Text: HF00666 Text: HF00668 Text: HF00600 - HF00699 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
20 HOUSE FILE 667
40
50 AN ACT
70 RELATING TO AND MAKING APPROPRIATIONS FOR HEALTH AND HUMAN
80 SERVICES TO THE DEPARTMENT OF ELDER AFFAIRS, THE IOWA
90 DEPARTMENT OF PUBLIC HEALTH, THE DEPARTMENT OF INSPECTIONS
100 AND APPEALS, THE DEPARTMENT OF HUMAN SERVICES, AND THE
110 COMMISSION OF VETERANS AFFAIRS, AND PROVIDING EFFECTIVE DATES.
120
130 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
140
160 DIVISION I
170 ELDER AFFAIRS
190 Section 1. DEPARTMENT OF ELDER AFFAIRS. There is
200 appropriated from the general fund of the state to the
210 department of elder affairs for the fiscal year beginning July
220 1, 2003, and ending June 30, 2004, the following amount, or so
230 much thereof as is necessary, to be used for the purposes
240 designated:
250 For aging programs for the department of elder affairs and
260 area agencies on aging to provide citizens of Iowa who are 60
270 years of age and older with case management for the frail
280 elderly, the retired and senior volunteer program, resident
290 advocate committee coordination, employment, and other
300 services which may include, but are not limited to, adult day
310 services, respite care, chore services, telephone reassurance,
320 information and assistance, and home repair services,
330 including the winterizing of homes, and for the construction
340 of entrance ramps which make residences accessible to the
350 physically handicapped, and for salaries, support,
360 administration, maintenance, miscellaneous purposes, and for
370 not more than the following full-time equivalent positions
380 with the department of elder affairs:
400 .................................................. $ 2,653,222
410 ............................................... FTEs 25.50
430 1. Funds appropriated in this section may be used to
440 supplement federal funds under federal regulations. To
450 receive funds appropriated in this section, a local area
460 agency on aging shall match the funds with moneys from other
470 sources according to rules adopted by the department. Funds
480 appropriated in this section may be used for elderly services
490 not specifically enumerated in this section only if approved
500 by an area agency on aging for provision of the service within
510 the area.
520 2. Of the funds allocated under this section and any other
530 state funds allocated for aging programs of the area agencies
540 on aging not more than 7.5 percent of the total amount
550 allocated shall be used for area agencies on aging
560 administrative purposes.
570 3. It is the intent of the general assembly that the Iowa
580 chapters of the Alzheimer's association and the case
590 management program for the frail elderly shall collaborate and
600 cooperate fully to assist families in maintaining family
610 members with Alzheimer's disease in the community for the
620 longest period of time possible.
630 4. The department shall maintain policies and procedures
640 regarding Alzheimer's support and the retired and senior
650 volunteer program.
670 DIVISION II
680 PUBLIC HEALTH
700 Sec. 2. DEPARTMENT OF PUBLIC HEALTH. There is
710 appropriated from the general fund of the state to the Iowa
720 department of public health for the fiscal year beginning July
730 1, 2003, and ending June 30, 2004, the following amounts, or
740 so much thereof as is necessary, to be used for the purposes
750 designated:
760 1. ADDICTIVE DISORDERS
770 For reducing the prevalence of use of tobacco, alcohol, and
780 other drugs, and treating individuals affected by addictive
790 behaviors, including gambling, and for not more than the
800 following full-time equivalent positions:
820 .................................................. $ 1,277,947
830 ............................................... FTEs 13.75
850 a. The department shall continue to coordinate with
860 substance abuse treatment and prevention providers regardless
870 of funding source to assure the delivery of substance abuse
880 treatment and prevention programs.
890 b. The commission on substance abuse, in conjunction with
900 the department, shall continue to coordinate the delivery of
910 substance abuse services involving prevention, social and
920 medical detoxification, and other treatment by medical and
930 nonmedical providers to uninsured and court-ordered substance
940 abuse patients in all counties of the state.
950 c. The department and any grantee or subgrantee of the
960 department shall not discriminate against a nongovernmental
970 organization that provides substance abuse treatment and
980 prevention services or applies for funding to provide those
990 services on the basis that the organization has a religious
1000 character. The department shall report to the governor and
1010 the general assembly on or before February 1, 2004, regarding
1020 the number of religious or other nongovernmental organizations
1030 that applied for funds in the preceding fiscal year, the
1040 amounts awarded to those organizations, and the basis for any
1050 refusal by the department or grantee or subgrantee of the
1060 department to award funds to any of those organizations that
1070 applied.
1080 2. ADULT WELLNESS
1090 For maintaining or improving the health status of adults,
1100 with target populations between the ages of 18 through 60, and
1110 for not more than the following full-time equivalent
1120 positions:
1140 .................................................. $ 260,582
1150 ............................................... FTEs 23.85
1170 3. CHILD AND ADOLESCENT WELLNESS
1180 For promoting the optimum health status for children and
1190 adolescents from birth through 21 years of age, and for not
1200 more than the following full-time equivalent positions:
1220 .................................................. $ 835,959
1230 ............................................... FTEs 44.15
1250 4. CHRONIC CONDITIONS
1260 For serving individuals identified as having chronic
1270 conditions or special health care needs, and for not more than
1280 the following full-time equivalent positions:
1300 .................................................. $ 1,036,805
1310 ............................................... FTEs 11.15
1330 5. COMMUNITY CAPACITY
1340 For strengthening the health care delivery system at the
1350 local level, and for not more than the following full-time
1360 equivalent positions:
1380 .................................................. $ 1,287,158
1390 ............................................... FTEs 25.10
1410 Of the funds appropriated in this subsection, $100,000 is
1420 allocated for a child vision screening program implemented
1430 through the university of Iowa hospitals and clinics in
1440 collaboration with community empowerment areas.
1450 6. ELDERLY WELLNESS
1460 For optimizing the health of persons 60 years of age and
1470 older, and for not more than the following full-time
1480 equivalent positions:
1500 .................................................. $ 9,470,754
1510 ............................................... FTEs 4.35
1530 7. ENVIRONMENTAL HAZARDS
1540 For reducing the public's exposure to hazards in the
1550 environment, primarily chemical hazards, and for not more than
1560 the following full-time equivalent positions:
1580 .................................................. $ 349,547
1590 ............................................... FTEs 8.50
1610 8. INFECTIOUS DISEASES
1620 For reducing the incidence and prevalence of communicable
1630 diseases, and for not more than the following full-time
1640 equivalent positions:
1660 .................................................. $ 977,340
1670 ............................................... FTEs 36.90
1690 9. INJURIES
1700 For providing support and protection to victims of abuse or
1710 injury, or programs that are designed to prevent abuse or
1720 injury, and for not more than the following full-time
1730 equivalent positions:
1750 .................................................. $ 1,412,918
1760 ............................................... FTEs 7.75
1780 Of the funds appropriated in this subsection, $660,000
1790 shall be credited to the emergency medical services fund
1800 created in section 135.25.
1810 10. PUBLIC PROTECTION
1820 For protecting the health and safety of the public through
1830 establishing standards and enforcing regulations, and for not
1840 more than the following full-time equivalent positions:
1860 .................................................. $ 6,510,871
1870 ............................................... FTEs 149.10
1890 a. The department may expend funds received from licensing
1900 fees in addition to amounts appropriated in this subsection,
1910 if those additional expenditures are directly the result of a
1920 scope of practice review committee's unanticipated litigation
1930 costs arising from the discharge of an examining board's
1940 regulatory duties. Before the department expends or encumbers
1950 funds for a scope of practice review committee or for an
1960 amount in excess of the funds budgeted for an examining board,
1970 the director of the department of management shall approve the
1980 expenditure or encumbrance. The amounts necessary to fund any
1990 unanticipated litigation or scope of practice review committee
2000 expense in the fiscal year beginning July 1, 2003, shall not
2010 exceed 5 percent of the average annual fees generated by the
2020 boards for the previous two fiscal years. The funds
2030 authorized for expenditure pursuant to this lettered paragraph
2040 are appropriated to the department for the purposes described
2050 in this paragraph.
2060 b. For the fiscal year beginning July 1, 2003, the
2070 department shall retain fees collected from the certification
2080 of lead inspectors and lead abaters pursuant to section
2090 135.105A to support the certification program; and shall
2100 retain fees collected from the licensing, registration,
2110 authorization, accreditation, and inspection of x-ray machines
2120 used for mammographically guided breast biopsy, screening, and
2130 diagnostic mammography, pursuant to section 136C.10 to support
2140 the administration of the chapter. The department may also
2150 retain fees collected pursuant to section 136C.10 on all
2160 shippers of radioactive material waste containers transported
2170 across Iowa if the department does not obtain funding to
2180 support the oversight and regulation of this activity, and for
2190 x-ray radiology examination fees collected by the department
2200 and reimbursed to a private organization conducting the
2210 examination. Fees retained by the department pursuant to this
2220 lettered paragraph are appropriated to the department for the
2230 purposes described in this lettered paragraph.
2240 c. The department may retain and expend not more than
2250 $297,961 for lease and maintenance expenses from fees
2260 collected pursuant to section 147.80 by the board of dental
2270 examiners, the board of pharmacy examiners, the board of
2280 medical examiners, and the board of nursing in the fiscal year
2290 beginning July 1, 2003, and ending June 30, 2004. Fees
2300 retained by the department pursuant to this lettered paragraph
2310 are appropriated to the department for the purposes described
2320 in this lettered paragraph.
2330 d. The department may retain and expend not more than
2340 $100,000 for reduction of the number of days necessary to
2350 process medical license requests and for reduction of the
2360 number of days needed for consideration of malpractice cases
2370 from fees collected pursuant to section 147.80 by the board of
2380 medical examiners in the fiscal year beginning July 1, 2003,
2390 and ending June 30, 2004. Fees retained by the department
2400 pursuant to this lettered paragraph are appropriated to the
2410 department for the purposes described in this lettered
2420 paragraph.
2430 e. If a person in the course of responding to an emergency
2440 renders aid to an injured person and becomes exposed to bodily
2450 fluids of the injured person, that emergency responder shall
2460 be entitled to hepatitis testing and immunization in
2470 accordance with the latest available medical technology to
2480 determine if infection with hepatitis has occurred. The
2490 person shall be entitled to reimbursement from the funds
2500 appropriated in this subsection only if the reimbursement is
2510 not available through any employer or third-party payor.
2520 f. The board of dental examiners may retain and expend not
2530 more than $148,060 from revenues generated pursuant to section
2540 147.80. Fees retained by the board pursuant to this lettered
2550 paragraph are appropriated to the department to be used for
2560 the purposes of regulating dental assistants.
2570 g. The board of medical examiners, the board of pharmacy
2580 examiners, the board of dental examiners, and the board of
2590 nursing shall prepare estimates of projected receipts to be
2600 generated by the licensing, certification, and examination
2610 fees of each board as well as a projection of the fairly
2620 apportioned administrative costs and rental expenses
2630 attributable to each board. Each board shall annually review
2640 and adjust its schedule of fees so that, as nearly as
2650 possible, projected receipts equal projected costs.
2660 h. The board of medical examiners, the board of pharmacy
2670 examiners, the board of dental examiners, and the board of
2680 nursing shall retain their individual executive officers, but
2690 are strongly encouraged to share administrative, clerical, and
2700 investigative staffs to the greatest extent possible.
2710 i. For the fiscal year beginning July 1, 2003, the board
2720 of nursing may retain and expend 90 percent of the revenues
2730 generated from any increase in licensing fees pursuant to
2740 section 147.80 for purposes related to the state board's
2750 duties, including but not limited to addition of full-time
2760 equivalent positions. Fees retained by the board pursuant to
2770 this lettered paragraph are appropriated to the board of
2780 nursing for the purposes described in this paragraph.
2790 11. RESOURCE MANAGEMENT
2800 For establishing and sustaining the overall ability of the
2810 department to deliver services to the public, and for not more
2820 than the following full-time equivalent positions:
2840 .................................................. $ 666,717
2850 ............................................... FTEs 53.15
2870 12. The university of Iowa hospitals and clinics under the
2880 control of the state board of regents shall not receive
2890 indirect costs from the funds appropriated in this section.
2900 13. A local health care provider or nonprofit health care
2910 organization seeking grant moneys administered by the Iowa
2920 department of public health shall provide documentation that
2930 the provider or organization has coordinated its services with
2940 other local entities providing similar services.
2950 14. a. The department shall apply for available federal
2960 funds for sexual abstinence education programs.
2970 b. It is the intent of the general assembly to comply with
2980 the United States Congress' intent to provide education that
2990 promotes abstinence from sexual activity outside of marriage
3000 and reduces pregnancies, by focusing efforts on those persons
3010 most likely to father and bear children out of wedlock.
3020 c. Any sexual abstinence education program awarded moneys
3030 under the grant program shall meet the definition of
3040 abstinence education in the federal law. Grantees shall be
3050 evaluated based upon the extent to which the abstinence
3060 program successfully communicates the goals set forth in the
3070 federal law.
3080 Sec. 3. GAMBLING TREATMENT FUND – APPROPRIATION.
3090 1. There is appropriated from funds available in the
3100 gambling treatment fund established in the office of the
3110 treasurer of state pursuant to section 99E.10 to the Iowa
3120 department of public health for the fiscal year beginning July
3130 1, 2003, and ending June 30, 2004, the following amount, or so
3140 much thereof as is necessary, to be used for the purpose
3150 designated:
3160 a. Addictive disorders
3170 To be utilized for the benefit of persons with addictions:
3190 .................................................. $ 1,690,000
3210 b. It is the intent of the general assembly that from the
3220 moneys appropriated in this section, persons with a dual
3230 diagnosis of substance abuse and gambling addictions shall be
3240 given priority in treatment services.
3250 c. Gambling treatment program
3260 The funds remaining in the gambling treatment fund after
3270 the appropriation in paragraph "a" is made shall be used for
3280 funding of administrative costs and to provide programs which
3290 may include, but are not limited to, outpatient and follow-up
3300 treatment for persons affected by problem gambling,
3310 rehabilitation and residential treatment programs, information
3320 and referral services, education and preventive services, and
3330 financial management services.
3340 2. For the fiscal year beginning July 1, 2003, and ending
3350 June 30, 2004, from the tax revenue received by the state
3360 racing and gaming commission pursuant to section 99D.15,
3370 subsections 1, 3, and 4, an amount equal to three-tenths of
3380 one percent of the gross sum wagered by the pari-mutuel method
3390 is to be deposited into the gambling treatment fund.
3400 Sec. 4. VITAL RECORDS. The vital records modernization
3410 project as enacted in 1993 Iowa Acts, chapter 55, section 1,
3420 as amended by 1994 Iowa Acts, chapter 1068, section 8, as
3430 amended by 1997 Iowa Acts, chapter 203, section 9, 1998 Iowa
3440 Acts, chapter 1221, section 9, and 1999 Iowa Acts, chapter
3450 201, section 17, and as continued by 2000 Iowa Acts, chapter
3460 1222, section 10, 2001 Iowa Acts, chapter 182, section 13, and
3470 2002 Iowa Acts, Second Extraordinary Session, chapter 1003,
3480 section 104, shall be extended until June 30, 2004, and the
3490 increased fees to be collected pursuant to that project shall
3500 continue to be collected and are appropriated to the Iowa
3510 department of public health until June 30, 2004.
3520 Sec. 5. SCOPE OF PRACTICE REVIEW PROJECT. The scope of
3530 practice review committee pilot project as enacted in 1997
3540 Iowa Acts, chapter 203, section 6, and as continued by 2002
3550 Iowa Acts, Second Extraordinary Session, chapter 1003, section
3560 107, shall be extended until June 30, 2004. The Iowa
3570 department of public health shall submit an annual progress
3580 report to the governor and the general assembly by January 15
3590 and shall include any recommendations for legislative action
3600 as a result of review committee activities. The department
3610 may contract with a school or college of public health in Iowa
3620 to assist in implementing the project.
