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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.00
29
(2)
The
additional
full-time
equivalent
positions
30
authorized
in
this
paragraph
“a”
shall
include
3.50
security
31
staff
and
3.00
support
staff,
or
comparable
additional,
32
full-time
equivalent
positions.
33
b.
(1)
For
operation
of
the
state
mental
health
institute
34
at
Independence
as
required
by
chapters
218
and
226
for
35
-49-
H1323.2512
(4)
88
pf/rn
49/
119
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
1
for
not
more
than
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,165,110
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
208.00
4
(2)
The
additional
full-time
equivalent
positions
5
authorized
in
this
paragraph
“b”
shall
include
3.50
security
6
staff,
or
comparable
additional,
full-time
equivalent
7
positions.
8
2.
Notwithstanding
sections
218.78
and
249A.11
,
any
revenue
9
received
from
the
state
mental
health
institute
at
Cherokee
or
10
the
state
mental
health
institute
at
Independence
pursuant
to
11
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
12
health
institute.
13
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
14
a
Medicaid
member
residing
at
the
state
mental
health
15
institute
at
Cherokee
or
the
state
mental
health
institute
16
at
Independence
shall
retain
Medicaid
eligibility
during
17
the
period
of
the
Medicaid
member’s
stay
for
which
federal
18
financial
participation
is
available.
19
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
20
this
section
that
remain
unencumbered
or
unobligated
at
the
21
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
22
available
for
expenditure
for
the
purposes
designated
until
the
23
close
of
the
succeeding
fiscal
year.
24
Sec.
25.
STATE
RESOURCE
CENTERS.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
28
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purposes
designated:
30
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
31
support,
maintenance,
and
miscellaneous
purposes:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,048,348
33
b.
For
the
state
resource
center
at
Woodward
for
salaries,
34
support,
maintenance,
and
miscellaneous
purposes:
35
-50-
H1323.2512
(4)
88
pf/rn
50/
119
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,872,356
1
2.
The
department
may
continue
to
bill
for
state
resource
2
center
services
utilizing
a
scope
of
services
approach
used
for
3
private
providers
of
intermediate
care
facilities
for
persons
4
with
an
intellectual
disability
services,
in
a
manner
which
5
does
not
shift
costs
between
the
medical
assistance
program,
6
counties,
or
other
sources
of
funding
for
the
state
resource
7
centers.
8
3.
The
state
resource
centers
may
expand
the
time-limited
9
assessment
and
respite
services
during
the
fiscal
year.
10
4.
If
the
department’s
administration
and
the
department
11
of
management
concur
with
a
finding
by
a
state
resource
12
center’s
superintendent
that
projected
revenues
can
reasonably
13
be
expected
to
pay
the
salary
and
support
costs
for
a
new
14
employee
position,
or
that
such
costs
for
adding
a
particular
15
number
of
new
positions
for
the
fiscal
year
would
be
less
16
than
the
overtime
costs
if
new
positions
would
not
be
added,
17
the
superintendent
may
add
the
new
position
or
positions.
If
18
the
vacant
positions
available
to
a
resource
center
do
not
19
include
the
position
classification
desired
to
be
filled,
the
20
state
resource
center’s
superintendent
may
reclassify
any
21
vacant
position
as
necessary
to
fill
the
desired
position.
The
22
superintendents
of
the
state
resource
centers
may,
by
mutual
23
agreement,
pool
vacant
positions
and
position
classifications
24
during
the
course
of
the
fiscal
year
in
order
to
assist
one
25
another
in
filling
necessary
positions.
26
5.
If
existing
capacity
limitations
are
reached
in
27
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
28
a
special
need
for
which
a
payment
source
or
other
funding
29
is
available
for
the
service
or
to
address
the
special
need,
30
and
facilities
for
the
service
or
to
address
the
special
need
31
can
be
provided
within
the
available
payment
source
or
other
32
funding,
the
superintendent
of
a
state
resource
center
may
33
authorize
opening
not
more
than
two
units
or
other
facilities
34
and
begin
implementing
the
service
or
addressing
the
special
35
-51-
H1323.2512
(4)
88
pf/rn
51/
119
need
during
fiscal
year
2019-2020.
1
6.
Notwithstanding
section
8.33
,
and
notwithstanding
2
the
amount
limitation
specified
in
section
222.92
,
moneys
3
appropriated
in
this
section
that
remain
unencumbered
or
4
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
5
but
shall
remain
available
for
expenditure
for
the
purposes
6
designated
until
the
close
of
the
succeeding
fiscal
year.
7
Sec.
26.
SEXUALLY
VIOLENT
PREDATORS.
8
1.
a.
There
is
appropriated
from
the
general
fund
of
the
9
state
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purpose
designated:
13
For
costs
associated
with
the
commitment
and
treatment
of
14
sexually
violent
predators
in
the
unit
located
at
the
state
15
mental
health
institute
at
Cherokee,
including
costs
of
legal
16
services
and
other
associated
costs,
including
salaries,
17
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
18
more
than
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,053,093
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
139.00
21
b.
The
additional
full-time
equivalent
positions
authorized
22
in
paragraph
“a”
shall
include
7.00
clinical
and
support
staff,
23
or
comparable
additional,
full-time
equivalent
positions.
24
2.
Unless
specifically
prohibited
by
law,
if
the
amount
25
charged
provides
for
recoupment
of
at
least
the
entire
amount
26
of
direct
and
indirect
costs,
the
department
of
human
services
27
may
contract
with
other
states
to
provide
care
and
treatment
28
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
29
violent
predators
at
Cherokee.
The
moneys
received
under
30
such
a
contract
shall
be
considered
to
be
repayment
receipts
31
and
used
for
the
purposes
of
the
appropriation
made
in
this
32
section.
33
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
34
this
section
that
remain
unencumbered
or
unobligated
at
the
35
-52-
H1323.2512
(4)
88
pf/rn
52/
119
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
1
available
for
expenditure
for
the
purposes
designated
until
the
2
close
of
the
succeeding
fiscal
year.
3
Sec.
27.
FIELD
OPERATIONS.
4
1.
There
is
appropriated
from
the
general
fund
of
the
5
state
to
the
department
of
human
services
for
the
fiscal
year
6
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
7
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purposes
designated:
9
For
field
operations,
including
salaries,
support,
10
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
11
the
following
full-time
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,396,906
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,539.00
14
2.
The
additional
full-time
equivalent
positions
authorized
15
in
subsection
1
shall
include
29.00
full-time
equivalent
staff
16
positions
to
relieve
caseloads
and
6.00
full-time
equivalent
17
positions
related
to
the
eligibility
integrated
application
18
solution
(ELIAS)
system.
19
3.
Priority
in
filling
full-time
equivalent
positions
20
shall
be
given
to
those
positions
related
to
child
protection
21
services
and
eligibility
determination
for
low-income
families.
22
Sec.
28.
GENERAL
ADMINISTRATION.
There
is
appropriated
23
from
the
general
fund
of
the
state
to
the
department
of
human
24
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
25
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
26
necessary,
to
be
used
for
the
purpose
designated:
27
For
general
administration,
including
salaries,
support,
28
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
29
the
following
full-time
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,833,040
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
32
1.
The
department
shall
report
at
least
monthly
to
the
33
legislative
services
agency
concerning
the
department’s
34
operational
and
program
expenditures.
35
-53-
H1323.2512
(4)
88
pf/rn
53/
119
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
1
be
used
to
continue
the
contract
for
the
provision
of
a
program
2
to
provide
technical
assistance,
support,
and
consultation
to
3
providers
of
habilitation
services
and
home
and
community-based
4
services
waiver
services
for
adults
with
disabilities
under
the
5
medical
assistance
program.
6
3.
Of
the
funds
appropriated
in
this
section,
$50,000
7
is
transferred
to
the
Iowa
finance
authority
to
be
used
8
for
administrative
support
of
the
council
on
homelessness
9
established
in
section
16.2D
and
for
the
council
to
fulfill
its
10
duties
in
addressing
and
reducing
homelessness
in
the
state.
11
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
12
be
transferred
to
and
deposited
in
the
administrative
fund
of
13
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
14
be
used
for
implementation
and
administration
activities
of
the
15
Iowa
ABLE
savings
plan
trust.
16
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
17
transferred
to
the
economic
development
authority
for
the
Iowa
18
commission
on
volunteer
services
to
continue
to
be
used
for
the
19
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
20
for
member
recruitment
and
training
to
improve
the
economic
21
well-being
and
health
of
economically
disadvantaged
refugees
in
22
local
communities
across
Iowa.
Funds
transferred
may
be
used
23
to
supplement
federal
funds
under
federal
regulations.
24
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
25
shall
be
used
as
follows:
26
a.
To
fund
not
more
than
one
full-time
equivalent
position
27
to
address
the
department’s
responsibility
to
support
the
work
28
of
the
children’s
system
state
board
and
implementation
of
the
29
services
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
30
section
13.
31
b.
To
support
the
cost
of
establishing
and
implementing
new
32
or
additional
services
required
pursuant
to
2018
Iowa
Acts,
33
chapter
1056,
and
any
legislation
enacted
by
the
2019
general
34
assembly
establishing
a
children’s
behavioral
health
system.
35
-54-
H1323.2512
(4)
88
pf/rn
54/
119
c.
Of
the
amount
allocated,
$32,000
shall
be
transferred
1
to
the
department
of
public
health
to
support
the
costs
of
2
establishing
and
implementing
new
or
additional
services
3
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
and
any
4
legislation
enacted
by
the
2019
general
assembly
establishing
a
5
children’s
behavioral
health
system.
6
Sec.
29.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
7
from
the
general
fund
of
the
state
to
the
department
of
human
8
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
9
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
10
necessary,
to
be
used
for
the
purposes
designated:
11
For
salaries,
support,
maintenance,
and
miscellaneous
12
purposes
at
facilities
under
the
purview
of
the
department
of
13
human
services:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
15
Sec.
30.
VOLUNTEERS.
There
is
appropriated
from
the
general
16
fund
of
the
state
to
the
department
of
human
services
for
the
17
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
2020,
18
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
19
used
for
the
purpose
designated:
20
For
development
and
coordination
of
volunteer
services:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
22
Sec.
31.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
23
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
24
DEPARTMENT
OF
HUMAN
SERVICES.
25
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
26
2019,
the
department
shall
rebase
case-mix
nursing
facility
27
rates
effective
July
1,
2019,
to
the
extent
possible
within
the
28
state
funding,
including
the
$23,401,942,
appropriated
for
this
29
purpose.
30
(b)
For
the
fiscal
year
beginning
July
1,
2019,
non-case-mix
31
and
special
population
nursing
facilities
shall
be
reimbursed
32
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
33
prior
fiscal
year.
34
(c)
For
managed
care
claims,
the
department
of
human
35
-55-
H1323.2512
(4)
88
pf/rn
55/
119
services
shall
adjust
the
payment
rate
floor
for
nursing
1
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
2
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
3
rate
calculated
in
accordance
with
subparagraph
division
4
(a)
and
441
IAC
81.6
.
The
department
shall
then
calculate
5
adjusted
reimbursement
rates,
including
but
not
limited
to
6
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
7
care
organizations
of
the
adjusted
reimbursement
rates
within
8
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
9
adjustment
of
reimbursement
rates
under
this
subparagraph
10
division
shall
be
budget
neutral
to
the
state
budget.
11
(d)
For
the
fiscal
year
beginning
July
1,
2019,
Medicaid
12
managed
care
long-term
services
and
supports
capitation
13
rates
shall
be
adjusted
to
reflect
the
rebasing
pursuant
to
14
subparagraph
division
(a)
for
the
patient
populations
residing
15
in
Medicaid-certified
nursing
facilities.
16
(2)
Medicaid
managed
care
organizations
shall
adjust
17
facility-specific
rates
based
upon
payment
rate
listings
issued
18
by
the
department.
The
rate
adjustments
shall
be
applied
19
prospectively
from
the
effective
date
of
the
rate
letter
issued
20
by
the
department.
21
b.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
22
the
department
shall
establish
the
pharmacy
dispensing
fee
23
reimbursement
at
$10.07
per
prescription,
until
a
cost
of
24
dispensing
survey
is
completed.
The
actual
dispensing
fee
25
shall
be
determined
by
a
cost
of
dispensing
survey
performed
26
by
the
department
and
required
to
be
completed
by
all
medical
27
assistance
program
participating
pharmacies
every
two
years,
28
adjusted
as
necessary
to
maintain
expenditures
within
the
29
amount
appropriated
to
the
department
for
this
purpose
for
the
30
fiscal
year.
31
(2)
The
department
shall
utilize
an
average
acquisition
32
cost
reimbursement
methodology
for
all
drugs
covered
under
the
33
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
34
chapter
1133,
section
33
.
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c.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
1
reimbursement
rates
for
outpatient
hospital
services
shall
2
remain
at
the
rates
in
effect
on
June
30,
2019,
subject
to
3
Medicaid
program
upper
payment
limit
rules,
and
adjusted
4
as
necessary
to
maintain
expenditures
within
the
amount
5
appropriated
to
the
department
for
this
purpose
for
the
fiscal
6
year.
7
(2)
For
the
fiscal
year
beginning
July
1,
2019,
8
reimbursement
rates
for
inpatient
hospital
services
shall
9
remain
at
the
rates
in
effect
on
June
30,
2019,
subject
to
10
Medicaid
program
upper
payment
limit
rules,
and
adjusted
11
as
necessary
to
maintain
expenditures
within
the
amount
12
appropriated
to
the
department
for
this
purpose
for
the
fiscal
13
year.
14
(3)
For
the
fiscal
year
beginning
July
1,
2019,
under
15
both
fee-for-service
and
managed
care
administration
of
the
16
Medicaid
program,
critical
access
hospitals
shall
be
reimbursed
17
for
inpatient
and
outpatient
services
based
on
a
critical
18
access
hospital
adjustment
factor
methodology
developed
by
19
the
department.
The
adjustment
factor
methodology
shall
20
be
hospital-specific,
shall
be
based
on
the
most
recent
21
and
complete
cost
reporting
period,
and
shall
be
applied
22
prospectively
within
the
funds
appropriated
for
such
purpose
23
for
the
fiscal
year.
Implementation
of
the
critical
access
24
hospital
adjustment
factor
methodology
shall
be
contingent
25
on
the
department’s
receipt
of
approval
from
the
centers
for
26
Medicare
and
Medicaid
services
of
the
United
States
department
27
of
health
and
human
services.
28
(4)
For
the
fiscal
year
beginning
July
1,
2019,
the
graduate
29
medical
education
and
disproportionate
share
hospital
fund
30
shall
remain
at
the
amount
in
effect
on
June
30,
2019,
except
31
that
the
portion
of
the
fund
attributable
to
graduate
medical
32
education
shall
be
reduced
in
an
amount
that
reflects
the
33
elimination
of
graduate
medical
education
payments
made
to
34
out-of-state
hospitals.
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(5)
In
order
to
ensure
the
efficient
use
of
limited
state
1
funds
in
procuring
health
care
services
for
low-income
Iowans,
2
funds
appropriated
in
this
Act
for
hospital
services
shall
3
not
be
used
for
activities
which
would
be
excluded
from
a
4
determination
of
reasonable
costs
under
the
federal
Medicare
5
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
6
d.
For
the
fiscal
year
beginning
July
1,
2019,
reimbursement
7
rates
for
hospices
and
acute
psychiatric
hospitals
shall
be
8
increased
in
accordance
with
increases
under
the
federal
9
Medicare
program
or
as
supported
by
their
Medicare
audited
10
costs.
11
e.
For
the
fiscal
year
beginning
July
1,
2019,
independent
12
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
13
using
the
same
methodology
in
effect
on
June
30,
2019.
14
f.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
15
reimbursement
rates
for
home
health
agencies
shall
continue
to
16
be
based
on
the
Medicare
low
utilization
payment
adjustment
17
(LUPA)
methodology
with
state
geographic
wage
adjustments.
18
The
department
shall
continue
to
update
the
rates
every
two
19
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
20
extent
possible
within
the
state
funding
appropriated
for
this
21
purpose.
22
(2)
For
the
fiscal
year
beginning
July
1,
2019,
rates
for
23
private
duty
nursing
and
personal
care
services
under
the
early
24
and
periodic
screening,
diagnostic,
and
treatment
program
25
benefit
shall
be
calculated
based
on
the
methodology
in
effect
26
on
June
30,
2019.
27
g.
For
the
fiscal
year
beginning
July
1,
2019,
federally
28
qualified
health
centers
and
rural
health
clinics
shall
receive
29
cost-based
reimbursement
for
100
percent
of
the
reasonable
30
costs
for
the
provision
of
services
to
recipients
of
medical
31
assistance.
32
h.
For
the
fiscal
year
beginning
July
1,
2019,
the
33
reimbursement
rates
for
dental
services
shall
remain
at
the
34
rates
in
effect
on
June
30,
2019.
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i.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
1
reimbursement
rates
for
non-state-owned
psychiatric
medical
2
institutions
for
children
shall
be
based
on
the
reimbursement
3
methodology
in
effect
on
June
30,
2019.
4
(2)
As
a
condition
of
participation
in
the
medical
5
assistance
program,
enrolled
providers
shall
accept
the
medical
6
assistance
reimbursement
rate
for
any
covered
goods
or
services
7
provided
to
recipients
of
medical
assistance
who
are
children
8
under
the
custody
of
a
psychiatric
medical
institution
for
9
children.
10
j.
For
the
fiscal
year
beginning
July
1,
2019,
unless
11
otherwise
specified
in
this
Act,
all
noninstitutional
medical
12
assistance
provider
reimbursement
rates
shall
remain
at
the
13
rates
in
effect
on
June
30,
2019,
except
for
area
education
14
agencies,
local
education
agencies,
infant
and
toddler
15
services
providers,
home
and
community-based
services
providers
16
including
consumer-directed
attendant
care
providers
under
a
17
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
18
providers,
and
those
providers
whose
rates
are
required
to
be
19
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
20
mental
health
parity
requirements.
