Senate
Study
Bill
3191
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
GOVERNOR’S
BUDGET
BILL)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
including
other
related
provisions
and
appropriations,
2
and
including
effective,
retroactive,
and
applicability
date
3
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2012-2013
2
Section
1.
2011
Iowa
Acts,
chapter
129,
section
113,
is
3
amended
to
read
as
follows:
4
SEC.
113.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
5
the
general
fund
of
the
state
to
the
department
on
aging
for
6
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
7
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purposes
designated:
9
For
aging
programs
for
the
department
on
aging
and
area
10
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
11
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
12
aging
and
disabilities
resource
center,
and
other
services
13
which
may
include
but
are
not
limited
to
adult
day
services,
14
respite
care,
chore
services,
information
and
assistance,
15
and
material
aid,
for
information
and
options
counseling
for
16
persons
with
disabilities
who
are
18
years
of
age
or
older,
17
and
for
salaries,
support,
administration,
maintenance,
and
18
miscellaneous
purposes,
and
for
not
more
than
the
following
19
full-time
equivalent
positions:
20
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$
5,151,288
21
10,302,577
22
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FTEs
35.00
23
1.
Funds
appropriated
in
this
section
may
be
used
to
24
supplement
federal
funds
under
federal
regulations.
To
25
receive
funds
appropriated
in
this
section,
a
local
area
26
agency
on
aging
shall
match
the
funds
with
moneys
from
other
27
sources
according
to
rules
adopted
by
the
department.
Funds
28
appropriated
in
this
section
may
be
used
for
elderly
services
29
not
specifically
enumerated
in
this
section
only
if
approved
30
by
an
area
agency
on
aging
for
provision
of
the
service
within
31
the
area.
32
2.
The
amount
appropriated
in
this
section
includes
33
additional
funding
of
$225,000
$450,000
for
delivery
of
34
long-term
care
services
to
seniors
with
low
or
moderate
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incomes.
1
3.
Of
the
funds
appropriated
in
this
section,
$89,973
2
$179,946
shall
be
transferred
to
the
department
of
economic
3
development
for
the
Iowa
commission
on
volunteer
services
to
be
4
used
for
the
retired
and
senior
volunteer
program.
5
4.
a.
The
department
on
aging
shall
establish
and
enforce
6
procedures
relating
to
expenditure
of
state
and
federal
funds
7
by
area
agencies
on
aging
that
require
compliance
with
both
8
state
and
federal
laws,
rules,
and
regulations,
including
but
9
not
limited
to
all
of
the
following:
10
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
11
or
services
received
or
performed
prior
to
the
end
of
the
12
fiscal
period
designated
for
use
of
the
funds.
13
(2)
Prohibiting
prepayment
for
goods
or
services
not
14
received
or
performed
prior
to
the
end
of
the
fiscal
period
15
designated
for
use
of
the
funds.
16
(3)
Prohibiting
the
prepayment
for
goods
or
services
17
not
defined
specifically
by
good
or
service,
time
period,
or
18
recipient.
19
(4)
Prohibiting
the
establishment
of
accounts
from
which
20
future
goods
or
services
which
are
not
defined
specifically
by
21
good
or
service,
time
period,
or
recipient,
may
be
purchased.
22
b.
The
procedures
shall
provide
that
if
any
funds
are
23
expended
in
a
manner
that
is
not
in
compliance
with
the
24
procedures
and
applicable
federal
and
state
laws,
rules,
and
25
regulations,
and
are
subsequently
subject
to
repayment,
the
26
area
agency
on
aging
expending
such
funds
in
contravention
of
27
such
procedures,
laws,
rules
and
regulations,
not
the
state,
28
shall
be
liable
for
such
repayment.
29
DIVISION
II
30
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2012-2013
31
Sec.
2.
2011
Iowa
Acts,
chapter
129,
section
114,
32
subsections
1
through
3,
are
amended
to
read
as
follows:
33
1.
ADDICTIVE
DISORDERS
34
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
35
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other
drugs,
and
treating
individuals
affected
by
addictive
1
behaviors,
including
gambling,
and
for
not
more
than
the
2
following
full-time
equivalent
positions:
3
.
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.
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.
.
$
11,751,595
4
23,503,190
5
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.
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.
FTEs
13.00
6
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
7
$1,626,915
$3,253,830
shall
be
used
for
the
tobacco
use
8
prevention
and
control
initiative,
including
efforts
at
the
9
state
and
local
levels,
as
provided
in
chapter
142A.
The
10
commission
on
tobacco
use
prevention
and
control
established
11
pursuant
to
section
142A.3
shall
advise
the
director
of
12
public
health
in
prioritizing
funding
needs
and
the
allocation
13
of
moneys
appropriated
for
the
programs
and
activities
of
14
the
initiative
under
this
subparagraph
(1)
and
shall
make
15
recommendations
to
the
director
in
the
development
of
budget
16
requests
relating
to
the
initiative.
17
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$226,915
18
$453,830
shall
be
transferred
to
the
alcoholic
beverages
19
division
of
the
department
of
commerce
for
enforcement
of
20
tobacco
laws,
regulations,
and
ordinances
in
accordance
with
21
2011
Iowa
Acts,
House
File
467,
as
enacted
chapter
63
.
22
b.
Of
the
funds
appropriated
in
this
subsection,
23
$10,124,680
$20,249,360
shall
be
used
for
problem
gambling
and
24
substance
abuse
prevention,
treatment,
and
recovery
services,
25
including
a
24-hour
helpline,
public
information
resources,
26
professional
training,
and
program
evaluation.
27
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$8,566,254
28
$17,132,508
shall
be
used
for
substance
abuse
prevention
and
29
treatment.
30
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
31
$449,650
$899,300
shall
be
used
for
the
public
purpose
of
a
32
grant
program
to
provide
substance
abuse
prevention
programming
33
for
children.
34
(i)
Of
the
funds
allocated
in
this
subparagraph
division
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(a),
$213,769
427,539
shall
be
used
for
grant
funding
for
1
organizations
that
provide
programming
for
children
by
2
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
3
certified
or
will
be
certified
within
six
months
of
receiving
4
the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
5
utilizing
the
standards
for
effective
practice
for
mentoring
6
programs.
7
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
8
(a),
$213,419
$426,839
shall
be
used
for
grant
funding
for
9
organizations
that
provide
programming
that
includes
youth
10
development
and
leadership.
The
programs
shall
also
be
11
recognized
as
being
programs
that
are
scientifically
based
with
12
evidence
of
their
effectiveness
in
reducing
substance
abuse
in
13
children.
14
(iii)
The
department
of
public
health
shall
utilize
a
15
request
for
proposals
process
to
implement
the
grant
program.
16
(iv)
All
grant
recipients
shall
participate
in
a
program
17
evaluation
as
a
requirement
for
receiving
grant
funds.
18
(v)
Of
the
funds
allocated
in
this
subparagraph
division
19
(a),
up
to
$22,461
$44,922
may
be
used
to
administer
substance
20
abuse
prevention
grants
and
for
program
evaluations.
21
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
22
$136,531
$273,062
shall
be
used
for
culturally
competent
23
substance
abuse
treatment
pilot
projects.
24
(i)
The
department
shall
utilize
the
amount
allocated
25
in
this
subparagraph
division
(b)
for
at
least
three
pilot
26
projects
to
provide
culturally
competent
substance
abuse
27
treatment
in
various
areas
of
the
state.
Each
pilot
project
28
shall
target
a
particular
ethnic
minority
population.
The
29
populations
targeted
shall
include
but
are
not
limited
to
30
African
American,
Asian,
and
Latino.
31
(ii)
The
pilot
project
requirements
shall
provide
for
32
documentation
or
other
means
to
ensure
access
to
the
cultural
33
competence
approach
used
by
a
pilot
project
so
that
such
34
approach
can
be
replicated
and
improved
upon
in
successor
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programs.
1
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
2
to
$1,558,426
$3,116,852
may
be
used
for
problem
gambling
3
prevention,
treatment,
and
recovery
services.
4
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
5
$1,289,500
$2,579,000
shall
be
used
for
problem
gambling
6
prevention
and
treatment.
7
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
8
$218,926
$437,852
may
be
used
for
a
24-hour
helpline,
public
9
information
resources,
professional
training,
and
program
10
evaluation.
11
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
12
to
$50,000
$100,000
may
be
used
for
the
licensing
of
problem
13
gambling
treatment
programs.
14
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
15
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
16
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
17
given
priority
in
treatment
services.
18
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
19
to
standardize
the
availability,
delivery,
cost
of
delivery,
20
and
accountability
of
problem
gambling
and
substance
abuse
21
treatment
services
statewide,
the
department
shall
continue
22
implementation
of
a
process
to
create
a
system
for
delivery
23
of
treatment
services
in
accordance
with
the
requirements
24
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
25
subsection
4.
To
ensure
the
system
provides
a
continuum
of
26
treatment
services
that
best
meets
the
needs
of
Iowans,
the
27
problem
gambling
and
substance
abuse
treatment
services
in
any
28
area
may
be
provided
either
by
a
single
agency
or
by
separate
29
agencies
submitting
a
joint
proposal.
30
(1)
The
system
for
delivery
of
substance
abuse
and
problem
31
gambling
treatment
shall
include
problem
gambling
prevention.
32
(2)
The
system
for
delivery
of
substance
abuse
and
problem
33
gambling
treatment
shall
include
substance
abuse
prevention
by
34
July
1,
2014.
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(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
1
may
use
up
to
$50,000
$100,000
for
administrative
costs
to
2
continue
developing
and
implementing
the
process
in
accordance
3
with
this
paragraph
“c”.
4
d.
The
requirement
of
section
123.53,
subsection
5,
is
met
5
by
the
appropriations
and
allocations
made
in
this
Act
for
6
purposes
of
substance
abuse
treatment
and
addictive
disorders
7
for
the
fiscal
year
beginning
July
1,
2012.
8
e.
The
department
of
public
health
shall
work
with
all
other
9
departments
that
fund
substance
abuse
prevention
and
treatment
10
services
and
all
such
departments
shall,
to
the
extent
11
necessary,
collectively
meet
the
state
maintenance
of
effort
12
requirements
for
expenditures
for
substance
abuse
services
13
as
required
under
the
federal
substance
abuse
prevention
and
14
treatment
block
grant.
15
f.
The
department
shall
amend
or
otherwise
revise
16
departmental
policies
and
contract
provisions
in
order
to
17
eliminate
free
t-shirt
distribution,
banner
production,
and
18
other
unnecessary
promotional
expenditures.
19
2.
HEALTHY
CHILDREN
AND
FAMILIES
20
For
promoting
the
optimum
health
status
for
children,
21
adolescents
from
birth
through
21
years
of
age,
and
families,
22
and
for
not
more
than
the
following
full-time
equivalent
23
positions:
24
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.
$
1,297,135
25
2,594,270
26
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.
FTEs
10.00
27
a.
Of
the
funds
appropriated
in
this
subsection,
not
28
more
than
$369,659
$739,318
shall
be
used
for
the
healthy
29
opportunities
to
experience
success
(HOPES)-healthy
families
30
Iowa
(HFI)
program
established
pursuant
to
section
135.106.
31
The
funding
shall
be
distributed
to
renew
the
grants
that
were
32
provided
to
the
grantees
that
operated
the
program
during
the
33
fiscal
year
ending
June
30,
2012.
34
b.
Of
the
funds
appropriated
in
this
subsection,
$164,942
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$329,885
shall
be
used
to
continue
to
address
the
healthy
1
mental
development
of
children
from
birth
through
five
years
2
of
age
through
local
evidence-based
strategies
that
engage
3
both
the
public
and
private
sectors
in
promoting
healthy
4
development,
prevention,
and
treatment
for
children.
5
c.
Of
the
funds
appropriated
in
this
subsection,
$15,798
6
$31,597
shall
be
distributed
to
a
statewide
dental
carrier
to
7
provide
funds
to
continue
the
donated
dental
services
program
8
patterned
after
the
projects
developed
by
the
lifeline
network
9
to
provide
dental
services
to
indigent
elderly
and
disabled
10
individuals.
11
d.
Of
the
funds
appropriated
in
this
subsection,
$56,338
12
$112,677
shall
be
used
for
childhood
obesity
prevention.
13
e.
Of
the
funds
appropriated
in
this
subsection,
$81,880
14
$163,760
shall
be
used
to
provide
audiological
services
and
15
hearing
aids
for
children.
The
department
may
enter
into
a
16
contract
to
administer
this
paragraph.
17
3.
CHRONIC
CONDITIONS
18
For
serving
individuals
identified
as
having
chronic
19
conditions
or
special
health
care
needs,
and
for
not
more
than
20
the
following
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,680,828
22
3,361,656
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
24
a.
Of
the
funds
appropriated
in
this
subsection,
$80,291
25
$160,582
shall
be
used
for
grants
to
individual
patients
26
who
have
phenylketonuria
(PKU)
to
assist
with
the
costs
of
27
necessary
special
foods.
28
b.
Of
the
funds
appropriated
in
this
subsection,
$241,800
29
$483,600
is
allocated
for
continuation
of
the
contracts
for
30
resource
facilitator
services
in
accordance
with
section
31
135.22B,
subsection
9,
and
for
brain
injury
training
services
32
and
recruiting
of
service
providers
to
increase
the
capacity
33
within
this
state
to
address
the
needs
of
individuals
with
34
brain
injuries
and
such
individuals’
families.
35
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84
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7/
101
S.F.
_____
H.F.
_____
c.
Of
the
funds
appropriated
in
this
subsection,
$249,437
1
$498,874
shall
be
used
as
additional
funding
to
leverage
2
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
3
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
4
grants.
5
d.
Of
the
funds
appropriated
in
this
subsection,
$15,627
6
$31,254
shall
be
used
for
the
public
purpose
of
providing
7
a
grant
to
an
existing
national-affiliated
organization
to
8
provide
education,
client-centered
programs,
and
client
and
9
family
support
for
people
living
with
epilepsy
and
their
10
families.
11
e.
Of
the
funds
appropriated
in
this
subsection,
$394,151
12
$788,303
shall
be
used
for
child
health
specialty
clinics.
13
f.
Of
the
funds
appropriated
in
this
subsection,
$248,533
14
$497,065
shall
be
used
for
the
comprehensive
cancer
control
15
program
to
reduce
the
burden
of
cancer
in
Iowa
through
16
prevention,
early
detection,
effective
treatment,
and
ensuring
17
quality
of
life.
Of
the
funds
allocated
in
this
lettered
18
paragraph,
$75,000
$150,000
shall
be
used
to
support
a
melanoma
19
research
symposium,
a
melanoma
biorepository
and
registry,
20
basic
and
translational
melanoma
research,
and
clinical
trials.
21
g.
Of
the
funds
appropriated
in
this
subsection,
$63,225
22
$126,450
shall
be
used
for
cervical
and
colon
cancer
screening.
23
h.
Of
the
funds
appropriated
in
this
subsection,
$264,417
24
$528,834
shall
be
used
for
the
center
for
congenital
and
25
inherited
disorders.
26
i.
Of
the
funds
appropriated
in
this
subsection,
$64,968
27
$129,937
shall
be
used
for
the
prescription
drug
donation
28
repository
program
created
in
chapter
135M.
29
COMMUNITY
CAPACITY
APPROPRIATION
30
Sec.
3.
2011
Iowa
Acts,
chapter
129,
section
114,
subsection
31
4,
unnumbered
paragraph
1,
is
amended
to
read
as
follows:
32
For
strengthening
the
health
care
delivery
system
at
the
33
local
level,
and
for
not
more
than
the
following
full-time
34
equivalent
positions:
35
-8-
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(62)
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pf/jp
8/
101
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,117,583
1
4,235,166
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
3
COMMUNITY
CAPACITY
ALLOCATIONS
4
Sec.
4.
2011
Iowa
Acts,
chapter
129,
section
114,
subsection
5
4,
paragraphs
a
through
g,
are
amended
to
read
as
follows:
6
a.
Of
the
funds
appropriated
in
this
subsection,
$50,000
7
$100,000
is
allocated
for
a
child
vision
screening
program
8
implemented
through
the
university
of
Iowa
hospitals
and
9
clinics
in
collaboration
with
early
childhood
Iowa
areas.
10
b.
Of
the
funds
appropriated
in
this
subsection,
$55,654
11
$111,308
is
allocated
for
continuation
of
an
initiative
12
implemented
at
the
university
of
Iowa
and
$50,246
$100,493
13
is
allocated
for
continuation
of
an
initiative
at
the
state
14
mental
health
institute
at
Cherokee
to
expand
and
improve
the
15
workforce
engaged
in
mental
health
treatment
and
services.
16
The
initiatives
shall
receive
input
from
the
university
of
17
Iowa,
the
department
of
human
services,
the
department
of
18
public
health,
and
the
mental
health
and
disability
services
19
commission
to
address
the
focus
of
the
initiatives.
20
c.
Of
the
funds
appropriated
in
this
subsection,
$585,745
21
$1,171,491
shall
be
used
for
essential
public
health
services
22
that
promote
healthy
aging
throughout
the
lifespan,
contracted
23
through
a
formula
for
local
boards
of
health,
to
enhance
health
24
promotion
and
disease
prevention
services.
25
d.
Of
the
funds
appropriated
in
this
section,
$60,908
26
$121,817
shall
be
deposited
in
the
governmental
public
health
27
system
fund
created
in
section
135A.8
to
be
used
for
the
28
purposes
of
the
fund.
29
e.
Of
the
funds
appropriated
in
this
subsection,
$72,271
30
$144,542
shall
be
used
for
the
mental
health
professional
31
shortage
area
program
implemented
pursuant
to
section
135.80.
32
f.
Of
the
funds
appropriated
in
this
subsection,
$19,131
33
$38,263
shall
be
used
for
a
grant
to
a
statewide
association
34
of
psychologists
that
is
affiliated
with
the
American
35
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101
S.F.
_____
H.F.
_____
psychological
association
to
be
used
for
continuation
of
a
1
program
to
rotate
intern
psychologists
in
placements
in
urban
2
and
rural
mental
health
professional
shortage
areas,
as
defined
3
in
section
135.80
135.180
.
4
g.
Of
the
funds
appropriated
in
this
subsection,
the
5
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
6
safety
net
provider
network
established
pursuant
to
section
7
135.153
to
be
used
for
the
purposes
designated.
The
following
8
amounts
allocated
under
this
lettered
paragraph
shall
be
9
distributed
to
the
specified
provider
and
shall
not
be
reduced
10
for
administrative
or
other
costs
prior
to
distribution:
11
(1)
For
distribution
to
the
Iowa
primary
care
association
12
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
13
provider
network:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,290
15
132,580
16
(2)
For
distribution
to
the
local
boards
of
health
that
17
provide
direct
services
for
pilot
programs
in
three
counties
to
18
assist
patients
in
determining
an
appropriate
medical
home:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
20
77,609
21
(3)
For
distribution
to
maternal
and
child
health
centers
22
for
pilot
programs
in
three
counties
to
assist
patients
in
23
determining
an
appropriate
medical
home:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,804
25
77,609
26
(4)
For
distribution
to
free
clinics
for
necessary
27
infrastructure,
statewide
coordination,
provider
recruitment,
28
service
delivery,
and
provision
of
assistance
to
patients
in
29
determining
an
appropriate
medical
home:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,025
31
124,050
32
(5)
For
distribution
to
rural
health
clinics
for
necessary
33
infrastructure,
statewide
coordination,
provider
recruitment,
34
service
delivery,
and
provision
of
assistance
to
patients
in
35
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5107XG
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84
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101
S.F.
_____
H.F.
_____
determining
an
appropriate
medical
home:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,215
2
110,430
3
(6)
For
continuation
of
the
safety
net
provider
patient
4
access
to
specialty
health
care
initiative
as
described
in
2007
5
Iowa
Acts,
chapter
218,
section
109:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
130,000
7
260,000
8
(7)
For
continuation
of
the
pharmaceutical
infrastructure
9
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
10
chapter
218,
section
108:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
135,000
12
270,000
13
The
Iowa
collaborative
safety
net
provider
network
may
14
continue
to
distribute
funds
allocated
pursuant
to
this
15
lettered
paragraph
through
existing
contracts
or
renewal
of
16
existing
contracts.
17
COMMUNITY
CAPACITY
ALLOCATIONS
18
Sec.
5.
2011
Iowa
Acts,
chapter
129,
section
114,
subsection
19
4,
paragraph
h,
subparagraph
(1),
is
amended
to
read
as
20
follows:
21
(1)
Of
the
funds
appropriated
in
this
subsection,
$74,500
22
$149,000
shall
be
used
for
continued
implementation
of
23
the
recommendations
of
the
direct
care
worker
task
force
24
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
based
upon
25
the
report
submitted
to
the
governor
and
the
general
assembly
26
in
December
2006.
The
department
may
use
a
portion
of
the
27
funds
allocated
in
this
lettered
paragraph
for
an
additional
28
position
to
assist
in
the
continued
implementation.
29
COMMUNITY
CAPACITY
ALLOCATIONS
30
Sec.
6.
2011
Iowa
Acts,
chapter
129,
section
114,
subsection
31
4,
paragraphs
i
through
k,
are
amended
to
read
as
follows:
32
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
33
$65,050
$130,100
shall
be
used
for
allocation
to
an
independent
34
statewide
direct
care
worker
association
under
a
contract
with
35
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101
S.F.
_____
H.F.
_____
terms
determined
by
the
director
of
public
health
relating
1
to
education,
outreach,
leadership
development,
mentoring,
2
and
other
initiatives
intended
to
enhance
the
recruitment
and
3
retention
of
direct
care
workers
in
health
care
and
long-term
4
care
settings.
5
(2)
Of
the
funds
appropriated
in
this
subsection,
$29,000
6
$58,000
shall
be
used
to
provide
scholarships
or
other
forms
of
7
subsidization
for
direct
care
worker
educational
conferences,
8
training,
or
outreach
activities.
9
j.
Of
the
funds
appropriated
in
this
subsection,
the
10
department
may
use
up
to
$29,259
$58,518
for
up
to
one
11
full-time
equivalent
position
to
administer
the
volunteer
12
health
care
provider
program
pursuant
to
section
135.24.
13
k.
Of
the
funds
appropriated
in
this
subsection,
$25,000
14
$50,000
shall
be
used
for
a
matching
dental
education
loan
15
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
16
service
corporation
to
develop
the
criteria
and
implement
the
17
loan
repayment
program.
18
Sec.
7.
2011
Iowa
Acts,
chapter
129,
section
114,
19
subsections
5
through
9,
are
amended
to
read
as
follows:
20
5.
HEALTHY
AGING
21
To
provide
public
health
services
that
reduce
risks
and
22
invest
in
promoting
and
protecting
good
health
over
the
23
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
24
vulnerable
populations:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
26
7,297,142
27
a.
Of
the
funds
appropriated
in
this
subsection,
$1,004,593
28
$2,009,187
shall
be
used
for
local
public
health
nursing
29
services.
30
b.
Of
the
funds
appropriated
in
this
subsection,
$2,643,977
31
$5,287,955
shall
be
used
for
home
care
aide
services.
32
6.
ENVIRONMENTAL
HAZARDS
33
For
reducing
the
public’s
exposure
to
hazards
in
the
34
environment,
primarily
chemical
hazards,
and
for
not
more
than
35
-12-
LSB
5107XG
(62)
84
pf/jp
12/
101
S.F.
_____
H.F.
_____
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
406,888
2
813,777
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
4
Of
the
funds
appropriated
in
this
subsection,
$272,188
5
$544,377
shall
be
used
for
childhood
lead
poisoning
provisions.
6
7.
INFECTIOUS
DISEASES
7
For
reducing
the
incidence
and
prevalence
of
communicable
8
diseases,
and
for
not
more
than
the
following
full-time
9
equivalent
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
672,923
11
1,345,847
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
13
8.
