Senate Amendment to House File 2460 H-8277 Amend House File 2460, as amended, passed, and 1 reprinted by the House, as follows: 2 1. By striking everything after the enacting clause 3 and inserting: 4 < DIVISION I 5 DEPARTMENT ON AGING —— FY 2016-2017 6 Section 1. 2015 Iowa Acts, chapter 137, section 7 121, is amended to read as follows: 8 SEC. 121. DEPARTMENT ON AGING. There is 9 appropriated from the general fund of the state to 10 the department on aging for the fiscal year beginning 11 July 1, 2016, and ending June 30, 2017, the following 12 amount, or so much thereof as is necessary, to be used 13 for the purposes designated: 14 For aging programs for the department on aging and 15 area agencies on aging to provide citizens of Iowa who 16 are 60 years of age and older with case management for 17 frail elders, Iowa’s aging and disabilities resource 18 center, and other services which may include but are 19 not limited to adult day services, respite care, chore 20 services, information and assistance, and material aid, 21 for information and options counseling for persons with 22 disabilities who are 18 years of age or older, and 23 for salaries, support, administration, maintenance, 24 and miscellaneous purposes, and for not more than the 25 following full-time equivalent positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,699,866 27 12,498,603 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 31.00 29 1. Funds appropriated in this section may be used 30 to supplement federal funds under federal regulations. 31 To receive funds appropriated in this section, a local 32 area agency on aging shall match the funds with moneys 33 from other sources according to rules adopted by the 34 department. Funds appropriated in this section may be 35 -1- HF2460.3823.S (2) 86 jh 1/ 161 #1.

used for elderly services not specifically enumerated 1 in this section only if approved by an area agency on 2 aging for provision of the service within the area. 3 2. Of the funds appropriated in this section, 4 $139,973 $279,946 is transferred to the economic 5 development authority for the Iowa commission on 6 volunteer services to be used for the retired and 7 senior volunteer program. 8 3. a. The department on aging shall establish and 9 enforce procedures relating to expenditure of state and 10 federal funds by area agencies on aging that require 11 compliance with both state and federal laws, rules, and 12 regulations, including but not limited to all of the 13 following: 14 (1) Requiring that expenditures are incurred only 15 for goods or services received or performed prior to 16 the end of the fiscal period designated for use of the 17 funds. 18 (2) Prohibiting prepayment for goods or services 19 not received or performed prior to the end of the 20 fiscal period designated for use of the funds. 21 (3) Prohibiting the prepayment for goods or 22 services not defined specifically by good or service, 23 time period, or recipient. 24 (4) Prohibiting the establishment of accounts from 25 which future goods or services which are not defined 26 specifically by good or service, time period, or 27 recipient, may be purchased. 28 b. The procedures shall provide that if any funds 29 are expended in a manner that is not in compliance with 30 the procedures and applicable federal and state laws, 31 rules, and regulations, and are subsequently subject 32 to repayment, the area agency on aging expending such 33 funds in contravention of such procedures, laws, rules 34 and regulations, not the state, shall be liable for 35 -2- HF2460.3823.S (2) 86 jh 2/ 161

such repayment. 1 4. Of the funds appropriated in this section, at 2 least $125,000 $250,000 shall be used to fund the unmet 3 needs identified through Iowa’s aging and disability 4 resource center network. 5 5. Of the funds appropriated in this section, at 6 least $300,000 $600,000 shall be used to fund home and 7 community-based services through the area agencies 8 on aging that enable older individuals to avoid more 9 costly utilization of residential or institutional 10 services and remain in their own homes. 11 6. Of the funds appropriated in this section, 12 $406,833 $912,537 shall be used for the purposes of 13 chapter 231E and section 231.56A , of which $144,333 14 $350,000 shall be used for the office of substitute 15 decision maker pursuant to chapter 231E , and the 16 remainder shall be distributed equally to the area 17 agencies on aging to administer the prevention of elder 18 abuse, neglect, and exploitation program pursuant to 19 section 231.56A , in accordance with the requirements 20 of the federal Older Americans Act of 1965, 42 U.S.C. 21 §3001 et seq., as amended. 22 7. Of the funds appropriated in this section, 23 $1,000,000 shall be used to fund continuation of the 24 aging and disability resource center lifelong links to 25 provide individuals and caregivers with information and 26 services to plan for and maintain independence. 27 DIVISION II 28 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2016-2017 29 Sec. 2. 2015 Iowa Acts, chapter 137, section 122, 30 is amended to read as follows: 31 SEC. 122. OFFICE OF LONG-TERM CARE OMBUDSMAN. 32 1. There is appropriated from the general fund of 33 the state to the office of long-term care ombudsman for 34 the fiscal year beginning July 1, 2016, and ending June 35 -3- HF2460.3823.S (2) 86 jh 3/ 161

