Senate Study Bill 3201 - Introduced SENATE FILE _____ BY (PROPOSED COMMITTEE ON APPROPRIATIONS BILL BY CHAIRPERSON DVORSKY) A BILL FOR An Act relating to appropriations for health and human services 1 and including other related provisions and appropriations, 2 making penalties applicable, and including effective, 3 retroactive, and applicability date provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5118XC (40) 84 pf/jp
S.F. _____ DIVISION I 1 DEPARTMENT ON AGING 2 Section 1. 2011 Iowa Acts, chapter 129, section 113, is 3 amended to read as follows: 4 SEC. 113. DEPARTMENT ON AGING. There is appropriated from 5 the general fund of the state to the department on aging for 6 the fiscal year beginning July 1, 2012, and ending June 30, 7 2013, the following amount, or so much thereof as is necessary, 8 to be used for the purposes designated: 9 For aging programs for the department on aging and area 10 agencies on aging to provide citizens of Iowa who are 60 years 11 of age and older with case management for frail elders, Iowa’s 12 aging and disabilities resource center, and other services 13 which may include but are not limited to adult day services, 14 respite care, chore services, information and assistance, 15 and material aid, for information and options counseling for 16 persons with disabilities who are 18 years of age or older, 17 and for salaries, support, administration, maintenance, and 18 miscellaneous purposes, and for not more than the following 19 full-time equivalent positions: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,151,288 21 10,402,577 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 35.00 23 1. Funds appropriated in this section may be used to 24 supplement federal funds under federal regulations. To 25 receive funds appropriated in this section, a local area 26 agency on aging shall match the funds with moneys from other 27 sources according to rules adopted by the department. Funds 28 appropriated in this section may be used for elderly services 29 not specifically enumerated in this section only if approved 30 by an area agency on aging for provision of the service within 31 the area. 32 2. The amount appropriated in this section includes 33 additional funding of $225,000 $450,000 for delivery of 34 long-term care services to seniors with low or moderate 35 -1- LSB 5118XC (40) 84 pf/jp 1/ 95
S.F. _____ 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 5. Of the funds appropriated in this section, $100,000 30 shall be used to provide an additional local long-term care 31 resident’s advocate. It is the intent of the general assembly 32 that the number of local long-term care resident’s advocates 33 as provided in section 231.42 be increased each year until 15 34 local long-term care resident’s advocates are available in the 35 -2- LSB 5118XC (40) 84 pf/jp 2/ 95
S.F. _____ state. 1 DIVISION II 2 DEPARTMENT OF PUBLIC HEALTH 3 Sec. 2. 2011 Iowa Acts, chapter 129, section 114, is amended 4 to read as follows: 5 SEC. 114. DEPARTMENT OF PUBLIC HEALTH. There is 6 appropriated from the general fund of the state to the 7 department of public health for the fiscal year beginning July 8 1, 2012, and ending June 30, 2013, the following amounts, or 9 so much thereof as is necessary, to be used for the purposes 10 designated: 11 1. ADDICTIVE DISORDERS 12 For reducing the prevalence of use of tobacco, alcohol, and 13 other drugs, and treating individuals affected by addictive 14 behaviors, including gambling, and for not more than the 15 following full-time equivalent positions: 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 11,751,595 17 26,003,190 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 19 a. (1) Of the funds appropriated in this subsection, 20 $1,626,915 $5,753,830 shall be used for the tobacco use 21 prevention and control initiative, including efforts at the 22 state and local levels, as provided in chapter 142A . The 23 commission on tobacco use prevention and control established 24 pursuant to section 142A.3 shall advise the director of 25 public health in prioritizing funding needs and the allocation 26 of moneys appropriated for the programs and activities of 27 the initiative under this subparagraph (1) and shall make 28 recommendations to the director in the development of budget 29 requests relating to the initiative. 30 (2) Of the funds allocated in this paragraph “a”, $226,915 31 $453,830 shall be transferred to the alcoholic beverages 32 division of the department of commerce for enforcement of 33 tobacco laws, regulations, and ordinances in accordance with 34 2011 Iowa Acts, House File 467 , as enacted chapter 63 . 35 -3- LSB 5118XC (40) 84 pf/jp 3/ 95
S.F. _____ b. Of the funds appropriated in this subsection, 1 $10,124,680 $20,249,360 shall be used for problem gambling and 2 substance abuse prevention, treatment, and recovery services, 3 including a 24-hour helpline, public information resources, 4 professional training, and program evaluation. 5 (1) Of the funds allocated in this paragraph “b”, $8,566,254 6 $17,132,508 shall be used for substance abuse prevention and 7 treatment. 8 (a) Of the funds allocated in this subparagraph (1), 9 $449,650 $899,300 shall be used for the public purpose of a 10 grant program to provide substance abuse prevention programming 11 for children. 12 (i) Of the funds allocated in this subparagraph division 13 (a), $213,769 $427,539 shall be used for grant funding for 14 organizations that provide programming for children by 15 utilizing mentors. Programs approved for such grants shall be 16 certified or will be certified within six months of receiving 17 the grant award by the Iowa commission on volunteer services as 18 utilizing the standards for effective practice for mentoring 19 programs. 20 (ii) Of the funds allocated in this subparagraph division 21 (a), $213,419 $426,839 shall be used for grant funding for 22 organizations that provide programming that includes youth 23 development and leadership. The programs shall also be 24 recognized as being programs that are scientifically based with 25 evidence of their effectiveness in reducing substance abuse in 26 children. 27 (iii) The department of public health shall utilize a 28 request for proposals process to implement the grant program. 29 (iv) All grant recipients shall participate in a program 30 evaluation as a requirement for receiving grant funds. 31 (v) Of the funds allocated in this subparagraph division 32 (a), up to $22,461 $44,922 may be used to administer substance 33 abuse prevention grants and for program evaluations. 34 (b) Of the funds allocated in this subparagraph (1), 35 -4- LSB 5118XC (40) 84 pf/jp 4/ 95
S.F. _____ $136,531 $273,062 shall be used for culturally competent 1 substance abuse treatment pilot projects. 2 (i) The department shall utilize the amount allocated 3 in this subparagraph division (b) for at least three pilot 4 projects to provide culturally competent substance abuse 5 treatment in various areas of the state. Each pilot project 6 shall target a particular ethnic minority population. The 7 populations targeted shall include but are not limited to 8 African American, Asian, and Latino. 9 (ii) The pilot project requirements shall provide for 10 documentation or other means to ensure access to the cultural 11 competence approach used by a pilot project so that such 12 approach can be replicated and improved upon in successor 13 programs. 14 (2) Of the funds allocated in this paragraph “b”, up 15 to $1,558,426 $3,116,852 may be used for problem gambling 16 prevention, treatment, and recovery services. 17 (a) Of the funds allocated in this subparagraph (2), 18 $1,289,500 $2,579,000 shall be used for problem gambling 19 prevention and treatment. 20 (b) Of the funds allocated in this subparagraph (2), up to 21 $218,926 $437,852 may be used for a 24-hour helpline, public 22 information resources, professional training, and program 23 evaluation. 24 (c) Of the funds allocated in this subparagraph (2), up 25 to $50,000 $100,000 may be used for the licensing of problem 26 gambling treatment programs. 27 (3) It is the intent of the general assembly that from the 28 moneys allocated in this paragraph “b”, persons with a dual 29 diagnosis of substance abuse and gambling addictions shall be 30 given priority in treatment services. 31 c. Notwithstanding any provision of law to the contrary, 32 to standardize the availability, delivery, cost of delivery, 33 and accountability of problem gambling and substance abuse 34 treatment services statewide, the department shall continue 35 -5- LSB 5118XC (40) 84 pf/jp 5/ 95
S.F. _____ implementation of a process to create a system for delivery 1 of treatment services in accordance with the requirements 2 specified in 2008 Iowa Acts, chapter 1187, section 3, 3 subsection 4. To ensure the system provides a continuum of 4 treatment services that best meets the needs of Iowans, the 5 problem gambling and substance abuse treatment services in any 6 area may be provided either by a single agency or by separate 7 agencies submitting a joint proposal. 8 (1) The system for delivery of substance abuse and problem 9 gambling treatment shall include problem gambling prevention. 10 (2) The system for delivery of substance abuse and problem 11 gambling treatment shall include substance abuse prevention by 12 July 1, 2014. 13 (3) Of the funds allocated in paragraph “b”, the department 14 may use up to $50,000 $100,000 for administrative costs to 15 continue developing and implementing the process in accordance 16 with this paragraph “c”. 17 d. The requirement of section 123.53, subsection 5 , is met 18 by the appropriations and allocations made in this Act for 19 purposes of substance abuse treatment and addictive disorders 20 for the fiscal year beginning July 1, 2012. 21 e. The department of public health shall work with all other 22 departments that fund substance abuse prevention and treatment 23 services and all such departments shall, to the extent 24 necessary, collectively meet the state maintenance of effort 25 requirements for expenditures for substance abuse services 26 as required under the federal substance abuse prevention and 27 treatment block grant. 28 f. The department shall amend or otherwise revise 29 departmental policies and contract provisions in order to 30 eliminate free t-shirt distribution, banner production, and 31 other unnecessary promotional expenditures. 32 2. HEALTHY CHILDREN AND FAMILIES 33 For promoting the optimum health status for children, 34 adolescents from birth through 21 years of age, and families, 35 -6- LSB 5118XC (40) 84 pf/jp 6/ 95
