Amend  the amendment, S-3293, to House File 649, as amended, passed, and reprinted by the House, as follows:
   1.  Page 1, line 26, by striking<2,549,270> and inserting <2,594,270>
   2.  Page 1, line 38, by striking<3,369,156> and inserting <3,399,156>
   3.  Page 1, after line 44 by inserting: 
   <___.  Page 7, line 32, by striking<468,874> and inserting <498,874>>
   4.  Page 2, line 8, by striking<4,813,872> and inserting <4,826,699>
   5.  Page 2, after line 8 by inserting: 
   <___.  Page 9, line 32, after<designated> by inserting <. 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>>
   6.  Page 3, line 15, by striking<45,173> and inserting <58,000>
   7.  Page 3, by striking lines 34 and 35 and inserting <through a grant to an organization that has an existing program for children and adults and that is solely dedicated to preserving sight and preventing blindness>
   8.  Page 3, line 39, by striking<departments> and inserting <grantee organization>
   9.  Page 3, by striking lines 45 through 48 and inserting <the conclusion of the pilot program, the grantee organization shall report findings and recommendations for statewide implementation of the vision screening program to the department of public health.>
   10.  Page 3, before line 49 by inserting: 
   <___.  The department of public health in collaboration with other appropriate state agencies shall review state regulatory oversight provisions relating to outpatient surgical facilities including ambulatory surgical centers, hospice programs, assisted living programs, and home health agencies, and shall submit recommendations to the persons designated in this Act for submission of reports by December 15, 2011, to improve quality of care for consumers and to increase regulatory compliance by such entities.>
   11.  Page 4, after line 11 by inserting: 
   <___.  Page 16, by striking lines 15 through 24 and inserting: 
   <Pregnancy prevention grants shall be awarded to programs in existence on or before July 1, 2011, if the programs are comprehensive in scope and have demonstrated positive outcomes. Grants shall be awarded to pregnancy prevention programs which are developed after July 1, 2011, if the programs are comprehensive in scope and 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.>>
   12.  Page 8, line 44, by striking<83,420,163> and inserting <83,377,336>
   13.  Page 9, line 1, by striking<300,000> and inserting <257,173>
   14.  Page 9, by striking lines 6 through 9 and inserting: 
   <___.  Page 41, line 8, by striking<department of human services> and inserting <criminal and juvenile justice planning advisory council established in section 216A.132>>
   15.  Page 10, by striking lines 16 through 31 and inserting: 
   <(2)  For the nonstate-owned psychiatric medical institutions for children, reimbursement rates shall remain at the rates in effect on June 30, 2011. The department, in consultation with representatives of the nonstate-owned psychiatric medical institutions for children, shall develop a reimbursement methodology to include all ancillary medical services costs and any other changes required for federal compliance, to be implemented on July 1, 2012. To the extent possible, the reimbursement methodology shall be in a manner so as to be budget neutral to the institutions and cost effective for the state.>
   16.  Page 10, before line 32 by inserting: 
   <___.  Page 56, after line 10 by inserting: 
   <Sec. ___.  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.>>
   17.  Page 12, by striking lines 19 through 37.
   18.  By striking page 12, line 50, through page 13, line 2, and inserting <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>
   19.  Page 13, line 7, by striking<section 249J.6>and inserting <sections 249J.6 and 249J.7>
   20.  Page 13, by striking lines 34 through 39 and inserting <for reimbursement under this subsection.>
   21.  Page 14, by striking lines 25 through 28 and inserting <provider.>
   22.  Page 15, by striking lines 29 through 46.
   23.  Page 19, after line 49 by inserting: 
   <___.  Page 82, after line 31 by inserting: 
   <Sec. ___.  Section 225B.8, Code 2011, is amended to read as follows:
   225B.8  Repeal.
   This chapter is repealed July 1, 20112016.>>
   24.  Page 21, after line 14 by inserting: 
   <___.  Page 83, after line 9 by inserting: 
   <Sec. ___.  NEW SECTION.  261.113  Licensed social worker loan repayment program.
   1.  A licensed social worker loan repayment program is established, to be administered by the college student aid commission for the purpose of increasing the number of social workers serving in critical human service areas. For purposes of this section,“critical human service area” includes but is not limited to an area of the state with a shortage of social workers providing health, mental health, substance abuse, aging, HIV/AIDS, victim, or child welfare services, or communities with multilingual needs. These areas shall be designated by the college student aid commission, in consultation with a committee comprised of one representative each from the commission, the department of public health, and the department of human services.
   2.  The contract for the loan repayment shall stipulate the time period the licensed social worker shall practice in a critical human service area. In addition, the contract shall stipulate that the licensed social worker repay any funds paid on the person’s loan by the commission if the person fails to practice in a critical human service area for the required period of time.
   Sec. ___.  NEW SECTION.  261.114  Licensed social worker loan repayment revolving fund.
   1.  A licensed social worker loan repayment revolving fund is created in the state treasury as a separate fund under the control of the commission. The commission shall deposit payments made by program participants under section 261.113, subsection 2, moneys appropriated for purposes of the licensed social worker loan repayment program, and any other available funds into the loan repayment revolving fund. Moneys in the fund shall be used for purposes of the licensed social worker loan repayment program. Notwithstanding section 8.33, moneys deposited in the fund shall not revert to any fund of the state at the end of any fiscal year but shall remain in the fund and be continuously available for the program. 
   2.  Notwithstanding section 12C.7, subsection 2, interest or earnings on moneys deposited in the fund shall be credited to the fund.
   3.
  a.  The annual amount of loan repayment is six thousand five hundred dollars for individuals who have provided full-time social work services in a critical human service area in the year prior to such application, provided that no recipient shall receive loan repayment that exceeds the total remaining balance of the student loan debt and that no recipient shall receive cumulative awards in excess of twenty-five thousand dollars.
   b.  Awards shall be within the amounts appropriated for such purpose and based on availability of funds.
   4.  Loan repayment awards shall be made annually to applicants in the following order of priority:
   a.  First priority is given to applicants who have received payment of an award pursuant to this section in a prior year and who have provided social work services in a critical human service area in the year prior to such application.
   b.  Second priority is given to applicants who have not received payment of an award pursuant to this section in a prior year and who have provided social work services in a critical human service area in the year prior to such application.
   c.  Third priority is given to applicants who are economically disadvantaged, as defined by the commission.
   5.  The commission shall adopt rules pursuant to chapter 17A to administer this section.>>
   25.  Page 21, after line 15 by inserting: 
   <___.  Page 83, after line 21 by inserting: 

