House File 2643 S-5163 Amend House File 2643, 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 CONTINUING APPROPRIATIONS 6 Section 1. CONTINUING APPROPRIATIONS —— FY 2020-2021. 7 1. APPROPRIATIONS DETERMINED FROM FY 2019-2020 LINE ITEM 8 AND LIMITED STANDING APPROPRIATIONS. 9 a. For all line item appropriations, standing limited 10 appropriations, and standing unlimited appropriations otherwise 11 limited by law, including appropriations from federal and 12 nonstate funds, the department of management, in consultation 13 with the legislative services agency, shall determine the 14 amount of such line item appropriations, standing limited 15 appropriations, and standing unlimited appropriations otherwise 16 limited by law, including appropriations from federal and 17 nonstate funds, made for the fiscal year beginning July 1, 18 2019, and ending June 30, 2020, by taking into consideration 19 all of the following: 20 (1) 2020 Iowa Acts, Senate Files 2144 and 2408, and other 21 2020 Iowa Acts. 22 (2) 2019 Iowa Acts. 23 (3) All interdepartmental and intradepartmental transfers 24 made pursuant to section 8.39 and other provisions of law. 25 (4) Other provisions of law. 26 b. The department of management, in consultation with the 27 legislative services agency, shall also identify the entities 28 to which such appropriations were made, or the entities’ 29 successors. 30 2. CONTINUING APPROPRIATIONS. There is appropriated 31 from the appropriate state fund or account to the entities 32 identified pursuant to subsection 1, for the fiscal year 33 beginning July 1, 2020, and ending June 30, 2021, amounts, or 34 so much thereof as is necessary, equal to the amounts of all 35 -1- HF2643.4509 (7) 88 ns/tm 1/ 56 #1.

line item appropriations, standing limited appropriations, and 1 standing unlimited appropriations otherwise limited by law, 2 including federal and nonstate funds, made for the fiscal year 3 beginning July 1, 2019, and ending June 30, 2020, as determined 4 pursuant to subsection 1, to be used for the same designated 5 purposes. 6 3. DUPLICATIVE STANDING APPROPRIATIONS SUPPLANTED. The 7 amounts appropriated under subsection 2 shall supplant 8 any duplicative standing appropriation for the fiscal year 9 beginning July 1, 2020, and ending June 30, 2021. 10 4. MISCELLANEOUS PROVISIONS APPLICABLE TO FY 2020–2021. 11 Any powers, duties, limitations, or requirements, including 12 reporting requirements, set forth in 2019 Iowa Acts, chapters 13 85, 89, 131, 135, 136, 154, 155, and 163, for the fiscal 14 year beginning July 1, 2019, and ending June 30, 2020, are 15 applicable for the fiscal year beginning July 1, 2020, and 16 ending June 30, 2021, and any specified date contained therein 17 shall apply one year later than specified in such chapters. 18 5. ALLOCATION AMOUNTS. For any line item appropriation, 19 standing limited appropriation, or standing unlimited 20 appropriation otherwise limited by law identified pursuant 21 to subsection 1 which is subject to an allocation amount for 22 the fiscal year beginning July 1, 2019, and ending June 30, 23 2020, the amount appropriated under subsection 2 based on such 24 appropriation shall be subject to the same allocation amount 25 for the fiscal year beginning July 1, 2020, and ending June 30, 26 2021. 27 6. NONREVERSION PROVISIONS. For any line item 28 appropriation, standing limited appropriation, or standing 29 unlimited appropriation otherwise limited by law identified 30 pursuant to subsection 1 that is subject to a specified 31 nonreversion provision, whether for a limited or unlimited 32 period, the amount appropriated under subsection 2 based on 33 such appropriation shall be subject to the same specified 34 nonreversion provision, and in the case of a specified 35 -2- HF2643.4509 (7) 88 ns/tm 2/ 56

