Senate
File
2336
S-5227
Amend
the
House
amendment,
S-5221,
to
Senate
File
1
2336,
as
amended,
passed,
and
reprinted
by
the
Senate,
2
as
follows:
3
1.
By
striking
page
1,
line
1,
through
page
63,
4
line
30,
and
inserting:
5
<
Amend
Senate
File
2336,
as
amended,
passed,
and
6
reprinted
by
the
Senate,
as
follows:
7
___.
By
striking
everything
after
the
enacting
8
clause
and
inserting:
9
<
DIVISION
I
10
DEPARTMENT
ON
AGING
11
Section
1.
2011
Iowa
Acts,
chapter
129,
section
12
113,
is
amended
to
read
as
follows:
13
SEC.
113.
DEPARTMENT
ON
AGING.
There
is
14
appropriated
from
the
general
fund
of
the
state
to
15
the
department
on
aging
for
the
fiscal
year
beginning
16
July
1,
2012,
and
ending
June
30,
2013,
the
following
17
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
18
for
the
purposes
designated:
19
For
aging
programs
for
the
department
on
aging
and
20
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
21
are
60
years
of
age
and
older
with
case
management
for
22
frail
elders,
Iowa’s
aging
and
disabilities
resource
23
center,
and
other
services
which
may
include
but
are
24
not
limited
to
adult
day
services,
respite
care,
chore
25
services,
information
and
assistance,
and
material
aid,
26
for
information
and
options
counseling
for
persons
with
27
disabilities
who
are
18
years
of
age
or
older,
and
28
for
salaries,
support,
administration,
maintenance,
29
and
miscellaneous
purposes,
and
for
not
more
than
the
30
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,151,288
32
10,402,577
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
35.00
36.00
34
1.
Funds
appropriated
in
this
section
may
be
used
35
to
supplement
federal
funds
under
federal
regulations.
36
To
receive
funds
appropriated
in
this
section,
a
local
37
area
agency
on
aging
shall
match
the
funds
with
moneys
38
from
other
sources
according
to
rules
adopted
by
the
39
department.
Funds
appropriated
in
this
section
may
be
40
used
for
elderly
services
not
specifically
enumerated
41
in
this
section
only
if
approved
by
an
area
agency
on
42
aging
for
provision
of
the
service
within
the
area.
43
2.
The
amount
appropriated
in
this
section
includes
44
additional
funding
of
$225,000
for
delivery
of
45
long-term
care
services
to
seniors
with
low
or
moderate
46
incomes.
47
3.
Of
the
funds
appropriated
in
this
section,
48
$89,973
$179,946
shall
be
transferred
to
the
department
49
of
economic
development
for
the
Iowa
commission
on
50
-1-
S5221.5979
(3)
84
pf/jp
1/
80
#1.
volunteer
services
to
be
used
for
the
retired
and
1
senior
volunteer
program.
2
4.
a.
The
department
on
aging
shall
establish
and
3
enforce
procedures
relating
to
expenditure
of
state
and
4
federal
funds
by
area
agencies
on
aging
that
require
5
compliance
with
both
state
and
federal
laws,
rules,
and
6
regulations,
including
but
not
limited
to
all
of
the
7
following:
8
(1)
Requiring
that
expenditures
are
incurred
only
9
for
goods
or
services
received
or
performed
prior
to
10
the
end
of
the
fiscal
period
designated
for
use
of
the
11
funds.
12
(2)
Prohibiting
prepayment
for
goods
or
services
13
not
received
or
performed
prior
to
the
end
of
the
14
fiscal
period
designated
for
use
of
the
funds.
15
(3)
Prohibiting
the
prepayment
for
goods
or
16
services
not
defined
specifically
by
good
or
service,
17
time
period,
or
recipient.
18
(4)
Prohibiting
the
establishment
of
accounts
from
19
which
future
goods
or
services
which
are
not
defined
20
specifically
by
good
or
service,
time
period,
or
21
recipient,
may
be
purchased.
22
b.
The
procedures
shall
provide
that
if
any
funds
23
are
expended
in
a
manner
that
is
not
in
compliance
with
24
the
procedures
and
applicable
federal
and
state
laws,
25
rules,
and
regulations,
and
are
subsequently
subject
26
to
repayment,
the
area
agency
on
aging
expending
such
27
funds
in
contravention
of
such
procedures,
laws,
rules
28
and
regulations,
not
the
state,
shall
be
liable
for
29
such
repayment.
30
5.
Of
the
funds
appropriated
in
this
section,
31
$100,000
shall
be
used
to
provide
an
additional
local
32
long-term
care
resident’s
advocate
to
administer
the
33
certified
volunteer
long-term
care
resident’s
advocate
34
program
pursuant
to
section
231.45
as
enacted
in
this
35
2012
Act.
It
is
the
intent
of
the
general
assembly
36
that
the
number
of
local
long-term
care
resident’s
37
advocates
as
provided
in
section
231.42
be
increased
38
each
year
until
15
local
long-term
care
resident’s
39
advocates
are
available
in
the
state.
40
DIVISION
II
41
DEPARTMENT
OF
PUBLIC
HEALTH
42
Sec.
2.
2011
Iowa
Acts,
chapter
129,
section
114,
43
is
amended
to
read
as
follows:
44
SEC.
114.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
45
appropriated
from
the
general
fund
of
the
state
to
46
the
department
of
public
health
for
the
fiscal
year
47
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
48
following
amounts,
or
so
much
thereof
as
is
necessary,
49
to
be
used
for
the
purposes
designated:
50
-2-
S5221.5979
(3)
84
pf/jp
2/
80
1.
ADDICTIVE
DISORDERS
1
For
reducing
the
prevalence
of
use
of
tobacco,
2
alcohol,
and
other
drugs,
and
treating
individuals
3
affected
by
addictive
behaviors,
including
gambling,
4
and
for
not
more
than
the
following
full-time
5
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,751,595
7
25,653,190
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
9
a.
(1)
Of
the
funds
appropriated
in
this
10
subsection,
$1,626,915
$5,403,830
shall
be
used
for
11
the
tobacco
use
prevention
and
control
initiative,
12
including
efforts
at
the
state
and
local
levels,
as
13
provided
in
chapter
142A
.
The
commission
on
tobacco
14
use
prevention
and
control
established
pursuant
to
15
section
142A.3
shall
advise
the
director
of
public
16
health
in
prioritizing
funding
needs
and
the
allocation
17
of
moneys
appropriated
for
the
programs
and
activities
18
of
the
initiative
under
this
subparagraph
(1)
and
shall
19
make
recommendations
to
the
director
in
the
development
20
of
budget
requests
relating
to
the
initiative.
21
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
22
“a”,
$226,915
$453,830
shall
be
transferred
to
the
23
alcoholic
beverages
division
of
the
department
of
24
commerce
for
enforcement
of
tobacco
laws,
regulations,
25
and
ordinances
in
accordance
with
2011
Iowa
Acts,
House
26
File
467
,
as
enacted
chapter
63
.
27
(b)
For
the
fiscal
year
beginning
July
1,
2012,
28
and
ending
June
30,
2013,
the
terms
of
a
chapter
29
28D
agreement,
entered
into
between
the
division
of
30
tobacco
use
prevention
and
control
of
the
department
31
of
public
health
and
the
alcoholic
beverages
division
32
of
the
department
of
commerce,
governing
compliance
33
checks
conducted
to
ensure
licensed
retail
tobacco
34
outlet
conformity
with
tobacco
laws,
regulations,
and
35
ordinances
relating
to
persons
under
eighteen
years
of
36
age,
shall
restrict
the
number
of
such
checks
to
one
37
check
per
retail
outlet,
and
one
additional
check
for
38
any
retail
outlet
found
to
be
in
violation
during
the
39
first
check.
40
b.
Of
the
funds
appropriated
in
this
subsection,
41
$10,124,680
$20,249,360
shall
be
used
for
problem
42
gambling
and
substance
abuse
prevention,
treatment,
43
and
recovery
services,
including
a
24-hour
helpline,
44
public
information
resources,
professional
training,
45
and
program
evaluation.
46
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
47
$8,566,254
$17,132,508
shall
be
used
for
substance
48
abuse
prevention
and
treatment.
49
(a)
Of
the
funds
allocated
in
this
subparagraph
50
-3-
S5221.5979
(3)
84
pf/jp
3/
80
(1),
$449,650
$899,300
shall
be
used
for
the
public
1
purpose
of
a
grant
program
to
provide
substance
abuse
2
prevention
programming
for
children.
3
(i)
Of
the
funds
allocated
in
this
subparagraph
4
division
(a),
$213,769
$427,539
shall
be
used
for
grant
5
funding
for
organizations
that
provide
programming
for
6
children
by
utilizing
mentors.
Programs
approved
for
7
such
grants
shall
be
certified
or
will
be
certified
8
within
six
months
of
receiving
the
grant
award
by
the
9
Iowa
commission
on
volunteer
services
as
utilizing
10
the
standards
for
effective
practice
for
mentoring
11
programs.
12
(ii)
Of
the
funds
allocated
in
this
subparagraph
13
division
(a),
$213,419
$426,839
shall
be
used
for
grant
14
funding
for
organizations
that
provide
programming
15
that
includes
youth
development
and
leadership.
The
16
programs
shall
also
be
recognized
as
being
programs
17
that
are
scientifically
based
with
evidence
of
their
18
effectiveness
in
reducing
substance
abuse
in
children.
19
(iii)
The
department
of
public
health
shall
utilize
20
a
request
for
proposals
process
to
implement
the
grant
21
program.
22
(iv)
All
grant
recipients
shall
participate
in
a
23
program
evaluation
as
a
requirement
for
receiving
grant
24
funds.
25
(v)
Of
the
funds
allocated
in
this
subparagraph
26
division
(a),
up
to
$22,461
$44,922
may
be
used
to
27
administer
substance
abuse
prevention
grants
and
for
28
program
evaluations.
29
(b)
Of
the
funds
allocated
in
this
subparagraph
30
(1),
$136,531
$273,062
shall
be
used
for
culturally
31
competent
substance
abuse
treatment
pilot
projects.
32
(i)
The
department
shall
utilize
the
amount
33
allocated
in
this
subparagraph
division
(b)
for
at
34
least
three
pilot
projects
to
provide
culturally
35
competent
substance
abuse
treatment
in
various
areas
36
of
the
state.
Each
pilot
project
shall
target
a
37
particular
ethnic
minority
population.
The
populations
38
targeted
shall
include
but
are
not
limited
to
African
39
American,
Asian,
and
Latino.
40
(ii)
The
pilot
project
requirements
shall
provide
41
for
documentation
or
other
means
to
ensure
access
42
to
the
cultural
competence
approach
used
by
a
pilot
43
project
so
that
such
approach
can
be
replicated
and
44
improved
upon
in
successor
programs.
45
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
46
up
to
$1,558,426
$3,116,852
may
be
used
for
problem
47
gambling
prevention,
treatment,
and
recovery
services.
48
(a)
Of
the
funds
allocated
in
this
subparagraph
49
(2),
$1,289,500
$2,579,000
shall
be
used
for
problem
50
-4-
S5221.5979
(3)
84
pf/jp
4/
80
gambling
prevention
and
treatment.
1
(b)
Of
the
funds
allocated
in
this
subparagraph
2
(2),
up
to
$218,926
$437,852
may
be
used
for
a
24-hour
3
helpline,
public
information
resources,
professional
4
training,
and
program
evaluation.
5
(c)
Of
the
funds
allocated
in
this
subparagraph
6
(2),
up
to
$50,000
$100,000
may
be
used
for
the
7
licensing
of
problem
gambling
treatment
programs.
8
(3)
It
is
the
intent
of
the
general
assembly
that
9
from
the
moneys
allocated
in
this
paragraph
“b”,
10
persons
with
a
dual
diagnosis
of
substance
abuse
11
and
gambling
addictions
shall
be
given
priority
in
12
treatment
services.
13
c.
Notwithstanding
any
provision
of
law
to
the
14
contrary,
to
standardize
the
availability,
delivery,
15
cost
of
delivery,
and
accountability
of
problem
16
gambling
and
substance
abuse
treatment
services
17
statewide,
the
department
shall
continue
implementation
18
of
a
process
to
create
a
system
for
delivery
of
19
treatment
services
in
accordance
with
the
requirements
20
specified
in
2008
Iowa
Acts,
chapter
1187,
section
21
3,
subsection
4.
To
ensure
the
system
provides
a
22
continuum
of
treatment
services
that
best
meets
the
23
needs
of
Iowans,
the
problem
gambling
and
substance
24
abuse
treatment
services
in
any
area
may
be
provided
25
either
by
a
single
agency
or
by
separate
agencies
26
submitting
a
joint
proposal.
27
(1)
The
system
for
delivery
of
substance
abuse
28
and
problem
gambling
treatment
shall
include
problem
29
gambling
prevention.
30
(2)
The
system
for
delivery
of
substance
abuse
and
31
problem
gambling
treatment
shall
include
substance
32
abuse
prevention
by
July
1,
2014.
33
(3)
Of
the
funds
allocated
in
paragraph
“b”,
34
the
department
may
use
up
to
$50,000
$100,000
for
35
administrative
costs
to
continue
developing
and
36
implementing
the
process
in
accordance
with
this
37
paragraph
“c”.
38
d.
The
requirement
of
section
123.53,
subsection
39
5
,
is
met
by
the
appropriations
and
allocations
made
40
in
this
Act
for
purposes
of
substance
abuse
treatment
41
and
addictive
disorders
for
the
fiscal
year
beginning
42
July
1,
2012.
43
e.
The
department
of
public
health
shall
work
44
with
all
other
departments
that
fund
substance
45
abuse
prevention
and
treatment
services
and
all
46
such
departments
shall,
to
the
extent
necessary,
47
collectively
meet
the
state
maintenance
of
effort
48
requirements
for
expenditures
for
substance
abuse
49
services
as
required
under
the
federal
substance
abuse
50
-5-
S5221.5979
(3)
84
pf/jp
5/
80
prevention
and
treatment
block
grant.
1
f.
The
department
shall
amend
or
otherwise
2
revise
departmental
policies
and
contract
provisions
3
in
order
to
eliminate
free
t-shirt
distribution,
4
banner
production,
and
other
unnecessary
promotional
5
expenditures.
6
2.
HEALTHY
CHILDREN
AND
FAMILIES
7
For
promoting
the
optimum
health
status
for
8
children,
adolescents
from
birth
through
21
years
of
9
age,
and
families,
and
for
not
more
than
the
following
10
full-time
equivalent
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,297,135
12
2,694,270
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
14
a.
Of
the
funds
appropriated
in
this
subsection,
15
not
more
than
$369,659
$739,318
shall
be
used
for
16
the
healthy
opportunities
to
experience
success
17
(HOPES)-healthy
families
Iowa
(HFI)
program
established
18
pursuant
to
section
135.106
.
The
funding
shall
be
19
distributed
to
renew
the
grants
that
were
provided
20
to
the
grantees
that
operated
the
program
during
the
21
fiscal
year
ending
June
30,
2012.
22
0b.
(1)
In
order
to
implement
the
legislative
23
intent
stated
in
sections
135.106
and
256I.9,
that
24
priority
for
home
visitation
program
funding
be
given
25
to
programs
using
evidence-based
or
promising
models
26
for
home
visitation,
it
is
the
intent
of
the
general
27
assembly
to
phase-in
the
funding
priority
as
follows:
28
(a)
By
July
1,
2013,
25
percent
of
state
29
funds
expended
for
home
visiting
programs
are
for
30
evidence-based
or
promising
program
models.
31
(b)
By
July
1,
2014,
50
percent
of
state
32
funds
expended
for
home
visiting
programs
are
for
33
evidence-based
or
promising
program
models.
34
(c)
By
July
1,
2015,
75
percent
of
state
35
funds
expended
for
home
visiting
programs
are
for
36
evidence-based
or
promising
program
models.
37
(d)
By
July
1,
2016,
90
percent
of
state
38
funds
expended
for
home
visiting
programs
are
for
39
evidence-based
or
promising
program
models.
The
40
remaining
10
percent
of
funds
may
be
used
for
41
innovative
program
models
that
do
not
yet
meet
the
42
definition
of
evidence-based
or
promising
programs.
43
(2)
For
the
purposes
of
this
lettered
paragraph,
44
unless
the
context
otherwise
requires:
45
(a)
“Evidence-based
program”
means
a
program
that
46
is
based
on
scientific
evidence
demonstrating
that
47
the
program
model
is
effective.
An
evidence-based
48
program
shall
be
reviewed
onsite
and
compared
to
49
program
model
standards
by
the
model
developer
or
the
50
-6-
S5221.5979
(3)
84
pf/jp
6/
80
developer’s
designee
at
least
every
five
years
to
1
ensure
that
the
program
continues
to
maintain
fidelity
2
with
the
program
model.
The
program
model
shall
have
3
had
demonstrated
significant
and
sustained
positive
4
outcomes
in
an
evaluation
utilizing
a
well-designed
and
5
rigorous
randomized
controlled
research
design
or
a
6
quasi-experimental
research
design,
and
the
evaluation
7
results
shall
have
been
published
in
a
peer-reviewed
8
journal.
9
(b)
“Family
support
programs”
includes
group-based
10
parent
education
or
home
visiting
programs
that
are
11
designed
to
strengthen
protective
factors,
including
12
parenting
skills,
increasing
parental
knowledge
of
13
child
development,
and
increasing
family
functioning
14
and
problem
solving
skills.
A
family
support
program
15
may
be
used
as
an
early
intervention
strategy
to
16
improve
birth
outcomes,
parental
knowledge,
family
17
economic
success,
the
home
learning
environment,
family
18
and
child
involvement
with
others,
and
coordination
19
with
other
community
resources.
A
family
support
20
program
may
have
a
specific
focus
on
preventing
child
21
maltreatment
or
ensuring
children
are
safe,
healthy,
22
and
ready
to
succeed
in
school.
23
(c)
“Promising
program”
means
a
program
that
meets
24
all
of
the
following
requirements:
25
(i)
The
program
conforms
to
a
clear,
consistent
26
family
support
model
that
has
been
in
existence
for
at
27
least
three
years.
28
(ii)
The
program
is
grounded
in
relevant
29
empirically-based
knowledge.
30
(iii)
The
program
is
linked
to
program-determined
31
outcomes.
32
(iv)
The
program
is
associated
with
a
national
33
or
state
organization
that
either
has
comprehensive
34
program
standards
that
ensure
high-quality
service
35
delivery
and
continuous
program
quality
improvement
36
or
the
program
model
has
demonstrated
through
the
37
program’s
benchmark
outcomes
that
the
program
has
38
achieved
significant
positive
outcomes
equivalent
39
to
those
achieved
by
program
models
with
published
40
significant
and
sustained
results
in
a
peer-reviewed
41
journal.
42
(v)
The
program
has
been
awarded
the
Iowa
family
43
support
credential
and
has
been
reviewed
onsite
44
at
least
every
five
years
to
ensure
the
program’s
45
adherence
to
the
Iowa
family
support
standards
approved
46
by
the
early
childhood
Iowa
state
board
created
in
47
section
256I.3
or
a
comparable
set
of
standards.
The
48
onsite
review
is
completed
by
an
independent
review
49
team
that
is
not
associated
with
the
program
or
the
50
-7-
S5221.5979
(3)
84
pf/jp
7/
80
organization
administering
the
program.
1
(3)
(a)
The
data
reporting
requirements
applicable
2
to
the
HOPES-HFI
program
services
shall
include
the
3
requirements
adopted
by
the
early
childhood
Iowa
state
4
board
pursuant
to
section
256I.4
for
the
family
support
5
programs
targeted
to
families
expecting
a
child
or
6
with
newborn
and
infant
children
through
age
five
and
7
funded
through
the
state
board.
The
department
of
8
public
health
may
specify
additional
data
reporting
9
requirements
for
the
HOPES-HFI
program
services.
10
The
HOPES-HFI
program
services
shall
be
required
to
11
participate
in
a
state
administered
internet-based
12
data
collection
system
by
July
1,
2013.
The
annual
13
reporting
concerning
the
HOPES-HFI
program
services
14
shall
include
program
outcomes
beginning
with
the
2015
15
report.
16
(b)
The
data
on
families
served
that
is
collected
17
by
the
HOPES-HFI
program
shall
include
but
is
not
18
limited
to
basic
demographic
information,
services
19
received,
funding
utilized,
and
program
outcomes
for
20
the
children
and
families
served.
21
(c)
The
HOPES-HFI
program
shall
work
with
the
early
22
childhood
Iowa
state
board
in
the
state
board’s
efforts
23
to
identify
minimum
competency
standards
for
the
24
employees
and
supervisors
of
family
support
programs
25
funded.
The
HOPES-HFI
program,
along
with
the
state
26
board,
shall
submit
recommendations
concerning
the
27
standards
to
the
governor
and
general
assembly
on
or
28
before
January
1,
2014.
29
(d)
On
or
before
January
1,
2013,
the
HOPES-HFI
30
program
shall
adopt
criminal
and
child
abuse
record
31
check
requirements
for
the
employees
and
supervisors
of
32
family
support
programs
funded
through
the
program.
33
(e)
The
HOPES-HFI
program
shall
work
with
the
early
34
childhood
Iowa
state
board
in
the
state
board’s
efforts
35
to
develop
a
plan
to
implement
a
coordinated
intake
and
36
referral
process
for
publicly
funded
family
support
37
programs
in
order
to
engage
the
families
expecting
a
38
child
or
with
newborn
and
infant
children
through
age
39
five
in
all
communities
in
the
state
by
July
1,
2015.
40
b.
Of
the
funds
appropriated
in
this
subsection,
41
$164,942
$329,885
shall
be
used
to
continue
to
address
42
the
healthy
mental
development
of
children
from
birth
43
through
five
years
of
age
through
local
evidence-based
44
strategies
that
engage
both
the
public
and
private
45
sectors
in
promoting
healthy
development,
prevention,
46
and
treatment
for
children.
The
department
shall
work
47
with
the
department
of
human
services,
Iowa
Medicaid
48
enterprise,
to
develop
a
plan
to
secure
matching
49
medical
assistance
program
funding
to
provide
services
50
-8-
S5221.5979
(3)
84
pf/jp
8/
80
under
this
paragraph,
which
may
include
a
per
member
1
per
month
payment
to
reimburse
the
care
coordination
2
and
community
outreach
services
component
that
links
3
young
children
and
their
families
with
identified
4
service
needs.
5
c.
Of
the
funds
appropriated
in
this
subsection,
6
$15,798
$31,597
shall
be
distributed
to
a
statewide
7
dental
carrier
to
provide
funds
to
continue
the
donated
8
dental
services
program
patterned
after
the
projects
9
developed
by
the
lifeline
network
to
provide
dental
10
services
to
indigent
elderly
and
disabled
individuals.
11
d.
Of
the
funds
appropriated
in
this
subsection,
12
$56,338
$112,677
shall
be
used
for
childhood
obesity
13
prevention.
14
e.
Of
the
funds
appropriated
in
this
subsection,
15
$81,880
$163,760
shall
be
used
to
provide
audiological
16
services
and
hearing
aids
for
children.
The
department
17
may
enter
into
a
contract
to
administer
this
paragraph.
18
f.
Of
the
funds
appropriated
in
this
subsection,
19
$100,000
shall
be
transferred
to
the
university
of
Iowa
20
college
of
dentistry
for
provision
of
primary
dental
21
services
to
children.
State
funds
shall
be
matched
22
on
a
dollar-for-dollar
basis.
The
university
of
Iowa
23
college
of
dentistry
shall
coordinate
efforts
with
the
24
department
of
public
health,
bureau
of
oral
health,
25
to
provide
dental
care
to
underserved
populations
26
throughout
the
state.
27
3.
CHRONIC
CONDITIONS
28
For
serving
individuals
identified
as
having
chronic
29
conditions
or
special
health
care
needs,
and
for
not
30
more
than
the
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,680,828
32
3,919,028
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
34
5.00
35
a.
Of
the
funds
appropriated
in
this
subsection,
36
$80,291
$160,582
shall
be
used
for
grants
to
individual
37
patients
who
have
phenylketonuria
(PKU)
to
assist
with
38
the
costs
of
necessary
special
foods.
39
b.
Of
the
funds
appropriated
in
this
subsection,
40
$241,800
$483,600
is
allocated
for
continuation
of
41
the
contracts
for
resource
facilitator
services
in
42
accordance
with
section
135.22B,
subsection
9
,
and
43
for
brain
injury
training
services
and
recruiting
of
44
service
providers
to
increase
the
capacity
within
this
45
state
to
address
the
needs
of
individuals
with
brain
46
injuries
and
such
individuals’
families.
47
c.
Of
the
funds
appropriated
in
this
subsection,
48
$249,437
$550,000
shall
be
used
as
additional
funding
49
to
leverage
federal
funding
through
the
federal
Ryan
50
-9-
S5221.5979
(3)
84
pf/jp
9/
80
White
Care
Act,
Tit.
II,
AIDS
drug
assistance
program
1
supplemental
drug
treatment
grants.
2
d.
Of
the
funds
appropriated
in
this
subsection,
3
$15,627
$50,000
shall
be
used
for
the
public
purpose
of
4
providing
a
grant
to
an
existing
national-affiliated
5
organization
to
provide
education,
client-centered
6
programs,
and
client
and
family
support
for
people
7
living
with
epilepsy
and
their
families.
8
e.
Of
the
funds
appropriated
in
this
subsection,
9
$394,151
$788,303
shall
be
used
for
child
health
10
specialty
clinics.
11
f.
Of
the
funds
appropriated
in
this
subsection,
12
$248,533
$497,065
shall
be
used
for
the
comprehensive
13
cancer
control
program
to
reduce
the
burden
of
cancer
14
in
Iowa
through
prevention,
early
detection,
effective
15
treatment,
and
ensuring
quality
of
life.
Of
the
funds
16
allocated
in
this
lettered
paragraph,
$75,000
$150,000
17
shall
be
used
to
support
a
melanoma
research
symposium,
18
a
melanoma
biorepository
and
registry,
basic
and
19
translational
melanoma
research,
and
clinical
trials.
