House
File
653
-
Enrolled
House
File
653
AN
ACT
RELATING
TO
APPROPRIATIONS
FOR
HEALTH
AND
HUMAN
SERVICES
AND
VETERANS
AND
INCLUDING
OTHER
RELATED
PROVISIONS
AND
APPROPRIATIONS,
PROVIDING
PENALTIES,
AND
INCLUDING
EFFECTIVE
DATE
AND
RETROACTIVE
AND
OTHER
APPLICABILITY
DATE
PROVISIONS.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
DIVISION
I
DEPARTMENT
ON
AGING
——
FY
2017-2018
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
on
aging
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
House
File
653,
p.
2
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
aging
programs
for
the
department
on
aging
and
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
aging
and
disabilities
resource
center,
and
other
services
which
may
include
but
are
not
limited
to
adult
day
services,
respite
care,
chore
services,
information
and
assistance,
and
material
aid,
for
information
and
options
counseling
for
persons
with
disabilities
who
are
18
years
of
age
or
older,
and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,042,476
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
27.00
1.
Funds
appropriated
in
this
section
may
be
used
to
supplement
federal
funds
under
federal
regulations.
To
receive
funds
appropriated
in
this
section,
a
local
area
agency
on
aging
shall
match
the
funds
with
moneys
from
other
sources
according
to
rules
adopted
by
the
department.
Funds
appropriated
in
this
section
may
be
used
for
elderly
services
not
specifically
enumerated
in
this
section
only
if
approved
by
an
area
agency
on
aging
for
provision
of
the
service
within
the
area.
2.
Of
the
funds
appropriated
in
this
section,
$279,946
is
transferred
to
the
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
retired
and
senior
volunteer
program.
3.
a.
The
department
on
aging
shall
establish
and
enforce
procedures
relating
to
expenditure
of
state
and
federal
funds
by
area
agencies
on
aging
that
require
compliance
with
both
state
and
federal
laws,
rules,
and
regulations,
including
but
not
limited
to
all
of
the
following:
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
or
services
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(2)
Prohibiting
prepayment
for
goods
or
services
not
received
or
performed
prior
to
the
end
of
the
fiscal
period
House
File
653,
p.
3
designated
for
use
of
the
funds.
(3)
Prohibiting
the
prepayment
for
goods
or
services
not
defined
specifically
by
good
or
service,
time
period,
or
recipient.
(4)
Prohibiting
the
establishment
of
accounts
from
which
future
goods
or
services
which
are
not
defined
specifically
by
good
or
service,
time
period,
or
recipient,
may
be
purchased.
b.
The
procedures
shall
provide
that
if
any
funds
are
expended
in
a
manner
that
is
not
in
compliance
with
the
procedures
and
applicable
federal
and
state
laws,
rules,
and
regulations,
and
are
subsequently
subject
to
repayment,
the
area
agency
on
aging
expending
such
funds
in
contravention
of
such
procedures,
laws,
rules
and
regulations,
not
the
state,
shall
be
liable
for
such
repayment.
4.
Of
the
funds
appropriated
in
this
section,
at
least
$250,000
shall
be
used
to
fund
the
unmet
needs
identified
through
Iowa’s
aging
and
disability
resource
center
network.
5.
Of
the
funds
appropriated
in
this
section,
at
least
$600,000
shall
be
used
to
fund
home
and
community-based
services
through
the
area
agencies
on
aging
that
enable
older
individuals
to
avoid
more
costly
utilization
of
residential
or
institutional
services
and
remain
in
their
own
homes.
6.
Of
the
funds
appropriated
in
this
section,
$812,537
shall
be
used
for
the
purposes
of
chapter
231E
and
section
231.56A
,
of
which
$350,000
shall
be
used
for
the
office
of
substitute
decision
maker
pursuant
to
chapter
231E
,
and
the
remainder
shall
be
distributed
equally
to
the
area
agencies
on
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
with
the
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
7.
Of
the
funds
appropriated
in
this
section,
$750,000
shall
be
used
to
fund
continuation
of
the
aging
and
disability
resource
center
lifelong
links
to
provide
individuals
and
caregivers
with
information
and
services
to
plan
for
and
maintain
independence.
8.
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
July
1,
2017,
the
department
may
transfer
funds
within
or
between
the
allocations
made
in
this
division
of
this
House
File
653,
p.
4
Act
for
the
same
fiscal
year
in
accordance
with
departmental
priorities.
The
department
shall
report
any
such
transfers
to
the
individuals
specified
in
this
Act
for
submission
of
reports.
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
DIVISION
II
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2017-2018
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
office
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,160,281
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.00
DIVISION
III
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2017-2018
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
public
health
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
and
other
drugs,
and
treating
individuals
affected
by
addictive
behaviors,
including
gambling,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,985,831
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$4,021,225
shall
be
used
for
the
tobacco
use
prevention
and
control
initiative,
including
efforts
at
the
state
and
local
levels,
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
prevention
and
control
established
pursuant
to
section
142A.3
shall
advise
the
director
of
public
health
House
File
653,
p.
5
in
prioritizing
funding
needs
and
the
allocation
of
moneys
appropriated
for
the
programs
and
initiatives.
Activities
of
the
programs
and
initiatives
shall
be
in
alignment
with
the
United
States
centers
for
disease
control
and
prevention
best
practices
for
comprehensive
tobacco
control
programs
that
include
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
cessation.
To
maximize
resources,
the
department
shall
determine
if
third-party
sources
are
available
to
instead
provide
nicotine
replacement
products
to
an
applicant
prior
to
provision
of
such
products
to
an
applicant
under
the
initiative.
The
department
shall
track
and
report
to
the
individuals
specified
in
this
Act,
any
reduction
in
the
provision
of
nicotine
replacement
products
realized
by
the
initiative
through
implementation
of
the
prerequisite
screening.
(2)
(a)
The
department
shall
collaborate
with
the
alcoholic
beverages
division
of
the
department
of
commerce
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
tobacco
control
activities
approved
by
the
division
of
tobacco
use
prevention
and
control
of
the
department
of
public
health
as
specified
in
the
memorandum
of
understanding
entered
into
between
the
divisions.
(b)
For
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
terms
of
the
memorandum
of
understanding,
entered
into
between
the
division
of
tobacco
use
prevention
and
control
of
the
department
of
public
health
and
the
alcoholic
beverages
division
of
the
department
of
commerce,
governing
compliance
checks
conducted
to
ensure
licensed
retail
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
ordinances
relating
to
persons
under
18
years
of
age,
shall
continue
to
restrict
the
number
of
such
checks
to
one
check
per
retail
outlet,
and
one
additional
check
for
any
retail
outlet
found
to
be
in
violation
during
the
first
check.
b.
Of
the
funds
appropriated
in
this
subsection,
$20,964,606
shall
be
used
for
problem
gambling
and
substance-related
disorder
prevention,
treatment,
and
recovery
services,
including
a
24-hour
helpline,
public
information
resources,
professional
training,
youth
prevention,
and
program
House
File
653,
p.
6
evaluation.
c.
The
requirement
of
section
123.17,
subsection
5,
is
met
by
the
appropriations
and
allocations
made
in
this
division
of
this
Act
for
purposes
of
substance-related
disorder
treatment
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2017.
2.
HEALTHY
CHILDREN
AND
FAMILIES
For
promoting
the
optimum
health
status
for
children,
adolescents
from
birth
through
21
years
of
age,
and
families,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,325,632
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$734,841
shall
be
used
for
the
healthy
opportunities
for
parents
to
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
established
pursuant
to
section
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
that
were
provided
to
the
grantees
that
operated
the
program
during
the
fiscal
year
ending
June
30,
2017.
b.
In
order
to
implement
the
legislative
intent
stated
in
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
program
funding
be
given
to
programs
using
evidence-based
or
promising
models
for
home
visitation,
it
is
the
intent
of
the
general
assembly
to
phase
in
the
funding
priority
in
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2
,
paragraph
“0b”.
c.
Of
the
funds
appropriated
in
this
subsection,
$3,075,101
shall
be
used
for
continuation
of
the
department’s
initiative
to
provide
for
adequate
developmental
surveillance
and
screening
during
a
child’s
first
five
years.
The
funds
shall
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
the
sites
are
fully
operational,
with
the
remaining
funds
to
be
used
for
expansion
to
additional
sites.
The
full
implementation
and
expansion
shall
include
enhancing
the
scope
of
the
initiative
through
collaboration
with
the
child
health
specialty
clinics
to
promote
healthy
child
development
through
early
identification
and
response
to
both
biomedical
and
social
determinants
of
healthy
development;
by
monitoring
child
House
File
653,
p.
7
health
metrics
to
inform
practice,
document
long-term
health
impacts
and
savings,
and
provide
for
continuous
improvement
through
training,
education,
and
evaluation;
and
by
providing
for
practitioner
consultation
particularly
for
children
with
behavioral
conditions
and
needs.
The
department
of
public
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
and
the
child
health
specialty
clinics
to
integrate
the
activities
of
the
first
five
initiative
into
the
establishment
of
patient-centered
medical
homes,
community
utilities,
accountable
care
organizations,
and
other
integrated
care
models
developed
to
improve
health
quality
and
population
health
while
reducing
health
care
costs.
To
the
maximum
extent
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
as
matching
funds
for
medical
assistance
program
reimbursement.
d.
Of
the
funds
appropriated
in
this
subsection,
$64,640
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
funds
to
continue
the
donated
dental
services
program
patterned
after
the
projects
developed
by
the
lifeline
network
to
provide
dental
services
to
indigent
individuals
who
are
elderly
or
with
disabilities.
e.
Of
the
funds
appropriated
in
this
subsection,
$156,482
shall
be
used
to
provide
audiological
services
and
hearing
aids
for
children.
The
department
may
enter
into
a
contract
to
administer
this
paragraph.
f.
Of
the
funds
appropriated
in
this
subsection,
$23,000
is
transferred
to
the
university
of
Iowa
college
of
dentistry
for
provision
of
primary
dental
services
to
children.
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
department
of
public
health,
bureau
of
oral
and
health
delivery
systems,
to
provide
dental
care
to
underserved
populations
throughout
the
state.
g.
Of
the
funds
appropriated
in
this
subsection,
$50,000
shall
be
used
to
address
youth
suicide
prevention.
h.
Of
the
funds
appropriated
in
this
subsection,
$40,511
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
of
children
who
experience
adverse
childhood
experiences
known
as
ACEs.
i.
The
department
of
public
health
shall
continue
to
House
File
653,
p.
8
administer
the
program
to
assist
parents
in
this
state
with
costs
resulting
from
the
death
of
a
child
in
accordance
with
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
subsection
12
.
3.
CHRONIC
CONDITIONS
For
serving
individuals
identified
as
having
chronic
conditions
or
special
health
care
needs,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,170,750
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
a.
Of
the
funds
appropriated
in
this
subsection,
$153,755
shall
be
used
for
grants
to
individual
patients
who
have
an
inherited
metabolic
disorder
to
assist
with
the
costs
of
medically
necessary
foods
and
formula.
b.
Of
the
funds
appropriated
in
this
subsection,
$1,020,794
shall
be
used
for
the
brain
injury
services
program
pursuant
to
section
135.22B,
including
for
contracting
with
an
existing
nationally
affiliated
and
statewide
organization
whose
purpose
is
to
educate,
serve,
and
support
Iowans
with
brain
injury
and
their
families
for
resource
facilitator
services
in
accordance
with
section
135.22B,
subsection
9,
and
for
contracting
to
enhance
brain
injury
training
and
recruitment
of
service
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
this
paragraph,
$95,000
shall
be
used
to
fund
one
full-time
equivalent
position
to
serve
as
the
state
brain
injury
services
program
manager.
c.
Of
the
funds
appropriated
in
this
subsection,
$144,097
shall
be
used
for
the
public
purpose
of
continuing
to
contract
with
an
existing
national-affiliated
organization
to
provide
education,
client-centered
programs,
and
client
and
family
support
for
people
living
with
epilepsy
and
their
families.
The
amount
allocated
in
this
paragraph
in
excess
of
$100,000
shall
be
matched
dollar-for-dollar
by
the
organization
specified.
d.
Of
the
funds
appropriated
in
this
subsection,
$809,550
shall
be
used
for
child
health
specialty
clinics.
e.
Of
the
funds
appropriated
in
this
subsection,
$384,552
shall
be
used
by
the
regional
autism
assistance
program
established
pursuant
to
section
256.35
,
and
administered
by
House
File
653,
p.
9
the
child
health
specialty
clinic
located
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
interagency
collaboration
and
coordination
of
educational,
medical,
and
other
human
services
for
persons
with
autism,
their
families,
and
providers
of
services,
including
delivering
regionalized
services
of
care
coordination,
family
navigation,
and
integration
of
services
through
the
statewide
system
of
regional
child
health
specialty
clinics
and
fulfilling
other
requirements
as
specified
in
chapter
225D
.
The
university
of
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
indirect
costs
associated
with
the
regional
autism
assistance
program.
f.
Of
the
funds
appropriated
in
this
subsection,
$577,375
shall
be
used
for
the
comprehensive
cancer
control
program
to
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
detection,
effective
treatment,
and
ensuring
quality
of
life.
Of
the
funds
allocated
in
this
paragraph
“f”,
$150,000
shall
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
biorepository
and
registry,
basic
and
translational
melanoma
research,
and
clinical
trials.
g.
Of
the
funds
appropriated
in
this
subsection,
$97,532
shall
be
used
for
cervical
and
colon
cancer
screening,
and
$177,720
shall
be
used
to
enhance
the
capacity
of
the
cervical
cancer
screening
program
to
include
provision
of
recommended
prevention
and
early
detection
measures
to
a
broader
range
of
low-income
women.
h.
Of
the
funds
appropriated
in
this
subsection,
$506,355
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
i.
Of
the
funds
appropriated
in
this
subsection,
$215,263
shall
be
used
by
the
department
of
public
health
for
reform-related
activities,
including
but
not
limited
to
facilitation
of
communication
to
stakeholders
at
the
state
and
local
level,
administering
the
patient-centered
health
advisory
council
pursuant
to
section
135.159
,
and
involvement
in
health
care
system
innovation
activities
occurring
across
the
state.
j.
Of
the
funds
appropriated
in
this
subsection,
$22,100
shall
be
used
for
administration
of
chapter
124D
,
the
medical
cannabidiol
Act.
House
File
653,
p.
10
4.
COMMUNITY
CAPACITY
For
strengthening
the
health
care
delivery
system
at
the
local
level,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,907,776
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
a.
Of
the
funds
appropriated
in
this
subsection,
$95,575
is
allocated
for
continuation
of
the
child
vision
screening
program
implemented
through
the
university
of
Iowa
hospitals
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
The
program
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
regarding
the
use
of
funds
allocated
under
this
paragraph
“a”.
The
report
shall
include
the
objectives
and
results
for
the
program
year
including
the
target
population
and
how
the
funds
allocated
assisted
the
program
in
meeting
the
objectives;
the
number,
age,
and
location
within
the
state
of
individuals
served;
the
type
of
services
provided
to
the
individuals
served;
the
distribution
of
funds
based
on
service
provided;
and
the
continuing
needs
of
the
program.
b.
Of
the
funds
appropriated
in
this
subsection,
$105,656
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
to
expand
and
improve
the
workforce
engaged
in
mental
health
treatment
and
services.
The
initiative
shall
receive
input
from
the
university
of
Iowa,
the
department
of
human
services,
the
department
of
public
health,
and
the
mental
health
and
disability
services
commission
to
address
the
focus
of
the
initiative.
c.
Of
the
funds
appropriated
in
this
section,
$83,315
shall
be
deposited
in
the
governmental
public
health
system
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
fund.
d.
Of
the
funds
appropriated
in
this
subsection,
$48,069
shall
be
used
for
a
grant
to
a
statewide
association
of
psychologists
that
is
affiliated
with
the
American
psychological
association
to
be
used
for
continuation
of
a
program
to
rotate
intern
psychologists
in
placements
in
urban
and
rural
mental
health
professional
shortage
areas,
as
defined
in
section
135.180
.
House
File
653,
p.
11
e.
Of
the
funds
appropriated
in
this
subsection,
the
following
amounts
are
allocated
to
be
used
as
follows
to
support
the
Iowa
collaborative
safety
net
provider
network
goals
of
increased
access,
health
system
integration,
and
engagement:
(1)
Not
less
than
$521,863
is
allocated
to
the
Iowa
prescription
drug
corporation
for
continuation
of
the
pharmaceutical
infrastructure
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
chapter
218,
section
108
,
and
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M.
(2)
Not
less
than
$334,870
is
allocated
to
free
clinics
and
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
securing
a
medical
home
inclusive
of
oral
health
care.
(3)
Not
less
than
$25,000
is
allocated
to
the
Iowa
association
of
rural
health
clinics
for
necessary
infrastructure
and
service
delivery
transformation.
(4)
Not
less
than
$100,000
is
allocated
to
the
Polk
county
medical
society
for
continuation
of
the
safety
net
provider
patient
access
to
a
specialty
health
care
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109.
f.
Of
the
funds
appropriated
in
this
subsection,
$76,231
shall
be
used
by
the
department
in
implementing
the
recommendations
in
the
final
report
submitted
by
the
direct
care
worker
advisory
council
to
the
governor
and
the
general
assembly
in
March
2012,
including
by
continuing
to
develop,
promote,
and
make
available
on
a
statewide
basis
the
prepare-to-care
core
curriculum
and
its
associated
modules
and
specialties
through
various
formats
including
online
access,
community
colleges,
and
other
venues;
exploring
new
and
maintaining
existing
specialties
including
but
not
limited
to
oral
health
and
dementia
care;
supporting
instructor
training;
and
assessing
and
making
recommendations
concerning
the
Iowa
care
book
and
information
technology
systems
and
infrastructure
uses
and
needs.
g.
Of
the
funds
appropriated
in
this
subsection,
$191,188
shall
be
allocated
for
continuation
of
the
contract
with
House
File
653,
p.
12
an
independent
statewide
direct
care
worker
organization
previously
selected
through
a
request
for
proposals
process.
The
contract
shall
continue
to
include
performance
and
outcomes
measures,
and
shall
continue
to
allow
the
contractor
to
use
a
portion
of
the
funds
received
under
the
contract
to
collect
data
to
determine
results
based
on
the
performance
and
outcomes
measures.
h.
Of
the
funds
appropriated
in
this
subsection,
the
department
may
use
up
to
$58,175
for
up
to
one
full-time
equivalent
position
to
administer
the
volunteer
health
care
provider
program
pursuant
to
section
135.24
.
i.
Of
the
funds
appropriated
in
this
subsection,
$96,138
shall
be
used
for
a
matching
dental
education
loan
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
service
corporation
to
continue
to
develop
the
criteria
and
implement
the
loan
repayment
program.
j.
Of
the
funds
appropriated
in
this
subsection,
$52,911
is
transferred
to
the
college
student
aid
commission
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
261.113
to
be
used
for
the
purposes
of
the
fund.
k.
Of
the
funds
appropriated
in
this
subsection,
$150,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
specified
in
section
142C.18
.
l.
Of
the
funds
appropriated
in
this
subsection,
$96,138
shall
be
used
for
continuation
of
a
grant
to
a
nationally
affiliated
volunteer
eye
organization
that
has
an
established
program
for
children
and
adults
and
that
is
solely
dedicated
to
preserving
sight
and
preventing
blindness
through
education,
nationally
certified
vision
screening
and
training,
and
community
and
patient
service
programs.
The
organization
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
regarding
the
use
of
funds
allocated
under
this
paragraph
“l”.
The
report
shall
include
the
objectives
and
results
for
the
program
year
including
the
target
population
and
how
the
funds
allocated
assisted
the
program
in
meeting
the
objectives;
the
number,
age,
and
location
within
the
state
of
individuals
served;
the
type
of
services
provided
to
the
individuals
served;
the
distribution
of
funds
based
on
services
provided;
and
the
continuing
needs
House
File
653,
p.
13
of
the
program.
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
To
provide
public
health
services
that
reduce
risks
and
invest
in
promoting
and
protecting
good
health
over
the
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
vulnerable
populations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,197,878
6.
INFECTIOUS
DISEASES
For
reducing
the
incidence
and
prevalence
of
communicable
diseases,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,646,426
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
7.
PUBLIC
PROTECTION
For
protecting
the
health
and
safety
of
the
public
through
establishing
standards
and
enforcing
regulations,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,195,139
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
138.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$304,700
shall
be
credited
to
the
emergency
medical
services
fund
created
in
section
135.25
.
Moneys
in
the
emergency
medical
services
fund
are
appropriated
to
the
department
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
appropriated
in
this
subsection,
up
to
$243,260
shall
be
used
for
sexual
violence
prevention
programming
through
a
statewide
organization
representing
programs
serving
victims
of
sexual
violence
through
the
department’s
sexual
violence
prevention
program,
and
for
continuation
of
a
training
program
for
sexual
assault
response
team
(SART)
members,
including
representatives
of
law
enforcement,
victim
advocates,
prosecutors,
and
certified
medical
personnel.
The
amount
allocated
in
this
paragraph
“b”
shall
not
be
used
to
supplant
funding
administered
for
other
sexual
violence
prevention
or
victims
assistance
programs.
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
$575,627
shall
be
used
for
the
state
poison
control
center.
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
1140,
section
102
,
the
federal
matching
funds
available
to
House
File
653,
p.
14
the
state
poison
control
center
from
the
department
of
human
services
under
the
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
administrative
cap
rule
of
10
percent
applicable
to
funding
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
included
within
the
department’s
calculations
of
the
cap.
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
$516,982
shall
be
used
for
childhood
lead
poisoning
provisions.
8.
RESOURCE
MANAGEMENT
For
establishing
and
sustaining
the
overall
ability
of
the
department
to
deliver
services
to
the
public,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
971,215
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
9.
MISCELLANEOUS
PROVISIONS
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
10.
GENERAL
REDUCTION
For
the
period
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
department
of
public
health,
in
consultation
with
the
department
of
management,
shall
identify
and
implement
a
reduction
in
expenditures
made
from
appropriations
from
the
general
fund
to
the
department
of
public
health
in
the
amount
of
$1,281,367.
11.
TRANSFERS
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
July
1,
2017,
the
department
may
transfer
funds
within
or
between
any
of
the
allocations
or
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year,
to
be
used
in
accordance
with
departmental
priorities
as
specified
in
the
department’s
report
to
the
general
assembly
submitted
pursuant
to
2016
Iowa
Acts,
chapter
1139,
section
3.
The
department
shall
report
any
such
transfers
to
the
individuals
specified
in
this
Act
for
submission
of
reports.
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
House
File
653,
p.
15
DIVISION
IV
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2017-2018
Sec.
4.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
veterans
affairs
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
For
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,142,557
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,228,140
a.
The
Iowa
veterans
home
billings
involving
the
department
of
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
b.
Within
available
resources
and
in
conformance
with
associated
state
and
federal
program
eligibility
requirements,
the
Iowa
veterans
home
may
implement
measures
to
provide
financial
assistance
to
or
on
behalf
of
veterans
or
their
spouses
who
are
participating
in
the
community
reentry
program.
c.
The
Iowa
veterans
home
expenditure
report
shall
be
submitted
monthly
to
the
legislative
services
agency.
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
annual
discharge
report
applicant
information
to
provide
for
the
collection
of
demographic
information
including
but
not
limited
to
the
number
of
individuals
applying
for
admission
and
admitted
or
denied
admittance
and
the
basis
for
the
admission
or
denial;
the
age,
gender,
and
race
of
such
individuals;
and
the
level
of
care
for
which
such
individuals
applied
for
admission
including
residential
or
nursing
level
of
care.
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
For
transfer
to
the
Iowa
finance
authority
for
the
continuation
of
the
home
ownership
assistance
program
for
House
File
653,
p.
16
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
the
United
States,
pursuant
to
section
16.54
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
Sec.
5.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
amount
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
section
for
the
following
designated
purposes
shall
not
exceed
the
following
amount:
For
the
county
commissions
of
veteran
affairs
fund
under
section
35A.16
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
947,925
DIVISION
V
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2017-2018
Sec.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT.
There
is
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
from
moneys
received
under
the
federal
temporary
assistance
for
needy
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
To
be
credited
to
the
family
investment
program
account
and
used
for
assistance
under
the
family
investment
program
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,112,462
2.
To
be
credited
to
the
family
investment
program
account
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
program
and
implementing
family
investment
agreements
in
accordance
with
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,575,693
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
House
File
653,
p.
17
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
encumbered
or
obligated
on
or
before
September
30,
2018,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,866,826
a.
Of
the
funds
appropriated
in
this
subsection,
$26,328,097
is
transferred
to
the
child
care
and
development
block
grant
appropriation
made
by
the
Eighty-seventh
General
Assembly,
2017
session,
for
the
federal
fiscal
year
beginning
October
1,
2017,
and
ending
September
30,
2018.
Of
this
amount,
$200,000
shall
be
used
for
provision
of
educational
opportunities
to
registered
child
care
home
providers
in
order
to
improve
services
and
programs
offered
by
this
category
of
providers
and
to
increase
the
number
of
providers.
The
department
may
contract
with
institutions
of
higher
education
or
child
care
resource
and
referral
centers
to
provide
the
educational
opportunities.
Allowable
administrative
costs
under
the
contracts
shall
not
exceed
5
percent.
The
application
for
a
grant
shall
not
exceed
two
pages
in
length.
b.
Any
funds
appropriated
in
this
subsection
remaining
unallocated
shall
be
used
for
state
child
care
assistance
payments
for
families
who
are
employed
including
but
not
limited
to
individuals
enrolled
in
the
family
investment
program.
7.
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
8.
For
child
abuse
prevention
grants:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
9.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
Pregnancy
prevention
grants
shall
be
awarded
to
programs
House
File
653,
p.
18
in
existence
on
or
before
July
1,
2017,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2017,
if
the
programs
are
based
on
existing
models
that
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
section
14,
subsections
1
and
2
,
including
the
requirement
that
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
the
awarding
of
grants
shall
be
given
to
programs
that
serve
areas
of
the
state
which
demonstrate
the
highest
percentage
of
unplanned
pregnancies
of
females
of
childbearing
age
within
the
geographic
area
to
be
served
by
the
grant.
10.
For
technology
needs
and
other
resources
necessary
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
management
requirements:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
11.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2016
or
2017
Iowa
Acts
regarding
the
receipt
and
appropriation
of
federal
block
grants,
federal
funds
from
the
temporary
assistance
for
needy
families
block
grant
received
by
the
state
and
not
otherwise
appropriated
in
this
section
and
remaining
available
for
the
fiscal
year
beginning
July
1,
2017,
are
appropriated
to
the
department
of
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
the
following
priority
order:
the
family
investment
program,
for
state
child
care
assistance
program
payments
for
families
who
are
employed,
and
for
the
family
investment
program
share
of
costs
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system.