21
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
22
fiscal
year
beginning
July
1,
2019,
the
reimbursement
rate
for
23
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
24
30,
2019,
and
updated
on
January
1,
2020,
to
align
with
the
25
most
current
Iowa
Medicare
anesthesia
rate.
26
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
27
beginning
July
1,
2019,
the
average
reimbursement
rate
for
28
health
care
providers
eligible
for
use
of
the
federal
Medicare
29
resource-based
relative
value
scale
reimbursement
methodology
30
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
31
June
30,
2019;
however,
this
rate
shall
not
exceed
the
maximum
32
level
authorized
by
the
federal
government.
33
m.
For
the
fiscal
year
beginning
July
1,
2019,
the
34
reimbursement
rate
for
residential
care
facilities
shall
not
35
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be
less
than
the
minimum
payment
level
as
established
by
the
1
federal
government
to
meet
the
federally
mandated
maintenance
2
of
effort
requirement.
The
flat
reimbursement
rate
for
3
facilities
electing
not
to
file
annual
cost
reports
shall
not
4
be
less
than
the
minimum
payment
level
as
established
by
the
5
federal
government
to
meet
the
federally
mandated
maintenance
6
of
effort
requirement.
7
n.
For
the
fiscal
year
beginning
July
1,
2019,
the
8
reimbursement
rates
for
inpatient
mental
health
services
9
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
10
June
30,
2019,
subject
to
Medicaid
program
upper
payment
limit
11
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
12
assistance
program
fee-for-service
rate
in
effect
on
June
30,
13
2019.
14
o.
For
the
fiscal
year
beginning
July
1,
2019,
community
15
mental
health
centers
may
choose
to
be
reimbursed
for
the
16
services
provided
to
recipients
of
medical
assistance
through
17
either
of
the
following
options:
18
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
19
(2)
In
accordance
with
the
alternative
reimbursement
rate
20
methodology
approved
by
the
department
of
human
services
in
21
effect
on
June
30,
2019.
22
p.
For
the
fiscal
year
beginning
July
1,
2019,
the
23
reimbursement
rate
for
providers
of
family
planning
services
24
that
are
eligible
to
receive
a
90
percent
federal
match
shall
25
remain
at
the
rates
in
effect
on
June
30,
2019.
26
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
27
for
the
fiscal
year
beginning
July
1,
2019,
the
upper
28
limits
and
reimbursement
rates
for
providers
of
home
and
29
community-based
services
waiver
services
shall
be
reimbursed
30
using
the
reimbursement
methodology
in
effect
on
June
30,
2019.
31
r.
For
the
fiscal
year
beginning
July
1,
2019,
the
32
reimbursement
rates
for
emergency
medical
service
providers
33
shall
remain
at
the
rates
in
effect
on
June
30,
2019,
or
as
34
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
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the
United
States
department
of
health
and
human
services.
1
s.
For
the
fiscal
year
beginning
July
1,
2019,
reimbursement
2
rates
for
substance-related
disorder
treatment
programs
3
licensed
under
section
125.13
shall
remain
at
the
rates
in
4
effect
on
June
30,
2019.
5
t.
For
the
fiscal
year
beginning
July
1,
2019,
assertive
6
community
treatment
per
diem
rates
shall
be
adjusted
to
reflect
7
an
actual
average
per
diem
cost
within
the
additional
$211,332
8
appropriated
for
this
purpose.
9
2.
For
the
fiscal
year
beginning
July
1,
2019,
the
10
reimbursement
rate
for
providers
reimbursed
under
the
11
in-home-related
care
program
shall
not
be
less
than
the
minimum
12
payment
level
as
established
by
the
federal
government
to
meet
13
the
federally
mandated
maintenance
of
effort
requirement.
14
3.
Unless
otherwise
directed
in
this
section,
when
the
15
department’s
reimbursement
methodology
for
any
provider
16
reimbursed
in
accordance
with
this
section
includes
an
17
inflation
factor,
this
factor
shall
not
exceed
the
amount
18
by
which
the
consumer
price
index
for
all
urban
consumers
19
increased
during
the
calendar
year
ending
December
31,
2002.
20
4.
Notwithstanding
section
234.38
,
for
the
fiscal
21
year
beginning
July
1,
2019,
the
foster
family
basic
daily
22
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
23
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
24
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
25
children
ages
12
through
15
years
shall
be
$19.10,
and
the
26
rate
for
children
and
young
adults
ages
16
and
older
shall
27
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
28
care,
the
preparation
for
adult
living
program
maintenance
rate
29
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
30
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
31
disallowance
of
additional
amounts
for
court
costs
and
other
32
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
33
chapter
1031,
section
408
,
shall
be
continued.
34
5.
For
the
fiscal
year
beginning
July
1,
2019,
the
maximum
35
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119
reimbursement
rates
for
social
services
providers
under
1
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2019,
2
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
3
each
service,
whichever
is
less.
However,
if
a
new
service
4
or
service
provider
is
added
after
June
30,
2019,
the
initial
5
reimbursement
rate
for
the
service
or
provider
shall
be
based
6
upon
a
weighted
average
of
provider
rates
for
similar
services.
7
6.
a.
For
the
fiscal
year
beginning
July
1,
2019,
the
8
reimbursement
rates
for
resource
family
recruitment
and
9
retention
contractors
shall
be
established
by
contract.
10
b.
For
the
fiscal
year
beginning
July
1,
2019,
the
11
reimbursement
rates
for
supervised
apartment
living
foster
care
12
providers
shall
be
established
by
contract.
13
7.
For
the
fiscal
year
beginning
July
1,
2019,
the
14
reimbursement
rate
for
group
foster
care
providers
shall
be
the
15
combined
service
and
maintenance
reimbursement
rate
established
16
by
contract.
17
8.
The
group
foster
care
reimbursement
rates
paid
for
18
placement
of
children
out
of
state
shall
be
calculated
19
according
to
the
same
rate-setting
principles
as
those
used
for
20
in-state
providers,
unless
the
director
of
human
services
or
21
the
director’s
designee
determines
that
appropriate
care
cannot
22
be
provided
within
the
state.
The
payment
of
the
daily
rate
23
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
24
which
service
is
provided.
25
9.
a.
For
the
fiscal
year
beginning
July
1,
2019,
the
26
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
27
emergency
services
implemented
to
provide
or
prevent
the
need
28
for
shelter
care
shall
be
established
by
contract.
29
b.
For
the
fiscal
year
beginning
July
1,
2019,
the
combined
30
service
and
maintenance
components
of
the
reimbursement
rate
31
paid
for
shelter
care
services
shall
be
based
on
the
financial
32
and
statistical
report
submitted
to
the
department.
The
33
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
34
department
shall
reimburse
a
shelter
care
provider
at
the
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119
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
1
to
exceed
the
maximum
reimbursement
rate.
2
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
3
fiscal
year
beginning
July
1,
2019,
the
amount
of
the
statewide
4
average
of
the
actual
and
allowable
rates
for
reimbursement
of
5
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
6
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
7
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
8
2018.
9
10.
For
the
fiscal
year
beginning
July
1,
2019,
the
10
department
shall
calculate
reimbursement
rates
for
intermediate
11
care
facilities
for
persons
with
an
intellectual
disability
12
at
the
80th
percentile.
Beginning
July
1,
2019,
the
rate
13
calculation
methodology
shall
utilize
the
consumer
price
index
14
inflation
factor
applicable
to
the
fiscal
year
beginning
July
15
1,
2019.
16
11.
Effective
July
1,
2019,
the
child
care
provider
17
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
18
30,
2019.
The
department
shall
set
rates
in
a
manner
so
as
19
to
provide
incentives
for
a
nonregistered
provider
to
become
20
registered
by
applying
any
increase
only
to
registered
and
21
licensed
providers.
22
12.
The
department
may
adopt
emergency
rules
to
implement
23
this
section.
24
Sec.
32.
CONTRACTED
SERVICES
——
PROHIBITED
USE
OF
STATE
25
FUNDING
FOR
LOBBYING.
26
1.
The
department
shall
submit
a
report
to
the
individuals
27
identified
in
this
Act
for
submission
of
reports
by
December
28
15,
2019,
regarding
the
outcomes
of
any
program
or
activity
for
29
which
funding
is
appropriated
or
allocated
from
the
general
30
fund
of
the
state
to
the
department
under
this
division
of
this
31
Act,
and
for
which
a
request
for
proposals
process
is
required.
32
2.
The
department
shall
incorporate
into
the
general
33
conditions
applicable
to
all
award
documents
involving
funding
34
appropriated
or
allocated
from
the
general
fund
of
the
state
to
35
-63-
H1323.2512
(4)
88
pf/rn
63/
119
the
department
under
this
division
of
this
Act,
a
prohibition
1
against
the
use
of
such
funding
for
the
compensation
of
a
2
lobbyist.
For
the
purposes
of
this
section,
“lobbyist”
means
3
the
same
as
defined
in
section
68B.2;
however,
“lobbyist”
4
does
not
include
a
person
employed
by
a
state
agency
of
the
5
executive
branch
of
state
government
who
represents
the
agency
6
relative
to
the
passage,
defeat,
approval,
or
modification
of
7
legislation
that
is
being
considered
by
the
general
assembly.
8
Sec.
33.
EMERGENCY
RULES.
9
1.
If
specifically
authorized
by
a
provision
of
this
10
division
of
this
Act,
the
department
of
human
services
or
11
the
mental
health
and
disability
services
commission
may
12
adopt
administrative
rules
under
section
17A.4,
subsection
13
3
,
and
section
17A.5,
subsection
2
,
paragraph
“b”,
to
14
implement
the
provisions
of
this
division
of
this
Act
and
15
the
rules
shall
become
effective
immediately
upon
filing
or
16
on
a
later
effective
date
specified
in
the
rules,
unless
the
17
effective
date
of
the
rules
is
delayed
or
the
applicability
18
of
the
rules
is
suspended
by
the
administrative
rules
review
19
committee.
Any
rules
adopted
in
accordance
with
this
section
20
shall
not
take
effect
before
the
rules
are
reviewed
by
the
21
administrative
rules
review
committee.
The
delay
authority
22
provided
to
the
administrative
rules
review
committee
under
23
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
24
shall
be
applicable
to
a
delay
imposed
under
this
section,
25
notwithstanding
a
provision
in
those
sections
making
them
26
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”.
27
Any
rules
adopted
in
accordance
with
the
provisions
of
this
28
section
shall
also
be
published
as
a
notice
of
intended
action
29
as
provided
in
section
17A.4
.
30
2.
If
during
a
fiscal
year,
the
department
of
human
31
services
is
adopting
rules
in
accordance
with
this
section
32
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
33
rules
will
result
in
an
expenditure
increase
beyond
the
amount
34
anticipated
in
the
budget
process
or
if
the
expenditure
was
35
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H1323.2512
(4)
88
pf/rn
64/
119
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
1
department
shall
notify
the
persons
designated
by
this
division
2
of
this
Act
for
submission
of
reports,
the
chairpersons
and
3
ranking
members
of
the
committees
on
appropriations,
and
4
the
department
of
management
concerning
the
rules
and
the
5
expenditure
increase.
The
notification
shall
be
provided
at
6
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
7
is
submitted
to
the
administrative
rules
coordinator
and
the
8
administrative
code
editor.
9
Sec.
34.
REPORTS.
Any
reports
or
other
information
10
required
to
be
compiled
and
submitted
under
this
Act
during
the
11
fiscal
year
beginning
July
1,
2019,
shall
be
submitted
to
the
12
chairpersons
and
ranking
members
of
the
joint
appropriations
13
subcommittee
on
health
and
human
services,
the
legislative
14
services
agency,
and
the
legislative
caucus
staffs
on
or
15
before
the
dates
specified
for
submission
of
the
reports
or
16
information.
17
Sec.
35.
EFFECTIVE
UPON
ENACTMENT.
The
following
18
provisions
of
this
division
of
this
Act,
being
deemed
of
19
immediate
importance,
take
effect
upon
enactment:
20
1.
The
provision
relating
to
section
232.141
and
directing
21
the
state
court
administrator
and
the
division
administrator
of
22
the
department
of
human
services
division
of
child
and
family
23
services
to
make
the
determination,
by
June
15,
2019,
of
the
24
distribution
of
funds
allocated
for
the
payment
of
the
expenses
25
of
court-ordered
services
provided
to
juveniles
which
are
a
26
charge
upon
the
state.
27
DIVISION
VI
28
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2019-2020
29
Sec.
36.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
30
appropriated
from
the
pharmaceutical
settlement
account
created
31
in
section
249A.33
to
the
department
of
human
services
for
the
32
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
2020,
33
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
34
used
for
the
purpose
designated:
35
-65-
H1323.2512
(4)
88
pf/rn
65/
119
Notwithstanding
any
provision
of
law
to
the
contrary,
to
1
supplement
the
appropriations
made
in
this
Act
for
medical
2
contracts
under
the
medical
assistance
program
for
the
fiscal
3
year
beginning
July
1,
2019,
and
ending
June
30,
2020:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
5
Sec.
37.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
6
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
7
subject
to
the
availability
of
funds,
there
is
appropriated
8
from
the
quality
assurance
trust
fund
created
in
section
9
249L.4
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
11
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
12
designated:
13
To
supplement
the
appropriation
made
in
this
Act
from
the
14
general
fund
of
the
state
to
the
department
of
human
services
15
for
medical
assistance
for
the
same
fiscal
year:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,570,397
17
Sec.
38.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
18
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
19
the
contrary
and
subject
to
the
availability
of
funds,
there
is
20
appropriated
from
the
hospital
health
care
access
trust
fund
21
created
in
section
249M.4
to
the
department
of
human
services
22
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
23
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
24
necessary,
for
the
purposes
designated:
25
To
supplement
the
appropriation
made
in
this
Act
from
the
26
general
fund
of
the
state
to
the
department
of
human
services
27
for
medical
assistance
for
the
same
fiscal
year:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
29
Sec.
39.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
30
FOR
FY
2019-2020.
Notwithstanding
section
8.33
,
if
moneys
31
appropriated
for
purposes
of
the
medical
assistance
program
for
32
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
33
2020,
from
the
general
fund
of
the
state,
the
quality
assurance
34
trust
fund,
and
the
hospital
health
care
access
trust
fund,
are
35
-66-
H1323.2512
(4)
88
pf/rn
66/
119
in
excess
of
actual
expenditures
for
the
medical
assistance
1
program
and
remain
unencumbered
or
unobligated
at
the
close
2
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
3
shall
remain
available
for
expenditure
for
the
purposes
of
the
4
medical
assistance
program
until
the
close
of
the
succeeding
5
fiscal
year.
6
DIVISION
VII
7
GRADUATED
SANCTION,
COURT-ORDERED,
AND
GROUP
FOSTER
CARE
8
SERVICES
AND
FUNDING
WORK
GROUP
9
Sec.
40.
GRADUATED
SANCTION,
COURT-ORDERED,
AND
GROUP
10
FOSTER
CARE
SERVICES
AND
FUNDING
WORK
GROUP.
11
1.
As
used
in
this
section,
unless
the
context
otherwise
12
requires:
13
a.
“Court-ordered
services”
means
the
defined
or
specific
14
care
and
treatment
that
is
ordered
by
the
court
for
an
eligible
15
child
and
for
which
no
other
payment
source
is
available
to
16
cover
the
cost.
17
b.
“Department”
means
the
department
of
human
services.
18
c.
“Eligible
child”
means
a
child
who
has
been
adjudicated
19
delinquent,
is
at
risk,
or
has
been
certified
by
the
chief
20
juvenile
court
officer
as
eligible
for
court-ordered
services.
21
d.
“Graduated
sanction
services”
includes
community-based
22
interventions,
school-based
supervision,
and
supportive
23
enhancements
provided
in
community-based
settings
to
an
24
eligible
child
who
is
adjudicated
delinquent
or
who
is
at
risk
25
of
adjudication.
26
2.
The
division
of
criminal
and
juvenile
justice
planning
27
of
the
department
of
human
rights
shall
convene
and
provide
28
administrative
support
to
a
work
group
to
review
and
develop
29
a
plan
to
transfer
the
administration
of
graduated
sanctions
30
and
court-ordered
services
and
funding
and
the
oversight
of
31
group
foster
care
placements
for
eligible
children
from
the
32
department
to
the
office
of
the
state
court
administrator.
33
The
plan
shall
ensure
that
the
office
of
the
state
court
34
administrator
has
the
capacity,
resources,
and
expertise
to
35
-67-
H1323.2512
(4)
88
pf/rn
67/
119
manage
the
funding
and
services
effectively.
1
3.
a.
In
addition
to
a
representative
of
the
division
of
2
criminal
and
juvenile
justice
planning
of
the
department
of
3
human
rights,
the
membership
of
the
work
group
shall
include
4
but
is
not
limited
to
representatives
of
all
of
the
following:
5
(1)
The
judicial
branch,
including
the
state
court
6
administrator
or
the
state
court
administrator’s
designee,
7
a
juvenile
court
judge,
at
least
one
chief
juvenile
court
8
officer,
and
a
representative
with
fiscal
and
contract
9
experience.
10
(2)
The
department
of
human
services,
including
11
representatives
with
experience
managing
graduated
sanctions
12
funding
and
group
foster
care
placements.
13
(3)
The
department
of
justice.
14
(4)
The
juvenile
justice
advisory
committee.
15
(5)
Member
and
nonmember
agencies
of
the
coalition
for
16
family
and
children’s
services
in
Iowa.
17
(6)
Providers
of
community-based
services
for
eligible
18
children.
19
(7)
Providers
of
group
foster
care.
20
(8)
Attorneys
who
represent
children
in
juvenile
justice
21
proceedings.
22
(9)
County
attorneys.
