continue to make entrepreneurial 8 3 training available to families receiving assistance under the 8 4 family investment program. The department may contract for 8 5 these services. 8 6 e. (1) The department shall continue expansion of the 8 7 electronic benefit transfer program as necessary to comply 8 8 with federal requirements. Notwithstanding 1998 Iowa Acts, 8 9 chapter 1218, section 5, subsection 1, paragraph "d", 1999 8 10 Iowa Acts, chapter 203, section 5, subsection 1, paragraph 8 11 "d", and 2000 Iowa Acts, chapter 1228, section 4, subsection 8 12 1, paragraph "e", the target date for statewide implementation 8 13 of the program is October 1, 2002. 8 14 (2) It is the intent of the general assembly that the 8 15 electronic benefits transfer program shall include the 8 16 capability for child care service providers to submit billings 8 17 electronically and to receive payment through electronic funds 8 18 transfer, and the capability to include electronic 8 19 verification of medical assistance eligibility. 8 20 (3) It is the intent of the general assembly that 8 21 electronic funds transfer system equipment provided by a 8 22 retailer participating in the program shall be utilized to the 8 23 extent practicable for electronic benefits transfer 8 24 transactions for the purchase of food from the retailer. 8 25 2. Notwithstanding 2000 Iowa Acts, chapter 1226, section 8 26 5, subsection 4, moneys allocated for electronic benefit 8 27 transfer development pursuant to 2000 Iowa Acts, chapter 1226, 8 28 section 5, subsection 2, paragraph "e", subparagraph (9), 8 29 which remain unobligated or unexpended at the close of the 8 30 fiscal year shall not revert to the general fund of the state 8 31 but shall remain available for the purposes designated in the 8 32 succeeding fiscal year. 8 33 3. The department may use a portion of the moneys credited 8 34 to the family investment account under this section, as 8 35 necessary for salaries, support, maintenance, and 9 1 miscellaneous purposes for not more than the following full- 9 2 time equivalent positions which are in addition to any other 9 3 full-time equivalent positions authorized by this Act: 9 4 ............................................... FTEs 8.00 9 5 4. The department may transfer funds in accordance with 9 6 section 8.39, either federal or state, to or from the child 9 7 care appropriations made for the fiscal year beginning July 1, 9 8 2001, if the department deems this would be a more effective 9 9 method of paying for JOBS program child care, to maximize 9 10 federal funding, or to meet federal maintenance of effort 9 11 requirements. 9 12 5. Moneys appropriated in this Act and credited to the 9 13 family investment program account for the fiscal year 9 14 beginning July 1, 2001, and ending June 30, 2002, are 9 15 allocated as follows: 9 16 a. For the family development and self-sufficiency grant 9 17 program as provided under section 217.12: 9 18 .................................................. $ 5,697,825 9 19 (1) Of the funds allocated for the family development and 9 20 self-sufficiency grant program in this lettered paragraph, not 9 21 more than 5 percent of the funds shall be used for the 9 22 administration of the grant program. 9 23 (2) Based upon the annual evaluation report concerning 9 24 each grantee funded by previously appropriated funds and 9 25 through the solicitation of additional grant proposals, the 9 26 family development and self-sufficiency council may use the 9 27 allocated funds to renew or expand existing grants or award 9 28 new grants. In utilizing the funding allocated in this 9 29 lettered paragraph, the council shall give consideration, in 9 30 addition to other criteria established by the council, to a 9 31 grantee's intended use of local funds with a grant and to 9 32 whether approval of a grant proposal would expand the 9 33 availability of the program's services. 9 34 (3) Family development and self-sufficiency grantees shall 9 35 not supplant previous local funding with state or federal 10 1 funds. 10 2 (4) The department shall continue to implement the family 10 3 development and self-sufficiency grant program statewide 10 4 during FY 2001-2002. 10 5 b. For income maintenance reengineering: 10 6 .................................................. $ 700,000 10 7 c. For the diversion program and incentive grants as 10 8 follows: 10 9 (1) For the diversion subaccount of the family investment 10 10 program account: 10 11 .................................................. $ 3,200,000 10 12 Moneys allocated to the diversion subaccount shall be used 10 13 to continue the pilot initiative of providing incentives to 10 14 assist families who meet income eligibility requirements for 10 15 the family investment program in obtaining or retaining 10 16 employment, to assist participant families in overcoming 10 17 barriers to obtaining employment, and to assist families in 10 18 stabilizing employment and in reducing the likelihood of the 10 19 family returning to the family investment program. Incentives 10 20 may be provided in the form of payment or services. The 10 21 department may limit the availability of the pilot initiative 10 22 on the basis of geographic area or numbers of individuals 10 23 provided with incentives. The department shall attempt to 10 24 assess and screen individuals who would most likely benefit 10 25 from the services. The department shall continue the 10 26 diversion initiative in the fiscal year 2001-2002. In 10 27 addition to the full-time equivalent positions authorized in 10 28 this Act, 1.00 FTE is authorized and the department may use 10 29 funds allocated for the diversion program to facilitate 10 30 community investment in welfare reform and to support 10 31 continuation of the diversion program. The department may 10 32 grant diversion moneys to the level of the entity operating an 10 33 initiative. The department may adopt additional eligibility 10 34 criteria as necessary for compliance with federal law and for 10 35 screening those families who would be most likely to become 11 1 eligible for the family investment program if diversion 11 2 incentives would not be provided. 11 3 (2) For continuation of innovative strategies on a 11 4 statewide or pilot project basis for supporting job retention, 11 5 family structure, or both, including services to noncustodial 11 6 parents and young parents: 11 7 .................................................. $ 650,000 11 8 (3) Of the moneys allocated in subparagraph (2), not more 11 9 than $250,000 shall be used to develop or continue community- 11 10 level parental obligation pilot projects. A pilot project 11 11 shall be operated with the goal of assisting parents who are 11 12 living apart in meeting their parental obligations and in 11 13 supporting their children. A pilot project may also seek to 11 14 prevent the separation of families by including families at 11 15 risk of separation in project services. Any pilot project 11 16 shall maximize the use of existing community resources for 11 17 family counseling, legal services, mediation, job training and 11 18 job skills development, substance abuse treatment and 11 19 prevention, health maintenance, and personal mentoring. Local 11 20 communities shall also be encouraged to provide financial 11 21 resources. 11 22 (a) Notwithstanding any other provision of law to the 11 23 contrary, the department shall develop procedures for the 11 24 pilot projects to expedite all of the following: 11 25 (i) The establishment and adjustment of support 11 26 obligations, with the consent of both parents, in a manner 11 27 which may deviate from the child support guidelines. 11 28 (ii) Changes in income withholding orders based on 11 29 individual case circumstances. 11 30 (iii) Satisfaction of a portion of support amounts owed to 11 31 the state based on cooperation and compliance by the 11 32 noncustodial parent with project requirements. 11 33 (iv) Adjustment of visitation and shared custody 11 34 arrangements in a manner which enhances the ability of each 11 35 parent to meet parental obligations. 12 1 (b) The department shall adopt rules for the development, 12 2 operation, and monitoring of a project; to establish the 12 3 minimum required amount of community support; to establish 12 4 expedited procedures; and to establish other criteria and 12 5 procedures as appropriate. 12 6 (c) The department shall use the funds authorized in this 12 7 subparagraph to employ 1.00 full-time equivalent position to 12 8 manage the pilot project or projects. The department shall 12 9 also use the authorized funds to employ other full-time 12 10 equivalent positions or to provide services, as necessary, to 12 11 assist in the coordination, development, and operation of 12 12 community-level pilot projects and to achieve the expedited 12 13 procedures established. Any full-time equivalent positions 12 14 authorized in this subparagraph subdivision are in addition to 12 15 any other full-time equivalent positions authorized by law. 12 16 (4) Of the moneys allocated in subparagraph (2), not more 12 17 than $200,000 shall be used to continue to study the impact 12 18 that moving unemployed family investment program parents into 12 19 employment has on the well-being of the children, the parent, 12 20 and the family. The department shall include in this well- 12 21 being study a method of actual contact with the families and 12 22 children, and shall consider broad-based impacts, such as 12 23 educational achievement, health status, housing stability, 12 24 family stability, and use of supportive social services. The 12 25 department shall also seek funding through foundations and the 12 26 federal government in order to supplement the funding for this 12 27 study. The results of the study shall be submitted to the 12 28 persons required by this Act to receive reports. 12 29 (5) Of the moneys allocated in subparagraph (2), not more 12 30 than $100,000 shall be used for providing additional incentive 12 31 payments to contracted agencies who demonstrate success at 12 32 completing well-being visits for families terminated from the 12 33 family investment program under a limited benefit plan. The 12 34 department shall use these funds to increase payments to 12 35 agencies who complete a higher percentage of well-being 13 1 visits, who achieve a significant percentage of visits in a 13 2 face-to-face format, or who are able to observe and interact 13 3 with the children during a significant percentage of visits. 13 4 d. For the food stamp employment and training program: 13 5 .................................................. $ 150,000 13 6 6. Of the child support collections assigned under the 13 7 family investment program, an amount equal to the federal 13 8 share of support collections shall be credited to the child 13 9 support recovery appropriation. Of the remainder of the 13 10 assigned child support collections received by the child 13 11 support recovery unit, a portion shall be credited to the 13 12 family investment program account and a portion may be used to 13 13 increase recoveries. 13 14 7. The department may adopt emergency administrative rules 13 15 for the family investment, food stamp, and medical assistance 13 16 programs, if necessary, to comply with federal requirements. 13 17 Prior to adoption of the rules, the department shall consult 13 18 with the welfare reform council and the chairpersons and 13 19 ranking members of the joint appropriations subcommittee on 13 20 human services. 13 21 8. The department may continue the initiative to 13 22 streamline and simplify the employer verification process for 13 23 applicants, participants, and employers in the administration 13 24 of the department's programs. The department may contract 13 25 with companies collecting data from employers when the 13 26 information is needed in the administration of these programs. 13 27 The department may limit the availability of the initiative on 13 28 the basis of geographic area or number of individuals. 13 29 9. The department may adopt emergency rules to increase 13 30 the mileage rate reimbursement paid to JOBS program 13 31 participants above the current rate of 16 cents per mile. 13 32 10. The department may adopt emergency rules to implement 13 33 2001 Iowa Acts, Senate File 198, that extends the time 13 34 limitation for funding of postsecondary education for family 13 35 investment program participants, if enacted by the Seventy- 14 1 ninth General Assembly, 2001 Session. 14 2 Sec. 4. FAMILY INVESTMENT PROGRAM GENERAL FUND. There is 14 3 appropriated from the general fund of the state to the 14 4 department of human services for the fiscal year beginning 14 5 July 1, 2001, and ending June 30, 2002, the following amount, 14 6 or so much thereof as is necessary, to be used for the purpose 14 7 designated: 14 8 To be credited to the family investment program account and 14 9 used for family investment program assistance under chapter 14 10 239B: 14 11 .................................................. $ 36,150,000 14 12 1. The department of workforce development, in 14 13 consultation with the department of human services, shall 14 14 continue to utilize recruitment and employment practices to 14 15 include former and current family investment program 14 16 recipients. 14 17 2. The department of human services shall continue to work 14 18 with the department of workforce development and local 14 19 community collaborative efforts to provide support services 14 20 for family investment program participants. The support 14 21 services shall be directed to those participant families who 14 22 would benefit from the support services and are likely to have 14 23 success in achieving economic independence. 14 24 3. Of the funds appropriated in this section, $9,564,352 14 25 is allocated for the JOBS program. 14 26 4. The department shall continue to work with religious 14 27 organizations and other charitable institutions to increase 14 28 the availability of host homes, referred to as second chance 14 29 homes or other living arrangements under the federal Personal 14 30 Responsibility and Work Opportunity Reconciliation Act of 14 31 1996, Pub. L. No. 104-193, } 103. The purpose of the homes or 14 32 arrangements is to provide a supportive and supervised living 14 33 arrangement for minor parents receiving assistance under the 14 34 family investment program who, under chapter 239B, may receive 14 35 assistance while living in an alternative setting other than 15 1 with their parent or legal guardian. 15 2 Sec. 5. EMERGENCY ASSISTANCE. There is appropriated from 15 3 the general fund of the state to the department of human 15 4 services for the fiscal year beginning July 1, 2001, and 15 5 ending June 30, 2002, the following amount, or so much thereof 15 6 as is necessary, to be used for the purpose designated: 15 7 For emergency assistance to families with dependent 15 8 children for homeless prevention programs: 15 9 .................................................. $ 10,000 15 10 1. The emergency assistance provided for in this section 15 11 and federal moneys appropriated for this purpose in this Act 15 12 shall be available beginning October 1 of the fiscal year and 15 13 shall be provided only if all other publicly funded resources 15 14 have been exhausted. Specifically, emergency assistance is 15 15 the program of last resort and shall not supplant assistance 15 16 provided by the low-income home energy assistance program 15 17 (LIHEAP), county general relief, and veterans affairs 15 18 programs. The department shall establish a $500 maximum 15 19 payment, per family, in a twelve-month period. The emergency 15 20 assistance includes, but is not limited to, assisting people 15 21 who face eviction, potential eviction, or foreclosure, utility 15 22 shutoff or fuel shortage, loss of heating energy supply or 15 23 equipment, homelessness, utility or rental deposits, or other 15 24 specified crisis which threatens family or living 15 25 arrangements. The emergency assistance shall be available to 15 26 migrant families who would otherwise meet eligibility 15 27 criteria. The department may contract for the administration 15 28 and delivery of the program. The program shall be terminated 15 29 when funds are exhausted. 