30, 2017, the following amount, or so much thereof as 1 is necessary, to be used for the purposes designated: 2 For salaries, support, administration, maintenance, 3 and miscellaneous purposes, and for not more than the 4 following full-time equivalent positions: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 638,391 6 1,626,783 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 17.00 8 20.00 9 2. Of the funds appropriated in this section, 10 $110,000 $220,000 shall be used to continue to provide 11 for additional local long-term care ombudsmen. 12 3. Of the funds appropriated in this section, 13 $350,000 shall be used to provide additional long-term 14 care ombudsmen to provide assistance and advocacy 15 related to long-term care services and supports under 16 the Medicaid program pursuant to section 231.44. 17 DIVISION III 18 DEPARTMENT OF PUBLIC HEALTH —— FY 2016-2017 19 Sec. 3. 2015 Iowa Acts, chapter 137, section 123, 20 is amended to read as follows: 21 SEC. 123. DEPARTMENT OF PUBLIC HEALTH. There is 22 appropriated from the general fund of the state to 23 the department of public health for the fiscal year 24 beginning July 1, 2016, and ending June 30, 2017, the 25 following amounts, or so much thereof as is necessary, 26 to be used for the purposes designated: 27 1. ADDICTIVE DISORDERS 28 For reducing the prevalence of the use of tobacco, 29 alcohol, and other drugs, and treating individuals 30 affected by addictive behaviors, including gambling, 31 and for not more than the following full-time 32 equivalent positions: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 13,631,845 34 26,988,690 35 -4- HF2460.3823.S (2) 86 jh 4/ 161

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 1 a. (1) Of the funds appropriated in this 2 subsection, $2,624,180 $5,248,361 shall be used for 3 the tobacco use prevention and control initiative, 4 including efforts at the state and local levels, as 5 provided in chapter 142A . The commission on tobacco 6 use prevention and control established pursuant 7 to section 142A.3 shall advise the director of 8 public health in prioritizing funding needs and the 9 allocation of moneys appropriated for the programs 10 and initiatives. Activities of the programs and 11 initiatives shall be in alignment with the United 12 States centers for disease control and prevention 13 best practices for comprehensive tobacco control 14 programs that include the goals of preventing youth 15 initiation of tobacco usage, reducing exposure to 16 secondhand smoke, and promotion of tobacco cessation. 17 To maximize resources, the department shall determine 18 if third-party sources are available to instead provide 19 nicotine replacement products to an applicant prior to 20 provision of such products to an applicant under the 21 initiative. The department shall track and report to 22 the individuals specified in this Act , any reduction 23 in the provision of nicotine replacement products 24 realized by the initiative through implementation of 25 the prerequisite screening. 26 (2) (a) Of the funds allocated in this paragraph 27 “a”, $226,533 is transferred to the The department 28 shall collaborate with the alcoholic beverages division 29 of the department of commerce for enforcement of 30 tobacco laws, regulations, and ordinances and to engage 31 in tobacco control activities approved by the division 32 of tobacco use prevention and control of the department 33 of public health as specified in the memorandum of 34 understanding entered into between the divisions. 35 -5- HF2460.3823.S (2) 86 jh 5/ 161

