House
File
2435
-
Introduced
HOUSE
FILE
2435
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
HSB
661)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
including
other
related
provisions
and
appropriations,
2
and
including
effective,
retroactive,
and
applicability
date
3
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
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DIVISION
I
1
DEPARTMENT
ON
AGING
2
Section
1.
2011
Iowa
Acts,
chapter
129,
section
113,
is
3
amended
to
read
as
follows:
4
SEC.
113.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
5
the
general
fund
of
the
state
to
the
department
on
aging
for
6
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
7
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purposes
designated:
9
For
aging
programs
for
the
department
on
aging
and
area
10
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
11
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
12
aging
and
disabilities
resource
center,
and
other
services
13
which
may
include
but
are
not
limited
to
adult
day
services,
14
respite
care,
chore
services,
information
and
assistance,
15
and
material
aid,
for
information
and
options
counseling
for
16
persons
with
disabilities
who
are
18
years
of
age
or
older,
17
and
for
salaries,
support,
administration,
maintenance,
and
18
miscellaneous
purposes,
and
for
not
more
than
the
following
19
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
$
5,151,288
21
10,242,086
22
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
FTEs
35.00
23
1.
Funds
appropriated
in
this
section
may
be
used
to
24
supplement
federal
funds
under
federal
regulations.
To
25
receive
funds
appropriated
in
this
section,
a
local
area
26
agency
on
aging
shall
match
the
funds
with
moneys
from
other
27
sources
according
to
rules
adopted
by
the
department.
Funds
28
appropriated
in
this
section
may
be
used
for
elderly
services
29
not
specifically
enumerated
in
this
section
only
if
approved
30
by
an
area
agency
on
aging
for
provision
of
the
service
within
31
the
area.
32
2.
The
amount
appropriated
in
this
section
includes
33
additional
funding
of
$225,000
$450,000
for
delivery
of
34
long-term
care
services
to
seniors
with
low
or
moderate
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incomes.
1
3.
Of
the
funds
appropriated
in
this
section,
$89,973
2
$179,946
shall
be
transferred
to
the
department
of
economic
3
development
for
the
Iowa
commission
on
volunteer
services
to
be
4
used
for
the
retired
and
senior
volunteer
program.
5
3A.
Of
the
funds
appropriated
in
this
section,
$200,000
6
shall
be
used
for
administration
of
the
substitute
decision
7
maker
Act
pursuant
to
chapter
231E.
8
4.
a.
The
department
on
aging
shall
establish
and
enforce
9
procedures
relating
to
expenditure
of
state
and
federal
funds
10
by
area
agencies
on
aging
that
require
compliance
with
both
11
state
and
federal
laws,
rules,
and
regulations,
including
but
12
not
limited
to
all
of
the
following:
13
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
14
or
services
received
or
performed
prior
to
the
end
of
the
15
fiscal
period
designated
for
use
of
the
funds.
16
(2)
Prohibiting
prepayment
for
goods
or
services
not
17
received
or
performed
prior
to
the
end
of
the
fiscal
period
18
designated
for
use
of
the
funds.
19
(3)
Prohibiting
the
prepayment
for
goods
or
services
20
not
defined
specifically
by
good
or
service,
time
period,
or
21
recipient.
22
(4)
Prohibiting
the
establishment
of
accounts
from
which
23
future
goods
or
services
which
are
not
defined
specifically
by
24
good
or
service,
time
period,
or
recipient,
may
be
purchased.
25
b.
The
procedures
shall
provide
that
if
any
funds
are
26
expended
in
a
manner
that
is
not
in
compliance
with
the
27
procedures
and
applicable
federal
and
state
laws,
rules,
and
28
regulations,
and
are
subsequently
subject
to
repayment,
the
29
area
agency
on
aging
expending
such
funds
in
contravention
of
30
such
procedures,
laws,
rules
and
regulations,
not
the
state,
31
shall
be
liable
for
such
repayment.
32
5.
The
amount
appropriated
in
this
section
reflects
a
33
reduction
in
expenditures
for
office
supplies,
purchases
34
of
equipment,
office
equipment,
printing
and
binding,
and
35
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marketing,
that
shall
be
applied
equitably
to
programs
under
1
the
purview
of
the
department.
2
DIVISION
II
3
DEPARTMENT
OF
PUBLIC
HEALTH
4
Sec.
2.
2011
Iowa
Acts,
chapter
129,
section
114,
is
amended
5
to
read
as
follows:
6
SEC.
114.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
7
appropriated
from
the
general
fund
of
the
state
to
the
8
department
of
public
health
for
the
fiscal
year
beginning
July
9
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
10
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
11
designated:
12
1.
ADDICTIVE
DISORDERS
13
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
14
other
drugs,
and
treating
individuals
affected
by
addictive
15
behaviors,
including
gambling,
and
for
not
more
than
the
16
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,751,595
18
20,663,690
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
FTEs
13.00
20
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
21
$1,626,915
shall
be
used
for
the
tobacco
use
prevention
22
and
control
initiative,
including
efforts
at
the
state
and
23
local
levels,
as
provided
in
chapter
142A
.
The
commission
24
on
tobacco
use
prevention
and
control
established
pursuant
25
to
section
142A.3
shall
advise
the
director
of
public
health
26
in
prioritizing
funding
needs
and
the
allocation
of
moneys
27
appropriated
for
the
programs
and
activities
of
the
initiative
28
under
this
subparagraph
(1)
and
shall
make
recommendations
to
29
the
director
in
the
development
of
budget
requests
relating
to
30
the
initiative.
31
(2)
Of
the
funds
allocated
appropriated
in
this
paragraph
32
“a”,
$226,915
subsection,
$453,830
shall
be
transferred
to
the
33
alcoholic
beverages
division
of
the
department
of
commerce
34
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
35
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in
accordance
with
2011
Iowa
Acts,
House
File
467
,
as
enacted
1
chapter
63
.
2
b.
Of
the
funds
appropriated
in
this
subsection,
3
$10,124,680
$20,249,360
shall
be
used
for
problem
gambling
and
4
substance
abuse
prevention,
treatment,
and
recovery
services,
5
including
a
24-hour
helpline,
public
information
resources,
6
professional
training,
and
program
evaluation.
7
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$8,566,254
8
$17,132,508
shall
be
used
for
substance
abuse
prevention
and
9
treatment.
10
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
11
$449,650
$899,300
shall
be
used
for
the
public
purpose
of
a
12
grant
program
to
provide
substance
abuse
prevention
programming
13
for
children.
14
(i)
Of
the
funds
allocated
in
this
subparagraph
division
15
(a),
$213,769
$427,539
shall
be
used
for
grant
funding
for
16
organizations
that
provide
programming
for
children
by
17
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
18
certified
or
will
be
certified
within
six
months
of
receiving
19
the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
20
utilizing
the
standards
for
effective
practice
for
mentoring
21
programs.
22
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
23
(a),
$213,419
$426,839
shall
be
used
for
grant
funding
for
24
organizations
that
provide
programming
that
includes
youth
25
development
and
leadership.
The
programs
shall
also
be
26
recognized
as
being
programs
that
are
scientifically
based
with
27
evidence
of
their
effectiveness
in
reducing
substance
abuse
in
28
children.
29
(iii)
The
department
of
public
health
shall
utilize
a
30
request
for
proposals
process
to
implement
the
grant
program.
31
(iv)
All
grant
recipients
shall
participate
in
a
program
32
evaluation
as
a
requirement
for
receiving
grant
funds.
33
(v)
Of
the
funds
allocated
in
this
subparagraph
division
34
(a),
up
to
$22,461
$44,922
may
be
used
to
administer
substance
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abuse
prevention
grants
and
for
program
evaluations.
1
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
2
$136,531
$273,062
shall
be
used
for
culturally
competent
3
substance
abuse
treatment
pilot
projects.
4
(i)
The
department
shall
utilize
the
amount
allocated
5
in
this
subparagraph
division
(b)
for
at
least
three
pilot
6
projects
to
provide
culturally
competent
substance
abuse
7
treatment
in
various
areas
of
the
state.
Each
pilot
project
8
shall
target
a
particular
ethnic
minority
population.
The
9
populations
targeted
shall
include
but
are
not
limited
to
10
African
American,
Asian,
and
Latino.
11
(ii)
The
pilot
project
requirements
shall
provide
for
12
documentation
or
other
means
to
ensure
access
to
the
cultural
13
competence
approach
used
by
a
pilot
project
so
that
such
14
approach
can
be
replicated
and
improved
upon
in
successor
15
programs.
16
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
17
to
$1,558,426
$3,116,852
may
be
used
for
problem
gambling
18
prevention,
treatment,
and
recovery
services.
19
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
20
$1,289,500
$2,579,000
shall
be
used
for
problem
gambling
21
prevention
and
treatment.
22
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
23
$218,926
$437,852
may
be
used
for
a
24-hour
helpline,
public
24
information
resources,
professional
training,
and
program
25
evaluation.
26
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
27
to
$50,000
$100,000
may
be
used
for
the
licensing
of
problem
28
gambling
treatment
programs.
29
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
30
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
31
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
32
given
priority
in
treatment
services.
33
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
34
to
standardize
the
availability,
delivery,
cost
of
delivery,
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and
accountability
of
problem
gambling
and
substance
abuse
1
treatment
services
statewide,
the
department
shall
continue
2
implementation
of
a
process
to
create
a
system
for
delivery
3
of
treatment
services
in
accordance
with
the
requirements
4
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
5
subsection
4.
To
ensure
the
system
provides
a
continuum
of
6
treatment
services
that
best
meets
the
needs
of
Iowans,
the
7
problem
gambling
and
substance
abuse
treatment
services
in
any
8
area
may
be
provided
either
by
a
single
agency
or
by
separate
9
agencies
submitting
a
joint
proposal.
10
(1)
The
system
for
delivery
of
substance
abuse
and
problem
11
gambling
treatment
shall
include
problem
gambling
prevention.
12
(2)
The
system
for
delivery
of
substance
abuse
and
problem
13
gambling
treatment
shall
include
substance
abuse
prevention
by
14
July
1,
2014.
15
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
16
may
use
up
to
$50,000
$100,000
for
administrative
costs
to
17
continue
developing
and
implementing
the
process
in
accordance
18
with
this
paragraph
“c”.
19
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
20
by
the
appropriations
and
allocations
made
in
this
Act
for
21
purposes
of
substance
abuse
treatment
and
addictive
disorders
22
for
the
fiscal
year
beginning
July
1,
2012.
23
e.
The
department
of
public
health
shall
work
with
all
other
24
departments
that
fund
substance
abuse
prevention
and
treatment
25
services
and
all
such
departments
shall,
to
the
extent
26
necessary,
collectively
meet
the
state
maintenance
of
effort
27
requirements
for
expenditures
for
substance
abuse
services
28
as
required
under
the
federal
substance
abuse
prevention
and
29
treatment
block
grant.
30
f.
The
department
shall
amend
or
otherwise
revise
31
departmental
policies
and
contract
provisions
in
order
to
32
eliminate
free
t-shirt
distribution,
banner
production,
and
33
other
unnecessary
promotional
expenditures.
34
g.
The
amount
appropriated
in
this
subsection
reflects
35
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a
reduction
in
expenditures
for
office
supplies,
purchases
1
of
equipment,
office
equipment,
printing
and
binding,
and
2
marketing,
that
shall
be
applied
equitably
to
the
programs
3
under
this
subsection.
4
2.
HEALTHY
CHILDREN
AND
FAMILIES
5
For
promoting
the
optimum
health
status
for
children,
6
adolescents
from
birth
through
21
years
of
age,
and
families,
7
and
for
not
more
than
the
following
full-time
equivalent
8
positions:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,297,135
10
2,578,559
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
12
a.
Of
the
funds
appropriated
in
this
subsection,
not
13
more
than
$369,659
$739,318
shall
be
used
for
the
healthy
14
opportunities
to
experience
success
(HOPES)-healthy
families
15
Iowa
(HFI)
program
established
pursuant
to
section
135.106
.
16
The
funding
shall
be
distributed
to
renew
the
grants
that
were
17
provided
to
the
grantees
that
operated
the
program
during
the
18
fiscal
year
ending
June
30,
2012.
19
b.
Of
the
funds
appropriated
in
this
subsection,
$164,942
20
$329,885
shall
be
used
to
continue
to
address
the
healthy
21
mental
development
of
children
from
birth
through
five
years
22
of
age
through
local
evidence-based
strategies
that
engage
23
both
the
public
and
private
sectors
in
promoting
healthy
24
development,
prevention,
and
treatment
for
children.
25
c.
Of
the
funds
appropriated
in
this
subsection,
$15,798
26
$31,597
shall
be
distributed
to
a
statewide
dental
carrier
to
27
provide
funds
to
continue
the
donated
dental
services
program
28
patterned
after
the
projects
developed
by
the
lifeline
network
29
to
provide
dental
services
to
indigent
elderly
and
disabled
30
individuals.
31
d.
Of
the
funds
appropriated
in
this
subsection,
$56,338
32
$112,677
shall
be
used
for
childhood
obesity
prevention.
33
e.
Of
the
funds
appropriated
in
this
subsection,
$81,880
34
$163,760
shall
be
used
to
provide
audiological
services
and
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hearing
aids
for
children.
The
department
may
enter
into
a
1
contract
to
administer
this
paragraph.
2
f.
The
amount
appropriated
in
this
subsection
reflects
3
a
reduction
in
expenditures
for
office
supplies,
purchases
4
of
equipment,
office
equipment,
printing
and
binding,
and
5
marketing,
that
shall
be
applied
equitably
to
the
programs
6
under
this
subsection.
7
3.
CHRONIC
CONDITIONS
8
For
serving
individuals
identified
as
having
chronic
9
conditions
or
special
health
care
needs,
and
for
not
more
than
10
the
following
full-time
equivalent
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,680,828
12
3,305,620
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
14
a.
Of
the
funds
appropriated
in
this
subsection,
$80,291
15
$160,582
shall
be
used
for
grants
to
individual
patients
16
who
have
phenylketonuria
(PKU)
to
assist
with
the
costs
of
17
necessary
special
foods.
18
b.
Of
the
funds
appropriated
in
this
subsection,
$241,800
19
$483,600
is
allocated
for
continuation
of
the
contracts
for
20
resource
facilitator
services
in
accordance
with
section
21
135.22B,
subsection
9
,
and
for
brain
injury
training
services
22
and
recruiting
of
service
providers
to
increase
the
capacity
23
within
this
state
to
address
the
needs
of
individuals
with
24
brain
injuries
and
such
individuals’
families.