15 30 2. For the fiscal year beginning July 1, 2001, the 15 31 department shall continue the process for the state to receive 15 32 refunds of utility and rent deposits, including any accrued 15 33 interest, for emergency assistance recipients which were paid 15 34 by persons other than the state. The department shall also 15 35 receive refunds, including any accrued interest, of assistance 16 1 paid with funding available under this program. The refunds 16 2 received by the department under this subsection shall be 16 3 deposited with the moneys of the appropriation made in this 16 4 section and used as additional funds for the emergency 16 5 assistance program. Notwithstanding section 8.33, moneys 16 6 received by the department under this subsection which remain 16 7 after the emergency assistance program is terminated and state 16 8 or federal moneys in the emergency assistance account which 16 9 remain unobligated or unexpended at the close of the fiscal 16 10 year shall not revert to the general fund of the state but 16 11 shall remain available for expenditure when the program 16 12 resumes operation on October 1 in the succeeding fiscal year. 16 13 3. Of the funds appropriated in this section, $10,000 is 16 14 allocated to the community voice mail program to continue the 16 15 existing program. The funds shall be made available beginning 16 16 July 1, 2001. The community voice mail program shall submit 16 17 semiannual reports to the department which, at a minimum, 16 18 specify, on a county basis, the unduplicated number of 16 19 households participating in the program for the previous six- 16 20 month period. The report shall be submitted no later than the 16 21 last business day of the month immediately following the end 16 22 of the six-month period. 16 23 Sec. 6. CHILD SUPPORT RECOVERY. There is appropriated 16 24 from the general fund of the state to the department of human 16 25 services for the fiscal year beginning July 1, 2001, and 16 26 ending June 30, 2002, the following amount, or so much thereof 16 27 as is necessary, to be used for the purposes designated: 16 28 For child support recovery, including salaries, support, 16 29 maintenance, and miscellaneous purposes and for not more than 16 30 the following full-time equivalent positions: 16 31 .................................................. $ 6,700,000 16 32 ............................................... FTEs 321.40 16 33 1. The director of human services, within the limitations 16 34 of the moneys appropriated in this section, or moneys 16 35 transferred from the family investment program account for 17 1 this purpose, shall establish new positions and add employees 17 2 to the child support recovery unit if the director determines 17 3 that both the current and additional employees together can 17 4 reasonably be expected to maintain or increase net state 17 5 revenue at or beyond the budgeted level. 17 6 2. Nonpublic assistance application fees and other user 17 7 fees received by the child support recovery unit are 17 8 appropriated and shall be used for the purposes of the child 17 9 support recovery program. The director of human services may 17 10 add positions within the limitations of the amount 17 11 appropriated for salaries and support for the positions. 17 12 3. The director of human services, in consultation with 17 13 the department of management and the legislative fiscal 17 14 committee, is authorized to receive and deposit state child 17 15 support incentive earnings in the manner specified under 17 16 applicable federal requirements. 17 17 4. a. The director of human services may establish new 17 18 positions and add state employees to the child support 17 19 recovery unit or contract for delivery of services if the 17 20 director determines the employees are necessary to replace 17 21 county-funded positions eliminated due to termination, 17 22 reduction, or nonrenewal of a chapter 28E contract. However, 17 23 the director must also determine that the resulting increase 17 24 in the state share of child support recovery incentives 17 25 exceeds the cost of the positions or contract, the positions 17 26 or contract are necessary to ensure continued federal funding 17 27 of the program, or the new positions or contract can 17 28 reasonably be expected to recover at least twice the amount of 17 29 money necessary to pay the salaries and support for the new 17 30 positions or the contract will generate at least 200 percent 17 31 of the cost of the contract. 17 32 b. Employees in full-time positions that transition from 17 33 county government to state government employment under this 17 34 subsection are exempt from testing, selection, and appointment 17 35 provisions of chapter 19A and from the provisions of 18 1 collective bargaining agreements relating to the filling of 18 2 vacant positions. 18 3 5. If initiated by the judicial branch, the child support 18 4 recovery unit shall continue to work with the judicial branch 18 5 to determine the feasibility of implementing a pilot project 18 6 utilizing a court-appointed referee for judicial 18 7 determinations on child support matters. The extent and 18 8 location of any pilot project shall be jointly developed by 18 9 the judicial branch and the child support recovery unit. 18 10 6. Surcharges paid by obligors and received by the unit as 18 11 a result of the referral of support delinquency by the child 18 12 support recovery unit to any private collection agency are 18 13 appropriated to the department and shall be used to pay the 18 14 costs of any contracts with the collection agencies. 18 15 7. The department shall expend up to $51,000, including 18 16 federal financial participation, for the fiscal year beginning 18 17 July 1, 2001, for a child support public awareness campaign. 18 18 The department and the office of the attorney general shall 18 19 cooperate in continuation of the campaign. The public 18 20 awareness campaign shall emphasize, through a variety of media 18 21 activities, the importance of maximum involvement of both 18 22 parents in the lives of their children as well as the 18 23 importance of payment of child support obligations. 18 24 8. Federal access and visitation grant moneys shall be 18 25 issued directly to private not-for-profit agencies that 18 26 provide services designed to increase compliance with the 18 27 child access provisions of court orders, including but not 18 28 limited to neutral visitation site and mediation services. 18 29 Sec. 7. MEDICAL ASSISTANCE. There is appropriated from 18 30 the general fund of the state to the department of human 18 31 services for the fiscal year beginning July 1, 2001, and 18 32 ending June 30, 2002, the following amount, or so much thereof 18 33 as is necessary, to be used for the purpose designated: 18 34 For medical assistance reimbursement and associated costs 18 35 as specifically provided in the reimbursement methodologies in 19 1 effect on June 30, 2001 except as otherwise expressly 19 2 authorized by law, including reimbursement for abortion 19 3 services, which shall be available under the medical 19 4 assistance program only for those abortions which are 19 5 medically necessary: 19 6 .................................................. $413,150,000 19 7 1. Medically necessary abortions are those performed under 19 8 any of the following conditions: 19 9 a. The attending physician certifies that continuing the 19 10 pregnancy would endanger the life of the pregnant woman. 19 11 b. The attending physician certifies that the fetus is 19 12 physically deformed, mentally deficient, or afflicted with a 19 13 congenital illness. 19 14 c. The pregnancy is the result of a rape which is reported 19 15 within 45 days of the incident to a law enforcement agency or 19 16 public or private health agency which may include a family 19 17 physician. 19 18 d. The pregnancy is the result of incest which is reported 19 19 within 150 days of the incident to a law enforcement agency or 19 20 public or private health agency which may include a family 19 21 physician. 19 22 e. Any spontaneous abortion, commonly known as a 19 23 miscarriage, if not all of the products of conception are 19 24 expelled. 19 25 2. Notwithstanding section 8.39, the department may 19 26 transfer funds appropriated in this section to a separate 19 27 account established in the department's case management unit 19 28 for expenditures required to provide case management services 19 29 for mental health, mental retardation, and developmental 19 30 disabilities services under medical assistance which are 19 31 jointly funded by the state and county, pending final 19 32 settlement of the expenditures. Funds received by the case 19 33 management unit in settlement of the expenditures shall be 19 34 used to replace the transferred funds and are available for 19 35 the purposes for which the funds were appropriated in this 20 1 section. 20 2 3. a. The county of legal settlement shall be billed for 20 3 50 percent of the nonfederal share of the cost of case 20 4 management provided for adults, day treatment, and partial 20 5 hospitalization in accordance with sections 249A.26 and 20 6 249A.27, and 100 percent of the nonfederal share of the cost 20 7 of care for adults which is reimbursed under a federally 20 8 approved home and community-based waiver that would otherwise 20 9 be approved for provision in an intermediate care facility for 20 10 persons with mental retardation, provided under the medical 20 11 assistance program. The state shall have responsibility for 20 12 the remaining 50 percent of the nonfederal share of the cost 20 13 of case management provided for adults, day treatment, and 20 14 partial hospitalization. For persons without a county of 20 15 legal settlement, the state shall have responsibility for 100 20 16 percent of the nonfederal share of the costs of case 20 17 management provided for adults, day treatment, partial 20 18 hospitalization, and the home and community-based waiver 20 19 services. The case management services specified in this 20 20 subsection shall be billed to a county only if the services 20 21 are provided outside of a managed care contract. 20 22 b. The state shall pay the entire nonfederal share of the 20 23 costs for case management services provided to persons 17 20 24 years of age and younger who are served in a medical 20 25 assistance home and community-based waiver program for persons 20 26 with mental retardation. 20 27 c. Medical assistance funding for case management services 20 28 for eligible persons 17 years of age and younger shall also be 20 29 provided to persons residing in counties with child welfare 20 30 decategorization projects implemented in accordance with 20 31 section 232.188, provided these projects have included these 20 32 persons in their service plan and the decategorization project 20 33 county is willing to provide the nonfederal share of costs. 20 34 d. When paying the necessary and legal expenses of 20 35 intermediate care facilities for persons with mental 21 1 retardation (ICFMR), the cost payment requirements of section 21 2 222.60 shall be considered fulfilled when payment is made in 21 3 accordance with the medical assistance payment rates 21 4 established for ICFMRs by the department and the state or a 21 5 county of legal settlement is not obligated for any amount in 21 6 excess of the rates. 21 7 e. The department shall revise the provisions of the home 21 8 and community-based waiver for persons with brain injury to 21 9 eliminate the eligibility requirement that a person must have 21 10 been a resident of a medical institution for at least thirty 21 11 consecutive days at the time of initial application. Unless a 21 12 county has paid or is paying for the nonfederal share of the 21 13 cost of a person's home and community-based waiver services or 21 14 ICFMR placement under the county's mental health, mental 21 15 retardation, and developmental disabilities services fund, or 21 16 unless a county of legal settlement would become liable for 21 17 the costs of services at the ICFMR level of care for a person 21 18 due to the person reaching the age of majority, the state 21 19 shall pay the nonfederal share of the costs of an eligible 21 20 person's services under the home and community-based waiver 21 21 for persons with brain injury. 21 22 4. The department shall utilize not more than $60,000 of 21 23 the funds appropriated in this section to continue the 21 24 AIDS/HIV health insurance premium payment program as 21 25 established in 1992 Iowa Acts, Second Extraordinary Session, 21 26 Chapter 1001, section 409, subsection 6. Of the funds 21 27 allocated in this subsection, not more than $5,000 may be 21 28 expended for administrative purposes. 21 29 5. Of the funds appropriated to the Iowa department of 21 30 public health for substance abuse grants, $950,000 for the 21 31 fiscal year beginning July 1, 2001, shall be transferred to 21 32 the department of human services for an integrated substance 21 33 abuse managed care system. 21 34 6. In administering the medical assistance home and 21 35 community-based waiver for persons with physical disabilities, 22 1 the total number of openings for persons with physical 22 2 disabilities served at any one time shall be limited to the 22 3 number approved in the waiver by the secretary of the United 22 4 States department of health and human services. The openings 22 5 shall be available on a first-come, first-served basis. 22 6 7. The department of human services, in consultation with 22 7 the Iowa department of public health and the department of 22 8 education, shall continue the program to utilize the early and 22 9 periodic screening, diagnosis, and treatment (EPSDT) funding 22 10 under medical assistance, to the extent possible, to implement 22 11 the screening component of the EPSDT program through the 22 12 school system. The department may enter into contracts to 22 13 utilize maternal and child health centers, the public health 22 14 nursing program, or school nurses in implementing this 22 15 provision. 22 16 8. The department shall continue the case study for 22 17 outcome-based performance standards for programs serving 22 18 persons with mental retardation or other developmental 22 19 disabilities proposed pursuant to 1994 Iowa Acts, chapter 22 20 1170, section 56. 22 21 9. The department shall continue the medical assistance 22 22 home and community-based services waiver to allow children 22 23 with mental retardation, who would otherwise require ICF/MR 22 24 care, to be served in out-of-home settings of up to eight beds 22 25 which meet standards established by the department. Up to 22 26 $1,487,314 of the funds appropriated in this section may be 22 27 used for the costs of the waiver. 22 28 10. The department shall continue working with county 22 29 representatives in aggressively implementing the 22 30 rehabilitation option for services to persons with chronic 22 31 mental illness under the medical assistance program, and 22 32 county funding shall be used to provide the match for the 22 33 federal funding, except for individuals with state case 22 34 status, for whom state funding shall provide the match. 22 35 11. If the health care financing administration approves a 23 1 waiver request from the department, the department shall 23 2 provide a period of 24 months of guaranteed eligibility for 23 3 medical assistance family planning services, regardless of the 23 4 change in circumstances of a woman who was a medical 23 5 assistance recipient when a pregnancy ended. 23 6 12. The department shall aggressively pursue options for 23 7 providing medical assistance or other assistance to 23 8 individuals with special needs who become ineligible to 23 9 continue receiving services under the early and periodic, 23 10 screening, diagnosis, and treatment program under the medical 23 11 assistance program due to becoming 21 years of age, who have 23 12 been approved for additional assistance through the 23 13 department's exception to policy provisions, but who have 23 14 health care needs in excess of the funding available through 23 15 the exception to policy process. 23 16 13. Of the moneys appropriated in this section, $200,000 23 17 shall be used to increase reimbursement of child protection 23 18 centers. 23 19 14. The department shall adopt rules to provide that an 23 20 individual applying for the medically needy program is not 23 21 required to reapply for the program unless the individual's 23 22 income as disclosed in the initial application changes. The 23 23 rules shall also provide that to the greatest extent possible, 23 24 the application and continuing eligibility requirements for 23 25 all medical assistance-related programs shall be consistent. 23 26 15. If federal funding is received, the department may 23 27 participate in a federal home telecare pilot program intended 23 28 to manage health care needs of subpopulations of Iowans and 23 29 specifically including subpopulations of Iowans who require 23 30 high utilization of health care services and represent a 23 31 disproportionate share of consumption of health care services. 