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:
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DIVISION
I
1
DEPARTMENT
ON
AGING
2
Section
1.
2011
Iowa
Acts,
chapter
129,
section
113,
is
3
amended
to
read
as
follows:
4
SEC.
113.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
5
the
general
fund
of
the
state
to
the
department
on
aging
for
6
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
7
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purposes
designated:
9
For
aging
programs
for
the
department
on
aging
and
area
10
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
11
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
12
aging
and
disabilities
resource
center,
and
other
services
13
which
may
include
but
are
not
limited
to
adult
day
services,
14
respite
care,
chore
services,
information
and
assistance,
15
and
material
aid,
for
information
and
options
counseling
for
16
persons
with
disabilities
who
are
18
years
of
age
or
older,
17
and
for
salaries,
support,
administration,
maintenance,
and
18
miscellaneous
purposes,
and
for
not
more
than
the
following
19
full-time
equivalent
positions:
20
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$
5,151,288
21
10,402,577
22
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FTEs
35.00
23
1.
Funds
appropriated
in
this
section
may
be
used
to
24
supplement
federal
funds
under
federal
regulations.
To
25
receive
funds
appropriated
in
this
section,
a
local
area
26
agency
on
aging
shall
match
the
funds
with
moneys
from
other
27
sources
according
to
rules
adopted
by
the
department.
Funds
28
appropriated
in
this
section
may
be
used
for
elderly
services
29
not
specifically
enumerated
in
this
section
only
if
approved
30
by
an
area
agency
on
aging
for
provision
of
the
service
within
31
the
area.
32
2.
The
amount
appropriated
in
this
section
includes
33
additional
funding
of
$225,000
$450,000
for
delivery
of
34
long-term
care
services
to
seniors
with
low
or
moderate
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incomes.
1
3.
Of
the
funds
appropriated
in
this
section,
$89,973
2
$179,946
shall
be
transferred
to
the
department
of
economic
3
development
for
the
Iowa
commission
on
volunteer
services
to
be
4
used
for
the
retired
and
senior
volunteer
program.
5
4.
a.
The
department
on
aging
shall
establish
and
enforce
6
procedures
relating
to
expenditure
of
state
and
federal
funds
7
by
area
agencies
on
aging
that
require
compliance
with
both
8
state
and
federal
laws,
rules,
and
regulations,
including
but
9
not
limited
to
all
of
the
following:
10
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
11
or
services
received
or
performed
prior
to
the
end
of
the
12
fiscal
period
designated
for
use
of
the
funds.
13
(2)
Prohibiting
prepayment
for
goods
or
services
not
14
received
or
performed
prior
to
the
end
of
the
fiscal
period
15
designated
for
use
of
the
funds.
16
(3)
Prohibiting
the
prepayment
for
goods
or
services
17
not
defined
specifically
by
good
or
service,
time
period,
or
18
recipient.
19
(4)
Prohibiting
the
establishment
of
accounts
from
which
20
future
goods
or
services
which
are
not
defined
specifically
by
21
good
or
service,
time
period,
or
recipient,
may
be
purchased.
22
b.
The
procedures
shall
provide
that
if
any
funds
are
23
expended
in
a
manner
that
is
not
in
compliance
with
the
24
procedures
and
applicable
federal
and
state
laws,
rules,
and
25
regulations,
and
are
subsequently
subject
to
repayment,
the
26
area
agency
on
aging
expending
such
funds
in
contravention
of
27
such
procedures,
laws,
rules
and
regulations,
not
the
state,
28
shall
be
liable
for
such
repayment.
29
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
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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
.
.
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.
$
11,751,595
17
26,003,190
18
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.
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
.
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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),
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$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
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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,
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and
for
not
more
than
the
following
full-time
equivalent
1
positions:
2
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.
.
$
1,297,135
3
2,694,270
4
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.
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
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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
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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
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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
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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
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$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
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_____
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
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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-
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84
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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
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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
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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
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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
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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
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95
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_____
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
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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
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_____
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
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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
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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
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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
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_____
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
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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
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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
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_____
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
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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
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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
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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
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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
their
nonoffending
family
members.
14
17.
Of
the
funds
appropriated
in
this
section,
$62,795
15
$200,590
is
allocated
for
the
elevate
foster
care
youth
council
16
approach
of
providing
a
support
network
to
children
placed
in
17
foster
care.
18
18.
Of
the
funds
appropriated
in
this
section,
$101,000
19
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
20
continuation
of
the
initiative
to
address
child
sexual
abuse
21
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
22
18,
subsection
21.
23
19.
Of
the
funds
appropriated
in
this
section,
$315,120
24
$630,240
is
allocated
for
the
community
partnership
for
child
25
protection
sites.
26
20.
Of
the
funds
appropriated
in
this
section,
$185,625
27
$371,250
is
allocated
for
the
department’s
minority
youth
and
28
family
projects
under
the
redesign
of
the
child
welfare
system.
29
21.
Of
the
funds
appropriated
in
this
section,
$600,247
30
$1,436,595
is
allocated
for
funding
of
the
state
match
for
31
community
circle
of
care
collaboration
for
children
and
32
youth
in
northeast
Iowa,
formerly
referred
to
as
the
federal
33
substance
abuse
and
mental
health
services
administration
34
(SAMHSA)
system
of
care
grant.
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22.
Of
the
funds
appropriated
in
this
section,
at
least
1
$73,579
$147,158
shall
be
used
for
the
child
welfare
training
2
academy.
3
23.
Of
the
funds
appropriated
in
this
section,
$12,500
4
$25,000
shall
be
used
for
the
public
purpose
of
continuation
5
of
a
grant
to
a
child
welfare
services
provider
headquartered
6
in
a
county
with
a
population
between
205,000
and
215,000
in
7
the
latest
certified
federal
census
that
provides
multiple
8
services
including
but
not
limited
to
a
psychiatric
medical
9
institution
for
children,
shelter,
residential
treatment,
after
10
school
programs,
school-based
programming,
and
an
Asperger’s
11
syndrome
program,
to
be
used
for
support
services
for
children
12
with
autism
spectrum
disorder
and
their
families.
13
23A.
Of
the
funds
appropriated
in
this
section,
$25,000
14
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
15
a
hospital-based
provider
headquartered
in
a
county
with
a
16
population
between
90,000
and
95,000
in
the
latest
certified
17
federal
census
that
provides
multiple
services
including
18
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
19
services
to
individuals
with
autism
spectrum
disorder
across
20
the
lifespan.
The
grant
recipient
shall
utilize
the
funds
to
21
implement
a
pilot
project
to
determine
the
necessary
support
22
services
for
children
with
autism
spectrum
disorder
and
23
their
families
to
be
included
in
the
children’s
disabilities
24
services
system.
The
grant
recipient
shall
submit
findings
and
25
recommendations
based
upon
the
results
of
the
pilot
project
26
to
the
individuals
specified
in
this
division
of
this
Act
for
27
submission
of
reports
by
December
31,
2012.
28
24.
Of
the
funds
appropriated
in
this
section
$125,000
29
$327,947
shall
be
used
for
continuation
of
the
central
Iowa
30
system
of
care
program
grant
through
June
30,
2013.
31
25.
Of
the
funds
appropriated
in
this
section,
$80,000
32
$160,000
shall
be
used
for
the
public
purpose
of
the
33
continuation
of
a
system
of
care
grant
implemented
in
Cerro
34
Gordo
and
Linn
counties
in
accordance
with
this
Act
in
FY
35
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2011-2012.
1
Sec.
23.
2011
Iowa
Acts,
chapter
129,
section
129,
is
2
amended
to
read
as
follows:
3
SEC.
129.
ADOPTION
SUBSIDY.
4
1.
There
is
appropriated
from
the
general
fund
of
the
5
state
to
the
department
of
human
services
for
the
fiscal
year
6
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
7
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purpose
designated:
9
For
adoption
subsidy
payments
and
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,633,295
11
33,238,897
12
2.
The
department
may
transfer
funds
appropriated
in
13
this
section
to
the
appropriation
made
in
this
division
of
14
this
Act
for
general
administration
for
costs
paid
from
the
15
appropriation
relating
to
adoption
subsidy.
16
3.
Federal
funds
received
by
the
state
during
the
17
fiscal
year
beginning
July
1,
2012,
as
the
result
of
the
18
expenditure
of
state
funds
during
a
previous
state
fiscal
19
year
for
a
service
or
activity
funded
under
this
section
are
20
appropriated
to
the
department
to
be
used
as
additional
funding
21
for
the
services
and
activities
funded
under
this
section.
22
Notwithstanding
section
8.33
,
moneys
received
in
accordance
23
with
this
subsection
that
remain
unencumbered
or
unobligated
24
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
25
but
shall
remain
available
for
expenditure
for
the
purposes
26
designated
until
the
close
of
the
succeeding
fiscal
year.
27
Sec.
24.
2011
Iowa
Acts,
chapter
129,
section
131,
is
28
amended
to
read
as
follows:
29
SEC.
131.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
30
1.
There
is
appropriated
from
the
general
fund
of
the
31
state
to
the
department
of
human
services
for
the
fiscal
year
32
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
33
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
34
purpose
designated:
35
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For
the
family
support
subsidy
program
subject
to
the
1
enrollment
restrictions
in
section
225C.37,
subsection
3
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
583,999
3
1,096,784
4
2.
The
department
shall
use
at
least
$192,750
$385,500
5
of
the
moneys
appropriated
in
this
section
for
the
family
6
support
center
component
of
the
comprehensive
family
support
7
program
under
section
225C.47
.
Not
more
than
$12,500
$25,000
8
of
the
amount
allocated
in
this
subsection
shall
be
used
for
9
administrative
costs.
10
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
11
funding
available
for
the
family
support
subsidy
program
12
is
reduced
from
the
amount
initially
used
to
establish
the
13
figure
for
the
number
of
family
members
for
whom
a
subsidy
14
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
15
notwithstanding
section
225C.38,
subsection
2
,
the
department
16
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
17
of
funding
available.
18
Sec.
25.
2011
Iowa
Acts,
chapter
129,
section
132,
is
19
amended
to
read
as
follows:
20
SEC.
132.
CONNER
DECREE.
There
is
appropriated
from
the
21
general
fund
of
the
state
to
the
department
of
human
services
22
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
23
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
24
to
be
used
for
the
purpose
designated:
25
For
building
community
capacity
through
the
coordination
26
and
provision
of
training
opportunities
in
accordance
with
the
27
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
28
Iowa,
July
14,
1994):
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
30
33,622
31
Sec.
26.
2011
Iowa
Acts,
chapter
129,
section
133,
is
32
amended
to
read
as
follows:
33
SEC.
133.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
34
from
the
general
fund
of
the
state
to
the
department
of
human
35
-49-
LSB
5118XC
(40)
84
pf/jp
49/
95
S.F.
_____
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
1
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
2
necessary,
to
be
used
for
the
purposes
designated:
3
1.
For
the
state
mental
health
institute
at
Cherokee
for
4
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
5
for
not
more
than
the
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,938,654
7
5,641,037
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
9
2.
For
the
state
mental
health
institute
at
Clarinda
for
10
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
11
for
not
more
than
the
following
full-time
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,205,867
13
6,463,337
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
15
3.
For
the
state
mental
health
institute
at
Independence
for
16
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
17
for
not
more
than
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,137,842
19
9,804,212
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
21
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
22
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
23
and
for
not
more
than
the
following
full-time
equivalent
24
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
472,161
26
944,323
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.72
28
Sec.
27.
2011
Iowa
Acts,
chapter
129,
section
134,
is
29
amended
to
read
as
follows:
30
SEC.
134.
STATE
RESOURCE
CENTERS.
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
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
35
-50-
LSB
5118XC
(40)
84
pf/jp
50/
95
S.F.
_____
purposes
designated:
1
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
2
support,
maintenance,
and
miscellaneous
purposes:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,253,900
4
19,092,576
5
b.
For
the
state
resource
center
at
Woodward
for
salaries,
6
support,
maintenance,
and
miscellaneous
purposes:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,392,829
8
13,176,093
9
2.
The
department
may
continue
to
bill
for
state
resource
10
center
services
utilizing
a
scope
of
services
approach
used
for
11
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
12
shift
costs
between
the
medical
assistance
program,
counties,
13
or
other
sources
of
funding
for
the
state
resource
centers.
14
3.
The
state
resource
centers
may
expand
the
time-limited
15
assessment
and
respite
services
during
the
fiscal
year.
16
4.
If
the
department’s
administration
and
the
department
17
of
management
concur
with
a
finding
by
a
state
resource
18
center’s
superintendent
that
projected
revenues
can
reasonably
19
be
expected
to
pay
the
salary
and
support
costs
for
a
new
20
employee
position,
or
that
such
costs
for
adding
a
particular
21
number
of
new
positions
for
the
fiscal
year
would
be
less
22
than
the
overtime
costs
if
new
positions
would
not
be
added,
23
the
superintendent
may
add
the
new
position
or
positions.
