House
File
766
H-1324
Amend
the
amendment,
H-1323,
to
the
Senate
amendment,
1
H-1322,
to
House
File
766,
as
amended,
passed,
and
reprinted
by
2
the
House,
as
follows:
3
1.
By
striking
page
1,
line
1,
through
page
113,
line
15,
4
and
inserting:
5
<
Amend
the
Senate
amendment,
H-1322,
to
House
File
766,
as
6
amended,
passed,
and
reprinted
by
the
House,
as
follows:
7
1.
By
striking
page
1,
line
1,
through
page
113,
line
5,
and
8
inserting:
9
<
Amend
House
File
766,
as
amended,
passed,
and
reprinted
by
10
the
House,
as
follows:
11
1.
By
striking
everything
after
the
enacting
clause
and
12
inserting:
13
<
DIVISION
I
14
DEPARTMENT
ON
AGING
——
FY
2019-2020
15
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
16
the
general
fund
of
the
state
to
the
department
on
aging
for
17
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
18
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
19
to
be
used
for
the
purposes
designated:
20
For
aging
programs
for
the
department
on
aging
and
area
21
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
22
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
23
aging
and
disabilities
resource
center,
and
other
services
24
which
may
include
but
are
not
limited
to
adult
day
services,
25
respite
care,
chore
services,
information
and
assistance,
26
and
material
aid,
for
information
and
options
counseling
for
27
persons
with
disabilities
who
are
18
years
of
age
or
older,
28
and
for
salaries,
support,
administration,
maintenance,
and
29
miscellaneous
purposes,
and
for
not
more
than
the
following
30
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
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.
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.
.
.
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.
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.
.
.
.
.
.
.
$
11,191,441
32
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.
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.
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.
.
.
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.
.
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.
.
.
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.
.
FTEs
27.00
33
1.
Funds
appropriated
in
this
section
may
be
used
to
34
supplement
federal
funds
under
federal
regulations.
To
35
-1-
H1323.2512
(4)
88
pf/rn
1/
119
#1.
receive
funds
appropriated
in
this
section,
a
local
area
1
agency
on
aging
shall
match
the
funds
with
moneys
from
other
2
sources
according
to
rules
adopted
by
the
department.
Funds
3
appropriated
in
this
section
may
be
used
for
elderly
services
4
not
specifically
enumerated
in
this
section
only
if
approved
5
by
an
area
agency
on
aging
for
provision
of
the
service
within
6
the
area.
7
2.
Of
the
funds
appropriated
in
this
section,
$279,000
is
8
transferred
to
the
economic
development
authority
for
the
Iowa
9
commission
on
volunteer
services
to
be
used
for
the
retired
and
10
senior
volunteer
program.
11
3.
a.
The
department
on
aging
shall
establish
and
enforce
12
procedures
relating
to
expenditure
of
state
and
federal
funds
13
by
area
agencies
on
aging
that
require
compliance
with
both
14
state
and
federal
laws,
rules,
and
regulations,
including
but
15
not
limited
to
all
of
the
following:
16
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
17
or
services
received
or
performed
prior
to
the
end
of
the
18
fiscal
period
designated
for
use
of
the
funds.
19
(2)
Prohibiting
prepayment
for
goods
or
services
not
20
received
or
performed
prior
to
the
end
of
the
fiscal
period
21
designated
for
use
of
the
funds.
22
(3)
Prohibiting
prepayment
for
goods
or
services
not
23
defined
specifically
by
good
or
service,
time
period,
or
24
recipient.
25
(4)
Prohibiting
the
establishment
of
accounts
from
which
26
future
goods
or
services
which
are
not
defined
specifically
by
27
good
or
service,
time
period,
or
recipient,
may
be
purchased.
28
b.
The
procedures
shall
provide
that
if
any
funds
are
29
expended
in
a
manner
that
is
not
in
compliance
with
the
30
procedures
and
applicable
federal
and
state
laws,
rules,
and
31
regulations,
and
are
subsequently
subject
to
repayment,
the
32
area
agency
on
aging
expending
such
funds
in
contravention
of
33
such
procedures,
laws,
rules
and
regulations,
not
the
state,
34
shall
be
liable
for
such
repayment.
35
-2-
H1323.2512
(4)
88
pf/rn
2/
119
4.
Of
the
funds
appropriated
in
this
section,
at
least
1
$600,000
shall
be
used
to
fund
home
and
community-based
2
services
through
the
area
agencies
on
aging
that
enable
older
3
individuals
to
avoid
more
costly
utilization
of
residential
or
4
institutional
services
and
remain
in
their
own
homes.
5
5.
Of
the
funds
appropriated
in
this
section,
$812,000
shall
6
be
used
for
the
purposes
of
chapter
231E
and
to
administer
7
the
prevention
of
elder
abuse,
neglect,
and
exploitation
8
program
pursuant
to
section
231.56A
,
in
accordance
with
the
9
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
10
U.S.C.
§3001
et
seq.,
as
amended.
11
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
12
shall
be
used
to
fund
continuation
of
the
aging
and
disability
13
resource
center
lifelong
links
to
provide
individuals
and
14
caregivers
with
information
and
services
to
plan
for
and
15
maintain
independence.
16
7.
Of
the
funds
appropriated
in
this
section,
$250,000
17
shall
be
used
by
the
department
on
aging,
in
collaboration
with
18
the
department
of
human
services
and
affected
stakeholders,
to
19
expand
the
pilot
initiative
to
provide
long-term
care
options
20
counseling
utilizing
support
planning
protocols,
to
assist
21
non-Medicaid
eligible
consumers
who
indicate
a
preference
22
to
return
to
the
community
and
are
deemed
appropriate
for
23
discharge,
to
return
to
their
community
following
a
nursing
24
facility
stay.
The
department
on
aging
shall
submit
a
report
25
regarding
the
outcomes
of
the
pilot
initiative
to
the
governor
26
and
the
general
assembly
by
December
15,
2019.
27
DIVISION
II
28
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2019-2020
29
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
30
appropriated
from
the
general
fund
of
the
state
to
the
office
31
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
32
1,
2019,
and
ending
June
30,
2020,
the
following
amount,
or
33
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
34
designated:
35
-3-
H1323.2512
(4)
88
pf/rn
3/
119
For
salaries,
support,
administration,
maintenance,
and
1
miscellaneous
purposes,
and
for
not
more
than
the
following
2
full-time
equivalent
positions:
3
.
.
.
.
.
.
.
.
.
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.
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.
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.
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.
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.
.
.
.
.
$
1,149,821
4
.
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.
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.
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.
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.
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.
.
FTEs
16.00
5
DIVISION
III
6
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2019-2020
7
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
8
from
the
general
fund
of
the
state
to
the
department
of
public
9
health
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
10
June
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
11
necessary,
to
be
used
for
the
purposes
designated:
12
1.
ADDICTIVE
DISORDERS
13
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
14
and
other
drugs,
and
treating
individuals
affected
by
addictive
15
behaviors,
including
gambling,
and
for
not
more
than
the
16
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
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.
.
.
.
.
.
.
.
.
$
25,110,000
18
.
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.
.
.
FTEs
12.00
19
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
20
$4,021,000
shall
be
used
for
the
tobacco
use
prevention
21
and
control
initiative,
including
efforts
at
the
state
and
22
local
levels,
as
provided
in
chapter
142A
.
The
commission
23
on
tobacco
use
prevention
and
control
established
pursuant
24
to
section
142A.3
shall
advise
the
director
of
public
health
25
in
prioritizing
funding
needs
and
the
allocation
of
moneys
26
appropriated
for
the
programs
and
initiatives.
Activities
27
of
the
programs
and
initiatives
shall
be
in
alignment
with
28
the
United
States
centers
for
disease
control
and
prevention
29
best
practices
for
comprehensive
tobacco
control
programs
that
30
include
the
goals
of
preventing
youth
initiation
of
tobacco
31
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
32
of
tobacco
cessation.
To
maximize
resources,
the
department
33
shall
determine
if
third-party
sources
are
available
to
34
instead
provide
nicotine
replacement
products
to
an
applicant
35
-4-
H1323.2512
(4)
88
pf/rn
4/
119
prior
to
provision
of
such
products
to
an
applicant
under
1
the
initiative.
The
department
shall
track
and
report
to
2
the
individuals
specified
in
this
Act,
any
reduction
in
3
the
provision
of
nicotine
replacement
products
realized
by
4
the
initiative
through
implementation
of
the
prerequisite
5
screening.
6
(2)
(a)
The
department
shall
collaborate
with
the
7
alcoholic
beverages
division
of
the
department
of
commerce
for
8
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
9
engage
in
tobacco
control
activities
approved
by
the
division
10
of
tobacco
use
prevention
and
control
of
the
department
of
11
public
health
as
specified
in
the
memorandum
of
understanding
12
entered
into
between
the
divisions.
13
(b)
For
the
fiscal
year
beginning
July
1,
2019,
and
ending
14
June
30,
2020,
the
terms
of
the
memorandum
of
understanding,
15
entered
into
between
the
division
of
tobacco
use
prevention
16
and
control
of
the
department
of
public
health
and
the
17
alcoholic
beverages
division
of
the
department
of
commerce,
18
governing
compliance
checks
conducted
to
ensure
licensed
retail
19
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
20
ordinances
relating
to
persons
under
18
years
of
age,
shall
21
continue
to
restrict
the
number
of
such
checks
to
one
check
per
22
retail
outlet,
and
one
additional
check
for
any
retail
outlet
23
found
to
be
in
violation
during
the
first
check.
24
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
25
$21,089,000
shall
be
used
for
problem
gambling
and
26
substance-related
disorder
prevention,
treatment,
and
recovery
27
services,
including
a
24-hour
helpline,
public
information
28
resources,
professional
training,
youth
prevention,
and
program
29
evaluation.
30
(2)
Of
the
amount
allocated
under
this
paragraph,
$306,000
31
shall
be
utilized
by
the
department
of
public
health,
in
32
collaboration
with
the
department
of
human
services,
to
support
33
establishment
and
maintenance
of
a
single
statewide
24-hour
34
crisis
hotline
for
the
Iowa
children’s
behavioral
health
system
35
-5-
H1323.2512
(4)
88
pf/rn
5/
119
that
incorporates
warmline
services
which
may
be
provided
1
through
expansion
of
existing
capabilities
maintained
by
the
2
department
of
public
health
as
required
pursuant
to
2018
Iowa
3
Acts,
chapter
1056,
section
16.
4
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
5
by
the
appropriations
and
allocations
made
in
this
division
of
6
this
Act
for
purposes
of
substance-related
disorder
treatment
7
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
8
2019.
9
2.
HEALTHY
CHILDREN
AND
FAMILIES
10
For
promoting
the
optimum
health
status
for
children
and
11
adolescents
from
birth
through
21
years
of
age,
and
families,
12
and
for
not
more
than
the
following
full-time
equivalent
13
positions:
14
.
.
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.
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.
.
.
.
.
.
$
5,817,057
15
.
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.
.
FTEs
14.00
16
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
17
than
$734,000
shall
be
used
for
the
healthy
opportunities
for
18
parents
to
experience
success
(HOPES)-healthy
families
Iowa
19
(HFI)
program
established
pursuant
to
section
135.106.
The
20
funding
shall
be
distributed
to
renew
the
grants
that
were
21
provided
to
the
grantees
that
operated
the
program
during
the
22
fiscal
year
ending
June
30,
2018.
However,
the
department
23
shall
issue
a
request
for
proposals
and
distribute
grants
to
24
the
grantees
selected
to
operate
the
program
no
later
than
25
January
1,
2020.
The
department
shall
not
retain
any
portion
26
of
the
allocation
under
this
paragraph
for
administrative
27
costs.
28
b.