nonreversion provision for a limited period, the period shall 1 be considered to be one fiscal year longer than specified for 2 the appropriation identified pursuant to subsection 1. 3 7. FULL-TIME EQUIVALENT POSITIONS. The amounts 4 appropriated under subsection 2 to an entity identified 5 pursuant to subsection 1 may be used by the entity for a number 6 of full-time equivalent positions for the fiscal year beginning 7 July 1, 2020, and ending June 20, 2021, equal to the number of 8 full-time equivalent positions authorized for the entity for 9 the fiscal year beginning July 1, 2019, and ending June 30, 10 2020. 11 8. EXCLUSIONS. This section does not apply to any of the 12 following: 13 a. Appropriations made from the rebuild Iowa infrastructure 14 fund and the technology reinvestment fund pursuant to 2019 Iowa 15 Acts, chapter 137 . 16 b. Appropriations made to the department of transportation 17 from the road use tax fund and the primary road fund pursuant 18 to 2019 Iowa Acts, chapter 52 . 19 c. The appropriation made to the department of 20 administrative services from the general fund of the state for 21 establishing a listing of real property owned or leased by 22 the state pursuant to 2019 Iowa Acts, chapter 136, section 1, 23 subsection 1, paragraph “d” . 24 d. The appropriation made to the department of cultural 25 affairs from the general fund of the state for payment of 26 rent for the state records center pursuant to 2019 Iowa Acts, 27 chapter 154, section 1, subsection 1, paragraph “g” . 28 e. The appropriation made to the Iowa law enforcement 29 academy from the general fund of the state for costs associated 30 with temporary relocation of the Iowa law enforcement academy 31 pursuant to 2019 Iowa Acts, chapter 163, section 10, subsection 32 1, paragraph “a”, subparagraph (2), as amended in this Act . 33 f. The appropriation made to the department of homeland 34 security and emergency management from the general fund of the 35 -3- HF2643.4509 (7) 88 ns/tm 3/ 56

state for flood recovery pursuant to 2020 Iowa Acts, Senate 1 File 2144, section 3 . 2 g. The appropriation made to the department of management 3 for distribution of moneys to other governmental entities for 4 the payment of rate adjustments established by the office of 5 the chief information officer pursuant to 2019 Iowa Acts, 6 chapter 136, section 16, subsection 2. 7 h. The appropriation made to the department of revenue from 8 the general fund of the state for technology upgrades pursuant 9 to 2019 Iowa Acts, chapter 136, section 19, subsection 1, 10 paragraph “b”. 11 i. Any line item appropriation, standing limited 12 appropriation, or standing unlimited appropriation otherwise 13 limited by law that is otherwise provided for in this Act. 14 Sec. 2. REPEAL. 2020 Iowa Acts, Senate File 2408, sections 15 7 and 8, are repealed. 16 DIVISION II 17 GENERAL ASSEMBLY 18 Sec. 3. GENERAL ASSEMBLY. 19 1. The appropriations made pursuant to section 2.12 for the 20 expenses of the general assembly and legislative agencies for 21 the fiscal year beginning July 1, 2020, and ending June 30, 22 2021, are reduced by the following amount: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,000,000 24 2. The budgeted amounts for the general assembly and 25 legislative agencies for the fiscal year beginning July 1, 26 2020, may be adjusted to reflect the unexpended budgeted 27 amounts from the previous fiscal year. 28 DIVISION III 29 ADMINISTRATION AND REGULATION APPROPRIATIONS —— FY 2020-2021 30 Sec. 4. DEPARTMENT OF ADMINISTRATIVE SERVICES. There 31 is appropriated from the general fund of the state to the 32 department of administrative services for the fiscal year 33 beginning July 1, 2020, and ending June 30, 2021, the following 34 amount, or so much thereof as is necessary, to be used for the 35 -4- HF2643.4509 (7) 88 ns/tm 4/ 56

