House
File
2463
-
Introduced
HOUSE
FILE
2463
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
HSB
685)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
veterans
and
including
other
related
provisions
and
2
appropriations,
and
including
effective
date
and
retroactive
3
and
other
applicability
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
TLSB
5006HV
(2)
85
pf/jp
H.F.
2463
DIVISION
I
1
DEPARTMENT
ON
AGING
2
Section
1.
2013
Iowa
Acts,
chapter
138,
section
131,
is
3
amended
to
read
as
follows:
4
SEC.
131.
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,
2014,
and
ending
June
30,
7
2015,
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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.
$
5,300,190
21
10,606,066
22
.
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FTEs
28.00
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.
Of
the
funds
appropriated
in
this
section,
$139,973
33
$279,946
is
transferred
to
the
economic
development
authority
34
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
35
-1-
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5006HV
(2)
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95
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2463
the
retired
and
senior
volunteer
program.
1
3.
a.
The
department
on
aging
shall
establish
and
enforce
2
procedures
relating
to
expenditure
of
state
and
federal
funds
3
by
area
agencies
on
aging
that
require
compliance
with
both
4
state
and
federal
laws,
rules,
and
regulations,
including
but
5
not
limited
to
all
of
the
following:
6
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
7
or
services
received
or
performed
prior
to
the
end
of
the
8
fiscal
period
designated
for
use
of
the
funds.
9
(2)
Prohibiting
prepayment
for
goods
or
services
not
10
received
or
performed
prior
to
the
end
of
the
fiscal
period
11
designated
for
use
of
the
funds.
12
(3)
Prohibiting
the
prepayment
for
goods
or
services
13
not
defined
specifically
by
good
or
service,
time
period,
or
14
recipient.
15
(4)
Prohibiting
the
establishment
of
accounts
from
which
16
future
goods
or
services
which
are
not
defined
specifically
by
17
good
or
service,
time
period,
or
recipient,
may
be
purchased.
18
b.
The
procedures
shall
provide
that
if
any
funds
are
19
expended
in
a
manner
that
is
not
in
compliance
with
the
20
procedures
and
applicable
federal
and
state
laws,
rules,
and
21
regulations,
and
are
subsequently
subject
to
repayment,
the
22
area
agency
on
aging
expending
such
funds
in
contravention
of
23
such
procedures,
laws,
rules
and
regulations,
not
the
state,
24
shall
be
liable
for
such
repayment.
25
4.
Of
the
funds
appropriated
in
this
section,
$125,000
26
$250,000
shall
be
used
to
fund
services
to
meet
the
unmet
needs
27
of
older
individuals
as
identified
in
the
annual
compilation
of
28
unmet
service
units
by
the
area
agencies
on
aging.
29
5.
Of
the
funds
appropriated
in
this
section,
$300,000
30
$600,000
shall
be
used
to
fund
home
and
community-based
31
services
through
the
area
agencies
on
aging
that
enable
older
32
individuals
to
avoid
more
costly
utilization
of
residential
or
33
institutional
services
and
remain
in
their
own
homes.
34
6.
Of
the
funds
appropriated
in
this
subsection,
$10,000
35
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2463
$20,000
shall
be
used
for
implementation
continuation
of
a
1
guardianship
and
conservatorship
monitoring
and
assistance
2
pilot
project
as
specified
in
this
2013
Act.
3
DIVISION
II
4
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
5
Sec.
2.
2013
Iowa
Acts,
chapter
138,
section
132,
is
amended
6
to
read
as
follows:
7
SEC.
132.
OFFICE
OF
LONG-TERM
CARE
RESIDENT’S
ADVOCATE
8
OMBUDSMAN
.
There
is
appropriated
from
the
general
fund
of
9
the
state
to
the
office
of
long-term
care
resident’s
advocate
10
ombudsman
for
the
fiscal
year
beginning
July
1,
2014,
and
11
ending
June
30,
2015,
the
following
amount,
or
so
much
thereof
12
as
is
necessary,
to
be
used
for
the
purposes
designated:
13
For
salaries,
support,
administration,
maintenance,
and
14
miscellaneous
purposes,
and
for
not
more
than
the
following
15
full-time
equivalent
positions:
16
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
$
510,854
17
821,707
18
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.
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.
.
FTEs
13.00
19
11.00
20
2.
Of
the
funds
appropriated
in
this
section,
$105,000
21
$210,000
shall
be
used
to
provide
two
local
long-term
care
22
resident’s
advocates
ombudsman
to
administer
the
certified
23
volunteer
long-term
care
resident’s
advocates
ombudsman
program
24
pursuant
to
section
231.45
,
including
operational
certification
25
and
training
costs.
26
DIVISION
III
27
DEPARTMENT
OF
PUBLIC
HEALTH
28
Sec.
3.
2013
Iowa
Acts,
chapter
138,
section
133,
is
amended
29
to
read
as
follows:
30
SEC.
133.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
31
appropriated
from
the
general
fund
of
the
state
to
the
32
department
of
public
health
for
the
fiscal
year
beginning
July
33
1,
2014,
and
ending
June
30,
2015,
the
following
amounts,
or
34
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
35
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2463
designated:
1
1.
ADDICTIVE
DISORDERS
2
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
3
other
drugs,
and
treating
individuals
affected
by
addictive
4
behaviors,
including
gambling,
and
for
not
more
than
the
5
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
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.
.
.
.
.
.
.
$
13,581,845
7
27,088,690
8
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.
.
.
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.
.
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.
.
FTEs
13.00
9
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
10
$2,574,181
$5,073,361
shall
be
used
for
the
tobacco
use
11
prevention
and
control
initiative,
including
efforts
at
the
12
state
and
local
levels,
as
provided
in
chapter
142A
.
The
13
commission
on
tobacco
use
prevention
and
control
established
14
pursuant
to
section
142A.3
shall
advise
the
director
of
15
public
health
in
prioritizing
funding
needs
and
the
allocation
16
of
moneys
appropriated
for
the
programs
and
activities
of
17
the
initiative
under
this
subparagraph
(1)
and
shall
make
18
recommendations
to
the
director
in
the
development
of
budget
19
requests
relating
to
the
initiative.
20
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$37,500
21
shall
be
used
to
develop
a
social
media
structure
to
engage
22
youth
and
prevent
youth
initiation
of
tobacco
use.
Of
the
23
amount
allocated
in
this
subparagraph
(2),
$12,500
$25,000
24
shall
be
used
for
a
youth
summit.
25
(3)
Of
the
funds
allocated
in
this
paragraph
“a”,
$100,000
26
$200,000
shall
be
used
to
increase
the
efficacy
of
local
27
tobacco
control
efforts
by
community
partnerships,
including
28
through
professional
development,
regional
trainings
and
round
29
table
planning
efforts,
and
a
training
opportunity
involving
30
all
community
partnerships.
31
(4)
Of
the
funds
allocated
in
this
paragraph
“a”,
$600,000
32
$1,950,000
shall
be
used
to
promote
smoking
cessation
and
to
33
reduce
the
number
of
tobacco
users
in
the
state
by
offering
34
nicotine
replacement
therapy
to
uninsured
and
underinsured
35
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2463
Iowans.
1
(5)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
2
$226,534
$453,067
is
transferred
to
the
alcoholic
beverages
3
division
of
the
department
of
commerce
for
enforcement
of
4
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
5
tobacco
control
activities
approved
by
the
division
of
tobacco
6
use
prevention
and
control
as
specified
in
the
memorandum
of
7
understanding
entered
into
between
the
divisions.
8
(b)
For
the
fiscal
year
beginning
July
1,
2014,
and
ending
9
June
30,
2015,
the
terms
of
the
memorandum
of
understanding,
10
entered
into
between
the
division
of
tobacco
use
prevention
11
and
control
of
the
department
of
public
health
and
the
12
alcoholic
beverages
division
of
the
department
of
commerce,
13
governing
compliance
checks
conducted
to
ensure
licensed
retail
14
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
15
ordinances
relating
to
persons
under
eighteen
years
of
age,
16
shall
continue
to
restrict
the
number
of
such
checks
to
one
17
check
per
retail
outlet,
and
one
additional
check
for
any
18
retail
outlet
found
to
be
in
violation
during
the
first
check.
19
b.
Of
the
funds
appropriated
in
this
subsection,
20
$11,007,665
$22,015,329
shall
be
used
for
problem
gambling
and
21
substance-related
disorder
prevention,
treatment,
and
recovery
22
services,
including
a
24-hour
helpline,
public
information
23
resources,
professional
training,
and
program
evaluation.
24
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$9,451,858
25
$18,903,715
shall
be
used
for
substance-related
disorder
26
prevention
and
treatment.
