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
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$
11,191,441
23
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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
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HF766.2072
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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
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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,
$250,000
8
shall
be
used
by
the
department
on
aging,
in
collaboration
with
9
the
department
of
human
services
and
affected
stakeholders,
to
10
expand
the
pilot
initiative
to
provide
long-term
care
options
11
counseling
utilizing
support
planning
protocols,
to
assist
12
non-Medicaid
eligible
consumers
who
indicate
a
preference
13
to
return
to
the
community
and
are
deemed
appropriate
for
14
discharge,
to
return
to
their
community
following
a
nursing
15
facility
stay.
The
department
on
aging
shall
submit
a
report
16
regarding
the
outcomes
of
the
pilot
initiative
to
the
governor
17
and
the
general
assembly
by
December
15,
2019.
18
DIVISION
II
19
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2019-2020
20
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
21
appropriated
from
the
general
fund
of
the
state
to
the
office
22
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
23
1,
2019,
and
ending
June
30,
2020,
the
following
amount,
or
24
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
25
designated:
26
For
salaries,
support,
administration,
maintenance,
and
27
miscellaneous
purposes,
and
for
not
more
than
the
following
28
full-time
equivalent
positions:
29
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$
1,149,821
30
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.
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
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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
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.
$
25,110,000
9
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.
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
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HF766.2072
(2)
88
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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,
$306,000
22
shall
be
utilized
by
the
department
of
public
health,
in
23
collaboration
with
the
department
of
human
services,
to
support
24
establishment
and
maintenance
of
a
single
statewide
24-hour
25
crisis
hotline
for
the
Iowa
children’s
behavioral
health
system
26
that
incorporates
warmline
services
which
may
be
provided
27
through
expansion
of
existing
capabilities
maintained
by
the
28
department
of
public
health
as
required
pursuant
to
2018
Iowa
29
Acts,
chapter
1056,
section
16.
30
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
31
by
the
appropriations
and
allocations
made
in
this
division
of
32
this
Act
for
purposes
of
substance-related
disorder
treatment
33
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
34
2019.
35
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2.
HEALTHY
CHILDREN
AND
FAMILIES
1
For
promoting
the
optimum
health
status
for
children
and
2
adolescents
from
birth
through
21
years
of
age,
and
families,
3
and
for
not
more
than
the
following
full-time
equivalent
4
positions:
5
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$
5,817,057
6
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
state
resource
center’s
superintendent
may
reclassify
any
15
vacant
position
as
necessary
to
fill
the
desired
position.
The
16
superintendents
of
the
state
resource
centers
may,
by
mutual
17
agreement,
pool
vacant
positions
and
position
classifications
18
during
the
course
of
the
fiscal
year
in
order
to
assist
one
19
another
in
filling
necessary
positions.
20
5.
If
existing
capacity
limitations
are
reached
in
21
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
22
a
special
need
for
which
a
payment
source
or
other
funding
23
is
available
for
the
service
or
to
address
the
special
need,
24
and
facilities
for
the
service
or
to
address
the
special
need
25
can
be
provided
within
the
available
payment
source
or
other
26
funding,
the
superintendent
of
a
state
resource
center
may
27
authorize
opening
not
more
than
two
units
or
other
facilities
28
and
begin
implementing
the
service
or
addressing
the
special
29
need
during
fiscal
year
2019-2020.
30
6.
Notwithstanding
section
8.33
,
and
notwithstanding
31
the
amount
limitation
specified
in
section
222.92
,
moneys
32
appropriated
in
this
section
that
remain
unencumbered
or
33
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
34
but
shall
remain
available
for
expenditure
for
the
purposes
35
-49-
HF766.2072
(2)
88
pf/rn
49/
88
designated
until
the
close
of
the
succeeding
fiscal
year.
1
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
2
1.
a.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
5
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purpose
designated:
7
For
costs
associated
with
the
commitment
and
treatment
of
8
sexually
violent
predators
in
the
unit
located
at
the
state
9
mental
health
institute
at
Cherokee,
including
costs
of
legal
10
services
and
other
associated
costs,
including
salaries,
11
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
12
more
than
the
following
full-time
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,053,093
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
139.00
15
b.
The
additional
full-time
equivalent
positions
authorized
16
in
paragraph
“a”
shall
include
7.00
clinical
and
support
staff,
17
or
comparable
additional,
full-time
equivalent
positions.
18
2.
Unless
specifically
prohibited
by
law,
if
the
amount
19
charged
provides
for
recoupment
of
at
least
the
entire
amount
20
of
direct
and
indirect
costs,
the
department
of
human
services
21
may
contract
with
other
states
to
provide
care
and
treatment
22
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
23
violent
predators
at
Cherokee.
The
moneys
received
under
24
such
a
contract
shall
be
considered
to
be
repayment
receipts
25
and
used
for
the
purposes
of
the
appropriation
made
in
this
26
section.
27
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
28
this
section
that
remain
unencumbered
or
unobligated
at
the
29
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
30
available
for
expenditure
for
the
purposes
designated
until
the
31
close
of
the
succeeding
fiscal
year.
32
Sec.
26.
FIELD
OPERATIONS.
33
1.
There
is
appropriated
from
the
general
fund
of
the
34
state
to
the
department
of
human
services
for
the
fiscal
year
35
-50-
HF766.2072
(2)
88
pf/rn
50/
88
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
1
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
2
purposes
designated:
3
For
field
operations,
including
salaries,
support,
4
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
5
the
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,396,906
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,539.00
8
2.
The
additional
full-time
equivalent
positions
authorized
9
in
subsection
1
shall
include
29.00
full-time
equivalent
staff
10
positions
to
relieve
caseloads
and
6.00
full-time
equivalent
11
positions
related
to
the
eligibility
integrated
application
12
solution
(ELIAS)
system.
13
3.
Priority
in
filling
full-time
equivalent
positions
14
shall
be
given
to
those
positions
related
to
child
protection
15
services
and
eligibility
determination
for
low-income
families.
16
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
17
from
the
general
fund
of
the
state
to
the
department
of
human
18
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
19
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
20
necessary,
to
be
used
for
the
purpose
designated:
21
For
general
administration,
including
salaries,
support,
22
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
23
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,533,040
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
26
1.
The
department
shall
report
at
least
monthly
to
the
27
legislative
services
agency
concerning
the
department’s
28
operational
and
program
expenditures.
29
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
30
be
used
to
continue
the
contract
for
the
provision
of
a
program
31
to
provide
technical
assistance,
support,
and
consultation
to
32
providers
of
habilitation
services
and
home
and
community-based
33
services
waiver
services
for
adults
with
disabilities
under
the
34
medical
assistance
program.
35
-51-
HF766.2072
(2)
88
pf/rn
51/
88
3.
Of
the
funds
appropriated
in
this
section,
$50,000
1
is
transferred
to
the
Iowa
finance
authority
to
be
used
2
for
administrative
support
of
the
council
on
homelessness
3
established
in
section
16.2D
and
for
the
council
to
fulfill
its
4
duties
in
addressing
and
reducing
homelessness
in
the
state.
5
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
6
be
transferred
to
and
deposited
in
the
administrative
fund
of
7
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
8
be
used
for
implementation
and
administration
activities
of
the
9
Iowa
ABLE
savings
plan
trust.
10
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
11
transferred
to
the
economic
development
authority
for
the
Iowa
12
commission
on
volunteer
services
to
continue
to
be
used
for
13
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
14
for
member
recruitment
and
training
to
improve
the
economic
15
well-being
and
health
of
economically
disadvantaged
refugees
in
16
local
communities
across
Iowa.
Funds
transferred
may
be
used
17
to
supplement
federal
funds
under
federal
regulations.
18
6.
Of
the
funds
appropriated
in
this
section,
up
to
19
$1,000,000
shall
be
used
as
follows:
20
a.
To
fund
not
more
than
one
full-time
equivalent
position
21
to
address
the
department’s
responsibility
to
support
the
work
22
of
the
children’s
system
state
board
and
implementation
of
the
23
services
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
24
section
13.
25
b.
To
support
the
cost
of
establishing
and
implementing
new
26
or
additional
services
required
pursuant
to
2018
Iowa
Acts,
27
chapter
1056,
and
any
legislation
enacted
by
the
2019
general
28
assembly
establishing
a
children’s
behavioral
health
system.
29
c.
Of
the
amount
allocated,
$32,000
shall
be
transferred
30
to
the
department
of
public
health
to
support
the
costs
of
31
establishing
and
implementing
new
or
additional
services
32
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
and
any
33
legislation
enacted
by
the
2019
general
assembly
establishing
a
34
children’s
behavioral
health
system.
35
-52-
HF766.2072
(2)
88
pf/rn
52/
88
d.
Of
the
amount
allocated,
$700,000
shall
be
distributed
1
in
equal
amounts
to
each
of
the
mental
health
and
disability
2
services
regions
for
a
children’s
behavioral
health
system
3
coordinator
in
each
region.
4
Sec.
28.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
5
from
the
general
fund
of
the
state
to
the
department
of
human
6
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
7
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
8
necessary,
to
be
used
for
the
purposes
designated:
9
For
salaries,
support,
maintenance,
and
miscellaneous
10
purposes
at
facilities
under
the
purview
of
the
department
of
11
human
services:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
13
Sec.
29.
VOLUNTEERS.
There
is
appropriated
from
the
general
14
fund
of
the
state
to
the
department
of
human
services
for
the
15
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
2020,
16
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
17
used
for
the
purpose
designated:
18
For
development
and
coordination
of
volunteer
services:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
20
Sec.
30.
CORPORATE
TECHNOLOGY.