In
order
to
implement
the
legislative
intent
stated
29
in
sections
135.106
and
256I.9
,
priority
for
home
visitation
30
program
funding
shall
be
given
to
programs
using
evidence-based
31
or
promising
models
for
home
visitation.
32
c.
Of
the
funds
appropriated
in
this
subsection,
$3,075,000
33
shall
be
used
for
continuation
of
the
department’s
initiative
34
to
provide
for
adequate
developmental
surveillance
and
35
-6-
H1323.2512
(4)
88
pf/rn
6/
119
screening
during
a
child’s
first
five
years.
The
funds
shall
1
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
2
the
sites
are
fully
operational,
with
the
remaining
funds
3
to
be
used
for
expansion
to
additional
sites.
The
full
4
implementation
and
expansion
shall
include
enhancing
the
scope
5
of
the
initiative
through
collaboration
with
the
child
health
6
specialty
clinics
to
promote
healthy
child
development
through
7
early
identification
and
response
to
both
biomedical
and
social
8
determinants
of
healthy
development;
by
monitoring
child
9
health
metrics
to
inform
practice,
document
long-term
health
10
impacts
and
savings,
and
provide
for
continuous
improvement
11
through
training,
education,
and
evaluation;
and
by
providing
12
for
practitioner
consultation
particularly
for
children
with
13
behavioral
conditions
and
needs.
The
department
of
public
14
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
15
and
the
child
health
specialty
clinics
to
integrate
the
16
activities
of
the
first
five
initiative
into
the
establishment
17
of
patient-centered
medical
homes,
community
utilities,
18
accountable
care
organizations,
and
other
integrated
care
19
models
developed
to
improve
health
quality
and
population
20
health
while
reducing
health
care
costs.
To
the
maximum
extent
21
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
22
as
matching
funds
for
medical
assistance
program
reimbursement.
23
d.
Of
the
funds
appropriated
in
this
subsection,
$64,000
24
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
25
funds
to
continue
the
donated
dental
services
program
patterned
26
after
the
projects
developed
by
the
dental
lifeline
network
to
27
provide
dental
services
to
indigent
individuals
who
are
elderly
28
or
with
disabilities.
29
e.
Of
the
funds
appropriated
in
this
subsection,
$156,000
30
shall
be
used
to
provide
audiological
services
and
hearing
aids
31
for
children.
32
f.
Of
the
funds
appropriated
in
this
subsection,
$23,000
is
33
transferred
to
the
university
of
Iowa
college
of
dentistry
for
34
provision
of
primary
dental
services
to
children.
State
funds
35
-7-
H1323.2512
(4)
88
pf/rn
7/
119
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
1
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
2
department
of
public
health,
oral
and
health
delivery
system
3
bureau,
to
provide
dental
care
to
underserved
populations
4
throughout
the
state.
5
g.
Of
the
funds
appropriated
in
this
subsection,
$50,000
6
shall
be
used
to
address
youth
suicide
prevention.
7
h.
Of
the
funds
appropriated
in
this
subsection,
$40,000
8
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
9
of
children
who
experience
adverse
childhood
experiences
known
10
as
ACEs.
11
i.
Of
the
funds
appropriated
in
this
subsection,
up
to
12
$494,000
shall
be
used
for
childhood
obesity
prevention.
13
3.
CHRONIC
CONDITIONS
14
For
serving
individuals
identified
as
having
chronic
15
conditions
or
special
health
care
needs,
and
for
not
more
than
16
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,223,519
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
9.00
19
a.
Of
the
funds
appropriated
in
this
subsection,
$153,000
20
shall
be
used
for
grants
to
individual
patients
who
have
an
21
inherited
metabolic
disorder
to
assist
with
the
costs
of
22
medically
necessary
foods
and
formula.
23
b.
Of
the
funds
appropriated
in
this
subsection,
$1,055,000
24
shall
be
used
for
the
brain
injury
services
program
pursuant
25
to
section
135.22B,
including
$861,000
for
contracting
with
an
26
existing
nationally
affiliated
and
statewide
organization
whose
27
purpose
is
to
educate,
serve,
and
support
Iowans
with
brain
28
injury
and
their
families,
for
resource
facilitator
services
29
in
accordance
with
section
135.22B,
subsection
9,
and
for
30
contracting
to
enhance
brain
injury
training
and
recruitment
31
of
service
providers
on
a
statewide
basis.
Of
the
amount
32
allocated
in
this
paragraph,
$95,000
shall
be
used
to
fund
33
1.00
full-time
equivalent
position
to
serve
as
the
state
brain
34
injury
services
program
manager.
35
-8-
H1323.2512
(4)
88
pf/rn
8/
119
c.
Of
the
funds
appropriated
in
this
subsection,
$144,000
1
shall
be
used
for
the
public
purpose
of
continuing
to
contract
2
with
an
existing
nationally
affiliated
organization
to
provide
3
education,
client-centered
programs,
and
client
and
family
4
support
for
people
living
with
epilepsy
and
their
families.
5
The
amount
allocated
in
this
paragraph
in
excess
of
$50,000
6
shall
be
matched
dollar-for-dollar
by
the
organization
7
specified.
Funds
allocated
under
this
paragraph
shall
be
8
distributed
in
their
entirety
for
the
purpose
specified
on
July
9
1,
2019.
10
d.
Of
the
funds
appropriated
in
this
subsection,
$809,000
11
shall
be
used
for
child
health
specialty
clinics.
12
e.
Of
the
funds
appropriated
in
this
subsection,
$384,000
13
shall
be
used
by
the
regional
autism
assistance
program
14
established
pursuant
to
section
256.35
,
and
administered
by
15
the
child
health
specialty
clinic
located
at
the
university
of
16
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
17
interagency
collaboration
and
coordination
of
educational,
18
medical,
and
other
human
services
for
persons
with
autism,
19
their
families,
and
providers
of
services,
including
delivering
20
regionalized
services
of
care
coordination,
family
navigation,
21
and
integration
of
services
through
the
statewide
system
of
22
regional
child
health
specialty
clinics
and
fulfilling
other
23
requirements
as
specified
in
chapter
225D
.
The
university
of
24
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
25
indirect
costs
associated
with
the
regional
autism
assistance
26
program.
27
f.
Of
the
funds
appropriated
in
this
subsection,
$577,000
28
shall
be
used
for
the
comprehensive
cancer
control
program
to
29
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
30
detection,
effective
treatment,
and
ensuring
quality
of
life.
31
Of
the
funds
allocated
in
this
paragraph
“f”,
$150,000
shall
32
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
33
biorepository
and
registry,
basic
and
translational
melanoma
34
research,
and
clinical
trials.
35
-9-
H1323.2512
(4)
88
pf/rn
9/
119
g.
Of
the
funds
appropriated
in
this
subsection,
$97,000
1
shall
be
used
for
cervical
and
colon
cancer
screening,
and
2
$177,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
3
cancer
screening
program
to
include
provision
of
recommended
4
prevention
and
early
detection
measures
to
a
broader
range
of
5
low-income
women.
6
h.
Of
the
funds
appropriated
in
this
subsection,
$506,000
7
shall
be
used
for
the
center
for
congenital
and
inherited
8
disorders.
9
4.
COMMUNITY
CAPACITY
10
For
strengthening
the
health
care
delivery
system
at
the
11
local
level,
and
for
not
more
than
the
following
full-time
12
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,594,677
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
15
a.
Of
the
funds
appropriated
in
this
subsection,
$95,000
16
is
allocated
for
continuation
of
the
child
vision
screening
17
program
implemented
through
the
university
of
Iowa
hospitals
18
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
19
The
program
shall
submit
a
report
to
the
department
regarding
20
the
use
of
funds
allocated
under
this
paragraph
“a”.
The
21
report
shall
include
the
objectives
and
results
for
the
22
program
year
including
the
target
population
and
how
the
funds
23
allocated
assisted
the
program
in
meeting
the
objectives;
the
24
number,
age,
and
location
within
the
state
of
individuals
25
served;
the
type
of
services
provided
to
the
individuals
26
served;
the
distribution
of
funds
based
on
service
provided;
27
and
the
continuing
needs
of
the
program.
28
b.
Of
the
funds
appropriated
in
this
subsection,
29
$48,000
shall
be
used
for
a
grant
to
a
statewide
association
30
of
psychologists,
that
is
affiliated
with
the
American
31
psychological
association,
to
be
used
for
continuation
of
a
32
program
to
rotate
intern
psychologists
in
placements
in
urban
33
and
rural
mental
health
professional
shortage
areas.
For
the
34
purposes
of
this
paragraph
“b”,
“mental
health
professional
35
-10-
H1323.2512
(4)
88
pf/rn
10/
119
shortage
area”
means
a
geographic
area
in
this
state
that
has
1
been
designated
by
the
United
States
department
of
health
and
2
human
services,
health
resources
and
services
administration,
3
bureau
of
health
professionals,
as
having
a
shortage
of
mental
4
health
professionals.
5
c.
Of
the
funds
appropriated
in
this
subsection,
the
6
following
amounts
are
allocated
to
be
used
as
follows
7
to
support
the
goals
of
increased
access,
health
system
8
integration,
and
engagement:
9
(1)
Not
less
than
$600,000
is
allocated
to
the
Iowa
10
prescription
drug
corporation
for
continuation
of
the
11
pharmaceutical
infrastructure
for
safety
net
providers
as
12
described
in
2007
Iowa
Acts,
chapter
218,
section
108,
and
for
13
the
prescription
drug
donation
repository
program
created
in
14
chapter
135M.
Funds
allocated
under
this
subparagraph
shall
15
be
distributed
in
their
entirety
for
the
purpose
specified
on
16
July
1,
2019.
17
(2)
Not
less
than
$334,000
is
allocated
to
free
clinics
and
18
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
19
coordination,
provider
recruitment,
service
delivery,
and
20
provision
of
assistance
to
patients
in
securing
a
medical
home
21
inclusive
of
oral
health
care.
Funds
allocated
under
this
22
subparagraph
shall
be
distributed
in
their
entirety
for
the
23
purpose
specified
on
July
1,
2019.
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.
Funds
27
allocated
under
this
subparagraph
shall
be
distributed
in
their
28
entirety
for
the
purpose
specified
on
July
1,
2019.
29
(4)
Not
less
than
$225,000
is
allocated
to
the
Polk
county
30
medical
society
for
continuation
of
the
safety
net
provider
31
patient
access
to
specialty
health
care
initiative
as
described
32
in
2007
Iowa
Acts,
chapter
218,
section
109.
Funds
allocated
33
under
this
subparagraph
shall
be
distributed
in
their
entirety
34
for
the
purpose
specified
on
July
1,
2019.
35
-11-
H1323.2512
(4)
88
pf/rn
11/
119
d.
Of
the
funds
appropriated
in
this
subsection,
$191,000
1
is
allocated
for
the
purposes
of
health
care
and
public
health
2
workforce
initiatives.
3
e.
Of
the
funds
appropriated
in
this
subsection,
$96,000
4
shall
be
used
for
a
matching
dental
education
loan
repayment
5
program
to
be
allocated
to
a
dental
nonprofit
health
service
6
corporation
to
continue
to
develop
the
criteria
and
implement
7
the
loan
repayment
program.
8
f.
Of
the
funds
appropriated
in
this
subsection,
$100,000
9
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
10
specified
in
section
142C.18
.
11
g.
Of
the
funds
appropriated
in
this
subsection,
$96,000
12
shall
be
used
for
continuation
of
a
grant
to
a
nationally
13
affiliated
volunteer
eye
organization
that
has
an
established
14
program
for
children
and
adults
and
that
is
solely
dedicated
to
15
preserving
sight
and
preventing
blindness
through
education,
16
nationally
certified
vision
screening
and
training,
and
17
community
and
patient
service
programs.