If
24
the
vacant
positions
available
to
a
resource
center
do
not
25
include
the
position
classification
desired
to
be
filled,
the
26
state
resource
center’s
superintendent
may
reclassify
any
27
vacant
position
as
necessary
to
fill
the
desired
position.
The
28
superintendents
of
the
state
resource
centers
may,
by
mutual
29
agreement,
pool
vacant
positions
and
position
classifications
30
during
the
course
of
the
fiscal
year
in
order
to
assist
one
31
another
in
filling
necessary
positions.
32
5.
If
existing
capacity
limitations
are
reached
in
33
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
34
a
special
need
for
which
a
payment
source
or
other
funding
35
-51-
LSB
5118XC
(40)
84
pf/jp
51/
95
S.F.
_____
is
available
for
the
service
or
to
address
the
special
need,
1
and
facilities
for
the
service
or
to
address
the
special
need
2
can
be
provided
within
the
available
payment
source
or
other
3
funding,
the
superintendent
of
a
state
resource
center
may
4
authorize
opening
not
more
than
two
units
or
other
facilities
5
and
begin
implementing
the
service
or
addressing
the
special
6
need
during
fiscal
year
2012-2013.
7
Sec.
28.
2011
Iowa
Acts,
chapter
129,
section
135,
is
8
amended
to
read
as
follows:
9
SEC.
135.
MI/MR/DD
STATE
CASES.
10
1.
There
is
appropriated
from
the
general
fund
of
the
11
state
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
For
distribution
to
counties
for
state
case
services
16
for
persons
with
mental
illness,
mental
retardation,
and
17
developmental
disabilities
in
accordance
with
section
331.440
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,084,741
19
12,169,482
20
2.
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
21
June
30,
2013,
$100,000
$200,000
is
allocated
for
state
case
22
services
from
the
amounts
appropriated
from
the
fund
created
23
in
section
8.41
to
the
department
of
human
services
from
the
24
funds
received
from
the
federal
government
under
42
U.S.C.
ch.
25
6A,
subch.
XVII,
relating
to
the
community
mental
health
center
26
block
grant,
for
the
federal
fiscal
years
beginning
October
27
1,
2010,
and
ending
September
30,
2011,
beginning
October
1,
28
2011,
and
ending
September
30,
2012,
and
beginning
October
1,
29
2012,
and
ending
September
30,
2013.
The
allocation
made
in
30
this
subsection
shall
be
made
prior
to
any
other
distribution
31
allocation
of
the
appropriated
federal
funds.
32
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
33
this
section
that
remain
unencumbered
or
unobligated
at
the
34
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
35
-52-
LSB
5118XC
(40)
84
pf/jp
52/
95
S.F.
_____
available
for
expenditure
for
the
purposes
designated
until
the
1
close
of
the
succeeding
fiscal
year.
2
Sec.
29.
2011
Iowa
Acts,
chapter
129,
section
137,
is
3
amended
to
read
as
follows:
4
SEC.
137.
SEXUALLY
VIOLENT
PREDATORS.
5
1.
There
is
appropriated
from
the
general
fund
of
the
6
state
to
the
department
of
human
services
for
the
fiscal
year
7
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
8
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
9
purpose
designated:
10
For
costs
associated
with
the
commitment
and
treatment
of
11
sexually
violent
predators
in
the
unit
located
at
the
state
12
mental
health
institute
at
Cherokee,
including
costs
of
legal
13
services
and
other
associated
costs,
including
salaries,
14
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
15
more
than
the
following
full-time
equivalent
positions:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,775,363
17
9,113,668
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
19
95.90
20
2.
Unless
specifically
prohibited
by
law,
if
the
amount
21
charged
provides
for
recoupment
of
at
least
the
entire
amount
22
of
direct
and
indirect
costs,
the
department
of
human
services
23
may
contract
with
other
states
to
provide
care
and
treatment
24
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
25
violent
predators
at
Cherokee.
The
moneys
received
under
26
such
a
contract
shall
be
considered
to
be
repayment
receipts
27
and
used
for
the
purposes
of
the
appropriation
made
in
this
28
section.
29
Sec.
30.
2011
Iowa
Acts,
chapter
129,
section
138,
is
30
amended
to
read
as
follows:
31
SEC.
138.
FIELD
OPERATIONS.
There
is
appropriated
from
the
32
general
fund
of
the
state
to
the
department
of
human
services
33
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
34
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
35
-53-
LSB
5118XC
(40)
84
pf/jp
53/
95
S.F.
_____
to
be
used
for
the
purposes
designated:
1
For
field
operations,
including
salaries,
support,
2
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,394,960
5
61,915,440
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
7
Priority
in
filling
full-time
equivalent
positions
shall
be
8
given
to
those
positions
related
to
child
protection
services
9
and
eligibility
determination
for
low-income
families.
10
Notwithstanding
section
8.33,
moneys
appropriated
in
this
11
section
that
remain
unencumbered
or
unobligated
at
the
close
of
12
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
13
expenditure
for
the
purposes
designated
until
the
close
of
the
14
succeeding
fiscal
year.
15
Sec.
31.
2011
Iowa
Acts,
chapter
129,
section
139,
is
16
amended
to
read
as
follows:
17
SEC.
139.
GENERAL
ADMINISTRATION.
There
is
appropriated
18
from
the
general
fund
of
the
state
to
the
department
of
human
19
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
20
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purpose
designated:
22
For
general
administration,
including
salaries,
support,
23
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
24
the
following
full-time
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,298,372
26
15,841,874
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
285.00
28
1.
Of
the
funds
appropriated
in
this
section,
$19,271
29
$38,543
allocated
for
the
prevention
of
disabilities
policy
30
council
established
in
section
225B.3
.
31
2.
The
department
shall
report
at
least
monthly
to
the
32
legislative
services
agency
concerning
the
department’s
33
operational
and
program
expenditures.
34
3.
Of
the
funds
appropriated
in
this
section,
$66,150
35
-54-
LSB
5118XC
(40)
84
pf/jp
54/
95
S.F.
_____
$132,300
shall
be
used
to
continue
the
contract
for
the
1
provision
of
a
program
to
provide
technical
assistance,
2
support,
and
consultation
to
providers
of
habilitation
services
3
and
home
and
community-based
services
waiver
services
for
4
adults
with
disabilities
under
the
medical
assistance
program.
5
4.
Of
the
funds
appropriated
in
this
section,
$88,200
6
$500,000
shall
be
used
to
continue
the
contract
to
expand
7
the
provision
of
nationally
accredited
and
recognized
8
internet-based
training
to
include
mental
health
and
disability
9
services
providers.
10
5.
Of
the
funds
appropriated
in
this
section,
$250,000
11
$500,000
shall
be
used
for
continuation
of
child
protection
12
system
improvements
addressed
in
2011
Iowa
Acts,
House
File
13
562
,
as
enacted
chapter
28
.
14
6.
Notwithstanding
section
8.33,
moneys
appropriated
in
15
this
section
that
remain
unencumbered
or
unobligated
at
the
16
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
17
available
for
expenditure
for
the
purposes
designated
until
the
18
close
of
the
succeeding
fiscal
year.
19
Sec.
32.
2011
Iowa
Acts,
chapter
129,
section
140,
is
20
amended
to
read
as
follows:
21
SEC.
140.
VOLUNTEERS.
There
is
appropriated
from
the
22
general
fund
of
the
state
to
the
department
of
human
services
23
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
24
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
25
to
be
used
for
the
purpose
designated:
26
For
development
and
coordination
of
volunteer
services:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
28
84,660
29
PROVIDER
REIMBURSEMENT
——
NURSING
FACILITIES
30
Sec.
33.
2011
Iowa
Acts,
chapter
129,
section
141,
31
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
to
read
32
as
follows:
33
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
total
34
state
funding
amount
for
the
nursing
facility
budget
shall
not
35
-55-
LSB
5118XC
(40)
84
pf/jp
55/
95
S.F.
_____
exceed
$225,457,724
$237,226,901
.
1
PROVIDER
REIMBURSEMENT
——
PHARMACY,
PMICS,
HOME
HEALTH
2
AGENCIES,
HCBS
WAIVER
3
Sec.
34.
2011
Iowa
Acts,
chapter
129,
section
141,
4
subsection
1,
paragraphs
b,
f,
i,
and
q,
are
amended
to
read
as
5
follows:
6
b.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
7
department
shall
reimburse
pharmacy
dispensing
fees
using
a
8
single
rate
of
$4.34
$11.10
per
prescription
or
the
pharmacy’s
9
usual
and
customary
fee,
whichever
is
lower.
However,
10
the
department
shall
adjust
the
dispensing
fee
specified
11
in
this
paragraph
to
distribute
an
additional
$2,981,980
12
in
reimbursements
for
pharmacy
dispensing
fees
under
this
13
paragraph
for
the
fiscal
year.
14
(2)
The
department
shall
implement
an
average
acquisition
15
cost
reimbursement
methodology
for
all
drugs
covered
under
the
16
medical
assistance
program.
The
methodology
shall
utilize
a
17
survey
of
pharmacy
invoices
in
determining
the
reimbursement.
18
Pharmacies
and
providers
that
are
enrolled
in
the
medical
19
assistance
program
shall
make
available
drug
acquisition
cost
20
information,
product
availability
information,
and
other
21
information
deemed
necessary
by
the
department
to
assist
the
22
department
in
monitoring
and
revising
reimbursement
rates
and
23
for
efficient
operation
of
the
pharmacy
benefit.
24
(a)
A
pharmacy
or
provider
shall
produce
and
submit
the
25
requested
information
in
the
manner
and
format
requested
by
the
26
department
or
its
designee
at
no
cost
to
the
department
or
its
27
designee.
28
(b)
A
pharmacy
or
provider
shall
submit
information
to
the
29
department
or
its
designee
within
the
time
frame
indicated
30
following
receipt
of
a
request
for
information
unless
the
31
department
or
its
designee
grants
an
extension
upon
written
32
request
of
the
pharmacy
or
provider.
33
f.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
34
rates
for
home
health
agencies
shall
remain
at
be
increased
by
35
-56-
LSB
5118XC
(40)
84
pf/jp
56/
95
S.F.
_____
2
percent
over
the
rates
in
effect
on
June
30,
2012,
not
to
1
exceed
a
home
health
agency’s
actual
allowable
cost.
2
i.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
3
state-owned
psychiatric
medical
institutions
for
children
shall
4
receive
cost-based
reimbursement
for
100
percent
of
the
actual
5
and
allowable
costs
for
the
provision
of
services
to
recipients
6
of
medical
assistance.
7
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
8
for
children,
reimbursement
rates
shall
be
based
on
the
9
reimbursement
methodology
developed
by
the
department
as
10
required
for
federal
compliance.
11
(3)
As
a
condition
of
participation
in
the
medical
12
assistance
program,
enrolled
providers
shall
accept
the
medical
13
assistance
reimbursement
rate
for
any
covered
goods
or
services
14
provided
to
recipients
of
medical
assistance
who
are
children
15
under
the
custody
of
a
psychiatric
medical
institution
for
16
children.
17
q.
For
the
fiscal
year
beginning
July
1,
2012,
the
18
department
shall
adjust
the
rates
in
effect
on
June
30,
2012,
19
reimbursement
rates
for
providers
of
home
and
community-based
20
services
waiver
services
to
distribute
an
additional
$1,500,000
21
in
reimbursements
to
such
providers
for
the
fiscal
year
shall
22
be
increased
by
2
percent
over
the
rates
in
effect
on
June
30,
23
2012
.
24
PROVIDER
REIMBURSEMENT
——
FOSTER
FAMILY
AND
GROUP
FOSTER
CARE
25
Sec.
35.
2011
Iowa
Acts,
chapter
129,
section
141,
26
subsections
4
and
6,
are
amended
to
read
as
follows:
27
4.
For
the
fiscal
year
beginning
July
1,
2012,
28
notwithstanding
section
234.38
,
the
foster
family
basic
daily
29
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
30
children
ages
0
through
5
years
shall
be
$15.74
$16.37
,
the
31
rate
for
children
ages
6
through
11
years
shall
be
$16.37
32
$17.02
,
the
rate
for
children
ages
12
through
15
years
shall
be
33
$17.92
$18.64
,
and
the
rate
for
children
and
young
adults
ages
34
16
and
older
shall
be
$18.16
$18.89
.
The
maximum
supervised
35
-57-
LSB
5118XC
(40)
84
pf/jp
57/
95
S.F.
_____
apartment
living
foster
care
reimbursement
rate
shall
be
$25.00
1
per
day.
