Senate
File
2418
-
Enrolled
Senate
File
2418
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
2018-2019
Section
1.
2017
Iowa
Acts,
chapter
174,
section
40,
unnumbered
paragraphs
1
and
2,
are
amended
to
read
as
follows:
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
Senate
File
2418,
p.
2
full-time
equivalent
positions:
.
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$
5,521,238
11,042,924
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FTEs
27.00
Sec.
2.
2017
Iowa
Acts,
chapter
174,
section
40,
subsections
2,
4,
5,
6,
and
7,
are
amended
to
read
as
follows:
2.
Of
the
funds
appropriated
in
this
section,
$139,973
$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.
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
$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,
$406,268
$812,537
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
$1,000,000
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.
Sec.
3.
2017
Iowa
Acts,
chapter
174,
section
40,
subsection
8,
is
amended
by
striking
the
subsection.
Sec.
4.
2017
Iowa
Acts,
chapter
174,
section
40,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
9.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
by
the
department
on
aging,
Senate
File
2418,
p.
3
in
collaboration
with
the
department
of
human
services
and
affected
stakeholders,
to
design
a
pilot
initiative
to
provide
long-term
care
options
counseling
utilizing
support
planning
protocols,
to
assist
non-Medicaid
eligible
consumers
who
indicate
a
preference
to
return
to
the
community
and
are
deemed
appropriate
for
discharge,
to
return
to
their
community
following
a
nursing
facility
stay.
The
department
on
aging
shall
submit
the
design
plan
as
well
as
recommendations
for
legislation
necessary
to
administer
the
initiative,
including
but
not
limited
to
legislation
to
allow
the
exchange
of
contact
information
for
nursing
facility
residents
appropriate
for
discharge
planning,
to
the
governor
and
the
general
assembly
by
December
15,
2018.
DIVISION
II
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2018-2019
Sec.
5.
2017
Iowa
Acts,
chapter
174,
section
41,
is
amended
to
read
as
follows:
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
designated:
For
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
580,140
1,149,821
.
.
.
.
.
.
.
.
.
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FTEs
16.00
DIVISION
III
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2018-2019
Sec.
6.
2017
Iowa
Acts,
chapter
174,
section
42,
subsections
1,
2,
3,
4,
5,
6,
7,
and
8,
are
amended
to
read
as
follows:
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
$
12,492,915
Senate
File
2418,
p.
4
24,804,344
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FTEs
10.00
11.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$2,010,612
$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
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,
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
Senate
File
2418,
p.
5
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
$20,783,119
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.
d.
The
department
of
public
health,
in
collaboration
with
the
department
of
human
services,
shall
engage
a
stakeholder
workgroup
to
review
reimbursement
provisions
applicable
to
substance
use
disorder
services
providers.
The
issues
considered
by
the
workgroup
shall
include
but
are
not
limited
to
the
adequacy
of
reimbursement
provisions
including
for
both
outpatient
and
residential
treatment,
whether
it
is
appropriate
to
rebase
reimbursement,
whether
there
is
equity
in
reimbursement
compared
to
the
reimbursement
methodologies
used
for
providers
of
similar
behavioral
health
services,
and
access
to
substance
use
disorder
services
providers
including
whether
the
designated
number
of
community
mental
health
centers
in
the
state
is
sufficient.
The
workgroup
shall
review
the
reports
of
previous
workgroups
including
those
authorized
in
2014
Iowa
Acts,
chapter
1140,
section
3,
subsection
1,
and
shall
report
the
workgroup’s
findings
and
recommendations
to
the
general
assembly
on
or
before
December
15,
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:
.
.
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.
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.
.
.
.
$
2,662,816
5,820,625
Senate
File
2418,
p.
6
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FTEs
12.00
13.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$367,420
$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,
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
$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
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
Senate
File
2418,
p.
7
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,
$32,320
$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,
$78,241
$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,
$11,500
$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,
$25,000
$50,000
shall
be
used
to
address
youth
suicide
prevention.
h.
Of
the
funds
appropriated
in
this
subsection,
$20,255
$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
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
.
j.
Of
the
funds
appropriated
in
this
subsection,
up
to
$494,993
shall
be
used
for
childhood
obesity
prevention.
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
Senate
File
2418,
p.
8
4,528,109
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
9.00
a.
Of
the
funds
appropriated
in
this
subsection,
$76,877
$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,
$510,397
$1,055,291
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
$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,
$72,048
$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
$50,000
$100,000
shall
be
matched
dollar-for-dollar
by
the
organization
specified.
d.
Of
the
funds
appropriated
in
this
subsection,
$404,775
$809,550
shall
be
used
for
child
health
specialty
clinics.
e.
Of
the
funds
appropriated
in
this
subsection,
$192,276
$384,552
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
Senate
File
2418,
p.
9
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
$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”,
$75,000
$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,
$48,766
$97,532
shall
be
used
for
cervical
and
colon
cancer
screening,
and
$88,860
$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,
$253,177
$506,355
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
i.
Of
the
funds
appropriated
in
this
subsection,
$107,631
$225,263
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,
$11,050
$322,100
shall
be
used
for
administration
of
chapter
124D
124E
,
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
4,970,152
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
Senate
File
2418,
p.
10
a.
Of
the
funds
appropriated
in
this
subsection,
$47,787
$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,
$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
$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
.
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
$542,829
is
allocated
to
the
Senate
File
2418,
p.
11
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
$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
$12,500
$25,000
is
allocated
to
the
Iowa
association
of
rural
health
clinics
for
necessary
infrastructure
and
service
delivery
transformation.
(4)
Not
less
than
$50,000
$205,493
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
$15,000
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
$176,188
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
Senate
File
2418,
p.
12
measures.
h.
Of
the
funds
appropriated
in
this
subsection,
the
department
may
use
up
to
$29,087
$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,
$48,069
$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,
$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
$100,000
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
$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
of
the
program.
m.
Of
the
funds
appropriated
in
this
subsection,
$436,327
$2,000,000
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
Senate
File
2418,
p.
13
residency
training
state
matching
grants
program
as
specified
in
section
135.176
.
n.
Of
the
funds
appropriated
in
this
subsection,
$250,000
shall
be
used
for
the
public
purpose
of
providing
funding
to
Des
Moines
university
to
establish
a
provider
education
project
to
provide
primary
care
physicians
with
the
training
and
skills
necessary
to
recognize
signs
of
mental
illness
in
patients.
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,098,939
7,662,464
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
1,796,426
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,097,569
4,095,139
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
138.00
141.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$152,350
$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
$121,630
$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,
Senate
File
2418,
p.
14
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
$500,000
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.
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
$258,491
$504,796
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
971,215
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
Sec.
7.
2017
Iowa
Acts,
chapter
174,
section
42,
subsections
10
and
11,
are
amended
by
striking
the
subsections.
DIVISION
IV
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2018-2019
Sec.
8.
2017
Iowa
Acts,
chapter
174,
section
43,
is
amended
to
read
as
follows:
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,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
Senate
File
2418,
p.
15
For
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
571,278
1,150,500
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,614,070
7,162,976
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.
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
2,000,000
Sec.
9.
2017
Iowa
Acts,
chapter
174,
section
44,
is
amended
to
read
as
follows:
SEC.
44.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
appropriation
in
section
35A.16
for
the
fiscal
year
Senate
File
2418,
p.
16
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
990,000
DIVISION
V
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2018-2019
Sec.
10.
2017
Iowa
Acts,
chapter
174,
section
45,
is
amended
to
read
as
follows:
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
4,539,006
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
5,412,060
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
2,883,980
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
Senate
File
2418,
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,
2019,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
31,296,232
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
3,744,000
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,933,413
47,166,826
a.
Of
the
funds
appropriated
in
this
subsection,
$13,164,048
$26,205,412
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
$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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,190,327
32,380,654
8.
For
child
abuse
prevention
grants:
Senate
File
2418,
p.
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
125,000
9.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
1,913,203
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,
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
1,037,186
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
system
costs
to
develop
and
maintain
a
new,
integrated
for
eligibility
determination
system
and
related
functions
.
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
Senate
File
2418,
p.
19
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
$12,962,008
for
the
fiscal
year
beginning
July
1,
2018,
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
14,236
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
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
funds
are
allocated
in
this
section
or
in
section
7
Senate
File
2418,
p.
20
of
this
division
for
the
family
investment
program
account.
If
there
are
conflicting
needs,
priority
shall
first
be
given
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
,
followed
by
state
child
care
assistance
program
payments
for
families
who
are
employed,
followed
by
other
priorities
as
specified
by
the
department
.
Sec.
11.
2017
Iowa
Acts,
chapter
174,
section
46,
subsection
4,
is
amended
to
read
as
follows:
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
5,000
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
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
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
Senate
File
2418,
p.
21
749,694
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
with
chapter
239B
.
d.
For
the
food
assistance
employment
and
training
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,761,645
12,139,821
Senate
File
2418,
p.
22
Sec.
12.
2017
Iowa
Acts,
chapter
174,
section
46,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
7.
The
department
of
human
services
shall
convene
a
workgroup
to
review
opportunities
to
increase
state
engagement
in
the
supplemental
nutrition
assistance
program
(SNAP)
employment
and
training
program.
The
workgroup
shall
explore
the
feasibility
of
expansion
of
the
current
pilot
program
to
a
statewide
basis,
the
potential
involvement
of
community-based
organizations
to
the
extent
allowed
by
federal
law,
and
the
leveraging
of
state
and
private
funding
to
match
available
federal
funds.
The
membership
of
the
workgroup
shall
include
representatives
of
the
department
of
human
services,
community
colleges,
community-based
organizations
serving
SNAP
recipients,
philanthropic
organizations,
and
other
stakeholders
with
relevant
interest
or
expertise
as
determined
by
the
department.
The
workgroup
shall
submit
a
report
of
its
findings
and
recommendations
to
the
governor
and
the
general
assembly
by
December
15,
2018.
Sec.
13.
2017
Iowa
Acts,
chapter
174,
section
47,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
To
be
credited
to
the
family
investment
program
(FIP)
account
and
used
for
family
investment
program
assistance
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,502,240
40,365,715
Sec.
14.
2017
Iowa
Acts,
chapter
174,
section
47,
subsections
1,
2,
4,
and
5,
are
amended
to
read
as
follows:
1.
Of
the
funds
appropriated
in
this
section,
$3,973,798
$6,727,761
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
$3,313,854
is
allocated
for
the
family
development
and
self-sufficiency
grant
program.
4.
Of
the
funds
appropriated
in
this
section,
$97,839
$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.
Senate
File
2418,
p.
23
5.
Of
the
funds
appropriated
in
this
section,
$30,000
$70,000
shall
be
used
for
the
continuation
of
an
unfunded
pilot
project
the
parenting
program
,
as
defined
specified
in
441
IAC
100.1
100
,
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
parenthood
initiative
that
promotes
payment
of
child
support
obligations,
improved
family
relationships,
and
full-time
employment.
Sec.
15.
2017
Iowa
Acts,
chapter
174,
section
48,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
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
14,586,635
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
Sec.
16.
2017
Iowa
Acts,
chapter
174,
section
48,
subsection
1,
is
amended
to
read
as
follows:
1.
The
department
shall
expend
up
to
$12,164
$24,329
,
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.
Sec.
17.
2017
Iowa
Acts,
chapter
174,
section
48,
subsection
4,
is
amended
by
striking
the
subsection.
Sec.
18.
2017
Iowa
Acts,
chapter
174,
section
51,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
medical
assistance
program
reimbursement
and
associated
Senate
File
2418,
p.
24
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
1,337,841,375
Sec.
19.
2017
Iowa
Acts,
chapter
174,
section
51,
subsections
3,
4,
5,
6,
7,
8,
14,
17,
18,
and
19,
are
amended
to
read
as
follows:
3.
The
department
shall
utilize
not
more
than
$30,000
$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
$2,500
$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,
$475,000
$950,000
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.
Senate
File
2418,
p.
25
b.
Of
the
funds
appropriated
in
this
section,
$50,000
$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
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
$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
$221,050
$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
,
and
to
support
other
reviews
and
quality
control
activities
to
improve
the
integrity
of
these
programs
.
14.
Of
the
funds
appropriated
in
this
section,
$174,505
Senate
File
2418,
p.
26
$349,011
shall
be
used
for
the
administration
of
the
health
insurance
premium
payment
program,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes.
17.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$25,000
$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
$200,000
$400,000
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
$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.
18.
Of
the
funds
appropriated
in
this
section,
$75,000
$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
Senate
File
2418,
p.
27
subsection
shall
not
be
used
as
nonfederal
share
matching
funds.
19.
Of
the
funds
appropriated
in
this
section,
up
to
$1,691,940
$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
to
up
$100,000
up
to
$200,000
for
administrative
expenses.
Sec.
20.
2017
Iowa
Acts,
chapter
174,
section
51,
is
amended
by
adding
the
following
new
subsections:
NEW
SUBSECTION
.
22.
Of
the
funds
appropriated
in
this
section,
$195,000
shall
be
used
by
the
department
of
human
services
through
a
request
for
proposals
process
to
establish
a
partnership
between
the
university
of
Iowa
hospitals
and
clinics
and
a
durable
medical
equipment
provider
and
manufacturer
to
provide
new,
refurbished,
or
repaired
durable
medical
equipment
to
Medicaid
members
in
the
state.
Such
durable
medical
equipment
provider
and
manufacturer
shall
be
authorized
as
a
Medicaid
provider
in
the
state
on
or
after
April
1,
2018,
and
shall
have
the
capability
to
provide
assessments
for
customized
wheelchairs,
manufacture
bathing
aid
equipment
and
mobility
bathing
aids,
offer
in-home
care,
and
sell
durable
medical
equipment
at
cost
in
Iowa
and
online.
NEW
SUBSECTION
.
23.
The
department
of
human
services
shall
expand
Medicaid
coverage
to
provide
care
for
young
adults
with
complex
medical
conditions
in
a
special
population
nursing
facility
as
specified
by
rule
of
the
department
pursuant
to
this
subsection.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
to
expand
the
criteria
for
a
special
population
nursing
facility
under
the
Medicaid
program
to
include
a
nursing
facility
that
serves
residents,
100
percent
of
whom
are
aged
30
and
under
and
require
the
skilled
level
of
care,
and
to
include
a
nursing
facility
that
serves
residents,
100
percent
of
whom
require
care
from
a
facility
licensed
by
the
department
of
inspections
and
appeals
as
an
intermediate
care
facility
for
persons
with
medical
complexity
as
defined
by
rule
of
the
department.
NEW
SUBSECTION
.
24.
Consistent
with
the
informational
bulletin
published
May
9,
2017,
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
Senate
File
2418,
p.
28
human
services,
in
implementing
the
regulation
that
finalized
criteria
for
home
and
community-based
settings
appropriate
for
provision
of
home
and
community-based
services,
the
department
of
human
services
shall
continue
progress
with
the
statewide
transition
plan
to
be
approved
by
March
17,
2019,
but
shall
extend
the
transition
period
to
demonstrate
compliance
with
the
home
and
community-based
settings
criteria
until
March
17,
2022,
for
those
settings
to
which
a
transition
period
applies.
NEW
SUBSECTION
.
25.
The
department
of
human
services
shall
utilize
$3,000,000
of
the
funds
appropriated
under
this
section
to
adjust
current
supported
community
living
provider
daily
rate
cells
under
the
tiered
rate
reimbursement
methodology
effective
with
dates
of
service
beginning
July
1,
2018.
The
department
shall
work
with
the
Medicaid
program
actuary
to
evaluate
the
current
tiered
rates
and
the
tiered
rates
phase-in
plan
to
determine
the
necessary
apportionment
of
such
funds.
In
addition,
the
department,
working
with
the
Medicaid
program
actuary,
shall
review
the
current
tiered
rates
and
the
tiered
rates
phase-in
plan
and
shall
propose
recommendations
for
any
changes.
The
department
shall
convene
the
tiered
rate
provider
workgroup
initially
convened
in
the
fiscal
year
beginning
July
1,
2016,
to
review
the
actuarial
findings
and
recommendations.
The
tiered
rates
may
be
adjusted
based
upon
the
actuarial
findings
and
recommendations
if
such
adjustments
are
budget
neutral.
A
report
of
the
actuarial
findings,
recommendations,
and
comments
provided
by
the
tiered
rate
provider
workgroup
shall
be
submitted
to
the
governor
and
the
general
assembly
by
December
15,
2018.
If
additional
funding
is
appropriated
to
implement
the
recommendations,
the
additional
funding
shall
be
incorporated
into
the
managed
care
organization
capitation
rate
setting
process
for
the
fiscal
year
beginning
July
1,
2019.
NEW
SUBSECTION
.
26.