The
contractor
shall
18
submit
a
report
to
the
individuals
identified
in
this
Act
for
19
submission
of
reports
regarding
the
use
of
funds
allocated
20
under
this
paragraph
“g”.
The
report
shall
include
the
21
objectives
and
results
for
the
program
year
including
the
22
target
population
and
how
the
funds
allocated
assisted
the
23
program
in
meeting
the
objectives;
the
number,
age,
grade
level
24
if
appropriate,
and
location
within
the
state
of
individuals
25
served;
the
type
of
services
provided
to
the
individuals
26
served;
the
distribution
of
funds
based
on
services
provided;
27
and
the
continuing
needs
of
the
program.
28
h.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
29
shall
be
deposited
in
the
medical
residency
training
account
30
created
in
section
135.175,
subsection
5,
paragraph
“a”,
and
31
is
appropriated
from
the
account
to
the
department
of
public
32
health
to
be
used
for
the
purposes
of
the
medical
residency
33
training
state
matching
grants
program
as
specified
in
section
34
135.176.
35
-12-
H1323.2512
(4)
88
pf/rn
12/
119
i.
Of
the
funds
appropriated
in
this
subsection,
$250,000
1
shall
be
used
for
the
public
purpose
of
providing
funding
to
2
Des
Moines
university
to
continue
a
provider
education
project
3
to
provide
primary
care
physicians
with
the
training
and
skills
4
necessary
to
recognize
the
signs
of
mental
illness
in
patients.
5
j.
Of
the
funds
appropriated
in
this
subsection,
$400,000
6
shall
be
used
for
rural
psychiatric
residencies
to
support
the
7
annual
creation
and
training
of
four
psychiatric
residents
who
8
will
provide
mental
health
services
in
underserved
areas
of
the
9
state.
10
k.
Of
the
funds
appropriated
in
this
subsection,
$150,000
11
shall
be
used
for
psychiatric
training
to
increase
access
to
12
mental
health
care
services
by
expanding
the
mental
health
13
workforce
via
training
of
additional
physician
assistants
and
14
nurse
practitioners.
15
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
16
To
provide
public
health
services
that
reduce
risks
and
17
invest
in
promoting
and
protecting
good
health
over
the
18
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
19
vulnerable
populations:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,662,464
21
6.
INFECTIOUS
DISEASES
22
For
reducing
the
incidence
and
prevalence
of
communicable
23
diseases,
and
for
not
more
than
the
following
full-time
24
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,796,426
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
27
7.
PUBLIC
PROTECTION
28
For
protecting
the
health
and
safety
of
the
public
through
29
establishing
standards
and
enforcing
regulations,
and
for
not
30
more
than
the
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,093,383
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
142.00
33
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
34
than
$304,000
shall
be
credited
to
the
emergency
medical
35
-13-
H1323.2512
(4)
88
pf/rn
13/
119
services
fund
created
in
section
135.25
.
Moneys
in
the
1
emergency
medical
services
fund
are
appropriated
to
the
2
department
to
be
used
for
the
purposes
of
the
fund.
3
b.
Of
the
funds
appropriated
in
this
subsection,
up
4
to
$243,000
shall
be
used
for
sexual
violence
prevention
5
programming
through
a
statewide
organization
representing
6
programs
serving
victims
of
sexual
violence
through
the
7
department’s
sexual
violence
prevention
program,
and
for
8
continuation
of
a
training
program
for
sexual
assault
9
response
team
(SART)
members,
including
representatives
of
10
law
enforcement,
victim
advocates,
prosecutors,
and
certified
11
medical
personnel.
However,
the
department
shall
issue
12
a
request
for
proposals
and
execute
a
contract
with
the
13
contractor
selected
to
provide
the
programming
and
training
14
as
specified
in
this
paragraph
no
later
than
January
1,
2020.
15
The
amount
allocated
in
this
paragraph
“b”
shall
not
be
used
16
to
supplant
funding
administered
for
other
sexual
violence
17
prevention
or
victims
assistance
programs.
The
department
18
shall
not
retain
any
portion
of
the
allocation
under
this
19
paragraph
for
administrative
costs.
20
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
21
$500,000
shall
be
used
for
the
state
poison
control
center.
22
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
23
1140,
section
102
,
the
federal
matching
funds
available
to
24
the
state
poison
control
center
from
the
department
of
human
25
services
under
the
federal
Children’s
Health
Insurance
Program
26
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
27
administrative
cap
rule
of
10
percent
applicable
to
funding
28
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
29
included
within
the
department’s
calculations
of
the
cap.
30
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
31
$504,000
shall
be
used
for
childhood
lead
poisoning
provisions.
32
8.
RESOURCE
MANAGEMENT
33
For
establishing
and
sustaining
the
overall
ability
of
the
34
department
to
deliver
services
to
the
public,
and
for
not
more
35
-14-
H1323.2512
(4)
88
pf/rn
14/
119
than
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
971,215
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
3
9.
MISCELLANEOUS
PROVISIONS
4
a.
The
university
of
Iowa
hospitals
and
clinics
under
5
the
control
of
the
state
board
of
regents
shall
not
receive
6
indirect
costs
from
the
funds
appropriated
in
this
section.
7
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
8
department
shall
be
on
at
least
a
quarterly
basis.
9
b.
The
department
of
public
health
shall
collaborate
10
with
applicable
stakeholders
to
review
the
allocations,
11
grants,
and
other
distributions
of
funds
appropriated
under
12
this
division
of
this
Act
and
shall
submit
a
report
to
the
13
individuals
identified
in
this
Act
for
submission
of
reports
by
14
December
15,
2019,
regarding
a
proposal
for
the
distribution
15
of
funds
that
more
clearly
reflects
the
department’s
stated
16
priorities
and
goals,
provides
increased
flexibility
in
the
17
distribution
of
funds
to
meet
these
priorities
and
goals,
and
18
ensures
stakeholder
accountability
and
a
discernable
return
on
19
investment.
20
Sec.
4.
CONTRACTED
SERVICES
——
PROHIBITED
USE
OF
GENERAL
21
FUND
MONEYS
FOR
LOBBYING.
22
1.
The
department
shall
submit
a
report
to
the
individuals
23
identified
in
this
Act
for
submission
of
reports
by
January
1,
24
2020,
regarding
the
outcomes
of
any
program
or
activity
for
25
which
funding
is
appropriated
or
allocated
from
the
general
26
fund
of
the
state
to
the
department
under
this
division
of
27
this
Act,
and
for
which
a
request
for
proposals
process
is
28
specifically
required.
29
2.
The
department
shall
incorporate
into
the
general
30
conditions
applicable
to
all
award
documents
involving
funding
31
appropriated
or
allocated
from
the
general
fund
of
the
state
to
32
the
department
under
this
division
of
this
Act,
a
prohibition
33
against
the
use
of
such
funding
for
the
compensation
of
a
34
lobbyist.
For
the
purposes
of
this
section,
“lobbyist”
means
35
-15-
H1323.2512
(4)
88
pf/rn
15/
119
the
same
as
defined
in
section
68B.2;
however,
“lobbyist”
1
does
not
include
a
person
employed
by
a
state
agency
of
the
2
executive
branch
of
state
government
who
represents
the
agency
3
relative
to
the
passage,
defeat,
approval,
or
modification
of
4
legislation
that
is
being
considered
by
the
general
assembly.
5
DIVISION
IV
6
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2019-2020
7
Sec.
5.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
8
appropriated
from
the
general
fund
of
the
state
to
the
9
department
of
veterans
affairs
for
the
fiscal
year
beginning
10
July
1,
2019,
and
ending
June
30,
2020,
the
following
amounts,
11
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
12
designated:
13
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
14
For
salaries,
support,
maintenance,
and
miscellaneous
15
purposes,
and
for
not
more
than
the
following
full-time
16
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,225,500
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
19
2.
IOWA
VETERANS
HOME
20
For
salaries,
support,
maintenance,
and
miscellaneous
21
purposes:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,162,976
23
a.
The
Iowa
veterans
home
billings
involving
the
department
24
of
human
services
shall
be
submitted
to
the
department
on
at
25
least
a
monthly
basis.
26
b.
Within
available
resources
and
in
conformance
with
27
associated
state
and
federal
program
eligibility
requirements,
28
the
Iowa
veterans
home
may
implement
measures
to
provide
29
financial
assistance
to
or
on
behalf
of
veterans
or
their
30
spouses
who
are
participating
in
the
community
reentry
program.
31
c.
The
Iowa
veterans
home
expenditure
report
shall
be
32
submitted
monthly
to
the
legislative
services
agency.
33
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
34
annual
discharge
report
applicant
information
to
provide
for
35
-16-
H1323.2512
(4)
88
pf/rn
16/
119
the
collection
of
demographic
information
including
but
not
1
limited
to
the
number
of
individuals
applying
for
admission
and
2
admitted
or
denied
admittance
and
the
basis
for
the
admission
3
or
denial;
the
age,
gender,
and
race
of
such
individuals;
4
and
the
level
of
care
for
which
such
individuals
applied
for
5
admission
including
residential
or
nursing
level
of
care.
6
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
7
For
transfer
to
the
Iowa
finance
authority
for
the
8
continuation
of
the
home
ownership
assistance
program
for
9
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
10
the
United
States,
pursuant
to
section
16.54
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
12
Sec.
6.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
13
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
14
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
15
July
1,
2019,
and
ending
June
30,
2020,
the
amount
appropriated
16
from
the
general
fund
of
the
state
pursuant
to
that
section
17
for
the
following
designated
purposes
shall
not
exceed
the
18
following
amount:
19
For
the
county
commissions
of
veteran
affairs
fund
under
20
section
35A.16
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
22
DIVISION
V
23
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2019-2020
24
Sec.
7.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
25
GRANT.
There
is
appropriated
from
the
fund
created
in
section
26
8.41
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2019,
and
ending
June
30,
2020,
from
moneys
28
received
under
the
federal
temporary
assistance
for
needy
29
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
30
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
31
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
32
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purposes
designated:
34
1.
To
be
credited
to
the
family
investment
program
account
35
-17-
H1323.2512
(4)
88
pf/rn
17/
119
and
used
for
assistance
under
the
family
investment
program
1
under
chapter
239B
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,524,006
3
2.
To
be
credited
to
the
family
investment
program
account
4
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
5
program
and
implementing
family
investment
agreements
in
6
accordance
with
chapter
239B
:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
8
3.
To
be
used
for
the
family
development
and
9
self-sufficiency
grant
program
in
accordance
with
section
10
216A.107
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
12
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
13
subsection
that
remain
unencumbered
or
unobligated
at
the
close
14
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
15
for
expenditure
for
the
purposes
designated
until
the
close
of
16
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
17
encumbered
or
obligated
on
or
before
September
30,
2020,
the
18
moneys
shall
revert.
19
4.
For
field
operations:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
21
5.
For
general
administration:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
23
6.
For
state
child
care
assistance:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
25
a.
Of
the
funds
appropriated
in
this
subsection,
26
$26,205,412
is
transferred
to
the
child
care
and
development
27
block
grant
appropriation
made
by
the
Eighty-eighth
General
28
Assembly,
2019
session,
for
the
federal
fiscal
year
beginning
29
October
1,
2019,
and
ending
September
30,
2020.
Of
this
30
amount,
$200,000
shall
be
used
for
provision
of
educational
31
opportunities
to
registered
child
care
home
providers
in
order
32
to
improve
services
and
programs
offered
by
this
category
33
of
providers
and
to
increase
the
number
of
providers.
The
34
department
may
contract
with
institutions
of
higher
education
35
-18-
H1323.2512
(4)
88
pf/rn
18/
119
or
child
care
resource
and
referral
centers
to
provide
1
the
educational
opportunities.