S.F. _____ and for not more than the following full-time equivalent 1 positions: 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,297,135 3 2,694,270 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 5 a. Of the funds appropriated in this subsection, not 6 more than $369,659 $739,318 shall be used for the healthy 7 opportunities to experience success (HOPES)-healthy families 8 Iowa (HFI) program established pursuant to section 135.106 . 9 The funding shall be distributed to renew the grants that were 10 provided to the grantees that operated the program during the 11 fiscal year ending June 30, 2012. 12 0b. (1) In order to implement the legislative intent 13 stated in sections 135.106 and 256I.9, that priority for 14 home visitation program funding be given to programs using 15 evidence-based or promising models for home visitation, it is 16 the intent of the general assembly to phase-in the funding 17 priority as follows: 18 (a) By July 1, 2013, 25 percent of state funds expended 19 for home visiting programs are for evidence-based or promising 20 program models. 21 (b) By July 1, 2014, 50 percent of state funds expended 22 for home visiting programs are for evidence-based or promising 23 program models. 24 (c) By July 1, 2015, 75 percent of state funds expended 25 for home visiting programs are for evidence-based or promising 26 program models. 27 (d) By July 1, 2016, 90 percent of state funds expended 28 for home visiting programs are for evidence-based or promising 29 program models. The remaining 10 percent of funds may be 30 used for innovative program models that do not yet meet the 31 definition of evidence-based or promising programs. 32 (2) For the purposes of this lettered paragraph, unless the 33 context otherwise requires: 34 (a) “Evidence-based program” means a program that is based 35 -7- LSB 5118XC (40) 84 pf/jp 7/ 95
S.F. _____ on scientific evidence demonstrating that the program model 1 is effective. An evidence-based program shall be reviewed 2 onsite and compared to program model standards by the model 3 developer or the developer’s designee at least every five years 4 to ensure that the program continues to maintain fidelity 5 with the program model. The program model shall have had 6 demonstrated significant and sustained positive outcomes in an 7 evaluation utilizing a well-designed and rigorous randomized 8 controlled research design or a quasi-experimental research 9 design, and the evaluation results shall have been published in 10 a peer-reviewed journal. 11 (b) “Family support programs” includes group-based parent 12 education or home visiting programs that are designed to 13 strengthen protective factors, including parenting skills, 14 increasing parental knowledge of child development, and 15 increasing family functioning and problem solving skills. A 16 family support program may be used as an early intervention 17 strategy to improve birth outcomes, parental knowledge, family 18 economic success, the home learning environment, family and 19 child involvement with others, and coordination with other 20 community resources. A family support program may have a 21 specific focus on preventing child maltreatment or ensuring 22 children are safe, healthy, and ready to succeed in school. 23 (c) “Promising program” means a program that meets all of 24 the following requirements: 25 (i) The program conforms to a clear, consistent family 26 support model that has been in existence for at least three 27 years. 28 (ii) The program is grounded in relevant empirically-based 29 knowledge. 30 (iii) The program is linked to program-determined outcomes. 31 (iv) The program is associated with a national or state 32 organization that either has comprehensive program standards 33 that ensure high-quality service delivery and continuous 34 program quality improvement or the program model has 35 -8- LSB 5118XC (40) 84 pf/jp 8/ 95
S.F. _____ demonstrated through the program’s benchmark outcomes that the 1 program has achieved significant positive outcomes equivalent 2 to those achieved by program models with published significant 3 and sustained results in a peer-reviewed journal. 4 (v) The program has been awarded the Iowa family support 5 credential and has been reviewed onsite at least every five 6 years to ensure the program’s adherence to the Iowa family 7 support standards approved by the early childhood Iowa 8 state board created in section 256I.3 or a comparable set of 9 standards. The onsite review is completed by an independent 10 review team that is not associated with the program or the 11 organization administering the program. 12 (3) (a) The data reporting requirements applicable to 13 the HOPES-HFI program services shall include the requirements 14 adopted by the early childhood Iowa state board pursuant 15 to section 256I.4 for the family support programs targeted 16 to families expecting a child or with newborn and infant 17 children through age five and funded through the state board. 18 The department of public health may specify additional data 19 reporting requirements for the HOPES-HFI program services. The 20 HOPES-HFI program services shall be required to participate in 21 a state administered internet-based data collection system by 22 July 1, 2013. The annual reporting concerning the HOPES-HFI 23 program services shall include program outcomes beginning with 24 the 2015 report. 25 (b) The data on families served that is collected by the 26 HOPES-HFI program shall include but is not limited to basic 27 demographic information, services received, funding utilized, 28 and program outcomes for the children and families served. 29 (c) The HOPES-HFI program shall work with the early 30 childhood Iowa state board in the state board’s efforts 31 to identify minimum competency standards for the employees 32 and supervisors of family support programs funded. The 33 HOPES-HFI program, along with the state board, shall submit 34 recommendations concerning the standards to the governor and 35 -9- LSB 5118XC (40) 84 pf/jp 9/ 95
S.F. _____ general assembly on or before January 1, 2014. 1 (d) On or before January 1, 2013, the HOPES-HFI program 2 shall adopt criminal and child abuse record check requirements 3 for the employees and supervisors of family support programs 4 funded through the program. 5 (e) The HOPES-HFI program shall work with the early 6 childhood Iowa state board in the state board’s efforts to 7 develop a plan to implement a coordinated intake and referral 8 process for publicly funded family support programs in order 9 to engage the families expecting a child or with newborn and 10 infant children through age five in all communities in the 11 state by July 1, 2015. 12 b. Of the funds appropriated in this subsection, $164,942 13 $329,885 shall be used to continue to address the healthy 14 mental development of children from birth through five years 15 of age through local evidence-based strategies that engage 16 both the public and private sectors in promoting healthy 17 development, prevention, and treatment for children. The 18 department shall work with the department of human services, 19 Iowa Medicaid enterprise, to develop a plan to secure matching 20 medical assistance program funding to provide services under 21 this paragraph, which may include a per member per month 22 payment to reimburse the care coordination and community 23 outreach services component that links young children and their 24 families with identified service needs. 25 c. Of the funds appropriated in this subsection, $15,798 26 $31,597 shall be distributed to a statewide dental carrier to 27 provide funds to continue the donated dental services program 28 patterned after the projects developed by the lifeline network 29 to provide dental services to indigent elderly and disabled 30 individuals. 31 d. Of the funds appropriated in this subsection, $56,338 32 $112,677 shall be used for childhood obesity prevention. 33 e. Of the funds appropriated in this subsection, $81,880 34 $163,760 shall be used to provide audiological services and 35 -10- LSB 5118XC (40) 84 pf/jp 10/ 95
S.F. _____ hearing aids for children. The department may enter into a 1 contract to administer this paragraph. 2 f. Of the funds appropriated in this subsection, $100,000 3 shall be transferred to the university of Iowa college of 4 dentistry for provision of primary dental services to children. 5 State funds shall be matched on a dollar-for-dollar basis. 6 The university of Iowa college of dentistry shall coordinate 7 efforts with the department of public health, bureau of oral 8 health, to provide dental care to underserved populations 9 throughout the state. 10 3. CHRONIC CONDITIONS 11 For serving individuals identified as having chronic 12 conditions or special health care needs, and for not more than 13 the following full-time equivalent positions: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,680,828 15 3,419,028 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 17 5.00 18 a. Of the funds appropriated in this subsection, $80,291 19 $160,582 shall be used for grants to individual patients 20 who have phenylketonuria (PKU) to assist with the costs of 21 necessary special foods. 22 b. Of the funds appropriated in this subsection, $241,800 23 $483,600 is allocated for continuation of the contracts for 24 resource facilitator services in accordance with section 25 135.22B, subsection 9 , and for brain injury training services 26 and recruiting of service providers to increase the capacity 27 within this state to address the needs of individuals with 28 brain injuries and such individuals’ families. 29 c. Of the funds appropriated in this subsection, $249,437 30 $550,000 shall be used as additional funding to leverage 31 federal funding through the federal Ryan White Care Act, Tit. 32 II, AIDS drug assistance program supplemental drug treatment 33 grants. 34 d. Of the funds appropriated in this subsection, $15,627 35 -11- LSB 5118XC (40) 84 pf/jp 11/ 95
S.F. _____ $50,000 shall be used for the public purpose of providing 1 a grant to an existing national-affiliated organization to 2 provide education, client-centered programs, and client and 3 family support for people living with epilepsy and their 4 families. 5 e. Of the funds appropriated in this subsection, $394,151 6 $788,303 shall be used for child health specialty clinics. 7 f. Of the funds appropriated in this subsection, $248,533 8 $497,065 shall be used for the comprehensive cancer control 9 program to reduce the burden of cancer in Iowa through 10 prevention, early detection, effective treatment, and ensuring 11 quality of life. Of the funds allocated in this lettered 12 paragraph, $75,000 $150,000 shall be used to support a melanoma 13 research symposium, a melanoma biorepository and registry, 14 basic and translational melanoma research, and clinical trials. 15 g. Of the funds appropriated in this subsection, $63,225 16 $126,450 shall be used for cervical and colon cancer screening. 17 h. Of the funds appropriated in this subsection, $264,417 18 $528,834 shall be used for the center for congenital and 19 inherited disorders. The number of full-time equivalent 20 positions authorized in this subsection includes one full-time 21 equivalent position to act as the state genetics coordinator. 22 i. Of the funds appropriated in this subsection, $64,968 23 $129,937 shall be used for the prescription drug donation 24 repository program created in chapter 135M . 25 4. COMMUNITY CAPACITY 26 For strengthening the health care delivery system at the 27 local level, and for not more than the following full-time 28 equivalent positions: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,117,583 30 5,822,987 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 14.00 32 a. Of the funds appropriated in this subsection, $50,000 33 $100,000 is allocated for a child vision screening program 34 implemented through the university of Iowa hospitals and 35 -12- LSB 5118XC (40) 84 pf/jp 12/ 95
