House
File
2460
S-5158
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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-
HF2460.3523
(9)
86
pf/rn
1/
160
#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-
HF2460.3523
(9)
86
pf/rn
2/
160
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-
HF2460.3523
(9)
86
pf/rn
3/
160
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-
HF2460.3523
(9)
86
pf/rn
4/
160
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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
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HF2460.3523
(9)
86
pf/rn
5/
160
(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
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86
pf/rn
6/
160
(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
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(9)
86
pf/rn
7/
160
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
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86
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160
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
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86
pf/rn
9/
160
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
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160
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
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160
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
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HF2460.3523
(9)
86
pf/rn
12/
160
$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
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HF2460.3523
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86
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160
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-
HF2460.3523
(9)
86
pf/rn
14/
160
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-
HF2460.3523
(9)
86
pf/rn
15/
160
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-
HF2460.3523
(9)
86
pf/rn
16/
160
(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-
HF2460.3523
(9)
86
pf/rn
17/
160
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
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-
HF2460.3523
(9)
86
pf/rn
18/
160
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-
HF2460.3523
(9)
86
pf/rn
19/
160
n.
Of
the
funds
appropriated
in
this
subsection,
1
$50,000
$100,000
shall
be
used
for
continuation
of
2
a
grant
to
a
nationally
affiliated
volunteer
eye
3
organization
that
has
an
established
program
for
4
children
and
adults
and
that
is
solely
dedicated
to
5
preserving
sight
and
preventing
blindness
through
6
education,
nationally
certified
vision
screening
and
7
training,
and
community
and
patient
service
programs.
8
The
organization
shall
submit
a
report
to
the
9
individuals
identified
in
this
Act
for
submission
of
10
reports
regarding
the
use
of
funds
allocated
under
this
11
paragraph
“n”.
The
report
shall
include
the
objectives
12
and
results
for
the
program
year
including
the
target
13
population
and
how
the
funds
allocated
assisted
the
14
program
in
meeting
the
objectives;
the
number,
age,
and
15
location
within
the
state
of
individuals
served;
the
16
type
of
services
provided
to
the
individuals
served;
17
the
distribution
of
funds
based
on
services
provided;
18
and
the
continuing
needs
of
the
program.
19
o.
Of
the
funds
appropriated
in
this
subsection,
20
$1,000,000
$2,000,000
shall
be
deposited
in
the
medical
21
residency
training
account
created
in
section
135.175,
22
subsection
5,
paragraph
“a”
,
and
is
appropriated
from
23
the
account
to
the
department
of
public
health
to
be
24
used
for
the
purposes
of
the
medical
residency
training
25
state
matching
grants
program
as
specified
in
section
26
135.176
.
However,
notwithstanding
any
provision
to
the
27
contrary
in
section
135.176
,
priority
in
the
awarding
28
of
grants
for
the
fiscal
year
beginning
July
1,
2016,
29
shall
be
given
to
sponsors
approved
but
not
funded
in
30
the
prior
fiscal
year
competitive
procurement
process
31
that
proposed
preference
in
the
use
of
the
grant
funds
32
for
internal
medicine
positions,
and
priority
in
the
33
awarding
of
the
remaining
moneys
shall
be
given
to
34
sponsors
that
propose
preference
in
the
use
of
the
35
-20-
HF2460.3523
(9)
86
pf/rn
20/
160
grant
funds
for
psychiatric
residency
positions
and
1
family
practice
residency
positions.
2
p.
Of
the
funds
appropriated
in
this
subsection,
3
$78,309
$156,619
is
allocated
to
the
university
of
4
Iowa
hospitals
and
clinics
to
continue
a
systematic
5
and
evidence-based
practice
collaborative
care
model
6
to
improve
outcomes
of
mental
health
treatment
in
7
primary
care
settings
in
the
state.
Funds
shall
be
8
used
to
establish
the
collaborative
care
model
in
9
several
primary
care
practices
in
rural
and
urban
areas
10
throughout
the
state,
to
provide
staffing
to
administer
11
the
model,
and
to
provide
staff
training
and
database
12
management
to
track
and
manage
patient
outcomes.
13
q.
Of
the
funds
appropriated
in
this
subsection,
14
$100,000
shall
be
used
by
the
department
of
public
15
health
to
develop
recommendations
to
be
submitted
in
16
a
report
by
December
15,
2016,
as
otherwise
described
17
in
this
division
of
this
Act,
including
those
for
18
a
broader,
more
systematic
and
strategic
workforce
19
initiative,
which
may
include
a
comprehensive
study
of
20
workforce
program
needs
and
the
establishment
of
an
21
advisory
workgroup.
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
7,297,142
29
6.
INFECTIOUS
DISEASES
30
For
reducing
the
incidence
and
prevalence
of
31
communicable
diseases,
and
for
not
more
than
the
32
following
full-time
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,577
34
1,335,155
35
-21-
HF2460.3523
(9)
86
pf/rn
21/
160
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
1
7.
PUBLIC
PROTECTION
2
For
protecting
the
health
and
safety
of
the
3
public
through
establishing
standards
and
enforcing
4
regulations,
and
for
not
more
than
the
following
5
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,169,595
7
4,399,191
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
136.00
9
137.00
10
a.
Of
the
funds
appropriated
in
this
subsection,
11
not
more
than
$227,350
$454,700
shall
be
credited
to
12
the
emergency
medical
services
fund
created
in
section
13
135.25
.
Moneys
in
the
emergency
medical
services
fund
14
are
appropriated
to
the
department
to
be
used
for
the
15
purposes
of
the
fund.
16
b.
Of
the
funds
appropriated
in
this
subsection,
17
$101,516
$203,032
shall
be
used
for
sexual
violence
18
prevention
programming
through
a
statewide
organization
19
representing
programs
serving
victims
of
sexual
20
violence
through
the
department’s
sexual
violence
21
prevention
program.
The
amount
allocated
in
this
22
paragraph
“b”
shall
not
be
used
to
supplant
funding
23
administered
for
other
sexual
violence
prevention
or
24
victims
assistance
programs.
25
c.
Of
the
funds
appropriated
in
this
subsection,
26
$299,375
$598,751
shall
be
used
for
the
state
poison
27
control
center.
Pursuant
to
the
directive
under
2014
28
Iowa
Acts,
chapter
1140,
section
102
,
the
federal
29
matching
funds
available
to
the
state
poison
control
30
center
from
the
department
of
human
services
under
31
the
federal
Children’s
Health
Insurance
Program
32
Reauthorization
Act
allotment
shall
be
subject
to
33
the
federal
administrative
cap
rule
of
10
percent
34
applicable
to
funding
provided
under
Tit.
XXI
of
the
35
-22-
HF2460.3523
(9)
86
pf/rn
22/
160
federal
Social
Security
Act
and
included
within
the
1
department’s
calculations
of
the
cap.
2
d.
Of
the
funds
appropriated
in
this
subsection,
3
$268,875
$537,750
shall
be
used
for
childhood
lead
4
poisoning
provisions.
5
8.
RESOURCE
MANAGEMENT
6
For
establishing
and
sustaining
the
overall
7
ability
of
the
department
to
deliver
services
to
the
8
public,
and
for
not
more
than
the
following
full-time
9
equivalent
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
427,536
11
1,005,072
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
13
9.
MISCELLANEOUS
PROVISIONS
14
a.
The
university
of
Iowa
hospitals
and
clinics
15
under
the
control
of
the
state
board
of
regents
shall
16
not
receive
indirect
costs
from
the
funds
appropriated
17
in
this
section.
The
university
of
Iowa
hospitals
and
18
clinics
billings
to
the
department
shall
be
on
at
least
19
a
quarterly
basis.
20
b.
The
department
of
public
health
shall
conduct
a
21
sampling
of
the
entities
to
which
appropriated
funds
22
are
allocated,
granted,
or
otherwise
distributed
under
23
this
section
and
shall
require
such
entities
to
submit
24
a
progress
report
to
the
department
by
September
1,
25
2016,
which
includes
the
objectives
and
results
of
the
26
program
since
the
initial
receipt
of
state
funding
and
27
how
the
funds
are
assisting
the
program
in
meeting
the
28
objectives,
specifying
the
target
population
served
29
and
the
type
of
services
provided,
and
identifying
30
the
continuing
needs
of
the
recipient
entity
and
the
31
service
population.
The
department
shall
review
the
32
information
reported
and
shall
make
recommendations
to
33
the
governor
and
the
general
assembly
by
December
15,
34
2016,
to
realign,
bundle,
or
otherwise
redistribute
35
-23-
HF2460.3523
(9)
86
pf/rn
23/
160
funding
to
meet
the
needs
identified
and
improve
1
services
during
the
subsequent
fiscal
year.
2
c.
The
department
of
public
health
shall
submit
a
3
report
to
the
individuals
identified
in
this
Act
for
4
submission
of
reports
by
December
15,
2016,
regarding
5
a
proposal
for
realigning,
bundling,
redistributing,
6
or
otherwise
adjusting
the
department’s
funding
7
streams
to
reflect
the
department’s
priorities
and
8
goals
and
to
provide
increased
flexibility
in
the
9
distribution
of
funding
to
meet
these
priorities
10
and
goals.
The
proposal
shall
specifically
include
11
recommendations
for
a
broader,
more
systematic
and
12
strategic
workforce
initiative
which
may
include
a
13
comprehensive
study
of
workforce
program
needs
and
the
14
establishment
of
an
advisory
workgroup.
The
proposal
15
shall
also
specifically
include
strategies,
developed
16
in
collaboration
with
the
department
of
education,
to
17
encourage
elementary
and
secondary
education
students
18
to
pursue
careers
in
the
fields
of
health
and
health
19
care.
20
DIVISION
IV
21
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2016-2017
22
Sec.
4.
2015
Iowa
Acts,
chapter
137,
section
124,
23
is
amended
to
read
as
follows:
24
SEC.
124.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
25
is
appropriated
from
the
general
fund
of
the
state
to
26
the
department
of
veterans
affairs
for
the
fiscal
year
27
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
28
following
amounts,
or
so
much
thereof
as
is
necessary,
29
to
be
used
for
the
purposes
designated:
30
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
31
For
salaries,
support,
maintenance,
and
32
miscellaneous
purposes,
and
for
not
more
than
the
33
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,273
35
-24-
HF2460.3523
(9)
86
pf/rn
24/
160
1,200,546
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
2
2.
IOWA
VETERANS
HOME
3
For
salaries,
support,
maintenance,
and
4
miscellaneous
purposes:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,797,498
6
7,594,996
7
a.
The
Iowa
veterans
home
billings
involving
the
8
department
of
human
services
shall
be
submitted
to
the
9
department
on
at
least
a
monthly
basis.
10
c.
Within
available
resources
and
in
conformance
11
with
associated
state
and
federal
program
eligibility
12
requirements,
the
Iowa
veterans
home
may
implement
13
measures
to
provide
financial
assistance
to
or
14
on
behalf
of
veterans
or
their
spouses
who
are
15
participating
in
the
community
reentry
program.
16
e.
The
Iowa
veterans
home
shall
expand
the
annual
17
discharge
report
to
also
include
applicant
information
18
and
to
provide
for
the
collection
of
demographic
19
information
including
but
not
limited
to
the
number
20
of
individuals
applying
for
admission
and
admitted
or
21
denied
admittance
and
the
basis
for
the
admission
or
22
denial;
the
age,
gender,
and
race
of
such
individuals;
23
and
the
level
of
care
for
which
such
individuals
24
applied
for
admission
including
residential
or
nursing
25
level
of
care.
26
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
27
For
transfer
to
the
Iowa
finance
authority
for
the
28
continuation
of
the
home
ownership
assistance
program
29
for
persons
who
are
or
were
eligible
members
of
the
30
armed
forces
of
the
United
States,
pursuant
to
section
31
16.54
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,000
33
2,500,000
34
Sec.
5.
2015
Iowa
Acts,
chapter
137,
section
125,
35
-25-
HF2460.3523
(9)
86
pf/rn
25/
160
is
amended
to
read
as
follows:
1
SEC.
125.
LIMITATION
OF
COUNTY
2
COMMISSIONS
OF
VETERAN
AFFAIRS
FUND
STANDING
3
APPROPRIATIONS.
Notwithstanding
the
standing
4
appropriation
in
section
35A.16
for
the
fiscal
year
5
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
6
amount
appropriated
from
the
general
fund
of
the
state
7
pursuant
to
that
section
for
the
following
designated
8
purposes
shall
not
exceed
the
following
amount:
9
For
the
county
commissions
of
veteran
affairs
fund
10
under
section
35A.16
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
12
990,000
13
DIVISION
V
14
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2016-2017
15
Sec.
6.
2015
Iowa
Acts,
chapter
137,
section
126,
16
is
amended
to
read
as
follows:
17
SEC.
126.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
18
BLOCK
GRANT.
There
is
appropriated
from
the
fund
19
created
in
section
8.41
to
the
department
of
human
20
services
for
the
fiscal
year
beginning
July
1,
2016,
21
and
ending
June
30,
2017,
from
moneys
received
under
22
the
federal
temporary
assistance
for
needy
families
23
(TANF)
block
grant
pursuant
to
the
federal
Personal
24
Responsibility
and
Work
Opportunity
Reconciliation
25
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
26
legislation,
the
following
amounts,
or
so
much
27
thereof
as
is
necessary,
to
be
used
for
the
purposes
28
designated:
29
1.
To
be
credited
to
the
family
investment
program
30
account
and
used
for
assistance
under
the
family
31
investment
program
under
chapter
239B
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,568,497
33
5,112,462
34
2.
To
be
credited
to
the
family
investment
program
35
-26-
HF2460.3523
(9)
86
pf/rn
26/
160
account
and
used
for
the
job
opportunities
and
1
basic
skills
(JOBS)
program
and
implementing
family
2
investment
agreements
in
accordance
with
chapter
239B
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,069,089
4
5,575,693
5
3.
To
be
used
for
the
family
development
and
6
self-sufficiency
grant
program
in
accordance
with
7
section
216A.107
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
9
2,898,980
10
Notwithstanding
section
8.33
,
moneys
appropriated
in
11
this
subsection
that
remain
unencumbered
or
unobligated
12
at
the
close
of
the
fiscal
year
shall
not
revert
but
13
shall
remain
available
for
expenditure
for
the
purposes
14
designated
until
the
close
of
the
succeeding
fiscal
15
year.
However,
unless
such
moneys
are
encumbered
or
16
obligated
on
or
before
September
30,
2016
2017
,
the
17
moneys
shall
revert.
18
4.
For
field
operations:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
20
35,774,331
21
5.
For
general
administration:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
23
3,744,000
24
6.
For
state
child
care
assistance:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,523,555
26
46,866,826
27
a.
Of
the
funds
appropriated
in
this
subsection,
28
$13,164,048
$26,328,097
is
transferred
to
the
child
29
care
and
development
block
grant
appropriation
made
30
by
the
Eighty-sixth
General
Assembly,
2016
Session,
31
for
the
federal
fiscal
year
beginning
October
1,
32
2016,
and
ending
September
30,
2017.
Of
this
amount,
33
$100,000
$200,000
shall
be
used
for
provision
of
34
educational
opportunities
to
registered
child
care
35
-27-
HF2460.3523
(9)
86
pf/rn
27/
160
home
providers
in
order
to
improve
services
and
1
programs
offered
by
this
category
of
providers
and
2
to
increase
the
number
of
providers.
The
department
3
may
contract
with
institutions
of
higher
education
or
4
child
care
resource
and
referral
centers
to
provide
the
5
educational
opportunities.
Allowable
administrative
6
costs
under
the
contracts
shall
not
exceed
5
percent.
7
The
application
for
a
grant
shall
not
exceed
two
pages
8
in
length.
9
b.
Any
funds
appropriated
in
this
subsection
10
remaining
unallocated
shall
be
used
for
state
child
11
care
assistance
payments
for
families
who
are
employed
12
including
but
not
limited
to
individuals
enrolled
in
13
the
family
investment
program.
14
7.
For
distribution
to
counties
and
regions
through
15
the
property
tax
relief
fund
for
mental
health
and
16
disability
services
as
provided
in
an
appropriation
17
made
for
this
purpose:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
19
8.
For
child
and
family
services:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
21
36,256,580
22
9.
For
child
abuse
prevention
grants:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
24
125,000
25
10.
For
pregnancy
prevention
grants
on
the
26
condition
that
family
planning
services
are
funded:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
28
1,930,067
29
Pregnancy
prevention
grants
shall
be
awarded
to
30
programs
in
existence
on
or
before
July
1,
2016,
if
the
31
programs
have
demonstrated
positive
outcomes.
Grants
32
shall
be
awarded
to
pregnancy
prevention
programs
33
which
are
developed
after
July
1,
2016,
if
the
programs
34
are
based
on
existing
models
that
have
demonstrated
35
-28-
HF2460.3523
(9)
86
pf/rn
28/
160
positive
outcomes.
Grants
shall
comply
with
the
1
requirements
provided
in
1997
Iowa
Acts,
chapter
2
208,
section
14,
subsections
1
and
2
,
including
the
3
requirement
that
grant
programs
must
emphasize
sexual
4
abstinence.
Priority
in
the
awarding
of
grants
shall
5
be
given
to
programs
that
serve
areas
of
the
state
6
which
demonstrate
the
highest
percentage
of
unplanned
7
pregnancies
of
females
of
childbearing
age
within
the
8
geographic
area
to
be
served
by
the
grant.
9
11.
For
technology
needs
and
other
resources
10
necessary
to
meet
federal
welfare
reform
reporting,
11
tracking,
and
case
management
requirements:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
13
1,037,186
14
12.
For
the
family
investment
program
share
of
15
the
costs
to
continue
to
develop
and
maintain
a
new,
16
integrated
eligibility
determination
system:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,327,440
18
6,654,880
19
13.
a.
Notwithstanding
any
provision
to
the
20
contrary,
including
but
not
limited
to
requirements
21
in
section
8.41
or
provisions
in
2015
or
2016
Iowa
22
Acts
regarding
the
receipt
and
appropriation
of
23
federal
block
grants,
federal
funds
from
the
temporary
24
assistance
for
needy
families
block
grant
received
25
by
the
state
and
not
otherwise
appropriated
in
this
26
section
and
remaining
available
for
the
fiscal
year
27
beginning
July
1,
2016,
are
appropriated
to
the
28
department
of
human
services
to
the
extent
as
may
29
be
necessary
to
be
used
in
the
following
priority
30
order:
the
family
investment
program,
for
state
child
31
care
assistance
program
payments
for
families
who
are
32
employed,
and
for
the
family
investment
program
share
33
of
costs
to
develop
and
maintain
a
new,
integrated
34
eligibility
determination
system.
The
federal
funds
35
-29-
HF2460.3523
(9)
86
pf/rn
29/
160
appropriated
in
this
paragraph
“a”
shall
be
expended
1
only
after
all
other
funds
appropriated
in
subsection
2
1
for
the
assistance
under
the
family
investment
3
program,
in
subsection
6
for
child
care
assistance,
4
or
in
subsection
12
for
the
family
investment
program
5
share
of
the
costs
to
continue
to
develop
and
6
maintain
a
new,
integrated
eligibility
determination
7
system,
as
applicable,
have
been
expended.
For
the
8
purposes
of
this
subsection,
the
funds
appropriated
9
in
subsection
6,
paragraph
“a”,
for
transfer
to
the
10
child
care
and
development
block
grant
appropriation
11
are
considered
fully
expended
when
the
full
amount
has
12
been
transferred.
13
b.
The
department
shall,
on
a
quarterly
basis,
14
advise
the
legislative
services
agency
and
department
15
of
management
of
the
amount
of
funds
appropriated
in
16
this
subsection
that
was
expended
in
the
prior
quarter.
17
14.
Of
the
amounts
appropriated
in
this
section,
18
$6,481,004
$12,962,008
for
the
fiscal
year
beginning
19
July
1,
2016,
is
transferred
to
the
appropriation
of
20
the
federal
social
services
block
grant
made
to
the
21
department
of
human
services
for
that
fiscal
year.
22
15.
For
continuation
of
the
program
providing
23
categorical
eligibility
for
the
food
assistance
program
24
as
specified
for
the
program
in
the
section
of
this
25
division
of
this
2016
Act
relating
to
the
family
26
investment
program
account:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
28
25,000
29
16.
The
department
may
transfer
funds
allocated
30
in
this
section
to
the
appropriations
made
in
this
31
division
of
this
Act
for
the
same
fiscal
year
for
32
general
administration
and
field
operations
for
33
resources
necessary
to
implement
and
operate
the
34
services
referred
to
in
this
section
and
those
funded
35
-30-
HF2460.3523
(9)
86
pf/rn
30/
160
in
the
appropriation
made
in
this
division
of
this
Act
1
for
the
same
fiscal
year
for
the
family
investment
2
program
from
the
general
fund
of
the
state.
3
Sec.
7.
2015
Iowa
Acts,
chapter
137,
section
127,
4
is
amended
to
read
as
follows:
5
SEC.
127.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
6
1.
Moneys
credited
to
the
family
investment
program
7
(FIP)
account
for
the
fiscal
year
beginning
July
8
1,
2016,
and
ending
June
30,
2017,
shall
be
used
to
9
provide
assistance
in
accordance
with
chapter
239B
.
10
2.
The
department
may
use
a
portion
of
the
moneys
11
credited
to
the
FIP
account
under
this
section
as
12
necessary
for
salaries,
support,
maintenance,
and
13
miscellaneous
purposes.
14
3.
The
department
may
transfer
funds
allocated
15
in
subsection
4
to
the
appropriations
made
in
this
16
division
of
this
Act
for
the
same
fiscal
year
for
17
general
administration
and
field
operations
for
18
resources
necessary
to
implement
and
operate
the
family
19
investment
program
services
referred
to
in
this
section
20
and
those
funded
in
the
appropriation
made
in
this
21
division
of
this
Act
for
the
same
fiscal
year
for
the
22
family
investment
program
from
the
general
fund
of
the
23
state.
24
4.
Moneys
appropriated
in
this
division
of
this
Act
25
and
credited
to
the
FIP
account
for
the
fiscal
year
26
beginning
July
1,
2016,
and
ending
June
30,
2017,
are
27
allocated
as
follows:
28
a.
To
be
retained
by
the
department
of
human
29
services
to
be
used
for
coordinating
with
the
30
department
of
human
rights
to
more
effectively
serve
31
participants
in
FIP
and
other
shared
clients
and
to
32
meet
federal
reporting
requirements
under
the
federal
33
temporary
assistance
for
needy
families
block
grant:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
35
-31-
HF2460.3523
(9)
86
pf/rn
31/
160
20,000
1
b.
To
the
department
of
human
rights
for
staffing,
2
administration,
and
implementation
of
the
family
3
development
and
self-sufficiency
grant
program
in
4
accordance
with
section
216A.107
:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
6
6,192,834
7
(1)
Of
the
funds
allocated
for
the
family
8
development
and
self-sufficiency
grant
program
in
this
9
paragraph
“b”,
not
more
than
5
percent
of
the
funds
10
shall
be
used
for
the
administration
of
the
grant
11
program.
12
(2)
The
department
of
human
rights
may
continue
to
13
implement
the
family
development
and
self-sufficiency
14
grant
program
statewide
during
fiscal
year
2016-2017.
15
(3)
The
department
of
human
rights
may
engage
in
16
activities
to
strengthen
and
improve
family
outcomes
17
measures
and
data
collection
systems
under
the
family
18
development
and
self-sufficiency
grant
program.
19
c.
For
the
diversion
subaccount
of
the
FIP
account:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
21
815,000
22
A
portion
of
the
moneys
allocated
for
the
subaccount
23
may
be
used
for
field
operations,
salaries,
data
24
management
system
development,
and
implementation
25
costs
and
support
deemed
necessary
by
the
director
of
26
human
services
in
order
to
administer
the
FIP
diversion
27
program.
To
the
extent
moneys
allocated
in
this
28
paragraph
“c”
are
not
deemed
by
the
department
to
be
29
necessary
to
support
diversion
activities,
such
moneys
30
may
be
used
for
other
efforts
intended
to
increase
31
engagement
by
family
investment
program
participants
in
32
work,
education,
or
training
activities.
33
d.
For
the
food
assistance
employment
and
training
34
program:
35
-32-
HF2460.3523
(9)
86
pf/rn
32/
160
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
1
66,588
2
(1)
The
department
shall
apply
the
federal
3
supplemental
nutrition
assistance
program
(SNAP)
4
employment
and
training
state
plan
in
order
to
maximize
5
to
the
fullest
extent
permitted
by
federal
law
the
use
6
of
the
50
percent
federal
reimbursement
provisions
7
for
the
claiming
of
allowable
federal
reimbursement
8
funds
from
the
United
States
department
of
agriculture
9
pursuant
to
the
federal
SNAP
employment
and
training
10
program
for
providing
education,
employment,
and
11
training
services
for
eligible
food
assistance
program
12
participants,
including
but
not
limited
to
related
13
dependent
care
and
transportation
expenses.
14
(2)
The
department
shall
continue
the
categorical
15
federal
food
assistance
program
eligibility
at
160
16
percent
of
the
federal
poverty
level
and
continue
to
17
eliminate
the
asset
test
from
eligibility
requirements,
18
consistent
with
federal
food
assistance
program
19
requirements.
The
department
shall
include
as
many
20
food
assistance
households
as
is
allowed
by
federal
21
law.
The
eligibility
provisions
shall
conform
to
all
22
federal
requirements
including
requirements
addressing
23
individuals
who
are
incarcerated
or
otherwise
24
ineligible.
25
e.
For
the
JOBS
program:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,770,199
27
16,129,101
28
5.
Of
the
child
support
collections
assigned
under
29
FIP,
an
amount
equal
to
the
federal
share
of
support
30
collections
shall
be
credited
to
the
child
support
31
recovery
appropriation
made
in
this
division
of
this
32
Act.
Of
the
remainder
of
the
assigned
child
support
33
collections
received
by
the
child
support
recovery
34
unit,
a
portion
shall
be
credited
to
the
FIP
account,
35
-33-
HF2460.3523
(9)
86
pf/rn
33/
160
a
portion
may
be
used
to
increase
recoveries,
and
a
1
portion
may
be
used
to
sustain
cash
flow
in
the
child
2
support
payments
account.
If
as
a
consequence
of
the
3
appropriations
and
allocations
made
in
this
section
4
the
resulting
amounts
are
insufficient
to
sustain
5
cash
assistance
payments
and
meet
federal
maintenance
6
of
effort
requirements,
the
department
shall
seek
7
supplemental
funding.
If
child
support
collections
8
assigned
under
FIP
are
greater
than
estimated
or
are
9
otherwise
determined
not
to
be
required
for
maintenance
10
of
effort,
the
state
share
of
either
amount
may
11
be
transferred
to
or
retained
in
the
child
support
12
payments
account.
13
6.
The
department
may
adopt
emergency
rules
for
the
14
family
investment,
JOBS,
food
assistance,
and
medical
15
assistance
programs
if
necessary
to
comply
with
federal
16
requirements.
17
Sec.
8.
2015
Iowa
Acts,
chapter
137,
section
128,
18
is
amended
to
read
as
follows:
19
SEC.
128.
FAMILY
INVESTMENT
PROGRAM
GENERAL
20
FUND.
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,
2016,
and
ending
June
30,
23
2017,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purpose
designated:
25
To
be
credited
to
the
family
investment
program
26
(FIP)
account
and
used
for
family
investment
program
27
assistance
under
chapter
239B
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,336,937
29
48,673,875
30
1.
Of
the
funds
appropriated
in
this
section,
31
$3,701,110
$10,553,408
is
allocated
for
the
JOBS
32
program.
33
2.
Of
the
funds
appropriated
in
this
section,
34
$1,656,927
$3,313,854
is
allocated
for
the
family
35
-34-
HF2460.3523
(9)
86
pf/rn
34/
160
development
and
self-sufficiency
grant
program.
1
3.
Notwithstanding
section
8.39
,
for
the
fiscal
2
year
beginning
July
1,
2016,
if
necessary
to
meet
3
federal
maintenance
of
effort
requirements
;
or
to
4
transfer
federal
temporary
assistance
for
needy
5
families
block
grant
funding
to
be
used
for
purposes
6
of
the
federal
social
services
block
grant
;
or
to
meet
7
cash
flow
needs
resulting
from
delays
in
receiving
8
federal
funding
;
or
to
implement,
in
accordance
with
9
this
division
of
this
Act,
activities
currently
funded
10
with
juvenile
court
services,
county,
or
community
11
moneys
and
state
moneys
used
in
combination
with
such
12
moneys
;
to
comply
with
federal
requirements;
or
to
13
maximize
the
use
of
federal
funds
,
the
department
of
14
human
services
may
transfer
funds
within
or
between
15
any
of
the
appropriations
made
in
this
division
of
16
this
Act
and
appropriations
in
law
for
the
federal
17
social
services
block
grant
to
the
department
for
the
18
following
purposes,
provided
that
the
combined
amount
19
of
state
and
federal
temporary
assistance
for
needy
20
families
block
grant
funding
for
each
appropriation
21
remains
the
same
before
and
after
the
transfer:
22
a.
For
the
family
investment
program.
23
b.
For
child
care
assistance.
24
c.
For
child
and
family
services.
25
d.
For
field
operations.
26
e.
For
general
administration.
27
f.
For
distribution
to
counties
or
regions
through
28
the
property
tax
relief
fund
for
mental
health
and
29
disability
services
as
provided
in
an
appropriation
for
30
this
purpose.
31
This
subsection
shall
not
be
construed
to
prohibit
32
the
use
of
existing
state
transfer
authority
for
other
33
purposes.
The
department
shall
report
any
transfers
34
made
pursuant
to
this
subsection
to
the
legislative
35
-35-
HF2460.3523
(9)
86
pf/rn
35/
160
services
agency.
1
4.
Of
the
funds
appropriated
in
this
section,
2
$97,839
$195,678
shall
be
used
for
continuation
of
a
3
grant
to
an
Iowa-based
nonprofit
organization
with
a
4
history
of
providing
tax
preparation
assistance
to
5
low-income
Iowans
in
order
to
expand
the
usage
of
the
6
earned
income
tax
credit.
The
purpose
of
the
grant
is
7
to
supply
this
assistance
to
underserved
areas
of
the
8
state.
9
5.
Of
the
funds
appropriated
in
this
section,
10
$30,000
$60,000
shall
be
used
for
the
continuation
11
of
an
unfunded
pilot
project,
as
defined
in
441
IAC
12
100.1,
relating
to
parental
obligations,
in
which
the
13
child
support
recovery
unit
participates,
to
support
14
the
efforts
of
a
nonprofit
organization
committed
to
15
strengthening
the
community
through
youth
development,
16
healthy
living,
and
social
responsibility
headquartered
17
in
a
county
with
a
population
over
350,000.
The
funds
18
allocated
in
this
subsection
shall
be
used
by
the
19
recipient
organization
to
develop
a
larger
community
20
effort,
through
public
and
private
partnerships,
21
to
support
a
broad-based
multi-county
fatherhood
22
initiative
that
promotes
payment
of
child
support
23
obligations,
improved
family
relationships,
and
24
full-time
employment.
25
6.
The
department
may
transfer
funds
appropriated
26
in
this
section
to
the
appropriations
made
in
this
27
division
of
this
Act
for
general
administration
and
28
field
operations
as
necessary
to
administer
this
29
section
and
the
overall
family
investment
program.
30
Sec.
9.
2015
Iowa
Acts,
chapter
137,
section
129,
31
is
amended
to
read
as
follows:
32
SEC.
129.
CHILD
SUPPORT
RECOVERY.
There
is
33
appropriated
from
the
general
fund
of
the
state
to
34
the
department
of
human
services
for
the
fiscal
year
35
-36-
HF2460.3523
(9)
86
pf/rn
36/
160
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,331,686
8
14,663,373
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
10
1.
The
department
shall
expend
up
to
$12,164
11
$24,329
,
including
federal
financial
participation,
for
12
the
fiscal
year
beginning
July
1,
2016,
for
a
child
13
support
public
awareness
campaign.
The
department
and
14
the
office
of
the
attorney
general
shall
cooperate
in
15
continuation
of
the
campaign.
The
public
awareness
16
campaign
shall
emphasize,
through
a
variety
of
media
17
activities,
the
importance
of
maximum
involvement
of
18
both
parents
in
the
lives
of
their
children
as
well
as
19
the
importance
of
payment
of
child
support
obligations.
20
2.
Federal
access
and
visitation
grant
moneys
shall
21
be
issued
directly
to
private
not-for-profit
agencies
22
that
provide
services
designed
to
increase
compliance
23
with
the
child
access
provisions
of
court
orders,
24
including
but
not
limited
to
neutral
visitation
sites
25
and
mediation
services.
26
3.
The
appropriation
made
to
the
department
for
27
child
support
recovery
may
be
used
throughout
the
28
fiscal
year
in
the
manner
necessary
for
purposes
of
29
cash
flow
management,
and
for
cash
flow
management
30
purposes
the
department
may
temporarily
draw
more
31
than
the
amount
appropriated,
provided
the
amount
32
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
33
year.
