Senate File 515 S-3366 Amend Senate File 515 as follows: 1 1. By striking everything after the enacting clause and 2 inserting: 3 < DIVISION I 4 DEPARTMENT ON AGING —— FY 2017-2018 5 Section 1. DEPARTMENT ON AGING. There is appropriated from 6 the general fund of the state to the department on aging for 7 the fiscal year beginning July 1, 2017, and ending June 30, 8 2018, the following amount, or so much thereof as is necessary, 9 to be used for the purposes designated: 10 For aging programs for the department on aging and area 11 agencies on aging to provide citizens of Iowa who are 60 years 12 of age and older with case management for frail elders, Iowa’s 13 aging and disabilities resource center, and other services 14 which may include but are not limited to adult day services, 15 respite care, chore services, information and assistance, 16 and material aid, for information and options counseling for 17 persons with disabilities who are 18 years of age or older, 18 and for salaries, support, administration, maintenance, and 19 miscellaneous purposes, and for not more than the following 20 full-time equivalent positions: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 11,042,476 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 27.00 23 1. Funds appropriated in this section may be used to 24 supplement federal funds under federal regulations. To 25 receive funds appropriated in this section, a local area 26 agency on aging shall match the funds with moneys from other 27 sources according to rules adopted by the department. Funds 28 appropriated in this section may be used for elderly services 29 not specifically enumerated in this section only if approved 30 by an area agency on aging for provision of the service within 31 the area. 32 2. Of the funds appropriated in this section, $279,946 is 33 transferred to the economic development authority for the Iowa 34 commission on volunteer services to be used for the retired and 35 -1- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 1/ 151 #1.

senior volunteer program. 1 3. a. The department on aging shall establish and enforce 2 procedures relating to expenditure of state and federal funds 3 by area agencies on aging that require compliance with both 4 state and federal laws, rules, and regulations, including but 5 not limited to all of the following: 6 (1) Requiring that expenditures are incurred only for goods 7 or services received or performed prior to the end of the 8 fiscal period designated for use of the funds. 9 (2) Prohibiting prepayment for goods or services not 10 received or performed prior to the end of the fiscal period 11 designated for use of the funds. 12 (3) Prohibiting the prepayment for goods or services 13 not defined specifically by good or service, time period, or 14 recipient. 15 (4) Prohibiting the establishment of accounts from which 16 future goods or services which are not defined specifically by 17 good or service, time period, or recipient, may be purchased. 18 b. The procedures shall provide that if any funds are 19 expended in a manner that is not in compliance with the 20 procedures and applicable federal and state laws, rules, and 21 regulations, and are subsequently subject to repayment, the 22 area agency on aging expending such funds in contravention of 23 such procedures, laws, rules and regulations, not the state, 24 shall be liable for such repayment. 25 4. Of the funds appropriated in this section, at least 26 $250,000 shall be used to fund the unmet needs identified 27 through Iowa’s aging and disability resource center network. 28 5. Of the funds appropriated in this section, at least 29 $600,000 shall be used to fund home and community-based 30 services through the area agencies on aging that enable older 31 individuals to avoid more costly utilization of residential or 32 institutional services and remain in their own homes. 33 6. Of the funds appropriated in this section, $812,537 34 shall be used for the purposes of chapter 231E and section 35 -2- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 2/ 151