S.F. _____ clinics in collaboration with early childhood Iowa areas. 1 b. Of the funds appropriated in this subsection, $55,654 2 $111,308 is allocated for continuation of an initiative 3 implemented at the university of Iowa and $50,246 $100,493 4 is allocated for continuation of an initiative at the state 5 mental health institute at Cherokee to expand and improve the 6 workforce engaged in mental health treatment and services. 7 The initiatives shall receive input from the university of 8 Iowa, the department of human services, the department of 9 public health, and the mental health and disability services 10 commission to address the focus of the initiatives. 11 c. Of the funds appropriated in this subsection, $585,745 12 $1,171,491 shall be used for essential public health services 13 that promote healthy aging throughout the lifespan, contracted 14 through a formula for local boards of health, to enhance health 15 promotion and disease prevention services. 16 d. Of the funds appropriated in this section, $60,908 17 $121,817 shall be deposited in the governmental public health 18 system fund created in section 135A.8 to be used for the 19 purposes of the fund. 20 e. Of the funds appropriated in this subsection, $72,271 21 $144,542 shall be used for the mental health professional 22 shortage area program implemented pursuant to section 135.80 . 23 f. Of the funds appropriated in this subsection, $19,131 24 $38,263 shall be used for a grant to a statewide association 25 of psychologists that is affiliated with the American 26 psychological association to be used for continuation of a 27 program to rotate intern psychologists in placements in urban 28 and rural mental health professional shortage areas, as defined 29 in section 135.80 135.180 . 30 g. Of the funds appropriated in this subsection, the 31 following amounts shall be allocated to the Iowa collaborative 32 safety net provider network established pursuant to section 33 135.153 to be used for the purposes designated. The following 34 amounts allocated under this lettered paragraph shall be 35 -13- LSB 5118XC (40) 84 pf/jp 13/ 95
S.F. _____ distributed to the specified provider and shall not be reduced 1 for administrative or other costs prior to distribution: 2 (1) For distribution to the Iowa primary care association 3 for statewide coordination of the Iowa collaborative safety net 4 provider network: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 66,290 6 150,000 7 (1A) For distribution to the Iowa primary care association 8 to be used for the following women’s health initiatives: 9 (a) To establish a grant program, in collaboration 10 with sexual assault response teams (SARTs) comprised of 11 representatives of law enforcement, victim advocates, 12 prosecutors, and certified medical personnel to expand the 13 response room model for use by SARTs throughout the state: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 50,000 15 (b) To promote access to primary and preventive health care 16 and for provision of assistance to patients in determining an 17 appropriate medical home: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 75,000 19 (1B) For distribution to federally qualified health centers 20 for necessary infrastructure, statewide coordination, provider 21 recruitment, service delivery, and provision of assistance to 22 patients in determining an appropriate medical home: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 125,000 24 (2) For distribution to the local boards of health that 25 provide direct services for pilot programs in three counties to 26 assist patients in determining an appropriate medical home: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 38,804 28 77,609 29 (3) For distribution to maternal and child health centers 30 for pilot programs in three counties to assist patients in 31 determining an appropriate medical home: 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 38,804 33 100,000 34 (4) For distribution to free clinics for necessary 35 -14- LSB 5118XC (40) 84 pf/jp 14/ 95
S.F. _____ infrastructure, statewide coordination, provider recruitment, 1 service delivery, and provision of assistance to patients in 2 determining an appropriate medical home: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,025 4 424,050 5 (5) For distribution to rural health clinics for necessary 6 infrastructure, statewide coordination, provider recruitment, 7 service delivery, and provision of assistance to patients in 8 determining an appropriate medical home: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 55,215 10 150,000 11 (6) For continuation of the safety net provider patient 12 access to specialty health care initiative as described in 2007 13 Iowa Acts, chapter 218, section 109: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 130,000 15 400,000 16 (7) For continuation of the pharmaceutical infrastructure 17 for safety net providers as described in 2007 Iowa Acts, 18 chapter 218, section 108: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 135,000 20 435,000 21 The Iowa collaborative safety net provider network may 22 continue to distribute funds allocated pursuant to this 23 lettered paragraph through existing contracts or renewal of 24 existing contracts. 25 h. (1) Of the funds appropriated in this subsection, 26 $74,500 $337,440 shall be used for continued implementation 27 of the recommendations of the direct care worker task force 28 established pursuant to 2005 Iowa Acts, chapter 88 , based 29 upon the report submitted to the governor and the general 30 assembly in December 2006. The department may use a portion 31 of the funds allocated in this lettered paragraph for an 32 additional position to assist in the continued implementation 33 the purposes of the board of direct care professionals as 34 established pursuant to the division of this Act enacting new 35 -15- LSB 5118XC (40) 84 pf/jp 15/ 95
S.F. _____ Code chapter 152F . The direct care worker advisory council 1 established pursuant to 2008 Iowa Acts, chapter 1188, section 2 69, may continue to provide expertise and leadership relating 3 to the recommendations in the advisory council’s final report 4 submitted to the governor and the general assembly in March 5 2012. 6 i. (1) Of the funds appropriated in this subsection, 7 $65,050 $145,100 shall be used for allocation to an independent 8 statewide direct care worker association that serves the 9 entirety of the direct care workforce under a contract with 10 terms determined by the director of public health relating 11 to education, outreach, leadership development, mentoring, 12 and other initiatives intended to enhance the recruitment and 13 retention of direct care workers in health care and long-term 14 care settings. 15 (2) Of the funds appropriated in this subsection, $29,000 16 $58,000 shall be used to provide scholarships or other forms of 17 subsidization for direct care worker educational conferences, 18 training, or outreach activities. 19 j. Of the funds appropriated in this subsection, the 20 department may use up to $29,259 $58,518 for up to one 21 full-time equivalent position to administer the volunteer 22 health care provider program pursuant to section 135.24 . 23 k. Of the funds appropriated in this subsection, $25,000 24 $50,000 shall be used for a matching dental education loan 25 repayment program to be allocated to a dental nonprofit health 26 service corporation to develop the criteria and implement the 27 loan repayment program. 28 l. Of the funds appropriated in this subsection, $250,000 29 shall be used as state matching funds for the primary care 30 provider recruitment and retention endeavor established 31 pursuant to section 135.107. Notwithstanding any provision 32 to the contrary including whether a community is located in a 33 federally designated health professional shortage area, the 34 funds shall be used for loans to medical students who upon 35 -16- LSB 5118XC (40) 84 pf/jp 16/ 95
S.F. _____ receiving a permanent license in this state will engage in 1 the full-time practice of medicine and surgery or osteopathic 2 medicine and surgery specializing in family medicine, 3 pediatrics, psychiatry, internal medicine, or general surgery 4 in a city within the state with a population of less than 5 26,000 that is located more than 20 miles from a city with a 6 population of 50,000 or more. The department may adopt rules 7 pursuant to chapter 17A to implement this paragraph “l”. 8 m. Of the funds appropriated in this subsection, $100,000 9 shall be used for the purposes of the Iowa donor registry as 10 specified in section 142C.18. 11 n. Of the funds appropriated in this subsection, $100,000 12 shall be used for continuation of a grant to a nationally 13 affiliated volunteer eye organization that has an established 14 program for children and adults and that is solely dedicated to 15 preserving sight and preventing blindness through education, 16 nationally certified vision screening and training, and 17 community and patient service programs. 18 5. HEALTHY AGING 19 To provide public health services that reduce risks and 20 invest in promoting and protecting good health over the 21 course of a lifetime with a priority given to older Iowans and 22 vulnerable populations: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,648,571 24 7,297,142 25 a. Of the funds appropriated in this subsection, $1,004,593 26 $2,009,187 shall be used for local public health nursing 27 services. 28 b. Of the funds appropriated in this subsection, $2,643,977 29 $5,287,955 shall be used for home care aide services. 30 6. ENVIRONMENTAL HAZARDS 31 For reducing the public’s exposure to hazards in the 32 environment, primarily chemical hazards, and for not more than 33 the following full-time equivalent positions: 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 406,888 35 -17- LSB 5118XC (40) 84 pf/jp 17/ 95