The
department
of
human
services
shall
review
all
current
Medicaid
fee
schedules
and
shall
submit
a
report
to
the
governor
and
the
general
assembly
by
January
15,
2019,
regarding
how
the
current
rates
compare
to
the
equivalent
Medicare
fee
schedules
or
other
appropriate
reimbursement
methodologies
for
specific
services
and
including
a
plan
for
phased-in
implementation
of
any
changes.
NEW
SUBSECTION
.
27.
Of
the
funds
appropriated
in
this
Senate
File
2418,
p.
29
section,
$1,545,530
shall
be
used
and
may
be
transferred
to
other
appropriations
in
this
division
of
this
Act
as
necessary
to
administer
the
provisions
in
the
division
of
this
Act
relating
to
Medicaid
program
administration.
NEW
SUBSECTION
.
28.
Of
the
funds
appropriated
in
this
section,
$876,015
shall
be
used
and
may
be
transferred
to
other
appropriations
in
this
division
of
this
Act
as
necessary
to
administer
the
provisions
of
2018
Iowa
Acts,
House
File
2456,
as
enacted.
Sec.
21.
2017
Iowa
Acts,
chapter
174,
section
52,
is
amended
to
read
as
follows:
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
16,603,198
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
such
activities.
2.
Of
the
funds
appropriated
in
this
section,
$25,000
$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
$100,000
$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.
Senate
File
2418,
p.
30
4.
Of
the
funds
appropriated
in
this
section,
$500,000
$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,
$475,000
$573,000
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
$25,000
shall
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
nonprofit
provider
of
child
welfare
services
provider
headquartered
that
has
been
in
existence
for
more
than
115
years,
is
located
in
a
county
with
a
population
between
205,000
200,000
and
215,000
in
220,000
according
to
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
,
is
licensed
as
a
psychiatric
medical
institution
for
children,
shelter,
residential
treatment,
after
school
programs,
and
provides
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
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
Senate
File
2418,
p.
31
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.
22.
2017
Iowa
Acts,
chapter
174,
section
53,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,186,329
10,250,873
Sec.
23.
2017
Iowa
Acts,
chapter
174,
section
53,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
Sec.
24.
2017
Iowa
Acts,
chapter
174,
section
54,
is
amended
to
read
as
follows:
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
7,064,057
2.
Of
the
funds
appropriated
in
this
section,
$21,400
$42,800
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
25.
2017
Iowa
Acts,
chapter
174,
section
55,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,671,808
40,816,931
Senate
File
2418,
p.
32
Sec.
26.
2017
Iowa
Acts,
chapter
174,
section
55,
subsections
1
and
4,
are
amended
to
read
as
follows:
1.
Of
the
funds
appropriated
in
this
section,
$16,746,808
$34,966,931
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13
.
4.
Of
the
funds
appropriated
in
this
section,
$2,925,000
$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
.
Sec.
27.
2017
Iowa
Acts,
chapter
174,
section
56,
is
amended
to
read
as
follows:
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
12,762,443
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
189.00
Of
the
funds
appropriated
in
this
subsection,
$45,575
$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
grants
for
adolescent
pregnancy
prevention
activities
at
the
institution
in
the
fiscal
year
beginning
July
1,
2018.
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
shall
be
used
by
the
state
training
school
at
Eldora
for
a
Senate
File
2418,
p.
33
substance
use
disorder
treatment
program
at
the
institution
in
the
fiscal
year
beginning
July
1,
2018.
Sec.
28.
2017
Iowa
Acts,
chapter
174,
section
57,
is
amended
to
read
as
follows:
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
84,939,774
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
$34,536,648
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.
Senate
File
2418,
p.
34
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,
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
$1,717,753
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
$8,096,158
.
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
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
Senate
File
2418,
p.
35
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
$1,556,287
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
$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
$374,492
$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,
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
Senate
File
2418,
p.
36
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
.
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$41,500
$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,
$8,500
$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,
$6,126,613
$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,
$829,142
$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
$122,500
$245,000
,
so
that
$25,000
$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
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
Senate
File
2418,
p.
37
considered
to
be
placed
in
foster
care.
12.
Of
the
funds
appropriated
in
this
section,
$2,012,583
$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,
$113,668
$227,337
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,
$150,310
$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,
$101,000
$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,
$315,120
$630,240
is
allocated
for
the
community
partnership
for
child
protection
sites.
17.
Of
the
funds
appropriated
in
this
section,
$185,625
$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,
$568,297
$851,595
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
$73,579
$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,
$105,936
$211,872
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
Senate
File
2418,
p.
38
$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.
22.
Of
the
funds
appropriated
in
this
section,
at
least
$12,500
$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,
$55,000
$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,
2018.
Sec.
29.
2017
Iowa
Acts,
chapter
174,
section
58,
subsection
1,
paragraph
a,
is
amended
to
read
as
follows:
a.
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,388,955
40,445,137
Sec.
30.
2017
Iowa
Acts,
chapter
174,
section
60,
is
amended
to
read
as
follows:
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
:
Senate
File
2418,
p.
39
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
534,641
949,282
2.
At
least
$393,750
$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.
31.
2017
Iowa
Acts,
chapter
174,
section
61,
is
amended
to
read
as
follows:
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
33,632
Sec.
32.
2017
Iowa
Acts,
chapter
174,
section
62,
subsection
1,
is
amended
to
read
as
follows:
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,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,935,127
Senate
File
2418,
p.
40
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:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,756,810
17,513,621
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
204.00
Sec.
33.
2017
Iowa
Acts,
chapter
174,
section
63,
subsection
1,
is
amended
to
read
as
follows:
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
16,858,523
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,038,517
11,386,679
Sec.
34.
2017
Iowa
Acts,
chapter
174,
section
64,
subsection
1,
is
amended
to
read
as
follows:
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,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,732,373
10,864,747
Senate
File
2418,
p.
41
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
112.00
132.00
Sec.
35.
2017
Iowa
Acts,
chapter
174,
section
65,
is
amended
to
read
as
follows:
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
49,074,517
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,583.00
1,539.00
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.
36.
2017
Iowa
Acts,
chapter
174,
section
66,
is
amended
to
read
as
follows:
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
13,833,040
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
2.
Of
the
funds
appropriated
in
this
section,
$75,000
$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,
$25,000
Senate
File
2418,
p.
42
$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,
$100,000
$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,
$100,000
$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.
7.
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
2017
Iowa
Acts,
chapter
174,
section
88.
8.
The
department
of
human
services
shall
submit
the
strategic
plan
to
create
and
implement
a
children’s
mental
health
system
submitted
to
the
governor
by
the
children’s
system
state
board
established
by
Executive
Order
Number
Two
issued
April
23,
2018,
to
the
general
assembly
by
November
15,
2018.
Sec.
37.
2017
Iowa
Acts,
chapter
174,
section
67,
is
amended
to
read
as
follows:
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
Senate
File
2418,
p.
43
purposes
at
facilities
under
the
purview
of
the
department
of
human
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,439,637
2,879,274
Sec.
38.
2017
Iowa
Acts,
chapter
174,
section
68,
is
amended
to
read
as
follows:
SEC.
68.
VOLUNTEERS.
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
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
84,686
Sec.
39.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
1,
paragraph
f,
subparagraph
(1),
is
amended
to
read
as
follows:
(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
and
shall
be
adjusted
to
increase
the
rates
to
the
extent
possible
within
the
$1,000,000
of
state
funding
appropriated
for
this
purpose
.
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.
Sec.
40.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
1,
paragraphs
j
and
k,
are
amended
to
read
as
follows:
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
,
or
to
meet
federal
Senate
File
2418,
p.
44
mental
health
parity
requirements
.
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
remain
at
the
rate
in
effect
on
June
30,
2018,
and
updated
on
January
1,
2019,
to
align
with
the
most
current
Iowa
Medicare
anesthesia
base
rate
.
Sec.
41.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
7,
is
amended
to
read
as
follows:
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:
(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
established
by
contract
.
Sec.
42.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
11,
is
amended
to
read
as
follows:
11.
a.
For
the
fiscal
year
beginning
July
1,
2018,
Effective
July
1,
2018,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
Effective
January
1,
2019,
for
child
care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
utilize
$3,000,000
of
the
amount
appropriated
for
child
care
assistance
under
this
division
to
increase
provider
Senate
File
2418,
p.
45
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004
2014
.
Effective
July
1,
2018,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
The
department
shall
increase
the
lowest
rate
that
is
furthest
from
the
fiftieth
percentile
to
a
rate
consistent
with
the
relative
percentage
of
the
second
lowest
rate
as
compared
to
the
fiftieth
percentile.
As
funds
remain
available,
the
department
shall
increase
the
subsequent
lowest
rates
in
a
similar
manner
until
the
$3,000,000
is
projected
to
be
fully
expended
in
the
fiscal
year.
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.
b.
Effective
January
1,
2019,
for
infant
and
toddler
child
care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
provider
reimbursement
rates
at
the
seventy-fifth
percentile
of
the
rate
reimbursement
survey
completed
in
December
2014,
within
the
expected
increase
for
the
federal
child
care
and
development
block
grant
expenditure
requirement
for
infant
and
toddler
quality
improvement,
subject
to
quality
rating
system
criteria
developed
pursuant
to
section
237A.30.
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.
Sec.
43.
2017
Iowa
Acts,
chapter
174,
section
70,
subsection
13,
is
amended
by
striking
the
subsection.
Sec.
44.
REPEAL.
2017
Iowa
Acts,
chapter
174,
section
69,
is
repealed.
DIVISION
VI
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2018-2019
Sec.
45.
2017
Iowa
Acts,
chapter
174,
section
75,
is
amended
to
read
as
follows:
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
Senate
File
2418,
p.
46
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
1,446,266
Sec.
46.
2017
Iowa
Acts,
chapter
174,
section
76,
is
amended
to
read
as
follows:
SEC.
76.
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,
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
36,705,208
Sec.
47.
2017
Iowa
Acts,
chapter
174,
section
77,
is
amended
to
read
as
follows:
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
33,920,554
DIVISION
VII
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS
Senate
File
2418,
p.
47
FEDERAL
FUNDING
Sec.
48.
2017
Iowa
Acts,
chapter
165,
section
13,
subsection
3,
paragraphs
b
and
e,
are
amended
to
read
as
follows:
b.
Child
and
family
services:
(1)
FFY
2017-2018:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,672,390
8,022,390
(2)
FFY
2018-2019:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,672,390
8,272,390
e.
For
distribution
to
counties
for
state
case
services
provided
for
persons
with
mental
illness,
intellectual
disability,
or
a
developmental
disability
in
accordance
with
section
331.440
,
Code
2013,
or
in
accordance
with
a
dispute
resolution
process
implemented
in
accordance
with
section
331.394,
subsections
5
or
6
:
(1)
FFY
2017-2018:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
250,000
(2)
FFY
2018-2019:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
0
Moneys
appropriated
in
this
lettered
paragraph
“e”
that
remain
unencumbered
or
unallocated
at
the
close
of
a
federal
fiscal
year
shall
not
revert
but
shall
be
retained
by
the
department
and
used
to
supplement
amounts
otherwise
appropriated
for
child
and
family
services
under
paragraph
“b”.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
(TANF)
Sec.
49.
2017
Iowa
Acts,
chapter
174,
section
6,
is
amended
to
read
as
follows:
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
Senate
File
2418,
p.
48
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
4,539,006
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
5,412,060
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
2,883,980
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,
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
53,603,561
a.
Of
the
funds
appropriated
in
this
subsection,
$26,328,097
$26,205,412
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
Senate
File
2418,
p.
49
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
1,913,203
Pregnancy
prevention
grants
shall
be
awarded
to
programs
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
294,155
11.
a.
Notwithstanding
any
provision
to
the
contrary,
Senate
File
2418,
p.
50
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.
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
14,236
14.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
Senate
File
2418,
p.
51
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
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
funds
are
allocated
in
this
section
or
in
section
7
of
this
division
for
the
family
investment
program
account.
If
there
are
competing
needs,
priority
shall
first
be
given
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
,
followed
by
state
child
care
assistance
program
payments
for
families
who
are
employed,
followed
by
other
priorities
as
specified
by
the
department
.
MEDICAID
TRANSFERS
TO
SUPPORT
REVIEWS
AND
QUALITY
CONTROL
ACTIVITIES
Sec.
50.
2017
Iowa
Acts,
chapter
174,
section
12,
subsection
8,
is
amended
to
read
as
follows:
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
,
and
to
support
other
reviews
and
quality
control
activities
to
improve
the
integrity
of
these
programs
.
STATE
SUPPLEMENTARY
ASSISTANCE
Sec.
51.
2017
Iowa
Acts,
chapter
174,
section
14,
is
amended
Senate
File
2418,
p.
52
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
JUVENILE
INSTITUTION
Sec.
52.
2017
Iowa
Acts,
chapter
174,
section
17,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
MENTAL
HEALTH
INSTITUTES
Sec.
53.
2017
Iowa
Acts,
chapter
174,
section
23,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
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.
STATE
RESOURCE
CENTERS
Sec.
54.
2017
Iowa
Acts,
chapter
174,
section
24,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
6.
Notwithstanding
section
8.33,
and
notwithstanding
the
amount
limitation
specified
in
section
222.92,
moneys
appropriated
in
this
section
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.
SEXUALLY
VIOLENT
PREDATORS
Sec.
55.
2017
Iowa
Acts,
chapter
174,
section
25,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
Senate
File
2418,
p.
53
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
56.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
57.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
applies
retroactively
to
July
1,
2017.
DIVISION
VIII
DECATEGORIZATION
Sec.
58.
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,
2015,
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,
2017,
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2018.
Sec.
59.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
60.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
applies
retroactively
to
July
1,
2017.
DIVISION
IX
STATE
CASES
Sec.
61.
Section
218.99,
Code
2018,
is
amended
to
read
as
follows:
218.99
Counties
to
be
notified
of
patients’
personal
accounts.
The
administrator
in
control
of
a
state
institution
shall
direct
the
business
manager
of
each
institution
under
the
administrator’s
jurisdiction
which
is
mentioned
in
section
331.424,
subsection
1
,
paragraph
“a”
,
subparagraphs
(1)
and
(2),
and
for
which
services
are
paid
under
section
331.424A
,
to
quarterly
inform
the
county
of
residence
of
any
patient
or
resident
who
has
an
amount
in
excess
of
two
hundred
dollars
on
account
in
the
patients’
personal
deposit
fund
and
the
amount
on
deposit.
The
administrators
shall
direct
the
business
manager
to
further
notify
the
county
of
residence
at
least
fifteen
days
before
the
release
of
funds
in
excess
of
two
hundred
dollars
or
upon
the
death
of
the
patient
or
resident.
Senate
File
2418,
p.
54
If
the
patient
or
resident
has
no
residency
in
this
state
or
the
person’s
residency
is
unknown
so
that
the
person
is
deemed
to
be
a
state
case
,
notice
shall
be
made
to
the
director
of
human
services
and
the
administrator
in
control
of
the
institution
involved.
Sec.
62.
Section
222.60,
subsection
1,
paragraph
b,
Code
2018,
is
amended
to
read
as
follows:
b.
The
state
when
the
person
is
a
resident
in
another
state
or
in
a
foreign
country,
or
when
the
person’s
residence
is
unknown.
The
payment
responsibility
shall
be
deemed
to
be
a
state
case.
Sec.
63.
Section
222.60,
subsection
2,
paragraph
b,
Code
2018,
is
amended
to
read
as
follows:
b.
The
cost
of
a
regional
administrator-required
diagnosis
and
an
evaluation
is
at
the
mental
health
and
disability
services
region’s
expense.
For
a
state
case
When
a
person
is
a
resident
in
another
state
or
in
a
foreign
country,
or
when
the
persons’
residence
is
unknown
,
the
state
may
apply
the
diagnosis
and
evaluation
provisions
of
this
subsection
at
the
state’s
expense.
Sec.
64.
Section
222.65,
subsection
1,
Code
2018,
is
amended
to
read
as
follows:
1.
If
the
administrator
concurs
with
a
certified
determination
as
to
residency
of
the
person
so
that
the
person
is
deemed
a
state
case
in
another
state
or
in
a
foreign
country,
or
the
person’s
residence
is
unknown
under
section
222.60
,
the
administrator
shall
cause
the
person
either
to
be
transferred
to
a
resource
center
or
a
special
unit
or
to
be
transferred
to
the
place
of
foreign
residency.
Sec.
65.
Section
222.66,
Code
2018,
is
amended
to
read
as
follows:
222.66
Transfers
——
state
cases
no
residency
in
the
state
or
residency
unknown
——
expenses.
1.
The
transfer
to
a
resource
center
or
a
special
unit
or
to
the
place
of
residency
of
a
person
with
an
intellectual
disability
who
has
no
residence
in
this
state
or
whose
residency
is
unknown,
shall
be
made
in
accordance
with
such
directions
as
shall
be
prescribed
by
the
administrator
and
when
practicable
by
employees
of
the
state
resource
center
or
Senate
File
2418,
p.