20
g.
Of
the
funds
appropriated
in
this
subsection,
21
$63,225
$126,450
shall
be
used
for
cervical
and
colon
22
cancer
screening.
23
h.
Of
the
funds
appropriated
in
this
subsection,
24
$264,417
$528,834
shall
be
used
for
the
center
for
25
congenital
and
inherited
disorders.
A
portion
of
26
the
funds
allocated
in
this
lettered
paragraph
may
27
be
used
for
one
full-time
equivalent
position
for
28
administration
of
the
center.
29
i.
Of
the
funds
appropriated
in
this
subsection,
30
$64,968
$129,937
shall
be
used
for
the
prescription
31
drug
donation
repository
program
created
in
chapter
32
135M
.
33
j.
For
provision
of
early
prevention
screening
34
by
pap
smear
and
advanced
screening
by
colposcope
for
35
women
with
incomes
below
250
percent
of
the
federal
36
poverty
level,
as
defined
by
the
most
recently
revised
37
poverty
income
guidelines
issued
by
the
United
States
38
department
of
health
and
human
services,
who
are
39
not
covered
by
a
third-party
payer
health
policy
or
40
contract
that
pays
for
such
procedures
and
related
41
laboratory
services:
42
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
43
The
department
shall
distribute
the
amount
44
appropriated
in
this
lettered
paragraph
to
providers
45
on
behalf
of
eligible
persons
within
the
target
46
population.
47
4.
COMMUNITY
CAPACITY
48
For
strengthening
the
health
care
delivery
system
at
49
the
local
level,
and
for
not
more
than
the
following
50
-10-
S5221.5979
(3)
84
pf/jp
10/
80
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,117,583
2
5,485,547
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
4
a.
Of
the
funds
appropriated
in
this
subsection,
5
$50,000
$100,000
is
allocated
for
a
child
vision
6
screening
program
implemented
through
the
university
of
7
Iowa
hospitals
and
clinics
in
collaboration
with
early
8
childhood
Iowa
areas.
9
b.
Of
the
funds
appropriated
in
this
subsection,
10
$55,654
$111,308
is
allocated
for
continuation
of
an
11
initiative
implemented
at
the
university
of
Iowa
and
12
$50,246
$100,493
is
allocated
for
continuation
of
an
13
initiative
at
the
state
mental
health
institute
at
14
Cherokee
to
expand
and
improve
the
workforce
engaged
in
15
mental
health
treatment
and
services.
The
initiatives
16
shall
receive
input
from
the
university
of
Iowa,
the
17
department
of
human
services,
the
department
of
public
18
health,
and
the
mental
health
and
disability
services
19
commission
to
address
the
focus
of
the
initiatives.
20
c.
Of
the
funds
appropriated
in
this
subsection,
21
$585,745
$1,171,491
shall
be
used
for
essential
public
22
health
services
that
promote
healthy
aging
throughout
23
the
lifespan,
contracted
through
a
formula
for
local
24
boards
of
health,
to
enhance
health
promotion
and
25
disease
prevention
services.
26
d.
Of
the
funds
appropriated
in
this
section,
27
$60,908
$121,817
shall
be
deposited
in
the
governmental
28
public
health
system
fund
created
in
section
135A.8
to
29
be
used
for
the
purposes
of
the
fund.
30
e.
Of
the
funds
appropriated
in
this
subsection,
31
$72,271
$144,542
shall
be
used
for
the
mental
health
32
professional
shortage
area
program
implemented
pursuant
33
to
section
135.80
.
34
f.
Of
the
funds
appropriated
in
this
subsection,
35
$19,131
$38,263
shall
be
used
for
a
grant
to
a
36
statewide
association
of
psychologists
that
is
37
affiliated
with
the
American
psychological
association
38
to
be
used
for
continuation
of
a
program
to
rotate
39
intern
psychologists
in
placements
in
urban
and
rural
40
mental
health
professional
shortage
areas,
as
defined
41
in
section
135.80
135.180
.
42
g.
Of
the
funds
appropriated
in
this
subsection,
43
the
following
amounts
shall
be
allocated
to
the
Iowa
44
collaborative
safety
net
provider
network
established
45
pursuant
to
section
135.153
to
be
used
for
the
purposes
46
designated.
The
following
amounts
allocated
under
47
this
lettered
paragraph
shall
be
distributed
to
48
the
specified
provider
and
shall
not
be
reduced
for
49
administrative
or
other
costs
prior
to
distribution:
50
-11-
S5221.5979
(3)
84
pf/jp
11/
80
(1)
For
distribution
to
the
Iowa
primary
care
1
association
for
statewide
coordination
of
the
Iowa
2
collaborative
safety
net
provider
network:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,290
4
150,000
5
(1A)
For
distribution
to
the
Iowa
primary
care
6
association
to
be
used
for
the
following
women’s
health
7
initiatives:
8
(a)
To
establish
a
grant
program
for
training
9
sexual
assault
response
team
(SART)
members,
including
10
representatives
of
law
enforcement,
victim
advocates,
11
prosecutors,
and
certified
medical
personnel:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
13
(b)
To
promote
access
to
primary
and
preventive
14
health
care
and
for
provision
of
assistance
to
patients
15
in
determining
an
appropriate
medical
home:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
17
(1B)
For
distribution
to
federally
qualified
18
health
centers
for
necessary
infrastructure,
statewide
19
coordination,
provider
recruitment,
service
delivery,
20
and
provision
of
assistance
to
patients
in
determining
21
an
appropriate
medical
home:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
23
(2)
For
distribution
to
the
local
boards
of
health
24
that
provide
direct
services
for
pilot
programs
in
25
three
counties
to
assist
patients
in
determining
an
26
appropriate
medical
home:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
28
77,609
29
(3)
For
distribution
to
maternal
and
child
health
30
centers
for
pilot
programs
in
three
counties
to
assist
31
patients
in
determining
an
appropriate
medical
home:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
33
100,000
34
(4)
For
distribution
to
free
clinics
for
necessary
35
infrastructure,
statewide
coordination,
provider
36
recruitment,
service
delivery,
and
provision
of
37
assistance
to
patients
in
determining
an
appropriate
38
medical
home:
39
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,025
40
424,050
41
(5)
For
distribution
to
rural
health
clinics
for
42
necessary
infrastructure,
statewide
coordination,
43
provider
recruitment,
service
delivery,
and
provision
44
of
assistance
to
patients
in
determining
an
appropriate
45
medical
home:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,215
47
150,000
48
(6)
For
continuation
of
the
safety
net
provider
49
patient
access
to
specialty
health
care
initiative
as
50
-12-
S5221.5979
(3)
84
pf/jp
12/
80
described
in
2007
Iowa
Acts,
chapter
218,
section
109:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
130,000
2
400,000
3
(7)
For
continuation
of
the
pharmaceutical
4
infrastructure
for
safety
net
providers
as
described
in
5
2007
Iowa
Acts,
chapter
218,
section
108:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
135,000
7
435,000
8
The
Iowa
collaborative
safety
net
provider
network
9
may
continue
to
distribute
funds
allocated
pursuant
to
10
this
lettered
paragraph
through
existing
contracts
or
11
renewal
of
existing
contracts.
12
h.
(1)
Of
the
funds
appropriated
in
this
13
subsection,
$74,500
shall
be
used
for
continued
14
implementation
of
the
recommendations
of
the
direct
15
care
worker
task
force
established
pursuant
to
2005
16
Iowa
Acts,
chapter
88,
based
upon
the
report
submitted
17
to
the
governor
and
the
general
assembly
in
December
18
2006.
The
department
may
use
a
portion
of
the
funds
19
allocated
in
this
lettered
paragraph
for
an
additional
20
position
to
assist
in
the
continued
implementation.
21
i.
(1)
Of
the
funds
appropriated
in
this
22
subsection,
$65,050
$145,100
shall
be
used
for
23
allocation
to
an
independent
statewide
direct
care
24
worker
association
that
serves
the
entirety
of
the
25
direct
care
workforce
under
a
contract
with
terms
26
determined
by
the
director
of
public
health
relating
27
to
education,
outreach,
leadership
development,
28
mentoring,
and
other
initiatives
intended
to
enhance
29
the
recruitment
and
retention
of
direct
care
workers
in
30
health
care
and
long-term
care
settings.
31
(2)
Of
the
funds
appropriated
in
this
subsection,
32
$29,000
$58,000
shall
be
used
to
provide
scholarships
33
or
other
forms
of
subsidization
for
direct
care
34
worker
educational
conferences,
training,
or
outreach
35
activities.
36
j.
Of
the
funds
appropriated
in
this
subsection,
37
the
department
may
use
up
to
$29,259
$58,518
for
up
to
38
one
full-time
equivalent
position
to
administer
the
39
volunteer
health
care
provider
program
pursuant
to
40
section
135.24
.
41
k.
Of
the
funds
appropriated
in
this
subsection,
42
$25,000
$50,000
shall
be
used
for
a
matching
dental
43
education
loan
repayment
program
to
be
allocated
to
a
44
dental
nonprofit
health
service
corporation
to
develop
45
the
criteria
and
implement
the
loan
repayment
program.
46
l.
Of
the
funds
appropriated
in
this
subsection,
47
$250,000
shall
be
used
as
state
matching
funds
for
48
the
primary
care
provider
recruitment
and
retention
49
endeavor
established
pursuant
to
section
135.107.
50
-13-
S5221.5979
(3)
84
pf/jp
13/
80
Notwithstanding
any
provision
to
the
contrary
1
including
whether
a
community
is
located
in
a
federally
2
designated
health
professional
shortage
area,
the
funds
3
shall
be
used
for
loans
to
medical
students
who
upon
4
receiving
a
permanent
license
in
this
state
will
engage
5
in
the
full-time
practice
of
medicine
and
surgery
or
6
osteopathic
medicine
and
surgery
specializing
in
family
7
medicine,
pediatrics,
psychiatry,
internal
medicine,
8
or
general
surgery
in
a
city
within
the
state
with
a
9
population
of
less
than
26,000
that
is
located
more
10
than
20
miles
from
a
city
with
a
population
of
50,000
11
or
more.
The
department
may
adopt
rules
pursuant
to
12
chapter
17A
to
implement
this
paragraph
“l”.
13
m.
Of
the
funds
appropriated
in
this
subsection,
14
$100,000
shall
be
used
for
the
purposes
of
the
Iowa
15
donor
registry
as
specified
in
section
142C.18.
16
n.
Of
the
funds
appropriated
in
this
subsection,
17
$100,000
shall
be
used
for
continuation
of
a
grant
to
a
18
nationally
affiliated
volunteer
eye
organization
that
19
has
an
established
program
for
children
and
adults
20
and
that
is
solely
dedicated
to
preserving
sight
and
21
preventing
blindness
through
education,
nationally
22
certified
vision
screening
and
training,
and
community
23
and
patient
service
programs.
24
5.
HEALTHY
AGING
25
To
provide
public
health
services
that
reduce
risks
26
and
invest
in
promoting
and
protecting
good
health
over
27
the
course
of
a
lifetime
with
a
priority
given
to
older
28
Iowans
and
vulnerable
populations:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
30
7,297,142
31
a.
Of
the
funds
appropriated
in
this
subsection,
32
$1,004,593
$2,009,187
shall
be
used
for
local
public
33
health
nursing
services.
34
b.
Of
the
funds
appropriated
in
this
subsection,
35
$2,643,977
$5,287,955
shall
be
used
for
home
care
aide
36
services.
37
6.
ENVIRONMENTAL
HAZARDS
38
For
reducing
the
public’s
exposure
to
hazards
in
the
39
environment,
primarily
chemical
hazards,
and
for
not
40
more
than
the
following
full-time
equivalent
positions:
41
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
406,888
42
813,777
43
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
44
Of
the
funds
appropriated
in
this
subsection,
45
$272,188
$544,377
shall
be
used
for
childhood
lead
46
poisoning
provisions.
47
7.
INFECTIOUS
DISEASES
48
a.
For
reducing
the
incidence
and
prevalence
49
of
communicable
diseases,
and
for
not
more
than
the
50
-14-
S5221.5979
(3)
84
pf/jp
14/
80
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
672,923
2
2,395,847
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
4
b.
For
the
human
papillomavirus
vaccination
public
5
awareness
program
in
accordance
with
section
135.11,
6
subsection
31,
as
enacted
by
this
Act:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
8
The
department
of
public
health
may
seek
private
9
sector
moneys
for
the
purpose
of
supporting
the
public
10
awareness
program.
11
c.
For
provision
of
vaccinations
for
human
12
papillomavirus
to
persons
age
19
through
26
with
13
incomes
below
300
percent
of
the
federal
poverty
level,
14
as
defined
by
the
most
recently
revised
poverty
income
15
guidelines
issued
by
the
United
States
department
of
16
health
and
human
services,
who
are
not
covered
by
a
17
third-party
payer
health
policy
or
contract
that
pays
18
for
such
vaccinations:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
20
The
department
shall
distribute
the
amount
21
appropriated
in
this
lettered
paragraph
to
providers
22
on
behalf
of
eligible
persons
within
the
target
23
population.
24
8.
PUBLIC
PROTECTION
25
For
protecting
the
health
and
safety
of
the
26
public
through
establishing
standards
and
enforcing
27
regulations,
and
for
not
more
than
the
following
28
full-time
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,388,116
30
3,216,567
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
32
a.
Of
the
funds
appropriated
in
this
subsection,
33
not
more
than
$235,845
$471,690
shall
be
credited
to
34
the
emergency
medical
services
fund
created
in
section
35
135.25
.
Moneys
in
the
emergency
medical
services
fund
36
are
appropriated
to
the
department
to
be
used
for
the
37
purposes
of
the
fund.
38
b.
Of
the
funds
appropriated
in
this
subsection,
39
$105,309
$210,619
shall
be
used
for
sexual
violence
40
prevention
programming
through
a
statewide
organization
41
representing
programs
serving
victims
of
sexual
42
violence
through
the
department’s
sexual
violence
43
prevention
program.
The
amount
allocated
in
this
44
lettered
paragraph
shall
not
be
used
to
supplant
45
funding
administered
for
other
sexual
violence
46
prevention
or
victims
assistance
programs.
47
c.
Of
the
funds
appropriated
in
this
subsection,
48
not
more
than
$218,291
$539,477
shall
be
used
for
the
49
state
poison
control
center.
50
-15-
S5221.5979
(3)
84
pf/jp
15/
80
d.
Of
the
funds
appropriated
in
this
subsection,
1
$337,440
shall
be
used
for
the
purposes
of
the
board
2
of
direct
care
professionals
as
established
pursuant
3
to
the
division
of
this
2012
Act
enacting
new
Code
4
chapter
152F.
The
direct
care
worker
advisory
council
5
established
pursuant
to
2008
Iowa
Acts,
chapter
1188,
6
section
69,
may
continue
to
provide
expertise
and
7
leadership
relating
to
the
recommendations
in
the
8
advisory
council’s
final
report
submitted
to
the
9
governor
and
the
general
assembly
in
March
2012.
10
9.
RESOURCE
MANAGEMENT
11
For
establishing
and
sustaining
the
overall
12
ability
of
the
department
to
deliver
services
to
the
13
public,
and
for
not
more
than
the
following
full-time
14
equivalent
positions:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
409,777
16
819,554
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
18
The
university
of
Iowa
hospitals
and
clinics
under
19
the
control
of
the
state
board
of
regents
shall
not
20
receive
indirect
costs
from
the
funds
appropriated
in
21
this
section.
The
university
of
Iowa
hospitals
and
22
clinics
billings
to
the
department
shall
be
on
at
least
23
a
quarterly
basis.
24
DIVISION
III
25
DEPARTMENT
OF
VETERANS
AFFAIRS
26
Sec.
3.
2011
Iowa
Acts,
chapter
129,
section
115,
27
is
amended
to
read
as
follows:
28
SEC.
115.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
29
is
appropriated
from
the
general
fund
of
the
state
to
30
the
department
of
veterans
affairs
for
the
fiscal
year
31
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
32
following
amounts,
or
so
much
thereof
as
is
necessary,
33
to
be
used
for
the
purposes
designated:
34
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
35
For
salaries,
support,
maintenance,
and
36
miscellaneous
purposes,
including
the
war
orphans
37
educational
assistance
fund
created
in
section
38
35.8
,
and
for
not
more
than
the
following
full-time
39
equivalent
positions:
40
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
499,416
41
1,010,832
42
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
43
2.
IOWA
VETERANS
HOME
44
For
salaries,
support,
maintenance,
and
45
miscellaneous
purposes:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,476,075
47
8,952,151
48
a.
The
Iowa
veterans
home
billings
involving
the
49
department
of
human
services
shall
be
submitted
to
the
50
-16-
S5221.5979
(3)
84
pf/jp
16/
80
department
on
at
least
a
monthly
basis.
1
b.
If
there
is
a
change
in
the
employer
of
2
employees
providing
services
at
the
Iowa
veterans
home
3
under
a
collective
bargaining
agreement,
such
employees
4
and
the
agreement
shall
be
continued
by
the
successor
5
employer
as
though
there
had
not
been
a
change
in
6
employer.
7
c.
Within
available
resources
and
in
conformance
8
with
associated
state
and
federal
program
eligibility
9
requirements,
the
Iowa
veterans
home
may
implement
10
measures
to
provide
financial
assistance
to
or
11
on
behalf
of
veterans
or
their
spouses
who
are
12
participating
in
the
community
reentry
program.
13
d.
The
Iowa
veterans
home
expenditure
report
14
shall
be
submitted
monthly
to
the
legislative
services
15
agency.
16
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
17
DECEASED
VETERANS
18
For
provision
of
educational
assistance
pursuant
to
19
section
35.9
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,208
21
12,416
22
4.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
23
For
transfer
to
the
Iowa
finance
authority
for
the
24
continuation
of
the
home
ownership
assistance
program
25
for
persons
who
are
or
were
eligible
members
of
the
26
armed
forces
of
the
United
States,
pursuant
to
section
27
16.54:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,600,000
29
Sec.
4.
2011
Iowa
Acts,
chapter
129,
section
116,
30
is
amended
to
read
as
follows:
31
SEC.
116.
LIMITATION
OF
COUNTY
32
COMMISSION
OF
VETERANS
AFFAIRS
FUND
STANDING
33
APPROPRIATIONS.
Notwithstanding
the
standing
34
appropriation
in
the
following
designated
section
for
35
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
36
30,
2013,
the
amounts
appropriated
from
the
general
37
fund
of
the
state
pursuant
to
that
section
for
the
38
following
designated
purposes
shall
not
exceed
the
39
following
amount:
40
For
the
county
commissions
of
veterans
affairs
fund
41
under
section
35A.16
:
42
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
43
990,000
44
DIVISION
IV
45
DEPARTMENT
OF
HUMAN
SERVICES
46
Sec.
5.
2011
Iowa
Acts,
chapter
129,
section
117,
47
is
amended
to
read
as
follows:
48
SEC.
117.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
49
BLOCK
GRANT.
There
is
appropriated
from
the
fund
50
-17-
S5221.5979
(3)
84
pf/jp
17/
80
created
in
section
8.41
to
the
department
of
human
1
services
for
the
fiscal
year
beginning
July
1,
2012,
2
and
ending
June
30,
2013,
from
moneys
received
under
3
the
federal
temporary
assistance
for
needy
families
4
(TANF)
block
grant
pursuant
to
the
federal
Personal
5
Responsibility
and
Work
Opportunity
Reconciliation
6
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
7
legislation,
and
from
moneys
received
under
the
8
emergency
contingency
fund
for
temporary
assistance
9
for
needy
families
state
program
established
pursuant
10
to
the
federal
American
Recovery
and
Reinvestment
11
Act
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
12
legislation,
the
following
amounts,
or
so
much
13
thereof
as
is
necessary,
to
be
used
for
the
purposes
14
designated:
15
1.
To
be
credited
to
the
family
investment
program
16
account
and
used
for
assistance
under
the
family
17
investment
program
under
chapter
239B
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,750,369
19
19,790,365
20
2.
To
be
credited
to
the
family
investment
program
21
account
and
used
for
the
job
opportunities
and
22
basic
skills
(JOBS)
program
and
implementing
family
23
investment
agreements
in
accordance
with
chapter
239B
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,205,764
25
12,411,528
26
3.
To
be
used
for
the
family
development
and
27
self-sufficiency
grant
program
in
accordance
with
28
section
216A.107
:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
30
2,898,980
31
Notwithstanding
section
8.33
,
moneys
appropriated
in
32
this
subsection
that
remain
unencumbered
or
unobligated
33
at
the
close
of
the
fiscal
year
shall
not
revert
but
34
shall
remain
available
for
expenditure
for
the
purposes
35
designated
until
the
close
of
the
succeeding
fiscal
36
year.
However,
unless
such
moneys
are
encumbered
or
37
obligated
on
or
before
September
30,
2013,
the
moneys
38
shall
revert.
39
4.
For
field
operations:
40
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
41
31,296,232
42
5.
For
general
administration:
43
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
44
3,744,000
45
6.
For
state
child
care
assistance:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,191,343
47
16,382,687
48
The
funds
appropriated
in
this
subsection
shall
49
be
transferred
to
the
child
care
and
development
50
-18-
S5221.5979
(3)
84
pf/jp
18/
80
block
grant
appropriation
made
pursuant
to
2011
Iowa
1
Acts,
chapter
126,
section
32,
by
the
Eighty-fourth
2
General
Assembly,
2012
Session,
for
the
federal
fiscal
3
year
beginning
October
1,
2012,
and
ending
September
4
30,
2013.
Of
this
amount,
$100,000
$200,000
shall
5
be
used
for
provision
of
educational
opportunities
6
to
registered
child
care
home
providers
in
order
to
7
improve
services
and
programs
offered
by
this
category
8
of
providers
and
to
increase
the
number
of
providers.
9
The
department
may
contract
with
institutions
of
higher
10
education
or
child
care
resource
and
referral
centers
11
to
provide
the
educational
opportunities.
Allowable
12
administrative
costs
under
the
contracts
shall
not
13
exceed
5
percent.
The
application
for
a
grant
shall
14
not
exceed
two
pages
in
length.
15
7.
For
distribution
to
counties
for
state
case
16
services
for
persons
with
mental
health
and
illness,
17
an
intellectual
disability,
or
a
developmental
18
disabilities
community
services
disability
in
19
accordance
with
section
331.440
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
21
4,894,052
22
8.
For
child
and
family
services:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
24
32,084,430
25
9.
For
child
abuse
prevention
grants:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
27
125,000
28
10.
For
pregnancy
prevention
grants
on
the
29
condition
that
family
planning
services
are
funded:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
31
1,930,067
32
Pregnancy
prevention
grants
shall
be
awarded
to
33
programs
in
existence
on
or
before
July
1,
2012,
if
the
34
programs
have
demonstrated
positive
outcomes.
Grants
35
shall
be
awarded
to
pregnancy
prevention
programs
36
which
are
developed
after
July
1,
2012,
if
the
programs
37
are
based
on
existing
models
that
have
demonstrated
38
positive
outcomes.
Grants
shall
comply
with
the
39
requirements
provided
in
1997
Iowa
Acts,
chapter
40
208,
section
14,
subsections
1
and
2,
including
the
41
requirement
that
grant
programs
must
emphasize
sexual
42
abstinence.
Priority
in
the
awarding
of
grants
shall
43
be
given
to
programs
that
serve
areas
of
the
state
44
which
demonstrate
the
highest
percentage
of
unplanned
45
pregnancies
of
females
of
childbearing
age
within
the
46
geographic
area
to
be
served
by
the
grant.
47
11.
For
technology
needs
and
other
resources
48
necessary
to
meet
federal
welfare
reform
reporting,
49
tracking,
and
case
management
requirements:
50
-19-
S5221.5979
(3)
84
pf/jp
19/
80
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
1
1,037,186
2
12.
To
be
credited
to
the
state
child
care
3
assistance
appropriation
made
in
this
section
to
be
4
used
for
funding
of
community-based
early
childhood
5
programs
targeted
to
children
from
birth
through
five
6
years
of
age
developed
by
early
childhood
Iowa
areas
as
7
provided
in
section
256I.11
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,175,000
9
6,350,000
10
The
department
shall
transfer
TANF
block
grant
11
funding
appropriated
and
allocated
in
this
subsection
12
to
the
child
care
and
development
block
grant
13
appropriation
in
accordance
with
federal
law
as
14
necessary
to
comply
with
the
provisions
of
this
15
subsection.
16
13.
a.
Notwithstanding
any
provision
to
the
17
contrary,
including
but
not
limited
to
requirements
18
in
section
8.41
or
provisions
in
2011
or
2012
Iowa
19
Acts
regarding
the
receipt
and
appropriation
of
20
federal
block
grants,
federal
funds
from
the
emergency
21
contingency
fund
for
temporary
assistance
for
needy
22
families
state
program
established
pursuant
to
the
23
federal
American
Recovery
and
Reinvestment
Act
of
2009
,
24
Pub.
L.
No.
111-5
§
2101
,
block
grant
received
by
the
25
state
during
the
fiscal
year
beginning
July
1,
2011,
26
and
ending
June
30,
2012,
not
otherwise
appropriated
27
in
this
section
and
remaining
available
as
of
for
28
the
fiscal
year
beginning
July
1,
2012,
and
received
29
by
the
state
during
the
fiscal
year
beginning
July
30
1,
2012,
and
ending
June
30,
2013,
are
appropriated
31
to
the
department
of
human
services
to
the
extent
as
32
may
be
necessary
to
be
used
in
the
following
priority
33
order:
the
family
investment
program
for
the
fiscal
34
year
and
for
state
child
care
assistance
program
35
payments
for
individuals
enrolled
in
the
family
36
investment
program
who
are
employed.
The
federal
funds
37
appropriated
in
this
paragraph
“a”
shall
be
expended
38
only
after
all
other
funds
appropriated
in
subsection
1
39
for
the
assistance
under
the
family
investment
program
40
under
chapter
239B
have
been
expended.