34
4.
With
the
exception
of
the
funding
amount
35
-37-
HF2460.3523
(9)
86
pf/rn
37/
160
specified,
the
requirements
established
under
2001
1
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
2
paragraph
“c”
,
subparagraph
(3),
shall
be
applicable
3
to
parental
obligation
pilot
projects
for
the
fiscal
4
year
beginning
July
1,
2016,
and
ending
June
30,
5
2017.
Notwithstanding
441
IAC
100.8
,
providing
for
6
termination
of
rules
relating
to
the
pilot
projects,
7
the
rules
shall
remain
in
effect
until
June
30,
2017.
8
Sec.
10.
2015
Iowa
Acts,
chapter
137,
section
132,
9
is
amended
to
read
as
follows:
10
SEC.
132.
MEDICAL
ASSISTANCE.
There
is
11
appropriated
from
the
general
fund
of
the
state
to
12
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
14
following
amount,
or
so
much
thereof
as
is
necessary,
15
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
2016,
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
651,595,782
25
1,318,246,446
26
1.
Iowans
support
reducing
the
number
of
abortions
27
performed
in
our
state.
Funds
appropriated
under
28
this
section
shall
not
be
used
for
abortions,
unless
29
otherwise
authorized
under
this
section.
30
2.
The
provisions
of
this
section
relating
to
31
abortions
shall
also
apply
to
the
Iowa
health
and
32
wellness
plan
created
pursuant
to
chapter
249N
.
33
3.
The
department
shall
utilize
not
more
than
34
$30,000
$60,000
of
the
funds
appropriated
in
this
35
-38-
HF2460.3523
(9)
86
pf/rn
38/
160
section
to
continue
the
AIDS/HIV
health
insurance
1
premium
payment
program
as
established
in
1992
Iowa
2
Acts,
Second
Extraordinary
Session,
chapter
1001,
3
section
409,
subsection
6
.
Of
the
funds
allocated
in
4
this
subsection,
not
more
than
$2,500
$5,000
may
be
5
expended
for
administrative
purposes.
6
4.
Of
the
funds
appropriated
in
this
Act
to
the
7
department
of
public
health
for
addictive
disorders,
8
$475,000
$950,000
for
the
fiscal
year
beginning
July
9
1,
2016,
is
transferred
to
the
department
of
human
10
services
for
an
integrated
substance-related
disorder
11
managed
care
system.
The
department
shall
not
assume
12
management
of
the
substance-related
disorder
system
13
in
place
of
the
managed
care
contractor
unless
such
14
a
change
in
approach
is
specifically
authorized
in
15
law.
The
departments
of
human
services
and
public
16
health
shall
work
together
to
maintain
the
level
17
of
mental
health
and
substance-related
disorder
18
treatment
services
provided
by
the
managed
care
19
contractor
through
the
Iowa
plan
for
behavioral
health
20
contractors
.
Each
department
shall
take
the
steps
21
necessary
to
continue
the
federal
waivers
as
necessary
22
to
maintain
the
level
of
services.
23
5.
a.
The
department
shall
aggressively
pursue
24
options
for
providing
medical
assistance
or
other
25
assistance
to
individuals
with
special
needs
who
become
26
ineligible
to
continue
receiving
services
under
the
27
early
and
periodic
screening,
diagnostic,
and
treatment
28
program
under
the
medical
assistance
program
due
29
to
becoming
21
years
of
age
who
have
been
approved
30
for
additional
assistance
through
the
department’s
31
exception
to
policy
provisions,
but
who
have
health
32
care
needs
in
excess
of
the
funding
available
through
33
the
exception
to
policy
provisions.
34
b.
Of
the
funds
appropriated
in
this
section,
35
-39-
HF2460.3523
(9)
86
pf/rn
39/
160
$50,000
$100,000
shall
be
used
for
participation
in
one
1
or
more
pilot
projects
operated
by
a
private
provider
2
to
allow
the
individual
or
individuals
to
receive
3
service
in
the
community
in
accordance
with
principles
4
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
5
for
the
purpose
of
providing
medical
assistance
or
6
other
assistance
to
individuals
with
special
needs
7
who
become
ineligible
to
continue
receiving
services
8
under
the
early
and
periodic
screening,
diagnostic,
and
9
treatment
program
under
the
medical
assistance
program
10
due
to
becoming
21
years
of
age
who
have
been
approved
11
for
additional
assistance
through
the
department’s
12
exception
to
policy
provisions,
but
who
have
health
13
care
needs
in
excess
of
the
funding
available
through
14
the
exception
to
the
policy
provisions.
15
6.
Of
the
funds
appropriated
in
this
section,
up
to
16
$1,525,041
$3,050,082
may
be
transferred
to
the
field
17
operations
or
general
administration
appropriations
18
in
this
division
of
this
Act
for
operational
costs
19
associated
with
Part
D
of
the
federal
Medicare
20
Prescription
Drug
Improvement
and
Modernization
Act
of
21
2003,
Pub.
L.
No.
108-173.
22
7.
Of
the
funds
appropriated
in
this
section,
23
up
to
$221,050
$442,100
may
be
transferred
to
the
24
appropriation
in
this
division
of
this
Act
for
medical
25
contracts
to
be
used
for
clinical
assessment
services
26
and
prior
authorization
of
services.
27
8.
A
portion
of
the
funds
appropriated
in
this
28
section
may
be
transferred
to
the
appropriations
in
29
this
division
of
this
Act
for
general
administration,
30
medical
contracts,
the
children’s
health
insurance
31
program,
or
field
operations
to
be
used
for
the
32
state
match
cost
to
comply
with
the
payment
error
33
rate
measurement
(PERM)
program
for
both
the
medical
34
assistance
and
children’s
health
insurance
programs
35
-40-
HF2460.3523
(9)
86
pf/rn
40/
160
as
developed
by
the
centers
for
Medicare
and
Medicaid
1
services
of
the
United
States
department
of
health
and
2
human
services
to
comply
with
the
federal
Improper
3
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
4
9.
The
department
shall
continue
to
implement
the
5
recommendations
of
the
assuring
better
child
health
6
and
development
initiative
II
(ABCDII)
clinical
panel
7
to
the
Iowa
early
and
periodic
screening,
diagnostic,
8
and
treatment
services
healthy
mental
development
9
collaborative
board
regarding
changes
to
billing
10
procedures,
codes,
and
eligible
service
providers.
11
10.
Of
the
funds
appropriated
in
this
section,
12
a
sufficient
amount
is
allocated
to
supplement
13
the
incomes
of
residents
of
nursing
facilities,
14
intermediate
care
facilities
for
persons
with
mental
15
illness,
and
intermediate
care
facilities
for
persons
16
with
an
intellectual
disability,
with
incomes
of
less
17
than
$50
in
the
amount
necessary
for
the
residents
to
18
receive
a
personal
needs
allowance
of
$50
per
month
19
pursuant
to
section
249A.30A
.
20
11.
Of
the
funds
appropriated
in
this
section,
the
21
following
amounts
are
transferred
to
the
appropriations
22
made
in
this
division
of
this
Act
for
the
state
mental
23
health
institutes:
24
a.
Cherokee
mental
health
institute
.
$
4,549,212
25
b.
Independence
mental
health
institute
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,522,947
27
12.
a.
Of
the
funds
appropriated
in
this
section,
28
$2,041,939
$3,000,000
is
allocated
for
the
state
29
match
for
a
disproportionate
share
hospital
payment
of
30
$4,544,712
$6,861,848
to
hospitals
that
meet
both
of
31
the
conditions
specified
in
subparagraphs
(1)
and
(2).
32
In
addition,
the
hospitals
that
meet
the
conditions
33
specified
shall
either
certify
public
expenditures
34
or
transfer
to
the
medical
assistance
program
an
35
-41-
HF2460.3523
(9)
86
pf/rn
41/
160
amount
equal
to
provide
the
nonfederal
share
for
a
1
disproportionate
share
hospital
payment
of
$8,772,003
2
$19,771,582
.
The
hospitals
that
meet
the
conditions
3
specified
shall
receive
and
retain
100
percent
of
4
the
total
disproportionate
share
hospital
payment
of
5
$13,316,715
$26,633,430
.
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
$9,900,000
.
The
university
of
Iowa
29
hospitals
and
clinics
shall
receive
and
retain
100
30
percent
of
the
total
increase
in
medical
assistance
31
payments.
32
d.
Payment
methodologies
utilized
for
33
disproportionate
share
hospitals
and
graduate
medical
34
education,
and
other
supplemental
payments
under
35
-42-
HF2460.3523
(9)
86
pf/rn
42/
160
the
Medicaid
program
may
be
adjusted
or
converted
to
1
other
methodologies
or
payment
types
to
provide
these
2
payments
through
Medicaid
managed
care
after
April
1,
3
2016
.
The
department
of
human
services
shall
obtain
4
approval
from
the
centers
for
Medicare
and
Medicaid
5
services
of
the
United
States
department
of
health
and
6
human
services
prior
to
implementation
of
any
such
7
adjusted
or
converted
methodologies
or
payment
types.
8
13.
One
hundred
percent
of
the
nonfederal
share
of
9
payments
to
area
education
agencies
that
are
medical
10
assistance
providers
for
medical
assistance-covered
11
services
provided
to
medical
assistance-covered
12
children,
shall
be
made
from
the
appropriation
made
in
13
this
section.
14
14.
Any
new
or
renewed
contract
entered
into
by
the
15
department
with
a
third
party
to
administer
services
16
under
the
medical
assistance
program
shall
provide
17
that
any
interest
earned
on
payments
from
the
state
18
during
the
state
fiscal
year
shall
be
remitted
to
the
19
department
and
treated
as
recoveries
to
offset
the
20
costs
of
the
medical
assistance
program.
21
15.
A
portion
of
the
funds
appropriated
in
this
22
section
may
be
transferred
to
the
appropriation
in
this
23
division
of
this
Act
for
medical
contracts
to
be
used
24
for
administrative
activities
associated
with
the
money
25
follows
the
person
demonstration
project.
26
16.
Of
the
funds
appropriated
in
this
section,
27
$174,505
$349,011
shall
be
used
for
the
administration
28
of
the
health
insurance
premium
payment
program,
29
including
salaries,
support,
maintenance,
and
30
miscellaneous
purposes.
31
17.
a.
The
department
may
increase
the
amounts
32
allocated
for
salaries,
support,
maintenance,
and
33
miscellaneous
purposes
associated
with
the
medical
34
assistance
program,
as
necessary,
to
implement
cost
35
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containment
strategies.
The
department
shall
report
1
any
such
increase
to
the
legislative
services
agency
2
and
the
department
of
management.
3
b.
If
the
savings
to
the
medical
assistance
program
4
from
cost
containment
efforts
exceed
the
cost
for
the
5
fiscal
year
beginning
July
1,
2016,
the
department
may
6
transfer
any
savings
generated
for
the
fiscal
year
due
7
to
medical
assistance
program
cost
containment
efforts
8
to
the
appropriation
made
in
this
division
of
this
Act
9
for
medical
contracts
or
general
administration
to
10
defray
the
increased
contract
costs
associated
with
11
implementing
such
efforts.
12
18.
For
the
fiscal
year
beginning
July
1,
2016,
13
and
ending
June
30,
2017,
the
replacement
generation
14
tax
revenues
required
to
be
deposited
in
the
property
15
tax
relief
fund
pursuant
to
section
437A.8,
subsection
16
4,
paragraph
“d”
,
and
section
437A.15,
subsection
17
3,
paragraph
“f”
,
shall
instead
be
credited
to
and
18
supplement
the
appropriation
made
in
this
section
and
19
used
for
the
allocations
made
in
this
section.
20
19.
The
department
shall
continue
to
administer
the
21
state
balancing
incentive
payments
program
as
specified
22
in
2012
Iowa
Acts,
chapter
1133,
section
14
.
23
20.
a.
Of
the
funds
appropriated
in
this
section,
24
up
to
$25,000
$50,000
may
be
transferred
by
the
25
department
to
the
appropriation
made
in
this
division
26
of
this
Act
to
the
department
for
the
same
fiscal
year
27
for
general
administration
to
be
used
for
associated
28
administrative
expenses
and
for
not
more
than
one
29
full-time
equivalent
position,
in
addition
to
those
30
authorized
for
the
same
fiscal
year,
to
be
assigned
to
31
implementing
the
children’s
mental
health
home
project.
32
b.
Of
the
funds
appropriated
in
this
section,
33
up
to
$200,000
$400,000
may
be
transferred
by
the
34
department
to
the
appropriation
made
to
the
department
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in
this
division
of
this
Act
for
the
same
fiscal
year
1
for
Medicaid
program-related
general
administration
2
planning
and
implementation
activities.
The
funds
may
3
be
used
for
contracts
or
for
personnel
in
addition
4
to
the
amounts
appropriated
for
and
the
positions
5
authorized
for
general
administration
for
the
fiscal
6
year.
7
c.
Of
the
funds
appropriated
in
this
section,
8
up
to
$1,500,000
$3,000,000
may
be
transferred
by
9
the
department
to
the
appropriations
made
in
this
10
division
of
this
Act
for
the
same
fiscal
year
for
11
general
administration
or
medical
contracts
to
be
12
used
to
support
the
development
and
implementation
of
13
standardized
assessment
tools
for
persons
with
mental
14
illness,
an
intellectual
disability,
a
developmental
15
disability,
or
a
brain
injury.
16
21.
Of
the
funds
appropriated
in
this
section,
17
$125,000
$250,000
shall
be
used
for
lodging
expenses
18
associated
with
care
provided
at
the
university
of
19
Iowa
hospitals
and
clinics
for
patients
with
cancer
20
whose
travel
distance
is
30
miles
or
more
and
whose
21
income
is
at
or
below
200
percent
of
the
federal
22
poverty
level
as
defined
by
the
most
recently
revised
23
poverty
income
guidelines
published
by
the
United
24
States
department
of
health
and
human
services.
The
25
department
of
human
services
shall
establish
the
26
maximum
number
of
overnight
stays
and
the
maximum
rate
27
reimbursed
for
overnight
lodging,
which
may
be
based
on
28
the
state
employee
rate
established
by
the
department
29
of
administrative
services.
The
funds
allocated
in
30
this
subsection
shall
not
be
used
as
nonfederal
share
31
matching
funds.
32
23.
The
department
of
human
services
shall
not
33
implement
the
following
cost
containment
strategies
34
as
recommended
by
the
governor
for
the
fiscal
year
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beginning
July
1,
2016:
1
a.
A
policy
to
ensure
that
reimbursement
for
2
Medicare
Part
A
and
Medicare
Part
B
crossover
claims
is
3
limited
to
the
Medicaid
reimbursement
rate.
4
b.
An
adjustment
to
the
reimbursement
policy
in
5
order
to
end
the
primary
care
physician
rate
increase
6
originally
authorized
by
the
federal
Health
Care
and
7
Education
Reconciliation
Act
of
2010,
section
1202,
8
Pub.
L.
No.
111-152,
42
U.S.C.
§1396a(a)(13)(C)
that
9
allows
qualified
primary
care
physicians
to
receive
10
the
greater
of
the
Medicare
rate
or
Medicaid
rate
for
11
a
specified
set
of
codes.
12
24.
The
department
shall
report
the
implementation
13
of
any
cost
containment
strategies
to
the
individuals
14
specified
in
this
division
of
this
Act
for
submission
15
of
reports
upon
implementation.
16
25.
The
department
shall
report
the
implementation
17
of
any
improved
processing
changes
and
any
related
18
cost
reductions
to
the
individuals
specified
in
this
19
division
of
this
Act
for
submission
of
reports
upon
20
implementation.
21
26.
Of
the
funds
appropriated
in
this
section,
22
$2,000,000
shall
be
used
to
implement
reductions
in
23
the
waiting
lists
of
all
medical
assistance
home
and
24
community-based
services
waivers.
25
27.
The
department
shall
submit
a
report
to
the
26
individuals
identified
in
this
Act
for
submission
of
27
reports,
regarding
the
impact
of
changes
in
home
and
28
community-based
services
waiver
supported
employment
29
and
prevocational
services
by
December
15,
2016.
30
28.
Any
dental
benefit
manager
contracting
with
the
31
department
of
human
services
for
the
dental
wellness
32
plan
on
or
after
July
1,
2016,
shall
meet
the
same
33
contract
requirements.
Readiness
review
of
such
a
34
dental
benefit
manager
shall
be
based
on
the
criteria
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applicable
to
the
dental
wellness
plan
when
implemented
1
on
May
1,
2014,
including
but
not
limited
to
network
2
adequacy,
access
to
services,
performance
measures,
3
benefit
design,
and
other
requirements
as
determined
by
4
the
department
for
the
dental
wellness
program.
Any
5
dental
benefit
manager
that
has
been
approved
by
a
6
readiness
review
prior
to
July
1,
2016,
shall
not
be
7
required
to
repeat
such
review
for
the
department.
8
29.
The
department
of
human
services
shall
review
9
the
fiscal
impact
and
potential
benefit
to
Medicaid
10
recipients
of
including
single-tablet
regimens
or
11
long-acting
alternatives
for
various
drug
categories
12
on
the
preferred
drug
list,
as
an
alternative
to
13
multi-tablet
regimens
for
these
same
drug
categories.
14
The
department
shall
pursue
manufacturer
supplemental
15
rebate
offers
to
determine
if
opportunities
are
16
available
to
align
the
cost
of
such
single-tablet
17
regimens
with
the
corresponding
multi-tablet
regimens.
18
The
department
shall
submit
the
department’s
findings
19
and
recommendations
to
the
individuals
specified
in
20
this
Act
for
submission
of
reports
by
December
15,
21
2016.
22
Sec.
11.
2015
Iowa
Acts,
chapter
137,
section
133,
23
is
amended
to
read
as
follows:
24
SEC.
133.
MEDICAL
CONTRACTS.
There
is
appropriated
25
from
the
general
fund
of
the
state
to
the
department
of
26
human
services
for
the
fiscal
year
beginning
July
1,
27
2016,
and
ending
June
30,
2017,
the
following
amount,
28
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
medical
contracts:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,806,982
32
17,045,964
33
1.
The
department
of
inspections
and
appeals
34
shall
provide
all
state
matching
funds
for
survey
and
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certification
activities
performed
by
the
department
1
of
inspections
and
appeals.
The
department
of
human
2
services
is
solely
responsible
for
distributing
the
3
federal
matching
funds
for
such
activities.
4
2.
Of
the
funds
appropriated
in
this
section,
5
$25,000
$50,000
shall
be
used
for
continuation
of
home
6
and
community-based
services
waiver
quality
assurance
7
programs,
including
the
review
and
streamlining
of
8
processes
and
policies
related
to
oversight
and
quality
9
management
to
meet
state
and
federal
requirements.
10
3.
Of
the
amount
appropriated
in
this
section,
11
up
to
$100,000
$200,000
may
be
transferred
to
the
12
appropriation
for
general
administration
in
this
13
division
of
this
Act
to
be
used
for
additional
14
full-time
equivalent
positions
in
the
development
15
of
key
health
initiatives
such
as
cost
containment,
16
development
and
oversight
of
managed
care
programs,
17
and
development
of
health
strategies
targeted
toward
18
improved
quality
and
reduced
costs
in
the
Medicaid
19
program.
20
4.
Of
the
funds
appropriated
in
this
section,
21
$500,000
$1,000,000
shall
be
used
for
planning
and
22
development,
in
cooperation
with
the
department
of
23
public
health,
of
a
phased-in
program
to
provide
a
24
dental
home
for
children.
25
5.
Of
the
funds
appropriated
in
this
section,
26
$1,000,000
$2,000,000
shall
be
credited
to
the
autism
27
support
program
fund
created
in
section
225D.2
to
be
28
used
for
the
autism
support
program
created
in
chapter
29
225D
,
with
the
exception
of
the
following
amounts
of
30
this
allocation
which
shall
be
used
as
follows:
31
a.
Of
the
funds
allocated
in
this
subsection,
32
$125,000
$250,000
shall
be
deposited
in
the
33
board-certified
behavior
analyst
and
board-certified
34
assistant
behavior
analyst
grants
program
fund
created
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in
section
135.181
,
as
enacted
in
this
Act,
to
be
used
1
for
the
purposes
of
the
fund.
2
b.
Of
the
funds
allocated
in
this
subsection,
3
$12,500
$25,000
shall
be
used
for
the
public
purpose
4
of
continuation
of
a
grant
to
a
child
welfare
services
5
provider
headquartered
in
a
county
with
a
population
6
between
205,000
and
215,000
in
the
latest
certified
7
federal
census
that
provides
multiple
services
8
including
but
not
limited
to
a
psychiatric
medical
9
institution
for
children,
shelter,
residential
10
treatment,
after
school
programs,
school-based
11
programming,
and
an
Asperger’s
syndrome
program,
to
12
be
used
for
support
services
for
children
with
autism
13
spectrum
disorder
and
their
families.
14
c.
Of
the
funds
allocated
in
this
subsection,
15
$12,500
$25,000
shall
be
used
for
the
public
purpose
16
of
continuing
a
grant
to
a
hospital-based
provider
17
headquartered
in
a
county
with
a
population
between
18
90,000
and
95,000
in
the
latest
certified
federal
19
census
that
provides
multiple
services
including
but
20
not
limited
to
diagnostic,
therapeutic,
and
behavioral
21
services
to
individuals
with
autism
spectrum
disorder
22
across
one’s
lifespan.
The
grant
recipient
shall
23
utilize
the
funds
to
continue
the
pilot
project
to
24
determine
the
necessary
support
services
for
children
25
with
autism
spectrum
disorder
and
their
families
to
26
be
included
in
the
children’s
disabilities
services
27
system.
The
grant
recipient
shall
submit
findings
and
28
recommendations
based
upon
the
results
of
the
pilot
29
project
to
the
individuals
specified
in
this
division
30
of
this
Act
for
submission
of
reports
by
December
31,
31
2015
2016
.
32
Sec.
12.
2015
Iowa
Acts,
chapter
137,
section
134,
33
is
amended
to
read
as
follows:
34
SEC.
134.
STATE
SUPPLEMENTARY
ASSISTANCE.
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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,
2016,
and
ending
June
30,
3
2017,
the
following
amount,
or
so
much
thereof
as
is
4
necessary,
to
be
used
for
the
purpose
designated:
5
For
the
state
supplementary
assistance
program:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,498,593
7
11,611,442
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
2016,
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.
13.
2015
Iowa
Acts,
chapter
137,
section
135,
35
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86
pf/rn
50/
160
is
amended
to
read
as
follows:
1
SEC.
135.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
2
1.
There
is
appropriated
from
the
general
fund
of
3
the
state
to
the
department
of
human
services
for
the
4
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
5
2017,
the
following
amount,
or
so
much
thereof
as
is
6
necessary,
to
be
used
for
the
purpose
designated:
7
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
8
(hawk-i)
program
pursuant
to
chapter
514I
,
including
9
supplemental
dental
services,
for
receipt
of
federal
10
financial
participation
under
Tit.
XXI
of
the
federal
11
Social
Security
Act,
which
creates
the
children’s
12
health
insurance
program:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,206,922
14
9,176,652
15
2.
Of
the
funds
appropriated
in
this
section,
16
$21,400
$42,800
is
allocated
for
continuation
of
the
17
contract
for
outreach
with
the
department
of
public
18
health.
19
Sec.
14.
2015
Iowa
Acts,
chapter
137,
section
136,
20
is
amended
to
read
as
follows:
21
SEC.
136.
CHILD
CARE
ASSISTANCE.
There
is
22
appropriated
from
the
general
fund
of
the
state
to
23
the
department
of
human
services
for
the
fiscal
year
24
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
25
following
amount,
or
so
much
thereof
as
is
necessary,
26
to
be
used
for
the
purpose
designated:
27
For
child
care
programs:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,704,334
29
36,389,561
30
1.
Of
the
funds
appropriated
in
this
section,
31
$21,844,620
$30,039,561
shall
be
used
for
state
child
32
care
assistance
in
accordance
with
section
237A.13
.
33
2.
Nothing
in
this
section
shall
be
construed
or
34
is
intended
as
or
shall
imply
a
grant
of
entitlement
35
-51-
HF2460.3523
(9)
86
pf/rn
51/
160
for
services
to
persons
who
are
eligible
for
assistance
1
due
to
an
income
level
consistent
with
the
waiting
2
list
requirements
of
section
237A.13
.
Any
state
3
obligation
to
provide
services
pursuant
to
this
section
4
is
limited
to
the
extent
of
the
funds
appropriated
in
5
this
section.
6
3.
Of
the
funds
appropriated
in
this
section,
7
$216,226
is
allocated
for
the
statewide
grant
program
8
for
child
care
resource
and
referral
services
under
9
section
237A.26
.
A
list
of
the
registered
and
licensed
10
child
care
facilities
operating
in
the
area
served
by
a
11
child
care
resource
and
referral
service
shall
be
made
12
available
to
the
families
receiving
state
child
care
13
assistance
in
that
area.
14
4.
Of
the
funds
appropriated
in
this
section,
15
$468,487
is
allocated
for
child
care
quality
16
improvement
initiatives
including
but
not
limited
to
17
the
voluntary
quality
rating
system
in
accordance
with
18
section
237A.30
.
19
5.
Of
the
funds
appropriated
in
this
section,
20
$3,175,000
$6,350,000
shall
be
credited
to
the
21
early
childhood
programs
grants
account
in
the
early
22
childhood
Iowa
fund
created
in
section
256I.11
.
23
The
moneys
shall
be
distributed
for
funding
of
24
community-based
early
childhood
programs
targeted
to
25
children
from
birth
through
five
years
of
age
developed
26
by
early
childhood
Iowa
areas
in
accordance
with
27
approved
community
plans
as
provided
in
section
256I.8
.
28
6.
The
department
may
use
any
of
the
funds
29
appropriated
in
this
section
as
a
match
to
obtain
30
federal
funds
for
use
in
expanding
child
care
31
assistance
and
related
programs.
For
the
purpose
of
32
expenditures
of
state
and
federal
child
care
funding,
33
funds
shall
be
considered
obligated
at
the
time
34
expenditures
are
projected
or
are
allocated
to
the
35
-52-
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86
pf/rn
52/
160
department’s
service
areas.
Projections
shall
be
based
1
on
current
and
projected
caseload
growth,
current
and
2
projected
provider
rates,
staffing
requirements
for
3
eligibility
determination
and
management
of
program
4
requirements
including
data
systems
management,
5
staffing
requirements
for
administration
of
the
6
program,
contractual
and
grant
obligations
and
any
7
transfers
to
other
state
agencies,
and
obligations
for
8
decategorization
or
innovation
projects.
9
7.
A
portion
of
the
state
match
for
the
federal
10
child
care
and
development
block
grant
shall
be
11
provided
as
necessary
to
meet
federal
matching
12
funds
requirements
through
the
state
general
fund
13
appropriation
made
for
child
development
grants
and
14
other
programs
for
at-risk
children
in
section
279.51
.
15
8.
If
a
uniform
reduction
ordered
by
the
governor
16
under
section
8.31
or
other
operation
of
law,
17
transfer,
or
federal
funding
reduction
reduces
the
18
appropriation
made
in
this
section
for
the
fiscal
year,
19
the
percentage
reduction
in
the
amount
paid
out
to
or
20
on
behalf
of
the
families
participating
in
the
state
21
child
care
assistance
program
shall
be
equal
to
or
22
less
than
the
percentage
reduction
made
for
any
other
23
purpose
payable
from
the
appropriation
made
in
this
24
section
and
the
federal
funding
relating
to
it.
The
25
percentage
reduction
to
the
other
allocations
made
in
26
this
section
shall
be
the
same
as
the
uniform
reduction
27
ordered
by
the
governor
or
the
percentage
change
of
the
28
federal
funding
reduction,
as
applicable.
If
there
is
29
an
unanticipated
increase
in
federal
funding
provided
30
for
state
child
care
assistance,
the
entire
amount
31
of
the
increase
shall
be
used
for
state
child
care
32
assistance
payments.
If
the
appropriations
made
for
33
purposes
of
the
state
child
care
assistance
program
for
34
the
fiscal
year
are
determined
to
be
insufficient,
it
35
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HF2460.3523
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86
pf/rn
53/
160
is
the
intent
of
the
general
assembly
to
appropriate
1
sufficient
funding
for
the
fiscal
year
in
order
to
2
avoid
establishment
of
waiting
list
requirements.
3
9.
Notwithstanding
section
8.33
,
moneys
advanced
4
for
purposes
of
the
programs
developed
by
early
5
childhood
Iowa
areas,
advanced
for
purposes
of
6
wraparound
child
care,
or
received
from
the
federal
7
appropriations
made
for
the
purposes
of
this
section
8
that
remain
unencumbered
or
unobligated
at
the
close
9
of
the
fiscal
year
shall
not
revert
to
any
fund
but
10
shall
remain
available
for
expenditure
for
the
purposes
11
designated
until
the
close
of
the
succeeding
fiscal
12
year.
13
Sec.
15.
2015
Iowa
Acts,
chapter
137,
section
137,
14
is
amended
to
read
as
follows:
15
SEC.
137.
JUVENILE
INSTITUTION.
There
is
16
appropriated
from
the
general
fund
of
the
state
to
17
the
department
of
human
services
for
the
fiscal
year
18
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
19
following
amounts,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purposes
designated:
21
1.
For
operation
of
the
state
training
school
at
22
Eldora
and
for
salaries,
support,
maintenance,
and
23
miscellaneous
purposes,
and
for
not
more
than
the
24
following
full-time
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,116,710
26
12,233,420
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
28
Of
the
funds
appropriated
in
this
subsection,
29
$45,575
$91,150
shall
be
used
for
distribution
30
to
licensed
classroom
teachers
at
this
and
other
31
institutions
under
the
control
of
the
department
of
32
human
services
based
upon
the
average
student
yearly
33
enrollment
at
each
institution
as
determined
by
the
34
department.
35
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86
pf/rn
54/
160
2.
A
portion
of
the
moneys
appropriated
in
this
1
section
shall
be
used
by
the
state
training
school
at
2
Eldora
for
grants
for
adolescent
pregnancy
prevention
3
activities
at
the
institution
in
the
fiscal
year
4
beginning
July
1,
2016.
5
Sec.
16.
2015
Iowa
Acts,
chapter
137,
section
138,
6
is
amended
to
read
as
follows:
7
SEC.
138.
CHILD
AND
FAMILY
SERVICES.
8
1.
There
is
appropriated
from
the
general
fund
of
9
the
state
to
the
department
of
human
services
for
the
10
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
11
2017,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purpose
designated:
13
For
child
and
family
services:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,670,969
15
84,482,419
16
2.
Up
to
$2,600,000
of
Of
the
amount
of
federal
17
temporary
assistance
for
needy
families
block
grant
18
funding
appropriated
in
this
division
of
this
Act
for
19
child
and
family
services
section,
$5,200,000
shall
be
20
made
available
used
for
purposes
of
juvenile
delinquent
21
graduated
sanction
services.
22
3.
The
department
may
transfer
funds
appropriated
23
in
this
section
as
necessary
to
pay
the
nonfederal
24
costs
of
services
reimbursed
under
the
medical
25
assistance
program,
state
child
care
assistance
26
program,
or
the
family
investment
program
which
are
27
provided
to
children
who
would
otherwise
receive
28
services
paid
under
the
appropriation
in
this
section.
29
The
department
may
transfer
funds
appropriated
in
this
30
section
to
the
appropriations
made
in
this
division
31
of
this
Act
for
general
administration
and
for
field
32
operations
for
resources
necessary
to
implement
and
33
operate
the
services
funded
in
this
section.
34
4.
a.
Of
the
funds
appropriated
in
this
section,
35
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pf/rn
55/
160
up
to
$17,910,893
$35,736,649
is
allocated
as
the
1
statewide
expenditure
target
under
section
232.143
2
for
group
foster
care
maintenance
and
services.
If
3
the
department
projects
that
such
expenditures
for
4
the
fiscal
year
will
be
less
than
the
target
amount
5
allocated
in
this
paragraph
“a”,
the
department
may
6
reallocate
the
excess
to
provide
additional
funding
for
7
shelter
care
or
the
child
welfare
emergency
services
8
addressed
with
the
allocation
for
shelter
care.
9
b.
If
at
any
time
after
September
30,
2016,
10
annualization
of
a
service
area’s
current
expenditures
11
indicates
a
service
area
is
at
risk
of
exceeding
its
12
group
foster
care
expenditure
target
under
section
13
232.143
by
more
than
5
percent,
the
department
and
14
juvenile
court
services
shall
examine
all
group
15
foster
care
placements
in
that
service
area
in
order
16
to
identify
those
which
might
be
appropriate
for
17
termination.
In
addition,
any
aftercare
services
18
believed
to
be
needed
for
the
children
whose
19
placements
may
be
terminated
shall
be
identified.
The
20
department
and
juvenile
court
services
shall
initiate
21
action
to
set
dispositional
review
hearings
for
the
22
placements
identified.
