House File 766 S-3201 Amend House File 766, as amended, passed, and reprinted by 1 the House, as follows: 2 1. By striking everything after the enacting clause and 3 inserting: 4 < DIVISION I 5 DEPARTMENT ON AGING —— FY 2019-2020 6 Section 1. DEPARTMENT ON AGING. There is appropriated from 7 the general fund of the state to the department on aging for 8 the fiscal year beginning July 1, 2019, and ending June 30, 9 2020, the following amount, or so much thereof as is necessary, 10 to be used for the purposes designated: 11 For aging programs for the department on aging and area 12 agencies on aging to provide citizens of Iowa who are 60 years 13 of age and older with case management for frail elders, Iowa’s 14 aging and disabilities resource center, and other services 15 which may include but are not limited to adult day services, 16 respite care, chore services, information and assistance, 17 and material aid, for information and options counseling for 18 persons with disabilities who are 18 years of age or older, 19 and for salaries, support, administration, maintenance, and 20 miscellaneous purposes, and for not more than the following 21 full-time equivalent positions: 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 11,191,441 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 27.00 24 1. Funds appropriated in this section may be used to 25 supplement federal funds under federal regulations. To 26 receive funds appropriated in this section, a local area 27 agency on aging shall match the funds with moneys from other 28 sources according to rules adopted by the department. Funds 29 appropriated in this section may be used for elderly services 30 not specifically enumerated in this section only if approved 31 by an area agency on aging for provision of the service within 32 the area. 33 2. Of the funds appropriated in this section, $279,000 is 34 transferred to the economic development authority for the Iowa 35 -1- HF766.2072 (2) 88 pf/rn 1/ 88 #1.
commission on volunteer services to be used for the retired and 1 senior volunteer program. 2 3. a. The department on aging shall establish and enforce 3 procedures relating to expenditure of state and federal funds 4 by area agencies on aging that require compliance with both 5 state and federal laws, rules, and regulations, including but 6 not limited to all of the following: 7 (1) Requiring that expenditures are incurred only for goods 8 or services received or performed prior to the end of the 9 fiscal period designated for use of the funds. 10 (2) Prohibiting prepayment for goods or services not 11 received or performed prior to the end of the fiscal period 12 designated for use of the funds. 13 (3) Prohibiting prepayment for goods or services not 14 defined specifically by good or service, time period, or 15 recipient. 16 (4) Prohibiting the establishment of accounts from which 17 future goods or services which are not defined specifically by 18 good or service, time period, or recipient, may be purchased. 19 b. The procedures shall provide that if any funds are 20 expended in a manner that is not in compliance with the 21 procedures and applicable federal and state laws, rules, and 22 regulations, and are subsequently subject to repayment, the 23 area agency on aging expending such funds in contravention of 24 such procedures, laws, rules and regulations, not the state, 25 shall be liable for such repayment. 26 4. Of the funds appropriated in this section, at least 27 $600,000 shall be used to fund home and community-based 28 services through the area agencies on aging that enable older 29 individuals to avoid more costly utilization of residential or 30 institutional services and remain in their own homes. 31 5. Of the funds appropriated in this section, $812,000 shall 32 be used for the purposes of chapter 231E and to administer 33 the prevention of elder abuse, neglect, and exploitation 34 program pursuant to section 231.56A , in accordance with the 35 -2- HF766.2072 (2) 88 pf/rn 2/ 88
requirements of the federal Older Americans Act of 1965, 42 1 U.S.C. §3001 et seq., as amended. 2 6. Of the funds appropriated in this section, $1,000,000 3 shall be used to fund continuation of the aging and disability 4 resource center lifelong links to provide individuals and 5 caregivers with information and services to plan for and 6 maintain independence. 7 7. Of the funds appropriated in this section, $250,000 8 shall be used by the department on aging, in collaboration with 9 the department of human services and affected stakeholders, to 10 expand the pilot initiative to provide long-term care options 11 counseling utilizing support planning protocols, to assist 12 non-Medicaid eligible consumers who indicate a preference 13 to return to the community and are deemed appropriate for 14 discharge, to return to their community following a nursing 15 facility stay. The department on aging shall submit a report 16 regarding the outcomes of the pilot initiative to the governor 17 and the general assembly by December 15, 2019. 18 DIVISION II 19 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2019-2020 20 Sec. 2. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is 21 appropriated from the general fund of the state to the office 22 of long-term care ombudsman 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 purposes 25 designated: 26 For salaries, support, administration, maintenance, and 27 miscellaneous purposes, and for not more than the following 28 full-time equivalent positions: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,149,821 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.00 31 DIVISION III 32 DEPARTMENT OF PUBLIC HEALTH —— FY 2019-2020 33 Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriated 34 from the general fund of the state to the department of public 35 -3- HF766.2072 (2) 88 pf/rn 3/ 88
health for the fiscal year beginning July 1, 2019, and ending 1 June 30, 2020, the following amounts, or so much thereof as is 2 necessary, to be used for the purposes designated: 3 1. ADDICTIVE DISORDERS 4 For reducing the prevalence of the use of tobacco, alcohol, 5 and other drugs, and treating individuals affected by addictive 6 behaviors, including gambling, and for not more than the 7 following full-time equivalent positions: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25,110,000 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 10 a. (1) Of the funds appropriated in this subsection, 11 $4,021,000 shall be used for the tobacco use prevention 12 and control initiative, including efforts at the state and 13 local levels, as provided in chapter 142A . The commission 14 on tobacco use prevention and control established pursuant 15 to section 142A.3 shall advise the director of public health 16 in prioritizing funding needs and the allocation of moneys 17 appropriated for the programs and initiatives. Activities 18 of the programs and initiatives shall be in alignment with 19 the United States centers for disease control and prevention 20 best practices for comprehensive tobacco control programs that 21 include the goals of preventing youth initiation of tobacco 22 usage, reducing exposure to secondhand smoke, and promotion 23 of tobacco cessation. To maximize resources, the department 24 shall determine if third-party sources are available to 25 instead provide nicotine replacement products to an applicant 26 prior to provision of such products to an applicant under 27 the initiative. The department shall track and report to 28 the individuals specified in this Act, any reduction in 29 the provision of nicotine replacement products realized by 30 the initiative through implementation of the prerequisite 31 screening. 32 (2) (a) The department shall collaborate with the 33 alcoholic beverages division of the department of commerce for 34 enforcement of tobacco laws, regulations, and ordinances and to 35 -4- HF766.2072 (2) 88 pf/rn 4/ 88
engage in tobacco control activities approved by the division 1 of tobacco use prevention and control of the department of 2 public health as specified in the memorandum of understanding 3 entered into between the divisions. 4 (b) For the fiscal year beginning July 1, 2019, and ending 5 June 30, 2020, the terms of the memorandum of understanding, 6 entered into between the division of tobacco use prevention 7 and control of the department of public health and the 8 alcoholic beverages division of the department of commerce, 9 governing compliance checks conducted to ensure licensed retail 10 tobacco outlet conformity with tobacco laws, regulations, and 11 ordinances relating to persons under 18 years of age, shall 12 continue to restrict the number of such checks to one check per 13 retail outlet, and one additional check for any retail outlet 14 found to be in violation during the first check. 15 b. (1) Of the funds appropriated in this subsection, 16 $21,089,000 shall be used for problem gambling and 17 substance-related disorder prevention, treatment, and recovery 18 services, including a 24-hour helpline, public information 19 resources, professional training, youth prevention, and program 20 evaluation. 21 (2) Of the amount allocated under this paragraph, $306,000 22 shall be utilized by the department of public health, in 23 collaboration with the department of human services, to support 24 establishment and maintenance of a single statewide 24-hour 25 crisis hotline for the Iowa children’s behavioral health system 26 that incorporates warmline services which may be provided 27 through expansion of existing capabilities maintained by the 28 department of public health as required pursuant to 2018 Iowa 29 Acts, chapter 1056, section 16. 30 c. The requirement of section 123.17, subsection 5 , is met 31 by the appropriations and allocations made in this division of 32 this Act for purposes of substance-related disorder treatment 33 and addictive disorders for the fiscal year beginning July 1, 34 2019. 35 -5- HF766.2072 (2) 88 pf/rn 5/ 88
2. HEALTHY CHILDREN AND FAMILIES 1 For promoting the optimum health status for children and 2 adolescents from birth through 21 years of age, and families, 3 and for not more than the following full-time equivalent 4 positions: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,817,057 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 14.00 7 a. Of the funds appropriated in this subsection, not more 8 than $734,000 shall be used for the healthy opportunities for 9 parents to experience success (HOPES)-healthy families Iowa 10 (HFI) program established pursuant to section 135.106. The 11 funding shall be distributed to renew the grants that were 12 provided to the grantees that operated the program during the 13 fiscal year ending June 30, 2018. 14 b. In order to implement the legislative intent stated 15 in sections 135.106 and 256I.9 , priority for home visitation 16 program funding shall be given to programs using evidence-based 17 or promising models for home visitation. 18 c. Of the funds appropriated in this subsection, $3,075,000 19 shall be used for continuation of the department’s initiative 20 to provide for adequate developmental surveillance and 21 screening during a child’s first five years. The funds shall 22 be used first to fully fund the current sites to ensure that 23 the sites are fully operational, with the remaining funds 24 to be used for expansion to additional sites. The full 25 implementation and expansion shall include enhancing the scope 26 of the initiative through collaboration with the child health 27 specialty clinics to promote healthy child development through 28 early identification and response to both biomedical and social 29 determinants of healthy development; by monitoring child 30 health metrics to inform practice, document long-term health 31 impacts and savings, and provide for continuous improvement 32 through training, education, and evaluation; and by providing 33 for practitioner consultation particularly for children with 34 behavioral conditions and needs. The department of public 35 -6- HF766.2072 (2) 88 pf/rn 6/ 88