231.56A , of which $350,000 shall be used for the office of 1 substitute decision maker pursuant to chapter 231E , and the 2 remainder shall be distributed equally to the area agencies on 3 aging to administer the prevention of elder abuse, neglect, and 4 exploitation program pursuant to section 231.56A , in accordance 5 with the requirements of the federal Older Americans Act of 6 1965, 42 U.S.C. §3001 et seq., as amended. 7 7. Of the funds appropriated in this section, $750,000 8 shall be used to fund continuation of the aging and disability 9 resource center lifelong links to provide individuals and 10 caregivers with information and services to plan for and 11 maintain independence. 12 8. Notwithstanding section 8.39, for the fiscal year 13 beginning July 1, 2017, the department may transfer funds 14 within or between the allocations made in this division of this 15 Act for the same fiscal year in accordance with departmental 16 priorities. The department shall report any such transfers 17 to the individuals specified in this Act for submission of 18 reports. This subsection shall not be construed to prohibit 19 the use of existing state transfer authority for other 20 purposes. 21 DIVISION II 22 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2017-2018 23 Sec. 2. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is 24 appropriated from the general fund of the state to the office 25 of long-term care ombudsman for the fiscal year beginning July 26 1, 2017, and ending June 30, 2018, the following amount, or 27 so much thereof as is necessary, to be used for the purposes 28 designated: 29 For salaries, support, administration, maintenance, and 30 miscellaneous purposes, and for not more than the following 31 full-time equivalent positions: 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,160,281 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.00 34 DIVISION III 35 -3- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 3/ 151

DEPARTMENT OF PUBLIC HEALTH —— FY 2017-2018 1 Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriated 2 from the general fund of the state to the department of public 3 health for the fiscal year beginning July 1, 2017, and ending 4 June 30, 2018, the following amounts, or so much thereof as is 5 necessary, to be used for the purposes designated: 6 1. ADDICTIVE DISORDERS 7 For reducing the prevalence of the use of tobacco, alcohol, 8 and other drugs, and treating individuals affected by addictive 9 behaviors, including gambling, and for not more than the 10 following full-time equivalent positions: 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 24,985,831 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 13 a. (1) Of the funds appropriated in this subsection, 14 $4,021,225 shall be used for the tobacco use prevention 15 and control initiative, including efforts at the state and 16 local levels, as provided in chapter 142A . The commission 17 on tobacco use prevention and control established pursuant 18 to section 142A.3 shall advise the director of public health 19 in prioritizing funding needs and the allocation of moneys 20 appropriated for the programs and initiatives. Activities 21 of the programs and initiatives shall be in alignment with 22 the United States centers for disease control and prevention 23 best practices for comprehensive tobacco control programs that 24 include the goals of preventing youth initiation of tobacco 25 usage, reducing exposure to secondhand smoke, and promotion 26 of tobacco cessation. To maximize resources, the department 27 shall determine if third-party sources are available to 28 instead provide nicotine replacement products to an applicant 29 prior to provision of such products to an applicant under 30 the initiative. The department shall track and report to 31 the individuals specified in this Act, any reduction in 32 the provision of nicotine replacement products realized by 33 the initiative through implementation of the prerequisite 34 screening. 35 -4- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 4/ 151

(2) (a) The department shall collaborate with the 1 alcoholic beverages division of the department of commerce for 2 enforcement of tobacco laws, regulations, and ordinances and to 3 engage in tobacco control activities approved by the division 4 of tobacco use prevention and control of the department of 5 public health as specified in the memorandum of understanding 6 entered into between the divisions. 7 (b) For the fiscal year beginning July 1, 2017, and ending 8 June 30, 2018, the terms of the memorandum of understanding, 9 entered into between the division of tobacco use prevention 10 and control of the department of public health and the 11 alcoholic beverages division of the department of commerce, 12 governing compliance checks conducted to ensure licensed retail 13 tobacco outlet conformity with tobacco laws, regulations, and 14 ordinances relating to persons under 18 years of age, shall 15 continue to restrict the number of such checks to one check per 16 retail outlet, and one additional check for any retail outlet 17 found to be in violation during the first check. 18 b. Of the funds appropriated in this subsection, 19 $20,964,606 shall be used for problem gambling and 20 substance-related disorder prevention, treatment, and recovery 21 services, including a 24-hour helpline, public information 22 resources, professional training, youth prevention, and program 23 evaluation. 24 c. The requirement of section 123.17, subsection 5, is met 25 by the appropriations and allocations made in this division of 26 this Act for purposes of substance-related disorder treatment 27 and addictive disorders for the fiscal year beginning July 1, 28 2017. 29 2. HEALTHY CHILDREN AND FAMILIES 30 For promoting the optimum health status for children, 31 adolescents from birth through 21 years of age, and families, 32 and for not more than the following full-time equivalent 33 positions: 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,325,632 35 -5- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 5/ 151