In
such
a
dispositional
review
23
hearing,
the
juvenile
court
shall
determine
whether
24
needed
aftercare
services
are
available
and
whether
25
termination
of
the
placement
is
in
the
best
interest
of
26
the
child
and
the
community.
27
5.
In
accordance
with
the
provisions
of
section
28
232.188
,
the
department
shall
continue
the
child
29
welfare
and
juvenile
justice
funding
initiative
during
30
fiscal
year
2016-2017.
Of
the
funds
appropriated
31
in
this
section,
$858,876
$1,717,753
is
allocated
32
specifically
for
expenditure
for
fiscal
year
2016-2017
33
through
the
decategorization
services
funding
pools
34
and
governance
boards
established
pursuant
to
section
35
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86
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56/
160
232.188
.
1
6.
A
portion
of
the
funds
appropriated
in
this
2
section
may
be
used
for
emergency
family
assistance
3
to
provide
other
resources
required
for
a
family
4
participating
in
a
family
preservation
or
reunification
5
project
or
successor
project
to
stay
together
or
to
be
6
reunified.
7
7.
Notwithstanding
section
234.35
or
any
other
8
provision
of
law
to
the
contrary,
state
funding
for
9
shelter
care
and
the
child
welfare
emergency
services
10
contracting
implemented
to
provide
for
or
prevent
the
11
need
for
shelter
care
shall
be
limited
to
$4,034,237
12
$8,096,158
.
13
8.
Federal
funds
received
by
the
state
during
14
the
fiscal
year
beginning
July
1,
2016,
as
the
15
result
of
the
expenditure
of
state
funds
appropriated
16
during
a
previous
state
fiscal
year
for
a
service
or
17
activity
funded
under
this
section
are
appropriated
18
to
the
department
to
be
used
as
additional
funding
19
for
services
and
purposes
provided
for
under
this
20
section.
Notwithstanding
section
8.33
,
moneys
21
received
in
accordance
with
this
subsection
that
remain
22
unencumbered
or
unobligated
at
the
close
of
the
fiscal
23
year
shall
not
revert
to
any
fund
but
shall
remain
24
available
for
the
purposes
designated
until
the
close
25
of
the
succeeding
fiscal
year.
26
9.
a.
Of
the
funds
appropriated
in
this
section,
27
up
to
$1,645,000
$3,290,000
is
allocated
for
the
28
payment
of
the
expenses
of
court-ordered
services
29
provided
to
juveniles
who
are
under
the
supervision
of
30
juvenile
court
services,
which
expenses
are
a
charge
31
upon
the
state
pursuant
to
section
232.141,
subsection
32
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
33
up
to
$778,143
$1,556,287
shall
be
made
available
34
to
provide
school-based
supervision
of
children
35
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86
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57/
160
adjudicated
under
chapter
232
,
of
which
not
more
than
1
$7,500
$15,000
may
be
used
for
the
purpose
of
training.
2
A
portion
of
the
cost
of
each
school-based
liaison
3
officer
shall
be
paid
by
the
school
district
or
other
4
funding
source
as
approved
by
the
chief
juvenile
court
5
officer.
6
b.
Of
the
funds
appropriated
in
this
section,
up
to
7
$374,492
$748,985
is
allocated
for
the
payment
of
the
8
expenses
of
court-ordered
services
provided
to
children
9
who
are
under
the
supervision
of
the
department,
10
which
expenses
are
a
charge
upon
the
state
pursuant
to
11
section
232.141,
subsection
4
.
12
c.
Notwithstanding
section
232.141
or
any
other
13
provision
of
law
to
the
contrary,
the
amounts
allocated
14
in
this
subsection
shall
be
distributed
to
the
15
judicial
districts
as
determined
by
the
state
court
16
administrator
and
to
the
department’s
service
areas
17
as
determined
by
the
administrator
of
the
department
18
of
human
services’
division
of
child
and
family
19
services.
The
state
court
administrator
and
the
20
division
administrator
shall
make
the
determination
of
21
the
distribution
amounts
on
or
before
June
15,
2016.
22
d.
Notwithstanding
chapter
232
or
any
other
23
provision
of
law
to
the
contrary,
a
district
or
24
juvenile
court
shall
not
order
any
service
which
is
25
a
charge
upon
the
state
pursuant
to
section
232.141
26
if
there
are
insufficient
court-ordered
services
27
funds
available
in
the
district
court
or
departmental
28
service
area
distribution
amounts
to
pay
for
the
29
service.
The
chief
juvenile
court
officer
and
the
30
departmental
service
area
manager
shall
encourage
use
31
of
the
funds
allocated
in
this
subsection
such
that
32
there
are
sufficient
funds
to
pay
for
all
court-related
33
services
during
the
entire
year.
The
chief
juvenile
34
court
officers
and
departmental
service
area
managers
35
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160
shall
attempt
to
anticipate
potential
surpluses
and
1
shortfalls
in
the
distribution
amounts
and
shall
2
cooperatively
request
the
state
court
administrator
3
or
division
administrator
to
transfer
funds
between
4
the
judicial
districts’
or
departmental
service
areas’
5
distribution
amounts
as
prudent.
6
e.
Notwithstanding
any
provision
of
law
to
the
7
contrary,
a
district
or
juvenile
court
shall
not
order
8
a
county
to
pay
for
any
service
provided
to
a
juvenile
9
pursuant
to
an
order
entered
under
chapter
232
which
10
is
a
charge
upon
the
state
under
section
232.141,
11
subsection
4
.
12
f.
Of
the
funds
allocated
in
this
subsection,
not
13
more
than
$41,500
$83,000
may
be
used
by
the
judicial
14
branch
for
administration
of
the
requirements
under
15
this
subsection.
16
g.
Of
the
funds
allocated
in
this
subsection,
17
$8,500
$17,000
shall
be
used
by
the
department
of
human
18
services
to
support
the
interstate
commission
for
19
juveniles
in
accordance
with
the
interstate
compact
for
20
juveniles
as
provided
in
section
232.173
.
21
10.
Of
the
funds
appropriated
in
this
section,
22
$4,026,613
$8,053,227
is
allocated
for
juvenile
23
delinquent
graduated
sanctions
services.
Any
state
24
funds
saved
as
a
result
of
efforts
by
juvenile
court
25
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
26
court
services
administration
may
be
used
for
the
27
juvenile
delinquent
graduated
sanctions
services.
28
11.
Of
the
funds
appropriated
in
this
section,
29
$804,142
$1,658,285
is
transferred
to
the
department
30
of
public
health
to
be
used
for
the
child
protection
31
center
grant
program
for
child
protection
centers
32
located
in
Iowa
in
accordance
with
section
135.118
.
33
The
grant
amounts
under
the
program
shall
be
equalized
34
so
that
each
center
receives
a
uniform
base
amount
35
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160
of
$122,500
$245,000
,
so
that
$50,000
is
awarded
to
1
establish
a
satellite
child
protection
center
in
a
2
city
in
north
central
Iowa
that
is
the
county
seat
of
3
a
county
with
a
population
between
44,000
and
45,000
4
according
to
the
2010
federal
decennial
census,
and
so
5
that
the
remaining
funds
shall
be
are
awarded
through
6
a
funding
formula
based
upon
the
volume
of
children
7
served.
8
12.
If
the
department
receives
federal
approval
9
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
10
Social
Security
Act
to
enable
providers
to
serve
11
children
who
remain
in
the
children’s
families
and
12
communities,
for
purposes
of
eligibility
under
the
13
medical
assistance
program
through
25
years
of
age,
14
children
who
participate
in
the
waiver
shall
be
15
considered
to
be
placed
in
foster
care.
16
13.
Of
the
funds
appropriated
in
this
section,
17
$2,012,583
$4,025,167
is
allocated
for
the
preparation
18
for
adult
living
program
pursuant
to
section
234.46
.
19
14.
Of
the
funds
appropriated
in
this
section,
20
$113,668
$227,337
shall
be
used
for
the
public
purpose
21
of
continuing
a
grant
to
a
nonprofit
human
services
22
organization
providing
services
to
individuals
and
23
families
in
multiple
locations
in
southwest
Iowa
and
24
Nebraska
for
support
of
a
project
providing
immediate,
25
sensitive
support
and
forensic
interviews,
medical
26
exams,
needs
assessments,
and
referrals
for
victims
of
27
child
abuse
and
their
nonoffending
family
members.
28
15.
Of
the
funds
appropriated
in
this
section,
29
$150,310
$300,620
is
allocated
for
the
foster
care
30
youth
council
approach
of
providing
a
support
network
31
to
children
placed
in
foster
care.
32
16.
Of
the
funds
appropriated
in
this
section,
33
$101,000
$202,000
is
allocated
for
use
pursuant
to
34
section
235A.1
for
continuation
of
the
initiative
to
35
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160
address
child
sexual
abuse
implemented
pursuant
to
2007
1
Iowa
Acts,
chapter
218,
section
18,
subsection
21
.
2
17.
Of
the
funds
appropriated
in
this
section,
3
$315,120
$630,240
is
allocated
for
the
community
4
partnership
for
child
protection
sites.
5
18.
Of
the
funds
appropriated
in
this
section,
6
$185,625
$371,250
is
allocated
for
the
department’s
7
minority
youth
and
family
projects
under
the
redesign
8
of
the
child
welfare
system.
9
19.
Of
the
funds
appropriated
in
this
section,
10
$593,297
$1,186,595
is
allocated
for
funding
of
the
11
community
circle
of
care
collaboration
for
children
and
12
youth
in
northeast
Iowa.
13
20.
Of
the
funds
appropriated
in
this
section,
14
at
least
$73,579
$147,158
shall
be
used
for
the
15
continuation
of
the
child
welfare
provider
training
16
academy,
a
collaboration
between
the
coalition
17
for
family
and
children’s
services
in
Iowa
and
the
18
department.
19
21.
Of
the
funds
appropriated
in
this
section,
20
$105,936
$211,872
shall
be
used
for
continuation
of
the
21
central
Iowa
system
of
care
program
grant
through
June
22
30,
2017.
23
22.
Of
the
funds
appropriated
in
this
section,
24
$117,500
$235,000
shall
be
used
for
the
public
25
purpose
of
the
continuation
and
expansion
of
a
system
26
of
care
program
grant
implemented
in
Cerro
Gordo
27
and
Linn
counties
to
utilize
a
comprehensive
and
28
long-term
approach
for
helping
children
and
families
by
29
addressing
the
key
areas
in
a
child’s
life
of
childhood
30
basic
needs,
education
and
work,
family,
and
community.
31
23.
Of
the
funds
appropriated
in
this
section,
at
32
least
$12,500
$25,000
shall
be
used
to
continue
and
33
to
expand
the
foster
care
respite
pilot
program
in
34
which
postsecondary
students
in
social
work
and
other
35
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160
human
services-related
programs
receive
experience
by
1
assisting
family
foster
care
providers
with
respite
and
2
other
support.
3
24.
Of
the
funds
appropriated
in
this
section,
4
$55,000
$110,000
shall
be
used
for
the
public
purpose
5
of
funding
community-based
services
and
other
supports
6
with
a
system
of
care
approach
for
children
with
a
7
serious
emotional
disturbance
and
their
families
8
through
a
nonprofit
provider
of
child
welfare
services
9
that
has
been
in
existence
for
more
than
115
years,
10
is
located
in
a
county
with
a
population
of
more
11
than
200,000
but
less
than
220,000
according
to
the
12
latest
census
information
issued
by
the
United
States
13
census
bureau,
is
licensed
as
a
psychiatric
medical
14
institution
for
children,
and
was
a
system
of
care
15
grantee
prior
to
July
1,
2016.
16
Sec.
17.
2015
Iowa
Acts,
chapter
137,
section
139,
17
is
amended
to
read
as
follows:
18
SEC.
139.
ADOPTION
SUBSIDY.
19
1.
There
is
appropriated
from
the
general
fund
of
20
the
state
to
the
department
of
human
services
for
the
21
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
22
2017,
the
following
amount,
or
so
much
thereof
as
is
23
necessary,
to
be
used
for
the
purpose
designated:
24
a.
For
adoption
subsidy
payments
and
services:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,499,143
26
43,046,664
27
b.
(1)
The
funds
appropriated
in
this
section
28
shall
be
used
as
authorized
or
allowed
by
federal
law
29
or
regulation
for
any
of
the
following
purposes:
30
(a)
For
adoption
subsidy
payments
and
related
31
costs.
32
(b)
For
post-adoption
services
and
for
other
33
purposes
under
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
34
Social
Security
Act.
35
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62/
160
(2)
The
department
of
human
services
may
transfer
1
funds
appropriated
in
this
subsection
to
the
2
appropriation
for
child
and
family
services
in
this
Act
3
for
the
purposes
of
post-adoption
services
as
specified
4
in
this
paragraph
“b”.
5
2.
The
department
may
transfer
funds
appropriated
6
in
this
section
to
the
appropriation
made
in
this
7
division
of
this
Act
for
general
administration
for
8
costs
paid
from
the
appropriation
relating
to
adoption
9
subsidy.
10
3.
Federal
funds
received
by
the
state
during
the
11
fiscal
year
beginning
July
1,
2016,
as
the
result
of
12
the
expenditure
of
state
funds
during
a
previous
state
13
fiscal
year
for
a
service
or
activity
funded
under
14
this
section
are
appropriated
to
the
department
to
15
be
used
as
additional
funding
for
the
services
and
16
activities
funded
under
this
section.
Notwithstanding
17
section
8.33
,
moneys
received
in
accordance
with
this
18
subsection
that
remain
unencumbered
or
unobligated
at
19
the
close
of
the
fiscal
year
shall
not
revert
to
any
20
fund
but
shall
remain
available
for
expenditure
for
the
21
purposes
designated
until
the
close
of
the
succeeding
22
fiscal
year.
23
Sec.
18.
2015
Iowa
Acts,
chapter
137,
section
141,
24
is
amended
to
read
as
follows:
25
SEC.
141.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
26
1.
There
is
appropriated
from
the
general
fund
of
27
the
state
to
the
department
of
human
services
for
the
28
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
29
2017,
the
following
amount,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purpose
designated:
31
For
the
family
support
subsidy
program
subject
32
to
the
enrollment
restrictions
in
section
225C.37,
33
subsection
3
:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
536,966
35
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160
1,069,282
1
2.
The
department
shall
use
at
At
least
$320,750
2
$727,500
of
the
moneys
appropriated
in
this
section
is
3
transferred
to
the
department
of
public
health
for
the
4
family
support
center
component
of
the
comprehensive
5
family
support
program
under
section
225C.47
chapter
6
225C,
subchapter
V
.
Not
more
than
$12,500
of
the
7
amount
allocated
in
this
subsection
shall
be
used
for
8
administrative
costs.
The
department
of
human
services
9
shall
submit
a
report
to
the
individuals
identified
10
in
this
Act
for
submission
of
reports
by
December
11
15,
2016,
regarding
the
outcomes
of
the
program
and
12
recommendations
for
future
program
improvement.
13
3.
If
at
any
time
during
the
fiscal
year,
the
14
amount
of
funding
available
for
the
family
support
15
subsidy
program
is
reduced
from
the
amount
initially
16
used
to
establish
the
figure
for
the
number
of
family
17
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
18
time
during
the
fiscal
year,
notwithstanding
section
19
225C.38,
subsection
2
,
the
department
shall
revise
the
20
figure
as
necessary
to
conform
to
the
amount
of
funding
21
available.
22
Sec.
19.
2015
Iowa
Acts,
chapter
137,
section
142,
23
is
amended
to
read
as
follows:
24
SEC.
142.
CONNER
DECREE.
There
is
appropriated
25
from
the
general
fund
of
the
state
to
the
department
of
26
human
services
for
the
fiscal
year
beginning
July
1,
27
2016,
and
ending
June
30,
2017,
the
following
amount,
28
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
building
community
capacity
through
the
31
coordination
and
provision
of
training
opportunities
32
in
accordance
with
the
consent
decree
of
Conner
v.
33
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
35
-64-
HF2460.3523
(9)
86
pf/rn
64/
160
33,632
1
Sec.
20.
2015
Iowa
Acts,
chapter
137,
section
143,
2
is
amended
to
read
as
follows:
3
SEC.
143.
MENTAL
HEALTH
INSTITUTES.
There
is
4
appropriated
from
the
general
fund
of
the
state
to
5
the
department
of
human
services
for
the
fiscal
year
6
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
7
following
amounts,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purposes
designated
which
amounts
9
shall
not
be
transferred
or
expended
for
any
purpose
10
other
than
the
purposes
designated,
notwithstanding
11
section
218.6
to
the
contrary
:
12
1.
For
operation
of
the
state
mental
health
13
institute
at
Cherokee
as
required
by
chapters
218
14
and
226
for
salaries,
support,
maintenance,
and
15
miscellaneous
purposes,
and
for
not
more
than
the
16
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,772,808
18
14,644,041
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
20
2.
For
operation
of
the
state
mental
health
21
institute
at
Independence
as
required
by
chapters
22
218
and
226
for
salaries,
support,
maintenance,
and
23
miscellaneous
purposes,
and
for
not
more
than
the
24
following
full-time
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,162,104
26
18,552,103
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
28
Sec.
21.
2015
Iowa
Acts,
chapter
137,
section
144,
29
is
amended
to
read
as
follows:
30
SEC.
144.
STATE
RESOURCE
CENTERS.
31
1.
There
is
appropriated
from
the
general
fund
of
32
the
state
to
the
department
of
human
services
for
the
33
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
34
2017,
the
following
amounts,
or
so
much
thereof
as
is
35
-65-
HF2460.3523
(9)
86
pf/rn
65/
160
necessary,
to
be
used
for
the
purposes
designated:
1
a.
For
the
state
resource
center
at
Glenwood
for
2
salaries,
support,
maintenance,
and
miscellaneous
3
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,762,241
5
20,719,486
6
b.
For
the
state
resource
center
at
Woodward
for
7
salaries,
support,
maintenance,
and
miscellaneous
8
purposes:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,291,903
10
14,053,011
11
2.
The
department
may
continue
to
bill
for
state
12
resource
center
services
utilizing
a
scope
of
services
13
approach
used
for
private
providers
of
intermediate
14
care
facilities
for
persons
with
an
intellectual
15
disability
services,
in
a
manner
which
does
not
shift
16
costs
between
the
medical
assistance
program,
counties,
17
or
other
sources
of
funding
for
the
state
resource
18
centers.
19
3.
The
state
resource
centers
may
expand
the
20
time-limited
assessment
and
respite
services
during
the
21
fiscal
year.
22
4.
If
the
department’s
administration
and
the
23
department
of
management
concur
with
a
finding
by
a
24
state
resource
center’s
superintendent
that
projected
25
revenues
can
reasonably
be
expected
to
pay
the
salary
26
and
support
costs
for
a
new
employee
position,
or
27
that
such
costs
for
adding
a
particular
number
of
new
28
positions
for
the
fiscal
year
would
be
less
than
the
29
overtime
costs
if
new
positions
would
not
be
added,
the
30
superintendent
may
add
the
new
position
or
positions.
31
If
the
vacant
positions
available
to
a
resource
center
32
do
not
include
the
position
classification
desired
to
33
be
filled,
the
state
resource
center’s
superintendent
34
may
reclassify
any
vacant
position
as
necessary
to
35
-66-
HF2460.3523
(9)
86
pf/rn
66/
160
fill
the
desired
position.
The
superintendents
of
the
1
state
resource
centers
may,
by
mutual
agreement,
pool
2
vacant
positions
and
position
classifications
during
3
the
course
of
the
fiscal
year
in
order
to
assist
one
4
another
in
filling
necessary
positions.
5
5.
If
existing
capacity
limitations
are
reached
6
in
operating
units,
a
waiting
list
is
in
effect
7
for
a
service
or
a
special
need
for
which
a
payment
8
source
or
other
funding
is
available
for
the
service
9
or
to
address
the
special
need,
and
facilities
for
10
the
service
or
to
address
the
special
need
can
be
11
provided
within
the
available
payment
source
or
other
12
funding,
the
superintendent
of
a
state
resource
center
13
may
authorize
opening
not
more
than
two
units
or
14
other
facilities
and
begin
implementing
the
service
15
or
addressing
the
special
need
during
fiscal
year
16
2016-2017.
17
Sec.
22.
2015
Iowa
Acts,
chapter
137,
section
145,
18
is
amended
to
read
as
follows:
19
SEC.
145.
SEXUALLY
VIOLENT
PREDATORS.
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,
2016,
and
ending
June
30,
23
2017,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purpose
designated:
25
For
costs
associated
with
the
commitment
and
26
treatment
of
sexually
violent
predators
in
the
unit
27
located
at
the
state
mental
health
institute
at
28
Cherokee,
including
costs
of
legal
services
and
29
other
associated
costs,
including
salaries,
support,
30
maintenance,
and
miscellaneous
purposes,
and
for
not
31
more
than
the
following
full-time
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,946,539
33
10,193,079
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
35
-67-
HF2460.3523
(9)
86
pf/rn
67/
160
2.
Unless
specifically
prohibited
by
law,
if
the
1
amount
charged
provides
for
recoupment
of
at
least
2
the
entire
amount
of
direct
and
indirect
costs,
the
3
department
of
human
services
may
contract
with
other
4
states
to
provide
care
and
treatment
of
persons
placed
5
by
the
other
states
at
the
unit
for
sexually
violent
6
predators
at
Cherokee.
The
moneys
received
under
such
7
a
contract
shall
be
considered
to
be
repayment
receipts
8
and
used
for
the
purposes
of
the
appropriation
made
in
9
this
section.
10
Sec.
23.
2015
Iowa
Acts,
chapter
137,
section
146,
11
is
amended
to
read
as
follows:
12
SEC.
146.
FIELD
OPERATIONS.
There
is
appropriated
13
from
the
general
fund
of
the
state
to
the
department
of
14
human
services
for
the
fiscal
year
beginning
July
1,
15
2016,
and
ending
June
30,
2017,
the
following
amount,
16
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purposes
designated:
18
For
field
operations,
including
salaries,
support,
19
maintenance,
and
miscellaneous
purposes,
and
for
not
20
more
than
the
following
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,460,488
22
54,442,877
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
24
2.
Priority
in
filling
full-time
equivalent
25
positions
shall
be
given
to
those
positions
related
to
26
child
protection
services
and
eligibility
determination
27
for
low-income
families.
28
Sec.
24.
2015
Iowa
Acts,
chapter
137,
section
147,
29
is
amended
to
read
as
follows:
30
SEC.
147.
GENERAL
ADMINISTRATION.
There
is
31
appropriated
from
the
general
fund
of
the
state
to
32
the
department
of
human
services
for
the
fiscal
year
33
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
34
following
amount,
or
so
much
thereof
as
is
necessary,
35
-68-
HF2460.3523
(9)
86
pf/rn
68/
160
to
be
used
for
the
purpose
designated:
1
For
general
administration,
including
salaries,
2
support,
maintenance,
and
miscellaneous
purposes,
and
3
for
not
more
than
the
following
full-time
equivalent
4
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,449,099
6
15,673,198
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
8
2.
Of
the
funds
appropriated
in
this
section,
9
$75,000
$150,000
shall
be
used
to
continue
the
contract
10
for
the
provision
of
a
program
to
provide
technical
11
assistance,
support,
and
consultation
to
providers
of
12
habilitation
services
and
home
and
community-based
13
services
waiver
services
for
adults
with
disabilities
14
under
the
medical
assistance
program.
15
3.
Of
the
funds
appropriated
in
this
section,
16
$25,000
$50,000
is
transferred
to
the
Iowa
finance
17
authority
to
be
used
for
administrative
support
of
the
18
council
on
homelessness
established
in
section
16.2D
19
and
for
the
council
to
fulfill
its
duties
in
addressing
20
and
reducing
homelessness
in
the
state.
21
4.
Of
the
funds
appropriated
in
this
section,
22
$125,000
$250,000
shall
be
transferred
to
and
deposited
23
in
the
administrative
fund
of
the
Iowa
ABLE
savings
24
plan
trust
created
in
section
12I.4
,
if
enacted
in
this
25
or
any
other
Act,
to
be
used
for
implementation
and
26
administration
activities
of
the
Iowa
ABLE
savings
plan
27
trust.
28
5.
Of
the
funds
appropriated
in
this
section,
29
$300,000
shall
be
used
to
contract
for
planning
grants
30
for
the
development
and
implementation
of
children’s
31
mental
health
crisis
services
as
provided
in
this
Act.
32
6.
Of
the
funds
appropriated
in
this
section,
33
$200,000
shall
be
used
to
continue
to
expand
the
34
provision
of
nationally
accredited
and
recognized
35
-69-
HF2460.3523
(9)
86
pf/rn
69/
160
internet-based
training
to
include
mental
health
and
1
disability
services
providers.
2
7.
Of
the
funds
appropriated
in
this
section,
3
$300,000
is
transferred
to
the
economic
development
4
authority
for
the
Iowa
commission
on
volunteer
services
5
to
be
used
for
RefugeeRISE
AmeriCorps
program
member
6
recruitment
and
training
to
improve
the
economic
7
well-being
and
health
of
economically
disadvantaged
8
refugees
in
local
communities
across
Iowa.
Funds
9
transferred
may
be
used
to
supplement
federal
funds
10
under
federal
regulations.
11
Sec.
25.
2015
Iowa
Acts,
chapter
137,
is
amended
by
12
adding
the
following
new
section:
13
NEW
SECTION
.
SEC.
147A.
DEPARTMENT-WIDE
14
DUTIES.
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
purposes
designated:
19
For
salaries,
support,
maintenance,
and
20
miscellaneous
purposes
at
facilities
under
the
purview
21
of
the
department
of
human
services:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
23
Sec.
26.
2015
Iowa
Acts,
chapter
137,
section
148,
24
is
amended
to
read
as
follows:
25
SEC.
148.
VOLUNTEERS.
There
is
appropriated
from
26
the
general
fund
of
the
state
to
the
department
of
27
human
services
for
the
fiscal
year
beginning
July
1,
28
2016,
and
ending
June
30,
2017,
the
following
amount,
29
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
development
and
coordination
of
volunteer
32
services:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
34
84,686
35
-70-
HF2460.3523
(9)
86
pf/rn
70/
160
Sec.
27.
2015
Iowa
Acts,
chapter
137,
section
149,
1
is
amended
to
read
as
follows:
2
SEC.
149.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
3
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
4
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
5
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
6
2016,
the
total
state
funding
amount
for
the
nursing
7
facility
budget
shall
not
exceed
$151,421,458.
8
(2)
The
department,
in
cooperation
with
nursing
9
facility
representatives,
shall
review
projections
for
10
state
funding
expenditures
for
reimbursement
of
nursing
11
facilities
on
a
quarterly
basis
and
the
department
12
shall
determine
if
an
adjustment
to
the
medical
13
assistance
reimbursement
rate
is
necessary
in
order
to
14
provide
reimbursement
within
the
state
funding
amount
15
for
the
fiscal
year.
Notwithstanding
2001
Iowa
Acts,
16
chapter
192,
section
4,
subsection
2,
paragraph
“c”,
17
and
subsection
3,
paragraph
“a”,
subparagraph
(2)
,
if
18
the
state
funding
expenditures
for
the
nursing
facility
19
budget
for
the
fiscal
year
are
projected
to
exceed
the
20
amount
specified
in
subparagraph
(1),
the
department
21
shall
adjust
the
reimbursement
for
nursing
facilities
22
reimbursed
under
the
case-mix
reimbursement
system
to
23
maintain
expenditures
of
the
nursing
facility
budget
24
within
the
specified
amount
for
the
fiscal
year.
25
(3)
(a)
For
the
fiscal
year
beginning
July
1,
26
2016,
case-mix,
non-case
mix,
and
special
population
27
nursing
facilities
shall
be
reimbursed
in
accordance
28
with
the
methodology
in
effect
on
June
30,
2016.
29
(b)
For
managed
care
claims,
the
department
of
30
human
services
shall
adjust
the
payment
rate
floor
for
31
nursing
facilities
every
six
months,
on
July
1
and
32
January
1,
to
maintain
a
rate
floor
that
is
no
lower
33
than
the
Medicaid
fee-for-service
case-mix
adjusted
34
rate
calculated
in
accordance
with
441
IAC
81.6.
The
35
-71-
HF2460.3523
(9)
86
pf/rn
71/
160
department
shall
then
calculate
adjusted
reimbursement
1
rates,
including
but
not
limited
to
add-on-payments,
2
for
each
six-month
period,
and
shall
notify
3
Medicaid
managed
care
organizations
of
the
adjusted
4
reimbursement
rates
within
30
days
of
determining
5
the
adjusted
reimbursement
rates.
Any
adjustment
of
6
reimbursement
rates
under
this
subparagraph
division
7
shall
be
budget
neutral
to
the
state
budget.
8
(4)
For
any
open
or
unsettled
nursing
facility
9
cost
report
for
a
fiscal
year
prior
to
and
including
10
the
fiscal
year
beginning
July
1,
2015,
including
any
11
cost
report
remanded
on
judicial
review
for
inclusion
12
of
prescription
drug,
laboratory,
or
x-ray
costs,
the
13
department
shall
offset
all
reported
prescription
drug,
14
laboratory,
and
x-ray
costs
with
any
revenue
received
15
from
Medicare
or
other
revenue
source
for
any
purpose.
16
For
purposes
of
this
subparagraph,
a
nursing
facility
17
cost
report
is
not
considered
open
or
unsettled
if
the
18
facility
did
not
initiate
an
administrative
appeal
19
under
chapter
17A
or
if
any
appeal
rights
initiated
20
have
been
exhausted.
21
b.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
22
the
department
shall
establish
the
pharmacy
dispensing
23
fee
reimbursement
at
$11.73
per
prescription,
until
a
24
cost
of
dispensing
survey
is
completed.
The
actual
25
dispensing
fee
shall
be
determined
by
a
cost
of
26
dispensing
survey
performed
by
the
department
and
27
required
to
be
completed
by
all
medical
assistance
28
program
participating
pharmacies
every
two
years,
29
adjusted
as
necessary
to
maintain
expenditures
within
30
the
amount
appropriated
to
the
department
for
this
31
purpose
for
the
fiscal
year.
32
(2)
The
department
shall
utilize
an
average
33
acquisition
cost
reimbursement
methodology
for
all
34
drugs
covered
under
the
medical
assistance
program
in
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accordance
with
2012
Iowa
Acts,
chapter
1133,
section
1
33
.
2
(3)
Notwithstanding
subparagraph
(2),
if
the
3
centers
for
Medicare
and
Medicaid
services
of
the
4
United
States
department
of
health
and
human
services
5
(CMS)
requires,
as
a
condition
of
federal
Medicaid
6
funding,
that
the
department
implement
an
aggregate
7
federal
upper
limit
(FUL)
for
drug
reimbursement
8
based
on
the
average
manufacturer’s
price
(AMP),
the
9
department
may
utilize
a
reimbursement
methodology
for
10
all
drugs
covered
under
the
Medicaid
program
based
on
11
the
national
average
drug
acquisition
cost
(NADAC)
12
methodology
published
by
CMS,
in
order
to
assure
13
compliance
with
the
aggregate
FUL,
minimize
outcomes
14
of
drug
reimbursements
below
pharmacy
acquisition
15
costs,
limit
administrative
costs,
and
minimize
any
16
change
in
the
aggregate
reimbursement
for
drugs.
The
17
department
may
adopt
emergency
rules
to
implement
this
18
subparagraph.
19
c.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
20
reimbursement
rates
for
outpatient
hospital
services
21
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
22
subject
to
Medicaid
program
upper
payment
limit
rules,
23
and
adjusted
as
necessary
to
maintain
expenditures
24
within
the
amount
appropriated
to
the
department
for
25
this
purpose
for
the
fiscal
year.
26
(2)
For
the
fiscal
year
beginning
July
1,
2016,
27
reimbursement
rates
for
inpatient
hospital
services
28
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
29
subject
to
Medicaid
program
upper
payment
limit
rules,
30
and
adjusted
as
necessary
to
maintain
expenditures
31
within
the
amount
appropriated
to
the
department
for
32
this
purpose
for
the
fiscal
year.
33
(3)
For
the
fiscal
year
beginning
July
1,
2016,
34
the
graduate
medical
education
and
disproportionate
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share
hospital
fund
shall
remain
at
the
amount
in
1
effect
on
June
30,
2016,
except
that
the
portion
of
2
the
fund
attributable
to
graduate
medical
education
3
shall
be
reduced
in
an
amount
that
reflects
the
4
elimination
of
graduate
medical
education
payments
made
5
to
out-of-state
hospitals.
6
(4)
In
order
to
ensure
the
efficient
use
of
limited
7
state
funds
in
procuring
health
care
services
for
8
low-income
Iowans,
funds
appropriated
in
this
Act
for
9
hospital
services
shall
not
be
used
for
activities
10
which
would
be
excluded
from
a
determination
of
11
reasonable
costs
under
the
federal
Medicare
program
12
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
13
d.
For
the
fiscal
year
beginning
July
1,
2016,
14
reimbursement
rates
for
rural
health
clinics,
hospices
,
15
and
acute
mental
hospitals
shall
be
increased
in
16
accordance
with
increases
under
the
federal
Medicare
17
program
or
as
supported
by
their
Medicare
audited
18
costs.
