CCS-505
REPORT
OF
THE
CONFERENCE
COMMITTEE
ON
SENATE
FILE
505
To
the
President
of
the
Senate
and
the
Speaker
of
the
House
of
Representatives:
We,
the
undersigned
members
of
the
conference
committee
appointed
to
resolve
the
differences
between
the
Senate
and
House
of
Representatives
on
Senate
File
505,
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
date
provisions,
respectfully
make
the
following
report:
1.
That
the
House
recedes
from
its
amendment,
S-3187.
2.
That
Senate
File
505,
as
amended,
passed,
and
reprinted
by
the
Senate,
is
amended
to
read
as
follows:
1.
By
striking
everything
after
the
enacting
clause
and
inserting:
<
DIVISION
I
DEPARTMENT
ON
AGING
——
FY
2015-2016
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
on
aging
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
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,
and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
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full-time
equivalent
positions:
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$
11,399,732
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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,
$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
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
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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
$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
$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,
$813,666
shall
be
used
for
the
purposes
of
chapter
231E
and
section
231.56A,
of
which
$288,666
shall
be
used
for
the
office
of
substitute
decision
maker
pursuant
to
chapter
231E,
and
the
remainder
shall
be
distributed
equally
to
the
area
agencies
on
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
exploitation
program
pursuant
to
section
231.56A,
in
accordance
with
the
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
DIVISION
II
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2015-2016
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
office
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
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$
1,276,783
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FTEs
17.00
2.
Of
the
funds
appropriated
in
this
section,
$220,000
shall
be
used
to
provide
additional
local
long-term
care
ombudsmen.
3.
The
office
of
long-term
care
ombudsman
and
the
department
of
human
services
shall
collaborate
to
develop
a
cost
allocation
plan
requesting
Medicaid
administrative
funding
to
provide
for
the
claiming
of
federal
financial
participation
for
office
of
long-term
care
ombudsman
activities
that
are
performed
to
assist
with
administration
of
the
Medicaid
program.
The
cost
allocation
plan
shall
document
the
costs
that
directly
benefit
the
Medicaid
program
and
are
consistent
with
federal
requirements.
The
cost
allocation
plan
shall
be
developed
in
a
timely
manner
to
allow
for
such
claiming
to
begin
by
January
1,
2016.
DIVISION
III
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2015-2016
Sec.
3.
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,
2015,
and
ending
June
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
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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.
$
27,263,690
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FTEs
10.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$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
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CCS-505
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”,
$453,067
is
transferred
to
the
alcoholic
beverages
division
of
the
department
of
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,
2015,
and
ending
June
30,
2016,
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
years
of
age,
shall
continue
to
restrict
the
number
of
such
checks
to
one
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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,
$22,015,329
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,
and
program
evaluation.
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$18,903,715
shall
be
used
for
substance-related
disorder
prevention
and
treatment.
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
program
to
provide
substance-related
disorder
prevention
programming
for
children.
(i)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$427,539
shall
be
used
for
grant
funding
for
organizations
that
provide
programming
for
children
by
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
certified
or
must
be
certified
within
six
months
of
receiving
the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
standards
for
effective
practice
for
mentoring
programs.
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$426,839
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
$44,922
may
be
used
to
administer
substance-related
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disorder
prevention
grants
and
for
program
evaluations.
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
$272,603
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
$3,111,614
may
be
used
for
problem
gambling
prevention,
treatment,
and
recovery
services.
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
$2,573,762
shall
be
used
for
problem
gambling
prevention
and
treatment.
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$437,852
may
be
used
for
a
24-hour
helpline,
public
information
resources,
professional
training,
and
program
evaluation.
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$100,000
may
be
used
for
the
licensing
of
problem
gambling
treatment
programs.
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
diagnosis
of
substance-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,
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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,
2016.
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
may
use
up
to
$100,000
for
administrative
costs
to
continue
developing
and
implementing
the
process
in
accordance
with
this
paragraph
“c”.
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
by
the
appropriations
and
allocations
made
in
this
division
of
this
Act
for
purposes
of
substance-related
disorder
treatment
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2015.
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
-8-
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CCS-505
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,617,543
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$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,
2015.
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
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
paragraph
0b.
c.
Of
the
funds
appropriated
in
this
subsection,
$2,198,828
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
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CCS-505
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,
$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.
e.
Of
the
funds
appropriated
in
this
subsection,
$111,995
shall
be
used
for
childhood
obesity
prevention.
f.
Of
the
funds
appropriated
in
this
subsection,
$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,
$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,
$50,000
shall
be
used
to
address
youth
suicide
prevention.
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194
CCS-505
i.
Of
the
funds
appropriated
in
this
subsection,
$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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,955,692
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
a.
Of
the
funds
appropriated
in
this
subsection,
$159,932
shall
be
used
for
grants
to
individual
patients
who
have
an
inherited
metabolic
disorder
to
assist
with
the
costs
of
medically
necessary
foods
and
formula.
b.
Of
the
funds
appropriated
in
this
subsection,
$891,644
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,
$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,
$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,
$149,823
shall
be
used
for
the
public
purpose
of
continuing
to
contract
-11-
SF505.2155
(11)
86
pf/rh/rj
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194
CCS-505
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
$100,000
shall
be
matched
dollar-for-dollar
by
the
organization
specified.
e.
Of
the
funds
appropriated
in
this
subsection,
$785,114
shall
be
used
for
child
health
specialty
clinics.
f.
Of
the
funds
appropriated
in
this
subsection,
$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
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,
$570,993
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”,
$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,
$126,450
shall
be
used
for
cervical
and
colon
cancer
screening,
and
$300,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
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CCS-505
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,
$526,695
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
j.
Of
the
funds
appropriated
in
this
subsection,
$129,411
shall
be
used
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M
.
k.
Of
the
funds
appropriated
in
this
subsection,
$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.
l.
Of
the
funds
appropriated
in
this
subsection,
$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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,821,335
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
a.
Of
the
funds
appropriated
in
this
subsection,
$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
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SF505.2155
(11)
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pf/rh/rj
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CCS-505
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,
$110,656
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
and
$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
commission
to
address
the
focus
of
the
initiatives.
c.
Of
the
funds
appropriated
in
this
subsection,
$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,
$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,
$105,448
shall
be
used
to
continue
to
address
the
shortage
of
mental
health
professionals
in
the
state.
f.
Of
the
funds
appropriated
in
this
subsection,
$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
.
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SF505.2155
(11)
86
pf/rh/rj
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194
CCS-505
g.
(1)
Of
the
funds
appropriated
in
this
subsection,
$2,882,969
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:
(a)
For
distribution
to
safety
net
partners
in
the
state
that
work
to
increase
access
of
the
underserved
population
to
health
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,025,485
(i)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
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),
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),
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,
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CCS-505
prosecutors,
and
certified
medical
personnel.
(iv)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
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.
(b)
For
distribution
to
safety
net
partners
in
the
state
that
work
to
increase
health
system
integration,
care
coordination,
and
collaboration
across
the
continuum
of
care
with
a
focus
on
safety
net
services.
Such
efforts
shall
include
but
not
be
limited
to
community
care
coordination
team
development
and
integration
of
medical
and
behavioral
health
services.
Efforts
shall
also
include
working,
in
conjunction
with
the
department
of
human
services
and
the
department
of
public
health,
to
support
Medicaid
managed
care
efforts
inclusive
of
the
state
innovation
model
through
the
continued
development
and
implementation
of
community
care
coordination
teams.
Implementation
of
the
community
care
coordination
teams
shall
be
accomplished
through
a
statewide
regionally
based
network
that
provides
an
integrated
approach
to
health
care
delivery
through
care
coordination
that
supports
primary
care
providers
and
links
patients
with
community
resources
necessary
to
empower
patients
in
addressing
biomedical
and
social
determinants
of
health
to
improve
health
outcomes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,672,199
(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
primary
care
association
to
support
partner
engagement,
program
management,
and
statewide
coordination
of
the
network:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
185,285
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CCS-505
(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,
2015,
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,
$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,
$216,375
shall
be
used
for
allocation
to
an
independent
statewide
direct
care
worker
organization
selected
through
a
request
for
proposals
process.
The
contract
shall
include
performance
and
outcomes
measures,
and
shall
allow
the
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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,
$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
$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,
$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,
$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,
$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,
$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,
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
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CCS-505
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,
$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
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,
$156,619
is
allocated
to
the
university
of
Iowa
hospitals
and
clinics
to
implement
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
state,
to
provide
staffing
to
administer
the
model,
and
to
provide
staff
training
and
database
management
to
track
and
manage
patient
outcomes.
5.
HEALTHY
AGING
To
provide
public
health
services
that
reduce
risks
and
invest
in
promoting
and
protecting
good
health
over
the
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
vulnerable
populations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
6.
INFECTIOUS
DISEASES
-19-
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194
CCS-505
For
reducing
the
incidence
and
prevalence
of
communicable
diseases,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,339,191
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
136.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$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,
$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,
$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.
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194
CCS-505
d.
Of
the
funds
appropriated
in
this
subsection,
$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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
855,072
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
DIVISION
IV
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2015-2016
Sec.
4.
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,
2015,
and
ending
June
30,
2016,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,200,546
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
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.
-21-
SF505.2155
(11)
86
pf/rh/rj
21/
194
CCS-505
b.
If
there
is
a
change
in
the
employer
of
employees
providing
services
at
the
Iowa
veterans
home
under
a
collective
bargaining
agreement,
such
employees
and
the
agreement
shall
be
continued
by
the
successor
employer
as
though
there
had
not
been
a
change
in
employer.
c.
Within
available
resources
and
in
conformance
with
associated
state
and
federal
program
eligibility
requirements,
the
Iowa
veterans
home
may
implement
measures
to
provide
financial
assistance
to
or
on
behalf
of
veterans
or
their
spouses
who
are
participating
in
the
community
reentry
program.
d.
The
Iowa
veterans
home
expenditure
report
shall
be
submitted
monthly
to
the
legislative
services
agency.
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,500,000
Sec.
5.
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,
2015,
and
ending
June
30,
2016,
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
DIVISION
V
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2015-2016
Sec.
6.
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,
2015,
and
ending
June
30,
2016,
from
moneys
-22-
SF505.2155
(11)
86
pf/rh/rj
22/
194
CCS-505
received
under
the
federal
temporary
assistance
for
needy
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
legislation,
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,136,995
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,138,178
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
encumbered
or
obligated
on
or
before
September
30,
2016,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
a.
Of
the
funds
appropriated
in
this
subsection,
$26,328,097
is
transferred
to
the
child
care
and
development
-23-
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(11)
86
pf/rh/rj
23/
194
CCS-505
block
grant
appropriation
made
by
the
Eighty-sixth
General
Assembly,
2015
Session,
for
the
federal
fiscal
year
beginning
October
1,
2015,
and
ending
September
30,
2016.
Of
this
amount,
$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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
8.
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
9.
For
child
abuse
prevention
grants:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
10.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
Pregnancy
prevention
grants
shall
be
awarded
to
programs
in
existence
on
or
before
July
1,
2015,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2015,
if
the
programs
are
based
on
existing
models
that
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
-24-
SF505.2155
(11)
86
pf/rh/rj
24/
194
CCS-505
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
section
14,
subsections
1
and
2,
including
the
requirement
that
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
the
awarding
of
grants
shall
be
given
to
programs
that
serve
areas
of
the
state
which
demonstrate
the
highest
percentage
of
unplanned
pregnancies
of
females
of
childbearing
age
within
the
geographic
area
to
be
served
by
the
grant.
11.
For
technology
needs
and
other
resources
necessary
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
management
requirements:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
12.
For
the
family
investment
program
share
of
the
costs
to
continue
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,654,880
13.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2014
or
2015
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,
2015,
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
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
-25-
SF505.2155
(11)
86
pf/rh/rj
25/
194
CCS-505
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,
$12,962,008
for
the
fiscal
year
beginning
July
1,
2015,
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
2015
Act
relating
to
the
family
investment
program
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
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
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.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1.
Moneys
credited
to
the
family
investment
program
(FIP)
account
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
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
-26-
SF505.2155
(11)
86
pf/rh/rj
26/
194
CCS-505
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,
2015,
and
ending
June
30,
2016,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
b.
To
the
department
of
human
rights
for
staffing,
administration,
and
implementation
of
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
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
2015-2016.
(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.
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194
CCS-505
c.
For
the
diversion
subaccount
of
the
FIP
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
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
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.
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CCS-505
e.
For
the
JOBS
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,540,398
5.
Of
the
child
support
collections
assigned
under
FIP,
an
amount
equal
to
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
recovery
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
the
child
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
payments
account.
If
as
a
consequence
of
the
appropriations
and
allocations
made
in
this
section
the
resulting
amounts
are
insufficient
to
sustain
cash
assistance
payments
and
meet
federal
maintenance
of
effort
requirements,
the
department
shall
seek
supplemental
funding.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
to
be
required
for
maintenance
of
effort,
the
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
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.
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,
2015,
and
ending
June
30,
2016,
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
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,673,875
1.
Of
the
funds
appropriated
in
this
section,
$7,402,220
is
allocated
for
the
JOBS
program.
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CCS-505
2.
Of
the
funds
appropriated
in
this
section,
$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,
2015,
if
necessary
to
meet
federal
maintenance
of
effort
requirements
or
to
transfer
federal
temporary
assistance
for
needy
families
block
grant
funding
to
be
used
for
purposes
of
the
federal
social
services
block
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
receiving
federal
funding
or
to
implement,
in
accordance
with
this
division
of
this
Act,
activities
currently
funded
with
juvenile
court
services,
county,
or
community
moneys
and
state
moneys
used
in
combination
with
such
moneys,
the
department
of
human
services
may
transfer
funds
within
or
between
any
of
the
appropriations
made
in
this
division
of
this
Act
and
appropriations
in
law
for
the
federal
social
services
block
grant
to
the
department
for
the
following
purposes,
provided
that
the
combined
amount
of
state
and
federal
temporary
assistance
for
needy
families
block
grant
funding
for
each
appropriation
remains
the
same
before
and
after
the
transfer:
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,
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
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CCS-505
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,
$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
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.
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,
2015,
and
ending
June
30,
2016,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,663,373
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
1.
The
department
shall
expend
up
to
$24,329,
including
federal
financial
participation,
for
the
fiscal
year
beginning
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CCS-505
July
1,
2015,
for
a
child
support
public
awareness
campaign.
The
department
and
the
office
of
the
attorney
general
shall
cooperate
in
continuation
of
the
campaign.
The
public
awareness
campaign
shall
emphasize,
through
a
variety
of
media
activities,
the
importance
of
maximum
involvement
of
both
parents
in
the
lives
of
their
children
as
well
as
the
importance
of
payment
of
child
support
obligations.
2.
Federal
access
and
visitation
grant
moneys
shall
be
issued
directly
to
private
not-for-profit
agencies
that
provide
services
designed
to
increase
compliance
with
the
child
access
provisions
of
court
orders,
including
but
not
limited
to
neutral
visitation
sites
and
mediation
services.
3.
The
appropriation
made
to
the
department
for
child
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
manner
necessary
for
purposes
of
cash
flow
management,
and
for
cash
flow
management
purposes
the
department
may
temporarily
draw
more
than
the
amount
appropriated,
provided
the
amount
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
4.
With
the
exception
of
the
funding
amount
specified,
the
requirements
established
under
2001
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
be
applicable
to
parental
obligation
pilot
projects
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016.
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
in
effect
until
June
30,
2016.
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
FY
2015-2016.
Any
funds
remaining
in
the
health
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
program
appropriations
made
in
this
division
of
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
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194
CCS-505
program
implementation.
Sec.
11.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
2015-2016.
Any
funds
remaining
in
the
Medicaid
fraud
fund
created
in
section
249A.50
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
appropriations
made
in
this
division
of
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
Sec.
12.
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,
2015,
and
ending
June
30,
2016,
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,
2015,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,303,191,564
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
$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
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194
CCS-505
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$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,
$950,000
for
the
fiscal
year
beginning
July
1,
2015,
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.
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,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
policy
provisions.
b.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
for
participation
in
one
or
more
pilot
projects
operated
by
a
private
provider
to
allow
the
individual
or
individuals
to
receive
service
in
the
community
in
accordance
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
medical
assistance
or
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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
$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
$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
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
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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..........
$
9,098,425
b.
Independence
mental
health
institute......
$
9,045,894
12.
a.
Of
the
funds
appropriated
in
this
section,
$4,083,878
is
allocated
for
the
state
match
for
a
disproportionate
share
hospital
payment
of
$9,089,424
to
hospitals
that
meet
both
of
the
conditions
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
meet
the
conditions
specified
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
of
$17,544,006.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
of
$26,633,430.
(1)
The
hospital
qualifies
for
disproportionate
share
and
graduate
medical
education
payments.
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
than
500
beds
and
eight
or
more
distinct
residency
specialty
or
subspecialty
programs
recognized
by
the
American
college
of
graduate
medical
education.
b.
Distribution
of
the
disproportionate
share
payments
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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
$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
adjusted
or
converted
to
other
methodologies
or
payment
types
to
provide
these
payments
through
Medicaid
managed
care
implemented
beginning
January
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
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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,
$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
cost
containment
efforts
exceed
the
cost
for
the
fiscal
year
beginning
July
1,
2015,
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.
c.
The
department
of
human
services
shall
not
implement
the
following
cost
containment
measures
as
recommended
by
the
governor
for
the
fiscal
year
beginning
July
1,
2015:
(1)
A
measure
to
provide
uniform
rates
of
$.575
per
mile
based
on
the
2015
Internal
Revenue
Service
mileage
rate
and
of
$9.29,
the
current
statewide
average,
per
one-way
trip
for
Medicaid
program
home
and
community-based
services
waivers.
(2)
A
measure
to
accelerate
implementation
of
the
provision
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that
beginning
July
1,
2015,
rather
than
July
1,
2016,
the
department
of
human
services
requires
services
through
the
consumer-directed
attendant
care
option
to
be
provided
through
an
agency
or
consumer
choices
option.
d.
The
department
shall
report
the
implementation
of
any
cost
containment
strategies
under
this
subsection
to
the
individuals
specified
in
this
Act
for
submission
of
reports
on
a
quarterly
basis.
18.
For
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
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.
The
department
of
human
services
shall
execute
the
state
innovation
model
phase
II
testing
grant
and
shall
submit
a
report
to
the
individuals
specified
in
this
Act
for
submission
of
reports
regarding
the
progress
of
the
execution
of
the
testing
grant
on
or
before
September
1,
2015.
The
progress
report
shall
include,
at
a
minimum,
dates
by
which
contracts
will
be
entered
into
with
vendors,
pre-implementation
year
and
subsequent
test
year
funds
will
be
expended,
and
other
activities
will
be
completed.
21.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$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
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implementing
the
project.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$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
$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.
22.
Of
the
funds
appropriated
in
this
section,
$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
adopt
rules
to
provide
for
coverage
of
telehealth
under
the
Medicaid
program.
The
rules
shall
provide
that
in-person
contact
between
a
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health
care
professional
and
a
patient
is
not
required
as
a
prerequisite
for
payment
for
services
appropriately
provided
through
telehealth
in
accordance
with
generally
accepted
health
care
practices
and
standards
prevailing
in
the
applicable
professional
community
at
the
time
the
services
are
provided.
Health
care
services
provided
through
in-person
consultations
or
through
telehealth
shall
be
treated
as
equivalent
services
for
the
purposes
of
reimbursement.
24.
The
department
of
human
services
may
adopt
emergency
rules
as
necessary
to
implement
the
governor’s
Medicaid
modernization
initiative
beginning
January
1,
2016.
25.
The
number
of
home
and
community-based
services
waiver
slots
available
during
the
fiscal
year
beginning
July
1,
2015,
shall
not
be
reduced
below
the
number
of
such
slots
available
on
January
1,
2015.
26.
The
department
of
human
services
shall
submit
an
application
to
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
for
a
planning
grant
through
the
substance
abuse
and
mental
health
services
administration
of
the
United
States
department
of
health
and
human
services
to
participate
in
a
two-year
pilot
project
for
certified
community
behavioral
health
clinics
under
the
federal
Protecting
Access
to
Medicare
Act
of
2014,
Pub.
L.
No.
113-93.
Sec.
13.
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,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,613,964
1.
The
department
of
inspections
and
appeals
shall
provide
all
state
matching
funds
for
survey
and
certification
activities
performed
by
the
department
of
inspections
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CCS-505
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,
$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
$200,000
may
be
transferred
to
the
appropriation
for
general
administration
in
this
division
of
this
Act
to
be
used
for
additional
full-time
equivalent
positions
in
the
development
of
key
health
initiatives
such
as
cost
containment,
development
and
oversight
of
managed
care
programs,
and
development
of
health
strategies
targeted
toward
improved
quality
and
reduced
costs
in
the
Medicaid
program.
4.
Of
the
funds
appropriated
in
this
section,
$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,
$2,000,000
shall
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,
$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,
$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
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CCS-505
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,
$25,000
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
hospital-based
provider
headquartered
in
a
county
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.
Sec.
14.
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,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$12,997,187
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
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CCS-505
subsection.
3.
If
during
the
fiscal
year
beginning
July
1,
2015,
the
department
projects
that
state
supplementary
assistance
expenditures
for
a
calendar
year
will
not
meet
the
federal
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
§1382g,
the
department
may
take
actions
including
but
not
limited
to
increasing
the
personal
needs
allowance
for
residential
care
facility
residents
and
making
programmatic
adjustments
or
upward
adjustments
of
the
residential
care
facility
or
in-home
health-related
care
reimbursement
rates
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
requirements
are
met.
In
addition,
the
department
may
make
other
programmatic
and
rate
adjustments
necessary
to
remain
within
the
amount
appropriated
in
this
section
while
ensuring
compliance
with
federal
requirements.
The
department
may
adopt
emergency
rules
to
implement
the
provisions
of
this
subsection.
Sec.
15.
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,
2015,
and
ending
June
30,
2016,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,413,844
2.
Of
the
funds
appropriated
in
this
section,
$42,800
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
16.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
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CCS-505
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
51,408,668
1.
Of
the
funds
appropriated
in
this
section,
$43,689,241
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13
.
2.
Nothing
in
this
section
shall
be
construed
or
is
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
to
persons
who
are
eligible
for
assistance
due
to
an
income
level
consistent
with
the
waiting
list
requirements
of
section
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
this
section
is
limited
to
the
extent
of
the
funds
appropriated
in
this
section.
3.
Of
the
funds
appropriated
in
this
section,
$432,453
is
allocated
for
the
statewide
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,
$936,974
is
allocated
for
child
care
quality
improvement
initiatives
including
but
not
limited
to
the
voluntary
quality
rating
system
in
accordance
with
section
237A.30
.