41
b.
The
department
shall,
on
a
quarterly
basis,
42
advise
the
legislative
services
agency
and
department
43
of
management
of
the
amount
of
funds
appropriated
in
44
this
subsection
that
was
expended
in
the
prior
quarter.
45
14.
Of
the
amounts
appropriated
in
this
section,
46
$6,481,004
$12,962,008
for
the
fiscal
year
beginning
47
July
1,
2012,
shall
be
transferred
to
the
appropriation
48
of
the
federal
social
services
block
grant
made
for
49
that
fiscal
year.
50
-20-
S5221.5979
(3)
84
pf/jp
20/
80
15.
For
continuation
of
the
program
allowing
the
1
department
to
maintain
categorical
eligibility
for
the
2
food
assistance
program
as
required
under
the
section
3
of
this
division
relating
to
the
family
investment
4
account:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
73,036
6
25,000
7
16.
The
department
may
transfer
funds
allocated
8
in
this
section
to
the
appropriations
made
in
this
9
division
of
this
Act
for
general
administration
and
10
field
operations
for
resources
necessary
to
implement
11
and
operate
the
services
referred
to
in
this
section
12
and
those
funded
in
the
appropriation
made
in
this
13
division
of
this
Act
for
the
family
investment
program
14
from
the
general
fund
of
the
state.
15
Sec.
6.
2011
Iowa
Acts,
chapter
129,
section
118,
16
is
amended
to
read
as
follows:
17
SEC.
118.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
18
1.
Moneys
credited
to
the
family
investment
program
19
(FIP)
account
for
the
fiscal
year
beginning
July
20
1,
2012,
and
ending
June
30,
2013,
shall
be
used
to
21
provide
assistance
in
accordance
with
chapter
239B
.
22
2.
The
department
may
use
a
portion
of
the
moneys
23
credited
to
the
FIP
account
under
this
section
as
24
necessary
for
salaries,
support,
maintenance,
and
25
miscellaneous
purposes.
26
3.
The
department
may
transfer
funds
allocated
in
27
this
section
to
the
appropriations
in
this
division
28
of
this
Act
for
general
administration
and
field
29
operations
for
resources
necessary
to
implement
and
30
operate
the
services
referred
to
in
this
section
and
31
those
funded
in
the
appropriation
made
in
this
division
32
of
this
Act
for
the
family
investment
program
from
the
33
general
fund
of
the
state.
34
4.
Moneys
appropriated
in
this
division
of
this
Act
35
and
credited
to
the
FIP
account
for
the
fiscal
year
36
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
37
allocated
as
follows:
38
a.
To
be
retained
by
the
department
of
human
39
services
to
be
used
for
coordinating
with
the
40
department
of
human
rights
to
more
effectively
serve
41
participants
in
the
FIP
program
and
other
shared
42
clients
and
to
meet
federal
reporting
requirements
43
under
the
federal
temporary
assistance
for
needy
44
families
block
grant:
45
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
46
20,000
47
b.
To
the
department
of
human
rights
for
staffing,
48
administration,
and
implementation
of
the
family
49
development
and
self-sufficiency
grant
program
in
50
-21-
S5221.5979
(3)
84
pf/jp
21/
80
accordance
with
section
216A.107
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,671,417
2
5,942,834
3
(1)
Of
the
funds
allocated
for
the
family
4
development
and
self-sufficiency
grant
program
in
this
5
lettered
paragraph,
not
more
than
5
percent
of
the
6
funds
shall
be
used
for
the
administration
of
the
grant
7
program.
8
(2)
The
department
of
human
rights
may
continue
to
9
implement
the
family
development
and
self-sufficiency
10
grant
program
statewide
during
fiscal
year
2012-2013.
11
c.
For
the
diversion
subaccount
of
the
FIP
account:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
13
1,698,400
14
A
portion
of
the
moneys
allocated
for
the
subaccount
15
may
be
used
for
field
operations
salaries,
data
16
management
system
development,
and
implementation
17
costs
and
support
deemed
necessary
by
the
director
of
18
human
services
in
order
to
administer
the
FIP
diversion
19
program.
20
d.
For
the
food
stamp
employment
and
training
21
program:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
23
66,588
24
(1)
The
department
shall
amend
the
food
stamp
25
employment
and
training
state
plan
in
order
to
maximize
26
to
the
fullest
extent
permitted
by
federal
law
the
27
use
of
the
50-50
match
provisions
for
the
claiming
28
of
allowable
federal
matching
funds
from
the
United
29
States
department
of
agriculture
pursuant
to
the
30
federal
food
stamp
employment
and
training
program
for
31
providing
education,
employment,
and
training
services
32
for
eligible
food
assistance
program
participants,
33
including
but
not
limited
to
related
dependent
care
and
34
transportation
expenses.
35
(2)
The
department
shall
continue
the
categorical
36
federal
food
assistance
program
eligibility
at
160
37
percent
of
the
federal
poverty
level
and
continue
to
38
eliminate
the
asset
test
from
eligibility
requirements,
39
consistent
with
federal
food
assistance
program
40
requirements.
The
department
shall
include
as
many
41
food
assistance
households
as
is
allowed
by
federal
42
law.
The
eligibility
provisions
shall
conform
to
all
43
federal
requirements
including
requirements
addressing
44
individuals
who
are
incarcerated
or
otherwise
45
ineligible.
46
e.
For
the
JOBS
program:
47
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,117,952
48
20,235,905
49
5.
Of
the
child
support
collections
assigned
under
50
-22-
S5221.5979
(3)
84
pf/jp
22/
80
FIP,
an
amount
equal
to
the
federal
share
of
support
1
collections
shall
be
credited
to
the
child
support
2
recovery
appropriation
made
in
this
division
of
this
3
Act.
Of
the
remainder
of
the
assigned
child
support
4
collections
received
by
the
child
support
recovery
5
unit,
a
portion
shall
be
credited
to
the
FIP
account,
6
a
portion
may
be
used
to
increase
recoveries,
and
a
7
portion
may
be
used
to
sustain
cash
flow
in
the
child
8
support
payments
account.
If
as
a
consequence
of
the
9
appropriations
and
allocations
made
in
this
section
10
the
resulting
amounts
are
insufficient
to
sustain
11
cash
assistance
payments
and
meet
federal
maintenance
12
of
effort
requirements,
the
department
shall
seek
13
supplemental
funding.
If
child
support
collections
14
assigned
under
FIP
are
greater
than
estimated
or
are
15
otherwise
determined
not
to
be
required
for
maintenance
16
of
effort,
the
state
share
of
either
amount
may
be
17
transferred
to
or
retained
in
the
child
support
payment
18
account.
19
6.
The
department
may
adopt
emergency
rules
for
20
the
family
investment,
JOBS,
food
stamp,
and
medical
21
assistance
programs
if
necessary
to
comply
with
federal
22
requirements.
23
Sec.
7.
2011
Iowa
Acts,
chapter
129,
section
119,
24
is
amended
to
read
as
follows:
25
SEC.
119.
FAMILY
INVESTMENT
PROGRAM
GENERAL
26
FUND.
There
is
appropriated
from
the
general
fund
of
27
the
state
to
the
department
of
human
services
for
the
28
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
29
2013,
the
following
amount,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purpose
designated:
31
To
be
credited
to
the
family
investment
program
32
(FIP)
account
and
used
for
family
investment
program
33
assistance
under
chapter
239B
:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,085,513
35
50,742,028
36
1.
Of
the
funds
appropriated
in
this
section,
37
$3,912,188
$7,824,377
is
allocated
for
the
JOBS
38
program.
39
2.
Of
the
funds
appropriated
in
this
section,
40
$1,231,927
$3,063,854
is
allocated
for
the
family
41
development
and
self-sufficiency
grant
program.
42
3.
Notwithstanding
section
8.39
,
for
the
fiscal
43
year
beginning
July
1,
2012,
if
necessary
to
meet
44
federal
maintenance
of
effort
requirements
or
to
45
transfer
federal
temporary
assistance
for
needy
46
families
block
grant
funding
to
be
used
for
purposes
47
of
the
federal
social
services
block
grant
or
to
meet
48
cash
flow
needs
resulting
from
delays
in
receiving
49
federal
funding
or
to
implement,
in
accordance
with
50
-23-
S5221.5979
(3)
84
pf/jp
23/
80
this
division
of
this
Act,
activities
currently
funded
1
with
juvenile
court
services,
county,
or
community
2
moneys
and
state
moneys
used
in
combination
with
such
3
moneys,
the
department
of
human
services
may
transfer
4
funds
within
or
between
any
of
the
appropriations
made
5
in
this
division
of
this
Act
and
appropriations
in
law
6
for
the
federal
social
services
block
grant
to
the
7
department
for
the
following
purposes,
provided
that
8
the
combined
amount
of
state
and
federal
temporary
9
assistance
for
needy
families
block
grant
funding
for
10
each
appropriation
remains
the
same
before
and
after
11
the
transfer:
12
a.
For
the
family
investment
program.
13
b.
For
child
care
assistance.
14
c.
For
child
and
family
services.
15
d.
For
field
operations.
16
e.
For
general
administration.
17
f.
MH/MR/DD/BI
community
services
(local
purchase).
18
For
distribution
to
counties
for
state
case
services
19
for
persons
with
mental
illness,
an
intellectual
20
disability,
or
a
developmental
disability
in
accordance
21
with
section
331.440.
22
This
subsection
shall
not
be
construed
to
prohibit
23
the
use
of
existing
state
transfer
authority
for
other
24
purposes.
The
department
shall
report
any
transfers
25
made
pursuant
to
this
subsection
to
the
legislative
26
services
agency.
27
4.
Of
the
funds
appropriated
in
this
section,
28
$97,839
$195,678
shall
be
used
for
continuation
of
a
29
grant
to
an
Iowa-based
nonprofit
organization
with
a
30
history
of
providing
tax
preparation
assistance
to
31
low-income
Iowans
in
order
to
expand
the
usage
of
the
32
earned
income
tax
credit.
The
purpose
of
the
grant
is
33
to
supply
this
assistance
to
underserved
areas
of
the
34
state.
35
4A.
Of
the
funds
appropriated
in
this
section,
36
$500,000
shall
be
used
for
distribution
to
a
nonprofit,
37
tax-exempt
association
that
receives
donations
under
38
section
170
of
the
Internal
Revenue
Code
and
whose
39
members
include
Iowa
food
banks
and
their
affiliates
40
that
together
serve
all
counties
in
the
state,
to
be
41
used
to
purchase
food
for
distribution
to
food-insecure
42
Iowans:
43
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
44
In
purchasing
food
under
this
subsection,
a
45
preference
shall
be
given
to
the
purchase
of
food
46
produced,
processed,
or
packaged
within
this
state
47
whenever
reasonably
practicable.
48
5.
The
department
may
transfer
funds
appropriated
49
in
this
section
to
the
appropriations
made
in
this
50
-24-
S5221.5979
(3)
84
pf/jp
24/
80
division
of
this
Act
for
general
administration
and
1
field
operations
as
necessary
to
administer
this
2
section
and
the
overall
family
investment
program.
3
Sec.
8.
2011
Iowa
Acts,
chapter
129,
section
120,
4
is
amended
to
read
as
follows:
5
SEC.
120.
CHILD
SUPPORT
RECOVERY.
There
is
6
appropriated
from
the
general
fund
of
the
state
to
7
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
9
following
amount,
or
so
much
thereof
as
is
necessary,
10
to
be
used
for
the
purposes
designated:
11
For
child
support
recovery,
including
salaries,
12
support,
maintenance,
and
miscellaneous
purposes,
and
13
for
not
more
than
the
following
full-time
equivalent
14
positions:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,559,627
16
13,377,993
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
18
1.
The
department
shall
expend
up
to
$12,164
19
$24,329
,
including
federal
financial
participation,
for
20
the
fiscal
year
beginning
July
1,
2012,
for
a
child
21
support
public
awareness
campaign.
The
department
and
22
the
office
of
the
attorney
general
shall
cooperate
in
23
continuation
of
the
campaign.
The
public
awareness
24
campaign
shall
emphasize,
through
a
variety
of
media
25
activities,
the
importance
of
maximum
involvement
of
26
both
parents
in
the
lives
of
their
children
as
well
as
27
the
importance
of
payment
of
child
support
obligations.
28
2.
Federal
access
and
visitation
grant
moneys
shall
29
be
issued
directly
to
private
not-for-profit
agencies
30
that
provide
services
designed
to
increase
compliance
31
with
the
child
access
provisions
of
court
orders,
32
including
but
not
limited
to
neutral
visitation
sites
33
and
mediation
services.
34
3.
The
appropriation
made
to
the
department
for
35
child
support
recovery
may
be
used
throughout
the
36
fiscal
year
in
the
manner
necessary
for
purposes
of
37
cash
flow
management,
and
for
cash
flow
management
38
purposes
the
department
may
temporarily
draw
more
39
than
the
amount
appropriated,
provided
the
amount
40
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
41
year.
42
4.
With
the
exception
of
the
funding
amount
43
specified,
the
requirements
established
under
2001
44
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
45
paragraph
“c”,
subparagraph
(3),
shall
be
applicable
46
to
parental
obligation
pilot
projects
for
the
fiscal
47
year
beginning
July
1,
2012,
and
ending
June
30,
48
2013.
Notwithstanding
441
IAC
100.8,
providing
for
49
termination
of
rules
relating
to
the
pilot
projects,
50
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the
rules
shall
remain
in
effect
until
June
30,
2013.
1
MEDICAL
ASSISTANCE
PROGRAM
2
Sec.
9.
2011
Iowa
Acts,
chapter
129,
section
122,
3
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
4
For
medical
assistance
program
reimbursement
and
5
associated
costs
as
specifically
provided
in
the
6
reimbursement
methodologies
in
effect
on
June
30,
7
2012,
except
as
otherwise
expressly
authorized
by
8
law
,
and
consistent
with
options
under
federal
law
and
9
regulations
:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
914,993,421
11
845,601,256
12
Sec.
10.
2011
Iowa
Acts,
chapter
129,
section
122,
13
subsection
1,
unnumbered
paragraph
1,
is
amended
to
14
read
as
follows:
15
Iowans
support
reducing
the
number
of
abortions
16
performed
in
our
state.
Funds
appropriated
in
this
17
section
shall
not
be
used
for
abortions.
For
the
18
purposes
of
this
section,
“abortion”
does
not
include
19
any
of
the
following:
20
a.
The
treatment
of
a
woman
for
a
physical
21
disorder,
physical
injury,
or
physical
illness,
22
including
a
life-endangering
physical
condition
caused
23
by
or
arising
from
the
pregnancy
itself,
that
would,
24
as
certified
by
a
physician,
place
the
woman
in
danger
25
of
death.
26
b.
The
treatment
of
a
woman
for
a
spontaneous
27
abortion,
commonly
known
as
a
miscarriage,
when
not
all
28
of
the
products
of
conception
are
expelled.
29
1A.
For
an
abortion
covered
under
the
program,
30
except
in
the
case
of
a
medical
emergency,
as
defined
31
in
section
135L.1
,
for
any
woman,
the
physician
shall
32
certify
both
of
the
following:
33
MEDICAL
ASSISTANCE
——
DISPROPORTIONATE
SHARE
HOSPITAL
34
Sec.
11.
2011
Iowa
Acts,
chapter
129,
section
122,
35
subsection
11,
paragraph
a,
unnumbered
paragraph
1,
is
36
amended
to
read
as
follows:
37
Of
the
funds
appropriated
in
this
section,
38
$7,425,684
$7,678,245
is
allocated
for
the
state
39
match
for
a
disproportionate
share
hospital
payment
40
of
$19,133,430
to
hospitals
that
meet
both
of
the
41
conditions
specified
in
subparagraphs
(1)
and
(2).
42
In
addition,
the
hospitals
that
meet
the
conditions
43
specified
shall
either
certify
public
expenditures
44
or
transfer
to
the
medical
assistance
program
an
45
amount
equal
to
provide
the
nonfederal
share
for
a
46
disproportionate
share
hospital
payment
of
$7,500,000.
47
The
hospitals
that
meet
the
conditions
specified
48
shall
receive
and
retain
100
percent
of
the
total
49
disproportionate
share
hospital
payment
of
$26,633,430.
50
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MEDICAL
ASSISTANCE
——
IOWACARE
TRANSFER
1
Sec.
12.
2011
Iowa
Acts,
chapter
129,
section
122,
2
subsection
13,
is
amended
to
read
as
follows:
3
13.
Of
the
funds
appropriated
in
this
section,
4
up
to
$4,480,304
$8,684,329
may
be
transferred
to
the
5
IowaCare
account
created
in
section
249J.24
.
6
MEDICAL
ASSISTANCE
——
COST
CONTAINMENT
STRATEGIES
7
Sec.
13.
2011
Iowa
Acts,
chapter
129,
section
122,
8
subsection
20,
paragraphs
a
and
d,
are
amended
to
read
9
as
follows:
10
a.
The
department
may
continue
to
implement
cost
11
containment
strategies
recommended
by
the
governor
,
and
12
for
the
fiscal
year
beginning
July
1,
2011,
and
shall
13
implement
new
strategies
for
the
fiscal
year
beginning
14
July
1,
2012,
as
specified
in
this
division
of
this
15
2012
Act.
The
department
may
adopt
emergency
rules
for
16
such
implementation.
17
d.
If
the
savings
to
the
medical
assistance
program
18
for
the
fiscal
year
beginning
July
1,
2012,
exceed
19
the
cost,
the
department
may
transfer
any
savings
20
generated
for
the
fiscal
year
due
to
medical
assistance
21
program
cost
containment
efforts
initiated
pursuant
22
to
2010
Iowa
Acts,
chapter
1031,
Executive
Order
No.
23
20,
issued
December
16,
2009,
or
cost
containment
24
strategies
initiated
pursuant
to
this
subsection,
to
25
the
appropriation
made
in
this
division
of
this
Act
26
for
medical
contracts
or
general
administration
to
27
defray
the
increased
contract
costs
associated
with
28
implementing
such
efforts.
29
Sec.
14.
2011
Iowa
Acts,
chapter
129,
section
122,
30
is
amended
by
adding
the
following
new
subsections:
31
NEW
SUBSECTION
.
23.
The
department
shall
implement
32
a
hospital
inpatient
reimbursement
policy
to
provide
33
for
the
combining
of
an
original
claim
for
an
inpatient
34
stay
with
a
claim
for
a
subsequent
inpatient
stay
when
35
the
patient
is
admitted
within
seven
days
of
discharge
36
from
the
original
hospital
stay
for
the
same
condition.
37
NEW
SUBSECTION
.
24.
The
department
shall
38
transition
payment
for
and
administration
of
services
39
provided
by
psychiatric
medical
institutions
for
40
children
to
the
Iowa
plan.
41
MEDICAL
ASSISTANCE
FOR
EMPLOYED
PEOPLE
WITH
42
DISABILITIES
43
Sec.
15.
2011
Iowa
Acts,
chapter
129,
section
122,
44
is
amended
by
adding
the
following
new
subsection:
45
NEW
SUBSECTION
.
25.
The
department
of
human
46
services
shall
adopt
rules
for
the
Medicaid
for
47
employed
people
with
disabilities
program
to
provide
48
that
until
such
time
as
the
department
adopts
49
rules,
annually,
to
implement
the
most
recently
50
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80
revised
poverty
guidelines
published
by
the
United
1
States
department
of
health
and
human
services,
the
2
calculation
of
gross
income
eligibility
and
premium
3
amounts
shall
not
include
any
increase
in
unearned
4
income
attributable
to
a
social
security
cost-of-living
5
adjustment
for
an
individual
or
member
of
the
6
individual’s
family
whose
unearned
income
is
included
7
in
such
calculation.
8
STATE
BALANCING
INCENTIVE
PAYMENTS
PROGRAM
9
Sec.
16.
2011
Iowa
Acts,
chapter
129,
section
122,
10
is
amended
by
adding
the
following
new
subsection:
11
NEW
SUBSECTION
.
27.
The
funds
received
through
12
participation
in
the
medical
assistance
state
balancing
13
incentive
payments
program
created
pursuant
to
section
14
10202
of
the
federal
Patient
Protection
and
Affordable
15
Care
Act
of
2010,
Pub.
L.
No.
111-148
(2010),
as
16
amended
by
the
federal
Health
Care
and
Education
17
Reconciliation
Act
of
2010,
Pub.
L.
No.
111-152,
18
shall
be
used
by
the
department
of
human
services
to
19
comply
with
the
requirements
of
the
program
including
20
developing
a
no
wrong
door
single
entry
point
system;
21
providing
a
conflict-free
case
management
system;
22
providing
core
standardized
assessment
instruments;
23
complying
with
data
collection
requirements
relating
to
24
services,
quality,
and
outcomes;
meeting
the
applicable
25
target
spending
percentage
required
under
the
program
26
to
rebalance
long-term
care
spending
under
the
medical
27
assistance
program
between
home
and
community-based
28
services
and
institution-based
services;
and
for
new
or
29
expanded
medical
assistance
program
non-institutionally
30
based
long-term
care
services
and
supports.
31
Sec.
17.
2011
Iowa
Acts,
chapter
129,
section
123,
32
is
amended
to
read
as
follows:
33
SEC.
123.
MEDICAL
CONTRACTS.
There
is
appropriated
34
from
the
general
fund
of
the
state
to
the
department
of
35
human
services
for
the
fiscal
year
beginning
July
1,
36
2012,
and
ending
June
30,
2013,
the
following
amount,
37
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
38
purpose
designated:
39
For
medical
contracts:
40
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,453,728
41
8,460,680
42
1.
The
department
of
inspections
and
appeals
43
shall
provide
all
state
matching
funds
for
survey
and
44
certification
activities
performed
by
the
department
45
of
inspections
and
appeals.
The
department
of
human
46
services
is
solely
responsible
for
distributing
the
47
federal
matching
funds
for
such
activities.
48
2.
Of
the
funds
appropriated
in
this
section,
49
$25,000
$50,000
shall
be
used
for
continuation
of
home
50
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80
and
community-based
services
waiver
quality
assurance
1
programs,
including
the
review
and
streamlining
of
2
processes
and
policies
related
to
oversight
and
quality
3
management
to
meet
state
and
federal
requirements.
4
3.
Of
the
amount
appropriated
in
this
section,
up
5
to
$200,000
may
be
transferred
to
the
appropriation
for
6
general
administration
in
this
division
of
this
Act
to
7
be
used
for
additional
full-time
equivalent
positions
8
in
the
development
of
key
health
initiatives
such
as
9
cost
containment,
development
and
oversight
of
managed
10
care
programs,
and
development
of
health
strategies
11
targeted
toward
improved
quality
and
reduced
costs
in
12
the
Medicaid
program.
13
Sec.
18.
2011
Iowa
Acts,
chapter
129,
section
124,
14
is
amended
to
read
as
follows:
15
SEC.
124.
STATE
SUPPLEMENTARY
ASSISTANCE.
16
1.
There
is
appropriated
from
the
general
fund
of
17
the
state
to
the
department
of
human
services
for
the
18
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
19
2013,
the
following
amount,
or
so
much
thereof
as
is
20
necessary,
to
be
used
for
the
purpose
designated:
21
For
the
state
supplementary
assistance
program:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,425,373
23
15,450,747
24
2.
The
department
shall
increase
the
personal
needs
25
allowance
for
residents
of
residential
care
facilities
26
by
the
same
percentage
and
at
the
same
time
as
federal
27
supplemental
security
income
and
federal
social
28
security
benefits
are
increased
due
to
a
recognized
29
increase
in
the
cost
of
living.
The
department
may
30
adopt
emergency
rules
to
implement
this
subsection.
31
3.
If
during
the
fiscal
year
beginning
July
1,
32
2012,
the
department
projects
that
state
supplementary
33
assistance
expenditures
for
a
calendar
year
will
not
34
meet
the
federal
pass-through
requirement
specified
35
in
Tit.
XVI
of
the
federal
Social
Security
Act,
36
section
1618,
as
codified
in
42
U.S.C.
§
1382g,
37
the
department
may
take
actions
including
but
not
38
limited
to
increasing
the
personal
needs
allowance
39
for
residential
care
facility
residents
and
making
40
programmatic
adjustments
or
upward
adjustments
of
the
41
residential
care
facility
or
in-home
health-related
42
care
reimbursement
rates
prescribed
in
this
division
of
43
this
Act
to
ensure
that
federal
requirements
are
met.
44
In
addition,
the
department
may
make
other
programmatic
45
and
rate
adjustments
necessary
to
remain
within
the
46
amount
appropriated
in
this
section
while
ensuring
47
compliance
with
federal
requirements.
The
department
48
may
adopt
emergency
rules
to
implement
the
provisions
49
of
this
subsection.
50
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29/
80
Sec.
19.
2011
Iowa
Acts,
chapter
129,
section
125,
1
is
amended
to
read
as
follows:
2
SEC.
125.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
3
1.
There
is
appropriated
from
the
general
fund
of
4
the
state
to
the
department
of
human
services
for
the
5
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
6
2013,
the
following
amount,
or
so
much
thereof
as
is
7
necessary,
to
be
used
for
the
purpose
designated:
8
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
9
(hawk-i)
program
pursuant
to
chapter
514I
,
including
10
supplemental
dental
services,
for
receipt
of
federal
11
financial
participation
under
Tit.
XXI
of
the
federal
12
Social
Security
Act,
which
creates
the
children’s
13
health
insurance
program:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,403,051
15
40,400,160
16
2.
Of
the
funds
appropriated
in
this
section,
17
$64,475
$141,450
is
allocated
for
continuation
of
the
18
contract
for
outreach
with
the
department
of
public
19
health.
20
Sec.
20.
2011
Iowa
Acts,
chapter
129,
section
126,
21
is
amended
to
read
as
follows:
22
SEC.
126.
CHILD
CARE
ASSISTANCE.