There
is
appropriated
21
from
the
general
fund
of
the
state
to
the
department
of
human
22
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
23
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purposes
designated:
25
For
the
purchase
of
department-wide
technology
and
software
26
update
needs:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,294,895
28
Sec.
31.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
29
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
30
DEPARTMENT
OF
HUMAN
SERVICES.
31
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
32
2019,
the
department
shall
rebase
case-mix
nursing
facility
33
rates
effective
July
1,
2019,
to
the
extent
possible
within
the
34
state
funding,
including
the
$20,479,942
appropriated
for
this
35
-53-
HF766.2072
(2)
88
pf/rn
53/
88
purpose.
1
(b)
For
the
fiscal
year
beginning
July
1,
2019,
non-case-mix
2
and
special
population
nursing
facilities
shall
be
reimbursed
3
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
4
prior
fiscal
year.
5
(c)
For
managed
care
claims,
the
department
of
human
6
services
shall
adjust
the
payment
rate
floor
for
nursing
7
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
8
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
9
rate
calculated
in
accordance
with
subparagraph
division
10
(a)
and
441
IAC
81.6
.
The
department
shall
then
calculate
11
adjusted
reimbursement
rates,
including
but
not
limited
to
12
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
13
care
organizations
of
the
adjusted
reimbursement
rates
within
14
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
15
adjustment
of
reimbursement
rates
under
this
subparagraph
16
division
shall
be
budget
neutral
to
the
state
budget.
17
(d)
For
the
fiscal
year
beginning
July
1,
2019,
Medicaid
18
managed
care
long-term
services
and
supports
capitation
19
rates
shall
be
adjusted
to
reflect
the
rebasing
pursuant
to
20
subparagraph
division
(a)
for
the
patient
populations
residing
21
in
Medicaid-certified
nursing
facilities.
22
(2)
Medicaid
managed
care
organizations
shall
adjust
23
facility-specific
rates
based
upon
payment
rate
listings
issued
24
by
the
department.
The
rate
adjustments
shall
be
applied
25
prospectively
from
the
effective
date
of
the
rate
letter
issued
26
by
the
department.
27
b.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
28
the
department
shall
establish
the
pharmacy
dispensing
fee
29
reimbursement
at
$10.07
per
prescription,
until
a
cost
of
30
dispensing
survey
is
completed.
The
actual
dispensing
fee
31
shall
be
determined
by
a
cost
of
dispensing
survey
performed
32
by
the
department
and
required
to
be
completed
by
all
medical
33
assistance
program
participating
pharmacies
every
two
years,
34
adjusted
as
necessary
to
maintain
expenditures
within
the
35
-54-
HF766.2072
(2)
88
pf/rn
54/
88
amount
appropriated
to
the
department
for
this
purpose
for
the
1
fiscal
year.
2
(2)
The
department
shall
utilize
an
average
acquisition
3
cost
reimbursement
methodology
for
all
drugs
covered
under
the
4
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
5
chapter
1133,
section
33
.
6
c.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
7
reimbursement
rates
for
outpatient
hospital
services
shall
8
remain
at
the
rates
in
effect
on
June
30,
2019,
subject
to
9
Medicaid
program
upper
payment
limit
rules,
and
adjusted
10
as
necessary
to
maintain
expenditures
within
the
amount
11
appropriated
to
the
department
for
this
purpose
for
the
fiscal
12
year.
13
(2)
For
the
fiscal
year
beginning
July
1,
2019,
14
reimbursement
rates
for
inpatient
hospital
services
shall
15
remain
at
the
rates
in
effect
on
June
30,
2019,
subject
to
16
Medicaid
program
upper
payment
limit
rules,
and
adjusted
17
as
necessary
to
maintain
expenditures
within
the
amount
18
appropriated
to
the
department
for
this
purpose
for
the
fiscal
19
year.
20
(3)
For
the
fiscal
year
beginning
July
1,
2019,
under
both
21
fee-for-service
and
managed
care
administration
of
the
Medicaid
22
program,
critical
access
hospital
reimbursement
rates
shall
be
23
adjusted
within
the
additional
$1,500,000
appropriated
for
this
24
purpose.
25
(4)
For
the
fiscal
year
beginning
July
1,
2019,
the
graduate
26
medical
education
and
disproportionate
share
hospital
fund
27
shall
remain
at
the
amount
in
effect
on
June
30,
2019,
except
28
that
the
portion
of
the
fund
attributable
to
graduate
medical
29
education
shall
be
reduced
in
an
amount
that
reflects
the
30
elimination
of
graduate
medical
education
payments
made
to
31
out-of-state
hospitals.
32
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
33
funds
in
procuring
health
care
services
for
low-income
Iowans,
34
funds
appropriated
in
this
Act
for
hospital
services
shall
35
-55-
HF766.2072
(2)
88
pf/rn
55/
88
not
be
used
for
activities
which
would
be
excluded
from
a
1
determination
of
reasonable
costs
under
the
federal
Medicare
2
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
3
d.
For
the
fiscal
year
beginning
July
1,
2019,
reimbursement
4
rates
for
hospices
and
acute
psychiatric
hospitals
shall
be
5
increased
in
accordance
with
increases
under
the
federal
6
Medicare
program
or
as
supported
by
their
Medicare
audited
7
costs.
8
e.
For
the
fiscal
year
beginning
July
1,
2019,
independent
9
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
10
using
the
same
methodology
in
effect
on
June
30,
2019.
11
f.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
12
reimbursement
rates
for
home
health
agencies
shall
be
rebased,
13
to
the
extent
possible,
within
the
state
funding
appropriated
14
for
this
purpose,
and
shall
continue
to
be
based
on
the
15
Medicare
low
utilization
payment
adjustment
(LUPA)
methodology
16
with
state
geographic
wage
adjustments
to
reflect
the
most
17
recent
Medicare
LUPA
rates
to
the
extent
possible
within
the
18
state
funding
appropriated
for
this
purpose.
19
(2)
For
the
fiscal
year
beginning
July
1,
2019,
rates
for
20
private
duty
nursing
and
personal
care
services
under
the
early
21
and
periodic
screening,
diagnostic,
and
treatment
program
22
benefit
shall
be
calculated
based
on
the
methodology
in
effect
23
on
June
30,
2019.
24
g.
For
the
fiscal
year
beginning
July
1,
2019,
federally
25
qualified
health
centers
and
rural
health
clinics
shall
receive
26
cost-based
reimbursement
for
100
percent
of
the
reasonable
27
costs
for
the
provision
of
services
to
recipients
of
medical
28
assistance.
29
h.
For
the
fiscal
year
beginning
July
1,
2019,
the
30
reimbursement
rates
for
dental
services
shall
remain
at
the
31
rates
in
effect
on
June
30,
2019.
32
i.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
33
reimbursement
rates
for
non-state-owned
psychiatric
medical
34
institutions
for
children
shall
be
based
on
the
reimbursement
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methodology
in
effect
on
June
30,
2019.
1
(2)
As
a
condition
of
participation
in
the
medical
2
assistance
program,
enrolled
providers
shall
accept
the
medical
3
assistance
reimbursement
rate
for
any
covered
goods
or
services
4
provided
to
recipients
of
medical
assistance
who
are
children
5
under
the
custody
of
a
psychiatric
medical
institution
for
6
children.
7
j.
For
the
fiscal
year
beginning
July
1,
2019,
unless
8
otherwise
specified
in
this
Act,
all
noninstitutional
medical
9
assistance
provider
reimbursement
rates
shall
remain
at
the
10
rates
in
effect
on
June
30,
2019,
except
for
area
education
11
agencies,
local
education
agencies,
infant
and
toddler
12
services
providers,
home
and
community-based
services
providers
13
including
consumer-directed
attendant
care
providers
under
a
14
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
15
providers,
and
those
providers
whose
rates
are
required
to
be
16
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
17
mental
health
parity
requirements.
18
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
19
fiscal
year
beginning
July
1,
2019,
the
reimbursement
rate
for
20
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
21
30,
2019,
and
updated
on
January
1,
2020,
to
align
with
the
22
most
current
Iowa
Medicare
anesthesia
rate.
23
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
24
beginning
July
1,
2019,
the
average
reimbursement
rate
for
25
health
care
providers
eligible
for
use
of
the
federal
Medicare
26
resource-based
relative
value
scale
reimbursement
methodology
27
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
28
June
30,
2019;
however,
this
rate
shall
not
exceed
the
maximum
29
level
authorized
by
the
federal
government.
30
m.
For
the
fiscal
year
beginning
July
1,
2019,
the
31
reimbursement
rate
for
residential
care
facilities
shall
not
32
be
less
than
the
minimum
payment
level
as
established
by
the
33
federal
government
to
meet
the
federally
mandated
maintenance
34
of
effort
requirement.
The
flat
reimbursement
rate
for
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facilities
electing
not
to
file
annual
cost
reports
shall
not
1
be
less
than
the
minimum
payment
level
as
established
by
the
2
federal
government
to
meet
the
federally
mandated
maintenance
3
of
effort
requirement.
4
n.
For
the
fiscal
year
beginning
July
1,
2019,
the
5
reimbursement
rates
for
inpatient
mental
health
services
6
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
7
June
30,
2019,
subject
to
Medicaid
program
upper
payment
limit
8
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
9
assistance
program
fee-for-service
rate
in
effect
on
June
30,
10
2019.
11
o.
For
the
fiscal
year
beginning
July
1,
2019,
community
12
mental
health
centers
may
choose
to
be
reimbursed
for
the
13
services
provided
to
recipients
of
medical
assistance
through
14
either
of
the
following
options:
15
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
16
(2)
In
accordance
with
the
alternative
reimbursement
rate
17
methodology
approved
by
the
department
of
human
services
in
18
effect
on
June
30,
2019.
19
p.