S.F. _____ 813,777 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 2 Of the funds appropriated in this subsection, $272,188 3 $544,377 shall be used for childhood lead poisoning provisions. 4 7. INFECTIOUS DISEASES 5 a. For reducing the incidence and prevalence of 6 communicable diseases, and for not more than the following 7 full-time equivalent positions: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 672,923 9 2,895,847 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 11 b. For the human papillomavirus vaccination public 12 awareness program in accordance with section 135.11, subsection 13 31, as enacted by this Act: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 50,000 15 The department of public health may seek private sector 16 moneys for the purpose of supporting the public awareness 17 program. 18 c. For provision of vaccinations for human papillomavirus 19 to persons age 19 through 26 with incomes below 300 percent 20 of the federal poverty level, as defined by the most recently 21 revised poverty income guidelines issued by the United States 22 department of health and human services, who are not covered 23 by a third-party payer health policy or contract that pays for 24 such vaccinations: 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,000,000 26 The department shall distribute the amount appropriated in 27 this lettered paragraph to providers on behalf of eligible 28 persons within the target population. 29 d. For provision of early prevention screening by pap smear 30 and advanced screening by colposcope for women with incomes 31 below 300 percent of the federal poverty level, as defined by 32 the most recently revised poverty income guidelines issued by 33 the United States department of health and human services, 34 who are not covered by a third-party payer health policy or 35 -18- LSB 5118XC (40) 84 pf/jp 18/ 95
S.F. _____ contract that pays for such procedures and related laboratory 1 services: 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 500,000 3 The department shall distribute the amount appropriated in 4 this lettered paragraph to providers on behalf of eligible 5 persons within the target population. 6 8. PUBLIC PROTECTION 7 For protecting the health and safety of the public through 8 establishing standards and enforcing regulations, and for not 9 more than the following full-time equivalent positions: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,388,116 11 2,879,127 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 125.00 13 a. Of the funds appropriated in this subsection, not more 14 than $235,845 $471,690 shall be credited to the emergency 15 medical services fund created in section 135.25 . Moneys in 16 the emergency medical services fund are appropriated to the 17 department to be used for the purposes of the fund. 18 b. Of the funds appropriated in this subsection, $105,309 19 $210,619 shall be used for sexual violence prevention 20 programming through a statewide organization representing 21 programs serving victims of sexual violence through the 22 department’s sexual violence prevention program. The amount 23 allocated in this lettered paragraph shall not be used to 24 supplant funding administered for other sexual violence 25 prevention or victims assistance programs. 26 c. Of the funds appropriated in this subsection, not more 27 than $218,291 $539,477 shall be used for the state poison 28 control center. 29 9. RESOURCE MANAGEMENT 30 For establishing and sustaining the overall ability of the 31 department to deliver services to the public, and for not more 32 than the following full-time equivalent positions: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 409,777 34 819,554 35 -19- LSB 5118XC (40) 84 pf/jp 19/ 95
S.F. _____ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 7.00 1 The university of Iowa hospitals and clinics under the 2 control of the state board of regents shall not receive 3 indirect costs from the funds appropriated in this section. 4 The university of Iowa hospitals and clinics billings to the 5 department shall be on at least a quarterly basis. 6 DIVISION III 7 DEPARTMENT OF VETERANS AFFAIRS 8 Sec. 3. 2011 Iowa Acts, chapter 129, section 115, is amended 9 to read as follows: 10 SEC. 115. DEPARTMENT OF VETERANS AFFAIRS. There is 11 appropriated from the general fund of the state to the 12 department of veterans affairs for the fiscal year beginning 13 July 1, 2012, and ending June 30, 2013, the following amounts, 14 or so much thereof as is necessary, to be used for the purposes 15 designated: 16 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 17 For salaries, support, maintenance, and miscellaneous 18 purposes, including the war orphans educational assistance fund 19 created in section 35.8 , and for not more than the following 20 full-time equivalent positions: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 499,416 22 1,010,832 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.34 24 2. IOWA VETERANS HOME 25 For salaries, support, maintenance, and miscellaneous 26 purposes: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,476,075 28 8,952,151 29 a. The Iowa veterans home billings involving the department 30 of human services shall be submitted to the department on at 31 least a monthly basis. 32 b. If there is a change in the employer of employees 33 providing services at the Iowa veterans home under a collective 34 bargaining agreement, such employees and the agreement shall 35 -20- LSB 5118XC (40) 84 pf/jp 20/ 95
S.F. _____ be continued by the successor employer as though there had not 1 been a change in employer. 2 c. Within available resources and in conformance with 3 associated state and federal program eligibility requirements, 4 the Iowa veterans home may implement measures to provide 5 financial assistance to or on behalf of veterans or their 6 spouses who are participating in the community reentry program. 7 d. The Iowa veterans home expenditure report shall be 8 submitted monthly to the legislative services agency. 9 3. STATE EDUCATIONAL ASSISTANCE —— CHILDREN OF DECEASED 10 VETERANS 11 For provision of educational assistance pursuant to section 12 35.9 : 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,208 14 12,416 15 4. HOME OWNERSHIP ASSISTANCE PROGRAM 16 For transfer to the Iowa finance authority for the 17 continuation of the home ownership assistance program for 18 persons who are or were eligible members of the armed forces of 19 the United States, pursuant to section 16.54: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,600,000 21 Sec. 4. 2011 Iowa Acts, chapter 129, section 116, is amended 22 to read as follows: 23 SEC. 116. LIMITATION OF COUNTY COMMISSION OF VETERANS 24 AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the 25 standing appropriation in the following designated section for 26 the fiscal year beginning July 1, 2012, and ending June 30, 27 2013, the amounts appropriated from the general fund of the 28 state pursuant to that section for the following designated 29 purposes shall not exceed the following amount: 30 For the county commissions of veterans affairs fund under 31 section 35A.16 : 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 495,000 33 990,000 34 DIVISION IV 35 -21- LSB 5118XC (40) 84 pf/jp 21/ 95
S.F. _____ DEPARTMENT OF HUMAN SERVICES 1 Sec. 5. 2011 Iowa Acts, chapter 129, section 117, is amended 2 to read as follows: 3 SEC. 117. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 4 GRANT. There is appropriated from the fund created in section 5 8.41 to the department of human services for the fiscal year 6 beginning July 1, 2012, and ending June 30, 2013, from moneys 7 received under the federal temporary assistance for needy 8 families (TANF) block grant pursuant to the federal Personal 9 Responsibility and Work Opportunity Reconciliation Act of 1996, 10 Pub. L. No. 104-193, and successor legislation, and from moneys 11 received under the emergency contingency fund for temporary 12 assistance for needy families state program established 13 pursuant to the federal American Recovery and Reinvestment Act 14 of 2009, Pub. L. No. 111-5 § 2101, and successor legislation, 15 the following amounts, or so much thereof as is necessary, to 16 be used for the purposes designated: 17 1. To be credited to the family investment program account 18 and used for assistance under the family investment program 19 under chapter 239B : 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,750,369 21 19,790,365 22 2. To be credited to the family investment program account 23 and used for the job opportunities and basic skills (JOBS) 24 program and implementing family investment agreements in 25 accordance with chapter 239B : 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,205,764 27 12,411,528 28 3. To be used for the family development and 29 self-sufficiency grant program in accordance with section 30 216A.107 : 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,449,490 32 2,898,980 33 Notwithstanding section 8.33 , moneys appropriated in this 34 subsection that remain unencumbered or unobligated at the close 35 -22- LSB 5118XC (40) 84 pf/jp 22/ 95
S.F. _____ of the fiscal year shall not revert but shall remain available 1 for expenditure for the purposes designated until the close of 2 the succeeding fiscal year. However, unless such moneys are 3 encumbered or obligated on or before September 30, 2013, the 4 moneys shall revert. 5 4. For field operations: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,648,116 7 31,296,232 8 5. For general administration: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,872,000 10 3,744,000 11 6. For state child care assistance: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,191,343 13 16,382,687 14 The funds appropriated in this subsection shall be 15 transferred to the child care and development block grant 16 appropriation made pursuant to 2011 Iowa Acts, chapter 17 126, section 32, by the Eighty-fourth General Assembly, 18 2012 Session, for the federal fiscal year beginning October 19 1, 2012, and ending September 30, 2013. Of this amount, 20 $100,000 $200,000 shall be used for provision of educational 21 opportunities to registered child care home providers in order 22 to improve services and programs offered by this category 23 of providers and to increase the number of providers. The 24 department may contract with institutions of higher education 25 or child care resource and referral centers to provide 26 the educational opportunities. Allowable administrative 27 costs under the contracts shall not exceed 5 percent. The 28 application for a grant shall not exceed two pages in length. 29 7. For distribution to counties for state case services 30 for persons with mental health and illness, an intellectual 31 disability, or a developmental disabilities community services 32 disability in accordance with section 331.440 : 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,447,026 34 4,894,052 35 -23- LSB 5118XC (40) 84 pf/jp 23/ 95