purposes designated: 1 For the payment of utility costs, and for not more than the 2 following full-time equivalent positions: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,882,948 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 1.00 5 Notwithstanding section 8.33 , any excess moneys appropriated 6 for utility costs in this section shall not revert to the 7 general fund of the state at the end of the fiscal year but 8 shall remain available for expenditure for the purposes 9 designated during the succeeding fiscal year. 10 Sec. 5. SECRETARY OF STATE —— ADMINISTRATION AND 11 ELECTIONS. There is appropriated from the general fund of the 12 state to the office of the secretary of state for the fiscal 13 year beginning July 1, 2020, and ending June 30, 2021, the 14 following amount, or so much thereof as is necessary, to be 15 used for the purposes designated: 16 For salaries, support, maintenance, and miscellaneous 17 purposes, and for not more than the following full-time 18 equivalent positions: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,874,870 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.00 21 The state department or agency that provides data processing 22 services to support voter registration file maintenance and 23 storage shall provide those services without charge. 24 DIVISION IV 25 EDUCATION APPROPRIATIONS —— FY 2020-2021 26 Sec. 6. STATE BOARD OF REGENTS. There is appropriated from 27 the general fund of the state to the state board of regents 28 for the fiscal year beginning July 1, 2020, and ending June 29 30, 2021, the following amounts, or so much thereof as is 30 necessary, to be used for the purposes designated: 31 1. STATE SCHOOL FOR THE DEAF 32 For salaries, support, maintenance, and miscellaneous 33 purposes, and for not more than the following full-time 34 equivalent positions: 35 -5- HF2643.4509 (7) 88 ns/tm 5/ 56

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,536,171 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 101.84 2 2. IOWA BRAILLE AND SIGHT SAVING SCHOOL 3 For salaries, support, maintenance, and miscellaneous 4 purposes, and for not more than the following full-time 5 equivalent positions: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,434,459 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 58.00 8 Sec. 7. BOARD OF REGENTS —— REDUCTION. The appropriations 9 made to the state board of regents for the fiscal year 10 beginning July 1, 2020, and ending June 30, 2021, pursuant to 11 section 1 of this Act, shall be collectively reduced by the 12 following amount: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,000,000 14 The reduction set forth in this section shall be distributed 15 among the appropriations made to the state board of regents for 16 the fiscal year beginning July 1, 2020, and ending June 30, 17 2021, pursuant to section 1 of this Act as determined by the 18 state board of regents. 19 Sec. 8. Section 261.20, subsection 2, Code 2020, is amended 20 to read as follows: 21 2. The maximum balance of the scholarship and tuition 22 grant reserve fund is an amount equal to one two percent of 23 the funds appropriated to the scholarship and tuition grant 24 programs under section 261.25 during the preceding fiscal year. 25 The moneys in the fund shall be placed in separate accounts 26 within the fund, according to the source and purpose of the 27 original appropriation. Moneys in the various accounts shall 28 only be used to alleviate a current fiscal year shortfall in 29 appropriations for scholarship or tuition grant programs that 30 have the same nature as the programs for which the moneys 31 were originally appropriated. At the conclusion of a fiscal 32 year, any surplus appropriations made to the commission for 33 scholarship or tuition grant programs are appropriated to the 34 scholarship and grant reserve fund in an amount equal to the 35 -6- HF2643.4509 (7) 88 ns/tm 6/ 56