For
youth
ages
18
to
21
who
have
exited
foster
care,
2
the
maximum
preparation
for
adult
living
program
maintenance
3
rate
shall
be
$574.00
per
month.
The
maximum
payment
for
4
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
5
and
the
disallowance
of
additional
amounts
for
court
costs
and
6
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
7
Acts,
chapter
1031,
section
408
shall
be
continued.
8
6.
a.
For
the
fiscal
year
beginning
July
1,
2012,
the
9
reimbursement
rates
for
family-centered
service
providers,
10
family
foster
care
service
providers,
group
foster
care
service
11
providers,
and
the
resource
family
recruitment
and
retention
12
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
13
2012.
14
b.
For
the
fiscal
year
beginning
July
1,
2012,
the
15
reimbursement
rate
for
group
foster
care
service
providers
16
shall
be
increased
by
4
percent
over
the
rate
in
effect
on
June
17
30,
2012.
18
PROVIDER
REIMBURSEMENT
——
CHILD
CARE
19
Sec.
36.
2011
Iowa
Acts,
chapter
129,
section
141,
20
subsection
10,
is
amended
to
read
as
follows:
21
10.
For
the
fiscal
year
beginning
July
1,
2012,
for
child
22
care
providers
reimbursed
under
the
state
child
care
assistance
23
program,
the
department
shall
set
provider
reimbursement
24
rates
based
on
the
rate
reimbursement
survey
completed
in
25
December
2004.
Effective
July
1,
2012,
the
child
care
provider
26
reimbursement
rates
shall
remain
at
be
increased
by
4
percent
27
over
the
rates
in
effect
on
June
30,
2012.
The
department
28
shall
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
29
nonregistered
provider
to
become
registered
by
applying
the
30
increase
only
to
registered
and
licensed
providers.
31
REBASING
STUDY
——
MEDICAID
HOME
HEALTH
AND
HCBS
WAIVER
SERVICE
32
PROVIDERS
33
Sec.
37.
2011
Iowa
Acts,
chapter
129,
section
141,
is
34
amended
by
adding
the
following
new
subsection:
35
-58-
LSB
5118XC
(40)
84
pf/jp
58/
95
S.F.
_____
NEW
SUBSECTION
.
10A.
The
department
shall
review
1
reimbursement
of
home
health
agency
and
home
and
2
community-based
services
waiver
services
providers
and
shall
3
submit
a
recommendation
for
a
rebasing
methodology
applicable
4
to
such
providers
for
the
fiscal
year
beginning
July
1,
2013,
5
and
thereafter,
to
the
individuals
identified
in
this
division
6
of
this
Act
for
receipt
of
reports.
7
ELDERLY
WAIVER
8
Sec.
38.
2011
Iowa
Acts,
chapter
129,
section
141,
is
9
amended
by
adding
the
following
new
subsection:
10
NEW
SUBSECTION
.
10B.
The
department
shall
increase
the
11
monthly
reimbursement
cap
for
the
medical
assistance
home
and
12
community-based
services
waiver
for
the
elderly
to
$1,400
per
13
month.
14
REPORTS
15
Sec.
39.
2011
Iowa
Acts,
chapter
129,
section
143,
is
16
amended
to
read
as
follows:
17
SEC.
143.
REPORTS.
Any
reports
or
other
information
18
required
to
be
compiled
and
submitted
under
this
Act
shall
be
19
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
20
appropriations
subcommittee
on
health
and
human
services,
the
21
legislative
services
agency,
and
the
legislative
caucus
staffs
22
on
or
before
the
dates
specified
for
submission
of
the
reports
23
or
information.
24
DIVISION
V
25
HEALTH
CARE
ACCOUNTS
AND
FUNDS
26
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
27
Sec.
40.
2011
Iowa
Acts,
chapter
129,
section
145,
is
28
amended
to
read
as
follows:
29
SEC.
145.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
30
appropriated
from
the
pharmaceutical
settlement
account
created
31
in
section
249A.33
to
the
department
of
human
services
for
the
32
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
33
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
34
used
for
the
purpose
designated:
35
-59-
LSB
5118XC
(40)
84
pf/jp
59/
95
S.F.
_____
Notwithstanding
any
provision
of
law
to
the
contrary,
to
1
supplement
the
appropriations
made
in
this
Act
for
medical
2
contracts
under
the
medical
assistance
program
for
the
fiscal
3
year
beginning
July
1,
2012,
and
ending
June
30,
2013
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,716,807
5
IOWACARE
ACCOUNT
APPROPRIATIONS
——
UNIVERSITY
OF
IOWA
HOSPITALS
6
AND
CLINICS
7
Sec.
41.
2011
Iowa
Acts,
chapter
129,
section
146,
8
subsection
2,
unnumbered
paragraph
2,
is
amended
to
read
as
9
follows:
10
For
salaries,
support,
maintenance,
equipment,
and
11
miscellaneous
purposes,
for
the
provision
of
medical
and
12
surgical
treatment
of
indigent
patients,
for
provision
of
13
services
to
members
of
the
expansion
population
pursuant
to
14
chapter
249J
,
and
for
medical
education:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,226,279
16
45,654,133
17
IOWACARE
ACCOUNT
——
PUBLICLY
OWNED
ACUTE
CARE
TEACHING
HOSPITAL
18
Sec.
42.
2011
Iowa
Acts,
chapter
129,
section
146,
19
subsection
4,
unnumbered
paragraph
2,
is
amended
to
read
as
20
follows:
21
For
distribution
to
a
publicly
owned
acute
care
teaching
22
hospital
located
in
a
county
with
a
population
over
350,000
for
23
the
provision
of
medical
and
surgical
treatment
of
indigent
24
patients,
for
provision
of
services
to
members
of
the
expansion
25
population
pursuant
to
chapter
249J
,
and
for
medical
education:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,000,000
27
70,000,000
28
IOWACARE
ACCOUNT
——
PUBLICLY
OWNED
ACUTE
CARE
HOSPITAL
29
ALLOCATIONS
30
Sec.
43.
2011
Iowa
Acts,
chapter
129,
section
146,
31
subsection
4,
paragraphs
a
and
b,
are
amended
to
read
as
32
follows:
33
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
34
the
amount
appropriated
in
this
subsection
shall
be
distributed
35
-60-
LSB
5118XC
(40)
84
pf/jp
60/
95
S.F.
_____
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
1
Medicaid
enterprise
plus
a
monthly
disproportionate
share
2
hospital
payment.
Any
amount
appropriated
in
this
subsection
3
in
excess
of
$60,000,000
$65,000,000
shall
be
distributed
only
4
if
the
sum
of
the
expansion
population
claims
adjudicated
5
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
6
disproportionate
share
hospital
payments
exceeds
$60,000,000
7
$65,000,000
.
The
amount
paid
in
excess
of
$60,000,000
8
$65,000,000
shall
not
adjust
the
original
monthly
payment
9
amount
but
shall
be
distributed
monthly
based
on
actual
claims
10
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
11
the
estimated
disproportionate
share
hospital
amount.
Any
12
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
13
$65,000,000
shall
be
allocated
only
if
federal
funds
are
14
available
to
match
the
amount
allocated.
Pursuant
to
paragraph
15
“b”,
of
the
amount
appropriated
in
this
subsection,
not
more
16
than
$4,000,000
shall
be
distributed
for
prescription
drugs
,
17
and
podiatry
services
,
and
optometric
services
.
18
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
19
the
hospital
identified
in
this
subsection,
shall
be
reimbursed
20
for
outpatient
prescription
drugs
,
and
podiatry
services
,
21
and
optometric
services
provided
to
members
of
the
expansion
22
population
pursuant
to
all
applicable
medical
assistance
23
program
rules,
in
an
amount
not
to
exceed
$4,000,000.
24
IOWACARE
ACCOUNT
——
REGIONAL
PROVIDER
NETWORK
25
Sec.
44.
2011
Iowa
Acts,
chapter
129,
section
146,
26
subsection
5,
unnumbered
paragraph
2,
is
amended
to
read
as
27
follows:
28
For
payment
to
the
regional
provider
network
specified
29
by
the
department
pursuant
to
section
249J.7
for
provision
30
of
covered
services
to
members
of
the
expansion
population
31
pursuant
to
chapter
249J
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,472,176
33
4,986,366
34
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
35
-61-
LSB
5118XC
(40)
84
pf/jp
61/
95
S.F.
_____
Sec.
45.
2011
Iowa
Acts,
chapter
129,
section
148,
is
1
amended
to
read
as
follows:
2
SEC.
148.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
3
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
4
Notwithstanding
any
provision
to
the
contrary,
there
is
5
appropriated
from
the
account
for
health
care
transformation
6
created
in
section
249J.23
to
the
department
of
human
services
7
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
8
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
9
necessary,
to
be
used
for
the
purposes
designated:
10
1.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
11
expansion
population
as
provided
in
section
249J.6
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
13
100,000
14
2.
For
other
health
promotion
partnership
activities
15
pursuant
to
section
249J.14
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
300,000
17
600,000
18
3.
For
the
costs
related
to
audits,
performance
19
evaluations,
and
studies
required
pursuant
to
chapter
249J
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
21
125,000
22
4.
For
administrative
costs
associated
with
chapter
249J
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
566,206
24
1,132,412
25
5.
For
planning
and
development,
in
cooperation
with
the
26
department
of
public
health,
of
a
phased-in
program
to
provide
27
a
dental
home
for
children
in
accordance
with
section
249J.14
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
29
1,000,000
30
6.
For
continuation
of
the
establishment
of
the
tuition
31
assistance
for
individuals
serving
individuals
with
32
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
33
chapter
1187,
section
130:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
35
-62-
LSB
5118XC
(40)
84
pf/jp
62/
95
S.F.
_____
50,000
1
7.
For
medical
contracts:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
3
2,400,000
4
8.
For
payment
to
the
publicly
owned
acute
care
teaching
5
hospital
located
in
a
county
with
a
population
of
over
350,000
6
that
is
a
participating
provider
pursuant
to
chapter
249J
:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
145,000
8
290,000
9
Disbursements
under
this
subsection
shall
be
made
monthly.
10
The
hospital
shall
submit
a
report
following
the
close
of
the
11
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
12
subsection
to
the
persons
specified
in
this
Act
to
receive
13
reports.
14
9.
For
transfer
to
the
department
of
public
health
to
be
15
used
for
the
costs
of
medical
home
system
advisory
council
16
established
pursuant
to
section
135.159
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,679
18
233,357
19
10.
For
continued
implementation
of
a
uniform
cost
report:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
21
150,000
22
11.
For
continued
implementation
of
an
electronic
medical
23
records
system:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
25
100,000
26
Notwithstanding
section
8.33
,
funds
allocated
in
this
27
subsection
that
remain
unencumbered
or
unobligated
at
the
close
28
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
29
in
succeeding
fiscal
years
to
be
used
for
the
purposes
30
designated.
31
12.
For
transfer
to
the
department
of
public
health
to
32
support
the
department’s
activities
relating
to
health
and
33
long-term
care
access
as
specified
pursuant
to
chapter
135,
34
division
XXIV
:
35
-63-
LSB
5118XC
(40)
84
pf/jp
63/
95
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,107
1
134,214
2
13.
For
continuation
of
an
accountable
care
organization
3
pilot
project:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
5
100,000
6
14.
For
the
continued
development
of
a
provider
payment
7
system
plan
to
provide
recommendations
to
reform
the
health
8
care
provider
payment
system
as
an
effective
way
to
promote
9
coordination
of
care,
lower
costs,
and
improve
quality:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
11
15.
For
transfer
to
the
department
of
public
health
to
12
be
used
as
state
matching
funds
for
the
health
information
13
technology
system
network
developed
by
the
department
of
public
14
health:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
181,993
16
363,987
17
16.
To
supplement
the
appropriation
for
medical
assistance:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,956,245
19
Notwithstanding
section
8.39,
subsection
1
,
without
the
20
prior
written
consent
and
approval
of
the
governor
and
the
21
director
of
the
department
of
management,
the
director
of
human
22
services
may
transfer
funds
among
the
appropriations
made
in
23
this
section
as
necessary
to
carry
out
the
purposes
of
the
24
account
for
health
care
transformation.
The
department
shall
25
report
any
transfers
made
pursuant
to
this
section
to
the
26
legislative
services
agency.
27
MEDICAID
FRAUD
FUND
28
Sec.
46.
2011
Iowa
Acts,
chapter
129,
section
150,
is
29
amended
to
read
as
follows:
30
SEC.
150.
MEDICAID
FRAUD
ACCOUNT
FUND
——
DEPARTMENT
OF
31
HUMAN
SERVICES.
