CCH-2460
REPORT
OF
THE
CONFERENCE
COMMITTEE
ON
HOUSE
FILE
2460
To
the
Speaker
of
the
House
of
Representatives
and
the
President
of
the
Senate:
We,
the
undersigned
members
of
the
conference
committee
appointed
to
resolve
the
differences
between
the
House
of
Representatives
and
the
Senate
on
House
File
2460,
a
bill
for
an
Act
relating
to
appropriations
for
health
and
human
services
and
veterans
and
including
other
related
provisions
and
appropriations,
and
including
effective
date
and
retroactive
and
other
applicability
provisions,
respectfully
make
the
following
report:
1.
That
the
Senate
recedes
from
its
amendment,
H-8277.
2.
That
House
File
2460,
as
amended,
passed,
and
reprinted
by
the
House,
is
amended
to
read
as
follows:
1.
By
striking
everything
after
the
enacting
clause
and
inserting:
<
DIVISION
I
DEPARTMENT
ON
AGING
——
FY
2016-2017
Section
1.
2015
Iowa
Acts,
chapter
137,
section
121,
is
amended
to
read
as
follows:
SEC.
121.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
on
aging
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
aging
programs
for
the
department
on
aging
and
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
aging
and
disabilities
resource
center,
and
other
services
which
may
include
but
are
not
limited
to
adult
day
services,
respite
care,
chore
services,
information
and
assistance,
and
material
aid,
for
information
and
options
counseling
for
persons
with
disabilities
who
are
18
years
of
age
or
older,
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and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
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.
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.
$
5,699,866
12,548,603
.
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.
FTEs
31.00
1.
Funds
appropriated
in
this
section
may
be
used
to
supplement
federal
funds
under
federal
regulations.
To
receive
funds
appropriated
in
this
section,
a
local
area
agency
on
aging
shall
match
the
funds
with
moneys
from
other
sources
according
to
rules
adopted
by
the
department.
Funds
appropriated
in
this
section
may
be
used
for
elderly
services
not
specifically
enumerated
in
this
section
only
if
approved
by
an
area
agency
on
aging
for
provision
of
the
service
within
the
area.
2.
Of
the
funds
appropriated
in
this
section,
$139,973
$279,946
is
transferred
to
the
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
retired
and
senior
volunteer
program.
3.
a.
The
department
on
aging
shall
establish
and
enforce
procedures
relating
to
expenditure
of
state
and
federal
funds
by
area
agencies
on
aging
that
require
compliance
with
both
state
and
federal
laws,
rules,
and
regulations,
including
but
not
limited
to
all
of
the
following:
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
or
services
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(2)
Prohibiting
prepayment
for
goods
or
services
not
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(3)
Prohibiting
the
prepayment
for
goods
or
services
not
defined
specifically
by
good
or
service,
time
period,
or
recipient.
(4)
Prohibiting
the
establishment
of
accounts
from
which
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future
goods
or
services
which
are
not
defined
specifically
by
good
or
service,
time
period,
or
recipient,
may
be
purchased.
b.
The
procedures
shall
provide
that
if
any
funds
are
expended
in
a
manner
that
is
not
in
compliance
with
the
procedures
and
applicable
federal
and
state
laws,
rules,
and
regulations,
and
are
subsequently
subject
to
repayment,
the
area
agency
on
aging
expending
such
funds
in
contravention
of
such
procedures,
laws,
rules
and
regulations,
not
the
state,
shall
be
liable
for
such
repayment.
4.
Of
the
funds
appropriated
in
this
section,
at
least
$125,000
$250,000
shall
be
used
to
fund
the
unmet
needs
identified
through
Iowa’s
aging
and
disability
resource
center
network.
5.
Of
the
funds
appropriated
in
this
section,
at
least
$300,000
$600,000
shall
be
used
to
fund
home
and
community-based
services
through
the
area
agencies
on
aging
that
enable
older
individuals
to
avoid
more
costly
utilization
of
residential
or
institutional
services
and
remain
in
their
own
homes.
6.
Of
the
funds
appropriated
in
this
section,
$406,833
$962,537
shall
be
used
for
the
purposes
of
chapter
231E
and
section
231.56A
,
of
which
$144,333
$350,000
shall
be
used
for
the
office
of
substitute
decision
maker
pursuant
to
chapter
231E
,
and
the
remainder
shall
be
distributed
equally
to
the
area
agencies
on
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
with
the
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
7.
Of
the
funds
appropriated
in
this
section,
$1,000,000
shall
be
used
to
fund
continuation
of
the
aging
and
disability
resource
center
lifelong
links
to
provide
individuals
and
caregivers
with
information
and
services
to
plan
for
and
maintain
independence.
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DIVISION
II
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2016-2017
Sec.
2.
2015
Iowa
Acts,
chapter
137,
section
122,
is
amended
to
read
as
follows:
SEC.
122.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
office
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
$
638,391
1,376,783
.
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.
FTEs
17.00
18.00
2.
Of
the
funds
appropriated
in
this
section,
$110,000
$220,000
shall
be
used
to
continue
to
provide
for
additional
local
long-term
care
ombudsmen.
3.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
to
provide
an
additional
long-term
care
ombudsman
to
provide
assistance
and
advocacy
related
to
long-term
care
services
and
supports
under
the
Medicaid
program
pursuant
to
section
231.44.
DIVISION
III
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2016-2017
Sec.
3.
2015
Iowa
Acts,
chapter
137,
section
123,
is
amended
to
read
as
follows:
SEC.
123.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
public
health
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
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CCH-2460
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
and
other
drugs,
and
treating
individuals
affected
by
addictive
behaviors,
including
gambling,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
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.
.
$
13,631,845
26,988,690
.
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.
FTEs
10.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$2,624,180
$5,248,361
shall
be
used
for
the
tobacco
use
prevention
and
control
initiative,
including
efforts
at
the
state
and
local
levels,
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
prevention
and
control
established
pursuant
to
section
142A.3
shall
advise
the
director
of
public
health
in
prioritizing
funding
needs
and
the
allocation
of
moneys
appropriated
for
the
programs
and
initiatives.
Activities
of
the
programs
and
initiatives
shall
be
in
alignment
with
the
United
States
centers
for
disease
control
and
prevention
best
practices
for
comprehensive
tobacco
control
programs
that
include
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
cessation.
To
maximize
resources,
the
department
shall
determine
if
third-party
sources
are
available
to
instead
provide
nicotine
replacement
products
to
an
applicant
prior
to
provision
of
such
products
to
an
applicant
under
the
initiative.
The
department
shall
track
and
report
to
the
individuals
specified
in
this
Act
,
any
reduction
in
the
provision
of
nicotine
replacement
products
realized
by
the
initiative
through
implementation
of
the
prerequisite
screening.
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
$226,533
is
transferred
to
the
The
department
shall
collaborate
with
the
alcoholic
beverages
division
of
the
department
of
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commerce
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
tobacco
control
activities
approved
by
the
division
of
tobacco
use
prevention
and
control
of
the
department
of
public
health
as
specified
in
the
memorandum
of
understanding
entered
into
between
the
divisions.
(b)
For
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
terms
of
the
memorandum
of
understanding,
entered
into
between
the
division
of
tobacco
use
prevention
and
control
of
the
department
of
public
health
and
the
alcoholic
beverages
division
of
the
department
of
commerce,
governing
compliance
checks
conducted
to
ensure
licensed
retail
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
ordinances
relating
to
persons
under
eighteen
18
years
of
age,
shall
continue
to
restrict
the
number
of
such
checks
to
one
check
per
retail
outlet,
and
one
additional
check
for
any
retail
outlet
found
to
be
in
violation
during
the
first
check.
b.
Of
the
funds
appropriated
in
this
subsection,
$11,007,664
$21,740,329
shall
be
used
for
problem
gambling
and
substance-related
disorder
prevention,
treatment,
and
recovery
services,
including
a
24-hour
helpline,
public
information
resources,
professional
training,
youth
prevention,
and
program
evaluation.
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$9,451,857
shall
be
used
for
substance-related
disorder
prevention
and
treatment.
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
$449,650
shall
be
used
for
the
public
purpose
of
a
grant
program
to
provide
substance-related
disorder
prevention
programming
for
children.
(i)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$213,769
shall
be
used
for
grant
funding
for
organizations
that
provide
programming
for
children
by
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
certified
or
must
be
certified
within
six
months
of
receiving
the
grant
award
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by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
standards
for
effective
practice
for
mentoring
programs.
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$213,419
shall
be
used
for
grant
funding
for
organizations
providing
programming
that
includes
youth
development
and
leadership
services.
The
programs
shall
also
be
recognized
as
being
programs
that
are
scientifically
based
with
evidence
of
their
effectiveness
in
reducing
substance-related
disorders
in
children.
(iii)
The
department
of
public
health
shall
utilize
a
request
for
proposals
process
to
implement
the
grant
program.
(iv)
All
grant
recipients
shall
participate
in
a
program
evaluation
as
a
requirement
for
receiving
grant
funds.
(v)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
up
to
$22,461
may
be
used
to
administer
substance-related
disorder
prevention
grants
and
for
program
evaluations.
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
$136,301
shall
be
used
for
culturally
competent
substance-related
disorder
treatment
pilot
projects.
(i)
The
department
shall
utilize
the
amount
allocated
in
this
subparagraph
division
(b)
for
at
least
three
pilot
projects
to
provide
culturally
competent
substance-related
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
project
shall
target
a
particular
ethnic
minority
population.
The
populations
targeted
shall
include
but
are
not
limited
to
African
American,
Asian,
and
Latino.
(ii)
The
pilot
project
requirements
shall
provide
for
documentation
or
other
means
to
ensure
access
to
the
cultural
competence
approach
used
by
a
pilot
project
so
that
such
approach
can
be
replicated
and
improved
upon
in
successor
programs.
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
to
$1,555,807
may
be
used
for
problem
gambling
prevention,
treatment,
and
recovery
services.
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(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
$1,286,881
shall
be
used
for
problem
gambling
prevention
and
treatment.