23
(10)
Federal
Title
IV-E
funding
and
services
subject
matter
24
experts.
25
(11)
Individuals
who
formerly
received
services
as
eligible
26
children
or
their
parents.
27
b.
In
addition,
the
work
group
membership
shall
include
28
four
members
of
the
general
assembly.
The
legislative
members
29
shall
serve
as
ex
officio,
nonvoting
members
of
the
work
group,
30
with
one
member
to
be
appointed
by
each
of
the
following:
the
31
majority
leader
of
the
senate,
the
minority
leader
of
the
32
senate,
the
speaker
of
the
house
of
representatives,
and
the
33
minority
leader
of
the
house
of
representatives.
34
c.
In
addition
to
the
members
specified,
the
division
35
-68-
H1323.2512
(4)
88
pf/rn
68/
119
of
criminal
and
juvenile
justice
planning
may
include
other
1
stakeholders
with
interest
or
expertise
on
the
work
group.
2
d.
Any
expenses
incurred
by
a
member
of
the
work
group
3
shall
be
the
responsibility
of
the
individual
member
or
the
4
respective
entity
represented
by
the
member.
5
4.
The
work
group
shall
do
all
of
the
following:
6
a.
Develop
an
action
plan
to
transfer
the
administration
7
of
juvenile
court
graduated
sanction
services,
court-ordered
8
services,
and
associated
funding
from
the
department
to
the
9
office
of
the
state
court
administrator
or
other
appropriate
10
state
entity.
11
b.
Develop
an
action
plan
to
transfer
the
oversight
of
12
group
foster
care
services
for
eligible
children
from
the
13
department
to
the
office
of
the
state
court
administrator
or
14
other
appropriate
state
entity
with
the
necessary
expertise
to
15
provide
such
services.
16
c.
Develop
an
action
plan
to
transfer
administration
of
the
17
juvenile
detention
home
fund
created
in
section
232.142
from
18
the
department
to
the
office
of
the
state
court
administrator
19
or
other
appropriate
state
entity.
20
d.
Evaluate
current
resources
to
determine
the
most
21
efficient
means
of
suitably
equipping
the
office
of
the
state
22
court
administrator
or
other
appropriate
state
entity
with
23
the
policies
and
legal
authority;
staffing;
contracting,
24
procurement,
data,
and
quality
assurance
capabilities;
25
and
other
resources
necessary
to
manage
such
funds
and
26
associated
services
effectively.
The
evaluation
shall
27
require
collaboration
with
the
department
to
manage
transition
28
activities.
29
e.
Recommend
statutory
and
administrative
policies
and
30
court
rules
to
promote
collaborative
case
planning
and
quality
31
assurance
between
the
department
and
juvenile
court
services
32
for
youth
who
may
be
involved
in
both
the
child
welfare
and
33
juvenile
justice
systems
or
who
may
utilize
the
same
providers
34
or
services.
35
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H1323.2512
(4)
88
pf/rn
69/
119
f.
Determine
the
impact
and
role
of
the
federal
Family
1
First
Prevention
Services
Act
relative
to
the
various
funding
2
streams
and
services
under
the
purview
of
the
work
group,
and
3
recommend
statutory
and
administrative
policies
and
rules
to
4
coordinate
the
duties
of
the
work
group
with
implementation
and
5
administration
of
the
federal
Act.
6
g.
Determine
the
role
of
the
decategorization
of
child
7
welfare
and
juvenile
justice
funding
initiative
pursuant
8
to
section
232.188
relative
to
the
other
funding
streams
9
and
services
under
the
purview
of
the
work
group,
and
make
10
recommendations
regarding
the
future
of
the
initiative
11
including
the
potential
transfer
of
administration
of
the
12
initiative
from
the
department
to
the
office
of
the
state
court
13
administrator
or
other
appropriate
state
entity.
14
h.
Consult
with
other
state
juvenile
court
systems
and
15
subject
matter
experts
to
review
administration
of
similar
16
programs,
to
glean
information
on
lessons
learned
and
best
17
practices,
and
to
determine
the
types
of
community
and
18
residential
services
that
have
demonstrated
effectiveness
for
19
eligible
children.
20
5.
The
division
of
criminal
and
juvenile
justice
planning
21
of
the
department
of
human
rights
shall
submit
a
report
of
the
22
findings
and
recommendations
of
the
work
group,
including
a
23
plan
to
implement
the
recommendations
by
July
1,
2021,
to
the
24
governor
and
the
general
assembly
by
December
15,
2019.
25
DIVISION
VIII
26
CO-OCCURRING
CONDITIONS
——
ENHANCED
DELIVERY
OF
SERVICES
REVIEW
27
Sec.
41.
REVIEW
TO
PROVIDE
ENHANCED
DELIVERY
OF
SERVICES
28
FOR
CO-OCCURRING
CONDITIONS.
The
director
of
the
department
29
of
public
health
and
the
director
of
the
department
of
human
30
services
shall
develop
recommendations
for
the
enhanced
31
delivery
of
co-occurring
conditions
services.
The
directors
32
shall
examine
the
current
service
delivery
system
to
identify
33
opportunities
for
reducing
the
administrative
burden
on
the
34
departments
and
providers,
evaluate
the
use
of
an
integrated
35
-70-
H1323.2512
(4)
88
pf/rn
70/
119
helpline
and
website
and
improvements
in
data
collection
1
and
sharing
of
outcomes,
and
create
a
structure
for
ongoing
2
collaboration.
The
directors
shall
submit
a
report
including
3
findings,
a
five-year
plan
to
address
co-occurring
conditions
4
across
provider
types
and
payors,
and
other
recommendations
to
5
the
governor
and
general
assembly
by
December
15,
2019.
6
DIVISION
IX
7
MEDICAID
MANAGED
CARE
CONTRACTS
8
Sec.
42.
MEDICAID
MANAGED
CARE
CONTRACTS
——
NOTIFICATION
9
TO
GENERAL
ASSEMBLY.
The
department
of
human
services
shall
10
notify
the
chairpersons
and
ranking
members
of
the
joint
11
appropriations
subcommittee
on
health
and
human
services,
the
12
legislative
services
agency,
and
the
legislative
caucus
staffs
13
as
follows:
14
1.
Within
thirty
days
of
the
execution
of
a
Medicaid
managed
15
care
contract
or
amendment
to
a
Medicaid
managed
care
contract.
16
2.
Within
thirty
days
of
the
determination
by
the
17
department
during
each
measurement
year
whether
to
return
the
18
incentive
payment
withhold
amount
to
the
Medicaid
managed
care
19
organization
based
upon
performance
and
the
criteria
used
in
20
making
the
determination.
21
DIVISION
X
22
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING
23
Sec.
43.
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING.
The
24
department
on
aging
and
the
department
of
human
services
shall
25
continue
to
collaborate
to
develop
a
cost
allocation
plan
26
requesting
Medicaid
administrative
funding
to
provide
for
the
27
claiming
of
federal
financial
participation
for
aging
and
28
disability
resource
center
activities
that
are
performed
to
29
assist
with
administration
of
the
Medicaid
program.
By
January
30
1,
2021,
the
department
of
human
services
shall
submit
to
31
the
centers
for
Medicare
and
Medicaid
services
of
the
United
32
States
department
of
health
and
human
services
any
Medicaid
33
state
plan
amendment
as
necessary
and
shall
enter
into
any
34
interagency
agreement
with
the
department
on
aging
to
implement
35
-71-
H1323.2512
(4)
88
pf/rn
71/
119
this
section.
1
DIVISION
XI
2
DECATEGORIZATION
FY
2017
CARRYOVER
FUNDING
3
Sec.
44.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2017
——
4
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
5
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
6
the
funding
pool
that
remained
unencumbered
or
unobligated
7
at
the
close
of
the
fiscal
year
beginning
July
1,
2016,
and
8
were
deemed
carryover
funding
to
remain
available
for
the
two
9
succeeding
fiscal
years
that
still
remain
unencumbered
or
10
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
11
2018,
shall
not
revert
but
shall
be
transferred
to
the
medical
12
assistance
program
for
the
fiscal
year
beginning
July
1,
2019.
13
Sec.
45.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
14
deemed
of
immediate
importance,
takes
effect
upon
enactment.
15
Sec.
46.
RETROACTIVE
APPLICABILITY.
This
division
of
this
16
Act
applies
retroactively
to
July
1,
2018.
17
DIVISION
XII
18
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS
19
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
(TANF)
20
Sec.
47.
2017
Iowa
Acts,
chapter
174,
section
45,
as
amended
21
by
2018
Iowa
Acts,
chapter
1165,
section
10,
is
amended
to
read
22
as
follows:
23
SEC.
45.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
24
GRANT.
There
is
appropriated
from
the
fund
created
in
section
25
8.41
to
the
department
of
human
services
for
the
fiscal
year
26
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
moneys
27
received
under
the
federal
temporary
assistance
for
needy
28
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
29
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
30
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
31
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purposes
designated:
33
1.
To
be
credited
to
the
family
investment
program
account
34
and
used
for
assistance
under
the
family
investment
program
35
-72-
H1323.2512
(4)
88
pf/rn
72/
119
under
chapter
239B
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,539,006
2
4,025,108
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
5,192,060
9
3.
To
be
used
for
the
family
development
and
10
self-sufficiency
grant
program
in
accordance
with
section
11
216A.107
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,883,980
13
2,898,980
14
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
15
subsection
that
remain
unencumbered
or
unobligated
at
the
close
16
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
17
for
expenditure
for
the
purposes
designated
until
the
close
of
18
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
19
encumbered
or
obligated
on
or
before
September
30,
2019,
the
20
moneys
shall
revert.
21
4.
For
field
operations:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
23
32,465,681
24
5.
For
general
administration:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
26
6.
For
state
child
care
assistance:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
28
a.
Of
the
funds
appropriated
in
this
subsection,
29
$26,205,412
is
transferred
to
the
child
care
and
development
30
block
grant
appropriation
made
by
the
Eighty-seventh
General
31
Assembly,
2018
session,
for
the
federal
fiscal
year
beginning
32
October
1,
2018,
and
ending
September
30,
2019.
Of
this
33
amount,
$200,000
shall
be
used
for
provision
of
educational
34
opportunities
to
registered
child
care
home
providers
in
order
35
-73-
H1323.2512
(4)
88
pf/rn
73/
119
to
improve
services
and
programs
offered
by
this
category
1
of
providers
and
to
increase
the
number
of
providers.
The
2
department
may
contract
with
institutions
of
higher
education
3
or
child
care
resource
and
referral
centers
to
provide
4
the
educational
opportunities.
Allowable
administrative
5
costs
under
the
contracts
shall
not
exceed
5
percent.
The
6
application
for
a
grant
shall
not
exceed
two
pages
in
length.
7
b.
Any
funds
appropriated
in
this
subsection
remaining
8
unallocated
shall
be
used
for
state
child
care
assistance
9
payments
for
families
who
are
employed
including
but
not
10
limited
to
individuals
enrolled
in
the
family
investment
11
program.
12
7.
For
child
and
family
services:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
14
8.
For
child
abuse
prevention
grants:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
16
9.
For
pregnancy
prevention
grants
on
the
condition
that
17
family
planning
services
are
funded:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
19
1,890,203
20
Pregnancy
prevention
grants
shall
be
awarded
to
programs
21
in
existence
on
or
before
July
1,
2018,
if
the
programs
have
22
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
23
pregnancy
prevention
programs
which
are
developed
after
July
24
1,
2018,
if
the
programs
are
based
on
existing
models
that
25
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
26
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
27
section
14,
subsections
1
and
2
,
including
the
requirement
that
28
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
29
the
awarding
of
grants
shall
be
given
to
programs
that
serve
30
areas
of
the
state
which
demonstrate
the
highest
percentage
of
31
unplanned
pregnancies
of
females
of
childbearing
age
within
the
32
geographic
area
to
be
served
by
the
grant.
33
10.
For
technology
needs
and
other
resources
necessary
34
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
35
-74-
H1323.2512
(4)
88
pf/rn
74/
119
management
requirements:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
2
862,186
3
11.
a.
Notwithstanding
any
provision
to
the
contrary,
4
including
but
not
limited
to
requirements
in
section
8.41
or
5
provisions
in
2017
or
2018
Iowa
Acts
regarding
the
receipt
and
6
appropriation
of
federal
block
grants,
federal
funds
from
the
7
temporary
assistance
for
needy
families
block
grant
received
by
8
the
state
and
not
otherwise
appropriated
in
this
section
and
9
remaining
available
for
the
fiscal
year
beginning
July
1,
2018,
10
are
appropriated
to
the
department
of
human
services
to
the
11
extent
as
may
be
necessary
to
be
used
in
the
following
priority
12
order:
the
family
investment
program,
for
state
child
care
13
assistance
program
payments
for
families
who
are
employed,
and
14
for
the
family
investment
program
share
of
system
costs
for
15
eligibility
determination
and
related
functions.
The
federal
16
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
17
only
after
all
other
funds
appropriated
in
subsection
1
for
18
assistance
under
the
family
investment
program,
in
subsection
6
19
for
child
care
assistance,
or
in
subsection
10
for
technology
20
costs
related
to
the
family
investment
program,
as
applicable,
21
have
been
expended.
For
the
purposes
of
this
subsection,
the
22
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
23
to
the
child
care
and
development
block
grant
appropriation
24
are
considered
fully
expended
when
the
full
amount
has
been
25
transferred.
26
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
27
legislative
services
agency
and
department
of
management
of
28
the
amount
of
funds
appropriated
in
this
subsection
that
was
29
expended
in
the
prior
quarter.
30
12.
Of
the
amounts
appropriated
in
this
section,
31
$12,962,008
for
the
fiscal
year
beginning
July
1,
2018,
is
32
transferred
to
the
appropriation
of
the
federal
social
services
33
block
grant
made
to
the
department
of
human
services
for
that
34
fiscal
year.
35
-75-
H1323.2512
(4)
88
pf/rn
75/
119
13.
For
continuation
of
the
program
providing
categorical
1
eligibility
for
the
food
assistance
program
as
specified
2
for
the
program
in
the
section
of
this
division
of
this
Act
3
relating
to
the
family
investment
program
account:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
5
13,000
6
14.
The
department
may
transfer
funds
allocated
in
this
7
section
to
the
appropriations
made
in
this
division
of
this
Act
8
for
the
same
fiscal
year
for
general
administration
and
field
9
operations
for
resources
necessary
to
implement
and
operate
the
10
services
referred
to
in
this
section
and
those
funded
in
the
11
appropriation
made
in
this
division
of
this
Act
for
the
same
12
fiscal
year
for
the
family
investment
program
from
the
general
13
fund
of
the
state.
14
15.
With
the
exception
of
moneys
allocated
under
this
15
section
for
the
family
development
and
self-sufficiency
grant
16
program,
to
the
extent
moneys
allocated
in
this
section
are
17
deemed
by
the
department
not
to
be
necessary
to
support
the
18
purposes
for
which
they
are
allocated,
such
moneys
may
be
19
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
20
funds
are
allocated
in
this
section
or
in
section
7
of
this
21
division
for
the
family
investment
program
account.
If
there
22
are
conflicting
needs,
priority
shall
first
be
given
to
the
23
family
investment
program
account
as
specified
under
subsection
24
1
of
this
section
and
used
for
the
purposes
of
assistance
under
25
the
family
investment
program
under
chapter
239B
,
followed
by
26
state
child
care
assistance
program
payments
for
families
who
27
are
employed,
followed
by
other
priorities
as
specified
by
the
28
department.
29
FAMILY
INVESTMENT
PROGRAM
ADJUSTMENTS
30
Sec.
48.
2017
Iowa
Acts,
chapter
174,
section
46,
subsection
31
4,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
11,
is
32
amended
to
read
as
follows:
33
4.
Moneys
appropriated
in
this
division
of
this
Act
and
34
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
35
-76-
H1323.2512
(4)
88
pf/rn
76/
119
1,
2018,
and
ending
June
30,
2019,
are
allocated
as
follows:
1
a.
To
be
retained
by
the
department
of
human
services
to
2
be
used
for
coordinating
with
the
department
of
human
rights
3
to
more
effectively
serve
participants
in
FIP
and
other
shared
4
clients
and
to
meet
federal
reporting
requirements
under
the
5
federal
temporary
assistance
for
needy
families
block
grant:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,000
7
20,000
8
b.
To
the
department
of
human
rights
for
staffing,
9
administration,
and
implementation
of
the
family
development
10
and
self-sufficiency
grant
program
in
accordance
with
section
11
216A.107
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
13
(1)
Of
the
funds
allocated
for
the
family
development
14
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
15
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
16
administration
of
the
grant
program.
17
(2)
The
department
of
human
rights
may
continue
to
implement
18
the
family
development
and
self-sufficiency
grant
program
19
statewide
during
fiscal
year
2018-2019.
20
(3)
The
department
of
human
rights
may
engage
in
activities
21
to
strengthen
and
improve
family
outcomes
measures
and
22
data
collection
systems
under
the
family
development
and
23
self-sufficiency
grant
program.
24
c.
For
the
diversion
subaccount
of
the
FIP
account:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
749,694
26
815,000
27
A
portion
of
the
moneys
allocated
for
the
subaccount
may
28
be
used
for
field
operations,
salaries,
data
management
29
system
development,
and
implementation
costs
and
support
30
deemed
necessary
by
the
director
of
human
services
in
order
to
31
administer
the
FIP
diversion
program.
To
the
extent
moneys
32
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
33
not
to
be
necessary
to
support
diversion
activities,
such
34
moneys
may
be
used
for
other
efforts
intended
to
increase
35
-77-
H1323.2512
(4)
88
pf/rn
77/
119
engagement
by
family
investment
program
participants
in
work,
1
education,
or
training
activities,
or
for
the
purposes
of
2
assistance
under
the
family
investment
program
in
accordance
3
with
chapter
239B
.