There
is
appropriated
from
the
Medicaid
fraud
32
account
fund
created
in
section
249A.7
to
the
department
of
33
human
services
for
the
fiscal
year
beginning
July
1,
2012,
and
34
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
35
-64-
LSB
5118XC
(40)
84
pf/jp
64/
95
S.F.
_____
as
is
necessary,
to
be
used
for
the
purposes
designated:
1
To
supplement
the
appropriation
made
in
this
Act
from
the
2
general
fund
of
the
state
to
the
department
of
human
services
3
for
medical
assistance
for
the
fiscal
year
beginning
July
1,
4
2012,
and
ending
June
30,
2013
:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
6
QUALITY
ASSURANCE
TRUST
FUND
7
Sec.
47.
2011
Iowa
Acts,
chapter
129,
section
151,
is
8
amended
to
read
as
follows:
9
SEC.
151.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
10
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
11
and
subject
to
the
availability
of
funds,
there
is
appropriated
12
from
the
quality
assurance
trust
fund
created
in
section
13
249L.4
to
the
department
of
human
services
for
the
fiscal
year
14
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
15
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
16
designated:
17
To
supplement
the
appropriation
made
in
this
Act
from
the
18
general
fund
of
the
state
to
the
department
of
human
services
19
for
medical
assistance:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
21
26,500,000
22
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
23
Sec.
48.
2011
Iowa
Acts,
chapter
129,
section
152,
is
24
amended
to
read
as
follows:
25
SEC.
152.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
26
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
27
the
contrary
and
subject
to
the
availability
of
funds,
there
is
28
appropriated
from
the
hospital
health
care
access
trust
fund
29
created
in
section
249M.4
to
the
department
of
human
services
30
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
31
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
32
necessary,
for
the
purposes
designated:
33
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
34
general
fund
of
the
state
to
the
department
of
human
services
35
-65-
LSB
5118XC
(40)
84
pf/jp
65/
95
S.F.
_____
for
medical
assistance:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
2
33,898,400
3
2.
For
deposit
in
the
nonparticipating
provider
4
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
5
the
purposes
of
the
fund:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
7
801,600
8
MISCELLANEOUS
PROVISIONS
9
Sec.
49.
2011
Iowa
Acts,
chapter
129,
section
153,
is
10
amended
to
read
as
follows:
11
SEC.
153.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
12
FOR
FY
2012-2013.
Notwithstanding
section
8.33
,
if
moneys
13
appropriated
for
purposes
of
the
medical
assistance
program
14
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
15
30,
2013,
from
the
general
fund
of
the
state,
the
Medicaid
16
fraud
account,
the
quality
assurance
trust
fund,
and
the
17
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
18
expenditures
for
the
medical
assistance
program
and
remain
19
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
20
the
excess
moneys
shall
not
revert
but
shall
remain
available
21
for
expenditure
for
the
purposes
of
the
medical
assistance
22
program
until
the
close
of
the
succeeding
fiscal
year.
23
Sec.
50.
REPEAL.
2011
Iowa
Acts,
chapter
129,
section
149,
24
is
repealed.
25
DIVISION
VI
26
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
27
CONTINGENCY
FUND
28
Sec.
51.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
29
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
OF
FUNDS
——
30
FY
2011-2012.
31
1.
Moneys
received
from
the
federal
government
through
32
the
child
enrollment
contingency
fund
established
pursuant
33
to
section
103
of
the
federal
Children’s
Health
Insurance
34
Program
Reauthorization
Act
of
2009,
Pub.
L.
No.
111-3,
are
35
-66-
LSB
5118XC
(40)
84
pf/jp
66/
95
S.F.
_____
appropriated
to
the
department
of
human
services
for
the
fiscal
1
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
to
be
2
used
in
addition
to
any
other
amounts
appropriated
for
the
same
3
purposes
for
the
fiscal
year
as
follows:
4
a.
For
adoption
subsidy
payments
and
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,177,355
6
b.
For
child
care
programs:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,212,432
8
2.
Notwithstanding
section
8.39,
and
to
the
extent
9
that
funds
appropriated
in
this
section
are
unexpended
or
10
unobligated
for
the
purposes
specified
in
subsection
1,
the
11
department
of
human
services
may
transfer
funds
within
or
12
between
any
of
the
appropriations
made
in
this
section
for
the
13
following
purposes:
14
a.
For
adoption
subsidy
payments
and
services.
15
b.
For
child
care
assistance.
16
Sec.
52.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
17
ENROLLMENT
CONTINGENCY
FUND
——
DIRECTIVES
FOR
USE
OF
FUNDS
——
18
FY
2012-2013.
19
1.
a.
Moneys
received
from
the
federal
government
through
20
the
child
enrollment
contingency
fund
established
pursuant
21
to
section
103
of
the
federal
Children’s
Health
Insurance
22
Program
Reauthorization
Act
of
2009,
Pub.
L.
No.
111-3,
are
23
appropriated
to
the
department
of
human
services
for
the
fiscal
24
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
25
used
in
addition
to
any
other
amounts
appropriated
for
the
same
26
purposes
for
the
fiscal
year
as
follows:
27
(1)
For
adoption
subsidy
payments
and
services:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,290,441
29
(2)
For
child
care
programs:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,969,021
31
(3)
For
mental
health
and
disability
services
redesign
32
technical
assistance
services:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
34
(4)
For
the
field
operations
integrity
claims
unit:
35
-67-
LSB
5118XC
(40)
84
pf/jp
67/
95
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
961,100
1
(5)
For
medical
assistance
program
reimbursement
and
2
associated
costs:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,950,428
4
(6)
For
lodging
expenses
associated
with
patient
care
5
provided
at
the
university
of
Iowa
hospital
and
clinics
under
6
chapter
249J:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
200,000
8
The
department
of
human
services
shall
establish
the
maximum
9
number
of
overnight
stays
and
the
maximum
rate
reimbursed
for
10
overnight
lodging,
which
may
be
based
on
the
state
employee
11
rate
established
by
the
department
of
administrative
services.
12
The
funds
allocated
under
this
subparagraph
shall
not
be
used
13
as
nonfederal
share
matching
funds.
14
(7)
For
ambulance
services
associated
with
patient
care
15
provided
under
chapter
249J:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
200,000
17
The
department
of
human
services
shall
establish
18
requirements
for
use
of
funds
in
this
subparagraph
for
19
ambulance
services
when
no
other
third-party
payment
is
20
available.
The
funds
allocated
in
this
subparagraph
shall
not
21
be
used
as
nonfederal
share
matching
funds.
22
(8)
For
the
public
purpose
of
distribution
to
a
statewide
23
nonprofit
organization
consisting
of
low-income
housing
and
24
homelessness
service
providers,
advocates,
local
governments,
25
lending
institutions,
and
low-income
and
homeless
individuals
26
to
be
used
to
empower
low-income
individuals
and
to
increase
27
their
access
to
affordable
housing:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
29
b.
Notwithstanding
section
8.39,
and
to
the
extent
that
30
funds
appropriated
in
this
subsection
are
unexpended
or
31
unobligated
for
the
purposes
specified
in
paragraph
“a”,
32
subparagraphs
(1)
and
(2),
for
the
fiscal
year
beginning
July
33
1,
2012,
the
department
of
human
services
may
transfer
funds
34
within
or
between
any
of
the
appropriations
made
in
this
35
-68-
LSB
5118XC
(40)
84
pf/jp
68/
95
S.F.
_____
subsection
for
the
following
purposes:
1
(1)
For
adoption
subsidy
payments
and
services.
2
(2)
For
child
care
assistance.
3
2.
Moneys
received
from
the
federal
government
through
4
the
child
enrollment
contingency
fund
established
pursuant
5
to
section
103
of
the
federal
Children’s
Health
Insurance
6
Program
Reauthorization
Act
of
2009,
Pub.
L.
No.
111-3,
are
7
appropriated
to
the
department
of
human
services
for
the
fiscal
8
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
9
used
for
audit
settlements:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,654,238
11
Notwithstanding
section
8.33,
moneys
appropriated
in
this
12
subsection
that
remain
unencumbered
or
unobligated
at
the
close
13
of
the
fiscal
year
shall
not
revert
to
any
other
fund
but
shall
14
remain
available
for
expenditure
for
the
purposes
designated
15
until
the
close
of
the
succeeding
fiscal
year.
16
Sec.
53.
EFFECTIVE
DATE
PROVISIONS.
The
section
of
this
17
division
of
this
Act
appropriating
moneys
received
through
the
18
federal
Child
Enrollment
Contingency
Fund
for
the
fiscal
year
19
beginning
July
1,
2011,
and
ending
June
30,
2012,
being
deemed
20
of
immediate
importance,
take
effect
upon
enactment.
21
Sec.
54.
RETROACTIVE
APPLICABILITY.
The
section
of
this
22
division
of
this
Act
appropriating
moneys
received
through
23
the
federal
Child
Enrollment
Contingency
Fund
for
the
fiscal
24
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
applies
25
retroactively
to
July
1,
2011.
26
DIVISION
VII
27
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
28
Sec.
55.
RISK
POOL
APPROPRIATION
FOR
MEDICAL
ASSISTANCE
29
PROGRAM.
All
moneys
remaining
in
the
risk
pool
of
the
property
30
tax
relief
fund
on
June
30,
2012,
following
the
distributions
31
made
pursuant
to
2012
Iowa
Acts,
Senate
File
2071,
are
32
appropriated
to
the
department
of
human
services
for
the
fiscal
33
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
to
be
34
used
for
the
purpose
designated:
35
-69-
LSB
5118XC
(40)
84
pf/jp
69/
95
S.F.
_____
To
be
credited
to
the
appropriation
made
for
the
medical
1
assistance
program
in
2011
Iowa
Acts,
chapter
129,
section
122.
2
Sec.
56.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN.
3
There
is
appropriated
from
the
general
fund
of
the
state
to
4
the
department
of
human
services
for
the
fiscal
year
beginning
5
July
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
6
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
7
designated:
8
To
be
used
as
provided
in
additional
enactments
by
the
9
Eighty-fourth
General
Assembly,
2012
Session,
for
redesign
of
10
county-based
adult
mental
health
and
disability
services:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,893,762
12
DIVISION
VIII
13
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
14
INJURED
VETERANS
GRANT
PROGRAM
15
Sec.
57.
2008
Iowa
Acts,
chapter
1187,
section
69,
16
unnumbered
paragraph
1,
as
amended
by
2009
Iowa
Acts,
chapter
17
182,
section
83,
2010
Iowa
Acts,
chapter
1192,
section
56,
and
18
2011
Iowa
Acts,
chapter
129,
section
53,
is
amended
to
read
as
19
follows:
20
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
21
subsection
that
remain
unencumbered
or
unobligated
at
the
close
22
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
23
for
expenditure
for
the
purposes
designated
until
the
close
of
24
the
fiscal
year
beginning
July
1,
2011
2012
.
25
CHILD
WELFARE
DECATEGORIZATION
26
FY
2009-2010
NONREVERSION
27
Sec.
58.
2009
Iowa
Acts,
chapter
182,
section
14,
subsection
28
5,
unnumbered
paragraph
2,
as
enacted
by
2011
Iowa
Acts,
29
chapter
129,
section
55,
is
amended
to
read
as
follows:
30
Notwithstanding
section
232.188,
subsection
5
,
moneys
from
31
the
allocations
made
in
this
subsection
or
made
from
any
other
32
source
for
the
decategorization
of
child
welfare
and
juvenile
33
justice
funding
initiative
under
section
232.188
for
the
fiscal
34
year
beginning
July
1,
2009,
that
are
designated
as
carryover
35
-70-
LSB
5118XC
(40)
84
pf/jp
70/
95
S.F.
_____
funding
that
remain
unencumbered
or
unobligated
at
the
close
1
of
the
fiscal
year
beginning
July
1,
2010,
shall
not
revert
2
but
shall
be
transferred
to
in
equal
amounts
to
the
community
3
housing
and
services
for
persons
with
disabilities
revolving
4
loan
program
fund
created
in
section
16.185
,
as
enacted
by
5
this
division
of
this
2011
Act
and
to
the
supportive
and
6
residential
services
for
individuals
who
meet
the
psychiatric
7
medical
institution
for
children
level
of
care
competitive
8
grant
program
fund
created
in
section
16.185A,
as
enacted
by
9
this
2012
Act
.
10
IOWA
VETERANS
HOME
11
Sec.
59.
2011
Iowa
Acts,
chapter
129,
section
3,
subsection
12
2,
is
amended
by
adding
the
following
new
paragraph:
13
NEW
PARAGRAPH
.
d.
The
funds
appropriated
in
this
subsection
14
to
the
Iowa
veterans
home
that
remain
available
for
expenditure
15
for
the
succeeding
fiscal
year
pursuant
to
section
35D.18,
16
subsection
5,
shall
be
distributed
to
be
used
in
the
succeeding
17
fiscal
year
in
accordance
with
this
lettered
paragraph.