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 1 a. Of the funds appropriated in this subsection, not more 2 than $734,841 shall be used for the healthy opportunities for 3 parents to experience success (HOPES)-healthy families Iowa 4 (HFI) program established pursuant to section 135.106 . The 5 funding shall be distributed to renew the grants that were 6 provided to the grantees that operated the program during the 7 fiscal year ending June 30, 2017. 8 b. In order to implement the legislative intent stated in 9 sections 135.106 and 256I.9 , that priority for home visitation 10 program funding be given to programs using evidence-based or 11 promising models for home visitation, it is the intent of the 12 general assembly to phase in the funding priority in accordance 13 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2 , 14 paragraph “0b”. 15 c. Of the funds appropriated in this subsection, $3,075,101 16 shall be used for continuation of the department’s initiative 17 to provide for adequate developmental surveillance and 18 screening during a child’s first five years. The funds shall 19 be used first to fully fund the current sites to ensure that 20 the sites are fully operational, with the remaining funds 21 to be used for expansion to additional sites. The full 22 implementation and expansion shall include enhancing the scope 23 of the initiative through collaboration with the child health 24 specialty clinics to promote healthy child development through 25 early identification and response to both biomedical and social 26 determinants of healthy development; by monitoring child 27 health metrics to inform practice, document long-term health 28 impacts and savings, and provide for continuous improvement 29 through training, education, and evaluation; and by providing 30 for practitioner consultation particularly for children with 31 behavioral conditions and needs. The department of public 32 health shall also collaborate with the Iowa Medicaid enterprise 33 and the child health specialty clinics to integrate the 34 activities of the first five initiative into the establishment 35 -6- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 6/ 151

of patient-centered medical homes, community utilities, 1 accountable care organizations, and other integrated care 2 models developed to improve health quality and population 3 health while reducing health care costs. To the maximum extent 4 possible, funding allocated in this paragraph shall be utilized 5 as matching funds for medical assistance program reimbursement. 6 d. Of the funds appropriated in this subsection, $64,640 7 shall be distributed to a statewide dental carrier to provide 8 funds to continue the donated dental services program patterned 9 after the projects developed by the lifeline network to provide 10 dental services to indigent individuals who are elderly or with 11 disabilities. 12 e. Of the funds appropriated in this subsection, $156,482 13 shall be used to provide audiological services and hearing 14 aids for children. The department may enter into a contract 15 to administer this paragraph. 16 f. Of the funds appropriated in this subsection, $23,000 is 17 transferred to the university of Iowa college of dentistry for 18 provision of primary dental services to children. State funds 19 shall be matched on a dollar-for-dollar basis. The university 20 of Iowa college of dentistry shall coordinate efforts with the 21 department of public health, bureau of oral and health delivery 22 systems, to provide dental care to underserved populations 23 throughout the state. 24 g. Of the funds appropriated in this subsection, $50,000 25 shall be used to address youth suicide prevention. 26 h. Of the funds appropriated in this subsection, $40,511 27 shall be used to support the Iowa effort to address the survey 28 of children who experience adverse childhood experiences known 29 as ACEs. 30 i. The department of public health shall continue to 31 administer the program to assist parents in this state with 32 costs resulting from the death of a child in accordance with 33 the provisions of 2014 Iowa Acts, chapter 1140, section 22, 34 subsection 12 . 35 -7- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 7/ 151