25
c.
Of
the
funds
appropriated
in
this
subsection,
$249,437
26
$498,874
shall
be
used
as
additional
funding
to
leverage
27
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
28
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
29
grants.
30
d.
Of
the
funds
appropriated
in
this
subsection,
$15,627
31
$31,254
shall
be
used
for
the
public
purpose
of
providing
32
a
grant
to
an
existing
national-affiliated
organization
to
33
provide
education,
client-centered
programs,
and
client
and
34
family
support
for
people
living
with
epilepsy
and
their
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families.
1
e.
Of
the
funds
appropriated
in
this
subsection,
$394,151
2
$788,303
shall
be
used
for
child
health
specialty
clinics.
3
f.
Of
the
funds
appropriated
in
this
subsection,
$248,533
4
$497,065
shall
be
used
for
the
comprehensive
cancer
control
5
program
to
reduce
the
burden
of
cancer
in
Iowa
through
6
prevention,
early
detection,
effective
treatment,
and
ensuring
7
quality
of
life.
Of
the
funds
allocated
in
this
lettered
8
paragraph,
$75,000
$150,000
shall
be
used
to
support
a
melanoma
9
research
symposium,
a
melanoma
biorepository
and
registry,
10
basic
and
translational
melanoma
research,
and
clinical
trials.
11
g.
Of
the
funds
appropriated
in
this
subsection,
$63,225
12
$126,450
shall
be
used
for
cervical
and
colon
cancer
screening.
13
h.
Of
the
funds
appropriated
in
this
subsection,
$264,417
14
$528,834
shall
be
used
for
the
center
for
congenital
and
15
inherited
disorders.
16
i.
Of
the
funds
appropriated
in
this
subsection,
$64,968
17
$100,000
shall
be
used
for
the
prescription
drug
donation
18
repository
program
created
in
chapter
135M
.
19
j.
The
amount
appropriated
in
this
subsection
reflects
20
a
reduction
in
expenditures
for
office
supplies,
purchases
21
of
equipment,
office
equipment,
printing
and
binding,
and
22
marketing,
that
shall
be
applied
equitably
to
the
programs
23
under
this
subsection.
24
4.
COMMUNITY
CAPACITY
25
For
strengthening
the
health
care
delivery
system
at
the
26
local
level,
and
for
not
more
than
the
following
full-time
27
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,117,583
29
3,788,859
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
31
a.
Of
the
funds
appropriated
in
this
subsection,
$50,000
32
$100,000
is
allocated
for
a
child
vision
screening
program
33
implemented
through
the
university
of
Iowa
hospitals
and
34
clinics
in
collaboration
with
early
childhood
Iowa
areas.
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b.
Of
the
funds
appropriated
in
this
subsection,
$55,654
1
$111,308
is
allocated
for
continuation
of
an
initiative
2
implemented
at
the
university
of
Iowa
and
$50,246
$100,493
3
is
allocated
for
continuation
of
an
initiative
at
the
state
4
mental
health
institute
at
Cherokee
to
expand
and
improve
the
5
workforce
engaged
in
mental
health
treatment
and
services.
6
The
initiatives
shall
receive
input
from
the
university
of
7
Iowa,
the
department
of
human
services,
the
department
of
8
public
health,
and
the
mental
health
and
disability
services
9
commission
to
address
the
focus
of
the
initiatives.
10
c.
Of
the
funds
appropriated
in
this
subsection,
$585,745
11
$1,171,491
shall
be
used
for
essential
public
health
services
12
that
promote
healthy
aging
throughout
the
lifespan,
contracted
13
through
a
formula
for
local
boards
of
health,
to
enhance
health
14
promotion
and
disease
prevention
services.
15
d.
Of
the
funds
appropriated
in
this
section,
$60,908
16
$100,000
shall
be
deposited
in
the
governmental
public
health
17
system
fund
created
in
section
135A.8
to
be
used
for
the
18
purposes
of
the
fund.
19
e.
Of
the
funds
appropriated
in
this
subsection,
$72,271
20
$144,542
shall
be
used
for
the
mental
health
professional
21
shortage
area
program
implemented
pursuant
to
section
135.80
.
22
f.
Of
the
funds
appropriated
in
this
subsection,
$19,131
23
$38,263
shall
be
used
for
a
grant
to
a
statewide
association
24
of
psychologists
that
is
affiliated
with
the
American
25
psychological
association
to
be
used
for
continuation
of
a
26
program
to
rotate
intern
psychologists
in
placements
in
urban
27
and
rural
mental
health
professional
shortage
areas,
as
defined
28
in
section
135.80
135.180
.
29
g.
Of
the
funds
appropriated
in
this
subsection,
the
30
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
31
safety
net
provider
network
established
pursuant
to
section
32
135.153
to
be
used
for
the
purposes
designated.
The
following
33
amounts
allocated
under
this
lettered
paragraph
shall
be
34
distributed
to
the
specified
provider
and
shall
not
be
reduced
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for
administrative
or
other
costs
prior
to
distribution:
1
(1)
For
distribution
to
the
Iowa
primary
care
association
2
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
3
provider
network:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,290
5
70,000
6
(2)
For
distribution
to
the
local
boards
of
health
that
7
provide
direct
services
for
pilot
programs
in
three
counties
to
8
assist
patients
in
determining
an
appropriate
medical
home:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
10
77,609
11
(3)
For
distribution
to
maternal
and
child
health
centers
12
for
pilot
programs
in
three
counties
to
assist
patients
in
13
determining
an
appropriate
medical
home:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
15
77,609
16
(4)
For
distribution
to
free
clinics
for
necessary
17
infrastructure,
statewide
coordination,
provider
recruitment,
18
service
delivery,
and
provision
of
assistance
to
patients
in
19
determining
an
appropriate
medical
home:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,025
21
124,050
22
(5)
For
distribution
to
rural
health
clinics
for
necessary
23
infrastructure,
statewide
coordination,
provider
recruitment,
24
service
delivery,
and
provision
of
assistance
to
patients
in
25
determining
an
appropriate
medical
home:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,215
27
110,430
28
(6)
For
continuation
of
the
safety
net
provider
patient
29
access
to
specialty
health
care
initiative
as
described
in
2007
30
Iowa
Acts,
chapter
218,
section
109:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
130,000
32
260,000
33
(7)
For
continuation
of
the
pharmaceutical
infrastructure
34
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
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chapter
218,
section
108:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
135,000
2
270,000
3
The
Iowa
collaborative
safety
net
provider
network
may
4
continue
to
distribute
funds
allocated
pursuant
to
this
5
lettered
paragraph
through
existing
contracts
or
renewal
of
6
existing
contracts.
7
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
8
$74,500
shall
be
used
for
continued
implementation
of
9
the
recommendations
of
the
direct
care
worker
task
force
10
established
pursuant
to
2005
Iowa
Acts,
chapter
88
,
based
upon
11
the
report
submitted
to
the
governor
and
the
general
assembly
12
in
December
2006.
The
department
may
use
a
portion
of
the
13
funds
allocated
in
this
lettered
paragraph
for
an
additional
14
position
to
assist
in
the
continued
implementation.
15
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
16
$65,050
shall
be
used
for
allocation
to
an
independent
17
statewide
direct
care
worker
association
under
a
contract
with
18
terms
determined
by
the
director
of
public
health
relating
19
to
education,
outreach,
leadership
development,
mentoring,
20
and
other
initiatives
intended
to
enhance
the
recruitment
and
21
retention
of
direct
care
workers
in
health
care
and
long-term
22
care
settings.
23
(2)
Of
the
funds
appropriated
in
this
subsection,
$29,000
24
shall
be
used
to
provide
scholarships
or
other
forms
of
25
subsidization
for
direct
care
worker
educational
conferences,
26
training,
or
outreach
activities.
27
j.
Of
the
funds
appropriated
in
this
subsection,
the
28
department
may
use
up
to
$29,259
$58,518
for
up
to
one
29
full-time
equivalent
position
to
administer
the
volunteer
30
health
care
provider
program
pursuant
to
section
135.24
.
31
k.
Of
the
funds
appropriated
in
this
subsection,
$25,000
32
$50,000
shall
be
used
for
a
matching
dental
education
loan
33
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
34
service
corporation
to
develop
the
criteria
and
implement
the
35
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loan
repayment
program.
1
l.
The
amount
appropriated
in
this
subsection
reflects
2
a
reduction
in
expenditures
for
office
supplies,
purchases
3
of
equipment,
office
equipment,
printing
and
binding,
and
4
marketing,
that
shall
be
applied
equitably
to
the
programs
5
under
this
subsection.
6
5.
HEALTHY
AGING
7
To
provide
public
health
services
that
reduce
risks
and
8
invest
in
promoting
and
protecting
good
health
over
the
9
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
10
vulnerable
populations:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
12
7,297,142
13
a.
Of
the
funds
appropriated
in
this
subsection,
$1,004,593
14
$2,009,187
shall
be
used
for
local
public
health
nursing
15
services.
16
b.
Of
the
funds
appropriated
in
this
subsection,
$2,643,977
17
$5,287,955
shall
be
used
for
home
care
aide
services.
18
6.
ENVIRONMENTAL
HAZARDS
19
For
reducing
the
public’s
exposure
to
hazards
in
the
20
environment,
primarily
chemical
hazards,
and
for
not
more
than
21
the
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
406,888
23
803,870
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
25
a.
Of
the
funds
appropriated
in
this
subsection,
$272,188
26
$544,377
shall
be
used
for
childhood
lead
poisoning
provisions.
27
b.
The
amount
appropriated
in
this
subsection
reflects
28
a
reduction
in
expenditures
for
office
supplies,
purchases
29
of
equipment,
office
equipment,
printing
and
binding,
and
30
marketing,
that
shall
be
applied
equitably
to
the
programs
31
under
this
subsection.
32
7.
INFECTIOUS
DISEASES
33
For
reducing
the
incidence
and
prevalence
of
communicable
34
diseases,
and
for
not
more
than
the
following
full-time
35
-13-
LSB
5118HV
(3)
84
pf/jp
13/
64
H.F.
2435
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
672,923
2
1,335,155
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
4
The
amount
appropriated
in
this
subsection
reflects
a
5
reduction
in
expenditures
for
office
supplies,
purchases
6
of
equipment,
office
equipment,
printing
and
binding,
and
7
marketing,
that
shall
be
applied
equitably
to
the
programs
8
under
this
subsection.
9
8.
PUBLIC
PROTECTION
10
For
protecting
the
health
and
safety
of
the
public
through
11
establishing
standards
and
enforcing
regulations,
and
for
not
12
more
than
the
following
full-time
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,388,116
14
2,540,489
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
16
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
17
than
$235,845
$471,690
shall
be
credited
to
the
emergency
18
medical
services
fund
created
in
section
135.25
.
Moneys
in
19
the
emergency
medical
services
fund
are
appropriated
to
the
20
department
to
be
used
for
the
purposes
of
the
fund.
21
b.
Of
the
funds
appropriated
in
this
subsection,
$105,309
22
$210,619
shall
be
used
for
sexual
violence
prevention
23
programming
through
a
statewide
organization
representing
24
programs
serving
victims
of
sexual
violence
through
the
25
department’s
sexual
violence
prevention
program.
The
amount
26
allocated
in
this
lettered
paragraph
shall
not
be
used
to
27
supplant
funding
administered
for
other
sexual
violence
28
prevention
or
victims
assistance
programs.
29
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
30
than
$218,291
$436,582
shall
be
used
for
the
state
poison
31
control
center.
32
d.
The
amount
appropriated
in
this
subsection
reflects
33
a
reduction
in
expenditures
for
office
supplies,
purchases
34
of
equipment,
office
equipment,
printing
and
binding,
and
35
-14-
LSB
5118HV
(3)
84
pf/jp
14/
64
H.F.
2435
marketing,
that
shall
be
applied
equitably
to
the
programs
1
under
this
subsection.
2
9.
RESOURCE
MANAGEMENT
3
For
establishing
and
sustaining
the
overall
ability
of
the
4
department
to
deliver
services
to
the
public,
and
for
not
more
5
than
the
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
409,777
7
734,500
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
9
The
amount
appropriated
in
this
subsection
reflects
a
10
reduction
in
expenditures
for
office
supplies,
purchases
11
of
equipment,
office
equipment,
printing
and
binding,
and
12
marketing,
that
shall
be
applied
equitably
across
programs
13
under
the
purview
of
the
department
under
this
subsection.
14
The
university
of
Iowa
hospitals
and
clinics
under
the
15
control
of
the
state
board
of
regents
shall
not
receive
16
indirect
costs
from
the
funds
appropriated
in
this
section.
17
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
18
department
shall
be
on
at
least
a
quarterly
basis.
19
DIVISION
III
20
DEPARTMENT
OF
VETERANS
AFFAIRS
21
Sec.
3.
2011
Iowa
Acts,
chapter
129,
section
115,
is
amended
22
to
read
as
follows:
23
SEC.
115.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
24
appropriated
from
the
general
fund
of
the
state
to
the
25
department
of
veterans
affairs
for
the
fiscal
year
beginning
26
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
27
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
28
designated:
29
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
30
For
salaries,
support,
maintenance,
and
miscellaneous
31
purposes,
including
the
war
orphans
educational
assistance
fund
32
created
in
section
35.8
,
and
for
not
more
than
the
following
33
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
499,416
35
-15-
LSB
5118HV
(3)
84
pf/jp
15/
64
H.F.
2435
1,000,819
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
2
The
amount
appropriated
in
this
subsection
reflects
a
3
reduction
in
expenditures
for
office
supplies,
purchases
4
of
equipment,
office
equipment,
printing
and
binding,
and
5
marketing,
that
shall
be
applied
equitably
to
the
programs
6
under
this
subsection.
7
2.
IOWA
VETERANS
HOME
8
For
salaries,
support,
maintenance,
and
miscellaneous
9
purposes:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,476,075
11
8,775,714
12
a.
The
Iowa
veterans
home
billings
involving
the
department
13
of
human
services
shall
be
submitted
to
the
department
on
at
14
least
a
monthly
basis.
15
b.
If
there
is
a
change
in
the
employer
of
employees
16
providing
services
at
the
Iowa
veterans
home
under
a
collective
17
bargaining
agreement,
such
employees
and
the
agreement
shall
18
be
continued
by
the
successor
employer
as
though
there
had
not
19
been
a
change
in
employer.