4
d.
For
the
food
assistance
employment
and
training
program:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
6
(1)
The
department
shall
apply
the
federal
supplemental
7
nutrition
assistance
program
(SNAP)
employment
and
training
8
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
9
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
10
provisions
for
the
claiming
of
allowable
federal
reimbursement
11
funds
from
the
United
States
department
of
agriculture
12
pursuant
to
the
federal
SNAP
employment
and
training
program
13
for
providing
education,
employment,
and
training
services
14
for
eligible
food
assistance
program
participants,
including
15
but
not
limited
to
related
dependent
care
and
transportation
16
expenses.
17
(2)
The
department
shall
continue
the
categorical
federal
18
food
assistance
program
eligibility
at
160
percent
of
the
19
federal
poverty
level
and
continue
to
eliminate
the
asset
test
20
from
eligibility
requirements,
consistent
with
federal
food
21
assistance
program
requirements.
The
department
shall
include
22
as
many
food
assistance
households
as
is
are
allowed
by
federal
23
law.
The
eligibility
provisions
shall
conform
to
all
federal
24
requirements
including
requirements
addressing
individuals
who
25
are
incarcerated
or
otherwise
ineligible.
26
e.
For
the
JOBS
program:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,139,821
28
11,919,821
29
MEDICAL
ASSISTANCE
PROGRAM
ADJUSTMENT
30
Sec.
49.
2017
Iowa
Acts,
chapter
174,
section
51,
unnumbered
31
paragraph
2,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
32
section
18,
is
amended
to
read
as
follows:
33
For
medical
assistance
program
reimbursement
and
associated
34
costs
as
specifically
provided
in
the
reimbursement
35
-78-
H1323.2512
(4)
88
pf/rn
78/
119
methodologies
in
effect
on
June
30,
2018,
except
as
otherwise
1
expressly
authorized
by
law,
consistent
with
options
under
2
federal
law
and
regulations,
and
contingent
upon
receipt
of
3
approval
from
the
office
of
the
governor
of
reimbursement
for
4
each
abortion
performed
under
the
program:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,337,841,375
6
1,488,141,375
7
GROUP
FOSTER
CARE
REALLOCATION
8
Sec.
50.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
9
3,
paragraph
a,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
10
section
28,
is
amended
to
read
as
follows:
11
a.
Of
the
funds
appropriated
in
this
section,
up
to
12
$34,536,648
is
allocated
as
the
statewide
expenditure
target
13
under
section
232.143
for
group
foster
care
maintenance
and
14
services.
If
the
department
projects
that
such
expenditures
15
for
the
fiscal
year
will
be
less
than
the
target
amount
16
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
17
the
excess
to
provide
additional
funding
for
family
foster
18
care,
independent
living,
family
safety,
risk
and
permanency
19
services,
shelter
care
,
or
the
child
welfare
emergency
services
20
addressed
with
the
allocation
for
shelter
care.
21
SHELTER
CARE
ALLOCATION
22
Sec.
51.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
23
6,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
28,
is
24
amended
to
read
as
follows:
25
6.
Notwithstanding
section
234.35
or
any
other
provision
of
26
law
to
the
contrary,
state
funding
Of
the
funds
appropriated
27
in
this
section,
a
sufficient
amount
is
allocated
for
shelter
28
care
and
the
child
welfare
emergency
services
contracting
29
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
30
shall
be
limited
to
$8,096,158
.
31
OTHER
FUNDING
FOR
CHILD
WELFARE
SERVICES
32
Sec.
52.
2017
Iowa
Acts,
chapter
174,
section
57,
as
amended
33
by
2018
Iowa
Acts,
chapter
1165,
section
28,
is
amended
by
34
adding
the
following
new
subsection:
35
-79-
H1323.2512
(4)
88
pf/rn
79/
119
NEW
SUBSECTION
.
24.
If
a
separate
funding
source
is
1
identified
that
reduces
the
need
for
state
funds
within
an
2
allocation
under
this
section,
the
allocated
state
funds
may
be
3
redistributed
to
other
allocations
under
this
section
for
the
4
same
fiscal
year.
5
Sec.
53.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
6
deemed
of
immediate
importance,
takes
effect
upon
enactment.
7
Sec.
54.
RETROACTIVE
APPLICABILITY.
This
division
of
this
8
Act
applies
retroactively
to
July
1,
2018.
9
DIVISION
XIII
10
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
PROGRAM
FUTURE
REPEAL
11
Sec.
55.
Section
249M.5,
Code
2019,
is
amended
to
read
as
12
follows:
13
249M.5
Future
repeal.
14
This
chapter
is
repealed
July
1,
2019
2021
.
15
Sec.
56.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
16
deemed
of
immediate
importance,
takes
effect
upon
enactment.
17
DIVISION
XIV
18
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
OF
FUNDS
19
Sec.
57.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
20
OF
FUNDS.
Notwithstanding
section
331.432,
a
county
with
a
21
population
of
over
300,000
based
on
the
most
recent
federal
22
decennial
census,
may
transfer
funds
from
any
other
fund
of
the
23
county
to
the
mental
health
and
disability
regional
services
24
fund
for
the
purposes
of
providing
mental
health
and
disability
25
services
for
the
fiscal
year
beginning
July
1,
2019,
and
26
ending
June
30,
2020.
The
county
shall
submit
a
report
to
27
the
governor
and
the
general
assembly
by
September
1,
2020,
28
including
the
source
of
any
funds
transferred,
the
amount
of
29
the
funds
transferred,
and
the
mental
health
and
disability
30
services
provided
with
the
transferred
funds.
31
DIVISION
XV
32
OPERATION
OF
BOARD
OF
MEDICINE,
BOARD
OF
NURSING,
BOARD
OF
33
PHARMACY,
AND
THE
DENTAL
BOARD
34
Sec.
58.
Section
135.11A,
subsection
1,
Code
2019,
is
35
-80-
H1323.2512
(4)
88
pf/rn
80/
119
amended
to
read
as
follows:
1
1.
There
shall
be
a
professional
licensure
division
within
2
the
department
of
public
health.
Each
board
under
chapter
147
3
or
under
the
administrative
authority
of
the
department,
except
4
the
board
of
nursing,
board
of
medicine,
dental
board,
and
5
board
of
pharmacy,
shall
receive
administrative
and
clerical
6
support
from
the
division
and
may
not
employ
its
own
support
7
staff
for
administrative
and
clerical
duties.
The
executive
8
director
of
the
board
of
nursing,
board
of
medicine,
dental
9
board,
and
board
of
pharmacy
shall
be
appointed
pursuant
to
10
section
135.11B.
11
Sec.
59.
NEW
SECTION
.
135.11B
Appointment
of
certain
12
executive
directors.
13
1.
The
director
shall
appoint
and
supervise
a
full-time
14
executive
director
for
each
of
the
following
boards:
15
a.
The
board
of
medicine.
16
b.
The
board
of
nursing.
17
c.
The
dental
board.
18
d.
The
board
of
pharmacy.
19
2.
Each
board
listed
in
subsection
1
shall
advise
the
20
director
in
evaluating
potential
candidates
for
the
position
of
21
executive
director,
consult
with
the
director
in
the
hiring
of
22
the
executive
director,
and
review
and
advise
the
director
on
23
the
performance
of
the
executive
director
in
the
discharge
of
24
the
executive
director’s
duties.
25
3.
Each
board
listed
in
subsection
1
shall
retain
sole
26
discretion
and
authority
to
execute
the
core
functions
of
the
27
board
including
but
not
limited
to
policymaking,
advocating
28
for
and
against
legislation,
rulemaking,
licensing,
licensee
29
investigations,
licensee
disciplinary
proceedings,
and
30
oversight
of
professional
health
programs.
The
director’s
31
supervision
of
the
executive
director
shall
not
interfere
with
32
the
board’s
discretion
and
authority
in
executing
the
core
33
functions
of
the
board.
34
Sec.
60.
Section
147.80,
subsection
3,
Code
2019,
is
amended
35
-81-
H1323.2512
(4)
88
pf/rn
81/
119
to
read
as
follows:
1
3.
The
board
of
medicine,
the
board
of
pharmacy,
the
2
dental
board,
and
the
board
of
nursing
shall
retain
individual
3
executive
officers
pursuant
to
section
135.11B
,
but
shall
4
make
every
effort
to
share
administrative,
clerical,
and
5
investigative
staff
to
the
greatest
extent
possible.
6
Sec.
61.
Section
152.2,
Code
2019,
is
amended
to
read
as
7
follows:
8
152.2
Executive
director.
9
The
board
shall
appoint
retain
a
full-time
executive
10
director
,
who
shall
be
appointed
pursuant
to
section
135B.11
.
11
The
executive
director
shall
be
a
registered
nurse
and
shall
12
not
be
a
member
of
the
board
.
The
governor,
with
the
approval
13
of
the
executive
council
pursuant
to
section
8A.413,
subsection
14
3
,
under
the
pay
plan
for
exempt
positions
in
the
executive
15
branch
of
government,
shall
set
the
salary
of
the
executive
16
director.
17
Sec.
62.
Section
153.33,
subsection
2,
Code
2019,
is
amended
18
to
read
as
follows:
19
2.
All
employees
needed
to
administer
this
chapter
except
20
the
executive
director
shall
be
appointed
pursuant
to
the
merit
21
system.
The
executive
director
shall
serve
at
the
pleasure
of
22
the
board
be
appointed
pursuant
to
section
135.11B
and
shall
23
be
exempt
from
the
merit
system
provisions
of
chapter
8A,
24
subchapter
IV
.
25
DIVISION
XVI
26
MEDICAID
MEDICAL
PRIOR
AUTHORIZATION
——
UNIFORM
PROCESS
——
27
CENTRAL
PORTAL
28
Sec.
63.
MEDICAID
——
MEDICAL
PRIOR
AUTHORIZATION
UNIFORM
29
PROCESS.
The
department
of
human
services
shall
adopt
rules
30
pursuant
to
chapter
17A
by
October
1,
2019,
to
require
that
31
both
managed
care
and
fee-for-service
payment
and
delivery
32
systems
utilize
a
uniform
process,
including
but
not
limited
to
33
uniform
forms,
information
requirements,
and
time
frames,
to
34
request
medical
prior
authorization
under
the
Medicaid
program.
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The
rules
shall
require
the
managed
care
organizations,
1
by
contract,
to
implement
the
uniform
process
by
a
date
as
2
determined
by
the
department.
3
Sec.
64.
MEDICAID
MANAGEMENT
INFORMATION
SYSTEM
——
CENTRAL
4
PORTAL
——
REVIEW.
The
department
shall
review
the
costs
5
associated
with
expanding
the
medical
assistance
management
6
information
system
to
integrate
a
single,
statewide
system
to
7
serve
as
a
central
portal
for
submission
of
all
medical
prior
8
authorization
requests
for
the
Medicaid
program.
The
portal
9
shall
not
be
designed
to
make
or
review
final
determinations
10
of
managed
care
organization
medical
prior
authorization
11
requests,
but
shall
only
serve
as
a
conduit
to
deliver
medical
12
prior
authorization
requests
to
the
appropriate
managed
care
13
organization.
The
results
of
the
study
shall
be
submitted
to
14
the
governor
and
the
general
assembly
no
later
than
March
31,
15
2020.
16
Sec.
65.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
17
deemed
of
immediate
importance,
takes
effect
upon
enactment.
18
DIVISION
XVII
19
HEALTH
AND
HUMAN
SERVICES
EXECUTIVE
BRANCH
ENTITIES
——
REFORM
20
IOWA
COLLABORATIVE
SAFETY
NET
PROVIDER
NETWORK
21
Sec.
66.
Section
135.24,
subsection
7,
paragraph
e,
Code
22
2019,
is
amended
to
read
as
follows:
23
e.
“Specialty
health
care
provider
office”
means
the
24
private
office
or
clinic
of
an
individual
specialty
health
25
care
provider
or
group
of
specialty
health
care
providers
as
26
referred
by
the
Iowa
collaborative
safety
net
provider
network
27
established
in
section
135.153
,
but
does
not
include
a
field
28
dental
clinic,
a
free
clinic,
or
a
hospital.
29
Sec.
67.
Section
135.159,
subsection
1,
paragraph
h,
Code
30
2019,
is
amended
by
striking
the
paragraph.
31
Sec.
68.
REPEAL.
Section
135.153,
Code
2019,
is
repealed.
32
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
BOARD
33
Sec.
69.
Section
249M.4,
Code
2019,
is
amended
to
read
as
34
follows:
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249M.4
Hospital
health
care
access
trust
fund
——
board
.
1
1.
A
hospital
health
care
access
trust
fund
is
created
2
in
the
state
treasury
under
the
authority
of
the
department.
3
Moneys
received
through
the
collection
of
the
hospital
health
4
care
access
assessment
imposed
under
this
chapter
and
any
5
other
moneys
specified
for
deposit
in
the
trust
fund
shall
be
6
deposited
in
the
trust
fund.
7
2.
Moneys
in
the
trust
fund
shall
be
used,
subject
to
8
their
appropriation
by
the
general
assembly,
by
the
department
9
to
reimburse
participating
hospitals
the
medical
assistance
10
program
upper
payment
limit
for
inpatient
and
outpatient
11
hospital
services
as
calculated
in
this
section
.
Following
12
payment
of
such
upper
payment
limit
to
participating
hospitals,
13
any
remaining
funds
in
the
trust
fund
on
an
annual
basis
may
be
14
used
for
any
of
the
following
purposes:
15
a.
To
support
medical
assistance
program
utilization
16
shortfalls.
17
b.
To
maintain
the
state’s
capacity
to
provide
access
to
and
18
delivery
of
services
for
vulnerable
Iowans.
19
c.
To
fund
the
health
care
workforce
support
initiative
20
created
pursuant
to
section
135.175
.
21
d.
To
support
access
to
health
care
services
for
uninsured
22
Iowans.
23
e.
To
support
Iowa
hospital
programs
and
services
which
24
expand
access
to
health
care
services
for
Iowans.
25
3.
The
trust
fund
shall
be
separate
from
the
general
fund
26
of
the
state
and
shall
not
be
considered
part
of
the
general
27
fund.
The
moneys
in
the
trust
fund
shall
not
be
considered
28
revenue
of
the
state,
but
rather
shall
be
funds
of
the
hospital
29
health
care
access
assessment
program.
The
moneys
deposited
30
in
the
trust
fund
are
not
subject
to
section
8.33
and
shall
not
31
be
transferred,
used,
obligated,
appropriated,
or
otherwise
32
encumbered,
except
to
provide
for
the
purposes
of
this
chapter
.
33
Notwithstanding
section
12C.7,
subsection
2
,
interest
or
34
earnings
on
moneys
deposited
in
the
trust
fund
shall
be
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credited
to
the
trust
fund.
1
4.
The
department
shall
adopt
rules
pursuant
to
chapter
2
17A
to
administer
the
trust
fund
and
reimbursements
and
3
expenditures
as
specified
in
this
chapter
made
from
the
trust
4
fund.
5
5.
a.
Beginning
July
1,
2010,
or
the
implementation
date
6
of
the
hospital
health
care
access
assessment
program
as
7
determined
by
receipt
of
approval
from
the
centers
for
Medicare
8
and
Medicaid
services
of
the
United
States
department
of
health
9
and
human
services,
whichever
is
later,
the
department
shall
10
increase
the
diagnostic
related
groups
and
ambulatory
patient
11
classifications
base
rates
to
provide
payments
to
participating
12
hospitals
at
the
Medicare
upper
payment
limit
for
the
fiscal
13
year
beginning
July
1,
2010,
calculated
as
of
July
31,
2010.
14
Each
participating
hospital
shall
receive
the
same
percentage
15
increase,
but
the
percentage
may
differ
depending
on
whether
16
the
basis
for
the
base
rate
increase
is
the
diagnostic
related
17
groups
or
ambulatory
patient
classifications.
18
b.
The
percentage
increase
shall
be
calculated
by
dividing
19
the
amount
calculated
under
subparagraph
(1)
by
the
amount
20
calculated
under
subparagraph
(2)
as
follows:
21
(1)
The
amount
under
the
Medicare
upper
payment
limit
for
22
the
fiscal
year
beginning
July
1,
2010,
for
participating
23
hospitals.
24
(2)
The
projected
expenditures
for
participating
hospitals
25
for
the
fiscal
year
beginning
July
1,
2010,
as
determined
by
26
the
fiscal
management
division
of
the
department,
plus
the
27
amount
calculated
under
subparagraph
(1).
28
6.
For
the
fiscal
year
beginning
July
1,
2011,
and
for
29
each
fiscal
year
beginning
July
1,
thereafter,
the
payments
to
30
participating
hospitals
shall
continue
to
be
calculated
based
31
on
the
upper
payment
limit
as
calculated
for
the
fiscal
year
32
beginning
July
1,
2010.
33
7.
Reimbursement
of
participating
hospitals
shall
34
incorporate
the
rebasing
process
for
inpatient
and
outpatient
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services
for
state
fiscal
year
2012.
However,
the
total
amount
1
of
increased
funding
available
for
reimbursement
attributable
2
to
rebasing
shall
not
exceed
four
million
five
hundred
thousand
3
dollars
for
state
fiscal
year
2012
and
six
million
dollars
for
4
state
fiscal
year
2013.
5
8.
Any
payments
to
participating
hospitals
under
this
6
section
shall
result
in
budget
neutrality
to
the
general
fund
7
of
the
state.
8
9.
a.
A
hospital
health
care
access
trust
fund
board
is
9
established
consisting
of
the
following
members:
10
(1)
The
co-chairpersons
and
the
ranking
members
of
the
joint
11
appropriations
subcommittee
on
health
and
human
services.
12
(2)
The
Iowa
medical
assistance
program
director.
13
(3)
Two
hospital
executives
representing
the
two
largest
14
private
health
care
systems
in
the
state.