PUBLIC
PROTECTION
14
For
protecting
the
health
and
safety
of
the
public
through
15
establishing
standards
and
enforcing
regulations,
and
for
not
16
more
than
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,388,116
18
2,776,232
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
20
127.00
21
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
22
than
$235,845
$471,690
shall
be
credited
to
the
emergency
23
medical
services
fund
created
in
section
135.25.
Moneys
in
24
the
emergency
medical
services
fund
are
appropriated
to
the
25
department
to
be
used
for
the
purposes
of
the
fund.
26
b.
Of
the
funds
appropriated
in
this
subsection,
$105,309
27
$210,619
shall
be
used
for
sexual
violence
prevention
28
programming
through
a
statewide
organization
representing
29
programs
serving
victims
of
sexual
violence
through
the
30
department’s
sexual
violence
prevention
program.
The
amount
31
allocated
in
this
lettered
paragraph
shall
not
be
used
to
32
supplant
funding
administered
for
other
sexual
violence
33
prevention
or
victims
assistance
programs.
34
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
35
-13-
LSB
5107XG
(62)
84
pf/jp
13/
101
S.F.
_____
H.F.
_____
than
$218,291
$436,582
shall
be
used
for
the
state
poison
1
control
center.
2
9.
RESOURCE
MANAGEMENT
3
For
establishing
and
sustaining
the
overall
ability
of
the
4
department
to
deliver
services
to
the
public,
and
for
not
more
5
than
the
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
409,777
7
819,554
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
9
The
university
of
Iowa
hospitals
and
clinics
under
the
10
control
of
the
state
board
of
regents
shall
not
receive
11
indirect
costs
from
the
funds
appropriated
in
this
section.
12
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
13
department
shall
be
on
at
least
a
quarterly
basis.
14
VISION
SCREENING
15
Sec.
8.
2011
Iowa
Acts,
chapter
129,
section
114,
is
amended
16
by
adding
the
following
new
subsection:
17
NEW
SUBSECTION
.
10.
VISION
SCREENING.
For
continuation
of
18
a
grant
to
a
nationally
affiliated
volunteer
eye
organization
19
that
has
an
established
program
for
children
and
adults
and
20
that
is
solely
dedicated
to
preserving
sight
and
preventing
21
blindness
through
education,
nationally
certified
vision
22
screening
and
training,
and
community
and
patient
service
23
programs:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
25
DIVISION
III
26
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2012-2013
27
Sec.
9.
2011
Iowa
Acts,
chapter
129,
section
115,
subsection
28
1,
is
amended
to
read
as
follows:
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
-14-
LSB
5107XG
(62)
84
pf/jp
14/
101
S.F.
_____
H.F.
_____
1,010,832
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
2
IOWA
VETERANS
HOME
APPROPRIATION
3
Sec.
10.
2011
Iowa
Acts,
chapter
129,
section
115,
4
subsection
2,
unnumbered
paragraph
1,
is
amended
to
read
as
5
follows:
6
For
salaries,
support,
maintenance,
and
miscellaneous
7
purposes:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,476,075
9
8,952,151
10
IOWA
VETERANS
HOME
REQUIREMENTS
11
Sec.
11.
2011
Iowa
Acts,
chapter
129,
section
115,
12
subsection
2,
paragraphs
a
through
c,
are
amended
to
read
as
13
follows:
14
a.
The
Iowa
veterans
home
billings
involving
the
department
15
of
human
services
shall
be
submitted
to
the
department
on
at
16
least
a
monthly
basis.
17
b.
If
there
is
a
change
in
the
employer
of
employees
18
providing
services
at
the
Iowa
veterans
home
under
a
collective
19
bargaining
agreement,
such
employees
and
the
agreement
shall
20
be
continued
by
the
successor
employer
as
though
there
had
not
21
been
a
change
in
employer.
22
c.
Within
available
resources
and
in
conformance
with
23
associated
state
and
federal
program
eligibility
requirements,
24
the
Iowa
veterans
home
may
implement
measures
to
provide
25
financial
assistance
to
or
on
behalf
of
veterans
or
their
26
spouses
who
are
participating
in
the
community
reentry
program.
27
Sec.
12.
2011
Iowa
Acts,
chapter
129,
section
115,
28
subsection
3,
is
amended
to
read
as
follows:
29
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
30
VETERANS
31
For
provision
of
educational
assistance
pursuant
to
section
32
35.9:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,208
34
12,416
35
-15-
LSB
5107XG
(62)
84
pf/jp
15/
101
S.F.
_____
H.F.
_____
Sec.
13.
2011
Iowa
Acts,
chapter
129,
section
115,
is
1
amended
by
adding
the
following
new
subsection:
2
NEW
SUBSECTION
.
4.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
3
For
transfer
to
the
Iowa
finance
authority
for
the
4
continuation
of
the
home
ownership
assistance
program
for
5
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
6
the
United
States,
pursuant
to
section
16.54:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,600,000
8
Sec.
14.
2011
Iowa
Acts,
chapter
129,
section
116,
is
9
amended
to
read
as
follows:
10
SEC.
116.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
11
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
12
standing
appropriation
in
the
following
designated
section
for
13
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
14
2013,
the
amounts
appropriated
from
the
general
fund
of
the
15
state
pursuant
to
that
section
for
the
following
designated
16
purposes
shall
not
exceed
the
following
amount:
17
For
the
county
commissions
of
veterans
affairs
fund
under
18
section
35A.16:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
20
990,000
21
DIVISION
IV
22
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2012-2013
23
Sec.
15.
2011
Iowa
Acts,
chapter
129,
section
117,
is
24
amended
to
read
as
follows:
25
SEC.
117.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
26
GRANT.
There
is
appropriated
from
the
fund
created
in
section
27
8.41
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2012,
and
ending
June
30,
2013,
from
moneys
29
received
under
the
federal
temporary
assistance
for
needy
30
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
31
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
32
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
33
received
under
the
emergency
contingency
fund
for
temporary
34
assistance
for
needy
families
state
program
established
35
-16-
LSB
5107XG
(62)
84
pf/jp
16/
101
S.F.
_____
H.F.
_____
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
1
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
legislation,
2
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
3
be
used
for
the
purposes
designated:
4
1.
To
be
credited
to
the
family
investment
program
account
5
and
used
for
assistance
under
the
family
investment
program
6
under
chapter
239B:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,750,369
8
19,790,365
9
2.
To
be
credited
to
the
family
investment
program
account
10
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
11
program
and
implementing
family
investment
agreements
in
12
accordance
with
chapter
239B:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,205,764
14
12,411,528
15
3.
To
be
used
for
the
family
development
and
16
self-sufficiency
grant
program
in
accordance
with
section
17
216A.107:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
19
2,898,980
20
Notwithstanding
section
8.33,
moneys
appropriated
in
this
21
subsection
that
remain
unencumbered
or
unobligated
at
the
close
22
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
23
for
expenditure
for
the
purposes
designated
until
the
close
of
24
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
25
encumbered
or
obligated
on
or
before
September
30,
2013,
the
26
moneys
shall
revert.
27
4.
For
field
operations:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
29
31,296,232
30
5.
For
general
administration:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
32
3,744,000
33
6.
For
state
child
care
assistance:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,191,343
35
-17-
LSB
5107XG
(62)
84
pf/jp
17/
101
S.F.
_____
H.F.
_____
16,382,687
1
The
funds
appropriated
in
this
subsection
shall
be
2
transferred
to
the
child
care
and
development
block
grant
3
appropriation
made
by
the
Eighty-fourth
General
Assembly,
2012
4
Session,
for
the
federal
fiscal
year
beginning
October
1,
2012,
5
and
ending
September
30,
2013,
pursuant
to
2011
Iowa
Acts,
6
chapter
126,
section
32
.
Of
this
amount,
$100,000
$200,000
7
shall
be
used
for
provision
of
educational
opportunities
to
8
registered
child
care
home
providers
in
order
to
improve
9
services
and
programs
offered
by
this
category
of
providers
10
and
to
increase
the
number
of
providers.
The
department
may
11
contract
with
institutions
of
higher
education
or
child
care
12
resource
and
referral
centers
to
provide
the
educational
13
opportunities.
Allowable
administrative
costs
under
the
14
contracts
shall
not
exceed
5
percent.
The
application
for
a
15
grant
shall
not
exceed
two
pages
in
length.
16
7.
For
distribution
to
counties
for
state
case
services
17
for
persons
with
mental
health
and
illness,
intellectual
18
disability,
or
a
developmental
disabilities
community
services
19
disability
in
accordance
with
section
331.440
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
21
4,894,052
22
8.
For
child
and
family
services:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
24
32,084,430
25
9.
For
child
abuse
prevention
grants:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
27
125,000
28
10.
For
pregnancy
prevention
grants
on
the
condition
that
29
family
planning
services
are
funded
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
31
1,930,067
32
Pregnancy
prevention
grants
shall
be
awarded
to
programs
33
in
existence
on
or
before
July
1,
2012,
if
the
programs
have
34
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
35
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_____
H.F.
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pregnancy
prevention
programs
which
are
developed
after
July
1
1,
2012,
if
the
programs
are
based
on
existing
models
that
2
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
3
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
4
section
14,
subsections
1
and
2,
including
the
requirement
that
5
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
6
the
awarding
of
grants
shall
be
given
to
programs
that
serve
7
areas
of
the
state
which
demonstrate
the
highest
percentage
of
8
unplanned
pregnancies
of
females
of
childbearing
age
within
the
9
geographic
area
to
be
served
by
the
grant.
10
11.
For
technology
needs
and
other
resources
necessary
11
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
12
management
requirements:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
14
1,037,186
15
12.
To
be
credited
to
the
state
child
care
assistance
16
appropriation
made
in
this
section
to
be
used
for
funding
of
17
community-based
early
childhood
programs
targeted
to
children
18
from
birth
through
five
years
of
age
developed
by
early
19
childhood
Iowa
areas
as
provided
in
section
256I.11:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,175,000
21
6,350,000
22
The
department
shall
transfer
TANF
block
grant
funding
23
appropriated
and
allocated
in
this
subsection
to
the
child
care
24
and
development
block
grant
appropriation
in
accordance
with
25
federal
law
as
necessary
to
comply
with
the
provisions
of
this
26
subsection.
27
13.
a.
Notwithstanding
any
provision
to
the
contrary,
28
including
but
not
limited
to
requirements
in
section
8.41
or
29
provisions
in
2011
or
2012
Iowa
Acts
regarding
the
receipt
30
and
appropriation
of
federal
block
grants,
federal
funds
31
from
the
emergency
contingency
fund
for
temporary
assistance
32
for
needy
families
state
program
established
pursuant
to
the
33
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
34
L.
No.
111-5
§
2101,
block
grant
received
by
the
state
during
35
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_____
H.F.
_____
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
1
2012,
not
otherwise
appropriated
in
this
section
and
remaining
2
available
as
of
for
the
fiscal
year
beginning
July
1,
2012,
and
3
received
by
the
state
during
the
fiscal
year
beginning
July
4
1,
2012,
and
ending
June
30,
2013,
are
appropriated
to
the
5
department
of
human
services
to
the
extent
as
may
be
necessary
6
to
be
used
in
the
following
priority
order:
the
family
7
investment
program
for
the
fiscal
year
and
for
state
child
care
8
assistance
program
payments
for
individuals
enrolled
in
the
9
family
investment
program
who
are
employed.
The
federal
funds
10
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
11
all
other
funds
appropriated
in
subsection
1
for
the
assistance
12
under
the
family
investment
program
under
chapter
239B
have
13
been
expended.
14
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
15
legislative
services
agency
and
department
of
management
of
16
the
amount
of
funds
appropriated
in
this
subsection
that
was
17
expended
in
the
prior
quarter.
18
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
19
$12,962,008
for
the
fiscal
year
beginning
July
1,
2012,
shall
20
be
transferred
to
the
appropriation
of
the
federal
social
21
services
block
grant
made
for
that
fiscal
year.
22
15.
For
continuation
of
the
program
allowing
the
department
23
to
maintain
categorical
eligibility
for
the
food
assistance
24
program
as
required
under
the
section
of
this
division
relating
25
to
the
family
investment
account:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
73,036
27
25,000
28
16.
The
department
may
transfer
funds
allocated
in
this
29
section
to
the
appropriations
made
in
this
division
of
this
Act
30
for
general
administration
and
field
operations
for
resources
31
necessary
to
implement
and
operate
the
services
referred
to
in
32
this
section
and
those
funded
in
the
appropriation
made
in
this
33
division
of
this
Act
for
the
family
investment
program
from
the
34
general
fund
of
the
state.
35
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S.F.
_____
H.F.
_____
Sec.
16.
2011
Iowa
Acts,
chapter
129,
section
118,
is
1
amended
to
read
as
follows:
2
SEC.
118.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
3
1.
Moneys
credited
to
the
family
investment
program
(FIP)
4
account
for
the
fiscal
year
beginning
July
1,
2012,
and
5
ending
June
30,
2013,
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
this
11
section
to
the
appropriations
in
this
division
of
this
Act
12
for
general
administration
and
field
operations
for
resources
13
necessary
to
implement
and
operate
the
services
referred
to
in
14
this
section
and
those
funded
in
the
appropriation
made
in
this
15
division
of
this
Act
for
the
family
investment
program
from
the
16
general
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,
2012,
and
ending
June
30,
2013,
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
27
20,000
28
b.
To
the
department
of
human
rights
for
staffing,
29
administration,
and
implementation
of
the
family
development
30
and
self-sufficiency
grant
program
in
accordance
with
section
31
216A.107:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,671,417
33
5,342,834
34
(1)
Of
the
funds
allocated
for
the
family
development
and
35
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_____
H.F.
_____
self-sufficiency
grant
program
in
this
lettered
paragraph,
1
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
2
administration
of
the
grant
program.
3
(2)
The
department
of
human
rights
may
continue
to
implement
4
the
family
development
and
self-sufficiency
grant
program
5
statewide
during
fiscal
year
2012-2013.
6
c.
For
the
diversion
subaccount
of
the
FIP
account:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
8
1,698,400
9
A
portion
of
the
moneys
allocated
for
the
subaccount
may
10
be
used
for
field
operations
salaries,
data
management
system
11
development,
and
implementation
costs
and
support
deemed
12
necessary
by
the
director
of
human
services
in
order
to
13
administer
the
FIP
diversion
program.
14
d.
For
the
food
stamp
employment
and
training
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
16
66,588
17
(1)
The
department
shall
amend
the
food
stamp
employment
and
18
training
state
plan
in
order
to
maximize
to
the
fullest
extent
19
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
20
for
the
claiming
of
allowable
federal
matching
funds
from
the
21
United
States
department
of
agriculture
pursuant
to
the
federal
22
food
stamp
employment
and
training
program
for
providing
23
education,
employment,
and
training
services
for
eligible
food
24
assistance
program
participants,
including
but
not
limited
to
25
related
dependent
care
and
transportation
expenses.
26
(2)
The
department
shall
continue
the
categorical
federal
27
food
assistance
program
eligibility
at
160
percent
of
the
28
federal
poverty
level
and
continue
to
eliminate
the
asset
test
29
from
eligibility
requirements,
consistent
with
federal
food
30
assistance
program
requirements.
The
department
shall
include
31
as
many
food
assistance
households
as
is
allowed
by
federal
32
law.
The
eligibility
provisions
shall
conform
to
all
federal
33
requirements
including
requirements
addressing
individuals
who
34
are
incarcerated
or
otherwise
ineligible.
35
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_____
e.
For
the
JOBS
program:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,117,952
2
20,235,905
3
5.
Of
the
child
support
collections
assigned
under
FIP,
4
an
amount
equal
to
the
federal
share
of
support
collections
5
shall
be
credited
to
the
child
support
recovery
appropriation
6
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
7
assigned
child
support
collections
received
by
the
child
8
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
9
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
10
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
11
payments
account.
If
as
a
consequence
of
the
appropriations
12
and
allocations
made
in
this
section
the
resulting
amounts
13
are
insufficient
to
sustain
cash
assistance
payments
and
meet
14
federal
maintenance
of
effort
requirements,
the
department
15
shall
seek
supplemental
funding.
If
child
support
collections
16
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
17
determined
not
to
be
required
for
maintenance
of
effort,
the
18
state
share
of
either
amount
may
be
transferred
to
or
retained
19
in
the
child
support
payment
account.
20
6.
The
department
may
adopt
emergency
rules
for
the
family
21
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
22
if
necessary
to
comply
with
federal
requirements.
23
Sec.
17.
2011
Iowa
Acts,
chapter
129,
section
119,
is
24
amended
to
read
as
follows:
25
SEC.
119.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
26
is
appropriated
from
the
general
fund
of
the
state
to
the
27
department
of
human
services
for
the
fiscal
year
beginning
July
28
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
29
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
30
designated:
31
To
be
credited
to
the
family
investment
program
(FIP)
32
account
and
used
for
family
investment
program
assistance
under
33
chapter
239B:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,085,513
35
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101
S.F.
_____
H.F.
_____
51,581,161
1
1.
Of
the
funds
appropriated
in
this
section,
$3,912,188
2
$7,824,377
is
allocated
for
the
JOBS
program.
3
2.
Of
the
funds
appropriated
in
this
section,
$1,231,927
4
$2,463,854
is
allocated
for
the
family
development
and
5
self-sufficiency
grant
program.
6
3.
Notwithstanding
section
8.39,
for
the
fiscal
year
7
beginning
July
1,
2012,
if
necessary
to
meet
federal
8
maintenance
of
effort
requirements
or
to
transfer
federal
9
temporary
assistance
for
needy
families
block
grant
funding
10
to
be
used
for
purposes
of
the
federal
social
services
block
11
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
12
receiving
federal
funding
or
to
implement,
in
accordance
with
13
this
division
of
this
Act,
activities
currently
funded
with
14
juvenile
court
services,
county,
or
community
moneys
and
state
15
moneys
used
in
combination
with
such
moneys,
the
department
16
of
human
services
may
transfer
funds
within
or
between
any
17
of
the
appropriations
made
in
this
division
of
this
Act
and
18
appropriations
in
law
for
the
federal
social
services
block
19
grant
to
the
department
for
the
following
purposes,
provided
20
that
the
combined
amount
of
state
and
federal
temporary
21
assistance
for
needy
families
block
grant
funding
for
each
22
appropriation
remains
the
same
before
and
after
the
transfer:
23
a.
For
the
family
investment
program.
24
b.
For
child
care
assistance.
25
c.
For
child
and
family
services.
26
d.
For
field
operations.
27
e.
For
general
administration.
28
f.
MH/MR/DD/BI
community
services
(local
purchase)
29
For
distribution
to
counties
for
state
case
services
for
30
persons
with
mental
illness,
intellectual
disability,
or
a
31
developmental
disability
in
accordance
with
section
331.440
.
32
This
subsection
shall
not
be
construed
to
prohibit
the
use
33
of
existing
state
transfer
authority
for
other
purposes.
The
34
department
shall
report
any
transfers
made
pursuant
to
this
35
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subsection
to
the
legislative
services
agency.
1
4.
Of
the
funds
appropriated
in
this
section,
$97,839
2
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
3
Iowa-based
nonprofit
organization
with
a
history
of
providing
4
tax
preparation
assistance
to
low-income
Iowans
in
order
to
5
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
6
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
7
of
the
state.
8
5.
The
department
may
transfer
funds
appropriated
in
this
9
section
to
the
appropriations
made
in
this
division
of
this
Act
10
for
general
administration
and
field
operations
as
necessary
11
to
administer
this
section
and
the
overall
family
investment
12
program.
13
Sec.
18.
2011
Iowa
Acts,
chapter
129,
section
120,
is
14
amended
to
read
as
follows:
15
SEC.
120.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
16
from
the
general
fund
of
the
state
to
the
department
of
human
17
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
18
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purposes
designated:
20
For
child
support
recovery,
including
salaries,
support,
21
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
22
the
following
full-time
equivalent
positions:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,559,627
24
13,377,993
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
26
1.
The
department
shall
expend
up
to
$12,164
$24,329
,
27
including
federal
financial
participation,
for
the
fiscal
year
28
beginning
July
1,
2012,
for
a
child
support
public
awareness
29
campaign.
The
department
and
the
office
of
the
attorney
30
general
shall
cooperate
in
continuation
of
the
campaign.
The
31
public
awareness
campaign
shall
emphasize,
through
a
variety
32
of
media
activities,
the
importance
of
maximum
involvement
of
33
both
parents
in
the
lives
of
their
children
as
well
as
the
34
importance
of
payment
of
child
support
obligations.
35
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2.
Federal
access
and
visitation
grant
moneys
shall
be
1
issued
directly
to
private
not-for-profit
agencies
that
provide
2
services
designed
to
increase
compliance
with
the
child
access
3
provisions
of
court
orders,
including
but
not
limited
to
4
neutral
visitation
sites
and
mediation
services.
5
3.
The
appropriation
made
to
the
department
for
child
6
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
7
manner
necessary
for
purposes
of
cash
flow
management,
and
for
8
cash
flow
management
purposes
the
department
may
temporarily
9
draw
more
than
the
amount
appropriated,
provided
the
amount
10
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
11
4.
With
the
exception
of
the
funding
amount
specified,
the
12
requirements
established
under
2001
Iowa
Acts,
chapter
191,
13
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
14
be
applicable
to
parental
obligation
pilot
projects
for
the
15
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013.
16
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
17
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
18
in
effect
until
June
30,
2013.
19
Sec.
19.
2011
Iowa
Acts,
chapter
129,
section
121,
is
20
amended
to
read
as
follows:
21
SEC.
121.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE.
Any
22
funds
remaining
in
the
health
care
trust
fund
created
in
23
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2012,
24
and
ending
June
30,
2013,
are
appropriated
to
the
department
25
of
human
services
to
supplement
the
medical
assistance
program
26
appropriations
made
in
this
Act,
for
medical
assistance
27
reimbursement
and
associated
costs,
including
program
28
administration
and
costs
associated
with
implementation.
29
Sec.
20.
2011
Iowa
Acts,
chapter
129,
section
122,
is
30
amended
to
read
as
follows:
31
SEC.
122.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
32
the
general
fund
of
the
state
to
the
department
of
human
33
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
34
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
35
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necessary,
to
be
used
for
the
purpose
designated:
1
For
medical
assistance
program
reimbursement
and
associated
2
costs
as
specifically
provided
in
the
reimbursement
3
methodologies
in
effect
on
June
30,
2012,
except
as
otherwise
4
expressly
authorized
by
law,
and
consistent
with
options
under
5
federal
law
and
regulations:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
914,993,421
7
958,750,766
8
1.
Iowans
support
reducing
the
number
of
abortions
9
performed
in
our
state.
For
an
abortion
covered
under
the
10
program,
except
in
the
case
of
a
medical
emergency,
as
defined
11
in
section
135L.1,
for
any
woman,
the
physician
shall
certify
12
both
of
the
following:
13
a.
That
the
woman
has
been
given
the
opportunity
to
view
an
14
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
15
before
an
abortion
is
performed.
16
b.
That
the
woman
has
been
provided
information
regarding
17
the
options
relative
to
a
pregnancy,
including
continuing
the
18
pregnancy
to
term
and
retaining
parental
rights
following
the
19
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
20
child
for
adoption,
and
terminating
the
pregnancy.
21
2.
The
department
shall
utilize
not
more
than
$60,000
of
22
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
23
health
insurance
premium
payment
program
as
established
in
1992
24
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
25
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
26
not
more
than
$5,000
may
be
expended
for
administrative
27
purposes.
28
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
29
of
public
health
for
addictive
disorders,
$950,000
for
the
30
fiscal
year
beginning
July
1,
2012,
shall
be
transferred
to
31
the
department
of
human
services
for
an
integrated
substance
32
abuse
managed
care
system.