20
c.
Within
available
resources
and
in
conformance
with
21
associated
state
and
federal
program
eligibility
requirements,
22
the
Iowa
veterans
home
may
implement
measures
to
provide
23
financial
assistance
to
or
on
behalf
of
veterans
or
their
24
spouses
participating
in
the
community
reentry
program.
25
d.
The
Iowa
veterans
home
expenditure
report
shall
be
26
submitted
monthly
to
the
legislative
services
agency.
27
e.
The
amount
appropriated
in
this
subsection
reflects
28
a
reduction
in
expenditures
for
office
supplies,
purchases
29
of
equipment,
office
equipment,
printing
and
binding,
and
30
marketing,
that
shall
be
applied
equitably
to
the
programs
31
under
this
subsection.
32
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
33
VETERANS
34
For
provision
of
educational
assistance
pursuant
to
section
35
-16-
LSB
5118HV
(3)
84
pf/jp
16/
64
H.F.
2435
35.9
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,208
2
12,416
3
Sec.
4.
2011
Iowa
Acts,
chapter
129,
section
116,
is
amended
4
to
read
as
follows:
5
SEC.
116.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
6
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
7
standing
appropriation
in
the
following
designated
section
for
8
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
9
2013,
the
amounts
appropriated
from
the
general
fund
of
the
10
state
pursuant
to
that
section
for
the
following
designated
11
purposes
shall
not
exceed
the
following
amount:
12
For
the
county
commissions
of
veterans
affairs
fund
under
13
section
35A.16
:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
15
990,000
16
DIVISION
IV
17
DEPARTMENT
OF
HUMAN
SERVICES
18
Sec.
5.
2011
Iowa
Acts,
chapter
129,
section
117,
is
amended
19
to
read
as
follows:
20
SEC.
117.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
21
GRANT.
There
is
appropriated
from
the
fund
created
in
section
22
8.41
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2012,
and
ending
June
30,
2013,
from
moneys
24
received
under
the
federal
temporary
assistance
for
needy
25
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
26
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
27
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
28
received
under
the
emergency
contingency
fund
for
temporary
29
assistance
for
needy
families
state
program
established
30
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
31
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
legislation,
32
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
33
be
used
for
the
purposes
designated:
34
1.
To
be
credited
to
the
family
investment
program
account
35
-17-
LSB
5118HV
(3)
84
pf/jp
17/
64
H.F.
2435
and
used
for
assistance
under
the
family
investment
program
1
under
chapter
239B
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,750,369
3
19,790,365
4
2.
To
be
credited
to
the
family
investment
program
account
5
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
6
program
and
implementing
family
investment
agreements
in
7
accordance
with
chapter
239B
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,205,764
9
12,411,528
10
3.
To
be
used
for
the
family
development
and
11
self-sufficiency
grant
program
in
accordance
with
section
12
216A.107
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
14
2,898,980
15
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
16
subsection
that
remain
unencumbered
or
unobligated
at
the
close
17
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
18
for
expenditure
for
the
purposes
designated
until
the
close
of
19
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
20
encumbered
or
obligated
on
or
before
September
30,
2013,
the
21
moneys
shall
revert.
22
4.
For
field
operations:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
24
31,296,232
25
5.
For
general
administration:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
27
3,744,000
28
6.
For
state
child
care
assistance:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,191,343
30
16,382,687
31
The
funds
appropriated
in
this
subsection
shall
be
32
transferred
to
the
child
care
and
development
block
grant
33
appropriation
made
by
the
Eighty-fourth
General
Assembly,
34
2012
Session,
for
the
federal
fiscal
year
beginning
October
35
-18-
LSB
5118HV
(3)
84
pf/jp
18/
64
H.F.
2435
1,
2012,
and
ending
September
30,
2013.
Of
this
amount,
1
$100,000
$200,000
shall
be
used
for
provision
of
educational
2
opportunities
to
registered
child
care
home
providers
in
order
3
to
improve
services
and
programs
offered
by
this
category
4
of
providers
and
to
increase
the
number
of
providers.
The
5
department
may
contract
with
institutions
of
higher
education
6
or
child
care
resource
and
referral
centers
to
provide
7
the
educational
opportunities.
Allowable
administrative
8
costs
under
the
contracts
shall
not
exceed
5
percent.
The
9
application
for
a
grant
shall
not
exceed
two
pages
in
length.
10
7.
For
mental
health
and
developmental
disabilities
11
community
services:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
13
4,894,052
14
8.
For
child
and
family
services:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
16
32,084,430
17
9.
For
child
abuse
prevention
grants:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
19
125,000
20
10.
For
pregnancy
prevention
grants
on
the
condition
that
21
family
planning
services
are
funded:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
23
1,930,067
24
Pregnancy
prevention
grants
shall
be
awarded
to
programs
25
in
existence
on
or
before
July
1,
2012,
if
the
programs
have
26
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
27
pregnancy
prevention
programs
which
are
developed
after
July
28
1,
2012,
if
the
programs
are
based
on
existing
models
that
29
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
30
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
31
section
14,
subsections
1
and
2,
including
the
requirement
that
32
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
33
the
awarding
of
grants
shall
be
given
to
programs
that
serve
34
areas
of
the
state
which
demonstrate
the
highest
percentage
of
35
-19-
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5118HV
(3)
84
pf/jp
19/
64
H.F.
2435
unplanned
pregnancies
of
females
of
childbearing
age
within
the
1
geographic
area
to
be
served
by
the
grant.
2
11.
For
technology
needs
and
other
resources
necessary
3
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
4
management
requirements:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
6
1,037,186
7
12.
To
be
credited
to
the
state
child
care
assistance
8
appropriation
made
in
this
section
to
be
used
for
funding
of
9
community-based
early
childhood
programs
targeted
to
children
10
from
birth
through
five
years
of
age
developed
by
early
11
childhood
Iowa
areas
as
provided
in
section
256I.11
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,175,000
13
6,350,000
14
The
department
shall
transfer
TANF
block
grant
funding
15
appropriated
and
allocated
in
this
subsection
to
the
child
care
16
and
development
block
grant
appropriation
in
accordance
with
17
federal
law
as
necessary
to
comply
with
the
provisions
of
this
18
subsection.
19
13.
a.
Notwithstanding
any
provision
to
the
contrary,
20
including
but
not
limited
to
requirements
in
section
8.41
or
21
provisions
in
2011
or
2012
Iowa
Acts
regarding
the
receipt
22
and
appropriation
of
federal
block
grants,
federal
funds
23
from
the
emergency
contingency
fund
for
temporary
assistance
24
for
needy
families
state
program
established
pursuant
to
the
25
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
26
L.
No.
111-5
§
2101,
received
by
the
state
during
the
fiscal
27
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
not
28
otherwise
appropriated
in
this
section
and
remaining
available
29
as
of
July
1,
2012,
and
received
by
the
state
during
the
fiscal
30
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
31
appropriated
to
the
extent
as
may
be
necessary
to
be
used
in
32
the
following
priority
order:
the
family
investment
program
33
for
the
fiscal
year
and
for
state
child
care
assistance
program
34
payments
for
individuals
enrolled
in
the
family
investment
35
-20-
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5118HV
(3)
84
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20/
64
H.F.
2435
program
who
are
employed.
The
federal
funds
appropriated
in
1
this
paragraph
“a”
shall
be
expended
only
after
all
other
2
funds
appropriated
in
subsection
1
for
the
assistance
under
3
the
family
investment
program
under
chapter
239B
have
been
4
expended.
5
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
6
legislative
services
agency
and
department
of
management
of
7
the
amount
of
funds
appropriated
in
this
subsection
that
was
8
expended
in
the
prior
quarter.
9
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
10
$12,962,008
for
the
fiscal
year
beginning
July
1,
2012,
shall
11
be
transferred
to
the
appropriation
of
the
federal
social
12
services
block
grant
made
for
that
fiscal
year.
13
15.
For
continuation
of
the
program
allowing
the
department
14
to
maintain
categorical
eligibility
for
the
food
assistance
15
program
as
required
under
the
section
of
this
division
relating
16
to
the
family
investment
account:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
73,036
18
25,000
19
16.
The
department
may
transfer
funds
allocated
in
this
20
section
to
the
appropriations
made
in
this
division
of
this
Act
21
for
general
administration
and
field
operations
for
resources
22
necessary
to
implement
and
operate
the
services
referred
to
in
23
this
section
and
those
funded
in
the
appropriation
made
in
this
24
division
of
this
Act
for
the
family
investment
program
from
the
25
general
fund
of
the
state.
26
Sec.
6.
2011
Iowa
Acts,
chapter
129,
section
118,
is
amended
27
to
read
as
follows:
28
SEC.
118.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
29
1.
Moneys
credited
to
the
family
investment
program
(FIP)
30
account
for
the
fiscal
year
beginning
July
1,
2012,
and
31
ending
June
30,
2013,
shall
be
used
to
provide
assistance
in
32
accordance
with
chapter
239B
.
33
2.
The
department
may
use
a
portion
of
the
moneys
credited
34
to
the
FIP
account
under
this
section
as
necessary
for
35
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5118HV
(3)
84
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21/
64
H.F.
2435
salaries,
support,
maintenance,
and
miscellaneous
purposes.
1
3.
The
department
may
transfer
funds
allocated
in
this
2
section
to
the
appropriations
in
this
division
of
this
Act
3
for
general
administration
and
field
operations
for
resources
4
necessary
to
implement
and
operate
the
services
referred
to
in
5
this
section
and
those
funded
in
the
appropriation
made
in
this
6
division
of
this
Act
for
the
family
investment
program
from
the
7
general
fund
of
the
state.
8
4.
Moneys
appropriated
in
this
division
of
this
Act
and
9
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
10
1,
2012,
and
ending
June
30,
2013,
are
allocated
as
follows:
11
a.
To
be
retained
by
the
department
of
human
services
to
12
be
used
for
coordinating
with
the
department
of
human
rights
13
to
more
effectively
serve
participants
in
the
FIP
program
and
14
other
shared
clients
and
to
meet
federal
reporting
requirements
15
under
the
federal
temporary
assistance
for
needy
families
block
16
grant:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
18
20,000
19
b.
To
the
department
of
human
rights
for
staffing,
20
administration,
and
implementation
of
the
family
development
21
and
self-sufficiency
grant
program
in
accordance
with
section
22
216A.107
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,671,417
24
5,342,834
25
(1)
Of
the
funds
allocated
for
the
family
development
and
26
self-sufficiency
grant
program
in
this
lettered
paragraph,
27
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
28
administration
of
the
grant
program.
29
(2)
The
department
of
human
rights
may
continue
to
implement
30
the
family
development
and
self-sufficiency
grant
program
31
statewide
during
fiscal
year
2012-2013.
32
c.
For
the
diversion
subaccount
of
the
FIP
account:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
34
1,698,400
35
-22-
LSB
5118HV
(3)
84
pf/jp
22/
64
H.F.
2435
A
portion
of
the
moneys
allocated
for
the
subaccount
may
1
be
used
for
field
operations
salaries,
data
management
system
2
development,
and
implementation
costs
and
support
deemed
3
necessary
by
the
director
of
human
services
in
order
to
4
administer
the
FIP
diversion
program.
5
d.
For
the
food
stamp
employment
and
training
program:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
7
66,588
8
(1)
The
department
shall
amend
the
food
stamp
employment
and
9
training
state
plan
in
order
to
maximize
to
the
fullest
extent
10
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
11
for
the
claiming
of
allowable
federal
matching
funds
from
the
12
United
States
department
of
agriculture
pursuant
to
the
federal
13
food
stamp
employment
and
training
program
for
providing
14
education,
employment,
and
training
services
for
eligible
food
15
assistance
program
participants,
including
but
not
limited
to
16
related
dependent
care
and
transportation
expenses.
17
(2)
The
department
shall
continue
the
categorical
federal
18
food
assistance
program
eligibility
at
160
percent
of
the
19
federal
poverty
level
and
continue
to
eliminate
the
asset
test
20
from
eligibility
requirements,
consistent
with
federal
food
21
assistance
program
requirements.
The
department
shall
include
22
as
many
food
assistance
households
as
is
allowed
by
federal
23
law.
The
eligibility
provisions
shall
conform
to
all
federal
24
requirements
including
requirements
addressing
individuals
who
25
are
incarcerated
or
otherwise
ineligible.
26
e.
For
the
JOBS
program:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,117,952
28
20,235,905
29
5.
Of
the
child
support
collections
assigned
under
FIP,
30
an
amount
equal
to
the
federal
share
of
support
collections
31
shall
be
credited
to
the
child
support
recovery
appropriation
32
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
33
assigned
child
support
collections
received
by
the
child
34
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
35
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84
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64
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2435
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
1
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
2
payments
account.
If
as
a
consequence
of
the
appropriations
3
and
allocations
made
in
this
section
the
resulting
amounts
4
are
insufficient
to
sustain
cash
assistance
payments
and
meet
5
federal
maintenance
of
effort
requirements,
the
department
6
shall
seek
supplemental
funding.
If
child
support
collections
7
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
8
determined
not
to
be
required
for
maintenance
of
effort,
the
9
state
share
of
either
amount
may
be
transferred
to
or
retained
10
in
the
child
support
payment
account.
11
6.
The
department
may
adopt
emergency
rules
for
the
family
12
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
13
if
necessary
to
comply
with
federal
requirements.
14
Sec.
7.
2011
Iowa
Acts,
chapter
129,
section
119,
is
amended
15
to
read
as
follows:
16
SEC.
119.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
17
is
appropriated
from
the
general
fund
of
the
state
to
the
18
department
of
human
services
for
the
fiscal
year
beginning
July
19
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
20
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
21
designated:
22
To
be
credited
to
the
family
investment
program
(FIP)
23
account
and
used
for
family
investment
program
assistance
under
24
chapter
239B
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,085,513
26
45,286,573
27
1.
Of
the
funds
appropriated
in
this
section,
$3,912,188
28
$7,824,377
is
allocated
for
the
JOBS
program.
29
2.
Of
the
funds
appropriated
in
this
section,
$1,231,927
30
$2,463,854
is
allocated
for
the
family
development
and
31
self-sufficiency
grant
program.
32
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
33
beginning
July
1,
2012,
if
necessary
to
meet
federal
34
maintenance
of
effort
requirements
or
to
transfer
federal
35
-24-
LSB
5118HV
(3)
84
pf/jp
24/
64
H.F.
