House
File
2698
-
Enrolled
House
File
2698
AN
ACT
RELATING
TO
AND
MAKING
APPROPRIATIONS
FOR
VETERANS
AND
HEALTH
AND
HUMAN
SERVICES,
INCLUDING
OTHER
RELATED
PROVISIONS
AND
APPROPRIATIONS
INCLUDING
BUT
NOT
LIMITED
TO
THE
PERSONAL
NEEDS
ALLOWANCE
FOR
CERTAIN
PERSONS
UNDER
MEDICAID
AND
THE
STATE
SUPPLEMENTARY
ASSISTANCE
PROGRAMS,
REPLACEMENT
GENERATION
TAX
REVENUES,
THE
MEDICAID
FRAUD
AND
HEALTH
CARE
TRUST
FUNDS,
THE
RETENTION
OF
CERTAIN
REVENUES
BY
THE
MENTAL
HEALTH
INSTITUTES,
THE
RETENTION
OF
MEDICAID
ELIGIBILITY
BY
RESIDENTS
OF
MENTAL
HEALTH
INSTITUTES,
THE
SCOPE
OF
SERVICES
OF
THE
STATE
RESOURCE
CENTERS,
THE
APPROPRIATION
OF
MONEYS
IN
THE
JUVENILE
DETENTION
HOME
FUND,
THE
FAMILY
INVESTMENT
PROGRAM
ACCOUNT
AND
DIVERSION
PROGRAM,
THE
CHILD
SUPPORT
COLLECTION
SERVICES
CENTER
REFUND
ACCOUNT,
THE
QUALITY
ASSURANCE
ASSESSMENT
PAYMENT
PERIOD,
THE
CENTERS
OF
EXCELLENCE
GRANT
PROGRAM,
AN
ASSISTED
LIVING
PROGRAM
REVISED
PAYMENT
MODEL
STUDY,
FUNDING
FOR
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS,
FOSTER
CARE
PROVISIONS
INCLUDING
THOSE
RELATING
TO
A
RELATIVE
OR
FICTIVE
KIN,
HEALTH
CARE
EMPLOYMENT
AGENCIES
AND
HEALTH
CARE
TECHNOLOGY
PLATFORMS,
MEDICAL
CANNABIDIOL
PRACTITIONER
REQUIREMENTS,
NURSING
FACILITY
OVERSIGHT,
AND
STATE-FUNDED
PSYCHIATRY
RESIDENCY
AND
FELLOWSHIP
POSITIONS,
PROVIDING
PENALTIES,
AND
INCLUDING
EFFECTIVE
DATE
AND
RETROACTIVE
APPLICABILITY
PROVISIONS.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
House
File
2698,
p.
2
DIVISION
I
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2024-2025
Section
1.
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,
2024,
and
ending
June
30,
2025,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
For
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
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.
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.
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.
$
1,369,205
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.
FTEs
15.00
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
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.
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.
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.
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.
.
.
$
8,145,736
a.
The
Iowa
veterans
home
billings
involving
the
department
of
health
and
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
b.
The
Iowa
veterans
home
expenditure
report
shall
be
submitted
monthly
to
the
general
assembly.
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:
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.
$
2,200,000
DIVISION
II
AGING
AND
DISABILITY
SERVICES
——
FY
2024-2025
Sec.
2.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
AGING
AND
DISABILITY
SERVICES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
aging
programs
for
the
department
of
health
and
human
services
and
area
agencies
on
aging
to
provide
citizens
of
House
File
2698,
p.
3
Iowa
who
are
60
years
of
age
and
older
with
case
management;
Iowa’s
aging
and
disabilities
resource
centers;
for
the
return
to
community
program;
for
the
purposes
of
chapter
231E,
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;
for
the
reporting
and
evaluation
of
cases
of
dependant
adult
abuse
pursuant
to
chapter
235B;
and
for
other
services
which
may
include
but
are
not
limited
to
adult
day,
respite
care,
chore,
information
and
assistance,
and
material
aid,
for
information
and
options
counseling
for
persons
with
disabilities,
and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
$
19,088,714
1.
Funds
appropriated
in
this
section
may
be
used
to
supplement
federal
funds
under
federal
regulations.
To
receive
funds
appropriated
in
this
section,
a
local
area
agency
on
aging
shall
match
the
funds
with
moneys
from
other
sources
according
to
rules
adopted
by
the
department.
Funds
appropriated
in
this
section
may
be
used
for
services
not
specifically
enumerated
in
this
section
only
if
approved
by
the
department
as
part
of
an
area
agency
on
aging’s
area
plan.
2.
Of
the
funds
appropriated
in
this
section,
$949,282
shall
be
used
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
chapter
225C,
subchapter
V.
3.
Of
the
funds
appropriated
in
this
section,
$33,632
shall
be
used
to
build
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).
DIVISION
III
BEHAVIORAL
HEALTH
——
FY
2024-2025
Sec.
3.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
BEHAVIORAL
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
House
File
2698,
p.
4
to
be
used
for
the
purposes
designated:
For
behavioral
health
prevention,
treatment,
and
recovery
efforts
to
reduce
the
prevalence
of
the
use
of,
provide
treatment
for,
and
support
recovery
from
tobacco
and
substance
use
and
misuse
pursuant
to
the
applicable
policy,
purpose,
and
intent
described
in
sections
125.1
and
142A.1,
alcohol,
problem
gambling,
and
other
addictive
behaviors.
Activities
shall
align
with
accepted
best
practice
guidance
standards
for
behavioral
health
including
those
published
by
the
centers
for
disease
control
and
prevention
and
the
substance
abuse
and
mental
health
services
administration
of
the
United
States
department
of
health
and
human
services
for
health
promotion;
universal,
selective,
and
indicated
prevention;
treatment;
and
recovery
services
and
supports;
and
shall
include
a
24-hour
helpline,
public
information
resources,
professional
training,
youth
prevention,
program
evaluation,
and
efforts
at
the
state
and
local
levels:
.
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.
$
24,400,114
1.
Of
the
funds
appropriated
in
this
section,
$300,000
shall
be
used
to
support
the
work
of
the
children’s
behavioral
health
system
including
evidence-based
behavioral
health
prevention,
treatment,
and
recovery
services
and
supports
for
children
and
their
families
pursuant
to
the
intent
specified
in
section
225C.6B,
subsection
1.
2.
Of
the
funds
appropriated
in
this
section,
$950,000
shall
be
used
for
an
integrated
substance
use
disorder
managed
care
system.
The
department
shall
maintain
the
level
of
mental
health
and
substance
use
disorder
treatment
services
provided
by
the
managed
care
contractors.
The
department
shall
take
the
steps
necessary
to
continue
the
federal
waivers
as
needed
to
maintain
the
level
of
services.
Sec.
4.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
SPORTS
WAGERING
RECEIPTS
FUND.
There
is
appropriated
from
the
sports
wagering
receipts
fund
created
in
section
8.57,
subsection
6,
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
behavioral
health
prevention,
treatment,
and
recovery
efforts
to
reduce
the
prevalence
of
the
use
of,
provide
House
File
2698,
p.
5
treatment
for,
and
support
recovery
from
tobacco
and
substance
use
and
misuse
pursuant
to
the
applicable
policy,
purpose,
and
intent
described
in
sections
125.1
and
142A.1,
alcohol,
problem
gambling,
and
other
addictive
behaviors:
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
$
1,750,000
DIVISION
IV
PUBLIC
HEALTH
——
FY
2024-2025
Sec.
5.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
PUBLIC
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
programs
that
support
health
promotion,
protect
the
health
and
safety
of
the
public,
conduct
disease
surveillance
and
investigation
to
reduce
the
incidence
of
morbidity
and
mortality,
serve
individuals
with
chronic
conditions
including
but
not
limited
to
cancer,
support
the
Iowa
donor
registry
as
specified
in
section
142C.18,
and
strengthen
the
health
care
delivery
system
and
workforce
to
improve
health
outcomes
for
all
Iowans:
.
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.
$
22,531,821
1.
Of
the
funds
appropriated
in
this
section,
$2,100,000
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
to
be
used
for
the
purposes
of
the
medical
residency
training
state
matching
grants
program
as
specified
in
section
135.176.
2.
Of
the
funds
appropriated
in
this
section,
the
following
amounts
are
allocated
to
be
used
as
follows
to
support
the
goals
of
increased
access,
health
system
integration,
and
engagement:
a.
$600,000
is
allocated
to
the
Iowa
prescription
drug
corporation
for
continuation
of
the
pharmaceutical
infrastructure
for
safety
net
providers
originally
established
as
described
in
2007
Iowa
Acts,
chapter
218,
section
108,
and
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M.
Funds
allocated
under
this
paragraph
shall
be
distributed
in
their
entirety
for
the
purpose
specified
on
House
File
2698,
p.
6
July
1,
2024.
b.
$374,000
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.
Of
the
funds
allocated,
$40,000
shall
be
used
to
cover
fees
associated
with
using
an
electronic
prescribing
system.
Funds
allocated
under
this
paragraph
shall
be
distributed
in
their
entirety
for
the
purpose
specified
on
July
1,
2024.
c.
$25,000
is
allocated
to
the
Iowa
association
of
rural
health
clinics
for
necessary
infrastructure
and
service
delivery
transformation.
Funds
allocated
under
this
paragraph
shall
be
distributed
in
their
entirety
for
the
purpose
specified
on
July
1,
2024.
d.
$225,000
is
allocated
to
the
Polk
county
medical
society
for
continuation
of
the
safety
net
provider
patients
access
to
specialty
care
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109.
Funds
allocated
under
this
paragraph
shall
be
distributed
in
their
entirety
for
the
purpose
specified
on
July
1,
2024.
3.
Of
the
funds
appropriated
in
this
section,
$800,000
shall
be
used
for
rural
psychiatric
residencies
to
annually
fund
eight
psychiatric
residents
who
will
provide
mental
health
services
in
underserved
areas
of
the
state.
4.
Of
the
funds
appropriated
in
this
section,
$560,000
shall
be
deposited
in
the
state-funded
family
medicine
obstetrics
fellowship
program
fund
to
be
used
for
the
state-funded
family
medicine
obstetrics
fellowship
program,
in
accordance
with
section
135.193.
5.
The
department
shall
work
with
the
board
established
in
chapter
135D
to
develop
plans
for
program
enhancements
in
the
Iowa
health
information
network
for
the
purpose
of
empowering
Iowa
patients
to
access
and
direct
their
health
information
utilizing
the
Iowa
health
information
network.
Program
enhancements
shall
protect
data
privacy,
facilitate
the
interchange
of
health
data
for
the
purpose
of
improving
public
health
outcomes,
and
increase
participation
by
health
care
providers.
House
File
2698,
p.
7
6.
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
DIVISION
V
COMMUNITY
ACCESS
AND
ELIGIBILITY
——
FY
2024-2025
Sec.
6.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
COMMUNITY
ACCESS
AND
ELIGIBILITY.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
To
be
used
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
and
for
family
investment
program
(FIP)
assistance
in
accordance
with
chapter
239B,
and
for
other
costs
associated
with
providing
needs-based
benefits
or
assistance
including
but
not
limited
to
maternal
and
child
health,
oral
health,
obesity
prevention,
the
promoting
independence
and
self-sufficiency
through
employment,
job
opportunities
and
basic
skills
(PROMISE
JOBS)
program,
supplemental
nutrition
assistance
program
(SNAP)
employment
and
training,
the
FIP
diversion
program,
family
planning,
rent
reimbursement,
and
eligibility
determinations
for
medical
assistance,
food
assistance,
and
the
children’s
health
insurance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
68,043,944
1.
Of
the
child
support
collections
assigned
under
FIP,
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
services
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
child
support
services,
a
portion
shall
be
credited
to
community
access
and
eligibility,
and
the
remaining
funds
may
be
used
to
increase
recoveries,
to
sustain
cash
flow
in
the
child
support
payments
account,
or
for
technology
needs.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
to
be
required
for
maintenance
of
effort,
the
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
payments
account.
House
File
2698,
p.
8
2.
Of
the
funds
appropriated
in
this
section,
$3,075,000
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
participating
counties
to
ensure
that
those
counties
are
fully
operational,
with
the
remaining
funds
to
be
used
for
expanding
participation
to
additional
counties.
The
full
implementation
and
expansion
shall
include
enhancing
the
scope
of
the
initiative
through
collaboration
with
the
child
health
specialty
clinics
to
promote
the
use
of
developmental
surveillance
and
screening
to
support
healthy
child
development
through
early
identification
and
response
to
both
biomedical
and
social
determinants
of
healthy
development
by
providing
practitioner
consultation
and
continuous
improvement
through
training
and
education,
particularly
for
children
with
behavioral
conditions
and
needs.
