House File 2501 H-8499 Amend House File 2501 as follows: 1 1. By striking everything after the enacting clause and 2 inserting: 3 < DIVISION I 4 DEPARTMENT ON AGING —— FY 2018-2019 5 Section 1. 2017 Iowa Acts, chapter 174, section 40, 6 unnumbered paragraphs 1 and 2, are amended to read as follows: 7 There is appropriated from the general fund of the state 8 to the department on aging for the fiscal year beginning July 9 1, 2018, and ending June 30, 2019, the following amount, or 10 so much thereof as is necessary, to be used for the purposes 11 designated: 12 For aging programs for the department on aging and area 13 agencies on aging to provide citizens of Iowa who are 60 years 14 of age and older with case management for frail elders, Iowa’s 15 aging and disabilities resource center, and other services 16 which may include but are not limited to adult day services, 17 respite care, chore services, information and assistance, 18 and material aid, for information and options counseling for 19 persons with disabilities who are 18 years of age or older, 20 and for salaries, support, administration, maintenance, and 21 miscellaneous purposes, and for not more than the following 22 full-time equivalent positions: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,521,238 24 11,042,924 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 27.00 26 Sec. 2. 2017 Iowa Acts, chapter 174, section 40, subsections 27 2, 4, 5, 6, and 7, are amended to read as follows: 28 2. Of the funds appropriated in this section, $139,973 29 $279,946 is transferred to the economic development authority 30 for the Iowa commission on volunteer services to be used for 31 the retired and senior volunteer program. 32 4. Of the funds appropriated in this section, at least 33 $125,000 shall be used to fund the unmet needs identified 34 through Iowa’s aging and disability resource center network. 35 -1- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 1/ 112 #1.
5. Of the funds appropriated in this section, at 1 least $300,000 $600,000 shall be used to fund home and 2 community-based services through the area agencies on aging 3 that enable older individuals to avoid more costly utilization 4 of residential or institutional services and remain in their 5 own homes. 6 6. Of the funds appropriated in this section, $406,268 7 $812,537 shall be used for the purposes of chapter 231E and 8 section 231.56A , of which $175,000 shall be used for the office 9 of substitute decision maker pursuant to chapter 231E , and the 10 remainder shall be distributed equally to the area agencies on 11 aging to administer the prevention of elder abuse, neglect, and 12 exploitation program pursuant to section 231.56A , in accordance 13 with the requirements of the federal Older Americans Act of 14 1965, 42 U.S.C. §3001 et seq., as amended. 15 7. Of the funds appropriated in this section, $375,000 16 $1,000,000 shall be used to fund continuation of the aging 17 and disability resource center lifelong links to provide 18 individuals and caregivers with information and services to 19 plan for and maintain independence. 20 Sec. 3. 2017 Iowa Acts, chapter 174, section 40, subsection 21 8, is amended by striking the subsection. 22 Sec. 4. 2017 Iowa Acts, chapter 174, section 40, is amended 23 by adding the following new subsection: 24 NEW SUBSECTION . 9. Of the funds appropriated in this 25 section, $100,000 shall be used by the department on aging, 26 in collaboration with the department of human services and 27 affected stakeholders, to design a pilot initiative to provide 28 long-term care options counseling utilizing support planning 29 protocols, to assist non-Medicaid eligible consumers who 30 indicate a preference to return to the community and are 31 deemed appropriate for discharge, to return to their community 32 following a nursing facility stay. The department on aging 33 shall submit the design plan as well as recommendations for 34 legislation necessary to administer the initiative, including 35 -2- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 2/ 112
but not limited to legislation to allow the exchange of contact 1 information for nursing facility residents appropriate for 2 discharge planning, to the governor and the general assembly by 3 December 15, 2018. 4 DIVISION II 5 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2018-2019 6 Sec. 5. 2017 Iowa Acts, chapter 174, section 41, is amended 7 to read as follows: 8 SEC. 41. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is 9 appropriated from the general fund of the state to the office 10 of long-term care ombudsman for the fiscal year beginning July 11 1, 2018, and ending June 30, 2019, the following amount, or 12 so much thereof as is necessary, to be used for the purposes 13 designated: 14 For salaries, support, administration, maintenance, and 15 miscellaneous purposes, and for not more than the following 16 full-time equivalent positions: 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 580,140 18 1,149,821 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.00 20 DIVISION III 21 DEPARTMENT OF PUBLIC HEALTH —— FY 2018-2019 22 Sec. 6. 2017 Iowa Acts, chapter 174, section 42, subsections 23 1, 2, 3, 4, 5, 6, 7, and 8, are amended to read as follows: 24 1. ADDICTIVE DISORDERS 25 For reducing the prevalence of the use of tobacco, alcohol, 26 and other drugs, and treating individuals affected by addictive 27 behaviors, including gambling, and for not more than the 28 following full-time equivalent positions: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,492,915 30 24,804,344 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 32 11.00 33 a. (1) Of the funds appropriated in this subsection, 34 $2,010,612 $4,021,225 shall be used for the tobacco use 35 -3- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 3/ 112
prevention and control initiative, including efforts at the 1 state and local levels, as provided in chapter 142A . The 2 commission on tobacco use prevention and control established 3 pursuant to section 142A.3 shall advise the director of 4 public health in prioritizing funding needs and the allocation 5 of moneys appropriated for the programs and initiatives. 6 Activities of the programs and initiatives shall be in 7 alignment with the United States centers for disease control 8 and prevention best practices for comprehensive tobacco control 9 programs that include the goals of preventing youth initiation 10 of tobacco usage, reducing exposure to secondhand smoke, 11 and promotion of tobacco cessation. To maximize resources, 12 the department shall determine if third-party sources are 13 available to instead provide nicotine replacement products 14 to an applicant prior to provision of such products to an 15 applicant under the initiative. The department shall track and 16 report to the individuals specified in this Act, any reduction 17 in the provision of nicotine replacement products realized 18 by the initiative through implementation of the prerequisite 19 screening. 20 (2) (a) The department shall collaborate with the 21 alcoholic beverages division of the department of commerce for 22 enforcement of tobacco laws, regulations, and ordinances and to 23 engage in tobacco control activities approved by the division 24 of tobacco use prevention and control of the department of 25 public health as specified in the memorandum of understanding 26 entered into between the divisions. 27 (b) For the fiscal year beginning July 1, 2018, and ending 28 June 30, 2019, the terms of the memorandum of understanding, 29 entered into between the division of tobacco use prevention 30 and control of the department of public health and the 31 alcoholic beverages division of the department of commerce, 32 governing compliance checks conducted to ensure licensed retail 33 tobacco outlet conformity with tobacco laws, regulations, and 34 ordinances relating to persons under 18 years of age, shall 35 -4- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 4/ 112
continue to restrict the number of such checks to one check per 1 retail outlet, and one additional check for any retail outlet 2 found to be in violation during the first check. 3 b. Of the funds appropriated in this subsection, 4 $10,482,303 $20,783,119 shall be used for problem gambling and 5 substance-related disorder prevention, treatment, and recovery 6 services, including a 24-hour helpline, public information 7 resources, professional training, youth prevention, and program 8 evaluation. 9 c. The requirement of section 123.17, subsection 5 , is met 10 by the appropriations and allocations made in this division of 11 this Act for purposes of substance-related disorder treatment 12 and addictive disorders for the fiscal year beginning July 1, 13 2018. 14 d. The department of public health, in collaboration with 15 the department of human services, shall engage a stakeholder 16 workgroup to review reimbursement provisions applicable 17 to substance use disorder services providers. The issues 18 considered by the workgroup shall include but are not limited 19 to the adequacy of reimbursement provisions including for 20 both outpatient and residential treatment, whether it is 21 appropriate to rebase reimbursement, whether there is equity in 22 reimbursement compared to the reimbursement methodologies used 23 for providers of similar behavioral health services, and access 24 to substance use disorder services providers including whether 25 the designated number of community mental health centers in the 26 state is sufficient. The workgroup shall review the reports 27 of previous workgroups including those authorized in 2014 Iowa 28 Acts, chapter 1140, section 3, subsection 1, and shall report 29 the workgroup’s findings and recommendations to the general 30 assembly on or before December 15, 2018. 31 2. HEALTHY CHILDREN AND FAMILIES 32 For promoting the optimum health status for children, 33 adolescents from birth through 21 years of age, and families, 34 and for not more than the following full-time equivalent 35 -5- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 5/ 112
positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,662,816 2 5,820,625 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 4 13.00 5 a. Of the funds appropriated in this subsection, not 6 more than $367,420 $734,841 shall be used for the healthy 7 opportunities for parents to experience success (HOPES)-healthy 8 families Iowa (HFI) program established pursuant to section 9 135.106 . The funding shall be distributed to renew the grants 10 that were provided to the grantees that operated the program 11 during the fiscal year ending June 30, 2018. 12 b. In order to implement the legislative intent stated in 13 sections 135.106 and 256I.9 , that priority for home visitation 14 program funding be given to programs using evidence-based or 15 promising models for home visitation, it is the intent of the 16 general assembly to phase in the funding priority in accordance 17 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2, 18 paragraph “0b” . 19 c. Of the funds appropriated in this subsection, $1,537,550 20 $3,075,101 shall be used for continuation of the department’s 21 initiative to provide for adequate developmental surveillance 22 and screening during a child’s first five years. The funds 23 shall be used first to fully fund the current sites to ensure 24 that the sites are fully operational, with the remaining 25 funds to be used for expansion to additional sites. The full 26 implementation and expansion shall include enhancing the scope 27 of the initiative through collaboration with the child health 28 specialty clinics to promote healthy child development through 29 early identification and response to both biomedical and social 30 determinants of healthy development; by monitoring child 31 health metrics to inform practice, document long-term health 32 impacts and savings, and provide for continuous improvement 33 through training, education, and evaluation; and by providing 34 for practitioner consultation particularly for children with 35 -6- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 6/ 112
