H-8329

   Amend House File 2578 as follows:
   1.  Page 7, after line 16 by inserting: 
   <Sec. ___.  IOWA BOARD OF PHARMACY —— REDUCTION OF OPIOID MISUSE OR OVERUSE —— OPIOID SETTLEMENT.
   1.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, to the board of pharmacy for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amounts, or so much thereof as is necessary, for the purposes designated:
   a.  For the board of pharmacy to integrate the state’s prescription monitoring program with health care providers’ electronic medical record or pharmacy dispensing systems to allow a seamless connection between the prescription monitoring program and those systems:
   ...................................................................... $     60,000

   b.  For the board of pharmacy to implement the opioid and naloxone education (ONE) program to provide resources to pharmacists to educate patients regarding opioid misuse and accidental overdose in order to decrease opioid prescription rates and the related addiction and overdose deaths in the state:
   ...................................................................... $    450,000

   2.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the board of pharmacy for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amounts specified under subsection 1 for the purposes designated under this section.
   3.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as specified under subsection 2, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, to the board of pharmacy for the fiscal year beginning July 1, 2022, and ending June 30, 2023, an amount sufficient to provide the total amounts specified under subsection 1 for the purposes designated under this section.>
   2.  Page 7, before line 17 by inserting: 
   <Sec. ___.  INCREASED ACCESS TO NALOXONE —— OPIOID SETTLEMENT.
   1.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, for deposit in the opioid antagonist medication fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amount, or so much thereof as is necessary, for the purpose designated:
   ...................................................................... $    200,000

   2.  The department of public health shall utilize the moneys appropriated for deposit under this section for the purchase, maintenance, and replacement of opioid antagonist medication administered by first responders to persons experiencing an opioid-related overdose.
   3.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated for deposit in the opioid antagonist medication fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or if an opioid antagonist medication fund or a similar fund is not created, a sufficient amount of these moneys received by the state is appropriated to the department of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amount specified under subsection 1 for the purposes designated under this section.
   4.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as described under subsection 2, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, for deposit in the opioid antagonist medication fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or if an opioid antagonist medication fund or a similar fund is not created, for direct appropriation to the department of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, an amount sufficient to provide the total amount specified under subsection 1 for the purposes designated under this section.>
   3.  Page 7, after line 28 by inserting: 
   <Sec. ___.  SUBSTANCE USE DISORDER RECOVERY HIGH SCHOOLS —— OPIOID SETTLEMENT.
   1.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, to the department of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amount, or so much thereof as is necessary, for the purpose designated:
   ...................................................................... $     50,000

   2.  The department of public health, in collaboration with the department of education and the department of human services, shall study and make recommendations regarding the establishment of one or more recovery high schools in Iowa designed for the education of students in recovery from substance use disorders or dependency or co-occurring disorders such as anxiety, depression, or attention deficit hyperactivity disorder. Such schools shall meet state requirements for awarding a secondary school diploma and support students engaged in a program of recovery. The department shall complete the study and submit its recommendations to the governor and the general assembly by November 1, 2022.
   3.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the department of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amount specified under subsection 1 for the purposes designated under this section.
   4.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as described under subsection 3, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to the department of public health an amount sufficient to provide the total amount specified under subsection 1 for the purposes designated under this section.>
   4.  Page 7, before line 29 by inserting: 
   <Sec. ___.  SUBSTANCE USE DISORDER —— INMATES —— OPIOID SETTLEMENT.
   1.  a.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, to the department of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amount, or so much thereof as is necessary, for the purpose designated:
   ...................................................................... $    500,000

   b.  The department of public health shall transfer the amount appropriated under this section to the department of corrections for use in subsidizing the costs of providing medication-assisted treatment to inmates being treated for opioid use disorder, to purchase state-of-the-art urine sample cups for use in the drug monitoring programs, and to fund efforts to fight hepatitis C, a potentially devastating but curable disease spread through intravenous needle use of opioids and other drugs in prison populations.
   2.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the department of public health for transfer to the department of corrections for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amount specified under subsection 1 for the purposes designated under this section.
   3.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as described in subsection 2, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, to the department of public health for transfer to the department of corrections, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, an amount sufficient to provide the total amount specified under subsection 1 for the purposes designated under this section.>
   5.  Page 9, after line 5 by inserting: 
   <Sec. ___.  VETERANS COURTS —— OPIOID SETTLEMENT.
   1.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, to the department of veterans affairs for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amount, or so much thereof as is necessary, for the purpose designated:
   ...................................................................... $  1,000,000