55
the
special
unit.
The
actual
and
necessary
expenses
of
such
transfers
shall
be
paid
by
the
department
on
itemized
vouchers
sworn
to
by
the
claimants
and
approved
by
the
administrator
and
the
approved
amount
is
appropriated
to
the
department
from
any
funds
in
the
state
treasury
not
otherwise
appropriated.
2.
The
case
of
a
person
with
an
intellectual
disability
who
is
determined
to
have
no
residence
in
this
state
or
whose
residence
is
unknown
shall
be
considered
a
state
case.
Sec.
66.
Section
222.67,
Code
2018,
is
amended
to
read
as
follows:
222.67
Charge
on
finding
of
residency.
If
a
person
has
been
received
into
a
resource
center
or
a
special
unit
as
a
patient
whose
residency
is
unknown
and
the
administrator
determines
that
the
residency
of
the
patient
was
at
the
time
of
admission
in
a
county
of
this
state,
the
administrator
shall
certify
the
determination
and
charge
all
legal
costs
and
expenses
pertaining
to
the
admission
and
support
of
the
patient
to
the
county
of
residence.
The
certification
shall
be
sent
to
the
county
of
residence.
The
certification
shall
be
accompanied
by
a
copy
of
the
evidence
supporting
the
determination.
If
the
person’s
residency
status
has
been
determined
in
accordance
with
section
331.394
,
the
legal
costs
and
expenses
shall
be
charged
to
the
county
or
as
a
state
case
in
accordance
with
that
determination.
The
costs
and
expenses
shall
be
collected
as
provided
by
law
in
other
cases.
Sec.
67.
Section
222.70,
Code
2018,
is
amended
to
read
as
follows:
222.70
Residency
disputes.
If
a
dispute
arises
between
counties
or
between
the
department
and
a
county
as
to
the
residency
of
a
person
admitted
to
a
resource
center
,
or
a
special
unit
,
or
a
community-based
service
,
the
dispute
shall
be
resolved
as
provided
in
section
331.394
.
Sec.
68.
Section
226.45,
Code
2018,
is
amended
to
read
as
follows:
226.45
Reimbursement
to
county
or
state.
If
a
patient
is
not
receiving
medical
assistance
under
chapter
249A
and
the
amount
to
in
the
account
of
any
patient
Senate
File
2418,
p.
56
in
the
patients’
personal
deposit
fund
exceeds
two
hundred
dollars,
the
business
manager
of
the
hospital
may
apply
any
of
the
excess
to
reimburse
the
county
of
residence
or
the
state
for
a
state
case
when
the
patient
is
a
resident
in
another
state
or
in
a
foreign
country,
or
when
the
patient’s
residence
is
unknown
for
liability
incurred
by
the
county
or
the
state
for
the
payment
of
care,
support
and
maintenance
of
the
patient,
when
billed
by
the
county
of
residence
or
by
the
administrator
for
a
state
case
when
the
patient
is
a
resident
in
another
state
or
in
a
foreign
country,
or
when
the
patient’s
residence
is
unknown
.
Sec.
69.
Section
230.1,
subsection
1,
paragraph
b,
Code
2018,
is
amended
to
read
as
follows:
b.
By
the
state
as
a
state
case
if
such
person
has
no
residence
in
this
state,
if
the
person’s
residence
is
unknown,
or
if
the
person
is
under
eighteen
years
of
age.
Sec.
70.
Section
230.2,
Code
2018,
is
amended
to
read
as
follows:
230.2
Finding
of
residence.
If
a
person’s
residency
status
is
disputed,
the
residency
shall
be
determined
in
accordance
with
section
331.394
.
Otherwise,
the
district
court
may,
when
the
person
is
ordered
placed
in
a
hospital
for
psychiatric
examination
and
appropriate
treatment,
or
as
soon
thereafter
as
the
court
obtains
the
proper
information,
make
one
of
the
following
determinations
and
enter
of
record
whether
the
residence
of
the
person
is
in
a
county
or
the
person
is
deemed
to
be
a
state
case
a
resident
in
another
state
or
in
a
foreign
country,
or
when
the
person’s
residence
is
unknown
,
as
follows:
1.
That
the
person’s
residence
is
in
the
county
from
which
the
person
was
placed
in
the
hospital.
2.
That
the
person’s
residence
is
in
another
county
of
the
state.
3.
That
the
person’s
residence
is
in
a
foreign
state
or
country
and
the
person
is
deemed
to
be
a
state
case
.
4.
That
the
person’s
residence
is
unknown
and
the
person
is
deemed
to
be
a
state
case
.
Sec.
71.
Section
230.8,
Code
2018,
is
amended
to
read
as
follows:
Senate
File
2418,
p.
57
230.8
Transfers
of
persons
with
mental
illness
——
expenses.
The
transfer
to
any
state
hospitals
or
to
the
places
of
their
residence
of
persons
with
mental
illness
who
have
no
residence
in
this
state
or
whose
residence
is
unknown
and
deemed
to
be
a
state
case
,
shall
be
made
according
to
the
directions
of
the
administrator,
and
when
practicable
by
employees
of
the
state
hospitals.
The
actual
and
necessary
expenses
of
such
transfers
shall
be
paid
by
the
department
on
itemized
vouchers
sworn
to
by
the
claimants
and
approved
by
the
administrator.
Sec.
72.
Section
230.9,
Code
2018,
is
amended
to
read
as
follows:
230.9
Subsequent
discovery
of
residence.
If,
after
a
person
has
been
received
by
a
state
hospital
for
persons
with
mental
illness
as
a
state
case
patient
whose
residence
is
supposed
to
be
outside
this
state,
the
administrator
determines
that
the
residence
of
the
person
was,
at
the
time
of
admission
or
commitment,
in
a
county
of
this
state,
the
administrator
shall
certify
the
determination
and
charge
all
legal
costs
and
expenses
pertaining
to
the
admission
or
commitment
and
support
of
the
person
to
the
county
of
residence.
The
certification
shall
be
sent
to
the
county
of
residence.
The
certification
shall
be
accompanied
by
a
copy
of
the
evidence
supporting
the
determination.
The
costs
and
expenses
shall
be
collected
as
provided
by
law
in
other
cases.
If
the
person’s
residency
status
has
been
determined
in
accordance
with
section
331.394
,
the
legal
costs
and
expenses
shall
be
charged
to
the
county
of
residence
or
as
a
state
case
in
accordance
with
that
determination.
Sec.
73.
Section
230.11,
Code
2018,
is
amended
to
read
as
follows:
230.11
Recovery
of
costs
from
state.
Costs
and
expenses
attending
the
taking
into
custody,
care,
and
investigation
of
a
person
who
has
been
admitted
or
committed
to
a
state
hospital,
United
States
department
of
veterans
affairs
hospital,
or
other
agency
of
the
United
States
government,
for
persons
with
mental
illness
and
who
has
no
residence
in
this
state
or
whose
residence
is
unknown,
including
cost
of
commitment,
if
any,
shall
be
paid
as
a
state
case
as
approved
by
the
administrator.
The
amount
of
the
costs
Senate
File
2418,
p.
58
and
expenses
approved
by
the
administrator
is
appropriated
to
the
department
from
any
money
in
the
state
treasury
not
otherwise
appropriated.
Payment
shall
be
made
by
the
department
on
itemized
vouchers
executed
by
the
auditor
of
the
county
which
has
paid
them,
and
approved
by
the
administrator.
Sec.
74.
Section
249A.26,
subsection
2,
paragraph
b,
Code
2018,
is
amended
to
read
as
follows:
b.
The
state
shall
pay
for
one
hundred
percent
of
the
nonfederal
share
of
the
costs
of
case
management
provided
for
adults,
day
treatment,
partial
hospitalization,
and
the
home
and
community-based
services
waiver
services
for
persons
who
have
no
residence
in
this
state
or
whose
residence
is
unknown
so
that
the
persons
are
deemed
to
be
state
cases
.
Sec.
75.
Section
249A.26,
subsection
7,
Code
2018,
is
amended
by
striking
the
subsection.
Sec.
76.
Section
331.394,
Code
2018,
is
amended
to
read
as
follows:
331.394
County
of
residence
——
services
to
residents
——
service
authorization
appeals
——
disputes
between
counties
or
regions
and
the
department
.
1.
For
the
purposes
of
this
section
,
unless
the
context
otherwise
requires:
a.
“County
of
residence”
means
the
county
in
this
state
in
which,
at
the
time
a
person
applies
for
or
receives
services,
the
person
is
living
and
has
established
an
ongoing
presence
with
the
declared,
good
faith
intention
of
living
in
the
county
for
a
permanent
or
indefinite
period
of
time.
The
county
of
residence
of
a
person
who
is
a
homeless
person
is
the
county
where
the
homeless
person
usually
sleeps.
A
person
maintains
residency
in
the
county
or
state
in
which
the
person
last
resided
while
the
person
is
present
in
another
county
or
this
state
receiving
services
in
a
hospital,
a
correctional
facility,
a
halfway
house
for
community-based
corrections
or
substance-related
treatment,
a
nursing
facility,
an
intermediate
care
facility
for
persons
with
an
intellectual
disability,
or
a
residential
care
facility,
or
for
the
purpose
of
attending
a
college
or
university.
b.
“Homeless
person”
means
the
same
as
defined
in
section
48A.2
.
Senate
File
2418,
p.
59
c.
“Mental
health
professional”
means
the
same
as
defined
in
section
228.1
.
d.
“Person”
means
a
person
who
is
a
United
States
citizen
or
a
qualified
alien
as
defined
in
8
U.S.C.
§1641.
2.
If
a
person
appeals
a
decision
regarding
a
service
authorization
or
other
services-related
decision
made
by
a
regional
administrator
that
cannot
be
resolved
informally,
the
appeal
shall
be
heard
in
a
contested
case
proceeding
by
a
state
administrative
law
judge.
The
administrative
law
judge’s
decision
shall
be
considered
final
agency
action
under
chapter
17A
.
3.
If
a
service
authorization
or
other
services-related
decision
made
by
a
regional
administrator
concerning
a
person
varies
from
the
type
and
amount
of
service
identified
to
be
necessary
for
the
person
in
a
clinical
determination
made
by
a
mental
health
professional
and
the
mental
health
professional
believes
that
failure
to
provide
the
type
and
amount
of
service
identified
could
cause
an
immediate
danger
to
the
person’s
health
or
safety,
the
person
may
request
an
expedited
review
of
the
regional
administrator’s
decision
to
be
made
by
the
department
of
human
services.
An
expedited
review
held
in
accordance
with
this
subsection
is
subject
to
the
following
procedures:
a.
The
request
for
the
expedited
review
shall
be
filed
within
five
business
days
of
receiving
the
notice
of
decision
by
the
regional
administrator.
The
request
must
be
in
writing,
plainly
state
the
request
for
an
expedited
review
in
the
caption
and
body
of
the
request,
and
be
supported
by
written
documentation
from
the
mental
health
professional
who
made
the
clinical
determination
stating
how
the
notice
of
decision
on
services
could
cause
an
immediate
danger
to
the
person’s
health
or
safety.
b.
The
expedited
review
shall
be
performed
by
a
mental
health
professional,
who
is
either
the
administrator
of
the
division
of
mental
health
and
disability
services
of
the
department
of
human
services
or
the
administrator’s
designee.
If
the
administrator
is
not
a
mental
health
professional,
the
expedited
review
shall
be
performed
by
a
designee
of
the
administrator
who
is
a
mental
health
professional
and
is
free
Senate
File
2418,
p.
60
of
any
conflict
of
interest
to
perform
the
expedited
review.
The
expedited
review
shall
be
performed
within
two
business
days
of
the
time
the
request
is
filed.
If
the
reviewer
determines
the
information
submitted
in
connection
with
the
request
is
inadequate
to
perform
the
review,
the
reviewer
shall
request
the
submission
of
additional
information
and
the
review
shall
be
performed
within
two
business
days
of
the
time
that
adequate
information
is
submitted.
The
regional
administrator
and
the
person,
with
the
assistance
of
the
mental
health
professional
who
made
the
clinical
determination,
shall
each
provide
a
brief
statement
of
facts,
conclusions,
and
reasons
for
the
decision
made.
Supporting
clinical
information
shall
also
be
attached.
All
information
related
to
the
proceedings
and
any
related
filings
shall
be
considered
to
be
mental
health
information
subject
to
chapter
228
.
c.
The
administrator
or
designee
shall
issue
an
order,
including
a
brief
statement
of
findings
of
fact,
conclusions
of
law,
and
policy
reasons
for
the
order,
to
justify
the
decision
made
concerning
the
expedited
review.
If
the
decision
concurs
with
the
contention
that
there
is
an
immediate
danger
to
the
person’s
health
or
safety,
the
order
shall
identify
the
type
and
amount
of
service
which
shall
be
provided
for
the
person.
The
administrator
or
designee
shall
give
such
notice
as
is
practicable
to
persons
who
are
required
to
comply
with
the
order.
The
order
is
effective
when
issued.
d.
The
decision
of
the
administrator
or
designee
shall
be
considered
a
final
agency
action
and
is
subject
to
judicial
review
in
accordance
with
section
17A.19
.
The
record
for
judicial
review
consists
of
any
documents
regarding
the
matter
that
were
considered
or
prepared
by
the
administrator
or
designee.
The
administrator
or
designee
shall
maintain
these
documents
as
the
official
record
of
the
decision.
If
the
matter
is
appealed
to
the
district
court,
the
record
shall
be
filed
as
confidential.
4.
If
a
county
of
residence
is
part
of
a
mental
health
and
disability
services
region
that
has
agreed
to
pool
funding
and
liability
for
services,
the
responsibilities
of
the
county
under
law
regarding
such
services
shall
be
performed
on
behalf
of
the
county
by
the
regional
administrator.
The
county
of
Senate
File
2418,
p.
61
residence
or
the
county’s
mental
health
and
disability
services
region,
as
applicable,
is
responsible
for
paying
the
public
costs
of
the
mental
health
and
disability
services
that
are
not
covered
by
the
medical
assistance
program
under
chapter
249A
and
are
provided
in
accordance
with
the
region’s
approved
service
management
plan
to
persons
who
are
residents
of
the
county
or
region.
5.
a.
The
dispute
resolution
process
implemented
in
accordance
with
this
subsection
applies
to
residency
disputes.
The
dispute
resolution
process
is
not
applicable
to
disputes
involving
persons
committed
to
a
state
facility
pursuant
to
chapter
812
or
rule
of
criminal
procedure
2.22
,
Iowa
court
rules,
or
to
disputes
involving
service
authorization
decisions
made
by
a
region.
b.
If
a
county
,
or
region
,
or
the
department
,
as
applicable,
receives
a
billing
for
services
provided
to
a
resident
in
another
county
or
region,
or
objects
to
a
residency
determination
certified
by
the
department
or
another
county’s
or
region’s
regional
administrator
and
asserts
either
that
the
person
has
residency
in
another
county
or
region
or
the
person
is
not
a
resident
of
this
state
or
the
person’s
residency
is
unknown
so
that
the
person
is
deemed
a
state
case
,
the
person’s
residency
status
shall
be
determined
as
provided
in
this
subsection
.
The
county
or
region
shall
notify
the
department
of
the
county’s
or
region’s
assertion
within
one
hundred
twenty
days
of
receiving
the
billing.
If
the
county
or
region
asserts
that
the
person
has
residency
in
another
county
or
region,
that
the
county
or
region
shall
be
notified
at
the
same
time
as
the
department.
If
the
department
disputes
a
residency
determination
certification
made
by
a
regional
administrator,
the
department
shall
notify
the
affected
counties
or
regions
of
the
department’s
assertion
notify
the
other
county
or
region
within
one
hundred
twenty
days
of
receiving
the
billing
for
services
.
c.
The
department,
county
,
or
region
that
received
the
notification,
as
applicable,
shall
respond
to
the
party
that
provided
the
notification
within
forty-five
days
of
receiving
the
notification.
If
the
parties
cannot
agree
to
a
settlement
as
to
the
person’s
residency
status
within
ninety
days
of
the
Senate
File
2418,
p.
62
date
of
notification,
on
motion
of
any
of
the
parties,
the
matter
shall
be
referred
to
the
department
of
inspections
and
appeals
for
a
contested
case
hearing
under
chapter
17A
before
an
administrative
law
judge
assigned
in
accordance
with
section
10A.801
to
determine
the
person’s
residency
status.
d.
(1)
The
administrative
law
judge’s
determination
of
the
person’s
residency
status
shall
be
considered
final
agency
action,
notwithstanding
contrary
provisions
of
section
17A.15
.