15
(4)
The
president
of
the
Iowa
hospital
association.
16
(5)
A
representative
of
a
consumer
advocacy
group,
involved
17
in
both
state
and
national
initiatives,
that
provides
data
on
18
key
indicators
of
well-being
for
children
and
families
in
order
19
to
inform
policymakers
to
help
children
and
families
succeed.
20
b.
The
board
shall
do
all
of
the
following:
21
(1)
Provide
oversight
of
the
trust
fund.
22
(2)
Make
recommendations
regarding
the
hospital
health
care
23
access
assessment
program,
including
recommendations
regarding
24
the
assessment
calculation,
assessment
amounts,
payments
to
25
participating
hospitals,
and
use
of
the
moneys
in
the
trust
26
fund.
27
(3)
Submit
an
annual
report
to
the
governor
and
the
general
28
assembly
regarding
the
use
and
expenditure
of
moneys
deposited
29
in
the
trust
fund.
30
c.
The
department
shall
provide
administrative
assistance
31
to
the
board.
32
ADVISORY
COMMITTEE
TO
THE
CENTER
FOR
RURAL
HEALTH
AND
PRIMARY
33
CARE
34
Sec.
70.
Section
135.107,
subsection
5,
Code
2019,
is
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amended
by
striking
the
subsection.
1
Sec.
71.
Section
262.78,
subsection
3,
Code
2019,
is
amended
2
to
read
as
follows:
3
3.
The
president
of
the
university
of
Iowa,
in
consultation
4
with
the
president
of
Iowa
state
university
of
science
and
5
technology,
shall
employ
a
full-time
director
of
the
center.
6
The
center
may
employ
staff
to
carry
out
the
center’s
purpose.
7
The
director
shall
coordinate
the
agricultural
health
and
8
safety
programs
of
the
center.
The
director
shall
regularly
9
meet
and
consult
with
the
advisory
committee
to
the
center
for
10
rural
health
and
primary
care.
The
director
shall
provide
11
the
board
of
regents
with
relevant
information
regarding
the
12
center.
13
GOVERNMENTAL
PUBLIC
HEALTH
ADVISORY
COUNCIL
14
Sec.
72.
Section
135A.2,
subsection
2,
Code
2019,
is
amended
15
by
striking
the
subsection.
16
Sec.
73.
Section
135A.9,
subsection
1,
Code
2019,
is
amended
17
by
striking
the
subsection.
18
Sec.
74.
REPEAL.
Section
135A.4,
Code
2019,
is
repealed.
19
PATIENT-CENTERED
HEALTH
ADVISORY
COUNCIL
20
Sec.
75.
REPEAL.
Section
135.159,
Code
2019,
is
repealed.
21
COMBINING
STATE
MEDICAL
EXAMINER
ADVISORY
COUNCIL
WITH
THE
22
INTERAGENCY
COORDINATING
COUNCIL
23
Sec.
76.
Section
691.6B,
Code
2019,
is
amended
to
read
as
24
follows:
25
691.6B
Interagency
coordinating
council.
26
1.
An
interagency
coordinating
council
is
created
to
advise
27
do
all
of
the
following:
28
a.
Advise
and
consult
with
the
state
medical
examiner
on
a
29
range
of
issues
affecting
the
organization
and
functions
of
the
30
office
of
the
state
medical
examiner
and
the
effectiveness
of
31
the
medical
examiner
system
in
the
state.
32
b.
Advise
the
state
medical
examiner
concerning
the
33
assurance
of
effective
coordination
of
the
functions
and
34
operations
of
the
office
of
the
state
medical
examiner
with
the
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needs
and
interests
of
the
departments
of
public
safety
and
1
public
health.
2
2.
Members
of
the
interagency
coordinating
council
shall
3
include
the
all
of
the
following:
4
a.
The
state
medical
examiner,
or
when
the
state
medical
5
examiner
is
not
available,
the
deputy
state
medical
examiner
;
6
the
.
7
b.
The
commissioner
of
public
safety
or
the
commissioner’s
8
designee
;
the
.
9
c.
The
director
of
public
health
or
the
director’s
designee
;
10
and
the
.
11
d.
The
governor
or
the
governor’s
designee.
12
e.
Representatives
from
the
office
of
the
attorney
13
general,
the
Iowa
county
attorneys
association,
the
Iowa
14
medical
society,
the
Iowa
association
of
pathologists,
the
15
Iowa
association
of
county
medical
examiners,
the
statewide
16
emergency
medical
system,
and
the
Iowa
funeral
directors
17
association.
18
3.
The
interagency
coordinating
council
shall
meet
on
19
a
regular
basis
,
and
shall
be
organized
and
function
as
20
established
by
the
state
medical
examiner
by
rule
.
21
Sec.
77.
REPEAL.
Section
691.6C,
Code
2019,
is
repealed.
22
TRAUMA
SYSTEM
ADVISORY
COUNCIL
23
Sec.
78.
Section
147A.24,
subsection
2,
Code
2019,
is
24
amended
to
read
as
follows:
25
2.
The
council
shall
consist
of
seven
members
to
be
26
appointed
by
the
director
from
the
recommendations
of
27
the
organizations
in
subsection
1
for
terms
of
two
years.
28
Vacancies
on
the
council
shall
be
filled
for
the
remainder
of
29
the
term
of
the
original
appointment.
Members
whose
terms
30
expire
may
be
reappointed.
31
Sec.
79.
TRANSITION
PROVISIONS.
Notwithstanding
any
32
provision
of
section
147A.24,
subsection
2,
to
the
contrary,
a
33
member
of
the
trauma
system
advisory
council
on
July
1,
2019,
34
shall
continue
serving
until
the
expiration
of
that
member’s
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term
or
until
a
vacancy
occurs
prior
to
the
expiration
of
the
1
applicable
term,
and
such
vacancy
shall
only
be
filled
to
the
2
extent
consistent
with
and
necessary
to
maintain
the
total
3
number
of
members
of
the
council
specified
in
section
147A.24,
4
subsection
2,
as
amended
in
this
Act.
5
TELECONFERENCE
OPTION
FOR
STATE
ENTITIES
6
Sec.
80.
NEW
SECTION
.
135.11B
Statutory
board,
commission,
7
committee,
or
council
of
committee
——
teleconference
option.
8
Any
statutorily
established
board,
commission,
committee,
or
9
council
established
under
the
purview
of
the
department
shall
10
provide
for
a
teleconference
option
for
board,
commission,
11
committee,
or
council
members
to
participate
in
official
12
meetings.
13
ELIMINATION
OF
PAYMENT
OF
EXPENSES
FOR
PUBLIC
MEMBERS
OF
14
CERTAIN
STATE
ENTITIES
15
Sec.
81.
Section
105.3,
subsection
6,
Code
2019,
is
amended
16
by
striking
the
subsection.
17
Sec.
82.
Section
135.43,
subsection
2,
unnumbered
paragraph
18
1,
Code
2019,
is
amended
to
read
as
follows:
19
The
membership
of
the
review
team
is
subject
to
the
20
provisions
of
sections
69.16
and
69.16A
,
relating
to
political
21
affiliation
and
gender
balance.
Review
team
members
who
22
are
not
designated
by
another
appointing
authority
shall
be
23
appointed
by
the
state
medical
examiner.
Membership
terms
24
shall
be
for
three
years.
A
membership
vacancy
shall
be
filled
25
in
the
same
manner
as
the
original
appointment.
The
review
26
team
shall
elect
a
chairperson
and
other
officers
as
deemed
27
necessary
by
the
review
team.
The
review
team
shall
meet
upon
28
the
call
of
the
state
medical
examiner
or
as
determined
by
29
the
review
team.
The
members
of
the
team
are
eligible
for
30
reimbursement
of
actual
and
necessary
expenses
incurred
in
the
31
performance
of
their
official
duties.
The
review
team
shall
32
include
the
following:
33
Sec.
83.
Section
135.62,
subsection
2,
paragraph
e,
Code
34
2019,
is
amended
by
striking
the
paragraph.
35
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Sec.
84.
Section
147A.3,
Code
2019,
is
amended
to
read
as
1
follows:
2
147A.3
Meetings
of
the
council
——
quorum
——
expenses
.
3
Membership,
terms
of
office,
and
quorum
,
and
expenses
shall
4
be
determined
by
the
director
pursuant
to
chapter
135
.
5
Sec.
85.
Section
256I.3,
subsection
3,
Code
2019,
is
amended
6
by
striking
the
subsection.
7
ELIMINATION
OF
CHILD
WELFARE
ADVISORY
COMMITTEE,
CHILD
8
SUPPORT
ADVISORY
COMMITTEE,
CHILDREN’S
MENTAL
HEALTH
WAIVER
9
IMPLEMENTATION
COMMITTEE,
AND
PROPERTY
TAX
RELIEF
FUND
RISK
10
POOL
11
Sec.
86.
Section
217.3A,
subsection
1,
Code
2019,
is
amended
12
to
read
as
follows:
13
1.
General.
The
council
on
human
services
shall
establish
14
and
utilize
the
advisory
committees
committee
identified
in
15
this
section
and
may
establish
and
utilize
other
advisory
16
committees.
The
council
shall
establish
appointment
17
provisions,
membership
terms,
operating
guidelines,
and
other
18
operational
requirements
for
committees
established
pursuant
to
19
this
section
.
20
Sec.
87.
Section
217.3A,
subsections
3
and
4,
Code
2019,
are
21
amended
by
striking
the
subsections.
22
Sec.
88.
Section
426B.5,
subsection
1,
Code
2019,
is
amended
23
by
striking
the
subsection.
24
Sec.
89.
2005
Iowa
Acts,
chapter
117,
section
4,
subsection
25
3,
is
amended
by
striking
the
subsection.
26
DIVISION
XVIII
27
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
28
Sec.
90.
Section
217.3,
subsection
4,
Code
2019,
is
amended
29
to
read
as
follows:
30
4.
Approve
the
budget
of
the
department
of
human
services
31
prior
to
submission
to
the
governor.
Prior
to
approval
of
the
32
budget,
the
council
shall
publicize
and
hold
a
public
hearing
33
to
provide
explanations
and
hear
questions,
opinions,
and
34
suggestions
regarding
the
budget.
Invitations
to
the
hearing
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shall
be
extended
to
the
governor,
the
governor-elect,
the
1
director
of
the
department
of
management,
and
other
persons
2
deemed
by
the
council
as
integral
to
the
budget
process.
The
3
budget
materials
submitted
to
the
governor
shall
include
a
4
review
of
options
for
revising
the
medical
assistance
program
5
made
available
by
federal
action
or
by
actions
implemented
6
by
other
states
as
identified
by
the
department,
the
medical
7
assistance
advisory
council
and
the
executive
committee
of
the
8
medical
assistance
advisory
council
created
in
section
249A.4B
,
9
and
by
county
representatives.
The
review
shall
address
what
10
potential
revisions
could
be
made
in
this
state
and
how
the
11
changes
would
be
beneficial
to
Iowans.
12
Sec.
91.
Section
249A.4B,
Code
2019,
is
amended
to
read
as
13
follows:
14
249A.4B
Medical
assistance
advisory
council.
15
1.
A
medical
assistance
advisory
council
is
created
to
16
comply
with
42
C.F.R.
§431.12
based
on
section
1902(a)(4)
of
17
the
federal
Social
Security
Act
and
to
advise
the
director
18
about
health
and
medical
care
services
under
the
medical
19
assistance
program.
The
council
shall
meet
no
more
than
20
quarterly.
The
director
of
public
health
and
a
public
member
21
of
the
council
selected
by
the
public
members
of
the
council
22
specified
in
subsection
2
,
paragraph
“b”
,
shall
serve
as
23
co-chairpersons
of
the
council.
24
2.
a.
The
council
shall
consist
of
the
following
voting
25
members:
26
(1)
Five
professional
or
business
entity
members
selected
27
by
the
entities
specified
pursuant
to
subsection
3,
paragraph
28
“a”
.
29
(2)
Five
public
members
appointed
pursuant
to
subsection
3,
30
paragraph
“b”
.
Of
the
five
public
members,
at
least
one
member
31
shall
be
a
recipient
of
medical
assistance.
32
b.
The
council
shall
include
all
of
the
following
nonvoting
33
members:
34
(1)
The
director
of
public
health,
or
the
director’s
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designee.
1
(2)
The
director
of
the
department
on
aging,
or
the
2
director’s
designee.
3
(3)
The
long-term
care
ombudsman,
or
the
long-term
care
4
ombudsman’s
designee.
5
(4)
The
dean
of
Des
Moines
university
—
osteopathic
medical
6
center,
or
the
dean’s
designee.
7
(5)
The
dean
of
the
university
of
Iowa
college
of
medicine,
8
or
the
dean’s
designee.
9
(6)
A
member
of
the
hawk-i
board
created
in
section
514I.5,
10
selected
by
the
members
of
the
hawk-i
board.
11
(7)
The
following
members
of
the
general
assembly,
each
for
12
a
term
of
two
years
as
provided
in
section
69.16B:
13
(a)
Two
members
of
the
house
of
representatives,
one
14
appointed
by
the
speaker
of
the
house
of
representatives
15
and
one
appointed
by
the
minority
leader
of
the
house
of
16
representatives
from
their
respective
parties.
17
(b)
Two
members
of
the
senate,
one
appointed
by
the
18
president
of
the
senate
after
consultation
with
the
majority
19
leader
of
the
senate
and
one
appointed
by
the
minority
leader
20
of
the
senate.
21
2.
3.
The
voting
membership
of
the
council
shall
include
22
all
of
the
following
voting
members
be
selected
or
appointed
23
as
follows
:
24
a.
The
five
professional
or
business
entity
members
shall
25
be
selected
by
the
entities
specified
under
this
paragraph
“a”
.
26
The
five
professional
or
business
entity
members
selected
shall
27
be
the
president,
or
the
president’s
representative,
of
each
28
of
the
following
professional
or
business
entities
entity
,
or
29
a
member
of
each
of
the
following
professional
or
business
30
entities,
selected
entity,
designated
by
the
entity
:
.
31
(1)
The
Iowa
medical
society.
32
(2)
The
Iowa
osteopathic
medical
association.
33
(3)
The
Iowa
academy
of
family
physicians.
34
(4)
The
Iowa
chapter
of
the
American
academy
of
pediatrics.
35
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(5)
The
Iowa
physical
therapy
association.
1
(6)
The
Iowa
dental
association.
2
(7)
The
Iowa
nurses
association.
3
(8)
The
Iowa
pharmacy
association.
4
(9)
The
Iowa
podiatric
medical
society.
5
(10)
The
Iowa
optometric
association.
6
(11)
The
Iowa
association
of
community
providers.
7
(12)
The
Iowa
psychological
association.
8
(13)
The
Iowa
psychiatric
society.
9
(14)
The
Iowa
chapter
of
the
national
association
of
social
10
workers.
11
(15)
The
coalition
for
family
and
children’s
services
in
12
Iowa.
13
(16)
The
Iowa
hospital
association.
14
(17)
The
Iowa
association
of
rural
health
clinics.
15
(18)
The
Iowa
primary
care
association.
16
(19)
Free
clinics
of
Iowa.
17
(20)
The
opticians’
association
of
Iowa,
inc.
18
(21)
The
Iowa
association
of
hearing
health
professionals.
19
(22)
The
Iowa
speech
and
hearing
association.
20
(23)
The
Iowa
health
care
association.
21
(24)
The
Iowa
association
of
area
agencies
on
aging.
22
(25)
AARP.
23
(26)
The
Iowa
caregivers
association.
24
(27)
Leading
age
Iowa.
25
(28)
The
Iowa
association
for
home
care.
26
(29)
The
Iowa
council
of
health
care
centers.
27
(30)
The
Iowa
physician
assistant
society.
28
(31)
The
Iowa
association
of
nurse
practitioners.
29
(32)
The
Iowa
nurse
practitioner
society.
30
(33)
The
Iowa
occupational
therapy
association.
31
(34)
The
ARC
of
Iowa,
formerly
known
as
the
association
for
32
retarded
citizens
of
Iowa.
33
(35)
The
national
alliance
on
mental
illness.
34
(36)
The
Iowa
state
association
of
counties.
35
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(37)
The
Iowa
developmental
disabilities
council.
1
(38)
The
Iowa
chiropractic
society.
2
(39)
The
Iowa
academy
of
nutrition
and
dietetics.
3
(40)
The
Iowa
behavioral
health
association.
4
(41)
The
midwest
association
for
medical
equipment
services
5
or
an
affiliated
Iowa
organization.
6
b.
Ten
The
five
public
members
shall
be
public
7
representatives
which
may
include
members
of
consumer
groups,
8
including
recipients
of
medical
assistance
or
their
families,
9
consumer
organizations,
and
others,
appointed
by
the
governor
10
for
staggered
terms
of
two
years
each,
none
of
whom
shall
be
11
members
of,
or
practitioners
of,
or
have
a
pecuniary
interest
12
in
any
of
the
professional
or
business
entities
specifically
13
represented
under
paragraph
“a”
,
and
a
majority
of
whom
shall
be
14
current
or
former
recipients
of
medical
assistance
or
members
15
of
the
families
of
current
or
former
recipients
.
16
c.
A
member
of
the
hawk-i
board
created
in
section
514I.5
,
17
selected
by
the
members
of
the
hawk-i
board.
18
3.
The
council
shall
include
all
of
the
following
nonvoting
19
members:
20
a.
The
director
of
public
health,
or
the
director’s
21
designee.
22
b.
The
director
of
the
department
on
aging,
or
the
23
director’s
designee.
24
c.
The
long-term
care
ombudsman,
or
the
long-term
care
25
ombudsman’s
designee.
26
d.
The
dean
of
Des
Moines
university
——
osteopathic
medical
27
center,
or
the
dean’s
designee.
28
e.
The
dean
of
the
university
of
Iowa
college
of
medicine,
29
or
the
dean’s
designee.