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
all
other
funds
appropriated
in
subsection
1
for
assistance
under
the
family
investment
program,
in
subsection
6
for
child
care
assistance,
or
in
subsection
10
for
technology
costs
related
to
the
family
investment
program,
as
applicable,
have
been
expended.
For
the
purposes
of
this
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
and
development
block
grant
appropriation
are
considered
fully
expended
when
the
full
amount
has
been
transferred.
House
File
653,
p.
19
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
legislative
services
agency
and
department
of
management
of
the
amount
of
funds
appropriated
in
this
subsection
that
was
expended
in
the
prior
quarter.
12.
Of
the
amounts
appropriated
in
this
section,
$12,962,008
for
the
fiscal
year
beginning
July
1,
2017,
is
transferred
to
the
appropriation
of
the
federal
social
services
block
grant
made
to
the
department
of
human
services
for
that
fiscal
year.
13.
For
continuation
of
the
program
providing
categorical
eligibility
for
the
food
assistance
program
as
specified
for
the
program
in
the
section
of
this
division
of
this
Act
relating
to
the
family
investment
program
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
14.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
the
family
investment
program
from
the
general
fund
of
the
state.
15.
With
the
exception
of
moneys
allocated
under
this
section
for
the
family
development
and
self-sufficiency
grant
program,
to
the
extent
moneys
allocated
in
this
section
are
deemed
by
the
department
not
to
be
necessary
to
support
the
purposes
for
which
they
are
allocated,
such
moneys
may
be
credited
to
the
family
investment
program
account
as
specified
under
subsection
1
of
this
section
and
used
for
the
purposes
of
assistance
under
the
family
investment
program
in
accordance
with
chapter
239B
in
the
same
fiscal
year.
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1.
Moneys
credited
to
the
family
investment
program
(FIP)
account
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
shall
be
used
to
provide
assistance
in
accordance
with
chapter
239B
.
2.
The
department
may
use
a
portion
of
the
moneys
credited
to
the
FIP
account
under
this
section
as
necessary
for
salaries,
support,
maintenance,
and
miscellaneous
purposes.
House
File
653,
p.
20
3.
The
department
may
transfer
funds
allocated
in
subsection
4
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
family
investment
program
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
the
family
investment
program
from
the
general
fund
of
the
state.
4.
Moneys
appropriated
in
this
division
of
this
Act
and
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
are
allocated
as
follows:
a.
To
be
retained
by
the
department
of
human
services
to
be
used
for
coordinating
with
the
department
of
human
rights
to
more
effectively
serve
participants
in
FIP
and
other
shared
clients
and
to
meet
federal
reporting
requirements
under
the
federal
temporary
assistance
for
needy
families
block
grant:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
b.
To
the
department
of
human
rights
for
staffing,
administration,
and
implementation
of
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
(1)
Of
the
funds
allocated
for
the
family
development
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
administration
of
the
grant
program.
(2)
The
department
of
human
rights
may
continue
to
implement
the
family
development
and
self-sufficiency
grant
program
statewide
during
fiscal
year
2017-2018.
(3)
The
department
of
human
rights
may
engage
in
activities
to
strengthen
and
improve
family
outcomes
measures
and
data
collection
systems
under
the
family
development
and
self-sufficiency
grant
program.
c.
For
the
diversion
subaccount
of
the
FIP
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
A
portion
of
the
moneys
allocated
for
the
subaccount
may
be
used
for
field
operations,
salaries,
data
management
system
development,
and
implementation
costs
and
support
deemed
necessary
by
the
director
of
human
services
in
order
to
House
File
653,
p.
21
administer
the
FIP
diversion
program.
To
the
extent
moneys
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
not
to
be
necessary
to
support
diversion
activities,
such
moneys
may
be
used
for
other
efforts
intended
to
increase
engagement
by
family
investment
program
participants
in
work,
education,
or
training
activities,
or
for
the
purposes
of
assistance
under
the
family
investment
program
in
accordance
with
chapter
239B.
d.
For
the
food
assistance
employment
and
training
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
(1)
The
department
shall
apply
the
federal
supplemental
nutrition
assistance
program
(SNAP)
employment
and
training
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
provisions
for
the
claiming
of
allowable
federal
reimbursement
funds
from
the
United
States
department
of
agriculture
pursuant
to
the
federal
SNAP
employment
and
training
program
for
providing
education,
employment,
and
training
services
for
eligible
food
assistance
program
participants,
including
but
not
limited
to
related
dependent
care
and
transportation
expenses.
(2)
The
department
shall
continue
the
categorical
federal
food
assistance
program
eligibility
at
160
percent
of
the
federal
poverty
level
and
continue
to
eliminate
the
asset
test
from
eligibility
requirements,
consistent
with
federal
food
assistance
program
requirements.
The
department
shall
include
as
many
food
assistance
households
as
is
allowed
by
federal
law.
The
eligibility
provisions
shall
conform
to
all
federal
requirements
including
requirements
addressing
individuals
who
are
incarcerated
or
otherwise
ineligible.
e.
For
the
JOBS
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,523,290
5.
Of
the
child
support
collections
assigned
under
FIP,
an
amount
equal
to
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
recovery
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
the
child
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
House
File
653,
p.
22
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
payments
account.
If
as
a
consequence
of
the
appropriations
and
allocations
made
in
this
section
the
resulting
amounts
are
insufficient
to
sustain
cash
assistance
payments
and
meet
federal
maintenance
of
effort
requirements,
the
department
shall
seek
supplemental
funding.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
to
be
required
for
maintenance
of
effort,
the
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
payments
account.
6.
The
department
may
adopt
emergency
rules
for
the
family
investment,
JOBS,
food
assistance,
and
medical
assistance
programs
if
necessary
to
comply
with
federal
requirements.
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
To
be
credited
to
the
family
investment
program
(FIP)
account
and
used
for
family
investment
program
assistance
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,004,480
1.
Of
the
funds
appropriated
in
this
section,
$7,947,597
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
allocated
for
the
family
development
and
self-sufficiency
grant
program.
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
beginning
July
1,
2017,
if
necessary
to
meet
federal
maintenance
of
effort
requirements
or
to
transfer
federal
temporary
assistance
for
needy
families
block
grant
funding
to
be
used
for
purposes
of
the
federal
social
services
block
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
receiving
federal
funding
or
to
implement,
in
accordance
with
this
division
of
this
Act,
activities
currently
funded
with
juvenile
court
services,
county,
or
community
moneys
and
state
moneys
used
in
combination
with
such
moneys;
to
comply
with
federal
requirements;
or
to
maximize
the
use
of
federal
funds,
House
File
653,
p.
23
the
department
of
human
services
may
transfer
funds
within
or
between
any
of
the
appropriations
made
in
this
division
of
this
Act
and
appropriations
in
law
for
the
federal
social
services
block
grant
to
the
department
for
the
following
purposes,
provided
that
the
combined
amount
of
state
and
federal
temporary
assistance
for
needy
families
block
grant
funding
for
each
appropriation
remains
the
same
before
and
after
the
transfer:
a.
For
the
family
investment
program.
b.
For
child
care
assistance.
c.
For
child
and
family
services.
d.
For
field
operations.
e.
For
general
administration.
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
The
department
shall
report
any
transfers
made
pursuant
to
this
subsection
to
the
legislative
services
agency.
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
organization
with
a
history
of
providing
tax
preparation
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
of
the
state.
5.
Of
the
funds
appropriated
in
this
section,
$60,000
shall
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
defined
in
441
IAC
100.1
,
relating
to
parental
obligations,
in
which
the
child
support
recovery
unit
participates,
to
support
the
efforts
of
a
nonprofit
organization
committed
to
strengthening
the
community
through
youth
development,
healthy
living,
and
social
responsibility
headquartered
in
a
county
with
a
population
over
350,000
according
to
the
latest
certified
federal
census.
The
funds
allocated
in
this
subsection
shall
be
used
by
the
recipient
organization
to
develop
a
larger
community
effort,
through
public
and
private
partnerships,
to
support
a
broad-based
multi-county
fatherhood
initiative
that
promotes
payment
of
child
support
obligations,
improved
family
relationships,
and
full-time
employment.
6.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
House
File
653,
p.
24
for
general
administration
and
field
operations
as
necessary
to
administer
this
section
and
the
overall
family
investment
program.
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
child
support
recovery,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,586,635
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
1.
The
department
shall
expend
up
to
$24,329,
including
federal
financial
participation,
for
the
fiscal
year
beginning
July
1,
2017,
for
a
child
support
public
awareness
campaign.
The
department
and
the
office
of
the
attorney
general
shall
cooperate
in
continuation
of
the
campaign.
The
public
awareness
campaign
shall
emphasize,
through
a
variety
of
media
activities,
the
importance
of
maximum
involvement
of
both
parents
in
the
lives
of
their
children
as
well
as
the
importance
of
payment
of
child
support
obligations.
2.
Federal
access
and
visitation
grant
moneys
shall
be
issued
directly
to
private
not-for-profit
agencies
that
provide
services
designed
to
increase
compliance
with
the
child
access
provisions
of
court
orders,
including
but
not
limited
to
neutral
visitation
sites
and
mediation
services.
3.
The
appropriation
made
to
the
department
for
child
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
manner
necessary
for
purposes
of
cash
flow
management,
and
for
cash
flow
management
purposes
the
department
may
temporarily
draw
more
than
the
amount
appropriated,
provided
the
amount
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
4.
With
the
exception
of
the
funding
amount
specified,
the
requirements
established
under
2001
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
be
applicable
to
parental
obligation
pilot
projects
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018.
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
House
File
653,
p.
25
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
in
effect
until
June
30,
2018.
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
FY
2017-2018.
Any
funds
remaining
in
the
health
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
program
appropriations
made
in
this
division
of
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
Sec.
11.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
2017-2018.
Any
funds
remaining
in
the
Medicaid
fraud
fund
created
in
section
249A.50
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
appropriations
made
in
this
division
of
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
Sec.
12.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
assistance
program
reimbursement
and
associated
costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2017,
except
as
otherwise
expressly
authorized
by
law,
consistent
with
options
under
federal
law
and
regulations,
and
contingent
upon
receipt
of
approval
from
the
office
of
the
governor
of
reimbursement
for
each
abortion
performed
under
the
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,284,405,740
1.
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
Funds
appropriated
under
this
section
shall
not
be
used
for
abortions,
unless
otherwise
authorized
under
this
section.
2.
The
provisions
of
this
section
relating
to
abortions
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
House
File
653,
p.
26
pursuant
to
chapter
249N
.
3.
The
department
shall
utilize
not
more
than
$60,000
of
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
health
insurance
premium
payment
program
as
established
in
1992
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$5,000
may
be
expended
for
administrative
purposes.
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
of
public
health
for
addictive
disorders,
$950,000
for
the
fiscal
year
beginning
July
1,
2017,
is
transferred
to
the
department
of
human
services
for
an
integrated
substance-related
disorder
managed
care
system.
The
departments
of
human
services
and
public
health
shall
work
together
to
maintain
the
level
of
mental
health
and
substance-related
disorder
treatment
services
provided
by
the
managed
care
contractors.
Each
department
shall
take
the
steps
necessary
to
continue
the
federal
waivers
as
necessary
to
maintain
the
level
of
services.
5.
a.
The
department
shall
aggressively
pursue
options
for
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
policy
provisions.
b.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
for
participation
in
one
or
more
pilot
projects
operated
by
a
private
provider
to
allow
the
individual
or
individuals
to
receive
service
in
the
community
in
accordance
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
House
File
653,
p.
27
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
the
policy
provisions.
6.
Of
the
funds
appropriated
in
this
section,
up
to
$3,050,082
may
be
transferred
to
the
field
operations
or
general
administration
appropriations
in
this
division
of
this
Act
for
operational
costs
associated
with
Part
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
of
2003,
Pub.
L.
No.
108-173.
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
clinical
assessment
services
and
prior
authorization
of
services.
8.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriations
in
this
division
of
this
Act
for
general
administration,
medical
contracts,
the
children’s
health
insurance
program,
or
field
operations
to
be
used
for
the
state
match
cost
to
comply
with
the
payment
error
rate
measurement
(PERM)
program
for
both
the
medical
assistance
and
children’s
health
insurance
programs
as
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
to
comply
with
the
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
9.
The
department
shall
continue
to
implement
the
recommendations
of
the
assuring
better
child
health
and
development
initiative
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
services
healthy
mental
development
collaborative
board
regarding
changes
to
billing
procedures,
codes,
and
eligible
service
providers.
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
to
supplement
the
incomes
of
residents
of
nursing
facilities,
intermediate
care
facilities
for
persons
with
mental
illness,
and
intermediate
care
facilities
for
persons
with
an
intellectual
disability,
with
incomes
of
less
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
personal
needs
allowance
of
$50
per
month
pursuant
to
section
House
File
653,
p.
28
249A.30A
.
11.
a.
Hospitals
that
meet
the
conditions
specified
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
(1)
The
hospital
qualifies
for
disproportionate
share
and
graduate
medical
education
payments.
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
than
500
beds
and
eight
or
more
distinct
residency
specialty
or
subspecialty
programs
recognized
by
the
American
college
of
graduate
medical
education.
b.
Distribution
of
the
disproportionate
share
payments
shall
be
made
on
a
monthly
basis.
The
total
amount
of
disproportionate
share
payments
including
graduate
medical
education,
enhanced
disproportionate
share,
and
Iowa
state-owned
teaching
hospital
payments
shall
not
exceed
the
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
In
addition,
the
total
amount
of
all
disproportionate
share
payments
shall
not
exceed
the
hospital-specific
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
to
area
education
agencies
that
are
medical
assistance
providers
for
medical
assistance-covered
services
provided
to
medical
assistance-covered
children,
shall
be
made
from
the
appropriation
made
in
this
section.
13.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
administrative
activities
associated
with
the
money
follows
the
person
demonstration
project.
14.
Of
the
funds
appropriated
in
this
section,
$349,011
shall
be
used
for
the
administration
of
the
health
insurance
premium
payment
program,
including
salaries,
support,
House
File
653,
p.
29
maintenance,
and
miscellaneous
purposes.
15.
a.
The
department
shall
implement
all
of
the
following
cost
containment
strategies:
(1)
An
adjustment
to
the
reimbursement
policy
in
order
to
eliminate
the
primary
care
physician
rate
increase
originally
authorized
by
the
federal
Health
Care
and
Education
Reconciliation
Act
of
2010,
section
1202,
Pub.
L.
No.
111-152,
42
U.S.C.
§1396a(a)(13)(C)
that
allows
qualified
primary
care
physicians
to
receive
the
greater
of
the
Medicare
rate
or
Medicaid
rate
for
a
specified
set
of
codes.
(2)
A
strategy
to
ensure
that
total
reimbursement
for
Medicare
Part
A
and
Medicare
Part
B
crossover
claims
is
limited
to
the
Medicaid
reimbursement
rate.
(3)
An
adjustment
to
Medicaid
reimbursement
rates
for
physician
services
by
applying
a
site
of
service
differential
to
reflect
the
difference
between
the
cost
of
physician
services
when
provided
in
a
health
facility
setting
and
the
cost
of
physician
services
when
provided
in
a
physician’s
office.
(4)
An
adjustment
to
the
inpatient
diagnostic
related
group
(DRG)
cost
threshold
formula
to
be
the
greater
of
two
times
the
statewide
average
DRG
payment
for
that
case
or
the
hospital’s
individual
DRG
payment
for
that
case
plus
$75,000.
(5)
An
adjustment
to
the
Medicaid
anesthesia
conversion
factor
to
be
equal
to
the
calendar
year
2017
Medicare
anesthesia
conversion
factor
as
adjusted
for
the
state,
and
converted
to
a
per
minute
amount.
Each
January
1,
thereafter,
the
department
shall
apply
the
applicable
Medicare
anesthesia
conversion
factor
adjusted
for
the
state,
and
converted
to
a
per
minute
amount.
(6)
An
alignment
of
billing
and
reimbursement
for
consultation
services
rendered
in
an
office,
other
outpatient,
or
inpatient
setting
with
Medicare
billing
and
reimbursement.
(7)
Elimination
of
the
three-month
retroactive
Medicaid
coverage
benefit
for
Medicaid
applicants
effective
October
1,
2017.
The
department
shall
seek
a
waiver
from
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
to
implement
the
strategy.
If
federal
approval
is
received,
an
applicant’s
Medicaid
House
File
653,
p.
30
coverage
shall
be
effective
on
the
first
day
of
the
month
of
application,
as
allowed
under
the
Medicaid
state
plan.
b.
The
department
shall
implement
the
cost
containment
strategies
specified
in
this
subsection
beginning
July
1,
2017,
or
as
otherwise
specified.
If
federal
approval
is
required,
the
strategy
shall
be
implemented
effective
upon
receipt
of
federal
approval.
c.
The
department
may
adopt
emergency
rules
to
implement
this
subsection.
16.
a.
The
department
may
increase
the
amounts
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
associated
with
the
medical
assistance
program,
as
necessary,
to
implement
cost
containment
strategies.
The
department
shall
report
any
such
increase
to
the
legislative
services
agency
and
the
department
of
management.
b.
If
the
savings
to
the
medical
assistance
program
from
cost
containment
efforts
exceed
the
cost
for
the
fiscal
year
beginning
July
1,
2017,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
medical
assistance
program
cost
containment
efforts
to
the
appropriation
made
in
this
division
of
this
Act
for
medical
contracts
or
general
administration
to
defray
the
increased
contract
costs
associated
with
implementing
such
efforts.
17.
For
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
replacement
generation
tax
revenues
required
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
to
and
supplement
the
appropriation
made
in
this
section
and
used
for
the
allocations
made
in
this
section.
18.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$50,000
may
be
transferred
by
the
department
to
the
appropriation
made
in
this
division
of
this
Act
to
the
department
for
the
same
fiscal
year
for
general
administration
to
be
used
for
associated
administrative
expenses
and
for
not
more
than
one
full-time
equivalent
position,
in
addition
to
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
implementing
the
children’s
mental
health
home
project.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
House
File
653,
p.
31
may
be
transferred
by
the
department
to
the
appropriation
made
to
the
department
in
this
division
of
this
Act
for
the
same
fiscal
year
for
Medicaid
program-related
general
administration
planning
and
implementation
activities.
The
funds
may
be
used
for
contracts
or
for
personnel
in
addition
to
the
amounts
appropriated
for
and
the
positions
authorized
for
general
administration
for
the
fiscal
year.
c.
Of
the
funds
appropriated
in
this
section,
up
to
$3,000,000
may
be
transferred
by
the
department
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
or
medical
contracts
to
be
used
to
support
the
development
and
implementation
of
standardized
assessment
tools
for
persons
with
mental
illness,
an
intellectual
disability,
a
developmental
disability,
or
a
brain
injury.
19.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
be
used
for
lodging
expenses
associated
with
care
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
and
whose
income
is
at
or
below
200
percent
of
the
federal
poverty
level
as
defined
by
the
most
recently
revised
poverty
income
guidelines
published
by
the
United
States
department
of
health
and
human
services.
The
department
of
human
services
shall
establish
the
maximum
number
of
overnight
stays
and
the
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
based
on
the
state
employee
rate
established
by
the
department
of
administrative
services.
The
funds
allocated
in
this
subsection
shall
not
be
used
as
nonfederal
share
matching
funds.
20.
Of
the
funds
appropriated
in
this
section,
up
to
$3,383,880
shall
be
used
for
administration
of
the
state
family
planning
services
program
as
enacted
in
this
2017
Act,
and
of
this
amount,
the
department
may
use
up
to
$200,000
for
administrative
expenses.
21.
The
department
shall
report
the
implementation
of
any
cost
containment
strategies
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
upon
implementation.
22.
The
department
shall
report
the
implementation
of
any
House
File
653,
p.
32
process
improvement
changes
and
any
related
cost
reductions
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
upon
implementation.
23.
The
Medicaid
managed
care
organizations
shall
explore
options
provided
by
national
human
services
nonprofit
organizations
that
provide
innovative
services
for
persons
with
behavioral
health
challenges
to
incorporate
assertive
community
treatment
teams
into
the
services
provided
to
individuals
with
severe
and
persistent
mental
illness
in
order
to
minimize
or
prevent
recurrent
acute
episodes
and
to
enhance
quality
of
life
and
functioning.
24.
The
department
of
human
services
shall
include
in
the
Medicaid
managed
care
contracts
beginning
with
the
contract
period
effective
July
1,
2017,
per
member
per
month
capitation
payments
to
managed
care
organizations
that
encourage
the
utilization
of
home
and
community-based
services
as
an
alternative
to
residential
care
for
members.
25.
The
department
of
human
services
shall
review
the
use
of
step
therapy
protocols
and
the
application
of
step
therapy
override
exceptions
under
the
Medicaid
program.
In
the
review,
the
department
may
consider
the
use
of
step
therapy
protocols
and
the
application
of
step
therapy
override
exceptions
as
provided
in
chapter
514F.7,
if
enacted
by
2017
Iowa
Acts,
House
File
233,
and
the
potential
for
improving
the
quality
of
life
of
Medicaid
members
and
increasing
efficiencies
in
the
Medicaid
program.
The
department
shall
report
findings
of
the
review
and
recommendations
to
the
individuals
designated
in
this
Act
for
submission
of
reports
by
November
15,
2017.
Sec.
13.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,626,464
1.
The
department
of
inspections
and
appeals
shall
provide
all
state
matching
funds
for
survey
and
certification
activities
performed
by
the
department
of
inspections
and
appeals.
The
department
of
human
services
is
solely
House
File
653,
p.
33
responsible
for
distributing
the
federal
matching
funds
for
such
activities.
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
be
used
for
continuation
of
home
and
community-based
services
waiver
quality
assurance
programs,
including
the
review
and
streamlining
of
processes
and
policies
related
to
oversight
and
quality
management
to
meet
state
and
federal
requirements.
3.
Of
the
amount
appropriated
in
this
section,
up
to
$200,000
may
be
transferred
to
the
appropriation
for
general
administration
in
this
division
of
this
Act
to
be
used
for
additional
full-time
equivalent
positions
in
the
development
of
key
health
initiatives
such
as
cost
containment,
development
and
oversight
of
managed
care
programs,
and
development
of
health
strategies
targeted
toward
improved
quality
and
reduced
costs
in
the
Medicaid
program.
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
shall
be
used
for
planning
and
development,
in
cooperation
with
the
department
of
public
health,
of
a
phased-in
program
to
provide
a
dental
home
for
children.
5.
Of
the
funds
appropriated
in
this
section,
$950,000
shall
be
credited
to
the
autism
support
program
fund
created
in
section
225D.2
to
be
used
for
the
autism
support
program
created
in
chapter
225D
,
with
the
exception
of
the
following
amounts
of
this
allocation
which
shall
be
used
as
follows:
a.
Of
the
amount
appropriated
in
this
section,
$202,000
shall
be
used
for
the
public
purpose
of
providing
a
one-year
grant
to
Drake
university
to
establish
a
master’s
program
in
applied
behavioral
analysis,
including
the
establishment
of
remote
learning
sites
and
a
remote
system
to
maximize
outreach
and
enrollment
in
the
program.
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
child
welfare
services
provider
headquartered
in
a
county
with
a
population
between
205,000
and
215,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
a
psychiatric
medical
institution
for
children,
shelter,
residential
treatment,
after
school
programs,
school-based
programming,
and
an
Asperger’s
syndrome
program,
to
be
used
for
support
services
for
children
with
House
File
653,
p.
34
autism
spectrum
disorder
and
their
families.
c.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
hospital-based
provider
headquartered
in
a
county
with
a
population
between
90,000
and
95,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
services
to
individuals
with
autism
spectrum
disorder
across
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
to
continue
the
pilot
project
to
determine
the
necessary
support
services
for
children
with
autism
spectrum
disorder
and
their
families
to
be
included
in
the
children’s
disabilities
services
system.
The
grant
recipient
shall
submit
findings
and
recommendations
based
upon
the
results
of
the
pilot
project
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
by
December
31,
2017.
Sec.
14.
STATE
SUPPLEMENTARY
ASSISTANCE.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,372,658
2.
The
department
shall
increase
the
personal
needs
allowance
for
residents
of
residential
care
facilities
by
the
same
percentage
and
at
the
same
time
as
federal
supplemental
security
income
and
federal
social
security
benefits
are
increased
due
to
a
recognized
increase
in
the
cost
of
living.
The
department
may
adopt
emergency
rules
to
implement
this
subsection.
3.
If
during
the
fiscal
year
beginning
July
1,
2017,
the
department
projects
that
state
supplementary
assistance
expenditures
for
a
calendar
year
will
not
meet
the
federal
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
§1382g,
the
department
may
take
actions
including
but
not
limited
to
increasing
the
personal
needs
allowance
for
residential
care
facility
residents
and
making
programmatic
House
File
653,
p.
35
adjustments
or
upward
adjustments
of
the
residential
care
facility
or
in-home
health-related
care
reimbursement
rates
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
requirements
are
met.
In
addition,
the
department
may
make
other
programmatic
and
rate
adjustments
necessary
to
remain
within
the
amount
appropriated
in
this
section
while
ensuring
compliance
with
federal
requirements.
The
department
may
adopt
emergency
rules
to
implement
the
provisions
of
this
subsection.
Sec.
15.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
program
pursuant
to
chapter
514I
,
including
supplemental
dental
services,
for
receipt
of
federal
financial
participation
under
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
children’s
health
insurance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,518,452
2.
Of
the
funds
appropriated
in
this
section,
$42,800
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
16.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,343,616
1.
Of
the
funds
appropriated
in
this
section,
$33,493,616
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13
.
2.
Nothing
in
this
section
shall
be
construed
or
is
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
to
persons
who
are
eligible
for
assistance
due
to
an
income
level
consistent
with
the
waiting
list
requirements
of
section
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
this
section
is
limited
to
the
extent
of
the
funds
appropriated
House
File
653,
p.
36
in
this
section.
3.
A
list
of
the
registered
and
licensed
child
care
facilities
operating
in
the
area
served
by
a
child
care
resource
and
referral
service
shall
be
made
available
to
the
families
receiving
state
child
care
assistance
in
that
area.
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
shall
be
credited
to
the
early
childhood
programs
grants
account
in
the
early
childhood
Iowa
fund
created
in
section
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
community-based
early
childhood
programs
targeted
to
children
from
birth
through
five
years
of
age
developed
by
early
childhood
Iowa
areas
in
accordance
with
approved
community
plans
as
provided
in
section
256I.8
.
5.
The
department
may
use
any
of
the
funds
appropriated
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
expanding
child
care
assistance
and
related
programs.
For
the
purpose
of
expenditures
of
state
and
federal
child
care
funding,
funds
shall
be
considered
obligated
at
the
time
expenditures
are
projected
or
are
allocated
to
the
department’s
service
areas.