27
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
28
$449,650
$899,300
shall
be
used
for
the
public
purpose
of
a
29
grant
program
to
provide
substance-related
disorder
prevention
30
programming
for
children.
31
(i)
Of
the
funds
allocated
in
this
subparagraph
division
32
(a),
$213,770
$427,539
shall
be
used
for
grant
funding
for
33
organizations
that
provide
programming
for
children
by
34
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
35
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certified
or
will
be
certified
within
six
months
of
receiving
1
the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
2
utilizing
the
standards
for
effective
practice
for
mentoring
3
programs.
4
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
5
(a),
$213,420
$426,839
shall
be
used
for
grant
funding
for
6
organizations
that
provide
programming
that
includes
youth
7
development
and
leadership.
The
programs
shall
also
be
8
recognized
as
being
programs
that
are
scientifically
based
with
9
evidence
of
their
effectiveness
in
reducing
substance-related
10
disorders
in
children.
11
(iii)
The
department
of
public
health
shall
utilize
a
12
request
for
proposals
process
to
implement
the
grant
program.
13
(iv)
All
grant
recipients
shall
participate
in
a
program
14
evaluation
as
a
requirement
for
receiving
grant
funds.
15
(v)
Of
the
funds
allocated
in
this
subparagraph
division
16
(a),
up
to
$22,461
$44,922
may
be
used
to
administer
17
substance-related
disorder
prevention
grants
and
for
program
18
evaluations.
19
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
20
$136,302
$272,603
shall
be
used
for
culturally
competent
21
substance-related
disorder
treatment
pilot
projects.
22
(i)
The
department
shall
utilize
the
amount
allocated
23
in
this
subparagraph
division
(b)
for
at
least
three
pilot
24
projects
to
provide
culturally
competent
substance-related
25
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
26
project
shall
target
a
particular
ethnic
minority
population.
27
The
populations
targeted
shall
include
but
are
not
limited
to
28
African
American,
Asian,
and
Latino.
29
(ii)
The
pilot
project
requirements
shall
provide
for
30
documentation
or
other
means
to
ensure
access
to
the
cultural
31
competence
approach
used
by
a
pilot
project
so
that
such
32
approach
can
be
replicated
and
improved
upon
in
successor
33
programs.
34
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
35
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to
$1,555,807
$3,111,614
may
be
used
for
problem
gambling
1
prevention,
treatment,
and
recovery
services.
2
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
3
$1,286,881
$2,573,762
shall
be
used
for
problem
gambling
4
prevention
and
treatment.
5
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
6
$218,926
$437,852
may
be
used
for
a
24-hour
helpline,
public
7
information
resources,
professional
training,
and
program
8
evaluation.
9
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
10
to
$50,000
$100,000
may
be
used
for
the
licensing
of
problem
11
gambling
treatment
programs.
12
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
13
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
14
diagnosis
of
substance-related
disorder
and
gambling
addiction
15
shall
be
given
priority
in
treatment
services.
16
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
17
to
standardize
the
availability,
delivery,
cost
of
delivery,
18
and
accountability
of
problem
gambling
and
substance-related
19
disorder
treatment
services
statewide,
the
department
shall
20
continue
implementation
of
a
process
to
create
a
system
21
for
delivery
of
treatment
services
in
accordance
with
the
22
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
23
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
24
of
treatment
services
that
best
meets
the
needs
of
Iowans,
25
the
problem
gambling
and
substance-related
disorder
treatment
26
services
in
any
area
may
be
provided
either
by
a
single
agency
27
or
by
separate
agencies
submitting
a
joint
proposal.
28
(1)
The
system
for
delivery
of
substance-related
disorder
29
and
problem
gambling
treatment
shall
include
problem
gambling
30
prevention.
31
(2)
The
system
for
delivery
of
substance-related
disorder
32
and
problem
gambling
treatment
shall
include
substance-related
33
disorder
prevention
by
July
1,
2015.
34
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
35
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may
use
up
to
$50,000
$100,000
for
administrative
costs
to
1
continue
developing
and
implementing
the
process
in
accordance
2
with
this
paragraph
“c”.
3
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
4
by
the
appropriations
and
allocations
made
in
this
2014
Act
for
5
purposes
of
substance-related
disorder
treatment
and
addictive
6
disorders
for
the
fiscal
year
beginning
July
1,
2014.
7
e.
The
department
of
public
health
shall
work
with
all
8
other
departments
that
fund
substance-related
disorder
9
prevention
and
treatment
services
and
all
such
departments
10
shall,
to
the
extent
necessary,
collectively
meet
the
state
11
maintenance
of
effort
requirements
for
expenditures
for
12
substance-related
disorder
services
as
required
under
the
13
federal
substance-related
disorder
prevention
and
treatment
14
block
grant.
15
2.
HEALTHY
CHILDREN
AND
FAMILIES
16
For
promoting
the
optimum
health
status
for
children,
17
adolescents
from
birth
through
21
years
of
age,
and
families,
18
and
for
not
more
than
the
following
full-time
equivalent
19
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,826,780
21
3,671,602
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
23
a.
Of
the
funds
appropriated
in
this
subsection,
not
24
more
than
$367,421
$734,841
shall
be
used
for
the
healthy
25
opportunities
for
parents
to
experience
success
(HOPES)-healthy
26
families
Iowa
(HFI)
program
established
pursuant
to
section
27
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
28
that
were
provided
to
the
grantees
that
operated
the
program
29
during
the
fiscal
year
ending
June
30,
2014.
30
b.
In
order
to
implement
the
legislative
intent
stated
in
31
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
32
program
funding
be
given
to
programs
using
evidence-based
or
33
promising
models
for
home
visitation,
it
is
the
intent
of
the
34
general
assembly
to
phase
in
the
funding
priority
in
accordance
35
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with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
1
paragraph
0b.
2
c.
Of
the
funds
appropriated
in
this
subsection,
$663,944
3
$1,327,887
shall
be
used
to
continue
the
department’s
4
initiative
to
provide
for
adequate
developmental
surveillance
5
and
screening
during
a
child’s
first
five
years
statewide.
The
6
funds
shall
be
used
first
to
fully
fund
the
current
sites
to
7
ensure
that
the
sites
are
fully
operational,
with
the
remaining
8
funds
to
be
used
for
expansion
to
additional
sites.
The
full
9
implementation
and
expansion
shall
include
enhancing
the
scope
10
of
the
program
through
collaboration
with
the
child
health
11
specialty
clinics
to
promote
healthy
child
development
through
12
early
identification
and
response
to
both
biomedical
and
social
13
determinants
of
healthy
development;
by
developing
child
14
health
metrics
to
inform
practice,
document
long-term
health
15
impacts
and
savings,
and
provide
for
continuous
improvement
16
through
training,
education,
and
evaluation;
and
by
providing
17
for
practitioner
consultation
particularly
for
children
with
18
behavioral
conditions
and
needs.
The
department
of
public
19
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
20
and
the
child
health
specialty
clinics
to
integrate
the
21
activities
of
the
first
five
initiative
into
the
establishment
22
of
patient-centered
medical
homes,
community
utilities,
23
accountable
care
organizations,
and
other
integrated
care
24
models
developed
to
improve
health
quality
and
population
25
health
while
reducing
health
care
costs.
To
the
maximum
extent
26
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
27
as
matching
funds
for
medical
assistance
program
reimbursement.
28
d.
Of
the
funds
appropriated
in
this
subsection,
$15,799
29
$74,640
shall
be
distributed
to
a
statewide
dental
carrier
to
30
provide
funds
to
continue
the
donated
dental
services
program
31
patterned
after
the
projects
developed
by
the
lifeline
network
32
to
provide
dental
services
to
indigent
elderly
and
disabled
33
individuals.
34
e.
Of
the
funds
appropriated
in
this
subsection,
$55,998
35
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$111,995
shall
be
used
for
childhood
obesity
prevention.
1
f.
Of
the
funds
appropriated
in
this
subsection,
$81,384
2
$137,768
shall
be
used
to
provide
audiological
services
and
3
hearing
aids
for
children.
The
department
may
enter
into
a
4
contract
to
administer
this
paragraph.
5
g.
Of
the
funds
appropriated
in
this
subsection,
$12,500
6
$25,000
is
transferred
to
the
university
of
Iowa
college
of
7
dentistry
for
provision
of
primary
dental
services
to
children.
8
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
9
The
university
of
Iowa
college
of
dentistry
shall
coordinate
10
efforts
with
the
department
of
public
health,
bureau
of
11
oral
and
health
delivery
systems,
to
provide
dental
care
to
12
underserved
populations
throughout
the
state.
13
h.