There
is
23
appropriated
from
the
general
fund
of
the
state
to
24
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
26
following
amount,
or
so
much
thereof
as
is
necessary,
27
to
be
used
for
the
purpose
designated:
28
For
child
care
programs:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
26,618,831
30
61,087,940
31
1.
Of
the
funds
appropriated
in
this
section,
32
$25,948,041
$59,718,513
shall
be
used
for
state
child
33
care
assistance
in
accordance
with
section
237A.13
.
34
2.
Nothing
in
this
section
shall
be
construed
or
35
is
intended
as
or
shall
imply
a
grant
of
entitlement
36
for
services
to
persons
who
are
eligible
for
assistance
37
due
to
an
income
level
consistent
with
the
waiting
38
list
requirements
of
section
237A.13
.
Any
state
39
obligation
to
provide
services
pursuant
to
this
section
40
is
limited
to
the
extent
of
the
funds
appropriated
in
41
this
section.
42
3.
Of
the
funds
appropriated
in
this
section,
43
$216,226
$432,453
is
allocated
for
the
statewide
44
program
for
child
care
resource
and
referral
services
45
under
section
237A.26
.
A
list
of
the
registered
and
46
licensed
child
care
facilities
operating
in
the
area
47
served
by
a
child
care
resource
and
referral
service
48
shall
be
made
available
to
the
families
receiving
state
49
child
care
assistance
in
that
area.
50
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80
4.
Of
the
funds
appropriated
in
this
section,
1
$468,487
$936,974
is
allocated
for
child
care
quality
2
improvement
initiatives
including
but
not
limited
to
3
the
voluntary
quality
rating
system
in
accordance
with
4
section
237A.30
.
5
5.
The
department
may
use
any
of
the
funds
6
appropriated
in
this
section
as
a
match
to
obtain
7
federal
funds
for
use
in
expanding
child
care
8
assistance
and
related
programs.
For
the
purpose
of
9
expenditures
of
state
and
federal
child
care
funding,
10
funds
shall
be
considered
obligated
at
the
time
11
expenditures
are
projected
or
are
allocated
to
the
12
department’s
service
areas.
Projections
shall
be
based
13
on
current
and
projected
caseload
growth,
current
and
14
projected
provider
rates,
staffing
requirements
for
15
eligibility
determination
and
management
of
program
16
requirements
including
data
systems
management,
17
staffing
requirements
for
administration
of
the
18
program,
contractual
and
grant
obligations
and
any
19
transfers
to
other
state
agencies,
and
obligations
for
20
decategorization
or
innovation
projects.
21
6.
A
portion
of
the
state
match
for
the
federal
22
child
care
and
development
block
grant
shall
be
23
provided
as
necessary
to
meet
federal
matching
24
funds
requirements
through
the
state
general
fund
25
appropriation
made
for
child
development
grants
and
26
other
programs
for
at-risk
children
in
section
279.51
.
27
7.
If
a
uniform
reduction
ordered
by
the
governor
28
under
section
8.31
or
other
operation
of
law,
29
transfer,
or
federal
funding
reduction
reduces
the
30
appropriation
made
in
this
section
for
the
fiscal
year,
31
the
percentage
reduction
in
the
amount
paid
out
to
or
32
on
behalf
of
the
families
participating
in
the
state
33
child
care
assistance
program
shall
be
equal
to
or
34
less
than
the
percentage
reduction
made
for
any
other
35
purpose
payable
from
the
appropriation
made
in
this
36
section
and
the
federal
funding
relating
to
it.
The
37
percentage
reduction
to
the
other
allocations
made
in
38
this
section
shall
be
the
same
as
the
uniform
reduction
39
ordered
by
the
governor
or
the
percentage
change
of
the
40
federal
funding
reduction,
as
applicable.
If
there
is
41
an
unanticipated
increase
in
federal
funding
provided
42
for
state
child
care
assistance,
the
entire
amount
43
of
the
increase
shall
be
used
for
state
child
care
44
assistance
payments.
If
the
appropriations
made
for
45
purposes
of
the
state
child
care
assistance
program
for
46
the
fiscal
year
are
determined
to
be
insufficient,
it
47
is
the
intent
of
the
general
assembly
to
appropriate
48
sufficient
funding
for
the
fiscal
year
in
order
to
49
avoid
establishment
of
waiting
list
requirements.
50
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80
8.
Notwithstanding
section
8.33
,
moneys
1
appropriated
in
this
section
or
advanced
for
purposes
2
of
the
programs
developed
by
early
childhood
Iowa
3
areas,
advanced
for
purposes
of
wraparound
child
care,
4
or
received
from
the
federal
appropriations
made
for
5
the
purposes
of
this
section
that
remain
unencumbered
6
or
unobligated
at
the
close
of
the
fiscal
year
shall
7
not
revert
to
any
fund
but
shall
remain
available
for
8
expenditure
for
the
purposes
designated
until
the
close
9
of
the
succeeding
fiscal
year.
10
Sec.
21.
2011
Iowa
Acts,
chapter
129,
section
127,
11
is
amended
to
read
as
follows:
12
SEC.
127.
JUVENILE
INSTITUTIONS.
There
is
13
appropriated
from
the
general
fund
of
the
state
to
14
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
16
following
amounts,
or
so
much
thereof
as
is
necessary,
17
to
be
used
for
the
purposes
designated:
18
1.
For
operation
of
the
Iowa
juvenile
home
at
19
Toledo
and
for
salaries,
support,
maintenance,
and
20
miscellaneous
purposes,
and
for
not
more
than
the
21
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,129,125
23
8,328,264
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
25
2.
For
operation
of
the
state
training
school
at
26
Eldora
and
for
salaries,
support,
maintenance,
and
27
miscellaneous
purposes,
and
for
not
more
than
the
28
following
full-time
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,319,338
30
10,740,988
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
32
Of
the
funds
appropriated
in
this
subsection,
33
$45,575
$91,150
shall
be
used
for
distribution
34
to
licensed
classroom
teachers
at
this
and
other
35
institutions
under
the
control
of
the
department
of
36
human
services
based
upon
the
average
student
yearly
37
enrollment
at
each
institution
as
determined
by
the
38
department.
39
3.
A
portion
of
the
moneys
appropriated
in
this
40
section
shall
be
used
by
the
state
training
school
and
41
by
the
Iowa
juvenile
home
for
grants
for
adolescent
42
pregnancy
prevention
activities
at
the
institutions
in
43
the
fiscal
year
beginning
July
1,
2012.
44
Sec.
22.
2011
Iowa
Acts,
chapter
129,
section
128,
45
is
amended
to
read
as
follows:
46
SEC.
128.
CHILD
AND
FAMILY
SERVICES.
47
1.
There
is
appropriated
from
the
general
fund
of
48
the
state
to
the
department
of
human
services
for
the
49
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
50
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80
2013,
the
following
amount,
or
so
much
thereof
as
is
1
necessary,
to
be
used
for
the
purpose
designated:
2
For
child
and
family
services:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,415,081
4
83,669,130
5
2.
In
order
to
address
a
reduction
of
$5,200,000
6
from
the
amount
allocated
under
the
appropriation
made
7
for
the
purposes
of
this
section
in
prior
years
for
8
purposes
of
juvenile
delinquent
graduated
sanction
9
services,
up
to
$2,600,000
$5,200,000
of
the
amount
of
10
federal
temporary
assistance
for
needy
families
block
11
grant
funding
appropriated
in
this
division
of
this
Act
12
for
child
and
family
services
shall
be
made
available
13
for
purposes
of
juvenile
delinquent
graduated
sanction
14
services.
15
3.
The
department
may
transfer
funds
appropriated
16
in
this
section
as
necessary
to
pay
the
nonfederal
17
costs
of
services
reimbursed
under
the
medical
18
assistance
program,
state
child
care
assistance
19
program,
or
the
family
investment
program
which
are
20
provided
to
children
who
would
otherwise
receive
21
services
paid
under
the
appropriation
in
this
section.
22
The
department
may
transfer
funds
appropriated
in
this
23
section
to
the
appropriations
made
in
this
division
24
of
this
Act
for
general
administration
and
for
field
25
operations
for
resources
necessary
to
implement
and
26
operate
the
services
funded
in
this
section.
The
27
department
may
transfer
funds
appropriated
in
this
28
section
to
the
appropriation
made
in
this
division
of
29
this
Act
for
adoption
subsidy
to
support
the
adjustment
30
in
reimbursement
rates
for
specified
child
welfare
31
providers
as
provided
in
this
2012
Act.
32
4.
a.
Of
the
funds
appropriated
in
this
section,
33
up
to
$15,084,564
$31,438,622
is
allocated
as
the
34
statewide
expenditure
target
under
section
232.143
35
for
group
foster
care
maintenance
and
services.
If
36
the
department
projects
that
such
expenditures
for
37
the
fiscal
year
will
be
less
than
the
target
amount
38
allocated
in
this
lettered
paragraph,
the
department
39
may
reallocate
the
excess
to
provide
additional
40
funding
for
shelter
care
or
the
child
welfare
emergency
41
services
addressed
with
the
allocation
for
shelter
42
care.
43
b.
If
at
any
time
after
September
30,
2012,
44
annualization
of
a
service
area’s
current
expenditures
45
indicates
a
service
area
is
at
risk
of
exceeding
its
46
group
foster
care
expenditure
target
under
section
47
232.143
by
more
than
5
percent,
the
department
and
48
juvenile
court
services
shall
examine
all
group
49
foster
care
placements
in
that
service
area
in
order
50
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80
to
identify
those
which
might
be
appropriate
for
1
termination.
In
addition,
any
aftercare
services
2
believed
to
be
needed
for
the
children
whose
3
placements
may
be
terminated
shall
be
identified.
The
4
department
and
juvenile
court
services
shall
initiate
5
action
to
set
dispositional
review
hearings
for
the
6
placements
identified.
In
such
a
dispositional
review
7
hearing,
the
juvenile
court
shall
determine
whether
8
needed
aftercare
services
are
available
and
whether
9
termination
of
the
placement
is
in
the
best
interest
of
10
the
child
and
the
community.
11
5.
In
accordance
with
the
provisions
of
section
12
232.188
,
the
department
shall
continue
the
child
13
welfare
and
juvenile
justice
funding
initiative
during
14
fiscal
year
2012-2013.
Of
the
funds
appropriated
15
in
this
section,
$858,876
$1,717,753
is
allocated
16
specifically
for
expenditure
for
fiscal
year
2012-2013
17
through
the
decategorization
service
funding
pools
18
and
governance
boards
established
pursuant
to
section
19
232.188
.
20
6.
A
portion
of
the
funds
appropriated
in
this
21
section
may
be
used
for
emergency
family
assistance
22
to
provide
other
resources
required
for
a
family
23
participating
in
a
family
preservation
or
reunification
24
project
or
successor
project
to
stay
together
or
to
be
25
reunified.
26
7.
Notwithstanding
section
234.35
or
any
other
27
provision
of
law
to
the
contrary,
state
funding
for
28
shelter
care
and
the
child
welfare
emergency
services
29
contracting
implemented
to
provide
for
or
prevent
the
30
need
for
shelter
care
shall
be
limited
to
$3,585,058
31
$7,385,639
.
The
department
may
continue
or
execute
32
contracts
that
result
from
the
department’s
request
for
33
proposal,
bid
number
ACFS-11-114,
to
provide
the
range
34
of
child
welfare
emergency
services
described
in
the
35
request
for
proposals,
and
any
subsequent
amendments
to
36
the
request
for
proposals.
37
8.
Federal
funds
received
by
the
state
during
38
the
fiscal
year
beginning
July
1,
2012,
as
the
39
result
of
the
expenditure
of
state
funds
appropriated
40
during
a
previous
state
fiscal
year
for
a
service
or
41
activity
funded
under
this
section
are
appropriated
42
to
the
department
to
be
used
as
additional
funding
43
for
services
and
purposes
provided
for
under
this
44
section.
Notwithstanding
section
8.33
,
moneys
45
received
in
accordance
with
this
subsection
that
remain
46
unencumbered
or
unobligated
at
the
close
of
the
fiscal
47
year
shall
not
revert
to
any
fund
but
shall
remain
48
available
for
the
purposes
designated
until
the
close
49
of
the
succeeding
fiscal
year.
50
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80
9.
Of
the
funds
appropriated
in
this
section,
at
1
least
$1,848,142
shall
be
used
for
protective
child
2
care
assistance.
3
10.
a.
Of
the
funds
appropriated
in
this
section,
4
up
to
$1,031,244
$2,062,488
is
allocated
for
the
5
payment
of
the
expenses
of
court-ordered
services
6
provided
to
juveniles
who
are
under
the
supervision
of
7
juvenile
court
services,
which
expenses
are
a
charge
8
upon
the
state
pursuant
to
section
232.141,
subsection
9
4
.
Of
the
amount
allocated
in
this
lettered
paragraph,
10
up
to
$778,143
$1,556,287
shall
be
made
available
11
to
provide
school-based
supervision
of
children
12
adjudicated
under
chapter
232
,
of
which
not
more
than
13
$7,500
$15,000
may
be
used
for
the
purpose
of
training.
14
A
portion
of
the
cost
of
each
school-based
liaison
15
officer
shall
be
paid
by
the
school
district
or
other
16
funding
source
as
approved
by
the
chief
juvenile
court
17
officer.
18
b.
Of
the
funds
appropriated
in
this
section,
up
to
19
$374,492
$748,985
is
allocated
for
the
payment
of
the
20
expenses
of
court-ordered
services
provided
to
children
21
who
are
under
the
supervision
of
the
department,
22
which
expenses
are
a
charge
upon
the
state
pursuant
to
23
section
232.141,
subsection
4
.
24
c.
Notwithstanding
section
232.141
or
any
other
25
provision
of
law
to
the
contrary,
the
amounts
allocated
26
in
this
subsection
shall
be
distributed
to
the
27
judicial
districts
as
determined
by
the
state
court
28
administrator
and
to
the
department’s
service
areas
as
29
determined
by
the
administrator
of
the
department’s
30
division
of
child
and
family
services.
The
state
court
31
administrator
and
the
division
administrator
shall
make
32
the
determination
of
the
distribution
amounts
on
or
33
before
June
15,
2012.
34
d.
Notwithstanding
chapter
232
or
any
other
35
provision
of
law
to
the
contrary,
a
district
or
36
juvenile
court
shall
not
order
any
service
which
is
37
a
charge
upon
the
state
pursuant
to
section
232.141
38
if
there
are
insufficient
court-ordered
services
39
funds
available
in
the
district
court
or
departmental
40
service
area
distribution
amounts
to
pay
for
the
41
service.
The
chief
juvenile
court
officer
and
the
42
departmental
service
area
manager
shall
encourage
use
43
of
the
funds
allocated
in
this
subsection
such
that
44
there
are
sufficient
funds
to
pay
for
all
court-related
45
services
during
the
entire
year.
The
chief
juvenile
46
court
officers
and
departmental
service
area
managers
47
shall
attempt
to
anticipate
potential
surpluses
and
48
shortfalls
in
the
distribution
amounts
and
shall
49
cooperatively
request
the
state
court
administrator
50
-35-
S5221.5979
(3)
84
pf/jp
35/
80
or
division
administrator
to
transfer
funds
between
1
the
judicial
districts’
or
departmental
service
areas’
2
distribution
amounts
as
prudent.
3
e.
Notwithstanding
any
provision
of
law
to
the
4
contrary,
a
district
or
juvenile
court
shall
not
order
5
a
county
to
pay
for
any
service
provided
to
a
juvenile
6
pursuant
to
an
order
entered
under
chapter
232
which
7
is
a
charge
upon
the
state
under
section
232.141,
8
subsection
4
.
9
f.
Of
the
funds
allocated
in
this
subsection,
not
10
more
than
$41,500
$83,000
may
be
used
by
the
judicial
11
branch
for
administration
of
the
requirements
under
12
this
subsection.
13
g.
Of
the
funds
allocated
in
this
subsection,
14
$8,500
$17,000
shall
be
used
by
the
department
of
human
15
services
to
support
the
interstate
commission
for
16
juveniles
in
accordance
with
the
interstate
compact
for
17
juveniles
as
provided
in
section
232.173
.
18
11.
Of
the
funds
appropriated
in
this
section,
19
$2,961,301
$6,222,602
is
allocated
for
juvenile
20
delinquent
graduated
sanctions
services.
Any
state
21
funds
saved
as
a
result
of
efforts
by
juvenile
court
22
services
to
earn
federal
Tit.
IV-E
match
for
juvenile
23
court
services
administration
may
be
used
for
the
24
juvenile
delinquent
graduated
sanctions
services.
25
12.
Of
the
funds
appropriated
in
this
section,
26
$494,142
$2,238,285
shall
be
transferred
to
the
27
department
of
public
health
to
be
used
for
the
child
28
protection
center
grant
program
in
accordance
with
29
section
135.118
.
Of
the
amount
allocated
in
this
30
subsection,
$250,000
shall
be
used
for
a
center
for
the
31
Black
Hawk
county
area.
32
13.
If
the
department
receives
federal
approval
33
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
34
Social
Security
Act
to
enable
providers
to
serve
35
children
who
remain
in
the
children’s
families
and
36
communities,
for
purposes
of
eligibility
under
the
37
medical
assistance
program,
children
who
participate
in
38
the
waiver
shall
be
considered
to
be
placed
in
foster
39
care.
40
14.
Of
the
funds
appropriated
in
this
section,
41
$1,534,916
$3,092,375
is
allocated
for
the
preparation
42
for
adult
living
program
pursuant
to
section
234.46
.
43
15.
Of
the
funds
appropriated
in
this
section,
44
$260,075
$520,150
shall
be
used
for
juvenile
drug
45
courts.
The
amount
allocated
in
this
subsection
shall
46
be
distributed
as
follows:
47
To
the
judicial
branch
for
salaries
to
assist
with
48
the
operation
of
juvenile
drug
court
programs
operated
49
in
the
following
jurisdictions:
50
-36-
S5221.5979
(3)
84
pf/jp
36/
80
a.
Marshall
county:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
2
62,708
3
b.
Woodbury
county:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
5
125,682
6
c.
Polk
county:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
8
195,892
9
d.
The
third
judicial
district:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
11
67,934
12
e.
The
eighth
judicial
district:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
14
67,934
15
16.
Of
the
funds
appropriated
in
this
section,
16
$113,668
$227,337
shall
be
used
for
the
public
purpose
17
of
providing
continuing
a
grant
to
a
nonprofit
human
18
services
organization
providing
services
to
individuals
19
and
families
in
multiple
locations
in
southwest
20
Iowa
and
Nebraska
for
support
of
a
project
providing
21
immediate,
sensitive
support
and
forensic
interviews,
22
medical
exams,
needs
assessments,
and
referrals
for
23
victims
of
child
abuse
and
their
nonoffending
family
24
members.
25
17.
Of
the
funds
appropriated
in
this
section,
26
$62,795
$200,590
is
allocated
for
the
elevate
foster
27
care
youth
council
approach
of
providing
a
support
28
network
to
children
placed
in
foster
care.
29
18.
Of
the
funds
appropriated
in
this
section,
30
$101,000
$202,000
is
allocated
for
use
pursuant
to
31
section
235A.1
for
continuation
of
the
initiative
to
32
address
child
sexual
abuse
implemented
pursuant
to
2007
33
Iowa
Acts,
chapter
218,
section
18,
subsection
21.
34
19.
Of
the
funds
appropriated
in
this
section,
35
$315,120
$630,240
is
allocated
for
the
community
36
partnership
for
child
protection
sites.
37
20.
Of
the
funds
appropriated
in
this
section,
38
$185,625
$371,250
is
allocated
for
the
department’s
39
minority
youth
and
family
projects
under
the
redesign
40
of
the
child
welfare
system.
41
21.
Of
the
funds
appropriated
in
this
section,
42
$600,247
$1,436,595
is
allocated
for
funding
of
the
43
state
match
for
community
circle
of
care
collaboration
44
for
children
and
youth
in
northeast
Iowa,
formerly
45
referred
to
as
the
federal
substance
abuse
and
mental
46
health
services
administration
(SAMHSA)
system
of
care
47
grant.
48
22.
Of
the
funds
appropriated
in
this
section,
at
49
least
$73,579
$147,158
shall
be
used
for
the
child
50
-37-
S5221.5979
(3)
84
pf/jp
37/
80
welfare
training
academy.
1
23.
Of
the
funds
appropriated
in
this
section,
2
$12,500
$25,000
shall
be
used
for
the
public
purpose
3
of
continuation
of
a
grant
to
a
child
welfare
services
4
provider
headquartered
in
a
county
with
a
population
5
between
205,000
and
215,000
in
the
latest
certified
6
federal
census
that
provides
multiple
services
7
including
but
not
limited
to
a
psychiatric
medical
8
institution
for
children,
shelter,
residential
9
treatment,
after
school
programs,
school-based
10
programming,
and
an
Asperger’s
syndrome
program,
to
11
be
used
for
support
services
for
children
with
autism
12
spectrum
disorder
and
their
families.
13
23A.
Of
the
funds
appropriated
in
this
section,
14
$25,000
shall
be
used
for
the
public
purpose
of
15
providing
a
grant
to
a
hospital-based
provider
16
headquartered
in
a
county
with
a
population
between
17
90,000
and
95,000
in
the
latest
certified
federal
18
census
that
provides
multiple
services
including
but
19
not
limited
to
diagnostic,
therapeutic,
and
behavioral
20
services
to
individuals
with
autism
spectrum
disorder
21
across
the
lifespan.
The
grant
recipient
shall
utilize
22
the
funds
to
implement
a
pilot
project
to
determine
the
23
necessary
support
services
for
children
with
autism
24
spectrum
disorder
and
their
families
to
be
included
in
25
the
children’s
disabilities
services
system.
The
grant
26
recipient
shall
submit
findings
and
recommendations
27
based
upon
the
results
of
the
pilot
project
to
the
28
individuals
specified
in
this
division
of
this
Act
for
29
submission
of
reports
by
December
31,
2012.
30
24.
Of
the
funds
appropriated
in
this
section
31
$125,000
$327,947
shall
be
used
for
continuation
of
the
32
central
Iowa
system
of
care
program
grant
through
June
33
30,
2013.
34
25.
Of
the
funds
appropriated
in
this
section,
35
$80,000
$160,000
shall
be
used
for
the
public
36
purpose
of
the
continuation
of
a
system
of
care
37
grant
implemented
in
Cerro
Gordo
and
Linn
counties
in
38
accordance
with
this
Act
in
FY
2011-2012.
39
Sec.
23.
2011
Iowa
Acts,
chapter
129,
section
129,
40
is
amended
to
read
as
follows:
41
SEC.
129.
ADOPTION
SUBSIDY.
42
1.
There
is
appropriated
from
the
general
fund
of
43
the
state
to
the
department
of
human
services
for
the
44
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
45
2013,
the
following
amount,
or
so
much
thereof
as
is
46
necessary,
to
be
used
for
the
purpose
designated:
47
For
adoption
subsidy
payments
and
services:
48
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,633,295
49
33,238,897
50
-38-
S5221.5979
(3)
84
pf/jp
38/
80
2.
The
department
may
transfer
funds
appropriated
1
in
this
section
to
the
appropriation
made
in
this
2
division
of
this
Act
for
general
administration
3
for
costs
paid
from
the
appropriation
relating
to
4
adoption
subsidy.
The
department
may
transfer
funds
5
appropriated
in
this
section
to
the
appropriation
6
made
in
this
division
of
this
Act
for
child
and
family
7
services
to
support
the
adjustment
in
reimbursement
8
rates
for
specified
child
welfare
providers
as
provided
9
in
this
2012
Act.
10
3.
Federal
funds
received
by
the
state
during
the
11
fiscal
year
beginning
July
1,
2012,
as
the
result
of
12
the
expenditure
of
state
funds
during
a
previous
state
13
fiscal
year
for
a
service
or
activity
funded
under
14
this
section
are
appropriated
to
the
department
to
15
be
used
as
additional
funding
for
the
services
and
16
activities
funded
under
this
section.
Notwithstanding
17
section
8.33
,
moneys
received
in
accordance
with
this
18
subsection
that
remain
unencumbered
or
unobligated
at
19
the
close
of
the
fiscal
year
shall
not
revert
to
any
20
fund
but
shall
remain
available
for
expenditure
for
the
21
purposes
designated
until
the
close
of
the
succeeding
22
fiscal
year.
23
Sec.
24.
2011
Iowa
Acts,
chapter
129,
section
131,
24
is
amended
to
read
as
follows:
25
SEC.
131.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
26
1.
There
is
appropriated
from
the
general
fund
of
27
the
state
to
the
department
of
human
services
for
the
28
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
29
2013,
the
following
amount,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purpose
designated:
31
For
the
family
support
subsidy
program
subject
32
to
the
enrollment
restrictions
in
section
225C.37,
33
subsection
3
:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
583,999
35
1,096,784
36
2.
The
department
shall
use
at
least
$192,750
37
$385,500
of
the
moneys
appropriated
in
this
section
38
for
the
family
support
center
component
of
the
39
comprehensive
family
support
program
under
section
40
225C.47
.
Not
more
than
$12,500
$25,000
of
the
41
amount
allocated
in
this
subsection
shall
be
used
for
42
administrative
costs.
43
3.
If
at
any
time
during
the
fiscal
year,
the
44
amount
of
funding
available
for
the
family
support
45
subsidy
program
is
reduced
from
the
amount
initially
46
used
to
establish
the
figure
for
the
number
of
family
47
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
48
time
during
the
fiscal
year,
notwithstanding
section
49
225C.38,
subsection
2
,
the
department
shall
revise
the
50
-39-
S5221.5979
(3)
84
pf/jp
39/
80
figure
as
necessary
to
conform
to
the
amount
of
funding
1
available.
2
Sec.
25.
2011
Iowa
Acts,
chapter
129,
section
132,
3
is
amended
to
read
as
follows:
4
SEC.
132.
CONNER
DECREE.