5.
Of
the
funds
appropriated
in
this
section,
$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
by
early
childhood
Iowa
areas
in
accordance
with
approved
community
plans
as
provided
in
section
256I.8
.
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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
provided
for
state
child
care
assistance,
the
entire
amount
of
the
increase
shall
be
used
for
state
child
care
assistance
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CCS-505
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.
17.
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,
2015,
and
ending
June
30,
2016,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,233,420
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
a.
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
be
used
for
distribution
to
licensed
classroom
teachers
at
this
and
other
institutions
under
the
control
of
the
department
of
human
services
based
upon
the
average
student
yearly
enrollment
at
each
institution
as
determined
by
the
department.
b.
The
department
of
human
services
shall
work
with
the
department
of
public
health
to
identify
substance
abuse
treatment
programs
and
resources
licensed
under
chapter
125
to
provide
appropriate
treatment
for
juveniles
with
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194
CCS-505
substance-related
disorders
at
the
state
training
school
at
Eldora.
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,
2015.
Sec.
18.
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,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
85,341,938
2.
Up
to
$5,200,000
of
the
amount
of
federal
temporary
assistance
for
needy
families
block
grant
funding
appropriated
in
this
division
of
this
Act
for
child
and
family
services
shall
be
made
available
for
purposes
of
juvenile
delinquent
graduated
sanction
services.
3.
The
department
may
transfer
funds
appropriated
in
this
section
as
necessary
to
pay
the
nonfederal
costs
of
services
reimbursed
under
the
medical
assistance
program,
state
child
care
assistance
program,
or
the
family
investment
program
which
are
provided
to
children
who
would
otherwise
receive
services
paid
under
the
appropriation
in
this
section.
The
department
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
$35,821,786
is
allocated
as
the
statewide
expenditure
target
under
section
232.143
for
group
foster
care
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
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194
CCS-505
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,
2015,
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
2015-2016.
Of
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
specifically
for
expenditure
for
fiscal
year
2015-2016
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.
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
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CCS-505
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
limited
to
$8,068,474.
8.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2015,
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
$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
$1,556,287
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232
,
of
which
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
the
school
district
or
other
funding
source
as
approved
by
the
chief
juvenile
court
officer.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
children
who
are
under
the
supervision
of
the
department,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
c.
Notwithstanding
section
232.141
or
any
other
provision
of
law
to
the
contrary,
the
amounts
allocated
in
this
subsection
shall
be
distributed
to
the
judicial
districts
as
determined
by
the
state
court
administrator
and
to
the
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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,
2015.
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
$83,000
may
be
used
by
the
judicial
branch
for
administration
of
the
requirements
under
this
subsection.
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
shall
be
used
by
the
department
of
human
services
to
support
the
interstate
commission
for
juveniles
in
accordance
with
the
interstate
compact
for
juveniles
as
provided
in
section
232.173
.
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10.
Of
the
funds
appropriated
in
this
section,
$8,053,227
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,
$1,608,285
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
$245,000,
and
the
remaining
funds
shall
be
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
eligibility
under
the
medical
assistance
program
through
25
years
of
age,
children
who
participate
in
the
waiver
shall
be
considered
to
be
placed
in
foster
care.
13.
Of
the
funds
appropriated
in
this
section,
$4,025,167
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46
.
14.
Of
the
funds
appropriated
in
this
section,
$227,337
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
nonprofit
human
services
organization
providing
services
to
individuals
and
families
in
multiple
locations
in
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
sensitive
support
and
forensic
interviews,
medical
exams,
needs
assessments,
and
referrals
for
victims
of
child
abuse
and
their
nonoffending
family
members.
15.
Of
the
funds
appropriated
in
this
section,
$300,620
is
allocated
for
the
foster
care
youth
council
approach
of
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CCS-505
providing
a
support
network
to
children
placed
in
foster
care.
16.
Of
the
funds
appropriated
in
this
section,
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
continuation
of
the
initiative
to
address
child
sexual
abuse
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
21.
17.
Of
the
funds
appropriated
in
this
section,
$630,240
is
allocated
for
the
community
partnership
for
child
protection
sites.
18.
Of
the
funds
appropriated
in
this
section,
$371,250
is
allocated
for
the
department’s
minority
youth
and
family
projects
under
the
redesign
of
the
child
welfare
system.
19.
Of
the
funds
appropriated
in
this
section,
$1,186,595
is
allocated
for
funding
of
the
community
circle
of
care
collaboration
for
children
and
youth
in
northeast
Iowa.
20.
Of
the
funds
appropriated
in
this
section,
at
least
$147,158
shall
be
used
for
the
continuation
of
the
child
welfare
provider
training
academy,
a
collaboration
between
the
coalition
for
family
and
children’s
services
in
Iowa
and
the
department.
21.
Of
the
funds
appropriated
in
this
section,
$211,872
shall
be
used
for
continuation
of
the
central
Iowa
system
of
care
program
grant
through
June
30,
2016.
22.
Of
the
funds
appropriated
in
this
section,
$235,000
shall
be
used
for
the
public
purpose
of
the
continuation
and
expansion
of
a
system
of
care
program
grant
implemented
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
and
long-term
approach
for
helping
children
and
families
by
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
needs,
education
and
work,
family,
and
community.
23.
Of
the
funds
appropriated
in
this
section,
at
least
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
care
respite
pilot
program
in
which
postsecondary
students
in
social
work
and
other
human
services-related
programs
receive
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experience
by
assisting
family
foster
care
providers
with
respite
and
other
support.
24.
Of
the
funds
appropriated
in
this
section,
$110,000
shall
be
used
for
the
public
purpose
of
funding
community-based
services
and
other
supports
with
a
system
of
care
approach
for
children
with
a
serious
emotional
disturbance
and
their
families
through
a
nonprofit
provider
of
child
welfare
services
that
has
been
in
existence
for
more
than
115
years,
is
located
in
a
county
with
a
population
of
more
than
200,000
but
less
than
220,000
according
to
the
latest
census
information
issued
by
the
United
States
census
bureau,
is
licensed
as
a
psychiatric
medical
institution
for
children,
and
was
a
system
of
care
grantee
prior
to
July
1,
2015.
Sec.
19.
ADOPTION
SUBSIDY.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,998,286
2.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
general
administration
for
costs
paid
from
the
appropriation
relating
to
adoption
subsidy.
3.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2015,
as
the
result
of
the
expenditure
of
state
funds
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
the
services
and
activities
funded
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
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but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
20.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
in
the
juvenile
detention
home
fund
created
in
section
232.142
during
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
for
distribution
of
an
amount
equal
to
a
percentage
of
the
costs
of
the
establishment,
improvement,
operation,
and
maintenance
of
county
or
multicounty
juvenile
detention
homes
in
the
fiscal
year
beginning
July
1,
2014.
Moneys
appropriated
for
distribution
in
accordance
with
this
section
shall
be
allocated
among
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
fiscal
year
beginning
July
1,
2014.
The
percentage
figure
shall
be
determined
by
the
department
based
on
the
amount
available
for
distribution
for
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
financial
aid
payable
by
the
state
under
that
provision
for
the
fiscal
year
beginning
July
1,
2015,
shall
be
limited
to
the
amount
appropriated
for
the
purposes
of
this
section.
Sec.
21.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
family
support
subsidy
program
subject
to
the
enrollment
restrictions
in
section
225C.37,
subsection
3
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,073,932
2.
The
department
shall
use
at
least
$641,500
of
the
moneys
appropriated
in
this
section
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
section
225C.47
.
Not
more
than
$25,000
of
the
amount
allocated
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in
this
subsection
shall
be
used
for
administrative
costs.
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
funding
available
for
the
family
support
subsidy
program
is
reduced
from
the
amount
initially
used
to
establish
the
figure
for
the
number
of
family
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
notwithstanding
section
225C.38,
subsection
2
,
the
department
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
of
funding
available.
Sec.
22.
CONNER
DECREE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
building
community
capacity
through
the
coordination
and
provision
of
training
opportunities
in
accordance
with
the
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
Sec.
23.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated,
which
amounts
shall
not
be
transferred
or
expended
for
any
purpose
other
than
the
purposes
designated,
notwithstanding
section
218.6
to
the
contrary:
1.
For
operation
of
the
state
mental
health
institute
at
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,545,616
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
2.
For
operation
of
the
state
mental
health
institute
at
-56-
SF505.2155
(11)
86
pf/rh/rj
56/
194
CCS-505
Independence
as
required
by
chapters
218
and
226
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,324,209
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
3.
For
operation
of
the
state
mental
health
institute
at
Mount
Pleasant
as
required
by
chapters
218
and
226,
for
purposes
of
providing
adult
psychiatric
services
including
inpatient
acute
care,
inpatient
substance
abuse
treatment,
and
inpatient
dual
diagnosis
substance
use
disorder
and
mental
illness
treatment,
at
the
same
level
of
care
and
treatment
as
provided
on
July
1,
2014,
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,424,880
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.68
Sec.
24.
STATE
RESOURCE
CENTERS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,524,482
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,583,806
2.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
intermediate
care
facilities
for
persons
with
an
intellectual
disability
services,
in
a
manner
which
does
not
shift
costs
between
the
medical
assistance
program,
counties,
or
other
sources
of
funding
for
the
state
resource
-57-
SF505.2155
(11)
86
pf/rh/rj
57/
194
CCS-505
centers.
3.
The
state
resource
centers
may
expand
the
time-limited
assessment
and
respite
services
during
the
fiscal
year.
4.
If
the
department’s
administration
and
the
department
of
management
concur
with
a
finding
by
a
state
resource
center’s
superintendent
that
projected
revenues
can
reasonably
be
expected
to
pay
the
salary
and
support
costs
for
a
new
employee
position,
or
that
such
costs
for
adding
a
particular
number
of
new
positions
for
the
fiscal
year
would
be
less
than
the
overtime
costs
if
new
positions
would
not
be
added,
the
superintendent
may
add
the
new
position
or
positions.
If
the
vacant
positions
available
to
a
resource
center
do
not
include
the
position
classification
desired
to
be
filled,
the
state
resource
center’s
superintendent
may
reclassify
any
vacant
position
as
necessary
to
fill
the
desired
position.
The
superintendents
of
the
state
resource
centers
may,
by
mutual
agreement,
pool
vacant
positions
and
position
classifications
during
the
course
of
the
fiscal
year
in
order
to
assist
one
another
in
filling
necessary
positions.
5.
If
existing
capacity
limitations
are
reached
in
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
a
special
need
for
which
a
payment
source
or
other
funding
is
available
for
the
service
or
to
address
the
special
need,
and
facilities
for
the
service
or
to
address
the
special
need
can
be
provided
within
the
available
payment
source
or
other
funding,
the
superintendent
of
a
state
resource
center
may
authorize
opening
not
more
than
two
units
or
other
facilities
and
begin
implementing
the
service
or
addressing
the
special
need
during
fiscal
year
2015-2016.
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
-58-
SF505.2155
(11)
86
pf/rh/rj
58/
194
CCS-505
purpose
designated:
For
costs
associated
with
the
commitment
and
treatment
of
sexually
violent
predators
in
the
unit
located
at
the
state
mental
health
institute
at
Cherokee,
including
costs
of
legal
services
and
other
associated
costs,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,893,079
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
2.
Unless
specifically
prohibited
by
law,
if
the
amount
charged
provides
for
recoupment
of
at
least
the
entire
amount
of
direct
and
indirect
costs,
the
department
of
human
services
may
contract
with
other
states
to
provide
care
and
treatment
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
violent
predators
at
Cherokee.
The
moneys
received
under
such
a
contract
shall
be
considered
to
be
repayment
receipts
and
used
for
the
purposes
of
the
appropriation
made
in
this
section.
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
field
operations,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,920,976
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
1.
As
a
condition
of
this
appropriation,
the
department
shall
make
every
possible
effort
to
fill
the
entire
number
of
positions
authorized
by
this
section
and,
unless
specifically
provided
otherwise
by
an
applicable
collective
bargaining
agreement,
the
department
is
not
subject
to
any
approval
requirement
external
to
the
department
to
fill
a
field
-59-
SF505.2155
(11)
86
pf/rh/rj
59/
194
CCS-505
operations
vacancy
within
the
number
of
full-time
equivalent
positions
authorized
by
this
section.
The
department
shall
report
on
the
first
of
each
month
to
the
chairpersons
and
ranking
members
of
the
appropriations
committees
of
the
senate
and
house
of
representatives,
and
the
persons
designated
by
this
Act
for
submission
of
reports
concerning
the
status
of
filling
the
positions.
2.
Priority
in
filling
full-time
equivalent
positions
shall
be
given
to
those
positions
related
to
child
protection
services
and
eligibility
determination
for
low-income
families.
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
general
administration,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,898,198
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
1.
Of
the
funds
appropriated
in
this
section,
$25,000
is
allocated
for
the
prevention
of
disabilities
policy
council
created
in
section
225B.3.
2.
The
department
shall
report
at
least
monthly
to
the
legislative
services
agency
concerning
the
department’s
operational
and
program
expenditures.
3.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
be
used
to
continue
the
contract
for
the
provision
of
a
program
to
provide
technical
assistance,
support,
and
consultation
to
providers
of
habilitation
services
and
home
and
community-based
services
waiver
services
for
adults
with
disabilities
under
the
medical
assistance
program.
4.
Of
the
funds
appropriated
in
this
section,
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
used
-60-
SF505.2155
(11)
86
pf/rh/rj
60/
194
CCS-505
for
administrative
support
of
the
council
on
homelessness
established
in
section
16.2D
and
for
the
council
to
fulfill
its
duties
in
addressing
and
reducing
homelessness
in
the
state.
5.
Of
the
funds
appropriated
in
this
section,
$250,000
shall
be
transferred
to
and
deposited
in
the
administrative
fund
of
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4,
if
enacted
in
this
Act,
to
be
used
for
implementation
and
administration
activities
of
the
Iowa
ABLE
savings
plan
trust.
Such
activities
may
include
the
funding
of
a
program
manager
position,
the
issuance
of
a
request
for
proposals,
and
creation
of
an
informational
internet
site,
but
shall
not
include
funding
for
marketing.
The
appropriation
made
in
this
section
is
deemed
to
meet
the
requirement
in
the
section
of
the
division
of
this
Act,
if
enacted,
relating
to
contingent
implementation
of
chapter
12I.
Sec.
28.
VOLUNTEERS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
Sec.
29.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
total
state
funding
amount
for
the
nursing
facility
budget
shall
not
exceed
$151,421,158.
(2)
For
the
fiscal
year
beginning
July
1,
2015,
the
department
shall
rebase
case-mix
nursing
facility
rates
effective
July
1,
2015.
However,
total
nursing
facility
budget
expenditures,
including
both
case-mix
and
noncase-mix,
shall
not
exceed
the
amount
specified
in
subparagraph
(1).
When
calculating
case-mix
per
diem
cost
and
the
patient-day-weighted
-61-
SF505.2155
(11)
86
pf/rh/rj
61/
194
CCS-505
medians
used
in
rate-setting
for
nursing
facilities
effective
July
1,
2015,
the
inflation
factor
applied
from
the
midpoint
of
the
cost
report
period
to
the
first
day
of
the
state
fiscal
year
rate
period
shall
be
adjusted
to
maintain
state
funding
within
the
amount
specified
in
subparagraph
(1).
(3)
The
department,
in
cooperation
with
nursing
facility
representatives,
shall
review
projections
for
state
funding
expenditures
for
reimbursement
of
nursing
facilities
on
a
quarterly
basis
and
the
department
shall
determine
if
an
adjustment
to
the
medical
assistance
reimbursement
rate
is
necessary
in
order
to
provide
reimbursement
within
the
state
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
if
the
state
funding
expenditures
for
the
nursing
facility
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
specified
in
subparagraph
(1),
the
department
shall
adjust
the
reimbursement
for
nursing
facilities
reimbursed
under
the
case-mix
reimbursement
system
to
maintain
expenditures
of
the
nursing
facility
budget
within
the
specified
amount
for
the
fiscal
year.
(4)
For
the
fiscal
year
beginning
July
1,
2015,
special
population
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
methodology
in
effect
on
June
30,
2015.
(5)
For
any
open
or
unsettled
nursing
facility
cost
report
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
beginning
July
1,
2014,
including
any
cost
report
remanded
on
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
or
x-ray
costs,
the
department
shall
offset
all
reported
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
received
from
Medicare
or
other
revenue
source
for
any
purpose.
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
report
is
not
considered
open
or
unsettled
if
the
facility
did
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
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any
appeal
rights
initiated
have
been
exhausted.
b.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
department
shall
establish
the
pharmacy
dispensing
fee
reimbursement
at
$11.73
per
prescription
as
determined
by
the
June
2014
cost
of
dispensing
fee
survey.
(2)
The
department
shall
utilize
an
average
acquisition
cost
reimbursement
methodology
for
all
drugs
covered
under
the
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
33.
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
(CMS)
requires,
as
a
condition
of
federal
Medicaid
funding,
that
the
department
implement
an
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
based
on
the
average
manufacturer’s
price
(AMP),
the
department
may
utilize
a
reimbursement
methodology
for
all
drugs
covered
under
the
Medicaid
program
based
on
the
national
average
drug
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
administrative
costs,
and
minimize
any
change
in
the
aggregate
reimbursement
for
drugs.
The
department
may
adopt
emergency
rules
to
implement
this
subparagraph.
c.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
reimbursement
rates
for
outpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2015,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(2)
For
the
fiscal
year
beginning
July
1,
2015,
reimbursement
rates
for
inpatient
hospital
services
shall
be
rebased
effective
October
1,
2015,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
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to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(3)
For
the
fiscal
year
beginning
July
1,
2015,
the
graduate
medical
education
and
disproportionate
share
hospital
fund
shall
remain
at
the
amount
in
effect
on
June
30,
2015,
except
that
the
portion
of
the
fund
attributable
to
graduate
medical
education
shall
be
reduced
in
an
amount
that
reflects
the
elimination
of
graduate
medical
education
payments
made
to
out-of-state
hospitals.
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
funds
in
procuring
health
care
services
for
low-income
Iowans,
funds
appropriated
in
this
Act
for
hospital
services
shall
not
be
used
for
activities
which
would
be
excluded
from
a
determination
of
reasonable
costs
under
the
federal
Medicare
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
d.
For
the
fiscal
year
beginning
July
1,
2015,
reimbursement
rates
for
rural
health
clinics,
hospices,
and
acute
mental
hospitals
shall
be
increased
in
accordance
with
increases
under
the
federal
Medicare
program
or
as
supported
by
their
Medicare
audited
costs.
e.
For
the
fiscal
year
beginning
July
1,
2015,
independent
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
using
the
same
methodology
in
effect
on
June
30,
2015.
f.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
reimbursement
rates
for
home
health
agencies
shall
continue
to
be
based
on
the
Medicare
low
utilization
payment
adjustment
(LUPA)
methodology
with
state
geographic
wage
adjustments,
and
updated
to
reflect
the
most
recent
Medicare
LUPA
rates.
(2)
For
the
fiscal
year
beginning
July
1,
2015,
rates
for
private
duty
nursing
and
personal
care
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
benefit
shall
be
calculated
based
on
the
methodology
in
effect
on
June
30,
2015.
g.
For
the
fiscal
year
beginning
July
1,
2015,
federally
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qualified
health
centers
shall
receive
cost-based
reimbursement
for
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
h.
For
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rates
for
dental
services
shall
remain
at
the
rates
in
effect
on
June
30,
2015.
i.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
state-owned
psychiatric
medical
institutions
for
children
shall
receive
cost-based
reimbursement
for
100
percent
of
the
actual
and
allowable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
for
children,
reimbursement
rates
shall
be
based
on
the
reimbursement
methodology
developed
by
the
Medicaid
managed
care
contractor
for
behavioral
health
services
as
required
for
federal
compliance.
(3)
As
a
condition
of
participation
in
the
medical
assistance
program,
enrolled
providers
shall
accept
the
medical
assistance
reimbursement
rate
for
any
covered
goods
or
services
provided
to
recipients
of
medical
assistance
who
are
children
under
the
custody
of
a
psychiatric
medical
institution
for
children.
j.
For
the
fiscal
year
beginning
July
1,
2015,
unless
otherwise
specified
in
this
Act,
all
noninstitutional
medical
assistance
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2015,
except
for
area
education
agencies,
local
education
agencies,
infant
and
toddler
services
providers,
home
and
community-based
services
providers
including
consumer-directed
attendant
care
providers
under
a
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
providers,
and
those
providers
whose
rates
are
required
to
be
determined
pursuant
to
section
249A.20
.
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rate
for
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anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
30,
2015.
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
beginning
July
1,
2015,
the
average
reimbursement
rate
for
health
care
providers
eligible
for
use
of
the
federal
Medicare
resource-based
relative
value
scale
reimbursement
methodology
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
June
30,
2015;
however,
this
rate
shall
not
exceed
the
maximum
level
authorized
by
the
federal
government.
m.
For
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rate
for
residential
care
facilities
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
The
flat
reimbursement
rate
for
facilities
electing
not
to
file
annual
cost
reports
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
n.
For
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rates
for
inpatient
mental
health
services
provided
at
hospitals
shall
be
rebased
effective
October
1,
2015,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year;
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
program
fee-for-service
rate
in
effect
on
June
30,
2015.
o.
For
the
fiscal
year
beginning
July
1,
2015,
community
mental
health
centers
may
choose
to
be
reimbursed
for
the
services
provided
to
recipients
of
medical
assistance
through
either
of
the
following
options:
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
(2)
In
accordance
with
the
alternative
reimbursement
rate
methodology
established
by
the
medical
assistance
program’s
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managed
care
contractor
for
mental
health
services
and
approved
by
the
department
of
human
services.
p.
For
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rate
for
providers
of
family
planning
services
that
are
eligible
to
receive
a
90
percent
federal
match
shall
remain
at
the
rates
in
effect
on
June
30,
2015.
q.
For
the
fiscal
year
beginning
July
1,
2015,
the
upper
limits
on
reimbursement
rates
for
providers
of
home
and
community-based
services
waiver
services
shall
be
increased
to
the
extent
possible
within
the
$1
million
of
state
funding
appropriated
for
this
purpose.
r.
For
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rates
for
emergency
medical
service
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2015.
s.
For
the
fiscal
year
beginning
July
1,
2015,
reimbursement
rates
for
substance-related
disorder
treatment
programs
licensed
under
section
125.13
shall
be
increased
by
3
percent
over
the
rates
in
effect
on
June
30,
2015.
2.
For
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rate
for
providers
reimbursed
under
the
in-home-related
care
program
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
3.