Allowable
administrative
2
costs
under
the
contracts
shall
not
exceed
5
percent.
The
3
application
for
a
grant
shall
not
exceed
two
pages
in
length.
4
b.
Any
funds
appropriated
in
this
subsection
remaining
5
unallocated
shall
be
used
for
state
child
care
assistance
6
payments
for
families
who
are
employed
including
but
not
7
limited
to
individuals
enrolled
in
the
family
investment
8
program.
9
7.
For
child
and
family
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
11
8.
For
child
abuse
prevention
grants:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
13
9.
For
pregnancy
prevention
grants
on
the
condition
that
14
family
planning
services
are
funded:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
16
Pregnancy
prevention
grants
shall
be
awarded
to
programs
17
in
existence
on
or
before
July
1,
2019,
if
the
programs
have
18
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
19
pregnancy
prevention
programs
which
are
developed
after
July
20
1,
2019,
if
the
programs
are
based
on
existing
models
that
21
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
22
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
23
section
14,
subsections
1
and
2
,
including
the
requirement
that
24
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
25
the
awarding
of
grants
shall
be
given
to
programs
that
serve
26
areas
of
the
state
which
demonstrate
the
highest
percentage
of
27
unplanned
pregnancies
of
females
of
childbearing
age
within
the
28
geographic
area
to
be
served
by
the
grant.
29
10.
For
technology
needs
and
other
resources
necessary
30
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
31
management
requirements:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
33
11.
a.
Notwithstanding
any
provision
to
the
contrary,
34
including
but
not
limited
to
requirements
in
section
8.41
or
35
-19-
H1323.2512
(4)
88
pf/rn
19/
119
provisions
in
2018
Iowa
Acts
or
2019
Iowa
Acts
regarding
the
1
receipt
and
appropriation
of
federal
block
grants,
federal
2
funds
from
the
temporary
assistance
for
needy
families
block
3
grant
received
by
the
state
and
not
otherwise
appropriated
4
in
this
section
and
remaining
available
for
the
fiscal
year
5
beginning
July
1,
2019,
are
appropriated
to
the
department
of
6
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
7
the
following
priority
order:
the
family
investment
program,
8
for
state
child
care
assistance
program
payments
for
families
9
who
are
employed,
and
for
the
family
investment
program
share
10
of
system
costs
for
eligibility
determination
and
related
11
functions.
The
federal
funds
appropriated
in
this
paragraph
12
“a”
shall
be
expended
only
after
all
other
funds
appropriated
13
in
subsection
1
for
assistance
under
the
family
investment
14
program,
in
subsection
6
for
state
child
care
assistance,
or
15
in
subsection
10
for
technology
costs
related
to
the
family
16
investment
program,
as
applicable,
have
been
expended.
For
17
the
purposes
of
this
subsection,
the
funds
appropriated
in
18
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
19
and
development
block
grant
appropriation
are
considered
fully
20
expended
when
the
full
amount
has
been
transferred.
21
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
22
legislative
services
agency
and
department
of
management
of
23
the
amount
of
funds
appropriated
in
this
subsection
that
was
24
expended
in
the
prior
quarter.
25
12.
Of
the
amounts
appropriated
in
this
section,
26
$12,962,008
for
the
fiscal
year
beginning
July
1,
2019,
is
27
transferred
to
the
appropriation
of
the
federal
social
services
28
block
grant
made
to
the
department
of
human
services
for
that
29
fiscal
year.
30
13.
For
continuation
of
the
program
providing
categorical
31
eligibility
for
the
food
assistance
program
as
specified
32
for
the
program
in
the
section
of
this
division
of
this
Act
33
relating
to
the
family
investment
program
account:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
35
-20-
H1323.2512
(4)
88
pf/rn
20/
119
14.
The
department
may
transfer
funds
allocated
in
this
1
section
to
the
appropriations
made
in
this
division
of
this
Act
2
for
the
same
fiscal
year
for
general
administration
and
field
3
operations
for
resources
necessary
to
implement
and
operate
the
4
services
referred
to
in
this
section
and
those
funded
in
the
5
appropriation
made
in
this
division
of
this
Act
for
the
same
6
fiscal
year
for
the
family
investment
program
from
the
general
7
fund
of
the
state.
8
15.
With
the
exception
of
moneys
allocated
under
this
9
section
for
the
family
development
and
self-sufficiency
grant
10
program,
to
the
extent
moneys
allocated
in
this
section
are
11
deemed
by
the
department
not
to
be
necessary
to
support
the
12
purposes
for
which
they
are
allocated,
such
moneys
may
be
13
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
14
funds
are
allocated
in
this
section
or
in
section
8
of
this
15
division
for
the
family
investment
program
account.
If
there
16
are
conflicting
needs,
priority
shall
first
be
given
to
the
17
family
investment
program
account
as
specified
under
subsection
18
1
of
this
section
and
used
for
the
purposes
of
assistance
under
19
the
family
investment
program
in
accordance
with
chapter
239B
,
20
followed
by
state
child
care
assistance
program
payments
for
21
families
who
are
employed,
followed
by
other
priorities
as
22
specified
by
the
department.
23
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
24
1.
Moneys
credited
to
the
family
investment
program
(FIP)
25
account
for
the
fiscal
year
beginning
July
1,
2019,
and
26
ending
June
30,
2020,
shall
be
used
to
provide
assistance
in
27
accordance
with
chapter
239B
.
28
2.
The
department
may
use
a
portion
of
the
moneys
credited
29
to
the
FIP
account
under
this
section
as
necessary
for
30
salaries,
support,
maintenance,
and
miscellaneous
purposes.
31
3.
The
department
may
transfer
funds
allocated
in
32
subsection
4,
excluding
the
allocation
under
subsection
4,
33
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
34
this
Act
for
the
same
fiscal
year
for
general
administration
35
-21-
H1323.2512
(4)
88
pf/rn
21/
119
and
field
operations
for
resources
necessary
to
implement
1
and
operate
the
services
referred
to
in
this
section
and
2
those
funded
in
the
appropriations
made
in
section
7
for
the
3
temporary
assistance
for
needy
families
block
grant
and
in
4
section
9
for
the
family
investment
program
from
the
general
5
fund
of
the
state
in
this
division
of
this
Act
for
the
same
6
fiscal
year.
7
4.
Moneys
appropriated
in
this
division
of
this
Act
and
8
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
9
1,
2019,
and
ending
June
30,
2020,
are
allocated
as
follows:
10
a.
To
be
retained
by
the
department
of
human
services
to
11
be
used
for
coordinating
with
the
department
of
human
rights
12
to
more
effectively
serve
participants
in
FIP
and
other
shared
13
clients
and
to
meet
federal
reporting
requirements
under
the
14
federal
temporary
assistance
for
needy
families
block
grant:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
16
b.
To
the
department
of
human
rights
for
staffing,
17
administration,
and
implementation
of
the
family
development
18
and
self-sufficiency
grant
program
in
accordance
with
section
19
216A.107
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
21
(1)
Of
the
funds
allocated
for
the
family
development
22
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
23
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
24
administration
of
the
grant
program.
25
(2)
The
department
of
human
rights
may
continue
to
implement
26
the
family
development
and
self-sufficiency
grant
program
27
statewide
during
fiscal
year
2019-2020.
28
(3)
The
department
of
human
rights
may
engage
in
activities
29
to
strengthen
and
improve
family
outcomes
measures
and
30
data
collection
systems
under
the
family
development
and
31
self-sufficiency
grant
program.
32
c.
For
the
diversion
subaccount
of
the
FIP
account:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
34
A
portion
of
the
moneys
allocated
for
the
diversion
35
-22-
H1323.2512
(4)
88
pf/rn
22/
119
subaccount
may
be
used
for
field
operations,
salaries,
data
1
management
system
development,
and
implementation
costs
and
2
support
deemed
necessary
by
the
director
of
human
services
3
in
order
to
administer
the
FIP
diversion
program.
To
the
4
extent
moneys
allocated
in
this
paragraph
“c”
are
deemed
by
the
5
department
not
to
be
necessary
to
support
diversion
activities,
6
such
moneys
may
be
used
for
other
efforts
intended
to
increase
7
engagement
by
family
investment
program
participants
in
work,
8
education,
or
training
activities,
or
for
the
purposes
of
9
assistance
under
the
family
investment
program
in
accordance
10
with
chapter
239B
.
11
d.
For
the
food
assistance
employment
and
training
program:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
13
(1)
The
department
shall
apply
the
federal
supplemental
14
nutrition
assistance
program
(SNAP)
employment
and
training
15
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
16
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
17
provisions
for
the
claiming
of
allowable
federal
reimbursement
18
funds
from
the
United
States
department
of
agriculture
19
pursuant
to
the
federal
SNAP
employment
and
training
program
20
for
providing
education,
employment,
and
training
services
21
for
eligible
food
assistance
program
participants,
including
22
but
not
limited
to
related
dependent
care
and
transportation
23
expenses.
24
(2)
The
department
shall
continue
the
categorical
federal
25
food
assistance
program
eligibility
at
160
percent
of
the
26
federal
poverty
level
and
continue
to
eliminate
the
asset
test
27
from
eligibility
requirements,
consistent
with
federal
food
28
assistance
program
requirements.
The
department
shall
include
29
as
many
food
assistance
households
as
is
allowed
by
federal
30
law.
The
eligibility
provisions
shall
conform
to
all
federal
31
requirements
including
requirements
addressing
individuals
who
32
are
incarcerated
or
otherwise
ineligible.
33
e.
For
the
JOBS
program:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,018,258
35
-23-
H1323.2512
(4)
88
pf/rn
23/
119
5.
Of
the
child
support
collections
assigned
under
FIP,
1
an
amount
equal
to
the
federal
share
of
support
collections
2
shall
be
credited
to
the
child
support
recovery
appropriation
3
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
4
assigned
child
support
collections
received
by
the
child
5
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
6
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
7
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
8
payments
account.
If
as
a
consequence
of
the
appropriations
9
and
allocations
made
in
this
section
the
resulting
amounts
10
are
insufficient
to
sustain
cash
assistance
payments
and
meet
11
federal
maintenance
of
effort
requirements,
the
department
12
shall
seek
supplemental
funding.
If
child
support
collections
13
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
14
determined
not
to
be
required
for
maintenance
of
effort,
the
15
state
share
of
either
amount
may
be
transferred
to
or
retained
16
in
the
child
support
payments
account.
17
6.
The
department
may
adopt
emergency
rules
for
the
family
18
investment,
JOBS,
food
assistance,
and
medical
assistance
19
programs
if
necessary
to
comply
with
federal
requirements.
20
Sec.
9.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
21
is
appropriated
from
the
general
fund
of
the
state
to
the
22
department
of
human
services
for
the
fiscal
year
beginning
July
23
1,
2019,
and
ending
June
30,
2020,
the
following
amount,
or
24
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
25
designated:
26
To
be
credited
to
the
family
investment
program
(FIP)
27
account
and
used
for
family
investment
program
assistance
under
28
chapter
239B
:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,365,037
30
1.
Of
the
funds
appropriated
in
this
section,
$6,606,198
is
31
allocated
for
the
JOBS
program.
32
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
33
allocated
for
the
family
development
and
self-sufficiency
grant
34
program.
35
-24-
H1323.2512
(4)
88
pf/rn
24/
119
3.
a.