The
department
shall
also
collaborate
with
the
Medicaid
program
and
the
child
health
specialty
clinics
to
assist
in
coordinating
the
activities
of
the
first
five
initiative
into
the
establishment
of
patient-centered
medical
homes
developed
to
improve
health
quality
and
population
health
while
reducing
health
care
costs.
To
the
maximum
extent
possible,
funding
allocated
in
this
subsection
shall
be
utilized
as
matching
funds
for
Medicaid
program
reimbursement.
3.
Of
the
funds
appropriated
in
this
section,
$1,145,102
is
allocated
to
the
Iowa
commission
on
volunteer
service
for
programs
and
grants.
4.
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
CHILD
SUPPORT
SERVICES
Sec.
7.
CHILD
SUPPORT
SERVICES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
child
support
services,
including
salaries,
support,
House
File
2698,
p.
9
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,434,282
1.
Federal
access
and
visitation
grant
moneys
shall
be
used
for
services
designed
to
increase
compliance
with
the
child
access
provisions
of
court
orders,
including
but
not
limited
to
neutral
visitation
sites
and
mediation
services.
2.
The
appropriation
made
to
the
department
for
child
support
services
may
be
used
throughout
the
fiscal
year
in
the
manner
necessary
for
purposes
of
cash
flow
management,
and
for
cash
flow
management
purposes
the
department
may
temporarily
draw
more
than
the
amount
appropriated,
provided
the
amount
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT
Sec.
8.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT.
There
is
appropriated
from
the
special
fund
created
in
section
8.41
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
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.
For
community
access
and
eligibility,
FIP,
the
PROMISE
JOBS
program,
implementing
family
investment
agreements
in
accordance
with
chapter
239B,
and
for
continuation
of
the
program
promoting
awareness
of
the
benefits
of
a
healthy
marriage:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,988,627
2.
For
community
access
and
eligibility
to
provide
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
Pregnancy
prevention
grants
shall
be
awarded
to
programs
in
existence
on
or
before
July
1,
2024,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2024,
if
the
programs
are
based
on
existing
models
that
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
House
File
2698,
p.
10
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.
3.
For
community
access
and
eligibility
to
meet
one
of
the
four
core
purposes
of
TANF
as
specified
in
45
C.F.R.
§260.20,
including
by
modernizing
the
program
to
promote
economic
mobility
and
self-sufficiency,
ensuring
that
families
are
able
to
overcome
benefit
cliffs,
encouraging
healthy
families,
and
streamlining
service
delivery
to
reduce
duplication:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,000,000
4.
For
technology
needs
related
to
child
support
modernization
of
the
Iowa
collections
and
reporting
(ICAR)
system
and
for
a
closed
loop
referral
system
for
the
thrive
Iowa
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,000,000
5.
For
early
intervention
and
supports
for
the
family
development
and
self-sufficiency
(FaDSS)
grant
program
in
accordance
with
section
216A.107:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,888,980
Of
the
funds
allocated
for
the
FaDSS
grant
program
in
this
subsection,
not
more
than
5
percent
of
the
funds
shall
be
used
for
administrative
purposes.
6.
For
early
intervention
and
supports
for
child
abuse
prevention
grants:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
7.
For
accountability,
compliance,
program
integrity,
technology
needs,
and
other
resources
necessary
to
meet
federal
and
state
reporting,
tracking,
and
case
management
requirements
and
other
departmental
needs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,533,647
8.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
9.
For
child
protective
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,364,100
10.
For
child
protective
services
for
the
kinship
stipend
House
File
2698,
p.
11
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,000,000
DIVISION
VI
MEDICAL
ASSISTANCE
——
STATE
SUPPLEMENTARY
ASSISTANCE
——
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
AND
OTHER
HEALTH-RELATED
PROGRAMS
——
FY
2024-2025
Sec.
9.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
medical
assistance
program
reimbursement
and
associated
costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2024,
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;
for
the
state
supplementary
assistance
program;
for
the
health
insurance
premium
payment
program;
and
for
maintenance
of
the
healthy
and
well
kids
in
Iowa
(Hawki)
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;
and
for
other
specified
health-related
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,650,866,536
1.
Of
the
funds
appropriated
in
this
section,
$1,605,063,804
is
allocated
for
medical
assistance
program
reimbursement
and
associated
costs.
a.
Of
the
funds
allocated
in
this
subsection,
$800,000
shall
be
used
for
the
renovation
and
construction
of
certain
nursing
facilities,
consistent
with
the
provisions
of
chapter
249K.
b.
Of
the
funds
allocated
in
this
subsection,
$3,383,880
shall
be
used
for
program
administration,
outreach,
and
enrollment
activities
of
the
state
family
planning
services
program
pursuant
to
section
217.41B,
and
of
this
amount,
the
department
may
use
$200,000
for
administrative
expenses.
House
File
2698,
p.
12
c.
Of
the
funds
allocated
in
this
subsection,
$1,700,000
shall
be
used
to
provide
for
additional
home
and
community-based
services
waiver
slots
for
individuals
with
an
intellectual
disability.
2.
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
Funds
appropriated
under
this
section
shall
not
be
used
for
abortions,
unless
otherwise
authorized
under
this
section.
3.
The
provisions
of
this
section
relating
to
abortions
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
pursuant
to
chapter
249N.
4.
Of
the
funds
appropriated
in
this
section,
$4,479,762
is
allocated
for
the
state
supplementary
assistance
program.
5.
Of
the
funds
appropriated
in
this
section,
$41,322,970
is
allocated
for
maintenance
of
the
Hawki
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.
HEALTH
PROGRAM
OPERATIONS
Sec.
10.
HEALTH
PROGRAM
OPERATIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
health
program
operations
and
the
autism
support
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,597,231
1.
The
department
of
inspections,
appeals,
and
licensing
shall
provide
all
state
matching
funds
for
survey
and
certification
activities
performed
by
the
department
of
inspections,
appeals,
and
licensing.
The
department
of
health
and
human
services
is
solely
responsible
for
distributing
the
federal
matching
funds
for
such
activities.
2.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
shall
be
used
for
the
administration
of
the
health
insurance
premium
payment
program,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes.
House
File
2698,
p.
13
3.
Of
the
funds
appropriated
in
this
section,
$750,000
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
under
the
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
of
2009
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.
4.
Unless
otherwise
provided,
annual
increases
for
services
provided
through
contracts
funded
under
this
section
shall
not
exceed
the
amount
by
which
the
consumer
price
index
for
all
urban
consumers
increased
during
the
most
recently
ended
calendar
year.
HEALTH
CARE
ACCOUNTS
AND
FUNDS
Sec.
11.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
——
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES.
There
is
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
Notwithstanding
any
provision
of
law
to
the
contrary,
to
supplement
the
appropriation
made
in
this
Act
for
health
program
operations
under
the
medical
assistance
program
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
Sec.
12.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HEALTH
AND
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
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
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
health
and
human
services
for
medical
assistance
for
the
same
fiscal
year:
House
File
2698,
p.
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$111,216,205
Sec.
13.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
DEPARTMENT
OF
HEALTH
AND
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
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
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
health
and
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
REIMBURSEMENT
RATES
Sec.
14.
REIMBURSEMENT
RATES.
1.
Reimbursement
for
medical
assistance,
state
supplementary
assistance,
and
social
service
providers
and
services
reimbursed
under
the
purview
of
the
department
of
health
and
human
services
shall
remain
at
the
reimbursement
rate
or
shall
be
determined
pursuant
to
the
reimbursement
methodology
in
effect
on
June
30,
2024,
with
the
exception
of
the
following:
a.
If
reimbursement
is
otherwise
negotiated
by
contract
or
pursuant
to
an
updated
fee
schedule.
b.
As
otherwise
provided
in
this
section.
2.
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
department
of
health
and
human
services
shall
reimburse
case-mix
nursing
facility
rates
at
the
amounts
in
effect
on
June
30,
2024.
b.
The
department
of
health
and
human
services
shall
calculate
each
nursing
facility’s
case-mix
index
for
the
period
beginning
July
1,
2023,
using
weighting
based
on
the
current
patient
driven
payment
model
(PDPM)
schedule.
Rosters
shall
be
made
to
show
a
separate
calculation
to
determine
the
average
case-mix
index
for
a
nursing-facility-wide
case
mix
index,
and
a
case-mix
index
for
the
residents
of
a
nursing
facility
who
are
Medicaid
recipients
using
all
minimum
data
set
reports
by
the
nursing
facility
for
the
previous
semi-annual
period
using
House
File
2698,
p.
15
a
day
weighted
calculation.
3.
For
the
fiscal
year
beginning
July
1,
2024,
Medicaid
provider
rates
shall
be
adjusted
to
85
percent
of
the
benchmark
rates
based
on
the
department’s
2023
Medicaid
rate
review
for
all
of
the
following
Medicaid
providers:
a.
Medical
supply
providers.
b.
Physician
assistants.
c.
Physical
therapists.
d.
Occupational
therapists.
e.
Certified
nurse
midwives.
4.
For
the
fiscal
year
beginning
July
1,
2024,
reimbursement
rates
for
home
and
community-based
services
providers
shall
be
increased
compared
to
the
rates
in
effect
on
June
30,
2024,
to
the
extent
possible
within
the
state
funding,
including
the
$14,600,000
provided
for
this
purpose.
5.
For
the
fiscal
year
beginning
July
1,
2024,
reimbursement
rates
for
community
mental
health
centers
shall
be
increased
compared
to
the
rates
in
effect
on
June
30,
2024,
to
the
extent
possible
within
the
state
funding,
including
the
$276,947
provided
for
this
purpose.
6.
For
the
fiscal
year
beginning
July
1,
2024,
enhanced
reimbursement
shall
be
provided
within
the
additional
$369,000
appropriated
for
this
purpose
for
a
psychiatric
medical
institution
for
children
that
meets
the
selection
criteria
specified
in
2024
Iowa
Acts,
House
File
2402,
or
successor
legislation,
if
enacted.
7.
For
the
fiscal
year
beginning
July
1,
2024,
the
pharmacy
dispensing
fee
shall
be
adjusted
within
the
additional
$500,000
appropriated
for
this
purpose.
8.
For
the
fiscal
year
beginning
July
1,
2024,
the
reimbursement
rates
for
mental
health
providers
shall
be
increased
within
the
additional
$2,104,186
appropriated
for
this
purpose.
9.
For
the
fiscal
year
beginning
July
1,
2024,
residential-based
supported
community
living
provider
rates
shall
be
increased
within
the
additional
$1,352,750
appropriated
for
this
purpose.
10.
For
the
fiscal
year
beginning
July
1,
2024,
reimbursement
rates
for
home
heath
agencies
shall
continue
to
House
File
2698,
p.
16
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
state
funding
appropriated.
The
department
shall
continue
to
update
the
rates
every
two
years
to
reflect
the
most
recent
Medicare
LUPA
rates.
11.
For
the
fiscal
year
beginning
July
1,
2024,
reimbursement
rates
for
air
medical
services
provided
by
an
entity
that
has
over
40
years
of
experience
and
is
the
largest
community-based
provider
of
air
medical
services
shall
be
increased
within
the
additional
$250,000
appropriated
for
this
purpose.
DIVISION
VII
FAMILY
WELL-BEING
AND
PROTECTION
——
FY
2024-2025
STATE
CHILD
CARE
ASSISTANCE
Sec.
15.
STATE
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
state
child
care
assistance
in
accordance
with
section
237A.13:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,966,931
1.
If
the
appropriations
made
for
purposes
of
the
state
child
care
assistance
program
for
the
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
requirements.
2.
A
portion
of
the
state
match
for
the
federal
child
care
and
development
block
grant
shall
be
provided
as
necessary
to
meet
federal
matching
funds
requirements
through
the
state
general
fund
appropriation
made
for
child
development
grants
and
other
programs
for
at-risk
children
in
section
279.51.
EARLY
INTERVENTION
AND
SUPPORTS
Sec.
16.
EARLY
INTERVENTION
AND
SUPPORTS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
House
File
2698,
p.
17
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
promoting
the
optimum
health
status
for
children
and
adolescents
from
birth
through
21
years
of
age,
and
for
families:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,277,739
1.
Of
the
funds
appropriated
in
this
section,
not
more
than
$734,000
shall
be
used
for
the
healthy
opportunities
for
parents
to
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
established
pursuant
to
section
135.106.
2.
Of
the
funds
appropriated
in
this
section,
$4,313,854
is
allocated
for
the
FaDSS
grant
program.
Of
the
funds
allocated
for
the
FaDSS
grant
program
in
this
subsection,
not
more
than
5
percent
of
the
funds
shall
be
used
for
administration
of
the
grant
program.
3.