3630 Sec. 6. HEALTH CARE ACCESS PARTNERSHIP PILOT PROJECT.
3640 1. The director of public health shall establish a health
3650 care access partnership pilot project in a county with a
3660 population of more than 250,000 for a two-year period. The
3670 director shall adopt rules as necessary to establish and
3680 administer the pilot project. In adopting rules, the director
3690 shall consult with persons and agencies who may be involved
3700 with a health care access partnership and with the department
3710 of human services.
3720 2. The purpose of the health care access partnership pilot
3730 project is to implement systems of health care services for
3740 low-income persons or persons without health insurance
3750 coverage, and others, by enhancing collaboration between
3760 persons and agencies providing charity care or services under
3770 the medical assistance program.
3780 3. The elements of the partnership pilot project shall
3790 include but are not limited to all of the following:
3800 a. A person participating in the partnership may be a
3810 public, private, for-profit, or nonprofit entity.
3820 b. Participation provisions shall be outlined in a written
3830 agreement between those participating. If authorized under
3840 chapter 28E, a chapter 28E agreement may be utilized for all
3850 or a portion of the participant provisions.
3860 c. If a participant in the partnership is a medical
3870 assistance program provider, the participant must be a medical
3880 assistance program provider in good standing and must accept
3890 medical assistance reimbursement as full payment for any
3900 service provided. Unless expressly prohibited by the federal
3910 government, a medical assistance program provider offering
3920 services in the area served by the partnership shall be
3930 required to participate in the partnership as a condition of
3940 participation in the medical assistance program.
3950 d. Participants shall be authorized to share confidential
3960 information if the sharing is in the best interests of a
3970 client and the client has provided written authorization for
3980 the information sharing. If it is determined that the optimal
3990 approach for the information sharing is for the participants
4000 to establish a multidisciplinary community services team under
4010 section 331.909, notwithstanding section 331.909, subsection
4020 4, the participants may disclose information other than oral
4030 information with one another.
4040 e. A referral process among the participants shall be
4050 established.
4060 f. The geographic area to be served by those participating
4070 in the agreement shall be identified in the agreement and may
4080 encompass the entire county.
4090 g. Provision shall be made for receipt and expenditure of
4100 funding for the joint purposes of those participating or for
4110 clients of those participating and for receiving and expending
4120 funding received from foundations, grants, or other revenue
4130 sources.
4140 h. Provision to allow the partnership to form any
4150 governance structure that is appropriate to the purposes of
4160 the partnership and that meets all federal or state statutory
4170 requirements for the specific elements of the partnership's
4180 charter.
4190 4. If administrative rules are necessary to implement the
4200 provisions of this section, the initial rules shall be adopted
4210 on or before September 1, 2003. The director of public health
4220 may adopt the initial rules as emergency rules under section
4230 17A.4, subsection 2, and section 17A.5, subsection 2,
4240 paragraph "b", and the rules shall be effective immediately
4250 upon filing unless the effective date is delayed by the
4260 administrative rules review committee, notwithstanding section
4270 17A.4, subsection 5, and section 17A.8, subsection 9, or a
4280 later date is specified in the rules. Any rules adopted in
4290 accordance with this subsection shall not take effect before
4300 the administrative rules review committee reviews the rules.
4310 Any rules adopted in accordance with this subsection shall
4320 also be published as a notice of intended action as provided
4330 in section 17A.4.
4350 DIVISION III
4360 HUMAN SERVICES
4380 Sec. 7. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK
4390 GRANT. There is appropriated from the fund created in section
4400 8.41 to the department of human services for the fiscal year
4410 beginning July 1, 2003, and ending June 30, 2004, from moneys
4420 received under the federal temporary assistance for needy
4430 families block grant pursuant to the federal Personal
4440 Responsibility and Work Opportunity Reconciliation Act of
4450 1996, Pub. L. No. 104-193 and successor legislation, which are
4460 federally appropriated for the federal fiscal years beginning
4470 October 1, 2002, and ending September 30, 2003, and beginning
4480 October 1, 2003, and ending September 30, 2004, the following
4490 amounts, or so much thereof as is necessary, to be used for
4500 the purposes designated:
4510 If the federal government appropriation received for Iowa's
4520 portion of the federal temporary assistance for needy families
4530 block grant amounts for the federal fiscal years beginning
4540 October 1, 2002, and ending September 30, 2003, and beginning
4550 October 1, 2003, and ending September 30, 2004, are less than
4560 $131,524,959, it is the intent of the general assembly to act
4570 expeditiously during the 2004 legislative session to adjust
4580 appropriations or take other actions to address the reduced
4590 amount. Moneys appropriated in this section shall be used in
4600 accordance with the federal law making the funds available,
4610 applicable Iowa law, appropriations made from the general fund
4620 of the state in this Act for the purpose designated, and
4630 administrative rules adopted to implement the federal and Iowa
4640 law:
4650 1. To be credited to the family investment program account
4660 and used for assistance under the family investment program
4670 under chapter 239B:
4690 .................................................. $ 51,492,790
4710 2. To be credited to the family investment program account
4720 and used for the job opportunities and basic skills (JOBS)
4730 program, and implementing family investment agreements, in
4740 accordance with chapter 239B:
4760 .................................................. $ 13,412,794
4780 3. For field operations:
4800 .................................................. $ 14,152,174
4820 4. For general administration:
4840 .................................................. $ 3,238,614
4860 5. For local administrative costs:
4880 .................................................. $ 2,122,982
4900 6. For state child care assistance:
4920 .................................................. $ 21,145,765
4940 a. Of the funds appropriated in this subsection, $200,000
4950 shall be used for provision of educational opportunities to
4960 registered child care home providers in order to improve
4970 services and programs offered by this category of providers
4980 and to increase the number of providers. The department may
4990 contract with institutions of higher education or child care
5000 resource and referral centers to provide the educational
5010 opportunities. Allowable administrative costs under the
5020 contracts shall not exceed 5 percent. The application for a
5030 grant shall not exceed two pages in length.
5040 b. Of the funds appropriated in this subsection, the
5050 maximum amount allowed under Pub. L. No. 104-193 and successor
5060 legislation shall be transferred to the child care and
5070 development block grant appropriation. Funds appropriated in
5080 this subsection that remain following the transfer shall be
5090 used to provide direct spending for the child care needs of
5100 working parents in families eligible for the family investment
5110 program.
5120 7. For the parental involvement program established in
5130 section 217A.1, if enacted by this Act:
5150 .................................................. $ 35,000
5170 8. For mental health and developmental disabilities
5180 community services:
5200 .................................................. $ 4,349,266
5220 9. For child and family services:
5240 .................................................. $ 25,256,571
5260 10. For child abuse prevention grants:
5280 .................................................. $ 250,000
5300 11. For pregnancy prevention grants on the condition that
5310 family planning services are funded:
5330 .................................................. $ 2,514,413
5350 a. Pregnancy prevention grants shall be awarded to
5360 programs in existence on or before July 1, 2003, if the
5370 programs are comprehensive in scope and have demonstrated
5380 positive outcomes. Grants shall be awarded to pregnancy
5390 prevention programs which are developed after July 1, 2003, if
5400 the programs are comprehensive in scope and are based on
5410 existing models that have demonstrated positive outcomes.
5420 Grants shall comply with the requirements provided in 1997
5430 Iowa Acts, chapter 208, section 14, subsections 1 and 2,
5440 including the requirement that grant programs must emphasize
5450 sexual abstinence. Priority in the awarding of grants shall
5460 be given to programs that serve areas of the state which
5470 demonstrate the highest percentage of unplanned pregnancies of
5480 females age 13 or older but younger than age 18 within the
5490 geographic area to be served by the grant.
5500 b. In addition to the full-time equivalent positions
5510 funded in this Act, the department may use a portion of the
5520 funds appropriated in this subsection to employ an employee in
5530 up to 1.00 FTE for the administration of programs specified in
5540 this subsection.
5550 12. For technology needs and other resources necessary to
5560 meet federal welfare reform reporting, tracking, and case
5570 management requirements:
5590 .................................................. $ 1,037,186
5610 13. For volunteers:
5630 .................................................. $ 42,663
5650 14. For the healthy opportunities for parents to
5660 experience success (HOPES) program administered by the Iowa
5670 department of public health to target child abuse prevention:
5690 .................................................. $ 200,000
5710 15. To be credited to the Iowa marriage initiative grant
5720 fund created in section 234.45:
5740 .................................................. $ 85,000
5760 a. Moneys credited to the Iowa marriage initiative grant
5770 fund under this subsection are appropriated to the department
5780 for the fiscal year beginning July 1, 2003, and ending June
5790 30, 2004, to be used in accordance with this section.
5800 b. The department shall establish an Iowa fatherhood and
5810 family initiative grant program utilizing funds credited to
5820 the Iowa marriage initiative grant fund created in section
5830 234.45 to fund services to support fatherhood and to encourage
5840 the formation and maintenance of two-parent families that are
5850 secure and nurturing. The department of human services shall
5860 adopt rules pursuant to chapter 17A to administer the grant
5870 fund and to establish procedures for awarding of grants.
5880 c. The program shall require that a grantee be a nonprofit
5890 organization incorporated in this state with demonstrated
5900 successful experience in facilitating fatherhood promotion
5910 activities, marriage and family promotion activities, in using
5920 media resources to promote fatherhood and marriage and family
5930 formation, in making presentations to service or faith-based
5940 organizations, and in raising private funding for activities
5950 that support fatherhood, marriage, and families.
5960 d. Preference in awarding grants may be given to those
5970 nonprofit organizations working with faith-based groups and
5980 those groups targeting young fathers.
5990 e. The program activities funded by a grant shall include
6000 but are not limited to all of the following:
6010 (1) Working with individuals who have a demonstrated
6020 ability in working with at-risk fathers or working with those
6030 who may solemnize marriages pursuant to section 598.10 to
6040 utilize premarital diagnostic tools, to implement marriage
6050 agreements developed by the individuals who may solemnize
6060 marriages pursuant to section 595.10 that provide for an
6070 appropriate engagement period and premarital and postmarital
6080 counseling, and to use volunteer mentors in program
6090 activities.
6100 (2) Provision of a series of meetings sharing best
6110 practices that encourage young fathers to fulfill their
6120 responsibilities to the expectant mother of the child during
6130 the pregnancy, and to the mother of the child following the
6140 birth of the child, that promote happy and healthy marriages,
6150 and that offer counseling to determine the father's level of
6160 commitment to the child and the child's mother.
6170 f. The program activities funded by a grant shall be
6180 privately funded at no less than fifty percent of the grant
6190 amount.
6200 g. Grants shall be awarded in a manner that results in
6210 provision of services throughout the state in an equal number
6220 of urban and rural geographic areas.
6230 h. The department shall implement the grant program so
6240 that the initial request for proposals is issued on or before
6250 October 1, 2003, and so that any grants are awarded on or
6260 before January 1, 2004.
6270 i. A grantee shall submit a quarterly financial report to
6280 the department and to the legislative fiscal bureau and shall
6290 be subject to an annual independent evaluation to assess
6300 accomplishment of the purposes of the program.
6310 j. The department shall provide a copy of the request for
6320 proposals and shall submit a report concerning the proposals
6330 received and grants awarded to those persons designated by
6340 this division of this Act to receive reports.
6350 k. The department may adopt emergency rules to implement
6360 the provisions of this subsection.
6370 16. To be credited to the state child care assistance
6380 appropriation made in this section to be used for funding of
6390 community-based early childhood programs targeted to children
6400 from birth through five years of age, developed by community
6410 empowerment areas as provided in this subsection:
6430 .................................................. $ 7,350,000
6450 a. The department may transfer federal temporary
6460 assistance for needy families block grant funding appropriated
6470 and allocated in this subsection to the child care and
6480 development block grant appropriation in accordance with
6490 federal law as necessary to comply with the provisions of this
6500 subsection. The funding shall then be provided to community
6510 empowerment areas for the fiscal year beginning July 1, 2003,
6520 in accordance with all of the following:
6530 (1) The area must be approved as a designated community
6540 empowerment area by the Iowa empowerment board.
6550 (2) The maximum funding amount a community empowerment
6560 area is eligible to receive shall be determined by applying
6570 the area's percentage of the state's average monthly family
6580 investment program population in the preceding fiscal year to
6590 the total amount appropriated for fiscal year 2003-2004 from
6600 the TANF block grant to fund community-based programs targeted
6610 to children from birth through five years of age developed by
6620 community empowerment areas.
6630 (3) A community empowerment area receiving funding shall
6640 comply with any federal reporting requirements associated with
6650 the use of that funding and other results and reporting
6660 requirements established by the Iowa empowerment board. The
6670 department shall provide technical assistance in identifying
6680 and meeting the federal requirements.
6690 (4) The availability of funding provided under this
6700 subsection is subject to changes in federal requirements and
6710 amendments to Iowa law.
6720 b. The moneys distributed in accordance with this
6730 subsection shall be used by communities for the purposes of
6740 enhancing quality child care capacity in support of parent
6750 capability to obtain or retain employment. The moneys shall
6760 be used with a primary emphasis on low-income families and
6770 children from birth to five years of age. Moneys shall be
6780 provided in a flexible manner to communities, and shall be
6790 used to implement strategies identified by the communities to
6800 achieve such purposes. In addition to the full-time
6810 equivalent positions funded in this division of this Act, 1.00
6820 FTE position is authorized and the department may use funding
6830 appropriated in this subsection for provision of technical
6840 assistance and other support to communities developing and
6850 implementing strategies with moneys distributed in accordance
6860 with this subsection.
6870 c. Moneys that are subject to this subsection which are
6880 not distributed to a community empowerment area or otherwise
6890 remain unobligated or unexpended at the end of the fiscal year
6900 shall revert to the fund created in section 8.41 to be
6910 available for appropriation by the general assembly in a
6920 subsequent fiscal year.
6930 Of the amounts appropriated in this section, $11,612,112
6940 for the fiscal year beginning July 1, 2003, shall be
6950 transferred to the appropriation of the federal social
6960 services block grant for that fiscal year. If the federal
6970 government revises requirements to reduce the amount that may
6980 be transferred to the federal social services block grant, it
6990 is the intent of the general assembly to act expeditiously
7000 during the 2004 legislative session to adjust appropriations
7010 or the transfer amount or take other actions to address the
7020 reduced amount.
7030 Eligible funding available under the federal temporary
7040 assistance for needy families block grant that is not
7050 appropriated or not otherwise expended shall be considered
7060 reserved for economic downturns and welfare reform purposes
7070 and is subject to further state appropriation to support
7080 families in their movement toward self-sufficiency.
7090 Federal funding received that is designated for activities
7100 supporting marriage or two-parent families is appropriated to
7110 the Iowa marriage initiative grant fund created in section
7120 234.45.
7130 Sec. 8. FAMILY INVESTMENT PROGRAM ACCOUNT.
7140 1. Moneys credited to the family investment program (FIP)
7150 account for the fiscal year beginning July 1, 2003, and ending
7160 June 30, 2004, shall be used in accordance with the following
7170 requirements:
7180 a. The department of human services shall provide
7190 assistance in accordance with chapter 239B.
7200 b. The department shall continue the special needs program
7210 under the family investment program.
7220 c. The department shall continue to comply with federal
7230 welfare reform data requirements pursuant to the
7240 appropriations made for that purpose.
7250 d. The department shall continue expansion of the
7260 electronic benefit transfer program as necessary to comply
7270 with federal food stamp benefit requirements. The target date
7280 for statewide implementation of the program is October 1,
7290 2003.
7300 2. The department may use a portion of the moneys credited
7310 to the family investment program account under this section,
7320 as necessary for salaries, support, maintenance, and
7330 miscellaneous purposes for not more than the following full-
7340 time equivalent positions which are in addition to any other
7350 full-time equivalent positions authorized by this Act:
7370 ............................................... FTEs 8.00
7390 3. The department may transfer funds in accordance with
7400 section 8.39, either federal or state, to or from the child
7410 care appropriations made for the fiscal year beginning July 1,
7420 2003, if the department deems this would be a more effective
7430 method of paying for JOBS program child care, to maximize
7440 federal funding, or to meet federal maintenance of effort
7450 requirements.
