Senate
Study
Bill
1218
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
APPROPRIATIONS
BILL
BY
CHAIRPERSON
DVORSKY)
A
BILL
FOR
An
Act
relating
to
and
making
appropriations
for
health
and
1
human
services
and
including
other
related
provisions,
2
providing
penalties,
and
including
effective,
retroactive,
3
and
applicability
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2011-2012
2
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
3
the
general
fund
of
the
state
to
the
department
on
aging
for
4
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
5
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
6
to
be
used
for
the
purposes
designated:
7
For
aging
programs
for
the
department
on
aging
and
area
8
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
9
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
10
aging
and
disabilities
resource
center,
and
other
services
11
which
may
include
but
are
not
limited
to
adult
day
services,
12
respite
care,
chore
services,
information
and
assistance,
13
and
material
aid,
for
information
and
options
counseling
for
14
persons
with
disabilities
who
are
18
years
of
age
or
older,
15
and
for
salaries,
support,
administration,
maintenance,
and
16
miscellaneous
purposes,
and
for
not
more
than
the
following
17
full-time
equivalent
positions:
18
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$
10,302,577
19
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FTEs
35.00
20
1.
Funds
appropriated
in
this
section
may
be
used
to
21
supplement
federal
funds
under
federal
regulations.
To
22
receive
funds
appropriated
in
this
section,
a
local
area
23
agency
on
aging
shall
match
the
funds
with
moneys
from
other
24
sources
according
to
rules
adopted
by
the
department.
Funds
25
appropriated
in
this
section
may
be
used
for
elderly
services
26
not
specifically
enumerated
in
this
section
only
if
approved
27
by
an
area
agency
on
aging
for
provision
of
the
service
within
28
the
area.
29
2.
The
amount
appropriated
in
this
section
includes
30
additional
funding
of
$450,000
for
delivery
of
long-term
care
31
services
to
seniors
with
low
or
moderate
incomes.
32
3.
Of
the
funds
appropriated
in
this
section,
$179,946
shall
33
be
transferred
to
the
department
of
economic
development
for
34
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
35
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retired
and
senior
volunteer
program.
1
4.
a.
The
department
on
aging
shall
establish
and
enforce
2
procedures
relating
to
expenditure
of
state
and
federal
funds
3
by
area
agencies
on
aging
that
require
compliance
with
both
4
state
and
federal
laws,
rules,
and
regulations,
including
but
5
not
limited
to
all
of
the
following:
6
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
7
or
services
received
or
performed
prior
to
the
end
of
the
8
fiscal
period
designated
for
use
of
the
funds.
9
(2)
Prohibiting
prepayment
for
goods
or
services
not
10
received
or
performed
prior
to
the
end
of
the
fiscal
period
11
designated
for
use
of
the
funds.
12
(3)
Prohibiting
the
prepayment
for
goods
or
services
13
not
defined
specifically
by
good
or
service,
time
period,
or
14
recipient.
15
(4)
Prohibiting
the
establishment
of
accounts
from
which
16
future
goods
or
services
which
are
not
defined
specifically
by
17
good
or
service,
time
period,
or
recipient,
may
be
purchased.
18
b.
The
procedures
shall
provide
that
if
any
funds
are
19
expended
in
a
manner
that
is
not
in
compliance
with
the
20
procedures
and
applicable
federal
and
state
laws,
rules,
and
21
regulations,
and
are
subsequently
subject
to
repayment,
the
22
area
agency
on
aging
expending
such
funds
in
contravention
of
23
such
procedures,
laws,
rules
and
regulations,
not
the
state,
24
shall
be
liable
for
such
repayment.
25
DIVISION
II
26
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2011-2012
27
Sec.
2.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
28
from
the
general
fund
of
the
state
to
the
department
of
public
29
health
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
30
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purposes
designated:
32
1.
ADDICTIVE
DISORDERS
33
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
34
other
drugs,
and
treating
individuals
affected
by
addictive
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behaviors,
including
gambling,
and
for
not
more
than
the
1
following
full-time
equivalent
positions:
2
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.
$
24,603,190
3
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FTEs
13.00
4
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
5
$4,353,830
shall
be
used
for
the
tobacco
use
prevention
and
6
control
initiative,
including
efforts
at
the
state
and
local
7
levels,
as
provided
in
chapter
142A.
8
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$453,830
9
shall
be
transferred
to
the
alcoholic
beverages
division
of
10
the
department
of
commerce
for
enforcement
of
tobacco
laws,
11
regulations,
and
ordinances
in
accordance
with
2011
Iowa
Acts,
12
House
File
467,
as
enacted.
13
b.
Of
the
funds
appropriated
in
this
subsection,
14
$20,249,360
shall
be
used
for
problem
gambling
and
substance
15
abuse
prevention,
treatment,
and
recovery
services,
including
a
16
24-hour
helpline,
public
information
resources,
professional
17
training,
and
program
evaluation.
18
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
19
$17,132,508
shall
be
used
for
substance
abuse
prevention
and
20
treatment.
21
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
22
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
23
program
to
provide
substance
abuse
prevention
programming
for
24
children.
25
(i)
Of
the
funds
allocated
in
this
subparagraph
division
26
(a),
$427,539
shall
be
used
for
grant
funding
for
organizations
27
that
provide
programming
for
children
by
utilizing
mentors.
28
Programs
approved
for
such
grants
shall
be
certified
or
will
29
be
certified
within
six
months
of
receiving
the
grant
award
30
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
31
standards
for
effective
practice
for
mentoring
programs.
32
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
33
(a),
$426,839
shall
be
used
for
grant
funding
for
organizations
34
that
provide
programming
that
includes
youth
development
and
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leadership.
The
programs
shall
also
be
recognized
as
being
1
programs
that
are
scientifically
based
with
evidence
of
their
2
effectiveness
in
reducing
substance
abuse
in
children.
3
(iii)
The
department
of
public
health
shall
utilize
a
4
request
for
proposals
process
to
implement
the
grant
program.
5
(iv)
All
grant
recipients
shall
participate
in
a
program
6
evaluation
as
a
requirement
for
receiving
grant
funds.
7
(v)
Of
the
funds
allocated
in
this
subparagraph
division
8
(a),
up
to
$44,922
may
be
used
to
administer
substance
abuse
9
prevention
grants
and
for
program
evaluations.
10
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
11
$273,062
shall
be
used
for
culturally
competent
substance
abuse
12
treatment
pilot
projects.
13
(i)
The
department
shall
utilize
the
amount
allocated
14
in
this
subparagraph
division
(b)
for
at
least
three
pilot
15
projects
to
provide
culturally
competent
substance
abuse
16
treatment
in
various
areas
of
the
state.
Each
pilot
project
17
shall
target
a
particular
ethnic
minority
population.
The
18
populations
targeted
shall
include
but
are
not
limited
to
19
African
American,
Asian,
and
Latino.
20
(ii)
The
pilot
project
requirements
shall
provide
for
21
documentation
or
other
means
to
ensure
access
to
the
cultural
22
competence
approach
used
by
a
pilot
project
so
that
such
23
approach
can
be
replicated
and
improved
upon
in
successor
24
programs.
25
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
26
to
$3,116,852
may
be
used
for
problem
gambling
prevention,
27
treatment,
and
recovery
services.
28
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
29
$2,579,000
shall
be
used
for
problem
gambling
prevention
and
30
treatment.
31
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
32
$437,852
may
be
used
for
a
24-hour
helpline,
public
information
33
resources,
professional
training,
and
program
evaluation.
34
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
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to
$100,000
may
be
used
for
the
licensing
of
problem
gambling
1
treatment
programs.
2
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
3
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
4
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
5
given
priority
in
treatment
services.
6
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
7
to
standardize
the
availability,
delivery,
cost
of
delivery,
8
and
accountability
of
problem
gambling
and
substance
abuse
9
treatment
services
statewide,
the
department
shall
continue
10
implementation
of
a
process
to
create
a
system
for
delivery
11
of
treatment
services
in
accordance
with
the
requirements
12
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
13
subsection
4.
To
ensure
the
system
provides
a
continuum
of
14
treatment
services
that
best
meets
the
needs
of
Iowans,
the
15
problem
gambling
and
substance
abuse
treatment
services
in
any
16
area
may
be
provided
either
by
a
single
agency
or
by
separate
17
agencies
submitting
a
joint
proposal.
18
(1)
The
system
for
delivery
of
substance
abuse
and
19
problem
gambling
treatment
shall
include
problem
gambling
20
prevention
by
July
1,
2012.
The
department
shall
submit
a
21
proposed
legislative
bill
in
accordance
with
section
2.16,
for
22
consideration
during
the
2012
legislative
session,
addressing
23
any
statutory
revisions
necessary
for
full
implementation
of
24
the
system.
25
(2)
The
system
for
delivery
of
substance
abuse
and
problem
26
gambling
treatment
shall
include
substance
abuse
prevention
by
27
July
1,
2014.
28
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
29
may
use
up
to
$100,000
for
administrative
costs
to
continue
30
developing
and
implementing
the
process
in
accordance
with
this
31
paragraph
“c”.
32
d.
The
requirement
of
section
123.53,
subsection
5,
is
met
33
by
the
appropriations
and
allocations
made
in
this
Act
for
34
purposes
of
substance
abuse
treatment
and
addictive
disorders
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for
the
fiscal
year
beginning
July
1,
2011.
1
e.
The
department
of
public
health
shall
work
with
all
other
2
departments
that
fund
substance
abuse
prevention
and
treatment
3
services
and
all
such
departments
shall,
to
the
extent
4
necessary,
collectively
meet
the
state
maintenance
of
effort
5
requirements
for
expenditures
for
substance
abuse
services
6
as
required
under
the
federal
substance
abuse
prevention
and
7
treatment
block
grant.
8
f.
The
department
shall
amend
or
otherwise
revise
9
departmental
policies
and
contract
provisions
in
order
to
10
eliminate
free
t-shirt
distribution,
banner
production,
and
11
other
unnecessary
promotional
expenditures.
12
2.
HEALTHY
CHILDREN
AND
FAMILIES
13
For
promoting
the
optimum
health
status
for
children,
14
adolescents
from
birth
through
21
years
of
age,
and
families,
15
and
for
not
more
than
the
following
full-time
equivalent
16
positions:
17
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$
2,594,270
18
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FTEs
11.00
19
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
20
than
$739,318
shall
be
used
for
the
healthy
opportunities
to
21
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
22
established
pursuant
to
section
135.106.
The
funding
shall
23
be
distributed
to
renew
the
grants
that
were
provided
to
the
24
grantees
that
operated
the
program
during
the
fiscal
year
25
ending
June
30,
2011.
26
b.
Of
the
funds
appropriated
in
this
subsection,
$329,885
27
shall
be
used
to
continue
to
address
the
healthy
mental
28
development
of
children
from
birth
through
five
years
of
age
29
through
local
evidence-based
strategies
that
engage
both
the
30
public
and
private
sectors
in
promoting
healthy
development,
31
prevention,
and
treatment
for
children.
A
portion
of
the
32
funds
allocated
in
this
lettered
paragraph
may
be
used
for
a
33
full-time
equivalent
position
to
coordinate
the
activities
34
under
this
paragraph.
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c.
Of
the
funds
appropriated
in
this
subsection,
$31,597
1
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
2
funds
to
continue
the
donated
dental
services
program
patterned
3
after
the
projects
developed
by
the
dental
lifeline
network
4
to
provide
dental
services
to
indigent
elderly
and
disabled
5
individuals.
6
d.
Of
the
funds
appropriated
in
this
subsection,
$112,677
7
shall
be
used
for
childhood
obesity
prevention.
8
e.
Of
the
funds
appropriated
in
this
subsection,
$163,760
9
shall
be
used
to
provide
audiological
services
and
hearing
10
aids
for
children.
The
department
may
enter
into
a
contract
11
to
administer
this
paragraph.
12
3.
CHRONIC
CONDITIONS
13
For
serving
individuals
identified
as
having
chronic
14
conditions
or
special
health
care
needs,
and
for
not
more
than
15
the
following
full-time
equivalent
positions:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,399,156
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
18
a.
Of
the
funds
appropriated
in
this
subsection,
$160,582
19
shall
be
used
for
grants
to
individual
patients
who
have
20
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
21
special
foods.
22
b.
Of
the
funds
appropriated
in
this
subsection,
$483,600
23
is
allocated
for
continuation
of
the
contracts
for
resource
24
facilitator
services
in
accordance
with
section
135.22B,
25
subsection
9,
and
for
brain
injury
training
services
and
26
recruiting
of
service
providers
to
increase
the
capacity
within
27
this
state
to
address
the
needs
of
individuals
with
brain
28
injuries
and
such
individuals’
families.
29
c.
Of
the
funds
appropriated
in
this
subsection,
$498,874
30
shall
be
used
as
additional
funding
to
leverage
federal
funding
31
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
32
assistance
program
supplemental
drug
treatment
grants.
33
d.
Of
the
funds
appropriated
in
this
subsection,
$31,254
34
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
an
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existing
national-affiliated
organization
to
provide
education,
1
client-centered
programs,
and
client
and
family
support
for
2
people
living
with
epilepsy
and
their
families.
3
e.
Of
the
funds
appropriated
in
this
subsection,
$788,303
4
shall
be
used
for
child
health
specialty
clinics.
5
f.
Of
the
funds
appropriated
in
this
subsection,
$547,065
6
shall
be
used
for
the
comprehensive
cancer
control
program
to
7
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
8
detection,
effective
treatment,
and
ensuring
quality
of
life.
9
Of
the
funds
allocated
in
this
lettered
paragraph,
$200,000
10
shall
be
used
to
support
a
melanoma
research
symposium,
a
11
melanoma
biorepository
and
registry,
basic
and
translational
12
melanoma
research,
and
clinical
trials.
13
g.
Of
the
funds
appropriated
in
this
subsection,
$126,450
14
shall
be
used
for
cervical
and
colon
cancer
screening.
15
h.
Of
the
funds
appropriated
in
this
subsection,
$528,834
16
shall
be
used
for
the
center
for
congenital
and
inherited
17
disorders.
A
portion
of
the
funds
allocated
in
this
paragraph
18
may
be
used
for
one
full-time
equivalent
position
for
19
administration
of
the
center.
20
i.
Of
the
funds
appropriated
in
this
subsection,
$129,937
21
shall
be
used
for
the
prescription
drug
donation
repository
22
program
created
in
chapter
135M.
23
4.
COMMUNITY
CAPACITY
24
For
strengthening
the
health
care
delivery
system
at
the
25
local
level,
and
for
not
more
than
the
following
full-time
26
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,826,699
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
29
a.
Of
the
funds
appropriated
in
this
subsection,
$100,000
30
is
allocated
for
a
child
vision
screening
program
implemented
31
through
the
university
of
Iowa
hospitals
and
clinics
in
32
collaboration
with
early
childhood
Iowa
areas.
33
b.
Of
the
funds
appropriated
in
this
subsection,
$111,308
is
34
allocated
for
continuation
of
an
initiative
implemented
at
the
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university
of
Iowa
and
$100,493
is
allocated
for
continuation
1
of
an
initiative
at
the
state
mental
health
institute
at
2
Cherokee
to
expand
and
improve
the
workforce
engaged
in
3
mental
health
treatment
and
services.
The
initiatives
shall
4
receive
input
from
the
university
of
Iowa,
the
department
5
of
human
services,
the
department
of
public
health,
and
the
6
mental
health,
mental
retardation,
developmental
disabilities,
7
and
brain
injury
commission
to
address
the
focus
of
the
8
initiatives.
9
c.
Of
the
funds
appropriated
in
this
subsection,
$1,171,491
10
shall
be
used
for
essential
public
health
services
that
promote
11
healthy
aging
throughout
the
lifespan,
contracted
through
a
12
formula
for
local
boards
of
health,
to
enhance
health
promotion
13
and
disease
prevention
services.
14
d.
Of
the
funds
appropriated
in
this
section,
$121,817
shall
15
be
deposited
in
the
governmental
public
health
system
fund
16
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
17
fund.
18
e.
Of
the
funds
appropriated
in
this
subsection,
$106,279
19
shall
be
used
for
the
mental
health
professional
shortage
area
20
program
implemented
pursuant
to
section
135.80.
21
f.
Of
the
funds
appropriated
in
this
subsection,
22
$38,263
shall
be
used
for
a
grant
to
a
statewide
association
23
of
psychologists
that
is
affiliated
with
the
American
24
psychological
association
to
be
used
for
continuation
of
a
25
program
to
rotate
intern
psychologists
in
placements
in
urban
26
and
rural
mental
health
professional
shortage
areas,
as
defined
27
in
section
135.80.
28
g.
Of
the
funds
appropriated
in
this
subsection,
the
29
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
30
safety
net
provider
network
established
pursuant
to
section
31
135.153
to
be
used
for
the
purposes
designated.
The
following
32
amounts
allocated
under
this
lettered
paragraph
shall
be
33
distributed
to
the
specified
provider
and
shall
not
be
reduced
34
for
administrative
or
other
costs
prior
to
distribution:
35
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(1)
For
distribution
to
the
Iowa
primary
care
association
1
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
2
provider
network:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
132,580
4
(2)
For
distribution
to
the
Iowa
family
planning
network
5
agencies
for
necessary
infrastructure,
statewide
coordination,
6
provider
recruitment,
service
delivery,
and
provision
of
7
assistance
to
patients
in
determining
an
appropriate
medical
8
home:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
74,517
10
(3)
For
distribution
to
the
local
boards
of
health
that
11
provide
direct
services
for
pilot
programs
in
three
counties
to
12
assist
patients
in
determining
an
appropriate
medical
home:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
74,517
14
(4)
For
distribution
to
maternal
and
child
health
centers
15
for
pilot
programs
in
three
counties
to
assist
patients
in
16
determining
an
appropriate
medical
home:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
74,517
18
(5)
For
distribution
to
free
clinics
for
necessary
19
infrastructure,
statewide
coordination,
provider
recruitment,
20
service
delivery,
and
provision
of
assistance
to
patients
in
21
determining
an
appropriate
medical
home:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
124,050
23
(6)
For
distribution
to
rural
health
clinics
for
necessary
24
infrastructure,
statewide
coordination,
provider
recruitment,
25
service
delivery,
and
provision
of
assistance
to
patients
in
26
determining
an
appropriate
medical
home:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
110,430
28
(7)
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
260,000
32
(8)
For
continuation
of
the
pharmaceutical
infrastructure
33
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
34
chapter
218,
section
108:
35
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
270,000
1
The
Iowa
collaborative
safety
net
provider
network
may
2
continue
to
distribute
funds
allocated
pursuant
to
this
3
lettered
paragraph
through
existing
contracts
or
renewal
of
4
existing
contracts.
5
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
6
$149,000
shall
be
used
for
continued
implementation
of
7
the
recommendations
of
the
direct
care
worker
task
force
8
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
based
upon
9
the
report
submitted
to
the
governor
and
the
general
assembly
10
in
December
2006.
The
department
may
use
a
portion
of
the
11
funds
allocated
in
this
lettered
paragraph
for
an
additional
12
position
to
assist
in
the
continued
implementation.
13
(2)
It
is
the
intent
of
the
general
assembly
that
a
14
board
of
direct
care
workers
shall
be
established
within
the
15
department
of
public
health
by
July
1,
2014,
contingent
upon
16
the
availability
of
funds
to
establish
and
maintain
the
board.
17
(3)
The
direct
care
worker
advisory
council
shall
submit
18
a
final
report
no
later
than
March
1,
2012,
to
the
governor
19
and
the
general
assembly,
in
accordance
with
2010
Iowa
20
Acts,
chapter
1192,
section
2,
subsection
4,
paragraph
“h”,
21
subparagraph
(3).
22
(4)
The
department
of
public
health
shall
report
to
the
23
persons
designated
in
this
Act
for
submission
of
reports
24
regarding
use
of
the
funds
allocated
in
this
lettered
25
paragraph,
on
or
before
January
15,
2012.
26
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
27
$130,100
shall
be
used
for
allocation
to
an
independent
28
statewide
direct
care
worker
association
for
education,
29
outreach,
leadership
development,
mentoring,
and
other
30
initiatives
intended
to
enhance
the
recruitment
and
retention
31
of
direct
care
workers
in
health
care
and
long-term
care
32
settings.
33
(2)
Of
the
funds
appropriated
in
this
subsection,
$58,000
34
shall
be
used
to
provide
scholarships
or
other
forms
of
35
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subsidization
for
direct
care
worker
educational
conferences,
1
training,
or
outreach
activities.
2
j.
The
department
may
utilize
one
of
the
full-time
3
equivalent
positions
authorized
in
this
subsection
for
4
administration
of
the
activities
related
to
the
Iowa
5
collaborative
safety
net
provider
network.
6
k.
Of
the
funds
appropriated
in
this
subsection,
the
7
department
may
use
up
to
$60,000
for
up
to
one
full-time
8
equivalent
position
to
administer
the
volunteer
health
care
9
provider
program
pursuant
to
section
135.24.
10
l.
Of
the
funds
appropriated
in
this
subsection,
$50,000
11
shall
be
used
for
a
matching
dental
education
loan
repayment
12
program
to
be
allocated
to
a
dental
nonprofit
health
service
13
corporation
to
develop
the
criteria
and
implement
the
loan
14
repayment
program.
15
m.
Of
the
funds
appropriated
in
this
subsection,
up
to
16
$134,214
shall
be
used
to
support
the
department’s
activities
17
relating
to
health
and
long-term
care
access
as
specified
18
pursuant
to
chapter
135,
division
XXIV.
19
n.
Of
the
funds
appropriated
in
this
subsection,
20
$363,987
shall
be
used
as
state
matching
funds
for
the
health
21
information
network
as
enacted
by
this
Act.
22
o.
Of
the
funds
appropriated
in
this
subsection,
$25,000
23
shall
be
used
for
a
pilot
program
established
through
a
24
grant
to
an
organization
that
has
an
existing
program
for
25
children
and
adults
and
that
is
solely
dedicated
to
preserving
26
sight
and
preventing
blindness
to
provide
vision
screening
27
to
elementary
school
children
in
one
urban
and
one
rural
28
school
district
in
the
state,
on
a
voluntary
basis,
over
a
29
multiyear
period.
The
grantee
organization
shall
develop
30
protocol
for
participating
schools
including
the
grade
level
31
of
the
children
to
be
screened,
the
training
and
certification
32
necessary
for
individuals
conducting
the
vision
screening,
33
vision
screening
equipment
requirements,
and
documentation
and
34
tracking
requirements.
Following
the
conclusion
of
the
pilot
35
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program,
the
grantee
organization
shall
report
findings
and
1
recommendations
for
statewide
implementation
of
the
vision
2
screening
program
to
the
department
of
public
health.
3
5.
HEALTHY
AGING
4
To
provide
public
health
services
that
reduce
risks
and
5
invest
in
promoting
and
protecting
good
health
over
the
6
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
7
vulnerable
populations:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,336,142
9
a.
Of
the
funds
appropriated
in
this
subsection,
$2,009,187
10
shall
be
used
for
local
public
health
nursing
services.
11
b.
Of
the
funds
appropriated
in
this
subsection,
$5,326,955
12
shall
be
used
for
home
care
aide
services.
13
6.
ENVIRONMENTAL
HAZARDS
14
For
reducing
the
public’s
exposure
to
hazards
in
the
15
environment,
primarily
chemical
hazards,
and
for
not
more
than
16
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
813,777
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
19
Of
the
funds
appropriated
in
this
subsection,
$544,377
shall
20
be
used
for
childhood
lead
poisoning
provisions.
21
7.
INFECTIOUS
DISEASES
22
For
reducing
the
incidence
and
prevalence
of
communicable
23
diseases,
and
for
not
more
than
the
following
full-time
24
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,345,847
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
27
8.
PUBLIC
PROTECTION
28
For
protecting
the
health
and
safety
of
the
public
through
29
establishing
standards
and
enforcing
regulations,
and
for
not
30
more
than
the
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,778,688
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
33
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
34
than
$424,146
shall
be
credited
to
the
emergency
medical
35
-13-
LSB
2820XC
(37)
84
pf/jp
13/
216
S.F.
_____
services
fund
created
in
section
135.25.
Moneys
in
the
1
emergency
medical
services
fund
are
appropriated
to
the
2
department
to
be
used
for
the
purposes
of
the
fund.
3
b.
Of
the
funds
appropriated
in
this
subsection,
$210,619
4
shall
be
used
for
sexual
violence
prevention
programming
5
through
a
statewide
organization
representing
programs
serving
6
victims
of
sexual
violence
through
the
department’s
sexual
7
violence
prevention
program.
The
amount
allocated
in
this
8
lettered
paragraph
shall
not
be
used
to
supplant
funding
9
administered
for
other
sexual
violence
prevention
or
victims
10
assistance
programs.
11
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
12
than
$436,582
shall
be
used
for
the
state
poison
control
13
center.
14
d.
Of
the
funds
appropriated
in
this
subsection,
$50,000
15
shall
be
used
for
education,
testing,
training,
and
other
costs
16
to
conform
the
requirements
for
certification
of
emergency
17
medical
care
providers
with
national
standards.
18
9.
RESOURCE
MANAGEMENT
19
For
establishing
and
sustaining
the
overall
ability
of
the
20
department
to
deliver
services
to
the
public,
and
for
not
more
21
than
the
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
819,554
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
24
The
university
of
Iowa
hospitals
and
clinics
under
the
25
control
of
the
state
board
of
regents
shall
not
receive
26
indirect
costs
from
the
funds
appropriated
in
this
section.
27
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
28
department
shall
be
on
at
least
a
quarterly
basis.
29
DIVISION
III
30
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2011-2012
31
Sec.
3.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
32
appropriated
from
the
general
fund
of
the
state
to
the
33
department
of
veterans
affairs
for
the
fiscal
year
beginning
34
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
35
-14-
LSB
2820XC
(37)
84
pf/jp
14/
216
S.F.
_____
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
1
designated:
2
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
3
For
salaries,
support,
maintenance,
and
miscellaneous
4
purposes,
including
the
war
orphans
educational
assistance
fund
5
created
in
section
35.8,
and
for
not
more
than
the
following
6
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
998,832
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
9
2.
IOWA
VETERANS
HOME
10
For
salaries,
support,
maintenance,
and
miscellaneous
11
purposes:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,952,151
13
a.
The
Iowa
veterans
home
billings
involving
the
department
14
of
human
services
shall
be
submitted
to
the
department
on
at
15
least
a
monthly
basis.
16
b.
If
there
is
a
change
in
the
employer
of
employees
17
providing
services
at
the
Iowa
veterans
home
under
a
collective
18
bargaining
agreement,
such
employees
and
the
agreement
shall
19
be
continued
by
the
successor
employer
as
though
there
had
not
20
been
a
change
in
employer.
21
c.
Within
available
resources
and
in
conformance
with
22
associated
state
and
federal
program
eligibility
requirements,
23
the
Iowa
veterans
home
may
implement
measures
to
provide
24
financial
assistance
to
or
on
behalf
of
veterans
or
their
25
spouses
participating
in
the
community
reentry
program.
26
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
27
VETERANS
28
For
provision
of
educational
assistance
pursuant
to
section
29
35.9:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,416
31
Sec.
4.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
AFFAIRS
32
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
33
appropriation
in
the
following
designated
section
for
the
34
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
35
-15-
LSB
2820XC
(37)
84
pf/jp
15/
216
S.F.
_____
the
amounts
appropriated
from
the
general
fund
of
the
state
1
pursuant
to
that
section
for
the
following
designated
purposes
2
shall
not
exceed
the
following
amount:
3
For
the
county
commissions
of
veterans
affairs
fund
under
4
section
35A.16:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
6
DIVISION
IV
7
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2011-2012
8
Sec.
5.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
9
GRANT.
There
is
appropriated
from
the
fund
created
in
section
10
8.41
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2011,
and
ending
June
30,
2012,
from
moneys
12
received
under
the
federal
temporary
assistance
for
needy
13
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
14
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
15
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
16
received
under
the
emergency
contingency
fund
for
temporary
17
assistance
for
needy
families
state
program
established
18
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
19
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
legislation,
20
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
21
be
used
for
the
purposes
designated:
22
1.
To
be
credited
to
the
family
investment
program
account
23
and
used
for
assistance
under
the
family
investment
program
24
under
chapter
239B:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,500,738
26
2.
To
be
credited
to
the
family
investment
program
account
27
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
28
program
and
implementing
family
investment
agreements
in
29
accordance
with
chapter
239B:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,411,528
31
3.
To
be
used
for
the
family
development
and
32
self-sufficiency
grant
program
in
accordance
with
section
33
216A.107:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
35
-16-
LSB
2820XC
(37)
84
pf/jp
16/
216
S.F.
_____
Notwithstanding
section
8.33,
moneys
appropriated
in
this
1
subsection
that
remain
unencumbered
or
unobligated
at
the
close
2
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
3
for
expenditure
for
the
purposes
designated
until
the
close
of
4
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
5
encumbered
or
obligated
on
or
before
September
30,
2012,
the
6
moneys
shall
revert.
7
4.
For
field
operations:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
9
5.
For
general
administration:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
11
6.
For
state
child
care
assistance:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,382,687
13
The
funds
appropriated
in
this
subsection
shall
be
14
transferred
to
the
child
care
and
development
block
grant
15
appropriation
made
by
the
Eighty-fourth
General
Assembly,
2011
16
Session,
for
the
federal
fiscal
year
beginning
October
1,
17
2011,
and
ending
September
30,
2012.
Of
this
amount,
$200,000
18
shall
be
used
for
provision
of
educational
opportunities
to
19
registered
child
care
home
providers
in
order
to
improve
20
services
and
programs
offered
by
this
category
of
providers
21
and
to
increase
the
number
of
providers.
The
department
may
22
contract
with
institutions
of
higher
education
or
child
care
23
resource
and
referral
centers
to
provide
the
educational
24
opportunities.
Allowable
administrative
costs
under
the
25
contracts
shall
not
exceed
5
percent.
The
application
for
a
26
grant
shall
not
exceed
two
pages
in
length.
27
7.
For
mental
health
and
developmental
disabilities
28
community
services:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
30
8.
For
child
and
family
services:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
32
9.
For
child
abuse
prevention
grants:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
34
10.
For
pregnancy
prevention
grants
on
the
condition
that
35
-17-
LSB
2820XC
(37)
84
pf/jp
17/
216
S.F.
_____
family
planning
services
are
funded:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
2
Pregnancy
prevention
grants
shall
be
awarded
to
programs
3
in
existence
on
or
before
July
1,
2011,
if
the
programs
are
4
comprehensive
in
scope
and
have
demonstrated
positive
outcomes.
5
Grants
shall
be
awarded
to
pregnancy
prevention
programs
6
which
are
developed
after
July
1,
2011,
if
the
programs
are
7
comprehensive
in
scope
and
are
based
on
existing
models
that
8
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
9
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
10
section
14,
subsections
1
and
2,
including
the
requirement
that
11
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
12
the
awarding
of
grants
shall
be
given
to
programs
that
serve
13
areas
of
the
state
which
demonstrate
the
highest
percentage
of
14
unplanned
pregnancies
of
females
of
childbearing
age
within
the
15
geographic
area
to
be
served
by
the
grant.
16
11.
For
technology
needs
and
other
resources
necessary
17
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
18
management
requirements:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
20
12.
To
be
credited
to
the
state
child
care
assistance
21
appropriation
made
in
this
section
to
be
used
for
funding
of
22
community-based
early
childhood
programs
targeted
to
children
23
from
birth
through
five
years
of
age
developed
by
early
24
childhood
Iowa
areas
as
provided
in
section
256I.11:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,350,000
26
The
department
shall
transfer
TANF
block
grant
funding
27
appropriated
and
allocated
in
this
subsection
to
the
child
care
28
and
development
block
grant
appropriation
in
accordance
with
29
federal
law
as
necessary
to
comply
with
the
provisions
of
this
30
subsection.
31
13.
a.
Notwithstanding
any
provision
to
the
contrary,
32
including
but
not
limited
to
requirements
in
section
8.41
33
or
provisions
in
2010
Iowa
Acts
regarding
the
receipt
and
34
appropriation
of
federal
block
grants,
federal
funds
from
the
35
-18-
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2820XC
(37)
84
pf/jp
18/
216
S.F.
_____
emergency
contingency
fund
for
temporary
assistance
for
needy
1
families
state
program
established
pursuant
to
the
federal
2
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
3
111-5
§
2101,
received
by
the
state
during
the
fiscal
year
4
beginning
July
1,
2010,
and
ending
June
30,
2011,
not
otherwise
5
appropriated
in
this
section
and
remaining
available
as
of
6
July
1,
2011,
and
received
by
the
state
during
the
fiscal
7
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
are
8
appropriated
to
the
extent
as
may
be
necessary
to
be
used
in
9
the
following
priority
order:
the
family
investment
program
10
for
the
fiscal
year
and
for
state
child
care
assistance
program
11
payments
for
individuals
enrolled
in
the
family
investment
12
program
who
are
employed.
The
federal
funds
appropriated
in
13
this
paragraph
“a”
shall
be
expended
only
after
all
other
14
funds
appropriated
in
subsection
1
for
the
assistance
under
15
the
family
investment
program
under
chapter
239B
have
been
16
expended.
17
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
18
legislative
services
agency
and
department
of
management
of
19
the
amount
of
funds
appropriated
in
this
subsection
that
was
20
expended
in
the
prior
quarter.
21
14.
Of
the
amounts
appropriated
in
this
section,
22
$12,962,008
for
the
fiscal
year
beginning
July
1,
2011,
shall
23
be
transferred
to
the
appropriation
of
the
federal
social
24
services
block
grant
made
for
that
fiscal
year.
25
15.
For
continuation
of
the
program
allowing
the
department
26
to
maintain
categorical
eligibility
for
the
food
assistance
27
program
as
required
under
the
section
of
this
division
relating
28
to
the
family
investment
account:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
146,072
30
16.
The
department
may
transfer
funds
allocated
in
this
31
section
to
the
appropriations
made
in
this
Act
for
general
32
administration
and
field
operations
for
resources
necessary
to
33
implement
and
operate
the
services
referred
to
in
this
section
34
and
those
funded
in
the
appropriation
made
in
this
division
of
35
-19-
LSB
2820XC
(37)
84
pf/jp
19/
216
S.F.
_____
this
Act
for
the
family
investment
program
from
the
general
1
fund
of
the
state.
2
Sec.
6.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
3
1.
Moneys
credited
to
the
family
investment
program
(FIP)
4
account
for
the
fiscal
year
beginning
July
1,
2011,
and
5
ending
June
30,
2012,
shall
be
used
to
provide
assistance
in
6
accordance
with
chapter
239B.
7
2.
The
department
may
use
a
portion
of
the
moneys
credited
8
to
the
FIP
account
under
this
section
as
necessary
for
9
salaries,
support,
maintenance,
and
miscellaneous
purposes.
10
3.
The
department
may
transfer
funds
allocated
in
11
this
section
to
the
appropriations
in
this
Act
for
general
12
administration
and
field
operations
for
resources
necessary
to
13
implement
and
operate
the
services
referred
to
in
this
section
14
and
those
funded
in
the
appropriation
made
in
this
division
of
15
this
Act
for
the
family
investment
program
from
the
general
16
fund
of
the
state.
17
4.
Moneys
appropriated
in
this
division
of
this
Act
and
18
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
19
1,
2011,
and
ending
June
30,
2012,
are
allocated
as
follows:
20
a.
To
be
retained
by
the
department
of
human
services
to
21
be
used
for
coordinating
with
the
department
of
human
rights
22
to
more
effectively
serve
participants
in
the
FIP
program
and
23
other
shared
clients
and
to
meet
federal
reporting
requirements
24
under
the
federal
temporary
assistance
for
needy
families
block
25
grant:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
27
b.
To
the
department
of
human
rights
for
staffing,
28
administration,
and
implementation
of
the
family
development
29
and
self-sufficiency
grant
program
in
accordance
with
section
30
216A.107:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,342,834
32
(1)
Of
the
funds
allocated
for
the
family
development
and
33
self-sufficiency
grant
program
in
this
lettered
paragraph,
34
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
35
-20-
LSB
2820XC
(37)
84
pf/jp
20/
216
S.F.
_____
administration
of
the
grant
program.
1
(2)
The
department
of
human
rights
may
continue
to
implement
2
the
family
development
and
self-sufficiency
grant
program
3
statewide
during
fiscal
year
2011-2012.
4
c.
For
the
diversion
subaccount
of
the
FIP
account:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,698,400
6
A
portion
of
the
moneys
allocated
for
the
subaccount
may
7
be
used
for
field
operations
salaries,
data
management
system
8
development,
and
implementation
costs
and
support
deemed
9
necessary
by
the
director
of
human
services
in
order
to
10
administer
the
FIP
diversion
program.
11
d.
For
the
food
stamp
employment
and
training
program:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
13
(1)
The
department
shall
amend
the
food
stamp
employment
and
14
training
state
plan
in
order
to
maximize
to
the
fullest
extent
15
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
16
for
the
claiming
of
allowable
federal
matching
funds
from
the
17
United
States
department
of
agriculture
pursuant
to
the
federal
18
food
stamp
employment
and
training
program
for
providing
19
education,
employment,
and
training
services
for
eligible
food
20
assistance
program
participants,
including
but
not
limited
to
21
related
dependent
care
and
transportation
expenses.
22
(2)
The
department
shall
continue
the
categorical
federal
23
food
assistance
program
eligibility
at
160
percent
of
the
24
federal
poverty
level
and
continue
to
eliminate
the
asset
test
25
from
eligibility
requirements,
consistent
with
federal
food
26
assistance
program
requirements.
The
department
shall
include
27
as
many
food
assistance
households
as
is
allowed
by
federal
28
law.
The
eligibility
provisions
shall
conform
to
all
federal
29
requirements
including
requirements
addressing
individuals
who
30
are
incarcerated
or
otherwise
ineligible.
31
e.
For
the
JOBS
program:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,235,905
33
5.
Of
the
child
support
collections
assigned
under
FIP,
34
an
amount
equal
to
the
federal
share
of
support
collections
35
-21-
LSB
2820XC
(37)
84
pf/jp
21/
216
S.F.
_____
shall
be
credited
to
the
child
support
recovery
appropriation
1
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
2
assigned
child
support
collections
received
by
the
child
3
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
4
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
5
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
6
payments
account.
If
as
a
consequence
of
the
appropriations
7
and
allocations
made
in
this
section
the
resulting
amounts
8
are
insufficient
to
sustain
cash
assistance
payments
and
meet
9
federal
maintenance
of
effort
requirements,
the
department
10
shall
seek
supplemental
funding.
If
child
support
collections
11
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
12
determined
not
to
be
required
for
maintenance
of
effort,
the
13
state
share
of
either
amount
may
be
transferred
to
or
retained
14
in
the
child
support
payment
account.
15
6.
The
department
may
adopt
emergency
rules
for
the
family
16
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
17
if
necessary
to
comply
with
federal
requirements.
18
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
19
is
appropriated
from
the
general
fund
of
the
state
to
the
20
department
of
human
services
for
the
fiscal
year
beginning
July
21
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
22
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
23
designated:
24
To
be
credited
to
the
family
investment
program
(FIP)
25
account
and
used
for
family
investment
program
assistance
under
26
chapter
239B:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,171,027
28
1.
Of
the
funds
appropriated
in
this
section,
$7,824,377
is
29
allocated
for
the
JOBS
program.
30
2.
Of
the
funds
appropriated
in
this
section,
$2,463,854
is
31
allocated
for
the
family
development
and
self-sufficiency
grant
32
program.
33
3.
Notwithstanding
section
8.39,
for
the
fiscal
year
34
beginning
July
1,
2011,
if
necessary
to
meet
federal
35
-22-
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2820XC
(37)
84
pf/jp
22/
216
S.F.
_____
maintenance
of
effort
requirements
or
to
transfer
federal
1
temporary
assistance
for
needy
families
block
grant
funding
2
to
be
used
for
purposes
of
the
federal
social
services
block
3
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
4
receiving
federal
funding
or
to
implement,
in
accordance
with
5
this
division
of
this
Act,
activities
currently
funded
with
6
juvenile
court
services,
county,
or
community
moneys
and
state
7
moneys
used
in
combination
with
such
moneys,
the
department
8
of
human
services
may
transfer
funds
within
or
between
any
9
of
the
appropriations
made
in
this
division
of
this
Act
and
10
appropriations
in
law
for
the
federal
social
services
block
11
grant
to
the
department
for
the
following
purposes,
provided
12
that
the
combined
amount
of
state
and
federal
temporary
13
assistance
for
needy
families
block
grant
funding
for
each
14
appropriation
remains
the
same
before
and
after
the
transfer:
15
a.
For
the
family
investment
program.
16
b.
For
child
care
assistance.
17
c.
For
child
and
family
services.
18
d.
For
field
operations.
19
e.
For
general
administration.
20
f.
MH/MR/DD/BI
community
services
(local
purchase).
21
This
subsection
shall
not
be
construed
to
prohibit
the
use
22
of
existing
state
transfer
authority
for
other
purposes.
The
23
department
shall
report
any
transfers
made
pursuant
to
this
24
subsection
to
the
legislative
services
agency.
25
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
26
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
27
organization
with
a
history
of
providing
tax
preparation
28
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
29
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
30
supply
this
assistance
to
underserved
areas
of
the
state.
31
Sec.
8.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
32
from
the
general
fund
of
the
state
to
the
department
of
human
33
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
34
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
35
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_____
necessary,
to
be
used
for
the
purposes
designated:
1
For
child
support
recovery,
including
salaries,
support,
2
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,119,255
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
6
1.
The
department
shall
expend
up
to
$24,329,
including
7
federal
financial
participation,
for
the
fiscal
year
beginning
8
July
1,
2011,
for
a
child
support
public
awareness
campaign.
9
The
department
and
the
office
of
the
attorney
general
shall
10
cooperate
in
continuation
of
the
campaign.
The
public
11
awareness
campaign
shall
emphasize,
through
a
variety
of
12
media
activities,
the
importance
of
maximum
involvement
of
13
both
parents
in
the
lives
of
their
children
as
well
as
the
14
importance
of
payment
of
child
support
obligations.
15
2.
Federal
access
and
visitation
grant
moneys
shall
be
16
issued
directly
to
private
not-for-profit
agencies
that
provide
17
services
designed
to
increase
compliance
with
the
child
access
18
provisions
of
court
orders,
including
but
not
limited
to
19
neutral
visitation
sites
and
mediation
services.
20
3.
The
appropriation
made
to
the
department
for
child
21
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
22
manner
necessary
for
purposes
of
cash
flow
management,
and
for
23
cash
flow
management
purposes
the
department
may
temporarily
24
draw
more
than
the
amount
appropriated,
provided
the
amount
25
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
26
4.
With
the
exception
of
the
funding
amount
specified,
the
27
requirements
established
under
2001
Iowa
Acts,
chapter
191,
28
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
29
be
applicable
to
parental
obligation
pilot
projects
for
the
30
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012.
31
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
32
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
33
in
effect
until
June
30,
2012.
34
Sec.
9.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE.
Any
35
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_____
funds
remaining
in
the
health
care
trust
fund
created
in
1
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2011,
2
and
ending
June
30,
2012,
are
appropriated
to
the
department
3
of
human
services
to
supplement
the
medical
assistance
program
4
appropriations
made
in
this
Act,
for
medical
assistance
5
reimbursement
and
associated
costs,
including
program
6
administration
and
costs
associated
with
implementation.
7
Sec.
10.
MEDICAL
ASSISTANCE.
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,
2011,
and
ending
June
30,
10
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
11
to
be
used
for
the
purpose
designated:
12
For
medical
assistance
reimbursement
and
associated
costs
13
as
specifically
provided
in
the
reimbursement
methodologies
14
in
effect
on
June
30,
2011,
except
as
otherwise
expressly
15
authorized
by
law,
including
reimbursement
for
abortion
16
services
which
shall
be
available
under
the
medical
assistance
17
program
only
for
those
abortions
which
are
medically
necessary:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$897,816,915
19
1.
Medically
necessary
abortions
are
those
performed
under
20
any
of
the
following
conditions:
21
a.
The
attending
physician
certifies
that
continuing
the
22
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
23
b.
The
attending
physician
certifies
that
the
fetus
is
24
physically
deformed,
mentally
deficient,
or
afflicted
with
a
25
congenital
illness.
26
c.
The
pregnancy
is
the
result
of
a
rape
which
is
reported
27
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
28
public
or
private
health
agency
which
may
include
a
family
29
physician.
30
d.
The
pregnancy
is
the
result
of
incest
which
is
reported
31
within
150
days
of
the
incident
to
a
law
enforcement
agency
32
or
public
or
private
health
agency
which
may
include
a
family
33
physician.
34
e.
Any
spontaneous
abortion,
commonly
known
as
a
35
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_____
miscarriage,
if
not
all
of
the
products
of
conception
are
1
expelled.
2
2.
The
department
shall
utilize
not
more
than
$60,000
of
3
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
4
health
insurance
premium
payment
program
as
established
in
1992
5
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
6
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
7
not
more
than
$5,000
may
be
expended
for
administrative
8
purposes.
9
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
10
of
public
health
for
addictive
disorders,
$950,000
for
the
11
fiscal
year
beginning
July
1,
2011,
shall
be
transferred
to
12
the
department
of
human
services
for
an
integrated
substance
13
abuse
managed
care
system.
The
department
shall
not
assume
14
management
of
the
substance
abuse
system
in
place
of
the
15
managed
care
contractor
unless
such
a
change
in
approach
is
16
specifically
authorized
in
law.
The
departments
of
human
17
services
and
public
health
shall
work
together
to
maintain
18
the
level
of
mental
health
and
substance
abuse
services
19
provided
by
the
managed
care
contractor
through
the
Iowa
plan
20
for
behavioral
health.
Each
department
shall
take
the
steps
21
necessary
to
continue
the
federal
waivers
as
necessary
to
22
maintain
the
level
of
services.
23
4.
a.
The
department
shall
aggressively
pursue
options
for
24
providing
medical
assistance
or
other
assistance
to
individuals
25
with
special
needs
who
become
ineligible
to
continue
receiving
26
services
under
the
early
and
periodic
screening,
diagnostic,
27
and
treatment
program
under
the
medical
assistance
program
28
due
to
becoming
21
years
of
age
who
have
been
approved
for
29
additional
assistance
through
the
department’s
exception
to
30
policy
provisions,
but
who
have
health
care
needs
in
excess
31
of
the
funding
available
through
the
exception
to
policy
32
provisions.
33
b.
Of
the
funds
appropriated
in
this
section,
$100,000
34
shall
be
used
for
participation
in
one
or
more
pilot
projects
35
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_____
operated
by
a
private
provider
to
allow
the
individual
or
1
individuals
to
receive
service
in
the
community
in
accordance
2
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
3
(1999),
for
the
purpose
of
providing
medical
assistance
or
4
other
assistance
to
individuals
with
special
needs
who
become
5
ineligible
to
continue
receiving
services
under
the
early
and
6
periodic
screening,
diagnosis,
and
treatment
program
under
7
the
medical
assistance
program
due
to
becoming
21
years
of
8
age
who
have
been
approved
for
additional
assistance
through
9
the
department’s
exception
to
policy
provisions,
but
who
have
10
health
care
needs
in
excess
of
the
funding
available
through
11
the
exception
to
the
policy
provisions.
12
5.
Of
the
funds
appropriated
in
this
section,
up
to
13
$3,050,082
may
be
transferred
to
the
field
operations
14
or
general
administration
appropriations
in
this
Act
for
15
operational
costs
associated
with
Part
D
of
the
federal
16
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
17
of
2003,
Pub.
L.
No.
108-173.
18
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
19
may
be
transferred
to
the
appropriation
in
this
Act
for
medical
20
contracts
to
be
used
for
clinical
assessment
services
and
prior
21
authorization
of
services.
22
7.
A
portion
of
the
funds
appropriated
in
this
section
23
may
be
transferred
to
the
appropriations
in
this
division
of
24
this
Act
for
general
administration,
medical
contracts,
the
25
children’s
health
insurance
program,
or
field
operations
to
be
26
used
for
the
state
match
cost
to
comply
with
the
payment
error
27
rate
measurement
(PERM)
program
for
both
the
medical
assistance
28
and
children’s
health
insurance
programs
as
developed
by
the
29
centers
for
Medicare
and
Medicaid
services
of
the
United
States
30
department
of
health
and
human
services
to
comply
with
the
31
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
32
107-300.
33
8.
It
is
the
intent
of
the
general
assembly
that
the
34
department
continue
to
implement
the
recommendations
of
35
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_____
the
assuring
better
child
health
and
development
initiative
1
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
2
screening,
diagnostic,
and
treatment
services
healthy
mental
3
development
collaborative
board
regarding
changes
to
billing
4
procedures,
codes,
and
eligible
service
providers.
5
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
6
amount
is
allocated
to
supplement
the
incomes
of
residents
of
7
nursing
facilities,
intermediate
care
facilities
for
persons
8
with
mental
illness,
and
intermediate
care
facilities
for
9
persons
with
mental
retardation,
with
incomes
of
less
than
$50
10
in
the
amount
necessary
for
the
residents
to
receive
a
personal
11
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A.
12
10.
Of
the
funds
appropriated
in
this
section,
the
following
13
amounts
shall
be
transferred
to
the
appropriations
made
in
this
14
division
of
this
Act
for
the
state
mental
health
institutes:
15
a.
Cherokee
mental
health
institute
..........
$
9,098,425
16
b.
Clarinda
mental
health
institute
..........
$
1,977,305
17
c.
Independence
mental
health
institute
......
$
9,045,894
18
d.
Mount
Pleasant
mental
health
institute
....
$
5,752,587
19
11.
a.
Of
the
funds
appropriated
in
this
section,
20
$7,425,684
is
allocated
for
the
state
match
for
a
21
disproportionate
share
hospital
payment
of
$19,133,430
to
22
hospitals
that
meet
both
of
the
conditions
specified
in
23
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
24
meet
the
conditions
specified
shall
either
certify
public
25
expenditures
or
transfer
to
the
medical
assistance
program
26
an
amount
equal
to
provide
the
nonfederal
share
for
a
27
disproportionate
share
hospital
payment
of
$7,500,000.
The
28
hospitals
that
meet
the
conditions
specified
shall
receive
and
29
retain
100
percent
of
the
total
disproportionate
share
hospital
30
payment
of
$26,633,430.
31
(1)
The
hospital
qualifies
for
disproportionate
share
and
32
graduate
medical
education
payments.
33
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
34
than
500
beds
and
eight
or
more
distinct
residency
specialty
35
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_____
or
subspecialty
programs
recognized
by
the
American
college
of
1
graduate
medical
education.
2
b.
Distribution
of
the
disproportionate
share
payments
3
shall
be
made
on
a
monthly
basis.
The
total
amount
of
4
disproportionate
share
payments
including
graduate
medical
5
education,
enhanced
disproportionate
share,
and
Iowa
6
state-owned
teaching
hospital
payments
shall
not
exceed
the
7
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
8
In
addition,
the
total
amount
of
all
disproportionate
9
share
payments
shall
not
exceed
the
hospital-specific
10
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
11
12.