Of
the
funds
appropriated
in
this
section,
$29,256,799
shall
be
used
for
the
purposes
of
the
early
childhood
Iowa
fund
created
in
section
256I.11.
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
shall
be
used
for
the
purposes
of
program
administration
and
provision
of
pregnancy
support
services
through
the
more
options
for
maternal
support
program
in
accordance
with
section
217.41C.
CHILD
PROTECTIVE
SERVICES
Sec.
17.
CHILD
PROTECTIVE
SERVICES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
child,
family,
and
adoption
services,
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$166,101,034
1.
Of
the
funds
appropriated
in
this
section,
$1,717,000
is
allocated
specifically
for
expenditure
for
fiscal
year
2024-2025
through
the
decategorization
services
funding
pools
and
governance
boards
established
pursuant
to
section
232.188.
2.
A
portion
of
the
funds
appropriated
in
this
section
may
be
used
to
provide
other
resources
based
on
client
need
House
File
2698,
p.
18
required
to
support
family
preservation,
emergency
client
need,
or
family
reunification
efforts.
3.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
for
foster
family
care,
group
foster
care
maintenance
and
services,
shelter
care,
child
welfare
emergency
services,
and
supervised
apartment
living
contracts.
4.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2024,
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.
5.
a.
Of
the
funds
appropriated
in
this
section,
$748,000
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.
b.
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
the
court-ordered
services
distribution
amount
is
insufficient
to
pay
for
the
service.
6.
Of
the
funds
appropriated
in
this
section,
$1,658,000
shall
be
used
for
the
child
protection
center
grant
program
for
child
protection
centers
located
in
Iowa
in
accordance
with
section
135.118.
The
grant
amounts
under
the
program
shall
be
equalized
so
that
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
that
the
remaining
funds
are
awarded
through
a
funding
formula
based
upon
the
volume
of
children
served.
To
increase
access
to
child
protection
center
services
for
children
in
rural
areas,
the
funding
formula
for
the
awarding
of
the
remaining
funds
shall
provide
for
the
awarding
of
an
enhanced
amount
to
eligible
grantees
to
develop
and
maintain
satellite
centers
in
underserved
regions
of
the
state.
House
File
2698,
p.
19
7.
Of
the
funds
appropriated
in
this
section,
$4,359,500
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46.
8.
Of
the
funds
appropriated
in
this
section,
up
to
$227,000
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.
9.
Of
the
funds
appropriated
in
this
section,
a
portion
may
be
used
for
family-centered
services
for
purposes
of
complying
with
the
federal
Family
First
Prevention
Services
Act
of
2018,
Pub.
L.
No.
115-123,
and
successor
legislation.
10.
a.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
for
adoption
subsidy
payments
and
related
costs.
b.
Any
funds
allocated
in
this
subsection
remaining
after
the
allocation
under
paragraph
“a”
are
designated
and
allocated
as
state
savings
resulting
from
implementation
of
the
federal
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
and
shall
be
used
for
post-adoption
services
and
for
other
purposes
allowed
under
these
federal
laws,
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
c.
Of
the
funds
appropriated
in
this
section,
$148,232
shall
be
used
to
increase
the
adoption
subsidy
paid
to
a
person
pursuant
to
section
600.17
who
adopts
a
child
after
July
1,
2024,
by
five
percent
over
the
rates
in
effect
on
June
30,
2024.
11.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
to
support
training
needs
for
child
welfare
providers
and
to
address
disproportionality
within
the
child
welfare
system.
12.
Of
the
funds
appropriated
in
this
section,
$308,765
shall
be
used
to
increase
the
foster
care
reimbursement
rates
paid
pursuant
to
section
234.38,
by
five
percent
over
the
rates
House
File
2698,
p.
20
in
effect
on
June
30,
2024.
13.
Of
the
funds
appropriated
in
this
section,
$1,000,000
is
allocated
for
enhanced
training
for
child
protective
services
workers
and
for
additional
social
worker
supervisors
to
appropriately
manage
caseloads.
14.
If
a
separate
funding
source
is
identified
that
reduces
the
need
for
state
funds
within
an
allocation
under
this
section,
the
allocated
state
funds
may
be
redistributed
to
other
allocations
under
this
section
for
the
same
fiscal
year.
DIVISION
VIII
STATE
SPECIALTY
CARE
——
FY
2024-2025
Sec.
18.
STATE
SPECIALTY
CARE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
and
miscellaneous
purposes
at
institutions
under
the
jurisdiction
of
the
department
of
health
and
human
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$100,006,128
1.
The
department
shall
utilize
the
funds
appropriated
in
this
section
as
necessary
to
maximize
bed
capacity
and
to
most
effectively
meet
the
needs
of
the
individuals
served.
2.
Of
the
amount
appropriated
in
this
section,
the
following
amounts
are
allocated
to
each
institution
as
follows:
a.
For
the
state
mental
health
institute
at
Cherokee:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,439,086
b.
For
the
state
mental
health
institute
at
Independence:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,916,279
c.
For
the
civil
commitment
unit
for
sexual
offenders
at
Cherokee:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,755,397
d.
For
the
state
resource
center
at
Woodward:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,018,717
e.
For
the
state
resource
center
at
Glenwood:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,255,132
f.
For
the
state
training
school
at
Eldora:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,621,517
DIVISION
IX
House
File
2698,
p.
21
ADMINISTRATION
AND
COMPLIANCE
——
FY
2024-2025
Sec.
19.
ACCOUNTABILITY,
COMPLIANCE,
AND
PROGRAM
INTEGRITY.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
accountability,
compliance,
and
program
integrity,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
22,356,598
1.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
be
transferred
to
and
deposited
in
the
Iowa
ABLE
savings
plan
trust
administrative
fund
created
in
section
12I.4,
to
be
used
for
implementation
and
administration
activities
of
the
Iowa
ABLE
savings
plan
trust.
2.
Of
the
funds
appropriated
in
this
section,
$2,602,312
shall
be
used
for
foster
care
review
and
the
court
appointed
special
advocate
program,
including
for
salaries,
support,
maintenance,
and
miscellaneous
purposes.
3.
Of
the
funds
appropriated
in
this
section,
$1,148,959
shall
be
used
for
the
office
of
long-term
care
ombudsman
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes.
4.
For
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
the
department
of
health
and
human
services
may
utilize
the
funds
appropriated
from
the
general
fund
of
the
state
to
the
department
under
this
Act
for
up
to
4,156.00
full-time
equivalent
positions.
The
department
shall
report
to
the
general
assembly
by
December
15,
2024,
the
distribution
of
the
approved
number
of
full-time
equivalent
positions
across
the
organizational
divisions
of
the
department.
DIVISION
X
AUTISM
SUPPORT
FUND
Sec.
20.
AUTISM
SUPPORT
FUND
——
APPROPRIATION.
Notwithstanding
any
provision
to
the
contrary
under
section
225D.2,
there
is
appropriated
from
the
autism
support
fund
created
in
section
225D.2
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
House
File
2698,
p.
22
June
30,
2025,
the
following
amount,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
For
allocation
to
a
nonprofit
agency
that
provides
expert
care
for
children
with
medical
complexity
as
infrastructure
funding
to
expand
its
facilities
to
provide
behavioral
analysis
treatment
for
eligible
individuals:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
750,000
DIVISION
XI
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
TRANSFERS,
CASHFLOW,
AND
NONREVERSIONS
Sec.
21.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
TRANSFERS
AND
CASHFLOW.
1.
The
department
of
health
and
human
services
may
transfer
funds
appropriated
in
this
Act
to
support
continuing
alignment
efforts,
to
maximize
federal
support
in
accordance
with
the
department’s
federal
costs
allocation
plan,
and
for
resources
necessary
to
implement
and
administer
the
services
for
which
funds
are
provided.
The
department
shall
report
any
transfers
made
pursuant
to
this
subsection
to
the
general
assembly.
2.
If
the
savings
to
the
appropriations
made
for
the
Medicaid
program
from
ongoing
cost
management
efforts
exceed
the
associated
costs
for
the
fiscal
year,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
cost
management
efforts
to
the
appropriations
made
in
this
Act
for
health
program
operations
or
for
accountability,
compliance,
and
program
integrity
to
defray
the
costs
associated
with
implementation
of
the
cost
management
efforts.
3.
The
department
may
transfer
funds
appropriated
for
child
protective
services
to
pay
the
nonfederal
share
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
for
child
protective
services.
4.
The
department
may
transfer
funds
from
the
temporary
assistance
for
needy
families
block
grant
to
the
federal
social
services
block
grant
appropriation,
and
to
the
child
care
and
development
block
grant
appropriation,
in
accordance
with
federal
law.
House
File
2698,
p.
23
5.
To
the
extent
the
department
determines
that
moneys
appropriated
under
this
Act
or
allocated
for
a
specific
purpose
under
the
Act
will
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
such
unencumbered
or
unobligated
moneys
may
be
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
the
moneys
appropriated
may
be
used,
or
for
any
other
allocation
within
the
same
appropriation.
6.
To
the
extent
the
department
determines
that
moneys
appropriated
under
this
Act
will
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
or
that
services
will
not
be
impacted,
the
department
may
utilize
up
to
$3,000,000
of
such
unencumbered
or
unobligated
moneys
appropriated
to
develop
and
support
the
thrive
Iowa
program,
a
closed-loop
referral
system
utilizing
a
navigator
model,
that
acts
as
the
connection
point
to
link
Iowans
on
an
individualized
path
to
prosperity
and
self-sufficiency
to
available
resources
in
all
sectors
of
the
community.
Sec.
22.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
NONREVERSIONS.
1.
Notwithstanding
section
8.33,
moneys
appropriated
from
the
general
fund
of
the
state
and
the
temporary
assistance
for
needy
families
block
grant
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
for
the
purposes
of
the
FaDSS
grant
program
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.
2.
Notwithstanding
section
8.33,
of
the
moneys
appropriated
from
the
general
fund
of
the
state,
the
quality
assurance
trust
fund,
and
the
hospital
health
care
access
trust
fund
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
for
the
purposes
of
the
medical
assistance
program,
the
amount
that
is
in
excess
of
actual
expenditures
for
the
medical
assistance
program
that
remains
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert,
but
shall
remain
available
for
expenditure
for
the
medical
assistance
program
until
the
close
of
the
succeeding
fiscal
year.
House
File
2698,
p.
24
3.
Notwithstanding
section
8.33,
and
notwithstanding
the
nonreversion
amount
limitation
specified
in
section
222.92,
moneys
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
for
the
purposes
of
state
specialty
care
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
for
subsequent
fiscal
years.
4.
Notwithstanding
section
8.33,
moneys
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
for
the
commission
on
volunteer
service
for
purposes
of
the
Iowa
state
commission
grant
program
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
for
subsequent
fiscal
years.
5.
Notwithstanding
section
8.33,
moneys
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
and
allocated
for
rural
psychiatric
residencies
to
annually
fund
eight
psychiatric
residents
who
will
provide
mental
health
services
to
underserved
areas
of
the
state
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.
6.
Notwithstanding
section
8.33,
moneys
appropriated
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
and
ending
June
30,
2025,
and
allocated
for
adoption
subsidy
payments
and
related
costs
or
for
post-adoption
services
and
related
allowable
purposes
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.
DIVISION
XII
HEALTH
AND
HUMAN
SERVICES
——
PRIOR
APPROPRIATIONS
AND
OTHER
House
File
2698,
p.
25
PROVISIONS
——
FY
2022-2023
RURAL
PSYCHIATRIC
RESIDENCIES
Sec.
23.
2022
Iowa
Acts,
chapter
1131,
section
3,
subsection
4,
paragraph
j,
is
amended
to
read
as
follows:
j.
Of
the
funds
appropriated
in
this
subsection,
$800,000
shall
be
used
for
rural
psychiatric
residencies
to
support
the
annual
creation
and
training
of
six
eight
psychiatric
residents
who
will
provide
mental
health
services
in
underserved
areas
of
the
state.
Notwithstanding
section
8.33
,
moneys
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
for
subsequent
fiscal
years.
FAMILY
INVESTMENT
PROGRAM
Sec.
24.
2022
Iowa
Acts,
chapter
1131,
section
9,
subsection
7,
as
enacted
by
2023
Iowa
Acts,
chapter
112,
section
41,
is
amended
to
read
as
follows:
7.
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
the
purposes
designated
,
or
may
be
transferred
to
other
appropriations
in
this
division
of
this
Act
or
used
as
necessary
to
enhance
agency
accountability,
program
integrity,
compliance,
and
efficiency,
until
the
close
of
the
succeeding
fiscal
year.
Sec.
25.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
26.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
applies
retroactively
to
July
1,
2022.