amount of the surplus or the amount necessary to achieve the 1 maximum balance, whichever amount is less. 2 DIVISION V 3 JUDICIAL APPROPRIATIONS —— FY 2020-2021 4 Sec. 9. JUDICIAL BRANCH. 5 1. There is appropriated from the general fund of the state 6 to the judicial branch for the fiscal year beginning July 1, 7 2020, and ending June 30, 2021, the following amounts, or so 8 much thereof as is necessary, to be used for the purposes 9 designated: 10 a. For salaries of supreme court justices, appellate court 11 judges, district court judges, district associate judges, 12 associate juvenile judges, associate probate judges, judicial 13 magistrates and staff, state court administrator, clerk of 14 the supreme court, district court administrators, clerks of 15 the district court, juvenile court officers, board of law 16 examiners, board of examiners of shorthand reporters, and 17 commission on judicial qualifications; receipt and disbursement 18 of child support payments; reimbursement of the auditor 19 of state for expenses incurred in completing audits of the 20 offices of the clerks of the district court during the fiscal 21 year beginning July 1, 2020; and maintenance, equipment, and 22 miscellaneous purposes: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $181,023,737 24 b. For deposit in the revolving fund created pursuant to 25 section 602.1302, subsection 3, for jury and witness fees, 26 mileage, costs related to summoning jurors, costs and fees for 27 interpreters and translators, and reimbursement of attorney 28 fees paid by the state public defender: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,100,000 30 2. The judicial branch, except for purposes of internal 31 processing, shall use the current state budget system, the 32 state payroll system, and the Iowa finance and accounting 33 system in administration of programs and payments for services, 34 and shall not duplicate the state payroll, accounting, and 35 -7- HF2643.4509 (7) 88 ns/tm 7/ 56

budgeting systems. 1 3. The judicial branch shall submit monthly financial 2 statements to the legislative services agency and the 3 department of management containing all appropriated accounts 4 in the same manner as provided in the monthly financial status 5 reports and personal services usage reports of the department 6 of administrative services. The monthly financial statements 7 shall include a comparison of the dollars and percentage 8 spent of budgeted versus actual revenues and expenditures on 9 a cumulative basis for full-time equivalent positions and 10 dollars. 11 4. The judicial branch shall focus efforts on the collection 12 of delinquent fines, penalties, court costs, fees, surcharges, 13 or similar amounts. 14 5. It is the intent of the general assembly that the offices 15 of the clerks of the district court operate in all 99 counties 16 and be accessible to the public as much as is reasonably 17 possible in order to address the relative needs of the citizens 18 of each county. An office of the clerk of the district court 19 shall be open regular courthouse hours. 20 6. In addition to the requirements for transfers under 21 section 8.39, the judicial branch shall not change the 22 appropriations from the amounts appropriated to the judicial 23 branch in this Act, unless notice of the revisions is given to 24 the legislative services agency prior to the effective date. 25 The notice shall include information on the branch’s rationale 26 for making the changes and details concerning the workload and 27 performance measures upon which the changes are based. 28 7. The judicial branch shall submit a semiannual update 29 to the legislative services agency specifying the amounts of 30 fines, surcharges, and court costs collected using the Iowa 31 court information system since the last report. The judicial 32 branch shall continue to facilitate the sharing of vital 33 sentencing and other information with other state departments 34 and governmental agencies involved in the criminal justice 35 -8- HF2643.4509 (7) 88 ns/tm 8/ 56

system through the Iowa court information system. 1 8. The judicial branch shall provide a report to the general 2 assembly by January 1, 2021, concerning the amounts received 3 and expended from the enhanced court collections fund created 4 in section 602.1304 and the court technology and modernization 5 fund created in section 602.8108, subsection 9, during the 6 fiscal year beginning July 1, 2019, and ending June 30, 2020, 7 and the plans for expenditures from each fund during the fiscal 8 year beginning July 1, 2020, and ending June 30, 2021. A copy 9 of the report shall be provided to the legislative services 10 agency. 11 Sec. 10. CIVIL TRIALS —— LOCATION. Notwithstanding any 12 provision to the contrary, for the fiscal year beginning July 13 1, 2020, and ending June 30, 2021, if all parties in a case 14 agree, a civil trial including a jury trial may take place in a 15 county contiguous to the county with proper jurisdiction, even 16 if the contiguous county is located in an adjacent judicial 17 district or judicial election district. If the trial is moved 18 pursuant to this section, court personnel shall treat the case 19 as if a change of venue occurred. 20 DIVISION VI 21 HEALTH AND HUMAN SERVICES APPROPRIATIONS —— FY 2020-2021 22 Sec. 11. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 23 GRANT. There is appropriated from the fund created in section 24 8.41 to the department of human services for the fiscal year 25 beginning July 1, 2020, and ending June 30, 2021, from moneys 26 received under the federal temporary assistance for needy 27 families (TANF) block grant pursuant to the federal Personal 28 Responsibility and Work Opportunity Reconciliation Act of 1996, 29 Pub. L. No. 104-193, and successor legislation, the following 30 amount, or so much thereof as is necessary, to be used for the 31 purposes designated: 32 To be credited to the family investment program account and 33 used for assistance under the family investment program under 34 chapter 239B : 35 -9- HF2643.4509 (7) 88 ns/tm 9/ 56