Of
the
funds
appropriated
in
this
subsection,
$25,000
14
$50,000
shall
be
used
to
address
youth
suicide
prevention.
15
i.
The
university
of
Iowa
college
of
dentistry
shall
16
develop
and
submit
a
proposal
by
December
15,
2014,
to
the
17
individuals
identified
in
this
Act
for
submission
of
reports
18
and
to
the
chairpersons
and
ranking
members
of
the
joint
19
appropriations
subcommittee
on
education
to
offer
a
residency
20
program
in
geriatric
dentistry
that
prepares
dentists
with
21
the
specific
skills
needed
to
treat
geriatric
patients
and
22
provides
incentives
for
the
participants
to
remain
in
the
23
state
to
practice
dentistry
upon
completion
of
the
program.
24
The
proposal
shall
include
at
a
minimum,
the
curriculum
to
25
be
utilized,
the
number
of
residency
positions
to
be
made
26
available,
the
incentives
for
participants
to
practice
27
dentistry
in
the
state
upon
completion
of
the
residency,
the
28
projected
cost
of
the
program,
and
any
potential
funding
29
sources.
30
3.
CHRONIC
CONDITIONS
31
For
serving
individuals
identified
as
having
chronic
32
conditions
or
special
health
care
needs,
and
for
not
more
than
33
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,540,346
35
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2463
5,040,692
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
6.00
2
a.
Of
the
funds
appropriated
in
this
subsection,
$79,966
3
$159,932
shall
be
used
for
grants
to
individual
patients
4
who
have
phenylketonuria
(PKU)
to
assist
with
the
costs
of
5
necessary
special
foods.
6
b.
Of
the
funds
appropriated
in
this
subsection,
$445,822
7
$891,644
shall
be
used
for
the
brain
injury
services
program
8
pursuant
to
section
135.22B
,
including
for
continuation
of
the
9
contracts
for
resource
facilitator
services
in
accordance
with
10
section
135.22B,
subsection
9
,
and
to
enhance
brain
injury
11
training
and
recruitment
of
service
providers
on
a
statewide
12
basis.
Of
the
amount
allocated
in
this
paragraph,
$47,500
13
$95,000
shall
be
used
to
fund
one
full-time
equivalent
position
14
to
serve
as
the
state
brain
injury
service
services
program
15
manager.
16
c.
Of
the
funds
appropriated
in
this
subsection,
$273,991
17
$547,982
shall
be
used
as
additional
funding
to
leverage
18
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
19
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
20
grants.
21
d.
Of
the
funds
appropriated
in
this
subsection,
$49,912
22
$99,823
shall
be
used
for
the
public
purpose
of
continuing
to
23
contract
with
an
existing
national-affiliated
organization
24
to
provide
education,
client-centered
programs,
and
client
25
and
family
support
for
people
living
with
epilepsy
and
their
26
families.
27
e.
Of
the
funds
appropriated
in
this
subsection,
$392,557
28
$785,114
shall
be
used
for
child
health
specialty
clinics.
29
f.
Of
the
funds
appropriated
in
this
subsection,
30
$200,000
$400,000
shall
be
used
by
the
regional
autism
31
assistance
program
established
pursuant
to
section
256.35
,
32
and
administered
by
the
child
health
specialty
clinic
located
33
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
34
shall
be
used
to
enhance
interagency
collaboration
and
35
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coordination
of
educational,
medical,
and
other
human
services
1
for
persons
with
autism,
their
families,
and
providers
of
2
services,
including
delivering
regionalized
services
of
care
3
coordination,
family
navigation,
and
integration
of
services
4
through
the
statewide
system
of
regional
child
health
specialty
5
clinics
and
fulfilling
other
requirements
as
specified
in
6
chapter
225D
,
creating
the
autism
support
program,
as
enacted
7
in
this
Act
.
The
university
of
Iowa
shall
not
receive
funds
8
allocated
under
this
paragraph
for
indirect
costs
associated
9
with
the
regional
autism
assistance
program.
10
g.
Of
the
funds
appropriated
in
this
subsection,
$285,497
11
$570,993
shall
be
used
for
the
comprehensive
cancer
control
12
program
to
reduce
the
burden
of
cancer
in
Iowa
through
13
prevention,
early
detection,
effective
treatment,
and
ensuring
14
quality
of
life.
Of
the
funds
allocated
in
this
lettered
15
paragraph,
$75,000
$150,000
shall
be
used
to
support
a
melanoma
16
research
symposium,
a
melanoma
biorepository
and
registry,
17
basic
and
translational
melanoma
research,
and
clinical
trials.
18
h.
Of
the
funds
appropriated
in
this
subsection,
$63,225
19
$126,450
shall
be
used
for
cervical
and
colon
cancer
screening,
20
and
$250,000
$500,000
shall
be
used
to
enhance
the
capacity
21
of
the
cervical
cancer
screening
program
to
include
provision
22
of
recommended
prevention
and
early
detection
measures
to
a
23
broader
range
of
low-income
women.
24
i.
Of
the
funds
appropriated
in
this
subsection,
$263,348
25
$526,695
shall
be
used
for
the
center
for
congenital
and
26
inherited
disorders.
27
j.
Of
the
funds
appropriated
in
this
subsection,
$64,706
28
$129,411
shall
be
used
for
the
prescription
drug
donation
29
repository
program
created
in
chapter
135M
.
30
k.
Of
the
funds
appropriated
in
this
subsection,
$107,632
31
$175,263
shall
be
used
for
the
costs
of
the
medical
home
system
32
advisory
council
established
pursuant
to
section
135.159
33
including
incorporation
of
the
development
and
implementation
34
of
the
prevention
and
chronic
care
management
state
initiative.
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4.
COMMUNITY
CAPACITY
1
For
strengthening
the
health
care
delivery
system
at
the
2
local
level,
and
for
not
more
than
the
following
full-time
3
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,281,309
5
9,284,436
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
18.25
7
a.
Of
the
funds
appropriated
in
this
subsection,
$49,707
8
$99,414
is
allocated
for
continuation
of
the
child
vision
9
screening
program
implemented
through
the
university
of
Iowa
10
hospitals
and
clinics
in
collaboration
with
early
childhood
11
Iowa
areas.
The
program
shall
submit
a
report
to
the
12
individuals
identified
in
this
Act
for
submission
of
reports
13
regarding
the
use
of
funds
allocated
under
this
paragraph
14
“a”.
The
report
shall
include
the
objectives
and
results
for
15
the
program
year
including
the
target
population
and
how
the
16
funds
allocated
assisted
the
program
in
meeting
the
objectives;
17
the
number,
age,
and
location
within
the
state
of
individuals
18
served;
the
type
of
services
provided
to
the
individuals
19
served;
the
distribution
of
funds
based
on
service
provided;
20
and
the
continuing
needs
of
the
program.
21
b.
Of
the
funds
appropriated
in
this
subsection,
$55,328
22
$110,656
is
allocated
for
continuation
of
an
initiative
23
implemented
at
the
university
of
Iowa
and
$49,952
$99,904
24
is
allocated
for
continuation
of
an
initiative
at
the
state
25
mental
health
institute
at
Cherokee
to
expand
and
improve
the
26
workforce
engaged
in
mental
health
treatment
and
services.
27
The
initiatives
shall
receive
input
from
the
university
of
28
Iowa,
the
department
of
human
services,
the
department
of
29
public
health,
and
the
mental
health
and
disability
services
30
commission
to
address
the
focus
of
the
initiatives.
31
c.
Of
the
funds
appropriated
in
this
subsection,
$582,314
32
$1,164,628
shall
be
used
for
essential
public
health
services
33
that
promote
healthy
aging
throughout
the
lifespan,
contracted
34
through
a
formula
for
local
boards
of
health,
to
enhance
health
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promotion
and
disease
prevention
services.
1
d.
Of
the
funds
appropriated
in
this
section,
$49,643
2
$99,286
shall
be
deposited
in
the
governmental
public
health
3
system
fund
created
in
section
135A.8
to
be
used
for
the
4
purposes
of
the
fund.
5
e.
Of
the
funds
appropriated
in
this
subsection,
$52,724
6
$105,448
shall
be
used
to
continue
to
address
the
shortage
of
7
mental
health
professionals
in
the
state.
8
f.
Of
the
funds
appropriated
in
this
subsection,
$25,000
9
$50,000
shall
be
used
for
a
grant
to
a
statewide
association
10
of
psychologists
that
is
affiliated
with
the
American
11
psychological
association
to
be
used
for
continuation
of
a
12
program
to
rotate
intern
psychologists
in
placements
in
urban
13
and
rural
mental
health
professional
shortage
areas,
as
defined
14
in
section
135.180
.