19
e.
For
the
fiscal
year
beginning
July
1,
2016,
20
independent
laboratories
and
rehabilitation
agencies
21
shall
be
reimbursed
using
the
same
methodology
in
22
effect
on
June
30,
2016.
23
f.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
24
reimbursement
rates
for
home
health
agencies
shall
25
continue
to
be
based
on
the
Medicare
low
utilization
26
payment
adjustment
(LUPA)
methodology
with
state
27
geographic
wage
adjustments,
and
updated
to
reflect
28
the
most
recent
Medicare
LUPA
rates
shall
be
adjusted
29
to
increase
the
rates
to
the
extent
possible
within
30
the
$1,000,000
of
state
funding
appropriated
for
this
31
purpose.
The
department
shall
continue
to
update
32
the
rates
every
two
years
to
reflect
the
most
recent
33
Medicare
LUPA
rates.
34
(2)
For
the
fiscal
year
beginning
July
1,
2016,
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rates
for
private
duty
nursing
and
personal
care
1
services
under
the
early
and
periodic
screening,
2
diagnostic,
and
treatment
program
benefit
shall
be
3
calculated
based
on
the
methodology
in
effect
on
June
4
30,
2016.
5
g.
For
the
fiscal
year
beginning
July
1,
2016,
6
federally
qualified
health
centers
and
rural
health
7
clinics
shall
receive
cost-based
reimbursement
for
100
8
percent
of
the
reasonable
costs
for
the
provision
of
9
services
to
recipients
of
medical
assistance.
10
h.
For
the
fiscal
year
beginning
July
1,
2016,
the
11
reimbursement
rates
for
dental
services
shall
remain
at
12
the
rates
in
effect
on
June
30,
2016.
13
i.
(1)
For
the
fiscal
year
beginning
July
1,
14
2016,
state-owned
psychiatric
medical
institutions
15
for
children
shall
receive
cost-based
reimbursement
16
for
100
percent
of
the
actual
and
allowable
costs
for
17
the
provision
of
services
to
recipients
of
medical
18
assistance.
19
(2)
For
the
nonstate-owned
psychiatric
medical
20
institutions
for
children,
reimbursement
rates
shall
be
21
based
on
the
reimbursement
methodology
developed
by
the
22
Medicaid
managed
care
contractor
for
behavioral
health
23
services
as
required
for
federal
compliance
in
effect
24
on
June
30,
2016
.
25
(3)
As
a
condition
of
participation
in
the
medical
26
assistance
program,
enrolled
providers
shall
accept
the
27
medical
assistance
reimbursement
rate
for
any
covered
28
goods
or
services
provided
to
recipients
of
medical
29
assistance
who
are
children
under
the
custody
of
a
30
psychiatric
medical
institution
for
children.
31
j.
For
the
fiscal
year
beginning
July
1,
32
2016,
unless
otherwise
specified
in
this
Act,
33
all
noninstitutional
medical
assistance
provider
34
reimbursement
rates
shall
remain
at
the
rates
in
effect
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on
June
30,
2016,
except
for
area
education
agencies,
1
local
education
agencies,
infant
and
toddler
services
2
providers,
home
and
community-based
services
providers
3
including
consumer-directed
attendant
care
providers
4
under
a
section
1915(c)
or
1915(i)
waiver,
targeted
5
case
management
providers,
and
those
providers
whose
6
rates
are
required
to
be
determined
pursuant
to
section
7
249A.20
.
8
k.
Notwithstanding
any
provision
to
the
contrary,
9
for
the
fiscal
year
beginning
July
1,
2016,
the
10
reimbursement
rate
for
anesthesiologists
shall
remain
11
at
the
rate
in
effect
on
June
30,
2016.
12
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
13
year
beginning
July
1,
2016,
the
average
reimbursement
14
rate
for
health
care
providers
eligible
for
use
of
the
15
federal
Medicare
resource-based
relative
value
scale
16
reimbursement
methodology
under
section
249A.20
shall
17
remain
at
the
rate
in
effect
on
June
30,
2016;
however,
18
this
rate
shall
not
exceed
the
maximum
level
authorized
19
by
the
federal
government.
20
m.
For
the
fiscal
year
beginning
July
1,
2016,
the
21
reimbursement
rate
for
residential
care
facilities
22
shall
not
be
less
than
the
minimum
payment
level
as
23
established
by
the
federal
government
to
meet
the
24
federally
mandated
maintenance
of
effort
requirement.
25
The
flat
reimbursement
rate
for
facilities
electing
not
26
to
file
annual
cost
reports
shall
not
be
less
than
the
27
minimum
payment
level
as
established
by
the
federal
28
government
to
meet
the
federally
mandated
maintenance
29
of
effort
requirement.
30
n.
For
the
fiscal
year
beginning
July
1,
2016,
31
the
reimbursement
rates
for
inpatient
mental
health
32
services
provided
at
hospitals
shall
remain
at
the
33
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
34
program
upper
payment
limit
rules;
and
psychiatrists
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shall
be
reimbursed
at
the
medical
assistance
program
1
fee-for-service
rate
in
effect
on
June
30,
2016.
2
o.
For
the
fiscal
year
beginning
July
1,
2016,
3
community
mental
health
centers
may
choose
to
be
4
reimbursed
for
the
services
provided
to
recipients
of
5
medical
assistance
through
either
of
the
following
6
options:
7
(1)
For
100
percent
of
the
reasonable
costs
of
the
8
services.
9
(2)
In
accordance
with
the
alternative
10
reimbursement
rate
methodology
established
by
the
11
medical
assistance
program’s
managed
care
contractor
12
for
mental
health
services
and
approved
by
the
13
department
of
human
services
in
effect
on
June
30,
14
2016
.
15
p.
For
the
fiscal
year
beginning
July
1,
2016,
the
16
reimbursement
rate
for
providers
of
family
planning
17
services
that
are
eligible
to
receive
a
90
percent
18
federal
match
shall
remain
at
the
rates
in
effect
on
19
June
30,
2016.
20
q.
For
the
fiscal
year
beginning
July
1,
2016,
the
21
upper
limits
on
and
reimbursement
rates
for
providers
22
of
home
and
community-based
services
waiver
services
23
shall
remain
at
the
limits
in
effect
on
June
30,
24
2016
for
which
the
rate
floor
is
based
on
the
average
25
aggregate
reimbursement
rate
for
the
fiscal
year
26
beginning
July
1,
2014,
shall
be
determined
as
follows:
27
(1)
For
fee-for-service
claims,
the
reimbursement
28
rate
shall
be
increased
by
1
percent
over
the
rates
in
29
effect
on
June
30,
2016
.
30
(2)
For
managed
care
claims,
the
reimbursement
rate
31
floor
shall
be
increased
by
1
percent
over
the
rate
32
floor
in
effect
on
April
1,
2016.
33
r.
For
the
fiscal
year
beginning
July
1,
2016,
34
the
reimbursement
rates
for
emergency
medical
service
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providers
shall
remain
at
the
rates
in
effect
on
June
1
30,
2016.
2
2.
For
the
fiscal
year
beginning
July
1,
2016,
the
3
reimbursement
rate
for
providers
reimbursed
under
the
4
in-home-related
care
program
shall
not
be
less
than
the
5
minimum
payment
level
as
established
by
the
federal
6
government
to
meet
the
federally
mandated
maintenance
7
of
effort
requirement.
8
3.
Unless
otherwise
directed
in
this
section,
when
9
the
department’s
reimbursement
methodology
for
any
10
provider
reimbursed
in
accordance
with
this
section
11
includes
an
inflation
factor,
this
factor
shall
not
12
exceed
the
amount
by
which
the
consumer
price
index
for
13
all
urban
consumers
increased
during
the
calendar
year
14
ending
December
31,
2002.
15
4.
For
Notwithstanding
section
234.38,
for
the
16
fiscal
year
beginning
July
1,
2016,
the
foster
family
17
basic
daily
maintenance
rate
and
the
maximum
adoption
18
subsidy
rate
for
children
ages
0
through
5
years
shall
19
be
$16.78,
the
rate
for
children
ages
6
through
11
20
years
shall
be
$17.45,
the
rate
for
children
ages
12
21
through
15
years
shall
be
$19.10,
and
the
rate
for
22
children
and
young
adults
ages
16
and
older
shall
23
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
24
foster
care,
the
preparation
for
adult
living
program
25
maintenance
rate
shall
be
$602.70
per
month.
The
26
maximum
payment
for
adoption
subsidy
nonrecurring
27
expenses
shall
be
limited
to
$500
and
the
disallowance
28
of
additional
amounts
for
court
costs
and
other
related
29
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
30
chapter
1031,
section
408
,
shall
be
continued.
31
5.
For
the
fiscal
year
beginning
July
1,
2016,
32
the
maximum
reimbursement
rates
for
social
services
33
providers
under
contract
shall
remain
at
the
rates
34
in
effect
on
June
30,
2016,
or
the
provider’s
actual
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and
allowable
cost
plus
inflation
for
each
service,
1
whichever
is
less.
However,
if
a
new
service
or
2
service
provider
is
added
after
June
30,
2016,
the
3
initial
reimbursement
rate
for
the
service
or
provider
4
shall
be
based
upon
a
weighted
average
of
provider
5
rates
for
similar
services.
6
6.
For
the
fiscal
year
beginning
July
1,
2016,
the
7
reimbursement
rates
for
resource
family
recruitment
and
8
retention
contractors,
child
welfare
emergency
services
9
contractors,
and
supervised
apartment
living
foster
10
care
providers
shall
remain
at
the
rates
in
effect
on
11
June
30,
2016.
12
7.
a.
For
the
purposes
of
this
subsection,
13
“combined
reimbursement
rate”
means
the
combined
14
service
and
maintenance
reimbursement
rate
for
a
15
service
level
under
the
department’s
reimbursement
16
methodology.
Effective
July
1,
2016,
the
combined
17
reimbursement
rate
for
a
group
foster
care
service
18
level
shall
be
the
amount
designated
in
this
19
subsection.
However,
if
a
group
foster
care
provider’s
20
reimbursement
rate
for
a
service
level
as
of
June
21
30,
2016,
is
more
than
the
rate
designated
in
this
22
subsection,
the
provider’s
reimbursement
shall
remain
23
at
the
higher
rate.
24
b.
Unless
a
group
foster
care
provider
is
subject
25
to
the
exception
provided
in
paragraph
“a”,
effective
26
July
1,
2016,
the
combined
reimbursement
rates
for
the
27
service
levels
under
the
department’s
reimbursement
28
methodology
shall
be
as
follows:
29
(1)
For
service
level,
community
-
D1,
the
daily
30
rate
shall
be
at
least
$84.17.
31
(2)
For
service
level,
comprehensive
-
D2,
the
32
daily
rate
shall
be
at
least
$119.09.
33
(3)
For
service
level,
enhanced
-
D3,
the
daily
34
rate
shall
be
at
least
$131.09.
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8.
The
group
foster
care
reimbursement
rates
1
paid
for
placement
of
children
out
of
state
shall
2
be
calculated
according
to
the
same
rate-setting
3
principles
as
those
used
for
in-state
providers,
4
unless
the
director
of
human
services
or
the
director’s
5
designee
determines
that
appropriate
care
cannot
be
6
provided
within
the
state.
The
payment
of
the
daily
7
rate
shall
be
based
on
the
number
of
days
in
the
8
calendar
month
in
which
service
is
provided.
9
9.
a.
For
the
fiscal
year
beginning
July
1,
2016,
10
the
reimbursement
rate
paid
for
shelter
care
and
11
the
child
welfare
emergency
services
implemented
to
12
provide
or
prevent
the
need
for
shelter
care
shall
be
13
established
by
contract.
14
b.
For
the
fiscal
year
beginning
July
1,
2016,
15
the
combined
service
and
maintenance
components
of
16
the
reimbursement
rate
paid
for
shelter
care
services
17
shall
be
based
on
the
financial
and
statistical
report
18
submitted
to
the
department.
The
maximum
reimbursement
19
rate
shall
be
$101.83
per
day.
The
department
shall
20
reimburse
a
shelter
care
provider
at
the
provider’s
21
actual
and
allowable
unit
cost,
plus
inflation,
not
to
22
exceed
the
maximum
reimbursement
rate.
23
c.
Notwithstanding
section
232.141,
subsection
8
,
24
for
the
fiscal
year
beginning
July
1,
2016,
the
amount
25
of
the
statewide
average
of
the
actual
and
allowable
26
rates
for
reimbursement
of
juvenile
shelter
care
homes
27
that
is
utilized
for
the
limitation
on
recovery
of
28
unpaid
costs
shall
remain
at
the
amount
in
effect
for
29
this
purpose
in
the
fiscal
year
beginning
July
1,
2015.
30
10.
For
the
fiscal
year
beginning
July
1,
2016,
31
the
department
shall
calculate
reimbursement
rates
32
for
intermediate
care
facilities
for
persons
with
33
an
intellectual
disability
at
the
80th
percentile.
34
Beginning
July
1,
2016,
the
rate
calculation
35
-80-
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86
pf/rn
80/
160
methodology
shall
utilize
shall
remain
at
the
rates
in
1
effect
on
June
30,
2016,
as
adjusted
by
the
consumer
2
price
index
inflation
factor
applicable
to
the
fiscal
3
year
beginning
July
1,
2016.
4
11.
For
the
fiscal
year
beginning
July
1,
2016,
5
for
child
care
providers
reimbursed
under
the
state
6
child
care
assistance
program,
the
department
shall
7
set
provider
reimbursement
rates
based
on
the
rate
8
reimbursement
survey
completed
in
December
2004.
9
Effective
July
1,
2016,
the
child
care
provider
10
reimbursement
rates
shall
remain
at
the
rates
in
effect
11
on
June
30,
2016.
The
department
shall
set
rates
in
a
12
manner
so
as
to
provide
incentives
for
a
nonregistered
13
provider
to
become
registered
by
applying
the
increase
14
only
to
registered
and
licensed
providers.
15
11A.
For
the
fiscal
year
beginning
July
1,
2016,
16
with
the
exception
of
any
provider
or
service
to
which
17
a
reimbursement
increase
is
applicable
for
the
fiscal
18
year
under
this
section,
notwithstanding
any
provision
19
to
the
contrary
under
this
section,
affected
providers
20
or
services
shall
instead
be
reimbursed
as
follows:
21
a.
For
fee-for-service
claims,
reimbursement
22
shall
be
calculated
based
on
the
methodology
otherwise
23
specified
in
this
section
for
the
fiscal
year
beginning
24
July
1,
2016,
for
the
respective
provider
or
service.
25
b.
For
claims
subject
to
a
managed
care
contract,
26
reimbursement
shall
be
based
on
the
methodology
27
established
by
the
managed
care
contract.
However,
any
28
reimbursement
established
under
such
contract
shall
not
29
be
lower
than
the
rate
floor
approved
by
the
department
30
of
human
services
as
the
managed
care
organization
31
provider
reimbursement
rate
floor
for
the
respective
32
provider
or
service,
in
effect
on
April
1,
2016.
33
13.
The
department
may
adopt
emergency
rules
to
34
implement
this
section.
35
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160
Sec.
28.
2015
Iowa
Acts,
chapter
137,
is
amended
by
1
adding
the
following
new
section:
2
NEW
SECTION
.
SEC.
151A.
TRANSFER
OF
MEDICAID
3
MODERNIZATION
SAVINGS
BETWEEN
APPROPRIATIONS
FY
4
2016-2017.
Notwithstanding
section
8.39,
subsection
1,
5
for
the
fiscal
year
beginning
July
1,
2016,
if
savings
6
resulting
from
the
governor’s
Medicaid
modernization
7
initiative
accrue
to
the
medical
contracts
or
8
children’s
health
insurance
program
appropriation
from
9
the
general
fund
of
the
state
and
not
to
the
medical
10
assistance
appropriation
from
the
general
fund
of
the
11
state
under
this
division
of
this
Act,
such
savings
may
12
be
transferred
to
such
medical
assistance
appropriation
13
for
the
same
fiscal
year
without
prior
written
consent
14
and
approval
of
the
governor
and
the
director
of
the
15
department
of
management.
The
department
of
human
16
services
shall
report
any
transfers
made
pursuant
to
17
this
section
to
the
legislative
services
agency.
18
DIVISION
VI
19
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2016-2017
20
Sec.
29.
2015
Iowa
Acts,
chapter
137,
section
152,
21
is
amended
to
read
as
follows:
22
SEC.
152.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
23
is
appropriated
from
the
pharmaceutical
settlement
24
account
created
in
section
249A.33
to
the
department
of
25
human
services
for
the
fiscal
year
beginning
July
1,
26
2016,
and
ending
June
30,
2017,
the
following
amount,
27
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
28
purpose
designated:
29
Notwithstanding
any
provision
of
law
to
the
30
contrary,
to
supplement
the
appropriations
made
in
this
31
Act
for
medical
contracts
under
the
medical
assistance
32
program
for
the
fiscal
year
beginning
July
1,
2016,
and
33
ending
June
30,
2017:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,001,088
35
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pf/rn
82/
160
1,300,000
1
Sec.
30.
2015
Iowa
Acts,
chapter
137,
section
153,
2
is
amended
to
read
as
follows:
3
SEC.
153.
QUALITY
ASSURANCE
TRUST
FUND
——
4
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
5
any
provision
to
the
contrary
and
subject
to
the
6
availability
of
funds,
there
is
appropriated
from
the
7
quality
assurance
trust
fund
created
in
section
249L.4
8
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
10
following
amounts,
or
so
much
thereof
as
is
necessary,
11
for
the
purposes
designated:
12
To
supplement
the
appropriation
made
in
this
Act
13
from
the
general
fund
of
the
state
to
the
department
14
of
human
services
for
medical
assistance
for
the
same
15
fiscal
year:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,602,604
17
36,705,208
18
Sec.
31.
2015
Iowa
Acts,
chapter
137,
section
154,
19
is
amended
to
read
as
follows:
20
SEC.
154.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
21
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
22
any
provision
to
the
contrary
and
subject
to
the
23
availability
of
funds,
there
is
appropriated
from
24
the
hospital
health
care
access
trust
fund
created
in
25
section
249M.4
to
the
department
of
human
services
for
26
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
27
30,
2017,
the
following
amounts,
or
so
much
thereof
as
28
is
necessary,
for
the
purposes
designated:
29
To
supplement
the
appropriation
made
in
this
Act
30
from
the
general
fund
of
the
state
to
the
department
31
of
human
services
for
medical
assistance
for
the
same
32
fiscal
year:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,350,000
34
34,700,000
35
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160
DIVISION
VII
1
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEY
——
FY
2
2016-2017
3
Sec.
32.
2015
Iowa
Acts,
chapter
137,
section
157,
4
is
amended
to
read
as
follows:
5
SEC.
157.
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
6
MONEYS.
The
moneys
transferred
to
the
property
tax
7
relief
fund
for
the
fiscal
year
beginning
July
1,
2015
8
2016
,
from
the
federal
social
services
block
grant
9
pursuant
to
2015
Iowa
Acts,
House
File
630,
and
from
10
the
federal
temporary
assistance
for
needy
families
11
block
grant,
totaling
at
least
$11,774,275
7,456,296
,
12
are
appropriated
to
the
department
of
human
services
13
for
the
fiscal
year
beginning
July
1,
2015
2016
,
and
14
ending
June
30,
2016
2017
,
to
be
used
for
the
purposes
15
designated,
notwithstanding
any
provision
of
law
to
the
16
contrary:
17
1.
For
distribution
to
any
mental
health
and
18
disability
services
region
where
25
percent
of
the
19
region’s
projected
expenditures
exceeds
the
region’s
20
projected
fund
balance:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
480,000
22
a.
For
purposes
of
this
subsection:
23
(1)
“Available
funds”
means
a
county
mental
health
24
and
services
fund
balance
on
June
30,
2015,
plus
the
25
maximum
amount
a
county
was
allowed
to
levy
for
the
26
fiscal
year
beginning
July
1,
2015.
27
(2)
“Projected
expenditures”
means
the
actual
28
expenditures
of
a
mental
health
and
disability
services
29
region
as
of
June
30,
2015,
multiplied
by
an
annual
30
inflation
rate
of
2
percent
plus
the
projected
costs
31
for
new
core
services
administered
by
the
region
32
as
provided
in
a
region’s
regional
service
system
33
management
plan
approved
pursuant
to
section
331.393
34
for
the
fiscal
year
beginning
July
1,
2015.
35
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160
(3)
“Projected
fund
balance”
means
the
difference
1
between
a
mental
health
and
disability
services
2
region’s
available
funds
and
projected
expenditures.
3
b.
If
sufficient
funds
are
not
available
to
4
implement
this
subsection,
the
department
of
human
5
services
shall
distribute
funds
to
a
region
in
6
proportion
to
the
availability
of
funds.
7
2.
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
purpose
of
10
that
appropriation:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,407,137
12
6,880,223
13
DIVISION
VIII
14
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS
15
FAMILY
INVESTMENT
PROGRAM
ACCOUNT
FY
2015-2016
16
Sec.
33.
2015
Iowa
Acts,
chapter
137,
section
17
7,
subsection
4,
paragraph
e,
is
amended
to
read
as
18
follows:
19
e.
For
the
JOBS
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,540,398
21
17,140,398
22
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND
FY
2015-2016
23
Sec.
34.
2015
Iowa
Acts,
chapter
137,
section
8,
24
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
25
To
be
credited
to
the
family
investment
program
26
(FIP)
account
and
used
for
family
investment
program
27
assistance
under
chapter
239B
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,673,875
29
44,773,875
30
Sec.
35.
2015
Iowa
Acts,
chapter
137,
section
8,
31
subsection
1,
is
amended
to
read
as
follows:
32
1.
Of
the
funds
appropriated
in
this
section,
33
$7,402,220
$7,002,220
is
allocated
for
the
JOBS
34
program.
35
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160
MEDICAL
ASSISTANCE
APPROPRIATION
——
FY
2015-2016
1
Sec.
36.
2015
Iowa
Acts,
chapter
137,
section
12,
2
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
3
For
medical
assistance
program
reimbursement
and
4
associated
costs
as
specifically
provided
in
the
5
reimbursement
methodologies
in
effect
on
June
30,
6
2015,
except
as
otherwise
expressly
authorized
by
7
law,
consistent
with
options
under
federal
law
and
8
regulations,
and
contingent
upon
receipt
of
approval
9
from
the
office
of
the
governor
of
reimbursement
for
10
each
abortion
performed
under
the
program:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,303,191,564
12
1,318,191,564
13
MODERNIZATION
EMERGENCY
RULES
FY
2015-2016
14
Sec.
37.
2015
Iowa
Acts,
chapter
137,
section
12,
15
subsection
24,
is
amended
to
read
as
follows:
16
24.
The
department
of
human
services
may
adopt
17
emergency
rules
as
necessary
to
implement
the
18
governor’s
Medicaid
modernization
initiative
beginning
19
January
1,
2016.
20
STATE
SUPPLEMENTARY
ASSISTANCE
FY
2015-2016
21
Sec.
38.
2015
Iowa
Acts,
chapter
137,
section
14,
22
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
23
For
the
state
supplementary
assistance
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,997,187
25
11,897,187
26
AUTISM
SUPPORT
PROGRAM
FUND
FY
2015-2016
27
Sec.
39.
2015
Iowa
Acts,
chapter
137,
section
13,
28
subsection
5,
unnumbered
paragraph
1,
is
amended
to
29
read
as
follows:
30
Of
the
funds
appropriated
in
this
section,
31
$2,000,000
shall
be
credited
to
the
autism
support
32
program
fund
created
in
section
225D.2
to
be
used
for
33
the
autism
support
program
created
in
chapter
225D
,
34
with
the
exception
of
the
following
amounts
of
this
35
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86/
160
allocation
which
shall
be
used
as
follows:
1
CHILD
CARE
ASSISTANCE
FY
2015-2016
2
Sec.
40.
2015
Iowa
Acts,
chapter
137,
section
16,
3
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
4
For
child
care
programs:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
51,408,668
6
41,408,668
7
Sec.
41.
2015
Iowa
Acts,
chapter
137,
section
16,
8
subsection
1,
is
amended
to
read
as
follows:
9
1.
Of
the
funds
appropriated
in
this
section,
10
$43,689,241
$33,689,241
shall
be
used
for
state
child
11
care
assistance
in
accordance
with
section
237A.13
.
12
Sec.
42.
2015
Iowa
Acts,
chapter
137,
section
16,
13
subsection
9,
is
amended
to
read
as
follows:
14
9.
Notwithstanding
section
8.33
,
moneys
advanced
15
for
purposes
of
the
programs
developed
by
early
16
childhood
Iowa
areas,
advanced
for
purposes
of
17
wraparound
child
care,
appropriated
in
this
section
18
or
received
from
the
federal
appropriations
made
for
19
the
purposes
of
this
section
that
remain
unencumbered
20
or
unobligated
at
the
close
of
the
fiscal
year
shall
21
not
revert
to
any
fund
but
shall
remain
available
for
22
expenditure
for
the
purposes
designated
until
the
close
23
of
the
succeeding
fiscal
year.
24
NURSING
FACILITY
BUDGET
FY
2015-2016
25
Sec.
43.
2015
Iowa
Acts,
chapter
137,
section
29,
26
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
27
to
read
as
follows:
28
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
29
total
state
funding
amount
for
the
nursing
facility
30
budget
shall
not
exceed
$151,421,158
$227,131,737
.
31
Sec.
44.
EFFECTIVE
UPON
ENACTMENT.
This
division
32
of
this
Act,
being
deemed
of
immediate
importance,
33
takes
effect
upon
enactment.
34
Sec.
45.
RETROACTIVE
APPLICABILITY.
This
division
35
-87-
HF2460.3523
(9)
86
pf/rn
87/
160
of
this
Act
is
retroactively
applicable
to
July
1,
1
2015.
2
DIVISION
IX
3
DECATEGORIZATION
4
Sec.
46.
DECATEGORIZATION
CARRYOVER
FUNDING
——
5
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
6
232.188,
subsection
5,
paragraph
“b”,
any
state
7
appropriated
moneys
in
the
funding
pool
that
remained
8
unencumbered
or
unobligated
at
the
close
of
the
fiscal
9
year
beginning
July
1,
2013,
and
were
deemed
carryover
10
funding
to
remain
available
for
the
two
succeeding
11
fiscal
years
that
still
remain
unencumbered
or
12
unobligated
at
the
close
of
the
fiscal
year
beginning
13
July
1,
2015,
shall
not
revert
but
shall
be
transferred
14
to
the
medical
assistance
program
for
the
fiscal
year
15
beginning
July
1,
2015.
16
Sec.
47.
EFFECTIVE
UPON
ENACTMENT.
This
division
17
of
this
Act,
being
deemed
of
immediate
importance,
18
takes
effect
upon
enactment.
19
Sec.
48.
RETROACTIVE
APPLICABILITY.
This
division
20
of
this
Act
is
retroactively
applicable
to
July
1,
21
2015.
22
DIVISION
X
23
CODE
CHANGES
24
LOCAL
OFFICES
OF
SUBSTITUTE
DECISION
MAKER
25
Sec.
49.
Section
231E.4,
subsection
3,
paragraph
a,
26
Code
2016,
is
amended
to
read
as
follows:
27
a.
Select
persons
through
a
request
for
proposals
28
process
to
establish
local
offices
of
substitute
29
decision
maker
in
each
of
the
planning
and
service
30
areas.
Local
offices
shall
be
established
statewide
on
31
or
before
July
1,
2017
2018
.
32
INSTITUTIONS
FOR
PERSONS
WITH
AN
INTELLECTUAL
33
DISABILITY
——
ASSESSMENT
34
Sec.
50.
Section
222.60A,
Code
2016,
is
amended
to
35
-88-
HF2460.3523
(9)
86
pf/rn
88/
160
read
as
follows:
1
222.60A
Cost
of
assessment.
2
Notwithstanding
any
provision
of
this
chapter
to
the
3
contrary,
any
amount
attributable
to
any
fee
assessed
4
assessment
pursuant
to
section
249A.21
that
would
5
otherwise
be
the
liability
of
any
county
shall
be
paid
6
by
the
state.
The
department
may
transfer
funds
from
7
the
appropriation
for
medical
assistance
to
pay
any
8
amount
attributable
to
any
fee
assessed
assessment
9
pursuant
to
section
249A.21
that
is
a
liability
of
the
10
state.
11
Sec.
51.
Section
249A.12,
subsection
3,
paragraph
12
c,
Code
2016,
is
amended
to
read
as
follows:
13
c.
Effective
February
1,
2002,
the
The
state
shall
14
be
responsible
for
all
of
the
nonfederal
share
of
the
15
costs
of
intermediate
care
facility
for
persons
with
16
an
intellectual
disability
services
provided
under
17
medical
assistance
attributable
to
the
assessment
fee
18
for
intermediate
care
facilities
for
individuals
with
19
an
intellectual
disability
imposed
pursuant
to
section
20
249A.21
.
Effective
February
1,
2003,
a
A
county
is
not
21
required
to
reimburse
the
department
and
shall
not
be
22
billed
for
the
nonfederal
share
of
the
costs
of
such
23
services
attributable
to
the
assessment
fee
.
24
Sec.
52.
Section
249A.21,
Code
2016,
is
amended
to
25
read
as
follows:
26
249A.21
Intermediate
care
facilities
for
persons
27
with
an
intellectual
disability
——
assessment.
28
1.
The
department
may
assess
An
intermediate
care
29
facilities
facility
for
persons
with
an
intellectual
30
disability,
as
defined
in
section
135C.1
,
a
fee
in
31
shall
be
assessed
an
amount
for
the
preceding
calendar
32
quarter,
not
to
exceed
six
percent
of
the
total
annual
33
revenue
of
the
facility
for
the
preceding
fiscal
year.
34
2.
The
assessment
shall
be
paid
by
each
35
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pf/rn
89/
160
intermediate
care
facility
for
persons
with
an
1
intellectual
disability
to
the
department
in
equal
2
monthly
amounts
on
or
before
the
fifteenth
day
of
each
3
month
on
a
quarterly
basis
.
The
department
may
deduct
4
the
monthly
amount
from
medical
assistance
payments
5
to
a
facility
described
in
subsection
1
.
The
amount
6
deducted
from
payments
shall
not
exceed
the
total
7
amount
of
the
assessments
due
An
intermediate
care
8
facility
for
persons
with
an
intellectual
disability
9
shall
submit
the
assessment
amount
no
later
than
thirty
10
days
following
the
end
of
each
calendar
quarter
.
11
3.
Revenue
from
the
assessments
shall
be
credited
12
The
department
shall
collect
the
assessment
imposed
13
and
shall
credit
all
revenues
collected
to
the
state
14
medical
assistance
appropriation.
This
revenue
may
15
be
used
only
for
services
for
which
federal
financial
16
participation
under
the
medical
assistance
program
is
17
available
to
match
state
funds.
18
4.
If
the
department
determines
that
an
19
intermediate
care
facility
for
persons
with
an
20
intellectual
disability
has
underpaid
or
overpaid
21
the
assessment,
the
department
shall
notify
the
22
intermediate
care
facility
for
persons
with
an
23
intellectual
disability
of
the
amount
of
the
unpaid
24
assessment
or
refund
due.
Such
payment
or
refund
shall
25
be
due
or
refunded
within
thirty
days
of
the
issuance
26
of
the
notice.
27
5.
An
intermediate
care
facility
for
persons
28
with
an
intellectual
disability
that
fails
to
pay
the
29
assessment
within
the
time
frame
specified
in
this
30
section
shall
pay,
in
addition
to
the
outstanding
31
assessment,
a
penalty
in
the
amount
of
one
and
32
five-tenths
percent
of
the
assessment
amount
owed
for
33
each
month
or
portion
of
each
month
the
payment
is
34
overdue.
However,
if
the
department
determines
that
35
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HF2460.3523
(9)
86
pf/rn
90/
160
good
cause
is
shown
for
failure
to
comply
with
payment
1
of
the
assessment,
the
department
shall
waive
the
2
penalty
or
a
portion
of
the
penalty.
3
6.
If
an
assessment
has
not
been
received
by
the
4
department
by
the
last
day
of
the
third
month
after
the
5
payment
is
due,
the
department
shall
suspend
payment
6
due
the
intermediate
care
facility
for
persons
with
an
7
intellectual
disability
under
the
medical
assistance
8
program
including
payments
made
on
behalf
of
the
9
medical
assistance
program
by
a
Medicaid
managed
care
10
contractor.
11
7.
The
assessment
imposed
under
this
section
12
constitutes
a
debt
due
and
owing
the
state
and
may
be
13
collected
by
civil
action,
including
but
not
limited
to
14
the
filing
of
tax
liens,
and
any
other
method
provided
15
for
by
law.
16
8.
If
federal
financial
participation
to
match
the
17
assessments
made
under
subsection
1
becomes
unavailable
18
under
federal
law,
the
department
shall
terminate
the
19
imposing
of
the
assessments
beginning
on
the
date
that
20
the
federal
statutory,
regulatory,
or
interpretive
21
change
takes
effect.