There
is
appropriated
5
from
the
general
fund
of
the
state
to
the
department
of
6
human
services
for
the
fiscal
year
beginning
July
1,
7
2012,
and
ending
June
30,
2013,
the
following
amount,
8
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
9
purpose
designated:
10
For
building
community
capacity
through
the
11
coordination
and
provision
of
training
opportunities
12
in
accordance
with
the
consent
decree
of
Conner
v.
13
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
15
33,622
16
Sec.
26.
2011
Iowa
Acts,
chapter
129,
section
133,
17
is
amended
to
read
as
follows:
18
SEC.
133.
MENTAL
HEALTH
INSTITUTES.
There
is
19
appropriated
from
the
general
fund
of
the
state
to
20
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
22
following
amounts,
or
so
much
thereof
as
is
necessary,
23
to
be
used
for
the
purposes
designated:
24
1.
For
the
state
mental
health
institute
at
25
Cherokee
for
salaries,
support,
maintenance,
and
26
miscellaneous
purposes,
and
for
not
more
than
the
27
following
full-time
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,938,654
29
5,641,037
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
31
2.
For
the
state
mental
health
institute
at
32
Clarinda
for
salaries,
support,
maintenance,
and
33
miscellaneous
purposes,
and
for
not
more
than
the
34
following
full-time
equivalent
positions:
35
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,205,867
36
6,463,337
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
38
3.
For
the
state
mental
health
institute
at
39
Independence
for
salaries,
support,
maintenance,
and
40
miscellaneous
purposes,
and
for
not
more
than
the
41
following
full-time
equivalent
positions:
42
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,137,842
43
9,804,212
44
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
45
4.
For
the
state
mental
health
institute
at
Mount
46
Pleasant
for
salaries,
support,
maintenance,
and
47
miscellaneous
purposes,
and
for
not
more
than
the
48
following
full-time
equivalent
positions:
49
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
472,161
50
-40-
S5221.5979
(3)
84
pf/jp
40/
80
944,323
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.72
2
Sec.
27.
2011
Iowa
Acts,
chapter
129,
section
134,
3
is
amended
to
read
as
follows:
4
SEC.
134.
STATE
RESOURCE
CENTERS.
5
1.
There
is
appropriated
from
the
general
fund
of
6
the
state
to
the
department
of
human
services
for
the
7
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
8
2013,
the
following
amounts,
or
so
much
thereof
as
is
9
necessary,
to
be
used
for
the
purposes
designated:
10
a.
For
the
state
resource
center
at
Glenwood
for
11
salaries,
support,
maintenance,
and
miscellaneous
12
purposes:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,253,900
14
19,092,576
15
b.
For
the
state
resource
center
at
Woodward
for
16
salaries,
support,
maintenance,
and
miscellaneous
17
purposes:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,392,829
19
13,176,093
20
2.
The
department
may
continue
to
bill
for
state
21
resource
center
services
utilizing
a
scope
of
services
22
approach
used
for
private
providers
of
ICFMR
services,
23
in
a
manner
which
does
not
shift
costs
between
the
24
medical
assistance
program,
counties,
or
other
sources
25
of
funding
for
the
state
resource
centers.
26
3.
The
state
resource
centers
may
expand
the
27
time-limited
assessment
and
respite
services
during
the
28
fiscal
year.
29
4.
If
the
department’s
administration
and
the
30
department
of
management
concur
with
a
finding
by
a
31
state
resource
center’s
superintendent
that
projected
32
revenues
can
reasonably
be
expected
to
pay
the
salary
33
and
support
costs
for
a
new
employee
position,
or
34
that
such
costs
for
adding
a
particular
number
of
new
35
positions
for
the
fiscal
year
would
be
less
than
the
36
overtime
costs
if
new
positions
would
not
be
added,
the
37
superintendent
may
add
the
new
position
or
positions.
38
If
the
vacant
positions
available
to
a
resource
center
39
do
not
include
the
position
classification
desired
to
40
be
filled,
the
state
resource
center’s
superintendent
41
may
reclassify
any
vacant
position
as
necessary
to
42
fill
the
desired
position.
The
superintendents
of
the
43
state
resource
centers
may,
by
mutual
agreement,
pool
44
vacant
positions
and
position
classifications
during
45
the
course
of
the
fiscal
year
in
order
to
assist
one
46
another
in
filling
necessary
positions.
47
5.
If
existing
capacity
limitations
are
reached
48
in
operating
units,
a
waiting
list
is
in
effect
49
for
a
service
or
a
special
need
for
which
a
payment
50
-41-
S5221.5979
(3)
84
pf/jp
41/
80
source
or
other
funding
is
available
for
the
service
1
or
to
address
the
special
need,
and
facilities
for
2
the
service
or
to
address
the
special
need
can
be
3
provided
within
the
available
payment
source
or
other
4
funding,
the
superintendent
of
a
state
resource
center
5
may
authorize
opening
not
more
than
two
units
or
6
other
facilities
and
begin
implementing
the
service
7
or
addressing
the
special
need
during
fiscal
year
8
2012-2013.
9
Sec.
28.
2011
Iowa
Acts,
chapter
129,
section
135,
10
is
amended
to
read
as
follows:
11
SEC.
135.
MI/MR/DD
STATE
CASES.
12
1.
There
is
appropriated
from
the
general
fund
of
13
the
state
to
the
department
of
human
services
for
the
14
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
15
2013,
the
following
amount,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purpose
designated:
17
For
distribution
to
counties
for
state
case
services
18
for
persons
with
mental
illness,
mental
retardation,
19
and
developmental
disabilities
in
accordance
with
20
section
331.440
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,084,741
22
12,169,482
23
2.
For
the
fiscal
year
beginning
July
1,
2012,
and
24
ending
June
30,
2013,
$100,000
$200,000
is
allocated
25
for
state
case
services
from
the
amounts
appropriated
26
from
the
fund
created
in
section
8.41
to
the
department
27
of
human
services
from
the
funds
received
from
the
28
federal
government
under
42
U.S.C.
ch.
6A,
subch.
XVII,
29
relating
to
the
community
mental
health
center
block
30
grant,
for
the
federal
fiscal
years
beginning
October
31
1,
2010,
and
ending
September
30,
2011,
beginning
32
October
1,
2011,
and
ending
September
30,
2012,
and
33
beginning
October
1,
2012,
and
ending
September
30,
34
2013.
The
allocation
made
in
this
subsection
shall
be
35
made
prior
to
any
other
distribution
allocation
of
the
36
appropriated
federal
funds.
37
3.
Notwithstanding
section
8.33
,
moneys
38
appropriated
in
this
section
that
remain
unencumbered
39
or
unobligated
at
the
close
of
the
fiscal
year
shall
40
not
revert
but
shall
remain
available
for
expenditure
41
for
the
purposes
designated
until
the
close
of
the
42
succeeding
fiscal
year.
43
Sec.
29.
2011
Iowa
Acts,
chapter
129,
section
137,
44
is
amended
to
read
as
follows:
45
SEC.
137.
SEXUALLY
VIOLENT
PREDATORS.
46
1.
There
is
appropriated
from
the
general
fund
of
47
the
state
to
the
department
of
human
services
for
the
48
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
49
2013,
the
following
amount,
or
so
much
thereof
as
is
50
-42-
S5221.5979
(3)
84
pf/jp
42/
80
necessary,
to
be
used
for
the
purpose
designated:
1
For
costs
associated
with
the
commitment
and
2
treatment
of
sexually
violent
predators
in
the
unit
3
located
at
the
state
mental
health
institute
at
4
Cherokee,
including
costs
of
legal
services
and
5
other
associated
costs,
including
salaries,
support,
6
maintenance,
and
miscellaneous
purposes,
and
for
not
7
more
than
the
following
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,775,363
9
9,113,668
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
11
115.50
12
2.
Unless
specifically
prohibited
by
law,
if
the
13
amount
charged
provides
for
recoupment
of
at
least
14
the
entire
amount
of
direct
and
indirect
costs,
the
15
department
of
human
services
may
contract
with
other
16
states
to
provide
care
and
treatment
of
persons
placed
17
by
the
other
states
at
the
unit
for
sexually
violent
18
predators
at
Cherokee.
The
moneys
received
under
such
19
a
contract
shall
be
considered
to
be
repayment
receipts
20
and
used
for
the
purposes
of
the
appropriation
made
in
21
this
section.
22
Sec.
30.
2011
Iowa
Acts,
chapter
129,
section
138,
23
is
amended
to
read
as
follows:
24
SEC.
138.
FIELD
OPERATIONS.
There
is
appropriated
25
from
the
general
fund
of
the
state
to
the
department
of
26
human
services
for
the
fiscal
year
beginning
July
1,
27
2012,
and
ending
June
30,
2013,
the
following
amount,
28
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purposes
designated:
30
For
field
operations,
including
salaries,
support,
31
maintenance,
and
miscellaneous
purposes,
and
for
not
32
more
than
the
following
full-time
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,394,960
34
61,915,440
35
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
36
Priority
in
filling
full-time
equivalent
positions
37
shall
be
given
to
those
positions
related
to
child
38
protection
services
and
eligibility
determination
for
39
low-income
families.
40
Notwithstanding
section
8.33,
moneys
appropriated
in
41
this
section
that
remain
unencumbered
or
unobligated
42
at
the
close
of
the
fiscal
year
shall
not
revert
but
43
shall
remain
available
for
expenditure
for
the
purposes
44
designated
until
the
close
of
the
succeeding
fiscal
45
year.
46
Sec.
31.
2011
Iowa
Acts,
chapter
129,
section
139,
47
is
amended
to
read
as
follows:
48
SEC.
139.
GENERAL
ADMINISTRATION.
There
is
49
appropriated
from
the
general
fund
of
the
state
to
50
-43-
S5221.5979
(3)
84
pf/jp
43/
80
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
2
following
amount,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purpose
designated:
4
For
general
administration,
including
salaries,
5
support,
maintenance,
and
miscellaneous
purposes,
and
6
for
not
more
than
the
following
full-time
equivalent
7
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,298,372
9
15,841,874
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
285.00
295.00
11
1.
Of
the
funds
appropriated
in
this
section,
12
$19,271
$38,543
allocated
for
the
prevention
of
13
disabilities
policy
council
established
in
section
14
225B.3
.
15
2.
The
department
shall
report
at
least
monthly
16
to
the
legislative
services
agency
concerning
the
17
department’s
operational
and
program
expenditures.
18
3.
Of
the
funds
appropriated
in
this
section,
19
$66,150
$132,300
shall
be
used
to
continue
the
contract
20
for
the
provision
of
a
program
to
provide
technical
21
assistance,
support,
and
consultation
to
providers
of
22
habilitation
services
and
home
and
community-based
23
services
waiver
services
for
adults
with
disabilities
24
under
the
medical
assistance
program.
25
4.
Of
the
funds
appropriated
in
this
section,
26
$88,200
$500,000
shall
be
used
to
continue
the
contract
27
to
expand
the
provision
of
nationally
accredited
and
28
recognized
internet-based
training
to
include
mental
29
health
and
disability
services
providers.
30
5.
Of
the
funds
appropriated
in
this
section,
31
$250,000
$500,000
shall
be
used
for
continuation
of
32
child
protection
system
improvements
addressed
in
2011
33
Iowa
Acts,
House
File
562
,
as
enacted
chapter
28
.
34
6.
Notwithstanding
section
8.33,
moneys
35
appropriated
in
this
section
that
remain
unencumbered
36
or
unobligated
at
the
close
of
the
fiscal
year
shall
37
not
revert
but
shall
remain
available
for
expenditure
38
for
the
purposes
designated
until
the
close
of
the
39
succeeding
fiscal
year.
40
Sec.
32.
2011
Iowa
Acts,
chapter
129,
section
140,
41
is
amended
to
read
as
follows:
42
SEC.
140.
VOLUNTEERS.
There
is
appropriated
from
43
the
general
fund
of
the
state
to
the
department
of
44
human
services
for
the
fiscal
year
beginning
July
1,
45
2012,
and
ending
June
30,
2013,
the
following
amount,
46
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
47
purpose
designated:
48
For
development
and
coordination
of
volunteer
49
services:
50
-44-
S5221.5979
(3)
84
pf/jp
44/
80
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
1
84,660
2
PROVIDER
REIMBURSEMENT
——
NURSING
FACILITIES
3
Sec.
33.
2011
Iowa
Acts,
chapter
129,
section
141,
4
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
5
to
read
as
follows:
6
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
7
total
state
funding
amount
for
the
nursing
facility
8
budget
shall
not
exceed
$225,457,724
$239,726,901
.
9
Sec.
34.
2011
Iowa
Acts,
chapter
129,
section
141,
10
subsection
1,
paragraph
a,
is
amended
by
adding
the
11
following
new
subparagraph:
12
NEW
SUBPARAGRAPH
.
(1A)
For
the
fiscal
year
13
beginning
July
1,
2012,
and
ending
June
30,
2013,
14
and
within
the
total
state
funding
amount
identified
15
in
subparagraph
(1),
the
department
shall
distribute
16
not
more
than
$2,500,000
in
reimbursement
to
nursing
17
facilities
by
adjusting
the
statewide
median
of
the
18
direct
care
component
of
nursing
facility
costs
based
19
upon
the
most
recent
cost
report
submitted
by
the
20
nursing
facility
for
the
period
ending
on
or
before
21
December
31,
2011,
and
inflating
these
costs
forward
to
22
July
1,
2012,
by
using
the
midpoint
of
each
cost
report
23
and
applying
the
skilled
nursing
facility
market
basket
24
index.
The
department
shall
adjust
the
reimbursement
25
calculated
under
this
subparagraph
as
necessary
to
26
maintain
expenditures
of
the
nursing
facility
budget
27
within
the
state
funding
amount
specified
in
this
28
subparagraph
and
within
the
total
state
funding
amount
29
identified
in
subparagraph
(1)
for
the
fiscal
year.
30
PROVIDER
REIMBURSEMENT
——
PHARMACY,
PMICS,
HOME
HEALTH
31
AGENCIES,
HCBS
WAIVER
32
Sec.
35.
2011
Iowa
Acts,
chapter
129,
section
141,
33
subsection
1,
paragraphs
b,
f,
i,
and
q,
are
amended
34
to
read
as
follows:
35
b.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
36
the
department
shall
reimburse
pharmacy
dispensing
37
fees
using
a
single
rate
of
range
between
$4.34
per
38
prescription
or
the
pharmacy’s
usual
and
customary
fee,
39
whichever
is
lower
,
and
$11.10
per
prescription
.
The
40
actual
dispensing
fee
set
within
the
range
shall
be
41
determined
by
a
cost
of
dispensing
survey
performed
42
by
the
department
and
required
to
be
completed
by
all
43
medical
assistance
program
participating
pharmacies.
44
However,
the
department
shall
adjust
the
dispensing
fee
45
specified
in
this
paragraph
to
distribute
an
additional
46
$2,981,980
in
reimbursements
for
pharmacy
dispensing
47
fees
under
this
paragraph
for
the
fiscal
year.
48
(2)
The
department
shall
implement
an
average
49
acquisition
cost
reimbursement
methodology
for
all
50
-45-
S5221.5979
(3)
84
pf/jp
45/
80
drugs
covered
under
the
medical
assistance
program.
1
The
methodology
shall
utilize
a
survey
of
pharmacy
2
invoices
from
a
rotation
of
pharmacies
in
determining
3
the
average
acquisition
cost
component
of
pharmacy
4
reimbursement.
Pharmacies
and
providers
that
are
5
enrolled
in
the
medical
assistance
program
shall
make
6
available
drug
acquisition
cost
invoice
information,
7
product
availability
information
if
known,
and
other
8
information
deemed
necessary
by
the
department
to
9
assist
the
department
in
monitoring
and
revising
the
10
reimbursement
rates
and
for
efficient
operation
of
11
the
pharmacy
benefit.
The
department
shall
provide
a
12
process
for
pharmacies
to
address
average
acquisition
13
cost
prices
that
are
not
reflective
of
the
actual
cost
14
of
a
drug.
15
(a)
A
pharmacy
or
provider
shall
produce
and
submit
16
the
requested
information
in
the
manner
and
format
17
requested
by
the
department
or
its
designee
at
no
cost
18
to
the
department
or
its
designee.
19
(b)
A
pharmacy
or
provider
shall
submit
information
20
to
the
department
or
its
designee
within
the
time
21
frame
indicated
following
receipt
of
a
request
for
22
information
unless
the
department
or
its
designee
23
grants
an
extension
upon
written
request
of
the
24
pharmacy
or
provider.
25
f.
For
the
fiscal
year
beginning
July
1,
2012,
26
reimbursement
rates
for
home
health
agencies
shall
27
remain
at
be
increased
by
2
percent
over
the
rates
in
28
effect
on
June
30,
2012,
not
to
exceed
a
home
health
29
agency’s
actual
allowable
cost.
30
i.
(1)
For
the
fiscal
year
beginning
July
1,
31
2012,
state-owned
psychiatric
medical
institutions
32
for
children
shall
receive
cost-based
reimbursement
33
for
100
percent
of
the
actual
and
allowable
costs
for
34
the
provision
of
services
to
recipients
of
medical
35
assistance.
36
(2)
For
the
nonstate-owned
psychiatric
medical
37
institutions
for
children,
reimbursement
rates
shall
be
38
based
on
the
reimbursement
methodology
developed
by
the
39
department
as
required
for
federal
compliance.
40
(3)
As
a
condition
of
participation
in
the
medical
41
assistance
program,
enrolled
providers
shall
accept
the
42
medical
assistance
reimbursement
rate
for
any
covered
43
goods
or
services
provided
to
recipients
of
medical
44
assistance
who
are
children
under
the
custody
of
a
45
psychiatric
medical
institution
for
children.
46
q.
For
the
fiscal
year
beginning
July
1,
2012,
the
47
department
shall
adjust
the
rates
in
effect
on
June
30,
48
2012,
reimbursement
rates
for
providers
of
home
and
49
community-based
services
waiver
services
to
distribute
50
-46-
S5221.5979
(3)
84
pf/jp
46/
80
an
additional
$1,500,000
in
reimbursements
to
such
1
providers
for
the
fiscal
year
shall
be
increased
by
2
2
percent
over
the
rates
in
effect
on
June
30,
2012
.
3
PROVIDER
REIMBURSEMENT
——
SPECIFIED
CHILD
WELFARE
4
PROVIDERS
5
Sec.
36.
2011
Iowa
Acts,
chapter
129,
section
141,
6
is
amended
by
adding
the
following
new
subsection:
7
NEW
SUBSECTION
.
6A.
For
the
fiscal
year
beginning
8
July
1,
2012,
the
department
shall
adjust
the
9
foster
family
basic
daily
maintenance
rate,
the
10
maximum
adoption
subsidy
rates
for
children,
the
11
family-centered
service
providers
rate,
the
family
12
foster
care
service
providers
rate,
the
group
foster
13
care
service
providers
rate,
and
the
resource
family
14
recruitment
and
retention
contractor
rate,
as
such
15
rates
are
identified
in
this
section
and
were
in
effect
16
on
June
30,
2012,
in
order
to
distribute
an
additional
17
$3,070,512
in
state
reimbursements
equitably
to
such
18
providers
for
the
fiscal
year.
19
PROVIDER
REIMBURSEMENT
——
CHILD
CARE
20
Sec.
37.
2011
Iowa
Acts,
chapter
129,
section
141,
21
subsection
10,
is
amended
to
read
as
follows:
22
10.
For
the
fiscal
year
beginning
July
1,
2012,
23
for
child
care
providers
reimbursed
under
the
state
24
child
care
assistance
program,
the
department
shall
25
set
provider
reimbursement
rates
based
on
the
rate
26
reimbursement
survey
completed
in
December
2004.
27
Effective
July
1,
2012,
the
child
care
provider
28
reimbursement
rates
shall
remain
at
be
increased
by
4
29
percent
over
the
rates
in
effect
on
June
30,
2012.
The
30
department
shall
set
rates
in
a
manner
so
as
to
provide
31
incentives
for
a
nonregistered
provider
to
become
32
registered
by
applying
the
increase
only
to
registered
33
and
licensed
providers.
34
REBASING
STUDY
——
MEDICAID
HOME
HEALTH
AND
HCBS
WAIVER
35
SERVICE
PROVIDERS
36
Sec.
38.
2011
Iowa
Acts,
chapter
129,
section
141,
37
is
amended
by
adding
the
following
new
subsection:
38
NEW
SUBSECTION
.
10A.
The
department
shall
review
39
reimbursement
of
home
health
agency
and
home
and
40
community-based
services
waiver
services
providers
41
and
shall
submit
a
recommendation
for
a
rebasing
42
methodology
applicable
to
such
providers
for
the
fiscal
43
year
beginning
July
1,
2013,
and
thereafter,
to
the
44
individuals
identified
in
this
division
of
this
Act
for
45
receipt
of
reports.
46
ELDERLY
WAIVER
47
Sec.
39.
2011
Iowa
Acts,
chapter
129,
section
141,
48
is
amended
by
adding
the
following
new
subsection:
49
NEW
SUBSECTION
.
10B.
The
department
shall
50
-47-
S5221.5979
(3)
84
pf/jp
47/
80
increase
the
monthly
reimbursement
cap
for
the
medical
1
assistance
home
and
community-based
services
waiver
for
2
the
elderly
to
$1,400
per
month.
3
DIVISION
V
4
HEALTH
CARE
ACCOUNTS
AND
FUNDS
5
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
6
Sec.
40.
2011
Iowa
Acts,
chapter
129,
section
145,
7
is
amended
to
read
as
follows:
8
SEC.
145.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
9
is
appropriated
from
the
pharmaceutical
settlement
10
account
created
in
section
249A.33
to
the
department
of
11
human
services
for
the
fiscal
year
beginning
July
1,
12
2012,
and
ending
June
30,
2013,
the
following
amount,
13
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
Notwithstanding
any
provision
of
law
to
the
16
contrary,
to
supplement
the
appropriations
made
in
this
17
Act
for
medical
contracts
under
the
medical
assistance
18
program
for
the
fiscal
year
beginning
July
1,
2012,
and
19
ending
June
30,
2013
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,716,807
21
IOWACARE
ACCOUNT
APPROPRIATIONS
——
UNIVERSITY
OF
IOWA
22
HOSPITALS
AND
CLINICS
23
Sec.
41.
2011
Iowa
Acts,
chapter
129,
section
146,
24
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
25
to
read
as
follows:
26
(1)
Funds
appropriated
in
this
subsection
shall
27
not
be
used
for
abortions
shall
be
used
in
a
manner
28
consistent
with
options
under
federal
Medicaid
law
29
and
regulation
.
For
the
purposes
of
this
subsection,
30
“abortion”
does
not
include
any
of
the
following:
31
(a)
The
treatment
of
a
woman
for
a
physical
32
disorder,
physical
injury,
or
physical
illness,
33
including
a
life-endangering
physical
condition
caused
34
by
or
arising
from
the
pregnancy
itself,
that
would,
35
as
certified
by
a
physician,
place
the
woman
in
danger
36
of
death.
37
(b)
The
treatment
of
a
woman
for
a
spontaneous
38
abortion,
commonly
known
as
a
miscarriage,
when
not
all
39
of
the
products
of
conception
are
expelled.
40
Sec.
42.
2011
Iowa
Acts,
chapter
129,
section
146,
41
subsection
2,
unnumbered
paragraph
2,
is
amended
to
42
read
as
follows:
43
For
salaries,
support,
maintenance,
equipment,
and
44
miscellaneous
purposes,
for
the
provision
of
medical
45
and
surgical
treatment
of
indigent
patients,
for
46
provision
of
services
to
members
of
the
expansion
47
population
pursuant
to
chapter
249J
,
and
for
medical
48
education:
49
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
50
-48-
S5221.5979
(3)
84
pf/jp
48/
80
45,654,133
1
IOWACARE
ACCOUNT
——
PUBLICLY
OWNED
ACUTE
CARE
TEACHING
2
HOSPITAL
3
Sec.
43.
2011
Iowa
Acts,
chapter
129,
section
146,
4
subsection
4,
unnumbered
paragraph
2,
is
amended
to
5
read
as
follows:
6
For
distribution
to
a
publicly
owned
acute
care
7
teaching
hospital
located
in
a
county
with
a
population
8
over
350,000
for
the
provision
of
medical
and
surgical
9
treatment
of
indigent
patients,
for
provision
of
10
services
to
members
of
the
expansion
population
11
pursuant
to
chapter
249J
,
and
for
medical
education:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
13
70,000,000
14
IOWACARE
ACCOUNT
——
PUBLICLY
OWNED
ACUTE
CARE
HOSPITAL
15
ALLOCATIONS
16
Sec.
44.
2011
Iowa
Acts,
chapter
129,
section
146,
17
subsection
4,
paragraphs
a
and
b,
are
amended
to
read
18
as
follows:
19
a.
Notwithstanding
any
provision
of
law
to
the
20
contrary,
the
amount
appropriated
in
this
subsection
21
shall
be
distributed
based
on
claims
submitted,
22
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise
23
plus
a
monthly
disproportionate
share
hospital
payment.
24
Any
amount
appropriated
in
this
subsection
in
excess
25
of
$60,000,000
$65,000,000
shall
be
distributed
26
only
if
the
sum
of
the
expansion
population
claims
27
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
28
plus
the
estimated
disproportionate
share
hospital
29
payments
exceeds
$60,000,000
$65,000,000
.
The
amount
30
paid
in
excess
of
$60,000,000
$65,000,000
shall
31
not
adjust
the
original
monthly
payment
amount
but
32
shall
be
distributed
monthly
based
on
actual
claims
33
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
34
plus
the
estimated
disproportionate
share
hospital
35
amount.
Any
amount
appropriated
in
this
subsection
in
36
excess
of
$60,000,000
$65,000,000
shall
be
allocated
37
only
if
federal
funds
are
available
to
match
the
38
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
39
amount
appropriated
in
this
subsection,
not
more
than
40
$4,000,000
shall
be
distributed
for
prescription
drugs
,
41
and
podiatry
services
,
and
optometric
services
.
42
b.