2435
temporary
assistance
for
needy
families
block
grant
funding
1
to
be
used
for
purposes
of
the
federal
social
services
block
2
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
3
receiving
federal
funding
or
to
implement,
in
accordance
with
4
this
division
of
this
Act,
activities
currently
funded
with
5
juvenile
court
services,
county,
or
community
moneys
and
state
6
moneys
used
in
combination
with
such
moneys,
the
department
7
of
human
services
may
transfer
funds
within
or
between
any
8
of
the
appropriations
made
in
this
division
of
this
Act
and
9
appropriations
in
law
for
the
federal
social
services
block
10
grant
to
the
department
for
the
following
purposes,
provided
11
that
the
combined
amount
of
state
and
federal
temporary
12
assistance
for
needy
families
block
grant
funding
for
each
13
appropriation
remains
the
same
before
and
after
the
transfer:
14
a.
For
the
family
investment
program.
15
b.
For
child
care
assistance.
16
c.
For
child
and
family
services.
17
d.
For
field
operations.
18
e.
For
general
administration.
19
f.
MH/MR/DD/BI
community
services
(local
purchase).
20
This
subsection
shall
not
be
construed
to
prohibit
the
use
21
of
existing
state
transfer
authority
for
other
purposes.
The
22
department
shall
report
any
transfers
made
pursuant
to
this
23
subsection
to
the
legislative
services
agency.
24
4.
Of
the
funds
appropriated
in
this
section,
$97,839
25
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
26
Iowa-based
nonprofit
organization
with
a
history
of
providing
27
tax
preparation
assistance
to
low-income
Iowans
in
order
to
28
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
29
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
30
of
the
state.
31
5.
The
amount
appropriated
in
this
section
reflects
a
32
reduction
in
expenditures
for
office
supplies,
purchases
33
of
equipment,
office
equipment,
printing
and
binding,
and
34
marketing,
that
shall
be
applied
equitably
to
the
programs
35
-25-
LSB
5118HV
(3)
84
pf/jp
25/
64
H.F.
2435
under
this
section.
1
Sec.
8.
2011
Iowa
Acts,
chapter
129,
section
120,
is
amended
2
to
read
as
follows:
3
SEC.
120.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
4
from
the
general
fund
of
the
state
to
the
department
of
human
5
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
6
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
7
necessary,
to
be
used
for
the
purposes
designated:
8
For
child
support
recovery,
including
salaries,
support,
9
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
10
the
following
full-time
equivalent
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,559,627
12
12,549,560
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
14
1.
The
department
shall
expend
up
to
$12,164
$24,329
,
15
including
federal
financial
participation,
for
the
fiscal
year
16
beginning
July
1,
2012,
for
a
child
support
public
awareness
17
campaign.
The
department
and
the
office
of
the
attorney
18
general
shall
cooperate
in
continuation
of
the
campaign.
The
19
public
awareness
campaign
shall
emphasize,
through
a
variety
20
of
media
activities,
the
importance
of
maximum
involvement
of
21
both
parents
in
the
lives
of
their
children
as
well
as
the
22
importance
of
payment
of
child
support
obligations.
23
2.
Federal
access
and
visitation
grant
moneys
shall
be
24
issued
directly
to
private
not-for-profit
agencies
that
provide
25
services
designed
to
increase
compliance
with
the
child
access
26
provisions
of
court
orders,
including
but
not
limited
to
27
neutral
visitation
sites
and
mediation
services.
28
3.
The
appropriation
made
to
the
department
for
child
29
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
30
manner
necessary
for
purposes
of
cash
flow
management,
and
for
31
cash
flow
management
purposes
the
department
may
temporarily
32
draw
more
than
the
amount
appropriated,
provided
the
amount
33
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
34
4.
With
the
exception
of
the
funding
amount
specified,
the
35
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5118HV
(3)
84
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26/
64
H.F.
2435
requirements
established
under
2001
Iowa
Acts,
chapter
191,
1
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
2
be
applicable
to
parental
obligation
pilot
projects
for
the
3
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013.
4
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
5
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
6
in
effect
until
June
30,
2013.
7
5.
The
amount
appropriated
in
this
section
reflects
a
8
reduction
in
expenditures
for
office
supplies,
purchases
9
of
equipment,
office
equipment,
printing
and
binding,
and
10
marketing.
11
MEDICAL
ASSISTANCE
PROGRAM
12
Sec.
9.
2011
Iowa
Acts,
chapter
129,
section
122,
unnumbered
13
paragraph
2,
is
amended
to
read
as
follows:
14
For
medical
assistance
program
reimbursement
and
associated
15
costs
as
specifically
provided
in
the
reimbursement
16
methodologies
in
effect
on
June
30,
2012,
except
as
otherwise
17
expressly
authorized
by
law,
and
consistent
with
options
under
18
federal
law
and
regulations:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
914,993,421
20
946,204,576
21
MEDICAL
ASSISTANCE
——
DISPROPORTIONATE
SHARE
HOSPITAL
22
Sec.
10.
2011
Iowa
Acts,
chapter
129,
section
122,
23
subsection
11,
paragraph
a,
unnumbered
paragraph
1,
is
amended
24
to
read
as
follows:
25
Of
the
funds
appropriated
in
this
section,
$7,425,684
26
$7,678,245
is
allocated
for
the
state
match
for
a
27
disproportionate
share
hospital
payment
of
$19,133,430
to
28
hospitals
that
meet
both
of
the
conditions
specified
in
29
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
30
meet
the
conditions
specified
shall
either
certify
public
31
expenditures
or
transfer
to
the
medical
assistance
program
32
an
amount
equal
to
provide
the
nonfederal
share
for
a
33
disproportionate
share
hospital
payment
of
$7,500,000.
The
34
hospitals
that
meet
the
conditions
specified
shall
receive
and
35
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(3)
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27/
64
H.F.
2435
retain
100
percent
of
the
total
disproportionate
share
hospital
1
payment
of
$26,633,430.
2
MEDICAL
ASSISTANCE
——
IOWACARE
TRANSFER
3
Sec.
11.
2011
Iowa
Acts,
chapter
129,
section
122,
4
subsection
13,
is
amended
to
read
as
follows:
5
13.
Of
the
funds
appropriated
in
this
section,
up
to
6
$4,480,304
$8,684,329
may
be
transferred
to
the
IowaCare
7
account
created
in
section
249J.24
.
8
MEDICAL
ASSISTANCE
——
COST
CONTAINMENT
STRATEGIES
9
Sec.
12.
2011
Iowa
Acts,
chapter
129,
section
122,
10
subsection
20,
paragraphs
a
and
d,
are
amended
to
read
as
11
follows:
12
a.
The
department
may
continue
to
implement
cost
13
containment
strategies
recommended
by
the
governor,
and
for
14
the
fiscal
year
beginning
July
1,
2011,
and
shall
implement
15
new
strategies
for
the
fiscal
year
beginning
July
1,
2012,
as
16
specified
in
this
division
of
this
2012
Act.
It
is
the
intent
17
of
the
general
assembly
that
the
cost
containment
strategies
18
are
implemented
only
to
the
extent
necessary
to
achieve
19
projected
savings.
The
department
may
adopt
emergency
rules
20
for
such
implementation.
21
d.
If
the
savings
to
the
medical
assistance
program
for
22
the
fiscal
year
beginning
July
1,
2012,
exceed
the
cost,
the
23
department
may
transfer
any
savings
generated
for
the
fiscal
24
year
due
to
medical
assistance
program
cost
containment
efforts
25
initiated
pursuant
to
2010
Iowa
Acts,
chapter
1031,
Executive
26
Order
No.
20,
issued
December
16,
2009,
or
cost
containment
27
strategies
initiated
pursuant
to
this
subsection,
to
the
28
appropriation
made
in
this
division
of
this
Act
for
medical
29
contracts
or
general
administration
to
defray
the
increased
30
contract
costs
associated
with
implementing
such
efforts.
31
MEDICAL
ASSISTANCE
——
COST
CONTAINMENT
PROVISIONS
32
Sec.
13.
2011
Iowa
Acts,
chapter
129,
section
122,
is
33
amended
by
adding
the
following
new
subsections:
34
NEW
SUBSECTION
.
23.
The
department
shall
align
35
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5118HV
(3)
84
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28/
64
H.F.
2435
reimbursement
for
prescription
drugs
administered
by
a
1
physician
to
be
equivalent
to
the
reimbursement
for
the
same
2
prescription
drug
when
dispensed
by
a
pharmacy.
3
NEW
SUBSECTION
.
24.
The
department
shall
implement
a
4
hospital
inpatient
reimbursement
policy
to
provide
for
the
5
combining
of
an
original
claim
for
an
inpatient
stay
with
a
6
claim
for
a
subsequent
inpatient
stay
when
the
patient
is
7
admitted
within
seven
days
of
discharge
from
the
original
8
hospital
stay
for
the
same
condition.
9
NEW
SUBSECTION
.
25.
The
department
shall
implement
a
10
policy
to
ensure
that
reimbursement
for
Medicare
Part
A
and
11
Medicare
Part
B
crossover
claims
is
limited
to
the
Medicaid
12
reimbursement
rate.
13
NEW
SUBSECTION
.
26.
The
department
shall
transition
14
payment
for
and
administration
of
services
provided
by
15
psychiatric
medical
institutions
for
children
to
the
Iowa
plan.
16
NEW
SUBSECTION
.
27.
The
amount
appropriated
in
this
section
17
reflects
a
reduction
in
expenditures
for
office
supplies,
18
purchases
of
equipment,
office
equipment,
printing
and
binding,
19
and
marketing,
that
shall
be
applied
equitably
to
the
programs
20
under
this
section.
21
Sec.
14.
2011
Iowa
Acts,
chapter
129,
section
123,
is
22
amended
to
read
as
follows:
23
SEC.
123.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
24
general
fund
of
the
state
to
the
department
of
human
services
25
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
26
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
27
to
be
used
for
the
purpose
designated:
28
For
medical
contracts:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,453,728
30
7,117,155
31
1.
The
department
of
inspections
and
appeals
shall
32
provide
all
state
matching
funds
for
survey
and
certification
33
activities
performed
by
the
department
of
inspections
34
and
appeals.
The
department
of
human
services
is
solely
35
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5118HV
(3)
84
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64
H.F.
2435
responsible
for
distributing
the
federal
matching
funds
for
1
such
activities.
2
2.
Of
the
funds
appropriated
in
this
section,
$25,000
3
$50,000
shall
be
used
for
continuation
of
home
and
4
community-based
services
waiver
quality
assurance
programs,
5
including
the
review
and
streamlining
of
processes
and
policies
6
related
to
oversight
and
quality
management
to
meet
state
and
7
federal
requirements.
8
3.
Of
the
amount
appropriated
in
this
section,
up
to
9
$200,000
may
be
transferred
to
the
appropriation
for
general
10
administration
in
this
division
of
this
Act
to
be
used
for
11
additional
full-time
equivalent
positions
in
the
development
of
12
key
health
initiatives
such
as
cost
containment,
development
13
and
oversight
of
managed
care
programs,
and
development
of
14
health
strategies
targeted
toward
improved
quality
and
reduced
15
costs
in
the
Medicaid
program.
16
4.
The
amount
appropriated
in
this
section
reflects
a
17
reduction
in
expenditures
for
office
supplies,
purchases
18
of
equipment,
office
equipment,
printing
and
binding,
and
19
marketing
budgeted
for
under
this
subsection.
20
Sec.
15.
2011
Iowa
Acts,
chapter
129,
section
124,
is
21
amended
to
read
as
follows:
22
SEC.
124.
STATE
SUPPLEMENTARY
ASSISTANCE.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
26
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purpose
designated:
28
For
the
state
supplementary
assistance
program:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,425,373
30
15,450,747
31
2.
The
department
shall
increase
the
personal
needs
32
allowance
for
residents
of
residential
care
facilities
by
the
33
same
percentage
and
at
the
same
time
as
federal
supplemental
34
security
income
and
federal
social
security
benefits
are
35
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5118HV
(3)
84
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30/
64
H.F.
2435
increased
due
to
a
recognized
increase
in
the
cost
of
living.
1
The
department
may
adopt
emergency
rules
to
implement
this
2
subsection.
3
3.
If
during
the
fiscal
year
beginning
July
1,
2012,
4
the
department
projects
that
state
supplementary
assistance
5
expenditures
for
a
calendar
year
will
not
meet
the
federal
6
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
7
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
8
§
1382g,
the
department
may
take
actions
including
but
not
9
limited
to
increasing
the
personal
needs
allowance
for
10
residential
care
facility
residents
and
making
programmatic
11
adjustments
or
upward
adjustments
of
the
residential
care
12
facility
or
in-home
health-related
care
reimbursement
rates
13
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
14
requirements
are
met.
In
addition,
the
department
may
make
15
other
programmatic
and
rate
adjustments
necessary
to
remain
16
within
the
amount
appropriated
in
this
section
while
ensuring
17
compliance
with
federal
requirements.
The
department
may
adopt
18
emergency
rules
to
implement
the
provisions
of
this
subsection.
19
Sec.
16.
2011
Iowa
Acts,
chapter
129,
section
125,
is
20
amended
to
read
as
follows:
21
SEC.
125.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
22
1.
There
is
appropriated
from
the
general
fund
of
the
23
state
to
the
department
of
human
services
for
the
fiscal
year
24
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
25
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
26
purpose
designated:
27
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
28
program
pursuant
to
chapter
514I
,
including
supplemental
dental
29
services,
for
receipt
of
federal
financial
participation
under
30
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
31
children’s
health
insurance
program:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,403,051
33
32,677,152
34
2.
Of
the
funds
appropriated
in
this
section,
$64,475
is
35
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allocated
for
continuation
of
the
contract
for
outreach
with
1
the
department
of
public
health.
2
Sec.
17.
2011
Iowa
Acts,
chapter
129,
section
126,
is
3
amended
to
read
as
follows:
4
SEC.
126.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
5
from
the
general
fund
of
the
state
to
the
department
of
human
6
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
7
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
8
necessary,
to
be
used
for
the
purpose
designated:
9
For
child
care
programs:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
26,618,831
11
56,791,816
12
1.
Of
the
funds
appropriated
in
this
section,
$25,948,041
13
$51,896,082
shall
be
used
for
state
child
care
assistance
in
14
accordance
with
section
237A.13
.