The
party
that
does
not
prevail
in
the
determination
or
subsequent
judicial
review
is
liable
for
costs
associated
with
the
proceeding,
including
reimbursement
of
the
department
of
inspections
and
appeals’
actual
costs
associated
with
the
administrative
proceeding.
Judicial
review
of
the
determination
may
be
sought
in
accordance
with
section
17A.19
.
(2)
If
following
the
determination
of
a
person’s
residency
status
in
accordance
with
this
subsection
,
additional
evidence
becomes
available
that
merits
a
change
in
that
determination,
the
parties
affected
may
change
the
determination
by
mutual
agreement.
Otherwise,
a
party
may
move
that
the
matter
be
reconsidered
by
the
department,
county
,
or
region,
or
by
the
administrative
law
judge.
e.
(1)
Unless
a
petition
is
filed
for
judicial
review,
the
administrative
law
judge’s
determination
of
the
person’s
residency
status
shall
result
in
one
of
the
following:
(a)
If
a
county
or
region
is
determined
to
be
the
person’s
residence,
the
county
or
region
shall
pay
the
amounts
due
and
shall
reimburse
any
other
amounts
paid
for
services
provided
by
the
other
county
or
region
or
the
department
on
the
person’s
behalf
prior
to
the
determination.
(b)
If
it
is
determined
that
the
person
is
not
a
resident
of
this
state
or
the
person’s
residency
is
unknown
so
that
the
person
is
deemed
to
be
a
state
case,
the
department
shall
pay
the
amounts
due
and
shall
reimburse
the
county
or
region,
as
applicable,
for
any
payment
made
on
behalf
of
the
person
prior
to
the
determination
neither
the
region
in
which
the
services
were
provided
nor
the
state
shall
be
liable
for
payment
of
amounts
due
for
services
provided
to
the
person
prior
to
the
determination
.
(2)
The
payment
or
reimbursement
shall
be
remitted
within
Senate
File
2418,
p.
63
forty-five
days
of
the
date
the
determination
was
issued.
After
the
forty-five-day
period,
a
penalty
of
not
greater
than
one
percent
per
month
may
be
added
to
the
amount
due.
6.
a.
The
dispute
resolution
process
implemented
in
accordance
with
this
subsection
applies
beginning
July
1,
2012,
to
billing
disputes
between
the
state
and
a
county
or
region,
other
than
residency
disputes
or
other
dispute
processes
under
this
section
,
involving
the
responsibility
for
service
costs
for
services
provided
on
or
after
July
1,
2011,
under
any
of
the
following:
(1)
Chapter
221
.
(2)
Chapter
222
.
(3)
Chapter
229
.
(4)
Chapter
230
.
(5)
Chapter
249A
.
(6)
Chapter
812
.
b.
If
a
county,
region,
or
the
department,
as
applicable,
disputes
a
billing
for
service
costs
listed
in
paragraph
“a”
,
the
dispute
shall
be
resolved
as
provided
in
this
subsection
.
The
county
or
region
shall
notify
the
department
of
the
county’s
or
region’s
assertion
within
ninety
days
of
receiving
the
billing.
However,
for
services
provided
on
or
after
July
1,
2011,
for
which
a
county
has
received
the
billing
as
of
July
1,
2012,
the
county
shall
notify
the
department
of
the
county’s
assertion
on
or
before
October
1,
2012.
If
the
department
disputes
such
a
billing
of
a
regional
administrator,
the
department
shall
notify
the
affected
counties
or
regions
of
the
department’s
assertion.
c.
The
department,
county,
or
region
that
received
the
notification,
as
applicable,
shall
respond
to
the
party
that
provided
the
notification
within
forty-five
days
of
receiving
the
notification.
If
the
parties
cannot
agree
to
a
settlement
as
to
the
dispute
within
ninety
days
of
the
date
of
notification,
on
motion
of
any
of
the
parties,
the
matter
shall
be
referred
to
the
department
of
inspections
and
appeals
for
a
contested
case
hearing
under
chapter
17A
before
an
administrative
law
judge
assigned
in
accordance
with
section
10A.801
to
determine
facts
and
issue
a
decision
to
resolve
the
dispute.
Senate
File
2418,
p.
64
d.
(1)
The
administrative
law
judge’s
decision
is
a
final
agency
action,
notwithstanding
contrary
provisions
of
section
17A.15
.
The
party
that
does
not
prevail
in
the
decision
or
subsequent
judicial
review
is
liable
for
costs
associated
with
the
proceeding,
including
reimbursement
of
the
department
of
inspections
and
appeals’
actual
costs
associated
with
the
administrative
proceeding.
Judicial
review
of
the
decision
may
be
sought
in
accordance
with
section
17A.19
.
(2)
If
following
the
decision
regarding
a
dispute
in
accordance
with
this
subsection
,
additional
evidence
becomes
available
that
merits
a
change
in
that
decision,
the
parties
affected
may
change
the
decision
by
mutual
agreement.
Otherwise,
a
party
may
move
that
the
matter
be
reconsidered
by
the
department,
county,
or
region,
or
by
the
administrative
law
judge.
e.
(1)
Unless
a
petition
is
filed
for
judicial
review,
the
administrative
law
judge’s
decision
regarding
a
disputed
billing
shall
result
in
one
of
the
following:
(a)
If
a
county
or
region
is
determined
to
be
responsible
for
the
disputed
amounts,
the
county
or
region
shall
pay
the
amounts
due
and
shall
reimburse
any
other
amounts
paid
for
services
provided
by
the
other
county
or
region
or
the
department
on
the
person’s
behalf
prior
to
the
decision.
(b)
If
it
is
determined
that
the
state
is
responsible
for
the
disputed
amounts,
the
state
shall
pay
the
amounts
due
and
shall
reimburse
the
county
or
region,
as
applicable,
for
any
payment
made
on
behalf
of
the
person
prior
to
the
decision.
(2)
The
payment
or
reimbursement
shall
be
remitted
within
forty-five
days
of
the
date
the
decision
was
issued.
After
the
forty-five-day
period,
a
penalty
of
not
greater
than
one
percent
per
month
may
be
added
to
the
amount
due.
Sec.
77.
REPEAL.
Section
226.9C,
Code
2018,
is
repealed.
DIVISION
X
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING
Sec.
78.
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING.
The
department
on
aging
and
the
department
of
human
services
shall
collaborate
to
develop
a
cost
allocation
plan
requesting
Medicaid
administrative
funding
to
provide
for
the
claiming
of
federal
financial
participation
for
aging
and
disability
Senate
File
2418,
p.
65
resource
center
activities
that
are
performed
to
assist
with
administration
of
the
Medicaid
program.
By
January
1,
2019,
the
department
of
human
services
shall
submit
to
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
any
Medicaid
state
plan
amendment
as
necessary
and
shall
enter
into
an
interagency
agreement
with
the
department
on
aging
to
implement
this
section.
Sec.
79.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XI
EXECUTIVE
DIRECTOR
——
DEPARTMENT
OF
VETERANS
AFFAIRS
Sec.
80.
2008
Iowa
Acts,
chapter
1191,
section
14,
subsection
3,
is
amended
to
read
as
follows:
3.
The
following
are
range
3
positions:
administrator
of
the
division
of
criminal
and
juvenile
justice
planning
of
the
department
of
human
rights,
administrator
of
the
division
of
community
action
agencies
of
the
department
of
human
rights,
executive
director
of
the
department
of
veterans
affairs,
and
chairperson
and
members
of
the
employment
appeal
board
of
the
department
of
inspections
and
appeals.
Sec.
81.
2008
Iowa
Acts,
chapter
1191,
section
14,
subsection
5,
as
amended
by
2013
Iowa
Acts,
chapter
123,
section
63,
is
amended
to
read
as
follows:
5.
The
following
are
range
5
positions:
administrator
of
the
division
of
homeland
security
and
emergency
management
of
the
department
of
public
defense,
state
public
defender,
drug
policy
coordinator,
labor
commissioner,
workers’
compensation
commissioner,
director
of
the
department
of
cultural
affairs,
director
of
the
department
of
elder
affairs,
director
of
the
law
enforcement
academy,
members
of
the
property
assessment
appeal
board,
executive
director
of
the
department
of
veterans
affairs,
and
administrator
of
the
historical
division
of
the
department
of
cultural
affairs.
Sec.
82.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XII
FAMILY
PLANNING
SERVICES
PROGRAM
Sec.
83.
Section
217.41B,
subsection
3,
Code
2018,
is
Senate
File
2418,
p.
66
amended
to
read
as
follows:
3.
a.
(1)
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
,
which
shall
not
be
interpreted
to
include
a
nonpublic
entity
that
is
a
distinct
location
of
a
nonprofit
health
care
delivery
system,
if
the
distinct
location
provides
family
planning
services
but
does
not
perform
abortions
or
maintain
or
operate
as
a
facility
where
abortions
are
performed
.
(2)
The
department
of
human
services
shall
adopt
rules
pursuant
to
chapter
17A
to
require
that
as
a
condition
of
eligibility
as
a
provider
under
the
family
planning
services
program,
each
distinct
location
of
a
nonprofit
health
care
delivery
system
shall
enroll
in
the
program
as
a
separate
provider,
be
assigned
a
distinct
provider
identification
number,
and
complete
an
attestation
that
abortions
are
not
performed
at
the
distinct
location.
(3)
For
the
purposes
of
this
section,
“nonprofit
health
care
delivery
system”
means
an
Iowa
nonprofit
corporation
that
controls,
directly
or
indirectly,
a
regional
health
care
network
consisting
of
hospital
facilities
and
various
ambulatory
and
clinic
locations
that
provide
a
range
of
primary,
secondary,
and
tertiary
inpatient,
outpatient,
and
physician
services.
b.
For
the
purposes
of
this
section
,
“abortion”
does
not
include
any
of
the
following:
a.
(1)
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.
(2)
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.
DIVISION
XIII
PROVISIONAL
REGIONALIZATION
AUTHORIZATION
Sec.
84.
Section
331.389,
subsection
1,
paragraphs
b
and
c,
Code
2018,
are
amended
to
read
as
follows:
Senate
File
2418,
p.
67
b.
The
director
of
human
services
shall
exempt
a
county
from
being
required
to
enter
into
a
regional
service
system
if
the
county
furnishes
evidence
that
the
county
complies
with
the
requirements
in
subsection
3
,
paragraphs
“c”
,
“d”
,
“e”
,
and
“f”
,
and
is
able
to
provide
the
core
services
required
by
law
to
the
county’s
residents
in
a
manner
that
is
as
cost
effective
and
with
outcomes
that
are
at
least
equal
to
what
could
be
provided
to
the
residents
if
the
county
would
provide
the
services
through
a
regional
service
system.
The
director
shall
identify
criteria
for
evaluating
the
evidence
provided
by
counties
applying
for
the
exemption.
The
criteria
identified
shall
be
specified
in
rule
adopted
by
the
state
commission.
c.
b.
If
a
county
has
been
exempted
pursuant
to
this
subsection
prior
to
July
1,
2014,
from
the
requirement
to
enter
into
a
regional
service
system,
the
county
and
the
county’s
board
of
supervisors
shall
fulfill
all
requirements
under
this
chapter
and
chapter
225C
for
a
regional
service
system,
regional
service
system
management
plan,
regional
governing
board,
and
regional
administrator,
and
any
other
provisions
applicable
to
a
region
of
counties
providing
local
mental
health
and
disability
services.
Sec.
85.
Section
331.389,
subsection
2,
Code
2018,
is
amended
to
read
as
follows:
2.
The
director
of
human
services
shall
approve
any
region
meeting
the
requirements
of
subsection
3
.
However,
the
director
of
human
services,
in
consultation
with
the
state
commission,
may
grant
a
waiver
from
the
requirement
relating
to
the
minimum
number
of
counties
if
there
is
convincing
evidence
that
compliance
with
such
requirement
is
not
workable.
Sec.
86.
Section
331.389,
subsection
3,
paragraph
a,
Code
2018,
is
amended
to
read
as
follows:
a.
The
counties
comprising
the
region
are
contiguous
except
that
a
region
may
include
a
county
that
is
not
contiguous
with
any
of
the
other
counties
in
the
region,
if
the
county
that
is
not
contiguous
has
had
a
formal
relationship
for
two
years
or
longer
with
one
or
more
of
the
other
counties
in
the
region
for
the
provision
of
mental
health
and
disability
services
.
Sec.
87.
Section
331.389,
subsection
4,
paragraph
c,
Code
2018,
is
amended
to
read
as
follows:
Senate
File
2418,
p.
68
c.
During
the
period
of
April
2,
2013,
through
July
1,
2013,
the
The
department
shall
work
with
any
county
that
has
not
agreed
to
be
part
of
a
region
in
accordance
with
paragraph
“a”
and
with
the
regions
forming
around
the
county
to
resolve
issues
preventing
the
county
from
joining
a
region.
By
July
1,
2013,
a
A
county
that
has
not
agreed
to
be
part
of
a
region
in
accordance
with
paragraph
“a”
shall
be
assigned
by
the
department
to
a
region,
unless
exempted
pursuant
to
subsection
1
prior
to
July
1,
2014
.
Sec.
88.
Section
331.389,
subsection
4,
paragraph
e,
unnumbered
paragraph
1,
Code
2018,
is
amended
to
read
as
follows:
On
or
before
June
30,
2014,
unless
exempted
pursuant
to
subsection
1
prior
to
July
1,
2014
,
all
counties
shall
be
in
compliance
with
all
of
the
following
mental
health
and
disability
services
region
implementation
criteria:
Sec.
89.
Section
331.424A,
subsection
8,
Code
2018,
is
amended
to
read
as
follows:
8.
a.
For
the
fiscal
year
beginning
July
1,
2017,
the
regional
per
capita
expenditure
target
amount
is
the
sum
of
the
base
expenditure
amount
for
all
counties
in
the
region
divided
by
the
population
of
the
region.
However,
a
regional
per
capita
expenditure
target
amount
shall
not
exceed
the
statewide
per
capita
expenditure
target
amount.
For
the
fiscal
year
beginning
July
1,
2018,
and
each
subsequent
fiscal
year,
the
regional
per
capita
expenditure
target
amount
for
each
region
is
equal
to
the
regional
per
capita
expenditure
target
amount
for
the
fiscal
year
beginning
July
1,
2017.
b.
Notwithstanding
paragraph
“a”
,
for
the
fiscal
year
beginning
July
1,
2019,
the
regional
per
capita
expenditure
target
amount
for
a
region
formed
pursuant
to
the
section
of
this
Act
which
authorizes
regionalization
is
the
sum
of
the
base
expenditure
amount
for
all
counties
in
the
region
divided
by
the
population
of
the
region.
However,
the
regional
per
capita
expenditure
target
amount
shall
not
exceed
the
statewide
per
capita
expenditure
target
amount.
For
the
fiscal
year
beginning
July
1,
2020,
and
each
subsequent
fiscal
year,
the
regional
per
capita
expenditure
target
amount
for
the
region
shall
be
equal
to
the
regional
per
capita
expenditure
target
Senate
File
2418,
p.
69
amount
for
the
fiscal
year
beginning
July
1,
2019.
Sec.
90.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
REGIONALIZATION
AUTHORIZATION.
1.
Upon
receiving
a
request
from
any
county
within
the
county
social
services
mental
health
and
disability
services
region
to
be
removed
from
the
region,
the
director
of
human
services
may
authorize
the
county
to
join
with
other
counties
requesting
to
be
removed
from
the
county
social
services
mental
health
and
disability
services
region
in
the
formation
of
a
proposed
new
mental
health
and
disability
services
region.
2.
County
formation
of
a
proposed
new
mental
health
and
disability
services
region
pursuant
to
this
section
is
subject
to
all
of
the
following:
a.
The
aggregate
population
of
all
counties
forming
the
region
is
at
least
100,000
and
includes
at
least
one
incorporated
city
with
a
population
of
more
than
24,000.
For
purposes
of
this
subparagraph,
“population”
means
the
same
as
defined
in
section
331.388,
subsection
3,
Code
2018.
b.
Notwithstanding
section
331.389,
subsection
4,
on
or
before
February
1,
2019,
the
counties
forming
the
region
have
complied
with
section
331.389,
subsection
3,
as
amended
in
this
division
of
this
Act,
and
all
of
the
following
additional
requirements:
(1)
The
board
of
supervisors
of
each
county
forming
the
region
has
voted
to
approve
a
chapter
28E
agreement.
(2)
The
duly
authorized
representatives
of
all
the
counties
forming
the
region
have
signed
a
chapter
28E
agreement
that
is
in
compliance
with
section
331.392
and
441
IAC
25.14.
(3)
The
county
board
of
supervisors’
or
supervisors’
designee
members
and
other
members
of
the
region’s
governing
board
are
appointed
in
accordance
with
section
331.390.