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$218,926
may
be
used
for
a
24-hour
helpline,
public
information
resources,
professional
training,
and
program
evaluation.
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$50,000
may
be
used
for
the
licensing
of
problem
gambling
treatment
programs.
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
diagnosis
of
substance-related
disorder
and
gambling
addiction
shall
be
given
priority
in
treatment
services.
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
to
standardize
the
availability,
delivery,
cost
of
delivery,
and
accountability
of
problem
gambling
and
substance-related
disorder
treatment
services
statewide,
the
department
shall
continue
implementation
of
a
process
to
create
a
system
for
delivery
of
treatment
services
in
accordance
with
the
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
subsection
4
.
To
ensure
the
system
provides
a
continuum
of
treatment
services
that
best
meets
the
needs
of
Iowans,
the
problem
gambling
and
substance-related
disorder
treatment
services
in
any
area
may
be
provided
either
by
a
single
agency
or
by
separate
agencies
submitting
a
joint
proposal.
(1)
The
system
for
delivery
of
substance-related
disorder
and
problem
gambling
treatment
shall
include
problem
gambling
prevention.
(2)
The
system
for
delivery
of
substance-related
disorder
and
problem
gambling
treatment
shall
include
substance-related
disorder
prevention
by
July
1,
2017.
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
may
use
up
to
$50,000
for
administrative
costs
to
continue
developing
and
implementing
the
process
in
accordance
with
this
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paragraph
“c”.
d.
The
requirement
of
section
123.53
123.17
,
subsection
5
,
is
met
by
the
appropriations
and
allocations
made
in
this
division
of
this
Act
for
purposes
of
substance-related
disorder
treatment
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2016.
e.
The
department
of
public
health
shall
work
with
all
other
departments
that
fund
substance-related
disorder
prevention
and
treatment
services
and
all
such
departments
shall,
to
the
extent
necessary,
collectively
meet
the
state
maintenance
of
effort
requirements
for
expenditures
for
substance-related
disorder
services
as
required
under
the
federal
substance-related
disorder
prevention
and
treatment
block
grant.
2.
HEALTHY
CHILDREN
AND
FAMILIES
For
promoting
the
optimum
health
status
for
children,
adolescents
from
birth
through
21
years
of
age,
and
families,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,308,771
5,693,774
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$367,420
$734,841
shall
be
used
for
the
healthy
opportunities
for
parents
to
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
established
pursuant
to
section
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
that
were
provided
to
the
grantees
that
operated
the
program
during
the
fiscal
year
ending
June
30,
2016.
b.
In
order
to
implement
the
legislative
intent
stated
in
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
program
funding
be
given
to
programs
using
evidence-based
or
promising
models
for
home
visitation,
it
is
the
intent
of
the
general
assembly
to
phase
in
the
funding
priority
in
accordance
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with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2
,
paragraph
“0b”.
c.
Of
the
funds
appropriated
in
this
subsection,
$1,099,414
$3,275,059
shall
be
used
for
continuation
of
the
department’s
initiative
to
provide
for
adequate
developmental
surveillance
and
screening
during
a
child’s
first
five
years.
The
funds
shall
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
the
sites
are
fully
operational,
with
the
remaining
funds
to
be
used
for
expansion
to
additional
sites.
The
full
implementation
and
expansion
shall
include
enhancing
the
scope
of
the
program
through
collaboration
with
the
child
health
specialty
clinics
to
promote
healthy
child
development
through
early
identification
and
response
to
both
biomedical
and
social
determinants
of
healthy
development;
by
monitoring
child
health
metrics
to
inform
practice,
document
long-term
health
impacts
and
savings,
and
provide
for
continuous
improvement
through
training,
education,
and
evaluation;
and
by
providing
for
practitioner
consultation
particularly
for
children
with
behavioral
conditions
and
needs.
The
department
of
public
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
and
the
child
health
specialty
clinics
to
integrate
the
activities
of
the
first
five
initiative
into
the
establishment
of
patient-centered
medical
homes,
community
utilities,
accountable
care
organizations,
and
other
integrated
care
models
developed
to
improve
health
quality
and
population
health
while
reducing
health
care
costs.
To
the
maximum
extent
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
as
matching
funds
for
medical
assistance
program
reimbursement.
d.
Of
the
funds
appropriated
in
this
subsection,
$37,320
$74,640
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
funds
to
continue
the
donated
dental
services
program
patterned
after
the
projects
developed
by
the
lifeline
network
to
provide
dental
services
to
indigent
individuals
who
are
elderly
or
with
disabilities.
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e.
Of
the
funds
appropriated
in
this
subsection,
$55,997
$111,995
shall
be
used
for
childhood
obesity
prevention.
f.
Of
the
funds
appropriated
in
this
subsection,
$81,384
$162,768
shall
be
used
to
provide
audiological
services
and
hearing
aids
for
children.
The
department
may
enter
into
a
contract
to
administer
this
paragraph.
g.
Of
the
funds
appropriated
in
this
subsection,
$12,500
$25,000
is
transferred
to
the
university
of
Iowa
college
of
dentistry
for
provision
of
primary
dental
services
to
children.
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
department
of
public
health,
bureau
of
oral
and
health
delivery
systems,
to
provide
dental
care
to
underserved
populations
throughout
the
state.
h.
Of
the
funds
appropriated
in
this
subsection,
$25,000
$50,000
shall
be
used
to
address
youth
suicide
prevention.
i.
Of
the
funds
appropriated
in
this
subsection,
$25,000
$50,000
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
of
children
who
experience
adverse
childhood
experiences
known
as
ACEs.
j.
The
department
of
public
health
shall
continue
to
administer
the
program
to
assist
parents
in
this
state
with
costs
resulting
from
the
death
of
a
child
in
accordance
with
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
subsection
12
.
3.
CHRONIC
CONDITIONS
For
serving
individuals
identified
as
having
chronic
conditions
or
special
health
care
needs,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,477,846
5,080,692
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
a.
Of
the
funds
appropriated
in
this
subsection,
$79,966
$159,932
shall
be
used
for
grants
to
individual
patients
who
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have
an
inherited
metabolic
disorder
to
assist
with
the
costs
of
medically
necessary
foods
and
formula.
b.
Of
the
funds
appropriated
in
this
subsection,
$445,822
$1,041,644
shall
be
used
for
the
brain
injury
services
program
pursuant
to
section
135.22B
,
including
for
continuation
of
the
contracts
for
resource
facilitator
services
in
accordance
with
section
135.22B,
subsection
9
,
and
to
enhance
brain
injury
training
and
recruitment
of
service
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
this
paragraph,
$47,500
$95,000
shall
be
used
to
fund
one
full-time
equivalent
position
to
serve
as
the
state
brain
injury
services
program
manager.
c.
Of
the
funds
appropriated
in
this
subsection,
$273,991
$547,982
shall
be
used
as
additional
funding
to
leverage
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
grants.
d.
Of
the
funds
appropriated
in
this
subsection,
$74,911
$149,823
shall
be
used
for
the
public
purpose
of
continuing
to
contract
with
an
existing
national-affiliated
organization
to
provide
education,
client-centered
programs,
and
client
and
family
support
for
people
living
with
epilepsy
and
their
families.
The
amount
allocated
in
this
paragraph
in
excess
of
$50,000
$100,000
shall
be
matched
dollar-for-dollar
by
the
organization
specified.
e.
Of
the
funds
appropriated
in
this
subsection,
$392,557
$785,114
shall
be
used
for
child
health
specialty
clinics.
f.
Of
the
funds
appropriated
in
this
subsection,
$200,000
$400,000
shall
be
used
by
the
regional
autism
assistance
program
established
pursuant
to
section
256.35
,
and
administered
by
the
child
health
specialty
clinic
located
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
interagency
collaboration
and
coordination
of
educational,
medical,
and
other
human
services
for
persons
with
autism,
their
families,
and
providers
of
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services,
including
delivering
regionalized
services
of
care
coordination,
family
navigation,
and
integration
of
services
through
the
statewide
system
of
regional
child
health
specialty
clinics
and
fulfilling
other
requirements
as
specified
in
chapter
225D
.
The
university
of
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
indirect
costs
associated
with
the
regional
autism
assistance
program.
g.
Of
the
funds
appropriated
in
this
subsection,
$285,496
$594,543
shall
be
used
for
the
comprehensive
cancer
control
program
to
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
detection,
effective
treatment,
and
ensuring
quality
of
life.
Of
the
funds
allocated
in
this
paragraph
“g”,
$75,000
$150,000
shall
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
biorepository
and
registry,
basic
and
translational
melanoma
research,
and
clinical
trials.
h.
Of
the
funds
appropriated
in
this
subsection,
$63,225
$101,450
shall
be
used
for
cervical
and
colon
cancer
screening,
and
$150,000
$300,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
cancer
screening
program
to
include
provision
of
recommended
prevention
and
early
detection
measures
to
a
broader
range
of
low-income
women.
i.
Of
the
funds
appropriated
in
this
subsection,
$263,347
$526,695
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
j.
Of
the
funds
appropriated
in
this
subsection,
$64,705
$129,411
shall
be
used
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M
.
k.
Of
the
funds
appropriated
in
this
subsection,
$107,631
$215,263
shall
be
used
by
the
department
of
public
health
for
reform-related
activities,
including
but
not
limited
to
facilitation
of
communication
to
stakeholders
at
the
state
and
local
level,
administering
the
patient-centered
health
advisory
council
pursuant
to
section
135.159
,
and
involvement
in
health
care
system
innovation
activities
occurring
across
the
state.
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l.
Of
the
funds
appropriated
in
this
subsection,
$12,500
$25,000
shall
be
used
for
administration
of
chapter
124D
,
the
medical
cannabidiol
Act.
4.
COMMUNITY
CAPACITY
For
strengthening
the
health
care
delivery
system
at
the
local
level,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,410,667
7,339,136
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
13.00
a.
Of
the
funds
appropriated
in
this
subsection,
$49,707
$99,414
is
allocated
for
continuation
of
the
child
vision
screening
program
implemented
through
the
university
of
Iowa
hospitals
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
The
program
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
regarding
the
use
of
funds
allocated
under
this
paragraph
“a”.