Unless
otherwise
directed
in
this
section,
when
the
department’s
reimbursement
methodology
for
any
provider
reimbursed
in
accordance
with
this
section
includes
an
inflation
factor,
this
factor
shall
not
exceed
the
amount
by
which
the
consumer
price
index
for
all
urban
consumers
increased
during
the
calendar
year
ending
December
31,
2002.
4.
For
the
fiscal
year
beginning
July
1,
2015,
the
foster
family
basic
daily
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
children
ages
12
through
15
years
shall
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be
$19.10,
and
the
rate
for
children
and
young
adults
ages
16
and
older
shall
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
care,
the
preparation
for
adult
living
program
maintenance
rate
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
disallowance
of
additional
amounts
for
court
costs
and
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408,
shall
be
continued.
5.
For
the
fiscal
year
beginning
July
1,
2015,
the
maximum
reimbursement
rates
for
social
services
providers
under
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2015,
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
each
service,
whichever
is
less.
However,
if
a
new
service
or
service
provider
is
added
after
June
30,
2015,
the
initial
reimbursement
rate
for
the
service
or
provider
shall
be
based
upon
a
weighted
average
of
provider
rates
for
similar
services.
6.
For
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rates
for
resource
family
recruitment
and
retention
contractors,
child
welfare
emergency
services
contractors,
and
supervised
apartment
living
foster
care
providers
shall
be
increased
by
5
percent
over
the
rates
in
effect
on
June
30,
2015.
7.
a.
For
the
purposes
of
this
subsection,
“combined
reimbursement
rate”
means
the
combined
service
and
maintenance
reimbursement
rate
for
a
service
level
under
the
department’s
reimbursement
methodology.
Effective
July
1,
2015,
the
combined
reimbursement
rate
for
a
group
foster
care
service
level
shall
be
the
amount
designated
in
this
subsection.
However,
if
a
group
foster
care
provider’s
reimbursement
rate
for
a
service
level
as
of
June
30,
2015,
is
more
than
the
rate
designated
in
this
subsection,
the
provider’s
reimbursement
shall
remain
at
the
higher
rate.
b.
Unless
a
group
foster
care
provider
is
subject
to
the
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exception
provided
in
paragraph
“a”,
effective
July
1,
2015,
the
combined
reimbursement
rates
for
the
service
levels
under
the
department’s
reimbursement
methodology
shall
be
as
follows:
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
be
at
least
$84.17.
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
shall
be
at
least
$119.09.
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
be
at
least
$131.09.
8.
The
group
foster
care
reimbursement
rates
paid
for
placement
of
children
out
of
state
shall
be
calculated
according
to
the
same
rate-setting
principles
as
those
used
for
in-state
providers,
unless
the
director
of
human
services
or
the
director’s
designee
determines
that
appropriate
care
cannot
be
provided
within
the
state.
The
payment
of
the
daily
rate
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
which
service
is
provided.
9.
a.
For
the
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
emergency
services
implemented
to
provide
or
prevent
the
need
for
shelter
care
shall
be
established
by
contract.
b.
For
the
fiscal
year
beginning
July
1,
2015,
the
combined
service
and
maintenance
components
of
the
reimbursement
rate
paid
for
shelter
care
services
shall
be
based
on
the
financial
and
statistical
report
submitted
to
the
department.
The
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
department
shall
reimburse
a
shelter
care
provider
at
the
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
to
exceed
the
maximum
reimbursement
rate.
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
fiscal
year
beginning
July
1,
2015,
the
amount
of
the
statewide
average
of
the
actual
and
allowable
rates
for
reimbursement
of
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
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effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
2014.
10.
For
the
fiscal
year
beginning
July
1,
2015,
the
department
shall
calculate
reimbursement
rates
for
intermediate
care
facilities
for
persons
with
an
intellectual
disability
at
the
80th
percentile.
Beginning
July
1,
2015,
the
rate
calculation
methodology
shall
utilize
the
consumer
price
index
inflation
factor
applicable
to
the
fiscal
year
beginning
July
1,
2015.
11.
For
the
fiscal
year
beginning
July
1,
2015,
for
child
care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
provider
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004.
Effective
July
1,
2015,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2015.
The
department
shall
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
nonregistered
provider
to
become
registered
by
applying
the
increase
only
to
registered
and
licensed
providers.
12.
For
the
fiscal
year
beginning
July
1,
2015,
if
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
approves
the
waivers
necessary
to
implement
medical
assistance
program
managed
care
applicable
to
any
providers
or
services
subject
to
reimbursement
under
this
section,
notwithstanding
any
provision
to
the
contrary
under
this
section,
affected
providers
or
services
shall
instead
be
reimbursed
as
follows:
a.
For
fee-for-service
claims,
reimbursement
shall
be
calculated
based
on
the
methodology
otherwise
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
2015,
for
the
respective
provider
or
service.
b.
For
claims
subject
to
a
managed
care
contract,
reimbursement
shall
be
based
on
the
methodology
established
by
the
managed
care
organization
contract.
However,
any
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reimbursement
established
under
such
contract
shall
not
be
lower
than
the
reimbursement
otherwise
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
2015,
for
the
respective
provider
or
service.
13.
The
department
may
adopt
emergency
rules
to
implement
this
section.
Sec.
30.
EMERGENCY
RULES.
1.
If
specifically
authorized
by
a
provision
of
this
division
of
this
Act,
the
department
of
human
services
or
the
mental
health
and
disability
services
commission
may
adopt
administrative
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
the
provisions
of
this
division
of
this
Act
and
the
rules
shall
become
effective
immediately
upon
filing
or
on
a
later
effective
date
specified
in
the
rules,
unless
the
effective
date
of
the
rules
is
delayed
or
the
applicability
of
the
rules
is
suspended
by
the
administrative
rules
review
committee.
Any
rules
adopted
in
accordance
with
this
section
shall
not
take
effect
before
the
rules
are
reviewed
by
the
administrative
rules
review
committee.
The
delay
authority
provided
to
the
administrative
rules
review
committee
under
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
imposed
under
this
section,
notwithstanding
a
provision
in
those
sections
making
them
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
with
the
provisions
of
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4.
2.
If
during
a
fiscal
year,
the
department
of
human
services
is
adopting
rules
in
accordance
with
this
section
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
rules
will
result
in
an
expenditure
increase
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
expenditure
was
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
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CCS-505
department
shall
notify
the
persons
designated
by
this
division
of
this
Act
for
submission
of
reports,
the
chairpersons
and
ranking
members
of
the
committees
on
appropriations,
and
the
department
of
management
concerning
the
rules
and
the
expenditure
increase.
The
notification
shall
be
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
administrative
rules
coordinator
and
the
administrative
code
editor.
Sec.
31.
REPORTS.
Any
reports
or
other
information
required
to
be
compiled
and
submitted
under
this
Act
during
the
fiscal
year
beginning
July
1,
2015,
shall
be
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
the
legislative
services
agency,
and
the
legislative
caucus
staffs
on
or
before
the
dates
specified
for
submission
of
the
reports
or
information.
Sec.
32.
TRANSFER
OF
MEDICAID
MODERNIZATION
SAVINGS
BETWEEN
APPROPRIATIONS
FY
2015-2016.
Notwithstanding
section
8.39,
subsection
1,
for
the
fiscal
year
beginning
July
1,
2015,
if
savings
resulting
from
the
governor’s
Medicaid
modernization
initiative
accrue
to
the
medical
contracts
or
children’s
health
insurance
program
appropriation
from
the
general
fund
of
the
state
and
not
to
the
medical
assistance
appropriation
from
the
general
fund
of
the
state
under
this
division
of
this
Act,
such
savings
may
be
transferred
to
such
medical
assistance
appropriation
for
the
same
fiscal
year
without
prior
written
consent
and
approval
of
the
governor
and
the
director
of
the
department
of
management.
The
department
of
human
services
shall
report
any
transfers
made
pursuant
to
this
section
to
the
legislative
services
agency.
Sec.
33.
EFFECTIVE
UPON
ENACTMENT.
The
following
provisions
of
this
division
of
this
Act,
being
deemed
of
immediate
importance,
take
effect
upon
enactment:
1.
The
provision
relating
to
section
232.141
and
directing
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CCS-505
the
state
court
administrator
and
the
division
administrator
of
the
department
of
human
services
division
of
child
and
family
services
to
make
the
determination,
by
June
15,
2015,
of
the
distribution
of
funds
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
which
are
a
charge
upon
the
state.
DIVISION
VI
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2015-2016
Sec.
34.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
Notwithstanding
any
provision
of
law
to
the
contrary,
to
supplement
the
appropriations
made
in
this
Act
for
medical
contracts
under
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,002,176
Sec.
35.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
quality
assurance
trust
fund
created
in
section
249L.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
37,205,208
Sec.
36.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
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CCS-505
appropriated
from
the
hospital
health
care
access
trust
fund
created
in
section
249M.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,700,000
Sec.
37.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
FOR
FY
2015-2016.
Notwithstanding
section
8.33
,
if
moneys
appropriated
for
purposes
of
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
from
the
general
fund
of
the
state,
the
quality
assurance
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
expenditures
for
the
medical
assistance
program
and
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
of
the
medical
assistance
program
until
the
close
of
the
succeeding
fiscal
year.
DIVISION
VII
PATIENT-CENTERED
HEALTH
ADVISORY
COUNCIL
Sec.
38.
Section
135.159,
subsection
2,
paragraph
a,
unnumbered
paragraph
1,
Code
2015,
is
amended
to
read
as
follows:
The
department
shall
establish
an
a
patient-centered
health
advisory
council
which
shall
include
but
is
not
limited
to
all
of
the
following
members,
selected
by
their
respective
organizations,
and
any
other
members
the
department
determines
necessary
to
assist
in
the
department’s
duties
at
various
stages
of
development
of
the
medical
home
system:
Sec.
39.
Section
135.159,
subsection
2,
paragraph
b,
Code
2015,
is
amended
to
read
as
follows:
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CCS-505
b.
Public
members
of
the
patient-centered
health
advisory
council
shall
receive
reimbursement
for
actual
expenses
incurred
while
serving
in
their
official
capacity
only
if
they
are
not
eligible
for
reimbursement
by
the
organization
that
they
represent.
Sec.
40.
Section
135.159,
subsection
10,
Code
2015,
is
amended
to
read
as
follows:
10.
The
department
shall
integrate
the
recommendations
and
policies
developed
pursuant
to
section
135.161
,
Code
2011,
into
the
medical
home
system
and
shall
incorporate
the
development
and
implementation
of
the
state
initiative
for
prevention
and
chronic
care
management
as
developed
pursuant
to
section
135.161
,
Code
2011,
into
the
duties
of
the
medical
home
system
patient-centered
health
advisory
council
beginning
January
1,
2012.
Sec.
41.
CODE
EDITOR
DIRECTIVE.
The
Code
editor
shall
amend
the
headnote
of
section
135.159,
Code
2015,
to
read
Medical
home
system
——
patient-centered
health
advisory
council
——
development
and
implementation
.
DIVISION
VIII
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS
DECATEGORIZATION
——
FY
2014-2015
Sec.
42.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
pool
that
remained
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2012,
and
were
deemed
carryover
funding
to
remain
available
for
the
two
succeeding
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2014,
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2014.
COMMUNITY
MENTAL
HEALTH
SERVICES
APPROPRIATION
——
FY
2014-2015
Sec.
43.
2013
Iowa
Acts,
chapter
136,
section
2,
subsection
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194
CCS-505
1,
paragraph
c,
is
amended
to
read
as
follows:
c.
The
department
shall
allocate
not
less
than
95
percent
of
the
amount
of
the
block
grant
each
federal
fiscal
year
to
eligible
community
mental
health
services
providers
for
carrying
out
the
plan
submitted
to
and
approved
by
the
federal
substance
abuse
and
mental
health
services
administration
for
the
fiscal
year
involved
,
except
that
for
federal
fiscal
year
2014-2015,
$1,643,467
of
such
federal
block
grant
funds
shall
be
used
for
child
and
family
services
pursuant
to
2013
Iowa
Acts,
chapter
138,
section
148,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
25,
for
the
purposes
of
2014
Iowa
Acts,
chapter
1140,
section
25,
subsection
20,
relating
to
the
community
circle
of
care
collaboration
for
children
and
youth
in
northeast
Iowa,
subsection
24
relating
to
the
central
Iowa
system
of
care
program
grant,
subsection
25
relating
to
the
system
of
care
grant
implemented
in
Cerro
Gordo
and
Linn
counties,
and
subsection
27
relating
to
a
system
of
care
approach
for
children
with
a
serious
emotional
disturbance
and
their
families
through
a
nonprofit
provider
of
child
welfare
services
licensed
as
a
psychiatric
medical
institution
for
children
.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
——
FY
2014-2015
Sec.
44.
2013
Iowa
Acts,
chapter
138,
section
136,
subsections
1,
2,
6,
and
13,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
9,
are
amended
to
read
as
follows:
1.
To
be
credited
to
the
family
investment
program
account
and
used
for
assistance
under
the
family
investment
program
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,879,488
6,281,222
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
:
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SF505.2155
(11)
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pf/rh/rj
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194
CCS-505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,091,911
10,232,340
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
41,210,239
a.
Of
the
funds
appropriated
in
this
subsection,
$26,347,110
$26,332,712
is
transferred
to
the
child
care
and
development
block
grant
appropriation
made
by
the
Eighty-fifth
General
Assembly,
2013
Session,
in
2013
Iowa
Acts,
chapter
136,
section
14
for
the
federal
fiscal
year
beginning
October
1,
2014,
and
ending
September
30,
2015.
Of
this
amount,
$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
who
are
employed
.
13.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2013
or
2014
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
not
otherwise
appropriated
in
this
section
and
remaining
available
for
the
fiscal
year
beginning
July
1,
2014,
are
appropriated
to
the
department
of
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
the
following
priority
-77-
SF505.2155
(11)
86
pf/rh/rj
77/
194
CCS-505
order:
the
family
investment
program,
for
state
child
care
assistance
program
payments
for
individuals
enrolled
in
the
family
investment
program
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
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.
CHILD
SUPPORT
RECOVERY
UNIT
——
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
45.
2013
Iowa
Acts,
chapter
138,
section
139,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
12,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
5.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
ending
June
30,
2015,
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
MEDICAL
ASSISTANCE
——
FY
2014-2015
Sec.
46.
2013
Iowa
Acts,
chapter
139,
section
142,
-78-
SF505.2155
(11)
86
pf/rh/rj
78/
194
CCS-505
unnumbered
paragraph
2,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
14,
is
amended
to
read
as
follows:
For
medical
assistance
program
reimbursement
and
associated
costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2014,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,658,393
1,266,486,529
DISPROPORTIONATE
SHARE
HOSPITAL
——
FY
2014-2015
Sec.
47.
2013
Iowa
Acts,
chapter
138,
section
142,
subsection
11,
paragraph
a,
unnumbered
paragraph
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
15,
is
amended
to
read
as
follows:
Of
the
funds
appropriated
in
this
section,
$8,391,922
$5,591,922
is
allocated
for
the
state
match
for
a
disproportionate
share
hospital
payment
of
$19,133,430
$12,749,481
to
hospitals
that
meet
both
of
the
conditions
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
meet
the
conditions
specified
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
of
$7,500,000
$13,883,949
.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
of
$26,633,430.
MEDICAL
CONTRACTS
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
48.
2013
Iowa
Acts,
chapter
138,
section
143,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
19,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
9.
Notwithstanding
section
8.33,
moneys
-79-
SF505.2155
(11)
86
pf/rh/rj
79/
194
CCS-505
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
STATE
SUPPLEMENTARY
ASSISTANCE
——
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
49.
2013
Iowa
Acts,
chapter
138,
section
144,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
20,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM/HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
50.
2013
Iowa
Acts,
chapter
138,
section
145,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
21,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
same
fiscal
year.
CHILD
CARE
ASSISTANCE
——
FY
2014-2015
Sec.
51.
2013
Iowa
Acts,
chapter
138,
section
146,
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
22,
are
amended
to
read
as
follows:
There
is
appropriated
from
the
general
fund
of
the
state
to
-80-
SF505.2155
(11)
86
pf/rh/rj
80/
194
CCS-505
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,132,080
36,303,944
Sec.
52.
2013
Iowa
Acts,
chapter
138,
section
146,
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
22,
is
amended
to
read
as
follows:
1.
Of
the
funds
appropriated
in
this
section,
$39,412,653
$28,484,517
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13
.
CHILD
AND
FAMILY
SERVICES
——
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
53.
2013
Iowa
Acts,
chapter
138,
section
148,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
25,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
29.
Notwithstanding
section
8.33,
of
the
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
$8,293,467
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
ADOPTION
SUBSIDY
——
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
54.
2013
Iowa
Acts,
chapter
138,
section
149,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
26,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
-81-
SF505.2155
(11)
86
pf/rh/rj
81/
194
CCS-505
used
for
the
medical
assistance
program
for
that
fiscal
year.
FAMILY
SUPPORT
SUBSIDY
——
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
55.
2013
Iowa
Acts,
chapter
138,
section
151,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
27,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
CLARINDA
AND
INDEPENDENCE
MENTAL
HEALTH
INSTITUTES
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
56.
2013
Iowa
Acts,
chapter
138,
section
153,
subsections
2
and
3,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
29,
are
amended
to
read
as
follows:
2.
a.
For
the
state
mental
health
institute
at
Clarinda
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,787,309
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
b.
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
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
3.
a.
For
the
state
mental
health
institute
at
Independence
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,484,386
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
-82-
SF505.2155
(11)
86
pf/rh/rj
82/
194
CCS-505
b.
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
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
GLENWOOD
AND
WOODWARD
STATE
RESOURCE
CENTERS
——
CARRYFORWARD
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM
FOR
FY
2015-2016
Sec.
57.
2013
Iowa
Acts,
chapter
138,
section
154,
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
30,
is
amended
to
read
as
follows:
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,695,266
Notwithstanding
section
8.33,
moneys
appropriated
in
this
paragraph
“a”
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,855,693
Notwithstanding
section
8.33,
moneys
appropriated
in
this
paragraph
“b”
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
-83-
SF505.2155
(11)
86
pf/rh/rj
83/
194
CCS-505
FIELD
OPERATIONS
——
FY
2014-2015
Sec.
58.
2013
Iowa
Acts,
chapter
138,
section
156,
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
32,
are
amended
to
read
as
follows:
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
field
operations,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,170,976
61,170,976
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
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.
.
.
FTEs
1,837.00
GENERAL
ADMINISTRATION
——
FY
2014-2015
Sec.
59.
2013
Iowa
Acts,
chapter
138,
section
157,
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
33,
are
amended
to
read
as
follows:
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
general
administration,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,072,302
15,072,302
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
CHILDREN
ADJUDICATED
AS
DELINQUENT
AND
CHILD
IN
NEED
OF
ASSISTANCE
PLACEMENTS
——
CARRYFORWARD
FUNDING
FY
2015-2016
Sec.
60.
2013
Iowa
Acts,
chapter
138,
section
147A,
as
enacted
by
2014
Iowa
Acts,
chapter
1140,
section
24,
is
amended
-84-
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pf/rh/rj
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194
CCS-505
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
appropriation
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
medical
assistance
program
for
that
fiscal
year.
Sec.
61.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
62.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
is
retroactively
applicable
to
July
1,
2014.
DIVISION
IX
HEALTH
POLICY
——
OVERSIGHT
Sec.
63.
HEALTH
POLICY
OVERSIGHT
——
MEDICAID
MANAGED
CARE.
1.
The
department
of
human
services
shall
partner
with
appropriate
stakeholders
to
convene
monthly
statewide
public
meetings
to
receive
input
and
recommendations
from
stakeholders
and
members
of
the
public
regarding
Medicaid
managed
care,
beginning
in
March
2016.
The
meetings
shall
be
held
in
both
rural
and
urban
areas,
in
small
communities
and
large
population
centers,
and
in
a
manner
that
is
geographically
balanced.
The
input
and
recommendations
of
the
public
meetings
shall
be
compiled
by
the
department
of
human
services
and
submitted
to
the
executive
committee
of
the
medical
assistance
advisory
council
created
in
section
249A.4B.
2.
a.
The
executive
committee
of
the
medical
assistance
advisory
council
shall
review
the
compilation
of
the
input
and
recommendations
of
the
public
meetings
convened
pursuant
to
subsection
1,
and
shall
submit
recommendations
based
upon
the
compilation
to
the
director
of
human
services
on
a
quarterly
basis.
b.
The
director
of
human
services
shall
submit
the
compilation
and
the
recommendations
made
under
paragraph
“a”
to
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CCS-505
the
legislative
health
policy
oversight
committee
created
in
section
2.45.
Sec.
64.
Section
2.45,
Code
2015,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
6.
The
legislative
health
policy
oversight
committee,
which
shall
be
composed
of
members
appointed
by
the
legislative
council.
The
legislative
health
policy
oversight
committee
shall
receive
updates
and
review
data,
public
input
and
concerns,
and
make
recommendations
for
improvements
to
and
changes
in
law
or
rule
regarding
Medicaid
managed
care.
Sec.
65.
NEW
SECTION
.
231.44
Utilization
of
resources
——
assistance
and
advocacy
related
to
long-term
services
and
supports
under
the
Medicaid
program.
1.
The
office
of
long-term
care
ombudsman
may
utilize
its
available
resources
to
provide
assistance
and
advocacy
services
to
eligible
recipients,
or
the
families
or
legal
representatives
of
such
eligible
recipients,
of
long-term
services
and
supports
provided
through
the
Medicaid
program.
Such
assistance
and
advocacy
shall
include
but
is
not
limited
to
all
of
the
following:
a.
Assisting
recipients
in
understanding
the
services,
coverage,
and
access
provisions
and
their
rights
under
Medicaid
managed
care.
b.
Developing
procedures
for
the
tracking
and
reporting
of
the
outcomes
of
individual
requests
for
assistance,
the
obtaining
of
necessary
services
and
supports,
and
other
aspects
of
the
services
provided
to
eligible
recipients.
c.
Providing
advice
and
assistance
relating
to
the
preparation
and
filing
of
complaints,
grievances,
and
appeals
of
complaints
or
grievances,
including
through
processes
available
under
managed
care
plans
and
the
state
appeals
process,
relating
to
long-term
services
and
supports
under
the
Medicaid
program.
2.
A
representative
of
the
office
of
long-term
care
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CCS-505
ombudsman
providing
assistance
and
advocacy
services
authorized
under
this
section
for
an
individual,
shall
be
provided
access
to
the
individual,
and
shall
be
provided
access
to
the
individual’s
medical
and
social
records
as
authorized
by
the
individual
or
the
individual’s
legal
representative,
as
necessary
to
carry
out
the
duties
specified
in
this
section.