(4)
Executive
staff
for
the
region’s
regional
administrator
are
identified
or
engaged.
(5)
The
regional
service
management
plan
is
developed
in
accordance
with
section
331.393
and
441
IAC
25.18
and
441
IAC
25.21
and
is
submitted
to
the
department.
(6)
The
initial
regional
service
management
plan
shall
identify
the
service
provider
network
for
the
region,
identify
the
information
technology
and
data
management
capacity
to
be
Senate
File
2418,
p.
70
employed
to
support
regional
functions,
and
establish
business
functions,
accounting
procedures,
and
other
administrative
processes.
c.
Each
county
forming
the
region
shall
submit
the
compliance
information
required
in
paragraph
“b”
to
the
director
of
human
services
on
or
before
February
1,
2019.
Within
45
days
of
receipt
of
such
information,
the
director
of
human
services
shall
determine
if
the
region
is
in
full
compliance
and
shall
approve
the
region
if
the
region
has
met
all
of
the
requirements
of
this
section.
d.
The
director
of
human
services
shall
work
with
a
county
making
a
request
under
this
section
that
has
not
agreed
or
is
unable
to
join
the
proposed
new
region
to
resolve
issues
preventing
the
county
from
joining
the
proposed
new
region.
e.
By
February
1,
2019,
the
director
of
human
services
shall
assign
a
county
making
a
request
under
this
section
that
has
not
reached
an
agreement
to
be
part
of
the
proposed
new
region
to
an
existing
region
or
to
the
new
proposed
region,
consistent
with
this
section.
3.
If
approved
by
the
department,
the
region
shall
commence
full
operations
no
later
than
July
1,
2019.
Sec.
91.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XIV
MANDATORY
REPORTER
TRAINING
AND
CERTIFICATION
WORKGROUP
Sec.
92.
DEPARTMENT
OF
HUMAN
SERVICES
——
MANDATORY
REPORTER
TRAINING
AND
CERTIFICATION
WORKGROUP.
The
department
of
human
services,
in
cooperation
with
the
departments
of
education
and
public
health,
shall
facilitate
a
study
by
a
workgroup
of
stakeholders
to
make
recommendations
relating
to
mandatory
child
abuse
and
mandatory
dependent
adult
abuse
reporter
training
and
certification
requirements.
The
workgroup
shall
develop
interdepartmental
strategies
for
improving
mandatory
child
abuse
and
mandatory
dependent
adult
abuse
reporter
training
and
certification
requirements.
The
workgroup
shall
consist
of
representatives
from
the
departments
of
human
services,
education,
public
health,
public
safety,
and
human
rights,
the
department
on
aging,
and
the
office
of
the
attorney
general;
a
court
appointed
special
advocate;
and
other
Senate
File
2418,
p.
71
experts
the
department
of
human
services
deems
necessary.
The
membership
of
the
workgroup
shall
also
include
four
members
of
the
general
assembly.
The
legislative
members
shall
serve
as
ex
officio,
nonvoting
members
of
the
workgroup,
with
one
member
to
be
appointed
by
each
of
the
following:
the
majority
leader
of
the
senate,
the
minority
leader
of
the
senate,
the
speaker
of
the
house
of
representatives,
and
the
minority
leader
of
the
house
of
representatives.
The
workgroup
shall
submit
a
report
with
recommendations,
including
but
not
limited
to
strategies
developed
and
other
proposed
improvements,
to
the
governor
and
the
general
assembly
on
or
before
December
15,
2018.
DIVISION
XV
NURSING
FACILITY
QUALITY
ASSURANCE
ASSESSMENT
Sec.
93.
Section
249L.3,
subsection
1,
paragraph
d,
Code
2018,
is
amended
to
read
as
follows:
d.
The
aggregate
quality
assurance
assessments
imposed
under
this
chapter
shall
not
exceed
the
lower
of
three
percent
of
the
aggregate
non-Medicare
revenues
of
a
nursing
facility
or
the
maximum
amount
that
may
be
assessed
pursuant
to
the
indirect
guarantee
threshold
as
established
pursuant
to
42
C.F.R.
§433.68(f)(3)(i),
and
shall
be
stated
on
a
per-patient-day
basis.
Sec.
94.
Section
249L.4,
subsection
2,
Code
2018,
is
amended
to
read
as
follows:
2.
Moneys
in
the
trust
fund
shall
be
used,
subject
to
their
appropriation
by
the
general
assembly,
by
the
department
only
for
reimbursement
of
nursing
facility
services
for
which
federal
financial
participation
under
the
medical
assistance
program
is
available
to
match
state
funds.
Any
moneys
Moneys
appropriated
from
the
trust
fund
for
reimbursement
of
nursing
facilities,
in
addition
to
the
quality
assurance
assessment
pass-through
and
the
quality
assurance
assessment
rate
add-on
which
shall
be
used
as
specified
in
subsection
5
,
paragraph
“b”
,
shall
be
used
in
a
manner
such
that
no
less
than
thirty-five
percent
of
the
amount
received
by
a
nursing
facility
is
used
for
increases
in
compensation
and
costs
of
employment
for
direct
care
workers,
and
no
less
than
sixty
percent
of
the
total
is
used
to
increase
compensation
and
costs
of
employment
for
all
nursing
facility
staff.
For
the
purposes
of
use
of
Senate
File
2418,
p.
72
such
funds,
“direct
care
worker”
,
“nursing
facility
staff”
,
“increases
in
compensation”
,
and
“costs
of
employment”
mean
as
defined
or
specified
in
this
chapter
.
Sec.
95.
DIRECTIVES
TO
DEPARTMENT
OF
HUMAN
SERVICES.
1.
The
department
of
human
services
shall
request
approval
from
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
for
any
waiver
or
state
plan
amendment
necessary
to
administer
this
division
of
this
Act.
2.
The
change
in
the
quality
assurance
assessment
shall
accrue
beginning
on
the
first
day
of
the
calendar
quarter
following
the
date
of
approval
of
any
waiver
or
state
plan
amendment.
DIVISION
XVI
SEXUAL
OFFENSES
AND
SEX
OFFENDERS
Sec.
96.
Section
229A.2,
subsection
4,
Code
2018,
is
amended
to
read
as
follows:
4.
“Discharge”
means
an
unconditional
discharge
from
the
sexually
violent
predator
program.
A
person
released
from
a
secure
facility
into
a
transitional
release
program
or
released
with
or
without
supervision
is
not
considered
to
be
discharged.
Sec.
97.
Section
229A.5B,
subsection
1,
unnumbered
paragraph
1,
Code
2018,
is
amended
to
read
as
follows:
A
person
who
is
detained
pursuant
to
section
229A.5
or
is
subject
to
an
order
of
civil
commitment
under
this
chapter
shall
remain
in
custody
unless
released
by
court
order
or
discharged
under
section
229A.8
or
229A.10
.
A
person
who
has
been
placed
in
a
transitional
release
program
or
who
is
under
release
with
or
without
supervision
is
considered
to
be
in
custody.
A
person
in
custody
under
this
chapter
shall
not
do
any
of
the
following:
Sec.
98.
Section
229A.5C,
subsection
4,
Code
2018,
is
amended
to
read
as
follows:
4.
A
person
who
committed
a
public
offense
while
in
a
transitional
release
program
or
on
release
with
or
without
supervision
may
be
returned
to
a
secure
facility
operated
by
the
department
of
human
services
upon
completion
of
any
term
of
confinement
that
resulted
from
the
commission
of
the
public
offense.
Senate
File
2418,
p.
73
Sec.
99.
Section
229A.6A,
subsection
1,
paragraph
d,
Code
2018,
is
amended
to
read
as
follows:
d.
To
a
facility
for
placement
or
treatment
in
a
transitional
release
program
or
for
release
with
or
without
supervision.
A
transport
order
is
not
required
under
this
paragraph.
Sec.
100.
Section
229A.7,
subsection
7,
Code
2018,
is
amended
to
read
as
follows:
7.
The
control,
care,
and
treatment
of
a
person
determined
to
be
a
sexually
violent
predator
shall
be
provided
at
a
facility
operated
by
the
department
of
human
services.
At
all
times
prior
to
placement
in
a
transitional
release
program
or
release
with
or
without
supervision,
persons
committed
for
control,
care,
and
treatment
by
the
department
of
human
services
pursuant
to
this
chapter
shall
be
kept
in
a
secure
facility
and
those
patients
shall
be
segregated
at
all
times
from
any
other
patient
under
the
supervision
of
the
department
of
human
services.
A
person
committed
pursuant
to
this
chapter
to
the
custody
of
the
department
of
human
services
may
be
kept
in
a
facility
or
building
separate
from
any
other
patient
under
the
supervision
of
the
department
of
human
services.
The
department
of
human
services
may
enter
into
a
chapter
28E
agreement
with
the
department
of
corrections
or
other
appropriate
agency
in
this
state
or
another
state
for
the
confinement
of
patients
who
have
been
determined
to
be
sexually
violent
predators.
Patients
who
are
in
the
custody
of
the
director
of
the
department
of
corrections
pursuant
to
a
chapter
28E
agreement
and
who
have
not
been
placed
in
a
transitional
release
program
or
released
with
or
without
supervision
shall
be
housed
and
managed
separately
from
criminal
offenders
in
the
custody
of
the
director
of
the
department
of
corrections,
and
except
for
occasional
instances
of
supervised
incidental
contact,
shall
be
segregated
from
those
offenders.
Sec.
101.
Section
229A.8B,
subsection
3,
Code
2018,
is
amended
to
read
as
follows:
3.
Upon
the
return
of
the
committed
person
to
a
secure
facility,
the
director
of
human
services
or
the
director’s
designee
shall
notify
the
court
that
issued
the
ex
parte
order
that
the
absconder
has
been
returned
to
a
secure
facility,
and
Senate
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2418,
p.
74
the
court
shall
set
a
hearing
within
five
days
to
determine
if
a
violation
occurred.
If
a
court
order
was
not
issued,
the
director
or
the
director’s
designee
shall
contact
the
nearest
district
court
with
jurisdiction
to
set
a
hearing
to
determine
whether
a
violation
of
the
rules
or
directives
occurred.
The
court
shall
schedule
a
hearing
within
five
days
of
after
receiving
notice
that
the
committed
person
has
been
returned
from
the
transitional
release
program
to
a
secure
facility.
Sec.
102.
Section
229A.9A,
Code
2018,
is
amended
to
read
as
follows:
229A.9A
Release
with
or
without
supervision.
1.
In
any
proceeding
under
section
229A.8
,
the
court
may
order
the
committed
person
released
with
or
without
supervision
if
any
of
the
following
apply:
a.
The
attorney
general
stipulates
to
the
release
with
or
without
supervision.
b.
The
court
or
jury
has
determined
that
the
person
should
be
discharged
released
from
the
program
a
secure
facility
or
a
transitional
release
program
,
but
the
court
has
determined
the
person
suffers
from
a
mental
abnormality
and
it
is
in
the
best
interest
of
the
community
to
order
release
with
or
without
supervision
before
the
committed
person
is
discharged.
2.
If
release
with
or
without
supervision
is
ordered,
the
department
of
human
services
shall
prepare
within
sixty
days
of
the
order
of
the
court
a
release
plan
addressing
the
person’s
needs
for
counseling,
medication,
community
support
services,
residential
services,
vocational
services,
alcohol
or
other
drug
abuse
treatment,
sex
offender
treatment,
or
any
other
treatment
or
supervision
necessary.
3.
The
court
shall
set
a
hearing
on
the
release
plan
prepared
by
the
department
of
human
services
before
the
committed
person
is
released
from
a
secure
facility
or
a
transitional
release
program.
4.
If
the
court
orders
release
with
supervision,
the
court
shall
order
supervision
by
an
agency
with
jurisdiction
that
is
familiar
with
the
placement
of
criminal
offenders
in
the
community.
The
agency
with
jurisdiction
shall
be
responsible
for
initiating
proceedings
for
violations
of
the
release
plan
as
provided
in
section
229A.9B
.
If
the
court
orders
release
Senate
File
2418,
p.
75
without
supervision,
the
agency
with
jurisdiction
shall
also
be
responsible
for
initiating
proceedings
for
any
violations
of
the
release
plan
as
provided
in
section
229A.9B
.
5.
A
committed
person
may
not
petition
the
court
for
release
with
or
without
supervision.
6.
A
committed
person
released
with
or
without
supervision
is
not
considered
discharged
from
civil
commitment
under
this
chapter
.
7.
After
being
released
with
or
without
supervision,
the
person
may
petition
the
court
for
discharge
as
provided
in
section
229A.8
.
8.
The
court
shall
retain
jurisdiction
over
the
committed
person
who
has
been
released
with
or
without
supervision
until
the
person
is
discharged
from
the
program.
The
department
of
human
services
or
a
judicial
district
department
of
correctional
services
shall
not
be
held
liable
for
any
acts
committed
by
a
committed
person
who
has
been
ordered
released
with
or
without
supervision.
Sec.
103.
Section
229A.9B,
Code
2018,
is
amended
to
read
as
follows:
229A.9B
Violations
of
release
with
or
without
supervision.
1.
If
a
committed
person
violates
the
release
plan,
the
agency
with
jurisdiction
over
the
person
may
request
the
district
court
to
issue
an
emergency
ex
parte
order
directing
any
law
enforcement
officer
to
take
the
person
into
custody
so
that
the
person
can
be
returned
to
a
secure
facility.
The
request
for
an
ex
parte
order
may
be
made
orally
or
by
telephone,
but
the
original
written
request
or
a
facsimile
copy
of
the
request
shall
be
filed
with
the
clerk
of
court
no
later
than
4:30
p.m.
on
the
next
business
day
the
office
of
the
clerk
of
court
is
open.
2.
If
a
committed
person
has
absconded
in
violation
of
the
conditions
of
the
person’s
release
plan,
a
presumption
arises
that
the
person
poses
a
risk
to
public
safety.
The
department
of
human
services
or
contracting
agency,
in
cooperation
with
local
law
enforcement
agencies,
may
make
a
public
announcement
about
the
absconder.
The
public
announcement
may
include
a
description
of
the
committed
person,
that
the
committed
person
is
on
release
with
or
without
supervision
from
the
sexually
Senate
File
2418,
p.
76
violent
predator
program,
and
any
other
information
pertinent
to
public
safety.
3.
Upon
the
return
of
the
committed
person
to
a
secure
facility,
the
director
of
human
services
or
the
director’s
designee
shall
notify
the
court
that
issued
the
ex
parte
order
that
the
committed
person
has
been
returned
to
a
secure
facility,
and
the
court
shall
set
hearing
within
five
days
to
determine
if
a
violation
occurred.
If
a
court
order
was
not
issued,
the
director
or
the
director’s
designee
shall
contact
the
nearest
district
court
with
jurisdiction
to
set
a
hearing
to
determine
whether
a
violation
of
the
conditions
of
the
release
plan
occurred.
The
court
shall
schedule
a
hearing
within
five
days
of
after
receiving
notice
that
the
committed
person
has
been
returned
to
a
secure
facility.
4.
At
the
hearing,
the
burden
shall
be
upon
the
attorney
general
to
show
by
a
preponderance
of
the
evidence
that
a
violation
of
the
release
plan
occurred.
5.
If
the
court
determines
a
violation
occurred,
the
court
shall
receive
release
recommendations
from
the
department
of
human
services
and
either
order
that
the
committed
person
be
returned
to
release
with
or
without
supervision
or
placed
in
a
transitional
release
program,
or
be
confined
in
a
secure
facility.
The
court
may
impose
further
conditions
upon
the
committed
person
if
returned
to
release
with
or
without
supervision
or
placed
in
the
transitional
release
program.
If
the
court
determines
no
violation
occurred,
the
committed
person
shall
be
returned
to
release
with
or
without
supervision.
Sec.
104.
Section
232.68,
subsection
2,
paragraph
a,
subparagraph
(3),
Code
2018,
is
amended
to
read
as
follows:
(3)
The
commission
of
a
sexual
offense
with
or
to
a
child
pursuant
to
chapter
709
,
section
726.2
,
or
section
728.12,
subsection
1
,
as
a
result
of
the
acts
or
omissions
of
the
person
responsible
for
the
care
of
the
child
or
of
a
person
who
is
fourteen
years
of
age
or
older
and
resides
in
a
home
with
the
child.
Notwithstanding
section
702.5
,
the
commission
of
a
sexual
offense
under
this
subparagraph
includes
any
sexual
offense
referred
to
in
this
subparagraph
with
or
to
a
person
under
the
age
of
eighteen
years.
Senate
File
2418,
p.
77
Sec.
105.