Projections
shall
be
based
on
current
and
projected
caseload
growth,
current
and
projected
provider
rates,
staffing
requirements
for
eligibility
determination
and
management
of
program
requirements
including
data
systems
management,
staffing
requirements
for
administration
of
the
program,
contractual
and
grant
obligations
and
any
transfers
to
other
state
agencies,
and
obligations
for
decategorization
or
innovation
projects.
6.
A
portion
of
the
state
match
for
the
federal
child
care
and
development
block
grant
shall
be
provided
as
necessary
to
meet
federal
matching
funds
requirements
through
the
state
general
fund
appropriation
made
for
child
development
grants
and
other
programs
for
at-risk
children
in
section
279.51
.
7.
If
a
uniform
reduction
ordered
by
the
governor
under
section
8.31
or
other
operation
of
law,
transfer,
or
federal
funding
reduction
reduces
the
appropriation
made
in
this
section
for
the
fiscal
year,
the
percentage
reduction
in
the
amount
paid
out
to
or
on
behalf
of
the
families
participating
in
the
state
child
care
assistance
program
shall
be
equal
to
or
less
than
the
percentage
reduction
made
for
any
other
purpose
House
File
653,
p.
37
payable
from
the
appropriation
made
in
this
section
and
the
federal
funding
relating
to
it.
The
percentage
reduction
to
the
other
allocations
made
in
this
section
shall
be
the
same
as
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
change
of
the
federal
funding
reduction,
as
applicable.
If
there
is
an
unanticipated
increase
in
federal
funding
provided
for
state
child
care
assistance,
the
entire
amount
of
the
increase
shall
be
used
for
state
child
care
assistance
payments.
If
the
appropriations
made
for
purposes
of
the
state
child
care
assistance
program
for
the
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
requirements.
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
purposes
of
the
programs
developed
by
early
childhood
Iowa
areas,
advanced
for
purposes
of
wraparound
child
care,
or
received
from
the
federal
appropriations
made
for
the
purposes
of
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
17.
JUVENILE
INSTITUTION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
operation
of
the
state
training
school
at
Eldora
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,350,443
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
189.00
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
be
used
for
distribution
to
licensed
classroom
teachers
at
this
and
other
institutions
under
the
control
of
the
department
of
human
services
based
upon
the
average
student
yearly
enrollment
at
each
institution
as
determined
by
the
department.
2.
A
portion
of
the
moneys
appropriated
in
this
section
shall
be
used
by
the
state
training
school
at
Eldora
for
House
File
653,
p.
38
grants
for
adolescent
pregnancy
prevention
activities
at
the
institution
in
the
fiscal
year
beginning
July
1,
2017.
Sec.
18.
CHILD
AND
FAMILY
SERVICES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
87,279,375
2.
The
department
may
transfer
funds
appropriated
in
this
section
as
necessary
to
pay
the
nonfederal
costs
of
services
reimbursed
under
the
medical
assistance
program,
state
child
care
assistance
program,
or
the
family
investment
program
which
are
provided
to
children
who
would
otherwise
receive
services
paid
under
the
appropriation
in
this
section.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
for
field
operations
for
resources
necessary
to
implement
and
operate
the
services
funded
in
this
section.
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$35,736,649
is
allocated
as
the
statewide
expenditure
target
under
section
232.143
for
group
foster
care
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
the
excess
to
provide
additional
funding
for
shelter
care
or
the
child
welfare
emergency
services
addressed
with
the
allocation
for
shelter
care.
b.
If
at
any
time
after
September
30,
2017,
annualization
of
a
service
area’s
current
expenditures
indicates
a
service
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
target
under
section
232.143
by
more
than
5
percent,
the
department
and
juvenile
court
services
shall
examine
all
group
foster
care
placements
in
that
service
area
in
order
to
identify
those
which
might
be
appropriate
for
termination.
In
addition,
any
aftercare
services
believed
to
be
needed
for
the
children
whose
placements
may
be
terminated
shall
be
identified.
The
department
and
juvenile
court
services
shall
House
File
653,
p.
39
initiate
action
to
set
dispositional
review
hearings
for
the
placements
identified.
In
such
a
dispositional
review
hearing,
the
juvenile
court
shall
determine
whether
needed
aftercare
services
are
available
and
whether
termination
of
the
placement
is
in
the
best
interest
of
the
child
and
the
community.
4.
In
accordance
with
the
provisions
of
section
232.188
,
the
department
shall
continue
the
child
welfare
and
juvenile
justice
funding
initiative
during
fiscal
year
2017-2018.
Of
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
specifically
for
expenditure
for
fiscal
year
2017-2018
through
the
decategorization
services
funding
pools
and
governance
boards
established
pursuant
to
section
232.188
.
5.
A
portion
of
the
funds
appropriated
in
this
section
may
be
used
for
emergency
family
assistance
to
provide
other
resources
required
for
a
family
participating
in
a
family
preservation
or
reunification
project
or
successor
project
to
stay
together
or
to
be
reunified.
6.
Notwithstanding
section
234.35
or
any
other
provision
of
law
to
the
contrary,
state
funding
for
shelter
care
and
the
child
welfare
emergency
services
contracting
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
limited
to
$8,096,158.
7.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2017,
as
the
result
of
the
expenditure
of
state
funds
appropriated
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
services
and
purposes
provided
for
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
who
are
under
the
supervision
of
juvenile
court
services,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
House
File
653,
p.
40
$1,556,287
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232
,
of
which
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
the
school
district
or
other
funding
source
as
approved
by
the
chief
juvenile
court
officer.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
children
who
are
under
the
supervision
of
the
department,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
c.
Notwithstanding
section
232.141
or
any
other
provision
of
law
to
the
contrary,
the
amounts
allocated
in
this
subsection
shall
be
distributed
to
the
judicial
districts
as
determined
by
the
state
court
administrator
and
to
the
department’s
service
areas
as
determined
by
the
administrator
of
the
department
of
human
services’
division
of
child
and
family
services.
The
state
court
administrator
and
the
division
administrator
shall
make
the
determination
of
the
distribution
amounts
on
or
before
June
15,
2017.
d.
Notwithstanding
chapter
232
or
any
other
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
any
service
which
is
a
charge
upon
the
state
pursuant
to
section
232.141
if
there
are
insufficient
court-ordered
services
funds
available
in
the
district
court
or
departmental
service
area
distribution
amounts
to
pay
for
the
service.
The
chief
juvenile
court
officer
and
the
departmental
service
area
manager
shall
encourage
use
of
the
funds
allocated
in
this
subsection
such
that
there
are
sufficient
funds
to
pay
for
all
court-related
services
during
the
entire
year.
The
chief
juvenile
court
officers
and
departmental
service
area
managers
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
in
the
distribution
amounts
and
shall
cooperatively
request
the
state
court
administrator
or
division
administrator
to
transfer
funds
between
the
judicial
districts’
or
departmental
service
areas’
distribution
amounts
as
prudent.
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
House
File
653,
p.
41
entered
under
chapter
232
which
is
a
charge
upon
the
state
under
section
232.141,
subsection
4
.
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$83,000
may
be
used
by
the
judicial
branch
for
administration
of
the
requirements
under
this
subsection.
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
shall
be
used
by
the
department
of
human
services
to
support
the
interstate
commission
for
juveniles
in
accordance
with
the
interstate
compact
for
juveniles
as
provided
in
section
232.173
.
9.
Of
the
funds
appropriated
in
this
section,
$12,253,227
is
allocated
for
juvenile
delinquent
graduated
sanctions
services.
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
services
administration
may
be
used
for
the
juvenile
delinquent
graduated
sanctions
services.
10.
Of
the
funds
appropriated
in
this
section,
$1,658,285
is
transferred
to
the
department
of
public
health
to
be
used
for
the
child
protection
center
grant
program
for
child
protection
centers
located
in
Iowa
in
accordance
with
section
135.118
.
The
grant
amounts
under
the
program
shall
be
equalized
so
that
each
center
receives
a
uniform
base
amount
of
$245,000,
so
that
$50,000
is
awarded
to
establish
a
satellite
child
protection
center
in
a
city
in
north
central
Iowa
that
is
the
county
seat
of
a
county
with
a
population
between
44,000
and
45,000
according
to
the
latest
certified
federal
census,
and
so
that
the
remaining
funds
are
awarded
through
a
funding
formula
based
upon
the
volume
of
children
served.
11.
If
the
department
receives
federal
approval
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
Security
Act
to
enable
providers
to
serve
children
who
remain
in
the
children’s
families
and
communities,
for
purposes
of
eligibility
under
the
medical
assistance
program
through
25
years
of
age,
children
who
participate
in
the
waiver
shall
be
considered
to
be
placed
in
foster
care.
12.
Of
the
funds
appropriated
in
this
section,
$4,025,167
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46
.
13.
Of
the
funds
appropriated
in
this
section,
$227,337
House
File
653,
p.
42
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
nonprofit
human
services
organization
providing
services
to
individuals
and
families
in
multiple
locations
in
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
sensitive
support
and
forensic
interviews,
medical
exams,
needs
assessments,
and
referrals
for
victims
of
child
abuse
and
their
nonoffending
family
members.
14.
Of
the
funds
appropriated
in
this
section,
$300,620
is
allocated
for
the
foster
care
youth
council
approach
of
providing
a
support
network
to
children
placed
in
foster
care.
15.
Of
the
funds
appropriated
in
this
section,
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
continuation
of
the
initiative
to
address
child
sexual
abuse
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
21
.
16.
Of
the
funds
appropriated
in
this
section,
$630,240
is
allocated
for
the
community
partnership
for
child
protection
sites.
17.
Of
the
funds
appropriated
in
this
section,
$371,250
is
allocated
for
the
department’s
minority
youth
and
family
projects
under
the
redesign
of
the
child
welfare
system.
18.
Of
the
funds
appropriated
in
this
section,
$1,136,595
is
allocated
for
funding
of
the
community
circle
of
care
collaboration
for
children
and
youth
in
northeast
Iowa.
19.
Of
the
funds
appropriated
in
this
section,
at
least
$147,158
shall
be
used
for
the
continuation
of
the
child
welfare
provider
training
academy,
a
collaboration
between
the
coalition
for
family
and
children’s
services
in
Iowa
and
the
department.
20.
Of
the
funds
appropriated
in
this
section,
$211,872
shall
be
used
for
continuation
of
the
central
Iowa
system
of
care
program
grant
through
June
30,
2018.
21.
Of
the
funds
appropriated
in
this
section,
$235,000
shall
be
used
for
the
public
purpose
of
the
continuation
and
expansion
of
a
system
of
care
program
grant
implemented
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
and
long-term
approach
for
helping
children
and
families
by
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
needs,
education
and
work,
family,
and
community.
House
File
653,
p.
43
22.
Of
the
funds
appropriated
in
this
section,
at
least
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
care
respite
pilot
program
in
which
postsecondary
students
in
social
work
and
other
human
services-related
programs
receive
experience
by
assisting
family
foster
care
providers
with
respite
and
other
support.
23.
Of
the
funds
appropriated
in
this
section,
$110,000
shall
be
used
for
the
public
purpose
of
funding
community-based
services
and
other
supports
with
a
system
of
care
approach
for
children
with
a
serious
emotional
disturbance
and
their
families
through
a
nonprofit
provider
of
child
welfare
services
that
has
been
in
existence
for
more
than
115
years,
is
located
in
a
county
with
a
population
of
more
than
200,000
but
less
than
220,000
according
to
the
latest
certified
federal
census,
is
licensed
as
a
psychiatric
medical
institution
for
children,
and
was
a
system
of
care
grantee
prior
to
July
1,
2017.
Sec.
19.
ADOPTION
SUBSIDY.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
a.
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,777,910
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
of
the
following
purposes:
(a)
For
adoption
subsidy
payments
and
related
costs.
(b)
For
post-adoption
services
and
for
other
purposes
under
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
(2)
The
department
of
human
services
may
transfer
funds
appropriated
in
this
subsection
to
the
appropriation
for
child
and
family
services
in
this
Act
for
the
purposes
of
post-adoption
services
as
specified
in
this
paragraph
“b”.
c.
Notwithstanding
section
8.33,
moneys
corresponding
to
the
state
savings
resulting
from
implementation
of
the
federal
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
House
File
653,
p.
44
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
purposes
designated
in
this
subsection
until
expended.
The
amount
of
such
savings
and
any
corresponding
funds
remaining
at
the
close
of
the
fiscal
year
shall
be
determined
separately
and
any
changes
in
either
amount
between
fiscal
years
shall
not
result
in
an
unfunded
need.
2.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
general
administration
for
costs
paid
from
the
appropriation
relating
to
adoption
subsidy.
3.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2017,
as
the
result
of
the
expenditure
of
state
funds
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
the
services
and
activities
funded
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
20.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
in
the
juvenile
detention
home
fund
created
in
section
232.142
during
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
for
distribution
of
an
amount
equal
to
a
percentage
of
the
costs
of
the
establishment,
improvement,
operation,
and
maintenance
of
county
or
multicounty
juvenile
detention
homes
in
the
fiscal
year
beginning
July
1,
2016.
Moneys
appropriated
for
distribution
in
accordance
with
this
section
shall
be
allocated
among
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
fiscal
year
beginning
July
1,
2016.
The
percentage
figure
shall
be
determined
by
the
department
based
on
the
amount
available
for
distribution
for
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
financial
aid
payable
by
the
state
under
that
provision
for
the
House
File
653,
p.
45
fiscal
year
beginning
July
1,
2017,
shall
be
limited
to
the
amount
appropriated
for
the
purposes
of
this
section.
Sec.
21.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
family
support
subsidy
program
subject
to
the
enrollment
restrictions
in
section
225C.37,
subsection
3
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,069,282
2.
At
least
$787,500
of
the
moneys
appropriated
in
this
section
is
transferred
to
the
department
of
public
health
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
chapter
225C,
subchapter
V.
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
funding
available
for
the
family
support
subsidy
program
is
reduced
from
the
amount
initially
used
to
establish
the
figure
for
the
number
of
family
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
notwithstanding
section
225C.38,
subsection
2
,
the
department
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
of
funding
available.
Sec.
22.
CONNER
DECREE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
building
community
capacity
through
the
coordination
and
provision
of
training
opportunities
in
accordance
with
the
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
Sec.
23.
MENTAL
HEALTH
INSTITUTES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
House
File
653,
p.
46
a.
For
operation
of
the
state
mental
health
institute
at
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,870,254
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
162.00
b.
For
operation
of
the
state
mental
health
institute
at
Independence
as
required
by
chapters
218
and
226
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,513,621
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
204.00
2.
Notwithstanding
sections
218.78
and
249A.11,
any
revenue
received
from
the
state
mental
health
institute
at
Cherokee
or
the
state
mental
health
institute
at
Independence
pursuant
to
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
health
institute.
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
Medicaid
member
residing
at
the
state
mental
health
institute
at
Cherokee
or
the
state
mental
health
institute
at
Independence
shall
retain
Medicaid
eligibility
during
the
period
of
the
Medicaid
member’s
stay
for
which
federal
financial
participation
is
available.
Sec.
24.
STATE
RESOURCE
CENTERS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,887,781
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,077,034
2.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
intermediate
care
facilities
for
persons
with
an
intellectual
disability
services,
in
a
manner
which
House
File
653,
p.
47
does
not
shift
costs
between
the
medical
assistance
program,
counties,
or
other
sources
of
funding
for
the
state
resource
centers.
3.
The
state
resource
centers
may
expand
the
time-limited
assessment
and
respite
services
during
the
fiscal
year.
4.
If
the
department’s
administration
and
the
department
of
management
concur
with
a
finding
by
a
state
resource
center’s
superintendent
that
projected
revenues
can
reasonably
be
expected
to
pay
the
salary
and
support
costs
for
a
new
employee
position,
or
that
such
costs
for
adding
a
particular
number
of
new
positions
for
the
fiscal
year
would
be
less
than
the
overtime
costs
if
new
positions
would
not
be
added,
the
superintendent
may
add
the
new
position
or
positions.
If
the
vacant
positions
available
to
a
resource
center
do
not
include
the
position
classification
desired
to
be
filled,
the
state
resource
center’s
superintendent
may
reclassify
any
vacant
position
as
necessary
to
fill
the
desired
position.
The
superintendents
of
the
state
resource
centers
may,
by
mutual
agreement,
pool
vacant
positions
and
position
classifications
during
the
course
of
the
fiscal
year
in
order
to
assist
one
another
in
filling
necessary
positions.
5.
If
existing
capacity
limitations
are
reached
in
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
a
special
need
for
which
a
payment
source
or
other
funding
is
available
for
the
service
or
to
address
the
special
need,
and
facilities
for
the
service
or
to
address
the
special
need
can
be
provided
within
the
available
payment
source
or
other
funding,
the
superintendent
of
a
state
resource
center
may
authorize
opening
not
more
than
two
units
or
other
facilities
and
begin
implementing
the
service
or
addressing
the
special
need
during
fiscal
year
2017-2018.
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
costs
associated
with
the
commitment
and
treatment
of
sexually
violent
predators
in
the
unit
located
at
the
state
House
File
653,
p.
48
mental
health
institute
at
Cherokee,
including
costs
of
legal
services
and
other
associated
costs,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,464,747
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
112.00
2.
Unless
specifically
prohibited
by
law,
if
the
amount
charged
provides
for
recoupment
of
at
least
the
entire
amount
of
direct
and
indirect
costs,
the
department
of
human
services
may
contract
with
other
states
to
provide
care
and
treatment
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
violent
predators
at
Cherokee.
The
moneys
received
under
such
a
contract
shall
be
considered
to
be
repayment
receipts
and
used
for
the
purposes
of
the
appropriation
made
in
this
section.
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
field
operations,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,484,435
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,583.00
Priority
in
filling
full-time
equivalent
positions
shall
be
given
to
those
positions
related
to
child
protection
services
and
eligibility
determination
for
low-income
families.
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
general
administration,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,033,040
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
1.
The
department
shall
report
at
least
monthly
to
the
House
File
653,
p.
49
legislative
services
agency
concerning
the
department’s
operational
and
program
expenditures.
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
be
used
to
continue
the
contract
for
the
provision
of
a
program
to
provide
technical
assistance,
support,
and
consultation
to
providers
of
habilitation
services
and
home
and
community-based
services
waiver
services
for
adults
with
disabilities
under
the
medical
assistance
program.
3.
Of
the
funds
appropriated
in
this
section,
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
used
for
administrative
support
of
the
council
on
homelessness
established
in
section
16.2D
and
for
the
council
to
fulfill
its
duties
in
addressing
and
reducing
homelessness
in
the
state.
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
be
transferred
to
and
deposited
in
the
administrative
fund
of
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
be
used
for
implementation
and
administration
activities
of
the
Iowa
ABLE
savings
plan
trust.
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
transferred
to
the
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
continue
to
be
used
for
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
for
member
recruitment
and
training
to
improve
the
economic
well-being
and
health
of
economically
disadvantaged
refugees
in
local
communities
across
Iowa.
Funds
transferred
may
be
used
to
supplement
federal
funds
under
federal
regulations.
6.
Of
the
funds
appropriated
in
this
section,
$300,000
shall
be
used
to
contract
for
children’s
well-being
collaboratives
grants
for
the
development
and
implementation
of
children’s
well-being
collaboratives
to
establish
and
coordinate
prevention
and
early
intervention
services
to
promote
improved
mental
health
and
well-being
for
children
and
families,
as
enacted
in
this
2017
Act.
7.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
be
used
to
continue
to
expand
the
provision
of
nationally
accredited
and
recognized
internet-based
training
to
include
mental
health
and
disability
services
providers.
Sec.
28.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
House
File
653,
p.
50
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
and
miscellaneous
purposes
at
facilities
under
the
purview
of
the
department
of
human
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
Sec.
29.
VOLUNTEERS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
Sec.
30.
GENERAL
REDUCTION.
For
the
period
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
department
of
human
services,
in
consultation
with
the
department
of
management,
shall
identify
and
implement
a
reduction
in
expenditures
made
from
appropriations
from
the
general
fund
to
the
department
of
human
services
in
the
amount
of
$1,467,303.
Sec.
31.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
2017,
the
department
shall
rebase
case-mix
nursing
facility
rates
effective
July
1,
2017,
to
the
extent
possible
within
the
state
funding,
including
the
$2,500,000,
appropriated
for
this
purpose.
(b)
For
the
fiscal
year
beginning
July
1,
2017,
non-case-mix
and
special
population
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
prior
fiscal
year.
(c)
For
managed
care
claims,
the
department
of
human
services
shall
adjust
the
payment
rate
floor
for
nursing
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
calculated
in
accordance
with
subparagraph
division
(a)
and
441
IAC
81.6.
The
department
shall
then
calculate
adjusted
reimbursement
rates,
including
but
not
limited
to
House
File
653,
p.
51
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
care
organizations
of
the
adjusted
reimbursement
rates
within
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
adjustment
of
reimbursement
rates
under
this
subparagraph
division
shall
be
budget
neutral
to
the
state
budget.
(d)
For
the
fiscal
year
beginning
July
1,
2017,
Medicaid
managed
care
long-term
services
and
supports
capitation
rates
shall
be
adjusted
to
reflect
the
rebasing
pursuant
to
subparagraph
division
(a)
for
the
patient
populations
residing
in
Medicaid-certified
nursing
facilities.
(2)
For
any
open
or
unsettled
nursing
facility
cost
report
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
beginning
July
1,
2016,
including
any
cost
report
remanded
on
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
or
x-ray
costs,
the
department
shall
offset
all
reported
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
received
from
Medicare
or
other
revenue
source
for
any
purpose.
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
report
is
not
considered
open
or
unsettled
if
the
facility
did
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
any
appeal
rights
initiated
have
been
exhausted.
(3)
Medicaid
managed
care
organizations
shall
adjust
facility-specific
rates
based
upon
payment
rate
listings
issued
by
the
department.
The
rate
adjustments
shall
be
applied
retroactively
based
upon
the
effective
date
of
the
rate
letter
issued
by
the
department.
A
Medicaid
managed
care
organization
shall
honor
all
retroactive
rate
adjustments
including
when
specific
provider
rates
are
delayed
or
amended.
b.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
the
department
shall
establish
the
pharmacy
dispensing
fee
reimbursement
at
$10.02
per
prescription,
until
a
cost
of
dispensing
survey
is
completed.
The
actual
dispensing
fee
shall
be
determined
by
a
cost
of
dispensing
survey
performed
by
the
department
and
required
to
be
completed
by
all
medical
assistance
program
participating
pharmacies
every
two
years,
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(2)
The
department
shall
utilize
an
average
acquisition
House
File
653,
p.
52
cost
reimbursement
methodology
for
all
drugs
covered
under
the
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
33
.
c.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
rates
for
outpatient
hospital
services
shall
be
rebased
effective
January
1,
2018,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(2)
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
rates
for
inpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2017,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(3)
For
the
fiscal
year
beginning
July
1,
2017,
the
graduate
medical
education
and
disproportionate
share
hospital
fund
shall
remain
at
the
amount
in
effect
on
June
30,
2017,
except
that
the
portion
of
the
fund
attributable
to
graduate
medical
education
shall
be
reduced
in
an
amount
that
reflects
the
elimination
of
graduate
medical
education
payments
made
to
out-of-state
hospitals.
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
funds
in
procuring
health
care
services
for
low-income
Iowans,
funds
appropriated
in
this
Act
for
hospital
services
shall
not
be
used
for
activities
which
would
be
excluded
from
a
determination
of
reasonable
costs
under
the
federal
Medicare
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
d.
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
rates
for
hospices
and
acute
mental
hospitals
shall
be
increased
in
accordance
with
increases
under
the
federal
Medicare
program
or
as
supported
by
their
Medicare
audited
costs.
e.
For
the
fiscal
year
beginning
July
1,
2017,
independent
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
using
the
same
methodology
in
effect
on
June
30,
2017.
f.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
rates
for
home
health
agencies
shall
continue
to
House
File
653,
p.
53
be
based
on
the
Medicare
low
utilization
payment
adjustment
(LUPA)
methodology
with
state
geographic
wage
adjustments.
The
department
shall
continue
to
update
the
rates
every
two
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
extent
possible
within
the
state
funding
appropriated
for
this
purpose.
(2)
For
the
fiscal
year
beginning
July
1,
2017,
rates
for
private
duty
nursing
and
personal
care
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
benefit
shall
be
calculated
based
on
the
methodology
in
effect
on
June
30,
2017.
g.
For
the
fiscal
year
beginning
July
1,
2017,
federally
qualified
health
centers
and
rural
health
clinics
shall
receive
cost-based
reimbursement
for
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
h.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rates
for
dental
services
shall
remain
at
the
rates
in
effect
on
June
30,
2017.
i.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
rates
for
non-state-owned
psychiatric
medical
institutions
for
children
shall
be
based
on
the
reimbursement
methodology
in
effect
on
June
30,
2017.
(2)
As
a
condition
of
participation
in
the
medical
assistance
program,
enrolled
providers
shall
accept
the
medical
assistance
reimbursement
rate
for
any
covered
goods
or
services
provided
to
recipients
of
medical
assistance
who
are
children
under
the
custody
of
a
psychiatric
medical
institution
for
children.
j.
For
the
fiscal
year
beginning
July
1,
2017,
unless
otherwise
specified
in
this
Act,
all
noninstitutional
medical
assistance
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2017,
except
for
area
education
agencies,
local
education
agencies,
infant
and
toddler
services
providers,
home
and
community-based
services
providers
including
consumer-directed
attendant
care
providers
under
a
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
providers,
and
those
providers
whose
rates
are
required
to
be
determined
pursuant
to
section
249A.20
.
House
File
653,
p.
54
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rate
for
anesthesiologists
shall
be
adjusted
to
implement
the
cost
containment
strategies
authorized
for
the
medical
assistance
program
in
this
2017
Act.
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
beginning
July
1,
2017,
the
average
reimbursement
rate
for
health
care
providers
eligible
for
use
of
the
federal
Medicare
resource-based
relative
value
scale
reimbursement
methodology
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
June
30,
2017;
however,
this
rate
shall
not
exceed
the
maximum
level
authorized
by
the
federal
government.
m.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rate
for
residential
care
facilities
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
The
flat
reimbursement
rate
for
facilities
electing
not
to
file
annual
cost
reports
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
n.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rates
for
inpatient
mental
health
services
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
June
30,
2017,
subject
to
Medicaid
program
upper
payment
limit
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
program
fee-for-service
rate
in
effect
on
June
30,
2017.
o.
For
the
fiscal
year
beginning
July
1,
2017,
community
mental
health
centers
may
choose
to
be
reimbursed
for
the
services
provided
to
recipients
of
medical
assistance
through
either
of
the
following
options:
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
(2)
In
accordance
with
the
alternative
reimbursement
rate
methodology
approved
by
the
department
of
human
services
in
effect
on
June
30,
2017.
p.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rate
for
providers
of
family
planning
services
that
are
eligible
to
receive
a
90
percent
federal
match
shall
House
File
653,
p.