behavioral conditions and needs. The department of public 1 health shall also collaborate with the Iowa Medicaid enterprise 2 and the child health specialty clinics to integrate the 3 activities of the first five initiative into the establishment 4 of patient-centered medical homes, community utilities, 5 accountable care organizations, and other integrated care 6 models developed to improve health quality and population 7 health while reducing health care costs. To the maximum extent 8 possible, funding allocated in this paragraph shall be utilized 9 as matching funds for medical assistance program reimbursement. 10 d. Of the funds appropriated in this subsection, $32,320 11 $64,640 shall be distributed to a statewide dental carrier to 12 provide funds to continue the donated dental services program 13 patterned after the projects developed by the lifeline network 14 to provide dental services to indigent individuals who are 15 elderly or with disabilities. 16 e. Of the funds appropriated in this subsection, $78,241 17 $156,482 shall be used to provide audiological services and 18 hearing aids for children. The department may enter into a 19 contract to administer this paragraph. 20 f. Of the funds appropriated in this subsection, $11,500 21 $23,000 is transferred to the university of Iowa college of 22 dentistry for provision of primary dental services to children. 23 State funds shall be matched on a dollar-for-dollar basis. 24 The university of Iowa college of dentistry shall coordinate 25 efforts with the department of public health, bureau of 26 oral and health delivery systems, to provide dental care to 27 underserved populations throughout the state. 28 g. Of the funds appropriated in this subsection, $25,000 29 $50,000 shall be used to address youth suicide prevention. 30 h. Of the funds appropriated in this subsection, $20,255 31 $40,511 shall be used to support the Iowa effort to address the 32 survey of children who experience adverse childhood experiences 33 known as ACEs. 34 i. The department of public health shall continue to 35 -7- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 7/ 112
administer the program to assist parents in this state with 1 costs resulting from the death of a child in accordance with 2 the provisions of 2014 Iowa Acts, chapter 1140, section 22, 3 subsection 12 . 4 j. Of the funds appropriated in this subsection, up to 5 $494,993 shall be used for childhood obesity prevention. 6 3. CHRONIC CONDITIONS 7 For serving individuals identified as having chronic 8 conditions or special health care needs, and for not more than 9 the following full-time equivalent positions: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,085,375 11 4,528,109 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 13 9.00 14 a. Of the funds appropriated in this subsection, $76,877 15 $153,755 shall be used for grants to individual patients who 16 have an inherited metabolic disorder to assist with the costs 17 of medically necessary foods and formula. 18 b. Of the funds appropriated in this subsection, $510,397 19 $1,055,291 shall be used for the brain injury services program 20 pursuant to section 135.22B , including for contracting with an 21 existing nationally affiliated and statewide organization whose 22 purpose is to educate, serve, and support Iowans with brain 23 injury and their families for resource facilitator services 24 in accordance with section 135.22B, subsection 9 , and for 25 contracting to enhance brain injury training and recruitment 26 of service providers on a statewide basis. Of the amount 27 allocated in this paragraph, $47,500 $95,000 shall be used to 28 fund one full-time equivalent position to serve as the state 29 brain injury services program manager. 30 c. Of the funds appropriated in this subsection, $72,048 31 $144,097 shall be used for the public purpose of continuing 32 to contract with an existing national-affiliated organization 33 to provide education, client-centered programs, and client 34 and family support for people living with epilepsy and their 35 -8- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 8/ 112
families. The amount allocated in this paragraph in excess 1 of $50,000 $100,000 shall be matched dollar-for-dollar by the 2 organization specified. 3 d. Of the funds appropriated in this subsection, $404,775 4 $809,550 shall be used for child health specialty clinics. 5 e. Of the funds appropriated in this subsection, 6 $192,276 $384,552 shall be used by the regional autism 7 assistance program established pursuant to section 256.35 , 8 and administered by the child health specialty clinic located 9 at the university of Iowa hospitals and clinics. The funds 10 shall be used to enhance interagency collaboration and 11 coordination of educational, medical, and other human services 12 for persons with autism, their families, and providers of 13 services, including delivering regionalized services of care 14 coordination, family navigation, and integration of services 15 through the statewide system of regional child health specialty 16 clinics and fulfilling other requirements as specified in 17 chapter 225D . The university of Iowa shall not receive funds 18 allocated under this paragraph for indirect costs associated 19 with the regional autism assistance program. 20 f. Of the funds appropriated in this subsection, $288,687 21 $577,375 shall be used for the comprehensive cancer control 22 program to reduce the burden of cancer in Iowa through 23 prevention, early detection, effective treatment, and ensuring 24 quality of life. Of the funds allocated in this paragraph “f”, 25 $75,000 $150,000 shall be used to support a melanoma research 26 symposium, a melanoma biorepository and registry, basic and 27 translational melanoma research, and clinical trials. 28 g. Of the funds appropriated in this subsection, $48,766 29 $97,532 shall be used for cervical and colon cancer screening, 30 and $88,860 $177,720 shall be used to enhance the capacity of 31 the cervical cancer screening program to include provision 32 of recommended prevention and early detection measures to a 33 broader range of low-income women. 34 h. Of the funds appropriated in this subsection, $253,177 35 -9- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 9/ 112
$506,355 shall be used for the center for congenital and 1 inherited disorders. 2 i. Of the funds appropriated in this subsection, $107,631 3 $225,263 shall be used by the department of public health 4 for reform-related activities, including but not limited to 5 facilitation of communication to stakeholders at the state and 6 local level, administering the patient-centered health advisory 7 council pursuant to section 135.159 , and involvement in health 8 care system innovation activities occurring across the state. 9 j. Of the funds appropriated in this subsection, $11,050 10 $322,100 shall be used for administration of chapter 124D 124E , 11 the medical cannabidiol Act. 12 4. COMMUNITY CAPACITY 13 For strengthening the health care delivery system at the 14 local level, and for not more than the following full-time 15 equivalent positions: 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,453,888 17 4,970,152 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 19 a. Of the funds appropriated in this subsection, $47,787 20 $95,575 is allocated for continuation of the child vision 21 screening program implemented through the university of Iowa 22 hospitals and clinics in collaboration with early childhood 23 Iowa areas. The program shall submit a report to the 24 individuals identified in this Act for submission of reports 25 regarding the use of funds allocated under this paragraph 26 “a”. The report shall include the objectives and results for 27 the program year including the target population and how the 28 funds allocated assisted the program in meeting the objectives; 29 the number, age, and location within the state of individuals 30 served; the type of services provided to the individuals 31 served; the distribution of funds based on service provided; 32 and the continuing needs of the program. 33 b. Of the funds appropriated in this subsection, $52,828 is 34 allocated for continuation of an initiative implemented at the 35 -10- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 10/ 112
university of Iowa to expand and improve the workforce engaged 1 in mental health treatment and services. The initiative shall 2 receive input from the university of Iowa, the department of 3 human services, the department of public health, and the mental 4 health and disability services commission to address the focus 5 of the initiative. 6 c. Of the funds appropriated in this section, $41,657 shall 7 be deposited in the governmental public health system fund 8 created in section 135A.8 to be used for the purposes of the 9 fund. 10 d. Of the funds appropriated in this subsection, $24,034 11 $48,069 shall be used for a grant to a statewide association 12 of psychologists that is affiliated with the American 13 psychological association to be used for continuation of a 14 program to rotate intern psychologists in placements in urban 15 and rural mental health professional shortage areas, as defined 16 in section 135.180 . 17 e. Of the funds appropriated in this subsection, the 18 following amounts are allocated to be used as follows to 19 support the Iowa collaborative safety net provider network 20 goals of increased access, health system integration, and 21 engagement. 22 (1) Not less than $260,931 $542,829 is allocated to the 23 Iowa prescription drug corporation for continuation of the 24 pharmaceutical infrastructure for safety net providers as 25 described in 2007 Iowa Acts, chapter 218, section 108 , and for 26 the prescription drug donation repository program created in 27 chapter 135M . 28 (2) Not less than $167,435 $334,870 is allocated to free 29 clinics and free clinics of Iowa for necessary infrastructure, 30 statewide coordination, provider recruitment, service delivery, 31 and provision of assistance to patients in securing a medical 32 home inclusive of oral health care. 33 (3) Not less than $12,500 $25,000 is allocated to the 34 Iowa association of rural health clinics for necessary 35 -11- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 11/ 112