(b) For the fiscal year beginning July 1, 2016, and 1 ending June 30, 2017, the terms of the memorandum of 2 understanding, entered into between the division of 3 tobacco use prevention and control of the department 4 of public health and the alcoholic beverages division 5 of the department of commerce, governing compliance 6 checks conducted to ensure licensed retail tobacco 7 outlet conformity with tobacco laws, regulations, 8 and ordinances relating to persons under eighteen 18 9 years of age, shall continue to restrict the number of 10 such checks to one check per retail outlet, and one 11 additional check for any retail outlet found to be in 12 violation during the first check. 13 b. Of the funds appropriated in this subsection, 14 $11,007,664 $21,740,329 shall be used for problem 15 gambling and substance-related disorder prevention, 16 treatment, and recovery services, including a 24-hour 17 helpline, public information resources, professional 18 training, youth prevention, and program evaluation. 19 (1) Of the funds allocated in this paragraph “b”, 20 $9,451,857 shall be used for substance-related disorder 21 prevention and treatment. 22 (a) Of the funds allocated in this subparagraph 23 (1), $449,650 shall be used for the public purpose of 24 a grant program to provide substance-related disorder 25 prevention programming for children. 26 (i) Of the funds allocated in this subparagraph 27 division (a), $213,769 shall be used for grant funding 28 for organizations that provide programming for 29 children by utilizing mentors. Programs approved for 30 such grants shall be certified or must be certified 31 within six months of receiving the grant award by the 32 Iowa commission on volunteer services as utilizing 33 the standards for effective practice for mentoring 34 programs. 35 -6- HF2460.3823.S (2) 86 jh 6/ 161

(ii) Of the funds allocated in this subparagraph 1 division (a), $213,419 shall be used for grant funding 2 for organizations providing programming that includes 3 youth development and leadership services. The 4 programs shall also be recognized as being programs 5 that are scientifically based with evidence of their 6 effectiveness in reducing substance-related disorders 7 in children. 8 (iii) The department of public health shall utilize 9 a request for proposals process to implement the grant 10 program. 11 (iv) All grant recipients shall participate in a 12 program evaluation as a requirement for receiving grant 13 funds. 14 (v) Of the funds allocated in this subparagraph 15 division (a), up to $22,461 may be used to administer 16 substance-related disorder prevention grants and for 17 program evaluations. 18 (b) Of the funds allocated in this subparagraph 19 (1), $136,301 shall be used for culturally competent 20 substance-related disorder treatment pilot projects. 21 (i) The department shall utilize the amount 22 allocated in this subparagraph division (b) for at 23 least three pilot projects to provide culturally 24 competent substance-related disorder treatment in 25 various areas of the state. Each pilot project shall 26 target a particular ethnic minority population. The 27 populations targeted shall include but are not limited 28 to African American, Asian, and Latino. 29 (ii) The pilot project requirements shall provide 30 for documentation or other means to ensure access 31 to the cultural competence approach used by a pilot 32 project so that such approach can be replicated and 33 improved upon in successor programs. 34 (2) Of the funds allocated in this paragraph “b”, 35 -7- HF2460.3823.S (2) 86 jh 7/ 161

up to $1,555,807 may be used for problem gambling 1 prevention, treatment, and recovery services. 2 (a) Of the funds allocated in this subparagraph 3 (2), $1,286,881 shall be used for problem gambling 4 prevention and treatment. 5 (b) Of the funds allocated in this subparagraph 6 (2), up to $218,926 may be used for a 24-hour helpline, 7 public information resources, professional training, 8 and program evaluation. 9 (c) Of the funds allocated in this subparagraph 10 (2), up to $50,000 may be used for the licensing of 11 problem gambling treatment programs. 12 (3) It is the intent of the general assembly that 13 from the moneys allocated in this paragraph “b”, 14 persons with a dual diagnosis of substance-related 15 disorder and gambling addiction shall be given priority 16 in treatment services. 17 c. Notwithstanding any provision of law to the 18 contrary, to standardize the availability, delivery, 19 cost of delivery, and accountability of problem 20 gambling and substance-related disorder treatment 21 services statewide, the department shall continue 22 implementation of a process to create a system for 23 delivery of treatment services in accordance with the 24 requirements specified in 2008 Iowa Acts, chapter 25 1187, section 3, subsection 4 . To ensure the system 26 provides a continuum of treatment services that best 27 meets the needs of Iowans, the problem gambling and 28 substance-related disorder treatment services in any 29 area may be provided either by a single agency or by 30 separate agencies submitting a joint proposal. 31 (1) The system for delivery of substance-related 32 disorder and problem gambling treatment shall include 33 problem gambling prevention. 34 (2) The system for delivery of substance-related 35 -8- HF2460.3823.S (2) 86 jh 8/ 161