<DIVISION ___

MEDICAID PRESCRIPTION DRUGS
   Sec. ___.  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. ___.  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. ___.  REPEAL.  2010 Iowa Acts, chapter 1031, section 349, is repealed.
   Sec. ___.  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, 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. ___.  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.>>
   26.  By striking page 22, line 45, through page 24, line 36.
   27.  Page 28, line 36, after<by> by inserting <or on behalf of>
   28.  By striking page 51, line 24, through page 52, line 6, and inserting: 
   <Sec. ___.  INITIAL APPOINTMENTS —— BOARD.
   1.  The initial appointments of board member positions described in section 135D.4, as enacted by this division of this Act, shall have staggered terms as follows:
   a.  The board members designated by the Iowa collaborative safety net provider network and the Iowa medical society, shall have initial terms of two years, after which the members shall serve four-year terms.
   b.  The board members designated by the two largest health care systems in the state, the university of Iowa hospitals and clinics, and the Iowa hospital association, shall have initial terms of four years, after which the members shall serve four-year terms.
   c.  The board members designated by the federation of Iowa insurers shall serve initial terms of six years, after which the members shall serve four-year terms.
   2.  With the exception of board members who are representatives of state agencies and not subject to term limits as provided in section 135D.4, board members appointed under this section may serve an additional four-year term, with the exception of those board members initially serving a two-year term, who may serve two consecutive four-year terms following the initial two-year term.>
   29.  By renumbering as necessary.

______________________________
JACK HATCH