The
university
of
Iowa
hospitals
and
clinics
shall
12
either
certify
public
expenditures
or
transfer
to
the
medical
13
assistance
appropriation
an
amount
equal
to
provide
the
14
nonfederal
share
for
increased
medical
assistance
payments
for
15
inpatient
and
outpatient
hospital
services
of
$9,900,000.
The
16
university
of
Iowa
hospitals
and
clinics
shall
receive
and
17
retain
100
percent
of
the
total
increase
in
medical
assistance
18
payments.
19
13.
Of
the
funds
appropriated
in
this
section,
up
to
20
$4,480,304
may
be
transferred
to
the
IowaCare
account
created
21
in
section
249J.24.
22
14.
Of
the
funds
appropriated
in
this
section,
$200,000
23
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
24
2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
25
Iowa
Acts,
chapter
179,
sections
166
and
167.
26
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
27
to
area
education
agencies
that
are
medical
assistance
28
providers
for
medical
assistance-covered
services
provided
to
29
medical
assistance-covered
children,
shall
be
made
from
the
30
appropriation
made
in
this
section.
31
16.
Any
new
or
renewed
contract
entered
into
by
the
32
department
with
a
third
party
to
administer
behavioral
health
33
services
under
the
medical
assistance
program
shall
provide
34
that
any
interest
earned
on
payments
from
the
state
during
35
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_____
the
state
fiscal
year
shall
be
remitted
to
the
department
1
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
2
assistance
program.
3
17.
The
department
shall
continue
to
implement
the
4
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
5
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
6
section
55,
relating
to
eligibility
for
certain
persons
with
7
disabilities
under
the
medical
assistance
program
in
accordance
8
with
the
federal
family
opportunity
Act.
9
18.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
transferred
to
the
appropriation
in
this
division
of
11
this
Act
for
medical
contracts
to
be
used
for
administrative
12
activities
associated
with
the
money
follows
the
person
13
demonstration
project.
14
19.
Of
the
funds
appropriated
in
this
section,
$349,011
15
shall
be
used
for
the
administration
of
the
health
insurance
16
premium
payment
program,
including
salaries,
support,
17
maintenance,
and
miscellaneous
purposes
for
the
fiscal
year
18
beginning
July
1,
2011.
19
20.
a.
The
department
may
implement
cost
containment
20
strategies
recommended
by
the
governor,
and
may
adopt
emergency
21
rules
for
such
implementation.
22
b.
The
department
shall
not
implement
the
cost
containment
23
strategy
to
require
a
primary
care
referral
for
the
provision
24
of
chiropractic
services.
25
c.
The
department
may
increase
the
amounts
allocated
for
26
salaries,
support,
maintenance,
and
miscellaneous
purposes
27
associated
with
the
medical
assistance
program,
as
necessary,
28
to
implement
the
cost
containment
strategies.
The
department
29
shall
report
any
such
increase
to
the
legislative
services
30
agency
and
the
department
of
management.
31
d.
If
the
savings
to
the
medical
assistance
program
exceed
32
the
cost,
the
department
may
transfer
any
savings
generated
33
for
the
fiscal
year
due
to
medical
assistance
program
cost
34
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
35
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chapter
1031,
Executive
Order
No.
20,
issued
December
16,
2009,
1
or
cost
containment
strategies
initiated
pursuant
to
this
2
subsection,
to
the
appropriation
made
in
this
division
of
this
3
Act
for
medical
contracts
or
general
administration
to
defray
4
the
increased
contract
costs
associated
with
implementing
such
5
efforts.
6
e.
The
department
shall
report
the
implementation
of
7
any
cost
containment
strategies
under
this
subsection
to
8
the
individuals
specified
in
this
division
of
this
Act
for
9
submission
of
reports
on
a
quarterly
basis.
10
21.
Notwithstanding
any
provision
of
law
to
the
contrary,
11
the
department
of
human
services
shall
amend
the
section
12
1915(b)
waiver
and
Iowa
plan
contract
to
include
remedial
13
services
under
the
Iowa
plan
contract
effective
July
1,
2011.
14
22.
Of
the
funds
appropriated
in
this
section,
$5,000,000
15
shall
be
used
to
reduce
the
waiting
lists
of
the
medical
16
assistance
home
and
community-based
services
waivers,
including
17
the
waiver
for
persons
with
intellectual
disabilities
for
18
which
the
nonfederal
share
is
paid
as
state
case
services
and
19
other
support
pursuant
to
section
331.440.
The
department
20
shall
distribute
the
funding
allocated
under
this
subsection
21
proportionately
among
all
home
and
community-based
services
22
waivers.
23
23.
a.
The
department
may
submit
medical
assistance
program
24
state
plan
amendments
to
the
centers
for
Medicare
and
Medicaid
25
services
of
the
United
States
department
of
health
and
human
26
services,
and
may
adopt
administrative
rules
pursuant
to
27
chapter
17A
to
implement
any
of
the
following
if
the
respective
28
state
plan
amendment
is
approved:
29
(1)
Health
homes
pursuant
to
section
2703
of
the
federal
30
Patient
Protection
and
Affordable
Care
Act,
Pub.
L.
No.
31
111-148.
The
department
shall
collaborate
with
the
medical
32
home
system
advisory
council
created
pursuant
to
section
33
135.159
in
developing
such
health
homes.
34
(2)
Accountable
care
organization
pilot
programs,
if
such
35
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_____
programs
are
advantageous
to
the
medical
assistance
program.
1
b.
Any
health
home
or
accountable
care
organization
2
pilot
program
implemented
pursuant
to
this
subsection
shall
3
demonstrate
value
to
the
state
with
a
positive
return
on
4
investment
within
two
years
of
implementation,
and
may
utilize
5
care
coordination
fees,
pay-for-performance
fees,
or
shared
6
saving
strategies
if
approved
as
part
of
the
state
plan
7
amendment.
8
24.
The
department,
in
consultation
with
the
Iowa
pharmacy
9
association
and
other
appropriate
entities,
shall
develop
10
recommendations
to
replace
the
reimbursement
methodology
of
11
average
wholesale
price
minus
12
percent
for
covered
brand-name
12
prescription
drugs,
generic
drugs,
and
over-the-counter
drugs.
13
The
department
shall
report
the
recommendations
to
the
persons
14
designated
in
this
division
of
this
Act
for
submission
of
15
reports
by
December
15,
2011.
16
Sec.
11.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
17
general
fund
of
the
state
to
the
department
of
human
services
18
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
19
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purpose
designated:
21
For
medical
contracts:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,893,844
23
1.
The
department
of
inspections
and
appeals
shall
24
provide
all
state
matching
funds
for
survey
and
certification
25
activities
performed
by
the
department
of
inspections
26
and
appeals.
The
department
of
human
services
is
solely
27
responsible
for
distributing
the
federal
matching
funds
for
28
such
activities.
29
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
30
be
used
for
implementation
of
a
uniform
cost
report
to
be
used
31
in
the
development
of
specified
Medicaid
reimbursement
rates
32
over
a
multiyear
timeframe.
The
department
of
human
services,
33
in
collaboration
with
affected
providers,
shall
finalize
a
34
uniform
cost
report
that
includes
provider
type-specific
cost
35
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_____
schedules
by
December
15,
2011.
The
uniform
cost
report
shall
1
be
applied
to
providers
of
home
and
community-based
services
2
waiver
services,
habilitation
services,
case
management
3
services
and
community
mental
health
centers,
residential
care
4
facilities,
psychiatric
medical
institutions
for
children,
and
5
intermediate
care
facilities
for
the
mentally
retarded
in
the
6
development
of
Medicaid
reimbursement
rates.
The
department
7
shall
collaborate
with
affected
Medicaid
providers
to
test
8
the
effectiveness
of
the
cost
report
and
determine
the
fiscal
9
impact
of
implementing
the
uniform
cost
report
during
the
10
fiscal
year
beginning
July
1,
2012.
A
report
of
the
findings
11
and
fiscal
impact
shall
be
submitted
to
the
governor
and
the
12
general
assembly
by
December
31,
2013.
The
rates
paid
in
the
13
fiscal
year
beginning
July
1,
2014,
shall
be
established
using
14
uniform
cost
reports
submitted
in
the
fiscal
year
beginning
15
July
1,
2012.
Implementation
of
the
uniform
cost
report
shall
16
be
limited
to
the
extent
of
the
funding
available.
17
3.
a.
Of
the
funds
appropriated
in
this
section,
$100,000
18
shall
be
used
for
implementation
of
an
electronic
medical
19
record
system,
including
system
purchase
or
development,
for
20
home
and
community-based
services
providers
and
mental
health
21
services
providers
that
comply
with
the
requirements
of
federal
22
and
state
laws
and
regulation
by
the
fiscal
year
beginning
July
23
1,
2013.
24
b.
The
department
shall
analyze
the
costs
and
benefits
of
25
providing
an
electronic
medical
record
and
billing
system
for
26
home
and
community-based
services
providers
and
mental
health
27
services
providers
that
comply
with
the
requirements
of
federal
28
and
state
laws
and
regulation.
The
analysis
shall
include
a
29
review
of
all
of
the
following:
including
the
capability
for
30
an
electronic
medical
record
and
billing
system
within
the
31
procurement
for
the
Medicaid
management
information
system,
32
developing
the
system,
and
utilizing
capacity
within
the
health
33
information
network
established
by
the
department
of
public
34
health
as
enacted
in
this
Act.
If
the
analysis
demonstrates
35
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_____
that
a
program
may
be
implemented
in
a
cost-effective
manner
1
and
within
available
funds,
the
department
may
take
steps
to
2
implement
such
a
system.
The
department
shall
report
the
3
results
of
the
analysis,
activities,
and
recommendations
to
the
4
persons
designated
in
this
division
of
this
Act
for
submission
5
of
reports
by
December
15,
2011.
6
c.
Notwithstanding
section
8.33,
funds
allocated
in
this
7
subsection
that
remain
unencumbered
or
unobligated
at
the
close
8
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
9
in
succeeding
fiscal
years
to
be
used
for
the
purposes
10
designated.
11
4.
Of
the
amount
appropriated
in
this
section,
$3,500,000
12
shall
be
used
for
technology
upgrades
necessary
to
support
13
Medicaid
claims
and
other
health
operations,
worldwide
federal
14
Health
Insurance
Portability
and
Accountability
Act
of
1996
15
(HIPAA)
claims,
transactions,
and
coding
requirements,
and
the
16
Iowa
automated
benefits
calculation
system.
Notwithstanding
17
section
8.33,
funds
allocated
in
this
subsection
that
remain
18
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
19
shall
not
revert
but
shall
remain
available
in
succeeding
20
fiscal
years
to
be
used
for
the
purposes
designated.
21
5.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
22
be
used
for
an
accountable
care
organization
pilot
project
23
as
specified
in
the
division
of
this
Act
relating
to
prior
24
appropriations
and
related
changes.
25
6.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
26
be
used
for
the
development
of
a
provider
payment
system
plan
27
to
provide
recommendations
to
reform
the
health
care
provider
28
payment
system
as
an
effective
way
to
promote
coordination
of
29
care,
lower
costs,
and
improve
quality
as
specified
in
the
30
division
of
this
Act
relating
to
cost
containment.
31
7.
Of
the
funds
appropriated
in
this
section,
$20,000
shall
32
be
used
for
the
development
of
a
plan
to
establish
an
all-payer
33
claims
database
to
provide
for
the
collection
and
analysis
of
34
claims
data
from
multiple
payers
of
health
care
as
specified
in
35
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_____
the
division
of
this
Act
relating
to
cost
containment.
1
8.
The
department
shall
amend
the
state
Medicaid
health
2
information
technology
plan
to
include
costs
related
to
the
3
one-time
development
costs
of
the
health
information
network
4
as
enacted
in
this
Act.
5
9.
Of
the
amount
appropriated
in
this
section,
up
to
6
$250,000
may
be
transferred
to
the
appropriation
for
general
7
administration
in
this
division
of
this
Act
to
be
used
for
8
additional
full-time
equivalent
positions
in
the
development
of
9
key
health
initiatives
such
as
cost
containment,
development
10
and
oversight
of
managed
care
programs,
and
development
of
11
health
strategies
targeted
toward
improved
quality
and
reduced
12
costs
in
the
Medicaid
program.
13
10.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
14
be
used
for
home
and
community-based
services
waiver
quality
15
assurance
programs,
including
the
review
and
streamlining
16
of
processes
and
policies
related
to
oversight
and
quality
17
management
to
meet
state
and
federal
requirements.
The
18
department
shall
submit
a
report
to
the
persons
designated
by
19
this
division
of
this
Act
for
submission
of
reports
by
December
20
15,
2011,
regarding
the
modifications
to
the
quality
assurance
21
programs.
22
Sec.
12.
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,
2011,
and
ending
June
30,
2012,
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,850,747
30
2.
The
department
shall
increase
the
personal
needs
31
allowance
for
residents
of
residential
care
facilities
by
the
32
same
percentage
and
at
the
same
time
as
federal
supplemental
33
security
income
and
federal
social
security
benefits
are
34
increased
due
to
a
recognized
increase
in
the
cost
of
living.
35
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_____
The
department
may
adopt
emergency
rules
to
implement
this
1
subsection.
2
3.
If
during
the
fiscal
year
beginning
July
1,
2011,
3
the
department
projects
that
state
supplementary
assistance
4
expenditures
for
a
calendar
year
will
not
meet
the
federal
5
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
6
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
7
§
1382g,
the
department
may
take
actions
including
but
not
8
limited
to
increasing
the
personal
needs
allowance
for
9
residential
care
facility
residents
and
making
programmatic
10
adjustments
or
upward
adjustments
of
the
residential
care
11
facility
or
in-home
health-related
care
reimbursement
rates
12
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
13
requirements
are
met.
In
addition,
the
department
may
make
14
other
programmatic
and
rate
adjustments
necessary
to
remain
15
within
the
amount
appropriated
in
this
section
while
ensuring
16
compliance
with
federal
requirements.
The
department
may
adopt
17
emergency
rules
to
implement
the
provisions
of
this
subsection.
18
Sec.
13.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
19
1.
There
is
appropriated
from
the
general
fund
of
the
20
state
to
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
22
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
23
purpose
designated:
24
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
25
program
pursuant
to
chapter
514I,
including
supplemental
dental
26
services,
for
receipt
of
federal
financial
participation
under
27
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
28
children’s
health
insurance
program:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,806,102
30
2.
Of
the
funds
appropriated
in
this
section,
$128,950
is
31
allocated
for
continuation
of
the
contract
for
advertising
and
32
outreach
with
the
department
of
public
health.
33
Sec.
14.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
34
from
the
general
fund
of
the
state
to
the
department
of
human
35
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services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
1
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
2
necessary,
to
be
used
for
the
purpose
designated:
3
For
child
care
programs:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,265,509
5
1.
Of
the
funds
appropriated
in
this
section,
$53,896,082
6
shall
be
used
for
state
child
care
assistance
in
accordance
7
with
section
237A.13.
8
2.
Nothing
in
this
section
shall
be
construed
or
is
9
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
10
to
persons
who
are
eligible
for
assistance
due
to
an
income
11
level
consistent
with
the
waiting
list
requirements
of
section
12
237A.13.
Any
state
obligation
to
provide
services
pursuant
to
13
this
section
is
limited
to
the
extent
of
the
funds
appropriated
14
in
this
section.
15
3.
Of
the
funds
appropriated
in
this
section,
$432,453
is
16
allocated
for
the
statewide
program
for
child
care
resource
17
and
referral
services
under
section
237A.26.
A
list
of
the
18
registered
and
licensed
child
care
facilities
operating
in
the
19
area
served
by
a
child
care
resource
and
referral
service
shall
20
be
made
available
to
the
families
receiving
state
child
care
21
assistance
in
that
area.
22
4.
Of
the
funds
appropriated
in
this
section,
$936,974
23
is
allocated
for
child
care
quality
improvement
initiatives
24
including
but
not
limited
to
the
voluntary
quality
rating
25
system
in
accordance
with
section
237A.30.
26
5.
The
department
may
use
any
of
the
funds
appropriated
27
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
28
expanding
child
care
assistance
and
related
programs.
For
29
the
purpose
of
expenditures
of
state
and
federal
child
care
30
funding,
funds
shall
be
considered
obligated
at
the
time
31
expenditures
are
projected
or
are
allocated
to
the
department’s
32
service
areas.
Projections
shall
be
based
on
current
and
33
projected
caseload
growth,
current
and
projected
provider
34
rates,
staffing
requirements
for
eligibility
determination
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and
management
of
program
requirements
including
data
systems
1
management,
staffing
requirements
for
administration
of
the
2
program,
contractual
and
grant
obligations
and
any
transfers
3
to
other
state
agencies,
and
obligations
for
decategorization
4
or
innovation
projects.
5
6.
A
portion
of
the
state
match
for
the
federal
child
care
6
and
development
block
grant
shall
be
provided
as
necessary
to
7
meet
federal
matching
funds
requirements
through
the
state
8
general
fund
appropriation
made
for
child
development
grants
9
and
other
programs
for
at-risk
children
in
section
279.51.
10
7.
If
a
uniform
reduction
ordered
by
the
governor
under
11
section
8.31
or
other
operation
of
law,
transfer,
or
federal
12
funding
reduction
reduces
the
appropriation
made
in
this
13
section
for
the
fiscal
year,
the
percentage
reduction
in
the
14
amount
paid
out
to
or
on
behalf
of
the
families
participating
15
in
the
state
child
care
assistance
program
shall
be
equal
to
or
16
less
than
the
percentage
reduction
made
for
any
other
purpose
17
payable
from
the
appropriation
made
in
this
section
and
the
18
federal
funding
relating
to
it.
The
percentage
reduction
to
19
the
other
allocations
made
in
this
section
shall
be
the
same
as
20
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
21
change
of
the
federal
funding
reduction,
as
applicable.
22
If
there
is
an
unanticipated
increase
in
federal
funding
23
provided
for
state
child
care
assistance,
the
entire
amount
24
of
the
increase
shall
be
used
for
state
child
care
assistance
25
payments.
If
the
appropriations
made
for
purposes
of
the
26
state
child
care
assistance
program
for
the
fiscal
year
are
27
determined
to
be
insufficient,
it
is
the
intent
of
the
general
28
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
29
in
order
to
avoid
establishment
of
waiting
list
requirements.
30
8.
Notwithstanding
section
8.33,
moneys
appropriated
in
31
this
section
or
received
from
the
federal
appropriations
made
32
for
the
purposes
of
this
section
that
remain
unencumbered
or
33
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
34
to
any
fund
but
shall
remain
available
for
expenditure
for
the
35
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purposes
designated
until
the
close
of
the
succeeding
fiscal
1
year.
2
Sec.
15.
JUVENILE
INSTITUTIONS.
There
is
appropriated
3
from
the
general
fund
of
the
state
to
the
department
of
human
4
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
5
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
6
necessary,
to
be
used
for
the
purposes
designated:
7
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
8
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
9
for
not
more
than
the
following
full-time
equivalent
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,258,251
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
12
2.
For
operation
of
the
state
training
school
at
Eldora
and
13
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
14
and
for
not
more
than
the
following
full-time
equivalent
15
positions:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,638,677
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
18
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
19
be
used
for
distribution
to
licensed
classroom
teachers
at
this
20
and
other
institutions
under
the
control
of
the
department
of
21
human
services
based
upon
the
average
student
yearly
enrollment
22
at
each
institution
as
determined
by
the
department.
23
3.
A
portion
of
the
moneys
appropriated
in
this
section
24
shall
be
used
by
the
state
training
school
and
by
the
Iowa
25
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
26
activities
at
the
institutions
in
the
fiscal
year
beginning
27
July
1,
2011.
28
4.
For
the
fiscal
year
beginning
July
1,
2011,
29
notwithstanding
section
232.52,
subsection
2,
and
section
30
907.3A,
subsection
1,
the
court
shall
not
order
the
placement
31
of
a
child
at
the
Iowa
juvenile
home
or
the
state
training
32
school
under
section
232.52,
if
that
placement
is
not
in
33
accordance
with
the
population
guidelines
for
the
respective
34
juvenile
institution
established
pursuant
to
section
233A.1
or
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233B.1.
1
Sec.
16.
CHILD
AND
FAMILY
SERVICES.
2
1.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
5
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purpose
designated:
7
For
child
and
family
services:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
83,077,336
9
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
10
amount
allocated
under
the
appropriation
made
for
the
purposes
11
of
this
section
in
prior
years
for
purposes
of
juvenile
12
delinquent
graduated
sanction
services,
up
to
$5,200,000
of
the
13
amount
of
federal
temporary
assistance
for
needy
families
block
14
grant
funding
appropriated
in
this
division
of
this
Act
for
15
child
and
family
services
shall
be
made
available
for
purposes
16
of
juvenile
delinquent
graduated
sanction
services.
17
3.
The
department
may
transfer
funds
appropriated
in
this
18
section
as
necessary
to
pay
the
nonfederal
costs
of
services
19
reimbursed
under
the
medical
assistance
program,
state
child
20
care
assistance
program,
or
the
family
investment
program
which
21
are
provided
to
children
who
would
otherwise
receive
services
22
paid
under
the
appropriation
in
this
section.
The
department
23
may
transfer
funds
appropriated
in
this
section
to
the
24
appropriations
made
in
this
division
of
this
Act
for
general
25
administration
and
for
field
operations
for
resources
necessary
26
to
implement
and
operate
the
services
funded
in
this
section.
27
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
28
$30,169,129
is
allocated
as
the
statewide
expenditure
target
29
under
section
232.143
for
group
foster
care
maintenance
and
30
services.
If
the
department
projects
that
such
expenditures
31
for
the
fiscal
year
will
be
less
than
the
target
amount
32
allocated
in
this
lettered
paragraph,
the
department
may
33
reallocate
the
excess
to
provide
additional
funding
for
shelter
34
care
or
the
child
welfare
emergency
services
addressed
with
the
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allocation
for
shelter
care.
1
b.
If
at
any
time
after
September
30,
2011,
annualization
2
of
a
service
area’s
current
expenditures
indicates
a
service
3
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
4
target
under
section
232.143
by
more
than
5
percent,
the
5
department
and
juvenile
court
services
shall
examine
all
6
group
foster
care
placements
in
that
service
area
in
order
to
7
identify
those
which
might
be
appropriate
for
termination.
8
In
addition,
any
aftercare
services
believed
to
be
needed
9
for
the
children
whose
placements
may
be
terminated
shall
be
10
identified.
The
department
and
juvenile
court
services
shall
11
initiate
action
to
set
dispositional
review
hearings
for
the
12
placements
identified.
In
such
a
dispositional
review
hearing,
13
the
juvenile
court
shall
determine
whether
needed
aftercare
14
services
are
available
and
whether
termination
of
the
placement
15
is
in
the
best
interest
of
the
child
and
the
community.
16
5.
In
accordance
with
the
provisions
of
section
232.188,
17
the
department
shall
continue
the
child
welfare
and
juvenile
18
justice
funding
initiative
during
fiscal
year
2011-2012.
Of
19
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
20
specifically
for
expenditure
for
fiscal
year
2011-2012
through
21
the
decategorization
service
funding
pools
and
governance
22
boards
established
pursuant
to
section
232.188.
23
6.
A
portion
of
the
funds
appropriated
in
this
section
24
may
be
used
for
emergency
family
assistance
to
provide
other
25
resources
required
for
a
family
participating
in
a
family
26
preservation
or
reunification
project
or
successor
project
to
27
stay
together
or
to
be
reunified.
28
7.
Notwithstanding
section
234.35
or
any
other
provision
29
of
law
to
the
contrary,
state
funding
for
shelter
care
and
30
the
child
welfare
emergency
services
contracting
implemented
31
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
32
limited
to
$7,570,116.
The
department
may
execute
contracts
33
that
result
from
the
department’s
request
for
proposal,
bid
34
number
ACFS-11-114,
to
provide
the
range
of
child
welfare
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emergency
services
described
in
the
request
for
proposals,
and
1
any
subsequent
amendments
to
the
request
for
proposals.
2
8.
Federal
funds
received
by
the
state
during
the
fiscal
3
year
beginning
July
1,
2011,
as
the
result
of
the
expenditure
4
of
state
funds
appropriated
during
a
previous
state
fiscal
5
year
for
a
service
or
activity
funded
under
this
section
are
6
appropriated
to
the
department
to
be
used
as
additional
funding
7
for
services
and
purposes
provided
for
under
this
section.
8
Notwithstanding
section
8.33,
moneys
received
in
accordance
9
with
this
subsection
that
remain
unencumbered
or
unobligated
at
10
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
11
shall
remain
available
for
the
purposes
designated
until
the
12
close
of
the
succeeding
fiscal
year.
13
9.
Of
the
funds
appropriated
in
this
section,
at
least
14
$3,696,285
shall
be
used
for
protective
child
care
assistance.
15
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
16
$2,062,488
is
allocated
for
the
payment
of
the
expenses
of
17
court-ordered
services
provided
to
juveniles
who
are
under
the
18
supervision
of
juvenile
court
services,
which
expenses
are
a
19
charge
upon
the
state
pursuant
to
section
232.141,
subsection
20
4.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
to
21
$1,556,287
shall
be
made
available
to
provide
school-based
22
supervision
of
children
adjudicated
under
chapter
232,
of
which
23
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
24
A
portion
of
the
cost
of
each
school-based
liaison
officer
25
shall
be
paid
by
the
school
district
or
other
funding
source
as
26
approved
by
the
chief
juvenile
court
officer.
27
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
28
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
29
services
provided
to
children
who
are
under
the
supervision
30
of
the
department,
which
expenses
are
a
charge
upon
the
state
31
pursuant
to
section
232.141,
subsection
4.
32
c.
Notwithstanding
section
232.141
or
any
other
provision
33
of
law
to
the
contrary,
the
amounts
allocated
in
this
34
subsection
shall
be
distributed
to
the
judicial
districts
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as
determined
by
the
state
court
administrator
and
to
the
1
department’s
service
areas
as
determined
by
the
administrator
2
of
the
department’s
division
of
child
and
family
services.
3
The
state
court
administrator
and
the
division
administrator
4
shall
make
the
determination
of
the
distribution
amounts
on
or
5
before
June
15,
2011.
However,
if
this
subsection
is
enacted
6
on
or
after
June
15,
2011,
the
determination
shall
be
made
not
7
later
than
10
calendar
days
after
the
effective
date
of
this
8
subsection.
9
d.
Notwithstanding
chapter
232
or
any
other
provision
of
10
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
11
order
any
service
which
is
a
charge
upon
the
state
pursuant
12
to
section
232.141
if
there
are
insufficient
court-ordered
13
services
funds
available
in
the
district
court
or
departmental
14
service
area
distribution
amounts
to
pay
for
the
service.
The
15
chief
juvenile
court
officer
and
the
departmental
service
area
16
manager
shall
encourage
use
of
the
funds
allocated
in
this
17
subsection
such
that
there
are
sufficient
funds
to
pay
for
18
all
court-related
services
during
the
entire
year.
The
chief
19
juvenile
court
officers
and
departmental
service
area
managers
20
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
21
in
the
distribution
amounts
and
shall
cooperatively
request
the
22
state
court
administrator
or
division
administrator
to
transfer
23
funds
between
the
judicial
districts’
or
departmental
service
24
areas’
distribution
amounts
as
prudent.
25
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
26
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
27
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
28
entered
under
chapter
232
which
is
a
charge
upon
the
state
29
under
section
232.141,
subsection
4.
30
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
31
$83,000
may
be
used
by
the
judicial
branch
for
administration
32
of
the
requirements
under
this
subsection.
33
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
34
shall
be
used
by
the
department
of
human
services
to
support
35
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the
interstate
commission
for
juveniles
in
accordance
with
1
the
interstate
compact
for
juveniles
as
provided
in
section
2
232.173.
3
11.
Of
the
funds
appropriated
in
this
section,
$5,922,602
is
4
allocated
for
juvenile
delinquent
graduated
sanctions
services.
5
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
6
services
to
earn
federal
Tit.
IV-E
match
for
juvenile
court
7
services
administration
may
be
used
for
the
juvenile
delinquent
8
graduated
sanctions
services.
9
12.
Of
the
funds
appropriated
in
this
section,
$988,285
10
shall
be
transferred
to
the
department
of
public
health
to
11
be
used
for
the
child
protection
center
grant
program
in
12
accordance
with
section
135.118.
13
13.
If
the
department
receives
federal
approval
to
14
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
15
Security
Act
to
enable
providers
to
serve
children
who
remain
16
in
the
children’s
families
and
communities,
for
purposes
of
17
eligibility
under
the
medical
assistance
program,
children
who
18
participate
in
the
waiver
shall
be
considered
to
be
placed
in
19
foster
care.
20
14.
Of
the
funds
appropriated
in
this
section,
$3,069,832
is
21
allocated
for
the
preparation
for
adult
living
program
pursuant
22
to
section
234.46.
23
15.
Of
the
funds
appropriated
in
this
section,
$520,150
24
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
25
in
this
subsection
shall
be
distributed
as
follows:
26
To
the
judicial
branch
for
salaries
to
assist
with
the
27
operation
of
juvenile
drug
court
programs
operated
in
the
28
following
jurisdictions:
29
a.
Marshall
county:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,708
31
b.
Woodbury
county:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,682
33
c.
Polk
county:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
195,892
35
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_____
d.
The
third
judicial
district:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
2
e.
The
eighth
judicial
district:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
4
16.
Of
the
funds
appropriated
in
this
section,
$227,337
5
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
6
a
nonprofit
human
services
organization
providing
services
to
7
individuals
and
families
in
multiple
locations
in
southwest
8
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
9
sensitive
support
and
forensic
interviews,
medical
exams,
needs
10
assessments,
and
referrals
for
victims
of
child
abuse
and
their
11
nonoffending
family
members.
12
17.
Of
the
funds
appropriated
in
this
section,
$125,590
13
is
allocated
for
the
elevate
approach
of
providing
a
support
14
network
to
children
placed
in
foster
care.
15
18.
Of
the
funds
appropriated
in
this
section,
$202,000
is
16
allocated
for
use
pursuant
to
section
235A.1
for
continuation
17
of
the
initiative
to
address
child
sexual
abuse
implemented
18
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
19
21.
20
19.
Of
the
funds
appropriated
in
this
section,
$630,240
is
21
allocated
for
the
community
partnership
for
child
protection
22
sites.
23
20.
Of
the
funds
appropriated
in
this
section,
$371,250
24
is
allocated
for
the
department’s
minority
youth
and
family
25
projects
under
the
redesign
of
the
child
welfare
system.
26
21.
Of
the
funds
appropriated
in
this
section,
$1,200,495
27
is
allocated
for
funding
of
the
state
match
for
the
federal
28
substance
abuse
and
mental
health
services
administration
29
(SAMHSA)
system
of
care
grant.
30
22.
Of
the
funds
appropriated
in
this
section,
at
least
31
$147,158
shall
be
used
for
the
child
welfare
training
academy.
32
23.
Of
the
funds
appropriated
in
this
section,
$25,000
33
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
34
a
child
welfare
services
provider
headquartered
in
a
county
35
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with
a
population
between
205,000
and
215,000
in
the
latest
1
certified
federal
census
that
provides
multiple
services
2
including
but
not
limited
to
a
psychiatric
medical
institution
3
for
children,
shelter,
residential
treatment,
after
school
4
programs,
school-based
programming,
and
an
Asperger’s
syndrome
5
program,
to
be
used
for
support
services
for
children
with
6
autism
spectrum
disorder
and
their
families.
7
24.
Of
the
funds
appropriated
in
this
section,
$257,173
8
shall
be
used
for
continuation
of
the
central
Iowa
system
of
9
care
program
grant
through
June
30,
2012.
10
Sec.
17.
ADOPTION
SUBSIDY.
11
1.
There
is
appropriated
from
the
general
fund
of
the
12
state
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purpose
designated:
16
For
adoption
subsidy
payments
and
services:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,466,591
18
2.
The
department
may
transfer
funds
appropriated
in
19
this
section
to
the
appropriation
made
in
this
division
of
20
this
Act
for
general
administration
for
costs
paid
from
the
21
appropriation
relating
to
adoption
subsidy.
22
3.
Federal
funds
received
by
the
state
during
the
23
fiscal
year
beginning
July
1,
2011,
as
the
result
of
the
24
expenditure
of
state
funds
during
a
previous
state
fiscal
25
year
for
a
service
or
activity
funded
under
this
section
are
26
appropriated
to
the
department
to
be
used
as
additional
funding
27
for
the
services
and
activities
funded
under
this
section.
28
Notwithstanding
section
8.33,
moneys
received
in
accordance
29
with
this
subsection
that
remain
unencumbered
or
unobligated
30
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
31
but
shall
remain
available
for
expenditure
for
the
purposes
32
designated
until
the
close
of
the
succeeding
fiscal
year.
33
Sec.
18.
JUVENILE
DETENTION
HOME
FUND.
34
1.
Moneys
deposited
in
the
juvenile
detention
home
fund
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created
in
section
232.142
during
the
fiscal
year
beginning
1
July
1,
2011,
and
ending
June
30,
2012,
are
appropriated
to
2
the
department
of
human
services
for
the
fiscal
year
beginning
3
July
1,
2011,
and
ending
June
30,
2012,
for
distribution
of
an
4
amount
equal
to
a
percentage
of
the
costs
of
the
establishment,
5
improvement,
operation,
and
maintenance
of
county
or
6
multicounty
juvenile
detention
homes
in
the
fiscal
year
7
beginning
July
1,
2010.
Moneys
appropriated
for
distribution
8
in
accordance
with
this
section
shall
be
allocated
among
9
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
10
detention
home’s
proportion
of
the
costs
of
all
eligible
11
detention
homes
in
the
fiscal
year
beginning
July
1,
2010.
12
The
percentage
figure
shall
be
determined
by
the
department
13
based
on
the
amount
available
for
distribution
for
the
fund.
14
Notwithstanding
section
232.142,
subsection
3,
the
financial
15
aid
payable
by
the
state
under
that
provision
for
the
fiscal
16
year
beginning
July
1,
2011,
shall
be
limited
to
the
amount
17
appropriated
for
the
purposes
of
this
section.
18
2.
Representatives
of
chief
juvenile
court
officers,
19
the
department
of
human
rights,
and
the
department
of
human
20
services
shall
work
with
juvenile
detention
centers
and
other
21
stakeholders
to
review
the
current
methodology
for
distribution
22
of
moneys
from
the
juvenile
detention
home
fund,
consider
23
alternative
distribution
methodologies,
and
report
findings
24
and
recommendations
to
the
persons
designated
by
this
division
25
of
this
Act
for
the
submission
of
reports
by
December
15,
26
2011.
It
is
the
intent
of
the
general
assembly
to
shift
27
responsibility
for
administering
the
fund
from
the
department
28
of
human
services
to
the
division
of
criminal
and
juvenile
29
justice
planning
of
the
department
of
human
rights,
effective
30
with
the
fiscal
year
beginning
July
1,
2012.
31
Sec.
19.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
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,
2011,
and
ending
June
30,
2012,
the
following
35
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_____
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purpose
designated:
2
For
the
family
support
subsidy
program
subject
to
the
3
enrollment
restrictions
in
section
225C.37,
subsection
3:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,167,998
5
2.
The
department
shall
use
at
least
$385,500
of
the
moneys
6
appropriated
in
this
section
for
the
family
support
center
7
component
of
the
comprehensive
family
support
program
under
8
section
225C.47.
Not
more
than
$25,000
of
the
amount
allocated
9
in
this
subsection
shall
be
used
for
administrative
costs.
10
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
11
funding
available
for
the
family
support
subsidy
program
12
is
reduced
from
the
amount
initially
used
to
establish
the
13
figure
for
the
number
of
family
members
for
whom
a
subsidy
14
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
15
notwithstanding
section
225C.38,
subsection
2,
the
department
16
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
17
of
funding
available.
18
Sec.
20.
CONNER
DECREE.
There
is
appropriated
from
the
19
general
fund
of
the
state
to
the
department
of
human
services
20
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
21
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
22
to
be
used
for
the
purpose
designated:
23
For
building
community
capacity
through
the
coordination
24
and
provision
of
training
opportunities
in
accordance
with
the
25
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
26
Iowa,
July
14,
1994):
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,622
28
Sec.
21.
MENTAL
HEALTH
INSTITUTES.
29
There
is
appropriated
from
the
general
fund
of
the
state
to
30
the
department
of
human
services
for
the
fiscal
year
beginning
31
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
32
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
33
designated:
34
1.
For
the
state
mental
health
institute
at
Cherokee
for
35
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S.F.
_____
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
1
for
not
more
than
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,877,308
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
4
2.
For
the
state
mental
health
institute
at
Clarinda
for
5
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
6
for
not
more
than
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,411,734
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
9
3.
For
the
state
mental
health
institute
at
Independence
for
10
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
11
for
not
more
than
the
following
full-time
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,275,685
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
14
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
15
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
16
and
for
not
more
than
the
following
full-time
equivalent
17
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
944,323
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
91.72
20
Sec.
22.
STATE
RESOURCE
CENTERS.
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,
2011,
and
ending
June
30,
2012,
the
following
24
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purposes
designated:
26
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
27
support,
maintenance,
and
miscellaneous
purposes:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,607,801
29
b.
For
the
state
resource
center
at
Woodward
for
salaries,
30
support,
maintenance,
and
miscellaneous
purposes:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,885,658
32
2.
The
department
may
continue
to
bill
for
state
resource
33
center
services
utilizing
a
scope
of
services
approach
used
for
34
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
35
-49-
LSB
2820XC
(37)
84
pf/jp
49/
216
S.F.
_____
shift
costs
between
the
medical
assistance
program,
counties,
1
or
other
sources
of
funding
for
the
state
resource
centers.
2
3.
The
state
resource
centers
may
expand
the
time-limited
3
assessment
and
respite
services
during
the
fiscal
year.
4
4.
If
the
department’s
administration
and
the
department
5
of
management
concur
with
a
finding
by
a
state
resource
6
center’s
superintendent
that
projected
revenues
can
reasonably
7
be
expected
to
pay
the
salary
and
support
costs
for
a
new
8
employee
position,
or
that
such
costs
for
adding
a
particular
9
number
of
new
positions
for
the
fiscal
year
would
be
less
10
than
the
overtime
costs
if
new
positions
would
not
be
added,
11
the
superintendent
may
add
the
new
position
or
positions.
If
12
the
vacant
positions
available
to
a
resource
center
do
not
13
include
the
position
classification
desired
to
be
filled,
the
14
state
resource
center’s
superintendent
may
reclassify
any
15
vacant
position
as
necessary
to
fill
the
desired
position.
The
16
superintendents
of
the
state
resource
centers
may,
by
mutual
17
agreement,
pool
vacant
positions
and
position
classifications
18
during
the
course
of
the
fiscal
year
in
order
to
assist
one
19
another
in
filling
necessary
positions.
20
5.
If
existing
capacity
limitations
are
reached
in
21
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
22
a
special
need
for
which
a
payment
source
or
other
funding
23
is
available
for
the
service
or
to
address
the
special
need,
24
and
facilities
for
the
service
or
to
address
the
special
need
25
can
be
provided
within
the
available
payment
source
or
other
26
funding,
the
superintendent
of
a
state
resource
center
may
27
authorize
opening
not
more
than
two
units
or
other
facilities
28
and
begin
implementing
the
service
or
addressing
the
special
29
need
during
fiscal
year
2011-2012.
30
Sec.
23.
MI/MR/DD
STATE
CASES.
31
1.
There
is
appropriated
from
the
general
fund
of
the
32
state
to
the
department
of
human
services
for
the
fiscal
year
33
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
34
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
35
-50-
LSB
2820XC
(37)
84
pf/jp
50/
216
S.F.
_____
purpose
designated:
1
For
distribution
to
counties
for
state
case
services
2
for
persons
with
mental
illness,
mental
retardation,
and
3
developmental
disabilities
in
accordance
with
section
331.440:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,169,482
5
2.
For
the
fiscal
year
beginning
July
1,
2011,
and
ending
6
June
30,
2012,
$200,000
is
allocated
for
state
case
services
7
from
the
amounts
appropriated
from
the
fund
created
in
section
8
8.41
to
the
department
of
human
services
from
the
funds
9
received
from
the
federal
government
under
42
U.S.C.
ch.
6A,
10
subch.
XVII,
relating
to
the
community
mental
health
center
11
block
grant,
for
the
federal
fiscal
years
beginning
October
12
1,
2009,
and
ending
September
30,
2010,
beginning
October
1,
13
2010,
and
ending
September
30,
2011,
and
beginning
October
1,
14
2011,
and
ending
September
30,
2012.
The
allocation
made
in
15
this
subsection
shall
be
made
prior
to
any
other
distribution
16
allocation
of
the
appropriated
federal
funds.
17
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
18
this
section
that
remain
unencumbered
or
unobligated
at
the
19
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
20
available
for
expenditure
for
the
purposes
designated
until
the
21
close
of
the
succeeding
fiscal
year.
22
Sec.
24.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
23
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
24
the
general
fund
of
the
state
to
the
mental
health
and
25
developmental
disabilities
community
services
fund
created
in
26
section
225C.7
for
the
fiscal
year
beginning
July
1,
2011,
and
27
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
28
as
is
necessary,
to
be
used
for
the
purpose
designated:
29
For
mental
health
and
developmental
disabilities
community
30
services
in
accordance
with
this
division
of
this
Act:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
32
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
33
shall
be
allocated
to
counties
for
funding
of
community-based
34
mental
health
and
developmental
disabilities
services.
The
35
-51-
LSB
2820XC
(37)
84
pf/jp
51/
216
S.F.
_____
moneys
shall
be
allocated
to
a
county
as
follows:
1
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
2
state’s
population
of
persons
with
an
annual
income
which
is
3
equal
to
or
less
than
the
poverty
guideline
established
by
the
4
federal
office
of
management
and
budget.
5
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
6
state’s
general
population.
7
2.
a.
A
county
shall
utilize
the
funding
the
county
8
receives
pursuant
to
subsection
1
for
services
provided
to
9
persons
with
a
disability,
as
defined
in
section
225C.2.
10
However,
no
more
than
50
percent
of
the
funding
shall
be
used
11
for
services
provided
to
any
one
of
the
service
populations.
12
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
13
county
receives
under
subsection
1
for
contemporary
services
14
provided
to
persons
with
a
disability,
as
described
in
rules
15
adopted
by
the
department.
16
3.
Of
the
funds
appropriated
in
this
section,
$23,544
17
shall
be
used
to
support
the
Iowa
compass
program
providing
18
computerized
information
and
referral
services
for
Iowans
with
19
disabilities
and
their
families.
20
4.
a.
Funding
appropriated
for
purposes
of
the
federal
21
social
services
block
grant
is
allocated
for
distribution
22
to
counties
for
local
purchase
of
services
for
persons
with
23
mental
illness
or
mental
retardation
or
other
developmental
24
disability.
25
b.
The
funds
allocated
in
this
subsection
shall
be
expended
26
by
counties
in
accordance
with
the
county’s
county
management
27
plan
approved
by
the
board
of
supervisors.
A
county
without
28
an
approved
county
management
plan
shall
not
receive
allocated
29
funds
until
the
county’s
management
plan
is
approved.
30
c.
The
funds
provided
by
this
subsection
shall
be
allocated
31
to
each
county
as
follows:
32
(1)
Fifty
percent
based
upon
the
county’s
proportion
of
the
33
state’s
population
of
persons
with
an
annual
income
which
is
34
equal
to
or
less
than
the
poverty
guideline
established
by
the
35
-52-
LSB
2820XC
(37)
84
pf/jp
52/
216
S.F.
_____
federal
office
of
management
and
budget.
1
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
2
county
for
local
purchase
of
services
in
the
preceding
fiscal
3
year.
4
5.
A
county
is
eligible
for
funds
under
this
section
if
the
5
county
qualifies
for
a
state
payment
as
described
in
section
6
331.439.
7
6.
The
latest
certified
census
issued
by
the
United
States
8
bureau
of
the
census
shall
be
applied
for
the
population
9
factors
utilized
in
this
section.
10
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
11
1.
There
is
appropriated
from
the
general
fund
of
the
12
state
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purpose
designated:
16
For
costs
associated
with
the
commitment
and
treatment
of
17
sexually
violent
predators
in
the
unit
located
at
the
state
18
mental
health
institute
at
Cherokee,
including
costs
of
legal
19
services
and
other
associated
costs,
including
salaries,
20
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
21
more
than
the
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,550,727
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
24
2.
Unless
specifically
prohibited
by
law,
if
the
amount
25
charged
provides
for
recoupment
of
at
least
the
entire
amount
26
of
direct
and
indirect
costs,
the
department
of
human
services
27
may
contract
with
other
states
to
provide
care
and
treatment
28
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
29
violent
predators
at
Cherokee.
The
moneys
received
under
30
such
a
contract
shall
be
considered
to
be
repayment
receipts
31
and
used
for
the
purposes
of
the
appropriation
made
in
this
32
section.
33
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
34
general
fund
of
the
state
to
the
department
of
human
services
35
-53-
LSB
2820XC
(37)
84
pf/jp
53/
216
S.F.
_____
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
1
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
2
to
be
used
for
the
purposes
designated:
3
For
field
operations,
including
salaries,
support,
4
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
5
the
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
54,789,921
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
8
Priority
in
filling
full-time
equivalent
positions
shall
be
9
given
to
those
positions
related
to
child
protection
services
10
and
eligibility
determination
for
low-income
families.
11
Notwithstanding
section
8.33,
moneys
appropriated
in
this
12
section
that
remain
unencumbered
or
unobligated
at
the
close
of
13
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
14
expenditure
for
the
purposes
designated
until
the
close
of
the
15
succeeding
fiscal
year.
16
Sec.
27.
GENERAL
ADMINISTRATION.
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,
2011,
and
ending
19
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
20
necessary,
to
be
used
for
the
purpose
designated:
21
For
general
administration,
including
salaries,
support,
22
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
23
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,596,745
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
290.00
26
1.
Of
the
funds
appropriated
in
this
section,
$38,543
27
allocated
for
the
prevention
of
disabilities
policy
council
28
established
in
section
225B.3.
29
2.
The
department
shall
report
at
least
monthly
to
the
30
legislative
services
agency
concerning
the
department’s
31
operational
and
program
expenditures.
32
3.
Of
the
funds
appropriated
in
this
section,
$132,300
shall
33
be
used
to
contract
with
a
statewide
association
representing
34
community
providers
of
mental
health,
mental
retardation
and
35
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brain
injury
services
programs
to
provide
technical
assistance,
1
support,
and
consultation
to
providers
of
habilitation
2
services
and
home
and
community-based
waiver
services
for
3
adults
with
disabilities
under
the
medical
assistance
program.
4
Notwithstanding
section
8.47
or
any
other
provision
of
law
to
5
the
contrary,
the
department
may
utilize
a
sole
source
approach
6
to
contract
with
the
association.
7
4.
Of
the
funds
appropriated
in
this
section,
$176,400
8
shall
be
used
to
contract
with
an
appropriate
entity
to
9
expand
the
provision
of
nationally
accredited
and
recognized
10
internet-based
training
to
include
mental
health
and
disability
11
services
providers.
Notwithstanding
section
8.47
or
any
other
12
provision
of
law
to
the
contrary,
the
department
may
utilize
a
13
sole
source
approach
to
enter
into
such
contract.
14
5.
Of
the
funds
appropriated
in
this
section,
$500,000
15
shall
be
used
for
implementation
of
child
protection
system
16
improvements
addressed
in
2011
Iowa
Acts,
House
File
562,
as
17
enacted.
18
6.
Notwithstanding
section
8.33,
moneys
appropriated
in
19
this
section
that
remain
unencumbered
or
unobligated
at
the
20
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
21
available
for
expenditure
for
the
purposes
designated
until
the
22
close
of
the
succeeding
fiscal
year.
23
Sec.
28.
VOLUNTEERS.
There
is
appropriated
from
the
general
24
fund
of
the
state
to
the
department
of
human
services
for
the
25
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
26
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
27
used
for
the
purpose
designated:
28
For
development
and
coordination
of
volunteer
services:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,660
30
Sec.
29.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
31
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
32
DEPARTMENT
OF
HUMAN
SERVICES.
33
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2011,
34
the
total
state
funding
amount
for
the
nursing
facility
budget
35
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shall
not
exceed
$223,202,551.
1
(2)
For
the
fiscal
year
beginning
July
1,
2011,
the
2
department
shall
rebase
case-mix
nursing
facility
rates
3
effective
July
1,
2011.
However,
total
nursing
facility
budget
4
expenditures,
including
both
case-mix
and
noncase-mix
shall
5
not
exceed
the
amount
specified
in
subparagraph
(1).
When
6
calculating
case-mix
per
diem
cost
and
the
patient-day-weighted
7
medians
used
in
rate-setting
for
nursing
facilities
effective
8
July
1,
2011,
the
inflation
factor
applied
from
the
midpoint
9
of
the
cost
report
period
to
the
first
day
of
the
state
fiscal
10
year
rate
period
shall
be
adjusted
to
maintain
state
funding
11
within
the
amount
specified
in
subparagraph
(1).
12
(3)
The
department,
in
cooperation
with
nursing
facility
13
representatives,
shall
review
projections
for
state
funding
14
expenditures
for
reimbursement
of
nursing
facilities
on
a
15
quarterly
basis
and
the
department
shall
determine
if
an
16
adjustment
to
the
medical
assistance
reimbursement
rate
is
17
necessary
in
order
to
provide
reimbursement
within
the
state
18
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
19
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
20
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
21
if
the
state
funding
expenditures
for
the
nursing
facility
22
budget
for
the
fiscal
year
is
projected
to
exceed
the
amount
23
specified
in
subparagraph
(1),
the
department
shall
adjust
24
the
reimbursement
for
nursing
facilities
reimbursed
under
the
25
case-mix
reimbursement
system
to
maintain
expenditures
of
the
26
nursing
facility
budget
within
the
specified
amount
for
the
27
fiscal
year.
28
(4)
For
the
fiscal
year
beginning
July
1,
2011,
special
29
population
nursing
facilities
shall
be
reimbursed
in
accordance
30
with
the
methodology
in
effect
on
June
30,
2011.
31
b.
For
the
fiscal
year
beginning
July
1,
2011,
the
32
department
shall
reimburse
pharmacy
dispensing
fees
using
a
33
single
rate
of
$4.34
per
prescription
or
the
pharmacy’s
usual
34
and
customary
fee,
whichever
is
lower.
However,
the
department
35
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shall
adjust
the
dispensing
fee
specified
in
this
paragraph
1
to
distribute
an
additional
$2,400,000
in
reimbursements
for
2
pharmacy
dispensing
fees
under
this
paragraph
for
the
fiscal
3
year.
4
c.
(1)
For
the
fiscal
year
beginning
July
1,
2011,
5
reimbursement
rates
for
outpatient
hospital
services
shall
be
6
rebased
effective
January
1,
2012.
7
(2)
For
the
fiscal
year
beginning
July
1,
2011,
8
reimbursement
rates
for
inpatient
hospital
services
shall
be
9
rebased
effective
October
1,
2011.
10
(3)
The
total
amount
of
increased
funding
available
for
11
reimbursement
attributable
to
rebasing
under
this
paragraph
12
for
the
fiscal
year
beginning
July
1,
2011,
shall
not
exceed
13
$4,500,000.