S.F. _____ 8. For child and family services: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,042,215 2 32,084,430 3 9. For child abuse prevention grants: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,500 5 125,000 6 10. For pregnancy prevention grants on the condition that 7 family planning services are funded: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 965,033 9 1,930,067 10 Pregnancy prevention grants shall be awarded to programs 11 in existence on or before July 1, 2012, if the programs have 12 demonstrated positive outcomes. Grants shall be awarded to 13 pregnancy prevention programs which are developed after July 14 1, 2012, if the programs are based on existing models that 15 have demonstrated positive outcomes. Grants shall comply with 16 the requirements provided in 1997 Iowa Acts, chapter 208, 17 section 14, subsections 1 and 2, including the requirement that 18 grant programs must emphasize sexual abstinence. Priority in 19 the awarding of grants shall be given to programs that serve 20 areas of the state which demonstrate the highest percentage of 21 unplanned pregnancies of females of childbearing age within the 22 geographic area to be served by the grant. 23 11. For technology needs and other resources necessary 24 to meet federal welfare reform reporting, tracking, and case 25 management requirements: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 518,593 27 1,037,186 28 12. To be credited to the state child care assistance 29 appropriation made in this section to be used for funding of 30 community-based early childhood programs targeted to children 31 from birth through five years of age developed by early 32 childhood Iowa areas as provided in section 256I.11 : 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,175,000 34 6,350,000 35 -24- LSB 5118XC (40) 84 pf/jp 24/ 95
S.F. _____ The department shall transfer TANF block grant funding 1 appropriated and allocated in this subsection to the child care 2 and development block grant appropriation in accordance with 3 federal law as necessary to comply with the provisions of this 4 subsection. 5 13. a. Notwithstanding any provision to the contrary, 6 including but not limited to requirements in section 8.41 or 7 provisions in 2011 or 2012 Iowa Acts regarding the receipt 8 and appropriation of federal block grants, federal funds 9 from the emergency contingency fund for temporary assistance 10 for needy families state program established pursuant to the 11 federal American Recovery and Reinvestment Act of 2009 , Pub. 12 L. No. 111-5 § 2101 , block grant received by the state during 13 the fiscal year beginning July 1, 2011, and ending June 30, 14 2012, not otherwise appropriated in this section and remaining 15 available as of for the fiscal year beginning July 1, 2012, and 16 received by the state during the fiscal year beginning July 17 1, 2012, and ending June 30, 2013, are appropriated to the 18 department of human services to the extent as may be necessary 19 to be used in the following priority order: the family 20 investment program for the fiscal year and for state child care 21 assistance program payments for individuals enrolled in the 22 family investment program who are employed. The federal funds 23 appropriated in this paragraph “a” shall be expended only after 24 all other funds appropriated in subsection 1 for the assistance 25 under the family investment program under chapter 239B have 26 been expended. 27 b. The department shall, on a quarterly basis, advise the 28 legislative services agency and department of management of 29 the amount of funds appropriated in this subsection that was 30 expended in the prior quarter. 31 14. Of the amounts appropriated in this section, $6,481,004 32 $12,962,008 for the fiscal year beginning July 1, 2012, shall 33 be transferred to the appropriation of the federal social 34 services block grant made for that fiscal year. 35 -25- LSB 5118XC (40) 84 pf/jp 25/ 95
S.F. _____ 15. For continuation of the program allowing the department 1 to maintain categorical eligibility for the food assistance 2 program as required under the section of this division relating 3 to the family investment account: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 73,036 5 25,000 6 16. The department may transfer funds allocated in this 7 section to the appropriations made in this division of this Act 8 for general administration and field operations for resources 9 necessary to implement and operate the services referred to in 10 this section and those funded in the appropriation made in this 11 division of this Act for the family investment program from the 12 general fund of the state. 13 Sec. 6. 2011 Iowa Acts, chapter 129, section 118, is amended 14 to read as follows: 15 SEC. 118. FAMILY INVESTMENT PROGRAM ACCOUNT. 16 1. Moneys credited to the family investment program (FIP) 17 account for the fiscal year beginning July 1, 2012, and 18 ending June 30, 2013, shall be used to provide assistance in 19 accordance with chapter 239B . 20 2. The department may use a portion of the moneys credited 21 to the FIP account under this section as necessary for 22 salaries, support, maintenance, and miscellaneous purposes. 23 3. The department may transfer funds allocated in this 24 section to the appropriations in this division of this Act 25 for general administration and field operations for resources 26 necessary to implement and operate the services referred to in 27 this section and those funded in the appropriation made in this 28 division of this Act for the family investment program from the 29 general fund of the state. 30 4. Moneys appropriated in this division of this Act and 31 credited to the FIP account for the fiscal year beginning July 32 1, 2012, and ending June 30, 2013, are allocated as follows: 33 a. To be retained by the department of human services to 34 be used for coordinating with the department of human rights 35 -26- LSB 5118XC (40) 84 pf/jp 26/ 95
S.F. _____ to more effectively serve participants in the FIP program and 1 other shared clients and to meet federal reporting requirements 2 under the federal temporary assistance for needy families block 3 grant: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,000 5 20,000 6 b. To the department of human rights for staffing, 7 administration, and implementation of the family development 8 and self-sufficiency grant program in accordance with section 9 216A.107 : 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,671,417 11 5,942,834 12 (1) Of the funds allocated for the family development and 13 self-sufficiency grant program in this lettered paragraph, 14 not more than 5 percent of the funds shall be used for the 15 administration of the grant program. 16 (2) The department of human rights may continue to implement 17 the family development and self-sufficiency grant program 18 statewide during fiscal year 2012-2013. 19 c. For the diversion subaccount of the FIP account: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 849,200 21 1,698,400 22 A portion of the moneys allocated for the subaccount may 23 be used for field operations salaries, data management system 24 development, and implementation costs and support deemed 25 necessary by the director of human services in order to 26 administer the FIP diversion program. 27 d. For the food stamp employment and training program: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,294 29 66,588 30 (1) The department shall amend the food stamp employment and 31 training state plan in order to maximize to the fullest extent 32 permitted by federal law the use of the 50-50 match provisions 33 for the claiming of allowable federal matching funds from the 34 United States department of agriculture pursuant to the federal 35 -27- LSB 5118XC (40) 84 pf/jp 27/ 95
S.F. _____ food stamp employment and training program for providing 1 education, employment, and training services for eligible food 2 assistance program participants, including but not limited to 3 related dependent care and transportation expenses. 4 (2) The department shall continue the categorical federal 5 food assistance program eligibility at 160 percent of the 6 federal poverty level and continue to eliminate the asset test 7 from eligibility requirements, consistent with federal food 8 assistance program requirements. The department shall include 9 as many food assistance households as is allowed by federal 10 law. The eligibility provisions shall conform to all federal 11 requirements including requirements addressing individuals who 12 are incarcerated or otherwise ineligible. 13 e. For the JOBS program: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,117,952 15 20,235,905 16 5. Of the child support collections assigned under FIP, 17 an amount equal to the federal share of support collections 18 shall be credited to the child support recovery appropriation 19 made in this division of this Act. Of the remainder of the 20 assigned child support collections received by the child 21 support recovery unit, a portion shall be credited to the FIP 22 account, a portion may be used to increase recoveries, and a 23 portion may be used to sustain cash flow in the child support 24 payments account. If as a consequence of the appropriations 25 and allocations made in this section the resulting amounts 26 are insufficient to sustain cash assistance payments and meet 27 federal maintenance of effort requirements, the department 28 shall seek supplemental funding. If child support collections 29 assigned under FIP are greater than estimated or are otherwise 30 determined not to be required for maintenance of effort, the 31 state share of either amount may be transferred to or retained 32 in the child support payment account. 33 6. The department may adopt emergency rules for the family 34 investment, JOBS, food stamp, and medical assistance programs 35 -28- LSB 5118XC (40) 84 pf/jp 28/ 95
S.F. _____ if necessary to comply with federal requirements. 1 Sec. 7. 2011 Iowa Acts, chapter 129, section 119, is amended 2 to read as follows: 3 SEC. 119. FAMILY INVESTMENT PROGRAM GENERAL FUND. There 4 is appropriated from the general fund of the state to the 5 department of human services for the fiscal year beginning July 6 1, 2012, and ending June 30, 2013, the following amount, or 7 so much thereof as is necessary, to be used for the purpose 8 designated: 9 To be credited to the family investment program (FIP) 10 account and used for family investment program assistance under 11 chapter 239B : 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25,085,513 13 50,742,028 14 1. Of the funds appropriated in this section, $3,912,188 15 $7,824,377 is allocated for the JOBS program. 16 2. Of the funds appropriated in this section, $1,231,927 17 $3,063,854 is allocated for the family development and 18 self-sufficiency grant program. 19 3. Notwithstanding section 8.39 , for the fiscal year 20 beginning July 1, 2012, if necessary to meet federal 21 maintenance of effort requirements or to transfer federal 22 temporary assistance for needy families block grant funding 23 to be used for purposes of the federal social services block 24 grant or to meet cash flow needs resulting from delays in 25 receiving federal funding or to implement, in accordance with 26 this division of this Act, activities currently funded with 27 juvenile court services, county, or community moneys and state 28 moneys used in combination with such moneys, the department 29 of human services may transfer funds within or between any 30 of the appropriations made in this division of this Act and 31 appropriations in law for the federal social services block 32 grant to the department for the following purposes, provided 33 that the combined amount of state and federal temporary 34 assistance for needy families block grant funding for each 35 -29- LSB 5118XC (40) 84 pf/jp 29/ 95