55
remain
at
the
rates
in
effect
on
June
30,
2017.
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
for
the
fiscal
year
beginning
July
1,
2017,
the
upper
limits
and
reimbursement
rates
for
providers
of
home
and
community-based
services
waiver
services
shall
be
reimbursed
using
the
reimbursement
methodology
in
effect
on
June
30,
2017.
r.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rates
for
emergency
medical
service
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2017.
s.
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
rates
for
substance-related
disorder
treatment
programs
licensed
under
section
125.13
shall
remain
at
the
rates
in
effect
on
June
30,
2017.
2.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rate
for
providers
reimbursed
under
the
in-home-related
care
program
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
3.
Unless
otherwise
directed
in
this
section,
when
the
department’s
reimbursement
methodology
for
any
provider
reimbursed
in
accordance
with
this
section
includes
an
inflation
factor,
this
factor
shall
not
exceed
the
amount
by
which
the
consumer
price
index
for
all
urban
consumers
increased
during
the
calendar
year
ending
December
31,
2002.
4.
Notwithstanding
section
234.38,
for
the
fiscal
year
beginning
July
1,
2017,
the
foster
family
basic
daily
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
children
ages
12
through
15
years
shall
be
$19.10,
and
the
rate
for
children
and
young
adults
ages
16
and
older
shall
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
care,
the
preparation
for
adult
living
program
maintenance
rate
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
disallowance
of
additional
amounts
for
court
costs
and
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408
,
shall
be
continued.
5.
For
the
fiscal
year
beginning
July
1,
2017,
the
maximum
House
File
653,
p.
56
reimbursement
rates
for
social
services
providers
under
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2017,
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
each
service,
whichever
is
less.
However,
if
a
new
service
or
service
provider
is
added
after
June
30,
2017,
the
initial
reimbursement
rate
for
the
service
or
provider
shall
be
based
upon
a
weighted
average
of
provider
rates
for
similar
services.
6.
a.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rates
for
resource
family
recruitment
and
retention
contractors
shall
be
established
by
contract.
b.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rates
for
supervised
apartment
living
foster
care
providers
shall
be
established
by
contract.
7.
a.
For
the
purposes
of
this
subsection,
“combined
reimbursement
rate”
means
the
combined
service
and
maintenance
reimbursement
rate
for
a
service
level
under
the
department’s
reimbursement
methodology.
Effective
July
1,
2017,
the
combined
reimbursement
rate
for
a
group
foster
care
service
level
shall
be
the
amount
designated
in
this
subsection.
However,
if
a
group
foster
care
provider’s
reimbursement
rate
for
a
service
level
as
of
June
30,
2017,
is
more
than
the
rate
designated
in
this
subsection,
the
provider’s
reimbursement
shall
remain
at
the
higher
rate.
b.
Unless
a
group
foster
care
provider
is
subject
to
the
exception
provided
in
paragraph
“a”,
effective
July
1,
2017,
the
combined
reimbursement
rates
for
the
service
levels
under
the
department’s
reimbursement
methodology
shall
be
as
follows:
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
be
at
least
$84.17.
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
shall
be
at
least
$119.09.
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
be
at
least
$131.09.
8.
The
group
foster
care
reimbursement
rates
paid
for
placement
of
children
out
of
state
shall
be
calculated
according
to
the
same
rate-setting
principles
as
those
used
for
in-state
providers,
unless
the
director
of
human
services
or
the
director’s
designee
determines
that
appropriate
care
cannot
be
provided
within
the
state.
The
payment
of
the
daily
rate
House
File
653,
p.
57
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
which
service
is
provided.
9.
a.
For
the
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
emergency
services
implemented
to
provide
or
prevent
the
need
for
shelter
care
shall
be
established
by
contract.
b.
For
the
fiscal
year
beginning
July
1,
2017,
the
combined
service
and
maintenance
components
of
the
reimbursement
rate
paid
for
shelter
care
services
shall
be
based
on
the
financial
and
statistical
report
submitted
to
the
department.
The
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
department
shall
reimburse
a
shelter
care
provider
at
the
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
to
exceed
the
maximum
reimbursement
rate.
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
fiscal
year
beginning
July
1,
2017,
the
amount
of
the
statewide
average
of
the
actual
and
allowable
rates
for
reimbursement
of
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
2016.
10.
For
the
fiscal
year
beginning
July
1,
2017,
the
department
shall
calculate
reimbursement
rates
for
intermediate
care
facilities
for
persons
with
an
intellectual
disability
at
the
80th
percentile.
Beginning
July
1,
2017,
the
rate
calculation
methodology
shall
utilize
the
consumer
price
index
inflation
factor
applicable
to
the
fiscal
year
beginning
July
1,
2017.
11.
For
the
fiscal
year
beginning
July
1,
2017,
for
child
care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
provider
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004.
Effective
July
1,
2017,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2017.
The
department
shall
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
nonregistered
provider
to
become
registered
by
applying
the
increase
only
to
registered
and
licensed
providers.
12.
For
the
fiscal
year
beginning
July
1,
2017,
affected
House
File
653,
p.
58
providers
or
services
shall
be
reimbursed
as
follows:
a.
For
fee-for-service
claims,
a
rate
or
reimbursement
shall
be
calculated
based
on
the
methodology
otherwise
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
2017,
for
the
respective
provider
or
service.
b.
For
claims
subject
to
a
managed
care
contract
with
the
exception
of
any
provider
or
service
to
which
a
rate
or
reimbursement
increase
is
applicable
for
the
fiscal
year
under
this
section,
the
rate
or
reimbursement
shall
be
based
on
the
methodology
established
by
the
managed
care
contract.
However,
any
rate
or
reimbursement
established
under
such
contract
shall
not
be
lower
than
the
rate
or
reimbursement
floor
established
by
the
department
of
human
services
as
the
managed
care
organization
rate
or
reimbursement
floor
for
a
respective
provider
or
service
in
effect
on
April
1,
2016.
13.
Notwithstanding
any
provision
to
the
contrary,
reimbursement
rates
and
methodologies
under
this
section
may
be
adjusted
as
necessary
to
implement
the
cost
containment
strategies
authorized
for
the
medical
assistance
program
in
this
2017
Act.
14.
The
department
may
adopt
emergency
rules
to
implement
this
section.
Sec.
32.
EMERGENCY
RULES.
1.
If
specifically
authorized
by
a
provision
of
this
division
of
this
Act,
the
department
of
human
services
or
the
mental
health
and
disability
services
commission
may
adopt
administrative
rules
under
section
17A.4,
subsection
3
,
and
section
17A.5,
subsection
2,
paragraph
“b”
,
to
implement
the
provisions
of
this
division
of
this
Act
and
the
rules
shall
become
effective
immediately
upon
filing
or
on
a
later
effective
date
specified
in
the
rules,
unless
the
effective
date
of
the
rules
is
delayed
or
the
applicability
of
the
rules
is
suspended
by
the
administrative
rules
review
committee.
Any
rules
adopted
in
accordance
with
this
section
shall
not
take
effect
before
the
rules
are
reviewed
by
the
administrative
rules
review
committee.
The
delay
authority
provided
to
the
administrative
rules
review
committee
under
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
shall
be
applicable
to
a
delay
imposed
under
this
section,
House
File
653,
p.
59
notwithstanding
a
provision
in
those
sections
making
them
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”
.
Any
rules
adopted
in
accordance
with
the
provisions
of
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4
.
2.
If
during
a
fiscal
year,
the
department
of
human
services
is
adopting
rules
in
accordance
with
this
section
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
rules
will
result
in
an
expenditure
increase
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
expenditure
was
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
department
shall
notify
the
persons
designated
by
this
division
of
this
Act
for
submission
of
reports,
the
chairpersons
and
ranking
members
of
the
committees
on
appropriations,
and
the
department
of
management
concerning
the
rules
and
the
expenditure
increase.
The
notification
shall
be
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
administrative
rules
coordinator
and
the
administrative
code
editor.
Sec.
33.
REPORTS.
Any
reports
or
other
information
required
to
be
compiled
and
submitted
under
this
Act
during
the
fiscal
year
beginning
July
1,
2017,
shall
be
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
the
legislative
services
agency,
and
the
legislative
caucus
staffs
on
or
before
the
dates
specified
for
submission
of
the
reports
or
information.
Sec.
34.
TRANSFER
OF
MEDICAID
MODERNIZATION
SAVINGS
BETWEEN
APPROPRIATIONS
FY
2017-2018.
Notwithstanding
section
8.39,
subsection
1,
for
the
fiscal
year
beginning
July
1,
2017,
if
savings
resulting
from
the
governor’s
Medicaid
modernization
initiative
accrue
to
the
medical
contracts
or
children’s
health
insurance
program
appropriation
from
the
general
fund
of
the
state
and
not
to
the
medical
assistance
appropriation
from
the
general
fund
of
the
state
under
this
division
of
this
Act,
such
savings
may
be
transferred
to
such
medical
assistance
appropriation
for
the
same
fiscal
year
without
prior
written
consent
and
approval
of
the
governor
and
the
director
of
the
department
of
management.
The
department
of
human
services
House
File
653,
p.
60
shall
report
any
transfers
made
pursuant
to
this
section
to
the
legislative
services
agency.
Sec.
35.
EFFECTIVE
UPON
ENACTMENT.
The
following
provisions
of
this
division
of
this
Act,
being
deemed
of
immediate
importance,
take
effect
upon
enactment:
1.
The
provision
relating
to
section
232.141
and
directing
the
state
court
administrator
and
the
division
administrator
of
the
department
of
human
services
division
of
child
and
family
services
to
make
the
determination,
by
June
15,
2017,
of
the
distribution
of
funds
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
which
are
a
charge
upon
the
state.
DIVISION
VI
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2017-2018
Sec.
36.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
Notwithstanding
any
provision
of
law
to
the
contrary,
to
supplement
the
appropriations
made
in
this
Act
for
medical
contracts
under
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
800,000
Sec.
37.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
quality
assurance
trust
fund
created
in
section
249L.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,705,208
Sec.
38.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
House
File
653,
p.
61
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
hospital
health
care
access
trust
fund
created
in
section
249M.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
Sec.
39.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
FOR
FY
2017-2018.
Notwithstanding
section
8.33
,
if
moneys
appropriated
for
purposes
of
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
from
the
general
fund
of
the
state,
the
quality
assurance
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
expenditures
for
the
medical
assistance
program
and
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
of
the
medical
assistance
program
until
the
close
of
the
succeeding
fiscal
year.
DIVISION
VII
DEPARTMENT
ON
AGING
——
FY
2018-2019
Sec.
40.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
on
aging
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
aging
programs
for
the
department
on
aging
and
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
aging
and
disabilities
resource
center,
and
other
services
which
may
include
but
are
not
limited
to
adult
day
services,
respite
care,
chore
services,
information
and
assistance,
and
material
aid,
for
information
and
options
counseling
for
persons
with
disabilities
who
are
18
years
of
age
or
older,
and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
House
File
653,
p.
62
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,521,238
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
27.00
1.
Funds
appropriated
in
this
section
may
be
used
to
supplement
federal
funds
under
federal
regulations.
To
receive
funds
appropriated
in
this
section,
a
local
area
agency
on
aging
shall
match
the
funds
with
moneys
from
other
sources
according
to
rules
adopted
by
the
department.
Funds
appropriated
in
this
section
may
be
used
for
elderly
services
not
specifically
enumerated
in
this
section
only
if
approved
by
an
area
agency
on
aging
for
provision
of
the
service
within
the
area.
2.
Of
the
funds
appropriated
in
this
section,
$139,973
is
transferred
to
the
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
retired
and
senior
volunteer
program.
3.
a.
The
department
on
aging
shall
establish
and
enforce
procedures
relating
to
expenditure
of
state
and
federal
funds
by
area
agencies
on
aging
that
require
compliance
with
both
state
and
federal
laws,
rules,
and
regulations,
including
but
not
limited
to
all
of
the
following:
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
or
services
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(2)
Prohibiting
prepayment
for
goods
or
services
not
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(3)
Prohibiting
the
prepayment
for
goods
or
services
not
defined
specifically
by
good
or
service,
time
period,
or
recipient.
(4)
Prohibiting
the
establishment
of
accounts
from
which
future
goods
or
services
which
are
not
defined
specifically
by
good
or
service,
time
period,
or
recipient,
may
be
purchased.
b.
The
procedures
shall
provide
that
if
any
funds
are
expended
in
a
manner
that
is
not
in
compliance
with
the
procedures
and
applicable
federal
and
state
laws,
rules,
and
regulations,
and
are
subsequently
subject
to
repayment,
the
area
agency
on
aging
expending
such
funds
in
contravention
of
such
procedures,
laws,
rules
and
regulations,
not
the
state,
House
File
653,
p.
63
shall
be
liable
for
such
repayment.
4.
Of
the
funds
appropriated
in
this
section,
at
least
$125,000
shall
be
used
to
fund
the
unmet
needs
identified
through
Iowa’s
aging
and
disability
resource
center
network.
5.
Of
the
funds
appropriated
in
this
section,
at
least
$300,000
shall
be
used
to
fund
home
and
community-based
services
through
the
area
agencies
on
aging
that
enable
older
individuals
to
avoid
more
costly
utilization
of
residential
or
institutional
services
and
remain
in
their
own
homes.
6.
Of
the
funds
appropriated
in
this
section,
$406,268
shall
be
used
for
the
purposes
of
chapter
231E
and
section
231.56A
,
of
which
$175,000
shall
be
used
for
the
office
of
substitute
decision
maker
pursuant
to
chapter
231E
,
and
the
remainder
shall
be
distributed
equally
to
the
area
agencies
on
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
with
the
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
7.
Of
the
funds
appropriated
in
this
section,
$375,000
shall
be
used
to
fund
continuation
of
the
aging
and
disability
resource
center
lifelong
links
to
provide
individuals
and
caregivers
with
information
and
services
to
plan
for
and
maintain
independence.
8.
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
July
1,
2018,
the
department
may
transfer
funds
within
or
between
the
allocations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
in
accordance
with
departmental
priorities.
The
department
shall
report
any
such
transfers
to
the
individuals
specified
in
this
Act
for
submission
of
reports.
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
DIVISION
VIII
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2018-2019
Sec.
41.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
office
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
House
File
653,
p.
64
designated:
For
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
580,140
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.00
DIVISION
IX
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2018-2019
Sec.
42.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
public
health
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
and
other
drugs,
and
treating
individuals
affected
by
addictive
behaviors,
including
gambling,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,492,915
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$2,010,612
shall
be
used
for
the
tobacco
use
prevention
and
control
initiative,
including
efforts
at
the
state
and
local
levels,
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
prevention
and
control
established
pursuant
to
section
142A.3
shall
advise
the
director
of
public
health
in
prioritizing
funding
needs
and
the
allocation
of
moneys
appropriated
for
the
programs
and
initiatives.
Activities
of
the
programs
and
initiatives
shall
be
in
alignment
with
the
United
States
centers
for
disease
control
and
prevention
best
practices
for
comprehensive
tobacco
control
programs
that
include
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
cessation.
To
maximize
resources,
the
department
shall
determine
if
third-party
sources
are
available
to
instead
provide
nicotine
replacement
products
to
an
applicant
prior
to
provision
of
such
products
to
an
applicant
under
the
initiative.
The
department
shall
track
and
report
to
the
individuals
specified
in
this
Act,
any
reduction
in
House
File
653,
p.
65
the
provision
of
nicotine
replacement
products
realized
by
the
initiative
through
implementation
of
the
prerequisite
screening.
(2)
(a)
The
department
shall
collaborate
with
the
alcoholic
beverages
division
of
the
department
of
commerce
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
tobacco
control
activities
approved
by
the
division
of
tobacco
use
prevention
and
control
of
the
department
of
public
health
as
specified
in
the
memorandum
of
understanding
entered
into
between
the
divisions.
(b)
For
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
terms
of
the
memorandum
of
understanding,
entered
into
between
the
division
of
tobacco
use
prevention
and
control
of
the
department
of
public
health
and
the
alcoholic
beverages
division
of
the
department
of
commerce,
governing
compliance
checks
conducted
to
ensure
licensed
retail
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
ordinances
relating
to
persons
under
18
years
of
age,
shall
continue
to
restrict
the
number
of
such
checks
to
one
check
per
retail
outlet,
and
one
additional
check
for
any
retail
outlet
found
to
be
in
violation
during
the
first
check.
b.
Of
the
funds
appropriated
in
this
subsection,
$10,482,303
shall
be
used
for
problem
gambling
and
substance-related
disorder
prevention,
treatment,
and
recovery
services,
including
a
24-hour
helpline,
public
information
resources,
professional
training,
youth
prevention,
and
program
evaluation.
c.
The
requirement
of
section
123.17,
subsection
5,
is
met
by
the
appropriations
and
allocations
made
in
this
division
of
this
Act
for
purposes
of
substance-related
disorder
treatment
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2018.
2.
HEALTHY
CHILDREN
AND
FAMILIES
For
promoting
the
optimum
health
status
for
children,
adolescents
from
birth
through
21
years
of
age,
and
families,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,662,816
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
House
File
653,
p.
66
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$367,420
shall
be
used
for
the
healthy
opportunities
for
parents
to
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
established
pursuant
to
section
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
that
were
provided
to
the
grantees
that
operated
the
program
during
the
fiscal
year
ending
June
30,
2018.
b.
In
order
to
implement
the
legislative
intent
stated
in
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
program
funding
be
given
to
programs
using
evidence-based
or
promising
models
for
home
visitation,
it
is
the
intent
of
the
general
assembly
to
phase
in
the
funding
priority
in
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2
,
paragraph
“0b”.
c.
Of
the
funds
appropriated
in
this
subsection,
$1,537,550
shall
be
used
for
continuation
of
the
department’s
initiative
to
provide
for
adequate
developmental
surveillance
and
screening
during
a
child’s
first
five
years.
The
funds
shall
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
the
sites
are
fully
operational,
with
the
remaining
funds
to
be
used
for
expansion
to
additional
sites.
The
full
implementation
and
expansion
shall
include
enhancing
the
scope
of
the
initiative
through
collaboration
with
the
child
health
specialty
clinics
to
promote
healthy
child
development
through
early
identification
and
response
to
both
biomedical
and
social
determinants
of
healthy
development;
by
monitoring
child
health
metrics
to
inform
practice,
document
long-term
health
impacts
and
savings,
and
provide
for
continuous
improvement
through
training,
education,
and
evaluation;
and
by
providing
for
practitioner
consultation
particularly
for
children
with
behavioral
conditions
and
needs.
The
department
of
public
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
and
the
child
health
specialty
clinics
to
integrate
the
activities
of
the
first
five
initiative
into
the
establishment
of
patient-centered
medical
homes,
community
utilities,
accountable
care
organizations,
and
other
integrated
care
models
developed
to
improve
health
quality
and
population
health
while
reducing
health
care
costs.
To
the
maximum
extent
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
House
File
653,
p.
67
as
matching
funds
for
medical
assistance
program
reimbursement.
d.
Of
the
funds
appropriated
in
this
subsection,
$32,320
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
funds
to
continue
the
donated
dental
services
program
patterned
after
the
projects
developed
by
the
lifeline
network
to
provide
dental
services
to
indigent
individuals
who
are
elderly
or
with
disabilities.
e.
Of
the
funds
appropriated
in
this
subsection,
$78,241
shall
be
used
to
provide
audiological
services
and
hearing
aids
for
children.
The
department
may
enter
into
a
contract
to
administer
this
paragraph.
f.
Of
the
funds
appropriated
in
this
subsection,
$11,500
is
transferred
to
the
university
of
Iowa
college
of
dentistry
for
provision
of
primary
dental
services
to
children.
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
department
of
public
health,
bureau
of
oral
and
health
delivery
systems,
to
provide
dental
care
to
underserved
populations
throughout
the
state.
g.
Of
the
funds
appropriated
in
this
subsection,
$25,000
shall
be
used
to
address
youth
suicide
prevention.
h.
Of
the
funds
appropriated
in
this
subsection,
$20,255
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
of
children
who
experience
adverse
childhood
experiences
known
as
ACEs.
i.
The
department
of
public
health
shall
continue
to
administer
the
program
to
assist
parents
in
this
state
with
costs
resulting
from
the
death
of
a
child
in
accordance
with
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
subsection
12
.
3.
CHRONIC
CONDITIONS
For
serving
individuals
identified
as
having
chronic
conditions
or
special
health
care
needs,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,085,375
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
a.
Of
the
funds
appropriated
in
this
subsection,
$76,877
shall
be
used
for
grants
to
individual
patients
who
have
an
inherited
metabolic
disorder
to
assist
with
the
costs
of
House
File
653,
p.
68
medically
necessary
foods
and
formula.
b.
Of
the
funds
appropriated
in
this
subsection,
$510,397
shall
be
used
for
the
brain
injury
services
program
pursuant
to
section
135.22B,
including
for
contracting
with
an
existing
nationally
affiliated
and
statewide
organization
whose
purpose
is
to
educate,
serve,
and
support
Iowans
with
brain
injury
and
their
families
for
resource
facilitator
services
in
accordance
with
section
135.22B,
subsection
9,
and
for
contracting
to
enhance
brain
injury
training
and
recruitment
of
service
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
this
paragraph,
$47,500
shall
be
used
to
fund
one
full-time
equivalent
position
to
serve
as
the
state
brain
injury
services
program
manager.
c.
Of
the
funds
appropriated
in
this
subsection,
$72,048
shall
be
used
for
the
public
purpose
of
continuing
to
contract
with
an
existing
national-affiliated
organization
to
provide
education,
client-centered
programs,
and
client
and
family
support
for
people
living
with
epilepsy
and
their
families.
The
amount
allocated
in
this
paragraph
in
excess
of
$50,000
shall
be
matched
dollar-for-dollar
by
the
organization
specified.
d.
Of
the
funds
appropriated
in
this
subsection,
$404,775
shall
be
used
for
child
health
specialty
clinics.
e.
Of
the
funds
appropriated
in
this
subsection,
$192,276
shall
be
used
by
the
regional
autism
assistance
program
established
pursuant
to
section
256.35
,
and
administered
by
the
child
health
specialty
clinic
located
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
interagency
collaboration
and
coordination
of
educational,
medical,
and
other
human
services
for
persons
with
autism,
their
families,
and
providers
of
services,
including
delivering
regionalized
services
of
care
coordination,
family
navigation,
and
integration
of
services
through
the
statewide
system
of
regional
child
health
specialty
clinics
and
fulfilling
other
requirements
as
specified
in
chapter
225D
.
The
university
of
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
indirect
costs
associated
with
the
regional
autism
assistance
program.
f.
Of
the
funds
appropriated
in
this
subsection,
$288,687
House
File
653,
p.
69
shall
be
used
for
the
comprehensive
cancer
control
program
to
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
detection,
effective
treatment,
and
ensuring
quality
of
life.
Of
the
funds
allocated
in
this
paragraph
“f”,
$75,000
shall
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
biorepository
and
registry,
basic
and
translational
melanoma
research,
and
clinical
trials.
g.
Of
the
funds
appropriated
in
this
subsection,
$48,766
shall
be
used
for
cervical
and
colon
cancer
screening,
and
$88,860
shall
be
used
to
enhance
the
capacity
of
the
cervical
cancer
screening
program
to
include
provision
of
recommended
prevention
and
early
detection
measures
to
a
broader
range
of
low-income
women.
h.
Of
the
funds
appropriated
in
this
subsection,
$253,177
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
i.
Of
the
funds
appropriated
in
this
subsection,
$107,631
shall
be
used
by
the
department
of
public
health
for
reform-related
activities,
including
but
not
limited
to
facilitation
of
communication
to
stakeholders
at
the
state
and
local
level,
administering
the
patient-centered
health
advisory
council
pursuant
to
section
135.159
,
and
involvement
in
health
care
system
innovation
activities
occurring
across
the
state.
j.
Of
the
funds
appropriated
in
this
subsection,
$11,050
shall
be
used
for
administration
of
chapter
124D
,
the
medical
cannabidiol
Act.
4.
COMMUNITY
CAPACITY
For
strengthening
the
health
care
delivery
system
at
the
local
level,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,453,888
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
a.
Of
the
funds
appropriated
in
this
subsection,
$47,787
is
allocated
for
continuation
of
the
child
vision
screening
program
implemented
through
the
university
of
Iowa
hospitals
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
The
program
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
regarding
the
use
of
funds
allocated
under
this
paragraph
“a”.
The
report
shall
House
File
653,
p.
70
include
the
objectives
and
results
for
the
program
year
including
the
target
population
and
how
the
funds
allocated
assisted
the
program
in
meeting
the
objectives;
the
number,
age,
and
location
within
the
state
of
individuals
served;
the
type
of
services
provided
to
the
individuals
served;
the
distribution
of
funds
based
on
service
provided;
and
the
continuing
needs
of
the
program.
b.
Of
the
funds
appropriated
in
this
subsection,
$52,828
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
to
expand
and
improve
the
workforce
engaged
in
mental
health
treatment
and
services.
The
initiative
shall
receive
input
from
the
university
of
Iowa,
the
department
of
human
services,
the
department
of
public
health,
and
the
mental
health
and
disability
services
commission
to
address
the
focus
of
the
initiative.
c.
Of
the
funds
appropriated
in
this
section,
$41,657
shall
be
deposited
in
the
governmental
public
health
system
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
fund.
d.
Of
the
funds
appropriated
in
this
subsection,
$24,034
shall
be
used
for
a
grant
to
a
statewide
association
of
psychologists
that
is
affiliated
with
the
American
psychological
association
to
be
used
for
continuation
of
a
program
to
rotate
intern
psychologists
in
placements
in
urban
and
rural
mental
health
professional
shortage
areas,
as
defined
in
section
135.180
.
e.
Of
the
funds
appropriated
in
this
subsection,
the
following
amounts
are
allocated
to
be
used
as
follows
to
support
the
Iowa
collaborative
safety
net
provider
network
goals
of
increased
access,
health
system
integration,
and
engagement.
(1)
Not
less
than
$260,931
is
allocated
to
the
Iowa
prescription
drug
corporation
for
continuation
of
the
pharmaceutical
infrastructure
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
chapter
218,
section
108
,
and
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M.
(2)
Not
less
than
$167,435
is
allocated
to
free
clinics
and
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
House
File
653,
p.
71
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
securing
a
medical
home
inclusive
of
oral
health
care.
(3)
Not
less
than
$12,500
is
allocated
to
the
Iowa
association
of
rural
health
clinics
for
necessary
infrastructure
and
service
delivery
transformation.
(4)
Not
less
than
$50,000
is
allocated
to
the
Polk
county
medical
society
for
continuation
of
the
safety
net
provider
patient
access
to
a
specialty
health
care
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109.
f.