disorder and problem gambling treatment shall include 1 substance-related disorder prevention by July 1, 2017. 2 (3) Of the funds allocated in paragraph “b”, the 3 department may use up to $50,000 for administrative 4 costs to continue developing and implementing the 5 process in accordance with this paragraph “c”. 6 d. The requirement of section 123.53 123.17 , 7 subsection 5 , is met by the appropriations and 8 allocations made in this division of this Act for 9 purposes of substance-related disorder treatment and 10 addictive disorders for the fiscal year beginning July 11 1, 2016. 12 e. The department of public health shall work with 13 all other departments that fund substance-related 14 disorder prevention and treatment services and all 15 such departments shall, to the extent necessary, 16 collectively meet the state maintenance of effort 17 requirements for expenditures for substance-related 18 disorder services as required under the federal 19 substance-related disorder prevention and treatment 20 block grant. 21 2. HEALTHY CHILDREN AND FAMILIES 22 For promoting the optimum health status for 23 children, adolescents from birth through 21 years of 24 age, and families, and for not more than the following 25 full-time equivalent positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,308,771 27 5,593,774 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 29 a. Of the funds appropriated in this subsection, 30 not more than $367,420 $734,841 shall be used for the 31 healthy opportunities for parents to experience success 32 (HOPES)-healthy families Iowa (HFI) program established 33 pursuant to section 135.106 . The funding shall be 34 distributed to renew the grants that were provided 35 -9- HF2460.3823.S (2) 86 jh 9/ 161

to the grantees that operated the program during the 1 fiscal year ending June 30, 2016. 2 b. In order to implement the legislative intent 3 stated in sections 135.106 and 256I.9 , that priority 4 for home visitation program funding be given to 5 programs using evidence-based or promising models 6 for home visitation, it is the intent of the general 7 assembly to phase in the funding priority in accordance 8 with 2012 Iowa Acts, chapter 1133, section 2, 9 subsection 2 , paragraph “0b”. 10 c. Of the funds appropriated in this subsection, 11 $1,099,414 $3,175,059 shall be used for continuation 12 of the department’s initiative to provide for adequate 13 developmental surveillance and screening during a 14 child’s first five years. The funds shall be used 15 first to fully fund the current sites to ensure 16 that the sites are fully operational, with the 17 remaining funds to be used for expansion to additional 18 sites. The full implementation and expansion shall 19 include enhancing the scope of the program through 20 collaboration with the child health specialty clinics 21 to promote healthy child development through early 22 identification and response to both biomedical 23 and social determinants of healthy development; by 24 monitoring child health metrics to inform practice, 25 document long-term health impacts and savings, and 26 provide for continuous improvement through training, 27 education, and evaluation; and by providing for 28 practitioner consultation particularly for children 29 with behavioral conditions and needs. The department 30 of public health shall also collaborate with the Iowa 31 Medicaid enterprise and the child health specialty 32 clinics to integrate the activities of the first five 33 initiative into the establishment of patient-centered 34 medical homes, community utilities, accountable 35 -10- HF2460.3823.S (2) 86 jh 10/ 161

care organizations, and other integrated care models 1 developed to improve health quality and population 2 health while reducing health care costs. To the 3 maximum extent possible, funding allocated in this 4 paragraph shall be utilized as matching funds for 5 medical assistance program reimbursement. 6 d. Of the funds appropriated in this subsection, 7 $37,320 $74,640 shall be distributed to a statewide 8 dental carrier to provide funds to continue the donated 9 dental services program patterned after the projects 10 developed by the lifeline network to provide dental 11 services to indigent individuals who are elderly or 12 with disabilities. 13 e. Of the funds appropriated in this subsection, 14 $55,997 $111,995 shall be used for childhood obesity 15 prevention. 16 f. Of the funds appropriated in this subsection, 17 $81,384 $162,768 shall be used to provide audiological 18 services and hearing aids for children. The department 19 may enter into a contract to administer this paragraph. 20 g. Of the funds appropriated in this subsection, 21 $12,500 $25,000 is transferred to the university of 22 Iowa college of dentistry for provision of primary 23 dental services to children. State funds shall be 24 matched on a dollar-for-dollar basis. The university 25 of Iowa college of dentistry shall coordinate efforts 26 with the department of public health, bureau of oral 27 and health delivery systems, to provide dental care to 28 underserved populations throughout the state. 29 h. Of the funds appropriated in this subsection, 30 $25,000 $50,000 shall be used to address youth suicide 31 prevention. 32 i. Of the funds appropriated in this subsection, 33 $25,000 $50,000 shall be used to support the Iowa 34 effort to address the survey of children who experience 35 -11- HF2460.3823.S (2) 86 jh 11/ 161