S.F. _____ appropriation remains the same before and after the transfer: 1 a. For the family investment program. 2 b. For child care assistance. 3 c. For child and family services. 4 d. For field operations. 5 e. For general administration. 6 f. MH/MR/DD/BI community services (local purchase). 7 For distribution to counties for state case services for 8 persons with mental illness, an intellectual disability, or a 9 developmental disability in accordance with section 331.440. 10 This subsection shall not be construed to prohibit the use 11 of existing state transfer authority for other purposes. The 12 department shall report any transfers made pursuant to this 13 subsection to the legislative services agency. 14 4. Of the funds appropriated in this section, $97,839 15 $195,678 shall be used for continuation of a grant to an 16 Iowa-based nonprofit organization with a history of providing 17 tax preparation assistance to low-income Iowans in order to 18 expand the usage of the earned income tax credit. The purpose 19 of the grant is to supply this assistance to underserved areas 20 of the state. 21 4A. Of the funds appropriated in this section, $500,000 22 shall be used for distribution to a nonprofit, tax-exempt 23 association that receives donations under section 170 of the 24 Internal Revenue Code and whose members include Iowa food 25 banks and their affiliates that together serve all counties 26 in the state, to be used to purchase food for distribution to 27 food-insecure Iowans: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 500,000 29 In purchasing food under this subsection, a preference 30 shall be given to the purchase of food produced, processed, or 31 packaged within this state whenever reasonably practicable. 32 5. The department may transfer funds appropriated in this 33 section to the appropriations made in this division of this Act 34 for general administration and field operations as necessary 35 -30- LSB 5118XC (40) 84 pf/jp 30/ 95
S.F. _____ to administer this section and the overall family investment 1 program. 2 Sec. 8. 2011 Iowa Acts, chapter 129, section 120, is amended 3 to read as follows: 4 SEC. 120. CHILD SUPPORT RECOVERY. There is appropriated 5 from the general fund of the state to the department of human 6 services for the fiscal year beginning July 1, 2012, and ending 7 June 30, 2013, the following amount, or so much thereof as is 8 necessary, to be used for the purposes designated: 9 For child support recovery, including salaries, support, 10 maintenance, and miscellaneous purposes, and for not more than 11 the following full-time equivalent positions: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,559,627 13 13,377,993 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 475.00 15 1. The department shall expend up to $12,164 $24,329 , 16 including federal financial participation, for the fiscal year 17 beginning July 1, 2012, for a child support public awareness 18 campaign. The department and the office of the attorney 19 general shall cooperate in continuation of the campaign. The 20 public awareness campaign shall emphasize, through a variety 21 of media activities, the importance of maximum involvement of 22 both parents in the lives of their children as well as the 23 importance of payment of child support obligations. 24 2. Federal access and visitation grant moneys shall be 25 issued directly to private not-for-profit agencies that provide 26 services designed to increase compliance with the child access 27 provisions of court orders, including but not limited to 28 neutral visitation sites and mediation services. 29 3. The appropriation made to the department for child 30 support recovery may be used throughout the fiscal year in the 31 manner necessary for purposes of cash flow management, and for 32 cash flow management purposes the department may temporarily 33 draw more than the amount appropriated, provided the amount 34 appropriated is not exceeded at the close of the fiscal year. 35 -31- LSB 5118XC (40) 84 pf/jp 31/ 95
S.F. _____ 4. With the exception of the funding amount specified, the 1 requirements established under 2001 Iowa Acts, chapter 191, 2 section 3, subsection 5, paragraph “c”, subparagraph (3), shall 3 be applicable to parental obligation pilot projects for the 4 fiscal year beginning July 1, 2012, and ending June 30, 2013. 5 Notwithstanding 441 IAC 100.8, providing for termination of 6 rules relating to the pilot projects, the rules shall remain 7 in effect until June 30, 2013. 8 Sec. 9. 2011 Iowa Acts, chapter 129, section 121, is amended 9 to read as follows: 10 SEC. 121. HEALTH CARE TRUST FUND —— MEDICAL ASSISTANCE. Any 11 funds remaining in the health care trust fund created in 12 section 453A.35A for the fiscal year beginning July 1, 2012, 13 and ending June 30, 2013, are appropriated to the department 14 of human services to supplement the medical assistance program 15 appropriations made in this Act, for medical assistance 16 reimbursement and associated costs, including program 17 administration and costs associated with implementation. 18 MEDICAL ASSISTANCE PROGRAM 19 Sec. 10. 2011 Iowa Acts, chapter 129, section 122, 20 unnumbered paragraph 2, is amended to read as follows: 21 For medical assistance program reimbursement and associated 22 costs as specifically provided in the reimbursement 23 methodologies in effect on June 30, 2012, except as otherwise 24 expressly authorized by law, and consistent with options under 25 federal law and regulations: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 914,993,421 27 845,251,256 28 MEDICAL ASSISTANCE —— DISPROPORTIONATE SHARE HOSPITAL 29 Sec. 11. 2011 Iowa Acts, chapter 129, section 122, 30 subsection 11, paragraph a, unnumbered paragraph 1, is amended 31 to read as follows: 32 Of the funds appropriated in this section, $7,425,684 33 $7,678,245 is allocated for the state match for a 34 disproportionate share hospital payment of $19,133,430 to 35 -32- LSB 5118XC (40) 84 pf/jp 32/ 95
S.F. _____ hospitals that meet both of the conditions specified in 1 subparagraphs (1) and (2). In addition, the hospitals that 2 meet the conditions specified shall either certify public 3 expenditures or transfer to the medical assistance program 4 an amount equal to provide the nonfederal share for a 5 disproportionate share hospital payment of $7,500,000. The 6 hospitals that meet the conditions specified shall receive and 7 retain 100 percent of the total disproportionate share hospital 8 payment of $26,633,430. 9 MEDICAL ASSISTANCE —— IOWACARE TRANSFER 10 Sec. 12. 2011 Iowa Acts, chapter 129, section 122, 11 subsection 13, is amended to read as follows: 12 13. Of the funds appropriated in this section, up to 13 $4,480,304 $8,684,329 may be transferred to the IowaCare 14 account created in section 249J.24 . 15 MEDICAL ASSISTANCE —— COST CONTAINMENT STRATEGIES 16 Sec. 13. 2011 Iowa Acts, chapter 129, section 122, 17 subsection 20, paragraphs a and d, are amended to read as 18 follows: 19 a. The department may continue to implement cost 20 containment strategies recommended by the governor , and for 21 the fiscal year beginning July 1, 2011, and shall implement 22 new strategies for the fiscal year beginning July 1, 2012, as 23 specified in this division of this 2012 Act. The department 24 may adopt emergency rules for such implementation. 25 d. If the savings to the medical assistance program for 26 the fiscal year beginning July 1, 2012, exceed the cost, the 27 department may transfer any savings generated for the fiscal 28 year due to medical assistance program cost containment efforts 29 initiated pursuant to 2010 Iowa Acts, chapter 1031, Executive 30 Order No. 20, issued December 16, 2009, or cost containment 31 strategies initiated pursuant to this subsection, to the 32 appropriation made in this division of this Act for medical 33 contracts or general administration to defray the increased 34 contract costs associated with implementing such efforts. 35 -33- LSB 5118XC (40) 84 pf/jp 33/ 95
S.F. _____ Sec. 14. 2011 Iowa Acts, chapter 129, section 122, is 1 amended by adding the following new subsections: 2 NEW SUBSECTION . 23. The department shall implement a 3 hospital inpatient reimbursement policy to provide for the 4 combining of an original claim for an inpatient stay with a 5 claim for a subsequent inpatient stay when the patient is 6 admitted within seven days of discharge from the original 7 hospital stay for the same condition. 8 NEW SUBSECTION . 24. The department shall transition 9 payment for and administration of services provided by 10 psychiatric medical institutions for children to the Iowa plan. 11 MEDICAL ASSISTANCE FOR EMPLOYED PEOPLE WITH DISABILITIES 12 Sec. 15. 2011 Iowa Acts, chapter 129, section 122, is 13 amended by adding the following new subsection: 14 NEW SUBSECTION . 25. The department of human services 15 shall adopt rules for the Medicaid for employed people with 16 disabilities program to provide that until such time as 17 the department adopts rules, annually, to implement the 18 most recently revised poverty guidelines published by the 19 United States department of health and human services, the 20 calculation of gross income eligibility shall not include any 21 increase in unearned income attributable to a social security 22 cost-of-living adjustment for an individual or member of the 23 individual’s family whose unearned income is included in such 24 calculation. 25 STATE BALANCING INCENTIVE PAYMENTS PROGRAM 26 Sec. 16. 2011 Iowa Acts, chapter 129, section 122, is 27 amended by adding the following new subsection: 28 NEW SUBSECTION . 27. The funds received through 29 participation in the medical assistance state balancing 30 incentive payments program created pursuant to section 10202 31 of the federal Patient Protection and Affordable Care Act of 32 2010, Pub. L. No. 111-148 (2010), as amended by the federal 33 Health Care and Education Reconciliation Act of 2010, Pub. 34 L. No. 111-152, are appropriated to and shall be used by the 35 -34- LSB 5118XC (40) 84 pf/jp 34/ 95
