House File 2460 H-8223 Amend House File 2460 as follows: 1 1. Page 12, line 4, by striking < $570,993 > and 2 inserting < $594,543 > 3 2. Page 13, line 7, by striking < $146,414 > and 4 inserting < $99,414 > 5 3. Page 14, line 34, by striking < up to > and 6 inserting < up to not less than > 7 4. Page 15, line 4, by striking < up to > and 8 inserting < up to not less than > 9 5. Page 15, line 10, by striking < up to > and 10 inserting < up to not less than > 11 6. Page 15, line 16, by striking < up to > and 12 inserting < up to not less than > 13 7. Page 17, line 11, by striking < $179,882 > and 14 inserting < $105,823 > 15 8. Page 18, by striking lines 7 through 13 and 16 inserting < grants for the fiscal year beginning July 17 1, 2016, shall be given to sponsors approved but not 18 funded in the prior fiscal year competitive procurement 19 process that proposed preference in the use of the 20 grant funds for internal medicine positions, and 21 priority in the awarding of the remaining moneys shall 22 be given to sponsors that propose preference in the use 23 of the grant funds for psychiatric residency positions 24 and family practice residency positions. > 25 9. Page 20, by striking lines 14 through 27 and 26 inserting: 27 < b. The department of public health shall conduct a 28 sampling of the entities to which appropriated funds 29 are allocated, granted, or otherwise distributed under 30 this section and shall require such entities to submit 31 a progress report to the department by September 1, 32 2016, which includes the objectives and results of the 33 program since the initial receipt of state funding and 34 how the funds are assisting the program in meeting the 35 -1- HF2460.3510 (2) 86 pf/rh/rn 1/ 8 #1. #2. #3. #4. #5. #6. #7. #8. #9.

objectives, specifying the target population served 1 and the type of services provided, and identifying 2 the continuing needs of the recipient entity and the 3 service population. The department shall review the 4 information reported and shall make recommendations to 5 the governor and the general assembly by December 15, 6 2016, to realign, bundle, or otherwise redistribute 7 funding to meet the needs identified and improve 8 services during the subsequent fiscal year. > 9 10. Page 23, line 23, by striking < 2016 > and 10 inserting < 2016 2017 > 11 11. Page 23, line 27, by striking < 35,774,330 > and 12 inserting < 35,774,331 > 13 12. Page 24, line 25, by striking < 36,256,581 > and 14 inserting < 36,256,580 > 15 13. By striking page 37, line 31, through page 38, 16 line 1, and inserting: 17 < 14. Any new or renewed contract entered into 18 by the department with a third party to administer 19 services under the medical assistance program shall 20 provide that any interest earned on payments from the 21 state during the state fiscal year shall be remitted to 22 the department and treated as recoveries to offset the 23 costs of the medical assistance program. > 24 14. Page 40, line 3, by striking < 22. > and 25 inserting < 23. > 26 15. Page 40, line 16, by striking < 23. > and 27 inserting < 24. > 28 16. Page 40, line 20, by striking < 24. > and 29 inserting < 25. > 30 17. Page 40, line 24, by striking < 25. > and 31 inserting < 26. > 32 18. Page 40, line 28, by striking < 26. > and 33 inserting < 27. > 34 19. Page 40, line 29, after < regarding > by 35 -2- HF2460.3510 (2) 86 pf/rh/rn 2/ 8 #10. #11. #12. #13. #14. #15. #16. #17. #18.