Of
the
funds
appropriated
in
this
subsection,
$38,115
shall
be
used
by
the
department
in
implementing
the
recommendations
in
the
final
report
submitted
by
the
direct
care
worker
advisory
council
to
the
governor
and
the
general
assembly
in
March
2012,
including
by
continuing
to
develop,
promote,
and
make
available
on
a
statewide
basis
the
prepare-to-care
core
curriculum
and
its
associated
modules
and
specialties
through
various
formats
including
online
access,
community
colleges,
and
other
venues;
exploring
new
and
maintaining
existing
specialties
including
but
not
limited
to
oral
health
and
dementia
care;
supporting
instructor
training;
and
assessing
and
making
recommendations
concerning
the
Iowa
care
book
and
information
technology
systems
and
infrastructure
uses
and
needs.
g.
Of
the
funds
appropriated
in
this
subsection,
$95,594
shall
be
allocated
for
continuation
of
the
contract
with
an
independent
statewide
direct
care
worker
organization
previously
selected
through
a
request
for
proposals
process.
The
contract
shall
continue
to
include
performance
and
outcomes
measures,
and
shall
continue
to
allow
the
contractor
to
use
a
portion
of
the
funds
received
under
the
contract
to
collect
data
to
determine
results
based
on
the
performance
and
outcomes
measures.
h.
Of
the
funds
appropriated
in
this
subsection,
the
department
may
use
up
to
$29,087
for
up
to
one
full-time
equivalent
position
to
administer
the
volunteer
health
care
provider
program
pursuant
to
section
135.24
.
i.
Of
the
funds
appropriated
in
this
subsection,
$48,069
shall
be
used
for
a
matching
dental
education
loan
repayment
House
File
653,
p.
72
program
to
be
allocated
to
a
dental
nonprofit
health
service
corporation
to
continue
to
develop
the
criteria
and
implement
the
loan
repayment
program.
j.
Of
the
funds
appropriated
in
this
subsection,
$26,455
is
transferred
to
the
college
student
aid
commission
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
261.113
to
be
used
for
the
purposes
of
the
fund.
k.
Of
the
funds
appropriated
in
this
subsection,
$75,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
specified
in
section
142C.18
.
l.
Of
the
funds
appropriated
in
this
subsection,
$48,069
shall
be
used
for
continuation
of
a
grant
to
a
nationally
affiliated
volunteer
eye
organization
that
has
an
established
program
for
children
and
adults
and
that
is
solely
dedicated
to
preserving
sight
and
preventing
blindness
through
education,
nationally
certified
vision
screening
and
training,
and
community
and
patient
service
programs.
The
organization
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
regarding
the
use
of
funds
allocated
under
this
paragraph
“l”.
The
report
shall
include
the
objectives
and
results
for
the
program
year
including
the
target
population
and
how
the
funds
allocated
assisted
the
program
in
meeting
the
objectives;
the
number,
age,
and
location
within
the
state
of
individuals
served;
the
type
of
services
provided
to
the
individuals
served;
the
distribution
of
funds
based
on
services
provided;
and
the
continuing
needs
of
the
program.
m.
Of
the
funds
appropriated
in
this
subsection,
$436,327
shall
be
deposited
in
the
medical
residency
training
account
created
in
section
135.175,
subsection
5,
paragraph
“a”,
and
is
appropriated
from
the
account
to
the
department
of
public
health
to
be
used
for
the
purposes
of
the
medical
residency
training
state
matching
grants
program
as
specified
in
section
135.176.
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
To
provide
public
health
services
that
reduce
risks
and
invest
in
promoting
and
protecting
good
health
over
the
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
vulnerable
populations:
House
File
653,
p.
73
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,098,939
6.
INFECTIOUS
DISEASES
For
reducing
the
incidence
and
prevalence
of
communicable
diseases,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
823,213
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
7.
PUBLIC
PROTECTION
For
protecting
the
health
and
safety
of
the
public
through
establishing
standards
and
enforcing
regulations,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,097,569
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
138.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$152,350
shall
be
credited
to
the
emergency
medical
services
fund
created
in
section
135.25
.
Moneys
in
the
emergency
medical
services
fund
are
appropriated
to
the
department
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
appropriated
in
this
subsection,
up
to
$121,630
shall
be
used
for
sexual
violence
prevention
programming
through
a
statewide
organization
representing
programs
serving
victims
of
sexual
violence
through
the
department’s
sexual
violence
prevention
program,
and
for
continuation
of
a
training
program
for
sexual
assault
response
team
(SART)
members,
including
representatives
of
law
enforcement,
victim
advocates,
prosecutors,
and
certified
medical
personnel.
The
amount
allocated
in
this
paragraph
“b”
shall
not
be
used
to
supplant
funding
administered
for
other
sexual
violence
prevention
or
victims
assistance
programs.
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
$287,813
shall
be
used
for
the
state
poison
control
center.
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
1140,
section
102
,
the
federal
matching
funds
available
to
the
state
poison
control
center
from
the
department
of
human
services
under
the
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
administrative
cap
rule
of
10
percent
applicable
to
funding
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
included
within
the
department’s
calculations
of
the
cap.
House
File
653,
p.
74
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
$258,491
shall
be
used
for
childhood
lead
poisoning
provisions.
8.
RESOURCE
MANAGEMENT
For
establishing
and
sustaining
the
overall
ability
of
the
department
to
deliver
services
to
the
public,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
485,607
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
9.
MISCELLANEOUS
PROVISIONS
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
10.
GENERAL
REDUCTION
For
the
period
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
department
of
public
health,
in
consultation
with
the
department
of
management,
shall
identify
and
implement
a
reduction
in
expenditures
made
from
appropriations
from
the
general
fund
of
the
state
to
the
department
of
public
health
in
the
amount
of
$640,683.
11.
TRANSFERS
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
July
1,
2018,
the
department
may
transfer
funds
within
or
between
any
of
the
allocations
or
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year,
to
be
used
in
accordance
with
departmental
priorities
as
specified
in
the
department’s
report
to
the
general
assembly
submitted
pursuant
to
2016
Iowa
Acts,
chapter
1139,
section
3.
The
department
shall
report
any
such
transfers
to
the
individuals
specified
in
this
Act
for
submission
of
reports.
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
DIVISION
X
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2018-2019
Sec.
43.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
veterans
affairs
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
House
File
653,
p.
75
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
For
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
571,278
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,614,070
a.
The
Iowa
veterans
home
billings
involving
the
department
of
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
b.
Within
available
resources
and
in
conformance
with
associated
state
and
federal
program
eligibility
requirements,
the
Iowa
veterans
home
may
implement
measures
to
provide
financial
assistance
to
or
on
behalf
of
veterans
or
their
spouses
who
are
participating
in
the
community
reentry
program.
c.
The
Iowa
veterans
home
expenditure
report
shall
be
submitted
monthly
to
the
legislative
services
agency.
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
annual
discharge
report
applicant
information
and
to
provide
for
the
collection
of
demographic
information
including
but
not
limited
to
the
number
of
individuals
applying
for
admission
and
admitted
or
denied
admittance
and
the
basis
for
the
admission
or
denial;
the
age,
gender,
and
race
of
such
individuals;
and
the
level
of
care
for
which
such
individuals
applied
for
admission
including
residential
or
nursing
level
of
care.
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
For
transfer
to
the
Iowa
finance
authority
for
the
continuation
of
the
home
ownership
assistance
program
for
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
the
United
States,
pursuant
to
section
16.54
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
Sec.
44.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
appropriation
in
section
35A.16
for
the
fiscal
year
House
File
653,
p.
76
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
amount
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
section
for
the
following
designated
purposes
shall
not
exceed
the
following
amount:
For
the
county
commissions
of
veteran
affairs
fund
under
section
35A.16
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
473,962
DIVISION
XI
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2018-2019
Sec.
45.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT.
There
is
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
moneys
received
under
the
federal
temporary
assistance
for
needy
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
To
be
credited
to
the
family
investment
program
account
and
used
for
assistance
under
the
family
investment
program
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,556,231
2.
To
be
credited
to
the
family
investment
program
account
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
program
and
implementing
family
investment
agreements
in
accordance
with
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,787,846
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
encumbered
or
obligated
on
or
before
September
30,
2019,
the
moneys
shall
revert.
House
File
653,
p.
77
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,933,413
a.
Of
the
funds
appropriated
in
this
subsection,
$13,164,048
is
transferred
to
the
child
care
and
development
block
grant
appropriation
made
by
the
Eighty-seventh
General
Assembly,
2018
session,
for
the
federal
fiscal
year
beginning
October
1,
2018,
and
ending
September
30,
2019.
Of
this
amount,
$100,000
shall
be
used
for
provision
of
educational
opportunities
to
registered
child
care
home
providers
in
order
to
improve
services
and
programs
offered
by
this
category
of
providers
and
to
increase
the
number
of
providers.
The
department
may
contract
with
institutions
of
higher
education
or
child
care
resource
and
referral
centers
to
provide
the
educational
opportunities.
Allowable
administrative
costs
under
the
contracts
shall
not
exceed
5
percent.
The
application
for
a
grant
shall
not
exceed
two
pages
in
length.
b.
Any
funds
appropriated
in
this
subsection
remaining
unallocated
shall
be
used
for
state
child
care
assistance
payments
for
families
who
are
employed
including
but
not
limited
to
individuals
enrolled
in
the
family
investment
program.
7.
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,190,327
8.
For
child
abuse
prevention
grants:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
9.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
Pregnancy
prevention
grants
shall
be
awarded
to
programs
in
existence
on
or
before
July
1,
2018,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2018,
if
the
programs
are
based
on
existing
models
that
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
House
File
653,
p.
78
section
14,
subsections
1
and
2
,
including
the
requirement
that
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
the
awarding
of
grants
shall
be
given
to
programs
that
serve
areas
of
the
state
which
demonstrate
the
highest
percentage
of
unplanned
pregnancies
of
females
of
childbearing
age
within
the
geographic
area
to
be
served
by
the
grant.
10.
For
technology
needs
and
other
resources
necessary
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
management
requirements:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
11.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2017
or
2018
Iowa
Acts
regarding
the
receipt
and
appropriation
of
federal
block
grants,
federal
funds
from
the
temporary
assistance
for
needy
families
block
grant
received
by
the
state
and
not
otherwise
appropriated
in
this
section
and
remaining
available
for
the
fiscal
year
beginning
July
1,
2018,
are
appropriated
to
the
department
of
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
the
following
priority
order:
the
family
investment
program,
for
state
child
care
assistance
program
payments
for
families
who
are
employed,
and
for
the
family
investment
program
share
of
costs
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system.
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
all
other
funds
appropriated
in
subsection
1
for
assistance
under
the
family
investment
program,
in
subsection
6
for
child
care
assistance,
or
in
subsection
10
for
technology
costs
related
to
the
family
investment
program,
as
applicable,
have
been
expended.
For
the
purposes
of
this
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
and
development
block
grant
appropriation
are
considered
fully
expended
when
the
full
amount
has
been
transferred.
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
legislative
services
agency
and
department
of
management
of
the
amount
of
funds
appropriated
in
this
subsection
that
was
expended
in
the
prior
quarter.
12.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
for
the
fiscal
year
beginning
July
1,
2018,
is
transferred
to
House
File
653,
p.
79
the
appropriation
of
the
federal
social
services
block
grant
made
to
the
department
of
human
services
for
that
fiscal
year.
13.
For
continuation
of
the
program
providing
categorical
eligibility
for
the
food
assistance
program
as
specified
for
the
program
in
the
section
of
this
division
of
this
Act
relating
to
the
family
investment
program
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
14.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
the
family
investment
program
from
the
general
fund
of
the
state.
15.
With
the
exception
of
moneys
allocated
under
this
section
for
the
family
development
and
self-sufficiency
grant
program,
to
the
extent
moneys
allocated
in
this
section
are
deemed
by
the
department
not
to
be
necessary
to
support
the
purposes
for
which
they
are
allocated,
such
moneys
may
be
credited
to
the
family
investment
program
account
as
specified
under
subsection
1
of
this
section
and
used
for
the
purposes
of
assistance
under
the
family
investment
program
under
chapter
239B
in
the
same
fiscal
year.
Sec.
46.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1.
Moneys
credited
to
the
family
investment
program
(FIP)
account
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
shall
be
used
to
provide
assistance
in
accordance
with
chapter
239B
.
2.
The
department
may
use
a
portion
of
the
moneys
credited
to
the
FIP
account
under
this
section
as
necessary
for
salaries,
support,
maintenance,
and
miscellaneous
purposes.
3.
The
department
may
transfer
funds
allocated
in
subsection
4
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
family
investment
program
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
the
family
House
File
653,
p.
80
investment
program
from
the
general
fund
of
the
state.
4.
Moneys
appropriated
in
this
division
of
this
Act
and
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
are
allocated
as
follows:
a.
To
be
retained
by
the
department
of
human
services
to
be
used
for
coordinating
with
the
department
of
human
rights
to
more
effectively
serve
participants
in
FIP
and
other
shared
clients
and
to
meet
federal
reporting
requirements
under
the
federal
temporary
assistance
for
needy
families
block
grant:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
b.
To
the
department
of
human
rights
for
staffing,
administration,
and
implementation
of
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
(1)
Of
the
funds
allocated
for
the
family
development
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
administration
of
the
grant
program.
(2)
The
department
of
human
rights
may
continue
to
implement
the
family
development
and
self-sufficiency
grant
program
statewide
during
fiscal
year
2018-2019.
(3)
The
department
of
human
rights
may
engage
in
activities
to
strengthen
and
improve
family
outcomes
measures
and
data
collection
systems
under
the
family
development
and
self-sufficiency
grant
program.
c.
For
the
diversion
subaccount
of
the
FIP
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
A
portion
of
the
moneys
allocated
for
the
subaccount
may
be
used
for
field
operations,
salaries,
data
management
system
development,
and
implementation
costs
and
support
deemed
necessary
by
the
director
of
human
services
in
order
to
administer
the
FIP
diversion
program.
To
the
extent
moneys
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
not
to
be
necessary
to
support
diversion
activities,
such
moneys
may
be
used
for
other
efforts
intended
to
increase
engagement
by
family
investment
program
participants
in
work,
education,
or
training
activities,
or
for
the
purposes
of
assistance
under
the
family
investment
program
in
accordance
House
File
653,
p.
81
with
chapter
239B.
d.
For
the
food
assistance
employment
and
training
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
(1)
The
department
shall
apply
the
federal
supplemental
nutrition
assistance
program
(SNAP)
employment
and
training
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
provisions
for
the
claiming
of
allowable
federal
reimbursement
funds
from
the
United
States
department
of
agriculture
pursuant
to
the
federal
SNAP
employment
and
training
program
for
providing
education,
employment,
and
training
services
for
eligible
food
assistance
program
participants,
including
but
not
limited
to
related
dependent
care
and
transportation
expenses.
(2)
The
department
shall
continue
the
categorical
federal
food
assistance
program
eligibility
at
160
percent
of
the
federal
poverty
level
and
continue
to
eliminate
the
asset
test
from
eligibility
requirements,
consistent
with
federal
food
assistance
program
requirements.
The
department
shall
include
as
many
food
assistance
households
as
is
allowed
by
federal
law.
The
eligibility
provisions
shall
conform
to
all
federal
requirements
including
requirements
addressing
individuals
who
are
incarcerated
or
otherwise
ineligible.
e.
For
the
JOBS
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,761,645
5.
Of
the
child
support
collections
assigned
under
FIP,
an
amount
equal
to
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
recovery
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
the
child
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
payments
account.
If
as
a
consequence
of
the
appropriations
and
allocations
made
in
this
section
the
resulting
amounts
are
insufficient
to
sustain
cash
assistance
payments
and
meet
federal
maintenance
of
effort
requirements,
the
department
shall
seek
supplemental
funding.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
House
File
653,
p.
82
determined
not
to
be
required
for
maintenance
of
effort,
the
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
payments
account.
6.
The
department
may
adopt
emergency
rules
for
the
family
investment,
JOBS,
food
assistance,
and
medical
assistance
programs
if
necessary
to
comply
with
federal
requirements.
Sec.
47.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
To
be
credited
to
the
family
investment
program
(FIP)
account
and
used
for
family
investment
program
assistance
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,502,240
1.
Of
the
funds
appropriated
in
this
section,
$3,973,798
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
is
allocated
for
the
family
development
and
self-sufficiency
grant
program.
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
beginning
July
1,
2018,
if
necessary
to
meet
federal
maintenance
of
effort
requirements
or
to
transfer
federal
temporary
assistance
for
needy
families
block
grant
funding
to
be
used
for
purposes
of
the
federal
social
services
block
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
receiving
federal
funding
or
to
implement,
in
accordance
with
this
division
of
this
Act,
activities
currently
funded
with
juvenile
court
services,
county,
or
community
moneys
and
state
moneys
used
in
combination
with
such
moneys;
to
comply
with
federal
requirements;
or
to
maximize
the
use
of
federal
funds,
the
department
of
human
services
may
transfer
funds
within
or
between
any
of
the
appropriations
made
in
this
division
of
this
Act
and
appropriations
in
law
for
the
federal
social
services
block
grant
to
the
department
for
the
following
purposes,
provided
that
the
combined
amount
of
state
and
federal
temporary
assistance
for
needy
families
block
grant
funding
for
each
appropriation
remains
the
same
before
and
after
the
House
File
653,
p.
83
transfer:
a.
For
the
family
investment
program.
b.
For
child
care
assistance.
c.
For
child
and
family
services.
d.
For
field
operations.
e.
For
general
administration.
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
The
department
shall
report
any
transfers
made
pursuant
to
this
subsection
to
the
legislative
services
agency.
4.
Of
the
funds
appropriated
in
this
section,
$97,839
shall
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
organization
with
a
history
of
providing
tax
preparation
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
of
the
state.
5.
Of
the
funds
appropriated
in
this
section,
$30,000
shall
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
defined
in
441
IAC
100.1
,
relating
to
parental
obligations,
in
which
the
child
support
recovery
unit
participates,
to
support
the
efforts
of
a
nonprofit
organization
committed
to
strengthening
the
community
through
youth
development,
healthy
living,
and
social
responsibility
headquartered
in
a
county
with
a
population
over
350,000
according
to
the
latest
certified
federal
census.
The
funds
allocated
in
this
subsection
shall
be
used
by
the
recipient
organization
to
develop
a
larger
community
effort,
through
public
and
private
partnerships,
to
support
a
broad-based
multi-county
fatherhood
initiative
that
promotes
payment
of
child
support
obligations,
improved
family
relationships,
and
full-time
employment.
6.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
field
operations
as
necessary
to
administer
this
section
and
the
overall
family
investment
program.
Sec.
48.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
House
File
653,
p.
84
necessary,
to
be
used
for
the
purposes
designated:
For
child
support
recovery,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,293,317
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
1.
The
department
shall
expend
up
to
$12,164,
including
federal
financial
participation,
for
the
fiscal
year
beginning
July
1,
2018,
for
a
child
support
public
awareness
campaign.
The
department
and
the
office
of
the
attorney
general
shall
cooperate
in
continuation
of
the
campaign.
The
public
awareness
campaign
shall
emphasize,
through
a
variety
of
media
activities,
the
importance
of
maximum
involvement
of
both
parents
in
the
lives
of
their
children
as
well
as
the
importance
of
payment
of
child
support
obligations.
2.
Federal
access
and
visitation
grant
moneys
shall
be
issued
directly
to
private
not-for-profit
agencies
that
provide
services
designed
to
increase
compliance
with
the
child
access
provisions
of
court
orders,
including
but
not
limited
to
neutral
visitation
sites
and
mediation
services.
3.
The
appropriation
made
to
the
department
for
child
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
manner
necessary
for
purposes
of
cash
flow
management,
and
for
cash
flow
management
purposes
the
department
may
temporarily
draw
more
than
the
amount
appropriated,
provided
the
amount
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
4.
With
the
exception
of
the
funding
amount
specified,
the
requirements
established
under
2001
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
be
applicable
to
parental
obligation
pilot
projects
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019.
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
in
effect
until
June
30,
2019.
Sec.
49.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
FY
2018-2019.
Any
funds
remaining
in
the
health
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
House
File
653,
p.
85
assistance
program
appropriations
made
in
this
division
of
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
Sec.
50.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
2018-2019.
Any
funds
remaining
in
the
Medicaid
fraud
fund
created
in
section
249A.50
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
are
appropriated
to
the
department
of
human
services
to
supplement
the
medical
assistance
appropriations
made
in
this
division
of
this
Act,
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
Sec.
51.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
assistance
program
reimbursement
and
associated
costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2018,
except
as
otherwise
expressly
authorized
by
law,
consistent
with
options
under
federal
law
and
regulations,
and
contingent
upon
receipt
of
approval
from
the
office
of
the
governor
of
reimbursement
for
each
abortion
performed
under
the
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$642,202,870
1.
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
Funds
appropriated
under
this
section
shall
not
be
used
for
abortions,
unless
otherwise
authorized
under
this
section.
2.
The
provisions
of
this
section
relating
to
abortions
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
pursuant
to
chapter
249N
.
3.
The
department
shall
utilize
not
more
than
$30,000
of
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
health
insurance
premium
payment
program
as
established
in
1992
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$2,500
may
be
expended
for
administrative
House
File
653,
p.
86
purposes.
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
of
public
health
for
addictive
disorders,
$475,000
for
the
fiscal
year
beginning
July
1,
2018,
is
transferred
to
the
department
of
human
services
for
an
integrated
substance-related
disorder
managed
care
system.
The
departments
of
human
services
and
public
health
shall
work
together
to
maintain
the
level
of
mental
health
and
substance-related
disorder
treatment
services
provided
by
the
managed
care
contractors.
Each
department
shall
take
the
steps
necessary
to
continue
the
federal
waivers
as
necessary
to
maintain
the
level
of
services.
5.
a.
The
department
shall
aggressively
pursue
options
for
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
policy
provisions.
b.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
be
used
for
participation
in
one
or
more
pilot
projects
operated
by
a
private
provider
to
allow
the
individual
or
individuals
to
receive
service
in
the
community
in
accordance
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
the
policy
provisions.
6.
Of
the
funds
appropriated
in
this
section,
up
to
$1,525,041
may
be
transferred
to
the
field
operations
or
general
administration
appropriations
in
this
division
of
this
House
File
653,
p.
87
Act
for
operational
costs
associated
with
Part
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
of
2003,
Pub.
L.
No.
108-173.
7.
Of
the
funds
appropriated
in
this
section,
up
to
$221,050
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
clinical
assessment
services
and
prior
authorization
of
services.
8.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriations
in
this
division
of
this
Act
for
general
administration,
medical
contracts,
the
children’s
health
insurance
program,
or
field
operations
to
be
used
for
the
state
match
cost
to
comply
with
the
payment
error
rate
measurement
(PERM)
program
for
both
the
medical
assistance
and
children’s
health
insurance
programs
as
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
to
comply
with
the
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
9.
The
department
shall
continue
to
implement
the
recommendations
of
the
assuring
better
child
health
and
development
initiative
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
services
healthy
mental
development
collaborative
board
regarding
changes
to
billing
procedures,
codes,
and
eligible
service
providers.
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
to
supplement
the
incomes
of
residents
of
nursing
facilities,
intermediate
care
facilities
for
persons
with
mental
illness,
and
intermediate
care
facilities
for
persons
with
an
intellectual
disability,
with
incomes
of
less
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
personal
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A
.
11.
a.
Hospitals
that
meet
the
conditions
specified
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
House
File
653,
p.
88
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
(1)
The
hospital
qualifies
for
disproportionate
share
and
graduate
medical
education
payments.
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
than
500
beds
and
eight
or
more
distinct
residency
specialty
or
subspecialty
programs
recognized
by
the
American
college
of
graduate
medical
education.
b.
Distribution
of
the
disproportionate
share
payments
shall
be
made
on
a
monthly
basis.
The
total
amount
of
disproportionate
share
payments
including
graduate
medical
education,
enhanced
disproportionate
share,
and
Iowa
state-owned
teaching
hospital
payments
shall
not
exceed
the
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
In
addition,
the
total
amount
of
all
disproportionate
share
payments
shall
not
exceed
the
hospital-specific
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
to
area
education
agencies
that
are
medical
assistance
providers
for
medical
assistance-covered
services
provided
to
medical
assistance-covered
children,
shall
be
made
from
the
appropriation
made
in
this
section.
13.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
administrative
activities
associated
with
the
money
follows
the
person
demonstration
project.
14.
Of
the
funds
appropriated
in
this
section,
$174,505
shall
be
used
for
the
administration
of
the
health
insurance
premium
payment
program,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes.
15.
a.
The
department
may
increase
the
amounts
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
associated
with
the
medical
assistance
program,
as
necessary,
to
implement
cost
containment
strategies.
The
department
shall
report
any
such
increase
to
the
legislative
services
agency
and
the
department
of
management.
House
File
653,
p.
89
b.
If
the
savings
to
the
medical
assistance
program
from
cost
containment
efforts
exceed
the
cost
for
the
fiscal
year
beginning
July
1,
2018,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
medical
assistance
program
cost
containment
efforts
to
the
appropriation
made
in
this
division
of
this
Act
for
medical
contracts
or
general
administration
to
defray
the
increased
contract
costs
associated
with
implementing
such
efforts.
16.
For
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
replacement
generation
tax
revenues
required
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
to
and
supplement
the
appropriation
made
in
this
section
and
used
for
the
allocations
made
in
this
section.
17.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$25,000
may
be
transferred
by
the
department
to
the
appropriation
made
in
this
division
of
this
Act
to
the
department
for
the
same
fiscal
year
for
general
administration
to
be
used
for
associated
administrative
expenses
and
for
not
more
than
one
full-time
equivalent
position,
in
addition
to
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
implementing
the
children’s
mental
health
home
project.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$200,000
may
be
transferred
by
the
department
to
the
appropriation
made
to
the
department
in
this
division
of
this
Act
for
the
same
fiscal
year
for
Medicaid
program-related
general
administration
planning
and
implementation
activities.
The
funds
may
be
used
for
contracts
or
for
personnel
in
addition
to
the
amounts
appropriated
for
and
the
positions
authorized
for
general
administration
for
the
fiscal
year.
c.
Of
the
funds
appropriated
in
this
section,
up
to
$1,500,000
may
be
transferred
by
the
department
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
or
medical
contracts
to
be
used
to
support
the
development
and
implementation
of
standardized
assessment
tools
for
persons
with
mental
illness,
an
intellectual
disability,
a
developmental
disability,
or
a
brain
injury.
House
File
653,
p.
90
18.
Of
the
funds
appropriated
in
this
section,
$75,000
shall
be
used
for
lodging
expenses
associated
with
care
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
and
whose
income
is
at
or
below
200
percent
of
the
federal
poverty
level
as
defined
by
the
most
recently
revised
poverty
income
guidelines
published
by
the
United
States
department
of
health
and
human
services.