S.F. _____ department of human services to comply with the requirements 1 of the program including developing a no wrong door single 2 entry point system; providing a conflict-free case management 3 system; providing core standardized assessment instruments; 4 complying with data collection requirements relating to 5 services, quality, and outcomes; meeting the applicable target 6 spending percentage required under the program to rebalance 7 long-term care spending under the medical assistance program 8 between home and community-based services and institution-based 9 services; and for new or expanded medical assistance program 10 non-institutionally based long-term care services and supports. 11 Sec. 17. 2011 Iowa Acts, chapter 129, section 123, is 12 amended to read as follows: 13 SEC. 123. MEDICAL CONTRACTS. There is appropriated from the 14 general fund of the state to the department of human services 15 for the fiscal year beginning July 1, 2012, and ending June 30, 16 2013, the following amount, or so much thereof as is necessary, 17 to be used for the purpose designated: 18 For medical contracts: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,453,728 20 8,460,680 21 1. The department of inspections and appeals shall 22 provide all state matching funds for survey and certification 23 activities performed by the department of inspections 24 and appeals. The department of human services is solely 25 responsible for distributing the federal matching funds for 26 such activities. 27 2. Of the funds appropriated in this section, $25,000 28 $50,000 shall be used for continuation of home and 29 community-based services waiver quality assurance programs, 30 including the review and streamlining of processes and policies 31 related to oversight and quality management to meet state and 32 federal requirements. 33 3. Of the amount appropriated in this section, up to 34 $200,000 may be transferred to the appropriation for general 35 -35- LSB 5118XC (40) 84 pf/jp 35/ 95
S.F. _____ administration in this division of this Act to be used for 1 additional full-time equivalent positions in the development of 2 key health initiatives such as cost containment, development 3 and oversight of managed care programs, and development of 4 health strategies targeted toward improved quality and reduced 5 costs in the Medicaid program. 6 Sec. 18. 2011 Iowa Acts, chapter 129, section 124, is 7 amended to read as follows: 8 SEC. 124. STATE SUPPLEMENTARY ASSISTANCE. 9 1. There is appropriated from the general fund of the 10 state to the department of human services for the fiscal year 11 beginning July 1, 2012, and ending June 30, 2013, the following 12 amount, or so much thereof as is necessary, to be used for the 13 purpose designated: 14 For the state supplementary assistance program: 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,425,373 16 15,450,747 17 2. The department shall increase the personal needs 18 allowance for residents of residential care facilities by the 19 same percentage and at the same time as federal supplemental 20 security income and federal social security benefits are 21 increased due to a recognized increase in the cost of living. 22 The department may adopt emergency rules to implement this 23 subsection. 24 3. If during the fiscal year beginning July 1, 2012, 25 the department projects that state supplementary assistance 26 expenditures for a calendar year will not meet the federal 27 pass-through requirement specified in Tit. XVI of the federal 28 Social Security Act, section 1618, as codified in 42 U.S.C. 29 § 1382g, the department may take actions including but not 30 limited to increasing the personal needs allowance for 31 residential care facility residents and making programmatic 32 adjustments or upward adjustments of the residential care 33 facility or in-home health-related care reimbursement rates 34 prescribed in this division of this Act to ensure that federal 35 -36- LSB 5118XC (40) 84 pf/jp 36/ 95
S.F. _____ requirements are met. In addition, the department may make 1 other programmatic and rate adjustments necessary to remain 2 within the amount appropriated in this section while ensuring 3 compliance with federal requirements. The department may adopt 4 emergency rules to implement the provisions of this subsection. 5 Sec. 19. 2011 Iowa Acts, chapter 129, section 125, is 6 amended to read as follows: 7 SEC. 125. CHILDREN’S HEALTH INSURANCE PROGRAM. 8 1. There is appropriated from the general fund of the 9 state to the department of human services for the fiscal year 10 beginning July 1, 2012, and ending June 30, 2013, the following 11 amount, or so much thereof as is necessary, to be used for the 12 purpose designated: 13 For maintenance of the healthy and well kids in Iowa (hawk-i) 14 program pursuant to chapter 514I , including supplemental dental 15 services, for receipt of federal financial participation under 16 Tit. XXI of the federal Social Security Act, which creates the 17 children’s health insurance program: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,403,051 19 40,400,160 20 2. Of the funds appropriated in this section, $64,475 21 $128,950 is allocated for continuation of the contract for 22 outreach with the department of public health. 23 Sec. 20. 2011 Iowa Acts, chapter 129, section 126, is 24 amended to read as follows: 25 SEC. 126. CHILD CARE ASSISTANCE. There is appropriated 26 from the general fund of the state to the department of human 27 services for the fiscal year beginning July 1, 2012, and ending 28 June 30, 2013, the following amount, or so much thereof as is 29 necessary, to be used for the purpose designated: 30 For child care programs: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 26,618,831 32 61,087,940 33 1. Of the funds appropriated in this section, $25,948,041 34 $59,718,513 shall be used for state child care assistance in 35 -37- LSB 5118XC (40) 84 pf/jp 37/ 95
S.F. _____ accordance with section 237A.13 . 1 2. Nothing in this section shall be construed or is 2 intended as or shall imply a grant of entitlement for services 3 to persons who are eligible for assistance due to an income 4 level consistent with the waiting list requirements of section 5 237A.13 . Any state obligation to provide services pursuant to 6 this section is limited to the extent of the funds appropriated 7 in this section. 8 3. Of the funds appropriated in this section, $216,226 9 $432,453 is allocated for the statewide program for child care 10 resource and referral services under section 237A.26 . A list 11 of the registered and licensed child care facilities operating 12 in the area served by a child care resource and referral 13 service shall be made available to the families receiving state 14 child care assistance in that area. 15 4. Of the funds appropriated in this section, $468,487 16 $936,974 is allocated for child care quality improvement 17 initiatives including but not limited to the voluntary quality 18 rating system in accordance with section 237A.30 . 19 5. The department may use any of the funds appropriated 20 in this section as a match to obtain federal funds for use in 21 expanding child care assistance and related programs. For 22 the purpose of expenditures of state and federal child care 23 funding, funds shall be considered obligated at the time 24 expenditures are projected or are allocated to the department’s 25 service areas. Projections shall be based on current and 26 projected caseload growth, current and projected provider 27 rates, staffing requirements for eligibility determination 28 and management of program requirements including data systems 29 management, staffing requirements for administration of the 30 program, contractual and grant obligations and any transfers 31 to other state agencies, and obligations for decategorization 32 or innovation projects. 33 6. A portion of the state match for the federal child care 34 and development block grant shall be provided as necessary to 35 -38- LSB 5118XC (40) 84 pf/jp 38/ 95
S.F. _____ meet federal matching funds requirements through the state 1 general fund appropriation made for child development grants 2 and other programs for at-risk children in section 279.51 . 3 7. If a uniform reduction ordered by the governor under 4 section 8.31 or other operation of law, transfer, or federal 5 funding reduction reduces the appropriation made in this 6 section for the fiscal year, the percentage reduction in the 7 amount paid out to or on behalf of the families participating 8 in the state child care assistance program shall be equal to or 9 less than the percentage reduction made for any other purpose 10 payable from the appropriation made in this section and the 11 federal funding relating to it. The percentage reduction to 12 the other allocations made in this section shall be the same as 13 the uniform reduction ordered by the governor or the percentage 14 change of the federal funding reduction, as applicable. 15 If there is an unanticipated increase in federal funding 16 provided for state child care assistance, the entire amount 17 of the increase shall be used for state child care assistance 18 payments. If the appropriations made for purposes of the 19 state child care assistance program for the fiscal year are 20 determined to be insufficient, it is the intent of the general 21 assembly to appropriate sufficient funding for the fiscal year 22 in order to avoid establishment of waiting list requirements. 23 8. Notwithstanding section 8.33 , moneys appropriated 24 in this section or advanced for purposes of the programs 25 developed by early childhood Iowa areas, advanced for purposes 26 of wraparound child care, or received from the federal 27 appropriations made for the purposes of this section that 28 remain unencumbered or unobligated at the close of the fiscal 29 year shall not revert to any fund but shall remain available 30 for expenditure for the purposes designated until the close of 31 the succeeding fiscal year. 32 Sec. 21. 2011 Iowa Acts, chapter 129, section 127, is 33 amended to read as follows: 34 SEC. 127. JUVENILE INSTITUTIONS. There is appropriated 35 -39- LSB 5118XC (40) 84 pf/jp 39/ 95
S.F. _____ from the general fund of the state to the department of human 1 services for the fiscal year beginning July 1, 2012, and ending 2 June 30, 2013, the following amounts, or so much thereof as is 3 necessary, to be used for the purposes designated: 4 1. For operation of the Iowa juvenile home at Toledo and for 5 salaries, support, maintenance, and miscellaneous purposes, and 6 for not more than the following full-time equivalent positions: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,129,125 8 8,328,264 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 114.00 10 2. For operation of the state training school at Eldora and 11 for salaries, support, maintenance, and miscellaneous purposes, 12 and for not more than the following full-time equivalent 13 positions: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,319,338 15 10,740,988 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 164.30 17 Of the funds appropriated in this subsection, $45,575 18 $91,150 shall be used for distribution to licensed classroom 19 teachers at this and other institutions under the control of 20 the department of human services based upon the average student 21 yearly enrollment at each institution as determined by the 22 department. 23 3. A portion of the moneys appropriated in this section 24 shall be used by the state training school and by the Iowa 25 juvenile home for grants for adolescent pregnancy prevention 26 activities at the institutions in the fiscal year beginning 27 July 1, 2012. 28 Sec. 22. 2011 Iowa Acts, chapter 129, section 128, is 29 amended to read as follows: 30 SEC. 128. CHILD AND FAMILY SERVICES. 31 1. There is appropriated from the general fund of the 32 state to the department of human services for the fiscal year 33 beginning July 1, 2012, and ending June 30, 2013, the following 34 amount, or so much thereof as is necessary, to be used for the 35 -40- LSB 5118XC (40) 84 pf/jp 40/ 95