DIVISION
XIII
HEALTH
AND
HUMAN
SERVICES
——
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS
——
FY
2023-2024
OFFICE
OF
PUBLIC
GUARDIAN
Sec.
27.
2023
Iowa
Acts,
chapter
112,
section
3,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
7.
Notwithstanding
section
8.33,
moneys
appropriated
in
this
section
for
the
state
office
of
public
guardian
established
under
chapter
231E
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
the
purposes
House
File
2698,
p.
26
designated
until
the
close
of
the
succeeding
fiscal
year.
AUDIOLOGICAL
SERVICES
Sec.
28.
2023
Iowa
Acts,
chapter
112,
section
5,
subsection
2,
paragraph
e,
is
amended
to
read
as
follows:
e.
Of
the
funds
appropriated
in
this
subsection,
$156,000
shall
be
used
to
provide
audiological
services
and
hearing
aids
for
children.
Notwithstanding
section
8.33,
moneys
allocated
in
this
paragraph
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
RURAL
PSYCHIATRIC
RESIDENCIES
Sec.
29.
2023
Iowa
Acts,
chapter
112,
section
5,
subsection
4,
paragraph
j,
is
amended
to
read
as
follows:
j.
Of
the
funds
appropriated
in
this
subsection,
$800,000
shall
be
used
for
rural
psychiatric
residencies
to
annually
fund
six
eight
psychiatric
residents
who
will
provide
mental
health
services
in
underserved
areas
of
the
state.
Notwithstanding
section
8.33
,
moneys
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
for
subsequent
fiscal
years.
CHILD
AND
FAMILY
SERVICES
——
CHILD
PROTECTIVE
SERVICES
Sec.
30.
2023
Iowa
Acts,
chapter
112,
section
7,
subsection
7,
is
amended
to
read
as
follows:
7.
For
child
and
family
protective
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
35,380,654
Of
the
funds
appropriated
in
this
subsection,
up
to
$3,000,000
shall
be
used
for
the
kinship
caregiver
stipend
program.
FAMILY
INVESTMENT
PROGRAM
Sec.
31.
2023
Iowa
Acts,
chapter
112,
section
9,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
7.
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
the
purposes
designated,
or
may
be
transferred
to
other
appropriations
in
this
division
of
this
House
File
2698,
p.
27
Act
or
used
as
necessary
to
enhance
agency
accountability,
program
integrity,
compliance,
and
efficiency,
until
the
close
of
the
succeeding
fiscal
year.
CHILD
CARE
ASSISTANCE
Sec.
32.
2023
Iowa
Acts,
chapter
112,
section
17,
subsection
8,
is
amended
to
read
as
follows:
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
purposes
of
the
programs
developed
by
early
childhood
Iowa
areas,
advanced
for
purposes
of
wraparound
child
care,
or
received
from
the
federal
appropriations
made
for
the
purposes
of
appropriated
in
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
CHILD
AND
FAMILY
SERVICES
Sec.
33.
2023
Iowa
Acts,
chapter
112,
section
19,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
23.
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
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
ADOPTION
SUBSIDY
——
QUALIFIED
RESIDENTIAL
TREATMENT
PROVIDERS
——
PMIC
PROVIDER
Sec.
34.
2023
Iowa
Acts,
chapter
112,
section
20,
subsection
4,
is
amended
to
read
as
follows:
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
the
purposes
designated
;
and
may
be
used
for
child
protective
services
qualified
residential
treatment
provider
rates
and
security
enhancements;
and
up
to
$3,000,000
may
be
used
by
the
department,
notwithstanding
any
provision
of
law
to
the
contrary
regarding
competitive
bidding,
to
enter
into
a
sole
source
contract
with
a
nonprofit
provider
founded
in
1912,
with
centers
in
11
states
that
provide
a
comprehensive
behavioral
health
network
of
clinical,
therapeutic,
education,
and
employment
programs
and
services,
for
renovation
or
House
File
2698,
p.
28
purchase
of
a
facility
for
use
as
a
psychiatric
medical
institution
for
children,
until
the
close
of
the
succeeding
fiscal
year.
FIELD
OPERATIONS
Sec.
35.
2023
Iowa
Acts,
chapter
112,
section
26,
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
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
GENERAL
ADMINISTRATION
——
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
PROGRAM
Sec.
36.
2023
Iowa
Acts,
chapter
112,
section
27,
subsection
8,
is
amended
to
read
as
follows:
8.
Of
the
funds
appropriated
under
this
section,
$1,000,000
shall
be
used
for
the
purposes
of
program
administration
and
provision
of
pregnancy
support
services
through
the
more
options
for
maternal
support
program
in
accordance
with
section
217.41C
.
Notwithstanding
section
8.33,
moneys
allocated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
LOW-INCOME
HOME
ENERGY
ASSISTANCE
PROGRAM
ADMINISTRATIVE
ALLOCATION
——
FEDERAL
BLOCK
GRANT
Sec.
37.
2023
Iowa
Acts,
chapter
161,
section
10,
subsection
3,
is
amended
to
read
as
follows:
3.
After
subtracting
the
allocation
in
subsection
2,
up
to
10
no
less
than
8.4
percent
of
the
remaining
moneys
for
each
federal
fiscal
year
are
allocated
for
administrative
expenses
of
low-income
home
energy
assistance
program
contractors
and
up
to
1.6
percent
of
the
remaining
moneys
for
each
fiscal
year
are
allocated
for
the
administrative
expenses
of
the
department
of
health
and
human
services
under
the
low-income
home
energy
assistance
program
of
which
$377,000
is
allocated
each
federal
fiscal
year
for
administrative
expenses
of
the
department
of
health
and
human
services
.
The
costs
of
auditing
the
use
and
administration
of
the
portion
of
the
appropriation
in
this
House
File
2698,
p.
29
section
that
is
retained
by
the
state
shall
be
paid
from
the
amount
allocated
in
this
subsection
each
federal
fiscal
year
to
the
department
of
health
and
human
services.
The
auditor
of
state
shall
bill
the
department
of
health
and
human
services
for
the
audit
costs.
Sec.
38.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
39.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
applies
retroactively
to
July
1,
2023.
DIVISION
XIV
REPORT
ON
NONREVERSION
OF
FUNDS
Sec.
40.
REPORT
ON
NONREVERSION
OF
FUNDS.
The
department
of
health
and
human
services
shall
report
the
expenditure
of
any
moneys
for
which
nonreversion
authorization
was
provided
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
to
the
general
assembly
on
a
quarterly
basis
beginning
October
1,
2024.
DIVISION
XV
EMERGENCY
RULES
AND
REPORTS
Sec.
41.
EMERGENCY
RULES.
1.
If
necessary
to
comply
with
federal
requirements
including
time
frames,
or
if
specifically
authorized
by
a
provision
of
this
Act,
the
department
of
health
and
human
services
or
the
mental
health
and
disability
services
commission
shall
adopt
administrative
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
the
applicable
provisions
of
this
Act.
The
rules
shall
be
effective
immediately
upon
filing
unless
a
later
date
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
with
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4.
2.
If
during
a
fiscal
year,
the
department
of
health
and
human
services
is
adopting
rules
in
accordance
with
this
section
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
rules
will
result
in
an
expenditure
increase
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
expenditure
was
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
department
shall
notify
the
general
assembly
and
the
department
of
management
concerning
the
rules
and
the
House
File
2698,
p.
30
expenditure
increase.
The
notification
shall
be
provided
at
least
thirty
calendar
days
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
administrative
rules
coordinator
and
the
administrative
code
editor.
Sec.
42.
REPORTS.
Unless
otherwise
provided,
any
reports
or
other
information
required
to
be
compiled
and
submitted
under
this
Act
during
the
fiscal
year
beginning
July
1,
2024,
shall
be
submitted
on
or
before
the
date
specified
for
submission
of
the
reports
or
information.
DIVISION
XVI
CODIFIED
PROVISIONS
PERSONAL
NEEDS
ALLOWANCE
FOR
FACILITIES
UNDER
MEDICAID
Sec.
43.
Section
249A.30A,
Code
2024,
is
amended
to
read
as
follows:
249A.30A
Medical
assistance
——
personal
needs
allowance.
1.
The
personal
needs
allowance
under
the
medical
assistance
program,
which
may
be
retained
by
a
person
who
is
a
resident
of
a
nursing
facility,
an
intermediate
care
facility
for
persons
with
an
intellectual
disability,
or
an
intermediate
care
facility
for
persons
with
mental
illness,
as
defined
in
section
135C.1
,
or
a
person
who
is
a
resident
of
a
psychiatric
medical
institution
for
children
as
defined
in
section
135H.1
,
shall
be
fifty
dollars
per
month.
2.
A
resident
who
has
income
of
less
than
fifty
dollars
per
month
shall
receive
a
supplement
from
the
state
in
the
amount
necessary
to
receive
a
personal
needs
allowance
of
fifty
dollars
per
month
,
if
funding
is
specifically
appropriated
for
this
purpose
.
The
general
assembly
shall
annually
appropriate
a
sufficient
amount
from
the
general
fund
of
the
state
to
the
department
of
health
and
human
services
for
this
purpose.
REPLACEMENT
GENERATION
TAX
REVENUES
Sec.
44.
Section
437A.8,
subsection
4,
paragraph
d,
Code
2024,
is
amended
to
read
as
follows:
d.
Notwithstanding
paragraph
“a”
,
a
taxpayer
who
owns
or
leases
a
new
electric
power
generating
plant
and
who
has
no
other
operating
property
in
the
state
of
Iowa
except
for
operating
property
directly
serving
the
new
electric
power
generating
plant
as
described
in
section
437A.16
shall
pay
the
replacement
generation
tax
associated
with
the
allocation
House
File
2698,
p.
31
of
the
local
amount
to
the
county
treasurer
of
the
county
in
which
the
local
amount
is
located
and
shall
remit
the
remaining
replacement
generation
tax,
if
any,
to
the
director
according
to
paragraph
“a”
for
remittance
of
the
tax
to
county
treasurers.
The
director
shall
notify
each
taxpayer
on
or
before
August
31
following
a
tax
year
of
its
remaining
replacement
generation
tax
to
be
remitted
to
the
director.
All
remaining
replacement
generation
tax
revenues
received
by
the
director
shall
be
deposited
in
the
property
tax
relief
fund
created
in
section
426B.1
,
and
shall
be
distributed
as
provided
in
section
426B.2
appropriated
annually
to
the
department
of
health
and
human
services
to
supplement
any
appropriation
made
for
medical
assistance
.
If
a
taxpayer
has
paid
an
amount
of
replacement
tax,
penalty,
or
interest
which
was
deposited
into
the
property
tax
relief
fund
appropriated
to
the
department
of
health
and
human
services
under
this
paragraph
and
which
was
not
due,
all
of
the
provisions
of
section
437A.14,
subsection
1
,
paragraph
“b”
,
shall
apply
with
regard
to
any
claim
for
refund
or
credit
filed
by
the
taxpayer.
The
director
shall
have
sole
discretion
as
to
whether
the
erroneous
payment
will
be
refunded
to
the
taxpayer
or
credited
against
any
replacement
tax
due,
or
to
become
due,
from
the
taxpayer
that
would
be
subject
to
deposit
in
the
property
tax
relief
fund
appropriated
to
the
department
of
health
and
human
services
under
this
paragraph
.
Sec.
45.
Section
437A.15,
subsection
3,
paragraph
f,
Code
2024,
is
amended
to
read
as
follows:
f.
Notwithstanding
the
provisions
of
this
section
,
if
a
taxpayer
is
a
municipal
utility
or
a
municipal
owner
of
an
electric
power
facility
financed
under
the
provisions
of
chapter
28F
or
476A
,
the
assessed
value,
other
than
the
local
amount,
of
a
new
electric
power
generating
plant
shall
be
allocated
to
each
taxing
district
in
which
the
municipal
utility
or
municipal
owner
is
serving
customers
and
has
electric
meters
in
operation
in
the
ratio
that
the
number
of
operating
electric
meters
of
the
municipal
utility
or
municipal
owner
located
in
the
taxing
district
bears
to
the
total
number
of
operating
electric
meters
of
the
municipal
utility
or
municipal
owner
in
the
state
as
of
January
1
of
the
tax
year.
House
File
2698,
p.
32
If
the
municipal
utility
or
municipal
owner
of
an
electric
power
facility
financed
under
the
provisions
of
chapter
28F
or
476A
has
a
new
electric
power
generating
plant
but
the
municipal
utility
or
municipal
owner
has
no
operating
electric
meters
in
this
state,
the
municipal
utility
or
municipal
owner
shall
pay
the
replacement
generation
tax
associated
with
the
new
electric
power
generating
plant
allocation
of
the
local
amount
to
the
county
treasurer
of
the
county
in
which
the
local
amount
is
located
and
shall
remit
the
remaining
replacement
generation
tax,
if
any,
to
the
director
at
the
times
contained
in
section
437A.8,
subsection
4
,
for
remittance
of
the
tax
to
the
county
treasurers.