3. CHRONIC CONDITIONS 1 For serving individuals identified as having chronic 2 conditions or special health care needs, and for not more than 3 the following full-time equivalent positions: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,170,750 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 6 a. Of the funds appropriated in this subsection, $153,755 7 shall be used for grants to individual patients who have an 8 inherited metabolic disorder to assist with the costs of 9 medically necessary foods and formula. 10 b. Of the funds appropriated in this subsection, $1,020,794 11 shall be used for the brain injury services program pursuant 12 to section 135.22B, including for contracting with an existing 13 nationally affiliated and statewide organization whose purpose 14 is to educate, serve, and support Iowans with brain injury and 15 their families for resource facilitator services in accordance 16 with section 135.22B, subsection 9, and for contracting to 17 enhance brain injury training and recruitment of service 18 providers on a statewide basis. Of the amount allocated in 19 this paragraph, $95,000 shall be used to fund one full-time 20 equivalent position to serve as the state brain injury services 21 program manager. 22 c. Of the funds appropriated in this subsection, $144,097 23 shall be used for the public purpose of continuing to contract 24 with an existing national-affiliated organization to provide 25 education, client-centered programs, and client and family 26 support for people living with epilepsy and their families. 27 The amount allocated in this paragraph in excess of $100,000 28 shall be matched dollar-for-dollar by the organization 29 specified. 30 d. Of the funds appropriated in this subsection, $809,550 31 shall be used for child health specialty clinics. 32 e. Of the funds appropriated in this subsection, $384,552 33 shall be used by the regional autism assistance program 34 established pursuant to section 256.35 , and administered by 35 -8- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 8/ 151

the child health specialty clinic located at the university of 1 Iowa hospitals and clinics. The funds shall be used to enhance 2 interagency collaboration and coordination of educational, 3 medical, and other human services for persons with autism, 4 their families, and providers of services, including delivering 5 regionalized services of care coordination, family navigation, 6 and integration of services through the statewide system of 7 regional child health specialty clinics and fulfilling other 8 requirements as specified in chapter 225D . The university of 9 Iowa shall not receive funds allocated under this paragraph for 10 indirect costs associated with the regional autism assistance 11 program. 12 f. Of the funds appropriated in this subsection, $577,375 13 shall be used for the comprehensive cancer control program to 14 reduce the burden of cancer in Iowa through prevention, early 15 detection, effective treatment, and ensuring quality of life. 16 Of the funds allocated in this paragraph “f”, $150,000 shall 17 be used to support a melanoma research symposium, a melanoma 18 biorepository and registry, basic and translational melanoma 19 research, and clinical trials. 20 g. Of the funds appropriated in this subsection, $97,532 21 shall be used for cervical and colon cancer screening, and 22 $177,720 shall be used to enhance the capacity of the cervical 23 cancer screening program to include provision of recommended 24 prevention and early detection measures to a broader range of 25 low-income women. 26 h. Of the funds appropriated in this subsection, $506,355 27 shall be used for the center for congenital and inherited 28 disorders. 29 i. Of the funds appropriated in this subsection, 30 $215,263 shall be used by the department of public health 31 for reform-related activities, including but not limited to 32 facilitation of communication to stakeholders at the state and 33 local level, administering the patient-centered health advisory 34 council pursuant to section 135.159 , and involvement in health 35 -9- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 9/ 151

care system innovation activities occurring across the state. 1 j. Of the funds appropriated in this subsection, $22,100 2 shall be used for administration of chapter 124D , the medical 3 cannabidiol Act. 4 4. COMMUNITY CAPACITY 5 For strengthening the health care delivery system at the 6 local level, and for not more than the following full-time 7 equivalent positions: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,907,776 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 10 a. Of the funds appropriated in this subsection, $95,575 11 is allocated for continuation of the child vision screening 12 program implemented through the university of Iowa hospitals 13 and clinics in collaboration with early childhood Iowa areas. 14 The program shall submit a report to the individuals identified 15 in this Act for submission of reports regarding the use of 16 funds allocated under this paragraph “a”. The report shall 17 include the objectives and results for the program year 18 including the target population and how the funds allocated 19 assisted the program in meeting the objectives; the number, 20 age, and location within the state of individuals served; 21 the type of services provided to the individuals served; the 22 distribution of funds based on service provided; and the 23 continuing needs of the program. 24 b. Of the funds appropriated in this subsection, $105,656 is 25 allocated for continuation of an initiative implemented at the 26 university of Iowa to expand and improve the workforce engaged 27 in mental health treatment and services. The initiative shall 28 receive input from the university of Iowa, the department of 29 human services, the department of public health, and the mental 30 health and disability services commission to address the focus 31 of the initiative. 32 c. Of the funds appropriated in this section, $83,315 shall 33 be deposited in the governmental public health system fund 34 created in section 135A.8 to be used for the purposes of the 35 -10- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 10/ 151