The
department
of
human
services
shall
establish
the
maximum
number
of
overnight
stays
and
the
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
based
on
the
state
employee
rate
established
by
the
department
of
administrative
services.
The
funds
allocated
in
this
subsection
shall
not
be
used
as
nonfederal
share
matching
funds.
19.
Of
the
funds
appropriated
in
this
section,
up
to
$1,691,940
shall
be
used
for
administration
of
the
state
family
planning
services
program
as
enacted
in
this
2017
Act,
and
of
this
amount
the
department
may
use
to
up
$100,000
for
administrative
expenses.
20.
The
department
shall
report
the
implementation
of
any
cost
containment
strategies
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
upon
implementation.
21.
The
department
shall
report
the
implementation
of
any
process
improvement
changes
and
any
related
cost
reductions
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
upon
implementation.
Sec.
52.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,813,232
1.
The
department
of
inspections
and
appeals
shall
provide
all
state
matching
funds
for
survey
and
certification
activities
performed
by
the
department
of
inspections
and
appeals.
The
department
of
human
services
is
solely
responsible
for
distributing
the
federal
matching
funds
for
House
File
653,
p.
91
such
activities.
2.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
be
used
for
continuation
of
home
and
community-based
services
waiver
quality
assurance
programs,
including
the
review
and
streamlining
of
processes
and
policies
related
to
oversight
and
quality
management
to
meet
state
and
federal
requirements.
3.
Of
the
amount
appropriated
in
this
section,
up
to
$100,000
may
be
transferred
to
the
appropriation
for
general
administration
in
this
division
of
this
Act
to
be
used
for
additional
full-time
equivalent
positions
in
the
development
of
key
health
initiatives
such
as
cost
containment,
development
and
oversight
of
managed
care
programs,
and
development
of
health
strategies
targeted
toward
improved
quality
and
reduced
costs
in
the
Medicaid
program.
4.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
be
used
for
planning
and
development,
in
cooperation
with
the
department
of
public
health,
of
a
phased-in
program
to
provide
a
dental
home
for
children.
5.
Of
the
funds
appropriated
in
this
section,
$475,000
shall
be
credited
to
the
autism
support
program
fund
created
in
section
225D.2
to
be
used
for
the
autism
support
program
created
in
chapter
225D
,
with
the
exception
of
the
following
amounts
of
this
allocation
which
shall
be
used
as
follows:
a.
Of
the
funds
allocated
in
this
subsection,
$125,000
shall
be
deposited
in
the
board-certified
behavior
analyst
and
board-certified
assistant
behavior
analyst
grants
program
fund
created
in
section
135.181
,
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
allocated
in
this
subsection,
$12,500
shall
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
child
welfare
services
provider
headquartered
in
a
county
with
a
population
between
205,000
and
215,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
a
psychiatric
medical
institution
for
children,
shelter,
residential
treatment,
after
school
programs,
school-based
programming,
and
an
Asperger’s
syndrome
program,
to
be
used
for
support
services
for
children
with
autism
spectrum
disorder
and
their
families.
c.
Of
the
funds
allocated
in
this
subsection,
$12,500
House
File
653,
p.
92
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
hospital-based
provider
headquartered
in
a
county
with
a
population
between
90,000
and
95,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
services
to
individuals
with
autism
spectrum
disorder
across
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
to
continue
the
pilot
project
to
determine
the
necessary
support
services
for
children
with
autism
spectrum
disorder
and
their
families
to
be
included
in
the
children’s
disabilities
services
system.
The
grant
recipient
shall
submit
findings
and
recommendations
based
upon
the
results
of
the
pilot
project
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
by
December
31,
2018.
Sec.
53.
STATE
SUPPLEMENTARY
ASSISTANCE.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,186,329
2.
The
department
shall
increase
the
personal
needs
allowance
for
residents
of
residential
care
facilities
by
the
same
percentage
and
at
the
same
time
as
federal
supplemental
security
income
and
federal
social
security
benefits
are
increased
due
to
a
recognized
increase
in
the
cost
of
living.
The
department
may
adopt
emergency
rules
to
implement
this
subsection.
3.
If
during
the
fiscal
year
beginning
July
1,
2018,
the
department
projects
that
state
supplementary
assistance
expenditures
for
a
calendar
year
will
not
meet
the
federal
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
§1382g,
the
department
may
take
actions
including
but
not
limited
to
increasing
the
personal
needs
allowance
for
residential
care
facility
residents
and
making
programmatic
adjustments
or
upward
adjustments
of
the
residential
care
facility
or
in-home
health-related
care
reimbursement
rates
House
File
653,
p.
93
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
requirements
are
met.
In
addition,
the
department
may
make
other
programmatic
and
rate
adjustments
necessary
to
remain
within
the
amount
appropriated
in
this
section
while
ensuring
compliance
with
federal
requirements.
The
department
may
adopt
emergency
rules
to
implement
the
provisions
of
this
subsection.
Sec.
54.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
program
pursuant
to
chapter
514I
,
including
supplemental
dental
services,
for
receipt
of
federal
financial
participation
under
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
children’s
health
insurance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,259,226
2.
Of
the
funds
appropriated
in
this
section,
$21,400
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
55.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,671,808
1.
Of
the
funds
appropriated
in
this
section,
$16,746,808
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13
.
2.
Nothing
in
this
section
shall
be
construed
or
is
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
to
persons
who
are
eligible
for
assistance
due
to
an
income
level
consistent
with
the
waiting
list
requirements
of
section
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
this
section
is
limited
to
the
extent
of
the
funds
appropriated
in
this
section.
3.
A
list
of
the
registered
and
licensed
child
care
House
File
653,
p.
94
facilities
operating
in
the
area
served
by
a
child
care
resource
and
referral
service
shall
be
made
available
to
the
families
receiving
state
child
care
assistance
in
that
area.
4.
Of
the
funds
appropriated
in
this
section,
$2,925,000
shall
be
credited
to
the
early
childhood
programs
grants
account
in
the
early
childhood
Iowa
fund
created
in
section
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
community-based
early
childhood
programs
targeted
to
children
from
birth
through
five
years
of
age
developed
by
early
childhood
Iowa
areas
in
accordance
with
approved
community
plans
as
provided
in
section
256I.8
.
5.
The
department
may
use
any
of
the
funds
appropriated
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
expanding
child
care
assistance
and
related
programs.
For
the
purpose
of
expenditures
of
state
and
federal
child
care
funding,
funds
shall
be
considered
obligated
at
the
time
expenditures
are
projected
or
are
allocated
to
the
department’s
service
areas.
Projections
shall
be
based
on
current
and
projected
caseload
growth,
current
and
projected
provider
rates,
staffing
requirements
for
eligibility
determination
and
management
of
program
requirements
including
data
systems
management,
staffing
requirements
for
administration
of
the
program,
contractual
and
grant
obligations
and
any
transfers
to
other
state
agencies,
and
obligations
for
decategorization
or
innovation
projects.
6.
A
portion
of
the
state
match
for
the
federal
child
care
and
development
block
grant
shall
be
provided
as
necessary
to
meet
federal
matching
funds
requirements
through
the
state
general
fund
appropriation
made
for
child
development
grants
and
other
programs
for
at-risk
children
in
section
279.51
.
7.
If
a
uniform
reduction
ordered
by
the
governor
under
section
8.31
or
other
operation
of
law,
transfer,
or
federal
funding
reduction
reduces
the
appropriation
made
in
this
section
for
the
fiscal
year,
the
percentage
reduction
in
the
amount
paid
out
to
or
on
behalf
of
the
families
participating
in
the
state
child
care
assistance
program
shall
be
equal
to
or
less
than
the
percentage
reduction
made
for
any
other
purpose
payable
from
the
appropriation
made
in
this
section
and
the
federal
funding
relating
to
it.
The
percentage
reduction
to
House
File
653,
p.
95
the
other
allocations
made
in
this
section
shall
be
the
same
as
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
change
of
the
federal
funding
reduction,
as
applicable.
If
there
is
an
unanticipated
increase
in
federal
funding
provided
for
state
child
care
assistance,
the
entire
amount
of
the
increase
shall
be
used
for
state
child
care
assistance
payments.
If
the
appropriations
made
for
purposes
of
the
state
child
care
assistance
program
for
the
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
requirements.
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
purposes
of
the
programs
developed
by
early
childhood
Iowa
areas,
advanced
for
purposes
of
wraparound
child
care,
or
received
from
the
federal
appropriations
made
for
the
purposes
of
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
56.
JUVENILE
INSTITUTION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
operation
of
the
state
training
school
at
Eldora
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,675,221
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
189.00
Of
the
funds
appropriated
in
this
subsection,
$45,575
shall
be
used
for
distribution
to
licensed
classroom
teachers
at
this
and
other
institutions
under
the
control
of
the
department
of
human
services
based
upon
the
average
student
yearly
enrollment
at
each
institution
as
determined
by
the
department.
2.
A
portion
of
the
moneys
appropriated
in
this
section
shall
be
used
by
the
state
training
school
at
Eldora
for
grants
for
adolescent
pregnancy
prevention
activities
at
the
institution
in
the
fiscal
year
beginning
July
1,
2018.
House
File
653,
p.
96
Sec.
57.
CHILD
AND
FAMILY
SERVICES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,639,687
2.
The
department
may
transfer
funds
appropriated
in
this
section
as
necessary
to
pay
the
nonfederal
costs
of
services
reimbursed
under
the
medical
assistance
program,
state
child
care
assistance
program,
or
the
family
investment
program
which
are
provided
to
children
who
would
otherwise
receive
services
paid
under
the
appropriation
in
this
section.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
for
field
operations
for
resources
necessary
to
implement
and
operate
the
services
funded
in
this
section.
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$17,868,324
is
allocated
as
the
statewide
expenditure
target
under
section
232.143
for
group
foster
care
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
the
excess
to
provide
additional
funding
for
shelter
care
or
the
child
welfare
emergency
services
addressed
with
the
allocation
for
shelter
care.
b.
If
at
any
time
after
September
30,
2018,
annualization
of
a
service
area’s
current
expenditures
indicates
a
service
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
target
under
section
232.143
by
more
than
5
percent,
the
department
and
juvenile
court
services
shall
examine
all
group
foster
care
placements
in
that
service
area
in
order
to
identify
those
which
might
be
appropriate
for
termination.
In
addition,
any
aftercare
services
believed
to
be
needed
for
the
children
whose
placements
may
be
terminated
shall
be
identified.
The
department
and
juvenile
court
services
shall
initiate
action
to
set
dispositional
review
hearings
for
the
placements
identified.
In
such
a
dispositional
review
hearing,
House
File
653,
p.
97
the
juvenile
court
shall
determine
whether
needed
aftercare
services
are
available
and
whether
termination
of
the
placement
is
in
the
best
interest
of
the
child
and
the
community.
4.
In
accordance
with
the
provisions
of
section
232.188
,
the
department
shall
continue
the
child
welfare
and
juvenile
justice
funding
initiative
during
fiscal
year
2018-2019.
Of
the
funds
appropriated
in
this
section,
$858,876
is
allocated
specifically
for
expenditure
for
fiscal
year
2018-2019
through
the
decategorization
services
funding
pools
and
governance
boards
established
pursuant
to
section
232.188
.
5.
A
portion
of
the
funds
appropriated
in
this
section
may
be
used
for
emergency
family
assistance
to
provide
other
resources
required
for
a
family
participating
in
a
family
preservation
or
reunification
project
or
successor
project
to
stay
together
or
to
be
reunified.
6.
Notwithstanding
section
234.35
or
any
other
provision
of
law
to
the
contrary,
state
funding
for
shelter
care
and
the
child
welfare
emergency
services
contracting
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
limited
to
$4,048,079.
7.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2018,
as
the
result
of
the
expenditure
of
state
funds
appropriated
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
services
and
purposes
provided
for
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$1,645,000
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
who
are
under
the
supervision
of
juvenile
court
services,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
$778,143
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232
,
of
which
House
File
653,
p.
98
not
more
than
$7,500
may
be
used
for
the
purpose
of
training.
A
portion
of
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
the
school
district
or
other
funding
source
as
approved
by
the
chief
juvenile
court
officer.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
children
who
are
under
the
supervision
of
the
department,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
c.
Notwithstanding
section
232.141
or
any
other
provision
of
law
to
the
contrary,
the
amounts
allocated
in
this
subsection
shall
be
distributed
to
the
judicial
districts
as
determined
by
the
state
court
administrator
and
to
the
department’s
service
areas
as
determined
by
the
administrator
of
the
department
of
human
services’
division
of
child
and
family
services.
The
state
court
administrator
and
the
division
administrator
shall
make
the
determination
of
the
distribution
amounts
on
or
before
June
15,
2018.
d.
Notwithstanding
chapter
232
or
any
other
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
any
service
which
is
a
charge
upon
the
state
pursuant
to
section
232.141
if
there
are
insufficient
court-ordered
services
funds
available
in
the
district
court
or
departmental
service
area
distribution
amounts
to
pay
for
the
service.
The
chief
juvenile
court
officer
and
the
departmental
service
area
manager
shall
encourage
use
of
the
funds
allocated
in
this
subsection
such
that
there
are
sufficient
funds
to
pay
for
all
court-related
services
during
the
entire
year.
The
chief
juvenile
court
officers
and
departmental
service
area
managers
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
in
the
distribution
amounts
and
shall
cooperatively
request
the
state
court
administrator
or
division
administrator
to
transfer
funds
between
the
judicial
districts’
or
departmental
service
areas’
distribution
amounts
as
prudent.
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
entered
under
chapter
232
which
is
a
charge
upon
the
state
under
section
232.141,
subsection
4
.
House
File
653,
p.
99
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$41,500
may
be
used
by
the
judicial
branch
for
administration
of
the
requirements
under
this
subsection.
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
shall
be
used
by
the
department
of
human
services
to
support
the
interstate
commission
for
juveniles
in
accordance
with
the
interstate
compact
for
juveniles
as
provided
in
section
232.173
.
9.
Of
the
funds
appropriated
in
this
section,
$6,126,613
is
allocated
for
juvenile
delinquent
graduated
sanctions
services.
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
services
administration
may
be
used
for
the
juvenile
delinquent
graduated
sanctions
services.
10.
Of
the
funds
appropriated
in
this
section,
$829,142
is
transferred
to
the
department
of
public
health
to
be
used
for
the
child
protection
center
grant
program
for
child
protection
centers
located
in
Iowa
in
accordance
with
section
135.118
.
The
grant
amounts
under
the
program
shall
be
equalized
so
that
each
center
receives
a
uniform
base
amount
of
$122,500,
so
that
$25,000
is
awarded
to
establish
a
satellite
child
protection
center
in
a
city
in
north
central
Iowa
that
is
the
county
seat
of
a
county
with
a
population
between
44,000
and
45,000
according
to
the
2010
federal
decennial
census,
and
so
that
the
remaining
funds
are
awarded
through
a
funding
formula
based
upon
the
volume
of
children
served.
11.
If
the
department
receives
federal
approval
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
Security
Act
to
enable
providers
to
serve
children
who
remain
in
the
children’s
families
and
communities,
for
purposes
of
eligibility
under
the
medical
assistance
program
through
25
years
of
age,
children
who
participate
in
the
waiver
shall
be
considered
to
be
placed
in
foster
care.
12.
Of
the
funds
appropriated
in
this
section,
$2,012,583
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46
.
13.
Of
the
funds
appropriated
in
this
section,
$113,668
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
nonprofit
human
services
organization
providing
services
to
House
File
653,
p.
100
individuals
and
families
in
multiple
locations
in
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
sensitive
support
and
forensic
interviews,
medical
exams,
needs
assessments,
and
referrals
for
victims
of
child
abuse
and
their
nonoffending
family
members.
14.
Of
the
funds
appropriated
in
this
section,
$150,310
is
allocated
for
the
foster
care
youth
council
approach
of
providing
a
support
network
to
children
placed
in
foster
care.
15.
Of
the
funds
appropriated
in
this
section,
$101,000
is
allocated
for
use
pursuant
to
section
235A.1
for
continuation
of
the
initiative
to
address
child
sexual
abuse
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
21
.
16.
Of
the
funds
appropriated
in
this
section,
$315,120
is
allocated
for
the
community
partnership
for
child
protection
sites.
17.
Of
the
funds
appropriated
in
this
section,
$185,625
is
allocated
for
the
department’s
minority
youth
and
family
projects
under
the
redesign
of
the
child
welfare
system.
18.
Of
the
funds
appropriated
in
this
section,
$568,297
is
allocated
for
funding
of
the
community
circle
of
care
collaboration
for
children
and
youth
in
northeast
Iowa.
19.
Of
the
funds
appropriated
in
this
section,
at
least
$73,579
shall
be
used
for
the
continuation
of
the
child
welfare
provider
training
academy,
a
collaboration
between
the
coalition
for
family
and
children’s
services
in
Iowa
and
the
department.
20.
Of
the
funds
appropriated
in
this
section,
$105,936
shall
be
used
for
continuation
of
the
central
Iowa
system
of
care
program
grant
through
June
30,
2019.
21.
Of
the
funds
appropriated
in
this
section,
$117,500
shall
be
used
for
the
public
purpose
of
the
continuation
and
expansion
of
a
system
of
care
program
grant
implemented
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
and
long-term
approach
for
helping
children
and
families
by
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
needs,
education
and
work,
family,
and
community.
22.
Of
the
funds
appropriated
in
this
section,
at
least
$12,500
shall
be
used
to
continue
and
to
expand
the
foster
House
File
653,
p.
101
care
respite
pilot
program
in
which
postsecondary
students
in
social
work
and
other
human
services-related
programs
receive
experience
by
assisting
family
foster
care
providers
with
respite
and
other
support.
23.
Of
the
funds
appropriated
in
this
section,
$55,000
shall
be
used
for
the
public
purpose
of
funding
community-based
services
and
other
supports
with
a
system
of
care
approach
for
children
with
a
serious
emotional
disturbance
and
their
families
through
a
nonprofit
provider
of
child
welfare
services
that
has
been
in
existence
for
more
than
115
years,
is
located
in
a
county
with
a
population
of
more
than
200,000
but
less
than
220,000
according
to
the
latest
certified
federal
census,
is
licensed
as
a
psychiatric
medical
institution
for
children,
and
was
a
system
of
care
grantee
prior
to
July
1,
2018.
Sec.
58.
ADOPTION
SUBSIDY.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
a.
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,388,955
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
of
the
following
purposes:
(a)
For
adoption
subsidy
payments
and
related
costs.
(b)
For
post-adoption
services
and
for
other
purposes
under
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
(2)
The
department
of
human
services
may
transfer
funds
appropriated
in
this
subsection
to
the
appropriation
for
child
and
family
services
in
this
Act
for
the
purposes
of
post-adoption
services
as
specified
in
this
paragraph
“b”.
c.
Notwithstanding
section
8.33,
moneys
corresponding
to
the
state
savings
resulting
from
implementation
of
the
federal
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
House
File
653,
p.
102
purposes
designated
in
this
subsection
until
expended.
The
amount
of
such
savings
and
any
corresponding
funds
remaining
at
the
close
of
the
fiscal
year
shall
be
determined
separately
and
any
changes
in
either
amount
between
fiscal
years
shall
not
result
in
an
unfunded
need.
2.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
general
administration
for
costs
paid
from
the
appropriation
relating
to
adoption
subsidy.
3.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2018,
as
the
result
of
the
expenditure
of
state
funds
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
the
services
and
activities
funded
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
59.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
in
the
juvenile
detention
home
fund
created
in
section
232.142
during
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
for
distribution
of
an
amount
equal
to
a
percentage
of
the
costs
of
the
establishment,
improvement,
operation,
and
maintenance
of
county
or
multicounty
juvenile
detention
homes
in
the
fiscal
year
beginning
July
1,
2017.
Moneys
appropriated
for
distribution
in
accordance
with
this
section
shall
be
allocated
among
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
fiscal
year
beginning
July
1,
2017.
The
percentage
figure
shall
be
determined
by
the
department
based
on
the
amount
available
for
distribution
for
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
financial
aid
payable
by
the
state
under
that
provision
for
the
fiscal
year
beginning
July
1,
2018,
shall
be
limited
to
the
amount
appropriated
for
the
purposes
of
this
section.
House
File
653,
p.
103
Sec.
60.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
family
support
subsidy
program
subject
to
the
enrollment
restrictions
in
section
225C.37,
subsection
3
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
534,641
2.
At
least
$393,750
of
the
moneys
appropriated
in
this
section
is
transferred
to
the
department
of
public
health
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
chapter
225C,
subchapter
V.
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
funding
available
for
the
family
support
subsidy
program
is
reduced
from
the
amount
initially
used
to
establish
the
figure
for
the
number
of
family
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
notwithstanding
section
225C.38,
subsection
2
,
the
department
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
of
funding
available.
Sec.
61.
CONNER
DECREE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
building
community
capacity
through
the
coordination
and
provision
of
training
opportunities
in
accordance
with
the
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
Sec.
62.
MENTAL
HEALTH
INSTITUTES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
a.
For
operation
of
the
state
mental
health
institute
at
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
House
File
653,
p.
104
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,935,127
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
162.00
b.
For
operation
of
the
state
mental
health
institute
at
Independence
as
required
by
chapters
218
and
226
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,756,810
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
204.00
2.
Notwithstanding
sections
218.78
and
249A.11,
any
revenue
received
from
the
state
mental
health
institute
at
Cherokee
or
the
state
mental
health
institute
at
Independence
pursuant
to
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
health
institute.
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
Medicaid
member
residing
at
the
state
mental
health
institute
at
Cherokee
or
the
state
mental
health
institute
at
Independence
shall
retain
Medicaid
eligibility
during
the
period
of
the
Medicaid
member’s
stay
for
which
federal
financial
participation
is
available.
Sec.
63.
STATE
RESOURCE
CENTERS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,943,890
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,038,517
2.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
intermediate
care
facilities
for
persons
with
an
intellectual
disability
services,
in
a
manner
which
does
not
shift
costs
between
the
medical
assistance
program,
counties,
or
other
sources
of
funding
for
the
state
resource
House
File
653,
p.
105
centers.
3.
The
state
resource
centers
may
expand
the
time-limited
assessment
and
respite
services
during
the
fiscal
year.
4.
If
the
department’s
administration
and
the
department
of
management
concur
with
a
finding
by
a
state
resource
center’s
superintendent
that
projected
revenues
can
reasonably
be
expected
to
pay
the
salary
and
support
costs
for
a
new
employee
position,
or
that
such
costs
for
adding
a
particular
number
of
new
positions
for
the
fiscal
year
would
be
less
than
the
overtime
costs
if
new
positions
would
not
be
added,
the
superintendent
may
add
the
new
position
or
positions.
If
the
vacant
positions
available
to
a
resource
center
do
not
include
the
position
classification
desired
to
be
filled,
the
state
resource
center’s
superintendent
may
reclassify
any
vacant
position
as
necessary
to
fill
the
desired
position.
The
superintendents
of
the
state
resource
centers
may,
by
mutual
agreement,
pool
vacant
positions
and
position
classifications
during
the
course
of
the
fiscal
year
in
order
to
assist
one
another
in
filling
necessary
positions.
5.
If
existing
capacity
limitations
are
reached
in
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
a
special
need
for
which
a
payment
source
or
other
funding
is
available
for
the
service
or
to
address
the
special
need,
and
facilities
for
the
service
or
to
address
the
special
need
can
be
provided
within
the
available
payment
source
or
other
funding,
the
superintendent
of
a
state
resource
center
may
authorize
opening
not
more
than
two
units
or
other
facilities
and
begin
implementing
the
service
or
addressing
the
special
need
during
fiscal
year
2018-2019.
Sec.
64.
SEXUALLY
VIOLENT
PREDATORS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
costs
associated
with
the
commitment
and
treatment
of
sexually
violent
predators
in
the
unit
located
at
the
state
mental
health
institute
at
Cherokee,
including
costs
of
legal
services
and
other
associated
costs,
including
salaries,
House
File
653,
p.
106
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,732,373
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
112.00
2.
Unless
specifically
prohibited
by
law,
if
the
amount
charged
provides
for
recoupment
of
at
least
the
entire
amount
of
direct
and
indirect
costs,
the
department
of
human
services
may
contract
with
other
states
to
provide
care
and
treatment
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
violent
predators
at
Cherokee.
The
moneys
received
under
such
a
contract
shall
be
considered
to
be
repayment
receipts
and
used
for
the
purposes
of
the
appropriation
made
in
this
section.
Sec.
65.
FIELD
OPERATIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
field
operations,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,242,217
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,583.00
Priority
in
filling
full-time
equivalent
positions
shall
be
given
to
those
positions
related
to
child
protection
services
and
eligibility
determination
for
low-income
families.
Sec.
66.
GENERAL
ADMINISTRATION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
general
administration,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,016,520
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
1.
The
department
shall
report
at
least
monthly
to
the
legislative
services
agency
concerning
the
department’s
operational
and
program
expenditures.
House
File
653,
p.
107
2.
Of
the
funds
appropriated
in
this
section,
$75,000
shall
be
used
to
continue
the
contract
for
the
provision
of
a
program
to
provide
technical
assistance,
support,
and
consultation
to
providers
of
habilitation
services
and
home
and
community-based
services
waiver
services
for
adults
with
disabilities
under
the
medical
assistance
program.
3.
Of
the
funds
appropriated
in
this
section,
$25,000
is
transferred
to
the
Iowa
finance
authority
to
be
used
for
administrative
support
of
the
council
on
homelessness
established
in
section
16.2D
and
for
the
council
to
fulfill
its
duties
in
addressing
and
reducing
homelessness
in
the
state.
4.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
transferred
to
and
deposited
in
the
administrative
fund
of
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
be
used
for
implementation
and
administration
activities
of
the
Iowa
ABLE
savings
plan
trust.
5.
Of
the
funds
appropriated
in
this
section,
$100,000
is
transferred
to
the
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
continue
to
be
used
for
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
for
member
recruitment
and
training
to
improve
the
economic
well-being
and
health
of
economically
disadvantaged
refugees
in
local
communities
across
Iowa.
Funds
transferred
may
be
used
to
supplement
federal
funds
under
federal
regulations.
6.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
to
continue
to
expand
the
provision
of
nationally
accredited
and
recognized
internet-based
training
to
include
mental
health
and
disability
services
providers.
Sec.
67.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
and
miscellaneous
purposes
at
facilities
under
the
purview
of
the
department
of
human
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,439,637
Sec.
68.
VOLUNTEERS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
House
File
653,
p.
108
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
Sec.
69.
GENERAL
REDUCTION.
For
the
period
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
department
of
human
services,
in
consultation
with
the
department
of
management,
shall
identify
and
implement
a
reduction
in
expenditures
made
from
appropriations
from
the
general
fund
to
the
department
of
human
services
in
the
amount
of
$733,651.