adverse childhood experiences known as ACEs. 1 j. The department of public health shall continue 2 to administer the program to assist parents in this 3 state with costs resulting from the death of a child 4 in accordance with the provisions of 2014 Iowa Acts, 5 chapter 1140, section 22, subsection 12 . 6 3. CHRONIC CONDITIONS 7 For serving individuals identified as having chronic 8 conditions or special health care needs, and for not 9 more than the following full-time equivalent positions: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,477,846 11 5,080,692 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 13 a. Of the funds appropriated in this subsection, 14 $79,966 $159,932 shall be used for grants to individual 15 patients who have an inherited metabolic disorder to 16 assist with the costs of medically necessary foods and 17 formula. 18 b. Of the funds appropriated in this subsection, 19 $445,822 $1,041,644 shall be used for the brain 20 injury services program pursuant to section 135.22B , 21 including for continuation of the contracts for 22 resource facilitator services in accordance with 23 section 135.22B, subsection 9 , and to enhance brain 24 injury training and recruitment of service providers 25 on a statewide basis. Of the amount allocated in this 26 paragraph, $47,500 $95,000 shall be used to fund one 27 full-time equivalent position to serve as the state 28 brain injury services program manager. 29 c. Of the funds appropriated in this subsection, 30 $273,991 $547,982 shall be used as additional funding 31 to leverage federal funding through the federal Ryan 32 White Care Act, Tit. II, AIDS drug assistance program 33 supplemental drug treatment grants. 34 d. Of the funds appropriated in this subsection, 35 -12- HF2460.3823.S (2) 86 jh 12/ 161

$74,911 $149,823 shall be used for the public 1 purpose of continuing to contract with an existing 2 national-affiliated organization to provide education, 3 client-centered programs, and client and family support 4 for people living with epilepsy and their families. 5 The amount allocated in this paragraph in excess of 6 $50,000 $100,000 shall be matched dollar-for-dollar by 7 the organization specified. 8 e. Of the funds appropriated in this subsection, 9 $392,557 $785,114 shall be used for child health 10 specialty clinics. 11 f. Of the funds appropriated in this subsection, 12 $200,000 $400,000 shall be used by the regional 13 autism assistance program established pursuant to 14 section 256.35 , and administered by the child health 15 specialty clinic located at the university of Iowa 16 hospitals and clinics. The funds shall be used to 17 enhance interagency collaboration and coordination of 18 educational, medical, and other human services for 19 persons with autism, their families, and providers of 20 services, including delivering regionalized services of 21 care coordination, family navigation, and integration 22 of services through the statewide system of regional 23 child health specialty clinics and fulfilling other 24 requirements as specified in chapter 225D . The 25 university of Iowa shall not receive funds allocated 26 under this paragraph for indirect costs associated with 27 the regional autism assistance program. 28 g. Of the funds appropriated in this subsection, 29 $285,496 $594,543 shall be used for the comprehensive 30 cancer control program to reduce the burden of cancer 31 in Iowa through prevention, early detection, effective 32 treatment, and ensuring quality of life. Of the funds 33 allocated in this paragraph “g”, $75,000 $150,000 34 shall be used to support a melanoma research symposium, 35 -13- HF2460.3823.S (2) 86 jh 13/ 161