fund. 1 d. Of the funds appropriated in this subsection, 2 $48,069 shall be used for a grant to a statewide association 3 of psychologists that is affiliated with the American 4 psychological association to be used for continuation of a 5 program to rotate intern psychologists in placements in urban 6 and rural mental health professional shortage areas, as defined 7 in section 135.180 . 8 e. Of the funds appropriated in this subsection, the 9 following amounts are allocated to be used as follows to 10 support the Iowa collaborative safety net provider network 11 goals of increased access, health system integration, and 12 engagement: 13 (1) Not less than $521,863 is allocated to the Iowa 14 prescription drug corporation for continuation of the 15 pharmaceutical infrastructure for safety net providers as 16 described in 2007 Iowa Acts, chapter 218, section 108 , and for 17 the prescription drug donation repository program created in 18 chapter 135M. 19 (2) Not less than $334,870 is allocated to free clinics and 20 free clinics of Iowa for necessary infrastructure, statewide 21 coordination, provider recruitment, service delivery, and 22 provision of assistance to patients in securing a medical home 23 inclusive of oral health care. 24 (3) Not less than $25,000 is allocated to the Iowa 25 association of rural health clinics for necessary 26 infrastructure and service delivery transformation. 27 (4) Not less than $100,000 is allocated to the Polk county 28 medical society for continuation of the safety net provider 29 patient access to a specialty health care initiative as 30 described in 2007 Iowa Acts, chapter 218, section 109. 31 f. Of the funds appropriated in this subsection, 32 $76,231 shall be used by the department in implementing 33 the recommendations in the final report submitted by the 34 direct care worker advisory council to the governor and the 35 -11- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 11/ 151

general assembly in March 2012, including by continuing to 1 develop, promote, and make available on a statewide basis the 2 prepare-to-care core curriculum and its associated modules 3 and specialties through various formats including online 4 access, community colleges, and other venues; exploring new and 5 maintaining existing specialties including but not limited to 6 oral health and dementia care; supporting instructor training; 7 and assessing and making recommendations concerning the Iowa 8 care book and information technology systems and infrastructure 9 uses and needs. 10 g. Of the funds appropriated in this subsection, $191,188 11 shall be allocated for continuation of the contract with 12 an independent statewide direct care worker organization 13 previously selected through a request for proposals process. 14 The contract shall continue to include performance and outcomes 15 measures, and shall continue to allow the contractor to use a 16 portion of the funds received under the contract to collect 17 data to determine results based on the performance and outcomes 18 measures. 19 h. Of the funds appropriated in this subsection, the 20 department may use up to $58,175 for up to one full-time 21 equivalent position to administer the volunteer health care 22 provider program pursuant to section 135.24 . 23 i. Of the funds appropriated in this subsection, $96,138 24 shall be used for a matching dental education loan repayment 25 program to be allocated to a dental nonprofit health service 26 corporation to continue to develop the criteria and implement 27 the loan repayment program. 28 j. Of the funds appropriated in this subsection, $52,911 is 29 transferred to the college student aid commission for deposit 30 in the rural Iowa primary care trust fund created in section 31 261.113 to be used for the purposes of the fund. 32 k. Of the funds appropriated in this subsection, $150,000 33 shall be used for the purposes of the Iowa donor registry as 34 specified in section 142C.18 . 35 -12- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 12/ 151