For
the
fiscal
year
beginning
July
1,
2019,
the
20
reimbursement
rate
for
providers
of
family
planning
services
21
that
are
eligible
to
receive
a
90
percent
federal
match
shall
22
remain
at
the
rates
in
effect
on
June
30,
2019.
23
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
24
for
the
fiscal
year
beginning
July
1,
2019,
the
upper
25
limits
and
reimbursement
rates
for
providers
of
home
and
26
community-based
services
waiver
services
shall
be
reimbursed
27
using
the
reimbursement
methodology
in
effect
on
June
30,
2019.
28
r.
For
the
fiscal
year
beginning
July
1,
2019,
the
29
reimbursement
rates
for
emergency
medical
service
providers
30
shall
remain
at
the
rates
in
effect
on
June
30,
2019.
31
s.
For
the
fiscal
year
beginning
July
1,
2019,
reimbursement
32
rates
for
substance-related
disorder
treatment
programs
33
licensed
under
section
125.13
shall
remain
at
the
rates
in
34
effect
on
June
30,
2019.
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t.
For
the
fiscal
year
beginning
July
1,
2019,
assertive
1
community
treatment
per
diem
rates
shall
be
adjusted
to
2
reflect
an
actual
average
per
diem
cost
within
the
additional
3
$1,088,437
appropriated
for
this
purpose.
4
u.
For
the
fiscal
year
beginning
July
1,
2019,
the
5
department
shall
establish
a
reimbursement
rate
floor
of
6
at
least
$35
for
the
assisted
living
on-call
service
under
7
the
home
and
community-based
services
elderly
waiver.
The
8
rate
floor
shall
be
applicable
to
both
fee-for-service
and
9
managed
care
administration
of
the
Medicaid
program,
unless
an
10
alternative
rate
or
payment
structure
is
mutually
agreed
upon
11
by
the
on-call
service
provider
and
the
payor.
12
2.
For
the
fiscal
year
beginning
July
1,
2019,
the
13
reimbursement
rate
for
providers
reimbursed
under
the
14
in-home-related
care
program
shall
not
be
less
than
the
minimum
15
payment
level
as
established
by
the
federal
government
to
meet
16
the
federally
mandated
maintenance
of
effort
requirement.
17
3.
Unless
otherwise
directed
in
this
section,
when
the
18
department’s
reimbursement
methodology
for
any
provider
19
reimbursed
in
accordance
with
this
section
includes
an
20
inflation
factor,
this
factor
shall
not
exceed
the
amount
21
by
which
the
consumer
price
index
for
all
urban
consumers
22
increased
during
the
calendar
year
ending
December
31,
2002.
23
4.
Notwithstanding
section
234.38
,
for
the
fiscal
24
year
beginning
July
1,
2019,
the
foster
family
basic
daily
25
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
26
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
27
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
28
children
ages
12
through
15
years
shall
be
$19.10,
and
the
29
rate
for
children
and
young
adults
ages
16
and
older
shall
30
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
31
care,
the
preparation
for
adult
living
program
maintenance
rate
32
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
33
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
34
disallowance
of
additional
amounts
for
court
costs
and
other
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related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
1
chapter
1031,
section
408
,
shall
be
continued.
2
5.
For
the
fiscal
year
beginning
July
1,
2019,
the
maximum
3
reimbursement
rates
for
social
services
providers
under
4
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2019,
5
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
6
each
service,
whichever
is
less.
However,
if
a
new
service
7
or
service
provider
is
added
after
June
30,
2019,
the
initial
8
reimbursement
rate
for
the
service
or
provider
shall
be
based
9
upon
a
weighted
average
of
provider
rates
for
similar
services.
10
6.
a.
For
the
fiscal
year
beginning
July
1,
2019,
the
11
reimbursement
rates
for
resource
family
recruitment
and
12
retention
contractors
shall
be
established
by
contract.
13
b.
For
the
fiscal
year
beginning
July
1,
2019,
the
14
reimbursement
rates
for
supervised
apartment
living
foster
care
15
providers
shall
be
established
by
contract.
16
7.
For
the
fiscal
year
beginning
July
1,
2019,
the
17
reimbursement
rate
for
group
foster
care
providers
shall
be
the
18
combined
service
and
maintenance
reimbursement
rate
established
19
by
contract.
20
8.
The
group
foster
care
reimbursement
rates
paid
for
21
placement
of
children
out
of
state
shall
be
calculated
22
according
to
the
same
rate-setting
principles
as
those
used
for
23
in-state
providers,
unless
the
director
of
human
services
or
24
the
director’s
designee
determines
that
appropriate
care
cannot
25
be
provided
within
the
state.
The
payment
of
the
daily
rate
26
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
27
which
service
is
provided.
28
9.
a.
For
the
fiscal
year
beginning
July
1,
2019,
the
29
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
30
emergency
services
implemented
to
provide
or
prevent
the
need
31
for
shelter
care
shall
be
established
by
contract.
32
b.
For
the
fiscal
year
beginning
July
1,
2019,
the
combined
33
service
and
maintenance
components
of
the
reimbursement
rate
34
paid
for
shelter
care
services
shall
be
based
on
the
financial
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and
statistical
report
submitted
to
the
department.
The
1
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
2
department
shall
reimburse
a
shelter
care
provider
at
the
3
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
4
to
exceed
the
maximum
reimbursement
rate.
5
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
6
fiscal
year
beginning
July
1,
2019,
the
amount
of
the
statewide
7
average
of
the
actual
and
allowable
rates
for
reimbursement
of
8
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
9
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
10
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
11
2018.
12
10.
For
the
fiscal
year
beginning
July
1,
2019,
the
13
department
shall
calculate
reimbursement
rates
for
intermediate
14
care
facilities
for
persons
with
an
intellectual
disability
15
at
the
80th
percentile.
Beginning
July
1,
2019,
the
rate
16
calculation
methodology
shall
utilize
the
consumer
price
index
17
inflation
factor
applicable
to
the
fiscal
year
beginning
July
18
1,
2019.
19
11.
Effective
July
1,
2019,
the
child
care
provider
20
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
21
30,
2019.
The
department
shall
set
rates
in
a
manner
so
as
22
to
provide
incentives
for
a
nonregistered
provider
to
become
23
registered
by
applying
any
increase
only
to
registered
and
24
licensed
providers.
25
12.
The
department
may
adopt
emergency
rules
to
implement
26
this
section.
27
Sec.
32.
EMERGENCY
RULES.
28
1.
If
specifically
authorized
by
a
provision
of
this
29
division
of
this
Act,
the
department
of
human
services
or
30
the
mental
health
and
disability
services
commission
may
31
adopt
administrative
rules
under
section
17A.4,
subsection
32
3
,
and
section
17A.5,
subsection
2
,
paragraph
“b”,
to
33
implement
the
provisions
of
this
division
of
this
Act
and
34
the
rules
shall
become
effective
immediately
upon
filing
or
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on
a
later
effective
date
specified
in
the
rules,
unless
the
1
effective
date
of
the
rules
is
delayed
or
the
applicability
2
of
the
rules
is
suspended
by
the
administrative
rules
review
3
committee.
Any
rules
adopted
in
accordance
with
this
section
4
shall
not
take
effect
before
the
rules
are
reviewed
by
the
5
administrative
rules
review
committee.
The
delay
authority
6
provided
to
the
administrative
rules
review
committee
under
7
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
8
shall
be
applicable
to
a
delay
imposed
under
this
section,
9
notwithstanding
a
provision
in
those
sections
making
them
10
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”.
11
Any
rules
adopted
in
accordance
with
the
provisions
of
this
12
section
shall
also
be
published
as
a
notice
of
intended
action
13
as
provided
in
section
17A.4
.
14
2.
If
during
a
fiscal
year,
the
department
of
human
15
services
is
adopting
rules
in
accordance
with
this
section
16
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
17
rules
will
result
in
an
expenditure
increase
beyond
the
amount
18
anticipated
in
the
budget
process
or
if
the
expenditure
was
19
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
20
department
shall
notify
the
persons
designated
by
this
division
21
of
this
Act
for
submission
of
reports,
the
chairpersons
and
22
ranking
members
of
the
committees
on
appropriations,
and
23
the
department
of
management
concerning
the
rules
and
the
24
expenditure
increase.
The
notification
shall
be
provided
at
25
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
26
is
submitted
to
the
administrative
rules
coordinator
and
the
27
administrative
code
editor.
28
Sec.
33.
REPORTS.
Any
reports
or
other
information
29
required
to
be
compiled
and
submitted
under
this
Act
during
the
30
fiscal
year
beginning
July
1,
2019,
shall
be
submitted
to
the
31
chairpersons
and
ranking
members
of
the
joint
appropriations
32
subcommittee
on
health
and
human
services,
the
legislative
33
services
agency,
and
the
legislative
caucus
staffs
on
or
34
before
the
dates
specified
for
submission
of
the
reports
or
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information.
1
Sec.
34.
EFFECTIVE
UPON
ENACTMENT.
The
following
2
provisions
of
this
division
of
this
Act,
being
deemed
of
3
immediate
importance,
take
effect
upon
enactment:
4
1.
The
provision
relating
to
section
232.141
and
directing
5
the
state
court
administrator
and
the
division
administrator
of
6
the
department
of
human
services
division
of
child
and
family
7
services
to
make
the
determination,
by
June
15,
2019,
of
the
8
distribution
of
funds
allocated
for
the
payment
of
the
expenses
9
of
court-ordered
services
provided
to
juveniles
which
are
a
10
charge
upon
the
state.
11
DIVISION
VI
12
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2019-2020
13
Sec.