health shall also collaborate with the Iowa Medicaid enterprise 1 and the child health specialty clinics to integrate the 2 activities of the first five initiative into the establishment 3 of patient-centered medical homes, community utilities, 4 accountable care organizations, and other integrated care 5 models developed to improve health quality and population 6 health while reducing health care costs. To the maximum extent 7 possible, funding allocated in this paragraph shall be utilized 8 as matching funds for medical assistance program reimbursement. 9 d. Of the funds appropriated in this subsection, $64,000 10 shall be distributed to a statewide dental carrier to provide 11 funds to continue the donated dental services program patterned 12 after the projects developed by the lifeline network to provide 13 dental services to indigent individuals who are elderly or with 14 disabilities. 15 e. Of the funds appropriated in this subsection, $156,000 16 shall be used to provide audiological services and hearing aids 17 for children. 18 f. Of the funds appropriated in this subsection, $23,000 is 19 transferred to the university of Iowa college of dentistry for 20 provision of primary dental services to children. State funds 21 shall be matched on a dollar-for-dollar basis. The university 22 of Iowa college of dentistry shall coordinate efforts with the 23 department of public health, oral and health delivery system 24 bureau, to provide dental care to underserved populations 25 throughout the state. 26 g. Of the funds appropriated in this subsection, $50,000 27 shall be used to address youth suicide prevention. 28 h. Of the funds appropriated in this subsection, $40,000 29 shall be used to support the Iowa effort to address the survey 30 of children who experience adverse childhood experiences known 31 as ACEs. 32 i. Of the funds appropriated in this subsection, up to 33 $494,000 shall be used for childhood obesity prevention. 34 3. CHRONIC CONDITIONS 35 -7- HF766.2072 (2) 88 pf/rn 7/ 88
For serving individuals identified as having chronic 1 conditions or special health care needs, and for not more than 2 the following full-time equivalent positions: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,223,519 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 9.00 5 a. Of the funds appropriated in this subsection, $153,000 6 shall be used for grants to individual patients who have an 7 inherited metabolic disorder to assist with the costs of 8 medically necessary foods and formula. 9 b. Of the funds appropriated in this subsection, $1,055,000 10 shall be used for the brain injury services program pursuant 11 to section 135.22B, including $861,000 for contracting with an 12 existing nationally affiliated and statewide organization whose 13 purpose is to educate, serve, and support Iowans with brain 14 injury and their families, for resource facilitator services 15 in accordance with section 135.22B, subsection 9, and for 16 contracting to enhance brain injury training and recruitment 17 of service providers on a statewide basis. Of the amount 18 allocated in this paragraph, $95,000 shall be used to fund 19 one full-time equivalent position to serve as the state brain 20 injury services program manager. 21 c. Of the funds appropriated in this subsection, $144,000 22 shall be used for the public purpose of continuing to contract 23 with an existing nationally affiliated organization to provide 24 education, client-centered programs, and client and family 25 support for people living with epilepsy and their families. 26 The amount allocated in this paragraph in excess of $100,000 27 shall be matched dollar-for-dollar by the organization 28 specified. Funds allocated under this paragraph shall be 29 distributed in their entirety for the purpose specified on July 30 1, 2019. 31 d. Of the funds appropriated in this subsection, $809,000 32 shall be used for child health specialty clinics. 33 e. Of the funds appropriated in this subsection, $384,000 34 shall be used by the regional autism assistance program 35 -8- HF766.2072 (2) 88 pf/rn 8/ 88
established pursuant to section 256.35 , and administered by 1 the child health specialty clinic located at the university of 2 Iowa hospitals and clinics. The funds shall be used to enhance 3 interagency collaboration and coordination of educational, 4 medical, and other human services for persons with autism, 5 their families, and providers of services, including delivering 6 regionalized services of care coordination, family navigation, 7 and integration of services through the statewide system of 8 regional child health specialty clinics and fulfilling other 9 requirements as specified in chapter 225D . The university of 10 Iowa shall not receive funds allocated under this paragraph for 11 indirect costs associated with the regional autism assistance 12 program. 13 f. Of the funds appropriated in this subsection, $577,000 14 shall be used for the comprehensive cancer control program to 15 reduce the burden of cancer in Iowa through prevention, early 16 detection, effective treatment, and ensuring quality of life. 17 Of the funds allocated in this paragraph “f”, $150,000 shall 18 be used to support a melanoma research symposium, a melanoma 19 biorepository and registry, basic and translational melanoma 20 research, and clinical trials. 21 g. Of the funds appropriated in this subsection, $97,000 22 shall be used for cervical and colon cancer screening, and 23 $177,000 shall be used to enhance the capacity of the cervical 24 cancer screening program to include provision of recommended 25 prevention and early detection measures to a broader range of 26 low-income women. 27 h. Of the funds appropriated in this subsection, $506,000 28 shall be used for the center for congenital and inherited 29 disorders. 30 4. COMMUNITY CAPACITY 31 For strengthening the health care delivery system at the 32 local level, and for not more than the following full-time 33 equivalent positions: 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,094,677 35 -9- HF766.2072 (2) 88 pf/rn 9/ 88
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 1 a. Of the funds appropriated in this subsection, $95,000 2 is allocated for continuation of the child vision screening 3 program implemented through the university of Iowa hospitals 4 and clinics in collaboration with early childhood Iowa areas. 5 The program shall submit a report to the department regarding 6 the use of funds allocated under this paragraph “a”. The 7 report shall include the objectives and results for the 8 program year including the target population and how the funds 9 allocated assisted the program in meeting the objectives; the 10 number, age, and location within the state of individuals 11 served; the type of services provided to the individuals 12 served; the distribution of funds based on service provided; 13 and the continuing needs of the program. 14 b. Of the funds appropriated in this subsection, 15 $48,000 shall be used for a grant to a statewide association 16 of psychologists that is affiliated with the American 17 psychological association to be used for continuation of a 18 program to rotate intern psychologists in placements in urban 19 and rural mental health professional shortage areas. For the 20 purposes of this paragraph “b”, “mental health professional 21 shortage area” means a geographic area in this state that has 22 been designated by the United States department of health and 23 human services, health resources and services administration, 24 bureau of health professionals, as having a shortage of mental 25 health professionals. 26 c. Of the funds appropriated in this subsection, the 27 following amounts are allocated to be used as follows 28 to support the goals of increased access, health system 29 integration, and engagement: 30 (1) Not less than $600,000 is allocated to the Iowa 31 prescription drug corporation for continuation of the 32 pharmaceutical infrastructure for safety net providers as 33 described in 2007 Iowa Acts, chapter 218, section 108, and for 34 the prescription drug donation repository program created in 35 -10- HF766.2072 (2) 88 pf/rn 10/ 88
chapter 135M. Funds allocated under this subparagraph shall 1 be distributed in their entirety for the purpose specified on 2 July 1, 2019. 3 (2) Not less than $334,000 is allocated to free clinics and 4 free clinics of Iowa for necessary infrastructure, statewide 5 coordination, provider recruitment, service delivery, and 6 provision of assistance to patients in securing a medical home 7 inclusive of oral health care. Funds allocated under this 8 subparagraph shall be distributed in their entirety for the 9 purpose specified on July 1, 2019. 10 (3) Not less than $25,000 is allocated to the Iowa 11 association of rural health clinics for necessary 12 infrastructure and service delivery transformation. Funds 13 allocated under this subparagraph shall be distributed in their 14 entirety for the purpose specified on July 1, 2019. 15 (4) Not less than $225,000 is allocated to the Polk county 16 medical society for continuation of the safety net provider 17 patient access to specialty health care initiative as described 18 in 2007 Iowa Acts, chapter 218, section 109. Funds allocated 19 under this subparagraph shall be distributed in their entirety 20 for the purpose specified on July 1, 2019. 21 d. Of the funds appropriated in this subsection, $191,000 22 is allocated for the purposes of health care and public health 23 workforce initiatives. 24 e. Of the funds appropriated in this subsection, $96,000 25 shall be used for a matching dental education loan repayment 26 program to be allocated to a dental nonprofit health service 27 corporation to continue to develop the criteria and implement 28 the loan repayment program. 29 f. Of the funds appropriated in this subsection, $150,000 30 shall be used for the purposes of the Iowa donor registry as 31 specified in section 142C.18 . 32 g. Of the funds appropriated in this subsection, $96,000 33 shall be used for continuation of a grant to a nationally 34 affiliated volunteer eye organization that has an established 35 -11- HF766.2072 (2) 88 pf/rn 11/ 88
program for children and adults and that is solely dedicated to 1 preserving sight and preventing blindness through education, 2 nationally certified vision screening and training, and 3 community and patient service programs. The contractor shall 4 submit a report to the individuals identified in this Act for 5 submission of reports regarding the use of funds allocated 6 under this paragraph “g”. The report shall include the 7 objectives and results for the program year including the 8 target population and how the funds allocated assisted the 9 program in meeting the objectives; the number, age, grade level 10 if appropriate, and location within the state of individuals 11 served; the type of services provided to the individuals 12 served; the distribution of funds based on services provided; 13 and the continuing needs of the program. 14 h. Of the funds appropriated in this subsection, $2,000,000 15 shall be deposited in the medical residency training account 16 created in section 135.175, subsection 5, paragraph “a”, and 17 is appropriated from the account to the department of public 18 health to be used for the purposes of the medical residency 19 training state matching grants program as specified in section 20 135.176. 21 i. Of the funds appropriated in this subsection, $250,000 22 shall be used for the public purpose of providing funding to 23 Des Moines university to continue a provider education project 24 to provide primary care physicians with the training and skills 25 necessary to recognize the signs of mental illness in patients. 26 5. ESSENTIAL PUBLIC HEALTH SERVICES 27 To provide public health services that reduce risks and 28 invest in promoting and protecting good health over the 29 course of a lifetime with a priority given to older Iowans and 30 vulnerable populations: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,662,464 32 6. INFECTIOUS DISEASES 33 For reducing the incidence and prevalence of communicable 34 diseases, and for not more than the following full-time 35 -12- HF766.2072 (2) 88 pf/rn 12/ 88
