CCH-649
REPORT
OF
THE
CONFERENCE
COMMITTEE
ON
HF
649
To
the
Speaker
of
the
House
of
Representatives
and
the
President
of
the
Senate:
We,
the
undersigned
members
of
the
conference
committee
appointed
to
resolve
the
differences
between
the
House
of
Representatives
and
the
Senate
on
House
File
649,
a
bill
for
an
Act
relating
to
and
making
appropriations
for
health
and
human
services
and
including
other
related
provisions
and
appropriations,
and
including
effective,
retroactive,
and
applicability
date
provisions,
respectfully
make
the
following
report:
1.
That
the
House
recedes
from
its
amendment,
S-3375.
2.
That
the
Senate
recedes
from
its
amendment,
H-1732.
3.
That
House
File
649,
as
amended,
passed,
and
reprinted
by
the
House,
is
amended
to
read
as
follows:
1.
By
striking
everything
after
the
enacting
clause
and
inserting:
<
DIVISION
I
DEPARTMENT
ON
AGING
——
FY
2011-2012
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
on
aging
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
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For
aging
programs
for
the
department
on
aging
and
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
aging
and
disabilities
resource
center,
and
other
services
which
may
include
but
are
not
limited
to
adult
day
services,
respite
care,
chore
services,
information
and
assistance,
and
material
aid,
for
information
and
options
counseling
for
persons
with
disabilities
who
are
18
years
of
age
or
older,
and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,302,577
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
35.00
1.
Funds
appropriated
in
this
section
may
be
used
to
supplement
federal
funds
under
federal
regulations.
To
receive
funds
appropriated
in
this
section,
a
local
area
agency
on
aging
shall
match
the
funds
with
moneys
from
other
sources
according
to
rules
adopted
by
the
department.
Funds
appropriated
in
this
section
may
be
used
for
elderly
services
not
specifically
enumerated
in
this
section
only
if
approved
by
an
area
agency
on
aging
for
provision
of
the
service
within
the
area.
2.
The
amount
appropriated
in
this
section
includes
additional
funding
of
$450,000
for
delivery
of
long-term
care
services
to
seniors
with
low
or
moderate
incomes.
3.
Of
the
funds
appropriated
in
this
section,
$179,946
shall
be
transferred
to
the
department
of
economic
development
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
retired
and
senior
volunteer
program.
4.
a.
The
department
on
aging
shall
establish
and
enforce
procedures
relating
to
expenditure
of
state
and
federal
funds
by
area
agencies
on
aging
that
require
compliance
with
both
state
and
federal
laws,
rules,
and
regulations,
including
but
not
limited
to
all
of
the
following:
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(1)
Requiring
that
expenditures
are
incurred
only
for
goods
or
services
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(2)
Prohibiting
prepayment
for
goods
or
services
not
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(3)
Prohibiting
the
prepayment
for
goods
or
services
not
defined
specifically
by
good
or
service,
time
period,
or
recipient.
(4)
Prohibiting
the
establishment
of
accounts
from
which
future
goods
or
services
which
are
not
defined
specifically
by
good
or
service,
time
period,
or
recipient,
may
be
purchased.
b.
The
procedures
shall
provide
that
if
any
funds
are
expended
in
a
manner
that
is
not
in
compliance
with
the
procedures
and
applicable
federal
and
state
laws,
rules,
and
regulations,
and
are
subsequently
subject
to
repayment,
the
area
agency
on
aging
expending
such
funds
in
contravention
of
such
procedures,
laws,
rules
and
regulations,
not
the
state,
shall
be
liable
for
such
repayment.
DIVISION
II
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2011-2012
Sec.
2.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
public
health
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
other
drugs,
and
treating
individuals
affected
by
addictive
behaviors,
including
gambling,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,503,190
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
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$3,253,830
shall
be
used
for
the
tobacco
use
prevention
and
control
initiative,
including
efforts
at
the
state
and
local
levels,
as
provided
in
chapter
142A.
The
commission
on
tobacco
use
prevention
and
control
established
pursuant
to
section
142A.3
shall
advise
the
director
of
public
health
in
prioritizing
funding
needs
and
the
allocation
of
moneys
appropriated
for
the
programs
and
activities
of
the
initiative
under
this
subparagraph
(1)
and
shall
make
recommendations
to
the
director
in
the
development
of
budget
requests
relating
to
the
initiative.
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$453,830
shall
be
transferred
to
the
alcoholic
beverages
division
of
the
department
of
commerce
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
in
accordance
with
2011
Iowa
Acts,
House
File
467,
as
enacted.
b.
Of
the
funds
appropriated
in
this
subsection,
$20,249,360
shall
be
used
for
problem
gambling
and
substance
abuse
prevention,
treatment,
and
recovery
services,
including
a
24-hour
helpline,
public
information
resources,
professional
training,
and
program
evaluation.
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$17,132,508
shall
be
used
for
substance
abuse
prevention
and
treatment.
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
program
to
provide
substance
abuse
prevention
programming
for
children.
(i)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$427,539
shall
be
used
for
grant
funding
for
organizations
that
provide
programming
for
children
by
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
certified
or
will
be
certified
within
six
months
of
receiving
the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
standards
for
effective
practice
for
mentoring
programs.
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(ii)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$426,839
shall
be
used
for
grant
funding
for
organizations
that
provide
programming
that
includes
youth
development
and
leadership.
The
programs
shall
also
be
recognized
as
being
programs
that
are
scientifically
based
with
evidence
of
their
effectiveness
in
reducing
substance
abuse
in
children.
(iii)
The
department
of
public
health
shall
utilize
a
request
for
proposals
process
to
implement
the
grant
program.
(iv)
All
grant
recipients
shall
participate
in
a
program
evaluation
as
a
requirement
for
receiving
grant
funds.
(v)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
up
to
$44,922
may
be
used
to
administer
substance
abuse
prevention
grants
and
for
program
evaluations.
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
$273,062
shall
be
used
for
culturally
competent
substance
abuse
treatment
pilot
projects.
(i)
The
department
shall
utilize
the
amount
allocated
in
this
subparagraph
division
(b)
for
at
least
three
pilot
projects
to
provide
culturally
competent
substance
abuse
treatment
in
various
areas
of
the
state.
Each
pilot
project
shall
target
a
particular
ethnic
minority
population.
The
populations
targeted
shall
include
but
are
not
limited
to
African
American,
Asian,
and
Latino.
(ii)
The
pilot
project
requirements
shall
provide
for
documentation
or
other
means
to
ensure
access
to
the
cultural
competence
approach
used
by
a
pilot
project
so
that
such
approach
can
be
replicated
and
improved
upon
in
successor
programs.
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
to
$3,116,852
may
be
used
for
problem
gambling
prevention,
treatment,
and
recovery
services.
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
$2,579,000
shall
be
used
for
problem
gambling
prevention
and
treatment.
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(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$437,852
may
be
used
for
a
24-hour
helpline,
public
information
resources,
professional
training,
and
program
evaluation.
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$100,000
may
be
used
for
the
licensing
of
problem
gambling
treatment
programs.
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
given
priority
in
treatment
services.
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
to
standardize
the
availability,
delivery,
cost
of
delivery,
and
accountability
of
problem
gambling
and
substance
abuse
treatment
services
statewide,
the
department
shall
continue
implementation
of
a
process
to
create
a
system
for
delivery
of
treatment
services
in
accordance
with
the
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
of
treatment
services
that
best
meets
the
needs
of
Iowans,
the
problem
gambling
and
substance
abuse
treatment
services
in
any
area
may
be
provided
either
by
a
single
agency
or
by
separate
agencies
submitting
a
joint
proposal.
(1)
The
system
for
delivery
of
substance
abuse
and
problem
gambling
treatment
shall
include
problem
gambling
prevention
by
July
1,
2012.
The
department
shall
submit
a
proposed
legislative
bill
in
accordance
with
section
2.16,
for
consideration
during
the
2012
legislative
session,
addressing
any
statutory
revisions
necessary
for
full
implementation
of
the
system.
(2)
The
system
for
delivery
of
substance
abuse
and
problem
gambling
treatment
shall
include
substance
abuse
prevention
by
July
1,
2014.
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
may
use
up
to
$100,000
for
administrative
costs
to
continue
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developing
and
implementing
the
process
in
accordance
with
this
paragraph
“c”.
d.
The
requirement
of
section
123.53,
subsection
5,
is
met
by
the
appropriations
and
allocations
made
in
this
Act
for
purposes
of
substance
abuse
treatment
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2011.
e.
The
department
of
public
health
shall
work
with
all
other
departments
that
fund
substance
abuse
prevention
and
treatment
services
and
all
such
departments
shall,
to
the
extent
necessary,
collectively
meet
the
state
maintenance
of
effort
requirements
for
expenditures
for
substance
abuse
services
as
required
under
the
federal
substance
abuse
prevention
and
treatment
block
grant.
f.
The
department
shall
amend
or
otherwise
revise
departmental
policies
and
contract
provisions
in
order
to
eliminate
free
t-shirt
distribution,
banner
production,
and
other
unnecessary
promotional
expenditures.
2.
HEALTHY
CHILDREN
AND
FAMILIES
For
promoting
the
optimum
health
status
for
children,
adolescents
from
birth
through
21
years
of
age,
and
families,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,594,270
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$739,318
shall
be
used
for
the
healthy
opportunities
to
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
established
pursuant
to
section
135.106.
The
funding
shall
be
distributed
to
renew
the
grants
that
were
provided
to
the
grantees
that
operated
the
program
during
the
fiscal
year
ending
June
30,
2011.
b.
Of
the
funds
appropriated
in
this
subsection,
$329,885
shall
be
used
to
continue
to
address
the
healthy
mental
development
of
children
from
birth
through
five
years
of
age
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through
local
evidence-based
strategies
that
engage
both
the
public
and
private
sectors
in
promoting
healthy
development,
prevention,
and
treatment
for
children.
c.
Of
the
funds
appropriated
in
this
subsection,
$31,597
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
funds
to
continue
the
donated
dental
services
program
patterned
after
the
projects
developed
by
the
dental
lifeline
network
to
provide
dental
services
to
indigent
elderly
and
disabled
individuals.
d.
Of
the
funds
appropriated
in
this
subsection,
$112,677
shall
be
used
for
childhood
obesity
prevention.
e.
Of
the
funds
appropriated
in
this
subsection,
$163,760
shall
be
used
to
provide
audiological
services
and
hearing
aids
for
children.
The
department
may
enter
into
a
contract
to
administer
this
paragraph.
3.
CHRONIC
CONDITIONS
For
serving
individuals
identified
as
having
chronic
conditions
or
special
health
care
needs,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,361,656
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
a.
Of
the
funds
appropriated
in
this
subsection,
$160,582
shall
be
used
for
grants
to
individual
patients
who
have
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
special
foods.
b.
Of
the
funds
appropriated
in
this
subsection,
$483,600
is
allocated
for
continuation
of
the
contracts
for
resource
facilitator
services
in
accordance
with
section
135.22B,
subsection
9,
and
for
brain
injury
training
services
and
recruiting
of
service
providers
to
increase
the
capacity
within
this
state
to
address
the
needs
of
individuals
with
brain
injuries
and
such
individuals’
families.
c.
Of
the
funds
appropriated
in
this
subsection,
$498,874
shall
be
used
as
additional
funding
to
leverage
federal
funding
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CCH-649
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
grants.
d.
Of
the
funds
appropriated
in
this
subsection,
$31,254
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
an
existing
national-affiliated
organization
to
provide
education,
client-centered
programs,
and
client
and
family
support
for
people
living
with
epilepsy
and
their
families.
e.
Of
the
funds
appropriated
in
this
subsection,
$788,303
shall
be
used
for
child
health
specialty
clinics.
f.
Of
the
funds
appropriated
in
this
subsection,
$497,065
shall
be
used
for
the
comprehensive
cancer
control
program
to
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
detection,
effective
treatment,
and
ensuring
quality
of
life.
Of
the
funds
allocated
in
this
lettered
paragraph,
$150,000
shall
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
biorepository
and
registry,
basic
and
translational
melanoma
research,
and
clinical
trials.
g.
Of
the
funds
appropriated
in
this
subsection,
$126,450
shall
be
used
for
cervical
and
colon
cancer
screening.
h.
Of
the
funds
appropriated
in
this
subsection,
$528,834
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
i.
Of
the
funds
appropriated
in
this
subsection,
$129,937
shall
be
used
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M.
j.
Of
the
funds
appropriated
in
this
subsection,
$12,500
shall
be
used
for
the
purposes
of
the
epilepsy
treatment
and
education
task
force
as
specified
in
2011
Iowa
Acts,
House
File
322,
as
enacted.
4.
COMMUNITY
CAPACITY
For
strengthening
the
health
care
delivery
system
at
the
local
level,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,235,166
-9-
HF649.3431
(28)
84
pf/jp
9/
192
CCH-649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
a.
Of
the
funds
appropriated
in
this
subsection,
$100,000
is
allocated
for
a
child
vision
screening
program
implemented
through
the
university
of
Iowa
hospitals
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
b.
Of
the
funds
appropriated
in
this
subsection,
$111,308
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
and
$100,493
is
allocated
for
continuation
of
an
initiative
at
the
state
mental
health
institute
at
Cherokee
to
expand
and
improve
the
workforce
engaged
in
mental
health
treatment
and
services.
The
initiatives
shall
receive
input
from
the
university
of
Iowa,
the
department
of
human
services,
the
department
of
public
health,
and
the
mental
health
and
disability
services
commission
to
address
the
focus
of
the
initiatives.
c.
Of
the
funds
appropriated
in
this
subsection,
$1,171,491
shall
be
used
for
essential
public
health
services
that
promote
healthy
aging
throughout
the
lifespan,
contracted
through
a
formula
for
local
boards
of
health,
to
enhance
health
promotion
and
disease
prevention
services.
d.
Of
the
funds
appropriated
in
this
section,
$121,817
shall
be
deposited
in
the
governmental
public
health
system
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
fund.
e.
Of
the
funds
appropriated
in
this
subsection,
$144,542
shall
be
used
for
the
mental
health
professional
shortage
area
program
implemented
pursuant
to
section
135.80.
f.
Of
the
funds
appropriated
in
this
subsection,
$38,263
shall
be
used
for
a
grant
to
a
statewide
association
of
psychologists
that
is
affiliated
with
the
American
psychological
association
to
be
used
for
continuation
of
a
program
to
rotate
intern
psychologists
in
placements
in
urban
and
rural
mental
health
professional
shortage
areas,
as
defined
in
section
135.80.
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HF649.3431
(28)
84
pf/jp
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192
CCH-649
g.
Of
the
funds
appropriated
in
this
subsection,
the
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
safety
net
provider
network
established
pursuant
to
section
135.153
to
be
used
for
the
purposes
designated.
The
following
amounts
allocated
under
this
lettered
paragraph
shall
be
distributed
to
the
specified
provider
and
shall
not
be
reduced
for
administrative
or
other
costs
prior
to
distribution:
(1)
For
distribution
to
the
Iowa
primary
care
association
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
provider
network:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
132,580
(2)
For
distribution
to
the
local
boards
of
health
that
provide
direct
services
for
pilot
programs
in
three
counties
to
assist
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
77,609
(3)
For
distribution
to
maternal
and
child
health
centers
for
pilot
programs
in
three
counties
to
assist
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
77,609
(4)
For
distribution
to
free
clinics
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
124,050
(5)
For
distribution
to
rural
health
clinics
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
110,430
(6)
For
continuation
of
the
safety
net
provider
patient
access
to
specialty
health
care
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
260,000
(7)
For
continuation
of
the
pharmaceutical
infrastructure
-11-
HF649.3431
(28)
84
pf/jp
11/
192
CCH-649
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
chapter
218,
section
108:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
270,000
The
Iowa
collaborative
safety
net
provider
network
may
continue
to
distribute
funds
allocated
pursuant
to
this
lettered
paragraph
through
existing
contracts
or
renewal
of
existing
contracts.
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
$149,000
shall
be
used
for
continued
implementation
of
the
recommendations
of
the
direct
care
worker
task
force
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
based
upon
the
report
submitted
to
the
governor
and
the
general
assembly
in
December
2006.
The
department
may
use
a
portion
of
the
funds
allocated
in
this
lettered
paragraph
for
an
additional
position
to
assist
in
the
continued
implementation.
(2)
It
is
the
intent
of
the
general
assembly
that
a
board
of
direct
care
workers
shall
be
established
within
the
department
of
public
health
by
July
1,
2014,
contingent
upon
the
availability
of
funds
to
establish
and
maintain
the
board.
(3)
The
direct
care
worker
advisory
council
shall
submit
a
final
report
no
later
than
March
1,
2012,
to
the
governor
and
the
general
assembly,
in
accordance
with
2010
Iowa
Acts,
chapter
1192,
section
2,
subsection
4,
paragraph
“h”,
subparagraph
(3).
(4)
The
department
of
public
health
shall
report
to
the
persons
designated
in
this
Act
for
submission
of
reports
regarding
use
of
the
funds
allocated
in
this
lettered
paragraph,
on
or
before
January
15,
2012.
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
$130,100
shall
be
used
for
allocation
to
an
independent
statewide
direct
care
worker
association
under
a
contract
with
terms
determined
by
the
director
of
public
health
relating
to
education,
outreach,
leadership
development,
mentoring,
and
other
initiatives
intended
to
enhance
the
recruitment
and
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192
CCH-649
retention
of
direct
care
workers
in
health
care
and
long-term
care
settings.
(2)
Of
the
funds
appropriated
in
this
subsection,
$58,000
shall
be
used
to
provide
scholarships
or
other
forms
of
subsidization
for
direct
care
worker
educational
conferences,
training,
or
outreach
activities.
j.
Of
the
funds
appropriated
in
this
subsection,
the
department
may
use
up
to
$58,518
for
up
to
one
full-time
equivalent
position
to
administer
the
volunteer
health
care
provider
program
pursuant
to
section
135.24.
k.
Of
the
funds
appropriated
in
this
subsection,
$50,000
shall
be
used
for
a
matching
dental
education
loan
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
service
corporation
to
develop
the
criteria
and
implement
the
loan
repayment
program.
5.
HEALTHY
AGING
To
provide
public
health
services
that
reduce
risks
and
invest
in
promoting
and
protecting
good
health
over
the
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
vulnerable
populations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
a.
Of
the
funds
appropriated
in
this
subsection,
$2,009,187
shall
be
used
for
local
public
health
nursing
services.
b.
Of
the
funds
appropriated
in
this
subsection,
$5,287,955
shall
be
used
for
home
care
aide
services.
6.
ENVIRONMENTAL
HAZARDS
For
reducing
the
public’s
exposure
to
hazards
in
the
environment,
primarily
chemical
hazards,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
813,777
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
Of
the
funds
appropriated
in
this
subsection,
$544,377
shall
be
used
for
childhood
lead
poisoning
provisions.
7.
INFECTIOUS
DISEASES
-13-
HF649.3431
(28)
84
pf/jp
13/
192
CCH-649
For
reducing
the
incidence
and
prevalence
of
communicable
diseases,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,345,847
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
8.
PUBLIC
PROTECTION
For
protecting
the
health
and
safety
of
the
public
through
establishing
standards
and
enforcing
regulations,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,776,232
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$471,690
shall
be
credited
to
the
emergency
medical
services
fund
created
in
section
135.25.
Moneys
in
the
emergency
medical
services
fund
are
appropriated
to
the
department
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
appropriated
in
this
subsection,
$210,619
shall
be
used
for
sexual
violence
prevention
programming
through
a
statewide
organization
representing
programs
serving
victims
of
sexual
violence
through
the
department’s
sexual
violence
prevention
program.
The
amount
allocated
in
this
lettered
paragraph
shall
not
be
used
to
supplant
funding
administered
for
other
sexual
violence
prevention
or
victims
assistance
programs.
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$436,582
shall
be
used
for
the
state
poison
control
center.
9.
RESOURCE
MANAGEMENT
For
establishing
and
sustaining
the
overall
ability
of
the
department
to
deliver
services
to
the
public,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
819,554
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
The
university
of
Iowa
hospitals
and
clinics
under
the
-14-
HF649.3431
(28)
84
pf/jp
14/
192
CCH-649
control
of
the
state
board
of
regents
shall
not
receive
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
DIVISION
III
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2011-2012
Sec.
3.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
veterans
affairs
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
For
salaries,
support,
maintenance,
and
miscellaneous
purposes,
including
the
war
orphans
educational
assistance
fund
created
in
section
35.8,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
998,832
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,952,151
a.
The
Iowa
veterans
home
billings
involving
the
department
of
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
b.
If
there
is
a
change
in
the
employer
of
employees
providing
services
at
the
Iowa
veterans
home
under
a
collective
bargaining
agreement,
such
employees
and
the
agreement
shall
be
continued
by
the
successor
employer
as
though
there
had
not
been
a
change
in
employer.
c.
Within
available
resources
and
in
conformance
with
associated
state
and
federal
program
eligibility
requirements,
the
Iowa
veterans
home
may
implement
measures
to
provide
-15-
HF649.3431
(28)
84
pf/jp
15/
192
CCH-649
financial
assistance
to
or
on
behalf
of
veterans
or
their
spouses
participating
in
the
community
reentry
program.
d.
The
Iowa
veterans
home
expenditure
report
shall
be
submitted
monthly
to
the
legislative
services
agency.
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
VETERANS
For
provision
of
educational
assistance
pursuant
to
section
35.9:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,416
Sec.
4.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
appropriation
in
the
following
designated
section
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
amounts
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
section
for
the
following
designated
purposes
shall
not
exceed
the
following
amount:
For
the
county
commissions
of
veterans
affairs
fund
under
section
35A.16:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
DIVISION
IV
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2011-2012
Sec.
5.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT.
There
is
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
from
moneys
received
under
the
federal
temporary
assistance
for
needy
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
received
under
the
emergency
contingency
fund
for
temporary
assistance
for
needy
families
state
program
established
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
legislation,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
-16-
HF649.3431
(28)
84
pf/jp
16/
192
CCH-649
be
used
for
the
purposes
designated:
1.
To
be
credited
to
the
family
investment
program
account
and
used
for
assistance
under
the
family
investment
program
under
chapter
239B:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,500,738
2.
To
be
credited
to
the
family
investment
program
account
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
program
and
implementing
family
investment
agreements
in
accordance
with
chapter
239B:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,411,528
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
Notwithstanding
section
8.33,
moneys
appropriated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
encumbered
or
obligated
on
or
before
September
30,
2012,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,382,687
The
funds
appropriated
in
this
subsection
shall
be
transferred
to
the
child
care
and
development
block
grant
appropriation
made
by
the
Eighty-fourth
General
Assembly,
2011
Session,
for
the
federal
fiscal
year
beginning
October
1,
2011,
and
ending
September
30,
2012.
Of
this
amount,
$200,000
shall
be
used
for
provision
of
educational
opportunities
to
registered
child
care
home
providers
in
order
to
improve
-17-
HF649.3431
(28)
84
pf/jp
17/
192
CCH-649
services
and
programs
offered
by
this
category
of
providers
and
to
increase
the
number
of
providers.
The
department
may
contract
with
institutions
of
higher
education
or
child
care
resource
and
referral
centers
to
provide
the
educational
opportunities.
Allowable
administrative
costs
under
the
contracts
shall
not
exceed
5
percent.
The
application
for
a
grant
shall
not
exceed
two
pages
in
length.
7.
For
mental
health
and
developmental
disabilities
community
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
8.
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
9.
For
child
abuse
prevention
grants:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
10.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
Pregnancy
prevention
grants
shall
be
awarded
to
programs
in
existence
on
or
before
July
1,
2011,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2011,
if
the
programs
are
based
on
existing
models
that
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
section
14,
subsections
1
and
2,
including
the
requirement
that
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
the
awarding
of
grants
shall
be
given
to
programs
that
serve
areas
of
the
state
which
demonstrate
the
highest
percentage
of
unplanned
pregnancies
of
females
of
childbearing
age
within
the
geographic
area
to
be
served
by
the
grant.
11.
For
technology
needs
and
other
resources
necessary
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
management
requirements:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
-18-
HF649.3431
(28)
84
pf/jp
18/
192
CCH-649
12.
To
be
credited
to
the
state
child
care
assistance
appropriation
made
in
this
section
to
be
used
for
funding
of
community-based
early
childhood
programs
targeted
to
children
from
birth
through
five
years
of
age
developed
by
early
childhood
Iowa
areas
as
provided
in
section
256I.11:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,350,000
The
department
shall
transfer
TANF
block
grant
funding
appropriated
and
allocated
in
this
subsection
to
the
child
care
and
development
block
grant
appropriation
in
accordance
with
federal
law
as
necessary
to
comply
with
the
provisions
of
this
subsection.
13.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2010
or
2011
Iowa
Acts
regarding
the
receipt
and
appropriation
of
federal
block
grants,
federal
funds
from
the
emergency
contingency
fund
for
temporary
assistance
for
needy
families
state
program
established
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5
§
2101,
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
not
otherwise
appropriated
in
this
section
and
remaining
available
as
of
July
1,
2011,
and
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
are
appropriated
to
the
extent
as
may
be
necessary
to
be
used
in
the
following
priority
order:
the
family
investment
program
for
the
fiscal
year
and
for
state
child
care
assistance
program
payments
for
individuals
enrolled
in
the
family
investment
program
who
are
employed.
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
all
other
funds
appropriated
in
subsection
1
for
the
assistance
under
the
family
investment
program
under
chapter
239B
have
been
expended.
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
legislative
services
agency
and
department
of
management
of
-19-
HF649.3431
(28)
84
pf/jp
19/
192
CCH-649
the
amount
of
funds
appropriated
in
this
subsection
that
was
expended
in
the
prior
quarter.
14.
Of
the
amounts
appropriated
in
this
section,
$12,962,008
for
the
fiscal
year
beginning
July
1,
2011,
shall
be
transferred
to
the
appropriation
of
the
federal
social
services
block
grant
made
for
that
fiscal
year.
15.
For
continuation
of
the
program
allowing
the
department
to
maintain
categorical
eligibility
for
the
food
assistance
program
as
required
under
the
section
of
this
division
relating
to
the
family
investment
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
146,072
16.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
family
investment
program
from
the
general
fund
of
the
state.
Sec.
6.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1.
Moneys
credited
to
the
family
investment
program
(FIP)
account
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
shall
be
used
to
provide
assistance
in
accordance
with
chapter
239B.
2.
The
department
may
use
a
portion
of
the
moneys
credited
to
the
FIP
account
under
this
section
as
necessary
for
salaries,
support,
maintenance,
and
miscellaneous
purposes.
3.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
in
this
Act
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
family
investment
program
from
the
general
fund
of
the
state.
4.
Moneys
appropriated
in
this
division
of
this
Act
and
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credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
are
allocated
as
follows:
a.
To
be
retained
by
the
department
of
human
services
to
be
used
for
coordinating
with
the
department
of
human
rights
to
more
effectively
serve
participants
in
the
FIP
program
and
other
shared
clients
and
to
meet
federal
reporting
requirements
under
the
federal
temporary
assistance
for
needy
families
block
grant:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
b.
To
the
department
of
human
rights
for
staffing,
administration,
and
implementation
of
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,342,834
(1)
Of
the
funds
allocated
for
the
family
development
and
self-sufficiency
grant
program
in
this
lettered
paragraph,
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
administration
of
the
grant
program.
(2)
The
department
of
human
rights
may
continue
to
implement
the
family
development
and
self-sufficiency
grant
program
statewide
during
fiscal
year
2011-2012.
c.
For
the
diversion
subaccount
of
the
FIP
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,698,400
A
portion
of
the
moneys
allocated
for
the
subaccount
may
be
used
for
field
operations
salaries,
data
management
system
development,
and
implementation
costs
and
support
deemed
necessary
by
the
director
of
human
services
in
order
to
administer
the
FIP
diversion
program.
d.
For
the
food
stamp
employment
and
training
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
(1)
The
department
shall
amend
the
food
stamp
employment
and
training
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
for
the
claiming
of
allowable
federal
matching
funds
from
the
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United
States
department
of
agriculture
pursuant
to
the
federal
food
stamp
employment
and
training
program
for
providing
education,
employment,
and
training
services
for
eligible
food
assistance
program
participants,
including
but
not
limited
to
related
dependent
care
and
transportation
expenses.
(2)
The
department
shall
continue
the
categorical
federal
food
assistance
program
eligibility
at
160
percent
of
the
federal
poverty
level
and
continue
to
eliminate
the
asset
test
from
eligibility
requirements,
consistent
with
federal
food
assistance
program
requirements.
The
department
shall
include
as
many
food
assistance
households
as
is
allowed
by
federal
law.
The
eligibility
provisions
shall
conform
to
all
federal
requirements
including
requirements
addressing
individuals
who
are
incarcerated
or
otherwise
ineligible.
e.
For
the
JOBS
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,235,905
5.
Of
the
child
support
collections
assigned
under
FIP,
an
amount
equal
to
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
recovery
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
the
child
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
payments
account.
If
as
a
consequence
of
the
appropriations
and
allocations
made
in
this
section
the
resulting
amounts
are
insufficient
to
sustain
cash
assistance
payments
and
meet
federal
maintenance
of
effort
requirements,
the
department
shall
seek
supplemental
funding.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
to
be
required
for
maintenance
of
effort,
the
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
payment
account.
6.
The
department
may
adopt
emergency
rules
for
the
family
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investment,
JOBS,
food
stamp,
and
medical
assistance
programs
if
necessary
to
comply
with
federal
requirements.
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
To
be
credited
to
the
family
investment
program
(FIP)
account
and
used
for
family
investment
program
assistance
under
chapter
239B:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,171,027
1.
Of
the
funds
appropriated
in
this
section,
$7,824,377
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$2,463,854
is
allocated
for
the
family
development
and
self-sufficiency
grant
program.
3.
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
July
1,
2011,
if
necessary
to
meet
federal
maintenance
of
effort
requirements
or
to
transfer
federal
temporary
assistance
for
needy
families
block
grant
funding
to
be
used
for
purposes
of
the
federal
social
services
block
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
receiving
federal
funding
or
to
implement,
in
accordance
with
this
division
of
this
Act,
activities
currently
funded
with
juvenile
court
services,
county,
or
community
moneys
and
state
moneys
used
in
combination
with
such
moneys,
the
department
of
human
services
may
transfer
funds
within
or
between
any
of
the
appropriations
made
in
this
division
of
this
Act
and
appropriations
in
law
for
the
federal
social
services
block
grant
to
the
department
for
the
following
purposes,
provided
that
the
combined
amount
of
state
and
federal
temporary
assistance
for
needy
families
block
grant
funding
for
each
appropriation
remains
the
same
before
and
after
the
transfer:
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a.
For
the
family
investment
program.
b.
For
child
care
assistance.
c.
For
child
and
family
services.
d.
For
field
operations.
e.
For
general
administration.
f.
MH/MR/DD/BI
community
services
(local
purchase).
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
The
department
shall
report
any
transfers
made
pursuant
to
this
subsection
to
the
legislative
services
agency.
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
organization
with
a
history
of
providing
tax
preparation
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
of
the
state.
Sec.
8.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
child
support
recovery,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,119,255
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
1.
The
department
shall
expend
up
to
$24,329,
including
federal
financial
participation,
for
the
fiscal
year
beginning
July
1,
2011,
for
a
child
support
public
awareness
campaign.
The
department
and
the
office
of
the
attorney
general
shall
cooperate
in
continuation
of
the
campaign.
The
public
awareness
campaign
shall
emphasize,
through
a
variety
of
media
activities,
the
importance
of
maximum
involvement
of
both
parents
in
the
lives
of
their
children
as
well
as
the
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importance
of
payment
of
child
support
obligations.
2.
Federal
access
and
visitation
grant
moneys
shall
be
issued
directly
to
private
not-for-profit
agencies
that
provide
services
designed
to
increase
compliance
with
the
child
access
provisions
of
court
orders,
including
but
not
limited
to
neutral
visitation
sites
and
mediation
services.
3.
The
appropriation
made
to
the
department
for
child
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
manner
necessary
for
purposes
of
cash
flow
management,
and
for
cash
flow
management
purposes
the
department
may
temporarily
draw
more
than
the
amount
appropriated,
provided
the
amount
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
4.
With
the
exception
of
the
funding
amount
specified,
the
requirements
established
under
2001
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
be
applicable
to
parental
obligation
pilot
projects
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012.
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
in
effect
until
June
30,
2012.
Sec.
9.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE.
Any
funds
remaining
in
the
health
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
program
appropriations
made
in
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
implementation.
Sec.
10.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
assistance
program
reimbursement
and
associated
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costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2011,
except
as
otherwise
expressly
authorized
by
law,
and
consistent
with
options
under
federal
law
and
regulations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$909,993,421
1.
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
For
an
abortion
covered
under
the
program,
except
in
the
case
of
a
medical
emergency,
as
defined
in
section
135L.1,
for
any
woman,
the
physician
shall
certify
both
of
the
following:
a.
That
the
woman
has
been
given
the
opportunity
to
view
an
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
before
an
abortion
is
performed.
b.
That
the
woman
has
been
provided
information
regarding
the
options
relative
to
a
pregnancy,
including
continuing
the
pregnancy
to
term
and
retaining
parental
rights
following
the
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
child
for
adoption,
and
terminating
the
pregnancy.
2.
The
department
shall
utilize
not
more
than
$60,000
of
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
health
insurance
premium
payment
program
as
established
in
1992
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$5,000
may
be
expended
for
administrative
purposes.
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
of
public
health
for
addictive
disorders,
$950,000
for
the
fiscal
year
beginning
July
1,
2011,
shall
be
transferred
to
the
department
of
human
services
for
an
integrated
substance
abuse
managed
care
system.
The
department
shall
not
assume
management
of
the
substance
abuse
system
in
place
of
the
managed
care
contractor
unless
such
a
change
in
approach
is
specifically
authorized
in
law.
The
departments
of
human
services
and
public
health
shall
work
together
to
maintain
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the
level
of
mental
health
and
substance
abuse
services
provided
by
the
managed
care
contractor
through
the
Iowa
plan
for
behavioral
health.