infrastructure and service delivery transformation. 1 (4) Not less than $50,000 $205,493 is allocated to the 2 Polk county medical society for continuation of the safety net 3 provider patient access to a specialty health care initiative 4 as described in 2007 Iowa Acts, chapter 218, section 109 . 5 f. Of the funds appropriated in this subsection, $38,115 6 $15,000 shall be used by the department in implementing 7 the recommendations in the final report submitted by the 8 direct care worker advisory council to the governor and the 9 general assembly in March 2012, including by continuing to 10 develop, promote, and make available on a statewide basis the 11 prepare-to-care core curriculum and its associated modules 12 and specialties through various formats including online 13 access, community colleges, and other venues; exploring new and 14 maintaining existing specialties including but not limited to 15 oral health and dementia care; supporting instructor training; 16 and assessing and making recommendations concerning the Iowa 17 care book and information technology systems and infrastructure 18 uses and needs. 19 g. Of the funds appropriated in this subsection, $95,594 20 $176,188 shall be allocated for continuation of the contract 21 with an independent statewide direct care worker organization 22 previously selected through a request for proposals process. 23 The contract shall continue to include performance and outcomes 24 measures, and shall continue to allow the contractor to use a 25 portion of the funds received under the contract to collect 26 data to determine results based on the performance and outcomes 27 measures. 28 h. Of the funds appropriated in this subsection, the 29 department may use up to $29,087 $58,175 for up to one 30 full-time equivalent position to administer the volunteer 31 health care provider program pursuant to section 135.24 . 32 i. Of the funds appropriated in this subsection, $48,069 33 $96,138 shall be used for a matching dental education loan 34 repayment program to be allocated to a dental nonprofit health 35 -12- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 12/ 112
service corporation to continue to develop the criteria and 1 implement the loan repayment program. 2 j. Of the funds appropriated in this subsection, $26,455 is 3 transferred to the college student aid commission for deposit 4 in the rural Iowa primary care trust fund created in section 5 261.113 to be used for the purposes of the fund. 6 k. Of the funds appropriated in this subsection, $75,000 7 $100,000 shall be used for the purposes of the Iowa donor 8 registry as specified in section 142C.18 . 9 l. Of the funds appropriated in this subsection, $48,069 10 $96,138 shall be used for continuation of a grant to a 11 nationally affiliated volunteer eye organization that has an 12 established program for children and adults and that is solely 13 dedicated to preserving sight and preventing blindness through 14 education, nationally certified vision screening and training, 15 and community and patient service programs. The organization 16 shall submit a report to the individuals identified in this 17 Act for submission of reports regarding the use of funds 18 allocated under this paragraph “l”. The report shall include 19 the objectives and results for the program year including 20 the target population and how the funds allocated assisted 21 the program in meeting the objectives; the number, age, and 22 location within the state of individuals served; the type of 23 services provided to the individuals served; the distribution 24 of funds based on services provided; and the continuing needs 25 of the program. 26 m. Of the funds appropriated in this subsection, $436,327 27 $2,000,000 shall be deposited in the medical residency training 28 account created in section 135.175, subsection 5 , paragraph 29 “a”, and is appropriated from the account to the department 30 of public health to be used for the purposes of the medical 31 residency training state matching grants program as specified 32 in section 135.176 . 33 n. Of the funds appropriated in this subsection, $250,000 34 shall be used for the public purpose of providing funding to 35 -13- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 13/ 112
Des Moines university to establish a provider education project 1 to provide primary care physicians with the training and skills 2 necessary to recognize signs of mental illness in patients. 3 5. ESSENTIAL PUBLIC HEALTH SERVICES 4 To provide public health services that reduce risks and 5 invest in promoting and protecting good health over the 6 course of a lifetime with a priority given to older Iowans and 7 vulnerable populations: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,098,939 9 7,662,464 10 6. INFECTIOUS DISEASES 11 For reducing the incidence and prevalence of communicable 12 diseases, and for not more than the following full-time 13 equivalent positions: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 823,213 15 1,796,426 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 17 7. PUBLIC PROTECTION 18 For protecting the health and safety of the public through 19 establishing standards and enforcing regulations, and for not 20 more than the following full-time equivalent positions: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,097,569 22 4,095,139 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 138.00 24 141.00 25 a. Of the funds appropriated in this subsection, not more 26 than $152,350 $304,700 shall be credited to the emergency 27 medical services fund created in section 135.25 . Moneys in 28 the emergency medical services fund are appropriated to the 29 department to be used for the purposes of the fund. 30 b. Of the funds appropriated in this subsection, up 31 to $121,630 $243,260 shall be used for sexual violence 32 prevention programming through a statewide organization 33 representing programs serving victims of sexual violence 34 through the department’s sexual violence prevention program, 35 -14- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 14/ 112
and for continuation of a training program for sexual assault 1 response team (SART) members, including representatives of 2 law enforcement, victim advocates, prosecutors, and certified 3 medical personnel. The amount allocated in this paragraph “b” 4 shall not be used to supplant funding administered for other 5 sexual violence prevention or victims assistance programs. 6 c. Of the funds appropriated in this subsection, up to 7 $287,813 $500,000 shall be used for the state poison control 8 center. Pursuant to the directive under 2014 Iowa Acts, 9 chapter 1140, section 102 , the federal matching funds available 10 to the state poison control center from the department of human 11 services under the federal Children’s Health Insurance Program 12 Reauthorization Act allotment shall be subject to the federal 13 administrative cap rule of 10 percent applicable to funding 14 provided under Tit. XXI of the federal Social Security Act and 15 included within the department’s calculations of the cap. 16 d. Of the funds appropriated in this subsection, up to 17 $258,491 $504,796 shall be used for childhood lead poisoning 18 provisions. 19 8. RESOURCE MANAGEMENT 20 For establishing and sustaining the overall ability of the 21 department to deliver services to the public, and for not more 22 than the following full-time equivalent positions: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 485,607 24 971,215 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 26 Sec. 7. 2017 Iowa Acts, chapter 174, section 42, subsections 27 10 and 11, are amended by striking the subsections. 28 DIVISION IV 29 DEPARTMENT OF VETERANS AFFAIRS —— FY 2018-2019 30 Sec. 8. 2017 Iowa Acts, chapter 174, section 43, is amended 31 to read as follows: 32 SEC. 43. DEPARTMENT OF VETERANS AFFAIRS. There is 33 appropriated from the general fund of the state to the 34 department of veterans affairs for the fiscal year beginning 35 -15- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 15/ 112
July 1, 2018, and ending June 30, 2019, the following amounts, 1 or so much thereof as is necessary, to be used for the purposes 2 designated: 3 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 4 For salaries, support, maintenance, and miscellaneous 5 purposes, and for not more than the following full-time 6 equivalent positions: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 571,278 8 1,150,500 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 10 2. IOWA VETERANS HOME 11 For salaries, support, maintenance, and miscellaneous 12 purposes: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,614,070 14 7,162,976 15 a. The Iowa veterans home billings involving the department 16 of human services shall be submitted to the department on at 17 least a monthly basis. 18 b. Within available resources and in conformance with 19 associated state and federal program eligibility requirements, 20 the Iowa veterans home may implement measures to provide 21 financial assistance to or on behalf of veterans or their 22 spouses who are participating in the community reentry program. 23 d. The Iowa veterans home shall continue to include in the 24 annual discharge report applicant information and to provide 25 for the collection of demographic information including but not 26 limited to the number of individuals applying for admission and 27 admitted or denied admittance and the basis for the admission 28 or denial; the age, gender, and race of such individuals; 29 and the level of care for which such individuals applied for 30 admission including residential or nursing level of care. 31 3. HOME OWNERSHIP ASSISTANCE PROGRAM 32 For transfer to the Iowa finance authority for the 33 continuation of the home ownership assistance program for 34 persons who are or were eligible members of the armed forces of 35 -16- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 16/ 112
the United States, pursuant to section 16.54 : 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,000,000 2 2,000,000 3 Sec. 9. 2017 Iowa Acts, chapter 174, section 44, is amended 4 to read as follows: 5 SEC. 44. LIMITATION OF COUNTY COMMISSIONS OF VETERAN 6 AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the 7 standing appropriation in section 35A.16 for the fiscal year 8 beginning July 1, 2018, and ending June 30, 2019, the amount 9 appropriated from the general fund of the state pursuant to 10 that section for the following designated purposes shall not 11 exceed the following amount: 12 For the county commissions of veteran affairs fund under 13 section 35A.16 : 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 473,962 15 990,000 16 DIVISION V 17 DEPARTMENT OF HUMAN SERVICES —— FY 2018-2019 18 Sec. 10. 2017 Iowa Acts, chapter 174, section 45, is amended 19 to read as follows: 20 SEC. 45. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 21 GRANT. There is appropriated from the fund created in section 22 8.41 to the department of human services for the fiscal year 23 beginning July 1, 2018, and ending June 30, 2019, from moneys 24 received under the federal temporary assistance for needy 25 families (TANF) block grant pursuant to the federal Personal 26 Responsibility and Work Opportunity Reconciliation Act of 1996, 27 Pub. L. No. 104-193, and successor legislation, the following 28 amounts, or so much thereof as is necessary, to be used for the 29 purposes designated: 30 1. To be credited to the family investment program account 31 and used for assistance under the family investment program 32 under chapter 239B : 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,556,231 34 4,539,006 35 -17- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 17/ 112