The
department
shall
not
assume
33
management
of
the
substance
abuse
system
in
place
of
the
34
managed
care
contractor
unless
such
a
change
in
approach
is
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specifically
authorized
in
law.
The
departments
of
human
1
services
and
public
health
shall
work
together
to
maintain
2
the
level
of
mental
health
and
substance
abuse
services
3
provided
by
the
managed
care
contractor
through
the
Iowa
plan
4
for
behavioral
health.
Each
department
shall
take
the
steps
5
necessary
to
continue
the
federal
waivers
as
necessary
to
6
maintain
the
level
of
services.
7
4.
a.
The
department
shall
aggressively
pursue
options
for
8
providing
medical
assistance
or
other
assistance
to
individuals
9
with
special
needs
who
become
ineligible
to
continue
receiving
10
services
under
the
early
and
periodic
screening,
diagnostic,
11
and
treatment
program
under
the
medical
assistance
program
12
due
to
becoming
21
years
of
age
who
have
been
approved
for
13
additional
assistance
through
the
department’s
exception
to
14
policy
provisions,
but
who
have
health
care
needs
in
excess
15
of
the
funding
available
through
the
exception
to
policy
16
provisions.
17
b.
Of
the
funds
appropriated
in
this
section,
$100,000
18
shall
be
used
for
participation
in
one
or
more
pilot
projects
19
operated
by
a
private
provider
to
allow
the
individual
or
20
individuals
to
receive
service
in
the
community
in
accordance
21
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
22
(1999),
for
the
purpose
of
providing
medical
assistance
or
23
other
assistance
to
individuals
with
special
needs
who
become
24
ineligible
to
continue
receiving
services
under
the
early
and
25
periodic
screening,
diagnosis,
and
treatment
program
under
26
the
medical
assistance
program
due
to
becoming
21
years
of
27
age
who
have
been
approved
for
additional
assistance
through
28
the
department’s
exception
to
policy
provisions,
but
who
have
29
health
care
needs
in
excess
of
the
funding
available
through
30
the
exception
to
the
policy
provisions.
31
5.
Of
the
funds
appropriated
in
this
section,
up
to
32
$3,050,082
may
be
transferred
to
the
field
operations
33
or
general
administration
appropriations
in
this
Act
for
34
operational
costs
associated
with
Part
D
of
the
federal
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Medicare
Prescription
Drug
Improvement
and
Modernization
Act
1
of
2003,
Pub.
L.
No.
108-173.
2
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
3
may
be
transferred
to
the
appropriation
in
this
division
4
of
this
Act
for
medical
contracts
to
be
used
for
clinical
5
assessment
services
and
prior
authorization
of
services.
6
7.
A
portion
of
the
funds
appropriated
in
this
section
7
may
be
transferred
to
the
appropriations
in
this
division
of
8
this
Act
for
general
administration,
medical
contracts,
the
9
children’s
health
insurance
program,
or
field
operations
to
be
10
used
for
the
state
match
cost
to
comply
with
the
payment
error
11
rate
measurement
(PERM)
program
for
both
the
medical
assistance
12
and
children’s
health
insurance
programs
as
developed
by
the
13
centers
for
Medicare
and
Medicaid
services
of
the
United
States
14
department
of
health
and
human
services
to
comply
with
the
15
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
16
107-300.
17
8.
It
is
the
intent
of
the
general
assembly
that
the
18
department
continue
to
implement
the
recommendations
of
19
the
assuring
better
child
health
and
development
initiative
20
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
21
screening,
diagnostic,
and
treatment
services
healthy
mental
22
development
collaborative
board
regarding
changes
to
billing
23
procedures,
codes,
and
eligible
service
providers.
24
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
25
amount
is
allocated
to
supplement
the
incomes
of
residents
of
26
nursing
facilities,
intermediate
care
facilities
for
persons
27
with
mental
illness,
and
intermediate
care
facilities
for
28
persons
with
mental
retardation,
with
incomes
of
less
than
$50
29
in
the
amount
necessary
for
the
residents
to
receive
a
personal
30
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A.
31
10.
Of
the
funds
appropriated
in
this
section,
the
following
32
amounts
shall
be
transferred
to
the
appropriations
made
in
this
33
division
of
this
Act
for
the
state
mental
health
institutes:
34
a.
Cherokee
mental
health
institute
..........
$
9,098,425
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b.
Clarinda
mental
health
institute
..........
$
1,977,305
1
c.
Independence
mental
health
institute
......
$
9,045,894
2
d.
Mount
Pleasant
mental
health
institute
....
$
5,752,587
3
11.
a.
Of
the
funds
appropriated
in
this
section,
4
$7,425,684
$7,678,245
is
allocated
for
the
state
match
for
5
a
disproportionate
share
hospital
payment
of
$19,133,430
6
to
hospitals
that
meet
both
of
the
conditions
specified
7
in
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
8
that
meet
the
conditions
specified
shall
either
certify
9
public
expenditures
or
transfer
to
the
medical
assistance
10
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
11
disproportionate
share
hospital
payment
of
$7,500,000.
The
12
hospitals
that
meet
the
conditions
specified
shall
receive
and
13
retain
100
percent
of
the
total
disproportionate
share
hospital
14
payment
of
$26,633,430.
15
(1)
The
hospital
qualifies
for
disproportionate
share
and
16
graduate
medical
education
payments.
17
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
18
than
500
beds
and
eight
or
more
distinct
residency
specialty
19
or
subspecialty
programs
recognized
by
the
American
college
of
20
graduate
medical
education.
21
b.
Distribution
of
the
disproportionate
share
payments
22
shall
be
made
on
a
monthly
basis.
The
total
amount
of
23
disproportionate
share
payments
including
graduate
medical
24
education,
enhanced
disproportionate
share,
and
Iowa
25
state-owned
teaching
hospital
payments
shall
not
exceed
the
26
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
27
In
addition,
the
total
amount
of
all
disproportionate
28
share
payments
shall
not
exceed
the
hospital-specific
29
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
30
12.
The
university
of
Iowa
hospitals
and
clinics
shall
31
either
certify
public
expenditures
or
transfer
to
the
medical
32
assistance
appropriation
an
amount
equal
to
provide
the
33
nonfederal
share
for
increased
medical
assistance
payments
for
34
inpatient
and
outpatient
hospital
services
of
$9,900,000.
The
35
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_____
H.F.
_____
university
of
Iowa
hospitals
and
clinics
shall
receive
and
1
retain
100
percent
of
the
total
increase
in
medical
assistance
2
payments.
3
13.
Of
the
funds
appropriated
in
this
section,
up
to
4
$4,480,304
$8,684,329
may
be
transferred
to
the
IowaCare
5
account
created
in
section
249J.24.
6
14.
Of
the
funds
appropriated
in
this
section,
$200,000
7
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
8
2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
9
Iowa
Acts,
chapter
179,
sections
166
and
167.
10
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
11
to
area
education
agencies
that
are
medical
assistance
12
providers
for
medical
assistance-covered
services
provided
to
13
medical
assistance-covered
children,
shall
be
made
from
the
14
appropriation
made
in
this
section.
15
16.
Any
new
or
renewed
contract
entered
into
by
the
16
department
with
a
third
party
to
administer
behavioral
health
17
services
under
the
medical
assistance
program
shall
provide
18
that
any
interest
earned
on
payments
from
the
state
during
19
the
state
fiscal
year
shall
be
remitted
to
the
department
20
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
21
assistance
program.
22
17.
The
department
shall
continue
to
implement
the
23
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
24
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
25
section
55,
relating
to
eligibility
for
certain
persons
with
26
disabilities
under
the
medical
assistance
program
in
accordance
27
with
the
federal
Family
Opportunity
Act.
28
18.
A
portion
of
the
funds
appropriated
in
this
section
29
may
be
transferred
to
the
appropriation
in
this
division
of
30
this
Act
for
medical
contracts
to
be
used
for
administrative
31
activities
associated
with
the
money
follows
the
person
32
demonstration
project.
33
19.
Of
the
funds
appropriated
in
this
section,
$349,011
34
shall
be
used
for
the
administration
of
the
health
insurance
35
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101
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_____
H.F.
_____
premium
payment
program,
including
salaries,
support,
1
maintenance,
and
miscellaneous
purposes
for
the
fiscal
year
2
beginning
July
1,
2012.
3
20.
a.
The
department
may
continue
to
implement
cost
4
containment
strategies
recommended
by
the
governor
,
and
for
5
the
fiscal
year
beginning
July
1,
2011,
and
shall
implement
6
new
strategies
for
the
fiscal
year
beginning
July
1,
2012,
as
7
specified
in
this
division
of
this
2012
Act.
The
department
8
may
adopt
emergency
rules
for
such
implementation.
9
b.
The
department
shall
not
implement
the
cost
containment
10
strategy
to
require
a
primary
care
referral
for
the
provision
11
of
chiropractic
services.
12
c.
The
department
may
increase
the
amounts
allocated
for
13
salaries,
support,
maintenance,
and
miscellaneous
purposes
14
associated
with
the
medical
assistance
program,
as
necessary,
15
to
implement
the
cost
containment
strategies.
The
department
16
shall
report
any
such
increase
to
the
legislative
services
17
agency
and
the
department
of
management.
18
d.
If
the
savings
to
the
medical
assistance
program
for
19
the
fiscal
year
beginning
July
1,
2012,
exceed
the
cost,
the
20
department
may
transfer
any
savings
generated
for
the
fiscal
21
year
due
to
medical
assistance
program
cost
containment
efforts
22
initiated
pursuant
to
2010
Iowa
Acts,
chapter
1031,
Executive
23
Order
No.
20,
issued
December
16,
2009,
or
cost
containment
24
strategies
initiated
pursuant
to
this
subsection,
to
the
25
appropriation
made
in
this
division
of
this
Act
for
medical
26
contracts
or
general
administration
to
defray
the
increased
27
contract
costs
associated
with
implementing
such
efforts.
28
e.
The
department
shall
report
the
implementation
of
29
any
cost
containment
strategies
under
this
subsection
to
30
the
individuals
specified
in
this
division
of
this
Act
for
31
submission
of
reports
on
a
quarterly
basis.
32
21.
Notwithstanding
any
provision
of
law
to
the
contrary,
33
the
department
of
human
services
shall
continue
implementation
34
of
the
amended
section
1915(b)
waiver
and
Iowa
plan
contract
35
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S.F.
_____
H.F.
_____
for
inclusion
of
remedial
services
under
the
Iowa
plan
contract
1
for
the
fiscal
year
beginning
July
1,
2012.
2
22.
a.
Of
the
funds
appropriated
in
this
section,
3
$5,000,000
shall
be
used
to
continue
the
reduction
in
4
the
waiting
lists
of
these
medical
assistance
home
and
5
community-based
services
waivers
implemented
pursuant
to
this
6
Act
for
2011-2012:
the
waiver
for
persons
with
intellectual
7
disabilities,
the
waiver
for
persons
with
brain
injury,
and
the
8
children’s
mental
health
waiver.
9
b.
In
addition
to
the
funds
allocated
in
paragraph
“a”,
10
$5,000,000
of
the
funds
appropriated
in
this
section
shall
11
be
used
to
implement
reductions
in
the
waiting
lists
of
all
12
medical
assistance
home
and
community-based
services
waivers.
13
Sec.
21.
2011
Iowa
Acts,
chapter
129,
section
122,
is
14
amended
by
adding
the
following
new
subsections:
15
NEW
SUBSECTION
.
23.
The
department
shall
align
16
reimbursement
for
prescription
drugs
administered
by
a
17
physician
to
be
equivalent
to
the
reimbursement
for
the
same
18
prescription
drug
when
dispensed
by
a
pharmacy.
19
NEW
SUBSECTION
.
24.
The
department
shall
implement
a
20
hospital
inpatient
reimbursement
policy
to
provide
for
the
21
combining
of
an
original
claim
for
an
inpatient
stay
with
a
22
claim
for
a
subsequent
inpatient
stay
when
the
patient
is
23
admitted
within
seven
days
of
discharge
from
the
original
24
hospital
stay
for
the
same
condition.
25
NEW
SUBSECTION
.
25.
The
department
shall
implement
a
26
policy
to
ensure
that
reimbursement
for
Medicare
Part
A
and
27
Medicare
Part
B
crossover
claims
is
limited
to
the
Medicaid
28
reimbursement
rate.
29
NEW
SUBSECTION
.
26.
The
department
shall
transition
30
payment
for
and
administration
of
services
provided
by
31
psychiatric
medical
institutions
for
children
to
the
Iowa
plan.
32
Sec.
22.
2011
Iowa
Acts,
chapter
129,
section
123,
is
33
amended
to
read
as
follows:
34
SEC.
123.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
35
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_____
H.F.
_____
general
fund
of
the
state
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purpose
designated:
4
For
medical
contracts:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,453,728
6
8,460,680
7
1.
The
department
of
inspections
and
appeals
shall
8
provide
all
state
matching
funds
for
survey
and
certification
9
activities
performed
by
the
department
of
inspections
10
and
appeals.
The
department
of
human
services
is
solely
11
responsible
for
distributing
the
federal
matching
funds
for
12
such
activities.
13
2.
Of
the
funds
appropriated
in
this
section,
$25,000
14
$50,000
shall
be
used
for
continuation
of
home
and
15
community-based
services
waiver
quality
assurance
programs,
16
including
the
review
and
streamlining
of
processes
and
policies
17
related
to
oversight
and
quality
management
to
meet
state
and
18
federal
requirements.
19
3.
Of
the
amount
appropriated
in
this
section,
up
to
20
$200,000
may
be
transferred
to
the
appropriation
for
general
21
administration
in
this
division
of
this
Act
to
be
used
for
22
additional
full-time
equivalent
positions
in
the
development
of
23
key
health
initiatives
such
as
cost
containment,
development
24
and
oversight
of
managed
care
programs,
and
development
of
25
health
strategies
targeted
toward
improved
quality
and
reduced
26
costs
in
the
Medicaid
program.
27
Sec.
23.
2011
Iowa
Acts,
chapter
129,
section
124,
is
28
amended
to
read
as
follows:
29
SEC.
124.
STATE
SUPPLEMENTARY
ASSISTANCE.
30
1.
There
is
appropriated
from
the
general
fund
of
the
31
state
to
the
department
of
human
services
for
the
fiscal
year
32
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
33
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
34
purpose
designated:
35
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101
S.F.
_____
H.F.
_____
For
the
state
supplementary
assistance
program:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,425,373
2
16,850,747
3
2.
The
department
shall
increase
the
personal
needs
4
allowance
for
residents
of
residential
care
facilities
by
the
5
same
percentage
and
at
the
same
time
as
federal
supplemental
6
security
income
and
federal
social
security
benefits
are
7
increased
due
to
a
recognized
increase
in
the
cost
of
living.
8
The
department
may
adopt
emergency
rules
to
implement
this
9
subsection.
10
3.
If
during
the
fiscal
year
beginning
July
1,
2012,
11
the
department
projects
that
state
supplementary
assistance
12
expenditures
for
a
calendar
year
will
not
meet
the
federal
13
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
14
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
15
§
1382g,
the
department
may
take
actions
including
but
not
16
limited
to
increasing
the
personal
needs
allowance
for
17
residential
care
facility
residents
and
making
programmatic
18
adjustments
or
upward
adjustments
of
the
residential
care
19
facility
or
in-home
health-related
care
reimbursement
rates
20
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
21
requirements
are
met.
In
addition,
the
department
may
make
22
other
programmatic
and
rate
adjustments
necessary
to
remain
23
within
the
amount
appropriated
in
this
section
while
ensuring
24
compliance
with
federal
requirements.
The
department
may
adopt
25
emergency
rules
to
implement
the
provisions
of
this
subsection.
26
Sec.
24.
2011
Iowa
Acts,
chapter
129,
section
125,
is
27
amended
to
read
as
follows:
28
SEC.
125.
CHILDREN’S
HEALTH
INSURANCE
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
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
35
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101
S.F.
_____
H.F.
_____
program
pursuant
to
chapter
514I,
including
supplemental
dental
1
services,
for
receipt
of
federal
financial
participation
under
2
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
3
children’s
health
insurance
program:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,403,051
5
40,400,160
6
2.
Of
the
funds
appropriated
in
this
section,
$64,475
7
$141,450
is
allocated
for
continuation
of
the
contract
for
8
outreach
with
the
department
of
public
health.
9
3.
Notwithstanding
section
514I.11,
subsection
2,
moneys
10
appropriated
in
this
section
that
remain
unencumbered
or
11
unobligated
at
the
close
of
the
fiscal
year
shall
revert
to
the
12
general
fund
of
the
state.
13
Sec.
25.
2011
Iowa
Acts,
chapter
129,
section
126,
is
14
amended
to
read
as
follows:
15
SEC.
126.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
16
from
the
general
fund
of
the
state
to
the
department
of
human
17
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
18
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purpose
designated:
20
For
child
care
programs:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
26,618,831
22
53,237,662
23
1.
Of
the
funds
appropriated
in
this
section,
$25,948,041
24
$51,868,235
shall
be
used
for
state
child
care
assistance
in
25
accordance
with
section
237A.13.
26
2.
Nothing
in
this
section
shall
be
construed
or
is
27
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
28
to
persons
who
are
eligible
for
assistance
due
to
an
income
29
level
consistent
with
the
waiting
list
requirements
of
section
30
237A.13.
Any
state
obligation
to
provide
services
pursuant
to
31
this
section
is
limited
to
the
extent
of
the
funds
appropriated
32
in
this
section.
33
3.
Of
the
funds
appropriated
in
this
section,
$216,226
34
$432,453
is
allocated
for
the
statewide
program
for
child
care
35
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101
S.F.
_____
H.F.
_____
resource
and
referral
services
under
section
237A.26.
A
list
1
of
the
registered
and
licensed
child
care
facilities
operating
2
in
the
area
served
by
a
child
care
resource
and
referral
3
service
shall
be
made
available
to
the
families
receiving
state
4
child
care
assistance
in
that
area.
5
4.
Of
the
funds
appropriated
in
this
section,
$468,487
6
$936,974
is
allocated
for
child
care
quality
improvement
7
initiatives
including
but
not
limited
to
the
voluntary
quality
8
rating
system
in
accordance
with
section
237A.30.
9
5.
The
department
may
use
any
of
the
funds
appropriated
10
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
11
expanding
child
care
assistance
and
related
programs.
For
12
the
purpose
of
expenditures
of
state
and
federal
child
care
13
funding,
funds
shall
be
considered
obligated
at
the
time
14
expenditures
are
projected
or
are
allocated
to
the
department’s
15
service
areas.
Projections
shall
be
based
on
current
and
16
projected
caseload
growth,
current
and
projected
provider
17
rates,
staffing
requirements
for
eligibility
determination
18
and
management
of
program
requirements
including
data
systems
19
management,
staffing
requirements
for
administration
of
the
20
program,
contractual
and
grant
obligations
and
any
transfers
21
to
other
state
agencies,
and
obligations
for
decategorization
22
or
innovation
projects.
23
6.
A
portion
of
the
state
match
for
the
federal
child
care
24
and
development
block
grant
shall
be
provided
as
necessary
to
25
meet
federal
matching
funds
requirements
through
the
state
26
general
fund
appropriation
made
for
child
development
grants
27
and
other
programs
for
at-risk
children
in
section
279.51.
28
7.
If
a
uniform
reduction
ordered
by
the
governor
under
29
section
8.31
or
other
operation
of
law,
transfer,
or
federal
30
funding
reduction
reduces
the
appropriation
made
in
this
31
section
for
the
fiscal
year,
the
percentage
reduction
in
the
32
amount
paid
out
to
or
on
behalf
of
the
families
participating
33
in
the
state
child
care
assistance
program
shall
be
equal
to
or
34
less
than
the
percentage
reduction
made
for
any
other
purpose
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_____
H.F.
_____
payable
from
the
appropriation
made
in
this
section
and
the
1
federal
funding
relating
to
it.
The
percentage
reduction
to
2
the
other
allocations
made
in
this
section
shall
be
the
same
as
3
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
4
change
of
the
federal
funding
reduction,
as
applicable.
5
If
there
is
an
unanticipated
increase
in
federal
funding
6
provided
for
state
child
care
assistance,
the
entire
amount
7
of
the
increase
shall
be
used
for
state
child
care
assistance
8
payments.
If
the
appropriations
made
for
purposes
of
the
9
state
child
care
assistance
program
for
the
fiscal
year
are
10
determined
to
be
insufficient,
it
is
the
intent
of
the
general
11
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
12
in
order
to
avoid
establishment
of
waiting
list
requirements.
13
8.
Notwithstanding
section
8.33,
moneys
appropriated
14
in
this
section
or
advanced
for
purposes
of
the
programs
15
developed
by
early
childhood
Iowa
areas,
advanced
for
purposes
16
of
wraparound
child
care,
or
received
from
the
federal
17
appropriations
made
for
the
purposes
of
this
section
that
18
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
19
year
shall
not
revert
to
any
fund
but
shall
remain
available
20
for
expenditure
for
the
purposes
designated
until
the
close
of
21
the
succeeding
fiscal
year.
22
Sec.
26.
2011
Iowa
Acts,
chapter
129,
section
127,
is
23
amended
to
read
as
follows:
24
SEC.
127.
JUVENILE
INSTITUTIONS.
There
is
appropriated
25
from
the
general
fund
of
the
state
to
the
department
of
human
26
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
27
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
28
necessary,
to
be
used
for
the
purposes
designated:
29
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
30
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
31
for
not
more
than
the
following
full-time
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,129,125
33
8,328,264
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
35
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S.F.
_____
H.F.
_____
2.
For
operation
of
the
state
training
school
at
Eldora
and
1
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
2
and
for
not
more
than
the
following
full-time
equivalent
3
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,319,338
5
10,740,988
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
7
Of
the
funds
appropriated
in
this
subsection,
$45,575
8
$91,150
shall
be
used
for
distribution
to
licensed
classroom
9
teachers
at
this
and
other
institutions
under
the
control
of
10
the
department
of
human
services
based
upon
the
average
student
11
yearly
enrollment
at
each
institution
as
determined
by
the
12
department.
13
3.
A
portion
of
the
moneys
appropriated
in
this
section
14
shall
be
used
by
the
state
training
school
and
by
the
Iowa
15
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
16
activities
at
the
institutions
in
the
fiscal
year
beginning
17
July
1,
2012.
18
Sec.
27.
2011
Iowa
Acts,
chapter
129,
section
128,
is
19
amended
to
read
as
follows:
20
SEC.
128.
CHILD
AND
FAMILY
SERVICES.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
child
and
family
services:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,415,081
28
79,941,095
29
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
30
amount
allocated
under
the
appropriation
made
for
the
purposes
31
of
this
section
in
prior
years
for
purposes
of
juvenile
32
delinquent
graduated
sanction
services,
up
to
$2,600,000
33
$5,200,000
of
the
amount
of
federal
temporary
assistance
34
for
needy
families
block
grant
funding
appropriated
in
this
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H.F.
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division
of
this
Act
for
child
and
family
services
shall
be
1
made
available
for
purposes
of
juvenile
delinquent
graduated
2
sanction
services.
3
3.
The
department
may
transfer
funds
appropriated
in
this
4
section
as
necessary
to
pay
the
nonfederal
costs
of
services
5
reimbursed
under
the
medical
assistance
program,
state
child
6
care
assistance
program,
or
the
family
investment
program
which
7
are
provided
to
children
who
would
otherwise
receive
services
8
paid
under
the
appropriation
in
this
section.
The
department
9
may
transfer
funds
appropriated
in
this
section
to
the
10
appropriations
made
in
this
division
of
this
Act
for
general
11
administration
and
for
field
operations
for
resources
necessary
12
to
implement
and
operate
the
services
funded
in
this
section.