3.
A
representative
of
the
office
of
long-term
care
ombudsman
providing
assistance
and
advocacy
services
authorized
under
this
section
for
an
individual,
shall
be
provided
access
to
administrative
records
related
to
the
provision
of
the
long-term
services
and
supports
to
the
individual,
as
necessary
to
carry
out
the
duties
specified
in
this
section.
4.
For
the
purposes
of
this
section:
a.
“Institutional
setting”
includes
a
long-term
care
facility,
an
elder
group
home,
or
an
assisted
living
program.
b.
“Long-term
services
and
supports”
means
the
broad
range
of
health,
health-related,
and
personal
care
assistance
services
and
supports,
provided
in
both
institutional
settings
and
home
and
community-based
settings,
necessary
for
older
individuals
and
persons
with
disabilities
who
experience
limitations
in
their
capacity
for
self-care
due
to
a
physical,
cognitive,
or
mental
disability
or
condition.
Sec.
66.
PROPOSAL
FOR
A
HEALTH
CONSUMER
OMBUDSMAN
ALLIANCE.
The
office
of
long-term
care
ombudsman
shall
collaborate
with
the
department
on
aging,
the
office
of
substitute
decision
maker,
the
department
of
veterans
affairs,
the
department
of
human
services,
the
department
of
public
health,
the
department
of
inspections
and
appeals,
the
designated
protection
and
advocacy
agency
as
provided
in
section
135C.2,
subsection
4,
the
civil
rights
commission,
the
senior
health
insurance
information
program,
the
Iowa
insurance
consumer
advocate,
Iowa
legal
aid,
and
other
consumer
advocates
and
consumer
assistance
programs,
to
develop
a
proposal
for
the
establishment
of
a
health
consumer
ombudsman
alliance.
The
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194
CCS-505
purpose
of
the
alliance
is
to
provide
a
permanent
coordinated
system
of
independent
consumer
supports
to
ensure
that
consumers,
including
consumers
covered
under
Medicaid
managed
care,
obtain
and
maintain
essential
health
care,
are
provided
unbiased
information
in
understanding
coverage
models,
and
are
assisted
in
resolving
problems
regarding
health
care
services,
coverage,
access,
and
rights.
The
proposal
developed
shall
include
annual
budget
projections
and
shall
be
submitted
to
the
governor
and
the
general
assembly
no
later
than
December
15,
2015.
Sec.
67.
LEVEL
OF
CARE
ASSESSMENTS
AND
REASSESSMENTS,
OPTIONS
COUNSELING,
AND
CASE
MANAGEMENT.
1.
a.
The
department
of
human
services
shall
contract
with
a
conflict
free
third
party
to
conduct
initial
level
of
care
assessments
and
reassessments
for
Medicaid
program
applicants
or
members
who
are
not
enrolled
in
a
Medicaid
managed
care
plan.
b.
A
Medicaid
managed
care
contractor
shall
conduct
initial
level
of
care
assessments
and
reassessments
for
Medicaid
program
members
enrolled
in
the
contractor’s
plan,
and
shall
submit
the
results
to
the
department.
c.
All
level
of
care
assessments
and
reassessments
shall
be
conducted
using
an
assessment
tool
approved
by
the
department
and
shall
be
conflict
free.
d.
The
department
shall
determine
the
level
of
care
of
an
applicant
or
member
based
upon
the
results
of
the
assessments
or
reassessments
conducted
and
submitted
in
accordance
with
this
subsection.
e.
Level
of
care
reassessments
shall
be
conducted
annually
or
when
the
needs
of
a
member
change.
2.
A
Medicaid
member’s
service
plan
shall
reflect
the
member’s
needs
and
goals
based
upon
the
assessment
or
reassessment
conducted
pursuant
to
subsection
1.
A
member’s
service
plan
shall
not
be
changed
prior
to
the
completion
of
a
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functional
or
needs
reassessment,
and
any
subsequent
service
plan
shall
be
based
on
the
reassessment.
3.
The
department
shall
provide
for
administration
of
nonbiased,
community-based,
in-person
options
counseling
by
a
conflict
free
third
party
for
applicants
for
a
Medicaid
managed
care
plan.
4.
Case
management
under
a
Medicaid
managed
care
contract
shall
be
administered
in
a
conflict
free
manner.
5.
For
the
purposes
of
this
section,
“conflict
free”
means
conflict
free
pursuant
to
specifications
of
the
balancing
incentive
program
requirements.
DIVISION
X
AUTISM
Sec.
68.
NEW
SECTION
.
135.181
Behavior
analyst
and
board
certified
assistant
behavior
analyst
grants
program
——
fund.
1.
The
department
shall
establish
a
board-certified
behavior
analyst
and
board-certified
assistant
behavior
analyst
grants
program
to
provide
grants
to
Iowa
resident
and
nonresident
applicants
who
have
been
accepted
for
admission
or
are
attending
a
board
of
regents
university,
community
college,
or
an
accredited
private
institution,
are
enrolled
in
a
program
to
be
eligible
for
board
certification
as
a
behavior
analyst
or
assistant
behavior
analyst,
and
demonstrate
financial
need.
Priority
in
the
awarding
of
a
grant
shall
be
given
to
applicants
who
are
residents
of
Iowa.
2.
The
department,
in
cooperation
with
the
department
of
education,
shall
adopt
rules
pursuant
to
chapter
17A
to
establish
minimum
standards
for
applicants
to
be
eligible
for
a
grant
that
address
all
of
the
following:
a.
Eligibility
requirements
for
and
qualifications
of
an
applicant
to
receive
a
grant.
b.
The
application
process
for
the
grant.
c.
Criteria
for
preference
in
awarding
of
the
grants.
d.
Determination
of
the
amount
of
a
grant.
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e.
Use
of
the
funds
awarded.
3.
a.
A
board-certified
behavior
analyst
and
board-certified
assistant
behavior
analyst
grants
program
fund
is
created
in
the
state
treasury
as
a
separate
fund
under
the
control
of
the
department.
The
fund
shall
consist
of
moneys
appropriated
from
the
general
fund
of
the
state
for
the
purposes
of
the
fund
and
moneys
from
any
other
public
or
private
source
available.
b.
The
department
may
receive
contributions,
grants,
and
in-kind
contributions
to
support
the
purposes
of
the
fund.
Not
more
than
five
percent
of
the
moneys
in
the
fund
may
be
used
annually
for
administrative
costs.
c.
The
fund
shall
be
separate
from
the
general
fund
of
the
state
and
shall
not
be
considered
part
of
the
general
fund
of
the
state.
The
moneys
in
the
fund
shall
not
be
considered
revenue
of
the
state,
but
rather
shall
be
moneys
of
the
fund.
Moneys
within
the
fund
are
not
subject
to
section
8.33
and
shall
not
be
transferred,
used,
obligated,
appropriated,
or
otherwise
encumbered,
except
to
provide
for
the
purposes
of
this
section.
Notwithstanding
section
12C.7,
subsection
2,
interest
or
earnings
on
moneys
deposited
in
the
fund
shall
be
credited
to
the
fund.
d.
The
moneys
in
the
fund
are
appropriated
to
the
department
and
shall
be
used
to
provide
grants
to
individuals
who
meet
the
criteria
established
under
this
section.
Sec.
69.
Section
225D.1,
subsection
3,
Code
2015,
is
amended
to
read
as
follows:
3.
“Autism
service
provider”
means
a
person
providing
applied
behavioral
analysis,
who
meets
all
of
the
following
criteria:
a.
Is
any
of
the
following:
(1)
Is
certified
as
a
behavior
analyst
by
the
behavior
analyst
certification
board
or
,
is
a
health
professional
licensed
under
chapter
147
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psychologist
licensed
under
chapter
154B,
or
is
a
psychiatrist
licensed
under
chapter
148
.
(2)
Is
a
board-certified
assistant
behavior
analyst
who
performs
duties,
identified
by
and
based
on
the
standards
of
the
behavior
analyst
certification
board,
under
the
supervision
of
a
board-certified
behavior
analyst.
b.
Is
approved
as
a
member
of
the
provider
network
by
the
department.
Sec.
70.
Section
225D.2,
subsection
2,
Code
2015,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
l.
Proof
of
eligibility
for
the
autism
support
program
that
includes
a
written
denial
for
coverage
or
a
benefits
summary
indicating
that
applied
behavioral
analysis
treatment
is
not
a
covered
benefit
for
which
the
applicant
is
eligible,
under
the
Medicaid
program,
section
514C.28,
or
private
insurance
coverage.
Sec.
71.
Section
225D.2,
subsection
5,
paragraph
a,
Code
2015,
is
amended
to
read
as
follows:
a.
An
autism
support
fund
is
created
in
the
state
treasury
under
the
authority
of
the
department.
Moneys
appropriated
to
and
all
other
moneys
specified
for
deposit
in
the
fund
shall
be
deposited
in
the
fund
and
used
for
the
purposes
of
the
program.
Notwithstanding
section
12C.7,
interest
or
earnings
on
moneys
in
the
fund
shall
be
credited
to
the
fund.
Notwithstanding
section
8.33,
moneys
credited
to
the
fund
that
remain
unexpended
or
unobligated
at
the
end
of
a
fiscal
year
shall
not
revert
to
any
other
fund.
DIVISION
XI
OFFICE
OF
SUBSTITUTE
DECISION
MAKER
Sec.
72.
Section
231E.4,
subsection
3,
paragraph
a,
Code
2015,
is
amended
to
read
as
follows:
a.
Select
persons
through
a
request
for
proposals
process
to
establish
local
offices
of
substitute
decision
maker
in
each
of
the
planning
and
service
areas.
Local
offices
shall
be
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established
statewide
on
or
before
July
1,
2015
2017
.
DIVISION
XII
DEMENTIA
WORKFORCE
Sec.
73.
INTERAGENCY
DEMENTIA
PROFICIENT
WORKFORCE
TASK
FORCE.
The
department
on
aging
shall
convene
an
interagency
task
force,
in
collaboration
with
the
office
of
long-term
care
ombudsman,
the
office
of
substitute
decision
maker,
the
departments
of
public
health,
human
services,
and
inspections
and
appeals,
and
the
Alzheimer’s
association,
to
review
the
recommendations
for
a
standard
curriculum
model
for
dementia
education
submitted
by
the
Alzheimer’s
association
dementia
education
task
force
to
the
department
on
aging
in
June
2010,
in
the
Iowa
dementia
education
project
final
report,
and
the
curricula-related
recommendations
submitted
by
the
direct
care
worker
task
force
and
the
direct
care
worker
advisory
council;
identify
staff,
in
settings
in
which
individuals
with
dementia
may
seek
services
and
care,
who
should
have
some
level
of
dementia
proficiency
and
analyze
gaps
in
existing
training
and
educational
requirements;
and
develop
an
implementation
plan
to
transition
toward
competency-based
dementia
curricula
and
training
that
achieves
dementia
proficiency
across
a
broader
care
continuum.
To
the
greatest
extent
possible,
the
plan
shall
address
training
strategies
for
different
settings,
levels
of
skill,
and
licensure.
The
plan
shall
include
a
timeline
for
implementation,
fiscal
implications
of
recommendations,
and
identification
of
key
decision
points
for
the
general
assembly.
The
task
force
shall
provide
opportunities
for
stakeholder
input
from
affected
industry,
education,
professional,
employee,
and
consumer
organizations.
The
task
force
shall
submit
its
recommendations
to
the
governor
and
the
general
assembly
no
later
than
December
15,
2015.
DIVISION
XIII
PHARMACEUTICAL
COLLECTION
AND
DISPOSAL
PROGRAM
Sec.
74.
Section
155A.43,
Code
2015,
is
amended
to
read
as
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follows:
155A.43
Pharmaceutical
collection
and
disposal
program
——
annual
allocation.
Of
the
fees
collected
pursuant
to
sections
124.301
and
147.80
and
chapter
155A
by
the
board
of
pharmacy,
and
retained
by
the
board
pursuant
to
section
147.82
,
not
more
than
one
hundred
twenty-five
seventy-five
thousand
dollars
may
be
allocated
annually
by
the
board
for
administering
the
pharmaceutical
collection
and
disposal
program
originally
established
pursuant
to
2009
Iowa
Acts,
ch.
175,
§9.
The
program
shall
provide
for
the
management
and
disposal
of
unused,
excess,
and
expired
pharmaceuticals.
The
board
of
pharmacy
may
cooperate
with
the
Iowa
pharmacy
association
and
may
consult
with
the
department
and
sanitary
landfill
operators
in
administering
the
program.
DIVISION
XIV
PREREQUISITES
FOR
AN
ABORTION
Sec.
75.
NEW
SECTION
.
146A.1
Prerequisites
for
an
abortion.
Except
in
the
case
of
a
medical
emergency,
as
defined
in
section
135L.1,
for
any
woman,
the
physician
shall
certify
both
of
the
following
before
performing
an
abortion:
1.
That
the
woman
has
been
given
the
opportunity
to
view
an
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care.
2.
That
the
woman
has
been
provided
information
regarding
the
options
relative
to
a
pregnancy,
including
continuing
the
pregnancy
to
term
and
retaining
parental
rights
following
the
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
child
for
adoption,
and
terminating
the
pregnancy.
DIVISION
XV
IOWA
ABLE
SAVINGS
PLAN
TRUST
Sec.
76.
NEW
SECTION
.
12I.1
Purpose
and
definitions.
1.
The
general
assembly
finds
that
the
general
welfare
and
well-being
of
the
state
are
directly
related
to
the
health,
maintenance,
independence,
and
quality
of
life
of
its
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disabled
residents,
and
that
a
vital
and
valid
public
purpose
is
served
by
the
creation
and
implementation
of
programs
that
encourage
and
make
possible
savings
to
secure
funding
for
disability-related
expenses
on
behalf
of
individuals
with
disabilities
that
will
supplement,
but
not
supplant,
other
benefits
provided
by
various
federal,
state,
and
private
sources.
The
creation
of
the
means
of
encouragement
for
citizens
to
invest
in
such
a
program
represents
the
carrying
out
of
a
vital
and
valid
public
purpose.
In
order
to
make
available
to
the
citizens
of
the
state
an
opportunity
to
fund
future
disability-related
expenses
of
individuals,
it
is
necessary
that
a
public
trust
be
established
in
which
moneys
may
be
invested
for
payment
of
future
disability-related
expenses
of
an
individual.
2.
As
used
in
this
chapter,
unless
the
context
otherwise
requires:
a.
“Account
balance
limit”
means
the
maximum
allowable
aggregate
balance
of
an
account
established
for
a
designated
beneficiary.
Account
earnings,
if
any,
are
included
in
the
account
balance
limit.
b.
“Account
owner”
means
an
individual
who
enters
into
a
participation
agreement
under
this
chapter
for
the
payment
of
qualified
disability
expenses
on
behalf
of
a
designated
beneficiary.
c.
“Contracting
state”
means
the
same
as
defined
in
section
529A
of
the
Internal
Revenue
Code.
d.
“Designated
beneficiary”
means
an
individual
who
is
a
resident
of
this
state
or
a
resident
of
a
contracting
state
and
who
meets
the
definition
of
“eligible
individual”
in
section
529A
of
the
Internal
Revenue
Code.
e.
“Internal
Revenue
Code”
means
the
Internal
Revenue
Code
of
1986,
as
amended,
and
regulations
promulgated
thereunder.
f.
“Iowa
ABLE
savings
plan
trust”
or
“trust”
means
the
trust
created
under
section
12I.2.
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g.
“Participation
agreement”
means
an
agreement
between
the
account
owner
and
the
trust
entered
into
under
this
chapter.
h.
“Qualified
ABLE
program
”
means
the
same
as
defined
in
section
529A
of
the
Internal
Revenue
Code.
i.
“Qualified
disability
expenses”
means
the
same
as
defined
in
section
529A
of
the
Internal
Revenue
Code.
j.
“Resident”
shall
be
defined
by
rules
adopted
by
the
treasurer
of
state.
The
rules
shall
determine
residency
in
such
manner
as
may
be
required
or
permitted
under
section
529A
of
the
Internal
Revenue
Code,
or,
in
the
absence
of
any
guidance
under
federal
law,
as
the
treasurer
of
state
deems
advisable
for
the
purpose
of
satisfying
the
requirements
of
section
529A
of
the
Internal
Revenue
Code.
Sec.
77.
NEW
SECTION
.
12I.2
Creation
of
Iowa
ABLE
savings
plan
trust.
An
Iowa
ABLE
savings
plan
trust
is
created.
The
treasurer
of
state
is
the
trustee
of
the
trust,
and
has
all
powers
necessary
to
carry
out
and
effectuate
the
purposes,
objectives,
and
provisions
of
this
chapter
pertaining
to
the
trust,
including
the
power
to
do
all
of
the
following:
1.
Make
and
enter
into
contracts
necessary
for
the
administration
of
the
trust
created
under
this
chapter.
2.
Enter
into
agreements
with
this
state
or
any
other
state,
or
any
federal
or
other
state
agency,
or
other
entity
as
required
to
implement
this
chapter.
3.
Carry
out
the
duties
and
obligations
of
the
trust
pursuant
to
this
chapter.
4.
Accept
any
grants,
gifts,
legislative
appropriations,
and
other
moneys
from
the
state,
any
unit
of
federal,
state,
or
local
government,
or
any
other
person,
firm,
partnership,
or
corporation
which
the
treasurer
of
state
shall
deposit
into
the
administrative
fund
or
program
fund.
5.
Participate
in
any
federal,
state,
or
local
governmental
program
for
the
benefit
of
the
trust.
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6.
Procure
insurance
against
any
loss
in
connection
with
the
property,
assets,
or
activities
of
the
trust.
7.
Enter
into
participation
agreements
with
account
owners.
8.
Make
payments
to
designated
beneficiaries
pursuant
to
participation
agreements.
9.
Make
refunds
to
account
owners
upon
the
termination
of
participation
agreements,
and
partial
nonqualified
distributions
to
account
owners,
pursuant
to
this
chapter
and
the
limitations
and
restrictions
set
forth
in
this
chapter.
10.
Invest
moneys
from
the
program
fund
in
any
investments
that
are
determined
by
the
treasurer
of
state
to
be
appropriate.
11.
Engage
investment
advisors,
if
necessary,
to
assist
in
the
investment
of
trust
assets.
12.
Contract
for
goods
and
services
and
engage
personnel
as
necessary,
including
consultants,
actuaries,
managers,
legal
counsel,
and
auditors
for
the
purpose
of
rendering
professional,
managerial,
and
technical
assistance
and
advice
to
the
treasurer
of
state
regarding
trust
administration
and
operation.
13.
Establish,
impose,
and
collect
administrative
fees
and
charges
in
connection
with
transactions
of
the
trust,
and
provide
for
reasonable
service
charges,
including
penalties
for
cancellations
and
late
payments
with
respect
to
participation
agreements.
14.
Administer
the
funds
of
the
trust.
15.
Prepare
and
file
reports
and
notices.
16.
Enter
into
agreements
with
contracting
states
to
permit
residents
of
the
contracting
state
to
participate
in
the
Iowa
ABLE
savings
plan
trust.
17.
Adopt
rules
pursuant
to
chapter
17A
for
the
administration
of
this
chapter.
Sec.
78.
NEW
SECTION
.
12I.3
Participation
agreements
for
trust.
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On
or
after
July
1,
2016,
the
trust
may
enter
into
participation
agreements
with
account
owners
pursuant
to
the
following
terms
and
agreements:
1.
a.
Unless
otherwise
permitted
under
section
529A
of
the
Internal
Revenue
Code,
the
treasurer
of
state
shall
allow
only
one
participation
agreement
per
designated
beneficiary.
b.
Unless
otherwise
permitted
under
section
529A
of
the
Internal
Revenue
Code,
the
account
owner
must
also
be
the
designated
beneficiary
of
the
account.
However,
a
trustee
or
legal
guardian
may
be
designated
as
custodian
of
an
account
for
a
designated
beneficiary
who
is
a
minor
or
who
lacks
capacity
to
enter
into
a
participation
agreement
if
such
designation
is
not
prohibited
under
section
529A
of
the
Internal
Revenue
Code.
c.
The
treasurer
of
state
shall
set
an
annual
contribution
limit
and
account
balance
limit
to
maintain
compliance
with
section
529A
of
the
Internal
Revenue
Code.
A
contribution
shall
not
be
permitted
to
the
extent
it
exceeds
the
annual
contribution
limit
or
causes
the
aggregate
balance
of
the
account
established
for
the
designated
beneficiary
to
exceed
the
applicable
account
balance
limit.
d.
The
maximum
amount
that
may
be
deducted
per
year
for
Iowa
income
tax
purposes
by
an
individual
for
contributions
on
behalf
of
any
one
designated
beneficiary
that
is
a
resident
of
this
state
shall
not
exceed
the
maximum
deductible
amount
determined
for
the
year
pursuant
to
section
12D.3,
subsection
1,
paragraph
“a”
.
e.
Participation
agreements
may
be
amended
to
provide
for
adjusted
levels
of
contributions
based
upon
changed
circumstances
or
changes
in
disability-related
expenses.
f.
Any
person
may
make
contributions
pursuant
to
a
participation
agreement
on
behalf
of
a
designated
beneficiary
under
rules
adopted
by
the
treasurer
of
state.
2.
The
execution
of
a
participation
agreement
by
the
trust
shall
not
guarantee
in
any
way
that
future
disability-related
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expenses
will
be
equal
to
projections
and
estimates
provided
by
the
trust
or
that
the
account
owner
or
designated
beneficiary
is
guaranteed
any
of
the
following:
a.
A
return
of
principal.
b.
A
rate
of
interest
or
other
return
from
the
trust.
c.
Payment
of
interest
or
other
return
from
the
trust.
3.
a.
A
designated
beneficiary
under
a
participation
agreement
may
be
changed
as
permitted
under
rules
adopted
by
the
treasurer
of
state
upon
written
request
of
the
account
owner
as
long
as
such
change
would
be
permitted
by
section
529A
of
the
Internal
Revenue
Code.
b.
Participation
agreements
may
otherwise
be
freely
amended
throughout
their
terms
in
order
to
enable
account
owners
to
increase
or
decrease
the
level
of
participation,
change
the
designated
beneficiary,
and
carry
out
similar
matters
as
authorized
by
rule.
4.
Each
participation
agreement
shall
provide
that
the
participation
agreement
may
be
canceled
upon
the
terms
and
conditions,
and
upon
payment
of
applicable
fees
and
costs
set
forth
and
contained
in
the
rules
adopted
by
the
treasurer
of
state.