15
2.
Nothing
in
this
section
shall
be
construed
or
is
16
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
17
to
persons
who
are
eligible
for
assistance
due
to
an
income
18
level
consistent
with
the
waiting
list
requirements
of
section
19
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
20
this
section
is
limited
to
the
extent
of
the
funds
appropriated
21
in
this
section.
22
3.
Of
the
funds
appropriated
in
this
section,
$216,226
23
$432,453
is
allocated
for
the
statewide
program
for
child
care
24
resource
and
referral
services
under
section
237A.26
.
A
list
25
of
the
registered
and
licensed
child
care
facilities
operating
26
in
the
area
served
by
a
child
care
resource
and
referral
27
service
shall
be
made
available
to
the
families
receiving
state
28
child
care
assistance
in
that
area.
29
4.
Of
the
funds
appropriated
in
this
section,
$468,487
30
$936,974
is
allocated
for
child
care
quality
improvement
31
initiatives
including
but
not
limited
to
the
voluntary
quality
32
rating
system
in
accordance
with
section
237A.30
.
33
5.
The
department
may
use
any
of
the
funds
appropriated
34
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
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expanding
child
care
assistance
and
related
programs.
For
1
the
purpose
of
expenditures
of
state
and
federal
child
care
2
funding,
funds
shall
be
considered
obligated
at
the
time
3
expenditures
are
projected
or
are
allocated
to
the
department’s
4
service
areas.
Projections
shall
be
based
on
current
and
5
projected
caseload
growth,
current
and
projected
provider
6
rates,
staffing
requirements
for
eligibility
determination
7
and
management
of
program
requirements
including
data
systems
8
management,
staffing
requirements
for
administration
of
the
9
program,
contractual
and
grant
obligations
and
any
transfers
10
to
other
state
agencies,
and
obligations
for
decategorization
11
or
innovation
projects.
12
6.
A
portion
of
the
state
match
for
the
federal
child
care
13
and
development
block
grant
shall
be
provided
as
necessary
to
14
meet
federal
matching
funds
requirements
through
the
state
15
general
fund
appropriation
made
for
child
development
grants
16
and
other
programs
for
at-risk
children
in
section
279.51
.
17
7.
If
a
uniform
reduction
ordered
by
the
governor
under
18
section
8.31
or
other
operation
of
law,
transfer,
or
federal
19
funding
reduction
reduces
the
appropriation
made
in
this
20
section
for
the
fiscal
year,
the
percentage
reduction
in
the
21
amount
paid
out
to
or
on
behalf
of
the
families
participating
22
in
the
state
child
care
assistance
program
shall
be
equal
to
or
23
less
than
the
percentage
reduction
made
for
any
other
purpose
24
payable
from
the
appropriation
made
in
this
section
and
the
25
federal
funding
relating
to
it.
The
percentage
reduction
to
26
the
other
allocations
made
in
this
section
shall
be
the
same
as
27
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
28
change
of
the
federal
funding
reduction,
as
applicable.
29
If
there
is
an
unanticipated
increase
in
federal
funding
30
provided
for
state
child
care
assistance,
the
entire
amount
31
of
the
increase
shall
be
used
for
state
child
care
assistance
32
payments.
If
the
appropriations
made
for
purposes
of
the
33
state
child
care
assistance
program
for
the
fiscal
year
are
34
determined
to
be
insufficient,
it
is
the
intent
of
the
general
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assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
1
in
order
to
avoid
establishment
of
waiting
list
requirements.
2
8.
Notwithstanding
section
8.33
,
moneys
appropriated
in
3
this
section
or
received
from
the
federal
appropriations
made
4
for
the
purposes
of
this
section
that
remain
unencumbered
or
5
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
6
to
any
fund
but
shall
remain
available
for
expenditure
for
the
7
purposes
designated
until
the
close
of
the
succeeding
fiscal
8
year.
9
9.
The
amount
appropriated
in
this
section
reflects
a
10
reduction
in
expenditures
for
office
supplies,
purchases
11
of
equipment,
office
equipment,
printing
and
binding,
and
12
marketing,
that
shall
be
applied
equitably
to
the
programs
13
under
this
section.
14
Sec.
18.
2011
Iowa
Acts,
chapter
129,
section
127,
is
15
amended
to
read
as
follows:
16
SEC.
127.
JUVENILE
INSTITUTIONS.
There
is
appropriated
17
from
the
general
fund
of
the
state
to
the
department
of
human
18
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
19
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
20
necessary,
to
be
used
for
the
purposes
designated:
21
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
22
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
23
for
not
more
than
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,129,125
25
8,227,752
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
27
The
amount
appropriated
in
this
subsection
reflects
a
28
reduction
in
expenditures
for
office
supplies,
purchases
of
29
equipment,
office
equipment,
and
printing
and
binding
budgeted
30
for
under
this
subsection.
31
2.
For
operation
of
the
state
training
school
at
Eldora
and
32
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
33
and
for
not
more
than
the
following
full-time
equivalent
34
positions:
35
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2435
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,319,338
1
10,577,832
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
3
a.
Of
the
funds
appropriated
in
this
subsection,
$45,575
4
$91,150
shall
be
used
for
distribution
to
licensed
classroom
5
teachers
at
this
and
other
institutions
under
the
control
of
6
the
department
of
human
services
based
upon
the
average
student
7
yearly
enrollment
at
each
institution
as
determined
by
the
8
department.
9
b.
The
amount
appropriated
in
this
subsection
reflects
10
a
reduction
in
expenditures
for
office
supplies,
purchases
11
of
equipment,
office
equipment,
printing
and
binding,
and
12
marketing
budgeted
for
under
this
subsection.
13
3.
A
portion
of
the
moneys
appropriated
in
this
section
14
shall
be
used
by
the
state
training
school
and
by
the
Iowa
15
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
16
activities
at
the
institutions
in
the
fiscal
year
beginning
17
July
1,
2012.
18
Sec.
19.
2011
Iowa
Acts,
chapter
129,
section
128,
is
19
amended
to
read
as
follows:
20
SEC.
128.
CHILD
AND
FAMILY
SERVICES.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
child
and
family
services:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,415,081
28
77,084,185
29
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
30
amount
allocated
under
the
appropriation
made
for
the
purposes
31
of
this
section
in
prior
years
for
purposes
of
juvenile
32
delinquent
graduated
sanction
services,
up
to
$2,600,000
33
$5,200,000
of
the
amount
of
federal
temporary
assistance
34
for
needy
families
block
grant
funding
appropriated
in
this
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division
of
this
Act
for
child
and
family
services
shall
be
1
made
available
for
purposes
of
juvenile
delinquent
graduated
2
sanction
services.
3
3.
The
department
may
transfer
funds
appropriated
in
this
4
section
as
necessary
to
pay
the
nonfederal
costs
of
services
5
reimbursed
under
the
medical
assistance
program,
state
child
6
care
assistance
program,
or
the
family
investment
program
which
7
are
provided
to
children
who
would
otherwise
receive
services
8
paid
under
the
appropriation
in
this
section.
The
department
9
may
transfer
funds
appropriated
in
this
section
to
the
10
appropriations
made
in
this
division
of
this
Act
for
general
11
administration
and
for
field
operations
for
resources
necessary
12
to
implement
and
operate
the
services
funded
in
this
section.
13
4.
a.
Of
the
funds
appropriated
in
this
section,
up
14
to
$15,084,564
$30,169,129
is
allocated
as
the
statewide
15
expenditure
target
under
section
232.143
for
group
foster
care
16
maintenance
and
services.
If
the
department
projects
that
such
17
expenditures
for
the
fiscal
year
will
be
less
than
the
target
18
amount
allocated
in
this
lettered
paragraph,
the
department
may
19
reallocate
the
excess
to
provide
additional
funding
for
shelter
20
care
or
the
child
welfare
emergency
services
addressed
with
the
21
allocation
for
shelter
care.
22
b.
If
at
any
time
after
September
30,
2012,
annualization
23
of
a
service
area’s
current
expenditures
indicates
a
service
24
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
25
target
under
section
232.143
by
more
than
5
percent,
the
26
department
and
juvenile
court
services
shall
examine
all
27
group
foster
care
placements
in
that
service
area
in
order
to
28
identify
those
which
might
be
appropriate
for
termination.
29
In
addition,
any
aftercare
services
believed
to
be
needed
30
for
the
children
whose
placements
may
be
terminated
shall
be
31
identified.
The
department
and
juvenile
court
services
shall
32
initiate
action
to
set
dispositional
review
hearings
for
the
33
placements
identified.
In
such
a
dispositional
review
hearing,
34
the
juvenile
court
shall
determine
whether
needed
aftercare
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services
are
available
and
whether
termination
of
the
placement
1
is
in
the
best
interest
of
the
child
and
the
community.
2
5.
In
accordance
with
the
provisions
of
section
232.188
,
3
the
department
shall
continue
the
child
welfare
and
juvenile
4
justice
funding
initiative
during
fiscal
year
2012-2013.
Of
5
the
funds
appropriated
in
this
section,
$858,876
$1,717,753
6
is
allocated
specifically
for
expenditure
for
fiscal
year
7
2012-2013
through
the
decategorization
service
funding
pools
8
and
governance
boards
established
pursuant
to
section
232.188
.
9
6.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
used
for
emergency
family
assistance
to
provide
other
11
resources
required
for
a
family
participating
in
a
family
12
preservation
or
reunification
project
or
successor
project
to
13
stay
together
or
to
be
reunified.
14
7.
Notwithstanding
section
234.35
or
any
other
provision
15
of
law
to
the
contrary,
state
funding
for
shelter
care
and
16
the
child
welfare
emergency
services
contracting
implemented
17
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
18
limited
to
$3,585,058
$6,470,116
.
The
department
may
continue
19
or
execute
contracts
that
result
from
the
department’s
request
20
for
proposal,
bid
number
ACFS-11-114,
to
provide
the
range
of
21
child
welfare
emergency
services
described
in
the
request
for
22
proposals,
and
any
subsequent
amendments
to
the
request
for
23
proposals.
24
8.
Federal
funds
received
by
the
state
during
the
fiscal
25
year
beginning
July
1,
2012,
as
the
result
of
the
expenditure
26
of
state
funds
appropriated
during
a
previous
state
fiscal
27
year
for
a
service
or
activity
funded
under
this
section
are
28
appropriated
to
the
department
to
be
used
as
additional
funding
29
for
services
and
purposes
provided
for
under
this
section.
30
Notwithstanding
section
8.33
,
moneys
received
in
accordance
31
with
this
subsection
that
remain
unencumbered
or
unobligated
at
32
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
33
shall
remain
available
for
the
purposes
designated
until
the
34
close
of
the
succeeding
fiscal
year.
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9.
Of
the
funds
appropriated
in
this
section,
at
least
1
$1,848,142
$3,696,285
shall
be
used
for
protective
child
care
2
assistance.
3
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
4
$1,031,244
$1,900,000
is
allocated
for
the
payment
of
the
5
expenses
of
court-ordered
services
provided
to
juveniles
who
6
are
under
the
supervision
of
juvenile
court
services,
which
7
expenses
are
a
charge
upon
the
state
pursuant
to
section
8
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
9
lettered
paragraph,
up
to
$778,143
$1,556,287
shall
be
made
10
available
to
provide
school-based
supervision
of
children
11
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
12
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
13
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
14
the
school
district
or
other
funding
source
as
approved
by
the
15
chief
juvenile
court
officer.
16
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
17
$748,985
is
allocated
for
the
payment
of
the
expenses
of
18
court-ordered
services
provided
to
children
who
are
under
the
19
supervision
of
the
department,
which
expenses
are
a
charge
upon
20
the
state
pursuant
to
section
232.141,
subsection
4
.
21
c.
Notwithstanding
section
232.141
or
any
other
provision
22
of
law
to
the
contrary,
the
amounts
allocated
in
this
23
subsection
shall
be
distributed
to
the
judicial
districts
24
as
determined
by
the
state
court
administrator
and
to
the
25
department’s
service
areas
as
determined
by
the
administrator
26
of
the
department’s
division
of
child
and
family
services.
The
27
state
court
administrator
and
the
division
administrator
shall
28
make
the
determination
of
the
distribution
amounts
on
or
before
29
June
15,
2012.
30
d.
Notwithstanding
chapter
232
or
any
other
provision
of
31
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
32
order
any
service
which
is
a
charge
upon
the
state
pursuant
33
to
section
232.141
if
there
are
insufficient
court-ordered
34
services
funds
available
in
the
district
court
or
departmental
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service
area
distribution
amounts
to
pay
for
the
service.
The
1
chief
juvenile
court
officer
and
the
departmental
service
area
2
manager
shall
encourage
use
of
the
funds
allocated
in
this
3
subsection
such
that
there
are
sufficient
funds
to
pay
for
4
all
court-related
services
during
the
entire
year.
The
chief
5
juvenile
court
officers
and
departmental
service
area
managers
6
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
7
in
the
distribution
amounts
and
shall
cooperatively
request
the
8
state
court
administrator
or
division
administrator
to
transfer
9
funds
between
the
judicial
districts’
or
departmental
service
10
areas’
distribution
amounts
as
prudent.
11
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
12
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
13
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
14
entered
under
chapter
232
which
is
a
charge
upon
the
state
15
under
section
232.141,
subsection
4
.
16
f.
Of
the
funds
allocated
in
this
subsection,
not
more
17
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
18
administration
of
the
requirements
under
this
subsection.
19
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
20
shall
be
used
by
the
department
of
human
services
to
support
21
the
interstate
commission
for
juveniles
in
accordance
with
22
the
interstate
compact
for
juveniles
as
provided
in
section
23
232.173
.
24
11.
Of
the
funds
appropriated
in
this
section,
$2,961,301
25
$5,922,602
is
allocated
for
juvenile
delinquent
graduated
26
sanctions
services.
Any
state
funds
saved
as
a
result
of
27
efforts
by
juvenile
court
services
to
earn
federal
Tit.
IV-E
28
match
for
juvenile
court
services
administration
may
be
used
29
for
the
juvenile
delinquent
graduated
sanctions
services.
30
12.
Of
the
funds
appropriated
in
this
section,
$494,142
31
$988,285
shall
be
transferred
to
the
department
of
public
32
health
to
be
used
for
the
child
protection
center
grant
program
33
in
accordance
with
section
135.118
.
34
13.