7460 4. Moneys appropriated in this Act and credited to the
7470 family investment program account for the fiscal year
7480 beginning July 1, 2003, and ending June 30, 2004, are
7490 allocated as follows:
7500 a. For the family development and self-sufficiency grant
7510 program as provided under section 217.12:
7530 .................................................. $ 5,133,042
7550 (1) Of the funds allocated for the family development and
7560 self-sufficiency grant program in this lettered paragraph, not
7570 more than 5 percent of the funds shall be used for the
7580 administration of the grant program.
7590 (2) Based upon the annual evaluation report concerning
7600 each grantee funded by previously appropriated funds and
7610 through the solicitation of additional grant proposals, the
7620 family development and self-sufficiency council may use the
7630 allocated funds to renew or expand existing grants or award
7640 new grants. In utilizing the funding allocated in this
7650 lettered paragraph, the council shall give consideration, in
7660 addition to other criteria established by the council, to a
7670 grantee's intended use of local funds with a grant and to
7680 whether approval of a grant proposal would expand the
7690 availability of the program's services.
7700 (3) The department may continue to implement the family
7710 development and self-sufficiency grant program statewide
7720 during FY 2003-2004.
7730 b. For the diversion subaccount of the family investment
7740 program account:
7760 .................................................. $ 2,814,000
7780 (1) Moneys allocated to the diversion subaccount shall be
7790 used to implement FIP diversion statewide while continuing the
7800 local flexibility in program design. A family that meets
7810 income eligibility requirements for the family investment
7820 program may receive a one-time payment to remedy an immediate
7830 need in order to permit the family to maintain self-
7840 sufficiency without providing ongoing cash assistance. A FIP
7850 participant family may receive diversion assistance to
7860 overcome barriers to obtaining employment and to assist in
7870 stabilizing employment in order to increase the likelihood of
7880 the family leaving FIP more quickly. The department shall
7890 assess and screen individuals who would most likely benefit
7900 from the assistance. In addition to the full-time equivalent
7910 positions authorized in this Act, 1.00 FTE is authorized for
7920 purposes of diversion. The department may adopt additional
7930 eligibility criteria as necessary for compliance with federal
7940 law and for screening those families who would be most likely
7950 to become eligible for FIP if diversion incentives would not
7960 be provided.
7970 (2) A portion of the moneys allocated for the subaccount
7980 may be used for field operations salaries, data management
7990 system development, and implementation costs and support
8000 deemed necessary by the director of human services in order to
8010 administer the FIP diversion program.
8020 (3) Of the funds allocated in this lettered paragraph, not
8030 more than $250,000 shall be used to develop or continue
8040 community-level parental obligation pilot projects. The
8050 requirements established under 2001 Iowa Acts, chapter 191,
8060 section 3, subsection 5, paragraph "c", subparagraph (3),
8070 shall remain applicable to the parental obligation pilot
8080 projects for fiscal year 2003-2004.
8090 c. For the food stamp employment and training program:
8110 .................................................. $ 63,000
8130 5. Of the child support collections assigned under the
8140 family investment program, an amount equal to the federal
8150 share of support collections shall be credited to the child
8160 support recovery appropriation. Of the remainder of the
8170 assigned child support collections received by the child
8180 support recovery unit, a portion shall be credited to the
8190 family investment program account and a portion may be used to
8200 increase recoveries.
8210 6. For the fiscal year beginning July 1, 2003, the
8220 department shall continue the process for the state to receive
8230 refunds of utility and rent deposits, including any accrued
8240 interest, for emergency assistance program recipients which
8250 were paid by persons other than the state. The department
8260 shall also receive refunds, including any accrued interest, of
8270 assistance paid with funding available under this program.
8280 The refunds received by the department shall be credited to
8290 the family investment program (FIP) account to offset FIP cash
8300 grants expended in the same year. Notwithstanding section
8310 8.33, moneys received by the department under this subsection
8320 which remain after the emergency assistance program is
8330 terminated and state or federal moneys in the emergency
8340 assistance account which remain unobligated or unexpended at
8350 the close of the fiscal year beginning July 1, 2003, shall not
8360 revert to any other fund but shall be credited to the family
8370 investment program account.
8380 7. The department may adopt emergency administrative rules
8390 for the family investment, food stamp, and medical assistance
8400 programs, if necessary, to comply with federal requirements.
8410 8. The department may continue the initiative to
8420 streamline and simplify the employer verification process for
8430 applicants, participants, and employers in the administration
8440 of the department's programs. The department may contract
8450 with companies collecting data from employers when the
8460 information is needed in the administration of these programs.
8470 The department may limit the availability of the initiative on
8480 the basis of geographic area or number of individuals.
8490 Sec. 9. FAMILY INVESTMENT PROGRAM GENERAL FUND. There is
8500 appropriated from the general fund of the state to the
8510 department of human services for the fiscal year beginning
8520 July 1, 2003, and ending June 30, 2004, the following amount,
8530 or so much thereof as is necessary, to be used for the purpose
8540 designated:
8550 To be credited to the family investment program account and
8560 used for family investment program assistance under chapter
8570 239B:
8590 .................................................. $ 36,187,879
8610 1. The department of workforce development, in
8620 consultation with the department of human services, shall
8630 continue to utilize recruitment and employment practices to
8640 include former and current family investment program
8650 recipients.
8660 2. The department of human services shall continue to work
8670 with the department of workforce development and local
8680 community collaborative efforts to provide support services
8690 for family investment program participants. The support
8700 services shall be directed to those participant families who
8710 would benefit from the support services and are likely to have
8720 success in achieving economic independence.
8730 3. Of the funds appropriated in this section, $9,274,143
8740 is allocated for the JOBS program.
8750 4. The department shall continue to work with religious
8760 organizations and other charitable institutions to increase
8770 the availability of host homes, referred to as second chance
8780 homes or other living arrangements under the federal Personal
8790 Responsibility and Work Opportunity Reconciliation Act of
8800 1996, Pub. L. No. 104-193, } 103. The purpose of the homes or
8810 arrangements is to provide a supportive and supervised living
8820 arrangement for minor parents receiving assistance under the
8830 family investment program who, under chapter 239B, may receive
8840 assistance while living in an alternative setting other than
8850 with their parent or legal guardian.
8860 Sec. 10. CHILD SUPPORT RECOVERY. There is appropriated
8870 from the general fund of the state to the department of human
8880 services for the fiscal year beginning July 1, 2003, and
8890 ending June 30, 2004, the following amount, or so much thereof
8900 as is necessary, to be used for the purposes designated:
8910 For child support recovery, including salaries, support,
8920 maintenance, and miscellaneous purposes and for not more than
8930 the following full-time equivalent positions:
8950 .................................................. $ 5,482,793
8960 ............................................... FTEs 405.00
8980 1. The director of human services, within the limitations
8990 of the moneys appropriated in this section, or moneys
9000 transferred from the family investment program account for
9010 this purpose, shall establish new positions and add employees
9020 to the child support recovery unit if the director determines
9030 that both the current and additional employees together can
9040 reasonably be expected to maintain or increase net state
9050 revenue at or beyond the budgeted level.
9060 2. Nonpublic assistance application fees and other user
9070 fees received by the child support recovery unit are
9080 appropriated and shall be used for the purposes of the child
9090 support recovery program. The director of human services may
9100 add positions within the limitations of the amount
9110 appropriated for salaries and support for the positions.
9120 3. The director of human services, in consultation with
9130 the department of management and the legislative fiscal
9140 committee, is authorized to receive and deposit state child
9150 support incentive earnings in the manner specified under
9160 applicable federal requirements.
9170 4. a. The director of human services may establish new
9180 positions and add state employees to the child support
9190 recovery unit or contract for delivery of services if the
9200 director determines the employees are necessary to replace
9210 county-funded positions eliminated due to termination,
9220 reduction, or nonrenewal of a chapter 28E contract. However,
9230 the director must also determine that the resulting increase
9240 in the state share of child support recovery incentives
9250 exceeds the cost of the positions or contract, the positions
9260 or contract are necessary to ensure continued federal funding
9270 of the program, or the new positions or contract can
9280 reasonably be expected to recover at least twice the amount of
9290 money necessary to pay the salaries and support for the new
9300 positions or the contract will generate at least 200 percent
9310 of the cost of the contract.
9320 b. Employees in full-time positions that transition from
9330 county government to state government employment under this
9340 subsection are exempt from testing, selection, and appointment
9350 provisions of chapter 19A and from the provisions of
9360 collective bargaining agreements relating to the filling of
9370 vacant positions.
9380 5. Surcharges paid by obligors and received by the unit as
9390 a result of the referral of support delinquency by the child
9400 support recovery unit to any private collection agency are
9410 appropriated to the department and shall be used to pay the
9420 costs of any contracts with the collection agencies.
9430 6. The department shall expend up to $31,000, including
9440 federal financial participation, for the fiscal year beginning
9450 July 1, 2003, for a child support public awareness campaign.
9460 The department and the office of the attorney general shall
9470 cooperate in continuation of the campaign. The public
9480 awareness campaign shall emphasize, through a variety of media
9490 activities, the importance of maximum involvement of both
9500 parents in the lives of their children as well as the
9510 importance of payment of child support obligations.
9520 7. Federal access and visitation grant moneys shall be
9530 issued directly to private not-for-profit agencies that
9540 provide services designed to increase compliance with the
9550 child access provisions of court orders, including but not
9560 limited to neutral visitation site and mediation services.
9570 Sec. 11. MEDICAL ASSISTANCE. There is appropriated from
9580 the general fund of the state to the department of human
9590 services for the fiscal year beginning July 1, 2003, and
9600 ending June 30, 2004, the following amount, or so much thereof
9610 as is necessary, to be used for the purpose designated:
9620 For medical assistance reimbursement and associated costs
9630 as specifically provided in the reimbursement methodologies in
9640 effect on June 30, 2003, except as otherwise expressly
9650 authorized by law, including reimbursement for abortion
9660 services, which shall be available under the medical
9670 assistance program only for those abortions which are
9680 medically necessary:
9700 .................................................. $357,486,073
9720 1. Medically necessary abortions are those performed under
9730 any of the following conditions:
9740 a. The attending physician certifies that continuing the
9750 pregnancy would endanger the life of the pregnant woman.
9760 b. The attending physician certifies that the fetus is
9770 physically deformed, mentally deficient, or afflicted with a
9780 congenital illness.
9790 c. The pregnancy is the result of a rape which is reported
9800 within 45 days of the incident to a law enforcement agency or
9810 public or private health agency which may include a family
9820 physician.
9830 d. The pregnancy is the result of incest which is reported
9840 within 150 days of the incident to a law enforcement agency or
9850 public or private health agency which may include a family
9860 physician.
9870 e. Any spontaneous abortion, commonly known as a
9880 miscarriage, if not all of the products of conception are
9890 expelled.
9900 2. Notwithstanding section 8.39, the department may
9910 transfer funds appropriated in this section to a separate
9920 account established in the department's case management unit
9930 for expenditures required to provide case management services
9940 for mental health, mental retardation, and developmental
9950 disabilities services under medical assistance which are
9960 jointly funded by the state and county, pending final
9970 settlement of the expenditures. Funds received by the case
9980 management unit in settlement of the expenditures shall be
9990 used to replace the transferred funds and are available for
10000 the purposes for which the funds were appropriated in this
10010 section.
10020 3. a. The county of legal settlement shall be billed for
10030 50 percent of the nonfederal share of the cost of case
10040 management provided for adults, day treatment, and partial
10050 hospitalization in accordance with sections 249A.26 and
10060 249A.27, and 100 percent of the nonfederal share of the cost
10070 of care for adults which is reimbursed under a federally
10080 approved home and community-based waiver that would otherwise
10090 be approved for provision in an intermediate care facility for
10100 persons with mental retardation, provided under the medical
10110 assistance program. The state shall have responsibility for
10120 the remaining 50 percent of the nonfederal share of the cost
10130 of case management provided for adults, day treatment, and
10140 partial hospitalization. For persons without a county of
10150 legal settlement, the state shall have responsibility for 100
10160 percent of the nonfederal share of the costs of case
10170 management provided for adults, day treatment, partial
10180 hospitalization, and the home and community-based waiver
10190 services. The case management services specified in this
10200 subsection shall be billed to a county only if the services
10210 are provided outside of a managed care contract.
10220 b. The state shall pay the entire nonfederal share of the
10230 costs for case management services provided to persons 17
10240 years of age and younger who are served in a medical
10250 assistance home and community-based waiver program for persons
10260 with mental retardation.
10270 c. Medical assistance funding for case management services
10280 for eligible persons 17 years of age and younger shall also be
10290 provided to persons residing in counties with child welfare
10300 decategorization projects implemented in accordance with
10310 section 232.188, provided these projects have included these
10320 persons in their service plan and the decategorization project
10330 county is willing to provide the nonfederal share of costs.
10340 d. When paying the necessary and legal expenses of
10350 intermediate care facilities for persons with mental
10360 retardation (ICFMR), the cost payment requirements of section
10370 222.60 shall be considered fulfilled when payment is made in
10380 accordance with the medical assistance payment rates
10390 established for ICFMRs by the department and the state or a
10400 county of legal settlement is not obligated for any amount in
10410 excess of the rates.
10420 e. Unless a county has paid or is paying for the
10430 nonfederal share of the cost of a person's home and community-
10440 based waiver services or ICFMR placement under the county's
10450 mental health, mental retardation, and developmental
10460 disabilities services fund, or unless a county of legal
10470 settlement would become liable for the costs of services at
10480 the ICFMR level of care for a person due to the person
10490 reaching the age of majority, the state shall pay the
10500 nonfederal share of the costs of an eligible person's services
10510 under the home and community-based waiver for persons with
10520 brain injury.
10530 4. The department shall utilize not more than $60,000 of
10540 the funds appropriated in this section to continue the
10550 AIDS/HIV health insurance premium payment program as
10560 established in 1992 Iowa Acts, Second Extraordinary Session,
10570 chapter 1001, section 409, subsection 6. Of the funds
10580 allocated in this subsection, not more than $5,000 may be
10590 expended for administrative purposes.
10600 5. Of the funds appropriated to the Iowa department of
10610 public health for substance abuse grants, $950,000 for the
10620 fiscal year beginning July 1, 2003, shall be transferred to
10630 the department of human services for an integrated substance
10640 abuse managed care system.
10650 6. In administering the medical assistance home and
10660 community-based waivers, the total number of openings at any
10670 one time shall be limited to the number approved for a waiver
10680 by the secretary of the United States department of health and
10690 human services. The openings shall be available on a first-
10700 come, first-served basis.
10710 7. The department of human services, in consultation with
10720 the Iowa department of public health and the department of
10730 education, shall continue the program to utilize the early and
10740 periodic screening, diagnosis, and treatment (EPSDT) funding
10750 under medical assistance, to the extent possible, to implement
10760 the screening component of the EPSDT program through the
10770 school system. The department may enter into contracts to
10780 utilize maternal and child health centers, the public health
10790 nursing program, or school nurses in implementing this
10800 provision.
10810 8. The department shall continue working with county
10820 representatives in aggressively implementing the
10830 rehabilitation option for services to persons with chronic
10840 mental illness under the medical assistance program, and
10850 county funding shall be used to provide the match for the
10860 federal funding, except for individuals with state case
10870 status, for whom state funding shall provide the match.
10880 9. If the federal centers for Medicare and Medicaid
10890 services approves a waiver request from the department, the
10900 department shall provide a period of 24 months of guaranteed
10910 eligibility for medical assistance family planning services,
10920 regardless of the change in circumstances of a woman who was a
10930 medical assistance recipient when a pregnancy ended.
10940 10. The department shall aggressively pursue options for
10950 providing medical assistance or other assistance to
10960 individuals with special needs who become ineligible to
10970 continue receiving services under the early and periodic,
10980 screening, diagnosis, and treatment program under the medical
10990 assistance program due to becoming 21 years of age, who have
11000 been approved for additional assistance through the
11010 department's exception to policy provisions, but who have
11020 health care needs in excess of the funding available through
11030 the exception to policy process.
11040 11. The drug utilization review commission shall submit
11050 copies of the board's annual review, including facts and
11060 findings, of the drugs on the department's prior authorization
11070 list to the department and to the members of the joint
11080 appropriations subcommittee on health and human services.
