Senate
File
505
H-1345
Amend
Senate
File
505,
as
amended,
passed,
and
1
reprinted
by
the
Senate,
as
follows:
2
1.
By
striking
everything
after
the
enacting
clause
3
and
inserting:
4
<
DIVISION
I
5
DEPARTMENT
ON
AGING
——
FY
2015-2016
6
Section
1.
DEPARTMENT
ON
AGING.
There
is
7
appropriated
from
the
general
fund
of
the
state
to
8
the
department
on
aging
for
the
fiscal
year
beginning
9
July
1,
2015,
and
ending
June
30,
2016,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
11
for
the
purposes
designated:
12
For
aging
programs
for
the
department
on
aging
and
13
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
14
are
60
years
of
age
and
older
with
case
management
for
15
frail
elders,
Iowa’s
aging
and
disabilities
resource
16
center,
and
other
services
which
may
include
but
are
17
not
limited
to
adult
day
services,
respite
care,
chore
18
services,
information
and
assistance,
and
material
aid,
19
for
information
and
options
counseling
for
persons
with
20
disabilities
who
are
18
years
of
age
or
older,
and
21
for
salaries,
support,
administration,
maintenance,
22
and
miscellaneous
purposes,
and
for
not
more
than
the
23
following
full-time
equivalent
positions:
24
.
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.
.
$
11,111,066
25
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.
FTEs
31.00
26
1.
Funds
appropriated
in
this
section
may
be
used
27
to
supplement
federal
funds
under
federal
regulations.
28
To
receive
funds
appropriated
in
this
section,
a
local
29
area
agency
on
aging
shall
match
the
funds
with
moneys
30
from
other
sources
according
to
rules
adopted
by
the
31
department.
Funds
appropriated
in
this
section
may
be
32
used
for
elderly
services
not
specifically
enumerated
33
in
this
section
only
if
approved
by
an
area
agency
on
34
aging
for
provision
of
the
service
within
the
area.
35
2.
Of
the
funds
appropriated
in
this
section,
36
$279,946
is
transferred
to
the
economic
development
37
authority
for
the
Iowa
commission
on
volunteer
services
38
to
be
used
for
the
retired
and
senior
volunteer
39
program.
40
3.
a.
The
department
on
aging
shall
establish
and
41
enforce
procedures
relating
to
expenditure
of
state
and
42
federal
funds
by
area
agencies
on
aging
that
require
43
compliance
with
both
state
and
federal
laws,
rules,
and
44
regulations,
including
but
not
limited
to
all
of
the
45
following:
46
(1)
Requiring
that
expenditures
are
incurred
only
47
for
goods
or
services
received
or
performed
prior
to
48
the
end
of
the
fiscal
period
designated
for
use
of
the
49
funds.
50
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123
#1.
(2)
Prohibiting
prepayment
for
goods
or
services
1
not
received
or
performed
prior
to
the
end
of
the
2
fiscal
period
designated
for
use
of
the
funds.
3
(3)
Prohibiting
the
prepayment
for
goods
or
4
services
not
defined
specifically
by
good
or
service,
5
time
period,
or
recipient.
6
(4)
Prohibiting
the
establishment
of
accounts
from
7
which
future
goods
or
services
which
are
not
defined
8
specifically
by
good
or
service,
time
period,
or
9
recipient,
may
be
purchased.
10
b.
The
procedures
shall
provide
that
if
any
funds
11
are
expended
in
a
manner
that
is
not
in
compliance
with
12
the
procedures
and
applicable
federal
and
state
laws,
13
rules,
and
regulations,
and
are
subsequently
subject
14
to
repayment,
the
area
agency
on
aging
expending
such
15
funds
in
contravention
of
such
procedures,
laws,
rules
16
and
regulations,
not
the
state,
shall
be
liable
for
17
such
repayment.
18
4.
Of
the
funds
appropriated
in
this
section,
at
19
least
$250,000
shall
be
used
to
fund
the
unmet
needs
20
identified
through
Iowa’s
aging
and
disability
resource
21
center
network.
22
5.
Of
the
funds
appropriated
in
this
section,
23
at
least
$600,000
shall
be
used
to
fund
home
and
24
community-based
services
through
the
area
agencies
25
on
aging
that
enable
older
individuals
to
avoid
more
26
costly
utilization
of
residential
or
institutional
27
services
and
remain
in
their
own
homes.
28
6.
Of
the
funds
appropriated
in
this
section,
29
$525,000
shall
be
used
for
the
purposes
of
section
30
231.56A,
and
shall
be
distributed
equally
to
the
area
31
agencies
on
aging
to
administer
the
prevention
of
elder
32
abuse,
neglect,
and
exploitation
program
pursuant
to
33
section
231.56A,
in
accordance
with
the
requirements
34
of
the
federal
Older
Americans
Act
of
1965,
42
U.S.C.
35
§3001
et
seq.,
as
amended.
36
DIVISION
II
37
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2015-2016
38
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
39
1.
There
is
appropriated
from
the
general
fund
of
40
the
state
to
the
office
of
long-term
care
ombudsman
for
41
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
42
30,
2016,
the
following
amount,
or
so
much
thereof
as
43
is
necessary,
to
be
used
for
the
purposes
designated:
44
For
salaries,
support,
administration,
maintenance,
45
and
miscellaneous
purposes,
and
for
not
more
than
the
46
following
full-time
equivalent
positions:
47
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
$
929,315
48
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.
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.
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.
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.
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.
.
.
.
.
.
.
.
.
.
FTEs
13.00
49
2.
The
office
of
long-term
care
ombudsman
and
the
50
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86
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123
department
of
human
services
shall
collaborate
to
1
develop
a
Medicaid
state
plan
amendment
to
provide
for
2
the
claiming
of
federal
financial
participation
for
3
office
of
long-term
care
ombudsman
activities
that
are
4
performed
to
assist
with
administration
of
the
Medicaid
5
program.
The
Medicaid
state
plan
amendment
shall
be
6
submitted
to
the
centers
for
Medicare
and
Medicaid
7
services
of
the
United
States
department
of
health
and
8
human
services
in
a
timely
manner
to
allow
for
such
9
claiming
of
federal
financial
participation
beginning
10
January
1,
2016.
11
DIVISION
III
12
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2015-2016
13
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
14
appropriated
from
the
general
fund
of
the
state
to
15
the
department
of
public
health
for
the
fiscal
year
16
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
17
following
amounts,
or
so
much
thereof
as
is
necessary,
18
to
be
used
for
the
purposes
designated:
19
1.
ADDICTIVE
DISORDERS
20
For
reducing
the
prevalence
of
the
use
of
tobacco,
21
alcohol,
and
other
drugs,
and
treating
individuals
22
affected
by
addictive
behaviors,
including
gambling,
23
and
for
not
more
than
the
following
full-time
24
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
26,588,690
26
.
.
.
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.
FTEs
10.00
27
a.
(1)
Of
the
funds
appropriated
in
this
28
subsection,
$4,573,361
shall
be
used
for
the
tobacco
29
use
prevention
and
control
initiative,
including
30
efforts
at
the
state
and
local
levels,
as
provided
31
in
chapter
142A
.
The
commission
on
tobacco
use
32
prevention
and
control
established
pursuant
to
section
33
142A.3
shall
advise
the
director
of
public
health
34
in
prioritizing
funding
needs
and
the
allocation
of
35
moneys
appropriated
for
the
programs
and
initiatives.
36
Activities
of
the
programs
and
initiatives
shall
be
in
37
alignment
with
the
United
States
centers
for
disease
38
control
and
prevention
best
practices
for
comprehensive
39
tobacco
control
programs
that
include
the
goals
of
40
preventing
youth
initiation
of
tobacco
usage,
reducing
41
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
42
cessation.
43
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
44
“a”,
$453,067
is
transferred
to
the
alcoholic
beverages
45
division
of
the
department
of
commerce
for
enforcement
46
of
tobacco
laws,
regulations,
and
ordinances
and
to
47
engage
in
tobacco
control
activities
approved
by
the
48
division
of
tobacco
use
prevention
and
control
of
49
the
department
of
public
health
as
specified
in
the
50
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86
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123
memorandum
of
understanding
entered
into
between
the
1
divisions.
2
(b)
For
the
fiscal
year
beginning
July
1,
2015,
and
3
ending
June
30,
2016,
the
terms
of
the
memorandum
of
4
understanding,
entered
into
between
the
division
of
5
tobacco
use
prevention
and
control
of
the
department
6
of
public
health
and
the
alcoholic
beverages
division
7
of
the
department
of
commerce,
governing
compliance
8
checks
conducted
to
ensure
licensed
retail
tobacco
9
outlet
conformity
with
tobacco
laws,
regulations,
10
and
ordinances
relating
to
persons
under
eighteen
11
years
of
age,
shall
continue
to
restrict
the
number
of
12
such
checks
to
one
check
per
retail
outlet,
and
one
13
additional
check
for
any
retail
outlet
found
to
be
in
14
violation
during
the
first
check.
15
b.
Of
the
funds
appropriated
in
this
subsection,
16
$22,015,329
shall
be
used
for
problem
gambling
and
17
substance-related
disorder
prevention,
treatment,
and
18
recovery
services,
including
a
24-hour
helpline,
public
19
information
resources,
professional
training,
and
20
program
evaluation.
21
(1)
Of
the
funds
allocated
in
this
paragraph
22
“b”,
$18,903,715
shall
be
used
for
substance-related
23
disorder
prevention
and
treatment.
24
(a)
Of
the
funds
allocated
in
this
subparagraph
25
(1),
$899,300
shall
be
used
for
the
public
purpose
of
26
a
grant
program
to
provide
substance-related
disorder
27
prevention
programming
for
children.
28
(i)
Of
the
funds
allocated
in
this
subparagraph
29
division
(a),
$427,539
shall
be
used
for
grant
funding
30
for
organizations
that
provide
programming
for
31
children
by
utilizing
mentors.
Programs
approved
for
32
such
grants
shall
be
certified
or
must
be
certified
33
within
six
months
of
receiving
the
grant
award
by
the
34
Iowa
commission
on
volunteer
services
as
utilizing
35
the
standards
for
effective
practice
for
mentoring
36
programs.
37
(ii)
Of
the
funds
allocated
in
this
subparagraph
38
division
(a),
$426,839
shall
be
used
for
grant
funding
39
for
organizations
providing
programming
that
includes
40
youth
development
and
leadership
services.
The
41
programs
shall
also
be
recognized
as
being
programs
42
that
are
scientifically
based
with
evidence
of
their
43
effectiveness
in
reducing
substance-related
disorders
44
in
children.
45
(iii)
The
department
of
public
health
shall
utilize
46
a
request
for
proposals
process
to
implement
the
grant
47
program.
48
(iv)
All
grant
recipients
shall
participate
in
a
49
program
evaluation
as
a
requirement
for
receiving
grant
50
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123
funds.
1
(v)
Of
the
funds
allocated
in
this
subparagraph
2
division
(a),
up
to
$44,922
may
be
used
to
administer
3
substance-related
disorder
prevention
grants
and
for
4
program
evaluations.
5
(b)
Of
the
funds
allocated
in
this
subparagraph
6
(1),
$272,603
shall
be
used
for
culturally
competent
7
substance-related
disorder
treatment
pilot
projects.
8
(i)
The
department
shall
utilize
the
amount
9
allocated
in
this
subparagraph
division
(b)
for
at
10
least
three
pilot
projects
to
provide
culturally
11
competent
substance-related
disorder
treatment
in
12
various
areas
of
the
state.
Each
pilot
project
shall
13
target
a
particular
ethnic
minority
population.
The
14
populations
targeted
shall
include
but
are
not
limited
15
to
African
American,
Asian,
and
Latino.
16
(ii)
The
pilot
project
requirements
shall
provide
17
for
documentation
or
other
means
to
ensure
access
18
to
the
cultural
competence
approach
used
by
a
pilot
19
project
so
that
such
approach
can
be
replicated
and
20
improved
upon
in
successor
programs.
21
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
22
up
to
$3,111,614
may
be
used
for
problem
gambling
23
prevention,
treatment,
and
recovery
services.
24
(a)
Of
the
funds
allocated
in
this
subparagraph
25
(2),
$2,573,762
shall
be
used
for
problem
gambling
26
prevention
and
treatment.
27
(b)
Of
the
funds
allocated
in
this
subparagraph
28
(2),
up
to
$437,852
may
be
used
for
a
24-hour
helpline,
29
public
information
resources,
professional
training,
30
and
program
evaluation.
31
(c)
Of
the
funds
allocated
in
this
subparagraph
32
(2),
up
to
$100,000
may
be
used
for
the
licensing
of
33
problem
gambling
treatment
programs.
34
(3)
It
is
the
intent
of
the
general
assembly
that
35
from
the
moneys
allocated
in
this
paragraph
“b”,
36
persons
with
a
dual
diagnosis
of
substance-related
37
disorder
and
gambling
addiction
shall
be
given
priority
38
in
treatment
services.
39
c.
Notwithstanding
any
provision
of
law
to
the
40
contrary,
to
standardize
the
availability,
delivery,
41
cost
of
delivery,
and
accountability
of
problem
42
gambling
and
substance-related
disorder
treatment
43
services
statewide,
the
department
shall
continue
44
implementation
of
a
process
to
create
a
system
for
45
delivery
of
treatment
services
in
accordance
with
the
46
requirements
specified
in
2008
Iowa
Acts,
chapter
47
1187,
section
3,
subsection
4.
To
ensure
the
system
48
provides
a
continuum
of
treatment
services
that
best
49
meets
the
needs
of
Iowans,
the
problem
gambling
and
50
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86
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123
substance-related
disorder
treatment
services
in
any
1
area
may
be
provided
either
by
a
single
agency
or
by
2
separate
agencies
submitting
a
joint
proposal.
3
(1)
The
system
for
delivery
of
substance-related
4
disorder
and
problem
gambling
treatment
shall
include
5
problem
gambling
prevention.
6
(2)
The
system
for
delivery
of
substance-related
7
disorder
and
problem
gambling
treatment
shall
include
8
substance-related
disorder
prevention
by
July
1,
2016.
9
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
10
department
may
use
up
to
$100,000
for
administrative
11
costs
to
continue
developing
and
implementing
the
12
process
in
accordance
with
this
paragraph
“c”.
13
d.
The
requirement
of
section
123.53,
subsection
14
5
,
is
met
by
the
appropriations
and
allocations
15
made
in
this
division
of
this
Act
for
purposes
of
16
substance-related
disorder
treatment
and
addictive
17
disorders
for
the
fiscal
year
beginning
July
1,
2015.
18
e.
The
department
of
public
health
shall
work
with
19
all
other
departments
that
fund
substance-related
20
disorder
prevention
and
treatment
services
and
all
21
such
departments
shall,
to
the
extent
necessary,
22
collectively
meet
the
state
maintenance
of
effort
23
requirements
for
expenditures
for
substance-related
24
disorder
services
as
required
under
the
federal
25
substance-related
disorder
prevention
and
treatment
26
block
grant.
27
2.
HEALTHY
CHILDREN
AND
FAMILIES
28
For
promoting
the
optimum
health
status
for
29
children,
adolescents
from
birth
through
21
years
of
30
age,
and
families,
and
for
not
more
than
the
following
31
full-time
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,046,602
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
34
a.
Of
the
funds
appropriated
in
this
subsection,
35
not
more
than
$734,841
shall
be
used
for
the
healthy
36
opportunities
for
parents
to
experience
success
37
(HOPES)-healthy
families
Iowa
(HFI)
program
established
38
pursuant
to
section
135.106
.
The
funding
shall
be
39
distributed
to
renew
the
grants
that
were
provided
40
to
the
grantees
that
operated
the
program
during
the
41
fiscal
year
ending
June
30,
2015.
42
b.
In
order
to
implement
the
legislative
intent
43
stated
in
sections
135.106
and
256I.9
,
that
priority
44
for
home
visitation
program
funding
be
given
to
45
programs
using
evidence-based
or
promising
models
46
for
home
visitation,
it
is
the
intent
of
the
general
47
assembly
to
phase
in
the
funding
priority
in
accordance
48
with
2012
Iowa
Acts,
chapter
1133,
section
2,
49
subsection
2,
paragraph
0b.
50
-6-
SF505.1913
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86
pf/rh/rj
6/
123
c.
Of
the
funds
appropriated
in
this
subsection,
1
$1,627,887
shall
be
used
for
the
department’s
2
initiative
to
provide
for
adequate
developmental
3
surveillance
and
screening
during
a
child’s
first
4
five
years.
The
funds
shall
be
used
first
to
fully
5
fund
the
current
sites
to
ensure
that
the
sites
are
6
fully
operational,
with
the
remaining
funds
to
be
7
used
for
expansion
to
additional
sites.
The
full
8
implementation
and
expansion
shall
include
enhancing
9
the
scope
of
the
program
through
collaboration
with
10
the
child
health
specialty
clinics
to
promote
healthy
11
child
development
through
early
identification
and
12
response
to
both
biomedical
and
social
determinants
of
13
healthy
development;
by
monitoring
child
health
metrics
14
to
inform
practice,
document
long-term
health
impacts
15
and
savings,
and
provide
for
continuous
improvement
16
through
training,
education,
and
evaluation;
and
by
17
providing
for
practitioner
consultation
particularly
18
for
children
with
behavioral
conditions
and
needs.
The
19
department
of
public
health
shall
also
collaborate
20
with
the
Iowa
Medicaid
enterprise
and
the
child
health
21
specialty
clinics
to
integrate
the
activities
of
22
the
first
five
initiative
into
the
establishment
of
23
patient-centered
medical
homes,
community
utilities,
24
accountable
care
organizations,
and
other
integrated
25
care
models
developed
to
improve
health
quality
and
26
population
health
while
reducing
health
care
costs.
27
To
the
maximum
extent
possible,
funding
allocated
in
28
this
paragraph
shall
be
utilized
as
matching
funds
for
29
medical
assistance
program
reimbursement.
30
d.
Of
the
funds
appropriated
in
this
subsection,
31
$74,640
shall
be
distributed
to
a
statewide
dental
32
carrier
to
provide
funds
to
continue
the
donated
33
dental
services
program
patterned
after
the
projects
34
developed
by
the
lifeline
network
to
provide
dental
35
services
to
indigent
individuals
who
are
elderly
or
36
with
disabilities.
37
e.
Of
the
funds
appropriated
in
this
subsection,
38
$111,995
shall
be
used
for
childhood
obesity
39
prevention.
40
f.
Of
the
funds
appropriated
in
this
subsection,
41
$162,768
shall
be
used
to
provide
audiological
services
42
and
hearing
aids
for
children.
The
department
may
43
enter
into
a
contract
to
administer
this
paragraph.
44
g.
Of
the
funds
appropriated
in
this
subsection,
45
$25,000
is
transferred
to
the
university
of
Iowa
46
college
of
dentistry
for
provision
of
primary
dental
47
services
to
children.
State
funds
shall
be
matched
48
on
a
dollar-for-dollar
basis.
The
university
of
Iowa
49
college
of
dentistry
shall
coordinate
efforts
with
the
50
-7-
SF505.1913
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86
pf/rh/rj
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123
department
of
public
health,
bureau
of
oral
and
health
1
delivery
systems,
to
provide
dental
care
to
underserved
2
populations
throughout
the
state.
3
h.
Of
the
funds
appropriated
in
this
subsection,
4
$50,000
shall
be
used
to
address
youth
suicide
5
prevention.
6
i.
Of
the
funds
appropriated
in
this
subsection,
7
$50,000
shall
be
used
to
support
the
Iowa
effort
to
8
address
the
survey
of
children
who
experience
adverse
9
childhood
experiences
known
as
ACEs.
10
j.
The
department
of
public
health
shall
continue
11
to
administer
the
program
to
assist
parents
in
this
12
state
with
costs
resulting
from
the
death
of
a
child
13
in
accordance
with
the
provisions
of
2014
Iowa
Acts,
14
chapter
1140,
section
22,
subsection
12.
15
3.
CHRONIC
CONDITIONS
16
For
serving
individuals
identified
as
having
chronic
17
conditions
or
special
health
care
needs,
and
for
not
18
more
than
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,740,429
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
21
a.
Of
the
funds
appropriated
in
this
subsection,
22
$159,932
shall
be
used
for
grants
to
individual
23
patients
who
have
an
inherited
metabolic
disorder
to
24
assist
with
the
costs
of
medically
necessary
foods
and
25
formula.
26
b.
Of
the
funds
appropriated
in
this
subsection,
27
$891,644
shall
be
used
for
the
brain
injury
services
28
program
pursuant
to
section
135.22B
,
including
for
29
continuation
of
the
contracts
for
resource
facilitator
30
services
in
accordance
with
section
135.22B,
subsection
31
9
,
and
to
enhance
brain
injury
training
and
recruitment
32
of
service
providers
on
a
statewide
basis.
Of
the
33
amount
allocated
in
this
paragraph,
$95,000
shall
be
34
used
to
fund
one
full-time
equivalent
position
to
serve
35
as
the
state
brain
injury
services
program
manager.
36
c.
Of
the
funds
appropriated
in
this
subsection,
37
$547,982
shall
be
used
as
additional
funding
to
38
leverage
federal
funding
through
the
federal
Ryan
39
White
Care
Act,
Tit.
II,
AIDS
drug
assistance
program
40
supplemental
drug
treatment
grants.
41
d.
Of
the
funds
appropriated
in
this
subsection,
42
$149,823
shall
be
used
for
the
public
purpose
43
of
continuing
to
contract
with
an
existing
44
national-affiliated
organization
to
provide
education,
45
client-centered
programs,
and
client
and
family
support
46
for
people
living
with
epilepsy
and
their
families.
47
The
amount
allocated
in
this
paragraph
in
excess
of
48
$100,000
shall
be
matched
dollar-for-dollar
by
the
49
organization
specified.
50
-8-
SF505.1913
(13)
86
pf/rh/rj
8/
123
e.
Of
the
funds
appropriated
in
this
subsection,
1
$785,114
shall
be
used
for
child
health
specialty
2
clinics.
3
f.
Of
the
funds
appropriated
in
this
subsection,
4
$400,000
shall
be
used
by
the
regional
autism
5
assistance
program
established
pursuant
to
section
6
256.35
,
and
administered
by
the
child
health
specialty
7
clinic
located
at
the
university
of
Iowa
hospitals
8
and
clinics.
The
funds
shall
be
used
to
enhance
9
interagency
collaboration
and
coordination
of
10
educational,
medical,
and
other
human
services
for
11
persons
with
autism,
their
families,
and
providers
of
12
services,
including
delivering
regionalized
services
of
13
care
coordination,
family
navigation,
and
integration
14
of
services
through
the
statewide
system
of
regional
15
child
health
specialty
clinics
and
fulfilling
other
16
requirements
as
specified
in
chapter
225D
.
The
17
university
of
Iowa
shall
not
receive
funds
allocated
18
under
this
paragraph
for
indirect
costs
associated
with
19
the
regional
autism
assistance
program.
20
g.
Of
the
funds
appropriated
in
this
subsection,
21
$570,993
shall
be
used
for
the
comprehensive
cancer
22
control
program
to
reduce
the
burden
of
cancer
in
23
Iowa
through
prevention,
early
detection,
effective
24
treatment,
and
ensuring
quality
of
life.
Of
the
funds
25
allocated
in
this
paragraph
“g”,
$150,000
shall
be
used
26
to
support
a
melanoma
research
symposium,
a
melanoma
27
biorepository
and
registry,
basic
and
translational
28
melanoma
research,
and
clinical
trials.
29
h.
Of
the
funds
appropriated
in
this
subsection,
30
$126,450
shall
be
used
for
cervical
and
colon
cancer
31
screening,
and
$300,000
shall
be
used
to
enhance
the
32
capacity
of
the
cervical
cancer
screening
program
to
33
include
provision
of
recommended
prevention
and
early
34
detection
measures
to
a
broader
range
of
low-income
35
women.
36
i.
Of
the
funds
appropriated
in
this
subsection,
37
$526,695
shall
be
used
for
the
center
for
congenital
38
and
inherited
disorders.
39
j.
Of
the
funds
appropriated
in
this
subsection,
40
$129,411
shall
be
used
for
the
prescription
drug
41
donation
repository
program
created
in
chapter
135M
.
42
4.
COMMUNITY
CAPACITY
43
For
strengthening
the
health
care
delivery
system
at
44
the
local
level,
and
for
not
more
than
the
following
45
full-time
equivalent
positions:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,170,765
47
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
48
a.
Of
the
funds
appropriated
in
this
subsection,
49
$99,414
is
allocated
for
continuation
of
the
child
50
-9-
SF505.1913
(13)
86
pf/rh/rj
9/
123
vision
screening
program
implemented
through
1
the
university
of
Iowa
hospitals
and
clinics
in
2
collaboration
with
early
childhood
Iowa
areas.
The
3
program
shall
submit
a
report
to
the
individuals
4
identified
in
this
Act
for
submission
of
reports
5
regarding
the
use
of
funds
allocated
under
this
6
paragraph
“a”.
The
report
shall
include
the
objectives
7
and
results
for
the
program
year
including
the
target
8
population
and
how
the
funds
allocated
assisted
the
9
program
in
meeting
the
objectives;
the
number,
age,
and
10
location
within
the
state
of
individuals
served;
the
11
type
of
services
provided
to
the
individuals
served;
12
the
distribution
of
funds
based
on
service
provided;
13
and
the
continuing
needs
of
the
program.
14
b.
Of
the
funds
appropriated
in
this
subsection,
15
$110,656
is
allocated
for
continuation
of
an
initiative
16
implemented
at
the
university
of
Iowa
and
$99,904
is
17
allocated
for
continuation
of
an
initiative
at
the
18
state
mental
health
institute
at
Cherokee
to
expand
19
and
improve
the
workforce
engaged
in
mental
health
20
treatment
and
services.
The
initiatives
shall
receive
21
input
from
the
university
of
Iowa,
the
department
of
22
human
services,
the
department
of
public
health,
and
23
the
mental
health
and
disability
services
commission
to
24
address
the
focus
of
the
initiatives.
25
c.
Of
the
funds
appropriated
in
this
subsection,
26
$1,164,628
shall
be
used
for
essential
public
health
27
services
that
promote
healthy
aging
throughout
one’s
28
lifespan,
contracted
through
a
formula
for
local
boards
29
of
health,
to
enhance
health
promotion
and
disease
30
prevention
services.
31
d.
Of
the
funds
appropriated
in
this
section,
32
$99,286
shall
be
deposited
in
the
governmental
public
33
health
system
fund
created
in
section
135A.8
to
be
used
34
for
the
purposes
of
the
fund.
35
e.
Of
the
funds
appropriated
in
this
subsection,
36
$105,448
shall
be
used
to
continue
to
address
the
37
shortage
of
mental
health
professionals
in
the
state.
38
f.
Of
the
funds
appropriated
in
this
subsection,
39
$50,000
shall
be
used
for
a
grant
to
a
statewide
40
association
of
psychologists
that
is
affiliated
41
with
the
American
psychological
association
to
be
42
used
for
continuation
of
a
program
to
rotate
intern
43
psychologists
in
placements
in
urban
and
rural
mental
44
health
professional
shortage
areas,
as
defined
in
45
section
135.180
.
46
g.
Of
the
funds
appropriated
in
this
subsection,
47
$1,025,485
shall
be
allocated
as
a
grant
to
the
48
Iowa
primary
care
association
to
be
used
pursuant
to
49
section
135.153
for
the
statewide
coordination
of
50
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SF505.1913
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86
pf/rh/rj
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123
the
Iowa
collaborative
safety
net
provider
network.
1
Coordination
of
the
network
shall
focus
on
increasing
2
access
by
underserved
populations
to
health
care
3
services,
increasing
integration
of
the
health
system
4
and
collaboration
across
the
continuum
of
care
with
5
a
focus
on
safety
net
services,
and
enhancing
the
6
Iowa
collaborative
safety
net
provider
network’s
7
communication
and
education
efforts.
The
amount
8
allocated
as
a
grant
under
this
paragraph
“g”
shall
be
9
used
for
distribution
to
safety
net
partners
in
the
10
state
that
work
to
increase
access
of
the
underserved
11
population
to
health
services.
12
(1)
Of
the
amount
allocated
in
this
paragraph
“g”,
13
not
less
than
$413,415
shall
be
distributed
to
the
Iowa
14
prescription
drug
corporation
for
continuation
of
the
15
pharmaceutical
infrastructure
for
safety
net
providers
16
as
described
in
2007
Iowa
Acts,
chapter
218,
section
17
108.
18
(2)
Of
the
amount
allocated
in
this
paragraph
19
“g”,
not
less
than
$348,322
shall
be
distributed
to
20
free
clinics
and
free
clinics
of
Iowa
for
necessary
21
infrastructure,
statewide
coordination,
provider
22
recruitment,
service
delivery,
and
provision
of
23
assistance
to
patients
in
securing
a
medical
home
24
inclusive
of
oral
health
care.
25
(3)
Of
the
amount
allocated
in
this
paragraph
“g”,
26
not
less
than
$50,000
shall
be
distributed
to
the
Iowa
27
coalition
against
sexual
assault
to
continue
a
training
28
program
for
sexual
assault
response
team
(SART)
29
members,
including
representatives
of
law
enforcement,
30
victim
advocates,
prosecutors,
and
certified
medical
31
personnel.
32
(4)
Of
the
amount
allocated
in
this
paragraph
“g”,
33
not
less
than
$213,748
shall
be
distributed
to
the
Polk
34
county
medical
society
for
continuation
of
the
safety
35
net
provider
patient
access
to
a
specialty
health
care
36
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
37
section
109.
38
h.
Of
the
funds
appropriated
in
this
subsection,
39
the
department
may
use
up
to
$58,175
for
up
to
one
40
full-time
equivalent
position
to
administer
the
41
volunteer
health
care
provider
program
pursuant
to
42
section
135.24
.
43
i.
Of
the
funds
appropriated
in
this
subsection,
44
$50,000
shall
be
used
for
a
matching
dental
education
45
loan
repayment
program
to
be
allocated
to
a
dental
46
nonprofit
health
service
corporation
to
continue
to
47
develop
the
criteria
and
implement
the
loan
repayment
48
program.
49
j.
Of
the
funds
appropriated
in
this
subsection,
50
-11-
SF505.1913
(13)
86
pf/rh/rj
11/
123
$105,823
is
transferred
to
the
college
student
aid
1
commission
for
deposit
in
the
rural
Iowa
primary
care
2
trust
fund
created
in
section
261.113
to
be
used
for
3
the
purposes
of
the
fund.
4
k.
Of
the
funds
appropriated
in
this
subsection,
5
$150,000
shall
be
used
for
the
purposes
of
the
Iowa
6
donor
registry
as
specified
in
section
142C.18
.
7
l.
Of
the
funds
appropriated
in
this
subsection,
8
$2,000,000
shall
be
deposited
in
the
medical
residency
9
training
account
created
in
section
135.175,
subsection
10
5,
paragraph
“a”
,
and
is
appropriated
from
the
account
11
to
the
department
of
public
health
to
be
used
for
12
the
purposes
of
the
medical
residency
training
state
13
matching
grants
program
as
specified
in
section
14
135.176
.
However,
notwithstanding
any
provision
15
to
the
contrary
in
section
135.176,
priority
in
the
16
awarding
of
grants
shall
be
given
to
sponsors
that
17
propose
preference
in
the
use
of
the
grant
funds
for
18
psychiatric
residency
positions
and
family
practice
19
residency
positions.
20
5.
HEALTHY
AGING
21
To
provide
public
health
services
that
reduce
risks
22
and
invest
in
promoting
and
protecting
good
health
over
23
the
course
of
a
lifetime
with
a
priority
given
to
older
24
Iowans
and
vulnerable
populations:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
26
6.
INFECTIOUS
DISEASES
27
For
reducing
the
incidence
and
prevalence
of
28
communicable
diseases,
and
for
not
more
than
the
29
following
full-time
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,335,155
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
32
7.
PUBLIC
PROTECTION
33
For
protecting
the
health
and
safety
of
the
34
public
through
establishing
standards
and
enforcing
35
regulations,
and
for
not
more
than
the
following
36
full-time
equivalent
positions:
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,339,191
38
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
135.50
39
a.
Of
the
funds
appropriated
in
this
subsection,
40
not
more
than
$454,700
shall
be
credited
to
the
41
emergency
medical
services
fund
created
in
section
42
135.25
.
Moneys
in
the
emergency
medical
services
fund
43
are
appropriated
to
the
department
to
be
used
for
the
44
purposes
of
the
fund.
45
b.
Of
the
funds
appropriated
in
this
subsection,
46
$203,032
shall
be
used
for
sexual
violence
prevention
47
programming
through
a
statewide
organization
48
representing
programs
serving
victims
of
sexual
49
violence
through
the
department’s
sexual
violence
50
-12-
SF505.1913
(13)
86
pf/rh/rj
12/
123
prevention
program.
The
amount
allocated
in
this
1
paragraph
“b”
shall
not
be
used
to
supplant
funding
2
administered
for
other
sexual
violence
prevention
or
3
victims
assistance
programs.
4
c.
Of
the
funds
appropriated
in
this
subsection,
5
$598,751
shall
be
used
for
the
state
poison
control
6
center.
Pursuant
to
the
directive
under
2014
Iowa
7
Acts,
chapter
1140,
section
102,
the
federal
matching
8
funds
available
to
the
state
poison
control
center
from
9
the
department
of
human
services
under
the
federal
10
Children’s
Health
Insurance
Program
Reauthorization
11
Act
allotment
shall
be
subject
to
the
federal
12
administrative
cap
rule
of
10
percent
applicable
to
13
funding
provided
under
Tit.
XXI
of
the
federal
Social
14
Security
Act
and
included
within
the
department’s
15
calculations
of
the
cap.
16
d.
Of
the
funds
appropriated
in
this
subsection,
17
$537,750
shall
be
used
for
childhood
lead
poisoning
18
provisions.
19
8.
RESOURCE
MANAGEMENT
20
For
establishing
and
sustaining
the
overall
21
ability
of
the
department
to
deliver
services
to
the
22
public,
and
for
not
more
than
the
following
full-time
23
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
855,072
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
26
The
university
of
Iowa
hospitals
and
clinics
under
27
the
control
of
the
state
board
of
regents
shall
not
28
receive
indirect
costs
from
the
funds
appropriated
in
29
this
section.
The
university
of
Iowa
hospitals
and
30
clinics
billings
to
the
department
shall
be
on
at
least
31
a
quarterly
basis.
32
DIVISION
IV
33
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2015-2016
34
Sec.
4.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
35
appropriated
from
the
general
fund
of
the
state
to
the
36
department
of
veterans
affairs
for
the
fiscal
year
37
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
38
following
amounts,
or
so
much
thereof
as
is
necessary,
39
to
be
used
for
the
purposes
designated:
40
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
41
For
salaries,
support,
maintenance,
and
42
miscellaneous
purposes,
and
for
not
more
than
the
43
following
full-time
equivalent
positions:
44
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,200,546
45
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
46
2.
IOWA
VETERANS
HOME
47
For
salaries,
support,
maintenance,
and
48
miscellaneous
purposes:
49
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,594,996
50
-13-
SF505.1913
(13)
86
pf/rh/rj
13/
123
a.
The
Iowa
veterans
home
billings
involving
the
1
department
of
human
services
shall
be
submitted
to
the
2
department
on
at
least
a
monthly
basis.
3
b.
Within
available
resources
and
in
conformance
4
with
associated
state
and
federal
program
eligibility
5
requirements,
the
Iowa
veterans
home
may
implement
6
measures
to
provide
financial
assistance
to
or
7
on
behalf
of
veterans
or
their
spouses
who
are
8
participating
in
the
community
reentry
program.
9
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
10
For
transfer
to
the
Iowa
finance
authority
for
the
11
continuation
of
the
home
ownership
assistance
program
12
for
persons
who
are
or
were
eligible
members
of
the
13
armed
forces
of
the
United
States,
pursuant
to
section
14
16.54
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,500,000
16
Sec.
5.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
17
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
18
the
standing
appropriation
in
section
35A.16
for
the
19
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
20
2016,
the
amount
appropriated
from
the
general
fund
of
21
the
state
pursuant
to
that
section
for
the
following
22
designated
purposes
shall
not
exceed
the
following
23
amount:
24
For
the
county
commissions
of
veteran
affairs
fund
25
under
section
35A.16
:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
27
DIVISION
V
28
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2015-2016
29
Sec.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
30
BLOCK
GRANT.
There
is
appropriated
from
the
fund
31
created
in
section
8.41
to
the
department
of
human
32
services
for
the
fiscal
year
beginning
July
1,
2015,
33
and
ending
June
30,
2016,
from
moneys
received
under
34
the
federal
temporary
assistance
for
needy
families
35
(TANF)
block
grant
pursuant
to
the
federal
Personal
36
Responsibility
and
Work
Opportunity
Reconciliation
37
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
38
legislation,
the
following
amounts,
or
so
much
39
thereof
as
is
necessary,
to
be
used
for
the
purposes
40
designated:
41
1.
To
be
credited
to
the
family
investment
program
42
account
and
used
for
assistance
under
the
family
43
investment
program
under
chapter
239B
:
44
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,136,995
45
2.
To
be
credited
to
the
family
investment
program
46
account
and
used
for
the
job
opportunities
and
47
basic
skills
(JOBS)
program
and
implementing
family
48
investment
agreements
in
accordance
with
chapter
239B
:
49
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,138,178
50
-14-
SF505.1913
(13)
86
pf/rh/rj
14/
123
3.
To
be
used
for
the
family
development
and
1
self-sufficiency
grant
program
in
accordance
with
2
section
216A.107
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
4
Notwithstanding
section
8.33
,
moneys
appropriated
in
5
this
subsection
that
remain
unencumbered
or
unobligated
6
at
the
close
of
the
fiscal
year
shall
not
revert
but
7
shall
remain
available
for
expenditure
for
the
purposes
8
designated
until
the
close
of
the
succeeding
fiscal
9
year.
However,
unless
such
moneys
are
encumbered
or
10
obligated
on
or
before
September
30,
2016,
the
moneys
11
shall
revert.
12
4.
For
field
operations:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
14
5.
For
general
administration:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
16
6.
For
state
child
care
assistance:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
18
a.
Of
the
funds
appropriated
in
this
subsection,
19
$26,328,097
is
transferred
to
the
child
care
and
20
development
block
grant
appropriation
made
by
the
21
Eighty-sixth
General
Assembly,
2015
Session,
for
22
the
federal
fiscal
year
beginning
October
1,
2015,
23
and
ending
September
30,
2016.
Of
this
amount,
24
$200,000
shall
be
used
for
provision
of
educational
25
opportunities
to
registered
child
care
home
providers
26
in
order
to
improve
services
and
programs
offered
27
by
this
category
of
providers
and
to
increase
the
28
number
of
providers.
The
department
may
contract
29
with
institutions
of
higher
education
or
child
30
care
resource
and
referral
centers
to
provide
the
31
educational
opportunities.
Allowable
administrative
32
costs
under
the
contracts
shall
not
exceed
5
percent.
33
The
application
for
a
grant
shall
not
exceed
two
pages
34
in
length.
35
b.
Any
funds
appropriated
in
this
subsection
36
remaining
unallocated
shall
be
used
for
state
child
37
care
assistance
payments
for
families
who
are
employed
38
including
but
not
limited
to
individuals
enrolled
in
39
the
family
investment
program.
40
7.
For
distribution
to
counties
and
regions
through
41
the
property
tax
relief
fund
for
mental
health
and
42
disability
services
as
provided
in
an
appropriation
43
made
for
this
purpose:
44
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
45
8.
For
child
and
family
services:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
47
9.
For
child
abuse
prevention
grants:
48
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
49
10.
For
pregnancy
prevention
grants
on
the
50
-15-
SF505.1913
(13)
86
pf/rh/rj
15/
123
condition
that
family
planning
services
are
funded:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
2
Pregnancy
prevention
grants
shall
be
awarded
to
3
programs
in
existence
on
or
before
July
1,
2015,
if
the
4
programs
have
demonstrated
positive
outcomes.
Grants
5
shall
be
awarded
to
pregnancy
prevention
programs
6
which
are
developed
after
July
1,
2015,
if
the
programs
7
are
based
on
existing
models
that
have
demonstrated
8
positive
outcomes.
Grants
shall
comply
with
the
9
requirements
provided
in
1997
Iowa
Acts,
chapter
10
208,
section
14,
subsections
1
and
2,
including
the
11
requirement
that
grant
programs
must
emphasize
sexual
12
abstinence.
Priority
in
the
awarding
of
grants
shall
13
be
given
to
programs
that
serve
areas
of
the
state
14
which
demonstrate
the
highest
percentage
of
unplanned
15
pregnancies
of
females
of
childbearing
age
within
the
16
geographic
area
to
be
served
by
the
grant.
17
11.
For
technology
needs
and
other
resources
18
necessary
to
meet
federal
welfare
reform
reporting,
19
tracking,
and
case
management
requirements:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
21
12.
For
the
family
investment
program
share
of
22
the
costs
to
continue
to
develop
and
maintain
a
new,
23
integrated
eligibility
determination
system:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,654,880
25
13.
a.