13
4.
a.
Of
the
funds
appropriated
in
this
section,
up
14
to
$15,084,564
$30,235,574
is
allocated
as
the
statewide
15
expenditure
target
under
section
232.143
for
group
foster
care
16
maintenance
and
services.
If
the
department
projects
that
such
17
expenditures
for
the
fiscal
year
will
be
less
than
the
target
18
amount
allocated
in
this
lettered
paragraph,
the
department
may
19
reallocate
the
excess
to
provide
additional
funding
for
shelter
20
care
or
the
child
welfare
emergency
services
addressed
with
the
21
allocation
for
shelter
care.
22
b.
If
at
any
time
after
September
30,
2012,
annualization
23
of
a
service
area’s
current
expenditures
indicates
a
service
24
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
25
target
under
section
232.143
by
more
than
5
percent,
the
26
department
and
juvenile
court
services
shall
examine
all
27
group
foster
care
placements
in
that
service
area
in
order
to
28
identify
those
which
might
be
appropriate
for
termination.
29
In
addition,
any
aftercare
services
believed
to
be
needed
30
for
the
children
whose
placements
may
be
terminated
shall
be
31
identified.
The
department
and
juvenile
court
services
shall
32
initiate
action
to
set
dispositional
review
hearings
for
the
33
placements
identified.
In
such
a
dispositional
review
hearing,
34
the
juvenile
court
shall
determine
whether
needed
aftercare
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H.F.
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services
are
available
and
whether
termination
of
the
placement
1
is
in
the
best
interest
of
the
child
and
the
community.
2
5.
In
accordance
with
the
provisions
of
section
232.188,
3
the
department
shall
continue
the
child
welfare
and
juvenile
4
justice
funding
initiative
during
fiscal
year
2012-2013.
Of
5
the
funds
appropriated
in
this
section,
$858,876
$1,717,753
6
is
allocated
specifically
for
expenditure
for
fiscal
year
7
2012-2013
through
the
decategorization
service
funding
pools
8
and
governance
boards
established
pursuant
to
section
232.188.
9
6.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
used
for
emergency
family
assistance
to
provide
other
11
resources
required
for
a
family
participating
in
a
family
12
preservation
or
reunification
project
or
successor
project
to
13
stay
together
or
to
be
reunified.
14
7.
Notwithstanding
section
234.35
or
any
other
provision
15
of
law
to
the
contrary,
state
funding
for
shelter
care
and
16
the
child
welfare
emergency
services
contracting
implemented
17
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
18
limited
to
$3,585,058
$7,556,372
.
The
department
may
continue
19
or
execute
contracts
that
result
from
the
department’s
request
20
for
proposal,
bid
number
ACFS-11-114,
to
provide
the
range
of
21
child
welfare
emergency
services
described
in
the
request
for
22
proposals,
and
any
subsequent
amendments
to
the
request
for
23
proposals.
24
8.
Federal
funds
received
by
the
state
during
the
fiscal
25
year
beginning
July
1,
2012,
as
the
result
of
the
expenditure
26
of
state
funds
appropriated
during
a
previous
state
fiscal
27
year
for
a
service
or
activity
funded
under
this
section
are
28
appropriated
to
the
department
to
be
used
as
additional
funding
29
for
services
and
purposes
provided
for
under
this
section.
30
Notwithstanding
section
8.33,
moneys
received
in
accordance
31
with
this
subsection
that
remain
unencumbered
or
unobligated
at
32
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
33
shall
remain
available
for
the
purposes
designated
until
the
34
close
of
the
succeeding
fiscal
year.
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_____
H.F.
_____
9.
Of
the
funds
appropriated
in
this
section,
at
least
1
$1,848,142
shall
be
used
for
protective
child
care
assistance.
2
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
3
$1,031,244
$2,062,488
is
allocated
for
the
payment
of
the
4
expenses
of
court-ordered
services
provided
to
juveniles
who
5
are
under
the
supervision
of
juvenile
court
services,
which
6
expenses
are
a
charge
upon
the
state
pursuant
to
section
7
232.141,
subsection
4.
Of
the
amount
allocated
in
this
8
lettered
paragraph,
up
to
$778,143
$1,556,287
shall
be
made
9
available
to
provide
school-based
supervision
of
children
10
adjudicated
under
chapter
232,
of
which
not
more
than
$7,500
11
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
12
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
13
the
school
district
or
other
funding
source
as
approved
by
the
14
chief
juvenile
court
officer.
15
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
16
$748,985
is
allocated
for
the
payment
of
the
expenses
of
17
court-ordered
services
provided
to
children
who
are
under
the
18
supervision
of
the
department,
which
expenses
are
a
charge
upon
19
the
state
pursuant
to
section
232.141,
subsection
4.
20
c.
Notwithstanding
section
232.141
or
any
other
provision
21
of
law
to
the
contrary,
the
amounts
allocated
in
this
22
subsection
shall
be
distributed
to
the
judicial
districts
23
as
determined
by
the
state
court
administrator
and
to
the
24
department’s
service
areas
as
determined
by
the
administrator
25
of
the
department’s
division
of
child
and
family
services.
The
26
state
court
administrator
and
the
division
administrator
shall
27
make
the
determination
of
the
distribution
amounts
on
or
before
28
June
15,
2012.
29
d.
Notwithstanding
chapter
232
or
any
other
provision
of
30
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
31
order
any
service
which
is
a
charge
upon
the
state
pursuant
32
to
section
232.141
if
there
are
insufficient
court-ordered
33
services
funds
available
in
the
district
court
or
departmental
34
service
area
distribution
amounts
to
pay
for
the
service.
The
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_____
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_____
chief
juvenile
court
officer
and
the
departmental
service
area
1
manager
shall
encourage
use
of
the
funds
allocated
in
this
2
subsection
such
that
there
are
sufficient
funds
to
pay
for
3
all
court-related
services
during
the
entire
year.
The
chief
4
juvenile
court
officers
and
departmental
service
area
managers
5
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
6
in
the
distribution
amounts
and
shall
cooperatively
request
the
7
state
court
administrator
or
division
administrator
to
transfer
8
funds
between
the
judicial
districts’
or
departmental
service
9
areas’
distribution
amounts
as
prudent.
10
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
11
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
12
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
13
entered
under
chapter
232
which
is
a
charge
upon
the
state
14
under
section
232.141,
subsection
4.
15
f.
Of
the
funds
allocated
in
this
subsection,
not
more
16
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
17
administration
of
the
requirements
under
this
subsection.
18
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
19
shall
be
used
by
the
department
of
human
services
to
support
20
the
interstate
commission
for
juveniles
in
accordance
with
21
the
interstate
compact
for
juveniles
as
provided
in
section
22
232.173.
23
11.
Of
the
funds
appropriated
in
this
section,
$2,961,301
24
$5,922,602
is
allocated
for
juvenile
delinquent
graduated
25
sanctions
services.
Any
state
funds
saved
as
a
result
of
26
efforts
by
juvenile
court
services
to
earn
federal
Tit.
IV-E
27
match
for
juvenile
court
services
administration
may
be
used
28
for
the
juvenile
delinquent
graduated
sanctions
services.
29
12.
Of
the
funds
appropriated
in
this
section,
$494,142
30
$988,285
shall
be
transferred
to
the
department
of
public
31
health
to
be
used
for
the
child
protection
center
grant
program
32
in
accordance
with
section
135.118.
33
13.
If
the
department
receives
federal
approval
to
34
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
35
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101
S.F.
_____
H.F.
_____
Security
Act
to
enable
providers
to
serve
children
who
remain
1
in
the
children’s
families
and
communities,
for
purposes
of
2
eligibility
under
the
medical
assistance
program,
children
who
3
participate
in
the
waiver
shall
be
considered
to
be
placed
in
4
foster
care.
5
14.
Of
the
funds
appropriated
in
this
section,
$1,534,916
6
$3,092,375
is
allocated
for
the
preparation
for
adult
living
7
program
pursuant
to
section
234.46.
8
15.
Of
the
funds
appropriated
in
this
section,
$260,075
9
$520,150
shall
be
used
for
juvenile
drug
courts.
The
amount
10
allocated
in
this
subsection
shall
be
distributed
as
follows:
11
To
the
judicial
branch
for
salaries
to
assist
with
the
12
operation
of
juvenile
drug
court
programs
operated
in
the
13
following
jurisdictions:
14
a.
Marshall
county:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
16
62,708
17
b.
Woodbury
county:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
19
125,682
20
c.
Polk
county:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
22
195,892
23
d.
The
third
judicial
district:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
25
67,934
26
e.
The
eighth
judicial
district:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
28
67,934
29
16.
Of
the
funds
appropriated
in
this
section,
$113,668
30
$227,337
shall
be
used
for
the
public
purpose
of
providing
a
31
grant
to
a
nonprofit
human
services
organization
providing
32
services
to
individuals
and
families
in
multiple
locations
in
33
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
34
immediate,
sensitive
support
and
forensic
interviews,
medical
35
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101
S.F.
_____
H.F.
_____
exams,
needs
assessments,
and
referrals
for
victims
of
child
1
abuse
and
their
nonoffending
family
members.
2
17.
Of
the
funds
appropriated
in
this
section,
$62,795
3
$125,590
is
allocated
for
the
elevate
foster
care
youth
council
4
approach
of
providing
a
support
network
to
children
placed
in
5
foster
care.
6
18.
Of
the
funds
appropriated
in
this
section,
$101,000
7
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
8
continuation
of
the
initiative
to
address
child
sexual
abuse
9
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
10
18,
subsection
21.
11
19.
Of
the
funds
appropriated
in
this
section,
$315,120
12
$630,240
is
allocated
for
the
community
partnership
for
child
13
protection
sites.
14
20.
Of
the
funds
appropriated
in
this
section,
$185,625
15
$371,250
is
allocated
for
the
department’s
minority
youth
and
16
family
projects
under
the
redesign
of
the
child
welfare
system.
17
21.
Of
the
funds
appropriated
in
this
section,
$600,247
18
$1,200,495
is
allocated
for
funding
of
the
state
match
for
19
community
circle
of
care
collaboration
for
children
and
20
youth
in
northeast
Iowa,
formerly
referred
to
as
the
federal
21
substance
abuse
and
mental
health
services
administration
22
(SAMHSA)
system
of
care
grant.
23
22.
Of
the
funds
appropriated
in
this
section,
at
least
24
$73,579
$147,158
shall
be
used
for
the
child
welfare
training
25
academy.
26
23.
Of
the
funds
appropriated
in
this
section,
$12,500
27
$25,000
shall
be
used
for
the
public
purpose
of
continuation
28
of
a
grant
to
a
child
welfare
services
provider
headquartered
29
in
a
county
with
a
population
between
205,000
and
215,000
in
30
the
latest
certified
federal
census
that
provides
multiple
31
services
including
but
not
limited
to
a
psychiatric
medical
32
institution
for
children,
shelter,
residential
treatment,
after
33
school
programs,
school-based
programming,
and
an
Asperger’s
34
syndrome
program,
to
be
used
for
support
services
for
children
35
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101
S.F.
_____
H.F.
_____
with
autism
spectrum
disorder
and
their
families.
1
24.
Of
the
funds
appropriated
in
this
section
$125,000
2
$250,000
shall
be
used
for
continuation
of
the
central
Iowa
3
system
of
care
program
grant
through
June
30,
2013.
4
25.
Of
the
funds
appropriated
in
this
section,
$80,000
5
$160,000
shall
be
used
for
the
public
purpose
of
the
6
continuation
of
a
system
of
care
grant
implemented
in
Cerro
7
Gordo
and
Linn
counties
in
accordance
with
this
Act
in
FY
8
2011-2012.
9
Sec.
28.
2011
Iowa
Acts,
chapter
129,
is
amended
by
adding
10
the
following
new
section:
11
NEW
SECTION
.
SEC.
128A.
CHILDREN
AND
YOUTH
PROGRAMS.
There
12
is
appropriated
from
the
general
fund
of
the
state
to
the
13
department
of
human
services
for
the
fiscal
year
beginning
July
14
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
or
15
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
16
designated:
17
1.
For
the
community
circle
of
care
collaboration
for
18
children
and
youth
in
northeast
Iowa,
formerly
known
as
the
19
federal
substance
abuse
and
mental
health
administration
20
(SAMHSA)
system
of
care
grant:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
236,100
22
2.
For
the
central
Iowa
system
of
care
program
grant
for
23
children
and
youth:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
77,947
25
Sec.
29.
2011
Iowa
Acts,
chapter
129,
section
129,
is
26
amended
to
read
as
follows:
27
SEC.
129.
ADOPTION
SUBSIDY.
28
1.
There
is
appropriated
from
the
general
fund
of
the
29
state
to
the
department
of
human
services
for
the
fiscal
year
30
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
31
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purpose
designated:
33
For
adoption
subsidy
payments
and
services:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,633,295
35
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101
S.F.
_____
H.F.
_____
31,526,402
1
2.
The
department
may
transfer
funds
appropriated
in
2
this
section
to
the
appropriation
made
in
this
division
of
3
this
Act
for
general
administration
for
costs
paid
from
the
4
appropriation
relating
to
adoption
subsidy.
5
3.
Federal
funds
received
by
the
state
during
the
6
fiscal
year
beginning
July
1,
2012,
as
the
result
of
the
7
expenditure
of
state
funds
during
a
previous
state
fiscal
8
year
for
a
service
or
activity
funded
under
this
section
are
9
appropriated
to
the
department
to
be
used
as
additional
funding
10
for
the
services
and
activities
funded
under
this
section.
11
Notwithstanding
section
8.33,
moneys
received
in
accordance
12
with
this
subsection
that
remain
unencumbered
or
unobligated
13
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
14
but
shall
remain
available
for
expenditure
for
the
purposes
15
designated
until
the
close
of
the
succeeding
fiscal
year.
16
Sec.
30.
2011
Iowa
Acts,
chapter
129,
section
130,
is
17
amended
to
read
as
follows:
18
SEC.
130.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
19
in
the
juvenile
detention
home
fund
created
in
section
232.142
20
during
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
21
30,
2013,
are
appropriated
to
the
department
of
human
services
22
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
23
2013,
for
distribution
of
an
amount
equal
to
a
percentage
of
24
the
costs
of
the
establishment,
improvement,
operation,
and
25
maintenance
of
county
or
multicounty
juvenile
detention
homes
26
in
the
fiscal
year
beginning
July
1,
2011.
Moneys
appropriated
27
for
distribution
in
accordance
with
this
section
shall
be
28
allocated
among
eligible
detention
homes,
prorated
on
the
basis
29
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
30
eligible
detention
homes
in
the
fiscal
year
beginning
July
31
1,
2011.
The
percentage
figure
shall
be
determined
by
the
32
department
based
on
the
amount
available
for
distribution
for
33
the
fund.
Notwithstanding
section
232.142,
subsection
3,
Code
34
Supplement
2011,
the
financial
aid
payable
by
the
state
under
35
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101
S.F.
_____
H.F.
_____
that
provision
for
the
fiscal
year
beginning
July
1,
2012,
1
shall
be
limited
to
the
amount
appropriated
for
the
purposes
of
2
this
section.
3
Sec.
31.
2011
Iowa
Acts,
chapter
129,
section
131,
is
4
amended
to
read
as
follows:
5
SEC.
131.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
6
1.
There
is
appropriated
from
the
general
fund
of
the
7
state
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
9
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purpose
designated:
11
For
the
family
support
subsidy
program
subject
to
the
12
enrollment
restrictions
in
section
225C.37,
subsection
3:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
583,999
14
1,096,784
15
2.
The
department
shall
use
at
least
$192,750
$385,500
16
of
the
moneys
appropriated
in
this
section
for
the
family
17
support
center
component
of
the
comprehensive
family
support
18
program
under
section
225C.47.
Not
more
than
$12,500
$25,000
19
of
the
amount
allocated
in
this
subsection
shall
be
used
for
20
administrative
costs.
21
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
22
funding
available
for
the
family
support
subsidy
program
23
is
reduced
from
the
amount
initially
used
to
establish
the
24
figure
for
the
number
of
family
members
for
whom
a
subsidy
25
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
26
notwithstanding
section
225C.38,
subsection
2,
the
department
27
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
28
of
funding
available.
29
Sec.
32.
2011
Iowa
Acts,
chapter
129,
section
132,
is
30
amended
to
read
as
follows:
31
SEC.
132.
CONNER
DECREE.
There
is
appropriated
from
the
32
general
fund
of
the
state
to
the
department
of
human
services
33
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
34
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
35
-48-
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5107XG
(62)
84
pf/jp
48/
101
S.F.
_____
H.F.
_____
to
be
used
for
the
purpose
designated:
1
For
building
community
capacity
through
the
coordination
2
and
provision
of
training
opportunities
in
accordance
with
the
3
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
4
Iowa,
July
14,
1994):
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
6
33,622
7
Sec.
33.
2011
Iowa
Acts,
chapter
129,
section
133,
is
8
amended
to
read
as
follows:
9
SEC.
133.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
10
from
the
general
fund
of
the
state
to
the
department
of
human
11
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
12
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
13
necessary,
to
be
used
for
the
purposes
designated:
14
1.
For
the
state
mental
health
institute
at
Cherokee
for
15
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
16
for
not
more
than
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,938,654
18
5,641,037
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
20
2.
For
the
state
mental
health
institute
at
Clarinda
for
21
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
22
for
not
more
than
the
following
full-time
equivalent
positions:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,205,867
24
6,463,337
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
26
3.
For
the
state
mental
health
institute
at
Independence
for
27
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
28
for
not
more
than
the
following
full-time
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,137,842
30
9,804,212
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
32
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
33
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
34
and
for
not
more
than
the
following
full-time
equivalent
35
-49-
LSB
5107XG
(62)
84
pf/jp
49/
101
S.F.
_____
H.F.
_____
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
472,161
2
944,323
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.72
4
Sec.
34.
2011
Iowa
Acts,
chapter
129,
section
134,
is
5
amended
to
read
as
follows:
6
SEC.
134.
STATE
RESOURCE
CENTERS.
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
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purposes
designated:
12
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
13
support,
maintenance,
and
miscellaneous
purposes:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,253,900
15
19,092,576
16
b.
For
the
state
resource
center
at
Woodward
for
salaries,
17
support,
maintenance,
and
miscellaneous
purposes:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,392,829
19
13,176,093
20
2.
The
department
may
continue
to
bill
for
state
resource
21
center
services
utilizing
a
scope
of
services
approach
used
for
22
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
23
shift
costs
between
the
medical
assistance
program,
counties,
24
or
other
sources
of
funding
for
the
state
resource
centers.
25
3.
The
state
resource
centers
may
expand
the
time-limited
26
assessment
and
respite
services
during
the
fiscal
year.
27
4.
If
the
department’s
administration
and
the
department
28
of
management
concur
with
a
finding
by
a
state
resource
29
center’s
superintendent
that
projected
revenues
can
reasonably
30
be
expected
to
pay
the
salary
and
support
costs
for
a
new
31
employee
position,
or
that
such
costs
for
adding
a
particular
32
number
of
new
positions
for
the
fiscal
year
would
be
less
33
than
the
overtime
costs
if
new
positions
would
not
be
added,
34
the
superintendent
may
add
the
new
position
or
positions.
If
35
-50-
LSB
5107XG
(62)
84
pf/jp
50/
101
S.F.
_____
H.F.
_____
the
vacant
positions
available
to
a
resource
center
do
not
1
include
the
position
classification
desired
to
be
filled,
the
2
state
resource
center’s
superintendent
may
reclassify
any
3
vacant
position
as
necessary
to
fill
the
desired
position.
The
4
superintendents
of
the
state
resource
centers
may,
by
mutual
5
agreement,
pool
vacant
positions
and
position
classifications
6
during
the
course
of
the
fiscal
year
in
order
to
assist
one
7
another
in
filling
necessary
positions.
8
5.
If
existing
capacity
limitations
are
reached
in
9
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
10
a
special
need
for
which
a
payment
source
or
other
funding
11
is
available
for
the
service
or
to
address
the
special
need,
12
and
facilities
for
the
service
or
to
address
the
special
need
13
can
be
provided
within
the
available
payment
source
or
other
14
funding,
the
superintendent
of
a
state
resource
center
may
15
authorize
opening
not
more
than
two
units
or
other
facilities
16
and
begin
implementing
the
service
or
addressing
the
special
17
need
during
fiscal
year
2012-2013.
18
Sec.
35.
2011
Iowa
Acts,
chapter
129,
section
137,
is
19
amended
to
read
as
follows:
20
SEC.
137.
SEXUALLY
VIOLENT
PREDATORS.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
costs
associated
with
the
commitment
and
treatment
of
27
sexually
violent
predators
in
the
unit
located
at
the
state
28
mental
health
institute
at
Cherokee,
including
costs
of
legal
29
services
and
other
associated
costs,
including
salaries,
30
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
31
more
than
the
following
full-time
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,775,363
33
8,413,668
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
35
-51-
LSB
5107XG
(62)
84
pf/jp
51/
101
S.F.
_____
H.F.
_____
95.90
1
2.
Unless
specifically
prohibited
by
law,
if
the
amount
2
charged
provides
for
recoupment
of
at
least
the
entire
amount
3
of
direct
and
indirect
costs,
the
department
of
human
services
4
may
contract
with
other
states
to
provide
care
and
treatment
5
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
6
violent
predators
at
Cherokee.
The
moneys
received
under
7
such
a
contract
shall
be
considered
to
be
repayment
receipts
8
and
used
for
the
purposes
of
the
appropriation
made
in
this
9
section.
10
FIELD
OPERATIONS
11
Sec.
36.
2011
Iowa
Acts,
chapter
129,
section
138,
12
unnumbered
paragraphs
1
through
3,
are
amended
to
read
as
13
follows:
14
There
is
appropriated
from
the
general
fund
of
the
state
to
15
the
department
of
human
services
for
the
fiscal
year
beginning
16
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
17
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
18
designated:
19
For
field
operations,
including
salaries,
support,
20
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
21
the
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,394,960
23
62,315,440
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
25
Priority
in
filling
full-time
equivalent
positions
shall
be
26
given
to
those
positions
related
to
child
protection
services
27
and
eligibility
determination
for
low-income
families.
28
GENERAL
ADMINISTRATION
APPROPRIATION
29
Sec.
37.
2011
Iowa
Acts,
chapter
129,
section
139,
30
unnumbered
paragraphs
1
and
2,
are
amended
to
read
as
follows:
31
There
is
appropriated
from
the
general
fund
of
the
state
to
32
the
department
of
human
services
for
the
fiscal
year
beginning
33
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
34
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
35
-52-
LSB
5107XG
(62)
84
pf/jp
52/
101
S.F.
_____
H.F.
_____
designated:
1
For
general
administration,
including
salaries,
support,
2
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,298,372
5
15,621,842
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
285.00
7
295.00
8
GENERAL
ADMINISTRATION
REQUIREMENTS
9
Sec.
38.
2011
Iowa
Acts,
chapter
129,
section
139,
10
subsections
1
through
5,
are
amended
to
read
as
follows:
11
1.
Of
the
funds
appropriated
in
this
section,
$19,271
12
$38,542
is
allocated
for
the
prevention
of
disabilities
policy
13
council
established
in
section
225B.3.
14
2.
The
department
shall
report
at
least
monthly
to
the
15
legislative
services
agency
concerning
the
department’s
16
operational
and
program
expenditures.
17
3.
Of
the
funds
appropriated
in
this
section,
$66,150
18
$132,300
shall
be
used
to
continue
the
contract
for
the
19
provision
of
a
program
to
provide
technical
assistance,
20
support,
and
consultation
to
providers
of
habilitation
services
21
and
home
and
community-based
waiver
services
for
adults
with
22
disabilities
under
the
medical
assistance
program.
23
4.