11090 12. The department shall expend the anticipated savings
11100 for operation of the state maximum allowable cost program for
11110 pharmaceuticals as additional funding for the medical
11120 assistance program.
11130 13. The department shall implement the elimination of
11140 hospital crossover claims for dually eligible federal Medicare
11150 and medical assistance program beneficiaries for hospitals
11160 licensed under chapter 135B, only if approval of a medical
11170 assistance state plan amendment is received from the centers
11180 for Medicare and Medicaid services of the United States
11190 department of health and human services that protects
11200 hospitals from financial losses specifically due to the
11210 hospital crossover claims process under the medical assistance
11220 program or the Medicare cost reports.
11230 Sec. 12. HEALTH INSURANCE PREMIUM PAYMENT PROGRAM. There
11240 is appropriated from the general fund of the state to the
11250 department of human services for the fiscal year beginning
11260 July 1, 2003, and ending June 30, 2004, the following amount,
11270 or so much thereof as is necessary, to be used for the purpose
11280 designated:
11290 For administration of the health insurance premium payment
11300 program, including salaries, support, maintenance, and
11310 miscellaneous purposes, and for not more than the following
11320 full-time equivalent positions:
11340 .................................................. $ 573,968
11350 ............................................... FTEs 21.00
11370 Sec. 13. MEDICAL CONTRACTS. There is appropriated from
11380 the general fund of the state to the department of human
11390 services for the fiscal year beginning July 1, 2003, and
11400 ending June 30, 2004, the following amount, or so much thereof
11410 as is necessary, to be used for the purpose designated:
11420 For medical contracts:
11440 .................................................. $ 8,990,035
11460 1. In any managed care contract for mental health or
11470 substance abuse services entered into or extended by the
11480 department on or after July 1, 2003, the request for proposals
11490 shall provide for coverage of dual diagnosis mental health and
11500 substance abuse treatment provided at the state mental health
11510 institute at Mount Pleasant. To the extent possible, the
11520 department shall also amend any such contract existing on July
11530 1, 2003, to provide for such coverage.
11540 2. The department may either continue or reprocure the
11550 contract existing on June 30, 2003, with the department's
11560 fiscal agent.
11570 Sec. 14. STATE SUPPLEMENTARY ASSISTANCE. There is
11580 appropriated from the general fund of the state to the
11590 department of human services for the fiscal year beginning
11600 July 1, 2003, and ending June 30, 2004, the following amount,
11610 or so much thereof as is necessary, to be used for the
11620 purposes designated:
11630 For state supplementary assistance and the medical
11640 assistance home and community-based services waiver rent
11650 subsidy program:
11670 .................................................. $ 19,198,735
11690 1. The department shall increase the personal needs
11700 allowance for residents of residential care facilities by the
11710 same percentage and at the same time as federal supplemental
11720 security income and federal social security benefits are
11730 increased due to a recognized increase in the cost of living.
11740 The department may adopt emergency rules to implement this
11750 subsection.
11760 2. If during the fiscal year beginning July 1, 2003, the
11770 department projects that state supplementary assistance
11780 expenditures for a calendar year will not meet the federal
11790 pass-along requirement specified in Title XVI of the federal
11800 Social Security Act, section 1618, as codified in 42 U.S.C. }
11810 1382g, the department may take actions including but not
11820 limited to increasing the personal needs allowance for
11830 residential care facility residents and making programmatic
11840 adjustments or upward adjustments of the residential care
11850 facility or in-home health-related care reimbursement rates
11860 prescribed in this Act to ensure that federal requirements are
11870 met. In addition, the department may make other programmatic
11880 and rate adjustments necessary to remain within the amount
11890 appropriated in this section while ensuring compliance with
11900 federal requirements. The department may adopt emergency
11910 rules to implement the provisions of this subsection.
11920 Sec. 15. CHILDREN'S HEALTH INSURANCE PROGRAM. There is
11930 appropriated from the general fund of the state to the
11940 department of human services for the fiscal year beginning
11950 July 1, 2003, and ending June 30, 2004, the following amount,
11960 or so much thereof as is necessary, to be used for the purpose
11970 designated:
11980 For maintenance of the healthy and well kids in Iowa (hawk-
11990 i) program pursuant to chapter 514I for receipt of federal
12000 financial participation under Title XXI of the federal Social
12010 Security Act, which creates the state children's health
12020 insurance program:
12040 .................................................. $ 11,118,275
12060 1. The department may transfer funds appropriated in this
12070 section to be used for the purpose of expanding health care
12080 coverage to children under the medical assistance program.
12090 The department shall provide periodic updates to the general
12100 assembly of expenditures of funds appropriated in this
12110 section.
12120 2. Moneys in the hawk-i trust fund are appropriated to the
12130 department of human services and shall be used to offset any
12140 program costs for the fiscal year beginning July 1, 2003, and
12150 ending June 30, 2004.
12160 Sec. 16. CHILD CARE ASSISTANCE. There is appropriated
12170 from the general fund of the state to the department of human
12180 services for the fiscal year beginning July 1, 2003, and
12190 ending June 30, 2004, the following amount, or so much thereof
12200 as is necessary, to be used for the purpose designated:
12210 For child care programs:
12230 .................................................. $ 5,050,752
12250 1. a. Of the funds appropriated in this section,
12260 $4,525,228 shall be used for state child care assistance in
12270 accordance with section 237A.13.
12280 b. During the 2003-2004 fiscal year, the moneys deposited
12290 in the child care credit fund created in section 237A.28 are
12300 appropriated to the department to be used for state child care
12310 assistance in accordance with section 237A.13, in addition to
12320 the moneys allocated for that purpose in paragraph "a".
12330 2. Nothing in this section shall be construed or is
12340 intended as, or shall imply, a grant of entitlement for
12350 services to persons who are eligible for assistance due to an
12360 income level consistent with the waiting list requirements of
12370 section 237A.13. Any state obligation to provide services
12380 pursuant to this section is limited to the extent of the funds
12390 appropriated in this section.
12400 3. Of the funds appropriated in this section, $525,524 is
12410 allocated for the statewide program for child care resource
12420 and referral services under section 237A.26.
12430 4. The department may use any of the funds appropriated in
12440 this section as a match to obtain federal funds for use in
12450 expanding child care assistance and related programs. For the
12460 purpose of expenditures of state and federal child care
12470 funding, funds shall be considered obligated at the time
12480 expenditures are projected or are allocated to the
12490 department's service areas. Projections shall be based on
12500 current and projected caseload growth, current and projected
12510 provider rates, staffing requirements for eligibility
12520 determination and management of program requirements including
12530 data systems management, staffing requirements for
12540 administration of the program, contractual and grant
12550 obligations and any transfers to other state agencies, and
12560 obligations for decategorization or innovation projects.
12570 5. If the federal government appropriates additional
12580 funding under the federal child care and development block
12590 grant than was anticipated would be received for the state
12600 fiscal year beginning July 1, 2003, in addition to the
12610 notification requirements for expenditure requirements for
12620 additional federal funds under 2002 Iowa Acts, chapter 1170,
12630 the department shall consult with the chairpersons and ranking
12640 members of the joint appropriations subcommittee on health and
12650 human services at least thirty days in advance of committing
12660 to expenditure of the additional funding.
12670 6. A portion of the state match for the federal child care
12680 and development block grant shall be provided through the
12690 state general fund appropriation for child development grants
12700 and other programs for at-risk children in section 279.51.
12710 7. a. The department shall develop consumer information
12720 material to assist parents in selecting a child care provider.
12730 In developing the material, the department shall consult with
12740 department of human services staff, department of education
12750 staff, the state child care advisory council, the Iowa
12760 empowerment board, and child care resource and referral
12770 services. In addition, the department may consult with other
12780 entities at the local, state, and national level.
12790 b. The consumer information material developed by the
12800 department for parents and other consumers of child care
12810 services shall include but is not limited to all of the
12820 following:
12830 (1) A pamphlet or other printed material containing
12840 consumer-oriented information on locating a quality child care
12850 provider.
12860 (2) Information explaining important considerations a
12870 consumer should take into account in selecting a licensed or
12880 registered child care provider.
12890 (3) Information explaining how a consumer can identify
12900 quality services, including what questions to ask of providers
12910 and what a consumer might expect or demand to know before
12920 selecting a provider.
12930 (4) An explanation of the applicable laws and regulations
12940 written in layperson's terms.
12950 (5) An explanation of what it means for a provider to be
12960 licensed, registered, or unregistered.
12970 (6) An explanation of the information considered in
12980 registry and record background checks.
12990 (7) Other information deemed relevant to consumers.
13000 c. The department shall implement and publicize an
13010 internet page or site that provides all of the following:
13020 (1) The written information developed pursuant to
13030 paragraphs "a" and "b".
13040 (2) Regular informational updates, including when a child
13050 care provider was last subject to a state quality review or
13060 inspection and, based upon a final score or review, the
13070 results indicating whether the provider passed or failed the
13080 review or inspection.
13090 (3) Capability for a consumer to be able to access
13100 information concerning child care providers, such as
13110 informational updates, identification of provider location,
13120 name, and capacity, and identification of providers
13130 participating in the state child care assistance program and
13140 those participating in the child care food program, by sorting
13150 the information or employing other means that provide the
13160 information in a manner that is useful to the consumer.
13170 Information regarding provider location shall identify
13180 providers located in the vicinity of an address selected by a
13190 consumer and provide contact information without listing the
13200 specific addresses of the providers.
13210 (4) Other information deemed appropriate by the
13220 department.
13230 8. If the department receives additional funding from the
13240 federal government designated for purposes of improving child
13250 care quality, the funding shall be used for additional child
13260 care consultant positions within the department's field
13270 operations.
13280 Sec. 17. JUVENILE INSTITUTIONS. There is appropriated
13290 from the general fund of the state to the department of human
13300 services for the fiscal year beginning July 1, 2003, and
13310 ending June 30, 2004, the following amounts, or so much
13320 thereof as is necessary, to be used for the purposes
13330 designated:
13340 1. For operation of the Iowa juvenile home at Toledo and
13350 for salaries, support, maintenance, and for not more than the
13360 following full-time equivalent positions:
13380 .................................................. $ 6,160,878
13390 ............................................... FTEs 130.54
13410 2. For operation of the state training school at Eldora
13420 and for salaries, support, maintenance, and for not more than
13430 the following full-time equivalent positions:
13450 .................................................. $ 10,285,696
13460 ............................................... FTEs 218.53
13480 3. During the fiscal year beginning July 1, 2003, the
13490 population levels at the state juvenile institutions shall not
13500 exceed the population guidelines established under 1990 Iowa
13510 Acts, chapter 1239, section 21, as adjusted for subsequent
13520 changes in capacity at the institutions.
13530 4. A portion of the moneys appropriated in this section
13540 shall be used by the state training school and by the Iowa
13550 juvenile home for grants for adolescent pregnancy prevention
13560 activities at the institutions in the fiscal year beginning
13570 July 1, 2003.
13580 5. Within the amounts appropriated in this section, the
13590 department may transfer funds as necessary to best fulfill the
13600 needs of the institutions provided for in the appropriation.
13610 Sec. 18. CHILD AND FAMILY SERVICES.
13620 1. There is appropriated from the general fund of the
13630 state to the department of human services for the fiscal year
13640 beginning July 1, 2003, and ending June 30, 2004, the
13650 following amount, or so much thereof as is necessary, to be
13660 used for the purpose designated:
13670 For child and family services:
13690 .................................................. $107,091,253
13710 2. The department may transfer funds appropriated in this
13720 section as necessary to pay the nonfederal costs of services
13730 reimbursed under medical assistance or the family investment
13740 program which are provided to children who would otherwise
13750 receive services paid under the appropriation in this section.
13760 The department may transfer funds appropriated in this section
13770 to the appropriations in this Act for general administration
13780 and for field operations for resources necessary to implement
13790 and operate the services funded in this section.
13800 3. a. Of the funds appropriated in this section, up to
13810 $30,154,516 is allocated as the statewide expenditure target
13820 under section 232.143 for group foster care maintenance and
13830 services.
13840 b. If at any time after September 30, 2003, annualization
13850 of a service area's current expenditures indicates a service
13860 area is at risk of exceeding its group foster care expenditure
13870 target under section 232.143 by more than 5 percent, the
13880 department and juvenile court services shall examine all group
13890 foster care placements in that service area in order to
13900 identify those which might be appropriate for termination. In
13910 addition, any aftercare services believed to be needed for the
13920 children whose placements may be terminated shall be
13930 identified. The department and juvenile court services shall
13940 initiate action to set dispositional review hearings for the
13950 placements identified. In such a dispositional review
13960 hearing, the juvenile court shall determine whether needed
13970 aftercare services are available and whether termination of
13980 the placement is in the best interest of the child and the
13990 community.
14000 c. (1) Of the funds appropriated in this section, not
14010 more than $6,355,170 is allocated as the state match funding
14020 for psychiatric medical institutions for children.
14030 (2) The department may transfer all or a portion of the
14040 amount allocated in this lettered paragraph for psychiatric
14050 medical institutions for children (PMICs) to the appropriation
14060 in this Act for medical assistance.
14070 d. Of the funds allocated in this subsection, $1,419,988
14080 is allocated as the state match funding for 50 highly
14090 structured juvenile program beds. If the number of beds
14100 provided for in this lettered paragraph is not utilized, the
14110 remaining funds allocated may be used for group foster care.
14120 e. For the fiscal year beginning July 1, 2003, the
14130 requirements of section 232.143 applicable to the juvenile
14140 court and to representatives of the juvenile court shall be
14150 applicable instead to juvenile court services and to
14160 representatives of juvenile court services. The
14170 representatives appointed by the department of human services
14180 and by juvenile court services to establish the plan to
14190 contain expenditures for children placed in group foster care
14200 ordered by the court within the budget target allocated to the
14210 service area shall establish the plan in a manner so as to
14220 ensure the moneys allocated to the service area under section
14230 232.143 shall last the entire fiscal year. Funds for a child
14240 placed in group foster care shall be considered encumbered for
14250 the duration of the child's projected or actual length of
14260 stay, whichever is applicable.
14270 4. Of the funds appropriated in this section, $3,000,000
14280 is allocated specifically for expenditure through the
14290 decategorization of child welfare funding pools and governance
14300 boards established pursuant to section 232.188.
14310 Notwithstanding section 8.33, moneys allocated in this
14320 subsection that remain unencumbered or unobligated at the
14330 close of the fiscal year shall not revert but shall remain
14340 available for expenditure for the purposes designated until
14350 the close of the succeeding fiscal year.
14360 5. Of the funds appropriated in this section, up to
14370 $915,892 is allocated for additional funding of the family
14380 preservation program.
14390 6. The department shall continue the goal that not more
14400 than 15 percent of the children placed in foster care funded
14410 under the federal Social Security Act, Title IV-E, may be
14420 placed in foster care for a period of more than 24 months.
14430 7. In accordance with the provisions of section 232.188,
14440 the department shall continue the program to decategorize
14450 child welfare services funding in additional counties or
14460 clusters of counties.
14470 8. A portion of the funding appropriated in this section
14480 may be used for emergency family assistance to provide other
14490 resources required for a family participating in a family
14500 preservation or reunification project to stay together or to
14510 be reunified.
14520 9. Notwithstanding section 234.35, subsection 1, for the
14530 fiscal year beginning July 1, 2003, state funding for shelter
14540 care paid pursuant to section 234.35, subsection 1, paragraph
14550 "h", shall be limited to $6,922,509.
14560 10. The department shall continue to make adoption
14570 presubsidy and adoption subsidy payments to adoptive parents
14580 at the beginning of the month for the current month.
14590 11. Federal funds received by the state during the fiscal
14600 year beginning July 1, 2003, as the result of the expenditure
14610 of state funds appropriated during a previous state fiscal
14620 year for a service or activity funded under this section, are
14630 appropriated to the department to be used as additional
14640 funding for services and purposes provided for under this
14650 section. Notwithstanding section 8.33, moneys received in
14660 accordance with this subsection that remain unencumbered or
14670 unobligated at the close of the fiscal year shall not revert
14680 to any fund but shall remain available for the purposes
14690 designated until the close of the succeeding fiscal year.