2. To be credited to the family investment program account 1 and used for the job opportunities and basic skills (JOBS) 2 program and implementing family investment agreements in 3 accordance with chapter 239B : 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,787,846 5 5,412,060 6 3. To be used for the family development and 7 self-sufficiency grant program in accordance with section 8 216A.107 : 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,449,490 10 2,883,980 11 Notwithstanding section 8.33 , moneys appropriated in this 12 subsection that remain unencumbered or unobligated at the close 13 of the fiscal year shall not revert but shall remain available 14 for expenditure for the purposes designated until the close of 15 the succeeding fiscal year. However, unless such moneys are 16 encumbered or obligated on or before September 30, 2019, the 17 moneys shall revert. 18 4. For field operations: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,648,116 20 31,296,232 21 5. For general administration: 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,872,000 23 3,744,000 24 6. For state child care assistance: 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 23,933,413 26 47,166,826 27 a. Of the funds appropriated in this subsection, 28 $13,164,048 $26,205,412 is transferred to the child care 29 and development block grant appropriation made by the 30 Eighty-seventh General Assembly, 2018 session, for the federal 31 fiscal year beginning October 1, 2018, and ending September 32 30, 2019. Of this amount, $100,000 $200,000 shall be used 33 for provision of educational opportunities to registered 34 child care home providers in order to improve services and 35 -18- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 18/ 112
programs offered by this category of providers and to increase 1 the number of providers. The department may contract with 2 institutions of higher education or child care resource and 3 referral centers to provide the educational opportunities. 4 Allowable administrative costs under the contracts shall not 5 exceed 5 percent. The application for a grant shall not exceed 6 two pages in length. 7 b. Any funds appropriated in this subsection remaining 8 unallocated shall be used for state child care assistance 9 payments for families who are employed including but not 10 limited to individuals enrolled in the family investment 11 program. 12 7. For child and family services: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,190,327 14 32,380,654 15 8. For child abuse prevention grants: 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,500 17 125,000 18 9. For pregnancy prevention grants on the condition that 19 family planning services are funded: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 965,033 21 1,913,203 22 Pregnancy prevention grants shall be awarded to programs 23 in existence on or before July 1, 2018, if the programs have 24 demonstrated positive outcomes. Grants shall be awarded to 25 pregnancy prevention programs which are developed after July 26 1, 2018, if the programs are based on existing models that 27 have demonstrated positive outcomes. Grants shall comply with 28 the requirements provided in 1997 Iowa Acts, chapter 208, 29 section 14, subsections 1 and 2 , including the requirement that 30 grant programs must emphasize sexual abstinence. Priority in 31 the awarding of grants shall be given to programs that serve 32 areas of the state which demonstrate the highest percentage of 33 unplanned pregnancies of females of childbearing age within the 34 geographic area to be served by the grant. 35 -19- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 19/ 112
10. For technology needs and other resources necessary 1 to meet federal welfare reform reporting, tracking, and case 2 management requirements: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 518,593 4 1,037,186 5 11. a. Notwithstanding any provision to the contrary, 6 including but not limited to requirements in section 8.41 or 7 provisions in 2017 or 2018 Iowa Acts regarding the receipt and 8 appropriation of federal block grants, federal funds from the 9 temporary assistance for needy families block grant received 10 by the state and not otherwise appropriated in this section 11 and remaining available for the fiscal year beginning July 1, 12 2018, are appropriated to the department of human services to 13 the extent as may be necessary to be used in the following 14 priority order: the family investment program, for state child 15 care assistance program payments for families who are employed, 16 and for the family investment program share of system costs 17 to develop and maintain a new, integrated for eligibility 18 determination system and related functions . The federal funds 19 appropriated in this paragraph “a” shall be expended only after 20 all other funds appropriated in subsection 1 for assistance 21 under the family investment program, in subsection 6 for child 22 care assistance, or in subsection 10 for technology costs 23 related to the family investment program, as applicable, have 24 been expended. For the purposes of this subsection, the funds 25 appropriated in subsection 6, paragraph “a”, for transfer 26 to the child care and development block grant appropriation 27 are considered fully expended when the full amount has been 28 transferred. 29 b. The department shall, on a quarterly basis, advise the 30 legislative services agency and department of management of 31 the amount of funds appropriated in this subsection that was 32 expended in the prior quarter. 33 12. Of the amounts appropriated in this section, $6,481,004 34 $12,962,008 for the fiscal year beginning July 1, 2018, is 35 -20- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 20/ 112
transferred to the appropriation of the federal social services 1 block grant made to the department of human services for that 2 fiscal year. 3 13. For continuation of the program providing categorical 4 eligibility for the food assistance program as specified 5 for the program in the section of this division of this Act 6 relating to the family investment program account: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,500 8 14,236 9 14. The department may transfer funds allocated in this 10 section to the appropriations made in this division of this Act 11 for the same fiscal year for general administration and field 12 operations for resources necessary to implement and operate the 13 services referred to in this section and those funded in the 14 appropriation made in this division of this Act for the same 15 fiscal year for the family investment program from the general 16 fund of the state. 17 15. With the exception of moneys allocated under this 18 section for the family development and self-sufficiency grant 19 program, to the extent moneys allocated in this section are 20 deemed by the department not to be necessary to support the 21 purposes for which they are allocated, such moneys may be 22 credited used in the same fiscal year for any other purpose 23 for which funds are allocated in this section or in section 7 24 of this division for the family investment program account. 25 If there are conflicting needs, priority shall first be given 26 to the family investment program account as specified under 27 subsection 1 of this section and used for the purposes of 28 assistance under the family investment program under chapter 29 239B in the same fiscal year , followed by state child care 30 assistance program payments for families who are employed, 31 followed by other priorities as specified by the department . 32 Sec. 11. 2017 Iowa Acts, chapter 174, section 46, subsection 33 4, is amended to read as follows: 34 4. Moneys appropriated in this division of this Act and 35 -21- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 21/ 112
credited to the FIP account for the fiscal year beginning July 1 1, 2018, and ending June 30, 2019, are allocated as follows: 2 a. To be retained by the department of human services to 3 be used for coordinating with the department of human rights 4 to more effectively serve participants in FIP and other shared 5 clients and to meet federal reporting requirements under the 6 federal temporary assistance for needy families block grant: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,000 8 5,000 9 b. To the department of human rights for staffing, 10 administration, and implementation of the family development 11 and self-sufficiency grant program in accordance with section 12 216A.107 : 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,096,417 14 6,192,834 15 (1) Of the funds allocated for the family development 16 and self-sufficiency grant program in this paragraph “b”, 17 not more than 5 percent of the funds shall be used for the 18 administration of the grant program. 19 (2) The department of human rights may continue to implement 20 the family development and self-sufficiency grant program 21 statewide during fiscal year 2018-2019. 22 (3) The department of human rights may engage in activities 23 to strengthen and improve family outcomes measures and 24 data collection systems under the family development and 25 self-sufficiency grant program. 26 c. For the diversion subaccount of the FIP account: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 407,500 28 749,694 29 A portion of the moneys allocated for the subaccount may 30 be used for field operations, salaries, data management 31 system development, and implementation costs and support 32 deemed necessary by the director of human services in order to 33 administer the FIP diversion program. To the extent moneys 34 allocated in this paragraph “c” are deemed by the department 35 -22- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 22/ 112
not to be necessary to support diversion activities, such 1 moneys may be used for other efforts intended to increase 2 engagement by family investment program participants in work, 3 education, or training activities, or for the purposes of 4 assistance under the family investment program in accordance 5 with chapter 239B . 6 d. For the food assistance employment and training program: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,294 8 66,588 9 (1) The department shall apply the federal supplemental 10 nutrition assistance program (SNAP) employment and training 11 state plan in order to maximize to the fullest extent permitted 12 by federal law the use of the 50 percent federal reimbursement 13 provisions for the claiming of allowable federal reimbursement 14 funds from the United States department of agriculture 15 pursuant to the federal SNAP employment and training program 16 for providing education, employment, and training services 17 for eligible food assistance program participants, including 18 but not limited to related dependent care and transportation 19 expenses. 20 (2) The department shall continue the categorical federal 21 food assistance program eligibility at 160 percent of the 22 federal poverty level and continue to eliminate the asset test 23 from eligibility requirements, consistent with federal food 24 assistance program requirements. The department shall include 25 as many food assistance households as is allowed by federal 26 law. The eligibility provisions shall conform to all federal 27 requirements including requirements addressing individuals who 28 are incarcerated or otherwise ineligible. 29 e. For the JOBS program: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,761,645 31 12,139,821 32 Sec. 12. 2017 Iowa Acts, chapter 174, section 46, is amended 33 by adding the following new subsection: 34 NEW SUBSECTION . 7. The department of human services shall 35 -23- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 23/ 112