22
5.
9.
The
department
of
human
services
may
procure
23
a
sole
source
contract
to
implement
the
provisions
of
24
this
section
.
25
6.
10.
The
department
may
adopt
administrative
26
rules
under
section
17A.4,
subsection
3
,
and
section
27
17A.5,
subsection
2
,
paragraph
“b”
,
to
implement
this
28
section
,
and
any
fee
assessed
pursuant
to
this
section
29
against
an
intermediate
care
facility
for
persons
with
30
an
intellectual
disability
that
is
operated
by
the
31
state
may
be
made
retroactive
to
October
1,
2003
.
32
DIVISION
XI
33
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
34
Sec.
53.
Section
249M.5,
Code
2016,
is
amended
to
35
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HF2460.3523
(9)
86
pf/rn
91/
160
read
as
follows:
1
249M.5
Future
repeal.
2
This
chapter
is
repealed
June
30,
2016
July
1,
2017
.
3
Sec.
54.
REVIEW
OF
ALTERNATIVE
ASSESSMENT
4
METHODOLOGY.
The
department
of
human
services
shall
5
explore
alternative
hospital
health
care
access
6
assessment
methodologies
and
shall
make
recommendations
7
to
the
governor
and
the
general
assembly
by
December
8
15,
2016,
regarding
continuation
of
the
hospital
9
health
care
access
assessment
program
beyond
July
1,
10
2017,
and
an
alternative
assessment
methodology.
Any
11
continuation
of
the
program
and
assessment
methodology
12
shall
meet
all
of
the
following
guidelines:
13
1.
All
funds
generated
by
the
assessment
shall
14
be
returned
to
participating
hospitals
in
the
form
of
15
higher
Medicaid
payments.
16
2.
Continuation
of
the
program
and
any
new
17
assessment
methodology
shall
be
subject
to
any
required
18
federal
approval.
19
3.
Any
new
assessment
methodology
shall
minimize
20
the
negative
financial
impact
on
participating
21
hospitals
to
the
greatest
extent
possible.
22
4.
Any
new
assessment
methodology
shall
result
in
23
at
least
the
same
if
not
a
greater
aggregate
financial
24
benefit
to
participating
hospitals
compared
with
the
25
benefit
existing
under
the
program
prior
to
July
1,
26
2016.
27
5.
Only
participating
hospitals
subject
to
28
imposition
of
the
assessment
shall
receive
a
financial
29
return
from
the
program.
30
6.
Any
continuation
of
the
program
shall
include
a
31
means
of
tracking
the
financial
return
to
individual
32
participating
hospitals.
33
7.
Any
quality
metrics
utilized
by
the
program,
34
if
continued,
shall
align
with
similar
metrics
being
35
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160
used
under
Medicare
and
the
state
innovation
model
1
initiative
process.
2
8.
Any
new
assessment
methodology
shall
incorporate
3
a
recognition
of
the
increased
costs
attributable
to
4
care
and
services
such
as
inpatient
psychiatric
care,
5
rehabilitation
services,
and
neonatal
intensive
care
6
units.
7
9.
Any
continuation
of
the
program
shall
include
8
oversight
and
review
by
the
hospital
health
care
9
access
trust
fund
board
created
in
section
249M.4
10
and
representatives
of
participating
hospitals
to
11
ensure
appropriate
administration
and
to
provide
12
recommendations
for
future
modifications.
13
Sec.
55.
EFFECTIVE
UPON
ENACTMENT.
This
division
14
of
this
Act,
being
deemed
of
immediate
importance,
15
takes
effect
upon
enactment.
16
Sec.
56.
RETROACTIVE
APPLICABILITY.
The
section
of
17
this
division
of
this
Act
amending
section
249M.5,
Code
18
2016,
is
retroactively
applicable
to
June
30,
2016.
19
DIVISION
XII
20
AUTISM
SUPPORT
PROGRAM
21
Sec.
57.
Section
135.181,
subsections
1
and
2,
Code
22
2016,
are
amended
to
read
as
follows:
23
1.
The
department
shall
establish
a
board-certified
24
behavior
analyst
and
board-certified
assistant
behavior
25
analyst
grants
program
to
provide
grants
to
Iowa
26
resident
and
nonresident
applicants
who
have
been
27
accepted
for
admission
or
are
attending
a
board
of
28
regents
university,
community
college,
or
an
accredited
29
private
institution,
within
or
outside
the
state
of
30
Iowa,
are
enrolled
in
a
program
that
is
accredited
and
31
meets
coursework
requirements
to
prepare
the
applicant
32
to
be
eligible
for
board
certification
as
a
behavior
33
analyst
or
assistant
behavior
analyst,
and
demonstrate
34
financial
need.
Priority
in
the
awarding
of
a
grant
35
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86
pf/rn
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160
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.
The
applicant
8
shall
agree
to
practice
in
the
state
of
Iowa
for
a
9
period
of
time,
not
to
exceed
four
years,
as
specified
10
in
the
contract
entered
into
between
the
applicant
and
11
the
department
at
the
time
the
grant
is
awarded.
In
12
addition,
the
applicant
shall
agree,
as
specified
in
13
the
contract,
that
during
the
contract
period,
the
14
applicant
will
assist
in
supervising
an
individual
15
working
toward
board
certification
as
a
behavior
16
analyst
or
assistant
behavior
analyst
or
to
consult
17
with
schools
and
service
providers
that
provide
18
services
and
supports
to
individuals
with
autism.
19
b.
The
application
process
for
the
grant.
20
c.
Criteria
for
preference
in
awarding
of
the
21
grants.
Priority
in
the
awarding
of
a
grant
shall
be
22
given
to
applicants
who
are
residents
of
Iowa.
23
d.
Determination
of
the
amount
of
a
grant.
The
24
amount
of
funding
awarded
to
each
applicant
shall
be
25
based
on
the
applicant’s
enrollment
status,
the
number
26
of
applicants,
and
the
total
amount
of
available
funds.
27
The
total
amount
of
funds
awarded
to
an
individual
28
applicant
shall
not
exceed
fifty
percent
of
the
29
total
costs
attributable
to
program
tuition
and
fees,
30
annually.
31
e.
Use
of
the
funds
awarded.
Funds
awarded
may
be
32
used
to
offset
the
costs
attributable
to
tuition
and
33
fees
for
the
accredited
behavior
analyst
or
assistant
34
behavior
analyst
program.
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Sec.
58.
Section
135.181,
Code
2016,
is
amended
by
1
adding
the
following
new
subsection:
2
NEW
SUBSECTION
.
4.
The
department
shall
submit
3
a
report
to
the
governor
and
the
general
assembly
no
4
later
than
January
1,
annually,
that
includes
but
is
5
not
limited
to
all
of
the
following:
6
a.
The
number
of
applications
received
for
the
7
immediately
preceding
fiscal
year.
8
b.
The
number
of
applications
approved
and
the
9
total
amount
of
funding
awarded
in
grants
in
the
10
immediately
preceding
fiscal
year.
11
c.
The
cost
of
administering
the
program
in
the
12
immediately
preceding
fiscal
year.
13
d.
Recommendations
for
any
changes
to
the
program.
14
Sec.
59.
Section
225D.1,
subsection
8,
Code
2016,
15
is
amended
to
read
as
follows:
16
8.
“Eligible
individual”
means
a
child
less
than
17
nine
fourteen
years
of
age
who
has
been
diagnosed
with
18
autism
based
on
a
diagnostic
assessment
of
autism,
19
is
not
otherwise
eligible
for
coverage
for
applied
20
behavioral
analysis
treatment
under
the
medical
21
assistance
program,
section
514C.28
,
or
private
22
insurance
coverage,
and
whose
household
income
does
not
23
exceed
four
five
hundred
percent
of
the
federal
poverty
24
level.
25
Sec.
60.
Section
225D.2,
subsection
2,
paragraphs
c
26
and
d,
Code
2016,
are
amended
to
read
as
follows:
27
c.
Notwithstanding
the
age
limitation
for
an
28
eligible
individual,
a
provision
that
if
an
eligible
29
individual
reaches
nine
fourteen
years
of
age
prior
to
30
completion
of
the
maximum
applied
behavioral
analysis
31
treatment
period
specified
in
paragraph
“b”
,
the
32
individual
may
complete
such
treatment
in
accordance
33
with
the
individual’s
treatment
plan,
not
to
exceed
the
34
maximum
treatment
period.
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d.
A
graduated
schedule
for
cost-sharing
by
an
1
eligible
individual
based
on
a
percentage
of
the
total
2
benefit
amount
expended
for
the
eligible
individual,
3
annually.
Cost-sharing
shall
be
applicable
to
4
eligible
individuals
with
household
incomes
at
or
5
above
two
hundred
percent
of
the
federal
poverty
level
6
in
incrementally
increased
amounts
up
to
a
maximum
7
of
ten
fifteen
percent.
The
rules
shall
provide
8
a
financial
hardship
exemption
from
payment
of
the
9
cost-sharing
based
on
criteria
established
by
rule
of
10
the
department.
11
Sec.
61.
AUTISM
SUPPORT
FUND
——
TRANSFER.
12
Notwithstanding
section
225D.2,
moneys
credited
to
13
the
autism
support
fund
that
remain
unexpended
or
14
unobligated
at
the
close
of
the
fiscal
year
beginning
15
July
1,
2015,
shall
be
transferred
to
the
appropriation
16
in
this
Act
for
medical
contracts
to
be
used
for
the
17
purpose
of
that
appropriation
for
the
succeeding
fiscal
18
year.
19
Sec.
62.
EFFECTIVE
DATE.
The
section
of
this
20
division
of
this
Act
providing
for
transfer
of
moneys
21
in
the
autism
support
fund
that
remain
unexpended
or
22
unobligated
at
the
close
of
the
fiscal
year
beginning
23
July
1,
2015,
being
deemed
of
immediate
importance,
24
takes
effect
upon
enactment.
25
Sec.
63.
RETROACTIVE
APPLICABILITY.
The
section
26
of
this
division
of
this
Act
providing
for
transfer
27
of
moneys
in
the
autism
support
fund
that
remain
28
unexpended
or
unobligated
at
the
close
of
the
29
fiscal
year
beginning
July
1,
2015,
is
retroactively
30
applicable
to
July
1,
2015.
31
DIVISION
XIII
32
MEDICAID
MANAGED
CARE
OVERSIGHT
33
HEALTH
POLICY
OVERSIGHT
COMMITTEE
34
Sec.
64.
Section
2.45,
subsection
6,
Code
2016,
is
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amended
to
read
as
follows:
1
6.
The
legislative
health
policy
oversight
2
committee,
which
shall
be
composed
of
ten
members
of
3
the
general
assembly,
consisting
of
five
members
from
4
each
house,
to
be
appointed
by
the
legislative
council.
5
The
legislative
health
policy
oversight
committee
6
shall
receive
updates
and
review
data,
public
input
and
7
concerns,
and
make
recommendations
for
improvements
to
8
and
changes
in
law
or
rule
regarding
Medicaid
managed
9
care
meet
at
least
four
times
annually
to
evaluate
10
state
health
policy
and
provide
continuing
oversight
11
for
publicly
funded
programs,
including
but
not
limited
12
to
all
facets
of
the
Medicaid
and
hawk-i
programs
13
to,
at
a
minimum,
ensure
effective
and
efficient
14
administration
of
these
programs,
address
stakeholder
15
concerns,
monitor
program
costs
and
expenditures,
and
16
make
recommendations
relative
to
the
programs
.
17
Sec.
65.
HEALTH
POLICY
OVERSIGHT
COMMITTEE
18
——
SUBJECT
MATTER
REVIEW
FOR
2016
LEGISLATIVE
19
INTERIM.
During
the
2016
legislative
interim,
the
20
health
policy
oversight
committee
created
in
section
21
2.45
shall,
as
part
of
the
committee’s
evaluation
22
of
state
health
policy
and
review
of
all
facets
of
23
the
Medicaid
and
hawk-i
programs,
review
and
make
24
recommendations
regarding,
at
a
minimum,
all
of
the
25
following:
26
1.
The
resources
and
duties
of
the
office
of
27
long-term
care
ombudsman
relating
to
the
provision
of
28
assistance
to
and
advocacy
for
Medicaid
recipients
29
to
determine
the
designation
of
duties
and
level
of
30
resources
necessary
to
appropriately
address
the
needs
31
of
such
individuals.
The
committee
shall
consider
the
32
health
consumer
ombudsman
alliance
report
submitted
to
33
the
general
assembly
in
December
2015,
as
well
as
input
34
from
the
office
of
long-term
care
ombudsman
and
other
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entities
in
making
recommendations.
1
2.
The
health
benefits
and
health
benefit
2
utilization
management
criteria
for
the
Medicaid
3
and
hawk-i
programs
to
determine
the
sufficiency
4
and
appropriateness
of
the
benefits
offered
and
the
5
utilization
of
these
benefits.
6
3.
Prior
authorization
requirements
relative
7
to
benefits
provided
under
the
Medicaid
and
hawk-i
8
programs,
including
but
not
limited
to
pharmacy
9
benefits.
10
4.
Consistency
and
uniformity
in
processes,
11
procedures,
forms,
and
other
activities
across
all
12
Medicaid
and
hawk-i
program
participating
insurers
and
13
managed
care
organizations,
including
but
not
limited
14
to
cost
and
quality
reporting,
credentialing,
billing,
15
prior
authorization,
and
critical
incident
reporting.
16
5.
Provider
network
adequacy
including
the
use
of
17
out-of-network
and
out-of-state
providers.
18
6.
The
role
and
interplay
of
other
advisory
and
19
oversight
entities,
including
but
not
limited
to
the
20
medical
assistance
advisory
council
and
the
hawk-i
21
board.
22
REVIEW
OF
PROGRAM
INTEGRITY
DUTIES
23
Sec.
66.
REVIEW
OF
PROGRAM
INTEGRITY
DUTIES
——
24
WORKGROUP
——
REPORT.
25
1.
The
director
of
human
services
shall
convene
26
a
workgroup
comprised
of
members
including
the
27
commissioner
of
insurance,
the
auditor
of
state,
the
28
Medicaid
director
and
bureau
chiefs
of
the
managed
care
29
organization
oversight
and
supports
bureau,
the
Iowa
30
Medicaid
enterprise
support
bureau,
and
the
medical
31
and
long-term
services
and
supports
bureau,
and
a
32
representative
of
the
program
integrity
unit,
or
their
33
designees;
and
representatives
of
other
appropriate
34
state
agencies
or
other
entities
including
but
not
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limited
to
the
office
of
the
attorney
general,
the
1
office
of
long-term
care
ombudsman,
and
the
Medicaid
2
fraud
control
unit
of
the
investigations
division
3
of
the
department
of
inspections
and
appeals.
The
4
workgroup
shall
do
all
of
the
following:
5
a.
Review
the
duties
of
each
entity
with
6
responsibilities
relative
to
Medicaid
program
integrity
7
and
managed
care
organizations;
review
state
and
8
federal
laws,
regulations,
requirements,
guidance,
and
9
policies
relating
to
Medicaid
program
integrity
and
10
managed
care
organizations;
and
review
the
laws
of
11
other
states
relating
to
Medicaid
program
integrity
12
and
managed
care
organizations.
The
workgroup
shall
13
determine
areas
of
duplication,
fragmentation,
14
and
gaps;
shall
identify
possible
integration,
15
collaboration
and
coordination
of
duties;
and
shall
16
determine
whether
existing
general
state
Medicaid
17
program
and
fee-for-service
policies,
laws,
and
18
rules
are
sufficient,
or
if
changes
or
more
specific
19
policies,
laws,
and
rules
are
required
to
provide
20
for
comprehensive
and
effective
administration
and
21
oversight
of
the
Medicaid
program
including
under
the
22
fee-for-service
and
managed
care
methodologies.
23
b.
Review
historical
uses
of
the
Medicaid
24
fraud
fund
created
in
section
249A.50
and
make
25
recommendations
for
future
uses
of
the
moneys
in
the
26
fund
and
any
changes
in
law
necessary
to
adequately
27
address
program
integrity.
28
c.
Review
medical
loss
ratio
provisions
relative
29
to
Medicaid
managed
care
contracts
and
make
30
recommendations
regarding,
at
a
minimum,
requirements
31
for
the
necessary
collection,
maintenance,
retention,
32
reporting,
and
sharing
of
data
and
information
by
33
Medicaid
managed
care
organizations
for
effective
34
determination
of
compliance,
and
to
identify
the
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costs
and
activities
that
should
be
included
in
the
1
calculation
of
administrative
costs,
medical
costs
or
2
benefit
expenses,
health
quality
improvement
costs,
3
and
other
costs
and
activities
incidental
to
the
4
determination
of
a
medical
loss
ratio.
5
d.
Review
the
capacity
of
state
agencies,
including
6
the
need
for
specialized
training
and
expertise,
to
7
address
Medicaid
and
managed
care
organization
program
8
integrity
and
provide
recommendations
for
the
provision
9
of
necessary
resources
and
infrastructure,
including
10
annual
budget
projections.
11
e.
Review
the
incentives
and
penalties
applicable
12
to
violations
of
program
integrity
requirements
to
13
determine
their
adequacy
in
combating
waste,
fraud,
14
abuse,
and
other
violations
that
divert
limited
15
resources
that
would
otherwise
be
expended
to
safeguard
16
the
health
and
welfare
of
Medicaid
recipients,
and
make
17
recommendations
for
necessary
adjustments
to
improve
18
compliance.
19
f.
Make
recommendations
regarding
the
quarterly
and
20
annual
auditing
of
financial
reports
required
to
be
21
performed
for
each
Medicaid
managed
care
organization
22
to
ensure
that
the
activities
audited
provide
23
sufficient
information
to
the
division
of
insurance
24
of
the
department
of
commerce
and
the
department
25
of
human
services
to
ensure
program
integrity.
The
26
recommendations
shall
also
address
the
need
for
27
additional
audits
or
other
reviews
of
managed
care
28
organizations.
29
g.
Review
and
make
recommendations
to
prohibit
30
cost-shifting
between
state
and
local
and
public
and
31
private
funding
sources
for
services
and
supports
32
provided
to
Medicaid
recipients
whether
directly
or
33
indirectly
through
the
Medicaid
program.
34
2.
The
department
of
human
services
shall
submit
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a
report
of
the
workgroup
to
the
governor,
the
health
1
policy
oversight
committee
created
in
section
2.45,
2
and
the
general
assembly
initially,
on
or
before
3
November
15,
2016,
and
on
or
before
November
15,
4
on
an
annual
basis
thereafter,
to
provide
findings
5
and
recommendations
for
a
coordinated
approach
6
to
comprehensive
and
effective
administration
and
7
oversight
of
the
Medicaid
program
including
under
the
8
fee-for-service
and
managed
care
methodologies.
9
MEDICAID
OMBUDSMAN
10
Sec.
67.
Section
231.44,
Code
2016,
is
amended
to
11
read
as
follows:
12
231.44
Utilization
of
resources
——
assistance
and
13
advocacy
related
to
long-term
services
and
supports
14
under
the
Medicaid
program.
15
1.
The
office
of
long-term
care
ombudsman
may
16
shall
utilize
its
available
resources
to
provide
17
assistance
and
advocacy
services
to
eligible
recipients
18
of
long-term
services
and
supports
,
or
individuals
19
seeking
long-term
services
and
supports,
and
the
20
families
or
legal
representatives
of
such
eligible
21
recipients,
of
long-term
services
and
supports
provided
22
through
individuals
under
the
Medicaid
program.
Such
23
assistance
and
advocacy
shall
include
but
is
not
24
limited
to
all
of
the
following:
25
a.
Assisting
recipients
such
individuals
in
26
understanding
the
services,
coverage,
and
access
27
provisions
and
their
rights
under
Medicaid
managed
28
care.
29
b.
Developing
procedures
for
the
tracking
and
30
reporting
of
the
outcomes
of
individual
requests
for
31
assistance,
the
obtaining
of
necessary
services
and
32
supports,
and
other
aspects
of
the
services
provided
to
33
eligible
recipients
such
individuals
.
34
c.
Providing
advice
and
assistance
relating
to
the
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preparation
and
filing
of
complaints,
grievances,
and
1
appeals
of
complaints
or
grievances,
including
through
2
processes
available
under
managed
care
plans
and
the
3
state
appeals
process,
relating
to
long-term
services
4
and
supports
under
the
Medicaid
program.
5
d.
Accessing
the
results
of
a
review
of
a
level
6
of
care
assessment
or
reassessment
by
a
managed
care
7
organization
in
which
the
managed
care
organization
8
recommends
denial
or
limited
authorization
of
a
9
service,
including
the
type
or
level
of
service,
the
10
reduction,
suspension,
or
termination
of
a
previously
11
authorized
service,
or
a
change
in
level
of
care,
upon
12
the
request
of
an
affected
individual.
13
e.
Receiving
notices
of
disenrollment
or
notices
14
that
would
result
in
a
change
in
level
of
care
for
15
affected
individuals,
including
involuntary
and
16
voluntary
discharges
or
transfers,
from
the
department
17
of
human
services
or
a
managed
care
organization.
18
2.
A
representative
of
the
office
of
long-term
care
19
ombudsman
providing
assistance
and
advocacy
services
20
authorized
under
this
section
for
an
individual,
21
shall
be
provided
access
to
the
individual,
and
shall
22
be
provided
access
to
the
individual’s
medical
and
23
social
records
as
authorized
by
the
individual
or
the
24
individual’s
legal
representative,
as
necessary
to
25
carry
out
the
duties
specified
in
this
section
.
26
3.
A
representative
of
the
office
of
long-term
care
27
ombudsman
providing
assistance
and
advocacy
services
28
authorized
under
this
section
for
an
individual,
shall
29
be
provided
access
to
administrative
records
related
to
30
the
provision
of
the
long-term
services
and
supports
to
31
the
individual,
as
necessary
to
carry
out
the
duties
32
specified
in
this
section
.
33
4.
The
office
of
long-term
care
ombudsman
and
34
representatives
of
the
office,
when
providing
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assistance
and
advocacy
services
under
this
section,
1
shall
be
considered
a
health
oversight
agency
as
2
defined
in
45
C.F.R.
§164.501
for
the
purposes
of
3
health
oversight
activities
as
described
in
45
C.F.R.
4
§164.512(d)
including
access
to
the
health
records
5
and
other
appropriate
information
of
an
individual,
6
including
from
the
department
of
human
services
or
7
the
applicable
Medicaid
managed
care
organization,
8
as
necessary
to
fulfill
the
duties
specified
under
9
this
section.
The
department
of
human
services,
10
in
collaboration
with
the
office
of
long-term
care
11
ombudsman,
shall
adopt
rules
to
ensure
compliance
12
by
affected
entities
with
this
subsection
and
to
13
ensure
recognition
of
the
office
of
long-term
care
14
ombudsman
as
a
duly
authorized
and
identified
agent
or
15
representative
of
the
state.
16
5.
The
department
of
human
services
and
Medicaid
17
managed
care
organizations
shall
inform
eligible
18
and
potentially
eligible
Medicaid
recipients
of
the
19
advocacy
services
and
assistance
available
through
the
20
office
of
long-term
care
ombudsman
and
shall
provide
21
contact
and
other
information
regarding
the
advocacy
22
services
and
assistance
to
eligible
and
potentially
23
eligible
Medicaid
recipients
as
directed
by
the
office
24
of
long-term
care
ombudsman.
25
6.
When
providing
assistance
and
advocacy
services
26
under
this
section,
the
office
of
long-term
care
27
ombudsman
shall
act
as
an
independent
agency,
and
the
28
office
of
long-term
care
ombudsman
and
representatives
29
of
the
office
shall
be
free
of
any
undue
influence
that
30
restrains
the
ability
of
the
office
or
the
office’s
31
representatives
from
providing
such
services
and
32
assistance.
33
7.
The
office
of
long-term
care
ombudsman
shall,
in
34
addition
to
other
duties
prescribed
and
at
a
minimum,
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do
all
of
the
following
in
the
furtherance
of
the
1
provision
of
advocacy
services
and
assistance
under
2
this
section:
3
a.
Represent
the
interests
of
eligible
and
4
potentially
eligible
Medicaid
recipients
before
5
governmental
agencies.
6
b.
Analyze,
comment
on,
and
monitor
the
development
7
and
implementation
of
federal,
state,
and
local
laws,
8
regulations,
and
other
governmental
policies
and
9
actions,
and
recommend
any
changes
in
such
laws,
10
regulations,
policies,
and
actions
as
determined
11
appropriate
by
the
office
of
long-term
care
ombudsman.
12
c.
To
maintain
transparency
and
accountability
for
13
activities
performed
under
this
section,
including
14
for
the
purposes
of
claiming
federal
financial
15
participation
for
activities
that
are
performed
to
16
assist
with
administration
of
the
Medicaid
program:
17
(1)
Have
complete
and
direct
responsibility
for
the
18
administration,
operation,
funding,
fiscal
management,
19
and
budget
related
to
such
activities,
and
directly
20
employ,
oversee,
and
supervise
all
paid
and
volunteer
21
staff
associated
with
these
activities.
22
(2)
Establish
separation-of-duties
requirements,
23
provide
limited
access
to
work
space
and
work
24
product
for
only
necessary
staff,
and
limit
access
to
25
documents
and
information
as
necessary
to
maintain
the
26
confidentiality
of
the
protected
health
information
of
27
individuals
served
under
this
section.
28
(3)
Collect
and
submit,
annually,
to
the
governor,
29
the
health
policy
oversight
committee
created
in
30
section
2.45,
and
the
general
assembly,
all
of
the
31
following
with
regard
to
those
seeking
advocacy
32
services
or
assistance
under
this
section:
33
(a)
The
number
of
contacts
by
contact
type
and
34
geographic
location.
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(b)
The
type
of
assistance
requested
including
the
1
name
of
the
managed
care
organization
involved,
if
2
applicable.
3
(c)
The
time
frame
between
the
time
of
the
initial
4
contact
and
when
an
initial
response
was
provided.
5
(d)
The
amount
of
time
from
the
initial
contact
to
6
resolution
of
the
problem
or
concern.
7
(e)
The
actions
taken
in
response
to
the
request
8
for
advocacy
or
assistance.
9
(f)
The
outcomes
of
requests
to
address
problems
or
10
concerns.
11
4.
8.
For
the
purposes
of
this
section
:
12
a.
“Institutional
setting”
includes
a
long-term
care
13
facility,
an
elder
group
home,
or
an
assisted
living
14
program.
15
b.
“Long-term
services
and
supports”
means
the
broad
16
range
of
health,
health-related,
and
personal
care
17
assistance
services
and
supports,
provided
in
both
18
institutional
settings
and
home
and
community-based
19
settings,
necessary
for
older
individuals
and
persons
20
with
disabilities
who
experience
limitations
in
their
21
capacity
for
self-care
due
to
a
physical,
cognitive,
or
22
mental
disability
or
condition.
23
Sec.
68.
NEW
SECTION
.
231.44A
Willful
interference
24
with
duties
related
to
long-term
services
and
supports
25
——
penalty.
26
Willful
interference
with
a
representative
of
the
27
office
of
long-term
care
ombudsman
in
the
performance
28
of
official
duties
in
accordance
with
section
231.44
29
is
a
violation
of
section
231.44,
subject
to
a
penalty
30
prescribed
by
rule.
The
office
of
long-term
care
31
ombudsman
shall
adopt
rules
specifying
the
amount
of
a
32
penalty
imposed,
consistent
with
the
penalties
imposed
33
under
section
231.42,
subsection
8,
and
specifying
34
procedures
for
notice
and
appeal
of
penalties
imposed.
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MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
1
Sec.
69.
Section
249A.4B,
Code
2016,
is
amended
to
2
read
as
follows:
3
249A.4B
Medical
assistance
advisory
council.
4
1.
A
medical
assistance
advisory
council
is
5
created
to
comply
with
42
C.F.R.
§431.12
based
on
6
section
1902(a)(4)
of
the
federal
Social
Security
Act
7
and
to
advise
the
director
about
health
and
medical
8
care
services
under
the
medical
assistance
Medicaid
9
program
,
participate
in
Medicaid
policy
development
10
and
program
administration,
and
provide
guidance
on
11
key
issues
related
to
the
Medicaid
program,
whether
12
administered
under
a
fee-for-service,
managed
care,
or
13
other
methodology,
including
but
not
limited
to
access
14
to
care,
quality
of
care,
and
service
delivery
.
15
a.
The
council
shall
have
the
opportunity
for
16
participation
in
policy
development
and
program
17
administration,
including
furthering
the
participation
18
of
recipients
of
the
program,
and
without
limiting
this
19
general
authority
shall
specifically
do
all
of
the
20
following:
21
(1)
Formulate,
review,
evaluate,
and
recommend
22
policies,
rules,
agency
initiatives,
and
legislation
23
pertaining
to
the
Medicaid
program.
The
council
shall
24
have
the
opportunity
to
comment
on
proposed
rules
25
prior
to
commencement
of
the
rulemaking
process
and
on
26
waivers
and
state
plan
amendment
applications.
27
(2)
Prior
to
the
annual
budget
development
process,
28
engage
in
setting
priorities,
including
consideration
29
of
the
scope
and
utilization
management
criteria
30
for
benefits,
beneficiary
eligibility,
provider
and
31
services
reimbursement
rates,
and
other
budgetary
32
issues.
33
(3)
Provide
oversight
for
and
review
of
the
34
administration
of
the
Medicaid
program.
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(4)
Ensure
that
the
membership
of
the
council
1
effectively
represents
all
relevant
and
concerned
2
viewpoints,
particularly
those
of
consumers,
providers,
3
and
the
general
public;
create
public
understanding;
4
and
ensure
that
the
services
provided
under
the
5
Medicaid
program
meet
the
needs
of
the
people
served.
6
b.
The
council
shall
meet
no
more
than
at
least
7
quarterly
,
and
prior
to
the
next
subsequent
meeting
8
of
the
executive
committee
.
The
director
of
public
9
health
The
public
member
acting
as
a
co-chairperson
10
of
the
executive
committee
and
the
professional
or
11
business
entity
member
acting
as
a
co-chairperson
of
12
the
executive
committee,
shall
serve
as
chairperson
13
co-chairpersons
of
the
council.
14
2.
The
council
shall
include
all
of
the
following
15
voting
members:
16
a.
The
president,
or
the
president’s
17
representative,
of
each
of
the
following
professional
18
or
business
entities,
or
a
member
of
each
of
the
19
following
professional
or
business
entities,
selected
20
by
the
entity:
21
(1)
The
Iowa
medical
society.
22
(2)
The
Iowa
osteopathic
medical
association.
23
(3)
The
Iowa
academy
of
family
physicians.
24
(4)
The
Iowa
chapter
of
the
American
academy
of
25
pediatrics.
26
(5)
The
Iowa
physical
therapy
association.
27
(6)
The
Iowa
dental
association.
28
(7)
The
Iowa
nurses
association.
29
(8)
The
Iowa
pharmacy
association.
30
(9)
The
Iowa
podiatric
medical
society.
31
(10)
The
Iowa
optometric
association.
32
(11)
The
Iowa
association
of
community
providers.
33
(12)
The
Iowa
psychological
association.
34
(13)
The
Iowa
psychiatric
society.
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(14)
The
Iowa
chapter
of
the
national
association
1
of
social
workers.
2
(15)
The
coalition
for
family
and
children’s
3
services
in
Iowa.
4
(16)
The
Iowa
hospital
association.
5
(17)
The
Iowa
association
of
rural
health
clinics.
6
(18)
The
Iowa
primary
care
association.
7
(19)
Free
clinics
of
Iowa.
8
(20)
The
opticians’
association
of
Iowa,
inc.
9
(21)
The
Iowa
association
of
hearing
health
10
professionals.
11
(22)
The
Iowa
speech
and
hearing
association.
12
(23)
The
Iowa
health
care
association.
13
(24)
The
Iowa
association
of
area
agencies
on
14
aging.
15
(25)
AARP.
16
(26)
The
Iowa
caregivers
association.
17
(27)
The
Iowa
coalition
of
home
and
community-based
18
services
for
seniors.
19
(28)
The
Iowa
adult
day
services
association.
20
(29)
Leading
age
Iowa.
21
(30)
The
Iowa
association
for
home
care.
22
(31)
The
Iowa
council
of
health
care
centers.
23
(32)
The
Iowa
physician
assistant
society.
24
(33)
The
Iowa
association
of
nurse
practitioners.
25
(34)
The
Iowa
nurse
practitioner
society.
26
(35)
The
Iowa
occupational
therapy
association.
27
(36)
The
ARC
of
Iowa,
formerly
known
as
the
28
association
for
retarded
citizens
of
Iowa.
29
(37)
The
national
alliance
for
the
mentally
ill
on
30
mental
illness
of
Iowa.
31
(38)
The
Iowa
state
association
of
counties.
32
(39)
The
Iowa
developmental
disabilities
council.
33
(40)
The
Iowa
chiropractic
society.
34
(41)
The
Iowa
academy
of
nutrition
and
dietetics.
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(42)
The
Iowa
behavioral
health
association.