Section
232.68,
subsection
2,
paragraph
a,
subparagraph
(9),
Code
2018,
is
amended
to
read
as
follows:
(9)
(a)
Knowingly
A
person
who
is
responsible
for
the
care
of
a
child
knowingly
allowing
a
person
another
person
custody
or
of,
control
of
over
,
or
unsupervised
access
to
a
child
or
minor
child
under
the
age
of
fourteen
or
a
child
with
a
physical
or
mental
disability
,
after
knowing
the
person
other
person
is
required
to
register
or
is
on
the
sex
offender
registry
under
chapter
692A
for
a
violation
of
section
726.6
.
(b)
This
subparagraph
does
not
apply
in
any
of
the
following
circumstances:
(i)
A
child
living
with
a
parent
or
guardian
who
is
a
sex
offender
required
to
register
or
on
the
sex
offender
registry
under
chapter
692A.
(ii)
A
child
living
with
a
parent
or
guardian
who
is
married
to
and
living
with
a
sex
offender
required
to
register
or
on
the
sex
offender
registry
under
chapter
692A.
(iii)
A
child
who
is
a
sex
offender
required
to
register
or
on
the
sex
offender
registry
under
chapter
692A
who
is
living
with
the
child’s
parent,
guardian,
or
foster
parent
and
is
also
living
with
the
child
to
whom
access
was
allowed.
(c)
For
purposes
of
this
subparagraph,
“control
over”
means
any
of
the
following:
(i)
A
person
who
has
accepted,
undertaken,
or
assumed
supervision
of
a
child
from
the
parent
or
guardian
of
the
child.
(ii)
A
person
who
has
undertaken
or
assumed
temporary
supervision
of
a
child
without
explicit
consent
from
the
parent
or
guardian
of
the
child.
Sec.
106.
Section
901A.2,
subsection
6,
Code
2018,
is
amended
to
read
as
follows:
6.
A
person
who
has
been
placed
in
a
transitional
release
program,
released
with
or
without
supervision,
or
discharged
pursuant
to
chapter
229A
,
and
who
is
subsequently
convicted
of
a
sexually
predatory
offense
or
a
sexually
violent
offense,
shall
be
sentenced
to
life
in
prison
on
the
same
terms
as
a
class
“A”
felon
under
section
902.1
,
notwithstanding
any
other
provision
of
the
Code
to
the
contrary.
The
terms
and
conditions
applicable
to
sentences
for
class
“A”
felons
under
Senate
File
2418,
p.
78
chapters
901
through
909
shall
apply
to
persons
sentenced
under
this
subsection
.
However,
if
the
person
commits
a
sexually
violent
offense
which
is
a
misdemeanor
offense
under
chapter
709
,
the
person
shall
be
sentenced
to
life
in
prison,
with
eligibility
for
parole
as
provided
in
chapter
906
.
DIVISION
XVII
MEDICAID
RETROACTIVE
ELIGIBILITY
Sec.
107.
2017
Iowa
Acts,
chapter
174,
section
12,
subsection
15,
paragraph
a,
subparagraph
(7),
is
amended
to
read
as
follows:
(7)
(a)
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
coverage
shall
be
effective
on
the
first
day
of
the
month
of
application,
as
allowed
under
the
Medicaid
state
plan.
(b)
Effective
July
1,
2018,
a
three-month
retroactive
Medicaid
coverage
benefit
shall
apply
to
a
Medicaid
applicant
who
is
otherwise
Medicaid-eligible
and
is
a
resident
of
a
nursing
facility
licensed
under
chapter
135C.
The
department
shall
seek
federal
approval
for
any
Medicaid
waiver
or
state
plan
amendment
necessary
to
implement
this
subparagraph
(b).
Sec.
108.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XVIII
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
OF
FUNDS
Sec.
109.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
OF
FUNDS.
Notwithstanding
section
331.432,
a
county
with
a
population
of
over
300,000
based
on
the
most
recent
federal
decennial
census,
may
transfer
funds
from
any
other
fund
of
the
county
to
the
mental
health
and
disability
regional
services
fund
for
the
purposes
of
providing
mental
health
and
disability
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019.
The
county
shall
submit
a
report
to
the
governor
and
the
general
assembly
by
September
1,
2019,
including
the
source
of
any
funds
transferred,
the
amount
of
the
funds
transferred,
and
the
mental
health
and
disability
Senate
File
2418,
p.
79
services
provided
with
the
transferred
funds.
DIVISION
XIX
MISCELLANEOUS
TECHNICAL
PROVISIONS
Sec.
110.
Section
135.15,
Code
2018,
is
amended
to
read
as
follows:
135.15
Oral
and
health
delivery
system
bureau
established
——
responsibilities.
An
oral
and
health
delivery
system
bureau
is
established
within
the
division
of
health
promotion
and
chronic
disease
prevention
of
the
department.
The
bureau
shall
be
responsible
for
all
of
the
following:
1.
Providing
population-based
oral
health
services,
including
public
health
training,
improvement
of
dental
support
systems
for
families,
technical
assistance,
awareness-building
activities,
and
educational
services,
at
the
state
and
local
level
to
assist
Iowans
in
maintaining
optimal
oral
health
throughout
all
stages
of
life.
2.
Performing
infrastructure
building
and
enabling
services
through
the
administration
of
state
and
federal
grant
programs
targeting
access
improvement,
prevention,
and
local
oral
health
programs
utilizing
maternal
and
child
health
programs,
Medicaid,
and
other
new
or
existing
programs.
3.
Leveraging
federal,
state,
and
local
resources
for
programs
under
the
purview
of
the
bureau.
4.
Facilitating
ongoing
strategic
planning
and
application
of
evidence-based
research
in
oral
health
care
policy
development
that
improves
oral
health
care
access
and
the
overall
oral
health
of
all
Iowans.
5.
Developing
and
implementing
an
ongoing
oral
health
surveillance
system
for
the
evaluation
and
monitoring
of
the
oral
health
status
of
children
and
other
underserved
populations.
6.
Facilitating
the
provision
of
oral
health
services
through
dental
homes.
For
the
purposes
of
this
section,
“dental
home”
means
a
network
of
individualized
care
based
on
risk
assessment,
which
includes
oral
health
education,
dental
screenings,
preventive
services,
diagnostic
services,
treatment
services,
and
emergency
services.
Sec.
111.
Section
135.175,
subsection
1,
paragraph
a,
Code
Senate
File
2418,
p.
80
2018,
is
amended
to
read
as
follows:
a.
A
health
care
workforce
support
initiative
is
established
to
provide
for
the
coordination
and
support
of
various
efforts
to
address
the
health
care
workforce
shortage
in
this
state.
This
initiative
shall
include
the
medical
residency
training
state
matching
grants
program
created
in
section
135.176
,
the
nurse
residency
state
matching
grants
program
created
in
section
135.178,
and
the
fulfilling
Iowa’s
need
for
dentists
matching
grant
program
created
in
section
135.179
.
Sec.
112.
Section
135.175,
subsection
5,
Code
2018,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
b.
The
nurse
residency
state
matching
grants
program
account.
The
nurse
residency
state
matching
grants
program
account
shall
be
under
the
control
of
the
department
and
the
moneys
in
the
account
shall
be
used
for
the
purposes
of
the
nurse
residency
state
matching
grants
program
as
specified
in
section
135.178.
Moneys
in
the
account
shall
consist
of
moneys
appropriated
or
allocated
for
deposit
in
or
received
by
the
fund
or
the
account
and
specifically
dedicated
to
the
nurse
residency
state
matching
grants
program
account
for
the
purposes
of
such
account.
Sec.
113.
Section
135.175,
subsection
6,
paragraph
a,
Code
2018,
is
amended
to
read
as
follows:
a.
Moneys
in
the
fund
and
the
accounts
in
the
fund
shall
only
be
appropriated
in
a
manner
consistent
with
the
principles
specified
and
the
strategic
plan
developed
pursuant
to
section
135.163
to
support
the
medical
residency
training
state
matching
grants
program,
the
nurse
residency
state
matching
grants
program,
the
fulfilling
Iowa’s
need
for
dentists
matching
grant
program,
and
to
provide
funding
for
state
health
care
workforce
shortage
programs
as
provided
in
this
section
.
DIVISION
XX
STATE
TRAINING
SCHOOL
——
ELDORA
Sec.
114.
Section
233A.1,
Code
2018,
is
amended
to
read
as
follows:
233A.1
State
training
school
——
Eldora
and
Toledo
.
1.
Effective
January
1,
1992,
a
diagnosis
and
evaluation
center
and
other
units
are
established
at
Eldora
the
state
training
school
to
provide
to
court-committed
Senate
File
2418,
p.
81
male
juvenile
delinquents
a
program
which
focuses
upon
appropriate
developmental
skills,
treatment,
placements,
and
rehabilitation.
2.
The
diagnosis
and
evaluation
center
which
is
used
to
identify
appropriate
treatment
and
placement
alternatives
for
juveniles
and
any
other
units
for
juvenile
delinquents
which
are
located
at
Eldora
and
the
unit
for
juvenile
delinquents
at
Toledo
shall
together
be
known
as
the
“state
training
school”
.
For
the
purposes
of
this
chapter
“director”
means
the
director
of
human
services
and
“superintendent”
means
the
administrator
in
charge
of
the
diagnosis
and
evaluation
center
for
juvenile
delinquents
and
other
units
at
Eldora
and
the
unit
for
juvenile
delinquents
at
Toledo
the
state
training
school
.
3.
The
number
of
children
present
at
any
one
time
at
the
state
training
school
at
Eldora
shall
not
exceed
the
population
guidelines
established
under
1990
Iowa
Acts,
ch.
1239,
§21
,
as
adjusted
for
subsequent
changes
in
the
capacity
at
the
training
school.
Sec.
115.
Section
233A.14,
Code
2018,
is
amended
to
read
as
follows:
233A.14
Transfers
to
other
institutions.
The
administrator
may
transfer
to
the
schools
state
training
school
minor
wards
of
the
state
from
any
institution
under
the
administrator’s
charge
but
no
person
shall
be
so
transferred
who
is
mentally
ill
or
has
an
intellectual
disability.
Any
child
in
the
schools
state
training
school
who
is
mentally
ill
or
has
an
intellectual
disability
may
be
transferred
by
the
administrator
to
the
proper
state
institution.
Sec.
116.
Section
915.29,
subsection
1,
unnumbered
paragraph
1,
Code
2018,
is
amended
to
read
as
follows:
The
department
of
human
services
shall
notify
a
registered
victim
regarding
a
juvenile
adjudicated
delinquent
for
a
violent
crime,
committed
to
the
custody
of
the
department
of
human
services,
and
placed
at
the
state
training
school
at
Eldora
or
Toledo
,
of
the
following:
DIVISION
XXI
GERIATRIC
PATIENT
HOUSING
REVIEW
Sec.
117.
GERIATRIC
PATIENT
HOUSING
REVIEW.
1.
During
the
2018
legislative
interim,
the
department
Senate
File
2418,
p.
82
on
aging
and
the
departments
of
human
services,
inspections
and
appeals,
and
corrections,
cooperatively,
shall
review
issues
and
develop
policy
recommendations
relating
to
housing
for
geriatric
persons,
including
geriatric
individuals
who
are
registered
on
the
sex
offender
registry
or
who
are
sexually
aggressive.
The
review
shall
address
all
aspects
of
the
issue
including
the
feasibility
of
private
entities
utilizing
facilities
located
at
Mount
Pleasant,
Clarinda,
or
other
vacant,
state-owned
facilities
to
care
for
such
geriatric
persons;
related
workforce
recruitment
and
training;
requirements
that
a
facility
must
meet
in
order
to
receive
Medicaid
reimbursement;
and
any
other
information
or
issues
deemed
appropriate
by
the
agencies.
2.
The
agencies
shall
submit
a
joint
report
with
recommendations
to
the
governor
and
general
assembly
by
December
15,
2018.
DIVISION
XXII
WRONGFUL
BIRTH
OR
WRONGFUL
LIFE
CAUSE
OF
ACTION
Sec.
118.
NEW
SECTION
.
613.15B
Wrongful
birth
or
wrongful
life
cause
of
action
——
prohibitions
——
exceptions.
1.
A
cause
of
action
shall
not
arise
and
damages
shall
not
be
awarded,
on
behalf
of
any
person,
based
on
a
wrongful
birth
claim
that,
but
for
an
act
or
omission
of
the
defendant,
a
child
would
not
or
should
not
have
been
born.
2.
A
cause
of
action
shall
not
arise
and
damages
shall
not
be
awarded,
on
behalf
of
any
person,
based
on
a
wrongful
life
claim
that,
but
for
an
act
or
omission
of
the
defendant,
the
person
bringing
the
action
would
not
or
should
not
have
been
born.
3.
The
prohibitions
specified
in
this
section
apply
to
any
claim
regardless
of
whether
the
child
is
born
healthy
or
with
a
birth
defect
or
disorder
or
other
adverse
medical
condition.
However,
the
prohibitions
specified
in
this
section
shall
not
apply
to
any
of
the
following:
a.
A
civil
action
for
damages
for
an
intentional
or
grossly
negligent
act
or
omission,
including
any
act
or
omission
that
constitutes
a
public
offense.
b.
A
civil
action
for
damages
for
the
intentional
failure
of
a
physician
to
comply
with
the
duty
imposed
by
licensure
Senate
File
2418,
p.
83
pursuant
to
chapter
148
to
provide
a
patient
with
all
information
reasonably
necessary
to
make
decisions
about
a
pregnancy.
Sec.
119.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
120.
APPLICABILITY.
This
division
of
this
Act
applies
on
or
after
the
effective
date
of
this
division
of
this
Act
to
causes
of
action
that
accrue
on
or
after
that
date.
A
cause
of
action
that
accrues
before
the
effective
date
of
this
division
of
this
Act
is
governed
by
the
law
in
effect
prior
to
the
effective
date
of
this
division
of
this
Act.
DIVISION
XXIII
TRANSFERS
OF
FUNDS
BETWEEN
DHS
INSTITUTIONS
Sec.
121.
Section
218.6,
Code
2018,
is
amended
to
read
as
follows:
218.6
Transfer
of
appropriations
made
to
institutions.
1.
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
institutions,
listed
as
follows:
1.
a.
The
state
resource
centers.
2.
b.
The
state
mental
health
institutes.
3.
c.
The
state
training
school.
4.
d.
The
civil
commitment
unit
for
sexual
offenders.
2.
The
department
shall
report
any
transfer
made
pursuant
to
subsection
1
during
a
fiscal
quarter
to
the
legislative
services
agency
within
thirty
days
of
the
beginning
of
the
subsequent
fiscal
quarter.
DIVISION
XXIV
MEDICAL
CANNABIDIOL
Sec.
122.
Section
124E.7,
subsections
7
and
8,
Code
2018,
are
amended
to
read
as
follows:
7.
A
medical
cannabidiol
manufacturer
shall
not
employ
a
person
who
is
under
eighteen
years
of
age
or
who
has
been
convicted
of
a
disqualifying
felony
offense.
An
employee
of
a
medical
cannabidiol
manufacturer
shall
be
subject
to
a
background
investigation
conducted
by
the
division
of
criminal
investigation
of
the
department
of
public
safety
and
a
national
Senate
File
2418,
p.
84
criminal
history
background
check
pursuant
to
section
124E.19
.
8.
A
medical
cannabidiol
manufacturer
owner
shall
not
have
been
convicted
of
a
disqualifying
felony
offense
and
shall
be
subject
to
a
background
investigation
conducted
by
the
division
of
criminal
investigation
of
the
department
of
public
safety
and
a
national
criminal
history
background
check
pursuant
to
section
124E.19
.
Sec.
123.
Section
124E.9,
subsections
7
and
8,
Code
2018,
are
amended
to
read
as
follows:
7.
A
medical
cannabidiol
dispensary
shall
not
employ
a
person
who
is
under
eighteen
years
of
age
or
who
has
been
convicted
of
a
disqualifying
felony
offense.
An
employee
of
a
medical
cannabidiol
dispensary
shall
be
subject
to
a
background
investigation
conducted
by
the
division
of
criminal
investigation
of
the
department
of
public
safety
and
a
national
criminal
history
background
check
pursuant
to
section
124E.19
.
8.
A
medical
cannabidiol
dispensary
owner
shall
not
have
been
convicted
of
a
disqualifying
felony
offense
and
shall
be
subject
to
a
background
investigation
conducted
by
the
division
of
criminal
investigation
of
the
department
of
public
safety
and
a
national
criminal
history
background
check
pursuant
to
section
124E.19
.
Sec.
124.
Section
124E.10,
Code
2018,
is
amended
by
striking
the
section
and
inserting
in
lieu
thereof
the
following:
124E.10
Fees.
All
fees
collected
by
the
department
under
this
chapter
shall
be
retained
by
the
department
for
operation
of
the
medical
cannabidiol
registration
card
program
and
the
medical
cannabidiol
manufacturer
and
medical
cannabidiol
dispensary
licensing
programs.