Sec.
70.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
2018,
case-mix,
non-case
mix,
and
special
population
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
methodology
in
effect
on
June
30,
2018.
(b)
For
managed
care
claims,
the
department
of
human
services
shall
adjust
the
payment
rate
floor
for
nursing
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
calculated
in
accordance
with
441
IAC
81.6.
The
department
shall
then
calculate
adjusted
reimbursement
rates,
including
but
not
limited
to
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
care
organizations
of
the
adjusted
reimbursement
rates
within
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
adjustment
of
reimbursement
rates
under
this
subparagraph
division
shall
be
budget
neutral
to
the
state
budget.
(2)
For
any
open
or
unsettled
nursing
facility
cost
report
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
beginning
July
1,
2017,
including
any
cost
report
remanded
on
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
or
x-ray
costs,
the
department
shall
offset
all
reported
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
received
from
Medicare
or
other
revenue
source
for
any
purpose.
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
report
is
not
considered
open
or
unsettled
if
the
facility
did
House
File
653,
p.
109
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
any
appeal
rights
initiated
have
been
exhausted.
b.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
the
department
shall
establish
the
pharmacy
dispensing
fee
reimbursement
at
$10.02
per
prescription,
until
a
cost
of
dispensing
survey
is
completed.
The
actual
dispensing
fee
shall
be
determined
by
a
cost
of
dispensing
survey
performed
by
the
department
and
required
to
be
completed
by
all
medical
assistance
program
participating
pharmacies
every
two
years,
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(2)
The
department
shall
utilize
an
average
acquisition
cost
reimbursement
methodology
for
all
drugs
covered
under
the
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
33
.
c.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
rates
for
outpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2018,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(2)
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
rates
for
inpatient
hospital
services
shall
be
rebased
effective
October
1,
2018,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(3)
For
the
fiscal
year
beginning
July
1,
2018,
the
graduate
medical
education
and
disproportionate
share
hospital
fund
shall
remain
at
the
amount
in
effect
on
June
30,
2018,
except
that
the
portion
of
the
fund
attributable
to
graduate
medical
education
shall
be
reduced
in
an
amount
that
reflects
the
elimination
of
graduate
medical
education
payments
made
to
out-of-state
hospitals.
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
funds
in
procuring
health
care
services
for
low-income
Iowans,
funds
appropriated
in
this
Act
for
hospital
services
shall
House
File
653,
p.
110
not
be
used
for
activities
which
would
be
excluded
from
a
determination
of
reasonable
costs
under
the
federal
Medicare
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
d.
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
rates
for
hospices
and
acute
mental
hospitals
shall
be
increased
in
accordance
with
increases
under
the
federal
Medicare
program
or
as
supported
by
their
Medicare
audited
costs.
e.
For
the
fiscal
year
beginning
July
1,
2018,
independent
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
using
the
same
methodology
in
effect
on
June
30,
2018.
f.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
rates
for
home
health
agencies
shall
continue
to
be
based
on
the
Medicare
low
utilization
payment
adjustment
(LUPA)
methodology
with
state
geographic
wage
adjustments.
The
department
shall
continue
to
update
the
rates
every
two
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
extent
possible
within
the
state
funding
appropriated
for
this
purpose.
(2)
For
the
fiscal
year
beginning
July
1,
2018,
rates
for
private
duty
nursing
and
personal
care
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
benefit
shall
be
calculated
based
on
the
methodology
in
effect
on
June
30,
2018.
g.
For
the
fiscal
year
beginning
July
1,
2018,
federally
qualified
health
centers
and
rural
health
clinics
shall
receive
cost-based
reimbursement
for
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
h.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rates
for
dental
services
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
i.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
rates
for
the
non-state-owned
psychiatric
medical
institution
for
children
shall
be
based
on
the
methodology
in
effect
on
June
30,
2018.
(2)
As
a
condition
of
participation
in
the
medical
assistance
program,
enrolled
providers
shall
accept
the
medical
assistance
reimbursement
rate
for
any
covered
goods
or
services
House
File
653,
p.
111
provided
to
recipients
of
medical
assistance
who
are
children
under
the
custody
of
a
psychiatric
medical
institution
for
children.
j.
For
the
fiscal
year
beginning
July
1,
2018,
unless
otherwise
specified
in
this
Act,
all
noninstitutional
medical
assistance
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2018,
except
for
area
education
agencies,
local
education
agencies,
infant
and
toddler
services
providers,
home
and
community-based
services
providers
including
consumer-directed
attendant
care
providers
under
a
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
providers,
and
those
providers
whose
rates
are
required
to
be
determined
pursuant
to
section
249A.20
.
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rate
for
anesthesiologists
shall
be
adjusted
to
implement
the
cost
containment
strategies
authorized
for
the
medical
assistance
program
in
this
2017
Act.
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
beginning
July
1,
2018,
the
average
reimbursement
rate
for
health
care
providers
eligible
for
use
of
the
federal
Medicare
resource-based
relative
value
scale
reimbursement
methodology
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
June
30,
2018;
however,
this
rate
shall
not
exceed
the
maximum
level
authorized
by
the
federal
government.
m.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rate
for
residential
care
facilities
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
The
flat
reimbursement
rate
for
facilities
electing
not
to
file
annual
cost
reports
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
n.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rates
for
inpatient
mental
health
services
provided
at
hospitals
shall
be
rebased
effective
October
1,
2018,
subject
to
Medicaid
program
upper
payment
limit
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
House
File
653,
p.
112
program
fee-for-service
rate
in
effect
on
June
30,
2018.
o.
For
the
fiscal
year
beginning
July
1,
2018,
community
mental
health
centers
may
choose
to
be
reimbursed
for
the
services
provided
to
recipients
of
medical
assistance
through
either
of
the
following
options:
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
(2)
In
accordance
with
the
alternative
reimbursement
rate
methodology
approved
by
the
department
of
human
services
in
effect
on
June
30,
2018.
p.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rate
for
providers
of
family
planning
services
that
are
eligible
to
receive
a
90
percent
federal
match
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
for
the
fiscal
year
beginning
July
1,
2018,
the
upper
limits
and
reimbursement
rates
for
providers
of
home
and
community-based
services
waiver
services
shall
be
reimbursed
using
the
reimbursement
methodology
in
effect
on
June
30,
2018.
r.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rates
for
emergency
medical
service
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
s.
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
rates
for
substance-related
disorder
treatment
programs
licensed
under
section
125.13
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
2.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rate
for
providers
reimbursed
under
the
in-home-related
care
program
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
3.
Unless
otherwise
directed
in
this
section,
when
the
department’s
reimbursement
methodology
for
any
provider
reimbursed
in
accordance
with
this
section
includes
an
inflation
factor,
this
factor
shall
not
exceed
the
amount
by
which
the
consumer
price
index
for
all
urban
consumers
increased
during
the
calendar
year
ending
December
31,
2002.
4.
Notwithstanding
section
234.38,
for
the
fiscal
year
beginning
July
1,
2018,
the
foster
family
basic
daily
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
House
File
653,
p.
113
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
children
ages
6
through
11
years
shall
be
$17.43,
the
rate
for
children
ages
12
through
15
years
shall
be
$19.10,
and
the
rate
for
children
and
young
adults
ages
16
and
older
shall
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
care,
the
preparation
for
adult
living
program
maintenance
rate
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
disallowance
of
additional
amounts
for
court
costs
and
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408
,
shall
be
continued.
5.
For
the
fiscal
year
beginning
July
1,
2018,
the
maximum
reimbursement
rates
for
social
services
providers
under
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2018,
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
each
service,
whichever
is
less.
However,
if
a
new
service
or
service
provider
is
added
after
June
30,
2018,
the
initial
reimbursement
rate
for
the
service
or
provider
shall
be
based
upon
a
weighted
average
of
provider
rates
for
similar
services.
6.
a.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rates
for
resource
family
recruitment
and
retention
contractors
shall
be
established
by
contract.
b.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rates
for
supervised
apartment
living
foster
care
providers
shall
be
established
by
contract.
7.
a.
For
the
purposes
of
this
subsection,
“combined
reimbursement
rate”
means
the
combined
service
and
maintenance
reimbursement
rate
for
a
service
level
under
the
department’s
reimbursement
methodology.
Effective
July
1,
2018,
the
combined
reimbursement
rate
for
a
group
foster
care
service
level
shall
be
the
amount
designated
in
this
subsection.
However,
if
a
group
foster
care
provider’s
reimbursement
rate
for
a
service
level
as
of
June
30,
2018,
is
more
than
the
rate
designated
in
this
subsection,
the
provider’s
reimbursement
shall
remain
at
the
higher
rate.
b.
Unless
a
group
foster
care
provider
is
subject
to
the
exception
provided
in
paragraph
“a”,
effective
July
1,
2018,
the
combined
reimbursement
rates
for
the
service
levels
under
the
department’s
reimbursement
methodology
shall
be
as
follows:
House
File
653,
p.
114
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
be
at
least
$84.17.
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
shall
be
at
least
$119.09.
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
be
at
least
$131.09.
8.
The
group
foster
care
reimbursement
rates
paid
for
placement
of
children
out
of
state
shall
be
calculated
according
to
the
same
rate-setting
principles
as
those
used
for
in-state
providers,
unless
the
director
of
human
services
or
the
director’s
designee
determines
that
appropriate
care
cannot
be
provided
within
the
state.
The
payment
of
the
daily
rate
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
which
service
is
provided.
9.
a.
For
the
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
emergency
services
implemented
to
provide
or
prevent
the
need
for
shelter
care
shall
be
established
by
contract.
b.
For
the
fiscal
year
beginning
July
1,
2018,
the
combined
service
and
maintenance
components
of
the
reimbursement
rate
paid
for
shelter
care
services
shall
be
based
on
the
financial
and
statistical
report
submitted
to
the
department.
The
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
department
shall
reimburse
a
shelter
care
provider
at
the
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
to
exceed
the
maximum
reimbursement
rate.
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
fiscal
year
beginning
July
1,
2018,
the
amount
of
the
statewide
average
of
the
actual
and
allowable
rates
for
reimbursement
of
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
2017.
10.
For
the
fiscal
year
beginning
July
1,
2018,
the
department
shall
calculate
reimbursement
rates
for
intermediate
care
facilities
for
persons
with
an
intellectual
disability
at
the
80th
percentile.
Beginning
July
1,
2018,
the
rate
calculation
methodology
shall
utilize
the
consumer
price
index
inflation
factor
applicable
to
the
fiscal
year
beginning
July
House
File
653,
p.
115
1,
2018.
11.
For
the
fiscal
year
beginning
July
1,
2018,
for
child
care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
provider
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004.
Effective
July
1,
2018,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
The
department
shall
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
nonregistered
provider
to
become
registered
by
applying
the
increase
only
to
registered
and
licensed
providers.
12.
For
the
fiscal
year
beginning
July
1,
2018,
affected
providers
or
services
shall
be
reimbursed
as
follows:
a.
For
fee-for-service
claims,
reimbursement
shall
be
calculated
based
on
the
methodology
otherwise
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
2018,
for
the
respective
provider
or
service.
b.
For
claims
subject
to
a
managed
care
contract
with
the
exception
of
any
provider
or
service
to
which
a
reimbursement
increase
is
applicable
for
the
fiscal
year
under
this
section,
reimbursement
shall
be
based
on
the
methodology
established
by
the
managed
care
contract.
However,
any
rate
or
reimbursement
established
under
such
contract
shall
not
be
lower
than
the
rate
or
reimbursement
floor
established
by
the
department
of
human
services
as
the
managed
care
organization
rate
or
reimbursement
floor
for
a
respective
provider
or
service
in
effect
on
April
1,
2016.
13.
Notwithstanding
any
provision
to
the
contrary,
reimbursement
rates
and
methodologies
under
this
section
may
be
adjusted
as
necessary
to
implement
the
cost
containment
strategies
authorized
for
the
medical
assistance
program
in
this
2017
Act.
14.
The
department
may
adopt
emergency
rules
to
implement
this
section.
Sec.
71.
EMERGENCY
RULES.
1.
If
specifically
authorized
by
a
provision
of
this
division
of
this
Act,
the
department
of
human
services
or
the
mental
health
and
disability
services
commission
may
adopt
administrative
rules
under
section
17A.4,
subsection
House
File
653,
p.
116
3
,
and
section
17A.5,
subsection
2,
paragraph
“b”
,
to
implement
the
provisions
of
this
division
of
this
Act
and
the
rules
shall
become
effective
immediately
upon
filing
or
on
a
later
effective
date
specified
in
the
rules,
unless
the
effective
date
of
the
rules
is
delayed
or
the
applicability
of
the
rules
is
suspended
by
the
administrative
rules
review
committee.
Any
rules
adopted
in
accordance
with
this
section
shall
not
take
effect
before
the
rules
are
reviewed
by
the
administrative
rules
review
committee.
The
delay
authority
provided
to
the
administrative
rules
review
committee
under
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
shall
be
applicable
to
a
delay
imposed
under
this
section,
notwithstanding
a
provision
in
those
sections
making
them
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”
.
Any
rules
adopted
in
accordance
with
the
provisions
of
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4
.
2.
If
during
a
fiscal
year,
the
department
of
human
services
is
adopting
rules
in
accordance
with
this
section
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
rules
will
result
in
an
expenditure
increase
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
expenditure
was
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
department
shall
notify
the
persons
designated
by
this
division
of
this
Act
for
submission
of
reports,
the
chairpersons
and
ranking
members
of
the
committees
on
appropriations,
and
the
department
of
management
concerning
the
rules
and
the
expenditure
increase.
The
notification
shall
be
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
administrative
rules
coordinator
and
the
administrative
code
editor.
Sec.
72.
REPORTS.
Any
reports
or
other
information
required
to
be
compiled
and
submitted
under
this
Act
during
the
fiscal
year
beginning
July
1,
2018,
shall
be
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
the
legislative
services
agency,
and
the
legislative
caucus
staffs
on
or
before
the
dates
specified
for
submission
of
the
reports
or
information.
House
File
653,
p.
117
Sec.
73.
TRANSFER
OF
MEDICAID
MODERNIZATION
SAVINGS
BETWEEN
APPROPRIATIONS
FY
2018-2019.
Notwithstanding
section
8.39,
subsection
1,
for
the
fiscal
year
beginning
July
1,
2018,
if
savings
resulting
from
the
governor’s
Medicaid
modernization
initiative
accrue
to
the
medical
contracts
or
children’s
health
insurance
program
appropriation
from
the
general
fund
of
the
state
and
not
to
the
medical
assistance
appropriation
from
the
general
fund
of
the
state
under
this
division
of
this
Act,
such
savings
may
be
transferred
to
such
medical
assistance
appropriation
for
the
same
fiscal
year
without
prior
written
consent
and
approval
of
the
governor
and
the
director
of
the
department
of
management.
The
department
of
human
services
shall
report
any
transfers
made
pursuant
to
this
section
to
the
legislative
services
agency.
Sec.
74.
EFFECTIVE
UPON
ENACTMENT.
The
following
provisions
of
this
division
of
this
Act,
being
deemed
of
immediate
importance,
take
effect
upon
enactment:
1.
The
provision
relating
to
section
232.141
and
directing
the
state
court
administrator
and
the
division
administrator
of
the
department
of
human
services
division
of
child
and
family
services
to
make
the
determination,
by
June
15,
2018,
of
the
distribution
of
funds
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
which
are
a
charge
upon
the
state.
DIVISION
XII
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2018-2019
Sec.
75.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
Notwithstanding
any
provision
of
law
to
the
contrary,
to
supplement
the
appropriations
made
in
this
Act
for
medical
contracts
under
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
Sec.
76.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
House
File
653,
p.
118
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
quality
assurance
trust
fund
created
in
section
249L.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,352,604
Sec.
77.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
hospital
health
care
access
trust
fund
created
in
section
249M.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,960,277
Sec.
78.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
FOR
FY
2018-2019.
Notwithstanding
section
8.33
,
if
moneys
appropriated
for
purposes
of
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
the
general
fund
of
the
state,
the
quality
assurance
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
expenditures
for
the
medical
assistance
program
and
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
of
the
medical
assistance
program
until
the
close
of
the
succeeding
fiscal
year.
DIVISION
XIII
CHILD
CARE
FACILITY
FUND
——
USE
FOR
FIELD
OPERATIONS
Sec.
79.
CHILD
CARE
FACILITY
FUND
——
USE
FOR
FIELD
OPERATIONS.
Notwithstanding
section
237A.4A,
subsection
5,
Code
2017,
for
the
fiscal
year
beginning
July
1,
2017,
and
House
File
653,
p.
119
ending
June
30,
2018,
in
addition
to
the
costs
of
dedicated
staffing
to
perform
the
duties
described
in
section
237A.4A,
up
to
$590,082
of
the
moneys
in
the
child
care
facility
fund
may
be
used
by
the
department
of
human
services
for
additional
expenditures
of
the
child
care
regulatory
unit
within
the
department’s
field
operations.
Sec.
80.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XIV
BIOLOGICS
AND
GENETICALLY
TARGETED
DRUGS
——
MEDICAID
Sec.
81.
Section
249A.20A,
subsection
3,
Code
2017,
is
amended
to
read
as
follows:
3.
a.
The
pharmaceutical
and
therapeutics
committee
shall
recommend
a
preferred
drug
list
to
the
department.
b.
The
committee
shall
develop
the
preferred
drug
list
by
considering
each
drug’s
clinically
meaningful
therapeutic
advantages
in
terms
of
safety,
effectiveness,
and
clinical
outcome.
c.
The
committee
shall
use
evidence-based
research
methods
in
selecting
the
drugs
to
be
included
on
the
preferred
drug
list.
d.
When
making
recommendations
or
determinations
regarding
beneficiary
access
to
drugs
and
biological
products
for
rare
diseases,
as
defined
in
the
federal
Orphan
Drug
Act
of
1983,
Pub.
L.
No.
97-414,
and
drugs
and
biological
products
that
are
genetically
targeted,
the
committee
shall
request
and
consider
information
from
individuals
who
possess
scientific
or
medical
training
with
respect
to
the
drug,
biological
product,
or
rare
disease.
e.
The
committee
shall
periodically
review
all
drug
classes
included
on
the
preferred
drug
list
and
may
amend
the
list
to
ensure
that
the
list
provides
for
medically
appropriate
drug
therapies
for
medical
assistance
recipients
and
achieves
cost
savings
to
the
medical
assistance
program.
f.
The
department
may
procure
a
sole
source
contract
with
an
outside
entity
or
contractor
to
provide
professional
administrative
support
to
the
pharmaceutical
and
therapeutics
committee
in
researching
and
recommending
drugs
to
be
placed
on
House
File
653,
p.
120
the
preferred
drug
list.
Sec.
82.
Section
249A.24,
Code
2017,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
2A.
When
making
recommendations
or
determinations
regarding
beneficiary
access
to
drugs
and
biological
products
for
rare
diseases,
as
defined
in
the
federal
Orphan
Drug
Act
of
1983,
Pub.
L.
No.
97-414,
and
drugs
and
biological
products
that
are
genetically
targeted,
the
commission
shall
request
and
consider
information
from
individuals
who
possess
scientific
or
medical
training
with
respect
to
the
drug,
biological
product,
or
rare
disease.
DIVISION
XV
PUBLIC
ASSISTANCE
PROGRAMS
OVERSIGHT
Sec.
83.
2017
Iowa
Acts,
House
File
531,
section
2,
subsection
1,
as
enacted,
is
amended
to
read
as
follows:
1.
The
department
of
human
services
shall
review
state
efforts,
including
pilot
programs
related
to
data
sharing
between
states
and
technology-based
solutions
designed
to
curb
interstate
dual
participation,
to
address
program
integrity
for
public
assistance
programs
including
Medicaid,
the
family
investment
program
(FIP),
the
supplemental
nutrition
assistance
program
(SNAP),
and
the
child
care
assistance
program.
As
part
of
the
review,
the
department
shall
explore
opportunities
to
join
existing
pilot
efforts
in
collaboration
with
other
states
including
the
effort
involving
the
national
accuracy
clearinghouse,
or
to
develop
a
separate
pilot
effort
in
Iowa.
Sec.
84.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
85.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
applies
retroactively
to
March
30,
2017.
DIVISION
XVI
BACKGROUND
CHECK
PRIVATE
SECTOR
ALTERNATIVES
Sec.
86.
BACKGROUND
CHECK
——
PRIVATE
SECTOR
ALTERNATIVES.
The
department
of
human
services
and
the
department
of
public
safety
shall
jointly
review
private
sector
alternatives
to
the
performance
of
state
mandated
criminal
background
checks
currently
performed
solely
by
the
department
of
public
safety.
The
departments
shall
submit
a
report
to
House
File
653,
p.
121
the
governor
and
the
general
assembly
by
December
15,
2017,
including
a
description
of
the
process
used
in
reviewing
private
sector
alternatives
to
perform
criminal
background
checks,
the
findings
from
the
review,
and
recommendations
for
utilizing
private
sector
entities
as
an
alternative
to
the
department
of
public
safety
in
performing
criminal
background
checks.
DIVISION
XVII
PSYCHIATRIC
BED
TRACKING
SYSTEM
Sec.
87.
DEPARTMENT
OF
HUMAN
SERVICES
PSYCHIATRIC
BED
TRACKING
SYSTEM.
The
department
of
human
services
shall
amend
its
administrative
rules
pursuant
to
chapter
17A
to
require
the
state
mental
health
institutes
and
hospitals
licensed
to
provide
inpatient
psychiatric
treatment
and
services
to
participate
in
the
psychiatric
bed
tracking
system
and
to
ensure
updates
are
made,
at
a
minimum,
two
times
per
day
to
the
psychiatric
bed
tracking
system.
Updates
shall
include
information
on
the
availability
of
inpatient
child,
adult,
and
geriatric
psychiatric
beds
staffed
and
available
and
information
on
the
gender
that
can
be
accepted
for
each
available
bed.
DIVISION
XVIII
CHILDREN’S
WELL-BEING
COLLABORATIVES
AND
ADVISORY
COMMITTEE
Sec.
88.
CHILDREN’S
WELL-BEING
COLLABORATIVES
——
GRANTS.
1.
The
department
of
human
services
shall
establish
a
request
for
proposals
process
which
shall
be
based
upon
recommendations
for
the
development
and
implementation
of
children’s
well-being
collaboratives
described
in
the
children’s
mental
health
study
report
submitted
by
the
department
to
the
general
assembly
on
December
15,
2016.
2.
A
well-being
collaborative
shall
consist
of
a
broad-based
group
of
entities
in
a
defined
geographical
area
represented
by
a
lead
agency.
Entities
in
the
well-being
collaborative
shall
include
a
broad-based
representation
of
key
providers
including
but
not
limited
to
providers
of
prevention
and
early
intervention
services
and
mental
health
services
to
the
target
population.
3.
A
well-being
collaborative
shall
be
responsible
for
developing
interagency
coordination
and
collaboration
for
House
File
653,
p.
122
the
provision
of
prevention
and
early
intervention
services
within
the
designated
geographic
area
and
shall,
at
a
minimum,
demonstrate
all
of
the
following:
a.
Experience
and
a
strong
understanding
of
how
best
to
engage
children
and
families
to
achieve
positive
mental
health
and
well-being
outcomes.
b.
An
ability
to
provide
or
administer
prevention
services
for
the
improvement
of
children’s
mental
health
and
well-being.
c.
Experience
and
effectiveness
in
coordinating
the
collaborative
efforts
of
multiple
stakeholders
working
toward
a
common
goal
of
improving
the
effectiveness
of
the
group’s
efforts
to
achieve
measurable
improved
outcomes.
4.
A
well-being
collaborative
shall
build
and
maintain
intentional
collaboration
among
all
entities
with
the
goal
of
providing
measurable
improvements
in
outcomes
for
children
and
families.
5.
A
well-being
collaborative
shall
build
and
improve
coordination
and
effectiveness
among
entities
to
develop
and
provide
primary,
secondary,
and
tertiary
prevention
and
early
intervention
services
that
are
nonduplicative
and
that
are
aligned
to
meet
the
needs
of
children
and
families
in
the
geographic
area.
6.
A
well-being
collaborative
shall
provide
technical
assistance
to
a
diverse
array
of
stakeholders,
facilitate
the
distribution
of
public
awareness
materials
that
include
information
aimed
at
reducing
the
stigma
of
mental
illness,
and
provide
updates
on
changes
in
state
and
federal
policy
in
relation
to
prevention
and
early
intervention
efforts
concerning
children’s
mental
health
and
well-being.
7.
A
well-being
collaborative
shall
establish
or
enhance
collaborative
efforts
in
all
of
the
following
areas:
a.
The
selection
and
implementation
of
evidence-based
or
promising
prevention
and
early
intervention
models.
b.
Understanding
funding
sources
and
how
to
utilize
available
funding
most
effectively.
c.
The
adoption
or
development,
implementation,
and
analysis
of
community
needs
assessments.
d.
The
development,
implementation,
and
analysis
of
a
community
work
plan
based
on
the
results
of
the
community
needs
House
File
653,
p.
123
assessment.
e.
The
adoption
or
development
and
implementation
of
a
uniform
family
assessment.
f.
The
utilization
of
research
and
data
analysis
to
guide
the
work
of
the
well-being
collaborative.
g.
The
provision
of
culturally
competent
services
and
the
ability
to
address
issues
relating
to
the
disproportionate
representation
of
a
population
group.
h.
The
development
of
public
awareness
and
training
programs,
including
programs
aimed
at
reducing
the
stigma
of
mental
illness.
i.
The
recruitment
and
retention
of
members
in
the
well-being
collaborative
with
a
focus
on
achieving
the
goals
and
outcomes
of
the
collaborative
and
supporting
all
members
in
the
collaborative.
8.
Each
grantee
shall
submit
reports
to
the
department
of
human
services
by
December
15,
2017,
and
April
15,
2018,
to
include
information
relating
to
the
accomplishments
and
future
plans
of
each
well-being
collaborative.
Sec.
89.
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
ADVISORY
COMMITTEE.
The
department
of
human
services
shall
create
and
provide
support
to
a
children’s
mental
health
and
well-being
advisory
committee
to
continue
efforts
relating
to
improving
children’s
mental
health
crisis
services
and
children’s
well-being
learning
labs
and
supporting
the
children’s
well-being
collaboratives.
DIVISION
XIX
STATE
FAMILY
PLANNING
SERVICES
PROGRAM
Sec.
90.
NEW
SECTION
.
217.41B
State
family
planning
services
program
——
establishment
——
discontinuation
of
Medicaid
family
planning
network
waiver.
1.
The
department
of
human
services
shall
discontinue
the
Medicaid
family
planning
network
waiver
effective
July
1,
2017,
and
shall
instead
establish
a
state
family
planning
services
program.