inserting < the impact of > 1 20. By striking page 40, line 32, through page 41, 2 line 4, and inserting: 3 < 28. Any dental benefit manager contracting 4 with the department of human services for the dental 5 wellness plan on or after July 1, 2016, shall meet the 6 same contract requirements. Readiness review of such a 7 dental benefit manager shall be based on the criteria 8 applicable to the dental wellness plan when implemented 9 on May 1, 2014, including but not limited to network 10 adequacy, access to services, performance measures, 11 benefit design, and other requirements as determined by 12 the department for the dental wellness program. Any 13 dental benefit manager that has been approved by a 14 readiness review prior to July 1, 2016, shall not be 15 required to repeat such review for the department. > 16 21. Page 42, line 5, after < be > by inserting 17 < credited to the autism support program fund created in 18 section 242D.2 to be > 19 22. Page 55, by striking lines 16 through 21 and 20 inserting: 21 < 2. The department shall use at At least $320,750 22 $727,500 of the moneys appropriated in this section is 23 transferred to the department of public health for the 24 family support center component of the comprehensive 25 family support program under section 225C.47 chapter 26 225C, subchapter V . Not more than $12,500 of the 27 amount allocated in this subsection shall be used for 28 administrative costs. The department of human services 29 shall submit a report to the individuals identified 30 in this Act for submission of reports by December 31 15, 2016, regarding the outcomes of the program and 32 recommendations for future program improvement. > 33 23. Page 56, by striking lines 14 through 17 and 34 inserting < necessary, to be used for the purposes 35 -3- HF2460.3510 (2) 86 pf/rh/rn 3/ 8 #20. #21. #22.

designated which amounts shall not be transferred 1 or expended for any purpose other than the purposes 2 designated, notwithstanding section 218.6 to the 3 contrary : > 4 24. Page 60, after line 34 by inserting: 5 < The moneys appropriated in this section may be 6 used to fund additional full-time equivalent positions 7 at facilities under the purview of the department of 8 human services, provided the total number of positions 9 authorized across all such facilities under this Act 10 for the fiscal year is not exceeded. > 11 25. Page 64, by striking lines 10 through 13 and 12 inserting < (LUPA) methodology with state geographic 13 wage adjustments, and updated to reflect the most 14 recent Medicare LUPA shall remain at the rates in 15 effect on June 30, 2016 . > 16 26. By striking page 64, line 32, through page 65, 17 line 1, and inserting: 18 (2) For the nonstate-owned psychiatric medical 19 institutions for children, reimbursement rates shall be 20 based on the reimbursement methodology developed by the 21 Medicaid managed care contractor for behavioral health 22 services as required for federal compliance in effect 23 on June 30, 2016 . > 24 27. Page 66, lines 17 and 18, by striking < approved 25 by the department of human services > and inserting 26 < approved by the department of human services > 27 28. Page 66, by striking lines 23 through 26 and 28 inserting: 29 < q. For the fiscal year beginning July 1, 2016, the 30 upper limits on and reimbursement rates for providers 31 of home and community-based services waiver services 32 shall remain at the limits in effect on June 30, 33 2016 for which the rate floor is based on the average 34 aggregate reimbursement rate for the fiscal year 35 -4- HF2460.3510 (2) 86 pf/rh/rn 4/ 8 #24. #25. #26. #27. #28.

beginning July 1, 2015, shall be determined as follows: 1 (1) For fee-for-service claims, the reimbursement 2 rate shall be increased by 1 percent over the rates in 3 effect on June 30, 2016 . 4 (2) For managed care claims, the reimbursement rate 5 floor shall be increased by 1 percent over the rate 6 floor in effect on April 1, 2016. > 7 29. Page 66, by striking lines 30 through 33. 8 30. Page 70, line 6, by striking < organization > 9 31. Page 70, by striking lines 8 through 10 and 10 inserting < lower than the rate floor approved by 11 the department of human services as the managed care 12 organization provider reimbursement rate floor for the 13 respective provider or service, in effect on April 1, 14 2016. > 15 32. Page 72, by striking lines 13 and 14 and 16 inserting < House File 630, and from the federal 17 temporary assistance for needy families block grant, 18 totaling at least $11,774,275 > 19 33. Page 73, line 13, by striking < 8,774,970 > and 20 inserting < 3,880,918 > 21 34. Page 74, after line 22 by inserting: 22 < AUTISM SUPPORT PROGRAM FUND FY 2015-2016 23 Sec. ___. 2015 Iowa Acts, chapter 137, section 13, 24 subsection 5, unnumbered paragraph 1, is amended to 25 read as follows: 26 Of the funds appropriated in this section, 27 $2,000,000 shall be credited to the autism support 28 program fund created in section 242D.2 to be used for 29 the autism support program created in chapter 225D , 30 with the exception of the following amounts of this 31 allocation which shall be used as follows: > 32 35. Page 78, line 17, by striking < organization > 33 36. Page 79, line 12, by striking < All funds > and 34 inserting < Funds > 35 -5- HF2460.3510 (2) 86 pf/rh/rn 5/ 8 #29. #30. #31. #32. #33. #34. #35.