The
report
shall
include
the
objectives
and
results
for
the
program
year
including
the
target
population
and
how
the
funds
allocated
assisted
the
program
in
meeting
the
objectives;
the
number,
age,
and
location
within
the
state
of
individuals
served;
the
type
of
services
provided
to
the
individuals
served;
the
distribution
of
funds
based
on
service
provided;
and
the
continuing
needs
of
the
program.
b.
Of
the
funds
appropriated
in
this
subsection,
$55,328
$110,656
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
and
$49,952
$99,904
is
allocated
for
continuation
of
an
initiative
at
the
state
mental
health
institute
at
Cherokee
to
expand
and
improve
the
workforce
engaged
in
mental
health
treatment
and
services.
The
initiatives
shall
receive
input
from
the
university
of
Iowa,
the
department
of
human
services,
the
department
of
public
health,
and
the
mental
health
and
disability
services
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CCH-2460
commission
to
address
the
focus
of
the
initiatives.
c.
Of
the
funds
appropriated
in
this
subsection,
$582,314
$1,164,628
shall
be
used
for
essential
public
health
services
that
promote
healthy
aging
throughout
one’s
lifespan,
contracted
through
a
formula
for
local
boards
of
health,
to
enhance
health
promotion
and
disease
prevention
services.
d.
Of
the
funds
appropriated
in
this
section
subsection
,
$49,643
$99,286
shall
be
deposited
in
the
governmental
public
health
system
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
fund.
e.
Of
the
funds
appropriated
in
this
subsection,
$52,724
shall
be
used
to
continue
to
address
the
shortage
of
mental
health
professionals
in
the
state.
f.
Of
the
funds
appropriated
in
this
subsection,
$25,000
$50,000
shall
be
used
for
a
grant
to
a
statewide
association
of
psychologists
that
is
affiliated
with
the
American
psychological
association
to
be
used
for
continuation
of
a
program
to
rotate
intern
psychologists
in
placements
in
urban
and
rural
mental
health
professional
shortage
areas,
as
defined
in
section
135.180
.
g.
(1)
Of
the
funds
appropriated
in
this
subsection,
$1,441,484
$1,210,770
shall
be
allocated
as
a
grant
to
the
Iowa
primary
care
association
to
be
used
pursuant
to
section
135.153
for
the
statewide
coordination
of
the
Iowa
collaborative
safety
net
provider
network.
Coordination
of
the
network
shall
focus
on
increasing
access
by
underserved
populations
to
health
care
services,
increasing
integration
of
the
health
system
and
collaboration
across
the
continuum
of
care
with
a
focus
on
safety
net
services,
and
enhancing
the
Iowa
collaborative
safety
net
provider
network’s
communication
and
education
efforts.
The
amount
allocated
as
a
grant
under
this
subparagraph
(1)
shall
be
used
as
follows
to
support
the
Iowa
collaborative
safety
net
provider
network
goals
of
increased
access,
health
system
integration,
and
engagement:
-15-
HF2460.3950
(6)
86
pf/rh/rn
15/
124
CCH-2460
(a)
For
distribution
to
safety
net
partners
in
the
state
that
work
to
increase
access
of
the
underserved
population
to
health
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
512,742
1,025,485
(i)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$206,707
not
less
than
$413,415
shall
be
distributed
to
the
Iowa
prescription
drug
corporation
for
continuation
of
the
pharmaceutical
infrastructure
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
chapter
218,
section
108
.
(ii)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$174,161
not
less
than
$348,322
shall
be
distributed
to
free
clinics
and
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
securing
a
medical
home
inclusive
of
oral
health
care.
(iii)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$25,000
not
less
than
$50,000
shall
be
distributed
to
the
Iowa
coalition
against
sexual
assault
to
continue
a
training
program
for
sexual
assault
response
team
(SART)
members,
including
representatives
of
law
enforcement,
victim
advocates,
prosecutors,
and
certified
medical
personnel.
(iv)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$106,874
not
less
than
$213,748
shall
be
distributed
to
the
Polk
county
medical
society
for
continuation
of
the
safety
net
provider
patient
access
to
a
specialty
health
care
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109
.
(c)
For
distribution
to
safety
net
partners
in
the
state
that
work
to
serve
as
a
resource
for
credible,
accurate
information
on
health
care-related
needs
and
services
for
vulnerable
populations
in
the
state
including
the
Iowa
association
of
rural
health
clinics
for
necessary
infrastructure
and
service
delivery
transformation
and
the
Iowa
-16-
HF2460.3950
(6)
86
pf/rh/rn
16/
124
CCH-2460
primary
care
association
to
support
partner
engagement,
program
management,
and
statewide
coordination
of
the
network:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
92,642
185,285
(2)
The
amount
allocated
under
this
paragraph
“g”
shall
not
be
reduced
for
administrative
or
other
costs
prior
to
distribution.
The
Iowa
collaborative
safety
net
provider
network
may
continue
to
distribute
funds
allocated
pursuant
to
this
paragraph
“g”
through
existing
contracts
or
renewal
of
existing
contracts.
(3)
For
each
goal
of
the
Iowa
collaborative
safety
net
provider
network,
the
Iowa
primary
care
association
shall
submit
a
progress
report
to
the
individuals
designated
in
this
Act
for
submission
of
reports
by
December
15,
2016,
including
progress
in
developing
and
implementing
the
network,
how
the
funds
were
distributed
and
used
in
developing
and
implementing
the
network,
and
the
remaining
needs
identified
to
fully
develop
and
implement
the
network.
h.
Of
the
funds
appropriated
in
this
subsection,
$106,700
$213,400
shall
be
used
for
continuation
of
the
work
of
the
direct
care
worker
advisory
council
established
pursuant
to
2008
Iowa
Acts,
chapter
1188,
section
69
,
in
implementing
the
recommendations
in
the
final
report
submitted
by
the
advisory
council
to
the
governor
and
the
general
assembly
in
March
2012,
including
by
continuing
to
develop,
promote,
and
make
available
on
a
statewide
basis
the
prepare-to-care
core
curriculum
and
its
associated
modules
and
specialties
through
various
formats
including
online
access,
community
colleges,
and
other
venues;
exploring
new
and
maintaining
existing
specialties
including
but
not
limited
to
oral
health
and
dementia
care;
supporting
instructor
training;
and
assessing
and
making
recommendations
concerning
the
Iowa
care
book
and
information
technology
systems
and
infrastructure
uses
and
needs.
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
-17-
HF2460.3950
(6)
86
pf/rh/rn
17/
124
CCH-2460
$108,187
$216,375
shall
be
used
for
allocation
to
allocated
for
continuation
of
the
contract
with
an
independent
statewide
direct
care
worker
organization
previously
selected
through
a
request
for
proposals
process.
The
contract
shall
continue
to
include
performance
and
outcomes
measures,
and
shall
continue
to
allow
the
contractor
to
use
a
portion
of
the
funds
received
under
the
contract
to
collect
data
to
determine
results
based
on
the
performance
and
outcomes
measures.
(2)
Of
the
funds
appropriated
in
this
subsection,
$37,500
$75,000
shall
be
used
to
provide
scholarships
or
other
forms
of
subsidization
for
direct
care
worker
educational
conferences,
training,
or
outreach
activities.
j.
Of
the
funds
appropriated
in
this
subsection,
the
department
may
use
up
to
$29,087
$58,175
for
up
to
one
full-time
equivalent
position
to
administer
the
volunteer
health
care
provider
program
pursuant
to
section
135.24
.
k.
Of
the
funds
appropriated
in
this
subsection,
$50,000
$100,000
shall
be
used
for
a
matching
dental
education
loan
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
service
corporation
to
continue
to
develop
the
criteria
and
implement
the
loan
repayment
program.
l.
Of
the
funds
appropriated
in
this
subsection,
$52,911
$105,823
is
transferred
to
the
college
student
aid
commission
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
261.113
to
be
used
for
the
purposes
of
the
fund.
m.
Of
the
funds
appropriated
in
this
subsection,
$125,000
$250,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
specified
in
section
142C.18
.
n.
Of
the
funds
appropriated
in
this
subsection,
$50,000
$100,000
shall
be
used
for
continuation
of
a
grant
to
a
nationally
affiliated
volunteer
eye
organization
that
has
an
established
program
for
children
and
adults
and
that
is
solely
dedicated
to
preserving
sight
and
preventing
blindness
through
education,
nationally
certified
vision
screening
and
training,
-18-
HF2460.3950
(6)
86
pf/rh/rn
18/
124
CCH-2460
and
community
and
patient
service
programs.
The
organization
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
regarding
the
use
of
funds
allocated
under
this
paragraph
“n”.
The
report
shall
include
the
objectives
and
results
for
the
program
year
including
the
target
population
and
how
the
funds
allocated
assisted
the
program
in
meeting
the
objectives;
the
number,
age,
and
location
within
the
state
of
individuals
served;
the
type
of
services
provided
to
the
individuals
served;
the
distribution
of
funds
based
on
services
provided;
and
the
continuing
needs
of
the
program.
o.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
$2,000,000
shall
be
deposited
in
the
medical
residency
training
account
created
in
section
135.175,
subsection
5,
paragraph
“a”
,
and
is
appropriated
from
the
account
to
the
department
of
public
health
to
be
used
for
the
purposes
of
the
medical
residency
training
state
matching
grants
program
as
specified
in
section
135.176
.
However,
notwithstanding
any
provision
to
the
contrary
in
section
135.176
,
priority
in
the
awarding
of
grants
for
the
fiscal
year
beginning
July
1,
2016,
shall
be
given
to
sponsors
approved
but
not
funded
in
the
prior
fiscal
year
competitive
procurement
process
that
proposed
preference
in
the
use
of
the
grant
funds
for
internal
medicine
positions,
and
priority
in
the
awarding
of
the
remaining
moneys
shall
be
given
to
sponsors
that
propose
preference
in
the
use
of
the
grant
funds
for
psychiatric
residency
positions
and
family
practice
residency
positions.
p.