15
g.
Of
the
funds
appropriated
in
this
subsection,
the
16
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
17
safety
net
provider
network
established
pursuant
to
section
18
135.153
to
be
used
for
the
purposes
designated.
The
following
19
amounts
allocated
under
this
lettered
paragraph
shall
be
20
distributed
to
the
specified
provider
and
shall
not
be
reduced
21
for
administrative
or
other
costs
prior
to
distribution:
22
(1)
For
distribution
to
the
Iowa
primary
care
association
23
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
24
provider
network:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
72,893
26
145,785
27
(2)
For
distribution
to
the
Iowa
primary
care
association
28
to
be
used
to
continue
a
training
program
for
sexual
assault
29
response
team
(SART)
members,
including
representatives
of
30
law
enforcement,
victim
advocates,
prosecutors,
and
certified
31
medical
personnel:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
33
50,000
34
(3)
For
distribution
to
federally
qualified
health
centers
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for
necessary
infrastructure,
statewide
coordination,
provider
1
recruitment,
service
delivery,
and
provision
of
assistance
to
2
patients
in
securing
a
medical
home
inclusive
of
oral
health
3
care:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
37,500
5
75,000
6
(4)
For
distribution
to
the
local
boards
of
health
that
7
provide
direct
services
for
pilot
programs
in
three
counties
to
8
assist
patients
in
securing
a
medical
home
inclusive
of
oral
9
health
care:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,577
11
77,153
12
(5)
For
distribution
to
maternal
and
child
health
centers
13
for
pilot
programs
in
three
service
areas
to
assist
patients
in
14
securing
a
medical
home
inclusive
of
oral
health
care:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,563
16
95,126
17
(6)
For
distribution
to
free
clinics
for
necessary
18
infrastructure,
statewide
coordination,
provider
recruitment,
19
service
delivery,
and
provision
of
assistance
to
patients
in
20
securing
a
medical
home
inclusive
of
oral
health
care:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
174,161
22
348,322
23
(7)
For
distribution
to
rural
health
clinics
for
necessary
24
infrastructure,
statewide
coordination,
provider
recruitment,
25
service
delivery,
and
provision
of
assistance
to
patients
in
26
securing
a
medical
home
inclusive
of
oral
health
care:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
70,772
28
141,544
29
(8)
For
continuation
of
the
safety
net
provider
patient
30
access
to
a
specialty
health
care
initiative
as
described
in
31
2007
Iowa
Acts,
chapter
218,
section
109
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
189,237
33
(9)
For
continuation
of
the
pharmaceutical
infrastructure
34
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
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chapter
218,
section
108:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
206,708
2
413,415
3
The
Iowa
collaborative
safety
net
provider
network
may
4
continue
to
distribute
funds
allocated
pursuant
to
this
5
lettered
paragraph
through
existing
contracts
or
renewal
of
6
existing
contracts.
7
The
Iowa
collaborative
safety
net
provider
network
may
8
continue
to
distribute
funds
allocated
pursuant
to
this
9
lettered
paragraph
through
existing
contracts
or
renewal
of
10
existing
contracts.
11
h.
Of
the
funds
appropriated
in
this
subsection,
$87,950
12
$175,900
shall
be
used
for
continuation
of
the
work
of
the
13
direct
care
worker
advisory
council
established
pursuant
to
14
2008
Iowa
Acts,
chapter
1188,
section
69,
in
implementing
the
15
recommendations
in
the
final
report
submitted
by
the
advisory
16
council
to
the
governor
and
the
general
assembly
in
March
2012.
17
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
18
$89,438
$178,875
shall
be
used
for
allocation
to
an
independent
19
statewide
direct
care
worker
organization
under
continuation
20
of
the
contract
in
effect
during
the
fiscal
year
ending
June
21
30,
2013
2014
,
with
terms
determined
by
the
director
of
public
22
health
relating
to
education,
outreach,
leadership
development,
23
mentoring,
and
other
initiatives
intended
to
enhance
the
24
recruitment
and
retention
of
direct
care
workers
in
health
care
25
and
long-term
care
settings.
26
(2)
Of
the
funds
appropriated
in
this
subsection,
$37,500
27
$75,000
shall
be
used
to
provide
scholarships
or
other
forms
of
28
subsidization
for
direct
care
worker
educational
conferences,
29
training,
or
outreach
activities.
30
j.
Of
the
funds
appropriated
in
this
subsection,
the
31
department
may
use
up
to
$29,088
$58,175
for
up
to
one
32
full-time
equivalent
position
to
administer
the
volunteer
33
health
care
provider
program
pursuant
to
section
135.24
.
34
k.
Of
the
funds
appropriated
in
this
subsection,
$24,854
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$50,000
shall
be
used
for
a
matching
dental
education
loan
1
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
2
service
corporation
to
develop
the
criteria
and
implement
the
3
loan
repayment
program.
4
l.
Of
the
funds
appropriated
in
this
subsection,
$52,912
5
$105,823
is
transferred
to
the
college
student
aid
commission
6
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
7
in
section
261.113
to
be
used
for
the
purposes
of
the
fund.
8
m.
Of
the
funds
appropriated
in
this
subsection,
$75,000
9
$150,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
10
registry
as
specified
in
section
142C.18
.
11
n.
Of
the
funds
appropriated
in
this
subsection,
$50,000
12
$100,000
shall
be
used
for
continuation
of
a
grant
to
a
13
nationally
affiliated
volunteer
eye
organization
that
has
an
14
established
program
for
children
and
adults
and
that
is
solely
15
dedicated
to
preserving
sight
and
preventing
blindness
through
16
education,
nationally
certified
vision
screening
and
training,
17
and
community
and
patient
service
programs.
The
organization
18
shall
submit
a
report
to
the
individuals
identified
in
this
19
Act
for
submission
of
reports
regarding
the
use
of
funds
20
allocated
under
this
paragraph
“n”.
The
report
shall
include
21
the
objectives
and
results
for
the
program
year
including
22
the
target
population
and
how
the
funds
allocated
assisted
23
the
program
in
meeting
the
objectives;
the
number,
age,
and
24
location
within
the
state
of
individuals
served;
the
type
of
25
services
provided
to
the
individuals
served;
the
distribution
26
of
funds
based
on
services
provided;
and
the
continuing
needs
27
of
the
program.
28
o.
Of
the
funds
appropriated
in
this
subsection,
$12,500
29
$25,000
shall
be
used
for
the
establishment
continuation
of
a
30
wellness
council
under
the
direction
of
the
director
of
public
31
health
to
increase
support
for
wellness
activities
in
the
32
state.
33
p.
Of
the
funds
appropriated
in
this
section,
$579,075
34
$1,158,150
is
allocated
to
the
Iowa
collaborative
safety
net
35
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provider
network
established
pursuant
to
section
135.153
to
1
be
used
for
the
continued
development
and
implementation
of
a
2
statewide
regionally
based
network
to
provide
an
integrated
3
approach
to
health
care
delivery
through
care
coordination
4
that
supports
primary
care
providers
and
links
patients
with
5
community
resources
necessary
to
empower
patients
in
addressing
6
biomedical
and
social
determinants
of
health
to
improve
health
7
outcomes.
The
Iowa
collaborative
safety
net
provider
network
8
shall
work
in
conjunction
with
the
department
of
human
services
9
to
align
the
integrated
network
with
the
health
care
delivery
10
system
model
developed
under
the
state
innovation
models
11
initiative
grant.
The
Iowa
collaborative
safety
net
provider
12
network
shall
submit
a
progress
report
to
the
individuals
13
designated
in
this
Act
for
submission
of
reports
by
December
14
31,
2014,
including
progress
in
developing
and
implementing
the
15
network,
how
the
funds
were
distributed
and
used
in
developing
16
and
implementing
the
network,
and
the
remaining
needs
in
17
developing
and
implementing
the
network.
18
q.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
19
$3,000,000
shall
be
deposited
in
the
medical
residency
training
20
account
created
in
section
135.175,
subsection
5,
paragraph
21
“a”
,
and
is
appropriated
from
the
account
to
the
department
22
of
public
health
to
be
used
for
the
purposes
of
the
medical
23
residency
training
state
matching
grants
program
as
specified
24
in
section
135.176
.
However,
notwithstanding
any
provision
25
to
the
contrary
in
section
135.176,
priority
in
the
awarding
26
of
grants
shall
be
given
to
the
development
of
new
medical
27
residency
positions,
psychiatric
residency
positions,
and
28
family
practice
residency
positions.
29
r.