Each
department
shall
take
the
steps
necessary
to
continue
the
federal
waivers
as
necessary
to
maintain
the
level
of
services.
4.
a.
The
department
shall
aggressively
pursue
options
for
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
policy
provisions.
b.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
for
participation
in
one
or
more
pilot
projects
operated
by
a
private
provider
to
allow
the
individual
or
individuals
to
receive
service
in
the
community
in
accordance
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnosis,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
the
policy
provisions.
5.
Of
the
funds
appropriated
in
this
section,
up
to
$3,050,082
may
be
transferred
to
the
field
operations
or
general
administration
appropriations
in
this
Act
for
operational
costs
associated
with
Part
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
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of
2003,
Pub.
L.
No.
108-173.
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
may
be
used
for
the
medical
contract
for
clinical
assessment
services
and
prior
authorization
of
services.
7.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriations
in
this
division
of
this
Act
for
general
administration,
the
children’s
health
insurance
program,
or
field
operations
to
be
used
for
the
state
match
cost
to
comply
with
the
payment
error
rate
measurement
(PERM)
program
for
both
the
medical
assistance
and
children’s
health
insurance
programs
as
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
to
comply
with
the
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
8.
It
is
the
intent
of
the
general
assembly
that
the
department
continue
to
implement
the
recommendations
of
the
assuring
better
child
health
and
development
initiative
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
services
healthy
mental
development
collaborative
board
regarding
changes
to
billing
procedures,
codes,
and
eligible
service
providers.
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
to
supplement
the
incomes
of
residents
of
nursing
facilities,
intermediate
care
facilities
for
persons
with
mental
illness,
and
intermediate
care
facilities
for
persons
with
mental
retardation,
with
incomes
of
less
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
personal
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A.
10.
Of
the
funds
appropriated
in
this
section,
the
following
amounts
shall
be
transferred
to
the
appropriations
made
in
this
division
of
this
Act
for
the
state
mental
health
institutes:
a.
Cherokee
mental
health
institute
..........
$
9,098,425
b.
Clarinda
mental
health
institute
..........
$
1,977,305
c.
Independence
mental
health
institute
......
$
9,045,894
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d.
Mount
Pleasant
mental
health
institute
....
$
5,752,587
11.
a.
Of
the
funds
appropriated
in
this
section,
$7,425,684
is
allocated
for
the
state
match
for
a
disproportionate
share
hospital
payment
of
$19,133,430
to
hospitals
that
meet
both
of
the
conditions
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
meet
the
conditions
specified
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
of
$7,500,000.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
of
$26,633,430.
(1)
The
hospital
qualifies
for
disproportionate
share
and
graduate
medical
education
payments.
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
than
500
beds
and
eight
or
more
distinct
residency
specialty
or
subspecialty
programs
recognized
by
the
American
college
of
graduate
medical
education.
b.
Distribution
of
the
disproportionate
share
payments
shall
be
made
on
a
monthly
basis.
The
total
amount
of
disproportionate
share
payments
including
graduate
medical
education,
enhanced
disproportionate
share,
and
Iowa
state-owned
teaching
hospital
payments
shall
not
exceed
the
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
In
addition,
the
total
amount
of
all
disproportionate
share
payments
shall
not
exceed
the
hospital-specific
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
12.
The
university
of
Iowa
hospitals
and
clinics
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
appropriation
an
amount
equal
to
provide
the
nonfederal
share
for
increased
medical
assistance
payments
for
inpatient
and
outpatient
hospital
services
of
$9,900,000.
The
university
of
Iowa
hospitals
and
clinics
shall
receive
and
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retain
100
percent
of
the
total
increase
in
medical
assistance
payments.
13.
Of
the
funds
appropriated
in
this
section,
up
to
$4,480,304
may
be
transferred
to
the
IowaCare
account
created
in
section
249J.24.
14.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
Iowa
Acts,
chapter
179,
sections
166
and
167.
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
to
area
education
agencies
that
are
medical
assistance
providers
for
medical
assistance-covered
services
provided
to
medical
assistance-covered
children,
shall
be
made
from
the
appropriation
made
in
this
section.
16.
Any
new
or
renewed
contract
entered
into
by
the
department
with
a
third
party
to
administer
behavioral
health
services
under
the
medical
assistance
program
shall
provide
that
any
interest
earned
on
payments
from
the
state
during
the
state
fiscal
year
shall
be
remitted
to
the
department
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
assistance
program.
17.
The
department
shall
continue
to
implement
the
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
section
55,
relating
to
eligibility
for
certain
persons
with
disabilities
under
the
medical
assistance
program
in
accordance
with
the
federal
family
opportunity
Act.
18.
A
portion
of
the
funds
appropriated
in
this
section
may
be
used
for
the
medical
contracting
administrative
activities
associated
with
the
money
follows
the
person
demonstration
project.
19.
Of
the
funds
appropriated
in
this
section,
$349,011
shall
be
used
for
the
administration
of
the
health
insurance
premium
payment
program,
including
salaries,
support,
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maintenance,
and
miscellaneous
purposes
for
the
fiscal
year
beginning
July
1,
2011.
20.
a.
The
department
may
implement
cost
containment
strategies
recommended
by
the
governor,
and
may
adopt
emergency
rules
for
such
implementation.
b.
The
department
shall
not
implement
the
cost
containment
strategy
to
require
a
primary
care
referral
for
the
provision
of
chiropractic
services.
c.
The
department
may
increase
the
amounts
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
associated
with
the
medical
assistance
program,
as
necessary,
to
implement
the
cost
containment
strategies.
The
department
shall
report
any
such
increase
to
the
legislative
services
agency
and
the
department
of
management.
d.
If
the
savings
to
the
medical
assistance
program
exceed
the
cost,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
medical
assistance
program
cost
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
2009,
or
cost
containment
strategies
initiated
pursuant
to
this
subsection,
to
the
appropriation
made
in
this
division
of
this
Act
for
general
administration
to
defray
the
increased
contract
costs
associated
with
implementing
such
efforts.
e.
The
department
shall
report
the
implementation
of
any
cost
containment
strategies
under
this
subsection
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
on
a
quarterly
basis.
21.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
department
of
human
services
shall
amend
the
section
1915(b)
waiver
and
Iowa
plan
contract
to
include
remedial
services
under
the
Iowa
plan
contract
effective
July
1,
2011.
22.
Of
the
funds
appropriated
in
this
section,
$5,000,000
shall
be
used
to
reduce
the
waiting
lists
of
these
medical
assistance
home
and
community-based
services
waivers:
the
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waiver
for
persons
with
intellectual
disabilities,
the
waiver
for
persons
with
brain
injury,
and
the
children’s
mental
health
waiver.
The
department
shall
distribute
the
funding
allocated
under
this
subsection
proportionately
among
these
waivers.
23.
a.
The
department
may
submit
medical
assistance
program
state
plan
amendments
to
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services,
and
may
adopt
administrative
rules
pursuant
to
chapter
17A
to
implement
any
of
the
following
if
the
respective
state
plan
amendment
is
approved:
(1)
Health
homes
pursuant
to
section
2703
of
the
federal
Patient
Protection
and
Affordable
Care
Act,
Pub.
L.
No.
111-148.
The
department
shall
collaborate
with
the
medical
home
system
advisory
council
created
pursuant
to
section
135.159
in
developing
such
health
homes.
(2)
Accountable
care
organization
pilot
programs,
if
such
programs
are
advantageous
to
the
medical
assistance
program.
b.
Any
health
home
or
accountable
care
organization
pilot
program
implemented
pursuant
to
this
subsection
shall
demonstrate
value
to
the
state
with
a
positive
return
on
investment
within
two
years
of
implementation,
and
may
utilize
care
coordination
fees,
pay-for-performance
fees,
or
shared
saving
strategies
if
approved
as
part
of
the
state
plan
amendment.
24.
The
department,
in
consultation
with
the
Iowa
pharmacy
association
and
other
appropriate
entities,
shall
develop
recommendations
to
replace
the
reimbursement
methodology
of
average
wholesale
price
minus
12
percent
for
covered
brand-name
prescription
drugs,
generic
drugs,
and
over-the-counter
drugs.
The
department
shall
report
the
recommendations
to
the
persons
designated
in
this
division
of
this
Act
for
submission
of
reports
by
December
15,
2011.
25.
The
department
shall
amend
the
state
Medicaid
health
information
technology
plan
to
include
costs
related
to
the
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one-time
development
costs
of
the
health
information
technology
system
developed
by
the
department
of
public
health.
Sec.
11.
STATE
SUPPLEMENTARY
ASSISTANCE.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,850,747
2.
The
department
shall
increase
the
personal
needs
allowance
for
residents
of
residential
care
facilities
by
the
same
percentage
and
at
the
same
time
as
federal
supplemental
security
income
and
federal
social
security
benefits
are
increased
due
to
a
recognized
increase
in
the
cost
of
living.
The
department
may
adopt
emergency
rules
to
implement
this
subsection.
3.
If
during
the
fiscal
year
beginning
July
1,
2011,
the
department
projects
that
state
supplementary
assistance
expenditures
for
a
calendar
year
will
not
meet
the
federal
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
§
1382g,
the
department
may
take
actions
including
but
not
limited
to
increasing
the
personal
needs
allowance
for
residential
care
facility
residents
and
making
programmatic
adjustments
or
upward
adjustments
of
the
residential
care
facility
or
in-home
health-related
care
reimbursement
rates
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
requirements
are
met.
In
addition,
the
department
may
make
other
programmatic
and
rate
adjustments
necessary
to
remain
within
the
amount
appropriated
in
this
section
while
ensuring
compliance
with
federal
requirements.
The
department
may
adopt
emergency
rules
to
implement
the
provisions
of
this
subsection.
Sec.
12.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
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1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
program
pursuant
to
chapter
514I,
including
supplemental
dental
services,
for
receipt
of
federal
financial
participation
under
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
children’s
health
insurance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,806,102
2.
Of
the
funds
appropriated
in
this
section,
$128,950
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
13.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
53,237,662
1.
Of
the
funds
appropriated
in
this
section,
$51,896,082
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13.
2.
Nothing
in
this
section
shall
be
construed
or
is
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
to
persons
who
are
eligible
for
assistance
due
to
an
income
level
consistent
with
the
waiting
list
requirements
of
section
237A.13.
Any
state
obligation
to
provide
services
pursuant
to
this
section
is
limited
to
the
extent
of
the
funds
appropriated
in
this
section.
3.
Of
the
funds
appropriated
in
this
section,
$432,453
is
allocated
for
the
statewide
program
for
child
care
resource
and
referral
services
under
section
237A.26.
A
list
of
the
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registered
and
licensed
child
care
facilities
operating
in
the
area
served
by
a
child
care
resource
and
referral
service
shall
be
made
available
to
the
families
receiving
state
child
care
assistance
in
that
area.
4.
Of
the
funds
appropriated
in
this
section,
$936,974
is
allocated
for
child
care
quality
improvement
initiatives
including
but
not
limited
to
the
voluntary
quality
rating
system
in
accordance
with
section
237A.30.
5.
The
department
may
use
any
of
the
funds
appropriated
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
expanding
child
care
assistance
and
related
programs.
For
the
purpose
of
expenditures
of
state
and
federal
child
care
funding,
funds
shall
be
considered
obligated
at
the
time
expenditures
are
projected
or
are
allocated
to
the
department’s
service
areas.
Projections
shall
be
based
on
current
and
projected
caseload
growth,
current
and
projected
provider
rates,
staffing
requirements
for
eligibility
determination
and
management
of
program
requirements
including
data
systems
management,
staffing
requirements
for
administration
of
the
program,
contractual
and
grant
obligations
and
any
transfers
to
other
state
agencies,
and
obligations
for
decategorization
or
innovation
projects.
6.
A
portion
of
the
state
match
for
the
federal
child
care
and
development
block
grant
shall
be
provided
as
necessary
to
meet
federal
matching
funds
requirements
through
the
state
general
fund
appropriation
made
for
child
development
grants
and
other
programs
for
at-risk
children
in
section
279.51.
7.
If
a
uniform
reduction
ordered
by
the
governor
under
section
8.31
or
other
operation
of
law,
transfer,
or
federal
funding
reduction
reduces
the
appropriation
made
in
this
section
for
the
fiscal
year,
the
percentage
reduction
in
the
amount
paid
out
to
or
on
behalf
of
the
families
participating
in
the
state
child
care
assistance
program
shall
be
equal
to
or
less
than
the
percentage
reduction
made
for
any
other
purpose
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payable
from
the
appropriation
made
in
this
section
and
the
federal
funding
relating
to
it.
The
percentage
reduction
to
the
other
allocations
made
in
this
section
shall
be
the
same
as
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
change
of
the
federal
funding
reduction,
as
applicable.
If
there
is
an
unanticipated
increase
in
federal
funding
provided
for
state
child
care
assistance,
the
entire
amount
of
the
increase
shall
be
used
for
state
child
care
assistance
payments.
If
the
appropriations
made
for
purposes
of
the
state
child
care
assistance
program
for
the
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
requirements.
8.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
or
received
from
the
federal
appropriations
made
for
the
purposes
of
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
14.
JUVENILE
INSTITUTIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,258,251
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
2.
For
operation
of
the
state
training
school
at
Eldora
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,638,677
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
be
used
for
distribution
to
licensed
classroom
teachers
at
this
and
other
institutions
under
the
control
of
the
department
of
human
services
based
upon
the
average
student
yearly
enrollment
at
each
institution
as
determined
by
the
department.
3.
A
portion
of
the
moneys
appropriated
in
this
section
shall
be
used
by
the
state
training
school
and
by
the
Iowa
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
activities
at
the
institutions
in
the
fiscal
year
beginning
July
1,
2011.
Sec.
15.
CHILD
AND
FAMILY
SERVICES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
82,830,163
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
amount
allocated
under
the
appropriation
made
for
the
purposes
of
this
section
in
prior
years
for
purposes
of
juvenile
delinquent
graduated
sanction
services,
up
to
$5,200,000
of
the
amount
of
federal
temporary
assistance
for
needy
families
block
grant
funding
appropriated
in
this
division
of
this
Act
for
child
and
family
services
shall
be
made
available
for
purposes
of
juvenile
delinquent
graduated
sanction
services.
3.
The
department
may
transfer
funds
appropriated
in
this
section
as
necessary
to
pay
the
nonfederal
costs
of
services
reimbursed
under
the
medical
assistance
program,
state
child
care
assistance
program,
or
the
family
investment
program
which
are
provided
to
children
who
would
otherwise
receive
services
paid
under
the
appropriation
in
this
section.
The
department
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may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
for
field
operations
for
resources
necessary
to
implement
and
operate
the
services
funded
in
this
section.
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$30,169,129
is
allocated
as
the
statewide
expenditure
target
under
section
232.143
for
group
foster
care
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
allocated
in
this
lettered
paragraph,
the
department
may
reallocate
the
excess
to
provide
additional
funding
for
shelter
care
or
the
child
welfare
emergency
services
addressed
with
the
allocation
for
shelter
care.
b.
If
at
any
time
after
September
30,
2011,
annualization
of
a
service
area’s
current
expenditures
indicates
a
service
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
target
under
section
232.143
by
more
than
5
percent,
the
department
and
juvenile
court
services
shall
examine
all
group
foster
care
placements
in
that
service
area
in
order
to
identify
those
which
might
be
appropriate
for
termination.
In
addition,
any
aftercare
services
believed
to
be
needed
for
the
children
whose
placements
may
be
terminated
shall
be
identified.
The
department
and
juvenile
court
services
shall
initiate
action
to
set
dispositional
review
hearings
for
the
placements
identified.
In
such
a
dispositional
review
hearing,
the
juvenile
court
shall
determine
whether
needed
aftercare
services
are
available
and
whether
termination
of
the
placement
is
in
the
best
interest
of
the
child
and
the
community.
5.
In
accordance
with
the
provisions
of
section
232.188,
the
department
shall
continue
the
child
welfare
and
juvenile
justice
funding
initiative
during
fiscal
year
2011-2012.
Of
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
specifically
for
expenditure
for
fiscal
year
2011-2012
through
the
decategorization
service
funding
pools
and
governance
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boards
established
pursuant
to
section
232.188.
6.
A
portion
of
the
funds
appropriated
in
this
section
may
be
used
for
emergency
family
assistance
to
provide
other
resources
required
for
a
family
participating
in
a
family
preservation
or
reunification
project
or
successor
project
to
stay
together
or
to
be
reunified.
7.
Notwithstanding
section
234.35
or
any
other
provision
of
law
to
the
contrary,
state
funding
for
shelter
care
and
the
child
welfare
emergency
services
contracting
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
limited
to
$7,170,116.
The
department
may
execute
contracts
that
result
from
the
department’s
request
for
proposal,
bid
number
ACFS-11-114,
to
provide
the
range
of
child
welfare
emergency
services
described
in
the
request
for
proposals,
and
any
subsequent
amendments
to
the
request
for
proposals.
8.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2011,
as
the
result
of
the
expenditure
of
state
funds
appropriated
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
services
and
purposes
provided
for
under
this
section.
Notwithstanding
section
8.33,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
9.
Of
the
funds
appropriated
in
this
section,
at
least
$3,696,285
shall
be
used
for
protective
child
care
assistance.
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$2,062,488
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
who
are
under
the
supervision
of
juvenile
court
services,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
to
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$1,556,287
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232,
of
which
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
the
school
district
or
other
funding
source
as
approved
by
the
chief
juvenile
court
officer.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
children
who
are
under
the
supervision
of
the
department,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4.
c.
Notwithstanding
section
232.141
or
any
other
provision
of
law
to
the
contrary,
the
amounts
allocated
in
this
subsection
shall
be
distributed
to
the
judicial
districts
as
determined
by
the
state
court
administrator
and
to
the
department’s
service
areas
as
determined
by
the
administrator
of
the
department’s
division
of
child
and
family
services.
The
state
court
administrator
and
the
division
administrator
shall
make
the
determination
of
the
distribution
amounts
on
or
before
June
15,
2011.
However,
if
this
subsection
is
enacted
on
or
after
June
15,
2011,
the
determination
shall
be
made
not
later
than
10
calendar
days
after
the
effective
date
of
this
subsection.
d.
Notwithstanding
chapter
232
or
any
other
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
any
service
which
is
a
charge
upon
the
state
pursuant
to
section
232.141
if
there
are
insufficient
court-ordered
services
funds
available
in
the
district
court
or
departmental
service
area
distribution
amounts
to
pay
for
the
service.
The
chief
juvenile
court
officer
and
the
departmental
service
area
manager
shall
encourage
use
of
the
funds
allocated
in
this
subsection
such
that
there
are
sufficient
funds
to
pay
for
all
court-related
services
during
the
entire
year.
The
chief
juvenile
court
officers
and
departmental
service
area
managers
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shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
in
the
distribution
amounts
and
shall
cooperatively
request
the
state
court
administrator
or
division
administrator
to
transfer
funds
between
the
judicial
districts’
or
departmental
service
areas’
distribution
amounts
as
prudent.
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
entered
under
chapter
232
which
is
a
charge
upon
the
state
under
section
232.141,
subsection
4.
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$83,000
may
be
used
by
the
judicial
branch
for
administration
of
the
requirements
under
this
subsection.
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
shall
be
used
by
the
department
of
human
services
to
support
the
interstate
commission
for
juveniles
in
accordance
with
the
interstate
compact
for
juveniles
as
provided
in
section
232.173.
11.
Of
the
funds
appropriated
in
this
section,
$5,922,602
is
allocated
for
juvenile
delinquent
graduated
sanctions
services.
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
services
to
earn
federal
Tit.
IV-E
match
for
juvenile
court
services
administration
may
be
used
for
the
juvenile
delinquent
graduated
sanctions
services.
12.
Of
the
funds
appropriated
in
this
section,
$988,285
shall
be
transferred
to
the
department
of
public
health
to
be
used
for
the
child
protection
center
grant
program
in
accordance
with
section
135.118.
13.
If
the
department
receives
federal
approval
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
Security
Act
to
enable
providers
to
serve
children
who
remain
in
the
children’s
families
and
communities,
for
purposes
of
eligibility
under
the
medical
assistance
program,
children
who
participate
in
the
waiver
shall
be
considered
to
be
placed
in
-41-
HF649.3431
(28)
84
pf/jp
41/
192
CCH-649
foster
care.
14.
Of
the
funds
appropriated
in
this
section,
$3,069,832
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46.
15.
Of
the
funds
appropriated
in
this
section,
$520,150
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
in
this
subsection
shall
be
distributed
as
follows:
To
the
judicial
branch
for
salaries
to
assist
with
the
operation
of
juvenile
drug
court
programs
operated
in
the
following
jurisdictions:
a.
Marshall
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,708
b.
Woodbury
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,682
c.
Polk
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
195,892
d.
The
third
judicial
district:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
e.
The
eighth
judicial
district:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
16.
Of
the
funds
appropriated
in
this
section,
$227,337
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
a
nonprofit
human
services
organization
providing
services
to
individuals
and
families
in
multiple
locations
in
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
sensitive
support
and
forensic
interviews,
medical
exams,
needs
assessments,
and
referrals
for
victims
of
child
abuse
and
their
nonoffending
family
members.
17.
Of
the
funds
appropriated
in
this
section,
$125,590
is
allocated
for
the
elevate
approach
of
providing
a
support
network
to
children
placed
in
foster
care.
18.
Of
the
funds
appropriated
in
this
section,
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
continuation
of
the
initiative
to
address
child
sexual
abuse
implemented
-42-
HF649.3431
(28)
84
pf/jp
42/
192
CCH-649
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
21.
19.
Of
the
funds
appropriated
in
this
section,
$630,240
is
allocated
for
the
community
partnership
for
child
protection
sites.
20.
Of
the
funds
appropriated
in
this
section,
$371,250
is
allocated
for
the
department’s
minority
youth
and
family
projects
under
the
redesign
of
the
child
welfare
system.
21.
Of
the
funds
appropriated
in
this
section,
$1,200,495
is
allocated
for
funding
of
the
state
match
for
the
federal
substance
abuse
and
mental
health
services
administration
(SAMHSA)
system
of
care
grant.
22.
Of
the
funds
appropriated
in
this
section,
at
least
$147,158
shall
be
used
for
the
child
welfare
training
academy.
23.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
a
child
welfare
services
provider
headquartered
in
a
county
with
a
population
between
205,000
and
215,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
a
psychiatric
medical
institution
for
children,
shelter,
residential
treatment,
after
school
programs,
school-based
programming,
and
an
Asperger’s
syndrome
program,
to
be
used
for
support
services
for
children
with
autism
spectrum
disorder
and
their
families.
24.
Of
the
funds
appropriated
in
this
section,
$250,000
shall
be
used
for
continuation
of
the
central
Iowa
system
of
care
program
grant
through
June
30,
2012.
25.
Of
the
funds
appropriated
in
this
section,
$160,000
shall
be
used
to
award
a
grant
through
a
request
for
proposals
process
to
a
nonprofit
entity
that
is
providing
child
welfare
treatment
and
prevention
services
in
multiple
locations
throughout
the
state
of
Iowa.
The
grant
project
shall
replicate
the
model
and
outcomes
of
the
system
of
care
project
for
children
and
youth
with
emotional
and
behavior
challenges
-43-
HF649.3431
(28)
84
pf/jp
43/
192
CCH-649
operating
in
northeast
Iowa.
The
grant
project
shall
be
implemented
in
a
manner
so
as
to
ensure
collaboration
with
local
planning
groups
and
agencies
that
are
involved
with
providing
mental
health
services,
the
families
of
children
receiving
these
services,
and
the
children
receiving
these
services,
in
order
to
improve
access
and
expand
the
array
of
appropriate
community-based
services.
The
grant
project
shall
provide
services
to
children
and
families
in
Cerro
Gordo
and
Linn
counties.
Sec.
16.
ADOPTION
SUBSIDY.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,266,591
2.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
general
administration
for
costs
paid
from
the
appropriation
relating
to
adoption
subsidy.
3.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2011,
as
the
result
of
the
expenditure
of
state
funds
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
the
services
and
activities
funded
under
this
section.
Notwithstanding
section
8.33,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
17.
JUVENILE
DETENTION
HOME
FUND.
1.
Moneys
deposited
in
the
juvenile
detention
home
fund
-44-
HF649.3431
(28)
84
pf/jp
44/
192
CCH-649
created
in
section
232.142
during
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
for
distribution
of
an
amount
equal
to
a
percentage
of
the
costs
of
the
establishment,
improvement,
operation,
and
maintenance
of
county
or
multicounty
juvenile
detention
homes
in
the
fiscal
year
beginning
July
1,
2010.
Moneys
appropriated
for
distribution
in
accordance
with
this
section
shall
be
allocated
among
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
fiscal
year
beginning
July
1,
2010.
The
percentage
figure
shall
be
determined
by
the
department
based
on
the
amount
available
for
distribution
for
the
fund.
Notwithstanding
section
232.142,
subsection
3,
the
financial
aid
payable
by
the
state
under
that
provision
for
the
fiscal
year
beginning
July
1,
2011,
shall
be
limited
to
the
amount
appropriated
for
the
purposes
of
this
section.
2.
Representatives
of
chief
juvenile
court
officers,
the
department
of
human
rights,
and
the
department
of
human
services
shall
work
with
juvenile
detention
centers
and
other
stakeholders
to
review
the
current
methodology
for
distribution
of
moneys
from
the
juvenile
detention
home
fund,
consider
alternative
distribution
methodologies,
and
report
findings
and
recommendations
to
the
persons
designated
by
this
division
of
this
Act
for
the
submission
of
reports
by
December
15,
2011.
It
is
the
intent
of
the
general
assembly
to
shift
responsibility
for
administering
the
fund
from
the
department
of
human
services
to
the
division
of
criminal
and
juvenile
justice
planning
of
the
department
of
human
rights,
effective
with
the
fiscal
year
beginning
July
1,
2012.
Sec.
18.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
-45-
HF649.3431
(28)
84
pf/jp
45/
192
CCH-649
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
family
support
subsidy
program
subject
to
the
enrollment
restrictions
in
section
225C.37,
subsection
3:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,167,998
2.
The
department
shall
use
at
least
$385,500
of
the
moneys
appropriated
in
this
section
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
section
225C.47.
Not
more
than
$25,000
of
the
amount
allocated
in
this
subsection
shall
be
used
for
administrative
costs.
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
funding
available
for
the
family
support
subsidy
program
is
reduced
from
the
amount
initially
used
to
establish
the
figure
for
the
number
of
family
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
notwithstanding
section
225C.38,
subsection
2,
the
department
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
of
funding
available.
Sec.
19.
CONNER
DECREE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
building
community
capacity
through
the
coordination
and
provision
of
training
opportunities
in
accordance
with
the
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,622
Sec.
20.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
-46-
HF649.3431
(28)
84
pf/jp
46/
192
CCH-649
designated:
1.
For
the
state
mental
health
institute
at
Cherokee
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,877,308
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
2.
For
the
state
mental
health
institute
at
Clarinda
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,411,734
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
3.
For
the
state
mental
health
institute
at
Independence
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,275,685
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
944,323
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.72
Sec.
21.
STATE
RESOURCE
CENTERS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,507,801
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,785,658
-47-
HF649.3431
(28)
84
pf/jp
47/
192
CCH-649
2.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
shift
costs
between
the
medical
assistance
program,
counties,
or
other
sources
of
funding
for
the
state
resource
centers.
3.
The
state
resource
centers
may
expand
the
time-limited
assessment
and
respite
services
during
the
fiscal
year.
4.
If
the
department’s
administration
and
the
department
of
management
concur
with
a
finding
by
a
state
resource
center’s
superintendent
that
projected
revenues
can
reasonably
be
expected
to
pay
the
salary
and
support
costs
for
a
new
employee
position,
or
that
such
costs
for
adding
a
particular
number
of
new
positions
for
the
fiscal
year
would
be
less
than
the
overtime
costs
if
new
positions
would
not
be
added,
the
superintendent
may
add
the
new
position
or
positions.
If
the
vacant
positions
available
to
a
resource
center
do
not
include
the
position
classification
desired
to
be
filled,
the
state
resource
center’s
superintendent
may
reclassify
any
vacant
position
as
necessary
to
fill
the
desired
position.
The
superintendents
of
the
state
resource
centers
may,
by
mutual
agreement,
pool
vacant
positions
and
position
classifications
during
the
course
of
the
fiscal
year
in
order
to
assist
one
another
in
filling
necessary
positions.
5.
If
existing
capacity
limitations
are
reached
in
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
a
special
need
for
which
a
payment
source
or
other
funding
is
available
for
the
service
or
to
address
the
special
need,
and
facilities
for
the
service
or
to
address
the
special
need
can
be
provided
within
the
available
payment
source
or
other
funding,
the
superintendent
of
a
state
resource
center
may
authorize
opening
not
more
than
two
units
or
other
facilities
and
begin
implementing
the
service
or
addressing
the
special
need
during
fiscal
year
2011-2012.
Sec.
22.
MI/MR/DD
STATE
CASES.
-48-
HF649.3431
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84
pf/jp
48/
192
CCH-649
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
distribution
to
counties
for
state
case
services
for
persons
with
mental
illness,
mental
retardation,
and
developmental
disabilities
in
accordance
with
section
331.440:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,169,482
2.
For
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
$200,000
is
allocated
for
state
case
services
from
the
amounts
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
from
the
funds
received
from
the
federal
government
under
42
U.S.C.
ch.
6A,
subch.
XVII,
relating
to
the
community
mental
health
center
block
grant,
for
the
federal
fiscal
years
beginning
October
1,
2009,
and
ending
September
30,
2010,
beginning
October
1,
2010,
and
ending
September
30,
2011,
and
beginning
October
1,
2011,
and
ending
September
30,
2012.
The
allocation
made
in
this
subsection
shall
be
made
prior
to
any
other
distribution
allocation
of
the
appropriated
federal
funds.
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
23.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
mental
health
and
developmental
disabilities
community
services
fund
created
in
section
225C.7
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
mental
health
and
developmental
disabilities
community
-49-
HF649.3431
(28)
84
pf/jp
49/
192
CCH-649
services
in
accordance
with
this
division
of
this
Act:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
shall
be
allocated
to
counties
for
funding
of
community-based
mental
health
and
developmental
disabilities
services.
The
moneys
shall
be
allocated
to
a
county
as
follows:
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
population
of
persons
with
an
annual
income
which
is
equal
to
or
less
than
the
poverty
guideline
established
by
the
federal
office
of
management
and
budget.
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
general
population.
2.
a.
A
county
shall
utilize
the
funding
the
county
receives
pursuant
to
subsection
1
for
services
provided
to
persons
with
a
disability,
as
defined
in
section
225C.2.
However,
no
more
than
50
percent
of
the
funding
shall
be
used
for
services
provided
to
any
one
of
the
service
populations.
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
county
receives
under
subsection
1
for
contemporary
services
provided
to
persons
with
a
disability,
as
described
in
rules
adopted
by
the
department.
3.
Of
the
funds
appropriated
in
this
section,
$23,544
shall
be
used
to
support
the
Iowa
compass
program
providing
computerized
information
and
referral
services
for
Iowans
with
disabilities
and
their
families.
4.
a.
Funding
appropriated
for
purposes
of
the
federal
social
services
block
grant
is
allocated
for
distribution
to
counties
for
local
purchase
of
services
for
persons
with
mental
illness
or
mental
retardation
or
other
developmental
disability.
b.
The
funds
allocated
in
this
subsection
shall
be
expended
by
counties
in
accordance
with
the
county’s
county
management
plan
approved
by
the
board
of
supervisors.
A
county
without
an
approved
county
management
plan
shall
not
receive
allocated
-50-
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50/
192
CCH-649
funds
until
the
county’s
management
plan
is
approved.
c.
The
funds
provided
by
this
subsection
shall
be
allocated
to
each
county
as
follows:
(1)
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
population
of
persons
with
an
annual
income
which
is
equal
to
or
less
than
the
poverty
guideline
established
by
the
federal
office
of
management
and
budget.
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
county
for
local
purchase
of
services
in
the
preceding
fiscal
year.
5.
A
county
is
eligible
for
funds
under
this
section
if
the
county
qualifies
for
a
state
payment
as
described
in
section
331.439.
6.
The
latest
certified
census
issued
by
the
United
States
bureau
of
the
census
shall
be
applied
for
the
population
factors
utilized
in
this
section.
Sec.
24.
SEXUALLY
VIOLENT
PREDATORS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
costs
associated
with
the
commitment
and
treatment
of
sexually
violent
predators
in
the
unit
located
at
the
state
mental
health
institute
at
Cherokee,
including
costs
of
legal
services
and
other
associated
costs,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,550,727
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
2.
Unless
specifically
prohibited
by
law,
if
the
amount
charged
provides
for
recoupment
of
at
least
the
entire
amount
of
direct
and
indirect
costs,
the
department
of
human
services
may
contract
with
other
states
to
provide
care
and
treatment
-51-
HF649.3431
(28)
84
pf/jp
51/
192
CCH-649
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
violent
predators
at
Cherokee.
The
moneys
received
under
such
a
contract
shall
be
considered
to
be
repayment
receipts
and
used
for
the
purposes
of
the
appropriation
made
in
this
section.
Sec.
25.
FIELD
OPERATIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
field
operations,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
54,789,921
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
Priority
in
filling
full-time
equivalent
positions
shall
be
given
to
those
positions
related
to
child
protection
services
and
eligibility
determination
for
low-income
families.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
26.
GENERAL
ADMINISTRATION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
general
administration,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,596,745
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
290.00
1.
Of
the
funds
appropriated
in
this
section,
$38,543
-52-
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pf/jp
52/
192
CCH-649
allocated
for
the
prevention
of
disabilities
policy
council
established
in
section
225B.3.
2.
The
department
shall
report
at
least
monthly
to
the
legislative
services
agency
concerning
the
department’s
operational
and
program
expenditures.
3.