Of
the
funds
appropriated
in
this
section,
$88,200
24
$176,400
shall
be
used
to
continue
the
contract
to
expand
25
the
provision
of
nationally
accredited
and
recognized
26
internet-based
training
to
include
mental
health
and
disability
27
services
providers.
28
5.
Of
the
funds
appropriated
in
this
section,
$250,000
29
$500,000
shall
be
used
for
continuation
of
child
protection
30
system
improvements
addressed
in
2011
Iowa
Acts,
House
File
31
562,
as
enacted
chapter
28
.
32
Sec.
39.
2011
Iowa
Acts,
chapter
129,
section
140,
is
33
amended
to
read
as
follows:
34
SEC.
140.
VOLUNTEERS.
There
is
appropriated
from
the
35
-53-
LSB
5107XG
(62)
84
pf/jp
53/
101
S.F.
_____
H.F.
_____
general
fund
of
the
state
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purpose
designated:
4
For
development
and
coordination
of
volunteer
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
6
84,660
7
Sec.
40.
2011
Iowa
Acts,
chapter
129,
section
141,
is
8
amended
to
read
as
follows:
9
SEC.
141.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
10
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
11
DEPARTMENT
OF
HUMAN
SERVICES.
12
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
13
the
total
state
funding
amount
for
the
nursing
facility
budget
14
shall
not
exceed
$225,457,724
$237,226,901
.
15
(2)
The
department,
in
cooperation
with
nursing
facility
16
representatives,
shall
review
projections
for
state
funding
17
expenditures
for
reimbursement
of
nursing
facilities
on
a
18
quarterly
basis
and
the
department
shall
determine
if
an
19
adjustment
to
the
medical
assistance
reimbursement
rate
is
20
necessary
in
order
to
provide
reimbursement
within
the
state
21
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
22
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
23
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
24
if
the
state
funding
expenditures
for
the
nursing
facility
25
budget
for
the
fiscal
year
is
projected
to
exceed
the
amount
26
specified
in
subparagraph
(1),
the
department
shall
adjust
27
the
reimbursement
for
nursing
facilities
reimbursed
under
the
28
case-mix
reimbursement
system
to
maintain
expenditures
of
the
29
nursing
facility
budget
within
the
specified
amount
for
the
30
fiscal
year.
31
(3)
For
the
fiscal
year
beginning
July
1,
2012,
special
32
population
nursing
facilities
shall
be
reimbursed
in
accordance
33
with
the
methodology
in
effect
on
June
30,
2012.
34
b.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
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department
shall
reimburse
pharmacy
dispensing
fees
using
a
1
single
rate
of
$4.34
$10.00
per
prescription
or
the
pharmacy’s
2
usual
and
customary
fee,
whichever
is
lower.
However,
3
the
department
shall
adjust
the
dispensing
fee
specified
4
in
this
paragraph
to
distribute
an
additional
$2,981,980
5
in
reimbursements
for
pharmacy
dispensing
fees
under
this
6
paragraph
for
the
fiscal
year.
7
(2)
The
department
shall
implement
an
average
acquisition
8
cost
reimbursement
methodology
for
all
drugs
covered
under
the
9
medical
assistance
program.
The
methodology
shall
utilize
a
10
survey
of
pharmacy
invoices
in
determining
the
reimbursement.
11
Pharmacies
and
providers
that
are
enrolled
in
the
medical
12
assistance
program
shall
make
available
drug
acquisition
cost
13
information,
product
availability
information,
and
other
14
information
deemed
necessary
by
the
department
to
assist
the
15
department
in
monitoring
and
revising
reimbursement
rates
and
16
for
efficient
operation
of
the
pharmacy
benefit.
17
(a)
A
pharmacy
or
provider
shall
produce
and
submit
the
18
requested
information
in
the
manner
and
format
requested
by
the
19
department
or
its
designee
at
no
cost
to
the
department
or
its
20
designee.
21
(b)
A
pharmacy
or
provider
shall
submit
information
to
the
22
department
or
its
designee
within
the
time
frame
indicated
23
following
receipt
of
a
request
for
information
unless
the
24
department
or
its
designee
grants
an
extension
upon
written
25
request
of
the
pharmacy
or
provider.
26
c.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
27
reimbursement
rates
for
outpatient
hospital
services
shall
28
remain
at
the
rates
in
effect
on
June
30,
2012.
29
(2)
For
the
fiscal
year
beginning
July
1,
2012,
30
reimbursement
rates
for
inpatient
hospital
services
shall
31
remain
at
the
rates
in
effect
on
June
30,
2012.
32
(3)
For
the
fiscal
year
beginning
July
1,
2012,
the
graduate
33
medical
education
and
disproportionate
share
hospital
fund
34
shall
remain
at
the
amount
in
effect
on
June
30,
2012,
except
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that
the
portion
of
the
fund
attributable
to
graduate
medical
1
education
shall
be
reduced
in
an
amount
that
reflects
the
2
elimination
of
graduate
medical
education
payments
made
to
3
out-of-state
hospitals.
4
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
5
funds
in
procuring
health
care
services
for
low-income
Iowans,
6
funds
appropriated
in
this
Act
for
hospital
services
shall
7
not
be
used
for
activities
which
would
be
excluded
from
a
8
determination
of
reasonable
costs
under
the
federal
Medicare
9
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
10
d.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
11
rates
for
rural
health
clinics,
hospices,
and
acute
mental
12
hospitals
shall
be
increased
in
accordance
with
increases
under
13
the
federal
Medicare
program
or
as
supported
by
their
Medicare
14
audited
costs.
15
e.
For
the
fiscal
year
beginning
July
1,
2012,
independent
16
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
17
using
the
same
methodology
in
effect
on
June
30,
2012.
18
f.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
19
rates
for
home
health
agencies
shall
remain
at
the
rates
in
20
effect
on
June
30,
2012,
not
to
exceed
a
home
health
agency’s
21
actual
allowable
cost.
22
g.
For
the
fiscal
year
beginning
July
1,
2012,
federally
23
qualified
health
centers
shall
receive
cost-based
reimbursement
24
for
100
percent
of
the
reasonable
costs
for
the
provision
of
25
services
to
recipients
of
medical
assistance.
26
h.
For
the
fiscal
year
beginning
July
1,
2012,
the
27
reimbursement
rates
for
dental
services
shall
remain
at
the
28
rates
in
effect
on
June
30,
2012.
29
i.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
30
state-owned
psychiatric
medical
institutions
for
children
shall
31
receive
cost-based
reimbursement
for
100
percent
of
the
actual
32
and
allowable
costs
for
the
provision
of
services
to
recipients
33
of
medical
assistance.
34
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
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for
children,
reimbursement
rates
shall
be
based
on
the
1
reimbursement
methodology
developed
by
the
department
as
2
required
for
federal
compliance.
3
(3)
As
a
condition
of
participation
in
the
medical
4
assistance
program,
enrolled
providers
shall
accept
the
medical
5
assistance
reimbursement
rate
for
any
covered
goods
or
services
6
provided
to
recipients
of
medical
assistance
who
are
children
7
under
the
custody
of
a
psychiatric
medical
institution
for
8
children.
9
j.
For
the
fiscal
year
beginning
July
1,
2012,
unless
10
otherwise
specified
in
this
Act,
all
noninstitutional
medical
11
assistance
provider
reimbursement
rates
shall
remain
at
the
12
rates
in
effect
on
June
30,
2012,
except
for
area
education
13
agencies,
local
education
agencies,
infant
and
toddler
services
14
providers,
and
those
providers
whose
rates
are
required
to
be
15
determined
pursuant
to
section
249A.20.
16
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
17
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
for
18
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
19
30,
2012.
20
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
21
beginning
July
1,
2012,
the
average
reimbursement
rate
for
22
health
care
providers
eligible
for
use
of
the
federal
Medicare
23
resource-based
relative
value
scale
reimbursement
methodology
24
under
that
section
shall
remain
at
the
rate
in
effect
on
June
25
30,
2012;
however,
this
rate
shall
not
exceed
the
maximum
level
26
authorized
by
the
federal
government.
27
m.
For
the
fiscal
year
beginning
July
1,
2012,
the
28
reimbursement
rate
for
residential
care
facilities
shall
not
29
be
less
than
the
minimum
payment
level
as
established
by
the
30
federal
government
to
meet
the
federally
mandated
maintenance
31
of
effort
requirement.
The
flat
reimbursement
rate
for
32
facilities
electing
not
to
file
annual
cost
reports
shall
not
33
be
less
than
the
minimum
payment
level
as
established
by
the
34
federal
government
to
meet
the
federally
mandated
maintenance
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of
effort
requirement.
1
n.
For
the
fiscal
year
beginning
July
1,
2012,
inpatient
2
mental
health
services
provided
at
hospitals
shall
remain
at
3
the
rates
in
effect
on
June
30,
2012,
subject
to
Medicaid
4
program
upper
payment
limit
rules;
community
mental
health
5
centers
and
providers
of
mental
health
services
to
county
6
residents
pursuant
to
a
waiver
approved
under
section
225C.7,
7
subsection
3,
shall
be
reimbursed
at
100
percent
of
the
8
reasonable
costs
for
the
provision
of
services
to
recipients
of
9
medical
assistance;
and
psychiatrists
shall
be
reimbursed
at
10
the
medical
assistance
program
fee
for
service
rate.
11
o.
For
the
fiscal
year
beginning
July
1,
2012,
the
12
reimbursement
rate
for
consumer-directed
attendant
care
shall
13
remain
at
the
rates
in
effect
on
June
30,
2012.
14
p.
For
the
fiscal
year
beginning
July
1,
2012,
the
15
reimbursement
rate
for
providers
of
family
planning
services
16
that
are
eligible
to
receive
a
90
percent
federal
match
shall
17
remain
at
the
rates
in
effect
on
June
30,
2012.
18
q.
For
the
fiscal
year
beginning
July
1,
2012,
the
19
department
shall
adjust
the
rates
in
effect
on
June
30,
2012,
20
reimbursement
rate
for
providers
of
home
and
community-based
21
services
waiver
services
to
distribute
an
additional
$1,500,000
22
in
reimbursements
to
such
providers
for
the
fiscal
year
shall
23
remain
at
the
rate
in
effect
on
June
30,
2012
.
24
2.
For
the
fiscal
year
beginning
July
1,
2012,
the
25
reimbursement
rate
for
providers
reimbursed
under
the
26
in-home-related
care
program
shall
not
be
less
than
the
minimum
27
payment
level
as
established
by
the
federal
government
to
meet
28
the
federally
mandated
maintenance
of
effort
requirement.
29
3.
Unless
otherwise
directed
in
this
section,
when
the
30
department’s
reimbursement
methodology
for
any
provider
31
reimbursed
in
accordance
with
this
section
includes
an
32
inflation
factor,
this
factor
shall
not
exceed
the
amount
33
by
which
the
consumer
price
index
for
all
urban
consumers
34
increased
during
the
calendar
year
ending
December
31,
2002.
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4.
For
the
fiscal
year
beginning
July
1,
2012,
1
notwithstanding
section
234.38,
the
foster
family
basic
daily
2
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
3
children
ages
0
through
5
years
shall
be
$15.74,
the
rate
for
4
children
ages
6
through
11
years
shall
be
$16.37,
the
rate
for
5
children
ages
12
through
15
years
shall
be
$17.92,
and
the
6
rate
for
children
and
young
adults
ages
16
and
older
shall
be
7
$18.16.
The
maximum
supervised
apartment
living
foster
care
8
reimbursement
rate
shall
be
$25.00
per
day.
For
youth
ages
9
18
to
21
who
have
exited
foster
care,
the
maximum
preparation
10
for
adult
living
program
maintenance
rate
shall
be
$574.00
per
11
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
12
expenses
shall
be
limited
to
$500
and
the
disallowance
of
13
additional
amounts
for
court
costs
and
other
related
legal
14
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
15
section
408
shall
be
continued.
16
5.
For
the
fiscal
year
beginning
July
1,
2012,
the
maximum
17
reimbursement
rates
under
the
supervised
apartment
living
18
program
and
for
social
services
providers
under
contract
19
shall
remain
at
the
rates
in
effect
on
June
30,
2012,
or
the
20
provider’s
actual
and
allowable
cost
plus
inflation
for
each
21
service,
whichever
is
less.
However,
if
a
new
service
or
22
service
provider
is
added
after
June
30,
2012,
the
initial
23
reimbursement
rate
for
the
service
or
provider
shall
be
24
based
upon
actual
and
allowable
costs.
Providers
may
also
25
be
eligible
for
an
additional
amount
as
specified
under
the
26
department’s
request
for
proposal,
bid
number
ACFS-11-115.
27
6.
For
the
fiscal
year
beginning
July
1,
2012,
the
28
reimbursement
rates
for
family-centered
service
providers,
29
family
foster
care
service
providers,
group
foster
care
service
30
providers,
and
the
resource
family
recruitment
and
retention
31
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
32
2012.
33
7.
The
group
foster
care
reimbursement
rates
paid
for
34
placement
of
children
out
of
state
shall
be
calculated
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according
to
the
same
rate-setting
principles
as
those
used
for
1
in-state
providers,
unless
the
director
of
human
services
or
2
the
director’s
designee
determines
that
appropriate
care
cannot
3
be
provided
within
the
state.
The
payment
of
the
daily
rate
4
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
5
which
service
is
provided.
6
8.
a.
For
the
fiscal
year
beginning
July
1,
2012,
the
7
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
8
emergency
services
implemented
to
provide
or
prevent
the
need
9
for
shelter
care
shall
be
established
in
a
contract
based
on
10
the
requirements
of
the
department’s
request
for
proposal,
bid
11
number
ACFS-11-114.
12
b.
For
the
fiscal
year
beginning
July
1,
2012,
the
combined
13
service
and
maintenance
components
of
the
reimbursement
rate
14
paid
for
shelter
care
services
shall
be
based
on
the
financial
15
and
statistical
report
submitted
to
the
department.
The
16
maximum
reimbursement
rate
shall
be
$92.36
per
day.
The
17
department
shall
reimburse
a
shelter
care
provider
at
the
18
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
19
to
exceed
the
maximum
reimbursement
rate.
20
c.
Notwithstanding
section
232.141,
subsection
8,
for
the
21
fiscal
year
beginning
July
1,
2012,
the
amount
of
the
statewide
22
average
of
the
actual
and
allowable
rates
for
reimbursement
of
23
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
24
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
25
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
26
2011.
27
9.
For
the
fiscal
year
beginning
July
1,
2012,
the
28
department
shall
calculate
reimbursement
rates
for
intermediate
29
care
facilities
for
persons
with
mental
retardation
at
the
30
80th
percentile.
Beginning
July
1,
2012,
the
rate
calculation
31
methodology
shall
utilize
the
consumer
price
index
inflation
32
factor
applicable
to
the
fiscal
year
beginning
July
1,
2012.
33
10.
For
the
fiscal
year
beginning
July
1,
2012,
for
child
34
care
providers
reimbursed
under
the
state
child
care
assistance
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program,
the
department
shall
set
provider
reimbursement
1
rates
based
on
the
rate
reimbursement
survey
completed
in
2
December
2004.
Effective
July
1,
2012,
the
child
care
provider
3
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
4
30,
2012.
The
department
shall
set
rates
in
a
manner
so
as
5
to
provide
incentives
for
a
nonregistered
provider
to
become
6
registered
by
applying
the
increase
only
to
registered
and
7
licensed
providers.
8
11.
The
department
may
adopt
emergency
rules
to
implement
9
this
section.
10
Sec.
41.
2011
Iowa
Acts,
chapter
129,
section
142,
is
11
amended
to
read
as
follows:
12
SEC.
142.
EMERGENCY
RULES.
13
1.
If
specifically
authorized
by
a
provision
of
this
14
division
of
this
Act,
the
department
of
human
services
or
15
the
mental
health
,
and
disability
services
commission
may
16
adopt
administrative
rules
under
section
17A.4,
subsection
17
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
18
implement
the
provisions
and
the
rules
shall
become
effective
19
immediately
upon
filing
or
on
a
later
effective
date
specified
20
in
the
rules,
unless
the
effective
date
is
delayed
by
the
21
administrative
rules
review
committee.
Any
rules
adopted
in
22
accordance
with
this
section
shall
not
take
effect
before
23
the
rules
are
reviewed
by
the
administrative
rules
review
24
committee.
The
delay
authority
provided
to
the
administrative
25
rules
review
committee
under
section
17A.4,
subsection
7,
and
26
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
27
imposed
under
this
section,
notwithstanding
a
provision
in
28
those
sections
making
them
inapplicable
to
section
17A.5,
29
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
30
with
the
provisions
of
this
section
shall
also
be
published
as
31
notice
of
intended
action
as
provided
in
section
17A.4.
32
2.
If
during
the
fiscal
year
beginning
July
1,
2012,
the
33
department
of
human
services
is
adopting
rules
in
accordance
34
with
this
section
or
as
otherwise
directed
or
authorized
by
35
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state
law,
and
the
rules
will
result
in
an
expenditure
increase
1
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
2
expenditure
was
not
addressed
in
the
budget
process
for
the
3
fiscal
year,
the
department
shall
notify
the
persons
designated
4
by
this
division
of
this
Act
for
submission
of
reports,
5
the
chairpersons
and
ranking
members
of
the
committees
on
6
appropriations,
and
the
department
of
management
concerning
the
7
rules
and
the
expenditure
increase.
The
notification
shall
be
8
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
9
the
rules
is
submitted
to
the
administrative
rules
coordinator
10
and
the
administrative
code
editor.
11
Sec.
42.
2011
Iowa
Acts,
chapter
129,
section
143,
is
12
amended
to
read
as
follows:
13
SEC.
143.
REPORTS.
Any
reports
or
other
information
14
required
to
be
compiled
and
submitted
under
this
Act
shall
be
15
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
16
appropriations
subcommittee
on
health
and
human
services,
the
17
legislative
services
agency,
and
the
legislative
caucus
staffs
18
on
or
before
the
dates
specified
for
submission
of
the
reports
19
or
information.
20
DIVISION
V
21
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
22
IOWACARE
ACCOUNT,
NONPARTICIPATING
PROVIDER
23
REIMBURSEMENT
FUND,
HEALTH
CARE
TRANSFORMATION
ACCOUNT,
24
MEDICAID
FRAUD
FUND,
QUALITY
ASSURANCE
TRUST
FUND,
25
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
FY
2012-2013
26
Sec.
43.
2011
Iowa
Acts,
chapter
129,
section
145,
is
27
amended
to
read
as
follows:
28
SEC.
145.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
29
appropriated
from
the
pharmaceutical
settlement
account
created
30
in
section
249A.33
to
the
department
of
human
services
for
the
31
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
32
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
33
used
for
the
purpose
designated:
34
Notwithstanding
any
provision
of
law
to
the
contrary,
to
35
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supplement
the
appropriations
made
in
this
Act
for
medical
1
contracts
under
the
medical
assistance
program
for
the
fiscal
2
year
beginning
July
1,
2012,
and
ending
June
30,
2013
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,716,807
4
Sec.
44.
2011
Iowa
Acts,
chapter
129,
section
146,
is
5
amended
to
read
as
follows:
6
SEC.
146.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
7
1.
There
is
appropriated
from
the
IowaCare
account
8
created
in
section
249J.24
to
the
state
board
of
regents
for
9
distribution
to
the
university
of
Iowa
hospitals
and
clinics
10
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
11
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
12
to
be
used
for
the
purposes
designated:
13
For
salaries,
support,
maintenance,
equipment,
and
14
miscellaneous
purposes,
for
the
provision
of
medical
and
15
surgical
treatment
of
indigent
patients,
for
provision
of
16
services
to
members
of
the
expansion
population
pursuant
to
17
chapter
249J,
and
for
medical
education:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,284,584
19
a.
(1)
Funds
appropriated
in
this
subsection
used
for
20
abortions
shall
be
used
in
a
manner
consistent
with
options
21
under
federal
Medicaid
law
and
regulation.
22
(2)
Iowans
support
reducing
the
number
of
abortions
23
performed
in
our
state.
For
an
abortion
covered
under
this
24
subsection,
except
in
the
case
of
a
medical
emergency,
as
25
defined
in
section
135L.1,
for
any
woman,
the
physician
shall
26
certify
both
of
the
following:
27
(a)
That
the
woman
has
been
given
the
opportunity
to
view
an
28
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
29
before
an
abortion
is
performed.
30
(b)
That
the
woman
has
been
provided
information
regarding
31
the
options
relative
to
a
pregnancy,
including
continuing
the
32
pregnancy
to
term
and
retaining
parental
rights
following
the
33
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
34
child
for
adoption,
and
terminating
the
pregnancy.
35
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b.
Notwithstanding
any
provision
of
law
to
the
contrary,
1
the
amount
appropriated
in
this
subsection
shall
be
distributed
2
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
3
Medicaid
enterprise.
4
c.
The
university
of
Iowa
hospitals
and
clinics
shall
5
certify
public
expenditures
in
an
amount
equal
to
provide
6
the
nonfederal
share
on
total
expenditures
not
to
exceed
7
$20,000,000.
8
2.
There
is
appropriated
from
the
IowaCare
account
9
created
in
section
249J.24
to
the
state
board
of
regents
for
10
distribution
to
the
university
of
Iowa
hospitals
and
clinics
11
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
12
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
13
to
be
used
for
the
purposes
designated:
14
For
salaries,
support,
maintenance,
equipment,
and
15
miscellaneous
purposes,
for
the
provision
of
medical
and
16
surgical
treatment
of
indigent
patients,
for
provision
of
17
services
to
members
of
the
expansion
population
pursuant
to
18
chapter
249J,
and
for
medical
education:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
20
45,654,133
21
Notwithstanding
any
provision
of
law
to
the
contrary,
the
22
amount
appropriated
in
this
subsection
shall
be
distributed
23
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
24
Medicaid
enterprise.
25
3.
There
is
appropriated
from
the
IowaCare
account
26
created
in
section
249J.24,
to
the
state
board
of
regents
for
27
distribution
to
university
of
Iowa
physicians
for
the
fiscal
28
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
29
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
30
for
the
purposes
designated:
31
For
salaries,
support,
maintenance,
equipment,
and
32
miscellaneous
purposes
for
the
provision
of
medical
and
33
surgical
treatment
of
indigent
patients,
for
provision
of
34
services
to
members
of
the
expansion
population
pursuant
to
35
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chapter
249J,
and
for
medical
education:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,277,753
2
Notwithstanding
any
provision
of
law
to
the
contrary,
the
3
amount
appropriated
in
this
subsection
shall
be
distributed
4
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
5
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
6
this
subsection
has
been
distributed,
claims
shall
continue
to
7
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
8
however,
no
payment
shall
be
made
based
upon
such
claims.
9
4.
There
is
appropriated
from
the
IowaCare
account
created
10
in
section
249J.24
to
the
department
of
human
services
for
the
11
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
12
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
13
used
for
the
purposes
designated:
14
For
distribution
to
a
publicly
owned
acute
care
teaching
15
hospital
located
in
a
county
with
a
population
over
350,000
for
16
the
provision
of
medical
and
surgical
treatment
of
indigent
17
patients,
for
provision
of
services
to
members
of
the
expansion
18
population
pursuant
to
chapter
249J,
and
for
medical
education:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
20
69,000,000
21
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
22
the
amount
appropriated
in
this
subsection
shall
be
distributed
23
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
24
Medicaid
enterprise
plus
a
monthly
disproportionate
share
25
hospital
payment.
Any
amount
appropriated
in
this
subsection
26
in
excess
of
$60,000,000
shall
be
distributed
only
if
the
sum
27
of
the
expansion
population
claims
adjudicated
and
paid
by
the
28
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
29
share
hospital
payments
exceeds
$60,000,000.