Notwithstanding
any
provision
to
the
26
contrary,
including
but
not
limited
to
requirements
27
in
section
8.41
or
provisions
in
2014
or
2015
Iowa
28
Acts
regarding
the
receipt
and
appropriation
of
29
federal
block
grants,
federal
funds
from
the
temporary
30
assistance
for
needy
families
block
grant
received
31
by
the
state
and
not
otherwise
appropriated
in
this
32
section
and
remaining
available
for
the
fiscal
year
33
beginning
July
1,
2015,
are
appropriated
to
the
34
department
of
human
services
to
the
extent
as
may
35
be
necessary
to
be
used
in
the
following
priority
36
order:
the
family
investment
program,
for
state
child
37
care
assistance
program
payments
for
families
who
are
38
employed
including
but
not
limited
to
individuals
39
enrolled
in
the
family
investment
program,
and
for
the
40
family
investment
program
share
of
costs
to
develop
and
41
maintain
a
new,
integrated
eligibility
determination
42
system.
The
federal
funds
appropriated
in
this
43
paragraph
“a”
shall
be
expended
only
after
all
other
44
funds
appropriated
in
subsection
1
for
the
assistance
45
under
the
family
investment
program,
in
subsection
6
46
for
child
care
assistance,
or
in
subsection
12
for
47
the
family
investment
program
share
of
the
costs
to
48
continue
to
develop
and
maintain
a
new,
integrated
49
eligibility
determination
system,
as
applicable,
have
50
-16-
SF505.1913
(13)
86
pf/rh/rj
16/
123
been
expended.
For
the
purposes
of
this
subsection,
1
the
funds
appropriated
in
subsection
6,
paragraph
“a”,
2
for
transfer
to
the
child
care
and
development
block
3
grant
appropriation
are
considered
fully
expended
when
4
the
full
amount
has
been
transferred.
5
b.
The
department
shall,
on
a
quarterly
basis,
6
advise
the
legislative
services
agency
and
department
7
of
management
of
the
amount
of
funds
appropriated
in
8
this
subsection
that
was
expended
in
the
prior
quarter.
9
14.
Of
the
amounts
appropriated
in
this
section,
10
$12,962,008
for
the
fiscal
year
beginning
July
1,
2015,
11
is
transferred
to
the
appropriation
of
the
federal
12
social
services
block
grant
made
to
the
department
of
13
human
services
for
that
fiscal
year.
14
15.
For
continuation
of
the
program
providing
15
categorical
eligibility
for
the
food
assistance
program
16
as
specified
for
the
program
in
the
section
of
this
17
division
of
this
2015
Act
relating
to
the
family
18
investment
program
account:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
20
16.
The
department
may
transfer
funds
allocated
21
in
this
section
to
the
appropriations
made
in
this
22
division
of
this
Act
for
the
same
fiscal
year
for
23
general
administration
and
field
operations
for
24
resources
necessary
to
implement
and
operate
the
25
services
referred
to
in
this
section
and
those
funded
26
in
the
appropriation
made
in
this
division
of
this
Act
27
for
the
same
fiscal
year
for
the
family
investment
28
program
from
the
general
fund
of
the
state.
29
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
30
1.
Moneys
credited
to
the
family
investment
program
31
(FIP)
account
for
the
fiscal
year
beginning
July
32
1,
2015,
and
ending
June
30,
2016,
shall
be
used
to
33
provide
assistance
in
accordance
with
chapter
239B
.
34
2.
The
department
may
use
a
portion
of
the
moneys
35
credited
to
the
FIP
account
under
this
section
as
36
necessary
for
salaries,
support,
maintenance,
and
37
miscellaneous
purposes.
38
3.
The
department
may
transfer
funds
allocated
39
in
subsection
4
to
the
appropriations
made
in
this
40
division
of
this
Act
for
the
same
fiscal
year
for
41
general
administration
and
field
operations
for
42
resources
necessary
to
implement
and
operate
the
family
43
investment
program
services
referred
to
in
this
section
44
and
those
funded
in
the
appropriation
made
in
this
45
division
of
this
Act
for
the
same
fiscal
year
for
the
46
family
investment
program
from
the
general
fund
of
the
47
state.
48
4.
Moneys
appropriated
in
this
division
of
this
Act
49
and
credited
to
the
FIP
account
for
the
fiscal
year
50
-17-
SF505.1913
(13)
86
pf/rh/rj
17/
123
beginning
July
1,
2015,
and
ending
June
30,
2016,
are
1
allocated
as
follows:
2
a.
To
be
retained
by
the
department
of
human
3
services
to
be
used
for
coordinating
with
the
4
department
of
human
rights
to
more
effectively
serve
5
participants
in
FIP
and
other
shared
clients
and
to
6
meet
federal
reporting
requirements
under
the
federal
7
temporary
assistance
for
needy
families
block
grant:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
9
b.
To
the
department
of
human
rights
for
staffing,
10
administration,
and
implementation
of
the
family
11
development
and
self-sufficiency
grant
program
in
12
accordance
with
section
216A.107
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
14
(1)
Of
the
funds
allocated
for
the
family
15
development
and
self-sufficiency
grant
program
in
this
16
paragraph
“b”,
not
more
than
5
percent
of
the
funds
17
shall
be
used
for
the
administration
of
the
grant
18
program.
19
(2)
The
department
of
human
rights
may
continue
to
20
implement
the
family
development
and
self-sufficiency
21
grant
program
statewide
during
fiscal
year
2015-2016.
22
(3)
The
department
of
human
rights
may
engage
in
23
activities
to
strengthen
and
improve
family
outcomes
24
measures
and
data
collection
systems
under
the
family
25
development
and
self-sufficiency
grant
program.
26
c.
For
the
diversion
subaccount
of
the
FIP
account:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
28
A
portion
of
the
moneys
allocated
for
the
subaccount
29
may
be
used
for
field
operations,
salaries,
data
30
management
system
development,
and
implementation
31
costs
and
support
deemed
necessary
by
the
director
of
32
human
services
in
order
to
administer
the
FIP
diversion
33
program.
To
the
extent
moneys
allocated
in
this
34
paragraph
“c”
are
not
deemed
by
the
department
to
be
35
necessary
to
support
diversion
activities,
such
moneys
36
may
be
used
for
other
efforts
intended
to
increase
37
engagement
by
family
investment
program
participants
in
38
work,
education,
or
training
activities.
39
d.
For
the
food
assistance
employment
and
training
40
program:
41
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
42
(1)
The
department
shall
apply
the
federal
43
supplemental
nutrition
assistance
program
(SNAP)
44
employment
and
training
state
plan
in
order
to
maximize
45
to
the
fullest
extent
permitted
by
federal
law
the
use
46
of
the
50
percent
federal
reimbursement
provisions
47
for
the
claiming
of
allowable
federal
reimbursement
48
funds
from
the
United
States
department
of
agriculture
49
pursuant
to
the
federal
SNAP
employment
and
training
50
-18-
SF505.1913
(13)
86
pf/rh/rj
18/
123
program
for
providing
education,
employment,
and
1
training
services
for
eligible
food
assistance
program
2
participants,
including
but
not
limited
to
related
3
dependent
care
and
transportation
expenses.
4
(2)
The
department
shall
continue
the
categorical
5
federal
food
assistance
program
eligibility
at
160
6
percent
of
the
federal
poverty
level
and
continue
to
7
eliminate
the
asset
test
from
eligibility
requirements,
8
consistent
with
federal
food
assistance
program
9
requirements.
The
department
shall
include
as
many
10
food
assistance
households
as
is
allowed
by
federal
11
law.
The
eligibility
provisions
shall
conform
to
all
12
federal
requirements
including
requirements
addressing
13
individuals
who
are
incarcerated
or
otherwise
14
ineligible.
15
e.
For
the
JOBS
program:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,540,398
17
5.
Of
the
child
support
collections
assigned
under
18
FIP,
an
amount
equal
to
the
federal
share
of
support
19
collections
shall
be
credited
to
the
child
support
20
recovery
appropriation
made
in
this
division
of
this
21
Act.
Of
the
remainder
of
the
assigned
child
support
22
collections
received
by
the
child
support
recovery
23
unit,
a
portion
shall
be
credited
to
the
FIP
account,
24
a
portion
may
be
used
to
increase
recoveries,
and
a
25
portion
may
be
used
to
sustain
cash
flow
in
the
child
26
support
payments
account.
If
as
a
consequence
of
the
27
appropriations
and
allocations
made
in
this
section
28
the
resulting
amounts
are
insufficient
to
sustain
29
cash
assistance
payments
and
meet
federal
maintenance
30
of
effort
requirements,
the
department
shall
seek
31
supplemental
funding.
If
child
support
collections
32
assigned
under
FIP
are
greater
than
estimated
or
are
33
otherwise
determined
not
to
be
required
for
maintenance
34
of
effort,
the
state
share
of
either
amount
may
35
be
transferred
to
or
retained
in
the
child
support
36
payments
account.
37
6.
The
department
may
adopt
emergency
rules
for
the
38
family
investment,
JOBS,
food
assistance,
and
medical
39
assistance
programs
if
necessary
to
comply
with
federal
40
requirements.
41
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
42
FUND.
There
is
appropriated
from
the
general
fund
of
43
the
state
to
the
department
of
human
services
for
the
44
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
45
2016,
the
following
amount,
or
so
much
thereof
as
is
46
necessary,
to
be
used
for
the
purpose
designated:
47
To
be
credited
to
the
family
investment
program
48
(FIP)
account
and
used
for
family
investment
program
49
assistance
under
chapter
239B
:
50
-19-
SF505.1913
(13)
86
pf/rh/rj
19/
123
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,418,197
1
1.
Of
the
funds
appropriated
in
this
section,
2
$7,402,220
is
allocated
for
the
JOBS
program.
3
2.
Of
the
funds
appropriated
in
this
section,
4
$3,313,854
is
allocated
for
the
family
development
and
5
self-sufficiency
grant
program.
6
3.
Notwithstanding
section
8.39
,
for
the
fiscal
7
year
beginning
July
1,
2015,
if
necessary
to
meet
8
federal
maintenance
of
effort
requirements
or
to
9
transfer
federal
temporary
assistance
for
needy
10
families
block
grant
funding
to
be
used
for
purposes
11
of
the
federal
social
services
block
grant
or
to
meet
12
cash
flow
needs
resulting
from
delays
in
receiving
13
federal
funding
or
to
implement,
in
accordance
with
14
this
division
of
this
Act,
activities
currently
funded
15
with
juvenile
court
services,
county,
or
community
16
moneys
and
state
moneys
used
in
combination
with
such
17
moneys,
the
department
of
human
services
may
transfer
18
funds
within
or
between
any
of
the
appropriations
made
19
in
this
division
of
this
Act
and
appropriations
in
law
20
for
the
federal
social
services
block
grant
to
the
21
department
for
the
following
purposes,
provided
that
22
the
combined
amount
of
state
and
federal
temporary
23
assistance
for
needy
families
block
grant
funding
for
24
each
appropriation
remains
the
same
before
and
after
25
the
transfer:
26
a.
For
the
family
investment
program.
27
b.
For
child
care
assistance.
28
c.
For
child
and
family
services.
29
d.
For
field
operations.
30
e.
For
general
administration.
31
f.
For
distribution
to
counties
or
regions
through
32
the
property
tax
relief
fund
for
mental
health
and
33
disability
services
as
provided
in
an
appropriation
for
34
this
purpose.
35
This
subsection
shall
not
be
construed
to
prohibit
36
the
use
of
existing
state
transfer
authority
for
other
37
purposes.
The
department
shall
report
any
transfers
38
made
pursuant
to
this
subsection
to
the
legislative
39
services
agency.
40
4.
The
department
may
transfer
funds
appropriated
41
in
this
section
to
the
appropriations
made
in
this
42
division
of
this
Act
for
general
administration
and
43
field
operations
as
necessary
to
administer
this
44
section
and
the
overall
family
investment
program.
45
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
46
appropriated
from
the
general
fund
of
the
state
to
47
the
department
of
human
services
for
the
fiscal
year
48
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
49
following
amount,
or
so
much
thereof
as
is
necessary,
50
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86
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123
to
be
used
for
the
purposes
designated:
1
For
child
support
recovery,
including
salaries,
2
support,
maintenance,
and
miscellaneous
purposes,
and
3
for
not
more
than
the
following
full-time
equivalent
4
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,617,119
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
7
1.
The
department
shall
expend
up
to
$24,329,
8
including
federal
financial
participation,
for
the
9
fiscal
year
beginning
July
1,
2015,
for
a
child
support
10
public
awareness
campaign.
The
department
and
the
11
office
of
the
attorney
general
shall
cooperate
in
12
continuation
of
the
campaign.
The
public
awareness
13
campaign
shall
emphasize,
through
a
variety
of
media
14
activities,
the
importance
of
maximum
involvement
of
15
both
parents
in
the
lives
of
their
children
as
well
as
16
the
importance
of
payment
of
child
support
obligations.
17
2.
Federal
access
and
visitation
grant
moneys
shall
18
be
issued
directly
to
private
not-for-profit
agencies
19
that
provide
services
designed
to
increase
compliance
20
with
the
child
access
provisions
of
court
orders,
21
including
but
not
limited
to
neutral
visitation
sites
22
and
mediation
services.
23
3.
The
appropriation
made
to
the
department
for
24
child
support
recovery
may
be
used
throughout
the
25
fiscal
year
in
the
manner
necessary
for
purposes
of
26
cash
flow
management,
and
for
cash
flow
management
27
purposes
the
department
may
temporarily
draw
more
28
than
the
amount
appropriated,
provided
the
amount
29
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
30
year.
31
4.
With
the
exception
of
the
funding
amount
32
specified,
the
requirements
established
under
2001
33
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
34
paragraph
“c”,
subparagraph
(3),
shall
be
applicable
35
to
parental
obligation
pilot
projects
for
the
fiscal
36
year
beginning
July
1,
2015,
and
ending
June
30,
37
2016.
Notwithstanding
441
IAC
100.8,
providing
for
38
termination
of
rules
relating
to
the
pilot
projects,
39
the
rules
shall
remain
in
effect
until
June
30,
2016.
40
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
41
ASSISTANCE
——
FY
2015-2016.
Any
funds
remaining
in
the
42
health
care
trust
fund
created
in
section
453A.35A
for
43
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
44
30,
2016,
are
appropriated
to
the
department
of
human
45
services
to
supplement
the
medical
assistance
program
46
appropriations
made
in
this
division
of
this
Act,
for
47
medical
assistance
reimbursement
and
associated
costs,
48
including
program
administration
and
costs
associated
49
with
program
implementation.
50
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123
Sec.
11.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
1
——
FY
2015-2016.
Any
funds
remaining
in
the
Medicaid
2
fraud
fund
created
in
section
249A.50
for
the
fiscal
3
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
4
are
appropriated
to
the
department
of
human
services
to
5
supplement
the
medical
assistance
appropriations
made
6
in
this
division
of
this
Act,
for
medical
assistance
7
reimbursement
and
associated
costs,
including
program
8
administration
and
costs
associated
with
program
9
implementation.
10
Sec.
12.
MEDICAL
ASSISTANCE.
11
1.
There
is
appropriated
from
the
general
fund
of
12
the
state
to
the
department
of
human
services
for
the
13
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
14
2016,
the
following
amount,
or
so
much
thereof
as
is
15
necessary,
to
be
used
for
the
purpose
designated:
16
For
medical
assistance
program
reimbursement
and
17
associated
costs
as
specifically
provided
in
the
18
reimbursement
methodologies
in
effect
on
June
30,
19
2015,
except
as
otherwise
expressly
authorized
by
20
law,
consistent
with
options
under
federal
law
and
21
regulations,
and
contingent
upon
receipt
of
approval
22
from
the
office
of
the
governor
of
reimbursement
for
23
each
abortion
performed
under
the
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,320,810,997
25
2.
Iowans
support
reducing
the
number
of
abortions
26
performed
in
our
state.
For
an
abortion
covered
under
27
the
program,
except
in
the
case
of
a
medical
emergency,
28
as
defined
in
section
135L.1
,
for
any
woman,
the
29
physician
shall
certify
both
of
the
following:
30
a.
That
the
woman
has
been
given
the
opportunity
to
31
view
an
ultrasound
image
of
the
fetus
as
part
of
the
32
standard
of
care
before
an
abortion
is
performed.
33
b.
That
the
woman
has
been
provided
information
34
regarding
the
options
relative
to
a
pregnancy,
35
including
continuing
the
pregnancy
to
term
and
36
retaining
parental
rights
following
the
child’s
birth,
37
continuing
the
pregnancy
to
term
and
placing
the
child
38
for
adoption,
and
terminating
the
pregnancy.
39
3.
The
provisions
of
this
section
relating
to
40
abortions
shall
also
apply
to
the
Iowa
health
and
41
wellness
plan
created
pursuant
to
chapter
249N
.
42
4.
The
department
shall
utilize
not
more
than
43
$60,000
of
the
funds
appropriated
in
this
section
44
to
continue
the
AIDS/HIV
health
insurance
premium
45
payment
program
as
established
in
1992
Iowa
Acts,
46
Second
Extraordinary
Session,
chapter
1001,
section
47
409,
subsection
6.
Of
the
funds
allocated
in
this
48
subsection,
not
more
than
$5,000
may
be
expended
for
49
administrative
purposes.
50
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123
5.
Of
the
funds
appropriated
in
this
Act
to
the
1
department
of
public
health
for
addictive
disorders,
2
$950,000
for
the
fiscal
year
beginning
July
1,
2015,
3
is
transferred
to
the
department
of
human
services
for
4
an
integrated
substance-related
disorder
managed
care
5
system.
The
department
shall
not
assume
management
6
of
the
substance-related
disorder
system
in
place
7
of
the
managed
care
contractor
unless
such
a
change
8
in
approach
is
specifically
authorized
in
law.
The
9
departments
of
human
services
and
public
health
shall
10
work
together
to
maintain
the
level
of
mental
health
11
and
substance-related
disorder
treatment
services
12
provided
by
the
managed
care
contractor
through
the
13
Iowa
plan
for
behavioral
health.
Each
department
14
shall
take
the
steps
necessary
to
continue
the
federal
15
waivers
as
necessary
to
maintain
the
level
of
services.
16
6.
a.
The
department
shall
aggressively
pursue
17
options
for
providing
medical
assistance
or
other
18
assistance
to
individuals
with
special
needs
who
become
19
ineligible
to
continue
receiving
services
under
the
20
early
and
periodic
screening,
diagnostic,
and
treatment
21
program
under
the
medical
assistance
program
due
22
to
becoming
21
years
of
age
who
have
been
approved
23
for
additional
assistance
through
the
department’s
24
exception
to
policy
provisions,
but
who
have
health
25
care
needs
in
excess
of
the
funding
available
through
26
the
exception
to
policy
provisions.
27
b.
Of
the
funds
appropriated
in
this
section,
28
$100,000
shall
be
used
for
participation
in
one
or
more
29
pilot
projects
operated
by
a
private
provider
to
allow
30
the
individual
or
individuals
to
receive
service
in
the
31
community
in
accordance
with
principles
established
in
32
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
33
of
providing
medical
assistance
or
other
assistance
to
34
individuals
with
special
needs
who
become
ineligible
35
to
continue
receiving
services
under
the
early
and
36
periodic
screening,
diagnostic,
and
treatment
program
37
under
the
medical
assistance
program
due
to
becoming
38
21
years
of
age
who
have
been
approved
for
additional
39
assistance
through
the
department’s
exception
to
policy
40
provisions,
but
who
have
health
care
needs
in
excess
41
of
the
funding
available
through
the
exception
to
the
42
policy
provisions.
43
7.
Of
the
funds
appropriated
in
this
section,
up
to
44
$3,050,082
may
be
transferred
to
the
field
operations
45
or
general
administration
appropriations
in
this
46
division
of
this
Act
for
operational
costs
associated
47
with
Part
D
of
the
federal
Medicare
Prescription
Drug
48
Improvement
and
Modernization
Act
of
2003,
Pub.
L.
No.
49
108-173.
50
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123
8.
Of
the
funds
appropriated
in
this
section,
up
1
to
$442,100
may
be
transferred
to
the
appropriation
2
in
this
division
of
this
Act
for
medical
contracts
3
to
be
used
for
clinical
assessment
services
and
prior
4
authorization
of
services.
5
9.
A
portion
of
the
funds
appropriated
in
this
6
section
may
be
transferred
to
the
appropriations
in
7
this
division
of
this
Act
for
general
administration,
8
medical
contracts,
the
children’s
health
insurance
9
program,
or
field
operations
to
be
used
for
the
10
state
match
cost
to
comply
with
the
payment
error
11
rate
measurement
(PERM)
program
for
both
the
medical
12
assistance
and
children’s
health
insurance
programs
13
as
developed
by
the
centers
for
Medicare
and
Medicaid
14
services
of
the
United
States
department
of
health
and
15
human
services
to
comply
with
the
federal
Improper
16
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
17
10.
The
department
shall
continue
to
implement
the
18
recommendations
of
the
assuring
better
child
health
19
and
development
initiative
II
(ABCDII)
clinical
panel
20
to
the
Iowa
early
and
periodic
screening,
diagnostic,
21
and
treatment
services
healthy
mental
development
22
collaborative
board
regarding
changes
to
billing
23
procedures,
codes,
and
eligible
service
providers.
24
11.
Of
the
funds
appropriated
in
this
section,
25
a
sufficient
amount
is
allocated
to
supplement
26
the
incomes
of
residents
of
nursing
facilities,
27
intermediate
care
facilities
for
persons
with
mental
28
illness,
and
intermediate
care
facilities
for
persons
29
with
an
intellectual
disability,
with
incomes
of
less
30
than
$50
in
the
amount
necessary
for
the
residents
to
31
receive
a
personal
needs
allowance
of
$50
per
month
32
pursuant
to
section
249A.30A
.
33
12.
Of
the
funds
appropriated
in
this
section,
the
34
following
amounts
are
transferred
to
the
appropriations
35
made
in
this
division
of
this
Act
for
the
state
mental
36
health
institutes:
37
a.
Cherokee
mental
health
38
institute
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,098,425
39
b.
Independence
mental
health
40
institute
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,045,894
41
13.
a.
Of
the
funds
appropriated
in
this
section,
42
$4,083,878
is
allocated
for
the
state
match
for
a
43
disproportionate
share
hospital
payment
of
$9,089,424
44
to
hospitals
that
meet
both
of
the
conditions
specified
45
in
subparagraphs
(1)
and
(2).
In
addition,
the
46
hospitals
that
meet
the
conditions
specified
shall
47
either
certify
public
expenditures
or
transfer
to
48
the
medical
assistance
program
an
amount
equal
to
49
provide
the
nonfederal
share
for
a
disproportionate
50
-24-
SF505.1913
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86
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123
share
hospital
payment
of
$17,544,006.
The
hospitals
1
that
meet
the
conditions
specified
shall
receive
and
2
retain
100
percent
of
the
total
disproportionate
share
3
hospital
payment
of
$26,633,430.
4
(1)
The
hospital
qualifies
for
disproportionate
5
share
and
graduate
medical
education
payments.
6
(2)
The
hospital
is
an
Iowa
state-owned
hospital
7
with
more
than
500
beds
and
eight
or
more
distinct
8
residency
specialty
or
subspecialty
programs
recognized
9
by
the
American
college
of
graduate
medical
education.
10
b.
Distribution
of
the
disproportionate
share
11
payments
shall
be
made
on
a
monthly
basis.
The
total
12
amount
of
disproportionate
share
payments
including
13
graduate
medical
education,
enhanced
disproportionate
14
share,
and
Iowa
state-owned
teaching
hospital
payments
15
shall
not
exceed
the
amount
of
the
state’s
allotment
16
under
Pub.
L.
No.
102-234.
In
addition,
the
total
17
amount
of
all
disproportionate
share
payments
shall
not
18
exceed
the
hospital-specific
disproportionate
share
19
limits
under
Pub.
L.
No.
103-66.
20
c.
The
university
of
Iowa
hospitals
and
clinics
21
shall
either
certify
public
expenditures
or
transfer
22
to
the
appropriations
made
in
this
division
of
this
23
Act
for
medical
assistance
an
amount
equal
to
provide
24
the
nonfederal
share
for
increased
medical
assistance
25
payments
for
inpatient
and
outpatient
hospital
services
26
of
$9,900,000.
The
university
of
Iowa
hospitals
and
27
clinics
shall
receive
and
retain
100
percent
of
the
28
total
increase
in
medical
assistance
payments.
29
14.
One
hundred
percent
of
the
nonfederal
share
of
30
payments
to
area
education
agencies
that
are
medical
31
assistance
providers
for
medical
assistance-covered
32
services
provided
to
medical
assistance-covered
33
children,
shall
be
made
from
the
appropriation
made
in
34
this
section.
35
15.
Any
new
or
renewed
contract
entered
into
by
the
36
department
with
a
third
party
to
administer
behavioral
37
health
services
under
the
medical
assistance
program
38
shall
provide
that
any
interest
earned
on
payments
39
from
the
state
during
the
state
fiscal
year
shall
be
40
remitted
to
the
department
and
treated
as
recoveries
to
41
offset
the
costs
of
the
medical
assistance
program.
42
16.
A
portion
of
the
funds
appropriated
in
this
43
section
may
be
transferred
to
the
appropriation
in
this
44
division
of
this
Act
for
medical
contracts
to
be
used
45
for
administrative
activities
associated
with
the
money
46
follows
the
person
demonstration
project.
47
17.
Of
the
funds
appropriated
in
this
section,
48
$349,011
shall
be
used
for
the
administration
of
the
49
health
insurance
premium
payment
program,
including
50
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salaries,
support,
maintenance,
and
miscellaneous
1
purposes.
2
18.
a.
The
department
may
increase
the
amounts
3
allocated
for
salaries,
support,
maintenance,
and
4
miscellaneous
purposes
associated
with
the
medical
5
assistance
program,
as
necessary,
to
implement
cost
6
containment
strategies.
The
department
shall
report
7
any
such
increase
to
the
legislative
services
agency
8
and
the
department
of
management.
9
b.
If
the
savings
to
the
medical
assistance
program
10
from
cost
containment
efforts
exceed
the
cost
for
the
11
fiscal
year
beginning
July
1,
2015,
the
department
may
12
transfer
any
savings
generated
for
the
fiscal
year
due
13
to
medical
assistance
program
cost
containment
efforts
14
to
the
appropriation
made
in
this
division
of
this
Act
15
for
medical
contracts
or
general
administration
to
16
defray
the
increased
contract
costs
associated
with
17
implementing
such
efforts.
18
c.
The
department
of
human
services
shall
not
19
implement
the
cost
containment
measure
as
recommended
20
by
the
governor
for
the
fiscal
year
beginning
July
1,
21
2015,
to
reallocate
funding
for
community-based
systems
22
of
care
to
instead
support
integrated
health
homes.
23
d.
The
department
shall
report
the
implementation
24
of
any
cost
containment
strategies
under
this
25
subsection
to
the
individuals
specified
in
this
26
division
of
this
Act
for
submission
of
reports
on
a
27
quarterly
basis.
28
19.
For
the
fiscal
year
beginning
July
1,
2015,
29
and
ending
June
30,
2016,
the
replacement
generation
30
tax
revenues
required
to
be
deposited
in
the
property
31
tax
relief
fund
pursuant
to
section
437A.8,
subsection
32
4,
paragraph
“d”
,
and
section
437A.15,
subsection
33
3,
paragraph
“f”
,
shall
instead
be
credited
to
and
34
supplement
the
appropriation
made
in
this
section
and
35
used
for
the
allocations
made
in
this
section.
36
20.
The
department
shall
continue
to
administer
the
37
state
balancing
incentive
payments
program
as
specified
38
in
2012
Iowa
Acts,
chapter
1133,
section
14.
39
21.
a.
Of
the
funds
appropriated
in
this
section,
40
$900,000
shall
be
used
for
continued
implementation
41
of
the
children’s
mental
health
home
project
proposed
42
by
the
department
of
human
services
and
reported
to
43
the
general
assembly’s
mental
health
and
disability
44
services
study
committee
in
December
2011.
Of
this
45
amount,
up
to
$50,000
may
be
transferred
by
the
46
department
to
the
appropriation
made
in
this
division
47
of
this
Act
to
the
department
for
the
same
fiscal
year
48
for
general
administration
to
be
used
for
associated
49
administrative
expenses
and
for
not
more
than
one
50
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full-time
equivalent
position,
in
addition
to
those
1
authorized
for
the
same
fiscal
year,
to
be
assigned
to
2
implementing
the
project.
3
b.
Of
the
funds
appropriated
in
this
section,
up
to
4
$400,000
may
be
transferred
by
the
department
to
the
5
appropriation
made
to
the
department
in
this
division
6
of
this
Act
for
the
same
fiscal
year
for
Medicaid
7
program-related
general
administration
planning
and
8
implementation
activities.
The
funds
may
be
used
for
9
contracts
or
for
personnel
in
addition
to
the
amounts
10
appropriated
for
and
the
positions
authorized
for
11
general
administration
for
the
fiscal
year.
12
c.
Of
the
funds
appropriated
in
this
section,
up
13
to
$3,000,000
may
be
transferred
by
the
department
to
14
the
appropriations
made
in
this
division
of
this
Act
15
for
the
same
fiscal
year
for
general
administration
or
16
medical
contracts
to
be
used
to
support
the
development
17
and
implementation
of
standardized
assessment
tools
18
for
persons
with
mental
illness,
an
intellectual
19
disability,
a
developmental
disability,
or
a
brain
20
injury.
21
22.
Of
the
funds
appropriated
in
this
section,
22
$250,000
shall
be
used
for
lodging
expenses
associated
23
with
care
provided
at
the
university
of
Iowa
hospitals
24
and
clinics
for
patients
with
cancer
whose
travel
25
distance
is
30
miles
or
more
and
whose
income
is
at
26
or
below
200
percent
of
the
federal
poverty
level
as
27
defined
by
the
most
recently
revised
poverty
income
28
guidelines
published
by
the
United
States
department
29
of
health
and
human
services.
The
department
of
30
human
services
shall
establish
the
maximum
number
31
of
overnight
stays
and
the
maximum
rate
reimbursed
32
for
overnight
lodging,
which
may
be
based
on
the
33
state
employee
rate
established
by
the
department
34
of
administrative
services.
The
funds
allocated
in
35
this
subsection
shall
not
be
used
as
nonfederal
share
36
matching
funds.
37
23.
The
department
of
human
services
shall
adopt
38
rules
to
provide
for
coverage
of
telehealth
under
39
the
Medicaid
program.
The
rules
shall
provide
that
40
in-person
contact
between
a
health
care
professional
41
and
a
patient
is
not
required
as
a
prerequisite
for
42
payment
for
services
appropriately
provided
through
43
telehealth
in
accordance
with
generally
accepted
44
health
care
practices
and
standards
prevailing
in
the
45
applicable
professional
community
at
the
time
the
46
services
are
provided.
Health
care
services
provided
47
through
in-person
consultations
or
through
telehealth
48
shall
be
treated
as
equivalent
services
for
the
49
purposes
of
reimbursement.
50
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24.
a.
For
inpatient
and
outpatient
services
1
provided
by
hospitals
on
or
after
July
1,
2015,
the
2
department
of
human
services
shall
recalculate
and
3
prospectively
apply
an
updated
cost-to-charge
ratio
4
upon
the
request
of
a
hospital
to
implement
price
or
5
charge
reductions,
if
all
of
the
following
criteria
are
6
met:
7
(1)
The
recalculation
of
an
updated
cost-to-charge
8
ratio
is
budget
neutral
to
the
state
funding
amount
9
appropriated
for
the
respective
fiscal
year
and
10
maintains
budget
neutral
payments
or
revenue
to
all
11
hospitals.
12
(2)
The
hospital
requesting
the
price
or
charge
13
reduction
submits
a
proforma
cost
report
and
charge
14
master
that
reflects
the
anticipated
cost-to-charge
15
reduction.
16
b.
Based
upon
the
proforma
cost
report
submitted
17
by
the
requesting
hospital,
the
department
of
human
18
services
shall
prospectively
apply
the
recalculated
19
cost-to-charge
ratio
as
appropriate
to
submitted
claims
20
for
health
care
services.
21
25.
The
department
of
human
services
may
adopt
22
emergency
rules
as
necessary
for
the
governor’s
23
Medicaid
modernization
initiative
to
be
implemented
24
beginning
January
1,
2016.
25
Sec.
13.
MEDICAL
CONTRACTS.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
27
human
services
for
the
fiscal
year
beginning
July
1,
28
2015,
and
ending
June
30,
2016,
the
following
amount,
29
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
medical
contracts:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,613,964
33
1.
The
department
of
inspections
and
appeals
34
shall
provide
all
state
matching
funds
for
survey
and
35
certification
activities
performed
by
the
department
36
of
inspections
and
appeals.
The
department
of
human
37
services
is
solely
responsible
for
distributing
the
38
federal
matching
funds
for
such
activities.
39
2.
Of
the
funds
appropriated
in
this
section,
40
$50,000
shall
be
used
for
continuation
of
home
and
41
community-based
services
waiver
quality
assurance
42
programs,
including
the
review
and
streamlining
of
43
processes
and
policies
related
to
oversight
and
quality
44
management
to
meet
state
and
federal
requirements.
45
3.
Of
the
amount
appropriated
in
this
section,
up
46
to
$200,000
may
be
transferred
to
the
appropriation
for
47
general
administration
in
this
division
of
this
Act
to
48
be
used
for
additional
full-time
equivalent
positions
49
in
the
development
of
key
health
initiatives
such
as
50
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cost
containment,
development
and
oversight
of
managed
1
care
programs,
and
development
of
health
strategies
2
targeted
toward
improved
quality
and
reduced
costs
in
3
the
Medicaid
program.
4
4.
Of
the
funds
appropriated
in
this
section,
5
$1,000,000
shall
be
used
for
planning
and
development,
6
in
cooperation
with
the
department
of
public
health,
7
of
a
phased-in
program
to
provide
a
dental
home
for
8
children.
9
5.
Of
the
funds
appropriated
in
this
section,
10
$3,000,000
shall
be
used
for
the
autism
support
program
11
created
in
chapter
225D
,
with
the
exception
of
the
12
following
amounts
of
this
allocation
which
shall
be
13
used
as
follows:
14
a.
Of
the
funds
allocated
in
this
subsection,
15
$1,000,000
shall
be
deposited
in
the
board-certified
16
behavior
analyst
and
board-certified
assistant
behavior
17
analyst
grants
program
fund
created
in
section
135.181,
18
as
enacted
in
this
Act,
to
be
used
for
the
purposes
of
19
the
fund.
20
b.
Of
the
funds
allocated
in
this
subsection,
21
$25,000
shall
be
used
for
the
public
purpose
of
22
continuation
of
a
grant
to
a
child
welfare
services
23
provider
headquartered
in
a
county
with
a
population
24
between
205,000
and
215,000
in
the
latest
certified
25
federal
census
that
provides
multiple
services
26
including
but
not
limited
to
a
psychiatric
medical
27
institution
for
children,
shelter,
residential
28
treatment,
after
school
programs,
school-based
29
programming,
and
an
Asperger’s
syndrome
program,
to
30
be
used
for
support
services
for
children
with
autism
31
spectrum
disorder
and
their
families.
32
c.
Of
the
funds
allocated
in
this
subsection,
33
$25,000
shall
be
used
for
the
public
purpose
of
34
continuing
a
grant
to
a
hospital-based
provider
35
headquartered
in
a
county
with
a
population
between
36
90,000
and
95,000
in
the
latest
certified
federal
37
census
that
provides
multiple
services
including
but
38
not
limited
to
diagnostic,
therapeutic,
and
behavioral
39
services
to
individuals
with
autism
spectrum
disorder
40
across
one’s
lifespan.
The
grant
recipient
shall
41
utilize
the
funds
to
continue
the
pilot
project
to
42
determine
the
necessary
support
services
for
children
43
with
autism
spectrum
disorder
and
their
families
to
44
be
included
in
the
children’s
disabilities
services
45
system.
The
grant
recipient
shall
submit
findings
and
46
recommendations
based
upon
the
results
of
the
pilot
47
project
to
the
individuals
specified
in
this
division
48
of
this
Act
for
submission
of
reports
by
December
31,
49
2015.
50
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Sec.
14.
STATE
SUPPLEMENTARY
ASSISTANCE.
1
1.
There
is
appropriated
from
the
general
fund
of
2
the
state
to
the
department
of
human
services
for
the
3
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
4
2016,
the
following
amount,
or
so
much
thereof
as
is
5
necessary,
to
be
used
for
the
purpose
designated:
6
For
the
state
supplementary
assistance
program:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,841,351
8
2.
The
department
shall
increase
the
personal
needs
9
allowance
for
residents
of
residential
care
facilities
10
by
the
same
percentage
and
at
the
same
time
as
federal
11
supplemental
security
income
and
federal
social
12
security
benefits
are
increased
due
to
a
recognized
13
increase
in
the
cost
of
living.
The
department
may
14
adopt
emergency
rules
to
implement
this
subsection.
15
3.
If
during
the
fiscal
year
beginning
July
1,
16
2015,
the
department
projects
that
state
supplementary
17
assistance
expenditures
for
a
calendar
year
will
not
18
meet
the
federal
pass-through
requirement
specified
19
in
Tit.
XVI
of
the
federal
Social
Security
Act,
20
section
1618,
as
codified
in
42
U.S.C.
§1382g,
21
the
department
may
take
actions
including
but
not
22
limited
to
increasing
the
personal
needs
allowance
23
for
residential
care
facility
residents
and
making
24
programmatic
adjustments
or
upward
adjustments
of
the
25
residential
care
facility
or
in-home
health-related
26
care
reimbursement
rates
prescribed
in
this
division
of
27
this
Act
to
ensure
that
federal
requirements
are
met.
28
In
addition,
the
department
may
make
other
programmatic
29
and
rate
adjustments
necessary
to
remain
within
the
30
amount
appropriated
in
this
section
while
ensuring
31
compliance
with
federal
requirements.
The
department
32
may
adopt
emergency
rules
to
implement
the
provisions
33
of
this
subsection.
34
Sec.
15.
CHILDREN’S
HEALTH
INSURANCE
35
PROGRAM.
There
is
appropriated
from
the
general
36
fund
of
the
state
to
the
department
of
human
services
37
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
38
June
30,
2016,
the
following
amount,
or
so
much
thereof
39
as
is
necessary,
to
be
used
for
the
purpose
designated:
40
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
41
(hawk-i)
program
pursuant
to
chapter
514I
,
including
42
supplemental
dental
services,
for
receipt
of
federal
43
financial
participation
under
Tit.
XXI
of
the
federal
44
Social
Security
Act,
which
creates
the
children’s
45
health
insurance
program:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,010,344
47
Sec.
16.
CHILD
CARE
ASSISTANCE.
There
is
48
appropriated
from
the
general
fund
of
the
state
to
49
the
department
of
human
services
for
the
fiscal
year
50
-30-
SF505.1913
(13)
86
pf/rh/rj
30/
123
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
1
following
amount,
or
so
much
thereof
as
is
necessary,
2
to
be
used
for
the
purpose
designated:
3
For
child
care
programs:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,608,668
5
1.
Of
the
funds
appropriated
in
this
section,
6
$40,889,241
shall
be
used
for
state
child
care
7
assistance
in
accordance
with
section
237A.13
.
8
2.
Nothing
in
this
section
shall
be
construed
or
9
is
intended
as
or
shall
imply
a
grant
of
entitlement
10
for
services
to
persons
who
are
eligible
for
assistance
11
due
to
an
income
level
consistent
with
the
waiting
12
list
requirements
of
section
237A.13
.
Any
state
13
obligation
to
provide
services
pursuant
to
this
section
14
is
limited
to
the
extent
of
the
funds
appropriated
in
15
this
section.
16
3.
Of
the
funds
appropriated
in
this
section,
17
$432,453
is
allocated
for
the
statewide
grant
program
18
for
child
care
resource
and
referral
services
under
19
section
237A.26
.
A
list
of
the
registered
and
licensed
20
child
care
facilities
operating
in
the
area
served
by
a
21
child
care
resource
and
referral
service
shall
be
made
22
available
to
the
families
receiving
state
child
care
23
assistance
in
that
area.
24
4.
Of
the
funds
appropriated
in
this
section,
25
$936,974
is
allocated
for
child
care
quality
26
improvement
initiatives
including
but
not
limited
to
27
the
voluntary
quality
rating
system
in
accordance
with
28
section
237A.30
.
29
5.
Of
the
funds
appropriated
in
this
section,
30
$6,350,000
shall
be
credited
to
the
early
childhood
31
programs
grants
account
in
the
early
childhood
Iowa
32
fund
created
in
section
256I.11
.
The
moneys
shall
33
be
distributed
for
funding
of
community-based
early
34
childhood
programs
targeted
to
children
from
birth
35
through
five
years
of
age
developed
by
early
childhood
36
Iowa
areas
in
accordance
with
approved
community
plans
37
as
provided
in
section
256I.8
.
38
6.
The
department
may
use
any
of
the
funds
39
appropriated
in
this
section
as
a
match
to
obtain
40
federal
funds
for
use
in
expanding
child
care
41
assistance
and
related
programs.
For
the
purpose
of
42
expenditures
of
state
and
federal
child
care
funding,
43
funds
shall
be
considered
obligated
at
the
time
44
expenditures
are
projected
or
are
allocated
to
the
45
department’s
service
areas.