The
moneys
retained
by
the
department
shall
be
considered
repayment
receipts
as
defined
in
section
8.2
and
shall
be
used
for
any
of
the
department’s
duties
under
this
chapter,
including
but
not
limited
to
the
addition
of
full-time
equivalent
positions
for
program
services
and
investigations.
Notwithstanding
section
8.33,
moneys
retained
by
the
department
pursuant
to
this
section
shall
not
revert
to
the
general
fund
of
the
state
but
shall
remain
available
for
expenditure
only
for
the
purposes
specified
in
this
section.
Sec.
125.
NEW
SECTION
.
124E.19
Background
investigations.
Senate
File
2418,
p.
85
1.
The
division
of
criminal
investigation
of
the
department
of
public
safety
shall
conduct
thorough
background
investigations
for
the
purposes
of
licensing
medical
cannabidiol
manufacturers
and
medical
cannabidiol
dispensaries
under
this
chapter.
The
results
of
any
background
investigation
conducted
pursuant
to
this
section
shall
be
presented
to
the
department.
a.
An
applicant
for
a
medical
cannabidiol
manufacturer
license
or
a
medical
cannabidiol
dispensary
license
and
their
owners,
investors,
and
employees
shall
submit
all
required
information
on
a
form
prescribed
by
the
department
of
public
safety.
b.
The
department
shall
charge
an
applicant
for
a
medical
cannabidiol
manufacturer
license
or
a
medical
cannabidiol
dispensary
license
a
fee
determined
by
the
department
of
public
safety
and
adopted
by
the
department
by
rule
to
defray
the
costs
associated
with
background
investigations
conducted
pursuant
to
the
requirements
of
this
section.
The
fee
shall
be
in
addition
to
any
other
fees
charged
by
the
department.
The
fee
may
be
retained
by
the
department
of
public
safety
and
shall
be
considered
repayment
receipts
as
defined
in
section
8.2.
2.
The
department
shall
require
an
applicant
for
a
medical
cannabidiol
manufacturer
license
or
a
medical
cannabidiol
dispensary
license,
their
owners
and
investors,
and
applicants
for
employment
at
a
medical
cannabidiol
manufacturer
or
medical
cannabidiol
dispensary
to
submit
fingerprints
and
other
required
identifying
information
to
the
department
on
a
form
prescribed
by
the
department
of
public
safety.
The
department
shall
submit
the
fingerprint
cards
and
other
identifying
information
to
the
division
of
criminal
investigation
of
the
department
of
public
safety
for
submission
to
the
federal
bureau
of
investigation
for
the
purpose
of
conducting
a
national
criminal
history
record
check.
The
department
may
require
employees
and
contractors
involved
in
carrying
out
a
background
investigation
to
submit
fingerprints
and
other
identifying
information
for
the
same
purpose.
3.
The
department
may
enter
into
a
chapter
28E
agreement
with
the
department
of
public
safety
to
meet
the
requirements
Senate
File
2418,
p.
86
of
this
section.
4.
An
applicant
for
a
medical
cannabidiol
manufacturer
license
or
a
medical
cannabidiol
dispensary
license
shall
submit
information
and
fees
required
by
this
section
at
the
time
of
application.
5.
The
results
of
background
investigations
conducted
pursuant
to
this
section
shall
not
be
considered
public
records
under
chapter
22.
Sec.
126.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XXV
DEPARTMENT
OF
HUMAN
SERVICES
PROGRAMS
AND
ACTIVITIES
INMATES
OF
PUBLIC
INSTITUTIONS
——
MEDICAID
Sec.
127.
Section
249A.38,
Code
2018,
is
amended
to
read
as
follows:
249A.38
Inmates
of
public
institutions
——
suspension
or
termination
of
medical
assistance.
1.
The
following
conditions
shall
apply
to
Following
the
first
thirty
days
of
commitment,
the
department
shall
suspend
the
eligibility
of
an
individual
who
is
an
inmate
of
a
public
institution
as
defined
in
42
C.F.R.
§435.1010
,
who
is
enrolled
in
the
medical
assistance
program
at
the
time
of
commitment
to
the
public
institution,
and
who
remains
eligible
for
medical
assistance
as
an
individual
except
for
the
individual’s
institutional
status
:
a.
The
department
shall
suspend
the
individual’s
eligibility
for
up
to
the
initial
twelve
months
of
the
period
of
commitment.
The
department
shall
delay
the
suspension
of
eligibility
for
a
period
of
up
to
the
first
thirty
days
of
commitment
if
such
delay
is
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services.
If
such
delay
is
not
approved,
the
department
shall
suspend
eligibility
during
the
entirety
of
the
initial
twelve
months
of
the
period
of
commitment.
Claims
submitted
on
behalf
of
the
individual
under
the
medical
assistance
program
for
covered
services
provided
during
the
delay
period
shall
only
be
reimbursed
if
federal
financial
participation
is
applicable
to
such
claims.
Senate
File
2418,
p.
87
b.
The
department
shall
terminate
an
individual’s
eligibility
following
a
twelve-month
period
of
suspension
of
the
individual’s
eligibility
under
paragraph
“a”
,
during
the
period
of
the
individual’s
commitment
to
the
public
institution
.
2.
a.
A
public
institution
shall
provide
the
department
and
the
social
security
administration
with
a
monthly
report
of
the
individuals
who
are
committed
to
the
public
institution
and
of
the
individuals
who
are
discharged
from
the
public
institution.
The
monthly
report
to
the
department
shall
include
the
date
of
commitment
or
the
date
of
discharge,
as
applicable,
of
each
individual
committed
to
or
discharged
from
the
public
institution
during
the
reporting
period.
The
monthly
report
shall
be
made
through
the
reporting
system
created
by
the
department
for
public,
nonmedical
institutions
to
report
inmate
populations.
Any
medical
assistance
expenditures,
including
but
not
limited
to
monthly
managed
care
capitation
payments,
provided
on
behalf
of
an
individual
who
is
an
inmate
of
a
public
institution
but
is
not
reported
to
the
department
in
accordance
with
this
subsection,
shall
be
the
financial
responsibility
of
the
respective
public
institution.
b.
The
department
shall
provide
a
public
institution
with
the
forms
necessary
to
be
used
by
the
individual
in
expediting
restoration
of
the
individual’s
medical
assistance
benefits
upon
discharge
from
the
public
institution.
3.
This
section
applies
to
individuals
as
specified
in
subsection
1
on
or
after
January
1,
2012.
4.
3.
The
department
may
adopt
rules
pursuant
to
chapter
17A
to
implement
this
section.
MEDICAID
PROGRAM
ADMINISTRATION
Sec.
128.
MEDICAID
PROGRAM
ADMINISTRATION.
1.
PROVIDER
PROCESSES
AND
PROCEDURES.
a.
When
all
of
the
required
documents
and
other
information
necessary
to
process
a
claim
have
been
received
by
a
managed
care
organization,
the
managed
care
organization
shall
either
provide
payment
to
the
claimant
within
the
timelines
specified
in
the
managed
care
contract
or,
if
the
managed
care
organization
is
denying
the
claim
in
whole
or
in
part,
shall
provide
notice
to
the
claimant
including
the
reasons
for
Senate
File
2418,
p.
88
such
denial
consistent
with
national
industry
best
practice
guidelines.
b.
A
managed
care
organization
shall
correct
any
identified
system
configuration
error
within
a
reasonable
time
frame
approved
by
the
department,
and
shall
fully
and
accurately
reprocess
claims
affected
by
such
errors
within
thirty
days
of
the
successful
system
correction.
The
department
shall
define
“system
configuration
error”
as
appropriate
to
include
errors
in
provider
data
caused
by
a
managed
care
organization
or
improper
claims
edits
that
result
in
incorrect
payments
to
providers.
c.
A
managed
care
organization
shall
provide
written
notice
to
affected
individuals
at
least
sixty
days
prior
to
making
any
program
or
procedural
change,
as
determined
necessary
by
the
department.
The
department
shall
develop
and
distribute
a
list
of
the
types
of
changes
that
require
the
sixty-day
notice
to
the
managed
care
organizations
effective
July
1,
2018.
Such
changes
may
include
but
are
not
limited
to
billing
and
collection
provisions,
provider
network
provisions,
member
or
provider
services,
and
prior
authorization
requirements.
d.
The
department
of
human
services
shall
engage
dedicated
provider
relations
staff
to
assist
Medicaid
providers
in
resolving
billing
conflicts
with
managed
care
organizations
including
those
involving
denied
claims,
technical
omissions,
or
incomplete
information.
If
the
provider
relations
staff
observe
trends
evidencing
fraudulent
claims
or
improper
reimbursement,
the
staff
shall
forward
such
evidence
to
the
department
of
human
services
for
further
review.
e.
The
department
of
human
services
shall
adopt
rules
pursuant
to
chapter
17A
to
require
the
inclusion
by
a
managed
care
organization
of
advanced
registered
nurse
practitioners
and
physician
assistants
as
primary
care
providers
for
the
purposes
of
population
health
management.
f.
The
department
of
human
services
shall
provide
for
the
development
and
shall
require
the
use
of
standardized
Medicaid
provider
enrollment
forms
to
be
used
by
the
department
and
uniform
Medicaid
provider
credentialing
specifications
to
be
used
by
managed
care
organizations.
2.
MEMBER
SERVICES
AND
PROCESSES.
Senate
File
2418,
p.
89
a.
If
a
Medicaid
member
is
receiving
court-ordered
services
or
treatment
for
a
substance-related
disorder
pursuant
to
chapter
125
or
for
a
mental
illness
pursuant
to
chapter
229,
such
services
or
treatment
shall
be
provided
and
reimbursed
for
an
initial
period
of
three
days
before
a
managed
care
organization
may
apply
medical
necessity
criteria
to
determine
the
most
appropriate
services,
treatment,
or
placement
for
the
Medicaid
member.
b.
The
department
of
human
services
shall
maintain
and
update
Medicaid
member
eligibility
files
in
a
timely
manner
consistent
with
national
industry
best
practices.
c.
The
department
of
human
services
shall
utilize
an
independent,
external
quality
review
vendor
to
complete
a
review
of
a
random
case
sample
of
decreased
level
of
care
determinations
using
national
best
practices
to
ensure
that
appropriate
medically
necessary
services
are
provided
to
meet
Medicaid
member
needs.
The
department
shall
report
the
findings
of
the
review
to
the
governor
and
the
general
assembly
by
December
15,
2018,
including
any
plan
necessary
to
address
the
findings.
d.
The
department
of
human
services,
on
an
annual
basis,
shall
conduct
an
analysis
of
all
Medicaid
member
appeals
that
have
been
dismissed,
withdrawn,
or
overturned
to
determine
if
there
are
any
negative
patterns
or
trends
based
on
the
analysis.
The
services
of
any
member
whose
appeal
is
subject
to
the
analysis
shall
continue
for
the
period
during
which
an
interdisciplinary
team
conducts
a
new
assessment
to
determine
which
services
are
medically
necessary
for
that
member,
which
period
shall
not
exceed
ninety
days.
A
report
of
the
analysis
and
findings
shall
be
submitted
to
the
governor
and
the
general
assembly
on
a
biannual
basis
and
the
department
shall
develop
a
plan
as
necessary
to
address
any
negative
patterns
or
trends
identified
by
the
analysis.
3.
MEDICAID
PROGRAM
REVIEW
AND
OVERSIGHT.
a.
(1)
The
department
of
human
services
shall
facilitate
a
workgroup,
in
collaboration
with
representatives
of
the
managed
care
organizations
and
health
home
providers,
to
review
the
health
home
programs.
The
review
shall
include
all
of
the
following:
Senate
File
2418,
p.
90
(a)
An
analysis
of
the
state
plan
amendments
applicable
to
health
homes.
(b)
An
analysis
of
the
current
health
home
system,
including
the
rationale
for
any
recommended
changes.
(c)
The
development
of
a
clear
and
consistent
delivery
model
linked
to
program-determined
outcomes
and
data
reporting
requirements.
(d)
A
work
plan
to
be
used
in
communicating
with
stakeholders
regarding
the
administration
and
operation
of
the
health
home
programs.
(2)
The
department
of
human
services
shall
submit
a
report
of
the
workgroup’s
findings,
recommendations,
and
any
actions
taken
by
December
15,
2018,
to
the
governor
and
to
the
Eighty-eighth
General
Assembly,
2019
session,
for
consideration.
(3)
The
workgroup
and
the
workgroup’s
activities
shall
not
affect
the
department’s
authority
to
apply
or
enforce
the
Medicaid
state
plan
amendment
relative
to
health
homes.
b.
The
department
of
human
services,
in
collaboration
with
Medicaid
providers
and
managed
care
organizations,
shall
initiate
a
review
process
to
determine
the
effectiveness
of
prior
authorizations
used
by
the
managed
care
organizations
with
the
goal
of
making
adjustments
based
on
relevant
service
costs
and
member
outcomes
data
utilizing
existing
industry-accepted
standards.
Prior
authorization
policies
shall
comply
with
existing
rules,
guidelines,
and
procedures
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services.
c.
The
department
of
human
services
shall
enter
into
a
contract
with
an
independent
review
organization
to
perform
an
audit
of
a
random
sample
of
small
dollar
claims
paid
to
or
denied
Medicaid
long-term
services
and
supports
providers
during
the
first
quarter
of
the
2018
calendar
year.
The
department
of
human
services
shall
submit
a
report
of
the
findings
of
the
audit
to
the
governor
and
the
general
assembly
by
February
1,
2019.
The
department
may
take
any
action
specified
in
the
managed
care
contract
relative
to
any
claim
the
auditor
determines
to
be
incorrectly
paid
or
denied,
subject
to
appeal
by
the
managed
care
organization
Senate
File
2418,
p.
91
to
the
director
of
human
services.
For
the
purposes
of
this
paragraph,
“small
dollar
claims”
means
those
claims
less
than
or
equal
to
two
thousand
five
hundred
dollars.
MEDICAID
PROGRAM
PHARMACY
COPAYMENT
Sec.
129.
2005
Iowa
Acts,
chapter
167,
section
42,
is
amended
to
read
as
follows:
SEC.
42.
COPAYMENTS
FOR
PRESCRIPTION
DRUGS
UNDER
THE
MEDICAL
ASSISTANCE
PROGRAM.
The
department
of
human
services
shall
require
recipients
of
medical
assistance
to
pay
the
following
copayments
a
copayment
of
$1
on
each
prescription
filled
for
a
covered
prescription
drug,
including
each
refill
of
such
prescription
,
as
follows:
1.
A
copayment
of
$1
on
each
prescription
filled
for
each
covered
nonpreferred
generic
prescription
drug
.
2.
A
copayment
of
$1
for
each
covered
preferred
brand–name
or
generic
prescription
drug.
3.
A
copayment
of
$1
for
each
covered
nonpreferred
brand–name
prescription
drug
for
which
the
cost
to
the
state
is
up
to
and
including
$25.
4.
A
copayment
of
$2
for
each
covered
nonpreferred
brand–name
prescription
drug
for
which
the
cost
to
the
state
is
more
than
$25
and
up
to
and
including
$50.
5.
A
copayment
of
$3
for
each
covered
nonpreferred
brand–name
prescription
drug
for
which
the
cost
to
the
state
is
more
than
$50.
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
Sec.
130.
Section
249A.4B,
subsection
2,
paragraph
a,
subparagraphs
(27)
and
(28),
Code
2018,
are
amended
by
striking
the
subparagraphs.
Sec.
131.
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
——
REVIEW
OF
MEDICAID
MANAGED
CARE
REPORT
DATA.
The
executive
committee
of
the
medical
assistance
advisory
council
shall
review
the
data
collected
and
analyzed
for
inclusion
in
periodic
reports
to
the
general
assembly,
including
but
not
limited
to
the
information
and
data
specified
in
2016
Iowa
Acts,
chapter
1139,
section
93,
to
determine
which
data
points
and
information
should
be
included
and
analyzed
to
more
accurately
identify
trends
and
issues
with,
and
promote
the
effective
and
efficient
administration
of,
Medicaid
managed
care
for
all
Senate
File
2418,
p.
92
stakeholders.
At
a
minimum,
the
areas
of
focus
shall
include
consumer
protection,
provider
network
access
and
safeguards,
outcome
achievement,
and
program
integrity.
The
executive
committee
shall
report
its
findings
and
recommendations
to
the
medical
assistance
advisory
council
for
review
and
comment
by
October
1,
2018,
and
shall
submit
a
final
report
of
findings
and
recommendations
to
the
governor
and
the
general
assembly
by
December
31,
2018.
TARGETED
CASE
MANAGEMENT
AND
INPATIENT
PSYCHIATRIC
SERVICES
REIMBURSEMENT
Sec.