35.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
14
appropriated
from
the
pharmaceutical
settlement
account
created
15
in
section
249A.33
to
the
department
of
human
services
for
the
16
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
2020,
17
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
18
used
for
the
purpose
designated:
19
Notwithstanding
any
provision
of
law
to
the
contrary,
to
20
supplement
the
appropriations
made
in
this
Act
for
medical
21
contracts
under
the
medical
assistance
program
for
the
fiscal
22
year
beginning
July
1,
2019,
and
ending
June
30,
2020:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
24
Sec.
36.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
25
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
26
subject
to
the
availability
of
funds,
there
is
appropriated
27
from
the
quality
assurance
trust
fund
created
in
section
28
249L.4
to
the
department
of
human
services
for
the
fiscal
year
29
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
30
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
31
designated:
32
To
supplement
the
appropriation
made
in
this
Act
from
the
33
general
fund
of
the
state
to
the
department
of
human
services
34
for
medical
assistance
for
the
same
fiscal
year:
35
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HF766.2072
(2)
88
pf/rn
63/
88
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,570,397
1
Sec.
37.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
2
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
3
the
contrary
and
subject
to
the
availability
of
funds,
there
is
4
appropriated
from
the
hospital
health
care
access
trust
fund
5
created
in
section
249M.4
to
the
department
of
human
services
6
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
7
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
8
necessary,
for
the
purposes
designated:
9
To
supplement
the
appropriation
made
in
this
Act
from
the
10
general
fund
of
the
state
to
the
department
of
human
services
11
for
medical
assistance
for
the
same
fiscal
year:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
13
Sec.
38.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
14
FOR
FY
2019-2020.
Notwithstanding
section
8.33
,
if
moneys
15
appropriated
for
purposes
of
the
medical
assistance
program
for
16
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
17
2020,
from
the
general
fund
of
the
state,
the
quality
assurance
18
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
19
in
excess
of
actual
expenditures
for
the
medical
assistance
20
program
and
remain
unencumbered
or
unobligated
at
the
close
21
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
22
shall
remain
available
for
expenditure
for
the
purposes
of
the
23
medical
assistance
program
until
the
close
of
the
succeeding
24
fiscal
year.
25
DIVISION
VII
26
GRADUATED
SANCTION,
COURT-ORDERED,
AND
GROUP
FOSTER
CARE
27
SERVICES
AND
FUNDING
WORK
GROUP
28
Sec.
39.
GRADUATED
SANCTION,
COURT-ORDERED,
AND
GROUP
29
FOSTER
CARE
SERVICES
AND
FUNDING
WORK
GROUP.
30
1.
As
used
in
this
section,
unless
the
context
otherwise
31
requires:
32
a.
“Court-ordered
services”
means
the
defined
or
specific
33
care
and
treatment
that
is
ordered
by
the
court
for
an
eligible
34
child
and
for
which
no
other
payment
source
is
available
to
35
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88
cover
the
cost.
1
b.
“Department”
means
the
department
of
human
services.
2
c.
“Eligible
child”
means
a
child
who
has
been
adjudicated
3
delinquent,
is
at
risk,
or
has
been
certified
by
the
chief
4
juvenile
court
officer
as
eligible
for
court-ordered
services.
5
d.
“Graduated
sanction
services”
includes
community-based
6
interventions,
school-based
supervision,
and
supportive
7
enhancements
provided
in
community-based
settings
to
an
8
eligible
child
who
is
adjudicated
delinquent
or
who
is
at
risk
9
of
adjudication.
10
2.
The
division
of
criminal
and
juvenile
justice
planning
11
of
the
department
of
human
rights
shall
convene
and
provide
12
administrative
support
to
a
work
group
to
review
and
develop
13
a
plan
to
transfer
the
administration
of
graduated
sanctions
14
and
court-ordered
services
and
funding
and
the
oversight
of
15
group
foster
care
placements
for
eligible
children
from
the
16
department
to
the
office
of
the
state
court
administrator.
17
The
plan
shall
ensure
that
the
office
of
the
state
court
18
administrator
has
the
capacity,
resources,
and
expertise
to
19
manage
the
funding
and
services
effectively.
20
3.
a.
In
addition
to
a
representative
of
the
division
of
21
criminal
and
juvenile
justice
planning
of
the
department
of
22
human
rights,
the
membership
of
the
work
group
shall
include
23
but
is
not
limited
to
representatives
of
all
of
the
following:
24
(1)
The
judicial
branch,
including
the
state
court
25
administrator
or
the
state
court
administrator’s
designee,
26
a
juvenile
court
judge,
at
least
one
chief
juvenile
court
27
officer,
and
a
representative
with
fiscal
and
contract
28
experience.
29
(2)
The
department
of
human
services,
including
30
representatives
with
experience
managing
graduated
sanctions
31
funding
and
group
foster
care
placements.
32
(3)
The
department
of
justice.
33
(4)
The
juvenile
justice
advisory
committee.
34
(5)
Member
and
nonmember
agencies
of
the
coalition
for
35
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88
family
and
children’s
services
in
Iowa.
1
(6)
Providers
of
community-based
services
for
eligible
2
children.
3
(7)
Providers
of
group
foster
care.
4
(8)
Attorneys
who
represent
children
in
juvenile
justice
5
proceedings.
6
(9)
County
attorneys.
7
(10)
Federal
Title
IV-E
funding
and
services
subject
matter
8
experts.
9
(11)
Individuals
who
formerly
received
services
as
eligible
10
children
or
their
parents.
11
b.
In
addition,
the
work
group
membership
shall
include
12
four
members
of
the
general
assembly.
The
legislative
members
13
shall
serve
as
ex
officio,
nonvoting
members
of
the
work
group,
14
with
one
member
to
be
appointed
by
each
of
the
following:
the
15
majority
leader
of
the
senate,
the
minority
leader
of
the
16
senate,
the
speaker
of
the
house
of
representatives,
and
the
17
minority
leader
of
the
house
of
representatives.
18
c.
In
addition
to
the
members
specified,
the
division
19
of
criminal
and
juvenile
justice
planning
may
include
other
20
stakeholders
with
interest
or
expertise
on
the
work
group.
21
d.
Any
expenses
incurred
by
a
member
of
the
work
group
22
shall
be
the
responsibility
of
the
individual
member
or
the
23
respective
entity
represented
by
the
member.
24
4.
The
work
group
shall
do
all
of
the
following:
25
a.
Develop
an
action
plan
to
transfer
the
administration
26
of
juvenile
court
graduated
sanction
services,
court-ordered
27
services,
and
associated
funding
from
the
department
to
the
28
office
of
the
state
court
administrator
or
other
appropriate
29
state
entity.
30
b.
Develop
an
action
plan
to
transfer
the
oversight
of
31
group
foster
care
services
for
eligible
children
from
the
32
department
to
the
office
of
the
state
court
administrator
or
33
other
appropriate
state
entity
with
the
necessary
expertise
to
34
provide
such
services.
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88
c.
Develop
an
action
plan
to
transfer
administration
of
the
1
juvenile
detention
home
fund
created
in
section
232.142
from
2
the
department
to
the
office
of
the
state
court
administrator
3
or
other
appropriate
state
entity.
4
d.
Evaluate
current
resources
to
determine
the
most
5
efficient
means
of
suitably
equipping
the
office
of
the
state
6
court
administrator
or
other
appropriate
state
entity
with
7
the
policies
and
legal
authority;
staffing;
contracting,
8
procurement,
data,
and
quality
assurance
capabilities;
9
and
other
resources
necessary
to
manage
such
funds
and
10
associated
services
effectively.
The
evaluation
shall
11
require
collaboration
with
the
department
to
manage
transition
12
activities.
13
e.
Recommend
statutory
and
administrative
policies
and
14
court
rules
to
promote
collaborative
case
planning
and
quality
15
assurance
between
the
department
and
juvenile
court
services
16
for
youth
who
may
be
involved
in
both
the
child
welfare
and
17
juvenile
justice
systems
or
who
may
utilize
the
same
providers
18
or
services.
19
f.
Determine
the
impact
and
role
of
the
federal
Family
20
First
Prevention
Services
Act
relative
to
the
various
funding
21
streams
and
services
under
the
purview
of
the
work
group,
and
22
recommend
statutory
and
administrative
policies
and
rules
to
23
coordinate
the
duties
of
the
work
group
with
implementation
and
24
administration
of
the
federal
Act.
25
g.
Determine
the
role
of
the
decategorization
of
child
26
welfare
and
juvenile
justice
funding
initiative
pursuant
27
to
section
232.188
relative
to
the
other
funding
streams
28
and
services
under
the
purview
of
the
work
group,
and
make
29
recommendations
regarding
the
future
of
the
initiative
30
including
the
potential
transfer
of
administration
of
the
31
initiative
from
the
department
to
the
office
of
the
state
court
32
administrator
or
other
appropriate
state
entity.
33
h.
Consult
with
other
state
juvenile
court
systems
and
34
subject
matter
experts
to
review
administration
of
similar
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programs,
to
glean
information
on
lessons
learned
and
best
1
practices,
and
to
determine
the
types
of
community
and
2
residential
services
that
have
demonstrated
effectiveness
for
3
eligible
children.
4
5.
The
division
of
criminal
and
juvenile
justice
planning
5
of
the
department
of
human
rights
shall
submit
a
report
of
the
6
findings
and
recommendations
of
the
work
group,
including
a
7
plan
to
implement
the
recommendations
by
July
1,
2021,
to
the
8
governor
and
the
general
assembly
by
December
15,
2019.
9
DIVISION
VIII
10
MEDICAID
MANAGED
CARE
CONTRACTS
11
Sec.
40.
MEDICAID
MANAGED
CARE
CONTRACTS
——
NOTIFICATION
12
TO
GENERAL
ASSEMBLY.