Sec.
79.
NEW
SECTION
.
12I.4
Program
and
administrative
funds
——
investment
and
payment.
1.
a.
The
treasurer
of
state
shall
segregate
moneys
received
by
the
trust
into
two
funds:
the
program
fund
and
the
administrative
fund.
b.
All
moneys
paid
by
account
owners
or
other
persons
on
behalf
of
a
designated
beneficiary
in
connection
with
participation
agreements
shall
be
deposited
as
received
into
separate
accounts
for
each
designated
beneficiary
within
the
program
fund.
c.
Contributions
to
the
trust
made
on
behalf
of
designated
beneficiaries
may
only
be
made
in
the
form
of
cash.
d.
An
account
owner
or
designated
beneficiary
is
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not
permitted
to
provide
investment
direction
regarding
contributions
or
earnings
held
by
the
trust.
2.
Moneys
accrued
by
account
owners
in
the
program
fund
of
the
trust
may
be
used
for
payments
of
qualified
disability
expenses.
3.
Moneys
in
the
account
of
a
designated
beneficiary
may
be
claimed
by
the
Iowa
Medicaid
program
as
provided
in
section
529A(f)
of
the
Internal
Revenue
Code
and
subject
to
limitations
imposed
by
the
treasurer
of
state.
4.
The
trust
shall
comply
with
Pub.
L.
No.
113-295,
§103,
regarding
treatment
of
ABLE
accounts
under
certain
federal
programs.
5.
Moneys
in
the
funds
are
not
subject
to
section
8.33.
Notwithstanding
section
12C.7,
interest
or
earnings
on
moneys
in
the
funds
shall
be
credited
to
the
funds.
Sec.
80.
NEW
SECTION
.
12I.5
Cancellation
of
agreements.
An
account
owner
may
cancel
a
participation
agreement
at
will.
Upon
cancellation
of
a
participation
agreement,
an
account
owner
shall
be
entitled
to
the
return
of
the
account
owner’s
account
balance.
Sec.
81.
NEW
SECTION
.
12I.6
Repayment
and
ownership
of
payments
and
investment
income
——
transfer
of
ownership
rights.
1.
a.
An
account
owner
retains
ownership
of
all
contributions
made
on
behalf
of
a
designated
beneficiary
under
a
participation
agreement
up
to
the
date
of
utilization
for
payment
of
qualified
disability
expenses
of
the
designated
beneficiary.
b.
All
income
derived
from
the
investment
of
the
contributions
made
on
behalf
of
a
designated
beneficiary
shall
be
considered
to
be
held
in
trust
for
the
benefit
of
the
designated
beneficiary.
2.
In
the
event
the
trust
is
terminated
prior
to
payment
of
qualified
disability
expenses
for
the
designated
beneficiary,
the
account
owner
is
entitled
to
a
refund
of
the
account
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owner’s
account
balance.
3.
Any
amounts
which
may
be
paid
to
any
person
or
persons
pursuant
to
the
Iowa
ABLE
savings
plan
trust
but
which
are
not
listed
in
this
section
are
owned
by
the
trust.
4.
An
account
owner
may
transfer
ownership
rights
to
another
designated
beneficiary,
including
a
gift
of
the
ownership
rights
to
a
designated
beneficiary
who
is
a
minor,
in
accordance
with
rules
adopted
by
the
treasurer
of
state
and
the
terms
of
the
participation
agreement,
so
long
as
the
transfer
would
be
permitted
by
section
529A
of
the
Internal
Revenue
Code.
5.
An
account
owner
or
designated
beneficiary
shall
not
be
entitled
to
utilize
any
interest
in
the
trust
as
security
for
a
loan.
Sec.
82.
NEW
SECTION
.
12I.7
Reports
——
annual
audited
financial
report
——
reports
under
federal
law.
1.
a.
The
treasurer
of
state
shall
submit
an
annual
audited
financial
report,
prepared
in
accordance
with
generally
accepted
accounting
principles,
on
the
operations
of
the
trust
by
November
1
to
the
governor
and
the
general
assembly.
b.
The
annual
audit
shall
be
made
either
by
the
auditor
of
state
or
by
an
independent
certified
public
accountant
designated
by
the
auditor
of
state
and
shall
include
direct
and
indirect
costs
attributable
to
the
use
of
outside
consultants,
independent
contractors,
and
any
other
persons
who
are
not
state
employees.
2.
The
annual
audit
shall
be
supplemented
by
all
of
the
following
information
prepared
by
the
treasurer
of
state:
a.
Any
related
studies
or
evaluations
prepared
in
the
preceding
year.
b.
A
summary
of
the
benefits
provided
by
the
trust,
including
the
number
of
account
owners
and
designated
beneficiaries
in
the
trust,
or,
if
the
trust
has
caused
this
state
to
become
a
contracting
state
pursuant
to
section
12I.10,
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a
summary
of
the
benefits
provided
to
Iowa
residents
by
the
contracted
qualified
ABLE
program,
including
the
number
of
account
owners
and
designated
beneficiaries
in
the
contracted
qualified
ABLE
program
who
are
Iowa
residents.
c.
Any
other
information
deemed
relevant
by
the
treasurer
of
state
in
order
to
make
a
full,
fair,
and
effective
disclosure
of
the
operations
of
the
trust
or
the
contracted
qualified
ABLE
program
if
applicable.
3.
The
treasurer
of
state
shall
prepare
and
submit
to
the
secretary
of
the
United
States
treasury
or
other
required
party
any
reports,
notices,
or
statements
required
under
section
529A
of
the
Internal
Revenue
Code.
Sec.
83.
NEW
SECTION
.
12I.8
Tax
considerations.
1.
For
federal
income
tax
purposes,
the
Iowa
ABLE
savings
plan
trust
shall
be
considered
a
qualified
ABLE
program
exempt
from
taxation
pursuant
to
section
529A
of
the
Internal
Revenue
Code
and
shall
be
operated
so
that
it
meets
the
requirements
of
section
529A
of
the
Internal
Revenue
Code.
2.
State
income
tax
treatment
of
the
Iowa
ABLE
savings
plan
trust
shall
be
as
provided
in
section
422.7,
subsections
34
and
34A.
3.
State
inheritance
tax
treatment
of
interests
in
Iowa
ABLE
savings
plans
shall
be
as
provided
in
section
450.4,
subsection
9.
Sec.
84.
NEW
SECTION
.
12I.9
Property
rights
to
assets
in
trust.
1.
The
assets
of
the
trust
shall
at
all
times
be
preserved,
invested,
and
expended
solely
and
only
for
the
purposes
of
the
trust
and
shall
be
held
in
trust
for
the
account
owners
and
designated
beneficiaries.
2.
Except
as
provided
in
section
12I.4,
subsection
3,
no
property
rights
in
the
trust
shall
exist
in
favor
of
the
state.
3.
Except
as
provided
in
section
12I.4,
subsection
3,
the
assets
of
the
trust
shall
not
be
transferred
or
used
by
the
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state
for
any
purposes
other
than
the
purposes
of
the
trust.
Sec.
85.
NEW
SECTION
.
12I.10
Implementation
as
a
contracting
state
——
tax
considerations.
1.
The
general
assembly
acknowledges
that
section
529A
of
the
Internal
Revenue
Code
permits
access
to
qualified
ABLE
programs
by
residents
of
a
state
without
such
a
program.
The
general
assembly
finds
that
becoming
a
contracting
state
may
accomplish
the
public
purpose
set
forth
in
section
12I.1,
subsection
1,
in
the
same
manner
as
if
the
qualified
ABLE
program
under
the
Iowa
ABLE
savings
plan
trust
were
to
be
implemented
and
administered
by
this
state.
To
that
end,
the
treasurer
of
state,
as
trustee
of
the
trust,
may
defer
implementation
of
the
qualified
ABLE
program
under
the
trust
and
alternatively
cause
this
state
to
become
a
contracting
state
by
entering
into
an
agreement
with
another
state
with
a
qualified
ABLE
program
to
provide
Iowa
residents
access
to
that
state’s
qualified
ABLE
program.
The
trust
shall
not
enter
into
an
agreement
pursuant
to
this
section
unless
the
treasurer,
as
trustee
of
the
trust,
determines
that
all
of
the
following
requirements
are
satisfied:
a.
The
program
is
a
qualified
ABLE
program.
b.
The
qualified
ABLE
program
provides
comparable
benefits
and
protections
to
Iowa
residents
as
would
be
provided
under
the
Iowa
ABLE
savings
plan
trust.
c.
That
entering
into
an
agreement
for
access
to
the
qualified
ABLE
program
would
not
result
in
increased
costs
to
the
state
or
to
account
owners
and
designated
beneficiaries
as
compared
to
the
costs
of
implementing
and
administering
the
qualified
ABLE
program
under
the
Iowa
ABLE
savings
plan
trust.
d.
The
qualified
ABLE
program
will
be
audited
annually
by
an
independent
certified
public
accountant
or
by
the
state
auditor,
or
similar
public
official,
of
the
state
that
has
implemented
the
qualified
ABLE
program.
e.
The
qualified
ABLE
program
will
provide
information
to
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the
treasurer
of
state
as
trustee
of
the
trust
so
as
to
allow
the
trustee
to
fulfill
the
reporting
requirements
in
section
12I.7.
2.
a.
The
maximum
amount
that
may
be
deducted
per
year
for
Iowa
income
tax
purposes
by
an
individual
for
contributions
on
behalf
of
any
one
designated
beneficiary
that
is
a
resident
of
this
state
to
the
qualified
ABLE
program
with
which
the
state
has
contracted
pursuant
to
this
section
shall
not
exceed
the
maximum
deductible
amount
determined
for
the
year
pursuant
to
section
12D.3,
subsection
1,
paragraph
“a”
.
b.
State
income
tax
treatment
of
the
qualified
ABLE
program
with
which
the
state
has
contracted
pursuant
to
this
section
shall
be
as
provided
in
section
422.7,
subsections
34
and
34A.
3.
State
inheritance
tax
treatment
of
interests
in
the
qualified
ABLE
program
with
which
the
state
has
contracted
pursuant
to
this
section
shall
be
as
provided
in
section
450.4,
subsection
9.
Sec.
86.
NEW
SECTION
.
12I.11
Construction.
This
chapter
shall
be
construed
liberally
in
order
to
effectuate
its
purpose.
Sec.
87.
Section
422.7,
Code
2015,
is
amended
by
adding
the
following
new
subsections:
NEW
SUBSECTION
.
34.
a.
Subtract
the
amount
contributed
during
the
tax
year
on
behalf
of
a
designated
beneficiary
that
is
a
resident
of
this
state
to
the
Iowa
ABLE
savings
plan
trust
or
to
the
qualified
ABLE
program
with
which
the
state
has
contracted
pursuant
to
section
12I.10,
not
to
exceed
the
maximum
contribution
level
established
in
section
12I.3,
subsection
1,
paragraph
“d”
,
or
section
12I.10,
subsection
2,
paragraph
“a”
,
as
applicable.
b.
Add
the
amount
resulting
from
the
cancellation
of
a
participation
agreement
refunded
to
the
taxpayer
as
an
account
owner
in
the
Iowa
ABLE
savings
plan
trust
or
the
qualified
ABLE
program
with
which
the
state
has
contracted
pursuant
to
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section
12I.10
to
the
extent
previously
deducted
pursuant
to
this
subsection
by
the
taxpayer
or
any
other
person
as
a
contribution
to
the
trust
or
qualified
ABLE
program.
c.
Add
the
amount
resulting
from
a
withdrawal
made
by
a
taxpayer
from
the
Iowa
ABLE
savings
plan
trust
or
the
qualified
ABLE
program
with
which
the
state
has
contracted
pursuant
to
section
12I.10
for
purposes
other
than
the
payment
of
qualified
disability
expenses
to
the
extent
previously
deducted
pursuant
to
this
subsection
by
the
taxpayer
or
any
other
person
as
a
contribution
to
the
trust
or
qualified
ABLE
program.
NEW
SUBSECTION
.
34A.
Subtract,
to
the
extent
included,
income
from
interest
and
earnings
received
from
the
Iowa
ABLE
savings
plan
trust
created
in
chapter
12I,
or
received
by
a
resident
account
owner
from
a
qualified
ABLE
program
with
which
the
state
has
contracted
pursuant
to
section
12I.10.
Sec.
88.
Section
450.4,
Code
2015,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
9.
On
the
value
of
any
interest
in
the
Iowa
ABLE
savings
plan
trust
created
in
chapter
12I,
or
any
interest
held
by
a
resident
account
owner
in
a
qualified
ABLE
program
with
which
the
state
has
contracted
pursuant
to
section
12I.10.
Sec.
89.
CONTINGENT
IMPLEMENTATION.
The
implementation
of
chapter
12I
as
enacted
in
this
division
of
this
Act
is
subject
to
an
appropriation
with
the
stated
purpose
of
the
Iowa
ABLE
Savings
Plan
Trust.
Sec.
90.
APPLICABILITY.
The
section
of
this
division
of
this
Act
amending
section
450.4
applies
to
estates
of
decedents
dying
on
or
after
January
1,
2016.
Sec.
91.
APPLICABILITY.
The
section
of
this
division
of
this
Act
amending
section
422.7
applies
to
tax
years
beginning
on
or
after
January
1,
2016.
DIVISION
XVI
STATE
CHILD
CARE
ASSISTANCE
——
INCOME
ELIGIBILITY
Sec.
92.
Section
237A.13,
subsection
7,
paragraph
c,
Code
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2015,
is
amended
to
read
as
follows:
c.
Families
with
an
income
of
more
than
one
hundred
percent
but
not
more
than
one
hundred
forty-five
fifty
percent
of
the
federal
poverty
level
whose
members,
for
at
least
twenty-eight
hours
per
week
in
the
aggregate,
are
employed
or
are
participating
at
a
satisfactory
level
in
an
approved
training
program
or
educational
program.
Sec.
93.
DIRECTIVE
TO
DEPARTMENT
OF
HUMAN
SERVICES
ON
CHILD
CARE
ASSISTANCE.
The
department
of
human
services
shall
amend
its
administrative
rules
relating
to
income
eligibility
for
state
child
care
assistance,
according
to
family
size
for
children
needing
basic
care,
to
families
whose
nonexempt
gross
monthly
income
does
not
exceed
150
percent
of
the
federal
poverty
level.
DIVISION
XVII
COUNTY
MENTAL
HEALTH
AND
DISABILITIES
SERVICES
FUNDING
——
EQUALIZATION
AND
MEDICAID
OFFSET
Sec.
94.
Section
331.424A,
subsection
8,
unnumbered
paragraph
1,
Code
2015,
is
amended
to
read
as
follows:
Notwithstanding
subsection
6
,
for
the
fiscal
years
beginning
July
1,
2013,
July
1,
2014,
and
July
1,
2015,
and
July
1,
2016,
county
revenues
from
taxes
levied
by
the
county
and
credited
to
the
county
services
fund
shall
not
exceed
the
lower
of
the
following
amounts:
Sec.
95.
Section
426B.3,
subsection
1,
Code
2015,
is
amended
to
read
as
follows:
1.
For
the
fiscal
years
beginning
July
1,
2013,
July
1,
2014,
and
July
1,
2015,
and
July
1,
2016,
the
state
and
county
funding
for
the
mental
health
and
disability
services
administered
or
paid
for
by
counties
shall
be
provided
based
on
a
statewide
per
capita
expenditure
target
amount
computed
in
accordance
with
this
section
and
section
331.424A
.
Sec.
96.
Section
426B.3,
subsection
4,
paragraph
a,
Code
2015,
is
amended
to
read
as
follows:
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CCS-505
a.
For
the
fiscal
years
beginning
July
1,
2013,
July
1,
2014,
and
July
1,
2015,
and
July
1,
2016,
a
county
with
a
county
population
expenditure
target
amount
that
exceeds
the
amount
of
the
county’s
base
year
expenditures
for
mental
health
and
disabilities
services
shall
receive
an
equalization
payment
for
the
difference.
Sec.
97.
Section
426B.3,
subsection
5,
Code
2015,
is
amended
by
striking
the
subsection.
DIVISION
XVIII
MEDICAID
OFFSET
PAYMENTS
Sec.
98.
Section
426B.3,
subsection
5,
paragraph
e,
subparagraph
(1),
Code
2015,
is
amended
to
read
as
follows:
(1)
(a)
If
the
county
receives
an
equalization
payment
in
the
fiscal
year
following
the
calculation
year,
the
county
shall
repay
the
Medicaid
offset
amount
to
the
state
from
that
equalization
payment.
A
county’s
repayment
pursuant
to
this
subparagraph
shall
be
remitted
on
or
before
January
1
of
the
fiscal
year
in
which
the
equalization
payment
is
received
and
the
repayment
shall
be
credited
to
the
property
tax
relief
fund.
Moneys
credited
to
the
property
tax
relief
fund
in
accordance
with
this
subparagraph
are
subject
to
appropriation
by
the
general
assembly
to
support
mental
health
and
disability
services
administered
by
the
regional
system.
The
department
of
human
services’
annual
budget
shall
include
recommendations
for
reinvestment
of
the
amounts
credited
to
the
fund
to
address
core
and
additional
core
services
administered
by
the
regional
system.
(b)
Notwithstanding
any
provision
to
the
contrary
in
subparagraph
division
(a),
during
the
fiscal
year
beginning
July
1,
2014,
any
repayment
received
pursuant
to
subparagraph
division
(a)
shall
not
be
subject
to
appropriation
by
the
general
assembly
to
support
mental
health
and
disabilities
services
administered
by
the
regional
system,
but
instead
shall
be
transferred
to
the
department
of
human
services
to
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CCS-505
supplement
the
medical
assistance
program
appropriations
for
the
fiscal
year
beginning
July
1,
2015.
DIVISION
XIX
PROPERTY
TAX
RELIEF
FUND
——
BLOCK
GRANT
MONEYS
Sec.
99.
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEY.
The
moneys
transferred
to
the
property
tax
relief
fund
for
the
fiscal
year
beginning
July
1,
2015,
from
the
federal
social
services
block
grant
pursuant
to
2015
Iowa
Acts,
House
File
630,
and
from
the
federal
temporary
assistance
for
needy
families
block
grant,
totaling
at
least
$11,774,275,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
to
be
used
for
the
purposes
designated,
notwithstanding
any
provision
of
law
to
the
contrary:
1.
For
distribution
to
any
mental
health
and
disability
services
region
where
25
percent
of
the
region’s
projected
expenditures
exceeds
the
region’s
projected
fund
balance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
960,000
a.
For
purposes
of
this
subsection:
(1)
“Available
funds”
means
a
county
mental
health
and
services
fund
balance
on
June
30,
2015,
plus
the
maximum
amount
a
county
was
allowed
to
levy
for
the
fiscal
year
beginning
July
1,
2015.
(2)
“Projected
expenditures”
means
the
actual
expenditures
of
a
mental
health
and
disability
services
region
as
of
June
30,
2015,
multiplied
by
an
annual
inflation
rate
of
2
percent
plus
the
projected
costs
for
new
core
services
administered
by
the
region
as
provided
in
a
region’s
regional
service
system
management
plan
approved
pursuant
to
section
331.393
for
the
fiscal
year
beginning
July
1,
2015.
(3)
“Projected
fund
balance”
means
the
difference
between
a
mental
health
and
disability
services
region’s
available
funds
and
projected
expenditures.
b.
If
sufficient
funds
are
not
available
to
implement
this
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subsection,
the
department
of
human
services
shall
distribute
funds
to
a
region
in
proportion
to
the
availability
of
funds.
c.
A
mental
health
and
disability
services
region
with
a
population
of
35,000
or
less,
as
determined
by
the
latest
federal
decennial
census,
shall
work
with
the
department
of
human
services
to
determine
whether
the
region
shall
join
another
region
approved
by
the
department
in
accordance
with
section
331.389
to
increase
the
availability
of
and
access
to
needed
mental
health
and
disability
services.
2.
To
be
transferred
to
the
appropriation
in
this
Act
for
child
and
family
services
for
the
fiscal
year
beginning
July
1,
2015,
to
be
used
for
the
purpose
of
that
appropriation:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,814,275
DIVISION
XX
STUDY
——
CHILD
WELFARE
ADVISORY
COMMITTEE
Sec.
100.
STUDY
——
CHILD
WELFARE
ADVISORY
COMMITTEE.
The
child
welfare
advisory
committee
of
the
council
on
human
services
established
pursuant
to
section
217.3A
shall
study
procedures
in
the
department
of
human
services
for
receiving
complaints
from
families
involved
in
guardianship,
placement,
and
custody
proceedings;
and
the
specificity
and
clarity
of
court
orders
issued
in
foster
care
placements
pursuant
to
the
State
of
Iowa
Primary
Review
of
Tit.
IV-E
Foster
Care
Eligibility
Report
of
Findings
for
October
1,
2012,
through
March
31,
2013.
The
committee
shall
submit
a
report
with
findings
and
recommendations
to
the
governor
and
general
assembly
on
or
before
December
15,
2015.
DIVISION
XXI
COVERAGE
OF
SERVICES
PROVIDED
BY
A
PHYSICAL
THERAPIST,
OCCUPATIONAL
THERAPIST,
OR
SPEECH
PATHOLOGIST
Sec.
101.
NEW
SECTION
.
514C.30
Services
provided
by
a
physical
therapist,
occupational
therapist,
or
speech
pathologist.
1.
Notwithstanding
the
uniformity
of
treatment
requirements
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of
section
514C.6,
a
policy,
contract,
or
plan
providing
for
third-party
payment
or
prepayment
of
health
or
medical
expenses
shall
not
impose
a
copayment
or
coinsurance
amount
on
an
insured
for
services
provided
by
a
physical
therapist
licensed
pursuant
to
chapter
148A,
by
an
occupational
therapist
licensed
pursuant
to
chapter
148B,
or
by
a
speech
pathologist
licensed
pursuant
to
154F
that
is
greater
than
the
copayment
or
coinsurance
amount
imposed
on
the
insured
for
services
provided
by
a
person
engaged
in
the
practice
of
medicine
and
surgery
or
osteopathic
medicine
and
surgery
under
chapter
148
for
the
same
or
a
similar
diagnosed
condition
even
if
a
different
nomenclature
is
used
to
describe
the
condition
for
which
the
services
are
provided.
2.
This
section
applies
to
the
following
classes
of
third-party
payment
provider
policies,
contracts,
or
plans
delivered,
issued
for
delivery,
continued,
or
renewed
in
this
state
on
or
after
July
1,
2015:
a.
Individual
or
group
accident
and
sickness
insurance
providing
coverage
on
an
expense-incurred
basis.
b.