Of
the
funds
appropriated
in
this
section,
$132,300
shall
be
used
to
contract
with
a
statewide
association
representing
community
providers
of
mental
health,
mental
retardation
and
brain
injury
services
programs
to
provide
technical
assistance,
support,
and
consultation
to
providers
of
habilitation
services
and
home
and
community-based
waiver
services
for
adults
with
disabilities
under
the
medical
assistance
program.
Notwithstanding
section
8.47
or
any
other
provision
of
law
to
the
contrary,
the
department
may
utilize
a
sole
source
approach
to
contract
with
the
association.
4.
Of
the
funds
appropriated
in
this
section,
$176,400
shall
be
used
to
contract
with
an
appropriate
entity
to
expand
the
provision
of
nationally
accredited
and
recognized
internet-based
training
to
include
mental
health
and
disability
services
providers.
Notwithstanding
section
8.47
or
any
other
provision
of
law
to
the
contrary,
the
department
may
utilize
a
sole
source
approach
to
enter
into
such
contract.
5.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
be
used
for
implementation
of
child
protection
system
improvements
addressed
in
2011
Iowa
Acts,
House
File
562,
as
enacted.
6.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
27.
VOLUNTEERS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
-53-
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53/
192
CCH-649
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,660
Sec.
28.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2011,
the
total
state
funding
amount
for
the
nursing
facility
budget
shall
not
exceed
$225,457,724.
(2)
For
the
fiscal
year
beginning
July
1,
2011,
the
department
shall
rebase
case-mix
nursing
facility
rates
effective
July
1,
2011.
However,
total
nursing
facility
budget
expenditures,
including
both
case-mix
and
noncase-mix
shall
not
exceed
the
amount
specified
in
subparagraph
(1).
When
calculating
case-mix
per
diem
cost
and
the
patient-day-weighted
medians
used
in
rate-setting
for
nursing
facilities
effective
July
1,
2011,
the
inflation
factor
applied
from
the
midpoint
of
the
cost
report
period
to
the
first
day
of
the
state
fiscal
year
rate
period
shall
be
adjusted
to
maintain
state
funding
within
the
amount
specified
in
subparagraph
(1).
(3)
The
department,
in
cooperation
with
nursing
facility
representatives,
shall
review
projections
for
state
funding
expenditures
for
reimbursement
of
nursing
facilities
on
a
quarterly
basis
and
the
department
shall
determine
if
an
adjustment
to
the
medical
assistance
reimbursement
rate
is
necessary
in
order
to
provide
reimbursement
within
the
state
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
if
the
state
funding
expenditures
for
the
nursing
facility
budget
for
the
fiscal
year
is
projected
to
exceed
the
amount
specified
in
subparagraph
(1),
the
department
shall
adjust
the
reimbursement
for
nursing
facilities
reimbursed
under
the
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case-mix
reimbursement
system
to
maintain
expenditures
of
the
nursing
facility
budget
within
the
specified
amount
for
the
fiscal
year.
(4)
For
the
fiscal
year
beginning
July
1,
2011,
special
population
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
methodology
in
effect
on
June
30,
2011.
b.
For
the
fiscal
year
beginning
July
1,
2011,
the
department
shall
reimburse
pharmacy
dispensing
fees
using
a
single
rate
of
$4.34
per
prescription
or
the
pharmacy’s
usual
and
customary
fee,
whichever
is
lower.
However,
the
department
shall
adjust
the
dispensing
fee
specified
in
this
paragraph
to
distribute
an
additional
$2,981,980
in
reimbursements
for
pharmacy
dispensing
fees
under
this
paragraph
for
the
fiscal
year.
c.
(1)
For
the
fiscal
year
beginning
July
1,
2011,
reimbursement
rates
for
outpatient
hospital
services
shall
be
rebased
effective
January
1,
2012.
(2)
For
the
fiscal
year
beginning
July
1,
2011,
reimbursement
rates
for
inpatient
hospital
services
shall
be
rebased
effective
October
1,
2011.
(3)
The
total
amount
of
increased
funding
available
for
reimbursement
attributable
to
rebasing
under
this
paragraph
for
the
fiscal
year
beginning
July
1,
2011,
shall
not
exceed
$4,500,000.
(4)
For
the
fiscal
year
beginning
July
1,
2011,
the
graduate
medical
education
and
disproportionate
share
hospital
fund
shall
remain
at
the
amount
in
effect
on
June
30,
2011,
except
that
the
portion
of
the
fund
attributable
to
graduate
medical
education
shall
be
reduced
in
an
amount
that
reflects
the
elimination
of
graduate
medical
education
payments
made
to
out-of-state
hospitals.
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
funds
in
procuring
health
care
services
for
low-income
Iowans,
funds
appropriated
in
this
Act
for
hospital
services
shall
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not
be
used
for
activities
which
would
be
excluded
from
a
determination
of
reasonable
costs
under
the
federal
Medicare
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
d.
For
the
fiscal
year
beginning
July
1,
2011,
reimbursement
rates
for
rural
health
clinics,
hospices,
and
acute
mental
hospitals
shall
be
increased
in
accordance
with
increases
under
the
federal
Medicare
program
or
as
supported
by
their
Medicare
audited
costs.
e.
For
the
fiscal
year
beginning
July
1,
2011,
independent
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
using
the
same
methodology
in
effect
on
June
30,
2011.
f.
For
the
fiscal
year
beginning
July
1,
2011,
reimbursement
rates
for
home
health
agencies
shall
remain
at
the
rates
in
effect
on
June
30,
2011,
not
to
exceed
a
home
health
agency’s
actual
allowable
cost.
g.
For
the
fiscal
year
beginning
July
1,
2011,
federally
qualified
health
centers
shall
receive
cost-based
reimbursement
for
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
h.
For
the
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rates
for
dental
services
shall
remain
at
the
rates
in
effect
on
June
30,
2011.
i.
(1)
For
the
fiscal
year
beginning
July
1,
2011,
state-owned
psychiatric
medical
institutions
for
children
shall
receive
cost-based
reimbursement
for
100
percent
of
the
actual
and
allowable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
(2)
(a)
For
nonstate-owned
psychiatric
medical
institutions
for
children,
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2011.
However,
the
department
shall
adjust
the
reimbursement
rates
in
effect
on
June
30,
2011,
to
distribute
an
additional
$350,000
in
reimbursements
for
nonstate-owned
psychiatric
medical
institutions
for
children
under
this
subparagraph
(2)
for
the
fiscal
year.
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(b)
The
department,
in
consultation
with
representatives
of
the
nonstate-owned
psychiatric
medical
institutions
for
children,
shall
develop
a
reimbursement
methodology
required
for
federal
compliance,
to
be
implemented
on
July
1,
2012.
To
the
extent
possible,
the
reimbursement
methodology
shall
be
developed
in
a
manner
so
as
to
be
budget
neutral
to
the
institutions
and
cost
effective
for
the
state.
j.
For
the
fiscal
year
beginning
July
1,
2011,
unless
otherwise
specified
in
this
Act,
all
noninstitutional
medical
assistance
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2011,
except
for
area
education
agencies,
local
education
agencies,
infant
and
toddler
services
providers,
and
those
providers
whose
rates
are
required
to
be
determined
pursuant
to
section
249A.20.
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rate
for
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
30,
2011.
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
beginning
July
1,
2011,
the
average
reimbursement
rate
for
health
care
providers
eligible
for
use
of
the
federal
Medicare
resource-based
relative
value
scale
reimbursement
methodology
under
that
section
shall
remain
at
the
rate
in
effect
on
June
30,
2011;
however,
this
rate
shall
not
exceed
the
maximum
level
authorized
by
the
federal
government.
m.
For
the
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rate
for
residential
care
facilities
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
The
flat
reimbursement
rate
for
facilities
electing
not
to
file
annual
cost
reports
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
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n.
For
the
fiscal
year
beginning
July
1,
2011,
inpatient
mental
health
services
provided
at
hospitals
shall
be
rebased
effective
October
1,
2011,
subject
to
Medicaid
program
upper
payment
limit
rules;
community
mental
health
centers
and
providers
of
mental
health
services
to
county
residents
pursuant
to
a
waiver
approved
under
section
225C.7,
subsection
3,
shall
be
reimbursed
at
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance;
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
program
fee
for
service
rate.
o.
For
the
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rate
for
consumer-directed
attendant
care
shall
remain
at
the
rates
in
effect
on
June
30,
2011.
p.
For
the
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rate
for
providers
of
family
planning
services
that
are
eligible
to
receive
a
90
percent
federal
match
shall
remain
at
the
rates
in
effect
on
June
30,
2011.
q.
For
the
fiscal
year
beginning
July
1,
2011,
the
department
shall
adjust
the
rates
in
effect
on
June
30,
2011,
for
providers
of
home
and
community-based
services
waiver
services
to
distribute
an
additional
$1,500,000
in
reimbursements
to
such
providers
for
the
fiscal
year.
2.
For
the
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rate
for
providers
reimbursed
under
the
in-home-related
care
program
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
3.
Unless
otherwise
directed
in
this
section,
when
the
department’s
reimbursement
methodology
for
any
provider
reimbursed
in
accordance
with
this
section
includes
an
inflation
factor,
this
factor
shall
not
exceed
the
amount
by
which
the
consumer
price
index
for
all
urban
consumers
increased
during
the
calendar
year
ending
December
31,
2002.
4.
For
the
fiscal
year
beginning
July
1,
2011,
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notwithstanding
section
234.38,
the
foster
family
basic
daily
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
children
ages
0
through
5
years
shall
be
$15.74,
the
rate
for
children
ages
6
through
11
years
shall
be
$16.37,
the
rate
for
children
ages
12
through
15
years
shall
be
$17.92,
and
the
rate
for
children
and
young
adults
ages
16
and
older
shall
be
$18.16.
The
maximum
supervised
apartment
living
foster
care
reimbursement
rate
shall
be
$25.00
per
day.
For
youth
ages
18
to
21
who
have
exited
foster
care,
the
maximum
preparation
for
adult
living
program
maintenance
rate
shall
be
$574.00
per
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
disallowance
of
additional
amounts
for
court
costs
and
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408
shall
be
continued.
5.
For
the
fiscal
year
beginning
July
1,
2011,
the
maximum
reimbursement
rates
under
the
supervised
apartment
living
program
and
for
social
services
providers
under
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2011,
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
each
service,
whichever
is
less.
However,
if
a
new
service
or
service
provider
is
added
after
June
30,
2011,
the
initial
reimbursement
rate
for
the
service
or
provider
shall
be
based
upon
actual
and
allowable
costs.
Providers
may
also
be
eligible
for
an
additional
amount
as
specified
under
the
department’s
request
for
proposal,
bid
number
ACFS-11-115.
6.
For
the
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rates
for
family-centered
service
providers,
family
foster
care
service
providers,
group
foster
care
service
providers,
and
the
resource
family
recruitment
and
retention
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
2011.
7.
The
group
foster
care
reimbursement
rates
paid
for
placement
of
children
out
of
state
shall
be
calculated
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according
to
the
same
rate-setting
principles
as
those
used
for
in-state
providers,
unless
the
director
of
human
services
or
the
director’s
designee
determines
that
appropriate
care
cannot
be
provided
within
the
state.
The
payment
of
the
daily
rate
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
which
service
is
provided.
8.
a.
For
the
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
emergency
services
implemented
to
provide
or
prevent
the
need
for
shelter
care
shall
be
established
in
a
contract
based
on
the
requirements
of
the
department’s
request
for
proposal,
bid
number
ACFS-11-114.
b.
For
the
fiscal
year
beginning
July
1,
2011,
the
combined
service
and
maintenance
components
of
the
reimbursement
rate
paid
for
shelter
care
services
shall
be
based
on
the
financial
and
statistical
report
submitted
to
the
department.
The
maximum
reimbursement
rate
shall
be
$92.36
per
day.
The
department
shall
reimburse
a
shelter
care
provider
at
the
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
to
exceed
the
maximum
reimbursement
rate.
c.
Notwithstanding
section
232.141,
subsection
8,
for
the
fiscal
year
beginning
July
1,
2011,
the
amount
of
the
statewide
average
of
the
actual
and
allowable
rates
for
reimbursement
of
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
2010.
9.
For
the
fiscal
year
beginning
July
1,
2011,
the
department
shall
calculate
reimbursement
rates
for
intermediate
care
facilities
for
persons
with
mental
retardation
at
the
80th
percentile.
Beginning
July
1,
2011,
the
rate
calculation
methodology
shall
utilize
the
consumer
price
index
inflation
factor
applicable
to
the
fiscal
year
beginning
July
1,
2011.
10.
For
the
fiscal
year
beginning
July
1,
2011,
for
child
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care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
provider
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004.
Effective
July
1,
2011,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2011.
The
department
shall
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
nonregistered
provider
to
become
registered
by
applying
the
increase
only
to
registered
and
licensed
providers.
11.
The
department
may
adopt
emergency
rules
to
implement
this
section.
Sec.
29.
EMERGENCY
RULES.
1.
If
specifically
authorized
by
a
provision
of
this
division
of
this
Act,
the
department
of
human
services
or
the
mental
health,
and
disability
services
commission
may
adopt
administrative
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
the
provisions
and
the
rules
shall
become
effective
immediately
upon
filing
or
on
a
later
effective
date
specified
in
the
rules,
unless
the
effective
date
is
delayed
by
the
administrative
rules
review
committee.
Any
rules
adopted
in
accordance
with
this
section
shall
not
take
effect
before
the
rules
are
reviewed
by
the
administrative
rules
review
committee.
The
delay
authority
provided
to
the
administrative
rules
review
committee
under
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
imposed
under
this
section,
notwithstanding
a
provision
in
those
sections
making
them
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
with
the
provisions
of
this
section
shall
also
be
published
as
notice
of
intended
action
as
provided
in
section
17A.4.
2.
If
during
the
fiscal
year
beginning
July
1,
2011,
the
department
of
human
services
is
adopting
rules
in
accordance
with
this
section
or
as
otherwise
directed
or
authorized
by
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state
law,
and
the
rules
will
result
in
an
expenditure
increase
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
expenditure
was
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
department
shall
notify
the
persons
designated
by
this
division
of
this
Act
for
submission
of
reports,
the
chairpersons
and
ranking
members
of
the
committees
on
appropriations,
and
the
department
of
management
concerning
the
rules
and
the
expenditure
increase.
The
notification
shall
be
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
administrative
rules
coordinator
and
the
administrative
code
editor.
Sec.
30.
CIVIL
MONETARY
PENALTIES
——
DIRECT
CARE
WORKER
INITIATIVES
PROPOSAL.
The
department
of
human
services
shall
develop
a
proposal,
in
collaboration
with
the
department
of
public
health,
requesting
federal
approval
for
the
use
of
a
portion
of
the
funds
received
by
the
department
of
human
services
as
civil
monetary
penalties
from
nursing
facilities
to
support
direct
care
worker
initiatives
that
enhance
the
quality
of
care
in
nursing
facilities.
The
proposal
shall
request
use
of
the
funds
for
direct
care
worker
initiatives
based
on
recommendations
of
the
direct
care
worker
task
force
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
as
included
in
the
report
submitted
to
the
governor
and
the
general
assembly
in
December
2006.
Upon
completion
of
the
proposal,
the
department
of
human
services
shall
submit
the
proposal
to
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
for
approval.
The
department
of
human
services
shall
notify
the
persons
designated
in
this
division
of
this
Act
for
submission
of
reports
upon
receipt
of
approval
of
the
proposal.
Sec.
31.
FEDERAL
GRANTS
REPORTING.
During
the
fiscal
year
beginning
July
1,
2011,
the
departments
and
agencies
receiving
an
appropriation
in
this
Act
from
the
general
fund
of
the
state
shall
report
to
the
persons
designated
by
this
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Act
for
submission
of
reports
and
the
department
of
management
within
60
calendar
days
of
applying
for
or
renewing
a
federal
grant
with
a
value
over
$1,000.
The
report
shall
list
the
federal
funding
source
and
address
the
potential
need
for
the
commitment
of
state
funding
in
order
to
match
or
continue
the
funding
provided
by
the
federal
grant
in
the
present
or
the
future.
Sec.
32.
REPORTS.
Any
reports
or
information
required
to
be
compiled
and
submitted
under
this
Act
shall
be
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
the
legislative
services
agency,
and
the
legislative
caucus
staffs
on
or
before
the
dates
specified
for
submission
of
the
reports
or
information.
Sec.
33.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
APPLICABILITY.
The
following
provisions
of
this
division
of
this
Act,
being
deemed
of
immediate
importance,
take
effect
upon
enactment
and
if
approved
by
the
governor
on
or
after
July
1,
2011,
apply
retroactively
to
June
30,
2011:
The
provision
under
the
appropriation
for
child
and
family
services,
relating
to
requirements
of
section
232.143
for
representatives
of
the
department
of
human
services
and
juvenile
court
services
to
establish
a
plan
for
continuing
group
foster
care
expenditures
for
fiscal
year
2011-2012.
DIVISION
V
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
IOWACARE
ACCOUNT,
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND,
HEALTH
CARE
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
ACCOUNT,
QUALITY
ASSURANCE
TRUST
FUND,
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
FY
2011-2012
Sec.
34.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
human
services
for
the
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fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
Notwithstanding
any
provision
of
law
to
the
contrary,
to
supplement
the
appropriations
made
in
this
Act
for
medical
contracts
under
the
medical
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,907,457
1.
Of
the
funds
appropriated
in
this
section,
up
to
$200,000
may
be
transferred
to
the
appropriation
made
to
the
department
for
general
administration
in
this
Act
for
the
same
fiscal
year
to
be
used
for
additional
full-time
equivalent
positions
in
the
development
of
key
health
initiatives
such
as
cost
containment,
development
and
oversight
of
managed
care
programs,
and
development
of
health
strategies
targeted
toward
improved
quality
and
reduced
costs
in
the
Medicaid
program.
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
be
used
for
home
and
community-based
services
waiver
quality
assurance
programs,
including
the
review
and
streamlining
of
processes
and
policies
related
to
oversight
and
quality
management
to
meet
state
and
federal
requirements.
The
department
shall
submit
a
report
to
the
persons
designated
by
this
Act
for
submission
of
reports
by
December
15,
2011,
regarding
the
modifications
to
the
quality
assurance
programs.
Sec.
35.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
1.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
state
board
of
regents
for
distribution
to
the
university
of
Iowa
hospitals
and
clinics
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
equipment,
and
miscellaneous
purposes,
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
-64-
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192
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chapter
249J,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,284,584
a.
(1)
Funds
appropriated
in
this
subsection
used
for
abortions
shall
be
used
in
a
manner
consistent
with
options
under
federal
Medicaid
law
and
regulation.
(2)
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
For
an
abortion
covered
under
this
subsection,
except
in
the
case
of
a
medical
emergency,
as
defined
in
section
135L.1,
for
any
woman,
the
physician
shall
certify
both
of
the
following:
(a)
That
the
woman
has
been
given
the
opportunity
to
view
an
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
before
an
abortion
is
performed.
(b)
That
the
woman
has
been
provided
information
regarding
the
options
relative
to
a
pregnancy,
including
continuing
the
pregnancy
to
term
and
retaining
parental
rights
following
the
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
child
for
adoption,
and
terminating
the
pregnancy.
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise.
c.
The
university
of
Iowa
hospitals
and
clinics
shall
certify
public
expenditures
in
an
amount
equal
to
provide
the
nonfederal
share
on
total
expenditures
not
to
exceed
$20,000,000.
2.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
state
board
of
regents
for
distribution
to
the
university
of
Iowa
hospitals
and
clinics
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
equipment,
and
miscellaneous
purposes,
for
the
provision
of
medical
and
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surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise.
3.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24,
to
the
state
board
of
regents
for
distribution
to
university
of
Iowa
physicians
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
equipment,
and
miscellaneous
purposes
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,277,753
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
this
subsection
has
been
distributed,
claims
shall
continue
to
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
however,
no
payment
shall
be
made
based
upon
such
claims.
4.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
distribution
to
a
publicly
owned
acute
care
teaching
hospital
located
in
a
county
with
a
population
over
350,000
for
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the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise
plus
a
monthly
disproportionate
share
hospital
payment.
Any
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
shall
be
distributed
only
if
the
sum
of
the
expansion
population
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
share
hospital
payments
exceeds
$60,000,000.
The
amount
paid
in
excess
of
$60,000,000
shall
not
adjust
the
original
monthly
payment
amount
but
shall
be
distributed
monthly
based
on
actual
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
share
hospital
amount.
Any
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
shall
be
allocated
only
if
federal
funds
are
available
to
match
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
appropriated
in
this
subsection,
not
more
than
$4,000,000
shall
be
distributed
for
prescription
drugs
and
podiatry
services.
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
hospital
identified
in
this
subsection,
shall
be
reimbursed
for
outpatient
prescription
drugs
and
podiatry
services
provided
to
members
of
the
expansion
population
pursuant
to
all
applicable
medical
assistance
program
rules,
in
an
amount
not
to
exceed
$4,000,000.
c.
Notwithstanding
the
total
amount
of
proceeds
distributed
pursuant
to
section
249J.24,
subsection
4,
paragraph
“a”,
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
county
treasurer
of
a
county
with
a
population
of
over
350,000
in
which
a
publicly
owned
acute
care
teaching
hospital
is
located
shall
distribute
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the
proceeds
collected
pursuant
to
section
347.7
in
a
total
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account.
d.
(1)
Notwithstanding
the
amount
collected
and
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
section
249J.24,
subsection
4,
paragraph
“a”,
subparagraph
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
section
347.7
between
July
1,
2011,
and
December
31,
2011,
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
and
collections
during
this
time
period
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
teaching
hospital
identified
in
this
subsection.
Of
the
collections
in
excess
of
the
$19,000,000
received
by
the
acute
care
teaching
hospital
under
this
subparagraph
(1),
$2,000,000
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
month
of
January
2012,
following
the
July
1
through
December
31,
2011,
period.
(2)
Notwithstanding
the
amount
collected
and
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
section
249J.24,
subsection
4,
paragraph
“a”,
subparagraph
(2),
the
first
$19,000,000
in
collections
pursuant
to
section
347.7
between
January
1,
2012,
and
June
30,
2012,
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
and
collections
during
this
time
period
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
teaching
hospital
identified
in
this
subsection.
Of
the
collections
in
excess
of
the
$19,000,000
received
by
the
acute
care
teaching
hospital
under
this
subparagraph
(2),
$2,000,000
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
month
of
July
2012,
following
the
January
1
through
June
30,
2012,
period.
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5.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purpose
designated:
For
payment
to
the
regional
provider
network
specified
by
the
department
pursuant
to
section
249J.7
for
provision
of
covered
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
this
subsection
has
been
distributed,
claims
shall
continue
to
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
however,
no
payment
shall
be
made
based
upon
such
claims.
6.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purposes
designated:
For
a
care
coordination
pool
to
pay
the
expansion
population
providers
consisting
of
the
university
of
Iowa
hospitals
and
clinics,
the
publicly
owned
acute
care
teaching
hospital
as
specified
in
section
249J.7,
and
current
medical
assistance
program
providers
that
are
not
expansion
population
network
providers
pursuant
to
section
249J.7,
for
services
covered
by
the
full
benefit
medical
assistance
program
but
not
under
the
IowaCare
program
pursuant
to
section
249J.6,
that
are
provided
to
expansion
population
members:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,500,000
a.
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
appropriated
in
this
subsection
is
intended
to
provide
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payment
for
medically
necessary
services
provided
to
expansion
population
members
for
continuation
of
care
provided
by
the
university
of
Iowa
hospitals
and
clinics
or
the
publicly
owned
acute
care
teaching
hospital
as
specified
in
section
249J.7.
Payment
may
only
be
made
for
services
that
are
not
otherwise
covered
under
section
249J.6,
and
which
are
follow-up
services
to
covered
services
provided
by
the
hospitals
specified
in
this
paragraph
“a”.
b.
The
funds
appropriated
in
this
subsection
are
intended
to
provide
limited
payment
for
continuity
of
care
services
for
an
expansion
population
member,
and
are
intended
to
cover
the
costs
of
services
to
expansion
population
members,
regardless
of
the
member’s
county
of
residence
or
medical
home
assignment,
if
the
care
is
related
to
specialty
or
hospital
services
provided
by
the
hospitals
specified
in
paragraph
“a”.
c.
The
funds
appropriated
in
this
subsection
are
not
intended
to
provide
for
expanded
coverage
under
the
IowaCare
program,
and
shall
not
be
used
to
cover
emergency
transportation
services.
d.
The
department
shall
adopt
administrative
rules
pursuant
to
chapter
17A
to
establish
a
prior
authorization
process
and
to
identify
covered
services
for
reimbursement
under
this
subsection.
7.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purposes
designated:
For
a
laboratory
test
and
radiology
pool
for
services
authorized
by
a
federally
qualified
health
center
designated
by
the
department
as
part
of
the
IowaCare
regional
provider
network
that
does
not
have
the
capability
to
provide
these
services
on
site:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
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Notwithstanding
sections
249J.6
and
249J.7,
the
amount
appropriated
in
this
subsection
is
intended
to
provide
reimbursement
for
services
provided
to
expansion
population
members
that
have
previously
been
paid
for
through
expenditure
by
designated
regional
provider
network
providers
of
their
own
funds,
not
to
expand
coverage
under
the
IowaCare
program
or
to
expand
the
expansion
population
provider
network.
The
department
shall
designate
the
laboratory
and
radiology
provider
associated
with
each
designated
regional
provider
network
provider
that
may
receive
reimbursement.
The
department
shall
adopt
administrative
rules
pursuant
to
chapter
17A
to
establish
a
prior
authorization
process
and
to
identify
covered
services
for
reimbursement
under
this
subsection.
All
other
medical
assistance
program
payment
policies
and
rules
for
laboratory
and
radiology
services
shall
apply
to
services
provided
under
this
subsection.
If
the
entire
amount
appropriated
under
this
subsection
is
expended,
laboratory
tests
and
radiology
services
ordered
by
a
designated
regional
provider
network
provider
shall
be
the
financial
responsibility
of
the
regional
provider
network
provider.
Sec.
36.
APPROPRIATIONS
FROM
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary,
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
nonparticipating
provider
reimbursement
fund
created
in
section
249J.24A
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount
or
so
much
thereof
as
is
necessary
for
the
purposes
designated:
To
reimburse
nonparticipating
providers
in
accordance
with
section
249J.24A:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
Sec.
37.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
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Notwithstanding
any
provision
to
the
contrary,
there
is
appropriated
from
the
account
for
health
care
transformation
created
in
section
249J.23
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
expansion
population
as
provided
in
section
249J.6:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
2.
For
other
health
promotion
partnership
activities
pursuant
to
section
249J.14:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
3.
For
the
costs
related
to
audits,
performance
evaluations,
and
studies
required
pursuant
to
chapter
249J:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
4.
For
administrative
costs
associated
with
chapter
249J:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,132,412
5.
For
planning
and
development,
in
cooperation
with
the
department
of
public
health,
of
a
phased-in
program
to
provide
a
dental
home
for
children
in
accordance
with
section
249J.14:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
6.
For
continuation
of
the
establishment
of
the
tuition
assistance
for
individuals
serving
individuals
with
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
chapter
1187,
section
130:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
7.
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
8.
For
payment
to
the
publicly
owned
acute
care
teaching
hospital
located
in
a
county
with
a
population
of
over
350,000
that
is
a
participating
provider
pursuant
to
chapter
249J:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
290,000
Disbursements
under
this
subsection
shall
be
made
monthly.
The
hospital
shall
submit
a
report
following
the
close
of
the
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fiscal
year
regarding
use
of
the
funds
appropriated
in
this
subsection
to
the
persons
specified
in
this
Act
to
receive
reports.
9.
For
transfer
to
the
department
of
public
health
to
be
used
for
the
costs
of
medical
home
system
advisory
council
established
pursuant
to
section
135.159,
including
for
the
incorporation
of
the
work
and
duties
of
the
prevention
and
chronic
care
management
advisory
council
pursuant
to
section
135.161,
as
amended
by
this
Act:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
233,357
10.
For
implementation
of
a
uniform
cost
report:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
150,000
The
uniform
cost
report
shall
be
used
in
the
development
of
specified
Medicaid
reimbursement
rates
over
a
multiyear
timeframe.
The
department
of
human
services,
in
collaboration
with
affected
providers,
shall
finalize
a
uniform
cost
report
that
includes
provider
type-specific
cost
schedules
by
December
15,
2011.
The
uniform
cost
report
shall
be
applied
to
providers
of
home
and
community-based
services
waiver
services,
habilitation
services,
case
management
services
and
community
mental
health
centers,
residential
care
facilities,
psychiatric
medical
institutions
for
children,
and
intermediate
care
facilities
for
the
mentally
retarded
in
the
development
of
Medicaid
reimbursement
rates.
The
department
shall
collaborate
with
affected
Medicaid
providers
to
test
the
effectiveness
of
the
uniform
cost
report
and
determine
the
fiscal
impact
of
implementing
the
uniform
cost
report
during
the
fiscal
year
beginning
July
1,
2012.
A
report
of
the
findings
and
fiscal
impact
shall
be
submitted
to
the
governor
and
the
general
assembly
by
December
31,
2013.
The
rates
paid
in
the
fiscal
year
beginning
July
1,
2014,
shall
be
established
using
uniform
cost
reports
submitted
in
the
fiscal
year
beginning
July
1,
2012.
Implementation
of
the
uniform
cost
report
shall
be
limited
to
the
extent
of
the
funding
available.
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11.
For
implementation
of
an
electronic
medical
records
system:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
a.
The
implementation
of
an
electronic
medical
records
system
shall
include
system
purchase
or
development
for
home
and
community-based
services
providers
and
mental
health
services
providers
that
comply
with
the
requirements
of
federal
and
state
laws
and
regulation
by
the
fiscal
year
beginning
July
1,
2013.
b.
The
department
shall
analyze
the
costs
and
benefits
of
providing
an
electronic
medical
records
and
billing
system
for
home
and
community-based
services
providers
and
mental
health
services
providers
that
comply
with
the
requirements
of
federal
and
state
laws
and
regulation.
The
analysis
shall
include
a
review
of
all
of
the
following:
including
the
capability
for
an
electronic
medical
records
and
billing
system
within
the
procurement
for
the
Medicaid
management
information
system,
developing
the
system,
and
utilizing
capacity
within
the
health
information
network
established
by
the
department
of
public
health.
If
the
analysis
demonstrates
that
a
program
may
be
implemented
in
a
cost-effective
manner
and
within
available
funds,
the
department
may
take
steps
to
implement
such
a
system.
The
department
shall
report
the
results
of
the
analysis,
activities,
and
recommendations
to
the
persons
designated
in
this
Act
for
submission
of
reports
by
December
15,
2011.
c.
Notwithstanding
section
8.33,
funds
allocated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
in
succeeding
fiscal
years
to
be
used
for
the
purposes
designated.
12.
For
transfer
to
the
department
of
public
health
to
support
the
department’s
activities
relating
to
health
and
long-term
care
access
as
specified
pursuant
to
chapter
135,
-74-
HF649.3431
(28)
84
pf/jp
74/
192
CCH-649
division
XXIV:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
134,214
13.
For
an
accountable
care
organization
pilot
project
as
specified
in
the
division
of
this
Act
relating
to
prior
appropriations
and
related
changes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
14.
For
the
development
of
a
provider
payment
system
plan
to
provide
recommendations
to
reform
the
health
care
provider
payment
system
as
an
effective
way
to
promote
coordination
of
care,
lower
costs,
and
improve
quality
as
specified
in
the
division
of
this
Act
relating
to
cost
containment:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
200,000
15.
For
transfer
to
the
department
of
public
health
to
be
used
as
state
matching
funds
for
the
health
information
technology
system
developed
by
the
department
of
public
health:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
363,987
16.
To
supplement
the
appropriation
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,956,245
Notwithstanding
section
8.39,
subsection
1,
without
the
prior
written
consent
and
approval
of
the
governor
and
the
director
of
the
department
of
management,
the
director
of
human
services
may
transfer
funds
among
the
appropriations
made
in
this
section
as
necessary
to
carry
out
the
purposes
of
the
account
for
health
care
transformation.
The
department
shall
report
any
transfers
made
pursuant
to
this
section
to
the
legislative
services
agency.
Sec.
38.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
INSPECTIONS
AND
APPEALS.
There
is
appropriated
from
the
Medicaid
fraud
account
created
in
section
249A.7
to
the
department
of
inspections
and
appeals
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
the
inspection
and
certification
of
assisted
living
-75-
HF649.3431
(28)
84
pf/jp
75/
192
CCH-649
programs
and
adult
day
care
services,
including
program
administration
and
costs
associated
with
implementation:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,339,527
Sec.
39.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
quality
assurance
trust
fund
created
in
section
249L.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
Sec.
40.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
hospital
health
care
access
trust
fund
created
in
section
249M.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
2.
For
deposit
in
the
nonparticipating
provider
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
the
purposes
of
the
fund:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
Sec.
41.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
FOR
FY
2011-2012.
Notwithstanding
section
8.33,
if
moneys
appropriated
for
purposes
of
the
medical
assistance
program
-76-
HF649.3431
(28)
84
pf/jp
76/
192
CCH-649
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
from
the
general
fund
of
the
state,
the
Medicaid
fraud
account,
the
quality
assurance
trust
fund,
and
the
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
expenditures
for
the
medical
assistance
program
and
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
of
the
medical
assistance
program
until
the
close
of
the
succeeding
fiscal
year.
DIVISION
VI
HEALTH
AND
HUMAN
SERVICES
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
FOR
FISCAL
YEAR
2011-2012
Sec.
42.
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
DEVELOPMENTAL
DISABILITIES
SERVICES
PROPERTY
TAX
RELIEF.
Notwithstanding
the
standing
appropriation
in
section
426B.1,
subsection
2,
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
amount
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
provision
shall
not
exceed
the
following
amount:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
81,199,911
Sec.
43.
SENATE
FILE
209
APPROPRIATION
——
FY
2010-2011.
1.
Of
the
amount
credited
to
the
property
tax
relief
fund
from
the
appropriation
made
pursuant
to
2011
Iowa
Acts,
Senate
File
209,
section
21,
subsection
1,
there
is
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
distribution
in
accordance
with
this
section:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000,000
2.
a.