l. Of the funds appropriated in this subsection, $96,138 1 shall be used for continuation of a grant to a nationally 2 affiliated volunteer eye organization that has an established 3 program for children and adults and that is solely dedicated to 4 preserving sight and preventing blindness through education, 5 nationally certified vision screening and training, and 6 community and patient service programs. The organization 7 shall submit a report to the individuals identified in this 8 Act for submission of reports regarding the use of funds 9 allocated under this paragraph “l”. The report shall include 10 the objectives and results for the program year including 11 the target population and how the funds allocated assisted 12 the program in meeting the objectives; the number, age, and 13 location within the state of individuals served; the type of 14 services provided to the individuals served; the distribution 15 of funds based on services provided; and the continuing needs 16 of the program. 17 5. ESSENTIAL PUBLIC HEALTH SERVICES 18 To provide public health services that reduce risks and 19 invest in promoting and protecting good health over the 20 course of a lifetime with a priority given to older Iowans and 21 vulnerable populations: 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,197,878 23 6. INFECTIOUS DISEASES 24 For reducing the incidence and prevalence of communicable 25 diseases, and for not more than the following full-time 26 equivalent positions: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,646,426 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 29 7. PUBLIC PROTECTION 30 For protecting the health and safety of the public through 31 establishing standards and enforcing regulations, and for not 32 more than the following full-time equivalent positions: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,195,139 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 138.00 35 -13- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 13/ 151

a. Of the funds appropriated in this subsection, not more 1 than $304,700 shall be credited to the emergency medical 2 services fund created in section 135.25 . Moneys in the 3 emergency medical services fund are appropriated to the 4 department to be used for the purposes of the fund. 5 b. Of the funds appropriated in this subsection, up 6 to $243,260 shall be used for sexual violence prevention 7 programming through a statewide organization representing 8 programs serving victims of sexual violence through the 9 department’s sexual violence prevention program, and for 10 continuation of a training program for sexual assault 11 response team (SART) members, including representatives of 12 law enforcement, victim advocates, prosecutors, and certified 13 medical personnel. The amount allocated in this paragraph “b” 14 shall not be used to supplant funding administered for other 15 sexual violence prevention or victims assistance programs. 16 c. Of the funds appropriated in this subsection, up to 17 $575,627 shall be used for the state poison control center. 18 Pursuant to the directive under 2014 Iowa Acts, chapter 19 1140, section 102 , the federal matching funds available to 20 the state poison control center from the department of human 21 services under the federal Children’s Health Insurance Program 22 Reauthorization Act allotment shall be subject to the federal 23 administrative cap rule of 10 percent applicable to funding 24 provided under Tit. XXI of the federal Social Security Act and 25 included within the department’s calculations of the cap. 26 d. Of the funds appropriated in this subsection, up to 27 $516,982 shall be used for childhood lead poisoning provisions. 28 8. RESOURCE MANAGEMENT 29 For establishing and sustaining the overall ability of the 30 department to deliver services to the public, and for not more 31 than the following full-time equivalent positions: 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 971,215 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 34 9. MISCELLANEOUS PROVISIONS 35 -14- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 14/ 151

The university of Iowa hospitals and clinics under the 1 control of the state board of regents shall not receive 2 indirect costs from the funds appropriated in this section. 3 The university of Iowa hospitals and clinics billings to the 4 department shall be on at least a quarterly basis. 5 10. GENERAL REDUCTION 6 For the period beginning July 1, 2017, and ending June 30, 7 2018, the department of public health, in consultation with 8 the department of management, shall identify and implement a 9 reduction in expenditures made from appropriations from the 10 general fund to the department of public health in the amount 11 of $1,281,367. 12 11. TRANSFERS 13 Notwithstanding section 8.39, for the fiscal year beginning 14 July 1, 2017, the department may transfer funds within or 15 between any of the allocations or appropriations made in this 16 division of this Act for the same fiscal year, to be used in 17 accordance with departmental priorities as specified in the 18 department’s report to the general assembly submitted pursuant 19 to 2016 Iowa Acts, chapter 1139, section 3. The department 20 shall report any such transfers to the individuals specified 21 in this Act for submission of reports. This subsection shall 22 not be construed to prohibit the use of existing state transfer 23 authority for other purposes. 24 DIVISION IV 25 DEPARTMENT OF VETERANS AFFAIRS —— FY 2017-2018 26 Sec. 4. DEPARTMENT OF VETERANS AFFAIRS. There is 27 appropriated from the general fund of the state to the 28 department of veterans affairs for the fiscal year beginning 29 July 1, 2017, and ending June 30, 2018, the following amounts, 30 or so much thereof as is necessary, to be used for the purposes 31 designated: 32 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 33 For salaries, support, maintenance, and miscellaneous 34 purposes, and for not more than the following full-time 35 -15- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 15/ 151