equivalent positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,796,426 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 3 7. PUBLIC PROTECTION 4 For protecting the health and safety of the public through 5 establishing standards and enforcing regulations, and for not 6 more than the following full-time equivalent positions: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,093,383 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 142.00 9 a. Of the funds appropriated in this subsection, not more 10 than $304,000 shall be credited to the emergency medical 11 services fund created in section 135.25 . Moneys in the 12 emergency medical services fund are appropriated to the 13 department to be used for the purposes of the fund. 14 b. Of the funds appropriated in this subsection, up 15 to $243,000 shall be used for sexual violence prevention 16 programming through a statewide organization representing 17 programs serving victims of sexual violence through the 18 department’s sexual violence prevention program, and for 19 continuation of a training program for sexual assault 20 response team (SART) members, including representatives of 21 law enforcement, victim advocates, prosecutors, and certified 22 medical personnel. The amount allocated in this paragraph “b” 23 shall not be used to supplant funding administered for other 24 sexual violence prevention or victims assistance programs. 25 c. Of the funds appropriated in this subsection, up to 26 $500,000 shall be used for the state poison control center. 27 Pursuant to the directive under 2014 Iowa Acts, chapter 28 1140, section 102 , the federal matching funds available to 29 the state poison control center from the department of human 30 services under the federal Children’s Health Insurance Program 31 Reauthorization Act allotment shall be subject to the federal 32 administrative cap rule of 10 percent applicable to funding 33 provided under Tit. XXI of the federal Social Security Act and 34 included within the department’s calculations of the cap. 35 -13- HF766.2072 (2) 88 pf/rn 13/ 88
d. Of the funds appropriated in this subsection, up to 1 $504,000 shall be used for childhood lead poisoning provisions. 2 8. RESOURCE MANAGEMENT 3 For establishing and sustaining the overall ability of the 4 department to deliver services to the public, and for not more 5 than the following full-time equivalent positions: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 971,215 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 8 9. MISCELLANEOUS PROVISIONS 9 The university of Iowa hospitals and clinics under the 10 control of the state board of regents shall not receive 11 indirect costs from the funds appropriated in this section. 12 The university of Iowa hospitals and clinics billings to the 13 department shall be on at least a quarterly basis. 14 DIVISION IV 15 DEPARTMENT OF VETERANS AFFAIRS —— FY 2019-2020 16 Sec. 4. DEPARTMENT OF VETERANS AFFAIRS. There is 17 appropriated from the general fund of the state to the 18 department of veterans affairs for the fiscal year beginning 19 July 1, 2019, and ending June 30, 2020, the following amounts, 20 or so much thereof as is necessary, to be used for the purposes 21 designated: 22 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 23 For salaries, support, maintenance, and miscellaneous 24 purposes, and for not more than the following full-time 25 equivalent positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,225,500 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 28 2. IOWA VETERANS HOME 29 For salaries, support, maintenance, and miscellaneous 30 purposes: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,162,976 32 a. The Iowa veterans home billings involving the department 33 of human services shall be submitted to the department on at 34 least a monthly basis. 35 -14- HF766.2072 (2) 88 pf/rn 14/ 88
b. Within available resources and in conformance with 1 associated state and federal program eligibility requirements, 2 the Iowa veterans home may implement measures to provide 3 financial assistance to or on behalf of veterans or their 4 spouses who are participating in the community reentry program. 5 c. The Iowa veterans home expenditure report shall be 6 submitted monthly to the legislative services agency. 7 d. The Iowa veterans home shall continue to include in the 8 annual discharge report applicant information to provide for 9 the collection of demographic information including but not 10 limited to the number of individuals applying for admission and 11 admitted or denied admittance and the basis for the admission 12 or denial; the age, gender, and race of such individuals; 13 and the level of care for which such individuals applied for 14 admission including residential or nursing level of care. 15 3. HOME OWNERSHIP ASSISTANCE PROGRAM 16 For transfer to the Iowa finance authority for the 17 continuation of the home ownership assistance program for 18 persons who are or were eligible members of the armed forces of 19 the United States, pursuant to section 16.54 : 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,000,000 21 Sec. 5. LIMITATION OF COUNTY COMMISSIONS OF VETERAN AFFAIRS 22 FUND STANDING APPROPRIATIONS. Notwithstanding the standing 23 appropriation in section 35A.16 for the fiscal year beginning 24 July 1, 2019, and ending June 30, 2020, the amount appropriated 25 from the general fund of the state pursuant to that section 26 for the following designated purposes shall not exceed the 27 following amount: 28 For the county commissions of veteran affairs fund under 29 section 35A.16 : 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 990,000 31 DIVISION V 32 DEPARTMENT OF HUMAN SERVICES —— FY 2019-2020 33 Sec. 6. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 34 GRANT. There is appropriated from the fund created in section 35 -15- HF766.2072 (2) 88 pf/rn 15/ 88
8.41 to the department of human services for the fiscal year 1 beginning July 1, 2019, and ending June 30, 2020, from moneys 2 received under the federal temporary assistance for needy 3 families (TANF) block grant pursuant to the federal Personal 4 Responsibility and Work Opportunity Reconciliation Act of 1996, 5 Pub. L. No. 104-193, and successor legislation, the following 6 amounts, or so much thereof as is necessary, to be used for the 7 purposes designated: 8 1. To be credited to the family investment program account 9 and used for assistance under the family investment program 10 under chapter 239B : 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,524,006 12 2. To be credited to the family investment program account 13 and used for the job opportunities and basic skills (JOBS) 14 program and implementing family investment agreements in 15 accordance with chapter 239B : 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,412,060 17 3. To be used for the family development and 18 self-sufficiency grant program in accordance with section 19 216A.107 : 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,898,980 21 Notwithstanding section 8.33 , moneys appropriated in this 22 subsection that remain unencumbered or unobligated at the close 23 of the fiscal year shall not revert but shall remain available 24 for expenditure for the purposes designated until the close of 25 the succeeding fiscal year. However, unless such moneys are 26 encumbered or obligated on or before September 30, 2020, the 27 moneys shall revert. 28 4. For field operations: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 31,296,232 30 5. For general administration: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,744,000 32 6. For state child care assistance: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 47,166,826 34 a. Of the funds appropriated in this subsection, 35 -16- HF766.2072 (2) 88 pf/rn 16/ 88
$26,205,412 is transferred to the child care and development 1 block grant appropriation made by the Eighty-eighth General 2 Assembly, 2019 session, for the federal fiscal year beginning 3 October 1, 2019, and ending September 30, 2020. Of this 4 amount, $200,000 shall be used for provision of educational 5 opportunities to registered child care home providers in order 6 to improve services and programs offered by this category 7 of providers and to increase the number of providers. The 8 department may contract with institutions of higher education 9 or child care resource and referral centers to provide 10 the educational opportunities. Allowable administrative 11 costs under the contracts shall not exceed 5 percent. The 12 application for a grant shall not exceed two pages in length. 13 b. Any funds appropriated in this subsection remaining 14 unallocated shall be used for state child care assistance 15 payments for families who are employed including but not 16 limited to individuals enrolled in the family investment 17 program. 18 7. For child and family services: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 32,380,654 20 8. For child abuse prevention grants: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 125,000 22 9. For pregnancy prevention grants on the condition that 23 family planning services are funded: 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,913,203 25 Pregnancy prevention grants shall be awarded to programs 26 in existence on or before July 1, 2019, if the programs have 27 demonstrated positive outcomes. Grants shall be awarded to 28 pregnancy prevention programs which are developed after July 29 1, 2019, if the programs are based on existing models that 30 have demonstrated positive outcomes. Grants shall comply with 31 the requirements provided in 1997 Iowa Acts, chapter 208, 32 section 14, subsections 1 and 2 , including the requirement that 33 grant programs must emphasize sexual abstinence. Priority in 34 the awarding of grants shall be given to programs that serve 35 -17- HF766.2072 (2) 88 pf/rn 17/ 88
areas of the state which demonstrate the highest percentage of 1 unplanned pregnancies of females of childbearing age within the 2 geographic area to be served by the grant. 3 10. For technology needs and other resources necessary 4 to meet federal welfare reform reporting, tracking, and case 5 management requirements: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,037,186 7 11. a. Notwithstanding any provision to the contrary, 8 including but not limited to requirements in section 8.41 or 9 provisions in 2018 Iowa Acts or 2019 Iowa Acts regarding the 10 receipt and appropriation of federal block grants, federal 11 funds from the temporary assistance for needy families block 12 grant received by the state and not otherwise appropriated 13 in this section and remaining available for the fiscal year 14 beginning July 1, 2019, are appropriated to the department of 15 human services to the extent as may be necessary to be used in 16 the following priority order: the family investment program, 17 for state child care assistance program payments for families 18 who are employed, and for the family investment program share 19 of system costs for eligibility determination and related 20 functions. The federal funds appropriated in this paragraph 21 “a” shall be expended only after all other funds appropriated 22 in subsection 1 for assistance under the family investment 23 program, in subsection 6 for state child care assistance, or 24 in subsection 10 for technology costs related to the family 25 investment program, as applicable, have been expended. For 26 the purposes of this subsection, the funds appropriated in 27 subsection 6, paragraph “a”, for transfer to the child care 28 and development block grant appropriation are considered fully 29 expended when the full amount has been transferred. 30 b. The department shall, on a quarterly basis, advise the 31 legislative services agency and department of management of 32 the amount of funds appropriated in this subsection that was 33 expended in the prior quarter. 34 12. Of the amounts appropriated in this section, 35 -18- HF766.2072 (2) 88 pf/rn 18/ 88