All
remaining
replacement
generation
tax
revenues
received
by
the
director
shall
be
deposited
in
the
property
tax
relief
fund
created
in
section
426B.1
,
and
shall
be
distributed
as
provided
in
section
426B.2
appropriated
annually
to
the
department
of
health
and
human
services
to
supplement
any
appropriation
made
for
medical
assistance
.
PERSONAL
NEEDS
ALLOWANCE
FOR
STATE
SUPPLEMENTARY
ASSISTANCE
Sec.
46.
NEW
SECTION
.
249.9A
Personal
needs
allowance.
1.
The
department
shall
increase
the
personal
needs
allowance
for
residents
of
residential
care
facilities
by
the
same
percentage
and
at
the
same
time
as
federal
supplemental
security
income
and
federal
social
security
benefits
are
increased
due
to
a
recognized
increase
in
the
cost
of
living.
2.
If
during
a
fiscal
year,
the
department
projects
that
state
supplementary
assistance
expenditures
for
a
calendar
year
will
not
meet
the
federal
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
§1382g,
the
department
may
take
actions
including
but
not
limited
to
increasing
the
personal
needs
allowance
for
residential
care
facility
residents
and
making
programmatic
adjustments
or
upward
adjustments
of
the
residential
care
facility
or
in-home
health-related
care
reimbursement
rates
to
ensure
compliance
with
federal
requirements.
In
addition,
the
department
may
make
other
programmatic
and
rate
adjustments
necessary
to
remain
within
the
funds
appropriated
for
a
fiscal
year
while
ensuring
compliance
with
federal
requirements.
3.
The
department
may
adopt
emergency
rules
under
section
House
File
2698,
p.
33
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”
,
to
implement
the
provisions
of
this
section
and
the
rules
shall
be
effective
immediately
upon
filing
unless
a
later
date
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
with
this
section
shall
also
be
published
as
a
notice
of
intended
action
as
provided
in
section
17A.4.
MEDICAID
FRAUD
FUND
AND
HEALTH
CARE
TRUST
FUND
Sec.
47.
Section
249A.50,
subsection
3,
Code
2024,
is
amended
to
read
as
follows:
3.
a.
A
Medicaid
fraud
fund
is
created
in
the
state
treasury
under
the
authority
of
the
department
of
inspections,
appeals,
and
licensing.
Moneys
from
penalties,
investigative
costs
recouped
by
the
Medicaid
fraud
control
unit,
and
other
amounts
received
as
a
result
of
prosecutions
involving
the
department
of
inspections,
appeals,
and
licensing
investigations
and
audits
to
ensure
compliance
with
the
medical
assistance
program
that
are
not
credited
to
the
program
shall
be
credited
to
the
fund.
b.
Notwithstanding
section
8.33
,
moneys
credited
to
the
fund
from
any
other
account
or
fund
shall
not
revert
to
the
other
account
or
fund.
Moneys
in
the
fund
shall
only
be
used
as
provided
in
appropriations
from
the
fund
and
shall
be
used
in
accordance
with
applicable
laws,
regulations,
and
the
policies
of
the
office
of
inspector
general
of
the
United
States
department
of
health
and
human
services.
c.
Any
funds
remaining
in
the
Medicaid
fraud
fund
at
the
close
of
a
fiscal
year
are
appropriated
to
the
department
of
health
and
human
services
to
supplement
any
medical
assistance
program
appropriation
for
the
same
fiscal
year
to
be
used
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
c.
d.
For
the
purposes
of
this
subsection
,
“investigative
costs”
means
the
reasonable
value
of
a
Medicaid
fraud
control
unit
investigator’s,
auditor’s
or
employee’s
time,
any
moneys
expended
by
the
Medicaid
fraud
control
unit,
and
the
reasonable
fair
market
value
of
resources
used
or
expended
by
the
Medicaid
fraud
control
unit
in
a
case
resulting
in
a
criminal
conviction
of
a
provider
under
this
chapter
or
chapter
714
or
715A
.
House
File
2698,
p.
34
Sec.
48.
Section
453A.35A,
Code
2024,
is
amended
to
read
as
follows:
453A.35A
Health
care
trust
fund
——
appropriation
to
Medicaid
program
.
1.
A
health
care
trust
fund
is
created
in
the
office
of
the
treasurer
of
state.
The
fund
consists
of
the
revenues
generated
from
the
tax
on
cigarettes
pursuant
to
section
453A.6,
subsection
1
,
and
from
the
tax
on
tobacco
products
as
specified
in
section
453A.43,
subsections
1,
2,
3,
and
4
,
that
are
credited
to
the
health
care
trust
fund,
annually,
pursuant
to
section
453A.35
.
Moneys
in
the
fund
shall
be
separate
from
the
general
fund
of
the
state
and
shall
not
be
considered
part
of
the
general
fund
of
the
state.
However,
the
fund
shall
be
considered
a
special
account
for
the
purposes
of
section
8.53
relating
to
generally
accepted
accounting
principles.
Moneys
in
the
fund
shall
be
used
only
as
specified
in
this
section
and
shall
be
appropriated
only
for
the
uses
specified.
Moneys
in
the
fund
are
not
subject
to
section
8.33
and
shall
not
be
transferred,
used,
obligated,
appropriated,
or
otherwise
encumbered,
except
as
provided
in
this
section
.
Notwithstanding
section
12C.7,
subsection
2
,
interest
or
earnings
on
moneys
deposited
in
the
fund
shall
be
credited
to
the
fund.
2.
Moneys
in
the
fund
shall
be
used
only
for
purposes
related
to
health
care,
substance
use
disorder
treatment
and
prevention,
and
tobacco
use
prevention,
cessation,
and
control.
3.
Any
funds
remaining
in
the
health
care
trust
fund
at
the
close
of
a
fiscal
year
are
appropriated
to
the
department
of
health
and
human
services
to
supplement
any
medical
assistance
program
appropriation
for
the
same
fiscal
year
to
be
used
for
medical
assistance
reimbursement
and
associated
costs,
including
program
administration
and
costs
associated
with
program
implementation.
MENTAL
HEALTH
INSTITUTES
——
RETAINING
OF
REVENUE
Sec.
49.
NEW
SECTION
.
218.97
Retaining
of
revenue
by
mental
health
institutes.
Notwithstanding
sections
218.78
and
249A.11,
any
revenue
received
from
the
state
mental
health
institute
at
Cherokee
or
the
state
mental
health
institute
at
Independence
pursuant
to
House
File
2698,
p.
35
42
C.F.R.
§438.6(e)
may
be
retained
and
expended
by
the
mental
health
institute.
RESIDENTS
OF
MENTAL
HEALTH
INSTITUTES
——
RETAINING
MEDICAID
ELIGIBILITY
Sec.
50.
NEW
SECTION
.
249A.38A
Residents
of
mental
health
institutes
——
retaining
of
Medicaid
eligibility.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
Medicaid
recipient
residing
at
the
state
mental
health
institute
at
Cherokee
or
the
state
mental
health
institute
at
Independence
shall
retain
Medicaid
eligibility
during
the
period
of
the
Medicaid
recipient’s
stay
for
which
federal
financial
participation
is
available.
STATE
RESOURCE
CENTERS
——
SCOPE
OF
SERVICES
Sec.
51.
NEW
SECTION
.
218.97A
State
resource
centers
——
scope
of
services
approach
——
time-limited
assessment
and
respite
services.
1.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
intermediate
care
facilities
for
persons
with
an
intellectual
disability
services,
in
a
manner
which
does
not
shift
costs
between
the
medical
assistance
program,
mental
health
and
disability
services
regions,
or
other
sources
of
funding
for
the
state
resource
centers.
2.
The
state
resource
centers
may
expand
the
time-limited
assessment
and
respite
services
during
a
fiscal
year.
JUVENILE
DETENTION
HOME
FUND
——
APPROPRIATION
Sec.
52.
Section
232.142,
Code
2024,
is
amended
to
read
as
follows:
232.142
Maintenance
and
cost
of
juvenile
homes
——
fund
——
appropriation
of
moneys
in
fund
.
1.
County
boards
of
supervisors
which
singly
or
in
conjunction
with
one
or
more
other
counties
provide
and
maintain
juvenile
detention
and
juvenile
shelter
care
homes
are
subject
to
this
section
.
2.
For
the
purpose
of
providing
and
maintaining
a
county
or
multicounty
home,
the
board
of
supervisors
of
any
county
may
issue
general
county
purpose
bonds
in
accordance
with
sections
331.441
through
331.449
.
Expenses
for
providing
and
maintaining
a
multicounty
home
shall
be
paid
by
the
counties
House
File
2698,
p.
36
participating
in
a
manner
to
be
determined
by
the
boards
of
supervisors.
3.
A
county
or
multicounty
juvenile
detention
home
approved
pursuant
to
this
section
shall
receive
financial
aid
from
the
state
in
a
manner
approved
by
the
director.
Aid
paid
by
the
state
shall
be
at
least
ten
percent
and
not
more
than
fifty
percent
of
the
total
cost
of
the
establishment,
improvements,
operation,
and
maintenance
of
the
home.
4.
The
director
shall
adopt
minimal
rules
and
standards
for
the
establishment,
maintenance,
and
operation
of
such
homes
as
shall
be
necessary
to
effect
the
purposes
of
this
chapter
.
The
rules
shall
apply
the
requirements
of
section
237.8
,
concerning
employment
and
evaluation
of
persons
with
direct
responsibility
for
a
child
or
with
access
to
a
child
when
the
child
is
alone
and
persons
residing
in
a
child
foster
care
facility,
to
persons
employed
by,
residing
in,
or
volunteering
for
a
home
approved
under
this
section
.
The
director
shall,
upon
request,
give
guidance
and
consultation
in
the
establishment
and
administration
of
the
homes
and
programs
for
the
homes.
5.
The
director
shall
approve
annually
all
such
homes
established
and
maintained
under
the
provisions
of
this
chapter
.
A
home
shall
not
be
approved
unless
it
complies
with
minimal
rules
and
standards
adopted
by
the
director
and
has
been
inspected
by
the
department
of
inspections,
appeals,
and
licensing.
The
statewide
number
of
beds
in
the
homes
approved
by
the
director
shall
not
exceed
two
hundred
seventy-two
beds
beginning
July
1,
2017.
6.
a.
A
juvenile
detention
home
fund
is
created
in
the
state
treasury
under
the
authority
of
the
department.
The
fund
shall
consist
of
moneys
deposited
in
the
fund
pursuant
to
section
602.8108
.
The
moneys
in
the
fund
shall
be
used
for
the
costs
of
the
establishment,
improvement,
operation,
and
maintenance
of
county
or
multicounty
juvenile
detention
homes
in
accordance
with
annual
appropriations
made
by
the
general
assembly
from
the
fund
for
these
purposes
this
subsection
.
b.
(1)
Moneys
deposited
in
the
juvenile
detention
home
fund
during
a
fiscal
year
are
appropriated
to
the
department
for
the
same
fiscal
year
for
distribution
of
an
amount
equal
to
a
percentage
of
the
costs
of
the
establishment,
improvement,
House
File
2698,
p.
37
operation,
and
maintenance
of
county
or
multicounty
juvenile
detention
homes
in
the
prior
fiscal
year.
Such
percentage
shall
be
determined
by
the
department
based
on
the
amount
available
for
distribution
from
the
fund.
(2)
Moneys
appropriated
for
distribution
in
accordance
with
this
subsection
shall
be
allocated
among
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
prior
fiscal
year.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT
ELIMINATION
Sec.
53.
Section
239B.11,
Code
2024,
is
amended
to
read
as
follows:
239B.11
Family
investment
program
account
——
diversion
program
subaccount
——
diversion
program.
1.
An
account
is
established
in
the
state
treasury
to
be
known
as
the
family
investment
program
account
under
control
of
the
department
to
which
shall
be
credited
all
funds
appropriated
by
the
state
for
the
payment
of
assistance
and
JOBS
program
expenditures.
All
other
moneys
received
at
any
time
for
these
purposes,
including
child
support
revenues,
shall
be
deposited
into
the
account
as
provided
by
law.
All
assistance
and
JOBS
program
expenditures
under
this
chapter
shall
be
paid
from
the
account.
2.
a.
A
diversion
program
subaccount
is
created
within
the
family
investment
program
account.
The
subaccount
may
be
used
to
provide
incentives
to
divert
a
family’s
participation
in
the
family
investment
program
if
the
family
meets
the
department’s
income
eligibility
requirements
for
the
diversion
program.