Notwithstanding
section
8.39
,
for
the
fiscal
1
year
beginning
July
1,
2019,
if
necessary
to
meet
federal
2
maintenance
of
effort
requirements
or
to
transfer
federal
3
temporary
assistance
for
needy
families
block
grant
funding
4
to
be
used
for
purposes
of
the
federal
social
services
block
5
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
6
receiving
federal
funding
or
to
implement,
in
accordance
with
7
this
division
of
this
Act,
activities
currently
funded
with
8
juvenile
court
services,
county,
or
community
moneys
and
state
9
moneys
used
in
combination
with
such
moneys;
to
comply
with
10
federal
requirements;
or
to
maximize
the
use
of
federal
funds;
11
the
department
of
human
services
may
transfer
funds
within
or
12
between
any
of
the
appropriations
made
in
this
division
of
this
13
Act
and
appropriations
in
law
for
the
federal
social
services
14
block
grant
to
the
department
for
the
following
purposes,
15
provided
that
the
combined
amount
of
state
and
federal
16
temporary
assistance
for
needy
families
block
grant
funding
17
for
each
appropriation
remains
the
same
before
and
after
the
18
transfer:
19
(1)
For
the
family
investment
program.
20
(2)
For
state
child
care
assistance.
21
(3)
For
child
and
family
services.
22
(4)
For
field
operations.
23
(5)
For
general
administration.
24
b.
This
subsection
shall
not
be
construed
to
prohibit
the
25
use
of
existing
state
transfer
authority
for
other
purposes.
26
The
department
shall
report
any
transfers
made
pursuant
to
this
27
subsection
to
the
legislative
services
agency.
28
4.
Of
the
funds
appropriated
in
this
section,
$195,000
shall
29
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
30
organization
with
a
history
of
providing
tax
preparation
31
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
32
of
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
33
to
supply
this
assistance
to
underserved
areas
of
the
state.
34
However,
the
department
shall
issue
a
request
for
proposals
and
35
-25-
H1323.2512
(4)
88
pf/rn
25/
119
execute
a
contract
with
the
contractor
selected
to
administer
1
the
program
no
later
than
January
1,
2020.
The
department
2
shall
not
retain
any
portion
of
the
allocation
under
this
3
subsection
for
administrative
costs.
4
5.
Of
the
funds
appropriated
in
this
section,
$70,000
shall
5
be
used
for
the
continuation
of
the
parenting
program,
as
6
specified
in
441
IAC
ch.
100,
relating
to
parental
obligations,
7
in
which
the
child
support
recovery
unit
participates,
to
8
support
the
efforts
of
a
nonprofit
organization
committed
9
to
strengthening
the
community
through
youth
development,
10
healthy
living,
and
social
responsibility
headquartered
in
11
a
county
with
a
population
over
350,000
according
to
the
12
latest
certified
federal
census.
The
funds
allocated
in
this
13
subsection
shall
be
used
by
the
recipient
organization
to
14
develop
a
larger
community
effort,
through
public
and
private
15
partnerships,
to
support
a
broad-based
multi-county
parenthood
16
initiative
that
promotes
payment
of
child
support
obligations,
17
improved
family
relationships,
and
full-time
employment.
18
6.
The
department
may
transfer
funds
appropriated
in
this
19
section,
excluding
the
allocation
in
subsection
2
for
the
20
family
development
and
self-sufficiency
grant
program,
to
the
21
appropriations
made
in
this
division
of
this
Act
for
general
22
administration
and
field
operations
as
necessary
to
administer
23
this
section,
section
7
for
the
temporary
assistance
for
needy
24
families
block
grant,
and
section
8
for
the
family
investment
25
program
account.
26
Sec.
10.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
27
from
the
general
fund
of
the
state
to
the
department
of
human
28
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
29
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purposes
designated:
31
For
child
support
recovery,
including
salaries,
support,
32
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
33
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,749,368
35
-26-
H1323.2512
(4)
88
pf/rn
26/
119
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
1
1.
The
department
shall
expend
up
to
$24,000,
including
2
federal
financial
participation,
for
the
fiscal
year
beginning
3
July
1,
2019,
for
a
child
support
public
awareness
campaign.
4
The
department
and
the
office
of
the
attorney
general
shall
5
cooperate
in
continuation
of
the
campaign.
The
public
6
awareness
campaign
shall
emphasize,
through
a
variety
of
7
media
activities,
the
importance
of
maximum
involvement
of
8
both
parents
in
the
lives
of
their
children
as
well
as
the
9
importance
of
payment
of
child
support
obligations.
10
2.
Federal
access
and
visitation
grant
moneys
shall
be
11
issued
directly
to
private
not-for-profit
agencies
that
provide
12
services
designed
to
increase
compliance
with
the
child
access
13
provisions
of
court
orders,
including
but
not
limited
to
14
neutral
visitation
sites
and
mediation
services.
15
3.
The
appropriation
made
to
the
department
for
child
16
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
17
manner
necessary
for
purposes
of
cash
flow
management,
and
for
18
cash
flow
management
purposes
the
department
may
temporarily
19
draw
more
than
the
amount
appropriated,
provided
the
amount
20
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
21
Sec.
11.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
22
FY
2019-2020.
Any
funds
remaining
in
the
health
care
trust
23
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
24
July
1,
2019,
and
ending
June
30,
2020,
are
appropriated
to
25
the
department
of
human
services
to
supplement
the
medical
26
assistance
program
appropriations
made
in
this
division
of
this
27
Act,
for
medical
assistance
reimbursement
and
associated
costs,
28
including
program
administration
and
costs
associated
with
29
program
implementation.
30
Sec.
12.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
31
2019-2020.
Any
funds
remaining
in
the
Medicaid
fraud
fund
32
created
in
section
249A.50
for
the
fiscal
year
beginning
33
July
1,
2019,
and
ending
June
30,
2020,
are
appropriated
to
34
the
department
of
human
services
to
supplement
the
medical
35
-27-
H1323.2512
(4)
88
pf/rn
27/
119
assistance
appropriations
made
in
this
division
of
this
Act,
1
for
medical
assistance
reimbursement
and
associated
costs,
2
including
program
administration
and
costs
associated
with
3
program
implementation.
4
Sec.
13.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
5
general
fund
of
the
state
to
the
department
of
human
services
6
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
7
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purpose
designated:
9
For
medical
assistance
program
reimbursement
and
associated
10
costs
as
specifically
provided
in
the
reimbursement
11
methodologies
in
effect
on
June
30,
2019,
except
as
otherwise
12
expressly
authorized
by
law,
consistent
with
options
under
13
federal
law
and
regulations,
and
contingent
upon
receipt
of
14
approval
from
the
office
of
the
governor
of
reimbursement
for
15
each
abortion
performed
under
the
program:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,427,379,707
17
1.
Iowans
support
reducing
the
number
of
abortions
18
performed
in
our
state.
Funds
appropriated
under
this
section
19
shall
not
be
used
for
abortions,
unless
otherwise
authorized
20
under
this
section.
21
2.
The
provisions
of
this
section
relating
to
abortions
22
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
23
pursuant
to
chapter
249N
.
24
3.
The
department
shall
utilize
not
more
than
$60,000
of
25
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
26
health
insurance
premium
payment
program
as
established
in
1992
27
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
28
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
29
not
more
than
$5,000
may
be
expended
for
administrative
30
purposes.
31
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
32
of
public
health
for
addictive
disorders,
$950,000
for
33
the
fiscal
year
beginning
July
1,
2019,
is
transferred
34
to
the
department
of
human
services
for
an
integrated
35
-28-
H1323.2512
(4)
88
pf/rn
28/
119
substance-related
disorder
managed
care
system.
The
1
departments
of
human
services
and
public
health
shall
2
work
together
to
maintain
the
level
of
mental
health
and
3
substance-related
disorder
treatment
services
provided
by
the
4
managed
care
contractors.
Each
department
shall
take
the
steps
5
necessary
to
continue
the
federal
waivers
as
necessary
to
6
maintain
the
level
of
services.
7
5.
a.
The
department
shall
aggressively
pursue
options
for
8
providing
medical
assistance
or
other
assistance
to
individuals
9
with
special
needs
who
become
ineligible
to
continue
receiving
10
services
under
the
early
and
periodic
screening,
diagnostic,
11
and
treatment
program
under
the
medical
assistance
program
12
due
to
becoming
21
years
of
age
who
have
been
approved
for
13
additional
assistance
through
the
department’s
exception
to
14
policy
provisions,
but
who
have
health
care
needs
in
excess
15
of
the
funding
available
through
the
exception
to
policy
16
provisions.
17
b.
Of
the
funds
appropriated
in
this
section,
$100,000
18
shall
be
used
for
participation
in
one
or
more
pilot
projects
19
operated
by
a
private
provider
to
allow
the
individual
or
20
individuals
to
receive
service
in
the
community
in
accordance
21
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
22
(1999),
for
the
purpose
of
providing
medical
assistance
or
23
other
assistance
to
individuals
with
special
needs
who
become
24
ineligible
to
continue
receiving
services
under
the
early
and
25
periodic
screening,
diagnostic,
and
treatment
program
under
26
the
medical
assistance
program
due
to
becoming
21
years
of
27
age
who
have
been
approved
for
additional
assistance
through
28
the
department’s
exception
to
policy
provisions,
but
who
have
29
health
care
needs
in
excess
of
the
funding
available
through
30
the
exception
to
the
policy
provisions.
31
6.
Of
the
funds
appropriated
in
this
section,
up
to
32
$3,050,082
may
be
transferred
to
the
field
operations
or
33
general
administration
appropriations
in
this
division
of
this
34
Act
for
operational
costs
associated
with
Part
D
of
the
federal
35
-29-
H1323.2512
(4)
88
pf/rn
29/
119
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
1
of
2003,
Pub.
L.
No.
108-173.
2
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
3
may
be
transferred
to
the
appropriation
in
this
division
4
of
this
Act
for
medical
contracts
to
be
used
for
clinical
5
assessment
services
and
prior
authorization
of
services.
6
8.
A
portion
of
the
funds
appropriated
in
this
section
7
may
be
transferred
to
the
appropriations
in
this
division
of
8
this
Act
for
general
administration,
medical
contracts,
the
9
children’s
health
insurance
program,
or
field
operations
to
be
10
used
for
the
state
match
cost
to
comply
with
the
payment
error
11
rate
measurement
(PERM)
program
for
both
the
medical
assistance
12
and
children’s
health
insurance
programs
as
developed
by
the
13
centers
for
Medicare
and
Medicaid
services
of
the
United
States
14
department
of
health
and
human
services
to
comply
with
the
15
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
16
No.
107-300,
and
to
support
other
reviews
and
quality
control
17
activities
to
improve
the
integrity
of
these
programs.
18
9.
The
department
shall
continue
to
implement
the
19
recommendations
of
the
assuring
better
child
health
and
20
development
initiative
II
(ABCDII)
clinical
panel
to
the
21
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
22
services
healthy
mental
development
collaborative
board
23
regarding
changes
to
billing
procedures,
codes,
and
eligible
24
service
providers.
25
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
26
amount
is
allocated
to
supplement
the
incomes
of
residents
of
27
nursing
facilities,
intermediate
care
facilities
for
persons
28
with
mental
illness,
and
intermediate
care
facilities
for
29
persons
with
an
intellectual
disability,
with
incomes
of
less
30
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
31
personal
needs
allowance
of
$50
per
month
pursuant
to
section
32
249A.30A
.
33
11.
a.
Hospitals
that
meet
the
conditions
specified
34
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
35
-30-
H1323.2512
(4)
88
pf/rn
30/
119
expenditures
or
transfer
to
the
medical
assistance
program
1
an
amount
equal
to
provide
the
nonfederal
share
for
a
2
disproportionate
share
hospital
payment
in
an
amount
up
to
the
3
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
4
The
hospitals
that
meet
the
conditions
specified
shall
receive
5
and
retain
100
percent
of
the
total
disproportionate
share
6
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
7
as
approved
in
the
Medicaid
state
plan.