The
department
of
human
services
shall
13
notify
the
chairpersons
and
ranking
members
of
the
joint
14
appropriations
subcommittee
on
health
and
human
services,
the
15
legislative
services
agency,
and
the
legislative
caucus
staffs
16
as
follows:
17
1.
Within
thirty
days
of
the
execution
of
a
Medicaid
managed
18
care
contract
or
amendment
to
a
Medicaid
managed
care
contract.
19
2.
Within
thirty
days
of
the
determination
by
the
20
department
during
each
measurement
year
whether
to
return
the
21
incentive
payment
withhold
amount
to
the
Medicaid
managed
care
22
organization
based
upon
performance
and
the
criteria
used
in
23
making
the
determination.
24
DIVISION
IX
25
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING
26
Sec.
41.
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING.
The
27
department
on
aging
and
the
department
of
human
services
shall
28
continue
to
collaborate
to
develop
a
cost
allocation
plan
29
requesting
Medicaid
administrative
funding
to
provide
for
the
30
claiming
of
federal
financial
participation
for
aging
and
31
disability
resource
center
activities
that
are
performed
to
32
assist
with
administration
of
the
Medicaid
program.
By
January
33
1,
2021,
the
department
of
human
services
shall
submit
to
34
the
centers
for
Medicare
and
Medicaid
services
of
the
United
35
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88
States
department
of
health
and
human
services
any
Medicaid
1
state
plan
amendment
as
necessary
and
shall
enter
into
any
2
interagency
agreement
with
the
department
on
aging
to
implement
3
this
section.
4
DIVISION
X
5
DECATEGORIZATION
FY
2017
CARRYOVER
FUNDING
6
Sec.
42.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2017
——
7
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
8
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
9
the
funding
pool
that
remained
unencumbered
or
unobligated
10
at
the
close
of
the
fiscal
year
beginning
July
1,
2016,
and
11
were
deemed
carryover
funding
to
remain
available
for
the
two
12
succeeding
fiscal
years
that
still
remain
unencumbered
or
13
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
14
2018,
shall
not
revert
but
shall
be
transferred
to
the
medical
15
assistance
program
for
the
fiscal
year
beginning
July
1,
2019.
16
Sec.
43.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
17
deemed
of
immediate
importance,
takes
effect
upon
enactment.
18
Sec.
44.
RETROACTIVE
APPLICABILITY.
This
division
of
this
19
Act
applies
retroactively
to
July
1,
2018.
20
DIVISION
XI
21
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS
22
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
(TANF)
23
Sec.
45.
2017
Iowa
Acts,
chapter
174,
section
45,
as
amended
24
by
2018
Iowa
Acts,
chapter
1165,
section
10,
is
amended
to
read
25
as
follows:
26
SEC.
45.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
27
GRANT.
There
is
appropriated
from
the
fund
created
in
section
28
8.41
to
the
department
of
human
services
for
the
fiscal
year
29
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
moneys
30
received
under
the
federal
temporary
assistance
for
needy
31
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
32
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
33
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
34
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
35
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88
purposes
designated:
1
1.
To
be
credited
to
the
family
investment
program
account
2
and
used
for
assistance
under
the
family
investment
program
3
under
chapter
239B
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,539,006
5
4,025,108
6
2.
To
be
credited
to
the
family
investment
program
account
7
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
8
program
and
implementing
family
investment
agreements
in
9
accordance
with
chapter
239B
:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
11
5,192,060
12
3.
To
be
used
for
the
family
development
and
13
self-sufficiency
grant
program
in
accordance
with
section
14
216A.107
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,883,980
16
2,898,980
17
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
18
subsection
that
remain
unencumbered
or
unobligated
at
the
close
19
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
20
for
expenditure
for
the
purposes
designated
until
the
close
of
21
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
22
encumbered
or
obligated
on
or
before
September
30,
2019,
the
23
moneys
shall
revert.
24
4.
For
field
operations:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
26
32,465,681
27
5.
For
general
administration:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
29
6.
For
state
child
care
assistance:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
31
a.
Of
the
funds
appropriated
in
this
subsection,
32
$26,205,412
is
transferred
to
the
child
care
and
development
33
block
grant
appropriation
made
by
the
Eighty-seventh
General
34
Assembly,
2018
session,
for
the
federal
fiscal
year
beginning
35
-70-
HF766.2072
(2)
88
pf/rn
70/
88
October
1,
2018,
and
ending
September
30,
2019.
Of
this
1
amount,
$200,000
shall
be
used
for
provision
of
educational
2
opportunities
to
registered
child
care
home
providers
in
order
3
to
improve
services
and
programs
offered
by
this
category
4
of
providers
and
to
increase
the
number
of
providers.
The
5
department
may
contract
with
institutions
of
higher
education
6
or
child
care
resource
and
referral
centers
to
provide
7
the
educational
opportunities.
Allowable
administrative
8
costs
under
the
contracts
shall
not
exceed
5
percent.
The
9
application
for
a
grant
shall
not
exceed
two
pages
in
length.
10
b.
Any
funds
appropriated
in
this
subsection
remaining
11
unallocated
shall
be
used
for
state
child
care
assistance
12
payments
for
families
who
are
employed
including
but
not
13
limited
to
individuals
enrolled
in
the
family
investment
14
program.
15
7.
For
child
and
family
services:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
17
8.
For
child
abuse
prevention
grants:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
19
9.
For
pregnancy
prevention
grants
on
the
condition
that
20
family
planning
services
are
funded:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
22
1,890,203
23
Pregnancy
prevention
grants
shall
be
awarded
to
programs
24
in
existence
on
or
before
July
1,
2018,
if
the
programs
have
25
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
26
pregnancy
prevention
programs
which
are
developed
after
July
27
1,
2018,
if
the
programs
are
based
on
existing
models
that
28
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
29
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
30
section
14,
subsections
1
and
2
,
including
the
requirement
that
31
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
32
the
awarding
of
grants
shall
be
given
to
programs
that
serve
33
areas
of
the
state
which
demonstrate
the
highest
percentage
of
34
unplanned
pregnancies
of
females
of
childbearing
age
within
the
35
-71-
HF766.2072
(2)
88
pf/rn
71/
88
geographic
area
to
be
served
by
the
grant.
1
10.
For
technology
needs
and
other
resources
necessary
2
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
3
management
requirements:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
5
862,186
6
11.
a.
Notwithstanding
any
provision
to
the
contrary,
7
including
but
not
limited
to
requirements
in
section
8.41
or
8
provisions
in
2017
or
2018
Iowa
Acts
regarding
the
receipt
and
9
appropriation
of
federal
block
grants,
federal
funds
from
the
10
temporary
assistance
for
needy
families
block
grant
received
by
11
the
state
and
not
otherwise
appropriated
in
this
section
and
12
remaining
available
for
the
fiscal
year
beginning
July
1,
2018,
13
are
appropriated
to
the
department
of
human
services
to
the
14
extent
as
may
be
necessary
to
be
used
in
the
following
priority
15
order:
the
family
investment
program,
for
state
child
care
16
assistance
program
payments
for
families
who
are
employed,
and
17
for
the
family
investment
program
share
of
system
costs
for
18
eligibility
determination
and
related
functions.
The
federal
19
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
20
only
after
all
other
funds
appropriated
in
subsection
1
for
21
assistance
under
the
family
investment
program,
in
subsection
6
22
for
child
care
assistance,
or
in
subsection
10
for
technology
23
costs
related
to
the
family
investment
program,
as
applicable,
24
have
been
expended.
For
the
purposes
of
this
subsection,
the
25
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
26
to
the
child
care
and
development
block
grant
appropriation
27
are
considered
fully
expended
when
the
full
amount
has
been
28
transferred.
29
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
30
legislative
services
agency
and
department
of
management
of
31
the
amount
of
funds
appropriated
in
this
subsection
that
was
32
expended
in
the
prior
quarter.
33
12.
Of
the
amounts
appropriated
in
this
section,
34
$12,962,008
for
the
fiscal
year
beginning
July
1,
2018,
is
35
-72-
HF766.2072
(2)
88
pf/rn
72/
88
transferred
to
the
appropriation
of
the
federal
social
services
1
block
grant
made
to
the
department
of
human
services
for
that
2
fiscal
year.
3
13.
For
continuation
of
the
program
providing
categorical
4
eligibility
for
the
food
assistance
program
as
specified
5
for
the
program
in
the
section
of
this
division
of
this
Act
6
relating
to
the
family
investment
program
account:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
8
13,000
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
7
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
under
chapter
239B
,
followed
by
29
state
child
care
assistance
program
payments
for
families
who
30
are
employed,
followed
by
other
priorities
as
specified
by
the
31
department.
32
FAMILY
INVESTMENT
PROGRAM
ADJUSTMENTS
33
Sec.
46.
2017
Iowa
Acts,
chapter
174,
section
46,
subsection
34
4,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
11,
is
35
-73-
HF766.2072
(2)
88
pf/rn
73/
88
amended
to
read
as
follows:
1
4.
Moneys
appropriated
in
this
division
of
this
Act
and
2
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
3
1,
2018,
and
ending
June
30,
2019,
are
allocated
as
follows:
4
a.
To
be
retained
by
the
department
of
human
services
to
5
be
used
for
coordinating
with
the
department
of
human
rights
6
to
more
effectively
serve
participants
in
FIP
and
other
shared
7
clients
and
to
meet
federal
reporting
requirements
under
the
8
federal
temporary
assistance
for
needy
families
block
grant:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,000
10
20,000
11
b.
To
the
department
of
human
rights
for
staffing,
12
administration,
and
implementation
of
the
family
development
13
and
self-sufficiency
grant
program
in
accordance
with
section
14
216A.107
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
16
(1)
Of
the
funds
allocated
for
the
family
development
17
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
18
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
19
administration
of
the
grant
program.