30
f.
The
following
members
of
the
general
assembly,
each
for
a
31
term
of
two
years
as
provided
in
section
69.16B
:
32
(1)
Two
members
of
the
house
of
representatives,
one
33
appointed
by
the
speaker
of
the
house
of
representatives
34
and
one
appointed
by
the
minority
leader
of
the
house
of
35
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representatives
from
their
respective
parties.
1
(2)
Two
members
of
the
senate,
one
appointed
by
the
2
president
of
the
senate
after
consultation
with
the
majority
3
leader
of
the
senate
and
one
appointed
by
the
minority
leader
4
of
the
senate.
5
4.
a.
An
executive
committee
of
the
council
is
created
and
6
shall
consist
of
the
following
members
of
the
council:
7
(1)
Five
of
the
professional
or
business
entity
members
8
designated
pursuant
to
subsection
2
,
paragraph
“a”
,
and
9
selected
by
the
members
specified
under
that
paragraph,
as
10
voting
members.
11
(2)
Five
of
the
public
members
appointed
pursuant
to
12
subsection
2
,
paragraph
“b”
,
and
selected
by
the
members
13
specified
under
that
paragraph,
as
voting
members.
Of
the
five
14
public
members,
at
least
one
member
shall
be
a
recipient
of
15
medical
assistance.
16
(3)
The
director
of
public
health,
or
the
director’s
17
designee,
as
a
nonvoting
member.
18
b.
The
executive
committee
shall
meet
on
a
monthly
basis.
19
The
director
of
public
health
and
the
public
member
serving
as
20
co-chairperson
of
the
council
shall
serve
as
co-chairpersons
of
21
the
executive
committee.
22
c.
4.
Based
upon
the
deliberations
of
the
council
and
the
23
executive
committee
,
the
executive
committee
council
shall
make
24
recommendations
to
the
director
regarding
the
budget,
policy,
25
and
administration
of
the
medical
assistance
program.
26
5.
For
each
council
meeting,
other
than
those
held
during
27
the
time
the
general
assembly
is
in
session,
each
legislative
28
member
of
the
council
shall
be
reimbursed
for
actual
travel
29
and
other
necessary
expenses
and
shall
receive
a
per
diem
as
30
specified
in
section
7E.6
for
each
day
in
attendance,
as
shall
31
the
members
of
the
council
or
the
executive
committee
who
are
32
recipients
or
the
family
members
of
recipients
of
medical
33
assistance,
regardless
of
whether
the
general
assembly
is
in
34
session.
35
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6.
The
department
shall
provide
staff
support
and
1
independent
technical
assistance
to
the
council
and
the
2
executive
committee
.
3
7.
The
director
shall
consider
the
recommendations
offered
4
by
the
council
and
the
executive
committee
in
the
director’s
5
preparation
of
medical
assistance
budget
recommendations
to
6
the
council
on
human
services
pursuant
to
section
217.3
and
in
7
implementation
of
medical
assistance
program
policies.
8
DIVISION
XIX
9
MEDICAID
COVERAGE
——
PREGNANT
WOMEN
LAWFULLY
ADMITTED
FOR
10
PERMANENT
RESIDENCE
11
Sec.
92.
MEDICAID
COVERAGE
——
PREGNANT
WOMEN
LAWFULLY
12
ADMITTED
FOR
PERMANENT
RESIDENCE
IN
THE
UNITED
STATES
WITHOUT
13
APPLICATION
OF
FIVE-YEAR
WAITING
PERIOD.
14
1.
The
department
of
human
services
shall
seek
a
waiver
from
15
the
centers
for
Medicare
and
Medicaid
services
of
the
United
16
States
department
of
health
and
human
services
to
provide
17
coverage
under
the
Medicaid
program
for
pregnant
women
lawfully
18
admitted
for
permanent
residence
in
the
United
States,
without
19
application
of
the
five-year
waiting
period.
20
2.
If
federal
approval
is
received
by
the
department,
the
21
department
shall
provide
Medicaid
coverage
for
pregnant
women
22
lawfully
admitted
for
permanent
residence
in
the
United
States,
23
without
application
of
the
five-year
waiting
period,
effective
24
the
first
day
of
the
month
following
the
department’s
receipt
25
of
federal
approval.
26
DIVISION
XX
27
PROVISION
OF
CERTAIN
SURGERIES
OR
PROCEDURES
——
EXEMPTION
FROM
28
REQUIRED
ACCOMMODATIONS
OR
SERVICES
29
Sec.
93.
Section
216.7,
Code
2019,
is
amended
by
adding
the
30
following
new
subsection:
31
NEW
SUBSECTION
.
3.
This
section
shall
not
require
any
32
state
or
local
government
unit
or
tax-supported
district
to
33
provide
for
sex
reassignment
surgery
or
any
other
cosmetic,
34
reconstructive,
or
plastic
surgery
procedure
related
to
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transsexualism,
hermaphroditism,
gender
identity
disorder,
or
1
body
dysmorphic
disorder.
2
Sec.
94.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
3
deemed
of
immediate
importance,
takes
effect
upon
enactment.
4
DIVISION
XXI
5
REVISION
OF
MEDICAID
MANAGED
CARE
CONTRACTS
——
LIQUIDATED
6
DAMAGES
7
Sec.
95.
REVISION
OF
MEDICAID
MANAGED
CARE
CONTRACTS
——
8
LIQUIDATED
DAMAGES.
The
department
shall
revise
the
Medicaid
9
managed
care
contracts
to
include
all
of
the
following
10
provisions:
11
1.
The
assessment
of
liquidated
damages
for
prior
12
authorization
and
claims
payment
system
issues
that
were
13
reported
by
the
managed
care
organization
to
the
department
14
as
corrected,
but
reoccurred
within
60
days
of
the
reported
15
correction.
16
2.
The
assessment
of
liquidated
damages
for
the
failure
of
17
a
managed
care
organization
to
complete
provider
credentialing
18
or
to
accurately
load
provider
rosters
as
required
in
the
19
contract.
20
DIVISION
XXII
21
HEALTH
DATA
COLLECTION
AND
USE
22
Sec.
96.
Section
135.166,
subsection
1,
Code
2019,
is
23
amended
to
read
as
follows:
24
1.
a.
The
department
of
public
health
shall
enter
into
25
a
memorandum
of
understanding
to
utilize
the
Iowa
hospital
26
association
with
the
contractor
selected
through
a
request
for
27
proposals
process
to
act
as
the
department’s
intermediary
in
28
collecting,
maintaining,
and
disseminating
hospital
inpatient,
29
outpatient,
and
ambulatory
data,
as
initially
authorized
in
30
1996
Iowa
Acts,
ch.
1212,
§5,
subsection
1,
paragraph
“a”
,
31
subparagraph
(4),
and
641
IAC
177.3
.
32
b.
The
memorandum
of
understanding
shall
include
but
is
not
33
limited
to
provisions
that
address
the
duties
of
the
department
34
and
the
Iowa
hospital
association
contractor
regarding
the
35
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collection,
reporting,
disclosure,
storage,
and
confidentiality
1
of
the
data.
2
Sec.
97.
REQUEST
FOR
PROPOSALS
PROCESS
——
TRANSITION.
The
3
department
of
public
health
shall
continue
the
memorandum
of
4
understanding
with
the
entity
acting
as
intermediary
on
June
5
30,
2019,
pursuant
to
section
135.166,
until
the
contractor
6
selected
through
a
request
for
proposals
process
assumes
the
7
duties
of
intermediary
on
January
1,
2021,
as
specified
under
8
this
division
of
this
Act.
9
DIVISION
XXIII
10
DISTRIBUTION
OF
FEDERAL
FUNDS
——
RESTRICTIONS
——
ABORTION
11
Sec.
98.
DISTRIBUTION
OF
FEDERAL
PUBLIC
HEALTH
SERVICES
ACT
12
FUNDS
FOR
FAMILY
PLANNING.
13
1.
The
department
of
public
health
shall
annually
apply
14
to
the
United
States
department
of
health
and
human
services
15
for
grant
funding
under
Tit.
X
of
the
federal
Public
Health
16
Services
Act,
42
U.S.C.
§300
et
seq.
The
department
shall
17
distribute
all
grant
funding
received
to
applicants
in
the
18
following
order
of
priority:
19
a.
Public
entities
that
provide
family
planning
services
20
including
state,
county,
or
local
community
health
clinics,
21
federally
qualified
health
centers,
and
community
action
22
organizations.
23
b.
Nonpublic
entities
that,
in
addition
to
family
planning
24
services,
provide
required
primary
health
services
as
described
25
in
42
U.S.C.
§254b(b)(1)(A).
26
c.
Nonpublic
entities
that
provide
family
planning
27
services
but
do
not
provide
required
primary
health
services
as
28
described
in
42
U.S.C.
§254b(b)(1)(A).
29
2.
Distribution
of
funds
under
this
section
shall
be
made
in
30
a
manner
that
continues
access
to
family
planning
services.
31
3.
a.
(1)
Distribution
of
funds
under
this
section
shall
32
not
be
made
to
any
entity
that
performs
abortions,
promotes
33
abortions,
maintains
or
operates
a
facility
where
abortions
are
34
performed
or
promoted,
contracts
or
subcontracts
with
an
entity
35
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that
performs
or
promotes
abortions,
becomes
or
continues
to
be
1
an
affiliate
of
any
entity
that
performs
or
promotes
abortions,
2
or
regularly
makes
referrals
to
an
entity
that
provides
or
3
promotes
abortions
or
maintains
or
operates
a
facility
where
4
abortions
are
performed.
However,
the
prohibition
specified
5
in
this
subparagraph
(1)
shall
not
be
interpreted
to
include
6
a
nonpublic
entity
that
is
a
distinct
location
of
a
nonprofit
7
health
care
delivery
system,
if
the
distinct
location
provides
8
family
planning
services
but
does
not
perform
abortions
9
or
maintain
or
operate
as
a
facility
where
abortions
are
10
performed.
11
(2)
The
department
of
public
health
shall
adopt
rules
12
pursuant
to
chapter
17A
to
require
that
as
a
condition
of
13
eligibility
as
an
applicant
under
this
section,
each
distinct
14
location
of
a
nonprofit
health
care
delivery
system
shall
be
15
assigned
a
distinct
provider
identification
number
and
complete
16
an
attestation
that
abortions
are
not
performed
at
the
distinct
17
location.
18
b.
For
the
purposes
of
this
section,
“nonprofit
health
19
care
delivery
system”
means
an
Iowa
nonprofit
corporation
20
that
controls,
directly
or
indirectly,
a
regional
health
21
care
network
consisting
of
hospital
facilities
and
various
22
ambulatory
and
clinic
locations
that
provide
a
range
of
23
primary,
secondary,
and
tertiary
inpatient,
outpatient,
and
24
physician
services.
25
c.
For
the
purposes
of
this
section,
“abortion”
does
not
26
include
any
of
the
following:
27
(1)
The
treatment
of
a
woman
for
a
physical
disorder,
28
physical
injury,
or
physical
illness,
including
a
29
life-endangering
physical
condition
caused
by
or
arising
from
30
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
31
place
the
woman
in
danger
of
death.
32
(2)
The
treatment
of
a
woman
for
a
spontaneous
abortion,
33
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
34
of
human
conception
are
expelled.
35
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4.
Funds
distributed
in
accordance
with
this
section
shall
1
not
be
used
for
direct
or
indirect
costs,
including
but
not
2
limited
to
administrative
costs
or
expenses,
overhead,
employee
3
salaries,
rent,
and
telephone
and
other
utility
costs,
related
4
to
providing
or
promoting
abortions
as
specified
in
this
5
section.
6
5.
The
department
of
public
health
shall
submit
a
report
to
7
the
governor
and
the
general
assembly,
annually
by
January
1,
8
listing
any
entities
that
received
funds
pursuant
to
subsection
9
1,
paragraph
“c”,
and
the
amount
and
type
of
funds
received
by
10
such
entities
during
the
preceding
calendar
year.
The
report
11
shall
provide
a
detailed
explanation
of
how
the
department
12
determined
that
distribution
of
funds
to
such
an
entity,
13
instead
of
to
an
entity
described
in
subsection
1,
paragraph
14
“a”
or
“b”,
was
necessary
to
prevent
severe
limitation
or
15
elimination
of
access
to
family
planning
services
in
the
region
16
of
the
state
where
the
entity
is
located.
17
Sec.
99.
ADMINISTRATION
OF
PERSONAL
RESPONSIBILITY
18
EDUCATION
PROGRAM
AND
SEXUAL
RISK
AVOIDANCE
EDUCATION
GRANT
19
PROGRAM
FUNDS.
20
1.
Any
contract
entered
into
on
or
after
July
1,
2019,
by
21
the
department
of
public
health
to
administer
the
personal
22
responsibility
education
program
as
specified
in
42
U.S.C.
23
§713
or
to
administer
the
sexual
risk
avoidance
education
24
grant
program
authorized
pursuant
to
section
510
of
Tit.
25
V
of
the
federal
Social
Security
Act,
42
U.S.C.
§710,
as
26
amended
by
section
50502
of
the
federal
Bipartisan
Budget
27
Act
of
2018,
Pub.
L.
No.
115-123,
and
as
further
amended
by
28
division
S,
Title
VII,
section
701
of
the
federal
Consolidated
29
Appropriations
Act
of
2018,
Pub.
L.
No.
115-141,
shall
exclude
30
as
an
eligible
applicant,
any
applicant
entity
that
performs
31
abortions,
promotes
abortions,
maintains
or
operates
a
32
facility
where
abortions
are
performed
or
promoted,
contracts
33
or
subcontracts
with
an
entity
that
performs
or
promotes
34
abortions,
becomes
or
continues
to
be
an
affiliate
of
any
35
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entity
that
performs
or
promotes
abortions,
or
regularly
makes
1
referrals
to
an
entity
that
provides
or
promotes
abortions
or
2
maintains
or
operates
a
facility
where
abortions
are
performed.
3
However,
the
prohibition
specified
in
this
section
shall
not
be
4
interpreted
to
include
a
nonpublic
entity
that
is
a
distinct
5
location
of
a
nonprofit
health
care
delivery
system,
if
the
6
distinct
location
provides
personal
responsibility
education
7
program
or
sexual
risk
avoidance
education
grant
program
8
services
but
does
not
perform
abortions
or
maintain
or
operate
9
as
a
facility
where
abortions
are
performed.
10
2.
The
department
of
public
health
shall
adopt
rules
11
pursuant
to
chapter
17A
to
require
that
as
a
condition
of
12
eligibility
as
an
applicant,
grantee,
grantee
contractor,
13
or
grantee
subcontractor
under
the
personal
responsibility
14
education
program
or
sexual
risk
avoidance
education
grant
15
program,
each
distinct
location
of
a
nonprofit
health
care
16
delivery
system
shall
be
assigned
a
distinct
identification
17
number
and
complete
an
attestation
that
abortions
are
not
18
performed
at
the
distinct
location.
19
3.
For
the
purposes
of
this
section,
“nonprofit
health
20
care
delivery
system”
means
an
Iowa
nonprofit
corporation
21
that
controls,
directly
or
indirectly,
a
regional
health
22
care
network
consisting
of
hospital
facilities
and
various
23
ambulatory
and
clinic
locations
that
provide
a
range
of
24
primary,
secondary,
and
tertiary
inpatient,
outpatient,
and
25
physician
services.
26
4.
For
the
purposes
of
this
section,
“abortion”
does
not
27
include
any
of
the
following:
28
a.
The
treatment
of
a
woman
for
a
physical
disorder,
29
physical
injury,
or
physical
illness,
including
a
30
life-endangering
physical
condition
caused
by
or
arising
from
31
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
32
place
the
woman
in
danger
of
death.
33
b.
The
treatment
of
a
woman
for
a
spontaneous
abortion,
34
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
35
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119
of
human
conception
are
expelled.
1
Sec.
100.
AWARD
OF
COMMUNITY
ADOLESCENT
PREGNANCY
2
PREVENTION
AND
SERVICES
PROGRAM
GRANT
FUNDS.
3
1.
Any
contract
entered
into
on
or
after
July
1,
2019,
4
by
the
department
of
human
services
to
award
a
community
5
adolescent
pregnancy
prevention
and
services
program
grant
6
using
federal
temporary
assistance
for
needy
families
block
7
grant
funds
appropriated
to
the
department
shall
exclude
8
from
eligibility
any
applicant,
grantee,
grantee
contractor,
9
or
grantee
subcontractor
that
performs
abortions,
promotes
10
abortions,
maintains
or
operates
a
facility
where
abortions
are
11
performed
or
promoted,
contracts
or
subcontracts
with
an
entity
12
that
performs
or
promotes
abortions,
becomes
or
continues
to
be
13
an
affiliate
of
any
entity
that
performs
or
promotes
abortions,
14
or
regularly
makes
referrals
to
an
entity
that
provides
or
15
promotes
abortions
or
maintains
or
operates
a
facility
where
16
abortions
are
performed.
17
2.
The
eligibility
exclusion
specified
in
subsection
1
18
shall
not
be
interpreted
to
include
a
nonpublic
entity
that
19
is
a
distinct
location
of
a
nonprofit
health
care
delivery
20
system,
if
the
distinct
location
provides
community
adolescent
21
pregnancy
prevention
program
services
but
does
not
perform
22
abortions
or
maintain
or
operate
as
a
facility
where
abortions
23
are
performed.
24
3.
The
department
of
human
services
shall
adopt
rules
25
pursuant
to
chapter
17A
to
require
that
as
a
condition
of
26
eligibility
as
an
applicant,
grantee,
grantee
contractor,
27
or
grantee
subcontractor
under
the
adolescent
pregnancy
28
prevention
and
services
program,
each
distinct
location
of
29
a
nonprofit
health
care
delivery
system
shall
be
assigned
a
30
distinct
identification
number
and
complete
an
attestation
that
31
abortions
are
not
performed
at
the
distinct
location.