   2.  a.  The moneys appropriated under this section shall be transferred to the judicial branch to establish a veterans court with a full-time outreach coordinator in each judicial district to provide court services to veterans and to integrate court sanctions and incentives with substance use disorder treatment, mental health treatment, and transitional services for veterans, in a judicially supervised setting.
   b.  It is the intent of the general assembly that the jurisdiction of the veterans court may be exercised by any district judge and by any district associate judge who is designated by the chief judge of a judicial district as a judge of the veterans court. The chief judge shall designate one or more district judges and district associate judges to act as judges of the veterans court for a judicial district. The chief judge may designate a veterans court judge to preside in more than one county.
   3.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the department of veterans affairs for transfer to the judicial branch for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amount specified under subsection 1 for the purpose designated under this section.
   4.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted in 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as described under subsection 3, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to the department of veterans affairs for transfer to the judicial branch an amount sufficient to provide the total amount specified under subsection 1 for the purposes designated under this section.>
   6.  Page 66, after line 23 by inserting: 
<DIVISION ___
STATE EMPLOYEE BENEFITS —— USE OF OPIOIDS —— OPIOID SETTLEMENT

   Sec. ___.  STATE EMPLOYEE BENEFITS —— SUBSTANCE USE DISORDER BENEFITS —— USE OF OPIOIDS —— OPIOID SETTLEMENT.
   1.  a.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, to the department of administrative services, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amount, or so much thereof as is necessary, for the purposes designated:
   ...................................................................... $    100,000
  b.  The department of administrative services, in cooperation with any health insurance plans or health plan administrators of benefits extended to state employees, shall utilize the funds appropriated in this subsection to create a model benefit plan designed to incentivize or otherwise promote the effective, evidence-based prescription and use of opioids to members receiving benefits through state plans, document the current use of benefits for substance use disorders, identify gaps or unnecessary restrictions in coverage, and expand access to evidence-based treatments and therapies, including nonpharmacological treatments.
   2.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the department of administrative services for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amount specified under subsection 1 for the purposes designated under this section.
   3.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as specified under subsection 2, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, to the department of administrative services for the fiscal year beginning July 1, 2022, and ending June 30, 2023, an amount sufficient to provide the total amount specified under subsection 1 for the purposes designated under this section.>
   7.  Page 66, before line 24 by inserting: 
<DIVISION ___
MEDICAID RECIPIENTS —— SUBSTANCE USE DISORDER BENEFITS —— OPIOID USE —— OPIOID SETTLEMENT

   Sec. ___.  MEDICAID RECIPIENTS —— SUBSTANCE USE DISORDER BENEFITS —— USE OF OPIOIDS—— OPIOID SETTLEMENT.
   1.  a.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, to the department of human services, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amount, or so much thereof as is necessary, for the purposes designated:
   ...................................................................... $    100,000

   b.  The department of human services and the Iowa Medicaid enterprise, in cooperation with Medicaid managed care organizations, shall utilize the funds appropriated under this section to design benefit plans to incentivize or otherwise promote the effective, evidence-based prescription and use of opioids to Medicaid recipients, document the current use of benefits for substance use disorders, identify gaps or unnecessary restrictions in coverage, and expand access to evidence-based treatment and therapies, including nonpharmacological treatments. The department shall seek any Medicaid state plan amendment or waiver necessary to administer this subsection.
   2.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the department of human services for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amount specified under subsection 1 for the purposes designated under this section. 
   3.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as specified under subsection 2, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, to the department of human services for the fiscal year beginning July 1, 2022, and ending June 30, 2023, an amount sufficient to provide the total amount specified under subsection 1 for the purposes designated under this section.>
   8.  Page 69, after line 2 by inserting: 
<DIVISION ___
SUBSTANCE USE DISORDER AND OPIOID USE RESEARCH, EDUCATION, PREVENTION, AND TREATMENT —— OPIOID SETTLEMENT