14
(4)
For
the
fiscal
year
beginning
July
1,
2011,
the
graduate
15
medical
education
and
disproportionate
share
hospital
fund
16
shall
remain
at
the
amount
in
effect
on
June
30,
2011,
except
17
that
the
portion
of
the
fund
attributable
to
graduate
medical
18
education
shall
be
reduced
in
an
amount
that
reflects
the
19
elimination
of
graduate
medical
education
payments
made
to
20
out-of-state
hospitals.
21
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
22
funds
in
procuring
health
care
services
for
low-income
Iowans,
23
funds
appropriated
in
this
Act
for
hospital
services
shall
24
not
be
used
for
activities
which
would
be
excluded
from
a
25
determination
of
reasonable
costs
under
the
federal
Medicare
26
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
27
d.
For
the
fiscal
year
beginning
July
1,
2011,
reimbursement
28
rates
for
rural
health
clinics,
hospices,
and
acute
mental
29
hospitals
shall
be
increased
in
accordance
with
increases
under
30
the
federal
Medicare
program
or
as
supported
by
their
Medicare
31
audited
costs.
32
e.
For
the
fiscal
year
beginning
July
1,
2011,
independent
33
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
34
using
the
same
methodology
in
effect
on
June
30,
2011.
35
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f.
For
the
fiscal
year
beginning
July
1,
2011,
reimbursement
1
rates
for
home
health
agencies
shall
remain
at
the
rates
in
2
effect
on
June
30,
2011,
not
to
exceed
a
home
health
agency’s
3
actual
allowable
cost.
4
g.
For
the
fiscal
year
beginning
July
1,
2011,
federally
5
qualified
health
centers
shall
receive
cost-based
reimbursement
6
for
100
percent
of
the
reasonable
costs
for
the
provision
of
7
services
to
recipients
of
medical
assistance.
8
h.
For
the
fiscal
year
beginning
July
1,
2011,
the
9
reimbursement
rates
for
dental
services
shall
remain
at
the
10
rates
in
effect
on
June
30,
2011.
11
i.
(1)
For
the
fiscal
year
beginning
July
1,
2011,
12
state-owned
psychiatric
medical
institutions
for
children
shall
13
receive
cost-based
reimbursement
for
100
percent
of
the
actual
14
and
allowable
costs
for
the
provision
of
services
to
recipients
15
of
medical
assistance.
16
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
17
for
children,
reimbursement
rates
shall
remain
at
the
rates
18
in
effect
on
June
30,
2011.
The
department,
in
consultation
19
with
representatives
of
the
nonstate-owned
psychiatric
medical
20
institutions
for
children,
shall
develop
a
reimbursement
21
methodology
to
include
all
ancillary
medical
services
costs
22
and
any
other
changes
required
for
federal
compliance,
to
be
23
implemented
on
July
1,
2012.
To
the
extent
possible,
the
24
reimbursement
methodology
shall
be
developed
in
a
manner
so
as
25
to
be
budget
neutral
to
the
institutions
and
cost
effective
for
26
the
state.
27
j.
For
the
fiscal
year
beginning
July
1,
2011,
unless
28
otherwise
specified
in
this
Act,
all
noninstitutional
medical
29
assistance
provider
reimbursement
rates
shall
remain
at
the
30
rates
in
effect
on
June
30,
2011,
except
for
area
education
31
agencies,
local
education
agencies,
infant
and
toddler
services
32
providers,
and
those
providers
whose
rates
are
required
to
be
33
determined
pursuant
to
section
249A.20.
34
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
35
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216
S.F.
_____
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rate
for
1
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
2
30,
2011.
3
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
4
beginning
July
1,
2011,
the
average
reimbursement
rate
for
5
health
care
providers
eligible
for
use
of
the
federal
Medicare
6
resource-based
relative
value
scale
reimbursement
methodology
7
under
that
section
shall
remain
at
the
rate
in
effect
on
June
8
30,
2011;
however,
this
rate
shall
not
exceed
the
maximum
level
9
authorized
by
the
federal
government.
10
m.
For
the
fiscal
year
beginning
July
1,
2011,
the
11
reimbursement
rate
for
residential
care
facilities
shall
not
12
be
less
than
the
minimum
payment
level
as
established
by
the
13
federal
government
to
meet
the
federally
mandated
maintenance
14
of
effort
requirement.
The
flat
reimbursement
rate
for
15
facilities
electing
not
to
file
annual
cost
reports
shall
not
16
be
less
than
the
minimum
payment
level
as
established
by
the
17
federal
government
to
meet
the
federally
mandated
maintenance
18
of
effort
requirement.
19
n.
For
the
fiscal
year
beginning
July
1,
2011,
inpatient
20
mental
health
services
provided
at
hospitals
shall
be
rebased
21
effective
October
1,
2011,
subject
to
Medicaid
program
upper
22
payment
limit
rules;
community
mental
health
centers
and
23
providers
of
mental
health
services
to
county
residents
24
pursuant
to
a
waiver
approved
under
section
225C.7,
subsection
25
3,
shall
be
reimbursed
at
100
percent
of
the
reasonable
26
costs
for
the
provision
of
services
to
recipients
of
medical
27
assistance;
and
psychiatrists
shall
be
reimbursed
at
the
28
medical
assistance
program
fee
for
service
rate.
29
o.
For
the
fiscal
year
beginning
July
1,
2011,
the
30
reimbursement
rate
for
consumer-directed
attendant
care
shall
31
remain
at
the
rates
in
effect
on
June
30,
2011.
32
p.
For
the
fiscal
year
beginning
July
1,
2011,
the
33
reimbursement
rate
for
providers
of
family
planning
services
34
that
are
eligible
to
receive
a
90
percent
federal
match
shall
35
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remain
at
the
rates
in
effect
on
June
30,
2011.
1
q.
For
the
fiscal
year
beginning
July
1,
2011,
the
2
department
shall
adjust
the
rates
in
effect
on
June
30,
3
2011,
for
providers
of
home
and
community-based
services
4
waiver
services
to
distribute
an
additional
$1,500,000
in
5
reimbursements
to
such
providers
for
the
fiscal
year.
6
2.
For
the
fiscal
year
beginning
July
1,
2011,
the
7
reimbursement
rate
for
providers
reimbursed
under
the
8
in-home-related
care
program
shall
not
be
less
than
the
minimum
9
payment
level
as
established
by
the
federal
government
to
meet
10
the
federally
mandated
maintenance
of
effort
requirement.
11
3.
Unless
otherwise
directed
in
this
section,
when
the
12
department’s
reimbursement
methodology
for
any
provider
13
reimbursed
in
accordance
with
this
section
includes
an
14
inflation
factor,
this
factor
shall
not
exceed
the
amount
15
by
which
the
consumer
price
index
for
all
urban
consumers
16
increased
during
the
calendar
year
ending
December
31,
2002.
17
4.
For
the
fiscal
year
beginning
July
1,
2011,
18
notwithstanding
section
234.38,
the
foster
family
basic
daily
19
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
20
children
ages
0
through
5
years
shall
be
$15.74,
the
rate
for
21
children
ages
6
through
11
years
shall
be
$16.37,
the
rate
for
22
children
ages
12
through
15
years
shall
be
$17.92,
and
the
23
rate
for
children
and
young
adults
ages
16
and
older
shall
be
24
$18.16.
The
maximum
supervised
apartment
living
foster
care
25
reimbursement
rate
shall
be
$25.00
per
day.
For
youth
ages
26
18
to
21
who
have
exited
foster
care,
the
maximum
preparation
27
for
adult
living
program
maintenance
rate
shall
be
$574.00
per
28
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
29
expenses
shall
be
limited
to
$500
and
the
disallowance
of
30
additional
amounts
for
court
costs
and
other
related
legal
31
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
32
section
408
shall
be
continued.
33
5.
For
the
fiscal
year
beginning
July
1,
2011,
the
maximum
34
reimbursement
rates
under
the
supervised
apartment
living
35
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_____
program
and
for
social
services
providers
under
contract
1
shall
remain
at
the
rates
in
effect
on
June
30,
2011,
or
the
2
provider’s
actual
and
allowable
cost
plus
inflation
for
each
3
service,
whichever
is
less.
However,
if
a
new
service
or
4
service
provider
is
added
after
June
30,
2011,
the
initial
5
reimbursement
rate
for
the
service
or
provider
shall
be
6
based
upon
actual
and
allowable
costs.
Providers
may
also
7
be
eligible
for
an
additional
amount
as
specified
under
the
8
department’s
request
for
proposal,
bid
number
ACFS-11-115.
9
6.
For
the
fiscal
year
beginning
July
1,
2011,
the
10
reimbursement
rates
for
family-centered
service
providers,
11
family
foster
care
service
providers,
group
foster
care
service
12
providers,
and
the
resource
family
recruitment
and
retention
13
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
14
2011.
15
7.
The
group
foster
care
reimbursement
rates
paid
for
16
placement
of
children
out
of
state
shall
be
calculated
17
according
to
the
same
rate-setting
principles
as
those
used
for
18
in-state
providers,
unless
the
director
of
human
services
or
19
the
director’s
designee
determines
that
appropriate
care
cannot
20
be
provided
within
the
state.
The
payment
of
the
daily
rate
21
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
22
which
service
is
provided.
23
8.
a.
For
the
fiscal
year
beginning
July
1,
2011,
the
24
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
25
emergency
services
implemented
to
provide
or
prevent
the
need
26
for
shelter
care
shall
be
established
in
a
contract
based
on
27
the
requirements
of
the
department’s
request
for
proposal,
bid
28
number
ACFS-11-114.
29
b.
For
the
fiscal
year
beginning
July
1,
2011,
the
combined
30
service
and
maintenance
components
of
the
reimbursement
rate
31
paid
for
shelter
care
services
shall
be
based
on
the
financial
32
and
statistical
report
submitted
to
the
department.
The
33
maximum
reimbursement
rate
shall
be
$92.36
per
day.
The
34
department
shall
reimburse
a
shelter
care
provider
at
the
35
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_____
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
1
to
exceed
the
maximum
reimbursement
rate.
2
c.
Notwithstanding
section
232.141,
subsection
8,
for
the
3
fiscal
year
beginning
July
1,
2011,
the
amount
of
the
statewide
4
average
of
the
actual
and
allowable
rates
for
reimbursement
of
5
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
6
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
7
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
8
2010.
9
9.
For
the
fiscal
year
beginning
July
1,
2011,
the
10
department
shall
calculate
reimbursement
rates
for
intermediate
11
care
facilities
for
persons
with
mental
retardation
at
the
12
80th
percentile.
Beginning
July
1,
2011,
the
rate
calculation
13
methodology
shall
utilize
the
consumer
price
index
inflation
14
factor
applicable
to
the
fiscal
year
beginning
July
1,
2011.
15
10.
For
the
fiscal
year
beginning
July
1,
2011,
for
child
16
care
providers
reimbursed
under
the
state
child
care
assistance
17
program,
the
department
shall
set
provider
reimbursement
18
rates
based
on
the
rate
reimbursement
survey
completed
in
19
December
2004.
Effective
July
1,
2011,
the
child
care
provider
20
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
21
30,
2011.
The
department
shall
set
rates
in
a
manner
so
as
22
to
provide
incentives
for
a
nonregistered
provider
to
become
23
registered
by
applying
the
increase
only
to
registered
and
24
licensed
providers.
25
11.
The
department
may
adopt
emergency
rules
to
implement
26
this
section.
27
Sec.
30.
EMERGENCY
RULES.
28
1.
If
specifically
authorized
by
a
provision
of
this
29
division
of
this
Act,
the
department
of
human
services
or
30
the
mental
health,
and
disability
services
commission
may
31
adopt
administrative
rules
under
section
17A.4,
subsection
32
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
33
implement
the
provisions
and
the
rules
shall
become
effective
34
immediately
upon
filing
or
on
a
later
effective
date
specified
35
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_____
in
the
rules,
unless
the
effective
date
is
delayed
by
the
1
administrative
rules
review
committee.
Any
rules
adopted
in
2
accordance
with
this
section
shall
not
take
effect
before
3
the
rules
are
reviewed
by
the
administrative
rules
review
4
committee.
The
delay
authority
provided
to
the
administrative
5
rules
review
committee
under
section
17A.4,
subsection
7,
and
6
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
7
imposed
under
this
section,
notwithstanding
a
provision
in
8
those
sections
making
them
inapplicable
to
section
17A.5,
9
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
10
with
the
provisions
of
this
section
shall
also
be
published
as
11
notice
of
intended
action
as
provided
in
section
17A.4.
12
2.
If
during
the
fiscal
year
beginning
July
1,
2011,
the
13
department
of
human
services
is
adopting
rules
in
accordance
14
with
this
section
or
as
otherwise
directed
or
authorized
by
15
state
law,
and
the
rules
will
result
in
an
expenditure
increase
16
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
17
expenditure
was
not
addressed
in
the
budget
process
for
the
18
fiscal
year,
the
department
shall
notify
the
persons
designated
19
by
this
division
of
this
Act
for
submission
of
reports,
20
the
chairpersons
and
ranking
members
of
the
committees
on
21
appropriations,
and
the
department
of
management
concerning
the
22
rules
and
the
expenditure
increase.
The
notification
shall
be
23
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
24
the
rules
is
submitted
to
the
administrative
rules
coordinator
25
and
the
administrative
code
editor.
26
Sec.
31.
CIVIL
MONETARY
PENALTIES
——
DIRECT
CARE
WORKER
27
INITIATIVES
PROPOSAL.
The
department
of
human
services
shall
28
develop
a
proposal,
in
collaboration
with
the
department
of
29
public
health,
requesting
federal
approval
for
the
use
of
30
a
portion
of
the
funds
received
by
the
department
of
human
31
services
as
civil
monetary
penalties
from
nursing
facilities
32
to
support
direct
care
worker
initiatives
that
enhance
the
33
quality
of
care
in
nursing
facilities.
The
proposal
shall
34
request
use
of
the
funds
for
direct
care
worker
initiatives
35
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S.F.
_____
based
on
recommendations
of
the
direct
care
worker
task
force
1
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
as
included
2
in
the
report
submitted
to
the
governor
and
the
general
3
assembly
in
December
2006.
Upon
completion
of
the
proposal,
4
the
department
of
human
services
shall
submit
the
proposal
to
5
the
centers
for
Medicare
and
Medicaid
services
of
the
United
6
States
department
of
health
and
human
services
for
approval.
7
The
department
of
human
services
shall
notify
the
persons
8
designated
in
this
division
of
this
Act
for
submission
of
9
reports
upon
receipt
of
approval
of
the
proposal.
10
Sec.
32.
FEDERAL
GRANTS
REPORTING.
During
the
fiscal
11
year
beginning
July
1,
2011,
the
departments
and
agencies
12
receiving
an
appropriation
in
this
Act
from
the
general
fund
13
of
the
state
shall
report
to
the
persons
designated
by
this
14
Act
for
submission
of
reports
and
the
department
of
management
15
within
60
calendar
days
of
applying
for
or
renewing
a
federal
16
grant
with
a
value
over
$1,000.
The
report
shall
list
the
17
federal
funding
source
and
address
the
potential
need
for
the
18
commitment
of
state
funding
in
order
to
match
or
continue
the
19
funding
provided
by
the
federal
grant
in
the
present
or
the
20
future.
21
Sec.
33.
REPORTS.
Any
reports
or
information
required
to
be
22
compiled
and
submitted
under
this
Act
shall
be
submitted
to
the
23
chairpersons
and
ranking
members
of
the
joint
appropriations
24
subcommittee
on
health
and
human
services,
the
legislative
25
services
agency,
and
the
legislative
caucus
staffs
on
or
26
before
the
dates
specified
for
submission
of
the
reports
or
27
information.
28
Sec.
34.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
29
APPLICABILITY.
The
following
provisions
of
this
division
of
30
this
Act,
being
deemed
of
immediate
importance,
take
effect
31
upon
enactment
and
if
approved
by
the
governor
on
or
after
July
32
1,
2011,
apply
retroactively
to
June
30,
2011:
33
The
provision
under
the
appropriation
for
child
and
family
34
services,
relating
to
requirements
of
section
232.143
for
35
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S.F.
_____
representatives
of
the
department
of
human
services
and
1
juvenile
court
services
to
establish
a
plan
for
continuing
2
group
foster
care
expenditures
for
fiscal
year
2011-2012.
3
DIVISION
V
4
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
5
IOWACARE
ACCOUNT,
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND,
6
HEALTH
CARE
7
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
ACCOUNT,
8
QUALITY
ASSURANCE
TRUST
FUND,
AND
9
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
10
Sec.
35.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
11
appropriated
from
the
pharmaceutical
settlement
account
created
12
in
section
249A.33
to
the
department
of
human
services
for
the
13
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
14
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
15
used
for
the
purpose
designated:
16
Notwithstanding
any
provision
of
law
to
the
contrary,
to
17
supplement
the
appropriations
made
in
this
Act
for
medical
18
contracts
under
the
medical
assistance
program:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,433,613
20
Sec.
36.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
21
1.
There
is
appropriated
from
the
IowaCare
account
22
created
in
section
249J.24
to
the
state
board
of
regents
for
23
distribution
to
the
university
of
Iowa
hospitals
and
clinics
24
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
25
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
26
to
be
used
for
the
purposes
designated:
27
For
salaries,
support,
maintenance,
equipment,
and
28
miscellaneous
purposes,
for
the
provision
of
medical
and
29
surgical
treatment
of
indigent
patients,
for
provision
of
30
services
to
members
of
the
expansion
population
pursuant
to
31
chapter
249J,
and
for
medical
education:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,284,584
33
a.
Funds
appropriated
in
this
subsection
shall
not
be
used
34
to
perform
abortions
except
medically
necessary
abortions,
and
35
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_____
shall
not
be
used
to
operate
the
early
termination
of
pregnancy
1
clinic
except
for
the
performance
of
medically
necessary
2
abortions.
For
the
purpose
of
this
subsection,
an
abortion
is
3
the
purposeful
interruption
of
pregnancy
with
the
intention
4
other
than
to
produce
a
live-born
infant
or
to
remove
a
dead
5
fetus,
and
a
medically
necessary
abortion
is
one
performed
6
under
one
of
the
following
conditions:
7
(1)
The
attending
physician
certifies
that
continuing
the
8
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
9
(2)
The
attending
physician
certifies
that
the
fetus
is
10
physically
deformed,
mentally
deficient,
or
afflicted
with
a
11
congenital
illness.
12
(3)
The
pregnancy
is
the
result
of
a
rape
which
is
reported
13
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
14
public
or
private
health
agency
which
may
include
a
family
15
physician.
16
(4)
The
pregnancy
is
the
result
of
incest
which
is
reported
17
within
150
days
of
the
incident
to
a
law
enforcement
agency
18
or
public
or
private
health
agency
which
may
include
a
family
19
physician.
20
(5)
The
abortion
is
a
spontaneous
abortion,
commonly
known
21
as
a
miscarriage,
wherein
not
all
of
the
products
of
conception
22
are
expelled.
23
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
24
the
amount
appropriated
in
this
subsection
shall
be
distributed
25
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
26
Medicaid
enterprise.
27
c.
The
university
of
Iowa
hospitals
and
clinics
shall
28
certify
public
expenditures
in
an
amount
equal
to
provide
29
the
nonfederal
share
on
total
expenditures
not
to
exceed
30
$20,000,000.
31
2.
There
is
appropriated
from
the
IowaCare
account
32
created
in
section
249J.24
to
the
state
board
of
regents
for
33
distribution
to
the
university
of
Iowa
hospitals
and
clinics
34
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
35
-66-
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2820XC
(37)
84
pf/jp
66/
216
S.F.
_____
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
1
to
be
used
for
the
purposes
designated:
2
For
salaries,
support,
maintenance,
equipment,
and
3
miscellaneous
purposes,
for
the
provision
of
medical
and
4
surgical
treatment
of
indigent
patients,
for
provision
of
5
services
to
members
of
the
expansion
population
pursuant
to
6
chapter
249J,
and
for
medical
education:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
8
Notwithstanding
any
provision
of
law
to
the
contrary,
the
9
amount
appropriated
in
this
subsection
shall
be
distributed
10
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
11
Medicaid
enterprise.
12
3.
There
is
appropriated
from
the
IowaCare
account
13
created
in
section
249J.24,
to
the
state
board
of
regents
for
14
distribution
to
university
of
Iowa
physicians
for
the
fiscal
15
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
16
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
17
for
the
purposes
designated:
18
For
salaries,
support,
maintenance,
equipment,
and
19
miscellaneous
purposes
for
the
provision
of
medical
and
20
surgical
treatment
of
indigent
patients,
for
provision
of
21
services
to
members
of
the
expansion
population
pursuant
to
22
chapter
249J,
and
for
medical
education:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,277,753
24
Notwithstanding
any
provision
of
law
to
the
contrary,
the
25
amount
appropriated
in
this
subsection
shall
be
distributed
26
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
27
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
28
this
subsection
has
been
distributed,
claims
shall
continue
to
29
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
30
however,
no
payment
shall
be
made
based
upon
such
claims.
31
4.
There
is
appropriated
from
the
IowaCare
account
created
32
in
section
249J.24
to
the
department
of
human
services
for
the
33
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
34
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
35
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2820XC
(37)
84
pf/jp
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216
S.F.
_____
used
for
the
purposes
designated:
1
For
distribution
to
a
publicly
owned
acute
care
teaching
2
hospital
located
in
a
county
with
a
population
over
350,000
for
3
the
provision
of
medical
and
surgical
treatment
of
indigent
4
patients,
for
provision
of
services
to
members
of
the
expansion
5
population
pursuant
to
chapter
249J,
and
for
medical
education:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
7
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
8
the
amount
appropriated
in
this
subsection
shall
be
distributed
9
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
10
Medicaid
enterprise
plus
a
monthly
disproportionate
share
11
hospital
payment.
Any
amount
appropriated
in
this
subsection
12
in
excess
of
$60,000,000
shall
be
distributed
only
if
the
sum
13
of
the
expansion
population
claims
adjudicated
and
paid
by
the
14
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
15
share
hospital
payments
exceeds
$60,000,000.
The
amount
paid
16
in
excess
of
$60,000,000
shall
not
adjust
the
original
monthly
17
payment
amount
but
shall
be
distributed
monthly
based
on
actual
18
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
19
plus
the
estimated
disproportionate
share
hospital
amount.
Any
20
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
21
shall
be
allocated
only
if
federal
funds
are
available
to
match
22
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
23
appropriated
in
this
subsection,
not
more
than
$4,000,000
shall
24
be
distributed
for
prescription
drugs
and
podiatry
services.
25
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
26
hospital
identified
in
this
subsection,
shall
be
reimbursed
for
27
outpatient
prescription
drugs
and
podiatry
services
provided
to
28
members
of
the
expansion
population
pursuant
to
all
applicable
29
medical
assistance
program
rules,
in
an
amount
not
to
exceed
30
$4,000,000.
31
c.
Notwithstanding
the
total
amount
of
proceeds
distributed
32
pursuant
to
section
249J.24,
subsection
4,
paragraph
“a”,
33
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
34
1,
2011,
and
ending
June
30,
2012,
the
county
treasurer
of
a
35
-68-
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(37)
84
pf/jp
68/
216
S.F.
_____
county
with
a
population
of
over
350,000
in
which
a
publicly
1
owned
acute
care
teaching
hospital
is
located
shall
distribute
2
the
proceeds
collected
pursuant
to
section
347.7
in
a
total
3
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
4
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
5
the
IowaCare
account.
6
d.
(1)
Notwithstanding
the
amount
collected
and
7
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
8
section
249J.24,
subsection
6,
paragraph
“a”,
subparagraph
9
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
10
section
347.7
between
July
1,
2011,
and
December
31,
2011,
11
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
12
the
IowaCare
account
and
collections
during
this
time
period
13
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
14
care
teaching
hospital
identified
in
this
subsection.
Of
the
15
collections
in
excess
of
the
$19,000,000
received
by
the
acute
16
care
teaching
hospital
under
this
subparagraph
(1),
$2,000,000
17
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
18
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
19
month
of
January
2012,
following
the
July
1
through
December
20
31,
2011,
period.
21
(2)
Notwithstanding
the
amount
collected
and
distributed
22
for
deposit
in
the
IowaCare
account
pursuant
to
section
23
249J.24,
subsection
6,
paragraph
“a”,
subparagraph
(2),
24
the
first
$19,000,000
in
collections
pursuant
to
section
25
347.7
between
January
1,
2012,
and
June
30,
2012,
shall
be
26
distributed
to
the
treasurer
of
state
for
deposit
in
the
27
IowaCare
account
and
collections
during
this
time
period
in
28
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
29
teaching
hospital
identified
in
this
subsection.
Of
the
30
collections
in
excess
of
the
$19,000,000
received
by
the
acute
31
care
teaching
hospital
under
this
subparagraph
(2),
$2,000,000
32
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
33
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
34
month
of
July
2012,
following
the
January
1
through
June
30,
35
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84
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216
S.F.
_____
2012,
period.
1
5.
There
is
appropriated
from
the
IowaCare
account
created
2
in
section
249J.24
to
the
department
of
human
services
for
the
3
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
4
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
5
used
for
the
purpose
designated:
6
For
payment
to
the
regional
provider
network
specified
7
by
the
department
pursuant
to
section
249J.7
for
provision
8
of
covered
services
to
members
of
the
expansion
population
9
pursuant
to
chapter
249J:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
11
Notwithstanding
any
provision
of
law
to
the
contrary,
the
12
amount
appropriated
in
this
subsection
shall
be
distributed
13
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
14
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
15
this
subsection
has
been
distributed,
claims
shall
continue
to
16
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
17
however,
no
payment
shall
be
made
based
upon
such
claims.
18
6.
There
is
appropriated
from
the
IowaCare
account
created
19
in
section
249J.24
to
the
department
of
human
services
for
the
20
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
21
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
22
used
for
the
purposes
designated:
23
For
a
care
coordination
pool
to
pay
the
expansion
population
24
providers
consisting
of
the
university
of
Iowa
hospitals
and
25
clinics,
the
publicly
owned
acute
care
teaching
hospital
as
26
specified
in
section
249J.7,
and
current
medical
assistance
27
program
providers
that
are
not
expansion
population
network
28
providers
pursuant
to
section
249J.7,
for
services
covered
by
29
the
full
benefit
medical
assistance
program
but
not
under
the
30
IowaCare
program
pursuant
to
section
249J.6,
that
are
provided
31
to
expansion
population
members:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,500,000
33
a.
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
34
appropriated
in
this
subsection
is
intended
to
provide
35
-70-
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2820XC
(37)
84
pf/jp
70/
216
S.F.
_____
payment
for
medically
necessary
services
provided
to
expansion
1
population
members
for
continuation
of
care
provided
by
the
2
university
of
Iowa
hospitals
and
clinics
or
the
publicly
owned
3
acute
care
teaching
hospital
as
specified
in
section
249J.7.
4
Payment
may
only
be
made
for
services
that
are
not
otherwise
5
covered
under
section
249J.6,
and
which
are
follow-up
services
6
to
covered
services
provided
by
the
hospitals
specified
in
this
7
paragraph
“a”.
8
b.
The
funds
appropriated
in
this
subsection
are
intended
9
to
provide
limited
payment
for
continuity
of
care
services
for
10
an
expansion
population
member,
and
are
intended
to
cover
the
11
costs
of
services
to
expansion
population
members,
regardless
12
of
the
member’s
county
of
residence
or
medical
home
assignment,
13
if
the
care
is
related
to
specialty
or
hospital
services
14
provided
by
the
hospitals
specified
in
paragraph
“a”.
15
c.
The
funds
appropriated
in
this
subsection
are
16
not
intended
to
provide
for
expanded
coverage
under
the
17
IowaCare
program,
and
shall
not
be
used
to
cover
emergency
18
transportation
services.
19
d.
The
department
shall
adopt
administrative
rules
pursuant
20
to
chapter
17A
to
establish
a
prior
authorization
process
and
21
to
identify
covered
services
for
reimbursement
under
this
22
subsection.
23
7.
There
is
appropriated
from
the
IowaCare
account
created
24
in
section
249J.24
to
the
department
of
human
services
for
the
25
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
26
the
following
amount
or
so
much
thereof
as
is
necessary
to
be
27
used
for
the
purposes
designated:
28
For
a
laboratory
test
and
radiology
pool
for
services
29
authorized
by
a
federally
qualified
health
center
designated
30
by
the
department
as
part
of
the
IowaCare
regional
provider
31
network
that
does
not
have
the
capability
to
provide
these
32
services
on
site:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
34
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
35
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84
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216
S.F.
_____
appropriated
in
this
subsection
is
intended
to
provide
1
reimbursement
for
services
provided
to
expansion
population
2
members
that
have
previously
been
paid
for
through
expenditure
3
by
designated
regional
provider
network
providers
of
their
4
own
funds,
not
to
expand
coverage
under
the
IowaCare
program
5
or
to
expand
the
expansion
population
provider
network.
The
6
department
shall
designate
the
laboratory
and
radiology
7
provider
associated
with
each
designated
regional
provider
8
network
provider
that
may
receive
reimbursement.
The
9
department
shall
adopt
administrative
rules
pursuant
to
chapter
10
17A
to
establish
a
prior
authorization
process
and
to
identify
11
covered
services
for
reimbursement
under
this
subsection.
12
All
other
medical
assistance
program
payment
policies
and
13
rules
for
laboratory
and
radiology
services
shall
apply
to
14
services
provided
under
this
subsection.
If
the
entire
amount
15
appropriated
under
this
subsection
is
expended,
laboratory
16
tests
and
radiology
services
ordered
by
a
designated
regional
17
provider
network
provider
shall
be
the
financial
responsibility
18
of
the
regional
provider
network
provider.
19
Sec.
37.
APPROPRIATIONS
FROM
NONPARTICIPATING
20
PROVIDER
REIMBURSEMENT
FUND
——
DEPARTMENT
OF
HUMAN
21
SERVICES.
Notwithstanding
any
provision
to
the
contrary,
and
22
subject
to
the
availability
of
funds,
there
is
appropriated
23
from
the
nonparticipating
provider
reimbursement
fund
created
24
in
section
249J.24A
to
the
department
of
human
services
for
the
25
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
26
the
following
amount
or
so
much
thereof
as
is
necessary
for
the
27
purposes
designated:
28
To
reimburse
nonparticipating
providers
in
accordance
with
29
section
249J.24A:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
31
Sec.
38.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
32
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
33
Notwithstanding
any
provision
to
the
contrary,
there
is
34
appropriated
from
the
account
for
health
care
transformation
35
-72-
LSB
2820XC
(37)
84
pf/jp
72/
216
S.F.
_____
created
in
section
249J.23
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
2
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
3
necessary,
to
be
used
for
the
purposes
designated:
4
1.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
5
expansion
population
as
provided
in
section
249J.6:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
7
2.
For
other
health
promotion
partnership
activities
8
pursuant
to
section
249J.14:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
10
3.
For
the
costs
related
to
audits,
performance
11
evaluations,
and
studies
required
pursuant
to
chapter
249J:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
13
4.
For
administrative
costs
associated
with
chapter
249J:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,132,412
15
5.
For
planning
and
development,
in
cooperation
with
the
16
department
of
public
health,
of
a
phased-in
program
to
provide
17
a
dental
home
for
children
in
accordance
with
section
249J.14:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
19
6.
For
continuation
of
the
establishment
of
the
tuition
20
assistance
for
individuals
serving
individuals
with
21
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
22
chapter
1187,
section
130:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
24
7.
For
medical
contracts:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
26
8.
For
payment
to
the
publicly
owned
acute
care
teaching
27
hospital
located
in
a
county
with
a
population
of
over
350,000
28
that
is
a
participating
provider
pursuant
to
chapter
249J:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
290,000
30
Disbursements
under
this
subsection
shall
be
made
monthly.
31
The
hospital
shall
submit
a
report
following
the
close
of
the
32
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
33
subsection
to
the
persons
specified
in
this
Act
to
receive
34
reports.
35
-73-
LSB
2820XC
(37)
84
pf/jp
73/
216
S.F.
_____
9.
For
transfer
to
the
department
of
public
health
to
be
1
used
for
the
costs
of
medical
home
system
advisory
council
2
established
pursuant
to
section
135.159,
including
for
the
3
incorporation
of
the
work
and
duties
of
the
prevention
and
4
chronic
care
management
advisory
council
pursuant
to
section
5
135.161,
as
amended
by
this
Act:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
233,357
7
Notwithstanding
section
8.39,
subsection
1,
without
the
8
prior
written
consent
and
approval
of
the
governor
and
the
9
director
of
the
department
of
management,
the
director
of
human
10
services
may
transfer
funds
among
the
appropriations
made
in
11
this
section
as
necessary
to
carry
out
the
purposes
of
the
12
account
for
health
care
transformation.
The
department
shall
13
report
any
transfers
made
pursuant
to
this
section
to
the
14
legislative
services
agency.
15
Sec.
39.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
16
INSPECTIONS
AND
APPEALS.
There
is
appropriated
from
the
17
Medicaid
fraud
account
created
in
section
249A.7
to
the
18
department
of
inspections
and
appeals
for
the
fiscal
year
19
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
20
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purposes
designated:
22
For
the
inspection
and
certification
of
assisted
living
23
programs
and
adult
day
care
services,
including
program
24
administration
and
costs
associated
with
implementation:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,339,527
26
Sec.
40.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
HUMAN
27
SERVICES.
There
is
appropriated
from
the
Medicaid
fraud
28
account
created
in
section
249A.7
to
the
department
of
human
29
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
30
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purposes
designated:
32
To
supplement
the
appropriation
made
in
this
Act
from
the
33
general
fund
of
the
state
to
the
department
of
human
services
34
for
medical
assistance:
35
-74-
LSB
2820XC
(37)
84
pf/jp
74/
216
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
1
Sec.
41.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
2
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
3
subject
to
the
availability
of
funds,
there
is
appropriated
4
from
the
quality
assurance
trust
fund
created
in
section
5
249L.4
to
the
department
of
human
services
for
the
fiscal
year
6
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
7
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
8
designated:
9
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
10
general
fund
of
the
state
to
the
department
of
human
services
11
for
medical
assistance:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
60,496,712
13
2.
To
increase
the
monthly
upper
cost
limit
for
services
14
under
the
medical
assistance
home
and
community-based
services
15
waiver
for
the
elderly:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
17
Sec.
42.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
18
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
19
the
contrary
and
subject
to
the
availability
of
funds,
there
is
20
appropriated
from
the
hospital
health
care
access
trust
fund
21
created
in
section
249M.4
to
the
department
of
human
services
22
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
23
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
24
necessary,
for
the
purposes
designated:
25
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
26
general
fund
of
the
state
to
the
department
of
human
services
27
for
medical
assistance:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
29
2.
For
deposit
in
the
nonparticipating
provider
30
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
31
the
purposes
of
the
fund:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
33
Sec.
43.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
34
FOR
FY
2011-2012.
Notwithstanding
section
8.33,
if
moneys
35
-75-
LSB
2820XC
(37)
84
pf/jp
75/
216
S.F.
_____
appropriated
for
purposes
of
the
medical
assistance
program
1
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
2
30,
2012,
from
the
general
fund
of
the
state,
the
Medicaid
3
fraud
account,
the
quality
assurance
trust
fund,
and
the
4
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
5
expenditures
for
the
medical
assistance
program
and
remain
6
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
7
the
excess
moneys
shall
not
revert
but
shall
remain
available
8
for
expenditure
for
the
purposes
of
the
medical
assistance
9
program
until
the
close
of
the
succeeding
fiscal
year.
10
DIVISION
VI
11
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
FOR
FISCAL
YEAR
12
2011-2012
13
Sec.
44.
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
14
DEVELOPMENTAL
DISABILITIES
SERVICES
PROPERTY
TAX
15
RELIEF.
Notwithstanding
the
standing
appropriation
in
section
16
426B.1,
subsection
2,
for
the
fiscal
year
beginning
July
1,
17
2011,
and
ending
June
30,
2012,
the
amount
appropriated
from
18
the
general
fund
of
the
state
pursuant
to
that
provision
shall
19
not
exceed
the
following
amount:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
81,199,911
21
Sec.
45.
2010
Iowa
Acts,
chapter
1193,
section
1,
is
amended
22
to
read
as
follows:
23
SECTION
1.
ADULT
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
24
——
FY
2011-2012.
25
1.
Notwithstanding
section
331.439,
subsection
3
,
the
26
allowed
growth
factor
adjustment
for
county
mental
health,
27
mental
retardation,
and
developmental
disabilities
service
28
expenditures
for
the
fiscal
year
beginning
July
1,
2011,
shall
29
be
established
by
statute
which
shall
be
enacted
within
thirty
30
calendar
days
of
the
convening
of
the
Eighty-fourth
General
31
Assembly,
2011
Session,
on
January
10,
2011.
The
governor
32
shall
submit
to
the
general
assembly
a
recommendation
for
such
33
allowed
growth
factor
adjustment
and
the
amounts
of
related
34
appropriations
to
the
general
assembly
on
or
before
January
11,
35
-76-
LSB
2820XC
(37)
84
pf/jp
76/
216
S.F.
_____
2011.
1
2.
The
appropriation
and
allocations
made
in
this
section
2
fulfill
the
requirements
of
the
governor
and
general
assembly
3
under
subsection
1.
4
3.
There
is
appropriated
from
the
general
fund
of
the
5
state
to
the
department
of
human
services
for
the
fiscal
year
6
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
7
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purpose
designated:
9
For
distribution
to
counties
of
the
county
mental
health,
10
mental
retardation,
and
developmental
disabilities
allowed
11
growth
factor
adjustment
for
fiscal
year
2011-2012
as
provided
12
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
13
of
section
331.438,
subsection
2,
and
section
331.439,
14
subsection
3,
and
chapter
426B:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,697,893
16
Sec.
46.
2010
Iowa
Acts,
chapter
1193,
section
1,
as
17
amended
by
this
division
of
this
Act,
is
amended
by
adding
the
18
following
new
subsections:
19
NEW
SUBSECTION
.
4.
Of
the
amount
appropriated
in
this
20
section,
$12,000,000
shall
be
distributed
as
provided
in
this
21
subsection.
22
a.
To
be
eligible
to
receive
a
distribution
under
this
23
subsection,
a
county
must
meet
the
following
requirements:
24
(1)
The
county
is
levying
for
the
maximum
amount
allowed
25
for
the
county’s
mental
health,
mental
retardation,
and
26
developmental
disabilities
services
fund
under
section
331.424A
27
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
28
2011,
or
the
county
is
levying
for
at
least
90
percent
of
the
29
maximum
amount
allowed
for
the
county’s
services
fund
and
that
30
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
31
all
taxable
property
in
the
county.
32
(2)
In
the
fiscal
year
beginning
July
1,
2009,
the
33
county’s
mental
health,
mental
retardation,
and
developmental
34
disabilities
services
fund
ending
balance
under
generally
35
-77-
LSB
2820XC
(37)
84
pf/jp
77/
216
S.F.
_____
accepted
accounting
principles
was
equal
to
or
less
than
15
1
percent
of
the
county’s
actual
gross
expenditures
for
that
2
fiscal
year.
3
b.
The
amount
of
a
county’s
distribution
from
the
allocation
4
made
in
this
subsection
shall
be
determined
based
upon
the
5
county’s
proportion
of
the
general
population
of
the
counties
6
eligible
to
receive
a
distribution
under
this
subsection.
The
7
latest
certified
federal
census
issued
by
the
United
States
8
bureau
of
the
census
shall
be
applied
in
determining
population
9
for
the
purposes
of
this
paragraph.
10
c.
The
distributions
made
pursuant
to
this
subsection
11
are
subject
to
the
distribution
provisions
and
withholding
12
requirements
established
in
this
section
for
the
county
mental
13
health,
mental
retardation,
and
developmental
disabilities
14
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
15
July
1,
2011.
16
NEW
SUBSECTION
.
5.
The
following
amount
of
the
funding
17
appropriated
in
this
section
is
the
allowed
growth
factor
18
adjustment
for
fiscal
year
2011-2012,
and
shall
be
credited
to
19
the
allowed
growth
funding
pool
created
in
the
property
tax
20
relief
fund
and
for
distribution
in
accordance
with
section
21
426B.5,
subsection
1:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,697,893
23
NEW
SUBSECTION
.
6.
The
following
formula
amounts
shall
be
24
utilized
only
to
calculate
preliminary
distribution
amounts
for
25
the
allowed
growth
factor
adjustment
for
fiscal
year
2011-2012
26
under
this
section
by
applying
the
indicated
formula
provisions
27
to
the
formula
amounts
and
producing
a
preliminary
distribution
28
total
for
each
county:
29
a.
For
calculation
of
a
distribution
amount
for
eligible
30
counties
from
the
allowed
growth
funding
pool
created
in
the
31
property
tax
relief
fund
in
accordance
with
the
requirements
in
32
section
426B.5,
subsection
1:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,773,346
34
b.
For
calculation
of
a
distribution
amount
for
counties
35
-78-
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2820XC
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pf/jp
78/
216
S.F.
_____
from
the
mental
health
and
developmental
disabilities
(MH/DD)
1
community
services
fund
in
accordance
with
the
formula
provided
2
in
the
appropriation
made
for
the
MH/DD
community
services
fund
3
for
the
fiscal
year
beginning
July
1,
2011:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
5
NEW
SUBSECTION
.
7.
a.
After
applying
the
applicable
6
statutory
distribution
formulas
to
the
amounts
indicated
in
7
subsection
6
for
purposes
of
producing
preliminary
distribution
8
totals,
the
department
of
human
services
shall
apply
a
9
withholding
factor
to
adjust
an
eligible
individual
county’s
10
preliminary
distribution
total.
In
order
to
be
eligible
for
11
a
distribution
under
this
section,
a
county
must
be
levying
12
90
percent
or
more
of
the
maximum
amount
allowed
for
the
13
county’s
mental
health,
mental
retardation,
and
developmental
14
disabilities
services
fund
under
section
331.424A
for
taxes
due
15
and
payable
in
the
fiscal
year
for
which
the
distribution
is
16
payable.
17
b.
An
ending
balance
percentage
for
each
county
shall
18
be
determined
by
expressing
the
county’s
ending
balance
on
a
19
modified
accrual
basis
under
generally
accepted
accounting
20
principles
for
the
fiscal
year
beginning
July
1,
2009,
in
the
21
county’s
mental
health,
mental
retardation,
and
developmental
22
disabilities
services
fund
created
under
section
331.424A,
as
a
23
percentage
of
the
county’s
gross
expenditures
from
that
fund
24
for
that
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
25
of
providing
services
from
the
county’s
services
fund
on
or
26
before
July
1,
2009,
and
the
county’s
services
fund
ending
27
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
28
amount
designated
in
the
county
budget
to
service
the
loan
for
29
the
borrowed
moneys,
those
amounts
shall
not
be
considered
30
to
be
part
of
the
county’s
ending
balance
for
purposes
of
31
calculating
an
ending
balance
percentage
under
this
subsection.
32
c.
For
purposes
of
calculating
withholding
factors
and
33
for
ending
balance
amounts
used
for
other
purposes
under
law,
34
the
county
ending
balances
shall
be
adjusted,
using
forms
35
-79-
LSB
2820XC
(37)
84
pf/jp
79/
216
S.F.
_____
developed
for
this
purpose
by
the
county
finance
committee,
1
to
disregard
the
temporary
funding
increase
provided
to
the
2
counties
for
the
fiscal
year
through
the
federal
American
3
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
In
4
addition,
a
county
may
adjust
the
ending
balance
amount
by
5
rebating
to
the
department
all
or
a
portion
of
the
allowed
6
growth
and
MH/DD
services
fund
moneys
the
county
received
for
7
the
fiscal
year
beginning
July
1,
2010,
in
accordance
with
8
2009
Iowa
Acts,
chapter
179,
section
1,
as
amended
by
2009
9
Iowa
Acts,
chapter
1192,
sections
47
and
48,
or
from
any
other
10
services
fund
moneys
available
to
the
county.
The
rebate
must
11
be
remitted
to
the
department
on
or
before
June
1,
2011,
in
12
order
to
be
counted.
However,
if
this
division
of
this
Act
13
is
enacted
after
June
1,
2011,
the
rebate
must
be
remitted
no
14
later
than
10
calendar
days
after
the
date
of
the
governor’s
15
approval
of
this
Act.
The
amount
rebated
by
a
county
shall
be
16
subtracted
dollar-for-dollar
from
the
county’s
ending
balance
17
amount
for
the
fiscal
year
beginning
July
1,
2009,
for
purposes
18
of
calculating
the
withholding
factor
and
for
other
ending
19
balance
purposes
for
the
fiscal
year
beginning
July
1,
2011.
20
The
rebates
received
by
the
department
shall
be
credited
to
the
21
property
tax
relief
fund
and
distributed
as
additional
funding
22
for
the
fiscal
year
beginning
July
1,
2011,
in
accordance
with
23
the
formula
provisions
in
this
section.
24
d.
The
withholding
factor
for
a
county
shall
be
the
25
following
applicable
percent:
26
(1)
For
an
ending
balance
percentage
of
less
than
5
27
percent,
a
withholding
factor
of
0
percent.
In
addition,
28
a
county
that
is
subject
to
this
lettered
paragraph
shall
29
receive
an
inflation
adjustment
equal
to
3
percent
of
the
gross
30
expenditures
reported
for
the
county’s
services
fund
for
the
31
fiscal
year.
32
(2)
For
an
ending
balance
percentage
of
5
percent
or
more
33
but
less
than
10
percent,
a
withholding
factor
of
0
percent.
34
In
addition,
a
county
that
is
subject
to
this
lettered
35
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_____
paragraph
shall
receive
an
inflation
adjustment
equal
to
2
1
percent
of
the
gross
expenditures
reported
for
the
county’s
2
services
fund
for
the
fiscal
year.
3
(3)
For
an
ending
balance
percentage
of
10
percent
or
more
4
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
5
However,
for
counties
with
an
ending
balance
percentage
of
10
6
percent
or
more
but
less
than
15
percent,
the
amount
withheld
7
shall
be
limited
to
the
amount
by
which
the
county’s
ending
8
balance
was
in
excess
of
the
ending
balance
percentage
of
10
9
percent.
10
(4)
For
an
ending
balance
percentage
of
25
percent
or
more,
11
a
withholding
percentage
of
100
percent.
12
NEW
SUBSECTION
.
8.
The
total
withholding
amounts
applied
13
pursuant
to
subsection
7
shall
be
equal
to
a
withholding
target
14
amount
of
$13,075,453.
If
the
department
of
human
services
15
determines
that
the
amount
appropriated
is
insufficient
or
16
the
amount
to
be
withheld
in
accordance
with
subsection
7
is
17
not
equal
to
the
target
withholding
amount,
the
department
18
shall
adjust
the
withholding
factors
listed
in
subsection
7
as
19
necessary
to
achieve
the
target
withholding
amount.
However,
20
in
making
such
adjustments
to
the
withholding
factors,
the
21
department
shall
strive
to
minimize
changes
to
the
withholding
22
factors
for
those
ending
balance
percentage
ranges
that
are
23
lower
than
others
and
shall
only
adjust
the
zero
withholding
24
factor
or
the
inflation
adjustment
percentages
specified
in
25
subsection
7,
paragraph
“d”,
when
the
amount
appropriated
is
26
insufficient.
27
Sec.
47.
2010
Iowa
Acts,
chapter
1193,
section
99,
is
28
amended
to
read
as
follows:
29
SEC.
99.
MH/MR/DD
SERVICES
FUND
TRANSFER.
Notwithstanding
30
section
331.424A,
subsection
5
,
and
section
331.432,
subsection
31
3
,
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
32
30,
2011,
a
county
may
transfer
moneys
from
other
funds
of
the
33
county
to
the
county’s
mental
health,
mental
retardation,
and
34
developmental
disabilities
services
fund
created
in
section
35
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_____
331.424A
.
A
county
transferring
moneys
from
other
funds
of
the
1
county
to
the
county’s
services
fund
pursuant
to
this
section
2
shall
submit
a
report
detailing
the
transfers
made
and
funds
3
affected.
The
county
shall
submit
the
report
along
with
the
4
county
expenditure
and
information
report
submitted
by
December
5
1,
2010
2011
,
in
accordance
with
section
331.439
.
6
Sec.
48.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
7
APPLICABILITY.
The
section
of
this
division
of
this
Act
8
amending
2010
Iowa
Acts,
chapter
1193,
section
99,
being
deemed
9
of
immediate
importance,
takes
effect
upon
enactment
and
is
10
retroactively
applicable
to
December
1,
2010.
11
DIVISION
VII
12
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
13
COMMUNITY
HOUSING
AND
SERVICES
REVOLVING
LOAN
PROGRAM
14
Sec.
49.
NEW
SECTION
.
16.185
Community
housing
and
services
15
for
persons
with
disabilities
revolving
loan
program
fund.
16
1.
A
community
housing
and
services
for
persons
with
17
disabilities
revolving
loan
program
fund
is
created
within
the
18
authority
to
further
the
availability
of
affordable
housing
and
19
supportive
services
for
Medicaid
waiver-eligible
individuals
20
with
behaviors
that
provide
significant
barriers
to
accessing
21
traditional
rental
and
supportive
services
opportunities.
The
22
moneys
in
the
fund
are
annually
appropriated
to
the
authority
23
to
be
used
for
the
development
and
operation
of
a
revolving
24
loan
program
to
provide
financing
to
construct
affordable
25
permanent
supportive
housing
or
develop
infrastructure
in
26
which
to
provide
supportive
services,
including
through
new
27
construction,
acquisition
and
rehabilitation
of
existing
28
housing
or
infrastructure,
or
conversion
or
adaptive
reuse.
29
2.
Moneys
transferred
by
the
authority
for
deposit
in
the
30
community
housing
and
services
for
persons
with
disabilities
31
revolving
loan
program
fund,
moneys
appropriated
to
the
32
community
housing
and
services
for
persons
with
disabilities
33
revolving
loan
program,
and
any
other
moneys
available
to
and
34
obtained
or
accepted
by
the
authority
for
placement
in
the
35
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_____
fund
shall
be
credited
to
the
fund.
Additionally,
payment
of
1
interest,
recaptures
of
awards,
and
other
repayments
to
the
2
community
housing
and
services
for
persons
with
disabilities
3
revolving
loan
program
fund
shall
be
credited
to
the
fund.
4
Notwithstanding
section
12C.7,
subsection
2,
interest
or
5
earnings
on
moneys
in
the
fund
shall
be
credited
to
the
fund.
6
Notwithstanding
section
8.33,
moneys
credited
to
the
fund
from
7
any
other
fund
that
remain
unencumbered
or
unobligated
at
the
8
close
of
the
fiscal
year
shall
not
revert
to
the
other
fund.
9
3.
a.
The
authority
shall
annually
allocate
moneys
10
available
in
the
fund
for
the
development
of
permanent
11
supportive
housing
for
Medicaid
waiver-eligible
individuals.
12
The
authority
shall
develop
a
joint
application
process
for
the
13
allocation
of
United
States
housing
and
urban
development
HOME
14
investment
partnerships
program
funding
and
the
funds
available
15
under
this
section.
Moneys
allocated
to
such
projects
may
be
16
in
the
form
of
loans,
forgivable
loans,
or
a
combination
of
17
loans
and
forgivable
loans.
18
b.