32
4.
For
the
purposes
of
this
section,
“nonprofit
health
33
care
delivery
system”
means
an
Iowa
nonprofit
corporation
34
that
controls,
directly
or
indirectly,
a
regional
health
35
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102/
119
care
network
consisting
of
hospital
facilities
and
various
1
ambulatory
and
clinic
locations
that
provide
a
range
of
2
primary,
secondary,
and
tertiary
inpatient,
outpatient,
and
3
physician
services.
4
5.
For
the
purposes
of
this
section,
“abortion”
does
not
5
include
any
of
the
following:
6
a.
The
treatment
of
a
woman
for
a
physical
disorder,
7
physical
injury,
or
physical
illness,
including
a
8
life-endangering
physical
condition
caused
by
or
arising
from
9
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
10
place
the
woman
in
danger
of
death.
11
b.
The
treatment
of
a
woman
for
a
spontaneous
abortion,
12
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
13
of
human
conception
are
expelled.
14
Sec.
101.
SEVERABILITY.
If
any
provision
of
this
division
15
of
this
Act
or
the
application
of
this
division
of
this
Act
to
16
any
person
or
circumstances
is
held
invalid,
the
invalidity
17
shall
not
affect
other
provisions
or
applications
of
this
18
division
of
this
Act
which
can
be
given
effect
without
the
19
invalid
provisions
or
application
and,
to
this
end,
the
20
provisions
of
this
division
of
this
Act
are
severable.
21
Sec.
102.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
22
deemed
of
immediate
importance,
takes
effect
upon
enactment.
23
DIVISION
XXIV
24
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
QUALITY
OF
CARE
25
RATE
ADD-ON
PROGRAM
26
Sec.
103.
Section
249L.2,
subsections
7
and
8,
Code
2019,
27
are
amended
to
read
as
follows:
28
7.
“Non-state
government-owned
nursing
facility”
means
a
29
nursing
facility
that
is
owned
or
operated
by
a
non-state
30
governmental
entity
and
for
which
a
non-state
governmental
31
entity
holds
the
nursing
facility’s
license
and
is
party
to
the
32
nursing
facility’s
Medicaid
contract.
33
8.
“Nursing
facility”
means
a
licensed
nursing
facility
as
34
defined
in
section
135C.1
that
is
a
freestanding
facility
or
35
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119
a
nursing
facility
operated
by
a
hospital
licensed
pursuant
1
to
chapter
135B
,
but
does
not
include
a
distinct-part
skilled
2
nursing
unit
or
a
swing-bed
unit
operated
by
a
hospital,
or
3
a
nursing
facility
owned
by
the
state
or
federal
government
4
or
other
governmental
unit.
“Nursing
facility”
includes
a
5
non-state
government-owned
nursing
facility
if
the
nursing
6
facility
participates
in
the
non-state
government-owned
nursing
7
facility
upper
payment
limit
alternative
payment
quality
of
8
care
rate
add-on
program.
9
Sec.
104.
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
10
QUALITY
OF
CARE
RATE
ADD-ON
PROGRAM.
11
1.
As
used
in
this
section,
unless
the
context
otherwise
12
requires:
13
a.
“Department”
means
the
department
of
human
services.
14
b.
“Intergovernmental
transfer”
means
a
transfer
of
15
state
share
funds
from
a
non-state
governmental
entity
to
the
16
department
of
human
services.
17
c.
“Non-state
governmental
entity”
or
“NSGE”
means
a
18
hospital
authority,
hospital
district,
health
care
district,
19
city,
or
county.
20
d.
“Non-state
government-owned
nursing
facility”
or
“NSGO
21
nursing
facility”
means
a
nursing
facility
that
is
owned
or
22
operated
by
a
non-state
governmental
entity
and
for
which
a
23
non-state
governmental
entity
holds
the
nursing
facility’s
24
license
and
is
party
to
the
nursing
facility’s
Medicaid
25
contract.
26
e.
“Program”
means
the
non-state
government-owned
nursing
27
facility
quality
of
care
rate
add-on
program
described
in
this
28
section.
29
f.
“Quality
of
care
rate
add-on
calculation
period”
means
30
the
fiscal
year
for
which
quality
of
care
rate
add-on
amounts
31
are
calculated
based
on
adjudicated
claims
for
days
of
service
32
provided.
33
g.
“Upper
payment
limit”
means
a
reasonable
estimate
of
34
the
amount
that
would
be
paid
for
the
services
furnished
by
a
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facility
under
Medicare
payment
principles.
1
2.
The
department
of
human
services
shall
submit
to
the
2
centers
for
Medicare
and
Medicaid
services
of
the
United
States
3
department
of
health
and
human
services
(CMS),
a
Medicaid
state
4
plan
amendment
to
allow
a
qualifying
NSGE
to
receive
a
quality
5
of
care
rate
add-on
in
accordance
with
the
upper
payment
limit
6
requirements
pursuant
to
42
C.F.R.
§447.272
and
managed
care
7
requirements
pursuant
to
42
C.F.R.
§438.6.
8
3.
The
Medicaid
state
plan
amendment
submitted
shall
9
provide
for
all
of
the
following:
10
a.
Purpose.
The
NSGO
nursing
facility
quality
of
care
rate
11
add-on
shall
be
made
to
a
qualified
NSGE
to
promote,
maintain,
12
and
improve
resident
quality
of
care
and
health
outcomes.
13
b.
Non-state
government-owned
nursing
facility
14
qualifications.
An
NSGO
nursing
facility
shall
qualify
for
15
participation
in
the
program
if
all
of
the
following
conditions
16
are
met:
17
(1)
The
NSGE
for
the
NSGO
nursing
facility
has
executed
a
18
participation
agreement
with
the
department.
19
(2)
The
NSGE
for
the
NSGO
nursing
facility
has
provided
20
proof
that
the
entity
holds
the
NSGO
nursing
facility’s
license
21
and
has
complete
operational
responsibility
for
the
NSGO
22
nursing
facility.
23
(3)
The
NSGE
for
the
NSGO
nursing
facility
has
filed
a
24
certification
of
eligibility
application
for
the
quality
of
25
care
rate
add-on
program
with
the
department
and
has
received
26
approval
from
the
department
for
participation
in
the
program.
27
(4)
The
NSGO
nursing
facility
is
an
active
participant
28
in
established
Medicaid
managed
care
value-based
purchasing
29
programs
and
initiatives
in
the
state.
30
(5)
The
NSGO
nursing
facility
and
the
NSGE
for
the
31
NSGO
nursing
facility
are
in
compliance
with
care
criteria
32
requirements.
33
c.
NSGE
participation
requirements.
An
NSGE
shall
qualify
34
for
participation
in
the
program
if
all
of
the
following
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conditions
are
met:
1
(1)
The
NSGE
has
executed
a
nursing
facility
provider
2
contract
with
an
NSGO
nursing
facility.
3
(2)
The
NSGE
has
provided,
and
identified
the
source
of,
4
state
share
dollars
for
the
intergovernmental
transfer.
5
(3)
The
NSGE
has
provided
proof
of
ownership,
if
applicable,
6
as
the
licensed
operator
of
the
NSGO
nursing
facility.
7
(4)
The
NSGE
has
provided,
to
the
department,
an
executed
8
management
agreement
between
the
NSGE
and
the
NSGO
nursing
9
facility
manager.
10
d.
Care
criteria
requirements.
A
participating
NSGO
11
nursing
facility
shall
comply
with
all
of
the
following
care
12
criteria
quality
metrics,
shall
adhere
to
all
of
the
following
13
performance
measures
to
improve
the
quality
of
care
delivered
14
to
residents
and
to
improve
efficiency
and
care
avoidance
costs
15
for
the
overall
Medicaid
program,
and
shall
do
all
of
the
16
following:
17
(1)
Develop
a
written
action
plan
that
includes
18
satisfaction
survey
results,
an
analysis
of
the
satisfaction
19
survey
results
with
identification
of
areas
in
need
of
20
improvement,
and
a
process
for
addressing
areas
in
need
of
21
improvement.
22
(2)
Develop
and
implement,
within
six
months
of
23
commencement
of
participation
in
the
program,
a
written
plan
24
for
the
mitigation
of
unnecessary
inpatient
admissions
within
25
30
days
of
a
nursing
facility
discharge.
The
written
plan
26
shall
include
or
address
all
of
the
following:
27
(a)
The
inpatient
admission
management
tool
which
28
identifies
those
residents
at
high
risk
for
the
potential
29
return
to
acute
care.
30
(b)
The
tools
to
support
effective
communications.
31
(c)
Advance
directive
planning
and
implementation.
32
(d)
Application
of
a
quality
assurance
and
program
33
integrity
methodology
to
provide
a
root
cause
analysis
and
34
identify
teaching
needs.
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(3)
Develop
and
implement
a
written
plan
providing
for
a
1
proactive
pneumonia
and
influenza
vaccination
program
which
2
shall
improve
vaccination
scores
above
the
national
average,
3
as
measured
using
CMS
quality
metrics.
The
written
plan
shall
4
include
all
of
the
following:
5
(a)
The
latest
available
three-quarter
average
of
both
the
6
CMS
measure
for
the
percent
of
long-stay
residents
assessed
and
7
appropriately
given
the
seasonal
influenza
vaccine
and
of
the
8
CMS
measure
for
the
percentage
of
long-stay
residents
assessed
9
and
appropriately
given
the
pneumococcal
vaccine,
to
establish
10
a
baseline.
11
(b)
The
current
measure
code
score
for
the
CMS
measures
12
described
in
subparagraph
division
(a).
13
(c)
A
written
plan
for
an
influenza
and
pneumonia
14
vaccination
program
to
address
new
admissions
and
current
15
residents.
16
(4)
Elevate
healthy
aging
in
the
state
by
implementing
17
a
plan
that
accomplishes
at
least
one
of
the
following
18
strategies:
19
(a)
Prevention
and
reduction
of
falls.
20
(b)
Improved
nutrition.
21
(c)
Increased
physical
activity.
22
(d)
Reduction
in
the
incidence
of
depression.
23
(5)
Demonstrate
improvement
above
the
facility-specific
24
baseline
in
the
CMS
five-star
quality
measures
composite
25
scoring.
Metrics
shall
be
determined
based
upon
the
CMS
26
nursing
home
compare
composite
score
over
the
preceding
27
twelve-month
period.
28
(a)
A
participating
NSGO
nursing
facility
shall
provide
the
29
most
recent
three-quarter
average
of
the
CMS
quality
measure
30
star
rating
to
establish
a
baseline.
31
(b)
A
participating
NSGO
nursing
facility
shall
have
a
star
32
rating
of
three
or
better
or
must
demonstrate
improvement
over
33
the
previous
quarter
with
no
two
quarters
below
three
stars
to
34
participate
in
the
program.
35
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(c)
A
participating
NSGO
nursing
facility
with
a
quality
1
measure
star
rating
of
three
or
better
for
the
most
recent
2
quarter
or
that
demonstrates
improvement
in
composite
scoring
3
with
no
two
quarters
consistently
below
a
three-star
rating,
4
shall
be
deemed
to
have
met
the
care
criteria.
5
e.
Quality
of
care
rate
add-on.
6
(1)
The
nursing
facility
quality
of
care
rate
add-on
7
provided
to
a
participating
NSGE
under
the
program
shall
not
8
exceed
Medicare
payment
principles
pursuant
to
42
C.F.R.
9
§447.272
and
shall
be
calculated
pursuant
to
42
C.F.R.
§438.6.
10
The
quality
of
care
rate
add-on
shall
be
calculated
and
paid
11
as
follows:
12
(a)
The
methodology
utilized
to
calculate
the
upper
13
payment
limit
shall
be
based
on
the
data
available
during
the
14
calculation
period.
15
(b)
The
eligible
amount
used
in
determining
the
quality
16
of
care
rate
add-on
shall
be
the
difference
between
the
state
17
Medicaid
payment
and
the
Medicare
upper
payment
limit
as
18
determined,
based
on
compliance
with
the
care
criteria
metrics,
19
on
an
annual
basis.
20
(c)
The
difference
calculated
under
subparagraph
division
21
(b)
shall
be
divided
by
total
patient
days
as
determined
under
22
subparagraph
division
(b).
23
(d)
The
quality
of
care
rate
add-on
shall
be
paid
24
prospectively.
25
(2)
The
amount
of
the
quality
of
care
rate
add-on
shall
26
be
associated
with
improvement
in
care
of
Medicaid
nursing
27
facility
residents
in
the
state
as
demonstrated
through
the
28
specified
care
criteria.
A
participating
NSGE
shall
receive
29
payment
under
the
program
based
on
earned
percentages
related
30
to
the
care
criteria.
A
participating
NSGE
shall
meet
or
31
exceed
at
least
two
of
the
five
established
care
criteria
32
metrics
to
be
eligible
for
the
rate
add-on
payment
for
each
33
quarter.
After
at
least
two
of
the
five
metrics
have
been
met,
34
the
participating
NSGE
shall
be
eligible
for
seventy
percent
35
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of
the
total
eligible
quality
of
care
rate
add-on
amount
for
a
1
participating
NSGO
nursing
facility.
The
participating
NSGE
2
may
qualify
for
the
remaining
thirty
percent
of
the
total
3
eligible
quality
of
care
rate
add-on
amount,
by
attribution
4
in
ten
percent
increments,
for
each
additional
care
criterion
5
that
is
met
up
to
the
full
one
hundred
percent
of
the
eligible
6
quality
of
care
rate
add-on
amount.
7
f.
Change
of
ownership.
8
(1)
A
participating
NSGO
nursing
facility
shall
notify
9
the
department
of
any
change
of
ownership
that
may
affect
the
10
participating
NSGO
nursing
facility’s
continued
eligibility
for
11
the
program,
within
thirty
days
after
such
change.
12
(2)
If
a
participating
NSGO
nursing
facility
changes
13
ownership
on
or
after
the
first
day
of
the
quality
of
care
14
rate
add-on
calculation
period,
the
data
used
for
calculations
15
shall
include
data
from
the
participating
NSGO
nursing
facility
16
for
the
entire
quality
of
care
rate
add-on
calculation
period
17
relating
to
payments
for
days
of
service
provided
under
the
18
prior
owner,
prorated
to
reflect
only
the
number
of
calendar
19
days
during
the
calculation
period
that
the
participating
NSGO
20
nursing
facility
is
owned
by
the
new
owner.
21
g.
Payment
to
participating
NSGO
nursing
facilities.
A
22
participating
NSGO
nursing
facility
shall
secure
allowable
23
intergovernmental
transfer
funds
from
a
participating
NSGE
24
to
provide
the
state
share
amount.
The
process
for
the
25
intergovernmental
transfer
shall
comply
with
the
following:
26
(1)
The
department,
or
the
department’s
designee,
shall
27
notify
the
participating
NSGE
of
the
state
share
amount
to
be
28
transferred
in
the
form
of
an
intergovernmental
transfer
for
29
purposes
of
seeking
federal
financial
participation
for
the
30
rate
add-on
payment,
within
twenty-five
business
days
after
31
the
end
of
a
quarter.
The
amount
shall
reflect
the
percentage
32
of
metrics
achieved
under
the
care
criteria
requirement.
The
33
participating
NSGE
shall
have
five
business
days
from
the
34
date
of
receipt
of
the
departmental
notification
to
sign
the
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participation
agreement
and
remit
payment
of
the
state
share
1
amount
in
the
form
of
an
intergovernmental
transfer
to
the
2
department
or
the
department’s
designee.
3
(2)
If
the
total
intergovernmental
transfer
amount
is
4
received
by
the
department
or
the
department’s
designee
within
5
the
five
business
days
as
specified,
the
quality
of
care
rate
6
add-on
shall
be
included
in
the
current
quarter
per
diem
rate
7
calculation
for
the
participating
NSGO
nursing
facility.
8
h.
Penalties
and
adjustments.
Failure
by
a
participating
9
NSGE
to
remit
the
full
intergovernmental
transfer
amount
or
10
the
correct
amount
as
indicated
by
the
department
or
the
11
department’s
designee
within
the
following
defined
time
frames
12
indicates
the
participating
NSGE
has
voluntarily
elected
to
13
withdraw
from
program
participation
for
that
current
quarter
14
and
must
reapply
for
participation
in
the
program
in
any
15
subsequent
quarter.
All
of
the
following
shall
apply
when
16
determining
the
application
of
penalties
and
adjustments:
17
(1)
The
total
amount
of
the
intergovernmental
transfer
18
must
be
received
from
the
participating
NSGE
by
the
department
19
or
the
department’s
designee
within
five
business
days
from
20
receipt
by
the
participating
NSGE
of
notification
from
the
21
department
or
the
department’s
designee
of
the
state
share
22
amount.
23
(a)
Receipt
of
the
total
intergovernmental
transfer
amount
24
by
the
department
or
the
department’s
designee
within
five
25
business
days
is
not
subject
to
penalty.
26
(b)
The
date
of
receipt
of
notification
of
the
state
27
share
amount
by
the
participating
NSGE
from
the
department
or
28
the
department’s
designee
is
the
official
reference
date
in
29
measuring
the
commencement
of
the
five
business
days.
30
(2)
Any
intergovernmental
transfer
amount
received
by
31
the
department
or
the
department’s
designee
after
the
fifth
32
business
day
as
specified,
but
with
a
date
stamp
or
mailing
33
postal
mark
indicating
a
date
on
or
prior
to
five
business
34
days
from
the
date
of
notification
by
the
department
or
the
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department’s
designee
of
the
state
share
amount,
shall
not
be
1
subject
to
penalty.