20
(2)
The
department
of
human
rights
may
continue
to
implement
21
the
family
development
and
self-sufficiency
grant
program
22
statewide
during
fiscal
year
2018-2019.
23
(3)
The
department
of
human
rights
may
engage
in
activities
24
to
strengthen
and
improve
family
outcomes
measures
and
25
data
collection
systems
under
the
family
development
and
26
self-sufficiency
grant
program.
27
c.
For
the
diversion
subaccount
of
the
FIP
account:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
749,694
29
815,000
30
A
portion
of
the
moneys
allocated
for
the
subaccount
may
31
be
used
for
field
operations,
salaries,
data
management
32
system
development,
and
implementation
costs
and
support
33
deemed
necessary
by
the
director
of
human
services
in
order
to
34
administer
the
FIP
diversion
program.
To
the
extent
moneys
35
-74-
HF766.2072
(2)
88
pf/rn
74/
88
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
1
not
to
be
necessary
to
support
diversion
activities,
such
2
moneys
may
be
used
for
other
efforts
intended
to
increase
3
engagement
by
family
investment
program
participants
in
work,
4
education,
or
training
activities,
or
for
the
purposes
of
5
assistance
under
the
family
investment
program
in
accordance
6
with
chapter
239B
.
7
d.
For
the
food
assistance
employment
and
training
program:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
9
(1)
The
department
shall
apply
the
federal
supplemental
10
nutrition
assistance
program
(SNAP)
employment
and
training
11
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
12
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
13
provisions
for
the
claiming
of
allowable
federal
reimbursement
14
funds
from
the
United
States
department
of
agriculture
15
pursuant
to
the
federal
SNAP
employment
and
training
program
16
for
providing
education,
employment,
and
training
services
17
for
eligible
food
assistance
program
participants,
including
18
but
not
limited
to
related
dependent
care
and
transportation
19
expenses.
20
(2)
The
department
shall
continue
the
categorical
federal
21
food
assistance
program
eligibility
at
160
percent
of
the
22
federal
poverty
level
and
continue
to
eliminate
the
asset
test
23
from
eligibility
requirements,
consistent
with
federal
food
24
assistance
program
requirements.
The
department
shall
include
25
as
many
food
assistance
households
as
is
allowed
by
federal
26
law.
The
eligibility
provisions
shall
conform
to
all
federal
27
requirements
including
requirements
addressing
individuals
who
28
are
incarcerated
or
otherwise
ineligible.
29
e.
For
the
JOBS
program:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,139,821
31
11,919,821
32
MEDICAL
ASSISTANCE
PROGRAM
ADJUSTMENT
33
Sec.
47.
2017
Iowa
Acts,
chapter
174,
section
51,
unnumbered
34
paragraph
2,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
35
-75-
HF766.2072
(2)
88
pf/rn
75/
88
section
18,
is
amended
to
read
as
follows:
1
For
medical
assistance
program
reimbursement
and
associated
2
costs
as
specifically
provided
in
the
reimbursement
3
methodologies
in
effect
on
June
30,
2018,
except
as
otherwise
4
expressly
authorized
by
law,
consistent
with
options
under
5
federal
law
and
regulations,
and
contingent
upon
receipt
of
6
approval
from
the
office
of
the
governor
of
reimbursement
for
7
each
abortion
performed
under
the
program:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,337,841,375
9
1,488,141,375
10
GROUP
FOSTER
CARE
REALLOCATION
11
Sec.
48.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
12
3,
paragraph
a,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
13
section
28,
is
amended
to
read
as
follows:
14
a.
Of
the
funds
appropriated
in
this
section,
up
to
15
$34,536,648
is
allocated
as
the
statewide
expenditure
target
16
under
section
232.143
for
group
foster
care
maintenance
and
17
services.
If
the
department
projects
that
such
expenditures
18
for
the
fiscal
year
will
be
less
than
the
target
amount
19
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
20
the
excess
to
provide
additional
funding
for
family
foster
21
care,
independent
living,
family
safety,
risk
and
permanency
22
services,
shelter
care
,
or
the
child
welfare
emergency
services
23
addressed
with
the
allocation
for
shelter
care.
24
SHELTER
CARE
ALLOCATION
25
Sec.
49.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
26
6,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
28,
is
27
amended
to
read
as
follows:
28
6.
Notwithstanding
section
234.35
or
any
other
provision
of
29
law
to
the
contrary,
state
funding
Of
the
funds
appropriated
30
in
this
section,
a
sufficient
amount
is
allocated
for
shelter
31
care
and
the
child
welfare
emergency
services
contracting
32
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
33
shall
be
limited
to
$8,096,158
.
34
OTHER
FUNDING
FOR
CHILD
WELFARE
SERVICES
35
-76-
HF766.2072
(2)
88
pf/rn
76/
88
Sec.
50.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
1
6,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
28,
is
2
amended
by
adding
the
following
new
subsection:
3
NEW
SUBSECTION
.
24.
If
a
separate
funding
source
is
4
identified
that
reduces
the
need
for
state
funds
within
an
5
allocation
under
this
section,
the
allocated
state
funds
may
be
6
redistributed
to
other
allocations
under
this
section
for
the
7
same
fiscal
year.
8
MEDICAID
——
INITIAL
THREE-DAY
REIMBURSEMENT
9
Sec.
51.
2018
Iowa
Acts,
chapter
1165,
section
128,
10
subsection
2,
paragraph
a,
is
amended
to
read
as
follows:
11
a.
If
a
Medicaid
member
is
receiving
court-ordered
services
12
or
treatment
for
a
substance-related
disorder
pursuant
to
13
chapter
125
or
for
a
mental
illness
pursuant
to
chapter
229
,
14
such
services
or
treatment
shall
be
provided
and
reimbursed
15
for
an
initial
period
of
three
days
before
a
managed
care
16
organization
may
apply
medical
necessity
criteria
to
determine
17
the
most
if
continuation
of
the
service
is
appropriate
18
services,
treatment,
or
placement
for
the
Medicaid
member
.
19
Sec.
52.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
20
deemed
of
immediate
importance,
takes
effect
upon
enactment.
21
Sec.
53.
RETROACTIVE
APPLICABILITY.
This
division
of
this
22
Act
applies
retroactively
to
July
1,
2018.
23
DIVISION
XII
24
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
PROGRAM
FUTURE
REPEAL
25
Sec.
54.
Section
249M.5,
Code
2019,
is
amended
to
read
as
26
follows:
27
249M.5
Future
repeal.
28
This
chapter
is
repealed
July
1,
2019
2021
.
29
Sec.
55.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
30
deemed
of
immediate
importance,
takes
effect
upon
enactment.
31
DIVISION
XIII
32
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
OF
FUNDS
33
Sec.
56.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
34
OF
FUNDS.
Notwithstanding
section
331.432,
a
county
with
a
35
-77-
HF766.2072
(2)
88
pf/rn
77/
88
population
of
over
300,000
based
on
the
most
recent
federal
1
decennial
census,
may
transfer
funds
from
any
other
fund
of
the
2
county
to
the
mental
health
and
disability
regional
services
3
fund
for
the
purposes
of
providing
mental
health
and
disability
4
services
for
the
fiscal
year
beginning
July
1,
2019,
and
5
ending
June
30,
2020.
The
county
shall
submit
a
report
to
6
the
governor
and
the
general
assembly
by
September
1,
2020,
7
including
the
source
of
any
funds
transferred,
the
amount
of
8
the
funds
transferred,
and
the
mental
health
and
disability
9
services
provided
with
the
transferred
funds.
10
DIVISION
XIV
11
APPROPRIATION
TO
BOARD
OF
REGENTS
——
PSYCHIATRIC
PROFESSIONALS
12
Sec.
57.
There
is
appropriated
from
the
general
fund
of
13
the
state
to
the
state
board
of
regents
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
1.
For
rural
psychiatric
residencies
to
support
the
annual
18
creation
and
training
of
four
psychiatric
residents
who
will
19
provide
mental
health
services
in
underserved
areas
of
the
20
state:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
22
2.
For
psychiatric
training
to
increase
access
to
mental
23
health
care
services
by
expanding
the
mental
health
workforce
24
via
training
of
additional
physician
assistants
and
nurse
25
practitioners:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
150,000
27
DIVISION
XV
28
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
29
Sec.
58.
Section
217.3,
subsection
4,
Code
2019,
is
amended
30
to
read
as
follows:
31
4.
Approve
the
budget
of
the
department
of
human
services
32
prior
to
submission
to
the
governor.
Prior
to
approval
of
the
33
budget,
the
council
shall
publicize
and
hold
a
public
hearing
34
to
provide
explanations
and
hear
questions,
opinions,
and
35
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HF766.2072
(2)
88
pf/rn
78/
88
suggestions
regarding
the
budget.
Invitations
to
the
hearing
1
shall
be
extended
to
the
governor,
the
governor-elect,
the
2
director
of
the
department
of
management,
and
other
persons
3
deemed
by
the
council
as
integral
to
the
budget
process.
The
4
budget
materials
submitted
to
the
governor
shall
include
a
5
review
of
options
for
revising
the
medical
assistance
program
6
made
available
by
federal
action
or
by
actions
implemented
7
by
other
states
as
identified
by
the
department,
the
medical
8
assistance
advisory
council
and
the
executive
committee
of
the
9
medical
assistance
advisory
council
created
in
section
249A.4B
,
10
and
by
county
representatives.
The
review
shall
address
what
11
potential
revisions
could
be
made
in
this
state
and
how
the
12
changes
would
be
beneficial
to
Iowans.
13
Sec.
59.
Section
249A.4B,
Code
2019,
is
amended
to
read
as
14
follows:
15
249A.4B
Medical
assistance
advisory
council.