Incentives
may
be
provided
in
the
form
of
payment
or
services
to
help
a
family
to
obtain
or
retain
employment.
The
diversion
program
subaccount
may
also
be
used
for
payments
to
participants
as
necessary
to
cover
the
expenses
of
removing
barriers
to
employment
and
to
assist
in
stabilizing
employment.
In
addition,
the
diversion
program
subaccount
may
be
used
for
funding
of
services
and
payments
for
persons
whose
family
investment
program
eligibility
has
ended,
in
order
to
help
the
persons
to
stabilize
or
improve
their
employment
status.
b.
The
A
diversion
program
is
created
under
the
family
investment
program.
The
program
shall
provide
incentives
House
File
2698,
p.
38
to
divert
a
family’s
participation
in
or
transition
of
a
family
from
the
family
investment
program
by
helping
a
participant
obtain
or
retain
employment,
by
removing
barriers
to
employment,
by
stabilizing
a
participant’s
employment,
or
by
improving
a
participant’s
employment
status.
The
program
shall
be
implemented
statewide
in
a
manner
that
preserves
local
flexibility
in
program
design.
The
department
shall
assess
and
screen
individuals
who
would
most
likely
benefit
from
diversion
program
assistance.
The
department
may
shall
adopt
income
eligibility
requirements
and
additional
eligibility
criteria
for
the
diversion
program
as
necessary
for
compliance
with
federal
law
and
for
screening
those
families
who
would
be
most
likely
to
become
eligible
for
the
family
investment
program
if
diversion
program
incentives
would
were
not
be
provided
to
the
families
.
Sec.
54.
Section
239B.14,
subsection
2,
Code
2024,
is
amended
to
read
as
follows:
2.
An
individual
who
commits
a
fraudulent
practice
under
this
section
is
personally
liable
for
the
amount
of
assistance
or
other
benefits
fraudulently
obtained.
The
amount
of
the
assistance
or
other
benefits
may
be
recovered
from
the
offender
or
the
offender’s
estate
in
an
action
brought
or
by
claim
filed
in
the
name
of
the
state
and
the
recovered
funds
shall
be
deposited
in
the
family
investment
program
account
credited
to
the
appropriation
to
the
department
for
community
access
and
eligibility
to
be
used
for
the
purposes
of
the
family
investment
program
.
The
action
or
claim
filed
in
the
name
of
the
state
shall
not
be
considered
an
election
of
remedies
to
the
exclusion
of
other
remedies.
Sec.
55.
Section
252B.27,
subsection
1,
Code
2024,
is
amended
to
read
as
follows:
1.
The
director,
within
the
limitations
of
the
amount
appropriated
for
child
support
services,
or
moneys
transferred
for
this
purpose
from
the
family
investment
program
account
created
in
section
239B.11
appropriation
to
the
department
for
community
access
and
eligibility
,
may
establish
new
positions
and
add
employees
to
child
support
services
if
the
director
determines
that
both
the
current
and
additional
employees
together
can
reasonably
be
expected
to
maintain
or
increase
net
House
File
2698,
p.
39
state
revenue
at
or
beyond
the
budgeted
level
for
the
fiscal
year.
Sec.
56.
TRANSITION
PROVISION.
All
unencumbered
and
unobligated
moneys
remaining
on
June
30,
2024,
in
the
family
investment
program
account
created
in
section
239B.11,
are
appropriated
to
the
department
of
health
and
human
services
for
community
access
and
eligibility.
CHILD
SUPPORT
COLLECTION
SERVICES
CENTER
REFUND
ACCOUNT
Sec.
57.
Section
252B.13A,
Code
2024,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
3.
Support
payments
received
by
the
collection
services
center
shall
be
deposited
in
the
collection
services
center
refund
account.
The
account
shall
be
separate
from
the
general
fund
of
the
state
and
shall
not
be
considered
part
of
the
general
fund
of
the
state.
The
moneys
deposited
in
the
account
are
not
subject
to
section
8.33
and
shall
not
be
transferred,
used,
obligated,
appropriated,
or
otherwise
encumbered
except
as
provided
for
the
purposes
of
this
chapter.
Notwithstanding
section
12C.7,
subsection
2,
interest
or
earnings
on
moneys
deposited
in
the
account
shall
be
credited
to
the
account.
QUALITY
ASSURANCE
ASSESSMENT
——
PAYMENT
PERIOD
BASIS
Sec.
58.
Section
249L.3,
subsection
2,
Code
2024,
is
amended
to
read
as
follows:
2.
The
quality
assurance
assessment
shall
be
paid
by
each
nursing
facility
to
the
department
on
a
quarterly
basis
,
or
other
schedule
as
determined
by
the
department
due
to
a
nursing
facility’s
noncompliance
or
based
on
an
indication
of
a
nursing
facility’s
financial
instability,
after
the
nursing
facility’s
medical
assistance
payment
rates
are
adjusted
to
include
funds
appropriated
from
the
quality
assurance
trust
fund
for
that
purpose.
The
department
shall
prepare
and
distribute
a
form
upon
which
nursing
facilities
shall
calculate
and
report
the
quality
assurance
assessment.
A
nursing
facility
shall
submit
the
completed
form
with
the
assessment
amount
no
later
than
thirty
days
following
the
end
of
each
calendar
quarter
assessment
period
.
CENTERS
OF
EXCELLENCE
GRANT
PROGRAM
Sec.
59.
NEW
SECTION
.
135.194
Centers
of
excellence
grant
House
File
2698,
p.
40
program.
1.
The
department
shall
administer
a
centers
of
excellence
grant
program
to
encourage
innovation
and
collaboration
among
regional
health
care
providers
in
rural
areas,
based
upon
the
results
of
a
regional
community
needs
assessment,
in
order
to
transform
health
care
delivery
that
provides
quality,
sustainable
care
in
meeting
the
needs
of
the
local
community.
2.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department,
beginning
July
1,
2024,
and
for
each
subsequent
fiscal
year,
the
sum
of
four
hundred
twenty-five
thousand
dollars
to
award
two
program
grants.
3.
An
applicant
for
a
grant
shall
specify
how
the
grant
will
be
expended
to
accomplish
the
goals
of
the
program
and
shall
provide
a
detailed
five-year
sustainability
plan
prior
to
being
awarded
the
grant.
4.
Following
receipt
of
a
grant,
a
recipient
shall
submit
periodic
reports
as
specified
by
the
department
to
the
governor
and
the
general
assembly
regarding
the
recipient’s
expenditure
of
the
grant
and
progress
in
accomplishing
the
program’s
goals.
ASSISTED
LIVING
PROGRAM
——
REVISED
PAYMENT
MODEL
STUDY
Sec.
60.
ASSISTED
LIVING
PROGRAM
——
REVISED
PAYMENT
MODEL
STUDY.
The
department
of
health
and
human
services,
in
consultation
with
Medicaid
provider
associations
and
stakeholders,
shall
explore
options
for
a
revised
payment
model
for
reimbursement
of
assisted
living
programs
that
provide
services
to
Medicaid
recipients.
The
study
shall
include
consideration
of
all
sources
of
funding
utilized
by
residents
of
assisted
living
programs.
The
department
of
health
and
human
services
shall
report
all
options
identified
to
the
general
assembly
by
December
1,
2024.
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
——
APPROPRIATION
Sec.
61.
Section
35A.16,
subsection
1,
paragraph
b,
Code
2024,
is
amended
to
read
as
follows:
b.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department,
for
the
fiscal
year
beginning
July
1,
2009,
and
for
each
subsequent
fiscal
year,
the
sum
of
one
million
nine
hundred
ninety
thousand
dollars
to
be
credited
to
the
county
commissions
of
veteran
affairs
fund.
FOSTER
CARE
——
RELATIVE
OR
FICTIVE
KIN
House
File
2698,
p.
41
Sec.
62.
Section
234.39,
subsection
2,
Code
2024,
is
amended
to
read
as
follows:
2.
a.
A
person
entitled
to
periodic
support
payments
pursuant
to
an
order
or
judgment
entered
in
any
action
for
support,
who
also
is
or
has
a
child
receiving
foster
care
services,
is
deemed
to
have
assigned
to
the
department
current
and
accruing
support
payments
attributable
to
the
child
effective
as
of
the
date
the
child
enters
foster
care
placement,
to
the
extent
of
expenditure
of
foster
care
funds.
The
department
shall
notify
the
clerk
of
the
district
court
when
a
child
entitled
to
support
payments
is
receiving
foster
care
services
pursuant
to
chapter
234
.
Upon
notification
by
the
department
that
a
child
entitled
to
periodic
support
payments
is
receiving
foster
care
services,
the
clerk
of
the
district
court
shall
make
a
notation
of
the
automatic
assignment
in
the
judgment
docket
and
lien
index.
The
notation
constitutes
constructive
notice
of
assignment.
The
clerk
of
court
shall
furnish
the
department
with
copies
of
all
orders
and
decrees
awarding
support
when
the
child
is
receiving
foster
care
services.
At
the
time
the
child
ceases
to
receive
foster
care
services,
the
assignment
of
support
shall
be
automatically
terminated.
Unpaid
support
accrued
under
the
assignment
of
support
rights
during
the
time
that
the
child
was
in
foster
care
remains
due
to
the
department
up
to
the
amount
of
unreimbursed
foster
care
funds
expended.
The
department
shall
notify
the
clerk
of
court
of
the
automatic
termination
of
the
assignment.
Unless
otherwise
specified
in
the
support
order,
an
equal
and
proportionate
share
of
any
child
support
awarded
shall
be
presumed
to
be
payable
on
behalf
of
each
child
subject
to
the
order
or
judgment
for
purposes
of
an
assignment
under
this
section
.
b.
This
subsection
shall
not
apply
when
a
child
is
placed
with
a
relative
or
fictive
kin
as
those
terms
are
defined
in
section
232.2,
who
is
not
licensed
under
chapter
237
to
provide
child
foster
care.
DIVISION
XVII
HEALTH
CARE
EMPLOYMENT
AGENCIES
AND
HEALTH
CARE
TECHNOLOGY
PLATFORMS
Sec.
63.
Section
135Q.1,
Code
2024,
is
amended
to
read
as
House
File
2698,
p.
42
follows:
135Q.1
Definitions.
As
used
in
this
chapter
,
unless
the
context
otherwise
requires:
1.
“Affiliate”
means
an
entity
that
directly
or
indirectly
is
controlled
with
or
by,
or
is
under
the
common
control
with,
a
health
care
entity.
For
the
purposes
of
this
subsection,
“control”
means
the
same
as
defined
in
section
423.3,
subsection
92,
paragraph
“e”
.
1.
2.
“Department”
means
the
department
of
inspections,
appeals,
and
licensing.
2.
3.
a.
“Health
care
employment
agency”
or
“agency”
means
an
agency
that
contracts
with
a
health
care
entity
in
this
state
to
provide
agency
workers
for
temporary
or
temporary-to-hire
employee
placements.
b.
“Health
care
employment
agency”
does
not
include
a
health
care
entity
or
an
affiliate
of
a
health
care
entity
when
acting
as
a
health
care
employment
agency
for
the
sole
purpose
of
providing
agency
workers
to
the
health
care
entity
itself
or
to
an
affiliate
of
the
health
care
entity.
c.
“Health
care
employment
agency”
does
not
include
a
health
care
technology
platform.
3.
4.
“Health
care
employment
agency
worker”
or
“agency
worker”
means
an
individual
who
contracts
with
or
is
employed
by
a
health
care
employment
agency
to
provide
nursing
services
to
health
care
entity
consumers.
4.
5.
“Health
care
entity”
means
a
facility,
agency,
or
program
licensed
or
certified
by
the
department
or
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services.
6.
“Health
care
technology
platform”
or
“platform”
includes
an
individual,
a
trust,
a
partnership,
a
corporation,
a
limited
liability
partnership
or
company,
or
any
other
business
entity
that
develops
and
operates,
offers,
or
maintains
a
system
or
technology
that
provides
an
internet-based
or
application-based
marketplace
through
which
an
independent
nursing
services
professional
bids
on
open
shifts
posted
by
a
health
care
entity
to
provide
nursing
services
for
the
health
care
entity.
7.
“Independent
nursing
services
professional”
means
a
person
House
File
2698,
p.
43
engaged
as
an
independent
contractor
through
a
health
care
technology
platform
to
provide
nursing
services
for
a
health
care
entity.
An
independent
nursing
services
professional
shall
be
considered
an
independent
contractor
provided
the
independent
nursing
services
professional
in
the
independent
nursing
services
professional’s
sole
discretion
bids
on
open
shifts
and
chooses
where,
when,
and
how
often
to
work.
8.