The
state
program
shall
replicate
the
eligibility
requirements
and
other
provisions
included
in
the
Medicaid
family
planning
network
waiver
as
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
in
effect
on
June
30,
2017.
House
File
653,
p.
124
2.
Distribution
of
family
planning
services
program
funds
under
this
section
shall
be
made
in
a
manner
that
continues
access
to
family
planning
services.
3.
Distribution
of
family
planning
services
program
funds
shall
not
be
made
to
any
entity
that
performs
abortions
or
that
maintains
or
operates
a
facility
where
abortions
are
performed.
For
the
purposes
of
this
section,
“abortion”
does
not
include
any
of
the
following:
a.
The
treatment
of
a
woman
for
a
physical
disorder,
physical
injury,
or
physical
illness,
including
a
life-endangering
physical
condition
caused
by
or
arising
from
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
place
the
woman
in
danger
of
death.
b.
The
treatment
of
a
woman
for
a
spontaneous
abortion,
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
of
human
conception
are
expelled.
4.
Family
planning
services
program
funds
distributed
in
accordance
with
this
section
shall
not
be
used
for
direct
or
indirect
costs,
including
but
not
limited
to
administrative
costs
or
expenses,
overhead,
employee
salaries,
rent,
and
telephone
and
other
utility
costs,
related
to
providing
abortions
as
specified
in
subsection
3.
Sec.
91.
EMERGENCY
RULES.
The
department
of
human
services
may
adopt
emergency
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
the
provisions
of
this
division
of
this
Act,
and
the
rules
shall
be
effective
immediately
upon
filing
unless
a
later
date
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
with
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4.
Sec.
92.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XX
MEDICAID
HOME
AND
COMMUNITY-BASED
SERVICES
PROVIDERS
——
TIERED
RATES
AND
DOCUMENTATION
CHANGES
Sec.
93.
MEDICAID
HOME
AND
COMMUNITY-BASED
SERVICES
PROVIDERS
——
TIERED
RATES
AND
DOCUMENTATION
CHANGES
——
EMERGENCY
RULES.
House
File
653,
p.
125
1.
Beginning
July
1,
2017,
the
department
of
human
services
shall
discontinue
application
of
the
retrospectively
limited
cost
settlement
methodology
based
on
submission
of
required
cost
reports
under
441
IAC
79.1,
and
shall
implement
tiered
rates
for
providers
of
supported
community
living,
day
habilitation
and
adult
day
services
for
persons
with
an
intellectual
disability
under
the
home
and
community-based
services
waiver
program.
The
tiered
rates
shall
be
implemented
in
a
phased-in
approach
to
accommodate
transition
of
providers
to
the
revised
reimbursement
model.
The
department
of
human
services
and
Medicaid
managed
care
organizations
may
also
establish
tiered
rates
for
other
services.
2.
The
department
of
human
services
shall
amend
441
IAC
24.4
relating
to
standards
of
service
for
providers
of
services
to
persons
with
mental
illness,
intellectual
disabilities,
or
developmental
disabilities
pursuant
to
chapter
225C
and
441
IAC
79.3(2)
relating
to
medical
clinical
records
for
providers
of
services
under
the
Medicaid
program
pursuant
to
chapter
249A,
to
provide,
effective
November
1,
2017,
that
in
addition
to
allowing
documentation
of
the
provision
of
services
or
standards
of
service
in
a
narrative
format,
the
following
providers
may
also
provide
documentation
in
a
checkbox
form
format
in
accordance
with
the
provider’s
organizational
policies
and
procedures
and
in
compliance
with
procedures
established
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services:
a.
Advanced
registered
nurse
practitioners.
b.
Psychologists.
c.
Community
mental
health
centers.
d.
Home
and
community-based
habilitation
services
providers.
e.
Behavioral
health
intervention.
f.
Case
management
services
including
home
and
community-based
services
case
management
services.
g.
Home
and
community-based
services
waiver
services.
h.
Behavioral
health
services.
i.
Community-based
neurobehavioral
rehabilitation
residential
services
and
intermittent
services.
3.
The
department
of
human
services
may
adopt
emergency
House
File
653,
p.
126
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
the
provisions
of
this
division
of
this
Act,
and
the
rules
shall
be
effective
immediately
upon
filing
unless
a
later
date
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
with
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4.
Sec.
94.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XXI
TELEHEALTH
PARITY
INTERIM
COMMITTEE
Sec.
95.
TELEHEALTH
PARITY
INTERIM
COMMITTEE.
1.
The
legislative
council
is
requested
to
establish
a
study
committee
for
the
2017
interim
to
examine
issues
relating
to
telehealth
parity
for
private
insurance
and
state
employee
health
plans.
The
study
committee
shall
consult
with
stakeholders
to
evaluate
the
benefits
of
telehealth
parity
within
the
context
of
the
needs
of
Iowans
such
as
access
to
health
care,
review
existing
policies
related
to
telehealth
reimbursement
and
the
impact
on
private
insurance
and
state
employee
health
plans,
consider
the
costs
associated
with
telehealth
service
utilization,
consider
telehealth’s
potential
impact
to
economic
development
opportunities
for
Iowa’s
rural
communities,
and
evaluate
obstacles
such
as
broadband
accessibility.
2.
The
members
of
the
committee
shall
include:
a.
Ten
members
of
the
general
assembly
as
voting
members.
(1)
Three
members
shall
be
appointed
by
the
majority
leader
of
the
senate,
two
by
the
minority
leader
of
the
senate,
three
by
the
speaker
of
the
house
of
representatives,
and
two
by
the
minority
leader
of
the
house
of
representatives.
(2)
The
legislators
appointed
shall
include:
(a)
The
chairpersons
and
ranking
members
of
the
general
assembly’s
committees
on
human
resources
or
a
member
of
the
committee
designated
by
the
chairperson
or
ranking
member.
(b)
The
co-chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
or
a
member
of
the
subcommittee
designated
by
the
co-chairperson
or
House
File
653,
p.
127
ranking
member.
b.
One
representative
of
each
of
the
following
organizations
as
nonvoting
members:
(1)
The
signal
center
for
health
innovation.
(2)
The
Iowa
hospital
association.
(3)
An
independent
medical
clinic.
(4)
The
Iowa
medical
society.
(5)
The
Iowa
health
care
association.
(6)
The
federation
of
Iowa
insurers.
(7)
AARP
Iowa.
(8)
The
Iowa
telecommunications
association.
(9)
A
mental
health
and
disability
services
region.
c.
The
following
agency
directors
or
commissioner
as
ex
officio
nonvoting
members:
(1)
The
director
of
public
health,
or
the
director’s
designee.
(2)
The
director
of
the
department
of
administrative
services,
or
the
director’s
designee.
(3)
The
director
of
the
department
on
aging,
or
the
director’s
designee.
(4)
The
commissioner
of
insurance
or
the
commissioner’s
designee.
3.
The
interim
committee
may
request
information
and
assistance
from
state
agencies
as
applicable
to
the
purpose
of
the
interim
committee,
as
needed
to
complete
the
work
of
the
interim
committee.
4.
The
interim
committee
shall
submit
its
findings
and
recommendations
to
the
general
assembly
by
December
15,
2017,
for
consideration
during
the
2018
legislative
session.
DIVISION
XXII
ALZHEIMER’S
AND
OTHER
FORMS
OF
DEMENTIA
——
HEALTH
AND
RESILIENCE
OUTREACH
(HERO)
PROJECT
——
DEMENTIA-SPECIFIC
CARE
Sec.
96.
HERO
PROJECT.
The
department
of
public
health
shall
collaborate
with
stakeholders
that
support
individuals
with
Alzheimer’s
disease
to
identify
funding
opportunities
to
support
the
health
and
resilience
outreach
(HERO)
project
for
individuals
caring
for
a
family
member
with
Alzheimer’s
or
other
forms
of
dementia.
Sec.
97.
ACCESS
TO
DEMENTIA-SPECIFIC
CARE.
The
department
House
File
653,
p.
128
on
aging,
the
department
of
public
health,
the
department
of
inspections
and
appeals,
and
the
department
of
human
services
shall
jointly
analyze
and
make
recommendations
regarding
options
for
coordination
between
state
agencies
and
private
entities
to
promote
increased
access
to
dementia-specific
care
in
both
residential
and
home
and
community-based
settings.
The
analyses
and
recommendations
shall
address
barriers
to,
gaps
in,
and
opportunities
for
increased
access,
the
availability
of
services
in
home
and
community-based
settings
as
an
alternative
to
residential
settings,
and
any
changes
in
law
necessary
to
better
address
the
needs
of
individuals
with
dementia
and
their
families.
The
departments
shall
submit
a
joint
report
of
findings
and
recommendations
to
the
governor
and
the
general
assembly
by
December
15,
2017.
DIVISION
XXIII
OFFICE
OF
MINORITY
AND
MULTICULTURAL
HEALTH
——
REPEAL
Sec.
98.
Section
135.159,
subsection
3,
paragraph
i,
Code
2017,
is
amended
to
read
as
follows:
i.
For
children,
coordinate
with
and
integrate
guidelines,
data,
and
information
from
existing
newborn
and
child
health
programs
and
entities,
including
but
not
limited
to
the
healthy
opportunities
for
parents
to
experience
success
–
healthy
families
Iowa
program,
the
early
childhood
Iowa
initiative,
the
center
for
congenital
and
inherited
disorders
screening
and
health
care
programs,
standards
of
care
for
pediatric
health
guidelines,
the
office
of
minority
and
multicultural
health
established
in
section
135.12
,
the
oral
health
bureau
established
in
section
135.15
,
and
other
similar
programs
and
services.
Sec.
99.
REPEAL.
Section
135.12,
Code
2017,
is
repealed.
DIVISION
XXIV
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS
ADOPTION
SUBSIDY
PAYMENTS
AND
SERVICES
Sec.
100.
2015
Iowa
Acts,
chapter
137,
section
139,
subsection
1,
as
amended
by
2016
Iowa
Acts,
chapter
1139,
section
17,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
c.
Notwithstanding
section
8.33,
moneys
corresponding
to
the
state
savings
resulting
from
implementation
of
the
federal
Fostering
Connections
to
Success
House
File
653,
p.
129
and
Increasing
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
purposes
designated
in
this
subsection
until
expended.
The
amount
of
such
savings
and
any
corresponding
funds
remaining
at
the
close
of
the
fiscal
year
shall
be
determined
separately
and
any
changes
in
either
amount
between
fiscal
years
shall
not
result
in
an
unfunded
need.
DECATEGORIZATION
Sec.
101.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
pool
that
remained
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2014,
and
were
deemed
carryover
funding
to
remain
available
for
the
two
succeeding
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2016,
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2017.
Sec.
102.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
103.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
applies
retroactively
to
July
1,
2016.
DIVISION
XXV
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
AND
IOWACARE
ACCOUNT
——
BALANCES
——
REVERSIONS
Sec.
104.
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
AND
IOWACARE
ACCOUNT
——
AVAILABILITY
——
REVERSIONS.
Notwithstanding
any
provision
of
law
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
there
is
appropriated
from
the
IowaCare
account
established
in
section
249J.24,
Code
2013,
and
the
nonparticipating
provider
reimbursement
fund
established
in
section
249J.24A,
Code
2013,
to
the
department
of
human
services
medical
assistance
appropriation
in
this
2017
Act
any
unencumbered
or
unobligated
moneys
from
the
account
and
fund
to
be
used
for
the
purposes
of
the
IowaCare
account
as
provided
in
section
249J.24,
Code
2013.
House
File
653,
p.
130
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
a
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
expended.
Sec.
105.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XXVI
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
PROGRAM
——
REPEAL
Sec.
106.
Section
249M.5,
Code
2017,
is
amended
to
read
as
follows:
249M.5
Future
repeal.
This
chapter
is
repealed
July
1,
2017
2019
.
Sec.
107.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XXVII
CUSTODIAL
CARE
Sec.
108.
Section
249.12,
Code
2017,
is
amended
to
read
as
follows:
249.12
Cost-related
system.
1.
In
order
to
assure
that
the
necessary
data
is
available
to
aid
the
general
assembly
to
determine
appropriate
funding
for
the
custodial
care
program,
the
department
of
human
services
shall
develop
a
cost-related
system
for
financial
supplementation
to
individuals
who
need
custodial
care
and
who
have
insufficient
resources
to
purchase
the
care
needed.
2.
All
privately
operated
licensed
custodial
facilities
in
Iowa
shall
cooperate
with
the
department
of
human
services
to
develop
the
cost-related
plan.
After
the
plan
is
implemented,
state
supplemental
funds
shall
not
be
used
for
the
care
of
any
individual
in
facilities
that
have
not
submitted
cost
statements
to
the
department
of
human
services.
3.
Beginning
July
1,
2017,
privately
operated
licensed
custodial
facilities
in
Iowa
shall
be
reimbursed
based
on
the
maximum
per
diem
rates
established
by
the
general
assembly
through
the
appropriations
process.
DIVISION
XXVIII
JUVENILE
BEDS
CAP
House
File
653,
p.
131
Sec.
109.
Section
232.142,
subsection
5,
Code
2017,
is
amended
to
read
as
follows:
5.
The
director
shall
approve
annually
all
such
homes
established
and
maintained
under
the
provisions
of
this
chapter
.
A
home
shall
not
be
approved
unless
it
complies
with
minimal
rules
and
standards
adopted
by
the
director
and
has
been
inspected
by
the
department
of
inspections
and
appeals.
The
statewide
number
of
beds
in
the
homes
approved
by
the
director
shall
not
exceed
two
hundred
sixty-two
seventy-two
beds
beginning
July
1,
2017
.
DIVISION
XXIX
TRANSFERS
OF
FUNDS
BETWEEN
DHS
INSTITUTIONS
Sec.
110.
Section
218.6,
Code
2017,
is
amended
to
read
as
follows:
218.6
Transfer
of
appropriations
made
to
institutions.
Notwithstanding
section
8.39,
subsection
1
,
without
the
prior
written
consent
and
approval
of
the
governor
and
the
director
of
the
department
of
management,
the
director
of
human
services
may
transfer
funds
between
the
appropriations
made
for
the
same
type
of
institution
institutions
,
listed
as
follows:
1.
The
state
resource
centers.
2.
The
state
mental
health
institutes.
3.
The
state
juvenile
institutions
consisting
of
the
state
training
school
and
the
Iowa
juvenile
home
.
4.
The
civil
commitment
unit
for
sexual
offenders.
DIVISION
XXX
PELVIC
EXAMS
——
PRIOR
CONSENT
Sec.
111.
NEW
SECTION
.
147.114
Prior
informed
consent
relative
to
pelvic
examinations
——
patient
under
anesthesia
or
unconscious
——
penalties.
1.
A
person
licensed
or
certified
to
practice
a
profession,
or
a
student
undertaking
a
course
of
instruction
or
participating
in
a
clinical
training
or
residency
program
for
a
profession,
shall
not
perform
a
pelvic
examination
on
an
anesthetized
or
unconscious
patient
unless
one
of
the
following
conditions
is
met:
a.
The
patient
or
the
patient’s
authorized
representative
provides
prior
written
informed
consent
to
the
pelvic
examination,
and
the
pelvic
examination
is
necessary
for
House
File
653,
p.
132
preventive,
diagnostic,
or
treatment
purposes.
b.
The
patient
or
the
patient’s
authorized
representative
has
provided
prior
written
informed
consent
to
a
surgical
procedure
or
diagnostic
examination
to
be
performed
on
the
patient,
and
the
performance
of
a
pelvic
examination
is
within
the
scope
of
care
ordered
for
that
surgical
procedure
or
diagnostic
examination.
c.
The
patient
is
unconscious
and
incapable
of
providing
prior
informed
consent,
and
the
pelvic
examination
is
necessary
for
diagnostic
or
treatment
purposes.
d.
A
court
has
ordered
the
performance
of
the
pelvic
examination
for
the
purposes
of
collection
of
evidence.
2.
A
person
who
violates
this
section
is
subject
to
the
penalty
specified
under
section
147.86,
and
any
professional
disciplinary
provisions,
as
applicable.
DIVISION
XXXI
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
PAYMENT
LIMIT
ALTERNATIVE
PAYMENT
PROGRAM
Sec.
112.
2016
Iowa
Acts,
chapter
1139,
section
81,
is
amended
by
striking
the
section,
and
inserting
in
lieu
thereof
the
following:
SEC.
81.
Section
249L.2,
subsection
6,
Code
2016,
is
amended
to
read
as
follows:
6.
“Nursing
facility”
means
a
licensed
nursing
facility
as
defined
in
section
135C.1
that
is
a
freestanding
facility
or
a
nursing
facility
operated
by
a
hospital
licensed
pursuant
to
chapter
135B
,
but
does
not
include
a
distinct-part
skilled
nursing
unit
or
a
swing-bed
unit
operated
by
a
hospital,
or
a
nursing
facility
owned
by
the
state
or
federal
government
or
other
governmental
unit.
“Nursing
facility”
includes
a
non-state
government-owned
nursing
facility
if
the
nursing
facility
participates
in
the
non-state
government-owned
nursing
facility
upper
payment
limit
alternative
payment
program.
Sec.
113.
2016
Iowa
Acts,
chapter
1139,
section
82,
is
amended
to
read
as
follows:
SEC.
82.
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
PAYMENT
LIMIT
SUPPLEMENTAL
ALTERNATIVE
PAYMENT
PROGRAM.
1.
The
department
of
human
services
shall
submit,
to
the
centers
for
Medicare
and
Medicaid
services
(CMS)
of
the
United
House
File
653,
p.
133
States
department
of
health
and
human
services
no
later
than
September
29,
2017
,
a
Medicaid
state
plan
amendment
to
allow
qualifying
non-state
government-owned
nursing
facilities
to
receive
a
supplemental
participate
in
an
alternative
payment
program
in
accordance
with
the
upper
payment
limit
requirements
pursuant
to
42
C.F.R.
§447.272
.
The
supplemental
alternative
payment
shall
be
in
addition
to
the
greater
of
the
payment
in
accordance
with
the
upper
payment
limit
requirements
pursuant
to
42
C.F.R.
§447.272
or
the
Medicaid
fee-for-service
per
diem
reimbursement
rate
or
the
per
diem
payment
established
for
the
nursing
facility
under
a
Medicaid
managed
care
contract.
2.
At
a
minimum,
the
Medicaid
state
plan
amendment
shall
provide
for
all
of
the
following:
a.
A
non-state
governmental
entity
shall
provide
the
state
share
of
the
difference
between
the
expected
supplemental
alternative
payment
and
the
Medicaid
fee-for-service
per
diem
reimbursement
rate
in
the
form
of
an
intergovernmental
transfer
to
the
state.
b.
The
state
shall
claim
federal
matching
funds
and
shall
make
supplemental
alternative
payments
to
eligible
non-state
governmental
entities
based
on
the
supplemental
alternative
payment
amount
as
calculated
by
the
state
for
each
nursing
facility
for
which
a
non-state
governmental
entity
owns
the
nursing
facility’s
license.
A
managed
care
contractor
shall
not
retain
any
portion
of
the
supplemental
alternative
payment,
but
shall
treat
the
supplemental
difference
between
the
expected
alternative
payment
and
the
Medicaid
fee-for-service
per
diem
reimbursement
rate
as
a
pass
through
component
of
the
capitated
payment
calculation
to
the
eligible
non-state
governmental
entity.
c.
The
supplemental
alternative
payment
program
shall
be
budget
neutral
to
the
state.
No
general
fund
revenue
shall
be
expended
under
the
program
including
for
costs
of
administration.
If
payments
under
the
program
result
in
overpayment
to
a
nursing
facility,
or
if
CMS
disallows
federal
participation
related
to
a
nursing
facility’s
receipt
or
use
of
supplemental
alternative
payments
authorized
under
the
program,
the
state
may
recoup
an
amount
equivalent
to
the
amount
of
supplemental
alternative
payments
overpaid
or
House
File
653,
p.
134
disallowed.
Supplemental
Alternative
payments
shall
be
subject
to
any
adjustment
for
payments
made
in
error,
including
but
not
limited
to
adjustments
made
by
state
or
federal
law,
and
the
state
may
recoup
an
amount
equivalent
to
any
such
adjustment.
d.
A
nursing
facility
participating
in
the
program
shall
notify
the
state
of
any
changes
in
ownership
that
may
affect
the
nursing
facility’s
continued
eligibility
for
the
program
within
thirty
days
of
any
such
change.
e.
No
portion
of
the
supplemental
alternative
payment
paid
to
a
participating
nursing
facility
may
be
used
for
contingent
fees.
Expenditures
for
development
fees,
legal
fees,
or
consulting
fees
shall
not
exceed
five
percent
of
the
supplemental
alternative
funds
received,
annually,
and
any
such
expenditures
shall
be
reported
to
the
department
of
human
services,
and
included
in
the
department’s
annual
report
pursuant
to
subsection
3.
f.
The
supplemental
alternative
payment
paid
to
a
participating
nursing
facility
shall
only
be
used
as
specified
in
state
and
federal
law.
Supplemental
Alternative
payments
paid
to
a
participating
nursing
facility
shall
only
be
used
as
follows:
(1)
A
portion
of
the
amount
received
may
be
used
for
nursing
facility
quality
improvement
initiatives
including
but
not
limited
to
educational
scholarships
and
nonmandatory
training.
Priority
in
the
awarding
of
contracts
for
such
training
shall
be
for
Iowa-based
organizations.
(2)
A
portion
of
the
amount
received
may
be
used
for
nursing
facility
remodeling
or
renovation.
Priority
in
the
awarding
of
contracts
for
such
remodeling
or
renovations
shall
be
for
Iowa-based
organizations
and
skilled
laborers.
(3)
A
portion
of
the
amount
received
may
be
used
for
health
information
technology
infrastructure
and
software.
Priority
in
the
awarding
of
contracts
for
such
health
information
technology
infrastructure
and
software
shall
be
for
Iowa-based
organizations.
(4)
A
portion
of
the
amount
received
may
be
used
for
endowments
to
offset
costs
associated
with
maintenance
of
hospitals
licensed
under
chapter
135B
and
nursing
facilities
licensed
under
chapter
135C
.
House
File
653,
p.
135
g.
A
non-state
governmental
entity
shall
only
be
eligible
for
supplemental
alternative
payments
attributable
to
up
to
10
percent
of
the
potential
non-state
government-owned
nursing
facilities
licensed
in
the
state.
3.
Following
receipt
of
approval
and
implementation
of
the
program,
the
department
shall
submit
a
report
to
the
governor
and
the
general
assembly,
annually,
on
or
before
December
15,
regarding
the
program.
The
report
shall
include,
at
a
minimum,
the
name
and
location
of
participating
non-state
governmental
entities
and
the
non-state
government-owned
nursing
facilities
with
which
the
non-state
governmental
entities
have
partnered
to
participate
in
the
program;
the
amount
of
the
matching
funds
provided
by
each
non-state
governmental
entity;
the
net
supplemental
payment
amount
difference
between
the
expected
alternative
payment
and
the
Medicaid
fee-for-service
per
diem
reimbursement
rate
received
by
each
participating
non-governmental
entity
and
non-state
government-owned
nursing
facility;
and
the
amount
expended
for
each
of
the
specified
categories
of
approved
expenditure.
4.
The
department
of
human
services
shall
work
collaboratively
with
representatives
of
nursing
facilities,
hospitals,
and
other
affected
stakeholders
in
adopting
administrative
rules,
and
in
implementing
and
administering
this
program.
5.
As
used
in
this
section:
a.
“Non-state
governmental
entity”
means
a
hospital
authority,
hospital
district,
health
care
district,
city,
or
county.
b.
“Non-state
government-owned
nursing
facility”
means
a
nursing
facility
owned
or
operated
by
a
non-state
governmental
entity
for
which
a
non-state
governmental
entity
holds
the
nursing
facility’s
license
and
is
party
to
the
nursing
facility’s
Medicaid
contract.
Sec.
114.
2016
Iowa
Acts,
chapter
1139,
section
84,
subsection
1,
is
amended
to
read
as
follows:
1.
The
section
of
this
division
of
this
Act
directing
the
department
of
human
services
to
submit
a
Medicaid
state
plan
amendment
to
CMS
no
later
than
September
29,
2017,
shall
be
House
File
653,
p.
136
implemented
as
soon
as
possible
following
enactment,
consistent
with
all
applicable
federal
requirements.
Sec.
115.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
116.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
applies
retroactively
to
May
27,
2016.
DIVISION
XXXII
LEGISLATIVE
INTERIM
——
OPIOID
EPIDEMIC
EVALUATION
Sec.
117.
LEGISLATIVE
INTERIM
STUDY
COMMITTEE
——
OPIOID
EPIDEMIC
EVALUATION.
1.
The
legislative
council
is
requested
to
establish
an
interim
study
committee
to
comprehensively
evaluate
the
state’s
response
to
the
opioid
epidemic
in
the
state.
2.
The
committee
shall
receive
input
from
agencies
and
entities
including
but
not
limited
to
all
of
the
following:
a.
Representatives
of
the
professional
licensing
boards
for
professionals
authorized
to
prescribe
controlled
substances.
b.
Representatives
of
public
safety
and
public
health
including
but
not
limited
to
the
office
of
the
state
medical
examiner,
the
division
of
criminal
investigation
of
the
department
of
public
safety,
the
department
of
corrections
and
community-based
corrections,
law
enforcement
agencies,
the
governor’s
office
of
drug
control
policy,
and
the
department
of
public
health.
c.
Representatives
of
the
medical
community
and
health
insurance
payers
including
but
not
limited
to
the
Iowa
hospital
association,
the
Iowa
medical
society,
the
Iowa
osteopathic
medical
society,
the
Iowa
pharmacy
association,
and
America’s
health
insurance
plans.
d.
Consumers
and
representatives
of
consumers
including
but
not
limited
to
the
Iowa
substance
abuse
information
center,
the
Iowa
prescription
abuse
reduction
task
force,
and
addiction
treatment
centers
in
the
state.
3.
The
interim
committee’s
evaluation
shall
include
but
is
not
limited
to
a
review
of
the
protocols
and
practices
relating
to
the
prescribing
of
opioid
medications
and
the
treatment
options
available
including
medication-assisted
treatment.
House
File
653,
p.
137
4.
The
interim
committee
shall
submit
a
report,
including
findings
and
recommendations,
to
the
governor
and
the
general
assembly
by
November
15,
2017.
______________________________
LINDA
UPMEYER
Speaker
of
the
House
______________________________
JACK
WHITVER
President
of
the
Senate
I
hereby
certify
that
this
bill
originated
in
the
House
and
is
known
as
House
File
653,
Eighty-seventh
General
Assembly.
______________________________
CARMINE
BOAL
Chief
Clerk
of
the
House
Approved
_______________,
2017
______________________________
TERRY
E.
BRANSTAD
Governor