$12,962,008 for the fiscal year beginning July 1, 2019, is 1 transferred to the appropriation of the federal social services 2 block grant made to the department of human services for that 3 fiscal year. 4 13. For continuation of the program providing categorical 5 eligibility for the food assistance program as specified 6 for the program in the section of this division of this Act 7 relating to the family investment program account: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 14,236 9 14. The department may transfer funds allocated in this 10 section to the appropriations made in this division of this Act 11 for the same fiscal year for general administration and field 12 operations for resources necessary to implement and operate the 13 services referred to in this section and those funded in the 14 appropriation made in this division of this Act for the same 15 fiscal year for the family investment program from the general 16 fund of the state. 17 15. With the exception of moneys allocated under this 18 section for the family development and self-sufficiency grant 19 program, to the extent moneys allocated in this section are 20 deemed by the department not to be necessary to support the 21 purposes for which they are allocated, such moneys may be 22 used in the same fiscal year for any other purpose for which 23 funds are allocated in this section or in section 8 of this 24 division for the family investment program account. If there 25 are conflicting needs, priority shall first be given to the 26 family investment program account as specified under subsection 27 1 of this section and used for the purposes of assistance under 28 the family investment program in accordance with chapter 239B , 29 followed by state child care assistance program payments for 30 families who are employed, followed by other priorities as 31 specified by the department. 32 Sec. 7. FAMILY INVESTMENT PROGRAM ACCOUNT. 33 1. Moneys credited to the family investment program (FIP) 34 account for the fiscal year beginning July 1, 2019, and 35 -19- HF766.2072 (2) 88 pf/rn 19/ 88
ending June 30, 2020, shall be used to provide assistance in 1 accordance with chapter 239B . 2 2. The department may use a portion of the moneys credited 3 to the FIP account under this section as necessary for 4 salaries, support, maintenance, and miscellaneous purposes. 5 3. The department may transfer funds allocated in 6 subsection 4, excluding the allocation under subsection 4, 7 paragraph “b”, to the appropriations made in this division of 8 this Act for the same fiscal year for general administration 9 and field operations for resources necessary to implement 10 and operate the services referred to in this section and 11 those funded in the appropriations made in section 7 for the 12 temporary assistance for needy families block grant and in 13 section 9 for the family investment program from the general 14 fund of the state in this division of this Act for the same 15 fiscal year. 16 4. Moneys appropriated in this division of this Act and 17 credited to the FIP account for the fiscal year beginning July 18 1, 2019, and ending June 30, 2020, are allocated as follows: 19 a. To be retained by the department of human services to 20 be used for coordinating with the department of human rights 21 to more effectively serve participants in FIP and other shared 22 clients and to meet federal reporting requirements under the 23 federal temporary assistance for needy families block grant: 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 20,000 25 b. To the department of human rights for staffing, 26 administration, and implementation of the family development 27 and self-sufficiency grant program in accordance with section 28 216A.107 : 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,192,834 30 (1) Of the funds allocated for the family development 31 and self-sufficiency grant program in this paragraph “b”, 32 not more than 5 percent of the funds shall be used for the 33 administration of the grant program. 34 (2) The department of human rights may continue to implement 35 -20- HF766.2072 (2) 88 pf/rn 20/ 88
the family development and self-sufficiency grant program 1 statewide during fiscal year 2019-2020. 2 (3) The department of human rights may engage in activities 3 to strengthen and improve family outcomes measures and 4 data collection systems under the family development and 5 self-sufficiency grant program. 6 c. For the diversion subaccount of the FIP account: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 815,000 8 A portion of the moneys allocated for the diversion 9 subaccount may be used for field operations, salaries, data 10 management system development, and implementation costs and 11 support deemed necessary by the director of human services 12 in order to administer the FIP diversion program. To the 13 extent moneys allocated in this paragraph “c” are deemed by the 14 department not to be necessary to support diversion activities, 15 such moneys may be used for other efforts intended to increase 16 engagement by family investment program participants in work, 17 education, or training activities, or for the purposes of 18 assistance under the family investment program in accordance 19 with chapter 239B . 20 d. For the food assistance employment and training program: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 66,588 22 (1) The department shall apply the federal supplemental 23 nutrition assistance program (SNAP) employment and training 24 state plan in order to maximize to the fullest extent permitted 25 by federal law the use of the 50 percent federal reimbursement 26 provisions for the claiming of allowable federal reimbursement 27 funds from the United States department of agriculture 28 pursuant to the federal SNAP employment and training program 29 for providing education, employment, and training services 30 for eligible food assistance program participants, including 31 but not limited to related dependent care and transportation 32 expenses. 33 (2) The department shall continue the categorical federal 34 food assistance program eligibility at 160 percent of the 35 -21- HF766.2072 (2) 88 pf/rn 21/ 88
federal poverty level and continue to eliminate the asset test 1 from eligibility requirements, consistent with federal food 2 assistance program requirements. The department shall include 3 as many food assistance households as is allowed by federal 4 law. The eligibility provisions shall conform to all federal 5 requirements including requirements addressing individuals who 6 are incarcerated or otherwise ineligible. 7 e. For the JOBS program: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,018,258 9 5. Of the child support collections assigned under FIP, 10 an amount equal to the federal share of support collections 11 shall be credited to the child support recovery appropriation 12 made in this division of this Act. Of the remainder of the 13 assigned child support collections received by the child 14 support recovery unit, a portion shall be credited to the FIP 15 account, a portion may be used to increase recoveries, and a 16 portion may be used to sustain cash flow in the child support 17 payments account. If as a consequence of the appropriations 18 and allocations made in this section the resulting amounts 19 are insufficient to sustain cash assistance payments and meet 20 federal maintenance of effort requirements, the department 21 shall seek supplemental funding. If child support collections 22 assigned under FIP are greater than estimated or are otherwise 23 determined not to be required for maintenance of effort, the 24 state share of either amount may be transferred to or retained 25 in the child support payments account. 26 6. The department may adopt emergency rules for the family 27 investment, JOBS, food assistance, and medical assistance 28 programs if necessary to comply with federal requirements. 29 Sec. 8. FAMILY INVESTMENT PROGRAM GENERAL FUND. There 30 is appropriated from the general fund of the state to the 31 department of human services 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 purpose 34 designated: 35 -22- HF766.2072 (2) 88 pf/rn 22/ 88
To be credited to the family investment program (FIP) 1 account and used for family investment program assistance under 2 chapter 239B : 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 40,365,037 4 1. Of the funds appropriated in this section, $6,606,198 is 5 allocated for the JOBS program. 6 2. Of the funds appropriated in this section, $3,313,854 is 7 allocated for the family development and self-sufficiency grant 8 program. 9 3. a. Notwithstanding section 8.39 , for the fiscal 10 year beginning July 1, 2019, if necessary to meet federal 11 maintenance of effort requirements or to transfer federal 12 temporary assistance for needy families block grant funding 13 to be used for purposes of the federal social services block 14 grant or to meet cash flow needs resulting from delays in 15 receiving federal funding or to implement, in accordance with 16 this division of this Act, activities currently funded with 17 juvenile court services, county, or community moneys and state 18 moneys used in combination with such moneys; to comply with 19 federal requirements; or to maximize the use of federal funds; 20 the department of human services may transfer funds within or 21 between any of the appropriations made in this division of this 22 Act and appropriations in law for the federal social services 23 block grant to the department for the following purposes, 24 provided that the combined amount of state and federal 25 temporary assistance for needy families block grant funding 26 for each appropriation remains the same before and after the 27 transfer: 28 (1) For the family investment program. 29 (2) For state child care assistance. 30 (3) For child and family services. 31 (4) For field operations. 32 (5) For general administration. 33 b. This subsection shall not be construed to prohibit the 34 use of existing state transfer authority for other purposes. 35 -23- HF766.2072 (2) 88 pf/rn 23/ 88
The department shall report any transfers made pursuant to this 1 subsection to the legislative services agency. 2 4. Of the funds appropriated in this section, $195,000 shall 3 be used for continuation of a grant to an Iowa-based nonprofit 4 organization with a history of providing tax preparation 5 assistance to low-income Iowans in order to expand the usage of 6 the earned income tax credit. The purpose of the grant is to 7 supply this assistance to underserved areas of the state. 8 5. Of the funds appropriated in this section, $70,000 shall 9 be used for the continuation of the parenting program, as 10 specified in 441 IAC ch. 100, relating to parental obligations, 11 in which the child support recovery unit participates, to 12 support the efforts of a nonprofit organization committed 13 to strengthening the community through youth development, 14 healthy living, and social responsibility headquartered in 15 a county with a population over 350,000 according to the 16 latest certified federal census. The funds allocated in this 17 subsection shall be used by the recipient organization to 18 develop a larger community effort, through public and private 19 partnerships, to support a broad-based multi-county parenthood 20 initiative that promotes payment of child support obligations, 21 improved family relationships, and full-time employment. 22 6. The department may transfer funds appropriated in this 23 section, excluding the allocation in subsection 2 for the 24 family development and self-sufficiency grant program, to the 25 appropriations made in this division of this Act for general 26 administration and field operations as necessary to administer 27 this section, section 7 for the temporary assistance for needy 28 families block grant, and section 8 for the family investment 29 program account. 30 Sec. 9. CHILD SUPPORT RECOVERY. There is appropriated 31 from the general fund of the state to the department of human 32 services for the fiscal year beginning July 1, 2019, and ending 33 June 30, 2020, the following amount, or so much thereof as is 34 necessary, to be used for the purposes designated: 35 -24- HF766.2072 (2) 88 pf/rn 24/ 88