The
authority
shall
annually
allocate
moneys
available
19
in
the
fund
for
the
development
of
infrastructure
in
which
20
to
provide
supportive
services
for
Medicaid
waiver-eligible
21
individuals
who
meet
the
psychiatric
medical
institution
for
22
children
level
of
care.
Moneys
allocated
to
such
projects
may
23
be
in
the
form
of
loans,
forgivable
loans,
or
a
combination
of
24
loans
and
forgivable
loans.
25
4.
a.
A
project
shall
demonstrate
written
approval
of
the
26
project
by
the
department
of
human
services
to
the
authority
27
prior
to
application
for
funding
under
this
section.
28
b.
In
order
to
be
approved
by
the
department
of
human
29
services
for
application
for
funding
for
development
of
30
permanent
supportive
housing
under
this
section,
a
project
31
shall
include
all
of
the
following
components:
32
(1)
Provision
of
services
to
any
of
the
following
Medicaid
33
waiver-eligible
individuals:
34
(a)
Individuals
who
are
currently
underserved
in
community
35
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216
S.F.
_____
placements,
including
individuals
who
are
physically
aggressive
1
or
have
behaviors
that
are
difficult
to
manage
or
individuals
2
who
meet
the
psychiatric
medical
institution
for
children
level
3
of
care.
4
(b)
Individuals
who
are
currently
residing
in
out-of-state
5
facilities.
6
(c)
Individuals
who
are
currently
receiving
care
in
a
7
licensed
health
care
facility.
8
(2)
A
plan
to
provide
each
individual
with
crisis
9
stabilization
services
to
ensure
that
the
individual’s
10
behavioral
issues
are
appropriately
addressed
by
the
provider.
11
(3)
Policies
and
procedures
that
prohibit
discharge
of
the
12
individual
from
the
waiver
services
provided
by
the
project
13
provider
unless
an
alternative
placement
that
is
acceptable
to
14
the
client
or
the
client’s
guardian
is
identified.
15
c.
In
order
to
be
approved
by
the
department
of
human
16
services
for
application
for
funding
for
development
of
17
infrastructure
in
which
to
provide
supportive
services
under
18
this
section,
a
project
shall
include
all
of
the
following
19
components:
20
(1)
Provision
of
services
to
Medicaid
waiver-eligible
21
individuals
who
meet
the
psychiatric
medical
institution
for
22
children
level
of
care.
23
(2)
Policies
and
procedures
that
prohibit
discharge
of
the
24
individual
from
the
waiver
services
provided
by
the
project
25
provider
unless
an
alternative
placement
that
is
acceptable
to
26
the
client
or
the
client’s
guardian
is
identified.
27
d.
Housing
provided
through
a
project
under
this
section
is
28
exempt
from
the
requirements
of
chapter
135O.
29
5.
The
authority,
in
collaboration
with
the
department
of
30
human
services,
shall
adopt
rules
pursuant
to
chapter
17A
to
31
administer
this
section.
32
VIETNAM
CONFLICT
VETERANS
BONUS
33
Sec.
50.
Section
35A.8A,
subsection
2,
paragraph
d,
Code
34
2011,
is
amended
to
read
as
follows:
35
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84
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84/
216
S.F.
_____
d.
The
person
files
an
application
for
compensation
under
1
this
section
,
in
a
manner
determined
by
the
department
of
2
veterans
affairs
,
by
July
1,
2010
May
1,
2011
.
3
VIETNAM
CONFLICT
VETERANS
4
BONUS
FUND
5
Sec.
51.
2008
Iowa
Acts,
chapter
1187,
section
68,
as
6
amended
by
2009
Iowa
Acts,
chapter
182,
section
82,
and
2010
7
Iowa
Acts,
chapter
1192,
section
55,
is
amended
to
read
as
8
follows:
9
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
10
section
that
remain
unencumbered
or
unobligated
at
the
close
of
11
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
12
expenditure
for
the
purposes
designated
until
the
close
of
the
13
fiscal
year
beginning
July
1,
2010
repeal
of
section
35A.8A
.
14
Upon
such
repeal,
the
remaining
moneys
shall
be
transferred
to
15
the
veterans
trust
fund
and,
notwithstanding
section
35A.13,
16
subsection
3,
shall
only
be
expended
in
accordance
with
an
17
appropriation
for
purposes
of
a
bonus
enacted
for
veterans
of
18
the
conflicts
in
Panama,
Grenada,
Lebanon,
or
the
Persian
Gulf.
19
INJURED
VETERANS
GRANT
PROGRAM
20
Sec.
52.
2008
Iowa
Acts,
chapter
1187,
section
69,
21
unnumbered
paragraph
1,
as
amended
by
2009
Iowa
Acts,
chapter
22
182,
section
83,
and
2010
Iowa
Acts,
chapter
1192,
section
56,
23
is
amended
to
read
as
follows:
24
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
25
subsection
that
remain
unencumbered
or
unobligated
at
the
close
26
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
27
for
expenditure
for
the
purposes
designated
until
the
close
of
28
the
fiscal
year
beginning
July
1,
2010
2011
.
29
BEHAVIORAL
HEALTH
SERVICES
30
ACCOUNT
——
MEDICAL
ASSISTANCE
31
Sec.
53.
2009
Iowa
Acts,
chapter
182,
section
9,
subsection
32
16,
paragraph
b,
as
amended
by
2010
Iowa
Acts,
chapter
1192,
33
section
63,
is
amended
to
read
as
follows:
34
b.
The
department
shall
continue
to
maintain
a
separate
35
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_____
account
within
the
medical
assistance
budget
for
the
deposit
1
of
all
funds
remitted
pursuant
to
a
contract
with
a
third
2
party
to
administer
behavioral
health
services
under
the
3
medical
assistance
program
established
pursuant
to
2008
Iowa
4
Acts,
chapter
1187,
section
9,
subsection
20.
Notwithstanding
5
section
8.33
,
other
than
funds
remaining
from
the
appropriation
6
allocations
made
for
implementation
of
the
emergency
mental
7
health
crisis
services
and
system,
for
implementation
of
the
8
mental
health
services
system
for
children
and
youth,
and
9
for
training
of
child
welfare
services
providers
in
2008
10
Iowa
Acts,
chapter
1187,
section
9,
subsection
20,
paragraph
11
“c”,
subparagraphs
(1),
(2),
and
(6),
as
authorized
in
2009
12
Iowa
Acts,
chapter
182,
section
72,
shall
not
revert
but
13
shall
remain
available
in
succeeding
fiscal
years
to
be
used
14
for
the
purposes
designated
until
expended
and
any
other
15
funds
remaining
in
the
account
that
remain
unencumbered
or
16
unobligated
at
the
end
of
the
fiscal
year
shall
not
revert
17
but
shall
remain
available
in
succeeding
fiscal
years
18
and
are
appropriated
to
the
department
to
be
used
for
the
19
medical
assistance
program
to
be
used
for
purposes
of
crisis
20
stabilization
and
other
mental
and
behavioral
health
service
21
improvements
.
22
CHILD
WELFARE
DECATEGORIZATION
23
FY
2009-2010
NONREVERSION
24
Sec.
54.
2009
Iowa
Acts,
chapter
182,
section
14,
subsection
25
5,
is
amended
by
adding
the
following
new
unnumbered
paragraph:
26
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
27
232.188,
subsection
5,
moneys
from
the
allocations
made
28
in
this
subsection
or
made
from
any
other
source
for
the
29
decategorization
of
child
welfare
and
juvenile
justice
funding
30
initiative
under
section
232.188
for
the
fiscal
year
beginning
31
July
1,
2009,
that
are
designated
as
carryover
funding
that
32
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
33
year
beginning
July
1,
2010,
shall
not
revert
but
shall
be
34
transferred
to
the
community
housing
and
services
for
persons
35
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_____
with
disabilities
revolving
loan
program
fund
created
in
1
section
16.185,
as
enacted
by
this
division
of
this
Act.
2
AMERICAN
RECOVERY
AND
REINVESTMENT
ACT
OF
2009
——
ALLOCATION
3
FOR
INFANT
AND
TODDLER
CARE
QUALITY
4
Sec.
55.
2009
Iowa
Acts,
chapter
183,
section
62,
subsection
5
3,
is
amended
to
read
as
follows:
6
3.
For
the
purposes
of
this
subsection,
“federal
poverty
7
level”
means
the
poverty
level
defined
by
the
most
recently
8
revised
poverty
income
guidelines
published
by
the
United
9
States
department
of
health
and
human
services.
The
program
10
shall
provide
financial
assistance
to
families
with
infants
11
and
toddlers
less
than
thirty-six
months
of
age
two
that
have
12
a
family
income
of
more
than
145
percent
but
not
more
than
185
13
percent
of
the
federal
poverty
level.
However,
the
department
14
may
adjust
the
qualifying
criteria
or
the
financial
assistance
15
purpose
provisions
specified
in
this
subsection
or
make
other
16
changes
as
necessary
for
implementation
to
conform
with
federal
17
requirements
for
the
funding.
Outcome
reporting
and
other
18
grant
requirements
shall
be
developed
by
the
department
in
19
cooperation
with
the
Iowa
empowerment
board.
20
Sec.
56.
2009
Iowa
Acts,
chapter
183,
section
62,
subsection
21
4,
is
amended
to
read
as
follows:
22
4.
The
financial
assistance
shall
be
for
any
of
the
23
following
purposes:
24
a.
For
making
temporary
payments
to
qualifying
families
25
whose
members
are
recently
unemployed
and
seeking
work
to
use
26
in
meeting
immediate
family
needs.
27
b.
For
providing
sliding
scale
subsidies
for
qualifying
28
families
for
child
care
provided
to
the
families’
infants
29
and
toddlers
by
providers
who
are
accredited
by
the
national
30
association
for
the
education
of
young
children
or
the
national
31
association
for
family
child
care,
or
who
have
a
rating
at
32
level
3
2
or
higher
under
the
child
care
quality
rating
system
33
implemented
pursuant
to
section
237A.30.
34
c.
For
expanding
training
and
other
support
for
infant
care
35
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_____
providers
in
the
community
and
this
state.
1
d.
For
ensuring
child
care
environments
are
healthy
and
2
safe.
3
e.
For
promoting
positive
relationships
between
parents
4
and
providers
in
their
mutual
efforts
to
care
for
very
young
5
children.
6
f.
For
ensuring
that
parents
have
the
information
and
7
resources
needed
to
choose
quality
child
care.
8
IOWA
DEPARTMENT
ON
AGING
CASE
MANAGEMENT
REVIEW
9
Sec.
57.
2010
Iowa
Acts,
chapter
1192,
section
1,
subsection
10
2,
is
amended
to
read
as
follows:
11
2.
a.
Of
the
funds
appropriated
in
this
section,
$1,246,514
12
shall
be
transferred
to
the
department
of
human
services
in
13
equal
amounts
on
a
quarterly
basis
for
reimbursement
of
case
14
management
services
provided
under
the
medical
assistance
15
elderly
waiver.
The
department
of
human
services
shall
adopt
16
rules
for
case
management
services
provided
under
the
medical
17
assistance
elderly
waiver
in
consultation
with
the
department
18
on
aging.
19
b.
The
department
of
human
services
shall
review
20
projections
for
state
funding
expenditures
for
reimbursement
21
of
case
management
services
under
the
medical
assistance
22
elderly
waiver
on
a
quarterly
basis
and
shall
determine
if
an
23
adjustment
to
the
medical
assistance
reimbursement
rates
are
24
necessary
to
provide
reimbursement
within
the
state
funding
25
amounts
budgeted
under
the
appropriations
made
for
the
fiscal
26
year
for
the
medical
assistance
program.
Any
temporary
27
enhanced
federal
financial
participation
that
may
become
28
available
for
the
medical
assistance
program
during
the
fiscal
29
year
shall
not
be
used
in
projecting
the
medical
assistance
30
elderly
waiver
case
management
budget.
The
department
of
human
31
services
shall
revise
such
reimbursement
rates
as
necessary
to
32
maintain
expenditures
for
medical
assistance
elderly
waiver
33
case
management
services
within
the
state
funding
amounts
34
budgeted
under
the
appropriations
made
for
the
fiscal
year
for
35
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_____
the
medical
assistance
program.
1
IOWA
VETERANS
HOME
2
Sec.
58.
2010
Iowa
Acts,
chapter
1192,
section
3,
subsection
3
2,
is
amended
by
adding
the
following
new
paragraph:
4
NEW
PARAGRAPH
.
d.
The
funds
appropriated
in
this
subsection
5
to
the
Iowa
veterans
home
that
remain
available
for
expenditure
6
for
the
succeeding
fiscal
year
pursuant
to
section
35D.18,
7
subsection
5,
shall
be
distributed
to
be
used
in
the
succeeding
8
fiscal
year
in
accordance
with
this
lettered
paragraph.
The
9
first
$500,000
shall
remain
available
to
be
used
for
the
10
purposes
of
the
Iowa
veterans
home.
On
or
before
October
15,
11
2011,
the
department
of
management
shall
transfer
the
remaining
12
balance
to
the
appropriation
to
the
department
of
human
13
services
for
medical
assistance.
14
MEDICAL
ASSISTANCE
PROGRAM
15
Sec.
59.
2010
Iowa
Acts,
chapter
1192,
section
11,
is
16
amended
by
adding
the
following
new
subsection:
17
NEW
SUBSECTION
.
25.
The
department
may
increase
the
amounts
18
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
19
purposes
associated
with
the
medical
assistance
program
as
20
necessary
to
implement
cost
containment
efforts
in
order
to
21
accomplish
medical
assistance
program
savings.
These
amounts
22
may
be
transferred
to
the
appropriation
made
in
this
division
23
of
this
Act
for
the
health
insurance
premium
payment
program.
24
STATE
SUPPLEMENTARY
ASSISTANCE
PROGRAM
25
Sec.
60.
2010
Iowa
Acts,
chapter
1192,
section
14,
is
26
amended
by
adding
the
following
new
subsection:
27
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
28
appropriated
in
this
section
that
remain
unencumbered
or
29
unobligated
at
the
close
of
the
fiscal
year
shall
remain
30
available
for
expenditure
for
the
purposes
designated
until
the
31
close
of
the
succeeding
fiscal
year.
32
CHILD
WELFARE
TRAINING
ACADEMY
33
Sec.
61.
2010
Iowa
Acts,
chapter
1192,
section
19,
34
subsection
22,
is
amended
to
read
as
follows:
35
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_____
22.
Of
the
funds
appropriated
in
this
section,
at
least
1
$47,158
shall
be
used
for
the
child
welfare
training
academy.
2
Notwithstanding
section
8.33,
moneys
allocated
in
this
3
subsection
that
remain
unencumbered
or
unobligated
at
the
close
4
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
5
for
expenditure
for
the
purposes
designated
until
the
close
of
6
the
succeeding
fiscal
year.
7
ADOPTION
SUBSIDY
TRANSFER
AND
NONREVERSION
8
Sec.
62.
2010
Iowa
Acts,
chapter
1192,
section
20,
is
9
amended
by
adding
the
following
new
subsections:
10
NEW
SUBSECTION
.
4.
Of
the
funds
appropriated
in
this
11
section,
$60,000
shall
be
transferred
to
the
appropriation
12
made
in
this
division
of
this
Act
for
the
state
mental
health
13
institute
at
Cherokee
to
be
used
for
childrens’
beds
at
the
14
institute.
15
NEW
SUBSECTION
.
5.
Notwithstanding
section
8.33,
moneys
16
appropriated
in
this
section
that
remain
unencumbered
or
17
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
18
but
shall
remain
available
for
expenditure
for
the
purposes
19
designated
until
the
close
of
the
succeeding
fiscal
year.
20
DEPARTMENT
OF
HUMAN
SERVICES
——
FIELD
OPERATIONS
21
Sec.
63.
2010
Iowa
Acts,
chapter
1192,
section
29,
is
22
amended
by
adding
the
following
new
unnumbered
paragraph:
23
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
8.33,
24
moneys
appropriated
in
this
section
that
remain
unencumbered
or
25
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
26
but
shall
remain
available
for
expenditure
for
the
purposes
27
designated
until
the
close
of
the
succeeding
fiscal
year.
28
DEPARTMENT
OF
HUMAN
SERVICES
——
GENERAL
ADMINISTRATION
29
Sec.
64.
2010
Iowa
Acts,
chapter
1192,
section
30,
is
30
amended
by
adding
the
following
new
subsection:
31
NEW
SUBSECTION
.
5.
Notwithstanding
section
8.33,
moneys
32
appropriated
in
this
section
and
the
designated
allocations
33
that
remain
unencumbered
or
unobligated
at
the
close
of
the
34
fiscal
year
shall
not
revert
but
shall
remain
available
for
35
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2820XC
(37)
84
pf/jp
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216
S.F.
_____
expenditure
for
the
purposes
designated
until
the
close
of
the
1
succeeding
fiscal
year.
2
IOWA
DEPARTMENT
ON
AGING
CASE
MANAGEMENT
REVIEW
3
Sec.
65.
2010
Iowa
Acts,
chapter
1192,
section
37,
4
subsection
1,
is
amended
to
read
as
follows:
5
1.
a.
Of
the
funds
appropriated
in
this
section,
$1,010,000
6
shall
be
transferred
to
the
department
of
human
services
in
7
equal
amounts
on
a
quarterly
basis
for
reimbursement
of
case
8
management
services
provided
under
the
medical
assistance
9
elderly
waiver.
10
b.
The
department
of
human
services
shall
review
11
projections
for
state
funding
expenditures
for
reimbursement
12
of
case
management
services
under
the
medical
assistance
13
elderly
waiver
on
a
quarterly
basis
and
shall
determine
if
an
14
adjustment
to
the
medical
assistance
reimbursement
rates
are
15
necessary
to
provide
reimbursement
within
the
state
funding
16
amounts
budgeted
under
the
appropriations
made
for
the
fiscal
17
year
for
the
medical
assistance
program.
Any
temporary
18
enhanced
federal
financial
participation
that
may
become
19
available
for
the
medical
assistance
program
during
the
fiscal
20
year
shall
not
be
used
in
projecting
the
medical
assistance
21
elderly
waiver
case
management
budget.
The
department
of
human
22
services
shall
revise
such
reimbursement
rates
as
necessary
to
23
maintain
expenditures
for
medical
assistance
elderly
waiver
24
case
management
services
within
the
state
funding
amounts
25
budgeted
under
the
appropriations
made
for
the
fiscal
year
for
26
the
medical
assistance
program.
27
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES
28
Sec.
66.
2010
Iowa
Acts,
chapter
1192,
section
44,
is
29
amended
to
read
as
follows:
30
SEC.
44.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
31
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
32
subject
to
the
availability
of
funds,
there
is
appropriated
33
from
the
quality
assurance
trust
fund
created
in
section
34
249L.4
to
the
department
of
human
services
for
the
fiscal
year
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beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
1
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
2
designated:
3
To
supplement
the
appropriation
made
in
this
Act
from
the
4
general
fund
of
the
state
to
the
department
of
human
services
5
for
medical
assistance:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,900,000
7
33,708,458
8
1.
Of
the
funds
appropriated
in
this
section,
$7,500,000
9
shall
be
used
for
nursing
facility
reimbursement
under
the
10
medical
assistance
program
in
accordance
with
the
nursing
11
facility
reimbursement
provisions
of
division
IV
of
this
12
Act,
to
continue
application
of
the
administrative
rules
13
changes
relating
to
nursing
facility
reimbursement
and
payment
14
procedures
made
pursuant
to
2010
Iowa
Acts,
Senate
File
2366,
15
if
enacted,
for
the
fiscal
year
beginning
July
1,
2010,
and
16
ending
June
30,
2011,
and
to
restore
the
5
percent
reduction
17
made
in
nursing
facility
reimbursement
in
accordance
with
18
executive
order
number
19
issued
October
8,
2009.
19
2.
The
costs
associated
with
the
implementation
of
this
20
section
shall
be
funded
exclusively
through
moneys
appropriated
21
from
the
quality
assurance
trust
fund,
and
shall
result
in
22
budget
neutrality
to
the
general
fund
of
the
state
for
the
23
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011.
24
INJURED
VETERANS
TRUST
FUND
25
Sec.
67.
INJURED
VETERANS
TRUST
FUND.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
27
veterans
affairs
for
the
fiscal
year
beginning
July
1,
28
2010,
and
ending
June
30,
2011,
the
following
amount,
or
so
29
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
30
designated:
31
To
be
credited
to
the
injured
veterans
trust
fund
created
32
pursuant
to
section
35A.14
to
be
used
for
the
injured
veterans
33
grant
program:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
35
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The
department
shall
review
the
rules
and
statutory
1
provisions
pertaining
to
the
injured
veterans
grant
program
and
2
propose
amendments
to
improve
the
program.
Notwithstanding
3
section
8.33,
moneys
appropriated
in
this
section
that
remain
4
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
5
shall
not
revert
but
shall
remain
available
for
expenditure
for
6
the
purposes
designated
until
expended.
7
MERCHANT
MARINE
BONUS
FUND
TRANSFER
8
Sec.
68.
DEPARTMENT
OF
CULTURAL
AFFAIRS
——
MERCHANT
MARINE
9
BONUS
FUND.
10
1.
The
appropriation
made
from
the
merchant
marine
bonus
11
fund
to
the
department
of
cultural
affairs
for
the
fiscal
year
12
beginning
July
1,
2010,
and
ending
June
30,
2011,
in
2010
Iowa
13
Acts,
chapter
1193,
section
82,
shall
be
transferred
on
the
14
effective
date
of
this
section
to
the
department
of
veterans
15
affairs
to
be
used
for
departmental
costs.
16
2.
Moneys
transferred
pursuant
to
this
section
that
remain
17
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
18
shall
be
credited
to
the
veterans
trust
fund
created
in
section
19
35A.13.
20
Sec.
69.
DECATEGORIZATION
PROJECT
FUNDING.
For
the
21
period
beginning
June
1,
2010,
and
ending
June
30,
2012,
a
22
child
welfare
and
juvenile
justice
funding
decategorization
23
initiative
project
that
is
incorporated
and
owns
real
property
24
may
utilize
project
funding
to
purchase
liability
insurance.
25
STATE
INSTITUTION
——
APPROPRIATION
TRANSFERS
26
Sec.
70.
DEPARTMENT
OF
HUMAN
SERVICES.
There
is
transferred
27
between
the
following
designated
appropriations
made
to
the
28
department
of
human
services
for
the
fiscal
year
beginning
July
29
1,
2010,
and
ending
June
30,
2011,
not
more
than
the
following
30
amounts:
31
1.
From
the
appropriation
made
for
purposes
of
the
state
32
resource
center
at
Glenwood
in
2010
Iowa
Acts,
chapter
1192,
33
section
25,
subsection
1,
paragraph
“a”,
to
the
appropriation
34
made
for
purposes
of
the
Iowa
juvenile
home
at
Toledo
in
2010
35
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Iowa
Acts,
chapter
1192,
section
17,
subsection
1:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
2
2.
From
the
appropriation
made
for
purposes
of
the
state
3
resource
center
at
Woodward
in
2010
Iowa
Acts,
chapter
1192,
4
section
25,
subsection
1,
paragraph
“b”,
to
the
appropriation
5
made
for
purposes
of
the
state
mental
health
institute
at
6
Independence
in
2010
Iowa
Acts,
chapter
1192,
section
24,
7
subsection
1,
paragraph
“c”:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
9
Sec.
71.
ACCOUNTABLE
CARE
ORGANIZATION
——
PILOT.
10
1.
a.
If
an
entity
applies
for
certification
from
the
11
secretary
of
the
United
States
department
of
health
and
12
human
services
prior
to
January
1,
2012,
and
is
subsequently
13
certified
to
administer
an
accountable
care
organization
14
pilot
project,
pursuant
to
the
federal
Patient
Protection
and
15
Accountability
Act,
Pub.
L.
No.
111-148,
the
department
of
16
human
services
shall
work
with
the
entity
to
provide
access
to
17
the
complete
deidentified
claims
data
of
the
medical
assistance
18
recipients
receiving
health
care
services
through
the
pilot
19
project
for
the
purposes
of
identifying
areas
of
utilization,
20
need,
and
potential
cost
savings
to
the
medical
assistance
21
program
subject
to
all
applicable
state
and
federal
laws
and
22
regulations.
The
department
may
also
employ
new
payment
23
models,
information
technology,
and
data
analytics
provisions
24
necessary
to
the
administration
of
the
pilot
project.
25
b.
The
department
of
human
services
shall
work
with
an
26
entity
to
administer
an
accountable
care
organization
pilot
27
project,
only
if
the
centers
for
Medicare
and
Medicaid
services
28
of
the
United
States
department
of
health
and
human
services
29
approves
participation
of
the
medical
assistance
program
in
30
the
pilot
project
and
the
entity
meets
all
of
the
following
31
requirements:
32
(1)
At
a
minimum,
includes
the
participation
of
a
33
prospective
payment
system
hospital,
ten
primary
care
34
physicians,
a
home
health
care
practice,
a
palliative
care
35
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services,
a
hospice
service,
and
a
community
mental
health
1
center,
all
of
which
agree
to
be
paid
under
a
partial
or
global
2
payment
for
identified
services.
3
(2)
Requires
all
participating
providers
to
utilize
4
electronic
health
records.
5
(3)
Includes
delivery
of
mental
health
services
to
6
recipients
of
medical
assistance
through
collaboration
with
7
the
regional
community
mental
health
center,
a
federally
8
qualified
health
center,
and
at
least
one
nursing
facility
as
9
consistent
with
any
other
law
enacted
by
the
Eighty-fourth
10
general
assembly,
2011
session,
that
redesigns
the
mental
11
health
delivery
system
in
the
state.
12
c.
The
entity
certified
to
implement
the
pilot
project
shall
13
report
to
the
joint
appropriations
subcommittee
for
health
and
14
human
services
during
the
2012
legislative
session
detailing
15
the
progress
and
expected
outcomes
of
the
pilot
project.
16
Sec.
72.
EMERGENCY
RULES.
For
purposes
of
the
initial
17
rules
to
implement
the
provisions
of
section
16.185,
as
enacted
18
by
this
division
of
this
Act,
the
Iowa
finance
authority
may
19
adopt
administrative
rules
under
section
17A.4,
subsection
20
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
21
implement
the
provisions
and
the
rules
shall
become
effective
22
immediately
upon
filing
or
on
a
later
effective
date
specified
23
in
the
rules,
unless
the
effective
date
is
delayed
by
the
24
administrative
rules
review
committee.
Any
rules
adopted
in
25
accordance
with
this
section
shall
not
take
effect
before
26
the
rules
are
reviewed
by
the
administrative
rules
review
27
committee.
The
delay
authority
provided
to
the
administrative
28
rules
review
committee
under
section
17A.4,
subsection
7,
and
29
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
30
imposed
under
this
section,
notwithstanding
a
provision
in
31
those
sections
making
them
inapplicable
to
section
17A.5,
32
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
33
with
the
provisions
of
this
section
shall
also
be
published
as
34
a
notice
of
intended
action
as
provided
in
section
17A.4.
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Sec.
73.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
1
APPLICABILITY.
Except
as
otherwise
provided
by
this
division
2
of
this
Act,
this
division
of
this
Act,
being
deemed
of
3
immediate
importance,
takes
effect
upon
enactment
and
if
4
approved
by
the
governor
on
or
after
July
1,
2011,
applies
5
retroactively
to
June
30,
2011.
6
Sec.
74.
RETROACTIVE
APPLICABILITY.
The
section
of
this
7
division
of
this
Act
addressing
child
welfare
and
juvenile
8
justice
funding
decategorization
initiative
project
funding
for
9
the
period
beginning
June
1,
2010,
and
ending
June
30,
2012,
10
applies
retroactively
to
June
1,
2010.
11
Sec.
75.
RETROACTIVE
APPLICABILITY.
The
section
of
12
this
division
of
this
Act
amending
section
35A.8A,
applies
13
retroactively
to
July
1,
2010.
14
Sec.
76.
RETROACTIVE
APPLICABILITY.
The
section
of
this
15
division
of
this
Act
making
transfers
between
appropriations
16
made
to
the
department
of
human
services
for
state
institutions
17
in
2010
Iowa
Acts,
chapter
1192,
applies
retroactively
to
18
January
1,
2011.
19
DIVISION
VIII
20
PREVENTION
AND
CHRONIC
CARE
MANAGEMENT
21
Sec.
77.
Section
135.159,
subsection
10,
Code
2011,
is
22
amended
to
read
as
follows:
23
10.
The
department
shall
integrate
the
recommendations
24
and
policies
developed
by
the
prevention
and
chronic
care
25
management
advisory
council
pursuant
to
section
135.161,
Code
26
2011,
into
the
medical
home
system
and
shall
incorporate
the
27
development
and
implementation
of
the
state
initiative
for
28
prevention
and
chronic
care
management
as
developed
pursuant
to
29
section
135.161,
Code
2011,
into
the
duties
of
the
medical
home
30
system
advisory
council
beginning
January
1,
2012
.
31
Sec.
78.
Section
135.162,
subsections
1
and
3,
Code
2011,
32
are
amended
to
read
as
follows:
33
1.
The
director
shall
convene
a
clinicians
advisory
panel
to
34
advise
and
recommend
to
the
department
clinically
appropriate,
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evidence-based
best
practices
regarding
the
implementation
1
of
the
medical
home
as
defined
in
section
135.157
and
the
2
prevention
and
chronic
care
management
initiative
pursuant
to
3
section
135.161
.
The
director
shall
act
as
chairperson
of
the
4
advisory
panel.
5
3.
The
clinicians
advisory
panel
shall
meet
on
a
quarterly
6
basis
to
receive
updates
from
the
director
regarding
strategic
7
planning
and
implementation
progress
on
the
medical
home
and
8
the
prevention
and
chronic
care
management
initiative
and
shall
9
provide
clinical
consultation
to
the
department
regarding
the
10
medical
home
and
the
initiative
.
11
Sec.
79.
Section
136.3,
subsection
14,
Code
2011,
is
amended
12
to
read
as
follows:
13
14.
Perform
those
duties
authorized
pursuant
to
sections
14
135.156
,
and
135.159
,
and
135.161
,
and
other
provisions
of
law.
15
Sec.
80.
REPEAL.
Section
135.161,
Code
2011,
is
repealed.
16
Sec.
81.
EFFECTIVE
DATE.
This
division
of
this
Act
takes
17
effect
December
31,
2011.
18
DIVISION
IX
19
MISCELLANEOUS
20
Sec.
82.
Section
29C.20B,
Code
2011,
is
amended
to
read
as
21
follows:
22
29C.20B
Disaster
case
management.
23
1.
The
rebuild
Iowa
office
homeland
security
and
emergency
24
management
division
shall
work
with
the
department
of
25
human
services
and
nonprofit,
voluntary,
and
faith-based
26
organizations
active
in
disaster
recovery
and
response
27
in
coordination
with
the
homeland
security
and
emergency
28
management
division
the
department
of
human
services
to
29
establish
a
statewide
system
of
disaster
case
management
30
to
be
activated
following
the
governor’s
proclamation
of
a
31
disaster
emergency
or
the
declaration
of
a
major
disaster
by
32
the
president
of
the
United
States
for
individual
assistance
33
purposes.
Under
the
system,
the
department
of
human
services
34
homeland
security
and
emergency
management
division
shall
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coordinate
case
management
services
locally
through
local
1
committees
as
established
in
each
local
emergency
management
2
commission’s
emergency
plan.
Beginning
July
1,
2011,
the
3
department
of
human
services
shall
assume
the
duties
of
the
4
rebuild
Iowa
office
under
this
subsection
.
5
2.
The
department
of
human
services
homeland
security
6
and
emergency
management
division
,
in
conjunction
with
the
7
rebuild
Iowa
office,
the
homeland
security
and
emergency
8
management
division
department
of
human
services
,
and
an
9
Iowa
representative
to
the
national
voluntary
organizations
10
active
in
disaster,
shall
adopt
rules
pursuant
to
chapter
11
17A
to
create
coordination
mechanisms
and
standards
for
the
12
establishment
and
implementation
of
a
statewide
system
of
13
disaster
case
management
which
shall
include
at
least
all
of
14
the
following:
15
a.
Disaster
case
management
standards.
16
b.
Disaster
case
management
policies.
17
c.
Reporting
requirements.
18
d.
Eligibility
criteria.
19
e.
Coordination
mechanisms
necessary
to
carry
out
the
20
services
provided.
21
f.
Develop
formal
working
relationships
with
agencies
and
22
create
interagency
agreements
for
those
considered
to
provide
23
disaster
case
management
services.
24
g.
Coordination
of
all
available
services
for
individuals
25
from
multiple
agencies.
26
Sec.
83.
Section
135.106,
Code
2011,
is
amended
by
adding
27
the
following
new
subsection:
28
NEW
SUBSECTION
.
4.
It
is
the
intent
of
the
general
29
assembly
that
priority
for
home
visitation
funding
be
given
to
30
approaches
using
evidence-based
or
promising
models
for
home
31
visitation.
32
Sec.
84.
Section
135H.6,
subsection
8,
Code
2011,
is
amended
33
to
read
as
follows:
34
8.
The
department
of
human
services
may
give
approval
to
35
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conversion
of
beds
approved
under
subsection
6
,
to
beds
which
1
are
specialized
to
provide
substance
abuse
treatment.
However,
2
the
total
number
of
beds
approved
under
subsection
6
and
this
3
subsection
shall
not
exceed
four
hundred
thirty.
Conversion
4
of
beds
under
this
subsection
shall
not
require
a
revision
of
5
the
certificate
of
need
issued
for
the
psychiatric
institution
6
making
the
conversion.
Beds
for
children
who
do
not
reside
7
in
this
state
and
whose
service
costs
are
not
paid
by
public
8
funds
in
this
state
are
not
subject
to
the
limitations
on
the
9
number
of
beds
and
certificate
of
need
requirements
otherwise
10
applicable
under
this
section.
11
Sec.
85.
Section
147.136,
Code
2011,
is
amended
to
read
as
12
follows:
13
147.136
Scope
of
recovery.
14
1.
In
Except
as
otherwise
provided
in
subsection
2,
in
an
15
action
for
damages
for
personal
injury
against
a
physician
and
16
surgeon,
osteopathic
physician
and
surgeon,
dentist,
podiatric
17
physician,
optometrist,
pharmacist,
chiropractor,
or
nurse
18
licensed
to
practice
that
profession
in
this
state,
or
against
19
a
hospital
licensed
for
operation
in
this
state,
based
on
the
20
alleged
negligence
of
the
practitioner
in
the
practice
of
the
21
profession
or
occupation,
or
upon
the
alleged
negligence
of
22
the
hospital
in
patient
care,
in
which
liability
is
admitted
23
or
established,
the
damages
awarded
shall
not
include
actual
24
economic
losses
incurred
or
to
be
incurred
in
the
future
by
the
25
claimant
by
reason
of
the
personal
injury,
including
but
not
26
limited
to,
the
cost
of
reasonable
and
necessary
medical
care,
27
rehabilitation
services,
and
custodial
care,
and
the
loss
of
28
services
and
loss
of
earned
income,
to
the
extent
that
those
29
losses
are
replaced
or
are
indemnified
by
insurance,
or
by
30
governmental,
employment,
or
service
benefit
programs
or
from
31
any
other
source
except
the
assets
of
the
claimant
or
of
the
32
members
of
the
claimant’s
immediate
family
.
33
2.
This
section
shall
not
bar
recovery
of
economic
losses
34
replaced
or
indemnified
by
any
of
the
following:
35
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a.
Benefits
received
under
the
medical
assistance
program
1
under
chapter
249A.
2
b.
The
assets
of
the
claimant
or
of
the
members
of
the
3
claimant’s
immediate
family.
4
Sec.
86.
Section
153.14,
subsection
1,
Code
2011,
is
amended
5
to
read
as
follows:
6
1.
Students
of
dentistry
who
practice
dentistry
upon
7
patients
at
clinics
in
connection
with
their
regular
course
8
of
instruction
at
the
state
an
accredited
dental
college,
9
students
of
dental
hygiene
who
practice
upon
patients
at
10
clinics
in
connection
with
their
regular
course
of
instruction
11
at
state-approved
schools,
and
students
of
dental
assisting
12
who
practice
upon
patients
at
clinics
in
connection
with
a
13
regular
course
of
instruction
determined
by
the
board
pursuant
14
to
section
153.39
.
15
Sec.
87.
Section
154A.24,
subsection
3,
paragraph
s,
Code
16
2011,
is
amended
by
striking
the
paragraph.
17
Sec.
88.
NEW
SECTION
.
155A.43
Pharmaceutical
collection
and
18
disposal
program
——
annual
allocation.
19
Of
the
fees
collected
pursuant
to
sections
124.301
and
20
147.80
and
chapter
155A
by
the
board
of
pharmacy,
and
retained
21
by
the
board
pursuant
to
section
147.82,
not
more
than
one
22
hundred
twenty-five
thousand
dollars,
may
be
allocated
annually
23
by
the
board
for
administering
the
pharmaceutical
collection
24
and
disposal
program
originally
established
pursuant
to
2009
25
Iowa
Acts,
chapter
175,
section
9.
The
program
shall
provide
26
for
the
management
and
disposal
of
unused,
excess,
and
expired
27
pharmaceuticals.
The
board
of
pharmacy
may
cooperate
with
the
28
Iowa
pharmacy
association
and
may
consult
with
the
department
29
and
sanitary
landfill
operators
in
administering
the
program.
30
Sec.
89.
Section
225B.8,
Code
2011,
is
amended
to
read
as
31
follows:
32
225B.8
Repeal.
33
This
chapter
is
repealed
July
1,
2011
2012
.
34
Sec.
90.
Section
232.188,
subsection
5,
paragraph
b,
35
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unnumbered
paragraph
1,
Code
2011,
is
amended
to
read
as
1
follows:
2
Notwithstanding
section
8.33
,
moneys
designated
for
a
3
project’s
decategorization
services
funding
pool
that
remain
4
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
5
shall
not
revert
but
shall
remain
available
for
expenditure
as
6
directed
by
the
project’s
governance
board
for
child
welfare
7
and
juvenile
justice
systems
enhancements
and
other
purposes
of
8
the
project
until
the
close
of
the
succeeding
fiscal
year
and
9
for
the
next
two
succeeding
fiscal
years.
Such
moneys
shall
be
10
known
as
“carryover
funding”
.
Moneys
may
be
made
available
to
a
11
funding
pool
from
one
or
more
of
the
following
sources:
12
Sec.
91.
Section
235B.19,
Code
2011,
is
amended
by
adding
13
the
following
new
subsection:
14
NEW
SUBSECTION
.
2A.
a.
The
department
shall
serve
a
copy
15
of
the
petition
and
any
order
authorizing
protective
services,
16
if
issued,
on
the
dependent
adult
and
on
persons
who
are
17
competent
adults
and
reasonably
ascertainable
at
the
time
the
18
petition
is
filed
in
accordance
with
the
following
priority:
19
(1)
An
attorney
in
fact
named
by
the
dependent
adult
in
a
20
durable
power
of
attorney
for
health
care
pursuant
to
chapter
21
144B.
22
(2)
The
dependent
adult’s
spouse.
23
(3)
The
dependent
adult’s
children.
24
(4)
The
dependent
adult’s
grandchildren.
25
(5)
The
dependent
adult’s
siblings.
26
(6)
The
dependent
adult’s
aunts
and
uncles.
27
(7)
The
dependent
adult’s
nieces
and
nephews.
28
(8)
The
dependent
adult’s
cousins.
29
b.
When
the
department
has
served
a
person
in
one
of
the
30
categories
specified
in
paragraph
“a”
,
the
department
shall
not
31
be
required
to
serve
a
person
in
any
other
category.
32
c.
The
department
shall
serve
the
dependent
adult’s
copy
33
of
the
petition
and
order
personally
upon
the
dependent
34
adult.
Service
of
the
petition
and
all
other
orders
and
35
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notices
shall
be
in
a
sealed
envelope
with
the
proper
postage
1
on
the
envelope,
addressed
to
the
person
being
served
at
the
2
person’s
last
known
post
office
address,
and
deposited
in
a
3
mail
receptacle
provided
by
the
United
States
postal
service.
4
The
department
shall
serve
such
copies
of
emergency
orders
5
authorizing
protective
services
and
notices
within
three
days
6
after
filing
the
petition
and
receiving
such
orders.
7
d.
The
department
and
all
persons
served
by
the
department
8
with
notices
under
this
subsection
shall
be
prohibited
from
9
all
of
the
following
without
prior
court
approval
after
the
10
department’s
petition
has
been
filed:
11
(1)
Selling,
removing,
or
otherwise
disposing
of
the
12
dependent
adult’s
personal
property.
13
(2)
Withdrawing
funds
from
any
bank,
savings
and
loan
14
association,
credit
union,
or
other
financial
institution,
or
15
from
an
account
containing
securities
in
which
the
dependent
16
adult
has
an
interest.
17
Sec.
92.
Section
237A.1,
subsection
3,
paragraph
n,
Code
18
2011,
is
amended
to
read
as
follows:
19
n.
A
program
offered
to
a
child
whose
parent,
guardian,
20
or
custodian
is
engaged
solely
in
a
recreational
or
social
21
activity,
remains
immediately
available
and
accessible
on
the
22
physical
premises
on
which
the
child’s
care
is
provided,
and
23
does
not
engage
in
employment
while
the
care
is
provided.
24
However,
if
the
recreational
or
social
activity
is
provided
in
25
a
fitness
center
or
on
the
premises
of
a
nonprofit
organization
26
the
parent,
guardian,
or
custodian
of
the
child
may
be
employed
27
to
teach
or
lead
the
activity.
28
Sec.
93.
Section
249A.4B,
subsection
2,
paragraph
a,
29
subparagraph
(18),
Code
2011,
is
amended
to
read
as
follows:
30
(18)
The
Iowa/Nebraska
Iowa
primary
care
association.
31
Sec.
94.
REPEAL.
Section
135.27A,
Code
2011,
is
repealed
32
December
31,
2011.
33
DIVISION
X
34
MEDICAID
PRESCRIPTION
DRUGS
35
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Sec.
95.
Section
249A.20A,
subsection
4,
Code
2011,
is
1
amended
to
read
as
follows:
2
4.
With
the
exception
of
drugs
prescribed
for
the
treatment
3
of
human
immunodeficiency
virus
or
acquired
immune
deficiency
4
syndrome,
transplantation,
or
cancer
and
drugs
prescribed
5
for
mental
illness
with
the
exception
of
drugs
and
drug
6
compounds
that
do
not
have
a
significant
variation
in
a
7
therapeutic
profile
or
side
effect
profile
within
a
therapeutic
8
class,
prescribing
and
dispensing
of
prescription
drugs
not
9
included
on
the
preferred
drug
list
shall
be
subject
to
prior
10
authorization.
11
Sec.
96.
2010
Iowa
Acts,
chapter
1031,
section
348,
is
12
amended
to
read
as
follows:
13
SEC.
348.
MEDICAID
NONPREFERRED
DRUG
LIST
PRESCRIBING.
14
1.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
15
to
restrict
physicians
and
other
prescribers
to
prescribing
16
not
more
than
a
72-hour
or
three-day
supply
of
a
prescription
17
drug
not
included
on
the
medical
assistance
preferred
drug
list
18
while
seeking
approval
to
continue
prescribing
the
medication.
19
2.
Notwithstanding
subsection
1,
the
department
shall
20
adopt
rules
pursuant
to
chapter
17A
to
restrict
a
physician
or
21
other
prescriber
prescribing
a
chemically
unique
mental
health
22
prescription
drug
to
prescribing
not
more
than
a
seven-day
23
supply
of
the
prescription
drug
while
requesting
approval
to
24
continue
to
prescribe
the
medication.
The
rules
shall
provide
25
that
if
an
approval
or
disapproval
is
not
received
by
the
26
physician
or
other
prescriber
within
48
hours
of
the
request,
27
the
request
is
deemed
approved.
28
Sec.
97.
REPEAL.
2010
Iowa
Acts,
chapter
1031,
section
349,
29
is
repealed.
30
Sec.
98.
RESCINDING
AND
ADOPTION
OF
RULES.
The
department
31
of
human
services
shall
rescind
the
rules
adopted
pursuant
32
to
2010
Iowa
Acts,
chapter
1031,
section
347,
chapter
1031,
33
section
348,
subsection
2,
and
chapter
1031,
section
349,
34
and
shall
instead
adopt
emergency
rules
under
section
17A.4,
35
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subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
1
to
implement
section
249A.20A,
as
amended
in
this
division
of
2
this
Act,
and
the
rules
shall
be
effective
immediately
upon
3
filing
and
retroactively
applicable
to
January
1,
2011,
unless
4
a
later
date
is
specified
in
the
rules.
Any
rules
adopted
5
in
accordance
with
this
section
shall
also
be
published
as
a
6
notice
of
intended
action
as
provided
in
section
17A.4.
7
Sec.
99.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
8
APPLICABILITY.
This
division
of
this
Act,
being
deemed
of
9
immediate
importance,
takes
effect
upon
enactment
and
applies
10
retroactively
to
January
1,
2011.
11
DIVISION
XI
12
IOWA
FALSE
CLAIMS
ACT
13
Sec.
100.
Section
685.1,
subsection
11,
Code
2011,
is
14
amended
to
read
as
follows:
15
11.
“Original
source”
means
an
individual
who
has
direct
and
16
independent
prior
to
a
public
disclosure
under
section
685.3,
17
subsection
5,
paragraph
“c”
,
has
voluntarily
disclosed
to
the
18
state
the
information
on
which
the
allegations
or
transactions
19
in
a
claim
are
based;
or
who
has
knowledge
of
the
information
20
on
which
the
allegations
are
based
that
is
independent
of
21
and
materially
adds
to
the
publicly
disclosed
allegations
or
22
transactions,
and
has
voluntarily
provided
the
information
to
23
the
state
before
filing
an
action
under
section
685.3
which
is
24
based
on
the
information
this
chapter
.
25
Sec.
101.
Section
685.1,
Code
2011,
is
amended
by
adding
the
26
following
new
subsection:
27
NEW
SUBSECTION
.
15.
“State”
means
the
state
of
Iowa.
28
Sec.
102.
Section
685.2,
subsection
1,
unnumbered
paragraph
29
1,
Code
2011,
is
amended
to
read
as
follows:
30
A
person
who
commits
any
of
the
following
acts
is
jointly
31
and
severally
liable
to
the
state
for
a
civil
penalty
of
not
32
less
than
five
thousand
dollars
and
not
more
than
ten
thousand
33
dollars
the
civil
penalty
allowed
under
the
federal
False
34
Claims
Act,
as
codified
in
31
U.S.C.
§
3729
et
seq.,
as
may
be
35
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adjusted
in
accordance
with
the
inflation
adjustment
procedures
1
prescribed
in
the
federal
Civil
Penalties
Inflation
Adjustment
2
Act
of
1990,
Pub.
L.
No.
101-410,
for
each
false
or
fraudulent
3
claim
,
plus
three
times
the
amount
of
damages
which
the
state
4
sustains
because
of
the
act
of
that
person
:
5
Sec.
103.
Section
685.3,
subsection
5,
paragraph
c,
Code
6
2011,
is
amended
by
striking
the
paragraph
and
inserting
in
7
lieu
thereof
the
following:
8
c.
A
court
shall
dismiss
an
action
or
claim
under
this
9
section,
unless
opposed
by
the
state,
if
substantially
the
10
same
allegations
or
transactions
as
alleged
in
the
action
or
11
claim
were
publicly
disclosed
in
a
state
criminal,
civil,
or
12
administrative
hearing
in
which
the
state
or
an
agent
of
the
13
state
is
a
party;
in
a
state
legislative,
state
auditor,
or
14
other
state
report,
hearing,
audit,
or
investigation;
or
by
15
the
news
media,
unless
the
action
is
brought
by
the
attorney
16
general
or
the
qui
tam
plaintiff
is
an
original
source
of
the
17
information.
18
Sec.
104.
Section
685.3,
subsection
6,
Code
2011,
is
amended
19
to
read
as
follows:
20
6.
a.
Any
employee,
contractor,
or
agent
who
shall
be
21
entitled
to
all
relief
necessary
to
make
that
employee,
22
contractor,
or
agent
whole,
if
that
employee,
contractor,
or
23
agent
is
discharged,
demoted,
suspended,
threatened,
harassed,
24
or
in
any
other
manner
discriminated
against
in
the
terms
and
25
conditions
of
employment
because
of
lawful
acts
performed
26
done
by
the
employee,
contractor,
or
agent
on
behalf
of
27
the
employee,
contractor,
or
agent
or
associated
others
in
28
furtherance
of
an
action
under
this
section
or
other
efforts
29
to
stop
a
violation
one
or
more
violations
of
this
chapter
,
30
shall
be
entitled
to
all
relief
necessary
to
make
the
employee,
31
contractor,
or
agent
whole
.
Such
relief
32
b.
Relief
under
paragraph
“a”
shall
include
reinstatement
33
with
the
same
seniority
status
such
that
employee,
contractor,
34
or
agent
would
have
had
but
for
the
discrimination,
two
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times
the
amount
of
back
pay,
interest
on
the
back
pay,
and
1
compensation
for
any
special
damages
sustained
as
a
result
of
2
the
discrimination,
including
litigation
costs
and
reasonable
3
attorney
fees.
An
employee,
contractor,
or
agent
may
bring
an
4
action
under
this
subsection
may
be
brought
in
the
appropriate
5
district
court
of
the
state
for
the
relief
provided
in
this
6
subsection
.
7
c.
A
civil
action
under
this
subsection
shall
not
be
brought
8
more
than
three
years
after
the
date
when
the
retaliation
9
occurred.
10
DIVISION
XII
11
VOLUNTEER
HEALTH
CARE
PROVIDER
PROGRAM
12
Sec.
105.
Section
135.24,
subsection
2,
paragraphs
b
and
c,
13
Code
2011,
are
amended
to
read
as
follows:
14
b.
Procedures
for
registration
of
hospitals,
free
clinics,
15
field
dental
clinics,
and
specialty
health
care
provider
16
offices.
17
c.
Criteria
for
and
identification
of
hospitals,
clinics,
18
free
clinics,
field
dental
clinics,
specialty
health
care
19
provider
offices,
or
other
health
care
facilities,
health
20
care
referral
programs,
or
charitable
organizations,
21
eligible
to
participate
in
the
provision
of
free
medical,
22
dental,
chiropractic,
pharmaceutical,
nursing,
optometric,
23
psychological,
social
work,
behavioral
science,
podiatric,
24
physical
therapy,
occupational
therapy,
respiratory
therapy,
25
or
emergency
medical
care
services
through
the
volunteer
26
health
care
provider
program.
A
hospital,
a
clinic,
a
27
free
clinic,
a
field
dental
clinic,
a
specialty
health
care
28
provider
office,
a
health
care
facility,
a
health
care
referral
29
program,
a
charitable
organization,
or
a
health
care
provider
30
participating
in
the
program
shall
not
bill
or
charge
a
31
patient
for
any
health
care
provider
service
provided
under
the
32
volunteer
health
care
provider
program.
33
Sec.
106.
Section
135.24,
Code
2011,
is
amended
by
adding
34
the
following
new
subsection:
35
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NEW
SUBSECTION
.
6A.