The
18
first
$500,000
shall
remain
available
to
be
used
for
the
19
purposes
of
the
Iowa
veterans
home.
Any
remaining
balance
20
shall
be
credited
to
the
appropriation
in
this
Act
for
the
21
fiscal
year
beginning
July
1,
2012,
for
medical
assistance.
22
FAMILY
INVESTMENT
PROGRAM
——
GENERAL
FUND
23
Sec.
60.
2011
Iowa
Acts,
chapter
129,
section
7,
is
amended
24
by
adding
the
following
new
subsection:
25
NEW
SUBSECTION
.
5.
Notwithstanding
section
8.33,
moneys
26
appropriated
in
this
section
that
remain
unencumbered
or
27
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
28
but
shall
remain
available
for
expenditure
for
the
purposes
29
designated
until
the
close
of
the
succeeding
fiscal
year.
30
MEDICAL
ASSISTANCE
31
Sec.
61.
2011
Iowa
Acts,
chapter
129,
section
10,
subsection
32
20,
paragraph
d,
is
amended
to
read
as
follows:
33
d.
If
the
savings
to
the
medical
assistance
program
exceed
34
the
cost,
the
department
may
transfer
any
savings
generated
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for
the
fiscal
year
due
to
medical
assistance
program
cost
1
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
2
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
3
2009,
or
cost
containment
strategies
initiated
pursuant
4
to
this
subsection,
to
the
appropriation
appropriations
5
made
in
this
division
of
this
Act
for
medical
contracts
or
6
general
administration
to
defray
the
increased
contract
costs
7
associated
with
implementing
such
efforts.
8
BEHAVIORAL
HEALTH
SERVICES
ACCOUNT
——
MEDICAL
ASSISTANCE
9
Sec.
62.
2011
Iowa
Acts,
chapter
129,
section
10,
is
amended
10
by
adding
the
following
new
subsection:
11
NEW
SUBSECTION
.
26.
Notwithstanding
2009
Iowa
Acts,
12
chapter
182,
section
9,
subsection
16,
paragraph
“b”,
as
13
amended
by
2010
Iowa
Acts,
chapter
1192,
section
63,
as
amended
14
by
2011
Iowa
Acts,
chapter
129,
section
54,
funds
in
the
15
account
that
remain
unencumbered
or
unobligated
at
the
end
of
16
the
fiscal
year
beginning
July
1,
2011,
are
appropriated
to
17
the
department
of
human
services
to
be
used
for
the
medical
18
assistance
program
for
the
succeeding
fiscal
year.
19
STATE
SUPPLEMENTARY
ASSISTANCE
20
Sec.
63.
2011
Iowa
Acts,
chapter
129,
section
11,
is
amended
21
by
adding
the
following
new
subsection:
22
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
23
appropriated
in
this
section
that
remain
unencumbered
or
24
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
25
but
shall
remain
available
for
expenditure
for
the
purposes
26
designated
until
the
close
of
the
succeeding
fiscal
year.
27
FIELD
OPERATIONS
28
Sec.
64.
2011
Iowa
Acts,
chapter
129,
section
25,
is
amended
29
by
adding
the
following
new
unnumbered
paragraph:
30
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
8.33,
31
moneys
appropriated
in
this
section
that
remain
unencumbered
or
32
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
33
but
shall
remain
available
for
expenditure
for
the
purposes
34
designated
until
the
close
of
the
succeeding
fiscal
year.
35
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GENERAL
ADMINISTRATION
1
Sec.
65.
2011
Iowa
Acts,
chapter
129,
section
26,
is
amended
2
by
adding
the
following
new
subsection:
3
NEW
SUBSECTION
.
6.
Notwithstanding
section
8.33,
moneys
4
appropriated
in
this
section
that
remain
unencumbered
or
5
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
6
but
shall
remain
available
for
expenditure
for
the
purposes
7
designated
until
the
close
of
the
succeeding
fiscal
year.
8
IOWACARE
DISTRIBUTIONS
9
Sec.
66.
2011
Iowa
Acts,
chapter
129,
section
35,
subsection
10
4,
paragraph
a,
is
amended
to
read
as
follows:
11
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
12
the
amount
appropriated
in
this
subsection
shall
be
distributed
13
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
14
Medicaid
enterprise
plus
a
monthly
disproportionate
share
15
hospital
payment.
Any
amount
appropriated
in
this
subsection
16
in
excess
of
$60,000,000
$56,500,000
shall
be
distributed
only
17
if
the
sum
of
the
expansion
population
claims
adjudicated
18
and
paid
by
the
Iowa
Medicaid
enterprise
plus
the
estimated
19
disproportionate
share
hospital
payments
exceeds
$60,000,000
20
$56,500,000
.
The
amount
paid
in
excess
of
$60,000,000
21
$56,500,000
shall
not
adjust
the
original
monthly
payment
22
amount
but
shall
be
distributed
monthly
based
on
actual
claims
23
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
plus
24
the
estimated
disproportionate
share
hospital
amount.
Any
25
amount
appropriated
in
this
subsection
in
excess
of
$60,000,000
26
$56,500,000
shall
be
allocated
only
if
federal
funds
are
27
available
to
match
the
amount
allocated.
Pursuant
to
paragraph
28
“b”,
of
the
amount
appropriated
in
this
subsection,
not
more
29
than
$4,000,000
shall
be
distributed
for
prescription
drugs
and
30
podiatry
services.
31
Sec.
67.
2011
Iowa
Acts,
chapter
129,
section
35,
subsection
32
4,
paragraph
d,
subparagraph
(2),
is
amended
to
read
as
33
follows:
34
(2)
Notwithstanding
the
amount
collected
and
distributed
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for
deposit
in
the
IowaCare
account
pursuant
to
section
1
249J.24,
subsection
4
,
paragraph
“a”,
subparagraph
(2),
2
the
first
$19,000,000
in
collections
pursuant
to
section
3
347.7
between
January
1,
2012,
and
June
30,
2012,
shall
be
4
distributed
to
the
treasurer
of
state
for
deposit
in
the
5
IowaCare
account
and
collections
during
this
time
period
in
6
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
7
teaching
hospital
identified
in
this
subsection.
Of
the
8
collections
in
excess
of
the
$19,000,000
received
by
the
acute
9
care
teaching
hospital
under
this
subparagraph
(2),
$2,000,000
10
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
11
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
12
month
of
July
2012,
following
the
January
1
through
June
30,
13
2012,
period.
14
Sec.
68.
IMMEDIATE
EFFECTIVE
DATE.
This
division
of
this
15
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
16
enactment.
17
Sec.
69.
RETROACTIVE
APPLICABILITY.
The
following
sections
18
of
this
division
of
this
Act
apply
retroactively
to
July
1,
19
2011:
20
1.
The
section
relating
to
the
transfer
of
funds
from
costs
21
savings
under
the
medical
assistance
program
to
appropriations
22
for
medical
contracts
or
general
administration
for
the
fiscal
23
year
beginning
July
1,
2011,
and
ending
June
30,
2012.
24
2.
The
section
relating
to
the
nonreversion
of
25
decategorization
of
child
welfare
and
juvenile
justice
funds.
26
3.
The
section
relating
to
the
distribution
of
IowaCare
27
program
funds.
28
DIVISION
IX
29
MISCELLANEOUS
30
Sec.
70.
NEW
SECTION
.
16.185A
Supportive
and
residential
31
services
for
individuals
who
meet
the
psychiatric
medical
32
institution
for
children
level
of
care
——
competitive
grant
33
program
fund.
34
1.
A
supportive
and
residential
services
competitive
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grant
program
fund
is
created
within
the
authority
to
further
1
the
availability
of
supportive
and
residential
services
for
2
individuals
who
meet
the
psychiatric
medical
institution
3
for
children
level
of
care
under
the
medical
assistance
4
program.
The
moneys
in
the
fund
are
annually
appropriated
to
5
the
authority
to
be
used
for
the
development
and
operation
6
of
a
competitive
grant
program
to
provide
financing
to
7
construct
supportive
housing
or
develop
the
infrastructure
8
in
which
to
provide
supportive
services,
including
through
9
new
construction,
acquisition
and
rehabilitation
of
existing
10
housing
or
infrastructure,
or
conversion
or
adaptive
reuse.
11
2.
Moneys
transferred
by
the
authority
for
deposit
in
the
12
competitive
grant
program
fund,
moneys
appropriated
to
the
13
competitive
grant
program,
and
any
other
moneys
available
to
14
and
obtained
or
accepted
by
the
authority
for
placement
in
the
15
fund
shall
be
credited
to
the
fund.
Additionally,
payment
of
16
interest,
recaptures
of
awards,
and
other
repayments
to
the
17
fund
shall
be
credited
to
the
fund.
Notwithstanding
section
18
12C.7,
subsection
2,
interest
or
earnings
on
moneys
in
the
fund
19
shall
be
credited
to
the
fund.
Notwithstanding
section
8.33,
20
moneys
credited
to
the
fund
from
any
other
fund
that
remain
21
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
22
shall
not
revert
to
the
other
fund.
23
3.
The
authority
shall
annually
allocate
moneys
available
24
in
the
fund
for
the
development
of
supportive
housing
or
the
25
infrastructure
in
which
to
provide
supportive
services
for
26
individuals
who
meet
the
psychiatric
medical
institution
for
27
children
level
of
care
under
the
medical
assistance
program.
28
Moneys
allocated
to
such
projects
shall
be
in
the
form
of
29
competitive
grants.
An
application
submitted
shall
contain
a
30
commitment
of
at
least
a
dollar-for-dollar
match
of
the
grant
31
assistance.
32
4.
a.
A
project
shall
demonstrate
written
approval
of
the
33
project
by
the
department
of
human
services
to
the
authority
34
prior
to
application
for
funding
under
this
section.
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b.
In
order
to
be
approved
by
the
department
of
human
1
services
for
application
for
funding
under
this
section,
a
2
project
shall
include
all
of
the
following
components:
3
(1)
Provision
of
services
to
individuals
who
meet
the
4
psychiatric
medical
institution
for
children
level
of
care
5
under
the
medical
assistance
program.
6
(2)
Policies
and
procedures
that
prohibit
discharge
of
the
7
individual
from
the
services
provided
by
the
project
provider
8
unless
an
alternative
placement
that
is
acceptable
to
the
9
client
or
the
client’s
guardian
is
identified.
10
5.
Housing
provided
through
a
project
under
this
section
is
11
exempt
from
the
requirements
of
chapter
135O.
12
6.
The
authority,
in
collaboration
with
the
department
of
13
human
services,
shall
adopt
rules
pursuant
to
chapter
17A
to
14
administer
this
section.
15
Sec.
71.
Section
97B.39,
Code
2011,
is
amended
to
read
as
16
follows:
17
97B.39
Rights
not
transferable
or
subject
to
legal
process
18
——
exceptions.
19
The
right
of
any
person
to
any
future
payment
under
this
20
chapter
is
not
transferable
or
assignable,
at
law
or
in
21
equity,
and
the
moneys
paid
or
payable
or
rights
existing
22
under
this
chapter
are
not
subject
to
execution,
levy,
23
attachment,
garnishment,
or
other
legal
process,
or
to
the
24
operation
of
any
bankruptcy
or
insolvency
law
except
for
the
25
purposes
of
enforcing
child,
spousal,
or
medical
support
26
obligations
or
marital
property
orders
,
or
for
recovery
of
27
medical
assistance
payments
pursuant
to
section
249A.5
.
For
28
the
purposes
of
enforcing
child,
spousal,
or
medical
support
29
obligations,
the
garnishment
or
attachment
of
or
the
execution
30
against
compensation
due
a
person
under
this
chapter
shall
31
not
exceed
the
amount
specified
in
15
U.S.C.
§
1673(b).
32
The
system
shall
comply
with
the
provisions
of
a
marital
33
property
order
requiring
the
selection
of
a
particular
benefit
34
option,
designated
beneficiary,
or
contingent
annuitant
if
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the
selection
is
otherwise
authorized
by
this
chapter
and
1
the
member
has
not
received
payment
of
the
member’s
first
2
retirement
allowance.
However,
a
marital
property
order
shall
3
not
require
the
payment
of
benefits
to
an
alternative
payee
4
prior
to
the
member’s
retirement,
prior
to
the
date
the
member
5
elects
to
receive
a
lump
sum
distribution
of
accumulated
6
contributions
pursuant
to
section
97B.53
,
or
in
an
amount
that
7
exceeds
the
benefits
the
member
would
otherwise
be
eligible
to
8
receive
pursuant
to
this
chapter
.
9
Sec.
72.
Section
135.11,
Code
Supplement
2011,
is
amended
by
10
adding
the
following
new
subsection:
11
NEW
SUBSECTION
.
31.