Of
the
funds
appropriated
in
this
subsection,
$78,309
$156,619
is
allocated
to
the
university
of
Iowa
hospitals
and
clinics
to
continue
a
systematic
and
evidence-based
practice
collaborative
care
model
to
improve
outcomes
of
mental
health
treatment
in
primary
care
settings
in
the
state.
Funds
shall
be
used
to
establish
the
collaborative
care
model
in
several
primary
care
practices
in
rural
and
urban
areas
throughout
the
-19-
HF2460.3950
(6)
86
pf/rh/rn
19/
124
CCH-2460
state,
to
provide
staffing
to
administer
the
model,
and
to
provide
staff
training
and
database
management
to
track
and
manage
patient
outcomes.
q.
Of
the
funds
appropriated
in
this
subsection,
$100,000
shall
be
used
by
the
department
of
public
health
to
develop
recommendations
to
be
submitted
in
a
report
by
December
15,
2016,
as
otherwise
described
in
this
division
of
this
Act,
including
those
for
a
broader,
more
systematic
and
strategic
workforce
initiative,
which
may
include
a
comprehensive
study
of
workforce
program
needs
and
the
establishment
of
an
advisory
workgroup.
5.
HEALTHY
AGING
To
provide
public
health
services
that
reduce
risks
and
invest
in
promoting
and
protecting
good
health
over
the
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
vulnerable
populations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
7,297,142
6.
INFECTIOUS
DISEASES
For
reducing
the
incidence
and
prevalence
of
communicable
diseases,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,577
1,335,155
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
7.
PUBLIC
PROTECTION
For
protecting
the
health
and
safety
of
the
public
through
establishing
standards
and
enforcing
regulations,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,169,595
4,399,191
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
136.00
137.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
-20-
HF2460.3950
(6)
86
pf/rh/rn
20/
124
CCH-2460
than
$227,350
$454,700
shall
be
credited
to
the
emergency
medical
services
fund
created
in
section
135.25
.
Moneys
in
the
emergency
medical
services
fund
are
appropriated
to
the
department
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
appropriated
in
this
subsection,
$101,516
$203,032
shall
be
used
for
sexual
violence
prevention
programming
through
a
statewide
organization
representing
programs
serving
victims
of
sexual
violence
through
the
department’s
sexual
violence
prevention
program.
The
amount
allocated
in
this
paragraph
“b”
shall
not
be
used
to
supplant
funding
administered
for
other
sexual
violence
prevention
or
victims
assistance
programs.
c.
Of
the
funds
appropriated
in
this
subsection,
$299,375
$598,751
shall
be
used
for
the
state
poison
control
center.
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
1140,
section
102
,
the
federal
matching
funds
available
to
the
state
poison
control
center
from
the
department
of
human
services
under
the
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
administrative
cap
rule
of
10
percent
applicable
to
funding
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
included
within
the
department’s
calculations
of
the
cap.
d.
Of
the
funds
appropriated
in
this
subsection,
$268,875
$537,750
shall
be
used
for
childhood
lead
poisoning
provisions.
8.
RESOURCE
MANAGEMENT
For
establishing
and
sustaining
the
overall
ability
of
the
department
to
deliver
services
to
the
public,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
427,536
1,005,072
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
9.
MISCELLANEOUS
PROVISIONS
a.
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
-21-
HF2460.3950
(6)
86
pf/rh/rn
21/
124
CCH-2460
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
b.
The
department
of
public
health
shall
conduct
a
sampling
of
the
entities
to
which
appropriated
funds
are
allocated,
granted,
or
otherwise
distributed
under
this
section
and
shall
require
such
entities
to
submit
a
progress
report
to
the
department
by
September
1,
2016,
which
includes
the
objectives
and
results
of
the
program
since
the
initial
receipt
of
state
funding
and
how
the
funds
are
assisting
the
program
in
meeting
the
objectives,
specifying
the
target
population
served
and
the
type
of
services
provided,
and
identifying
the
continuing
needs
of
the
recipient
entity
and
the
service
population.
The
department
shall
review
the
information
reported
and
shall
make
recommendations
to
the
governor
and
the
general
assembly
by
December
15,
2016,
to
realign,
bundle,
or
otherwise
redistribute
funding
to
meet
the
needs
identified
and
improve
services
during
the
subsequent
fiscal
year.
c.
The
department
of
public
health
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
by
December
15,
2016,
regarding
a
proposal
for
realigning,
bundling,
redistributing,
or
otherwise
adjusting
the
department’s
funding
streams
to
reflect
the
department’s
priorities
and
goals
and
to
provide
increased
flexibility
in
the
distribution
of
funding
to
meet
these
priorities
and
goals.
The
proposal
shall
specifically
include
recommendations
for
a
broader,
more
systematic
and
strategic
workforce
initiative
which
may
include
a
comprehensive
study
of
workforce
program
needs
and
the
establishment
of
an
advisory
workgroup.
The
proposal
shall
also
specifically
include
strategies,
developed
in
collaboration
with
the
department
of
education,
to
encourage
elementary
and
secondary
education
students
to
pursue
careers
in
the
fields
of
health
and
health
care.
DIVISION
IV
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CCH-2460
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2016-2017
Sec.
4.
2015
Iowa
Acts,
chapter
137,
section
124,
is
amended
to
read
as
follows:
SEC.
124.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
veterans
affairs
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
For
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,273
1,200,546
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,797,498
7,594,996
a.
The
Iowa
veterans
home
billings
involving
the
department
of
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
c.
Within
available
resources
and
in
conformance
with
associated
state
and
federal
program
eligibility
requirements,
the
Iowa
veterans
home
may
implement
measures
to
provide
financial
assistance
to
or
on
behalf
of
veterans
or
their
spouses
who
are
participating
in
the
community
reentry
program.
e.
The
Iowa
veterans
home
shall
expand
the
annual
discharge
report
to
also
include
applicant
information
and
to
provide
for
the
collection
of
demographic
information
including
but
not
limited
to
the
number
of
individuals
applying
for
admission
and
admitted
or
denied
admittance
and
the
basis
for
the
admission
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CCH-2460
or
denial;
the
age,
gender,
and
race
of
such
individuals;
and
the
level
of
care
for
which
such
individuals
applied
for
admission
including
residential
or
nursing
level
of
care.
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
For
transfer
to
the
Iowa
finance
authority
for
the
continuation
of
the
home
ownership
assistance
program
for
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
the
United
States,
pursuant
to
section
16.54
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,000
2,500,000
Sec.
5.
2015
Iowa
Acts,
chapter
137,
section
125,
is
amended
to
read
as
follows:
SEC.
125.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
amount
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
section
for
the
following
designated
purposes
shall
not
exceed
the
following
amount:
For
the
county
commissions
of
veteran
affairs
fund
under
section
35A.16
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
990,000
DIVISION
V
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2016-2017
Sec.
6.
2015
Iowa
Acts,
chapter
137,
section
126,
is
amended
to
read
as
follows:
SEC.
126.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT.
There
is
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
from
moneys
received
under
the
federal
temporary
assistance
for
needy
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
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124
CCH-2460
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
To
be
credited
to
the
family
investment
program
account
and
used
for
assistance
under
the
family
investment
program
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,568,497
5,112,462
2.
To
be
credited
to
the
family
investment
program
account
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
program
and
implementing
family
investment
agreements
in
accordance
with
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,069,089
5,575,693
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
2,898,980
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
encumbered
or
obligated
on
or
before
September
30,
2016
2017
,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
35,774,331
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
3,744,000
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,523,555
-25-
HF2460.3950
(6)
86
pf/rh/rn
25/
124
CCH-2460
46,866,826
a.
Of
the
funds
appropriated
in
this
subsection,
$13,164,048
$26,328,097
is
transferred
to
the
child
care
and
development
block
grant
appropriation
made
by
the
Eighty-sixth
General
Assembly,
2016
Session,
for
the
federal
fiscal
year
beginning
October
1,
2016,
and
ending
September
30,
2017.
Of
this
amount,
$100,000
$200,000
shall
be
used
for
provision
of
educational
opportunities
to
registered
child
care
home
providers
in
order
to
improve
services
and
programs
offered
by
this
category
of
providers
and
to
increase
the
number
of
providers.
The
department
may
contract
with
institutions
of
higher
education
or
child
care
resource
and
referral
centers
to
provide
the
educational
opportunities.
Allowable
administrative
costs
under
the
contracts
shall
not
exceed
5
percent.
The
application
for
a
grant
shall
not
exceed
two
pages
in
length.
b.
Any
funds
appropriated
in
this
subsection
remaining
unallocated
shall
be
used
for
state
child
care
assistance
payments
for
families
who
are
employed
including
but
not
limited
to
individuals
enrolled
in
the
family
investment
program.
7.
For
distribution
to
counties
and
regions
through
the
property
tax
relief
fund
for
mental
health
and
disability
services
as
provided
in
an
appropriation
made
for
this
purpose:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
8.
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
37,256,580
9.
For
child
abuse
prevention
grants:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
125,000
10.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
-26-
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(6)
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pf/rh/rn
26/
124
CCH-2460
1,930,067
Pregnancy
prevention
grants
shall
be
awarded
to
programs
in
existence
on
or
before
July
1,
2016,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2016,
if
the
programs
are
based
on
existing
models
that
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
section
14,
subsections
1
and
2
,
including
the
requirement
that
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
the
awarding
of
grants
shall
be
given
to
programs
that
serve
areas
of
the
state
which
demonstrate
the
highest
percentage
of
unplanned
pregnancies
of
females
of
childbearing
age
within
the
geographic
area
to
be
served
by
the
grant.
11.
For
technology
needs
and
other
resources
necessary
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
management
requirements:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
1,037,186
12.
For
the
family
investment
program
share
of
the
costs
to
continue
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,327,440
5,654,880
13.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2015
or
2016
Iowa
Acts
regarding
the
receipt
and
appropriation
of
federal
block
grants,
federal
funds
from
the
temporary
assistance
for
needy
families
block
grant
received
by
the
state
and
not
otherwise
appropriated
in
this
section
and
remaining
available
for
the
fiscal
year
beginning
July
1,
2016,
are
appropriated
to
the
department
of
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
the
following
priority
order:
the
family
investment
program,
for
state
child
care
-27-
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pf/rh/rn
27/
124
CCH-2460
assistance
program
payments
for
families
who
are
employed,
and
for
the
family
investment
program
share
of
costs
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system.