Of
the
funds
appropriated
in
this
section,
$25,000
30
$50,000
shall
be
distributed
to
a
statewide
nonprofit
31
organization
to
be
used
for
the
public
purpose
of
supporting
32
a
partnership
between
medical
providers
and
parents
through
33
community
health
centers
to
promote
reading
and
encourage
34
literacy
skills
so
children
enter
school
prepared
for
success
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in
reading.
1
s.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
2
to
include
physical
therapists
as
primary
care
professionals
3
and
to
include
physical
therapy
as
a
primary
health
service
for
4
the
purposes
of
the
PRIMECARRE
endeavor
under
section
135.107.
5
t.
Of
the
funds
appropriated
in
this
subsection,
$100,000
6
shall
be
transferred
to
the
university
of
Iowa
hospitals
7
and
clinics
to
implement
a
collaborative
care
model
between
8
psychiatry
and
primary
care
practices
that
will
improve
mental
9
health
care
in
Iowa.
The
university
of
Iowa
hospitals
and
10
clinics
shall
submit
a
report
by
December
15,
2014,
to
the
11
individuals
identified
in
this
Act
for
submission
of
reports
on
12
the
progress
of
implementation
of
the
collaborative
model.
13
5.
HEALTHY
AGING
14
To
provide
public
health
services
that
reduce
risks
and
15
invest
in
promoting
and
protecting
good
health
over
the
16
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
17
vulnerable
populations:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
19
7,297,142
20
6.
ENVIRONMENTAL
HAZARDS
21
For
reducing
the
public’s
exposure
to
hazards
in
the
22
environment,
primarily
chemical
hazards,
and
for
not
more
than
23
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
401,935
25
803,870
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
27
Of
the
funds
appropriated
in
this
subsection,
$268,875
28
$537,750
shall
be
used
for
childhood
lead
poisoning
provisions.
29
7.
INFECTIOUS
DISEASES
30
For
reducing
the
incidence
and
prevalence
of
communicable
31
diseases,
and
for
not
more
than
the
following
full-time
32
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,578
34
1,335,155
35
-19-
LSB
5006HV
(2)
85
pf/jp
19/
95
H.F.
2463
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
1
8.
PUBLIC
PROTECTION
2
For
protecting
the
health
and
safety
of
the
public
through
3
establishing
standards
and
enforcing
regulations,
and
for
not
4
more
than
the
following
full-time
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,639,386
6
3,420,027
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
131.00
8
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
9
than
$227,350
$454,700
shall
be
credited
to
the
emergency
10
medical
services
fund
created
in
section
135.25
.
Moneys
in
11
the
emergency
medical
services
fund
are
appropriated
to
the
12
department
to
be
used
for
the
purposes
of
the
fund.
13
b.
Of
the
funds
appropriated
in
this
subsection,
$101,516
14
$203,032
shall
be
used
for
sexual
violence
prevention
15
programming
through
a
statewide
organization
representing
16
programs
serving
victims
of
sexual
violence
through
the
17
department’s
sexual
violence
prevention
program.
The
amount
18
allocated
in
this
lettered
paragraph
shall
not
be
used
to
19
supplant
funding
administered
for
other
sexual
violence
20
prevention
or
victims
assistance
programs.
21
c.
Of
the
funds
appropriated
in
this
subsection,
$299,376
22
$598,751
shall
be
used
for
the
state
poison
control
center.
23
At
such
time
as
the
department
of
human
services
receives
24
approval
from
the
centers
for
Medicare
and
Medicaid
services
25
of
the
United
States
department
of
health
and
human
services
26
to
implement
a
new
health
services
initiative
under
the
27
federal
Children’s
Health
Insurance
Program
Reauthorization
28
Act
of
2009,
Pub.
L.
No.
111-3,
to
provide
funding
for
the
29
state
poison
control
center
as
directed
in
this
2014
Act,
30
and
notifies
the
department
of
public
health,
the
department
31
of
public
health
shall
transfer
from
the
allocation
made
in
32
this
paragraph
“c”
,
an
amount
sufficient
to
provide
the
state
33
matching
funds
necessary
to
draw
down
the
maximum
federal
34
matching
funds
available
for
that
purpose.
35
-20-
LSB
5006HV
(2)
85
pf/jp
20/
95
H.F.
2463
d.
Of
the
funds
appropriated
in
this
subsection,
$50,000
1
shall
be
used
for
community
fluoridation
education.
2
9.
RESOURCE
MANAGEMENT
3
For
establishing
and
sustaining
the
overall
ability
of
the
4
department
to
deliver
services
to
the
public,
and
for
not
more
5
than
the
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
402,027
7
855,072
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
9
The
university
of
Iowa
hospitals
and
clinics
under
the
10
control
of
the
state
board
of
regents
shall
not
receive
11
indirect
costs
from
the
funds
appropriated
in
this
section.
12
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
13
department
shall
be
on
at
least
a
quarterly
basis.
14
DIVISION
IV
15
VETERANS
16
Sec.
4.
2013
Iowa
Acts,
chapter
138,
section
134,
is
amended
17
to
read
as
follows:
18
SEC.
134.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
19
appropriated
from
the
general
fund
of
the
state
to
the
20
department
of
veterans
affairs
for
the
fiscal
year
beginning
21
July
1,
2014,
and
ending
June
30,
2015,
the
following
amounts,
22
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
23
designated:
24
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
25
For
salaries,
support,
maintenance,
and
miscellaneous
26
purposes,
and
for
not
more
than
the
following
full-time
27
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
546,754
29
1,095,951
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
31
2.
IOWA
VETERANS
HOME
32
For
salaries,
support,
maintenance,
and
miscellaneous
33
purposes:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,762,857
35
-21-
LSB
5006HV
(2)
85
pf/jp
21/
95
H.F.
2463
7,594,996
1
a.
The
Iowa
veterans
home
billings
involving
the
department
2
of
human
services
shall
be
submitted
to
the
department
on
at
3
least
a
monthly
basis.
4
b.
If
there
is
a
change
in
the
employer
of
employees
5
providing
services
at
the
Iowa
veterans
home
under
a
collective
6
bargaining
agreement,
such
employees
and
the
agreement
shall
7
be
continued
by
the
successor
employer
as
though
there
had
not
8
been
a
change
in
employer.
9
c.
Within
available
resources
and
in
conformance
with
10
associated
state
and
federal
program
eligibility
requirements,
11
the
Iowa
veterans
home
may
implement
measures
to
provide
12
financial
assistance
to
or
on
behalf
of
veterans
or
their
13
spouses
who
are
participating
in
the
community
reentry
program.
14
e.
The
Iowa
veterans
home
expenditure
report
shall
be
15
submitted
monthly
to
the
legislative
services
agency.
16
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
17
For
transfer
to
the
Iowa
finance
authority
for
the
18
continuation
of
the
home
ownership
assistance
program
for
19
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
20
the
United
States,
pursuant
to
section
16.54
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
800,000
22
2,500,000
23
Sec.
5.
2013
Iowa
Acts,
chapter
138,
section
135,
is
amended
24
to
read
as
follows:
25
SEC.
135.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
26
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
27
standing
appropriation
in
the
following
designated
section
for
28
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
29
2015,
the
amounts
amount
appropriated
from
the
general
fund
of
30
the
state
pursuant
to
that
section
for
the
following
designated
31
purposes
shall
not
exceed
the
following
amount:
32
For
the
county
commissions
of
veteran
affairs
fund
under
33
section
35A.16
:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
35
-22-
LSB
5006HV
(2)
85
pf/jp
22/
95
H.F.
2463
990,000
1
DIVISION
V
2
DEPARTMENT
OF
HUMAN
SERVICES
3
Sec.
6.
2013
Iowa
Acts,
chapter
138,
section
136,
is
amended
4
to
read
as
follows:
5
SEC.
136.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
6
GRANT.
There
is
appropriated
from
the
fund
created
in
section
7
8.41
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2014,
and
ending
June
30,
2015,
from
moneys
9
received
under
the
federal
temporary
assistance
for
needy
10
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
11
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
12
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
13
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purposes
designated:
15
1.
To
be
credited
to
the
family
investment
program
account
16
and
used
for
assistance
under
the
family
investment
program
17
under
chapter
239B
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,058,474
19
9,879,488
20
2.
To
be
credited
to
the
family
investment
program
account
21
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
22
program
and
implementing
family
investment
agreements
in
23
accordance
with
chapter
239B
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,933,220
25
11,091,911
26
3.
To
be
used
for
the
family
development
and
27
self-sufficiency
grant
program
in
accordance
with
section
28
216A.107
:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
30
2,898,980
31
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
32
subsection
that
remain
unencumbered
or
unobligated
at
the
close
33
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
34
for
expenditure
for
the
purposes
designated
until
the
close
of
35
-23-
LSB
5006HV
(2)
85
pf/jp
23/
95
H.F.