For child support recovery, including salaries, support, 1 maintenance, and miscellaneous purposes, and for not more than 2 the following full-time equivalent positions: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 14,749,368 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 459.00 5 1. The department shall expend up to $24,000, including 6 federal financial participation, for the fiscal year beginning 7 July 1, 2019, for a child support public awareness campaign. 8 The department and the office of the attorney general shall 9 cooperate in continuation of the campaign. The public 10 awareness campaign shall emphasize, through a variety of 11 media activities, the importance of maximum involvement of 12 both parents in the lives of their children as well as the 13 importance of payment of child support obligations. 14 2. Federal access and visitation grant moneys shall be 15 issued directly to private not-for-profit agencies that provide 16 services designed to increase compliance with the child access 17 provisions of court orders, including but not limited to 18 neutral visitation sites and mediation services. 19 3. The appropriation made to the department for child 20 support recovery may be used throughout the fiscal year in the 21 manner necessary for purposes of cash flow management, and for 22 cash flow management purposes the department may temporarily 23 draw more than the amount appropriated, provided the amount 24 appropriated is not exceeded at the close of the fiscal year. 25 Sec. 10. HEALTH CARE TRUST FUND —— MEDICAL ASSISTANCE —— 26 FY 2019-2020. Any funds remaining in the health care trust 27 fund created in section 453A.35A for the fiscal year beginning 28 July 1, 2019, and ending June 30, 2020, are appropriated to 29 the department of human services to supplement the medical 30 assistance program appropriations made in this division of this 31 Act, for medical assistance reimbursement and associated costs, 32 including program administration and costs associated with 33 program implementation. 34 Sec. 11. MEDICAID FRAUD FUND —— MEDICAL ASSISTANCE —— FY 35 -25- HF766.2072 (2) 88 pf/rn 25/ 88
2019-2020. Any funds remaining in the Medicaid fraud fund 1 created in section 249A.50 for the fiscal year beginning 2 July 1, 2019, and ending June 30, 2020, are appropriated to 3 the department of human services to supplement the medical 4 assistance appropriations made in this division of this Act, 5 for medical assistance reimbursement and associated costs, 6 including program administration and costs associated with 7 program implementation. 8 Sec. 12. MEDICAL ASSISTANCE. There is appropriated from the 9 general fund of the state to the department of human services 10 for the fiscal year beginning July 1, 2019, and ending June 30, 11 2020, the following amount, or so much thereof as is necessary, 12 to be used for the purpose designated: 13 For medical assistance program reimbursement and associated 14 costs as specifically provided in the reimbursement 15 methodologies in effect on June 30, 2019, except as otherwise 16 expressly authorized by law, consistent with options under 17 federal law and regulations, and contingent upon receipt of 18 approval from the office of the governor of reimbursement for 19 each abortion performed under the program: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,425,334,812 21 1. Iowans support reducing the number of abortions 22 performed in our state. Funds appropriated under this section 23 shall not be used for abortions, unless otherwise authorized 24 under this section. 25 2. The provisions of this section relating to abortions 26 shall also apply to the Iowa health and wellness plan created 27 pursuant to chapter 249N . 28 3. The department shall utilize not more than $60,000 of 29 the funds appropriated in this section to continue the AIDS/HIV 30 health insurance premium payment program as established in 1992 31 Iowa Acts, Second Extraordinary Session, chapter 1001, section 32 409, subsection 6 . Of the funds allocated in this subsection, 33 not more than $5,000 may be expended for administrative 34 purposes. 35 -26- HF766.2072 (2) 88 pf/rn 26/ 88
4. Of the funds appropriated in this Act to the department 1 of public health for addictive disorders, $950,000 for 2 the fiscal year beginning July 1, 2019, is transferred 3 to the department of human services for an integrated 4 substance-related disorder managed care system. The 5 departments of human services and public health shall 6 work together to maintain the level of mental health and 7 substance-related disorder treatment services provided by the 8 managed care contractors. Each department shall take the steps 9 necessary to continue the federal waivers as necessary to 10 maintain the level of services. 11 5. a. The department shall aggressively pursue options for 12 providing medical assistance or other assistance to individuals 13 with special needs who become ineligible to continue receiving 14 services under the early and periodic screening, diagnostic, 15 and treatment program under the medical assistance program 16 due to becoming 21 years of age who have been approved for 17 additional assistance through the department’s exception to 18 policy provisions, but who have health care needs in excess 19 of the funding available through the exception to policy 20 provisions. 21 b. Of the funds appropriated in this section, $100,000 22 shall be used for participation in one or more pilot projects 23 operated by a private provider to allow the individual or 24 individuals to receive service in the community in accordance 25 with principles established in Olmstead v. L.C., 527 U.S. 581 26 (1999), for the purpose of providing medical assistance or 27 other assistance to individuals with special needs who become 28 ineligible to continue receiving services under the early and 29 periodic screening, diagnostic, and treatment program under 30 the medical assistance program due to becoming 21 years of 31 age who have been approved for additional assistance through 32 the department’s exception to policy provisions, but who have 33 health care needs in excess of the funding available through 34 the exception to the policy provisions. 35 -27- HF766.2072 (2) 88 pf/rn 27/ 88
6. Of the funds appropriated in this section, up to 1 $3,050,082 may be transferred to the field operations or 2 general administration appropriations in this division of this 3 Act for operational costs associated with Part D of the federal 4 Medicare Prescription Drug Improvement and Modernization Act 5 of 2003, Pub. L. No. 108-173. 6 7. Of the funds appropriated in this section, up to $442,100 7 may be transferred to the appropriation in this division 8 of this Act for medical contracts to be used for clinical 9 assessment services and prior authorization of services. 10 8. A portion of the funds appropriated in this section 11 may be transferred to the appropriations in this division of 12 this Act for general administration, medical contracts, the 13 children’s health insurance program, or field operations to be 14 used for the state match cost to comply with the payment error 15 rate measurement (PERM) program for both the medical assistance 16 and children’s health insurance programs as developed by the 17 centers for Medicare and Medicaid services of the United States 18 department of health and human services to comply with the 19 federal Improper Payments Information Act of 2002, Pub. L. 20 No. 107-300, and to support other reviews and quality control 21 activities to improve the integrity of these programs. 22 9. The department shall continue to implement the 23 recommendations of the assuring better child health and 24 development initiative II (ABCDII) clinical panel to the 25 Iowa early and periodic screening, diagnostic, and treatment 26 services healthy mental development collaborative board 27 regarding changes to billing procedures, codes, and eligible 28 service providers. 29 10. Of the funds appropriated in this section, a sufficient 30 amount is allocated to supplement the incomes of residents of 31 nursing facilities, intermediate care facilities for persons 32 with mental illness, and intermediate care facilities for 33 persons with an intellectual disability, with incomes of less 34 than $50 in the amount necessary for the residents to receive a 35 -28- HF766.2072 (2) 88 pf/rn 28/ 88
personal needs allowance of $50 per month pursuant to section 1 249A.30A . 2 11. a. Hospitals that meet the conditions specified 3 in subparagraphs (1) and (2) shall either certify public 4 expenditures or transfer to the medical assistance program 5 an amount equal to provide the nonfederal share for a 6 disproportionate share hospital payment in an amount up to the 7 hospital-specific limit as approved in the Medicaid state plan. 8 The hospitals that meet the conditions specified shall receive 9 and retain 100 percent of the total disproportionate share 10 hospital payment in an amount up to the hospital-specific limit 11 as approved in the Medicaid state plan. 12 (1) The hospital qualifies for disproportionate share and 13 graduate medical education payments. 14 (2) The hospital is an Iowa state-owned hospital with more 15 than 500 beds and eight or more distinct residency specialty 16 or subspecialty programs recognized by the American college of 17 graduate medical education. 18 b. Distribution of the disproportionate share payments 19 shall be made on a monthly basis. The total amount of 20 disproportionate share payments including graduate medical 21 education, enhanced disproportionate share, and Iowa 22 state-owned teaching hospital payments shall not exceed the 23 amount of the state’s allotment under Pub. L. No. 102-234. 24 In addition, the total amount of all disproportionate 25 share payments shall not exceed the hospital-specific 26 disproportionate share limits under Pub. L. No. 103-66. 27 12. One hundred percent of the nonfederal share of payments 28 to area education agencies that are medical assistance 29 providers for medical assistance-covered services provided to 30 medical assistance-covered children, shall be made from the 31 appropriation made in this section. 32 13. A portion of the funds appropriated in this section 33 may be transferred to the appropriation in this division of 34 this Act for medical contracts to be used for administrative 35 -29- HF766.2072 (2) 88 pf/rn 29/ 88
activities associated with the money follows the person 1 demonstration project. 2 14. Of the funds appropriated in this section, $349,011 3 shall be used for the administration of the health insurance 4 premium payment program, including salaries, support, 5 maintenance, and miscellaneous purposes. 6 15. a. The department may increase the amounts allocated 7 for salaries, support, maintenance, and miscellaneous purposes 8 associated with the medical assistance program, as necessary, 9 to sustain cost management efforts. The department shall 10 report any such increase to the legislative services agency and 11 the department of management. 12 b. If the savings to the medical assistance program from 13 ongoing cost management efforts exceed the associated cost 14 for the fiscal year beginning July 1, 2019, the department 15 may transfer any savings generated for the fiscal year due 16 to medical assistance program cost management efforts to the 17 appropriation made in this division of this Act for medical 18 contracts or general administration to defray the costs 19 associated with implementing the efforts. 20 16. For the fiscal year beginning July 1, 2019, and ending 21 June 30, 2020, the replacement generation tax revenues required 22 to be deposited in the property tax relief fund pursuant to 23 section 437A.8, subsection 4 , paragraph “d”, and section 24 437A.15, subsection 3 , paragraph “f”, shall instead be credited 25 to and supplement the appropriation made in this section and 26 used for the allocations made in this section. 27 17. a. Of the funds appropriated in this section, up 28 to $50,000 may be transferred by the department to the 29 appropriation made in this division of this Act to the 30 department for the same fiscal year for general administration 31 to be used for associated administrative expenses and for not 32 more than one full-time equivalent position, in addition to 33 those authorized for the same fiscal year, to be assigned to 34 implementing the children’s mental health home project. 35 -30- HF766.2072 (2) 88 pf/rn 30/ 88