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
all
other
funds
appropriated
in
subsection
1
for
the
assistance
under
the
family
investment
program,
in
subsection
6
for
child
care
assistance,
or
in
subsection
12
for
the
family
investment
program
share
of
the
costs
to
continue
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system,
as
applicable,
have
been
expended.
For
the
purposes
of
this
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
and
development
block
grant
appropriation
are
considered
fully
expended
when
the
full
amount
has
been
transferred.
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
legislative
services
agency
and
department
of
management
of
the
amount
of
funds
appropriated
in
this
subsection
that
was
expended
in
the
prior
quarter.
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
$12,962,008
for
the
fiscal
year
beginning
July
1,
2016,
is
transferred
to
the
appropriation
of
the
federal
social
services
block
grant
made
to
the
department
of
human
services
for
that
fiscal
year.
15.
For
continuation
of
the
program
providing
categorical
eligibility
for
the
food
assistance
program
as
specified
for
the
program
in
the
section
of
this
division
of
this
2016
Act
relating
to
the
family
investment
program
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
25,000
16.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
services
referred
to
in
this
section
and
those
funded
in
the
-28-
HF2460.3950
(6)
86
pf/rh/rn
28/
124
CCH-2460
appropriation
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
the
family
investment
program
from
the
general
fund
of
the
state.
Sec.
7.
2015
Iowa
Acts,
chapter
137,
section
127,
is
amended
to
read
as
follows:
SEC.
127.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1.
Moneys
credited
to
the
family
investment
program
(FIP)
account
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
shall
be
used
to
provide
assistance
in
accordance
with
chapter
239B
.
2.
The
department
may
use
a
portion
of
the
moneys
credited
to
the
FIP
account
under
this
section
as
necessary
for
salaries,
support,
maintenance,
and
miscellaneous
purposes.
3.
The
department
may
transfer
funds
allocated
in
subsection
4
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
family
investment
program
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
the
family
investment
program
from
the
general
fund
of
the
state.
4.
Moneys
appropriated
in
this
division
of
this
Act
and
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
are
allocated
as
follows:
a.
To
be
retained
by
the
department
of
human
services
to
be
used
for
coordinating
with
the
department
of
human
rights
to
more
effectively
serve
participants
in
FIP
and
other
shared
clients
and
to
meet
federal
reporting
requirements
under
the
federal
temporary
assistance
for
needy
families
block
grant:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
20,000
b.
To
the
department
of
human
rights
for
staffing,
administration,
and
implementation
of
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
-29-
HF2460.3950
(6)
86
pf/rh/rn
29/
124
CCH-2460
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
6,192,834
(1)
Of
the
funds
allocated
for
the
family
development
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
administration
of
the
grant
program.
(2)
The
department
of
human
rights
may
continue
to
implement
the
family
development
and
self-sufficiency
grant
program
statewide
during
fiscal
year
2016-2017.
(3)
The
department
of
human
rights
may
engage
in
activities
to
strengthen
and
improve
family
outcomes
measures
and
data
collection
systems
under
the
family
development
and
self-sufficiency
grant
program.
c.
For
the
diversion
subaccount
of
the
FIP
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
815,000
A
portion
of
the
moneys
allocated
for
the
subaccount
may
be
used
for
field
operations,
salaries,
data
management
system
development,
and
implementation
costs
and
support
deemed
necessary
by
the
director
of
human
services
in
order
to
administer
the
FIP
diversion
program.
To
the
extent
moneys
allocated
in
this
paragraph
“c”
are
not
deemed
by
the
department
to
be
necessary
to
support
diversion
activities,
such
moneys
may
be
used
for
other
efforts
intended
to
increase
engagement
by
family
investment
program
participants
in
work,
education,
or
training
activities.
d.
For
the
food
assistance
employment
and
training
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
66,588
(1)
The
department
shall
apply
the
federal
supplemental
nutrition
assistance
program
(SNAP)
employment
and
training
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
-30-
HF2460.3950
(6)
86
pf/rh/rn
30/
124
CCH-2460
provisions
for
the
claiming
of
allowable
federal
reimbursement
funds
from
the
United
States
department
of
agriculture
pursuant
to
the
federal
SNAP
employment
and
training
program
for
providing
education,
employment,
and
training
services
for
eligible
food
assistance
program
participants,
including
but
not
limited
to
related
dependent
care
and
transportation
expenses.
(2)
The
department
shall
continue
the
categorical
federal
food
assistance
program
eligibility
at
160
percent
of
the
federal
poverty
level
and
continue
to
eliminate
the
asset
test
from
eligibility
requirements,
consistent
with
federal
food
assistance
program
requirements.
The
department
shall
include
as
many
food
assistance
households
as
is
allowed
by
federal
law.
The
eligibility
provisions
shall
conform
to
all
federal
requirements
including
requirements
addressing
individuals
who
are
incarcerated
or
otherwise
ineligible.
e.
For
the
JOBS
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,770,199
16,129,101
5.
Of
the
child
support
collections
assigned
under
FIP,
an
amount
equal
to
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
recovery
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
the
child
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
payments
account.
If
as
a
consequence
of
the
appropriations
and
allocations
made
in
this
section
the
resulting
amounts
are
insufficient
to
sustain
cash
assistance
payments
and
meet
federal
maintenance
of
effort
requirements,
the
department
shall
seek
supplemental
funding.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
to
be
required
for
maintenance
of
effort,
the
-31-
HF2460.3950
(6)
86
pf/rh/rn
31/
124
CCH-2460
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
payments
account.
6.
The
department
may
adopt
emergency
rules
for
the
family
investment,
JOBS,
food
assistance,
and
medical
assistance
programs
if
necessary
to
comply
with
federal
requirements.
Sec.
8.
2015
Iowa
Acts,
chapter
137,
section
128,
is
amended
to
read
as
follows:
SEC.
128.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
To
be
credited
to
the
family
investment
program
(FIP)
account
and
used
for
family
investment
program
assistance
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,336,937
48,673,875
1.
Of
the
funds
appropriated
in
this
section,
$3,701,110
$10,553,408
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
$3,313,854
is
allocated
for
the
family
development
and
self-sufficiency
grant
program.
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
beginning
July
1,
2016,
if
necessary
to
meet
federal
maintenance
of
effort
requirements
;
or
to
transfer
federal
temporary
assistance
for
needy
families
block
grant
funding
to
be
used
for
purposes
of
the
federal
social
services
block
grant
;
or
to
meet
cash
flow
needs
resulting
from
delays
in
receiving
federal
funding
;
or
to
implement,
in
accordance
with
this
division
of
this
Act,
activities
currently
funded
with
juvenile
court
services,
county,
or
community
moneys
and
state
moneys
used
in
combination
with
such
moneys
;
to
comply
with
federal
requirements;
or
to
maximize
the
use
of
-32-
HF2460.3950
(6)
86
pf/rh/rn
32/
124
CCH-2460
federal
funds
,
the
department
of
human
services
may
transfer
funds
within
or
between
any
of
the
appropriations
made
in
this
division
of
this
Act
and
appropriations
in
law
for
the
federal
social
services
block
grant
to
the
department
for
the
following
purposes,
provided
that
the
combined
amount
of
state
and
federal
temporary
assistance
for
needy
families
block
grant
funding
for
each
appropriation
remains
the
same
before
and
after
the
transfer:
a.
For
the
family
investment
program.
b.
For
child
care
assistance.
c.
For
child
and
family
services.
d.
For
field
operations.
e.
For
general
administration.
f.
For
distribution
to
counties
or
regions
through
the
property
tax
relief
fund
for
mental
health
and
disability
services
as
provided
in
an
appropriation
for
this
purpose.
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
The
department
shall
report
any
transfers
made
pursuant
to
this
subsection
to
the
legislative
services
agency.
4.
Of
the
funds
appropriated
in
this
section,
$97,839
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
organization
with
a
history
of
providing
tax
preparation
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
of
the
state.
5.
Of
the
funds
appropriated
in
this
section,
$30,000
$60,000
shall
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
defined
in
441
IAC
100.1
,
relating
to
parental
obligations,
in
which
the
child
support
recovery
unit
participates,
to
support
the
efforts
of
a
nonprofit
organization
committed
to
strengthening
the
community
through
youth
development,
healthy
living,
and
social
responsibility
-33-
HF2460.3950
(6)
86
pf/rh/rn
33/
124
CCH-2460
headquartered
in
a
county
with
a
population
over
350,000.
The
funds
allocated
in
this
subsection
shall
be
used
by
the
recipient
organization
to
develop
a
larger
community
effort,
through
public
and
private
partnerships,
to
support
a
broad-based
multi-county
fatherhood
initiative
that
promotes
payment
of
child
support
obligations,
improved
family
relationships,
and
full-time
employment.
6.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
field
operations
as
necessary
to
administer
this
section
and
the
overall
family
investment
program.
Sec.
9.
2015
Iowa
Acts,
chapter
137,
section
129,
is
amended
to
read
as
follows:
SEC.
129.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
child
support
recovery,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,331,686
14,663,373
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
1.
The
department
shall
expend
up
to
$12,164
$24,329
,
including
federal
financial
participation,
for
the
fiscal
year
beginning
July
1,
2016,
for
a
child
support
public
awareness
campaign.
The
department
and
the
office
of
the
attorney
general
shall
cooperate
in
continuation
of
the
campaign.
The
public
awareness
campaign
shall
emphasize,
through
a
variety
of
media
activities,
the
importance
of
maximum
involvement
of
both
parents
in
the
lives
of
their
children
as
well
as
the
importance
of
payment
of
child
support
obligations.
-34-
HF2460.3950
(6)
86
pf/rh/rn
34/
124
CCH-2460
2.