2463
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
1
encumbered
or
obligated
on
or
before
September
30,
2015,
the
2
moneys
shall
revert.
3
4.
For
field
operations:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
5
31,296,232
6
5.
For
general
administration:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
8
3,744,000
9
6.
For
state
child
care
assistance:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,866,344
11
34,947,110
12
a.
The
Of
the
funds
appropriated
in
this
subsection
are
,
13
$26,347,110
is
transferred
to
the
child
care
and
development
14
block
grant
appropriation
made
by
the
Eighty-fifth
General
15
Assembly,
2013
Session,
in
2013
Iowa
Acts,
chapter
136,
section
16
14
for
the
federal
fiscal
year
beginning
October
1,
2014,
and
17
ending
September
30,
2015.
Of
this
amount,
$100,000
$200,000
18
shall
be
used
for
provision
of
educational
opportunities
to
19
registered
child
care
home
providers
in
order
to
improve
20
services
and
programs
offered
by
this
category
of
providers
21
and
to
increase
the
number
of
providers.
The
department
may
22
contract
with
institutions
of
higher
education
or
child
care
23
resource
and
referral
centers
to
provide
the
educational
24
opportunities.
Allowable
administrative
costs
under
the
25
contracts
shall
not
exceed
5
percent.
The
application
for
a
26
grant
shall
not
exceed
two
pages
in
length.
27
b.
Any
funds
appropriated
in
this
subsection
remaining
28
unallocated
shall
be
used
for
state
child
care
assistance
29
payments
for
individuals
enrolled
in
the
family
investment
30
program
who
are
employed.
31
7.
For
distribution
to
counties
and
regions
through
the
32
property
tax
relief
fund
for
mental
health
and
disability
33
services
as
provided
in
an
appropriation
made
for
this
purpose:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
35
-24-
LSB
5006HV
(2)
85
pf/jp
24/
95
H.F.
2463
4,894,052
1
8.
For
child
and
family
services:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
3
32,084,430
4
9.
For
child
abuse
prevention
grants:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
6
125,000
7
10.
For
pregnancy
prevention
grants
on
the
condition
that
8
family
planning
services
are
funded:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,034
10
1,930,067
11
Pregnancy
prevention
grants
shall
be
awarded
to
programs
12
in
existence
on
or
before
July
1,
2014,
if
the
programs
have
13
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
14
pregnancy
prevention
programs
which
are
developed
after
July
15
1,
2014,
if
the
programs
are
based
on
existing
models
that
16
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
17
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
18
section
14,
subsections
1
and
2,
including
the
requirement
that
19
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
20
the
awarding
of
grants
shall
be
given
to
programs
that
serve
21
areas
of
the
state
which
demonstrate
the
highest
percentage
of
22
unplanned
pregnancies
of
females
of
childbearing
age
within
the
23
geographic
area
to
be
served
by
the
grant.
24
11.
For
technology
needs
and
other
resources
necessary
25
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
26
management
requirements:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
28
1,037,186
29
The
department
shall
transfer
TANF
block
grant
funding
30
appropriated
and
allocated
in
this
subsection
to
the
child
care
31
and
development
block
grant
appropriation
in
accordance
with
32
federal
law
as
necessary
to
comply
with
the
provisions
of
this
33
subsection.
34
12.
For
the
family
investment
program
share
of
the
costs
to
35
-25-
LSB
5006HV
(2)
85
pf/jp
25/
95
H.F.
2463
continue
to
develop
and
maintain
a
new,
integrated
eligibility
1
determination
system:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,525,226
3
6,549,549
4
13.
a.
Notwithstanding
any
provision
to
the
contrary,
5
including
but
not
limited
to
requirements
in
section
8.41
or
6
provisions
in
2013
or
2014
Iowa
Acts
regarding
the
receipt
and
7
appropriation
of
federal
block
grants,
federal
funds
from
the
8
temporary
assistance
for
needy
families
block
grant
received
9
by
the
state
not
otherwise
appropriated
in
this
section
and
10
remaining
available
for
the
fiscal
year
beginning
July
1,
2014,
11
are
appropriated
to
the
department
of
human
services
to
the
12
extent
as
may
be
necessary
to
be
used
in
the
following
priority
13
order:
the
family
investment
program,
for
state
child
care
14
assistance
program
payments
for
individuals
enrolled
in
the
15
family
investment
program
who
are
employed,
and
for
the
family
16
investment
program
share
of
costs
to
develop
and
maintain
a
17
new,
integrated
eligibility
determination
system.
The
federal
18
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
19
after
all
other
funds
appropriated
in
subsection
1
for
the
20
assistance
under
the
family
investment
program,
in
subsection
6
21
for
child
care
assistance,
or
in
subsection
12
for
the
family
22
investment
program
share
of
the
costs
to
continue
to
develop
23
and
maintain
a
new,
integrated
eligibility
determination
24
system,
as
applicable,
have
been
expended.
25
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
26
legislative
services
agency
and
department
of
management
of
27
the
amount
of
funds
appropriated
in
this
subsection
that
was
28
expended
in
the
prior
quarter.
29
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
30
$12,962,008
for
the
fiscal
year
beginning
July
1,
2014,
is
31
transferred
to
the
appropriation
of
the
federal
social
services
32
block
grant
made
to
the
department
of
human
services
for
that
33
fiscal
year.
34
15.
For
continuation
of
the
program
providing
categorical
35
-26-
LSB
5006HV
(2)
85
pf/jp
26/
95
H.F.
2463
eligibility
for
the
food
assistance
program
as
specified
for
1
the
program
in
the
section
of
this
division
of
this
2014
Act
2
relating
to
the
family
investment
program
account:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
4
25,000
5
16.
The
department
may
transfer
funds
allocated
in
this
6
section
to
the
appropriations
made
in
this
division
of
this
Act
7
for
the
same
fiscal
year
for
general
administration
and
field
8
operations
for
resources
necessary
to
implement
and
operate
the
9
services
referred
to
in
this
section
and
those
funded
in
the
10
appropriation
made
in
this
division
of
this
Act
for
the
same
11
fiscal
year
for
the
family
investment
program
from
the
general
12
fund
of
the
state.
13
Sec.
7.
2013
Iowa
Acts,
chapter
138,
section
137,
is
amended
14
to
read
as
follows:
15
SEC.
137.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
16
1.
Moneys
credited
to
the
family
investment
program
(FIP)
17
account
for
the
fiscal
year
beginning
July
1,
2014,
and
18
ending
June
30,
2015,
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
made
in
this
division
of
this
Act
25
for
the
same
fiscal
year
for
general
administration
and
field
26
operations
for
resources
necessary
to
implement
and
operate
the
27
services
referred
to
in
this
section
and
those
funded
in
the
28
appropriation
made
in
this
division
of
this
Act
for
the
same
29
fiscal
year
for
the
family
investment
program
from
the
general
30
fund
of
the
state.
31
4.
Moneys
appropriated
in
this
division
of
this
Act
and
32
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
33
1,
2014,
and
ending
June
30,
2015,
are
allocated
as
follows:
34
a.
To
be
retained
by
the
department
of
human
services
to
35
-27-
LSB
5006HV
(2)
85
pf/jp
27/
95
H.F.
2463
be
used
for
coordinating
with
the
department
of
human
rights
1
to
more
effectively
serve
participants
in
FIP
and
other
shared
2
clients
and
to
meet
federal
reporting
requirements
under
the
3
federal
temporary
assistance
for
needy
families
block
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,021,417
11
6,042,834
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
2014-2015.
19
c.
For
the
diversion
subaccount
of
the
FIP
account:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
21
815,000
22
A
portion
of
the
moneys
allocated
for
the
subaccount
may
23
be
used
for
field
operations,
salaries,
data
management
24
system
development,
and
implementation
costs
and
support
25
deemed
necessary
by
the
director
of
human
services
in
order
to
26
administer
the
FIP
diversion
program.
To
the
extent
moneys
27
allocated
in
this
lettered
paragraph
are
not
deemed
by
the
28
department
to
be
necessary
to
support
diversion
activities,
29
such
moneys
may
be
used
for
other
efforts
intended
to
increase
30
engagement
by
family
investment
program
participants
in
work,
31
education,
or
training
activities.
32
d.
For
the
food
assistance
employment
and
training
program:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
34
66,588
35
-28-
LSB
5006HV
(2)
85
pf/jp
28/
95
H.F.