For
the
purposes
of
this
subsection,
unless
the
context
otherwise
requires:
(1)
“County
management
plan”
means
the
county
management
-77-
HF649.3431
(28)
84
pf/jp
77/
192
CCH-649
plan
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
system
in
accordance
with
section
331.439.
(2)
“Risk
pool
board”
means
the
risk
pool
board
created
in
section
426B.5.
(3)
“Services
fund”
means
the
county
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
created
in
section
331.424A.
b.
The
appropriation
made
in
this
section
shall
be
distributed
to
counties
with
persons
on
a
waiting
list
between
April
21,
2011,
and
the
date
of
application
for
adult
mental
health,
mental
retardation,
and
developmental
disabilities
services
in
accordance
with
the
county
management
plan
in
effect
as
of
January
1,
2011.
All
of
the
following
provisions
shall
apply
to
such
distribution:
(1)
A
county’s
application
for
the
funding
distribution
must
be
received
by
the
department
on
or
before
July
15,
2011,
or
within
10
calendar
days
of
the
enactment
date
of
this
section,
whichever
is
later.
(2)
The
county’s
application
shall
provide
all
of
the
following
information:
(a)
A
declaration
that
the
county
cannot
provide
services
in
accordance
with
the
county’s
management
plan
and
remain
in
compliance
with
the
99
percent
budgeting
requirement
in
section
331.439,
subsection
5,
resulting
in
the
creation
of
a
waiting
list.
(b)
An
accounting
of
the
individuals
to
be
removed
from
the
county’s
waiting
list
as
a
result
of
the
funding
applied
for
under
this
subsection,
along
with
the
following
information
in
a
format
specified
by
the
department:
(i)
Each
individual’s
unique
client
identifier
established
pursuant
to
section
225C.6A,
subsection
3.
(ii)
The
date
the
individual
was
originally
placed
on
the
county
waiting
list.
-78-
HF649.3431
(28)
84
pf/jp
78/
192
CCH-649
(iii)
The
services
needed
by
the
individual.
(iv)
The
projected
cost
for
each
service
needed
for
that
individual
for
the
period
beginning
on
the
date
the
individual
is
removed
from
the
waiting
list
through
June
30,
2012.
(v)
The
total
cost
for
all
of
the
services
for
each
individual
for
the
fiscal
year.
(3)
The
application
shall
be
accompanied
by
a
signed
statement
by
the
county’s
board
of
supervisors
certifying
that
the
individuals
for
whom
funding
is
provided
under
this
subsection
will
not
subsequently
be
placed
by
the
county
on
a
waiting
list
for
services
through
June
30,
2012.
(4)
The
risk
pool
board
may
accept
or
reject
an
application
for
assistance
in
whole
or
in
part
if
the
board
determines
the
application
does
not
meet
the
intent
or
a
requirement
of
this
section
and
may
prorate
distribution
of
funding
as
necessary
to
conform
to
the
amount
available
for
distribution.
The
decision
of
the
risk
pool
board
is
final.
The
risk
pool
board
shall
issue
a
funding
decision
within
15
working
days
of
the
final
receipt
date
for
applications.
(5)
The
funding
under
this
subsection
shall
be
distributed
within
15
working
days
of
the
date
the
risk
pool
board’s
funding
decision
is
issued.
c.
If
there
is
a
balance
remaining
following
the
distribution
of
funding
under
paragraph
“b”,
the
balance
shall
be
distributed
in
a
second
distribution
process
for
individuals
placed
on
a
waiting
list
after
April
21,
2011,
in
accordance
with
the
county
management
plan
provisions
for
the
services
in
effect
as
of
January
1,
2011.
In
addition,
notwithstanding
2010
Iowa
Acts,
chapter
1192,
section
48,
subsection
4,
paragraph
“c”,
any
funding
rebated
by
counties
pursuant
to
that
provision
and
any
moneys
otherwise
available
in
the
risk
pool
in
the
property
tax
relief
fund
for
the
fiscal
year
beginning
July
1,
2011,
pursuant
to
section
426B.5,
subsection
2,
shall
also
be
included
in
the
second
distribution
process.
The
-79-
HF649.3431
(28)
84
pf/jp
79/
192
CCH-649
distribution
process
under
this
lettered
paragraph
shall
be
in
lieu
of
any
risk
pool
distribution
for
the
fiscal
year
beginning
July
1,
2011,
under
section
426B.5.
All
provisions
applicable
under
paragraph
“b”
shall
apply
except
that
a
county’s
application
for
the
second
funding
distribution
process
must
be
received
by
the
department
on
or
before
December
1,
2011.
d.
If
moneys
from
a
distribution
made
under
this
subsection
are
not
expended
by
a
county
by
November
1,
2012,
for
services
provided
prior
to
July
1,
2012,
the
county
shall
reimburse
the
unexpended
moneys
to
the
department
by
November
30,
2012,
and
the
moneys
reimbursed
shall
be
credited
to
the
risk
pool
in
the
property
tax
relief
fund.
e.
The
risk
pool
board
shall
submit
a
report
to
the
governor
and
general
assembly
on
or
before
December
31,
2012,
regarding
the
expenditure
of
funds
distributed
under
this
subsection.
Sec.
44.
2010
Iowa
Acts,
chapter
1193,
section
1,
is
amended
to
read
as
follows:
SECTION
1.
ADULT
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
——
FY
2011-2012.
1.
Notwithstanding
section
331.439,
subsection
3
,
the
allowed
growth
factor
adjustment
for
county
mental
health,
mental
retardation,
and
developmental
disabilities
service
expenditures
for
the
fiscal
year
beginning
July
1,
2011,
shall
be
established
by
statute
which
shall
be
enacted
within
thirty
calendar
days
of
the
convening
of
the
Eighty-fourth
General
Assembly,
2011
Session,
on
January
10,
2011.
The
governor
shall
submit
to
the
general
assembly
a
recommendation
for
such
allowed
growth
factor
adjustment
and
the
amounts
of
related
appropriations
to
the
general
assembly
on
or
before
January
11,
2011.
2.
The
appropriation
and
allocations
made
in
this
section
fulfill
the
requirements
of
the
governor
and
general
assembly
under
subsection
1.
-80-
HF649.3431
(28)
84
pf/jp
80/
192
CCH-649
3.
a.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
distribution
to
counties
of
the
county
mental
health,
mental
retardation,
and
developmental
disabilities
allowed
growth
factor
adjustment
for
fiscal
year
2011-2012
as
provided
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
of
section
331.438,
subsection
2,
and
section
331.439,
subsection
3,
and
chapter
426B:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
54,697,893
b.
Of
the
amount
credited
to
the
property
tax
relief
fund
from
the
appropriation
made
pursuant
to
2011
Iowa
Acts,
Senate
File
209,
section
21,
subsection
1,
there
is
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
distribution
to
counties
as
described
in
paragraph
“a”:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000,000
Sec.
45.
2010
Iowa
Acts,
chapter
1193,
section
1,
as
amended
by
this
division
of
this
Act,
is
amended
by
adding
the
following
new
subsections:
NEW
SUBSECTION
.
4.
Of
the
amounts
appropriated
in
this
section,
$28,000,000
shall
be
distributed
as
provided
in
this
subsection.
a.
To
be
eligible
to
receive
a
distribution
under
this
subsection,
a
county
must
meet
the
following
requirements:
(1)
The
county
is
levying
for
the
maximum
amount
allowed
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
under
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
2011;
the
county
is
levying
for
at
least
90
percent
of
the
-81-
HF649.3431
(28)
84
pf/jp
81/
192
CCH-649
maximum
amount
allowed
for
the
county’s
services
fund
and
that
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
all
taxable
property
in
the
county;
or
the
county
is
levying
at
least
92
percent
of
the
maximum
amount
allowed
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
under
section
331.424A
for
the
fiscal
year
and
had
a
negative
services
fund
balance
for
the
fiscal
year
beginning
July
1,
2009,
after
disregarding
the
temporary
funding
increase
provided
to
counties
for
the
fiscal
year
beginning
July
1,
2009,
through
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
(2)
In
the
fiscal
year
beginning
July
1,
2009,
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
ending
balance
under
generally
accepted
accounting
principles
was
equal
to
or
less
than
15
percent
of
the
county’s
actual
gross
expenditures
for
that
fiscal
year.
b.
The
amount
of
a
county’s
distribution
from
the
allocation
made
in
this
subsection
shall
be
determined
based
upon
the
county’s
proportion
of
the
general
population
of
the
counties
eligible
to
receive
a
distribution
under
this
subsection.
The
latest
certified
federal
census
issued
by
the
United
States
bureau
of
the
census
shall
be
applied
in
determining
population
for
the
purposes
of
this
paragraph.
c.
The
distributions
made
pursuant
to
this
subsection
are
subject
to
the
distribution
provisions
and
withholding
requirements
established
in
this
section
for
the
county
mental
health,
mental
retardation,
and
developmental
disabilities
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
July
1,
2011.
NEW
SUBSECTION
.
5.
The
following
amount
of
the
funding
appropriated
in
this
section
for
distribution
to
counties
is
the
allowed
growth
factor
adjustment
for
fiscal
year
2011-2012,
and
shall
be
credited
to
the
allowed
growth
funding
pool
-82-
HF649.3431
(28)
84
pf/jp
82/
192
CCH-649
created
in
the
property
tax
relief
fund
and
for
distribution
in
accordance
with
section
426B.5,
subsection
1:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,697,893
For
the
distribution
made
for
the
fiscal
year
beginning
July
1,
2011,
a
county
that
is
levying
at
least
92
percent
of
the
maximum
amount
allowed
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
under
section
331.424A
for
the
fiscal
year
and
had
a
negative
services
fund
balance
for
the
fiscal
year
beginning
July
1,
2009,
after
disregarding
the
temporary
funding
increase
provided
to
counties
for
the
fiscal
year
beginning
July
1,
2009,
through
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5,
shall
be
deemed
to
have
met
the
allocation
eligibility
requirement
under
section
426B.5,
subsection
1,
paragraph
“d”,
subparagraph
(1),
subparagraph
division
(a).
NEW
SUBSECTION
.
6.
The
following
formula
amounts
shall
be
utilized
only
to
calculate
preliminary
distribution
amounts
for
the
allowed
growth
factor
adjustment
for
fiscal
year
2011-2012
under
this
section
by
applying
the
indicated
formula
provisions
to
the
formula
amounts
and
producing
a
preliminary
distribution
total
for
each
county:
a.
For
calculation
of
a
distribution
amount
for
eligible
counties
from
the
allowed
growth
funding
pool
created
in
the
property
tax
relief
fund
in
accordance
with
the
requirements
in
section
426B.5,
subsection
1,
and
including
the
allocation
eligibility
provision
authorized
in
subsection
5
of
this
section:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,773,346
b.
For
calculation
of
a
distribution
amount
for
counties
from
the
mental
health
and
developmental
disabilities
(MH/DD)
community
services
fund
in
accordance
with
the
formula
provided
in
the
appropriation
made
for
the
MH/DD
community
services
fund
for
the
fiscal
year
beginning
July
1,
2011:
-83-
HF649.3431
(28)
84
pf/jp
83/
192
CCH-649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
NEW
SUBSECTION
.
7.
a.
After
applying
the
applicable
statutory
distribution
formulas
to
the
amounts
indicated
in
subsection
6
for
purposes
of
producing
preliminary
distribution
totals,
the
department
of
human
services
shall
apply
a
withholding
factor
to
adjust
an
eligible
individual
county’s
preliminary
distribution
total.
In
order
to
be
eligible
for
a
distribution
under
this
section,
a
county
must
be
levying
90
percent
or
more
of
the
maximum
amount
allowed
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
under
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
for
which
the
distribution
is
payable.
b.
An
ending
balance
percentage
for
each
county
shall
be
determined
by
expressing
the
county’s
ending
balance
on
a
modified
accrual
basis
under
generally
accepted
accounting
principles
for
the
fiscal
year
beginning
July
1,
2009,
in
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
created
under
section
331.424A,
as
a
percentage
of
the
county’s
gross
expenditures
from
that
fund
for
that
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
of
providing
services
from
the
county’s
services
fund
on
or
before
July
1,
2009,
and
the
county’s
services
fund
ending
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
amount
designated
in
the
county
budget
to
service
the
loan
for
the
borrowed
moneys,
those
amounts
shall
not
be
considered
to
be
part
of
the
county’s
ending
balance
for
purposes
of
calculating
an
ending
balance
percentage
under
this
subsection.
c.
For
purposes
of
calculating
withholding
factors
and
for
ending
balance
amounts
used
for
other
purposes
under
law,
the
county
ending
balances
shall
be
adjusted,
using
forms
developed
for
this
purpose
by
the
county
finance
committee,
to
disregard
the
temporary
funding
increase
provided
to
the
counties
for
the
fiscal
year
through
the
federal
American
-84-
HF649.3431
(28)
84
pf/jp
84/
192
CCH-649
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
In
addition,
a
county
may
adjust
the
ending
balance
amount
by
rebating
to
the
department
all
or
a
portion
of
the
allowed
growth
and
MH/DD
services
fund
moneys
the
county
received
for
the
fiscal
year
beginning
July
1,
2010,
in
accordance
with
2009
Iowa
Acts,
chapter
179,
section
1,
as
amended
by
2009
Iowa
Acts,
chapter
1192,
sections
47
and
48,
or
from
any
other
services
fund
moneys
available
to
the
county.
The
rebate
must
be
remitted
to
the
department
on
or
before
June
1,
2011,
in
order
to
be
counted.
However,
if
this
division
of
this
Act
is
enacted
after
June
1,
2011,
the
rebate
must
be
remitted
not
later
than
10
calendar
days
after
the
date
of
the
governor’s
approval
of
this
Act.
The
amount
rebated
by
a
county
shall
be
subtracted
dollar-for-dollar
from
the
county’s
ending
balance
amount
for
the
fiscal
year
beginning
July
1,
2009,
for
purposes
of
calculating
the
withholding
factor
and
for
other
ending
balance
purposes
for
the
fiscal
year
beginning
July
1,
2011.
The
rebates
received
by
the
department
shall
be
credited
to
the
property
tax
relief
fund
and
distributed
as
additional
funding
for
the
fiscal
year
beginning
July
1,
2011,
in
accordance
with
the
formula
provisions
in
this
section.
d.
The
withholding
factor
for
a
county
shall
be
the
following
applicable
percent:
(1)
For
an
ending
balance
percentage
of
less
than
5
percent,
a
withholding
factor
of
0
percent.
In
addition,
a
county
that
is
subject
to
this
lettered
paragraph
shall
receive
an
inflation
adjustment
equal
to
3
percent
of
the
gross
expenditures
reported
for
the
county’s
services
fund
for
the
fiscal
year.
(2)
For
an
ending
balance
percentage
of
5
percent
or
more
but
less
than
10
percent,
a
withholding
factor
of
0
percent.
In
addition,
a
county
that
is
subject
to
this
lettered
paragraph
shall
receive
an
inflation
adjustment
equal
to
2
percent
of
the
gross
expenditures
reported
for
the
county’s
-85-
HF649.3431
(28)
84
pf/jp
85/
192
CCH-649
services
fund
for
the
fiscal
year.
(3)
For
an
ending
balance
percentage
of
10
percent
or
more
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
However,
for
counties
with
an
ending
balance
percentage
of
10
percent
or
more
but
less
than
15
percent,
the
amount
withheld
shall
be
limited
to
the
amount
by
which
the
county’s
ending
balance
was
in
excess
of
the
ending
balance
percentage
of
10
percent.
(4)
For
an
ending
balance
percentage
of
25
percent
or
more,
a
withholding
percentage
of
100
percent.
NEW
SUBSECTION
.
8.
The
total
withholding
amounts
applied
pursuant
to
subsection
7
shall
be
equal
to
a
withholding
target
amount
of
$13,075,453.
If
the
department
of
human
services
determines
that
the
amount
appropriated
is
insufficient
or
the
amount
to
be
withheld
in
accordance
with
subsection
7
is
not
equal
to
the
target
withholding
amount,
the
department
shall
adjust
the
withholding
factors
listed
in
subsection
7
as
necessary
to
achieve
the
target
withholding
amount.
However,
in
making
such
adjustments
to
the
withholding
factors,
the
department
shall
strive
to
minimize
changes
to
the
withholding
factors
for
those
ending
balance
percentage
ranges
that
are
lower
than
others
and
shall
only
adjust
the
zero
withholding
factor
or
the
inflation
adjustment
percentages
specified
in
subsection
7,
paragraph
“d”,
when
the
amount
appropriated
is
insufficient.
Sec.
46.
2010
Iowa
Acts,
chapter
1193,
section
99,
is
amended
to
read
as
follows:
SEC.
99.
MH/MR/DD
SERVICES
FUND
TRANSFER.
Notwithstanding
section
331.424A,
subsection
5
,
and
section
331.432,
subsection
3
,
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
a
county
may
transfer
moneys
from
other
funds
of
the
county
to
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
created
in
section
331.424A
.
A
county
transferring
moneys
from
other
funds
of
the
-86-
HF649.3431
(28)
84
pf/jp
86/
192
CCH-649
county
to
the
county’s
services
fund
pursuant
to
this
section
shall
submit
a
report
detailing
the
transfers
made
and
funds
affected.
The
county
shall
submit
the
report
along
with
the
county
expenditure
and
information
report
submitted
by
December
1,
2010
2011
,
in
accordance
with
section
331.439
.
Sec.
47.
JUDICIAL
BRANCH
AND
DEPARTMENT
OF
HUMAN
SERVICES
WORKGROUP
——
RESIDENTIAL
CARE
FACILITIES.
The
workgroup
implemented
by
the
judicial
branch
and
the
department
of
human
services
pursuant
to
2010
Iowa
Acts,
chapter
1192,
section
24,
subsection
2,
and
continued
pursuant
to
2011
Iowa
Acts,
Senate
File
525,
shall
also
address
recommendations
included
in
the
final
report
of
the
stakeholder
workgroup
on
residential
care
facilities
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1192,
section
27,
subsection
7.
The
recommendations
addressed
shall
include
but
are
not
limited
to
educating
judicial
magistrates
and
mental
health
patient
advocates
on
ways
to
enhance
the
consistency
of
services
for
individuals
who
are
court
ordered
to
a
residential
care
facility.
In
addition,
the
workgroup
shall
address
issues
involved
with
identifying
facilities
with
the
capacity
to
provide
an
appropriate
placement
for
an
individual
who
has
been
arrested,
charged,
or
convicted
of
assault,
a
forcible
felony,
arson,
or
an
offense
that
requires
registration
as
a
sex
offender
under
chapter
692A.
The
recommendations
shall
be
included
in
the
recommendations
and
report
submitted
by
the
workgroup
pursuant
to
2011
Iowa
Acts,
Senate
File
525.
Sec.
48.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
APPLICABILITY.
The
section
of
this
division
of
this
Act
amending
2010
Iowa
Acts,
chapter
1193,
section
99,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment
and
is
retroactively
applicable
to
December
1,
2010.
Sec.
49.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
APPLICABILITY.
The
section
of
this
division
of
this
Act
making
an
appropriation
for
the
fiscal
year
beginning
July
-87-
HF649.3431
(28)
84
pf/jp
87/
192
CCH-649
1,
2010,
of
moneys
credited
to
the
property
tax
relief
fund
pursuant
to
2011
Iowa
Acts,
Senate
File
209,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment
and
applies
retroactively
to
April
21,
2011.
DIVISION
VII
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
COMMUNITY
HOUSING
AND
SERVICES
REVOLVING
LOAN
PROGRAM
Sec.
50.
NEW
SECTION
.
16.185
Community
housing
and
services
for
persons
with
disabilities
revolving
loan
program
fund.
1.
A
community
housing
and
services
for
persons
with
disabilities
revolving
loan
program
fund
is
created
within
the
authority
to
further
the
availability
of
affordable
housing
and
supportive
services
for
Medicaid
waiver-eligible
individuals
with
behaviors
that
provide
significant
barriers
to
accessing
traditional
rental
and
supportive
services
opportunities.
The
moneys
in
the
fund
are
annually
appropriated
to
the
authority
to
be
used
for
the
development
and
operation
of
a
revolving
loan
program
to
provide
financing
to
construct
affordable
permanent
supportive
housing
or
develop
infrastructure
in
which
to
provide
supportive
services,
including
through
new
construction,
acquisition
and
rehabilitation
of
existing
housing
or
infrastructure,
or
conversion
or
adaptive
reuse.
2.
Moneys
transferred
by
the
authority
for
deposit
in
the
community
housing
and
services
for
persons
with
disabilities
revolving
loan
program
fund,
moneys
appropriated
to
the
community
housing
and
services
for
persons
with
disabilities
revolving
loan
program,
and
any
other
moneys
available
to
and
obtained
or
accepted
by
the
authority
for
placement
in
the
fund
shall
be
credited
to
the
fund.
Additionally,
payment
of
interest,
recaptures
of
awards,
and
other
repayments
to
the
community
housing
and
services
for
persons
with
disabilities
revolving
loan
program
fund
shall
be
credited
to
the
fund.
Notwithstanding
section
12C.7,
subsection
2,
interest
or
earnings
on
moneys
in
the
fund
shall
be
credited
to
the
fund.
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Notwithstanding
section
8.33,
moneys
credited
to
the
fund
from
any
other
fund
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
the
other
fund.
3.
a.
The
authority
shall
annually
allocate
moneys
available
in
the
fund
for
the
development
of
permanent
supportive
housing
for
Medicaid
waiver-eligible
individuals.
The
authority
shall
develop
a
joint
application
process
for
the
allocation
of
United
States
housing
and
urban
development
HOME
investment
partnerships
program
funding
and
the
funds
available
under
this
section.
Moneys
allocated
to
such
projects
may
be
in
the
form
of
loans,
forgivable
loans,
or
a
combination
of
loans
and
forgivable
loans.
b.
The
authority
shall
annually
allocate
moneys
available
in
the
fund
for
the
development
of
infrastructure
in
which
to
provide
supportive
services
for
Medicaid
waiver-eligible
individuals
who
meet
the
psychiatric
medical
institution
for
children
level
of
care.
Moneys
allocated
to
such
projects
may
be
in
the
form
of
loans,
forgivable
loans,
or
a
combination
of
loans
and
forgivable
loans.
4.
a.
A
project
shall
demonstrate
written
approval
of
the
project
by
the
department
of
human
services
to
the
authority
prior
to
application
for
funding
under
this
section.
b.
In
order
to
be
approved
by
the
department
of
human
services
for
application
for
funding
for
development
of
permanent
supportive
housing
under
this
section,
a
project
shall
include
all
of
the
following
components:
(1)
Provision
of
services
to
any
of
the
following
Medicaid
waiver-eligible
individuals:
(a)
Individuals
who
are
currently
underserved
in
community
placements,
including
individuals
who
are
physically
aggressive
or
have
behaviors
that
are
difficult
to
manage
or
individuals
who
meet
the
psychiatric
medical
institution
for
children
level
of
care.
(b)
Individuals
who
are
currently
residing
in
out-of-state
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facilities.
(c)
Individuals
who
are
currently
receiving
care
in
a
licensed
health
care
facility.
(2)
A
plan
to
provide
each
individual
with
crisis
stabilization
services
to
ensure
that
the
individual’s
behavioral
issues
are
appropriately
addressed
by
the
provider.
(3)
Policies
and
procedures
that
prohibit
discharge
of
the
individual
from
the
waiver
services
provided
by
the
project
provider
unless
an
alternative
placement
that
is
acceptable
to
the
client
or
the
client’s
guardian
is
identified.
c.
In
order
to
be
approved
by
the
department
of
human
services
for
application
for
funding
for
development
of
infrastructure
in
which
to
provide
supportive
services
under
this
section,
a
project
shall
include
all
of
the
following
components:
(1)
Provision
of
services
to
Medicaid
waiver-eligible
individuals
who
meet
the
psychiatric
medical
institution
for
children
level
of
care.
(2)
Policies
and
procedures
that
prohibit
discharge
of
the
individual
from
the
waiver
services
provided
by
the
project
provider
unless
an
alternative
placement
that
is
acceptable
to
the
client
or
the
client’s
guardian
is
identified.
d.
Housing
provided
through
a
project
under
this
section
is
exempt
from
the
requirements
of
chapter
135O.
5.
The
authority,
in
collaboration
with
the
department
of
human
services,
shall
adopt
rules
pursuant
to
chapter
17A
to
administer
this
section.
VIETNAM
CONFLICT
VETERANS
BONUS
Sec.
51.
Section
35A.8A,
subsection
2,
paragraph
d,
Code
2011,
is
amended
to
read
as
follows:
d.
The
person
files
an
application
for
compensation
under
this
section
,
in
a
manner
determined
by
the
department
of
veterans
affairs
,
by
July
1,
2010
May
1,
2011
.
VIETNAM
CONFLICT
VETERANS
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BONUS
FUND
Sec.
52.
2008
Iowa
Acts,
chapter
1187,
section
68,
as
amended
by
2009
Iowa
Acts,
chapter
182,
section
82,
and
2010
Iowa
Acts,
chapter
1192,
section
55,
is
amended
to
read
as
follows:
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
fiscal
year
beginning
July
1,
2010
repeal
of
section
35A.8A
.
Upon
such
repeal,
the
remaining
moneys
shall
be
transferred
to
the
veterans
trust
fund
and,
notwithstanding
section
35A.13,
subsection
3,
shall
only
be
expended
in
accordance
with
an
appropriation
for
purposes
of
a
bonus
enacted
for
veterans
of
the
conflicts
in
Panama,
Grenada,
Lebanon,
or
the
Persian
Gulf.
INJURED
VETERANS
GRANT
PROGRAM
Sec.
53.
2008
Iowa
Acts,
chapter
1187,
section
69,
unnumbered
paragraph
1,
as
amended
by
2009
Iowa
Acts,
chapter
182,
section
83,
and
2010
Iowa
Acts,
chapter
1192,
section
56,
is
amended
to
read
as
follows:
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
fiscal
year
beginning
July
1,
2010
2011
.
BEHAVIORAL
HEALTH
SERVICES
ACCOUNT
——
MEDICAL
ASSISTANCE
Sec.
54.
2009
Iowa
Acts,
chapter
182,
section
9,
subsection
16,
paragraph
b,
as
amended
by
2010
Iowa
Acts,
chapter
1192,
section
63,
is
amended
to
read
as
follows:
b.
The
department
shall
continue
to
maintain
a
separate
account
within
the
medical
assistance
budget
for
the
deposit
of
all
funds
remitted
pursuant
to
a
contract
with
a
third
party
to
administer
behavioral
health
services
under
the
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medical
assistance
program
established
pursuant
to
2008
Iowa
Acts,
chapter
1187,
section
9,
subsection
20.
Notwithstanding
section
8.33
,
other
than
funds
remaining
from
the
appropriation
allocations
made
for
implementation
of
the
emergency
mental
health
crisis
services
and
system,
for
implementation
of
the
mental
health
services
system
for
children
and
youth,
and
for
training
of
child
welfare
services
providers
in
2008
Iowa
Acts,
chapter
1187,
section
9,
subsection
20,
paragraph
“c”,
subparagraphs
(1),
(2),
and
(6),
as
authorized
in
2009
Iowa
Acts,
chapter
182,
section
72,
shall
not
revert
but
shall
remain
available
in
succeeding
fiscal
years
to
be
used
for
the
purposes
designated
until
expended
and
any
other
funds
remaining
in
the
account
that
remain
unencumbered
or
unobligated
at
the
end
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
in
succeeding
fiscal
years
and
are
appropriated
to
the
department
to
be
used
for
the
medical
assistance
program
to
be
used
for
purposes
of
crisis
stabilization
and
other
mental
and
behavioral
health
service
improvements
.
CHILD
WELFARE
DECATEGORIZATION
FY
2009-2010
NONREVERSION
Sec.
55.
2009
Iowa
Acts,
chapter
182,
section
14,
subsection
5,
is
amended
by
adding
the
following
new
unnumbered
paragraph:
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
232.188,
subsection
5,
moneys
from
the
allocations
made
in
this
subsection
or
made
from
any
other
source
for
the
decategorization
of
child
welfare
and
juvenile
justice
funding
initiative
under
section
232.188
for
the
fiscal
year
beginning
July
1,
2009,
that
are
designated
as
carryover
funding
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2010,
shall
not
revert
but
shall
be
transferred
to
the
community
housing
and
services
for
persons
with
disabilities
revolving
loan
program
fund
created
in
section
16.185,
as
enacted
by
this
division
of
this
Act.
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AMERICAN
RECOVERY
AND
REINVESTMENT
ACT
OF
2009
——
ALLOCATION
FOR
INFANT
AND
TODDLER
CARE
QUALITY
Sec.
56.
2009
Iowa
Acts,
chapter
183,
section
62,
subsection
3,
is
amended
to
read
as
follows:
3.
For
the
purposes
of
this
subsection,
“federal
poverty
level”
means
the
poverty
level
defined
by
the
most
recently
revised
poverty
income
guidelines
published
by
the
United
States
department
of
health
and
human
services.
The
program
shall
provide
financial
assistance
to
families
with
infants
and
toddlers
less
than
thirty-six
months
of
age
two
that
have
a
family
income
of
more
than
145
percent
but
not
more
than
185
percent
of
the
federal
poverty
level.
However,
the
department
may
adjust
the
qualifying
criteria
or
the
financial
assistance
purpose
provisions
specified
in
this
subsection
or
make
other
changes
as
necessary
for
implementation
to
conform
with
federal
requirements
for
the
funding.
Outcome
reporting
and
other
grant
requirements
shall
be
developed
by
the
department
in
cooperation
with
the
Iowa
empowerment
board.
Sec.
57.
2009
Iowa
Acts,
chapter
183,
section
62,
subsection
4,
is
amended
to
read
as
follows:
4.
The
financial
assistance
shall
be
for
any
of
the
following
purposes:
a.
For
making
temporary
payments
to
qualifying
families
whose
members
are
recently
unemployed
and
seeking
work
to
use
in
meeting
immediate
family
needs.
b.
For
providing
sliding
scale
subsidies
for
qualifying
families
for
child
care
provided
to
the
families’
infants
and
toddlers
by
providers
who
are
accredited
by
the
national
association
for
the
education
of
young
children
or
the
national
association
for
family
child
care,
or
who
have
a
rating
at
level
3
2
or
higher
under
the
child
care
quality
rating
system
implemented
pursuant
to
section
237A.30.
c.
For
expanding
training
and
other
support
for
infant
care
providers
in
the
community
and
this
state.
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d.
For
ensuring
child
care
environments
are
healthy
and
safe.
e.
For
promoting
positive
relationships
between
parents
and
providers
in
their
mutual
efforts
to
care
for
very
young
children.
f.
For
ensuring
that
parents
have
the
information
and
resources
needed
to
choose
quality
child
care.
IOWA
DEPARTMENT
ON
AGING
CASE
MANAGEMENT
REVIEW
Sec.
58.
2010
Iowa
Acts,
chapter
1192,
section
1,
subsection
2,
is
amended
to
read
as
follows:
2.
a.
Of
the
funds
appropriated
in
this
section,
$1,246,514
shall
be
transferred
to
the
department
of
human
services
in
equal
amounts
on
a
quarterly
basis
for
reimbursement
of
case
management
services
provided
under
the
medical
assistance
elderly
waiver.
The
department
of
human
services
shall
adopt
rules
for
case
management
services
provided
under
the
medical
assistance
elderly
waiver
in
consultation
with
the
department
on
aging.
b.
The
department
of
human
services
shall
review
projections
for
state
funding
expenditures
for
reimbursement
of
case
management
services
under
the
medical
assistance
elderly
waiver
on
a
quarterly
basis
and
shall
determine
if
an
adjustment
to
the
medical
assistance
reimbursement
rates
are
necessary
to
provide
reimbursement
within
the
state
funding
amounts
budgeted
under
the
appropriations
made
for
the
fiscal
year
for
the
medical
assistance
program.
Any
temporary
enhanced
federal
financial
participation
that
may
become
available
for
the
medical
assistance
program
during
the
fiscal
year
shall
not
be
used
in
projecting
the
medical
assistance
elderly
waiver
case
management
budget.
The
department
of
human
services
shall
revise
such
reimbursement
rates
as
necessary
to
maintain
expenditures
for
medical
assistance
elderly
waiver
case
management
services
within
the
state
funding
amounts
budgeted
under
the
appropriations
made
for
the
fiscal
year
for
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the
medical
assistance
program.
IOWA
VETERANS
HOME
Sec.
59.
2010
Iowa
Acts,
chapter
1192,
section
3,
subsection
2,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
d.
The
funds
appropriated
in
this
subsection
to
the
Iowa
veterans
home
that
remain
available
for
expenditure
for
the
succeeding
fiscal
year
pursuant
to
section
35D.18,
subsection
5,
shall
be
distributed
to
be
used
in
the
succeeding
fiscal
year
in
accordance
with
this
lettered
paragraph.
The
first
$500,000
shall
remain
available
to
be
used
for
the
purposes
of
the
Iowa
veterans
home.
On
or
before
October
15,
2011,
the
department
of
management
shall
transfer
the
remaining
balance
to
the
appropriation
to
the
department
of
human
services
for
medical
assistance.
MEDICAL
ASSISTANCE
PROGRAM
Sec.
60.
2010
Iowa
Acts,
chapter
1192,
section
11,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
25.
The
department
may
increase
the
amounts
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
associated
with
the
medical
assistance
program
as
necessary
to
implement
cost
containment
efforts
in
order
to
accomplish
medical
assistance
program
savings.
These
amounts
may
be
transferred
to
the
appropriation
made
in
this
division
of
this
Act
for
the
health
insurance
premium
payment
program.
STATE
SUPPLEMENTARY
ASSISTANCE
PROGRAM
Sec.
61.
2010
Iowa
Acts,
chapter
1192,
section
14,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
CHILD
WELFARE
TRAINING
ACADEMY
Sec.
62.
2010
Iowa
Acts,
chapter
1192,
section
19,
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subsection
22,
is
amended
to
read
as
follows:
22.