Federal
access
and
visitation
grant
moneys
shall
be
issued
directly
to
private
not-for-profit
agencies
that
provide
services
designed
to
increase
compliance
with
the
child
access
provisions
of
court
orders,
including
but
not
limited
to
neutral
visitation
sites
and
mediation
services.
3.
The
appropriation
made
to
the
department
for
child
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
manner
necessary
for
purposes
of
cash
flow
management,
and
for
cash
flow
management
purposes
the
department
may
temporarily
draw
more
than
the
amount
appropriated,
provided
the
amount
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
4.
With
the
exception
of
the
funding
amount
specified,
the
requirements
established
under
2001
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
be
applicable
to
parental
obligation
pilot
projects
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017.
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
in
effect
until
June
30,
2017.
Sec.
10.
2015
Iowa
Acts,
chapter
137,
section
132,
is
amended
to
read
as
follows:
SEC.
132.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
assistance
program
reimbursement
and
associated
costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2016,
except
as
otherwise
expressly
authorized
by
law,
consistent
with
options
under
federal
law
and
regulations,
and
contingent
upon
receipt
of
approval
from
the
office
of
the
governor
of
reimbursement
for
each
abortion
performed
under
the
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
651,595,782
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1,318,246,446
1.
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
Funds
appropriated
under
this
section
shall
not
be
used
for
abortions,
unless
otherwise
authorized
under
this
section.
2.
The
provisions
of
this
section
relating
to
abortions
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
pursuant
to
chapter
249N
.
3.
The
department
shall
utilize
not
more
than
$30,000
$60,000
of
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
health
insurance
premium
payment
program
as
established
in
1992
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$2,500
$5,000
may
be
expended
for
administrative
purposes.
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
of
public
health
for
addictive
disorders,
$475,000
$950,000
for
the
fiscal
year
beginning
July
1,
2016,
is
transferred
to
the
department
of
human
services
for
an
integrated
substance-related
disorder
managed
care
system.
The
department
shall
not
assume
management
of
the
substance-related
disorder
system
in
place
of
the
managed
care
contractor
unless
such
a
change
in
approach
is
specifically
authorized
in
law.
The
departments
of
human
services
and
public
health
shall
work
together
to
maintain
the
level
of
mental
health
and
substance-related
disorder
treatment
services
provided
by
the
managed
care
contractor
through
the
Iowa
plan
for
behavioral
health
contractors
.
Each
department
shall
take
the
steps
necessary
to
continue
the
federal
waivers
as
necessary
to
maintain
the
level
of
services.
5.
a.
The
department
shall
aggressively
pursue
options
for
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
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and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
policy
provisions.
b.
Of
the
funds
appropriated
in
this
section,
$50,000
$100,000
shall
be
used
for
participation
in
one
or
more
pilot
projects
operated
by
a
private
provider
to
allow
the
individual
or
individuals
to
receive
service
in
the
community
in
accordance
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
the
policy
provisions.
6.
Of
the
funds
appropriated
in
this
section,
up
to
$1,525,041
$3,050,082
may
be
transferred
to
the
field
operations
or
general
administration
appropriations
in
this
division
of
this
Act
for
operational
costs
associated
with
Part
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
of
2003,
Pub.
L.
No.
108-173.
7.
Of
the
funds
appropriated
in
this
section,
up
to
$221,050
$442,100
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
clinical
assessment
services
and
prior
authorization
of
services.
8.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriations
in
this
division
of
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this
Act
for
general
administration,
medical
contracts,
the
children’s
health
insurance
program,
or
field
operations
to
be
used
for
the
state
match
cost
to
comply
with
the
payment
error
rate
measurement
(PERM)
program
for
both
the
medical
assistance
and
children’s
health
insurance
programs
as
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
to
comply
with
the
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
9.
The
department
shall
continue
to
implement
the
recommendations
of
the
assuring
better
child
health
and
development
initiative
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
services
healthy
mental
development
collaborative
board
regarding
changes
to
billing
procedures,
codes,
and
eligible
service
providers.
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
to
supplement
the
incomes
of
residents
of
nursing
facilities,
intermediate
care
facilities
for
persons
with
mental
illness,
and
intermediate
care
facilities
for
persons
with
an
intellectual
disability,
with
incomes
of
less
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
personal
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A
.
11.
Of
the
funds
appropriated
in
this
section,
the
following
amounts
are
transferred
to
the
appropriations
made
in
this
division
of
this
Act
for
the
state
mental
health
institutes:
a.
Cherokee
mental
health
institute
.
.
.
.
.
.
.
.
.
.
$
4,549,212
b.
Independence
mental
health
institute
.
.
.
.
.
.
$
4,522,947
12.
a.
Of
the
funds
appropriated
in
this
section,
$2,041,939
$3,000,000
is
allocated
for
the
state
match
for
a
disproportionate
share
hospital
payment
of
$4,544,712
$6,861,848
to
hospitals
that
meet
both
of
the
conditions
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
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hospitals
that
meet
the
conditions
specified
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
of
$8,772,003
$19,771,582
.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
of
$13,316,715
$26,633,430
.
(1)
The
hospital
qualifies
for
disproportionate
share
and
graduate
medical
education
payments.
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
than
500
beds
and
eight
or
more
distinct
residency
specialty
or
subspecialty
programs
recognized
by
the
American
college
of
graduate
medical
education.
b.
Distribution
of
the
disproportionate
share
payments
shall
be
made
on
a
monthly
basis.
The
total
amount
of
disproportionate
share
payments
including
graduate
medical
education,
enhanced
disproportionate
share,
and
Iowa
state-owned
teaching
hospital
payments
shall
not
exceed
the
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
In
addition,
the
total
amount
of
all
disproportionate
share
payments
shall
not
exceed
the
hospital-specific
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
c.
The
university
of
Iowa
hospitals
and
clinics
shall
either
certify
public
expenditures
or
transfer
to
the
appropriations
made
in
this
division
of
this
Act
for
medical
assistance
an
amount
equal
to
provide
the
nonfederal
share
for
increased
medical
assistance
payments
for
inpatient
and
outpatient
hospital
services
of
$4,950,000
$9,900,000
.
The
university
of
Iowa
hospitals
and
clinics
shall
receive
and
retain
100
percent
of
the
total
increase
in
medical
assistance
payments.
d.
Payment
methodologies
utilized
for
disproportionate
share
hospitals
and
graduate
medical
education,
and
other
supplemental
payments
under
the
Medicaid
program
may
be
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adjusted
or
converted
to
other
methodologies
or
payment
types
to
provide
these
payments
through
Medicaid
managed
care
after
April
1,
2016
.
The
department
of
human
services
shall
obtain
approval
from
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
prior
to
implementation
of
any
such
adjusted
or
converted
methodologies
or
payment
types.
13.
One
hundred
percent
of
the
nonfederal
share
of
payments
to
area
education
agencies
that
are
medical
assistance
providers
for
medical
assistance-covered
services
provided
to
medical
assistance-covered
children,
shall
be
made
from
the
appropriation
made
in
this
section.
14.
Any
new
or
renewed
contract
entered
into
by
the
department
with
a
third
party
to
administer
services
under
the
medical
assistance
program
shall
provide
that
any
interest
earned
on
payments
from
the
state
during
the
state
fiscal
year
shall
be
remitted
to
the
department
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
assistance
program.
15.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
administrative
activities
associated
with
the
money
follows
the
person
demonstration
project.
16.
Of
the
funds
appropriated
in
this
section,
$174,505
$349,011
shall
be
used
for
the
administration
of
the
health
insurance
premium
payment
program,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes.
17.
a.
The
department
may
increase
the
amounts
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
associated
with
the
medical
assistance
program,
as
necessary,
to
implement
cost
containment
strategies.
The
department
shall
report
any
such
increase
to
the
legislative
services
agency
and
the
department
of
management.
b.
If
the
savings
to
the
medical
assistance
program
from
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cost
containment
efforts
exceed
the
cost
for
the
fiscal
year
beginning
July
1,
2016,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
medical
assistance
program
cost
containment
efforts
to
the
appropriation
made
in
this
division
of
this
Act
for
medical
contracts
or
general
administration
to
defray
the
increased
contract
costs
associated
with
implementing
such
efforts.
18.
For
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
replacement
generation
tax
revenues
required
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
to
and
supplement
the
appropriation
made
in
this
section
and
used
for
the
allocations
made
in
this
section.
19.
The
department
shall
continue
to
administer
the
state
balancing
incentive
payments
program
as
specified
in
2012
Iowa
Acts,
chapter
1133,
section
14
.
20.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$25,000
$50,000
may
be
transferred
by
the
department
to
the
appropriation
made
in
this
division
of
this
Act
to
the
department
for
the
same
fiscal
year
for
general
administration
to
be
used
for
associated
administrative
expenses
and
for
not
more
than
one
full-time
equivalent
position,
in
addition
to
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
implementing
the
children’s
mental
health
home
project.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$200,000
$400,000
may
be
transferred
by
the
department
to
the
appropriation
made
to
the
department
in
this
division
of
this
Act
for
the
same
fiscal
year
for
Medicaid
program-related
general
administration
planning
and
implementation
activities.
The
funds
may
be
used
for
contracts
or
for
personnel
in
addition
to
the
amounts
appropriated
for
and
the
positions
authorized
for
general
administration
for
the
fiscal
year.
c.
Of
the
funds
appropriated
in
this
section,
up
to
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$1,500,000
$3,000,000
may
be
transferred
by
the
department
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
or
medical
contracts
to
be
used
to
support
the
development
and
implementation
of
standardized
assessment
tools
for
persons
with
mental
illness,
an
intellectual
disability,
a
developmental
disability,
or
a
brain
injury.
21.
Of
the
funds
appropriated
in
this
section,
$125,000
$250,000
shall
be
used
for
lodging
expenses
associated
with
care
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
and
whose
income
is
at
or
below
200
percent
of
the
federal
poverty
level
as
defined
by
the
most
recently
revised
poverty
income
guidelines
published
by
the
United
States
department
of
health
and
human
services.
