249H.5  Allocations — senior living trust fund.
  1.  Moneys deposited in the senior living trust fund created in section 249H.4 shall be used only as provided in appropriations from the trust fund to the department of human services and the department on aging, and for purposes, including the awarding of grants, as specified in this chapter.
  2.  Moneys in the trust fund are allocated, subject to their appropriation by the general assembly, as follows:
  a.  To the department of human services, a maximum of eighty million dollars for the fiscal period beginning July 1, 2000, and ending on or before June 30, 2005, to be used for the conversion of existing nursing facility space and development of long-term care alternatives.
  b.  To the department on aging, an amount necessary, annually, for expenses incurred in implementation and administration of the long-term care alternatives programs and for delivery of long-term care services to seniors with low or moderate incomes.
  c.  To the department of human services, an amount necessary, annually, for all of the following:
  (1)  Expenses incurred in implementation of the senior living program.
  (2)  Expenses incurred in administration of medical assistance home and community-based services waivers and the PACE program due to implementation of the senior living trust fund.
  (3)  Expenses incurred due to increased service delivery provided under medical assistance home and community-based services waivers as a result of nursing facility conversions and long-term care service development, for the fiscal period beginning July 1, 2000, and ending on or before June 30, 2005.
  (4)  Expenses incurred in program administration related to implementation of nursing facility case mix reimbursement under the medical assistance program.
  d.  To the department of human services, an amount necessary to provide funding for nursing facility provider reimbursements, using the percentile-based reimbursement system, and to provide funding for the transition to a case-mix reimbursement system. Funding shall be provided under this section for the percentile-based reimbursement system until such time as the case-mix reimbursement system is fully implemented.
  e.  To the department of human services an amount necessary, annually, for additional expenses incurred relative to implementation of the senior living program in assisting home and community-based services waiver consumers with rent expenses pursuant to the state supplementary assistance program.
  3.  Any funds remaining after disbursement of moneys under subsection 2 shall be invested with the interest earned to be available in subsequent fiscal years for the purposes provided in subsection 2, paragraph “b”, and subsection 2, paragraph “c”, subparagraphs (1) and (2).
2000 Acts, ch 1004, §5, 22; 2004 Acts, ch 1086, §50, 51; 2009 Acts, ch 23, §57, 58