23 32 The program shall be implemented as a collaboration of public, 23 33 private, and academic participants and may include the 23 34 participation of the department of human services, the 23 35 department of elder affairs, and the Iowa department of public 24 1 health, with the intent of showing cost savings in proactively 24 2 managing diseases of selective populations through the 24 3 utilization of communications technology and management 24 4 protocols. The program may direct telecare services to 24 5 persons with diagnoses of specific nonacute, chronic illnesses 24 6 which may include but are not limited to chronic obstructive 24 7 pulmonary disease, congestive heart disease, diabetes, and 24 8 asthma. The telecare program may provide a proactive call 24 9 center staffed by appropriate, licensed health care providers 24 10 equipped with disease management protocols. For the purposes 24 11 of this section, "telecare" shall include but is not limited 24 12 to the interactive delivery of diagnostic, clinical, 24 13 consultative, data, and educational services utilizing a 24 14 transmission network which may include but is not limited to 24 15 the live transmission of audio and video data. 24 16 16. The department, in cooperation with the drug 24 17 utilization review commission, shall review the use of 24 18 nonsedating antihistamines for children and shall submit a 24 19 report to the governor and the general assembly on or before 24 20 November 15, 2001, regarding such use and providing a 24 21 recommendation regarding the application of prior 24 22 authorization requirements to these drugs. 24 23 Sec. 8. HEALTH INSURANCE PREMIUM PAYMENT PROGRAM. There 24 24 is appropriated from the general fund of the state to the 24 25 department of human services for the fiscal year beginning 24 26 July 1, 2001, and ending June 30, 2002, the following amount, 24 27 or so much thereof as is necessary, to be used for the purpose 24 28 designated: 24 29 For administration of the health insurance premium payment 24 30 program, including salaries, support, maintenance, and 24 31 miscellaneous purposes, and for not more than the following 24 32 full-time equivalent positions: 24 33 .................................................. $ 600,000 24 34 ............................................... FTEs 22.00 24 35 Sec. 9. CHILDREN'S HEALTH INSURANCE PROGRAM. There is 25 1 appropriated from the general fund of the state to the 25 2 department of human services for the fiscal year beginning 25 3 July 1, 2001, and ending June 30, 2002, the following amount, 25 4 or so much thereof as is necessary, to be used for the purpose 25 5 designated: 25 6 For maintenance of the healthy and well kids in Iowa (HAWK- 25 7 I) program pursuant to chapter 514I for receipt of federal 25 8 financial participation under Title XXI of the federal Social 25 9 Security Act, which creates the state children's health 25 10 insurance program: 25 11 .................................................. $ 8,400,000 25 12 1. The department may transfer funds appropriated in this 25 13 section to be used for the purpose of expanding health care 25 14 coverage to children under the medical assistance program. 25 15 The department shall provide periodic updates to the general 25 16 assembly of expenditures of funds appropriated in this 25 17 section. 25 18 2. The department shall provide a report to the HAWK-I 25 19 board and to the general assembly by January 15, 2002, 25 20 specifying the actual cost reported by each participating 25 21 insurer of providing monthly coverage to eligible children 25 22 under the children's health insurance program. 25 23 3. Moneys in the HAWK-I trust fund are appropriated and 25 24 shall be used to offset any program costs for the fiscal year 25 25 beginning July 1, 2001, and ending June 30, 2002. 25 26 4. The department of human services shall seek a waiver 25 27 from the health care financing administration of the United 25 28 States department of health and human services to permit 25 29 families with children who are eligible for medical assistance 25 30 to elect to participate under the HAWK-I program in lieu of 25 31 participation in the medical assistance program. If the 25 32 waiver is approved, the department shall implement the 25 33 provision. 25 34 Sec. 10. MEDICAL CONTRACTS. There is appropriated from 25 35 the general fund of the state to the department of human 26 1 services for the fiscal year beginning July 1, 2001, and 26 2 ending June 30, 2002, the following amount, or so much thereof 26 3 as is necessary, to be used for the purpose designated: 26 4 For medical contracts: 26 5 .................................................. $ 8,700,000 26 6 1. The department shall receive input and recommendations 26 7 from the chairpersons and ranking members of the joint 26 8 appropriations subcommittee on human services prior to 26 9 entering into or extending any managed care contract for 26 10 mental health or substance abuse services. 26 11 2. The director of human services may establish up to 8.00 26 12 full-time equivalent positions to be assigned to the medical 26 13 review unit and pharmacy unit of the fiscal agent if the 26 14 director determines the employees are necessary to replace 26 15 fiscal agent positions of the professional medical review 26 16 staff and pharmacy staff, contingent upon termination of those 26 17 staff positions with the fiscal agent. Employees in full-time 26 18 positions that transition from private employment to state 26 19 government employment under this unnumbered paragraph are 26 20 exempt from testing, selection, and appointment provisions of 26 21 chapter 19A and from provisions of collective bargaining 26 22 agreements relating to the filling of positions. 26 23 In any managed care contract for mental health or substance 26 24 abuse services entered into or extended by the department on 26 25 or after July 1, 2001, the request for proposals shall provide 26 26 for coverage of dual diagnosis mental health and substance 26 27 abuse treatment provided at the state mental health institute 26 28 at Mount Pleasant. To the extent possible, the department 26 29 shall also amend any such contract existing on July 1, 2001, 26 30 to provide for such coverage. 26 31 Sec. 11. STATE SUPPLEMENTARY ASSISTANCE. There is 26 32 appropriated from the general fund of the state to the 26 33 department of human services for the fiscal year beginning 26 34 July 1, 2001, and ending June 30, 2002, the following amount, 26 35 or so much thereof as is necessary, to be used for the 27 1 purposes designated: 27 2 For state supplementary assistance, funeral assistance, and 27 3 the medical assistance home and community-based services 27 4 waiver rent subsidy program: 27 5 .................................................. $ 19,550,000 27 6 1. The department shall increase the personal needs 27 7 allowance for residents of residential care facilities by the 27 8 same percentage and at the same time as federal supplemental 27 9 security income and federal social security benefits are 27 10 increased due to a recognized increase in the cost of living. 27 11 The department may adopt emergency rules to implement this 27 12 subsection. 27 13 2. If during the fiscal year beginning July 1, 2001, the 27 14 department projects that state supplementary assistance 27 15 expenditures for a calendar year will not meet the federal 27 16 pass-along requirement specified in Title XVI of the federal 27 17 Social Security Act, section 1618, as codified in 42 U.S.C. } 27 18 1382g, the department may take actions including but not 27 19 limited to increasing the personal needs allowance for 27 20 residential care facility residents and making programmatic 27 21 adjustments or upward adjustments of the residential care 27 22 facility or in-home health-related care reimbursement rates 27 23 prescribed in this Act to ensure that federal requirements are 27 24 met. The department may adopt emergency rules to implement 27 25 the provisions of this subsection. 27 26 3. The department may use up to $75,000 of the funds 27 27 appropriated in this section for a rent subsidy program for 27 28 adult persons to whom all of the following apply: 27 29 a. Are receiving assistance under a medical assistance 27 30 home and community-based services (HCBS) waiver. 27 31 b. Were discharged from a medical institution in which 27 32 they have resided or were at risk of institutional placement. 27 33 Within available funding and demonstrated need, the department 27 34 may make subsidy funds available to children receiving 27 35 services under a HCBS waiver for individuals with mental 28 1 retardation in residential-based supported community living 28 2 and HCBS waiver-eligible adults meeting criteria in paragraph 28 3 "a" and this paragraph at any time on or after July 1, 1995. 28 4 The goal of the subsidy program shall be to encourage and 28 5 assist in enabling persons who currently reside in a medical 28 6 institution to move to a community living arrangement. An 28 7 eligible person may receive assistance in meeting their rental 28 8 expense and, in the initial two months of eligibility, in 28 9 purchasing necessary household furnishings and supplies. The 28 10 program shall be implemented so that it does not meet the 28 11 federal definition of state supplementary assistance and will 28 12 not impact the federal pass-along requirement specified in 28 13 Title XVI of the federal Social Security Act, section 1618, as 28 14 codified in 42 U.S.C. } 1382g. 28 15 Sec. 12. CHILD CARE ASSISTANCE. There is appropriated 28 16 from the general fund of the state to the department of human 28 17 services for the fiscal year beginning July 1, 2001, and 28 18 ending June 30, 2002, the following amount, or so much thereof 28 19 as is necessary, to be used for the purpose designated: 28 20 For child care programs: 28 21 ................................................. $ 5,050,752 28 22 1. a. Of the funds appropriated in this section, 28 23 $4,414,111 shall be used for state child care assistance in 28 24 accordance with section 237A.13. 28 25 b. During the 2001-2002 fiscal year, the moneys deposited 28 26 in the child care credit fund created in section 237A.28 are 28 27 appropriated to the department to be used for state child care 28 28 assistance in accordance with section 237A.13, in addition to 28 29 the moneys allocated for that purpose in paragraph "a". 28 30 2. Nothing in this section shall be construed or is 28 31 intended as, or shall imply, a grant of entitlement for 28 32 services to persons who are eligible for assistance due to an 28 33 income level consistent with the waiting list requirements of 28 34 section 237A.13. Any state obligation to provide services 28 35 pursuant to this section is limited to the extent of the funds 29 1 appropriated in this section. 29 2 3. Of the funds appropriated in this section, $636,641 is 29 3 allocated for the statewide program for child care resource 29 4 and referral services under section 237A.26. 29 5 4. The department may use any of the funds appropriated in 29 6 this section as a match to obtain federal funds for use in 29 7 expanding child care assistance and related programs. For the 29 8 purpose of expenditures of state and federal child care 29 9 funding, funds shall be considered obligated at the time 29 10 expenditures are projected or are allocated to the 29 11 department's regions. Projections shall be based on current 29 12 and projected caseload growth, current and projected provider 29 13 rates, staffing requirements for eligibility determination and 29 14 management of program requirements including data systems 29 15 management, staffing requirements for administration of the 29 16 program, contractual and grant obligations and any transfers 29 17 to other state agencies, and obligations for decategorization 29 18 or innovation projects. 29 19 Sec. 13. JUVENILE INSTITUTIONS. There is appropriated 29 20 from the general fund of the state to the department of human 29 21 services for the fiscal year beginning July 1, 2001, and 29 22 ending June 30, 2002, the following amounts, or so much 29 23 thereof as is necessary, to be used for the purposes 29 24 designated: 29 25 1. For operation of the Iowa juvenile home at Toledo: 29 26 .................................................. $ 6,707,500 29 27 ............................................... FTEs 140.54 29 28 It is the intent of the general assembly that beginning in 29 29 the fiscal year commencing on July 1, 2002, the Iowa juvenile 29 30 home at Toledo will serve only females. The department shall 29 31 develop a plan which includes options for relocating the males 29 32 at the Iowa juvenile home at Toledo. The options shall 29 33 include but are not limited to developing a child in need of 29 34 assistance program for males at the state training school at 29 35 Eldora. 30 1 The moneys appropriated in this subsection include funding 30 2 for a parking lot project developed in cooperation with the 30 3 city of Toledo and for two additional security guard staff 30 4 positions. 30 5 2. For operation of the state training school at Eldora: 30 6 .................................................. $ 10,870,000 30 7 ............................................... FTEs 229.53 30 8 3. During the fiscal year beginning July 1, 2001, the 30 9 population levels at the state juvenile institutions shall not 30 10 exceed the population guidelines established under 1990 Iowa 30 11 Acts, chapter 1239, section 21, as adjusted for additional 30 12 beds developed at the institutions. 30 13 4. A portion of the moneys appropriated in this section 30 14 shall be used by the state training school and by the Iowa 30 15 juvenile home for grants for adolescent pregnancy prevention 30 16 activities at the institutions in the fiscal year beginning 30 17 July 1, 2001. 30 18 5. Within the amounts appropriated in this section, the 30 19 department may transfer funds as necessary to best fulfill the 30 20 needs of the institutions provided for in the appropriation. 30 21 6. If the department receives notice from the department 30 22 of inspections and appeals or any other entity that certifies 30 23 a juvenile institution's compliance with certification 30 24 requirements or determines compliance with regulatory 30 25 requirements, that a juvenile institution has been found or 30 26 cited for being out of compliance with a requirement, the 30 27 department shall report the notice to those persons designated 30 28 by this Act to receive reports. The report shall be made 30 29 within thirty days of the date the notice was received by the 30 30 department. 30 31 Sec. 14. CHILD AND FAMILY SERVICES. There is appropriated 30 32 from the general fund of the state to the department of human 30 33 services for the fiscal year beginning July 1, 2001, and 30 34 ending June 30, 2002, the following amount, or so much thereof 30 35 as is necessary, to be used for the purpose designated: 31 1 For child and family services: 31 2 .................................................. $106,000,000 31 3 1. The department may transfer funds appropriated in this 31 4 section as necessary to pay the nonfederal costs of services 31 5 reimbursed under medical assistance or the family investment 31 6 program which are provided to children who would otherwise 31 7 receive services paid under the appropriation in this section. 31 8 The department may transfer funds appropriated in this section 31 9 to the appropriations in this Act for general administration 31 10 and for field operations for resources necessary to implement 31 11 and operate the services funded in this section. 31 12 2. a. Of the funds appropriated in this section, up to 31 13 $28,137,020 is allocated as the statewide expenditure target 31 14 under section 232.143 for group foster care maintenance and 31 15 services. 31 16 b. If at any time after September 30, 2001, annualization 31 17 of a region's current expenditures indicates a region is at 31 18 risk of exceeding its group foster care expenditure target 31 19 under section 232.143 by more than five percent, the 31 20 department and juvenile court services shall examine all group 31 21 foster care placements in that region in order to identify 31 22 those which might be appropriate for termination. In 31 23 addition, any aftercare services believed to be needed for the 31 24 children whose placements may be terminated shall be 31 25 identified. The department and juvenile court services shall 31 26 initiate action to set dispositional review hearings for the 31 27 placements identified. In such a dispositional review 31 28 hearing, the juvenile court shall determine whether needed 31 29 aftercare services are available and whether termination of 31 30 the placement is in the best interest of the child and the 31 31 community. 31 32 c. (1) Of the funds appropriated in this section, not 31 33 more than $6,987,000 is allocated as the state match funding 31 34 for psychiatric medical institutions for children. 31 35 (2) The department may transfer all or a portion of the 32 1 amount allocated in this lettered paragraph for psychiatric 32 2 medical institutions for children (PMICs) to the appropriation 32 3 in this Act for medical assistance. 