1
(43)
The
midwest
association
for
medical
equipment
2
services
or
an
affiliated
Iowa
organization.
3
(44)
The
Iowa
public
health
association.
4
(45)
The
epilepsy
foundation.
5
(46)
The
Iowa
podiatric
medical
society.
6
(47)
The
child
and
family
policy
center.
7
(48)
Early
childhood
Iowa.
8
b.
Public
representatives
which
may
include
members
9
of
consumer
groups,
including
recipients
of
medical
10
assistance
or
their
families,
consumer
organizations,
11
and
others,
which
shall
be
appointed
by
the
governor
12
in
equal
in
number
to
the
number
of
representatives
of
13
the
professional
and
business
entities
specifically
14
represented
under
paragraph
“a”
,
appointed
by
the
15
governor
for
staggered
terms
of
two
years
each,
none
16
of
whom
shall
be
members
of,
or
practitioners
of,
or
17
have
a
pecuniary
interest
in
any
of
the
professional
18
or
business
entities
specifically
represented
under
19
paragraph
“a”
,
and
a
majority
of
whom
shall
be
current
20
or
former
recipients
of
medical
assistance
or
members
21
of
the
families
of
current
or
former
recipients.
22
3.
The
council
shall
include
all
of
the
following
23
nonvoting
members:
24
c.
a.
The
director
of
public
health,
or
the
25
director’s
designee.
26
d.
b.
The
director
of
the
department
on
aging,
or
27
the
director’s
designee.
28
c.
The
state
long-term
care
ombudsman,
or
the
29
ombudsman’s
designee.
30
d.
The
ombudsman
appointed
pursuant
to
section
31
2C.3,
or
the
ombudsman’s
designee.
32
e.
The
dean
of
Des
Moines
university
——
osteopathic
33
medical
center,
or
the
dean’s
designee.
34
f.
The
dean
of
the
university
of
Iowa
college
of
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medicine,
or
the
dean’s
designee.
1
g.
The
following
members
of
the
general
assembly,
2
each
for
a
term
of
two
years
as
provided
in
section
3
69.16B
:
4
(1)
Two
members
of
the
house
of
representatives,
5
one
appointed
by
the
speaker
of
the
house
of
6
representatives
and
one
appointed
by
the
minority
7
leader
of
the
house
of
representatives
from
their
8
respective
parties.
9
(2)
Two
members
of
the
senate,
one
appointed
by
the
10
president
of
the
senate
after
consultation
with
the
11
majority
leader
of
the
senate
and
one
appointed
by
the
12
minority
leader
of
the
senate.
13
3.
4.
a.
An
executive
committee
of
the
council
is
14
created
and
shall
consist
of
the
following
members
of
15
the
council:
16
(1)
As
voting
members:
17
(a)
Five
of
the
professional
or
business
entity
18
members
designated
pursuant
to
subsection
2
,
paragraph
19
“a”
,
and
selected
by
the
members
specified
under
that
20
paragraph.
21
(2)
(b)
Five
of
the
public
members
appointed
22
pursuant
to
subsection
2
,
paragraph
“b”
,
and
selected
23
by
the
members
specified
under
that
paragraph.
Of
the
24
five
public
members,
at
least
one
member
shall
be
a
25
recipient
of
medical
assistance.
26
(3)
(2)
As
nonvoting
members:
27
(a)
The
director
of
public
health,
or
the
28
director’s
designee.
29
(b)
The
director
of
the
department
on
aging,
or
the
30
director’s
designee.
31
(c)
The
state
long-term
care
ombudsman,
or
the
32
ombudsman’s
designee.
33
(d)
The
ombudsman
appointed
pursuant
to
section
34
2C.3,
or
the
ombudsman’s
designee.
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b.
The
executive
committee
shall
meet
on
a
monthly
1
basis.
The
director
of
public
health
A
public
member
2
of
the
executive
committee
selected
by
the
public
3
members
appointed
pursuant
to
subsection
2,
paragraph
4
“b”
,
and
a
professional
or
business
entity
member
of
5
the
executive
committee
selected
by
the
professional
6
or
business
entity
members
appointed
pursuant
to
7
subsection
2,
paragraph
“a”
,
shall
serve
as
chairperson
8
co-chairpersons
of
the
executive
committee.
9
c.
Based
upon
the
deliberations
of
the
council
and
10
the
executive
committee,
the
council
and
the
executive
11
committee
,
respectively,
shall
make
recommendations
to
12
the
director
,
to
the
health
policy
oversight
committee
13
created
in
section
2.45,
to
the
general
assembly’s
14
joint
appropriations
subcommittee
on
health
and
human
15
services,
and
to
the
general
assembly’s
standing
16
committees
on
human
resources
regarding
the
budget,
17
policy,
and
administration
of
the
medical
assistance
18
program.
19
5.
The
council
shall
review
Medicaid
program
20
policies,
administration,
budget,
and
other
factors
21
and
issues
including
but
not
limited
to
stakeholder
22
safeguards;
long-term
services
and
supports;
23
transparency,
data,
and
program
evaluation;
program
24
integrity;
and
the
health
workforce.
25
4.
6.
For
each
council
meeting
or
executive
26
committee
meeting,
a
quorum
shall
consist
of
fifty
27
percent
of
the
membership
qualified
to
vote.
Where
a
28
quorum
is
present,
a
position
is
carried
by
a
majority
29
of
the
members
qualified
to
vote.
30
7.
For
each
council
meeting,
other
than
those
31
held
during
the
time
the
general
assembly
is
in
32
session,
each
legislative
member
of
the
council
shall
33
be
reimbursed
for
actual
travel
and
other
necessary
34
expenses
and
shall
receive
a
per
diem
as
specified
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in
section
7E.6
for
each
day
in
attendance,
as
shall
1
the
members
of
the
council
or
the
executive
committee
,
2
for
each
day
in
attendance
at
a
council
or
executive
3
committee
meeting,
who
are
recipients
or
the
family
4
members
of
recipients
of
medical
assistance,
regardless
5
of
whether
the
general
assembly
is
in
session.
6
5.
8.
The
department
shall
provide
staff
support
7
and
independent
technical
assistance
to
the
council
and
8
the
executive
committee.
9
6.
9.
The
director
shall
consider
comply
with
the
10
requirements
of
this
section
regarding
the
duties
of
11
the
council,
and
the
deliberations
and
recommendations
12
offered
by
of
the
council
and
the
executive
committee
13
shall
be
reflected
in
the
director’s
preparation
of
14
medical
assistance
budget
recommendations
to
the
15
council
on
human
services
pursuant
to
section
217.3
,
16
and
in
implementation
of
medical
assistance
program
17
policies
,
and
in
administration
of
the
Medicaid
18
program
.
19
10.
The
council
and
executive
committee
shall
20
jointly
submit
quarterly
reports
to
the
health
policy
21
oversight
committee
created
in
section
2.45
and
shall
22
jointly
submit
a
report
to
the
governor
and
the
general
23
assembly
initially
by
January
1,
2017,
and
annually,
24
therefore,
summarizing
the
outcomes
and
findings
of
25
their
respective
deliberations
and
any
recommendations
26
including
but
not
limited
to
those
for
changes
in
law
27
or
policy.
28
11.
The
council
and
executive
committee
may
enlist
29
the
services
of
persons
who
are
qualified
by
education,
30
expertise,
or
experience
to
advise,
consult
with,
or
31
otherwise
assist
the
council
or
executive
committee
32
in
the
performance
of
their
duties.
The
council
33
or
executive
committee
may
specifically
enlist
the
34
assistance
of
entities
such
as
the
university
of
Iowa
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public
policy
center
to
provide
ongoing
evaluation
1
of
the
Medicaid
program
and
to
make
evidence-based
2
recommendations
to
improve
the
program.
The
council
3
and
the
executive
committee
shall
enlist
input
from
4
the
patient-centered
health
advisory
council
created
5
in
section
135.159,
the
mental
health
and
disabilities
6
services
commission
created
in
section
225C.5,
the
7
commission
on
aging
created
in
section
231.11,
the
8
bureau
of
substance
abuse
of
the
department
of
public
9
health,
the
Iowa
developmental
disabilities
council,
10
and
other
appropriate
state
and
local
entities
to
11
provide
advice
to
the
council
and
executive
committee.
12
12.
The
department,
in
accordance
with
42
C.F.R.
13
§431.12,
shall
seek
federal
financial
participation
14
for
the
activities
of
the
council
and
the
executive
15
committee.
16
HAWK-I
PROGRAM
17
Sec.
70.
Section
514I.5,
subsection
8,
paragraph
18
d,
Code
2016,
is
amended
by
adding
the
following
new
19
subparagraph:
20
NEW
SUBPARAGRAPH
.
(17)
Occupational
therapy.
21
Sec.
71.
Section
514I.5,
subsection
8,
Code
2016,
22
is
amended
by
adding
the
following
new
paragraph:
23
NEW
PARAGRAPH
.
m.
The
definition
of
medically
24
necessary
and
the
utilization
management
criteria
under
25
the
hawk-i
program
in
order
to
ensure
that
benefits
26
are
uniformly
and
consistently
provided
across
all
27
participating
insurers
in
the
type
and
manner
that
28
reflects
and
appropriately
meets
the
needs,
including
29
but
not
limited
to
the
habilitative
and
rehabilitative
30
needs,
of
the
child
population
including
those
children
31
with
special
health
care
needs.
32
MEDICAID
PROGRAM
POLICY
IMPROVEMENT
33
Sec.
72.
DIRECTIVES
FOR
MEDICAID
PROGRAM
POLICY
34
IMPROVEMENTS.
In
order
to
safeguard
the
interests
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of
Medicaid
recipients,
encourage
the
participation
1
of
Medicaid
providers,
and
protect
the
interests
2
of
all
taxpayers,
the
department
of
human
services
3
shall
comply
with
or
ensure
that
the
specified
entity
4
complies
with
all
of
the
following
and
shall
amend
5
Medicaid
managed
care
contract
provisions
as
necessary
6
to
reflect
all
of
the
following:
7
1.
CONSUMER
PROTECTIONS.
8
a.
In
accordance
with
42
C.F.R.
§438.420,
a
9
Medicaid
managed
care
organization
shall
continue
a
10
recipient’s
benefits
during
an
appeal
process.
If,
as
11
allowed
when
final
resolution
of
an
appeal
is
adverse
12
to
the
Medicaid
recipient,
the
Medicaid
managed
care
13
organization
chooses
to
recover
the
costs
of
the
14
services
furnished
to
the
recipient
while
an
appeal
is
15
pending,
the
Medicaid
managed
care
organization
shall
16
provide
adequate
prior
notice
of
potential
recovery
17
of
costs
to
the
recipient
at
the
time
the
appeal
is
18
filed,
and
any
costs
recovered
shall
be
remitted
to
the
19
department
of
human
services.
20
b.
Ensure
that
each
Medicaid
managed
care
21
organization
provides,
at
a
minimum,
all
the
benefits
22
and
services
deemed
medically
necessary
including
23
transportation
that
were
covered,
including
to
the
24
extent
and
in
the
same
manner
and
subject
to
the
same
25
prior
authorization
criteria,
by
the
state
program
26
directly
under
fee
for
service
prior
to
January
1,
27
2016.
Benefits
covered
through
Medicaid
managed
care
28
shall
comply
with
the
specific
requirements
in
state
29
law
applicable
to
the
respective
Medicaid
recipient
30
population
under
fee
for
service.
31
c.
Enhance
monitoring
of
the
reduction
in
or
32
suspension
or
termination
of
services
provided
to
33
Medicaid
recipients,
including
reductions
in
the
34
provision
of
home
and
community-based
services
waiver
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services
or
increases
in
home
and
community-based
1
services
waiver
waiting
lists.
Medicaid
managed
care
2
organizations
shall
provide
data
to
the
department
3
as
necessary
for
the
department
to
compile
periodic
4
reports
on
the
numbers
of
individuals
transferred
from
5
state
institutions
and
long-term
care
facilities
to
6
home
and
community-based
services,
and
the
associated
7
savings.
Any
savings
resulting
from
the
transfers
as
8
certified
by
the
department
shall
be
remitted
to
the
9
department
of
human
services.
10
d.
(1)
Require
each
Medicaid
managed
care
11
organization
to
adhere
to
reasonableness
and
service
12
authorization
standards
that
are
appropriate
for
and
13
do
not
disadvantage
those
individuals
who
have
ongoing
14
chronic
conditions
or
who
require
long-term
services
15
and
supports.
Services
and
supports
for
individuals
16
with
ongoing
chronic
conditions
or
who
require
17
long-term
services
and
supports
shall
be
authorized
in
18
a
manner
that
reflects
the
recipient’s
continuing
need
19
for
such
services
and
supports,
and
limits
shall
be
20
consistent
with
a
recipient’s
current
needs
assessment
21
and
person-centered
service
plan.
22
(2)
In
addition
to
other
provisions
relating
to
23
community-based
case
management
continuity
of
care
24
requirements,
Medicaid
managed
care
contractors
shall
25
provide
the
option
to
the
case
manager
of
a
Medicaid
26
recipient
who
retained
the
case
manager
during
the
27
six
months
of
transition
to
Medicaid
managed
care,
if
28
the
recipient
chooses
to
continue
to
retain
that
case
29
manager
beyond
the
six-month
transition
period
and
30
if
the
case
manager
is
not
otherwise
a
participating
31
provider
of
the
recipient’s
managed
care
organization
32
provider
network,
to
enter
into
a
single
case
agreement
33
to
continue
to
provide
case
management
services
to
the
34
Medicaid
recipient.
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e.
Ensure
that
Medicaid
recipients
are
provided
1
care
coordination
and
case
management
by
appropriately
2
trained
professionals
in
a
conflict-free
manner.
Care
3
coordination
and
case
management
shall
be
provided
4
in
a
patient-centered
and
family-centered
manner
5
that
requires
a
knowledge
of
community
supports,
a
6
reasonable
ratio
of
care
coordinators
and
case
managers
7
to
Medicaid
recipients,
standards
for
frequency
of
8
contact
with
the
Medicaid
recipient,
and
specific
and
9
adequate
reimbursement.
10
f.
A
Medicaid
managed
care
contract
shall
include
11
a
provision
for
continuity
and
coordination
of
care
12
for
a
consumer
transitioning
to
Medicaid
managed
care,
13
including
maintaining
existing
provider-recipient
14
relationships
and
honoring
the
amount,
duration,
and
15
scope
of
a
recipient’s
authorized
services
based
on
16
the
recipient’s
medical
history
and
needs.
In
the
17
initial
transition
to
Medicaid
managed
care,
to
ensure
18
the
least
amount
of
disruption,
Medicaid
managed
19
care
organizations
shall
provide,
at
a
minimum,
a
20
one-year
transition
of
care
period
for
all
provider
21
types,
regardless
of
network
status
with
an
individual
22
Medicaid
managed
care
organization.
23
g.
Ensure
that
a
Medicaid
managed
care
organization
24
does
not
arbitrarily
deny
coverage
for
medically
25
necessary
services
based
solely
on
financial
reasons
26
and
does
not
shift
the
responsibility
for
provision
of
27
services
or
payment
of
costs
of
services
to
another
28
entity
to
avoid
costs
or
attain
savings.
29
h.
Ensure
that
dental
coverage,
if
not
integrated
30
into
an
overall
Medicaid
managed
care
contract,
is
31
part
of
the
overall
holistic,
integrated
coverage
32
for
physical,
behavioral,
and
long-term
services
and
33
supports
provided
to
a
Medicaid
recipient.
34
i.
Require
each
Medicaid
managed
care
organization
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to
verify
the
offering
and
actual
utilization
of
1
services
and
supports
and
value-added
services,
2
an
individual
recipient’s
encounters
and
the
costs
3
associated
with
each
encounter,
and
requests
and
4
associated
approvals
or
denials
of
services.
5
Verification
of
actual
receipt
of
services
and
supports
6
and
value-added
services
shall,
at
a
minimum,
consist
7
of
comparing
receipt
of
service
against
both
what
8
was
authorized
in
the
recipient’s
benefit
or
service
9
plan
and
what
was
actually
reimbursed.
Value-added
10
services
shall
not
be
reportable
as
allowable
medical
11
or
administrative
costs
or
factored
into
rate
setting,
12
and
the
costs
of
value-added
services
shall
not
be
13
passed
on
to
recipients
or
providers.
14
j.
Provide
periodic
reports
to
the
governor
and
15
the
general
assembly
regarding
changes
in
quality
of
16
care
and
health
outcomes
for
Medicaid
recipients
under
17
managed
care
compared
to
quality
of
care
and
health
18
outcomes
of
the
same
populations
of
Medicaid
recipients
19
prior
to
January
1,
2016.
20
k.
Require
each
Medicaid
managed
care
organization
21
to
maintain
records
of
complaints,
grievances,
and
22
appeals,
and
report
the
number
and
types
of
complaints,
23
grievances,
and
appeals
filed,
the
resolution
of
each,
24
and
a
description
of
any
patterns
or
trends
identified
25
to
the
department
of
human
services
and
the
health
26
policy
oversight
committee
created
in
section
2.45,
27
on
a
monthly
basis.
The
department
shall
review
and
28
compile
the
data
on
a
quarterly
basis
and
make
the
29
compilations
available
to
the
public.
Following
review
30
of
reports
submitted
by
the
department,
a
Medicaid
31
managed
care
organization
shall
take
any
corrective
32
action
required
by
the
department
and
shall
be
subject
33
to
any
applicable
penalties.
34
l.
Require
Medicaid
managed
care
organizations
to
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survey
Medicaid
recipients,
to
collect
satisfaction
1
data
using
a
uniform
instrument,
and
to
provide
a
2
detailed
analysis
of
recipient
satisfaction
as
well
as
3
various
metrics
regarding
the
volume
of
and
timelines
4
in
responding
to
recipient
complaints
and
grievances
as
5
directed
by
the
department
of
human
services.
6
m.
Require
managed
care
organizations
to
allow
a
7
recipient
to
request
that
the
managed
care
organization
8
enter
into
a
single
case
agreement
with
a
recipient’s
9
out-of-network
provider,
including
a
provider
outside
10
of
the
state,
to
provide
for
continuity
of
care
when
11
the
recipient
has
an
existing
relationship
with
the
12
provider
to
provide
a
covered
benefit,
or
to
ensure
13
adequate
or
timely
access
to
a
provider
of
a
covered
14
benefit
when
the
managed
care
organization
provider
15
network
cannot
ensure
such
adequate
or
timely
access.
16
2.
CHILDREN.
17
a.
(1)
The
hawk-i
board
shall
retain
all
authority
18
specified
under
chapter
514I
relative
to
the
children
19
eligible
under
section
514I.8
to
participate
in
the
20
hawk-i
program,
including
but
not
limited
to
approving
21
any
contract
entered
into
pursuant
to
chapter
514I;
22
approving
the
benefit
package
design,
reviewing
the
23
benefit
package
design,
and
making
necessary
changes
24
to
reflect
the
results
of
the
reviews;
and
adopting
25
rules
for
the
hawk-i
program
including
those
related
26
to
qualifying
standards
for
selecting
participating
27
insurers
for
the
program
and
the
benefits
to
be
28
included
in
a
health
plan.
29
(2)
The
hawk-i
board
shall
review
benefit
plans
30
and
utilization
review
provisions
and
ensure
that
31
benefits
provided
to
children
under
the
hawk-i
program,
32
at
a
minimum,
reflect
those
required
by
state
law
as
33
specified
in
section
514I.5,
include
both
habilitative
34
and
rehabilitative
services,
and
are
provided
as
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medically
necessary
relative
to
the
child
population
1
served
and
based
on
the
needs
of
the
program
recipient
2
and
the
program
recipient’s
medical
history.
3
(3)
The
hawk-i
board
shall
work
with
the
department
4
of
human
services
to
coordinate
coverage
and
care
for
5
the
population
of
children
in
the
state
eligible
for
6
either
Medicaid
or
hawk-i
coverage
so
that,
to
the
7
greatest
extent
possible,
the
two
programs
provide
for
8
continuity
of
care
as
children
transition
between
the
9
two
programs
or
to
private
health
care
coverage.
To
10
this
end,
all
contracts
with
participating
insurers
11
providing
coverage
under
the
hawk-i
program
and
with
12
all
managed
care
organizations
providing
coverage
for
13
children
eligible
for
Medicaid
shall
do
all
of
the
14
following:
15
(a)
Specifically
and
appropriately
address
16
the
unique
needs
of
children
and
children’s
health
17
delivery.
18
(b)
Provide
for
the
maintaining
of
child
health
19
panels
that
include
representatives
of
child
health,
20
welfare,
policy,
and
advocacy
organizations
in
the
21
state
that
address
child
health
and
child
well-being.
22
(c)
Address
early
intervention
and
prevention
23
strategies,
the
provision
of
a
child
health
care
24
delivery
infrastructure
for
children
with
special
25
health
care
needs,
utilization
of
current
standards
26
and
guidelines
for
children’s
health
care
and
27
pediatric-specific
screening
and
assessment
tools,
28
the
inclusion
of
pediatric
specialty
providers
in
29
the
provider
network,
and
the
utilization
of
health
30
homes
for
children
and
youth
with
special
health
31
care
needs
including
intensive
care
coordination
32
and
family
support
and
access
to
a
professional
33
family-to-family
support
system.
Such
contracts
34
shall
utilize
pediatric-specific
quality
measures
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and
assessment
tools
which
shall
align
with
existing
1
pediatric-specific
measures
as
determined
in
2
consultation
with
the
child
health
panel
and
approved
3
by
the
hawk-i
board.
4
(d)
Provide
special
incentives
for
innovative
5
and
evidence-based
preventive,
behavioral,
and
6
developmental
health
care
and
mental
health
care
7
for
children’s
programs
that
improve
the
life
course
8
trajectory
of
these
children.
9
(e)
Provide
that
information
collected
from
the
10
pediatric-specific
assessments
be
used
to
identify
11
health
risks
and
social
determinants
of
health
that
12
impact
health
outcomes.
Such
data
shall
be
used
in
13
care
coordination
and
interventions
to
improve
patient
14
outcomes
and
to
drive
program
designs
that
improve
the
15
health
of
the
population.
Aggregate
assessment
data
16
shall
be
shared
with
affected
providers
on
a
routine
17
basis.
18
b.
In
order
to
monitor
the
quality
of
and
access
19
to
health
care
for
children
receiving
coverage
under
20
the
Medicaid
program,
each
Medicaid
managed
care
21
organization
shall
uniformly
report,
in
a
template
22
format
designated
by
the
department
of
human
services,
23
the
number
of
claims
submitted
by
providers
and
the
24
percentage
of
claims
approved
by
the
Medicaid
managed
25
care
organization
for
the
early
and
periodic
screening,
26
diagnostic,
and
treatment
(EPSDT)
benefit
based
27
on
the
Iowa
EPSDT
care
for
kids
health
maintenance
28
recommendations,
including
but
not
limited
to
29
physical
exams,
immunizations,
the
seven
categories
of
30
developmental
and
behavioral
screenings,
vision
and
31
hearing
screenings,
and
lead
testing.
32
3.
PROVIDER
PARTICIPATION
ENHANCEMENT.
33
a.
Ensure
that
savings
achieved
through
Medicaid
34
managed
care
does
not
come
at
the
expense
of
further
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reductions
in
provider
rates.
The
department
shall
1
ensure
that
Medicaid
managed
care
organizations
use
2
reasonable
reimbursement
standards
for
all
provider
3
types
and
compensate
providers
for
covered
services
at
4
not
less
than
the
minimum
reimbursement
established
5
by
state
law
applicable
to
fee
for
service
for
a
6
respective
provider,
service,
or
product
for
a
fiscal
7
year
and
as
determined
in
conjunction
with
actuarially
8
sound
rate
setting
procedures.
Such
reimbursement
9
shall
extend
for
the
entire
duration
of
a
managed
care
10
contract.
11
b.
To
enhance
continuity
of
care
in
the
provision
12
of
pharmacy
services,
Medicaid
managed
care
13
organizations
shall
utilize
the
same
preferred
drug
14
list,
recommended
drug
list,
prior
authorization
15
criteria,
and
other
utilization
management
strategies
16
that
apply
to
the
state
program
directly
under
fee
for
17
service
and
shall
apply
other
provisions
of
applicable
18
state
law
including
those
relating
to
chemically
unique
19
mental
health
prescription
drugs.
Reimbursement
rates
20
established
under
Medicaid
managed
care
contracts
for
21
ingredient
cost
reimbursement
and
dispensing
fees
shall
22
be
subject
to
and
shall
reflect
provisions
of
state
23
and
federal
law,
including
the
minimum
reimbursements
24
established
in
state
law
for
fee
for
service
for
a
25
fiscal
year.
26
c.
Address
rate
setting
and
reimbursement
of
the
27
entire
scope
of
services
provided
under
the
Medicaid
28
program
to
ensure
the
adequacy
of
the
provider
network
29
and
to
ensure
that
providers
that
contribute
to
the
30
holistic
health
of
the
Medicaid
recipient,
whether
31
inside
or
outside
of
the
provider
network,
are
32
compensated
for
their
services.
33
d.
Managed
care
contractors
shall
submit
financial
34
documentation
to
the
department
of
human
services
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demonstrating
payment
of
claims
and
expenses
by
1
provider
type.
2
e.
Participating
Medicaid
providers
under
a
managed
3
care
contract
shall
be
allowed
to
submit
claims
for
up
4
to
365
days
following
discharge
of
a
Medicaid
recipient
5
from
a
hospital
or
following
the
date
of
service.
6
f.
(1)
Ensure
that
a
Medicaid
managed
care
7
organization
develops
and
maintains
a
provider
network
8
of
qualified
providers
who
meet
state
licensing,
9
credentialing,
and
certification
requirements,
as
10
applicable,
which
network
shall
be
sufficient
to
11
provide
adequate
access
to
all
services
covered
12
including
transportation
and
for
all
populations
served
13
under
the
managed
care
contract.
Medicaid
managed
14
care
organizations
shall
incorporate
existing
and
15
traditional
providers,
including
but
not
limited
to
16
those
providers
that
comprise
the
Iowa
collaborative
17
safety
net
provider
network
created
in
section
135.153,
18
into
their
provider
networks.
19
(2)
Ensure
that
respective
Medicaid
populations
20
are
managed
at
all
times
within
funding
limitations
21
and
contract
terms.
The
department
shall
also
22
monitor
service
delivery
and
utilization
to
ensure
23
the
responsibility
for
provision
of
services
to
24
Medicaid
recipients
is
not
shifted
to
non-Medicaid
25
covered
services
to
attain
savings,
and
that
such
26
responsibility
is
not
shifted
to
mental
health
and
27
disability
services
regions,
local
public
health
28
agencies,
aging
and
disability
resource
centers,
29
or
other
entities
unless
agreement
to
provide,
and
30
provision
for
adequate
compensation
for,
such
services
31
is
agreed
to
between
the
affected
entities
in
advance.
32
g.
Medicaid
managed
care
organizations
shall
33
provide
an
enrolled
Medicaid
provider
approved
by
the
34
department
of
human
services
the
opportunity
to
be
a
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participating
network
provider.
1
h.
Medicaid
managed
care
organizations
shall
2
include
provider
appeals
and
grievance
procedures
3
that
in
part
allow
a
provider
to
file
a
grievance
4
independently
but
on
behalf
of
a
Medicaid
recipient
5
and
to
appeal
claims
denials
which,
if
determined
to
6
be
based
on
claims
for
medically
necessary
services
7
whether
or
not
denied
on
an
administrative
basis,
shall
8
receive
appropriate
payment.
9
i.
(1)
Medicaid
managed
care
organizations
10
shall
include
as
primary
care
providers
any
provider
11
designated
by
the
state
as
a
primary
care
provider,
12
subject
to
a
provider’s
respective
state
certification
13
standards,
including
but
not
limited
to
all
of
the
14
following:
15
(a)
A
physician
who
is
a
family
or
general
16
practitioner,
a
pediatrician,
an
internist,
an
17
obstetrician,
or
a
gynecologist.
18
(b)
An
advanced
registered
nurse
practitioner.
19
(c)
A
physician
assistant.
20
(d)
A
chiropractor
licensed
pursuant
to
chapter
21
151.
22
(2)
A
Medicaid
managed
care
organization
shall
not
23
impose
more
restrictive,
additional,
or
different
scope
24
of
practice
requirements
or
standards
of
practice
on
a
25
primary
care
provider
than
those
prescribed
by
state
26
law
as
a
prerequisite
for
participation
in
the
managed
27
care
organization’s
provider
network.
28
4.
CAPITATION
RATES
AND
MEDICAL
LOSS
RATIO.
29
a.
Capitation
rates
shall
be
developed
based
on
all
30
reasonable,
appropriate,
and
attainable
costs.
Costs
31
that
are
not
reasonable,
appropriate,
or
attainable,
32
including
but
not
limited
to
improper
payment
33
recoveries,
shall
not
be
included
in
the
development
34
of
capitated
rates.
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b.
Capitation
rates
for
Medicaid
recipients
falling
1
within
different
rate
cells
shall
not
be
expected
to
2
cross-subsidize
one
another
and
the
data
used
to
set
3
capitation
rates
shall
be
relevant
and
timely
and
tied
4
to
the
appropriate
Medicaid
population.
5
c.
Any
increase
in
capitation
rates
for
managed
6
care
contractors
is
subject
to
prior
statutory
approval
7
and
shall
not
exceed
three
percent
over
the
existing
8
capitation
rate
in
any
one-year
period
or
five
percent
9
over
the
existing
capitation
rate
in
any
two-year
10
period.
11
d.
A
managed
care
contract
shall
impose
a
minimum
12
Medicaid
loss
ratio
of
at
least
eighty-eight
percent.
13
In
calculating
the
medical
loss
ratio,
medical
costs
14
or
benefit
expenses
shall
include
only
those
costs
15
directly
related
to
patient
medical
care
and
not
16
ancillary
expenses,
including
but
not
limited
to
any
17
of
the
following:
18
(1)
Program
integrity
activities.
19
(2)
Utilization
review
activities.
20
(3)
Fraud
prevention
activities
beyond
the
scope
of
21
those
activities
necessary
to
recover
incurred
claims.
22
(4)
Provider
network
development,
education,
or
23
management
activities.
24
(5)
Provider
credentialing
activities.
25
(6)
Marketing
expenses.
26
(7)
Administrative
costs
associated
with
recipient
27
incentives.
28
(8)
Clinical
data
collection
activities.
29
(9)
Claims
adjudication
expenses.
30
(10)
Customer
service
or
health
care
professional
31
hotline
services
addressing
nonclinical
recipient
32
questions.
33
(11)
Value-added
or
cost-containment
services,
34
wellness
programs,
disease
management,
and
case
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management
or
care
coordination
programs.
1
(12)
Health
quality
improvement
activities
unless
2
specifically
approved
as
a
medical
cost
by
state
law.
3
Costs
of
health
quality
improvement
activities
included
4
in
determining
the
medical
loss
ratio
shall
be
only
5
those
activities
that
are
independent
improvements
6
measurable
in
individual
patients.
7
(13)
Insurer
claims
review
activities.
8
(14)
Information
technology
costs
unless
they
9
directly
and
credibly
improve
the
quality
of
health
10
care
and
do
not
duplicate,
conflict
with,
or
fail
to
be
11
compatible
with
similar
health
information
technology
12
efforts
of
providers.
13
(15)
Legal
department
costs
including
information
14
technology
costs,
expenses
incurred
for
review
and
15
denial
of
claims,
legal
costs
related
to
defending
16
claims,
settlements
for
wrongly
denied
claims,
and
17
costs
related
to
administrative
claims
handling
18
including
salaries
of
administrative
personnel
and
19
legal
costs.
20
(16)
Taxes
unrelated
to
premiums
or
the
provision
21
of
medical
care.
Only
state
and
federal
taxes
and
22
licensing
or
regulatory
fees
relevant
to
actual
23
premiums
collected,
not
including
such
taxes
and
fees
24
as
property
taxes,
taxes
on
investment
income,
taxes
on
25
investment
property,
and
capital
gains
taxes,
may
be
26
included
in
determining
the
medical
loss
ratio.
27
e.
(1)
Provide
enhanced
guidance
and
criteria
for
28
defining
medical
and
administrative
costs,
recoveries,
29
and
rebates
including
pharmacy
rebates,
and
the
30
recording,
reporting,
and
recoupment
of
such
costs,
31
recoveries,
and
rebates
realized.
32
(2)
Medicaid
managed
care
organizations
shall
33
offset
recoveries,
rebates,
and
refunds
against
34
medical
costs,
include
only
allowable
administrative
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expenses
in
the
determination
of
administrative
costs,
1
report
costs
related
to
subcontractors
properly,
and
2
have
complete
systems
checks
and
review
processes
to
3
identify
overpayment
possibilities.
4
(3)
Medicaid
managed
care
contractors
shall
submit
5
publicly
available,
comprehensive
financial
statements
6
to
the
department
of
human
services
to
verify
that
the
7
minimum
medical
loss
ratio
is
being
met
and
shall
be
8
subject
to
periodic
audits.