Of
the
funds
appropriated
in
this
section,
at
least
$47,158
shall
be
used
for
the
child
welfare
training
academy.
Notwithstanding
section
8.33,
moneys
allocated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
ADOPTION
SUBSIDY
TRANSFER
AND
NONREVERSION
Sec.
63.
2010
Iowa
Acts,
chapter
1192,
section
20,
is
amended
by
adding
the
following
new
subsections:
NEW
SUBSECTION
.
4.
Of
the
funds
appropriated
in
this
section,
$60,000
shall
be
transferred
to
the
appropriation
made
in
this
division
of
this
Act
for
the
state
mental
health
institute
at
Cherokee
to
be
used
for
childrens’
beds
at
the
institute.
NEW
SUBSECTION
.
5.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
DEPARTMENT
OF
HUMAN
SERVICES
——
FIELD
OPERATIONS
Sec.
64.
2010
Iowa
Acts,
chapter
1192,
section
29,
is
amended
by
adding
the
following
new
unnumbered
paragraph:
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
DEPARTMENT
OF
HUMAN
SERVICES
——
GENERAL
ADMINISTRATION
Sec.
65.
2010
Iowa
Acts,
chapter
1192,
section
30,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
5.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
and
the
designated
allocations
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that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
IOWA
DEPARTMENT
ON
AGING
CASE
MANAGEMENT
REVIEW
Sec.
66.
2010
Iowa
Acts,
chapter
1192,
section
37,
subsection
1,
is
amended
to
read
as
follows:
1.
a.
Of
the
funds
appropriated
in
this
section,
$1,010,000
shall
be
transferred
to
the
department
of
human
services
in
equal
amounts
on
a
quarterly
basis
for
reimbursement
of
case
management
services
provided
under
the
medical
assistance
elderly
waiver.
b.
The
department
of
human
services
shall
review
projections
for
state
funding
expenditures
for
reimbursement
of
case
management
services
under
the
medical
assistance
elderly
waiver
on
a
quarterly
basis
and
shall
determine
if
an
adjustment
to
the
medical
assistance
reimbursement
rates
are
necessary
to
provide
reimbursement
within
the
state
funding
amounts
budgeted
under
the
appropriations
made
for
the
fiscal
year
for
the
medical
assistance
program.
Any
temporary
enhanced
federal
financial
participation
that
may
become
available
for
the
medical
assistance
program
during
the
fiscal
year
shall
not
be
used
in
projecting
the
medical
assistance
elderly
waiver
case
management
budget.
The
department
of
human
services
shall
revise
such
reimbursement
rates
as
necessary
to
maintain
expenditures
for
medical
assistance
elderly
waiver
case
management
services
within
the
state
funding
amounts
budgeted
under
the
appropriations
made
for
the
fiscal
year
for
the
medical
assistance
program.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES
Sec.
67.
2010
Iowa
Acts,
chapter
1192,
section
44,
is
amended
to
read
as
follows:
SEC.
44.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
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subject
to
the
availability
of
funds,
there
is
appropriated
from
the
quality
assurance
trust
fund
created
in
section
249L.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,900,000
33,708,458
1.
Of
the
funds
appropriated
in
this
section,
$7,500,000
shall
be
used
for
nursing
facility
reimbursement
under
the
medical
assistance
program
in
accordance
with
the
nursing
facility
reimbursement
provisions
of
division
IV
of
this
Act,
to
continue
application
of
the
administrative
rules
changes
relating
to
nursing
facility
reimbursement
and
payment
procedures
made
pursuant
to
2010
Iowa
Acts,
Senate
File
2366,
if
enacted,
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
and
to
restore
the
5
percent
reduction
made
in
nursing
facility
reimbursement
in
accordance
with
executive
order
number
19
issued
October
8,
2009.
2.
The
costs
associated
with
the
implementation
of
this
section
shall
be
funded
exclusively
through
moneys
appropriated
from
the
quality
assurance
trust
fund,
and
shall
result
in
budget
neutrality
to
the
general
fund
of
the
state
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011.
INJURED
VETERANS
TRUST
FUND
Sec.
68.
INJURED
VETERANS
TRUST
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
veterans
affairs
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
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CCH-649
To
be
credited
to
the
injured
veterans
trust
fund
created
pursuant
to
section
35A.14
to
be
used
for
the
injured
veterans
grant
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
The
department
shall
review
the
rules
and
statutory
provisions
pertaining
to
the
injured
veterans
grant
program
and
propose
amendments
to
improve
the
program.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
expended.
MERCHANT
MARINE
BONUS
FUND
TRANSFER
Sec.
69.
DEPARTMENT
OF
CULTURAL
AFFAIRS
——
MERCHANT
MARINE
BONUS
FUND.
1.
The
appropriation
made
from
the
merchant
marine
bonus
fund
to
the
department
of
cultural
affairs
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
in
2010
Iowa
Acts,
chapter
1193,
section
82,
shall
be
transferred
on
the
effective
date
of
this
section
to
the
department
of
veterans
affairs
to
be
used
for
departmental
costs.
2.
Moneys
transferred
pursuant
to
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
be
credited
to
the
veterans
trust
fund
created
in
section
35A.13.
Sec.
70.
DECATEGORIZATION
PROJECT
FUNDING.
For
the
period
beginning
June
1,
2010,
and
ending
June
30,
2012,
a
child
welfare
and
juvenile
justice
funding
decategorization
initiative
project
that
is
incorporated
and
owns
real
property
may
utilize
project
funding
to
purchase
liability
insurance.
STATE
INSTITUTION
——
APPROPRIATION
TRANSFERS
Sec.
71.
DEPARTMENT
OF
HUMAN
SERVICES.
There
is
transferred
between
the
following
designated
appropriations
made
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
not
more
than
the
following
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amounts:
1.
From
the
appropriation
made
for
purposes
of
the
state
resource
center
at
Glenwood
in
2010
Iowa
Acts,
chapter
1192,
section
25,
subsection
1,
paragraph
“a”,
to
the
appropriation
made
for
purposes
of
the
Iowa
juvenile
home
at
Toledo
in
2010
Iowa
Acts,
chapter
1192,
section
17,
subsection
1:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
2.
From
the
appropriation
made
for
purposes
of
the
state
resource
center
at
Woodward
in
2010
Iowa
Acts,
chapter
1192,
section
25,
subsection
1,
paragraph
“b”,
to
the
appropriation
made
for
purposes
of
the
state
mental
health
institute
at
Independence
in
2010
Iowa
Acts,
chapter
1192,
section
24,
subsection
1,
paragraph
“c”:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
Sec.
72.
ACCOUNTABLE
CARE
ORGANIZATION
——
PILOT.
1.
a.
If
an
entity
applies
for
certification
from
the
secretary
of
the
United
States
department
of
health
and
human
services
prior
to
January
1,
2012,
and
is
subsequently
certified
to
administer
an
accountable
care
organization
pilot
project,
pursuant
to
the
federal
Patient
Protection
and
Accountability
Act,
Pub.
L.
No.
111-148,
the
department
of
human
services
shall
work
with
the
entity
to
provide
access
to
the
complete
deidentified
claims
data
of
the
medical
assistance
recipients
receiving
health
care
services
through
the
pilot
project
for
the
purposes
of
identifying
areas
of
utilization,
need,
and
potential
cost
savings
to
the
medical
assistance
program
subject
to
all
applicable
state
and
federal
laws
and
regulations.
The
department
may
also
employ
new
payment
models,
information
technology,
and
data
analytics
provisions
necessary
to
the
administration
of
the
pilot
project.
b.
The
department
of
human
services
shall
work
with
an
entity
to
administer
an
accountable
care
organization
pilot
project,
only
if
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
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approves
participation
of
the
medical
assistance
program
in
the
pilot
project
and
the
entity
meets
all
of
the
following
requirements:
(1)
At
a
minimum,
includes
the
participation
of
a
prospective
payment
system
hospital,
ten
primary
care
physicians,
a
home
health
care
practice,
a
palliative
care
services,
a
hospice
service,
and
a
community
mental
health
center,
all
of
which
agree
to
be
paid
under
a
partial
or
global
payment
for
identified
services.
(2)
Requires
all
participating
providers
to
utilize
electronic
health
records.
(3)
Includes
delivery
of
mental
health
services
to
recipients
of
medical
assistance
through
collaboration
with
the
regional
community
mental
health
center,
a
federally
qualified
health
center,
and
at
least
one
nursing
facility
as
consistent
with
any
other
law
enacted
by
the
Eighty-fourth
general
assembly,
2011
session,
that
redesigns
the
mental
health
delivery
system
in
the
state.
c.
The
entity
certified
to
implement
the
pilot
project
shall
report
to
the
joint
appropriations
subcommittee
for
health
and
human
services
during
the
2012
legislative
session
detailing
the
progress
and
expected
outcomes
of
the
pilot
project.
Sec.
73.
EMERGENCY
RULES.
For
purposes
of
the
initial
rules
to
implement
the
provisions
of
section
16.185,
as
enacted
by
this
division
of
this
Act,
the
Iowa
finance
authority
may
adopt
administrative
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
the
provisions
and
the
rules
shall
become
effective
immediately
upon
filing
or
on
a
later
effective
date
specified
in
the
rules,
unless
the
effective
date
is
delayed
by
the
administrative
rules
review
committee.
Any
rules
adopted
in
accordance
with
this
section
shall
not
take
effect
before
the
rules
are
reviewed
by
the
administrative
rules
review
committee.
The
delay
authority
provided
to
the
administrative
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rules
review
committee
under
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
imposed
under
this
section,
notwithstanding
a
provision
in
those
sections
making
them
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
with
the
provisions
of
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4.
Sec.
74.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
APPLICABILITY.
Except
as
otherwise
provided
by
this
division
of
this
Act,
this
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment
and
if
approved
by
the
governor
on
or
after
July
1,
2011,
applies
retroactively
to
June
30,
2011.
Sec.
75.
RETROACTIVE
APPLICABILITY.
The
section
of
this
division
of
this
Act
addressing
child
welfare
and
juvenile
justice
funding
decategorization
initiative
project
funding
for
the
period
beginning
June
1,
2010,
and
ending
June
30,
2012,
applies
retroactively
to
June
1,
2010.
Sec.
76.
RETROACTIVE
APPLICABILITY.
The
section
of
this
division
of
this
Act
amending
section
35A.8A,
applies
retroactively
to
July
1,
2010.
Sec.
77.
RETROACTIVE
APPLICABILITY.
The
section
of
this
division
of
this
Act
making
transfers
between
appropriations
made
to
the
department
of
human
services
for
state
institutions
in
2010
Iowa
Acts,
chapter
1192,
applies
retroactively
to
January
1,
2011.
DIVISION
VIII
PREVENTION
AND
CHRONIC
CARE
MANAGEMENT
Sec.
78.
Section
135.159,
subsection
10,
Code
2011,
is
amended
to
read
as
follows:
10.
The
department
shall
integrate
the
recommendations
and
policies
developed
by
the
prevention
and
chronic
care
management
advisory
council
pursuant
to
section
135.161,
Code
2011,
into
the
medical
home
system
and
shall
incorporate
the
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development
and
implementation
of
the
state
initiative
for
prevention
and
chronic
care
management
as
developed
pursuant
to
section
135.161,
Code
2011,
into
the
duties
of
the
medical
home
system
advisory
council
beginning
January
1,
2012
.
Sec.
79.
Section
135.162,
subsections
1
and
3,
Code
2011,
are
amended
to
read
as
follows:
1.
The
director
shall
convene
a
clinicians
advisory
panel
to
advise
and
recommend
to
the
department
clinically
appropriate,
evidence-based
best
practices
regarding
the
implementation
of
the
medical
home
as
defined
in
section
135.157
and
the
prevention
and
chronic
care
management
initiative
pursuant
to
section
135.161
.
The
director
shall
act
as
chairperson
of
the
advisory
panel.
3.
The
clinicians
advisory
panel
shall
meet
on
a
quarterly
basis
to
receive
updates
from
the
director
regarding
strategic
planning
and
implementation
progress
on
the
medical
home
and
the
prevention
and
chronic
care
management
initiative
and
shall
provide
clinical
consultation
to
the
department
regarding
the
medical
home
and
the
initiative
.
Sec.
80.
Section
136.3,
subsection
14,
Code
2011,
is
amended
to
read
as
follows:
14.
Perform
those
duties
authorized
pursuant
to
sections
135.156
,
and
135.159
,
and
135.161
,
and
other
provisions
of
law.
Sec.
81.
REPEAL.
Section
135.161,
Code
2011,
is
repealed.
Sec.
82.
EFFECTIVE
DATE.
This
division
of
this
Act
takes
effect
December
31,
2011.
DIVISION
IX
MISCELLANEOUS
Sec.
83.
Section
29C.20B,
Code
2011,
is
amended
to
read
as
follows:
29C.20B
Disaster
case
management.
1.
The
rebuild
Iowa
office
homeland
security
and
emergency
management
division
shall
work
with
the
department
of
human
services
and
nonprofit,
voluntary,
and
faith-based
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organizations
active
in
disaster
recovery
and
response
in
coordination
with
the
homeland
security
and
emergency
management
division
the
department
of
human
services
to
establish
a
statewide
system
of
disaster
case
management
to
be
activated
following
the
governor’s
proclamation
of
a
disaster
emergency
or
the
declaration
of
a
major
disaster
by
the
president
of
the
United
States
for
individual
assistance
purposes.
Under
the
system,
the
department
of
human
services
homeland
security
and
emergency
management
division
shall
coordinate
case
management
services
locally
through
local
committees
as
established
in
each
local
emergency
management
commission’s
emergency
plan.
Beginning
July
1,
2011,
the
department
of
human
services
shall
assume
the
duties
of
the
rebuild
Iowa
office
under
this
subsection
.
2.
The
department
of
human
services
homeland
security
and
emergency
management
division
,
in
conjunction
with
the
rebuild
Iowa
office,
the
homeland
security
and
emergency
management
division
department
of
human
services
,
and
an
Iowa
representative
to
the
national
voluntary
organizations
active
in
disaster,
shall
adopt
rules
pursuant
to
chapter
17A
to
create
coordination
mechanisms
and
standards
for
the
establishment
and
implementation
of
a
statewide
system
of
disaster
case
management
which
shall
include
at
least
all
of
the
following:
a.
Disaster
case
management
standards.
b.
Disaster
case
management
policies.
c.
Reporting
requirements.
d.
Eligibility
criteria.
e.
Coordination
mechanisms
necessary
to
carry
out
the
services
provided.
f.
Develop
formal
working
relationships
with
agencies
and
create
interagency
agreements
for
those
considered
to
provide
disaster
case
management
services.
g.
Coordination
of
all
available
services
for
individuals
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from
multiple
agencies.
Sec.
84.
Section
135.106,
Code
2011,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
It
is
the
intent
of
the
general
assembly
that
priority
for
home
visitation
funding
be
given
to
approaches
using
evidence-based
or
promising
models
for
home
visitation.
Sec.
85.
Section
147.136,
Code
2011,
is
amended
to
read
as
follows:
147.136
Scope
of
recovery.
1.
In
Except
as
otherwise
provided
in
subsection
2,
in
an
action
for
damages
for
personal
injury
against
a
physician
and
surgeon,
osteopathic
physician
and
surgeon,
dentist,
podiatric
physician,
optometrist,
pharmacist,
chiropractor,
or
nurse
licensed
to
practice
that
profession
in
this
state,
or
against
a
hospital
licensed
for
operation
in
this
state,
based
on
the
alleged
negligence
of
the
practitioner
in
the
practice
of
the
profession
or
occupation,
or
upon
the
alleged
negligence
of
the
hospital
in
patient
care,
in
which
liability
is
admitted
or
established,
the
damages
awarded
shall
not
include
actual
economic
losses
incurred
or
to
be
incurred
in
the
future
by
the
claimant
by
reason
of
the
personal
injury,
including
but
not
limited
to,
the
cost
of
reasonable
and
necessary
medical
care,
rehabilitation
services,
and
custodial
care,
and
the
loss
of
services
and
loss
of
earned
income,
to
the
extent
that
those
losses
are
replaced
or
are
indemnified
by
insurance,
or
by
governmental,
employment,
or
service
benefit
programs
or
from
any
other
source
except
the
assets
of
the
claimant
or
of
the
members
of
the
claimant’s
immediate
family
.
2.
This
section
shall
not
bar
recovery
of
economic
losses
replaced
or
indemnified
by
any
of
the
following:
a.
Benefits
received
under
the
medical
assistance
program
under
chapter
249A.
b.
The
assets
of
the
claimant
or
of
the
members
of
the
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claimant’s
immediate
family.
Sec.
86.
Section
153.14,
subsection
1,
Code
2011,
is
amended
to
read
as
follows:
1.
Students
of
dentistry
who
practice
dentistry
upon
patients
at
clinics
in
connection
with
their
regular
course
of
instruction
at
the
state
an
accredited
dental
college,
students
of
dental
hygiene
who
practice
upon
patients
at
clinics
in
connection
with
their
regular
course
of
instruction
at
state-approved
schools,
and
students
of
dental
assisting
who
practice
upon
patients
at
clinics
in
connection
with
a
regular
course
of
instruction
determined
by
the
board
pursuant
to
section
153.39
.
Sec.
87.
Section
154A.24,
subsection
3,
paragraph
s,
Code
2011,
is
amended
by
striking
the
paragraph.
Sec.
88.
NEW
SECTION
.
155A.43
Pharmaceutical
collection
and
disposal
program
——
annual
allocation.
Of
the
fees
collected
pursuant
to
sections
124.301
and
147.80
and
chapter
155A
by
the
board
of
pharmacy,
and
retained
by
the
board
pursuant
to
section
147.82,
not
more
than
one
hundred
twenty-five
thousand
dollars,
may
be
allocated
annually
by
the
board
for
administering
the
pharmaceutical
collection
and
disposal
program
originally
established
pursuant
to
2009
Iowa
Acts,
chapter
175,
section
9.
The
program
shall
provide
for
the
management
and
disposal
of
unused,
excess,
and
expired
pharmaceuticals.
The
board
of
pharmacy
may
cooperate
with
the
Iowa
pharmacy
association
and
may
consult
with
the
department
and
sanitary
landfill
operators
in
administering
the
program.
Sec.
89.
Section
225B.8,
Code
2011,
is
amended
to
read
as
follows:
225B.8
Repeal.
This
chapter
is
repealed
July
1,
2011
2012
.
Sec.
90.
Section
232.188,
subsection
5,
paragraph
b,
unnumbered
paragraph
1,
Code
2011,
is
amended
to
read
as
follows:
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Notwithstanding
section
8.33
,
moneys
designated
for
a
project’s
decategorization
services
funding
pool
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
as
directed
by
the
project’s
governance
board
for
child
welfare
and
juvenile
justice
systems
enhancements
and
other
purposes
of
the
project
until
the
close
of
the
succeeding
fiscal
year
and
for
the
next
two
succeeding
fiscal
years.
Such
moneys
shall
be
known
as
“carryover
funding”
.
Moneys
may
be
made
available
to
a
funding
pool
from
one
or
more
of
the
following
sources:
Sec.
91.
Section
235B.19,
Code
2011,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
2A.
a.
The
department
shall
serve
a
copy
of
the
petition
and
any
order
authorizing
protective
services,
if
issued,
on
the
dependent
adult
and
on
persons
who
are
competent
adults
and
reasonably
ascertainable
at
the
time
the
petition
is
filed
in
accordance
with
the
following
priority:
(1)
An
attorney
in
fact
named
by
the
dependent
adult
in
a
durable
power
of
attorney
for
health
care
pursuant
to
chapter
144B.
(2)
The
dependent
adult’s
spouse.
(3)
The
dependent
adult’s
children.
(4)
The
dependent
adult’s
grandchildren.
(5)
The
dependent
adult’s
siblings.
(6)
The
dependent
adult’s
aunts
and
uncles.
(7)
The
dependent
adult’s
nieces
and
nephews.
(8)
The
dependent
adult’s
cousins.
b.
When
the
department
has
served
a
person
in
one
of
the
categories
specified
in
paragraph
“a”
,
the
department
shall
not
be
required
to
serve
a
person
in
any
other
category.
c.
The
department
shall
serve
the
dependent
adult’s
copy
of
the
petition
and
order
personally
upon
the
dependent
adult.
Service
of
the
petition
and
all
other
orders
and
notices
shall
be
in
a
sealed
envelope
with
the
proper
postage
on
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the
envelope,
addressed
to
the
person
being
served
at
the
person’s
last
known
post
office
address,
and
deposited
in
a
mail
receptacle
provided
by
the
United
States
postal
service.
The
department
shall
serve
such
copies
of
emergency
orders
authorizing
protective
services
and
notices
within
three
days
after
filing
the
petition
and
receiving
such
orders.
d.
The
department
and
all
persons
served
by
the
department
with
notices
under
this
subsection
shall
be
prohibited
from
all
of
the
following
without
prior
court
approval
after
the
department’s
petition
has
been
filed:
(1)
Selling,
removing,
or
otherwise
disposing
of
the
dependent
adult’s
personal
property.
(2)
Withdrawing
funds
from
any
bank,
savings
and
loan
association,
credit
union,
or
other
financial
institution,
or
from
an
account
containing
securities
in
which
the
dependent
adult
has
an
interest.
Sec.
92.
Section
237A.1,
subsection
3,
paragraph
n,
Code
2011,
is
amended
to
read
as
follows:
n.
A
program
offered
to
a
child
whose
parent,
guardian,
or
custodian
is
engaged
solely
in
a
recreational
or
social
activity,
remains
immediately
available
and
accessible
on
the
physical
premises
on
which
the
child’s
care
is
provided,
and
does
not
engage
in
employment
while
the
care
is
provided.
However,
if
the
recreational
or
social
activity
is
provided
in
a
fitness
center
or
on
the
premises
of
a
nonprofit
organization
the
parent,
guardian,
or
custodian
of
the
child
may
be
employed
to
teach
or
lead
the
activity.
Sec.
93.
Section
249A.4B,
subsection
2,
paragraph
a,
subparagraph
(18),
Code
2011,
is
amended
to
read
as
follows:
(18)
The
Iowa/Nebraska
Iowa
primary
care
association.
Sec.
94.
REPEAL.
Section
135.27A,
Code
2011,
is
repealed
December
31,
2011.
DIVISION
X
MEDICAID
PRESCRIPTION
DRUGS
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Sec.
95.
Section
249A.20A,
subsection
4,
Code
2011,
is
amended
to
read
as
follows:
4.
With
the
exception
of
drugs
prescribed
for
the
treatment
of
human
immunodeficiency
virus
or
acquired
immune
deficiency
syndrome,
transplantation,
or
cancer
and
drugs
prescribed
for
mental
illness
with
the
exception
of
drugs
and
drug
compounds
that
do
not
have
a
significant
variation
in
a
therapeutic
profile
or
side
effect
profile
within
a
therapeutic
class,
prescribing
and
dispensing
of
prescription
drugs
not
included
on
the
preferred
drug
list
shall
be
subject
to
prior
authorization.
Sec.
96.
2010
Iowa
Acts,
chapter
1031,
section
348,
is
amended
to
read
as
follows:
SEC.
348.
MEDICAID
NONPREFERRED
DRUG
LIST
PRESCRIBING.
1.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
to
restrict
physicians
and
other
prescribers
to
prescribing
not
more
than
a
72-hour
or
three-day
supply
of
a
prescription
drug
not
included
on
the
medical
assistance
preferred
drug
list
while
seeking
approval
to
continue
prescribing
the
medication.
2.
Notwithstanding
subsection
1,
the
department
shall
adopt
rules
pursuant
to
chapter
17A
to
restrict
a
physician
or
other
prescriber
prescribing
a
chemically
unique
mental
health
prescription
drug
to
prescribing
not
more
than
a
seven-day
supply
of
the
prescription
drug
while
requesting
approval
to
continue
to
prescribe
the
medication.
The
rules
shall
provide
that
if
an
approval
or
disapproval
is
not
received
by
the
physician
or
other
prescriber
within
48
hours
of
the
request,
the
request
is
deemed
approved.
Sec.
97.
REPEAL.
2010
Iowa
Acts,
chapter
1031,
section
349,
is
repealed.
Sec.
98.
RESCINDING
AND
ADOPTION
OF
RULES.
The
department
of
human
services
shall
rescind
the
rules
adopted
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
347,
chapter
1031,
section
348,
subsection
2,
and
chapter
1031,
section
349,
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and
shall
instead
adopt
emergency
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
section
249A.20A,
as
amended
in
this
division
of
this
Act,
and
the
rules
shall
be
effective
immediately
upon
filing
and
retroactively
applicable
to
January
1,
2011,
unless
a
later
date
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
with
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4.
Sec.
99.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment
and
applies
retroactively
to
January
1,
2011.
DIVISION
XI
IOWA
FALSE
CLAIMS
ACT
Sec.
100.
Section
685.1,
subsection
11,
Code
2011,
is
amended
to
read
as
follows:
11.
“Original
source”
means
an
individual
who
has
direct
and
independent
prior
to
a
public
disclosure
under
section
685.3,
subsection
5,
paragraph
“c”
,
has
voluntarily
disclosed
to
the
state
the
information
on
which
the
allegations
or
transactions
in
a
claim
are
based;
or
who
has
knowledge
of
the
information
on
which
the
allegations
are
based
that
is
independent
of
and
materially
adds
to
the
publicly
disclosed
allegations
or
transactions,
and
has
voluntarily
provided
the
information
to
the
state
before
filing
an
action
under
section
685.3
which
is
based
on
the
information
this
chapter
.
Sec.
101.
Section
685.1,
Code
2011,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
15.
“State”
means
the
state
of
Iowa.
Sec.
102.
Section
685.2,
subsection
1,
unnumbered
paragraph
1,
Code
2011,
is
amended
to
read
as
follows:
A
person
who
commits
any
of
the
following
acts
is
liable
to
the
state
for
a
civil
penalty
of
not
less
than
five
thousand
dollars
and
not
more
than
ten
thousand
dollars
the
civil
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penalty
allowed
under
the
federal
False
Claims
Act,
as
codified
in
31
U.S.C.
§
3729
et
seq.,
as
may
be
adjusted
in
accordance
with
the
inflation
adjustment
procedures
prescribed
in
the
federal
Civil
Penalties
Inflation
Adjustment
Act
of
1990,
Pub.
L.
No.
101-410,
for
each
false
or
fraudulent
claim
,
plus
three
times
the
amount
of
damages
which
the
state
sustains
because
of
the
act
of
that
person
:
Sec.
103.
Section
685.3,
subsection
5,
paragraph
c,
Code
2011,
is
amended
by
striking
the
paragraph
and
inserting
in
lieu
thereof
the
following:
c.
A
court
shall
dismiss
an
action
or
claim
under
this
section,
unless
opposed
by
the
state,
if
substantially
the
same
allegations
or
transactions
as
alleged
in
the
action
or
claim
were
publicly
disclosed
in
a
state
criminal,
civil,
or
administrative
hearing
in
which
the
state
or
an
agent
of
the
state
is
a
party;
in
a
state
legislative,
state
auditor,
or
other
state
report,
hearing,
audit,
or
investigation;
or
by
the
news
media,
unless
the
action
is
brought
by
the
attorney
general
or
the
qui
tam
plaintiff
is
an
original
source
of
the
information.
Sec.
104.
Section
685.3,
subsection
6,
Code
2011,
is
amended
to
read
as
follows:
6.
a.
Any
employee,
contractor,
or
agent
who
shall
be
entitled
to
all
relief
necessary
to
make
that
employee,
contractor,
or
agent
whole,
if
that
employee,
contractor,
or
agent
is
discharged,
demoted,
suspended,
threatened,
harassed,
or
in
any
other
manner
discriminated
against
in
the
terms
and
conditions
of
employment
because
of
lawful
acts
performed
done
by
the
employee,
contractor,
or
agent
on
behalf
of
the
employee,
contractor,
or
agent
or
associated
others
in
furtherance
of
an
action
under
this
section
or
other
efforts
to
stop
a
violation
one
or
more
violations
of
this
chapter
,
shall
be
entitled
to
all
relief
necessary
to
make
the
employee,
contractor,
or
agent
whole
.
Such
relief
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b.
Relief
under
paragraph
“a”
shall
include
reinstatement
with
the
same
seniority
status
such
that
employee,
contractor,
or
agent
would
have
had
but
for
the
discrimination,
two
times
the
amount
of
back
pay,
interest
on
the
back
pay,
and
compensation
for
any
special
damages
sustained
as
a
result
of
the
discrimination,
including
litigation
costs
and
reasonable
attorney
fees.
An
employee,
contractor,
or
agent
may
bring
an
action
under
this
subsection
may
be
brought
in
the
appropriate
district
court
of
the
state
for
the
relief
provided
in
this
subsection
.
c.
A
civil
action
under
this
subsection
shall
not
be
brought
more
than
three
years
after
the
date
when
the
retaliation
occurred.
DIVISION
XII
VOLUNTEER
HEALTH
CARE
PROVIDER
PROGRAM
Sec.
105.
Section
135.24,
subsection
2,
paragraphs
b
and
c,
Code
2011,
are
amended
to
read
as
follows:
b.
Procedures
for
registration
of
hospitals,
free
clinics,
field
dental
clinics,
and
specialty
health
care
provider
offices.
c.
Criteria
for
and
identification
of
hospitals,
clinics,
free
clinics,
field
dental
clinics,
specialty
health
care
provider
offices,
or
other
health
care
facilities,
health
care
referral
programs,
or
charitable
organizations,
eligible
to
participate
in
the
provision
of
free
medical,
dental,
chiropractic,
pharmaceutical,
nursing,
optometric,
psychological,
social
work,
behavioral
science,
podiatric,
physical
therapy,
occupational
therapy,
respiratory
therapy,
or
emergency
medical
care
services
through
the
volunteer
health
care
provider
program.
A
hospital,
a
clinic,
a
free
clinic,
a
field
dental
clinic,
a
specialty
health
care
provider
office,
a
health
care
facility,
a
health
care
referral
program,
a
charitable
organization,
or
a
health
care
provider
participating
in
the
program
shall
not
bill
or
charge
a
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patient
for
any
health
care
provider
service
provided
under
the
volunteer
health
care
provider
program.
Sec.
106.
Section
135.24,
Code
2011,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
6A.
A
hospital
providing
free
care
under
this
section
shall
be
considered
a
state
agency
solely
for
the
purposes
of
this
section
and
chapter
669
and
shall
be
afforded
protection
under
chapter
669
as
a
state
agency
for
all
claims
arising
from
the
provision
of
free
care
by
a
health
care
provider
registered
under
subsection
3
who
is
providing
services
at
the
hospital
in
accordance
with
this
section,
if
the
hospital
has
registered
with
the
department
pursuant
to
subsection
1.
Sec.
107.
Section
135.24,
subsection
7,
Code
2011,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
0e.
“Hospital”
means
hospital
as
defined
in
section
135B.1.
DIVISION
XIII
HEALTH
CARE
COST
CONTAINMENT
Sec.
108.
ALL-PAYER
CLAIMS
DATABASE.
The
department
of
human
services
in
consultation
with
the
division
of
insurance
of
the
department
of
commerce
shall
investigate
the
costs
associated
with
and
the
privacy
implications
of
implementing
an
all-payer
claims
database
to
provide
for
the
collection
and
analysis
of
claims
data
from
multiple
payers
of
health
care.
The
department
shall
report
its
findings
and
recommendations
to
the
individuals
specified
in
this
Act
for
submission
of
reports
by
December
15,
2011.
Sec.
109.
PROVIDER
PAYMENT
SYSTEM
PLAN
——
PILOT
PROJECT.
The
department
of
human
services
shall
develop
a
provider
payment
system
plan
to
provide
recommendations
to
reform
the
health
care
provider
payment
system
as
an
effective
way
to
promote
coordination
of
care,
lower
costs,
and
improve
quality.
The
plan
shall
provide
analysis
and
recommendations
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regarding
but
not
limited
to
accountable
care
organizations,
a
global
payment
system,
or
an
episode
of
care
payment
system.
Sec.
110.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XIV
HEALTH
INFORMATION
TECHNOLOGY
SYSTEM
Sec.
111.
HEALTH
INFORMATION
TECHNOLOGY
SYSTEM
——
BUSINESS
MODEL
AND
FINANCIAL
SUSTAINABILITY
PLAN.
1.
The
department
of
public
health
shall
convene
a
workgroup
to
develop
a
business
model
and
financial
sustainability
plan
for
implementation
of
a
statewide
health
information
technology
system.
The
workgroup
shall
incorporate
the
results
of
the
public
and
private
collaborative
efforts
described
in
chapter
135,
division
XXI
into
its
deliberations.
The
workgroup
shall
include
all
of
the
following
selected
by
the
director
of
public
health,
unless
otherwise
specified:
a.
Two
members
who
are
representatives
of
hospitals
selected
by
the
Iowa
hospital
association,
one
of
which
represents
the
largest
health
system
in
the
state.
b.
One
member
who
is
a
representative
of
the
university
of
Iowa
hospitals
and
clinics.
c.
One
member
who
is
a
licensed
practicing
physician
selected
by
the
Iowa
medical
society.
d.
One
member
who
is
a
licensed
practicing
physician
selected
by
the
Iowa
osteopathic
medical
association.
e.
Two
members
who
are
representatives
of
insurance
carriers
selected
by
the
federation
of
Iowa
insurers,
one
of
which
represents
the
largest
carrier.
f.
One
member
who
represents
the
Iowa
Medicaid
enterprise.
g.
One
member
who
represents
the
department
of
public
health.
h.
One
member
who
is
a
business
entrepreneur
selected
by
the
governor.
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2.
In
developing
the
business
model
and
financial
sustainability
plan
the
workgroup
shall
consider
and
make
recommendations
regarding
fees
to
be
paid
by
participants
who
choose
to
use
the
health
information
technology
system;
strategies
to
avoid
the
use
of
general
fund
appropriations
for
sustainability
of
the
health
information
technology
system;
the
establishment
of
a
dedicated
electronic
health
finance
fund;
and
the
transitioning
of
technical
infrastructure,
business
operations,
and
governance
of
the
health
information
technology
system
to
a
nongovernmental
entity.