132.
Section
249A.31,
Code
2018,
is
amended
to
read
as
follows:
249A.31
Cost-based
reimbursement.
1.
Providers
of
individual
case
management
services
for
persons
with
an
intellectual
disability,
a
developmental
disability,
or
chronic
mental
illness
shall
receive
cost-based
reimbursement
for
one
hundred
percent
of
the
reasonable
costs
for
the
provision
of
the
services
in
accordance
with
standards
adopted
by
the
mental
health
and
disability
services
commission
pursuant
to
section
225C.6
.
Effective
July
1,
2018,
targeted
case
management
services
shall
be
reimbursed
based
on
a
statewide
fee
schedule
amount
developed
by
rule
of
the
department
pursuant
to
chapter
17A.
2.
Effective
July
1,
2010
2014
,
the
department
shall
apply
a
cost-based
reimbursement
methodology
for
reimbursement
of
psychiatric
medical
institution
for
children
providers
of
inpatient
psychiatric
services
for
individuals
under
twenty-one
years
of
age
shall
be
reimbursed
as
follows:
a.
For
non-state-owned
providers,
services
shall
be
reimbursed
according
to
a
fee
schedule
without
reconciliation
.
b.
For
state-owned
providers,
services
shall
be
reimbursed
at
one
hundred
percent
of
the
actual
and
allowable
cost
of
providing
the
service.
DIVISION
XXVI
PREAPPLICATION
SCREENING
ASSESSMENT
Sec.
133.
Section
229.5A,
Code
2018,
is
amended
to
read
as
follows:
229.5A
Preapplication
screening
assessment
——
program.
Prior
to
filing
an
application
pursuant
to
section
229.6
,
Senate
File
2418,
p.
93
the
clerk
of
the
district
court
or
the
clerk’s
designee
shall
inform
the
interested
person
referred
to
in
section
229.6,
subsection
1
,
about
the
option
of
requesting
a
preapplication
screening
assessment
through
a
preapplication
screening
assessment
program,
if
available.
The
state
court
administrator
shall
prescribe
practices
and
procedures
for
implementation
of
the
preapplication
screening
assessment
program.
Sec.
134.
Section
602.1209,
subsection
16,
Code
2018,
is
amended
to
read
as
follows:
16.
Prescribe
practices
and
procedures
for
the
implementation
of
the
preapplication
screening
assessment
program
referred
to
in
sections
section
125.74
and
229.5A
.
DIVISION
XXVII
COVERAGE
OF
BEHAVIORAL
HEALTH
SERVICES
PROVIDED
BY
CERTAIN
PROVIDERS
Sec.
135.
Section
249A.15,
Code
2018,
is
amended
to
read
as
follows:
249A.15
Licensed
psychologists
eligible
for
payment
——
provisional
licensees
.
1.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
entitling
psychologists
who
are
licensed
pursuant
to
chapter
154B
and
psychologists
who
are
licensed
in
the
state
where
the
services
are
provided
and
have
a
doctorate
degree
in
psychology,
have
had
at
least
two
years
of
clinical
experience
in
a
recognized
health
setting,
or
have
met
the
standards
of
a
national
register
of
health
service
providers
in
psychology,
to
payment
for
services
provided
to
recipients
of
medical
assistance,
subject
to
limitations
and
exclusions
the
department
finds
necessary
on
the
basis
of
federal
laws
and
regulations
and
of
funds
available
for
the
medical
assistance
program.
The
rules
shall
also
provide
that
an
individual,
who
holds
a
provisional
license
to
practice
psychology
pursuant
to
section
154B.6,
is
entitled
to
payment
under
this
section
for
services
provided
to
recipients
of
medical
assistance,
when
such
services
are
provided
under
the
supervision
of
a
supervisor
who
meets
the
qualifications
determined
by
the
board
of
psychology
by
rule,
and
claims
for
payment
for
such
services
are
submitted
by
the
supervisor.
Senate
File
2418,
p.
94
2.
Entitlement
to
payment
under
this
section
is
applicable
to
services
provided
to
recipients
of
medical
assistance
under
both
the
fee-for-service
and
managed
care
payment
and
delivery
systems.
Neither
the
fee-for-service
nor
the
managed
care
payment
and
delivery
system
shall
impose
a
practice
or
supervision
restriction
which
is
inconsistent
with
or
more
restrictive
than
the
authority
already
granted
by
law,
including
the
authority
to
provide
supervision
in
person
or
remotely
through
electronic
means
as
specified
by
rule
of
the
board
of
psychology.
Sec.
136.
Section
249A.15A,
Code
2018,
is
amended
to
read
as
follows:
249A.15A
Licensed
marital
and
family
therapists,
licensed
master
social
workers,
licensed
mental
health
counselors,
and
certified
alcohol
and
drug
counselors
——
temporary
licensees
.
1.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
entitling
marital
and
family
therapists
who
are
licensed
pursuant
to
chapter
154D
to
payment
for
behavioral
health
services
provided
to
recipients
of
medical
assistance,
subject
to
limitations
and
exclusions
the
department
finds
necessary
on
the
basis
of
federal
laws
and
regulations.
The
rules
shall
also
provide
that
a
marital
and
family
therapist,
who
holds
a
temporary
license
to
practice
marital
and
family
therapy
pursuant
to
section
154D.7,
is
entitled
to
payment
under
this
section
for
behavioral
health
services
provided
to
recipients
of
medical
assistance,
when
such
services
are
provided
under
the
supervision
of
a
qualified
supervisor
as
determined
by
the
board
of
behavioral
science
by
rule,
and
claims
for
payment
for
such
services
are
submitted
by
the
qualified
supervisor.
2.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
entitling
master
social
workers
who
hold
a
master’s
degree
approved
by
the
board
of
social
work,
are
licensed
as
a
master
social
worker
pursuant
to
section
154C.3,
subsection
1
,
paragraph
“b”
,
and
provide
treatment
services
under
the
supervision
of
an
independent
social
worker
licensed
pursuant
to
section
154C.3,
subsection
1
,
paragraph
“c”
,
to
payment
for
behavioral
health
services
provided
to
recipients
of
medical
assistance,
subject
to
limitations
and
exclusions
the
department
finds
necessary
on
the
basis
of
federal
laws
and
Senate
File
2418,
p.
95
regulations.
3.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
entitling
mental
health
counselors
who
are
licensed
pursuant
to
chapter
154D
to
payment
for
behavioral
health
services
provided
to
recipients
of
medical
assistance,
subject
to
limitations
and
exclusions
the
department
finds
necessary
on
the
basis
of
federal
laws
and
regulations.
The
rules
shall
also
provide
that
a
mental
health
counselor,
who
holds
a
temporary
license
to
practice
mental
health
counseling
pursuant
to
section
154D.7,
is
entitled
to
payment
under
this
section
for
behavioral
health
services
provided
to
recipients
of
medical
assistance,
when
such
services
are
provided
under
the
supervision
of
a
qualified
supervisor
as
determined
by
the
board
of
behavioral
science
by
rule,
and
claims
for
payment
for
such
services
are
submitted
by
the
qualified
supervisor.
4.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
entitling
alcohol
and
drug
counselors
who
are
certified
by
the
nongovernmental
Iowa
board
of
substance
abuse
certification
to
payment
for
behavioral
health
services
provided
to
recipients
of
medical
assistance,
subject
to
limitations
and
exclusions
the
department
finds
necessary
on
the
basis
of
federal
laws
and
regulations.
5.
Entitlement
to
payment
under
this
section
is
applicable
to
services
provided
to
recipients
of
medical
assistance
under
both
the
fee-for-service
and
managed
care
payment
and
delivery
systems.
Neither
the
fee-for-service
nor
the
managed
care
payment
and
delivery
system
shall
impose
a
practice
or
supervision
restriction
which
is
inconsistent
with
or
more
restrictive
than
the
authority
already
granted
by
law,
including
the
authority
to
provide
supervision
in
person
or
remotely
through
electronic
means
as
specified
by
rule
of
the
applicable
licensing
board.
Sec.
137.
NEW
SECTION
.
514C.32
Services
provided
by
certain
licensed
master
social
workers,
licensed
mental
health
counselors,
and
licensed
marital
and
family
therapists.
1.
Notwithstanding
section
514C.6,
a
policy
or
contract
providing
for
third-party
payment
or
prepayment
of
health
or
medical
expenses
shall
include
a
provision
for
the
payment
of
necessary
behavioral
health
services
provided
by
any
of
the
Senate
File
2418,
p.
96
following:
a.
A
licensed
master
social
worker
who
is
licensed
by
the
board
of
social
work
as
a
master
social
worker
pursuant
to
section
154C.3,
subsection
1,
paragraph
“b”
,
and
who
provides
services
under
the
supervision
of
an
independent
social
worker
licensed
pursuant
to
section
154C.3,
subsection
1,
paragraph
“c”
.
b.
A
licensed
mental
health
counselor
or
a
licensed
marital
and
family
therapist
who
holds
a
temporary
license
to
practice
mental
health
counseling
or
marital
and
family
therapy
pursuant
to
section
154D.7,
and
who
provides
services
under
the
supervision
of
a
qualified
supervisor
as
determined
by
the
board
of
behavioral
science
by
rule.
2.
A
policy
or
contract
subject
to
this
section
shall
not
impose
a
practice
or
supervision
restriction
which
is
inconsistent
with
or
more
restrictive
than
the
authority
already
granted
by
law,
including
the
authority
to
provide
supervision
in
person
or
remotely
through
electronic
means
as
specified
by
rule
of
the
applicable
licensing
board.
3.
The
requirements
of
this
section
apply
to
and
supersede
any
conflicting
requirements
regarding
services
provided
under
a
policy
or
contract,
which
is
delivered,
issued
for
delivery,
continued,
or
renewed
in
this
state
on
or
after
the
effective
date
of
this
Act,
and
apply
to
and
supersede
any
conflicting
requirements
regarding
services
contained
in
an
existing
policy
or
contract
on
the
policy’s
or
contract’s
anniversary
or
renewal
date,
whichever
is
later.
4.
For
the
purposes
of
this
section,
third-party
payment
or
prepayment
includes
an
individual
or
group
policy
of
accident
or
health
insurance
or
individual
or
group
hospital
or
health
care
service
contract
issued
pursuant
to
chapter
509,
514,
or
514A,
an
individual
or
group
health
maintenance
organization
contract
issued
and
regulated
under
chapter
514B,
or
a
preferred
provider
organization
contract
regulated
pursuant
to
chapter
514F.
5.
Nothing
in
this
section
shall
be
interpreted
to
require
an
individual
or
group
health
maintenance
organization
or
a
preferred
provider
organization
or
arrangement
to
provide
payment
or
prepayment
for
services
provided
by
a
licensed
Senate
File
2418,
p.
97
master
social
worker
providing
behavioral
health
services
under
the
supervision
of
an
independent
social
worker,
or
to
a
licensed
mental
health
counselor
or
licensed
marital
and
family
therapist
who
holds
a
temporary
license
to
practice
mental
health
counseling
or
marital
and
family
therapy
providing
behavioral
health
services
under
the
supervision
of
a
qualified
supervisor,
as
specified
in
this
section,
unless
the
supervising
independent
social
worker
or
the
qualified
supervisor,
respectively,
has
entered
into
a
contract
or
other
agreement
to
provide
behavioral
health
services
with
the
individual
or
group
health
maintenance
organization
or
the
preferred
provider
organization
or
arrangement.
Sec.
138.
NEW
SECTION
.
514C.33
Services
provided
by
provisionally
licensed
psychologists.
1.
Notwithstanding
section
514C.6,
a
policy
or
contract
providing
for
third-party
payment
or
prepayment
of
health
or
medical
expenses
shall
include
a
provision
for
the
payment
of
necessary
behavioral
health
services
provided
by
a
person
who
holds
a
provisional
license
to
practice
psychology
pursuant
to
section
154B.6,
and
who
practices
under
the
supervision
of
a
supervisor
who
meets
the
qualifications
determined
by
the
board
of
psychology
by
rule.
2.
A
policy
or
contract
subject
to
this
section
shall
not
impose
a
practice
or
supervision
restriction
which
is
inconsistent
with
or
more
restrictive
than
the
authority
already
granted
by
law,
including
the
authority
to
provide
supervision
in
person
or
remotely
through
electronic
means
as
specified
by
rule
of
the
board
of
psychology.
3.
The
requirements
of
this
section
apply
to
and
supersede
any
conflicting
requirements
regarding
services
provided
under
a
policy
or
contract
which
is
delivered,
issued
for
delivery,
continued,
or
renewed
in
this
state
on
or
after
the
effective
date
of
this
Act,
and
apply
to
and
supersede
any
conflicting
requirements
regarding
services
contained
in
an
existing
policy
or
contract
on
the
policy’s
or
contract’s
anniversary
or
renewal
date,
whichever
is
later.
4.
For
the
purposes
of
this
section,
third-party
payment
or
prepayment
includes
an
individual
or
group
policy
of
accident
or
health
insurance
or
individual
or
group
hospital
or
health
Senate
File
2418,
p.
98
care
service
contract
issued
pursuant
to
chapter
509,
514,
or
514A,
an
individual
or
group
health
maintenance
organization
contract
issued
and
regulated
under
chapter
514B,
or
a
preferred
provider
organization
contract
regulated
pursuant
to
chapter
514F.
5.
Nothing
in
this
section
shall
be
interpreted
to
require
an
individual
or
group
health
maintenance
organization
or
a
preferred
provider
organization
or
arrangement
to
provide
payment
or
prepayment
for
services
provided
by
a
provisionally
licensed
psychologist
providing
behavioral
health
services
under
the
supervision
of
a
supervisor
as
specified
in
this
section,
unless
the
supervisor
has
entered
into
a
contract
or
other
agreement
to
provide
behavioral
health
services
with
the
individual
or
group
health
maintenance
organization
or
the
preferred
provider
organization
or
arrangement.
Sec.
139.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XXVIII
PHARMACY
BENEFITS
MANAGER
——
RIGHTS
OF
COVERED
INDIVIDUALS
Sec.
140.
NEW
SECTION
.
510B.10
Rights
related
to
covered
individuals.
1.
A
pharmacy
or
pharmacist,
as
defined
in
section
155A.3,
has
the
right
to
provide
a
covered
individual
information
regarding
the
amount
of
the
covered
individual’s
cost
share
for
a
prescription
drug.
A
pharmacy
benefits
manager
shall
not
prohibit
a
pharmacy
or
pharmacist
from
discussing
any
such
information
or
from
selling
a
more
affordable
alternative
to
the
covered
individual,
if
one
is
available.
2.
A
health
benefit
plan,
as
defined
in
section
514J.102,
issued
or
renewed
on
or
after
July
1,
2018,
that
provides
coverage
for
pharmacy
benefits
shall
not
require
a
covered
individual
to
pay
a
copayment
for
pharmacy
benefits
that
exceeds
the
pharmacy’s
or
pharmacist’s
submitted
charges.
3.
Any
amount
paid
by
a
covered
individual
for
a
covered
prescription
drug
pursuant
to
this
section
shall
be
applied
toward
any
deductible
imposed
by
the
covered
individual’s
health
benefit
plan
in
accordance
with
the
covered
individual’s
health
benefit
plan
coverage
documents.
4.
To
the
extent
that
any
provision
of
this
section
is
Senate
File
2418,
p.
99
inconsistent
or
conflicts
with
applicable
federal
law,
rule,
or
regulation,
such
federal
law,
rule,
or
regulation
shall
prevail
to
the
extent
necessary
to
eliminate
the
inconsistency
or
conflict.
DIVISION
XXIX
FOSTER
CARE
AND
ADOPTED
CHILDREN
Sec.
141.
FOSTER
CARE
AND
ADOPTED
CHILDREN
——
ANNUAL
MEDICAL
VISIT.
1.
The
department
of
human
services
shall
adopt
rules
pursuant
to
chapter
17A
to
require
every
child
receiving
foster
care
to
receive
an
annual
visit
to
a
medical
professional.
2.
The
department
shall
submit
a
request
to
the
United
States
department
of
health
and
human
services
to
allow
the
department
to
adopt
rules
requiring
a
child
adopted
from
foster
care
and
whose
parents
receive
an
adoption
subsidy
to
receive
an
annual
visit
to
a
medical
professional.
______________________________
CHARLES
SCHNEIDER
President
of
the
Senate
______________________________
LINDA
UPMEYER
Speaker
of
the
House
I
hereby
certify
that
this
bill
originated
in
the
Senate
andis
known
as
Senate
File
2418,
Eighty-seventh
General
Assembly.
______________________________
W.
CHARLES
SMITHSON
Secretary
of
the
Senate
Approved
_______________,
2018
______________________________
KIM
REYNOLDS
Governor