Projections
shall
be
based
46
on
current
and
projected
caseload
growth,
current
and
47
projected
provider
rates,
staffing
requirements
for
48
eligibility
determination
and
management
of
program
49
requirements
including
data
systems
management,
50
-31-
SF505.1913
(13)
86
pf/rh/rj
31/
123
staffing
requirements
for
administration
of
the
1
program,
contractual
and
grant
obligations
and
any
2
transfers
to
other
state
agencies,
and
obligations
for
3
decategorization
or
innovation
projects.
4
7.
A
portion
of
the
state
match
for
the
federal
5
child
care
and
development
block
grant
shall
be
6
provided
as
necessary
to
meet
federal
matching
7
funds
requirements
through
the
state
general
fund
8
appropriation
made
for
child
development
grants
and
9
other
programs
for
at-risk
children
in
section
279.51
.
10
8.
If
a
uniform
reduction
ordered
by
the
governor
11
under
section
8.31
or
other
operation
of
law,
12
transfer,
or
federal
funding
reduction
reduces
the
13
appropriation
made
in
this
section
for
the
fiscal
year,
14
the
percentage
reduction
in
the
amount
paid
out
to
or
15
on
behalf
of
the
families
participating
in
the
state
16
child
care
assistance
program
shall
be
equal
to
or
17
less
than
the
percentage
reduction
made
for
any
other
18
purpose
payable
from
the
appropriation
made
in
this
19
section
and
the
federal
funding
relating
to
it.
The
20
percentage
reduction
to
the
other
allocations
made
in
21
this
section
shall
be
the
same
as
the
uniform
reduction
22
ordered
by
the
governor
or
the
percentage
change
of
the
23
federal
funding
reduction,
as
applicable.
If
there
is
24
an
unanticipated
increase
in
federal
funding
provided
25
for
state
child
care
assistance,
the
entire
amount
26
of
the
increase
shall
be
used
for
state
child
care
27
assistance
payments.
If
the
appropriations
made
for
28
purposes
of
the
state
child
care
assistance
program
for
29
the
fiscal
year
are
determined
to
be
insufficient,
it
30
is
the
intent
of
the
general
assembly
to
appropriate
31
sufficient
funding
for
the
fiscal
year
in
order
to
32
avoid
establishment
of
waiting
list
requirements.
33
9.
Notwithstanding
section
8.33
,
moneys
advanced
34
for
purposes
of
the
programs
developed
by
early
35
childhood
Iowa
areas,
advanced
for
purposes
of
36
wraparound
child
care,
or
received
from
the
federal
37
appropriations
made
for
the
purposes
of
this
section
38
that
remain
unencumbered
or
unobligated
at
the
close
39
of
the
fiscal
year
shall
not
revert
to
any
fund
but
40
shall
remain
available
for
expenditure
for
the
purposes
41
designated
until
the
close
of
the
succeeding
fiscal
42
year.
43
Sec.
17.
JUVENILE
INSTITUTIONS.
There
is
44
appropriated
from
the
general
fund
of
the
state
to
45
the
department
of
human
services
for
the
fiscal
year
46
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
47
following
amounts,
or
so
much
thereof
as
is
necessary,
48
to
be
used
for
the
purposes
designated:
49
1.
For
the
costs
of
security,
building
and
grounds
50
-32-
SF505.1913
(13)
86
pf/rh/rj
32/
123
maintenance,
utilities,
salary,
and
support
for
1
the
facilities
located
at
the
Iowa
juvenile
home
at
2
Toledo
and
for
salaries,
support,
maintenance,
and
3
miscellaneous
purposes,
and
for
not
more
than
the
4
following
full-time
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
372,766
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
2.00
7
2.
For
operation
of
the
state
training
school
at
8
Eldora
and
for
salaries,
support,
maintenance,
and
9
miscellaneous
purposes,
and
for
not
more
than
the
10
following
full-time
equivalent
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,941,330
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
13
Of
the
funds
appropriated
in
this
subsection,
14
$91,150
shall
be
used
for
distribution
to
licensed
15
classroom
teachers
at
this
and
other
institutions
under
16
the
control
of
the
department
of
human
services
based
17
upon
the
average
student
yearly
enrollment
at
each
18
institution
as
determined
by
the
department.
19
Sec.
18.
CHILD
AND
FAMILY
SERVICES.
20
1.
There
is
appropriated
from
the
general
fund
of
21
the
state
to
the
department
of
human
services
for
the
22
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
23
2016,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purpose
designated:
25
For
child
and
family
services:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
86,128,726
27
2.
Up
to
$5,200,000
of
the
amount
of
federal
28
temporary
assistance
for
needy
families
block
grant
29
funding
appropriated
in
this
division
of
this
Act
for
30
child
and
family
services
shall
be
made
available
for
31
purposes
of
juvenile
delinquent
graduated
sanction
32
services.
33
3.
The
department
may
transfer
funds
appropriated
34
in
this
section
as
necessary
to
pay
the
nonfederal
35
costs
of
services
reimbursed
under
the
medical
36
assistance
program,
state
child
care
assistance
37
program,
or
the
family
investment
program
which
are
38
provided
to
children
who
would
otherwise
receive
39
services
paid
under
the
appropriation
in
this
section.
40
The
department
may
transfer
funds
appropriated
in
this
41
section
to
the
appropriations
made
in
this
division
42
of
this
Act
for
general
administration
and
for
field
43
operations
for
resources
necessary
to
implement
and
44
operate
the
services
funded
in
this
section.
45
4.
a.
Of
the
funds
appropriated
in
this
section,
46
up
to
$35,821,786
is
allocated
as
the
statewide
47
expenditure
target
under
section
232.143
for
group
48
foster
care
maintenance
and
services.
If
the
49
department
projects
that
such
expenditures
for
the
50
-33-
SF505.1913
(13)
86
pf/rh/rj
33/
123
fiscal
year
will
be
less
than
the
target
amount
1
allocated
in
this
paragraph
“a”,
the
department
may
2
reallocate
the
excess
to
provide
additional
funding
for
3
shelter
care
or
the
child
welfare
emergency
services
4
addressed
with
the
allocation
for
shelter
care.
5
b.
If
at
any
time
after
September
30,
2015,
6
annualization
of
a
service
area’s
current
expenditures
7
indicates
a
service
area
is
at
risk
of
exceeding
its
8
group
foster
care
expenditure
target
under
section
9
232.143
by
more
than
5
percent,
the
department
and
10
juvenile
court
services
shall
examine
all
group
11
foster
care
placements
in
that
service
area
in
order
12
to
identify
those
which
might
be
appropriate
for
13
termination.
In
addition,
any
aftercare
services
14
believed
to
be
needed
for
the
children
whose
15
placements
may
be
terminated
shall
be
identified.
The
16
department
and
juvenile
court
services
shall
initiate
17
action
to
set
dispositional
review
hearings
for
the
18
placements
identified.
In
such
a
dispositional
review
19
hearing,
the
juvenile
court
shall
determine
whether
20
needed
aftercare
services
are
available
and
whether
21
termination
of
the
placement
is
in
the
best
interest
of
22
the
child
and
the
community.
23
5.
In
accordance
with
the
provisions
of
section
24
232.188
,
the
department
shall
continue
the
child
25
welfare
and
juvenile
justice
funding
initiative
during
26
fiscal
year
2015-2016.
Of
the
funds
appropriated
in
27
this
section,
$1,717,753
is
allocated
specifically
28
for
expenditure
for
fiscal
year
2015-2016
through
the
29
decategorization
services
funding
pools
and
governance
30
boards
established
pursuant
to
section
232.188
.
31
6.
A
portion
of
the
funds
appropriated
in
this
32
section
may
be
used
for
emergency
family
assistance
33
to
provide
other
resources
required
for
a
family
34
participating
in
a
family
preservation
or
reunification
35
project
or
successor
project
to
stay
together
or
to
be
36
reunified.
37
7.
Notwithstanding
section
234.35
or
any
other
38
provision
of
law
to
the
contrary,
state
funding
for
39
shelter
care
and
the
child
welfare
emergency
services
40
contracting
implemented
to
provide
for
or
prevent
the
41
need
for
shelter
care
shall
be
limited
to
$7,684,261.
42
8.
Federal
funds
received
by
the
state
during
43
the
fiscal
year
beginning
July
1,
2015,
as
the
44
result
of
the
expenditure
of
state
funds
appropriated
45
during
a
previous
state
fiscal
year
for
a
service
or
46
activity
funded
under
this
section
are
appropriated
47
to
the
department
to
be
used
as
additional
funding
48
for
services
and
purposes
provided
for
under
this
49
section.
Notwithstanding
section
8.33
,
moneys
50
-34-
SF505.1913
(13)
86
pf/rh/rj
34/
123
received
in
accordance
with
this
subsection
that
remain
1
unencumbered
or
unobligated
at
the
close
of
the
fiscal
2
year
shall
not
revert
to
any
fund
but
shall
remain
3
available
for
the
purposes
designated
until
the
close
4
of
the
succeeding
fiscal
year.
5
9.
a.
Of
the
funds
appropriated
in
this
section,
6
up
to
$3,290,000
is
allocated
for
the
payment
of
7
the
expenses
of
court-ordered
services
provided
to
8
juveniles
who
are
under
the
supervision
of
juvenile
9
court
services,
which
expenses
are
a
charge
upon
10
the
state
pursuant
to
section
232.141,
subsection
11
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
12
up
to
$1,556,287
shall
be
made
available
to
provide
13
school-based
supervision
of
children
adjudicated
under
14
chapter
232
,
of
which
not
more
than
$15,000
may
be
used
15
for
the
purpose
of
training.
A
portion
of
the
cost
of
16
each
school-based
liaison
officer
shall
be
paid
by
the
17
school
district
or
other
funding
source
as
approved
by
18
the
chief
juvenile
court
officer.
19
b.
Of
the
funds
appropriated
in
this
section,
up
to
20
$748,985
is
allocated
for
the
payment
of
the
expenses
21
of
court-ordered
services
provided
to
children
who
are
22
under
the
supervision
of
the
department,
which
expenses
23
are
a
charge
upon
the
state
pursuant
to
section
24
232.141,
subsection
4
.
25
c.
Notwithstanding
section
232.141
or
any
other
26
provision
of
law
to
the
contrary,
the
amounts
allocated
27
in
this
subsection
shall
be
distributed
to
the
28
judicial
districts
as
determined
by
the
state
court
29
administrator
and
to
the
department’s
service
areas
30
as
determined
by
the
administrator
of
the
department
31
of
human
services’
division
of
child
and
family
32
services.
The
state
court
administrator
and
the
33
division
administrator
shall
make
the
determination
of
34
the
distribution
amounts
on
or
before
June
15,
2015.
35
d.
Notwithstanding
chapter
232
or
any
other
36
provision
of
law
to
the
contrary,
a
district
or
37
juvenile
court
shall
not
order
any
service
which
is
38
a
charge
upon
the
state
pursuant
to
section
232.141
39
if
there
are
insufficient
court-ordered
services
40
funds
available
in
the
district
court
or
departmental
41
service
area
distribution
amounts
to
pay
for
the
42
service.
The
chief
juvenile
court
officer
and
the
43
departmental
service
area
manager
shall
encourage
use
44
of
the
funds
allocated
in
this
subsection
such
that
45
there
are
sufficient
funds
to
pay
for
all
court-related
46
services
during
the
entire
year.
The
chief
juvenile
47
court
officers
and
departmental
service
area
managers
48
shall
attempt
to
anticipate
potential
surpluses
and
49
shortfalls
in
the
distribution
amounts
and
shall
50
-35-
SF505.1913
(13)
86
pf/rh/rj
35/
123
cooperatively
request
the
state
court
administrator
1
or
division
administrator
to
transfer
funds
between
2
the
judicial
districts’
or
departmental
service
areas’
3
distribution
amounts
as
prudent.
4
e.
Notwithstanding
any
provision
of
law
to
the
5
contrary,
a
district
or
juvenile
court
shall
not
order
6
a
county
to
pay
for
any
service
provided
to
a
juvenile
7
pursuant
to
an
order
entered
under
chapter
232
which
8
is
a
charge
upon
the
state
under
section
232.141,
9
subsection
4
.
10
f.
Of
the
funds
allocated
in
this
subsection,
not
11
more
than
$83,000
may
be
used
by
the
judicial
branch
12
for
administration
of
the
requirements
under
this
13
subsection.
14
g.
Of
the
funds
allocated
in
this
subsection,
15
$17,000
shall
be
used
by
the
department
of
human
16
services
to
support
the
interstate
commission
for
17
juveniles
in
accordance
with
the
interstate
compact
for
18
juveniles
as
provided
in
section
232.173
.
19
10.
Of
the
funds
appropriated
in
this
section,
20
$8,053,227
is
allocated
for
juvenile
delinquent
21
graduated
sanctions
services.
Any
state
funds
saved
as
22
a
result
of
efforts
by
juvenile
court
services
to
earn
23
a
federal
Tit.
IV-E
match
for
juvenile
court
services
24
administration
may
be
used
for
the
juvenile
delinquent
25
graduated
sanctions
services.
26
11.
Of
the
funds
appropriated
in
this
section,
27
$1,608,285
is
transferred
to
the
department
of
public
28
health
to
be
used
for
the
child
protection
center
grant
29
program
for
child
protection
centers
located
in
Iowa
30
in
accordance
with
section
135.118
.
The
grant
amounts
31
under
the
program
shall
be
equalized
so
that
each
32
center
receives
a
uniform
base
amount
of
$245,000,
and
33
the
remaining
funds
shall
be
awarded
through
a
funding
34
formula
based
upon
the
volume
of
children
served.
35
12.
If
the
department
receives
federal
approval
36
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
37
Social
Security
Act
to
enable
providers
to
serve
38
children
who
remain
in
the
children’s
families
and
39
communities,
for
purposes
of
eligibility
under
the
40
medical
assistance
program
through
25
years
of
age,
41
children
who
participate
in
the
waiver
shall
be
42
considered
to
be
placed
in
foster
care.
43
13.
Of
the
funds
appropriated
in
this
section,
44
$4,025,167
is
allocated
for
the
preparation
for
adult
45
living
program
pursuant
to
section
234.46
.
46
14.
Of
the
funds
appropriated
in
this
section,
47
$520,150
shall
be
used
for
juvenile
drug
courts.
48
The
amount
allocated
in
this
subsection
shall
be
49
distributed
as
follows:
50
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SF505.1913
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86
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36/
123
To
the
judicial
branch
for
salaries
to
assist
with
1
the
operation
of
juvenile
drug
court
programs
operated
2
in
the
following
jurisdictions:
3
a.
Marshall
county:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,708
5
b.
Woodbury
county:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,682
7
c.
Polk
county:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
195,892
9
d.
The
third
judicial
district:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
11
e.
The
eighth
judicial
district:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
13
15.
Of
the
funds
appropriated
in
this
section,
14
$227,337
shall
be
used
for
the
public
purpose
of
15
continuing
a
grant
to
a
nonprofit
human
services
16
organization
providing
services
to
individuals
and
17
families
in
multiple
locations
in
southwest
Iowa
and
18
Nebraska
for
support
of
a
project
providing
immediate,
19
sensitive
support
and
forensic
interviews,
medical
20
exams,
needs
assessments,
and
referrals
for
victims
of
21
child
abuse
and
their
nonoffending
family
members.
22
16.
Of
the
funds
appropriated
in
this
section,
23
$300,620
is
allocated
for
the
foster
care
youth
council
24
approach
of
providing
a
support
network
to
children
25
placed
in
foster
care.
26
17.
Of
the
funds
appropriated
in
this
section,
27
$202,000
is
allocated
for
use
pursuant
to
section
28
235A.1
for
continuation
of
the
initiative
to
address
29
child
sexual
abuse
implemented
pursuant
to
2007
Iowa
30
Acts,
chapter
218,
section
18,
subsection
21.
31
18.
Of
the
funds
appropriated
in
this
section,
32
$630,240
is
allocated
for
the
community
partnership
for
33
child
protection
sites.
34
19.
Of
the
funds
appropriated
in
this
section,
35
$371,250
is
allocated
for
the
department’s
minority
36
youth
and
family
projects
under
the
redesign
of
the
37
child
welfare
system.
38
20.
Of
the
funds
appropriated
in
this
section,
39
$1,109,947
is
allocated
for
funding
of
the
community
40
circle
of
care
collaboration
for
children
and
youth
in
41
northeast
Iowa.
42
21.
Of
the
funds
appropriated
in
this
section,
43
at
least
$147,158
shall
be
used
for
the
continuation
44
of
the
child
welfare
provider
training
academy,
a
45
collaboration
between
the
coalition
for
family
and
46
children’s
services
in
Iowa
and
the
department.
47
22.
Of
the
funds
appropriated
in
this
section,
48
$211,872
shall
be
used
for
continuation
of
the
central
49
Iowa
system
of
care
program
grant
through
June
30,
50
-37-
SF505.1913
(13)
86
pf/rh/rj
37/
123
2016.
1
23.
Of
the
funds
appropriated
in
this
section,
2
$135,000
shall
be
used
for
the
public
purpose
of
the
3
continuation
and
expansion
of
a
system
of
care
program
4
grant
implemented
in
Cerro
Gordo
and
Linn
counties
5
to
utilize
a
comprehensive
and
long-term
approach
6
for
helping
children
and
families
by
addressing
the
7
key
areas
in
a
child’s
life
of
childhood
basic
needs,
8
education
and
work,
family,
and
community.
9
24.
Of
the
funds
appropriated
in
this
section,
10
at
least
$25,000
shall
be
used
to
continue
and
to
11
expand
the
foster
care
respite
pilot
program
in
which
12
postsecondary
students
in
social
work
and
other
human
13
services-related
programs
receive
experience
by
14
assisting
family
foster
care
providers
with
respite
and
15
other
support.
16
25.
Of
the
funds
appropriated
in
this
section,
17
$110,000
shall
be
used
for
the
public
purpose
of
18
funding
community-based
services
and
other
supports
19
with
a
system
of
care
approach
for
children
with
a
20
serious
emotional
disturbance
and
their
families
21
through
a
nonprofit
provider
of
child
welfare
services
22
that
has
been
in
existence
for
more
than
115
years,
23
is
located
in
a
county
with
a
population
of
more
24
than
200,000
but
less
than
220,000
according
to
the
25
latest
census
information
issued
by
the
United
States
26
census
bureau,
is
licensed
as
a
psychiatric
medical
27
institution
for
children,
and
was
a
system
of
care
28
grantee
prior
to
July
1,
2015.
29
Sec.
19.
ADOPTION
SUBSIDY.
30
1.
There
is
appropriated
from
the
general
fund
of
31
the
state
to
the
department
of
human
services
for
the
32
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
33
2016,
the
following
amount,
or
so
much
thereof
as
is
34
necessary,
to
be
used
for
the
purpose
designated:
35
For
adoption
subsidy
payments
and
services:
36
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,998,286
37
2.
The
department
may
transfer
funds
appropriated
38
in
this
section
to
the
appropriation
made
in
this
39
division
of
this
Act
for
general
administration
for
40
costs
paid
from
the
appropriation
relating
to
adoption
41
subsidy.
42
3.
Federal
funds
received
by
the
state
during
the
43
fiscal
year
beginning
July
1,
2015,
as
the
result
of
44
the
expenditure
of
state
funds
during
a
previous
state
45
fiscal
year
for
a
service
or
activity
funded
under
46
this
section
are
appropriated
to
the
department
to
47
be
used
as
additional
funding
for
the
services
and
48
activities
funded
under
this
section.
Notwithstanding
49
section
8.33
,
moneys
received
in
accordance
with
this
50
-38-
SF505.1913
(13)
86
pf/rh/rj
38/
123
subsection
that
remain
unencumbered
or
unobligated
at
1
the
close
of
the
fiscal
year
shall
not
revert
to
any
2
fund
but
shall
remain
available
for
expenditure
for
the
3
purposes
designated
until
the
close
of
the
succeeding
4
fiscal
year.
5
Sec.
20.
JUVENILE
DETENTION
HOME
FUND.
Moneys
6
deposited
in
the
juvenile
detention
home
fund
7
created
in
section
232.142
during
the
fiscal
year
8
beginning
July
1,
2015,
and
ending
June
30,
2016,
are
9
appropriated
to
the
department
of
human
services
for
10
the
fiscal
year
beginning
July
1,
2015,
and
ending
11
June
30,
2016,
for
distribution
of
an
amount
equal
12
to
a
percentage
of
the
costs
of
the
establishment,
13
improvement,
operation,
and
maintenance
of
county
or
14
multicounty
juvenile
detention
homes
in
the
fiscal
15
year
beginning
July
1,
2014.
Moneys
appropriated
for
16
distribution
in
accordance
with
this
section
shall
be
17
allocated
among
eligible
detention
homes,
prorated
on
18
the
basis
of
an
eligible
detention
home’s
proportion
19
of
the
costs
of
all
eligible
detention
homes
in
the
20
fiscal
year
beginning
July
1,
2014.
The
percentage
21
figure
shall
be
determined
by
the
department
based
on
22
the
amount
available
for
distribution
for
the
fund.
23
Notwithstanding
section
232.142,
subsection
3
,
the
24
financial
aid
payable
by
the
state
under
that
provision
25
for
the
fiscal
year
beginning
July
1,
2015,
shall
be
26
limited
to
the
amount
appropriated
for
the
purposes
of
27
this
section.
28
Sec.
21.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
29
1.
There
is
appropriated
from
the
general
fund
of
30
the
state
to
the
department
of
human
services
for
the
31
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
32
2016,
the
following
amount,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purpose
designated:
34
For
the
family
support
subsidy
program
subject
35
to
the
enrollment
restrictions
in
section
225C.37,
36
subsection
3
:
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,073,932
38
2.
The
department
shall
use
at
least
$641,500
of
39
the
moneys
appropriated
in
this
section
for
the
family
40
support
center
component
of
the
comprehensive
family
41
support
program
under
section
225C.47
.
Not
more
than
42
$25,000
of
the
amount
allocated
in
this
subsection
43
shall
be
used
for
administrative
costs.
44
3.
If
at
any
time
during
the
fiscal
year,
the
45
amount
of
funding
available
for
the
family
support
46
subsidy
program
is
reduced
from
the
amount
initially
47
used
to
establish
the
figure
for
the
number
of
family
48
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
49
time
during
the
fiscal
year,
notwithstanding
section
50
-39-
SF505.1913
(13)
86
pf/rh/rj
39/
123
225C.38,
subsection
2
,
the
department
shall
revise
the
1
figure
as
necessary
to
conform
to
the
amount
of
funding
2
available.
3
Sec.
22.
CONNER
DECREE.
There
is
appropriated
from
4
the
general
fund
of
the
state
to
the
department
of
5
human
services
for
the
fiscal
year
beginning
July
1,
6
2015,
and
ending
June
30,
2016,
the
following
amount,
7
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purpose
designated:
9
For
building
community
capacity
through
the
10
coordination
and
provision
of
training
opportunities
11
in
accordance
with
the
consent
decree
of
Conner
v.
12
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
14
Sec.
23.
MENTAL
HEALTH
INSTITUTES.
15
1.
There
is
appropriated
from
the
general
fund
of
16
the
state
to
the
department
of
human
services
for
the
17
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
18
2016,
the
following
amounts,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purposes
designated:
20
a.
For
the
state
mental
health
institute
at
21
Cherokee
for
salaries,
support,
maintenance,
and
22
miscellaneous
purposes,
and
for
not
more
than
the
23
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,545,616
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
26
b.
For
the
state
mental
health
institute
at
27
Independence
for
salaries,
support,
maintenance,
and
28
miscellaneous
purposes,
and
for
not
more
than
the
29
following
full-time
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,324,209
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
32
c.
For
the
state
mental
health
institute
at
33
Clarinda
for
salaries,
support,
maintenance,
and
34
miscellaneous
purposes,
and
for
not
more
than
the
35
following
full-time
equivalent
positions:
36
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,810,000
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
58.00
38
Moneys
appropriated
in
this
paragraph
“c”
shall
be
39
used
to
operate
a
15-bed
acute
inpatient
psychiatric
40
program
that
shall
be
authorized
to
operate
through
41
December
15,
2015.
In
addition,
moneys
in
this
42
paragraph
“c”
shall
be
used
to
operate
a
six-bed
43
geropsychiatric
program
that
shall
be
authorized
to
44
operate
through
December
15,
2015,
or
until
appropriate
45
alternative
treatment
services
that
meet
the
needs
of
46
the
current
geropsychiatric
program
residents
can
be
47
secured,
whichever
is
earlier.
48
d.
For
the
state
mental
health
institute
at
Mount
49
Pleasant
for
salaries,
support,
maintenance,
and
50
-40-
SF505.1913
(13)
86
pf/rh/rj
40/
123
miscellaneous
purposes,
and
for
not
more
than
the
1
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,040,000
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
33.00
4
Moneys
appropriated
in
this
paragraph
“d”
shall
be
5
used
to
operate
a
50-bed
substance
abuse
residential
6
treatment
program
that
shall
be
authorized
to
operate
7
through
December
15,
2015.
8
2.
The
department
of
human
services
shall
work
9
with
key
stakeholders
to
determine
the
feasibility
10
of
allowing
a
private
provider
to
operate
a
crisis
11
residential
services
program
or
a
subacute
mental
12
health
services
program
at
the
Clarinda
campus
on
or
13
after
January
1,
2016.
14
3.
The
department
of
public
health
shall
work
15
with
key
stakeholders
to
select
a
private
provider
to
16
operate
a
dual
diagnosis
and
residential
treatment
17
services
program
at
the
Mount
Pleasant
campus
on
or
18
after
January
1,
2016.
19
Sec.
24.
STATE
RESOURCE
CENTERS.
20
1.
There
is
appropriated
from
the
general
fund
of
21
the
state
to
the
department
of
human
services
for
the
22
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
23
2016,
the
following
amounts,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purposes
designated:
25
a.
For
the
state
resource
center
at
Glenwood
for
26
salaries,
support,
maintenance,
and
miscellaneous
27
purposes:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,524,482
29
b.
For
the
state
resource
center
at
Woodward
for
30
salaries,
support,
maintenance,
and
miscellaneous
31
purposes:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,583,806
33
2.
The
department
may
continue
to
bill
for
state
34
resource
center
services
utilizing
a
scope
of
services
35
approach
used
for
private
providers
of
intermediate
36
care
facilities
for
persons
with
an
intellectual
37
disability
services,
in
a
manner
which
does
not
shift
38
costs
between
the
medical
assistance
program,
counties,
39
or
other
sources
of
funding
for
the
state
resource
40
centers.
41
3.
The
state
resource
centers
may
expand
the
42
time-limited
assessment
and
respite
services
during
the
43
fiscal
year.
44
4.
If
the
department’s
administration
and
the
45
department
of
management
concur
with
a
finding
by
a
46
state
resource
center’s
superintendent
that
projected
47
revenues
can
reasonably
be
expected
to
pay
the
salary
48
and
support
costs
for
a
new
employee
position,
or
49
that
such
costs
for
adding
a
particular
number
of
new
50
-41-
SF505.1913
(13)
86
pf/rh/rj
41/
123
positions
for
the
fiscal
year
would
be
less
than
the
1
overtime
costs
if
new
positions
would
not
be
added,
the
2
superintendent
may
add
the
new
position
or
positions.
3
If
the
vacant
positions
available
to
a
resource
center
4
do
not
include
the
position
classification
desired
to
5
be
filled,
the
state
resource
center’s
superintendent
6
may
reclassify
any
vacant
position
as
necessary
to
7
fill
the
desired
position.
The
superintendents
of
the
8
state
resource
centers
may,
by
mutual
agreement,
pool
9
vacant
positions
and
position
classifications
during
10
the
course
of
the
fiscal
year
in
order
to
assist
one
11
another
in
filling
necessary
positions.
12
5.
If
existing
capacity
limitations
are
reached
13
in
operating
units,
a
waiting
list
is
in
effect
14
for
a
service
or
a
special
need
for
which
a
payment
15
source
or
other
funding
is
available
for
the
service
16
or
to
address
the
special
need,
and
facilities
for
17
the
service
or
to
address
the
special
need
can
be
18
provided
within
the
available
payment
source
or
other
19
funding,
the
superintendent
of
a
state
resource
center
20
may
authorize
opening
not
more
than
two
units
or
21
other
facilities
and
begin
implementing
the
service
22
or
addressing
the
special
need
during
fiscal
year
23
2015-2016.
24
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
25
1.
There
is
appropriated
from
the
general
fund
of
26
the
state
to
the
department
of
human
services
for
the
27
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
28
2016,
the
following
amount,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purpose
designated:
30
For
costs
associated
with
the
commitment
and
31
treatment
of
sexually
violent
predators
in
the
unit
32
located
at
the
state
mental
health
institute
at
33
Cherokee,
including
costs
of
legal
services
and
34
other
associated
costs,
including
salaries,
support,
35
maintenance,
and
miscellaneous
purposes,
and
for
not
36
more
than
the
following
full-time
equivalent
positions:
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,893,079
38
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
39
2.
Unless
specifically
prohibited
by
law,
if
the
40
amount
charged
provides
for
recoupment
of
at
least
41
the
entire
amount
of
direct
and
indirect
costs,
the
42
department
of
human
services
may
contract
with
other
43
states
to
provide
care
and
treatment
of
persons
placed
44
by
the
other
states
at
the
unit
for
sexually
violent
45
predators
at
Cherokee.
The
moneys
received
under
such
46
a
contract
shall
be
considered
to
be
repayment
receipts
47
and
used
for
the
purposes
of
the
appropriation
made
in
48
this
section.
49
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
50
-42-
SF505.1913
(13)
86
pf/rh/rj
42/
123
from
the
general
fund
of
the
state
to
the
department
of
1
human
services
for
the
fiscal
year
beginning
July
1,
2
2015,
and
ending
June
30,
2016,
the
following
amount,
3
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
4
purposes
designated:
5
For
field
operations,
including
salaries,
support,
6
maintenance,
and
miscellaneous
purposes,
and
for
not
7
more
than
the
following
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,920,976
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
10
1.
As
a
condition
of
this
appropriation,
the
11
department
shall
make
every
possible
effort
to
fill
12
the
entire
number
of
positions
authorized
by
this
13
section
and,
unless
specifically
provided
otherwise
14
by
an
applicable
collective
bargaining
agreement,
the
15
department
is
not
subject
to
any
approval
requirement
16
external
to
the
department
to
fill
a
field
operations
17
vacancy
within
the
number
of
full-time
equivalent
18
positions
authorized
by
this
section.
The
department
19
shall
report
on
the
first
of
each
month
to
the
20
chairpersons
and
ranking
members
of
the
appropriations
21
committees
of
the
senate
and
house
of
representatives,
22
and
the
persons
designated
by
this
Act
for
submission
23
of
reports
concerning
the
status
of
filling
the
24
positions.
25
2.
Priority
in
filling
full-time
equivalent
26
positions
shall
be
given
to
those
positions
related
to
27
child
protection
services
and
eligibility
determination
28
for
low-income
families.
29
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
30
appropriated
from
the
general
fund
of
the
state
to
31
the
department
of
human
services
for
the
fiscal
year
32
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
33
following
amount,
or
so
much
thereof
as
is
necessary,
34
to
be
used
for
the
purpose
designated:
35
For
general
administration,
including
salaries,
36
support,
maintenance,
and
miscellaneous
purposes,
and
37
for
not
more
than
the
following
full-time
equivalent
38
positions:
39
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,848,198
40
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
41
1.
The
department
shall
report
at
least
monthly
42
to
the
legislative
services
agency
concerning
the
43
department’s
operational
and
program
expenditures.
44
2.
Of
the
funds
appropriated
in
this
section,
45
$150,000
shall
be
used
to
continue
the
contract
for
the
46
provision
of
a
program
to
provide
technical
assistance,
47
support,
and
consultation
to
providers
of
habilitation
48
services
and
home
and
community-based
services
waiver
49
services
for
adults
with
disabilities
under
the
medical
50
-43-
SF505.1913
(13)
86
pf/rh/rj
43/
123
assistance
program.
1
3.
Of
the
funds
appropriated
in
this
section,
2
$25,000
is
transferred
to
the
Iowa
finance
authority
3
to
be
used
for
administrative
support
of
the
council
4
on
homelessness
established
in
section
16.2D
and
for
5
the
council
to
fulfill
its
duties
in
addressing
and
6
reducing
homelessness
in
the
state.
7
4.
Of
the
funds
appropriated
in
this
section,
8
$250,000
is
allocated
to
an
Iowa
food
bank
association
9
selected
by
the
department
for
the
purchase
of
food
on
10
behalf
of
an
Iowa
emergency
feeding
organization
or
11
for
the
distribution
of
moneys
to
the
Iowa
emergency
12
feeding
organization
for
the
purchase
of
food.
The
13
moneys
allocated
in
this
subsection
shall
be
allocated
14
only
to
the
extent
that
the
allocated
moneys
are
15
matched
on
a
dollar-for-dollar
basis.
Notwithstanding
16
section
8.33,
moneys
allocated
in
this
subsection
that
17
remain
unencumbered
or
unobligated
at
the
close
of
the
18
fiscal
year
shall
not
revert
but
shall
remain
available
19
for
expenditure
for
the
purposes
designated
until
the
20
close
of
the
following
fiscal
year.
21
Sec.
28.
VOLUNTEERS.
There
is
appropriated
from
22
the
general
fund
of
the
state
to
the
department
of
23
human
services
for
the
fiscal
year
beginning
July
1,
24
2015,
and
ending
June
30,
2016,
the
following
amount,
25
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
26
purpose
designated:
27
For
development
and
coordination
of
volunteer
28
services:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
30
Sec.
29.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
31
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
32
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
33
1.
a.
(1)
For
the
period
beginning
July
1,
2015,
34
and
ending
December
31,
2015,
the
total
state
funding
35
amount
for
the
nursing
facility
budget
shall
not
exceed
36
$160,950,003.
Beginning
January
1,
2016,
medical
37
assistance
program
managed
care
contractors
shall
be
38
responsible
for
nursing
facility
payments
and
aggregate
39
spending
shall
be
limited
to
the
actuarially
sound
40
capitation
rates
in
effect
for
that
period.
41
(2)
For
the
fiscal
year
beginning
July
1,
2015,
42
the
department
shall
rebase
case-mix
nursing
facility
43
rates
effective
July
1,
2015.
However,
total
nursing
44
facility
budget
expenditures,
for
the
period
beginning
45
July
1,
2015,
and
ending
December
31,
2015,
including
46
both
case-mix
and
noncase-mix,
shall
not
exceed
the
47
amount
specified
in
subparagraph
(1).
When
calculating
48
case-mix
per
diem
cost
and
the
patient-day-weighted
49
medians
used
in
rate-setting
for
nursing
facilities
50
-44-
SF505.1913
(13)
86
pf/rh/rj
44/
123
effective
July
1,
2015,
the
inflation
factor
applied
1
from
the
midpoint
of
the
cost
report
period
to
the
2
first
day
of
the
state
fiscal
year
rate
period
shall
be
3
adjusted
to
maintain
state
funding
within
the
amount
4
specified
in
subparagraph
(1).
5
(3)
The
department,
in
cooperation
with
nursing
6
facility
representatives,
shall
review
projections
for
7
state
funding
expenditures
for
reimbursement
of
nursing
8
facilities
on
a
quarterly
basis
and
the
department
9
shall
determine
if
an
adjustment
to
the
medical
10
assistance
reimbursement
rate
is
necessary
in
order
to
11
provide
reimbursement
within
the
state
funding
amount
12
for
the
fiscal
year.
Notwithstanding
2001
Iowa
Acts,
13
chapter
192,
section
4,
subsection
2,
paragraph
“c”,
14
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
if
15
the
state
funding
expenditures
for
the
nursing
facility
16
budget
for
the
fiscal
year
are
projected
to
exceed
the
17
amount
specified
in
subparagraph
(1),
the
department
18
shall
adjust
the
reimbursement
for
nursing
facilities
19
reimbursed
under
the
case-mix
reimbursement
system
to
20
maintain
expenditures
of
the
nursing
facility
budget
21
within
the
specified
amount
for
the
fiscal
year.
22
(4)
For
the
fiscal
year
beginning
July
1,
2015,
23
special
population
nursing
facilities
shall
be
24
reimbursed
in
accordance
with
the
methodology
in
effect
25
on
June
30,
2015.
26
b.
(1)
For
the
fiscal
year
beginning
July
1,
27
2015,
the
department
shall
establish
the
pharmacy
28
dispensing
fee
reimbursement
at
$11.73
per
prescription
29
as
determined
by
the
June
2014
cost
of
dispensing
fee
30
survey.
31
(2)
The
department
shall
utilize
an
average
32
acquisition
cost
reimbursement
methodology
for
all
33
drugs
covered
under
the
medical
assistance
program
in
34
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
35
33.
36
(3)
Notwithstanding
subparagraph
(2),
if
the
37
centers
for
Medicare
and
Medicaid
services
of
the
38
United
States
department
of
health
and
human
services
39
(CMS)
requires,
as
a
condition
of
federal
Medicaid
40
funding,
that
the
department
implement
an
aggregate
41
federal
upper
limit
(FUL)
for
drug
reimbursement
42
based
on
the
average
manufacturer’s
price
(AMP),
the
43
department
may
utilize
a
reimbursement
methodology
for
44
all
drugs
covered
under
the
Medicaid
program
based
on
45
the
national
average
drug
acquisition
cost
(NADAC)
46
methodology
published
by
CMS,
in
order
to
assure
47
compliance
with
the
aggregate
FUL,
minimize
outcomes
48
of
drug
reimbursements
below
pharmacy
acquisition
49
costs,
limit
administrative
costs,
and
minimize
any
50
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change
in
the
aggregate
reimbursement
for
drugs.
The
1
department
may
adopt
emergency
rules
to
implement
this
2
subparagraph.
3
c.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
4
reimbursement
rates
for
outpatient
hospital
services
5
shall
remain
at
the
rates
in
effect
on
June
30,
2015,
6
subject
to
Medicaid
program
upper
payment
limit
rules.
7
(2)
For
the
fiscal
year
beginning
July
1,
2015,
8
reimbursement
rates
for
inpatient
hospital
services
9
shall
be
rebased
effective
October
1,
2015,
subject
to
10
Medicaid
program
upper
payment
limit
rules
and
adjusted
11
as
necessary
to
maintain
expenditures
within
the
amount
12
appropriated
to
the
department
for
this
purpose
for
the
13
fiscal
year.
14
(3)
For
the
fiscal
year
beginning
July
1,
2015,
15
the
graduate
medical
education
and
disproportionate
16
share
hospital
fund
amount
shall
remain
at
the
amount
17
in
effect
on
June
30,
2015,
except
that
the
portion
of
18
the
fund
attributable
to
graduate
medical
education
19
shall
be
reduced
in
an
amount
that
reflects
the
20
elimination
of
graduate
medical
education
payments
made
21
to
out-of-state
hospitals.
22
(4)
In
order
to
ensure
the
efficient
use
of
limited
23
state
funds
in
procuring
health
care
services
for
24
low-income
Iowans,
funds
appropriated
in
this
Act
for
25
hospital
services
shall
not
be
used
for
activities
26
which
would
be
excluded
from
a
determination
of
27
reasonable
costs
under
the
federal
Medicare
program
28
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
29
d.
For
the
fiscal
year
beginning
July
1,
2015,
30
reimbursement
rates
for
rural
health
clinics,
hospices,
31
and
acute
mental
hospitals
shall
be
increased
in
32
accordance
with
increases
under
the
federal
Medicare
33
program
or
as
supported
by
their
Medicare
audited
34
costs.
35
e.
For
the
fiscal
year
beginning
July
1,
2015,
36
independent
laboratories
and
rehabilitation
agencies
37
shall
be
reimbursed
based
on
the
same
methodology
in
38
effect
on
June
30,
2015.
39
f.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
40
reimbursement
rates
for
home
health
agencies
shall
41
continue
to
be
based
on
the
Medicare
low
utilization
42
payment
adjustment
(LUPA)
methodology
with
state
43
geographic
wage
adjustments,
and
updated
to
reflect
the
44
most
recent
Medicare
LUPA
rates.
45
(2)
For
the
fiscal
year
beginning
July
1,
2015,
46
rates
for
private
duty
nursing
and
personal
care
47
services
under
the
early
and
periodic
screening,
48
diagnostic,
and
treatment
program
benefit
shall
be
49
calculated
based
on
the
methodology
in
effect
on
June
50
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123
30,
2015.
1
g.
For
the
fiscal
year
beginning
July
1,
2015,
2
federally
qualified
health
centers
shall
receive
3
cost-based
reimbursement
for
100
percent
of
the
4
reasonable
costs
for
the
provision
of
services
to
5
recipients
of
medical
assistance.
6
h.
For
the
fiscal
year
beginning
July
1,
2015,
the
7
reimbursement
rates
for
dental
services
shall
remain
at
8
the
rates
in
effect
on
June
30,
2015.
9
i.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
10
for
the
nonstate-owned
psychiatric
medical
institutions
11
for
children,
reimbursement
rates
shall
be
based
on
the
12
reimbursement
methodology
developed
by
the
department
13
as
required
for
federal
compliance.
14
(2)
As
a
condition
of
participation
in
the
medical
15
assistance
program,
enrolled
providers
shall
accept
the
16
medical
assistance
reimbursement
rate
for
any
covered
17
goods
or
services
provided
to
recipients
of
medical
18
assistance
who
are
children
under
the
custody
of
a
19
psychiatric
medical
institution
for
children.
20
j.