8
(1)
The
hospital
qualifies
for
disproportionate
share
and
9
graduate
medical
education
payments.
10
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
11
than
500
beds
and
eight
or
more
distinct
residency
specialty
12
or
subspecialty
programs
recognized
by
the
American
college
of
13
graduate
medical
education.
14
b.
Distribution
of
the
disproportionate
share
payments
15
shall
be
made
on
a
monthly
basis.
The
total
amount
of
16
disproportionate
share
payments
including
graduate
medical
17
education,
enhanced
disproportionate
share,
and
Iowa
18
state-owned
teaching
hospital
payments
shall
not
exceed
the
19
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
20
In
addition,
the
total
amount
of
all
disproportionate
21
share
payments
shall
not
exceed
the
hospital-specific
22
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
23
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
24
to
area
education
agencies
that
are
medical
assistance
25
providers
for
medical
assistance-covered
services
provided
to
26
medical
assistance-covered
children,
shall
be
made
from
the
27
appropriation
made
in
this
section.
28
13.
A
portion
of
the
funds
appropriated
in
this
section
29
may
be
transferred
to
the
appropriation
in
this
division
of
30
this
Act
for
medical
contracts
to
be
used
for
administrative
31
activities
associated
with
the
money
follows
the
person
32
demonstration
project.
33
14.
Of
the
funds
appropriated
in
this
section,
$349,011
34
shall
be
used
for
the
administration
of
the
health
insurance
35
-31-
H1323.2512
(4)
88
pf/rn
31/
119
premium
payment
program,
including
salaries,
support,
1
maintenance,
and
miscellaneous
purposes.
2
15.
a.
The
department
may
increase
the
amounts
allocated
3
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
4
associated
with
the
medical
assistance
program,
as
necessary,
5
to
sustain
cost
management
efforts.
The
department
shall
6
report
any
such
increase
to
the
legislative
services
agency
and
7
the
department
of
management.
8
b.
If
the
savings
to
the
medical
assistance
program
from
9
ongoing
cost
management
efforts
exceed
the
associated
cost
10
for
the
fiscal
year
beginning
July
1,
2019,
the
department
11
may
transfer
any
savings
generated
for
the
fiscal
year
due
12
to
medical
assistance
program
cost
management
efforts
to
the
13
appropriation
made
in
this
division
of
this
Act
for
medical
14
contracts
or
general
administration
to
defray
the
costs
15
associated
with
implementing
the
efforts.
16
16.
For
the
fiscal
year
beginning
July
1,
2019,
and
ending
17
June
30,
2020,
the
replacement
generation
tax
revenues
required
18
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
19
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
20
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
21
to
and
supplement
the
appropriation
made
in
this
section
and
22
used
for
the
allocations
made
in
this
section.
23
17.
a.
Of
the
funds
appropriated
in
this
section,
up
24
to
$50,000
may
be
transferred
by
the
department
to
the
25
appropriation
made
in
this
division
of
this
Act
to
the
26
department
for
the
same
fiscal
year
for
general
administration
27
to
be
used
for
associated
administrative
expenses
and
for
not
28
more
than
1.00
full-time
equivalent
position,
in
addition
to
29
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
30
implementing
the
children’s
mental
health
home
project.
31
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
32
may
be
transferred
by
the
department
to
the
appropriation
made
33
to
the
department
in
this
division
of
this
Act
for
the
same
34
fiscal
year
for
Medicaid
program-related
general
administration
35
-32-
H1323.2512
(4)
88
pf/rn
32/
119
planning
and
implementation
activities.
The
funds
may
be
used
1
for
contracts
or
for
personnel
in
addition
to
the
amounts
2
appropriated
for
and
the
positions
authorized
for
general
3
administration
for
the
fiscal
year.
4
c.
Of
the
funds
appropriated
in
this
section,
up
to
5
$3,000,000
may
be
transferred
by
the
department
to
the
6
appropriations
made
in
this
division
of
this
Act
for
the
same
7
fiscal
year
for
general
administration
or
medical
contracts
8
to
be
used
to
support
the
development
and
implementation
of
9
standardized
assessment
tools
for
persons
with
mental
illness,
10
an
intellectual
disability,
a
developmental
disability,
or
a
11
brain
injury.
12
18.
Of
the
funds
appropriated
in
this
section,
$150,000
13
shall
be
used
for
lodging
expenses
associated
with
care
14
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
15
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
16
and
whose
income
is
at
or
below
200
percent
of
the
federal
17
poverty
level
as
defined
by
the
most
recently
revised
poverty
18
income
guidelines
published
by
the
United
States
department
of
19
health
and
human
services.
The
department
of
human
services
20
shall
establish
the
maximum
number
of
overnight
stays
and
the
21
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
22
based
on
the
state
employee
rate
established
by
the
department
23
of
administrative
services.
The
funds
allocated
in
this
24
subsection
shall
not
be
used
as
nonfederal
share
matching
25
funds.
26
19.
Of
the
funds
appropriated
in
this
section,
up
to
27
$3,383,880
shall
be
used
for
administration
of
the
state
family
28
planning
services
program
pursuant
to
section
217.41B,
and
29
of
this
amount,
the
department
may
use
up
to
$200,000
for
30
administrative
expenses.
31
20.
Of
the
funds
appropriated
in
this
section,
$1,545,530
32
shall
be
used
and
may
be
transferred
to
other
appropriations
33
in
this
division
of
this
Act
as
necessary
to
administer
the
34
provisions
in
the
division
of
this
Act
relating
to
Medicaid
35
-33-
H1323.2512
(4)
88
pf/rn
33/
119
program
administration.
1
21.
The
department
shall
continue
to
implement
and
2
administer
the
provisions
of
2018
Iowa
Acts,
chapter
1056.
3
Of
the
funds
appropriated
in
this
section,
up
to
$39,069
may
4
be
transferred
to
the
department
of
inspections
and
appeals
5
for
inspection
costs
related
to
such
implementation
and
6
administration.
7
22.
Of
the
funds
appropriated
in
this
section,
up
to
8
$1,200,000
shall
be
used
to
implement
reductions
in
the
waiting
9
list
for
the
children’s
mental
health
home
and
community-based
10
services
waiver.
11
23.
Of
the
funds
appropriated
in
this
section,
$1,500,000
12
shall
be
used
to
provide
reimbursement
to
critical
access
13
hospitals
for
inpatient
and
outpatient
services
based
on
14
a
critical
access
hospital
adjustment
factor
methodology
15
developed
by
the
department
as
provided
in
this
division
of
16
this
Act.
17
24.
The
department
of
human
services
shall
utilize
18
$1,000,000
of
the
funds
appropriated
under
this
section
to
19
increase
the
current
supported
community
living
provider
20
daily
rates
for
all
tiers
under
the
tiered
rate
reimbursement
21
methodology
effective
with
dates
of
service
beginning
July
22
1,
2019.
The
funding
amount
shall
be
divided
equally
among
23
all
tiers
and
applied
within
each
tier
in
accordance
with
the
24
recommendations
of
the
actuary.
However,
no
resulting
rates
25
shall
be
lower
than
the
rates
in
effect
on
June
30,
2019.
26
Sec.
14.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
27
general
fund
of
the
state
to
the
department
of
human
services
28
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
29
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
30
to
be
used
for
the
purpose
designated:
31
For
medical
contracts:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,992,530
33
1.
The
department
of
inspections
and
appeals
shall
34
provide
all
state
matching
funds
for
survey
and
certification
35
-34-
H1323.2512
(4)
88
pf/rn
34/
119
activities
performed
by
the
department
of
inspections
1
and
appeals.
The
department
of
human
services
is
solely
2
responsible
for
distributing
the
federal
matching
funds
for
3
such
activities.
4
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
5
be
used
for
continuation
of
home
and
community-based
services
6
waiver
quality
assurance
programs,
including
the
review
and
7
streamlining
of
processes
and
policies
related
to
oversight
and
8
quality
management
to
meet
state
and
federal
requirements.
9
3.
Of
the
amount
appropriated
in
this
section,
up
to
10
$200,000
may
be
transferred
to
the
appropriation
for
general
11
administration
in
this
division
of
this
Act
to
be
used
for
12
additional
full-time
equivalent
positions
in
the
development
13
of
key
health
initiatives
such
as
development
and
oversight
14
of
managed
care
programs
and
development
of
health
strategies
15
targeted
toward
improved
quality
and
reduced
costs
in
the
16
Medicaid
program.
17
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
18
shall
be
used
for
planning
and
development,
in
cooperation
with
19
the
department
of
public
health,
of
a
phased-in
program
to
20
provide
a
dental
home
for
children.
21
5.
a.
Of
the
funds
appropriated
in
this
section,
$573,000
22
shall
be
credited
to
the
autism
support
program
fund
created
23
in
section
225D.2
to
be
used
for
the
autism
support
program
24
created
in
chapter
225D
,
with
the
exception
of
the
following
25
amount
of
this
allocation
which
shall
be
used
as
follows:
26
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
27
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
28
nonprofit
provider
of
child
welfare
services
that
has
been
in
29
existence
for
more
than
115
years,
is
located
in
a
county
with
30
a
population
between
200,000
and
220,000
according
to
the
most
31
recent
federal
decennial
census,
is
licensed
as
a
psychiatric
32
medical
institution
for
children,
and
provides
school-based
33
programming,
to
be
used
for
support
services
for
children
with
34
autism
spectrum
disorder
and
their
families.
35
-35-
H1323.2512
(4)
88
pf/rn
35/
119
Sec.
15.
STATE
SUPPLEMENTARY
ASSISTANCE.
1
1.
There
is
appropriated
from
the
general
fund
of
the
2
state
to
the
department
of
human
services
for
the
fiscal
year
3
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
4
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
5
purpose
designated:
6
For
the
state
supplementary
assistance
program:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,812,909
8
2.
The
department
shall
increase
the
personal
needs
9
allowance
for
residents
of
residential
care
facilities
by
the
10
same
percentage
and
at
the
same
time
as
federal
supplemental
11
security
income
and
federal
social
security
benefits
are
12
increased
due
to
a
recognized
increase
in
the
cost
of
living.
13
The
department
may
adopt
emergency
rules
to
implement
this
14
subsection.
15
3.
If
during
the
fiscal
year
beginning
July
1,
2019,
16
the
department
projects
that
state
supplementary
assistance
17
expenditures
for
a
calendar
year
will
not
meet
the
federal
18
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
19
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
20
§1382g,
the
department
may
take
actions
including
but
not
21
limited
to
increasing
the
personal
needs
allowance
for
22
residential
care
facility
residents
and
making
programmatic
23
adjustments
or
upward
adjustments
of
the
residential
care
24
facility
or
in-home
health-related
care
reimbursement
rates
25
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
26
requirements
are
met.
In
addition,
the
department
may
make
27
other
programmatic
and
rate
adjustments
necessary
to
remain
28
within
the
amount
appropriated
in
this
section
while
ensuring
29
compliance
with
federal
requirements.
The
department
may
adopt
30
emergency
rules
to
implement
the
provisions
of
this
subsection.
31
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
32
this
section
that
remain
unencumbered
or
unobligated
at
the
33
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
34
available
for
expenditure
for
the
purposes
designated
until
the
35
-36-
H1323.2512
(4)
88
pf/rn
36/
119
close
of
the
succeeding
fiscal
year.
1
Sec.
16.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
2
1.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
5
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purpose
designated:
7
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
8
program
pursuant
to
chapter
514I
,
including
supplemental
dental
9
services,
for
receipt
of
federal
financial
participation
under
10
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
11
children’s
health
insurance
program:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,361,112
13
2.
Of
the
funds
appropriated
in
this
section,
$79,486
is
14
allocated
for
continuation
of
the
contract
for
outreach
with
15
the
department
of
public
health.