16
1.
A
medical
assistance
advisory
council
is
created
to
17
comply
with
42
C.F.R.
§431.12
based
on
section
1902(a)(4)
of
18
the
federal
Social
Security
Act
and
to
advise
the
director
19
about
health
and
medical
care
services
under
the
medical
20
assistance
program.
The
council
shall
meet
no
more
than
21
quarterly.
The
director
of
public
health
and
a
public
member
22
of
the
council
selected
by
the
public
members
of
the
council
23
specified
in
subsection
2
,
paragraph
“b”
,
shall
serve
as
24
co-chairpersons
of
the
council.
25
2.
a.
The
council
shall
consist
of
the
following
voting
26
members:
27
(1)
Five
professional
or
business
entity
members
selected
28
by
the
entities
specified
pursuant
to
subsection
3,
paragraph
29
“a”
.
30
(2)
Five
public
members
appointed
pursuant
to
subsection
3,
31
paragraph
“b”
.
Of
the
five
public
members,
at
least
one
member
32
shall
be
a
recipient
of
medical
assistance.
33
b.
The
council
shall
include
all
of
the
following
nonvoting
34
members:
35
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HF766.2072
(2)
88
pf/rn
79/
88
(1)
The
director
of
public
health,
or
the
director’s
1
designee.
2
(2)
The
director
of
the
department
on
aging,
or
the
3
director’s
designee.
4
(3)
The
long-term
care
ombudsman,
or
the
long-term
care
5
ombudsman’s
designee.
6
(4)
The
dean
of
Des
Moines
university
—
osteopathic
medical
7
center,
or
the
dean’s
designee.
8
(5)
The
dean
of
the
university
of
Iowa
college
of
medicine,
9
or
the
dean’s
designee.
10
(6)
A
member
of
the
hawk-i
board
created
in
section
514I.5,
11
selected
by
the
members
of
the
hawk-i
board.
12
(7)
The
following
members
of
the
general
assembly,
each
for
13
a
term
of
two
years
as
provided
in
section
69.16B:
14
(a)
Two
members
of
the
house
of
representatives,
one
15
appointed
by
the
speaker
of
the
house
of
representatives
16
and
one
appointed
by
the
minority
leader
of
the
house
of
17
representatives
from
their
respective
parties.
18
(b)
Two
members
of
the
senate,
one
appointed
by
the
19
president
of
the
senate
after
consultation
with
the
majority
20
leader
of
the
senate
and
one
appointed
by
the
minority
leader
21
of
the
senate.
22
2.
3.
The
voting
membership
of
the
council
shall
include
23
all
of
the
following
voting
members
be
selected
or
appointed
24
as
follows
:
25
a.
The
five
professional
or
business
entity
members
shall
26
be
selected
by
the
entities
specified
under
this
paragraph
“a”
.
27
The
five
professional
or
business
entity
members
selected
shall
28
be
the
president,
or
the
president’s
representative,
of
each
29
of
the
following
professional
or
business
entities
entity
,
or
30
a
member
of
each
of
the
following
professional
or
business
31
entities,
selected
entity,
designated
by
the
entity
:
.
32
(1)
The
Iowa
medical
society.
33
(2)
The
Iowa
osteopathic
medical
association.
34
(3)
The
Iowa
academy
of
family
physicians.
35
-80-
HF766.2072
(2)
88
pf/rn
80/
88
(4)
The
Iowa
chapter
of
the
American
academy
of
pediatrics.
1
(5)
The
Iowa
physical
therapy
association.
2
(6)
The
Iowa
dental
association.
3
(7)
The
Iowa
nurses
association.
4
(8)
The
Iowa
pharmacy
association.
5
(9)
The
Iowa
podiatric
medical
society.
6
(10)
The
Iowa
optometric
association.
7
(11)
The
Iowa
association
of
community
providers.
8
(12)
The
Iowa
psychological
association.
9
(13)
The
Iowa
psychiatric
society.
10
(14)
The
Iowa
chapter
of
the
national
association
of
social
11
workers.
12
(15)
The
coalition
for
family
and
children’s
services
in
13
Iowa.
14
(16)
The
Iowa
hospital
association.
15
(17)
The
Iowa
association
of
rural
health
clinics.
16
(18)
The
Iowa
primary
care
association.
17
(19)
Free
clinics
of
Iowa.
18
(20)
The
opticians’
association
of
Iowa,
inc.
19
(21)
The
Iowa
association
of
hearing
health
professionals.
20
(22)
The
Iowa
speech
and
hearing
association.
21
(23)
The
Iowa
health
care
association.
22
(24)
The
Iowa
association
of
area
agencies
on
aging.
23
(25)
AARP.
24
(26)
The
Iowa
caregivers
association.
25
(27)
Leading
age
Iowa.
26
(28)
The
Iowa
association
for
home
care.
27
(29)
The
Iowa
council
of
health
care
centers.
28
(30)
The
Iowa
physician
assistant
society.
29
(31)
The
Iowa
association
of
nurse
practitioners.
30
(32)
The
Iowa
nurse
practitioner
society.
31
(33)
The
Iowa
occupational
therapy
association.
32
(34)
The
ARC
of
Iowa,
formerly
known
as
the
association
for
33
retarded
citizens
of
Iowa.
34
(35)
The
national
alliance
on
mental
illness.
35
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88
pf/rn
81/
88
(36)
The
Iowa
state
association
of
counties.
1
(37)
The
Iowa
developmental
disabilities
council.
2
(38)
The
Iowa
chiropractic
society.
3
(39)
The
Iowa
academy
of
nutrition
and
dietetics.
4
(40)
The
Iowa
behavioral
health
association.
5
(41)
The
midwest
association
for
medical
equipment
services
6
or
an
affiliated
Iowa
organization.
7
b.
Ten
The
five
public
members
shall
be
public
8
representatives
which
may
include
members
of
consumer
groups,
9
including
recipients
of
medical
assistance
or
their
families,
10
consumer
organizations,
and
others,
appointed
by
the
governor
11
for
staggered
terms
of
two
years
each,
none
of
whom
shall
be
12
members
of,
or
practitioners
of,
or
have
a
pecuniary
interest
13
in
any
of
the
professional
or
business
entities
specifically
14
represented
under
paragraph
“a”
,
and
a
majority
of
whom
shall
be
15
current
or
former
recipients
of
medical
assistance
or
members
16
of
the
families
of
current
or
former
recipients
.
17
c.
A
member
of
the
hawk-i
board
created
in
section
514I.5
,
18
selected
by
the
members
of
the
hawk-i
board.
19
3.
The
council
shall
include
all
of
the
following
nonvoting
20
members:
21
a.
The
director
of
public
health,
or
the
director’s
22
designee.
23
b.
The
director
of
the
department
on
aging,
or
the
24
director’s
designee.
25
c.
The
long-term
care
ombudsman,
or
the
long-term
care
26
ombudsman’s
designee.
27
d.
The
dean
of
Des
Moines
university
——
osteopathic
medical
28
center,
or
the
dean’s
designee.
29
e.
The
dean
of
the
university
of
Iowa
college
of
medicine,
30
or
the
dean’s
designee.
31
f.
The
following
members
of
the
general
assembly,
each
for
a
32
term
of
two
years
as
provided
in
section
69.16B
:
33
(1)
Two
members
of
the
house
of
representatives,
one
34
appointed
by
the
speaker
of
the
house
of
representatives
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and
one
appointed
by
the
minority
leader
of
the
house
of
1
representatives
from
their
respective
parties.
2
(2)
Two
members
of
the
senate,
one
appointed
by
the
3
president
of
the
senate
after
consultation
with
the
majority
4
leader
of
the
senate
and
one
appointed
by
the
minority
leader
5
of
the
senate.
6
4.
a.
An
executive
committee
of
the
council
is
created
and
7
shall
consist
of
the
following
members
of
the
council:
8
(1)
Five
of
the
professional
or
business
entity
members
9
designated
pursuant
to
subsection
2
,
paragraph
“a”
,
and
10
selected
by
the
members
specified
under
that
paragraph,
as
11
voting
members.
12
(2)
Five
of
the
public
members
appointed
pursuant
to
13
subsection
2
,
paragraph
“b”
,
and
selected
by
the
members
14
specified
under
that
paragraph,
as
voting
members.
Of
the
five
15
public
members,
at
least
one
member
shall
be
a
recipient
of
16
medical
assistance.
17
(3)
The
director
of
public
health,
or
the
director’s
18
designee,
as
a
nonvoting
member.
19
b.
The
executive
committee
shall
meet
on
a
monthly
basis.
20
The
director
of
public
health
and
the
public
member
serving
as
21
co-chairperson
of
the
council
shall
serve
as
co-chairpersons
of
22
the
executive
committee.
23
c.
4.
Based
upon
the
deliberations
of
the
council
and
the
24
executive
committee
,
the
executive
committee
council
shall
make
25
recommendations
to
the
director
regarding
the
budget,
policy,
26
and
administration
of
the
medical
assistance
program.
27
5.
For
each
council
meeting,
other
than
those
held
during
28
the
time
the
general
assembly
is
in
session,
each
legislative
29
member
of
the
council
shall
be
reimbursed
for
actual
travel
30
and
other
necessary
expenses
and
shall
receive
a
per
diem
as
31
specified
in
section
7E.6
for
each
day
in
attendance,
as
shall
32
the
members
of
the
council
or
the
executive
committee
who
are
33
recipients
or
the
family
members
of
recipients
of
medical
34
assistance,
regardless
of
whether
the
general
assembly
is
in
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session.
1
6.
The
department
shall
provide
staff
support
and
2
independent
technical
assistance
to
the
council
and
the
3
executive
committee
.