3.
The
department
of
public
health
shall
submit
the
proposed
business
model
and
financial
sustainability
plan
to
the
executive
committee
established
pursuant
to
section
135.156
and
the
state
board
of
health
for
approval.
4.
The
approved
business
model
and
financial
sustainability
plan
shall
be
submitted
to
the
governor
and
the
general
assembly
no
later
than
December
1,
2011,
for
review
and
subsequent
action.
Sec.
112.
HEALTH
INFORMATION
TECHNOLOGY
SYSTEM
——
STRATEGIC
AND
OPERATIONAL
PLAN
——
PILOT.
For
the
purposes
of
administering
a
health
information
technology
system
pilot
project
during
the
fiscal
year
beginning
July
1,
2011,
the
department
of
public
health
shall
incorporate
all
of
the
following
legal
standards
and
policy
provisions
into
the
strategic
and
operational
plan
for
the
pilot
project:
1.
A
participant
shall
not
be
compelled
by
subpoena,
court
order,
or
other
process
of
law
to
access
health
information
through
the
health
information
technology
system
in
order
to
gather
records
or
information
not
created
by
the
participant.
2.
A
provider
who
relies
reasonably
and
in
good
faith
upon
any
health
information
provided
through
the
health
information
technology
system
in
treatment
of
a
patient
who
is
the
subject
of
the
health
information
shall
be
immune
from
criminal
or
civil
liability
arising
from
any
damages
caused
by
such
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reasonable,
good
faith
reliance.
Such
immunity
shall
not
apply
to
acts
or
omissions
constituting
negligence,
recklessness,
or
intentional
misconduct.
3.
A
participant
who
has
disclosed
health
information
through
the
health
information
technology
system
in
compliance
with
applicable
law
and
the
standards,
requirements,
policies,
procedures,
and
agreements
of
the
health
information
technology
system
shall
not
be
subject
to
criminal
or
civil
liability
for
the
use
or
disclosure
of
health
information
by
another
participant.
4.
Notwithstanding
chapter
22,
the
following
records
shall
be
kept
confidential,
unless
otherwise
ordered
by
a
court
or
consented
to
by
the
patient
or
by
a
person
duly
authorized
to
release
such
information:
a.
The
protected
health
information
contained
in,
stored
in,
submitted
to,
transferred
or
exchanged
by,
or
released
from
the
health
information
technology
system.
b.
Any
protected
health
information
in
the
possession
of
the
department
due
to
its
administration
of
the
health
information
technology
system.
DIVISION
XV
DEPARTMENT
ON
AGING
——
FY
2012-2013
Sec.
113.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
on
aging
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
aging
programs
for
the
department
on
aging
and
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
aging
and
disabilities
resource
center,
and
other
services
which
may
include
but
are
not
limited
to
adult
day
services,
respite
care,
chore
services,
information
and
assistance,
and
material
aid,
for
information
and
options
counseling
for
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persons
with
disabilities
who
are
18
years
of
age
or
older,
and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,151,288
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
35.00
1.
Funds
appropriated
in
this
section
may
be
used
to
supplement
federal
funds
under
federal
regulations.
To
receive
funds
appropriated
in
this
section,
a
local
area
agency
on
aging
shall
match
the
funds
with
moneys
from
other
sources
according
to
rules
adopted
by
the
department.
Funds
appropriated
in
this
section
may
be
used
for
elderly
services
not
specifically
enumerated
in
this
section
only
if
approved
by
an
area
agency
on
aging
for
provision
of
the
service
within
the
area.
2.
The
amount
appropriated
in
this
section
includes
additional
funding
of
$225,000
for
delivery
of
long-term
care
services
to
seniors
with
low
or
moderate
incomes.
3.
Of
the
funds
appropriated
in
this
section,
$89,973
shall
be
transferred
to
the
department
of
economic
development
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
retired
and
senior
volunteer
program.
4.
a.
The
department
on
aging
shall
establish
and
enforce
procedures
relating
to
expenditure
of
state
and
federal
funds
by
area
agencies
on
aging
that
require
compliance
with
both
state
and
federal
laws,
rules,
and
regulations,
including
but
not
limited
to
all
of
the
following:
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
or
services
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(2)
Prohibiting
prepayment
for
goods
or
services
not
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(3)
Prohibiting
the
prepayment
for
goods
or
services
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not
defined
specifically
by
good
or
service,
time
period,
or
recipient.
(4)
Prohibiting
the
establishment
of
accounts
from
which
future
goods
or
services
which
are
not
defined
specifically
by
good
or
service,
time
period,
or
recipient,
may
be
purchased.
b.
The
procedures
shall
provide
that
if
any
funds
are
expended
in
a
manner
that
is
not
in
compliance
with
the
procedures
and
applicable
federal
and
state
laws,
rules,
and
regulations,
and
are
subsequently
subject
to
repayment,
the
area
agency
on
aging
expending
such
funds
in
contravention
of
such
procedures,
laws,
rules
and
regulations,
not
the
state,
shall
be
liable
for
such
repayment.
DIVISION
XVI
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2012-2013
Sec.
114.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
public
health
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
other
drugs,
and
treating
individuals
affected
by
addictive
behaviors,
including
gambling,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,751,595
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$1,626,915
shall
be
used
for
the
tobacco
use
prevention
and
control
initiative,
including
efforts
at
the
state
and
local
levels,
as
provided
in
chapter
142A.
The
commission
on
tobacco
use
prevention
and
control
established
pursuant
to
section
142A.3
shall
advise
the
director
of
public
health
in
prioritizing
funding
needs
and
the
allocation
of
moneys
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appropriated
for
the
programs
and
activities
of
the
initiative
under
this
subparagraph
(1)
and
shall
make
recommendations
to
the
director
in
the
development
of
budget
requests
relating
to
the
initiative.
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$226,915
shall
be
transferred
to
the
alcoholic
beverages
division
of
the
department
of
commerce
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
in
accordance
with
2011
Iowa
Acts,
House
File
467,
as
enacted.
b.
Of
the
funds
appropriated
in
this
subsection,
$10,124,680
shall
be
used
for
problem
gambling
and
substance
abuse
prevention,
treatment,
and
recovery
services,
including
a
24-hour
helpline,
public
information
resources,
professional
training,
and
program
evaluation.
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$8,566,254
shall
be
used
for
substance
abuse
prevention
and
treatment.
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
$449,650
shall
be
used
for
the
public
purpose
of
a
grant
program
to
provide
substance
abuse
prevention
programming
for
children.
(i)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$213,769
shall
be
used
for
grant
funding
for
organizations
that
provide
programming
for
children
by
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
certified
or
will
be
certified
within
six
months
of
receiving
the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
standards
for
effective
practice
for
mentoring
programs.
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$213,419
shall
be
used
for
grant
funding
for
organizations
that
provide
programming
that
includes
youth
development
and
leadership.
The
programs
shall
also
be
recognized
as
being
programs
that
are
scientifically
based
with
evidence
of
their
effectiveness
in
reducing
substance
abuse
in
children.
(iii)
The
department
of
public
health
shall
utilize
a
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request
for
proposals
process
to
implement
the
grant
program.
(iv)
All
grant
recipients
shall
participate
in
a
program
evaluation
as
a
requirement
for
receiving
grant
funds.
(v)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
up
to
$22,461
may
be
used
to
administer
substance
abuse
prevention
grants
and
for
program
evaluations.
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
$136,531
shall
be
used
for
culturally
competent
substance
abuse
treatment
pilot
projects.
(i)
The
department
shall
utilize
the
amount
allocated
in
this
subparagraph
division
(b)
for
at
least
three
pilot
projects
to
provide
culturally
competent
substance
abuse
treatment
in
various
areas
of
the
state.
Each
pilot
project
shall
target
a
particular
ethnic
minority
population.
The
populations
targeted
shall
include
but
are
not
limited
to
African
American,
Asian,
and
Latino.
(ii)
The
pilot
project
requirements
shall
provide
for
documentation
or
other
means
to
ensure
access
to
the
cultural
competence
approach
used
by
a
pilot
project
so
that
such
approach
can
be
replicated
and
improved
upon
in
successor
programs.
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
to
$1,558,426
may
be
used
for
problem
gambling
prevention,
treatment,
and
recovery
services.
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
$1,289,500
shall
be
used
for
problem
gambling
prevention
and
treatment.
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$218,926
may
be
used
for
a
24-hour
helpline,
public
information
resources,
professional
training,
and
program
evaluation.
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$50,000
may
be
used
for
the
licensing
of
problem
gambling
treatment
programs.
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
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moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
given
priority
in
treatment
services.
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
to
standardize
the
availability,
delivery,
cost
of
delivery,
and
accountability
of
problem
gambling
and
substance
abuse
treatment
services
statewide,
the
department
shall
continue
implementation
of
a
process
to
create
a
system
for
delivery
of
treatment
services
in
accordance
with
the
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
of
treatment
services
that
best
meets
the
needs
of
Iowans,
the
problem
gambling
and
substance
abuse
treatment
services
in
any
area
may
be
provided
either
by
a
single
agency
or
by
separate
agencies
submitting
a
joint
proposal.
(1)
The
system
for
delivery
of
substance
abuse
and
problem
gambling
treatment
shall
include
problem
gambling
prevention.
(2)
The
system
for
delivery
of
substance
abuse
and
problem
gambling
treatment
shall
include
substance
abuse
prevention
by
July
1,
2014.
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
may
use
up
to
$50,000
for
administrative
costs
to
continue
developing
and
implementing
the
process
in
accordance
with
this
paragraph
“c”.
d.
The
requirement
of
section
123.53,
subsection
5,
is
met
by
the
appropriations
and
allocations
made
in
this
Act
for
purposes
of
substance
abuse
treatment
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2012.
e.
The
department
of
public
health
shall
work
with
all
other
departments
that
fund
substance
abuse
prevention
and
treatment
services
and
all
such
departments
shall,
to
the
extent
necessary,
collectively
meet
the
state
maintenance
of
effort
requirements
for
expenditures
for
substance
abuse
services
as
required
under
the
federal
substance
abuse
prevention
and
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treatment
block
grant.
f.
The
department
shall
amend
or
otherwise
revise
departmental
policies
and
contract
provisions
in
order
to
eliminate
free
t-shirt
distribution,
banner
production,
and
other
unnecessary
promotional
expenditures.
2.
HEALTHY
CHILDREN
AND
FAMILIES
For
promoting
the
optimum
health
status
for
children,
adolescents
from
birth
through
21
years
of
age,
and
families,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,297,135
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$369,659
shall
be
used
for
the
healthy
opportunities
to
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
established
pursuant
to
section
135.106.
The
funding
shall
be
distributed
to
renew
the
grants
that
were
provided
to
the
grantees
that
operated
the
program
during
the
fiscal
year
ending
June
30,
2012.
b.
Of
the
funds
appropriated
in
this
subsection,
$164,942
shall
be
used
to
continue
to
address
the
healthy
mental
development
of
children
from
birth
through
five
years
of
age
through
local
evidence-based
strategies
that
engage
both
the
public
and
private
sectors
in
promoting
healthy
development,
prevention,
and
treatment
for
children.
c.
Of
the
funds
appropriated
in
this
subsection,
$15,798
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
funds
to
continue
the
donated
dental
services
program
patterned
after
the
projects
developed
by
the
lifeline
network
to
provide
dental
services
to
indigent
elderly
and
disabled
individuals.
d.
Of
the
funds
appropriated
in
this
subsection,
$56,338
shall
be
used
for
childhood
obesity
prevention.
e.
Of
the
funds
appropriated
in
this
subsection,
$81,880
shall
be
used
to
provide
audiological
services
and
hearing
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aids
for
children.
The
department
may
enter
into
a
contract
to
administer
this
paragraph.
3.
CHRONIC
CONDITIONS
For
serving
individuals
identified
as
having
chronic
conditions
or
special
health
care
needs,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,680,828
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
a.
Of
the
funds
appropriated
in
this
subsection,
$80,291
shall
be
used
for
grants
to
individual
patients
who
have
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
special
foods.
b.
Of
the
funds
appropriated
in
this
subsection,
$241,800
is
allocated
for
continuation
of
the
contracts
for
resource
facilitator
services
in
accordance
with
section
135.22B,
subsection
9,
and
for
brain
injury
training
services
and
recruiting
of
service
providers
to
increase
the
capacity
within
this
state
to
address
the
needs
of
individuals
with
brain
injuries
and
such
individuals’
families.
c.
Of
the
funds
appropriated
in
this
subsection,
$249,437
shall
be
used
as
additional
funding
to
leverage
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
grants.
d.
Of
the
funds
appropriated
in
this
subsection,
$15,627
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
an
existing
national-affiliated
organization
to
provide
education,
client-centered
programs,
and
client
and
family
support
for
people
living
with
epilepsy
and
their
families.
e.
Of
the
funds
appropriated
in
this
subsection,
$394,151
shall
be
used
for
child
health
specialty
clinics.
f.
Of
the
funds
appropriated
in
this
subsection,
$248,533
shall
be
used
for
the
comprehensive
cancer
control
program
to
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
detection,
effective
treatment,
and
ensuring
quality
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of
life.
Of
the
funds
allocated
in
this
lettered
paragraph,
$75,000
shall
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
biorepository
and
registry,
basic
and
translational
melanoma
research,
and
clinical
trials.
g.
Of
the
funds
appropriated
in
this
subsection,
$63,225
shall
be
used
for
cervical
and
colon
cancer
screening.
h.
Of
the
funds
appropriated
in
this
subsection,
$264,417
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
i.
Of
the
funds
appropriated
in
this
subsection,
$64,968
shall
be
used
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M.
4.
COMMUNITY
CAPACITY
For
strengthening
the
health
care
delivery
system
at
the
local
level,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,117,583
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
a.
Of
the
funds
appropriated
in
this
subsection,
$50,000
is
allocated
for
a
child
vision
screening
program
implemented
through
the
university
of
Iowa
hospitals
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
b.
Of
the
funds
appropriated
in
this
subsection,
$55,654
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
and
$50,246
is
allocated
for
continuation
of
an
initiative
at
the
state
mental
health
institute
at
Cherokee
to
expand
and
improve
the
workforce
engaged
in
mental
health
treatment
and
services.
The
initiatives
shall
receive
input
from
the
university
of
Iowa,
the
department
of
human
services,
the
department
of
public
health,
and
the
mental
health
and
disability
services
commission
to
address
the
focus
of
the
initiatives.
c.
Of
the
funds
appropriated
in
this
subsection,
$585,745
shall
be
used
for
essential
public
health
services
that
promote
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healthy
aging
throughout
the
lifespan,
contracted
through
a
formula
for
local
boards
of
health,
to
enhance
health
promotion
and
disease
prevention
services.
d.
Of
the
funds
appropriated
in
this
section,
$60,908
shall
be
deposited
in
the
governmental
public
health
system
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
fund.
e.
Of
the
funds
appropriated
in
this
subsection,
$72,271
shall
be
used
for
the
mental
health
professional
shortage
area
program
implemented
pursuant
to
section
135.80.
f.
Of
the
funds
appropriated
in
this
subsection,
$19,131
shall
be
used
for
a
grant
to
a
statewide
association
of
psychologists
that
is
affiliated
with
the
American
psychological
association
to
be
used
for
continuation
of
a
program
to
rotate
intern
psychologists
in
placements
in
urban
and
rural
mental
health
professional
shortage
areas,
as
defined
in
section
135.80.
g.
Of
the
funds
appropriated
in
this
subsection,
the
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
safety
net
provider
network
established
pursuant
to
section
135.153
to
be
used
for
the
purposes
designated.
The
following
amounts
allocated
under
this
lettered
paragraph
shall
be
distributed
to
the
specified
provider
and
shall
not
be
reduced
for
administrative
or
other
costs
prior
to
distribution:
(1)
For
distribution
to
the
Iowa
primary
care
association
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
provider
network:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,290
(2)
For
distribution
to
the
local
boards
of
health
that
provide
direct
services
for
pilot
programs
in
three
counties
to
assist
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
(3)
For
distribution
to
maternal
and
child
health
centers
for
pilot
programs
in
three
counties
to
assist
patients
in
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192
CCH-649
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
(4)
For
distribution
to
free
clinics
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,025
(5)
For
distribution
to
rural
health
clinics
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
determining
an
appropriate
medical
home:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,215
(6)
For
continuation
of
the
safety
net
provider
patient
access
to
specialty
health
care
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
130,000
(7)
For
continuation
of
the
pharmaceutical
infrastructure
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
chapter
218,
section
108:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
135,000
The
Iowa
collaborative
safety
net
provider
network
may
continue
to
distribute
funds
allocated
pursuant
to
this
lettered
paragraph
through
existing
contracts
or
renewal
of
existing
contracts.
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
$74,500
shall
be
used
for
continued
implementation
of
the
recommendations
of
the
direct
care
worker
task
force
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
based
upon
the
report
submitted
to
the
governor
and
the
general
assembly
in
December
2006.
The
department
may
use
a
portion
of
the
funds
allocated
in
this
lettered
paragraph
for
an
additional
position
to
assist
in
the
continued
implementation.
(2)
It
is
the
intent
of
the
general
assembly
that
a
board
of
direct
care
workers
shall
be
established
within
the
-126-
HF649.3431
(28)
84
pf/jp
126/
192
CCH-649
department
of
public
health
by
July
1,
2014,
contingent
upon
the
availability
of
funds
to
establish
and
maintain
the
board.
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
$65,050
shall
be
used
for
allocation
to
an
independent
statewide
direct
care
worker
association
under
a
contract
with
terms
determined
by
the
director
of
public
health
relating
to
education,
outreach,
leadership
development,
mentoring,
and
other
initiatives
intended
to
enhance
the
recruitment
and
retention
of
direct
care
workers
in
health
care
and
long-term
care
settings.
(2)
Of
the
funds
appropriated
in
this
subsection,
$29,000
shall
be
used
to
provide
scholarships
or
other
forms
of
subsidization
for
direct
care
worker
educational
conferences,
training,
or
outreach
activities.
j.
Of
the
funds
appropriated
in
this
subsection,
the
department
may
use
up
to
$29,259
for
up
to
one
full-time
equivalent
position
to
administer
the
volunteer
health
care
provider
program
pursuant
to
section
135.24.
k.
Of
the
funds
appropriated
in
this
subsection,
$25,000
shall
be
used
for
a
matching
dental
education
loan
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
service
corporation
to
develop
the
criteria
and
implement
the
loan
repayment
program.
5.
HEALTHY
AGING
To
provide
public
health
services
that
reduce
risks
and
invest
in
promoting
and
protecting
good
health
over
the
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
vulnerable
populations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
a.
Of
the
funds
appropriated
in
this
subsection,
$1,004,593
shall
be
used
for
local
public
health
nursing
services.
b.
Of
the
funds
appropriated
in
this
subsection,
$2,643,977
shall
be
used
for
home
care
aide
services.
6.
ENVIRONMENTAL
HAZARDS
-127-
HF649.3431
(28)
84
pf/jp
127/
192
CCH-649
For
reducing
the
public’s
exposure
to
hazards
in
the
environment,
primarily
chemical
hazards,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
406,888
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
Of
the
funds
appropriated
in
this
subsection,
$272,188
shall
be
used
for
childhood
lead
poisoning
provisions.
7.
INFECTIOUS
DISEASES
For
reducing
the
incidence
and
prevalence
of
communicable
diseases,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
672,923
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
8.
PUBLIC
PROTECTION
For
protecting
the
health
and
safety
of
the
public
through
establishing
standards
and
enforcing
regulations,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,388,116
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$235,845
shall
be
credited
to
the
emergency
medical
services
fund
created
in
section
135.25.
Moneys
in
the
emergency
medical
services
fund
are
appropriated
to
the
department
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
appropriated
in
this
subsection,
$105,309
shall
be
used
for
sexual
violence
prevention
programming
through
a
statewide
organization
representing
programs
serving
victims
of
sexual
violence
through
the
department’s
sexual
violence
prevention
program.
The
amount
allocated
in
this
lettered
paragraph
shall
not
be
used
to
supplant
funding
administered
for
other
sexual
violence
prevention
or
victims
assistance
programs.
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$218,291
shall
be
used
for
the
state
poison
control
-128-
HF649.3431
(28)
84
pf/jp
128/
192
CCH-649
center.
9.
RESOURCE
MANAGEMENT
For
establishing
and
sustaining
the
overall
ability
of
the
department
to
deliver
services
to
the
public,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
409,777
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
DIVISION
XVII
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2012-2013
Sec.
115.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
veterans
affairs
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
For
salaries,
support,
maintenance,
and
miscellaneous
purposes,
including
the
war
orphans
educational
assistance
fund
created
in
section
35.8,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
499,416
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,476,075
a.
The
Iowa
veterans
home
billings
involving
the
department
of
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
-129-
HF649.3431
(28)
84
pf/jp
129/
192
CCH-649
b.
If
there
is
a
change
in
the
employer
of
employees
providing
services
at
the
Iowa
veterans
home
under
a
collective
bargaining
agreement,
such
employees
and
the
agreement
shall
be
continued
by
the
successor
employer
as
though
there
had
not
been
a
change
in
employer.
c.
Within
available
resources
and
in
conformance
with
associated
state
and
federal
program
eligibility
requirements,
the
Iowa
veterans
home
may
implement
measures
to
provide
financial
assistance
to
or
on
behalf
of
veterans
or
their
spouses
participating
in
the
community
reentry
program.
d.
The
Iowa
veterans
home
expenditure
report
shall
be
submitted
monthly
to
the
legislative
services
agency.
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
VETERANS
For
provision
of
educational
assistance
pursuant
to
section
35.9:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,208
Sec.
116.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
appropriation
in
the
following
designated
section
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
amounts
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
section
for
the
following
designated
purposes
shall
not
exceed
the
following
amount:
For
the
county
commissions
of
veterans
affairs
fund
under
section
35A.16:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
DIVISION
XVIII
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2012-2013
Sec.
117.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT.
There
is
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
from
moneys
received
under
the
federal
temporary
assistance
for
needy
-130-
HF649.3431
(28)
84
pf/jp
130/
192
CCH-649
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
received
under
the
emergency
contingency
fund
for
temporary
assistance
for
needy
families
state
program
established
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
legislation,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
To
be
credited
to
the
family
investment
program
account
and
used
for
assistance
under
the
family
investment
program
under
chapter
239B:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,750,369
2.
To
be
credited
to
the
family
investment
program
account
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
program
and
implementing
family
investment
agreements
in
accordance
with
chapter
239B:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,205,764
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
Notwithstanding
section
8.33,
moneys
appropriated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
encumbered
or
obligated
on
or
before
September
30,
2013,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
6.
For
state
child
care
assistance:
-131-
HF649.3431
(28)
84
pf/jp
131/
192
CCH-649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,191,343
The
funds
appropriated
in
this
subsection
shall
be
transferred
to
the
child
care
and
development
block
grant
appropriation
made
by
the
Eighty-fourth
General
Assembly,
2012
Session,
for
the
federal
fiscal
year
beginning
October
1,
2012,
and
ending
September
30,
2013.
Of
this
amount,
$100,000
shall
be
used
for
provision
of
educational
opportunities
to
registered
child
care
home
providers
in
order
to
improve
services
and
programs
offered
by
this
category
of
providers
and
to
increase
the
number
of
providers.
The
department
may
contract
with
institutions
of
higher
education
or
child
care
resource
and
referral
centers
to
provide
the
educational
opportunities.
Allowable
administrative
costs
under
the
contracts
shall
not
exceed
5
percent.
The
application
for
a
grant
shall
not
exceed
two
pages
in
length.
7.
For
mental
health
and
developmental
disabilities
community
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
8.
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
9.
For
child
abuse
prevention
grants:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
10.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
Pregnancy
prevention
grants
shall
be
awarded
to
programs
in
existence
on
or
before
July
1,
2012,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2012,
if
the
programs
are
based
on
existing
models
that
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
section
14,
subsections
1
and
2,
including
the
requirement
that
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
-132-
HF649.3431
(28)
84
pf/jp
132/
192
CCH-649
the
awarding
of
grants
shall
be
given
to
programs
that
serve
areas
of
the
state
which
demonstrate
the
highest
percentage
of
unplanned
pregnancies
of
females
of
childbearing
age
within
the
geographic
area
to
be
served
by
the
grant.
11.
For
technology
needs
and
other
resources
necessary
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
management
requirements:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
12.
To
be
credited
to
the
state
child
care
assistance
appropriation
made
in
this
section
to
be
used
for
funding
of
community-based
early
childhood
programs
targeted
to
children
from
birth
through
five
years
of
age
developed
by
early
childhood
Iowa
areas
as
provided
in
section
256I.11:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,175,000
The
department
shall
transfer
TANF
block
grant
funding
appropriated
and
allocated
in
this
subsection
to
the
child
care
and
development
block
grant
appropriation
in
accordance
with
federal
law
as
necessary
to
comply
with
the
provisions
of
this
subsection.
13.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2011
or
2012
Iowa
Acts
regarding
the
receipt
and
appropriation
of
federal
block
grants,
federal
funds
from
the
emergency
contingency
fund
for
temporary
assistance
for
needy
families
state
program
established
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5
§
2101,
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
not
otherwise
appropriated
in
this
section
and
remaining
available
as
of
July
1,
2012,
and
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
appropriated
to
the
extent
as
may
be
necessary
to
be
used
in
the
following
priority
order:
the
family
investment
program
for
the
fiscal
year
and
for
state
child
care
assistance
program
-133-
HF649.3431
(28)
84
pf/jp
133/
192
CCH-649
payments
for
individuals
enrolled
in
the
family
investment
program
who
are
employed.
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
all
other
funds
appropriated
in
subsection
1
for
the
assistance
under
the
family
investment
program
under
chapter
239B
have
been
expended.
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
legislative
services
agency
and
department
of
management
of
the
amount
of
funds
appropriated
in
this
subsection
that
was
expended
in
the
prior
quarter.
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
for
the
fiscal
year
beginning
July
1,
2012,
shall
be
transferred
to
the
appropriation
of
the
federal
social
services
block
grant
made
for
that
fiscal
year.
15.
For
continuation
of
the
program
allowing
the
department
to
maintain
categorical
eligibility
for
the
food
assistance
program
as
required
under
the
section
of
this
division
relating
to
the
family
investment
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
73,036
16.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
family
investment
program
from
the
general
fund
of
the
state.
Sec.
118.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1.
Moneys
credited
to
the
family
investment
program
(FIP)
account
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
shall
be
used
to
provide
assistance
in
accordance
with
chapter
239B.
2.
The
department
may
use
a
portion
of
the
moneys
credited
to
the
FIP
account
under
this
section
as
necessary
for
salaries,
support,
maintenance,
and
miscellaneous
purposes.
-134-
HF649.3431
(28)
84
pf/jp
134/
192
CCH-649
3.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
in
this
division
of
this
Act
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
family
investment
program
from
the
general
fund
of
the
state.
4.
Moneys
appropriated
in
this
division
of
this
Act
and
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
allocated
as
follows:
a.
To
be
retained
by
the
department
of
human
services
to
be
used
for
coordinating
with
the
department
of
human
rights
to
more
effectively
serve
participants
in
the
FIP
program
and
other
shared
clients
and
to
meet
federal
reporting
requirements
under
the
federal
temporary
assistance
for
needy
families
block
grant:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
b.
To
the
department
of
human
rights
for
staffing,
administration,
and
implementation
of
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,671,417
(1)
Of
the
funds
allocated
for
the
family
development
and
self-sufficiency
grant
program
in
this
lettered
paragraph,
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
administration
of
the
grant
program.
(2)
The
department
of
human
rights
may
continue
to
implement
the
family
development
and
self-sufficiency
grant
program
statewide
during
fiscal
year
2012-2013.
c.
For
the
diversion
subaccount
of
the
FIP
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
A
portion
of
the
moneys
allocated
for
the
subaccount
may
be
used
for
field
operations
salaries,
data
management
system
development,
and
implementation
costs
and
support
deemed
-135-
HF649.3431
(28)
84
pf/jp
135/
192
CCH-649
necessary
by
the
director
of
human
services
in
order
to
administer
the
FIP
diversion
program.
d.
For
the
food
stamp
employment
and
training
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
(1)
The
department
shall
amend
the
food
stamp
employment
and
training
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
for
the
claiming
of
allowable
federal
matching
funds
from
the
United
States
department
of
agriculture
pursuant
to
the
federal
food
stamp
employment
and
training
program
for
providing
education,
employment,
and
training
services
for
eligible
food
assistance
program
participants,
including
but
not
limited
to
related
dependent
care
and
transportation
expenses.
(2)
The
department
shall
continue
the
categorical
federal
food
assistance
program
eligibility
at
160
percent
of
the
federal
poverty
level
and
continue
to
eliminate
the
asset
test
from
eligibility
requirements,
consistent
with
federal
food
assistance
program
requirements.
The
department
shall
include
as
many
food
assistance
households
as
is
allowed
by
federal
law.
The
eligibility
provisions
shall
conform
to
all
federal
requirements
including
requirements
addressing
individuals
who
are
incarcerated
or
otherwise
ineligible.
e.
For
the
JOBS
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,117,952
5.
Of
the
child
support
collections
assigned
under
FIP,
an
amount
equal
to
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
recovery
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
the
child
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
payments
account.
If
as
a
consequence
of
the
appropriations
and
allocations
made
in
this
section
the
resulting
amounts
-136-
HF649.3431
(28)
84
pf/jp
136/
192
CCH-649
are
insufficient
to
sustain
cash
assistance
payments
and
meet
federal
maintenance
of
effort
requirements,
the
department
shall
seek
supplemental
funding.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
to
be
required
for
maintenance
of
effort,
the
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
payment
account.
6.
The
department
may
adopt
emergency
rules
for
the
family
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
if
necessary
to
comply
with
federal
requirements.
Sec.
119.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
To
be
credited
to
the
family
investment
program
(FIP)
account
and
used
for
family
investment
program
assistance
under
chapter
239B:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,085,513
1.
Of
the
funds
appropriated
in
this
section,
$3,912,188
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$1,231,927
is
allocated
for
the
family
development
and
self-sufficiency
grant
program.
3.
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
July
1,
2012,
if
necessary
to
meet
federal
maintenance
of
effort
requirements
or
to
transfer
federal
temporary
assistance
for
needy
families
block
grant
funding
to
be
used
for
purposes
of
the
federal
social
services
block
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
receiving
federal
funding
or
to
implement,
in
accordance
with
this
division
of
this
Act,
activities
currently
funded
with
juvenile
court
services,
county,
or
community
moneys
and
state
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moneys
used
in
combination
with
such
moneys,
the
department
of
human
services
may
transfer
funds
within
or
between
any
of
the
appropriations
made
in
this
division
of
this
Act
and
appropriations
in
law
for
the
federal
social
services
block
grant
to
the
department
for
the
following
purposes,
provided
that
the
combined
amount
of
state
and
federal
temporary
assistance
for
needy
families
block
grant
funding
for
each
appropriation
remains
the
same
before
and
after
the
transfer:
a.
For
the
family
investment
program.
b.
For
child
care
assistance.
c.
For
child
and
family
services.
d.
For
field
operations.
e.
For
general
administration.
f.
MH/MR/DD/BI
community
services
(local
purchase).
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
The
department
shall
report
any
transfers
made
pursuant
to
this
subsection
to
the
legislative
services
agency.
4.
Of
the
funds
appropriated
in
this
section,
$97,839
shall
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
organization
with
a
history
of
providing
tax
preparation
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
of
the
state.
Sec.
120.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
child
support
recovery,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,559,627
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
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1.
The
department
shall
expend
up
to
$12,164,
including
federal
financial
participation,
for
the
fiscal
year
beginning
July
1,
2012,
for
a
child
support
public
awareness
campaign.
The
department
and
the
office
of
the
attorney
general
shall
cooperate
in
continuation
of
the
campaign.
The
public
awareness
campaign
shall
emphasize,
through
a
variety
of
media
activities,
the
importance
of
maximum
involvement
of
both
parents
in
the
lives
of
their
children
as
well
as
the
importance
of
payment
of
child
support
obligations.
2.
Federal
access
and
visitation
grant
moneys
shall
be
issued
directly
to
private
not-for-profit
agencies
that
provide
services
designed
to
increase
compliance
with
the
child
access
provisions
of
court
orders,
including
but
not
limited
to
neutral
visitation
sites
and
mediation
services.
3.
The
appropriation
made
to
the
department
for
child
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
manner
necessary
for
purposes
of
cash
flow
management,
and
for
cash
flow
management
purposes
the
department
may
temporarily
draw
more
than
the
amount
appropriated,
provided
the
amount
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
4.
With
the
exception
of
the
funding
amount
specified,
the
requirements
established
under
2001
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
be
applicable
to
parental
obligation
pilot
projects
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013.
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
in
effect
until
June
30,
2013.
Sec.
121.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE.
Any
funds
remaining
in
the
health
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
program
appropriations
made
in
this
Act,
for
medical
assistance
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reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
implementation.
Sec.
122.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
assistance
program
reimbursement
and
associated
costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2012,
except
as
otherwise
expressly
authorized
by
law,
and
consistent
with
options
under
federal
law
and
regulations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$914,993,421
1.
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
For
an
abortion
covered
under
the
program,
except
in
the
case
of
a
medical
emergency,
as
defined
in
section
135L.1,
for
any
woman,
the
physician
shall
certify
both
of
the
following:
a.
That
the
woman
has
been
given
the
opportunity
to
view
an
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
before
an
abortion
is
performed.
b.
That
the
woman
has
been
provided
information
regarding
the
options
relative
to
a
pregnancy,
including
continuing
the
pregnancy
to
term
and
retaining
parental
rights
following
the
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
child
for
adoption,
and
terminating
the
pregnancy.
2.
The
department
shall
utilize
not
more
than
$60,000
of
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
health
insurance
premium
payment
program
as
established
in
1992
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$5,000
may
be
expended
for
administrative
purposes.