The
amount
paid
30
in
excess
of
$60,000,000
shall
not
adjust
the
original
monthly
31
payment
amount
but
shall
be
distributed
monthly
based
on
actual
32
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
33
plus
the
estimated
disproportionate
share
hospital
amount.
Any
34
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
35
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shall
be
allocated
only
if
federal
funds
are
available
to
match
1
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
2
appropriated
in
this
subsection,
not
more
than
$4,000,000
shall
3
be
distributed
for
prescription
drugs
,
and
podiatry
services
4
and
optometric
services
.
5
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
6
hospital
identified
in
this
subsection,
shall
be
reimbursed
for
7
outpatient
prescription
drugs
and
podiatry
services
provided
to
8
members
of
the
expansion
population
pursuant
to
all
applicable
9
medical
assistance
program
rules,
in
an
amount
not
to
exceed
10
$4,000,000.
11
c.
Notwithstanding
the
total
amount
of
proceeds
distributed
12
pursuant
to
section
249J.24,
subsection
4,
paragraph
“a”,
13
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
14
1,
2012,
and
ending
June
30,
2013,
the
county
treasurer
of
a
15
county
with
a
population
of
over
350,000
in
which
a
publicly
16
owned
acute
care
teaching
hospital
is
located
shall
distribute
17
the
proceeds
collected
pursuant
to
section
347.7
in
a
total
18
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
19
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
20
the
IowaCare
account.
21
d.
(1)
Notwithstanding
the
amount
collected
and
22
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
23
section
249J.24,
subsection
4,
paragraph
“a”,
subparagraph
24
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
25
section
347.7
between
July
1,
2012,
and
December
31,
2012,
26
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
27
the
IowaCare
account
and
collections
during
this
time
period
28
in
excess
of
$19,000,000
shall
be
distributed
to
the
acute
29
care
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
(1),
$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
January
2013,
following
the
July
1
through
December
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31,
2012,
period.
1
(2)
Notwithstanding
the
amount
collected
and
distributed
2
for
deposit
in
the
IowaCare
account
pursuant
to
section
3
249J.24,
subsection
4,
paragraph
“a”,
subparagraph
(2),
4
the
first
$19,000,000
in
collections
pursuant
to
section
5
347.7
between
January
1,
2013,
and
June
30,
2013,
shall
be
6
distributed
to
the
treasurer
of
state
for
deposit
in
the
7
IowaCare
account
and
collections
during
this
time
period
in
8
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
9
teaching
hospital
identified
in
this
subsection.
Of
the
10
collections
in
excess
of
the
$19,000,000
received
by
the
acute
11
care
teaching
hospital
under
this
subparagraph
(2),
$2,000,000
12
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
13
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
14
month
of
July
2013,
following
the
January
1
through
June
30,
15
2013,
period.
16
5.
There
is
appropriated
from
the
IowaCare
account
created
17
in
section
249J.24
to
the
department
of
human
services
for
the
18
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
19
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
20
used
for
the
purpose
designated:
21
For
payment
to
the
regional
provider
network
specified
22
by
the
department
pursuant
to
section
249J.7
for
provision
23
of
covered
services
to
members
of
the
expansion
population
24
pursuant
to
chapter
249J:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
26
4,986,366
27
Notwithstanding
any
provision
of
law
to
the
contrary,
the
28
amount
appropriated
in
this
subsection
shall
be
distributed
29
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
30
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
31
this
subsection
has
been
distributed,
claims
shall
continue
to
32
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
33
however,
no
payment
shall
be
made
based
upon
such
claims.
34
6.
There
is
appropriated
from
the
IowaCare
account
created
35
-67-
LSB
5107XG
(62)
84
pf/jp
67/
101
S.F.
_____
H.F.
_____
in
section
249J.24
to
the
department
of
human
services
for
the
1
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
2
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
3
used
for
the
purposes
designated:
4
For
a
care
coordination
pool
to
pay
the
expansion
population
5
providers
consisting
of
the
university
of
Iowa
hospitals
and
6
clinics,
the
publicly
owned
acute
care
teaching
hospital
as
7
specified
in
section
249J.7,
and
current
medical
assistance
8
program
providers
that
are
not
expansion
population
network
9
providers
pursuant
to
section
249J.7,
for
services
covered
by
10
the
full
benefit
medical
assistance
program
but
not
under
the
11
IowaCare
program
pursuant
to
section
249J.6,
that
are
provided
12
to
expansion
population
members:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,500,000
14
a.
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
15
appropriated
in
this
subsection
is
intended
to
provide
16
payment
for
medically
necessary
services
provided
to
expansion
17
population
members
for
continuation
of
care
provided
by
the
18
university
of
Iowa
hospitals
and
clinics
or
the
publicly
owned
19
acute
care
teaching
hospital
as
specified
in
section
249J.7.
20
Payment
may
only
be
made
for
services
that
are
not
otherwise
21
covered
under
section
249J.6,
and
which
are
follow-up
services
22
to
covered
services
provided
by
the
hospitals
specified
in
this
23
paragraph
“a”.
24
b.
The
funds
appropriated
in
this
subsection
are
intended
25
to
provide
limited
payment
for
continuity
of
care
services
for
26
an
expansion
population
member,
and
are
intended
to
cover
the
27
costs
of
services
to
expansion
population
members,
regardless
28
of
the
member’s
county
of
residence
or
medical
home
assignment,
29
if
the
care
is
related
to
specialty
or
hospital
services
30
provided
by
the
hospitals
specified
in
paragraph
“a”.
31
c.
The
funds
appropriated
in
this
subsection
are
32
not
intended
to
provide
for
expanded
coverage
under
the
33
IowaCare
program,
and
shall
not
be
used
to
cover
emergency
34
transportation
services.
35
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101
S.F.
_____
H.F.
_____
d.
The
department
shall
adopt
administrative
rules
pursuant
1
to
chapter
17A
to
establish
a
prior
authorization
process
and
2
to
identify
covered
services
for
reimbursement
under
this
3
subsection.
4
7.
There
is
appropriated
from
the
IowaCare
account
created
5
in
section
249J.24
to
the
department
of
human
services
for
the
6
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
7
the
following
amount
or
so
much
thereof
as
is
necessary
to
be
8
used
for
the
purposes
designated:
9
For
a
laboratory
test
and
radiology
pool
for
services
10
authorized
by
a
federally
qualified
health
center
designated
11
by
the
department
as
part
of
the
IowaCare
regional
provider
12
network
that
does
not
have
the
capability
to
provide
these
13
services
on
site:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
15
Notwithstanding
sections
249J.6
and
249J.7,
the
amount
16
appropriated
in
this
subsection
is
intended
to
provide
17
reimbursement
for
services
provided
to
expansion
population
18
members
that
have
previously
been
paid
for
through
expenditure
19
by
designated
regional
provider
network
providers
of
their
20
own
funds,
not
to
expand
coverage
under
the
IowaCare
program
21
or
to
expand
the
expansion
population
provider
network.
The
22
department
shall
designate
the
laboratory
and
radiology
23
provider
associated
with
each
designated
regional
provider
24
network
provider
that
may
receive
reimbursement.
The
25
department
shall
adopt
administrative
rules
pursuant
to
chapter
26
17A
to
establish
a
prior
authorization
process
and
to
identify
27
covered
services
for
reimbursement
under
this
subsection.
28
All
other
medical
assistance
program
payment
policies
and
29
rules
for
laboratory
and
radiology
services
shall
apply
to
30
services
provided
under
this
subsection.
If
the
entire
amount
31
appropriated
under
this
subsection
is
expended,
laboratory
32
tests
and
radiology
services
ordered
by
a
designated
regional
33
provider
network
provider
shall
be
the
financial
responsibility
34
of
the
regional
provider
network
provider.
35
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5107XG
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84
pf/jp
69/
101
S.F.
_____
H.F.
_____
Sec.
45.
2011
Iowa
Acts,
chapter
129,
section
147,
is
1
amended
to
read
as
follows:
2
SEC.
147.
APPROPRIATIONS
FROM
NONPARTICIPATING
PROVIDER
3
REIMBURSEMENT
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
4
Notwithstanding
any
provision
to
the
contrary,
and
subject
5
to
the
availability
of
funds,
there
is
appropriated
from
the
6
nonparticipating
provider
reimbursement
fund
created
in
section
7
249J.24A
to
the
department
of
human
services
for
the
fiscal
8
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
9
following
amount
or
so
much
thereof
as
is
necessary
for
the
10
purposes
designated:
11
To
reimburse
nonparticipating
providers
in
accordance
with
12
section
249J.24A:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
14
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
15
Sec.
46.
2011
Iowa
Acts,
chapter
129,
section
148,
16
subsections
1
through
13,
15,
and
16,
are
amended
to
read
as
17
follows:
18
1.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
19
expansion
population
as
provided
in
section
249J.6:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
21
100,000
22
2.
For
other
health
promotion
partnership
activities
23
pursuant
to
section
249J.14:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
300,000
25
600,000
26
3.
For
the
costs
related
to
audits,
performance
27
evaluations,
and
studies
required
pursuant
to
chapter
249J:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
29
125,000
30
4.
For
administrative
costs
associated
with
chapter
249J:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
566,206
32
1,132,412
33
5.
For
planning
and
development,
in
cooperation
with
the
34
department
of
public
health,
of
a
phased-in
program
to
provide
35
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5107XG
(62)
84
pf/jp
70/
101
S.F.
_____
H.F.
_____
a
dental
home
for
children
in
accordance
with
section
249J.14:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
2
1,000,000
3
6.
For
continuation
of
the
establishment
of
the
tuition
4
assistance
for
individuals
serving
individuals
with
5
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
6
chapter
1187,
section
130:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
8
50,000
9
7.
For
medical
contracts:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
11
2,400,000
12
8.
For
payment
to
the
publicly
owned
acute
care
teaching
13
hospital
located
in
a
county
with
a
population
of
over
350,000
14
that
is
a
participating
provider
pursuant
to
chapter
249J:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
145,000
16
290,000
17
Disbursements
under
this
subsection
shall
be
made
monthly.
18
The
hospital
shall
submit
a
report
following
the
close
of
the
19
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
20
subsection
to
the
persons
specified
in
this
Act
to
receive
21
reports.
22
9.
For
transfer
to
the
department
of
public
health
to
be
23
used
for
the
costs
of
medical
home
system
advisory
council
24
established
pursuant
to
section
135.159:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,679
26
233,357
27
10.
For
continued
implementation
of
a
uniform
cost
report:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
29
150,000
30
11.
For
continued
implementation
of
an
electronic
medical
31
records
system:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
33
100,000
34
Notwithstanding
section
8.33,
funds
allocated
in
this
35
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71/
101
S.F.
_____
H.F.
_____
subsection
that
remain
unencumbered
or
unobligated
at
the
close
1
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
2
in
succeeding
fiscal
years
to
be
used
for
the
purposes
3
designated.
4
12.
For
transfer
to
the
department
of
public
health
to
5
support
the
department’s
activities
relating
to
health
and
6
long-term
care
access
as
specified
pursuant
to
chapter
135,
7
division
XXIV:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,107
9
134,214
10
13.
For
continuation
of
an
accountable
care
organization
11
pilot
project:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
13
100,000
14
15.
For
transfer
to
the
department
of
public
health
to
15
be
used
as
state
matching
funds
for
the
health
information
16
technology
system
developed
by
the
department
of
public
health:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
181,993
18
363,987
19
16.
To
supplement
the
appropriation
for
medical
assistance:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,956,245
21
Sec.
47.
2011
Iowa
Acts,
chapter
129,
section
150,
is
22
amended
to
read
as
follows:
23
SEC.
150.
MEDICAID
FRAUD
ACCOUNT
FUND
——
DEPARTMENT
OF
24
HUMAN
SERVICES.
There
is
appropriated
from
the
Medicaid
fraud
25
account
fund
created
in
section
249A.7
to
the
department
of
26
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
27
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
28
as
is
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
for
the
fiscal
year
beginning
July
1,
32
2012,
and
ending
June
30,
2013
:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
34
Sec.
48.
2011
Iowa
Acts,
chapter
129,
section
151,
is
35
-72-
LSB
5107XG
(62)
84
pf/jp
72/
101
S.F.
_____
H.F.
_____
amended
to
read
as
follows:
1
SEC.
151.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
2
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
3
and
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,
2012,
and
ending
June
30,
2013,
the
following
7
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
8
designated:
9
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
13
26,500,000
14
Sec.
49.
2011
Iowa
Acts,
chapter
129,
section
152,
is
15
amended
to
read
as
follows:
16
SEC.
152.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
17
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
18
the
contrary
and
subject
to
the
availability
of
funds,
there
is
19
appropriated
from
the
hospital
health
care
access
trust
fund
20
created
in
section
249M.4
to
the
department
of
human
services
21
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
22
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
23
necessary,
for
the
purposes
designated:
24
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
25
general
fund
of
the
state
to
the
department
of
human
services
26
for
medical
assistance:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
28
33,898,400
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
801,600
34
Sec.
50.
REPEAL.
2011
Iowa
Acts,
chapter
129,
sections
149
35
-73-
LSB
5107XG
(62)
84
pf/jp
73/
101
S.F.
_____
H.F.
_____
and
153,
are
repealed.
1
DIVISION
VI
2
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
3
CONTINGENCY
FUND
4
Sec.
51.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
5
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
OF
FUNDS
——
6
FY
2011-2012.
7
1.
Moneys
received
from
the
federal
government
through
8
the
child
enrollment
contingency
fund
established
pursuant
9
to
section
103
of
the
federal
Children’s
Health
Insurance
10
Program
Reauthorization
Act
of
2009,
Pub.
L.
No.
111-3,
are
11
appropriated
to
the
department
of
human
services
for
the
fiscal
12
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
to
be
13
used
in
addition
to
any
other
amounts
appropriated
for
the
same
14
purposes
for
the
fiscal
year
as
follows:
15
a.
For
adoption
subsidy
payments
and
services:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,034,521
17
b.
For
child
care
programs:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,956,964
19
2.
Notwithstanding
section
8.39,
and
to
the
extent
20
that
funds
appropriated
in
this
section
are
unexpended
or
21
unobligated
for
the
purposes
specified
in
subsection
1,
the
22
department
of
human
services
may
transfer
funds
within
or
23
between
any
of
the
appropriations
made
in
this
section
for
the
24
following
purposes:
25
a.
For
adoption
subsidy
payments
and
services.
26
b.
For
child
care
assistance.
27
Sec.
52.
AUDIT
SETTLEMENTS.
Moneys
received
from
the
28
federal
government
through
the
child
enrollment
contingency
29
fund
established
pursuant
to
section
103
of
the
federal
30
Children’s
Health
Insurance
Program
Reauthorization
Act
of
31
2009,
Pub.
L.
No.
111-3,
are
appropriated
to
the
department
of
32
human
services
for
the
fiscal
year
beginning
July
1,
2011,
and
33
ending
June
30,
2012,
to
be
used
for
audit
settlements:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,654,238
35
-74-
LSB
5107XG
(62)
84
pf/jp
74/
101
S.F.
_____
H.F.
_____
Notwithstanding
section
8.33,
moneys
appropriated
in
this
1
section
that
remain
unencumbered
or
unobligated
at
the
close
2
of
the
fiscal
year
shall
not
revert
to
any
other
fund
but
shall
3
remain
available
for
expenditure
for
the
purposes
designated
4
until
the
close
of
the
succeeding
fiscal
year.
5
Sec.
53.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
6
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
OF
FUNDS
——
7
FY
2012-2013.
8
1.
Moneys
received
from
the
federal
government
through
9
the
child
enrollment
contingency
fund
established
pursuant
10
to
section
103
of
the
federal
Children’s
Health
Insurance
11
Program
Reauthorization
Act
of
2009,
Pub.
L.
No.
111-3,
are
12
appropriated
to
the
department
of
human
services
for
the
fiscal
13
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
14
used
in
addition
to
any
other
amounts
appropriated
for
the
same
15
purposes
for
the
fiscal
year
as
follows:
16
a.
For
adoption
subsidy
payments
and
services:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,290,441
18
b.
For
child
care
programs:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,969,021
20
c.
For
mental
health
and
disability
services
redesign
21
technical
assistance
services:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
23
d.
For
the
field
operations
integrity
claims
unit:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
961,100
25
e.
For
medical
assistance
program
reimbursement
and
26
associated
costs:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,950,428
28
2.
Notwithstanding
section
8.39,
and
to
the
extent
29
that
funds
appropriated
in
this
section
are
unexpended
or
30
unobligated
for
the
purposes
specified
in
subsection
1,
31
paragraphs
“a”
and
“b”,
for
the
fiscal
year
beginning
July
32
1,
2012,
the
department
of
human
services
may
transfer
funds
33
within
or
between
any
of
the
appropriations
made
in
this
34
section
for
the
following
purposes:
35
-75-
LSB
5107XG
(62)
84
pf/jp
75/
101
S.F.
_____
H.F.
_____
a.
For
adoption
subsidy
payments
and
services.
1
b.
For
child
care
assistance.
2
Sec.
54.
EFFECTIVE
DATE
PROVISIONS.
The
section
of
this
3
division
of
this
Act
appropriating
moneys
received
through
the
4
federal
Child
Enrollment
Contingency
Fund
for
the
fiscal
year
5
beginning
July
1,
2011,
and
ending
June
30,
2012,
being
deemed
6
of
immediate
importance,
take
effect
upon
enactment.
7
Sec.
55.
RETROACTIVE
APPLICABILITY.
The
sections
of
this
8
division
of
this
Act
appropriating
moneys
received
through
9
the
federal
Child
Enrollment
Contingency
Fund
for
the
fiscal
10
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
apply
11
retroactively
to
July
1,
2011.
12
DIVISION
VII
13
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
14
INJURED
VETERANS
GRANT
PROGRAM
15
Sec.
56.
2008
Iowa
Acts,
chapter
1187,
section
69,
16
unnumbered
paragraph
1,
as
amended
by
2009
Iowa
Acts,
chapter
17
182,
section
83,
2010
Iowa
Acts,
chapter
1192,
section
56,
and
18
2011
Iowa
Acts,
chapter
129,
section
53,
is
amended
to
read
as
19
follows:
20
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
21
subsection
that
remain
unencumbered
or
unobligated
at
the
close
22
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
23
for
expenditure
for
the
purposes
designated
until
the
close
of
24
the
fiscal
year
beginning
July
1,
2011
2012
.
25
IOWA
VETERANS
HOME
26
Sec.
57.
2011
Iowa
Acts,
chapter
129,
section
3,
subsection
27
2,
is
amended
by
adding
the
following
new
paragraph:
28
NEW
PARAGRAPH
.
d.
The
funds
appropriated
in
this
subsection
29
to
the
Iowa
veterans
home
that
remain
available
for
expenditure
30
for
the
succeeding
fiscal
year
pursuant
to
section
35D.18,
31
subsection
5,
shall
be
distributed
to
be
used
in
the
succeeding
32
fiscal
year
in
accordance
with
this
lettered
paragraph.
The
33
first
$975,919
shall
be
used
for
the
costs
of
replacing
a
34
boiler
at
the
Iowa
veterans
home.
The
next
$500,000
shall
35
-76-
LSB
5107XG
(62)
84
pf/jp
76/
101
S.F.
_____
H.F.
_____
remain
available
to
be
used
for
the
purposes
of
the
Iowa
1
veterans
home.
Any
remaining
balance
shall
revert
to
the
2
general
fund
of
the
state.
3
MEDICAL
ASSISTANCE
4
Sec.
58.
2011
Iowa
Acts,
chapter
129,
section
10,
subsection
5
20,
paragraph
d,
is
amended
to
read
as
follows:
6
d.
If
the
savings
to
the
medical
assistance
program
exceed
7
the
cost,
the
department
may
transfer
any
savings
generated
8
for
the
fiscal
year
due
to
medical
assistance
program
cost
9
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
10
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
11
2009,
or
cost
containment
strategies
initiated
pursuant
12
to
this
subsection,
to
the
appropriation
appropriations
13
made
in
this
division
of
this
Act
for
medical
contracts
or
14
general
administration
to
defray
the
increased
contract
costs
15
associated
with
implementing
such
efforts.
16
Sec.
59.
EFFECTIVE
DATE
PROVISIONS.
This
division
of
this
17
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
18
enactment.
19
Sec.
60.
RETROACTIVE
APPLICABILITY.
The
section
of
20
this
division
of
this
Act
relating
to
the
transfer
of
funds
21
from
costs
savings
under
the
medical
assistance
program
to
22
appropriations
for
medical
contracts
or
general
administration
23
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
24
2012,
applies
retroactively
to
July
1,
2011.
25
DIVISION
VIII
26
MISCELLANEOUS
27
Sec.
61.
Section
97B.39,
Code
2011,
is
amended
to
read
as
28
follows:
29
97B.39
Rights
not
transferable
or
subject
to
legal
process
30
——
exceptions.
31
The
right
of
any
person
to
any
future
payment
under
this
32
chapter
is
not
transferable
or
assignable,
at
law
or
in
33
equity,
and
the
moneys
paid
or
payable
or
rights
existing
34
under
this
chapter
are
not
subject
to
execution,
levy,
35
-77-
LSB
5107XG
(62)
84
pf/jp
77/
101
S.F.
_____
H.F.
_____
attachment,
garnishment,
or
other
legal
process,
or
to
the
1
operation
of
any
bankruptcy
or
insolvency
law
except
for
the
2
purposes
of
enforcing
child,
spousal,
or
medical
support
3
obligations
or
marital
property
orders
,
or
for
recovery
of
4
medical
assistance
payments
pursuant
to
section
249A.5
.
For
5
the
purposes
of
enforcing
child,
spousal,
or
medical
support
6
obligations,
the
garnishment
or
attachment
of
or
the
execution
7
against
compensation
due
a
person
under
this
chapter
shall
8
not
exceed
the
amount
specified
in
15
U.S.C.
§
1673(b).
9
The
system
shall
comply
with
the
provisions
of
a
marital
10
property
order
requiring
the
selection
of
a
particular
benefit
11
option,
designated
beneficiary,
or
contingent
annuitant
if
12
the
selection
is
otherwise
authorized
by
this
chapter
and
13
the
member
has
not
received
payment
of
the
member’s
first
14
retirement
allowance.
However,
a
marital
property
order
shall
15
not
require
the
payment
of
benefits
to
an
alternative
payee
16
prior
to
the
member’s
retirement,
prior
to
the
date
the
member
17
elects
to
receive
a
lump
sum
distribution
of
accumulated
18
contributions
pursuant
to
section
97B.53
,
or
in
an
amount
that
19
exceeds
the
benefits
the
member
would
otherwise
be
eligible
to
20
receive
pursuant
to
this
chapter
.
21
Sec.
62.
Section
135H.10,
subsection
3,
Code
2011,
is
22
amended
by
striking
the
subsection.
23
Sec.
63.
Section
232.52,
Code
2011,
is
amended
by
adding
the
24
following
new
subsection:
25
NEW
SUBSECTION
.
2A.
Notwithstanding
subsection
2
and
26
section
907.3A,
subsection
1,
the
court
shall
not
order
27
placement
of
a
child
in
the
state
training
school
or
the
Iowa
28
juvenile
home
if
that
placement
is
not
in
accordance
with
the
29
applicable
population
limitations
established
pursuant
to
30
section
233A.1,
subsection
3,
and
section
233B.1,
subsection
3.
31
DIVISION
IX
32
MH/ID/DD
SERVICES-RELATED
APPROPRIATIONS
FOR
FISCAL
YEAR
33
2012-2013
34
Sec.
64.
NEW
SECTION
.
225C.7A
Mental
health
and
disability
35
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services
redesign
fund.
1
The
mental
health
and
disability
services
redesign
fund
is
2
created
in
the
state
treasury.