Administer
a
public
awareness
program
12
for
human
papillomavirus
infection
vaccination
by
identifying
13
medically
accurate
materials
that
contain
information
regarding
14
the
risks
associated
with
the
various
forms
of
the
infection
15
in
causing
cervical
cancer,
and
any
other
diseases
for
which
16
the
department
may
recommend
immunization
or
immunization
17
information,
and
the
availability,
effectiveness,
and
potential
18
risks
of
those
vaccines.
The
department
shall
make
the
19
identified
materials
available
on
the
department’s
internet
20
site,
provide
education
and
training
to
health
professionals
21
and
the
general
public
regarding
the
vaccines,
and
notify
22
each
school
district
in
the
state
of
the
availability
of
the
23
information.
For
the
purposes
of
this
subsection,
“human
24
papillomavirus”
means
the
group
of
viruses
identified
by
the
25
centers
for
disease
control
and
prevention
of
the
United
States
26
department
of
health
and
human
services.
27
Sec.
73.
Section
135H.10,
subsection
3,
Code
2011,
is
28
amended
by
striking
the
subsection.
29
Sec.
74.
Section
144D.4,
as
enacted
by
2012
Iowa
Acts,
House
30
File
2165,
section
5,
is
amended
by
adding
the
following
new
31
subsection:
32
NEW
SUBSECTION
.
10.
A
POST
form
executed
between
July
1,
33
2008,
and
June
30,
2012,
as
part
of
the
patient
autonomy
in
34
health
care
decisions
pilot
project
created
pursuant
to
2008
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Iowa
Acts,
chapter
1188,
section
36,
as
amended
by
2010
Iowa
1
Acts,
chapter
1192,
section
58,
shall
remain
effective
until
2
revoked
or
until
a
new
POST
form
is
executed
pursuant
to
this
3
chapter.
4
Sec.
75.
Section
225B.8,
Code
Supplement
2011,
is
amended
5
to
read
as
follows:
6
225B.8
Repeal.
7
This
chapter
is
repealed
July
1,
2012
2017
.
8
Sec.
76.
NEW
SECTION
.
231.45
Certified
volunteer
long-term
9
care
resident’s
advocate
program.
10
1.
The
department
shall
establish
a
certified
volunteer
11
long-term
care
resident’s
advocate
program
in
accordance
with
12
the
federal
Act
to
provide
assistance
to
the
state
and
local
13
long-term
care
resident’s
advocates.
14
2.
The
department
shall
develop
and
implement
a
15
certification
process
for
volunteer
long-term
care
resident’s
16
advocates
including
but
not
limited
to
an
application
process,
17
provision
for
background
checks,
classroom
or
on-site
training,
18
orientation,
and
continuing
education.
19
3.
The
provisions
of
section
231.42
relating
to
local
20
long-term
care
resident’s
advocates
shall
apply
to
certified
21
volunteer
long-term
care
resident’s
advocates.
22
4.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
23
to
administer
this
section.
24
Sec.
77.
Section
453A.35,
Code
Supplement
2011,
is
amended
25
to
read
as
follows:
26
453A.35
Tax
and
fees
paid
to
general
fund
——
standing
27
appropriation
to
health
care
trust
fund.
28
1.
a.
With
the
exception
of
revenues
credited
to
the
health
29
care
trust
fund
pursuant
to
paragraph
“b”
,
the
The
proceeds
30
derived
from
the
sale
of
stamps
and
the
payment
of
taxes,
fees,
31
and
penalties
provided
for
under
this
chapter
,
and
the
permit
32
fees
received
from
all
permits
issued
by
the
department,
shall
33
be
credited
to
the
general
fund
of
the
state.
34
b.
Of
the
revenues
generated
from
the
tax
on
cigarettes
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pursuant
to
section
453A.6,
subsection
1
,
and
from
the
tax
on
1
tobacco
products
as
specified
in
section
453A.43,
subsections
2
1,
2,
3,
and
4
,
the
first
one
hundred
six
million
sixteen
3
thousand
four
hundred
dollars
shall
be
credited
to
the
health
4
care
trust
fund
created
in
section
453A.35A.
5
2.
All
permit
fees
provided
for
in
this
chapter
and
6
collected
by
cities
in
the
issuance
of
permits
granted
by
the
7
cities
shall
be
paid
to
the
treasurer
of
the
city
where
the
8
permit
is
effective,
or
to
another
city
officer
as
designated
9
by
the
council,
and
credited
to
the
general
fund
of
the
city.
10
Permit
fees
so
collected
by
counties
shall
be
paid
to
the
11
county
treasurer.
12
Sec.
78.
Section
453A.35A,
subsection
1,
Code
Supplement
13
2011,
is
amended
to
read
as
follows:
14
1.
A
health
care
trust
fund
is
created
in
the
office
of
15
the
treasurer
of
state.
The
fund
consists
of
the
revenues
16
generated
from
the
tax
on
cigarettes
pursuant
to
section
17
453A.6,
subsection
1
,
and
from
the
tax
on
tobacco
products
18
as
specified
in
section
453A.43
,
subsections
1,
2,
3,
and
4
,
19
that
are
credited
to
the
health
care
trust
fund,
annually,
20
pursuant
to
section
453A.35
derived
from
the
sale
of
stamps
21
and
the
payment
of
taxes,
fees,
and
penalties
provided
for
22
under
this
chapter,
and
the
permit
fees
received
from
all
23
permits
issued
by
the
department
.
Moneys
in
the
fund
shall
be
24
separate
from
the
general
fund
of
the
state
and
shall
not
be
25
considered
part
of
the
general
fund
of
the
state.
However,
the
26
fund
shall
be
considered
a
special
account
for
the
purposes
27
of
section
8.53
relating
to
generally
accepted
accounting
28
principles.
Moneys
in
the
fund
shall
be
used
only
as
specified
29
in
this
section
and
shall
be
appropriated
only
for
the
uses
30
specified.
Moneys
in
the
fund
are
not
subject
to
section
8.33
31
and
shall
not
be
transferred,
used,
obligated,
appropriated,
32
or
otherwise
encumbered,
except
as
provided
in
this
section
.
33
Notwithstanding
section
12C.7,
subsection
2
,
interest
or
34
earnings
on
moneys
deposited
in
the
fund
shall
be
credited
to
35
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the
fund.
1
DIVISION
X
2
DIRECT
CARE
PROFESSIONALS
3
Sec.
79.
NEW
SECTION
.
152F.1
Definitions.
4
As
used
in
this
chapter,
unless
the
context
otherwise
5
requires:
6
1.
“Board”
means
the
board
of
direct
care
professionals
7
created
under
chapter
147.
8
2.
“Community
living
professional”
means
a
direct
care
9
associate
who
has
completed
advanced
training
and
is
certified
10
to
provide
home
and
community
living,
instrumental
activities
11
of
daily
living,
and
personal
support
services.
12
3.
“Direct
care
associate”
means
an
individual
who
has
13
completed
core
training
and
is
certified
to
provide
direct
care
14
services
in
the
state.
15
4.
“Direct
care
instructor”
means
an
individual
approved
16
by
the
board
to
provide
direct
care
instruction
to
direct
care
17
professionals.
18
5.
“Direct
care
professional”
means
an
individual
who
19
provides
direct
care
services
for
compensation
and
is
a
direct
20
care
associate,
a
community
living
professional,
a
health
21
support
professional,
or
a
personal
support
professional.
22
6.
“Direct
care
services”
means
the
services
provided
to
23
individuals
who
are
ill
or
individuals
with
disabilities
as
24
specified
in
the
individual’s
service
plan
or
in
documented
25
goals,
including
but
not
limited
to
home
and
community
living
26
services,
instrumental
activities
of
daily
living
services,
27
personal
activities
of
daily
living
services,
personal
support
28
services,
and
health
monitoring
and
maintenance
services.
29
7.
“Direct
care
trainer”
means
a
direct
care
instructor
who
30
is
approved
by
the
board
to
train
instructors.
31
8.
“Health
monitoring
and
maintenance
services”
means
32
medically-oriented
services
that
assist
an
individual
in
33
maintaining
the
individual’s
health
including
measuring
intake
34
and
output;
providing
catheter
and
ostomy
care;
collecting
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specimens;
checking
vital
signs,
including
temperature,
pulse,
1
respiration,
and
blood
pressure;
measuring
height
and
weight;
2
performing
range
of
motion
exercises;
providing
assistance
with
3
urinary
care;
and
application
of
thrombo
embolic
deterrent
hose
4
or
hot
and
cold
packs.
5
9.
“Health
support
professional”
means
a
direct
care
6
associate
who
has
completed
advanced
training
and
is
certified
7
to
provide
personal
activities
of
daily
living
and
health
8
monitoring
and
maintenance
services
or
a
direct
care
associate
9
who
has
met
the
federal
nurse
aide
requirements
pursuant
to
42
10
C.F.R.
§
483.152.
11
10.
“Home
and
community
living
services”
means
services
to
12
enhance
or
maintain
independence
of
individuals
including
such
13
activities
as
helping
individuals
develop
and
meet
personal
14
goals,
providing
direct
physical
and
emotional
support
and
15
assistance
for
persons
with
disabilities,
utilizing
crisis
16
intervention
and
positive
behavior
supports,
and
using
and
17
following
individual
support
plans.
18
11.
“Instrumental
activities
of
daily
living
services”
means
19
services
provided
to
assist
individuals
with
daily
living
tasks
20
to
allow
them
to
function
independently
in
a
home
or
community
21
setting,
including
but
not
limited
to
assistance
with
managing
22
money,
transportation,
light
housekeeping,
and
shopping
and
23
cooking.
24
12.
“Personal
activities
of
daily
living
services”
means
25
services
to
assist
individuals
in
meeting
basic
needs,
26
including
but
not
limited
to
bathing,
back
rubs,
and
skin
care;
27
grooming
activities;
assistance
with
dressing
and
undressing;
28
assistance
with
eating
and
feeding;
assistance
with
toileting;
29
and
assistance
with
mobility,
including
transfers,
walking,
and
30
turning
in
bed.
31
13.
“Personal
support
professional”
means
a
direct
care
32
associate
who
has
completed
advanced
training
and
is
certified
33
to
provide
instrumental
activities
of
daily
living,
personal
34
activities
of
daily
living,
and
personal
support
services.
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14.
“Personal
support
services”
means
support
services
1
provided
to
an
individual
as
the
individual
performs
personal
2
activities
of
daily
living
including
but
not
limited
to
3
coaching
and
prompting,
and
teaching
skills
and
behaviors.
4
15.
“Service
plan”
means
a
written,
consumer-centered,
5
outcome-based
plan
of
services.
6
16.
“Specialty
endorsement”
means
an
advanced
level
of
7
certification
based
on
requirements
developed
by
experts
in
a
8
particular
discipline
or
professional
area
and
approved
by
the
9
board.
10
Sec.
80.
NEW
SECTION
.
152F.2
Certification
required
——
11
exceptions
——
use
of
title.
12
1.
Unless
otherwise
exempt
under
section
152F.4,
beginning
13
January
1,
2014,
an
individual
shall
not
provide
direct
care
14
services
in
this
state
without
being
certified
as
a
direct
care
15
associate.
16
2.
An
individual
who
is
not
certified
pursuant
to
this
17
chapter
shall
not
use
words
or
titles
which
imply
or
represent
18
that
the
individual
is
certified
as
a
direct
care
professional
19
under
this
chapter.
20
3.
A
direct
care
associate
shall
not
act
as
or
represent
21
that
the
individual
is
a
direct
care
professional
with
advanced
22
training
certification
or
a
specialty
endorsement,
unless
the
23
direct
care
associate
is
first
certified
at
the
appropriate
24
level
of
certification
under
this
chapter.
25
4.
Notwithstanding
any
provision
to
the
contrary,
an
26
individual
who
completes
advanced
training
or
meets
the
27
requirements
for
a
specialty
endorsement
is
not
required
to
28
be
certified
at
that
level
if
the
individual
does
not
act
as
29
or
represent
that
the
individual
is
certified
at
that
level.
30
Section
147.83
does
not
apply
to
a
direct
care
associate
who
31
is
not
certified
as
a
direct
care
professional
with
advanced
32
training
certification
or
a
specialty
endorsement
if
the
direct
33
care
associate
does
not
act
as
or
represent
that
the
individual
34
is
certified
at
that
level.
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Sec.
81.
NEW
SECTION
.
152F.3
Requirements
to
obtain
1
certification
——
renewal
——
continuing
education
——
reciprocity.
2
1.
An
applicant
for
certification
as
a
direct
care
associate
3
shall
present
evidence
satisfactory
to
the
board
that
the
4
applicant
meets
all
of
the
following
requirements:
5
a.