“Individual
agency
worker
category”
includes
registered
nurses,
licensed
practical
nurses,
certified
nurse
aides,
certified
medication
aides,
home
health
aides,
medication
managers,
and
noncertified
or
nonlicensed
staff
providing
personal
care
as
defined
in
section
231C.2
who
are
health
care
employment
agency
workers.
5.
9.
“Managing
entity”
means
a
business
entity,
owner,
ownership
group,
chief
executive
officer,
program
administrator,
director,
or
other
decision
maker
whose
responsibilities
include
directing
the
management
or
policies
of
a
health
care
employment
agency
or
a
health
care
technology
platform
.
“Managing
entity”
includes
an
individual
who,
directly
or
indirectly,
holds
a
beneficial
interest
in
a
corporation,
partnership,
or
other
business
entity
that
constitutes
a
managing
entity.
6.
10.
“Nursing
services”
means
those
services
which
may
be
provided
only
by
or
under
the
supervision
of
a
nurse.
“Nursing
services”
includes
services
performed
by
a
registered
nurse,
a
licensed
practical
nurse,
a
certified
nurse
aide,
a
certified
medication
aide,
a
home
health
aide,
a
medication
manager,
or
by
noncertified
or
nonlicensed
staff
providing
personal
care
as
defined
in
section
231C.2
.
“Nursing
services”
does
not
include
the
practice
of
nursing
by
an
advanced
registered
nurse
practitioner
or
an
advanced
practice
registered
nurse
licensed
under
chapter
152
or
152E
.
11.
“Nursing
services
professionals”
includes
registered
nurses,
licensed
practical
nurses,
certified
nurse
aides,
certified
medication
aides,
home
health
aides,
medication
managers,
and
noncertified
or
nonlicensed
staff
providing
personal
care
as
defined
in
section
231C.2,
who
are
not
health
care
employment
agency
workers
but
instead
are
employed
directly
by
or
contract
directly
with
a
health
care
entity.
House
File
2698,
p.
44
Sec.
64.
Section
135Q.2,
Code
2024,
is
amended
to
read
as
follows:
135Q.2
Health
care
employment
agency
requirements
——
registration
——
liability
——
penalties
.
1.
a.
A
health
care
employment
agency
operating
in
the
state
shall
register
annually
with
the
department.
Each
separate
location
of
a
health
care
employment
agency
shall
register
annually
with
and
pay
an
annual
registration
fee
of
five
hundred
dollars
to
the
department.
The
department
shall
issue
each
location
a
separate
certification
of
registration
upon
approval
of
registration
and
payment
of
the
fee.
The
annual
registration
fees
shall
be
retained
by
the
department
as
repayment
receipts
as
defined
in
section
8.2
.
b.
A
health
care
employment
agency
that
fails
to
register
with
the
department
as
required
under
this
subsection
shall
be
prohibited
from
contracting
with
any
health
care
entity
in
this
state.
2.
A
health
care
employment
agency
shall
do
all
of
the
following:
a.
Ensure
that
agency
workers
comply
with
all
applicable
requirements
relating
to
the
health
requirements
and
qualifications
of
personnel
in
health
care
entity
settings.
b.
Document
that
each
agency
worker
meets
the
minimum
licensing,
certification,
training,
and
health
requirements
and
the
continuing
education
standards
for
the
agency
worker’s
position
in
the
health
care
entity
setting.
c.
Maintain
records
for
each
agency
worker
and
report,
file,
or
otherwise
provide
any
required
documentation
to
external
parties
or
regulators
which
would
otherwise
be
the
responsibility
of
the
health
care
entity
if
the
agency
worker
was
directly
employed
by
the
health
care
entity.
d.
Maintain
professional
and
general
liability
insurance
coverage
with
minimum
per
occurrence
coverage
of
one
million
dollars
and
aggregate
coverage
of
three
million
dollars
to
insure
against
loss,
damage,
or
expense
incident
to
a
claim
arising
out
of
the
death
or
injury
of
any
person
as
the
result
of
negligence
or
malpractice
in
the
provision
of
services
by
the
agency
or
an
agency
worker.
3.
a.
A
health
care
employment
agency
shall
not
do
any
of
House
File
2698,
p.
45
the
following:
(1)
Restrict
in
any
manner
the
employment
opportunities
of
an
agency
worker
by
including
a
noncompete
clause
in
any
contract
with
an
agency
worker
or
health
care
entity.
(2)
In
any
contract
with
an
agency
worker
or
health
care
entity,
require
payment
of
liquidated
damages,
employment
fees,
or
other
compensation
if
the
agency
worker
is
subsequently
hired
as
a
permanent
employee
of
the
health
care
entity.
b.
This
subsection
shall
not
apply
to
a
contract
between
a
health
care
employment
agency
and
an
agency
worker
or
a
health
care
entity
if
the
contract
meets
all
of
the
following
criteria:
(1)
The
contract
is
entered
into
for
the
purpose
of
placing
an
agency
worker
the
health
care
employment
agency
assisted
in
obtaining
authorization
to
work
in
the
United
States.
(2)
The
contract
contains
an
initial
duration
term
of
not
less
than
twenty-four
months
and
a
total
duration
term,
including
any
renewals
or
extensions,
of
not
more
than
thirty-six
months.
(3)
The
contract
requires
the
agency
worker
to
work
for
a
single
health
care
entity
for
the
entire
duration
of
the
contract.
c.
Any
contract
that
violates
this
subsection
shall
be
unenforceable
in
court.
4.
A
health
care
employment
agency
shall
submit
a
report
to
the
department
on
a
quarterly
basis
for
each
health
care
entity
participating
in
Medicare
or
Medicaid
with
whom
the
agency
contracts
that
includes
all
of
the
following
by
provider
type:
a.
A
detailed
list
of
the
average
amount
charged
to
the
health
care
entity
for
each
individual
agency
worker
category.
b.
A
detailed
list
of
the
average
amount
paid
by
the
agency
to
agency
workers
in
each
individual
agency
worker
category.
5.
a.
A
health
care
employment
agency
that
violates
subsection
1
or
subsection
2
is
subject
to
denial
or
revocation
of
registration
for
a
period
of
one
year
and
a
monetary
penalty
of
five
hundred
dollars
for
a
first
offense
and
five
thousand
dollars
for
each
offense
thereafter.
b.
A
health
care
employment
agency
that
violates
subsection
3
or
that
knowingly
provides
an
agency
worker
who
has
an
House
File
2698,
p.
46
illegally
or
fraudulently
obtained
or
issued
diploma,
registration,
license,
certification,
or
background
check
to
a
health
care
entity
is
subject
to
immediate
revocation
of
registration.
The
department
shall
notify
the
agency
thirty
days
in
advance
of
the
date
of
such
revocation.
c.
(1)
The
managing
entity
of
an
agency
for
which
registration
has
been
denied
or
revoked
under
this
subsection
shall
not
be
eligible
to
apply
for
or
be
granted
registration
for
another
agency
during
the
two-year
period
following
the
date
of
the
denial
or
revocation.
(2)
The
department
shall
not
approve
a
new
registration
or
renew
an
existing
registration
for
any
agency
for
which
the
managing
entity
is
also
the
managing
entity
of
an
agency
for
which
registration
has
been
denied
or
revoked
during
the
two-year
period
in
which
registration
of
the
violating
agency
is
denied
or
revoked.
6.
5.
The
department
shall
establish
a
system
for
members
of
the
public
to
report
complaints
against
an
agency
or
agency
worker.
The
department
shall
investigate
any
complaint
received
and
shall
report
the
department’s
findings
to
the
complaining
party
and
the
agency
involved.
Sec.
65.
NEW
SECTION
.
135Q.3
Health
care
technology
platform
requirements
——
registration
——
liability.
1.
a.
A
health
care
technology
platform
operating
in
the
state
shall
register
annually
with
the
department
and
pay
an
annual
registration
fee
of
five
hundred
dollars
to
the
department.
The
department
shall
issue
each
health
care
technology
platform
a
certificate
of
registration
upon
approval
of
registration
and
payment
of
the
fee.
The
annual
registration
fees
shall
be
retained
by
the
department
as
repayment
receipts
as
defined
in
section
8.2.
b.
A
health
care
technology
platform
that
fails
to
register
with
the
department
as
required
under
this
subsection
shall
be
prohibited
from
contracting
with
any
health
care
entity
in
this
state.
c.
A
health
care
technology
platform
that
allows
independent
nursing
services
professionals
to
utilize
the
platform
to
bid
on
open
shifts
is
an
authorized
agency
for
purposes
of
access
to
the
single
contact
repository.
A
health
care
technology
House
File
2698,
p.
47
platform
shall
rerun
background
checks
for
an
independent
nursing
services
professional
following
two
consecutive
years
of
inactivity
on
the
platform
by
the
independent
nursing
services
professional.
2.
A
health
care
technology
platform
shall
verify
that
an
independent
nursing
services
professional
utilizing
the
platform
does
all
of
the
following:
a.
Supplies
documentation
demonstrating
that
the
independent
nursing
services
professional
meets
all
applicable
state
requirements
and
qualifications
of
personnel
in
a
health
care
entity
setting.
b.
Meets
all
applicable
minimum
state
licensing
and
certification
requirements.
c.
Maintains
professional
liability
insurance
coverage
with
the
minimum
per
occurrence
coverage
of
one
million
dollars
and
aggregate
coverage
of
three
million
dollars
to
insure
against
loss,
damage,
or
expense
incident
to
a
claim
arising
out
of
the
death
or
injury
of
any
person
as
the
result
of
negligence
or
malpractice
in
the
provision
of
services
by
the
independent
nursing
services
professional.
3.
a.
A
health
care
technology
platform
shall
not
do
any
of
the
following:
(1)
Restrict
in
any
manner
the
employment
opportunities
of
an
independent
nursing
services
professional
by
including
a
noncompete
clause
in
any
contract
with
an
independent
nursing
services
professional
or
health
care
entity.
(2)
In
any
contract
with
an
independent
nursing
services
professional
or
health
care
entity,
require
payment
of
liquidated
damages,
employment
fees,
or
other
compensation
if
the
independent
nursing
services
professional
is
subsequently
hired
as
a
permanent
employee
or
is
engaged
directly
as
a
contractor
of
the
health
care
entity.
b.
Any
contract
that
violates
this
subsection
shall
be
unenforceable
in
court.
4.
The
department
shall
establish
a
system
for
members
of
the
public
to
report
complaints
against
a
health
care
technology
platform
or
an
independent
nursing
services
professional.
The
department
shall
investigate
any
complaint
received
and
shall
report
the
department’s
findings
to
the
House
File
2698,
p.
48
complaining
party
and
the
health
care
technology
platform
involved.
Sec.
66.
NEW
SECTION
.
135Q.4
Penalties
——
enforcement.
1.
a.
A
health
care
employment
agency
that
violates
section
135Q.2,
subsection
1
or
4,
is
subject
to
an
initial
monetary
penalty
of
five
thousand
dollars
and
shall
be
provided
notification
by
the
department
and
given
a
thirty-day
grace
period
in
which
to
comply.
b.
A
health
care
employment
agency
that
fails
to
comply
following
the
notification
and
within
the
thirty-day
grace
period
under
paragraph
“a”
,
shall
be
subject
to
a
monetary
penalty
of
twenty-five
thousand
dollars.
c.
If
a
health
care
employment
agency
fails
to
comply
with
paragraph
“b”
,
the
health
care
employment
agency
shall
be
subject
to
an
additional
monetary
penalty
of
twenty-five
thousand
dollars,
revocation
of
registration,
and
denial
of
subsequent
registration
for
up
to
three
years.
2.
a.
A
health
care
employment
agency
that
violates
section
135Q.2,
subsection
2,
or
that
knowingly
provides
an
agency
worker
who
has
an
illegally
or
fraudulently
obtained
or
issued
diploma,
registration,
license,
certification,
or
background
check
to
a
health
care
entity
is
subject
to
a
monetary
penalty
of
five
thousand
dollars
for
each
violation.
b.
If
a
health
care
employment
agency
commits
a
second
or
subsequent
violation
of
section
135Q.2,
subsection
2,
within
any
three-year
period,
the
health
care
employment
agency
shall
be
subject
to
immediate
revocation
of
registration.
The
department
shall
notify
the
agency
thirty
days
in
advance
of
the
date
of
such
revocation.
3.
A
health
care
employment
agency
that
violates
section
135Q.2,
subsection
3,
is
subject
to
a
monetary
penalty
of
twenty-five
thousand
dollars
for
the
first
violation.
If
a
health
care
employment
agency
violates
section
135Q.2,
subsection
3,
a
second
or
subsequent
time,
the
health
care
employment
agency
shall
be
subject
to
immediate
revocation
of
registration,
and
shall
not
be
eligible
to
apply
for
or
be
granted
registration
for
the
three-year
period
immediately
following
the
date
of
revocation.