   Sec. ___.  SUBSTANCE USE DISORDER AND OPIOID USE RESEARCH, EDUCATION, PREVENTION, AND TREATMENT —— OPIOID SETTLEMENT.
   1.  There is appropriated from the opioid settlement fund or a similar fund, if enacted in 2022 Iowa Acts, House File 2573, or similar legislation, to the following entities for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amounts, or so much thereof as is necessary, for the purposes designated:
   a.  To the department of public health:
   (1)  To provide for training, equipment, and initial operation in twelve county jails throughout the state of appropriate evidence-based treatment of incarcerated individuals diagnosed with substance use disorders, in accordance with rules adopted by the department:
   ...................................................................... $  2,500,000

   (2)  To contract with the Iowa health care collaborative to do all of the following:
   (a)  To develop and pilot protocols for the treatment of emergency room patients experiencing opioid or heroin overdoses, only to the extent funding is matched on a dollar-for-dollar basis from private or public sources secured by the Iowa health care collaborative:
   ...................................................................... $    100,000

   (b)  To reduce opioid exposure by educating doctors and hospitals, especially in rural areas, to adopt the enhanced recovery after surgery (ERAS) principles:
   ...................................................................... $    100,000

   (3)  For the psychiatric residency programs involved with coordinated, collaborative care at newly established, community-based behavioral health treatment facilities offering residential substance use disorder treatment for twenty-nine days or more:
   ...................................................................... $  1,000,000

   (4)  To pilot the establishment and operation of three community-based syringe service programs developed to provide substance use prevention and response including linkages to substance use disorder treatment; vaccination, testing, and access to care for infectious diseases; and access to, education regarding the safe utilization of, and proper disposal of sterile syringes and injection equipment:
   ...................................................................... $    450,000

   The pilot program supported with the funding appropriated under this subparagraph is conditioned on the implementation of written agreements with local law enforcement agencies and county attorneys to refrain from charging or prosecuting program sponsors or participants for violations of section 124.414.
   b.  To the state board of regents:
   (1)  To fund research on medication-assisted treatment for substance use disorders conducted at the university of Iowa college of public health to identify variability in outcomes, demonstrate efficacy of treatment, and refine evidence-based protocols: 
   ...................................................................... $    500,000

   (2)  To fund research and education conducted at the university of Iowa Carver college of medicine for the nonnarcotic treatment of pain:
   ...................................................................... $  1,000,000

   c.  To the governor’s office of drug control policy to establish and direct a task force, in collaboration with the department of public health, department of human services, and department of public safety, to make recommendations, based on public health principles, to restructure the response of the state’s health and justice systems to illicit drug use and to individuals suffering from substance use disorders:
   ...................................................................... $    500,000

   The governor’s office of drug control policy shall submit a report of the recommendations specified in this paragraph “c” to the governor and the general assembly by November 1, 2022.
   2.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the entities specified in subsection 1, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amounts specified to the entities specified under subsection 1 for the purposes designated under this section.
   3.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted in 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as described under subsection 2, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, to the entities specified in subsection 1, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, a sufficient amount to provide the total amounts specified to the entities specified under subsection 1 for the purposes designated under this section.>
   9.  Page 71, after line 10 by inserting: 
<DIVISION ___
PUBLIC HEALTH INFRASTRUCTURE AND SUBSTANCE USE DISORDER PREVENTION AND TREATMENT —— OPIOID SETTLEMENT

   Sec. ___.  PUBLIC HEALTH INFRASTRUCTURE AND SUBSTANCE USE DISORDER PREVENTION AND TREATMENT —— OPIOID SETTLEMENT.
   1.  There is appropriated from the opioid settlement fund or a similar fund, if enacted in 2022 Iowa Acts, House File 2573, or similar legislation, to the university of Iowa college of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amounts, or so much thereof as is necessary, for the purposes designated:
   a.  To conduct a comprehensive review and evaluation of the existing public health structure and infrastructure in Iowa, and to make recommendations for policy and funding to improve capacity of the state and local communities to address substance use and related issues:
   ...................................................................... $    250,000

   b.  To coordinate increased, systematic efforts with local public health authorities to address the personal behaviors, societal conditions, and lack of access to services that are identified as risk factors for substance use disorders and related co-occurring health conditions:
   ...................................................................... $  1,000,000