b. Of the funds appropriated in this section, up to $400,000 1 may be transferred by the department to the appropriation made 2 to the department in this division of this Act for the same 3 fiscal year for Medicaid program-related general administration 4 planning and implementation activities. The funds may be used 5 for contracts or for personnel in addition to the amounts 6 appropriated for and the positions authorized for general 7 administration for the fiscal year. 8 c. Of the funds appropriated in this section, up to 9 $3,000,000 may be transferred by the department to the 10 appropriations made in this division of this Act for the same 11 fiscal year for general administration or medical contracts 12 to be used to support the development and implementation of 13 standardized assessment tools for persons with mental illness, 14 an intellectual disability, a developmental disability, or a 15 brain injury. 16 18. Of the funds appropriated in this section, $150,000 17 shall be used for lodging expenses associated with care 18 provided at the university of Iowa hospitals and clinics for 19 patients with cancer whose travel distance is 30 miles or more 20 and whose income is at or below 200 percent of the federal 21 poverty level as defined by the most recently revised poverty 22 income guidelines published by the United States department of 23 health and human services. The department of human services 24 shall establish the maximum number of overnight stays and the 25 maximum rate reimbursed for overnight lodging, which may be 26 based on the state employee rate established by the department 27 of administrative services. The funds allocated in this 28 subsection shall not be used as nonfederal share matching 29 funds. 30 19. Of the funds appropriated in this section, up to 31 $3,383,880 shall be used for administration of the state family 32 planning services program pursuant to section 217.41B, and 33 of this amount, the department may use up to $200,000 for 34 administrative expenses. 35 -31- HF766.2072 (2) 88 pf/rn 31/ 88
20. Of the funds appropriated in this section, $1,545,530 1 shall be used and may be transferred to other appropriations 2 in this division of this Act as necessary to administer the 3 provisions in the division of this Act relating to Medicaid 4 program administration. 5 21. The department shall continue to implement and 6 administer the provisions of 2018 Iowa Acts, chapter 1056. 7 Of the funds appropriated in this section, up to $39,069 may 8 be transferred to the department of inspections and appeals 9 for inspection costs related to such implementation and 10 administration. 11 22. Of the funds appropriated in this section, up to 12 $1,200,000 shall be used to implement reductions in the waiting 13 list for the children’s mental health home and community-based 14 services waiver. 15 23. The department of human services shall utilize 16 $1,000,000 of the funds appropriated under this section to 17 increase the current supported community living provider daily 18 rate cells for all tiers under the tiered rate reimbursement 19 methodology effective with dates of service beginning July 1, 20 2019. 21 Sec. 13. MEDICAL CONTRACTS. There is appropriated from the 22 general fund of the state to the department of human services 23 for the fiscal year beginning July 1, 2019, and ending June 30, 24 2020, the following amount, or so much thereof as is necessary, 25 to be used for the purpose designated: 26 For medical contracts: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 17,992,530 28 1. The department of inspections and appeals shall 29 provide all state matching funds for survey and certification 30 activities performed by the department of inspections 31 and appeals. The department of human services is solely 32 responsible for distributing the federal matching funds for 33 such activities. 34 2. Of the funds appropriated in this section, $50,000 shall 35 -32- HF766.2072 (2) 88 pf/rn 32/ 88
be used for continuation of home and community-based services 1 waiver quality assurance programs, including the review and 2 streamlining of processes and policies related to oversight and 3 quality management to meet state and federal requirements. 4 3. Of the amount appropriated in this section, up to 5 $200,000 may be transferred to the appropriation for general 6 administration in this division of this Act to be used for 7 additional full-time equivalent positions in the development 8 of key health initiatives such as development and oversight 9 of managed care programs and development of health strategies 10 targeted toward improved quality and reduced costs in the 11 Medicaid program. 12 4. Of the funds appropriated in this section, $1,000,000 13 shall be used for planning and development, in cooperation with 14 the department of public health, of a phased-in program to 15 provide a dental home for children. 16 5. a. Of the funds appropriated in this section, $573,000 17 shall be credited to the autism support program fund created 18 in section 225D.2 to be used for the autism support program 19 created in chapter 225D . 20 b. Of the funds allocated in this subsection, $25,000 shall 21 be used for the public purpose of continuation of a grant to a 22 nonprofit provider of child welfare services that has been in 23 existence for more than 115 years, is located in a county with 24 a population between 200,000 and 220,000 according to the most 25 recent federal decennial census, is licensed as a psychiatric 26 medical institution for children, and provides school-based 27 programming, to be used for support services for children with 28 autism spectrum disorder and their families. 29 Sec. 14. STATE SUPPLEMENTARY ASSISTANCE. 30 1. There is appropriated from the general fund of the 31 state to the department of human services for the fiscal year 32 beginning July 1, 2019, and ending June 30, 2020, the following 33 amount, or so much thereof as is necessary, to be used for the 34 purpose designated: 35 -33- HF766.2072 (2) 88 pf/rn 33/ 88
For the state supplementary assistance program: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,812,909 2 2. The department shall increase the personal needs 3 allowance for residents of residential care facilities by the 4 same percentage and at the same time as federal supplemental 5 security income and federal social security benefits are 6 increased due to a recognized increase in the cost of living. 7 The department may adopt emergency rules to implement this 8 subsection. 9 3. If during the fiscal year beginning July 1, 2019, 10 the department projects that state supplementary assistance 11 expenditures for a calendar year will not meet the federal 12 pass-through requirement specified in Tit. XVI of the federal 13 Social Security Act, section 1618, as codified in 42 U.S.C. 14 §1382g, the department may take actions including but not 15 limited to increasing the personal needs allowance for 16 residential care facility residents and making programmatic 17 adjustments or upward adjustments of the residential care 18 facility or in-home health-related care reimbursement rates 19 prescribed in this division of this Act to ensure that federal 20 requirements are met. In addition, the department may make 21 other programmatic and rate adjustments necessary to remain 22 within the amount appropriated in this section while ensuring 23 compliance with federal requirements. The department may adopt 24 emergency rules to implement the provisions of this subsection. 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. 15. CHILDREN’S HEALTH INSURANCE PROGRAM. 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 -34- HF766.2072 (2) 88 pf/rn 34/ 88
purpose designated: 1 For maintenance of the healthy and well kids in Iowa (hawk-i) 2 program pursuant to chapter 514I , including supplemental dental 3 services, for receipt of federal financial participation under 4 Tit. XXI of the federal Social Security Act, which creates the 5 children’s health insurance program: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 19,361,112 7 2. Of the funds appropriated in this section, $79,486 is 8 allocated for continuation of the contract for outreach with 9 the department of public health. 10 3. A portion of the funds appropriated in this section may 11 be transferred to the appropriations made in this division of 12 this Act for field operations or medical contracts to be used 13 for the integration of hawk-i program eligibility, payment, and 14 administrative functions under the purview of the department 15 of human services, including for the Medicaid management 16 information system upgrade. 17 Sec. 16. CHILD CARE ASSISTANCE. There is appropriated 18 from the general fund of the state to the department of human 19 services for the fiscal year beginning July 1, 2019, and ending 20 June 30, 2020, the following amount, or so much thereof as is 21 necessary, to be used for the purpose designated: 22 For child care programs: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 40,816,931 24 1. Of the funds appropriated in this section, $34,966,931 25 shall be used for state child care assistance in accordance 26 with section 237A.13 . 27 2. Nothing in this section shall be construed or is 28 intended as or shall imply a grant of entitlement for services 29 to persons who are eligible for assistance due to an income 30 level consistent with the waiting list requirements of section 31 237A.13 . Any state obligation to provide services pursuant to 32 this section is limited to the extent of the funds appropriated 33 in this section. 34 3. A list of the registered and licensed child care 35 -35- HF766.2072 (2) 88 pf/rn 35/ 88
facilities operating in the area served by a child care 1 resource and referral service shall be made available to the 2 families receiving state child care assistance in that area. 3 4. Of the funds appropriated in this section, $5,850,000 4 shall be credited to the early childhood programs grants 5 account in the early childhood Iowa fund created in section 6 256I.11 . The moneys shall be distributed for funding of 7 community-based early childhood programs targeted to children 8 from birth through five years of age developed by early 9 childhood Iowa areas in accordance with approved community 10 plans as provided in section 256I.8 . 11 5. The department may use any of the funds appropriated 12 in this section as a match to obtain federal funds for use in 13 expanding child care assistance and related programs. For 14 the purpose of expenditures of state and federal child care 15 funding, funds shall be considered obligated at the time 16 expenditures are projected or are allocated to the department’s 17 service areas. Projections shall be based on current and 18 projected caseload growth, current and projected provider 19 rates, staffing requirements for eligibility determination 20 and management of program requirements including data systems 21 management, staffing requirements for administration of the 22 program, contractual and grant obligations and any transfers 23 to other state agencies, and obligations for decategorization 24 or innovation projects. 25 6. A portion of the state match for the federal child care 26 and development block grant shall be provided as necessary to 27 meet federal matching funds requirements through the state 28 general fund appropriation made for child development grants 29 and other programs for at-risk children in section 279.51 . 30 7. If a uniform reduction ordered by the governor under 31 section 8.31 or other operation of law, transfer, or federal 32 funding reduction reduces the appropriation made in this 33 section for the fiscal year, the percentage reduction in the 34 amount paid out to or on behalf of the families participating 35 -36- HF766.2072 (2) 88 pf/rn 36/ 88