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
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of
public
health
for
addictive
disorders,
$950,000
for
the
fiscal
year
beginning
July
1,
2012,
shall
be
transferred
to
the
department
of
human
services
for
an
integrated
substance
abuse
managed
care
system.
The
department
shall
not
assume
management
of
the
substance
abuse
system
in
place
of
the
managed
care
contractor
unless
such
a
change
in
approach
is
specifically
authorized
in
law.
The
departments
of
human
services
and
public
health
shall
work
together
to
maintain
the
level
of
mental
health
and
substance
abuse
services
provided
by
the
managed
care
contractor
through
the
Iowa
plan
for
behavioral
health.
Each
department
shall
take
the
steps
necessary
to
continue
the
federal
waivers
as
necessary
to
maintain
the
level
of
services.
4.
a.
The
department
shall
aggressively
pursue
options
for
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
policy
provisions.
b.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
for
participation
in
one
or
more
pilot
projects
operated
by
a
private
provider
to
allow
the
individual
or
individuals
to
receive
service
in
the
community
in
accordance
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnosis,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
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the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
the
policy
provisions.
5.
Of
the
funds
appropriated
in
this
section,
up
to
$3,050,082
may
be
transferred
to
the
field
operations
or
general
administration
appropriations
in
this
Act
for
operational
costs
associated
with
Part
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
of
2003,
Pub.
L.
No.
108-173.
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
clinical
assessment
services
and
prior
authorization
of
services.
7.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriations
in
this
division
of
this
Act
for
general
administration,
medical
contracts,
the
children’s
health
insurance
program,
or
field
operations
to
be
used
for
the
state
match
cost
to
comply
with
the
payment
error
rate
measurement
(PERM)
program
for
both
the
medical
assistance
and
children’s
health
insurance
programs
as
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
to
comply
with
the
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
8.
It
is
the
intent
of
the
general
assembly
that
the
department
continue
to
implement
the
recommendations
of
the
assuring
better
child
health
and
development
initiative
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
services
healthy
mental
development
collaborative
board
regarding
changes
to
billing
procedures,
codes,
and
eligible
service
providers.
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
to
supplement
the
incomes
of
residents
of
nursing
facilities,
intermediate
care
facilities
for
persons
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with
mental
illness,
and
intermediate
care
facilities
for
persons
with
mental
retardation,
with
incomes
of
less
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
personal
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A.
10.
Of
the
funds
appropriated
in
this
section,
the
following
amounts
shall
be
transferred
to
the
appropriations
made
in
this
division
of
this
Act
for
the
state
mental
health
institutes:
a.
Cherokee
mental
health
institute
..........
$
9,098,425
b.
Clarinda
mental
health
institute
..........
$
1,977,305
c.
Independence
mental
health
institute
......
$
9,045,894
d.
Mount
Pleasant
mental
health
institute
....
$
5,752,587
11.
a.
Of
the
funds
appropriated
in
this
section,
$7,425,684
is
allocated
for
the
state
match
for
a
disproportionate
share
hospital
payment
of
$19,133,430
to
hospitals
that
meet
both
of
the
conditions
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
meet
the
conditions
specified
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
of
$7,500,000.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
of
$26,633,430.
(1)
The
hospital
qualifies
for
disproportionate
share
and
graduate
medical
education
payments.
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
than
500
beds
and
eight
or
more
distinct
residency
specialty
or
subspecialty
programs
recognized
by
the
American
college
of
graduate
medical
education.
b.
Distribution
of
the
disproportionate
share
payments
shall
be
made
on
a
monthly
basis.
The
total
amount
of
disproportionate
share
payments
including
graduate
medical
education,
enhanced
disproportionate
share,
and
Iowa
state-owned
teaching
hospital
payments
shall
not
exceed
the
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amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
In
addition,
the
total
amount
of
all
disproportionate
share
payments
shall
not
exceed
the
hospital-specific
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
12.
The
university
of
Iowa
hospitals
and
clinics
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
appropriation
an
amount
equal
to
provide
the
nonfederal
share
for
increased
medical
assistance
payments
for
inpatient
and
outpatient
hospital
services
of
$9,900,000.
The
university
of
Iowa
hospitals
and
clinics
shall
receive
and
retain
100
percent
of
the
total
increase
in
medical
assistance
payments.
13.
Of
the
funds
appropriated
in
this
section,
up
to
$4,480,304
may
be
transferred
to
the
IowaCare
account
created
in
section
249J.24.
14.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
Iowa
Acts,
chapter
179,
sections
166
and
167.
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
to
area
education
agencies
that
are
medical
assistance
providers
for
medical
assistance-covered
services
provided
to
medical
assistance-covered
children,
shall
be
made
from
the
appropriation
made
in
this
section.
16.
Any
new
or
renewed
contract
entered
into
by
the
department
with
a
third
party
to
administer
behavioral
health
services
under
the
medical
assistance
program
shall
provide
that
any
interest
earned
on
payments
from
the
state
during
the
state
fiscal
year
shall
be
remitted
to
the
department
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
assistance
program.
17.
The
department
shall
continue
to
implement
the
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
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section
55,
relating
to
eligibility
for
certain
persons
with
disabilities
under
the
medical
assistance
program
in
accordance
with
the
federal
family
opportunity
Act.
18.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
administrative
activities
associated
with
the
money
follows
the
person
demonstration
project.
19.
Of
the
funds
appropriated
in
this
section,
$349,011
shall
be
used
for
the
administration
of
the
health
insurance
premium
payment
program,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes
for
the
fiscal
year
beginning
July
1,
2012.
20.
a.
The
department
may
continue
to
implement
cost
containment
strategies
recommended
by
the
governor,
and
may
adopt
emergency
rules
for
such
implementation.
b.
The
department
shall
not
implement
the
cost
containment
strategy
to
require
a
primary
care
referral
for
the
provision
of
chiropractic
services.
c.
The
department
may
increase
the
amounts
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
associated
with
the
medical
assistance
program,
as
necessary,
to
implement
the
cost
containment
strategies.
The
department
shall
report
any
such
increase
to
the
legislative
services
agency
and
the
department
of
management.
d.
If
the
savings
to
the
medical
assistance
program
exceed
the
cost,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
medical
assistance
program
cost
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
2009,
or
cost
containment
strategies
initiated
pursuant
to
this
subsection,
to
the
appropriation
made
in
this
division
of
this
Act
for
medical
contracts
or
general
administration
to
defray
the
increased
contract
costs
associated
with
implementing
such
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efforts.
e.
The
department
shall
report
the
implementation
of
any
cost
containment
strategies
under
this
subsection
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
on
a
quarterly
basis.
21.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
department
of
human
services
shall
continue
implementation
of
the
amended
section
1915(b)
waiver
and
Iowa
plan
contract
for
inclusion
of
remedial
services
under
the
Iowa
plan
contract
for
the
fiscal
year
beginning
July
1,
2012.
22.
a.
Of
the
funds
appropriated
in
this
section,
$5,000,000
shall
be
used
to
continue
the
reduction
in
the
waiting
lists
of
these
medical
assistance
home
and
community-based
services
waivers
implemented
pursuant
to
this
Act
for
2011-2012:
the
waiver
for
persons
with
intellectual
disabilities,
the
waiver
for
persons
with
brain
injury,
and
the
children’s
mental
health
waiver.
b.
In
addition
to
the
funds
allocated
in
paragraph
“a”,
$5,000,000
of
the
funds
appropriated
in
this
section
shall
be
used
to
implement
reductions
in
the
waiting
lists
of
all
medical
assistance
home
and
community-based
services
waivers.
Sec.
123.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,453,728
1.
The
department
of
inspections
and
appeals
shall
provide
all
state
matching
funds
for
survey
and
certification
activities
performed
by
the
department
of
inspections
and
appeals.
The
department
of
human
services
is
solely
responsible
for
distributing
the
federal
matching
funds
for
such
activities.
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2.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
be
used
for
continuation
of
home
and
community-based
services
waiver
quality
assurance
programs,
including
the
review
and
streamlining
of
processes
and
policies
related
to
oversight
and
quality
management
to
meet
state
and
federal
requirements.
3.
Of
the
amount
appropriated
in
this
section,
up
to
$200,000
may
be
transferred
to
the
appropriation
for
general
administration
in
this
division
of
this
Act
to
be
used
for
additional
full-time
equivalent
positions
in
the
development
of
key
health
initiatives
such
as
cost
containment,
development
and
oversight
of
managed
care
programs,
and
development
of
health
strategies
targeted
toward
improved
quality
and
reduced
costs
in
the
Medicaid
program.
Sec.
124.
STATE
SUPPLEMENTARY
ASSISTANCE.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,425,373
2.
The
department
shall
increase
the
personal
needs
allowance
for
residents
of
residential
care
facilities
by
the
same
percentage
and
at
the
same
time
as
federal
supplemental
security
income
and
federal
social
security
benefits
are
increased
due
to
a
recognized
increase
in
the
cost
of
living.
The
department
may
adopt
emergency
rules
to
implement
this
subsection.
3.
If
during
the
fiscal
year
beginning
July
1,
2012,
the
department
projects
that
state
supplementary
assistance
expenditures
for
a
calendar
year
will
not
meet
the
federal
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
§
1382g,
the
department
may
take
actions
including
but
not
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limited
to
increasing
the
personal
needs
allowance
for
residential
care
facility
residents
and
making
programmatic
adjustments
or
upward
adjustments
of
the
residential
care
facility
or
in-home
health-related
care
reimbursement
rates
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
requirements
are
met.
In
addition,
the
department
may
make
other
programmatic
and
rate
adjustments
necessary
to
remain
within
the
amount
appropriated
in
this
section
while
ensuring
compliance
with
federal
requirements.
The
department
may
adopt
emergency
rules
to
implement
the
provisions
of
this
subsection.
Sec.
125.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
program
pursuant
to
chapter
514I,
including
supplemental
dental
services,
for
receipt
of
federal
financial
participation
under
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
children’s
health
insurance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,403,051
2.
Of
the
funds
appropriated
in
this
section,
$64,475
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
126.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
26,618,831
1.
Of
the
funds
appropriated
in
this
section,
$25,948,041
shall
be
used
for
state
child
care
assistance
in
accordance
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with
section
237A.13.
2.
Nothing
in
this
section
shall
be
construed
or
is
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
to
persons
who
are
eligible
for
assistance
due
to
an
income
level
consistent
with
the
waiting
list
requirements
of
section
237A.13.
Any
state
obligation
to
provide
services
pursuant
to
this
section
is
limited
to
the
extent
of
the
funds
appropriated
in
this
section.
3.
Of
the
funds
appropriated
in
this
section,
$216,226
is
allocated
for
the
statewide
program
for
child
care
resource
and
referral
services
under
section
237A.26.
A
list
of
the
registered
and
licensed
child
care
facilities
operating
in
the
area
served
by
a
child
care
resource
and
referral
service
shall
be
made
available
to
the
families
receiving
state
child
care
assistance
in
that
area.
4.
Of
the
funds
appropriated
in
this
section,
$468,487
is
allocated
for
child
care
quality
improvement
initiatives
including
but
not
limited
to
the
voluntary
quality
rating
system
in
accordance
with
section
237A.30.
5.
The
department
may
use
any
of
the
funds
appropriated
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
expanding
child
care
assistance
and
related
programs.
For
the
purpose
of
expenditures
of
state
and
federal
child
care
funding,
funds
shall
be
considered
obligated
at
the
time
expenditures
are
projected
or
are
allocated
to
the
department’s
service
areas.
Projections
shall
be
based
on
current
and
projected
caseload
growth,
current
and
projected
provider
rates,
staffing
requirements
for
eligibility
determination
and
management
of
program
requirements
including
data
systems
management,
staffing
requirements
for
administration
of
the
program,
contractual
and
grant
obligations
and
any
transfers
to
other
state
agencies,
and
obligations
for
decategorization
or
innovation
projects.
6.
A
portion
of
the
state
match
for
the
federal
child
care
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and
development
block
grant
shall
be
provided
as
necessary
to
meet
federal
matching
funds
requirements
through
the
state
general
fund
appropriation
made
for
child
development
grants
and
other
programs
for
at-risk
children
in
section
279.51.
7.
If
a
uniform
reduction
ordered
by
the
governor
under
section
8.31
or
other
operation
of
law,
transfer,
or
federal
funding
reduction
reduces
the
appropriation
made
in
this
section
for
the
fiscal
year,
the
percentage
reduction
in
the
amount
paid
out
to
or
on
behalf
of
the
families
participating
in
the
state
child
care
assistance
program
shall
be
equal
to
or
less
than
the
percentage
reduction
made
for
any
other
purpose
payable
from
the
appropriation
made
in
this
section
and
the
federal
funding
relating
to
it.
The
percentage
reduction
to
the
other
allocations
made
in
this
section
shall
be
the
same
as
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
change
of
the
federal
funding
reduction,
as
applicable.
If
there
is
an
unanticipated
increase
in
federal
funding
provided
for
state
child
care
assistance,
the
entire
amount
of
the
increase
shall
be
used
for
state
child
care
assistance
payments.
If
the
appropriations
made
for
purposes
of
the
state
child
care
assistance
program
for
the
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
requirements.
8.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
or
received
from
the
federal
appropriations
made
for
the
purposes
of
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
127.
JUVENILE
INSTITUTIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
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CCH-649
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,129,125
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
2.
For
operation
of
the
state
training
school
at
Eldora
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,319,338
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
Of
the
funds
appropriated
in
this
subsection,
$45,575
shall
be
used
for
distribution
to
licensed
classroom
teachers
at
this
and
other
institutions
under
the
control
of
the
department
of
human
services
based
upon
the
average
student
yearly
enrollment
at
each
institution
as
determined
by
the
department.
3.
A
portion
of
the
moneys
appropriated
in
this
section
shall
be
used
by
the
state
training
school
and
by
the
Iowa
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
activities
at
the
institutions
in
the
fiscal
year
beginning
July
1,
2012.
Sec.
128.
CHILD
AND
FAMILY
SERVICES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,415,081
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
amount
allocated
under
the
appropriation
made
for
the
purposes
of
this
section
in
prior
years
for
purposes
of
juvenile
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delinquent
graduated
sanction
services,
up
to
$2,600,000
of
the
amount
of
federal
temporary
assistance
for
needy
families
block
grant
funding
appropriated
in
this
division
of
this
Act
for
child
and
family
services
shall
be
made
available
for
purposes
of
juvenile
delinquent
graduated
sanction
services.
3.
The
department
may
transfer
funds
appropriated
in
this
section
as
necessary
to
pay
the
nonfederal
costs
of
services
reimbursed
under
the
medical
assistance
program,
state
child
care
assistance
program,
or
the
family
investment
program
which
are
provided
to
children
who
would
otherwise
receive
services
paid
under
the
appropriation
in
this
section.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
for
field
operations
for
resources
necessary
to
implement
and
operate
the
services
funded
in
this
section.
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$15,084,564
is
allocated
as
the
statewide
expenditure
target
under
section
232.143
for
group
foster
care
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
allocated
in
this
lettered
paragraph,
the
department
may
reallocate
the
excess
to
provide
additional
funding
for
shelter
care
or
the
child
welfare
emergency
services
addressed
with
the
allocation
for
shelter
care.
b.
If
at
any
time
after
September
30,
2012,
annualization
of
a
service
area’s
current
expenditures
indicates
a
service
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
target
under
section
232.143
by
more
than
5
percent,
the
department
and
juvenile
court
services
shall
examine
all
group
foster
care
placements
in
that
service
area
in
order
to
identify
those
which
might
be
appropriate
for
termination.
In
addition,
any
aftercare
services
believed
to
be
needed
for
the
children
whose
placements
may
be
terminated
shall
be
identified.
The
department
and
juvenile
court
services
shall
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initiate
action
to
set
dispositional
review
hearings
for
the
placements
identified.
In
such
a
dispositional
review
hearing,
the
juvenile
court
shall
determine
whether
needed
aftercare
services
are
available
and
whether
termination
of
the
placement
is
in
the
best
interest
of
the
child
and
the
community.
5.
In
accordance
with
the
provisions
of
section
232.188,
the
department
shall
continue
the
child
welfare
and
juvenile
justice
funding
initiative
during
fiscal
year
2012-2013.
Of
the
funds
appropriated
in
this
section,
$858,876
is
allocated
specifically
for
expenditure
for
fiscal
year
2012-2013
through
the
decategorization
service
funding
pools
and
governance
boards
established
pursuant
to
section
232.188.
6.
A
portion
of
the
funds
appropriated
in
this
section
may
be
used
for
emergency
family
assistance
to
provide
other
resources
required
for
a
family
participating
in
a
family
preservation
or
reunification
project
or
successor
project
to
stay
together
or
to
be
reunified.
7.
Notwithstanding
section
234.35
or
any
other
provision
of
law
to
the
contrary,
state
funding
for
shelter
care
and
the
child
welfare
emergency
services
contracting
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
limited
to
$3,585,058.
The
department
may
continue
or
execute
contracts
that
result
from
the
department’s
request
for
proposal,
bid
number
ACFS-11-114,
to
provide
the
range
of
child
welfare
emergency
services
described
in
the
request
for
proposals,
and
any
subsequent
amendments
to
the
request
for
proposals.
8.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2012,
as
the
result
of
the
expenditure
of
state
funds
appropriated
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
services
and
purposes
provided
for
under
this
section.
Notwithstanding
section
8.33,
moneys
received
in
accordance
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with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
9.
Of
the
funds
appropriated
in
this
section,
at
least
$1,848,142
shall
be
used
for
protective
child
care
assistance.
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$1,031,244
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
who
are
under
the
supervision
of
juvenile
court
services,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
to
$778,143
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232,
of
which
not
more
than
$7,500
may
be
used
for
the
purpose
of
training.
A
portion
of
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
the
school
district
or
other
funding
source
as
approved
by
the
chief
juvenile
court
officer.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
children
who
are
under
the
supervision
of
the
department,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4.
c.
Notwithstanding
section
232.141
or
any
other
provision
of
law
to
the
contrary,
the
amounts
allocated
in
this
subsection
shall
be
distributed
to
the
judicial
districts
as
determined
by
the
state
court
administrator
and
to
the
department’s
service
areas
as
determined
by
the
administrator
of
the
department’s
division
of
child
and
family
services.
The
state
court
administrator
and
the
division
administrator
shall
make
the
determination
of
the
distribution
amounts
on
or
before
June
15,
2012.
d.
Notwithstanding
chapter
232
or
any
other
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
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order
any
service
which
is
a
charge
upon
the
state
pursuant
to
section
232.141
if
there
are
insufficient
court-ordered
services
funds
available
in
the
district
court
or
departmental
service
area
distribution
amounts
to
pay
for
the
service.
The
chief
juvenile
court
officer
and
the
departmental
service
area
manager
shall
encourage
use
of
the
funds
allocated
in
this
subsection
such
that
there
are
sufficient
funds
to
pay
for
all
court-related
services
during
the
entire
year.
The
chief
juvenile
court
officers
and
departmental
service
area
managers
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
in
the
distribution
amounts
and
shall
cooperatively
request
the
state
court
administrator
or
division
administrator
to
transfer
funds
between
the
judicial
districts’
or
departmental
service
areas’
distribution
amounts
as
prudent.
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
entered
under
chapter
232
which
is
a
charge
upon
the
state
under
section
232.141,
subsection
4.
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$41,500
may
be
used
by
the
judicial
branch
for
administration
of
the
requirements
under
this
subsection.
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
shall
be
used
by
the
department
of
human
services
to
support
the
interstate
commission
for
juveniles
in
accordance
with
the
interstate
compact
for
juveniles
as
provided
in
section
232.173.
11.
Of
the
funds
appropriated
in
this
section,
$2,961,301
is
allocated
for
juvenile
delinquent
graduated
sanctions
services.
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
services
to
earn
federal
Tit.
IV-E
match
for
juvenile
court
services
administration
may
be
used
for
the
juvenile
delinquent
graduated
sanctions
services.
12.
Of
the
funds
appropriated
in
this
section,
$494,142
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shall
be
transferred
to
the
department
of
public
health
to
be
used
for
the
child
protection
center
grant
program
in
accordance
with
section
135.118.
13.
If
the
department
receives
federal
approval
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
Security
Act
to
enable
providers
to
serve
children
who
remain
in
the
children’s
families
and
communities,
for
purposes
of
eligibility
under
the
medical
assistance
program,
children
who
participate
in
the
waiver
shall
be
considered
to
be
placed
in
foster
care.
14.
Of
the
funds
appropriated
in
this
section,
$1,534,916
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46.
15.
Of
the
funds
appropriated
in
this
section,
$260,075
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
in
this
subsection
shall
be
distributed
as
follows:
To
the
judicial
branch
for
salaries
to
assist
with
the
operation
of
juvenile
drug
court
programs
operated
in
the
following
jurisdictions:
a.
Marshall
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
b.
Woodbury
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
c.
Polk
county:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
d.
The
third
judicial
district:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
e.
The
eighth
judicial
district:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
16.
Of
the
funds
appropriated
in
this
section,
$113,668
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
a
nonprofit
human
services
organization
providing
services
to
individuals
and
families
in
multiple
locations
in
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
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sensitive
support
and
forensic
interviews,
medical
exams,
needs
assessments,
and
referrals
for
victims
of
child
abuse
and
their
nonoffending
family
members.
17.
Of
the
funds
appropriated
in
this
section,
$62,795
is
allocated
for
the
elevate
approach
of
providing
a
support
network
to
children
placed
in
foster
care.
18.
Of
the
funds
appropriated
in
this
section,
$101,000
is
allocated
for
use
pursuant
to
section
235A.1
for
continuation
of
the
initiative
to
address
child
sexual
abuse
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
21.
19.
Of
the
funds
appropriated
in
this
section,
$315,120
is
allocated
for
the
community
partnership
for
child
protection
sites.
20.
Of
the
funds
appropriated
in
this
section,
$185,625
is
allocated
for
the
department’s
minority
youth
and
family
projects
under
the
redesign
of
the
child
welfare
system.
21.
Of
the
funds
appropriated
in
this
section,
$600,247
is
allocated
for
funding
of
the
state
match
for
the
federal
substance
abuse
and
mental
health
services
administration
(SAMHSA)
system
of
care
grant.
22.
Of
the
funds
appropriated
in
this
section,
at
least
$73,579
shall
be
used
for
the
child
welfare
training
academy.
23.
Of
the
funds
appropriated
in
this
section,
$12,500
shall
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
child
welfare
services
provider
headquartered
in
a
county
with
a
population
between
205,000
and
215,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
a
psychiatric
medical
institution
for
children,
shelter,
residential
treatment,
after
school
programs,
school-based
programming,
and
an
Asperger’s
syndrome
program,
to
be
used
for
support
services
for
children
with
autism
spectrum
disorder
and
their
families.
24.
Of
the
funds
appropriated
in
this
section
$125,000
shall
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be
used
for
continuation
of
the
central
Iowa
system
of
care
program
grant
through
June
30,
2013.
25.
Of
the
funds
appropriated
in
this
section,
$80,000
shall
be
used
for
the
public
purpose
of
the
continuation
of
a
system
of
care
grant
implemented
in
Cerro
Gordo
and
Linn
counties
in
accordance
with
this
Act
in
FY
2011-2012.
Sec.
129.
ADOPTION
SUBSIDY.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,633,295
2.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
general
administration
for
costs
paid
from
the
appropriation
relating
to
adoption
subsidy.
3.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2012,
as
the
result
of
the
expenditure
of
state
funds
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
the
services
and
activities
funded
under
this
section.
Notwithstanding
section
8.33,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
130.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
in
the
juvenile
detention
home
fund
created
in
section
232.142
during
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
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2013,
for
distribution
of
an
amount
equal
to
a
percentage
of
the
costs
of
the
establishment,
improvement,
operation,
and
maintenance
of
county
or
multicounty
juvenile
detention
homes
in
the
fiscal
year
beginning
July
1,
2011.
Moneys
appropriated
for
distribution
in
accordance
with
this
section
shall
be
allocated
among
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
fiscal
year
beginning
July
1,
2011.
The
percentage
figure
shall
be
determined
by
the
department
based
on
the
amount
available
for
distribution
for
the
fund.
Notwithstanding
section
232.142,
subsection
3,
the
financial
aid
payable
by
the
state
under
that
provision
for
the
fiscal
year
beginning
July
1,
2012,
shall
be
limited
to
the
amount
appropriated
for
the
purposes
of
this
section.
Sec.
131.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
family
support
subsidy
program
subject
to
the
enrollment
restrictions
in
section
225C.37,
subsection
3:
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
583,999
2.
The
department
shall
use
at
least
$192,750
of
the
moneys
appropriated
in
this
section
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
section
225C.47.
Not
more
than
$12,500
of
the
amount
allocated
in
this
subsection
shall
be
used
for
administrative
costs.
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
funding
available
for
the
family
support
subsidy
program
is
reduced
from
the
amount
initially
used
to
establish
the
figure
for
the
number
of
family
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
notwithstanding
section
225C.38,
subsection
2,
the
department
-159-
HF649.3431
(28)
84
pf/jp
159/
192
CCH-649
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
of
funding
available.
Sec.
132.
CONNER
DECREE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
building
community
capacity
through
the
coordination
and
provision
of
training
opportunities
in
accordance
with
the
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
.
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.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
Sec.
133.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
the
state
mental
health
institute
at
Cherokee
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,938,654
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
2.
For
the
state
mental
health
institute
at
Clarinda
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,205,867
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
3.
For
the
state
mental
health
institute
at
Independence
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,137,842
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
-160-
HF649.3431
(28)
84
pf/jp
160/
192
CCH-649
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
472,161
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
FTEs
97.72
Sec.
134.
STATE
RESOURCE
CENTERS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,253,900
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,392,829
2.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
shift
costs
between
the
medical
assistance
program,
counties,
or
other
sources
of
funding
for
the
state
resource
centers.
3.
The
state
resource
centers
may
expand
the
time-limited
assessment
and
respite
services
during
the
fiscal
year.
4.
If
the
department’s
administration
and
the
department
of
management
concur
with
a
finding
by
a
state
resource
center’s
superintendent
that
projected
revenues
can
reasonably
be
expected
to
pay
the
salary
and
support
costs
for
a
new
employee
position,
or
that
such
costs
for
adding
a
particular
number
of
new
positions
for
the
fiscal
year
would
be
less
than
the
overtime
costs
if
new
positions
would
not
be
added,
the
superintendent
may
add
the
new
position
or
positions.
If
the
vacant
positions
available
to
a
resource
center
do
not
include
the
position
classification
desired
to
be
filled,
the
state
resource
center’s
superintendent
may
reclassify
any
-161-
HF649.3431
(28)
84
pf/jp
161/
192
CCH-649
vacant
position
as
necessary
to
fill
the
desired
position.
The
superintendents
of
the
state
resource
centers
may,
by
mutual
agreement,
pool
vacant
positions
and
position
classifications
during
the
course
of
the
fiscal
year
in
order
to
assist
one
another
in
filling
necessary
positions.
5.
If
existing
capacity
limitations
are
reached
in
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
a
special
need
for
which
a
payment
source
or
other
funding
is
available
for
the
service
or
to
address
the
special
need,
and
facilities
for
the
service
or
to
address
the
special
need
can
be
provided
within
the
available
payment
source
or
other
funding,
the
superintendent
of
a
state
resource
center
may
authorize
opening
not
more
than
two
units
or
other
facilities
and
begin
implementing
the
service
or
addressing
the
special
need
during
fiscal
year
2012-2013.
Sec.
135.
MI/MR/DD
STATE
CASES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
distribution
to
counties
for
state
case
services
for
persons
with
mental
illness,
mental
retardation,
and
developmental
disabilities
in
accordance
with
section
331.440:
.
.
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.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,084,741
2.
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
$100,000
is
allocated
for
state
case
services
from
the
amounts
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
from
the
funds
received
from
the
federal
government
under
42
U.S.C.
ch.
6A,
subch.
XVII,
relating
to
the
community
mental
health
center
block
grant,
for
the
federal
fiscal
years
beginning
October
1,
2010,
and
ending
September
30,
2011,
beginning
October
1,
2011,
and
ending
September
30,
2012,
and
beginning
October
1,
-162-
HF649.3431
(28)
84
pf/jp
162/
192
CCH-649
2012,
and
ending
September
30,
2013.
The
allocation
made
in
this
subsection
shall
be
made
prior
to
any
other
distribution
allocation
of
the
appropriated
federal
funds.
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
136.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
mental
health
and
developmental
disabilities
community
services
fund
created
in
section
225C.7
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
mental
health
and
developmental
disabilities
community
services
in
accordance
with
this
division
of
this
Act:
.
.
.
.
.
.
.
.
.
.
.
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.
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.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
shall
be
allocated
to
counties
for
funding
of
community-based
mental
health
and
developmental
disabilities
services.
The
moneys
shall
be
allocated
to
a
county
as
follows:
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
population
of
persons
with
an
annual
income
which
is
equal
to
or
less
than
the
poverty
guideline
established
by
the
federal
office
of
management
and
budget.
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
general
population.
2.
a.
A
county
shall
utilize
the
funding
the
county
receives
pursuant
to
subsection
1
for
services
provided
to
persons
with
a
disability,
as
defined
in
section
225C.2.
However,
no
more
than
50
percent
of
the
funding
shall
be
used
for
services
provided
to
any
one
of
the
service
populations.
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
-163-
HF649.3431
(28)
84
pf/jp
163/
192
CCH-649
county
receives
under
subsection
1
for
contemporary
services
provided
to
persons
with
a
disability,
as
described
in
rules
adopted
by
the
department.
3.
Of
the
funds
appropriated
in
this
section,
$23,544
shall
be
used
to
support
the
Iowa
compass
program
providing
computerized
information
and
referral
services
for
Iowans
with
disabilities
and
their
families.
4.
a.
Funding
appropriated
for
purposes
of
the
federal
social
services
block
grant
is
allocated
for
distribution
to
counties
for
local
purchase
of
services
for
persons
with
mental
illness
or
mental
retardation
or
other
developmental
disability.
b.
The
funds
allocated
in
this
subsection
shall
be
expended
by
counties
in
accordance
with
the
county’s
county
management
plan
approved
by
the
board
of
supervisors.
A
county
without
an
approved
county
management
plan
shall
not
receive
allocated
funds
until
the
county’s
management
plan
is
approved.
c.
The
funds
provided
by
this
subsection
shall
be
allocated
to
each
county
as
follows:
(1)
Fifty
percent
based
upon
the
county’s
proportion
of
the
state’s
population
of
persons
with
an
annual
income
which
is
equal
to
or
less
than
the
poverty
guideline
established
by
the
federal
office
of
management
and
budget.
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
county
for
local
purchase
of
services
in
the
preceding
fiscal
year.
5.
A
county
is
eligible
for
funds
under
this
section
if
the
county
qualifies
for
a
state
payment
as
described
in
section
331.439.
6.
The
most
recent
population
estimates
issued
by
the
United
States
bureau
of
the
census
shall
be
applied
for
the
population
factors
utilized
in
this
section.
Sec.
137.
SEXUALLY
VIOLENT
PREDATORS.
1.
There
is
appropriated
from
the
general
fund
of
the
-164-
HF649.3431
(28)
84
pf/jp
164/
192
CCH-649
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
costs
associated
with
the
commitment
and
treatment
of
sexually
violent
predators
in
the
unit
located
at
the
state
mental
health
institute
at
Cherokee,
including
costs
of
legal
services
and
other
associated
costs,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,775,363
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
2.
Unless
specifically
prohibited
by
law,
if
the
amount
charged
provides
for
recoupment
of
at
least
the
entire
amount
of
direct
and
indirect
costs,
the
department
of
human
services
may
contract
with
other
states
to
provide
care
and
treatment
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
violent
predators
at
Cherokee.
The
moneys
received
under
such
a
contract
shall
be
considered
to
be
repayment
receipts
and
used
for
the
purposes
of
the
appropriation
made
in
this
section.
Sec.
138.
FIELD
OPERATIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
field
operations,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,394,960
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
Priority
in
filling
full-time
equivalent
positions
shall
be
given
to
those
positions
related
to
child
protection
services
and
eligibility
determination
for
low-income
families.
-165-
HF649.3431
(28)
84
pf/jp
165/
192
CCH-649
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
139.
GENERAL
ADMINISTRATION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
general
administration,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,298,372
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
285.00
1.
Of
the
funds
appropriated
in
this
section,
$19,271
allocated
for
the
prevention
of
disabilities
policy
council
established
in
section
225B.3.
2.
The
department
shall
report
at
least
monthly
to
the
legislative
services
agency
concerning
the
department’s
operational
and
program
expenditures.
3.
Of
the
funds
appropriated
in
this
section,
$66,150
shall
be
used
to
continue
the
contract
for
the
provision
of
a
program
to
provide
technical
assistance,
support,
and
consultation
to
providers
of
habilitation
services
and
home
and
community-based
waiver
services
for
adults
with
disabilities
under
the
medical
assistance
program.
4.
Of
the
funds
appropriated
in
this
section,
$88,200
shall
be
used
to
continue
the
contract
to
expand
the
provision
of
nationally
accredited
and
recognized
internet-based
training
to
include
mental
health
and
disability
services
providers.
5.
Of
the
funds
appropriated
in
this
section,
$250,000
shall
be
used
for
continuation
of
child
protection
system
improvements
addressed
in
2011
Iowa
Acts,
House
File
562,
as
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192
CCH-649
enacted.
6.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
140.
VOLUNTEERS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
Sec.
141.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
total
state
funding
amount
for
the
nursing
facility
budget
shall
not
exceed
$225,457,724.
(2)
The
department,
in
cooperation
with
nursing
facility
representatives,
shall
review
projections
for
state
funding
expenditures
for
reimbursement
of
nursing
facilities
on
a
quarterly
basis
and
the
department
shall
determine
if
an
adjustment
to
the
medical
assistance
reimbursement
rate
is
necessary
in
order
to
provide
reimbursement
within
the
state
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
if
the
state
funding
expenditures
for
the
nursing
facility
budget
for
the
fiscal
year
is
projected
to
exceed
the
amount
specified
in
subparagraph
(1),
the
department
shall
adjust
the
reimbursement
for
nursing
facilities
reimbursed
under
the
case-mix
reimbursement
system
to
maintain
expenditures
of
the
nursing
facility
budget
within
the
specified
amount
for
the
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CCH-649
fiscal
year.