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,002,006 1 Sec. 12. MEDICAL ASSISTANCE. 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, 2020, and ending June 30, 4 2021, the following amount, or so much thereof as is necessary, 5 to be used for the purpose designated: 6 For medical assistance program reimbursement and associated 7 costs as specifically provided in the reimbursement 8 methodologies in effect on June 30, 2020, except as otherwise 9 expressly authorized by law, consistent with options under 10 federal law and regulations, and contingent upon receipt of 11 approval from the office of the governor of reimbursement for 12 each abortion performed under the program: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,459,599,409 14 The prohibitions, limitations, transfers, authorizations, 15 requirements applicable to state and private entities, and 16 requirements applicable to the use of appropriated moneys, 17 including allocation amounts, set forth in 2019 Iowa Acts, 18 chapter 85, section 13, subsections 1 through 20, apply to 19 the moneys appropriated in this section for the fiscal year 20 beginning July 1, 2020, and ending June 30, 2021. 21 Sec. 13. STATE SUPPLEMENTARY ASSISTANCE. 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, 2020, and ending June 30, 2021, the following 25 amount, or so much thereof as is necessary, to be used for the 26 purpose designated: 27 For the state supplementary assistance program: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,349,002 29 2. The department shall increase the personal needs 30 allowance for residents of residential care facilities by the 31 same percentage and at the same time as federal supplemental 32 security income and federal social security benefits are 33 increased due to a recognized increase in the cost of living. 34 The department may adopt emergency rules to implement this 35 -10- HF2643.4509 (7) 88 ns/tm 10/ 56

subsection. 1 3. If during the fiscal year beginning July 1, 2020, 2 the department projects that state supplementary assistance 3 expenditures for a calendar year will not meet the federal 4 pass-through requirement specified in Tit. XVI of the federal 5 Social Security Act, section 1618, as codified in 42 U.S.C. 6 §1382g, the department may take actions including but not 7 limited to increasing the personal needs allowance for 8 residential care facility residents and making programmatic 9 adjustments or upward adjustments of the prescribed residential 10 care facility or in-home health-related care reimbursement 11 rates to ensure that federal requirements are met. In 12 addition, the department may make other programmatic and rate 13 adjustments necessary to remain within the amount appropriated 14 in this section while ensuring compliance with federal 15 requirements. The department may adopt emergency rules to 16 implement the provisions of this subsection. 17 4. Notwithstanding section 8.33 , moneys appropriated 18 in this section that remain unencumbered or unobligated 19 at the close of the fiscal year shall not revert but 20 shall remain available for expenditure for the purposes 21 designated, including for liability amounts associated with the 22 supplemental nutrition assistance program payment error rate, 23 until the close of the succeeding fiscal year. 24 Sec. 14. CHILDREN’S HEALTH INSURANCE PROGRAM. 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, 2020, and ending June 30, 2021, the following 28 amount, or so much thereof as is necessary, to be used for the 29 purpose designated: 30 For maintenance of the healthy and well kids in Iowa (hawk-i) 31 program pursuant to chapter 514I , including supplemental dental 32 services, for receipt of federal financial participation under 33 Tit. XXI of the federal Social Security Act, which creates the 34 children’s health insurance program: 35 -11- HF2643.4509 (7) 88 ns/tm 11/ 56