4.
a.
(1)
A
health
care
technology
platform
that
violates
House
File
2698,
p.
49
section
135Q.3,
subsection
1,
is
subject
to
an
initial
monetary
penalty
of
five
thousand
dollars
and
shall
be
provided
notification
by
the
department
and
given
a
thirty-day
grace
period
in
which
to
comply.
(2)
A
health
care
technology
platform
that
fails
to
comply
with
the
notification
and
within
the
thirty-day
grace
period
under
subparagraph
(1)
shall
be
subject
to
a
monetary
penalty
of
twenty-five
thousand
dollars.
(3)
If
a
health
care
technology
platform
knowingly
fails
to
comply
with
subparagraph
(2),
the
health
care
technology
platform
shall
be
subject
to
an
additional
monetary
penalty
of
twenty-five
thousand
dollars,
revocation
of
registration,
and
denial
of
subsequent
registration
for
up
to
three
years.
b.
(1)
A
health
care
technology
platform
that
violates
section
135Q.3,
subsection
2,
or
that
knowingly
allows
an
independent
nursing
services
professional
who
has
an
illegally
obtained
or
issued
diploma,
registration,
license,
certification,
or
background
check
to
utilize
the
platform
to
bid
on
a
shift
for
a
health
care
entity
is
subject
to
a
monetary
penalty
of
five
thousand
dollars
for
each
violation.
(2)
If
a
health
care
technology
platform
commits
a
second
or
subsequent
violation
of
section
135Q.3,
subsection
2,
within
any
three-year
period,
the
health
care
technology
platform
shall
be
subject
to
immediate
revocation
of
registration.
The
department
shall
notify
the
health
care
technology
platform
thirty
days
in
advance
of
the
date
of
such
revocation.
c.
(1)
A
health
care
technology
platform
that
violates
section
135Q.3,
subsection
3,
is
subject
to
a
monetary
penalty
of
twenty-five
thousand
dollars
for
the
first
violation.
(2)
If
a
health
care
technology
platform
violates
section
135Q.3,
subsection
3,
a
second
or
subsequent
time,
the
health
care
technology
platform
shall
be
subject
to
immediate
revocation
of
registration,
and
shall
not
be
eligible
to
apply
for
or
be
granted
registration
for
the
three-year
period
immediately
following
the
date
of
revocation.
5.
a.
The
managing
entity
of
an
agency
for
which
registration
has
been
denied
or
revoked
under
this
section
shall
not
be
eligible
to
apply
for
or
be
granted
registration
for
another
agency
during
the
three-year
period
following
the
House
File
2698,
p.
50
date
of
the
denial
or
revocation.
b.
The
department
shall
not
approve
a
new
registration
or
renew
an
existing
registration
for
any
agency
for
which
the
managing
entity
is
also
the
managing
entity
of
an
agency
for
which
registration
has
been
denied
or
revoked
during
the
three-year
period
in
which
registration
of
the
violating
agency
is
denied
or
revoked.
6.
a.
The
managing
entity
of
a
health
care
technology
platform
for
which
registration
has
been
denied
or
revoked
under
this
section
shall
not
be
eligible
to
apply
for
or
be
granted
registration
for
another
health
care
technology
platform
during
the
two-year
period
following
the
date
of
the
denial
or
revocation.
b.
The
department
shall
not
approve
a
new
registration
or
renew
an
existing
registration
for
any
health
care
technology
platform
for
which
the
managing
entity
is
also
the
managing
entity
of
a
health
care
technology
platform
for
which
registration
has
been
denied
or
revoked
during
the
two-year
period
in
which
registration
of
the
violating
health
care
technology
platform
is
denied
or
revoked.
7.
Any
monetary
penalties
collected
under
this
section
shall
be
retained
by
the
department
as
repayment
receipts
as
defined
in
section
8.2.
8.
The
attorney
general
shall
enforce
this
chapter.
Sec.
67.
NEW
SECTION
.
135Q.5
Department
annual
report.
The
department
shall
submit
an
annual
report
to
the
general
assembly
by
January
15,
for
the
immediately
preceding
fiscal
year,
that
includes
a
summary
of
the
number
of
registrations
issued
and
the
amount
of
registration
fees
collected,
the
violations
of
this
chapter,
the
amount
of
monetary
penalties
collected,
the
number
of
health
care
employment
agencies,
health
care
technology
platforms,
and
managing
entities
for
whom
a
registration
was
revoked
or
denied,
and
any
recommendations
for
changes
to
the
chapter.
Sec.
68.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
DIVISION
XVIII
MEDICAL
CANNABIDIOL
REGISTRATION
CARD
——
TELEMEDICINE
——
PRACTITIONER
REQUIREMENTS
House
File
2698,
p.
51
Sec.
69.
Section
124E.3,
Code
2024,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
A
health
care
practitioner
that
establishes
or
maintains
a
relationship
with
a
patient
through
the
use
of
telemedicine
shall
comply
with
the
requirements
of
653
IAC
13.11(7).
DIVISION
XIX
NURSING
FACILITY
OVERSIGHT
Sec.
70.
NEW
SECTION
.
135C.35C
Nursing
facilities
——
joint
training
sessions.
The
department
shall
semiannually
provide
joint
training
sessions
for
inspectors
and
nursing
facilities
to
review
at
least
three
of
the
ten
most
frequently
issued
federal
citations
in
the
state
during
the
immediately
preceding
calendar
year.
The
department
shall
develop
a
protocol
to
identify
regional
citation
patterns
relating
to
complaints,
standards,
and
outcomes
in
the
nursing
facility
inspection
process.
The
department
shall
include
the
state
long-term
care
ombudsman,
or
the
state
long-term
care
ombudsman’s
designee,
and
representatives
of
each
nursing
facility
provider
association
in
the
state
in
the
planning
process
for
the
joint
training
sessions.
Sec.
71.
Section
135C.40,
subsection
1,
Code
2024,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
d.
(1)
The
department
shall
establish
and
maintain
a
process
to
review
each
citation
issued
for
immediate
jeopardy
or
substandard
quality
of
care
prior
to
issuance
of
final
findings
under
section
135C.40A.
Representatives
of
the
nursing
facility
issued
such
a
citation
may
participate
in
the
review
to
provide
context
and
evidence
for
the
department
to
consider
in
determining
if
a
final
finding
of
immediate
jeopardy
or
substandard
quality
of
care
should
be
issued.
The
review
shall
ensure
consistent
and
accurate
application
of
federal
and
state
inspection
protocols
and
defined
regulatory
standards.
(2)
For
the
purposes
of
this
paragraph:
(a)
“Immediate
jeopardy”
means
a
situation
in
which
the
provider’s
noncompliance
with
one
or
more
requirements
of
participation
has
caused,
or
is
likely
to
cause,
serious
House
File
2698,
p.
52
injury,
harm,
impairment,
or
death
to
a
resident.
(b)
“Likely”
means
probable
and
reasonably
to
be
expected,
and
suggests
a
greater
degree
of
probability
than
a
mere
risk,
potential,
or
possibility
that
a
particular
event
will
cause
serious
injury,
harm,
impairment,
or
death
to
a
resident.
(c)
“Substandard
quality
of
care”
means
the
same
as
defined
in
42
C.F.R.
§488.301.
DIVISION
XX
STATE-FUNDED
PSYCHIATRY
RESIDENCY
AND
FELLOWSHIP
POSITIONS
Sec.
72.
Section
135.180,
Code
2024,
is
amended
to
read
as
follows:
135.180
State-funded
psychiatry
residency
and
fellowship
program
positions
——
fund
——
appropriations.
1.
a.
The
university
of
Iowa
hospitals
and
clinics
shall
administer
a
state-funded
psychiatry
residency
and
fellowship
program
positions
for
up
to
nine
seven
residents
and
up
to
two
fellows,
annually.
In
addition,
a
county
medical
center,
and
a
medical
center
operating
for
more
than
one
hundred
forty
years,
that
are
members
of
separate
health
systems,
administer
psychiatry
residency
programs,
and
are
located
in
a
county
with
a
population
over
five
hundred
thousand
shall
each
administer
state-funded
psychiatry
residency
positions
for
one
resident,
annually.
The
university
of
Iowa
hospitals
and
clinics
and
the
specified
medical
centers
shall
expand
the
their
psychiatry
residency
program
programs
to
provide
additional
residency
positions
by
providing
financial
support
for
residency
positions
which
are
in
excess
of
the
federal
residency
cap
established
by
the
federal
Balanced
Budget
Act
of
1997,
Pub.
L.
No.
105-33.
b.
The
university
of
Iowa
hospitals
and
clinics
and
the
specified
medical
centers
shall
cooperate
with
the
state
mental
health
institutes
at
Independence
and
Cherokee,
the
state
resource
center
at
Woodward,
the
state
training
school
at
Eldora,
and
the
Iowa
medical
and
classification
center
at
Oakdale
in
administering
the
program
the
positions
.
Participating
residents
and
fellows
shall
complete
a
portion
of
their
psychiatry
training
at
one
of
the
state
mental
health
institutes,
the
state
resource
center,
the
state
training
school,
or
the
Iowa
medical
and
classification
center
at
House
File
2698,
p.
53
Oakdale.
For
accreditation-required
clinical
experiences
not
available
at
the
state
mental
health
institutes,
the
state
resource
center,
the
state
training
school,
or
the
Iowa
medical
and
classification
center
at
Oakdale,
the
residents
of
the
psychiatry
residency
and
fellowship
program
awarded
the
residency
positions
administered
by
the
university
of
Iowa
hospitals
and
clinics
may
utilize
clinical
rotations
at
the
university
of
Iowa
hospitals
and
clinics
and
its
affiliates
across
the
state
and
the
residents
awarded
the
residency
positions
administered
by
the
specified
medical
centers
may
utilize
clinical
rotations
at
affiliates
of
such
medical
centers
across
the
state
.
2.
The
university
of
Iowa
hospitals
and
clinics
shall
apply
to
the
accreditation
council
for
graduate
medical
education
for
approval
of
nine
seven
additional
residency
positions
for
each
class
of
residents
and
the
psychiatry
residency
and
fellowship
program
shall
award
the
total
number
of
residency
positions
approved
for
each
class
of
residents.
The
university
of
Iowa
hospitals
and
clinics
shall
approve
and
award
up
to
two
fellowship
positions
annually.
The
specified
medical
centers
shall
apply
to
the
accreditation
council
for
graduate
medical
education
for
approval
of
one
additional
residency
position
each
for
each
class
of
residents
and
shall
award
the
total
number
of
residency
positions
approved
for
each
class
of
residents.
Preference
in
the
awarding
of
residency
and
fellowship
positions
shall
be
given
to
candidates
who
are
residents
of
Iowa,
attended
and
earned
an
undergraduate
degree
from
an
Iowa
college
or
university,
or
attended
and
earned
a
medical
degree
from
a
medical
school
in
Iowa.
3.
A
psychiatry
residency
and
fellowship
program
positions
fund
is
created
in
the
state
treasury
consisting
of
the
moneys
appropriated
or
credited
to
the
fund
by
law.
Notwithstanding
section
8.33
,
moneys
in
the
fund
at
the
end
of
each
fiscal
year
shall
not
revert
to
any
other
fund
but
shall
remain
in
the
psychiatry
residency
and
fellowship
program
positions
fund
for
use
in
subsequent
fiscal
years.
Moneys
in
the
fund
are
appropriated
to
the
university
of
Iowa
hospitals
and
clinics
to
be
used
for
the
purposes
of
the
program
this
section
.
For
the
fiscal
years
beginning
on
or
after
July
1,
2023,
there
House
File
2698,
p.
54
is
appropriated
from
the
general
fund
of
the
state
to
the
psychiatry
residency
and
fellowship
program
positions
fund
one
hundred
thousand
dollars
for
each
residency
position
approved
and
awarded
under
the
program
and
one
hundred
fifty
thousand
dollars
for
each
fellowship
position
approved
and
awarded
under
the
program
this
section
.
Of
the
amount
appropriated
annually
from
the
fund
to
the
university
of
Iowa
hospitals
and
clinics,
the
university
of
Iowa
hospitals
and
clinics
shall
distribute
one
hundred
thousand
dollars
to
each
of
the
specified
medical
centers
for
each
residency
position
approved
and
awarded.
______________________________
PAT
GRASSLEY
Speaker
of
the
House
______________________________
AMY
SINCLAIR
President
of
the
Senate
I
hereby
certify
that
this
bill
originated
in
the
House
and
is
known
as
House
File
2698,
Ninetieth
General
Assembly.
______________________________
MEGHAN
NELSON
Chief
Clerk
of
the
House
Approved
_______________,
2024
______________________________
KIM
REYNOLDS
Governor