14700 12. The department and juvenile court services shall
14710 continue to develop criteria for the department service area
14720 administrator and chief juvenile court officer to grant
14730 exceptions to extend eligibility, within the funds allocated,
14740 for intensive tracking and supervision and for supervised
14750 community treatment to delinquent youth beyond age 18 who are
14760 subject to release from the state training school, a highly
14770 structured juvenile program, or group foster care.
14780 13. Of the moneys appropriated in this section, not more
14790 than $442,100 is allocated to provide clinical assessment
14800 services as necessary to continue funding of children's
14810 rehabilitation services under medical assistance in accordance
14820 with federal law and requirements. The funding allocated is
14830 the amount projected to be necessary for providing the
14840 clinical assessment services.
14850 14. Of the funding appropriated in this section,
14860 $3,696,285 shall be used for protective child care assistance.
14870 15. Of the moneys appropriated in this section, up to
14880 $2,859,851 is allocated for the payment of the expenses of
14890 court-ordered services provided to juveniles which are a
14900 charge upon the state pursuant to section 232.141, subsection
14910 4.
14920 a. Notwithstanding section 232.141 or any other provision
14930 of law to the contrary, the amount allocated in this
14940 subsection shall be distributed to the judicial districts as
14950 determined by the state court administrator. The state court
14960 administrator shall make the determination of the distribution
14970 amounts on or before June 15, 2003.
14980 b. Notwithstanding chapter 232 or any other provision of
14990 law to the contrary, a district or juvenile court shall not
15000 order any service which is a charge upon the state pursuant to
15010 section 232.141 if there are insufficient court-ordered
15020 services funds available in the district court distribution
15030 amount to pay for the service. The chief juvenile court
15040 officer shall encourage use of the funds allocated in this
15050 subsection such that there are sufficient funds to pay for all
15060 court-related services during the entire year. The chief
15070 juvenile court officers shall attempt to anticipate potential
15080 surpluses and shortfalls in the distribution amounts and shall
15090 cooperatively request the state court administrator to
15100 transfer funds between the districts' distribution amounts as
15110 prudent.
15120 c. Notwithstanding any provision of law to the contrary, a
15130 district or juvenile court shall not order a county to pay for
15140 any service provided to a juvenile pursuant to an order
15150 entered under chapter 232 which is a charge upon the state
15160 under section 232.141, subsection 4.
15170 d. Of the funding allocated in this subsection, not more
15180 than $100,000 may be used by the judicial branch for
15190 administration of the requirements under this subsection and
15200 for travel associated with court-ordered placements which are
15210 a charge upon the state pursuant to section 232.141,
15220 subsection 4.
15230 16. a. Of the funding appropriated in this section,
15240 $3,062,193 is allocated to provide school-based supervision of
15250 children adjudicated under chapter 232, including not more
15260 than $1,431,597 from the allocation in this section for court-
15270 ordered services. Not more than $15,000 of the funding
15280 allocated in this subsection may be used for the purpose of
15290 training.
15300 b. A portion of the cost of each school-based liaison
15310 officer shall be paid by the school district or other funding
15320 source as approved by the chief juvenile court officer.
15330 17. The department shall maximize the capacity to draw
15340 federal funding under Title IV-E of the federal Social
15350 Security Act.
15360 18. Any unanticipated federal funding that is received
15370 during the fiscal year due to improvements in the hours
15380 counted by the judicial branch under the claiming process for
15390 federal Title IV-E funding are appropriated to the department
15400 to be used for additional or expanded services and support for
15410 court-ordered services pursuant to section 232.141.
15420 Notwithstanding section 8.33, moneys appropriated in this
15430 subsection that remain unencumbered or unobligated at the
15440 close of the fiscal year shall not revert but shall remain
15450 available for expenditure for the purposes designated until
15460 the close of the succeeding fiscal year.
15470 19. Notwithstanding section 234.39, subsection 5, and 2000
15480 Iowa Acts, chapter 1228, section 43, the department may
15490 operate a subsidized guardianship program if the United States
15500 department of health and human services approves a waiver
15510 under Title IV-E of the federal Social Security Act or the
15520 federal Social Security Act is amended to allow Title IV-E
15530 funding to be used for subsidized guardianship, and the
15540 subsidized guardianship program can be operated without loss
15550 of Title IV-E funds.
15560 20. It is the intent of the general assembly that the
15570 department continue its practice of providing strong support
15580 for Iowa's nationally recognized initiative of
15590 decategorization of child welfare funding.
15600 21. The department shall develop a plan for privatizing
15610 the administration of the foster care and adoption programs.
15620 The plan shall be submitted to the governor and the general
15630 assembly on or before December 15, 2003.
15640 22. Notwithstanding section 237.5A, a foster parent who is
15650 unable to complete six hours of foster parent training prior
15660 to annual licensure renewal because the foster parent is
15670 engaged in active duty in the military service shall be
15680 considered to be in compliance with the training requirement
15690 for annual licensure renewal.
15700 Sec. 19. JUVENILE DETENTION HOME FUND. Moneys deposited
15710 in the juvenile detention home fund created in section 232.142
15720 during the fiscal year beginning July 1, 2003, and ending June
15730 30, 2004, are appropriated to the department of human services
15740 for the fiscal year beginning July 1, 2003, and ending June
15750 30, 2004, for distribution as follows:
15760 1. An amount equal to ten percent of the costs of the
15770 establishment, improvement, operation, and maintenance of
15780 county or multicounty juvenile detention homes in the fiscal
15790 year beginning July 1, 2002. Moneys appropriated for
15800 distribution in accordance with this subsection shall be
15810 allocated among eligible detention homes, prorated on the
15820 basis of an eligible detention home's proportion of the costs
15830 of all eligible detention homes in the fiscal year beginning
15840 July 1, 2002. Notwithstanding section 232.142, subsection 3,
15850 the financial aid payable by the state under that provision
15860 for the fiscal year beginning July 1, 2003, shall be limited
15870 to the amount appropriated for the purposes of this
15880 subsection.
15890 2. For renewal of a grant to a county with a population
15900 between 189,000 and 196,000 for implementation of the county's
15910 runaway treatment plan under section 232.195:
15930 .................................................. $ 80,000
15950 3. For continuation and expansion of the community
15960 partnership for child protection sites:
15980 .................................................. $ 159,000
16000 4. For grants to counties implementing a runaway treatment
16010 plan under section 232.195.
16020 5. The remainder for additional allocations to county or
16030 multicounty juvenile detention homes, in accordance with the
16040 distribution requirements of subsection 1.
16050 Sec. 20. FAMILY SUPPORT SUBSIDY PROGRAM. There is
16060 appropriated from the general fund of the state to the
16070 department of human services for the fiscal year beginning
16080 July 1, 2003, and ending June 30, 2004, the following amount,
16090 or so much thereof as is necessary, to be used for the purpose
16100 designated:
16110 For the family support subsidy program:
16130 .................................................. $ 1,936,434
16150 1. The department may use up to $333,312 of the moneys
16160 appropriated in this section to continue the children-at-home
16170 program in current counties, of which not more than $20,000
16180 shall be used for administrative costs.
16190 2. Notwithstanding section 225C.38, subsection 1, the
16200 monthly family support payment amount for the fiscal year
16210 beginning July 1, 2003, shall remain the same as the payment
16220 amount in effect on June 30, 2003.
16230 Sec. 21. CONNER DECREE. There is appropriated from the
16240 general fund of the state to the department of human services
16250 for the fiscal year beginning July 1, 2003, and ending June
16260 30, 2004, the following amount, or so much thereof as is
16270 necessary, to be used for the purpose designated:
16280 For building community capacity through the coordination
16290 and provision of training opportunities in accordance with the
16300 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D.
16310 Iowa, July 14, 1994):
16330 .................................................. $ 42,623
16350 Sec. 22. MENTAL HEALTH INSTITUTES. There is appropriated
16360 from the general fund of the state to the department of human
16370 services for the fiscal year beginning July 1, 2003, and
16380 ending June 30, 2004, the following amounts, or so much
16390 thereof as is necessary, to be used for the purposes
16400 designated:
16410 1. For the state mental health institute at Cherokee for
16420 salaries, support, maintenance, and miscellaneous purposes and
16430 for not more than the following full-time equivalent
16440 positions:
16460 .................................................. $ 12,401,246
16470 ............................................... FTEs 227.65
16490 2. For the state mental health institute at Clarinda for
16500 salaries, support, maintenance, and miscellaneous purposes and
16510 for not more than the following full-time equivalent
16520 positions:
16540 .................................................. $ 7,065,672
16550 ............................................... FTEs 118.15
16570 3. For the state mental health institute at Independence
16580 for salaries, support, maintenance, and miscellaneous purposes
16590 and for not more than the following full-time equivalent
16600 positions:
16620 .................................................. $ 16,912,302
16630 ............................................... FTEs 317.80
16650 The state mental health institute at Independence shall
16660 continue the 30 psychiatric medical institution for children
16670 (PMIC) beds authorized in section 135H.6, in a manner which
16680 results in no net state expenditure amount in excess of the
16690 amount appropriated in this subsection. Counties are not
16700 responsible for the costs of PMIC services described in this
16710 subsection. Subject to the approval of the department, with
16720 the exception of revenues required under section 249A.11 to be
16730 credited to the appropriation in this Act for medical
16740 assistance, revenues attributable to the PMIC beds described
16750 in this subsection for the fiscal year beginning July 1, 2003,
16760 and ending June 30, 2004, shall be deposited in the
16770 institute's account, including but not limited to any of the
16780 following revenues:
16790 a. The federal share of medical assistance revenue
16800 received under chapter 249A.
16810 b. Moneys received through client participation.
16820 c. Any other revenues directly attributable to the PMIC
16830 beds.
16840 4. For the state mental health institute at Mount Pleasant
16850 for salaries, support, maintenance, and miscellaneous purposes
16860 and for not more than the following full-time equivalent
16870 positions:
16890 .................................................. $ 5,830,810
16900 ............................................... FTEs 100.44
16920 a. Funding is provided in this subsection for the state
16930 mental health institute at Mount Pleasant to continue the dual
16940 diagnosis mental health and substance abuse program on a net
16950 budgeting basis in which 50 percent of the actual per diem and
16960 ancillary services costs are chargeable to the patient's
16970 county of legal settlement or as a state case, as appropriate.
16980 Subject to the approval of the department, revenues
16990 attributable to the dual diagnosis program for the fiscal year
17000 beginning July 1, 2003, and ending June 30, 2004, shall be
17010 deposited in the institute's account, including but not
17020 limited to all of the following revenues:
17030 (1) Moneys received by the state from billings to counties
17040 under section 230.20.
17050 (2) Moneys received from billings to the Medicare program.
17060 (3) Moneys received from a managed care contractor
17070 providing services under contract with the department or any
17080 private third-party payor.
17090 (4) Moneys received through client participation.
17100 (5) Any other revenues directly attributable to the dual
17110 diagnosis program.
17120 b. The following additional provisions are applicable in
17130 regard to the dual diagnosis program:
17140 (1) A county may split the charges between the county's
17150 mental health, mental retardation, and developmental
17160 disabilities services fund and the county's budget for
17170 substance abuse expenditures.
17180 (2) If an individual is committed to the custody of the
17190 department of corrections at the time the individual is
17200 referred for dual diagnosis treatment, the department of
17210 corrections shall be charged for the costs of treatment.
17220 (3) Prior to an individual's admission for dual diagnosis
17230 treatment, the individual shall have been screened through a
17240 county's single entry point process to determine the
17250 appropriateness of the treatment.
17260 (4) A county shall not be chargeable for the costs of
17270 treatment for an individual enrolled in and authorized by or
17280 decertified by a managed behavioral care plan under the
17290 medical assistance program.
17300 (5) Notwithstanding section 8.33, state mental health
17310 institute revenues related to the dual diagnosis program that
17320 remain unencumbered or unobligated at the close of the fiscal
17330 year shall not revert but shall remain available up to the
17340 amount which would allow the state mental health institute to
17350 meet credit obligations owed to counties as a result of year-
17360 end per diem adjustments for the dual diagnosis program.
17370 5. Within the funds appropriated in this section, the
17380 department may transfer funds as necessary to best fulfill the
17390 needs of the institutes provided for in the appropriation.
17400 6. As part of the discharge planning process at the state
17410 mental health institutes, the department shall provide
17420 assistance in obtaining eligibility for federal supplemental
17430 security income (SSI) to those individuals whose care at a
17440 state mental health institute is the financial responsibility
17450 of the state or a county.
17460 Sec. 23. STATE RESOURCE CENTERS. There is appropriated
17470 from the general fund of the state to the department of human
17480 services for the fiscal year beginning July 1, 2003, and
17490 ending June 30, 2004, the following amounts, or so much
17500 thereof as is necessary, to be used for the purposes
17510 designated:
17520 1. For the state resource center at Glenwood for salaries,
17530 support, maintenance, and miscellaneous purposes:
17550 .................................................. $ 4,399,479
17570 2. For the state resource center at Woodward for salaries,
17580 support, maintenance, and miscellaneous purposes:
17600 .................................................. $ 2,660,237
17620 3. a. The department shall continue operating the state
17630 resource centers at Glenwood and Woodward with a net general
17640 fund appropriation. The amounts allocated in this section are
17650 the net amounts of state moneys projected to be needed for the
17660 state resource centers. The purposes of operating with a net
17670 general fund appropriation are to encourage the state resource
17680 centers to operate with increased self-sufficiency, to improve
17690 quality and efficiency, and to support collaborative efforts
17700 between the state resource centers and counties and other
17710 funders of services available from the state resource centers.
17720 The state resource centers shall not be operated under the net
17730 appropriation in a manner which results in a cost increase to
17740 the state or cost shifting between the state, the medical
17750 assistance program, counties, or other sources of funding for
17760 the state resource centers. Moneys appropriated in this
17770 section may be used throughout the fiscal year in the manner
17780 necessary for purposes of cash flow management, and for
17790 purposes of cash flow management the state resource centers
17800 may temporarily draw more than the amounts appropriated,
17810 provided the amounts appropriated are not exceeded at the
17820 close of the fiscal year.
17830 b. Subject to the approval of the department, except for
17840 revenues under section 249A.11, revenues attributable to the
17850 state resource centers for the fiscal year beginning July 1,
17860 2003, shall be deposited into each state resource center's
17870 account, including but not limited to all of the following:
17880 (1) Moneys received by the state from billings to counties
17890 under section 222.73.
17900 (2) The federal share of medical assistance revenue
17910 received under chapter 249A.
17920 (3) Federal Medicare program payments.
17930 (4) Moneys received from client financial participation.
17940 (5) Other revenues generated from current, new, or
17950 expanded services which the state resource center is
17960 authorized to provide.
17970 c. For the purposes of allocating the salary adjustment
17980 fund moneys appropriated in another Act, the state resource
17990 centers shall be considered to be funded entirely with state
18000 moneys.
18010 d. Notwithstanding section 8.33, up to $500,000 of a state
18020 resource center's revenues that remain unencumbered or
18030 unobligated at the close of the fiscal year shall not revert
18040 but shall remain available to be used in the succeeding fiscal
18050 year.
18060 4. Within the funds appropriated in this section, the
18070 department may transfer funds as necessary to best fulfill the
18080 needs of the institutions provided for in the appropriation.
18090 5. The department may continue to bill for state resource
18100 center services utilizing a scope of services approach used
18110 for private providers of ICFMR services, in a manner which
18120 does not shift costs between the medical assistance program,
18130 counties, or other sources of funding for the state resource
18140 centers.
18150 6. The state resource centers may expand the time limited
18160 assessment and respite services during the fiscal year.
18170 7. If the department's administration and the department
18180 of management concur with a finding by a state resource
18190 center's superintendent that projected revenues can reasonably
18200 be expected to pay the salary and support costs for a new
18210 employee position, or that such costs for adding a particular
18220 number of new positions for the fiscal year would be less than
18230 the overtime costs if new positions would not be added, the
18240 superintendent may add the new position or positions. If the
18250 vacant positions available to a resource center do not include
18260 the position classification desired to be filled, the state
18270 resource center's superintendent may reclassify any vacant
18280 position as necessary to fill the desired position. The
18290 superintendents of the state resource centers may, by mutual
18300 agreement, pool vacant positions and position classifications
18310 during the course of the fiscal year in order to assist one
18320 another in filling necessary positions.
