Senate File 2418 S-5306 Amend Senate File 2418 as follows: 1 1. Page 1, by striking lines 30 through 33 and inserting: 2 < 4. Of the funds appropriated in this section, at least 3 $125,000 shall be used to fund the unmet needs identified 4 through Iowa’s aging and disability resource center network. > 5 2. Page 6, line 2, by striking < 12.00 > and inserting < 12.00 6 13.00 > 7 3. Page 10, line 15, by striking < 4,865,152 > and inserting 8 < 4,970,152 > 9 4. Page 11, line 20, by striking < $437,829 > and inserting 10 < $542,829 > 11 5. Page 25, after line 32 by inserting: 12 < Sec. ___. 2017 Iowa Acts, chapter 174, section 48, 13 subsection 4, is amended by striking the subsection. > 14 6. Page 26, line 8, by striking < 1,337,946,375 > and 15 inserting < 1,337,841,375 > 16 7. Page 29, line 23, by striking < $300,000 > and inserting 17 < $195,000 > 18 8. Page 29, line 26, by striking < nonprofit > 19 9. Page 29, lines 34 and 35, by striking < as of June 1, 20 2018 > 21 10. Page 32, line 31, by striking < $723,000 > and inserting 22 < $573,000 > 23 11. Page 33, by striking lines 6 through 15 and inserting: 24 < b. Of the funds allocated in this subsection, $12,500 25 $25,000 shall be used for the public purpose of continuation 26 of a grant to a nonprofit provider of child welfare services 27 provider headquartered that has been in existence for more than 28 115 years, is located in a county with a population between 29 205,000 200,000 and 215,000 in 220,000 according to the latest 30 certified federal census that provides multiple services 31 including but not limited to , is licensed as a psychiatric 32 medical institution for children, shelter, residential 33 treatment, after school programs, and provides school-based 34 programming, and an Asperger’s syndrome program, to be used for 35 -1- SF2418.5752 (1) 87 pf/rn 1/ 4 #1. #2. #3. #4. #5. #6. #7. #8. #9. #10. #11.

support services for children with autism spectrum disorder and 1 their families. > 2 12. Page 34, line 30, by striking < 40,816,831 > and inserting 3 < 40,816,931 > 4 13. Page 48, after line 16 by inserting: 5 < Sec. ___. 2017 Iowa Acts, chapter 174, section 70, 6 subsection 7, is amended to read as follows: 7 7. a. For the purposes of this subsection, “combined 8 reimbursement rate” means the combined service and maintenance 9 reimbursement rate for a service level under the department’s 10 reimbursement methodology. Effective July 1, 2018, the 11 combined reimbursement rate for a group foster care service 12 level shall be the amount designated in this subsection. 13 However, if a group foster care provider’s reimbursement rate 14 for a service level as of June 30, 2018, is more than the rate 15 designated in this subsection, the provider’s reimbursement 16 shall remain at the higher rate. 17 b. Unless a group foster care provider is subject to the 18 exception provided in paragraph “a”, effective July 1, 2018, 19 the combined reimbursement rates for the service levels under 20 the department’s reimbursement methodology shall be as follows: 21 (1) For service level, community - D1, the daily rate shall 22 be at least $84.17. 23 (2) For service level, comprehensive - D2, the daily rate 24 shall be at least $119.09. 25 (3) For service level, enhanced - D3, the daily rate shall 26 be at least $131.09 established by contract . > 27 14. Page 74, by striking lines 13 through 21 and inserting: 28 < c. During the period of April 2, 2013, through July 1, 29 2013, the The department shall work with any county that has 30 not agreed to be part of a region in accordance with paragraph 31 “a” and with the regions forming around the county to resolve 32 issues preventing the county from joining a region. By July 33 1, 2013, a A county that has not agreed to be part of a region 34 in accordance with paragraph “a” shall be assigned by the 35 -2- SF2418.5752 (1) 87 pf/rn 2/ 4 #12. #13. #14.

department to a region, unless exempted pursuant to subsection 1 1 prior to July 1, 2014 . > 2 15. Page 86, line 12, by striking < 331.424A > and inserting 3 < 331.432 > 4 16. Page 86, line 15, by striking < not comprised of revenue 5 generated by a levy > 6 17. Page 91, after line 12 by inserting: 7 < 3A. a. For the purposes of this section, an entity that 8 performs abortions or that maintains or operates a facility 9 where abortions are performed shall not be interpreted to 10 include a nonpublic entity that is a distinct location of 11 a nonprofit health care delivery system, if the distinct 12 location provides family planning services but does not perform 13 abortions or maintain or operate as a facility where abortions 14 are performed. 15 b. The department of public health shall adopt rules 16 pursuant to chapter 17A to require that as a condition of 17 receiving funds under this section, each distinct location of 18 a nonprofit health care delivery system shall apply for and 19 be awarded funds as a separate provider, shall be assigned a 20 distinct provider identification number, and shall complete an 21 attestation that abortions are not performed at the distinct 22 location. 23 c. For the purposes of this section, “nonprofit health 24 care delivery system” means an Iowa nonprofit corporation 25 that controls, directly or indirectly, a regional health 26 care network consisting of hospital facilities and various 27 ambulatory and clinic locations that provide a range of 28 primary, secondary, and tertiary inpatient, outpatient, and 29 physician services. > 30 18. Page 91, line 31, by striking < contract > and inserting 31 < project period > 32 19. Page 92, line 12, by striking < contract > and inserting 33 < project period > 34 20. By renumbering as necessary. 35 -3- SF2418.5752 (1) 87 pf/rn 3/ 4 #15. #16. #17. #18. #19.