For
the
fiscal
year
beginning
July
1,
21
2015,
unless
otherwise
specified
in
this
Act,
22
all
noninstitutional
medical
assistance
provider
23
reimbursement
rates
shall
remain
at
the
rates
in
effect
24
on
June
30,
2015,
except
for
area
education
agencies,
25
local
education
agencies,
infant
and
toddler
services
26
providers,
home
and
community-based
services
providers
27
including
consumer-directed
attendant
care
providers
28
under
a
section
1915(c)
or
1915(i)
waiver,
targeted
29
case
management
providers,
and
those
providers
whose
30
rates
are
required
to
be
determined
pursuant
to
section
31
249A.20
.
32
k.
Notwithstanding
any
provision
to
the
contrary,
33
for
the
fiscal
year
beginning
July
1,
2015,
the
34
reimbursement
rate
for
anesthesiologists
shall
remain
35
at
the
rate
in
effect
on
June
30,
2015.
36
l.
Notwithstanding
section
249A.20,
for
the
fiscal
37
year
beginning
July
1,
2015,
the
average
reimbursement
38
rate
for
health
care
providers
eligible
for
use
of
the
39
federal
Medicare
resource-based
relative
value
scale
40
reimbursement
methodology
under
section
249A.20
shall
41
remain
at
the
rate
in
effect
on
June
30,
2015;
however,
42
this
rate
shall
not
exceed
the
maximum
level
authorized
43
by
the
federal
government.
44
m.
For
the
fiscal
year
beginning
July
1,
2015,
the
45
reimbursement
rate
for
residential
care
facilities
46
shall
not
be
less
than
the
minimum
payment
level
as
47
established
by
the
federal
government
to
meet
the
48
federally
mandated
maintenance
of
effort
requirement.
49
The
flat
reimbursement
rate
for
facilities
electing
not
50
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123
to
file
annual
cost
reports
shall
not
be
less
than
the
1
minimum
payment
level
as
established
by
the
federal
2
government
to
meet
the
federally
mandated
maintenance
3
of
effort
requirement.
4
n.
For
the
fiscal
year
beginning
July
1,
2015,
5
the
reimbursement
rates
for
inpatient
mental
health
6
services
provided
at
hospitals
shall
be
rebased
7
effective
October
1,
2015,
subject
to
Medicaid
program
8
upper
payment
limit
rules;
and
psychiatrists
shall
9
be
reimbursed
at
the
medical
assistance
program
10
fee-for-service
rate
in
effect
on
June
30,
2015.
11
o.
For
the
fiscal
year
beginning
July
1,
2015,
12
community
mental
health
centers
may
choose
to
be
13
reimbursed
for
the
services
provided
to
recipients
of
14
medical
assistance
through
either
of
the
following
15
options:
16
(1)
For
100
percent
of
the
reasonable
costs
of
the
17
services.
18
(2)
In
accordance
with
the
alternative
19
reimbursement
rate
methodology
established
by
the
20
medical
assistance
program’s
managed
care
contractor
21
for
mental
health
services
and
approved
by
the
22
department
of
human
services.
23
p.
For
the
fiscal
year
beginning
July
1,
2015,
24
the
upper
limits
on
reimbursement
rates
for
providers
25
of
home
and
community-based
services
waiver
services
26
shall
be
the
same
as
the
limits
in
effect
on
June
30,
27
2015,
except
that
the
department
shall
implement
cost
28
containment
strategies
related
to
modified
payment
29
limits
for
waiver
services
as
recommended
by
the
30
governor
for
the
fiscal
year.
31
q.
For
the
fiscal
year
beginning
July
1,
2015,
32
the
reimbursement
rates
for
emergency
medical
service
33
providers
shall
remain
at
the
rates
in
effect
on
June
34
30,
2015.
35
r.
Beginning
January
1,
2016,
reimbursement
rates
36
for
supported
employment
services
provided
under
a
37
Medicaid
home
and
community-based
services
waiver
shall
38
be
increased
by
20
percent
over
the
rates
in
effect
on
39
June
30,
2015.
40
2.
For
the
fiscal
year
beginning
July
1,
2015,
the
41
reimbursement
rate
for
providers
reimbursed
under
the
42
in-home-related
care
program
shall
not
be
less
than
the
43
minimum
payment
level
as
established
by
the
federal
44
government
to
meet
the
federally
mandated
maintenance
45
of
effort
requirement.
46
3.
Unless
otherwise
directed
in
this
section,
when
47
the
department’s
reimbursement
methodology
for
any
48
provider
reimbursed
in
accordance
with
this
section
49
includes
an
inflation
factor,
this
factor
shall
not
50
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123
exceed
the
amount
by
which
the
consumer
price
index
for
1
all
urban
consumers
increased
during
the
calendar
year
2
ending
December
31,
2002.
3
4.
For
the
fiscal
year
beginning
July
1,
2015,
4
the
foster
family
basic
daily
maintenance
rate
and
5
the
maximum
adoption
subsidy
rate
for
children
ages
0
6
through
5
years
shall
be
$16.78,
the
rate
for
children
7
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
8
children
ages
12
through
15
years
shall
be
$19.10,
9
and
the
rate
for
children
and
young
adults
ages
16
10
and
older
shall
be
$19.35.
For
youth
ages
18
to
11
21
who
have
exited
foster
care,
the
preparation
for
12
adult
living
program
maintenance
rate
shall
be
$602.70
13
per
month.
The
maximum
payment
for
adoption
subsidy
14
nonrecurring
expenses
shall
be
limited
to
$500
and
the
15
disallowance
of
additional
amounts
for
court
costs
and
16
other
related
legal
expenses
implemented
pursuant
to
17
2010
Iowa
Acts,
chapter
1031,
section
408,
shall
be
18
continued.
19
5.
For
the
fiscal
year
beginning
July
1,
2015,
20
the
maximum
reimbursement
rates
under
the
supervised
21
apartment
living
program
and
for
social
services
22
providers
under
contract
shall
remain
at
the
rates
23
in
effect
on
June
30,
2015,
or
the
provider’s
actual
24
and
allowable
cost
plus
inflation
for
each
service,
25
whichever
is
less.
However,
if
a
new
service
or
26
service
provider
is
added
after
June
30,
2015,
the
27
initial
reimbursement
rate
for
the
service
or
provider
28
shall
be
based
upon
a
weighted
average
of
provider
29
rates
for
similar
services.
30
6.
The
reimbursement
rates
for
family-centered
31
service
providers,
family
foster
care
service
32
providers,
and
the
resource
family
recruitment
and
33
retention
contractor
for
the
fiscal
year
beginning
July
34
1,
2015,
shall
remain
at
the
rates
in
effect
on
June
35
30,
2015.
36
7.
a.
For
the
purposes
of
this
subsection,
37
“combined
reimbursement
rate”
means
the
combined
38
service
and
maintenance
reimbursement
rate
for
a
39
service
level
under
the
department’s
reimbursement
40
methodology.
Effective
July
1,
2015,
the
combined
41
reimbursement
rate
for
a
group
foster
care
service
42
level
shall
be
the
amount
designated
in
this
43
subsection.
However,
if
a
group
foster
care
provider’s
44
reimbursement
rate
for
a
service
level
as
of
June
45
30,
2015,
is
more
than
the
rate
designated
in
this
46
subsection,
the
provider’s
reimbursement
shall
remain
47
at
the
higher
rate.
48
b.
Unless
a
group
foster
care
provider
is
subject
49
to
the
exception
provided
in
paragraph
“a”,
effective
50
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July
1,
2015,
the
combined
reimbursement
rates
for
the
1
service
levels
under
the
department’s
reimbursement
2
methodology
shall
be
as
follows:
3
(1)
For
service
level,
community
-
D1,
the
daily
4
rate
shall
be
at
least
$84.17.
5
(2)
For
service
level,
comprehensive
-
D2,
the
6
daily
rate
shall
be
at
least
$119.09.
7
(3)
For
service
level,
enhanced
-
D3,
the
daily
8
rate
shall
be
at
least
$131.09.
9
8.
The
group
foster
care
reimbursement
rates
10
paid
for
placement
of
children
out
of
state
shall
11
be
calculated
according
to
the
same
rate-setting
12
principles
as
those
used
for
in-state
providers,
13
unless
the
director
of
human
services
or
the
director’s
14
designee
determines
that
appropriate
care
cannot
be
15
provided
within
the
state.
The
payment
of
the
daily
16
rate
shall
be
based
on
the
number
of
days
in
the
17
calendar
month
in
which
service
is
provided.
18
9.
a.
For
the
fiscal
year
beginning
July
1,
2015,
19
the
reimbursement
rate
paid
for
shelter
care
and
20
the
child
welfare
emergency
services
implemented
to
21
provide
or
prevent
the
need
for
shelter
care
shall
be
22
established
by
contract.
23
b.
For
the
fiscal
year
beginning
July
1,
2015,
24
the
combined
service
and
maintenance
components
of
25
the
reimbursement
rate
paid
for
shelter
care
services
26
shall
be
based
on
the
financial
and
statistical
report
27
submitted
to
the
department.
The
maximum
reimbursement
28
rate
shall
be
$96.98
per
day.
The
department
shall
29
reimburse
a
shelter
care
provider
at
the
provider’s
30
actual
and
allowable
unit
cost,
plus
inflation,
not
to
31
exceed
the
maximum
reimbursement
rate.
32
c.
Notwithstanding
section
232.141,
subsection
8
,
33
for
the
fiscal
year
beginning
July
1,
2015,
the
amount
34
of
the
statewide
average
of
the
actual
and
allowable
35
rates
for
reimbursement
of
juvenile
shelter
care
homes
36
that
is
utilized
for
the
limitation
on
recovery
of
37
unpaid
costs
is
$143.63.
38
10.
For
the
fiscal
year
beginning
July
1,
2015,
39
the
department
shall
calculate
reimbursement
rates
40
for
intermediate
care
facilities
for
persons
with
41
an
intellectual
disability
at
the
80th
percentile.
42
Beginning
July
1,
2015,
the
rate
calculation
43
methodology
shall
utilize
the
consumer
price
index
44
inflation
factor
applicable
to
the
fiscal
year
45
beginning
July
1,
2015.
46
11.
For
the
fiscal
year
beginning
July
1,
2015,
47
for
child
care
providers
reimbursed
under
the
state
48
child
care
assistance
program,
the
department
shall
49
set
provider
reimbursement
rates
based
on
the
rate
50
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86
pf/rh/rj
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123
reimbursement
survey
completed
in
December
2004.
1
Effective
July
1,
2015,
the
child
care
provider
2
reimbursement
rates
shall
remain
at
the
rates
in
effect
3
on
June
30,
2015.
The
department
shall
set
rates
in
a
4
manner
so
as
to
provide
incentives
for
a
nonregistered
5
provider
to
become
registered
by
applying
the
increase
6
only
to
registered
and
licensed
providers.
7
12.
The
department
may
adopt
emergency
rules
to
8
implement
this
section.
9
Sec.
30.
EMERGENCY
RULES.
10
1.
If
specifically
authorized
by
a
provision
11
of
this
division
of
this
Act,
the
department
of
12
human
services
or
the
mental
health
and
disability
13
services
commission
may
adopt
administrative
rules
14
under
section
17A.4,
subsection
3,
and
section
15
17A.5,
subsection
2,
paragraph
“b”,
to
implement
16
the
provisions
of
this
division
of
this
Act
and
the
17
rules
shall
become
effective
immediately
upon
filing
18
or
on
a
later
effective
date
specified
in
the
rules,
19
unless
the
effective
date
of
the
rules
is
delayed
or
20
the
applicability
of
the
rules
is
suspended
by
the
21
administrative
rules
review
committee.
Any
rules
22
adopted
in
accordance
with
this
section
shall
not
23
take
effect
before
the
rules
are
reviewed
by
the
24
administrative
rules
review
committee.
The
delay
25
authority
provided
to
the
administrative
rules
review
26
committee
under
section
17A.4,
subsection
7,
and
27
section
17A.8,
subsection
9,
shall
be
applicable
to
a
28
delay
imposed
under
this
section,
notwithstanding
a
29
provision
in
those
sections
making
them
inapplicable
30
to
section
17A.5,
subsection
2,
paragraph
“b”.
Any
31
rules
adopted
in
accordance
with
the
provisions
of
this
32
section
shall
also
be
published
as
a
notice
of
intended
33
action
as
provided
in
section
17A.4.
34
2.
If
during
a
fiscal
year,
the
department
of
35
human
services
is
adopting
rules
in
accordance
with
36
this
section
or
as
otherwise
directed
or
authorized
37
by
state
law,
and
the
rules
will
result
in
an
38
expenditure
increase
beyond
the
amount
anticipated
39
in
the
budget
process
or
if
the
expenditure
was
not
40
addressed
in
the
budget
process
for
the
fiscal
year,
41
the
department
shall
notify
the
persons
designated
by
42
this
division
of
this
Act
for
submission
of
reports,
43
the
chairpersons
and
ranking
members
of
the
committees
44
on
appropriations,
and
the
department
of
management
45
concerning
the
rules
and
the
expenditure
increase.
The
46
notification
shall
be
provided
at
least
30
calendar
47
days
prior
to
the
date
notice
of
the
rules
is
submitted
48
to
the
administrative
rules
coordinator
and
the
49
administrative
code
editor.
50
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86
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51/
123
Sec.
31.
REPORTS.
Any
reports
or
other
information
1
required
to
be
compiled
and
submitted
under
this
Act
2
during
the
fiscal
year
beginning
July
1,
2015,
shall
3
be
submitted
to
the
chairpersons
and
ranking
members
4
of
the
joint
appropriations
subcommittee
on
health
and
5
human
services,
the
legislative
services
agency,
and
6
the
legislative
caucus
staffs
on
or
before
the
dates
7
specified
for
submission
of
the
reports
or
information.
8
Sec.
32.
EFFECTIVE
UPON
ENACTMENT.
The
following
9
provisions
of
this
division
of
this
Act,
being
deemed
10
of
immediate
importance,
take
effect
upon
enactment:
11
1.
The
provision
relating
to
section
232.141
12
and
directing
the
state
court
administrator
and
the
13
division
administrator
of
the
department
of
human
14
services
division
of
child
and
family
services
to
15
make
the
determination,
by
June
15,
2015,
of
the
16
distribution
of
funds
allocated
for
the
payment
of
17
the
expenses
of
court-ordered
services
provided
to
18
juveniles
which
are
a
charge
upon
the
state.
19
DIVISION
VI
20
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2015-2016
21
Sec.
33.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
22
is
appropriated
from
the
pharmaceutical
settlement
23
account
created
in
section
249A.33
to
the
department
of
24
human
services
for
the
fiscal
year
beginning
July
1,
25
2015,
and
ending
June
30,
2016,
the
following
amount,
26
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purpose
designated:
28
Notwithstanding
any
provision
of
law
to
the
29
contrary,
to
supplement
the
appropriations
made
in
this
30
Act
for
medical
contracts
under
the
medical
assistance
31
program
for
the
fiscal
year
beginning
July
1,
2015,
and
32
ending
June
30,
2016:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,002,176
34
Sec.
34.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
35
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
36
the
contrary
and
subject
to
the
availability
of
funds,
37
there
is
appropriated
from
the
quality
assurance
trust
38
fund
created
in
section
249L.4
to
the
department
of
39
human
services
for
the
fiscal
year
beginning
July
1,
40
2015,
and
ending
June
30,
2016,
the
following
amounts,
41
or
so
much
thereof
as
is
necessary,
for
the
purposes
42
designated:
43
To
supplement
the
appropriation
made
in
this
Act
44
from
the
general
fund
of
the
state
to
the
department
45
of
human
services
for
medical
assistance
for
the
same
46
fiscal
year:
47
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,705,208
48
Sec.
35.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
49
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
50
-52-
SF505.1913
(13)
86
pf/rh/rj
52/
123
any
provision
to
the
contrary
and
subject
to
the
1
availability
of
funds,
there
is
appropriated
from
2
the
hospital
health
care
access
trust
fund
created
in
3
section
249M.4
to
the
department
of
human
services
for
4
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
5
30,
2016,
the
following
amounts,
or
so
much
thereof
as
6
is
necessary,
for
the
purposes
designated:
7
To
supplement
the
appropriation
made
in
this
Act
8
from
the
general
fund
of
the
state
to
the
department
9
of
human
services
for
medical
assistance
for
the
same
10
fiscal
year:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,700,000
12
Sec.
36.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
13
FOR
FY
2015-2016.
Notwithstanding
section
8.33
,
14
if
moneys
appropriated
for
purposes
of
the
medical
15
assistance
program
for
the
fiscal
year
beginning
16
July
1,
2015,
and
ending
June
30,
2016,
from
the
17
general
fund
of
the
state,
the
quality
assurance
18
trust
fund
and
the
hospital
health
care
access
trust
19
fund,
are
in
excess
of
actual
expenditures
for
the
20
medical
assistance
program
and
remain
unencumbered
or
21
unobligated
at
the
close
of
the
fiscal
year,
the
excess
22
moneys
shall
not
revert
but
shall
remain
available
for
23
expenditure
for
the
purposes
of
the
medical
assistance
24
program
until
the
close
of
the
succeeding
fiscal
year.
25
DIVISION
VII
26
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS
27
MEDICAID
OFFSET
PAID
BY
COUNTIES
IN
FY
2014-2015
28
Sec.
37.
Section
426B.3,
subsection
5,
paragraph
29
e,
subparagraph
(1),
Code
2015,
is
amended
to
read
as
30
follows:
31
(1)
(a)
If
the
county
receives
an
equalization
32
payment
in
the
fiscal
year
following
the
calculation
33
year,
the
county
shall
repay
the
Medicaid
offset
34
amount
to
the
state
from
that
equalization
payment.
A
35
county’s
repayment
pursuant
to
this
subparagraph
shall
36
be
remitted
on
or
before
January
1
of
the
fiscal
year
37
in
which
the
equalization
payment
is
received
and
the
38
repayment
shall
be
credited
to
the
property
tax
relief
39
fund.
Moneys
credited
to
the
property
tax
relief
40
fund
in
accordance
with
this
subparagraph
are
subject
41
to
appropriation
by
the
general
assembly
to
support
42
mental
health
and
disability
services
administered
43
by
the
regional
system.
The
department
of
human
44
services’
annual
budget
shall
include
recommendations
45
for
reinvestment
of
the
amounts
credited
to
the
fund
to
46
address
core
and
additional
core
services
administered
47
by
the
regional
system.
48
(b)
Notwithstanding
any
provision
to
the
contrary
49
in
subparagraph
division
(a),
during
the
fiscal
year
50
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86
pf/rh/rj
53/
123
beginning
July
1,
2014,
any
repayment
received
pursuant
1
to
subparagraph
division
(a)
shall
not
be
subject
to
2
appropriation
by
the
general
assembly
to
support
mental
3
health
and
disabilities
services
administered
by
the
4
regional
system,
but
instead
shall
be
transferred
to
5
the
department
of
human
services
to
supplement
the
6
medical
assistance
program
appropriations
for
the
same
7
fiscal
year.
8
DECATEGORIZATION
9
Sec.
38.
DECATEGORIZATION
CARRYOVER
FUNDING
——
10
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
11
232.188,
subsection
5,
paragraph
“b”,
any
state
12
appropriated
moneys
in
the
funding
pool
that
remained
13
unencumbered
or
unobligated
at
the
close
of
the
fiscal
14
year
beginning
July
1,
2012,
and
were
deemed
carryover
15
funding
to
remain
available
for
the
two
succeeding
16
fiscal
years
that
still
remain
unencumbered
or
17
unobligated
at
the
close
of
the
fiscal
year
beginning
18
July
1,
2014,
shall
not
revert
but
shall
be
transferred
19
to
the
medical
assistance
program
for
the
fiscal
year
20
beginning
July
1,
2014.
21
COMMUNITY
MENTAL
HEALTH
SERVICES
APPROPRIATION
22
Sec.
39.
2013
Iowa
Acts,
chapter
136,
section
23
2,
subsection
1,
paragraph
c,
is
amended
to
read
as
24
follows:
25
c.
The
department
shall
allocate
not
less
than
26
95
percent
of
the
amount
of
the
block
grant
each
27
federal
fiscal
year
to
eligible
community
mental
health
28
services
providers
for
carrying
out
the
plan
submitted
29
to
and
approved
by
the
federal
substance
abuse
and
30
mental
health
services
administration
for
the
fiscal
31
year
involved
,
except
that
for
federal
fiscal
year
32
2014-2015,
$1,643,467
of
such
federal
block
grant
funds
33
shall
be
used
for
child
and
family
services
pursuant
to
34
2013
Iowa
Acts,
chapter
138,
section
148,
as
amended
35
by
2014
Iowa
Acts,
chapter
1140,
section
25,
for
the
36
purposes
of
2014
Iowa
Acts,
chapter
1140,
section
25,
37
subsection
20,
relating
to
the
community
circle
of
38
care
collaboration
for
children
and
youth
in
northeast
39
Iowa,
subsection
24
relating
to
the
central
Iowa
system
40
of
care
program
grant,
subsection
25
relating
to
the
41
system
of
care
grant
implemented
in
Cerro
Gordo
and
42
Linn
counties,
and
subsection
27
relating
to
a
system
43
of
care
approach
for
children
with
a
serious
emotional
44
disturbance
and
their
families
through
a
nonprofit
45
provider
of
child
welfare
services
licensed
as
a
46
psychiatric
medical
institution
for
children
.
47
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
48
Sec.
40.
2013
Iowa
Acts,
chapter
138,
section
136,
49
subsections
1,
2,
6,
and
13,
as
amended
by
2014
Iowa
50
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86
pf/rh/rj
54/
123
Acts,
chapter
1140,
section
9,
are
amended
to
read
as
1
follows:
2
1.
To
be
credited
to
the
family
investment
program
3
account
and
used
for
assistance
under
the
family
4
investment
program
under
chapter
239B
:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,879,488
6
6,281,222
7
2.
To
be
credited
to
the
family
investment
program
8
account
and
used
for
the
job
opportunities
and
9
basic
skills
(JOBS)
program
and
implementing
family
10
investment
agreements
in
accordance
with
chapter
239B
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,091,911
12
10,232,340
13
6.
For
state
child
care
assistance:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
15
41,210,239
16
a.
Of
the
funds
appropriated
in
this
subsection,
17
$26,347,110
$26,332,712
is
transferred
to
the
child
18
care
and
development
block
grant
appropriation
made
by
19
the
Eighty-fifth
General
Assembly,
2013
Session,
in
20
2013
Iowa
Acts,
chapter
136,
section
14
for
the
federal
21
fiscal
year
beginning
October
1,
2014,
and
ending
22
September
30,
2015.
Of
this
amount,
$200,000
shall
23
be
used
for
provision
of
educational
opportunities
24
to
registered
child
care
home
providers
in
order
to
25
improve
services
and
programs
offered
by
this
category
26
of
providers
and
to
increase
the
number
of
providers.
27
The
department
may
contract
with
institutions
of
higher
28
education
or
child
care
resource
and
referral
centers
29
to
provide
the
educational
opportunities.
Allowable
30
administrative
costs
under
the
contracts
shall
not
31
exceed
5
percent.
The
application
for
a
grant
shall
32
not
exceed
two
pages
in
length.
33
b.
Any
funds
appropriated
in
this
subsection
34
remaining
unallocated
shall
be
used
for
state
child
35
care
assistance
payments
for
families
who
are
employed,
36
including
but
not
limited
to
individuals
enrolled
in
37
the
family
investment
program
who
are
employed
.
38
13.
a.
Notwithstanding
any
provision
to
the
39
contrary,
including
but
not
limited
to
requirements
40
in
section
8.41
or
provisions
in
2013
or
2014
Iowa
41
Acts
regarding
the
receipt
and
appropriation
of
42
federal
block
grants,
federal
funds
from
the
temporary
43
assistance
for
needy
families
block
grant
received
by
44
the
state
not
otherwise
appropriated
in
this
section
45
and
remaining
available
for
the
fiscal
year
beginning
46
July
1,
2014,
are
appropriated
to
the
department
of
47
human
services
to
the
extent
as
may
be
necessary
to
48
be
used
in
the
following
priority
order:
the
family
49
investment
program,
for
state
child
care
assistance
50
-55-
SF505.1913
(13)
86
pf/rh/rj
55/
123
program
payments
for
individuals
enrolled
in
the
1
family
investment
program
families
who
are
employed
2
including
but
not
limited
to
individuals
enrolled
3
in
the
family
investment
program
,
and
for
the
family
4
investment
program
share
of
costs
to
develop
and
5
maintain
a
new,
integrated
eligibility
determination
6
system.
The
federal
funds
appropriated
in
this
7
paragraph
“a”
shall
be
expended
only
after
all
other
8
funds
appropriated
in
subsection
1
for
the
assistance
9
under
the
family
investment
program,
in
subsection
6
10
for
child
care
assistance,
or
in
subsection
12
for
11
the
family
investment
program
share
of
the
costs
to
12
continue
to
develop
and
maintain
a
new,
integrated
13
eligibility
determination
system,
as
applicable,
have
14
been
expended.
For
the
purposes
of
this
subsection,
15
the
funds
appropriated
in
subsection
6,
paragraph
“a”,
16
for
transfer
to
the
child
care
and
development
block
17
grant
are
considered
fully
expended
when
the
full
18
amount
has
been
transferred.
19
b.
The
department
shall,
on
a
quarterly
basis,
20
advise
the
legislative
services
agency
and
department
21
of
management
of
the
amount
of
funds
appropriated
in
22
this
subsection
that
was
expended
in
the
prior
quarter.
23
CHILD
SUPPORT
RECOVERY
UNIT
24
Sec.
41.
2013
Iowa
Acts,
chapter
138,
section
25
139,
unnumbered
paragraph
2,
as
amended
by
2014
Iowa
26
Acts,
chapter
1140,
section
12,
is
amended
to
read
as
27
follows:
28
For
child
support
recovery,
including
salaries,
29
support,
maintenance,
and
miscellaneous
purposes,
and
30
for
not
more
than
the
following
full-time
equivalent
31
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,911,230
33
14,771,230
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
35
MEDICAL
ASSISTANCE
36
Sec.
42.
2013
Iowa
Acts,
chapter
139,
section
37
142,
unnumbered
paragraph
2,
as
amended
by
2014
Iowa
38
Acts,
chapter
1140,
section
14,
is
amended
to
read
as
39
follows:
40
For
medical
assistance
program
reimbursement
and
41
associated
costs
as
specifically
provided
in
the
42
reimbursement
methodologies
in
effect
on
June
30,
43
2014,
except
as
otherwise
expressly
authorized
by
44
law,
consistent
with
options
under
federal
law
and
45
regulations,
and
contingent
upon
receipt
of
approval
46
from
the
office
of
the
governor
of
reimbursement
for
47
each
abortion
performed
under
the
program:
48
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,658,393
49
1,279,927,030
50
-56-
SF505.1913
(13)
86
pf/rh/rj
56/
123
DISPROPORTIONATE
SHARE
HOSPITAL
1
Sec.
43.
2013
Iowa
Acts,
chapter
138,
section
142,
2
subsection
11,
paragraph
a,
unnumbered
paragraph
1,
as
3
amended
by
2014
Iowa
Acts,
chapter
1140,
section
15,
is
4
amended
to
read
as
follows:
5
Of
the
funds
appropriated
in
this
section,
6
$8,391,922
$5,591,922
is
allocated
for
the
state
7
match
for
a
disproportionate
share
hospital
payment
of
8
$19,133,430
$12,749,481
to
hospitals
that
meet
both
of
9
the
conditions
specified
in
subparagraphs
(1)
and
(2).
10
In
addition,
the
hospitals
that
meet
the
conditions
11
specified
shall
either
certify
public
expenditures
12
or
transfer
to
the
medical
assistance
program
an
13
amount
equal
to
provide
the
nonfederal
share
for
a
14
disproportionate
share
hospital
payment
of
$7,500,000
15
$13,883,949
.
The
hospitals
that
meet
the
conditions
16
specified
shall
receive
and
retain
100
percent
of
17
the
total
disproportionate
share
hospital
payment
of
18
$26,633,430.
19
MEDICAL
CONTRACTS
20
Sec.
44.
2013
Iowa
Acts,
chapter
138,
section
143,
21
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
22
Acts,
chapter
1140,
section
19,
are
amended
to
read
as
23
follows:
24
There
is
appropriated
from
the
general
fund
of
the
25
state
to
the
department
of
human
services
for
the
26
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
27
2015,
the
following
amount,
or
so
much
thereof
as
is
28
necessary,
to
be
used
for
the
purpose
designated:
29
For
medical
contracts:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,148,576
31
16,398,576
32
STATE
SUPPLEMENTARY
ASSISTANCE
33
Sec.
45.
2013
Iowa
Acts,
chapter
138,
section
144,
34
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
20,
35
is
amended
by
adding
the
following
new
subsection:
36
NEW
SUBSECTION
.
4.
Notwithstanding
section
37
8.33,
moneys
appropriated
in
this
section
that
remain
38
unencumbered
or
unobligated
at
the
close
of
the
fiscal
39
year
shall
not
revert
but
shall
remain
available
for
40
expenditure
for
the
purposes
designated
until
the
close
41
of
the
succeeding
fiscal
year.
42
CHILDREN’S
HEALTH
INSURANCE
PROGRAM/
43
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
44
Sec.
46.
2013
Iowa
Acts,
chapter
138,
section
145,
45
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
46
1140,
section
21,
is
amended
to
read
as
follows:
47
1.
There
is
appropriated
from
the
general
fund
of
48
the
state
to
the
department
of
human
services
for
the
49
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
50
-57-
SF505.1913
(13)
86
pf/rh/rj
57/
123
2015,
the
following
amount,
or
so
much
thereof
as
is
1
necessary,
to
be
used
for
the
purpose
designated:
2
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
3
(hawk-i)
program
pursuant
to
chapter
514I
,
including
4
supplemental
dental
services,
for
receipt
of
federal
5
financial
participation
under
Tit.
XXI
of
the
federal
6
Social
Security
Act,
which
creates
the
children’s
7
health
insurance
program:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
45,877,998
9
45,097,085
10
CHILD
CARE
ASSISTANCE
11
Sec.
47.
2013
Iowa
Acts,
chapter
138,
section
146,
12
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
13
Acts,
chapter
1140,
section
22,
are
amended
to
read
as
14
follows:
15
There
is
appropriated
from
the
general
fund
of
the
16
state
to
the
department
of
human
services
for
the
17
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
18
2015,
the
following
amount,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purpose
designated:
20
For
child
care
programs:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,132,080
22
36,303,944
23
CHILDREN
ADJUDICATED
AS
DELINQUENT
AND
CHILD
IN
NEED
OF
24
ASSISTANCE
PLACEMENTS
25
Sec.
48.
2013
Iowa
Acts,
chapter
138,
unnumbered
26
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
27
chapter
1140,
section
24,
are
amended
to
read
as
28
follows:
29
There
is
appropriated
from
the
general
fund
of
the
30
state
to
the
department
of
human
services
for
the
31
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
32
2015,
the
following
amount,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purposes
designated:
34
For
the
placement
costs
of
female
children
35
adjudicated
as
delinquent
and
male
and
female
children
36
adjudicated
as
a
child
in
need
of
assistance:
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
38
1,400,000
39
CHILD
AND
FAMILY
SERVICES
40
Sec.
49.
2013
Iowa
Acts,
chapter
138,
section
148,
41
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
42
1140,
section
25,
is
amended
to
read
as
follows:
43
1.
There
is
appropriated
from
the
general
fund
of
44
the
state
to
the
department
of
human
services
for
the
45
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
46
2015,
the
following
amount,
or
so
much
thereof
as
is
47
necessary,
to
be
used
for
the
purpose
designated:
48
For
child
and
family
services:
49
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
94,857,554
50
-58-
SF505.1913
(13)
86
pf/rh/rj
58/
123
86,564,087
1
ADOPTION
SUBSIDY
2
Sec.
50.
2013
Iowa
Acts,
chapter
138,
section
149,
3
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
4
1140,
section
26,
is
amended
to
read
as
follows:
5
1.
There
is
appropriated
from
the
general
fund
of
6
the
state
to
the
department
of
human
services
for
the
7
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
8
2015,
the
following
amount,
or
so
much
thereof
as
is
9
necessary,
to
be
used
for
the
purpose
designated:
10
For
adoption
subsidy
payments
and
services:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,580,749
12
41,744,149
13
FAMILY
SUPPORT
SUBSIDY
14
Sec.
51.
2013
Iowa
Acts,
chapter
138,
section
151,
15
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
16
1140,
section
27,
is
amended
to
read
as
follows:
17
1.
There
is
appropriated
from
the
general
fund
of
18
the
state
to
the
department
of
human
services
for
the
19
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
20
2015,
the
following
amount,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purpose
designated:
22
For
the
family
support
subsidy
program
subject
23
to
the
enrollment
restrictions
in
section
225C.37,
24
subsection
3
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,079,739
26
579,739
27
CLARINDA
AND
INDEPENDENCE
MENTAL
HEALTH
INSTITUTES
28
Sec.
52.
2013
Iowa
Acts,
chapter
138,
section
29
153,
subsections
2
and
3,
as
amended
by
2014
Iowa
30
Acts,
chapter
1140,
section
29,
are
amended
to
read
as
31
follows:
32
2.
For
the
state
mental
health
institute
at
33
Clarinda
for
salaries,
support,
maintenance,
and
34
miscellaneous
purposes,
and
for
not
more
than
the
35
following
full-time
equivalent
positions:
36
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,787,309
37
6,239,309
38
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
39
3.
For
the
state
mental
health
institute
at
40
Independence
for
salaries,
support,
maintenance,
and
41
miscellaneous
purposes,
and
for
not
more
than
the
42
following
full-time
equivalent
positions:
43
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,484,386
44
10,342,865
45
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
46
GLENWOOD
AND
WOODWARD
STATE
RESOURCE
CENTERS
47
Sec.
53.
2013
Iowa
Acts,
chapter
138,
section
154,
48
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
49
1140,
section
30,
is
amended
to
read
as
follows:
50
-59-
SF505.1913
(13)
86
pf/rh/rj
59/
123
1.
There
is
appropriated
from
the
general
fund
of
1
the
state
to
the
department
of
human
services
for
the
2
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
3
2015,
the
following
amounts,
or
so
much
thereof
as
is
4
necessary,
to
be
used
for
the
purposes
designated:
5
a.
For
the
state
resource
center
at
Glenwood
for
6
salaries,
support,
maintenance,
and
miscellaneous
7
purposes:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,695,266
9
21,195,266
10
b.
For
the
state
resource
center
at
Woodward
for
11
salaries,
support,
maintenance,
and
miscellaneous
12
purposes:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,855,693
14
14,505,693
15
FIELD
OPERATIONS
16
Sec.
54.
2013
Iowa
Acts,
chapter
138,
section
156,
17
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
18
Acts,
chapter
1140,
section
32,
are
amended
to
read
as
19
follows:
20
There
is
appropriated
from
the
general
fund
of
the
21
state
to
the
department
of
human
services
for
the
22
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
23
2015,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purposes
designated:
25
For
field
operations,
including
salaries,
support,
26
maintenance,
and
miscellaneous
purposes,
and
for
not
27
more
than
the
following
full-time
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,170,976
29
61,170,976
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
31
GENERAL
ADMINISTRATION
32
Sec.
55.
2013
Iowa
Acts,
chapter
138,
section
157,
33
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
34
Acts,
chapter
1140,
section
33,
are
amended
to
read
as
35
follows:
36
There
is
appropriated
from
the
general
fund
of
the
37
state
to
the
department
of
human
services
for
the
38
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
39
2015,
the
following
amount,
or
so
much
thereof
as
is
40
necessary,
to
be
used
for
the
purpose
designated:
41
For
general
administration,
including
salaries,
42
support,
maintenance,
and
miscellaneous
purposes,
and
43
for
not
more
than
the
following
full-time
equivalent
44
positions:
45
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,072,302
46
15,072,302
47
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
48
QUALITY
ASSURANCE
TRUST
FUND
49
Sec.
56.
2013
Iowa
Acts,
chapter
138,
section
163,
50
-60-
SF505.1913
(13)
86
pf/rh/rj
60/
123
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
48,
1
is
amended
to
read
as
follows:
2
SEC.
163.
QUALITY
ASSURANCE
TRUST
FUND
——
3
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
4
any
provision
to
the
contrary
and
subject
to
the
5
availability
of
funds,
there
is
appropriated
from
the
6
quality
assurance
trust
fund
created
in
section
249L.4
7
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
9
following
amounts,
or
so
much
thereof
as
is
necessary,
10
for
the
purposes
designated:
11
To
supplement
the
appropriation
made
in
this
Act
12
from
the
general
fund
of
the
state
to
the
department
13
of
human
services
for
medical
assistance
for
the
same
14
fiscal
year:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,195,653
16
29,695,653
17
Sec.
57.
EFFECTIVE
UPON
ENACTMENT.
This
division
18
of
this
Act,
being
deemed
of
immediate
importance,
19
takes
effect
upon
enactment.
20
Sec.
58.
RETROACTIVE
APPLICABILITY.
This
division
21
of
this
Act
is
retroactively
applicable
to
July
1,
22
2014.
23
DIVISION
VIII
24
QUALITY
ASSURANCE
ASSESSMENT
25
Sec.
59.
Section
249L.3,
subsection
1,
paragraph
d,
26
Code
2015,
is
amended
to
read
as
follows:
27
d.
The
aggregate
quality
assurance
assessments
28
imposed
under
this
chapter
shall
not
exceed
the
lower
29
of
be
established
at
three
percent
of
the
aggregate
30
non-Medicare
revenues
of
a
nursing
facility
or
the
31
maximum
amount
that
may
be
assessed
pursuant
to
the
32
indirect
guarantee
threshold
as
established
pursuant
to
33
42
C.F.R.
§433.68(f)(3)(i),
and
shall
be
stated
on
a
34
per-patient-day
basis.
35
DIVISION
IX
36
AUTISM
37
Sec.
60.
NEW
SECTION
.
135.181
Behavior
analyst
38
and
board
certified
assistant
behavior
analyst
grants
39
program
——
fund.
40
1.
The
department
shall
establish
a
board-certified
41
behavior
analyst
and
board-certified
assistant
behavior
42
analyst
grants
program
to
provide
grants
to
Iowa
43
resident
and
nonresident
applicants
who
have
been
44
accepted
for
admission
or
are
attending
a
board
of
45
regents
university,
community
college,
or
an
accredited
46
private
institution,
are
enrolled
in
a
program
to
47
be
eligible
for
board
certification
as
a
behavior
48
analyst
or
assistant
behavior
analyst,
and
demonstrate
49
financial
need.
Priority
in
the
awarding
of
a
grant
50
-61-
SF505.1913
(13)
86
pf/rh/rj
61/
123
shall
be
given
to
applicants
who
are
residents
of
Iowa.
1
2.
The
department,
in
cooperation
with
the
2
department
of
education,
shall
adopt
rules
pursuant
3
to
chapter
17A
to
establish
minimum
standards
for
4
applicants
to
be
eligible
for
a
grant
that
address
all
5
of
the
following:
6
a.
Eligibility
requirements
for
and
qualifications
7
of
an
applicant
to
receive
a
grant.
8
b.
The
application
process
for
the
grant.
9
c.
Criteria
for
preference
in
awarding
of
the
10
grants.
11
d.
Determination
of
the
amount
of
a
grant.
12
e.
Use
of
the
funds
awarded.
13
3.
a.
A
board-certified
behavior
analyst
and
14
board-certified
assistant
behavior
analyst
grants
15
program
fund
is
created
in
the
state
treasury
as
a
16
separate
fund
under
the
control
of
the
department.
The
17
fund
shall
consist
of
moneys
appropriated
from
the
18
general
fund
of
the
state
for
the
purposes
of
the
fund
19
and
moneys
from
any
other
public
or
private
source
20
available.
21
b.
The
department
may
receive
contributions,
22
grants,
and
in-kind
contributions
to
support
the
23
purposes
of
the
fund.
Not
more
than
five
percent
24
of
the
moneys
in
the
fund
may
be
used
annually
for
25
administrative
costs.
26
c.
The
fund
shall
be
separate
from
the
general
27
fund
of
the
state
and
shall
not
be
considered
part
28
of
the
general
fund
of
the
state.
The
moneys
in
the
29
fund
shall
not
be
considered
revenue
of
the
state,
but
30
rather
shall
be
moneys
of
the
fund.
Moneys
within
31
the
fund
are
not
subject
to
section
8.33
and
shall
32
not
be
transferred,
used,
obligated,
appropriated,
33
or
otherwise
encumbered,
except
to
provide
for
the
34
purposes
of
this
section.
Notwithstanding
section
35
12C.7,
subsection
2,
interest
or
earnings
on
moneys
36
deposited
in
the
fund
shall
be
credited
to
the
fund.
37
d.
The
moneys
in
the
fund
are
appropriated
to
the
38
department
and
shall
be
used
to
provide
grants
to
39
individuals
who
meet
the
criteria
established
under
40
this
section.
41
Sec.
61.
Section
225D.1,
subsection
3,
Code
2015,
42
is
amended
to
read
as
follows:
43
3.
“Autism
service
provider”
means
a
person
44
providing
applied
behavioral
analysis,
who
meets
all
45
of
the
following
criteria:
46
a.