An
individual
or
group
hospital
or
medical
service
contract
issued
pursuant
to
chapter
509,
514,
or
514A.
c.
An
individual
or
group
health
maintenance
organization
contract
regulated
under
chapter
514B.
d.
A
plan
established
pursuant
to
chapter
509A
for
public
employees.
e.
An
organized
delivery
system
licensed
by
the
director
of
public
health.
3.
This
section
shall
not
apply
to
accident-only,
specified
disease,
short-term
hospital
or
medical,
hospital
confinement
indemnity,
credit,
dental,
vision,
Medicare
supplement,
long-term
care,
basic
hospital
and
medical-surgical
expense
coverage
as
defined
by
the
commissioner,
disability
income
insurance
coverage,
coverage
issued
as
a
supplement
to
liability
insurance,
workers’
compensation
or
similar
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insurance,
or
automobile
medical
payment
insurance.
DIVISION
XXII
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
WORKGROUP
Sec.
102.
CHILDREN’S
MENTAL
HEALTH
WORKGROUP.
The
department
of
human
services,
in
cooperation
with
the
departments
of
education
and
public
health,
shall
facilitate
a
study
by
a
workgroup
of
stakeholders
which
shall
make
recommendations
relating
to
children’s
mental
health.
The
workgroup
shall
study
incorporating
a
coordinated
response
in
children’s
mental
health
services
that
emphasizes
implementation
of
mental
health
issues
across
the
various
systems
that
serve
children,
taking
into
account
the
effects
of
mental
health,
child
welfare,
and
child
welfare
systems
and
services,
and
that
specifically
addresses
the
effects
of
adverse
childhood
experiences
and
child
poverty.
The
workgroup
shall
create
interdepartmental
awareness
of
issues
relating
to
children’s
mental
health.
The
workgroup
shall
develop
interdepartmental
strategies
for
helping
improve
children’s
mental
health
and
shall
develop
strategies
to
promote
community
partnerships
to
help
address
issues
of
children’s
mental
health.
In
carrying
out
its
charge,
the
workgroup
shall
review
a
2014
report
by
the
children’s
defense
fund
on
the
state
of
America’s
children
containing
the
most
recent
and
reliable
national
and
state-by-state
data
on
many
complex
issues
affecting
children’s
health,
including
data
on
more
than
7,000
homeless
public
school
students
in
Iowa.
The
workgroup
shall
submit
a
report
on
the
study
with
recommendations,
including
but
not
limited
to
recommendations
relating
to
the
creation
and
implementation
of
a
children's
mental
health
crisis
response
system
to
aid
parents
and
other
custodians
in
dealing
with
children
experiencing
a
mental
health
crisis.
The
workgroup
shall
submit
its
report
to
the
governor
and
the
general
assembly
on
or
before
December
15,
2015.
DIVISION
XXIII
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PREVENTION
OF
DISABILITIES
POLICY
COUNCIL
Sec.
103.
Section
225B.8,
Code
2015,
is
amended
to
read
as
follows:
225B.8
Repeal.
1.
This
chapter
is
repealed
July
1,
2015
2016
.
2.
Prior
to
June
30,
2016,
the
state
mental
health
and
disability
services
commission
created
in
section
225C.5
and
the
Iowa
developmental
disabilities
council
appointed
by
the
governor
shall
work
with
the
prevention
of
disabilities
policy
council,
the
department
of
human
services,
and
the
Iowa
department
of
public
health
to
provide
for
the
transfer
of
the
duties
of
the
prevention
of
disabilities
policy
council
to
the
state
mental
health
and
disability
services
commission,
the
Iowa
developmental
disabilities
council,
or
the
Iowa
department
of
public
health.
DIVISION
XXIV
HOSPITAL
AND
LONG-TERM
CARE
PHARMACY
PRACTICE
——
PNEUMOCOCCAL
VACCINES
——
BOARD
OF
PHARMACY
RULES
Sec.
104.
HOSPITAL
AND
LONG-TERM
CARE
PHARMACY
PRACTICE
——
PNEUMOCOCCAL
VACCINES
——
BOARD
OF
PHARMACY
RULES.
The
board
of
pharmacy
shall
adopt
rules
pursuant
to
chapter
17A
relating
to
hospital
and
long-term
care
pharmacy
practices
that
allow,
as
authorized
by
federal
law,
in
addition
to
influenza
and
pneumococcal
polysaccharide
vaccines,
that
a
written
or
verbal
patient-specific
medication
administration
order
shall
not
be
required
prior
to
administration
to
an
adult
patient
of
pneumococcal
conjugate
vaccine
pursuant
to
physician-approved
hospital
or
facility
policy
and
after
the
patient
has
been
assessed
for
contraindications.
DIVISION
XXV
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
——
CONTINUED
ENROLLMENT
Sec.
105.
Section
514I.8,
subsection
3,
Code
2015,
is
amended
to
read
as
follows:
3.
In
accordance
with
the
rules
adopted
by
the
board,
a
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child
may
be
determined
to
be
presumptively
eligible
for
the
program
pending
a
final
eligibility
determination.
Following
final
determination
of
eligibility,
a
child
shall
be
eligible
for
a
twelve-month
period.
At
the
end
of
the
twelve-month
period,
a
review
of
the
circumstances
of
the
child’s
family
shall
be
conducted
to
establish
eligibility
and
cost
sharing
for
the
subsequent
twelve-month
period.
Pending
such
review
of
the
circumstances
of
the
child’s
family,
the
child
shall
continue
to
be
eligible
for
and
remain
enrolled
in
the
same
plan
if
the
family
complies
with
requirements
to
provide
information
and
verification
of
income,
otherwise
cooperates
in
the
annual
review
process,
and
submits
the
completed
review
form
and
any
information
necessary
to
establish
continued
eligibility
in
a
timely
manner
in
accordance
with
administrative
rules.
DIVISION
XXVI
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS
Sec.
106.
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS.
As
a
condition
of
the
appropriations
in
this
2015
Act,
the
moneys
appropriated
and
any
other
moneys
available
shall
not
be
used
for
payment
of
a
personnel
settlement
agreement
that
contains
a
confidentiality
provision
intended
to
prevent
public
disclosure
of
the
agreement
or
any
terms
of
the
agreement.
DIVISION
XXVII
MEDICAID
REIMBURSEMENT
——
PSYCHOLOGISTS
Sec.
107.
Section
249A.15,
Code
2015,
is
amended
to
read
as
follows:
249A.15
Licensed
psychologists
eligible
for
payment.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
entitling
psychologists
who
are
licensed
pursuant
to
chapter
154B
and
psychologists
who
are
licensed
in
the
state
where
the
services
are
provided
and
have
a
doctorate
degree
in
psychology,
have
had
at
least
two
years
of
clinical
experience
in
a
recognized
health
setting,
or
have
met
the
standards
of
a
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CCS-505
national
register
of
health
service
providers
in
psychology,
to
payment
for
services
provided
to
recipients
of
medical
assistance,
subject
to
limitations
and
exclusions
the
department
finds
necessary
on
the
basis
of
federal
laws
and
regulations
and
of
funds
available
for
the
medical
assistance
program.
DIVISION
XXVIII
HOME
MODIFICATION
ASSISTANCE
PROGRAM
PLAN
Sec.
108.
HOME
MODIFICATION
ASSISTANCE
PROGRAM
PLAN.
1.
The
aging
and
disability
resource
center
and
the
mental
health
and
disability
services
commission
shall
jointly
develop
a
plan
for
a
home
modification
assistance
program
to
provide
grants
and
individual
income
tax
credits
to
assist
with
expenses
related
to
the
making
of
permanent
home
modifications
that
permit
individuals
with
a
disability
in
this
state
to
remain
in
their
homes
and
age
in
place.
The
plan
shall
include
the
following
components:
a.
The
plan
shall
develop
criteria
and
procedures
for
establishing
eligibility
of
individuals
with
a
disability
under
the
program,
and
in
doing
so
the
plan
shall
utilize
the
definition
of
disability
found
in
42
U.S.C.
§12102
and
shall
require
appropriate
certifications
from
the
primary
health
care
providers
of
individuals
with
a
disability.
b.
The
plan
shall
establish
criteria
for
determining
the
type
of
home
modification
expenses
that
will
be
eligible
for
a
grant
or
tax
credit
award
under
the
program.
c.
The
plan
shall
develop
criteria
and
procedures
for
receiving
grants
and
tax
credits
under
the
program,
and
shall
determine
the
maximum
amount
of
grants
and
tax
credits
that
may
be
provided
to
an
individual
with
a
disability
under
the
program.
d.
The
plan
shall
provide
that
individuals
with
a
disability
shall
utilize
any
funding
for
home
modification
under
the
Medicaid
program
to
the
fullest
extent
possible
before
becoming
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eligible
to
participate
in
the
home
modification
assistance
program
to
ensure
that
the
program’s
grants
and
tax
credits
do
not
supplant
available
Medicaid
program
resources.
e.
The
plan
shall
provide
that
grants
under
the
program
shall
be
available
to
individuals
with
a
disability
with
annual
incomes
that
do
not
exceed
250
percent
of
the
federal
poverty
level,
and
that
individual
income
tax
credits
under
the
program
shall
be
available
to
individuals
with
a
disability
with
annual
incomes
exceeding
250
percent
but
not
exceeding
450
percent
of
the
federal
poverty
level.
f.
The
plan
shall
avoid
placing
unrealistic
expectations
and
overly
burdensome
requirements
on
individuals
with
a
disability
and
their
families,
particularly
those
living
in
rural
areas.
2.
In
developing
the
plan
for
the
home
modification
assistance
program,
the
aging
and
disability
resource
center
and
the
mental
health
and
disability
services
commission
shall
seek
input
from
and
consult
with
the
department
on
aging,
the
department
of
human
services,
the
department
of
revenue,
and
other
interested
public
and
private
stakeholders.
3.
The
aging
and
disability
resource
center
and
the
mental
health
and
disability
services
commission
shall
submit
the
plan
on
or
before
December
15,
2015,
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
to
the
chairpersons
and
ranking
members
of
the
senate
and
house
standing
committees
on
human
resources,
to
the
chairpersons
and
ranking
members
of
the
senate
and
house
standing
committees
on
ways
and
means,
and
to
the
governor.
DIVISION
XXIX
MEDICAID
PROGRAM
ASSET
VERIFICATION
Sec.
109.
MEDICAID
PROGRAM
——
ASSET
VERIFICATION.
The
department
of
human
services
shall
issue
a
request
for
proposals
to
contract
with
a
third-party
vendor
to
establish
an
electronic
asset
verification
system
for
the
purposes
of
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compliance
with
42
U.S.C.
§1396w
requiring
determination
or
redetermination
of
the
eligibility
of
an
individual
who
is
an
applicant
for
or
recipient
of
medical
assistance
under
the
Medicaid
state
plan
on
the
basis
of
being
aged,
blind,
or
disabled
in
accordance
with
42
U.S.C.
§1396w.
The
third-party
vendor
selected
shall
be
able
to
demonstrate
in
writing
its
current
relationships
or
contracts
with
financial
institutions
in
the
state
and
nationally.
Participation
by
financial
institutions
in
providing
account
balances
for
asset
verification
shall
remain
voluntary.
Sec.
110.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XXX
REFUGEE
FAMILY
SUPPORT
SERVICES
——
APPROPRIATION
Sec.
111.
REFUGEE
FAMILY
SUPPORT
SERVICES
PILOT
PROGRAM.
1.
The
bureau
of
refugee
services
within
the
department
of
human
services
shall
establish,
promote,
and
administer
a
refugee
family
support
services
pilot
program
for
purposes
of
providing
a
grant
to
a
state,
local,
or
community
organization
working
with
refugee
populations
to
contract
with
and
train
multiple
refugees
to
act
as
refugee
community
navigators.
2.
An
organization
awarded
a
grant
pursuant
to
this
section
shall
recruit
and
train
multiple
refugee
community
navigators
to
educate
and
provide
direct
assistance
to
their
respective
refugee
communities
so
the
refugee
communities
can
successfully
access
and
utilize
existing
community
resources
and
services.
3.
The
refugee
community
navigators
shall
train
other
refugee
community
members
and
shall
offer
home-based,
peer-group
learning
sessions
about
resources
in
the
community.
4.
A
grant
awarded
pursuant
to
this
section
shall
be
used
for
employment
costs
of
a
program
manager
and
community
navigator
coordinator,
and
contract
and
stipend
costs
for
multiple
refugee
community
navigators
for
each
organization.
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5.
The
bureau
of
refugee
services
shall
award
one
grant
to
a
state,
local,
or
community
organization
through
a
competitive
application
process.
The
bureau
shall
provide
moneys
over
a
three-year
period
to
an
organization
awarded
a
grant.
6.
A
state,
local,
or
community
organization
awarded
a
grant
pursuant
to
this
section
shall
provide
the
bureau
with
annual
progress
reports.
The
bureau
of
refugee
services
shall
present
a
report
of
the
program
goals
and
outcomes
to
the
general
assembly.
7.
The
bureau
of
refugee
services
shall
conduct
a
comprehensive
review
of
the
refugee
family
support
services
pilot
program
and
shall,
by
December
31,
2017,
submit
a
report
of
its
review,
as
well
as
any
recommendations
and
cost
projections
of
its
recommendations
to
the
governor
and
the
general
assembly.
8.
The
bureau
of
refugee
services
may
expend
program
moneys
for
administrative
expenses
as
provided
by
law.
Sec.
112.
REFUGEE
FAMILY
SUPPORT
SERVICES
PILOT
PROGRAM
APPROPRIATION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
a
pilot
project
pursuant
to
the
refugee
family
support
services
pilot
project
program
created
in
this
division
of
this
Act
in
a
county
with
a
population
over
350,000
as
determined
by
the
2010
federal
decennial
census:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
The
amount
appropriated
under
this
section
shall
not
be
reduced
for
administrative
or
other
costs
prior
to
distribution.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
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expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
DIVISION
XXXI
PHYSICIAN
ASSISTANT
SUPERVISION
Sec.
113.
ADMINISTRATIVE
RULES
——
PHYSICIAN
SUPERVISION
OF
PHYSICIAN
ASSISTANTS.
The
boards
of
medicine
and
physician
assistants
shall
jointly
adopt
rules
pursuant
to
chapter
17A
to
establish
specific
minimum
standards
or
a
definition
of
supervision
for
appropriate
supervision
of
physician
assistants
by
physicians.
The
boards
shall
jointly
file
notices
of
intended
action
pursuant
to
section
17A.4,
subsection
1,
paragraph
“a”,
on
or
before
February
1,
2016,
for
adoption
of
such
rules.
DIVISION
XXXII
QUALITY
ASSURANCE
ASSESSMENT
Sec.
114.
Section
249L.3,
subsection
1,
paragraph
d,
Code
2015,
is
amended
to
read
as
follows:
d.
The
aggregate
quality
assurance
assessments
imposed
under
this
chapter
shall
not
exceed
the
lower
of
be
established
at
three
percent
of
the
aggregate
non-Medicare
revenues
of
a
nursing
facility
or
the
maximum
amount
that
may
be
assessed
pursuant
to
the
indirect
guarantee
threshold
as
established
pursuant
to
42
C.F.R.
§433.68(f)(3)(i),
and
shall
be
stated
on
a
per-patient-day
basis.
The
aggregate
quality
assurance
assessment
shall
be
recalibrated
only
concurrently
with
any
nursing
facility
rebasing.
DIVISION
XXXIII
HOSPITAL
ASSESSMENT
Sec.
115.
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
PROGRAM
——
TRANSITION
TO
MANAGED
CARE.
1.
The
department
of
human
services
shall
include
in
any
Medicaid
managed
care
contract
entered
into
on
or
after
July
1,
2015,
a
mechanism
by
which
the
capitated
payment
received
by
the
managed
care
contractor
reflects
the
amount
necessary
to
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continue
reimbursement
of
participating
hospitals
by
managed
care
contractors
in
accordance
with
the
provisions
of
chapter
249M.
Such
reimbursement
shall
preferably
be
provided
through
lump
sum
payments
to
participating
hospitals.
Notwithstanding
any
provisions
of
chapter
249M
to
the
contrary,
the
department
may
make
administrative
modifications
to
the
hospital
health
care
access
assessment
program
to
comply
with
this
section.
The
department
of
human
services
shall
work
with
participating
providers,
including
health
systems
and
the
Iowa
hospital
association,
to
effectuate
this
section.
2.
The
department
of
human
services
shall
submit
recommendations
for
any
changes
in
statute
or
rules
regarding
the
hospital
health
care
access
assessment
program
necessitated
by
the
transition
to
managed
care
to
the
individuals
identified
in
this
Act
for
submission
of
reports
by
December
15,
2015.
DIVISION
XXXIV
BOARD
OF
RESPIRATORY
CARE
AND
POLYSOMNOGRAPHY
Sec.
116.
BOARD
OF
RESPIRATORY
CARE
AND
POLYSOMNOGRAPHY.
If
funding
is
appropriated
for
a
fee-supported
board
of
respiratory
care
and
polysomnography
to
administer
chapter
148G,
as
enacted
in
2015
Iowa
Acts,
House
File
203,
the
fee-supported
model
shall
provide
for
repayment
of
the
funds
appropriated
to
the
state
by
June
30,
2018.
DIVISION
XXXV
FOOD
ASSISTANCE
PROGRAM
BONUS
Sec.
117.
FOOD
ASSISTANCE
PROGRAM
BONUS.
Any
funds
available
to
the
department
of
human
services
during
the
fiscal
year
beginning
July
1,
2015,
received
from
the
United
States
department
of
agriculture’s
food
and
nutrition
service
for
achieving
a
low
case
and
procedural
error
rate
and
for
ranking
third
in
the
nation
on
certain
case-related
measures
under
the
supplemental
nutrition
assistance
program,
shall
be
used
by
the
department
for
the
purposes
of
the
appropriation
in
this
Act
for
the
same
fiscal
year
for
the
medical
assistance
program.
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CCS-505
DIVISION
XXXVI
MEDICAL
ASSISTANCE
SPECIAL
NEEDS
TRUST
Sec.
118.
Section
633C.1,
subsection
8,
Code
2015,
is
amended
by
striking
the
subsection.
Sec.
119.
Section
633C.2,
Code
2015,
is
amended
by
striking
the
section
and
inserting
in
lieu
thereof
the
following:
633C.2
Disposition
of
medical
assistance
special
needs
trusts.
Any
income
or
assets
added
to
or
received
by
and
any
income
or
principal
retained
in
a
medical
assistance
special
needs
trust
shall
be
used
in
accordance
with
a
standard
that
is
no
more
restrictive
than
specified
under
federal
law.
All
distributions
from
a
medical
assistance
special
needs
trust
shall
be
for
the
sole
benefit
of
the
beneficiary
to
enhance
the
quality
of
life
of
the
beneficiary,
and
the
trustee
shall
have
sole
discretion
regarding
such
disbursements
to
ensure
compliance
with
beneficiary
eligibility
requirements.
Any
distinct
disbursement
in
excess
of
one
thousand
dollars
shall
be
subject
to
review
by
the
district
court
sitting
in
probate.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
for
the
establishment
and
disposition
of
medical
assistance
special
needs
trusts
in
accordance
with
this
section.
Sec.
120.
Section
633C.4,
subsection
2,
Code
2015,
is
amended
to
read
as
follows:
2.
The
trustee
of
a
medical
assistance
income
trust
or
a
medical
assistance
special
needs
trust
is
a
fiduciary
for
purposes
of
chapter
633A
and,
in
the
exercise
of
the
trustee’s
fiduciary
duties,
the
state
shall
be
considered
a
beneficiary
of
the
trust.
Regardless
of
the
terms
of
the
trust,
the
trustee
shall
not
take
any
action
that
is
not
prudent
in
light
of
the
state’s
interest
in
the
trust.
Notwithstanding
any
provision
of
chapter
633A
to
the
contrary,
the
trustee
of
a
medical
assistance
special
needs
trust
shall
be
subject
to
the
jurisdiction
of
the
district
court
sitting
in
probate
and
shall
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submit
an
accounting
of
the
disposition
of
the
trust
to
the
district
court
sitting
in
probate
on
an
annual
basis.
DIVISION
XXXVII
DEPARTMENT
ON
AGING
——
FY
2016-2017
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,
and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,699,866
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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
is
transferred
to
the
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
retired
and
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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
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
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
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
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shall
be
used
for
the
purposes
of
chapter
231E
and
section
231.56A,
of
which
$144,333
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.
DIVISION
XXXVIII
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2016-2017
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
638,391
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
17.00
2.
Of
the
funds
appropriated
in
this
section,
$110,000
shall
be
used
to
continue
to
provide
for
additional
local
long-term
care
ombudsmen.
DIVISION
XXXIX
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2016-2017
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
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
-122-
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CCS-505
and
other
drugs,
and
treating
individuals
affected
by
addictive
behaviors,
including
gambling,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,631,845
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$2,624,180
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
alcoholic
beverages
division
of
the
department
of
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
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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
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
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,
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
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
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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.
(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
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CCS-505
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
paragraph
“c”.
d.
The
requirement
of
section
123.53,
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,
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CCS-505
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$367,420
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
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
paragraph
“0b”.
c.
Of
the
funds
appropriated
in
this
subsection,
$1,099,414
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
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CCS-505
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
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.
e.
Of
the
funds
appropriated
in
this
subsection,
$55,997
shall
be
used
for
childhood
obesity
prevention.
f.
Of
the
funds
appropriated
in
this
subsection,
$81,384
shall
be
used
to
provide
audiological
services
and
hearing
aids
for
children.
The
department
may
enter
into
a
contract
to
administer
this
paragraph.
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194
CCS-505
g.
Of
the
funds
appropriated
in
this
subsection,
$12,500
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
shall
be
used
to
address
youth
suicide
prevention.
i.
Of
the
funds
appropriated
in
this
subsection,
$25,000
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
a.
Of
the
funds
appropriated
in
this
subsection,
$79,966
shall
be
used
for
grants
to
individual
patients
who
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
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
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86
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194
CCS-505
recruitment
of
service
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
this
paragraph,
$47,500
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
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
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
shall
be
matched
dollar-for-dollar
by
the
organization
specified.
e.
Of
the
funds
appropriated
in
this
subsection,
$392,557
shall
be
used
for
child
health
specialty
clinics.
f.
Of
the
funds
appropriated
in
this
subsection,
$200,000
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
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
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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
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
shall
be
used
for
cervical
and
colon
cancer
screening,
and
$150,000
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
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
j.
Of
the
funds
appropriated
in
this
subsection,
$64,705
shall
be
used
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M
.
k.
Of
the
funds
appropriated
in
this
subsection,
$107,631
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.
l.
