S-5306

   Amend Senate File 2418 as follows:
   1.  Page 1, by striking lines 30 through 33 and inserting: 
   <4.  Of the funds appropriated in this section, at least $125,000 shall be used to fund the unmet needs identified through Iowa’s aging and disability resource center network.>
   2.  Page 6, line 2, by striking <12.00> and inserting <12.00 13.00>
   3.  Page 10, line 15, by striking <4,865,152> and inserting <4,970,152>
   4.  Page 11, line 20, by striking <$437,829> and inserting <$542,829>
   5.  Page 25, after line 32 by inserting: 
   <Sec. ___.  2017 Iowa Acts, chapter 174, section 48, subsection 4, is amended by striking the subsection.>
   6.  Page 26, line 8, by striking <1,337,946,375> and inserting <1,337,841,375>
   7.  Page 29, line 23, by striking <$300,000> and inserting <$195,000>
   8.  Page 29, line 26, by striking <nonprofit>
   9.  Page 29, lines 34 and 35, by striking <as of June 1, 2018>
   10.  Page 32, line 31, by striking <$723,000> and inserting <$573,000>
   11.  Page 33, by striking lines 6 through 15 and inserting: 
   <b.  Of the funds allocated in this subsection, $12,500 $25,000 shall be used for the public purpose of continuation of a grant to a nonprofit provider of child welfare services provider headquartered that has been in existence for more than 115 years, is located in a county with a population between 205,000 200,000 and 215,000 in 220,000 according to the latest certified federal census that provides multiple services including but not limited to, is licensed as a psychiatric medical institution for children, shelter, residential treatment, after school programs, and provides school-based programming, and an Asperger’s syndrome program, to be used for support services for children with autism spectrum disorder and their families.>
   12.  Page 34, line 30, by striking <40,816,831> and inserting <40,816,931>
   13.  Page 48, after line 16 by inserting: 
   <Sec. ___.  2017 Iowa Acts, chapter 174, section 70, subsection 7, is amended to read as follows:
   7.  a.  For the purposes of this subsection, “combined reimbursement rate” means the combined service and maintenance reimbursement rate for a service level under the department’s reimbursement methodology. Effective July 1, 2018, the combined reimbursement rate for a group foster care service level shall be the amount designated in this subsection. However, if a group foster care provider’s reimbursement rate for a service level as of June 30, 2018, is more than the rate designated in this subsection, the provider’s reimbursement shall remain at the higher rate.
   b.  Unless a group foster care provider is subject to the exception provided in paragraph “a”, effective July 1, 2018, the combined reimbursement rates for the service levels under the department’s reimbursement methodology shall be as follows:
   (1)  For service level, community - D1, the daily rate shall be at least $84.17.
   (2)  For service level, comprehensive - D2, the daily rate shall be at least $119.09.
   (3)  For service level, enhanced - D3, the daily rate shall be at least $131.09 established by contract.>
   14.  Page 74, by striking lines 13 through 21 and inserting: 
   <c.  During the period of April 2, 2013, through July 1, 2013, the The department shall work with any county that has not agreed to be part of a region in accordance with paragraph “a” and with the regions forming around the county to resolve issues preventing the county from joining a region. By July 1, 2013, a A county that has not agreed to be part of a region in accordance with paragraph “a” shall be assigned by the department to a region, unless exempted pursuant to subsection 1 prior to July 1, 2014.>
   15.  Page 86, line 12, by striking <331.424A> and inserting <331.432>
   16.  Page 86, line 15, by striking <not comprised of revenue generated by a levy>
   17.  Page 91, after line 12 by inserting: 
   <3A.  a.  For the purposes of this section, an entity that performs abortions or that maintains or operates a facility where abortions are performed shall not be interpreted to include a nonpublic entity that is a distinct location of a nonprofit health care delivery system, if the distinct location provides family planning services but does not perform abortions or maintain or operate as a facility where abortions are performed.
   b.  The department of public health shall adopt rules pursuant to chapter 17A to require that as a condition of receiving funds under this section, each distinct location of a nonprofit health care delivery system shall apply for and be awarded funds as a separate provider, shall be assigned a distinct provider identification number, and shall complete an attestation that abortions are not performed at the distinct location. 
   c.  For the purposes of this section, “nonprofit health care delivery system” means an Iowa nonprofit corporation that controls, directly or indirectly, a regional health care network consisting of hospital facilities and various ambulatory and clinic locations that provide a range of primary, secondary, and tertiary inpatient, outpatient, and physician services.>
   18.  Page 91, line 31, by striking <contract> and inserting <project period>
   19.  Page 92, line 12, by striking <contract> and inserting <project period>
   20.  By renumbering as necessary.

______________________________
MARK COSTELLO