Is
any
of
the
following:
47
(1)
Is
certified
as
a
behavior
analyst
by
the
48
behavior
analyst
certification
board
or
is
a
health
49
professional
licensed
under
chapter
147
.
50
-62-
SF505.1913
(13)
86
pf/rh/rj
62/
123
(2)
Is
a
board-certified
assistant
behavior
analyst
1
who
performs
duties,
identified
by
and
based
on
the
2
standards
of
the
behavior
analyst
certification
board,
3
under
the
supervision
of
a
board-certified
behavior
4
analyst.
5
b.
Is
approved
as
a
member
of
the
provider
network
6
by
the
department.
7
Sec.
62.
Section
225D.2,
subsection
2,
Code
2015,
8
is
amended
by
adding
the
following
new
paragraph:
9
NEW
PARAGRAPH
.
l.
Proof
of
eligibility
for
the
10
autism
support
program
that
includes
a
written
denial
11
for
coverage
or
a
benefits
summary
indicating
that
12
applied
behavioral
analysis
treatment
is
not
a
covered
13
benefit
for
which
the
applicant
is
eligible,
under
the
14
Medicaid
program,
section
514C.28,
or
private
insurance
15
coverage.
16
DIVISION
X
17
OFFICE
OF
SUBSTITUTE
DECISION
MAKER
18
Sec.
63.
Section
231E.4,
subsection
3,
paragraph
a,
19
Code
2015,
is
amended
to
read
as
follows:
20
a.
Select
persons
through
a
request
for
proposals
21
process
to
establish
local
offices
of
substitute
22
decision
maker
in
each
of
the
planning
and
service
23
areas.
Local
offices
shall
be
established
statewide
on
24
or
before
July
1,
2015
2017
.
25
DIVISION
XI
26
PHARMACEUTICAL
COLLECTION
AND
DISPOSAL
PROGRAM
27
Sec.
64.
Section
155A.43,
Code
2015,
is
amended
to
28
read
as
follows:
29
155A.43
Pharmaceutical
collection
and
disposal
30
program
——
annual
allocation.
31
Of
the
fees
collected
pursuant
to
sections
124.301
32
and
147.80
and
chapter
155A
by
the
board
of
pharmacy,
33
and
retained
by
the
board
pursuant
to
section
147.82
,
34
not
more
than
one
hundred
twenty-five
seventy-five
35
thousand
dollars
may
be
allocated
annually
by
the
board
36
for
administering
the
pharmaceutical
collection
and
37
disposal
program
originally
established
pursuant
to
38
2009
Iowa
Acts,
ch.
175,
§9.
The
program
shall
provide
39
for
the
management
and
disposal
of
unused,
excess,
40
and
expired
pharmaceuticals.
The
board
of
pharmacy
41
may
cooperate
with
the
Iowa
pharmacy
association
and
42
may
consult
with
the
department
and
sanitary
landfill
43
operators
in
administering
the
program.
44
DIVISION
XII
45
COUNTY
MENTAL
HEALTH
AND
DISABILITIES
SERVICES
FUNDING
46
——
EQUALIZATION
AND
MEDICAID
OFFSET
47
Sec.
65.
Section
331.424A,
subsection
8,
unnumbered
48
paragraph
1,
Code
2015,
is
amended
to
read
as
follows:
49
Notwithstanding
subsection
6
,
for
the
fiscal
years
50
-63-
SF505.1913
(13)
86
pf/rh/rj
63/
123
beginning
July
1,
2013,
July
1,
2014,
and
July
1,
2015,
1
and
July
1,
2016,
county
revenues
from
taxes
levied
by
2
the
county
and
credited
to
the
county
services
fund
3
shall
not
exceed
the
lower
of
the
following
amounts:
4
Sec.
66.
Section
426B.3,
subsection
1,
Code
2015,
5
is
amended
to
read
as
follows:
6
1.
For
the
fiscal
years
beginning
July
1,
2013,
7
July
1,
2014,
and
July
1,
2015,
and
July
1,
2016,
8
the
state
and
county
funding
for
the
mental
health
9
and
disability
services
administered
or
paid
for
by
10
counties
shall
be
provided
based
on
a
statewide
per
11
capita
expenditure
target
amount
computed
in
accordance
12
with
this
section
and
section
331.424A
.
13
Sec.
67.
Section
426B.3,
subsection
4,
paragraph
a,
14
Code
2015,
is
amended
to
read
as
follows:
15
a.
For
the
fiscal
years
beginning
July
1,
2013,
16
July
1,
2014,
and
July
1,
2015,
and
July
1,
2016,
a
17
county
with
a
county
population
expenditure
target
18
amount
that
exceeds
the
amount
of
the
county’s
base
19
year
expenditures
for
mental
health
and
disabilities
20
services
shall
receive
an
equalization
payment
for
the
21
difference.
22
Sec.
68.
Section
426B.3,
subsection
5,
Code
2015,
23
is
amended
by
striking
the
subsection.
24
DIVISION
XIII
25
PROPERTY
TAX
RELIEF
FUND
——
BLOCK
GRANT
MONEYS
——
26
APPROPRIATIONS
FY
2015-2016
27
Sec.
69.
PROPERTY
TAX
RELIEF
FUND
——
BLOCK
GRANT
28
MONEYS
——
APPROPRIATIONS.
The
moneys
transferred
29
to
the
property
tax
relief
fund
for
the
fiscal
year
30
beginning
July
1,
2015,
from
the
federal
social
31
services
block
grant
pursuant
to
2015
Iowa
Acts,
House
32
File
630,
if
enacted,
and
from
the
federal
temporary
33
assistance
for
needy
families
block
grant,
totaling
at
34
least
$11,774,275,
are
appropriated
to
the
department
35
of
human
services
for
the
fiscal
year
beginning
July
36
1,
2015,
and
ending
June
30,
2016,
to
be
used
for
the
37
purposes
designated:
38
1.
To
be
transferred
to
the
appropriation
in
this
39
Act
for
child
and
family
services
for
the
fiscal
year
40
beginning
July
1,
2015,
to
be
used
for
the
purposes
of
41
that
appropriation:
42
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,711,805
43
2.
For
family
planning
activities
in
accordance
44
with
the
provisions
of
this
Act
creating
a
state
family
45
planning
services
program:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,062,470
47
DIVISION
XIV
48
HOSPITAL
AND
LONG-TERM
CARE
PHARMACY
PRACTICE
——
49
PNEUMOCOCCAL
VACCINES
——
BOARD
OF
PHARMACY
RULES
50
-64-
SF505.1913
(13)
86
pf/rh/rj
64/
123
Sec.
70.
HOSPITAL
AND
LONG-TERM
CARE
PHARMACY
1
PRACTICE
——
PNEUMOCOCCAL
VACCINES
——
BOARD
OF
PHARMACY
2
RULES.
The
board
of
pharmacy
shall
adopt
rules
3
pursuant
to
chapter
17A
relating
to
hospital
and
4
long-term
care
pharmacy
practices
that
allow,
as
5
authorized
by
federal
law,
in
addition
to
influenza
and
6
pneumococcal
polysaccharide
vaccines,
that
a
written
7
or
verbal
patient-specific
medication
administration
8
order
shall
not
be
required
prior
to
administration
9
to
an
adult
patient
of
pneumococcal
conjugate
vaccine
10
pursuant
to
physician-approved
hospital
or
facility
11
policy
and
after
the
patient
has
been
assessed
for
12
contraindications.
13
DIVISION
XV
14
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
——
CONTINUED
15
ENROLLMENT
16
Sec.
71.
Section
514I.8,
subsection
3,
Code
2015,
17
is
amended
to
read
as
follows:
18
3.
In
accordance
with
the
rules
adopted
by
the
19
board,
a
child
may
be
determined
to
be
presumptively
20
eligible
for
the
program
pending
a
final
eligibility
21
determination.
Following
final
determination
22
of
eligibility,
a
child
shall
be
eligible
for
a
23
twelve-month
period.
At
the
end
of
the
twelve-month
24
period,
a
review
of
the
circumstances
of
the
child’s
25
family
shall
be
conducted
to
establish
eligibility
and
26
cost
sharing
for
the
subsequent
twelve-month
period.
27
Pending
such
review
of
the
circumstances
of
the
child’s
28
family,
the
child
shall
continue
to
be
eligible
for
29
and
remain
enrolled
in
the
same
plan
if
the
family
30
complies
with
requirements
to
provide
information
31
and
verification
of
income,
otherwise
cooperates
in
32
the
annual
review
process,
and
submits
the
completed
33
review
form
and
any
information
necessary
to
establish
34
continued
eligibility
in
a
timely
manner
in
accordance
35
with
administrative
rules.
36
DIVISION
XVI
37
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS
38
Sec.
72.
PERSONNEL
SETTLEMENT
AGREEMENT
39
PAYMENTS.
As
a
condition
of
the
appropriations
in
this
40
2015
Act,
the
moneys
appropriated
and
any
other
moneys
41
available
shall
not
be
used
for
payment
of
a
personnel
42
settlement
agreement
that
contains
a
confidentiality
43
provision
intended
to
prevent
public
disclosure
of
the
44
agreement
or
any
terms
of
the
agreement.
45
DIVISION
XVII
46
MEDICAID
PROGRAM
ELIGIBILITY
VERIFICATION
47
Sec.
73.
MEDICAID
PROGRAM
——
ASSET,
INCOME,
AND
48
IDENTITY
VERIFICATION.
The
department
of
human
49
services
shall
issue
a
request
for
proposals
to
50
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contract
with
a
third-party
vendor
to
establish
an
1
electronic
asset,
income,
and
identity
eligibility
2
verification
system
for
the
purposes
of
compliance
3
with
42
U.S.C.
§1396w
requiring
determination
or
4
redetermination
of
the
eligibility
of
an
individual
who
5
is
an
applicant
for
or
recipient
of
medical
assistance
6
under
the
Medicaid
state
plan
on
the
basis
of
being
7
aged,
blind,
or
disabled
in
accordance
with
42
U.S.C.
8
§1396w.
The
third-party
vendor
selected
shall
be
able
9
to
demonstrate
in
writing
its
current
relationships
or
10
contracts
with
financial
institutions
in
the
state
and
11
nationally.
Participation
by
financial
institutions
in
12
providing
account
balances
for
asset
verification
shall
13
remain
voluntary.
14
Sec.
74.
EFFECTIVE
UPON
ENACTMENT.
This
division
15
of
this
Act,
being
deemed
of
immediate
importance,
16
takes
effect
upon
enactment.
17
DIVISION
XVIII
18
CODE
CHANGES
——
CLARINDA
AND
MOUNT
PLEASANT
MENTAL
19
HEALTH
INSTITUTES
AND
IOWA
JUVENILE
HOME
20
Sec.
75.
Section
137F.1,
subsection
7,
unnumbered
21
paragraph
1,
Code
2015,
is
amended
to
read
as
follows:
22
“Food
establishment”
means
an
operation
that
stores,
23
prepares,
packages,
serves,
vends,
or
otherwise
24
provides
food
for
human
consumption
and
includes
a
25
food
service
operation
in
a
salvage
or
distressed
food
26
operation,
school,
summer
camp,
residential
service
27
substance
abuse
treatment
facility,
halfway
house
28
substance
abuse
treatment
facility,
correctional
29
facility
operated
by
the
department
of
corrections,
or
30
the
state
training
school
,
or
the
Iowa
juvenile
home
.
31
“Food
establishment”
does
not
include
the
following:
32
Sec.
76.
Section
218.1,
subsections
4,
6,
and
8,
33
Code
2015,
are
amended
by
striking
the
subsections.
34
Sec.
77.
Section
226.1,
Code
2015,
is
amended
to
35
read
as
follows:
36
226.1
Official
designation.
37
1.
The
state
hospitals
for
persons
with
mental
38
illness
shall
be
designated
as
follows:
39
a.
Mental
Health
Institute,
Mount
Pleasant,
Iowa.
40
b.
a.
Mental
Health
Institute,
Independence,
Iowa.
41
c.
Mental
Health
Institute,
Clarinda,
Iowa.
42
d.
b.
Mental
Health
Institute,
Cherokee,
Iowa.
43
2.
a.
The
purpose
of
the
mental
health
institutes
44
is
to
operate
as
regional
resource
centers
providing
45
one
or
more
of
the
following:
46
(1)
a.
Treatment,
training,
care,
habilitation,
47
and
support
of
persons
with
mental
illness
or
a
48
substance
abuse
problem
.
49
(2)
b.
Facilities,
services,
and
other
support
50
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to
the
communities
located
in
the
region
being
served
1
by
a
mental
health
institute
so
as
to
maximize
the
2
usefulness
of
the
mental
health
institutes
while
3
minimizing
overall
costs.
4
(3)
c.
A
unit
for
the
civil
commitment
of
sexually
5
violent
predators
committed
to
the
custody
of
the
6
director
of
human
services
pursuant
to
chapter
229A
.
7
b.
3.
In
addition,
the
mental
health
institutes
8
are
encouraged
to
act
as
a
training
resource
for
9
community-based
program
staff,
medical
students,
and
10
other
participants
in
professional
education
programs.
11
3.
4.
A
mental
health
institute
may
request
the
12
approval
of
the
council
on
human
services
to
change
13
the
name
of
the
institution
for
use
in
communication
14
with
the
public,
in
signage,
and
in
other
forms
of
15
communication.
16
Sec.
78.
Section
230.1,
subsection
1,
paragraph
a,
17
subparagraph
(3),
Code
2015,
is
amended
by
striking
the
18
subparagraph.
19
Sec.
79.
Section
232.102,
subsection
3,
Code
2015,
20
is
amended
to
read
as
follows:
21
3.
After
a
dispositional
hearing
and
upon
written
22
findings
of
fact
based
upon
evidence
in
the
record
that
23
an
alternative
placement
set
forth
in
subsection
1
,
24
paragraph
“a”
,
subparagraph
(1),
has
previously
been
25
made
and
is
not
appropriate,
the
court
may
enter
an
26
order
transferring
the
guardianship
of
the
child
for
27
the
purposes
of
subsection
9
,
to
the
director
of
human
28
services
for
the
purposes
of
placement
in
the
Iowa
29
juvenile
home
at
Toledo
.
30
Sec.
80.
Section
232.102,
subsection
4,
Code
2015,
31
is
amended
by
striking
the
subsection.
32
Sec.
81.
Section
232.103,
subsection
7,
Code
2015,
33
is
amended
by
striking
the
subsection.
34
Sec.
82.
Section
233A.1,
Code
2015,
is
amended
to
35
read
as
follows:
36
233A.1
State
training
school
——
Eldora
and
Toledo
.
37
1.
Effective
January
1,
1992,
a
diagnosis
and
38
evaluation
center
and
other
units
are
established
at
39
Eldora
to
provide
to
juvenile
delinquents
a
program
40
which
focuses
upon
appropriate
developmental
skills,
41
treatment,
placements,
and
rehabilitation.
42
2.
The
diagnosis
and
evaluation
center
which
is
43
used
to
identify
appropriate
treatment
and
placement
44
alternatives
for
juveniles
and
any
other
units
for
45
juvenile
delinquents
which
are
located
at
Eldora
and
46
the
unit
for
juvenile
delinquents
at
Toledo
shall
47
together
be
known
as
the
“state
training
school”
.
For
48
the
purposes
of
this
chapter
“director”
means
the
49
director
of
human
services
and
“superintendent”
means
50
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123
the
administrator
in
charge
of
the
diagnosis
and
1
evaluation
center
for
juvenile
delinquents
and
other
2
units
at
Eldora
and
the
unit
for
juvenile
delinquents
3
at
Toledo
.
4
3.
The
number
of
children
present
at
any
one
time
5
at
the
state
training
school
at
Eldora
shall
not
exceed
6
the
population
guidelines
established
under
1990
Iowa
7
Acts,
ch.
1239
,
§21,
as
adjusted
for
subsequent
changes
8
in
the
capacity
at
the
training
school.
9
Sec.
83.
Section
259A.6,
Code
2015,
is
amended
to
10
read
as
follows:
11
259A.6
Residents
of
juvenile
institutions
12
institution
and
juvenile
probationers.
13
Notwithstanding
the
provisions
of
section
259A.2
a
14
minor
who
is
a
resident
of
a
state
training
school
or
15
the
Iowa
juvenile
home
or
a
minor
who
is
placed
under
16
the
supervision
of
a
juvenile
probation
office
may
make
17
application
for
a
high
school
equivalency
diploma
and
18
upon
successful
completion
of
the
program
receive
a
19
high
school
equivalency
diploma.
20
Sec.
84.
Section
261.6,
subsection
2,
paragraph
b,
21
Code
2015,
is
amended
to
read
as
follows:
22
b.
Is
age
seventeen
and
has
been
placed
in
the
23
state
training
school
or
the
Iowa
juvenile
home
24
pursuant
to
a
court
order
entered
under
chapter
232
25
under
the
care
and
custody
of
the
department
of
human
26
services.
27
Sec.
85.
Section
261.6,
subsection
2,
paragraph
28
c,
subparagraph
(4),
Code
2015,
is
amended
to
read
as
29
follows:
30
(4)
On
the
date
the
person
reached
age
eighteen
or
31
during
the
thirty
calendar
days
preceding
or
succeeding
32
that
date,
the
person
was
placed
in
the
state
training
33
school
or
the
Iowa
juvenile
home
pursuant
to
a
court
34
order
entered
under
chapter
232
under
the
care
and
35
custody
of
the
department
of
human
services.
36
Sec.
86.
Section
282.33,
subsection
1,
Code
2015,
37
is
amended
to
read
as
follows:
38
1.
A
child
who
resides
in
an
institution
for
39
children
under
the
jurisdiction
of
the
director
of
40
human
services
referred
to
in
section
218.1,
subsection
41
3,
5,
or
7,
or
8
,
and
who
is
not
enrolled
in
the
42
educational
program
of
the
district
of
residence
of
43
the
child,
shall
receive
appropriate
educational
44
services.
The
institution
in
which
the
child
resides
45
shall
submit
a
proposed
program
and
budget
based
on
46
the
average
daily
attendance
of
the
children
residing
47
in
the
institution
to
the
department
of
education
48
and
the
department
of
human
services
by
January
1
49
for
the
next
succeeding
school
year.
The
department
50
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123
of
education
shall
review
and
approve
or
modify
the
1
proposed
program
and
budget
and
shall
notify
the
2
department
of
administrative
services
of
its
action
by
3
February
1.
The
department
of
administrative
services
4
shall
pay
the
approved
budget
amount
to
the
department
5
of
human
services
in
monthly
installments
beginning
6
September
15
and
ending
June
15
of
the
next
succeeding
7
school
year.
The
installments
shall
be
as
nearly
8
equal
as
possible
as
determined
by
the
department
of
9
administrative
services,
taking
into
consideration
10
the
relative
budget
and
cash
position
of
the
state’s
11
resources.
The
department
of
administrative
services
12
shall
pay
the
approved
budget
amount
for
the
department
13
of
human
services
from
the
moneys
appropriated
under
14
section
257.16
and
the
department
of
human
services
15
shall
distribute
the
payment
to
the
institution.
The
16
institution
shall
submit
an
accounting
for
the
actual
17
cost
of
the
program
to
the
department
of
education
by
18
August
1
of
the
following
school
year.
The
department
19
shall
review
and
approve
or
modify
all
expenditures
20
incurred
in
compliance
with
the
guidelines
adopted
21
pursuant
to
section
256.7,
subsection
10
,
and
shall
22
notify
the
department
of
administrative
services
of
the
23
approved
accounting
amount.
The
approved
accounting
24
amount
shall
be
compared
with
any
amounts
paid
by
25
the
department
of
administrative
services
to
the
26
department
of
human
services
and
any
differences
added
27
to
or
subtracted
from
the
October
payment
made
under
28
this
subsection
for
the
next
school
year.
Any
amount
29
paid
by
the
department
of
administrative
services
30
shall
be
deducted
monthly
from
the
state
foundation
31
aid
paid
under
section
257.16
to
all
school
districts
32
in
the
state
during
the
subsequent
fiscal
year.
The
33
portion
of
the
total
amount
of
the
approved
budget
34
that
shall
be
deducted
from
the
state
aid
of
a
school
35
district
shall
be
the
same
as
the
ratio
that
the
budget
36
enrollment
for
the
budget
year
of
the
school
district
37
bears
to
the
total
budget
enrollment
in
the
state
for
38
that
budget
year
in
which
the
deduction
is
made.
39
Sec.
87.
Section
331.424,
subsection
1,
paragraph
40
a,
subparagraph
(1),
subparagraph
division
(b),
Code
41
2015,
is
amended
by
striking
the
subparagraph
division.
42
Sec.
88.
Section
331.756,
subsection
51,
Code
2015,
43
is
amended
by
striking
the
subsection.
44
Sec.
89.
Section
331.802,
subsection
3,
paragraph
45
k,
Code
2015,
is
amended
to
read
as
follows:
46
k.
Death
of
a
person
committed
or
admitted
to
a
47
state
mental
health
institute,
a
state
resource
center,
48
or
the
state
training
school
,
or
the
Iowa
juvenile
49
home
.
50
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123
Sec.
90.
Section
915.29,
subsection
1,
unnumbered
1
paragraph
1,
Code
2015,
is
amended
to
read
as
follows:
2
The
department
of
human
services
shall
notify
a
3
registered
victim
regarding
a
juvenile
adjudicated
4
delinquent
for
a
violent
crime,
committed
to
the
5
custody
of
the
department
of
human
services,
and
placed
6
at
the
state
training
school
at
Eldora
or
Toledo
,
of
7
the
following:
8
Sec.
91.
REPEAL.
Section
226.9C,
Code
2015,
is
9
repealed.
10
Sec.
92.
REPEAL.
Chapter
233B,
Code
2015,
is
11
repealed.
12
Sec.
93.
EFFECTIVE
DATE.
This
division
of
this
Act
13
takes
effect
December
16,
2015.
14
DIVISION
XIX
15
DISCONTINUATION
OF
MEDICAID
FAMILY
PLANNING
NETWORK
16
WAIVER
——
ESTABLISHMENT
OF
STATE
FAMILY
PLANNING
17
SERVICES
PROGRAM
18
Sec.
94.
DISCONTINUATION
OF
MEDICAID
FAMILY
19
PLANNING
NETWORK
WAIVER
——
ESTABLISHMENT
OF
STATE
20
PROGRAM.
21
1.
The
department
of
human
services
shall
22
discontinue
the
Medicaid
family
planning
network
waiver
23
effective
July
1,
2015,
and
shall
instead
establish
24
a
state
family
planning
services
program.
The
state
25
program
shall
replicate
the
eligibility
requirements
26
and
other
provisions
included
in
the
Medicaid
family
27
planning
network
waiver
as
approved
by
the
centers
for
28
Medicare
and
Medicaid
of
the
United
States
department
29
of
health
and
human
services
in
effect
on
June
30,
30
2015,
but
shall
provide
for
distribution
of
family
31
planning
services
program
funds
in
accordance
with
this
32
section.
33
2.
Distribution
of
family
planning
services
program
34
funds
shall
be
made
to
eligible
applicants
in
the
35
following
order
of
priority:
36
a.
Public
entities
that
provide
family
planning
37
services
including
state,
county,
or
local
community
38
health
clinics
and
federally
qualified
health
centers.
39
b.
Nonpublic
entities
that,
in
addition
to
family
40
planning
services,
provide
required
primary
health
41
services
as
described
in
42
U.S.C.
§254b(b)(1)(A).
42
c.
Nonpublic
entities
that
provide
family
planning
43
services
but
do
not
provide
required
primary
health
44
services
as
described
in
42
U.S.C.
§254b(b)(1)(A).
45
3.
Distribution
of
family
planning
services
program
46
funds
under
this
section
shall
be
made
in
a
manner
that
47
continues
access
to
family
planning
services.
48
4.
Distribution
of
family
planning
services
program
49
funds
shall
not
be
made
under
this
section
to
any
50
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SF505.1913
(13)
86
pf/rh/rj
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123
entity
that
performs
abortions
or
that
maintains
or
1
operates
a
facility
where
abortions
are
performed.
2
For
the
purposes
of
this
section,
“abortion”
does
not
3
include
any
of
the
following:
4
a.
The
treatment
of
a
woman
for
a
physical
5
disorder,
physical
injury,
or
physical
illness,
6
including
a
life-endangering
physical
condition
caused
7
by
or
arising
from
the
pregnancy
itself,
that
would,
8
as
certified
by
a
physician,
place
the
woman
in
danger
9
of
death.
10
b.
The
treatment
of
a
woman
for
a
spontaneous
11
abortion,
commonly
known
as
a
miscarriage,
when
not
all
12
of
the
products
of
conception
are
expelled.
13
5.
Family
planning
services
program
funds
14
distributed
in
accordance
with
this
section
shall
15
not
be
used
for
direct
or
indirect
costs,
including
16
but
not
limited
to
administrative
costs
or
expenses,
17
overhead,
employee
salaries,
rent,
and
telephone
and
18
other
utility
costs,
related
to
providing
abortions
as
19
specified
in
subsection
4.
20
6.
The
department
of
human
services
shall
submit
21
a
report
to
the
governor
and
the
general
assembly,
22
annually
by
January
1,
listing
any
entities
that
23
received
funds
pursuant
to
subsection
2,
paragraph
24
“c”,
and
the
amount
and
type
of
funds
received
by
such
25
entities
during
the
preceding
calendar
year.
The
26
report
shall
provide
a
detailed
explanation
of
how
27
the
department
determined
that
distribution
of
family
28
planning
funds
to
such
an
entity,
instead
of
to
an
29
entity
described
in
subsection
2,
paragraph
“a”
or
30
“b”,
was
necessary
to
prevent
severe
limitation
or
31
elimination
of
access
to
family
planning
services
in
32
the
region
of
the
state
in
which
the
entity
is
located.
33
Sec.
95.
EFFECTIVE
UPON
ENACTMENT.
This
division
34
of
this
Act,
being
deemed
of
immediate
importance,
35
takes
effect
upon
enactment.
36
DIVISION
XX
37
BOARD
OF
RESPIRATORY
CARE
AND
POLYSOMNOGRAPHY
38
Sec.
96.
BOARD
OF
RESPIRATORY
CARE
AND
39
POLYSOMNOGRAPHY.
If
funding
is
appropriated
from
the
40
general
fund
of
the
state
for
a
fee-supported
board
41
of
respiratory
care
and
polysomnography
to
administer
42
chapter
148G,
as
enacted
in
2015
Iowa
Acts,
House
43
File
203,
the
fee-supported
model
shall
provide
for
44
repayment
of
the
funds
appropriated
to
the
general
fund
45
of
the
state
by
June
30,
2017.
46
DIVISION
XXI
47
PHYSICIAN
ASSISTANT
SUPERVISION
48
Sec.
97.
Section
148.13,
Code
2015,
is
amended
by
49
adding
the
following
new
subsection:
50
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SF505.1913
(13)
86
pf/rh/rj
71/
123
NEW
SUBSECTION
.
2A.
The
board
of
medicine
1
shall
establish
by
rule
specific
minimum
standards
2
for
appropriate
physician
supervision
of
physician
3
assistants.
The
board
of
medicine
shall
consult
4
with
the
board
of
physician
assistants
regarding
all
5
proposed
rules
pertaining
to
physician
supervision
of
6
physician
assistants.
7
DIVISION
XXII
8
FOOD
ASSISTANCE
PROGRAM
BONUS
——
GENERAL
ADMINISTRATION
9
Sec.
98.
FOOD
ASSISTANCE
PROGRAM
BONUS
——
GENERAL
10
ADMINISTRATION.
Any
funds
available
to
the
department
11
of
human
services
during
the
fiscal
year
beginning
July
12
1,
2015,
received
from
the
United
States
department
of
13
agriculture’s
food
and
nutrition
service
for
achieving
14
a
low
case
and
procedural
error
rate
and
for
ranking
15
third
in
the
nation
on
certain
case-related
measures
16
under
the
supplemental
nutrition
assistance
program,
17
shall
be
used
by
the
department
for
the
purposes
of
the
18
appropriation
in
this
Act
for
the
same
fiscal
year
for
19
general
administration.
20
DIVISION
XXIII
21
DEPARTMENT
ON
AGING
——
FY
2016-2017
22
Sec.
99.
DEPARTMENT
ON
AGING.
There
is
23
appropriated
from
the
general
fund
of
the
state
to
24
the
department
on
aging
for
the
fiscal
year
beginning
25
July
1,
2016,
and
ending
June
30,
2017,
the
following
26
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
27
for
the
purposes
designated:
28
For
aging
programs
for
the
department
on
aging
and
29
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
30
are
60
years
of
age
and
older
with
case
management
for
31
frail
elders,
Iowa’s
aging
and
disabilities
resource
32
center,
and
other
services
which
may
include
but
are
33
not
limited
to
adult
day
services,
respite
care,
chore
34
services,
information
and
assistance,
and
material
aid,
35
for
information
and
options
counseling
for
persons
with
36
disabilities
who
are
18
years
of
age
or
older,
and
37
for
salaries,
support,
administration,
maintenance,
38
and
miscellaneous
purposes,
and
for
not
more
than
the
39
following
full-time
equivalent
positions:
40
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,555,533
41
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
31.00
42
1.
Funds
appropriated
in
this
section
may
be
used
43
to
supplement
federal
funds
under
federal
regulations.
44
To
receive
funds
appropriated
in
this
section,
a
local
45
area
agency
on
aging
shall
match
the
funds
with
moneys
46
from
other
sources
according
to
rules
adopted
by
the
47
department.
Funds
appropriated
in
this
section
may
be
48
used
for
elderly
services
not
specifically
enumerated
49
in
this
section
only
if
approved
by
an
area
agency
on
50
-72-
SF505.1913
(13)
86
pf/rh/rj
72/
123
aging
for
provision
of
the
service
within
the
area.
1
2.
Of
the
funds
appropriated
in
this
section,
2
$139,973
is
transferred
to
the
economic
development
3
authority
for
the
Iowa
commission
on
volunteer
services
4
to
be
used
for
the
retired
and
senior
volunteer
5
program.
6
3.
a.
The
department
on
aging
shall
establish
and
7
enforce
procedures
relating
to
expenditure
of
state
and
8
federal
funds
by
area
agencies
on
aging
that
require
9
compliance
with
both
state
and
federal
laws,
rules,
and
10
regulations,
including
but
not
limited
to
all
of
the
11
following:
12
(1)
Requiring
that
expenditures
are
incurred
only
13
for
goods
or
services
received
or
performed
prior
to
14
the
end
of
the
fiscal
period
designated
for
use
of
the
15
funds.
16
(2)
Prohibiting
prepayment
for
goods
or
services
17
not
received
or
performed
prior
to
the
end
of
the
18
fiscal
period
designated
for
use
of
the
funds.
19
(3)
Prohibiting
the
prepayment
for
goods
or
20
services
not
defined
specifically
by
good
or
service,
21
time
period,
or
recipient.
22
(4)
Prohibiting
the
establishment
of
accounts
from
23
which
future
goods
or
services
which
are
not
defined
24
specifically
by
good
or
service,
time
period,
or
25
recipient,
may
be
purchased.
26
b.
The
procedures
shall
provide
that
if
any
funds
27
are
expended
in
a
manner
that
is
not
in
compliance
with
28
the
procedures
and
applicable
federal
and
state
laws,
29
rules,
and
regulations,
and
are
subsequently
subject
30
to
repayment,
the
area
agency
on
aging
expending
such
31
funds
in
contravention
of
such
procedures,
laws,
rules
32
and
regulations,
not
the
state,
shall
be
liable
for
33
such
repayment.
34
4.
Of
the
funds
appropriated
in
this
section,
at
35
least
$125,000
shall
be
used
to
fund
the
unmet
needs
36
identified
through
Iowa’s
aging
and
disability
resource
37
center
network.
38
5.
Of
the
funds
appropriated
in
this
section,
39
at
least
$300,000
shall
be
used
to
fund
home
and
40
community-based
services
through
the
area
agencies
41
on
aging
that
enable
older
individuals
to
avoid
more
42
costly
utilization
of
residential
or
institutional
43
services
and
remain
in
their
own
homes.
44
6.
Of
the
funds
appropriated
in
this
section,
45
$262,500
shall
be
used
for
the
purposes
of
section
46
231.56A,
and
shall
be
distributed
equally
to
the
area
47
agencies
on
aging
to
administer
the
prevention
of
elder
48
abuse,
neglect,
and
exploitation
program
pursuant
to
49
section
231.56A,
in
accordance
with
the
requirements
50
-73-
SF505.1913
(13)
86
pf/rh/rj
73/
123
of
the
federal
Older
Americans
Act
of
1965,
42
U.S.C.
1
§3001
et
seq.,
as
amended.
2
DIVISION
XXIV
3
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2016-2017
4
Sec.
100.
OFFICE
OF
LONG-TERM
CARE
5
OMBUDSMAN.
There
is
appropriated
from
the
general
6
fund
of
the
state
to
the
office
of
long-term
care
7
ombudsman
for
the
fiscal
year
beginning
July
1,
2016,
8
and
ending
June
30,
2017,
the
following
amount,
or
9
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purposes
designated:
11
For
salaries,
support,
administration,
maintenance,
12
and
miscellaneous
purposes,
and
for
not
more
than
the
13
following
full-time
equivalent
positions:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
464,658
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
16
DIVISION
XXV
17
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2016-2017
18
Sec.
101.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
19
appropriated
from
the
general
fund
of
the
state
to
20
the
department
of
public
health
for
the
fiscal
year
21
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
22
following
amounts,
or
so
much
thereof
as
is
necessary,
23
to
be
used
for
the
purposes
designated:
24
1.
ADDICTIVE
DISORDERS
25
For
reducing
the
prevalence
of
the
use
of
tobacco,
26
alcohol,
and
other
drugs,
and
treating
individuals
27
affected
by
addictive
behaviors,
including
gambling,
28
and
for
not
more
than
the
following
full-time
29
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,294,345
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
32
a.
(1)
Of
the
funds
appropriated
in
this
33
subsection,
$2,286,680
shall
be
used
for
the
tobacco
34
use
prevention
and
control
initiative,
including
35
efforts
at
the
state
and
local
levels,
as
provided
36
in
chapter
142A
.
The
commission
on
tobacco
use
37
prevention
and
control
established
pursuant
to
section
38
142A.3
shall
advise
the
director
of
public
health
39
in
prioritizing
funding
needs
and
the
allocation
of
40
moneys
appropriated
for
the
programs
and
initiatives.
41
Activities
of
the
programs
and
initiatives
shall
be
in
42
alignment
with
the
United
States
centers
for
disease
43
control
and
prevention
best
practices
for
comprehensive
44
tobacco
control
programs
that
include
the
goals
of
45
preventing
youth
initiation
of
tobacco
usage,
reducing
46
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
47
cessation.
48
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
49
“a”,
$226,533
is
transferred
to
the
alcoholic
beverages
50
-74-
SF505.1913
(13)
86
pf/rh/rj
74/
123
division
of
the
department
of
commerce
for
enforcement
1
of
tobacco
laws,
regulations,
and
ordinances
and
to
2
engage
in
tobacco
control
activities
approved
by
the
3
division
of
tobacco
use
prevention
and
control
of
4
the
department
of
public
health
as
specified
in
the
5
memorandum
of
understanding
entered
into
between
the
6
divisions.
7
(b)
For
the
fiscal
year
beginning
July
1,
2016,
and
8
ending
June
30,
2017,
the
terms
of
the
memorandum
of
9
understanding,
entered
into
between
the
division
of
10
tobacco
use
prevention
and
control
of
the
department
11
of
public
health
and
the
alcoholic
beverages
division
12
of
the
department
of
commerce,
governing
compliance
13
checks
conducted
to
ensure
licensed
retail
tobacco
14
outlet
conformity
with
tobacco
laws,
regulations,
15
and
ordinances
relating
to
persons
under
eighteen
16
years
of
age,
shall
continue
to
restrict
the
number
of
17
such
checks
to
one
check
per
retail
outlet,
and
one
18
additional
check
for
any
retail
outlet
found
to
be
in
19
violation
during
the
first
check.
20
b.
Of
the
funds
appropriated
in
this
subsection,
21
$11,007,664
shall
be
used
for
problem
gambling
and
22
substance-related
disorder
prevention,
treatment,
and
23
recovery
services,
including
a
24-hour
helpline,
public
24
information
resources,
professional
training,
and
25
program
evaluation.
26
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
27
$9,451,857
shall
be
used
for
substance-related
disorder
28
prevention
and
treatment.
29
(a)
Of
the
funds
allocated
in
this
subparagraph
30
(1),
$449,650
shall
be
used
for
the
public
purpose
of
31
a
grant
program
to
provide
substance-related
disorder
32
prevention
programming
for
children.
33
(i)
Of
the
funds
allocated
in
this
subparagraph
34
division
(a),
$213,769
shall
be
used
for
grant
funding
35
for
organizations
that
provide
programming
for
36
children
by
utilizing
mentors.
Programs
approved
for
37
such
grants
shall
be
certified
or
must
be
certified
38
within
six
months
of
receiving
the
grant
award
by
the
39
Iowa
commission
on
volunteer
services
as
utilizing
40
the
standards
for
effective
practice
for
mentoring
41
programs.
42
(ii)
Of
the
funds
allocated
in
this
subparagraph
43
division
(a),
$213,419
shall
be
used
for
grant
funding
44
for
organizations
providing
programming
that
includes
45
youth
development
and
leadership
services.
The
46
programs
shall
also
be
recognized
as
being
programs
47
that
are
scientifically
based
with
evidence
of
their
48
effectiveness
in
reducing
substance-related
disorders
49
in
children.
50
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86
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123
(iii)
The
department
of
public
health
shall
utilize
1
a
request
for
proposals
process
to
implement
the
grant
2
program.
3
(iv)
All
grant
recipients
shall
participate
in
a
4
program
evaluation
as
a
requirement
for
receiving
grant
5
funds.
6
(v)
Of
the
funds
allocated
in
this
subparagraph
7
division
(a),
up
to
$22,461
may
be
used
to
administer
8
substance-related
disorder
prevention
grants
and
for
9
program
evaluations.
10
(b)
Of
the
funds
allocated
in
this
subparagraph
11
(1),
$136,301
shall
be
used
for
culturally
competent
12
substance-related
disorder
treatment
pilot
projects.
13
(i)
The
department
shall
utilize
the
amount
14
allocated
in
this
subparagraph
division
(b)
for
at
15
least
three
pilot
projects
to
provide
culturally
16
competent
substance-related
disorder
treatment
in
17
various
areas
of
the
state.
Each
pilot
project
shall
18
target
a
particular
ethnic
minority
population.
The
19
populations
targeted
shall
include
but
are
not
limited
20
to
African
American,
Asian,
and
Latino.
21
(ii)
The
pilot
project
requirements
shall
provide
22
for
documentation
or
other
means
to
ensure
access
23
to
the
cultural
competence
approach
used
by
a
pilot
24
project
so
that
such
approach
can
be
replicated
and
25
improved
upon
in
successor
programs.
26
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
27
up
to
$1,555,807
may
be
used
for
problem
gambling
28
prevention,
treatment,
and
recovery
services.
29
(a)
Of
the
funds
allocated
in
this
subparagraph
30
(2),
$1,286,881
shall
be
used
for
problem
gambling
31
prevention
and
treatment.
32
(b)
Of
the
funds
allocated
in
this
subparagraph
33
(2),
up
to
$218,926
may
be
used
for
a
24-hour
helpline,
34
public
information
resources,
professional
training,
35
and
program
evaluation.
36
(c)
Of
the
funds
allocated
in
this
subparagraph
37
(2),
up
to
$50,000
may
be
used
for
the
licensing
of
38
problem
gambling
treatment
programs.
39
(3)
It
is
the
intent
of
the
general
assembly
that
40
from
the
moneys
allocated
in
this
paragraph
“b”,
41
persons
with
a
dual
diagnosis
of
substance-related
42
disorder
and
gambling
addiction
shall
be
given
priority
43
in
treatment
services.
44
c.
Notwithstanding
any
provision
of
law
to
the
45
contrary,
to
standardize
the
availability,
delivery,
46
cost
of
delivery,
and
accountability
of
problem
47
gambling
and
substance-related
disorder
treatment
48
services
statewide,
the
department
shall
continue
49
implementation
of
a
process
to
create
a
system
for
50
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SF505.1913
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86
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123
delivery
of
treatment
services
in
accordance
with
the
1
requirements
specified
in
2008
Iowa
Acts,
chapter
2
1187,
section
3,
subsection
4.
To
ensure
the
system
3
provides
a
continuum
of
treatment
services
that
best
4
meets
the
needs
of
Iowans,
the
problem
gambling
and
5
substance-related
disorder
treatment
services
in
any
6
area
may
be
provided
either
by
a
single
agency
or
by
7
separate
agencies
submitting
a
joint
proposal.
8
(1)
The
system
for
delivery
of
substance-related
9
disorder
and
problem
gambling
treatment
shall
include
10
problem
gambling
prevention.
11
(2)
The
system
for
delivery
of
substance-related
12
disorder
and
problem
gambling
treatment
shall
include
13
substance-related
disorder
prevention
by
July
1,
2017.
14
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
15
department
may
use
up
to
$50,000
for
administrative
16
costs
to
continue
developing
and
implementing
the
17
process
in
accordance
with
this
paragraph
“c”.
18
d.