equivalent positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,142,557 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 3 2. IOWA VETERANS HOME 4 For salaries, support, maintenance, and miscellaneous 5 purposes: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,228,140 7 a. The Iowa veterans home billings involving the department 8 of human services shall be submitted to the department on at 9 least a monthly basis. 10 b. Within available resources and in conformance with 11 associated state and federal program eligibility requirements, 12 the Iowa veterans home may implement measures to provide 13 financial assistance to or on behalf of veterans or their 14 spouses who are participating in the community reentry program. 15 c. The Iowa veterans home expenditure report shall be 16 submitted monthly to the legislative services agency. 17 d. The Iowa veterans home shall continue to include in the 18 annual discharge report applicant information to provide for 19 the collection of demographic information including but not 20 limited to the number of individuals applying for admission and 21 admitted or denied admittance and the basis for the admission 22 or denial; the age, gender, and race of such individuals; 23 and the level of care for which such individuals applied for 24 admission including residential or nursing level of care. 25 3. HOME OWNERSHIP ASSISTANCE PROGRAM 26 For transfer to the Iowa finance authority for the 27 continuation of the home ownership assistance program for 28 persons who are or were eligible members of the armed forces of 29 the United States, pursuant to section 16.54 : 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,000,000 31 Sec. 5. LIMITATION OF COUNTY COMMISSIONS OF VETERAN AFFAIRS 32 FUND STANDING APPROPRIATIONS. Notwithstanding the standing 33 appropriation in section 35A.16 for the fiscal year beginning 34 July 1, 2017, and ending June 30, 2018, the amount appropriated 35 -16- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 16/ 151

from the general fund of the state pursuant to that section 1 for the following designated purposes shall not exceed the 2 following amount: 3 For the county commissions of veteran affairs fund under 4 section 35A.16 : 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 947,925 6 DIVISION V 7 DEPARTMENT OF HUMAN SERVICES —— FY 2017-2018 8 Sec. 6. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 9 GRANT. There is appropriated from the fund created in section 10 8.41 to the department of human services for the fiscal year 11 beginning July 1, 2017, and ending June 30, 2018, from moneys 12 received under the federal temporary assistance for needy 13 families (TANF) block grant pursuant to the federal Personal 14 Responsibility and Work Opportunity Reconciliation Act of 1996, 15 Pub. L. No. 104-193, and successor legislation, the following 16 amounts, or so much thereof as is necessary, to be used for the 17 purposes designated: 18 1. To be credited to the family investment program account 19 and used for assistance under the family investment program 20 under chapter 239B : 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,112,462 22 2. To be credited to the family investment program account 23 and used for the job opportunities and basic skills (JOBS) 24 program and implementing family investment agreements in 25 accordance with chapter 239B : 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,575,693 27 3. To be used for the family development and 28 self-sufficiency grant program in accordance with section 29 216A.107 : 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,898,980 31 Notwithstanding section 8.33 , moneys appropriated in this 32 subsection that remain unencumbered or unobligated at the close 33 of the fiscal year shall not revert but shall remain available 34 for expenditure for the purposes designated until the close of 35 -17- SF515.2585 (2) 87 (amending this SF 515 to CONFORM to HF 653) pf/rn 17/ 151