Of
the
funds
appropriated
in
this
subsection,
$12,500
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
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CCS-505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
a.
Of
the
funds
appropriated
in
this
subsection,
$49,707
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
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
and
$49,952
is
allocated
for
continuation
of
an
initiative
at
the
state
mental
health
institute
at
Cherokee
to
expand
and
improve
the
workforce
engaged
in
mental
health
treatment
and
services.
The
initiatives
shall
receive
input
from
the
university
of
Iowa,
the
department
of
human
services,
the
department
of
public
health,
and
the
mental
health
and
disability
services
commission
to
address
the
focus
of
the
initiatives.
c.
Of
the
funds
appropriated
in
this
subsection,
$582,314
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,
$49,643
shall
be
deposited
in
the
governmental
public
health
system
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
fund.
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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
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
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:
(a)
For
distribution
to
safety
net
partners
in
the
state
that
work
to
increase
access
of
the
underserved
population
to
health
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
512,742
(i)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$206,707
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
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(a),
up
to
$174,161
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
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
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.
(b)
For
distribution
to
safety
net
partners
in
the
state
that
work
to
increase
health
system
integration,
care
coordination,
and
collaboration
across
the
continuum
of
care
with
a
focus
on
safety
net
services.
Such
efforts
shall
include
but
not
be
limited
to
community
care
coordination
team
development
and
integration
of
medical
and
behavioral
health
services.
Efforts
shall
also
include
working,
in
conjunction
with
the
department
of
human
services
and
the
department
of
public
health,
to
support
Medicaid
managed
care
efforts
inclusive
of
the
state
innovation
model
through
the
continued
development
and
implementation
of
community
care
coordination
teams.
Implementation
of
the
community
care
coordination
teams
shall
be
accomplished
through
a
statewide
regionally
based
network
that
provides
an
integrated
approach
to
health
care
delivery
through
care
coordination
that
supports
primary
care
providers
and
links
patients
with
community
resources
necessary
to
empower
patients
in
addressing
biomedical
and
social
determinants
of
health
to
improve
health
outcomes:
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CCS-505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
836,099
(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
primary
care
association
to
support
partner
engagement,
program
management,
and
statewide
coordination
of
the
network:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
92,642
(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
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;
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CCS-505
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,
$108,187
shall
be
used
for
allocation
to
an
independent
statewide
direct
care
worker
organization
selected
through
a
request
for
proposals
process.
The
contract
shall
include
performance
and
outcomes
measures,
and
shall
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
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
for
up
to
one
full-time
equivalent
position
to
administer
the
volunteer
health
care
provider
program
pursuant
to
section
135.24
.
k.
Of
the
funds
appropriated
in
this
subsection,
$50,000
shall
be
used
for
a
matching
dental
education
loan
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
service
corporation
to
continue
to
develop
the
criteria
and
implement
the
loan
repayment
program.
l.
Of
the
funds
appropriated
in
this
subsection,
$52,911
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
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
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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,
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
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
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
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
state,
to
-137-
SF505.2155
(11)
86
pf/rh/rj
137/
194
CCS-505
provide
staffing
to
administer
the
model,
and
to
provide
staff
training
and
database
management
to
track
and
manage
patient
outcomes.
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
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
136.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$227,350
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
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.
-138-
SF505.2155
(11)
86
pf/rh/rj
138/
194
CCS-505
c.
Of
the
funds
appropriated
in
this
subsection,
$299,375
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
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
DIVISION
XL
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2016-2017
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
-139-
SF505.2155
(11)
86
pf/rh/rj
139/
194
CCS-505
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,273
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,797,498
a.
The
Iowa
veterans
home
billings
involving
the
department
of
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
b.
If
there
is
a
change
in
the
employer
of
employees
providing
services
at
the
Iowa
veterans
home
under
a
collective
bargaining
agreement,
such
employees
and
the
agreement
shall
be
continued
by
the
successor
employer
as
though
there
had
not
been
a
change
in
employer.
c.
Within
available
resources
and
in
conformance
with
associated
state
and
federal
program
eligibility
requirements,
the
Iowa
veterans
home
may
implement
measures
to
provide
financial
assistance
to
or
on
behalf
of
veterans
or
their
spouses
who
are
participating
in
the
community
reentry
program.
d.
The
Iowa
veterans
home
expenditure
report
shall
be
submitted
monthly
to
the
legislative
services
agency.
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
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
-140-
SF505.2155
(11)
86
pf/rh/rj
140/
194
CCS-505
exceed
the
following
amount:
For
the
county
commissions
of
veteran
affairs
fund
under
section
35A.16
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
DIVISION
XLI
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2016-2017
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,
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
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
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
-141-
SF505.2155
(11)
86
pf/rh/rj
141/
194
CCS-505
encumbered
or
obligated
on
or
before
September
30,
2016,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,523,555
a.
Of
the
funds
appropriated
in
this
subsection,
$13,164,048
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
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
9.
For
child
abuse
prevention
grants:
-142-
SF505.2155
(11)
86
pf/rh/rj
142/
194
CCS-505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
10.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
Pregnancy
prevention
grants
shall
be
awarded
to
programs
in
existence
on
or
before
July
1,
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
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
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
-143-
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(11)
86
pf/rh/rj
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194
CCS-505
order:
the
family
investment
program,
for
state
child
care
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
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
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
appropriation
made
in
this
division
of
this
Act
for
the
same
-144-
SF505.2155
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86
pf/rh/rj
144/
194
CCS-505
fiscal
year
for
the
family
investment
program
from
the
general
fund
of
the
state.
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
b.
To
the
department
of
human
rights
for
staffing,
administration,
and
implementation
of
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
(1)
Of
the
funds
allocated
for
the
family
development
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
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pf/rh/rj
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194
CCS-505
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
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
(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
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.
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194
CCS-505
(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
5.
Of
the
child
support
collections
assigned
under
FIP,
an
amount
equal
to
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
recovery
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
the
child
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
payments
account.
If
as
a
consequence
of
the
appropriations
and
allocations
made
in
this
section
the
resulting
amounts
are
insufficient
to
sustain
cash
assistance
payments
and
meet
federal
maintenance
of
effort
requirements,
the
department
shall
seek
supplemental
funding.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
to
be
required
for
maintenance
of
effort,
the
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
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.
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
-147-
SF505.2155
(11)
86
pf/rh/rj
147/
194
CCS-505
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
1.
Of
the
funds
appropriated
in
this
section,
$3,701,110
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
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,
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.
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194
CCS-505
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
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
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
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.
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
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194
CCS-505
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
1.
The
department
shall
expend
up
to
$12,164,
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.
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
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194
CCS-505
in
effect
until
June
30,
2017.
Sec.
130.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
FY
2016-2017.
Any
funds
remaining
in
the
health
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
program
appropriations
made
in
this
division
of
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
Sec.
131.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
2016-2017.
Any
funds
remaining
in
the
Medicaid
fraud
fund
created
in
section
249A.50
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
appropriations
made
in
this
division
of
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
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
1.
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
Funds
appropriated
under
this
section
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194
CCS-505
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
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
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
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.
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,
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
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CCS-505
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
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
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
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
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
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CCS-505
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
is
allocated
for
the
state
match
for
a
disproportionate
share
hospital
payment
of
$4,544,712
to
hospitals
that
meet
both
of
the
conditions
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
meet
the
conditions
specified
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
of
$8,772,003.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
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CCS-505
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
of
$13,316,715.
(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.
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
adjusted
or
converted
to
other
methodologies
or
payment
types
to
provide
these
payments
through
Medicaid
managed
care.
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
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CCS-505
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
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
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
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194
CCS-505
associated
with
implementing
such
efforts.
c.
The
department
of
human
services
shall
not
implement
the
cost
containment
measures
to
provide
uniform
rates
of
$.575
per
mile
based
on
the
2015
Internal
Revenue
Service
mileage
rate
and
of
$9.29,
the
current
statewide
average,
per
one-way
trip
for
Medicaid
program
home
and
community-based
services
waivers
as
recommended
by
the
governor
for
the
fiscal
year
beginning
July
1,
2016.
d.
The
department
shall
report
the
implementation
of
any
cost
containment
strategies
under
this
subsection
to
the
individuals
specified
in
this
Act
for
submission
of
reports
on
a
quarterly
basis.
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
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
project.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$200,000
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
-157-
SF505.2155
(11)
86
pf/rh/rj
157/
194
CCS-505
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
$1,500,000
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
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.
22.
The
number
of
home
and
community-based
services
waiver
slots
available
during
the
fiscal
year
beginning
July
1,
2016,
shall
not
be
reduced
below
the
number
of
such
slots
available
on
January
1,
2015.
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,
-158-
SF505.2155
(11)
86
pf/rh/rj
158/
194
CCS-505
to
be
used
for
the
purpose
designated:
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,806,982
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
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
may
be
transferred
to
the
appropriation
for
general
administration
in
this
division
of
this
Act
to
be
used
for
additional
full-time
equivalent
positions
in
the
development
of
key
health
initiatives
such
as
cost
containment,
development
and
oversight
of
managed
care
programs,
and
development
of
health
strategies
targeted
toward
improved
quality
and
reduced
costs
in
the
Medicaid
program.
4.
Of
the
funds
appropriated
in
this
section,
$500,000
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
shall
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
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
-159-
SF505.2155
(11)
86
pf/rh/rj
159/
194
CCS-505
for
the
purposes
of
the
fund.
b.
Of
the
funds
allocated
in
this
subsection,
$12,500
shall
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
child
welfare
services
provider
headquartered
in
a
county
with
a
population
between
205,000
and
215,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
a
psychiatric
medical
institution
for
children,
shelter,
residential
treatment,
after
school
programs,
school-based
programming,
and
an
Asperger’s
syndrome
program,
to
be
used
for
support
services
for
children
with
autism
spectrum
disorder
and
their
families.
c.
Of
the
funds
allocated
in
this
subsection,
$12,500
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
hospital-based
provider
headquartered
in
a
county
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.
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
-160-
SF505.2155
(11)
86
pf/rh/rj
160/
194
CCS-505
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
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.
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:
-161-
SF505.2155
(11)
86
pf/rh/rj
161/
194
CCS-505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,206,922
2.
Of
the
funds
appropriated
in
this
section,
$21,400
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
136.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
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
1.
Of
the
funds
appropriated
in
this
section,
$21,844,620
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
shall
be
credited
to
the
early
childhood
programs
grants
-162-
SF505.2155
(11)
86
pf/rh/rj
162/
194
CCS-505
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
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
-163-
SF505.2155
(11)
86
pf/rh/rj
163/
194
CCS-505
the
other
allocations
made
in
this
section
shall
be
the
same
as
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
change
of
the
federal
funding
reduction,
as
applicable.
If
there
is
an
unanticipated
increase
in
federal
funding
provided
for
state
child
care
assistance,
the
entire
amount
of
the
increase
shall
be
used
for
state
child
care
assistance
payments.
If
the
appropriations
made
for
purposes
of
the
state
child
care
assistance
program
for
the
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
requirements.
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.
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
Of
the
funds
appropriated
in
this
subsection,
$45,575
shall
be
used
for
distribution
to
licensed
classroom
teachers
at
this
and
other
institutions
under
the
control
of
the
department
of
human
services
based
upon
the
average
student
yearly
enrollment
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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.
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
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
is
allocated
as
the
statewide
expenditure
target
under
section
232.143
for
group
foster
care
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
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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
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.
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
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CCS-505
limited
to
$4,034,237.
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
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
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
may
be
used
for
the
purpose
of
training.
A
portion
of
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
the
school
district
or
other
funding
source
as
approved
by
the
chief
juvenile
court
officer.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
children
who
are
under
the
supervision
of
the
department,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
c.
Notwithstanding
section
232.141
or
any
other
provision
of
law
to
the
contrary,
the
amounts
allocated
in
this
subsection
shall
be
distributed
to
the
judicial
districts
as
determined
by
the
state
court
administrator
and
to
the
department’s
service
areas
as
determined
by
the
administrator
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CCS-505
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
may
be
used
by
the
judicial
branch
for
administration
of
the
requirements
under
this
subsection.
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
shall
be
used
by
the
department
of
human
services
to
support
the
interstate
commission
for
juveniles
in
accordance
with
the
interstate
compact
for
juveniles
as
provided
in
section
232.173
.
10.
Of
the
funds
appropriated
in
this
section,
$4,026,613
is
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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
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,
and
the
remaining
funds
shall
be
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
eligibility
under
the
medical
assistance
program
through
25
years
of
age,
children
who
participate
in
the
waiver
shall
be
considered
to
be
placed
in
foster
care.
13.
Of
the
funds
appropriated
in
this
section,
$2,012,583
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46
.
14.
Of
the
funds
appropriated
in
this
section,
$113,668
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
nonprofit
human
services
organization
providing
services
to
individuals
and
families
in
multiple
locations
in
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
sensitive
support
and
forensic
interviews,
medical
exams,
needs
assessments,
and
referrals
for
victims
of
child
abuse
and
their
nonoffending
family
members.
15.
Of
the
funds
appropriated
in
this
section,
$150,310
is
allocated
for
the
foster
care
youth
council
approach
of
providing
a
support
network
to
children
placed
in
foster
care.
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16.
Of
the
funds
appropriated
in
this
section,
$101,000
is
allocated
for
use
pursuant
to
section
235A.1
for
continuation
of
the
initiative
to
address
child
sexual
abuse
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
21.
17.
Of
the
funds
appropriated
in
this
section,
$315,120
is
allocated
for
the
community
partnership
for
child
protection
sites.
18.
Of
the
funds
appropriated
in
this
section,
$185,625
is
allocated
for
the
department’s
minority
youth
and
family
projects
under
the
redesign
of
the
child
welfare
system.
19.
Of
the
funds
appropriated
in
this
section,
$593,297
is
allocated
for
funding
of
the
community
circle
of
care
collaboration
for
children
and
youth
in
northeast
Iowa.
20.
Of
the
funds
appropriated
in
this
section,
at
least
$73,579
shall
be
used
for
the
continuation
of
the
child
welfare
provider
training
academy,
a
collaboration
between
the
coalition
for
family
and
children’s
services
in
Iowa
and
the
department.
21.
Of
the
funds
appropriated
in
this
section,
$105,936
shall
be
used
for
continuation
of
the
central
Iowa
system
of
care
program
grant
through
June
30,
2017.
22.
Of
the
funds
appropriated
in
this
section,
$117,500
shall
be
used
for
the
public
purpose
of
the
continuation
and
expansion
of
a
system
of
care
program
grant
implemented
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
and
long-term
approach
for
helping
children
and
families
by
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
needs,
education
and
work,
family,
and
community.
23.
Of
the
funds
appropriated
in
this
section,
at
least
$12,500
shall
be
used
to
continue
and
to
expand
the
foster
care
respite
pilot
program
in
which
postsecondary
students
in
social
work
and
other
human
services-related
programs
receive
experience
by
assisting
family
foster
care
providers
with
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respite
and
other
support.
24.
Of
the
funds
appropriated
in
this
section,
$55,000
shall
be
used
for
the
public
purpose
of
funding
community-based
services
and
other
supports
with
a
system
of
care
approach
for
children
with
a
serious
emotional
disturbance
and
their
families
through
a
nonprofit
provider
of
child
welfare
services
that
has
been
in
existence
for
more
than
115
years,
is
located
in
a
county
with
a
population
of
more
than
200,000
but
less
than
220,000
according
to
the
latest
census
information
issued
by
the
United
States
census
bureau,
is
licensed
as
a
psychiatric
medical
institution
for
children,
and
was
a
system
of
care
grantee
prior
to
July
1,
2016.
Sec.
139.
ADOPTION
SUBSIDY.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,499,143
2.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
general
administration
for
costs
paid
from
the
appropriation
relating
to
adoption
subsidy.
3.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2016,
as
the
result
of
the
expenditure
of
state
funds
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
the
services
and
activities
funded
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
-171-
SF505.2155
(11)
86
pf/rh/rj
171/
194
CCS-505
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
140.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
in
the
juvenile
detention
home
fund
created
in
section
232.142
during
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
for
distribution
of
an
amount
equal
to
a
percentage
of
the
costs
of
the
establishment,
improvement,
operation,
and
maintenance
of
county
or
multicounty
juvenile
detention
homes
in
the
fiscal
year
beginning
July
1,
2015.
Moneys
appropriated
for
distribution
in
accordance
with
this
section
shall
be
allocated
among
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
fiscal
year
beginning
July
1,
2015.
The
percentage
figure
shall
be
determined
by
the
department
based
on
the
amount
available
for
distribution
for
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
financial
aid
payable
by
the
state
under
that
provision
for
the
fiscal
year
beginning
July
1,
2016,
shall
be
limited
to
the
amount
appropriated
for
the
purposes
of
this
section.
Sec.
141.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
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
family
support
subsidy
program
subject
to
the
enrollment
restrictions
in
section
225C.37,
subsection
3
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
536,966
2.
The
department
shall
use
at
least
$320,750
of
the
moneys
appropriated
in
this
section
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
section
225C.47
.
Not
more
than
$12,500
of
the
amount
allocated
in
this
subsection
shall
be
used
for
administrative
costs.
-172-
SF505.2155
(11)
86
pf/rh/rj
172/
194
CCS-505
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
funding
available
for
the
family
support
subsidy
program
is
reduced
from
the
amount
initially
used
to
establish
the
figure
for
the
number
of
family
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
notwithstanding
section
225C.38,
subsection
2
,
the
department
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
of
funding
available.
Sec.
142.
CONNER
DECREE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
building
community
capacity
through
the
coordination
and
provision
of
training
opportunities
in
accordance
with
the
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
Sec.
143.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated
which
amounts
shall
not
be
transferred
or
expended
for
any
purpose
other
than
the
purposes
designated,
notwithstanding
section
218.6
to
the
contrary:
1.
For
operation
of
the
state
mental
health
institute
at
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,772,808
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
2.
For
operation
of
the
state
mental
health
institute
at
Independence
as
required
by
chapters
218
and
226
for
salaries,
-173-
SF505.2155
(11)
86
pf/rh/rj
173/
194
CCS-505
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,162,104
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
3.
For
operation
of
the
state
mental
health
institute
at
Mount
Pleasant
as
required
by
chapters
218
and
226,
for
purposes
of
providing
adult
psychiatric
services
including
inpatient
acute
care,
inpatient
substance
abuse
treatment,
and
inpatient
dual
diagnosis
substance
use
disorder
and
mental
illness
treatment,
at
the
same
level
of
care
and
treatment
as
provided
on
July
1,
2014,
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,212,440
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.68
Sec.
144.
STATE
RESOURCE
CENTERS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,762,241
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,291,903
2.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
intermediate
care
facilities
for
persons
with
an
intellectual
disability
services,
in
a
manner
which
does
not
shift
costs
between
the
medical
assistance
program,
counties,
or
other
sources
of
funding
for
the
state
resource
centers.
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(11)
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pf/rh/rj
174/
194
CCS-505
3.
The
state
resource
centers
may
expand
the
time-limited
assessment
and
respite
services
during
the
fiscal
year.
4.
If
the
department’s
administration
and
the
department
of
management
concur
with
a
finding
by
a
state
resource
center’s
superintendent
that
projected
revenues
can
reasonably
be
expected
to
pay
the
salary
and
support
costs
for
a
new
employee
position,
or
that
such
costs
for
adding
a
particular
number
of
new
positions
for
the
fiscal
year
would
be
less
than
the
overtime
costs
if
new
positions
would
not
be
added,
the
superintendent
may
add
the
new
position
or
positions.
If
the
vacant
positions
available
to
a
resource
center
do
not
include
the
position
classification
desired
to
be
filled,
the
state
resource
center’s
superintendent
may
reclassify
any
vacant
position
as
necessary
to
fill
the
desired
position.
The
superintendents
of
the
state
resource
centers
may,
by
mutual
agreement,
pool
vacant
positions
and
position
classifications
during
the
course
of
the
fiscal
year
in
order
to
assist
one
another
in
filling
necessary
positions.
5.
If
existing
capacity
limitations
are
reached
in
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
a
special
need
for
which
a
payment
source
or
other
funding
is
available
for
the
service
or
to
address
the
special
need,
and
facilities
for
the
service
or
to
address
the
special
need
can
be
provided
within
the
available
payment
source
or
other
funding,
the
superintendent
of
a
state
resource
center
may
authorize
opening
not
more
than
two
units
or
other
facilities
and
begin
implementing
the
service
or
addressing
the
special
need
during
fiscal
year
2016-2017.
Sec.
145.
SEXUALLY
VIOLENT
PREDATORS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
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SF505.2155
(11)
86
pf/rh/rj
175/
194
CCS-505
For
costs
associated
with
the
commitment
and
treatment
of
sexually
violent
predators
in
the
unit
located
at
the
state
mental
health
institute
at
Cherokee,
including
costs
of
legal
services
and
other
associated
costs,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,946,539
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
2.
Unless
specifically
prohibited
by
law,
if
the
amount
charged
provides
for
recoupment
of
at
least
the
entire
amount
of
direct
and
indirect
costs,
the
department
of
human
services
may
contract
with
other
states
to
provide
care
and
treatment
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
violent
predators
at
Cherokee.
The
moneys
received
under
such
a
contract
shall
be
considered
to
be
repayment
receipts
and
used
for
the
purposes
of
the
appropriation
made
in
this
section.
Sec.
146.
FIELD
OPERATIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
field
operations,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,460,488
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
1.
As
a
condition
of
this
appropriation,
the
department
shall
make
every
possible
effort
to
fill
the
entire
number
of
positions
authorized
by
this
section
and,
unless
specifically
provided
otherwise
by
an
applicable
collective
bargaining
agreement,
the
department
is
not
subject
to
any
approval
requirement
external
to
the
department
to
fill
a
field
operations
vacancy
within
the
number
of
full-time
equivalent
-176-
SF505.2155
(11)
86
pf/rh/rj
176/
194
CCS-505
positions
authorized
by
this
section.
The
department
shall
report
on
the
first
of
each
month
to
the
chairpersons
and
ranking
members
of
the
appropriations
committees
of
the
senate
and
house
of
representatives,
and
the
persons
designated
by
this
Act
for
submission
of
reports
concerning
the
status
of
filling
the
positions.
2.
Priority
in
filling
full-time
equivalent
positions
shall
be
given
to
those
positions
related
to
child
protection
services
and
eligibility
determination
for
low-income
families.
Sec.
147.
GENERAL
ADMINISTRATION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
general
administration,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
$
7,449,099
.
.
.
.
.
.
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.
.
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.
.
.
.
.
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.
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.
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.
.
.
.
.
.
.
FTEs
309.00
1.