If
the
department
receives
federal
approval
to
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implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
1
Security
Act
to
enable
providers
to
serve
children
who
remain
2
in
the
children’s
families
and
communities,
for
purposes
of
3
eligibility
under
the
medical
assistance
program,
children
who
4
participate
in
the
waiver
shall
be
considered
to
be
placed
in
5
foster
care.
6
14.
Of
the
funds
appropriated
in
this
section,
$1,534,916
7
$3,069,832
is
allocated
for
the
preparation
for
adult
living
8
program
pursuant
to
section
234.46
.
9
15.
Of
the
funds
appropriated
in
this
section,
$260,075
10
$520,150
shall
be
used
for
juvenile
drug
courts.
The
amount
11
allocated
in
this
subsection
shall
be
distributed
as
follows:
12
To
the
judicial
branch
for
salaries
to
assist
with
the
13
operation
of
juvenile
drug
court
programs
operated
in
the
14
following
jurisdictions:
15
a.
Marshall
county:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
17
62,708
18
b.
Woodbury
county:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
20
125,682
21
c.
Polk
county:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
23
195,892
24
d.
The
third
judicial
district:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
26
67,934
27
e.
The
eighth
judicial
district:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
29
67,934
30
16.
Of
the
funds
appropriated
in
this
section,
$113,668
31
$227,337
shall
be
used
for
the
public
purpose
of
providing
a
32
grant
to
a
nonprofit
human
services
organization
providing
33
services
to
individuals
and
families
in
multiple
locations
in
34
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
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immediate,
sensitive
support
and
forensic
interviews,
medical
1
exams,
needs
assessments,
and
referrals
for
victims
of
child
2
abuse
and
their
nonoffending
family
members.
3
17.
Of
the
funds
appropriated
in
this
section,
$62,795
4
$125,590
is
allocated
for
the
elevate
foster
care
youth
council
5
approach
of
providing
a
support
network
to
children
placed
in
6
foster
care.
7
18.
Of
the
funds
appropriated
in
this
section,
$101,000
8
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
9
continuation
of
the
initiative
to
address
child
sexual
abuse
10
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
11
18,
subsection
21.
12
19.
Of
the
funds
appropriated
in
this
section,
$315,120
13
$630,240
is
allocated
for
the
community
partnership
for
child
14
protection
sites.
15
20.
Of
the
funds
appropriated
in
this
section,
$185,625
16
$371,250
is
allocated
for
the
department’s
minority
youth
and
17
family
projects
under
the
redesign
of
the
child
welfare
system.
18
21.
Of
the
funds
appropriated
in
this
section,
$600,247
19
$1,200,495
is
allocated
for
funding
of
the
state
match
for
20
the
federal
substance
abuse
and
mental
health
services
21
administration
(SAMHSA)
system
of
care
grant.
22
22.
Of
the
funds
appropriated
in
this
section,
at
least
23
$73,579
$147,158
shall
be
used
for
the
child
welfare
training
24
academy.
25
23.
Of
the
funds
appropriated
in
this
section,
$12,500
26
$25,000
shall
be
used
for
the
public
purpose
of
continuation
27
of
a
grant
to
a
child
welfare
services
provider
headquartered
28
in
a
county
with
a
population
between
205,000
and
215,000
in
29
the
latest
certified
federal
census
that
provides
multiple
30
services
including
but
not
limited
to
a
psychiatric
medical
31
institution
for
children,
shelter,
residential
treatment,
after
32
school
programs,
school-based
programming,
and
an
Asperger’s
33
syndrome
program,
to
be
used
for
support
services
for
children
34
with
autism
spectrum
disorder
and
their
families.
35
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24.
Of
the
funds
appropriated
in
this
section
$125,000
1
$250,000
shall
be
used
for
continuation
of
the
central
Iowa
2
system
of
care
program
grant
through
June
30,
2013.
3
25.
Of
the
funds
appropriated
in
this
section,
$80,000
4
$160,000
shall
be
used
for
the
public
purpose
of
the
5
continuation
of
a
system
of
care
grant
implemented
in
Cerro
6
Gordo
and
Linn
counties
in
accordance
with
this
Act
in
FY
7
2011-2012.
8
26.
The
amount
appropriated
in
this
section
reflects
a
9
reduction
in
expenditures
for
office
supplies,
purchases
10
of
equipment,
office
equipment,
printing
and
binding,
and
11
marketing,
that
shall
be
applied
equitably
to
the
programs
12
under
this
subsection.
13
Sec.
20.
2011
Iowa
Acts,
chapter
129,
is
amended
by
adding
14
the
following
new
section:
15
NEW
SECTION
.
SEC.
128A.
CHILDREN
AND
YOUTH
PROGRAMS.
There
16
is
appropriated
from
the
general
fund
of
the
state
to
the
17
department
of
human
services
for
the
fiscal
year
beginning
July
18
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
19
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
20
designated:
21
1.
For
the
community
circle
of
care
collaboration
for
22
children
and
youth
in
northeast
Iowa,
formerly
known
as
the
23
federal
substance
abuse
and
mental
health
administration
24
(SAMHSA)
system
of
care
grant:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
236,100
26
2.
For
the
central
Iowa
system
of
care
program
grant
for
27
children
and
youth:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
77,947
29
Sec.
21.
2011
Iowa
Acts,
chapter
129,
section
129,
is
30
amended
to
read
as
follows:
31
SEC.
129.
ADOPTION
SUBSIDY.
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
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amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purpose
designated:
2
For
adoption
subsidy
payments
and
services:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,633,295
4
33,080,597
5
2.
The
department
may
transfer
funds
appropriated
in
6
this
section
to
the
appropriation
made
in
this
division
of
7
this
Act
for
general
administration
for
costs
paid
from
the
8
appropriation
relating
to
adoption
subsidy.
9
3.
Federal
funds
received
by
the
state
during
the
10
fiscal
year
beginning
July
1,
2012,
as
the
result
of
the
11
expenditure
of
state
funds
during
a
previous
state
fiscal
12
year
for
a
service
or
activity
funded
under
this
section
are
13
appropriated
to
the
department
to
be
used
as
additional
funding
14
for
the
services
and
activities
funded
under
this
section.
15
Notwithstanding
section
8.33
,
moneys
received
in
accordance
16
with
this
subsection
that
remain
unencumbered
or
unobligated
17
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
18
but
shall
remain
available
for
expenditure
for
the
purposes
19
designated
until
the
close
of
the
succeeding
fiscal
year.
20
Sec.
22.
2011
Iowa
Acts,
chapter
129,
section
131,
is
21
amended
to
read
as
follows:
22
SEC.
131.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
26
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purpose
designated:
28
For
the
family
support
subsidy
program
subject
to
the
29
enrollment
restrictions
in
section
225C.37,
subsection
3
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
583,999
31
1,096,784
32
2.
The
department
shall
use
at
least
$192,750
$385,500
33
of
the
moneys
appropriated
in
this
section
for
the
family
34
support
center
component
of
the
comprehensive
family
support
35
-43-
LSB
5118HV
(3)
84
pf/jp
43/
64
H.F.
2435
program
under
section
225C.47
.
Not
more
than
$12,500
$25,000
1
of
the
amount
allocated
in
this
subsection
shall
be
used
for
2
administrative
costs.
3
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
4
funding
available
for
the
family
support
subsidy
program
5
is
reduced
from
the
amount
initially
used
to
establish
the
6
figure
for
the
number
of
family
members
for
whom
a
subsidy
7
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
8
notwithstanding
section
225C.38,
subsection
2
,
the
department
9
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
10
of
funding
available.
11
Sec.
23.
2011
Iowa
Acts,
chapter
129,
section
132,
is
12
amended
to
read
as
follows:
13
SEC.
132.
CONNER
DECREE.
There
is
appropriated
from
the
14
general
fund
of
the
state
to
the
department
of
human
services
15
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
16
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
17
to
be
used
for
the
purpose
designated:
18
For
building
community
capacity
through
the
coordination
19
and
provision
of
training
opportunities
in
accordance
with
the
20
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
21
Iowa,
July
14,
1994):
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
23
33,622
24
Sec.
24.
2011
Iowa
Acts,
chapter
129,
section
133,
is
25
amended
to
read
as
follows:
26
SEC.
133.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
27
from
the
general
fund
of
the
state
to
the
department
of
human
28
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
29
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purposes
designated:
31
1.
For
the
state
mental
health
institute
at
Cherokee
for
32
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
33
for
not
more
than
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,938,654
35
-44-
LSB
5118HV
(3)
84
pf/jp
44/
64
H.F.
2435
5,403,188
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
2
The
amount
appropriated
in
this
subsection
reflects
a
3
reduction
in
expenditures
for
office
supplies,
purchases
4
of
equipment,
office
equipment,
printing
and
binding,
and
5
marketing
under
the
purview
of
the
mental
health
institute.
6
2.
For
the
state
mental
health
institute
at
Clarinda
for
7
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
8
for
not
more
than
the
following
full-time
equivalent
positions:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,205,867
10
6,391,085
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
12
The
amount
appropriated
in
this
subsection
reflects
a
13
reduction
in
expenditures
for
office
supplies,
purchases
14
of
equipment,
office
equipment,
printing
and
binding,
and
15
marketing
under
the
purview
of
the
mental
health
institute.
16
3.
For
the
state
mental
health
institute
at
Independence
for
17
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
18
for
not
more
than
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,137,842
20
9,609,993
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
22
The
amount
appropriated
in
this
subsection
reflects
a
23
reduction
of
$65,692
in
expenditures
for
office
supplies,
24
purchases
of
equipment,
office
equipment,
printing
and
25
binding,
and
marketing,
under
the
purview
of
the
mental
health
26
institute.
27
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
28
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
29
and
for
not
more
than
the
following
full-time
equivalent
30
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
472,161
32
885,459
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.72
34
The
amount
appropriated
in
this
subsection
reflects
a
35
-45-
LSB
5118HV
(3)
84
pf/jp
45/
64
H.F.
2435
reduction
in
expenditures
for
office
supplies,
purchases
1
of
equipment,
office
equipment,
printing
and
binding,
and
2
marketing,
under
the
purview
of
the
mental
health
institute.
3
Sec.
25.
2011
Iowa
Acts,
chapter
129,
section
134,
is
4
amended
to
read
as
follows:
5
SEC.
134.
STATE
RESOURCE
CENTERS.
6
1.
There
is
appropriated
from
the
general
fund
of
the
7
state
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
9
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purposes
designated:
11
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
12
support,
maintenance,
and
miscellaneous
purposes:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,253,900
14
18,281,340
15
The
amount
appropriated
in
this
paragraph
“a”
reflects
16
a
reduction
in
expenditures
for
office
supplies,
purchases
17
of
equipment,
office
equipment,
printing
and
binding,
and
18
marketing,
under
the
purview
of
the
resource
center.
19
b.
For
the
state
resource
center
at
Woodward
for
salaries,
20
support,
maintenance,
and
miscellaneous
purposes:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,392,829
22
12,642,680
23
The
amount
appropriated
in
this
paragraph
“b”
reflects
24
a
reduction
in
expenditures
for
office
supplies,
purchases
25
of
equipment,
office
equipment,
printing
and
binding,
and
26
marketing,
under
the
purview
of
the
resource
center.
27
2.
The
department
may
continue
to
bill
for
state
resource
28
center
services
utilizing
a
scope
of
services
approach
used
for
29
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
30
shift
costs
between
the
medical
assistance
program,
counties,
31
or
other
sources
of
funding
for
the
state
resource
centers.
32
3.
The
state
resource
centers
may
expand
the
time-limited
33
assessment
and
respite
services
during
the
fiscal
year.
34
4.
If
the
department’s
administration
and
the
department
35
-46-
LSB
5118HV
(3)
84
pf/jp
46/
64
H.F.
2435
of
management
concur
with
a
finding
by
a
state
resource
1
center’s
superintendent
that
projected
revenues
can
reasonably
2
be
expected
to
pay
the
salary
and
support
costs
for
a
new
3
employee
position,
or
that
such
costs
for
adding
a
particular
4
number
of
new
positions
for
the
fiscal
year
would
be
less
5
than
the
overtime
costs
if
new
positions
would
not
be
added,
6
the
superintendent
may
add
the
new
position
or
positions.
If
7
the
vacant
positions
available
to
a
resource
center
do
not
8
include
the
position
classification
desired
to
be
filled,
the
9
state
resource
center’s
superintendent
may
reclassify
any
10
vacant
position
as
necessary
to
fill
the
desired
position.
The
11
superintendents
of
the
state
resource
centers
may,
by
mutual
12
agreement,
pool
vacant
positions
and
position
classifications
13
during
the
course
of
the
fiscal
year
in
order
to
assist
one
14
another
in
filling
necessary
positions.
15
5.
If
existing
capacity
limitations
are
reached
in
16
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
17
a
special
need
for
which
a
payment
source
or
other
funding
18
is
available
for
the
service
or
to
address
the
special
need,
19
and
facilities
for
the
service
or
to
address
the
special
need
20
can
be
provided
within
the
available
payment
source
or
other
21
funding,
the
superintendent
of
a
state
resource
center
may
22
authorize
opening
not
more
than
two
units
or
other
facilities
23
and
begin
implementing
the
service
or
addressing
the
special
24
need
during
fiscal
year
2012-2013.
25
Sec.
26.
2011
Iowa
Acts,
chapter
129,
section
135,
is
26
amended
to
read
as
follows:
27
SEC.
135.
MI/MR/DD
STATE
CASES.
28
1.
There
is
appropriated
from
the
general
fund
of
the
29
state
to
the
department
of
human
services
for
the
fiscal
year
30
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
31
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purpose
designated:
33
For
distribution
to
counties
for
state
case
services
34
for
persons
with
mental
illness,
mental
retardation,
and
35
-47-
LSB
5118HV
(3)
84
pf/jp
47/
64
H.F.
2435
developmental
disabilities
in
accordance
with
section
331.440
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,084,741
2
11,150,820
3
2.
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
4
June
30,
2013,
$100,000
$200,000
is
allocated
for
state
case
5
services
from
the
amounts
appropriated
from
the
fund
created
6
in
section
8.41
to
the
department
of
human
services
from
the
7
funds
received
from
the
federal
government
under
42
U.S.C.
ch.
8
6A,
subch.
XVII,
relating
to
the
community
mental
health
center
9
block
grant,
for
the
federal
fiscal
years
beginning
October
10
1,
2010,
and
ending
September
30,
2011,
beginning
October
1,
11
2011,
and
ending
September
30,
2012,
and
beginning
October
1,
12
2012,
and
ending
September
30,
2013.