(3)
For
the
fiscal
year
beginning
July
1,
2012,
special
population
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
methodology
in
effect
on
June
30,
2012.
b.
For
the
fiscal
year
beginning
July
1,
2012,
the
department
shall
reimburse
pharmacy
dispensing
fees
using
a
single
rate
of
$4.34
per
prescription
or
the
pharmacy’s
usual
and
customary
fee,
whichever
is
lower.
However,
the
department
shall
adjust
the
dispensing
fee
specified
in
this
paragraph
to
distribute
an
additional
$2,981,980
in
reimbursements
for
pharmacy
dispensing
fees
under
this
paragraph
for
the
fiscal
year.
c.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
rates
for
outpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2012.
(2)
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
rates
for
inpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2012.
(3)
For
the
fiscal
year
beginning
July
1,
2012,
the
graduate
medical
education
and
disproportionate
share
hospital
fund
shall
remain
at
the
amount
in
effect
on
June
30,
2012,
except
that
the
portion
of
the
fund
attributable
to
graduate
medical
education
shall
be
reduced
in
an
amount
that
reflects
the
elimination
of
graduate
medical
education
payments
made
to
out-of-state
hospitals.
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
funds
in
procuring
health
care
services
for
low-income
Iowans,
funds
appropriated
in
this
Act
for
hospital
services
shall
not
be
used
for
activities
which
would
be
excluded
from
a
determination
of
reasonable
costs
under
the
federal
Medicare
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
d.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
rates
for
rural
health
clinics,
hospices,
and
acute
mental
hospitals
shall
be
increased
in
accordance
with
increases
under
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192
CCH-649
the
federal
Medicare
program
or
as
supported
by
their
Medicare
audited
costs.
e.
For
the
fiscal
year
beginning
July
1,
2012,
independent
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
using
the
same
methodology
in
effect
on
June
30,
2012.
f.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
rates
for
home
health
agencies
shall
remain
at
the
rates
in
effect
on
June
30,
2012,
not
to
exceed
a
home
health
agency’s
actual
allowable
cost.
g.
For
the
fiscal
year
beginning
July
1,
2012,
federally
qualified
health
centers
shall
receive
cost-based
reimbursement
for
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
h.
For
the
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rates
for
dental
services
shall
remain
at
the
rates
in
effect
on
June
30,
2012.
i.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
state-owned
psychiatric
medical
institutions
for
children
shall
receive
cost-based
reimbursement
for
100
percent
of
the
actual
and
allowable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
for
children,
reimbursement
rates
shall
be
based
on
the
reimbursement
methodology
developed
by
the
department
as
required
for
federal
compliance.
j.
For
the
fiscal
year
beginning
July
1,
2012,
unless
otherwise
specified
in
this
Act,
all
noninstitutional
medical
assistance
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2012,
except
for
area
education
agencies,
local
education
agencies,
infant
and
toddler
services
providers,
and
those
providers
whose
rates
are
required
to
be
determined
pursuant
to
section
249A.20.
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
for
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CCH-649
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
30,
2012.
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
beginning
July
1,
2012,
the
average
reimbursement
rate
for
health
care
providers
eligible
for
use
of
the
federal
Medicare
resource-based
relative
value
scale
reimbursement
methodology
under
that
section
shall
remain
at
the
rate
in
effect
on
June
30,
2012;
however,
this
rate
shall
not
exceed
the
maximum
level
authorized
by
the
federal
government.
m.
For
the
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
for
residential
care
facilities
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
The
flat
reimbursement
rate
for
facilities
electing
not
to
file
annual
cost
reports
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
n.
For
the
fiscal
year
beginning
July
1,
2012,
inpatient
mental
health
services
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
June
30,
2012,
subject
to
Medicaid
program
upper
payment
limit
rules;
community
mental
health
centers
and
providers
of
mental
health
services
to
county
residents
pursuant
to
a
waiver
approved
under
section
225C.7,
subsection
3,
shall
be
reimbursed
at
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance;
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
program
fee
for
service
rate.
o.
For
the
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
for
consumer-directed
attendant
care
shall
remain
at
the
rates
in
effect
on
June
30,
2012.
p.
For
the
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
for
providers
of
family
planning
services
that
are
eligible
to
receive
a
90
percent
federal
match
shall
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CCH-649
remain
at
the
rates
in
effect
on
June
30,
2012.
q.
For
the
fiscal
year
beginning
July
1,
2012,
the
department
shall
adjust
the
rates
in
effect
on
June
30,
2012,
for
providers
of
home
and
community-based
services
waiver
services
to
distribute
an
additional
$1,500,000
in
reimbursements
to
such
providers
for
the
fiscal
year.
2.
For
the
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
for
providers
reimbursed
under
the
in-home-related
care
program
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
3.
Unless
otherwise
directed
in
this
section,
when
the
department’s
reimbursement
methodology
for
any
provider
reimbursed
in
accordance
with
this
section
includes
an
inflation
factor,
this
factor
shall
not
exceed
the
amount
by
which
the
consumer
price
index
for
all
urban
consumers
increased
during
the
calendar
year
ending
December
31,
2002.
4.
For
the
fiscal
year
beginning
July
1,
2012,
notwithstanding
section
234.38,
the
foster
family
basic
daily
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
children
ages
0
through
5
years
shall
be
$15.74,
the
rate
for
children
ages
6
through
11
years
shall
be
$16.37,
the
rate
for
children
ages
12
through
15
years
shall
be
$17.92,
and
the
rate
for
children
and
young
adults
ages
16
and
older
shall
be
$18.16.
The
maximum
supervised
apartment
living
foster
care
reimbursement
rate
shall
be
$25.00
per
day.
For
youth
ages
18
to
21
who
have
exited
foster
care,
the
maximum
preparation
for
adult
living
program
maintenance
rate
shall
be
$574.00
per
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
disallowance
of
additional
amounts
for
court
costs
and
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408
shall
be
continued.
5.
For
the
fiscal
year
beginning
July
1,
2012,
the
maximum
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reimbursement
rates
under
the
supervised
apartment
living
program
and
for
social
services
providers
under
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2012,
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
each
service,
whichever
is
less.
However,
if
a
new
service
or
service
provider
is
added
after
June
30,
2012,
the
initial
reimbursement
rate
for
the
service
or
provider
shall
be
based
upon
actual
and
allowable
costs.
Providers
may
also
be
eligible
for
an
additional
amount
as
specified
under
the
department’s
request
for
proposal,
bid
number
ACFS-11-115.
6.
For
the
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rates
for
family-centered
service
providers,
family
foster
care
service
providers,
group
foster
care
service
providers,
and
the
resource
family
recruitment
and
retention
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
2012.
7.
The
group
foster
care
reimbursement
rates
paid
for
placement
of
children
out
of
state
shall
be
calculated
according
to
the
same
rate-setting
principles
as
those
used
for
in-state
providers,
unless
the
director
of
human
services
or
the
director’s
designee
determines
that
appropriate
care
cannot
be
provided
within
the
state.
The
payment
of
the
daily
rate
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
which
service
is
provided.
8.
a.
For
the
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
emergency
services
implemented
to
provide
or
prevent
the
need
for
shelter
care
shall
be
established
in
a
contract
based
on
the
requirements
of
the
department’s
request
for
proposal,
bid
number
ACFS-11-114.
b.
For
the
fiscal
year
beginning
July
1,
2012,
the
combined
service
and
maintenance
components
of
the
reimbursement
rate
paid
for
shelter
care
services
shall
be
based
on
the
financial
and
statistical
report
submitted
to
the
department.
The
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maximum
reimbursement
rate
shall
be
$92.36
per
day.
The
department
shall
reimburse
a
shelter
care
provider
at
the
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
to
exceed
the
maximum
reimbursement
rate.
c.
Notwithstanding
section
232.141,
subsection
8,
for
the
fiscal
year
beginning
July
1,
2012,
the
amount
of
the
statewide
average
of
the
actual
and
allowable
rates
for
reimbursement
of
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
2011.
9.
For
the
fiscal
year
beginning
July
1,
2012,
the
department
shall
calculate
reimbursement
rates
for
intermediate
care
facilities
for
persons
with
mental
retardation
at
the
80th
percentile.
Beginning
July
1,
2012,
the
rate
calculation
methodology
shall
utilize
the
consumer
price
index
inflation
factor
applicable
to
the
fiscal
year
beginning
July
1,
2012.
10.
For
the
fiscal
year
beginning
July
1,
2012,
for
child
care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
provider
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004.
Effective
July
1,
2012,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2012.
The
department
shall
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
nonregistered
provider
to
become
registered
by
applying
the
increase
only
to
registered
and
licensed
providers.
11.
The
department
may
adopt
emergency
rules
to
implement
this
section.
Sec.
142.
EMERGENCY
RULES.
1.
If
specifically
authorized
by
a
provision
of
this
division
of
this
Act,
the
department
of
human
services
or
the
mental
health,
and
disability
services
commission
may
adopt
administrative
rules
under
section
17A.4,
subsection
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3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
the
provisions
and
the
rules
shall
become
effective
immediately
upon
filing
or
on
a
later
effective
date
specified
in
the
rules,
unless
the
effective
date
is
delayed
by
the
administrative
rules
review
committee.
Any
rules
adopted
in
accordance
with
this
section
shall
not
take
effect
before
the
rules
are
reviewed
by
the
administrative
rules
review
committee.
The
delay
authority
provided
to
the
administrative
rules
review
committee
under
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
imposed
under
this
section,
notwithstanding
a
provision
in
those
sections
making
them
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
with
the
provisions
of
this
section
shall
also
be
published
as
notice
of
intended
action
as
provided
in
section
17A.4.
2.
If
during
the
fiscal
year
beginning
July
1,
2012,
the
department
of
human
services
is
adopting
rules
in
accordance
with
this
section
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
rules
will
result
in
an
expenditure
increase
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
expenditure
was
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
department
shall
notify
the
persons
designated
by
this
division
of
this
Act
for
submission
of
reports,
the
chairpersons
and
ranking
members
of
the
committees
on
appropriations,
and
the
department
of
management
concerning
the
rules
and
the
expenditure
increase.
The
notification
shall
be
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
administrative
rules
coordinator
and
the
administrative
code
editor.
Sec.
143.
REPORTS.
Any
reports
or
information
required
to
be
compiled
and
submitted
under
this
Act
shall
be
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
the
legislative
services
agency,
and
the
legislative
caucus
staffs
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on
or
before
the
dates
specified
for
submission
of
the
reports
or
information.
Sec.
144.
EFFECTIVE
DATE.
The
following
provision
of
this
division
of
this
Act,
being
deemed
of
immediate
importance,
take
effect
upon
enactment:
The
provision
under
the
appropriation
for
child
and
family
services,
relating
to
requirements
of
section
232.143
for
representatives
of
the
department
of
human
services
and
juvenile
court
services
to
establish
a
plan
for
continuing
group
foster
care
expenditures
for
fiscal
year
2012-2013.
DIVISION
XIX
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
IOWACARE
ACCOUNT,
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND,
HEALTH
CARE
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
ACCOUNT,
QUALITY
ASSURANCE
TRUST
FUND,
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
FY
2012-2013
Sec.
145.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
Notwithstanding
any
provision
of
law
to
the
contrary,
to
supplement
the
appropriations
made
in
this
Act
for
medical
contracts
under
the
medical
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,716,807
Sec.
146.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
1.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
state
board
of
regents
for
distribution
to
the
university
of
Iowa
hospitals
and
clinics
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
equipment,
and
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miscellaneous
purposes,
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,284,584
a.
(1)
Funds
appropriated
in
this
subsection
used
for
abortions
shall
be
used
in
a
manner
consistent
with
options
under
federal
Medicaid
law
and
regulation.
(2)
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
For
an
abortion
covered
under
this
subsection,
except
in
the
case
of
a
medical
emergency,
as
defined
in
section
135L.1,
for
any
woman,
the
physician
shall
certify
both
of
the
following:
(a)
That
the
woman
has
been
given
the
opportunity
to
view
an
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
before
an
abortion
is
performed.
(b)
That
the
woman
has
been
provided
information
regarding
the
options
relative
to
a
pregnancy,
including
continuing
the
pregnancy
to
term
and
retaining
parental
rights
following
the
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
child
for
adoption,
and
terminating
the
pregnancy.
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise.
c.
The
university
of
Iowa
hospitals
and
clinics
shall
certify
public
expenditures
in
an
amount
equal
to
provide
the
nonfederal
share
on
total
expenditures
not
to
exceed
$20,000,000.
2.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
state
board
of
regents
for
distribution
to
the
university
of
Iowa
hospitals
and
clinics
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
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to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
equipment,
and
miscellaneous
purposes,
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise.
3.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24,
to
the
state
board
of
regents
for
distribution
to
university
of
Iowa
physicians
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
equipment,
and
miscellaneous
purposes
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,277,753
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
this
subsection
has
been
distributed,
claims
shall
continue
to
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
however,
no
payment
shall
be
made
based
upon
such
claims.
4.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
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used
for
the
purposes
designated:
For
distribution
to
a
publicly
owned
acute
care
teaching
hospital
located
in
a
county
with
a
population
over
350,000
for
the
provision
of
medical
and
surgical
treatment
of
indigent
patients,
for
provision
of
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J,
and
for
medical
education:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise
plus
a
monthly
disproportionate
share
hospital
payment.
Any
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
shall
be
distributed
only
if
the
sum
of
the
expansion
population
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
share
hospital
payments
exceeds
$60,000,000.
The
amount
paid
in
excess
of
$60,000,000
shall
not
adjust
the
original
monthly
payment
amount
but
shall
be
distributed
monthly
based
on
actual
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
share
hospital
amount.
Any
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
shall
be
allocated
only
if
federal
funds
are
available
to
match
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
appropriated
in
this
subsection,
not
more
than
$4,000,000
shall
be
distributed
for
prescription
drugs
and
podiatry
services.
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
hospital
identified
in
this
subsection,
shall
be
reimbursed
for
outpatient
prescription
drugs
and
podiatry
services
provided
to
members
of
the
expansion
population
pursuant
to
all
applicable
medical
assistance
program
rules,
in
an
amount
not
to
exceed
$4,000,000.
c.
Notwithstanding
the
total
amount
of
proceeds
distributed
pursuant
to
section
249J.24,
subsection
4,
paragraph
“a”,
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
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1,
2012,
and
ending
June
30,
2013,
the
county
treasurer
of
a
county
with
a
population
of
over
350,000
in
which
a
publicly
owned
acute
care
teaching
hospital
is
located
shall
distribute
the
proceeds
collected
pursuant
to
section
347.7
in
a
total
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account.
d.
(1)
Notwithstanding
the
amount
collected
and
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
section
249J.24,
subsection
4,
paragraph
“a”,
subparagraph
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
section
347.7
between
July
1,
2012,
and
December
31,
2012,
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
and
collections
during
this
time
period
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
teaching
hospital
identified
in
this
subsection.
Of
the
collections
in
excess
of
the
$19,000,000
received
by
the
acute
care
teaching
hospital
under
this
subparagraph
(1),
$2,000,000
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
month
of
January
2013,
following
the
July
1
through
December
31,
2012,
period.
(2)
Notwithstanding
the
amount
collected
and
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
section
249J.24,
subsection
4,
paragraph
“a”,
subparagraph
(2),
the
first
$19,000,000
in
collections
pursuant
to
section
347.7
between
January
1,
2013,
and
June
30,
2013,
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
account
and
collections
during
this
time
period
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
teaching
hospital
identified
in
this
subsection.
Of
the
collections
in
excess
of
the
$19,000,000
received
by
the
acute
care
teaching
hospital
under
this
subparagraph
(2),
$2,000,000
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
-179-
HF649.3431
(28)
84
pf/jp
179/
192
CCH-649
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
month
of
July
2013,
following
the
January
1
through
June
30,
2013,
period.
5.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purpose
designated:
For
payment
to
the
regional
provider
network
specified
by
the
department
pursuant
to
section
249J.7
for
provision
of
covered
services
to
members
of
the
expansion
population
pursuant
to
chapter
249J:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
Notwithstanding
any
provision
of
law
to
the
contrary,
the
amount
appropriated
in
this
subsection
shall
be
distributed
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
this
subsection
has
been
distributed,
claims
shall
continue
to
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
however,
no
payment
shall
be
made
based
upon
such
claims.
6.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purposes
designated:
For
a
care
coordination
pool
to
pay
the
expansion
population
providers
consisting
of
the
university
of
Iowa
hospitals
and
clinics,
the
publicly
owned
acute
care
teaching
hospital
as
specified
in
section
249J.7,
and
current
medical
assistance
program
providers
that
are
not
expansion
population
network
providers
pursuant
to
section
249J.7,
for
services
covered
by
the
full
benefit
medical
assistance
program
but
not
under
the
IowaCare
program
pursuant
to
section
249J.6,
that
are
provided
to
expansion
population
members:
-180-
HF649.3431
(28)
84
pf/jp
180/
192
CCH-649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,500,000
a.
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
appropriated
in
this
subsection
is
intended
to
provide
payment
for
medically
necessary
services
provided
to
expansion
population
members
for
continuation
of
care
provided
by
the
university
of
Iowa
hospitals
and
clinics
or
the
publicly
owned
acute
care
teaching
hospital
as
specified
in
section
249J.7.
Payment
may
only
be
made
for
services
that
are
not
otherwise
covered
under
section
249J.6,
and
which
are
follow-up
services
to
covered
services
provided
by
the
hospitals
specified
in
this
paragraph
“a”.
b.
The
funds
appropriated
in
this
subsection
are
intended
to
provide
limited
payment
for
continuity
of
care
services
for
an
expansion
population
member,
and
are
intended
to
cover
the
costs
of
services
to
expansion
population
members,
regardless
of
the
member’s
county
of
residence
or
medical
home
assignment,
if
the
care
is
related
to
specialty
or
hospital
services
provided
by
the
hospitals
specified
in
paragraph
“a”.
c.
The
funds
appropriated
in
this
subsection
are
not
intended
to
provide
for
expanded
coverage
under
the
IowaCare
program,
and
shall
not
be
used
to
cover
emergency
transportation
services.
d.
The
department
shall
adopt
administrative
rules
pursuant
to
chapter
17A
to
establish
a
prior
authorization
process
and
to
identify
covered
services
for
reimbursement
under
this
subsection.
7.
There
is
appropriated
from
the
IowaCare
account
created
in
section
249J.24
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purposes
designated:
For
a
laboratory
test
and
radiology
pool
for
services
authorized
by
a
federally
qualified
health
center
designated
by
the
department
as
part
of
the
IowaCare
regional
provider
-181-
HF649.3431
(28)
84
pf/jp
181/
192
CCH-649
network
that
does
not
have
the
capability
to
provide
these
services
on
site:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
appropriated
in
this
subsection
is
intended
to
provide
reimbursement
for
services
provided
to
expansion
population
members
that
have
previously
been
paid
for
through
expenditure
by
designated
regional
provider
network
providers
of
their
own
funds,
not
to
expand
coverage
under
the
IowaCare
program
or
to
expand
the
expansion
population
provider
network.
The
department
shall
designate
the
laboratory
and
radiology
provider
associated
with
each
designated
regional
provider
network
provider
that
may
receive
reimbursement.
The
department
shall
adopt
administrative
rules
pursuant
to
chapter
17A
to
establish
a
prior
authorization
process
and
to
identify
covered
services
for
reimbursement
under
this
subsection.
All
other
medical
assistance
program
payment
policies
and
rules
for
laboratory
and
radiology
services
shall
apply
to
services
provided
under
this
subsection.
If
the
entire
amount
appropriated
under
this
subsection
is
expended,
laboratory
tests
and
radiology
services
ordered
by
a
designated
regional
provider
network
provider
shall
be
the
financial
responsibility
of
the
regional
provider
network
provider.
Sec.
147.
APPROPRIATIONS
FROM
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary,
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
nonparticipating
provider
reimbursement
fund
created
in
section
249J.24A
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount
or
so
much
thereof
as
is
necessary
for
the
purposes
designated:
To
reimburse
nonparticipating
providers
in
accordance
with
section
249J.24A:
-182-
HF649.3431
(28)
84
pf/jp
182/
192
CCH-649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
Sec.
148.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary,
there
is
appropriated
from
the
account
for
health
care
transformation
created
in
section
249J.23
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
expansion
population
as
provided
in
section
249J.6:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
2.
For
other
health
promotion
partnership
activities
pursuant
to
section
249J.14:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
300,000
3.
For
the
costs
related
to
audits,
performance
evaluations,
and
studies
required
pursuant
to
chapter
249J:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
4.
For
administrative
costs
associated
with
chapter
249J:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
566,206
5.
For
planning
and
development,
in
cooperation
with
the
department
of
public
health,
of
a
phased-in
program
to
provide
a
dental
home
for
children
in
accordance
with
section
249J.14:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
6.
For
continuation
of
the
establishment
of
the
tuition
assistance
for
individuals
serving
individuals
with
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
chapter
1187,
section
130:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
7.
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
8.
For
payment
to
the
publicly
owned
acute
care
teaching
hospital
located
in
a
county
with
a
population
of
over
350,000
that
is
a
participating
provider
pursuant
to
chapter
249J:
-183-
HF649.3431
(28)
84
pf/jp
183/
192
CCH-649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
145,000
Disbursements
under
this
subsection
shall
be
made
monthly.
The
hospital
shall
submit
a
report
following
the
close
of
the
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
subsection
to
the
persons
specified
in
this
Act
to
receive
reports.
9.
For
transfer
to
the
department
of
public
health
to
be
used
for
the
costs
of
medical
home
system
advisory
council
established
pursuant
to
section
135.159:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,679
10.
For
continued
implementation
of
a
uniform
cost
report:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
11.
For
continued
implementation
of
an
electronic
medical
records
system:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
Notwithstanding
section
8.33,
funds
allocated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
in
succeeding
fiscal
years
to
be
used
for
the
purposes
designated.
12.
For
transfer
to
the
department
of
public
health
to
support
the
department’s
activities
relating
to
health
and
long-term
care
access
as
specified
pursuant
to
chapter
135,
division
XXIV:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,107
13.
For
continuation
of
an
accountable
care
organization
pilot
project:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
14.
For
the
continued
development
of
a
provider
payment
system
plan
to
provide
recommendations
to
reform
the
health
care
provider
payment
system
as
an
effective
way
to
promote
coordination
of
care,
lower
costs,
and
improve
quality:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
15.
For
transfer
to
the
department
of
public
health
to
-184-
HF649.3431
(28)
84
pf/jp
184/
192
CCH-649
be
used
as
state
matching
funds
for
the
health
information
technology
system
developed
by
the
department
of
public
health:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
181,993
16.
To
supplement
the
appropriation
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,956,245
Notwithstanding
section
8.39,
subsection
1,
without
the
prior
written
consent
and
approval
of
the
governor
and
the
director
of
the
department
of
management,
the
director
of
human
services
may
transfer
funds
among
the
appropriations
made
in
this
section
as
necessary
to
carry
out
the
purposes
of
the
account
for
health
care
transformation.
The
department
shall
report
any
transfers
made
pursuant
to
this
section
to
the
legislative
services
agency.
Sec.
149.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
INSPECTIONS
AND
APPEALS.
There
is
appropriated
from
the
Medicaid
fraud
account
created
in
section
249A.7
to
the
department
of
inspections
and
appeals
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
the
inspection
and
certification
of
assisted
living
programs
and
adult
day
care
services,
including
program
administration
and
costs
associated
with
implementation:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
669,764
Sec.
150.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
HUMAN
SERVICES.
There
is
appropriated
from
the
Medicaid
fraud
account
created
in
section
249A.7
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
-185-
HF649.3431
(28)
84
pf/jp
185/
192
CCH-649
Sec.
151.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
quality
assurance
trust
fund
created
in
section
249L.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
Sec.
152.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
hospital
health
care
access
trust
fund
created
in
section
249M.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
2.
For
deposit
in
the
nonparticipating
provider
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
the
purposes
of
the
fund:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
Sec.
153.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
FOR
FY
2012-2013.
Notwithstanding
section
8.33,
if
moneys
appropriated
for
purposes
of
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
from
the
general
fund
of
the
state,
the
Medicaid
fraud
account,
the
quality
assurance
trust
fund,
and
the
-186-
HF649.3431
(28)
84
pf/jp
186/
192
CCH-649
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
expenditures
for
the
medical
assistance
program
and
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
of
the
medical
assistance
program
until
the
close
of
the
succeeding
fiscal
year.
DIVISION
XX
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
FOR
FISCAL
YEAR
2012-2013
Sec.
154.
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
DEVELOPMENTAL
DISABILITIES
SERVICES
PROPERTY
TAX
RELIEF.
Notwithstanding
the
standing
appropriation
in
section
426B.1,
subsection
2,
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
amount
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
provision
shall
not
exceed
the
following
amount:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
81,199,911
Sec.
155.
ADULT
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
——
FY
2012-2013.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
distribution
to
counties
of
the
county
mental
health,
mental
retardation,
and
developmental
disabilities
allowed
growth
factor
adjustment
for
fiscal
year
2012-2013
as
provided
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
of
section
331.438,
subsection
2,
and
section
331.439,
subsection
3,
and
chapter
426B:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
74,697,893
2.
Of
the
amount
appropriated
in
this
section,
$38,000,000
shall
be
distributed
as
provided
in
this
subsection.
a.
To
be
eligible
to
receive
a
distribution
under
this
-187-
HF649.3431
(28)
84
pf/jp
187/
192
CCH-649
subsection,
a
county
must
meet
the
following
requirements:
(1)
The
county
is
levying
for
the
maximum
amount
allowed
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
under
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
2012,
or
the
county
is
levying
for
at
least
90
percent
of
the
maximum
amount
allowed
for
the
county’s
services
fund
and
that
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
all
taxable
property
in
the
county.
(2)
In
the
fiscal
year
beginning
July
1,
2010,
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
ending
balance
under
generally
accepted
accounting
principles
was
equal
to
or
less
than
15
percent
of
the
county’s
actual
gross
expenditures
for
that
fiscal
year.
b.
The
amount
of
a
county’s
distribution
from
the
allocation
made
in
this
subsection
shall
be
determined
based
upon
the
county’s
proportion
of
the
general
population
of
the
counties
eligible
to
receive
a
distribution
under
this
subsection.
The
most
recent
population
estimates
issued
by
the
United
States
bureau
of
the
census
shall
be
applied
in
determining
population
for
the
purposes
of
this
paragraph.
c.
The
distributions
made
pursuant
to
this
subsection
are
subject
to
the
distribution
provisions
and
withholding
requirements
established
in
this
section
for
the
county
mental
health,
mental
retardation,
and
developmental
disabilities
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
July
1,
2012.
3.
The
following
amount
of
the
funding
appropriated
in
this
section
is
the
allowed
growth
factor
adjustment
for
fiscal
year
2012-2013,
and
shall
be
credited
to
the
allowed
growth
funding
pool
created
in
the
property
tax
relief
fund
and
for
distribution
in
accordance
with
section
426B.5,
subsection
1:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,697,893
-188-
HF649.3431
(28)
84
pf/jp
188/
192
CCH-649
4.
The
following
formula
amounts
shall
be
utilized
only
to
calculate
preliminary
distribution
amounts
for
the
allowed
growth
factor
adjustment
for
fiscal
year
2012-2013
under
this
section
by
applying
the
indicated
formula
provisions
to
the
formula
amounts
and
producing
a
preliminary
distribution
total
for
each
county:
a.
For
calculation
of
a
distribution
amount
for
eligible
counties
from
the
allowed
growth
funding
pool
created
in
the
property
tax
relief
fund
in
accordance
with
the
requirements
in
section
426B.5,
subsection
1:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,773,346
b.
For
calculation
of
a
distribution
amount
for
counties
from
the
mental
health
and
developmental
disabilities
(MH/DD)
community
services
fund
in
accordance
with
the
formula
provided
in
the
appropriation
made
for
the
MH/DD
community
services
fund
for
the
fiscal
year
beginning
July
1,
2012:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
5.
a.
After
applying
the
applicable
statutory
distribution
formulas
to
the
amounts
indicated
in
subsection
4
for
purposes
of
producing
preliminary
distribution
totals,
the
department
of
human
services
shall
apply
a
withholding
factor
to
adjust
an
eligible
individual
county’s
preliminary
distribution
total.
In
order
to
be
eligible
for
a
distribution
under
this
section,
a
county
must
be
levying
90
percent
or
more
of
the
maximum
amount
allowed
for
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
under
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
for
which
the
distribution
is
payable.
b.
An
ending
balance
percentage
for
each
county
shall
be
determined
by
expressing
the
county’s
ending
balance
on
a
modified
accrual
basis
under
generally
accepted
accounting
principles
for
the
fiscal
year
beginning
July
1,
2010,
in
the
county’s
mental
health,
mental
retardation,
and
developmental
disabilities
services
fund
created
under
section
331.424A,
as
a
-189-
HF649.3431
(28)
84
pf/jp
189/
192
CCH-649
percentage
of
the
county’s
gross
expenditures
from
that
fund
for
that
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
of
providing
services
from
the
county’s
services
fund
on
or
before
July
1,
2010,
and
the
county’s
services
fund
ending
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
amount
designated
in
the
county
budget
to
service
the
loan
for
the
borrowed
moneys,
those
amounts
shall
not
be
considered
to
be
part
of
the
county’s
ending
balance
for
purposes
of
calculating
an
ending
balance
percentage
under
this
subsection.
c.
For
purposes
of
calculating
withholding
factors
and
for
ending
balance
amounts
used
for
other
purposes
under
law,
the
county
ending
balances
shall
be
adjusted,
using
forms
developed
for
this
purpose
by
the
county
finance
committee,
to
disregard
the
temporary
funding
increase
provided
to
the
counties
for
the
fiscal
year
through
the
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
In
addition,
a
county
may
adjust
the
ending
balance
amount
by
rebating
to
the
department
all
or
a
portion
of
the
allowed
growth
and
MH/DD
services
fund
moneys
the
county
received
for
the
fiscal
year
beginning
July
1,
2011,
in
accordance
with
this
Act,
or
from
any
other
services
fund
moneys
available
to
the
county.
The
rebate
must
be
remitted
to
the
department
on
or
before
June
1,
2012,
in
order
to
be
counted.
The
amount
rebated
by
a
county
shall
be
subtracted
dollar-for-dollar
from
the
county’s
ending
balance
amount
for
the
fiscal
year
beginning
July
1,
2010,
for
purposes
of
calculating
the
withholding
factor
and
for
other
ending
balance
purposes
for
the
fiscal
year
beginning
July
1,
2012.
The
rebates
received
by
the
department
shall
be
credited
to
the
property
tax
relief
fund
and
distributed
as
additional
funding
for
the
fiscal
year
beginning
July
1,
2012,
in
accordance
with
the
formula
provisions
in
this
section.
d.
The
withholding
factor
for
a
county
shall
be
the
following
applicable
percent:
(1)
For
an
ending
balance
percentage
of
less
than
5
-190-
HF649.3431
(28)
84
pf/jp
190/
192
CCH-649
percent,
a
withholding
factor
of
0
percent.
In
addition,
a
county
that
is
subject
to
this
lettered
paragraph
shall
receive
an
inflation
adjustment
equal
to
3
percent
of
the
gross
expenditures
reported
for
the
county’s
services
fund
for
the
fiscal
year.
(2)
For
an
ending
balance
percentage
of
5
percent
or
more
but
less
than
10
percent,
a
withholding
factor
of
0
percent.
In
addition,
a
county
that
is
subject
to
this
lettered
paragraph
shall
receive
an
inflation
adjustment
equal
to
2
percent
of
the
gross
expenditures
reported
for
the
county’s
services
fund
for
the
fiscal
year.
(3)
For
an
ending
balance
percentage
of
10
percent
or
more
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
However,
for
counties
with
an
ending
balance
of
10
percent
or
more
but
less
than
15
percent,
the
amount
withheld
shall
be
limited
to
the
amount
by
which
the
county’s
ending
balance
was
in
excess
of
the
ending
balance
percentage
of
10
percent.
(4)
For
an
ending
balance
percentage
of
25
percent
or
more,
a
withholding
percentage
of
100
percent.
6.
The
total
withholding
amounts
applied
pursuant
to
subsection
5
shall
be
equal
to
a
withholding
target
amount
of
$13,075,453.
If
the
department
of
human
services
determines
that
the
amount
appropriated
is
insufficient
or
the
amount
to
be
withheld
in
accordance
with
subsection
5
is
not
equal
to
the
target
withholding
amount,
the
department
shall
adjust
the
withholding
factors
listed
in
subsection
5
as
necessary
to
achieve
the
target
withholding
amount.
However,
in
making
such
adjustments
to
the
withholding
factors,
the
department
shall
strive
to
minimize
changes
to
the
withholding
factors
for
those
ending
balance
percentage
ranges
that
are
lower
than
others
and
shall
only
adjust
the
zero
withholding
factor
or
the
inflation
adjustment
percentages
specified
in
subsection
5,
paragraph
“d”,
when
the
amount
appropriated
is
insufficient.
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CCH-649
DIVISION
XXI
CONDITIONAL
RETROACTIVE
APPLICABILITY
Sec.
156.
EFFECTIVE
DATE
AND
RETROACTIVE
APPLICABILITY.
Unless
otherwise
provided,
this
Act,
if
approved
by
the
governor
on
or
after
July
1,
2011,
takes
effect
upon
enactment
and
applies
retroactively
to
July
1,
2011.
>
ON
THE
PART
OF
THE
SENATE:
______________________________
JACK
HATCH,
CHAIRPERSON
______________________________
JOE
BOLKCOM
______________________________
AMANDA
RAGAN
ON
THE
PART
OF
THE
HOUSE:
______________________________
DAVE
HEATON,
CHAIRPERSON
______________________________
JOEL
FRY
______________________________
MATT
WINDSCHITL
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