   The amount appropriated may be used to provide grants to county boards of health to implement evidence-based community programming, policies, and collaborative projects with health care providers to address the identified risk factors.
   c.  To provide paid internships for college of public health students paired with local health departments to support the development of local public health infrastructure, conduct community health needs assessments, and assist in the successful implementation of health improvement plans to address substance use disorders and co-occurring brain health and related conditions:
   ...................................................................... $    400,000

   2.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the university of Iowa college of public health, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amounts specified under subsection 1 for the purposes designated under this section.
   3.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted in 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as described under subsection 2 to satisfy the appropriations under subsection 1, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, to the university of Iowa college of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, a sufficient amount to provide the total amounts specified under subsection 1 for the purposes designated under this section.>
   10.  Page 71, before line 11 by inserting: 
<DIVISION ___
SUBSTANCE USE DISORDER —— SUPPORTIVE SERVICES —— OPIOID SETTLEMENT

   Sec. ___.  SUBSTANCE USE DISORDER —— SUPPORTIVE SERVICES —— OPIOID SETTLEMENT.
   1.  a.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, to the department of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amount, or so much thereof as is necessary, for the purpose designated:
   ...................................................................... $  1,000,000

   b.  Moneys appropriated under this section shall be used by the department, in collaboration with the Iowa finance authority and community-based organizations, to engage in work to increase the availability of recovery housing throughout the state. The moneys shall be distributed as grants to recovery housing providers whose application for assistance is in accordance with a county community health needs assessment and health improvement plan.
   2.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the department of public health, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amount specified under subsection 1 for the purposes designated under this section.
   3.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted in 2022 Iowa Acts, House File 2573, or similar legislation, or directly from the national settlement as described under subsection 2 to satisfy the appropriations under subsection 1, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, to the department of public health for the fiscal year beginning July 1, 2022, and ending June 30, 2023, a sufficient amount to provide the total amount specified under subsection 1 for the purposes designated under this section.>
   11.  Page 72, after line 11 by inserting: 
<DIVISION ___
COMPREHENSIVE STUDY AND REPORT OF SUBSTANCE USE DISORDER TREATMENT COVERAGE, UTILIZATION, AND EXPENDITURES —— OPIOID SETTLEMENT

   Sec. ___.  COMPREHENSIVE STUDY AND REPORT OF SUBSTANCE USE DISORDER TREATMENT COVERAGE, UTILIZATION, AND EXPENDITURES —— OPIOID SETTLEMENT.
   1.  a.  There is appropriated from the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, to the division of insurance of the department of commerce, for the fiscal year beginning July 1, 2022, and ending June 30, 2023, the following amount, or so much thereof as is necessary, for the purposes designated:
   ...................................................................... $    100,000

   b.  The division of insurance shall utilize the funds appropriated under this subsection to perform a comprehensive study and prepare a comprehensive report on insurance coverage and payment policies for services related to the treatment of substance use disorders by commercial insurance companies and self-funded plans, as well as data on current utilization and expenditures associated with such benefit plans. The report shall be submitted to the general assembly by January 1, 2023.
   2.  Notwithstanding any provision of law to the contrary, if legislation is not enacted to create a specific fund for the deposit of the state portion of moneys paid to the state as a result of a national settlement of litigation with entities that manufactured, marketed, sold, distributed, dispensed, or promoted opioids, made in connection with claims arising from the manufacturing, marketing, selling, distributing, dispensing, or promoting of opioids, a sufficient amount of these moneys received by the state is appropriated to the division of insurance of the department of commerce for the fiscal year beginning July 1, 2022, and ending June 30, 2023, to provide the total amount specified under subsection 1 for the purposes designated under this section. 
   3.  If sufficient funds are not available through the opioid settlement fund or a similar fund, if enacted by 2022 Iowa Acts, House File 2573, or similar legislation, or directly through the national settlement as specified under subsection 2, there is appropriated from the Iowa coronavirus fiscal recovery fund created in section 8.57G, to the division of insurance of the department of commerce for the fiscal year beginning July 1, 2022, and ending June 30, 2023, an amount sufficient to provide the total amount specified under subsection 1 for the purposes designated under this section.>
   12.  By renumbering, redesignating, and correcting internal references as necessary.

______________________________
ISENHART of Dubuque