The
allocation
made
in
13
this
subsection
shall
be
made
prior
to
any
other
distribution
14
allocation
of
the
appropriated
federal
funds.
15
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
16
this
section
that
remain
unencumbered
or
unobligated
at
the
17
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
18
available
for
expenditure
for
the
purposes
designated
until
the
19
close
of
the
succeeding
fiscal
year.
20
Sec.
27.
2011
Iowa
Acts,
chapter
129,
section
137,
is
21
amended
to
read
as
follows:
22
SEC.
137.
SEXUALLY
VIOLENT
PREDATORS.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
26
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purpose
designated:
28
For
costs
associated
with
the
commitment
and
treatment
of
29
sexually
violent
predators
in
the
unit
located
at
the
state
30
mental
health
institute
at
Cherokee,
including
costs
of
legal
31
services
and
other
associated
costs,
including
salaries,
32
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
33
more
than
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,775,363
35
-48-
LSB
5118HV
(3)
84
pf/jp
48/
64
H.F.
2435
8,399,686
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
2
The
amount
appropriated
in
this
subsection
reflects
a
3
reduction
in
expenditures
for
office
supplies,
purchases
4
of
equipment,
office
equipment,
printing
and
binding,
and
5
marketing,
under
the
purview
of
the
unit.
6
2.
Unless
specifically
prohibited
by
law,
if
the
amount
7
charged
provides
for
recoupment
of
at
least
the
entire
amount
8
of
direct
and
indirect
costs,
the
department
of
human
services
9
may
contract
with
other
states
to
provide
care
and
treatment
10
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
11
violent
predators
at
Cherokee.
The
moneys
received
under
12
such
a
contract
shall
be
considered
to
be
repayment
receipts
13
and
used
for
the
purposes
of
the
appropriation
made
in
this
14
section.
15
Sec.
28.
2011
Iowa
Acts,
chapter
129,
section
138,
is
16
amended
to
read
as
follows:
17
SEC.
138.
FIELD
OPERATIONS.
There
is
appropriated
from
the
18
general
fund
of
the
state
to
the
department
of
human
services
19
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
20
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
21
to
be
used
for
the
purposes
designated:
22
For
field
operations,
including
salaries,
support,
23
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
24
the
following
full-time
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,394,960
26
53,852,947
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
28
Priority
in
filling
full-time
equivalent
positions
shall
be
29
given
to
those
positions
related
to
child
protection
services
30
and
eligibility
determination
for
low-income
families.
31
Notwithstanding
section
8.33,
moneys
appropriated
in
this
32
section
that
remain
unencumbered
or
unobligated
at
the
close
of
33
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
34
expenditure
for
the
purposes
designated
until
the
close
of
the
35
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64
H.F.
2435
succeeding
fiscal
year.
1
The
amount
appropriated
in
this
section
reflects
a
reduction
2
in
expenditures
for
office
supplies,
purchases
of
equipment,
3
office
equipment,
printing
and
binding,
and
marketing,
under
4
the
purview
of
the
department.
5
Sec.
29.
2011
Iowa
Acts,
chapter
129,
section
140,
is
6
amended
to
read
as
follows:
7
SEC.
140.
VOLUNTEERS.
There
is
appropriated
from
the
8
general
fund
of
the
state
to
the
department
of
human
services
9
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
10
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
11
to
be
used
for
the
purpose
designated:
12
For
development
and
coordination
of
volunteer
services:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
14
84,660
15
PROVIDER
REIMBURSEMENT
——
NURSING
FACILITIES
16
Sec.
30.
2011
Iowa
Acts,
chapter
129,
section
141,
17
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
to
read
18
as
follows:
19
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
total
20
state
funding
amount
for
the
nursing
facility
budget
shall
not
21
exceed
$225,457,724
$237,226,901
.
22
PROVIDER
REIMBURSEMENT
——
PHARMACY,
PMIC,
AND
HCBS
WAIVER
23
Sec.
31.
2011
Iowa
Acts,
chapter
129,
subsection
1,
24
paragraphs
b,
i,
and
q,
are
amended
to
read
as
follows:
25
b.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
26
department
shall
reimburse
pharmacy
dispensing
fees
using
a
27
single
rate
of
$4.34
$11.10
per
prescription
or
the
pharmacy’s
28
usual
and
customary
fee,
whichever
is
lower.
However,
29
the
department
shall
adjust
the
dispensing
fee
specified
30
in
this
paragraph
to
distribute
an
additional
$2,981,980
31
in
reimbursements
for
pharmacy
dispensing
fees
under
this
32
paragraph
for
the
fiscal
year.
33
(2)
The
department
shall
implement
an
average
acquisition
34
cost
reimbursement
methodology
for
all
drugs
covered
under
the
35
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medical
assistance
program.
The
methodology
shall
utilize
a
1
survey
of
pharmacy
invoices
in
determining
the
reimbursement.
2
Pharmacies
and
providers
that
are
enrolled
in
the
medical
3
assistance
program
shall
make
available
drug
acquisition
cost
4
information,
product
availability
information,
and
other
5
information
deemed
necessary
by
the
department
to
assist
the
6
department
in
monitoring
and
revising
reimbursement
rates
and
7
for
efficient
operation
of
the
pharmacy
benefit.
8
(a)
A
pharmacy
or
provider
shall
produce
and
submit
the
9
requested
information
in
the
manner
and
format
requested
by
the
10
department
or
its
designee
at
no
cost
to
the
department
or
its
11
designee.
12
(b)
A
pharmacy
or
provider
shall
submit
information
to
the
13
department
or
its
designee
within
the
time
frame
indicated
14
following
receipt
of
a
request
for
information
unless
the
15
department
or
its
designee
grants
an
extension
upon
written
16
request
of
the
pharmacy
or
provider.
17
i.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
18
state-owned
psychiatric
medical
institutions
for
children
shall
19
receive
cost-based
reimbursement
for
100
percent
of
the
actual
20
and
allowable
costs
for
the
provision
of
services
to
recipients
21
of
medical
assistance.
22
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
23
for
children,
reimbursement
rates
shall
be
based
on
the
24
reimbursement
methodology
developed
by
the
department
as
25
required
for
federal
compliance.
26
(3)
As
a
condition
of
participation
in
the
medical
27
assistance
program,
enrolled
providers
shall
accept
the
medical
28
assistance
reimbursement
rate
for
any
covered
goods
or
services
29
provided
to
recipients
of
medical
assistance
who
are
children
30
under
the
custody
of
a
psychiatric
medical
institution
for
31
children.
32
q.
For
the
fiscal
year
beginning
July
1,
2012,
the
33
department
shall
adjust
the
rates
in
effect
on
June
30,
2012,
34
reimbursement
rate
for
providers
of
home
and
community-based
35
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services
waiver
services
to
distribute
an
additional
$1,500,000
1
in
reimbursements
to
such
providers
for
the
fiscal
year
shall
2
remain
at
the
rate
in
effect
on
June
30,
2012
.
3
DIVISION
V
4
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
5
IOWACARE
ACCOUNT,
NONPARTICIPATING
PROVIDER
6
REIMBURSEMENT
FUND,
HEALTH
CARE
TRANSFORMATION
ACCOUNT,
7
MEDICAID
FRAUD
FUND,
QUALITY
ASSURANCE
TRUST
FUND,
8
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
9
Sec.
32.
2011
Iowa
Acts,
chapter
129,
section
145,
is
10
amended
to
read
as
follows:
11
SEC.
145.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
12
appropriated
from
the
pharmaceutical
settlement
account
created
13
in
section
249A.33
to
the
department
of
human
services
for
the
14
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
15
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
16
used
for
the
purpose
designated:
17
Notwithstanding
any
provision
of
law
to
the
contrary,
to
18
supplement
the
appropriations
made
in
this
Act
for
medical
19
contracts
under
the
medical
assistance
program
for
the
fiscal
20
year
beginning
July
1,
2012,
and
ending
June
30,
2013
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,716,807
22
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT
23
Sec.
33.
2011
Iowa
Acts,
chapter
129,
section
146,
24
subsections
2,
4,
and
5,
are
amended
to
read
as
follows:
25
2.
There
is
appropriated
from
the
IowaCare
account
26
created
in
section
249J.24
to
the
state
board
of
regents
for
27
distribution
to
the
university
of
Iowa
hospitals
and
clinics
28
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
29
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
30
to
be
used
for
the
purposes
designated:
31
For
salaries,
support,
maintenance,
equipment,
and
32
miscellaneous
purposes,
for
the
provision
of
medical
and
33
surgical
treatment
of
indigent
patients,
for
provision
of
34
services
to
members
of
the
expansion
population
pursuant
to
35
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chapter
249J
,
and
for
medical
education:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
2
45,654,133
3
Notwithstanding
any
provision
of
law
to
the
contrary,
the
4
amount
appropriated
in
this
subsection
shall
be
distributed
5
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
6
Medicaid
enterprise.
7
4.
There
is
appropriated
from
the
IowaCare
account
created
8
in
section
249J.24
to
the
department
of
human
services
for
the
9
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
10
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
11
used
for
the
purposes
designated:
12
For
distribution
to
a
publicly
owned
acute
care
teaching
13
hospital
located
in
a
county
with
a
population
over
350,000
for
14
the
provision
of
medical
and
surgical
treatment
of
indigent
15
patients,
for
provision
of
services
to
members
of
the
expansion
16
population
pursuant
to
chapter
249J
,
and
for
medical
education:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
18
69,000,000
19
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
20
the
amount
appropriated
in
this
subsection
shall
be
distributed
21
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
22
Medicaid
enterprise
plus
a
monthly
disproportionate
share
23
hospital
payment.
Any
amount
appropriated
in
this
subsection
24
in
excess
of
$60,000,000
shall
be
distributed
only
if
the
sum
25
of
the
expansion
population
claims
adjudicated
and
paid
by
the
26
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
27
share
hospital
payments
exceeds
$60,000,000.
The
amount
paid
28
in
excess
of
$60,000,000
shall
not
adjust
the
original
monthly
29
payment
amount
but
shall
be
distributed
monthly
based
on
actual
30
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
31
plus
the
estimated
disproportionate
share
hospital
amount.
Any
32
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
33
shall
be
allocated
only
if
federal
funds
are
available
to
match
34
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
35
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appropriated
in
this
subsection,
not
more
than
$4,000,000
1
shall
be
distributed
for
prescription
drugs
,
and
podiatry
,
and
2
optometric
services.
3
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
4
hospital
identified
in
this
subsection,
shall
be
reimbursed
for
5
outpatient
prescription
drugs
and
podiatry
services
provided
to
6
members
of
the
expansion
population
pursuant
to
all
applicable
7
medical
assistance
program
rules,
in
an
amount
not
to
exceed
8
$4,000,000.
9
c.
Notwithstanding
the
total
amount
of
proceeds
distributed
10
pursuant
to
section
249J.24,
subsection
4
,
paragraph
“a”,
11
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
12
1,
2012,
and
ending
June
30,
2013,
the
county
treasurer
of
a
13
county
with
a
population
of
over
350,000
in
which
a
publicly
14
owned
acute
care
teaching
hospital
is
located
shall
distribute
15
the
proceeds
collected
pursuant
to
section
347.7
in
a
total
16
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
17
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
18
the
IowaCare
account.
19
d.
(1)
Notwithstanding
the
amount
collected
and
20
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
21
section
249J.24,
subsection
4
,
paragraph
“a”,
subparagraph
22
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
23
section
347.7
between
July
1,
2012,
and
December
31,
2012,
24
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
25
the
IowaCare
account
and
collections
during
this
time
period
26
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
27
care
teaching
hospital
identified
in
this
subsection.
Of
the
28
collections
in
excess
of
the
$19,000,000
received
by
the
acute
29
care
teaching
hospital
under
this
subparagraph
(1),
$2,000,000
30
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
31
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
32
month
of
January
2013,
following
the
July
1
through
December
33
31,
2012,
period.
34
(2)
Notwithstanding
the
amount
collected
and
distributed
35
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for
deposit
in
the
IowaCare
account
pursuant
to
section
1
249J.24,
subsection
4
,
paragraph
“a”,
subparagraph
(2),
2
the
first
$19,000,000
in
collections
pursuant
to
section
3
347.7
between
January
1,
2013,
and
June
30,
2013,
shall
be
4
distributed
to
the
treasurer
of
state
for
deposit
in
the
5
IowaCare
account
and
collections
during
this
time
period
in
6
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
7
teaching
hospital
identified
in
this
subsection.
Of
the
8
collections
in
excess
of
the
$19,000,000
received
by
the
acute
9
care
teaching
hospital
under
this
subparagraph
(2),
$2,000,000
10
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
11
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
12
month
of
July
2013,
following
the
January
1
through
June
30,
13
2013,
period.
14
5.
There
is
appropriated
from
the
IowaCare
account
created
15
in
section
249J.24
to
the
department
of
human
services
for
the
16
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
17
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
18
used
for
the
purpose
designated:
19
For
payment
to
the
regional
provider
network
specified
20
by
the
department
pursuant
to
section
249J.7
for
provision
21
of
covered
services
to
members
of
the
expansion
population
22
pursuant
to
chapter
249J
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
24
4,986,366
25
Notwithstanding
any
provision
of
law
to
the
contrary,
the
26
amount
appropriated
in
this
subsection
shall
be
distributed
27
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
28
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
29
this
subsection
has
been
distributed,
claims
shall
continue
to
30
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
31
however,
no
payment
shall
be
made
based
upon
such
claims.
32
Sec.
34.
2011
Iowa
Acts,
chapter
129,
section
148,
is
33
amended
to
read
as
follows:
34
SEC.
148.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
35
-55-
LSB
5118HV
(3)
84
pf/jp
55/
64
H.F.
2435
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
1
Notwithstanding
any
provision
to
the
contrary,
there
is
2
appropriated
from
the
account
for
health
care
transformation
3
created
in
section
249J.23
to
the
department
of
human
services
4
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
5
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
6
necessary,
to
be
used
for
the
purposes
designated:
7
1.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
8
expansion
population
as
provided
in
section
249J.6
:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
10
100,000
11
2.
For
other
health
promotion
partnership
activities
12
pursuant
to
section
249J.14
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
300,000
14
3.
For
the
costs
related
to
audits,
performance
15
evaluations,
and
studies
required
pursuant
to
chapter
249J
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
17
125,000
18
4.