A
hospital
providing
free
care
under
1
this
section
shall
be
considered
a
state
agency
solely
for
2
the
purposes
of
this
section
and
chapter
669
and
shall
be
3
afforded
protection
under
chapter
669
as
a
state
agency
for
4
all
claims
arising
from
the
provision
of
free
care
by
a
health
5
care
provider
registered
under
subsection
3
who
is
providing
6
services
at
the
hospital
in
accordance
with
this
section,
if
7
the
hospital
has
registered
with
the
department
pursuant
to
8
subsection
1.
9
Sec.
107.
Section
135.24,
subsection
7,
Code
2011,
is
10
amended
by
adding
the
following
new
paragraph:
11
NEW
PARAGRAPH
.
0e.
“Hospital”
means
hospital
as
defined
in
12
section
135B.1.
13
DIVISION
XIII
14
HEALTH
CARE
COST
CONTAINMENT
15
Sec.
108.
ALL-PAYER
CLAIMS
DATABASE
PLAN.
The
department
of
16
human
services
shall
develop
a
plan
to
establish
an
all-payer
17
claims
database
to
provide
for
the
collection
and
analysis
of
18
claims
data
from
multiple
payers
of
health
care.
The
plan
19
shall
establish
the
goals
of
the
database
which
may
include
20
but
are
not
limited
to
determining
health
care
utilization
21
patterns
and
rates;
identifying
gaps
in
prevention
and
health
22
promotion
services;
evaluating
access
to
care;
assisting
with
23
benefit
design
and
planning;
analyzing
statewide
and
local
24
health
care
expenditures
by
provider,
employer,
and
geography;
25
informing
the
development
of
payment
systems
for
providers;
and
26
establishing
clinical
guidelines
related
to
quality,
safety,
27
and
continuity
of
care.
The
plan
shall
identify
a
standard
28
means
of
data
collection,
statutory
changes
necessary
to
the
29
collection
and
use
of
the
data,
and
the
types
of
claims
for
30
which
collection
of
data
is
required
which
may
include
but
are
31
not
limited
to
eligibility
data;
provider
information;
medical
32
data;
private
and
public
medical,
pharmacy,
and
dental
claims
33
data;
and
other
appropriate
data.
The
plan
shall
also
include
34
an
implementation
and
maintenance
schedule
including
a
proposed
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budget
and
funding
plan
and
vision
for
the
future.
1
Sec.
109.
PROVIDER
PAYMENT
SYSTEM
PLAN
——
PILOT
2
PROJECT.
The
department
of
human
services
shall
develop
a
3
provider
payment
system
plan
to
provide
recommendations
to
4
reform
the
health
care
provider
payment
system
as
an
effective
5
way
to
promote
coordination
of
care,
lower
costs,
and
improve
6
quality.
The
plan
shall
provide
analysis
and
recommendations
7
regarding
but
not
limited
to
accountable
care
organizations,
a
8
global
payment
system,
or
an
episode
of
care
payment
system.
9
Sec.
110.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
10
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
11
enactment.
12
DIVISION
XIV
13
HEALTH
INFORMATION
TECHNOLOGY
14
Sec.
111.
NEW
SECTION
.
135D.1
Findings
and
intent.
15
1.
The
general
assembly
finds
all
of
the
following:
16
a.
Technology
used
to
support
health-related
functions
is
17
widely
known
as
health
information
technology.
Electronic
18
health
records
are
used
to
collect
and
store
relevant
patient
19
health
information.
Electronic
health
records
serve
as
a
means
20
of
bringing
evidence-based
knowledge
resources
and
patient
21
information
to
the
point
of
care
to
support
better
decision
22
making
and
more
efficient
care
processes.
23
b.
Health
information
technology
allows
for
comprehensive
24
management
of
health
information
and
its
secure
electronic
25
exchange
between
providers,
public
health
agencies,
payers,
26
and
consumers.
Broad
use
of
health
information
technology
27
should
improve
health
care
quality
and
the
overall
health
of
28
the
population,
increase
efficiencies
in
administrative
health
29
care,
reduce
unnecessary
health
care
costs,
and
help
prevent
30
medical
errors.
31
c.
Health
information
technology
provides
a
mechanism
to
32
transform
the
delivery
of
health
and
medical
care
in
Iowa
and
33
across
the
nation.
34
2.
It
is
the
intent
of
the
general
assembly
to
use
health
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information
technology
as
a
catalyst
to
achieve
a
healthier
1
Iowa
through
the
electronic
sharing
of
health
information.
A
2
health
information
network
involves
sharing
health
information
3
across
the
boundaries
of
individual
practice
and
institutional
4
health
settings
and
with
consumers.
The
result
is
a
public
5
good
that
will
contribute
to
improved
clinical
outcomes
and
6
patient
safety,
population
health,
access
to
and
quality
of
7
health
care,
and
efficiency
in
health
care
delivery.
8
3.
It
is
the
intent
of
the
general
assembly
that
the
health
9
information
network
shall
not
constitute
a
health
benefit
10
exchange
or
a
health
insurance
exchange.
11
Sec.
112.
NEW
SECTION
.
135D.2
Definitions.
12
For
the
purposes
of
this
chapter,
unless
the
context
13
otherwise
requires:
14
1.
“Authorized”
means
having
met
the
requirements
as
a
15
participant
for
access
to
the
health
information
network.
16
2.
“Board”
means
the
board
of
directors
of
Iowa
e-health.
17
3.
“Consumers”
means
people
who
acquire
and
use
goods
and
18
services
for
personal
need.
19
4.
“Continuity
of
care
document”
means
a
summary
of
a
20
patient’s
health
information
for
each
visit
to
a
provider
to
be
21
delivered
through
the
health
information
network.
22
5.
“Department”
means
the
department
of
public
health.
23
6.
“Deputy
director”
means
the
deputy
director
of
public
24
health.
25
7.
“Director”
means
the
director
of
public
health.
26
8.
“Exchange”
means
the
authorized
electronic
sharing
27
of
health
information
between
providers,
payers,
consumers,
28
public
health
agencies,
the
department,
and
other
authorized
29
participants
utilizing
the
health
information
network
and
30
health
information
network
services.
31
9.
“Executive
director”
means
the
executive
director
of
the
32
office
of
health
information
technology.
33
10.
“Health
information”
means
any
information,
in
any
34
form
or
medium,
that
is
created,
transmitted,
or
received
35
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by
a
provider,
payer,
consumer,
public
health
agency,
the
1
department,
or
other
authorized
participant,
which
relates
2
to
the
past,
present,
or
future
physical
or
mental
health
or
3
condition
of
an
individual;
the
provision
of
health
care
to
an
4
individual;
or
the
past,
present,
or
future
payment
for
the
5
provision
of
health
care
to
an
individual.
6
11.
“Health
information
network”
means
the
exclusive
7
statewide
electronic
health
information
network.
8
12.
“Health
information
network
services”
means
the
9
exchanging
of
health
information
via
the
health
information
10
network;
education
and
outreach
to
support
connection
and
11
access
to
and
use
of
the
health
information
network;
and
all
12
other
activities
related
to
the
electronic
exchange
of
health
13
information.
14
13.
“Health
Insurance
Portability
and
Accountability
15
Act”
means
the
federal
Health
Insurance
Portability
and
16
Accountability
Act
of
1996,
Pub.
L.
No.
104-191,
including
17
amendments
thereto
and
regulations
promulgated
thereunder.
18
14.
“Infrastructure”
means
technology
including
19
architecture,
hardware,
software,
networks,
terminology
and
20
standards,
and
policies
and
procedures
governing
the
electronic
21
exchange
of
health
information.
22
15.
“Iowa
e-health”
means
the
collaboration
between
the
23
department
and
other
public
and
private
stakeholders
to
24
establish,
operate,
and
sustain
an
exclusive
statewide
health
25
information
network.
26
16.
“Iowa
Medicaid
enterprise”
means
Iowa
medicaid
27
enterprise
as
defined
in
section
249J.3.
28
17.
“Local
board
of
health”
means
a
city,
county,
or
29
district
board
of
health.
30
18.
“Office”
means
the
office
of
health
information
31
technology
within
the
department.
32
19.
“Participant”
means
an
authorized
provider,
payer,
33
patient,
public
health
agency,
the
department,
or
other
34
authorized
person
that
has
voluntarily
agreed
to
authorize,
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submit,
access,
and
disclose
health
information
through
the
1
health
information
network
in
accordance
with
this
chapter
2
and
all
applicable
laws,
rules,
agreements,
policies,
and
3
procedures.
4
20.
“Participation
and
data
sharing
agreement”
means
5
the
agreement
outlining
the
terms
of
access
and
use
for
6
participation
in
the
health
information
network.
7
21.
“Patient”
means
a
person
who
has
received
or
is
8
receiving
health
services
from
a
provider.
9
22.
“Payer”
means
a
person
who
makes
payments
for
health
10
services,
including
but
not
limited
to
an
insurance
company,
11
self-insured
employer,
government
program,
individual,
or
other
12
purchaser
that
makes
such
payments.
13
23.
“Protected
health
information”
means
individually
14
identifiable
patient
information,
including
demographic
15
information,
related
to
the
past,
present,
or
future
health
16
or
condition
of
a
person;
the
provision
of
health
care
to
17
a
person;
or
the
past,
present,
or
future
payment
for
such
18
health
care;
which
is
created,
transmitted,
or
received
by
a
19
participant.
“Protected
health
information”
does
not
include
20
education
and
other
records
that
are
covered
under
the
federal
21
Family
Educational
Rights
and
Privacy
Act
of
1974,
as
codified
22
at
20
U.S.C.
1232g,
as
amended;
or
any
employment
records
23
maintained
by
a
covered
entity,
as
defined
under
the
Health
24
Insurance
Portability
and
Accountability
Act,
in
its
role
as
25
an
employer.
26
24.
“Provider”
means
a
hospital,
physician
clinic,
pharmacy,
27
laboratory,
health
service
provider,
or
other
person
that
is
28
licensed,
certified,
or
otherwise
authorized
or
permitted
29
by
law
to
administer
health
care
in
the
ordinary
course
of
30
business
or
in
the
practice
of
a
profession,
or
any
other
31
person
or
organization
that
furnishes,
bills,
or
is
paid
for
32
health
care
in
the
normal
course
of
business.
33
25.
“Public
health
agency”
means
an
entity
that
is
governed
34
by
or
contractually
responsible
to
a
local
board
of
health
or
35
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the
department
to
provide
services
focused
on
the
health
status
1
of
population
groups
and
their
environments.
2
26.
“Purchaser”
means
any
individual,
employer,
or
3
organization
that
purchases
health
insurance
or
services
and
4
includes
intermediaries.
5
27.
“Vendor”
means
a
person
or
organization
that
provides
6
or
proposes
to
provide
goods
or
services
to
the
department
7
pursuant
to
a
contract,
but
does
not
include
an
employee
of
the
8
state,
a
retailer,
or
a
state
agency
or
instrumentality.
9
Sec.
113.
NEW
SECTION
.
135D.3
Iowa
e-health
established
——
10
guiding
principles,
goals,
domains.
11
1.
Iowa
e-health
is
established
as
a
public-private,
12
multi-stakeholder
collaborative.
The
purpose
of
Iowa
e-health
13
is
to
develop,
administer,
and
sustain
the
health
information
14
network
to
improve
the
quality,
safety,
and
efficiency
of
15
health
care
available
to
Iowans.
16
2.
Iowa
e-health
shall
manage
and
operate
the
health
17
information
network.
Nothing
in
this
chapter
shall
be
18
interpreted
to
impede
or
preclude
the
formation
and
operation
19
of
regional,
population-specific,
or
local
health
information
20
networks
or
their
participation
in
the
health
information
21
network.
22
3.
Iowa
e-health
shall
facilitate
the
exchange
of
health
23
information
for
prevention
and
treatment
purposes
to
help
24
providers
make
the
best
health
care
decisions
for
patients
and
25
to
provide
patients
with
continuity
of
care
regardless
of
the
26
provider
the
patient
visits.
27
4.
The
guiding
principles
of
Iowa
e-health
include
all
of
28
the
following:
29
a.
To
engage
in
a
collaborative,
public-private,
30
multi-stakeholder
effort
including
providers,
payers,
31
purchasers,
governmental
entities,
educational
institutions,
32
and
consumers.
33
b.
To
create
a
sustainable
health
information
network
which
34
makes
information
available
when
and
where
it
is
needed.
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c.
To
ensure
the
health
information
network
incorporates
1
provider
priorities
and
appropriate
participant
education.
2
d.
To
instill
confidence
in
consumers
that
their
health
3
information
is
secure,
private,
and
accessed
appropriately.
4
e.
To
build
on
smart
practices
and
align
with
federal
5
standards
to
ensure
interoperability
within
and
beyond
the
6
state.
7
5.
The
goals
of
Iowa
e-health
include
all
of
the
following:
8
a.
To
build
awareness
and
trust
of
health
information
9
technology
through
communication
and
outreach
to
providers
and
10
consumers.
11
b.
To
safeguard
privacy
and
security
of
health
information
12
shared
electronically
between
participants
through
the
health
13
information
network
so
that
the
health
information
is
secure,
14
private,
and
accessed
only
by
authorized
individuals
and
15
entities.
16
c.
To
promote
statewide
deployment
and
use
of
electronic
17
health
records.
18
d.
To
enable
the
electronic
exchange
of
health
information.
19
e.
To
advance
coordination
of
activities
across
state
and
20
federal
governments.
21
f.
To
establish
a
governance
model
for
the
health
22
information
network.
23
g.
To
establish
sustainable
business
and
technical
24
operations
for
the
health
information
exchange.
25
h.
To
secure
financial
resources
to
develop
and
sustain
the
26
health
information
network.
27
i.
To
monitor
and
evaluate
health
information
technology
28
progress
and
outcomes.
29
6.
Iowa
e-health
shall
include
the
following
five
domains:
30
a.
Governance.
Iowa
e-health
shall
be
governed
by
a
board
31
of
directors
whose
members
represent
stakeholders
such
as
32
provider
organizations
and
associations,
providers,
payers,
33
purchasers,
governmental
entities,
business,
and
consumers.
34
Iowa
e-health
shall
be
supported
by
the
department’s
office
of
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health
information
technology.
The
board
shall
set
direction,
1
goals,
and
policies
for
Iowa
e-health
and
provide
oversight
of
2
the
business
and
technical
operations
of
the
health
information
3
network
and
health
information
network
services.
4
b.
Business
and
technical
operations.
The
office
of
health
5
information
technology
shall
perform
day-to-day
operations
6
to
support
and
advance
Iowa
e-health,
the
health
information
7
network,
and
health
information
network
services.
8
c.
Finance.
Iowa
e-health
shall
identify
and
manage
9
financial
resources
to
achieve
short-term
and
long-term
10
sustainability
of
the
health
information
network.
The
health
11
information
network
shall
be
financed
by
participants
based
on
12
a
business
model
and
financial
sustainability
plan
approved
by
13
the
board
no
later
than
December
31,
2011,
and
submitted
to
14
the
governor
and
the
general
assembly.
The
model
and
plan
may
15
contemplate
participant
fees
based
on
value-based
principles.
16
Fees
shall
not
be
assessed
to
participants
prior
to
approval
by
17
the
board
and
an
enactment
of
the
general
assembly
establishing
18
such
fees.
19
d.
Technical
infrastructure.
Iowa
e-health
shall
implement
20
and
manage
the
core
infrastructure
and
standards
to
enable
the
21
safe
and
secure
delivery
of
health
information
to
providers
and
22
consumers
through
the
health
information
network.
23
e.
Legal
and
policy.
Iowa
e-health
shall
establish
privacy
24
and
security
policies
and
guidelines,
and
participation
and
25
data
sharing
agreements,
to
protect
consumers
and
enforce
rules
26
for
utilization
of
the
health
information
network.
27
Sec.
114.
NEW
SECTION
.
135D.4
Governance
——
board
of
28
directors
——
advisory
council.
29
1.
Iowa
e-health
shall
be
governed
by
a
board
of
directors.
30
Board
members
shall
be
residents
of
the
state
of
Iowa.
The
31
membership
of
the
board
shall
comply
with
sections
69.16
and
32
69.16A.
33
2.
The
board
of
directors
shall
be
comprised
of
the
34
following
members:
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a.
The
board
shall
include
all
of
the
following
as
voting
1
members:
2
(1)
Two
members
who
represent
the
Iowa
collaborative
safety
3
net
provider
network
created
in
section
135.153,
designated
by
4
the
network.
5
(2)
Four
members
who
represent
hospitals,
two
of
whom
are
6
designated
by
the
two
largest
health
care
systems
in
the
state,
7
one
of
whom
is
designated
by
the
university
of
Iowa
hospitals
8
and
clinics,
and
one
of
whom
is
designated
by
the
Iowa
hospital
9
association
to
represent
critical
access
hospitals.
10
(3)
Two
members
who
represent
two
different
private
health
11
insurance
carriers,
designated
by
the
federation
of
Iowa
12
insurers,
one
of
which
has
the
largest
health
market
share
in
13
Iowa.
14
(4)
One
member
who
is
a
licensed
physician,
designated
by
15
the
Iowa
medical
society.
16
(5)
One
member
representing
the
department
who
is
17
designated
by
the
department.
18
(6)
One
member
representing
the
Iowa
Medicaid
enterprise
19
who
is
the
Iowa
Medicaid
director,
or
the
director’s
designee.
20
b.
The
board
shall
include
as
ex
officio,
nonvoting
members
21
four
members
of
the
general
assembly,
one
appointed
by
the
22
speaker
of
the
house
of
representatives,
one
appointed
by
the
23
minority
leader
of
the
house
of
representatives,
one
appointed
24
by
the
majority
leader
of
the
senate,
and
one
appointed
by
the
25
minority
leader
of
the
senate.
26
3.
A
person
shall
not
serve
on
the
board
in
any
capacity
if
27
the
person
is
required
to
register
as
a
lobbyist
under
section
28
68B.36
because
of
the
person’s
activities
for
compensation
29
on
behalf
of
a
profession
or
an
entity
that
is
engaged
in
30
providing
health
care,
reviewing
or
analyzing
health
care,
31
paying
for
health
care
services
or
procedures,
or
providing
32
health
information
technology
or
health
information
network
33
services.
34
4.
a.
Board
members
shall
serve
four-year
terms
but
shall
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not
serve
more
than
two
consecutive
four-year
terms.
However,
1
the
board
members
who
represent
state
agencies
are
not
subject
2
to
term
limits.
3
b.
At
the
end
of
any
term,
a
member
of
the
board
may
4
continue
to
serve
until
the
appointing
or
designating
authority
5
names
a
successor.
6
c.
A
vacancy
on
the
board
shall
be
filled
for
the
remainder
7
of
the
term
in
the
manner
of
the
original
appointment.
A
8
vacancy
in
the
membership
of
the
board
shall
not
impair
the
9
right
of
the
remaining
members
to
exercise
all
the
powers
and
10
perform
all
the
duties
of
the
board.
11
d.
A
board
member
may
be
removed
by
the
board
for
cause
12
including
but
not
limited
to
malfeasance
in
office,
failure
13
to
attend
board
meetings,
misconduct,
or
violation
of
ethical
14
rules
and
standards.
Nonattendance
of
the
board
members
15
appointed
by
the
governor
shall
be
governed
by
the
provisions
16
of
section
69.15.
A
board
member
may
be
removed
by
a
vote
of
17
the
board
if,
based
on
the
criteria
provided
in
section
69.15,
18
subsection
1,
paragraphs
“a”
and
“b”
,
the
board
member
would
be
19
deemed
to
have
submitted
a
resignation
from
the
board.
20
e.
The
board
members
shall
elect
a
chairperson
from
their
21
membership.
The
department’s
designee
shall
serve
as
vice
22
chairperson.
23
5.
Meetings
of
the
board
shall
be
governed
by
the
provisions
24
of
chapter
21.
25
a.
The
board
shall
meet
upon
the
call
of
the
chairperson
26
or
the
vice
chairperson.
Notice
of
the
time
and
place
of
each
27
board
meeting
shall
be
given
to
each
member.
The
board
shall
28
keep
accurate
and
complete
records
of
all
of
its
meetings.
29
b.
A
simple
majority
of
the
members
shall
constitute
a
30
quorum
to
enable
the
transaction
of
any
business
and
for
the
31
exercise
of
any
power
or
function
of
the
board.
Action
may
be
32
taken
and
motions
and
resolutions
adopted
by
the
affirmative
33
vote
of
a
majority
of
the
members
attending
the
meeting
whether
34
in
person,
by
telephone,
web
conference,
or
other
means.
A
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board
member
shall
not
vote
by
proxy
or
through
a
delegate.
1
c.
Public
members
of
the
board
shall
receive
reimbursement
2
for
actual
expenses
incurred
while
serving
in
their
official
3
capacity,
only
if
they
are
not
eligible
for
reimbursement
by
4
the
organization
that
they
represent.
A
person
who
serves
as
a
5
member
of
the
board
shall
not
by
reason
of
such
membership
be
6
entitled
to
membership
in
the
Iowa
public
employees’
retirement
7
system
or
service
credit
for
any
public
retirement
system.
8
6.
The
board
may
exercise
its
powers,
duties,
and
functions
9
as
provided
in
this
chapter
and
as
prescribed
by
law.
The
10
director
and
the
board
shall
ensure
that
matters
under
the
11
purview
of
the
board
are
carried
out
in
a
manner
that
does
not
12
violate
or
risk
violation
of
applicable
state
or
federal
laws
13
or
regulations,
and
that
supports
overriding
public
policy
and
14
public
safety
concerns,
fiscal
compliance,
and
compliance
with
15
the
office
of
the
national
coordinator
for
health
information
16
technology
state
health
information
exchange
cooperative
17
agreement
program
or
any
other
cooperative
agreement
programs
18
or
grants
supporting
Iowa
e-health.
The
board
shall
do
all
of
19
the
following:
20
a.
Participate
in
the
selection
of
the
executive
director
21
and
assist
in
the
development
of
performance
standards
and
22
evaluations
of
the
executive
director.
23
b.
Establish
priorities
among
health
information
network
24
services
based
on
the
needs
of
the
population
of
this
state.
25
c.
Oversee
the
handling
and
accounting
of
assets
and
moneys
26
received
for
or
generated
by
the
health
information
network.
27
d.
Establish
committees
and
workgroups
as
needed.
28
e.
Review
and
approve
or
disapprove
all
of
the
following,
29
as
proposed
by
the
department:
30
(1)
Strategic,
operational,
and
financial
sustainability
31
plans
for
Iowa
e-health,
the
health
information
network,
and
32
health
information
network
services.
33
(2)
Standards,
requirements,
policies,
and
procedures
for
34
access,
use,
secondary
use,
and
privacy
and
security
of
health
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information
network
through
the
health
information
exchange,
1
consistent
with
applicable
federal
and
state
standards
and
2
laws.
3
(3)
Policies
and
procedures
for
administering
the
4
infrastructure,
technology,
and
associated
professional
5
services
necessary
for
the
business
and
technical
operation
of
6
the
health
information
network
and
health
information
network
7
services.
8
(4)
Policies
and
procedures
for
evaluation
of
the
health
9
information
network
and
health
information
network
services.
10
(5)
Mechanisms
for
periodic
review
and
update
of
policies
11
and
procedures.
12
(6)
An
annual
budget
and
fiscal
report
for
the
operations
of
13
the
health
information
network
and
an
annual
report
for
Iowa
14
e-health
and
health
information
network
services.
15
(7)
Major
purchases
of
goods
and
services.
16
f.
Adopt
administrative
rules
pursuant
to
chapter
17A
17
to
implement
this
chapter
and
relating
to
the
management
18
and
operation
of
the
health
information
network
and
health
19
information
network
services.
20
g.
Adopt
rules
for
monitoring
access
to
and
use
of
21
the
health
information
network
and
enforcement
of
health
22
information
network
rules,
standards,
requirements,
policies,
23
and
procedures.
The
board
may
suspend,
limit,
or
terminate
a
24
participant’s
utilization
of
the
health
information
network
for
25
violation
of
such
rules,
standards,
requirements,
policies,
26
or
procedures,
and
shall
establish,
by
rule,
a
process
for
27
notification,
right
to
respond,
and
appeal
relative
to
such
28
violations.
29
h.
Have
all
remedies
allowed
by
law
to
address
any
violation
30
of
the
terms
of
the
participation
and
data
sharing
agreement.
31
i.
Perform
any
and
all
other
activities
in
furtherance
of
32
its
purpose.
33
7.
a.
A
board
member
is
subject
to
chapter
68B,
the
rules
34
adopted
by
the
Iowa
ethics
and
campaign
disclosure
board,
and
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the
ethics
rules
and
requirements
that
apply
to
the
executive
1
branch
of
state
government.
2
b.
A
board
member
shall
not
participate
in
any
matter
3
before
the
board
in
which
the
board
member
has
a
direct
or
4
indirect
interest
in
an
undertaking
that
places
the
board
5
member’s
personal
or
business
interests
in
conflict
with
those
6
of
Iowa
e-health,
including
but
not
limited
to
an
interest
in
7
a
procurement
contract,
or
that
may
create
the
appearance
of
8
impropriety.
9
8.
Advisory
council.
10
a.
An
advisory
council
to
the
board
is
established
11
to
provide
an
additional
mechanism
for
obtaining
broader
12
stakeholder
advice
and
input
regarding
health
information
13
technology,
the
health
information
network,
and
health
14
information
network
services.
15
b.
The
advisory
council
shall
be
comprised
of
the
following
16
members
who
shall
serve
two-year
staggered
terms:
17
(1)
The
following
members
designated
as
specified:
18
(a)
One
member
who
is
a
licensed
practicing
nurse
in
19
an
office
or
clinic
setting,
designated
by
the
Iowa
nurses
20
association.
21
(b)
One
member
representing
licensed
pharmacists,
22
designated
by
the
Iowa
pharmacy
association.
23
(c)
One
member
representing
the
Iowa
healthcare
24
collaborative,
designated
by
the
collaborative.
25
(d)
One
member
representing
substance
abuse
programs,
26
designated
by
the
Iowa
behavioral
health
association.
27
(e)
One
member
representing
community
mental
health
28
centers,
designated
by
the
Iowa
association
of
community
29
providers.
30
(f)
One
member
representing
long-term
care
providers,
31
designated
by
the
Iowa
health
care
association/Iowa
center
for
32
assisted
living
and
the
Iowa
association
of
homes
and
services
33
for
the
aging.
34
(g)
One
member
representing
licensed
physicians,
designated
35
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by
the
Iowa
academy
of
family
physicians.
1
(h)
One
member
representing
chiropractors,
designated
by
2
the
Iowa
chiropractic
society.
3
(i)
One
member
who
is
a
practicing
physician
in
an
office
4
or
clinic
setting,
designated
by
the
Iowa
osteopathic
medical
5
association.
6
(j)
One
member
representing
business
interests,
designated
7
by
the
Iowa
association
of
business
and
industry.
8
(2)
The
following
members
appointed
by
the
board:
9
(a)
One
member
representing
the
state
board
of
health.
10
(b)
One
member
representing
academics.
11
(c)
One
member
representing
the
Iowa
Medicare
quality
12
improvement
organization.
13
(d)
One
member
who
is
the
state
chief
information
officer.
14
(e)
One
member
representing
the
private
telecommunications
15
industry.
16
(f)
One
member
representing
Des
Moines
university.
17
(g)
One
member
representing
home
health
care
providers.
18
(h)
One
member
representing
the
department
of
veterans
19
affairs.
20
c.
The
board
may
change
the
membership
and
the
composition
21
of
the
advisory
council,
by
rule,
to
accommodate
changes
in
22
stakeholder
interests
and
the
evolution
of
health
information
23
technology,
the
health
information
network,
and
health
24
information
network
services.
An
advisory
council
member
may
25
be
removed
by
a
vote
of
the
board
if,
based
on
the
criteria
26
provided
in
section
69.15,
subsection
1,
paragraphs
“a”
and
“b”
,
27
the
advisory
council
member
would
be
deemed
to
have
submitted
a
28
resignation
from
the
advisory
council.
29
Sec.
115.
NEW
SECTION
.
135D.5
Business
and
technical
30
operations
——
office
of
health
information
technology.
31
1.
The
office
of
health
information
technology
is
32
established
within
the
department
and
shall
be
responsible
for
33
the
day-to-day
business
and
operations
of
Iowa
e-health,
the
34
health
information
network,
and
health
information
network
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services.
The
office
shall
be
under
the
direction
of
the
1
director
and
under
the
supervision
of
the
deputy
director.
2
2.
a.
The
department
shall
employ
an
executive
director
to
3
manage
the
office
and
the
executive
director
shall
report
to
4
the
deputy
director.
5
b.
The
executive
director
shall
manage
the
planning
and
6
implementation
of
Iowa
e-health,
the
health
information
7
network,
and
health
information
network
services,
and
shall
8
provide
high-level
coordination
across
public
and
private
9
sector
stakeholders.
10
c.
The
executive
director
shall
serve
as
Iowa’s
health
11
information
technology
coordinator
and
primary
point
of
12
contact
for
the
office
of
the
national
coordinator
for
health
13
information
technology,
other
federal
and
state
agencies
14
involved
in
health
information
technology,
and
state
health
15
information
technology
coordinators
from
other
states.
16
3.
a.
The
executive
director
and
all
other
employees
of
17
the
office
shall
be
employees
of
the
state,
classified
and
18
compensated
in
accordance
with
chapter
8A,
subchapter
IV,
and
19
chapter
20.
20
b.
Subject
to
approval
of
the
board,
the
director
shall
21
have
the
sole
power
to
determine
the
number
of
full-time
and
22
part-time
equivalent
positions
necessary
to
carry
out
the
23
provisions
of
this
chapter.
24
c.
An
employee
of
the
office
shall
not
have
a
financial
25
interest
in
any
vendor
doing
business
or
proposing
to
do
26
business
with
Iowa
e-health.
27
4.
The
department
shall
do
all
of
the
following:
28
a.
Develop,
implement,
and
enforce
the
following,
as
29
approved
by
the
board:
30
(1)
Strategic,
operational,
and
financial
sustainability
31
plans
for
the
health
information
network,
Iowa
e-health,
and
32
health
information
network
services.
33
(2)
Standards,
requirements,
policies,
and
procedures
for
34
access,
use,
secondary
use,
and
privacy
and
security
of
health
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information
exchanged
through
the
health
information
network,
1
consistent
with
applicable
federal
and
state
standards
and
2
laws.
3
(3)
Policies
and
procedures
for
monitoring
participant
4
usage
of
the
health
information
network
and
health
information
5
network
services;
enforcing
noncompliance
with
health
6
information
network
standards,
requirements,
policies,
rules,
7
and
procedures.
8
(4)
Policies
and
procedures
for
administering
the
9
infrastructure,
technology,
and
associated
professional
10
services
required
for
operation
of
the
health
information
11
network
and
health
information
network
services.
12
(5)
Policies
and
procedures
for
evaluation
of
the
health
13
information
network
and
health
information
network
services.
14
(6)
A
mechanism
for
periodic
review
and
update
of
policies
15
and
procedures.
16
(7)
An
annual
budget
and
fiscal
report
for
the
business
17
and
technical
operations
of
the
health
information
network
and
18
an
annual
report
for
Iowa
e-health,
the
health
information
19
network,
and
health
information
network
services.
The
20
department
shall
submit
all
such
reports
to
the
general
21
assembly.
22
b.
Convene
and
facilitate
board,
advisory
council,
23
workgroup,
committee,
and
other
stakeholder
meetings.
24
c.
Provide
technical
and
operational
assistance
for
25
planning
and
implementing
Iowa
e-health
activities,
the
health
26
information
network,
and
health
information
network
services.
27
d.
Provide
human
resource,
budgeting,
project
and
28
activity
coordination,
and
related
management
functions
to
29
Iowa
e-health,
the
health
information
network,
and
health
30
information
network
services.
31
e.
Develop
educational
materials
and
educate
the
general
32
public
on
the
benefits
of
electronic
health
records,
the
health
33
information
network,
and
the
safeguards
available
to
prevent
34
unauthorized
disclosure
of
health
information.
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f.
Enter
into
participation
and
data
sharing
agreements
with
1
participants
of
the
health
information
network.
2
g.
Record
receipts
and
approval
of
payments,
and
file
3
required
financial
reports.
4
h.
Apply
for,
acquire
by
gift
or
purchase,
and
hold,
5
dispense,
or
dispose
of
funds
and
real
or
personal
property
6
from
any
person,
governmental
entity,
or
organization
in
7
the
exercise
of
its
powers
and
performance
of
its
duties
in
8
accordance
with
this
chapter.
9
i.
Administer
grant
funds
in
accordance
with
the
terms
of
10
the
grant
and
all
applicable
state
and
federal
laws,
rules,
and
11
regulations.
12
j.
Select
and
contract
with
vendors
in
compliance
with
13
applicable
state
and
federal
procurement
laws
and
regulations.
14
k.
Coordinate
with
other
health
information
technology
and
15
health
information
network
programs
and
activities.
16
l.
Work
to
align
interstate
and
intrastate
interoperability
17
and
standards
in
accordance
with
national
health
information
18
exchange
standards.
19
m.
Execute
all
instruments
necessary
or
incidental
to
the
20
performance
of
its
duties
and
the
execution
of
its
powers.
21
Sec.
116.
NEW
SECTION
.
135D.6
Iowa
e-health
finance
fund.
22
1.
The
Iowa
e-health
finance
fund
is
created
as
a
separate
23
fund
within
the
state
treasury
under
the
control
of
the
board.
24
Revenues,
donations,
gifts,
interest,
or
other
moneys
received
25
or
generated
relative
to
the
operation
and
administration
of
26
the
health
information
network
and
health
information
network
27
services,
shall
be
deposited
in
the
fund.
28
2.
Moneys
in
the
fund
shall
be
expended
by
the
department
29
only
on
activities
and
operations
suitable
to
the
performance
30
of
the
department’s
duties
on
behalf
of
the
board
and
Iowa
31
e-health
as
specified
in
this
chapter,
subject
to
board
32
approval.
Disbursements
may
be
made
from
the
fund
for
purposes
33
related
to
the
administration,
management,
operations,
34
functions,
activities,
and
sustainability
of
the
health
35
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information
network
and
health
information
network
services.
1
3.
Notwithstanding
section
12C.7,
subsection
2,
earnings
or
2
interest
on
moneys
deposited
in
the
fund
shall
be
credited
to
3
the
fund.
Notwithstanding
section
8.33,
any
unexpended
balance
4
in
the
fund
at
the
end
of
each
fiscal
year
shall
be
retained
in
5
the
fund
and
shall
not
be
transferred
to
the
general
fund
of
6
the
state.
7
4.
The
moneys
in
the
fund
shall
be
subject
to
financial
and
8
compliance
audits
by
the
auditor
of
state.
9
5.
The
general
assembly
may
appropriate
moneys
in
the
fund
10
to
the
department
on
behalf
of
Iowa
e-health
for
the
health
11
information
network
and
health
information
network
services.
12
Sec.
117.
NEW
SECTION
.
135D.7
Technical
infrastructure.
13
1.
The
health
information
network
shall
provide
a
mechanism
14
to
facilitate
and
support
the
secure
electronic
exchange
15
of
health
information
between
participants.
The
health
16
information
network
shall
not
function
as
a
central
repository
17
of
all
health
information.
18
2.
The
health
information
network
shall
provide
a
mechanism
19
for
participants
without
an
electronic
health
record
system
to
20
access
health
information
from
the
health
information
network.
21
3.
The
technical
infrastructure
of
the
health
information
22
network
shall
be
designed
to
facilitate
the
secure
electronic
23
exchange
of
health
information
using
functions
including
but
24
not
limited
to
all
of
the
following:
25
a.
A
master
patient
index,
in
the
absence
of
a
single,
26
standardized
patient
identifier,
to
exchange
secure
health
27
information
among
participants.
28
b.
A
record
locator
service
to
locate
and
exchange
secure
29
health
information
among
participants.
30
c.
Authorization,
authentication,
access,
and
auditing
31
processes
for
security
controls
to
protect
the
privacy
of
32
consumers
and
participants
and
the
confidentiality
of
health
33
information
by
limiting
access
to
the
health
information
34
network
and
health
information
to
participants
whose
identity
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has
been
authenticated,
and
whose
access
to
health
information
1
is
limited
by
their
role
and
recorded
through
an
audit
trail.
2
d.
Electronic
transmission
procedures
and
software
necessary
3
to
facilitate
the
electronic
exchange
of
various
types
of
4
health
information
through
the
health
information
network.
5
e.
Telecommunications
through
coordination
of
public
6
and
private
networks
to
provide
the
backbone
infrastructure
7
to
connect
participants
exchanging
health
information.
The
8
networks
may
include
but
are
not
limited
to
the
state-owned
9
communications
network,
other
fiber
optic
networks,
and
private
10
telecommunications
service
providers.
11
4.
The
state
shall
own
or
possess
the
rights
to
use
all
12
processes
and
software
developed,
and
hardware
installed,
13
leased,
designed,
or
purchased
for
the
health
information
14
network,
and
shall
permit
participants
to
use
the
health
15
information
network
and
health
information
network
services
in
16
accordance
with
the
standards,
policies,
procedures,
rules,
17
and
regulations
approved
by
the
board,
and
the
terms
of
the
18
participation
and
data
sharing
agreement.
19
Sec.
118.
NEW
SECTION
.
135D.8
Legal
and
policy.
20
1.
Upon
approval
from
the
board,
the
office
of
health
21
information
technology
shall
establish
appropriate
security
22
standards,
policies,
and
procedures
to
protect
the
transmission
23
and
receipt
of
individually
identifiable
health
information
24
exchanged
through
the
health
information
network.
The
security
25
standards,
policies,
and
procedures
shall,
at
a
minimum,
comply
26
with
the
Health
Insurance
Portability
and
Accountability
Act
27
security
rule
pursuant
to
45
C.F.R.
pt.
164,
subpt.
C,
and
28
shall
reflect
all
of
the
following:
29
a.
Include
authorization
controls,
including
the
30
responsibility
to
authorize,
maintain,
and
terminate
a
31
participant’s
use
of
the
health
information
network.
32
b.
Require
authentication
controls
to
verify
the
identity
33
and
role
of
the
participant
using
the
health
information
34
network.
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c.
Include
role-based
access
controls
to
restrict
1
functionality
and
information
available
through
the
health
2
information
network.
3
d.
Include
a
secure
and
traceable
electronic
audit
system
4
to
document
and
monitor
the
sender
and
the
recipient
of
health
5
information
exchanged
through
the
health
information
network.
6
e.
Require
standard
participation
and
data
sharing
7
agreements
which
define
the
minimum
privacy
and
security
8
obligations
of
all
participants
using
the
health
information
9
network
and
health
information
network
services.
10
f.
Include
controls
over
access
to
and
the
collection,
11
organization,
and
maintenance
of
records
and
data
for
12
purposes
of
research
or
population
health
that
protect
the
13
confidentiality
of
consumers
who
are
the
subject
of
the
health
14
information.
15
2.
a.
A
patient
shall
have
the
opportunity
to
decline
16
exchange
of
their
health
information
through
the
health
17
information
network.
The
board
shall
provide
by
rule
the
means
18
and
process
by
which
patients
may
decline
participation.
A
19
patient
shall
not
be
denied
care
or
treatment
for
declining
20
to
exchange
their
health
information,
in
whole
or
in
part,
21
through
the
health
information
network.
The
means
and
process
22
utilized
under
the
rules
shall
minimize
the
burden
on
patients
23
and
providers.
24
b.
Unless
otherwise
authorized
by
law
or
rule,
a
patient’s
25
decision
to
decline
participation
means
that
none
of
the
26
patient’s
health
information
shall
be
exchanged
through
the
27
health
information
network.
If
a
patient
does
not
decline
28
participation,
the
patient’s
health
information
may
be
29
exchanged
through
the
health
information
network
except
as
30
follows:
31
(1)
If
health
information
associated
with
a
patient
32
visit
with
a
provider
is
protected
by
state
law
that
is
33
more
restrictive
than
the
Health
Insurance
Portability
and
34
Accountability
Act,
a
patient
shall
have
the
right
to
decline
35
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sharing
of
health
information
through
the
health
information
1
network
from
such
visit
as
provided
by
rule.
2
(2)
With
the
consent
of
the
patient,
a
provider
may
3
limit
health
information
associated
with
a
patient
visit
4
from
being
shared
through
the
health
information
network
if
5
such
limitation
is
reasonably
determined
by
the
provider,
in
6
consultation
with
the
patient,
to
be
in
the
best
interest
of
7
the
patient
as
provided
by
rule.
8
c.
A
patient
who
declines
participation
in
the
health
9
information
network
may
later
decide
to
have
health
information
10
shared
through
the
health
information
network.
A
patient
who
11
is
participating
in
the
health
information
network
may
later
12
decline
participation
in
the
health
information
network.
13
3.
The
office
shall
develop
and
distribute
educational
14
tools
and
information
for
consumers,
patients,
and
providers
to
15
inform
them
about
the
health
information
network,
including
but
16
not
limited
to
the
safeguards
available
to
prevent
unauthorized
17
disclosure
of
health
information
and
a
patient’s
right
to
18
decline
participation
in
the
health
information
network.
19
4.
a.
A
participant
shall
not
release
or
use
protected
20
health
information
exchanged
through
the
health
information
21
network
for
purposes
unrelated
to
prevention,
treatment,
22
payment,
or
health
care
operations
unless
otherwise
authorized
23
or
required
by
law.
Participants
shall
limit
the
use
and
24
disclosure
of
protected
health
information
to
the
minimum
25
amount
required
to
accomplish
the
intended
purpose
of
the
use
26
or
request,
in
compliance
with
the
Health
Insurance
Portability
27
and
Accountability
Act
and
other
applicable
federal
law.
Use
28
or
distribution
of
the
information
for
a
marketing
purpose,
as
29
defined
by
the
Health
Insurance
Portability
and
Accountability
30
Act,
is
strictly
prohibited.
31
b.
The
department,
the
office,
and
all
persons
using
the
32
health
information
network
shall
be
individually
responsible
33
for
following
breach
notification
policies
as
provided
by
the
34
Health
Insurance
Portability
and
Accountability
Act.
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c.
A
participant
shall
not
be
compelled
by
subpoena,
court
1
order,
or
other
process
of
law
to
access
health
information
2
through
the
health
information
network
in
order
to
gather
3
records
or
information
not
created
by
the
participant.
4
5.
a.
If
a
patient
has
declined
participation
in
the
health
5
information
network,
the
patient’s
health
information
may
be
6
released
to
a
provider
through
the
health
information
network
7
if
all
of
the
following
circumstances
exist:
8
(1)
The
patient
is
unable
to
provide
consent
due
to
9
incapacitation.
10
(2)
The
requesting
provider
believes,
in
good
faith,
that
11
the
information
is
necessary
to
prevent
imminent
serious
injury
12
to
the
patient.
Imminent
serious
injury
includes
but
it
not
13
limited
to
death,
injury
or
disease
that
creates
a
substantial
14
risk
of
death,
or
injury
or
disease
that
causes
protracted
loss
15
or
impairment
of
any
organ
or
body
system.
16
(3)
Such
information
cannot
otherwise
be
readily
obtained.
17
b.
The
department
shall
provide
by
rule
for
the
reporting
of
18
emergency
access
and
use
by
a
provider.
19
6.
All
participants
exchanging
health
information
and
20
data
through
the
health
information
network
shall
grant
to
21
participants
of
the
health
information
network
a
nonexclusive
22
license
to
retrieve
and
use
that
information
or
data
in
23
accordance
with
applicable
state
and
federal
laws,
and
the
24
policies,
procedures,
and
rules
established
by
the
board.
25
7.
The
department
shall
establish
by
rule
the
procedures
for
26
a
patient
who
is
the
subject
of
health
information
to
do
all
of
27
the
following:
28
a.
Receive
notice
of
a
violation
of
the
confidentiality
29
provisions
required
under
this
chapter.
30
b.
Upon
request
to
the
department,
view
an
audit
report
31
created
under
this
chapter
for
the
purpose
of
monitoring
access
32
to
the
patient’s
records.
33
8.
a.
A
provider
who
relies
reasonably
and
in
good
faith
34
upon
any
health
information
provided
through
the
health
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information
network
in
treatment
of
a
patient
shall
be
immune
1
from
criminal
or
civil
liability
arising
from
any
damages
2
caused
by
such
reasonable,
good
faith
reliance.
Such
immunity
3
shall
not
apply
to
acts
or
omissions
constituting
negligence,
4
recklessness,
or
intentional
misconduct.
5
b.
A
participant
that
has
disclosed
health
information
6
through
the
health
information
network
in
compliance
with
7
applicable
law
and
the
standards,
requirements,
policies,
8
procedures,
and
agreements
of
the
health
information
network
9
shall
not
be
subject
to
criminal
or
civil
liability
for
the
use
10
or
disclosure
of
the
health
information
by
another
participant.
11
9.
a.
Notwithstanding
chapter
22,
the
following
records
12
shall
be
kept
confidential,
unless
otherwise
ordered
by
a
court
13
or
consented
to
by
the
patient
or
by
a
person
duly
authorized
14
to
release
such
information:
15
(1)
The
protected
health
information
contained
in,
stored
16
in,
submitted
to,
transferred
or
exchanged
by,
or
released
from
17
the
health
information
network.
18
(2)
Any
protected
health
information
in
the
possession
of
19
Iowa
e-health
or
the
department
due
to
its
administration
of
20
the
health
information
network.
21
b.
Unless
otherwise
provided
in
this
chapter,
when
using
22
the
health
information
network
for
the
purpose
of
patient
23
treatment,
a
provider
is
exempt
from
any
other
state
law
that
24
is
more
restrictive
than
the
Health
Insurance
Portability
and
25
Accountability
Act
that
would
otherwise
prevent
or
hinder
the
26
exchange
of
patient
information
by
the
patient’s
providers.
27
Sec.
119.
NEW
SECTION
.
135D.9
Iowa
e-health
——
health
28
information
network
services.
29
Iowa
e-health
shall
facilitate
services
through
the
health
30
information
network
or
through
other
marketplace
mechanisms
31
to
improve
the
quality,
safety,
and
efficiency
of
health
care
32
available
to
consumers.
These
services
shall
include
but
are
33
not
limited
to
all
of
the
following:
34
1.
Patient
summary
records
such
as
continuity
of
care
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documents.
1
2.
A
provider
directory
and
provider
messaging.
2
3.
Clinical
orders
and
results.
3
4.
Public
health
reporting
such
as
electronic
reporting
to
4
the
statewide
immunization
registry
and
reportable
diseases.
5
5.
Medication
history.
6
Sec.
120.
NEW
SECTION
.
135D.10
Governance
review
and
7
transition.
8
1.
a.
The
Iowa
e-health
governance
structure
shall
continue
9
during
the
first
two
years
of
the
term
of
the
state
health
10
information
exchange
cooperative
agreement
with
the
office
of
11
the
national
coordinator
for
health
information
technology
12
to
address
the
development
of
policies
and
procedures;
13
dissemination
of
interoperability
standards;
the
initiation,
14
testing,
and
operation
of
the
health
information
network
15
infrastructure;
and
the
evolution
of
health
information
network
16
services
to
improve
patient
care
for
the
population.
17
b.
Following
the
end
of
the
first
two
years
of
the
term
18
of
the
cooperative
agreement,
the
board
and
the
department
19
shall
review
the
Iowa
e-health
governance
structure,
operations
20
of
the
health
information
network,
and
the
business
and
21
sustainability
plan
to
determine
if
the
existing
Iowa
e-health
22
governance
structure
should
continue
or
should
be
replaced
by
23
any
of
the
following:
24
(1)
A
public
authority
or
similar
body
with
broad
25
stakeholder
representation
on
its
governing
board.
26
(2)
A
not-for-profit
entity
with
broad
stakeholder
27
representation
on
its
governing
board.
28
2.
If
the
board
and
department
determine
that
the
governance
29
structure
should
be
replaced,
Iowa
e-health
shall
develop
30
a
transition
plan
to
transfer
the
responsibilities
for
the
31
domains
specified
in
section
135D.3.
32
Sec.
121.
Section
136.3,
subsection
14,
Code
2011,
is
33
amended
to
read
as
follows:
34
14.
Perform
those
duties
authorized
pursuant
to
sections
35
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135.156
,
135.159
,
and
135.161
,
and
other
provisions
of
law.
1
Sec.
122.
Section
249J.14,
subsection
2,
paragraphs
a
and
b,
2
Code
2011,
are
amended
to
read
as
follows:
3
a.
Design
and
implement
a
program
for
distribution
4
and
monitoring
of
provider
incentive
payments,
including
5
development
of
a
definition
of
“meaningful
use”
for
purposes
6
of
promoting
the
use
of
electronic
medical
recordkeeping
by
7
providers.
The
department
shall
develop
this
program
in
8
collaboration
with
the
department
of
public
health
and
the
9
electronic
health
information
advisory
council
and
executive
10
committee
board
of
directors
and
the
advisory
council
to
the
11
board
of
Iowa
e-health
created
pursuant
to
section
135.156
12
135D.4
.
13
b.
Develop
the
medical
assistance
health
information
14
technology
plan
as
required
by
the
centers
for
Medicare
and
15
Medicaid
services
of
the
United
States
department
of
health
and
16
human
services.
The
plan
shall
provide
detailed
implementation
17
plans
for
the
medical
assistance
program
for
promotion
of
the
18
adoption
and
meaningful
use
of
health
information
technology
by
19
medical
assistance
providers
and
the
Iowa
Medicaid
enterprise.
20
The
plan
shall
include
the
integration
of
health
information
21
technology
and
the
health
information
exchange
network
with
the
22
medical
assistance
management
information
system.
The
plan
23
shall
be
developed
in
collaboration
with
the
department
of
24
public
health
and
the
electronic
health
information
advisory
25
council
and
executive
committee
board
of
directors
and
the
26
advisory
council
to
the
board
of
Iowa
e-health
created
pursuant
27
to
section
135.156
135D.4
.
28
Sec.
123.
INITIAL
APPOINTMENTS
——
BOARD.
29
1.
The
initial
appointments
of
board
member
positions
30
described
in
section
135D.4,
as
enacted
by
this
division
of
31
this
Act,
shall
have
staggered
terms
as
follows:
32
a.
The
board
members
designated
by
the
Iowa
collaborative
33
safety
net
provider
network
and
the
Iowa
medical
society,
shall
34
have
initial
terms
of
two
years,
after
which
the
members
shall
35
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serve
four-year
terms.
1
b.
The
board
members
designated
by
the
two
largest
health
2
care
systems
in
the
state,
the
university
of
Iowa
hospitals
3
and
clinics,
and
the
Iowa
hospital
association,
shall
have
4
initial
terms
of
four
years,
after
which
the
members
shall
5
serve
four-year
terms.
6
c.
The
board
members
designated
by
the
federation
of
Iowa
7
insurers
shall
serve
initial
terms
of
six
years,
after
which
8
the
members
shall
serve
four-year
terms.
9
2.
With
the
exception
of
board
members
who
are
10
representatives
of
state
agencies
and
not
subject
to
term
11
limits
as
provided
in
section
135D.4,
board
members
appointed
12
under
this
section
may
serve
an
additional
four-year
term,
13
with
the
exception
of
those
board
members
initially
serving
a
14
two-year
term,
who
may
serve
two
consecutive
four-year
terms
15
following
the
initial
two-year
term.