32 4 d. Of the funds allocated in this subsection, $1,354,063 32 5 is allocated as the state match funding for 50 highly 32 6 structured juvenile program beds. If the number of beds 32 7 provided for in this lettered paragraph is not utilized, the 32 8 remaining funds allocated may be used for group foster care. 32 9 e. For the fiscal year beginning July 1, 2001, the 32 10 requirements of section 232.143 applicable to the juvenile 32 11 court and to representatives of the juvenile court shall be 32 12 applicable instead to juvenile court services and to 32 13 representatives of juvenile court services. The 32 14 representatives appointed by the department of human services 32 15 and by juvenile court services to establish the plan to 32 16 contain expenditures for children placed in group foster care 32 17 ordered by the court within the budget target allocated to the 32 18 region shall establish the plan in a manner so as to ensure 32 19 the moneys allocated to the region under section 232.143 shall 32 20 last the entire fiscal year. Funds for a child placed in 32 21 group foster care shall be considered encumbered for the 32 22 duration of the child's projected or actual length of stay, 32 23 whichever is applicable. 32 24 3. The department shall continue the goal that not more 32 25 than 15 percent of the children placed in foster care funded 32 26 under the federal Social Security Act, Title IV-E, may be 32 27 placed in foster care for a period of more than 24 months. 32 28 4. In accordance with the provisions of section 232.188, 32 29 the department shall continue the program to decategorize 32 30 child welfare services funding in additional counties or 32 31 clusters of counties. 32 32 5. A portion of the funding appropriated in this section 32 33 may be used for emergency family assistance to provide other 32 34 resources required for a family participating in a family 32 35 preservation or reunification project to stay together or to 33 1 be reunified. 33 2 6. Notwithstanding section 234.35, subsection 1, for the 33 3 fiscal year beginning July 1, 2001, state funding for shelter 33 4 care paid pursuant to section 234.35, subsection 1, paragraph 33 5 "h", shall be limited to $7,513,084. 33 6 7. Of the funding appropriated in this section, up to 33 7 $617,079 may be used as determined by the department for any 33 8 of the following purposes: 33 9 a. For general administration of the department to improve 33 10 staff training efforts. 33 11 b. For oversight of termination of parental rights and 33 12 permanency planning efforts on a statewide basis. 33 13 c. For personnel, assigned by the attorney general, to 33 14 provide additional services relating to termination of 33 15 parental rights and child in need of assistance cases. 33 16 d. For specialized permanency planning field operations 33 17 staff. 33 18 8. The department may adopt administrative rules following 33 19 consultation with child welfare services providers to 33 20 implement outcome-based child welfare services pilot projects. 33 21 The rules may include, but are not limited to, the development 33 22 of program descriptions, provider licensing and certification 33 23 standards, reimbursement and payment amounts, contract 33 24 requirements, assessment and service necessity requirements, 33 25 eligibility criteria, claims submission procedures, and 33 26 accountability standards. 33 27 9. The department shall continue to make adoption 33 28 presubsidy and adoption subsidy payments to adoptive parents 33 29 at the beginning of the month for the current month. If the 33 30 department receives any bonus or incentive payments from the 33 31 federal government relating to adoption that may be used to 33 32 supplement state funds, the department shall use a minimum of 33 33 $44,750 of such moneys for adoption recruitment. 33 34 10. Federal funds received by the state during the fiscal 33 35 year beginning July 1, 2001, as the result of the expenditure 34 1 of state funds appropriated during a previous state fiscal 34 2 year for a service or activity funded under this section, 34 3 shall be used as additional funding for services provided 34 4 under this section. Notwithstanding section 8.33, moneys 34 5 received by the department in accordance with the provisions 34 6 of this subsection shall remain available for the purposes 34 7 designated until June 30, 2003. 34 8 11. The department and juvenile court services shall 34 9 continue to develop criteria for the department regional 34 10 administrator and chief juvenile court officer to grant 34 11 exceptions to extend eligibility, within the funds allocated, 34 12 for intensive tracking and supervision and for supervised 34 13 community treatment to delinquent youth beyond age 18 who are 34 14 subject to release from the state training school, a highly 34 15 structured juvenile program, or group foster care. 34 16 12. Of the moneys appropriated in this section, not more 34 17 than $627,100 is allocated to provide clinical assessment 34 18 services as necessary to continue funding of children's 34 19 rehabilitation services under medical assistance in accordance 34 20 with federal law and requirements. The funding allocated is 34 21 the amount projected to be necessary for providing the 34 22 clinical assessment services. 34 23 13. Of the funding appropriated in this section, 34 24 $3,696,285 shall be used for protective child care assistance. 34 25 14. Of the moneys appropriated in this section, up to 34 26 $3,290,000 is allocated for the payment of the expenses of 34 27 court-ordered services provided to juveniles which are a 34 28 charge upon the state pursuant to section 232.141, subsection 34 29 4. 34 30 a. Notwithstanding section 232.141 or any other provision 34 31 of law, the amount allocated in this subsection shall be 34 32 distributed to the judicial districts as determined by the 34 33 state court administrator. The state court administrator 34 34 shall make the determination of the distribution amounts on or 34 35 before June 15, 2001. 35 1 b. The department shall eliminate the program to provide 35 2 services or other support to reduce the number or length of 35 3 out-of-home placements of children known as the "wrap-around 35 4 funding program". The department may adopt emergency rules to 35 5 implement this subsection. 35 6 c. The department of human services shall develop policies 35 7 and procedures to ensure that the funds allocated in this 35 8 subsection are spent only after all other reasonable actions 35 9 have been taken to utilize other funding sources and 35 10 community-based services. The policies and procedures shall 35 11 be designed to achieve the following objectives relating to 35 12 services provided under chapter 232: 35 13 (1) Maximize the utilization of funds which may be 35 14 available from the medical assistance program including usage 35 15 of the early and periodic screening, diagnosis, and treatment 35 16 (EPSDT) program. 35 17 (2) Recover payments from any third-party insurance 35 18 carrier which is liable for coverage of the services, 35 19 including health insurance coverage. 35 20 (3) Pursue development of agreements with regularly 35 21 utilized out-of-state service providers which are intended to 35 22 reduce per diem costs paid to those providers. 35 23 d. Notwithstanding chapter 232 or any other provision of 35 24 law, a district or juvenile court in a department of human 35 25 services district shall not order any service which is a 35 26 charge upon the state pursuant to section 232.141 if there are 35 27 insufficient court-ordered services funds available in the 35 28 district distribution amount to pay for the service. The 35 29 chief juvenile court officer shall encourage use of the funds 35 30 allocated in this subsection such that there are sufficient 35 31 funds to pay for all court-related services during the entire 35 32 year. The eight chief juvenile court officers shall attempt 35 33 to anticipate potential surpluses and shortfalls in the 35 34 distribution amounts and shall cooperatively request the state 35 35 court administrator to transfer funds between the districts' 36 1 distribution amounts as prudent. 36 2 e. Notwithstanding any provision of law to the contrary, a 36 3 district or juvenile court shall not order a county to pay for 36 4 any service provided to a juvenile pursuant to an order 36 5 entered under chapter 232 which is a charge upon the state 36 6 under section 232.141, subsection 4. 36 7 f. Of the funding allocated in this subsection, not more 36 8 than $100,000 may be used by the judicial branch for 36 9 administration of the requirements under this subsection and 36 10 for travel associated with court-ordered placements which are 36 11 a charge upon the state pursuant to section 232.141, 36 12 subsection 4. 36 13 15. a. Of the funding appropriated in this section, 36 14 $5,292,000 is allocated to provide school-based supervision of 36 15 children adjudicated under chapter 232, including not more 36 16 than $1,764,000 from the allocation in this section for court- 36 17 ordered services. Not more than $15,000 of the funding 36 18 allocated in this subsection may be used for the purpose of 36 19 training. 36 20 b. To the extent possible, the personnel providing school- 36 21 based services shall be prepared with training or experience 36 22 relating to gender-specific programming to best intervene with 36 23 youth at risk of being found delinquent or determined to be a 36 24 child in need of assistance. 36 25 16. The department shall maximize the capacity to draw 36 26 federal funding under Title IV-E of the federal Social 36 27 Security Act. 36 28 17. Any unanticipated federal funding that is received 36 29 during the fiscal year due to improvements in the hours 36 30 counted by the judicial branch under the claiming process for 36 31 federal Title IV-E funding are appropriated to the department 36 32 to be used for additional or expanded services and support for 36 33 court-ordered services pursuant to section 232.141. 36 34 Notwithstanding section 8.33, moneys appropriated in this 36 35 subsection that remain unencumbered or unobligated at the 37 1 close of the fiscal year shall not revert but shall remain 37 2 available for expenditure for the purposes designated until 37 3 the close of the succeeding fiscal year. 37 4 18. The department may adopt emergency rules to modify the 37 5 qualifications for rehabilitative treatment service providers 37 6 to allow an individual with a bachelor's degree in social work 37 7 to provide therapy and counseling and to implement other 37 8 recommendations of the committee made up of department staff 37 9 and providers of child welfare services that is charged with 37 10 the development of proposals for regulatory improvements. The 37 11 pertinent recommendations may include but are not limited to 37 12 implementing "deemed" certification status for providers; 37 13 addressing requirements for staff qualifications, ratios, and 37 14 supervision; revising requirements for treatment plan 37 15 development, review, and revision, and for treatment records; 37 16 applying shared risk or loss provisions for retroactive 37 17 audits; and access to the department's service review 37 18 organization. 37 19 19. Notwithstanding section 234.39, subsection 5, and 2000 37 20 Iowa Acts, chapter 1228, section 43, the department may 37 21 operate a subsidized guardianship program if the United States 37 22 department of health and human services approves a waiver 37 23 under Title IV-E of the federal Social Security Act and the 37 24 subsidized guardianship program can be operated without loss 37 25 of Title IV-E funds. 37 26 20. Of the funds appropriated in this section, the 37 27 department shall use $700,000 for day treatment and aftercare 37 28 services for juvenile females with provider selection made 37 29 through a request for proposals process. The goal of 37 30 providing the services is to ensure permanency, safety, and 37 31 self-sufficiency for juvenile females. 37 32 Sec. 15. JUVENILE DETENTION HOME FUND. Moneys deposited 37 33 in the juvenile detention home fund created in section 232.142 37 34 during the fiscal year beginning July 1, 2001, and ending June 37 35 30, 2002, are appropriated to the department of human services 38 1 for the fiscal year beginning July 1, 2001, and ending June 38 2 30, 2002, for distribution as follows: 38 3 1. An amount equal to ten percent of the costs of the 38 4 establishment, improvement, operation, and maintenance of 38 5 county or multicounty juvenile detention homes in the fiscal 38 6 year beginning July 1, 2000. Moneys appropriated for 38 7 distribution in accordance with this paragraph shall be 38 8 allocated among eligible detention homes, prorated on the 38 9 basis of an eligible detention home's proportion of the costs 38 10 of all eligible detention homes in the fiscal year beginning 38 11 July 1, 2000. Notwithstanding section 232.142, subsection 3, 38 12 the financial aid payable by the state under that provision 38 13 for the fiscal year beginning July 1, 2001, shall be limited 38 14 to the amount appropriated for the purposes of this paragraph. 38 15 2. For renewal of a grant to a county with a population 38 16 between 168,000 and 175,000 for implementation of the county's 38 17 runaway treatment plan under section 232.195: 38 18 .................................................. $ 80,000 38 19 3. For grants to counties implementing a runaway treatment 38 20 plan under section 232.195. 38 21 4. The remainder for additional allocations to county or 38 22 multicounty juvenile detention homes, in accordance with the 38 23 distribution requirements of subsection 1. 38 24 Sec. 16. CENTRAL INTAKE FOR CHILD PROTECTION. If specific 38 25 statutory authorization is enacted by the Seventy-ninth 38 26 General Assembly, 2002 Session, to establish a statewide 38 27 central intake unit for receiving child abuse reports, there 38 28 is appropriated from the general fund of the state to the 38 29 department of human services for the fiscal year beginning 38 30 July 1, 2001, and ending June 30, 2002, the following amount, 38 31 or so much thereof as is necessary, to be used for the purpose 38 32 designated: 38 33 For establishment in accordance with law of a statewide 38 34 central intake unit for receiving child abuse reports: 38 35 .................................................. $ 250,000 39 1 It is the intent of the general assembly to give prompt 39 2 consideration to the report of any 2001 legislative interim 39 3 study committee established by the legislative council 39 4 regarding the establishment of a central intake unit for 39 5 receiving child abuse reports. 39 6 Sec. 17. COMMUNITY-BASED PROGRAMS. There is appropriated 39 7 from the general fund of the state to the department of human 39 8 services for the fiscal year beginning July 1, 2001, and 39 9 ending June 30, 2002, the following amount, or so much thereof 39 10 as is necessary, to be used for the purpose designated: 39 11 For community-based programs, on the condition that family 39 12 planning services are funded, including salaries, support, 39 13 maintenance, and miscellaneous purposes and for not more than 39 14 the following full-time equivalent positions: 39 15 .................................................. $ 531,415 39 16 ............................................... FTEs 1.00 39 17 1. Funds appropriated in this section shall be used to 39 18 provide adolescent pregnancy prevention grants which comply 39 19 with the requirements provided in 1997 Iowa Acts, chapter 208, 39 20 section 14, subsections 1 and 2, and shall emphasize programs 39 21 which target the middle school level. 39 22 2. It is the intent of the general assembly that the 39 23 department of human services and the Iowa department of public 39 24 health shall continue to identify existing abstinence 39 25 education or community-based programs which comply with the 39 26 requirements established in section 912, subchapter V, of the 39 27 federal Social Security Act, as codified in 42 U.S.C. } 701 et 39 28 seq. for the matching of federal funds. 39 29 3. Of the funds appropriated in this section, $250,000 39 30 shall be used by the department for child abuse prevention 39 31 grants. 39 32 Sec. 18. FAMILY SUPPORT SUBSIDY PROGRAM. There is 39 33 appropriated from the general fund of the state to the 39 34 department of human services for the fiscal year beginning 39 35 July 1, 2001, and ending June 30, 2002, the following amount, 40 1 or so much thereof as is necessary, to be used by the division 40 2 of children and family services for the purpose designated: 40 3 For the family support subsidy program: 40 4 .................................................. $ 2,089,858 40 5 The department may use up to $267,000 of the moneys 40 6 appropriated in this section to continue the children-at-home 40 7 program in current counties, of which not more than $20,000 40 8 shall be used for administrative costs. 