Notwithstanding
any
provision
of
law
to
the
43
contrary,
the
hospital
identified
in
this
subsection,
44
shall
be
reimbursed
for
outpatient
prescription
drugs
,
45
and
podiatry
services
,
and
optometric
services
provided
46
to
members
of
the
expansion
population
pursuant
to
all
47
applicable
medical
assistance
program
rules,
in
an
48
amount
not
to
exceed
$4,000,000.
49
IOWACARE
ACCOUNT
——
REGIONAL
PROVIDER
NETWORK
50
-49-
S5221.5979
(3)
84
pf/jp
49/
80
Sec.
45.
2011
Iowa
Acts,
chapter
129,
section
146,
1
subsection
5,
unnumbered
paragraph
2,
is
amended
to
2
read
as
follows:
3
For
payment
to
the
regional
provider
network
4
specified
by
the
department
pursuant
to
section
249J.7
5
for
provision
of
covered
services
to
members
of
the
6
expansion
population
pursuant
to
chapter
249J
:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
8
4,986,366
9
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
10
Sec.
46.
2011
Iowa
Acts,
chapter
129,
section
148,
11
is
amended
to
read
as
follows:
12
SEC.
148.
APPROPRIATIONS
FROM
ACCOUNT
FOR
13
HEALTH
CARE
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
14
SERVICES.
Notwithstanding
any
provision
to
the
15
contrary,
there
is
appropriated
from
the
account
for
16
health
care
transformation
created
in
section
249J.23
17
to
the
department
of
human
services
for
the
fiscal
year
18
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
19
following
amounts,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purposes
designated:
21
1.
For
the
provision
of
an
IowaCare
nurse
helpline
22
for
the
expansion
population
as
provided
in
section
23
249J.6
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
25
100,000
26
2.
For
other
health
promotion
partnership
27
activities
pursuant
to
section
249J.14
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
300,000
29
600,000
30
3.
For
the
costs
related
to
audits,
performance
31
evaluations,
and
studies
required
pursuant
to
chapter
32
249J
:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
34
125,000
35
4.
For
administrative
costs
associated
with
chapter
36
249J
:
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
566,206
38
1,132,412
39
5.
For
planning
and
development,
in
cooperation
40
with
the
department
of
public
health,
of
a
phased-in
41
program
to
provide
a
dental
home
for
children
in
42
accordance
with
section
249J.14
:
43
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
44
1,000,000
45
6.
For
continuation
of
the
establishment
of
the
46
tuition
assistance
for
individuals
serving
individuals
47
with
disabilities
pilot
program,
as
enacted
in
2008
48
Iowa
Acts,
chapter
1187,
section
130:
49
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
50
-50-
S5221.5979
(3)
84
pf/jp
50/
80
50,000
1
7.
For
medical
contracts:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
3
2,400,000
4
8.
For
payment
to
the
publicly
owned
acute
care
5
teaching
hospital
located
in
a
county
with
a
population
6
of
over
350,000
that
is
a
participating
provider
7
pursuant
to
chapter
249J
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
145,000
9
540,000
10
Disbursements
under
this
subsection
shall
be
made
11
monthly.
The
hospital
shall
submit
a
report
following
12
the
close
of
the
fiscal
year
regarding
use
of
the
13
funds
appropriated
in
this
subsection
to
the
persons
14
specified
in
this
Act
to
receive
reports.
15
9.
For
transfer
to
the
department
of
public
health
16
to
be
used
for
the
costs
of
medical
home
system
17
advisory
council
established
pursuant
to
section
18
135.159
:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,679
20
233,357
21
10.
For
continued
implementation
of
a
uniform
cost
22
report:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
24
150,000
25
11.
For
continued
implementation
of
an
electronic
26
medical
records
system:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
28
100,000
29
Notwithstanding
section
8.33
,
funds
allocated
in
30
this
subsection
that
remain
unencumbered
or
unobligated
31
at
the
close
of
the
fiscal
year
shall
not
revert
but
32
shall
remain
available
in
succeeding
fiscal
years
to
be
33
used
for
the
purposes
designated.
34
12.
For
transfer
to
the
department
of
public
health
35
to
support
the
department’s
activities
relating
to
36
health
and
long-term
care
access
as
specified
pursuant
37
to
chapter
135,
division
XXIV
:
38
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,107
39
134,214
40
13.
For
continuation
of
an
accountable
care
41
organization
pilot
project:
42
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
43
100,000
44
14.
For
the
continued
development
of
a
provider
45
payment
system
plan
to
provide
recommendations
to
46
reform
the
health
care
provider
payment
system
as
an
47
effective
way
to
promote
coordination
of
care,
lower
48
costs,
and
improve
quality:
49
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
50
-51-
S5221.5979
(3)
84
pf/jp
51/
80
15.
For
transfer
to
the
department
of
public
health
1
to
be
used
as
state
matching
funds
for
the
health
2
information
technology
system
network
developed
by
the
3
department
of
public
health:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
181,993
5
363,987
6
16.
To
supplement
the
appropriation
for
medical
7
assistance:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,956,245
4,106,245
9
Notwithstanding
section
8.39,
subsection
1
,
without
10
the
prior
written
consent
and
approval
of
the
governor
11
and
the
director
of
the
department
of
management,
the
12
director
of
human
services
may
transfer
funds
among
13
the
appropriations
made
in
this
section
as
necessary
14
to
carry
out
the
purposes
of
the
account
for
health
15
care
transformation.
The
department
shall
report
16
any
transfers
made
pursuant
to
this
section
to
the
17
legislative
services
agency.
18
MEDICAID
FRAUD
FUND
19
Sec.
47.
2011
Iowa
Acts,
chapter
129,
section
150,
20
is
amended
to
read
as
follows:
21
SEC.
150.
MEDICAID
FRAUD
ACCOUNT
FUND
——
DEPARTMENT
22
OF
HUMAN
SERVICES.
There
is
appropriated
from
the
23
Medicaid
fraud
account
fund
created
in
section
249A.7
24
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
26
following
amount,
or
so
much
thereof
as
is
necessary,
27
to
be
used
for
the
purposes
designated:
28
To
supplement
the
appropriation
made
in
this
Act
29
from
the
general
fund
of
the
state
to
the
department
of
30
human
services
for
medical
assistance
for
the
fiscal
31
year
beginning
July
1,
2012,
and
ending
June
30,
2013
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
33
QUALITY
ASSURANCE
TRUST
FUND
34
Sec.
48.
2011
Iowa
Acts,
chapter
129,
section
151,
35
is
amended
to
read
as
follows:
36
SEC.
151.
QUALITY
ASSURANCE
TRUST
FUND
——
37
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
38
any
provision
to
the
contrary
and
subject
to
the
39
availability
of
funds,
there
is
appropriated
from
the
40
quality
assurance
trust
fund
created
in
section
249L.4
41
to
the
department
of
human
services
for
the
fiscal
year
42
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
43
following
amounts,
or
so
much
thereof
as
is
necessary
44
for
the
purposes
designated:
45
To
supplement
the
appropriation
made
in
this
Act
46
from
the
general
fund
of
the
state
to
the
department
of
47
human
services
for
medical
assistance:
48
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
49
26,500,000
50
-52-
S5221.5979
(3)
84
pf/jp
52/
80
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
1
Sec.
49.
2011
Iowa
Acts,
chapter
129,
section
152,
2
is
amended
to
read
as
follows:
3
SEC.
152.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
4
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
5
any
provision
to
the
contrary
and
subject
to
the
6
availability
of
funds,
there
is
appropriated
from
7
the
hospital
health
care
access
trust
fund
created
in
8
section
249M.4
to
the
department
of
human
services
for
9
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
10
30,
2013,
the
following
amounts,
or
so
much
thereof
as
11
is
necessary,
for
the
purposes
designated:
12
1.
To
supplement
the
appropriation
made
in
this
Act
13
from
the
general
fund
of
the
state
to
the
department
of
14
human
services
for
medical
assistance:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
16
33,898,400
17
2.
For
deposit
in
the
nonparticipating
provider
18
reimbursement
fund
created
in
section
249J.24A
to
be
19
used
for
the
purposes
of
the
fund:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
21
801,600
22
MISCELLANEOUS
PROVISIONS
23
Sec.
50.
REPEAL.
2011
Iowa
Acts,
chapter
129,
24
section
149,
is
repealed.
25
DIVISION
VI
26
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
27
CONTINGENCY
FUND
28
Sec.
51.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
29
CHILD
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
30
OF
FUNDS
——
FY
2011-2012.
31
1.
Moneys
received
from
the
federal
government
32
through
the
child
enrollment
contingency
fund
33
established
pursuant
to
section
103
of
the
federal
34
Children’s
Health
Insurance
Program
Reauthorization
35
Act
of
2009,
Pub.
L.
No.
111-3,
are
appropriated
to
36
the
department
of
human
services
for
the
fiscal
year
37
beginning
July
1,
2011,
and
ending
June
30,
2012,
to
be
38
used
in
addition
to
any
other
amounts
appropriated
for
39
the
same
purposes
for
the
fiscal
year
as
follows:
40
a.
For
adoption
subsidy
payments
and
services:
41
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,177,355
42
b.
For
child
care
programs:
43
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,212,432
44
c.
For
transfer
to
the
department
of
public
health
45
to
be
used
for
tobacco
use
prevention,
cessation,
and
46
treatment
through
support
of
Quitline
Iowa:
47
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
350,000
48
2.
Notwithstanding
section
8.39,
and
to
the
extent
49
that
funds
appropriated
in
this
section
are
unexpended
50
-53-
S5221.5979
(3)
84
pf/jp
53/
80
or
unobligated
for
the
purposes
specified
in
subsection
1
1,
the
department
of
human
services
may
transfer
funds
2
within
or
between
any
of
the
appropriations
made
in
3
this
section
for
the
following
purposes:
4
a.
For
adoption
subsidy
payments
and
services.
5
b.
For
child
care
assistance.
6
Sec.
52.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
7
CHILD
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
8
OF
FUNDS
——
FY
2012-2013.
9
1.
a.
Moneys
received
from
the
federal
government
10
through
the
child
enrollment
contingency
fund
11
established
pursuant
to
section
103
of
the
federal
12
Children’s
Health
Insurance
Program
Reauthorization
13
Act
of
2009,
Pub.
L.
No.
111-3,
are
appropriated
to
14
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
16
used
in
addition
to
any
other
amounts
appropriated
for
17
the
same
purposes
for
the
fiscal
year
as
follows:
18
(1)
For
adoption
subsidy
payments
and
services:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,290,441
20
(2)
For
child
care
programs:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,969,021
22
(3)
For
mental
health
and
disability
services
23
redesign
technical
assistance
services:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
25
(4)
For
the
field
operations
integrity
claims
unit:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
961,100
27
(5)
For
medical
assistance
program
reimbursement
28
and
associated
costs:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,950,428
30
(6)
For
lodging
expenses
associated
with
patient
31
care
provided
at
the
university
of
Iowa
hospital
and
32
clinics
under
chapter
249J:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
200,000
34
The
department
of
human
services
shall
establish
the
35
maximum
number
of
overnight
stays
and
the
maximum
rate
36
reimbursed
for
overnight
lodging,
which
may
be
based
on
37
the
state
employee
rate
established
by
the
department
38
of
administrative
services.
The
funds
allocated
under
39
this
subparagraph
shall
not
be
used
as
nonfederal
share
40
matching
funds.
41
(7)
For
ambulance
services
associated
with
patient
42
care
provided
under
chapter
249J:
43
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
200,000
44
The
department
of
human
services
shall
establish
45
requirements
for
use
of
funds
in
this
subparagraph
for
46
ambulance
services
when
no
other
third-party
payment
is
47
available.
The
funds
allocated
in
this
subparagraph
48
shall
not
be
used
as
nonfederal
share
matching
funds.
49
(8)
For
the
public
purpose
of
distribution
to
50
-54-
S5221.5979
(3)
84
pf/jp
54/
80
a
statewide
nonprofit
organization
consisting
of
1
low-income
housing
and
homelessness
service
providers,
2
advocates,
local
governments,
lending
institutions,
3
and
low-income
and
homeless
individuals
to
be
used
to
4
empower
low-income
individuals
and
to
increase
their
5
access
to
affordable
housing:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
7
b.
Notwithstanding
section
8.39,
and
to
the
8
extent
that
funds
appropriated
in
this
subsection
are
9
unexpended
or
unobligated
for
the
purposes
specified
10
in
paragraph
“a”,
subparagraphs
(1)
and
(2),
for
the
11
fiscal
year
beginning
July
1,
2012,
the
department
of
12
human
services
may
transfer
funds
within
or
between
any
13
of
the
appropriations
made
in
this
subsection
for
the
14
following
purposes:
15
(1)
For
adoption
subsidy
payments
and
services.
16
(2)
For
child
care
assistance.
17
2.
Moneys
received
from
the
federal
government
18
through
the
child
enrollment
contingency
fund
19
established
pursuant
to
section
103
of
the
federal
20
Children’s
Health
Insurance
Program
Reauthorization
21
Act
of
2009,
Pub.
L.
No.
111-3,
are
appropriated
to
22
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
24
used
for
audit
settlements:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,405,936
26
Notwithstanding
section
8.33,
moneys
appropriated
in
27
this
subsection
that
remain
unencumbered
or
unobligated
28
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
29
other
fund
but
shall
remain
available
for
expenditure
30
for
the
purposes
designated
until
the
close
of
the
31
succeeding
fiscal
year.
32
Sec.
53.
EFFECTIVE
DATE
PROVISIONS.
The
section
of
33
this
division
of
this
Act
appropriating
moneys
received
34
through
the
federal
Child
Enrollment
Contingency
Fund
35
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
36
June
30,
2012,
being
deemed
of
immediate
importance,
37
take
effect
upon
enactment.
38
Sec.
54.
RETROACTIVE
APPLICABILITY.
The
section
of
39
this
division
of
this
Act
appropriating
moneys
received
40
through
the
federal
Child
Enrollment
Contingency
Fund
41
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
42
June
30,
2012,
applies
retroactively
to
July
1,
2011.
43
DIVISION
VII
44
MENTAL
HEALTH
AND
DISABILITY
SERVICES
MEDICAL
45
ASSISTANCE
PROGRAM
ADDITIONAL
FUNDING
46
Sec.
55.
RISK
POOL
APPROPRIATION
FOR
MEDICAL
47
ASSISTANCE
PROGRAM.
All
moneys
remaining
in
the
risk
48
pool
of
the
property
tax
relief
fund
on
June
30,
49
2012,
following
the
distributions
made
pursuant
to
50
-55-
S5221.5979
(3)
84
pf/jp
55/
80
2012
Iowa
Acts,
Senate
File
2071,
are
appropriated
to
1
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
3
used
for
the
purpose
designated:
4
To
be
credited
to
the
appropriation
made
for
the
5
medical
assistance
program
in
2011
Iowa
Acts,
chapter
6
129,
section
122.
7
Sec.
56.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
8
REDESIGN.
There
is
appropriated
from
the
general
fund
9
of
the
state
to
the
department
of
human
services
for
10
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
11
30,
2013,
the
following
amount,
or
so
much
thereof
as
12
is
necessary,
to
be
used
for
the
purposes
designated:
13
For
the
medical
assistance
program
appropriation
14
for
the
fiscal
year
for
the
expense
of
replacing
15
the
enhanced
match
rate
provided
through
the
federal
16
American
Recovery
and
Reinvestment
Act
of
2009
and
17
for
the
reduction
in
the
federal
medical
assistance
18
percentage
associated
with
the
mental
health
and
19
disabilities
services
for
which
the
match
has
been
paid
20
by
counties:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,893,762
22
DIVISION
VIII
23
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
24
INJURED
VETERANS
GRANT
PROGRAM
25
Sec.
57.
2008
Iowa
Acts,
chapter
1187,
section
69,
26
unnumbered
paragraph
1,
as
amended
by
2009
Iowa
Acts,
27
chapter
182,
section
83,
2010
Iowa
Acts,
chapter
1192,
28
section
56,
and
2011
Iowa
Acts,
chapter
129,
section
29
53,
is
amended
to
read
as
follows:
30
Notwithstanding
section
8.33
,
moneys
appropriated
in
31
this
subsection
that
remain
unencumbered
or
unobligated
32
at
the
close
of
the
fiscal
year
shall
not
revert
but
33
shall
remain
available
for
expenditure
for
the
purposes
34
designated
until
the
close
of
the
fiscal
year
beginning
35
July
1,
2011
2012
.
36
CHILD
WELFARE
DECATEGORIZATION
37
FY
2009-2010
NONREVERSION
38
Sec.
58.
2009
Iowa
Acts,
chapter
182,
section
14,
39
subsection
5,
unnumbered
paragraph
2,
as
enacted
by
40
2011
Iowa
Acts,
chapter
129,
section
55,
is
amended
to
41
read
as
follows:
42
Notwithstanding
section
232.188,
subsection
5
,
43
moneys
from
the
allocations
made
in
this
subsection
or
44
made
from
any
other
source
for
the
decategorization
of
45
child
welfare
and
juvenile
justice
funding
initiative
46
under
section
232.188
for
the
fiscal
year
beginning
47
July
1,
2009,
that
are
designated
as
carryover
funding
48
that
remain
unencumbered
or
unobligated
at
the
close
49
of
the
fiscal
year
beginning
July
1,
2010,
shall
not
50
-56-
S5221.5979
(3)
84
pf/jp
56/
80
revert
but
shall
be
transferred
to
in
equal
amounts
to
1
the
community
housing
and
services
for
persons
with
2
disabilities
revolving
loan
program
fund
created
in
3
section
16.185
,
as
enacted
by
this
division
of
this
4
2011
Act
and
to
the
supportive
and
residential
services
5
for
individuals
who
meet
the
psychiatric
medical
6
institution
for
children
level
of
care
competitive
7
grant
program
fund
created
in
section
16.185A,
as
8
enacted
by
this
2012
Act
.
9
IOWA
VETERANS
HOME
10
Sec.
59.
2011
Iowa
Acts,
chapter
129,
section
3,
11
subsection
2,
is
amended
by
adding
the
following
new
12
paragraph:
13
NEW
PARAGRAPH
.
d.
The
funds
appropriated
in
this
14
subsection
to
the
Iowa
veterans
home
that
remain
15
available
for
expenditure
for
the
succeeding
fiscal
16
year
pursuant
to
section
35D.18,
subsection
5,
shall
17
be
distributed
to
be
used
in
the
succeeding
fiscal
18
year
in
accordance
with
this
lettered
paragraph.
The
19
first
$500,000
shall
remain
available
to
be
used
for
20
the
purposes
of
the
Iowa
veterans
home.
Any
remaining
21
balance
shall
be
credited
to
the
appropriation
in
this
22
Act
for
the
fiscal
year
beginning
July
1,
2012,
for
23
medical
assistance.
24
FAMILY
INVESTMENT
PROGRAM
——
GENERAL
FUND
25
Sec.
60.
2011
Iowa
Acts,
chapter
129,
section
7,
is
26
amended
by
adding
the
following
new
subsection:
27
NEW
SUBSECTION
.
5.
Notwithstanding
section
28
8.33,
moneys
appropriated
in
this
section
that
remain
29
unencumbered
or
unobligated
at
the
close
of
the
fiscal
30
year
shall
not
revert
but
shall
remain
available
for
31
expenditure
for
the
purposes
designated
until
the
close
32
of
the
succeeding
fiscal
year.
33
MEDICAL
ASSISTANCE
34
Sec.
61.
2011
Iowa
Acts,
chapter
129,
section
10,
35
subsection
20,
paragraph
d,
is
amended
to
read
as
36
follows:
37
d.
If
the
savings
to
the
medical
assistance
38
program
exceed
the
cost,
the
department
may
transfer
39
any
savings
generated
for
the
fiscal
year
due
to
40
medical
assistance
program
cost
containment
efforts
41
initiated
pursuant
to
2010
Iowa
Acts,
chapter
1031,
42
Executive
Order
No.
20,
issued
December
16,
2009,
or
43
cost
containment
strategies
initiated
pursuant
to
this
44
subsection,
to
the
appropriation
appropriations
made
45
in
this
division
of
this
Act
for
medical
contracts
or
46
general
administration
to
defray
the
increased
contract
47
costs
associated
with
implementing
such
efforts.
48
BEHAVIORAL
HEALTH
SERVICES
ACCOUNT
——
MEDICAL
49
ASSISTANCE
50
-57-
S5221.5979
(3)
84
pf/jp
57/
80
Sec.
62.
2011
Iowa
Acts,
chapter
129,
section
10,
1
is
amended
by
adding
the
following
new
subsection:
2
NEW
SUBSECTION
.
26.
Notwithstanding
2009
Iowa
3
Acts,
chapter
182,
section
9,
subsection
16,
paragraph
4
“b”,
as
amended
by
2010
Iowa
Acts,
chapter
1192,
5
section
63,
as
amended
by
2011
Iowa
Acts,
chapter
6
129,
section
54,
funds
in
the
account
that
remain
7
unencumbered
or
unobligated
at
the
end
of
the
fiscal
8
year
beginning
July
1,
2011,
are
appropriated
to
the
9
department
of
human
services
to
be
used
for
the
medical
10
assistance
program
for
the
succeeding
fiscal
year.
11
STATE
SUPPLEMENTARY
ASSISTANCE
12
Sec.
63.
2011
Iowa
Acts,
chapter
129,
section
11,
13
is
amended
by
adding
the
following
new
subsection:
14
NEW
SUBSECTION
.
4.
Notwithstanding
section
15
8.33,
moneys
appropriated
in
this
section
that
remain
16
unencumbered
or
unobligated
at
the
close
of
the
fiscal
17
year
shall
not
revert
but
shall
remain
available
for
18
expenditure
for
the
purposes
designated
until
the
close
19
of
the
succeeding
fiscal
year.
20
FIELD
OPERATIONS
21
Sec.
64.
2011
Iowa
Acts,
chapter
129,
section
22
25,
is
amended
by
adding
the
following
new
unnumbered
23
paragraph:
24
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
25
8.33,
moneys
appropriated
in
this
section
that
remain
26
unencumbered
or
unobligated
at
the
close
of
the
fiscal
27
year
shall
not
revert
but
shall
remain
available
for
28
expenditure
for
the
purposes
designated
until
the
close
29
of
the
succeeding
fiscal
year.
30
GENERAL
ADMINISTRATION
31
Sec.
65.
2011
Iowa
Acts,
chapter
129,
section
26,
32
is
amended
by
adding
the
following
new
subsection:
33
NEW
SUBSECTION
.
6.
Notwithstanding
section
34
8.33,
moneys
appropriated
in
this
section
that
remain
35
unencumbered
or
unobligated
at
the
close
of
the
fiscal
36
year
shall
not
revert
but
shall
remain
available
for
37
expenditure
for
the
purposes
designated
until
the
close
38
of
the
succeeding
fiscal
year.
39
IOWACARE
DISTRIBUTIONS
40
Sec.
66.
2011
Iowa
Acts,
chapter
129,
section
41
35,
subsection
4,
paragraph
a,
is
amended
to
read
as
42
follows:
43
a.
Notwithstanding
any
provision
of
law
to
the
44
contrary,
the
amount
appropriated
in
this
subsection
45
shall
be
distributed
based
on
claims
submitted,
46
adjudicated,
and
paid
by
the
Iowa
Medicaid
enterprise
47
plus
a
monthly
disproportionate
share
hospital
payment.
48
Any
amount
appropriated
in
this
subsection
in
excess
49
of
$60,000,000
$56,500,000
shall
be
distributed
50
-58-
S5221.5979
(3)
84
pf/jp
58/
80
only
if
the
sum
of
the
expansion
population
claims
1
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
2
plus
the
estimated
disproportionate
share
hospital
3
payments
exceeds
$60,000,000
$56,500,000
.
The
amount
4
paid
in
excess
of
$60,000,000
$56,500,000
shall
5
not
adjust
the
original
monthly
payment
amount
but
6
shall
be
distributed
monthly
based
on
actual
claims
7
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
8
plus
the
estimated
disproportionate
share
hospital
9
amount.
Any
amount
appropriated
in
this
subsection
in
10
excess
of
$60,000,000
$56,500,000
shall
be
allocated
11
only
if
federal
funds
are
available
to
match
the
12
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
13
amount
appropriated
in
this
subsection,
not
more
than
14
$4,000,000
shall
be
distributed
for
prescription
drugs
15
and
podiatry
services.
16
Sec.
67.
2011
Iowa
Acts,
chapter
129,
section
35,
17
subsection
4,
paragraph
d,
subparagraph
(2),
is
amended
18
to
read
as
follows:
19
(2)
Notwithstanding
the
amount
collected
and
20
distributed
for
deposit
in
the
IowaCare
account
21
pursuant
to
section
249J.24,
subsection
4
,
paragraph
22
“a”,
subparagraph
(2),
the
first
$19,000,000
in
23
collections
pursuant
to
section
347.7
between
January
24
1,
2012,
and
June
30,
2012,
shall
be
distributed
to
25
the
treasurer
of
state
for
deposit
in
the
IowaCare
26
account
and
collections
during
this
time
period
in
27
excess
of
$19,000,000
shall
be
distributed
to
the
acute
28
care
teaching
hospital
identified
in
this
subsection.
29
Of
the
collections
in
excess
of
the
$19,000,000
30
received
by
the
acute
care
teaching
hospital
under
this
31
subparagraph
(2),
$2,000,000
shall
be
distributed
by
32
the
acute
care
teaching
hospital
to
the
treasurer
of
33
state
for
deposit
in
the
IowaCare
account
in
the
month
34
of
July
2012,
following
the
January
1
through
June
30,
35
2012,
period.
36
Sec.
68.
IMMEDIATE
EFFECTIVE
DATE.
This
division
37
of
this
Act,
being
deemed
of
immediate
importance,
38
takes
effect
upon
enactment.
39
Sec.
69.
RETROACTIVE
APPLICABILITY.
The
40
following
sections
of
this
division
of
this
Act
apply
41
retroactively
to
July
1,
2011:
42
1.