2463
(1)
The
department
shall
apply
the
federal
supplemental
1
nutrition
assistance
program
(SNAP)
employment
and
training
2
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
3
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
4
provisions
for
the
claiming
of
allowable
federal
reimbursement
5
funds
from
the
United
States
department
of
agriculture
6
pursuant
to
the
federal
SNAP
employment
and
training
program
7
for
providing
education,
employment,
and
training
services
8
for
eligible
food
assistance
program
participants,
including
9
but
not
limited
to
related
dependent
care
and
transportation
10
expenses.
11
(2)
The
department
shall
continue
the
categorical
federal
12
food
assistance
program
eligibility
at
160
percent
of
the
13
federal
poverty
level
and
continue
to
eliminate
the
asset
test
14
from
eligibility
requirements,
consistent
with
federal
food
15
assistance
program
requirements.
The
department
shall
include
16
as
many
food
assistance
households
as
is
allowed
by
federal
17
law.
The
eligibility
provisions
shall
conform
to
all
federal
18
requirements
including
requirements
addressing
individuals
who
19
are
incarcerated
or
otherwise
ineligible.
20
e.
For
the
JOBS
program:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,845,408
22
18,494,131
23
5.
Of
the
child
support
collections
assigned
under
FIP,
24
an
amount
equal
to
the
federal
share
of
support
collections
25
shall
be
credited
to
the
child
support
recovery
appropriation
26
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
27
assigned
child
support
collections
received
by
the
child
28
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
29
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
30
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
31
payments
account.
If
as
a
consequence
of
the
appropriations
32
and
allocations
made
in
this
section
the
resulting
amounts
33
are
insufficient
to
sustain
cash
assistance
payments
and
meet
34
federal
maintenance
of
effort
requirements,
the
department
35
-29-
LSB
5006HV
(2)
85
pf/jp
29/
95
H.F.
2463
shall
seek
supplemental
funding.
If
child
support
collections
1
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
2
determined
not
to
be
required
for
maintenance
of
effort,
the
3
state
share
of
either
amount
may
be
transferred
to
or
retained
4
in
the
child
support
payment
account.
5
6.
The
department
may
adopt
emergency
rules
for
the
family
6
investment,
JOBS,
food
assistance,
and
medical
assistance
7
programs
if
necessary
to
comply
with
federal
requirements.
8
Sec.
8.
2013
Iowa
Acts,
chapter
138,
section
138,
is
amended
9
to
read
as
follows:
10
SEC.
138.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
11
is
appropriated
from
the
general
fund
of
the
state
to
the
12
department
of
human
services
for
the
fiscal
year
beginning
July
13
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
14
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
15
designated:
16
To
be
credited
to
the
family
investment
program
(FIP)
17
account
and
used
for
family
investment
program
assistance
under
18
chapter
239B
:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,218,607
20
48,503,875
21
1.
Of
the
funds
appropriated
in
this
section,
$3,912,189
22
$7,402,220
is
allocated
for
the
JOBS
program.
23
2.
Of
the
funds
appropriated
in
this
section,
$1,581,92
7
24
$3,163,854
is
allocated
for
the
family
development
and
25
self-sufficiency
grant
program.
26
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
27
beginning
July
1,
2014,
if
necessary
to
meet
federal
28
maintenance
of
effort
requirements
or
to
transfer
federal
29
temporary
assistance
for
needy
families
block
grant
funding
30
to
be
used
for
purposes
of
the
federal
social
services
block
31
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
32
receiving
federal
funding
or
to
implement,
in
accordance
with
33
this
division
of
this
Act,
activities
currently
funded
with
34
juvenile
court
services,
county,
or
community
moneys
and
state
35
-30-
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5006HV
(2)
85
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95
H.F.
2463
moneys
used
in
combination
with
such
moneys,
the
department
1
of
human
services
may
transfer
funds
within
or
between
any
2
of
the
appropriations
made
in
this
division
of
this
Act
and
3
appropriations
in
law
for
the
federal
social
services
block
4
grant
to
the
department
for
the
following
purposes,
provided
5
that
the
combined
amount
of
state
and
federal
temporary
6
assistance
for
needy
families
block
grant
funding
for
each
7
appropriation
remains
the
same
before
and
after
the
transfer:
8
a.
For
the
family
investment
program.
9
b.
For
child
care
assistance.
10
c.
For
child
and
family
services.
11
d.
For
field
operations.
12
e.
For
general
administration.
13
f.
For
distribution
to
counties
or
regions
for
services
to
14
persons
with
mental
illness
or
an
intellectual
disability.
15
This
subsection
shall
not
be
construed
to
prohibit
the
use
16
of
existing
state
transfer
authority
for
other
purposes.
The
17
department
shall
report
any
transfers
made
pursuant
to
this
18
subsection
to
the
legislative
services
agency.
19
4.
Of
the
funds
appropriated
in
this
section,
$97,839
20
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
21
Iowa-based
nonprofit
organization
with
a
history
of
providing
22
tax
preparation
assistance
to
low-income
Iowans
in
order
to
23
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
24
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
25
of
the
state.
26
5.
Of
the
funds
appropriated
in
this
section,
$20,000
27
$40,000
shall
be
used
for
the
continuation
of
an
unfunded
28
pilot
project,
as
defined
in
441
IAC
100.1,
relating
to
29
parental
obligations,
in
which
the
child
support
recovery
30
unit
participates,
to
support
the
efforts
of
a
nonprofit
31
organization
committed
to
strengthening
the
community
through
32
youth
development,
healthy
living,
and
social
responsibility
in
33
a
county
with
a
population
over
350,000.
The
funds
allocated
34
in
this
subsection
shall
be
used
by
the
recipient
organization
35
-31-
LSB
5006HV
(2)
85
pf/jp
31/
95
H.F.
2463
to
develop
a
larger
community
effort,
through
public
and
1
private
partnerships,
to
support
a
broad-based
fatherhood
2
initiative
that
promotes
payment
of
child
support
obligations,
3
improved
family
relationships,
and
full-time
employment.
4
6.
The
department
may
transfer
funds
appropriated
in
this
5
section
to
the
appropriations
made
in
this
division
of
this
Act
6
for
general
administration
and
field
operations
as
necessary
7
to
administer
this
section
and
the
overall
family
investment
8
program.
9
Sec.
9.
2013
Iowa
Acts,
chapter
138,
section
139,
is
amended
10
to
read
as
follows:
11
SEC.
139.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
12
from
the
general
fund
of
the
state
to
the
department
of
human
13
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
14
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
15
necessary,
to
be
used
for
the
purposes
designated:
16
For
child
support
recovery,
including
salaries,
support,
17
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
18
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,086,885
20
14,911,230
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
22
1.
The
department
shall
expend
up
to
$12,165
$24,329
,
23
including
federal
financial
participation,
for
the
fiscal
year
24
beginning
July
1,
2014,
for
a
child
support
public
awareness
25
campaign.
The
department
and
the
office
of
the
attorney
26
general
shall
cooperate
in
continuation
of
the
campaign.
The
27
public
awareness
campaign
shall
emphasize,
through
a
variety
28
of
media
activities,
the
importance
of
maximum
involvement
of
29
both
parents
in
the
lives
of
their
children
as
well
as
the
30
importance
of
payment
of
child
support
obligations.
31
2.
Federal
access
and
visitation
grant
moneys
shall
be
32
issued
directly
to
private
not-for-profit
agencies
that
provide
33
services
designed
to
increase
compliance
with
the
child
access
34
provisions
of
court
orders,
including
but
not
limited
to
35
-32-
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5006HV
(2)
85
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95
H.F.
2463
neutral
visitation
sites
and
mediation
services.
1
3.
The
appropriation
made
to
the
department
for
child
2
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
3
manner
necessary
for
purposes
of
cash
flow
management,
and
for
4
cash
flow
management
purposes
the
department
may
temporarily
5
draw
more
than
the
amount
appropriated,
provided
the
amount
6
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
7
4.
With
the
exception
of
the
funding
amount
specified,
the
8
requirements
established
under
2001
Iowa
Acts,
chapter
191,
9
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
10
be
applicable
to
parental
obligation
pilot
projects
for
the
11
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015.
12
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
13
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
14
in
effect
until
June
30,
2015.
15
Sec.
10.
2013
Iowa
Acts,
chapter
138,
section
140,
is
16
amended
to
read
as
follows:
17
SEC.
140.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
18
FY
2013-2014
2014-2015
.
Any
funds
remaining
in
the
health
19
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
20
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
are
21
appropriated
to
the
department
of
human
services
to
supplement
22
the
medical
assistance
program
appropriations
made
in
this
23
division
of
this
Act,
for
medical
assistance
reimbursement
and
24
associated
costs,
including
program
administration
and
costs
25
associated
with
program
implementation.
26
Sec.
11.