The
requirement
of
section
123.53,
subsection
19
5
,
is
met
by
the
appropriations
and
allocations
20
made
in
this
division
of
this
Act
for
purposes
of
21
substance-related
disorder
treatment
and
addictive
22
disorders
for
the
fiscal
year
beginning
July
1,
2016.
23
e.
The
department
of
public
health
shall
work
with
24
all
other
departments
that
fund
substance-related
25
disorder
prevention
and
treatment
services
and
all
26
such
departments
shall,
to
the
extent
necessary,
27
collectively
meet
the
state
maintenance
of
effort
28
requirements
for
expenditures
for
substance-related
29
disorder
services
as
required
under
the
federal
30
substance-related
disorder
prevention
and
treatment
31
block
grant.
32
2.
HEALTHY
CHILDREN
AND
FAMILIES
33
For
promoting
the
optimum
health
status
for
34
children,
adolescents
from
birth
through
21
years
of
35
age,
and
families,
and
for
not
more
than
the
following
36
full-time
equivalent
positions:
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,023,301
38
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
39
a.
Of
the
funds
appropriated
in
this
subsection,
40
not
more
than
$367,420
shall
be
used
for
the
healthy
41
opportunities
for
parents
to
experience
success
42
(HOPES)-healthy
families
Iowa
(HFI)
program
established
43
pursuant
to
section
135.106
.
The
funding
shall
be
44
distributed
to
renew
the
grants
that
were
provided
45
to
the
grantees
that
operated
the
program
during
the
46
fiscal
year
ending
June
30,
2016.
47
b.
In
order
to
implement
the
legislative
intent
48
stated
in
sections
135.106
and
256I.9
,
that
priority
49
for
home
visitation
program
funding
be
given
to
50
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SF505.1913
(13)
86
pf/rh/rj
77/
123
programs
using
evidence-based
or
promising
models
1
for
home
visitation,
it
is
the
intent
of
the
general
2
assembly
to
phase
in
the
funding
priority
in
accordance
3
with
2012
Iowa
Acts,
chapter
1133,
section
2,
4
subsection
2,
paragraph
0b.
5
c.
Of
the
funds
appropriated
in
this
subsection,
6
$813,943
shall
be
used
for
the
department’s
initiative
7
to
provide
for
adequate
developmental
surveillance
8
and
screening
during
a
child’s
first
five
years.
The
9
funds
shall
be
used
first
to
fully
fund
the
current
10
sites
to
ensure
that
the
sites
are
fully
operational,
11
with
the
remaining
funds
to
be
used
for
expansion
12
to
additional
sites.
The
full
implementation
and
13
expansion
shall
include
enhancing
the
scope
of
14
the
program
through
collaboration
with
the
child
15
health
specialty
clinics
to
promote
healthy
child
16
development
through
early
identification
and
response
17
to
both
biomedical
and
social
determinants
of
healthy
18
development;
by
monitoring
child
health
metrics
to
19
inform
practice,
document
long-term
health
impacts
20
and
savings,
and
provide
for
continuous
improvement
21
through
training,
education,
and
evaluation;
and
by
22
providing
for
practitioner
consultation
particularly
23
for
children
with
behavioral
conditions
and
needs.
The
24
department
of
public
health
shall
also
collaborate
25
with
the
Iowa
Medicaid
enterprise
and
the
child
health
26
specialty
clinics
to
integrate
the
activities
of
27
the
first
five
initiative
into
the
establishment
of
28
patient-centered
medical
homes,
community
utilities,
29
accountable
care
organizations,
and
other
integrated
30
care
models
developed
to
improve
health
quality
and
31
population
health
while
reducing
health
care
costs.
32
To
the
maximum
extent
possible,
funding
allocated
in
33
this
paragraph
shall
be
utilized
as
matching
funds
for
34
medical
assistance
program
reimbursement.
35
d.
Of
the
funds
appropriated
in
this
subsection,
36
$37,320
shall
be
distributed
to
a
statewide
dental
37
carrier
to
provide
funds
to
continue
the
donated
38
dental
services
program
patterned
after
the
projects
39
developed
by
the
lifeline
network
to
provide
dental
40
services
to
indigent
individuals
who
are
elderly
or
41
with
disabilities.
42
e.
Of
the
funds
appropriated
in
this
subsection,
43
$55,997
shall
be
used
for
childhood
obesity
prevention.
44
f.
Of
the
funds
appropriated
in
this
subsection,
45
$81,384
shall
be
used
to
provide
audiological
services
46
and
hearing
aids
for
children.
The
department
may
47
enter
into
a
contract
to
administer
this
paragraph.
48
g.
Of
the
funds
appropriated
in
this
subsection,
49
$12,500
is
transferred
to
the
university
of
Iowa
50
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SF505.1913
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86
pf/rh/rj
78/
123
college
of
dentistry
for
provision
of
primary
dental
1
services
to
children.
State
funds
shall
be
matched
2
on
a
dollar-for-dollar
basis.
The
university
of
Iowa
3
college
of
dentistry
shall
coordinate
efforts
with
the
4
department
of
public
health,
bureau
of
oral
and
health
5
delivery
systems,
to
provide
dental
care
to
underserved
6
populations
throughout
the
state.
7
h.
Of
the
funds
appropriated
in
this
subsection,
8
$25,000
shall
be
used
to
address
youth
suicide
9
prevention.
10
i.
Of
the
funds
appropriated
in
this
subsection,
11
$25,000
shall
be
used
to
support
the
Iowa
effort
to
12
address
the
survey
of
children
who
experience
adverse
13
childhood
experiences
known
as
ACEs.
14
j.
The
department
of
public
health
shall
continue
15
to
administer
the
program
to
assist
parents
in
this
16
state
with
costs
resulting
from
the
death
of
a
child
17
in
accordance
with
the
provisions
of
2014
Iowa
Acts,
18
chapter
1140,
section
22,
subsection
12.
19
3.
CHRONIC
CONDITIONS
20
For
serving
individuals
identified
as
having
chronic
21
conditions
or
special
health
care
needs,
and
for
not
22
more
than
the
following
full-time
equivalent
positions:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,370,215
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
25
a.
Of
the
funds
appropriated
in
this
subsection,
26
$79,966
shall
be
used
for
grants
to
individual
patients
27
who
have
an
inherited
metabolic
disorder
to
assist
with
28
the
costs
of
medically
necessary
foods
and
formula.
29
b.
Of
the
funds
appropriated
in
this
subsection,
30
$445,822
shall
be
used
for
the
brain
injury
services
31
program
pursuant
to
section
135.22B
,
including
for
32
continuation
of
the
contracts
for
resource
facilitator
33
services
in
accordance
with
section
135.22B,
subsection
34
9
,
and
to
enhance
brain
injury
training
and
recruitment
35
of
service
providers
on
a
statewide
basis.
Of
the
36
amount
allocated
in
this
paragraph,
$47,500
shall
be
37
used
to
fund
one
full-time
equivalent
position
to
serve
38
as
the
state
brain
injury
services
program
manager.
39
c.
Of
the
funds
appropriated
in
this
subsection,
40
$273,991
shall
be
used
as
additional
funding
to
41
leverage
federal
funding
through
the
federal
Ryan
42
White
Care
Act,
Tit.
II,
AIDS
drug
assistance
program
43
supplemental
drug
treatment
grants.
44
d.
Of
the
funds
appropriated
in
this
subsection,
45
$74,911
shall
be
used
for
the
public
purpose
46
of
continuing
to
contract
with
an
existing
47
national-affiliated
organization
to
provide
education,
48
client-centered
programs,
and
client
and
family
support
49
for
people
living
with
epilepsy
and
their
families.
50
-79-
SF505.1913
(13)
86
pf/rh/rj
79/
123
The
amount
allocated
in
this
paragraph
in
excess
of
1
$50,000
shall
be
matched
dollar-for-dollar
by
the
2
organization
specified.
3
e.
Of
the
funds
appropriated
in
this
subsection,
4
$392,557
shall
be
used
for
child
health
specialty
5
clinics.
6
f.
Of
the
funds
appropriated
in
this
subsection,
7
$200,000
shall
be
used
by
the
regional
autism
8
assistance
program
established
pursuant
to
section
9
256.35
,
and
administered
by
the
child
health
specialty
10
clinic
located
at
the
university
of
Iowa
hospitals
11
and
clinics.
The
funds
shall
be
used
to
enhance
12
interagency
collaboration
and
coordination
of
13
educational,
medical,
and
other
human
services
for
14
persons
with
autism,
their
families,
and
providers
of
15
services,
including
delivering
regionalized
services
of
16
care
coordination,
family
navigation,
and
integration
17
of
services
through
the
statewide
system
of
regional
18
child
health
specialty
clinics
and
fulfilling
other
19
requirements
as
specified
in
chapter
225D
.
The
20
university
of
Iowa
shall
not
receive
funds
allocated
21
under
this
paragraph
for
indirect
costs
associated
with
22
the
regional
autism
assistance
program.
23
g.
Of
the
funds
appropriated
in
this
subsection,
24
$285,496
shall
be
used
for
the
comprehensive
cancer
25
control
program
to
reduce
the
burden
of
cancer
in
26
Iowa
through
prevention,
early
detection,
effective
27
treatment,
and
ensuring
quality
of
life.
Of
the
funds
28
allocated
in
this
paragraph
“g”,
$75,000
shall
be
used
29
to
support
a
melanoma
research
symposium,
a
melanoma
30
biorepository
and
registry,
basic
and
translational
31
melanoma
research,
and
clinical
trials.
32
h.
Of
the
funds
appropriated
in
this
subsection,
33
$63,225
shall
be
used
for
cervical
and
colon
cancer
34
screening,
and
$150,000
shall
be
used
to
enhance
the
35
capacity
of
the
cervical
cancer
screening
program
to
36
include
provision
of
recommended
prevention
and
early
37
detection
measures
to
a
broader
range
of
low-income
38
women.
39
i.
Of
the
funds
appropriated
in
this
subsection,
40
$263,347
shall
be
used
for
the
center
for
congenital
41
and
inherited
disorders.
42
j.
Of
the
funds
appropriated
in
this
subsection,
43
$64,705
shall
be
used
for
the
prescription
drug
44
donation
repository
program
created
in
chapter
135M
.
45
4.
COMMUNITY
CAPACITY
46
For
strengthening
the
health
care
delivery
system
at
47
the
local
level,
and
for
not
more
than
the
following
48
full-time
equivalent
positions:
49
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,085,383
50
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123
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
1
a.
Of
the
funds
appropriated
in
this
subsection,
2
$49,707
is
allocated
for
continuation
of
the
child
3
vision
screening
program
implemented
through
4
the
university
of
Iowa
hospitals
and
clinics
in
5
collaboration
with
early
childhood
Iowa
areas.
The
6
program
shall
submit
a
report
to
the
individuals
7
identified
in
this
Act
for
submission
of
reports
8
regarding
the
use
of
funds
allocated
under
this
9
paragraph
“a”.
The
report
shall
include
the
objectives
10
and
results
for
the
program
year
including
the
target
11
population
and
how
the
funds
allocated
assisted
the
12
program
in
meeting
the
objectives;
the
number,
age,
and
13
location
within
the
state
of
individuals
served;
the
14
type
of
services
provided
to
the
individuals
served;
15
the
distribution
of
funds
based
on
service
provided;
16
and
the
continuing
needs
of
the
program.
17
b.
Of
the
funds
appropriated
in
this
subsection,
18
$55,328
is
allocated
for
continuation
of
an
initiative
19
implemented
at
the
university
of
Iowa
and
$49,952
is
20
allocated
for
continuation
of
an
initiative
at
the
21
state
mental
health
institute
at
Cherokee
to
expand
22
and
improve
the
workforce
engaged
in
mental
health
23
treatment
and
services.
The
initiatives
shall
receive
24
input
from
the
university
of
Iowa,
the
department
of
25
human
services,
the
department
of
public
health,
and
26
the
mental
health
and
disability
services
commission
to
27
address
the
focus
of
the
initiatives.
28
c.
Of
the
funds
appropriated
in
this
subsection,
29
$582,314
shall
be
used
for
essential
public
health
30
services
that
promote
healthy
aging
throughout
one’s
31
lifespan,
contracted
through
a
formula
for
local
boards
32
of
health,
to
enhance
health
promotion
and
disease
33
prevention
services.
34
d.
Of
the
funds
appropriated
in
this
section,
35
$49,643
shall
be
deposited
in
the
governmental
public
36
health
system
fund
created
in
section
135A.8
to
be
used
37
for
the
purposes
of
the
fund.
38
e.
Of
the
funds
appropriated
in
this
subsection,
39
$52,724
shall
be
used
to
continue
to
address
the
40
shortage
of
mental
health
professionals
in
the
state.
41
f.
Of
the
funds
appropriated
in
this
subsection,
42
$25,000
shall
be
used
for
a
grant
to
a
statewide
43
association
of
psychologists
that
is
affiliated
44
with
the
American
psychological
association
to
be
45
used
for
continuation
of
a
program
to
rotate
intern
46
psychologists
in
placements
in
urban
and
rural
mental
47
health
professional
shortage
areas,
as
defined
in
48
section
135.180
.
49
g.
Of
the
funds
appropriated
in
this
subsection,
50
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$512,742
shall
be
allocated
as
a
grant
to
the
Iowa
1
primary
care
association
to
be
used
pursuant
to
2
section
135.153
for
the
statewide
coordination
of
3
the
Iowa
collaborative
safety
net
provider
network.
4
Coordination
of
the
network
shall
focus
on
increasing
5
access
by
underserved
populations
to
health
care
6
services,
increasing
integration
of
the
health
system
7
and
collaboration
across
the
continuum
of
care
with
8
a
focus
on
safety
net
services,
and
enhancing
the
9
Iowa
collaborative
safety
net
provider
network’s
10
communication
and
education
efforts.
The
amount
11
allocated
as
a
grant
under
this
paragraph
“g”
shall
be
12
used
for
distribution
to
safety
net
partners
in
the
13
state
that
work
to
increase
access
of
the
underserved
14
population
to
health
services.
15
(1)
Of
the
amount
allocated
in
this
paragraph
16
“g”,
up
to
$206,707
shall
be
distributed
to
the
Iowa
17
prescription
drug
corporation
for
continuation
of
the
18
pharmaceutical
infrastructure
for
safety
net
providers
19
as
described
in
2007
Iowa
Acts,
chapter
218,
section
20
108.
21
(2)
Of
the
amount
allocated
in
this
paragraph
“g”,
22
up
to
$174,161
shall
be
distributed
to
free
clinics
23
and
free
clinics
of
Iowa
for
necessary
infrastructure,
24
statewide
coordination,
provider
recruitment,
service
25
delivery,
and
provision
of
assistance
to
patients
in
26
securing
a
medical
home
inclusive
of
oral
health
care.
27
(3)
Of
the
amount
allocated
in
this
paragraph
28
“g”,
up
to
$25,000
shall
be
distributed
to
the
Iowa
29
coalition
against
sexual
assault
to
continue
a
training
30
program
for
sexual
assault
response
team
(SART)
31
members,
including
representatives
of
law
enforcement,
32
victim
advocates,
prosecutors,
and
certified
medical
33
personnel.
34
(4)
Of
the
amount
allocated
in
this
paragraph
35
“g”,
up
to
$106,874
shall
be
distributed
to
the
Polk
36
county
medical
society
for
continuation
of
the
safety
37
net
provider
patient
access
to
a
specialty
health
care
38
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
39
section
109.
40
h.
Of
the
funds
appropriated
in
this
subsection,
41
the
department
may
use
up
to
$29,087
for
up
to
one
42
full-time
equivalent
position
to
administer
the
43
volunteer
health
care
provider
program
pursuant
to
44
section
135.24
.
45
i.
Of
the
funds
appropriated
in
this
subsection,
46
$25,000
shall
be
used
for
a
matching
dental
education
47
loan
repayment
program
to
be
allocated
to
a
dental
48
nonprofit
health
service
corporation
to
continue
to
49
develop
the
criteria
and
implement
the
loan
repayment
50
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123
program.
1
j.
Of
the
funds
appropriated
in
this
subsection,
2
$52,911
is
transferred
to
the
college
student
aid
3
commission
for
deposit
in
the
rural
Iowa
primary
care
4
trust
fund
created
in
section
261.113
to
be
used
for
5
the
purposes
of
the
fund.
6
k.
Of
the
funds
appropriated
in
this
subsection,
7
$75,000
shall
be
used
for
the
purposes
of
the
Iowa
8
donor
registry
as
specified
in
section
142C.18
.
9
l.
Of
the
funds
appropriated
in
this
subsection,
10
$1,000,000
shall
be
deposited
in
the
medical
residency
11
training
account
created
in
section
135.175,
subsection
12
5,
paragraph
“a”
,
and
is
appropriated
from
the
account
13
to
the
department
of
public
health
to
be
used
for
14
the
purposes
of
the
medical
residency
training
state
15
matching
grants
program
as
specified
in
section
16
135.176
.
However,
notwithstanding
any
provision
17
to
the
contrary
in
section
135.176,
priority
in
the
18
awarding
of
grants
shall
be
given
to
sponsors
that
19
propose
preference
in
the
use
of
the
grant
funds
for
20
psychiatric
residency
positions
and
family
practice
21
residency
positions.
22
5.
HEALTHY
AGING
23
To
provide
public
health
services
that
reduce
risks
24
and
invest
in
promoting
and
protecting
good
health
over
25
the
course
of
a
lifetime
with
a
priority
given
to
older
26
Iowans
and
vulnerable
populations:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
28
6.
INFECTIOUS
DISEASES
29
For
reducing
the
incidence
and
prevalence
of
30
communicable
diseases,
and
for
not
more
than
the
31
following
full-time
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,578
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
34
7.
PUBLIC
PROTECTION
35
For
protecting
the
health
and
safety
of
the
36
public
through
establishing
standards
and
enforcing
37
regulations,
and
for
not
more
than
the
following
38
full-time
equivalent
positions:
39
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,169,596
40
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
135.50
41
a.
Of
the
funds
appropriated
in
this
subsection,
42
not
more
than
$227,350
shall
be
credited
to
the
43
emergency
medical
services
fund
created
in
section
44
135.25
.
Moneys
in
the
emergency
medical
services
fund
45
are
appropriated
to
the
department
to
be
used
for
the
46
purposes
of
the
fund.
47
b.
Of
the
funds
appropriated
in
this
subsection,
48
$101,516
shall
be
used
for
sexual
violence
prevention
49
programming
through
a
statewide
organization
50
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123
representing
programs
serving
victims
of
sexual
1
violence
through
the
department’s
sexual
violence
2
prevention
program.
The
amount
allocated
in
this
3
paragraph
“b”
shall
not
be
used
to
supplant
funding
4
administered
for
other
sexual
violence
prevention
or
5
victims
assistance
programs.
6
c.
Of
the
funds
appropriated
in
this
subsection,
7
$299,375
shall
be
used
for
the
state
poison
control
8
center.
Pursuant
to
the
directive
under
2014
Iowa
9
Acts,
chapter
1140,
section
102,
the
federal
matching
10
funds
available
to
the
state
poison
control
center
from
11
the
department
of
human
services
under
the
federal
12
Children’s
Health
Insurance
Program
Reauthorization
13
Act
allotment
shall
be
subject
to
the
federal
14
administrative
cap
rule
of
10
percent
applicable
to
15
funding
provided
under
Tit.
XXI
of
the
federal
Social
16
Security
Act
and
included
within
the
department’s
17
calculations
of
the
cap.
18
d.
Of
the
funds
appropriated
in
this
subsection,
19
$268,875
shall
be
used
for
childhood
lead
poisoning
20
provisions.
21
8.
RESOURCE
MANAGEMENT
22
For
establishing
and
sustaining
the
overall
23
ability
of
the
department
to
deliver
services
to
the
24
public,
and
for
not
more
than
the
following
full-time
25
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
427,536
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
28
The
university
of
Iowa
hospitals
and
clinics
under
29
the
control
of
the
state
board
of
regents
shall
not
30
receive
indirect
costs
from
the
funds
appropriated
in
31
this
section.
The
university
of
Iowa
hospitals
and
32
clinics
billings
to
the
department
shall
be
on
at
least
33
a
quarterly
basis.
34
DIVISION
XXVI
35
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2016-2017
36
Sec.
102.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
37
is
appropriated
from
the
general
fund
of
the
state
to
38
the
department
of
veterans
affairs
for
the
fiscal
year
39
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
40
following
amounts,
or
so
much
thereof
as
is
necessary,
41
to
be
used
for
the
purposes
designated:
42
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
43
For
salaries,
support,
maintenance,
and
44
miscellaneous
purposes,
and
for
not
more
than
the
45
following
full-time
equivalent
positions:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,273
47
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
48
2.
IOWA
VETERANS
HOME
49
For
salaries,
support,
maintenance,
and
50
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86
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123
miscellaneous
purposes:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,797,498
2
a.
The
Iowa
veterans
home
billings
involving
the
3
department
of
human
services
shall
be
submitted
to
the
4
department
on
at
least
a
monthly
basis.
5
b.
Within
available
resources
and
in
conformance
6
with
associated
state
and
federal
program
eligibility
7
requirements,
the
Iowa
veterans
home
may
implement
8
measures
to
provide
financial
assistance
to
or
9
on
behalf
of
veterans
or
their
spouses
who
are
10
participating
in
the
community
reentry
program.
11
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
12
For
transfer
to
the
Iowa
finance
authority
for
the
13
continuation
of
the
home
ownership
assistance
program
14
for
persons
who
are
or
were
eligible
members
of
the
15
armed
forces
of
the
United
States,
pursuant
to
section
16
16.54
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,000
18
Sec.
103.
LIMITATION
OF
COUNTY
19
COMMISSIONS
OF
VETERAN
AFFAIRS
FUND
STANDING
20
APPROPRIATIONS.
Notwithstanding
the
standing
21
appropriation
in
section
35A.16
for
the
fiscal
year
22
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
23
amount
appropriated
from
the
general
fund
of
the
state
24
pursuant
to
that
section
for
the
following
designated
25
purposes
shall
not
exceed
the
following
amount:
26
For
the
county
commissions
of
veteran
affairs
fund
27
under
section
35A.16
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
29
DIVISION
XXVII
30
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2016-2017
31
Sec.
104.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
32
BLOCK
GRANT.
There
is
appropriated
from
the
fund
33
created
in
section
8.41
to
the
department
of
human
34
services
for
the
fiscal
year
beginning
July
1,
2016,
35
and
ending
June
30,
2017,
from
moneys
received
under
36
the
federal
temporary
assistance
for
needy
families
37
(TANF)
block
grant
pursuant
to
the
federal
Personal
38
Responsibility
and
Work
Opportunity
Reconciliation
39
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
40
legislation,
the
following
amounts,
or
so
much
41
thereof
as
is
necessary,
to
be
used
for
the
purposes
42
designated:
43
1.
To
be
credited
to
the
family
investment
program
44
account
and
used
for
assistance
under
the
family
45
investment
program
under
chapter
239B
:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,568,497
47
2.
To
be
credited
to
the
family
investment
program
48
account
and
used
for
the
job
opportunities
and
49
basic
skills
(JOBS)
program
and
implementing
family
50
-85-
SF505.1913
(13)
86
pf/rh/rj
85/
123
investment
agreements
in
accordance
with
chapter
239B
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,069,089
2
3.
To
be
used
for
the
family
development
and
3
self-sufficiency
grant
program
in
accordance
with
4
section
216A.107
:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
6
Notwithstanding
section
8.33
,
moneys
appropriated
in
7
this
subsection
that
remain
unencumbered
or
unobligated
8
at
the
close
of
the
fiscal
year
shall
not
revert
but
9
shall
remain
available
for
expenditure
for
the
purposes
10
designated
until
the
close
of
the
succeeding
fiscal
11
year.
However,
unless
such
moneys
are
encumbered
or
12
obligated
on
or
before
September
30,
2016,
the
moneys
13
shall
revert.
14
4.
For
field
operations:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
16
5.
For
general
administration:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
18
6.
For
state
child
care
assistance:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,523,555
20
a.
Of
the
funds
appropriated
in
this
subsection,
21
$13,164,048
is
transferred
to
the
child
care
and
22
development
block
grant
appropriation
made
by
the
23
Eighty-sixth
General
Assembly,
2016
Session,
for
24
the
federal
fiscal
year
beginning
October
1,
2016,
25
and
ending
September
30,
2017.
Of
this
amount,
26
$100,000
shall
be
used
for
provision
of
educational
27
opportunities
to
registered
child
care
home
providers
28
in
order
to
improve
services
and
programs
offered
29
by
this
category
of
providers
and
to
increase
the
30
number
of
providers.
The
department
may
contract
31
with
institutions
of
higher
education
or
child
32
care
resource
and
referral
centers
to
provide
the
33
educational
opportunities.
Allowable
administrative
34
costs
under
the
contracts
shall
not
exceed
5
percent.
35
The
application
for
a
grant
shall
not
exceed
two
pages
36
in
length.
37
b.
Any
funds
appropriated
in
this
subsection
38
remaining
unallocated
shall
be
used
for
state
child
39
care
assistance
payments
for
families
who
are
employed
40
including
but
not
limited
to
individuals
enrolled
in
41
the
family
investment
program.
42
7.
For
distribution
to
counties
and
regions
through
43
the
property
tax
relief
fund
for
mental
health
and
44
disability
services
as
provided
in
an
appropriation
45
made
for
this
purpose:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
47
8.
For
child
and
family
services:
48
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
49
9.
For
child
abuse
prevention
grants:
50
-86-
SF505.1913
(13)
86
pf/rh/rj
86/
123
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
1
10.
For
pregnancy
prevention
grants
on
the
2
condition
that
family
planning
services
are
funded:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
4
Pregnancy
prevention
grants
shall
be
awarded
to
5
programs
in
existence
on
or
before
July
1,
2016,
if
the
6
programs
have
demonstrated
positive
outcomes.
Grants
7
shall
be
awarded
to
pregnancy
prevention
programs
8
which
are
developed
after
July
1,
2016,
if
the
programs
9
are
based
on
existing
models
that
have
demonstrated
10
positive
outcomes.
Grants
shall
comply
with
the
11
requirements
provided
in
1997
Iowa
Acts,
chapter
12
208,
section
14,
subsections
1
and
2,
including
the
13
requirement
that
grant
programs
must
emphasize
sexual
14
abstinence.
Priority
in
the
awarding
of
grants
shall
15
be
given
to
programs
that
serve
areas
of
the
state
16
which
demonstrate
the
highest
percentage
of
unplanned
17
pregnancies
of
females
of
childbearing
age
within
the
18
geographic
area
to
be
served
by
the
grant.
19
11.
For
technology
needs
and
other
resources
20
necessary
to
meet
federal
welfare
reform
reporting,
21
tracking,
and
case
management
requirements:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
23
12.
For
the
family
investment
program
share
of
24
the
costs
to
continue
to
develop
and
maintain
a
new,
25
integrated
eligibility
determination
system:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,327,440
27
13.
a.
Notwithstanding
any
provision
to
the
28
contrary,
including
but
not
limited
to
requirements
29
in
section
8.41
or
provisions
in
2015
or
2016
Iowa
30
Acts
regarding
the
receipt
and
appropriation
of
31
federal
block
grants,
federal
funds
from
the
temporary
32
assistance
for
needy
families
block
grant
received
33
by
the
state
and
not
otherwise
appropriated
in
this
34
section
and
remaining
available
for
the
fiscal
year
35
beginning
July
1,
2016,
are
appropriated
to
the
36
department
of
human
services
to
the
extent
as
may
37
be
necessary
to
be
used
in
the
following
priority
38
order:
the
family
investment
program,
for
state
child
39
care
assistance
program
payments
for
families
who
are
40
employed
including
but
not
limited
to
individuals
41
enrolled
in
the
family
investment
program,
and
for
the
42
family
investment
program
share
of
costs
to
develop
and
43
maintain
a
new,
integrated
eligibility
determination
44
system.
The
federal
funds
appropriated
in
this
45
paragraph
“a”
shall
be
expended
only
after
all
other
46
funds
appropriated
in
subsection
1
for
the
assistance
47
under
the
family
investment
program,
in
subsection
6
48
for
child
care
assistance,
or
in
subsection
12
for
49
the
family
investment
program
share
of
the
costs
to
50
-87-
SF505.1913
(13)
86
pf/rh/rj
87/
123
continue
to
develop
and
maintain
a
new,
integrated
1
eligibility
determination
system,
as
applicable,
have
2
been
expended.
For
the
purposes
of
this
subsection,
3
the
funds
appropriated
in
subsection
6,
paragraph
“a”,
4
for
transfer
to
the
child
care
and
development
block
5
grant
appropriation
are
considered
fully
expended
when
6
the
full
amount
has
been
transferred.
7
b.
The
department
shall,
on
a
quarterly
basis,
8
advise
the
legislative
services
agency
and
department
9
of
management
of
the
amount
of
funds
appropriated
in
10
this
subsection
that
was
expended
in
the
prior
quarter.
11
14.
Of
the
amounts
appropriated
in
this
section,
12
$6,481,004
for
the
fiscal
year
beginning
July
1,
2016,
13
is
transferred
to
the
appropriation
of
the
federal
14
social
services
block
grant
made
to
the
department
of
15
human
services
for
that
fiscal
year.
16
15.
For
continuation
of
the
program
providing
17
categorical
eligibility
for
the
food
assistance
program
18
as
specified
for
the
program
in
the
section
of
this
19
division
of
this
2016
Act
relating
to
the
family
20
investment
program
account:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
22
16.
The
department
may
transfer
funds
allocated
23
in
this
section
to
the
appropriations
made
in
this
24
division
of
this
Act
for
the
same
fiscal
year
for
25
general
administration
and
field
operations
for
26
resources
necessary
to
implement
and
operate
the
27
services
referred
to
in
this
section
and
those
funded
28
in
the
appropriation
made
in
this
division
of
this
Act
29
for
the
same
fiscal
year
for
the
family
investment
30
program
from
the
general
fund
of
the
state.
31
Sec.
105.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
32
1.
Moneys
credited
to
the
family
investment
program
33
(FIP)
account
for
the
fiscal
year
beginning
July
34
1,
2016,
and
ending
June
30,
2017,
shall
be
used
to
35
provide
assistance
in
accordance
with
chapter
239B
.
36
2.
The
department
may
use
a
portion
of
the
moneys
37
credited
to
the
FIP
account
under
this
section
as
38
necessary
for
salaries,
support,
maintenance,
and
39
miscellaneous
purposes.
40
3.
The
department
may
transfer
funds
allocated
41
in
subsection
4
to
the
appropriations
made
in
this
42
division
of
this
Act
for
the
same
fiscal
year
for
43
general
administration
and
field
operations
for
44
resources
necessary
to
implement
and
operate
the
family
45
investment
program
services
referred
to
in
this
section
46
and
those
funded
in
the
appropriation
made
in
this
47
division
of
this
Act
for
the
same
fiscal
year
for
the
48
family
investment
program
from
the
general
fund
of
the
49
state.
50
-88-
SF505.1913
(13)
86
pf/rh/rj
88/
123
4.
Moneys
appropriated
in
this
division
of
this
Act
1
and
credited
to
the
FIP
account
for
the
fiscal
year
2
beginning
July
1,
2016,
and
ending
June
30,
2017,
are
3
allocated
as
follows:
4
a.
To
be
retained
by
the
department
of
human
5
services
to
be
used
for
coordinating
with
the
6
department
of
human
rights
to
more
effectively
serve
7
participants
in
FIP
and
other
shared
clients
and
to
8
meet
federal
reporting
requirements
under
the
federal
9
temporary
assistance
for
needy
families
block
grant:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
11
b.
To
the
department
of
human
rights
for
staffing,
12
administration,
and
implementation
of
the
family
13
development
and
self-sufficiency
grant
program
in
14
accordance
with
section
216A.107
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
16
(1)
Of
the
funds
allocated
for
the
family
17
development
and
self-sufficiency
grant
program
in
this
18
paragraph
“b”,
not
more
than
5
percent
of
the
funds
19
shall
be
used
for
the
administration
of
the
grant
20
program.
21
(2)
The
department
of
human
rights
may
continue
to
22
implement
the
family
development
and
self-sufficiency
23
grant
program
statewide
during
fiscal
year
2016-2017.
24
(3)
The
department
of
human
rights
may
engage
in
25
activities
to
strengthen
and
improve
family
outcomes
26
measures
and
data
collection
systems
under
the
family
27
development
and
self-sufficiency
grant
program.
28
c.
For
the
diversion
subaccount
of
the
FIP
account:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
30
A
portion
of
the
moneys
allocated
for
the
subaccount
31
may
be
used
for
field
operations,
salaries,
data
32
management
system
development,
and
implementation
33
costs
and
support
deemed
necessary
by
the
director
of
34
human
services
in
order
to
administer
the
FIP
diversion
35
program.
To
the
extent
moneys
allocated
in
this
36
paragraph
“c”
are
not
deemed
by
the
department
to
be
37
necessary
to
support
diversion
activities,
such
moneys
38
may
be
used
for
other
efforts
intended
to
increase
39
engagement
by
family
investment
program
participants
in
40
work,
education,
or
training
activities.
41
d.
For
the
food
assistance
employment
and
training
42
program:
43
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
44
(1)
The
department
shall
apply
the
federal
45
supplemental
nutrition
assistance
program
(SNAP)
46
employment
and
training
state
plan
in
order
to
maximize
47
to
the
fullest
extent
permitted
by
federal
law
the
use
48
of
the
50
percent
federal
reimbursement
provisions
49
for
the
claiming
of
allowable
federal
reimbursement
50
-89-
SF505.1913
(13)
86
pf/rh/rj
89/
123
funds
from
the
United
States
department
of
agriculture
1
pursuant
to
the
federal
SNAP
employment
and
training
2
program
for
providing
education,
employment,
and
3
training
services
for
eligible
food
assistance
program
4
participants,
including
but
not
limited
to
related
5
dependent
care
and
transportation
expenses.
6
(2)
The
department
shall
continue
the
categorical
7
federal
food
assistance
program
eligibility
at
160
8
percent
of
the
federal
poverty
level
and
continue
to
9
eliminate
the
asset
test
from
eligibility
requirements,
10
consistent
with
federal
food
assistance
program
11
requirements.
The
department
shall
include
as
many
12
food
assistance
households
as
is
allowed
by
federal
13
law.
The
eligibility
provisions
shall
conform
to
all
14
federal
requirements
including
requirements
addressing
15
individuals
who
are
incarcerated
or
otherwise
16
ineligible.
17
e.
For
the
JOBS
program:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,770,199
19
5.
Of
the
child
support
collections
assigned
under
20
FIP,
an
amount
equal
to
the
federal
share
of
support
21
collections
shall
be
credited
to
the
child
support
22
recovery
appropriation
made
in
this
division
of
this
23
Act.
Of
the
remainder
of
the
assigned
child
support
24
collections
received
by
the
child
support
recovery
25
unit,
a
portion
shall
be
credited
to
the
FIP
account,
26
a
portion
may
be
used
to
increase
recoveries,
and
a
27
portion
may
be
used
to
sustain
cash
flow
in
the
child
28
support
payments
account.
If
as
a
consequence
of
the
29
appropriations
and
allocations
made
in
this
section
30
the
resulting
amounts
are
insufficient
to
sustain
31
cash
assistance
payments
and
meet
federal
maintenance
32
of
effort
requirements,
the
department
shall
seek
33
supplemental
funding.
If
child
support
collections
34
assigned
under
FIP
are
greater
than
estimated
or
are
35
otherwise
determined
not
to
be
required
for
maintenance
36
of
effort,
the
state
share
of
either
amount
may
37
be
transferred
to
or
retained
in
the
child
support
38
payments
account.
39
6.
The
department
may
adopt
emergency
rules
for
the
40
family
investment,
JOBS,
food
assistance,
and
medical
41
assistance
programs
if
necessary
to
comply
with
federal
42
requirements.
43
Sec.
106.
FAMILY
INVESTMENT
PROGRAM
GENERAL
44
FUND.
There
is
appropriated
from
the
general
fund
of
45
the
state
to
the
department
of
human
services
for
the
46
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
47
2017,
the
following
amount,
or
so
much
thereof
as
is
48
necessary,
to
be
used
for
the
purpose
designated:
49
To
be
credited
to
the
family
investment
program
50
-90-
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(13)
86
pf/rh/rj
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123
(FIP)
account
and
used
for
family
investment
program
1
assistance
under
chapter
239B
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,209,099
3
1.
Of
the
funds
appropriated
in
this
section,
4
$3,701,110
is
allocated
for
the
JOBS
program.
5
2.
Of
the
funds
appropriated
in
this
section,
6
$1,656,927
is
allocated
for
the
family
development
and
7
self-sufficiency
grant
program.
8
3.
Notwithstanding
section
8.39
,
for
the
fiscal
9
year
beginning
July
1,
2016,
if
necessary
to
meet
10
federal
maintenance
of
effort
requirements
or
to
11
transfer
federal
temporary
assistance
for
needy
12
families
block
grant
funding
to
be
used
for
purposes
13
of
the
federal
social
services
block
grant
or
to
meet
14
cash
flow
needs
resulting
from
delays
in
receiving
15
federal
funding
or
to
implement,
in
accordance
with
16
this
division
of
this
Act,
activities
currently
funded
17
with
juvenile
court
services,
county,
or
community
18
moneys
and
state
moneys
used
in
combination
with
such
19
moneys,
the
department
of
human
services
may
transfer
20
funds
within
or
between
any
of
the
appropriations
made
21
in
this
division
of
this
Act
and
appropriations
in
law
22
for
the
federal
social
services
block
grant
to
the
23
department
for
the
following
purposes,
provided
that
24
the
combined
amount
of
state
and
federal
temporary
25
assistance
for
needy
families
block
grant
funding
for
26
each
appropriation
remains
the
same
before
and
after
27
the
transfer:
28
a.
For
the
family
investment
program.
29
b.
For
child
care
assistance.
30
c.
For
child
and
family
services.
31
d.
For
field
operations.
32
e.
For
general
administration.
33
f.
For
distribution
to
counties
or
regions
through
34
the
property
tax
relief
fund
for
mental
health
and
35
disability
services
as
provided
in
an
appropriation
for
36
this
purpose.
37
This
subsection
shall
not
be
construed
to
prohibit
38
the
use
of
existing
state
transfer
authority
for
other
39
purposes.
The
department
shall
report
any
transfers
40
made
pursuant
to
this
subsection
to
the
legislative
41
services
agency.
42
4.
The
department
may
transfer
funds
appropriated
43
in
this
section
to
the
appropriations
made
in
this
44
division
of
this
Act
for
general
administration
and
45
field
operations
as
necessary
to
administer
this
46
section
and
the
overall
family
investment
program.
47
Sec.
107.
CHILD
SUPPORT
RECOVERY.
There
is
48
appropriated
from
the
general
fund
of
the
state
to
49
the
department
of
human
services
for
the
fiscal
year
50
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86
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123
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
1
following
amount,
or
so
much
thereof
as
is
necessary,
2
to
be
used
for
the
purposes
designated:
3
For
child
support
recovery,
including
salaries,
4
support,
maintenance,
and
miscellaneous
purposes,
and
5
for
not
more
than
the
following
full-time
equivalent
6
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,308,560
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
9
1.
The
department
shall
expend
up
to
$12,164,
10
including
federal
financial
participation,
for
the
11
fiscal
year
beginning
July
1,
2016,
for
a
child
support
12
public
awareness
campaign.
The
department
and
the
13
office
of
the
attorney
general
shall
cooperate
in
14
continuation
of
the
campaign.
The
public
awareness
15
campaign
shall
emphasize,
through
a
variety
of
media
16
activities,
the
importance
of
maximum
involvement
of
17
both
parents
in
the
lives
of
their
children
as
well
as
18
the
importance
of
payment
of
child
support
obligations.
19
2.
Federal
access
and
visitation
grant
moneys
shall
20
be
issued
directly
to
private
not-for-profit
agencies
21
that
provide
services
designed
to
increase
compliance
22
with
the
child
access
provisions
of
court
orders,
23
including
but
not
limited
to
neutral
visitation
sites
24
and
mediation
services.
25
3.
The
appropriation
made
to
the
department
for
26
child
support
recovery
may
be
used
throughout
the
27
fiscal
year
in
the
manner
necessary
for
purposes
of
28
cash
flow
management,
and
for
cash
flow
management
29
purposes
the
department
may
temporarily
draw
more
30
than
the
amount
appropriated,
provided
the
amount
31
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
32
year.
33
4.
With
the
exception
of
the
funding
amount
34
specified,
the
requirements
established
under
2001
35
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
36
paragraph
“c”,
subparagraph
(3),
shall
be
applicable
37
to
parental
obligation
pilot
projects
for
the
fiscal
38
year
beginning
July
1,
2016,
and
ending
June
30,
39
2017.
Notwithstanding
441
IAC
100.8,
providing
for
40
termination
of
rules
relating
to
the
pilot
projects,
41
the
rules
shall
remain
in
effect
until
June
30,
2017.
42
Sec.
108.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
43
ASSISTANCE
——
FY
2016-2017.
Any
funds
remaining
in
the
44
health
care
trust
fund
created
in
section
453A.35A
for
45
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
46
30,
2017,
are
appropriated
to
the
department
of
human
47
services
to
supplement
the
medical
assistance
program
48
appropriations
made
in
this
division
of
this
Act,
for
49
medical
assistance
reimbursement
and
associated
costs,
50
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86
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123
including
program
administration
and
costs
associated
1
with
program
implementation.