convene a workgroup to review opportunities to increase state 1 engagement in the supplemental nutrition assistance program 2 (SNAP) employment and training program. The workgroup shall 3 explore the feasibility of expansion of the current pilot 4 program to a statewide basis, the potential involvement of 5 community-based organizations to the extent allowed by federal 6 law, and the leveraging of state and private funding to match 7 available federal funds. The membership of the workgroup 8 shall include representatives of the department of human 9 services, community colleges, community-based organizations 10 serving SNAP recipients, philanthropic organizations, and other 11 stakeholders with relevant interest or expertise as determined 12 by the department. The workgroup shall submit a report of its 13 findings and recommendations to the governor and the general 14 assembly by December 15, 2018. 15 Sec. 13. 2017 Iowa Acts, chapter 174, section 47, unnumbered 16 paragraph 2, is amended to read as follows: 17 To be credited to the family investment program (FIP) 18 account and used for family investment program assistance under 19 chapter 239B : 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 21,502,240 21 40,365,715 22 Sec. 14. 2017 Iowa Acts, chapter 174, section 47, 23 subsections 1, 2, 4, and 5, are amended to read as follows: 24 1. Of the funds appropriated in this section, $3,973,798 25 $6,727,761 is allocated for the JOBS program. 26 2. Of the funds appropriated in this section, $1,656,927 27 $3,313,854 is allocated for the family development and 28 self-sufficiency grant program. 29 4. Of the funds appropriated in this section, $97,839 30 $195,678 shall be used for continuation of a grant to an 31 Iowa-based nonprofit organization with a history of providing 32 tax preparation assistance to low-income Iowans in order to 33 expand the usage of the earned income tax credit. The purpose 34 of the grant is to supply this assistance to underserved areas 35 -24- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 24/ 112
of the state. 1 5. Of the funds appropriated in this section, $30,000 2 $70,000 shall be used for the continuation of an unfunded pilot 3 project the parenting program , as defined specified in 441 IAC 4 100.1 100 , relating to parental obligations, in which the child 5 support recovery unit participates, to support the efforts 6 of a nonprofit organization committed to strengthening the 7 community through youth development, healthy living, and social 8 responsibility headquartered in a county with a population 9 over 350,000 according to the latest certified federal 10 census. The funds allocated in this subsection shall be used 11 by the recipient organization to develop a larger community 12 effort, through public and private partnerships, to support a 13 broad-based multi-county fatherhood parenthood initiative that 14 promotes payment of child support obligations, improved family 15 relationships, and full-time employment. 16 Sec. 15. 2017 Iowa Acts, chapter 174, section 48, unnumbered 17 paragraph 2, is amended to read as follows: 18 For child support recovery, including salaries, support, 19 maintenance, and miscellaneous purposes, and for not more than 20 the following full-time equivalent positions: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,293,317 22 14,586,635 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 459.00 24 Sec. 16. 2017 Iowa Acts, chapter 174, section 48, subsection 25 1, is amended to read as follows: 26 1. The department shall expend up to $12,164 $24,329 , 27 including federal financial participation, for the fiscal year 28 beginning July 1, 2018, for a child support public awareness 29 campaign. The department and the office of the attorney 30 general shall cooperate in continuation of the campaign. The 31 public awareness campaign shall emphasize, through a variety 32 of media activities, the importance of maximum involvement of 33 both parents in the lives of their children as well as the 34 importance of payment of child support obligations. 35 -25- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 25/ 112
Sec. 17. 2017 Iowa Acts, chapter 174, section 48, subsection 1 4, is amended by striking the subsection. 2 Sec. 18. 2017 Iowa Acts, chapter 174, section 51, unnumbered 3 paragraph 2, is amended to read as follows: 4 For medical assistance program reimbursement and associated 5 costs as specifically provided in the reimbursement 6 methodologies in effect on June 30, 2018, except as otherwise 7 expressly authorized by law, consistent with options under 8 federal law and regulations, and contingent upon receipt of 9 approval from the office of the governor of reimbursement for 10 each abortion performed under the program: 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 642,202,870 12 1,337,841,375 13 Sec. 19. 2017 Iowa Acts, chapter 174, section 51, 14 subsections 3, 4, 5, 6, 7, 8, 14, 17, 18, and 19, are amended 15 to read as follows: 16 3. The department shall utilize not more than $30,000 17 $60,000 of the funds appropriated in this section to continue 18 the AIDS/HIV health insurance premium payment program as 19 established in 1992 Iowa Acts, Second Extraordinary Session, 20 chapter 1001, section 409, subsection 6 . Of the funds 21 allocated in this subsection, not more than $2,500 $5,000 may 22 be expended for administrative purposes. 23 4. Of the funds appropriated in this Act to the 24 department of public health for addictive disorders, $475,000 25 $950,000 for the fiscal year beginning July 1, 2018, is 26 transferred to the department of human services for an 27 integrated substance-related disorder managed care system. 28 The departments of human services and public health shall 29 work together to maintain the level of mental health and 30 substance-related disorder treatment services provided by the 31 managed care contractors. Each department shall take the steps 32 necessary to continue the federal waivers as necessary to 33 maintain the level of services. 34 5. a. The department shall aggressively pursue options for 35 -26- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 26/ 112
providing medical assistance or other assistance to individuals 1 with special needs who become ineligible to continue receiving 2 services under the early and periodic screening, diagnostic, 3 and treatment program under the medical assistance program 4 due to becoming 21 years of age who have been approved for 5 additional assistance through the department’s exception to 6 policy provisions, but who have health care needs in excess 7 of the funding available through the exception to policy 8 provisions. 9 b. Of the funds appropriated in this section, $50,000 10 $100,000 shall be used for participation in one or more 11 pilot projects operated by a private provider to allow the 12 individual or individuals to receive service in the community 13 in accordance with principles established in Olmstead v. 14 L.C., 527 U.S. 581 (1999), for the purpose of providing 15 medical assistance or other assistance to individuals with 16 special needs who become ineligible to continue receiving 17 services under the early and periodic screening, diagnostic, 18 and treatment program under the medical assistance program 19 due to becoming 21 years of age who have been approved for 20 additional assistance through the department’s exception to 21 policy provisions, but who have health care needs in excess 22 of the funding available through the exception to the policy 23 provisions. 24 6. Of the funds appropriated in this section, up to 25 $1,525,041 $3,050,082 may be transferred to the field 26 operations or general administration appropriations in this 27 division of this Act for operational costs associated with Part 28 D of the federal Medicare Prescription Drug Improvement and 29 Modernization Act of 2003, Pub. L. No. 108-173. 30 7. Of the funds appropriated in this section, up to 31 $221,050 $442,100 may be transferred to the appropriation in 32 this division of this Act for medical contracts to be used 33 for clinical assessment services and prior authorization of 34 services. 35 -27- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 27/ 112
8. A portion of the funds appropriated in this section 1 may be transferred to the appropriations in this division of 2 this Act for general administration, medical contracts, the 3 children’s health insurance program, or field operations to be 4 used for the state match cost to comply with the payment error 5 rate measurement (PERM) program for both the medical assistance 6 and children’s health insurance programs as developed by the 7 centers for Medicare and Medicaid services of the United States 8 department of health and human services to comply with the 9 federal Improper Payments Information Act of 2002, Pub. L. 10 No. 107-300 , and to support other reviews and quality control 11 activities to improve the integrity of these programs . 12 14. Of the funds appropriated in this section, $174,505 13 $349,011 shall be used for the administration of the health 14 insurance premium payment program, including salaries, support, 15 maintenance, and miscellaneous purposes. 16 17. a. Of the funds appropriated in this section, up 17 to $25,000 $50,000 may be transferred by the department to 18 the appropriation made in this division of this Act to the 19 department for the same fiscal year for general administration 20 to be used for associated administrative expenses and for not 21 more than one full-time equivalent position, in addition to 22 those authorized for the same fiscal year, to be assigned to 23 implementing the children’s mental health home project. 24 b. Of the funds appropriated in this section, up to 25 $200,000 $400,000 may be transferred by the department to 26 the appropriation made to the department in this division of 27 this Act for the same fiscal year for Medicaid program-related 28 general administration planning and implementation activities. 29 The funds may be used for contracts or for personnel in 30 addition to the amounts appropriated for and the positions 31 authorized for general administration for the fiscal year. 32 c. Of the funds appropriated in this section, up to 33 $1,500,000 $3,000,000 may be transferred by the department 34 to the appropriations made in this division of this Act 35 -28- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 28/ 112
for the same fiscal year for general administration or 1 medical contracts to be used to support the development 2 and implementation of standardized assessment tools for 3 persons with mental illness, an intellectual disability, a 4 developmental disability, or a brain injury. 5 18. Of the funds appropriated in this section, $75,000 6 $150,000 shall be used for lodging expenses associated with 7 care provided at the university of Iowa hospitals and clinics 8 for patients with cancer whose travel distance is 30 miles or 9 more and whose income is at or below 200 percent of the federal 10 poverty level as defined by the most recently revised poverty 11 income guidelines published by the United States department of 12 health and human services. The department of human services 13 shall establish the maximum number of overnight stays and the 14 maximum rate reimbursed for overnight lodging, which may be 15 based on the state employee rate established by the department 16 of administrative services. The funds allocated in this 17 subsection shall not be used as nonfederal share matching 18 funds. 19 19. Of the funds appropriated in this section, up to 20 $1,691,940 $3,383,880 shall be used for administration of the 21 state family planning services program as enacted in this 2017 22 Act, and of this amount the department may use to up $100,000 23 up to $200,000 for administrative expenses. 24 Sec. 20. 2017 Iowa Acts, chapter 174, section 51, is amended 25 by adding the following new subsections: 26 NEW SUBSECTION . 22. Of the funds appropriated in this 27 section, $195,000 shall be used by the department of human 28 services through a request for proposals process to establish 29 a partnership between the university of Iowa hospitals 30 and clinics and a durable medical equipment provider and 31 manufacturer to provide new, refurbished, or repaired durable 32 medical equipment to Medicaid members in the state. Such 33 durable medical equipment provider and manufacturer shall be 34 authorized as a Medicaid provider in the state on or after 35 -29- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 29/ 112