The
applicant
has
successfully
completed
the
required
6
education
for
the
certification
from
a
board-approved
direct
7
care
instructor
or
direct
care
trainer.
8
b.
The
applicant
has
paid
all
fees
required
by
the
board.
9
c.
The
applicant
certifies
that
the
applicant
will
conduct
10
all
professional
activities
in
accordance
with
standards
for
11
professional
conduct
established
by
the
board.
12
2.
An
applicant
for
certification
as
a
direct
care
13
professional
with
advanced
training
or
a
specialty
endorsement
14
shall
present
evidence
satisfactory
to
the
board
that
the
15
applicant
meets
all
of
the
following
requirements:
16
a.
The
applicant
has
successfully
completed
the
required
17
education
for
the
certification
from
a
board-approved
direct
18
care
instructor
or
direct
care
trainer.
19
b.
The
applicant
has
paid
all
fees
required
by
the
board.
20
c.
The
applicant
has
passed
a
state
examination
approved
by
21
the
board.
22
d.
The
applicant
certifies
that
the
applicant
will
conduct
23
all
professional
activities
in
accordance
with
standards
for
24
professional
conduct
established
by
the
board.
25
3.
An
individual
shall
renew
the
individual’s
certification
26
biennially.
Prior
to
such
renewal,
the
individual
shall
27
present
evidence
that
the
individual
has
satisfied
continuing
28
education
requirements
and
shall
pay
a
renewal
fee
as
29
determined
by
the
board.
30
4.
The
board
shall
issue
the
appropriate
certification
to
an
31
applicant
who
demonstrates
experience
in
direct
care
services
32
in
another
state
and
meets
the
requirements
established
by
the
33
board
for
the
specific
certification.
34
Sec.
82.
NEW
SECTION
.
152F.4
Scope
of
chapter.
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1.
The
provisions
of
this
chapter
do
not
apply
to
any
of
the
1
following:
2
a.
An
individual
who
is
providing
direct
care
services
3
and
is
governed
by
a
collective
bargaining
agreement
in
place
4
before
July
1,
2017,
until
the
expiration
of
such
agreement.
5
b.
An
individual
providing
direct
care
services
to
a
family
6
member.
7
c.
An
individual
otherwise
licensed
who
is
operating
within
8
the
scope
of
that
license
and
who
does
not
represent
to
the
9
public
that
the
individual
is
a
direct
care
professional.
10
2.
This
chapter
shall
not
be
interpreted
to
preclude
11
an
individual
who
provides
direct
care
services
but
is
not
12
otherwise
required
to
be
certified
under
this
chapter
from
13
being
certified
under
this
chapter
on
a
voluntary
basis.
14
Sec.
83.
NEW
SECTION
.
152F.5
Duties
of
the
board.
15
The
board
shall
do
all
of
the
following:
16
1.
Adopt
rules
consistent
with
this
chapter,
chapter
147,
17
chapter
272,
and
the
recommendations
of
the
direct
care
worker
18
advisory
council
established
pursuant
to
2008
Iowa
Acts,
19
chapter
69,
which
are
necessary
for
the
performance
of
its
20
duties.
21
2.
Adopt
rules
to
provide
a
transition
process
that
allows
22
individuals
providing
direct
care
services
on
or
before
January
23
1,
2014,
who
are
subject
to
the
certification
requirements
24
of
this
chapter,
to
continue
providing
direct
care
services
25
while
completing
certification
under
this
chapter.
The
rules
26
shall
provide
that
certification
requirements
for
an
individual
27
subject
to
the
transition
process
are
based
on
consideration
28
of
previous
training,
employment
history,
and
experience.
An
29
individual
subject
to
the
transition
process
shall
complete
the
30
requirements
for
direct
care
associate
certification
within
a
31
time
frame
determined
by
rule
of
the
board.
32
3.
Establish
curriculum
requirements
for
health
support
33
professionals.
The
curriculum
requirements
established
shall
34
not
exceed
the
curriculum
requirements
specified
for
nurse
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aides
pursuant
to
42
C.F.R.
§
483.152,
without
prior
approval
1
of
sixty
percent
of
the
members
of
the
board
and
prior
approval
2
of
the
department
of
inspections
and
appeals.
3
4.
Require
an
individual
to
undergo
criminal
history
4
and
child
and
dependent
adult
abuse
record
checks
prior
5
to
certification,
and
establish
record
checks
requirements
6
applicable
to
direct
care
professionals
consistent
with
section
7
135C.33.
8
5.
Establish
dependent
adult
abuse
reporting
and
training
9
requirements
consistent
with
chapters
235B
and
235E,
as
10
applicable.
11
6.
Establish
standards
and
guidelines
for
certification
12
reciprocity.
13
7.
Establish
standards
and
guidelines
for
direct
care
14
professionals,
including
minimum
curriculum
requirements.
15
8.
Prepare
and
conduct,
or
prescribe,
an
examination
for
16
applicants
for
certification.
17
9.
Establish
standards
and
guidelines
for
direct
care
18
instructors
and
direct
care
trainers,
including
minimum
19
curriculum
requirements
and
continuing
education
requirements.
20
Training
and
continuing
education
guidelines
shall
provide
21
diverse
options
for
completion
of
the
training
and
continuing
22
education,
as
appropriate,
including
but
not
limited
to
online,
23
employer-based,
or
educational
institution-based
opportunities.
24
10.
Define
educational
activities
which
fulfill
continuing
25
education
requirements
for
renewal
of
certification.
26
11.
Establish
guidelines
for
inactive
certification
status
27
and
inactive
certification
reentry.
28
Sec.
84.
NEW
SECTION
.
152F.6
Certification
suspension
and
29
revocation.
30
A
certification
issued
by
the
board
under
this
chapter
may
be
31
suspended
or
revoked,
or
renewal
of
certification
may
be
denied
32
by
the
board,
for
violation
of
any
provision
of
this
chapter,
33
section
147.55
or
272C.10,
or
rules
adopted
by
the
board.
34
Sec.
85.
Section
10A.402,
subsection
1,
Code
2011,
is
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amended
to
read
as
follows:
1
1.
Investigations
relative
to
the
practice
of
regulated
2
professions
and
occupations,
except
those
within
the
3
jurisdiction
of
the
board
of
medicine,
the
board
of
pharmacy,
4
the
dental
board,
and
the
board
of
nursing
,
and
the
board
of
5
direct
care
professionals
.
6
Sec.
86.
Section
135.11A,
Code
2011,
is
amended
to
read
as
7
follows:
8
135.11A
Professional
licensure
division
——
other
licensing
9
boards
——
expenses
——
fees.
10
1.
There
shall
be
a
professional
licensure
division
within
11
the
department
of
public
health.
Each
board
under
chapter
147
12
or
under
the
administrative
authority
of
the
department,
except
13
the
board
of
nursing,
board
of
medicine,
dental
board,
and
14
board
of
pharmacy,
and
board
of
direct
care
professionals
shall
15
receive
administrative
and
clerical
support
from
the
division
16
and
may
not
employ
its
own
support
staff
for
administrative
and
17
clerical
duties.
18
2.
The
professional
licensure
division
and
the
licensing
19
boards
may
expend
funds
in
addition
to
amounts
budgeted,
if
20
those
additional
expenditures
are
directly
the
result
of
actual
21
examination
and
exceed
funds
budgeted
for
examinations.
Before
22
the
division
or
a
licensing
board
expends
or
encumbers
an
23
amount
in
excess
of
the
funds
budgeted
for
examinations,
the
24
director
of
the
department
of
management
shall
approve
the
25
expenditure
or
encumbrance.
Before
approval
is
given,
the
26
department
of
management
shall
determine
that
the
examination
27
expenses
exceed
the
funds
budgeted
by
the
general
assembly
28
to
the
division
or
board
and
the
division
or
board
does
not
29
have
other
funds
from
which
examination
expenses
can
be
paid.
30
Upon
approval
of
the
department
of
management,
the
division
31
or
licensing
board
may
expend
and
encumber
funds
for
excess
32
examination
expenses.
The
amounts
necessary
to
fund
the
excess
33
examination
expenses
shall
be
collected
as
fees
from
additional
34
examination
applicants
and
shall
be
treated
as
repayment
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receipts
as
defined
in
section
8.2
.
1
Sec.
87.
Section
135.31,
Code
2011,
is
amended
to
read
as
2
follows:
3
135.31
Location
of
boards
——
rulemaking.
4
The
offices
for
the
board
of
medicine,
the
board
of
pharmacy,
5
the
board
of
nursing,
and
the
dental
board
,
and
the
board
6
of
direct
care
professionals
shall
be
located
within
the
7
department
of
public
health.
The
individual
boards
shall
have
8
policymaking
and
rulemaking
authority.
9
Sec.
88.
Section
147.1,
subsections
3
and
6,
Code
2011,
are
10
amended
to
read
as
follows:
11
3.
“Licensed”
or
“certified”
,
when
applied
to
a
physician
12
and
surgeon,
podiatric
physician,
osteopathic
physician
and
13
surgeon,
physician
assistant,
psychologist,
chiropractor,
14
nurse,
dentist,
dental
hygienist,
dental
assistant,
15
optometrist,
speech
pathologist,
audiologist,
pharmacist,
16
physical
therapist,
physical
therapist
assistant,
occupational
17
therapist,
occupational
therapy
assistant,
respiratory
care
18
practitioner,
practitioner
of
cosmetology
arts
and
sciences,
19
practitioner
of
barbering,
funeral
director,
dietitian,
marital
20
and
family
therapist,
mental
health
counselor,
social
worker,
21
massage
therapist,
athletic
trainer,
acupuncturist,
nursing
22
home
administrator,
hearing
aid
dispenser,
or
sign
language
23
interpreter
or
transliterator
,
or
direct
care
professional
24
means
a
person
licensed
under
this
subtitle.
25
6.
“Profession”
means
medicine
and
surgery,
podiatry,
26
osteopathic
medicine
and
surgery,
practice
as
a
physician
27
assistant,
psychology,
chiropractic,
nursing,
dentistry,
28
dental
hygiene,
dental
assisting,
optometry,
speech
pathology,
29
audiology,
pharmacy,
physical
therapy,
physical
therapist
30
assisting,
occupational
therapy,
occupational
therapy
31
assisting,
respiratory
care,
cosmetology
arts
and
sciences,
32
barbering,
mortuary
science,
marital
and
family
therapy,
mental
33
health
counseling,
social
work,
dietetics,
massage
therapy,
34
athletic
training,
acupuncture,
nursing
home
administration,
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hearing
aid
dispensing,
or
sign
language
interpreting
or
1
transliterating
,
or
practice
as
a
direct
care
professional
.
2
Sec.
89.
Section
147.2,
subsection
1,
Code
2011,
is
amended
3
to
read
as
follows:
4
1.
A
person
shall
not
engage
in
the
practice
of
medicine
5
and
surgery,
podiatry,
osteopathic
medicine
and
surgery,
6
psychology,
chiropractic,
physical
therapy,
physical
therapist
7
assisting,
nursing,
dentistry,
dental
hygiene,
dental
8
assisting,
optometry,
speech
pathology,
audiology,
occupational
9
therapy,
occupational
therapy
assisting,
respiratory
care,
10
pharmacy,
cosmetology
arts
and
sciences,
barbering,
social
11
work,
dietetics,
marital
and
family
therapy
or
mental
health
12
counseling,
massage
therapy,
mortuary
science,
athletic
13
training,
acupuncture,
nursing
home
administration,
hearing
aid
14
dispensing,
or
sign
language
interpreting
or
transliterating,
15
or
shall
not
practice
as
a
physician
assistant
or
as
a
direct
16
care
professional
,
unless
the
person
has
obtained
a
license
for
17
that
purpose
from
the
board
for
the
profession.
18
Sec.
90.
Section
147.13,
Code
2011,
is
amended
by
adding
the
19
following
new
subsection:
20
NEW
SUBSECTION
.
24.
For
direct
care
professionals,
the
21
board
of
direct
care
professionals.
22
Sec.
91.
Section
147.14,
subsection
1,
Code
2011,
is
amended
23
by
adding
the
following
new
paragraph:
24
NEW
PARAGRAPH
.
x.
For
the
board
of
direct
care
25
professionals,
a
total
of
eleven
members,
six
of
whom
are
26
direct
care
professionals
who
represent
diverse
settings
and
27
populations
served,
two
members
of
the
public,
one
registered
28
nurse
who
serves
as
a
direct
care
instructor,
one
human
29
services
professional
who
serves
as
a
direct
care
instructor,
30
and
one
licensed
nursing
home
administrator.
31
Sec.
92.
Section
147.74,
Code
2011,
is
amended
by
adding
the
32
following
new
subsection:
33
NEW
SUBSECTION
.
24.
A
direct
care
professional
certified
34
under
chapter
152F
and
this
chapter
may
use
the
following:
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a.