2
Sec.
109.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
3
——
FY
2016-2017.
Any
funds
remaining
in
the
Medicaid
4
fraud
fund
created
in
section
249A.50
for
the
fiscal
5
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
6
are
appropriated
to
the
department
of
human
services
to
7
supplement
the
medical
assistance
appropriations
made
8
in
this
division
of
this
Act,
for
medical
assistance
9
reimbursement
and
associated
costs,
including
program
10
administration
and
costs
associated
with
program
11
implementation.
12
Sec.
110.
MEDICAL
ASSISTANCE.
13
1.
There
is
appropriated
from
the
general
fund
of
14
the
state
to
the
department
of
human
services
for
the
15
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
16
2017,
the
following
amount,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purpose
designated:
18
For
medical
assistance
program
reimbursement
and
19
associated
costs
as
specifically
provided
in
the
20
reimbursement
methodologies
in
effect
on
June
30,
21
2016,
except
as
otherwise
expressly
authorized
by
22
law,
consistent
with
options
under
federal
law
and
23
regulations,
and
contingent
upon
receipt
of
approval
24
from
the
office
of
the
governor
of
reimbursement
for
25
each
abortion
performed
under
the
program:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$660,405,499
27
2.
Iowans
support
reducing
the
number
of
abortions
28
performed
in
our
state.
For
an
abortion
covered
under
29
the
program,
except
in
the
case
of
a
medical
emergency,
30
as
defined
in
section
135L.1
,
for
any
woman,
the
31
physician
shall
certify
both
of
the
following:
32
a.
That
the
woman
has
been
given
the
opportunity
to
33
view
an
ultrasound
image
of
the
fetus
as
part
of
the
34
standard
of
care
before
an
abortion
is
performed.
35
b.
That
the
woman
has
been
provided
information
36
regarding
the
options
relative
to
a
pregnancy,
37
including
continuing
the
pregnancy
to
term
and
38
retaining
parental
rights
following
the
child’s
birth,
39
continuing
the
pregnancy
to
term
and
placing
the
child
40
for
adoption,
and
terminating
the
pregnancy.
41
3.
The
provisions
of
this
section
relating
to
42
abortions
shall
also
apply
to
the
Iowa
health
and
43
wellness
plan
created
pursuant
to
chapter
249N
.
44
4.
The
department
shall
utilize
not
more
than
45
$30,000
of
the
funds
appropriated
in
this
section
46
to
continue
the
AIDS/HIV
health
insurance
premium
47
payment
program
as
established
in
1992
Iowa
Acts,
48
Second
Extraordinary
Session,
chapter
1001,
section
49
409,
subsection
6.
Of
the
funds
allocated
in
this
50
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123
subsection,
not
more
than
$2,500
may
be
expended
for
1
administrative
purposes.
2
5.
Of
the
funds
appropriated
in
this
Act
to
the
3
department
of
public
health
for
addictive
disorders,
4
$475,000
for
the
fiscal
year
beginning
July
1,
2016,
5
is
transferred
to
the
department
of
human
services
for
6
an
integrated
substance-related
disorder
managed
care
7
system.
The
department
shall
not
assume
management
8
of
the
substance-related
disorder
system
in
place
9
of
the
managed
care
contractor
unless
such
a
change
10
in
approach
is
specifically
authorized
in
law.
The
11
departments
of
human
services
and
public
health
shall
12
work
together
to
maintain
the
level
of
mental
health
13
and
substance-related
disorder
treatment
services
14
provided
by
the
managed
care
contractor
through
the
15
Iowa
plan
for
behavioral
health.
Each
department
16
shall
take
the
steps
necessary
to
continue
the
federal
17
waivers
as
necessary
to
maintain
the
level
of
services.
18
6.
a.
The
department
shall
aggressively
pursue
19
options
for
providing
medical
assistance
or
other
20
assistance
to
individuals
with
special
needs
who
become
21
ineligible
to
continue
receiving
services
under
the
22
early
and
periodic
screening,
diagnostic,
and
treatment
23
program
under
the
medical
assistance
program
due
24
to
becoming
21
years
of
age
who
have
been
approved
25
for
additional
assistance
through
the
department’s
26
exception
to
policy
provisions,
but
who
have
health
27
care
needs
in
excess
of
the
funding
available
through
28
the
exception
to
policy
provisions.
29
b.
Of
the
funds
appropriated
in
this
section,
30
$50,000
shall
be
used
for
participation
in
one
or
more
31
pilot
projects
operated
by
a
private
provider
to
allow
32
the
individual
or
individuals
to
receive
service
in
the
33
community
in
accordance
with
principles
established
in
34
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
35
of
providing
medical
assistance
or
other
assistance
to
36
individuals
with
special
needs
who
become
ineligible
37
to
continue
receiving
services
under
the
early
and
38
periodic
screening,
diagnostic,
and
treatment
program
39
under
the
medical
assistance
program
due
to
becoming
40
21
years
of
age
who
have
been
approved
for
additional
41
assistance
through
the
department’s
exception
to
policy
42
provisions,
but
who
have
health
care
needs
in
excess
43
of
the
funding
available
through
the
exception
to
the
44
policy
provisions.
45
7.
Of
the
funds
appropriated
in
this
section,
up
to
46
$1,525,041
may
be
transferred
to
the
field
operations
47
or
general
administration
appropriations
in
this
48
division
of
this
Act
for
operational
costs
associated
49
with
Part
D
of
the
federal
Medicare
Prescription
Drug
50
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123
Improvement
and
Modernization
Act
of
2003,
Pub.
L.
No.
1
108-173.
2
8.
Of
the
funds
appropriated
in
this
section,
up
3
to
$221,050
may
be
transferred
to
the
appropriation
4
in
this
division
of
this
Act
for
medical
contracts
5
to
be
used
for
clinical
assessment
services
and
prior
6
authorization
of
services.
7
9.
A
portion
of
the
funds
appropriated
in
this
8
section
may
be
transferred
to
the
appropriations
in
9
this
division
of
this
Act
for
general
administration,
10
medical
contracts,
the
children’s
health
insurance
11
program,
or
field
operations
to
be
used
for
the
12
state
match
cost
to
comply
with
the
payment
error
13
rate
measurement
(PERM)
program
for
both
the
medical
14
assistance
and
children’s
health
insurance
programs
15
as
developed
by
the
centers
for
Medicare
and
Medicaid
16
services
of
the
United
States
department
of
health
and
17
human
services
to
comply
with
the
federal
Improper
18
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
19
10.
The
department
shall
continue
to
implement
the
20
recommendations
of
the
assuring
better
child
health
21
and
development
initiative
II
(ABCDII)
clinical
panel
22
to
the
Iowa
early
and
periodic
screening,
diagnostic,
23
and
treatment
services
healthy
mental
development
24
collaborative
board
regarding
changes
to
billing
25
procedures,
codes,
and
eligible
service
providers.
26
11.
Of
the
funds
appropriated
in
this
section,
27
a
sufficient
amount
is
allocated
to
supplement
28
the
incomes
of
residents
of
nursing
facilities,
29
intermediate
care
facilities
for
persons
with
mental
30
illness,
and
intermediate
care
facilities
for
persons
31
with
an
intellectual
disability,
with
incomes
of
less
32
than
$50
in
the
amount
necessary
for
the
residents
to
33
receive
a
personal
needs
allowance
of
$50
per
month
34
pursuant
to
section
249A.30A
.
35
12.
Of
the
funds
appropriated
in
this
section,
the
36
following
amounts
are
transferred
to
the
appropriations
37
made
in
this
division
of
this
Act
for
the
state
mental
38
health
institutes:
39
a.
Cherokee
mental
health
40
institute
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,549,212
41
b.
Independence
mental
health
42
institute
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,522,947
43
13.
a.
Of
the
funds
appropriated
in
this
section,
44
$2,041,939
is
allocated
for
the
state
match
for
a
45
disproportionate
share
hospital
payment
of
$4,544,712
46
to
hospitals
that
meet
both
of
the
conditions
specified
47
in
subparagraphs
(1)
and
(2).
In
addition,
the
48
hospitals
that
meet
the
conditions
specified
shall
49
either
certify
public
expenditures
or
transfer
to
50
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the
medical
assistance
program
an
amount
equal
to
1
provide
the
nonfederal
share
for
a
disproportionate
2
share
hospital
payment
of
$8,772,003.
The
hospitals
3
that
meet
the
conditions
specified
shall
receive
and
4
retain
100
percent
of
the
total
disproportionate
share
5
hospital
payment
of
$13,316,715.
6
(1)
The
hospital
qualifies
for
disproportionate
7
share
and
graduate
medical
education
payments.
8
(2)
The
hospital
is
an
Iowa
state-owned
hospital
9
with
more
than
500
beds
and
eight
or
more
distinct
10
residency
specialty
or
subspecialty
programs
recognized
11
by
the
American
college
of
graduate
medical
education.
12
b.
Distribution
of
the
disproportionate
share
13
payments
shall
be
made
on
a
monthly
basis.
The
total
14
amount
of
disproportionate
share
payments
including
15
graduate
medical
education,
enhanced
disproportionate
16
share,
and
Iowa
state-owned
teaching
hospital
payments
17
shall
not
exceed
the
amount
of
the
state’s
allotment
18
under
Pub.
L.
No.
102-234.
In
addition,
the
total
19
amount
of
all
disproportionate
share
payments
shall
not
20
exceed
the
hospital-specific
disproportionate
share
21
limits
under
Pub.
L.
No.
103-66.
22
c.
The
university
of
Iowa
hospitals
and
clinics
23
shall
either
certify
public
expenditures
or
transfer
24
to
the
appropriations
made
in
this
division
of
this
25
Act
for
medical
assistance
an
amount
equal
to
provide
26
the
nonfederal
share
for
increased
medical
assistance
27
payments
for
inpatient
and
outpatient
hospital
services
28
of
$4,950,000.
The
university
of
Iowa
hospitals
and
29
clinics
shall
receive
and
retain
100
percent
of
the
30
total
increase
in
medical
assistance
payments.
31
14.
One
hundred
percent
of
the
nonfederal
share
of
32
payments
to
area
education
agencies
that
are
medical
33
assistance
providers
for
medical
assistance-covered
34
services
provided
to
medical
assistance-covered
35
children,
shall
be
made
from
the
appropriation
made
in
36
this
section.
37
15.
Any
new
or
renewed
contract
entered
into
by
the
38
department
with
a
third
party
to
administer
behavioral
39
health
services
under
the
medical
assistance
program
40
shall
provide
that
any
interest
earned
on
payments
41
from
the
state
during
the
state
fiscal
year
shall
be
42
remitted
to
the
department
and
treated
as
recoveries
to
43
offset
the
costs
of
the
medical
assistance
program.
44
16.
A
portion
of
the
funds
appropriated
in
this
45
section
may
be
transferred
to
the
appropriation
in
this
46
division
of
this
Act
for
medical
contracts
to
be
used
47
for
administrative
activities
associated
with
the
money
48
follows
the
person
demonstration
project.
49
17.
Of
the
funds
appropriated
in
this
section,
50
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$174,505
shall
be
used
for
the
administration
of
the
1
health
insurance
premium
payment
program,
including
2
salaries,
support,
maintenance,
and
miscellaneous
3
purposes.
4
18.
a.
The
department
may
increase
the
amounts
5
allocated
for
salaries,
support,
maintenance,
and
6
miscellaneous
purposes
associated
with
the
medical
7
assistance
program,
as
necessary,
to
implement
cost
8
containment
strategies.
The
department
shall
report
9
any
such
increase
to
the
legislative
services
agency
10
and
the
department
of
management.
11
b.
If
the
savings
to
the
medical
assistance
program
12
from
cost
containment
efforts
exceed
the
cost
for
the
13
fiscal
year
beginning
July
1,
2016,
the
department
may
14
transfer
any
savings
generated
for
the
fiscal
year
due
15
to
medical
assistance
program
cost
containment
efforts
16
to
the
appropriation
made
in
this
division
of
this
Act
17
for
medical
contracts
or
general
administration
to
18
defray
the
increased
contract
costs
associated
with
19
implementing
such
efforts.
20
c.
The
department
shall
report
the
implementation
21
of
any
cost
containment
strategies
under
this
22
subsection
to
the
individuals
specified
in
this
23
division
of
this
Act
for
submission
of
reports
on
a
24
quarterly
basis.
25
19.
For
the
fiscal
year
beginning
July
1,
2016,
26
and
ending
June
30,
2017,
the
replacement
generation
27
tax
revenues
required
to
be
deposited
in
the
property
28
tax
relief
fund
pursuant
to
section
437A.8,
subsection
29
4,
paragraph
“d”
,
and
section
437A.15,
subsection
30
3,
paragraph
“f”
,
shall
instead
be
credited
to
and
31
supplement
the
appropriation
made
in
this
section
and
32
used
for
the
allocations
made
in
this
section.
33
20.
The
department
shall
continue
to
administer
the
34
state
balancing
incentive
payments
program
as
specified
35
in
2012
Iowa
Acts,
chapter
1133,
section
14.
36
21.
a.
Of
the
funds
appropriated
in
this
section,
37
$450,000
shall
be
used
for
continued
implementation
38
of
the
children’s
mental
health
home
project
proposed
39
by
the
department
of
human
services
and
reported
to
40
the
general
assembly’s
mental
health
and
disability
41
services
study
committee
in
December
2011.
Of
this
42
amount,
up
to
$25,000
may
be
transferred
by
the
43
department
to
the
appropriation
made
in
this
division
44
of
this
Act
to
the
department
for
the
same
fiscal
year
45
for
general
administration
to
be
used
for
associated
46
administrative
expenses
and
for
not
more
than
one
47
full-time
equivalent
position,
in
addition
to
those
48
authorized
for
the
same
fiscal
year,
to
be
assigned
to
49
implementing
the
project.
50
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123
b.
Of
the
funds
appropriated
in
this
section,
up
to
1
$200,000
may
be
transferred
by
the
department
to
the
2
appropriation
made
to
the
department
in
this
division
3
of
this
Act
for
the
same
fiscal
year
for
Medicaid
4
program-related
general
administration
planning
and
5
implementation
activities.
The
funds
may
be
used
for
6
contracts
or
for
personnel
in
addition
to
the
amounts
7
appropriated
for
and
the
positions
authorized
for
8
general
administration
for
the
fiscal
year.
9
c.
Of
the
funds
appropriated
in
this
section,
up
10
to
$1,500,000
may
be
transferred
by
the
department
to
11
the
appropriations
made
in
this
division
of
this
Act
12
for
the
same
fiscal
year
for
general
administration
or
13
medical
contracts
to
be
used
to
support
the
development
14
and
implementation
of
standardized
assessment
tools
15
for
persons
with
mental
illness,
an
intellectual
16
disability,
a
developmental
disability,
or
a
brain
17
injury.
18
22.
Of
the
funds
appropriated
in
this
section,
19
$125,000
shall
be
used
for
lodging
expenses
associated
20
with
care
provided
at
the
university
of
Iowa
hospitals
21
and
clinics
for
patients
with
cancer
whose
travel
22
distance
is
30
miles
or
more
and
whose
income
is
at
23
or
below
200
percent
of
the
federal
poverty
level
as
24
defined
by
the
most
recently
revised
poverty
income
25
guidelines
published
by
the
United
States
department
26
of
health
and
human
services.
The
department
of
27
human
services
shall
establish
the
maximum
number
28
of
overnight
stays
and
the
maximum
rate
reimbursed
29
for
overnight
lodging,
which
may
be
based
on
the
30
state
employee
rate
established
by
the
department
31
of
administrative
services.
The
funds
allocated
in
32
this
subsection
shall
not
be
used
as
nonfederal
share
33
matching
funds.
34
23.
a.
For
inpatient
and
outpatient
services
35
provided
by
hospitals
on
or
after
July
1,
2016,
36
the
department
of
human
services
shall
continue
37
to
recalculate
and
prospectively
apply
an
updated
38
cost-to-charge
ratio
upon
the
request
of
a
hospital
to
39
implement
price
or
charge
reductions,
if
all
of
the
40
following
criteria
are
met:
41
(1)
The
recalculation
of
an
updated
cost-to-charge
42
ratio
is
budget
neutral
to
the
state
funding
amount
43
appropriated
for
the
respective
fiscal
year
and
44
maintains
budget
neutral
payments
or
revenue
to
all
45
hospitals.
46
(2)
The
hospital
requesting
the
price
or
charge
47
reduction
submits
a
proforma
cost
report
and
charge
48
master
that
reflects
the
anticipated
cost-to-charge
49
reduction.
50
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123
b.
Based
upon
the
proforma
cost
report
submitted
1
by
the
requesting
hospital,
the
department
of
human
2
services
shall
prospectively
apply
the
recalculated
3
cost-to-charge
ratio
as
appropriate
to
submitted
claims
4
for
health
care
services.
5
24.
The
department
of
human
services
may
adopt
6
emergency
rules
as
necessary
for
the
governor’s
7
Medicaid
modernization
initiative
to
be
implemented
8
beginning
January
1,
2016.
9
Sec.
111.
MEDICAL
CONTRACTS.
There
is
appropriated
10
from
the
general
fund
of
the
state
to
the
department
of
11
human
services
for
the
fiscal
year
beginning
July
1,
12
2016,
and
ending
June
30,
2017,
the
following
amount,
13
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
For
medical
contracts:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,306,982
17
1.
The
department
of
inspections
and
appeals
18
shall
provide
all
state
matching
funds
for
survey
and
19
certification
activities
performed
by
the
department
20
of
inspections
and
appeals.
The
department
of
human
21
services
is
solely
responsible
for
distributing
the
22
federal
matching
funds
for
such
activities.
23
2.
Of
the
funds
appropriated
in
this
section,
24
$25,000
shall
be
used
for
continuation
of
home
and
25
community-based
services
waiver
quality
assurance
26
programs,
including
the
review
and
streamlining
of
27
processes
and
policies
related
to
oversight
and
quality
28
management
to
meet
state
and
federal
requirements.
29
3.
Of
the
amount
appropriated
in
this
section,
up
30
to
$100,000
may
be
transferred
to
the
appropriation
for
31
general
administration
in
this
division
of
this
Act
to
32
be
used
for
additional
full-time
equivalent
positions
33
in
the
development
of
key
health
initiatives
such
as
34
cost
containment,
development
and
oversight
of
managed
35
care
programs,
and
development
of
health
strategies
36
targeted
toward
improved
quality
and
reduced
costs
in
37
the
Medicaid
program.
38
4.
Of
the
funds
appropriated
in
this
section,
39
$500,000
shall
be
used
for
planning
and
development,
40
in
cooperation
with
the
department
of
public
health,
41
of
a
phased-in
program
to
provide
a
dental
home
for
42
children.
43
5.
Of
the
funds
appropriated
in
this
section,
44
$1,500,000
shall
be
used
for
the
autism
support
program
45
created
in
chapter
225D
,
with
the
exception
of
the
46
following
amounts
of
the
allocation
which
shall
be
used
47
as
follows:
48
a.
Of
the
funds
allocated
in
this
subsection,
49
$500,000
shall
be
deposited
in
the
board-certified
50
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86
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123
behavior
analyst
and
board-certified
assistant
behavior
1
analyst
grants
program
fund
created
in
section
135.181,
2
as
enacted
in
this
Act,
to
be
used
for
the
purposes
of
3
the
fund.
4
b.
Of
the
funds
allocated
in
this
subsection,
5
$12,500
shall
be
used
for
the
public
purpose
of
6
continuation
of
a
grant
to
a
child
welfare
services
7
provider
headquartered
in
a
county
with
a
population
8
between
205,000
and
215,000
in
the
latest
certified
9
federal
census
that
provides
multiple
services
10
including
but
not
limited
to
a
psychiatric
medical
11
institution
for
children,
shelter,
residential
12
treatment,
after
school
programs,
school-based
13
programming,
and
an
Asperger’s
syndrome
program,
to
14
be
used
for
support
services
for
children
with
autism
15
spectrum
disorder
and
their
families.
16
c.
Of
the
funds
allocated
in
this
subsection,
17
$12,500
shall
be
used
for
the
public
purpose
of
18
continuing
a
grant
to
a
hospital-based
provider
19
headquartered
in
a
county
with
a
population
between
20
90,000
and
95,000
in
the
latest
certified
federal
21
census
that
provides
multiple
services
including
but
22
not
limited
to
diagnostic,
therapeutic,
and
behavioral
23
services
to
individuals
with
autism
spectrum
disorder
24
across
one’s
lifespan.
The
grant
recipient
shall
25
utilize
the
funds
to
continue
the
pilot
project
to
26
determine
the
necessary
support
services
for
children
27
with
autism
spectrum
disorder
and
their
families
to
28
be
included
in
the
children’s
disabilities
services
29
system.
The
grant
recipient
shall
submit
findings
and
30
recommendations
based
upon
the
results
of
the
pilot
31
project
to
the
individuals
specified
in
this
division
32
of
this
Act
for
submission
of
reports
by
December
31,
33
2016.
34
Sec.
112.
STATE
SUPPLEMENTARY
ASSISTANCE.
35
1.
There
is
appropriated
from
the
general
fund
of
36
the
state
to
the
department
of
human
services
for
the
37
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
38
2017,
the
following
amount,
or
so
much
thereof
as
is
39
necessary,
to
be
used
for
the
purpose
designated:
40
For
the
state
supplementary
assistance
program:
41
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,920,676
42
2.
The
department
shall
increase
the
personal
needs
43
allowance
for
residents
of
residential
care
facilities
44
by
the
same
percentage
and
at
the
same
time
as
federal
45
supplemental
security
income
and
federal
social
46
security
benefits
are
increased
due
to
a
recognized
47
increase
in
the
cost
of
living.
The
department
may
48
adopt
emergency
rules
to
implement
this
subsection.
49
3.
If
during
the
fiscal
year
beginning
July
1,
50
-100-
SF505.1913
(13)
86
pf/rh/rj
100/
123
2016,
the
department
projects
that
state
supplementary
1
assistance
expenditures
for
a
calendar
year
will
not
2
meet
the
federal
pass-through
requirement
specified
3
in
Tit.
XVI
of
the
federal
Social
Security
Act,
4
section
1618,
as
codified
in
42
U.S.C.
§1382g,
5
the
department
may
take
actions
including
but
not
6
limited
to
increasing
the
personal
needs
allowance
7
for
residential
care
facility
residents
and
making
8
programmatic
adjustments
or
upward
adjustments
of
the
9
residential
care
facility
or
in-home
health-related
10
care
reimbursement
rates
prescribed
in
this
division
of
11
this
Act
to
ensure
that
federal
requirements
are
met.
12
In
addition,
the
department
may
make
other
programmatic
13
and
rate
adjustments
necessary
to
remain
within
the
14
amount
appropriated
in
this
section
while
ensuring
15
compliance
with
federal
requirements.
The
department
16
may
adopt
emergency
rules
to
implement
the
provisions
17
of
this
subsection.
18
Sec.
113.
CHILDREN’S
HEALTH
INSURANCE
19
PROGRAM.
There
is
appropriated
from
the
general
20
fund
of
the
state
to
the
department
of
human
services
21
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
22
June
30,
2017,
the
following
amount,
or
so
much
thereof
23
as
is
necessary,
to
be
used
for
the
purpose
designated:
24
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
25
(hawk-i)
program
pursuant
to
chapter
514I
,
including
26
supplemental
dental
services,
for
receipt
of
federal
27
financial
participation
under
Tit.
XXI
of
the
federal
28
Social
Security
Act,
which
creates
the
children’s
29
health
insurance
program:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,005,172
31
Sec.
114.
CHILD
CARE
ASSISTANCE.
There
is
32
appropriated
from
the
general
fund
of
the
state
to
33
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
35
following
amount,
or
so
much
thereof
as
is
necessary,
36
to
be
used
for
the
purpose
designated:
37
For
child
care
programs:
38
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,304,334
39
1.
Of
the
funds
appropriated
in
this
section,
40
$20,444,620
shall
be
used
for
state
child
care
41
assistance
in
accordance
with
section
237A.13
.
42
2.
Nothing
in
this
section
shall
be
construed
or
43
is
intended
as
or
shall
imply
a
grant
of
entitlement
44
for
services
to
persons
who
are
eligible
for
assistance
45
due
to
an
income
level
consistent
with
the
waiting
46
list
requirements
of
section
237A.13
.
Any
state
47
obligation
to
provide
services
pursuant
to
this
section
48
is
limited
to
the
extent
of
the
funds
appropriated
in
49
this
section.
50
-101-
SF505.1913
(13)
86
pf/rh/rj
101/
123
3.
Of
the
funds
appropriated
in
this
section,
1
$216,226
is
allocated
for
the
statewide
grant
program
2
for
child
care
resource
and
referral
services
under
3
section
237A.26
.
A
list
of
the
registered
and
licensed
4
child
care
facilities
operating
in
the
area
served
by
a
5
child
care
resource
and
referral
service
shall
be
made
6
available
to
the
families
receiving
state
child
care
7
assistance
in
that
area.
8
4.
Of
the
funds
appropriated
in
this
section,
9
$468,487
is
allocated
for
child
care
quality
10
improvement
initiatives
including
but
not
limited
to
11
the
voluntary
quality
rating
system
in
accordance
with
12
section
237A.30
.
13
5.
Of
the
funds
appropriated
in
this
section,
14
$3,175,000
shall
be
credited
to
the
early
childhood
15
programs
grants
account
in
the
early
childhood
Iowa
16
fund
created
in
section
256I.11
.
The
moneys
shall
17
be
distributed
for
funding
of
community-based
early
18
childhood
programs
targeted
to
children
from
birth
19
through
five
years
of
age
developed
by
early
childhood
20
Iowa
areas
in
accordance
with
approved
community
plans
21
as
provided
in
section
256I.8
.
22
6.
The
department
may
use
any
of
the
funds
23
appropriated
in
this
section
as
a
match
to
obtain
24
federal
funds
for
use
in
expanding
child
care
25
assistance
and
related
programs.
For
the
purpose
of
26
expenditures
of
state
and
federal
child
care
funding,
27
funds
shall
be
considered
obligated
at
the
time
28
expenditures
are
projected
or
are
allocated
to
the
29
department’s
service
areas.
Projections
shall
be
based
30
on
current
and
projected
caseload
growth,
current
and
31
projected
provider
rates,
staffing
requirements
for
32
eligibility
determination
and
management
of
program
33
requirements
including
data
systems
management,
34
staffing
requirements
for
administration
of
the
35
program,
contractual
and
grant
obligations
and
any
36
transfers
to
other
state
agencies,
and
obligations
for
37
decategorization
or
innovation
projects.
38
7.
A
portion
of
the
state
match
for
the
federal
39
child
care
and
development
block
grant
shall
be
40
provided
as
necessary
to
meet
federal
matching
41
funds
requirements
through
the
state
general
fund
42
appropriation
made
for
child
development
grants
and
43
other
programs
for
at-risk
children
in
section
279.51
.
44
8.
If
a
uniform
reduction
ordered
by
the
governor
45
under
section
8.31
or
other
operation
of
law,
46
transfer,
or
federal
funding
reduction
reduces
the
47
appropriation
made
in
this
section
for
the
fiscal
year,
48
the
percentage
reduction
in
the
amount
paid
out
to
or
49
on
behalf
of
the
families
participating
in
the
state
50
-102-
SF505.1913
(13)
86
pf/rh/rj
102/
123
child
care
assistance
program
shall
be
equal
to
or
1
less
than
the
percentage
reduction
made
for
any
other
2
purpose
payable
from
the
appropriation
made
in
this
3
section
and
the
federal
funding
relating
to
it.
The
4
percentage
reduction
to
the
other
allocations
made
in
5
this
section
shall
be
the
same
as
the
uniform
reduction
6
ordered
by
the
governor
or
the
percentage
change
of
the
7
federal
funding
reduction,
as
applicable.
If
there
is
8
an
unanticipated
increase
in
federal
funding
provided
9
for
state
child
care
assistance,
the
entire
amount
10
of
the
increase
shall
be
used
for
state
child
care
11
assistance
payments.
If
the
appropriations
made
for
12
purposes
of
the
state
child
care
assistance
program
for
13
the
fiscal
year
are
determined
to
be
insufficient,
it
14
is
the
intent
of
the
general
assembly
to
appropriate
15
sufficient
funding
for
the
fiscal
year
in
order
to
16
avoid
establishment
of
waiting
list
requirements.
17
9.
Notwithstanding
section
8.33
,
moneys
advanced
18
for
purposes
of
the
programs
developed
by
early
19
childhood
Iowa
areas,
advanced
for
purposes
of
20
wraparound
child
care,
or
received
from
the
federal
21
appropriations
made
for
the
purposes
of
this
section
22
that
remain
unencumbered
or
unobligated
at
the
close
23
of
the
fiscal
year
shall
not
revert
to
any
fund
but
24
shall
remain
available
for
expenditure
for
the
purposes
25
designated
until
the
close
of
the
succeeding
fiscal
26
year.
27
Sec.
115.
JUVENILE
INSTITUTIONS.
There
is
28
appropriated
from
the
general
fund
of
the
state
to
29
the
department
of
human
services
for
the
fiscal
year
30
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
31
following
amounts,
or
so
much
thereof
as
is
necessary,
32
to
be
used
for
the
purposes
designated:
33
1.
For
the
costs
of
security,
building
and
grounds
34
maintenance,
utilities,
salary,
and
support
for
35
the
facilities
located
at
the
Iowa
juvenile
home
at
36
Toledo
and
for
salaries,
support,
maintenance,
and
37
miscellaneous
purposes,
and
for
not
more
than
the
38
following
full-time
equivalent
positions:
39
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
186,383
40
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
2.00
41
2.
For
operation
of
the
state
training
school
at
42
Eldora
and
for
salaries,
support,
maintenance,
and
43
miscellaneous
purposes,
and
for
not
more
than
the
44
following
full-time
equivalent
positions:
45
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,970,665
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
47
Of
the
funds
appropriated
in
this
subsection,
48
$45,575
shall
be
used
for
distribution
to
licensed
49
classroom
teachers
at
this
and
other
institutions
under
50
-103-
SF505.1913
(13)
86
pf/rh/rj
103/
123
the
control
of
the
department
of
human
services
based
1
upon
the
average
student
yearly
enrollment
at
each
2
institution
as
determined
by
the
department.
3
Sec.
116.
CHILD
AND
FAMILY
SERVICES.
4
1.
There
is
appropriated
from
the
general
fund
of
5
the
state
to
the
department
of
human
services
for
the
6
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
7
2017,
the
following
amount,
or
so
much
thereof
as
is
8
necessary,
to
be
used
for
the
purpose
designated:
9
For
child
and
family
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,064,363
11
2.
Up
to
$2,600,000
of
the
amount
of
federal
12
temporary
assistance
for
needy
families
block
grant
13
funding
appropriated
in
this
division
of
this
Act
for
14
child
and
family
services
shall
be
made
available
for
15
purposes
of
juvenile
delinquent
graduated
sanction
16
services.
17
3.
The
department
may
transfer
funds
appropriated
18
in
this
section
as
necessary
to
pay
the
nonfederal
19
costs
of
services
reimbursed
under
the
medical
20
assistance
program,
state
child
care
assistance
21
program,
or
the
family
investment
program
which
are
22
provided
to
children
who
would
otherwise
receive
23
services
paid
under
the
appropriation
in
this
section.
24
The
department
may
transfer
funds
appropriated
in
this
25
section
to
the
appropriations
made
in
this
division
26
of
this
Act
for
general
administration
and
for
field
27
operations
for
resources
necessary
to
implement
and
28
operate
the
services
funded
in
this
section.
29
4.
a.
Of
the
funds
appropriated
in
this
section,
30
up
to
$17,910,893
is
allocated
as
the
statewide
31
expenditure
target
under
section
232.143
for
group
32
foster
care
maintenance
and
services.
If
the
33
department
projects
that
such
expenditures
for
the
34
fiscal
year
will
be
less
than
the
target
amount
35
allocated
in
this
paragraph
“a”,
the
department
may
36
reallocate
the
excess
to
provide
additional
funding
for
37
shelter
care
or
the
child
welfare
emergency
services
38
addressed
with
the
allocation
for
shelter
care.
39
b.
If
at
any
time
after
September
30,
2016,
40
annualization
of
a
service
area’s
current
expenditures
41
indicates
a
service
area
is
at
risk
of
exceeding
its
42
group
foster
care
expenditure
target
under
section
43
232.143
by
more
than
5
percent,
the
department
and
44
juvenile
court
services
shall
examine
all
group
45
foster
care
placements
in
that
service
area
in
order
46
to
identify
those
which
might
be
appropriate
for
47
termination.
In
addition,
any
aftercare
services
48
believed
to
be
needed
for
the
children
whose
49
placements
may
be
terminated
shall
be
identified.
The
50
-104-
SF505.1913
(13)
86
pf/rh/rj
104/
123
department
and
juvenile
court
services
shall
initiate
1
action
to
set
dispositional
review
hearings
for
the
2
placements
identified.
In
such
a
dispositional
review
3
hearing,
the
juvenile
court
shall
determine
whether
4
needed
aftercare
services
are
available
and
whether
5
termination
of
the
placement
is
in
the
best
interest
of
6
the
child
and
the
community.
7
5.
In
accordance
with
the
provisions
of
section
8
232.188
,
the
department
shall
continue
the
child
9
welfare
and
juvenile
justice
funding
initiative
during
10
fiscal
year
2016-2017.
Of
the
funds
appropriated
in
11
this
section,
$858,876
is
allocated
specifically
for
12
expenditure
for
fiscal
year
2016-2017
through
the
13
decategorization
services
funding
pools
and
governance
14
boards
established
pursuant
to
section
232.188
.
15
6.
A
portion
of
the
funds
appropriated
in
this
16
section
may
be
used
for
emergency
family
assistance
17
to
provide
other
resources
required
for
a
family
18
participating
in
a
family
preservation
or
reunification
19
project
or
successor
project
to
stay
together
or
to
be
20
reunified.
21
7.
Notwithstanding
section
234.35
or
any
other
22
provision
of
law
to
the
contrary,
state
funding
for
23
shelter
care
and
the
child
welfare
emergency
services
24
contracting
implemented
to
provide
for
or
prevent
the
25
need
for
shelter
care
shall
be
limited
to
$3,842,130.
26
8.
Federal
funds
received
by
the
state
during
27
the
fiscal
year
beginning
July
1,
2016,
as
the
28
result
of
the
expenditure
of
state
funds
appropriated
29
during
a
previous
state
fiscal
year
for
a
service
or
30
activity
funded
under
this
section
are
appropriated
31
to
the
department
to
be
used
as
additional
funding
32
for
services
and
purposes
provided
for
under
this
33
section.
Notwithstanding
section
8.33
,
moneys
34
received
in
accordance
with
this
subsection
that
remain
35
unencumbered
or
unobligated
at
the
close
of
the
fiscal
36
year
shall
not
revert
to
any
fund
but
shall
remain
37
available
for
the
purposes
designated
until
the
close
38
of
the
succeeding
fiscal
year.
39
9.
a.
Of
the
funds
appropriated
in
this
section,
40
up
to
$1,645,000
is
allocated
for
the
payment
of
41
the
expenses
of
court-ordered
services
provided
to
42
juveniles
who
are
under
the
supervision
of
juvenile
43
court
services,
which
expenses
are
a
charge
upon
44
the
state
pursuant
to
section
232.141,
subsection
45
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
46
up
to
$778,143
shall
be
made
available
to
provide
47
school-based
supervision
of
children
adjudicated
under
48
chapter
232
,
of
which
not
more
than
$7,500
may
be
used
49
for
the
purpose
of
training.
A
portion
of
the
cost
of
50
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86
pf/rh/rj
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123
each
school-based
liaison
officer
shall
be
paid
by
the
1
school
district
or
other
funding
source
as
approved
by
2
the
chief
juvenile
court
officer.
3
b.
Of
the
funds
appropriated
in
this
section,
up
to
4
$374,492
is
allocated
for
the
payment
of
the
expenses
5
of
court-ordered
services
provided
to
children
who
are
6
under
the
supervision
of
the
department,
which
expenses
7
are
a
charge
upon
the
state
pursuant
to
section
8
232.141,
subsection
4
.
9
c.
Notwithstanding
section
232.141
or
any
other
10
provision
of
law
to
the
contrary,
the
amounts
allocated
11
in
this
subsection
shall
be
distributed
to
the
12
judicial
districts
as
determined
by
the
state
court
13
administrator
and
to
the
department’s
service
areas
14
as
determined
by
the
administrator
of
the
department
15
of
human
services’
division
of
child
and
family
16
services.
The
state
court
administrator
and
the
17
division
administrator
shall
make
the
determination
of
18
the
distribution
amounts
on
or
before
June
15,
2016.
19
d.
Notwithstanding
chapter
232
or
any
other
20
provision
of
law
to
the
contrary,
a
district
or
21
juvenile
court
shall
not
order
any
service
which
is
22
a
charge
upon
the
state
pursuant
to
section
232.141
23
if
there
are
insufficient
court-ordered
services
24
funds
available
in
the
district
court
or
departmental
25
service
area
distribution
amounts
to
pay
for
the
26
service.
The
chief
juvenile
court
officer
and
the
27
departmental
service
area
manager
shall
encourage
use
28
of
the
funds
allocated
in
this
subsection
such
that
29
there
are
sufficient
funds
to
pay
for
all
court-related
30
services
during
the
entire
year.
The
chief
juvenile
31
court
officers
and
departmental
service
area
managers
32
shall
attempt
to
anticipate
potential
surpluses
and
33
shortfalls
in
the
distribution
amounts
and
shall
34
cooperatively
request
the
state
court
administrator
35
or
division
administrator
to
transfer
funds
between
36
the
judicial
districts’
or
departmental
service
areas’
37
distribution
amounts
as
prudent.
38
e.
Notwithstanding
any
provision
of
law
to
the
39
contrary,
a
district
or
juvenile
court
shall
not
order
40
a
county
to
pay
for
any
service
provided
to
a
juvenile
41
pursuant
to
an
order
entered
under
chapter
232
which
42
is
a
charge
upon
the
state
under
section
232.141,
43
subsection
4
.
44
f.
Of
the
funds
allocated
in
this
subsection,
not
45
more
than
$41,500
may
be
used
by
the
judicial
branch
46
for
administration
of
the
requirements
under
this
47
subsection.
48
g.
Of
the
funds
allocated
in
this
subsection,
49
$8,500
shall
be
used
by
the
department
of
human
50
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86
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123
services
to
support
the
interstate
commission
for
1
juveniles
in
accordance
with
the
interstate
compact
for
2
juveniles
as
provided
in
section
232.173
.
3
10.
Of
the
funds
appropriated
in
this
section,
4
$4,026,613
is
allocated
for
juvenile
delinquent
5
graduated
sanctions
services.
Any
state
funds
saved
as
6
a
result
of
efforts
by
juvenile
court
services
to
earn
7
a
federal
Tit.
IV-E
match
for
juvenile
court
services
8
administration
may
be
used
for
the
juvenile
delinquent
9
graduated
sanctions
services.
10
11.
Of
the
funds
appropriated
in
this
section,
11
$804,142
is
transferred
to
the
department
of
public
12
health
to
be
used
for
the
child
protection
center
grant
13
program
for
child
protection
centers
located
in
Iowa
14
in
accordance
with
section
135.118
.
The
grant
amounts
15
under
the
program
shall
be
equalized
so
that
each
16
center
receives
a
uniform
base
amount
of
$122,500,
and
17
the
remaining
funds
shall
be
awarded
through
a
funding
18
formula
based
upon
the
volume
of
children
served.
19
12.
If
the
department
receives
federal
approval
20
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
21
Social
Security
Act
to
enable
providers
to
serve
22
children
who
remain
in
the
children’s
families
and
23
communities,
for
purposes
of
eligibility
under
the
24
medical
assistance
program
through
25
years
of
age,
25
children
who
participate
in
the
waiver
shall
be
26
considered
to
be
placed
in
foster
care.
27
13.
Of
the
funds
appropriated
in
this
section,
28
$2,012,583
is
allocated
for
the
preparation
for
adult
29
living
program
pursuant
to
section
234.46
.
30
14.
Of
the
funds
appropriated
in
this
section,
31
$260,075
shall
be
used
for
juvenile
drug
courts.
32
The
amount
allocated
in
this
subsection
shall
be
33
distributed
as
follows:
34
To
the
judicial
branch
for
salaries
to
assist
with
35
the
operation
of
juvenile
drug
court
programs
operated
36
in
the
following
jurisdictions:
37
a.
Marshall
county:
38
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
39
b.
Woodbury
county:
40
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
41
c.
Polk
county:
42
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
43
d.
The
third
judicial
district:
44
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
45
e.
The
eighth
judicial
district:
46
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
47
15.
Of
the
funds
appropriated
in
this
section,
48
$113,668
shall
be
used
for
the
public
purpose
of
49
continuing
a
grant
to
a
nonprofit
human
services
50
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SF505.1913
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86
pf/rh/rj
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123
organization
providing
services
to
individuals
and
1
families
in
multiple
locations
in
southwest
Iowa
and
2
Nebraska
for
support
of
a
project
providing
immediate,
3
sensitive
support
and
forensic
interviews,
medical
4
exams,
needs
assessments,
and
referrals
for
victims
of
5
child
abuse
and
their
nonoffending
family
members.
6
16.