April 1, 2018, and shall have the capability to provide 1 assessments for customized wheelchairs, manufacture bathing aid 2 equipment and mobility bathing aids, offer in-home care, and 3 sell durable medical equipment at cost in Iowa and online. 4 NEW SUBSECTION . 23. The department of human services shall 5 expand Medicaid coverage to provide care for young adults with 6 complex medical conditions in a special population nursing 7 facility as specified by rule of the department pursuant to 8 this subsection. The department shall adopt rules pursuant to 9 chapter 17A to expand the criteria for a special population 10 nursing facility under the Medicaid program to include a 11 nursing facility that serves residents, 100 percent of whom are 12 aged 30 and under and require the skilled level of care, and to 13 include a nursing facility that serves residents, 100 percent 14 of whom require care from a facility licensed by the department 15 of inspections and appeals as an intermediate care facility 16 for persons with medical complexity as defined by rule of the 17 department. 18 NEW SUBSECTION . 24. Consistent with the informational 19 bulletin published May 9, 2017, by the centers for Medicare and 20 Medicaid services of the United States department of health and 21 human services, in implementing the regulation that finalized 22 criteria for home and community-based settings appropriate for 23 provision of home and community-based services, the department 24 of human services shall continue progress with the statewide 25 transition plan to be approved by March 17, 2019, but shall 26 extend the transition period to demonstrate compliance with 27 the home and community-based settings criteria until March 17, 28 2022, for those settings to which a transition period applies. 29 NEW SUBSECTION . 25. The department of human services shall 30 utilize $3,000,000 of the funds appropriated under this section 31 to adjust current supported community living provider daily 32 rate cells under the tiered rate reimbursement methodology 33 effective with dates of service beginning July 1, 2018. The 34 department shall work with the Medicaid program actuary to 35 -30- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 30/ 112
evaluate the current tiered rates and the tiered rates phase-in 1 plan to determine the necessary apportionment of such funds. 2 In addition, the department, working with the Medicaid program 3 actuary, shall review the current tiered rates and the tiered 4 rates phase-in plan and shall propose recommendations for any 5 changes. The department shall convene the tiered rate provider 6 workgroup initially convened in the fiscal year beginning July 7 1, 2016, to review the actuarial findings and recommendations. 8 The tiered rates may be adjusted based upon the actuarial 9 findings and recommendations if such adjustments are budget 10 neutral. A report of the actuarial findings, recommendations, 11 and comments provided by the tiered rate provider workgroup 12 shall be submitted to the governor and the general assembly by 13 December 15, 2018. If additional funding is appropriated to 14 implement the recommendations, the additional funding shall be 15 incorporated into the managed care organization capitation rate 16 setting process for the fiscal year beginning July 1, 2019. 17 NEW SUBSECTION . 26. The department of human services shall 18 review all current Medicaid fee schedules and shall submit a 19 report to the governor and the general assembly by January 15, 20 2019, regarding how the current rates compare to the equivalent 21 Medicare fee schedules or other appropriate reimbursement 22 methodologies for specific services and including a plan for 23 phased-in implementation of any changes. 24 NEW SUBSECTION . 27. Of the funds appropriated in this 25 section, $1,545,530 shall be used and may be transferred to 26 other appropriations in this division of this Act as necessary 27 to administer the provisions in the division of this Act 28 relating to Medicaid program administration. 29 NEW SUBSECTION . 28. Of the funds appropriated in this 30 section, $876,015 shall be used and may be transferred to other 31 appropriations in this division of this Act as necessary to 32 administer the provisions of 2018 Iowa Acts, House File 2456, 33 as enacted. 34 Sec. 21. 2017 Iowa Acts, chapter 174, section 52, is amended 35 -31- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 31/ 112
to read as follows: 1 SEC. 52. MEDICAL CONTRACTS. There is appropriated from the 2 general fund of the state to the department of human services 3 for the fiscal year beginning July 1, 2018, and ending June 30, 4 2019, the following amount, or so much thereof as is necessary, 5 to be used for the purpose designated: 6 For medical contracts: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,813,232 8 16,603,198 9 1. The department of inspections and appeals shall 10 provide all state matching funds for survey and certification 11 activities performed by the department of inspections 12 and appeals. The department of human services is solely 13 responsible for distributing the federal matching funds for 14 such activities. 15 2. Of the funds appropriated in this section, $25,000 16 $50,000 shall be used for continuation of home and 17 community-based services waiver quality assurance programs, 18 including the review and streamlining of processes and policies 19 related to oversight and quality management to meet state and 20 federal requirements. 21 3. Of the amount appropriated in this section, up to 22 $100,000 $200,000 may be transferred to the appropriation 23 for general administration in this division of this Act to 24 be used for additional full-time equivalent positions in the 25 development of key health initiatives such as cost containment, 26 development and oversight of managed care programs, and 27 development of health strategies targeted toward improved 28 quality and reduced costs in the Medicaid program. 29 4. Of the funds appropriated in this section, $500,000 30 $1,000,000 shall be used for planning and development, 31 in cooperation with the department of public health, of a 32 phased-in program to provide a dental home for children. 33 5. Of the funds appropriated in this section, $475,000 34 $573,000 shall be credited to the autism support program fund 35 -32- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 32/ 112
created in section 225D.2 to be used for the autism support 1 program created in chapter 225D , with the exception of the 2 following amounts of this allocation which shall be used as 3 follows: 4 a. Of the funds allocated in this subsection, $125,000 5 shall be deposited in the board-certified behavior analyst and 6 board-certified assistant behavior analyst grants program fund 7 created in section 135.181 , to be used for the purposes of the 8 fund. 9 b. Of the funds allocated in this subsection, $12,500 10 $25,000 shall be used for the public purpose of continuation 11 of a grant to a nonprofit provider of child welfare services 12 provider headquartered that has been in existence for more than 13 115 years, is located in a county with a population between 14 205,000 200,000 and 215,000 in 220,000 according to the latest 15 certified federal census that provides multiple services 16 including but not limited to , is licensed as a psychiatric 17 medical institution for children, shelter, residential 18 treatment, after school programs, and provides school-based 19 programming, and an Asperger’s syndrome program, to be used for 20 support services for children with autism spectrum disorder and 21 their families. 22 c. Of the funds allocated in this subsection, $12,500 23 shall be used for the public purpose of continuing a grant to 24 a hospital-based provider headquartered in a county with a 25 population between 90,000 and 95,000 in the latest certified 26 federal census that provides multiple services including 27 but not limited to diagnostic, therapeutic, and behavioral 28 services to individuals with autism spectrum disorder across 29 one’s lifespan. The grant recipient shall utilize the funds 30 to continue the pilot project to determine the necessary 31 support services for children with autism spectrum disorder and 32 their families to be included in the children’s disabilities 33 services system. The grant recipient shall submit findings and 34 recommendations based upon the results of the pilot project 35 -33- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 33/ 112
to the individuals specified in this division of this Act for 1 submission of reports by December 31, 2018. 2 Sec. 22. 2017 Iowa Acts, chapter 174, section 53, unnumbered 3 paragraph 2, is amended to read as follows: 4 For the state supplementary assistance program: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,186,329 6 10,250,873 7 Sec. 23. 2017 Iowa Acts, chapter 174, section 53, is amended 8 by adding the following new subsection: 9 NEW SUBSECTION . 4. Notwithstanding section 8.33, moneys 10 appropriated in this section that remain unencumbered or 11 unobligated at the close of the fiscal year shall not revert 12 but shall remain available for expenditure for the purposes 13 designated until the close of the succeeding fiscal year. 14 Sec. 24. 2017 Iowa Acts, chapter 174, section 54, is amended 15 to read as follows: 16 SEC. 54. CHILDREN’S HEALTH INSURANCE PROGRAM. 17 1. There is appropriated from the general fund of the 18 state to the department of human services for the fiscal year 19 beginning July 1, 2018, and ending June 30, 2019, the following 20 amount, or so much thereof as is necessary, to be used for the 21 purpose designated: 22 For maintenance of the healthy and well kids in Iowa (hawk-i) 23 program pursuant to chapter 514I , including supplemental dental 24 services, for receipt of federal financial participation under 25 Tit. XXI of the federal Social Security Act, which creates the 26 children’s health insurance program: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,259,226 28 7,064,057 29 2. Of the funds appropriated in this section, $21,400 30 $42,800 is allocated for continuation of the contract for 31 outreach with the department of public health. 32 Sec. 25. 2017 Iowa Acts, chapter 174, section 55, unnumbered 33 paragraph 2, is amended to read as follows: 34 For child care programs: 35 -34- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 34/ 112