18330 8. If existing capacity limitations are reached in
18340 operating units, a waiting list is in effect for a service or
18350 a special need for which a payment source or other funding is
18360 available for the service or to address the special need, and
18370 facilities for the service or to address the special need can
18380 be provided within the available payment source or other
18390 funding, the superintendent of a state resource center may
18400 authorize opening not more than two units or other facilities
18410 and to begin implementing the service or addressing the
18420 special need during fiscal year 2003-2004.
18430 9. The state resource centers shall develop a proposal
18440 providing options for addressing the service needs of persons
18450 with developmental disabilities who behave in a manner that
18460 presents a danger to themselves or to others. The proposal
18470 shall be submitted to the governor and general assembly on or
18480 before December 15, 2003.
18490 Sec. 24. MI/MR/DD STATE CASES. There is appropriated from
18500 the general fund of the state to the department of human
18510 services for the fiscal year beginning July 1, 2003, and
18520 ending June 30, 2004, the following amount, or so much thereof
18530 as is necessary, to be used for the purpose designated:
18540 For purchase of local services for persons with mental
18550 illness, mental retardation, and developmental disabilities
18560 where the client has no established county of legal
18570 settlement:
18590 .................................................. $ 11,014,619
18610 The general assembly encourages the department to continue
18620 discussions with the Iowa state association of counties and
18630 administrators of county central point of coordination offices
18640 regarding proposals for moving state cases to county budgets.
18650 Sec. 25. MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES –
18660 COMMUNITY SERVICES FUND. There is appropriated from the
18670 general fund of the state to the mental health and
18680 developmental disabilities community services fund created in
18690 section 225C.7 for the fiscal year beginning July 1, 2003, and
18700 ending June 30, 2004, the following amount, or so much thereof
18710 as is necessary, to be used for the purpose designated:
18720 For mental health and developmental disabilities community
18730 services in accordance with this Act:
18750 ................................................. $ 17,757,890
18770 1. Of the funds appropriated in this section, $17,727,890
18780 shall be allocated to counties for funding of community-based
18790 mental health and developmental disabilities services. The
18800 moneys shall be allocated to a county as follows:
18810 a. Fifty percent based upon the county's proportion of the
18820 state's population of persons with an annual income which is
18830 equal to or less than the poverty guideline established by the
18840 federal office of management and budget.
18850 b. Fifty percent based upon the county's proportion of the
18860 state's general population.
18870 2. a. A county shall utilize the funding the county
18880 receives pursuant to subsection 1 for services provided to
18890 persons with a disability, as defined in section 225C.2.
18900 However, no more than 50 percent of the funding shall be used
18910 for services provided to any one of the service populations.
18920 b. A county shall use at least 50 percent of the funding
18930 the county receives under subsection 1 for contemporary
18940 services provided to persons with a disability, as described
18950 in rules adopted by the department.
18960 3. Of the funds appropriated in this section, $30,000
18970 shall be used to support the Iowa compass program providing
18980 computerized information and referral services for Iowans with
18990 disabilities and their families.
19000 4. a. Funding appropriated for purposes of the federal
19010 social services block grant is allocated for distribution to
19020 counties for local purchase of services for persons with
19030 mental illness or mental retardation or other developmental
19040 disability.
19050 b. The funds allocated in this subsection shall be
19060 expended by counties in accordance with the county's approved
19070 county management plan. A county without an approved county
19080 management plan shall not receive allocated funds until the
19090 county's management plan is approved.
19100 c. The funds provided by this subsection shall be
19110 allocated to each county as follows:
19120 (1) Fifty percent based upon the county's proportion of
19130 the state's population of persons with an annual income which
19140 is equal to or less than the poverty guideline established by
19150 the federal office of management and budget.
19160 (2) Fifty percent based upon the amount provided to the
19170 county for local purchase of services in the preceding fiscal
19180 year.
19190 5. A county is eligible for funds under this section if
19200 the county qualifies for a state payment as described in
19210 section 331.439.
19220 Sec. 26. PERSONAL ASSISTANCE. There is appropriated from
19230 the general fund of the state to the department of human
19240 services for the fiscal year beginning July 1, 2003, and
19250 ending June 30, 2004, the following amount, or so much thereof
19260 as is necessary, to be used for the purpose designated:
19270 For continuation of a pilot project for the personal
19280 assistance services program in accordance with this section:
19300 .................................................. $ 205,748
19320 1. The funds appropriated in this section shall be used to
19330 continue the pilot project for the personal assistance
19340 services program under section 225C.46 in an urban and a rural
19350 area. Not more than 10 percent of the amount appropriated
19360 shall be used for administrative costs. The pilot project
19370 shall not be implemented in a manner which would require
19380 additional county or state costs for assistance provided to an
19390 individual served under the pilot project.
19400 2. In accordance with 2001 Iowa Acts, chapter 191, section
19410 25, subsection 2, new applicants shall not be accepted into
19420 the pilot project. An individual receiving services under the
19430 pilot project as of June 30, 2003, shall continue receiving
19440 services until the individual voluntarily leaves the project
19450 or until another program with similar services exists.
19460 Sec. 27. SEXUALLY VIOLENT PREDATORS.
19470 1. There is appropriated from the general fund of the
19480 state to the department of human services for the fiscal year
19490 beginning July 1, 2003, and ending June 30, 2004, the
19500 following amount, or so much thereof as is necessary, to be
19510 used for the purpose designated:
19520 For costs associated with the commitment and treatment of
19530 sexually violent predators in the unit located at the state
19540 mental health institute at Cherokee, including costs of legal
19550 services and other associated costs, including salaries,
19560 support, maintenance, and miscellaneous purposes and for not
19570 more than the following full-time equivalent positions:
19590 .................................................. $ 2,675,179
19600 ............................................... FTEs 46.00
19620 2. Unless specifically prohibited by law, if the amount
19630 charged provides for recoupment of at least the entire amount
19640 of direct and indirect costs, the department of human services
19650 may contract with other states to provide care and treatment
19660 of persons placed by the other states at the unit for sexually
19670 violent predators at Cherokee. The moneys received under such
19680 a contract shall be considered to be repayment receipts and
19690 used for the purposes of the appropriation made in this
19700 section.
19710 Sec. 28. FIELD OPERATIONS. There is appropriated from the
19720 general fund of the state to the department of human services
19730 for the fiscal year beginning July 1, 2003, and ending June
19740 30, 2004, the following amount, or so much thereof as is
19750 necessary, to be used for the purposes designated:
19760 1. For field operations, including salaries, support,
19770 maintenance, and miscellaneous purposes and for not more than
19780 the following full-time equivalent positions:
19800 .................................................. $ 50,657,828
19810 ............................................... FTEs 1,800.00
19830 Priority in filling full-time equivalent positions shall be
19840 given to those positions related to child protection services.
19850 2. In operating the service area system established
19860 pursuant to 2001 Iowa Acts, Second Extraordinary Session,
19870 chapter 4, for the fiscal year beginning July 1, 2003, and
19880 ending June 30, 2004, the department shall utilize the service
19890 areas and service area administrators in lieu of regions and
19900 regional administrators, notwithstanding the references to
19910 department regions or regional administrators in sections
19920 232.2, 232.52, 232.68, 232.72, 232.102, 232.117, 232.127,
19930 232.143, 232.188, and 234.35, or other provision in law. The
19940 department shall submit proposed legislation under section
19950 2.16 for consideration by the Eightieth General Assembly, 2004
19960 Session, to correct the references in the necessary Code
19970 sections.
19980 Sec. 29. GENERAL ADMINISTRATION. There is appropriated
19990 from the general fund of the state to the department of human
20000 services for the fiscal year beginning July 1, 2003, and
20010 ending June 30, 2004, the following amount, or so much thereof
20020 as is necessary, to be used for the purpose designated:
20030 For general administration, including salaries, support,
20040 maintenance, and miscellaneous purposes and for not more than
20050 the following full-time equivalent positions:
20070 .................................................. $ 10,803,626
20080 ............................................... FTEs 286.00
20100 1. Of the funds appropriated in this section, $57,000 is
20110 allocated for the prevention of disabilities policy council
20120 established in section 225B.3.
20130 2. Up to $500,000 of the moneys received in any settlement
20140 of overpayments made to a child development center or to any
20150 other provider that results in a settlement in excess of
20160 $150,000 shall be considered as repayment receipts and shall
20170 only be used for the costs of filling full-time equivalent
20180 positions authorized but not funded by the appropriations made
20190 for the purposes of this section.
20200 Sec. 30. VOLUNTEERS. There is appropriated from the
20210 general fund of the state to the department of human services
20220 for the fiscal year beginning July 1, 2003, and ending June
20230 30, 2004, the following amount, or so much thereof as is
20240 necessary, to be used for the purpose designated:
20250 For development and coordination of volunteer services:
20270 .................................................. $ 109,568
20290 Sec. 31. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY
20300 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE
20310 DEPARTMENT OF HUMAN SERVICES.
20320 1. a. For the fiscal year beginning July 1, 2003, nursing
20330 facilities shall be reimbursed at 100 percent of the modified
20340 price-based case-mix reimbursement rate. Nursing facilities
20350 reimbursed under the medical assistance program shall submit
20360 annual cost reports and additional documentation as required
20370 by rules adopted by the department.
20380 b. For the fiscal year beginning July 1, 2003, the
20390 department shall reimburse pharmacy dispensing fees using a
20400 single rate of $4.26 per prescription or the pharmacy's usual
20410 and customary fee, whichever is lower.
20420 c. For the fiscal year beginning July 1, 2003,
20430 reimbursement rates for inpatient and outpatient hospital
20440 services shall remain at the rates in effect on June 30, 2003.
20450 The department shall continue the outpatient hospital
20460 reimbursement system based upon ambulatory patient groups
20470 implemented pursuant to 1994 Iowa Acts, chapter 1186, section
20480 25, subsection 1, paragraph "f". In addition, the department
20490 shall continue the revised medical assistance payment policy
20500 implemented pursuant to that paragraph to provide
20510 reimbursement for costs of screening and treatment provided in
20520 the hospital emergency room if made pursuant to the
20530 prospective payment methodology developed by the department
20540 for the payment of outpatient services provided under the
20550 medical assistance program. Any rebasing of hospital
20560 inpatient or outpatient rates shall not increase total
20570 payments for inpatient and outpatient services.
20580 d. For the fiscal year beginning July 1, 2003,
20590 reimbursement rates for rural health clinics, hospices,
20600 independent laboratories, and acute mental hospitals shall be
20610 increased in accordance with increases under the federal
20620 Medicare program or as supported by their Medicare audited
20630 costs.
20640 e. For the fiscal year beginning July 1, 2003,
20650 reimbursement rates for home health agencies shall remain at
20660 the rates in effect on June 30, 2003.
20670 f. For the fiscal year beginning July 1, 2003, federally
20680 qualified health centers shall receive cost-based
20690 reimbursement for 100 percent of the reasonable costs for the
20700 provision of services to recipients of medical assistance.
20710 g. Beginning July 1, 2003, the reimbursement rates for
20720 dental services shall remain at the rates in effect on June
20730 30, 2003.
20740 h. Beginning July 1, 2003, the reimbursement rates for
20750 community mental health centers shall remain at the rates in
20760 effect on June 30, 2003.
20770 i. For the fiscal year beginning July 1, 2003, the maximum
20780 reimbursement rate for psychiatric medical institutions for
20790 children shall remain at the rate in effect on June 30, 2003,
20800 based on per day rates for actual costs.
20810 j. For the fiscal year beginning July 1, 2003, unless
20820 otherwise specified in this Act, all noninstitutional medical
20830 assistance provider reimbursement rates shall remain at the
20840 rates in effect on June 30, 2003, except for area education
20850 agencies, local education agencies, infant and toddler
20860 services providers, and those providers whose rates are
20870 required to be determined pursuant to section 249A.20.
20880 k. Notwithstanding section 249A.20, the average
20890 reimbursement rates for health care providers eligible for use
20900 of the reimbursement methodology under that section shall
20910 remain at the rate in effect on June 30, 2003; however, this
20920 rate shall not exceed the maximum level authorized by the
20930 federal government.
20940 2. For the fiscal year beginning July 1, 2003, the
20950 reimbursement rate for residential care facilities shall not
20960 be less than the minimum payment level as established by the
20970 federal government to meet the federally mandated maintenance
20980 of effort requirement. The flat reimbursement rate for
20990 facilities electing not to file semiannual cost reports shall
21000 not be less than the minimum payment level as established by
21010 the federal government to meet the federally mandated
21020 maintenance of effort requirement.
21030 3. For the fiscal year beginning July 1, 2003, the
21040 reimbursement rate for providers reimbursed under the in-home-
21050 related care program shall not be less than the minimum
21060 payment level as established by the federal government to meet
21070 the federally mandated maintenance of effort requirement.
21080 4. Unless otherwise directed in this section, when the
21090 department's reimbursement methodology for any provider
21100 reimbursed in accordance with this section includes an
21110 inflation factor, this factor shall not exceed the amount by
21120 which the consumer price index for all urban consumers
21130 increased during the calendar year ending December 31, 2002.
21140 5. Notwithstanding section 234.38, in the fiscal year
21150 beginning July 1, 2003, the foster family basic daily
21160 maintenance rate and the maximum adoption subsidy rate for
21170 children ages 0 through 5 years shall be $14.28, the rate for
21180 children ages 6 through 11 years shall be $15.07, the rate for
21190 children ages 12 through 15 years shall be $16.83, and the
21200 rate for children ages 16 and older shall be $16.83.
21210 6. For the fiscal year beginning July 1, 2003, the maximum
21220 reimbursement rates for social service providers shall remain
21230 at the rates in effect on June 30, 2003. However, the rates
21240 may be adjusted under any of the following circumstances:
21250 a. If a new service was added after June 30, 2003, the
21260 initial reimbursement rate for the service shall be based upon
21270 actual and allowable costs.
21280 b. If a social service provider loses a source of income
21290 used to determine the reimbursement rate for the provider, the
21300 provider's reimbursement rate may be adjusted to reflect the
21310 loss of income, provided that the lost income was used to
21320 support actual and allowable costs of a service purchased
21330 under a purchase of service contract.
21340 7. The group foster care reimbursement rates paid for
21350 placement of children out of state shall be calculated
21360 according to the same rate-setting principles as those used
21370 for in-state providers unless the director of human services
21380 or the director's designee determines that appropriate care
21390 cannot be provided within the state. The payment of the daily
21400 rate shall be based on the number of days in the calendar
21410 month in which service is provided.
21420 8. For the fiscal year beginning July 1, 2003, the
21430 reimbursement rates for rehabilitative treatment and support
21440 services providers shall remain at the rates in effect on June
21450 30, 2003.
21460 9. For the fiscal year beginning July 1, 2003, the
21470 combined service and maintenance components of the
21480 reimbursement rate paid to a shelter care provider shall be
21490 based on the cost report submitted to the department. The
21500 maximum reimbursement rate shall be $83.69 per day. The
21510 department shall reimburse a shelter care provider at the
21520 provider's actual and allowable unit cost, plus inflation, not
21530 to exceed the maximum reimbursement rate.
21540 10. For the fiscal year beginning July 1, 2003, the
21550 department shall calculate reimbursement rates for
21560 intermediate care facilities for persons with mental
21570 retardation at the 80th percentile.
21580 11. For the fiscal year beginning July 1, 2003, for child
21590 care providers, the department shall set provider
21600 reimbursement rates based on the rate reimbursement survey
21610 completed in December 1998. The department shall set rates in
21620 a manner so as to provide incentives for a nonregistered
21630 provider to become registered.
21640 12. For the fiscal year beginning July 1, 2003,
21650 reimbursements for providers reimbursed by the department of
21660 human services may be modified if appropriated funding is
21670 allocated for that purpose from the senior living trust fund
21680 created in section 249H.4, or as specified in appropriations
21690 from the healthy Iowans tobacco trust created in section
21700 12.65.