16
Sec.
124.
REPEAL.
Sections
135.154,
135.155,
and
135.156,
17
Code
2011,
are
repealed.
18
Sec.
125.
TRANSITION
PROVISIONS.
Notwithstanding
any
19
other
provision
of
this
division
of
this
Act,
the
department
20
of
public
health,
and
the
executive
committee
and
the
advisory
21
council
created
pursuant
to
section
135.156,
shall
continue
to
22
exercise
the
powers
and
duties
specified
under
that
section
23
until
such
time
as
all
board
members
have
been
appointed
as
24
provided
in
section
135D.4,
as
enacted
by
this
division
of
this
25
Act.
26
Sec.
126.
EFFECTIVE
DATE.
The
sections
of
this
division
of
27
this
Act
repealing
sections
135.154,
135.155,
and
135.156,
and
28
amending
sections
136.3
and
249J.14,
take
effect
on
the
date
29
all
board
members
are
appointed
as
provided
in
section
135D.4,
30
as
enacted
by
this
division
of
this
Act.
The
department
of
31
public
health
shall
notify
the
Code
editor
of
such
date.
32
Sec.
127.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
33
APPLICABILITY.
Except
as
otherwise
provided
by
this
division
34
of
this
Act,
this
division
of
this
Act,
being
deemed
of
35
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_____
immediate
importance,
takes
effect
upon
enactment
and
if
1
approved
by
the
governor
on
or
after
July
1,
2011,
applies
2
retroactively
to
June
30,
2011.
3
DIVISION
XV
4
DEPARTMENT
ON
AGING
——
FY
2012-2013
5
Sec.
128.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
6
the
general
fund
of
the
state
to
the
department
on
aging
for
7
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
8
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
9
to
be
used
for
the
purposes
designated:
10
For
aging
programs
for
the
department
on
aging
and
area
11
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
12
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
13
aging
and
disabilities
resource
center,
and
other
services
14
which
may
include
but
are
not
limited
to
adult
day
services,
15
respite
care,
chore
services,
information
and
assistance,
16
and
material
aid,
for
information
and
options
counseling
for
17
persons
with
disabilities
who
are
18
years
of
age
or
older,
18
and
for
salaries,
support,
administration,
maintenance,
and
19
miscellaneous
purposes,
and
for
not
more
than
the
following
20
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,151,289
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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
for
delivery
of
long-term
care
34
services
to
seniors
with
low
or
moderate
incomes.
35
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3.
Of
the
funds
appropriated
in
this
section,
$89,973
shall
1
be
transferred
to
the
department
of
economic
development
for
2
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
3
retired
and
senior
volunteer
program.
4
4.
a.
The
department
on
aging
shall
establish
and
enforce
5
procedures
relating
to
expenditure
of
state
and
federal
funds
6
by
area
agencies
on
aging
that
require
compliance
with
both
7
state
and
federal
laws,
rules,
and
regulations,
including
but
8
not
limited
to
all
of
the
following:
9
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
10
or
services
received
or
performed
prior
to
the
end
of
the
11
fiscal
period
designated
for
use
of
the
funds.
12
(2)
Prohibiting
prepayment
for
goods
or
services
not
13
received
or
performed
prior
to
the
end
of
the
fiscal
period
14
designated
for
use
of
the
funds.
15
(3)
Prohibiting
the
prepayment
for
goods
or
services
16
not
defined
specifically
by
good
or
service,
time
period,
or
17
recipient.
18
(4)
Prohibiting
the
establishment
of
accounts
from
which
19
future
goods
or
services
which
are
not
defined
specifically
by
20
good
or
service,
time
period,
or
recipient,
may
be
purchased.
21
b.
The
procedures
shall
provide
that
if
any
funds
are
22
expended
in
a
manner
that
is
not
in
compliance
with
the
23
procedures
and
applicable
federal
and
state
laws,
rules,
and
24
regulations,
and
are
subsequently
subject
to
repayment,
the
25
area
agency
on
aging
expending
such
funds
in
contravention
of
26
such
procedures,
laws,
rules
and
regulations,
not
the
state,
27
shall
be
liable
for
such
repayment.
28
DIVISION
XVI
29
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2012-2013
30
Sec.
129.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
31
appropriated
from
the
general
fund
of
the
state
to
the
32
department
of
public
health
for
the
fiscal
year
beginning
July
33
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
or
34
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
35
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designated:
1
1.
ADDICTIVE
DISORDERS
2
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
3
other
drugs,
and
treating
individuals
affected
by
addictive
4
behaviors,
including
gambling,
and
for
not
more
than
the
5
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,301,595
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
8
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
9
$2,176,916
shall
be
used
for
the
tobacco
use
prevention
and
10
control
initiative,
including
efforts
at
the
state
and
local
11
levels,
as
provided
in
chapter
142A.
12
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$226,915
13
shall
be
transferred
to
the
alcoholic
beverages
division
of
14
the
department
of
commerce
for
enforcement
of
tobacco
laws,
15
regulations,
and
ordinances
in
accordance
with
2011
Iowa
Acts,
16
House
File
467,
as
enacted.
17
b.
Of
the
funds
appropriated
in
this
subsection,
18
$10,124,680
shall
be
used
for
problem
gambling
and
substance
19
abuse
prevention,
treatment,
and
recovery
services,
including
a
20
24-hour
helpline,
public
information
resources,
professional
21
training,
and
program
evaluation.
22
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$8,566,254
23
shall
be
used
for
substance
abuse
prevention
and
treatment.
24
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
25
$449,650
shall
be
used
for
the
public
purpose
of
a
grant
26
program
to
provide
substance
abuse
prevention
programming
for
27
children.
28
(i)
Of
the
funds
allocated
in
this
subparagraph
division
29
(a),
$213,770
shall
be
used
for
grant
funding
for
organizations
30
that
provide
programming
for
children
by
utilizing
mentors.
31
Programs
approved
for
such
grants
shall
be
certified
or
will
32
be
certified
within
six
months
of
receiving
the
grant
award
33
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
34
standards
for
effective
practice
for
mentoring
programs.
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(ii)
Of
the
funds
allocated
in
this
subparagraph
division
1
(a),
$213,420
shall
be
used
for
grant
funding
for
organizations
2
that
provide
programming
that
includes
youth
development
and
3
leadership.
The
programs
shall
also
be
recognized
as
being
4
programs
that
are
scientifically
based
with
evidence
of
their
5
effectiveness
in
reducing
substance
abuse
in
children.
6
(iii)
The
department
of
public
health
shall
utilize
a
7
request
for
proposals
process
to
implement
the
grant
program.
8
(iv)
All
grant
recipients
shall
participate
in
a
program
9
evaluation
as
a
requirement
for
receiving
grant
funds.
10
(v)
Of
the
funds
allocated
in
this
subparagraph
division
11
(a),
up
to
$22,461
may
be
used
to
administer
substance
abuse
12
prevention
grants
and
for
program
evaluations.
13
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
14
$136,531
shall
be
used
for
culturally
competent
substance
abuse
15
treatment
pilot
projects.
16
(i)
The
department
shall
utilize
the
amount
allocated
17
in
this
subparagraph
division
(b)
for
at
least
three
pilot
18
projects
to
provide
culturally
competent
substance
abuse
19
treatment
in
various
areas
of
the
state.
Each
pilot
project
20
shall
target
a
particular
ethnic
minority
population.
The
21
populations
targeted
shall
include
but
are
not
limited
to
22
African
American,
Asian,
and
Latino.
23
(ii)
The
pilot
project
requirements
shall
provide
for
24
documentation
or
other
means
to
ensure
access
to
the
cultural
25
competence
approach
used
by
a
pilot
project
so
that
such
26
approach
can
be
replicated
and
improved
upon
in
successor
27
programs.
28
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
29
to
$1,558,426
may
be
used
for
problem
gambling
prevention,
30
treatment,
and
recovery
services.
31
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
32
$1,289,500
shall
be
used
for
problem
gambling
prevention
and
33
treatment.
34
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
35
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_____
$218,926
may
be
used
for
a
24-hour
helpline,
public
information
1
resources,
professional
training,
and
program
evaluation.
2
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
3
to
$50,000
may
be
used
for
the
licensing
of
problem
gambling
4
treatment
programs.
5
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
6
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
7
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
8
given
priority
in
treatment
services.
9
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
10
to
standardize
the
availability,
delivery,
cost
of
delivery,
11
and
accountability
of
problem
gambling
and
substance
abuse
12
treatment
services
statewide,
the
department
shall
continue
13
implementation
of
a
process
to
create
a
system
for
delivery
14
of
treatment
services
in
accordance
with
the
requirements
15
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
16
subsection
4.
To
ensure
the
system
provides
a
continuum
of
17
treatment
services
that
best
meets
the
needs
of
Iowans,
the
18
problem
gambling
and
substance
abuse
treatment
services
in
any
19
area
may
be
provided
either
by
a
single
agency
or
by
separate
20
agencies
submitting
a
joint
proposal.
21
(1)
The
system
for
delivery
of
substance
abuse
and
22
problem
gambling
treatment
shall
include
problem
gambling
23
prevention
by
July
1,
2012.
The
department
shall
submit
a
24
proposed
legislative
bill
in
accordance
with
section
2.16,
for
25
consideration
during
the
2012
legislative
session,
addressing
26
any
statutory
revisions
necessary
for
full
implementation
of
27
the
system.
28
(2)
The
system
for
delivery
of
substance
abuse
and
problem
29
gambling
treatment
shall
include
substance
abuse
prevention
by
30
July
1,
2014.
31
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
32
may
use
up
to
$50,000
for
administrative
costs
to
continue
33
developing
and
implementing
the
process
in
accordance
with
this
34
paragraph
“c”.
35
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_____
d.
The
requirement
of
section
123.53,
subsection
5,
is
met
1
by
the
appropriations
and
allocations
made
in
this
Act
for
2
purposes
of
substance
abuse
treatment
and
addictive
disorders
3
for
the
fiscal
year
beginning
July
1,
2011.
4
e.
The
department
of
public
health
shall
work
with
all
other
5
departments
that
fund
substance
abuse
prevention
and
treatment
6
services
and
all
such
departments
shall,
to
the
extent
7
necessary,
collectively
meet
the
state
maintenance
of
effort
8
requirements
for
expenditures
for
substance
abuse
services
9
as
required
under
the
federal
substance
abuse
prevention
and
10
treatment
block
grant.
11
f.
The
department
shall
amend
or
otherwise
revise
12
departmental
policies
and
contract
provisions
in
order
to
13
eliminate
free
t-shirt
distribution,
banner
production,
and
14
other
unnecessary
promotional
expenditures.
15
2.
HEALTHY
CHILDREN
AND
FAMILIES
16
For
promoting
the
optimum
health
status
for
children,
17
adolescents
from
birth
through
21
years
of
age,
and
families,
18
and
for
not
more
than
the
following
full-time
equivalent
19
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,297,135
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
22
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
23
than
$369,659
shall
be
used
for
the
healthy
opportunities
to
24
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
25
established
pursuant
to
section
135.106.
The
funding
shall
26
be
distributed
to
renew
the
grants
that
were
provided
to
the
27
grantees
that
operated
the
program
during
the
fiscal
year
28
ending
June
30,
2012.
29
b.
Of
the
funds
appropriated
in
this
subsection,
$164,943
30
shall
be
used
to
continue
to
address
the
healthy
mental
31
development
of
children
from
birth
through
five
years
of
age
32
through
local
evidence-based
strategies
that
engage
both
the
33
public
and
private
sectors
in
promoting
healthy
development,
34
prevention,
and
treatment
for
children.
A
portion
of
the
35
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_____
funds
allocated
in
this
lettered
paragraph
may
be
used
for
a
1
full-time
equivalent
position
to
coordinate
the
activities
2
under
this
paragraph.
3
c.
Of
the
funds
appropriated
in
this
subsection,
$15,799
4
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
5
funds
to
continue
the
donated
dental
services
program
patterned
6
after
the
projects
developed
by
the
lifeline
network
to
provide
7
dental
services
to
indigent
elderly
and
disabled
individuals.
8
d.
Of
the
funds
appropriated
in
this
subsection,
$56,339
9
shall
be
used
for
childhood
obesity
prevention.
10
e.
Of
the
funds
appropriated
in
this
subsection,
$81,880
11
shall
be
used
to
provide
audiological
services
and
hearing
12
aids
for
children.
The
department
may
enter
into
a
contract
13
to
administer
this
paragraph.
14
3.
CHRONIC
CONDITIONS
15
For
serving
individuals
identified
as
having
chronic
16
conditions
or
special
health
care
needs,
and
for
not
more
than
17
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,699,578
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
20
a.
Of
the
funds
appropriated
in
this
subsection,
$80,291
21
shall
be
used
for
grants
to
individual
patients
who
have
22
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
23
special
foods.
24
b.
Of
the
funds
appropriated
in
this
subsection,
$241,800
25
is
allocated
for
continuation
of
the
contracts
for
resource
26
facilitator
services
in
accordance
with
section
135.22B,
27
subsection
9,
and
for
brain
injury
training
services
and
28
recruiting
of
service
providers
to
increase
the
capacity
within
29
this
state
to
address
the
needs
of
individuals
with
brain
30
injuries
and
such
individuals’
families.
31
c.
Of
the
funds
appropriated
in
this
subsection,
$249,437
32
shall
be
used
as
additional
funding
to
leverage
federal
funding
33
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
34
assistance
program
supplemental
drug
treatment
grants.
35
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_____
d.
Of
the
funds
appropriated
in
this
subsection,
$15,627
1
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
an
2
existing
national-affiliated
organization
to
provide
education,
3
client-centered
programs,
and
client
and
family
support
for
4
people
living
with
epilepsy
and
their
families.
5
e.
Of
the
funds
appropriated
in
this
subsection,
$394,152
6
shall
be
used
for
child
health
specialty
clinics.
7
f.
Of
the
funds
appropriated
in
this
subsection,
$273,533
8
shall
be
used
for
the
comprehensive
cancer
control
program
to
9
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
10
detection,
effective
treatment,
and
ensuring
quality
of
life.
11
Of
the
funds
allocated
in
this
lettered
paragraph,
$100,000
12
shall
be
used
to
support
a
melanoma
research
symposium,
a
13
melanoma
biorepository
and
registry,
basic
and
translational
14
melanoma
research,
and
clinical
trials.
15
g.
Of
the
funds
appropriated
in
this
subsection,
$63,225
16
shall
be
used
for
cervical
and
colon
cancer
screening.
17
h.
Of
the
funds
appropriated
in
this
subsection,
$264,417
18
shall
be
used
for
the
center
for
congenital
and
inherited
19
disorders.
A
portion
of
the
funds
allocated
in
this
paragraph
20
may
be
used
for
one
full-time
equivalent
position
for
21
administration
of
the
center.
22
i.
Of
the
funds
appropriated
in
this
subsection,
$64,969
23
shall
be
used
for
the
prescription
drug
donation
repository
24
program
created
in
chapter
135M.
25
4.
COMMUNITY
CAPACITY
26
For
strengthening
the
health
care
delivery
system
at
the
27
local
level,
and
for
not
more
than
the
following
full-time
28
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,413,350
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
31
a.
Of
the
funds
appropriated
in
this
subsection,
$50,000
32
is
allocated
for
a
child
vision
screening
program
implemented
33
through
the
university
of
Iowa
hospitals
and
clinics
in
34
collaboration
with
early
childhood
Iowa
areas.
35
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216
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_____
b.
Of
the
funds
appropriated
in
this
subsection,
$55,654
is
1
allocated
for
continuation
of
an
initiative
implemented
at
the
2
university
of
Iowa
and
$50,247
is
allocated
for
continuation
of
3
an
initiative
at
the
state
mental
health
institute
at
Cherokee
4
to
expand
and
improve
the
workforce
engaged
in
mental
health
5
treatment
and
services.
The
initiatives
shall
receive
input
6
from
the
university
of
Iowa,
the
department
of
human
services,
7
the
department
of
public
health,
and
the
mental
health,
mental
8
retardation,
developmental
disabilities,
and
brain
injury
9
commission
to
address
the
focus
of
the
initiatives.
10
c.
Of
the
funds
appropriated
in
this
subsection,
$585,746
11
shall
be
used
for
essential
public
health
services
that
promote
12
healthy
aging
throughout
the
lifespan,
contracted
through
a
13
formula
for
local
boards
of
health,
to
enhance
health
promotion
14
and
disease
prevention
services.
15
d.
Of
the
funds
appropriated
in
this
section,
$60,909
shall
16
be
deposited
in
the
governmental
public
health
system
fund
17
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
18
fund.
19
e.
Of
the
funds
appropriated
in
this
subsection,
$53,140
20
shall
be
used
for
the
mental
health
professional
shortage
area
21
program
implemented
pursuant
to
section
135.80.
22
f.
Of
the
funds
appropriated
in
this
subsection,
23
$19,132
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.
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
35
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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
(2)
For
distribution
to
the
Iowa
family
planning
network
6
agencies
for
necessary
infrastructure,
statewide
coordination,
7
provider
recruitment,
service
delivery,
and
provision
of
8
assistance
to
patients
in
determining
an
appropriate
medical
9
home:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
37,259
11
(3)
For
distribution
to
the
local
boards
of
health
that
12
provide
direct
services
for
pilot
programs
in
three
counties
to
13
assist
patients
in
determining
an
appropriate
medical
home:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
37,259
15
(4)
For
distribution
to
maternal
and
child
health
centers
16
for
pilot
programs
in
three
counties
to
assist
patients
in
17
determining
an
appropriate
medical
home:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
37,259
19
(5)
For
distribution
to
free
clinics
for
necessary
20
infrastructure,
statewide
coordination,
provider
recruitment,
21
service
delivery,
and
provision
of
assistance
to
patients
in
22
determining
an
appropriate
medical
home:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,025
24
(6)
For
distribution
to
rural
health
clinics
for
necessary
25
infrastructure,
statewide
coordination,
provider
recruitment,
26
service
delivery,
and
provision
of
assistance
to
patients
in
27
determining
an
appropriate
medical
home:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,215
29
(7)
For
continuation
of
the
safety
net
provider
patient
30
access
to
specialty
health
care
initiative
as
described
in
2007
31
Iowa
Acts,
chapter
218,
section
109:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
130,000
33
(8)
For
continuation
of
the
pharmaceutical
infrastructure
34
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
35
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_____
chapter
218,
section
108:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
135,000
2
The
Iowa
collaborative
safety
net
provider
network
may
3
continue
to
distribute
funds
allocated
pursuant
to
this
4
lettered
paragraph
through
existing
contracts
or
renewal
of
5
existing
contracts.
6
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
7
$74,500
shall
be
used
for
continued
implementation
of
8
the
recommendations
of
the
direct
care
worker
task
force
9
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
based
upon
10
the
report
submitted
to
the
governor
and
the
general
assembly
11
in
December
2006.
The
department
may
use
a
portion
of
the
12
funds
allocated
in
this
lettered
paragraph
for
an
additional
13
position
to
assist
in
the
continued
implementation.
14
(2)
It
is
the
intent
of
the
general
assembly
that
a
15
board
of
direct
care
workers
shall
be
established
within
the
16
department
of
public
health
by
July
1,
2014,
contingent
upon
17
the
availability
of
funds
to
establish
and
maintain
the
board.
18
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
19
$65,050
shall
be
used
for
allocation
to
an
independent
20
statewide
direct
care
worker
association
for
education,
21
outreach,
leadership
development,
mentoring,
and
other
22
initiatives
intended
to
enhance
the
recruitment
and
retention
23
of
direct
care
workers
in
health
care
and
long-term
care
24
settings.
25
(2)
Of
the
funds
appropriated
in
this
subsection,
$29,000
26
shall
be
used
to
provide
scholarships
or
other
forms
of
27
subsidization
for
direct
care
worker
educational
conferences,
28
training,
or
outreach
activities.
29
j.
The
department
may
utilize
one
of
the
full-time
30
equivalent
positions
authorized
in
this
subsection
for
31
administration
of
the
activities
related
to
the
Iowa
32
collaborative
safety
net
provider
network.
33
k.
Of
the
funds
appropriated
in
this
subsection,
the
34
department
may
use
up
to
$30,000
for
up
to
one
full-time
35
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_____
equivalent
position
to
administer
the
volunteer
health
care
1
provider
program
pursuant
to
section
135.24.
2
l.
Of
the
funds
appropriated
in
this
subsection,
$25,000
3
shall
be
used
for
a
matching
dental
education
loan
repayment
4
program
to
be
allocated
to
a
dental
nonprofit
health
service
5
corporation
to
develop
the
criteria
and
implement
the
loan
6
repayment
program.
7
m.
Of
the
funds
appropriated
in
this
subsection,
up
to
8
$67,107
shall
be
used
to
support
the
department’s
activities
9
relating
to
health
and
long-term
care
access
as
specified
10
pursuant
to
chapter
135,
division
XXIV.
11
n.
Of
the
funds
appropriated
in
this
subsection,
12
$181,994
shall
be
used
as
state
matching
funds
for
the
health
13
information
network
as
enacted
by
this
Act.
14
o.
Of
the
funds
appropriated
in
this
subsection,
$12,500
15
shall
be
used
for
continuation
of
a
pilot
program
established
16
through
a
grant
to
an
organization
that
has
an
existing
17
program
for
children
and
adults
and
that
is
solely
dedicated
18
to
preserving
sight
and
preventing
blindness
to
provide
vision
19
screening
to
elementary
school
children
in
one
urban
and
one
20
rural
school
district
in
the
state,
on
a
voluntary
basis,
over
21
a
multiyear
period.
The
grantee
organization
shall
develop
22
protocol
for
participating
schools
including
the
grade
level
23
of
the
children
to
be
screened,
the
training
and
certification
24
necessary
for
individuals
conducting
the
vision
screening,
25
vision
screening
equipment
requirements,
and
documentation
and
26
tracking
requirements.
Following
the
conclusion
of
the
pilot
27
program,
the
grantee
organization
shall
report
findings
and
28
recommendations
for
statewide
implementation
of
the
vision
29
screening
program
to
the
department
of
public
health.
30
5.
HEALTHY
AGING
31
To
provide
public
health
services
that
reduce
risks
and
32
invest
in
promoting
and
protecting
good
health
over
the
33
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
34
vulnerable
populations:
35
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S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,668,071
1
a.
Of
the
funds
appropriated
in
this
subsection,
$1,004,594
2
shall
be
used
for
local
public
health
nursing
services.
3
b.
Of
the
funds
appropriated
in
this
subsection,
$2,663,477
4
shall
be
used
for
home
care
aide
services.
5
6.
ENVIRONMENTAL
HAZARDS
6
For
reducing
the
public’s
exposure
to
hazards
in
the
7
environment,
primarily
chemical
hazards,
and
for
not
more
than
8
the
following
full-time
equivalent
positions:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
406,889
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
11
Of
the
funds
appropriated
in
this
subsection,
$272,189
shall
12
be
used
for
childhood
lead
poisoning
provisions.
13
7.
INFECTIOUS
DISEASES
14
For
reducing
the
incidence
and
prevalence
of
communicable
15
diseases,
and
for
not
more
than
the
following
full-time
16
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
672,924
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
19
8.
PUBLIC
PROTECTION
20
For
protecting
the
health
and
safety
of
the
public
through
21
establishing
standards
and
enforcing
regulations,
and
for
not
22
more
than
the
following
full-time
equivalent
positions:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,389,344
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
25
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
26
than
$212,073
shall
be
credited
to
the
emergency
medical
27
services
fund
created
in
section
135.25.
Moneys
in
the
28
emergency
medical
services
fund
are
appropriated
to
the
29
department
to
be
used
for
the
purposes
of
the
fund.
30
b.
Of
the
funds
appropriated
in
this
subsection,
$105,310
31
shall
be
used
for
sexual
violence
prevention
programming
32
through
a
statewide
organization
representing
programs
serving
33
victims
of
sexual
violence
through
the
department’s
sexual
34
violence
prevention
program.
The
amount
allocated
in
this
35
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216
S.F.
_____
lettered
paragraph
shall
not
be
used
to
supplant
funding
1
administered
for
other
sexual
violence
prevention
or
victims
2
assistance
programs.
3
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
4
than
$218,291
shall
be
used
for
the
state
poison
control
5
center.
6
d.
Of
the
funds
appropriated
in
this
subsection,
$25,000
7
shall
be
used
for
education,
testing,
training,
and
other
costs
8
to
conform
the
requirements
for
certification
of
emergency
9
medical
care
providers
with
national
standards.
10
9.
RESOURCE
MANAGEMENT
11
For
establishing
and
sustaining
the
overall
ability
of
the
12
department
to
deliver
services
to
the
public,
and
for
not
more
13
than
the
following
full-time
equivalent
positions:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
409,777
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
16
The
university
of
Iowa
hospitals
and
clinics
under
the
17
control
of
the
state
board
of
regents
shall
not
receive
18
indirect
costs
from
the
funds
appropriated
in
this
section.
19
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
20
department
shall
be
on
at
least
a
quarterly
basis.
21
DIVISION
XVII
22
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2012-2013
23
Sec.
130.
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
-146-
LSB
2820XC
(37)
84
pf/jp
146/
216
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
1
2.
IOWA
VETERANS
HOME
2
For
salaries,
support,
maintenance,
and
miscellaneous
3
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,476,076
5
a.
The
Iowa
veterans
home
billings
involving
the
department
6
of
human
services
shall
be
submitted
to
the
department
on
at
7
least
a
monthly
basis.
8
b.
If
there
is
a
change
in
the
employer
of
employees
9
providing
services
at
the
Iowa
veterans
home
under
a
collective
10
bargaining
agreement,
such
employees
and
the
agreement
shall
11
be
continued
by
the
successor
employer
as
though
there
had
not
12
been
a
change
in
employer.
13
c.
Within
available
resources
and
in
conformance
with
14
associated
state
and
federal
program
eligibility
requirements,
15
the
Iowa
veterans
home
may
implement
measures
to
provide
16
financial
assistance
to
or
on
behalf
of
veterans
or
their
17
spouses
participating
in
the
community
reentry
program.
18
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
19
VETERANS
20
For
provision
of
educational
assistance
pursuant
to
section
21
35.9:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,208
23
Sec.
131.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
24
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
25
standing
appropriation
in
the
following
designated
section
for
26
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
27
2013,
the
amounts
appropriated
from
the
general
fund
of
the
28
state
pursuant
to
that
section
for
the
following
designated
29
purposes
shall
not
exceed
the
following
amount:
30
For
the
county
commissions
of
veterans
affairs
fund
under
31
section
35A.16:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
33
DIVISION
XVIII
34
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2012-2013
35
-147-
LSB
2820XC
(37)
84
pf/jp
147/
216
S.F.
_____
Sec.
132.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
1
GRANT.
There
is
appropriated
from
the
fund
created
in
section
2
8.41
to
the
department
of
human
services
for
the
fiscal
year
3
beginning
July
1,
2012,
and
ending
June
30,
2013,
from
moneys
4
received
under
the
federal
temporary
assistance
for
needy
5
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
6
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
7
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
8
received
under
the
emergency
contingency
fund
for
temporary
9
assistance
for
needy
families
state
program
established
10
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
11
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
legislation,
12
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
13
be
used
for
the
purposes
designated:
14
1.
To
be
credited
to
the
family
investment
program
account
15
and
used
for
assistance
under
the
family
investment
program
16
under
chapter
239B:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,750,369
18
2.
To
be
credited
to
the
family
investment
program
account
19
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
20
program
and
implementing
family
investment
agreements
in
21
accordance
with
chapter
239B:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,205,764
23
3.
To
be
used
for
the
family
development
and
24
self-sufficiency
grant
program
in
accordance
with
section
25
216A.107:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
27
Notwithstanding
section
8.33,
moneys
appropriated
in
this
28
subsection
that
remain
unencumbered
or
unobligated
at
the
close
29
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
30
for
expenditure
for
the
purposes
designated
until
the
close
of
31
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
32
encumbered
or
obligated
on
or
before
September
30,
2013,
the
33
moneys
shall
revert.
34
4.
For
field
operations:
35
-148-
LSB
2820XC
(37)
84
pf/jp
148/
216
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
1
5.
For
general
administration:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
3
6.
For
state
child
care
assistance:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,191,344
5
The
funds
appropriated
in
this
subsection
shall
be
6
transferred
to
the
child
care
and
development
block
grant
7
appropriation
made
by
the
Eighty-fourth
General
Assembly,
2012
8
Session,
for
the
federal
fiscal
year
beginning
October
1,
9
2012,
and
ending
September
30,
2013.
Of
this
amount,
$100,000
10
shall
be
used
for
provision
of
educational
opportunities
to
11
registered
child
care
home
providers
in
order
to
improve
12
services
and
programs
offered
by
this
category
of
providers
13
and
to
increase
the
number
of
providers.
The
department
may
14
contract
with
institutions
of
higher
education
or
child
care
15
resource
and
referral
centers
to
provide
the
educational
16
opportunities.
Allowable
administrative
costs
under
the
17
contracts
shall
not
exceed
5
percent.
The
application
for
a
18
grant
shall
not
exceed
two
pages
in
length.
19
7.
For
mental
health
and
developmental
disabilities
20
community
services:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
22
8.
For
child
and
family
services:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
24
9.
For
child
abuse
prevention
grants:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
26
10.
For
pregnancy
prevention
grants
on
the
condition
that
27
family
planning
services
are
funded:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,034
29
Pregnancy
prevention
grants
shall
be
awarded
to
programs
30
in
existence
on
or
before
July
1,
2012,
if
the
programs
are
31
comprehensive
in
scope
and
have
demonstrated
positive
outcomes.
32
Grants
shall
be
awarded
to
pregnancy
prevention
programs
33
which
are
developed
after
July
1,
2012,
if
the
programs
are
34
comprehensive
in
scope
and
are
based
on
existing
models
that
35
-149-
LSB
2820XC
(37)
84
pf/jp
149/
216
S.F.
_____
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
1
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
2
section
14,
subsections
1
and
2,
including
the
requirement
that
3
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
4
the
awarding
of
grants
shall
be
given
to
programs
that
serve
5
areas
of
the
state
which
demonstrate
the
highest
percentage
of
6
unplanned
pregnancies
of
females
of
childbearing
age
within
the
7
geographic
area
to
be
served
by
the
grant.
8
11.
For
technology
needs
and
other
resources
necessary
9
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
10
management
requirements:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
12
12.
To
be
credited
to
the
state
child
care
assistance
13
appropriation
made
in
this
section
to
be
used
for
funding
of
14
community-based
early
childhood
programs
targeted
to
children
15
from
birth
through
five
years
of
age
developed
by
early
16
childhood
Iowa
areas
as
provided
in
section
256I.11:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,175,000
18
The
department
shall
transfer
TANF
block
grant
funding
19
appropriated
and
allocated
in
this
subsection
to
the
child
care
20
and
development
block
grant
appropriation
in
accordance
with
21
federal
law
as
necessary
to
comply
with
the
provisions
of
this
22
subsection.
23
13.
a.
Notwithstanding
any
provision
to
the
contrary,
24
including
but
not
limited
to
requirements
in
section
8.41
or
25
provisions
in
2011
or
2012
Iowa
Acts
regarding
the
receipt
26
and
appropriation
of
federal
block
grants,
federal
funds
27
from
the
emergency
contingency
fund
for
temporary
assistance
28
for
needy
families
state
program
established
pursuant
to
the
29
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
30
L.
No.
111-5
§
2101,
received
by
the
state
during
the
fiscal
31
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
not
32
otherwise
appropriated
in
this
section
and
remaining
available
33
as
of
July
1,
2012,
and
received
by
the
state
during
the
fiscal
34
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
35
-150-
LSB
2820XC
(37)
84
pf/jp
150/
216
S.F.
_____
appropriated
to
the
extent
as
may
be
necessary
to
be
used
in
1
the
following
priority
order:
the
family
investment
program
2
for
the
fiscal
year
and
for
state
child
care
assistance
program
3
payments
for
individuals
enrolled
in
the
family
investment
4
program
who
are
employed.
The
federal
funds
appropriated
in
5
this
paragraph
“a”
shall
be
expended
only
after
all
other
6
funds
appropriated
in
subsection
1
for
the
assistance
under
7
the
family
investment
program
under
chapter
239B
have
been
8
expended.
9
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
10
legislative
services
agency
and
department
of
management
of
11
the
amount
of
funds
appropriated
in
this
subsection
that
was
12
expended
in
the
prior
quarter.
13
14.
Of
the
amounts
appropriated
in
this
section,
14
$6,481,004
for
the
fiscal
year
beginning
July
1,
2012,
shall
be
15
transferred
to
the
appropriation
of
the
federal
social
services
16
block
grant
made
for
that
fiscal
year.
17
15.
For
continuation
of
the
program
allowing
the
department
18
to
maintain
categorical
eligibility
for
the
food
assistance
19
program
as
required
under
the
section
of
this
division
relating
20
to
the
family
investment
account:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
73,036
22
16.
The
department
may
transfer
funds
allocated
in
this
23
section
to
the
appropriations
made
in
this
Act
for
general
24
administration
and
field
operations
for
resources
necessary
to
25
implement
and
operate
the
services
referred
to
in
this
section
26
and
those
funded
in
the
appropriation
made
in
this
division
of
27
this
Act
for
the
family
investment
program
from
the
general
28
fund
of
the
state.
29
Sec.
133.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
30
1.
Moneys
credited
to
the
family
investment
program
(FIP)
31
account
for
the
fiscal
year
beginning
July
1,
2012,
and
32
ending
June
30,
2013,
shall
be
used
to
provide
assistance
in
33
accordance
with
chapter
239B.
34
2.
The
department
may
use
a
portion
of
the
moneys
credited
35
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_____
to
the
FIP
account
under
this
section
as
necessary
for
1
salaries,
support,
maintenance,
and
miscellaneous
purposes.
2
3.
The
department
may
transfer
funds
allocated
in
3
this
section
to
the
appropriations
in
this
Act
for
general
4
administration
and
field
operations
for
resources
necessary
to
5
implement
and
operate
the
services
referred
to
in
this
section
6
and
those
funded
in
the
appropriation
made
in
this
division
of
7
this
Act
for
the
family
investment
program
from
the
general
8
fund
of
the
state.
9
4.
Moneys
appropriated
in
this
division
of
this
Act
and
10
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
11
1,
2012,
and
ending
June
30,
2013,
are
allocated
as
follows:
12
a.
To
be
retained
by
the
department
of
human
services
to
13
be
used
for
coordinating
with
the
department
of
human
rights
14
to
more
effectively
serve
participants
in
the
FIP
program
and
15
other
shared
clients
and
to
meet
federal
reporting
requirements
16
under
the
federal
temporary
assistance
for
needy
families
block
17
grant:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
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
(1)
Of
the
funds
allocated
for
the
family
development
and
25
self-sufficiency
grant
program
in
this
lettered
paragraph,
26
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
27
administration
of
the
grant
program.
28
(2)
The
department
of
human
rights
may
continue
to
implement
29
the
family
development
and
self-sufficiency
grant
program
30
statewide
during
fiscal
year
2012-2013.
31
c.
For
the
diversion
subaccount
of
the
FIP
account:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
33
A
portion
of
the
moneys
allocated
for
the
subaccount
may
34
be
used
for
field
operations
salaries,
data
management
system
35
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development,
and
implementation
costs
and
support
deemed
1
necessary
by
the
director
of
human
services
in
order
to
2
administer
the
FIP
diversion
program.
3
d.
For
the
food
stamp
employment
and
training
program:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
5
(1)
The
department
shall
amend
the
food
stamp
employment
and
6
training
state
plan
in
order
to
maximize
to
the
fullest
extent
7
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
8
for
the
claiming
of
allowable
federal
matching
funds
from
the
9
United
States
department
of
agriculture
pursuant
to
the
federal
10
food
stamp
employment
and
training
program
for
providing
11
education,
employment,
and
training
services
for
eligible
food
12
assistance
program
participants,
including
but
not
limited
to
13
related
dependent
care
and
transportation
expenses.
14
(2)
The
department
shall
continue
the
categorical
federal
15
food
assistance
program
eligibility
at
160
percent
of
the
16
federal
poverty
level
and
continue
to
eliminate
the
asset
test
17
from
eligibility
requirements,
consistent
with
federal
food
18
assistance
program
requirements.
The
department
shall
include
19
as
many
food
assistance
households
as
is
allowed
by
federal
20
law.
The
eligibility
provisions
shall
conform
to
all
federal
21
requirements
including
requirements
addressing
individuals
who
22
are
incarcerated
or
otherwise
ineligible.
23
e.
For
the
JOBS
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,117,953
25
5.
Of
the
child
support
collections
assigned
under
FIP,
26
an
amount
equal
to
the
federal
share
of
support
collections
27
shall
be
credited
to
the
child
support
recovery
appropriation
28
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
29
assigned
child
support
collections
received
by
the
child
30
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
31
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
32
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
33
payments
account.
If
as
a
consequence
of
the
appropriations
34
and
allocations
made
in
this
section
the
resulting
amounts
35
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are
insufficient
to
sustain
cash
assistance
payments
and
meet
1
federal
maintenance
of
effort
requirements,
the
department
2
shall
seek
supplemental
funding.
If
child
support
collections
3
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
4
determined
not
to
be
required
for
maintenance
of
effort,
the
5
state
share
of
either
amount
may
be
transferred
to
or
retained
6
in
the
child
support
payment
account.
7
6.
The
department
may
adopt
emergency
rules
for
the
family
8
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
9
if
necessary
to
comply
with
federal
requirements.
10
Sec.
134.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
11
is
appropriated
from
the
general
fund
of
the
state
to
the
12
department
of
human
services
for
the
fiscal
year
beginning
July
13
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
14
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
15
designated:
16
To
be
credited
to
the
family
investment
program
(FIP)
17
account
and
used
for
family
investment
program
assistance
under
18
chapter
239B:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,085,514
20
1.
Of
the
funds
appropriated
in
this
section,
$3,912,189
is
21
allocated
for
the
JOBS
program.
22
2.
Of
the
funds
appropriated
in
this
section,
$1,231,927
is
23
allocated
for
the
family
development
and
self-sufficiency
grant
24
program.
25
3.
Notwithstanding
section
8.39,
for
the
fiscal
year
26
beginning
July
1,
2012,
if
necessary
to
meet
federal
27
maintenance
of
effort
requirements
or
to
transfer
federal
28
temporary
assistance
for
needy
families
block
grant
funding
29
to
be
used
for
purposes
of
the
federal
social
services
block
30
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
31
receiving
federal
funding
or
to
implement,
in
accordance
with
32
this
division
of
this
Act,
activities
currently
funded
with
33
juvenile
court
services,
county,
or
community
moneys
and
state
34
moneys
used
in
combination
with
such
moneys,
the
department
35
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_____
of
human
services
may
transfer
funds
within
or
between
any
1
of
the
appropriations
made
in
this
division
of
this
Act
and
2
appropriations
in
law
for
the
federal
social
services
block
3
grant
to
the
department
for
the
following
purposes,
provided
4
that
the
combined
amount
of
state
and
federal
temporary
5
assistance
for
needy
families
block
grant
funding
for
each
6
appropriation
remains
the
same
before
and
after
the
transfer:
7
a.
For
the
family
investment
program.
8
b.
For
child
care
assistance.
9
c.
For
child
and
family
services.
10
d.
For
field
operations.
11
e.
For
general
administration.
12
f.
MH/MR/DD/BI
community
services
(local
purchase).
13
This
subsection
shall
not
be
construed
to
prohibit
the
use
14
of
existing
state
transfer
authority
for
other
purposes.
The
15
department
shall
report
any
transfers
made
pursuant
to
this
16
subsection
to
the
legislative
services
agency.
17
4.
Of
the
funds
appropriated
in
this
section,
$97,839
shall
18
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
19
organization
with
a
history
of
providing
tax
preparation
20
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
21
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
22
supply
this
assistance
to
underserved
areas
of
the
state.
23
Sec.
135.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
human
25
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
26
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purposes
designated:
28
For
child
support
recovery,
including
salaries,
support,
29
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
30
the
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,559,628
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
33
1.
The
department
shall
expend
up
to
$12,165,
including
34
federal
financial
participation,
for
the
fiscal
year
beginning
35
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_____
July
1,
2012,
for
a
child
support
public
awareness
campaign.
1
The
department
and
the
office
of
the
attorney
general
shall
2
cooperate
in
continuation
of
the
campaign.
The
public
3
awareness
campaign
shall
emphasize,
through
a
variety
of
4
media
activities,
the
importance
of
maximum
involvement
of
5
both
parents
in
the
lives
of
their
children
as
well
as
the
6
importance
of
payment
of
child
support
obligations.
7
2.
Federal
access
and
visitation
grant
moneys
shall
be
8
issued
directly
to
private
not-for-profit
agencies
that
provide
9
services
designed
to
increase
compliance
with
the
child
access
10
provisions
of
court
orders,
including
but
not
limited
to
11
neutral
visitation
sites
and
mediation
services.
12
3.
The
appropriation
made
to
the
department
for
child
13
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
14
manner
necessary
for
purposes
of
cash
flow
management,
and
for
15
cash
flow
management
purposes
the
department
may
temporarily
16
draw
more
than
the
amount
appropriated,
provided
the
amount
17
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
18
4.
With
the
exception
of
the
funding
amount
specified,
the
19
requirements
established
under
2001
Iowa
Acts,
chapter
191,
20
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
21
be
applicable
to
parental
obligation
pilot
projects
for
the
22
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013.
23
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
24
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
25
in
effect
until
June
30,
2013.
26
Sec.
136.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE.
Any
27
funds
remaining
in
the
health
care
trust
fund
created
in
28
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2012,
29
and
ending
June
30,
2013,
are
appropriated
to
the
department
30
of
human
services
to
supplement
the
medical
assistance
program
31
appropriations
made
in
this
Act,
for
medical
assistance
32
reimbursement
and
associated
costs,
including
program
33
administration
and
costs
associated
with
implementation.
34
Sec.
137.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
35
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S.F.
_____
the
general
fund
of
the
state
to
the
department
of
human
1
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
2
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
3
necessary,
to
be
used
for
the
purpose
designated:
4
For
medical
assistance
reimbursement
and
associated
costs
5
as
specifically
provided
in
the
reimbursement
methodologies
6
in
effect
on
June
30,
2012,
except
as
otherwise
expressly
7
authorized
by
law,
including
reimbursement
for
abortion
8
services
which
shall
be
available
under
the
medical
assistance
9
program
only
for
those
abortions
which
are
medically
necessary:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$897,816,915
11
1.
Medically
necessary
abortions
are
those
performed
under
12
any
of
the
following
conditions:
13
a.
The
attending
physician
certifies
that
continuing
the
14
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
15
b.
The
attending
physician
certifies
that
the
fetus
is
16
physically
deformed,
mentally
deficient,
or
afflicted
with
a
17
congenital
illness.
18
c.
The
pregnancy
is
the
result
of
a
rape
which
is
reported
19
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
20
public
or
private
health
agency
which
may
include
a
family
21
physician.
22
d.
The
pregnancy
is
the
result
of
incest
which
is
reported
23
within
150
days
of
the
incident
to
a
law
enforcement
agency
24
or
public
or
private
health
agency
which
may
include
a
family
25
physician.
26
e.
Any
spontaneous
abortion,
commonly
known
as
a
27
miscarriage,
if
not
all
of
the
products
of
conception
are
28
expelled.
29
2.
The
department
shall
utilize
not
more
than
$60,000
of
30
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
31
health
insurance
premium
payment
program
as
established
in
1992
32
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
33
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
34
not
more
than
$5,000
may
be
expended
for
administrative
35
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purposes.
1
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
2
of
public
health
for
addictive
disorders,
$950,000
for
the
3
fiscal
year
beginning
July
1,
2012,
shall
be
transferred
to
4
the
department
of
human
services
for
an
integrated
substance
5
abuse
managed
care
system.
The
department
shall
not
assume
6
management
of
the
substance
abuse
system
in
place
of
the
7
managed
care
contractor
unless
such
a
change
in
approach
is
8
specifically
authorized
in
law.
The
departments
of
human
9
services
and
public
health
shall
work
together
to
maintain
10
the
level
of
mental
health
and
substance
abuse
services
11
provided
by
the
managed
care
contractor
through
the
Iowa
plan
12
for
behavioral
health.
Each
department
shall
take
the
steps
13
necessary
to
continue
the
federal
waivers
as
necessary
to
14
maintain
the
level
of
services.
15
4.
a.
The
department
shall
aggressively
pursue
options
for
16
providing
medical
assistance
or
other
assistance
to
individuals
17
with
special
needs
who
become
ineligible
to
continue
receiving
18
services
under
the
early
and
periodic
screening,
diagnostic,
19
and
treatment
program
under
the
medical
assistance
program
20
due
to
becoming
21
years
of
age
who
have
been
approved
for
21
additional
assistance
through
the
department’s
exception
to
22
policy
provisions,
but
who
have
health
care
needs
in
excess
23
of
the
funding
available
through
the
exception
to
policy
24
provisions.
25
b.
Of
the
funds
appropriated
in
this
section,
$100,000
26
shall
be
used
for
participation
in
one
or
more
pilot
projects
27
operated
by
a
private
provider
to
allow
the
individual
or
28
individuals
to
receive
service
in
the
community
in
accordance
29
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
30
(1999),
for
the
purpose
of
providing
medical
assistance
or
31
other
assistance
to
individuals
with
special
needs
who
become
32
ineligible
to
continue
receiving
services
under
the
early
and
33
periodic
screening,
diagnosis,
and
treatment
program
under
34
the
medical
assistance
program
due
to
becoming
21
years
of
35
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age
who
have
been
approved
for
additional
assistance
through
1
the
department’s
exception
to
policy
provisions,
but
who
have
2
health
care
needs
in
excess
of
the
funding
available
through
3
the
exception
to
the
policy
provisions.
4
5.
Of
the
funds
appropriated
in
this
section,
up
to
5
$3,050,082
may
be
transferred
to
the
field
operations
6
or
general
administration
appropriations
in
this
Act
for
7
operational
costs
associated
with
Part
D
of
the
federal
8
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
9
of
2003,
Pub.
L.
No.
108-173.
10
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
11
may
be
transferred
to
the
appropriation
in
this
Act
for
medical
12
contracts
to
be
used
for
clinical
assessment
services
and
prior
13
authorization
of
services.
14
7.
A
portion
of
the
funds
appropriated
in
this
section
15
may
be
transferred
to
the
appropriations
in
this
division
of
16
this
Act
for
general
administration,
medical
contracts,
the
17
children’s
health
insurance
program,
or
field
operations
to
be
18
used
for
the
state
match
cost
to
comply
with
the
payment
error
19
rate
measurement
(PERM)
program
for
both
the
medical
assistance
20
and
children’s
health
insurance
programs
as
developed
by
the
21
centers
for
Medicare
and
Medicaid
services
of
the
United
States
22
department
of
health
and
human
services
to
comply
with
the
23
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
24
107-300.
25
8.
It
is
the
intent
of
the
general
assembly
that
the
26
department
continue
to
implement
the
recommendations
of
27
the
assuring
better
child
health
and
development
initiative
28
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
29
screening,
diagnostic,
and
treatment
services
healthy
mental
30
development
collaborative
board
regarding
changes
to
billing
31
procedures,
codes,
and
eligible
service
providers.
32
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
33
amount
is
allocated
to
supplement
the
incomes
of
residents
of
34
nursing
facilities,
intermediate
care
facilities
for
persons
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with
mental
illness,
and
intermediate
care
facilities
for
1
persons
with
mental
retardation,
with
incomes
of
less
than
$50
2
in
the
amount
necessary
for
the
residents
to
receive
a
personal
3
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A.
4
10.
Of
the
funds
appropriated
in
this
section,
the
following
5
amounts
shall
be
transferred
to
the
appropriations
made
in
this
6
division
of
this
Act
for
the
state
mental
health
institutes:
7
a.
Cherokee
mental
health
institute
..........
$
9,098,425
8
b.
Clarinda
mental
health
institute
..........
$
1,977,305
9
c.
Independence
mental
health
institute
......
$
9,045,894
10
d.
Mount
Pleasant
mental
health
institute
....
$
5,752,587
11
11.
a.
Of
the
funds
appropriated
in
this
section,
12
$7,425,684
is
allocated
for
the
state
match
for
a
13
disproportionate
share
hospital
payment
of
$19,133,430
to
14
hospitals
that
meet
both
of
the
conditions
specified
in
15
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
16
meet
the
conditions
specified
shall
either
certify
public
17
expenditures
or
transfer
to
the
medical
assistance
program
18
an
amount
equal
to
provide
the
nonfederal
share
for
a
19
disproportionate
share
hospital
payment
of
$7,500,000.
The
20
hospitals
that
meet
the
conditions
specified
shall
receive
and
21
retain
100
percent
of
the
total
disproportionate
share
hospital
22
payment
of
$26,633,430.
23
(1)
The
hospital
qualifies
for
disproportionate
share
and
24
graduate
medical
education
payments.
25
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
26
than
500
beds
and
eight
or
more
distinct
residency
specialty
27
or
subspecialty
programs
recognized
by
the
American
college
of
28
graduate
medical
education.
29
b.
Distribution
of
the
disproportionate
share
payments
30
shall
be
made
on
a
monthly
basis.
The
total
amount
of
31
disproportionate
share
payments
including
graduate
medical
32
education,
enhanced
disproportionate
share,
and
Iowa
33
state-owned
teaching
hospital
payments
shall
not
exceed
the
34
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
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In
addition,
the
total
amount
of
all
disproportionate
1
share
payments
shall
not
exceed
the
hospital-specific
2
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
3
12.
The
university
of
Iowa
hospitals
and
clinics
shall
4
either
certify
public
expenditures
or
transfer
to
the
medical
5
assistance
appropriation
an
amount
equal
to
provide
the
6
nonfederal
share
for
increased
medical
assistance
payments
for
7
inpatient
and
outpatient
hospital
services
of
$9,900,000.
The
8
university
of
Iowa
hospitals
and
clinics
shall
receive
and
9
retain
100
percent
of
the
total
increase
in
medical
assistance
10
payments.
11
13.
Of
the
funds
appropriated
in
this
section,
up
to
12
$4,480,304
may
be
transferred
to
the
IowaCare
account
created
13
in
section
249J.24.
14
14.
Of
the
funds
appropriated
in
this
section,
$200,000
15
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
16
2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
17
Iowa
Acts,
chapter
179,
sections
166
and
167.
18
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
19
to
area
education
agencies
that
are
medical
assistance
20
providers
for
medical
assistance-covered
services
provided
to
21
medical
assistance-covered
children,
shall
be
made
from
the
22
appropriation
made
in
this
section.
23
16.
Any
new
or
renewed
contract
entered
into
by
the
24
department
with
a
third
party
to
administer
behavioral
health
25
services
under
the
medical
assistance
program
shall
provide
26
that
any
interest
earned
on
payments
from
the
state
during
27
the
state
fiscal
year
shall
be
remitted
to
the
department
28
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
29
assistance
program.
30
17.
The
department
shall
continue
to
implement
the
31
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
32
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
33
section
55,
relating
to
eligibility
for
certain
persons
with
34
disabilities
under
the
medical
assistance
program
in
accordance
35
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with
the
federal
family
opportunity
Act.