a melanoma biorepository and registry, basic and 1 translational melanoma research, and clinical trials. 2 h. Of the funds appropriated in this subsection, 3 $63,225 $101,450 shall be used for cervical and colon 4 cancer screening, and $150,000 $300,000 shall be 5 used to enhance the capacity of the cervical cancer 6 screening program to include provision of recommended 7 prevention and early detection measures to a broader 8 range of low-income women. 9 i. Of the funds appropriated in this subsection, 10 $263,347 $526,695 shall be used for the center for 11 congenital and inherited disorders. 12 j. Of the funds appropriated in this subsection, 13 $64,705 $129,411 shall be used for the prescription 14 drug donation repository program created in chapter 15 135M . 16 k. Of the funds appropriated in this subsection, 17 $107,631 $215,263 shall be used by the department of 18 public health for reform-related activities, including 19 but not limited to facilitation of communication 20 to stakeholders at the state and local level, 21 administering the patient-centered health advisory 22 council pursuant to section 135.159 , and involvement 23 in health care system innovation activities occurring 24 across the state. 25 l. Of the funds appropriated in this subsection, 26 $12,500 $25,000 shall be used for administration of 27 chapter 124D , the medical cannabidiol Act. 28 4. COMMUNITY CAPACITY 29 For strengthening the health care delivery system at 30 the local level, and for not more than the following 31 full-time equivalent positions: 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,410,667 33 7,339,136 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 11.00 35 -14- HF2460.3823.S (2) 86 jh 14/ 161

13.00 1 a. Of the funds appropriated in this subsection, 2 $49,707 $99,414 is allocated for continuation of the 3 child 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 $110,656 is allocated for continuation of an 19 initiative implemented at the university of Iowa and 20 $49,952 $99,904 is allocated for continuation of an 21 initiative at the state mental health institute at 22 Cherokee to expand and improve the workforce engaged in 23 mental health treatment and services. The initiatives 24 shall receive input from the university of Iowa, the 25 department of human services, the department of public 26 health, and the mental health and disability services 27 commission to address the focus of the initiatives. 28 c. Of the funds appropriated in this subsection, 29 $582,314 $1,164,628 shall be used for essential public 30 health services that promote healthy aging throughout 31 one’s lifespan, contracted through a formula for local 32 boards of health, to enhance health promotion and 33 disease prevention services. 34 d. Of the funds appropriated in this section 35 -15- HF2460.3823.S (2) 86 jh 15/ 161

subsection , $49,643 $99,286 shall be deposited in the 1 governmental public health system fund created in 2 section 135A.8 to be used for the purposes of the fund. 3 e. Of the funds appropriated in this subsection, 4 $52,724 shall be used to continue to address the 5 shortage of mental health professionals in the state. 6 f. Of the funds appropriated in this subsection, 7 $25,000 $50,000 shall be used for a grant to a 8 statewide association of psychologists that is 9 affiliated with the American psychological association 10 to be used for continuation of a program to rotate 11 intern psychologists in placements in urban and rural 12 mental health professional shortage areas, as defined 13 in section 135.180 . 14 g. (1) Of the funds appropriated in this 15 subsection, $1,441,484 $1,210,770 shall be allocated 16 as a grant to the Iowa primary care association to 17 be used pursuant to section 135.153 for the statewide 18 coordination of the Iowa collaborative safety net 19 provider network. Coordination of the network shall 20 focus on increasing access by underserved populations 21 to health care services, increasing integration of the 22 health system and collaboration across the continuum of 23 care with a focus on safety net services, and enhancing 24 the Iowa collaborative safety net provider network’s 25 communication and education efforts. The amount 26 allocated as a grant under this subparagraph (1) shall 27 be used as follows to support the Iowa collaborative 28 safety net provider network goals of increased access, 29 health system integration, and engagement: 30 (a) For distribution to safety net partners in the 31 state that work to increase access of the underserved 32 population to health services: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 512,742 34 1,025,485 35 -16- HF2460.3823.S (2) 86 jh 16/ 161