40 9 Sec. 19. CONNER DECREE. There is appropriated from the 40 10 general fund of the state to the department of human services 40 11 for the fiscal year beginning July 1, 2001, and ending June 40 12 30, 2002, the following amount, or so much thereof as is 40 13 necessary, to be used for the purpose designated: 40 14 For building community capacity through the coordination 40 15 and provision of training opportunities in accordance with the 40 16 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D. 40 17 Iowa, July 14, 1994): 40 18 .................................................. $ 46,000 40 19 Sec. 20. MENTAL HEALTH INSTITUTES. There is appropriated 40 20 from the general fund of the state to the department of human 40 21 services for the fiscal year beginning July 1, 2001, and 40 22 ending June 30, 2002, the following amounts, or so much 40 23 thereof as is necessary, to be used for the purposes 40 24 designated: 40 25 1. For the state mental health institute at Cherokee for 40 26 salaries, support, maintenance, and miscellaneous purposes and 40 27 for not more than the following full-time equivalent 40 28 positions: 40 29 .................................................. $ 13,470,000 40 30 ............................................... FTEs 248.44 40 31 2. For the state mental health institute at Clarinda for 40 32 salaries, support, maintenance, and miscellaneous purposes and 40 33 for not more than the following full-time equivalent 40 34 positions: 40 35 .................................................. $ 7,650,000 41 1 ............................................... FTEs 138.59 41 2 3. For the state mental health institute at Independence 41 3 for salaries, support, maintenance, and miscellaneous purposes 41 4 and for not more than the following full-time equivalent 41 5 positions: 41 6 .................................................. $ 17,992,500 41 7 ............................................... FTEs 354.46 41 8 The state mental health institute at Independence shall 41 9 continue the 30 psychiatric medical institution for children 41 10 (PMIC) beds authorized in section 135H.6, in a manner which 41 11 results in no net state expenditure amount in excess of the 41 12 amount appropriated in this subsection. Counties are not 41 13 responsible for the costs of PMIC services described in this 41 14 subsection. Subject to the approval of the department, with 41 15 the exception of revenues required under section 249A.11 to be 41 16 credited to the appropriation in this Act for medical 41 17 assistance, revenues attributable to the PMIC beds described 41 18 in this subsection for the fiscal year beginning July 1, 2001, 41 19 and ending June 30, 2002, shall be deposited in the 41 20 institute's account, including but not limited to any of the 41 21 following revenues: 41 22 a. The federal share of medical assistance revenue 41 23 received under chapter 249A. 41 24 b. Moneys received through client participation. 41 25 c. Any other revenues directly attributable to the PMIC 41 26 beds. 41 27 The moneys appropriated in this subsection include funding 41 28 for two additional security guard staff positions at the state 41 29 mental health institute at Independence. 41 30 4. For the state mental health institute at Mount Pleasant 41 31 for salaries, support, maintenance, and miscellaneous purposes 41 32 and for not more than the following full-time equivalent 41 33 positions: 41 34 .................................................. $ 5,717,500 41 35 ............................................... FTEs 109.47 42 1 a. Funding is provided in this subsection for the mental 42 2 health institute at Mount Pleasant to continue the dual 42 3 diagnosis mental health and substance abuse program on a net 42 4 budgeting basis in which 50 percent of the actual per diem and 42 5 ancillary services costs are chargeable to the patient's 42 6 county of legal settlement or as a state case, as appropriate. 42 7 Subject to the approval of the department, revenues 42 8 attributable to the dual diagnosis program for the fiscal year 42 9 beginning July 1, 2001, and ending June 30, 2002, shall be 42 10 deposited in the institute's account, including but not 42 11 limited to all of the following revenues: 42 12 (1) Moneys received by the state from billings to counties 42 13 under section 230.20. 42 14 (2) Moneys received from billings to the Medicare program. 42 15 (3) Moneys received from a managed care contractor 42 16 providing services under contract with the department or any 42 17 private third-party payor. 42 18 (4) Moneys received through client participation. 42 19 (5) Any other revenues directly attributable to the dual 42 20 diagnosis program. 42 21 b. The following additional provisions are applicable in 42 22 regard to the dual diagnosis program: 42 23 (1) A county may split the charges between the county's 42 24 mental health, mental retardation, and developmental 42 25 disabilities services fund and the county's budget for 42 26 substance abuse expenditures. 42 27 (2) If an individual is committed to the custody of the 42 28 department of corrections at the time the individual is 42 29 referred for dual diagnosis treatment, the department of 42 30 corrections shall be charged for the costs of treatment. 42 31 (3) Prior to an individual's admission for dual diagnosis 42 32 treatment, the individual shall have been screened through a 42 33 county's single entry point process to determine the 42 34 appropriateness of the treatment. 42 35 (4) A county shall not be chargeable for the costs of 43 1 treatment for an individual enrolled in and authorized by or 43 2 decertified by a managed behavioral care plan under the 43 3 medical assistance program. 43 4 (5) Notwithstanding section 8.33, mental health 43 5 institutions revenues related to the dual diagnosis program 43 6 that remain unencumbered or unobligated at the close of the 43 7 fiscal year shall not revert but shall remain available up to 43 8 the amount which would allow the mental health institute to 43 9 meet credit obligations owed to counties as a result of year- 43 10 end per diem adjustments for the dual diagnosis program. 43 11 5. Within the funds appropriated in this section, the 43 12 department may transfer funds as necessary to best fulfill the 43 13 needs of the institutions provided for in the appropriation. 43 14 6. As part of the discharge planning process at the state 43 15 mental health institutes, the department shall provide 43 16 assistance in obtaining eligibility for federal supplemental 43 17 security income (SSI) to those individuals whose care at a 43 18 state mental health institute is the financial responsibility 43 19 of the state or a county. 43 20 7. If the department receives notice from the department 43 21 of inspections and appeals or any other entity that certifies 43 22 a state mental health institute's compliance with 43 23 certification requirements or determines compliance with 43 24 regulatory requirements, that a state mental health institute 43 25 has been found or cited for being out of compliance with a 43 26 requirement, the department shall report the notice to those 43 27 persons designated by this Act to receive reports. The report 43 28 shall be made within thirty days of the date the notice was 43 29 received by the department. 43 30 Sec. 21. STATE RESOURCE CENTERS. There is appropriated 43 31 from the general fund of the state to the department of human 43 32 services for the fiscal year beginning July 1, 2001, and 43 33 ending June 30, 2002, the following amounts, or so much 43 34 thereof as is necessary, to be used for the purposes 43 35 designated: 44 1 1. For the state resource center at Glenwood for salaries, 44 2 support, maintenance, and miscellaneous purposes: 44 3 .................................................. $ 2,625,000 44 4 2. For the state resource center at Woodward for salaries, 44 5 support, maintenance, and miscellaneous purposes: 44 6 .................................................. $ 1,790,000 44 7 3. a. The department shall continue operating the state 44 8 resource centers at Glenwood and Woodward with a net general 44 9 fund appropriation. The amounts allocated in this section are 44 10 the net amounts of state moneys projected to be needed for the 44 11 state resource centers. The purposes of operating with a net 44 12 general fund appropriation are to encourage the state resource 44 13 centers to operate with increased self-sufficiency, to improve 44 14 quality and efficiency, and to support collaborative efforts 44 15 between the state resource centers and counties and other 44 16 funders of services available from the state resource centers. 44 17 The state resource centers shall not be operated under the net 44 18 appropriation in a manner which results in a cost increase to 44 19 the state or cost shifting between the state, the medical 44 20 assistance program, counties, or other sources of funding for 44 21 the state resource centers. Moneys appropriated in this 44 22 section may be used throughout the fiscal year in the manner 44 23 necessary for purposes of cash flow management, and for 44 24 purposes of cash flow management the state resource centers 44 25 may temporarily draw more than the amounts appropriated, 44 26 provided the amounts appropriated are not exceeded at the 44 27 close of the fiscal year. 44 28 b. Subject to the approval of the department, except for 44 29 revenues under section 249A.11, revenues attributable to the 44 30 state resource centers for the fiscal year beginning July 1, 44 31 2001, shall be deposited into each state resource center's 44 32 account, including but not limited to all of the following: 44 33 (1) Moneys received by the state from billings to counties 44 34 under section 222.73. 44 35 (2) The federal share of medical assistance revenue 45 1 received under chapter 249A. 45 2 (3) Federal Medicare program payments. 45 3 (4) Moneys received from client financial participation. 45 4 (5) Other revenues generated from current, new, or 45 5 expanded services which the state resource center is 45 6 authorized to provide. 45 7 c. For the purposes of allocating the salary adjustment 45 8 fund moneys appropriated in another Act, the state resource 45 9 centers shall be considered to be funded entirely with state 45 10 moneys. 45 11 d. Notwithstanding section 8.33, up to $500,000 of a state 45 12 resource center's revenues that remain unencumbered or 45 13 unobligated at the close of the fiscal year shall not revert 45 14 but shall remain available to be used in the succeeding fiscal 45 15 year. 45 16 4. Within the funds appropriated in this section, the 45 17 department may transfer funds as necessary to best fulfill the 45 18 needs of the institutions provided for in the appropriation. 45 19 5. The department may continue to bill for state resource 45 20 center services utilizing a scope of services approach used 45 21 for private providers of ICFMR services, in a manner which 45 22 does not shift costs between the medical assistance program, 45 23 counties, or other sources of funding for the state resource 45 24 centers. 45 25 6. The state resource centers may expand the time limited 45 26 assessment and respite services during the fiscal year. 45 27 7. If the department's administration and the department 45 28 of management concur with a finding by a state resource 45 29 center's superintendent that projected revenues can reasonably 45 30 be expected to pay the salary and support costs for a new 45 31 employee position, or that such costs for adding a particular 45 32 number of new positions for the fiscal year would be less than 45 33 the overtime costs if new positions would not be added, the 45 34 superintendent may add the new position or positions. If the 45 35 vacant positions available to a resource center do not include 46 1 the position classification desired to be filled, the state 46 2 resource center's superintendent may reclassify any vacant 46 3 position as necessary to fill the desired position. The 46 4 superintendents of the state resource centers may, by mutual 46 5 agreement, pool vacant positions and position classifications 46 6 during the course of the fiscal year in order to assist one 46 7 another in filling necessary positions. 46 8 8. If the department receives notice from the department 46 9 of inspections and appeals or any other entity that certifies 46 10 a state resource center's compliance with certification 46 11 requirements or determines compliance with regulatory 46 12 requirements, that a state resource center has been found or 46 13 cited for being out of compliance with a requirement, the 46 14 department shall report the notice to those persons designated 46 15 by this Act to receive reports. The report shall be made 46 16 within thirty days of the date the notice was received by the 46 17 department. 46 18 Sec. 22. SPECIAL NEEDS GRANTS. There is appropriated from 46 19 the general fund of the state to the department of human 46 20 services for the fiscal year beginning July 1, 2001, and 46 21 ending June 30, 2002, the following amount, or so much thereof 46 22 as is necessary, to be used for the purpose designated: 46 23 To provide special needs grants to families with a family 46 24 member at home who has a developmental disability or to a 46 25 person with a developmental disability: 46 26 .................................................. $ 53,212 46 27 Grants must be used by a family to defray special costs of 46 28 caring for the family member to prevent out-of-home placement 46 29 of the family member or to provide for independent living 46 30 costs. The grants may be administered by a private nonprofit 46 31 agency which serves people statewide provided that no 46 32 administrative costs are received by the agency. 46 33 Sec. 23. MI/MR/DD STATE CASES. There is appropriated from 46 34 the general fund of the state to the department of human 46 35 services for the fiscal year beginning July 1, 2001, and 47 1 ending June 30, 2002, the following amounts, or so much 47 2 thereof as is necessary, to be used for the purposes 47 3 designated: 47 4 For purchase of local services for persons with mental 47 5 illness, mental retardation, and developmental disabilities 47 6 where the client has no established county of legal 47 7 settlement: 47 8 .................................................. $ 12,700,000 47 9 Sec. 24. MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES – 47 10 COMMUNITY SERVICES FUND. There is appropriated from the 47 11 general fund of the state to the mental health and 47 12 developmental disabilities community services fund created in 47 13 section 225C.7 for the fiscal year beginning July 1, 2001, and 47 14 ending June 30, 2002, the following amount, or so much thereof 47 15 as is necessary, to be used for the purpose designated: 47 16 For mental health and developmental disabilities community 47 17 services in accordance with this Act: 47 18 ................................................. $ 19,560,000 47 19 1. Of the funds appropriated in this section, $19,530,000 47 20 shall be allocated to counties for funding of community-based 47 21 mental health and developmental disabilities services. The 47 22 moneys shall be allocated to a county as follows: 47 23 a. Fifty percent based upon the county's proportion of the 47 24 state's population of persons with an annual income which is 47 25 equal to or less than the poverty guideline established by the 47 26 federal office of management and budget. 47 27 b. Fifty percent based upon the county's proportion of the 47 28 state's general population. 47 29 Of the funds allocated in this subsection, not more than 47 30 $25,000 may be used to provide matching funds for actuarial 47 31 services and other technical assistance to implement the adult 47 32 mental health, mental retardation, and developmental 47 33 disabilities services funding decategorization pilot project 47 34 implementation provisions as specified in this Act. 47 35 2. a. A county shall utilize the funding the county 48 1 receives pursuant to subsection 1 for services provided to 48 2 persons with a disability, as defined in section 225C.2. 48 3 However, no more than 50 percent of the funding shall be used 48 4 for services provided to any one of the service populations. 48 5 b. A county shall use at least 50 percent of the funding 48 6 the county receives under subsection 1 for contemporary 48 7 services provided to persons with a disability, as described 48 8 in rules adopted by the department. 48 9 3. Of the funds appropriated in this section, $30,000 48 10 shall be used to support the Iowa compass program providing 48 11 computerized information and referral services for Iowans with 48 12 disabilities and their families. 