1
18.
A
portion
of
the
funds
appropriated
in
this
section
2
may
be
transferred
to
the
appropriation
in
this
division
of
3
this
Act
for
medical
contracts
to
be
used
for
administrative
4
activities
associated
with
the
money
follows
the
person
5
demonstration
project.
6
19.
Of
the
funds
appropriated
in
this
section,
$349,011
7
shall
be
used
for
the
administration
of
the
health
insurance
8
premium
payment
program,
including
salaries,
support,
9
maintenance,
and
miscellaneous
purposes
for
the
fiscal
year
10
beginning
July
1,
2012.
11
20.
a.
The
department
may
continue
to
implement
cost
12
containment
strategies
recommended
by
the
governor,
and
may
13
adopt
emergency
rules
for
such
implementation.
14
b.
The
department
shall
not
implement
the
cost
containment
15
strategy
to
require
a
primary
care
referral
for
the
provision
16
of
chiropractic
services.
17
c.
The
department
may
increase
the
amounts
allocated
for
18
salaries,
support,
maintenance,
and
miscellaneous
purposes
19
associated
with
the
medical
assistance
program,
as
necessary,
20
to
implement
the
cost
containment
strategies.
The
department
21
shall
report
any
such
increase
to
the
legislative
services
22
agency
and
the
department
of
management.
23
d.
If
the
savings
to
the
medical
assistance
program
exceed
24
the
cost,
the
department
may
transfer
any
savings
generated
25
for
the
fiscal
year
due
to
medical
assistance
program
cost
26
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
27
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
2009,
28
or
cost
containment
strategies
initiated
pursuant
to
this
29
subsection,
to
the
appropriation
made
in
this
division
of
this
30
Act
for
medical
contracts
or
general
administration
to
defray
31
the
increased
contract
costs
associated
with
implementing
such
32
efforts.
33
e.
The
department
shall
report
the
implementation
of
34
any
cost
containment
strategies
under
this
subsection
to
35
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the
individuals
specified
in
this
division
of
this
Act
for
1
submission
of
reports
on
a
quarterly
basis.
2
21.
Notwithstanding
any
provision
of
law
to
the
contrary,
3
the
department
of
human
services
shall
continue
implementation
4
of
the
amended
section
1915(b)
waiver
and
Iowa
plan
contract
5
for
inclusion
of
remedial
services
under
the
Iowa
plan
contract
6
for
the
fiscal
year
beginning
July
1,
2012.
7
22.
Of
the
funds
appropriated
in
this
section,
$5,000,000
8
shall
be
used
to
continue
reductions
in
the
waiting
lists
9
of
the
medical
assistance
home
and
community-based
services
10
waivers,
including
the
waiver
for
persons
with
intellectual
11
disabilities
for
which
the
nonfederal
share
is
paid
as
12
state
case
services
and
other
support
pursuant
to
section
13
331.440.
The
department
shall
distribute
the
funding
allocated
14
under
this
subsection
proportionately
among
all
home
and
15
community-based
services
waivers.
16
Sec.
138.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
17
general
fund
of
the
state
to
the
department
of
human
services
18
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
19
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purpose
designated:
21
For
medical
contracts:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,946,922
23
1.
The
department
of
inspections
and
appeals
shall
24
provide
all
state
matching
funds
for
survey
and
certification
25
activities
performed
by
the
department
of
inspections
26
and
appeals.
The
department
of
human
services
is
solely
27
responsible
for
distributing
the
federal
matching
funds
for
28
such
activities.
29
2.
Of
the
funds
appropriated
in
this
section,
$75,000
30
shall
be
used
for
continued
implementation
of
a
uniform
cost
31
report
to
be
used
in
the
development
of
specified
Medicaid
32
reimbursement
rates
over
a
multiyear
timeframe
as
specified
in
33
this
Act
for
FY
2011-2012.
34
3.
a.
Of
the
funds
appropriated
in
this
section,
35
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$50,000
shall
be
used
for
continued
implementation
of
an
1
electronic
medical
record
system,
including
system
purchase
or
2
development,
for
home
and
community-based
services
providers
3
and
mental
health
services
providers
that
comply
with
the
4
requirements
of
federal
and
state
laws
and
regulation
by
the
5
fiscal
year
beginning
July
1,
2013.
6
b.
Notwithstanding
section
8.33,
funds
allocated
in
this
7
subsection
that
remain
unencumbered
or
unobligated
at
the
close
8
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
9
in
succeeding
fiscal
years
to
be
used
for
the
purposes
10
designated.
11
4.
Of
the
amount
appropriated
in
this
section,
$175,000
12
shall
be
used
for
technology
upgrades
necessary
to
support
13
Medicaid
claims
and
other
health
operations,
worldwide
federal
14
Health
Insurance
Portability
and
Accountability
Act
of
1996
15
(HIPAA)
claims,
transactions,
and
coding
requirements,
and
the
16
Iowa
automated
benefits
calculation
system.
Notwithstanding
17
section
8.33,
funds
allocated
in
this
subsection
that
remain
18
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
19
shall
not
revert
but
shall
remain
available
in
succeeding
20
fiscal
years
to
be
used
for
the
purposes
designated.
21
5.
Of
the
funds
appropriated
in
this
section,
$50,000
22
shall
be
used
for
the
continuation
of
an
accountable
care
23
organization
pilot
project
as
specified
in
this
Act
relating
to
24
prior
appropriations
and
related
changes
for
FY
2011-2012.
25
6.
Of
the
funds
appropriated
in
this
section,
$100,000
26
shall
be
used
for
the
continued
development
of
a
provider
27
payment
system
plan
to
provide
recommendations
to
reform
the
28
health
care
provider
payment
system
as
an
effective
way
to
29
promote
coordination
of
care,
lower
costs,
and
improve
quality
30
as
specified
in
the
division
of
this
Act
relating
to
cost
31
containment
for
FY
2011-2012.
32
7.
Of
the
funds
appropriated
in
this
section,
$10,000
shall
33
be
used
for
the
continued
development
of
a
plan
to
establish
34
an
all-payer
claims
database
to
provide
for
the
collection
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and
analysis
of
claims
data
from
multiple
payers
of
health
1
care
as
specified
in
the
division
of
this
Act
relating
to
cost
2
containment
for
FY
2011-2012.
3
8.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
4
be
used
for
continuation
of
home
and
community-based
services
5
waiver
quality
assurance
programs,
including
the
review
and
6
streamlining
of
processes
and
policies
related
to
oversight
and
7
quality
management
to
meet
state
and
federal
requirements.
8
Sec.
139.
STATE
SUPPLEMENTARY
ASSISTANCE.
9
1.
There
is
appropriated
from
the
general
fund
of
the
10
state
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
12
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
13
purpose
designated:
14
For
the
state
supplementary
assistance
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,425,374
16
2.
The
department
shall
increase
the
personal
needs
17
allowance
for
residents
of
residential
care
facilities
by
the
18
same
percentage
and
at
the
same
time
as
federal
supplemental
19
security
income
and
federal
social
security
benefits
are
20
increased
due
to
a
recognized
increase
in
the
cost
of
living.
21
The
department
may
adopt
emergency
rules
to
implement
this
22
subsection.
23
3.
If
during
the
fiscal
year
beginning
July
1,
2012,
24
the
department
projects
that
state
supplementary
assistance
25
expenditures
for
a
calendar
year
will
not
meet
the
federal
26
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
27
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
28
§
1382g,
the
department
may
take
actions
including
but
not
29
limited
to
increasing
the
personal
needs
allowance
for
30
residential
care
facility
residents
and
making
programmatic
31
adjustments
or
upward
adjustments
of
the
residential
care
32
facility
or
in-home
health-related
care
reimbursement
rates
33
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
34
requirements
are
met.
In
addition,
the
department
may
make
35
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_____
other
programmatic
and
rate
adjustments
necessary
to
remain
1
within
the
amount
appropriated
in
this
section
while
ensuring
2
compliance
with
federal
requirements.
The
department
may
adopt
3
emergency
rules
to
implement
the
provisions
of
this
subsection.
4
Sec.
140.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
5
1.
There
is
appropriated
from
the
general
fund
of
the
6
state
to
the
department
of
human
services
for
the
fiscal
year
7
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
8
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
9
purpose
designated:
10
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
11
program
pursuant
to
chapter
514I,
including
supplemental
dental
12
services,
for
receipt
of
federal
financial
participation
under
13
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
14
children’s
health
insurance
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,403,051
16
2.
Of
the
funds
appropriated
in
this
section,
$64,475
is
17
allocated
for
continuation
of
the
contract
for
advertising
and
18
outreach
with
the
department
of
public
health.
19
Sec.
141.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
20
from
the
general
fund
of
the
state
to
the
department
of
human
21
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
22
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
23
necessary,
to
be
used
for
the
purpose
designated:
24
For
child
care
programs:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,632,755
26
1.
Of
the
funds
appropriated
in
this
section,
$26,948,041
27
shall
be
used
for
state
child
care
assistance
in
accordance
28
with
section
237A.13.
29
2.
Nothing
in
this
section
shall
be
construed
or
is
30
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
31
to
persons
who
are
eligible
for
assistance
due
to
an
income
32
level
consistent
with
the
waiting
list
requirements
of
section
33
237A.13.
Any
state
obligation
to
provide
services
pursuant
to
34
this
section
is
limited
to
the
extent
of
the
funds
appropriated
35
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_____
in
this
section.
1
3.
Of
the
funds
appropriated
in
this
section,
$216,227
is
2
allocated
for
the
statewide
program
for
child
care
resource
3
and
referral
services
under
section
237A.26.
A
list
of
the
4
registered
and
licensed
child
care
facilities
operating
in
the
5
area
served
by
a
child
care
resource
and
referral
service
shall
6
be
made
available
to
the
families
receiving
state
child
care
7
assistance
in
that
area.
8
4.
Of
the
funds
appropriated
in
this
section,
$468,487
9
is
allocated
for
child
care
quality
improvement
initiatives
10
including
but
not
limited
to
the
voluntary
quality
rating
11
system
in
accordance
with
section
237A.30.
12
5.
The
department
may
use
any
of
the
funds
appropriated
13
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
14
expanding
child
care
assistance
and
related
programs.
For
15
the
purpose
of
expenditures
of
state
and
federal
child
care
16
funding,
funds
shall
be
considered
obligated
at
the
time
17
expenditures
are
projected
or
are
allocated
to
the
department’s
18
service
areas.
Projections
shall
be
based
on
current
and
19
projected
caseload
growth,
current
and
projected
provider
20
rates,
staffing
requirements
for
eligibility
determination
21
and
management
of
program
requirements
including
data
systems
22
management,
staffing
requirements
for
administration
of
the
23
program,
contractual
and
grant
obligations
and
any
transfers
24
to
other
state
agencies,
and
obligations
for
decategorization
25
or
innovation
projects.
26
6.
A
portion
of
the
state
match
for
the
federal
child
care
27
and
development
block
grant
shall
be
provided
as
necessary
to
28
meet
federal
matching
funds
requirements
through
the
state
29
general
fund
appropriation
made
for
child
development
grants
30
and
other
programs
for
at-risk
children
in
section
279.51.
31
7.
If
a
uniform
reduction
ordered
by
the
governor
under
32
section
8.31
or
other
operation
of
law,
transfer,
or
federal
33
funding
reduction
reduces
the
appropriation
made
in
this
34
section
for
the
fiscal
year,
the
percentage
reduction
in
the
35
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_____
amount
paid
out
to
or
on
behalf
of
the
families
participating
1
in
the
state
child
care
assistance
program
shall
be
equal
to
or
2
less
than
the
percentage
reduction
made
for
any
other
purpose
3
payable
from
the
appropriation
made
in
this
section
and
the
4
federal
funding
relating
to
it.
The
percentage
reduction
to
5
the
other
allocations
made
in
this
section
shall
be
the
same
as
6
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
7
change
of
the
federal
funding
reduction,
as
applicable.
8
If
there
is
an
unanticipated
increase
in
federal
funding
9
provided
for
state
child
care
assistance,
the
entire
amount
10
of
the
increase
shall
be
used
for
state
child
care
assistance
11
payments.
If
the
appropriations
made
for
purposes
of
the
12
state
child
care
assistance
program
for
the
fiscal
year
are
13
determined
to
be
insufficient,
it
is
the
intent
of
the
general
14
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
15
in
order
to
avoid
establishment
of
waiting
list
requirements.
16
8.
Notwithstanding
section
8.33,
moneys
appropriated
in
17
this
section
or
received
from
the
federal
appropriations
made
18
for
the
purposes
of
this
section
that
remain
unencumbered
or
19
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
20
to
any
fund
but
shall
remain
available
for
expenditure
for
the
21
purposes
designated
until
the
close
of
the
succeeding
fiscal
22
year.
23
Sec.
142.
JUVENILE
INSTITUTIONS.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
human
25
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
26
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purposes
designated:
28
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
29
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
30
for
not
more
than
the
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,129,126
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
33
2.
For
operation
of
the
state
training
school
at
Eldora
and
34
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
35
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_____
and
for
not
more
than
the
following
full-time
equivalent
1
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,319,339
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
4
Of
the
funds
appropriated
in
this
subsection,
$45,575
shall
5
be
used
for
distribution
to
licensed
classroom
teachers
at
this
6
and
other
institutions
under
the
control
of
the
department
of
7
human
services
based
upon
the
average
student
yearly
enrollment
8
at
each
institution
as
determined
by
the
department.
9
3.
A
portion
of
the
moneys
appropriated
in
this
section
10
shall
be
used
by
the
state
training
school
and
by
the
Iowa
11
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
12
activities
at
the
institutions
in
the
fiscal
year
beginning
13
July
1,
2012.
14
Sec.
143.
CHILD
AND
FAMILY
SERVICES.
15
1.
There
is
appropriated
from
the
general
fund
of
the
16
state
to
the
department
of
human
services
for
the
fiscal
year
17
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
18
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
19
purpose
designated:
20
For
child
and
family
services:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,538,668
22
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
23
amount
allocated
under
the
appropriation
made
for
the
purposes
24
of
this
section
in
prior
years
for
purposes
of
juvenile
25
delinquent
graduated
sanction
services,
up
to
$2,600,000
of
the
26
amount
of
federal
temporary
assistance
for
needy
families
block
27
grant
funding
appropriated
in
this
division
of
this
Act
for
28
child
and
family
services
shall
be
made
available
for
purposes
29
of
juvenile
delinquent
graduated
sanction
services.
30
3.
The
department
may
transfer
funds
appropriated
in
this
31
section
as
necessary
to
pay
the
nonfederal
costs
of
services
32
reimbursed
under
the
medical
assistance
program,
state
child
33
care
assistance
program,
or
the
family
investment
program
which
34
are
provided
to
children
who
would
otherwise
receive
services
35
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_____
paid
under
the
appropriation
in
this
section.
The
department
1
may
transfer
funds
appropriated
in
this
section
to
the
2
appropriations
made
in
this
division
of
this
Act
for
general
3
administration
and
for
field
operations
for
resources
necessary
4
to
implement
and
operate
the
services
funded
in
this
section.
5
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
6
$15,084,565
is
allocated
as
the
statewide
expenditure
target
7
under
section
232.143
for
group
foster
care
maintenance
and
8
services.
If
the
department
projects
that
such
expenditures
9
for
the
fiscal
year
will
be
less
than
the
target
amount
10
allocated
in
this
lettered
paragraph,
the
department
may
11
reallocate
the
excess
to
provide
additional
funding
for
shelter
12
care
or
the
child
welfare
emergency
services
addressed
with
the
13
allocation
for
shelter
care.
14
b.
If
at
any
time
after
September
30,
2012,
annualization
15
of
a
service
area’s
current
expenditures
indicates
a
service
16
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
17
target
under
section
232.143
by
more
than
5
percent,
the
18
department
and
juvenile
court
services
shall
examine
all
19
group
foster
care
placements
in
that
service
area
in
order
to
20
identify
those
which
might
be
appropriate
for
termination.
21
In
addition,
any
aftercare
services
believed
to
be
needed
22
for
the
children
whose
placements
may
be
terminated
shall
be
23
identified.
The
department
and
juvenile
court
services
shall
24
initiate
action
to
set
dispositional
review
hearings
for
the
25
placements
identified.
In
such
a
dispositional
review
hearing,
26
the
juvenile
court
shall
determine
whether
needed
aftercare
27
services
are
available
and
whether
termination
of
the
placement
28
is
in
the
best
interest
of
the
child
and
the
community.
29
5.
In
accordance
with
the
provisions
of
section
232.188,
30
the
department
shall
continue
the
child
welfare
and
juvenile
31
justice
funding
initiative
during
fiscal
year
2012-2013.
Of
32
the
funds
appropriated
in
this
section,
$858,877
is
allocated
33
specifically
for
expenditure
for
fiscal
year
2012-2013
through
34
the
decategorization
service
funding
pools
and
governance
35
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_____
boards
established
pursuant
to
section
232.188.
1
6.
A
portion
of
the
funds
appropriated
in
this
section
2
may
be
used
for
emergency
family
assistance
to
provide
other
3
resources
required
for
a
family
participating
in
a
family
4
preservation
or
reunification
project
or
successor
project
to
5
stay
together
or
to
be
reunified.
6
7.
Notwithstanding
section
234.35
or
any
other
provision
7
of
law
to
the
contrary,
state
funding
for
shelter
care
and
8
the
child
welfare
emergency
services
contracting
implemented
9
to
provide
for
or
prevent
the
need
for
shelter
care
shall
10
be
limited
to
$3,785,058.
The
department
may
continue
or
11
execute
contracts
that
result
from
the
department’s
request
12
for
proposal,
bid
number
ACFS-11-114,
to
provide
the
range
of
13
child
welfare
emergency
services
described
in
the
request
for
14
proposals,
and
any
subsequent
amendments
to
the
request
for
15
proposals.
16
8.
Federal
funds
received
by
the
state
during
the
fiscal
17
year
beginning
July
1,
2012,
as
the
result
of
the
expenditure
18
of
state
funds
appropriated
during
a
previous
state
fiscal
19
year
for
a
service
or
activity
funded
under
this
section
are
20
appropriated
to
the
department
to
be
used
as
additional
funding
21
for
services
and
purposes
provided
for
under
this
section.
22
Notwithstanding
section
8.33,
moneys
received
in
accordance
23
with
this
subsection
that
remain
unencumbered
or
unobligated
at
24
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
25
shall
remain
available
for
the
purposes
designated
until
the
26
close
of
the
succeeding
fiscal
year.
27
9.
Of
the
funds
appropriated
in
this
section,
at
least
28
$1,848,143
shall
be
used
for
protective
child
care
assistance.
29
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
30
$1,031,244
is
allocated
for
the
payment
of
the
expenses
of
31
court-ordered
services
provided
to
juveniles
who
are
under
the
32
supervision
of
juvenile
court
services,
which
expenses
are
a
33
charge
upon
the
state
pursuant
to
section
232.141,
subsection
34
4.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
35
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216
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_____
to
$778,144
shall
be
made
available
to
provide
school-based
1
supervision
of
children
adjudicated
under
chapter
232,
of
which
2
not
more
than
$7,500
may
be
used
for
the
purpose
of
training.
3
A
portion
of
the
cost
of
each
school-based
liaison
officer
4
shall
be
paid
by
the
school
district
or
other
funding
source
as
5
approved
by
the
chief
juvenile
court
officer.
6
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,493
7
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
8
services
provided
to
children
who
are
under
the
supervision
9
of
the
department,
which
expenses
are
a
charge
upon
the
state
10
pursuant
to
section
232.141,
subsection
4.
11
c.
Notwithstanding
section
232.141
or
any
other
provision
12
of
law
to
the
contrary,
the
amounts
allocated
in
this
13
subsection
shall
be
distributed
to
the
judicial
districts
14
as
determined
by
the
state
court
administrator
and
to
the
15
department’s
service
areas
as
determined
by
the
administrator
16
of
the
department’s
division
of
child
and
family
services.
The
17
state
court
administrator
and
the
division
administrator
shall
18
make
the
determination
of
the
distribution
amounts
on
or
before
19
June
15,
2012.
20
d.
Notwithstanding
chapter
232
or
any
other
provision
of
21
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
22
order
any
service
which
is
a
charge
upon
the
state
pursuant
23
to
section
232.141
if
there
are
insufficient
court-ordered
24
services
funds
available
in
the
district
court
or
departmental
25
service
area
distribution
amounts
to
pay
for
the
service.
The
26
chief
juvenile
court
officer
and
the
departmental
service
area
27
manager
shall
encourage
use
of
the
funds
allocated
in
this
28
subsection
such
that
there
are
sufficient
funds
to
pay
for
29
all
court-related
services
during
the
entire
year.
The
chief
30
juvenile
court
officers
and
departmental
service
area
managers
31
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
32
in
the
distribution
amounts
and
shall
cooperatively
request
the
33
state
court
administrator
or
division
administrator
to
transfer
34
funds
between
the
judicial
districts’
or
departmental
service
35
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216
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_____
areas’
distribution
amounts
as
prudent.
1
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
2
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
3
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
4
entered
under
chapter
232
which
is
a
charge
upon
the
state
5
under
section
232.141,
subsection
4.
6
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
7
$41,500
may
be
used
by
the
judicial
branch
for
administration
8
of
the
requirements
under
this
subsection.
9
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
10
shall
be
used
by
the
department
of
human
services
to
support
11
the
interstate
commission
for
juveniles
in
accordance
with
12
the
interstate
compact
for
juveniles
as
provided
in
section
13
232.173.
14
11.
Of
the
funds
appropriated
in
this
section,
$2,961,301
is
15
allocated
for
juvenile
delinquent
graduated
sanctions
services.
16
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
17
services
to
earn
federal
Tit.
IV-E
match
for
juvenile
court
18
services
administration
may
be
used
for
the
juvenile
delinquent
19
graduated
sanctions
services.
20
12.
Of
the
funds
appropriated
in
this
section,
$494,143
21
shall
be
transferred
to
the
department
of
public
health
to
22
be
used
for
the
child
protection
center
grant
program
in
23
accordance
with
section
135.118.
24
13.
If
the
department
receives
federal
approval
to
25
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
26
Security
Act
to
enable
providers
to
serve
children
who
remain
27
in
the
children’s
families
and
communities,
for
purposes
of
28
eligibility
under
the
medical
assistance
program,
children
who
29
participate
in
the
waiver
shall
be
considered
to
be
placed
in
30
foster
care.
31
14.
Of
the
funds
appropriated
in
this
section,
$1,534,916
is
32
allocated
for
the
preparation
for
adult
living
program
pursuant
33
to
section
234.46.
34
15.
Of
the
funds
appropriated
in
this
section,
$260,075
35
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216
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_____
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
1
in
this
subsection
shall
be
distributed
as
follows:
2
To
the
judicial
branch
for
salaries
to
assist
with
the
3
operation
of
juvenile
drug
court
programs
operated
in
the
4
following
jurisdictions:
5
a.
Marshall
county:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
7
b.
Woodbury
county:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
9
c.
Polk
county:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
11
d.
The
third
judicial
district:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
13
e.
The
eighth
judicial
district:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
15
16.
Of
the
funds
appropriated
in
this
section,
$113,669
16
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
17
a
nonprofit
human
services
organization
providing
services
to
18
individuals
and
families
in
multiple
locations
in
southwest
19
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
20
sensitive
support
and
forensic
interviews,
medical
exams,
needs
21
assessments,
and
referrals
for
victims
of
child
abuse
and
their
22
nonoffending
family
members.
23
17.
Of
the
funds
appropriated
in
this
section,
$62,795
24
is
allocated
for
the
elevate
approach
of
providing
a
support
25
network
to
children
placed
in
foster
care.
26
18.
Of
the
funds
appropriated
in
this
section,
$101,000
is
27
allocated
for
use
pursuant
to
section
235A.1
for
continuation
28
of
the
initiative
to
address
child
sexual
abuse
implemented
29
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
30
21.
31
19.
Of
the
funds
appropriated
in
this
section,
$315,120
is
32
allocated
for
the
community
partnership
for
child
protection
33
sites.
34
20.
Of
the
funds
appropriated
in
this
section,
$185,625
35
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_____
is
allocated
for
the
department’s
minority
youth
and
family
1
projects
under
the
redesign
of
the
child
welfare
system.
2
21.
Of
the
funds
appropriated
in
this
section,
$600,248
3
is
allocated
for
funding
of
the
state
match
for
the
federal
4
substance
abuse
and
mental
health
services
administration
5
(SAMHSA)
system
of
care
grant.
6
22.
Of
the
funds
appropriated
in
this
section,
at
least
7
$73,579
shall
be
used
for
the
child
welfare
training
academy.
8
23.
Of
the
funds
appropriated
in
this
section,
$12,500
9
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
10
a
child
welfare
services
provider
headquartered
in
a
county
11
with
a
population
between
205,000
and
215,000
in
the
latest
12
certified
federal
census
that
provides
multiple
services
13
including
but
not
limited
to
a
psychiatric
medical
institution
14
for
children,
shelter,
residential
treatment,
after
school
15
programs,
school-based
programming,
and
an
Asperger’s
syndrome
16
program,
to
be
used
for
support
services
for
children
with
17
autism
spectrum
disorder
and
their
families.
18
24.
Of
the
funds
appropriated
in
this
section
$128,587
shall
19
be
used
for
continuation
of
the
central
Iowa
system
of
care
20
program
grant
through
June
30,
2013.
21
Sec.
144.
ADOPTION
SUBSIDY.
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
adoption
subsidy
payments
and
services:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,233,296
29
2.
The
department
may
transfer
funds
appropriated
in
this
30
section
to
the
appropriation
made
in
this
Act
for
general
31
administration
for
costs
paid
from
the
appropriation
relating
32
to
adoption
subsidy.
33
3.
Federal
funds
received
by
the
state
during
the
34
fiscal
year
beginning
July
1,
2012,
as
the
result
of
the
35
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(37)
84
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216
S.F.
_____
expenditure
of
state
funds
during
a
previous
state
fiscal
1
year
for
a
service
or
activity
funded
under
this
section
are
2
appropriated
to
the
department
to
be
used
as
additional
funding
3
for
the
services
and
activities
funded
under
this
section.
4
Notwithstanding
section
8.33,
moneys
received
in
accordance
5
with
this
subsection
that
remain
unencumbered
or
unobligated
6
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
7
but
shall
remain
available
for
expenditure
for
the
purposes
8
designated
until
the
close
of
the
succeeding
fiscal
year.
9
Sec.
145.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
10
in
the
juvenile
detention
home
fund
created
in
section
232.142
11
during
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
12
30,
2013,
are
appropriated
to
the
department
of
human
services
13
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
14
2013,
for
distribution
of
an
amount
equal
to
a
percentage
of
15
the
costs
of
the
establishment,
improvement,
operation,
and
16
maintenance
of
county
or
multicounty
juvenile
detention
homes
17
in
the
fiscal
year
beginning
July
1,
2011.
Moneys
appropriated
18
for
distribution
in
accordance
with
this
section
shall
be
19
allocated
among
eligible
detention
homes,
prorated
on
the
basis
20
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
21
eligible
detention
homes
in
the
fiscal
year
beginning
July
22
1,
2011.
The
percentage
figure
shall
be
determined
by
the
23
department
based
on
the
amount
available
for
distribution
for
24
the
fund.
Notwithstanding
section
232.142,
subsection
3,
the
25
financial
aid
payable
by
the
state
under
that
provision
for
the
26
fiscal
year
beginning
July
1,
2012,
shall
be
limited
to
the
27
amount
appropriated
for
the
purposes
of
this
section.
28
Sec.
146.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
29
1.
There
is
appropriated
from
the
general
fund
of
the
30
state
to
the
department
of
human
services
for
the
fiscal
year
31
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
32
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purpose
designated:
34
For
the
family
support
subsidy
program
subject
to
the
35
-176-
LSB
2820XC
(37)
84
pf/jp
176/
216
S.F.
_____
enrollment
restrictions
in
section
225C.37,
subsection
3:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
583,999
2
2.
The
department
shall
use
at
least
$192,750
of
the
moneys
3
appropriated
in
this
section
for
the
family
support
center
4
component
of
the
comprehensive
family
support
program
under
5
section
225C.47.
Not
more
than
$12,500
of
the
amount
allocated
6
in
this
subsection
shall
be
used
for
administrative
costs.
7
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
8
funding
available
for
the
family
support
subsidy
program
9
is
reduced
from
the
amount
initially
used
to
establish
the
10
figure
for
the
number
of
family
members
for
whom
a
subsidy
11
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
12
notwithstanding
section
225C.38,
subsection
2,
the
department
13
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
14
of
funding
available.
15
Sec.
147.
CONNER
DECREE.
There
is
appropriated
from
the
16
general
fund
of
the
state
to
the
department
of
human
services
17
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
18
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
19
to
be
used
for
the
purpose
designated:
20
For
building
community
capacity
through
the
coordination
21
and
provision
of
training
opportunities
in
accordance
with
the
22
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
23
Iowa,
July
14,
1994):
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
25
Sec.
148.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
human
27
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
28
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purposes
designated:
30
1.
For
the
state
mental
health
institute
at
Cherokee
for
31
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
32
for
not
more
than
the
following
full-time
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,938,654
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
35
-177-
LSB
2820XC
(37)
84
pf/jp
177/
216
S.F.
_____
2.
For
the
state
mental
health
institute
at
Clarinda
for
1
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
2
for
not
more
than
the
following
full-time
equivalent
positions:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,205,867
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
5
3.
For
the
state
mental
health
institute
at
Independence
for
6
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
7
for
not
more
than
the
following
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,137,843
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
10
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
11
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
12
and
for
not
more
than
the
following
full-time
equivalent
13
positions:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
472,162
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
91.72
16
Sec.
149.
STATE
RESOURCE
CENTERS.
17
1.
There
is
appropriated
from
the
general
fund
of
the
18
state
to
the
department
of
human
services
for
the
fiscal
year
19
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
20
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purposes
designated:
22
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
23
support,
maintenance,
and
miscellaneous
purposes:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,303,901
25
b.
For
the
state
resource
center
at
Woodward
for
salaries,
26
support,
maintenance,
and
miscellaneous
purposes:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,442,829
28
2.
The
department
may
continue
to
bill
for
state
resource
29
center
services
utilizing
a
scope
of
services
approach
used
for
30
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
31
shift
costs
between
the
medical
assistance
program,
counties,
32
or
other
sources
of
funding
for
the
state
resource
centers.
33
3.
The
state
resource
centers
may
expand
the
time-limited
34
assessment
and
respite
services
during
the
fiscal
year.
35
-178-
LSB
2820XC
(37)
84
pf/jp
178/
216
S.F.
_____
4.
If
the
department’s
administration
and
the
department
1
of
management
concur
with
a
finding
by
a
state
resource
2
center’s
superintendent
that
projected
revenues
can
reasonably
3
be
expected
to
pay
the
salary
and
support
costs
for
a
new
4
employee
position,
or
that
such
costs
for
adding
a
particular
5
number
of
new
positions
for
the
fiscal
year
would
be
less
6
than
the
overtime
costs
if
new
positions
would
not
be
added,
7
the
superintendent
may
add
the
new
position
or
positions.
If
8
the
vacant
positions
available
to
a
resource
center
do
not
9
include
the
position
classification
desired
to
be
filled,
the
10
state
resource
center’s
superintendent
may
reclassify
any
11
vacant
position
as
necessary
to
fill
the
desired
position.
The
12
superintendents
of
the
state
resource
centers
may,
by
mutual
13
agreement,
pool
vacant
positions
and
position
classifications
14
during
the
course
of
the
fiscal
year
in
order
to
assist
one
15
another
in
filling
necessary
positions.
16
5.
If
existing
capacity
limitations
are
reached
in
17
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
18
a
special
need
for
which
a
payment
source
or
other
funding
19
is
available
for
the
service
or
to
address
the
special
need,
20
and
facilities
for
the
service
or
to
address
the
special
need
21
can
be
provided
within
the
available
payment
source
or
other
22
funding,
the
superintendent
of
a
state
resource
center
may
23
authorize
opening
not
more
than
two
units
or
other
facilities
24
and
begin
implementing
the
service
or
addressing
the
special
25
need
during
fiscal
year
2012-2013.
26
Sec.
150.
MI/MR/DD
STATE
CASES.
27
1.
There
is
appropriated
from
the
general
fund
of
the
28
state
to
the
department
of
human
services
for
the
fiscal
year
29
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
30
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
31
purpose
designated:
32
For
distribution
to
counties
for
state
case
services
33
for
persons
with
mental
illness,
mental
retardation,
and
34
developmental
disabilities
in
accordance
with
section
331.440:
35
-179-
LSB
2820XC
(37)
84
pf/jp
179/
216
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,084,741
1
2.
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
2
June
30,
2013,
$100,000
is
allocated
for
state
case
services
3
from
the
amounts
appropriated
from
the
fund
created
in
section
4
8.41
to
the
department
of
human
services
from
the
funds
5
received
from
the
federal
government
under
42
U.S.C.
ch.
6A,
6
subch.
XVII,
relating
to
the
community
mental
health
center
7
block
grant,
for
the
federal
fiscal
years
beginning
October
8
1,
2010,
and
ending
September
30,
2011,
beginning
October
1,
9
2011,
and
ending
September
30,
2012,
and
beginning
October
1,
10
2012,
and
ending
September
30,
2013.
The
allocation
made
in
11
this
subsection
shall
be
made
prior
to
any
other
distribution
12
allocation
of
the
appropriated
federal
funds.
13
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
14
this
section
that
remain
unencumbered
or
unobligated
at
the
15
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
16
available
for
expenditure
for
the
purposes
designated
until
the
17
close
of
the
succeeding
fiscal
year.
18
Sec.
151.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
19
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
20
the
general
fund
of
the
state
to
the
mental
health
and
21
developmental
disabilities
community
services
fund
created
in
22
section
225C.7
for
the
fiscal
year
beginning
July
1,
2012,
and
23
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
24
as
is
necessary,
to
be
used
for
the
purpose
designated:
25
For
mental
health
and
developmental
disabilities
community
26
services
in
accordance
with
this
division
of
this
Act:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
28
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
29
shall
be
allocated
to
counties
for
funding
of
community-based
30
mental
health
and
developmental
disabilities
services.
The
31
moneys
shall
be
allocated
to
a
county
as
follows:
32
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
33
state’s
population
of
persons
with
an
annual
income
which
is
34
equal
to
or
less
than
the
poverty
guideline
established
by
the
35
-180-
LSB
2820XC
(37)
84
pf/jp
180/
216
S.F.
_____
federal
office
of
management
and
budget.
1
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
2
state’s
general
population.
3
2.
a.
A
county
shall
utilize
the
funding
the
county
4
receives
pursuant
to
subsection
1
for
services
provided
to
5
persons
with
a
disability,
as
defined
in
section
225C.2.
6
However,
no
more
than
50
percent
of
the
funding
shall
be
used
7
for
services
provided
to
any
one
of
the
service
populations.
8
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
9
county
receives
under
subsection
1
for
contemporary
services
10
provided
to
persons
with
a
disability,
as
described
in
rules
11
adopted
by
the
department.
12
3.
Of
the
funds
appropriated
in
this
section,
$23,544
13
shall
be
used
to
support
the
Iowa
compass
program
providing
14
computerized
information
and
referral
services
for
Iowans
with
15
disabilities
and
their
families.
16
4.
a.
Funding
appropriated
for
purposes
of
the
federal
17
social
services
block
grant
is
allocated
for
distribution
18
to
counties
for
local
purchase
of
services
for
persons
with
19
mental
illness
or
mental
retardation
or
other
developmental
20
disability.
21
b.
The
funds
allocated
in
this
subsection
shall
be
expended
22
by
counties
in
accordance
with
the
county’s
county
management
23
plan
approved
by
the
board
of
supervisors.
A
county
without
24
an
approved
county
management
plan
shall
not
receive
allocated
25
funds
until
the
county’s
management
plan
is
approved.
26
c.
The
funds
provided
by
this
subsection
shall
be
allocated
27
to
each
county
as
follows:
28
(1)
Fifty
percent
based
upon
the
county’s
proportion
of
the
29
state’s
population
of
persons
with
an
annual
income
which
is
30
equal
to
or
less
than
the
poverty
guideline
established
by
the
31
federal
office
of
management
and
budget.
32
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
33
county
for
local
purchase
of
services
in
the
preceding
fiscal
34
year.
35
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216
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_____
5.
A
county
is
eligible
for
funds
under
this
section
if
the
1
county
qualifies
for
a
state
payment
as
described
in
section
2
331.439.
3
6.
The
most
recent
population
estimates
issued
by
the
United
4
States
bureau
of
the
census
shall
be
applied
for
the
population
5
factors
utilized
in
this
section.
6
Sec.
152.
SEXUALLY
VIOLENT
PREDATORS.
7
1.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
For
costs
associated
with
the
commitment
and
treatment
of
13
sexually
violent
predators
in
the
unit
located
at
the
state
14
mental
health
institute
at
Cherokee,
including
costs
of
legal
15
services
and
other
associated
costs,
including
salaries,
16
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
17
more
than
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,775,364
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
20
2.
Unless
specifically
prohibited
by
law,
if
the
amount
21
charged
provides
for
recoupment
of
at
least
the
entire
amount
22
of
direct
and
indirect
costs,
the
department
of
human
services
23
may
contract
with
other
states
to
provide
care
and
treatment
24
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
25
violent
predators
at
Cherokee.
The
moneys
received
under
26
such
a
contract
shall
be
considered
to
be
repayment
receipts
27
and
used
for
the
purposes
of
the
appropriation
made
in
this
28
section.
29
Sec.
153.
FIELD
OPERATIONS.
There
is
appropriated
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
32
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
33
to
be
used
for
the
purposes
designated:
34
For
field
operations,
including
salaries,
support,
35
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_____
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
1
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,394,961
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
4
Priority
in
filling
full-time
equivalent
positions
shall
be
5
given
to
those
positions
related
to
child
protection
services
6
and
eligibility
determination
for
low-income
families.
7
Sec.
154.
GENERAL
ADMINISTRATION.
There
is
appropriated
8
from
the
general
fund
of
the
state
to
the
department
of
human
9
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
10
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
11
necessary,
to
be
used
for
the
purpose
designated:
12
For
general
administration,
including
salaries,
support,
13
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
14
the
following
full-time
equivalent
positions:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,298,373
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
285.00
17
1.
Of
the
funds
appropriated
in
this
section,
$19,272
18
allocated
for
the
prevention
of
disabilities
policy
council
19
established
in
section
225B.3.
20
2.
The
department
shall
report
at
least
monthly
to
the
21
legislative
services
agency
concerning
the
department’s
22
operational
and
program
expenditures.
23
3.
Of
the
funds
appropriated
in
this
section,
$66,150
shall
24
be
used
to
continue
the
contract
for
the
provision
of
a
program
25
to
provide
technical
assistance,
support,
and
consultation
to
26
providers
of
habilitation
services
and
home
and
community-based
27
waiver
services
for
adults
with
disabilities
under
the
medical
28
assistance
program.
29
4.
Of
the
funds
appropriated
in
this
section,
$88,200
shall
30
be
used
to
continue
the
contract
to
expand
the
provision
of
31
nationally
accredited
and
recognized
internet-based
training
to
32
include
mental
health
and
disability
services
providers.
33
5.
Of
the
funds
appropriated
in
this
section,
$250,000
34
shall
be
used
for
continuation
of
child
protection
system
35
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_____
improvements
addressed
in
2011
Iowa
Acts,
House
File
562,
as
1
enacted.
2
6.
Notwithstanding
section
8.33,
moneys
appropriated
in
3
this
section
that
remain
unencumbered
or
unobligated
at
the
4
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
5
available
for
expenditure
for
the
purposes
designated
until
the
6
close
of
the
succeeding
fiscal
year.
7
Sec.
155.
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
Sec.
156.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
15
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
16
DEPARTMENT
OF
HUMAN
SERVICES.
17
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
18
the
total
state
funding
amount
for
the
nursing
facility
budget
19
shall
not
exceed
$223,202,551.
20
(2)
The
department,
in
cooperation
with
nursing
facility
21
representatives,
shall
review
projections
for
state
funding
22
expenditures
for
reimbursement
of
nursing
facilities
on
a
23
quarterly
basis
and
the
department
shall
determine
if
an
24
adjustment
to
the
medical
assistance
reimbursement
rate
is
25
necessary
in
order
to
provide
reimbursement
within
the
state
26
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
27
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
28
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
29
if
the
state
funding
expenditures
for
the
nursing
facility
30
budget
for
the
fiscal
year
is
projected
to
exceed
the
amount
31
specified
in
subparagraph
(1),
the
department
shall
adjust
32
the
reimbursement
for
nursing
facilities
reimbursed
under
the
33
case-mix
reimbursement
system
to
maintain
expenditures
of
the
34
nursing
facility
budget
within
the
specified
amount
for
the
35
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_____
fiscal
year.
1
(3)
For
the
fiscal
year
beginning
July
1,
2012,
special
2
population
nursing
facilities
shall
be
reimbursed
in
accordance
3
with
the
methodology
in
effect
on
June
30,
2012.
4
b.
For
the
fiscal
year
beginning
July
1,
2012,
the
5
department
shall
reimburse
pharmacy
dispensing
fees
using
a
6
single
rate
of
$4.34
per
prescription
or
the
pharmacy’s
usual
7
and
customary
fee,
whichever
is
lower.
However,
the
department
8
shall
adjust
the
dispensing
fee
specified
in
this
paragraph
9
to
distribute
an
additional
$2,400,000
in
reimbursements
for
10
pharmacy
dispensing
fees
under
this
paragraph
for
the
fiscal
11
year.
12
c.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
13
reimbursement
rates
for
outpatient
hospital
services
shall
14
remain
at
the
rates
in
effect
on
June
30,
2012.
15
(2)
For
the
fiscal
year
beginning
July
1,
2012,
16
reimbursement
rates
for
inpatient
hospital
services
shall
17
remain
at
the
rates
in
effect
on
June
30,
2012.
18
(3)
For
the
fiscal
year
beginning
July
1,
2012,
the
graduate
19
medical
education
and
disproportionate
share
hospital
fund
20
shall
remain
at
the
amount
in
effect
on
June
30,
2012,
except
21
that
the
portion
of
the
fund
attributable
to
graduate
medical
22
education
shall
be
reduced
in
an
amount
that
reflects
the
23
elimination
of
graduate
medical
education
payments
made
to
24
out-of-state
hospitals.
25
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
26
funds
in
procuring
health
care
services
for
low-income
Iowans,
27
funds
appropriated
in
this
Act
for
hospital
services
shall
28
not
be
used
for
activities
which
would
be
excluded
from
a
29
determination
of
reasonable
costs
under
the
federal
Medicare
30
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
31
d.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
32
rates
for
rural
health
clinics,
hospices,
and
acute
mental
33
hospitals
shall
be
increased
in
accordance
with
increases
under
34
the
federal
Medicare
program
or
as
supported
by
their
Medicare
35
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_____
audited
costs.
1
e.
For
the
fiscal
year
beginning
July
1,
2012,
independent
2
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
3
using
the
same
methodology
in
effect
on
June
30,
2012.
4
f.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
5
rates
for
home
health
agencies
shall
remain
at
the
rates
in
6
effect
on
June
30,
2012,
not
to
exceed
a
home
health
agency’s
7
actual
allowable
cost.
8
g.
For
the
fiscal
year
beginning
July
1,
2012,
federally
9
qualified
health
centers
shall
receive
cost-based
reimbursement
10
for
100
percent
of
the
reasonable
costs
for
the
provision
of
11
services
to
recipients
of
medical
assistance.
12
h.
For
the
fiscal
year
beginning
July
1,
2012,
the
13
reimbursement
rates
for
dental
services
shall
remain
at
the
14
rates
in
effect
on
June
30,
2012.
15
i.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
16
state-owned
psychiatric
medical
institutions
for
children
shall
17
receive
cost-based
reimbursement
for
100
percent
of
the
actual
18
and
allowable
costs
for
the
provision
of
services
to
recipients
19
of
medical
assistance.
20
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
21
for
children,
reimbursement
rates
shall
be
based
on
the
22
reimbursement
methodology
developed
by
the
department
to
23
include
all
ancillary
medical
services
costs
and
any
other
24
changes
required
for
federal
compliance.
25
j.
For
the
fiscal
year
beginning
July
1,
2012,
unless
26
otherwise
specified
in
this
Act,
all
noninstitutional
medical
27
assistance
provider
reimbursement
rates
shall
remain
at
the
28
rates
in
effect
on
June
30,
2012,
except
for
area
education
29
agencies,
local
education
agencies,
infant
and
toddler
services
30
providers,
and
those
providers
whose
rates
are
required
to
be
31
determined
pursuant
to
section
249A.20.
32
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
33
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
for
34
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
35
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_____
30,
2012.
1
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
2
beginning
July
1,
2012,
the
average
reimbursement
rate
for
3
health
care
providers
eligible
for
use
of
the
federal
Medicare
4
resource-based
relative
value
scale
reimbursement
methodology
5
under
that
section
shall
remain
at
the
rate
in
effect
on
June
6
30,
2012;
however,
this
rate
shall
not
exceed
the
maximum
level
7
authorized
by
the
federal
government.
8
m.
For
the
fiscal
year
beginning
July
1,
2012,
the
9
reimbursement
rate
for
residential
care
facilities
shall
not
10
be
less
than
the
minimum
payment
level
as
established
by
the
11
federal
government
to
meet
the
federally
mandated
maintenance
12
of
effort
requirement.
The
flat
reimbursement
rate
for
13
facilities
electing
not
to
file
annual
cost
reports
shall
not
14
be
less
than
the
minimum
payment
level
as
established
by
the
15
federal
government
to
meet
the
federally
mandated
maintenance
16
of
effort
requirement.
17
n.
For
the
fiscal
year
beginning
July
1,
2012,
inpatient
18
mental
health
services
provided
at
hospitals
shall
remain
at
19
the
rates
in
effect
on
June
30,
2012,
subject
to
Medicaid
20
program
upper
payment
limit
rules;
community
mental
health
21
centers
and
providers
of
mental
health
services
to
county
22
residents
pursuant
to
a
waiver
approved
under
section
225C.7,
23
subsection
3,
shall
be
reimbursed
at
100
percent
of
the
24
reasonable
costs
for
the
provision
of
services
to
recipients
of
25
medical
assistance;
and
psychiatrists
shall
be
reimbursed
at
26
the
medical
assistance
program
fee
for
service
rate.
27
o.
For
the
fiscal
year
beginning
July
1,
2012,
the
28
reimbursement
rate
for
consumer-directed
attendant
care
shall
29
remain
at
the
rates
in
effect
on
June
30,
2012.
30
p.
For
the
fiscal
year
beginning
July
1,
2012,
the
31
reimbursement
rate
for
providers
of
family
planning
services
32
that
are
eligible
to
receive
a
90
percent
federal
match
shall
33
remain
at
the
rates
in
effect
on
June
30,
2012.
34
q.
For
the
fiscal
year
beginning
July
1,
2012,
the
35
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_____
department
shall
adjust
the
rates
in
effect
on
June
30,
1
2012,
for
providers
of
home
and
community-based
services
2
waiver
services
to
distribute
an
additional
$1,500,000
in
3
reimbursements
to
such
providers
for
the
fiscal
year.
4
2.
For
the
fiscal
year
beginning
July
1,
2012,
the
5
reimbursement
rate
for
providers
reimbursed
under
the
6
in-home-related
care
program
shall
not
be
less
than
the
minimum
7
payment
level
as
established
by
the
federal
government
to
meet
8
the
federally
mandated
maintenance
of
effort
requirement.
9
3.
Unless
otherwise
directed
in
this
section,
when
the
10
department’s
reimbursement
methodology
for
any
provider
11
reimbursed
in
accordance
with
this
section
includes
an
12
inflation
factor,
this
factor
shall
not
exceed
the
amount
13
by
which
the
consumer
price
index
for
all
urban
consumers
14
increased
during
the
calendar
year
ending
December
31,
2002.
15
4.
For
the
fiscal
year
beginning
July
1,
2012,
16
notwithstanding
section
234.38,
the
foster
family
basic
daily
17
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
18
children
ages
0
through
5
years
shall
be
$15.74,
the
rate
for
19
children
ages
6
through
11
years
shall
be
$16.37,
the
rate
for
20
children
ages
12
through
15
years
shall
be
$17.92,
and
the
21
rate
for
children
and
young
adults
ages
16
and
older
shall
be
22
$18.16.
The
maximum
supervised
apartment
living
foster
care
23
reimbursement
rate
shall
be
$25.00
per
day.
For
youth
ages
24
18
to
21
who
have
exited
foster
care,
the
maximum
preparation
25
for
adult
living
program
maintenance
rate
shall
be
$574.00
per
26
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
27
expenses
shall
be
limited
to
$500
and
the
disallowance
of
28
additional
amounts
for
court
costs
and
other
related
legal
29
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
30
section
408
shall
be
continued.
31
5.
For
the
fiscal
year
beginning
July
1,
2012,
the
maximum
32
reimbursement
rates
under
the
supervised
apartment
living
33
program
and
for
social
services
providers
under
contract
34
shall
remain
at
the
rates
in
effect
on
June
30,
2012,
or
the
35
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_____
provider’s
actual
and
allowable
cost
plus
inflation
for
each
1
service,
whichever
is
less.
However,
if
a
new
service
or
2
service
provider
is
added
after
June
30,
2012,
the
initial
3
reimbursement
rate
for
the
service
or
provider
shall
be
4
based
upon
actual
and
allowable
costs.
Providers
may
also
5
be
eligible
for
an
additional
amount
as
specified
under
the
6
department’s
request
for
proposal,
bid
number
ACFS-11-115.
7
6.
For
the
fiscal
year
beginning
July
1,
2012,
the
8
reimbursement
rates
for
family-centered
service
providers,
9
family
foster
care
service
providers,
group
foster
care
service
10
providers,
and
the
resource
family
recruitment
and
retention
11
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
12
2012.
13
7.
The
group
foster
care
reimbursement
rates
paid
for
14
placement
of
children
out
of
state
shall
be
calculated
15
according
to
the
same
rate-setting
principles
as
those
used
for
16
in-state
providers,
unless
the
director
of
human
services
or
17
the
director’s
designee
determines
that
appropriate
care
cannot
18
be
provided
within
the
state.
The
payment
of
the
daily
rate
19
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
20
which
service
is
provided.
21
8.
a.
For
the
fiscal
year
beginning
July
1,
2012,
the
22
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
23
emergency
services
implemented
to
provide
or
prevent
the
need
24
for
shelter
care
shall
be
established
in
a
contract
based
on
25
the
requirements
of
the
department’s
request
for
proposal,
bid
26
number
ACFS-11-114.
27
b.
For
the
fiscal
year
beginning
July
1,
2012,
the
combined
28
service
and
maintenance
components
of
the
reimbursement
rate
29
paid
for
shelter
care
services
shall
be
based
on
the
financial
30
and
statistical
report
submitted
to
the
department.
The
31
maximum
reimbursement
rate
shall
be
$92.36
per
day.
The
32
department
shall
reimburse
a
shelter
care
provider
at
the
33
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
34
to
exceed
the
maximum
reimbursement
rate.
35
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_____
c.