The
section
relating
to
the
transfer
of
funds
43
from
costs
savings
under
the
medical
assistance
program
44
to
appropriations
for
medical
contracts
or
general
45
administration
for
the
fiscal
year
beginning
July
1,
46
2011,
and
ending
June
30,
2012.
47
2.
The
section
relating
to
the
nonreversion
of
48
decategorization
of
child
welfare
and
juvenile
justice
49
funds.
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3.
The
section
relating
to
the
distribution
of
1
IowaCare
program
funds.
2
DIVISION
IX
3
MISCELLANEOUS
4
Sec.
70.
NEW
SECTION
.
8A.441
Medication
therapy
5
management.
6
1.
As
used
in
this
section,
unless
the
context
7
otherwise
requires:
8
a.
“Eligible
employee”
means
an
employee
of
the
9
state,
with
the
exception
of
an
employee
of
the
state
10
board
of
regents
or
institutions
under
the
state
board
11
of
regents,
for
whom
group
health
plans
are
established
12
pursuant
to
chapter
509A
providing
for
third-party
13
payment
or
prepayment
for
health
or
medical
expenses.
14
b.
“Medication
therapy
management”
means
a
15
systematic
process
performed
by
a
licensed
pharmacist,
16
designed
to
improve
quality
outcomes
for
patients
17
and
lower
health
care
costs,
including
emergency
18
room,
hospital,
provider,
and
other
costs,
by
19
optimizing
appropriate
medication
use
linked
directly
20
to
achievement
of
the
clinical
goals
of
therapy.
21
Medication
therapy
management
shall
include
all
of
the
22
following
services:
23
(1)
A
medication
therapy
review
and
in-person
24
consultation
relating
to
all
medications,
vitamins,
and
25
herbal
supplements
currently
being
taken
by
an
eligible
26
individual.
27
(2)
A
medication
action
plan,
subject
to
the
28
limitations
specified
in
this
section,
communicated
29
to
the
individual
and
the
individual’s
primary
care
30
physician
or
other
appropriate
prescriber
to
address
31
issues
including
appropriateness,
effectiveness,
32
safety,
drug
interactions,
and
adherence.
The
33
medication
action
plan
may
include
drug
therapy
34
recommendations
to
prescribers
that
are
needed
to
meet
35
clinical
goals
and
achieve
optimal
patient
outcomes.
36
(3)
Documentation
and
follow-up
to
ensure
37
consistent
levels
of
pharmacy
services
and
positive
38
outcomes.
39
2.
a.
The
department
shall
utilize
a
request
for
40
proposals
process
and
shall
enter
into
a
contract
for
41
the
provision
of
medication
therapy
management
services
42
for
eligible
employees
who
meet
any
of
the
following
43
criteria:
44
(1)
An
individual
who
takes
four
or
more
45
prescription
drugs
to
treat
or
prevent
two
or
more
46
chronic
medical
conditions.
47
(2)
An
individual
with
a
prescription
drug
therapy
48
problem
who
is
identified
by
the
prescribing
physician
49
or
other
appropriate
prescriber,
and
referred
to
a
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pharmacist
for
medication
therapy
management
services.
1
(3)
An
individual
who
meets
other
criteria
2
established
by
the
third-party
payment
provider
3
contract,
policy,
or
plan.
4
b.
The
contract
shall
require
the
entity
to
provide
5
annual
reports
to
the
general
assembly
detailing
6
the
costs,
savings,
estimated
cost
avoidance
and
7
return
on
investment,
and
improved
patient
outcomes
8
related
to
the
medication
therapy
management
services
9
provided.
The
entity
shall
guarantee
demonstrated
10
annual
savings
for
overall
health
care
costs,
including
11
emergency
room,
hospital,
provider,
and
other
costs,
12
with
savings
including
associated
cost
avoidance,
at
13
least
equal
to
the
program’s
costs
with
any
shortfall
14
amount
refunded
to
the
state.
The
contract
shall
15
include
terms,
conditions,
and
applicable
measurement
16
standards
associated
with
the
demonstration
of
savings.
17
The
department
shall
verify
the
demonstrated
savings
18
reported
by
the
entity
were
achieved
in
accordance
with
19
the
agreed
upon
measurement
standards.
The
entity
20
shall
be
prohibited
from
using
the
entity’s
employees
21
to
provide
the
medication
therapy
management
services
22
and
shall
instead
be
required
to
contract
with
licensed
23
pharmacies,
pharmacists,
or
physicians.
24
c.
The
department
may
establish
an
advisory
25
committee
comprised
of
an
equal
number
of
physicians
26
and
pharmacists
to
provide
advice
and
oversight
in
27
evaluating
the
results
of
the
program.
The
department
28
shall
appoint
the
members
of
the
advisory
committee
29
based
upon
designees
of
the
Iowa
pharmacy
association,
30
the
Iowa
medical
society,
and
the
Iowa
osteopathic
31
medical
association.
32
d.
The
fees
for
pharmacist-delivered
medication
33
therapy
management
services
shall
be
separate
from
34
the
reimbursement
for
prescription
drug
product
or
35
dispensing
services;
shall
be
determined
by
each
36
third-party
payment
provider
contract,
policy,
or
plan;
37
and
must
be
reasonable
based
on
the
resources
and
time
38
required
to
provide
the
service.
39
e.
A
fee
shall
be
established
for
physician
40
reimbursement
for
services
delivered
for
medication
41
therapy
management
as
determined
by
each
third-party
42
payment
provider
contract,
policy,
or
plan,
and
must
be
43
reasonable
based
on
the
resources
and
time
required
to
44
provide
the
service.
45
f.
If
any
part
of
the
medication
therapy
management
46
plan
developed
by
a
pharmacist
incorporates
services
47
which
are
outside
the
pharmacist’s
independent
scope
48
of
practice
including
the
initiation
of
therapy,
49
modification
of
dosages,
therapeutic
interchange,
or
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changes
in
drug
therapy,
the
express
authorization
1
of
the
individual’s
physician
or
other
appropriate
2
prescriber
is
required.
3
Sec.
71.
NEW
SECTION
.
16.185A
Supportive
and
4
residential
services
for
individuals
who
meet
the
5
psychiatric
medical
institution
for
children
level
of
6
care
——
competitive
grant
program
fund.
7
1.
A
supportive
and
residential
services
8
competitive
grant
program
fund
is
created
within
the
9
authority
to
further
the
availability
of
supportive
10
and
residential
services
for
individuals
who
meet
the
11
psychiatric
medical
institution
for
children
level
of
12
care
under
the
medical
assistance
program.
The
moneys
13
in
the
fund
are
appropriated
to
the
authority
to
be
14
used
for
the
development
and
operation
of
a
competitive
15
grant
program
to
provide
financing
to
construct
16
supportive
housing
or
develop
the
infrastructure
in
17
which
to
provide
supportive
services,
including
through
18
new
construction,
acquisition
and
rehabilitation
of
19
existing
housing
or
infrastructure,
or
conversion
or
20
adaptive
reuse.
21
2.
Moneys
transferred
by
the
authority
for
22
deposit
in
the
competitive
grant
program
fund,
moneys
23
appropriated
to
the
competitive
grant
program,
24
and
any
other
moneys
available
to
and
obtained
25
or
accepted
by
the
authority
for
placement
in
the
26
fund
shall
be
credited
to
the
fund.
Additionally,
27
payment
of
interest,
recaptures
of
awards,
and
other
28
repayments
to
the
fund
shall
be
credited
to
the
fund.
29
Notwithstanding
section
12C.7,
subsection
2,
interest
30
or
earnings
on
moneys
in
the
fund
shall
be
credited
31
to
the
fund.
Notwithstanding
section
8.33,
moneys
32
credited
to
the
fund
from
any
other
fund
that
remain
33
unencumbered
or
unobligated
at
the
close
of
the
fiscal
34
year
shall
not
revert
to
the
other
fund.
35
3.
The
authority
shall
allocate
moneys
in
the
36
fund
to
the
extent
available
for
the
development
of
37
supportive
housing
or
the
infrastructure
in
which
to
38
provide
supportive
services
for
individuals
who
meet
39
the
psychiatric
medical
institution
for
children
level
40
of
care
under
the
medical
assistance
program.
Moneys
41
allocated
to
such
projects
shall
be
in
the
form
of
42
competitive
grants.
An
application
submitted
shall
43
contain
a
commitment
of
at
least
a
dollar-for-dollar
44
match
of
the
grant
assistance.
45
4.
a.
A
project
shall
demonstrate
written
approval
46
of
the
project
by
the
department
of
human
services
to
47
the
authority
prior
to
application
for
funding
under
48
this
section.
49
b.
In
order
to
be
approved
by
the
department
of
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human
services
for
application
for
funding
under
this
1
section,
a
project
shall
include
all
of
the
following
2
components:
3
(1)
Provision
of
services
to
individuals
who
meet
4
the
psychiatric
medical
institution
for
children
level
5
of
care
under
the
medical
assistance
program.
6
(2)
Policies
and
procedures
that
prohibit
discharge
7
of
the
individual
from
the
services
provided
by
the
8
project
provider
unless
an
alternative
placement
that
9
is
acceptable
to
the
client
or
the
client’s
guardian
is
10
identified.
11
5.
Housing
provided
through
a
project
under
this
12
section
is
exempt
from
the
requirements
of
chapter
13
135O.
14
6.
The
authority,
in
collaboration
with
the
15
department
of
human
services,
shall
adopt
rules
16
pursuant
to
chapter
17A
to
administer
this
section.
17
Sec.
72.
Section
97B.39,
Code
2011,
is
amended
to
18
read
as
follows:
19
97B.39
Rights
not
transferable
or
subject
to
legal
20
process
——
exceptions.
21
The
right
of
any
person
to
any
future
payment
under
22
this
chapter
is
not
transferable
or
assignable,
at
23
law
or
in
equity,
and
the
moneys
paid
or
payable
or
24
rights
existing
under
this
chapter
are
not
subject
to
25
execution,
levy,
attachment,
garnishment,
or
other
26
legal
process,
or
to
the
operation
of
any
bankruptcy
27
or
insolvency
law
except
for
the
purposes
of
enforcing
28
child,
spousal,
or
medical
support
obligations
or
29
marital
property
orders
,
or
for
recovery
of
medical
30
assistance
payments
pursuant
to
section
249A.5
.
31
For
the
purposes
of
enforcing
child,
spousal,
or
32
medical
support
obligations,
the
garnishment
or
33
attachment
of
or
the
execution
against
compensation
34
due
a
person
under
this
chapter
shall
not
exceed
35
the
amount
specified
in
15
U.S.C.
§
1673(b).
The
36
system
shall
comply
with
the
provisions
of
a
marital
37
property
order
requiring
the
selection
of
a
particular
38
benefit
option,
designated
beneficiary,
or
contingent
39
annuitant
if
the
selection
is
otherwise
authorized
40
by
this
chapter
and
the
member
has
not
received
41
payment
of
the
member’s
first
retirement
allowance.
42
However,
a
marital
property
order
shall
not
require
43
the
payment
of
benefits
to
an
alternative
payee
prior
44
to
the
member’s
retirement,
prior
to
the
date
the
45
member
elects
to
receive
a
lump
sum
distribution
of
46
accumulated
contributions
pursuant
to
section
97B.53
,
47
or
in
an
amount
that
exceeds
the
benefits
the
member
48
would
otherwise
be
eligible
to
receive
pursuant
to
this
49
chapter
.
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Sec.
73.
Section
135.11,
Code
Supplement
2011,
is
1
amended
by
adding
the
following
new
subsection:
2
NEW
SUBSECTION
.
31.
Administer
a
public
awareness
3
program
for
human
papillomavirus
infection
vaccination
4
by
identifying
medically
accurate
materials
that
5
contain
information
regarding
the
risks
associated
with
6
the
various
forms
of
the
infection
in
causing
cervical
7
cancer,
and
any
other
diseases
for
which
the
department
8
may
recommend
immunization
or
immunization
information,
9
and
the
availability,
effectiveness,
and
potential
10
risks
of
those
vaccines.
The
department
shall
make
11
the
identified
materials
available
on
the
department’s
12
internet
site,
provide
education
and
training
to
13
health
professionals
and
the
general
public
regarding
14
the
vaccines,
and
notify
each
school
district
in
the
15
state
of
the
availability
of
the
information.
For
the
16
purposes
of
this
subsection,
“human
papillomavirus”
17
means
the
group
of
viruses
identified
by
the
centers
18
for
disease
control
and
prevention
of
the
United
States
19
department
of
health
and
human
services.
20
Sec.
74.
Section
135H.10,
subsection
3,
Code
2011,
21
is
amended
by
striking
the
subsection.
22
Sec.
75.
Section
144D.4,
as
enacted
by
2012
Iowa
23
Acts,
House
File
2165,
section
5,
is
amended
by
adding
24
the
following
new
subsection:
25
NEW
SUBSECTION
.
10.
A
POST
form
executed
between
26
July
1,
2008,
and
June
30,
2012,
as
part
of
the
patient
27
autonomy
in
health
care
decisions
pilot
project
created
28
pursuant
to
2008
Iowa
Acts,
chapter
1188,
section
36,
29
as
amended
by
2010
Iowa
Acts,
chapter
1192,
section
58,
30
shall
remain
effective
until
revoked
or
until
a
new
31
POST
form
is
executed
pursuant
to
this
chapter.
32
Sec.
76.
Section
225B.8,
Code
Supplement
2011,
is
33
amended
to
read
as
follows:
34
225B.8
Repeal.
35
This
chapter
is
repealed
July
1,
2012
2017
.
36
Sec.
77.
NEW
SECTION
.
231.45
Certified
volunteer
37
long-term
care
resident’s
advocate
program.
38
1.
The
department
shall
establish
a
certified
39
volunteer
long-term
care
resident’s
advocate
program
in
40
accordance
with
the
federal
Act
to
provide
assistance
41
to
the
state
and
local
long-term
care
resident’s
42
advocates.
43
2.
The
department
shall
develop
and
implement
a
44
certification
process
for
volunteer
long-term
care
45
resident’s
advocates
including
but
not
limited
to
46
an
application
process,
provision
for
background
47
checks,
classroom
or
on-site
training,
orientation,
and
48
continuing
education.
49
3.
The
provisions
of
section
231.42
relating
to
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local
long-term
care
resident’s
advocates
shall
apply
1
to
certified
volunteer
long-term
care
resident’s
2
advocates.
3
4.
The
department
shall
adopt
rules
pursuant
to
4
chapter
17A
to
administer
this
section.
5
Sec.
78.
Section
237.3,
Code
2011,
is
amended
by
6
adding
the
following
new
subsection:
7
NEW
SUBSECTION
.
11.
The
department
shall
adopt
8
rules
to
administer
a
certified
foster
care
respite
9
provider
program
to
provide
respite
in
a
licensed
10
foster
home.
The
certified
respite
provider
program
11
shall
provide
care,
supervision,
or
guidance
of
a
12
foster
child
when
the
child
is
placed
with
a
licensed
13
foster
home.
The
certified
foster
care
respite
14
provider
shall
be
responsible
to
have
liability
15
insurance
to
provide
for
any
loss
or
damage
arising
out
16
of
occurrences
during
the
provision
of
certified
foster
17
care
respite
provider
care.
18
Sec.
79.
Section
237.13,
subsection
4,
Code
2011,
19
is
amended
by
adding
the
following
new
paragraph:
20
NEW
PARAGRAPH
.
h.
Any
loss
or
damage
arising
out
21
of
occurrences
during
the
provision
of
certified
foster
22
care
respite
provider
care
pursuant
to
section
237.3,
23
subsection
11.
24
Sec.
80.
NEW
SECTION
.
239B.2C
Absence
from
home
25
——
incarceration.
26
An
individual
family
member
who
is
absent
from
the
27
home
for
more
than
three
months
because
the
individual
28
is
incarcerated
in
jail
or
a
correctional
facility
29
shall
not
be
included
in
the
family
unit
for
purposes
30
of
assistance.
31
Sec.
81.
NEW
SECTION
.
249A.17
Reimbursement
for
32
providers
of
outpatient
clinical
services
for
children.
33
1.
Providers
that
meet
the
criteria
specified
in
34
subsection
2,
shall
receive
cost-based
reimbursement
35
for
one
hundred
percent
of
the
reasonable
costs,
as
36
determined
by
Medicare
reimbursement
principles,
for
37
provision
of
outpatient
clinical
services
for
children
38
who
are
recipients
of
medical
assistance.
39
2.
In
order
to
be
eligible
for
reimbursement
under
40
this
section,
a
provider
shall
be
an
accredited,
41
nonprofit
agency
that
meets
all
of
the
following
42
criteria:
43
a.
Provides
clinical
outpatient
services
to
44
children
of
whom
at
least
sixty
percent
are
recipients
45
of
medical
assistance.
46
b.
Provides
at
least
three
children’s
mental
health
47
services
including
inpatient
services,
outpatient
48
services,
psychiatric
and
psychological
services,
and
49
behavioral
health
intervention
services.
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c.
Directly
employs
a
psychiatrist,
psychologist,
1
and
licensed
therapist.
2
Sec.
82.
Section
453A.35,
Code
Supplement
2011,
is
3
amended
to
read
as
follows:
4
453A.35
Tax
and
fees
paid
to
general
fund
——
5
standing
appropriation
to
health
care
trust
fund.
6
1.
a.
With
the
exception
of
revenues
credited
to
7
the
health
care
trust
fund
pursuant
to
paragraph
“b”
,
8
the
The
proceeds
derived
from
the
sale
of
stamps
and
9
the
payment
of
taxes,
fees,
and
penalties
provided
for
10
under
this
chapter
,
and
the
permit
fees
received
from
11
all
permits
issued
by
the
department,
shall
be
credited
12
to
the
general
fund
of
the
state.
13
b.
Of
the
revenues
generated
from
the
tax
on
14
cigarettes
pursuant
to
section
453A.6,
subsection
1
,
15
and
from
the
tax
on
tobacco
products
as
specified
in
16
section
453A.43,
subsections
1,
2,
3,
and
4
,
the
first
17
one
hundred
six
million
sixteen
thousand
four
hundred
18
dollars
shall
be
credited
to
the
health
care
trust
fund
19
created
in
section
453A.35A.
20
2.
All
permit
fees
provided
for
in
this
chapter
and
21
collected
by
cities
in
the
issuance
of
permits
granted
22
by
the
cities
shall
be
paid
to
the
treasurer
of
the
23
city
where
the
permit
is
effective,
or
to
another
city
24
officer
as
designated
by
the
council,
and
credited
to
25
the
general
fund
of
the
city.
Permit
fees
so
collected
26
by
counties
shall
be
paid
to
the
county
treasurer.
27
Sec.
83.
Section
453A.35A,
subsection
1,
Code
28
Supplement
2011,
is
amended
to
read
as
follows:
29
1.
A
health
care
trust
fund
is
created
in
the
30
office
of
the
treasurer
of
state.
The
fund
consists
31
of
the
revenues
generated
from
the
tax
on
cigarettes
32
pursuant
to
section
453A.6,
subsection
1
,
and
from
33
the
tax
on
tobacco
products
as
specified
in
section
34
453A.43
,
subsections
1,
2,
3,
and
4
,
that
are
credited
35
to
the
health
care
trust
fund,
annually,
pursuant
to
36
section
453A.35
derived
from
the
sale
of
stamps
and
37
the
payment
of
taxes,
fees,
and
penalties
provided
38
for
under
this
chapter,
and
the
permit
fees
received
39
from
all
permits
issued
by
the
department
.
Moneys
40
in
the
fund
shall
be
separate
from
the
general
fund
41
of
the
state
and
shall
not
be
considered
part
of
the
42
general
fund
of
the
state.
However,
the
fund
shall
43
be
considered
a
special
account
for
the
purposes
44
of
section
8.53
relating
to
generally
accepted
45
accounting
principles.
Moneys
in
the
fund
shall
be
46
used
only
as
specified
in
this
section
and
shall
be
47
appropriated
only
for
the
uses
specified.
Moneys
in
48
the
fund
are
not
subject
to
section
8.33
and
shall
49
not
be
transferred,
used,
obligated,
appropriated,
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or
otherwise
encumbered,
except
as
provided
in
this
1
section
.
Notwithstanding
section
12C.7,
subsection
2
,
2
interest
or
earnings
on
moneys
deposited
in
the
fund
3
shall
be
credited
to
the
fund.
4
Sec.
84.
COST-BASED
REIMBURSEMENT
——
PROVIDERS
OF
5
CHILDREN’S
OUTPATIENT
CLINICAL
SERVICES.
6
1.
The
department
of
human
services
shall
seek
7
federal
approval
to
amend
the
medical
assistance
8
program
state
plan
and
shall
amend
the
contract
9
with
the
department’s
managed
care
contractor
for
10
behavioral
health
services
under
the
medical
assistance
11
program
to
provide
medical
assistance
reimbursement
to
12
providers
that
meet
the
criteria
specified
in
section
13
249A.17,
as
enacted
in
this
division
of
this
Act,
at
14
100
percent
of
the
reasonable
costs
for
recipients
of
15
medical
assistance
for
outpatient
clinical
services
for
16
children.
17
2.
Implementation
of
section
249A.17,
as
enacted
18
in
this
division
of
this
Act,
is
contingent
upon
19
receipt
of
federal
approval
and
limited
to
the
funding
20
made
available
through
amending
the
contract
with
the
21
managed
care
contractor.
22
3.
The
department
shall
adopt
rules
pursuant
to
23
chapter
17A
to
provide
reimbursement
for
outpatient
24
clinical
services
for
children
as
described
in
this
25
section.
The
rules
shall
provide
that
reimbursement
26
shall
initially
be
paid
on
an
interim
basis
and
27
subsequently
adjusted
retroactively
based
on
submission
28
of
financial
and
statistical
reports
as
required
by
the
29
department.
30
Sec.
85.
EFFECTIVE
UPON
ENACTMENT.
The
section
31
of
this
division
of
this
Act
enacting
section
8A.441,
32
being
deemed
of
immediate
importance,
takes
effect
upon
33
enactment.
34
DIVISION
X
35
DIRECT
CARE
PROFESSIONALS
36
Sec.
86.
NEW
SECTION
.
152F.1
Definitions.
37
As
used
in
this
chapter,
unless
the
context
38
otherwise
requires:
39
1.
“Board”
means
the
board
of
direct
care
40
professionals
created
under
chapter
147.
41
2.
“Community
living
professional”
means
a
direct
42
care
associate
who
has
completed
advanced
training
and
43
is
certified
to
provide
home
and
community
living,
44
instrumental
activities
of
daily
living,
and
personal
45
support
services.
46
3.
“Direct
care
associate”
means
an
individual
who
47
has
completed
core
training
and
is
certified
to
provide
48
direct
care
services
in
the
state.
49
4.
“Direct
care
instructor”
means
an
individual
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approved
by
the
board
to
provide
direct
care
1
instruction
to
direct
care
professionals.
2
5.
“Direct
care
professional”
means
an
individual
3
who
provides
direct
care
services
for
compensation
4
and
is
a
direct
care
associate,
a
community
living
5
professional,
a
health
support
professional,
or
a
6
personal
support
professional.
7
6.
“Direct
care
services”
means
the
services
8
provided
to
individuals
who
are
ill
or
individuals
9
with
disabilities
as
specified
in
the
individual’s
10
service
plan
or
in
documented
goals,
including
but
11
not
limited
to
home
and
community
living
services,
12
instrumental
activities
of
daily
living
services,
13
personal
activities
of
daily
living
services,
personal
14
support
services,
and
health
monitoring
and
maintenance
15
services.
16
7.
“Direct
care
trainer”
means
a
direct
care
17
instructor
who
is
approved
by
the
board
to
train
18
instructors.
19
8.
“Health
monitoring
and
maintenance
services”
20
means
medically-oriented
services
that
assist
an
21
individual
in
maintaining
the
individual’s
health
22
including
measuring
intake
and
output;
providing
23
catheter
and
ostomy
care;
collecting
specimens;
24
checking
vital
signs,
including
temperature,
pulse,
25
respiration,
and
blood
pressure;
measuring
height
and
26
weight;
performing
range
of
motion
exercises;
providing
27
assistance
with
urinary
care;
and
application
of
28
thrombo
embolic
deterrent
hose
or
hot
and
cold
packs.
29
9.
“Health
support
professional”
means
a
direct
30
care
associate
who
has
completed
advanced
training
31
and
is
certified
to
provide
personal
activities
of
32
daily
living
and
health
monitoring
and
maintenance
33
services
or
a
direct
care
associate
who
has
met
the
34
federal
nurse
aide
requirements
pursuant
to
42
C.F.R.
§
35
483.152.
36
10.
“Home
and
community
living
services”
means
37
services
to
enhance
or
maintain
independence
of
38
individuals
including
such
activities
as
helping
39
individuals
develop
and
meet
personal
goals,
providing
40
direct
physical
and
emotional
support
and
assistance
41
for
persons
with
disabilities,
utilizing
crisis
42
intervention
and
positive
behavior
supports,
and
using
43
and
following
individual
support
plans.
44
11.
“Instrumental
activities
of
daily
living
45
services”
means
services
provided
to
assist
individuals
46
with
daily
living
tasks
to
allow
them
to
function
47
independently
in
a
home
or
community
setting,
including
48
but
not
limited
to
assistance
with
managing
money,
49
transportation,
light
housekeeping,
and
shopping
and
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cooking.
1
12.
“Personal
activities
of
daily
living
services”
2
means
services
to
assist
individuals
in
meeting
basic
3
needs,
including
but
not
limited
to
bathing,
back
rubs,
4
and
skin
care;
grooming
activities;
assistance
with
5
dressing
and
undressing;
assistance
with
eating
and
6
feeding;
assistance
with
toileting;
and
assistance
with
7
mobility,
including
transfers,
walking,
and
turning
in
8
bed.
9
13.
“Personal
support
professional”
means
a
direct
10
care
associate
who
has
completed
advanced
training
and
11
is
certified
to
provide
instrumental
activities
of
12
daily
living,
personal
activities
of
daily
living,
and
13
personal
support
services.
14
14.