16
3.
A
portion
of
the
funds
appropriated
in
this
section
may
17
be
transferred
to
the
appropriations
made
in
this
division
of
18
this
Act
for
field
operations
or
medical
contracts
to
be
used
19
for
the
integration
of
hawk-i
program
eligibility,
payment,
and
20
administrative
functions
under
the
purview
of
the
department
21
of
human
services,
including
for
the
Medicaid
management
22
information
system
upgrade.
23
Sec.
17.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
human
25
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
26
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purpose
designated:
28
For
child
care
programs:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,816,931
30
1.
Of
the
funds
appropriated
in
this
section,
$34,966,931
31
shall
be
used
for
state
child
care
assistance
in
accordance
32
with
section
237A.13
.
33
2.
Nothing
in
this
section
shall
be
construed
or
is
34
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
35
-37-
H1323.2512
(4)
88
pf/rn
37/
119
to
persons
who
are
eligible
for
assistance
due
to
an
income
1
level
consistent
with
the
waiting
list
requirements
of
section
2
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
3
this
section
is
limited
to
the
extent
of
the
funds
appropriated
4
in
this
section.
5
3.
A
list
of
the
registered
and
licensed
child
care
6
facilities
operating
in
the
area
served
by
a
child
care
7
resource
and
referral
service
shall
be
made
available
to
the
8
families
receiving
state
child
care
assistance
in
that
area.
9
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
10
shall
be
credited
to
the
early
childhood
programs
grants
11
account
in
the
early
childhood
Iowa
fund
created
in
section
12
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
13
community-based
early
childhood
programs
targeted
to
children
14
from
birth
through
five
years
of
age
developed
by
early
15
childhood
Iowa
areas
in
accordance
with
approved
community
16
plans
as
provided
in
section
256I.8
.
17
5.
The
department
may
use
any
of
the
funds
appropriated
18
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
19
expanding
child
care
assistance
and
related
programs.
For
20
the
purpose
of
expenditures
of
state
and
federal
child
care
21
funding,
funds
shall
be
considered
obligated
at
the
time
22
expenditures
are
projected
or
are
allocated
to
the
department’s
23
service
areas.
Projections
shall
be
based
on
current
and
24
projected
caseload
growth,
current
and
projected
provider
25
rates,
staffing
requirements
for
eligibility
determination
26
and
management
of
program
requirements
including
data
systems
27
management,
staffing
requirements
for
administration
of
the
28
program,
contractual
and
grant
obligations
and
any
transfers
29
to
other
state
agencies,
and
obligations
for
decategorization
30
or
innovation
projects.
31
6.
A
portion
of
the
state
match
for
the
federal
child
care
32
and
development
block
grant
shall
be
provided
as
necessary
to
33
meet
federal
matching
funds
requirements
through
the
state
34
general
fund
appropriation
made
for
child
development
grants
35
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38/
119
and
other
programs
for
at-risk
children
in
section
279.51
.
1
7.
If
a
uniform
reduction
ordered
by
the
governor
under
2
section
8.31
or
other
operation
of
law,
transfer,
or
federal
3
funding
reduction
reduces
the
appropriation
made
in
this
4
section
for
the
fiscal
year,
the
percentage
reduction
in
the
5
amount
paid
out
to
or
on
behalf
of
the
families
participating
6
in
the
state
child
care
assistance
program
shall
be
equal
to
or
7
less
than
the
percentage
reduction
made
for
any
other
purpose
8
payable
from
the
appropriation
made
in
this
section
and
the
9
federal
funding
relating
to
it.
The
percentage
reduction
to
10
the
other
allocations
made
in
this
section
shall
be
the
same
as
11
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
12
change
of
the
federal
funding
reduction,
as
applicable.
If
13
there
is
an
unanticipated
increase
in
federal
funding
provided
14
for
state
child
care
services,
the
entire
amount
of
the
15
increase,
except
as
necessary
to
meet
federal
requirements
16
including
quality
set
asides,
shall
be
used
for
state
child
17
care
assistance
payments.
If
the
appropriations
made
for
18
purposes
of
the
state
child
care
assistance
program
for
the
19
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
20
of
the
general
assembly
to
appropriate
sufficient
funding
for
21
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
22
requirements.
23
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
24
purposes
of
the
programs
developed
by
early
childhood
Iowa
25
areas,
advanced
for
purposes
of
wraparound
child
care,
or
26
received
from
the
federal
appropriations
made
for
the
purposes
27
of
this
section
that
remain
unencumbered
or
unobligated
at
the
28
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
29
remain
available
for
expenditure
for
the
purposes
designated
30
until
the
close
of
the
succeeding
fiscal
year.
31
Sec.
18.
JUVENILE
INSTITUTION.
There
is
appropriated
32
from
the
general
fund
of
the
state
to
the
department
of
human
33
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
34
June
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
35
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H1323.2512
(4)
88
pf/rn
39/
119
necessary,
to
be
used
for
the
purposes
designated:
1
1.
a.
For
operation
of
the
state
training
school
at
Eldora
2
and
for
salaries,
support,
maintenance,
and
miscellaneous
3
purposes,
and
for
not
more
than
the
following
full-time
4
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,920,757
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
207.00
7
b.
Of
the
funds
appropriated
in
this
subsection,
$91,000
8
shall
be
used
for
distribution
to
licensed
classroom
teachers
9
at
this
and
other
institutions
under
the
control
of
the
10
department
of
human
services
based
upon
the
average
student
11
yearly
enrollment
at
each
institution
as
determined
by
the
12
department.
13
c.
The
additional
full-time
equivalent
positions
authorized
14
in
paragraph
“a”
shall
include
1.00
youth
services
technician,
15
1.00
clinical
supervisor,
and
1.00
registered
nurse,
or
16
comparable
additional,
full-time
equivalent
positions.
17
2.
A
portion
of
the
moneys
appropriated
in
this
section
18
shall
be
used
by
the
state
training
school
at
Eldora
for
19
grants
for
adolescent
pregnancy
prevention
activities
at
the
20
institution
in
the
fiscal
year
beginning
July
1,
2019.
21
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
22
shall
be
used
by
the
state
training
school
at
Eldora
for
a
23
substance
use
disorder
treatment
program
at
the
institution
for
24
the
fiscal
year
beginning
July
1,
2019.
25
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
26
this
section
that
remain
unencumbered
or
unobligated
at
the
27
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
28
available
for
expenditure
for
the
purposes
designated
until
the
29
close
of
the
succeeding
fiscal
year.
30
Sec.
19.
CHILD
AND
FAMILY
SERVICES.
31
1.
There
is
appropriated
from
the
general
fund
of
the
32
state
to
the
department
of
human
services
for
the
fiscal
year
33
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
34
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
35
-40-
H1323.2512
(4)
88
pf/rn
40/
119
purpose
designated:
1
For
child
and
family
services:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
89,071,761
3
2.
The
department
may
transfer
funds
appropriated
in
this
4
section
as
necessary
to
pay
the
nonfederal
costs
of
services
5
reimbursed
under
the
medical
assistance
program,
state
child
6
care
assistance
program,
or
the
family
investment
program
which
7
are
provided
to
children
who
would
otherwise
receive
services
8
paid
under
the
appropriation
in
this
section.
The
department
9
may
transfer
funds
appropriated
in
this
section
to
the
10
appropriations
made
in
this
division
of
this
Act
for
general
11
administration
and
for
field
operations
for
resources
necessary
12
to
implement
and
operate
the
services
funded
in
this
section.
13
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
14
$34,536,000
is
allocated
as
the
statewide
expenditure
target
15
under
section
232.143
for
group
foster
care
maintenance
and
16
services.
If
the
department
projects
that
such
expenditures
17
for
the
fiscal
year
will
be
less
than
the
target
amount
18
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
19
the
excess
to
provide
additional
funding
for
family
foster
20
care,
independent
living,
family
safety,
risk
and
permanency
21
services,
shelter
care,
or
the
child
welfare
emergency
services
22
addressed
with
the
allocation
for
shelter
care.
23
b.
If
at
any
time
after
September
30,
2019,
annualization
24
of
a
service
area’s
current
expenditures
indicates
a
service
25
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
26
target
under
section
232.143
by
more
than
5
percent,
the
27
department
and
juvenile
court
services
shall
examine
all
28
group
foster
care
placements
in
that
service
area
in
order
to
29
identify
those
which
might
be
appropriate
for
termination.
30
In
addition,
any
aftercare
services
believed
to
be
needed
31
for
the
children
whose
placements
may
be
terminated
shall
be
32
identified.
The
department
and
juvenile
court
services
shall
33
initiate
action
to
set
dispositional
review
hearings
for
the
34
placements
identified.
In
such
a
dispositional
review
hearing,
35
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H1323.2512
(4)
88
pf/rn
41/
119
the
juvenile
court
shall
determine
whether
needed
aftercare
1
services
are
available
and
whether
termination
of
the
placement
2
is
in
the
best
interest
of
the
child
and
the
community.
3
4.
In
accordance
with
the
provisions
of
section
232.188
,
4
the
department
shall
continue
the
child
welfare
and
juvenile
5
justice
funding
initiative
during
fiscal
year
2019-2020.
Of
6
the
funds
appropriated
in
this
section,
$1,717,000
is
allocated
7
specifically
for
expenditure
for
fiscal
year
2019-2020
through
8
the
decategorization
services
funding
pools
and
governance
9
boards
established
pursuant
to
section
232.188
.
10
5.
A
portion
of
the
funds
appropriated
in
this
section
11
may
be
used
for
emergency
family
assistance
to
provide
other
12
resources
required
for
a
family
participating
in
a
family
13
preservation
or
reunification
project
or
successor
project
to
14
stay
together
or
to
be
reunified.
15
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
16
amount
is
allocated
for
shelter
care
and
the
child
welfare
17
emergency
services
contracting
implemented
to
provide
for
or
18
prevent
the
need
for
shelter
care.
19
7.
Federal
funds
received
by
the
state
during
the
fiscal
20
year
beginning
July
1,
2019,
as
the
result
of
the
expenditure
21
of
state
funds
appropriated
during
a
previous
state
fiscal
22
year
for
a
service
or
activity
funded
under
this
section
are
23
appropriated
to
the
department
to
be
used
as
additional
funding
24
for
services
and
purposes
provided
for
under
this
section.
25
Notwithstanding
section
8.33
,
moneys
received
in
accordance
26
with
this
subsection
that
remain
unencumbered
or
unobligated
at
27
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
28
shall
remain
available
for
the
purposes
designated
until
the
29
close
of
the
succeeding
fiscal
year.
30
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
31
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
32
court-ordered
services
provided
to
juveniles
who
are
under
the
33
supervision
of
juvenile
court
services,
which
expenses
are
a
34
charge
upon
the
state
pursuant
to
section
232.141,
subsection
35
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H1323.2512
(4)
88
pf/rn
42/
119
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
1
$1,556,000
shall
be
made
available
to
provide
school-based
2
supervision
of
children
adjudicated
under
chapter
232
,
of
which
3
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
4
A
portion
of
the
cost
of
each
school-based
liaison
officer
5
shall
be
paid
by
the
school
district
or
other
funding
source
as
6
approved
by
the
chief
juvenile
court
officer.
7
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,000
8
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
9
services
provided
to
children
who
are
under
the
supervision
10
of
the
department,
which
expenses
are
a
charge
upon
the
state
11
pursuant
to
section
232.141,
subsection
4
.
12
c.
Notwithstanding
section
232.141
or
any
other
provision
13
of
law
to
the
contrary,
the
amounts
allocated
in
this
14
subsection
shall
be
distributed
to
the
judicial
districts
15
as
determined
by
the
state
court
administrator
and
to
the
16
department’s
service
areas
as
determined
by
the
administrator
17
of
the
department
of
human
services’
division
of
child
and
18
family
services.