Moneys
credited
to
the
fund
3
shall
be
appropriated
to
the
department
of
human
services
to
be
4
used
as
provided
for
redesign
of
mental
health
and
disability
5
services.
6
Sec.
65.
RISK
POOL
FUNDING
——
FY
2011-2012.
7
1.
All
moneys
in
the
property
tax
relief
fund
from
the
8
appropriation
made
pursuant
to
2011
Iowa
Acts,
chapter
9
123,
section
21,
subsection
1,
that
remain
following
the
10
distributions
made
pursuant
to
2011
Iowa
Acts,
chapter
129,
11
section
43,
shall
be
transferred
to
the
appropriation
made
12
from
the
general
fund
of
the
state
for
the
medical
assistance
13
program
for
the
fiscal
year
beginning
July
1,
2012,
in
2011
14
Iowa
Acts,
chapter
129,
section
122.
The
moneys
shall
be
15
transferred
on
the
effective
date
of
this
section.
16
2.
The
moneys
transferred
pursuant
to
this
section
shall
17
be
used
for
medical
assistance
program
reimbursement
and
18
associated
costs
as
specifically
provided
in
the
reimbursement
19
methodologies
in
effect
on
July
1,
2011,
except
as
otherwise
20
expressly
authorized
by
law,
and
consistent
with
options
under
21
federal
law
and
regulations.
22
Sec.
66.
REPLACEMENT
GENERATION
TAX
——
LEVY
RATES.
If
the
23
repeal
of
chapter
426B
in
this
division
of
this
Act
is
enacted
24
after
the
department
of
management
has
revised
county
certified
25
budgets
and
rates
of
taxation
pursuant
to
section
426B.2,
26
subsection
3,
paragraph
“b”,
during
the
period
beginning
May
27
1,
2012,
and
ending
June
30,
2012,
the
revisions
shall
be
28
rescinded
and
the
department
of
management
shall
expeditiously
29
report
that
fact
to
the
county
auditors.
30
Sec.
67.
MH/DS
REDESIGN
FUND
——
GENERAL
FUND
31
APPROPRIATION.
There
is
appropriated
from
the
general
32
fund
of
the
state
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
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used
for
the
purposes
designated:
1
To
be
credited
to
the
mental
health
and
disability
services
2
redesign
fund
created
in
section
225C.7A:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,750,000
4
Sec.
68.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
5
FUND
——
FY
2012-2013.
6
1.
Moneys
available
in
the
mental
health
and
disability
7
services
redesign
fund
created
in
section
225C.7A,
are
8
appropriated
to
the
department
of
human
services
for
the
fiscal
9
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
10
used
as
provided
in
this
section.
11
2.
a.
Notwithstanding
sections
249A.12
and
249A.26,
12
moneys
appropriated
in
this
section
shall
be
used
to
pay
the
13
nonfederal
share
of
medical
assistance
program
services
costs
14
that
would
otherwise
be
billed
to
counties
for
the
following
15
services
provided
in
the
fiscal
year
beginning
July
1,
2012:
16
habilitation,
targeted
case
management,
and
home-based
and
17
community-based
services
waiver
services
for
persons
with
18
intellectual
disabilities
and
brain
injury.
19
b.
Notwithstanding
section
249A.12,
for
the
fiscal
year
20
beginning
July
1,
2012,
the
state
shall
pay
88
percent
of
the
21
nonfederal
share
of
medical
assistance
program
costs
provided
22
by
community-based
intermediate
care
facilities
for
persons
23
with
mental
retardation
(ICF/MR).
The
remaining
portion
of
the
24
nonfederal
share
of
such
medical
assistance
program
costs
in
25
the
fiscal
year
for
community-based
ICF/MRs
shall
be
billed
to
26
counties
as
specified
in
section
249A.12.
27
c.
The
nonfederal
share
of
the
medical
assistance
services
28
costs
for
the
services
specified
in
this
subsection
provided
29
for
the
fiscal
year
beginning
July
1,
2012,
shall
be
paid
from
30
the
mental
health
and
disability
services
redesign
fund
and
31
shall
not
be
billed
to
counties.
32
3.
In
accordance
with
section
249A.12,
for
the
fiscal
year
33
beginning
July
1,
2012,
counties
shall
remain
responsible
for
34
the
nonfederal
share
of
medical
assistance
program
costs
and
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related
costs
to
the
extent
specified
by
law
for
the
services
1
provided
at
the
state
resource
centers.
2
4.
Of
the
funds
appropriated
in
this
section,
for
the
3
fiscal
year
beginning
July
1,
2012,
$500,000
shall
be
used
to
4
implement
the
children’s
mental
health
home
project
proposed
5
by
the
department
of
human
services
and
reported
to
the
6
general
assembly’s
mental
health
and
disability
services
study
7
committee
in
December
2011.
Of
this
amount
up
to
$50,000
may
8
be
transferred
by
the
department
to
the
appropriation
made
to
9
the
department
for
the
fiscal
year
for
general
administration
10
to
be
used
for
associated
administrative
expenses
and
for
11
not
more
than
one
full-time
equivalent
position,
in
addition
12
to
those
authorized
for
the
fiscal
year,
to
be
assigned
to
13
implementing
the
project.
14
5.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
15
may
be
transferred
by
the
department
to
the
appropriation
16
made
to
the
department
for
the
fiscal
year
for
general
17
administration
to
support
redesign
and
balancing
incentive
18
planning
and
implementation
activities.
The
funds
may
be
used
19
for
contracts
or
for
personnel
in
addition
to
the
amounts
20
appropriated
for
and
the
positions
authorized
for
general
21
administration
for
the
fiscal
year.
22
6.
Of
the
funds
appropriated
in
this
section,
up
to
23
$3,000,000
may
be
transferred
by
the
department
to
the
24
appropriations
made
to
the
department
for
the
fiscal
year
for
25
general
administration
or
medical
contracts
to
be
used
to
26
support
the
development
and
implementation
of
standardized
27
assessment
tools
for
persons
with
mental
illness,
intellectual
28
disability,
developmental
disability,
or
brain
injury.
29
7.
Moneys
remaining
in
the
mental
health
and
disability
30
services
redesign
fund
at
the
close
of
the
fiscal
year
shall
31
revert
to
the
general
fund
of
the
state.
32
Sec.
69.
Section
135.180,
subsection
3,
Code
Supplement
33
2011,
is
amended
to
read
as
follows:
34
3.
The
program
shall
provide
stipends
to
support
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psychiatrist
positions
with
an
emphasis
on
securing
and
1
retaining
medical
directors
at
community
mental
health
centers,
2
providers
of
mental
health
services
to
county
residents
3
pursuant
to
a
waiver
approved
under
section
225C.7,
subsection
4
3
,
Code
2011,
and
hospital
psychiatric
units
that
are
located
5
in
mental
health
professional
shortage
areas.
6
Sec.
70.
Section
222.73,
subsection
2,
paragraph
b,
Code
7
2011,
is
amended
to
read
as
follows:
8
b.
The
per
diem
costs
billed
to
each
county
shall
not
exceed
9
the
per
diem
costs
billed
to
the
county
in
the
fiscal
year
10
beginning
July
1,
1996.
However,
the
per
diem
costs
billed
to
11
a
county
may
be
adjusted
in
a
fiscal
year
to
reflect
increased
12
costs
to
the
extent
of
the
percentage
increase
in
the
total
13
of
county
fixed
budgets
pursuant
to
the
allowed
growth
factor
14
adjustment
authorized
by
the
general
assembly
for
that
fiscal
15
year
in
accordance
with
section
331.439
for
mental
health
and
16
disability
services
in
the
previous
fiscal
year
.
17
Sec.
71.
Section
225C.4,
subsection
1,
paragraph
h,
Code
18
2011,
is
amended
by
striking
the
paragraph.
19
Sec.
72.
Section
230.20,
subsection
2,
paragraph
b,
Code
20
2011,
is
amended
to
read
as
follows:
21
b.
The
per
diem
costs
billed
to
each
county
shall
not
exceed
22
the
per
diem
costs
billed
to
the
county
in
the
fiscal
year
23
beginning
July
1,
1996.
However,
the
per
diem
costs
billed
24
to
a
county
may
be
adjusted
annually
to
reflect
increased
25
costs
to
the
extent
of
the
percentage
increase
in
the
total
26
of
county
fixed
budgets
pursuant
to
the
allowed
growth
factor
27
adjustment
authorized
by
the
general
assembly
for
the
fiscal
28
year
in
accordance
with
section
331.439
for
mental
health
and
29
disability
services
in
the
previous
fiscal
year
.
30
Sec.
73.
Section
331.424A,
Code
Supplement
2011,
is
amended
31
to
read
as
follows:
32
331.424A
County
mental
health,
mental
retardation,
and
33
developmental
disabilities
services
fund.
34
1.
For
the
purposes
of
this
chapter
,
unless
the
context
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otherwise
requires,
“services
fund”
means
the
county
mental
1
health,
mental
retardation,
and
developmental
disabilities
2
services
fund
created
in
subsection
2
.
The
county
finance
3
committee
created
in
section
333A.2
shall
consult
with
the
4
state
commission
in
adopting
rules
and
prescribing
forms
for
5
administering
the
services
fund.
6
2.
For
the
fiscal
year
beginning
July
1,
1996,
and
7
succeeding
fiscal
years,
county
revenues
from
taxes
and
other
8
sources
designated
for
mental
health,
mental
retardation,
9
and
developmental
disabilities
services
shall
be
credited
10
to
the
mental
health,
mental
retardation,
and
developmental
11
disabilities
services
fund
of
the
county.
The
board
shall
make
12
appropriations
from
the
fund
for
payment
of
services
provided
13
under
the
county
management
plan
approved
pursuant
to
section
14
331.439
.
The
county
may
pay
for
the
services
in
cooperation
15
with
other
counties
by
pooling
appropriations
from
the
fund
16
with
other
counties
or
through
county
regional
entities
17
including
but
not
limited
to
the
county’s
mental
health
and
18
developmental
disabilities
regional
planning
council
created
19
pursuant
to
section
225C.18
.
20
3.
For
the
fiscal
year
beginning
July
1,
1996,
and
21
succeeding
fiscal
years,
receipts
from
the
state
or
federal
22
government
for
such
services
shall
be
credited
to
the
services
23
fund,
including
moneys
allotted
to
the
county
from
the
state
24
payment
made
pursuant
to
section
331.439
and
moneys
allotted
to
25
the
county
for
property
tax
relief
pursuant
to
section
426B.1
.
26
4.
For
the
fiscal
year
beginning
July
1,
1996,
and
for
each
27
subsequent
fiscal
year,
the
county
shall
certify
a
levy
for
28
payment
of
services.
For
each
fiscal
year,
county
revenues
29
from
taxes
imposed
by
the
county
credited
to
the
services
fund
30
shall
not
exceed
an
amount
equal
to
the
amount
of
base
year
31
expenditures
for
services
as
defined
in
section
331.438
,
less
32
the
amount
of
property
tax
relief
to
be
received
for
the
fiscal
33
year
beginning
July
1,
2011,
pursuant
to
section
426B.2
,
Code
34
Supplement
2011,
in
the
fiscal
year
for
which
the
budget
is
35
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certified.
The
county
auditor
and
the
board
of
supervisors
1
shall
reduce
the
amount
of
the
levy
certified
for
the
services
2
fund
by
the
amount
of
property
tax
relief
to
be
received.
A
3
levy
certified
under
this
section
is
not
subject
to
the
appeal
4
provisions
of
section
331.426
or
to
any
other
provision
in
law
5
authorizing
a
county
to
exceed,
increase,
or
appeal
a
property
6
tax
levy
limit.
7
5.
Appropriations
specifically
authorized
to
be
made
from
8
the
mental
health,
mental
retardation,
and
developmental
9
disabilities
services
fund
shall
not
be
made
from
any
other
10
fund
of
the
county.
11
6.
This
section
is
repealed
July
1,
2013.
12
Sec.
74.
Section
331.438,
subsection
1,
unnumbered
13
paragraph
1,
Code
Supplement
2011,
is
amended
to
read
as
14
follows:
15
For
the
purposes
of
section
331.424A
,
this
section
,
and
16
section
331.439
,
and
chapter
426B
,
unless
the
context
otherwise
17
requires:
18
Sec.
75.
Section
331.438,
subsection
2,
Code
Supplement
19
2011,
is
amended
to
read
as
follows:
20
2.
A
state
payment
to
a
county
for
a
fiscal
year
shall
21
consist
of
the
sum
of
the
state
funding
the
county
is
eligible
22
to
receive
from
the
property
tax
relief
fund
in
accordance
23
with
section
426B.2
plus
the
county’s
portion
of
state
24
funds
appropriated
for
the
allowed
growth
factor
adjustment
25
established
by
the
general
assembly
under
section
331.439,
26
subsection
3
,
and
paid
from
the
allowed
growth
funding
pool
in
27
accordance
with
section
426B.5
for
purposes
of
the
county’s
28
services
fund
.
29
Sec.
76.
Section
331.439,
subsection
1,
unnumbered
30
paragraph
1,
Code
Supplement
2011,
is
amended
to
read
as
31
follows:
32
The
state
payment
to
eligible
counties
under
this
section
33
shall
be
made
as
provided
in
sections
section
331.438
and
34
426B.2
.
A
county
is
eligible
for
the
state
payment,
as
defined
35
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_____
H.F.
_____
in
section
331.438
,
for
a
fiscal
year
if
the
director
of
human
1
services
determines
for
a
specific
fiscal
year
that
all
of
the
2
following
conditions
are
met:
3
Sec.
77.
Section
331.439,
subsection
1,
paragraph
a,
Code
4
Supplement
2011,
is
amended
to
read
as
follows:
5
a.
The
county
accurately
reported
by
December
1
the
6
county’s
expenditures
for
mental
health,
mental
retardation,
7
and
developmental
disabilities
services
and
the
information
8
required
under
section
225C.6A,
subsection
3
,
paragraph
“c”
,
9
for
the
previous
fiscal
year
in
accordance
with
rules
adopted
10
by
the
state
commission.
If
the
department
determines
good
11
cause
exists,
the
department
may
extend
a
deadline
otherwise
12
imposed
under
this
chapter
,
or
chapter
225C
,
or
chapter
426B
13
for
a
county’s
reporting
concerning
mental
health,
mental
14
retardation,
or
developmental
disabilities
services
or
related
15
revenues
and
expenditures.
16
Sec.
78.
Section
331.439,
subsection
3,
Code
Supplement
17
2011,
is
amended
to
read
as
follows:
18
3.
a.
For
the
fiscal
year
beginning
July
1,
1996,
19
and
succeeding
fiscal
years,
the
county’s
mental
health,
20
mental
retardation,
and
developmental
disabilities
service
21
expenditures
for
a
fiscal
year
are
limited
to
a
fixed
budget
22
amount.
The
fixed
budget
amount
shall
be
the
amount
identified
23
in
the
county’s
management
plan
and
budget
for
the
fiscal
24
year.
The
county
shall
be
authorized
an
allowed
growth
factor
25
adjustment
as
established
by
statute
for
services
paid
from
26
the
county’s
services
fund
under
section
331.424A
which
is
27
in
accordance
with
the
county’s
management
plan
and
budget,
28
implemented
pursuant
to
this
section
.
The
statute
establishing
29
the
allowed
growth
factor
adjustment
shall
establish
the
30
adjustment
for
the
fiscal
year
which
commences
two
years
from
31
the
beginning
date
of
the
fiscal
year
in
progress
at
the
time
32
the
statute
is
enacted.
33
b.
Based
upon
information
contained
in
county
management
34
plans
and
budgets
and
proposals
made
by
representatives
of
35
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counties,
the
state
commission
shall
recommend
an
allowed
1
growth
factor
adjustment
to
the
governor
by
November
15
2
for
the
fiscal
year
which
commences
two
years
from
the
3
beginning
date
of
the
fiscal
year
in
progress
at
the
time
the
4
recommendation
is
made.
The
allowed
growth
factor
adjustment
5
may
address
various
costs
including
but
not
limited
to
the
6
costs
associated
with
new
consumers
of
service,
service
cost
7
inflation,
and
investments
for
economy
and
efficiency.
In
8
developing
the
service
cost
inflation
recommendation,
the
state
9
commission
shall
consider
the
cost
trends
indicated
by
the
10
gross
expenditure
amount
reported
in
the
expenditure
reports
11
submitted
by
counties
pursuant
to
subsection
1
,
paragraph
12
“a”
.
The
governor
shall
consider
the
state
commission’s
13
recommendation
in
developing
the
governor’s
recommendation
for
14
an
allowed
growth
factor
adjustment
for
such
fiscal
year.
The
15
governor’s
recommendation
shall
be
submitted
at
the
time
the
16
governor’s
proposed
budget
for
the
succeeding
fiscal
year
is
17
submitted
in
accordance
with
chapter
8
.
18
c.
The
amount
of
the
appropriation
required
to
fund
the
19
allowed
growth
factor
adjustment
for
a
fiscal
year
shall
be
20
calculated
by
applying
the
adjustment
established
by
statute
21
for
that
fiscal
year
to
the
sum
of
the
following:
22
(1)
The
total
amount
of
base
year
expenditures
for
all
23
counties.
24
(2)
The
total
amount
of
the
appropriations
for
allowed
25
growth
factor
adjustments
made
to
all
counties
in
all
of
the
26
fiscal
years
prior
to
that
fiscal
year.
27
Sec.
79.
Section
426B.6,
Code
Supplement
2011,
is
amended
28
to
read
as
follows:
29
426B.6
Future
repeal.
30
This
chapter
is
repealed
July
1,
2013
2012
.
31
Sec.
80.
Section
437A.8,
subsection
4,
paragraph
d,
Code
32
2011,
is
amended
to
read
as
follows:
33
d.
(1)
Notwithstanding
paragraph
“a”
,
a
taxpayer
who
owns
34
or
leases
a
new
electric
power
generating
plant
and
who
has
35
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_____
H.F.
_____
no
other
operating
property
in
the
state
of
Iowa
except
for
1
operating
property
directly
serving
the
new
electric
power
2
generating
plant
as
described
in
section
437A.16
shall
pay
3
the
replacement
generation
tax
associated
with
the
allocation
4
of
the
local
amount
to
the
county
treasurer
of
the
county
in
5
which
the
local
amount
is
located
and
shall
remit
the
remaining
6
replacement
generation
tax,
if
any,
to
the
director
according
7
to
paragraph
“a”
for
remittance
of
the
tax
to
county
treasurers.
8
The
director
shall
notify
each
taxpayer
on
or
before
August
31
9
following
a
tax
year
of
its
remaining
replacement
generation
10
tax
to
be
remitted
to
the
director.
All
remaining
replacement
11
generation
tax
revenues
received
by
the
director
shall
12
be
deposited
in
the
property
tax
relief
mental
health
and
13
disability
services
redesign
fund
created
in
section
426B.1
,
14
and
shall
be
distributed
as
provided
in
section
426B.2
section
15
225C.7A
.
16
(2)
If
a
taxpayer
has
paid
an
amount
of
replacement
tax,
17
penalty,
or
interest
which
was
deposited
into
the
property
tax
18
relief
mental
health
and
disability
services
redesign
fund
and
19
which
was
not
due,
all
of
the
provisions
of
section
437A.14,
20
subsection
1
,
paragraph
“b”
,
shall
apply
with
regard
to
any
21
claim
for
refund
or
credit
filed
by
the
taxpayer.
The
director
22
shall
have
sole
discretion
as
to
whether
the
erroneous
payment
23
will
be
refunded
to
the
taxpayer
or
credited
against
any
24
replacement
tax
due,
or
to
become
due,
from
the
taxpayer
that
25
would
be
subject
to
deposit
in
the
property
tax
relief
mental
26
health
and
disability
services
redesign
fund.
27
Sec.
81.
Section
437A.15,
subsection
3,
paragraph
f,
Code
28
Supplement
2011,
is
amended
to
read
as
follows:
29
f.
Notwithstanding
the
provisions
of
this
section
,
if
30
a
taxpayer
is
a
municipal
utility
or
a
municipal
owner
of
31
an
electric
power
facility
financed
under
the
provisions
32
of
chapter
28F
or
476A
,
the
assessed
value,
other
than
the
33
local
amount,
of
a
new
electric
power
generating
plant
shall
34
be
allocated
to
each
taxing
district
in
which
the
municipal
35
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_____
H.F.
_____
utility
or
municipal
owner
is
serving
customers
and
has
1
electric
meters
in
operation
in
the
ratio
that
the
number
of
2
operating
electric
meters
of
the
municipal
utility
or
municipal
3
owner
located
in
the
taxing
district
bears
to
the
total
number
4
of
operating
electric
meters
of
the
municipal
utility
or
5
municipal
owner
in
the
state
as
of
January
1
of
the
tax
year.
6
If
the
municipal
utility
or
municipal
owner
of
an
electric
7
power
facility
financed
under
the
provisions
of
chapter
28F
8
or
476A
has
a
new
electric
power
generating
plant
but
the
9
municipal
utility
or
municipal
owner
has
no
operating
electric
10
meters
in
this
state,
the
municipal
utility
or
municipal
owner
11
shall
pay
the
replacement
generation
tax
associated
with
the
12
new
electric
power
generating
plant
allocation
of
the
local
13
amount
to
the
county
treasurer
of
the
county
in
which
the
local
14
amount
is
located
and
shall
remit
the
remaining
replacement
15
generation
tax,
if
any,
to
the
director
at
the
times
contained
16
in
section
437A.8,
subsection
4
,
for
remittance
of
the
tax
to
17
the
county
treasurers.
All
remaining
replacement
generation
18
tax
revenues
received
by
the
director
shall
be
deposited
19
in
the
property
tax
relief
mental
health
and
disability
20
services
redesign
fund
created
in
section
426B.1
,
and
shall
be
21
distributed
as
provided
in
section
426B.2
section
225C.7A
.
22
Sec.
82.
Section
445.5,
subsection
1,
paragraph
h,
Code
23
Supplement
2011,
is
amended
by
striking
the
paragraph.
24
Sec.
83.
2011
Iowa
Acts,
chapter
129,
section
135,
is
25
amended
to
read
as
follows:
26
SEC.
135.
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
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S.F.
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H.F.
_____
To
be
credited
to
the
mental
health
and
disability
services
1
redesign
fund
created
by
this
division
of
this
2012
Act
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,084,741
3
12,169,482
4
2.
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
5
June
30,
2013,
$100,000
is
allocated
for
state
case
services
6
from
the
amounts
appropriated
from
the
fund
created
in
section
7
8.41
to
the
department
of
human
services
from
the
funds
8
received
from
the
federal
government
under
42
U.S.C.
ch.
6A,
9
subch.
XVII,
relating
to
the
community
mental
health
center
10
block
grant,
for
the
federal
fiscal
years
beginning
October
11
1,
2010,
and
ending
September
30,
2011,
beginning
October
1,
12
2011,
and
ending
September
30,
2012,
and
beginning
October
1,
13
2012,
and
ending
September
30,
2013.
The
allocation
made
in
14
this
subsection
shall
be
made
prior
to
any
other
distribution
15
allocation
of
the
appropriated
federal
funds.
16
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
17
this
section
that
remain
unencumbered
or
unobligated
at
the
18
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
19
available
for
expenditure
for
the
purposes
designated
until
the
20
close
of
the
succeeding
fiscal
year.
21
Sec.
84.
2011
Iowa
Acts,
chapter
129,
section
136,
is
22
amended
to
read
as
follows:
23
SEC.
136.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
24
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
25
the
general
fund
of
the
state
to
the
mental
health
and
26
developmental
disabilities
community
services
fund
created
in
27
section
225C.7
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
29
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
mental
health
and
developmental
disabilities
community
32
services
in
accordance
with
this
division
of
this
Act
To
be
33
credited
to
the
mental
health
and
disability
services
redesign
34
fund
created
by
this
division
of
this
2012
Act
:
35
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89/
101
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
1
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
2
shall
be
allocated
to
counties
for
funding
of
community-based
3
mental
health
and
developmental
disabilities
services.
