Senate File 561 S-3203 Amend the amendment, S-3194, to Senate File 561, as follows: 1 1. Page 62, after line 18 by inserting: 2 < ___. The department shall set child care provider 3 reimbursement rates based on the most recent market rate survey 4 completed. > 5 2. Page 78, after line 19 by inserting: 6 < DIVISION ___ 7 STATE CHILD CARE ASSISTANCE —— CHILDREN NEEDING SPECIAL NEEDS 8 CARE, INITIAL ELIGIBILITY, AND REIMBURSEMENT 9 Sec. ___. Section 237A.1, Code 2023, is amended by adding 10 the following new subsection: 11 NEW SUBSECTION . 7A. “Children needing special needs care” 12 or “special needs child” means a child or children with one or 13 more of the following conditions: 14 a. The child has been diagnosed by a physician or by a 15 person endorsed for service as a school psychologist by the 16 department of education to have a developmental disability 17 which substantially limits one or more major life activities, 18 and the child requires professional treatment, assistance in 19 self-care, or the purchase of special adaptive equipment. 20 b. The child has been determined by a qualified intellectual 21 disability professional to have a condition which impairs the 22 child’s intellectual and social functioning. 23 c. The child has been diagnosed by a mental health 24 professional to have a behavioral or emotional disorder 25 characterized by situationally inappropriate behavior which 26 deviates substantially from behavior appropriate to the 27 child’s age, or which significantly interferes with the child’s 28 intellectual, social, or personal development. 29 Sec. ___. Section 237A.13, Code 2023, is amended by adding 30 the following new subsection: 31 NEW SUBSECTION . 1A. A family shall only be initially 32 eligible for state child care assistance if the family’s gross 33 monthly income does not exceed the lesser of: 34 a. (1) (a) For the fiscal year beginning July 1, 2023, one 35 -1- S 3194.2055 (1) 90 dg/rh 1/ 3 #1. #2.

hundred sixty percent of the federal poverty level applicable 1 to the family size for children needing basic care. 2 (b) For the fiscal year beginning July 1, 2024, one hundred 3 seventy percent of the federal poverty level applicable to the 4 family size for children needing basic care. 5 (c) For the fiscal year beginning July 1, 2025, one hundred 6 eighty percent of the federal poverty level applicable to the 7 family size for children needing basic care. 8 (d) For the fiscal year beginning July 1, 2026, one hundred 9 ninety percent of the federal poverty level applicable to the 10 family size for children needing basic care. 11 (e) For the fiscal year beginning July 1, 2027, and for 12 each fiscal year thereafter, two hundred percent of the federal 13 poverty level applicable to the family size for children 14 needing basic care. 15 (2) Two hundred percent of the federal poverty level 16 applicable to the family size for children needing special 17 needs care. 18 b. Eighty-five percent of the state median gross monthly 19 income. 20 Sec. ___. Section 237A.13, subsection 8, Code 2023, is 21 amended by adding the following new paragraph: 22 NEW PARAGRAPH . e. Families with an income of more than 23 one hundred forty-five percent of the federal poverty level 24 but not more than the maximum income necessary to be eligible 25 for state child care assistance whose members, for at least 26 twenty-eight hours per week in the aggregate, are employed 27 or are participating at a satisfactory level in an approved 28 training program or educational program. > 29 3. By renumbering as necessary. 30 ______________________________ NATE BOULTON -2- S 3194.2055 (1) 90 dg/rh 2/ 3 #3.