21710 13. The department may adopt emergency rules to implement
21720 the hospital crossover claims process.
21730 14. The department may adopt emergency rules to implement
21740 this section.
21750 Sec. 32. TRANSFER AUTHORITY. Subject to the provisions of
21760 section 8.39, for the fiscal year beginning July 1, 2003, if
21770 necessary to meet federal maintenance of effort requirements
21780 or to transfer federal temporary assistance for needy families
21790 block grant funding to be used for purposes of the federal
21800 social services block grant or to meet cash flow needs
21810 resulting from delays in receiving federal funding or to
21820 implement, in accordance with this Act, targeted case
21830 management for child protection and for activities currently
21840 funded with juvenile court services, county, or community
21850 moneys and state moneys used in combination with such moneys,
21860 the department of human services may transfer within or
21870 between any of the appropriations made in this Act and
21880 appropriations in law for the federal social services block
21890 grant to the department for the following purposes, provided
21900 that the combined amount of state and federal temporary
21910 assistance for needy families block grant funding for each
21920 appropriation remains the same before and after the transfer:
21930 1. For the family investment program.
21940 2. For child care assistance.
21950 3. For child and family services.
21960 4. For field operations.
21970 5. For general administration.
21980 6. MH/MR/DD/BI community services (local purchase).
21990 This section shall not be construed to prohibit existing
22000 state transfer authority for other purposes.
22010 Sec. 33. FRAUD AND RECOUPMENT ACTIVITIES. During the
22020 fiscal year beginning July 1, 2003, notwithstanding the
22030 restrictions in section 239B.14, recovered moneys generated
22040 through fraud and recoupment activities are appropriated to
22050 the department of human services to be used for additional
22060 fraud and recoupment activities performed by the department of
22070 human services or the department of inspections and appeals,
22080 and the department of human services may add not more than
22090 five full-time equivalent positions, in addition to those
22100 funded in this Act, subject to both of the following
22110 conditions:
22120 1. The director of human services determines that the
22130 investment can reasonably be expected to increase recovery of
22140 assistance paid in error, due to fraudulent or nonfraudulent
22150 actions, in excess of the amount recovered in the fiscal year
22160 beginning July 1, 1997.
22170 2. The amount expended for the additional fraud and
22180 recoupment activities shall not exceed the amount of the
22190 projected increase in assistance recovered.
22200 Sec. 34. ELECTRONIC BENEFIT TRANSFER IMPLEMENTATION
22210 NONREVERSION. Unspent funds appropriated in 2002 Iowa Acts,
22220 Second Extraordinary Session, chapter 1003, section 112, and
22230 allocated by the department of human services for the purpose
22240 of meeting federal food stamp electronic benefit transfer
22250 requirements shall not revert but shall remain available for
22260 the same purpose until the close of the succeeding fiscal
22270 year.
22280 Sec. 35. VEHICLE DEPRECIATION. The following facilities
22290 and institutions administered by the department of human
22300 services are exempt from the depreciation requirement in
22310 section 18.120, subsection 1, and the appropriations for the
22320 facilities, institutions, and the department shall not be
22330 charged for vehicle depreciation otherwise attributable to the
22340 facilities and institutions during the fiscal year beginning
22350 July 1, 2003:
22360 1. The state juvenile institutions.
22370 2. The state resource centers.
22380 3. The state mental health institutes.
22390 4. The unit for commitment of sexually violent predators
22400 located at the state mental health institute at Cherokee.
22410 Sec. 36. NEW SECTION. 217A.1 PARENTAL INVOLVEMENT
22420 PROGRAM.
22430 1. The department of human services shall convene an
22440 advisory group that includes representatives of the Iowa
22450 department of public health, the department of education, the
22460 department of workforce development, the department of
22470 corrections, the Iowa empowerment board, other state agencies
22480 that provide services to families, and representatives of
22490 business and industry, parents, faith-based organizations, and
22500 state and local community leaders, to present a plan to the
22510 general assembly that provides a comprehensive approach to
22520 policy and service delivery at the state, county, and local
22530 level and provides a network of services to assist both
22540 mothers and fathers in parenting their children. While the
22550 comprehensive approach shall address the needs of both
22560 parents, the focus shall be on creating a policy and service
22570 delivery system that provides a network of resources to assist
22580 fathers in becoming and remaining engaged in their children's
22590 lives. The plan shall be submitted on or before December 31,
22600 2003.
22610 2. The comprehensive approach to parental involvement
22620 shall provide for all of the following:
22630 a. STRUCTURE AND POLICIES.
22640 (1) Identification of practices that interfere with or
22650 fail to help fathers become or remain engaged in their
22660 children's lives.
22670 (2) Development of flexible service delivery options
22680 within the state system, including the public assistance
22690 system, to address the varying needs of families which may
22700 include modifying traditional enforcement of program
22710 requirements, referral to services, or other options.
22720 (3) Continuation of child support program efforts to
22730 assist fathers in providing for their children and remaining
22740 engaged in their children's lives while complying with federal
22750 requirements. The efforts may include continuing the
22760 fatherhood internet site, seeking additional federal access
22770 and visitation grants, and applying for other federal funds
22780 that become available, for the purpose of actively engaging
22790 fathers in the lives of their children.
22800 (4) Integration of the state system and community level
22810 services to provide a social service network that is
22820 accessible to fathers as well as mothers.
22830 (5) Creation of a systemwide approach for delivery of
22840 services to families that creates a family support network
22850 that does all of the following:
22860 (a) Trains service workers to include both fathers and
22870 mothers as a family unit, rather than separately, in the
22880 delivery of services.
22890 (b) Promotes a common awareness across disciplines, for
22900 workers providing services to parents and families, of the
22910 importance of both parents in children's lives.
22920 (c) Systematically engages both parents and does not
22930 segment families in the provision of services.
22940 (d) Improves communication across delivery systems.
22950 (e) Provides for the partnering of various disciplines and
22960 levels of government in providing services to parents and
22970 families.
22980 b. CONNECTING FATHERS WITH NECESSARY SERVICES.
22990 (1) Utilization of the existing service system to connect
23000 fathers with local community-based services that help fathers
23010 develop the skills to become better parents and partners and
23020 more productive members of the workforce.
23030 (2) Utilization of employment opportunities and training
23040 as catalysts to involve fathers with programs that help
23050 fathers develop skills to retain jobs and build healthy
23060 relationships.
23070 c. PUBLIC AWARENESS.
23080 (1) Promotion of public awareness of the importance of the
23090 emotional and financial involvement of both parents in their
23100 children's lives.
23110 (2) Use of the media to encourage parents to discuss
23120 pregnancy prevention and parental responsibility with their
23130 children.
23140 Sec. 37. Section 234.35, subsection 1, paragraph c, Code
23150 2003, is amended to read as follows:
23160 c. When the department has agreed to provide foster care
23170 services for the child for a period of not more than thirty
23180 ninety days on the basis of a signed placement agreement
23190 between the department and the child's parent or guardian
23200 initiated on or after July 1, 1992.
23210 Sec. 38. Section 514I.4, Code 2003, is amended by adding
23220 the following new subsection:
23230 NEW SUBSECTION. 1A. The director, with the approval of
23240 the board, may contract with participating insurers to provide
23250 dental only services.
23260 Sec. 39. Section 514I.5, Code 2003, is amended by adding
23270 the following new subsection:
23280 NEW SUBSECTION. 9. The hawk-i board may provide approval
23290 to the director to contract with participating insurers to
23300 provide dental only services. In determining whether to
23310 provide such approval to the director, the board shall take
23320 into consideration the impact on the overall program of single
23330 source contracting for dental services.
23340 Sec. 40. 2002 Iowa Acts, chapter 1125, section 1,
23350 subsection 2, paragraphs b and d, are amended to read as
23360 follows:
23370 b. Amending rules to maintain the group care standard for
23380 a weekly average number of hours of therapy and counseling,
23390 but determine compliance by averaging the hours per week over
23400 the course of a month for group care documentation and
23410 recoupment to streamline requirements relating to skills
23420 development by removing the requirements for billed services
23430 documentation and clarifying the requirements for meeting
23440 weekly average hours of therapy and counseling and the
23450 methodology for determining compliance and overpayments. The
23460 recoupment for failure to comply shall be applied for a week
23470 at a time for noncompliance, not to exceed the number of days
23480 paid. This standard shall not be applied to a highly
23490 structured juvenile group care program.
23500 d. Utilizing a weekly results summary for documentation of
23510 the group care requirement for daily provision of skills
23520 development.
23530 Sec. 41. 2002 Iowa Acts, chapter 1175, section 104, is
23540 amended to read as follows:
23550 SEC. 104. COUNTY MENTAL HEALTH, MENTAL RETARDATION, AND
23560 DEVELOPMENTAL DISABILITIES ALLOWED GROWTH FACTOR ADJUSTMENT
23570 AND ALLOCATIONS – FISCAL YEAR 2003-2004. There is
23580 appropriated from the general fund of the state to the
23590 department of human services for the fiscal year beginning
23600 July 1, 2003, and ending June 30, 2004, the following amount,
23610 or so much thereof as is necessary, to be used for the purpose
23620 designated:
23630 For distribution to counties of the county mental health,
23640 mental retardation, and developmental disabilities allowed
23650 growth factor adjustment, as provided in this section in lieu
23660 of the provisions of section 331.438, subsection 2, and
23670 section 331.439, subsection 3, and chapter 426B:
23690 .................................................. $ 19,073,638
23710 1. The funding appropriated in this section is the allowed
23720 growth factor adjustment for fiscal year 2003-2004, and is
23730 allocated as follows:
23740 a. For distribution as provided in this section:
23760 .................................................. $ 17,073,638
23780 b. For deposit in the risk pool created in the property
23790 tax relief fund and for distribution in accordance with
23800 section 426B.5, subsection 2:
23820 .................................................. $ 2,000,000
23840 2. The following formula amounts shall be utilized only to
23850 calculate preliminary distribution amounts for fiscal year
23860 2003-2004 under this section by applying the indicated formula
23870 provisions to the formula amounts and producing a preliminary
23880 distribution total for each county:
23890 a. For calculation of an allowed growth factor adjustment
23900 amount for each county in accordance with the formula in
23910 section 331.438, subsection 2, paragraph "b":
23930 .................................................. $ 12,000,000
23950 b. For calculation of a distribution amount for eligible
23960 counties from the per capita expenditure target pool created
23970 in the property tax relief fund in accordance with the
23980 requirements in section 426B.5, subsection 1:
24000 .................................................. $ 12,492,712
24020 c. For calculation of a distribution amount for counties
24030 from the mental health and developmental disabilities (MH/DD)
24040 community services fund in accordance with the formula
24050 provided in 2002 Iowa Acts, Senate File 2326, section 119,
24060 subsection 1 the appropriation made for the MH/DD community
24070 services fund for the fiscal year beginning July 1, 2003:
24090 .................................................. $ 18,127,352
24100 17,727,890
24120 3. Notwithstanding any contrary provisions of sections
24130 225C.7, 331.438, subsection 2, 331.439, subsection 3, and
24140 426B.5, the moneys allocated for distribution in subsection 1,
24150 paragraph "b", and in any other Act of the Eightieth General
24160 Assembly, 2003 Session, for distribution to counties in the
24170 fiscal year beginning July 1, 2003, for purposes of the mental
24180 health and developmental disabilities (MH/DD) community
24190 services fund under section 225C.7, and for the allowed growth
24200 factor adjustment for services paid under a county's section
24210 331.424A mental health, mental retardation, and developmental
24220 disabilities services fund and as calculated under subsection
24230 2 to produce preliminary distribution amounts for counties
24240 shall be subject to withholding as provided in this section.
24250 4. After applying the applicable statutory distribution
24260 formulas to the amounts indicated in subsection 2 for purposes
24270 to produce preliminary distribution totals, the department of
24280 human services shall apply a withholding factor to adjust an
24290 eligible individual county's preliminary distribution total.
24300 An ending balance percentage for each county shall be
24310 determined by expressing the county's ending balance on a
24320 modified accrual basis under generally accepted accounting
24330 principles for the fiscal year beginning July 1, 2002, in the
24340 county's mental health, mental retardation, and developmental
24350 disabilities services fund created under section 331.424A, as
24360 a percentage of the county's gross expenditures from that fund
24370 for that fiscal year. The withholding factor for a county
24380 shall be the following applicable percent:
24390 a. For an ending balance percentage of less than 10
24400 percent, a withholding factor of 0 percent.
24410 b. For an ending balance percentage of 10 through 24
24420 percent, a withholding factor of 25 percent.
24430 c. For an ending balance percentage of 25 through 34
24440 percent, a withholding factor of 60 percent.
24450 d. For an ending balance percentage of 35 through 44
24460 percent, a withholding factor of 85 percent.
24470 e. For an ending balance percentage of 45 percent or more,
24480 a withholding factor of 100 percent.
24490 5. The total withholding amounts applied pursuant to
24500 subsection 4 shall be equal to a withholding target amount of
24510 $7,419,074 and the appropriation enacted by the Eightieth
24520 General Assembly, 2003 Session, for the MH/DD community
24530 services fund shall be reduced by the amount necessary to
24540 attain the withholding target amount. If the department of
24550 human services determines that the amount to be withheld in
24560 accordance with subsection 4 is not equal to the target
24570 withholding amount, the department shall adjust the
24580 withholding factors listed in subsection 4 as necessary to
24590 achieve the withholding target amount. However, in making
24600 such adjustments to the withholding factors, the department
24610 shall strive to minimize changes to the withholding factors
24620 for those ending balance percentage ranges that are lower than
24630 others and shall not adjust the zero withholding factor
24640 specified in subsection 4, paragraph "a".
24650 6. A county must comply with both the requirements listed
24660 in this subsection to be eligible to receive a funding
24670 distribution under this section. The amount that would
24680 otherwise be available for distribution to a county that fails
24690 to so comply shall be proportionately distributed among the
24700 eligible counties. Both of the following requirements are
24710 applicable:
24720 a. A county must comply with the December 1, 2003, filing
24730 deadline for the county annual financial report in accordance
24740 with section 331.403.
24750 b. A county must levy the not less than 70 percent of the
24760 maximum amount allowed for the county's mental health, mental
24770 retardation, and developmental disabilities services fund
24780 under section 331.424A for taxes due and payable in the fiscal
24790 year beginning July 1, 2003.
24800 7. The department of human services shall authorize the
24810 issuance of warrants payable to the county treasurer for the
24820 distribution amounts due the counties eligible under this
24830 section and notwithstanding prior practice for the MH/DD
24840 community services fund, the warrants shall be issued in
24850 January 2004.
24860 Sec. 42. 2002 Iowa Acts, Second Extraordinary Session,
24870 chapter 1003, section 126, subsection 3, paragraph d, is
24880 amended to read as follows:
24890 d. Notwithstanding section 8.33, up to $500,000 of a state
24900 resource center's revenues that remain unencumbered or
24910 unobligated at the close of the fiscal year shall not revert
24920 but shall remain available to be used in the succeeding fiscal
24930 year.
24940 Sec. 43. 2002 Iowa Acts, Second Extraordinary Session,
24950 chapter 1003, section 131, is amended by adding the following
24960 new unnumbered paragraph:
24970 NEW UNNUMBERED PARAGRAPH. Notwithstanding section 8.33,
24980 moneys appropriated in this section that remain unencumbered
24990 or unobligated at the close of the fiscal year shall not
25000 revert but shall remain available until the close of the
25010 succeeding fiscal year for the purposes designated under this
25020 section.