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 37,598,984 1 2. Of the funds appropriated in this section, $146,682 is 2 allocated for continuation of the contract for outreach with 3 the department of public health. 4 3. A portion of the funds appropriated in this section may 5 be transferred to the appropriations made for field operations 6 or medical contracts to be used for the integration of hawk-i 7 program eligibility, payment, and administrative functions 8 under the purview of the department of human services, 9 including for the Medicaid management information system 10 upgrade. 11 Sec. 15. STATE RESOURCE CENTERS. 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, 2020, and ending June 30, 2021, the following 15 amounts, or so much thereof as is necessary, to be used for the 16 purposes designated: 17 a. For the state resource center at Glenwood for salaries, 18 support, maintenance, and miscellaneous purposes: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,700,867 20 b. For the state resource center at Woodward for salaries, 21 support, maintenance, and miscellaneous purposes: 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,913,360 23 2. The department may continue to bill for state resource 24 center services utilizing a scope of services approach used for 25 private providers of intermediate care facilities for persons 26 with an intellectual disability services, in a manner which 27 does not shift costs between the medical assistance program, 28 counties, or other sources of funding for the state resource 29 centers. 30 3. The state resource centers may expand the time-limited 31 assessment and respite services during the fiscal year. 32 4. If the department’s administration and the department 33 of management concur with a finding by a state resource 34 center’s superintendent that projected revenues can reasonably 35 -12- HF2643.4509 (7) 88 ns/tm 12/ 56

be expected to pay the salary and support costs for a new 1 employee position, or that such costs for adding a particular 2 number of new positions for the fiscal year would be less 3 than the overtime costs if new positions would not be added, 4 the superintendent may add the new position or positions. If 5 the vacant positions available to a resource center do not 6 include the position classification desired to be filled, the 7 state resource center’s superintendent may reclassify any 8 vacant position as necessary to fill the desired position. The 9 superintendents of the state resource centers may, by mutual 10 agreement, pool vacant positions and position classifications 11 during the course of the fiscal year in order to assist one 12 another in filling necessary positions. 13 5. If existing capacity limitations are reached in 14 operating units, a waiting list is in effect for a service or 15 a special need for which a payment source or other funding 16 is available for the service or to address the special need, 17 and facilities for the service or to address the special need 18 can be provided within the available payment source or other 19 funding, the superintendent of a state resource center may 20 authorize opening not more than two units or other facilities 21 and begin implementing the service or addressing the special 22 need during fiscal year 2020-2021. 23 6. Notwithstanding section 8.33 , and notwithstanding 24 the amount limitation specified in section 222.92 , moneys 25 appropriated in this section that remain unencumbered or 26 unobligated at the close of the fiscal year shall not revert 27 but shall remain available for expenditure for the purposes 28 designated until the close of the succeeding fiscal year. 29 Sec. 16. JUVENILE INSTITUTION. There is appropriated 30 from the general fund of the state to the department of human 31 services for the fiscal year beginning July 1, 2020, and ending 32 June 30, 2021, the following amounts, or so much thereof as is 33 necessary, to be used for the purposes designated: 34 1. a. For operation of the state training school at Eldora 35 -13- HF2643.4509 (7) 88 ns/tm 13/ 56

and for salaries, support, maintenance, and miscellaneous 1 purposes, and for not more than the following full-time 2 equivalent positions: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,029,488 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 207.00 5 b. Of the funds appropriated in this subsection, $91,000 6 shall be used for distribution to licensed classroom teachers 7 at this and other institutions under the control of the 8 department of human services based upon the average student 9 yearly enrollment at each institution as determined by the 10 department. 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, 2020. 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, 2020. 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. 17. DEPARTMENT OF PUBLIC HEALTH —— ADDICTIVE 25 DISORDERS. There is appropriated from the general fund of the 26 state to the department of public health for the fiscal year 27 beginning July 1, 2020, and ending June 30, 2021, the following 28 amount, or so much thereof as is necessary, to be used for the 29 purposes designated: 30 1. For reducing the prevalence of the use of tobacco, 31 alcohol, and other drugs, and treating individuals affected by 32 addictive behaviors, including gambling, and for not more than 33 the following full-time equivalent positions: 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 23,659,379 35 -14- HF2643.4509 (7) 88 ns/tm 14/ 56