The
department
of
human
services
shall
establish
the
maximum
number
of
overnight
stays
and
the
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
based
on
the
state
employee
rate
established
by
the
department
of
administrative
services.
The
funds
allocated
in
this
subsection
shall
not
be
used
as
nonfederal
share
matching
funds.
23.
The
department
of
human
services
shall
not
implement
the
following
cost
containment
strategies
as
recommended
by
the
governor
for
the
fiscal
year
beginning
July
1,
2016:
a.
A
policy
to
ensure
that
reimbursement
for
Medicare
Part
A
and
Medicare
Part
B
crossover
claims
is
limited
to
the
Medicaid
reimbursement
rate.
b.
An
adjustment
to
the
reimbursement
policy
in
order
to
end
the
primary
care
physician
rate
increase
originally
authorized
by
the
federal
Health
Care
and
Education
Reconciliation
Act
of
2010,
section
1202,
Pub.
L.
No.
111-152,
42
U.S.C.
§1396a(a)(13)(C)
that
allows
qualified
primary
care
physicians
to
receive
the
greater
of
the
Medicare
rate
or
Medicaid
rate
for
a
specified
set
of
codes.
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24.
The
department
shall
report
the
implementation
of
any
cost
containment
strategies
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
upon
implementation.
25.
The
department
shall
report
the
implementation
of
any
improved
processing
changes
and
any
related
cost
reductions
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
upon
implementation.
26.
Of
the
funds
appropriated
in
this
section,
$2,000,000
shall
be
used
to
implement
reductions
in
the
waiting
lists
of
all
medical
assistance
home
and
community-based
services
waivers.
27.
The
department
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports,
regarding
the
impact
of
changes
in
home
and
community-based
services
waiver
supported
employment
and
prevocational
services
by
December
15,
2016.
28.
Any
dental
benefit
manager
contracting
with
the
department
of
human
services
for
the
dental
wellness
plan
on
or
after
July
1,
2016,
shall
meet
the
same
contract
requirements.
Readiness
review
of
such
a
dental
benefit
manager
shall
be
based
on
the
criteria
applicable
to
the
dental
wellness
plan
when
implemented
on
May
1,
2014,
including
but
not
limited
to
network
adequacy,
access
to
services,
performance
measures,
benefit
design,
and
other
requirements
as
determined
by
the
department
for
the
dental
wellness
program.
Any
dental
benefit
manager
that
has
been
approved
by
a
readiness
review
prior
to
July
1,
2016,
shall
not
be
required
to
repeat
such
review
for
the
department.
29.
The
department
of
human
services
shall
review
the
fiscal
impact
and
potential
benefit
to
Medicaid
recipients
of
including
single-tablet
regimens
or
long-acting
alternatives
for
the
treatment
of
HIV
or
acquired
immune
deficiency
syndrome
on
the
preferred
drug
list,
as
an
alternative
to
multi-tablet
-43-
HF2460.3950
(6)
86
pf/rh/rn
43/
124
CCH-2460
regimens.
The
department
shall
identify
opportunities
to
align
the
cost
of
single-tablet
regimens
for
the
treatment
of
HIV
or
acquired
immune
deficiency
syndrome
with
the
corresponding
multi-tablet
regimens,
and
shall
pursue
manufacturer
supplemental
rebate
offers
through
the
sovereign
states
drug
consortium
supplemental
rebate
negotiation
process
to
determine
if
any
supplemental
rebate
opportunities
are
available
for
calendar
year
2018.
If
such
opportunities
are
available,
the
department
shall
implement
any
such
supplemental
rebate
offer
opportunities
beginning
in
calendar
year
2018.
Sec.
11.
2015
Iowa
Acts,
chapter
137,
section
133,
is
amended
to
read
as
follows:
SEC.
133.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,806,982
17,045,964
1.
The
department
of
inspections
and
appeals
shall
provide
all
state
matching
funds
for
survey
and
certification
activities
performed
by
the
department
of
inspections
and
appeals.
The
department
of
human
services
is
solely
responsible
for
distributing
the
federal
matching
funds
for
such
activities.
2.
Of
the
funds
appropriated
in
this
section,
$25,000
$50,000
shall
be
used
for
continuation
of
home
and
community-based
services
waiver
quality
assurance
programs,
including
the
review
and
streamlining
of
processes
and
policies
related
to
oversight
and
quality
management
to
meet
state
and
federal
requirements.
3.
Of
the
amount
appropriated
in
this
section,
up
to
$100,000
$200,000
may
be
transferred
to
the
appropriation
-44-
HF2460.3950
(6)
86
pf/rh/rn
44/
124
CCH-2460
for
general
administration
in
this
division
of
this
Act
to
be
used
for
additional
full-time
equivalent
positions
in
the
development
of
key
health
initiatives
such
as
cost
containment,
development
and
oversight
of
managed
care
programs,
and
development
of
health
strategies
targeted
toward
improved
quality
and
reduced
costs
in
the
Medicaid
program.
4.
Of
the
funds
appropriated
in
this
section,
$500,000
$1,000,000
shall
be
used
for
planning
and
development,
in
cooperation
with
the
department
of
public
health,
of
a
phased-in
program
to
provide
a
dental
home
for
children.
5.
Of
the
funds
appropriated
in
this
section,
$1,000,000
$2,000,000
shall
be
credited
to
the
autism
support
program
fund
created
in
section
225D.2
to
be
used
for
the
autism
support
program
created
in
chapter
225D
,
with
the
exception
of
the
following
amounts
of
this
allocation
which
shall
be
used
as
follows:
a.
Of
the
funds
allocated
in
this
subsection,
$125,000
$250,000
shall
be
deposited
in
the
board-certified
behavior
analyst
and
board-certified
assistant
behavior
analyst
grants
program
fund
created
in
section
135.181
,
as
enacted
in
this
Act,
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
allocated
in
this
subsection,
$12,500
$25,000
shall
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
child
welfare
services
provider
headquartered
in
a
county
with
a
population
between
205,000
and
215,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
a
psychiatric
medical
institution
for
children,
shelter,
residential
treatment,
after
school
programs,
school-based
programming,
and
an
Asperger’s
syndrome
program,
to
be
used
for
support
services
for
children
with
autism
spectrum
disorder
and
their
families.
c.
Of
the
funds
allocated
in
this
subsection,
$12,500
$25,000
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
hospital-based
provider
headquartered
in
a
county
-45-
HF2460.3950
(6)
86
pf/rh/rn
45/
124
CCH-2460
with
a
population
between
90,000
and
95,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
services
to
individuals
with
autism
spectrum
disorder
across
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
to
continue
the
pilot
project
to
determine
the
necessary
support
services
for
children
with
autism
spectrum
disorder
and
their
families
to
be
included
in
the
children’s
disabilities
services
system.
The
grant
recipient
shall
submit
findings
and
recommendations
based
upon
the
results
of
the
pilot
project
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
by
December
31,
2015
2016
.
Sec.
12.
2015
Iowa
Acts,
chapter
137,
section
134,
is
amended
to
read
as
follows:
SEC.
134.
STATE
SUPPLEMENTARY
ASSISTANCE.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,498,593
11,611,442
2.
The
department
shall
increase
the
personal
needs
allowance
for
residents
of
residential
care
facilities
by
the
same
percentage
and
at
the
same
time
as
federal
supplemental
security
income
and
federal
social
security
benefits
are
increased
due
to
a
recognized
increase
in
the
cost
of
living.
The
department
may
adopt
emergency
rules
to
implement
this
subsection.
3.
If
during
the
fiscal
year
beginning
July
1,
2016,
the
department
projects
that
state
supplementary
assistance
expenditures
for
a
calendar
year
will
not
meet
the
federal
-46-
HF2460.3950
(6)
86
pf/rh/rn
46/
124
CCH-2460
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
§1382g,
the
department
may
take
actions
including
but
not
limited
to
increasing
the
personal
needs
allowance
for
residential
care
facility
residents
and
making
programmatic
adjustments
or
upward
adjustments
of
the
residential
care
facility
or
in-home
health-related
care
reimbursement
rates
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
requirements
are
met.
In
addition,
the
department
may
make
other
programmatic
and
rate
adjustments
necessary
to
remain
within
the
amount
appropriated
in
this
section
while
ensuring
compliance
with
federal
requirements.
The
department
may
adopt
emergency
rules
to
implement
the
provisions
of
this
subsection.
Sec.
13.
2015
Iowa
Acts,
chapter
137,
section
135,
is
amended
to
read
as
follows:
SEC.
135.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
program
pursuant
to
chapter
514I
,
including
supplemental
dental
services,
for
receipt
of
federal
financial
participation
under
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
children’s
health
insurance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,206,922
9,176,652
2.
Of
the
funds
appropriated
in
this
section,
$21,400
$42,800
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
14.
2015
Iowa
Acts,
chapter
137,
section
136,
is
amended
to
read
as
follows:
SEC.
136.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
-47-
HF2460.3950
(6)
86
pf/rh/rn
47/
124
CCH-2460
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,704,334
36,389,561
1.
Of
the
funds
appropriated
in
this
section,
$21,844,620
$30,039,561
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13
.
2.
Nothing
in
this
section
shall
be
construed
or
is
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
to
persons
who
are
eligible
for
assistance
due
to
an
income
level
consistent
with
the
waiting
list
requirements
of
section
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
this
section
is
limited
to
the
extent
of
the
funds
appropriated
in
this
section.
3.
Of
the
funds
appropriated
in
this
section,
$216,226
is
allocated
for
the
statewide
grant
program
for
child
care
resource
and
referral
services
under
section
237A.26
.
A
list
of
the
registered
and
licensed
child
care
facilities
operating
in
the
area
served
by
a
child
care
resource
and
referral
service
shall
be
made
available
to
the
families
receiving
state
child
care
assistance
in
that
area.
4.
Of
the
funds
appropriated
in
this
section,
$468,487
is
allocated
for
child
care
quality
improvement
initiatives
including
but
not
limited
to
the
voluntary
quality
rating
system
in
accordance
with
section
237A.30
.
5.