25030 Sec. 44. EMERGENCY RULES. If specifically authorized by a
25040 provision of this Act, the department of human services or the
25050 mental health and developmental disabilities commission may
25060 adopt administrative rules under section 17A.4, subsection 2,
25070 and section 17A.5, subsection 2, paragraph "b", to implement
25080 the provisions and the rules shall become effective
25090 immediately upon filing or on a later effective date specified
25100 in the rules, unless the effective date is delayed by the
25110 administrative rules review committee. Any rules adopted in
25120 accordance with this section shall not take effect before the
25130 rules are reviewed by the administrative rules review
25140 committee. The delay authority provided to the administrative
25150 rules review committee under section 17A.4, subsection 5, and
25160 section 17A.8, subsection 9, shall be applicable to a delay
25170 imposed under this section, notwithstanding a provision in
25180 those sections making them inapplicable to section 17A.5,
25190 subsection 2, paragraph "b". Any rules adopted in accordance
25200 with the provisions of this section shall also be published as
25210 notice of intended action as provided in section 17A.4.
25220 Sec. 45. REPORTS.
25230 1. Any reports or information required to be compiled and
25240 submitted under this Act shall be submitted to the
25250 chairpersons and ranking members of the joint appropriations
25260 subcommittee on health and human services, the legislative
25270 fiscal bureau, the legislative service bureau, and to the
25280 legislative caucus staffs on or before the dates specified for
25290 submission of the reports or information.
25300 2. In order to reduce mailing and paper processing costs,
25310 the department shall provide, to the extent feasible, reports,
25320 notices, minutes, and other documents by electronic means to
25330 those persons who have the capacity to access the documents in
25340 that manner.
25350 Sec. 46. LAW INAPPLICABLE FOR FISCAL YEAR 2003-2004.
25360 1. The following provisions in Code or rule shall be
25370 suspended for the period beginning July 1, 2003, and ending
25380 June 30, 2004:
25390 a. The requirements of section 239B.2A, relating to school
25400 attendance by children participating in the family investment
25410 program.
25420 b. For a case permanency plan, as defined in section
25430 232.2, the requirement for a six-month case permanency plan
25440 review for an intact family.
25450 c. The requirements of section 225C.42, relating to an
25460 annual evaluation of the family support subsidy program.
25470 2. The department may adopt emergency rules to implement
25480 the provisions of this section.
25490 Sec. 47. EFFECTIVE DATES. The following provisions of
25500 this division of this Act, being deemed of immediate
25510 importance, take effect upon enactment:
25520 1. The provision under the appropriation for child and
25530 family services, relating to requirements of section 232.143
25540 for representatives of the department of human services and
25550 juvenile court services to establish a plan for continuing
25560 group foster care expenditures for the 2002-2003 fiscal year.
25570 2. The provision under the appropriation for child and
25580 family services, relating to the state court administrator
25590 determining allocation of court-ordered services funding by
25600 June 15, 2003.
25610 3. The provision under the appropriation for child and
25620 family services, relating to the requirements in section
25630 237.5A involving a foster parent unable to complete annual
25640 training due to being engaged in active duty in the military
25650 service.
25660 4. The provision relating to unspent funds for food stamp
25670 electronic benefit transfer remaining available from the
25680 appropriation made in 2002 Iowa Acts, Second Extraordinary
25690 Session, chapter 1003, section 112, for the 2003-2004 fiscal
25700 year.
25710 5. The provisions amending 2002 Iowa Acts, Second
25720 Extraordinary Session, chapter 1003, sections 126 and 131,
25730 relating to nonreversion of moneys appropriated in fiscal year
25740 2002-2003 for the state resource centers and for the sexually
25750 violent predator program.
25770 DIVISION IV
25780 SENIOR LIVING TRUST FUND
25800 Sec. 48. DEPARTMENT OF ELDER AFFAIRS. There is
25810 appropriated from the senior living trust fund created in
25820 section 249H.4 to the department of elder affairs for the
25830 fiscal year beginning July 1, 2003, and ending June 30, 2004,
25840 the following amount, or so much thereof as is necessary, to
25850 be used for the purpose designated:
25860 For the development and implementation of a comprehensive
25870 senior living program, including program administration and
25880 costs associated with implementation, salaries, support,
25890 maintenance, and miscellaneous purposes:
25910 .................................................. $ 7,480,814
25930 1. It is the intent of the general assembly that the
25940 department not transfer moneys appropriated to the department
25950 for purposes of the assisted living program and adult day care
25960 for the fiscal year beginning July 1, 2003.
25970 2. Notwithstanding section 249H.7, the department of elder
25980 affairs shall distribute up to $300,000 of the funds
25990 appropriated in this section in a manner that will supplement
26000 and maximize federal funds under the federal Older Americans
26010 Act and shall not use the amount distributed for any
26020 administrative purposes of either the department of elder
26030 affairs or the area agencies on aging.
26040 Sec. 49. DEPARTMENT OF INSPECTIONS AND APPEALS. There is
26050 appropriated from the senior living trust fund created in
26060 section 249H.4 to the department of inspections and appeals
26070 for the fiscal year beginning July 1, 2003, and ending June
26080 30, 2004, the following amount, or so much thereof as is
26090 necessary, to be used for the purpose designated:
26100 For the inspection and certification of assisted living
26110 facilities and adult day care services, including program
26120 administration and costs associated with implementation,
26130 salaries, support, maintenance, and miscellaneous purposes and
26140 for not more than the following full-time equivalent
26150 positions:
26170 .................................................. $ 800,000
26180 ............................................... FTEs 6.00
26200 Sec. 50. DEPARTMENT OF HUMAN SERVICES. There is
26210 appropriated from the senior living trust fund created in
26220 section 249H.4 to the department of human services for the
26230 fiscal year beginning July 1, 2003, and ending June 30, 2004,
26240 the following amounts, or so much thereof as is necessary, to
26250 be used for the purposes designated:
26260 1. To provide grants to nursing facilities for conversion
26270 to assisted living programs or to provide long-term care
26280 alternatives and to provide grants to ICF/MR for conversion to
26290 assisted living programs or home and community-based services
26300 and to provide grants to long-term care providers for
26310 development of long-term care alternatives:
26330 .................................................. $ 20,000,000
26350 Up to 25 percent of this amount may be used for development
26360 of less restrictive community-based services with a
26370 significant focus on reducing the numbers of persons served in
26380 state resource centers and other intermediate care facilities
26390 for persons with mental retardation as well as for activities
26400 designed to facilitate the planning for or placement of such
26410 services and persons.
26420 2. To supplement the medical assistance appropriation,
26430 including program administration and costs associated with
26440 implementation, salaries, support, maintenance, and
26450 miscellaneous purposes, and for not more than the following
26460 full-time equivalent positions:
26480 .................................................. $101,600,000
26490 ............................................... FTEs 5.00
26510 3. To provide reimbursement for health care services and
26520 rent expenses to eligible persons through the home and
26530 community-based services waiver and the state supplementary
26540 assistance program, including program administration and data
26550 system costs associated with implementation, salaries,
26560 support, maintenance, and miscellaneous purposes:
26580 .................................................. $ 1,733,406
26600 Participation in the rent subsidy program shall be limited
26610 to only those persons who are at risk for nursing facility
26620 care. The department shall adopt emergency rules to implement
26630 this provision.
26640 4. To implement nursing facility provider reimbursements
26650 as provided in 2001 Iowa Acts, chapter 192, section 4,
26660 subsection 2, paragraph "c":
26680 .................................................. $ 29,950,000
26700 In order to carry out the purposes of this section, the
26710 department shall transfer funds appropriated in this section
26720 to supplement other appropriations made to the department of
26730 human services.
26740 5. Notwithstanding sections 249H.4 and 249H.5, the
26750 department of human services may use moneys from the senior
26760 living trust fund for cash flow purposes to make payments
26770 under the nursing facility or hospital upper payment limit
26780 methodology. The amount of any moneys so used shall be
26790 refunded to the senior living trust fund within the same
26800 fiscal year and in a prompt manner.
26810 6. Notwithstanding section 8.33, moneys committed to
26820 grantees under contract to provide for conversion to assisted
26830 living programs or for development of long-term care
26840 alternatives that remain unexpended at the close of the fiscal
26850 year shall not revert to any fund but shall remain available
26860 for expenditure for purposes of the contract.
26870 Sec. 51. CONVERSION GRANT PROJECTS – RULES.
26880 1. For the fiscal year beginning July 1, 2003, and ending
26890 June 30, 2004, the department of human services shall continue
26900 to give greater weight in the scoring methodology to nursing
26910 facility conversion projects that are primarily for the
26920 renovation and remodeling of the existing nursing facility
26930 structure and give less weight to conversion projects that are
26940 primarily for new construction. The department of human
26950 services shall encourage cooperative efforts between the
26960 department of inspections and appeals, the state fire marshal,
26970 and the grant applicant to promote the acceptance of nursing
26980 facility conversion projects that are primarily renovation and
26990 remodeling of the existing nursing facility structure.
27000 2. For the fiscal year beginning July 1, 2003, and ending
27010 June 30, 2004, the department of inspections and appeals shall
27020 certify all assisted living programs established through
27030 nursing facility conversion grants. The department of
27040 inspections and appeals shall consult with conversion grant
27050 applicants and recipients to establish and monitor occupancy
27060 agreements and assisted living program residents shall be
27070 allowed access to third-party payors.
27090 DIVISION V
27100 HOSPITAL TRUST FUND
27120 Sec. 52. DEPARTMENT OF HUMAN SERVICES APPROPRIATION.
27130 There is appropriated from the hospital trust fund created in
27140 section 249I.4 to the department of human services for the
27150 fiscal year beginning July 1, 2003, and ending June 30, 2004,
27160 the following amount, or so much thereof as is necessary, to
27170 be used for the purpose designated:
27180 To supplement the medical assistance appropriation:
27200 .................................................. $ 15,000,000
27220 DIVISION VI
27230 MEDICAL ASSISTANCE PROGRAM SUPPLEMENTATION
27250 Sec. 53. MEDICAL ASSISTANCE APPROPRIATION SUPPLEMENTATION
27260 – FISCAL YEAR 2002-2003. There is appropriated from the
27270 following sources, to the department of human services, for
27280 the fiscal year beginning July 1, 2002, and ending June 30,
27290 2003, the following amounts, or so much thereof as is
27300 necessary, to supplement the appropriations made for the
27310 medical assistance program for that fiscal year:
27320 1. From the general fund of the state:
27340 .................................................. $ 41,535,000
27360 2. From the senior living trust fund created in section
27370 249H.4:
27390 .................................................. $ 9,465,000
27410 3. From the hospital trust fund created in section 249I.4:
27430 .................................................. $ 7,000,000
27450 Sec. 54. MEDICAL ASSISTANCE PROGRAM – REVERSION TO SENIOR
27460 LIVING TRUST FUND FOR FY 2002-2003. Notwithstanding section
27470 8.33, if moneys appropriated in this division for
27480 supplementation of the medical assistance program
27490 appropriation for the fiscal year beginning July 1, 2002, and
27500 ending June 30, 2003, from the general fund of the state, the
27510 senior living trust fund, and the hospital trust fund are in
27520 excess of actual expenditures for the medical assistance
27530 program and remain unencumbered or unobligated at the close of
27540 the fiscal year, the excess moneys shall not revert but shall
27550 be transferred to the senior living trust fund created in
27560 section 249H.4.
27570 Sec. 55. EFFECTIVE DATE. This division of this Act, being
27580 deemed of immediate importance, takes effect upon enactment.
27600 DIVISION VII
27610 COMMISSION OF VETERANS AFFAIRS
27630 Sec. 56. COMMISSION OF VETERANS AFFAIRS. There is
27640 appropriated from the general fund of the state to the
27650 commission of veterans affairs for the fiscal year beginning
27660 July 1, 2003, and ending June 30, 2004, the following amounts,
27670 or so much thereof as is necessary, to be used for the
27680 purposes designated:
27690 1. COMMISSION OF VETERANS AFFAIRS ADMINISTRATION
27700 For salaries, support, maintenance, miscellaneous purposes,
27710 including the war orphans educational aid fund established
27720 pursuant to chapter 35, and for not more than the following
27730 full-time equivalent positions:
27750 .................................................. $ 288,193
27760 ............................................... FTEs 4.00
27780 The commission of veterans affairs may use the gifts
27790 accepted by the chairperson of the commission of veterans
27800 affairs, or designee, and other resources available to the
27810 commission for use at its Camp Dodge office. The commission
27820 shall report annually to the governor and the general assembly
27830 on monetary gifts received by the commission for the Camp
27840 Dodge office.
27850 2. IOWA VETERANS HOME
27860 For salaries, support, maintenance, miscellaneous purposes,
27870 and for not more than the following full-time equivalent
27880 positions:
27900 .................................................. $ 14,205,741
27910 ............................................... FTEs 843.50
27930 a. The Iowa veterans home may use the gifts accepted by
27940 the chairperson of the commission of veterans affairs and
27950 other resources available to the commission for use at the
27960 Iowa veterans home.
27970 b. Any Iowa veterans home successor contractor shall not
27980 consider employees of a state institution or facility to be
27990 new employees for purposes of employee wages, health
28000 insurance, or retirement benefits.
28010 c. The chairpersons and ranking members of the joint
28020 appropriations subcommittee on health and human services or
28030 successor subcommittee shall be notified by January 15 of any
28040 calendar year during which a request for proposals is
28050 anticipated to be issued regarding any Iowa veterans home
28060 contract involving employment, for purposes of providing
28070 legislative review and oversight.
28080 d. The Iowa veterans home shall operate with a net state
28090 general fund appropriation. The amount appropriated in this
28100 subsection is the net amount of state moneys projected to be
28110 needed for the Iowa veterans home. The purposes of operating
28120 with a net state general fund appropriation are to encourage
28130 the Iowa veterans home to operate with increased self-
28140 sufficiency, to improve quality and efficiency, and to support
28150 collaborative efforts among all funders of services available
28160 from the Iowa veterans home. Moneys appropriated in this
28170 subsection may be used throughout the fiscal year in the
28180 manner necessary for purposes of cash flow management, and for
28190 purposes of cash flow management the Iowa veterans home may
28200 temporarily draw more than the amount appropriated, provided
28210 the amount appropriated is not exceeded at the close of the
28220 fiscal year.
28230 e. Revenues attributable to the Iowa veterans home for the
28240 fiscal year beginning July 1, 2003, shall be deposited into
28250 the Iowa veterans home account and shall be treated as
28260 repayment receipts, including but not limited to all of the
28270 following:
28280 (1) Federal veterans administration payments.
28290 (2) Medical assistance revenue received under chapter
28300 249A.
28310 (3) Federal Medicare program payments.
28320 (4) Moneys received from client financial participation.
28330 (5) Other revenues generated from current, new, or
28340 expanded services which the Iowa veterans home is authorized
28350 to provide.
28360 f. For the purposes of allocating the salary adjustment
28370 fund moneys appropriated in another Act, the Iowa veterans
28380 home shall be considered to be funded entirely with state
28390 moneys.
28400 g. Notwithstanding section 8.33, up to $500,000 of the
28410 Iowa veterans home revenues that remain unencumbered or
28420 unobligated at the close of the fiscal year shall not revert
28430 but shall remain available to be used in the succeeding fiscal
28440 year.
28450 Sec. 57. 2002 Iowa Acts, Second Extraordinary Session,
28460 chapter 1003, section 102, subsection 2, paragraph g, is
28470 amended to read as follows:
28480 g. Notwithstanding section 8.33, up to $500,000 $1,000,000
28490 of the Iowa veterans home revenues that remain unencumbered or
28500 unobligated at the close of the fiscal year shall not revert
28510 but shall remain available to be used in the succeeding fiscal
28520 year.
28530 Sec. 58. EFFECTIVE DATE. The section of this division of
28540 this Act amending 2002 Iowa Acts, Second Extraordinary
28550 Session, chapter 1003, section 102, being deemed of immediate
28560 importance, takes effect upon enactment.
28580
28590
28600
28610 CHRISTOPHER C. RANTS
28620 Speaker of the House
28630
28640
28650
28660 MARY E. KRAMER
28670 President of the Senate
28680
28690 I hereby certify that this bill originated in the House and
28700 is known as House File 667, Eightieth General Assembly.
28710
28720
28730
28740 MARGARET THOMSON
28750 Chief Clerk of the House
28760 Approved , 2003
28770
28780
28790
28800 THOMAS J. VILSACK
28810 Governor
Text: HF00666 Text: HF00668 Text: HF00600 - HF00699 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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