Notwithstanding
section
232.141,
subsection
8,
for
the
1
fiscal
year
beginning
July
1,
2012,
the
amount
of
the
statewide
2
average
of
the
actual
and
allowable
rates
for
reimbursement
of
3
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
4
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
5
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
6
2011.
7
9.
For
the
fiscal
year
beginning
July
1,
2012,
the
8
department
shall
calculate
reimbursement
rates
for
intermediate
9
care
facilities
for
persons
with
mental
retardation
at
the
10
80th
percentile.
Beginning
July
1,
2012,
the
rate
calculation
11
methodology
shall
utilize
the
consumer
price
index
inflation
12
factor
applicable
to
the
fiscal
year
beginning
July
1,
2012.
13
10.
For
the
fiscal
year
beginning
July
1,
2012,
for
child
14
care
providers
reimbursed
under
the
state
child
care
assistance
15
program,
the
department
shall
set
provider
reimbursement
16
rates
based
on
the
rate
reimbursement
survey
completed
in
17
December
2004.
Effective
July
1,
2012,
the
child
care
provider
18
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
19
30,
2012.
The
department
shall
set
rates
in
a
manner
so
as
20
to
provide
incentives
for
a
nonregistered
provider
to
become
21
registered
by
applying
the
increase
only
to
registered
and
22
licensed
providers.
23
11.
The
department
may
adopt
emergency
rules
to
implement
24
this
section.
25
Sec.
157.
EMERGENCY
RULES.
26
1.
If
specifically
authorized
by
a
provision
of
this
27
division
of
this
Act,
the
department
of
human
services
or
28
the
mental
health,
and
disability
services
commission
may
29
adopt
administrative
rules
under
section
17A.4,
subsection
30
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
31
implement
the
provisions
and
the
rules
shall
become
effective
32
immediately
upon
filing
or
on
a
later
effective
date
specified
33
in
the
rules,
unless
the
effective
date
is
delayed
by
the
34
administrative
rules
review
committee.
Any
rules
adopted
in
35
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_____
accordance
with
this
section
shall
not
take
effect
before
1
the
rules
are
reviewed
by
the
administrative
rules
review
2
committee.
The
delay
authority
provided
to
the
administrative
3
rules
review
committee
under
section
17A.4,
subsection
7,
and
4
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
5
imposed
under
this
section,
notwithstanding
a
provision
in
6
those
sections
making
them
inapplicable
to
section
17A.5,
7
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
8
with
the
provisions
of
this
section
shall
also
be
published
as
9
notice
of
intended
action
as
provided
in
section
17A.4.
10
2.
If
during
the
fiscal
year
beginning
July
1,
2012,
the
11
department
of
human
services
is
adopting
rules
in
accordance
12
with
this
section
or
as
otherwise
directed
or
authorized
by
13
state
law,
and
the
rules
will
result
in
an
expenditure
increase
14
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
15
expenditure
was
not
addressed
in
the
budget
process
for
the
16
fiscal
year,
the
department
shall
notify
the
persons
designated
17
by
this
division
of
this
Act
for
submission
of
reports,
18
the
chairpersons
and
ranking
members
of
the
committees
on
19
appropriations,
and
the
department
of
management
concerning
the
20
rules
and
the
expenditure
increase.
The
notification
shall
be
21
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
22
the
rules
is
submitted
to
the
administrative
rules
coordinator
23
and
the
administrative
code
editor.
24
Sec.
158.
REPORTS.
Any
reports
or
information
required
to
25
be
compiled
and
submitted
under
this
Act
shall
be
submitted
26
to
the
chairpersons
and
ranking
members
of
the
joint
27
appropriations
subcommittee
on
health
and
human
services,
the
28
legislative
services
agency,
and
the
legislative
caucus
staffs
29
on
or
before
the
dates
specified
for
submission
of
the
reports
30
or
information.
31
Sec.
159.
EFFECTIVE
DATE.
The
following
provision
of
this
32
division
of
this
Act,
being
deemed
of
immediate
importance,
33
take
effect
upon
enactment:
34
The
provision
under
the
appropriation
for
child
and
family
35
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_____
services,
relating
to
requirements
of
section
232.143
for
1
representatives
of
the
department
of
human
services
and
2
juvenile
court
services
to
establish
a
plan
for
continuing
3
group
foster
care
expenditures
for
fiscal
year
2012-2013.
4
DIVISION
XIX
5
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
6
IOWACARE
ACCOUNT,
NONPARTICIPATING
PROVIDER
7
REIMBURSEMENT
FUND,
HEALTH
CARE
TRANSFORMATION
ACCOUNT,
8
MEDICAID
FRAUD
ACCOUNT,
QUALITY
ASSURANCE
TRUST
FUND,
9
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
FY
2012-2013
10
Sec.
160.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
11
appropriated
from
the
pharmaceutical
settlement
account
created
12
in
section
249A.33
to
the
department
of
human
services
for
the
13
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
14
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
15
used
for
the
purpose
designated:
16
Notwithstanding
any
provision
of
law
to
the
contrary,
to
17
supplement
the
appropriations
made
in
this
Act
for
medical
18
contracts
under
the
medical
assistance
program:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,716,807
20
Sec.
161.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
21
1.
There
is
appropriated
from
the
IowaCare
account
22
created
in
section
249J.24
to
the
state
board
of
regents
for
23
distribution
to
the
university
of
Iowa
hospitals
and
clinics
24
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
25
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
26
to
be
used
for
the
purposes
designated:
27
For
salaries,
support,
maintenance,
equipment,
and
28
miscellaneous
purposes,
for
the
provision
of
medical
and
29
surgical
treatment
of
indigent
patients,
for
provision
of
30
services
to
members
of
the
expansion
population
pursuant
to
31
chapter
249J,
and
for
medical
education:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,284,584
33
a.
Funds
appropriated
in
this
subsection
shall
not
be
used
34
to
perform
abortions
except
medically
necessary
abortions,
and
35
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shall
not
be
used
to
operate
the
early
termination
of
pregnancy
1
clinic
except
for
the
performance
of
medically
necessary
2
abortions.
For
the
purpose
of
this
subsection,
an
abortion
is
3
the
purposeful
interruption
of
pregnancy
with
the
intention
4
other
than
to
produce
a
live-born
infant
or
to
remove
a
dead
5
fetus,
and
a
medically
necessary
abortion
is
one
performed
6
under
one
of
the
following
conditions:
7
(1)
The
attending
physician
certifies
that
continuing
the
8
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
9
(2)
The
attending
physician
certifies
that
the
fetus
is
10
physically
deformed,
mentally
deficient,
or
afflicted
with
a
11
congenital
illness.
12
(3)
The
pregnancy
is
the
result
of
a
rape
which
is
reported
13
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
14
public
or
private
health
agency
which
may
include
a
family
15
physician.
16
(4)
The
pregnancy
is
the
result
of
incest
which
is
reported
17
within
150
days
of
the
incident
to
a
law
enforcement
agency
18
or
public
or
private
health
agency
which
may
include
a
family
19
physician.
20
(5)
The
abortion
is
a
spontaneous
abortion,
commonly
known
21
as
a
miscarriage,
wherein
not
all
of
the
products
of
conception
22
are
expelled.
23
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
24
the
amount
appropriated
in
this
subsection
shall
be
distributed
25
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
26
Medicaid
enterprise.
27
c.
The
university
of
Iowa
hospitals
and
clinics
shall
28
certify
public
expenditures
in
an
amount
equal
to
provide
29
the
nonfederal
share
on
total
expenditures
not
to
exceed
30
$20,000,000.
31
2.
There
is
appropriated
from
the
IowaCare
account
32
created
in
section
249J.24
to
the
state
board
of
regents
for
33
distribution
to
the
university
of
Iowa
hospitals
and
clinics
34
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
35
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193/
216
S.F.
_____
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
1
to
be
used
for
the
purposes
designated:
2
For
salaries,
support,
maintenance,
equipment,
and
3
miscellaneous
purposes,
for
the
provision
of
medical
and
4
surgical
treatment
of
indigent
patients,
for
provision
of
5
services
to
members
of
the
expansion
population
pursuant
to
6
chapter
249J,
and
for
medical
education:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
8
Notwithstanding
any
provision
of
law
to
the
contrary,
the
9
amount
appropriated
in
this
subsection
shall
be
distributed
10
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
11
Medicaid
enterprise.
12
3.
There
is
appropriated
from
the
IowaCare
account
13
created
in
section
249J.24,
to
the
state
board
of
regents
for
14
distribution
to
university
of
Iowa
physicians
for
the
fiscal
15
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
16
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
17
for
the
purposes
designated:
18
For
salaries,
support,
maintenance,
equipment,
and
19
miscellaneous
purposes
for
the
provision
of
medical
and
20
surgical
treatment
of
indigent
patients,
for
provision
of
21
services
to
members
of
the
expansion
population
pursuant
to
22
chapter
249J,
and
for
medical
education:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,277,753
24
Notwithstanding
any
provision
of
law
to
the
contrary,
the
25
amount
appropriated
in
this
subsection
shall
be
distributed
26
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
27
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
28
this
subsection
has
been
distributed,
claims
shall
continue
to
29
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
30
however,
no
payment
shall
be
made
based
upon
such
claims.
31
4.
There
is
appropriated
from
the
IowaCare
account
created
32
in
section
249J.24
to
the
department
of
human
services
for
the
33
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
34
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
35
-194-
LSB
2820XC
(37)
84
pf/jp
194/
216
S.F.
_____
used
for
the
purposes
designated:
1
For
distribution
to
a
publicly
owned
acute
care
teaching
2
hospital
located
in
a
county
with
a
population
over
350,000
for
3
the
provision
of
medical
and
surgical
treatment
of
indigent
4
patients,
for
provision
of
services
to
members
of
the
expansion
5
population
pursuant
to
chapter
249J,
and
for
medical
education:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
7
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
8
the
amount
appropriated
in
this
subsection
shall
be
distributed
9
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
10
Medicaid
enterprise
plus
a
monthly
disproportionate
share
11
hospital
payment.
Any
amount
appropriated
in
this
subsection
12
in
excess
of
$60,000,000
shall
be
distributed
only
if
the
sum
13
of
the
expansion
population
claims
adjudicated
and
paid
by
the
14
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
15
share
hospital
payments
exceeds
$60,000,000.
The
amount
paid
16
in
excess
of
$60,000,000
shall
not
adjust
the
original
monthly
17
payment
amount
but
shall
be
distributed
monthly
based
on
actual
18
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
19
plus
the
estimated
disproportionate
share
hospital
amount.
Any
20
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
21
shall
be
allocated
only
if
federal
funds
are
available
to
match
22
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
23
appropriated
in
this
subsection,
not
more
than
$4,000,000
shall
24
be
distributed
for
prescription
drugs
and
podiatry
services.
25
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
26
hospital
identified
in
this
subsection,
shall
be
reimbursed
for
27
outpatient
prescription
drugs
and
podiatry
services
provided
to
28
members
of
the
expansion
population
pursuant
to
all
applicable
29
medical
assistance
program
rules,
in
an
amount
not
to
exceed
30
$4,000,000.
31
c.
Notwithstanding
the
total
amount
of
proceeds
distributed
32
pursuant
to
section
249J.24,
subsection
6,
paragraph
“a”,
33
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
34
1,
2012,
and
ending
June
30,
2013,
the
county
treasurer
of
a
35
-195-
LSB
2820XC
(37)
84
pf/jp
195/
216
S.F.
_____
county
with
a
population
of
over
350,000
in
which
a
publicly
1
owned
acute
care
teaching
hospital
is
located
shall
distribute
2
the
proceeds
collected
pursuant
to
section
347.7
in
a
total
3
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
4
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
5
the
IowaCare
account.
6
d.
(1)
Notwithstanding
the
amount
collected
and
7
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
8
section
249J.24,
subsection
6,
paragraph
“a”,
subparagraph
9
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
10
section
347.7
between
July
1,
2012,
and
December
31,
2012,
11
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
12
the
IowaCare
account
and
collections
during
this
time
period
13
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
14
care
teaching
hospital
identified
in
this
subsection.
Of
the
15
collections
in
excess
of
the
$19,000,000
received
by
the
acute
16
care
teaching
hospital
under
this
subparagraph
(1),
$2,000,000
17
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
18
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
19
month
of
January
2013,
following
the
July
1
through
December
20
31,
2012,
period.
21
(2)
Notwithstanding
the
amount
collected
and
distributed
22
for
deposit
in
the
IowaCare
account
pursuant
to
section
23
249J.24,
subsection
6,
paragraph
“a”,
subparagraph
(2),
24
the
first
$19,000,000
in
collections
pursuant
to
section
25
347.7
between
January
1,
2013,
and
June
30,
2013,
shall
be
26
distributed
to
the
treasurer
of
state
for
deposit
in
the
27
IowaCare
account
and
collections
during
this
time
period
in
28
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
29
teaching
hospital
identified
in
this
subsection.
Of
the
30
collections
in
excess
of
the
$19,000,000
received
by
the
acute
31
care
teaching
hospital
under
this
subparagraph
(2),
$2,000,000
32
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
33
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
34
month
of
July
2013,
following
the
January
1
through
June
30,
35
-196-
LSB
2820XC
(37)
84
pf/jp
196/
216
S.F.
_____
2013,
period.
1
5.
There
is
appropriated
from
the
IowaCare
account
created
2
in
section
249J.24
to
the
department
of
human
services
for
the
3
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
4
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
5
used
for
the
purpose
designated:
6
For
payment
to
the
regional
provider
network
specified
7
by
the
department
pursuant
to
section
249J.7
for
provision
8
of
covered
services
to
members
of
the
expansion
population
9
pursuant
to
chapter
249J:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
11
Notwithstanding
any
provision
of
law
to
the
contrary,
the
12
amount
appropriated
in
this
subsection
shall
be
distributed
13
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
14
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
15
this
subsection
has
been
distributed,
claims
shall
continue
to
16
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
17
however,
no
payment
shall
be
made
based
upon
such
claims.
18
6.
There
is
appropriated
from
the
IowaCare
account
created
19
in
section
249J.24
to
the
department
of
human
services
for
the
20
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
21
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
22
used
for
the
purposes
designated:
23
For
a
care
coordination
pool
to
pay
the
expansion
population
24
providers
consisting
of
the
university
of
Iowa
hospitals
and
25
clinics,
the
publicly
owned
acute
care
teaching
hospital
as
26
specified
in
section
249J.7,
and
current
medical
assistance
27
program
providers
that
are
not
expansion
population
network
28
providers
pursuant
to
section
249J.7,
for
services
covered
by
29
the
full
benefit
medical
assistance
program
but
not
under
the
30
IowaCare
program
pursuant
to
section
249J.6,
that
are
provided
31
to
expansion
population
members:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,500,000
33
a.
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
34
appropriated
in
this
subsection
is
intended
to
provide
35
-197-
LSB
2820XC
(37)
84
pf/jp
197/
216
S.F.
_____
payment
for
medically
necessary
services
provided
to
expansion
1
population
members
for
continuation
of
care
provided
by
the
2
university
of
Iowa
hospitals
and
clinics
or
the
publicly
owned
3
acute
care
teaching
hospital
as
specified
in
section
249J.7.
4
Payment
may
only
be
made
for
services
that
are
not
otherwise
5
covered
under
section
249J.6,
and
which
are
follow-up
services
6
to
covered
services
provided
by
the
hospitals
specified
in
this
7
paragraph
“a”.
8
b.
The
funds
appropriated
in
this
subsection
are
intended
9
to
provide
limited
payment
for
continuity
of
care
services
for
10
an
expansion
population
member,
and
are
intended
to
cover
the
11
costs
of
services
to
expansion
population
members,
regardless
12
of
the
member’s
county
of
residence
or
medical
home
assignment,
13
if
the
care
is
related
to
specialty
or
hospital
services
14
provided
by
the
hospitals
specified
in
paragraph
“a”.
15
c.
The
funds
appropriated
in
this
subsection
are
16
not
intended
to
provide
for
expanded
coverage
under
the
17
IowaCare
program,
and
shall
not
be
used
to
cover
emergency
18
transportation
services.
19
d.
The
department
shall
adopt
administrative
rules
pursuant
20
to
chapter
17A
to
establish
a
prior
authorization
process
and
21
to
identify
covered
services
for
reimbursement
under
this
22
subsection.
23
7.
There
is
appropriated
from
the
IowaCare
account
created
24
in
section
249J.24
to
the
department
of
human
services
for
the
25
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
26
the
following
amount
or
so
much
thereof
as
is
necessary
to
be
27
used
for
the
purposes
designated:
28
For
a
laboratory
test
and
radiology
pool
for
services
29
authorized
by
a
federally
qualified
health
center
designated
30
by
the
department
as
part
of
the
IowaCare
regional
provider
31
network
that
does
not
have
the
capability
to
provide
these
32
services
on
site:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
34
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
35
-198-
LSB
2820XC
(37)
84
pf/jp
198/
216
S.F.
_____
appropriated
in
this
subsection
is
intended
to
provide
1
reimbursement
for
services
provided
to
expansion
population
2
members
that
have
previously
been
paid
for
through
expenditure
3
by
designated
regional
provider
network
providers
of
their
4
own
funds,
not
to
expand
coverage
under
the
IowaCare
program
5
or
to
expand
the
expansion
population
provider
network.
The
6
department
shall
designate
the
laboratory
and
radiology
7
provider
associated
with
each
designated
regional
provider
8
network
provider
that
may
receive
reimbursement.
The
9
department
shall
adopt
administrative
rules
pursuant
to
chapter
10
17A
to
establish
a
prior
authorization
process
and
to
identify
11
covered
services
for
reimbursement
under
this
subsection.
12
All
other
medical
assistance
program
payment
policies
and
13
rules
for
laboratory
and
radiology
services
shall
apply
to
14
services
provided
under
this
subsection.
If
the
entire
amount
15
appropriated
under
this
subsection
is
expended,
laboratory
16
tests
and
radiology
services
ordered
by
a
designated
regional
17
provider
network
provider
shall
be
the
financial
responsibility
18
of
the
regional
provider
network
provider.
19
Sec.
162.
APPROPRIATIONS
FROM
NONPARTICIPATING
20
PROVIDER
REIMBURSEMENT
FUND
——
DEPARTMENT
OF
HUMAN
21
SERVICES.
Notwithstanding
any
provision
to
the
contrary,
and
22
subject
to
the
availability
of
funds,
there
is
appropriated
23
from
the
nonparticipating
provider
reimbursement
fund
created
24
in
section
249J.24A
to
the
department
of
human
services
for
the
25
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
26
the
following
amount
or
so
much
thereof
as
is
necessary
for
the
27
purposes
designated:
28
To
reimburse
nonparticipating
providers
in
accordance
with
29
section
249J.24A:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
31
Sec.
163.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
32
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
33
Notwithstanding
any
provision
to
the
contrary,
there
is
34
appropriated
from
the
account
for
health
care
transformation
35
-199-
LSB
2820XC
(37)
84
pf/jp
199/
216
S.F.
_____
created
in
section
249J.23
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,
to
be
used
for
the
purposes
designated:
4
1.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
5
expansion
population
as
provided
in
section
249J.6:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
7
2.
For
other
health
promotion
partnership
activities
8
pursuant
to
section
249J.14:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
300,000
10
3.
For
the
costs
related
to
audits,
performance
11
evaluations,
and
studies
required
pursuant
to
chapter
249J:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
13
4.
For
administrative
costs
associated
with
chapter
249J:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
566,206
15
5.
For
planning
and
development,
in
cooperation
with
the
16
department
of
public
health,
of
a
phased-in
program
to
provide
17
a
dental
home
for
children
in
accordance
with
section
249J.14:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
19
6.
For
continuation
of
the
establishment
of
the
tuition
20
assistance
for
individuals
serving
individuals
with
21
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
22
chapter
1187,
section
130:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
24
7.
For
medical
contracts:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
26
8.
For
payment
to
the
publicly
owned
acute
care
teaching
27
hospital
located
in
a
county
with
a
population
of
over
350,000
28
that
is
a
participating
provider
pursuant
to
chapter
249J:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
145,000
30
Disbursements
under
this
subsection
shall
be
made
monthly.
31
The
hospital
shall
submit
a
report
following
the
close
of
the
32
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
33
subsection
to
the
persons
specified
in
this
Act
to
receive
34
reports.
35
-200-
LSB
2820XC
(37)
84
pf/jp
200/
216
S.F.
_____
9.
For
transfer
to
the
department
of
public
health
to
be
1
used
for
the
costs
of
medical
home
system
advisory
council
2
established
pursuant
to
section
135.159:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,679
4
Notwithstanding
section
8.39,
subsection
1,
without
the
5
prior
written
consent
and
approval
of
the
governor
and
the
6
director
of
the
department
of
management,
the
director
of
human
7
services
may
transfer
funds
among
the
appropriations
made
in
8
this
section
as
necessary
to
carry
out
the
purposes
of
the
9
account
for
health
care
transformation.
The
department
shall
10
report
any
transfers
made
pursuant
to
this
section
to
the
11
legislative
services
agency.
12
Sec.
164.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
13
INSPECTIONS
AND
APPEALS.
There
is
appropriated
from
the
14
Medicaid
fraud
account
created
in
section
249A.7
to
the
15
department
of
inspections
and
appeals
for
the
fiscal
year
16
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
17
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
18
purposes
designated:
19
For
the
inspection
and
certification
of
assisted
living
20
programs
and
adult
day
care
services,
including
program
21
administration
and
costs
associated
with
implementation:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
669,764
23
Sec.
165.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
HUMAN
24
SERVICES.
There
is
appropriated
from
the
Medicaid
fraud
25
account
created
in
section
249A.7
to
the
department
of
human
26
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
27
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
28
necessary,
to
be
used
for
the
purposes
designated:
29
To
supplement
the
appropriation
made
in
this
Act
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
medical
assistance:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
33
Sec.
166.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
34
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
35
-201-
LSB
2820XC
(37)
84
pf/jp
201/
216
S.F.
_____
and
subject
to
the
availability
of
funds,
there
is
appropriated
1
from
the
quality
assurance
trust
fund
created
in
section
2
249L.4
to
the
department
of
human
services
for
the
fiscal
year
3
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
4
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
5
designated:
6
To
supplement
the
appropriation
made
in
this
Act
from
the
7
general
fund
of
the
state
to
the
department
of
human
services
8
for
medical
assistance:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
10
Sec.
167.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
11
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
12
the
contrary
and
subject
to
the
availability
of
funds,
there
is
13
appropriated
from
the
hospital
health
care
access
trust
fund
14
created
in
section
249M.4
to
the
department
of
human
services
15
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
16
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
17
necessary,
for
the
purposes
designated:
18
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
19
general
fund
of
the
state
to
the
department
of
human
services
20
for
medical
assistance:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
22
2.
For
deposit
in
the
nonparticipating
provider
23
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
24
the
purposes
of
the
fund:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
26
Sec.
168.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
27
FOR
FY
2012-2013.
Notwithstanding
section
8.33,
if
moneys
28
appropriated
for
purposes
of
the
medical
assistance
program
29
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30
30,
2013,
from
the
general
fund
of
the
state,
the
Medicaid
31
fraud
account,
the
quality
assurance
trust
fund,
and
the
32
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
33
expenditures
for
the
medical
assistance
program
and
remain
34
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
35
-202-
LSB
2820XC
(37)
84
pf/jp
202/
216
S.F.
_____
the
excess
moneys
shall
not
revert
but
shall
remain
available
1
for
expenditure
for
the
purposes
of
the
medical
assistance
2
program
until
the
close
of
the
succeeding
fiscal
year.
3
DIVISION
XX
4
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
FOR
FISCAL
YEAR
5
2012-2013
6
Sec.
169.
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
7
DEVELOPMENTAL
DISABILITIES
SERVICES
PROPERTY
TAX
8
RELIEF.
Notwithstanding
the
standing
appropriation
in
section
9
426B.1,
subsection
2,
for
the
fiscal
year
beginning
July
1,
10
2012,
and
ending
June
30,
2013,
the
amount
appropriated
from
11
the
general
fund
of
the
state
pursuant
to
that
provision
shall
12
not
exceed
the
following
amount:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
81,199,911
14
Sec.
170.
ADULT
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
——
15
FY
2012-2013.
16
1.
There
is
appropriated
from
the
general
fund
of
the
17
state
to
the
department
of
human
services
for
the
fiscal
year
18
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
19
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
20
purpose
designated:
21
For
distribution
to
counties
of
the
county
mental
health,
22
mental
retardation,
and
developmental
disabilities
allowed
23
growth
factor
adjustment
for
fiscal
year
2012-2013
as
provided
24
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
25
of
section
331.438,
subsection
2,
and
section
331.439,
26
subsection
3,
and
chapter
426B:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
68,697,893
28
2.
Of
the
amount
appropriated
in
this
section,
$12,000,000
29
shall
be
distributed
as
provided
in
this
subsection.
30
a.
To
be
eligible
to
receive
a
distribution
under
this
31
subsection,
a
county
must
meet
the
following
requirements:
32
(1)
The
county
is
levying
for
the
maximum
amount
allowed
33
for
the
county’s
mental
health,
mental
retardation,
and
34
developmental
disabilities
services
fund
under
section
331.424A
35
-203-
LSB
2820XC
(37)
84
pf/jp
203/
216
S.F.
_____
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
1
2012,
or
the
county
is
levying
for
at
least
90
percent
of
the
2
maximum
amount
allowed
for
the
county’s
services
fund
and
that
3
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
4
all
taxable
property
in
the
county.
5
(2)
In
the
fiscal
year
beginning
July
1,
2010,
the
6
county’s
mental
health,
mental
retardation,
and
developmental
7
disabilities
services
fund
ending
balance
under
generally
8
accepted
accounting
principles
was
equal
to
or
less
than
15
9
percent
of
the
county’s
actual
gross
expenditures
for
that
10
fiscal
year.
11
b.
The
amount
of
a
county’s
distribution
from
the
allocation
12
made
in
this
subsection
shall
be
determined
based
upon
the
13
county’s
proportion
of
the
general
population
of
the
counties
14
eligible
to
receive
a
distribution
under
this
subsection.
The
15
most
recent
population
estimates
issued
by
the
United
States
16
bureau
of
the
census
shall
be
applied
in
determining
population
17
for
the
purposes
of
this
paragraph.
18
c.
The
distributions
made
pursuant
to
this
subsection
19
are
subject
to
the
distribution
provisions
and
withholding
20
requirements
established
in
this
section
for
the
county
mental
21
health,
mental
retardation,
and
developmental
disabilities
22
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
23
July
1,
2012.
24
3.
The
following
amount
of
the
funding
appropriated
in
this
25
section
is
the
allowed
growth
factor
adjustment
for
fiscal
26
year
2012-2013,
and
shall
be
credited
to
the
allowed
growth
27
funding
pool
created
in
the
property
tax
relief
fund
and
for
28
distribution
in
accordance
with
section
426B.5,
subsection
1:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
56,697,893
30
4.
The
following
formula
amounts
shall
be
utilized
only
31
to
calculate
preliminary
distribution
amounts
for
the
allowed
32
growth
factor
adjustment
for
fiscal
year
2012-2013
under
this
33
section
by
applying
the
indicated
formula
provisions
to
the
34
formula
amounts
and
producing
a
preliminary
distribution
total
35
-204-
LSB
2820XC
(37)
84
pf/jp
204/
216
S.F.
_____
for
each
county:
1
a.
For
calculation
of
a
distribution
amount
for
eligible
2
counties
from
the
allowed
growth
funding
pool
created
in
the
3
property
tax
relief
fund
in
accordance
with
the
requirements
in
4
section
426B.5,
subsection
1:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
69,773,346
6
b.
For
calculation
of
a
distribution
amount
for
counties
7
from
the
mental
health
and
developmental
disabilities
(MH/DD)
8
community
services
fund
in
accordance
with
the
formula
provided
9
in
the
appropriation
made
for
the
MH/DD
community
services
fund
10
for
the
fiscal
year
beginning
July
1,
2012:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
12
5.
a.
After
applying
the
applicable
statutory
distribution
13
formulas
to
the
amounts
indicated
in
subsection
4
for
purposes
14
of
producing
preliminary
distribution
totals,
the
department
15
of
human
services
shall
apply
a
withholding
factor
to
adjust
16
an
eligible
individual
county’s
preliminary
distribution
17
total.
In
order
to
be
eligible
for
a
distribution
under
this
18
section,
a
county
must
be
levying
90
percent
or
more
of
the
19
maximum
amount
allowed
for
the
county’s
mental
health,
mental
20
retardation,
and
developmental
disabilities
services
fund
under
21
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
22
for
which
the
distribution
is
payable.
23
b.
An
ending
balance
percentage
for
each
county
shall
24
be
determined
by
expressing
the
county’s
ending
balance
on
a
25
modified
accrual
basis
under
generally
accepted
accounting
26
principles
for
the
fiscal
year
beginning
July
1,
2010,
in
the
27
county’s
mental
health,
mental
retardation,
and
developmental
28
disabilities
services
fund
created
under
section
331.424A,
as
a
29
percentage
of
the
county’s
gross
expenditures
from
that
fund
30
for
that
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
31
of
providing
services
from
the
county’s
services
fund
on
or
32
before
July
1,
2010,
and
the
county’s
services
fund
ending
33
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
34
amount
designated
in
the
county
budget
to
service
the
loan
for
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the
borrowed
moneys,
those
amounts
shall
not
be
considered
1
to
be
part
of
the
county’s
ending
balance
for
purposes
of
2
calculating
an
ending
balance
percentage
under
this
subsection.
3
c.
For
purposes
of
calculating
withholding
factors
and
for
4
ending
balance
amounts
used
for
other
purposes
under
law,
the
5
county
ending
balances
shall
be
adjusted,
using
forms
developed
6
for
this
purpose
by
the
county
finance
committee,
to
disregard
7
the
temporary
funding
increase
provided
to
the
counties
for
8
the
fiscal
year
through
the
federal
American
Recovery
and
9
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
In
addition,
a
10
county
may
adjust
the
ending
balance
amount
by
rebating
to
the
11
department
all
or
a
portion
of
the
allowed
growth
and
MH/DD
12
services
fund
moneys
the
county
received
for
the
fiscal
year
13
beginning
July
1,
2011,
in
accordance
with
this
Act,
or
from
14
any
other
services
fund
moneys
available
to
the
county.
The
15
rebate
must
be
remitted
to
the
department
on
or
before
June
1,
16
2012,
in
order
to
be
counted.
The
amount
rebated
by
a
county
17
shall
be
subtracted
dollar-for-dollar
from
the
county’s
ending
18
balance
amount
for
the
fiscal
year
beginning
July
1,
2010,
19
for
purposes
of
calculating
the
withholding
factor
and
for
20
other
ending
balance
purposes
for
the
fiscal
year
beginning
21
July
1,
2012.
The
rebates
received
by
the
department
shall
be
22
credited
to
the
property
tax
relief
fund
and
distributed
as
23
additional
funding
for
the
fiscal
year
beginning
July
1,
2012,
24
in
accordance
with
the
formula
provisions
in
this
section.
25
d.
The
withholding
factor
for
a
county
shall
be
the
26
following
applicable
percent:
27
(1)
For
an
ending
balance
percentage
of
less
than
5
28
percent,
a
withholding
factor
of
0
percent.
In
addition,
29
a
county
that
is
subject
to
this
lettered
paragraph
shall
30
receive
an
inflation
adjustment
equal
to
3
percent
of
the
gross
31
expenditures
reported
for
the
county’s
services
fund
for
the
32
fiscal
year.
33
(2)
For
an
ending
balance
percentage
of
5
percent
or
more
34
but
less
than
10
percent,
a
withholding
factor
of
0
percent.
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In
addition,
a
county
that
is
subject
to
this
lettered
1
paragraph
shall
receive
an
inflation
adjustment
equal
to
2
2
percent
of
the
gross
expenditures
reported
for
the
county’s
3
services
fund
for
the
fiscal
year.
4
(3)
For
an
ending
balance
percentage
of
10
percent
or
more
5
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
6
However,
for
counties
with
an
ending
balance
of
10
percent
or
7
more
but
less
than
15
percent,
the
amount
withheld
shall
be
8
limited
to
the
amount
by
which
the
county’s
ending
balance
was
9
in
excess
of
the
ending
balance
percentage
of
10
percent.
10
(4)
For
an
ending
balance
percentage
of
25
percent
or
more,
11
a
withholding
percentage
of
100
percent.
12
6.
The
total
withholding
amounts
applied
pursuant
to
13
subsection
5
shall
be
equal
to
a
withholding
target
amount
of
14
$13,075,453.
If
the
department
of
human
services
determines
15
that
the
amount
appropriated
is
insufficient
or
the
amount
to
16
be
withheld
in
accordance
with
subsection
5
is
not
equal
to
17
the
target
withholding
amount,
the
department
shall
adjust
the
18
withholding
factors
listed
in
subsection
5
as
necessary
to
19
achieve
the
target
withholding
amount.
However,
in
making
such
20
adjustments
to
the
withholding
factors,
the
department
shall
21
strive
to
minimize
changes
to
the
withholding
factors
for
those
22
ending
balance
percentage
ranges
that
are
lower
than
others
and
23
shall
only
adjust
the
zero
withholding
factor
or
the
inflation
24
adjustment
percentages
specified
in
subsection
5,
paragraph
25
“d”,
when
the
amount
appropriated
is
insufficient.
26
DIVISION
XXI
27
CONDITIONAL
RETROACTIVE
APPLICABILITY
28
Sec.
171.
EFFECTIVE
DATE
AND
RETROACTIVE
29
APPLICABILITY.
Unless
otherwise
provided,
this
Act,
if
30
approved
by
the
governor
on
or
after
July
1,
2011,
takes
effect
31
upon
enactment
and
applies
retroactively
to
July
1,
2011.
32
EXPLANATION
33
This
bill
relates
to
and
makes
appropriations
for
health
34
and
human
services
for
fiscal
years
2011-2012
and
2012-2013
to
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the
department
of
veterans
affairs,
the
Iowa
veterans
home,
1
the
department
on
aging,
the
department
of
public
health,
2
the
Iowa
finance
authority,
the
state
board
of
regents,
the
3
department
of
inspections
and
appeals,
and
the
department
of
4
human
services.
The
bill
is
organized
in
divisions.
5
DEPARTMENT
ON
AGING
——
FY
2011-2012.
This
division
6
appropriates
funding
from
the
general
fund
of
the
state
for
the
7
department
on
aging.
8
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2011-2012.
This
division
9
appropriates
funding
from
the
general
fund
of
the
state
for
the
10
department
of
public
health.
11
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2011-2012.
This
12
division
appropriates
funding
from
the
general
fund
of
the
13
state
for
the
department
of
veterans
affairs.
14
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2011-2012.
The
division
15
appropriates
funding
from
the
general
fund
of
the
state
and
the
16
federal
temporary
assistance
for
needy
families
block
grant
17
to
the
department
of
human
services.
The
allocation
for
the
18
family
development
and
self-sufficiency
grant
program
is
made
19
directly
to
the
department
of
human
rights.
20
An
appropriation
is
made
from
the
health
care
trust
fund
for
21
the
medical
assistance
(Medicaid)
program
in
addition
to
the
22
general
fund
appropriation
made
for
this
purpose.
23
The
reimbursement
section
addresses
reimbursement
for
24
providers
reimbursed
by
the
department
of
human
services.
25
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
IOWACARE
ACCOUNT,
26
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND,
HEALTH
CARE
27
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
ACCOUNT,
QUALITY
28
ASSURANCE
TRUST
FUND,
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
29
FUND
——
FY
2011-2012.
This
division
makes
appropriations
for
30
fiscal
year
2011-2012.
The
appropriation
to
the
department
31
of
inspections
and
appeals
is
made
from
the
Medicaid
fraud
32
account.
33
The
division
makes
an
appropriation
from
the
pharmaceutical
34
settlement
account
to
the
department
of
human
services
to
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supplement
the
medical
contracts
appropriation.
1
The
division
makes
appropriations
from
the
IowaCare
2
account
to
the
state
board
of
regents
for
distribution
to
the
3
university
of
Iowa
hospitals
and
clinics
and
to
the
department
4
of
human
services
for
distribution
to
a
publicly
owned
acute
5
care
teaching
hospital
in
a
county
with
a
population
over
6
350,000
related
to
the
IowaCare
program
and
indigent
care.
The
7
division
also
makes
appropriations
from
the
IowaCare
account
8
to
the
department
of
human
services
for
distribution
to
the
9
regional
provider
network,
a
care
coordination
pool,
and
a
10
laboratory
test
and
radiology
pool.
The
division
makes
an
11
appropriation
from
the
nonparticipating
provider
reimbursement
12
fund
to
reimburse
nonparticipating
providers
under
the
IowaCare
13
program.
The
division
makes
an
appropriation
to
the
department
14
of
human
services
from
the
health
care
transformation
account
15
for
various
health
care
reform
initiatives.
16
Appropriations
are
made
to
supplement
the
Medicaid
program
17
from
the
following
funds:
quality
assurance
trust
fund,
18
Medicaid
fraud
account,
and
hospital
health
care
access
trust
19
fund.
20
The
division
provides
that
if
the
total
amount
appropriated
21
from
all
sources
for
the
medical
assistance
program
for
fiscal
22
year
2011-2012
exceeds
the
amount
needed,
the
excess
remains
23
available
to
be
used
for
the
program
in
the
succeeding
fiscal
24
year.
25
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
FISCAL
YEAR
26
2011-2012.
This
division
allocates
the
appropriation
made
in
27
2010
Iowa
Acts,
chapter
1193,
for
distribution
to
counties
for
28
adult
mental
illness,
mental
retardation,
and
developmental
29
disabilities
services
allowed
growth
for
fiscal
year
2011-2012.
30
The
standing
appropriation
from
the
general
fund
of
the
31
state
of
$88.4
million
for
purposes
of
the
property
tax
relief
32
fund
in
Code
section
426B.1
is
reduced
to
approximately
$81.2
33
million
for
FY
2011-2012.
34
PRIOR
APPROPRIATIONS
AND
RELATED
PROVISIONS
——
FY
2011-2012.
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This
division
addresses
previous
appropriations
and
related
1
provisions.
2
New
Code
section
16.185
creates
the
community
housing
and
3
services
for
persons
with
disabilities
revolving
loan
program
4
fund
under
the
Iowa
finance
authority.
5
Code
section
35A.8A,
relating
to
Vietnam
conflict
veterans
6
bonus
compensation,
is
amended
to
change
the
application
7
deadline
from
July
1,
2010,
to
May
1,
2011.
This
change
is
8
retroactive
to
July
1,
2010.
9
An
appropriation
originally
enacted
in
2008
Iowa
Acts,
10
chapter
1187,
section
68,
for
the
Vietnam
conflict
veterans
11
bonus
fund,
is
amended
to
provide
that
upon
repeal
of
the
12
bonus
fund
on
June
30,
2011,
the
balance
is
transferred
to
the
13
veterans
trust
fund
to
be
expended
at
a
later
date
for
a
bonus
14
enacted
for
veterans
of
more
recent
conflicts.
15
An
existing
nonreversion
clause
for
purposes
of
the
16
appropriation
made
for
the
injured
veterans
grant
program
in
17
2008
Iowa
Acts,
chapter
1187,
section
69,
is
extended
through
18
FY
2011-2012.
19
A
provision
in
2009
Iowa
Acts,
chapter
182,
section
9,
20
requiring
the
department
of
human
services
to
maintain
a
21
behavioral
health
account,
is
amended
so
that
unused
funds
do
22
not
revert
but
are
retained
to
be
used
for
crisis
stabilization
23
and
other
mental
and
behavioral
health
service
improvements.
24
Unused
funds
remaining
from
the
allocation
made
in
2009
25
Iowa
Acts,
chapter
182,
section
14,
for
the
child
welfare
26
decategorization
projects
are
transferred
to
the
community
27
housing
and
services
for
persons
with
disabilities
revolving
28
loan
program
created
in
the
Act.
29
The
requirements
for
an
allocation
made
in
2009
Iowa
Acts,
30
chapter
183,
section
62,
for
infant
and
toddler
care
quality,
31
are
revised.
32
Requirements
in
2010
Iowa
Acts,
chapter
1192,
sections
1
and
33
37,
for
quarterly
review
of
reimbursement
provisions
for
case
34
management
services
under
the
Medicaid
program
elderly
waiver,
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are
deleted.
1
Funds
remaining
from
the
appropriation
made
in
2010
Iowa
2
Acts,
chapter
1192,
section
3,
for
the
Iowa
veterans
home
are
3
subject
to
a
nonreversion
clause
under
Code
section
35D.18.
4
The
bill
provides
for
the
first
$500,000
to
be
used
for
the
5
Iowa
veterans
home
in
the
succeeding
fiscal
year
and
the
6
remainder
to
be
transferred
to
the
department
of
human
services
7
to
be
used
for
the
Medicaid
program.
8
The
appropriation
made
for
the
Medicaid
program
in
2010
9
Iowa
Acts,
chapter
1192,
section
11,
is
amended
to
allow
the
10
department
of
human
services
to
increase
the
amounts
allocated
11
for
staffing
as
necessary
to
implement
cost
containment
efforts
12
to
accomplish
Medicaid
program
savings.
13
Moneys
from
the
general
fund
of
the
state
are
appropriated
14
for
FY
2010-2011
to
be
credited
to
the
injured
veterans
trust
15
fund
to
be
used
for
the
injured
veterans
grant
program.
The
16
moneys
appropriated
from
the
general
fund
do
not
revert.
17
A
nonreversion
clause
is
provided
for
the
appropriation
made
18
for
the
state
supplementary
assistance
program
in
2010
Iowa
19
Acts,
chapter
1192,
section
14.
20
Funds
appropriated
for
the
child
welfare
training
academy
21
in
2010
Iowa
Acts,
chapter
1192,
section
19
that
remain
at
the
22
close
of
the
fiscal
year
do
not
revert
but
remain
available
for
23
the
purpose
designated
until
the
close
of
the
succeeding
fiscal
24
year.
25
Sixty
thousand
dollars
of
the
appropriation
made
for
26
adoption
subsidy
for
FY
2010-2011
is
transferred
to
the
state
27
mental
health
institute
at
Cherokee
to
be
used
for
children’s
28
beds,
and
the
moneys
transferred
do
not
revert.
29
Appropriations
made
to
the
department
of
human
services
for
30
field
operations
and
general
administration
in
2010
Iowa
Acts,
31
chapter
1192,
sections
29
and
30,
that
remain
at
the
close
of
32
the
fiscal
year
do
not
revert
but
remain
available
for
the
33
purposes
designated
until
the
close
of
the
succeeding
fiscal
34
year.
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The
appropriation
made
from
the
quality
assurance
fund
in
1
2010
Iowa
Acts,
chapter
1192,
section
44,
for
the
Medicaid
2
program,
is
increased.
3
An
appropriation
made
from
the
merchant
marine
bonus
fund
4
to
the
department
of
cultural
affairs
for
FY
2010-2011
is
5
transferred
to
the
department
of
veterans
affairs
on
the
6
effective
date
of
the
provision.
Transferred
moneys
remaining
7
at
the
close
of
the
fiscal
year
are
required
to
be
credited
to
8
the
veterans
trust
fund.
9
A
portion
of
appropriations
made
to
the
department
of
human
10
services
for
FY
2010-2011
for
the
state
resource
center
at
11
Glenwood
is
transferred
to
the
Iowa
juvenile
home
appropriation
12
and
for
the
state
resource
center
at
Woodward
is
transferred
13
to
the
state
mental
health
institute
at
Independence.
This
14
provision
is
retroactively
applicable
to
January
1,
2012.
15
For
the
period
of
June
1,
2010,
and
ending
June
30,
2011,
16
a
child
welfare
funding
decategorization
project
that
is
17
incorporated
and
owns
real
property
may
utilize
project
funding
18
to
purchase
liability
insurance.
This
provision
applies
19
retroactively
to
June
1,
2010.
20
If
an
accountable
health
care
organization
is
certified
21
by
the
U.S.
government,
the
department
of
human
services
may
22
provide
certain
Medicaid
data
to
the
organization
for
purposes
23
of
a
pilot
project
to
identify
cost
savings
strategies.
24
The
division
takes
effect
upon
enactment
and
if
approved
by
25
the
governor
on
or
after
July
1,
2011,
applies
retroactively
26
to
June
30,
2011.
27
PREVENTION
AND
CHRONIC
CARE
MANAGEMENT.
This
division
28
repeals
the
state
initiative
for
prevention
and
chronic
care
29
management
in
Code
section
135.161,
directs
that
the
initiative
30
be
incorporated
into
the
duties
of
the
medical
home
system
31
advisory
council,
and
makes
conforming
amendments.
32
MISCELLANEOUS
——
FY
2011-2012.
This
division
provides
33
miscellaneous
statutory
provisions.
34
Code
section
29C.20B,
relating
to
disaster
case
management,
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is
amended
to
transfer
administrative
responsibility
from
the
1
department
of
human
services
to
the
homeland
security
and
2
emergency
management
division.
3
Code
section
135.106,
establishing
the
healthy
opportunities
4
for
parents
to
experience
success
(HOPES)
–
healthy
families
5
Iowa
(HFI)
program,
is
amended
to
provide
legislative
intent
6
that
the
priority
for
home
visitation
funding
be
given
to
7
approaches
using
evidence-based
or
promising
models
for
home
8
visitation.
9
Code
section
135H.6,
relating
to
psychiatric
medical
10
institutions
for
children,
is
amended
to
provide
that
beds
for
11
children
who
do
not
reside
in
this
state
and
whose
service
12
costs
are
not
paid
by
public
funds
are
not
subject
to
the
13
limitations
on
the
number
of
beds
and
certificate
of
need
14
requirements
otherwise
applicable.
15
Code
section
147.136,
relating
to
the
scope
of
recovery
16
in
legal
actions
for
personal
injury
against
a
health
care
17
provider,
is
amended
to
provide
that
recovery
of
economic
18
losses
replaced
by
the
Medicaid
program
is
not
barred.
19
Code
section
153.14
is
amended
to
exclude
from
the
20
definition
of
the
practice
of
dentistry,
students
of
dentistry
21
who
practice
dentistry
upon
patients
at
clinics
at
an
22
accredited
dental
college,
rather
than
only
at
the
state
dental
23
college.
24
Code
section
154A.24,
subsection
3,
relating
to
hearing
25
aid
dispensers,
is
amended
to
eliminate
certain
failures
in
26
advertising
from
the
grounds
for
suspension
or
revocation
of
27
a
license.
28
Code
section
155A.43
is
enacted
to
provide
an
annual
29
allocation
of
fees
collected
by
the
board
of
pharmacy
to
30
administer
the
pharmaceutical
collection
and
disposal
program.
31
Code
section
225B.8,
relating
to
the
sunset
repeal
date
for
32
the
prevention
of
disabilities
planning
council,
is
amended
to
33
change
the
date
from
July
1,
2011,
to
July
1,
2012.
34
The
nonreversion
clause
in
Code
section
232.188
applicable
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to
carryover
funding
under
the
decategorization
of
child
1
welfare
funding
initiative,
is
extended
for
an
additional
2
fiscal
year.
3
Code
section
235B.19,
relating
to
emergency
orders
for
4
protective
services
for
dependent
adults
is
amended
to
require
5
the
department
of
human
services
to
serve
a
copy
of
the
6
petition
and
any
order
authorizing
protective
services,
on
the
7
dependent
adult
and
on
certain
other
adults
in
the
priority
8
order
specified,
and
prohibits
certain
activities
without
prior
9
court
approval
relating
to
disposal
of
personal
property
and
10
withdrawing
of
funds
from
financial
institutions.
11
Code
section
237A.1,
relating
to
the
definition
of
“child
12
care”,
is
amended
to
provide
an
exemption
from
the
definition
13
when
a
program
is
offered
to
a
child
in
a
fitness
center
or
14
on
the
premises
of
a
nonprofit
organization
even
though
the
15
parent,
guardian,
or
custodian
of
the
child
is
employed
to
16
teach
or
lead
an
activity
provided
in
that
location.
17
Code
section
249A.4B
is
amended
to
update
the
name
of
the
18
Iowa
primary
care
association.
19
Code
section
135.27A,
the
governor’s
council
on
physical
20
fitness
and
nutrition,
is
repealed
December
31,
2011.
21
MEDICAID
PRESCRIPTION
DRUGS.
This
division
relates
to
22
coverage
of
prescription
drugs
under
the
Medicaid
program
which
23
are
prescribed
for
mental
illness.
24
The
division
takes
effect
upon
enactment
and
applies
25
retroactively
to
January
1,
2011.
26
IOWA
FALSE
CLAIMS
ACT.
This
division
includes
various
27
amendments
to
the
false
claims
Act
in
Code
chapter
685.
28
VOLUNTEER
HEALTH
CARE
PROVIDER
PROGRAM.
This
division
29
amends
Code
section
135.24,
relating
to
the
volunteer
health
30
care
provider
program
and
immunity
from
civil
liability
under
31
the
program
for
hospitals.
32
HEALTH
CARE
COST
CONTAINMENT.
This
division
provides
for
33
the
development
by
the
department
of
human
services
of
cost
34
containment
measures,
including
an
all-payer
claims
database
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and
a
provider
payment
system
plan
pilot.
1
HEALTH
INFORMATION
TECHNOLOGY.
This
division
establishes
2
Iowa
e-health,
to
develop,
administer,
and
sustain
the
health
3
information
network
to
improve
the
quality,
safety,
and
4
efficiency
of
health
care
available
to
Iowans
and
to
manage
and
5
operate
the
health
information
network.
The
division
includes
6
provisions
relating
to
guiding
principles,
goals,
and
the
five
7
domains
of
governance,
business
and
technical
operations,
8
finance,
technical
infrastructure,
and
legal
and
policy.
9
DEPARTMENT
ON
AGING
——
FY
2012-2013.
This
division
10
appropriates
funding
from
the
general
fund
of
the
state
for
the
11
department
on
aging.
12
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2012-2013.
This
division
13
appropriates
funding
from
the
general
fund
of
the
state
for
the
14
department
of
public
health.
15
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2012-2013.
This
16
division
appropriates
funding
from
the
general
fund
of
the
17
state
for
the
department
of
veterans
affairs.
18
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2012-2013.
This
division
19
appropriates
funding
from
the
general
fund
of
the
state
and
the
20
federal
temporary
assistance
for
needy
families
block
grant
for
21
the
department
of
human
services.
22
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
IOWACARE
ACCOUNT,
23
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND,
HEALTH
CARE
24
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
ACCOUNT,
QUALITY
25
ASSURANCE
TRUST
FUND,
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
26
FUND
——
FY
2012-2013.
This
division
appropriates
funding
from
27
various
funds
and
accounts
for
purposes
of
health
and
human
28
services.
29
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
FISCAL
YEAR
30
2012-2013.
This
division
appropriates
and
distributes
funding
31
to
counties
for
adult
mental
health,
mental
retardation,
and
32
developmental
disabilities
allowed
growth
for
FY
2012-2013.
33
EFFECTIVE
DATE
AND
CONDITIONAL
RETROACTIVE
APPLICABILITY.
34
This
division
specifies
that
unless
otherwise
provided,
if
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the
bill
is
approved
on
or
after
July
1,
2011,
the
bill
takes
1
effect
upon
enactment
and
is
retroactively
applicable
to
July
2
1,
2011.
3
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