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