Of
the
funds
appropriated
in
this
section,
$3,175,000
$6,350,000
shall
be
credited
to
the
early
childhood
programs
grants
account
in
the
early
childhood
Iowa
fund
created
in
section
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
community-based
early
childhood
programs
targeted
to
children
from
birth
through
five
years
of
age
developed
-48-
HF2460.3950
(6)
86
pf/rh/rn
48/
124
CCH-2460
by
early
childhood
Iowa
areas
in
accordance
with
approved
community
plans
as
provided
in
section
256I.8
.
6.
The
department
may
use
any
of
the
funds
appropriated
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
expanding
child
care
assistance
and
related
programs.
For
the
purpose
of
expenditures
of
state
and
federal
child
care
funding,
funds
shall
be
considered
obligated
at
the
time
expenditures
are
projected
or
are
allocated
to
the
department’s
service
areas.
Projections
shall
be
based
on
current
and
projected
caseload
growth,
current
and
projected
provider
rates,
staffing
requirements
for
eligibility
determination
and
management
of
program
requirements
including
data
systems
management,
staffing
requirements
for
administration
of
the
program,
contractual
and
grant
obligations
and
any
transfers
to
other
state
agencies,
and
obligations
for
decategorization
or
innovation
projects.
7.
A
portion
of
the
state
match
for
the
federal
child
care
and
development
block
grant
shall
be
provided
as
necessary
to
meet
federal
matching
funds
requirements
through
the
state
general
fund
appropriation
made
for
child
development
grants
and
other
programs
for
at-risk
children
in
section
279.51
.
8.
If
a
uniform
reduction
ordered
by
the
governor
under
section
8.31
or
other
operation
of
law,
transfer,
or
federal
funding
reduction
reduces
the
appropriation
made
in
this
section
for
the
fiscal
year,
the
percentage
reduction
in
the
amount
paid
out
to
or
on
behalf
of
the
families
participating
in
the
state
child
care
assistance
program
shall
be
equal
to
or
less
than
the
percentage
reduction
made
for
any
other
purpose
payable
from
the
appropriation
made
in
this
section
and
the
federal
funding
relating
to
it.
The
percentage
reduction
to
the
other
allocations
made
in
this
section
shall
be
the
same
as
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
change
of
the
federal
funding
reduction,
as
applicable.
If
there
is
an
unanticipated
increase
in
federal
funding
-49-
HF2460.3950
(6)
86
pf/rh/rn
49/
124
CCH-2460
provided
for
state
child
care
assistance,
the
entire
amount
of
the
increase
shall
be
used
for
state
child
care
assistance
payments.
If
the
appropriations
made
for
purposes
of
the
state
child
care
assistance
program
for
the
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
requirements.
9.
Notwithstanding
section
8.33
,
moneys
advanced
for
purposes
of
the
programs
developed
by
early
childhood
Iowa
areas,
advanced
for
purposes
of
wraparound
child
care,
or
received
from
the
federal
appropriations
made
for
the
purposes
of
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
15.
2015
Iowa
Acts,
chapter
137,
section
137,
is
amended
to
read
as
follows:
SEC.
137.
JUVENILE
INSTITUTION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
operation
of
the
state
training
school
at
Eldora
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,116,710
12,233,420
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
188.30
Of
the
funds
appropriated
in
this
subsection,
$45,575
$91,150
shall
be
used
for
distribution
to
licensed
classroom
teachers
at
this
and
other
institutions
under
the
control
of
the
department
of
human
services
based
upon
the
average
student
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yearly
enrollment
at
each
institution
as
determined
by
the
department.
2.
A
portion
of
the
moneys
appropriated
in
this
section
shall
be
used
by
the
state
training
school
at
Eldora
for
grants
for
adolescent
pregnancy
prevention
activities
at
the
institution
in
the
fiscal
year
beginning
July
1,
2016.
Sec.
16.
2015
Iowa
Acts,
chapter
137,
section
138,
is
amended
to
read
as
follows:
SEC.
138.
CHILD
AND
FAMILY
SERVICES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,670,969
84,482,419
2.
Up
to
$2,600,000
of
the
amount
of
federal
temporary
assistance
for
needy
families
block
grant
funding
appropriated
in
this
division
of
this
Act
for
child
and
family
services
shall
be
made
available
for
purposes
of
juvenile
delinquent
graduated
sanction
services.
3.
The
department
may
transfer
funds
appropriated
in
this
section
as
necessary
to
pay
the
nonfederal
costs
of
services
reimbursed
under
the
medical
assistance
program,
state
child
care
assistance
program,
or
the
family
investment
program
which
are
provided
to
children
who
would
otherwise
receive
services
paid
under
the
appropriation
in
this
section.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
for
field
operations
for
resources
necessary
to
implement
and
operate
the
services
funded
in
this
section.
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$17,910,893
$35,736,649
is
allocated
as
the
statewide
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expenditure
target
under
section
232.143
for
group
foster
care
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
the
excess
to
provide
additional
funding
for
shelter
care
or
the
child
welfare
emergency
services
addressed
with
the
allocation
for
shelter
care.
b.
If
at
any
time
after
September
30,
2016,
annualization
of
a
service
area’s
current
expenditures
indicates
a
service
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
target
under
section
232.143
by
more
than
5
percent,
the
department
and
juvenile
court
services
shall
examine
all
group
foster
care
placements
in
that
service
area
in
order
to
identify
those
which
might
be
appropriate
for
termination.
In
addition,
any
aftercare
services
believed
to
be
needed
for
the
children
whose
placements
may
be
terminated
shall
be
identified.
The
department
and
juvenile
court
services
shall
initiate
action
to
set
dispositional
review
hearings
for
the
placements
identified.
In
such
a
dispositional
review
hearing,
the
juvenile
court
shall
determine
whether
needed
aftercare
services
are
available
and
whether
termination
of
the
placement
is
in
the
best
interest
of
the
child
and
the
community.
5.
In
accordance
with
the
provisions
of
section
232.188
,
the
department
shall
continue
the
child
welfare
and
juvenile
justice
funding
initiative
during
fiscal
year
2016-2017.
Of
the
funds
appropriated
in
this
section,
$858,876
$1,717,753
is
allocated
specifically
for
expenditure
for
fiscal
year
2016-2017
through
the
decategorization
services
funding
pools
and
governance
boards
established
pursuant
to
section
232.188
.
6.
A
portion
of
the
funds
appropriated
in
this
section
may
be
used
for
emergency
family
assistance
to
provide
other
resources
required
for
a
family
participating
in
a
family
preservation
or
reunification
project
or
successor
project
to
stay
together
or
to
be
reunified.
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7.
Notwithstanding
section
234.35
or
any
other
provision
of
law
to
the
contrary,
state
funding
for
shelter
care
and
the
child
welfare
emergency
services
contracting
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
limited
to
$4,034,237
$8,096,158
.
8.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2016,
as
the
result
of
the
expenditure
of
state
funds
appropriated
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
services
and
purposes
provided
for
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$1,645,000
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
who
are
under
the
supervision
of
juvenile
court
services,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
$778,143
$1,556,287
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
the
school
district
or
other
funding
source
as
approved
by
the
chief
juvenile
court
officer.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
$748,985
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
children
who
are
under
the
supervision
of
the
department,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
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c.
Notwithstanding
section
232.141
or
any
other
provision
of
law
to
the
contrary,
the
amounts
allocated
in
this
subsection
shall
be
distributed
to
the
judicial
districts
as
determined
by
the
state
court
administrator
and
to
the
department’s
service
areas
as
determined
by
the
administrator
of
the
department
of
human
services’
division
of
child
and
family
services.
The
state
court
administrator
and
the
division
administrator
shall
make
the
determination
of
the
distribution
amounts
on
or
before
June
15,
2016.
d.
Notwithstanding
chapter
232
or
any
other
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
any
service
which
is
a
charge
upon
the
state
pursuant
to
section
232.141
if
there
are
insufficient
court-ordered
services
funds
available
in
the
district
court
or
departmental
service
area
distribution
amounts
to
pay
for
the
service.
The
chief
juvenile
court
officer
and
the
departmental
service
area
manager
shall
encourage
use
of
the
funds
allocated
in
this
subsection
such
that
there
are
sufficient
funds
to
pay
for
all
court-related
services
during
the
entire
year.
The
chief
juvenile
court
officers
and
departmental
service
area
managers
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
in
the
distribution
amounts
and
shall
cooperatively
request
the
state
court
administrator
or
division
administrator
to
transfer
funds
between
the
judicial
districts’
or
departmental
service
areas’
distribution
amounts
as
prudent.
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
entered
under
chapter
232
which
is
a
charge
upon
the
state
under
section
232.141,
subsection
4
.
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
administration
of
the
requirements
under
this
subsection.
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
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shall
be
used
by
the
department
of
human
services
to
support
the
interstate
commission
for
juveniles
in
accordance
with
the
interstate
compact
for
juveniles
as
provided
in
section
232.173
.
10.
Of
the
funds
appropriated
in
this
section,
$4,026,613
$13,253,227
is
allocated
for
juvenile
delinquent
graduated
sanctions
services.
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
services
administration
may
be
used
for
the
juvenile
delinquent
graduated
sanctions
services.
11.
Of
the
funds
appropriated
in
this
section,
$804,142
$1,658,285
is
transferred
to
the
department
of
public
health
to
be
used
for
the
child
protection
center
grant
program
for
child
protection
centers
located
in
Iowa
in
accordance
with
section
135.118
.
The
grant
amounts
under
the
program
shall
be
equalized
so
that
each
center
receives
a
uniform
base
amount
of
$122,500
$245,000
,
so
that
$50,000
is
awarded
to
establish
a
satellite
child
protection
center
in
a
city
in
north
central
Iowa
that
is
the
county
seat
of
a
county
with
a
population
between
44,000
and
45,000
according
to
the
2010
federal
decennial
census,
and
so
that
the
remaining
funds
shall
be
are
awarded
through
a
funding
formula
based
upon
the
volume
of
children
served.
12.
If
the
department
receives
federal
approval
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
Security
Act
to
enable
providers
to
serve
children
who
remain
in
the
children’s
families
and
communities,
for
purposes
of