9
5.
DATA
AND
INFORMATION,
EVALUATION,
AND
OVERSIGHT.
10
a.
Develop
and
administer
a
clear,
detailed
policy
11
regarding
the
collection,
storage,
integration,
12
analysis,
maintenance,
retention,
reporting,
sharing,
13
and
submission
of
data
and
information
from
the
14
Medicaid
managed
care
organizations
and
shall
require
15
each
Medicaid
managed
care
organization
to
have
in
16
place
a
data
and
information
system
to
ensure
that
17
accurate
and
meaningful
data
is
available.
At
a
18
minimum,
the
data
shall
allow
the
department
to
19
effectively
measure
and
monitor
Medicaid
managed
care
20
organization
performance,
quality,
outcomes
including
21
recipient
health
outcomes,
service
utilization,
22
finances,
program
integrity,
the
appropriateness
23
of
payments,
and
overall
compliance
with
contract
24
requirements;
perform
risk
adjustments
and
determine
25
actuarially
sound
capitation
rates
and
appropriate
26
provider
reimbursements;
verify
that
the
minimum
27
medical
loss
ratio
is
being
met;
ensure
recipient
28
access
to
and
use
of
services;
create
quality
measures;
29
and
provide
for
program
transparency.
30
b.
Medicaid
managed
care
organizations
shall
31
directly
capture
and
retain
and
shall
report
actual
and
32
detailed
medical
claims
costs
and
administrative
cost
33
data
to
the
department
as
specified
by
the
department.
34
Medicaid
managed
care
organizations
shall
allow
the
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department
to
thoroughly
and
accurately
monitor
the
1
medical
claims
costs
and
administrative
costs
data
2
Medicaid
managed
care
organizations
report
to
the
3
department.
4
c.
Any
audit
of
Medicaid
managed
care
contracts
5
shall
ensure
compliance
including
with
respect
to
6
appropriate
medical
costs,
allowable
administrative
7
costs,
the
medical
loss
ratio,
cost
recoveries,
8
rebates,
overpayments,
and
with
specific
contract
9
performance
requirements.
10
d.
The
external
quality
review
organization
11
contracting
with
the
department
shall
review
the
12
Medicaid
managed
care
program
to
determine
if
the
13
state
has
sufficient
infrastructure
and
controls
in
14
place
to
effectively
oversee
the
Medicaid
managed
care
15
organizations
and
the
Medicaid
program
in
order
to
16
ensure,
at
a
minimum,
compliance
with
Medicaid
managed
17
care
organization
contracts
and
to
prevent
fraud,
18
abuse,
and
overpayments.
The
results
of
any
external
19
quality
review
organization
review
shall
be
submitted
20
to
the
governor,
the
general
assembly,
and
the
health
21
policy
oversight
committee
created
in
section
2.45.
22
e.
Publish
benchmark
indicators
based
on
Medicaid
23
program
outcomes
from
the
fiscal
year
beginning
July
1,
24
2015,
to
be
used
to
compare
outcomes
of
the
Medicaid
25
program
as
administered
by
the
state
program
prior
26
to
July
1,
2015,
to
those
outcomes
of
the
program
27
under
Medicaid
managed
care.
The
outcomes
shall
28
include
a
comparison
of
actual
costs
of
the
program
29
as
administered
prior
to
and
after
implementation
of
30
Medicaid
managed
care.
The
data
shall
also
include
31
specific
detail
regarding
the
actual
expenses
incurred
32
by
each
managed
care
organization
by
specific
provider
33
line
of
service.
34
f.
Review
and
approve
or
deny
approval
of
contract
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amendments
on
an
ongoing
basis
to
provide
for
1
continuous
improvement
in
Medicaid
managed
care
and
2
to
incorporate
any
changes
based
on
changes
in
law
or
3
policy.
4
g.
(1)
Require
managed
care
contractors
to
track
5
and
report
on
a
monthly
basis
to
the
department
of
6
human
services,
at
a
minimum,
all
of
the
following:
7
(a)
The
number
and
details
relating
to
prior
8
authorization
requests
and
denials.
9
(b)
The
ten
most
common
reasons
for
claims
denials.
10
Information
reported
by
a
managed
care
contractor
11
relative
to
claims
shall
also
include
the
number
12
of
claims
denied,
appealed,
and
overturned
based
on
13
provider
type
and
service
type.
14
(c)
Utilization
of
health
care
services
by
15
diagnostic
related
group
and
ambulatory
payment
16
classification
as
well
as
total
claims
volume.
17
(2)
The
department
shall
ensure
the
validity
18
of
all
information
submitted
by
a
Medicaid
managed
19
care
organization
and
shall
make
the
monthly
reports
20
available
to
the
public.
21
h.
Medicaid
managed
care
organizations
shall
22
maintain
stakeholder
panels
comprised
of
an
equal
23
number
of
Medicaid
recipients
and
providers.
Medicaid
24
managed
care
organizations
shall
provide
for
separate
25
provider-specific
panels
to
address
detailed
payment,
26
claims,
process,
and
other
issues
as
well
as
grievance
27
and
appeals
processes.
28
i.
Medicaid
managed
care
contracts
shall
align
29
economic
incentives,
delivery
system
reforms,
and
30
performance
and
outcome
metrics
with
those
of
the
state
31
innovation
models
initiatives
and
Medicaid
accountable
32
care
organizations.
The
department
of
human
services
33
shall
develop
and
utilize
a
common,
uniform
set
of
34
process,
quality,
and
consumer
satisfaction
measures
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across
all
Medicaid
payors
and
providers
that
align
1
with
those
developed
through
the
state
innovation
2
models
initiative
and
shall
ensure
that
such
measures
3
are
expanded
and
adjusted
to
address
additional
4
populations
and
to
meet
population
health
objectives.
5
Medicaid
managed
care
contracts
shall
include
long-term
6
performance
and
outcomes
goals
that
reward
success
in
7
achieving
population
health
goals
such
as
improved
8
community
health
metrics.
9
j.
(1)
Require
consistency
and
uniformity
of
10
processes,
procedures,
reports,
and
forms
across
11
all
Medicaid
managed
care
organizations
to
reduce
12
the
administrative
burden
to
providers
and
consumers
13
and
to
increase
efficiencies
in
the
program.
Such
14
requirements
shall
apply
to
but
are
not
limited
to
15
areas
of
uniform
cost
and
quality
reporting,
uniform
16
prior
authorization
requirements
and
procedures,
17
uniform
utilization
management
criteria,
centralized,
18
uniform,
and
seamless
credentialing
requirements
and
19
procedures,
and
uniform
critical
incident
reporting.
20
(2)
The
department
of
human
services
shall
21
establish
a
comprehensive
provider
credentialing
22
process
to
be
recognized
and
utilized
by
all
Medicaid
23
managed
care
organization
contractors.
The
process
24
shall
meet
the
national
committee
for
quality
assurance
25
and
other
appropriate
standards.
The
process
shall
26
ensure
that
credentialing
is
completed
in
a
timely
27
manner
without
disruption
to
provider
billing
28
processes.
29
k.
Medicaid
managed
care
organizations
and
any
30
entity
with
which
a
managed
care
organization
contracts
31
for
the
performance
of
services
shall
disclose
at
no
32
cost
to
the
department
all
discounts,
incentives,
33
rebates,
fees,
free
goods,
bundling
arrangements,
and
34
other
agreements
affecting
the
net
cost
of
goods
or
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services
provided
under
a
managed
care
contract.
1
Sec.
73.
RETROACTIVE
APPLICABILITY.
The
section
2
of
this
division
of
this
Act
relating
to
directives
3
for
Medicaid
program
policy
improvements
applies
4
retroactively
to
July
1,
2015.
5
Sec.
74.
EFFECTIVE
UPON
ENACTMENT.
This
division
6
of
this
Act,
being
deemed
of
immediate
importance,
7
takes
effect
upon
enactment.
8
DIVISION
XIV
9
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
10
Sec.
75.
CHILDREN’S
MENTAL
HEALTH
CRISIS
SERVICES
11
——
PLANNING
GRANTS.
12
1.
The
department
of
human
services
shall
establish
13
a
request
for
proposals
process,
in
cooperation
14
with
the
departments
of
public
health
and
education
15
and
the
judicial
branch,
which
shall
be
based
upon
16
recommendations
for
children’s
mental
health
crisis
17
services
described
in
the
children’s
mental
health
and
18
well-being
workgroup
final
report
submitted
to
the
19
department
on
December
15,
2015.
20
2.
Planning
grants
shall
be
awarded
to
two
lead
21
entities.
Each
lead
entity
should
be
a
member
of
22
a
specifically
designated
coalition
of
three
to
23
four
other
entities
that
propose
to
serve
different
24
geographically
defined
areas
of
the
state,
but
a
lead
25
entity
shall
not
be
a
mental
health
and
disability
26
services
region.
27
3.
The
request
for
proposals
shall
require
each
28
grantee
to
develop
a
plan
for
children’s
mental
health
29
crisis
services
for
the
grantee’s
defined
geographic
30
area
that
includes
all
of
the
following:
31
a.
Identification
of
the
existing
children’s
mental
32
health
crisis
services
in
the
defined
area.
33
b.
Identification
of
gaps
in
children’s
mental
34
health
crisis
services
in
the
defined
area.
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c.
A
plan
for
collection
of
data
that
demonstrates
1
the
effects
of
children’s
mental
health
crisis
services
2
through
the
collection
of
outcome
data
and
surveys
of
3
the
children
affected
and
their
families.
4
d.
A
method
for
using
federal,
state,
and
other
5
funding
including
funding
currently
available,
to
6
implement
and
support
children’s
mental
health
crisis
7
services.
8
e.
Utilization
of
collaborative
processes
developed
9
from
the
recommendations
from
the
children’s
mental
10
health
and
well-being
workgroup
final
report
submitted
11
to
the
department
on
December
15,
2015.
12
f.
A
recommendation
for
any
additional
state
13
funding
needed
to
establish
a
children’s
mental
health
14
crisis
service
system
in
the
defined
area.
15
g.
A
recommendation
for
statewide
standard
16
requirements
for
children’s
mental
health
crisis
17
services,
as
defined
in
the
children’s
mental
health
18
and
well-being
workgroup
final
report
submitted
to
the
19
department
of
human
services
on
December
15,
2015,
20
including
but
not
limited
to
all
of
the
following:
21
(1)
Standardized
primary
care
practitioner
22
screenings.
23
(2)
Standardized
mental
health
crisis
screenings.
24
(3)
Standardized
mental
health
and
substance
use
25
disorder
assessments.
26
(4)
Requirements
for
certain
inpatient
psychiatric
27
hospitals
and
psychiatric
medical
institutions
for
28
children
to
accept
and
treat
all
children
regardless
of
29
the
acuity
of
their
condition.
30
4.
Each
grantee
shall
submit
a
report
to
the
31
department
by
December
15,
2016.
The
department
32
shall
combine
the
essentials
of
each
report
and
shall
33
submit
a
report
to
the
general
assembly
by
January
34
15,
2017,
regarding
the
department’s
conclusions
and
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recommendations.
1
Sec.
76.
CHILDREN’S
WELL-BEING
LEARNING
LABS.
The
2
department
of
human
services,
utilizing
existing
3
departmental
resources
and
with
the
continued
4
assistance
of
a
private
child
welfare
foundation
5
focused
on
improving
child
well-being,
shall
study
6
and
collect
data
on
emerging,
collaborative
efforts
7
in
existing
programs
engaged
in
addressing
well-being
8
for
children
with
complex
needs
and
their
families
in
9
communities
across
the
state.
The
department
shall
10
establish
guidelines
based
upon
recommendations
in
11
the
children’s
mental
health
and
well-being
workgroup
12
final
report
submitted
to
the
department
on
December
13
15,
2015,
to
select
three
to
five
such
programs
to
14
be
designated
learning
labs
to
enable
the
department
15
to
engage
in
a
multi-site
learning
process
during
the
16
2016
calendar
year
with
a
goal
of
creating
an
expansive
17
structured
learning
network.
The
department
shall
18
submit
a
report
with
recommendations
including
lessons
19
learned,
suggested
program
design
refinements,
and
20
implications
for
funding,
policy
changes,
and
best
21
practices
to
the
general
assembly
by
January
15,
2017.
22
Sec.
77.
DEPARTMENT
OF
HUMAN
SERVICES
——
ADDITIONAL
23
STUDY
REPORTS.
The
department
of
human
services
shall,
24
in
consultation
with
the
department
of
public
health,
25
the
mental
health
and
disability
services
commission,
26
and
the
mental
health
planning
council,
submit
a
27
report
with
recommendations
to
the
general
assembly
by
28
December
15,
2016,
regarding
all
of
the
following:
29
1.
The
creation
and
implementation
of
a
statewide
30
children’s
mental
health
crisis
service
system
to
31
include
but
not
be
limited
to
an
inventory
of
all
32
current
children’s
mental
health
crisis
service
systems
33
in
the
state
including
children’s
mental
health
crisis
34
service
system
telephone
lines.
The
report
shall
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include
recommendations
regarding
proposed
changes
to
1
improve
the
effectiveness
of
and
access
to
children’s
2
mental
health
crisis
services.
3
2.
The
development
and
implementation
of
a
4
children’s
mental
health
public
education
and
awareness
5
campaign
that
targets
the
reduction
of
stigma
for
6
children
with
mental
illness
and
that
supports
children
7
with
mental
illness
and
their
families
in
seeking
8
effective
treatment.
The
plan
shall
include
potential
9
methods
for
funding
such
a
campaign.
10
Sec.
78.
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
11
ADVISORY
COMMITTEE.
The
department
of
human
services
12
shall
create
and
provide
support
to
a
children’s
mental
13
health
and
well-being
advisory
committee
to
continue
14
the
coordinated
efforts
of
the
children’s
mental
health
15
subcommittee
and
the
children’s
well-being
subcommittee
16
of
the
children’s
mental
health
and
well-being
17
workgroup.
Consideration
shall
be
given
to
continued
18
service
by
members
of
the
children’s
mental
health
and
19
well-being
workgroup
created
pursuant
to
2015
Iowa
20
Acts,
ch.
137,
and
representatives
from
the
departments
21
of
human
services,
public
health,
and
education;
the
22
judicial
branch;
and
other
appropriate
stakeholders
23
designated
by
the
director.
The
advisory
committee
24
shall
do
all
of
the
following:
25
1.
Provide
guidance
regarding
implementation
of
26
the
recommendations
in
the
children’s
mental
health
27
and
well-being
workgroup
final
report
submitted
to
the
28
department
on
December
15,
2015,
and
subsequent
reports
29
required
by
this
Act.
30
2.
Select
and
study
additional
children’s
31
well-being
learning
labs
to
assure
a
continued
32
commitment
to
joint
learning
and
comparison
for
all
33
learning
lab
sites.
34
DIVISION
XV
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OPIOID
ANTAGONIST
REVISION
1
Sec.
79.
Section
135.190,
subsection
1,
as
enacted
2
by
2016
Iowa
Acts,
Senate
File
2218,
section
1,
is
3
amended
by
adding
the
following
new
paragraph:
4
NEW
PARAGRAPH
.
0a.
“Licensed
health
care
5
professional”
means
the
same
as
defined
in
section
6
280.16.
7
Sec.
80.
Section
135.190,
as
enacted
by
2016
Iowa
8
Acts,
Senate
File
2218,
section
1,
is
amended
by
adding
9
the
following
new
subsections:
10
NEW
SUBSECTION
.
1A.
a.
Notwithstanding
any
other
11
provision
of
law
to
the
contrary,
a
licensed
health
12
care
professional
may
prescribe
an
opioid
antagonist
to
13
a
person
in
a
position
to
assist.
14
b.
(1)
Notwithstanding
any
other
provision
of
law
15
to
the
contrary,
a
pharmacist
licensed
under
chapter
16
155A
may,
by
standing
order
or
through
collaborative
17
agreement,
dispense,
furnish,
or
otherwise
provide
an
18
opioid
antagonist
to
a
person
in
a
position
to
assist.
19
(2)
A
pharmacist
who
dispenses,
furnishes,
or
20
otherwise
provides
an
opioid
antagonist
pursuant
to
a
21
valid
prescription,
standing
order,
or
collaborative
22
agreement
shall
provide
instruction
to
the
recipient
23
in
accordance
with
any
protocols
and
instructions
24
developed
by
the
department
under
this
section.
25
NEW
SUBSECTION
.
4.
The
department
may
adopt
rules
26
pursuant
to
chapter
17A
to
implement
and
administer
27
this
section.
28
Sec.
81.
Section
135.190,
subsection
3,
as
enacted
29
by
2016
Iowa
Acts,
Senate
File
2218,
section
1,
is
30
amended
to
read
as
follows:
31
3.
A
person
in
a
position
to
assist
or
a
prescriber
32
of
an
opioid
antagonist
who
has
acted
reasonably
and
in
33
good
faith
shall
not
be
liable
for
any
injury
arising
34
from
the
provision,
administration,
or
assistance
in
35
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the
administration
of
an
opioid
antagonist
as
provided
1
in
this
section.
2
Sec.
82.
Section
147A.18,
subsections
1
and
5,
as
3
enacted
by
2016
Iowa
Acts,
Senate
File
2218,
section
3,
4
are
amended
to
read
as
follows:
5
1.
a.
Notwithstanding
any
other
provision
of
law
6
to
the
contrary,
a
licensed
health
care
professional
7
may
prescribe
an
opioid
antagonist
in
the
name
of
8
a
service
program,
law
enforcement
agency,
or
fire
9
department
to
be
maintained
for
use
as
provided
in
this
10
section.
11
b.
(1)
Notwithstanding
any
other
provision
of
law
12
to
the
contrary,
a
pharmacist
licensed
under
chapter
13
155A
may,
by
standing
order
or
through
collaborative
14
agreement,
dispense,
furnish,
or
otherwise
provide
an
15
opioid
antagonist
in
the
name
of
a
service
program,
law
16
enforcement
agency,
or
fire
department
to
be
maintained
17
for
use
as
provided
in
this
section.
18
(2)
A
pharmacist
who
dispenses,
furnishes,
or
19
otherwise
provides
an
opioid
antagonist
pursuant
to
a
20
valid
prescription,
standing
order,
or
collaborative
21
agreement
shall
provide
instruction
to
the
recipient
22
in
accordance
with
the
protocols
and
instructions
23
developed
by
the
department
under
this
section.
24
5.
The
department
shall
may
adopt
rules
pursuant
25
to
chapter
17A
to
implement
and
administer
this
26
section
,
including
but
not
limited
to
standards
27
and
procedures
for
the
prescription,
distribution,
28
storage,
replacement,
and
administration
of
opioid
29
antagonists,
and
for
the
training
and
authorization
30
to
be
required
for
first
responders
to
administer
an
31
opioid
antagonist
.
32
Sec.
83.
OPIOID
ANTAGONIST
IMPLEMENTATION
33
CONTINGENCY.
2016
Iowa
Acts,
Senate
File
2218,
section
34
4,
is
repealed.
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Sec.
84.
2016
Iowa
Acts,
Senate
File
2218,
as
1
enacted,
is
amended
by
adding
the
following
new
2
section:
3
NEW
SECTION
.
SEC.
___.
EFFECTIVE
UPON
ENACTMENT.
4
This
Act,
being
deemed
of
immediate
importance,
takes
5
effect
upon
enactment.
6
Sec.
85.
EFFECTIVE
DATE.
This
division
of
this
7
Act,
being
deemed
of
immediate
importance,
takes
effect
8
upon
enactment.
9
Sec.
86.
RETROACTIVE
APPLICABILITY.
This
division
10
of
this
Act
applies
retroactively
to
April
6,
2016.
11
DIVISION
XVI
12
NURSING
GRANT
PROGRAMS
13
Sec.
87.
Section
135.178,
Code
2016,
is
amended
to
14
read
as
follows:
15
135.178
Nurse
residency
state
matching
grants
16
program
——
repeal
.
17
1.
The
department
shall
establish
a
nurse
residency
18
state
matching
grants
program
to
provide
matching
state
19
funding
to
sponsors
of
nurse
residency
programs
in
this
20
state
to
establish,
expand,
or
support
nurse
residency
21
programs
that
meet
standards
adopted
by
rule
of
the
22
department.
Funding
for
the
program
may
be
provided
23
through
the
health
care
workforce
shortage
fund
or
24
the
nurse
residency
state
matching
grants
program
25
account
created
in
section
135.175
.
The
department,
26
in
cooperation
with
the
Iowa
board
of
nursing,
the
27
department
of
education,
Iowa
institutions
of
higher
28
education
with
board
of
nursing-approved
programs
29
to
educate
nurses,
and
the
Iowa
nurses
association,
30
shall
adopt
rules
pursuant
to
chapter
17A
to
establish
31
minimum
standards
for
nurse
residency
programs
to
be
32
eligible
for
a
matching
grant
that
address
all
of
the
33
following:
34
a.
1.
Eligibility
requirements
for
and
35
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qualifications
of
a
sponsor
of
a
nurse
residency
1
program
to
receive
a
grant,
including
that
the
program
2
includes
both
rural
and
urban
components.
3
b.
2.
The
application
process
for
the
grant.
4
c.
3.
Criteria
for
preference
in
awarding
of
the
5
grants.
6
d.
4.
Determination
of
the
amount
of
a
grant.
7
e.
5.
Use
of
the
funds
awarded.
Funds
may
be
8
used
to
pay
the
costs
of
establishing,
expanding,
or
9
supporting
a
nurse
residency
program
as
specified
in
10
this
section
,
including
but
not
limited
to
the
costs
11
associated
with
residency
stipends
and
nursing
faculty
12
stipends.
13
2.
This
section
is
repealed
June
30,
2016.
14
Sec.
88.
Section
261.129,
Code
2016,
is
amended
to
15
read
as
follows:
16
261.129
Iowa
needs
nurses
now
initiative
——
repeal
.
17
1.
Nurse
educator
incentive
payment
program.
18
a.
The
commission
shall
establish
a
nurse
educator
19
incentive
payment
program.
Funding
for
the
program
20
may
be
provided
through
the
health
care
workforce
21
shortage
fund
or
the
health
care
professional
and
22
Iowa
needs
nurses
now
initiative
account
created
in
23
section
135.175
.
For
the
purposes
of
this
subsection
,
24
“nurse
educator”
means
a
registered
nurse
who
holds
a
25
master’s
degree
or
doctorate
degree
and
is
employed
26
as
a
faculty
member
who
teaches
nursing
in
a
nursing
27
education
program
as
provided
in
655
IAC
2.6
at
a
28
community
college,
an
accredited
private
institution,
29
or
an
institution
of
higher
education
governed
by
the
30
state
board
of
regents.
31
b.
The
program
shall
consist
of
incentive
payments
32
to
recruit
and
retain
nurse
educators.
The
program
33
shall
provide
for
incentive
payments
of
up
to
twenty
34
thousand
dollars
for
a
nurse
educator
who
remains
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teaching
in
a
qualifying
teaching
position
for
a
period
1
of
not
less
than
four
consecutive
academic
years.
2
c.
The
nurse
educator
and
the
commission
shall
3
enter
into
an
agreement
specifying
the
obligations
of
4
the
nurse
educator
and
the
commission.
If
the
nurse
5
educator
leaves
the
qualifying
teaching
position
prior
6
to
teaching
for
four
consecutive
academic
years,
the
7
nurse
educator
shall
be
liable
to
repay
the
incentive
8
payment
amount
to
the
state,
plus
interest
as
specified
9
by
rule.
However,
if
the
nurse
educator
leaves
the
10
qualifying
teaching
position
involuntarily,
the
nurse
11
educator
shall
be
liable
to
repay
only
a
pro
rata
12
amount
of
the
incentive
payment
based
on
incompleted
13
years
of
service.
14
d.
The
commission,
in
consultation
with
the
15
department
of
public
health,
the
board
of
nursing,
16
the
department
of
education,
and
the
Iowa
nurses
17
association,
shall
adopt
rules
pursuant
to
chapter
17A
18
relating
to
the
establishment
and
administration
of
the
19
nurse
educator
incentive
payment
program.
The
rules
20
shall
include
provisions
specifying
what
constitutes
a
21
qualifying
teaching
position.
22
2.
Nursing
faculty
fellowship
program.
23
a.
The
commission
shall
establish
a
nursing
faculty
24
fellowship
program
to
provide
funds
to
nursing
schools
25
in
the
state,
including
but
not
limited
to
nursing
26
schools
located
at
community
colleges,
for
fellowships
27
for
individuals
employed
in
qualifying
positions
on
28
the
nursing
faculty.
Funding
for
the
program
may
be
29
provided
through
the
health
care
workforce
shortage
30
fund
or
the
health
care
professional
and
the
Iowa
31
needs
nurses
now
initiative
account
created
in
section
32
135.175
.
The
program
shall
be
designed
to
assist
33
nursing
schools
in
filling
vacancies
in
qualifying
34
positions
throughout
the
state.
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b.
The
commission,
in
consultation
with
the
1
department
of
public
health,
the
board
of
nursing,
2
the
department
of
education,
and
the
Iowa
nurses
3
association,
and
in
cooperation
with
nursing
schools
4
throughout
the
state,
shall
develop
a
distribution
5
formula
which
shall
provide
that
no
more
than
thirty
6
percent
of
the
available
moneys
are
awarded
to
a
single
7
nursing
school.
Additionally,
the
program
shall
limit
8
funding
for
a
qualifying
position
in
a
nursing
school
9
to
no
more
than
ten
thousand
dollars
per
year
for
up
10
to
three
years.
11
c.
The
commission,
in
consultation
with
the
12
department
of
public
health,
the
board
of
nursing,
13
the
department
of
education,
and
the
Iowa
nurses
14
association,
shall
adopt
rules
pursuant
to
chapter
17A
15
to
administer
the
program.
The
rules
shall
include
16
provisions
specifying
what
constitutes
a
qualifying
17
position
at
a
nursing
school.
18
d.
In
determining
eligibility
for
a
fellowship,
the
19
commission
shall
consider
all
of
the
following:
20
(1)
The
length
of
time
a
qualifying
position
has
21
gone
unfilled
at
a
nursing
school.
22
(2)
Documented
recruiting
efforts
by
a
nursing
23
school.
24
(3)
The
geographic
location
of
a
nursing
school.
25
(4)
The
type
of
nursing
program
offered
at
the
26
nursing
school,
including
associate,
bachelor’s,
27
master’s,
or
doctoral
degrees
in
nursing,
and
the
need
28
for
the
specific
nursing
program
in
the
state.
29
3.
Nurse
educator
scholarship
program.
30
a.
The
commission
shall
establish
a
nurse
educator
31
scholarship
program.
Funding
for
the
program
may
be
32
provided
through
the
health
care
workforce
shortage
33
fund
or
the
health
care
professional
and
the
Iowa
34
needs
nurses
now
initiative
account
created
in
section
35
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160
135.175
.
The
goal
of
the
nurse
educator
scholarship
1
program
is
to
address
the
waiting
list
of
qualified
2
applicants
to
Iowa’s
nursing
schools
by
providing
3
incentives
for
the
training
of
additional
nursing
4
educators.
For
the
purposes
of
this
subsection
,
“nurse
5
educator”
means
a
registered
nurse
who
holds
a
master’s
6
degree
or
doctorate
degree
and
is
employed
as
a
faculty
7
member
who
teaches
nursing
in
a
nursing
education
8
program
as
provided
in
655
IAC
2.6
at
a
community
9
college,
an
accredited
private
institution,
or
an
10
institution
of
higher
education
governed
by
the
state
11
board
of
regents.
12
b.
The
program
shall
consist
of
scholarships
to
13
further
advance
the
education
of
nurses
to
become
nurse
14
educators.
The
program
shall
provide
for
scholarship
15
payments
in
an
amount
established
by
rule
for
students
16
who
are
preparing
to
teach
in
qualifying
teaching
17
positions.
18
c.
The
commission,
in
consultation
with
the
19
department
of
public
health,
the
board
of
nursing,
20
the
department
of
education,
and
the
Iowa
nurses
21
association,
shall
adopt
rules
pursuant
to
chapter
22
17A
relating
to
the
establishment
and
administration
23
of
the
nurse
educator
scholarship
program.
The
rules
24
shall
include
provisions
specifying
what
constitutes
25
a
qualifying
teaching
position
and
the
amount
of
any
26
scholarship.
27
4.
Nurse
educator
28
scholarship-in-exchange-for-service
program.
29
a.
The
commission
shall
establish
a
nurse
educator
30
scholarship-in-exchange-for-service
program.
Funding
31
for
the
program
may
be
provided
through
the
health
care
32
workforce
shortage
fund
or
the
health
care
professional
33
and
Iowa
needs
nurses
now
initiative
account
created
34
in
section
135.175
.
The
goal
of
the
nurse
educator
35
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scholarship-in-exchange-for-service
program
is
to
1
address
the
waiting
list
of
qualified
applicants
to
2
Iowa’s
nursing
schools
by
providing
incentives
for
the
3
education
of
additional
nursing
educators.
For
the
4
purposes
of
this
subsection
,
“nurse
educator”
means
5
a
registered
nurse
who
holds
a
master’s
degree
or
6
doctorate
degree
and
is
employed
as
a
faculty
member
7
who
teaches
nursing
in
a
nursing
education
program
8
as
provided
in
655
IAC
2.6
at
a
community
college,
9
an
accredited
private
institution,
or
an
institution
10
of
higher
education
governed
by
the
state
board
of
11
regents.
12
b.
The
program
shall
consist
of
scholarships
to
13
further
advance
the
education
of
nurses
to
become
14
nurse
educators.
The
program
shall
provide
for
15
scholarship-in-exchange-for-service
payments
in
16
an
amount
established
by
rule
for
students
who
are
17
preparing
to
teach
in
qualifying
teaching
positions
for
18
a
period
of
not
less
than
four
consecutive
academic
19
years.
20
c.
The
scholarship-in-exchange-for-service
21
recipient
and
the
commission
shall
enter
into
an
22
agreement
specifying
the
obligations
of
the
applicant
23
and
the
commission.
If
the
nurse
educator
leaves
the
24
qualifying
teaching
position
prior
to
teaching
for
four
25
consecutive
academic
years,
the
nurse
educator
shall
be
26
liable
to
repay
the
scholarship-in-exchange-for-service
27
amount
to
the
state
plus
interest
as
specified
by
rule.
28
However,
if
the
nurse
educator
leaves
the
qualified
29
teaching
position
involuntarily,
the
nurse
educator
30
shall
be
liable
to
repay
only
a
pro
rata
amount
of
the
31
scholarship
based
on
incomplete
years
of
service.
32
d.
The
receipt
of
a
nurse
educator
33
scholarship-in-exchange-for-service
shall
not
34
impact
eligibility
of
an
individual
for
other
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financial
incentives
including
but
not
limited
to
loan
1
forgiveness
programs.
2
e.
The
commission,
in
consultation
with
3
the
department
of
public
health,
the
board
of
4
nursing,
the
department
of
education,
and
the
Iowa
5
nurses
association,
shall
adopt
rules
pursuant
6
to
chapter
17A
relating
to
the
establishment
7
and
administration
of
the
nurse
educator
8
scholarship-in-exchange-for-service
program.
The
9
rules
shall
include
the
provisions
specifying
what
10
constitutes
a
qualifying
teaching
position
and
the
11
amount
of
any
scholarship-in-exchange-for-service.
12
5.
Repeal.
This
section
is
repealed
June
30,
2016.
13
Sec.
89.
EFFECTIVE
UPON
ENACTMENT.
This
division
14
of
this
Act,
being
deemed
of
immediate
importance,
15
takes
effect
upon
enactment.
16
Sec.
90.
RETROACTIVE
APPLICABILITY.
This
division
17
of
this
Act
is
retroactively
applicable
to
June
30,
18
2016.
19
DIVISION
XVII
20
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
21
PAYMENT
LIMIT
SUPPLEMENTAL
PAYMENT
PROGRAM
22
Sec.
91.
Section
249L.2,
Code
2016,
is
amended
by
23
adding
the
following
new
subsections:
24
NEW
SUBSECTION
.
5A.
“Non-state
governmental
entity”
25
means
a
hospital
authority,
hospital
district,
health
26
care
district,
city,
or
county.
27
NEW
SUBSECTION
.
5B.
“Non-state
government-owned
28
nursing
facility”
means
a
nursing
facility
owned
or
29
operated
by
a
non-state
governmental
entity
for
which
30
a
non-state
governmental
entity
holds
the
nursing
31
facility’s
license
and
is
party
to
the
nursing
32
facility’s
Medicaid
contract.
33
Sec.
92.
Section
249L.2,
subsection
6,
Code
2016,
34
is
amended
to
read
as
follows:
35
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6.
“Nursing
facility”
means
a
licensed
nursing
1
facility
as
defined
in
section
135C.1
that
is
a
2
freestanding
facility
or
a
nursing
facility
operated
by
3
a
hospital
licensed
pursuant
to
chapter
135B
,
but
does
4
not
include
a
distinct-part
skilled
nursing
unit
or
a
5
swing-bed
unit
operated
by
a
hospital,
or
a
nursing
6
facility
owned
by
the
state
or
federal
government
or
7
other
governmental
unit
.