The
4
moneys
shall
be
allocated
to
a
county
as
follows:
5
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
6
state’s
population
of
persons
with
an
annual
income
which
is
7
equal
to
or
less
than
the
poverty
guideline
established
by
the
8
federal
office
of
management
and
budget.
9
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
10
state’s
general
population.
11
2.
a.
A
county
shall
utilize
the
funding
the
county
12
receives
pursuant
to
subsection
1
for
services
provided
to
13
persons
with
a
disability,
as
defined
in
section
225C.2.
14
However,
no
more
than
50
percent
of
the
funding
shall
be
used
15
for
services
provided
to
any
one
of
the
service
populations.
16
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
17
county
receives
under
subsection
1
for
contemporary
services
18
provided
to
persons
with
a
disability,
as
described
in
rules
19
adopted
by
the
department.
20
3.
Of
the
funds
appropriated
in
this
section,
$23,544
21
shall
be
used
to
support
the
Iowa
compass
program
providing
22
computerized
information
and
referral
services
for
Iowans
with
23
disabilities
and
their
families.
24
4.
a.
Funding
appropriated
for
purposes
of
the
federal
25
social
services
block
grant
is
allocated
for
distribution
26
to
counties
for
local
purchase
of
services
for
persons
with
27
mental
illness
or
mental
retardation
or
other
developmental
28
disability.
29
b.
The
funds
allocated
in
this
subsection
shall
be
expended
30
by
counties
in
accordance
with
the
county’s
county
management
31
plan
approved
by
the
board
of
supervisors.
A
county
without
32
an
approved
county
management
plan
shall
not
receive
allocated
33
funds
until
the
county’s
management
plan
is
approved.
34
c.
The
funds
provided
by
this
subsection
shall
be
allocated
35
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to
each
county
as
follows:
1
(1)
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
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
6
county
for
local
purchase
of
services
in
the
preceding
fiscal
7
year.
8
5.
A
county
is
eligible
for
funds
under
this
section
if
the
9
county
qualifies
for
a
state
payment
as
described
in
section
10
331.439.
11
6.
The
most
recent
population
estimates
issued
by
the
United
12
States
bureau
of
the
census
shall
be
applied
for
the
population
13
factors
utilized
in
this
section.
14
Sec.
85.
2011
Iowa
Acts,
chapter
129,
section
154,
is
15
amended
to
read
as
follows:
16
SEC.
154.
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
17
DEVELOPMENTAL
DISABILITIES
SERVICES
PROPERTY
TAX
18
RELIEF.
Notwithstanding
In
lieu
of
the
standing
appropriation
19
in
section
426B.1,
subsection
2,
Code
Supplement
2011,
for
20
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
21
2013,
the
amount
there
is
appropriated
from
the
general
fund
of
22
the
state
pursuant
to
that
provision
shall
not
exceed
to
the
23
department
of
human
services
the
following
amount
or
so
much
24
thereof
as
is
necessary
to
be
used
for
the
purposes
designated
:
25
To
be
credited
to
the
mental
health
and
disability
services
26
redesign
fund
created
by
this
division
of
this
2012
Act:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
81,199,911
28
Sec.
86.
2011
Iowa
Acts,
chapter
129,
section
155,
is
29
amended
to
read
as
follows:
30
SEC.
155.
ADULT
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
——
31
FY
2012-2013.
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
35
-91-
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91/
101
S.F.
_____
H.F.
_____
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purpose
designated:
2
For
distribution
to
counties
of
the
county
mental
health,
3
mental
retardation,
and
developmental
disabilities
allowed
4
growth
factor
adjustment
for
fiscal
year
2012-2013
as
provided
5
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
6
of
section
331.438,
subsection
2,
and
section
331.439,
7
subsection
3,
and
chapter
426B
To
be
credited
to
the
mental
8
health
and
disability
services
redesign
fund
created
by
this
9
division
of
this
2012
Act
:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
74,697,893
11
2.
Of
the
amount
appropriated
in
this
section,
$38,000,000
12
shall
be
distributed
as
provided
in
this
subsection.
13
a.
To
be
eligible
to
receive
a
distribution
under
this
14
subsection,
a
county
must
meet
the
following
requirements:
15
(1)
The
county
is
levying
for
the
maximum
amount
allowed
16
for
the
county’s
mental
health,
mental
retardation,
and
17
developmental
disabilities
services
fund
under
section
331.424A
18
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
19
2012,
or
the
county
is
levying
for
at
least
90
percent
of
the
20
maximum
amount
allowed
for
the
county’s
services
fund
and
that
21
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
22
all
taxable
property
in
the
county.
23
(2)
In
the
fiscal
year
beginning
July
1,
2010,
the
24
county’s
mental
health,
mental
retardation,
and
developmental
25
disabilities
services
fund
ending
balance
under
generally
26
accepted
accounting
principles
was
equal
to
or
less
than
15
27
percent
of
the
county’s
actual
gross
expenditures
for
that
28
fiscal
year.
29
b.
The
amount
of
a
county’s
distribution
from
the
allocation
30
made
in
this
subsection
shall
be
determined
based
upon
the
31
county’s
proportion
of
the
general
population
of
the
counties
32
eligible
to
receive
a
distribution
under
this
subsection.
The
33
most
recent
population
estimates
issued
by
the
United
States
34
bureau
of
the
census
shall
be
applied
in
determining
population
35
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_____
H.F.
_____
for
the
purposes
of
this
paragraph.
1
c.
The
distributions
made
pursuant
to
this
subsection
2
are
subject
to
the
distribution
provisions
and
withholding
3
requirements
established
in
this
section
for
the
county
mental
4
health,
mental
retardation,
and
developmental
disabilities
5
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
6
July
1,
2012.
7
3.
The
following
amount
of
the
funding
appropriated
in
this
8
section
is
the
allowed
growth
factor
adjustment
for
fiscal
9
year
2012-2013,
and
shall
be
credited
to
the
allowed
growth
10
funding
pool
created
in
the
property
tax
relief
fund
and
for
11
distribution
in
accordance
with
section
426B.5,
subsection
1:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,697,893
13
4.
The
following
formula
amounts
shall
be
utilized
only
14
to
calculate
preliminary
distribution
amounts
for
the
allowed
15
growth
factor
adjustment
for
fiscal
year
2012-2013
under
this
16
section
by
applying
the
indicated
formula
provisions
to
the
17
formula
amounts
and
producing
a
preliminary
distribution
total
18
for
each
county:
19
a.
For
calculation
of
a
distribution
amount
for
eligible
20
counties
from
the
allowed
growth
funding
pool
created
in
the
21
property
tax
relief
fund
in
accordance
with
the
requirements
in
22
section
426B.5,
subsection
1:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,773,346
24
b.
For
calculation
of
a
distribution
amount
for
counties
25
from
the
mental
health
and
developmental
disabilities
(MH/DD)
26
community
services
fund
in
accordance
with
the
formula
provided
27
in
the
appropriation
made
for
the
MH/DD
community
services
fund
28
for
the
fiscal
year
beginning
July
1,
2012:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
30
5.
a.
After
applying
the
applicable
statutory
distribution
31
formulas
to
the
amounts
indicated
in
subsection
4
for
purposes
32
of
producing
preliminary
distribution
totals,
the
department
33
of
human
services
shall
apply
a
withholding
factor
to
adjust
34
an
eligible
individual
county’s
preliminary
distribution
35
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_____
H.F.
_____
total.
In
order
to
be
eligible
for
a
distribution
under
this
1
section,
a
county
must
be
levying
90
percent
or
more
of
the
2
maximum
amount
allowed
for
the
county’s
mental
health,
mental
3
retardation,
and
developmental
disabilities
services
fund
under
4
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
5
for
which
the
distribution
is
payable.
6
b.
An
ending
balance
percentage
for
each
county
shall
7
be
determined
by
expressing
the
county’s
ending
balance
on
a
8
modified
accrual
basis
under
generally
accepted
accounting
9
principles
for
the
fiscal
year
beginning
July
1,
2010,
in
the
10
county’s
mental
health,
mental
retardation,
and
developmental
11
disabilities
services
fund
created
under
section
331.424A,
as
a
12
percentage
of
the
county’s
gross
expenditures
from
that
fund
13
for
that
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
14
of
providing
services
from
the
county’s
services
fund
on
or
15
before
July
1,
2010,
and
the
county’s
services
fund
ending
16
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
17
amount
designated
in
the
county
budget
to
service
the
loan
for
18
the
borrowed
moneys,
those
amounts
shall
not
be
considered
19
to
be
part
of
the
county’s
ending
balance
for
purposes
of
20
calculating
an
ending
balance
percentage
under
this
subsection.
21
c.
For
purposes
of
calculating
withholding
factors
and
for
22
ending
balance
amounts
used
for
other
purposes
under
law,
the
23
county
ending
balances
shall
be
adjusted,
using
forms
developed
24
for
this
purpose
by
the
county
finance
committee,
to
disregard
25
the
temporary
funding
increase
provided
to
the
counties
for
26
the
fiscal
year
through
the
federal
American
Recovery
and
27
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
In
addition,
a
28
county
may
adjust
the
ending
balance
amount
by
rebating
to
the
29
department
all
or
a
portion
of
the
allowed
growth
and
MH/DD
30
services
fund
moneys
the
county
received
for
the
fiscal
year
31
beginning
July
1,
2011,
in
accordance
with
this
Act,
or
from
32
any
other
services
fund
moneys
available
to
the
county.
The
33
rebate
must
be
remitted
to
the
department
on
or
before
June
1,
34
2012,
in
order
to
be
counted.
The
amount
rebated
by
a
county
35
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shall
be
subtracted
dollar-for-dollar
from
the
county’s
ending
1
balance
amount
for
the
fiscal
year
beginning
July
1,
2010,
2
for
purposes
of
calculating
the
withholding
factor
and
for
3
other
ending
balance
purposes
for
the
fiscal
year
beginning
4
July
1,
2012.
The
rebates
received
by
the
department
shall
be
5
credited
to
the
property
tax
relief
fund
and
distributed
as
6
additional
funding
for
the
fiscal
year
beginning
July
1,
2012,
7
in
accordance
with
the
formula
provisions
in
this
section.
8
d.
The
withholding
factor
for
a
county
shall
be
the
9
following
applicable
percent:
10
(1)
For
an
ending
balance
percentage
of
less
than
5
11
percent,
a
withholding
factor
of
0
percent.
In
addition,
12
a
county
that
is
subject
to
this
lettered
paragraph
shall
13
receive
an
inflation
adjustment
equal
to
3
percent
of
the
gross
14
expenditures
reported
for
the
county’s
services
fund
for
the
15
fiscal
year.
16
(2)
For
an
ending
balance
percentage
of
5
percent
or
more
17
but
less
than
10
percent,
a
withholding
factor
of
0
percent.
18
In
addition,
a
county
that
is
subject
to
this
lettered
19
paragraph
shall
receive
an
inflation
adjustment
equal
to
2
20
percent
of
the
gross
expenditures
reported
for
the
county’s
21
services
fund
for
the
fiscal
year.
22
(3)
For
an
ending
balance
percentage
of
10
percent
or
more
23
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
24
However,
for
counties
with
an
ending
balance
of
10
percent
or
25
more
but
less
than
15
percent,
the
amount
withheld
shall
be
26
limited
to
the
amount
by
which
the
county’s
ending
balance
was
27
in
excess
of
the
ending
balance
percentage
of
10
percent.
28
(4)
For
an
ending
balance
percentage
of
25
percent
or
more,
29
a
withholding
percentage
of
100
percent.
30
6.
The
total
withholding
amounts
applied
pursuant
to
31
subsection
5
shall
be
equal
to
a
withholding
target
amount
of
32
$13,075,453.
If
the
department
of
human
services
determines
33
that
the
amount
appropriated
is
insufficient
or
the
amount
to
34
be
withheld
in
accordance
with
subsection
5
is
not
equal
to
35
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_____
H.F.
_____
the
target
withholding
amount,
the
department
shall
adjust
the
1
withholding
factors
listed
in
subsection
5
as
necessary
to
2
achieve
the
target
withholding
amount.
However,
in
making
such
3
adjustments
to
the
withholding
factors,
the
department
shall
4
strive
to
minimize
changes
to
the
withholding
factors
for
those
5
ending
balance
percentage
ranges
that
are
lower
than
others
and
6
shall
only
adjust
the
zero
withholding
factor
or
the
inflation
7
adjustment
percentages
specified
in
subsection
5,
paragraph
8
“d”,
when
the
amount
appropriated
is
insufficient.
9
Sec.
87.
REPEAL.
Sections
225C.7
and
225C.12,
Code
2011,
10
are
repealed.
11
Sec.
88.
EFFECTIVE
UPON
ENACTMENT.
The
sections
of
12
this
division
of
this
Act
relating
to
risk
pool
funding
13
remaining
after
the
distributions
made
pursuant
to
2011
Iowa
14
Acts,
chapter
129,
section
43,
and
addressing
revisions
of
15
county
certified
budgets
and
levy
rates
by
the
department
of
16
management
during
the
period
beginning
May
1,
2012,
and
ending
17
June
30,
2012,
being
deemed
of
immediate
importance,
take
18
effect
upon
enactment.
19
EXPLANATION
20
This
bill
relates
to
appropriations
for
health
and
human
21
services
for
fiscal
year
2012-2013
to
the
department
of
22
veterans
affairs,
the
Iowa
veterans
home,
the
department
on
23
aging,
the
department
of
public
health,
the
Iowa
finance
24
authority,
the
state
board
of
regents,
the
department
of
25
inspections
and
appeals,
and
the
department
of
human
services.
26
The
appropriations
were
previously
enacted
in
2011
Iowa
Acts,
27
chapter
129
(H.F.
649).
The
bill
is
organized
into
divisions.
28
DEPARTMENT
ON
AGING.
This
division
amends
appropriations
29
made
from
the
general
fund
of
the
state
for
the
department
on
30
aging.
31
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
amends
32
appropriations
made
from
the
general
fund
of
the
state
for
the
33
department
of
public
health.
34
DEPARTMENT
OF
VETERANS
AFFAIRS.
This
division
amends
35
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101
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_____
H.F.
_____
appropriations
made
from
the
general
fund
of
the
state
for
the
1
department
of
veterans
affairs.
2
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
amends
3
appropriations
made
from
the
general
fund
of
the
state
and
the
4
federal
temporary
assistance
for
needy
families
block
grant
to
5
the
department
of
human
services
(DHS).
The
allocation
for
the
6
family
development
and
self-sufficiency
grant
program
is
made
7
directly
to
the
department
of
human
rights.
8
Appropriations
are
made
from
the
health
care
trust
fund
for
9
the
medical
assistance
(Medicaid)
program
in
addition
to
the
10
general
fund
appropriations
made
for
this
purpose.
11
The
reimbursement
section
addresses
reimbursement
for
12
providers
reimbursed
by
the
department
of
human
services.
13
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
IOWACARE
ACCOUNT,
14
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND,
HEALTH
CARE
15
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
FUND,
QUALITY
ASSURANCE
16
TRUST
FUND,
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND.
This
17
division
amends
appropriations
made
for
fiscal
year
2012-2013.
18
The
appropriation
from
the
pharmaceutical
settlement
account
19
to
the
department
of
human
services
supplements
the
Medicaid
20
program
medical
contracts
appropriation.
21
The
appropriations
from
the
IowaCare
account
are
made
to
22
the
state
board
of
regents
for
distribution
to
the
university
23
of
Iowa
hospitals
and
clinics
and
to
the
department
of
human
24
services
for
distribution
to
a
publicly
owned
acute
care
25
teaching
hospital
in
a
county
with
a
population
over
350,000
26
related
to
the
IowaCare
program
and
indigent
care.
27
The
appropriation
from
the
nonparticipating
provider
28
reimbursement
fund
is
made
to
the
department
of
human
services
29
to
reimburse
nonparticipating
providers
under
the
IowaCare
30
program.
31
The
appropriations
to
the
department
of
human
services
from
32
the
account
for
health
care
transformation
are
directed
to
33
various
health
care
reform
initiatives.
34
The
appropriations
made
to
supplement
the
Medicaid
program
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are
from
the
following
funds
and
account:
quality
assurance
1
trust
fund,
hospital
health
care
access
trust
fund,
and
2
Medicaid
fraud
fund.
3
The
bill
repeals
2011
Iowa
Acts,
chapter
129,
section
149,
4
which
makes
appropriations
from
the
Medicaid
fraud
fund
to
5
the
department
of
inspections
and
appeals
for
the
fiscal
year
6
beginning
July
1,
2011,
for
costs
relating
to
assisted
living
7
programs
and
adult
day
care
services.
8
The
bill
repeals
2011
Iowa
Acts,
chapter
129,
section
153,
9
which
provides
that
if
the
total
amounts
appropriated
from
10
all
sources
for
the
medical
assistance
program
for
fiscal
11
year
2012-2013
exceed
the
amount
needed,
the
excess
remains
12
available
to
be
used
for
the
program
in
the
succeeding
fiscal
13
year.
14
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
15
CONTINGENCY
FUND.
This
division
makes
appropriations
provided
16
through
the
federal
child
enrollment
contingency
fund
to
the
17
department
of
human
services
for
fiscal
years
2011-2012
and
18
2012-2013.
The
section
making
appropriations
for
fiscal
year
19
2011-2012
takes
effect
upon
enactment
and
is
retroactively
20
applicable
to
July
1,
2011.
21
MISCELLANEOUS.
This
division
provides
miscellaneous
22
statutory
amendments.
23
Code
section
97B.39,
relating
to
Iowa
public
employees’
24
retirement
system
(IPERS)
payments,
is
amended
to
include
25
recovery
of
Medicaid
program
payments
related
to
estate
26
recovery
in
the
list
of
exceptions
that
allow
IPERS
payments
27
to
be
subject
to
execution,
levy,
attachment,
garnishment,
28
or
other
legal
process,
or
to
the
operation
of
bankruptcy
or
29
insolvency
law.
30
Code
section
135H.10,
relating
to
administrative
rules
31
addressing
psychiatric
medical
institutions
for
children
32
(PMICs)
is
amended
to
strike
a
prohibition
against
the
33
department
of
human
services
including
services
provided
by
34
PMICs
in
any
managed
care
contract.
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Code
section
232.52,
relating
to
the
disposition
of
a
1
child
found
to
have
committed
a
delinquent
act,
is
amended
2
to
prohibit
the
court
from
ordering
a
placement
in
the
state
3
training
school
at
Eldora
or
the
Iowa
juvenile
home
at
Toledo
4
if
the
placement
is
not
in
accordance
with
the
population
5
guidelines
established
for
those
facilities.
6
MH/MR/DD
SERVICES
FUNDING
FOR
FISCAL
YEAR
2012-2013.
This
7
division
revises
various
standing
and
other
appropriations
8
for
mental
health,
mental
retardation,
and
developmental
9
disabilities
(MH/MR/DD)
for
fiscal
years
2011-2012
and
10
2012-2013.
11
Moneys
in
the
property
tax
relief
fund
from
the
12
appropriation
made
pursuant
to
2011
Iowa
Acts,
chapter
123
13
(SF
209),
section
21,
subsection
1,
that
remain
following
the
14
distributions
to
counties
made
pursuant
to
2011
Iowa
Acts,
15
chapter
129,
section
43,
are
required
to
be
transferred
to
the
16
appropriation
made
from
the
general
fund
of
the
state
for
the
17
medical
assistance
program
in
2011
Iowa
Acts,
chapter
129,
18
section
10.
The
transfer
is
to
be
made
on
the
effective
date
19
of
the
provision.
20
A
mental
health
and
disability
services
redesign
fund
21
is
created
in
new
Code
section
225C.7A.
The
following
22
appropriations
made
for
that
fiscal
year
in
2011
Iowa
Acts,
23
chapter
129,
are
amended
to
be
credited
to
the
fund:
MI/MR/DD
24
state
cases
in
section
135,
MH/DD
community
services
fund
in
25
section
136,
MH/MR/DD
property
tax
relief
funding
pursuant
26
to
Code
section
426B.1,
as
amended
by
section
154,
and
adult
27
MH/MR/DD
allowed
growth
funding
in
section
155.
Moneys
in
28
the
fund
are
appropriated
to
the
department
to
be
used
to
pay
29
the
nonfederal
share
of
medical
assistance
program
services
30
costs
that
would
otherwise
be
billed
to
counties
for
the
31
following
services
provided
in
the
fiscal
year
beginning
July
32
1,
2012:
habilitation,
targeted
case
management,
and
home
33
and
community-based
services
waiver
services
for
persons
with
34
intellectual
disabilities
and
brain
injury,
and
88
percent
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of
services
provided
by
community-based
intermediate
care
1
facilities
for
persons
with
mental
retardation
(ICF/MR).
2
Counties
remain
responsible
for
the
remaining
portion
of
the
3
nonfederal
share
of
such
medical
assistance
program
costs
in
4
the
fiscal
year
for
community-based
ICF/MRs
and
for
all
of
the
5
nonfederal
share
for
the
state
resource
centers.
Provisions
6
in
Code
sections
249A.12
and
249A.26
that
would
otherwise
7
require
counties
to
pay
the
entire
nonfederal
share
are
made
8
inapplicable
for
the
fiscal
year.
Allocations
from
the
fund
9
are
specified
for
other
purposes
associated
with
redesign
of
10
mental
health
and
disability
services.
11
An
existing
repeal
of
Code
chapter
426B,
relating
to
county
12
property
tax
relief
for
MH/MR/DD
services,
on
July
1,
2013,
is
13
changed
to
July
1,
2012.
Conforming
amendments
are
made
to
14
various
Code
provisions.
15
Code
section
445.5,
requiring
the
county
treasurer
to
notify
16
each
land
titleholder
of
the
amount
of
property
tax
reduction
17
on
each
parcel
as
a
result
of
the
moneys
received
from
the
18
state
property
tax
relief
fund,
is
amended
to
eliminate
the
19
requirement.
20
Current
law
provides
for
certain
electrical
power
21
replacement
generation
tax
revenues
to
be
credited
to
the
22
property
tax
relief
fund
for
distribution
to
counties
to
23
reduce
mental
health,
mental
retardation,
and
developmental
24
disabilities
levies.
The
property
tax
relief
fund
and
the
25
county
levy
provisions
are
repealed
effective
July
1,
2013,
26
pursuant
to
2011
Iowa
Acts,
chapter
123
(SF
209).
The
bill
27
provides
for
the
revenues
to
instead
be
deposited
in
the
new
28
mental
health
and
disability
services
redesign
fund.
The
bill
29
amends
these
Code
sections
to
reflect
the
change:
section
30
437A.8,
relating
to
return
and
payment
requirements
for
taxes
31
on
electricity
and
natural
gas
providers;
and
section
437A.15,
32
relating
to
allocation
of
replacement
tax
revenues.
33
Code
section
225C.7,
creating
the
MH/DD
community
services
34
fund,
and
Code
section
225C.12,
providing
for
partial
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reimbursement
to
counties
for
local
inpatient
mental
health
1
care
and
treatment,
are
both
repealed
and
conforming
amendments
2
are
included.
3
Current
law
provides
for
the
department
of
management
4
to
reduce
county-certified
budgets
and
levy
rates
for
the
5
succeeding
fiscal
year
to
reflect
the
replacement
tax
revenues
6
in
the
fund
as
of
May
1,
2012.
If
the
repeal
of
Code
chapter
7
426B
in
the
division
is
enacted
after
the
department
has
8
applied
the
reductions,
the
reductions
are
rescinded,
and
the
9
department
is
required
to
expeditiously
notify
the
county
10
auditors.
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