“Personal
support
services”
means
support
15
services
provided
to
an
individual
as
the
individual
16
performs
personal
activities
of
daily
living
including
17
but
not
limited
to
coaching
and
prompting,
and
teaching
18
skills
and
behaviors.
19
15.
“Service
plan”
means
a
written,
20
consumer-centered,
outcome-based
plan
of
services.
21
16.
“Specialty
endorsement”
means
an
advanced
level
22
of
certification
based
on
requirements
developed
by
23
experts
in
a
particular
discipline
or
professional
area
24
and
approved
by
the
board.
25
Sec.
87.
NEW
SECTION
.
152F.2
Certification
26
required
——
exceptions
——
use
of
title.
27
1.
Unless
otherwise
exempt
under
section
152F.4,
28
beginning
January
1,
2014,
an
individual
shall
not
29
provide
direct
care
services
in
this
state
without
30
being
certified
as
a
direct
care
associate.
31
2.
An
individual
who
is
not
certified
pursuant
to
32
this
chapter
shall
not
use
words
or
titles
which
imply
33
or
represent
that
the
individual
is
certified
as
a
34
direct
care
professional
under
this
chapter.
35
3.
A
direct
care
associate
shall
not
act
as
36
or
represent
that
the
individual
is
a
direct
care
37
professional
with
advanced
training
certification
38
or
a
specialty
endorsement,
unless
the
direct
care
39
associate
is
first
certified
at
the
appropriate
level
40
of
certification
under
this
chapter.
41
4.
Notwithstanding
any
provision
to
the
contrary,
42
an
individual
who
completes
advanced
training
or
43
meets
the
requirements
for
a
specialty
endorsement
44
is
not
required
to
be
certified
at
that
level
if
45
the
individual
does
not
act
as
or
represent
that
the
46
individual
is
certified
at
that
level.
Section
147.83
47
does
not
apply
to
a
direct
care
associate
who
is
not
48
certified
as
a
direct
care
professional
with
advanced
49
training
certification
or
a
specialty
endorsement
if
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the
direct
care
associate
does
not
act
as
or
represent
1
that
the
individual
is
certified
at
that
level.
2
Sec.
88.
NEW
SECTION
.
152F.3
Requirements
to
3
obtain
certification
——
renewal
——
continuing
education
4
——
reciprocity.
5
1.
An
applicant
for
certification
as
a
direct
care
6
associate
shall
present
evidence
satisfactory
to
the
7
board
that
the
applicant
meets
all
of
the
following
8
requirements:
9
a.
The
applicant
has
successfully
completed
the
10
required
education
for
the
certification
from
a
11
board-approved
direct
care
instructor
or
direct
care
12
trainer.
13
b.
The
applicant
has
paid
all
fees
required
by
the
14
board.
15
c.
The
applicant
certifies
that
the
applicant
will
16
conduct
all
professional
activities
in
accordance
with
17
standards
for
professional
conduct
established
by
the
18
board.
19
2.
An
applicant
for
certification
as
a
direct
care
20
professional
with
advanced
training
or
a
specialty
21
endorsement
shall
present
evidence
satisfactory
to
the
22
board
that
the
applicant
meets
all
of
the
following
23
requirements:
24
a.
The
applicant
has
successfully
completed
the
25
required
education
for
the
certification
from
a
26
board-approved
direct
care
instructor
or
direct
care
27
trainer.
28
b.
The
applicant
has
paid
all
fees
required
by
the
29
board.
30
c.
The
applicant
has
passed
a
state
examination
31
approved
by
the
board.
32
d.
The
applicant
certifies
that
the
applicant
will
33
conduct
all
professional
activities
in
accordance
with
34
standards
for
professional
conduct
established
by
the
35
board.
36
3.
An
individual
shall
renew
the
individual’s
37
certification
biennially.
Prior
to
such
renewal,
the
38
individual
shall
present
evidence
that
the
individual
39
has
satisfied
continuing
education
requirements
and
40
shall
pay
a
renewal
fee
as
determined
by
the
board.
41
4.
The
board
shall
issue
the
appropriate
42
certification
to
an
applicant
who
demonstrates
43
experience
in
direct
care
services
in
another
state
and
44
meets
the
requirements
established
by
the
board
for
the
45
specific
certification.
46
Sec.
89.
NEW
SECTION
.
152F.4
Scope
of
chapter.
47
1.
The
provisions
of
this
chapter
do
not
apply
to
48
any
of
the
following:
49
a.
An
individual
who
is
providing
direct
care
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services
and
is
governed
by
a
collective
bargaining
1
agreement
in
place
before
July
1,
2017,
until
the
2
expiration
of
such
agreement.
3
b.
An
individual
providing
direct
care
services
to
4
a
family
member.
5
c.
An
individual
otherwise
licensed
who
is
6
operating
within
the
scope
of
that
license
and
who
does
7
not
represent
to
the
public
that
the
individual
is
a
8
direct
care
professional.
9
2.
This
chapter
shall
not
be
interpreted
to
10
preclude
an
individual
who
provides
direct
care
11
services
but
is
not
otherwise
required
to
be
certified
12
under
this
chapter
from
being
certified
under
this
13
chapter
on
a
voluntary
basis.
14
Sec.
90.
NEW
SECTION
.
152F.5
Duties
of
the
board.
15
The
board
shall
do
all
of
the
following:
16
1.
Adopt
rules
consistent
with
this
chapter,
17
chapter
147,
chapter
272,
and
the
recommendations
of
18
the
direct
care
worker
advisory
council
established
19
pursuant
to
2008
Iowa
Acts,
chapter
1188,
section
69,
20
which
are
necessary
for
the
performance
of
its
duties.
21
2.
Adopt
rules
to
provide
a
transition
process
22
that
allows
individuals
providing
direct
care
services
23
on
or
before
January
1,
2014,
who
are
subject
to
24
the
certification
requirements
of
this
chapter,
25
to
continue
providing
direct
care
services
while
26
completing
certification
under
this
chapter.
The
rules
27
shall
provide
that
certification
requirements
for
an
28
individual
subject
to
the
transition
process
are
based
29
on
consideration
of
previous
training,
employment
30
history,
and
experience.
An
individual
subject
to
the
31
transition
process
shall
complete
the
requirements
for
32
direct
care
associate
certification
within
a
time
frame
33
determined
by
rule
of
the
board.
34
3.
Establish
curriculum
requirements
for
health
35
support
professionals.
The
curriculum
requirements
36
established
shall
not
exceed
the
curriculum
37
requirements
specified
for
nurse
aides
pursuant
to
38
42
C.F.R.
§
483.152,
without
prior
approval
of
sixty
39
percent
of
the
members
of
the
board
and
prior
approval
40
of
the
department
of
inspections
and
appeals.
41
4.
Require
an
individual
to
undergo
criminal
42
history
and
child
and
dependent
adult
abuse
record
43
checks
prior
to
certification,
and
establish
record
44
checks
requirements
applicable
to
direct
care
45
professionals
consistent
with
section
135C.33.
46
5.
Establish
dependent
adult
abuse
reporting
and
47
training
requirements
consistent
with
chapters
235B
and
48
235E,
as
applicable.
49
6.
Establish
standards
and
guidelines
for
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certification
reciprocity.
1
7.
Establish
standards
and
guidelines
for
direct
2
care
professionals,
including
minimum
curriculum
3
requirements.
4
8.
Prepare
and
conduct,
or
prescribe,
an
5
examination
for
applicants
for
certification.
6
9.
Establish
standards
and
guidelines
for
direct
7
care
instructors
and
direct
care
trainers,
including
8
minimum
curriculum
requirements
and
continuing
9
education
requirements.
Training
and
continuing
10
education
guidelines
shall
provide
diverse
options
for
11
completion
of
the
training
and
continuing
education,
12
as
appropriate,
including
but
not
limited
to
online,
13
employer-based,
or
educational
institution-based
14
opportunities.
15
10.
Define
educational
activities
which
fulfill
16
continuing
education
requirements
for
renewal
of
17
certification.
18
11.
Establish
guidelines
for
inactive
certification
19
status
and
inactive
certification
reentry.
20
12.
Establish
a
grace
period
during
which
a
newly
21
employed
individual
may
provide
direct
care
services
22
before
being
required
to
complete
the
appropriate
level
23
of
certification
under
this
chapter.
24
Sec.
91.
NEW
SECTION
.
152F.6
Certification
25
suspension
and
revocation.
26
A
certification
issued
by
the
board
under
this
27
chapter
may
be
suspended
or
revoked,
or
renewal
of
28
certification
may
be
denied
by
the
board,
for
violation
29
of
any
provision
of
this
chapter,
section
147.55
or
30
272C.10,
or
rules
adopted
by
the
board.
31
Sec.
92.
Section
10A.402,
subsection
1,
Code
2011,
32
is
amended
to
read
as
follows:
33
1.
Investigations
relative
to
the
practice
of
34
regulated
professions
and
occupations,
except
those
35
within
the
jurisdiction
of
the
board
of
medicine,
the
36
board
of
pharmacy,
the
dental
board,
and
the
board
of
37
nursing
,
and
the
board
of
direct
care
professionals
.
38
Sec.
93.
Section
135.11A,
Code
2011,
is
amended
to
39
read
as
follows:
40
135.11A
Professional
licensure
division
——
other
41
licensing
boards
——
expenses
——
fees.
42
1.
There
shall
be
a
professional
licensure
43
division
within
the
department
of
public
health.
Each
44
board
under
chapter
147
or
under
the
administrative
45
authority
of
the
department,
except
the
board
of
46
nursing,
board
of
medicine,
dental
board,
and
board
of
47
pharmacy,
and
board
of
direct
care
professionals
shall
48
receive
administrative
and
clerical
support
from
the
49
division
and
may
not
employ
its
own
support
staff
for
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administrative
and
clerical
duties.
1
2.
The
professional
licensure
division
and
the
2
licensing
boards
may
expend
funds
in
addition
to
3
amounts
budgeted,
if
those
additional
expenditures
are
4
directly
the
result
of
actual
examination
and
exceed
5
funds
budgeted
for
examinations.
Before
the
division
6
or
a
licensing
board
expends
or
encumbers
an
amount
7
in
excess
of
the
funds
budgeted
for
examinations,
the
8
director
of
the
department
of
management
shall
approve
9
the
expenditure
or
encumbrance.
Before
approval
is
10
given,
the
department
of
management
shall
determine
11
that
the
examination
expenses
exceed
the
funds
budgeted
12
by
the
general
assembly
to
the
division
or
board
13
and
the
division
or
board
does
not
have
other
funds
14
from
which
examination
expenses
can
be
paid.
Upon
15
approval
of
the
department
of
management,
the
division
16
or
licensing
board
may
expend
and
encumber
funds
for
17
excess
examination
expenses.
The
amounts
necessary
to
18
fund
the
excess
examination
expenses
shall
be
collected
19
as
fees
from
additional
examination
applicants
and
20
shall
be
treated
as
repayment
receipts
as
defined
in
21
section
8.2
.
22
Sec.
94.
Section
135.31,
Code
2011,
is
amended
to
23
read
as
follows:
24
135.31
Location
of
boards
——
rulemaking.
25
The
offices
for
the
board
of
medicine,
the
board
26
of
pharmacy,
the
board
of
nursing,
and
the
dental
27
board
,
and
the
board
of
direct
care
professionals
shall
28
be
located
within
the
department
of
public
health.
29
The
individual
boards
shall
have
policymaking
and
30
rulemaking
authority.
31
Sec.
95.
Section
147.1,
subsections
3
and
6,
Code
32
2011,
are
amended
to
read
as
follows:
33
3.
“Licensed”
or
“certified”
,
when
applied
34
to
a
physician
and
surgeon,
podiatric
physician,
35
osteopathic
physician
and
surgeon,
physician
assistant,
36
psychologist,
chiropractor,
nurse,
dentist,
dental
37
hygienist,
dental
assistant,
optometrist,
speech
38
pathologist,
audiologist,
pharmacist,
physical
39
therapist,
physical
therapist
assistant,
occupational
40
therapist,
occupational
therapy
assistant,
respiratory
41
care
practitioner,
practitioner
of
cosmetology
arts
and
42
sciences,
practitioner
of
barbering,
funeral
director,
43
dietitian,
marital
and
family
therapist,
mental
health
44
counselor,
social
worker,
massage
therapist,
athletic
45
trainer,
acupuncturist,
nursing
home
administrator,
46
hearing
aid
dispenser,
or
sign
language
interpreter
or
47
transliterator
,
or
direct
care
professional
means
a
48
person
licensed
under
this
subtitle.
49
6.
“Profession”
means
medicine
and
surgery,
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podiatry,
osteopathic
medicine
and
surgery,
practice
1
as
a
physician
assistant,
psychology,
chiropractic,
2
nursing,
dentistry,
dental
hygiene,
dental
assisting,
3
optometry,
speech
pathology,
audiology,
pharmacy,
4
physical
therapy,
physical
therapist
assisting,
5
occupational
therapy,
occupational
therapy
assisting,
6
respiratory
care,
cosmetology
arts
and
sciences,
7
barbering,
mortuary
science,
marital
and
family
8
therapy,
mental
health
counseling,
social
work,
9
dietetics,
massage
therapy,
athletic
training,
10
acupuncture,
nursing
home
administration,
hearing
11
aid
dispensing,
or
sign
language
interpreting
12
or
transliterating
,
or
practice
as
a
direct
care
13
professional
.
14
Sec.
96.
Section
147.2,
subsection
1,
Code
2011,
is
15
amended
to
read
as
follows:
16
1.
A
person
shall
not
engage
in
the
practice
of
17
medicine
and
surgery,
podiatry,
osteopathic
medicine
18
and
surgery,
psychology,
chiropractic,
physical
19
therapy,
physical
therapist
assisting,
nursing,
20
dentistry,
dental
hygiene,
dental
assisting,
optometry,
21
speech
pathology,
audiology,
occupational
therapy,
22
occupational
therapy
assisting,
respiratory
care,
23
pharmacy,
cosmetology
arts
and
sciences,
barbering,
24
social
work,
dietetics,
marital
and
family
therapy
or
25
mental
health
counseling,
massage
therapy,
mortuary
26
science,
athletic
training,
acupuncture,
nursing
27
home
administration,
hearing
aid
dispensing,
or
sign
28
language
interpreting
or
transliterating,
or
shall
not
29
practice
as
a
physician
assistant
or
as
a
direct
care
30
professional
,
unless
the
person
has
obtained
a
license
31
for
that
purpose
from
the
board
for
the
profession.
32
Sec.
97.
Section
147.13,
Code
2011,
is
amended
by
33
adding
the
following
new
subsection:
34
NEW
SUBSECTION
.
24.
For
direct
care
professionals,
35
the
board
of
direct
care
professionals.
36
Sec.
98.
Section
147.14,
subsection
1,
Code
2011,
37
is
amended
by
adding
the
following
new
paragraph:
38
NEW
PARAGRAPH
.
x.
For
the
board
of
direct
care
39
professionals,
a
total
of
eleven
members,
six
of
whom
40
are
direct
care
professionals
who
represent
diverse
41
settings
and
populations
served,
two
members
of
the
42
public,
one
registered
nurse
who
serves
as
a
direct
43
care
instructor,
one
human
services
professional
who
44
serves
as
a
direct
care
instructor,
and
one
licensed
45
nursing
home
administrator.
46
Sec.
99.
Section
147.74,
Code
2011,
is
amended
by
47
adding
the
following
new
subsection:
48
NEW
SUBSECTION
.
24.
A
direct
care
professional
49
certified
under
chapter
152F
and
this
chapter
may
use
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the
following:
1
a.
A
direct
care
professional
certified
as
a
2
direct
care
associate
may
use
the
title
“direct
care
3
associate”
or
the
letters
“D.C.A.”
after
the
person’s
4
name.
5
b.
A
direct
care
professional
certified
as
a
6
community
living
professional
may
use
the
title
7
“community
living
professional”
or
the
letters
“C.L.P.”
8
after
the
person’s
name.
9
c.
A
direct
care
professional
certified
as
a
10
personal
support
professional
may
use
the
title
11
“personal
support
professional”
or
the
letters
“P.S.P.”
12
after
the
person’s
name.
13
d.
A
direct
care
professional
certified
as
a
14
health
support
professional
may
use
the
title
“health
15
support
professional”
or
the
letters
“H.S.P.”
after
the
16
person’s
name.
17
e.
A
direct
care
professional
certified
with
a
18
specialty
endorsement
may
use
the
title
or
letters
19
determined
by
the
specialty
endorsement
entity
and
20
approved
by
the
board
of
direct
care
professionals.
21
f.
A
direct
care
professional
who
complies
with
22
federal
nurse
aide
requirements
pursuant
to
42
C.F.R.
§
23
483.152
may
use
the
title
“certified
nursing
assistant”
24
or
the
letters
“C.N.A.”
after
the
person’s
name.
25
Sec.
100.
Section
147.80,
subsection
3,
Code
2011,
26
is
amended
to
read
as
follows:
27
3.
The
board
of
medicine,
the
board
of
pharmacy,
28
the
dental
board,
and
the
board
of
nursing
,
and
29
the
board
of
direct
care
professionals
shall
retain
30
individual
executive
officers,
but
shall
make
31
every
effort
to
share
administrative,
clerical,
and
32
investigative
staff
to
the
greatest
extent
possible.
33
Sec.
101.
Section
147.88,
Code
2011,
is
amended
to
34
read
as
follows:
35
147.88
Inspections
and
investigations.
36
The
department
of
inspections
and
appeals
may
37
perform
inspections
and
investigations
as
required
by
38
this
subtitle,
except
inspections
and
investigations
39
for
the
board
of
medicine,
board
of
pharmacy,
board
of
40
nursing,
and
the
dental
board
,
and
the
board
of
direct
41
care
professionals
.
The
department
of
inspections
42
and
appeals
shall
employ
personnel
related
to
the
43
inspection
and
investigative
functions.
44
Sec.
102.
Section
272C.1,
subsection
6,
Code
2011,
45
is
amended
by
adding
the
following
new
paragraph:
46
NEW
PARAGRAPH
.
ag.
The
board
of
direct
care
47
professionals,
created
pursuant
to
chapter
147.
48
Sec.
103.
TRANSITION
PROVISIONS.
49
1.
An
individual
providing
direct
care
services
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on
or
before
January
1,
2014,
who
is
subject
to
the
1
certification
requirements
of
this
division
of
this
2
Act,
may
continue
providing
direct
care
services
3
while
completing
certification
as
required
under
4
this
division
of
this
Act.
The
board
of
direct
5
care
professionals
shall
adopt
rules
to
provide
that
6
certification
requirements
for
an
individual
subject
to
7
the
transition
process
are
based
on
consideration
of
8
previous
training,
employment
history,
and
experience,
9
and
require
such
individuals
to
complete
the
10
requirements
for
direct
care
associate
certification
11
within
the
time
frame
determined
by
rule
of
the
board.
12
2.
An
individual
who
is
registered
on
or
before
13
January
1,
2014,
on
the
Iowa
direct
care
worker
14
registry
established
by
the
department
of
inspections
15
and
appeals,
is
deemed
to
meet
the
certification
16
requirements
for
a
health
support
professional
under
17
this
division
of
this
Act.
18
3.
Notwithstanding
sections
147.14
and
147.16,
19
for
the
initial
board
of
direct
care
professionals,
20
the
governor
may
appoint,
subject
to
confirmation
by
21
the
senate,
in
lieu
of
the
six
members
required
to
be
22
direct
care
professionals
and
the
two
members
required
23
to
be
direct
care
instructors,
members
with
experience
24
and
expertise
that
is
substantially
equivalent
to
25
the
professional
requirements
for
a
direct
care
26
professional
or
direct
care
instructor,
as
applicable.
27
Sec.
104.
IMPLEMENTATION.
The
provisions
of
this
28
division
of
this
Act
shall
be
implemented
as
follows:
29
1.
The
sections
of
this
division
of
this
Act
30
relating
to
the
board
of
direct
care
professionals
31
including
sections
152F.1
and
152F.5,
as
enacted
in
32
this
division
of
this
Act;
sections
10A.402,
135.11A,
33
135.31,
147.13,
147.14,
147.80,
147.88,
and
272C.1,
as
34
amended
in
this
division
of
this
Act,
and
as
specified
35
in
the
transition
provisions;
and
the
section
of
this
36
division
of
this
Act
providing
transition
provisions
37
relating
to
the
board
shall
be
implemented
so
that
a
38
board
of
direct
care
professionals
is
appointed
no
39
later
than
December
15,
2012.
40
2.
The
sections
of
this
division
of
this
Act
41
relating
to
requirements
for
certification
of
direct
42
care
professionals
including
sections
152F.2,
152F.3,
43
152F.4,
and
152F.6,
as
enacted
in
this
division
of
this
44
Act;
and
sections
147.1,
147.2,
and
147.74,
as
amended
45
in
this
division
of
this
Act,
shall
be
implemented
so
46
that
the
requirements
are
applicable
beginning
no
later
47
than
January
1,
2014.
48
Sec.
105.
FUNDING
PROVISIONS.
49
1.
The
department
of
public
health
shall
limit
the
50
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indirect
service
charge
for
the
board
of
direct
care
1
professionals
to
not
more
than
fifteen
percent.
2
2.
It
is
the
intent
of
the
general
assembly
3
that
the
board
of
direct
care
professionals
be
4
self-sustaining
by
January
1,
2017.
5
Sec.
106.
EFFECTIVE
UPON
ENACTMENT.
This
division
6
of
this
Act,
being
deemed
of
immediate
importance,
7
takes
effect
upon
enactment.
8
DIVISION
XI
9
DISTRIBUTION
OF
FAMILY
PLANNING
FUNDS
10
Sec.
107.
DISTRIBUTION
OF
FAMILY
PLANNING
FUNDS.
11
1.
As
used
in
this
section,
unless
the
context
12
otherwise
requires:
13
a.
“Department”
means
department
as
defined
in
14
section
7E.4.
15
b.
“Federally
qualified
health
center”
means
a
16
health
care
provider
that
is
eligible
for
federal
17
funding
under
42
U.S.C.
§
1396d(l)(2)(B).
18
2.
Notwithstanding
any
other
law
to
the
contrary,
19
any
expenditure,
award,
or
other
distribution
of
state
20
or
federal
family
planning
funds
shall
be
made
to
21
eligible
applicants
in
the
following
order
of
priority:
22
a.
Public
entities
that
provide
family
planning
23
services
including
state,
county,
or
local
community
24
health
clinics
and
federally
qualified
health
centers.
25
b.
Nonpublic
entities
that,
in
addition
to
family
26
planning
services,
provide
required
primary
health
27
services
as
described
in
42
U.S.C.
§
254b(b)(1)(A).
28
c.
Nonpublic
entities
that
provide
family
planning
29
services
but
do
not
provide
required
primary
health
30
services
as
described
in
42
U.S.C.
§
254b(b)(1)(A).
31
3.
A
department
shall
ensure
distribution
of
32
federal
family
planning
funds
in
a
manner
that
does
not
33
severely
limit
or
eliminate
access
to
family
planning
34
services
in
any
region
of
the
state.
35
4.
A
department
shall
not
distribute
state
or
36
federal
family
planning
funds
under
this
section
to
37
any
entity
that
performs
abortions
or
that
maintains
38
or
operates
a
facility
where
abortions
are
performed.
39
For
the
purposes
of
this
section,
“abortion”
does
not
40
include
any
of
the
following:
41
a.
The
treatment
of
a
woman
for
a
physical
42
disorder,
physical
injury,
or
physical
illness,
43
including
a
life-endangering
physical
condition
caused
44
by
or
arising
from
the
pregnancy
itself,
that
would,
45
as
certified
by
a
physician,
place
the
woman
in
danger
46
of
death.
47
b.
The
treatment
of
a
woman
for
a
spontaneous
48
abortion,
commonly
known
as
a
miscarriage,
when
not
all
49
of
the
products
of
conception
are
expelled.
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5.
State
or
federal
family
planning
funds
1
distributed
in
accordance
with
this
section
shall
not
2
be
used
for
direct
or
indirect
costs,
including
but
not
3
limited
to
administrative
costs
or
expenses,
overhead,
4
employee
salaries,
rent,
and
telephone
and
other
5
utilities,
related
to
providing
abortions
as
specified
6
in
subsection
4.
7
6.
Any
department
that
distributes
state
or
federal
8
family
planning
funds
shall
submit
a
report
to
the
9
governor
and
the
general
assembly,
annually
by
December
10
31,
listing
any
entities
receiving
family
planning
11
funds
as
described
in
subsection
2,
paragraph
“c”,
and
12
the
amount
and
type
of
funds
received
by
such
entities
13
during
the
preceding
calendar
year.
The
report
shall
14
provide
a
detailed
explanation
of
how
the
department
15
determined
that
distribution
of
family
planning
funds
16
to
such
an
entity,
instead
of
to
an
entity
described
17
in
subsection
2
paragraph
“a”
or
“b”,
was
necessary
to
18
prevent
severe
limitation
or
elimination
of
access
to
19
family
planning
services
in
the
region
of
the
state
in
20
which
the
entity
is
located.
>
21
______________________________
DAVID
JOHNSON
______________________________
NANCY
J.
BOETTGER
______________________________
JAMES
A.
SEYMOUR
______________________________
JERRY
BEHN
______________________________
BRAD
ZAUN
______________________________
RICK
BERTRAND
______________________________
STEVE
KETTERING
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______________________________
JAMES
F.
HAHN
______________________________
ROBERT
BACON
______________________________
BILL
ANDERSON
______________________________
RANDY
FEENSTRA
______________________________
ROBY
SMITH
______________________________
JACK
WHITVER
______________________________
TIM
KAPUCIAN
______________________________
MERLIN
BARTZ
______________________________
SANDRA
H.
GREINER
______________________________
MARK
CHELGREN
______________________________
HUBERT
HOUSER
______________________________
KENT
SORENSON
______________________________
JONI
ERNST
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______________________________
PAT
WARD
______________________________
BILL
DIX
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