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 1 2. a. Of the funds appropriated in this section, $4,021,000 2 shall be used for the tobacco use prevention and control 3 initiative, including efforts at the state and local levels, 4 as provided in chapter 142A . The commission on tobacco use 5 prevention and control established pursuant to section 142A.3 6 shall advise the director of public health in prioritizing 7 funding needs and the allocation of moneys appropriated for 8 the programs and initiatives. Activities of the programs 9 and initiatives shall be in alignment with the United States 10 centers for disease control and prevention best practices 11 for comprehensive tobacco control programs that include 12 the goals of preventing youth initiation of tobacco usage, 13 reducing exposure to secondhand smoke, and promotion of 14 tobacco cessation. To maximize resources, the department 15 shall determine if third-party sources are available to 16 instead provide nicotine replacement products to an applicant 17 prior to provision of such products to an applicant under 18 the initiative. The department shall track and report to 19 the individuals specified in this section, any reduction in 20 the provision of nicotine replacement products realized by 21 the initiative through implementation of the prerequisite 22 screening. 23 b. (1) The department shall collaborate with the 24 alcoholic beverages division of the department of commerce for 25 enforcement of tobacco laws, regulations, and ordinances and to 26 engage in tobacco control activities approved by the division 27 of tobacco use prevention and control of the department of 28 public health as specified in the memorandum of understanding 29 entered into between the divisions. 30 (2) For the fiscal year beginning July 1, 2020, and ending 31 June 30, 2021, the terms of the memorandum of understanding, 32 entered into between the division of tobacco use prevention 33 and control of the department of public health and the 34 alcoholic beverages division of the department of commerce, 35 -15- HF2643.4509 (7) 88 ns/tm 15/ 56

governing compliance checks conducted to ensure licensed retail 1 tobacco outlet conformity with tobacco laws, regulations, and 2 ordinances relating to persons under 18 years of age, shall 3 continue to restrict the number of such checks to one check per 4 retail outlet, and one additional check for any retail outlet 5 found to be in violation during the first check. 6 3. a. Of the funds appropriated in this section, 7 $19,639,000 shall be used for problem gambling and 8 substance-related disorder prevention, treatment, and recovery 9 services, including a 24-hour helpline, public information 10 resources, professional training, youth prevention, and program 11 evaluation. 12 b. Of the amount allocated under this subsection, $306,000 13 shall be utilized by the department of public health, in 14 collaboration with the department of human services, to support 15 establishment and maintenance of a single statewide 24-hour 16 crisis hotline for the Iowa children’s behavioral health system 17 that incorporates warmline services which may be provided 18 through expansion of existing capabilities maintained by the 19 department of public health as required pursuant to 2018 Iowa 20 Acts, chapter 1056, section 16 . 21 4. The requirement of section 123.17, subsection 5 , is met 22 by the appropriations and allocations made in this section 23 and section 1 of this Act for purposes of substance-related 24 disorder treatment and addictive disorders for the fiscal year 25 beginning July 1, 2020. 26 Sec. 18. DEPARTMENT OF PUBLIC HEALTH —— SPORTS WAGERING 27 RECEIPTS FUND. There is appropriated from the sports wagering 28 receipts fund created in section 8.57, subsection 6, to the 29 department of public health for the fiscal year beginning July 30 1, 2020, and ending June 30, 2021, the following amount, or 31 so much thereof as is necessary, to be used for the purposes 32 designated: 33 For problem gambling and substance-related disorder 34 prevention, treatment, and recovery services, including a 35 -16- HF2643.4509 (7) 88 ns/tm 16/ 56