The
state
court
administrator
and
the
19
division
administrator
shall
make
the
determination
of
the
20
distribution
amounts
on
or
before
June
15,
2019.
21
d.
Notwithstanding
chapter
232
or
any
other
provision
of
22
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
23
order
any
service
which
is
a
charge
upon
the
state
pursuant
24
to
section
232.141
if
there
are
insufficient
court-ordered
25
services
funds
available
in
the
district
court
or
departmental
26
service
area
distribution
amounts
to
pay
for
the
service.
The
27
chief
juvenile
court
officer
and
the
departmental
service
area
28
manager
shall
encourage
use
of
the
funds
allocated
in
this
29
subsection
such
that
there
are
sufficient
funds
to
pay
for
30
all
court-related
services
during
the
entire
year.
The
chief
31
juvenile
court
officers
and
departmental
service
area
managers
32
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
33
in
the
distribution
amounts
and
shall
cooperatively
request
the
34
state
court
administrator
or
division
administrator
to
transfer
35
-43-
H1323.2512
(4)
88
pf/rn
43/
119
funds
between
the
judicial
districts’
or
departmental
service
1
areas’
distribution
amounts
as
prudent.
2
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
3
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
4
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
5
entered
under
chapter
232
which
is
a
charge
upon
the
state
6
under
section
232.141,
subsection
4
.
7
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
8
$83,000
may
be
used
by
the
judicial
branch
for
administration
9
of
the
requirements
under
this
subsection.
10
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
11
shall
be
used
by
the
department
of
human
services
to
support
12
the
interstate
commission
for
juveniles
in
accordance
with
13
the
interstate
compact
for
juveniles
as
provided
in
section
14
232.173
.
15
9.
Of
the
funds
appropriated
in
this
section,
$12,253,000
is
16
allocated
for
juvenile
delinquent
graduated
sanctions
services.
17
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
18
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
19
services
administration
may
be
used
for
the
juvenile
delinquent
20
graduated
sanctions
services.
21
10.
Of
the
funds
appropriated
in
this
section,
$1,658,000
is
22
transferred
to
the
department
of
public
health
to
be
used
for
23
the
child
protection
center
grant
program
for
child
protection
24
centers
located
in
Iowa
in
accordance
with
section
135.118
.
25
The
grant
amounts
under
the
program
shall
be
equalized
so
that
26
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
27
that
the
remaining
funds
are
awarded
through
a
funding
formula
28
based
upon
the
volume
of
children
served.
To
increase
access
29
to
child
protection
center
services
for
children
in
rural
30
areas,
the
funding
formula
for
the
awarding
of
the
remaining
31
funds
shall
provide
for
the
awarding
of
an
enhanced
amount
to
32
eligible
grantees
to
develop
and
maintain
satellite
centers
in
33
underserved
regions
of
the
state.
34
11.
Of
the
funds
appropriated
in
this
section,
$4,025,000
is
35
-44-
H1323.2512
(4)
88
pf/rn
44/
119
allocated
for
the
preparation
for
adult
living
program
pursuant
1
to
section
234.46
.
2
12.
Of
the
funds
appropriated
in
this
section,
$227,000
3
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
4
nonprofit
human
services
organization,
providing
services
to
5
individuals
and
families
in
multiple
locations
in
southwest
6
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
7
sensitive
support
and
forensic
interviews,
medical
exams,
needs
8
assessments,
and
referrals
for
victims
of
child
abuse
and
their
9
nonoffending
family
members.
10
13.
Of
the
funds
appropriated
in
this
section,
$300,000
11
is
allocated
for
the
foster
care
youth
council
approach
of
12
providing
a
support
network
to
children
placed
in
foster
care.
13
14.
Of
the
funds
appropriated
in
this
section,
$202,000
is
14
allocated
for
use
pursuant
to
section
235A.1
for
continuation
15
of
the
initiative
to
address
child
sexual
abuse
implemented
16
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
17
21
.
18
15.
Of
the
funds
appropriated
in
this
section,
$630,000
is
19
allocated
for
the
community
partnership
for
child
protection
20
sites.
21
16.
Of
the
funds
appropriated
in
this
section,
$371,000
22
is
allocated
for
the
department’s
minority
youth
and
family
23
projects
under
the
redesign
of
the
child
welfare
system.
24
17.
Of
the
funds
appropriated
in
this
section,
$851,000
25
is
allocated
for
funding
of
the
community
circle
of
care
26
collaboration
for
children
and
youth
in
northeast
Iowa.
27
18.
Of
the
funds
appropriated
in
this
section,
at
least
28
$147,000
shall
be
used
for
the
continuation
of
the
child
29
welfare
provider
training
academy,
a
collaboration
between
the
30
coalition
for
family
and
children’s
services
in
Iowa
and
the
31
department.
32
19.
Of
the
funds
appropriated
in
this
section,
$211,000
33
shall
be
used
for
continuation
of
the
central
Iowa
system
of
34
care
program
grant
through
June
30,
2020.
35
-45-
H1323.2512
(4)
88
pf/rn
45/
119
20.
Of
the
funds
appropriated
in
this
section,
$235,000
1
shall
be
used
for
the
public
purpose
of
the
continuation
2
and
expansion
of
a
system
of
care
program
grant
implemented
3
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
4
and
long-term
approach
for
helping
children
and
families
by
5
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
6
needs,
education
and
work,
family,
and
community.
7
21.
Of
the
funds
appropriated
in
this
section,
at
least
8
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
9
care
respite
pilot
program
in
which
postsecondary
students
in
10
social
work
and
other
human
services-related
programs
receive
11
experience
by
assisting
family
foster
care
providers
with
12
respite
and
other
support.
13
22.
Of
the
funds
appropriated
in
this
section,
$110,000
14
shall
be
used
for
the
public
purpose
of
funding
community-based
15
services
and
other
supports
with
a
system
of
care
approach
16
for
children
with
a
serious
emotional
disturbance
and
their
17
families
through
a
nonprofit
provider
of
child
welfare
services
18
that
has
been
in
existence
for
more
than
115
years,
is
located
19
in
a
county
with
a
population
of
more
than
200,000
but
less
20
than
220,000
according
to
the
latest
certified
federal
census,
21
is
licensed
as
a
psychiatric
medical
institution
for
children,
22
and
was
a
system
of
care
grantee
prior
to
July
1,
2019.
23
23.
If
a
separate
funding
source
is
identified
that
reduces
24
the
need
for
state
funds
within
an
allocation
under
this
25
section,
the
allocated
state
funds
may
be
redistributed
to
26
other
allocations
under
this
section
for
the
same
fiscal
year.
27
Sec.
20.
ADOPTION
SUBSIDY.
28
1.
There
is
appropriated
from
the
general
fund
of
the
29
state
to
the
department
of
human
services
for
the
fiscal
year
30
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
31
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purpose
designated:
33
a.
For
adoption
subsidy
payments
and
services:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,596,007
35
-46-
H1323.2512
(4)
88
pf/rn
46/
119
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
1
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
2
of
the
following
purposes:
3
(a)
For
adoption
subsidy
payments
and
related
costs.
4
(b)
For
post-adoption
services
and
for
other
purposes
under
5
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
6
(2)
The
department
of
human
services
may
transfer
funds
7
appropriated
in
this
subsection
to
the
appropriation
for
8
child
and
family
services
in
this
Act
for
the
purposes
of
9
post-adoption
services
as
specified
in
this
paragraph
“b”.
10
c.
Notwithstanding
section
8.33
,
moneys
corresponding
to
11
the
state
savings
resulting
from
implementation
of
the
federal
12
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
13
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
14
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
15
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
16
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
17
purposes
designated
in
this
subsection
until
expended.
The
18
amount
of
such
savings
and
any
corresponding
funds
remaining
19
at
the
close
of
the
fiscal
year
shall
be
determined
separately
20
and
any
changes
in
either
amount
between
fiscal
years
shall
not
21
result
in
an
unfunded
need.
22
2.
The
department
may
transfer
funds
appropriated
in
23
this
section
to
the
appropriation
made
in
this
division
of
24
this
Act
for
general
administration
for
costs
paid
from
the
25
appropriation
relating
to
adoption
subsidy.
26
3.
Federal
funds
received
by
the
state
during
the
27
fiscal
year
beginning
July
1,
2019,
as
the
result
of
the
28
expenditure
of
state
funds
during
a
previous
state
fiscal
29
year
for
a
service
or
activity
funded
under
this
section
are
30
appropriated
to
the
department
to
be
used
as
additional
funding
31
for
the
services
and
activities
funded
under
this
section.
32
Notwithstanding
section
8.33
,
moneys
received
in
accordance
33
with
this
subsection
that
remain
unencumbered
or
unobligated
34
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
35
-47-
H1323.2512
(4)
88
pf/rn
47/
119
but
shall
remain
available
for
expenditure
for
the
purposes
1
designated
until
the
close
of
the
succeeding
fiscal
year.
2
Sec.
21.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
3
in
the
juvenile
detention
home
fund
created
in
section
232.142
4
during
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
5
30,
2020,
are
appropriated
to
the
department
of
human
services
6
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
7
2020,
for
distribution
of
an
amount
equal
to
a
percentage
of
8
the
costs
of
the
establishment,
improvement,
operation,
and
9
maintenance
of
county
or
multicounty
juvenile
detention
homes
10
in
the
fiscal
year
beginning
July
1,
2018.
Moneys
appropriated
11
for
distribution
in
accordance
with
this
section
shall
be
12
allocated
among
eligible
detention
homes,
prorated
on
the
basis
13
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
14
eligible
detention
homes
in
the
fiscal
year
beginning
July
15
1,
2018.
The
percentage
figure
shall
be
determined
by
the
16
department
based
on
the
amount
available
for
distribution
for
17
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
18
financial
aid
payable
by
the
state
under
that
provision
for
the
19
fiscal
year
beginning
July
1,
2019,
shall
be
limited
to
the
20
amount
appropriated
for
the
purposes
of
this
section.
21
Sec.
22.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
22
1.
There
is
appropriated
from
the
general
fund
of
the
23
state
to
the
department
of
human
services
for
the
fiscal
year
24
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
25
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
26
purpose
designated:
27
For
the
family
support
subsidy
program
subject
to
the
28
enrollment
restrictions
in
section
225C.37,
subsection
3
:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
949,282
30
2.
At
least
$819,275
of
the
moneys
appropriated
in
this
31
section
is
transferred
to
the
department
of
public
health
for
32
the
family
support
center
component
of
the
comprehensive
family
33
support
program
under
chapter
225C
,
subchapter
V.
34
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
35
-48-
H1323.2512
(4)
88
pf/rn
48/
119
funding
available
for
the
family
support
subsidy
program
1
is
reduced
from
the
amount
initially
used
to
establish
the
2
figure
for
the
number
of
family
members
for
whom
a
subsidy
3
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
4
notwithstanding
section
225C.38,
subsection
2
,
the
department
5
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
6
of
funding
available.
7
Sec.
23.
CONNER
DECREE.
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,
2019,
and
ending
June
30,
10
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
11
to
be
used
for
the
purpose
designated:
12
For
building
community
capacity
through
the
coordination
13
and
provision
of
training
opportunities
in
accordance
with
the
14
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
15
Iowa,
July
14,
1994):
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
17
Sec.
24.
MENTAL
HEALTH
INSTITUTES.
18
1.
There
is
appropriated
from
the
general
fund
of
the
19
state
to
the
department
of
human
services
for
the
fiscal
year
20
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
21
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
22
purposes
designated:
23
a.
(1)
For
operation
of
the
state
mental
health
institute
24
at
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
25
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
26
more
than
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,216,149
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.