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 19,671,808 1 40,816,931 2 Sec. 26. 2017 Iowa Acts, chapter 174, section 55, 3 subsections 1 and 4, are amended to read as follows: 4 1. Of the funds appropriated in this section, $16,746,808 5 $34,966,931 shall be used for state child care assistance in 6 accordance with section 237A.13 . 7 4. Of the funds appropriated in this section, $2,925,000 8 $5,850,000 shall be credited to the early childhood programs 9 grants account in the early childhood Iowa fund created 10 in section 256I.11 . The moneys shall be distributed for 11 funding of community-based early childhood programs targeted 12 to children from birth through five years of age developed 13 by early childhood Iowa areas in accordance with approved 14 community plans as provided in section 256I.8 . 15 Sec. 27. 2017 Iowa Acts, chapter 174, section 56, is amended 16 to read as follows: 17 SEC. 56. JUVENILE INSTITUTION. There is appropriated 18 from the general fund of the state to the department of human 19 services for the fiscal year beginning July 1, 2018, and ending 20 June 30, 2019, the following amounts, or so much thereof as is 21 necessary, to be used for the purposes designated: 22 1. For operation of the state training school at Eldora and 23 for salaries, support, maintenance, and miscellaneous purposes, 24 and for not more than the following full-time equivalent 25 positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,675,221 27 12,762,443 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 189.00 29 Of the funds appropriated in this subsection, $45,575 30 $91,150 shall be used for distribution to licensed classroom 31 teachers at this and other institutions under the control of 32 the department of human services based upon the average student 33 yearly enrollment at each institution as determined by the 34 department. 35 -35- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 35/ 112
2. A portion of the moneys appropriated in this section 1 shall be used by the state training school at Eldora for 2 grants for adolescent pregnancy prevention activities at the 3 institution in the fiscal year beginning July 1, 2018. 4 3. Of the funds appropriated in this subsection, $212,000 5 shall be used by the state training school at Eldora for a 6 substance use disorder treatment program at the institution in 7 the fiscal year beginning July 1, 2018. 8 Sec. 28. 2017 Iowa Acts, chapter 174, section 57, is amended 9 to read as follows: 10 SEC. 57. CHILD AND FAMILY SERVICES. 11 1. There is appropriated from the general fund of the 12 state to the department of human services for the fiscal year 13 beginning July 1, 2018, and ending June 30, 2019, the following 14 amount, or so much thereof as is necessary, to be used for the 15 purpose designated: 16 For child and family services: 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 43,639,687 18 84,939,774 19 2. The department may transfer funds appropriated in this 20 section as necessary to pay the nonfederal costs of services 21 reimbursed under the medical assistance program, state child 22 care assistance program, or the family investment program which 23 are provided to children who would otherwise receive services 24 paid under the appropriation in this section. The department 25 may transfer funds appropriated in this section to the 26 appropriations made in this division of this Act for general 27 administration and for field operations for resources necessary 28 to implement and operate the services funded in this section. 29 3. a. Of the funds appropriated in this section, up 30 to $17,868,324 $34,536,648 is allocated as the statewide 31 expenditure target under section 232.143 for group foster care 32 maintenance and services. If the department projects that such 33 expenditures for the fiscal year will be less than the target 34 amount allocated in this paragraph “a”, the department may 35 -36- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 36/ 112
reallocate the excess to provide additional funding for shelter 1 care or the child welfare emergency services addressed with the 2 allocation for shelter care. 3 b. If at any time after September 30, 2018, annualization 4 of a service area’s current expenditures indicates a service 5 area is at risk of exceeding its group foster care expenditure 6 target under section 232.143 by more than 5 percent, the 7 department and juvenile court services shall examine all 8 group foster care placements in that service area in order to 9 identify those which might be appropriate for termination. 10 In addition, any aftercare services believed to be needed 11 for the children whose placements may be terminated shall be 12 identified. The department and juvenile court services shall 13 initiate action to set dispositional review hearings for the 14 placements identified. In such a dispositional review hearing, 15 the juvenile court shall determine whether needed aftercare 16 services are available and whether termination of the placement 17 is in the best interest of the child and the community. 18 4. In accordance with the provisions of section 232.188 , 19 the department shall continue the child welfare and juvenile 20 justice funding initiative during fiscal year 2018-2019. Of 21 the funds appropriated in this section, $858,876 $1,717,753 22 is allocated specifically for expenditure for fiscal year 23 2018-2019 through the decategorization services funding pools 24 and governance boards established pursuant to section 232.188 . 25 5. A portion of the funds appropriated in this section 26 may be used for emergency family assistance to provide other 27 resources required for a family participating in a family 28 preservation or reunification project or successor project to 29 stay together or to be reunified. 30 6. Notwithstanding section 234.35 or any other provision 31 of law to the contrary, state funding for shelter care and 32 the child welfare emergency services contracting implemented 33 to provide for or prevent the need for shelter care shall be 34 limited to $4,048,079 $8,096,158 . 35 -37- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 37/ 112
7. Federal funds received by the state during the fiscal 1 year beginning July 1, 2018, as the result of the expenditure 2 of state funds appropriated during a previous state fiscal 3 year for a service or activity funded under this section are 4 appropriated to the department to be used as additional funding 5 for services and purposes provided for under this section. 6 Notwithstanding section 8.33 , moneys received in accordance 7 with this subsection that remain unencumbered or unobligated at 8 the close of the fiscal year shall not revert to any fund but 9 shall remain available for the purposes designated until the 10 close of the succeeding fiscal year. 11 8. a. Of the funds appropriated in this section, up to 12 $1,645,000 $3,290,000 is allocated for the payment of the 13 expenses of court-ordered services provided to juveniles 14 who are under the supervision of juvenile court services, 15 which expenses are a charge upon the state pursuant to 16 section 232.141, subsection 4 . Of the amount allocated in 17 this paragraph “a”, up to $778,143 $1,556,287 shall be made 18 available to provide school-based supervision of children 19 adjudicated under chapter 232 , of which not more than $7,500 20 $15,000 may be used for the purpose of training. A portion of 21 the cost of each school-based liaison officer shall be paid by 22 the school district or other funding source as approved by the 23 chief juvenile court officer. 24 b. Of the funds appropriated in this section, up to $374,492 25 $748,985 is allocated for the payment of the expenses of 26 court-ordered services provided to children who are under the 27 supervision of the department, which expenses are a charge upon 28 the state pursuant to section 232.141, subsection 4 . 29 c. Notwithstanding section 232.141 or any other provision 30 of law to the contrary, the amounts allocated in this 31 subsection shall be distributed to the judicial districts 32 as determined by the state court administrator and to the 33 department’s service areas as determined by the administrator 34 of the department of human services’ division of child and 35 -38- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 38/ 112
family services. The state court administrator and the 1 division administrator shall make the determination of the 2 distribution amounts on or before June 15, 2018. 3 d. Notwithstanding chapter 232 or any other provision of 4 law to the contrary, a district or juvenile court shall not 5 order any service which is a charge upon the state pursuant 6 to section 232.141 if there are insufficient court-ordered 7 services funds available in the district court or departmental 8 service area distribution amounts to pay for the service. The 9 chief juvenile court officer and the departmental service area 10 manager shall encourage use of the funds allocated in this 11 subsection such that there are sufficient funds to pay for 12 all court-related services during the entire year. The chief 13 juvenile court officers and departmental service area managers 14 shall attempt to anticipate potential surpluses and shortfalls 15 in the distribution amounts and shall cooperatively request the 16 state court administrator or division administrator to transfer 17 funds between the judicial districts’ or departmental service 18 areas’ distribution amounts as prudent. 19 e. Notwithstanding any provision of law to the contrary, 20 a district or juvenile court shall not order a county to pay 21 for any service provided to a juvenile pursuant to an order 22 entered under chapter 232 which is a charge upon the state 23 under section 232.141, subsection 4 . 24 f. Of the funds allocated in this subsection, not more 25 than $41,500 $83,000 may be used by the judicial branch for 26 administration of the requirements under this subsection. 27 g. Of the funds allocated in this subsection, $8,500 $17,000 28 shall be used by the department of human services to support 29 the interstate commission for juveniles in accordance with 30 the interstate compact for juveniles as provided in section 31 232.173 . 32 9. Of the funds appropriated in this section, $6,126,613 33 $12,253,227 is allocated for juvenile delinquent graduated 34 sanctions services. Any state funds saved as a result of 35 -39- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 39/ 112
efforts by juvenile court services to earn a federal Tit. IV-E 1 match for juvenile court services administration may be used 2 for the juvenile delinquent graduated sanctions services. 3 10. Of the funds appropriated in this section, $829,142 4 $1,658,285 is transferred to the department of public health 5 to be used for the child protection center grant program for 6 child protection centers located in Iowa in accordance with 7 section 135.118 . The grant amounts under the program shall be 8 equalized so that each center receives a uniform base amount 9 of $122,500 $245,000 , so that $25,000 $50,000 is awarded to 10 establish a satellite child protection center in a city in 11 north central Iowa that is the county seat of a county with 12 a population between 44,000 and 45,000 according to the 2010 13 federal decennial census, and so that the remaining funds are 14 awarded through a funding formula based upon the volume of 15 children served. 16 11. If the department receives federal approval to 17 implement a waiver under Tit. IV-E of the federal Social 18 Security Act to enable providers to serve children who remain 19 in the children’s families and communities, for purposes of 20 eligibility under the medical assistance program through 25 21 years of age, children who participate in the waiver shall be 22 considered to be placed in foster care. 23 12. Of the funds appropriated in this section, $2,012,583 24 $4,025,167 is allocated for the preparation for adult living 25 program pursuant to section 234.46 . 26 13. Of the funds appropriated in this section, $113,668 27 $227,337 shall be used for the public purpose of continuing 28 a grant to a nonprofit human services organization providing 29 services to individuals and families in multiple locations in 30 southwest Iowa and Nebraska for support of a project providing 31 immediate, sensitive support and forensic interviews, medical 32 exams, needs assessments, and referrals for victims of child 33 abuse and their nonoffending family members. 34 14. Of the funds appropriated in this section, $150,310 35 -40- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 40/ 112