Of
the
funds
appropriated
in
this
section,
7
$150,310
is
allocated
for
the
foster
care
youth
council
8
approach
of
providing
a
support
network
to
children
9
placed
in
foster
care.
10
17.
Of
the
funds
appropriated
in
this
section,
11
$101,000
is
allocated
for
use
pursuant
to
section
12
235A.1
for
continuation
of
the
initiative
to
address
13
child
sexual
abuse
implemented
pursuant
to
2007
Iowa
14
Acts,
chapter
218,
section
18,
subsection
21.
15
18.
Of
the
funds
appropriated
in
this
section,
16
$315,120
is
allocated
for
the
community
partnership
for
17
child
protection
sites.
18
19.
Of
the
funds
appropriated
in
this
section,
19
$185,625
is
allocated
for
the
department’s
minority
20
youth
and
family
projects
under
the
redesign
of
the
21
child
welfare
system.
22
20.
Of
the
funds
appropriated
in
this
section,
23
$554,973
is
allocated
for
funding
of
the
community
24
circle
of
care
collaboration
for
children
and
youth
in
25
northeast
Iowa.
26
21.
Of
the
funds
appropriated
in
this
section,
27
at
least
$73,579
shall
be
used
for
the
continuation
28
of
the
child
welfare
provider
training
academy,
a
29
collaboration
between
the
coalition
for
family
and
30
children’s
services
in
Iowa
and
the
department.
31
22.
Of
the
funds
appropriated
in
this
section,
32
$105,936
shall
be
used
for
continuation
of
the
central
33
Iowa
system
of
care
program
grant
through
June
30,
34
2017.
35
23.
Of
the
funds
appropriated
in
this
section,
36
$67,500
shall
be
used
for
the
public
purpose
of
the
37
continuation
and
expansion
of
a
system
of
care
program
38
grant
implemented
in
Cerro
Gordo
and
Linn
counties
39
to
utilize
a
comprehensive
and
long-term
approach
40
for
helping
children
and
families
by
addressing
the
41
key
areas
in
a
child’s
life
of
childhood
basic
needs,
42
education
and
work,
family,
and
community.
43
24.
Of
the
funds
appropriated
in
this
section,
44
at
least
$12,500
shall
be
used
to
continue
and
to
45
expand
the
foster
care
respite
pilot
program
in
which
46
postsecondary
students
in
social
work
and
other
human
47
services-related
programs
receive
experience
by
48
assisting
family
foster
care
providers
with
respite
and
49
other
support.
50
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123
25.
Of
the
funds
appropriated
in
this
section,
1
$55,000
shall
be
used
for
the
public
purpose
of
funding
2
community-based
services
and
other
supports
with
a
3
system
of
care
approach
for
children
with
a
serious
4
emotional
disturbance
and
their
families
through
a
5
nonprofit
provider
of
child
welfare
services
that
has
6
been
in
existence
for
more
than
115
years,
is
located
7
in
a
county
with
a
population
of
more
than
200,000
8
but
less
than
220,000
according
to
the
latest
census
9
information
issued
by
the
United
States
census
bureau,
10
is
licensed
as
a
psychiatric
medical
institution
for
11
children,
and
was
a
system
of
care
grantee
prior
to
12
July
1,
2016.
13
Sec.
117.
ADOPTION
SUBSIDY.
14
1.
There
is
appropriated
from
the
general
fund
of
15
the
state
to
the
department
of
human
services
for
the
16
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
17
2017,
the
following
amount,
or
so
much
thereof
as
is
18
necessary,
to
be
used
for
the
purpose
designated:
19
For
adoption
subsidy
payments
and
services:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,499,143
21
2.
The
department
may
transfer
funds
appropriated
22
in
this
section
to
the
appropriation
made
in
this
23
division
of
this
Act
for
general
administration
for
24
costs
paid
from
the
appropriation
relating
to
adoption
25
subsidy.
26
3.
Federal
funds
received
by
the
state
during
the
27
fiscal
year
beginning
July
1,
2016,
as
the
result
of
28
the
expenditure
of
state
funds
during
a
previous
state
29
fiscal
year
for
a
service
or
activity
funded
under
30
this
section
are
appropriated
to
the
department
to
31
be
used
as
additional
funding
for
the
services
and
32
activities
funded
under
this
section.
Notwithstanding
33
section
8.33
,
moneys
received
in
accordance
with
this
34
subsection
that
remain
unencumbered
or
unobligated
at
35
the
close
of
the
fiscal
year
shall
not
revert
to
any
36
fund
but
shall
remain
available
for
expenditure
for
the
37
purposes
designated
until
the
close
of
the
succeeding
38
fiscal
year.
39
Sec.
118.
JUVENILE
DETENTION
HOME
FUND.
Moneys
40
deposited
in
the
juvenile
detention
home
fund
41
created
in
section
232.142
during
the
fiscal
year
42
beginning
July
1,
2016,
and
ending
June
30,
2017,
are
43
appropriated
to
the
department
of
human
services
for
44
the
fiscal
year
beginning
July
1,
2016,
and
ending
45
June
30,
2017,
for
distribution
of
an
amount
equal
46
to
a
percentage
of
the
costs
of
the
establishment,
47
improvement,
operation,
and
maintenance
of
county
or
48
multicounty
juvenile
detention
homes
in
the
fiscal
49
year
beginning
July
1,
2015.
Moneys
appropriated
for
50
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86
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123
distribution
in
accordance
with
this
section
shall
be
1
allocated
among
eligible
detention
homes,
prorated
on
2
the
basis
of
an
eligible
detention
home’s
proportion
3
of
the
costs
of
all
eligible
detention
homes
in
the
4
fiscal
year
beginning
July
1,
2015.
The
percentage
5
figure
shall
be
determined
by
the
department
based
on
6
the
amount
available
for
distribution
for
the
fund.
7
Notwithstanding
section
232.142,
subsection
3
,
the
8
financial
aid
payable
by
the
state
under
that
provision
9
for
the
fiscal
year
beginning
July
1,
2016,
shall
be
10
limited
to
the
amount
appropriated
for
the
purposes
of
11
this
section.
12
Sec.
119.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
13
1.
There
is
appropriated
from
the
general
fund
of
14
the
state
to
the
department
of
human
services
for
the
15
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
16
2017,
the
following
amount,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purpose
designated:
18
For
the
family
support
subsidy
program
subject
19
to
the
enrollment
restrictions
in
section
225C.37,
20
subsection
3
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
536,966
22
2.
The
department
shall
use
at
least
$320,750
of
23
the
moneys
appropriated
in
this
section
for
the
family
24
support
center
component
of
the
comprehensive
family
25
support
program
under
section
225C.47
.
Not
more
than
26
$12,500
of
the
amount
allocated
in
this
subsection
27
shall
be
used
for
administrative
costs.
28
3.
If
at
any
time
during
the
fiscal
year,
the
29
amount
of
funding
available
for
the
family
support
30
subsidy
program
is
reduced
from
the
amount
initially
31
used
to
establish
the
figure
for
the
number
of
family
32
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
33
time
during
the
fiscal
year,
notwithstanding
section
34
225C.38,
subsection
2
,
the
department
shall
revise
the
35
figure
as
necessary
to
conform
to
the
amount
of
funding
36
available.
37
Sec.
120.
CONNER
DECREE.
There
is
appropriated
38
from
the
general
fund
of
the
state
to
the
department
of
39
human
services
for
the
fiscal
year
beginning
July
1,
40
2016,
and
ending
June
30,
2017,
the
following
amount,
41
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
42
purpose
designated:
43
For
building
community
capacity
through
the
44
coordination
and
provision
of
training
opportunities
45
in
accordance
with
the
consent
decree
of
Conner
v.
46
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
47
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
48
Sec.
121.
MENTAL
HEALTH
INSTITUTES.
There
is
49
appropriated
from
the
general
fund
of
the
state
to
50
-110-
SF505.1913
(13)
86
pf/rh/rj
110/
123
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
2
following
amounts,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purposes
designated:
4
1.
For
the
state
mental
health
institute
at
5
Cherokee
for
salaries,
support,
maintenance,
and
6
miscellaneous
purposes,
and
for
not
more
than
the
7
following
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,772,808
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
10
2.
For
the
state
mental
health
institute
at
11
Independence
for
salaries,
support,
maintenance,
and
12
miscellaneous
purposes,
and
for
not
more
than
the
13
following
full-time
equivalent
positions:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,162,105
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
16
Sec.
122.
STATE
RESOURCE
CENTERS.
17
1.
There
is
appropriated
from
the
general
fund
of
18
the
state
to
the
department
of
human
services
for
the
19
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
20
2017,
the
following
amounts,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purposes
designated:
22
a.
For
the
state
resource
center
at
Glenwood
for
23
salaries,
support,
maintenance,
and
miscellaneous
24
purposes:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,762,241
26
b.
For
the
state
resource
center
at
Woodward
for
27
salaries,
support,
maintenance,
and
miscellaneous
28
purposes:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,291,903
30
2.
The
department
may
continue
to
bill
for
state
31
resource
center
services
utilizing
a
scope
of
services
32
approach
used
for
private
providers
of
intermediate
33
care
facilities
for
persons
with
an
intellectual
34
disability
services,
in
a
manner
which
does
not
shift
35
costs
between
the
medical
assistance
program,
counties,
36
or
other
sources
of
funding
for
the
state
resource
37
centers.
38
3.
The
state
resource
centers
may
expand
the
39
time-limited
assessment
and
respite
services
during
the
40
fiscal
year.
41
4.
If
the
department’s
administration
and
the
42
department
of
management
concur
with
a
finding
by
a
43
state
resource
center’s
superintendent
that
projected
44
revenues
can
reasonably
be
expected
to
pay
the
salary
45
and
support
costs
for
a
new
employee
position,
or
46
that
such
costs
for
adding
a
particular
number
of
new
47
positions
for
the
fiscal
year
would
be
less
than
the
48
overtime
costs
if
new
positions
would
not
be
added,
the
49
superintendent
may
add
the
new
position
or
positions.
50
-111-
SF505.1913
(13)
86
pf/rh/rj
111/
123
If
the
vacant
positions
available
to
a
resource
center
1
do
not
include
the
position
classification
desired
to
2
be
filled,
the
state
resource
center’s
superintendent
3
may
reclassify
any
vacant
position
as
necessary
to
4
fill
the
desired
position.
The
superintendents
of
the
5
state
resource
centers
may,
by
mutual
agreement,
pool
6
vacant
positions
and
position
classifications
during
7
the
course
of
the
fiscal
year
in
order
to
assist
one
8
another
in
filling
necessary
positions.
9
5.
If
existing
capacity
limitations
are
reached
10
in
operating
units,
a
waiting
list
is
in
effect
11
for
a
service
or
a
special
need
for
which
a
payment
12
source
or
other
funding
is
available
for
the
service
13
or
to
address
the
special
need,
and
facilities
for
14
the
service
or
to
address
the
special
need
can
be
15
provided
within
the
available
payment
source
or
other
16
funding,
the
superintendent
of
a
state
resource
center
17
may
authorize
opening
not
more
than
two
units
or
18
other
facilities
and
begin
implementing
the
service
19
or
addressing
the
special
need
during
fiscal
year
20
2016-2017.
21
Sec.
123.
SEXUALLY
VIOLENT
PREDATORS.
22
1.
There
is
appropriated
from
the
general
fund
of
23
the
state
to
the
department
of
human
services
for
the
24
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
25
2017,
the
following
amount,
or
so
much
thereof
as
is
26
necessary,
to
be
used
for
the
purpose
designated:
27
For
costs
associated
with
the
commitment
and
28
treatment
of
sexually
violent
predators
in
the
unit
29
located
at
the
state
mental
health
institute
at
30
Cherokee,
including
costs
of
legal
services
and
31
other
associated
costs,
including
salaries,
support,
32
maintenance,
and
miscellaneous
purposes,
and
for
not
33
more
than
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,946,540
35
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
36
2.
Unless
specifically
prohibited
by
law,
if
the
37
amount
charged
provides
for
recoupment
of
at
least
38
the
entire
amount
of
direct
and
indirect
costs,
the
39
department
of
human
services
may
contract
with
other
40
states
to
provide
care
and
treatment
of
persons
placed
41
by
the
other
states
at
the
unit
for
sexually
violent
42
predators
at
Cherokee.
The
moneys
received
under
such
43
a
contract
shall
be
considered
to
be
repayment
receipts
44
and
used
for
the
purposes
of
the
appropriation
made
in
45
this
section.
46
Sec.
124.
FIELD
OPERATIONS.
There
is
appropriated
47
from
the
general
fund
of
the
state
to
the
department
of
48
human
services
for
the
fiscal
year
beginning
July
1,
49
2016,
and
ending
June
30,
2017,
the
following
amount,
50
-112-
SF505.1913
(13)
86
pf/rh/rj
112/
123
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purposes
designated:
2
For
field
operations,
including
salaries,
support,
3
maintenance,
and
miscellaneous
purposes,
and
for
not
4
more
than
the
following
full-time
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,460,488
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
7
1.
As
a
condition
of
this
appropriation,
the
8
department
shall
make
every
possible
effort
to
fill
9
the
entire
number
of
positions
authorized
by
this
10
section
and,
unless
specifically
provided
otherwise
11
by
an
applicable
collective
bargaining
agreement,
the
12
department
is
not
subject
to
any
approval
requirement
13
external
to
the
department
to
fill
a
field
operations
14
vacancy
within
the
number
of
full-time
equivalent
15
positions
authorized
by
this
section.
The
department
16
shall
report
on
the
first
of
each
month
to
the
17
chairpersons
and
ranking
members
of
the
appropriations
18
committees
of
the
senate
and
house
of
representatives,
19
and
the
persons
designated
by
this
Act
for
submission
20
of
reports
concerning
the
status
of
filling
the
21
positions.
22
2.
Priority
in
filling
full-time
equivalent
23
positions
shall
be
given
to
those
positions
related
to
24
child
protection
services
and
eligibility
determination
25
for
low-income
families.
26
Sec.
125.
GENERAL
ADMINISTRATION.
There
is
27
appropriated
from
the
general
fund
of
the
state
to
28
the
department
of
human
services
for
the
fiscal
year
29
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
30
following
amount,
or
so
much
thereof
as
is
necessary,
31
to
be
used
for
the
purpose
designated:
32
For
general
administration,
including
salaries,
33
support,
maintenance,
and
miscellaneous
purposes,
and
34
for
not
more
than
the
following
full-time
equivalent
35
positions:
36
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,424,099
37
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
38
1.
The
department
shall
report
at
least
monthly
39
to
the
legislative
services
agency
concerning
the
40
department’s
operational
and
program
expenditures.
41
2.
Of
the
funds
appropriated
in
this
section,
42
$75,000
shall
be
used
to
continue
the
contract
for
the
43
provision
of
a
program
to
provide
technical
assistance,
44
support,
and
consultation
to
providers
of
habilitation
45
services
and
home
and
community-based
services
waiver
46
services
for
adults
with
disabilities
under
the
medical
47
assistance
program.
48
3.
Of
the
funds
appropriated
in
this
section,
49
$12,500
is
transferred
to
the
Iowa
finance
authority
50
-113-
SF505.1913
(13)
86
pf/rh/rj
113/
123
to
be
used
for
administrative
support
of
the
council
1
on
homelessness
established
in
section
16.2D
and
for
2
the
council
to
fulfill
its
duties
in
addressing
and
3
reducing
homelessness
in
the
state.
4
4.
Of
the
funds
appropriated
in
this
section,
5
$125,000
is
allocated
to
an
Iowa
food
bank
association
6
selected
by
the
department
for
the
purchase
of
food
on
7
behalf
of
an
Iowa
emergency
feeding
organization
or
8
for
the
distribution
of
moneys
to
the
Iowa
emergency
9
feeding
organization
for
the
purchase
of
food.
The
10
moneys
allocated
in
this
subsection
shall
be
allocated
11
only
to
the
extent
that
the
allocated
moneys
are
12
matched
on
a
dollar-for-dollar
basis.
Notwithstanding
13
section
8.33,
moneys
allocated
in
this
subsection
that
14
remain
unencumbered
or
unobligated
at
the
close
of
the
15
fiscal
year
shall
not
revert
but
shall
remain
available
16
for
expenditure
for
the
purposes
designated
until
the
17
close
of
the
following
fiscal
year.
18
Sec.
126.
VOLUNTEERS.
There
is
appropriated
from
19
the
general
fund
of
the
state
to
the
department
of
20
human
services
for
the
fiscal
year
beginning
July
1,
21
2016,
and
ending
June
30,
2017,
the
following
amount,
22
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
23
purpose
designated:
24
For
development
and
coordination
of
volunteer
25
services:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
27
Sec.
127.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
28
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
29
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
30
1.
a.
(1)
For
the
fiscal
year
beginning
July
31
1,
2016,
nursing
facilities
shall
be
reimbursed
in
32
accordance
with
the
methodology
in
effect
on
June
30,
33
2016.
34
(2)
For
the
fiscal
year
beginning
July
1,
2016,
35
special
population
nursing
facilities
shall
be
36
reimbursed
in
accordance
with
the
methodology
in
effect
37
on
June
30,
2016.
38
b.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
39
the
department
shall
establish
the
pharmacy
dispensing
40
fee
reimbursement
at
$11.73
per
prescription,
until
a
41
cost
of
dispensing
survey
is
completed.
The
actual
42
dispensing
fee
shall
be
determined
by
a
cost
of
43
dispensing
survey
performed
by
the
department
and
44
required
to
be
completed
by
all
medical
assistance
45
program
participating
pharmacies
every
two
years,
46
adjusted
as
necessary
to
maintain
expenditures
within
47
the
amount
appropriated
to
the
department
for
this
48
purpose
for
the
fiscal
year.
49
(2)
The
department
shall
utilize
an
average
50
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acquisition
cost
reimbursement
methodology
for
all
1
drugs
covered
under
the
medical
assistance
program
in
2
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
3
33.
4
(3)
Notwithstanding
subparagraph
(2),
if
the
5
centers
for
Medicare
and
Medicaid
services
of
the
6
United
States
department
of
health
and
human
services
7
(CMS)
requires,
as
a
condition
of
federal
Medicaid
8
funding,
that
the
department
implement
an
aggregate
9
federal
upper
limit
(FUL)
for
drug
reimbursement
10
based
on
the
average
manufacturer’s
price
(AMP),
the
11
department
may
utilize
a
reimbursement
methodology
for
12
all
drugs
covered
under
the
Medicaid
program
based
on
13
the
national
average
drug
acquisition
cost
(NADAC)
14
methodology
published
by
CMS,
in
order
to
assure
15
compliance
with
the
aggregate
FUL,
minimize
outcomes
16
of
drug
reimbursements
below
pharmacy
acquisition
17
costs,
limit
administrative
costs,
and
minimize
any
18
change
in
the
aggregate
reimbursement
for
drugs.
The
19
department
may
adopt
emergency
rules
to
implement
this
20
subparagraph.
21
c.
(1)
For
fee-for-service
claims
for
the
fiscal
22
year
beginning
July
1,
2016,
reimbursement
rates
for
23
outpatient
hospital
services
shall
remain
at
the
rates
24
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
25
upper
payment
limit
rules.
26
(2)
For
fee-for-service
claims
for
the
fiscal
27
year
beginning
July
1,
2016,
reimbursement
rates
for
28
inpatient
hospital
services
shall
remain
at
the
rates
29
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
30
upper
payment
limit
rules.
31
(3)
For
the
fiscal
year
beginning
July
1,
2016,
32
the
graduate
medical
education
and
disproportionate
33
share
hospital
fund
amount
shall
remain
at
the
amount
34
in
effect
on
June
30,
2016,
except
that
the
portion
of
35
the
fund
attributable
to
graduate
medical
education
36
shall
be
reduced
in
an
amount
that
reflects
the
37
elimination
of
graduate
medical
education
payments
made
38
to
out-of-state
hospitals.
39
(4)
In
order
to
ensure
the
efficient
use
of
limited
40
state
funds
in
procuring
health
care
services
for
41
low-income
Iowans,
funds
appropriated
in
this
Act
for
42
hospital
services
shall
not
be
used
for
activities
43
which
would
be
excluded
from
a
determination
of
44
reasonable
costs
under
the
federal
Medicare
program
45
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
46
d.
For
fee-for-service
claims
for
the
fiscal
year
47
beginning
July
1,
2016,
reimbursement
rates
for
rural
48
health
clinics,
hospices,
and
acute
mental
hospitals
49
shall
be
increased
in
accordance
with
increases
under
50
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the
federal
Medicare
program
or
as
supported
by
their
1
Medicare
audited
costs.
2
e.
For
fee-for-service
claims
for
the
fiscal
year
3
beginning
July
1,
2016,
independent
laboratories
and
4
rehabilitation
agencies
shall
be
reimbursed
based
on
5
the
same
methodology
in
effect
on
June
30,
2016.
6
f.
(1)
For
fee-for-service
claims
for
the
fiscal
7
year
beginning
July
1,
2016,
reimbursement
rates
for
8
home
health
agencies
shall
continue
to
be
based
on
the
9
Medicare
low
utilization
payment
adjustment
(LUPA)
10
methodology
with
state
geographic
wage
adjustments,
and
11
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
12
(2)
For
fee-for-service
claims
for
the
fiscal
year
13
beginning
July
1,
2016,
rates
for
private
duty
nursing
14
and
personal
care
services
under
the
early
and
periodic
15
screening,
diagnostic,
and
treatment
program
benefit
16
shall
be
calculated
based
on
the
methodology
in
effect
17
on
June
30,
2016.
18
g.
For
fee-for-service
claims
for
the
fiscal
year
19
beginning
July
1,
2016,
federally
qualified
health
20
centers
shall
receive
cost-based
reimbursement
for
100
21
percent
of
the
reasonable
costs
for
the
provision
of
22
services
to
recipients
of
medical
assistance.
23
h.
For
fee-for-service
claims
for
the
fiscal
year
24
beginning
July
1,
2016,
the
reimbursement
rates
for
25
dental
services
shall
remain
at
the
rates
in
effect
on
26
June
30,
2016.
27
i.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
28
the
nonstate-owned
psychiatric
medical
institutions
for
29
children,
reimbursement
rates
shall
be
based
on
the
30
reimbursement
methodology
developed
by
the
department
31
as
required
for
federal
compliance.
32
(2)
As
a
condition
of
participation
in
the
medical
33
assistance
program,
enrolled
providers
shall
accept
the
34
medical
assistance
reimbursement
rate
for
any
covered
35
goods
or
services
provided
to
recipients
of
medical
36
assistance
who
are
children
under
the
custody
of
a
37
psychiatric
medical
institution
for
children.
38
j.
For
fee-for-service
claims
for
the
fiscal
year
39
beginning
July
1,
2016,
unless
otherwise
specified
40
in
this
Act,
all
noninstitutional
medical
assistance
41
provider
reimbursement
rates
shall
remain
at
the
rates
42
in
effect
on
June
30,
2016,
except
for
area
education
43
agencies,
local
education
agencies,
infant
and
toddler
44
services
providers,
home
and
community-based
services
45
providers
including
consumer-directed
attendant
care
46
providers
under
a
section
1915(c)
or
1915(i)
waiver,
47
targeted
case
management
providers,
and
those
providers
48
whose
rates
are
required
to
be
determined
pursuant
to
49
section
249A.20
.
50
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k.
Notwithstanding
any
provision
to
the
contrary,
1
for
fee-for-service
claims
for
the
fiscal
year
2
beginning
July
1,
2016,
the
reimbursement
rate
for
3
anesthesiologists
shall
remain
at
the
rate
in
effect
4
on
June
30,
2016.
5
l.
Notwithstanding
section
249A.20,
for
6
fee-for-service
claims
for
the
fiscal
year
beginning
7
July
1,
2016,
the
average
reimbursement
rate
for
health
8
care
providers
eligible
for
use
of
the
federal
Medicare
9
resource-based
relative
value
scale
reimbursement
10
methodology
under
section
249A.20
shall
remain
at
the
11
rate
in
effect
on
June
30,
2016;
however,
this
rate
12
shall
not
exceed
the
maximum
level
authorized
by
the
13
federal
government.
14
m.
For
the
fiscal
year
beginning
July
1,
2016,
the
15
reimbursement
rate
for
residential
care
facilities
16
shall
not
be
less
than
the
minimum
payment
level
as
17
established
by
the
federal
government
to
meet
the
18
federally
mandated
maintenance
of
effort
requirement.
19
The
flat
reimbursement
rate
for
facilities
electing
not
20
to
file
annual
cost
reports
shall
not
be
less
than
the
21
minimum
payment
level
as
established
by
the
federal
22
government
to
meet
the
federally
mandated
maintenance
23
of
effort
requirement.
24
n.
For
fee-for-service
claims
for
the
fiscal
25
year
beginning
July
1,
2016,
the
reimbursement
rates
26
for
inpatient
mental
health
services
provided
at
27
hospitals
shall
remain
at
the
rates
in
effect
on
June
28
30,
2016,
subject
to
Medicaid
program
upper
payment
29
limit
rules;
and
for
fee-for-service
claims
for
the
30
fiscal
year
beginning
July
1,
2016,
psychiatrists
31
shall
be
reimbursed
at
the
medical
assistance
program
32
fee-for-service
rate
in
effect
on
June
30,
2016.
33
o.
For
the
fiscal
year
beginning
July
1,
2016,
34
community
mental
health
centers
may
choose
to
be
35
reimbursed
for
the
services
provided
to
recipients
of
36
medical
assistance
through
either
of
the
following
37
options:
38
(1)
For
100
percent
of
the
reasonable
costs
of
the
39
services.
40
(2)
In
accordance
with
the
alternative
41
reimbursement
rate
methodology
established
by
the
42
medical
assistance
program’s
managed
care
contractor
43
for
mental
health
services
and
approved
by
the
44
department
of
human
services.
45
p.
For
the
fiscal
year
beginning
July
1,
2016,
the
46
upper
limits
on
reimbursement
rates
for
providers
of
47
home
and
community-based
services
waiver
services
shall
48
remain
at
the
limits
in
effect
on
June
30,
2016,
except
49
that
the
department
shall
implement
cost
containment
50
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strategies
related
to
modified
payment
limits
for
1
waiver
services
as
recommended
by
the
governor
for
the
2
fiscal
year.
3
q.
For
fee-for-service
claims
for
the
fiscal
year
4
beginning
July
1,
2016,
the
reimbursement
rates
for
5
emergency
medical
service
providers
shall
remain
at
the
6
rates
in
effect
on
June
30,
2016.
7
2.
For
the
fiscal
year
beginning
July
1,
2016,
the
8
reimbursement
rate
for
providers
reimbursed
under
the
9
in-home-related
care
program
shall
not
be
less
than
the
10
minimum
payment
level
as
established
by
the
federal
11
government
to
meet
the
federally
mandated
maintenance
12
of
effort
requirement.
13
3.
Unless
otherwise
directed
in
this
section,
when
14
the
department’s
reimbursement
methodology
for
any
15
provider
reimbursed
in
accordance
with
this
section
16
includes
an
inflation
factor,
this
factor
shall
not
17
exceed
the
amount
by
which
the
consumer
price
index
for
18
all
urban
consumers
increased
during
the
calendar
year
19
ending
December
31,
2002.
20
4.
For
the
fiscal
year
beginning
July
1,
2016,
21
the
foster
family
basic
daily
maintenance
rate
and
22
the
maximum
adoption
subsidy
rate
for
children
ages
0
23
through
5
years
shall
be
$16.78,
the
rate
for
children
24
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
25
children
ages
12
through
15
years
shall
be
$19.10,
26
and
the
rate
for
children
and
young
adults
ages
16
27
and
older
shall
be
$19.35.
For
youth
ages
18
to
28
21
who
have
exited
foster
care,
the
preparation
for
29
adult
living
program
maintenance
rate
shall
be
$602.70
30
per
month.
The
maximum
payment
for
adoption
subsidy
31
nonrecurring
expenses
shall
be
limited
to
$500
and
the
32
disallowance
of
additional
amounts
for
court
costs
and
33
other
related
legal
expenses
implemented
pursuant
to
34
2010
Iowa
Acts,
chapter
1031,
section
408,
shall
be
35
continued.
36
5.
For
the
fiscal
year
beginning
July
1,
2016,
37
the
maximum
reimbursement
rates
under
the
supervised
38
apartment
living
program
and
for
social
services
39
providers
under
contract
shall
remain
at
the
rates
40
in
effect
on
June
30,
2016,
or
the
provider’s
actual
41
and
allowable
cost
plus
inflation
for
each
service,
42
whichever
is
less.
However,
if
a
new
service
or
43
service
provider
is
added
after
June
30,
2016,
the
44
initial
reimbursement
rate
for
the
service
or
provider
45
shall
be
based
upon
a
weighted
average
of
provider
46
rates
for
similar
services.
47
6.
For
the
fiscal
year
beginning
July
1,
2016,
48
the
reimbursement
rates
for
family-centered
service
49
providers,
family
foster
care
service
providers,
50
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and
the
resource
family
recruitment
and
retention
1
contractor
shall
remain
at
the
rates
in
effect
on
June
2
30,
2016.
3
7.
a.
For
the
purposes
of
this
subsection,
4
“combined
reimbursement
rate”
means
the
combined
5
service
and
maintenance
reimbursement
rate
for
a
6
service
level
under
the
department’s
reimbursement
7
methodology.
Effective
July
1,
2016,
the
combined
8
reimbursement
rate
for
a
group
foster
care
service
9
level
shall
be
the
amount
designated
in
this
10
subsection.
However,
if
a
group
foster
care
provider’s
11
reimbursement
rate
for
a
service
level
as
of
June
12
30,
2016,
is
more
than
the
rate
designated
in
this
13
subsection,
the
provider’s
reimbursement
shall
remain
14
at
the
higher
rate.
15
b.
Unless
a
group
foster
care
provider
is
subject
16
to
the
exception
provided
in
paragraph
“a”,
effective
17
July
1,
2016,
the
combined
reimbursement
rates
for
the
18
service
levels
under
the
department’s
reimbursement
19
methodology
shall
be
as
follows:
20
(1)
For
service
level,
community
-
D1,
the
daily
21
rate
shall
be
at
least
$84.17.
22
(2)
For
service
level,
comprehensive
-
D2,
the
23
daily
rate
shall
be
at
least
$119.09.
24
(3)
For
service
level,
enhanced
-
D3,
the
daily
25
rate
shall
be
at
least
$131.09.
26
8.
The
group
foster
care
reimbursement
rates
27
paid
for
placement
of
children
out
of
state
shall
28
be
calculated
according
to
the
same
rate-setting
29
principles
as
those
used
for
in-state
providers,
30
unless
the
director
of
human
services
or
the
director’s
31
designee
determines
that
appropriate
care
cannot
be
32
provided
within
the
state.
The
payment
of
the
daily
33
rate
shall
be
based
on
the
number
of
days
in
the
34
calendar
month
in
which
service
is
provided.
35
9.
a.
For
the
fiscal
year
beginning
July
1,
2016,
36
the
reimbursement
rate
paid
for
shelter
care
and
37
the
child
welfare
emergency
services
implemented
to
38
provide
or
prevent
the
need
for
shelter
care
shall
be
39
established
by
contract.
40
b.
For
the
fiscal
year
beginning
July
1,
2016,
41
the
combined
service
and
maintenance
components
of
42
the
reimbursement
rate
paid
for
shelter
care
services
43
shall
be
based
on
the
financial
and
statistical
report
44
submitted
to
the
department.
The
maximum
reimbursement
45
rate
shall
be
$96.98
per
day.
The
department
shall
46
reimburse
a
shelter
care
provider
at
the
provider’s
47
actual
and
allowable
unit
cost,
plus
inflation,
not
to
48
exceed
the
maximum
reimbursement
rate.
49
c.
Notwithstanding
section
232.141,
subsection
8
,
50
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123
for
the
fiscal
year
beginning
July
1,
2016,
the
amount
1
of
the
statewide
average
of
the
actual
and
allowable
2
rates
for
reimbursement
of
juvenile
shelter
care
homes
3
that
is
utilized
for
the
limitation
on
recovery
of
4
unpaid
costs
is
$143.63.
5
10.
For
the
fiscal
year
beginning
July
1,
2016,
6
the
department
shall
calculate
reimbursement
rates
7
for
intermediate
care
facilities
for
persons
with
8
an
intellectual
disability
at
the
80th
percentile.
9
Beginning
July
1,
2016,
the
rate
calculation
10
methodology
shall
utilize
the
consumer
price
index
11
inflation
factor
applicable
to
the
fiscal
year
12
beginning
July
1,
2016.
13
11.
For
the
fiscal
year
beginning
July
1,
2016,
14
for
child
care
providers
reimbursed
under
the
state
15
child
care
assistance
program,
the
department
shall
16
set
provider
reimbursement
rates
based
on
the
rate
17
reimbursement
survey
completed
in
December
2004.
18
Effective
July
1,
2016,
the
child
care
provider
19
reimbursement
rates
shall
remain
at
the
rates
in
effect
20
on
June
30,
2016.
The
department
shall
set
rates
in
a
21
manner
so
as
to
provide
incentives
for
a
nonregistered
22
provider
to
become
registered
by
applying
the
increase
23
only
to
registered
and
licensed
providers.
24
12.
The
department
may
adopt
emergency
rules
to
25
implement
this
section.
26
Sec.
128.
EMERGENCY
RULES.
27
1.
If
specifically
authorized
by
a
provision
28
of
this
division
of
this
Act,
the
department
of
29
human
services
or
the
mental
health
and
disability
30
services
commission
may
adopt
administrative
rules
31
under
section
17A.4,
subsection
3,
and
section
32
17A.5,
subsection
2,
paragraph
“b”,
to
implement
33
the
provisions
of
this
division
of
this
Act
and
the
34
rules
shall
become
effective
immediately
upon
filing
35
or
on
a
later
effective
date
specified
in
the
rules,
36
unless
the
effective
date
of
the
rules
is
delayed
or
37
the
applicability
of
the
rules
is
suspended
by
the
38
administrative
rules
review
committee.
Any
rules
39
adopted
in
accordance
with
this
section
shall
not
40
take
effect
before
the
rules
are
reviewed
by
the
41
administrative
rules
review
committee.
The
delay
42
authority
provided
to
the
administrative
rules
review
43
committee
under
section
17A.4,
subsection
7,
and
44
section
17A.8,
subsection
9,
shall
be
applicable
to
a
45
delay
imposed
under
this
section,
notwithstanding
a
46
provision
in
those
sections
making
them
inapplicable
47
to
section
17A.5,
subsection
2,
paragraph
“b”.
Any
48
rules
adopted
in
accordance
with
the
provisions
of
this
49
section
shall
also
be
published
as
a
notice
of
intended
50
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action
as
provided
in
section
17A.4.
1
2.
If
during
a
fiscal
year,
the
department
of
2
human
services
is
adopting
rules
in
accordance
with
3
this
section
or
as
otherwise
directed
or
authorized
4
by
state
law,
and
the
rules
will
result
in
an
5
expenditure
increase
beyond
the
amount
anticipated
6
in
the
budget
process
or
if
the
expenditure
was
not
7
addressed
in
the
budget
process
for
the
fiscal
year,
8
the
department
shall
notify
the
persons
designated
by
9
this
division
of
this
Act
for
submission
of
reports,
10
the
chairpersons
and
ranking
members
of
the
committees
11
on
appropriations,
and
the
department
of
management
12
concerning
the
rules
and
the
expenditure
increase.
The
13
notification
shall
be
provided
at
least
30
calendar
14
days
prior
to
the
date
notice
of
the
rules
is
submitted
15
to
the
administrative
rules
coordinator
and
the
16
administrative
code
editor.
17
Sec.
129.
REPORTS.
Any
reports
or
other
18
information
required
to
be
compiled
and
submitted
under
19
this
Act
during
the
fiscal
year
beginning
July
1,
2016,
20
shall
be
submitted
to
the
chairpersons
and
ranking
21
members
of
the
joint
appropriations
subcommittee
on
22
health
and
human
services,
the
legislative
services
23
agency,
and
the
legislative
caucus
staffs
on
or
before
24
the
dates
specified
for
submission
of
the
reports
or
25
information.
26
Sec.
130.
EFFECTIVE
UPON
ENACTMENT.
The
following
27
provisions
of
this
division
of
this
Act,
being
deemed
28
of
immediate
importance,
take
effect
upon
enactment:
29
1.
The
provision
relating
to
section
232.141
30
and
directing
the
state
court
administrator
and
the
31
division
administrator
of
the
department
of
human
32
services
division
of
child
and
family
services
to
33
make
the
determination,
by
June
15,
2016,
of
the
34
distribution
of
funds
allocated
for
the
payment
of
35
the
expenses
of
court-ordered
services
provided
to
36
juveniles
which
are
a
charge
upon
the
state.
37
DIVISION
XXVIII
38
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2016-2017
39
Sec.
131.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
40
is
appropriated
from
the
pharmaceutical
settlement
41
account
created
in
section
249A.33
to
the
department
of
42
human
services
for
the
fiscal
year
beginning
July
1,
43
2016,
and
ending
June
30,
2017,
the
following
amount,
44
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
45
purpose
designated:
46
Notwithstanding
any
provision
of
law
to
the
47
contrary,
to
supplement
the
appropriations
made
in
this
48
Act
for
medical
contracts
under
the
medical
assistance
49
program
for
the
fiscal
year
beginning
July
1,
2016,
and
50
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123
ending
June
30,
2017:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,001,088
2
Sec.
132.
QUALITY
ASSURANCE
TRUST
FUND
——
3
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
4
any
provision
to
the
contrary
and
subject
to
the
5
availability
of
funds,
there
is
appropriated
from
the
6
quality
assurance
trust
fund
created
in
section
249L.4
7
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
9
following
amounts,
or
so
much
thereof
as
is
necessary,
10
for
the
purposes
designated:
11
To
supplement
the
appropriation
made
in
this
Act
12
from
the
general
fund
of
the
state
to
the
department
13
of
human
services
for
medical
assistance
for
the
same
14
fiscal
year:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,352,604
16
Sec.
133.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
17
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
18
any
provision
to
the
contrary
and
subject
to
the
19
availability
of
funds,
there
is
appropriated
from
20
the
hospital
health
care
access
trust
fund
created
in
21
section
249M.4
to
the
department
of
human
services
for
22
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
23
30,
2017,
the
following
amounts,
or
so
much
thereof
as
24
is
necessary,
for
the
purposes
designated:
25
To
supplement
the
appropriation
made
in
this
Act
26
from
the
general
fund
of
the
state
to
the
department
27
of
human
services
for
medical
assistance
for
the
same
28
fiscal
year:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,350,000
30
Sec.
134.
MEDICAL
ASSISTANCE
PROGRAM
——
31
NONREVERSION
FOR
FY
2016-2017.
Notwithstanding
32
section
8.33
,
if
moneys
appropriated
for
purposes
of
33
the
medical
assistance
program
for
the
fiscal
year
34
beginning
July
1,
2016,
and
ending
June
30,
2017,
from
35
the
general
fund
of
the
state,
the
quality
assurance
36
trust
fund
and
the
hospital
health
care
access
trust
37
fund,
are
in
excess
of
actual
expenditures
for
the
38
medical
assistance
program
and
remain
unencumbered
or
39
unobligated
at
the
close
of
the
fiscal
year,
the
excess
40
moneys
shall
not
revert
but
shall
remain
available
for
41
expenditure
for
the
purposes
of
the
medical
assistance
42
program
until
the
close
of
the
succeeding
fiscal
year.
43
DIVISION
XXIX
44
PROPERTY
TAX
RELIEF
FUND
——
BLOCK
GRANT
MONEYS
——
45
APPROPRIATION
FY
2016-2017
46
Sec.
135.
PROPERTY
TAX
RELIEF
FUND
——
BLOCK
GRANT
47
MONEYS
——
APPROPRIATIONS.
The
moneys
transferred
48
to
the
property
tax
relief
fund
for
the
fiscal
year
49
beginning
July
1,
2016,
from
the
federal
social
50
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123
services
block
grant
pursuant
to
2015
Iowa
Acts,
House
1
File
630,
if
enacted,
and
from
the
federal
temporary
2
assistance
for
needy
families
block
grant,
totaling
at
3
least
$11,774,275,
are
appropriated
to
the
department
4
of
human
services
for
the
fiscal
year
beginning
July
5
1,
2016,
and
ending
June
30,
2017,
to
be
used
for
the
6
purposes
designated:
7
1.
To
be
transferred
to
the
appropriation
in
this
8
Act
for
child
and
family
services
for
the
fiscal
year
9
beginning
July
1,
2016,
to
be
used
for
the
purposes
of
10
that
appropriation:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,355,902
12
2.
For
family
planning
activities
in
accordance
13
with
the
provisions
of
this
Act
creating
a
state
family
14
planning
services
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,531,235
16
DIVISION
XXX
17
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS
18
Sec.
136.
PERSONNEL
SETTLEMENT
AGREEMENT
19
PAYMENTS.
As
a
condition
of
the
appropriations
in
this
20
2016
Act,
the
moneys
appropriated
and
any
other
moneys
21
available
shall
not
be
used
for
payment
of
a
personnel
22
settlement
agreement
that
contains
a
confidentiality
23
provision
intended
to
prevent
public
disclosure
of
the
24
agreement
or
any
terms
of
the
agreement.
>
25
______________________________
COMMITTEE
ON
APPROPRIATIONS
SODERBERG
of
Plymouth,
Chairperson
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