2
(3)
(a)
Any
intergovernmental
transfer
amount
received
by
3
the
department
or
the
department’s
designee
after
the
fifth
4
business
day
as
specified,
but
with
a
date
stamp
or
postal
mark
5
indicating
a
date
after
five
business
days
but
not
exceeding
6
eight
business
days
from
the
date
of
notification
by
the
7
department
or
the
department’s
designee
of
the
state
share
8
amount,
shall
be
deemed
late
and
the
participating
NSGE
shall
9
receive
the
quality
of
care
rate
add-on,
including
an
assessed
10
penalty
of
five
percent,
based
on
the
total
intergovernmental
11
transfer
payments
received
during
the
late
period.
The
five
12
percent
penalty
shall
be
applied
to
the
quality
of
care
rate
13
add-on
for
the
quarter
in
which
the
intergovernmental
transfer
14
amount
is
late.
15
(b)
The
department
shall
notify
the
participating
NSGE
of
16
the
assessed
penalty
in
writing.
If
the
participating
NSGE
17
fails
to
pay
the
department
or
the
department’s
designee
the
18
assessed
penalty
within
the
time
frame
noted
on
the
written
19
notice
to
the
participating
NSGE,
the
assessed
penalty
shall
be
20
deducted
in
accordance
with
the
state
Medicaid
fee-for-service
21
recoupment
process.
The
penalty
shall
be
paid
regardless
22
of
any
appeal
requested
by
the
participating
NSGE.
If
an
23
appeal
results
in
a
decision
to
disallow
a
portion
of
or
the
24
entire
assessed
penalty,
reimbursement
to
the
participating
25
NSGE
shall
be
made
as
part
of
future
Medicaid
payments
to
the
26
participating
NSGO
nursing
facility.
27
(4)
If
a
participating
NSGO
nursing
facility
fails
to
28
achieve,
at
a
minimum,
two
of
the
required
care
criteria
29
metrics
for
two
consecutive
quarters,
the
participating
NSGO
30
nursing
facility
shall
be
suspended
from
participation
in
the
31
program
for
two
subsequent
quarters.
An
NSGO
nursing
facility
32
that
has
been
suspended
for
a
total
of
four
quarters
within
a
33
two-year
period
due
to
noncompliance
with
the
required
care
34
criteria
shall
be
terminated
from
the
program,
and
shall
be
35
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119
required
to
reapply
for
approval
to
participate
at
a
subsequent
1
time.
Readmittance
into
the
program
is
at
the
sole
discretion
2
of
the
department,
taking
into
consideration
input
from
3
stakeholders.
If
the
NSGO
nursing
facility
is
subsequently
4
readmitted
to
the
program,
terms
of
participation
may
include
a
5
probationary
period
with
defined
requirements
related
to
care.
6
4.
The
quality
of
care
rate
add-on
shall
only
be
implemented
7
upon
receipt
by
the
department
of
approval
of
the
Medicaid
8
state
plan
amendment
by
CMS,
and
if
such
approval
is
received,
9
the
rate
add-on
is
applicable
no
earlier
than
the
first
day
10
of
the
calendar
quarter
following
the
date
of
receipt
of
such
11
approval.
12
Sec.
105.
REPEAL.
2016
Iowa
Acts,
chapter
1139,
sections
13
80,
81,
82,
83,
and
84,
are
repealed.
14
Sec.
106.
REPEAL.
2017
Iowa
Acts,
chapter
174,
sections
15
113,
114,
115,
and
116,
are
repealed.
16
Sec.
107.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
17
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
18
enactment.
19
Sec.
108.
IMPLEMENTATION
PROVISIONS.
20
1.
The
section
of
this
division
of
this
Act
directing
the
21
department
of
human
services
to
submit
a
Medicaid
state
plan
22
amendment
to
CMS
shall
be
implemented
as
soon
as
possible
23
following
enactment,
consistent
with
all
applicable
federal
24
requirements.
25
2.
The
section
of
this
division
of
this
Act
amending
26
section
249L.2,
shall
only
be
implemented
upon
receipt
by
27
the
department
of
human
services
of
approval
of
the
Medicaid
28
state
plan
amendment
by
CMS,
and
if
such
approval
is
received,
29
is
applicable
no
earlier
than
the
first
day
of
the
calendar
30
quarter
following
the
date
of
receipt
of
such
approval.
31
DIVISION
XXV
32
PREPARATION
FOR
ADULT
LIVING
PROGRAM
33
Sec.
109.
Section
234.46,
subsection
1,
paragraph
b,
Code
34
2019,
is
amended
to
read
as
follows:
35
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119
b.
The
person
is
age
eighteen,
nineteen,
or
twenty
,
1
twenty-one,
or
twenty-two
.
2
DIVISION
XXVI
3
CHILDREN’S
BEHAVIORAL
HEALTH
SYSTEM
STATE
BOARD
4
Sec.
110.
Section
225C.51,
if
enacted
by
2019
Iowa
Acts,
5
House
File
690,
section
8,
is
amended
to
read
as
follows:
6
SEC.
8.
NEW
SECTION
.
225C.51
Children’s
behavioral
health
7
system
state
board.
8
1.
A
children’s
behavioral
health
system
state
board
9
is
created
as
the
state
body
to
provide
guidance
on
the
10
implementation
and
management
of
a
children’s
behavioral
health
11
system
for
the
provision
of
services
to
children
with
a
serious
12
emotional
disturbance.
The
state
board’s
public
voting
members
13
shall
be
appointed
to
four-year
staggered
terms
by
the
governor
14
and
are
subject
to
confirmation
by
the
senate.
All
other
15
state
board
voting
members
shall
be
appointed
to
four-year
16
staggered
terms
and
are
not
subject
to
confirmation
by
the
17
senate.
State
board
members
shall
be
appointed
on
the
basis
of
18
interest
and
experience
in
the
fields
of
children’s
behavioral
19
health
to
ensure
adequate
representation
from
persons
with
life
20
experiences
and
from
persons
knowledgeable
about
children’s
21
behavioral
health
services.
The
department
shall
provide
22
support
to
the
state
board,
and
the
board
may
utilize
staff
23
support
and
other
assistance
provided
to
the
state
board
by
24
other
persons.
The
state
board
shall
meet
at
least
four
times
25
per
year.
The
membership
of
the
state
board
shall
consist
of
26
the
following
persons
who,
at
the
time
of
appointment
to
the
27
state
board,
are
active
members
of
the
indicated
groups
:
28
a.
The
director
of
the
department
of
human
services
or
the
29
director’s
designee.
30
b.
The
director
of
the
department
of
education
or
the
31
director’s
designee.
32
c.
The
director
of
the
department
of
public
health
or
the
33
director’s
designee.
34
d.
The
director
of
workforce
development
or
the
director’s
35
-113-
H1323.2512
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88
pf/rn
113/
119
designee.
1
e.
A
member
of
the
mental
health
and
disability
services
2
commission.
3
e.
f.
Members
appointed
by
the
governor
who
are
active
4
members
of
each
of
the
indicated
groups:
5
(1)
One
member
shall
be
selected
from
nominees
submitted
by
6
the
state
court
administrator.
7
f.
(2)
One
member
shall
be
selected
from
nominees
submitted
8
by
the
early
childhood
Iowa
office
in
the
department
of
9
management.
10
g.
One
member
shall
be
a
member
of
the
mental
health
and
11
disability
services
commission.
12
h.
(3)
One
member
shall
be
a
board
member
or
an
employee
of
13
a
provider
of
mental
health
services
to
children.
14
i.
(4)
One
member
shall
be
a
board
member
or
an
employee
of
15
a
provider
of
child
welfare
services.
16
j.
(5)
One
member
shall
be
an
administrator
of
an
area
17
education
agency.
18
k.
(6)
One
member
shall
be
an
educator,
counselor,
or
19
administrator
of
a
school
district.
20
l.
(7)
One
member
shall
be
a
representative
of
an
21
established
advocacy
organization
whose
mission
or
purpose
it
22
is,
in
part,
to
further
goals
related
to
children’s
mental
23
health.
24
m.
(8)
One
member
shall
be
a
parent
or
guardian
of
a
child
25
currently
utilizing
or
who
has
utilized
behavioral
health
26
services.
27
n.
(9)
One
member
shall
be
a
sheriff.
28
o.
(10)
One
member
shall
be
a
pediatrician.
29
p.
(11)
One
member
shall
be
a
representative
from
a
health
30
care
system.
31
q.
(12)
One
member
shall
be
a
chief
executive
officer
of
a
32
mental
health
and
disability
services
region.
33
r.
f.
In
addition
to
the
voting
members,
the
membership
34
shall
include
four
members
of
the
general
assembly
with
one
35
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H1323.2512
(4)
88
pf/rn
114/
119
member
designated
by
each
of
the
following:
the
majority
1
leader
of
the
senate,
the
minority
leader
of
the
senate,
the
2
speaker
of
the
house
of
representatives,
and
the
minority
3
leader
of
the
house
of
representatives.
A
legislative
member
4
serves
for
a
term
as
provided
in
section
69.16B
in
a
nonvoting,
5
ex
officio
capacity
and
is
not
eligible
for
per
diem
and
6
expenses
as
provided
in
section
2.10.
7
2.
Members
appointed
by
the
governor
shall
serve
four-year
8
staggered
terms
and
are
subject
to
confirmation
by
the
senate.
9
The
four-year
terms
shall
begin
and
end
as
provided
in
section
10
69.19.
Vacancies
on
the
state
board
shall
be
filled
as
11
provided
in
section
2.32.
A
member
shall
not
be
appointed
for
12
more
than
two
consecutive
four-year
terms.
13
3.
The
director
of
the
department
of
human
services
and
the
14
director
of
the
department
of
education,
or
their
designees,
15
shall
serve
as
co-chairpersons
of
the
state
board.
Board
16
members
shall
not
be
entitled
to
a
per
diem
as
specified
in
17
section
7E.6
and
shall
not
be
entitled
to
actual
and
necessary
18
expenses
incurred
while
engaged
in
their
official
duties.
19
DIVISION
XXVII
20
PRIOR
YEAR
CARRYFORWARD
PROVISIONS
21
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND
ACCOUNT
22
Sec.
111.
2017
Iowa
Acts,
chapter
174,
section
47,
is
23
amended
by
adding
the
following
new
subsection:
24
NEW
SUBSECTION
.
7.
Notwithstanding
section
8.33,
moneys
25
appropriated
in
this
section
that
remain
unencumbered
or
26
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
27
but
shall
remain
available
for
expenditure
for
the
purposes
28
designated,
and
may
be
transferred
to
the
appropriations
made
29
in
this
division
of
this
Act
for
general
administration
and
30
field
operations
for
technology
needs
including
the
eligibility
31
integrated
applications
solutions
(ELIAS)
project,
or
may
be
32
transferred
to
the
appropriations
made
in
this
division
of
this
33
Act
for
the
juvenile
institution,
the
mental
health
institutes,
34
or
the
state
resource
centers,
to
be
used
for
the
purposes
of
35
-115-
H1323.2512
(4)
88
pf/rn
115/
119
those
appropriations,
until
the
close
of
the
succeeding
fiscal
1
year.
2
STATE
RESOURCE
CENTERS
3
Sec.
112.
2017
Iowa
Acts,
chapter
174,
section
63,
is
4
amended
by
adding
the
following
new
subsection:
5
NEW
SUBSECTION
.
6.
Notwithstanding
section
8.33,
and
6
notwithstanding
the
amount
limitation
specified
in
section
7
222.92,
moneys
appropriated
in
this
section
that
remain
8
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
9
shall
not
revert
but
shall
remain
available
for
expenditure
10
for
the
purposes
designated,
including
year-end
purchases
and
11
technology
needs,
and
may
be
transferred
to
the
appropriations
12
made
in
this
division
of
this
Act
for
the
juvenile
institution
13
or
the
mental
health
institutes,
to
be
used
for
the
purposes
of
14
those
appropriations,
until
the
close
of
the
succeeding
fiscal
15
year.
16
FIELD
OPERATIONS
17
Sec.
113.
2017
Iowa
Acts,
chapter
174,
section
65,
as
18
amended
by
2018
Iowa
Acts,
chapter
1165,
section
35,
is
amended
19
to
read
as
follows:
20
SEC.
65.
FIELD
OPERATIONS.
There
is
appropriated
from
the
21
general
fund
of
the
state
to
the
department
of
human
services
22
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
23
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
24
to
be
used
for
the
purposes
designated:
25
For
field
operations,
including
salaries,
support,
26
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
27
the
following
full-time
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,074,517
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,539.00
30
Priority
in
filling
full-time
equivalent
positions
shall
be
31
given
to
those
positions
related
to
child
protection
services
32
and
eligibility
determination
for
low-income
families.
33
Notwithstanding
section
8.33,
moneys
appropriated
in
34
this
section
that
remain
unencumbered
or
unobligated
at
the
35
-116-
H1323.2512
(4)
88
pf/rn
116/
119
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
1
available
for
expenditure
for
the
purposes
designated,
2
including
for
technology
needs,
personal
computer
replacements,
3
and
accelerated
hiring,
and
may
be
transferred
to
the
4
appropriations
made
in
this
division
of
this
Act
for
the
5
juvenile
institution,
the
mental
health
institutes,
or
the
6
state
resource
centers,
to
be
used
for
the
purposes
of
those
7
appropriations,
until
the
close
of
the
succeeding
fiscal
year.
8
GENERAL
ADMINISTRATION
9
Sec.
114.
2017
Iowa
Acts,
chapter
174,
section
66,
as
10
amended
by
2018
Iowa
Acts,
chapter
1165,
section
36,
is
amended
11
to
read
as
follows:
12
SEC.
66.
GENERAL
ADMINISTRATION.
13
1.
There
is
appropriated
from
the
general
fund
of
the
14
state
to
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
16
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purpose
designated:
18
For
general
administration,
including
salaries,
support,
19
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
20
the
following
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,833,040
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
23
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
24
be
used
to
continue
the
contract
for
the
provision
of
a
program
25
to
provide
technical
assistance,
support,
and
consultation
to
26
providers
of
habilitation
services
and
home
and
community-based
27
services
waiver
services
for
adults
with
disabilities
under
the
28
medical
assistance
program.
29
3.
Of
the
funds
appropriated
in
this
section,
$50,000
30
is
transferred
to
the
Iowa
finance
authority
to
be
used
31
for
administrative
support
of
the
council
on
homelessness
32
established
in
section
16.2D
and
for
the
council
to
fulfill
its
33
duties
in
addressing
and
reducing
homelessness
in
the
state.
34
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
35
-117-
H1323.2512
(4)
88
pf/rn
117/
119
be
transferred
to
and
deposited
in
the
administrative
fund
of
1
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
2
be
used
for
implementation
and
administration
activities
of
the
3
Iowa
ABLE
savings
plan
trust.
4
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
5
transferred
to
the
economic
development
authority
for
the
Iowa
6
commission
on
volunteer
services
to
continue
to
be
used
for
the
7
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
8
for
member
recruitment
and
training
to
improve
the
economic
9
well-being
and
health
of
economically
disadvantaged
refugees
in
10
local
communities
across
Iowa.
Funds
transferred
may
be
used
11
to
supplement
federal
funds
under
federal
regulations.
12
7.
Of
the
funds
appropriated
in
this
section,
$300,000
shall
13
be
used
to
contract
for
children’s
well-being
collaboratives
14
grants
for
the
development
and
implementation
of
children’s
15
well-being
collaboratives
to
establish
and
coordinate
16
prevention
and
early
intervention
services
to
promote
improved
17
mental
health
and
well-being
for
children
and
families,
as
18
enacted
in
2017
Iowa
Acts,
chapter
174,
section
88
.
19
8.
The
department
of
human
services
shall
submit
the
20
strategic
plan
to
create
and
implement
a
children’s
mental
21
health
system
submitted
to
the
governor
by
the
children’s
22
system
state
board
established
by
Executive
Order
Number
Two
23
issued
April
23,
2018,
to
the
general
assembly
by
November
15,
24
2018.
25
9.
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,
29
including
for
technology
needs
and
the
relocation
of
the
30
Iowa
Medicaid
enterprise,
and
may
be
transferred
to
the
31
appropriations
made
in
this
division
of
this
Act
for
the
32
juvenile
institution,
the
mental
health
institutes,
or
the
33
state
resource
centers,
to
be
used
for
the
purposes
of
those
34
appropriations,
until
the
close
of
the
succeeding
fiscal
year.
35
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pf/rn
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119
STATE
SUPPLEMENTARY
ASSISTANCE
1
Sec.
115.
2018
Iowa
Acts,
chapter
1165,
section
53,
2
subsection
4,
is
amended
to
read
as
follows:
3
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
4
this
section
that
remain
unencumbered
or
unobligated
at
the
5
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
6
available
for
expenditure
for
the
purposes
designated
,
7
including
for
technology
needs,
and
may
be
transferred
to
the
8
appropriations
made
in
this
division
of
this
Act
for
general
9
administration,
field
operations,
the
juvenile
institution,
the
10
mental
health
institutes,
or
the
state
resource
centers,
to
be
11
used
for
the
purposes
of
those
appropriations,
until
the
close
12
of
the
succeeding
fiscal
year.
13
Sec.
116.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
14
deemed
of
immediate
importance,
takes
effect
upon
enactment.
15
Sec.
117.
RETROACTIVE
APPLICABILITY.
This
division
of
this
16
Act
applies
retroactively
to
July
1,
2017.
17
DIVISION
XXVIII
18
VACCINE
AND
IMMUNIZATION
ADMINISTRATION
——
FUTURE
REPEAL
19
Sec.
118.
2018
Iowa
Acts,
chapter
1142,
section
8,
is
20
amended
to
read
as
follows:
21
SEC.
8.
FUTURE
REPEAL.
Section
155A.44
,
Code
2018,
is
22
repealed
effective
July
1,
2019
2020
.
23
Sec.
119.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
24
deemed
of
immediate
importance,
takes
effect
upon
enactment.
>>
25
______________________________
FRY
of
Clarke
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H1323.2512
(4)
88
pf/rn
119/
119