$300,620 is allocated for the foster care youth council 1 approach of providing a support network to children placed in 2 foster care. 3 15. Of the funds appropriated in this section, $101,000 4 $202,000 is allocated for use pursuant to section 235A.1 for 5 continuation of the initiative to address child sexual abuse 6 implemented pursuant to 2007 Iowa Acts, chapter 218, section 7 18, subsection 21 . 8 16. Of the funds appropriated in this section, $315,120 9 $630,240 is allocated for the community partnership for child 10 protection sites. 11 17. Of the funds appropriated in this section, $185,625 12 $371,250 is allocated for the department’s minority youth and 13 family projects under the redesign of the child welfare system. 14 18. Of the funds appropriated in this section, $568,297 15 $851,595 is allocated for funding of the community circle of 16 care collaboration for children and youth in northeast Iowa. 17 19. Of the funds appropriated in this section, at least 18 $73,579 $147,158 shall be used for the continuation of the 19 child welfare provider training academy, a collaboration 20 between the coalition for family and children’s services in 21 Iowa and the department. 22 20. Of the funds appropriated in this section, $105,936 23 $211,872 shall be used for continuation of the central Iowa 24 system of care program grant through June 30, 2019. 25 21. Of the funds appropriated in this section, $117,500 26 $235,000 shall be used for the public purpose of the 27 continuation and expansion of a system of care program grant 28 implemented in Cerro Gordo and Linn counties to utilize a 29 comprehensive and long-term approach for helping children 30 and families by addressing the key areas in a child’s life 31 of childhood basic needs, education and work, family, and 32 community. 33 22. Of the funds appropriated in this section, at least 34 $12,500 $25,000 shall be used to continue and to expand the 35 -41- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 41/ 112
foster care respite pilot program in which postsecondary 1 students in social work and other human services-related 2 programs receive experience by assisting family foster care 3 providers with respite and other support. 4 23. Of the funds appropriated in this section, $55,000 5 $110,000 shall be used for the public purpose of funding 6 community-based services and other supports with a system of 7 care approach for children with a serious emotional disturbance 8 and their families through a nonprofit provider of child 9 welfare services that has been in existence for more than 10 115 years, is located in a county with a population of more 11 than 200,000 but less than 220,000 according to the latest 12 certified federal census, is licensed as a psychiatric medical 13 institution for children, and was a system of care grantee 14 prior to July 1, 2018. 15 Sec. 29. 2017 Iowa Acts, chapter 174, section 58, subsection 16 1, paragraph a, is amended to read as follows: 17 a. For adoption subsidy payments and services: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 20,388,955 19 40,445,137 20 Sec. 30. 2017 Iowa Acts, chapter 174, section 60, is amended 21 to read as follows: 22 SEC. 60. FAMILY SUPPORT SUBSIDY PROGRAM. 23 1. There is appropriated from the general fund of the 24 state to the department of human services for the fiscal year 25 beginning July 1, 2018, and ending June 30, 2019, the following 26 amount, or so much thereof as is necessary, to be used for the 27 purpose designated: 28 For the family support subsidy program subject to the 29 enrollment restrictions in section 225C.37, subsection 3 : 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 534,641 31 949,282 32 2. At least $393,750 $787,500 of the moneys appropriated in 33 this section is transferred to the department of public health 34 for the family support center component of the comprehensive 35 -42- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 42/ 112
family support program under chapter 225C , subchapter V. 1 3. If at any time during the fiscal year, the amount of 2 funding available for the family support subsidy program 3 is reduced from the amount initially used to establish the 4 figure for the number of family members for whom a subsidy 5 is to be provided at any one time during the fiscal year, 6 notwithstanding section 225C.38, subsection 2 , the department 7 shall revise the figure as necessary to conform to the amount 8 of funding available. 9 Sec. 31. 2017 Iowa Acts, chapter 174, section 61, is amended 10 to read as follows: 11 SEC. 61. CONNER DECREE. There is appropriated from the 12 general fund of the state to the department of human services 13 for the fiscal year beginning July 1, 2018, and ending June 30, 14 2019, the following amount, or so much thereof as is necessary, 15 to be used for the purpose designated: 16 For building community capacity through the coordination 17 and provision of training opportunities in accordance with the 18 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D. 19 Iowa, July 14, 1994): 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,816 21 33,632 22 Sec. 32. 2017 Iowa Acts, chapter 174, section 62, subsection 23 1, is amended to read as follows: 24 1. There is appropriated from the general fund of the 25 state to the department of human services for the fiscal year 26 beginning July 1, 2018, and ending June 30, 2019, the following 27 amounts, or so much thereof as is necessary, to be used for the 28 purposes designated: 29 a. For operation of the state mental health institute at 30 Cherokee as required by chapters 218 and 226 for salaries, 31 support, maintenance, and miscellaneous purposes, and for not 32 more than the following full-time equivalent positions: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,935,127 34 13,870,254 35 -43- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 43/ 112
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 162.00 1 b. For operation of the state mental health institute at 2 Independence as required by chapters 218 and 226 for salaries, 3 support, maintenance, and miscellaneous purposes, and for not 4 more than the following full-time equivalent positions: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,756,810 6 17,513,621 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 204.00 8 Sec. 33. 2017 Iowa Acts, chapter 174, section 63, subsection 9 1, is amended to read as follows: 10 1. There is appropriated from the general fund of the 11 state to the department of human services for the fiscal year 12 beginning July 1, 2018, and ending June 30, 2019, the following 13 amounts, or so much thereof as is necessary, to be used for the 14 purposes designated: 15 a. For the state resource center at Glenwood for salaries, 16 support, maintenance, and miscellaneous purposes: 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,943,890 18 16,858,523 19 b. For the state resource center at Woodward for salaries, 20 support, maintenance, and miscellaneous purposes: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,038,517 22 11,386,679 23 Sec. 34. 2017 Iowa Acts, chapter 174, section 64, subsection 24 1, is amended to read as follows: 25 1. There is appropriated from the general fund of the 26 state to the department of human services for the fiscal year 27 beginning July 1, 2018, and ending June 30, 2019, the following 28 amount, or so much thereof as is necessary, to be used for the 29 purpose designated: 30 For costs associated with the commitment and treatment of 31 sexually violent predators in the unit located at the state 32 mental health institute at Cherokee, including costs of legal 33 services and other associated costs, including salaries, 34 support, maintenance, and miscellaneous purposes, and for not 35 -44- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 44/ 112
more than the following full-time equivalent positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,732,373 2 10,864,747 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 112.00 4 132.00 5 Sec. 35. 2017 Iowa Acts, chapter 174, section 65, is amended 6 to read as follows: 7 SEC. 65. FIELD OPERATIONS. There is appropriated from the 8 general fund of the state to the department of human services 9 for the fiscal year beginning July 1, 2018, and ending June 30, 10 2019, the following amount, or so much thereof as is necessary, 11 to be used for the purposes designated: 12 For field operations, including salaries, support, 13 maintenance, and miscellaneous purposes, and for not more than 14 the following full-time equivalent positions: 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 24,242,217 16 49,074,517 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 1,583.00 18 1,539.00 19 Priority in filling full-time equivalent positions shall be 20 given to those positions related to child protection services 21 and eligibility determination for low-income families. 22 Sec. 36. 2017 Iowa Acts, chapter 174, section 66, is amended 23 to read as follows: 24 SEC. 66. GENERAL ADMINISTRATION. There is appropriated 25 from the general fund of the state to the department of human 26 services for the fiscal year beginning July 1, 2018, and ending 27 June 30, 2019, the following amount, or so much thereof as is 28 necessary, to be used for the purpose designated: 29 For general administration, including salaries, support, 30 maintenance, and miscellaneous purposes, and for not more than 31 the following full-time equivalent positions: 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,016,520 33 13,833,040 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 294.00 35 -45- HF2501.5741 (2) 87 (amending this HF 2501 to CONFORM to SF 2418) pf/rn 45/ 112
2. Of the funds appropriated in this section, $75,000 1 $150,000 shall be used to continue the contract for the 2 provision of a program to provide technical assistance, 3 support, and consultation to providers of habilitation services 4 and home and community-based services waiver services for 5 adults with disabilities under the medical assistance program. 6 3. Of the funds appropriated in this section, $25,000 7 $50,000 is transferred to the Iowa finance authority to be 8 used for administrative support of the council on homelessness 9 established in section 16.2D and for the council to fulfill its 10 duties in addressing and reducing homelessness in the state. 11 4. Of the funds appropriated in this section, $100,000 12 $200,000 shall be transferred to and deposited in the 13 administrative fund of the