48 13 4. a. Funding appropriated for purposes of the federal 48 14 social services block grant is allocated for distribution to 48 15 counties for local purchase of services for persons with 48 16 mental illness or mental retardation or other developmental 48 17 disability. 48 18 b. The funds allocated in this subsection shall be 48 19 expended by counties in accordance with the county's approved 48 20 county management plan. A county without an approved county 48 21 management plan shall not receive allocated funds until the 48 22 county's management plan is approved. 48 23 c. The funds provided by this subsection shall be 48 24 allocated to each county as follows: 48 25 (1) Fifty percent based upon the county's proportion of 48 26 the state's population of persons with an annual income which 48 27 is equal to or less than the poverty guideline established by 48 28 the federal office of management and budget. 48 29 (2) Fifty percent based upon the amount provided to the 48 30 county for local purchase of services in the preceding fiscal 48 31 year. 48 32 5. A county is eligible for funds under this section if 48 33 the county qualifies for a state payment as described in 48 34 section 331.439. 48 35 Sec. 25. PERSONAL ASSISTANCE. There is appropriated from 49 1 the general fund of the state to the department of human 49 2 services for the fiscal year beginning July 1, 2001, and 49 3 ending June 30, 2002, the following amount, or so much thereof 49 4 as is necessary, to be used for the purpose designated: 49 5 For continuation of a pilot project for the personal 49 6 assistance services program in accordance with this section: 49 7 .................................................. $ 264,000 49 8 1. The funds appropriated in this section shall be used to 49 9 continue the pilot project for the personal assistance 49 10 services program under section 225C.46 in an urban and a rural 49 11 area. Not more than 10 percent of the amount appropriated 49 12 shall be used for administrative costs. The pilot project 49 13 shall not be implemented in a manner which would require 49 14 additional county or state costs for assistance provided to an 49 15 individual served under the pilot project. 49 16 2. Beginning July 1, 2001, new applicants shall not be 49 17 accepted into the pilot project. An individual receiving 49 18 services under the pilot project as of June 30, 2001, shall 49 19 continue receiving services until the individual voluntarily 49 20 leaves the project or until another program with similar 49 21 services exists. 49 22 Sec. 26. SEXUALLY VIOLENT PREDATORS. 49 23 1. There is appropriated from the general fund of the 49 24 state to the department of human services for the fiscal year 49 25 beginning July 1, 2001, and ending June 30, 2002, the 49 26 following amount, or so much thereof as is necessary, to be 49 27 used for the purpose designated: 49 28 For costs associated with the commitment and treatment of 49 29 sexually violent predators including costs of legal services 49 30 and other associated costs, including salaries, support, 49 31 maintenance, and miscellaneous purposes and for not more than 49 32 the following full-time equivalent positions: 49 33 .................................................. $ 1,300,000 49 34 ............................................... FTEs 25.00 49 35 2. Notwithstanding section 8.33, $350,000 of the moneys 50 1 appropriated in 2000 Iowa Acts, chapter 1228, section 27, that 50 2 remain unexpended or unobligated at the close of the fiscal 50 3 year shall not revert but shall remain available in the 50 4 succeeding fiscal year to be used for the purposes of this 50 5 section. 50 6 Sec. 27. FIELD OPERATIONS. There is appropriated from the 50 7 general fund of the state to the department of human services 50 8 for the fiscal year beginning July 1, 2001, and ending June 50 9 30, 2002, the following amount, or so much thereof as is 50 10 necessary, to be used for the purposes designated: 50 11 1. For field operations, including salaries, support, 50 12 maintenance, and miscellaneous purposes and for not more than 50 13 the following full-time equivalent positions: 50 14 .................................................. $ 49,100,000 50 15 ............................................... FTEs 2,128.50 50 16 a. Priority in filling full-time equivalent positions 50 17 shall be given to those positions related to child protection 50 18 services. 50 19 b. The amount appropriated in this section includes 50 20 increased funding of $1,212,197 to address staffing issues in 50 21 regard to child abuse assessment staff, social workers, and 50 22 support staff performing related functions and for increased 50 23 activities to improve cooperation between field staff, law 50 24 enforcement, county attorneys, and mandatory reporters in 50 25 addressing reports of child abuse. 50 26 2. Commencing with the fiscal year beginning July 1, 2001, 50 27 the department shall eliminate the regional office 50 28 administrative level within field operations. Essential staff 50 29 within a regional office shall be transferred to be part of 50 30 the staff of a county cluster office. Upon elimination of the 50 31 regional office administrative level, the geographic areas 50 32 established as departmental regions as of July 1, 2000, shall 50 33 continue to be used for implementation of Code sections 232.2, 50 34 232.52, 232.68, 232.78, 232.102, 232.117, 232.127, 232.143, 50 35 232.182, 232.188, 234.35, and any provision in this Act or 51 1 other law that utilizes the departmental regions for a 51 2 geographic purpose. The director of human services shall 51 3 assign any duties that are otherwise designated as duties of 51 4 the regional administrator in section 232.143, this Act, or 51 5 other provision of law or administrative rule to an 51 6 appropriate person. 51 7 Sec. 28. ADDITIONAL FEDERAL FUNDING – FISCAL YEAR 2001- 51 8 2002. 51 9 1. The provisions of this section are applicable for the 51 10 fiscal year beginning July 1, 2001. 51 11 2. It is the intent of the general assembly that the 51 12 director of human services work on expanding the community 51 13 partnership approach to child protection as established in 51 14 Linn county with funding support from the Edna McConnell Clark 51 15 foundation. The general assembly endorses the efforts by the 51 16 department and local communities to develop community child 51 17 protection systems that incorporate the four community 51 18 partnership components used in Linn county and other Clark 51 19 foundation sites. It is further intended that the director 51 20 seek additional funding from the Clark foundation for 51 21 expansion of the community partnership approach to other sites 51 22 in the state and make use of the additional funding 51 23 opportunities described in this section for such expansion. 51 24 3. It is the intent of the general assembly that the 51 25 director of human services work to secure federal financial 51 26 participation through Titles IV-E and XIX of the federal 51 27 Social Security Act for services and activities that are 51 28 currently funded with state, county, or community moneys. It 51 29 is further intended that the director initially focus on 51 30 securing targeted case management funding under medical 51 31 assistance for state child protection staff and for services 51 32 and activities currently funded with juvenile court services, 51 33 county, or community moneys and state moneys used in 51 34 combination with such moneys. 51 35 4. Additional federal financial participation secured for 52 1 the fiscal year beginning July 1, 2001, and ending June 30, 52 2 2002, is appropriated to the department of human services for 52 3 use as provided in this section. All of the following are 52 4 applicable to the additional federal financial participation 52 5 and efforts made to secure the federal financial 52 6 participation: 52 7 a. The department may pursue federal approval of a state 52 8 plan amendment to use medical assistance funding for targeted 52 9 case management services. The population to be served through 52 10 targeted case management services is children who are at risk 52 11 of maltreatment or who are in need of protective services. 52 12 The funding shall be based on the federal and state moneys 52 13 available under the medical assistance program. For the 52 14 additional federal financial participation received under the 52 15 reimbursement methodology established for the services, a 52 16 distribution plan shall attribute revenue to the cost sources 52 17 upon which the reimbursement rates are based. In addition, of 52 18 the additional federal funds received, a 5 percent set-aside 52 19 shall be used for funding the revenue enhancement activities 52 20 and for service delivery and results improvement efforts. 52 21 b. The director may use part or all of the additional 52 22 federal financial participation in excess of $3,000,000 52 23 received from medical assistance claims for child protection 52 24 staff for not more than 93.00 full-time equivalent state child 52 25 protection staff positions, including child abuse assessment 52 26 positions, social workers, and support positions performing 52 27 related functions. Positions added in accordance with this 52 28 paragraph "b" are in addition to those authorized in the 52 29 appropriation made in this Act for field operations. 52 30 c. The director may also use up to $200,000 of the 52 31 additional federal financial participation in excess of 52 32 $3,000,000 received from medical assistance claims for child 52 33 protection staff for providing grants to communities to 52 34 support the community partnership approach to child 52 35 protection. Potential grantees may include child welfare 53 1 funding decategorization projects, community empowerment area 53 2 boards, or other community-based entities who, in partnership 53 3 with the local departmental administrators, agree to implement 53 4 the four community partnership components. 53 5 5. It is the intent of the general assembly to consider 53 6 additional proposals for providing other forms of targeted 53 7 case management services and Title IV-E administrative 53 8 claiming through counties, juvenile court services, or other 53 9 community-based approaches. 53 10 6. The department may adopt emergency rules to implement 53 11 the provisions of this section. 53 12 Sec. 29. GENERAL ADMINISTRATION. There is appropriated 53 13 from the general fund of the state to the department of human 53 14 services for the fiscal year beginning July 1, 2001, and 53 15 ending June 30, 2002, the following amount, or so much thereof 53 16 as is necessary, to be used for the purpose designated: 53 17 For general administration, including salaries, support, 53 18 maintenance, and miscellaneous purposes and for not more than 53 19 the following full-time equivalent positions: 53 20 ................................................. $ 11,020,029 53 21 .............................................. FTEs 385.00 53 22 1. Of the funds appropriated in this section, $57,000 is 53 23 allocated for the prevention of disabilities policy council 53 24 established in section 225B.3. 53 25 2. If an expenditure reduction or other cost-saving 53 26 measure is deemed necessary to maintain expenditures within 53 27 the amount appropriated to the department in this section, the 53 28 department shall not implement the reduction or other measure 53 29 in a manner which reduces service funding for disability 53 30 rehabilitation programs, including, but not limited to, 53 31 statewide supported employment programs. 53 32 3. The department shall report to the governor, the 53 33 general assembly, the legislative fiscal bureau, and the 53 34 legislative service bureau, within thirty days of notice from 53 35 the source of payment of the future receipt of any bonus, 54 1 incentive, or other payments received from the federal 54 2 government, court settlement payments, and any other payments 54 3 received by the state that may be used to supplement state 54 4 funds appropriated to the department. 54 5 4. It is the intent of the general assembly that the 54 6 department commence negotiations with the state of Nebraska to 54 7 provide a process to assist interested Nebraska residents in 54 8 placing their children at a state resource center in this 54 9 state, to allow the department and others to utilize the child 54 10 protection center located in Omaha, and to explore other ways 54 11 by which the two states may maximize the use of resources. 54 12 Sec. 30. VOLUNTEERS. There is appropriated from the 54 13 general fund of the state to the department of human services 54 14 for the fiscal year beginning July 1, 2001, and ending June 54 15 30, 2002, the following amount, or so much thereof as is 54 16 necessary, to be used for the purpose designated: 54 17 For development and coordination of volunteer services: 54 18 .................................................. $ 118,250 54 19 Sec. 31. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY 54 20 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE 54 21 DEPARTMENT OF HUMAN SERVICES. 54 22 1. a. For the fiscal year beginning July 1, 2001, the 54 23 reimbursement rate for nursing facilities shall be determined 54 24 under a case mix reimbursement system. Nursing facilities 54 25 reimbursed under the medical assistance program shall submit 54 26 annual cost reports and additional documentation as required 54 27 by rules adopted by the department. 54 28 b. (1) For the fiscal year beginning July 1, 2001, the 54 29 department shall reimburse pharmacy dispensing fees using a 54 30 single rate of $5.17 per prescription or the pharmacy's usual 54 31 and customary fee, whichever is lower. 54 32 (2) The department shall increase the state's efforts to 54 33 collect pharmaceutical manufacturer rebates in order to meet 54 34 the national average relative to collection of such rebates. 54 35 (3) The department shall implement a series of prospective 55 1 drug utilization review edits on targeted drugs to facilitate 55 2 the cost effective use of these drugs. The edits shall be 55 3 implemented in a manner that does not change the therapy or 55 4 the therapeutic outcome for the patient. 55 5 (4) The department shall implement a generic incentive 55 6 patient copayment program to encourage the dispensing and use 55 7 of less costly pharmaceutical alternatives. The copayment 55 8 amount shall be 50 cents for a generic medication and $2 for a 55 9 brand-name medication. 55 10 (5) Beginning October 1, 2001, the department shall 55 11 implement a state maximum allowable cost list for prescription 55 12 drugs. The department shall consult with its fiscal agent and 55 13 the drug utilization review commission, at no additional cost 55 14 to the department, to determine the drug list that will 55 15 provide the department with the most significant cost savings 55 16 in the shortest period of time. In order to expedite 55 17 implementation, the department may implement the drug list 55 18 using a sole source contract during the initial year of 55 19 implementation. The department shall report to the general 55 20 assembly and the governor, on or before January 14, 2002, 55 21 identifying the entity with which the department enters the 55 22 contract to implement the program and whether the contract is 55 23 a sole source contract. The report shall include a 55 24 recommendation regarding continuation of the initial contract, 55 25 and if the initial contract is a sole source contract, whether 55 26 a sole source process or a request for proposals process 55 27 should be used to determine the contractor for any subsequent 55 28 contract entered into during the fiscal year beginning July 1, 55 29 2002. 55 30 c. For the fiscal year beginning July 1, 2001, 55 31 reimbursement rates for inpatient and outpatient hospital 55 32 services shall be reduced by three percent from the rates in 55 33 effect on June 30, 2001. The department shall continue the 55 34 outpatient hospital reimbursement system based upon ambulatory 55 35 patient groups implemented pursuant to 1994 Iowa Acts, chapter 56 1 1186, section 25, subsection 1, paragraph "f". In addition, 56 2 the department shall continue the revised medical assistance 56 3 payment policy implemented pursuant to that paragraph to 56 4 provide reimbursement for costs of screening and treatment 56 5 provided in the hospital emergency room if made pursuant to 56 6 the prospective payment methodology developed by the 56 7 department for the payment of outpatient services provided 56 8 under the medical assistance program. 56 9 d. For the fiscal year beginning July 1, 2001, 56 10 reimbursement rates for rural health clinics, hospices, 56 11 independent laboratories, and acute mental hospitals shall be 56 12 increased in accordance with increases under the federal 56 13 Medicare program or as supported by their Medicare audited 56 14 costs. 