For
administrative
costs
associated
with
chapter
249J
:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
566,206
20
1,132,412
21
5.
For
planning
and
development,
in
cooperation
with
the
22
department
of
public
health,
of
a
phased-in
program
to
provide
23
a
dental
home
for
children
in
accordance
with
section
249J.14
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
25
1,000,000
26
6.
For
continuation
of
the
establishment
of
the
tuition
27
assistance
for
individuals
serving
individuals
with
28
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
29
chapter
1187,
section
130:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
31
50,000
32
7.
For
medical
contracts:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
34
2,400,000
35
-56-
LSB
5118HV
(3)
84
pf/jp
56/
64
H.F.
2435
8.
For
payment
to
the
publicly
owned
acute
care
teaching
1
hospital
located
in
a
county
with
a
population
of
over
350,000
2
that
is
a
participating
provider
pursuant
to
chapter
249J
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
145,000
4
290,000
5
Disbursements
under
this
subsection
shall
be
made
monthly.
6
The
hospital
shall
submit
a
report
following
the
close
of
the
7
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
8
subsection
to
the
persons
specified
in
this
Act
to
receive
9
reports.
10
9.
For
transfer
to
the
department
of
public
health
to
be
11
used
for
the
costs
of
medical
home
system
advisory
council
12
established
pursuant
to
section
135.159
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,679
14
10.
For
continued
implementation
of
a
uniform
cost
report:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
16
150,000
17
11.
For
continued
implementation
of
an
electronic
medical
18
records
system:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
20
100,000
21
Notwithstanding
section
8.33
,
funds
allocated
in
this
22
subsection
that
remain
unencumbered
or
unobligated
at
the
close
23
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
24
in
succeeding
fiscal
years
to
be
used
for
the
purposes
25
designated.
26
12.
For
transfer
to
the
department
of
public
health
to
27
support
the
department’s
activities
relating
to
health
and
28
long-term
care
access
as
specified
pursuant
to
chapter
135,
29
division
XXIV
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,107
31
13.
For
continuation
of
an
accountable
care
organization
32
pilot
project:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
34
15.
For
transfer
to
the
department
of
public
health
to
35
-57-
LSB
5118HV
(3)
84
pf/jp
57/
64
H.F.
2435
be
used
as
state
matching
funds
for
the
health
information
1
technology
system
developed
by
the
department
of
public
health:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
181,993
3
363,987
4
16.
To
supplement
the
appropriation
for
medical
assistance:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,956,245
6
Notwithstanding
section
8.39,
subsection
1
,
without
the
7
prior
written
consent
and
approval
of
the
governor
and
the
8
director
of
the
department
of
management,
the
director
of
human
9
services
may
transfer
funds
among
the
appropriations
made
in
10
this
section
as
necessary
to
carry
out
the
purposes
of
the
11
account
for
health
care
transformation.
The
department
shall
12
report
any
transfers
made
pursuant
to
this
section
to
the
13
legislative
services
agency.
14
Sec.
35.
2011
Iowa
Acts,
chapter
129,
section
151,
is
15
amended
to
read
as
follows:
16
SEC.
151.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
17
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
18
and
subject
to
the
availability
of
funds,
there
is
appropriated
19
from
the
quality
assurance
trust
fund
created
in
section
20
249L.4
to
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
22
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
23
designated:
24
To
supplement
the
appropriation
made
in
this
Act
from
the
25
general
fund
of
the
state
to
the
department
of
human
services
26
for
medical
assistance:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
28
26,500,000
29
Sec.
36.
2011
Iowa
Acts,
chapter
129,
section
152,
is
30
amended
to
read
as
follows:
31
SEC.
152.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
32
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
33
the
contrary
and
subject
to
the
availability
of
funds,
there
is
34
appropriated
from
the
hospital
health
care
access
trust
fund
35
-58-
LSB
5118HV
(3)
84
pf/jp
58/
64
H.F.
2435
created
in
section
249M.4
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
2
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
3
necessary,
for
the
purposes
designated:
4
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
5
general
fund
of
the
state
to
the
department
of
human
services
6
for
medical
assistance:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
8
33,898,400
9
2.
For
deposit
in
the
nonparticipating
provider
10
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
11
the
purposes
of
the
fund:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
13
801,600
14
Sec.
37.
REPEAL.
2011
Iowa
Acts,
chapter
129,
sections
149
15
and
150,
are
repealed.
16
DIVISION
VI
17
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
18
CONTINGENCY
FUND
19
Sec.
38.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
20
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
OF
FUNDS
21
——
FY
2012-2013.
Of
the
moneys
received
from
the
federal
22
government
through
the
child
enrollment
contingency
fund
23
established
pursuant
to
section
103
of
the
federal
Children’s
24
Health
Insurance
Program
Reauthorization
Act
of
2009,
Pub.
L.
25
No.
111-3,
there
is
appropriated
to
the
department
of
human
26
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
27
June
30,
2013,
the
following
amount
to
be
used
in
addition
to
28
any
other
amounts
appropriated
for
the
same
purposes
for
the
29
fiscal
year
as
follows:
30
For
technical
assistance
for
mental
health
redesign
efforts:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
32
DIVISION
VII
33
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
34
Sec.
39.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN.
35
-59-
LSB
5118HV
(3)
84
pf/jp
59/
64
H.F.
2435
There
is
appropriated
from
the
general
fund
of
the
state
to
1
the
department
of
human
services
for
the
fiscal
year
beginning
2
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
3
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
4
designated:
5
To
be
used
as
provided
in
additional
enactments
by
the
6
Eighty-fourth
General
Assembly,
2012
Session,
for
redesign
of
7
county-based
adult
mental
health
and
disability
services:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
30,000,000
9
DIVISION
VIII
10
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
11
Sec.
40.
2011
Iowa
Acts,
chapter
129,
section
3,
subsection
12
2,
is
amended
by
adding
the
following
new
paragraph:
13
NEW
PARAGRAPH
.
e.
The
funds
appropriated
in
this
subsection
14
to
the
Iowa
veterans
home
that
remain
available
for
expenditure
15
for
the
succeeding
fiscal
year
pursuant
to
section
35D.18,
16
subsection
5,
shall
be
distributed
to
be
used
in
the
succeeding
17
fiscal
year
in
accordance
with
this
lettered
paragraph.
The
18
first
$500,000
shall
remain
available
to
be
used
for
the
19
purposes
of
the
Iowa
veterans
home.
On
or
before
October
15,
20
2012,
the
department
of
management
shall
transfer
the
remaining
21
balance
to
the
appropriation
for
the
fiscal
year
from
the
22
general
fund
of
the
state
to
the
department
of
human
services
23
for
medical
assistance.
24
Sec.
41.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
25
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
26
enactment.
27
DIVISION
IX
28
MISCELLANEOUS
29
Sec.
42.
Section
97B.39,
Code
2011,
is
amended
to
read
as
30
follows:
31
97B.39
Rights
not
transferable
or
subject
to
legal
process
32
——
exceptions.
33
The
right
of
any
person
to
any
future
payment
under
this
34
chapter
is
not
transferable
or
assignable,
at
law
or
in
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equity,
and
the
moneys
paid
or
payable
or
rights
existing
1
under
this
chapter
are
not
subject
to
execution,
levy,
2
attachment,
garnishment,
or
other
legal
process,
or
to
the
3
operation
of
any
bankruptcy
or
insolvency
law
except
for
the
4
purposes
of
enforcing
child,
spousal,
or
medical
support
5
obligations
or
marital
property
orders
,
or
for
recovery
of
6
medical
assistance
payments
pursuant
to
section
249A.5
.
For
7
the
purposes
of
enforcing
child,
spousal,
or
medical
support
8
obligations,
the
garnishment
or
attachment
of
or
the
execution
9
against
compensation
due
a
person
under
this
chapter
shall
10
not
exceed
the
amount
specified
in
15
U.S.C.
§
1673(b).
11
The
system
shall
comply
with
the
provisions
of
a
marital
12
property
order
requiring
the
selection
of
a
particular
benefit
13
option,
designated
beneficiary,
or
contingent
annuitant
if
14
the
selection
is
otherwise
authorized
by
this
chapter
and
15
the
member
has
not
received
payment
of
the
member’s
first
16
retirement
allowance.
However,
a
marital
property
order
shall
17
not
require
the
payment
of
benefits
to
an
alternative
payee
18
prior
to
the
member’s
retirement,
prior
to
the
date
the
member
19
elects
to
receive
a
lump
sum
distribution
of
accumulated
20
contributions
pursuant
to
section
97B.53
,
or
in
an
amount
that
21
exceeds
the
benefits
the
member
would
otherwise
be
eligible
to
22
receive
pursuant
to
this
chapter
.
23
Sec.
43.
CIVIL
MONETARY
PENALTIES
——
DIRECT
CARE
WORKERS
24
TASK
FORCE.
Of
the
funds
received
by
the
department
of
human
25
services
through
federal
civil
monetary
penalties
from
nursing
26
facilities,
during
the
fiscal
year
beginning
July
1,
2012,
and
27
ending
June
30,
2013,
$149,000
shall
be
used
for
continued
28
implementation
of
the
recommendations
of
the
direct
care
worker
29
task
force
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
30
based
upon
the
report
submitted
to
the
governor
and
the
general
31
assembly
in
December
2006.
32
EXPLANATION
33
This
bill
relates
to
appropriations
for
health
and
human
34
services
for
fiscal
year
2012-2013
to
the
department
of
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veterans
affairs,
the
Iowa
veterans
home,
the
department
on
1
aging,
the
department
of
public
health,
Iowa
finance
authority,
2
state
board
of
regents,
department
of
inspections
and
appeals,
3
and
the
department
of
human
services.
The
appropriations
were
4
previously
enacted
in
2011
Iowa
Acts,
chapter
129
(H.F.
649).
5
The
bill
is
organized
into
divisions.
6
DEPARTMENT
ON
AGING.
This
division
amends
appropriations
7
made
from
the
general
fund
of
the
state
for
the
department
on
8
aging.
9
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
amends
10
appropriations
made
from
the
general
fund
of
the
state
for
the
11
department
of
public
health.
12
DEPARTMENT
OF
VETERANS
AFFAIRS.
This
division
amends
13
appropriations
made
from
the
general
fund
of
the
state
for
the
14
department
of
veterans
affairs.
15
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
amends
16
appropriations
made
from
the
general
fund
of
the
state
and
the
17
federal
temporary
assistance
for
needy
families
block
grant
to
18
the
department
of
human
services
(DHS).
The
allocation
for
the
19
family
development
and
self-sufficiency
grant
program
is
made
20
directly
to
the
department
of
human
rights.
21
Appropriations
are
made
from
the
health
care
trust
fund
for
22
the
medical
assistance
(Medicaid)
program
in
addition
to
the
23
general
fund
appropriations
made
for
this
purpose.
24
The
reimbursement
section
addresses
reimbursement
for
25
providers
reimbursed
by
the
department
of
human
services.
26
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
IOWACARE
ACCOUNT,
27
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND,
HEALTH
CARE
28
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
FUND,
QUALITY
ASSURANCE
29
TRUST
FUND,
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND.
This
30
division
amends
appropriations
made
for
fiscal
year
2012-2013.
31
The
appropriation
from
the
pharmaceutical
settlement
account
32
to
the
department
of
human
services
supplements
the
Medicaid
33
program
medical
contracts
appropriation.
34
The
appropriations
from
the
IowaCare
account
are
made
to
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the
state
board
of
regents
for
distribution
to
the
university
1
of
Iowa
hospitals
and
clinics
and
to
the
department
of
human
2
services
for
distribution
to
a
publicly
owned
acute
care
3
teaching
hospital
in
a
county
with
a
population
over
350,000
4
related
to
the
IowaCare
program
and
indigent
care.
5
The
appropriation
from
the
nonparticipating
provider
6
reimbursement
fund
is
made
to
the
department
of
human
services
7
to
reimburse
nonparticipating
providers
under
the
IowaCare
8
program.
9
The
appropriations
to
the
department
of
human
services
from
10
the
account
for
health
care
transformation
are
directed
to
11
various
health
care
reform
initiatives.
12
The
appropriations
from
the
Medicaid
fraud
fund
made
to
the
13
department
of
inspections
and
appeals
for
costs
relating
to
14
assisted
living
programs
and
adult
day
care
services
and
to
the
15
department
of
human
services
for
the
Medicaid
program
in
2011
16
Iowa
Acts,
chapter
129,
sections
149
and
150,
are
repealed.
17
The
appropriations
made
to
supplement
the
Medicaid
program
18
are
from
the
following
funds
and
account:
quality
assurance
19
trust
fund
and
hospital
health
care
access
trust
fund.
20
The
division
provides
that
if
the
total
amounts
appropriated
21
from
all
sources
for
the
medical
assistance
program
for
fiscal
22
year
2012-2013
exceed
the
amount
needed,
the
excess
remains
23
available
to
be
used
for
the
program
in
the
succeeding
fiscal
24
year.
25
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
26
CONTINGENCY
FUND.
This
division
appropriates
funds
from
27
moneys
received
from
the
federal
government
through
the
child
28
enrollment
contingency
fund
to
the
department
of
human
services
29
to
be
used
for
technical
assistance
for
mental
health
redesign
30
efforts.
31
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN.
This
32
division
makes
an
appropriation
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
FY
2012-2013
34
to
be
used
as
provided
in
additional
enactments
made
by
the
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general
assembly
for
redesign
of
county-based
adult
mental
1
health
and
disability
services.
2
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES.
This
division
3
amends
previously
enacted
appropriations
related-provisions.
4
This
division
takes
effect
upon
enactment.
5
MISCELLANEOUS.
This
division
amends
Code
section
97B.39,
6
relating
to
Iowa
public
employees’
retirement
system
(IPERS)
7
payments,
to
include
recovery
of
Medicaid
program
payments
8
related
to
estate
recovery
in
the
list
of
exceptions
that
9
allows
IPERS
payments
to
be
subject
to
execution,
levy,
10
attachment,
garnishment,
or
other
legal
process,
or
to
the
11
operation
of
bankruptcy
or
insolvency
law.
12
The
division
also
provides
that
a
portion
of
the
funds
13
received
by
the
department
of
human
services
through
federal
14
civil
monetary
penalties
from
nursing
facilities
is
to
be
used
15
for
continued
implementation
of
the
direct
care
worker
task
16
force.
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