in the state child care assistance program shall be equal to or 1 less than the percentage reduction made for any other purpose 2 payable from the appropriation made in this section and the 3 federal funding relating to it. The percentage reduction to 4 the other allocations made in this section shall be the same as 5 the uniform reduction ordered by the governor or the percentage 6 change of the federal funding reduction, as applicable. If 7 there is an unanticipated increase in federal funding provided 8 for state child care services, the entire amount of the 9 increase, except as necessary to meet federal requirements 10 including quality set asides, shall be used for state child 11 care assistance payments. If the appropriations made for 12 purposes of the state child care assistance program for the 13 fiscal year are determined to be insufficient, it is the intent 14 of the general assembly to appropriate sufficient funding for 15 the fiscal year in order to avoid establishment of waiting list 16 requirements. 17 8. Notwithstanding section 8.33 , moneys advanced for 18 purposes of the programs developed by early childhood Iowa 19 areas, advanced for purposes of wraparound child care, or 20 received from the federal appropriations made for the purposes 21 of this section that remain unencumbered or unobligated at the 22 close of the fiscal year shall not revert to any fund but shall 23 remain available for expenditure for the purposes designated 24 until the close of the succeeding fiscal year. 25 Sec. 17. JUVENILE INSTITUTION. There is appropriated 26 from the general fund of the state to the department of human 27 services for the fiscal year beginning July 1, 2019, and ending 28 June 30, 2020, the following amounts, or so much thereof as is 29 necessary, to be used for the purposes designated: 30 1. a. For operation of the state training school at Eldora 31 and for salaries, support, maintenance, and miscellaneous 32 purposes, and for not more than the following full-time 33 equivalent positions: 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 13,920,757 35 -37- HF766.2072 (2) 88 pf/rn 37/ 88
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 207.00 1 b. Of the funds appropriated in this subsection, $91,000 2 shall be used for distribution to licensed classroom teachers 3 at this and other institutions under the control of the 4 department of human services based upon the average student 5 yearly enrollment at each institution as determined by the 6 department. 7 c. The additional full-time equivalent positions authorized 8 in paragraph “a” shall include 1.00 youth services technician, 9 1.00 clinical supervisor, and 1.00 registered nurse, or 10 comparable additional, full-time equivalent positions. 11 2. A portion of the moneys appropriated in this section 12 shall be used by the state training school at Eldora for 13 grants for adolescent pregnancy prevention activities at the 14 institution in the fiscal year beginning July 1, 2019. 15 3. Of the funds appropriated in this subsection, $212,000 16 shall be used by the state training school at Eldora for a 17 substance use disorder treatment program at the institution for 18 the fiscal year beginning July 1, 2019. 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. 18. CHILD AND FAMILY SERVICES. 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 amount, or so much thereof as is necessary, to be used for the 29 purpose designated: 30 For child and family services: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 89,071,761 32 2. The department may transfer funds appropriated in this 33 section as necessary to pay the nonfederal costs of services 34 reimbursed under the medical assistance program, state child 35 -38- HF766.2072 (2) 88 pf/rn 38/ 88
care assistance program, or the family investment program which 1 are provided to children who would otherwise receive services 2 paid under the appropriation in this section. The department 3 may transfer funds appropriated in this section to the 4 appropriations made in this division of this Act for general 5 administration and for field operations for resources necessary 6 to implement and operate the services funded in this section. 7 3. a. Of the funds appropriated in this section, up to 8 $34,536,000 is allocated as the statewide expenditure target 9 under section 232.143 for group foster care maintenance and 10 services. If the department projects that such expenditures 11 for the fiscal year will be less than the target amount 12 allocated in this paragraph “a”, the department may reallocate 13 the excess to provide additional funding for family foster 14 care, independent living, family safety, risk and permanency 15 services, shelter care, or the child welfare emergency services 16 addressed with the allocation for shelter care. 17 b. If at any time after September 30, 2019, annualization 18 of a service area’s current expenditures indicates a service 19 area is at risk of exceeding its group foster care expenditure 20 target under section 232.143 by more than 5 percent, the 21 department and juvenile court services shall examine all 22 group foster care placements in that service area in order to 23 identify those which might be appropriate for termination. 24 In addition, any aftercare services believed to be needed 25 for the children whose placements may be terminated shall be 26 identified. The department and juvenile court services shall 27 initiate action to set dispositional review hearings for the 28 placements identified. In such a dispositional review hearing, 29 the juvenile court shall determine whether needed aftercare 30 services are available and whether termination of the placement 31 is in the best interest of the child and the community. 32 4. In accordance with the provisions of section 232.188 , 33 the department shall continue the child welfare and juvenile 34 justice funding initiative during fiscal year 2019-2020. Of 35 -39- HF766.2072 (2) 88 pf/rn 39/ 88
the funds appropriated in this section, $1,717,000 is allocated 1 specifically for expenditure for fiscal year 2019-2020 through 2 the decategorization services funding pools and governance 3 boards established pursuant to section 232.188 . 4 5. A portion of the funds appropriated in this section 5 may be used for emergency family assistance to provide other 6 resources required for a family participating in a family 7 preservation or reunification project or successor project to 8 stay together or to be reunified. 9 6. Of the funds appropriated in this section, a sufficient 10 amount is allocated for shelter care and the child welfare 11 emergency services contracting implemented to provide for or 12 prevent the need for shelter care. 13 7. Federal funds received by the state during the fiscal 14 year beginning July 1, 2019, as the result of the expenditure 15 of state funds appropriated during a previous state fiscal 16 year for a service or activity funded under this section are 17 appropriated to the department to be used as additional funding 18 for services and purposes provided for under this section. 19 Notwithstanding section 8.33 , moneys received in accordance 20 with this subsection that remain unencumbered or unobligated at 21 the close of the fiscal year shall not revert to any fund but 22 shall remain available for the purposes designated until the 23 close of the succeeding fiscal year. 24 8. a. Of the funds appropriated in this section, up to 25 $3,290,000 is allocated for the payment of the expenses of 26 court-ordered services provided to juveniles who are under the 27 supervision of juvenile court services, which expenses are a 28 charge upon the state pursuant to section 232.141, subsection 29 4 . Of the amount allocated in this paragraph “a”, up to 30 $1,556,000 shall be made available to provide school-based 31 supervision of children adjudicated under chapter 232 , of which 32 not more than $15,000 may be used for the purpose of training. 33 A portion of the cost of each school-based liaison officer 34 shall be paid by the school district or other funding source as 35 -40- HF766.2072 (2) 88 pf/rn 40/ 88
approved by the chief juvenile court officer. 1 b. Of the funds appropriated in this section, up to $748,000 2 is allocated for the payment of the expenses of court-ordered 3 services provided to children who are under the supervision 4 of the department, which expenses are a charge upon the state 5 pursuant to section 232.141, subsection 4 . 6 c. Notwithstanding section 232.141 or any other provision 7 of law to the contrary, the amounts allocated in this 8 subsection shall be distributed to the judicial districts 9 as determined by the state court administrator and to the 10 department’s service areas as determined by the administrator 11 of the department of human services’ division of child and 12 family services. The state court administrator and the 13 division administrator shall make the determination of the 14 distribution amounts on or before June 15, 2019. 15 d. Notwithstanding chapter 232 or any other provision of 16 law to the contrary, a district or juvenile court shall not 17 order any service which is a charge upon the state pursuant 18 to section 232.141 if there are insufficient court-ordered 19 services funds available in the district court or departmental 20 service area distribution amounts to pay for the service. The 21 chief juvenile court officer and the departmental service area 22 manager shall encourage use of the funds allocated in this 23 subsection such that there are sufficient funds to pay for 24 all court-related services during the entire year. The chief 25 juvenile court officers and departmental service area managers 26 shall attempt to anticipate potential surpluses and shortfalls 27 in the distribution amounts and shall cooperatively request the 28 state court administrator or division administrator to transfer 29 funds between the judicial districts’ or departmental service 30 areas’ distribution amounts as prudent. 31 e. Notwithstanding any provision of law to the contrary, 32 a district or juvenile court shall not order a county to pay 33 for any service provided to a juvenile pursuant to an order 34 entered under chapter 232 which is a charge upon the state 35 -41- HF766.2072 (2) 88 pf/rn 41/ 88
under section 232.141, subsection 4 . 1 f. Of the funds allocated in this subsection, not more than 2 $83,000 may be used by the judicial branch for administration 3 of the requirements under this subsection. 4 g. Of the funds allocated in this subsection, $17,000 5 shall be used by the department of human services to support 6 the interstate commission for juveniles in accordance with 7 the interstate compact for juveniles as provided in section 8 232.173 . 9 9. Of the funds appropriated in this section, $12,253,000 is 10 allocated for juvenile delinquent graduated sanctions services. 11 Any state funds saved as a result of efforts by juvenile court 12 services to earn a federal Tit. IV-E match for juvenile court 13 services administration may be used for the juvenile delinquent 14 graduated sanctions services. 15 10. Of the funds appropriated in this section, $1,658,000 is 16 transferred to the department of public health to be used for 17 the child protection center grant program for child protection 18 centers located in Iowa in accordance with section 135.118 . 19 The grant amounts under the program shall be equalized so that 20 each center receives a uniform base amount of $245,000, and so 21 that the remaining funds are awarded through a funding formula 22 based upon the volume of children served. To increase access 23 to child protection center services for children in rural 24 areas, the funding formula for the awarding of the remaining 25 funds shall provide for the awarding of an enhanced amount to 26 eligible grantees to develop and maintain satellite centers in 27 underserved regions of the state. 28 11. Of the funds appropriated in this section, $4,025,000 is 29 allocated for the preparation for adult living program pursuant 30 to section 234.46 . 31 12. Of the funds appropriated in this section, $227,000 32 shall be used for the public purpose of continuing a grant to a 33 nonprofit human services organization, providing services to 34 individuals and families in multiple locations in southwest 35 -42- HF766.2072 (2) 88 pf/rn 42/ 88