56 15 e. For the fiscal year beginning July 1, 2001, 56 16 reimbursement rates for home health agencies shall be reduced 56 17 by three percent from the rates in effect on June 30, 2001. 56 18 f. For the fiscal year beginning July 1, 2001, federally 56 19 qualified health centers shall receive cost-based 56 20 reimbursement for 100 percent of the reasonable costs for the 56 21 provision of services to recipients of medical assistance. 56 22 g. Beginning July 1, 2001, the reimbursement rates for 56 23 dental services shall be reduced by three percent from the 56 24 rates in effect on June 30, 2001. 56 25 h. Beginning July 1, 2001, the reimbursement rates for 56 26 community mental health centers shall be reduced by three 56 27 percent from the rates in effect on June 30, 2001. 56 28 i. For the fiscal year beginning July 1, 2001, the maximum 56 29 reimbursement rate for psychiatric medical institutions for 56 30 children shall remain at the rate in effect on June 30, 2001, 56 31 based on per day rates for actual costs. 56 32 j. For the fiscal year beginning July 1, 2001, unless 56 33 otherwise specified in this Act, all noninstitutional medical 56 34 assistance provider reimbursement rates shall be reduced by 56 35 three percent from the rates in effect on June 30, 2001, 57 1 except for area education agencies, local education agencies, 57 2 infant and toddler services providers, and those providers 57 3 whose rates are required to be determined pursuant to section 57 4 249A.20. 57 5 k. Notwithstanding section 249A.20, the average 57 6 reimbursement rates for health care providers eligible for use 57 7 of the reimbursement methodology under that section shall be 57 8 reduced by three percent from the rate in effect on June 30, 57 9 2001. 57 10 2. For the fiscal year beginning July 1, 2001, the maximum 57 11 cost reimbursement rate for residential care facilities 57 12 reimbursed by the department shall not be less than $24.50 per 57 13 day for the time period of July 1, 2001, through December 31, 57 14 2001, and shall not be less than $25.14 per day for the time 57 15 period of January 1, 2002, through June 30, 2002. The flat 57 16 reimbursement rate for facilities electing not to file 57 17 semiannual cost reports shall not be less than $17.50 per day 57 18 for the time period of July 1, 2001, through December 31, 57 19 2001, and shall not be less than $17.96 per day for the time 57 20 period of January 1, 2002, through June 30, 2002. 57 21 3. For the fiscal year beginning July 1, 2001, the maximum 57 22 reimbursement rate for providers reimbursed under the in-home 57 23 health-related care program shall not be less than $471.06 per 57 24 month for the time period of July 1, 2001, through December 57 25 31, 2001, and shall not be less than $483.31 per month for the 57 26 time period of January 1, 2002, through June 30, 2002. 57 27 4. Unless otherwise directed in this section, when the 57 28 department's reimbursement methodology for any provider 57 29 reimbursed in accordance with this section includes an 57 30 inflation factor, this factor shall not exceed the amount by 57 31 which the consumer price index for all urban consumers 57 32 increased during the calendar year ending December 31, 2000. 57 33 5. Notwithstanding section 234.38, in the fiscal year 57 34 beginning July 1, 2001, the foster family basic daily 57 35 maintenance rate and the maximum adoption subsidy rate for 58 1 children ages 0 through 5 years shall be $14.28, the rate for 58 2 children ages 6 through 11 years shall be $15.07, the rate for 58 3 children ages 12 through 15 years shall be $16.83, and the 58 4 rate for children ages 16 and older shall be $16.83. 58 5 6. For the fiscal year beginning July 1, 2001, the maximum 58 6 reimbursement rates for social service providers shall remain 58 7 at the rates in effect on June 30, 2001. However, the rates 58 8 may be adjusted under any of the following circumstances: 58 9 a. If a new service was added after June 30, 2001, the 58 10 initial reimbursement rate for the service shall be based upon 58 11 actual and allowable costs. 58 12 b. If a social service provider loses a source of income 58 13 used to determine the reimbursement rate for the provider, the 58 14 provider's reimbursement rate may be adjusted to reflect the 58 15 loss of income, provided that the lost income was used to 58 16 support actual and allowable costs of a service purchased 58 17 under a purchase of service contract. 58 18 c. The department revises the reimbursement rates as part 58 19 of the changes in the mental health and developmental 58 20 disabilities services system initiated pursuant to 1995 Iowa 58 21 Acts, chapter 206, and associated legislation. 58 22 7. The group foster care reimbursement rates paid for 58 23 placement of children out-of-state shall be calculated 58 24 according to the same rate-setting principles as those used 58 25 for in-state providers unless the director determines that 58 26 appropriate care cannot be provided within the state. The 58 27 payment of the daily rate shall be based on the number of days 58 28 in the calendar month in which service is provided. 58 29 8. For the fiscal year beginning July 1, 2001, the 58 30 reimbursement rates for rehabilitative treatment and support 58 31 services providers shall remain at the rates in effect on June 58 32 30, 2001. 58 33 9. For the fiscal year beginning July 1, 2001, the 58 34 combined service and maintenance components of the 58 35 reimbursement rate paid to a shelter care provider shall be 59 1 based on the cost report submitted to the department. The 59 2 maximum reimbursement rate shall be $83.69 per day. The 59 3 department shall reimburse a shelter care provider at the 59 4 provider's actual and allowable unit cost, plus inflation, not 59 5 to exceed the maximum reimbursement rate. 59 6 10. For the fiscal year beginning July 1, 2001, the 59 7 department shall calculate reimbursement rates for 59 8 intermediate care facilities for persons with mental 59 9 retardation at the 80th percentile. 59 10 11. For the fiscal year beginning July 1, 2001, for child 59 11 care providers, the department shall set provider 59 12 reimbursement rates based on the rate reimbursement survey 59 13 completed in December 1998. The department shall set rates in 59 14 a manner so as to provide incentives for a nonregistered 59 15 provider to become registered. 59 16 12. For the fiscal year beginning July 1, 2001, 59 17 reimbursements for providers reimbursed by the department of 59 18 human services may be modified if appropriated funding is 59 19 allocated for that purpose from the senior living trust fund 59 20 created in section 249H.4, or as specified in appropriations 59 21 from the tobacco settlement endowment fund created in section 59 22 12.65, Code 2001. 59 23 13. The department of human services shall review the 59 24 disparity between the compensation provided to public 59 25 employees who provide child welfare services relative to 59 26 employees of private providers who have qualifications or job 59 27 responsibilities that are comparable to the public employees. 59 28 The department shall submit to the governor and to those 59 29 persons designated by this Act to be provided with reports, a 59 30 report of its review, including findings and a plan for 59 31 reducing the disparity. 59 32 14. The department may adopt emergency rules to implement 59 33 this section. 59 34 Sec. 32. TRANSFER AUTHORITY. Subject to the provisions of 59 35 section 8.39, for the fiscal year beginning July 1, 2001, if 60 1 necessary to meet federal maintenance of effort requirements 60 2 or to transfer federal temporary assistance for needy families 60 3 block grant funding to be used for purposes of the federal 60 4 social services block grant or to meet cash flow needs 60 5 resulting from delays in receiving federal funding or to 60 6 implement, in accordance with this Act, targeted case 60 7 management for child protection and for activities currently 60 8 funded with juvenile court services, county, or community 60 9 moneys and state moneys used in combination with such moneys, 60 10 the department of human services may transfer within or 60 11 between any of the appropriations made in this Act and 60 12 appropriations in law for the federal social services block 60 13 grant to the department for the following purposes, provided 60 14 that the combined amount of state and federal temporary 60 15 assistance for needy families block grant funding for each 60 16 appropriation remains the same before and after the transfer: 60 17 1. For the family investment program. 60 18 2. For emergency assistance. 60 19 3. For child care assistance. 60 20 4. For child and family services. 60 21 5. For field operations. 60 22 6. For general administration. 60 23 7. MH/MR/DD/BI community services (local purchase). 60 24 This section shall not be construed to prohibit existing 60 25 state transfer authority for other purposes. 60 26 Sec. 33. FRAUD AND RECOUPMENT ACTIVITIES. During the 60 27 fiscal year beginning July 1, 2001, notwithstanding the 60 28 restrictions in section 239B.14, recovered moneys generated 60 29 through fraud and recoupment activities are appropriated to 60 30 the department of human services to be used for additional 60 31 fraud and recoupment activities performed by the department of 60 32 human services or the department of inspections and appeals, 60 33 and the department of human services may add not more than 60 34 five full-time equivalent positions, in addition to those 60 35 funded in this Act, subject to both of the following 61 1 conditions: 61 2 1. The director of human services determines that the 61 3 investment can reasonably be expected to increase recovery of 61 4 assistance paid in error, due to fraudulent or nonfraudulent 61 5 actions, in excess of the amount recovered in the fiscal year 61 6 beginning July 1, 1997. 61 7 2. The amount expended for the additional fraud and 61 8 recoupment activities shall not exceed the amount of the 61 9 projected increase in assistance recovered. 61 10 Sec. 34. PRIOR YEAR NONREVERSION. 61 11 1. Notwithstanding 2000 Iowa Acts, chapter 1221, section 61 12 5, moneys appropriated in chapter 1221, section 1, subsection 61 13 1, paragraphs "f", "h", and "i", for home health care 61 14 services, for home health care services and habilitative day 61 15 care for children with special needs, and for respite care 61 16 services provided through home and community-based waiver 61 17 services which are unexpended or unencumbered at the close of 61 18 the fiscal year beginning July 1, 2000, and ending June 30, 61 19 2001, shall not revert but shall remain available to be used 61 20 in the succeeding fiscal year to supplement the medical 61 21 assistance appropriation made in this Act. 61 22 2. Notwithstanding 2000 Iowa Acts, chapter 1221, section 61 23 5, $1,000,000 of the moneys appropriated in 2000 Iowa Acts, 61 24 chapter 1221, section 3, for purchase of service contract 61 25 providers which is unexpended or unencumbered at the close of 61 26 the fiscal year beginning July 1, 2000, and ending June 30, 61 27 2001, shall not revert but shall remain available to be used 61 28 in the succeeding fiscal year to supplement the medical 61 29 assistance appropriation made in this Act. 61 30 Sec. 35. Section 135H.6, subsection 2, Code 2001, is 61 31 amended to read as follows: 61 32 2. The proposed psychiatric institution is accredited by 61 33 the joint commission on the accreditation of health care 61 34 organizations, the commission on accreditation of 61 35 rehabilitation facilities, the council on accreditation of 62 1 services for families and children, or by any otherfederally62 2 recognized accrediting organization with comparable standards 62 3 acceptable under federal regulation. 62 4 Sec. 36. Section 225B.8, Code 2001, is amended to read as 62 5 follows: 62 6 225B.8 REPEAL. 62 7 This chapter is repealed July 1,20012006. 62 8 Sec. 37. NEW SECTION. 234.45 IOWA MARRIAGE INITIATIVE 62 9 GRANT FUND. 62 10 1. An Iowa marriage initiative grant fund is established 62 11 in the state treasury under the authority of the department of 62 12 human services. The grant fund shall consist of moneys 62 13 appropriated to the fund and notwithstanding section 8.33 such 62 14 moneys shall not revert to the fund from which appropriated at 62 15 the close of the fiscal year but shall remain in the Iowa 62 16 marriage initiative grant fund. Moneys credited to the fund 62 17 shall be used as directed in appropriations made by the 62 18 general assembly for funding of services to support marriage 62 19 and to encourage the formation and maintenance of two-parent 62 20 families that are secure and nurturing. 62 21 2. It is the intent of the general assembly to credit to 62 22 the Iowa marriage initiative grant fund, federal moneys 62 23 provided to the state for the express purpose of supporting 62 24 marriage or two-parent families. 62 25 Sec. 38. Section 232.142, Code 2001, is amended by adding 62 26 the following new subsection: 62 27 NEW SUBSECTION. 6. A juvenile detention home fund is 62 28 created in the state treasury under the authority of the 62 29 department. The fund shall consist of moneys deposited in the 62 30 fund pursuant to sections 321.218A and 321A.32A. The moneys 62 31 in the fund shall be used for the costs of the establishment, 62 32 improvement, operation, and maintenance of county or 62 33 multicounty juvenile detention homes in accordance with annual 62 34 appropriations made by the general assembly from the fund for 62 35 these purposes. 63 1 Sec. 39. Section 234.12A, subsection 1, paragraphs b and 63 2 c, Code 2001, are amended to read as follows: 63 3 b. A retailer providing electronic funds transfer system 63 4 equipment for transactions pursuant to the program shall be 63 5 reimbursedfifteenseven cents for each approved transaction 63 6 pursuant to the program utilizing the retailer's equipment. 63 7 c. A retailer that provides electronic funds transfer 63 8 system equipment for transactions pursuant to the program and 63 9 who makes cash disbursements pursuant to the program utilizing 63 10 the retailer's equipment shall be paid a fee offifteenseven 63 11 cents by the department for each cash disbursement transaction 63 12 by the retailer. 63 13 Sec. 40. Section 235A.16, subsection 2, Code 2001, is 63 14 amended to read as follows: 63 15 2. a. Requests for child abuse information may be made 63 16 orally by telephone where a person making such a request 63 17 believes that the information is needed immediately and where 63 18 information sufficient to demonstrate authorized access is 63 19 provided. In the event that a request is made orally by 63 20 telephone, a written request form shall nevertheless be filed 63 21 within seventy-two hours. 63 22 b. The department of inspections and appeals may provide 63 23 access to the single contact repository established under 63 24 section 135C.33, subsection 6, for criminal and abuse history 63 25 checks made by those employers, agencies, and other persons 63 26 that are authorized access to child abuse information under 63 27 section 235A.15 and are required by law to perform such 63 28 checks. 63 29 Sec. 41. Section 239B.8, subsection 1, Code 2001, is 63 30 amended to read as follows: 63 31 1. PARTICIPATION – EXEMPTIONS. A parent living in a home 63 32 with a child for whom an application for family investment 63 33 program assistance has been made or for whom the assistance is 63 34 provided, and all other individual members of the family whose 63 35 needs are included in the assistance shall be subject to a 64 1 family investment agreement unless exempt under rules adopted 64 2 by the department or unless any of the following conditions 64 3 exists: 64 4a. The individual is completely unable to participate in64 5any agreement option due to disability.64 6b.a. The individual is less than sixteen years of age and 64 7 is not a parent. 64 8c.b. The individual is sixteen through eighteen years of 64 9 age, is not a parent, and is attending elementary or secondary 64 10 school, or the equivalent level of vocational or technical 64 11 school, on a full-time basis. 64 12d.c. The individual is not a United States citizen and is 64 13 not a qualified alien as defined in 8 U.S.C. } 1641. 64 14 Sec. 42. Section 321.218A, Code 2001, is amended to read 64 15 as follows: 64 16 321.218A CIVIL PENALTY – DISPOSITION – REINSTATEMENT. 