“Nursing
facility”
includes
8
a
non-state
government-owned
nursing
facility
if
9
the
nursing
facility
participates
in
the
non-state
10
government-owned
nursing
facility
upper
payment
limit
11
supplemental
payment
program.
12
Sec.
93.
NON-STATE
GOVERNMENT-OWNED
NURSING
13
FACILITY
UPPER
PAYMENT
LIMIT
SUPPLEMENTAL
PAYMENT
14
PROGRAM.
15
1.
The
department
of
human
services
shall
submit,
16
to
the
centers
for
Medicare
and
Medicaid
services
17
(CMS)
of
the
United
States
department
of
health
and
18
human
services,
a
Medicaid
state
plan
amendment
to
19
allow
qualifying
non-state
government-owned
nursing
20
facilities
to
receive
a
supplemental
payment
in
21
accordance
with
the
upper
payment
limit
requirements
22
pursuant
to
42
C.F.R.
§447.272.
The
supplemental
23
payment
shall
be
in
addition
to
the
greater
of
the
24
Medicaid
fee-for-service
per
diem
reimbursement
rate
25
or
the
per
diem
payment
established
for
the
nursing
26
facility
under
a
Medicaid
managed
care
contract.
27
2.
At
a
minimum,
the
Medicaid
state
plan
amendment
28
shall
provide
for
all
of
the
following:
29
a.
A
non-state
governmental
entity
shall
provide
30
the
state
share
of
the
expected
supplemental
payment
in
31
the
form
of
an
intergovernmental
transfer
to
the
state.
32
b.
The
state
shall
claim
federal
matching
funds
and
33
shall
make
supplemental
payments
to
eligible
non-state
34
governmental
entities
based
on
the
supplemental
amount
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as
calculated
by
the
state
for
each
nursing
facility
1
for
which
a
non-state
governmental
entity
owns
the
2
nursing
facility’s
license.
A
managed
care
contractor
3
shall
not
retain
any
portion
of
the
supplemental
4
payment,
but
shall
treat
the
supplemental
payment
5
as
a
pass
through
payment
to
the
eligible
non-state
6
governmental
entity.
7
c.
The
supplemental
payment
program
shall
be
budget
8
neutral
to
the
state.
No
general
fund
revenue
shall
9
be
expended
under
the
program
including
for
costs
10
of
administration.
If
payments
under
the
program
11
result
in
overpayment
to
a
nursing
facility,
or
if
CMS
12
disallows
federal
participation
related
to
a
nursing
13
facility’s
receipt
or
use
of
supplemental
payments
14
authorized
under
the
program,
the
state
may
recoup
15
an
amount
equivalent
to
the
amount
of
supplemental
16
payments
overpaid
or
disallowed.
Supplemental
payments
17
shall
be
subject
to
any
adjustment
for
payments
made
in
18
error,
including
but
not
limited
to
adjustments
made
19
by
state
or
federal
law,
and
the
state
may
recoup
an
20
amount
equivalent
to
any
such
adjustment.
21
d.
A
nursing
facility
participating
in
the
program
22
shall
notify
the
state
of
any
changes
in
ownership
that
23
may
affect
the
nursing
facility’s
continued
eligibility
24
for
the
program
within
thirty
days
of
any
such
change.
25
e.
No
portion
of
the
supplemental
payment
paid
26
to
a
participating
nursing
facility
may
be
used
for
27
contingent
fees.
Expenditures
for
development
fees,
28
legal
fees,
or
consulting
fees
shall
not
exceed
five
29
percent
of
the
supplemental
funds
received,
annually,
30
and
any
such
expenditures
shall
be
reported
to
the
31
department
of
human
services,
and
included
in
the
32
department’s
annual
report
pursuant
to
subsection
3.
33
f.
The
supplemental
payment
paid
to
a
participating
34
nursing
facility
shall
only
be
used
as
specified
in
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state
and
federal
law.
Supplemental
payments
paid
to
1
a
participating
nursing
facility
shall
only
be
used
as
2
follows:
3
(1)
A
portion
of
the
amount
received
may
be
used
4
for
nursing
facility
quality
improvement
initiatives
5
including
but
not
limited
to
educational
scholarships
6
and
nonmandatory
training.
Priority
in
the
awarding
7
of
contracts
for
such
training
shall
be
for
Iowa-based
8
organizations.
9
(2)
A
portion
of
the
amount
received
may
be
10
used
for
nursing
facility
remodeling
or
renovation.
11
Priority
in
the
awarding
of
contracts
for
such
12
remodeling
or
renovations
shall
be
for
Iowa-based
13
organizations
and
skilled
laborers.
14
(3)
A
portion
of
the
amount
received
may
be
used
15
for
health
information
technology
infrastructure
and
16
software.
Priority
in
the
awarding
of
contracts
for
17
such
health
information
technology
infrastructure
and
18
software
shall
be
for
Iowa-based
organizations.
19
(4)
A
portion
of
the
amount
received
may
be
20
used
for
endowments
to
offset
costs
associated
with
21
maintenance
of
hospitals
licensed
under
chapter
135B
22
and
nursing
facilities
licensed
under
chapter
135C.
23
g.
A
non-state
governmental
entity
shall
only
24
be
eligible
for
supplemental
payments
attributable
25
to
up
to
10
percent
of
the
potential
non-state
26
government-owned
nursing
facilities
licensed
in
the
27
state.
28
3.
Following
receipt
of
approval
and
implementation
29
of
the
program,
the
department
shall
submit
a
report
to
30
the
governor
and
the
general
assembly,
annually,
on
or
31
before
December
15,
regarding
the
program.
The
report
32
shall
include,
at
a
minimum,
the
name
and
location
33
of
participating
non-state
governmental
entities
and
34
the
non-state
government-owned
nursing
facilities
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with
which
the
non-state
governmental
entities
have
1
partnered
to
participate
in
the
program;
the
amount
2
of
the
matching
funds
provided
by
each
non-state
3
governmental
entity;
the
net
supplemental
payment
4
amount
received
by
each
participating
non-governmental
5
entity
and
non-state
government-owned
nursing
facility;
6
and
the
amount
expended
for
each
of
the
specified
7
categories
of
approved
expenditure.
8
4.
The
department
of
human
services
shall
work
9
collaboratively
with
representatives
of
nursing
10
facilities,
hospitals,
and
other
affected
stakeholders
11
in
adopting
administrative
rules,
and
in
implementing
12
and
administering
this
program.
13
5.
As
used
in
this
section:
14
a.
“Non-state
governmental
entity”
means
a
hospital
15
authority,
hospital
district,
health
care
district,
16
city,
or
county.
17
b.
“Non-state
government-owned
nursing
facility”
18
means
a
nursing
facility
owned
or
operated
by
a
19
non-state
governmental
entity
for
which
a
non-state
20
governmental
entity
holds
the
nursing
facility’s
21
license
and
is
party
to
the
nursing
facility’s
Medicaid
22
contract.
23
Sec.
94.
EFFECTIVE
UPON
ENACTMENT.
This
division
24
of
this
Act,
being
deemed
of
immediate
importance,
25
takes
effect
upon
enactment.
26
Sec.
95.
IMPLEMENTATION
PROVISIONS.
27
1.
The
section
of
this
division
of
this
Act
28
directing
the
department
of
human
services
to
submit
29
a
Medicaid
state
plan
amendment
to
CMS
shall
be
30
implemented
as
soon
as
possible
following
enactment,
31
consistent
with
all
applicable
federal
requirements.
32
2.
The
sections
of
this
division
of
this
Act
33
amending
section
249L.2,
shall
only
be
implemented
upon
34
receipt
by
the
department
of
human
services
of
approval
35
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of
the
Medicaid
state
plan
amendment
by
the
centers
for
1
Medicare
and
Medicaid
services
of
the
United
States
2
department
of
health
and
human
services,
and
if
such
3
approval
is
received,
are
applicable
no
earlier
than
4
the
first
day
of
the
calendar
quarter
following
the
5
date
of
receipt
of
such
approval.
6
DIVISION
XVIII
7
TRAUMA
CARE
SYSTEM
8
Sec.
96.
Section
147A.23,
subsection
2,
paragraph
9
c,
Code
2016,
is
amended
to
read
as
follows:
10
c.
(1)
Upon
verification
and
the
issuance
of
a
11
certificate
of
verification,
a
hospital
or
emergency
12
care
facility
agrees
to
maintain
a
level
of
commitment
13
and
resources
sufficient
to
meet
responsibilities
14
and
standards
as
required
by
the
trauma
care
15
criteria
established
by
rule
under
this
subchapter
.
16
Verifications
are
valid
for
a
period
of
three
years
17
or
as
determined
by
the
department
and
are
renewable.
18
As
part
of
the
verification
and
renewal
process,
the
19
department
may
conduct
periodic
on-site
reviews
of
the
20
services
and
facilities
of
the
hospital
or
emergency
21
care
facility.
22
(2)
Notwithstanding
subparagraph
(1),
the
23
department
shall
not
decrease
a
level
II
certificate
24
of
verification
issued
to
a
trauma
care
facility
by
25
the
department
on
or
before
July
1,
2015,
unless
the
26
facility
subsequently
fails
to
comply
with
the
trauma
27
care
criteria
established
in
administrative
rules
in
28
effect
on
July
1,
2015.
29
Sec.
97.
EFFECTIVE
UPON
ENACTMENT.
This
division
30
of
this
Act,
being
deemed
of
immediate
importance,
31
takes
effect
upon
enactment.
32
Sec.
98.
RETROACTIVE
APPLICABILITY.
This
division
33
of
this
Act
applies
retroactively
to
June
30,
2015.
34
DIVISION
XIX
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MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONS
——
1
FUNDING
2
Sec.
99.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
3
REGIONS
——
FUNDING.
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
a
grant
to
a
five-county
mental
health
and
10
disability
services
region
with
a
population
of
between
11
290,000
to
300,000
as
determined
by
the
latest
federal
12
decennial
census,
for
the
provision
of
mental
health
13
and
disability
services
within
the
region:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
250,000
15
The
moneys
appropriated
in
this
subsection
are
16
contingent
upon
the
continuation
of
sustainable
service
17
funding
relationships
between
all
counties
in
the
18
region
for
the
fiscal
year
beginning
July
1,
2016,
19
and
ending
June
30,
2017.
The
department
and
the
20
region
shall
enter
into
a
memorandum
of
understanding
21
regarding
the
use
of
the
moneys
by
the
region
prior
to
22
the
region’s
receipt
of
moneys
under
this
subsection.
23
2.
There
is
appropriated
from
the
general
fund
of
24
the
state
to
the
department
of
human
services
for
the
25
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
26
2017,
the
following
amount,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purpose
designated:
28
For
a
grant
to
a
mental
health
and
disability
29
services
region
with
a
population
between
560,000
30
and
565,000
as
determined
by
the
latest
federal
31
decennial
census,
for
the
provision
of
mental
health
32
and
disability
services
within
the
region:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
250,000
34
The
moneys
appropriated
in
this
subsection
are
35
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contingent
upon
the
continuation
of
sustainable
service
1
funding
relationships
between
the
counties
in
the
2
region
for
the
fiscal
year
beginning
July
1,
2016,
3
and
ending
June
20,
2017.
The
department
and
the
4
region
shall
enter
into
a
memorandum
of
understanding
5
regarding
the
use
of
the
moneys
prior
to
the
region’s
6
receipt
of
the
moneys
under
this
subsection.
7
3.
There
is
appropriated
from
the
general
fund
of
8
the
state
to
the
department
of
human
services
for
the
9
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
10
2017,
the
following
amount,
or
so
much
thereof
as
is
11
necessary,
to
be
used
for
the
purpose
designated:
12
For
a
grant
to
a
single-county
mental
health
and
13
disability
services
region
with
a
population
of
over
14
350,000
as
determined
by
the
latest
federal
decennial
15
census,
for
the
provision
of
mental
health
and
16
disability
services
within
the
region:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,500,000
18
The
department
and
the
region
shall
enter
into
19
a
memorandum
of
understanding
regarding
the
use
of
20
the
moneys
and
detailing
the
provisions
of
the
plan
21
prior
to
the
region’s
receipt
of
moneys
under
this
22
subsection.
23
4.
The
department
shall
distribute
moneys
24
appropriated
in
this
section
within
60
days
of
the
date
25
of
signing
of
the
memorandum
of
understanding
between
26
the
department
and
each
region.
27
5.
Moneys
awarded
under
this
section
shall
be
used
28
by
the
regions
consistent
with
each
region’s
service
29
system
management
plan
as
approved
by
the
department.
30
DIVISION
XX
31
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
PROGRESS
32
REPORT
33
Sec.
100.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
34
REDESIGN
PROGRESS
REPORT.
The
department
of
human
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services
shall
review
and
report
progress
on
the
1
implementation
of
the
adult
mental
health
and
2
disability
services
redesign
and
shall
identify
3
any
challenges
faced
in
achieving
the
goals
of
the
4
redesign.
The
progress
report
shall
include
but
5
not
be
limited
to
information
regarding
the
mental
6
health
and
disability
services
regional
service
system
7
including
governance,
management,
and
administration;
8
the
implementation
of
best
practices
including
9
evidence-based
best
practices;
the
availability
of,
10
access
to,
and
provision
of
initial
core
services
11
and
additional
core
services
to
and
for
required
12
core
service
populations
and
additional
core
service
13
populations;
and
the
financial
stability
and
fiscal
14
viability
of
the
redesign.
The
department
shall
15
submit
its
report
with
findings
to
the
governor
and
the
16
general
assembly
no
later
than
November
15,
2016.
17
DIVISION
XXI
18
REFUGEERISE
AMERICORPS
PROGRAM
19
Sec.
101.
Section
15H.5,
subsection
5,
paragraph
a,
20
Code
2016,
is
amended
to
read
as
follows:
21
a.
Funding
for
the
Iowa
summer
youth
corps
program,
22
the
Iowa
green
corps
program
established
pursuant
23
to
section
15H.6
,
and
the
Iowa
reading
corps
program
24
established
pursuant
to
section
15H.7
,
and
the
25
RefugeeRISE
AmeriCorps
program
established
pursuant
to
26
section
15H.8,
shall
be
obtained
from
private
sector,
27
and
local,
state,
and
federal
government
sources,
or
28
from
other
available
funds
credited
to
the
community
29
programs
account,
which
shall
be
created
within
the
30
economic
development
authority
under
the
authority
of
31
the
commission.
Moneys
available
in
the
account
for
a
32
fiscal
year
are
appropriated
to
the
commission
to
be
33
used
for
the
programs.
The
commission
may
establish
an
34
escrow
account
within
the
authority
and
obligate
moneys
35
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within
that
escrow
account
for
tuition
or
program
1
payments
to
be
made
beyond
the
term
of
any
fiscal
year.
2
Notwithstanding
section
12C.7,
subsection
2
,
interest
3
earned
on
moneys
in
the
community
programs
account
4
shall
be
credited
to
the
account.
Notwithstanding
5
section
8.33
,
moneys
in
the
community
programs
account
6
or
escrow
account
shall
not
revert
to
the
general
fund
7
but
shall
remain
available
for
expenditure
in
future
8
fiscal
years.
9
Sec.
102.
NEW
SECTION
.
15H.8
RefugeeRISE
10
AmeriCorps
program.
11
1.
a.
The
Iowa
commission
on
volunteer
service,
in
12
collaboration
with
the
department
of
human
services,
13
shall
establish
a
Refugee
Rebuild,
Integrate,
Serve,
14
Empower
(RefugeeRISE)
AmeriCorps
program
to
increase
15
community
integration
and
engagement
for
diverse
16
refugee
communities
in
rural
and
urban
areas
across
the
17
state.
18
b.
The
commission,
in
collaboration
with
the
19
department
of
human
services,
may
adopt
rules
pursuant
20
to
chapter
17A
to
implement
and
administer
this
21
section.
22
2.
The
commission
may
use
moneys
in
and
lawfully
23
available
to
the
community
programs
account
created
in
24
section
15H.5
to
fund
the
program.
25
3.
The
commission
shall
submit
an
annual
report
26
to
the
general
assembly
and
the
department
of
human
27
services
relating
to
the
efficacy
of
the
program.
28
DIVISION
XXII
29
MENINGOCOCCAL
IMMUNIZATION
30
Sec.
103.
Section
139A.8,
subsection
2,
Code
2016,
31
is
amended
by
adding
the
following
new
paragraph:
32
NEW
PARAGRAPH
.
e.
A
person
shall
not
be
enrolled
33
in
school
in
the
seventh
grade
or
twelfth
grade
in
34
Iowa
without
evidence
of
adequate
immunization
against
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meningococcal
disease
in
accordance
with
standards
1
approved
by
the
United
States
public
health
service
2
of
the
United
States
department
of
health
and
human
3
services
for
such
biological
products
and
is
in
4
accordance
with
immunization
practices
recommended
by
5
the
advisory
committee
on
immunization
practices
of
the
6
centers
for
disease
control
and
prevention.
7
DIVISION
XXIII
8
MEDICATION
SYNCHRONIZATION
9
Sec.
104.
NEW
SECTION
.
514C.5A
Prescription
drug
10
medication
synchronization.
11
1.
A
carrier,
as
defined
in
section
513B.2,
that
12
provides
prescription
drug
coverage
through
a
policy
13
or
contract
delivered,
issued
for
delivery,
continued,
14
or
renewed
on
or
after
January
1,
2017,
shall
offer
15
medication
synchronization
services
that
allow
for
the
16
alignment
of
refill
dates
for
a
covered
individual’s
17
prescription
drugs
that
are
a
covered
benefit.
Such
18
carrier
shall
comply
with
all
of
the
following:
19
a.
Shall
not
deny
coverage
and
shall
prorate
the
20
cost
sharing
rate
for
a
prescription
drug
that
is
a
21
covered
benefit
and
is
dispensed
by
a
network
pharmacy
22
in
less
than
the
standard
refill
amount,
if
the
covered
23
individual
requests
both
enrollment
in
a
medication
24
synchronization
program
and
a
less-than-standard
refill
25
amount
for
the
purposes
of
medication
synchronization.
26
b.
Shall
accept
early
refill
and
short
fill
27
requests
for
prescription
drugs
using
the
submission
28
clarification
and
message
codes
adopted
by
the
national
29
council
for
prescription
drug
plans
or
alternative
30
codes
specified
by
the
carrier.
31
c.
Shall
pay
the
ingredient
cost
and
the
dispensing
32
fee
in
accordance
with
the
contracted
rate
for
each
33
submitted
claim,
regardless
of
the
days’
supply
34
specified
in
the
claim
submitted.
However,
compounded
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medications
shall
not
be
eligible
for
the
ingredient
1
cost
payment.
2
2.
For
purposes
of
this
section,
“medication
3
synchronization”
means
the
coordination
of
medication
4
refills
for
a
patient
taking
two
or
more
medications
5
for
a
chronic
condition
that
are
dispensed
by
a
single
6
network
pharmacy
to
facilitate
the
synchronization
7
of
an
individual’s
medications
for
the
purpose
of
8
improving
medication
adherence.
9
DIVISION
XXIV
10
AUTISM
SPECTRUM
DISORDERS
COVERAGE
11
Sec.
105.
Section
225D.1,
subsection
8,
Code
12
2016,
as
otherwise
amended
by
this
Act,
if
enacted,
is
13
amended
to
read
as
follows:
14
8.
“Eligible
individual”
means
a
child
less
than
15
fourteen
years
of
age
who
has
been
diagnosed
with
16
autism
based
on
a
diagnostic
assessment
of
autism,
17
is
not
otherwise
eligible
for
coverage
for
applied
18
behavioral
analysis
treatment
under
the
medical
19
assistance
program,
section
514C.28
514C.31
,
or
other
20
private
insurance
coverage,
and
whose
household
income
21
does
not
exceed
five
hundred
percent
of
the
federal
22
poverty
level.
23
Sec.
106.
Section
225D.2,
subsection
2,
paragraph
24
l,
Code
2016,
is
amended
to
read
as
follows:
25
l.
Proof
of
eligibility
for
the
autism
support
26
program
that
includes
a
written
denial
for
coverage
or
27
a
benefits
summary
indicating
that
applied
behavioral
28
analysis
treatment
is
not
a
covered
benefit
for
which
29
the
applicant
is
eligible,
under
the
Medicaid
program,
30
section
514C.28
514C.31
,
or
other
private
insurance
31
coverage.
32
Sec.
107.
Section
225D.2,
subsection
3,
Code
2016,
33
is
amended
to
read
as
follows:
34
3.
Moneys
in
the
autism
support
fund
created
under
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subsection
5
shall
be
expended
only
for
eligible
1
individuals
who
are
not
eligible
for
coverage
for
2
applied
behavioral
analysis
treatment
under
the
medical
3
assistance
program,
section
514C.28
514C.31
,
or
other
4
private
insurance.
Payment
for
applied
behavioral
5
analysis
treatment
through
the
fund
shall
be
limited
6
to
only
applied
behavioral
analysis
treatment
that
is
7
clinically
relevant
and
only
to
the
extent
approved
8
under
the
guidelines
established
by
rule
of
the
9
department.
10
Sec.
108.
NEW
SECTION
.
514C.31
Autism
spectrum
11
disorders
coverage.
12
1.
Notwithstanding
the
uniformity
of
treatment
13
requirements
of
section
514C.6,
a
group
policy,
14
contract,
or
plan
providing
for
third-party
payment
or
15
prepayment
of
health,
medical,
and
surgical
coverage
16
benefits
shall
provide
coverage
benefits
to
covered
17
individuals
under
twenty-two
years
of
age
for
the
18
screening,
diagnosis,
and
treatment
of
autism
spectrum
19
disorders
if
the
policy,
contract,
or
plan
is
either
20
of
the
following:
21
a.
A
policy,
contract,
or
plan
issued
by
a
carrier,
22
as
defined
in
section
513B.2,
or
an
organized
delivery
23
system
authorized
under
1993
Iowa
Acts,
chapter
158,
24
to
an
employer
who
on
at
least
fifty
percent
of
the
25
employer’s
working
days
during
the
preceding
calendar
26
year
employed
more
than
fifty
full-time
equivalent
27
employees.
In
determining
the
number
of
full-time
28
equivalent
employees
of
an
employer,
employers
who
29
are
affiliated
or
who
are
able
to
file
a
consolidated
30
tax
return
for
purposes
of
state
taxation
shall
be
31
considered
one
employer.
32
b.
A
plan
established
pursuant
to
chapter
509A
for
33
public
employees.
34
2.
As
used
in
this
section,
unless
the
context
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otherwise
requires:
1
a.
“Applied
behavior
analysis”
means
the
design,
2
implementation,
and
evaluation
of
environmental
3
modifications,
using
behavioral
stimuli
and
4
consequences,
to
produce
socially
significant
5
improvement
in
human
behavior
or
to
prevent
loss
of
6
attained
skill
or
function,
including
the
use
of
direct
7
observation,
measurement,
and
functional
analysis
of
8
the
relations
between
environment
and
behavior.
9
b.
“Autism
spectrum
disorder”
means
any
of
10
the
pervasive
developmental
disorders
including
11
autistic
disorder,
Asperger’s
disorder,
and
pervasive
12
developmental
disorders
not
otherwise
specified.
The
13
commissioner,
by
rule,
shall
define
“autism
spectrum
14
disorder”
consistent
with
definitions
provided
in
15
the
most
recent
edition
of
the
American
psychiatric
16
association’s
diagnostic
and
statistical
manual
of
17
mental
disorders,
as
such
definitions
may
be
amended
18
from
time
to
time.
The
commissioner
may
adopt
the
19
definitions
provided
in
such
manual
by
reference.
20
c.
“Behavioral
health
treatment”
means
counseling
21
and
treatment
programs,
including
applied
behavior
22
analysis,
that
meet
the
following
requirements:
23
(1)
Are
necessary
to
develop,
maintain,
or
restore,
24
to
the
maximum
extent
practicable,
the
functioning
of
25
an
individual.
26
(2)
Are
provided
or
supervised
by
a
behavior
27
analyst
certified
by
a
nationally
recognized
board,
or
28
by
a
licensed
psychologist,
so
long
as
the
services
are
29
performed
commensurate
with
the
psychologist’s
formal
30
training
and
supervised
experience.
31
d.
“Diagnosis
of
autism
spectrum
disorder”
means
the
32
use
of
medically
necessary
assessments,
evaluations,
or
33
tests
to
diagnose
whether
an
individual
has
an
autism
34
spectrum
disorder.
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e.
“Pharmacy
care”
means
medications
prescribed
by
1
a
licensed
physician
and
any
assessment,
evaluation,
2
or
test
prescribed
or
ordered
by
a
licensed
physician
3
to
determine
the
need
for
or
effectiveness
of
such
4
medications.
5
f.
“Psychiatric
care”
means
direct
or
consultative
6
services
provided
by
a
licensed
physician
who
7
specializes
in
psychiatry.
8
g.
“Psychological
care”
means
direct
or
consultative
9
services
provided
by
a
licensed
psychologist.
10
h.
“Therapeutic
care”
means
services
provided
by
11
a
licensed
speech
pathologist,
licensed
occupational
12
therapist,
or
licensed
physical
therapist.
13
i.
“Treatment
for
autism
spectrum
disorder”
means
14
evidence-based
care
and
related
equipment
prescribed
15
or
ordered
for
an
individual
diagnosed
with
an
autism
16
spectrum
disorder
by
a
licensed
physician
or
a
licensed
17
psychologist
who
determines
that
the
treatment
is
18
medically
necessary,
including
but
not
limited
to
the
19
following:
20
(1)
Behavioral
health
treatment.
21
(2)
Pharmacy
care.
22
(3)
Psychiatric
care.
23
(4)
Psychological
care.
24
(5)
Therapeutic
care.
25
j.
“Treatment
plan”
means
a
plan
for
the
treatment
26
of
an
autism
spectrum
disorder
developed
by
a
licensed
27
physician
or
licensed
psychologist
pursuant
to
a
28
comprehensive
evaluation
or
reevaluation
performed
29
in
a
manner
consistent
with
the
most
recent
clinical
30
report
or
recommendations
of
the
American
academy
of
31
pediatrics,
as
determined
by
the
commissioner
by
rule.
32
3.
Coverage
for
applied
behavior
analysis
is
33
required
pursuant
to
this
section
for
a
maximum
34
benefit
amount
of
thirty-six
thousand
dollars
per
year.
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Beginning
in
2020,
the
commissioner
shall,
on
or
before
1
July
1
of
each
calendar
year,
publish
an
adjustment
for
2
inflation
to
the
maximum
benefit
required
equal
to
the
3
percentage
change
in
the
medical
care
component
of
the
4
United
States
department
of
labor
consumer
price
index
5
for
all
urban
consumers
in
the
preceding
year,
and
the
6
published
adjusted
maximum
benefit
shall
be
applicable
7
to
group
policies,
contracts,
or
plans
subject
to
8
this
section
that
are
delivered,
issued
for
delivery,
9
continued,
or
renewed
on
or
after
January
1
of
the
10
following
calendar
year.
Payments
made
under
a
group
11
policy,
contract,
or
plan
subject
to
this
section
on
12
behalf
of
a
covered
individual
for
any
treatment
other
13
than
applied
behavior
analysis
shall
not
be
applied
14
toward
the
maximum
benefit
established
under
this
15
subsection.
16
4.
Coverage
for
applied
behavior
analysis
shall
17
include
the
services
of
persons
working
under
the
18
supervision
of
a
behavior
analyst
certified
by
a
19
nationally
recognized
board
or
under
the
supervision
of
20
a
licensed
psychologist,
to
provide
applied
behavior
21
analysis.
22
5.
Coverage
required
pursuant
to
this
section
shall
23
not
be
subject
to
any
limits
on
the
number
of
visits
an
24
individual
may
make
for
treatment
of
an
autism
spectrum
25
disorder.
26
6.
Coverage
required
pursuant
to
this
section
27
shall
not
be
subject
to
dollar
limits,
deductibles,
28
copayments,
or
coinsurance
provisions,
or
any
other
29
general
exclusions
or
limitations
of
a
group
plan
30
that
are
less
favorable
to
an
insured
than
the
dollar
31
limits,
deductibles,
copayments,
or
coinsurance
32
provisions
that
apply
to
substantially
all
medical
and
33
surgical
benefits
under
the
policy,
contract,
or
plan,
34
except
as
provided
in
subsection
3.
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7.
Coverage
required
by
this
section
shall
be
1
provided
in
coordination
with
coverage
required
for
the
2
treatment
of
autistic
disorders
pursuant
to
section
3
514C.22.
4
8.
This
section
shall
not
be
construed
to
limit
5
benefits
which
are
otherwise
available
to
an
individual
6
under
a
group
policy,
contract,
or
plan.
7
9.
This
section
shall
not
be
construed
as
affecting
8
any
obligation
to
provide
services
to
an
individual
9
under
an
individualized
family
service
plan,
an
10
individualized
education
program,
or
an
individualized
11
service
plan.
12
10.
Except
for
inpatient
services,
if
an
insured
is
13
receiving
treatment
for
an
autism
spectrum
disorder,
14
an
insurer
is
entitled
to
review
the
treatment
plan
15
annually,
unless
the
insurer
and
the
insured’s
treating
16
physician
or
psychologist
agree
that
a
more
frequent
17
review
is
necessary.
An
agreement
giving
an
insurer
18
the
right
to
review
the
treatment
plan
of
an
insured
19
more
frequently
applies
only
to
that
insured
and
does
20
not
apply
to
other
individuals
being
treated
for
autism
21
spectrum
disorders
by
a
physician
or
psychologist.
The
22
cost
of
conducting
a
review
of
a
treatment
plan
shall
23
be
borne
by
the
insurer.
24
11.
This
section
shall
not
apply
to
accident-only,
25
specified
disease,
short-term
hospital
or
medical,
26
hospital
confinement
indemnity,
credit,
dental,
vision,
27
Medicare
supplement,
long-term
care,
basic
hospital
28
and
medical-surgical
expense
coverage
as
defined
29
by
the
commissioner,
disability
income
insurance
30
coverage,
coverage
issued
as
a
supplement
to
liability
31
insurance,
workers’
compensation
or
similar
insurance,
32
or
automobile
medical
payment
insurance,
or
individual
33
accident
and
sickness
policies
issued
to
individuals
or
34
to
individual
members
of
a
member
association.
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12.
The
commissioner
shall
adopt
rules
pursuant
to
1
chapter
17A
to
implement
and
administer
this
section.
2
13.
An
insurer
shall
not
terminate
coverage
of
an
3
individual
solely
because
the
individual
is
diagnosed
4
with
or
has
received
treatment
for
an
autism
spectrum
5
disorder.
6
14.
a.
By
February
1,
2018,
and
every
February
1
7
thereafter,
the
commissioner
shall
submit
a
report
to
8
the
general
assembly
regarding
implementation
of
the
9
coverage
required
under
this
section.
The
report
shall
10
include
information
concerning
but
not
limited
to
all
11
of
the
following:
12
(1)
The
total
number
of
insureds
diagnosed
with
13
autism
spectrum
disorder
in
the
immediately
preceding
14
calendar
year.
15
(2)
The
total
cost
of
all
claims
paid
out
in
the
16
immediately
preceding
calendar
year
for
coverage
17
required
under
this
section.
18
(3)
The
cost
of
such
coverage
per
insured
per
19
month.
20
(4)
The
average
cost
per
insured
per
month
for
21
coverage
of
applied
behavior
analysis
required
under
22
this
section.
23
b.
All
third-party
payment
provider
policies,
24
contracts,
or
plans,
as
specified
in
subsection
1,
25
and
plans
established
pursuant
to
chapter
509A
shall
26
provide
the
commissioner
with
data
requested
by
the
27
commissioner
for
inclusion
in
the
annual
report.
28
15.
If
any
provision
of
this
section
or
its
29
application
to
any
person
or
circumstance
is
held
30
invalid,
the
invalidity
does
not
affect
other
31
provisions
or
application
of
this
section
which
can
32
be
given
effect
without
the
invalid
provision
or
33
application,
and
to
this
end
the
provisions
of
this
34
section
are
severable.
35
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16.
This
section
applies
to
third-party
payment
1
provider
policies,
contracts,
or
plans,
as
specified
2
in
subsection
1,
and
to
plans
established
pursuant
to
3
chapter
509A,
that
are
delivered,
issued
for
delivery,
4
continued,
or
renewed
in
this
state
on
or
after
January
5
1,
2017.
6
Sec.
109.
REPEAL.
Section
514C.28,
Code
2016,
is
7
repealed.
8
Sec.
110.
EFFECTIVE
DATE.
The
following
provisions
9
of
this
division
of
this
Act
take
effect
January
1,
10
2017:
11
1.
The
sections
of
this
division
of
this
Act
12
amending
sections
225D.1
and
225D.2.
13
2.
The
section
of
this
division
of
this
Act
14
repealing
section
514C.28.
>
15
______________________________
COMMITTEE
ON
APPROPRIATIONS
ROBERT
E.
DVORSKY,
CHAIRPERSON
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