24-hour helpline, public information resources, professional 1 training, youth prevention, and program evaluation: 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,450,000 3 The appropriation made in this section shall not supplant 4 the appropriation made to the department of public health from 5 the sports wagering receipts fund pursuant to section 1 of this 6 Act, based on the appropriation made in 2019 Iowa Acts, chapter 7 133. 8 DIVISION VII 9 HEALTH AND HUMAN SERVICES —— PRIOR APPROPRIATIONS AND OTHER 10 PROVISIONS 11 RURAL PSYCHIATRIC RESIDENCIES 12 Sec. 19. 2019 Iowa Acts, chapter 85, section 3, subsection 13 4, paragraph j, is amended to read as follows: 14 j. Of the funds appropriated in this subsection, $400,000 15 shall be used for rural psychiatric residencies to support the 16 annual creation and training of four psychiatric residents who 17 will provide mental health services in underserved areas of 18 the state. Notwithstanding section 8.33, moneys that remain 19 unencumbered or unobligated at the close of the fiscal year 20 shall not revert but shall remain available for expenditure for 21 the purposes designated for subsequent fiscal years. 22 FAMILY INVESTMENT PROGRAM ACCOUNT 23 Sec. 20. 2019 Iowa Acts, chapter 85, section 9, is amended 24 by adding the following new subsection: 25 NEW SUBSECTION . 7. Notwithstanding section 8.33, moneys 26 appropriated in this section that remain unencumbered or 27 unobligated at the close of the fiscal year shall not revert 28 but shall remain available for expenditure for the purposes 29 designated, and may be transferred to the appropriations made 30 in this division of this Act for general administration and 31 field operations for technology needs including the eligibility 32 integrated applications solutions (ELIAS) project, until the 33 close of the succeeding fiscal year. 34 STATE SUPPLEMENTARY ASSISTANCE 35 -17- HF2643.4509 (7) 88 ns/tm 17/ 56

Sec. 21. 2019 Iowa Acts, chapter 85, section 15, subsection 1 4, is amended to read as follows: 2 4. Notwithstanding section 8.33 , moneys appropriated 3 in this section that remain unencumbered or unobligated 4 at the close of the fiscal year shall not revert but 5 shall remain available for expenditure for the purposes 6 designated , including for liability amounts associated with the 7 supplemental nutrition assistance program payment error rate, 8 until the close of the succeeding fiscal year. 9 CHILD AND FAMILY SERVICES 10 Sec. 22. 2019 Iowa Acts, chapter 85, section 19, subsection 11 18, is amended to read as follows: 12 18. Of the funds appropriated in this section, at least 13 $147,000 shall be used for the continuation of the child 14 welfare provider training academy, a collaboration between the 15 coalition for family and children’s services in Iowa and the 16 department. Notwithstanding section 8.33, moneys allocated 17 under this subsection that remain unencumbered or unobligated 18 at the close of the fiscal year shall not revert but shall 19 remain available for expenditure for the purposes designated 20 until the close of the succeeding fiscal year. 21 Sec. 23. 2019 Iowa Acts, chapter 85, section 19, is amended 22 by adding the following new subsection: 23 NEW SUBSECTION . 24. Notwithstanding section 8.33, moneys 24 appropriated in this section that remain unencumbered or 25 unobligated at the close of the fiscal year shall not revert 26 but shall remain available for expenditure for the purposes 27 designated, and including services implemented to meet the 28 requirements of the federal Family First Prevention Services 29 Act, until the close of the succeeding fiscal year. 30 MENTAL HEALTH INSTITUTES 31 Sec. 24. 2019 Iowa Acts, chapter 85, section 24, subsection 32 2, is amended to read as follows: 33 2. a. Notwithstanding sections 218.78 and 249A.11 , any 34 revenue received from the state mental health institute at 35 -18- HF2643.4509 (7) 88 ns/tm 18/ 56