64 17 When the department suspends, revokes, or bars a person's 64 18 driver's license or nonresident operating privilege for a 64 19 conviction under this chapter, the department shall assess the 64 20 person a civil penalty of two hundred dollars. However, for 64 21 persons age nineteen or under, the civil penalty assessed 64 22 shall be fifty dollars. The civil penalty does not apply to a 64 23 suspension issued for a violation of section 321.180B. The 64 24 money collected by the department under this section shall be 64 25 transmitted to the treasurer of state who shall deposit the 64 26 money in thegeneral fund of the statejuvenile detention home 64 27 fund created in section 232.142. A temporary restricted 64 28 license shall not be issued or a driver's license or 64 29 nonresident operating privilege reinstated until the civil 64 30 penalty has been paid. 64 31 Sec. 43. Section 321A.32A, Code 2001, is amended to read 64 32 as follows: 64 33 321A.32A CIVIL PENALTY – DISPOSITION – REINSTATEMENT. 64 34 When the department suspends, revokes, or bars a person's 64 35 driver's license or nonresident operating privilege under this 65 1 chapter, the department shall assess the person a civil 65 2 penalty of two hundred dollars. However, for persons age 65 3 nineteen or under, the civil penalty assessed shall be fifty 65 4 dollars. The money collected by the department under this 65 5 section shall be transmitted to the treasurer of state who 65 6 shall deposit the money in thegeneral fund of the state65 7 juvenile detention home fund created in section 232.142. A 65 8 temporary restricted license shall not be issued or a driver's 65 9 license or nonresident operating privilege reinstated until 65 10 the civil penalty has been paid. 65 11 Sec. 44. Section 426B.2, subsection 3, Code 2001, is 65 12 amended to read as follows: 65 13 3. The director of human services shall draw warrants on 65 14 the property tax relief fund, payable to the county treasurer 65 15 in the amount due to a county in accordance with subsection 1 65 16 and mail the warrants to the county auditors inSeptemberJuly 65 17 andMarchJanuary of each year. 65 18 Sec. 45. 2000 Iowa Acts, chapter 1228, section 8, is 65 19 amended by adding the following new subsection: 65 20 NEW SUBSECTION. 18. Notwithstanding section 8.33, the 65 21 state share of funds received by the state in this fiscal year 65 22 or the succeeding fiscal year in a settlement with a fiscal 65 23 agent shall not revert or be credited to the general fund but 65 24 shall be treated as a repayment receipt and remain available 65 25 to supplement funds appropriated in this section for the 65 26 fiscal period beginning July 1, 2000, and for any 65 27 appropriation made for medical assistance for the fiscal year 65 28 beginning July 1, 2001. 65 29 Sec. 46. 2000 Iowa Acts, chapter 1228, section 9, is 65 30 amended by adding the following new unnumbered paragraph: 65 31 NEW UNNUMBERED PARAGRAPH. Notwithstanding section 8.33, 65 32 moneys appropriated in this section that remain unencumbered 65 33 or unobligated at the close of the fiscal year shall not 65 34 revert but shall remain available for expenditure for the 65 35 purposes designated until the close of the succeeding fiscal 66 1 year. 66 2 Sec. 47. 2000 Iowa Acts, chapter 1232, section 1, is 66 3 amended to read as follows: 66 4 SECTION 1. COUNTY MENTAL HEALTH, MENTAL RETARDATION, AND 66 5 DEVELOPMENTAL DISABILITIES ALLOWED GROWTH FACTOR ADJUSTMENT 66 6AND ALLOCATIONS. There is appropriated from the general fund 66 7 of the state to the department of human services for the 66 8 fiscal year beginning July 1, 2001, and ending June 30, 2002, 66 9 the following amount, or so much thereof as is necessary, to 66 10 be used for the purpose designated: 66 11 For distribution to counties of the county mental health, 66 12 mental retardation, and developmental disabilities allowed 66 13 growth factor adjustment, in accordance with section 331.438,66 14subsection 2, and section 331.439, subsection 3, and chapter66 15426Bin accordance with law: 66 16 .................................................. $26,492,71266 17 24,887,428 66 18 The funding appropriated in this section is the allowed 66 19 growth factor adjustment for fiscal year 2001-2002, and is 66 20 allocated as follows: 66 21 1. For distribution to counties for fiscal year 2001-2002 66 22 in accordance with the formula in section 331.438, subsection 66 23 2, paragraph "b": 66 24 .................................................. $ 12,000,000 66 25 2. For deposit in the per capita expenditure target pool 66 26 created in the property tax relief fund pursuant to section 66 27 426B.5, subsection 1: 66 28 .................................................. $10,492,71266 29 12,492,712 66 30In addition to the requirement of section 426B.5,66 31subsection 1, paragraph "c", limiting eligibility for moneys66 32appropriated in this paragraph to counties levying the maximum66 33amount allowed, both of the following eligibility requirements66 34are applicable:66 35a. In the fiscal year beginning July 1, 2000, the county's67 1services fund ending balance under generally accepted67 2accounting principles was equal to or less than 35 percent of67 3the county's projected expenditures for that fiscal year.67 4b. The county is in compliance with the filing date67 5requirements under section 331.403.67 63. For deposit in the incentive and efficiency pool67 7created in the property tax relief fund pursuant to section67 8426B.5, subsection 2:67 9.................................................. $ 2,000,00067 104.3. For deposit in the risk pool created in the property 67 11 tax relief fund pursuant to section 426B.5, subsection 3: 67 12 .................................................. $2,000,00067 13 394,716 67 14 Sec. 48. COUNTY MENTAL HEALTH, MENTAL RETARDATION, AND 67 15 DEVELOPMENTAL DISABILITIES (MH/MR/DD) ALLOWED GROWTH FACTOR 67 16 ADJUSTMENT AND ALLOCATIONS – REVISED ALLOCATIONS FOR FY 2001- 67 17 2002. 67 18 1. Notwithstanding any contrary provisions of sections 67 19 225C.7, 331.438, subsection 2, 331.439, subsection 3, and 67 20 426B.5, and 2000 Iowa Acts, chapter 1232, section 1, as 67 21 amended by this Act, the moneys appropriated in this Act, for 67 22 distribution to counties in the fiscal year beginning July 1, 67 23 2001, for purposes of the mental health and developmental 67 24 disabilities (MH/DD) community services fund under section 67 25 225C.7, and for the allowed growth factor adjustment for 67 26 services paid under a county's section 331.424A mental health, 67 27 mental retardation, and developmental disabilities services 67 28 fund shall be subject to withholding as provided in this 67 29 section. 67 30 2. After applying the applicable statutory distribution 67 31 formulas to the amounts specified in the appropriations made 67 32 in this Act for the MH/DD community services fund and for 67 33 allowed growth in section 47, as amended by this Act, the 67 34 department of human services shall apply a withholding factor 67 35 to adjust the actual amount of the funding to be distributed 68 1 to an eligible individual county. An ending balance 68 2 percentage for each county shall be determined by calculating 68 3 the county's ending balance on a modified accrual basis under 68 4 generally accepted accounting principles for the fiscal year 68 5 beginning July 1, 2000, in the county's mental health, mental 68 6 retardation, and developmental disabilities services fund 68 7 created under section 331.424A, as a percentage of the 68 8 county's gross expenditures from that fund for the fiscal 68 9 year. The withholding factor for a county shall be the 68 10 following applicable percent: 68 11 a. For an ending balance percentage of less than 15 68 12 percent, a withholding factor of 0 percent. 68 13 b. For an ending balance percentage of 15 through 24 68 14 percent, a withholding factor of 12.8 percent. 68 15 c. For an ending balance percentage of 25 through 34 68 16 percent, a withholding factor of 35 percent. 68 17 d. For an ending balance percentage of 35 through 44 68 18 percent, a withholding factor of 67.25 percent. 68 19 e. For an ending balance percentage of 45 percent or more, 68 20 a withholding factor of 100 percent. 68 21 3. The total withholding amounts applied pursuant to 68 22 subsection 2 shall be equal to a withholding target amount of 68 23 $15,554,307 and the appropriations made in this Act for the 68 24 MH/DD community services fund and for MH/MR/DD allowed growth 68 25 as amended in section 47 of this Act, shall be reduced by the 68 26 amounts necessary to attain the withholding target amount. If 68 27 the department of human services determines that the amount to 68 28 be withheld in accordance with subsection 2 is not equal to 68 29 the target withholding amount, the department shall adjust the 68 30 withholding factors listed in subsection 2 as necessary to 68 31 achieve the withholding target amount. However, in making 68 32 such adjustments to the withholding factors the department 68 33 shall strive to minimize changes to the withholding factors 68 34 for those ending balance percentage ranges that are lower than 68 35 others and shall not adjust the zero withholding factor 69 1 specified in subsection 2, paragraph "a". 69 2 4. Only those counties that are in compliance with the 69 3 December 1, 2001, filing deadline for the county annual 69 4 financial report in accordance with section 331.403 are 69 5 eligible to receive a funding distribution under this section. 69 6 The amount that would otherwise be available for distribution 69 7 to a county that fails to so comply shall be proportionately 69 8 distributed among the eligible counties. 69 9 5. The department of human services shall authorize the 69 10 issuance of warrants payable to the county treasurer for the 69 11 distribution amounts due to the counties eligible under this 69 12 section and notwithstanding prior practice for the MH/DD 69 13 community services fund, the warrants shall be issued in 69 14 January 2002. 69 15 Sec. 49. EMERGENCY RULES. If specifically authorized by a 69 16 provision of this Act, the department of human services or the 69 17 mental health and developmental disabilities commission may 69 18 adopt administrative rules under section 17A.4, subsection 2, 69 19 and section 17A.5, subsection 2, paragraph "b", to implement 69 20 the provisions and the rules shall become effective 69 21 immediately upon filing, unless the effective date is delayed 69 22 by the administrative rules review committee, notwithstanding 69 23 section 17A.4, subsection 5, and section 17A.8, subsection 9, 69 24 or a later effective date is specified in the rules. Any 69 25 rules adopted in accordance with this section shall not take 69 26 effect before the rules are reviewed by the administrative 69 27 rules review committee. Any rules adopted in accordance with 69 28 the provisions of this section shall also be published as 69 29 notice of intended action as provided in section 17A.4. 69 30 Sec. 50. REPORTS. Any reports or information required to 69 31 be compiled and submitted under this Act shall be submitted to 69 32 the chairpersons and ranking members of the joint 69 33 appropriations subcommittee on human services, the legislative 69 34 fiscal bureau, the legislative service bureau, and to the 69 35 legislative caucus staffs on or before the dates specified for 70 1 submission of the reports or information. 70 2 Sec. 51. EQUIPMENT PURCHASE MORATORIUM. 70 3 1. Commencing on the effective date of this section, the 70 4 department of human services shall eliminate nonessential 70 5 equipment purchases otherwise payable from any appropriation 70 6 or transfer made to the department for the fiscal years 70 7 beginning July 1, 2000. Notwithstanding section 8.33, 70 8 $500,000 of the moneys appropriated and transfers made to the 70 9 department of human services for the fiscal year beginning 70 10 July 1, 2000, in 2000 Iowa Acts, chapters 1004, 1221, 1226, 70 11 1228, 1231, and 1232, and any other provision of law, that may 70 12 be used for equipment purposes, that remain unencumbered or 70 13 unobligated at the close of the fiscal year shall not revert 70 14 but shall remain available for expenditure for the purposes 70 15 designated in the appropriations made in this Act until the 70 16 close of the succeeding fiscal year. 70 17 2. Upon submission to the persons designated by this Act 70 18 for receiving reports of a report describing the transfers 70 19 being made, the department may transfer up to $2,500,000 to 70 20 the appropriation in this Act for general administration from 70 21 moneys that are budgeted for purchase of equipment in other 70 22 appropriations made to the department in this Act. 70 23 Sec. 52. ADULT MENTAL HEALTH, MENTAL RETARDATION, AND 70 24 DEVELOPMENTAL DISABILITIES SERVICES FUNDING DECATEGORIZATION 70 25 PILOT PROJECT IMPLEMENTATION. The following target dates are 70 26 applicable to implementation of the adult mental health, 70 27 mental retardation, and developmental disabilities services 70 28 funding decategorization pilot project under section 331.440A: 70 29 1. May 2001: Representatives of the pilot project and the 70 30 department of human services shall visit Kansas City offices 70 31 of the federal health care financing administration to present 70 32 a concept paper and begin the development process for a 70 33 section 1915b waiver application and section 1915c waiver 70 34 amendment under the medical assistance program. 70 35 2. July 1, 2001: The department of human services shall 71 1 transfer responsibility for administering state case payments 71 2 to the pilot project counties, including the monthly payment 71 3 amount per eligible person provisions under the state's 71 4 administrative services only contract for state cases and the 71 5 applicable percentage of field operations staff expenses. 71 6 3. October 2001: Federal social services block grant 71 7 local purchase funding shall be directly transferred to the 71 8 pilot project counties. 71 9 4. January 2002: State supplementary assistance funding 71 10 and civil commitment funding shall be transferred to the pilot 71 11 project counties and the section 1915b waiver application and 71 12 the section 1915c waiver amendment under the medical 71 13 assistance program shall be submitted to the health care 71 14 financing administration of the United States department of 71 15 health and human services. 71 16 5. July 2002: The state portion of the costs attributable 71 17 to placements at a state mental health institute made from the 71 18 pilot project counties, and the portion of funding for mental 71 19 health and developmental disabilities services that is not 71 20 county funding, including state and federal medical assistance 71 21 program funding for such services, shall be transferred to the 71 22 pilot project counties. 71 23 Sec. 53. EFFECTIVE DATES. The following provisions of 71 24 this Act, being deemed of immediate importance, take effect 71 25 upon enactment: 71 26 1. Section 3, subsection 2, relating to nonreversion of 71 27 moneys allocated for electronic benefits transfer development. 71 28 2. Section 14, subsection 2, paragraph "e", relating to 71 29 requirements of section 232.143, for the 2001-2002 fiscal 71 30 year. 71 31 3. Section 14, subsection 14, paragraph "a", relating to 71 32 determining allocation of court-ordered services funding. 71 33 4. Section 26, subsection 2, relating to nonreversion of 71 34 moneys appropriated in 2000 Iowa Acts, chapter 1228, section 71 35 27. 72 1 5. Section 34, relating to nonreversion of moneys 72 2 appropriated in 2000 Iowa Acts, chapter 1221, section 1, for 72 3 home health care services, for home health care and 72 4 habilitative day care for children with special needs, and for 72 5 respite care provided through home and community-based waiver 72 6 services, and relating to nonreversion of moneys appropriated 72 7 in 2000 Iowa Acts, chapter 1221, section 3, for purchase of 72 8 service contract providers. 72 9 6. Section 45, relating to nonreversion of moneys 72 10 appropriated in 2000 Iowa Acts, chapter 1228, section 8, for 72 11 medical assistance repayment receipts. 72 12 7. Section 46, relating to nonreversion of moneys 72 13 appropriated in 2000 Iowa Acts, chapter 1228, section 9, for 72 14 the pharmaceutical case management study. 72 15 8. Section 51, relating to the equipment purchase 72 16 moratorium. 72 17 9. Section 52, relating to adult mental health, mental 72 18 retardation, and developmental disabilities services funding 72 19 decategorization pilot project implementation. 72 20 72 21 72 22 72 23 BRENT SIEGRIST 72 24 Speaker of the House 72 25 72 26 72 27 72 28 MARY E. KRAMER 72 29 President of the Senate 72 30 72 31 I hereby certify that this bill originated in the House and 72 32 is known as House File 732, Seventy-ninth General Assembly. 72 33 72 34 72 35 73 1 MARGARET THOMSON 73 2 Chief Clerk of the House 73 3 Approved , 2001 73 4 73 5 73 6 73 7 THOMAS J. VILSACK 73 8 Governor
Text: HF00731 Text: HF00733 Text: HF00700 - HF00799 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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