37. Page 79, line 13, by striking < to > and 1 inserting < only to > 2 38. Page 80, by striking lines 2 through 5 and 3 inserting: 4 < ___. Any continuation of the program shall include 5 oversight and review by the hospital health care trust 6 fund board created in section 249M.4. > 7 39. Page 80, by striking lines 9 and 10 and 8 inserting: 9 < Sec. ___. RETROACTIVE APPLICABILITY. The section 10 of this division of this Act repealing section 249M.5, 11 Code 2016, is retroactively applicable to June 30, 12 2016. > 13 40. Page 84, line 20, by striking < CARRYFORWARD > 14 and inserting < TRANSFER > 15 41. Page 84, line 21, by striking < fund > and 16 inserting < autism support fund > 17 42. Page 84, line 28, by striking < carryforward of 18 moneys > and inserting < transfer of moneys in the autism 19 support fund > 20 43. Page 84, line 33, by striking < carryforward of 21 moneys > and inserting < transfer of moneys in the autism 22 support fund > 23 44. Page 96, by striking line 10 and inserting < 4, 24 is repealed. > 25 45. Page 101, after line 27 by inserting: 26 < Sec. ___. Section 249L.2, Code 2016, is amended by 27 adding the following new subsections: 28 NEW SUBSECTION . 5A. “Non-state governmental entity” 29 means a hospital authority, hospital district, health 30 care district, city, or county. 31 NEW SUBSECTION . 5B. “Non-state government-owned 32 nursing facility” means a nursing facility owned or 33 operated by a non-state governmental entity for which 34 a non-state governmental entity holds the nursing 35 -6- HF2460.3510 (2) 86 pf/rh/rn 6/ 8 #37. #38. #39. #40. #41. #42. #43. #44. #45.

facility’s license and is party to the nursing 1 facility’s Medicaid contract. > 2 46. Page 102, lines 9 and 10, by striking < no later 3 than June 30, 2016, > 4 47. Page 104, by striking lines 2 through 4. 5 48. Page 104, line 27, after < facility > by 6 inserting < owned or operated by a non-state 7 governmental entity > 8 49. By striking page 104, line 33, through page 9 105, line 3, and inserting: 10 < Sec. ___. IMPLEMENTATION PROVISIONS. 11 1. The section of this division of this Act 12 directing the department of human services to submit 13 a Medicaid state plan amendment to CMS, shall be 14 implemented as soon as possible following enactment, 15 consistent with all applicable federal requirements. 16 2. The sections of this division of this Act 17 amending section 249L.2, shall only be implemented 18 upon receipt by the department of human services of 19 the Medicaid state plan amendment by the centers for 20 Medicare and Medicaid services of the United States 21 department of health and human services, and if such 22 approval is received, are applicable no earlier than 23 the first day of the calendar quarter following the 24 date of receipt of such approval. > 25 50. Page 109, line 24, by striking < c. > and 26 inserting < c. (1) > 27 51. By striking page 109, line 33, through page 28 110, line 5, and inserting < of the hospital or 29 emergency care facility. 30 (2) Notwithstanding subparagraph (1), until 31 December 31, 2018, the department shall not decrease a 32 level II certificate of verification issued to a trauma 33 care facility by the department on or before July 1, 34 2015, unless the facility subsequently fails to comply 35 -7- HF2460.3510 (2) 86 pf/rh/rn 7/ 8 #46. #47. #48. #49. #50.

with the trauma care criteria established by rule under 1 this subchapter in effect at the time the verification 2 was issued. > 3 52. Title page, line 4, by striking < date > 4 53. By renumbering as necessary. 5 ______________________________ HEATON of Henry -8- HF2460.3510 (2) 86 pf/rh/rn 8/ 8 #52. #53.