4
7.
The
director
shall
consider
the
recommendations
offered
5
by
the
council
and
the
executive
committee
in
the
director’s
6
preparation
of
medical
assistance
budget
recommendations
to
7
the
council
on
human
services
pursuant
to
section
217.3
and
in
8
implementation
of
medical
assistance
program
policies.
9
DIVISION
XVI
10
TELEPHARMACY
11
Sec.
60.
Section
155A.13,
subsection
3,
Code
2019,
is
12
amended
to
read
as
follows:
13
3.
a.
The
board
may
issue
a
special
or
limited-use
pharmacy
14
license
based
upon
special
conditions
of
use
imposed
pursuant
15
to
rules
adopted
by
the
board
for
cases
in
which
the
board
16
determines
that
certain
requirements
may
be
waived.
17
b.
The
board
shall
adopt
rules
for
the
issuance
of
a
special
18
or
limited-use
pharmacy
license
to
a
telepharmacy
site.
The
19
rules
shall
address:
20
(1)
Requirements
for
establishment
and
operation
of
a
21
telepharmacy
site,
including
but
not
limited
to
physical
22
requirements
and
required
policies
and
procedures.
23
(2)
Requirements
for
being
a
managing
pharmacy.
24
(3)
Requirements
governing
operating
agreements
between
25
telepharmacy
sites
and
managing
pharmacies.
26
(4)
Training
and
experience
required
for
certified
pharmacy
27
technicians
working
at
a
telepharmacy
site.
28
(5)
Requirements
for
a
pharmacist
providing
services
to
and
29
supervising
a
telepharmacy
site.
30
(6)
Any
other
health
and
safety
concerns
associated
with
a
31
telepharmacy
site.
32
c.
The
board
shall
not
issue
a
special
or
limited-use
33
pharmacy
license
to
a
proposed
telepharmacy
site
if
a
licensed
34
pharmacy
that
dispenses
prescription
drugs
to
outpatients
is
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located
within
ten
miles
by
the
shortest
driving
distance
of
1
the
proposed
telepharmacy
site
unless
the
proposed
telepharmacy
2
site
is
located
on
property
owned,
operated,
or
leased
3
by
the
state
or
unless
the
proposed
telepharmacy
site
is
4
located
within
a
hospital
campus
and
is
limited
to
inpatient
5
dispensing.
The
mileage
requirement
does
not
apply
to
a
6
telepharmacy
site
that
has
been
approved
by
the
board
and
is
7
operating
as
a
telepharmacy
prior
to
July
1,
2016.
8
d.
An
applicant
seeking
a
special
or
limited-use
pharmacy
9
license
for
a
proposed
telepharmacy
site
that
does
not
meet
the
10
mileage
requirement
established
in
paragraph
“c”
and
is
not
11
statutorily
exempt
from
the
mileage
requirement
may
apply
to
12
the
board
for
a
waiver
of
the
mileage
requirement.
A
waiver
13
request
shall
only
be
granted
if
the
applicant
can
demonstrate
14
to
the
board
that
the
proposed
telepharmacy
site
is
located
in
15
an
area
where
there
is
limited
access
to
pharmacy
services
and
16
can
establish
the
existence
of
compelling
circumstances
that
17
justify
waiving
the
mileage
requirement.
The
board’s
decision
18
to
grant
or
deny
a
waiver
request
shall
be
a
proposed
decision
19
subject
to
mandatory
review
by
the
director
of
public
health.
20
The
director
shall
review
a
proposed
decision
and
shall
have
21
the
power
to
approve,
modify,
or
veto
a
proposed
decision.
The
22
director’s
decision
on
a
waiver
request
shall
be
considered
23
final
agency
action
subject
to
judicial
review
under
chapter
24
17A
.
25
e.
c.
The
board
shall
issue
a
special
or
limited-use
26
pharmacy
license
to
a
telepharmacy
site
that
meets
the
minimum
27
requirements
established
by
the
board
by
rule.
28
DIVISION
XVII
29
MEDICAID
COVERAGE
——
PREGNANT
WOMEN
LAWFULLY
ADMITTED
FOR
30
PERMANENT
RESIDENCE
31
Sec.
61.
MEDICAID
COVERAGE
——
PREGNANT
WOMEN
LAWFULLY
32
ADMITTED
FOR
PERMANENT
RESIDENCE
IN
THE
UNITED
STATES
WITHOUT
33
APPLICATION
OF
FIVE-YEAR
WAITING
PERIOD.
34
1.
The
department
of
human
services
shall
seek
a
waiver
from
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the
centers
for
Medicare
and
Medicaid
services
of
the
United
1
States
department
of
health
and
human
services
to
provide
2
coverage
under
the
Medicaid
program
for
pregnant
women
lawfully
3
admitted
for
permanent
residence
in
the
United
States,
without
4
application
of
the
five-year
waiting
period.
5
2.
If
federal
approval
is
received
by
the
department,
the
6
department
shall
provide
Medicaid
coverage
for
pregnant
women
7
lawfully
admitted
for
permanent
residence
in
the
United
States,
8
without
application
of
the
five-year
waiting
period,
effective
9
the
first
day
of
the
month
following
the
department’s
receipt
10
of
federal
approval.
11
3.
The
department
of
human
services
may
adopt
emergency
12
rules
to
implement
this
section.
13
DIVISION
XVIII
14
CO-OCCURRING
CONDITIONS
——
ENHANCED
DELIVERY
OF
SERVICES
REVIEW
15
Sec.
62.
REVIEW
TO
PROVIDE
ENHANCED
DELIVERY
OF
SERVICES
16
FOR
CO-OCCURRING
CONDITIONS.
The
director
of
the
department
17
of
public
health
and
the
director
of
the
department
of
human
18
services
shall
develop
recommendations
for
the
enhanced
19
delivery
of
co-occurring
conditions
services.
The
directors
20
shall
examine
the
current
service
delivery
system
to
identify
21
opportunities
for
reducing
the
administrative
burden
on
the
22
departments
and
providers,
evaluate
the
use
of
an
integrated
23
helpline
and
website
and
improvements
in
data
collection
24
and
sharing
of
outcomes,
and
create
a
structure
for
ongoing
25
collaboration.
The
directors
shall
submit
a
report
including
26
findings,
a
five-year
plan
to
address
co-occurring
conditions
27
across
provider
types
and
payors,
and
other
recommendations
to
28
the
governor
and
general
assembly
by
December
15,
2019.
29
DIVISION
XIX
30
MEDICAID
MANAGED
CARE
TERMINATION
——
EXPEDITED
CLAIMS
DISPUTE
31
PROCESS
32
Sec.
63.
MEDICAID
MANAGED
CARE
TERMINATION
——
EXPEDITED
33
CLAIMS
DISPUTE
PROCESS.
No
later
than
July
1,
2019,
the
34
department
of
human
services
shall
require
an
expedited
claims
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dispute
process
for
all
outstanding
claims
to
be
applicable
1
if
a
managed
care
organization
terminates
coverage
under
the
2
Medicaid
program.
Such
an
expedited
claims
dispute
process
3
shall,
beginning
on
the
date
a
managed
care
organization
4
terminates
coverage,
allow
a
provider,
a
member,
or
a
member’s
5
authorized
representative
the
option
to
dispute
the
managed
6
care
organization’s
claim
adjudication
within
the
required
time
7
frames
and
consistent
with
this
section.
The
managed
care
8
organization
shall
report
all
disputed
claims
being
processed
9
and
the
outcomes
of
such
disputed
claims
to
the
department
on
a
10
monthly
basis
for
at
least
two
years
following
termination
of
11
the
managed
care
organization’s
contract
with
the
state.
12
Sec.
64.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
13
deemed
of
immediate
importance,
takes
effect
upon
enactment.
14
DIVISION
XX
15
MEDICAID
MEDICAL
PRIOR
AUTHORIZATION
——
UNIFORM
PROCESS
——
16
CENTRAL
PORTAL
17
Sec.
65.
MEDICAID
——
MEDICAL
PRIOR
AUTHORIZATION
UNIFORM
18
PROCESS.
The
department
of
human
services
shall
adopt
rules
19
pursuant
to
chapter
17A
by
October
1,
2019,
to
require
that
20
both
managed
care
and
fee-for-service
payment
and
delivery
21
systems
utilize
a
uniform
process,
including
but
not
limited
to
22
uniform
forms,
information
requirements,
and
time
frames,
to
23
request
medical
prior
authorization
under
the
Medicaid
program.
24
The
rules
shall
require
the
managed
care
organizations,
25
by
contract,
to
implement
the
uniform
process
by
a
date
as
26
determined
by
the
department.
27
Sec.
66.
MEDICAID
MANAGEMENT
INFORMATION
SYSTEM
——
CENTRAL
28
PORTAL
——
REVIEW.
The
department
shall
review
the
costs
29
associated
with
expanding
the
medical
assistance
management
30
information
system
to
integrate
a
single,
statewide
system
to
31
serve
as
a
central
portal
for
submission
of
all
medical
prior
32
authorization
requests
for
the
Medicaid
program.
The
portal
33
shall
not
be
designed
to
make
or
review
final
determinations
34
of
managed
care
organization
medical
prior
authorization
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requests,
but
shall
only
serve
as
a
conduit
to
deliver
medical
1
prior
authorization
requests
to
the
appropriate
managed
care
2
organization.
The
results
of
the
study
shall
be
submitted
to
3
the
governor
and
the
general
assembly
no
later
than
March
31,
4
2020.
5
Sec.
67.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
6
deemed
of
immediate
importance,
takes
effect
upon
enactment.
>
7
______________________________
COMMITTEE
ON
APPROPRIATIONS
MICHAEL
BREITBACH,
CHAIRPERSON
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