The
department
shall
report
at
least
monthly
to
the
legislative
services
agency
concerning
the
department’s
operational
and
program
expenditures.
2.
Of
the
funds
appropriated
in
this
section,
$75,000
shall
be
used
to
continue
the
contract
for
the
provision
of
a
program
to
provide
technical
assistance,
support,
and
consultation
to
providers
of
habilitation
services
and
home
and
community-based
services
waiver
services
for
adults
with
disabilities
under
the
medical
assistance
program.
3.
Of
the
funds
appropriated
in
this
section,
$25,000
is
transferred
to
the
Iowa
finance
authority
to
be
used
for
administrative
support
of
the
council
on
homelessness
established
in
section
16.2D
and
for
the
council
to
fulfill
its
duties
in
addressing
and
reducing
homelessness
in
the
state.
4.
Of
the
funds
appropriated
in
this
section,
$125,000
shall
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be
transferred
to
and
deposited
in
the
administrative
fund
of
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4,
if
enacted
in
this
or
any
other
Act,
to
be
used
for
implementation
and
administration
activities
of
the
Iowa
ABLE
savings
plan
trust.
Sec.
148.
VOLUNTEERS.
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
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
Sec.
149.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
the
total
state
funding
amount
for
the
nursing
facility
budget
shall
not
exceed
$151,421,458.
(2)
The
department,
in
cooperation
with
nursing
facility
representatives,
shall
review
projections
for
state
funding
expenditures
for
reimbursement
of
nursing
facilities
on
a
quarterly
basis
and
the
department
shall
determine
if
an
adjustment
to
the
medical
assistance
reimbursement
rate
is
necessary
in
order
to
provide
reimbursement
within
the
state
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
if
the
state
funding
expenditures
for
the
nursing
facility
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
specified
in
subparagraph
(1),
the
department
shall
adjust
the
reimbursement
for
nursing
facilities
reimbursed
under
the
case-mix
reimbursement
system
to
maintain
expenditures
of
the
nursing
facility
budget
within
the
specified
amount
for
the
fiscal
year.
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(3)
For
the
fiscal
year
beginning
July
1,
2016,
special
population
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
methodology
in
effect
on
June
30,
2016.
(4)
For
any
open
or
unsettled
nursing
facility
cost
report
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
beginning
July
1,
2015,
including
any
cost
report
remanded
on
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
or
x-ray
costs,
the
department
shall
offset
all
reported
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
received
from
Medicare
or
other
revenue
source
for
any
purpose.
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
report
is
not
considered
open
or
unsettled
if
the
facility
did
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
any
appeal
rights
initiated
have
been
exhausted.
b.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
the
department
shall
establish
the
pharmacy
dispensing
fee
reimbursement
at
$11.73
per
prescription,
until
a
cost
of
dispensing
survey
is
completed.
The
actual
dispensing
fee
shall
be
determined
by
a
cost
of
dispensing
survey
performed
by
the
department
and
required
to
be
completed
by
all
medical
assistance
program
participating
pharmacies
every
two
years,
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(2)
The
department
shall
utilize
an
average
acquisition
cost
reimbursement
methodology
for
all
drugs
covered
under
the
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
33.
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
(CMS)
requires,
as
a
condition
of
federal
Medicaid
funding,
that
the
department
implement
an
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
based
on
the
average
manufacturer’s
price
(AMP),
the
department
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may
utilize
a
reimbursement
methodology
for
all
drugs
covered
under
the
Medicaid
program
based
on
the
national
average
drug
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
administrative
costs,
and
minimize
any
change
in
the
aggregate
reimbursement
for
drugs.
The
department
may
adopt
emergency
rules
to
implement
this
subparagraph.
c.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
outpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(2)
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
inpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(3)
For
the
fiscal
year
beginning
July
1,
2016,
the
graduate
medical
education
and
disproportionate
share
hospital
fund
shall
remain
at
the
amount
in
effect
on
June
30,
2016,
except
that
the
portion
of
the
fund
attributable
to
graduate
medical
education
shall
be
reduced
in
an
amount
that
reflects
the
elimination
of
graduate
medical
education
payments
made
to
out-of-state
hospitals.
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
funds
in
procuring
health
care
services
for
low-income
Iowans,
funds
appropriated
in
this
Act
for
hospital
services
shall
not
be
used
for
activities
which
would
be
excluded
from
a
determination
of
reasonable
costs
under
the
federal
Medicare
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program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
d.
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
rural
health
clinics,
hospices,
and
acute
mental
hospitals
shall
be
increased
in
accordance
with
increases
under
the
federal
Medicare
program
or
as
supported
by
their
Medicare
audited
costs.
e.
For
the
fiscal
year
beginning
July
1,
2016,
independent
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
using
the
same
methodology
in
effect
on
June
30,
2016.
f.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
home
health
agencies
shall
continue
to
be
based
on
the
Medicare
low
utilization
payment
adjustment
(LUPA)
methodology
with
state
geographic
wage
adjustments,
and
updated
to
reflect
the
most
recent
Medicare
LUPA
rates.
(2)
For
the
fiscal
year
beginning
July
1,
2016,
rates
for
private
duty
nursing
and
personal
care
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
benefit
shall
be
calculated
based
on
the
methodology
in
effect
on
June
30,
2016.
g.
For
the
fiscal
year
beginning
July
1,
2016,
federally
qualified
health
centers
shall
receive
cost-based
reimbursement
for
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
h.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rates
for
dental
services
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
i.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
state-owned
psychiatric
medical
institutions
for
children
shall
receive
cost-based
reimbursement
for
100
percent
of
the
actual
and
allowable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
for
children,
reimbursement
rates
shall
be
based
on
the
reimbursement
methodology
developed
by
the
Medicaid
managed
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care
contractor
for
behavioral
health
services
as
required
for
federal
compliance.
(3)
As
a
condition
of
participation
in
the
medical
assistance
program,
enrolled
providers
shall
accept
the
medical
assistance
reimbursement
rate
for
any
covered
goods
or
services
provided
to
recipients
of
medical
assistance
who
are
children
under
the
custody
of
a
psychiatric
medical
institution
for
children.
j.
For
the
fiscal
year
beginning
July
1,
2016,
unless
otherwise
specified
in
this
Act,
all
noninstitutional
medical
assistance
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
except
for
area
education
agencies,
local
education
agencies,
infant
and
toddler
services
providers,
home
and
community-based
services
providers
including
consumer-directed
attendant
care
providers
under
a
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
providers,
and
those
providers
whose
rates
are
required
to
be
determined
pursuant
to
section
249A.20
.
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
30,
2016.
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
beginning
July
1,
2016,
the
average
reimbursement
rate
for
health
care
providers
eligible
for
use
of
the
federal
Medicare
resource-based
relative
value
scale
reimbursement
methodology
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
June
30,
2016;
however,
this
rate
shall
not
exceed
the
maximum
level
authorized
by
the
federal
government.
m.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
residential
care
facilities
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
The
flat
reimbursement
rate
for
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facilities
electing
not
to
file
annual
cost
reports
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
n.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rates
for
inpatient
mental
health
services
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
upper
payment
limit
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
program
fee-for-service
rate
in
effect
on
June
30,
2016.
o.
For
the
fiscal
year
beginning
July
1,
2016,
community
mental
health
centers
may
choose
to
be
reimbursed
for
the
services
provided
to
recipients
of
medical
assistance
through
either
of
the
following
options:
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
(2)
In
accordance
with
the
alternative
reimbursement
rate
methodology
established
by
the
medical
assistance
program’s
managed
care
contractor
for
mental
health
services
and
approved
by
the
department
of
human
services.
p.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
providers
of
family
planning
services
that
are
eligible
to
receive
a
90
percent
federal
match
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
q.
For
the
fiscal
year
beginning
July
1,
2016,
the
upper
limits
on
reimbursement
rates
for
providers
of
home
and
community-based
services
waiver
services
shall
remain
at
the
limits
in
effect
on
June
30,
2016.
r.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rates
for
emergency
medical
service
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
s.
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
substance-related
disorder
treatment
programs
licensed
under
section
125.13
shall
remain
at
the
rates
in
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effect
on
June
30,
2016.
2.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
providers
reimbursed
under
the
in-home-related
care
program
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
3.
Unless
otherwise
directed
in
this
section,
when
the
department’s
reimbursement
methodology
for
any
provider
reimbursed
in
accordance
with
this
section
includes
an
inflation
factor,
this
factor
shall
not
exceed
the
amount
by
which
the
consumer
price
index
for
all
urban
consumers
increased
during
the
calendar
year
ending
December
31,
2002.
4.
For
the
fiscal
year
beginning
July
1,
2016,
the
foster
family
basic
daily
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
children
ages
12
through
15
years
shall
be
$19.10,
and
the
rate
for
children
and
young
adults
ages
16
and
older
shall
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
care,
the
preparation
for
adult
living
program
maintenance
rate
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
disallowance
of
additional
amounts
for
court
costs
and
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408,
shall
be
continued.
5.
For
the
fiscal
year
beginning
July
1,
2016,
the
maximum
reimbursement
rates
for
social
services
providers
under
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
each
service,
whichever
is
less.
However,
if
a
new
service
or
service
provider
is
added
after
June
30,
2016,
the
initial
reimbursement
rate
for
the
service
or
provider
shall
be
based
upon
a
weighted
average
of
provider
rates
for
similar
services.
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6.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rates
for
resource
family
recruitment
and
retention
contractors,
child
welfare
emergency
services
contractors,
and
supervised
apartment
living
foster
care
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
7.
a.
For
the
purposes
of
this
subsection,
“combined
reimbursement
rate”
means
the
combined
service
and
maintenance
reimbursement
rate
for
a
service
level
under
the
department’s
reimbursement
methodology.
Effective
July
1,
2016,
the
combined
reimbursement
rate
for
a
group
foster
care
service
level
shall
be
the
amount
designated
in
this
subsection.
However,
if
a
group
foster
care
provider’s
reimbursement
rate
for
a
service
level
as
of
June
30,
2016,
is
more
than
the
rate
designated
in
this
subsection,
the
provider’s
reimbursement
shall
remain
at
the
higher
rate.
b.
Unless
a
group
foster
care
provider
is
subject
to
the
exception
provided
in
paragraph
“a”,
effective
July
1,
2016,
the
combined
reimbursement
rates
for
the
service
levels
under
the
department’s
reimbursement
methodology
shall
be
as
follows:
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
be
at
least
$84.17.
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
shall
be
at
least
$119.09.
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
be
at
least
$131.09.
8.
The
group
foster
care
reimbursement
rates
paid
for
placement
of
children
out
of
state
shall
be
calculated
according
to
the
same
rate-setting
principles
as
those
used
for
in-state
providers,
unless
the
director
of
human
services
or
the
director’s
designee
determines
that
appropriate
care
cannot
be
provided
within
the
state.
The
payment
of
the
daily
rate
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
which
service
is
provided.
9.
a.
For
the
fiscal
year
beginning
July
1,
2016,
the
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reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
emergency
services
implemented
to
provide
or
prevent
the
need
for
shelter
care
shall
be
established
by
contract.
b.
For
the
fiscal
year
beginning
July
1,
2016,
the
combined
service
and
maintenance
components
of
the
reimbursement
rate
paid
for
shelter
care
services
shall
be
based
on
the
financial
and
statistical
report
submitted
to
the
department.
The
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
department
shall
reimburse
a
shelter
care
provider
at
the
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
to
exceed
the
maximum
reimbursement
rate.
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
fiscal
year
beginning
July
1,
2016,
the
amount
of
the
statewide
average
of
the
actual
and
allowable
rates
for
reimbursement
of
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
2015.
10.
For
the
fiscal
year
beginning
July
1,
2016,
the
department
shall
calculate
reimbursement
rates
for
intermediate
care
facilities
for
persons
with
an
intellectual
disability
at
the
80th
percentile.
Beginning
July
1,
2016,
the
rate
calculation
methodology
shall
utilize
the
consumer
price
index
inflation
factor
applicable
to
the
fiscal
year
beginning
July
1,
2016.
11.
For
the
fiscal
year
beginning
July
1,
2016,
for
child
care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
provider
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004.
Effective
July
1,
2016,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
The
department
shall
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
nonregistered
provider
to
become
registered
by
applying
the
increase
only
to
registered
and
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CCS-505
licensed
providers.
12.
For
the
fiscal
year
beginning
July
1,
2016,
if
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
approves
the
waivers
necessary
to
implement
medical
assistance
program
managed
care
applicable
to
any
providers
or
services
subject
to
reimbursement
under
this
section,
notwithstanding
any
provision
to
the
contrary
under
this
section,
affected
providers
or
services
shall
instead
be
reimbursed
as
follows:
a.
For
fee-for-service
claims,
reimbursement
shall
be
calculated
based
on
the
methodology
otherwise
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
2016,
for
the
respective
provider
or
service.
b.
For
claims
subject
to
a
managed
care
contract,
reimbursement
shall
be
based
on
the
methodology
established
by
the
managed
care
organization
contract.
However,
any
reimbursement
established
under
such
contract
shall
not
be
lower
than
the
reimbursement
otherwise
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
2016,
for
the
respective
provider
or
service.
13.
The
department
may
adopt
emergency
rules
to
implement
this
section.
Sec.
150.
EMERGENCY
RULES.
1.
If
specifically
authorized
by
a
provision
of
this
division
of
this
Act,
the
department
of
human
services
or
the
mental
health
and
disability
services
commission
may
adopt
administrative
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
the
provisions
of
this
division
of
this
Act
and
the
rules
shall
become
effective
immediately
upon
filing
or
on
a
later
effective
date
specified
in
the
rules,
unless
the
effective
date
of
the
rules
is
delayed
or
the
applicability
of
the
rules
is
suspended
by
the
administrative
rules
review
committee.
Any
rules
adopted
in
accordance
with
this
section
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CCS-505
shall
not
take
effect
before
the
rules
are
reviewed
by
the
administrative
rules
review
committee.
The
delay
authority
provided
to
the
administrative
rules
review
committee
under
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
imposed
under
this
section,
notwithstanding
a
provision
in
those
sections
making
them
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
with
the
provisions
of
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4.
2.
If
during
a
fiscal
year,
the
department
of
human
services
is
adopting
rules
in
accordance
with
this
section
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
rules
will
result
in
an
expenditure
increase
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
expenditure
was
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
department
shall
notify
the
persons
designated
by
this
division
of
this
Act
for
submission
of
reports,
the
chairpersons
and
ranking
members
of
the
committees
on
appropriations,
and
the
department
of
management
concerning
the
rules
and
the
expenditure
increase.
The
notification
shall
be
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
administrative
rules
coordinator
and
the
administrative
code
editor.
Sec.
151.
REPORTS.
Any
reports
or
other
information
required
to
be
compiled
and
submitted
under
this
Act
during
the
fiscal
year
beginning
July
1,
2016,
shall
be
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
the
legislative
services
agency,
and
the
legislative
caucus
staffs
on
or
before
the
dates
specified
for
submission
of
the
reports
or
information.
DIVISION
XLII
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2016-2017
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CCS-505
Sec.
152.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
Notwithstanding
any
provision
of
law
to
the
contrary,
to
supplement
the
appropriations
made
in
this
Act
for
medical
contracts
under
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,001,088
Sec.
153.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
quality
assurance
trust
fund
created
in
section
249L.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,602,604
Sec.
154.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
hospital
health
care
access
trust
fund
created
in
section
249M.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
-189-
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194
CCS-505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,350,000
Sec.
155.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
FOR
FY
2016-2017.
Notwithstanding
section
8.33
,
if
moneys
appropriated
for
purposes
of
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
from
the
general
fund
of
the
state,
the
quality
assurance
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
expenditures
for
the
medical
assistance
program
and
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
of
the
medical
assistance
program
until
the
close
of
the
succeeding
fiscal
year.
DIVISION
XLIII
REFUGEE
FAMILY
SUPPORT
SERVICES
PILOT
PROGRAM
Sec.
156.
REFUGEE
FAMILY
SUPPORT
SERVICES
PILOT
PROGRAM
APPROPRIATION
——
FY
2016-2017.
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
continuation
of
a
pilot
project
pursuant
to
the
refugee
family
support
services
pilot
project
program
created
in
this
2015
Act
in
a
county
with
a
population
over
350,000
as
determined
by
the
2010
federal
decennial
census:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
The
amount
appropriated
under
this
section
shall
not
be
reduced
for
administrative
or
other
costs
prior
to
distribution.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
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Sec.
157.
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEYS.
The
moneys
transferred
to
the
property
tax
relief
fund
for
the
fiscal
year
beginning
July
1,
2015,
from
the
federal
social
services
block
grant
pursuant
to
2015
Iowa
Acts,
House
File
630,
and
from
the
federal
temporary
assistance
for
needy
families
block
grant,
totaling
at
least
$11,774,275,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
to
be
used
for
the
purposes
designated,
notwithstanding
any
provision
of
law
to
the
contrary:
1.
For
distribution
to
any
mental
health
and
disability
services
region
where
25
percent
of
the
region’s
projected
expenditures
exceeds
the
region’s
projected
fund
balance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
480,000
a.
For
purposes
of
this
subsection:
(1)
“Available
funds”
means
a
county
mental
health
and
services
fund
balance
on
June
30,
2015,
plus
the
maximum
amount
a
county
was
allowed
to
levy
for
the
fiscal
year
beginning
July
1,
2015.
(2)
“Projected
expenditures”
means
the
actual
expenditures
of
a
mental
health
and
disability
services
region
as
of
June
30,
2015,
multiplied
by
an
annual
inflation
rate
of
2
percent
plus
the
projected
costs
for
new
core
services
administered
by
the
region
as
provided
in
a
region’s
regional
service
system
management
plan
approved
pursuant
to
section
331.393
for
the
fiscal
year
beginning
July
1,
2015.
(3)
“Projected
fund
balance”
means
the
difference
between
a
mental
health
and
disability
services
region’s
available
funds
and
projected
expenditures.
b.
If
sufficient
funds
are
not
available
to
implement
this
subsection,
the
department
of
human
services
shall
distribute
funds
to
a
region
in
proportion
to
the
availability
of
funds.
2.
To
be
transferred
to
the
appropriation
in
this
Act
for
child
and
family
services
for
the
fiscal
year
beginning
July
1,
-191-
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CCS-505
2016,
to
be
used
for
the
purpose
of
that
appropriation:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,407,137
DIVISION
XLIV
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS
Sec.
158.
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS.
As
a
condition
of
the
appropriations
in
this
Act,
the
moneys
appropriated
and
any
other
moneys
available
shall
not
be
used
for
payment
of
a
personnel
settlement
agreement
that
contains
a
confidentiality
provision
intended
to
prevent
public
disclosure
of
the
agreement
or
any
terms
of
the
agreement.
DIVISION
XLV
CLARINDA
STATE
MENTAL
HEALTH
INSTITUTE
——
PRIVATE
PROVIDER
——
SHARED
SERVICES
Sec.
159.
CLARINDA
——
PRIVATE
PROVIDER.
1.
Within
30
days
of
the
effective
date
of
an
appropriation
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
for
operation
of
the
state
mental
health
institute
at
Clarinda
in
the
fiscal
year
beginning
July
1,
2015,
the
department
of
human
services
shall
issue
a
request
for
proposals
for
the
purpose
of
entering
into
a
contract
to
engage
an
in-state
private
nursing
home
provider
to
provide
care
and
treatment
for
adult
persons
who
are
sexually
aggressive
or
combative
due
to
a
mental
illness
or
who
have
unmet
geropsychiatric
needs,
beginning
December
16,
2015,
at
the
state
mental
health
institute
at
Clarinda.
The
request
for
proposals
shall
specify
that
the
provider
shall
have
an
authorized
bed
capacity
of
not
fewer
than
15
beds.
2.
The
contract
executed
by
the
department
of
human
services
with
the
private
provider
of
geropsychiatric
care
and
treatment
after
December
15,
2015,
at
the
state
mental
health
institute
at
Clarinda
shall
require
the
private
provider
to
give
preference
in
employment
to
qualified
former
employees
providing
such
care
and
treatment
at
the
state
mental
health
institute
at
Clarinda
between
January
1
and
December
15,
2015.
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CCS-505
CLARINDA
——
SHARED
SERVICES
——
2015-2016
FISCAL
YEAR
Sec.
160.
2015
Iowa
Acts,
Senate
File
497,
section
3,
subsection
1,
paragraph
g,
if
enacted,
is
amended
to
read
as
follows:
g.
For
the
operation
of
the
Clarinda
correctional
facility,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,933,430
Moneys
received
by
the
department
of
corrections
as
reimbursement
for
services
provided
to
the
Clarinda
youth
corporation
any
private
provider
contracting
with
the
department
of
human
services
or
the
department
of
corrections
are
appropriated
to
the
department
of
corrections
and
shall
be
used
for
the
purpose
of
operating
the
Clarinda
correctional
facility.
CLARINDA
——
SHARED
SERVICES
——
2016-2017
FISCAL
YEAR
Sec.
161.
2015
Iowa
Acts,
Senate
File
497,
section
25,
subsection
1,
paragraph
g,
if
enacted,
is
amended
to
read
as
follows:
g.
For
the
operation
of
the
Clarinda
correctional
facility,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,966,715
Moneys
received
by
the
department
of
corrections
as
reimbursement
for
services
provided
to
the
Clarinda
youth
corporation
any
private
provider
contracting
with
the
department
of
human
services
or
the
department
of
corrections
are
appropriated
to
the
department
of
corrections
and
shall
be
used
for
the
purpose
of
operating
the
Clarinda
correctional
facility.
DIVISION
XLVI
CONDITIONAL
EFFECTIVE
DATE
AND
RETROACTIVE
APPLICABILITY
PROVISIONS
Sec.
162.
EFFECTIVE
UPON
ENACTMENT.
Unless
otherwise
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CCS-505
provided,
this
Act,
if
approved
by
the
governor
on
or
after
July
1,
2015,
takes
effect
upon
enactment.
Sec.
163.
RETROACTIVE
APPLICABILITY.
Unless
otherwise
provided,
this
Act,
if
approved
by
the
governor
on
or
after
July
1,
2015,
applies
retroactively
to
July
1,
2015.
>
ON
THE
PART
OF
THE
SENATE:
______________________________
AMANDA
RAGAN,
CHAIRPERSON
______________________________
JOE
BOLKCOM
______________________________
ROBERT
E.
DVORSKY
______________________________
DAVID
JOHNSON
______________________________
MARK
SEGEBART
ON
THE
PART
OF
THE
HOUSE:
______________________________
DAVE
HEATON,
CHAIRPERSON
______________________________
JOHN
FORBES
______________________________
JOEL
FRY
______________________________
LINDA
MILLER
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