Iowa and Nebraska for support of a project providing immediate, 1 sensitive support and forensic interviews, medical exams, needs 2 assessments, and referrals for victims of child abuse and their 3 nonoffending family members. 4 13. Of the funds appropriated in this section, $300,000 5 is allocated for the foster care youth council approach of 6 providing a support network to children placed in foster care. 7 14. Of the funds appropriated in this section, $202,000 is 8 allocated for use pursuant to section 235A.1 for continuation 9 of the initiative to address child sexual abuse implemented 10 pursuant to 2007 Iowa Acts, chapter 218, section 18, subsection 11 21 . 12 15. Of the funds appropriated in this section, $630,000 is 13 allocated for the community partnership for child protection 14 sites. 15 16. Of the funds appropriated in this section, $371,000 16 is allocated for the department’s minority youth and family 17 projects under the redesign of the child welfare system. 18 17. Of the funds appropriated in this section, $851,000 19 is allocated for funding of the community circle of care 20 collaboration for children and youth in northeast Iowa. 21 18. Of the funds appropriated in this section, at least 22 $147,000 shall be used for the continuation of the child 23 welfare provider training academy, a collaboration between the 24 coalition for family and children’s services in Iowa and the 25 department. 26 19. Of the funds appropriated in this section, $211,000 27 shall be used for continuation of the central Iowa system of 28 care program grant through June 30, 2020. 29 20. Of the funds appropriated in this section, $235,000 30 shall be used for the public purpose of the continuation 31 and expansion of a system of care program grant implemented 32 in Cerro Gordo and Linn counties to utilize a comprehensive 33 and long-term approach for helping children and families by 34 addressing the key areas in a child’s life of childhood basic 35 -43- HF766.2072 (2) 88 pf/rn 43/ 88
needs, education and work, family, and community. 1 21. Of the funds appropriated in this section, at least 2 $25,000 shall be used to continue and to expand the foster 3 care respite pilot program in which postsecondary students in 4 social work and other human services-related programs receive 5 experience by assisting family foster care providers with 6 respite and other support. 7 22. Of the funds appropriated in this section, $110,000 8 shall be used for the public purpose of funding community-based 9 services and other supports with a system of care approach 10 for children with a serious emotional disturbance and their 11 families through a nonprofit provider of child welfare services 12 that has been in existence for more than 115 years, is located 13 in a county with a population of more than 200,000 but less 14 than 220,000 according to the latest certified federal census, 15 is licensed as a psychiatric medical institution for children, 16 and was a system of care grantee prior to July 1, 2019. 17 23. If a separate funding source is identified that reduces 18 the need for state funds within an allocation under this 19 section, the allocated state funds may be redistributed to 20 other allocations under this section for the same fiscal year. 21 Sec. 19. ADOPTION SUBSIDY. 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 a. For adoption subsidy payments and services: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 40,596,007 29 b. (1) The funds appropriated in this section shall be used 30 as authorized or allowed by federal law or regulation for any 31 of the following purposes: 32 (a) For adoption subsidy payments and related costs. 33 (b) For post-adoption services and for other purposes under 34 Tit. IV-B or Tit. IV-E of the federal Social Security Act. 35 -44- HF766.2072 (2) 88 pf/rn 44/ 88
(2) The department of human services may transfer funds 1 appropriated in this subsection to the appropriation for 2 child and family services in this Act for the purposes of 3 post-adoption services as specified in this paragraph “b”. 4 c. Notwithstanding section 8.33 , moneys corresponding to 5 the state savings resulting from implementation of the federal 6 Fostering Connections to Success and Increasing Adoptions Act 7 of 2008, Pub. L. No. 110-351, and successor legislation, as 8 determined in accordance with 42 U.S.C. §673(a)(8), that remain 9 unencumbered or unobligated at the close of the fiscal year, 10 shall not revert to any fund but shall remain available for the 11 purposes designated in this subsection until expended. The 12 amount of such savings and any corresponding funds remaining 13 at the close of the fiscal year shall be determined separately 14 and any changes in either amount between fiscal years shall not 15 result in an unfunded need. 16 2. The department may transfer funds appropriated in 17 this section to the appropriation made in this division of 18 this Act for general administration for costs paid from the 19 appropriation relating to adoption subsidy. 20 3. Federal funds received by the state during the 21 fiscal year beginning July 1, 2019, as the result of the 22 expenditure of state funds during a previous state fiscal 23 year for a service or activity funded under this section are 24 appropriated to the department to be used as additional funding 25 for the services and activities funded under this section. 26 Notwithstanding section 8.33 , moneys received in accordance 27 with this subsection that remain unencumbered or unobligated 28 at the close of the fiscal year shall not revert to any fund 29 but shall remain available for expenditure for the purposes 30 designated until the close of the succeeding fiscal year. 31 Sec. 20. JUVENILE DETENTION HOME FUND. Moneys deposited 32 in the juvenile detention home fund created in section 232.142 33 during the fiscal year beginning July 1, 2019, and ending June 34 30, 2020, are appropriated to the department of human services 35 -45- HF766.2072 (2) 88 pf/rn 45/ 88
for the fiscal year beginning July 1, 2019, and ending June 30, 1 2020, for distribution of an amount equal to a percentage of 2 the costs of the establishment, improvement, operation, and 3 maintenance of county or multicounty juvenile detention homes 4 in the fiscal year beginning July 1, 2018. Moneys appropriated 5 for distribution in accordance with this section shall be 6 allocated among eligible detention homes, prorated on the basis 7 of an eligible detention home’s proportion of the costs of all 8 eligible detention homes in the fiscal year beginning July 9 1, 2018. The percentage figure shall be determined by the 10 department based on the amount available for distribution for 11 the fund. Notwithstanding section 232.142, subsection 3 , the 12 financial aid payable by the state under that provision for the 13 fiscal year beginning July 1, 2019, shall be limited to the 14 amount appropriated for the purposes of this section. 15 Sec. 21. FAMILY SUPPORT SUBSIDY PROGRAM. 16 1. There is appropriated from the general fund of the 17 state to the department of human services for the fiscal year 18 beginning July 1, 2019, and ending June 30, 2020, the following 19 amount, or so much thereof as is necessary, to be used for the 20 purpose designated: 21 For the family support subsidy program subject to the 22 enrollment restrictions in section 225C.37, subsection 3 : 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 949,282 24 2. At least $819,275 of the moneys appropriated in this 25 section is transferred to the department of public health for 26 the family support center component of the comprehensive family 27 support program under chapter 225C , subchapter V. 28 3. If at any time during the fiscal year, the amount of 29 funding available for the family support subsidy program 30 is reduced from the amount initially used to establish the 31 figure for the number of family members for whom a subsidy 32 is to be provided at any one time during the fiscal year, 33 notwithstanding section 225C.38, subsection 2 , the department 34 shall revise the figure as necessary to conform to the amount 35 -46- HF766.2072 (2) 88 pf/rn 46/ 88
of funding available. 1 Sec. 22. CONNER DECREE. There is appropriated from the 2 general fund of the state to the department of human services 3 for the fiscal year beginning July 1, 2019, and ending June 30, 4 2020, the following amount, or so much thereof as is necessary, 5 to be used for the purpose designated: 6 For building community capacity through the coordination 7 and provision of training opportunities in accordance with the 8 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D. 9 Iowa, July 14, 1994): 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,632 11 Sec. 23. MENTAL HEALTH INSTITUTES. 12 1. There is appropriated from the general fund of the 13 state to the department of human services for the fiscal year 14 beginning July 1, 2019, and ending June 30, 2020, the following 15 amounts, or so much thereof as is necessary, to be used for the 16 purposes designated: 17 a. (1) For operation of the state mental health institute 18 at Cherokee as required by chapters 218 and 226 for salaries, 19 support, maintenance, and miscellaneous purposes, and for not 20 more than the following full-time equivalent positions: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 14,216,149 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 169.00 23 (2) The additional full-time equivalent positions 24 authorized in this paragraph “a” shall include 3.50 security 25 staff and 3.00 support staff, or comparable additional, 26 full-time equivalent positions. 27 b. (1) For operation of the state mental health institute 28 at Independence as required by chapters 218 and 226 for 29 salaries, support, maintenance, and miscellaneous purposes, and 30 for not more than the following full-time equivalent positions: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 19,165,110 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 208.00 33 (2) The additional full-time equivalent positions 34 authorized in this paragraph “b” shall include 3.50 security 35 -47- HF766.2072 (2) 88 pf/rn 47/ 88
staff, or comparable additional, full-time equivalent 1 positions. 2 2. Notwithstanding sections 218.78 and 249A.11 , any revenue 3 received from the state mental health institute at Cherokee or 4 the state mental health institute at Independence pursuant to 5 42 C.F.R. §438.6(e) may be retained and expended by the mental 6 health institute. 7 3. Notwithstanding any provision of law to the contrary, 8 a Medicaid member residing at the state mental health 9 institute at Cherokee or the state mental health institute 10 at Independence shall retain Medicaid eligibility during 11 the period of the Medicaid member’s stay for which federal 12 financial participation is available. 13 4. Notwithstanding section 8.33 , moneys appropriated in 14 this section that remain unencumbered or unobligated at the 15 close of the fiscal year shall not revert but shall remain 16 available for expenditure for the purposes designated until the 17 close of the succeeding fiscal year. 18 Sec. 24. STATE RESOURCE CENTERS. 19 1. There is appropriated from the general fund of the 20 state to the department of human services for the fiscal year 21 beginning July 1, 2019, and ending June 30, 2020, the following 22 amounts, or so much thereof as is necessary, to be used for the 23 purposes designated: 24 a. For the state resource center at Glenwood for salaries, 25 support, maintenance, and miscellaneous purposes: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,048,348 27 b. For the state resource center at Woodward for salaries, 28 support, maintenance, and miscellaneous purposes: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,872,356 30 2. The department may continue to bill for state resource 31 center services utilizing a scope of services approach used for 32 private providers of intermediate care facilities for persons 33 with an intellectual disability services, in a manner which 34 does not shift costs between the medical assistance program, 35 -48- HF766.2072 (2) 88 pf/rn 48/ 88
counties, or other sources of funding for the state resource 1 centers. 2 3. The state resource centers may expand the time-limited 3 assessment and respite services during the fiscal year. 4 4. If the department’s administration and the department 5 of management concur with a finding by a state resource 6 center’s superintendent that projected revenues can reasonably 7 be expected to pay the salary and support costs for a new 8 employee position, or that such costs for adding a particular 9 number of new positions for the fiscal year would be less 10 than the overtime costs if new positions would not be added, 11 the superintendent may add the new position or positions. If 12 the vacant positions available to a resource center do not 13 include the position classification desired to be filled, the 14