(i) Of the amount allocated in this subparagraph 1 division (a), up to not less than $206,707 $413,415 2 shall be distributed to the Iowa prescription drug 3 corporation for continuation of the pharmaceutical 4 infrastructure for safety net providers as described in 5 2007 Iowa Acts, chapter 218, section 108 . 6 (ii) Of the amount allocated in this subparagraph 7 division (a), up to not less than $174,161 $348,322 8 shall be distributed to free clinics and free clinics 9 of Iowa for necessary infrastructure, statewide 10 coordination, provider recruitment, service delivery, 11 and provision of assistance to patients in securing a 12 medical home inclusive of oral health care. 13 (iii) Of the amount allocated in this subparagraph 14 division (a), up to not less than $25,000 $50,000 15 shall be distributed to the Iowa coalition against 16 sexual assault to continue a training program for 17 sexual assault response team (SART) members, including 18 representatives of law enforcement, victim advocates, 19 prosecutors, and certified medical personnel. 20 (iv) Of the amount allocated in this subparagraph 21 division (a), up to not less than $106,874 $213,748 22 shall be distributed to the Polk county medical 23 society for continuation of the safety net provider 24 patient access to a specialty health care initiative as 25 described in 2007 Iowa Acts, chapter 218, section 109 . 26 (c) For distribution to safety net partners in the 27 state that work to serve as a resource for credible, 28 accurate information on health care-related needs 29 and services for vulnerable populations in the state 30 including the Iowa association of rural health clinics 31 for necessary infrastructure and service delivery 32 transformation and the Iowa primary care association 33 to support partner engagement, program management, and 34 statewide coordination of the network: 35 -17- HF2460.3823.S (2) 86 jh 17/ 161

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 92,642 1 185,285 2 (2) The amount allocated under this paragraph 3 “g” shall not be reduced for administrative or other 4 costs prior to distribution. The Iowa collaborative 5 safety net provider network may continue to distribute 6 funds allocated pursuant to this paragraph “g” through 7 existing contracts or renewal of existing contracts. 8 (3) For each goal of the Iowa collaborative safety 9 net provider network, the Iowa primary care association 10 shall submit a progress report to the individuals 11 designated in this Act for submission of reports by 12 December 15, 2016, including progress in developing 13 and implementing the network, how the funds were 14 distributed and used in developing and implementing the 15 network, and the remaining needs identified to fully 16 develop and implement the network. 17 h. Of the funds appropriated in this subsection, 18 $106,700 $213,400 shall be used for continuation of 19 the work of the direct care worker advisory council 20 established pursuant to 2008 Iowa Acts, chapter 1188, 21 section 69 , in implementing the recommendations in 22 the final report submitted by the advisory council to 23 the governor and the general assembly in March 2012, 24 including by continuing to develop, promote, and make 25 available on a statewide basis the prepare-to-care core 26 curriculum and its associated modules and specialties 27 through various formats including online access, 28 community colleges, and other venues; exploring 29 new and maintaining existing specialties including 30 but not limited to oral health and dementia care; 31 supporting instructor training; and assessing and 32 making recommendations concerning the Iowa care book 33 and information technology systems and infrastructure 34 uses and needs. 35 -18- HF2460.3823.S (2) 86 jh 18/ 161

i. (1) Of the funds appropriated in this 1 subsection, $108,187 $216,375 shall be used for 2 allocation to allocated for continuation of the 3 contract with an independent statewide direct care 4 worker organization previously selected through a 5 request for proposals process. The contract shall 6 continue to include performance and outcomes measures, 7 and shall continue to allow the contractor to use 8 a portion of the funds received under the contract 9 to collect data to determine results based on the 10 performance and outcomes measures. 11 (2) Of the funds appropriated in this subsection, 12 $37,500 $75,000 shall be used to provide scholarships 13 or other forms of subsidization for direct care 14 worker educational conferences, training, or outreach 15 activities. 16 j. Of the funds appropriated in this subsection, 17 the department may use up to $29,087 $58,175 for up to 18 one full-time equivalent position to administer the 19 volunteer health care provider program pursuant to 20 section 135.24 . 21 k. Of the funds appropriated in this subsection, 22 $50,000 $100,000 shall be used for a matching dental 23 education loan repayment program to be allocated 24 to a dental nonprofit health service corporation to 25 continue to develop the criteria and implement the loan 26 repayment program. 27 l. Of the funds appropriated in this subsection, 28 $52,911 $105,823 is transferred to the college student 29 aid commission for deposit in the rural Iowa primary 30 care trust fund created in section 261.113 to be used 31 for the purposes of the fund. 32 m. Of the funds appropriated in this subsection, 33 $125,000 $250,000 shall be used for the purposes of the 34 Iowa donor registry as specified in section 142C.18 . 35 -19- HF2460.3823.S (2) 86 jh 19/ 161