S.F. _____ purpose designated: 1 For child and family services: 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 41,415,081 3 83,669,130 4 2. In order to address a reduction of $5,200,000 from the 5 amount allocated under the appropriation made for the purposes 6 of this section in prior years for purposes of juvenile 7 delinquent graduated sanction services, up to $2,600,000 8 $5,200,000 of the amount of federal temporary assistance 9 for needy families block grant funding appropriated in this 10 division of this Act for child and family services shall be 11 made available for purposes of juvenile delinquent graduated 12 sanction services. 13 3. The department may transfer funds appropriated in this 14 section as necessary to pay the nonfederal costs of services 15 reimbursed under the medical assistance program, state child 16 care assistance program, or the family investment program which 17 are provided to children who would otherwise receive services 18 paid under the appropriation in this section. The department 19 may transfer funds appropriated in this section to the 20 appropriations made in this division of this Act for general 21 administration and for field operations for resources necessary 22 to implement and operate the services funded in this section. 23 4. a. Of the funds appropriated in this section, up 24 to $15,084,564 $31,372,177 is allocated as the statewide 25 expenditure target under section 232.143 for group foster care 26 maintenance and services. If the department projects that such 27 expenditures for the fiscal year will be less than the target 28 amount allocated in this lettered paragraph, the department may 29 reallocate the excess to provide additional funding for shelter 30 care or the child welfare emergency services addressed with the 31 allocation for shelter care. 32 b. If at any time after September 30, 2012, annualization 33 of a service area’s current expenditures indicates a service 34 area is at risk of exceeding its group foster care expenditure 35 -41- LSB 5118XC (40) 84 pf/jp 41/ 95
S.F. _____ target under section 232.143 by more than 5 percent, the 1 department and juvenile court services shall examine all 2 group foster care placements in that service area in order to 3 identify those which might be appropriate for termination. 4 In addition, any aftercare services believed to be needed 5 for the children whose placements may be terminated shall be 6 identified. The department and juvenile court services shall 7 initiate action to set dispositional review hearings for the 8 placements identified. In such a dispositional review hearing, 9 the juvenile court shall determine whether needed aftercare 10 services are available and whether termination of the placement 11 is in the best interest of the child and the community. 12 5. In accordance with the provisions of section 232.188 , 13 the department shall continue the child welfare and juvenile 14 justice funding initiative during fiscal year 2012-2013. Of 15 the funds appropriated in this section, $858,876 $1,717,753 16 is allocated specifically for expenditure for fiscal year 17 2012-2013 through the decategorization service funding pools 18 and governance boards established pursuant to section 232.188 . 19 6. A portion of the funds appropriated in this section 20 may be used for emergency family assistance to provide other 21 resources required for a family participating in a family 22 preservation or reunification project or successor project to 23 stay together or to be reunified. 24 7. Notwithstanding section 234.35 or any other provision 25 of law to the contrary, state funding for shelter care and 26 the child welfare emergency services contracting implemented 27 to provide for or prevent the need for shelter care shall be 28 limited to $3,585,058 $7,370,116 . The department may continue 29 or execute contracts that result from the department’s request 30 for proposal, bid number ACFS-11-114, to provide the range of 31 child welfare emergency services described in the request for 32 proposals, and any subsequent amendments to the request for 33 proposals. 34 8. Federal funds received by the state during the fiscal 35 -42- LSB 5118XC (40) 84 pf/jp 42/ 95
S.F. _____ year beginning July 1, 2012, as the result of the expenditure 1 of state funds appropriated during a previous state fiscal 2 year for a service or activity funded under this section are 3 appropriated to the department to be used as additional funding 4 for services and purposes provided for under this section. 5 Notwithstanding section 8.33 , moneys received in accordance 6 with this subsection that remain unencumbered or unobligated at 7 the close of the fiscal year shall not revert to any fund but 8 shall remain available for the purposes designated until the 9 close of the succeeding fiscal year. 10 9. Of the funds appropriated in this section, at least 11 $1,848,142 shall be used for protective child care assistance. 12 10. a. Of the funds appropriated in this section, up to 13 $1,031,244 $2,062,488 is allocated for the payment of the 14 expenses of court-ordered services provided to juveniles who 15 are under the supervision of juvenile court services, which 16 expenses are a charge upon the state pursuant to section 17 232.141, subsection 4 . Of the amount allocated in this 18 lettered paragraph, up to $778,143 $1,556,287 shall be made 19 available to provide school-based supervision of children 20 adjudicated under chapter 232 , of which not more than $7,500 21 $15,000 may be used for the purpose of training. A portion of 22 the cost of each school-based liaison officer shall be paid by 23 the school district or other funding source as approved by the 24 chief juvenile court officer. 25 b. Of the funds appropriated in this section, up to $374,492 26 $748,985 is allocated for the payment of the expenses of 27 court-ordered services provided to children who are under the 28 supervision of the department, which expenses are a charge upon 29 the state pursuant to section 232.141, subsection 4 . 30 c. Notwithstanding section 232.141 or any other provision 31 of law to the contrary, the amounts allocated in this 32 subsection shall be distributed to the judicial districts 33 as determined by the state court administrator and to the 34 department’s service areas as determined by the administrator 35 -43- LSB 5118XC (40) 84 pf/jp 43/ 95
S.F. _____ of the department’s division of child and family services. The 1 state court administrator and the division administrator shall 2 make the determination of the distribution amounts on or before 3 June 15, 2012. 4 d. Notwithstanding chapter 232 or any other provision of 5 law to the contrary, a district or juvenile court shall not 6 order any service which is a charge upon the state pursuant 7 to section 232.141 if there are insufficient court-ordered 8 services funds available in the district court or departmental 9 service area distribution amounts to pay for the service. The 10 chief juvenile court officer and the departmental service area 11 manager shall encourage use of the funds allocated in this 12 subsection such that there are sufficient funds to pay for 13 all court-related services during the entire year. The chief 14 juvenile court officers and departmental service area managers 15 shall attempt to anticipate potential surpluses and shortfalls 16 in the distribution amounts and shall cooperatively request the 17 state court administrator or division administrator to transfer 18 funds between the judicial districts’ or departmental service 19 areas’ distribution amounts as prudent. 20 e. Notwithstanding any provision of law to the contrary, 21 a district or juvenile court shall not order a county to pay 22 for any service provided to a juvenile pursuant to an order 23 entered under chapter 232 which is a charge upon the state 24 under section 232.141, subsection 4 . 25 f. Of the funds allocated in this subsection, not more 26 than $41,500 $83,000 may be used by the judicial branch for 27 administration of the requirements under this subsection. 28 g. Of the funds allocated in this subsection, $8,500 $17,000 29 shall be used by the department of human services to support 30 the interstate commission for juveniles in accordance with 31 the interstate compact for juveniles as provided in section 32 232.173 . 33 11. Of the funds appropriated in this section, $2,961,301 34 $6,222,602 is allocated for juvenile delinquent graduated 35 -44- LSB 5118XC (40) 84 pf/jp 44/ 95
S.F. _____ sanctions services. Any state funds saved as a result of 1 efforts by juvenile court services to earn federal Tit. IV-E 2 match for juvenile court services administration may be used 3 for the juvenile delinquent graduated sanctions services. 4 12. Of the funds appropriated in this section, $494,142 5 $2,238,285 shall be transferred to the department of public 6 health to be used for the child protection center grant program 7 in accordance with section 135.118 . Of the amount allocated in 8 this subsection, $250,000 shall be used for a center for the 9 Black Hawk county area. 10 13. If the department receives federal approval to 11 implement a waiver under Tit. IV-E of the federal Social 12 Security Act to enable providers to serve children who remain 13 in the children’s families and communities, for purposes of 14 eligibility under the medical assistance program, children who 15 participate in the waiver shall be considered to be placed in 16 foster care. 17 14. Of the funds appropriated in this section, $1,534,916 18 $3,092,375 is allocated for the preparation for adult living 19 program pursuant to section 234.46 . 20 15. Of the funds appropriated in this section, $260,075 21 $520,150 shall be used for juvenile drug courts. The amount 22 allocated in this subsection shall be distributed as follows: 23 To the judicial branch for salaries to assist with the 24 operation of juvenile drug court programs operated in the 25 following jurisdictions: 26 a. Marshall county: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 31,354 28 62,708 29 b. Woodbury county: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,841 31 125,682 32 c. Polk county: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 97,946 34 195,892 35 -45- LSB 5118XC (40) 84 pf/jp 45/ 95
S.F. _____ d. The third judicial district: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,967 2 67,934 3 e. The eighth judicial district: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,967 5 67,934 6 16. Of the funds appropriated in this section, $113,668 7 $227,337 shall be used for the public purpose of providing 8 continuing a grant to a nonprofit human services organization 9 providing services to individuals and families in multiple 10 locations in southwest Iowa and Nebraska for support of a 11 project providing immediate, sensitive support and forensic 12 interviews, medical exams, needs assessments, and referrals for 13 victims of child abuse and<