A
direct
care
professional
certified
as
a
direct
care
1
associate
may
use
the
title
“direct
care
associate”
or
the
2
letters
“D.C.A.”
after
the
person’s
name.
3
b.
A
direct
care
professional
certified
as
a
community
4
living
professional
may
use
the
title
“community
living
5
professional”
or
the
letters
“C.L.P.”
after
the
person’s
name.
6
c.
A
direct
care
professional
certified
as
a
personal
7
support
professional
may
use
the
title
“personal
support
8
professional”
or
the
letters
“P.S.P.”
after
the
person’s
name.
9
d.
A
direct
care
professional
certified
as
a
health
support
10
professional
may
use
the
title
“health
support
professional”
or
11
the
letters
“H.S.P.”
after
the
person’s
name.
12
e.
A
direct
care
professional
certified
with
a
specialty
13
endorsement
may
use
the
title
or
letters
determined
by
the
14
specialty
endorsement
entity
and
approved
by
the
board
of
15
direct
care
professionals.
16
f.
A
direct
care
professional
who
complies
with
federal
17
nurse
aide
requirements
pursuant
to
42
C.F.R.
§
483.152
may
use
18
the
title
“certified
nursing
assistant”
or
the
letters
“C.N.A.”
19
after
the
person’s
name.
20
Sec.
93.
Section
147.80,
subsection
3,
Code
2011,
is
amended
21
to
read
as
follows:
22
3.
The
board
of
medicine,
the
board
of
pharmacy,
the
dental
23
board,
and
the
board
of
nursing
,
and
the
board
of
direct
care
24
professionals
shall
retain
individual
executive
officers,
but
25
shall
make
every
effort
to
share
administrative,
clerical,
and
26
investigative
staff
to
the
greatest
extent
possible.
27
Sec.
94.
Section
147.88,
Code
2011,
is
amended
to
read
as
28
follows:
29
147.88
Inspections
and
investigations.
30
The
department
of
inspections
and
appeals
may
perform
31
inspections
and
investigations
as
required
by
this
subtitle,
32
except
inspections
and
investigations
for
the
board
of
33
medicine,
board
of
pharmacy,
board
of
nursing,
and
the
dental
34
board
,
and
the
board
of
direct
care
professionals
.
The
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department
of
inspections
and
appeals
shall
employ
personnel
1
related
to
the
inspection
and
investigative
functions.
2
Sec.
95.
Section
272C.1,
subsection
6,
Code
2011,
is
amended
3
by
adding
the
following
new
paragraph:
4
NEW
PARAGRAPH
.
ag.
The
board
of
direct
care
professionals,
5
created
pursuant
to
chapter
147.
6
Sec.
96.
TRANSITION
PROVISIONS.
7
1.
An
individual
providing
direct
care
services
on
or
8
before
January
1,
2014,
who
is
subject
to
the
certification
9
requirements
of
this
division
of
this
Act,
may
continue
10
providing
direct
care
services
while
completing
certification
11
as
required
under
this
division
of
this
Act.
The
board
of
12
direct
care
professionals
shall
adopt
rules
to
provide
that
13
certification
requirements
for
an
individual
subject
to
the
14
transition
process
are
based
on
consideration
of
previous
15
training,
employment
history,
and
experience,
and
require
16
such
individuals
to
complete
the
requirements
for
direct
care
17
associate
certification
within
the
time
frame
determined
by
18
rule
of
the
board.
19
2.
An
individual
who
is
registered
on
or
before
January
20
1,
2014,
on
the
Iowa
direct
care
worker
registry
established
21
by
the
department
of
inspections
and
appeals,
is
deemed
to
22
meet
the
certification
requirements
for
a
health
support
23
professional
under
this
division
of
this
Act.
24
3.
Notwithstanding
sections
147.14
and
147.16,
for
the
25
initial
board
of
direct
care
professionals,
the
governor
may
26
appoint,
subject
to
confirmation
by
the
senate,
in
lieu
of
the
27
six
members
required
to
be
direct
care
professionals
and
the
28
two
members
required
to
be
direct
care
instructors,
members
29
with
experience
and
expertise
that
is
substantially
equivalent
30
to
the
professional
requirements
for
a
direct
care
professional
31
or
direct
care
instructor,
as
applicable.
32
Sec.
97.
IMPLEMENTATION.
The
provisions
of
this
division
of
33
this
Act
shall
be
implemented
as
follows:
34
1.
The
sections
of
this
division
of
this
Act
relating
to
35
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the
board
of
direct
care
professionals
including
sections
1
152F.1
and
152F.5,
as
enacted
in
this
division
of
this
Act;
2
sections
10A.402,
135.11A,
135.31,
147.13,
147.14,
147.80,
3
147.88,
and
272C.1,
as
amended
in
this
division
of
this
Act,
4
and
as
specified
in
the
transition
provisions;
and
the
section
5
of
this
division
of
this
Act
providing
transition
provisions
6
relating
to
the
board
shall
be
implemented
so
that
a
board
of
7
direct
care
professionals
is
appointed
no
later
than
December
8
15,
2012.
9
2.
The
sections
of
this
division
of
this
Act
relating
to
10
requirements
for
certification
of
direct
care
professionals
11
including
sections
152F.2,
152F.3,
152F.4,
and
152F.6,
as
12
enacted
in
this
division
of
this
Act;
and
sections
147.1,
13
147.2,
and
147.74,
as
amended
in
this
division
of
this
Act,
14
shall
be
implemented
so
that
the
requirements
are
applicable
15
beginning
no
later
than
January
1,
2014.
16
Sec.
98.
FUNDING
PROVISIONS.
17
1.
The
department
of
public
health
shall
limit
the
indirect
18
service
charge
for
the
board
of
direct
care
professionals
to
19
not
more
than
fifteen
percent.
20
2.
It
is
the
intent
of
the
general
assembly
that
the
board
21
of
direct
care
professionals
be
self-sustaining
by
January
1,
22
2017.
23
Sec.
99.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
24
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
25
enactment.
26
EXPLANATION
27
This
bill
relates
to
appropriations
for
health
and
human
28
services
for
fiscal
year
2012-2013
to
the
department
of
29
veterans
affairs,
the
Iowa
veterans
home,
the
department
on
30
aging,
the
department
of
public
health,
Iowa
finance
authority,
31
state
board
of
regents,
department
of
inspections
and
appeals,
32
and
the
department
of
human
services.
The
appropriations
were
33
previously
enacted
in
2011
Iowa
Acts,
chapter
129
(H.F.
649).
34
The
bill
is
organized
into
divisions.
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DEPARTMENT
ON
AGING.
This
division
amends
appropriations
1
made
from
the
general
fund
of
the
state
for
the
department
on
2
aging.
3
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
amends
4
appropriations
made
from
the
general
fund
of
the
state
for
the
5
department
of
public
health.
6
DEPARTMENT
OF
VETERANS
AFFAIRS.
This
division
amends
7
appropriations
made
from
the
general
fund
of
the
state
for
the
8
department
of
veterans
affairs.
9
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
amends
10
appropriations
made
from
the
general
fund
of
the
state
and
the
11
federal
temporary
assistance
for
needy
families
block
grant
to
12
the
department
of
human
services
(DHS).
The
allocation
for
the
13
family
development
and
self-sufficiency
grant
program
is
made
14
directly
to
the
department
of
human
rights.
15
Appropriations
are
made
from
the
health
care
trust
fund
for
16
the
medical
assistance
(Medicaid)
program
in
addition
to
the
17
general
fund
appropriations
made
for
this
purpose.
18
The
reimbursement
section
addresses
reimbursement
for
19
providers
reimbursed
by
the
department
of
human
services.
20
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
amends
21
appropriations
made
for
fiscal
year
2012-2013.
22
The
appropriation
from
the
pharmaceutical
settlement
account
23
to
the
department
of
human
services
supplements
the
Medicaid
24
program
medical
contracts
appropriation.
25
The
appropriations
from
the
IowaCare
account
are
made
to
26
the
state
board
of
regents
for
distribution
to
the
university
27
of
Iowa
hospitals
and
clinics
and
to
the
department
of
human
28
services
for
distribution
to
a
publicly
owned
acute
care
29
teaching
hospital
in
a
county
with
a
population
over
350,000
30
related
to
the
IowaCare
program
and
indigent
care.
31
The
appropriation
from
the
nonparticipating
provider
32
reimbursement
fund
is
made
to
the
department
of
human
services
33
to
reimburse
nonparticipating
providers
under
the
IowaCare
34
program.
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The
appropriations
to
the
department
of
human
services
from
1
the
account
for
health
care
transformation
are
directed
to
2
various
health
care
reform
initiatives.
3
The
appropriation
from
the
Medicaid
fraud
fund
is
made
to
4
the
department
of
inspections
and
appeals
for
costs
relating
to
5
assisted
living
programs
and
adult
day
care
services.
6
The
appropriations
made
to
supplement
the
Medicaid
program
7
are
from
the
following
funds
and
account:
quality
assurance
8
trust
fund,
hospital
health
care
access
trust
fund,
and
9
Medicaid
fraud
fund.
10
The
division
provides
that
if
the
total
amounts
appropriated
11
from
all
sources
for
the
medical
assistance
program
for
fiscal
12
year
2012-2013
exceed
the
amount
needed,
the
excess
remains
13
available
to
be
used
for
the
program
in
the
succeeding
fiscal
14
year.
15
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN.
This
16
division
addresses
appropriations
associated
with
redesign
of
17
mental
health
and
disability
services
redesign.
18
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES.
This
division
19
revises
appropriations
and
related
provisions
involving
20
previous
fiscal
years.
The
division
takes
effect
upon
21
enactment.
22
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
——
CHILD
ENROLLMENT
23
CONTINGENCY
FUND.
This
division
makes
appropriations
provided
24
through
the
federal
child
enrollment
contingency
fund
to
the
25
department
of
human
services
for
fiscal
years
2011-2012
and
26
2012-2013.
The
section
making
appropriations
for
fiscal
year
27
2011-2012
takes
effect
upon
enactment
and
is
retroactively
28
applicable
to
July
1,
2011.
29
MISCELLANEOUS.
This
division
provides
miscellaneous
30
statutory
amendments.
31
New
Code
section
16.185A
creates
a
competitive
grant
program
32
and
fund
to
further
the
availability
of
residential
services
33
for
individuals
who
meet
the
psychiatric
medical
institution
34
for
children
level
of
care.
35
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Code
section
97B.39,
relating
to
Iowa
public
employees’
1
retirement
system
(IPERS)
payments,
is
amended
to
include
2
recovery
of
Medicaid
program
payments
related
to
estate
3
recovery
in
the
list
of
exceptions
that
allow
IPERS
payments
4
to
be
subject
to
execution,
levy,
attachment,
garnishment,
5
or
other
legal
process,
or
to
the
operation
of
bankruptcy
or
6
insolvency
law.
7
Code
section
135.11,
relating
to
the
duties
of
the
director
8
of
public
health,
is
amended
to
add
new
subsection
31,
9
requiring
the
director
to
administer
a
public
awareness
program
10
for
human
papillomavirus
infection
vaccination.
11
Code
section
135H.10,
relating
to
administrative
rules
12
addressing
psychiatric
medical
institutions
for
children
13
(PMICs)
is
amended
to
strike
a
prohibition
against
the
14
department
of
human
services
including
services
provided
by
15
PMICs
in
any
managed
care
contract.
16
Code
section
144D.4,
as
enacted
by
2012
Iowa
Acts,
House
File
17
2165,
section
5,
is
amended
to
allow
physician
orders
for
scope
18
of
treatment
executed
under
a
pilot
project
to
remain
effective
19
until
revoked
or
until
a
new
form
is
executed.
20
Code
section
225B.8,
relating
to
the
prevention
of
21
disabilities
council,
is
amended
to
extend
the
repeal
of
the
22
council
from
July
1,
2012,
until
July
1,
2017.
23
Code
section
231.45
is
enacted
to
direct
the
department
24
on
aging
to
establish
a
certified
volunteer
long-term
care
25
resident’s
advocate
program.
26
Code
sections
453A.35
and
453A.35A
are
amended
to
provide
27
that
all
of
the
proceeds
derived
from
the
sale
of
stamps
and
28
the
payment
of
taxes,
fees,
and
penalties
under
Code
chapter
29
453A
(cigarette
and
tobacco
taxes)
and
from
permits
issued
by
30
the
department
of
revenue
are
to
be
credited
to
the
health
care
31
trust
fund
rather
than
the
general
fund
of
the
state.
32
DIRECT
CARE
PROFESSIONALS.
This
division
establishes
a
33
board
of
direct
care
professionals
within
the
department
of
34
public
health
and
provides
for
certification
of
direct
care
35
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professionals
in
the
state.
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