2013
Iowa
Acts,
chapter
138,
section
142,
27
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
28
For
medical
assistance
program
reimbursement
and
associated
29
costs
as
specifically
provided
in
the
reimbursement
30
methodologies
in
effect
on
June
30,
2014,
except
as
otherwise
31
expressly
authorized
by
law,
consistent
with
options
under
32
federal
law
and
regulations,
and
contingent
upon
receipt
of
33
approval
from
the
office
of
the
governor
of
reimbursement
for
34
each
abortion
performed
under
the
program:
35
-33-
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5006HV
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95
H.F.
2463
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,143,810,311
1
1,248,017,014
2
Sec.
12.
2013
Iowa
Acts,
chapter
138,
section
142,
3
subsection
18,
paragraph
a,
is
amended
to
read
as
follows:
4
a.
The
department
shall
continue
to
implement
the
cost
5
containment
strategies
for
the
medical
assistance
program
in
6
the
fiscal
year
beginning
July
1,
2014,
that
were
recommended
7
by
the
governor
for
the
fiscal
year
beginning
July
1,
2013,
as
8
specified
in
this
Act
and
may
adopt
emergency
rules
for
such
9
implementation.
The
department
shall
not
implement
the
cost
10
containment
strategy
that
requires
transition
of
the
provision
11
of
personal
care
under
the
consumer-directed
attendant
12
care
option
to
agency-provided
personal
care
services
while
13
retaining
the
consumer
choice
option
for
those
individuals
able
14
and
desiring
to
self-direct
services.
15
Sec.
13.
2013
Iowa
Acts,
chapter
138,
section
142,
16
subsection
18,
is
amended
by
adding
the
following
new
17
paragraph:
18
NEW
PARAGRAPH
.
0e.
The
department
shall
report
the
19
implementation
of
any
cost
containment
strategies
under
this
20
subsection
to
the
individuals
specified
in
this
division
of
21
this
Act
for
submission
of
reports
on
a
quarterly
basis.
22
Sec.
14.
2013
Iowa
Acts,
chapter
138,
section
142,
is
23
amended
by
adding
the
following
new
subsections:
24
NEW
SUBSECTION
.
22.
Of
the
funds
appropriated
in
this
25
section,
$4,847,559
shall
be
used
to
implement
reductions
26
in
the
waiting
lists
of
all
medical
assistance
home
and
27
community-based
services
waivers.
The
funds
shall
be
expended
28
to
add
an
equal
number
of
waiver
waiting
list
slots
to
each
of
29
the
types
of
waivers.
30
NEW
SUBSECTION
.
23.
The
department
of
human
services
31
shall
perform
a
detailed
analysis
regarding
the
inclusion
of
32
the
Medicaid
program
pharmacy
benefit
in
the
managed
care
33
organization
plan
for
Medicaid
members
under
the
MEDIPASS
34
program
and
the
Iowa
health
and
wellness
plan
in
order
to
35
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5006HV
(2)
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95
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2463
enhance
the
value
of
the
pharmacist-member
interaction,
utilize
1
the
most
appropriate
and
least
costly
treatment
for
the
member,
2
and
more
fully
integrate
the
pharmacy
benefit
into
patient
care
3
management.
The
analysis
shall
include
but
is
not
limited
to
4
a
review
of
the
provider
network
to
be
used
to
ensure
network
5
adequacy,
patient
choice,
in-person
patient
care
management,
6
and
continuity
of
care;
financial
transparency
requirements;
7
timely
data
sharing;
formulary,
preferred
drug
list,
and
prior
8
authorization
requirements;
provisions
for
continuing
to
9
provide
any
therapeutic
classes
of
drugs
under
the
traditional
10
Medicaid
program;
standards
for
pharmacy
reimbursement
11
rates
including
dispensing
fees;
the
type
of
reimbursement
12
methodology
to
be
used
for
the
managed
care
organization
to
13
provide
the
pharmacy
benefit
including
but
not
limited
to
a
14
capitation
or
a
shared
savings
model;
outcomes,
performance,
15
and
reporting
requirements;
patient
protections
including
but
16
not
limited
to
appeals
and
grievance
processes,
emergency
17
refill
requirements,
and
patient
transition
of
care
and
18
exceptions
to
policy
provisions;
the
projected
cost
or
savings;
19
and
any
federal
approval
necessary
to
provide
the
pharmacy
20
benefit
to
the
specified
members
through
a
managed
care
21
organization.
The
department
shall
report
the
results
of
its
22
analysis
to
the
individuals
identified
in
this
division
of
this
23
Act
for
submission
of
reports
by
December
15,
2014,
and
shall
24
not
implement
the
inclusion
of
the
pharmacy
benefit
in
the
25
managed
care
organization
plan
providing
coverage
to
Medicaid
26
members
under
the
MEDIPASS
program
and
the
Iowa
health
and
27
wellness
plan
without
prior
approval
of
the
general
assembly.
28
Sec.
15.
2013
Iowa
Acts,
chapter
138,
section
143,
is
29
amended
to
read
as
follows:
30
SEC.
143.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
31
general
fund
of
the
state
to
the
department
of
human
services
32
for
the
fiscal
year
beginning
July
1,
2013
2014
,
and
ending
33
June
30,
2014
2015
,
the
following
amount,
or
so
much
thereof
as
34
is
necessary,
to
be
used
for
the
purpose
designated:
35
-35-
LSB
5006HV
(2)
85
pf/jp
35/
95
H.F.
2463
For
medical
contracts:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,145,785
2
17,323,366
3
1.
The
department
of
inspections
and
appeals
shall
4
provide
all
state
matching
funds
for
survey
and
certification
5
activities
performed
by
the
department
of
inspections
6
and
appeals.
The
department
of
human
services
is
solely
7
responsible
for
distributing
the
federal
matching
funds
for
8
such
activities.
9
2.
Of
the
funds
appropriated
in
this
section,
$25,000
10
$50,000
shall
be
used
for
continuation
of
home
and
11
community-based
services
waiver
quality
assurance
programs,
12
including
the
review
and
streamlining
of
processes
and
policies
13
related
to
oversight
and
quality
management
to
meet
state
and
14
federal
requirements.
15
3.
Of
the
amount
appropriated
in
this
section,
up
to
16
$100,000
$200,000
may
be
transferred
to
the
appropriation
17
for
general
administration
in
this
division
of
this
Act
to
18
be
used
for
additional
full-time
equivalent
positions
in
the
19
development
of
key
health
initiatives
such
as
cost
containment,
20
development
and
oversight
of
managed
care
programs,
and
21
development
of
health
strategies
targeted
toward
improved
22
quality
and
reduced
costs
in
the
Medicaid
program.
23
4.
Of
the
funds
appropriated
in
this
section,
$500,000
24
$1,000,000
shall
be
used
for
planning
and
development,
25
in
cooperation
with
the
department
of
public
health,
of
a
26
phased-in
program
to
provide
a
dental
home
for
children.
27
5.
Of
the
funds
appropriated
in
this
section,
$37,500
28
$75,000
shall
be
used
for
continued
implementation
of
a
uniform
29
cost
report.
30
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
31
$3,000,000
shall
be
used
for
the
autism
support
program
created
32
in
chapter
225D
,
as
enacted
in
this
Act
.
33
7.
Of
the
funds
appropriated
in
this
section,
$49,895
34
$99,790
shall
be
used
for
continued
implementation
of
an
35
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5006HV
(2)
85
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36/
95
H.F.
2463
electronic
medical
records
system.
1
Sec.
16.
2013
Iowa
Acts,
chapter
138,
section
144,
is
2
amended
to
read
as
follows:
3
SEC.
144.
STATE
SUPPLEMENTARY
ASSISTANCE.
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,
2014,
and
ending
June
30,
2015,
the
following
7
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purpose
designated:
9
For
the
state
supplementary
assistance
program:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,256,087
11
14,121,154
12
2.
The
department
shall
increase
the
personal
needs
13
allowance
for
residents
of
residential
care
facilities
by
the
14
same
percentage
and
at
the
same
time
as
federal
supplemental
15
security
income
and
federal
social
security
benefits
are
16
increased
due
to
a
recognized
increase
in
the
cost
of
living.
17
The
department
may
adopt
emergency
rules
to
implement
this
18
subsection.
19
3.
If
during
the
fiscal
year
beginning
July
1,
2014,
20
the
department
projects
that
state
supplementary
assistance
21
expenditures
for
a
calendar
year
will
not
meet
the
federal
22
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
23
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
24
§1382g,
the
department
may
take
actions
including
but
not
25
limited
to
increasing
the
personal
needs
allowance
for
26
residential
care
facility
residents
and
making
programmatic
27
adjustments
or
upward
adjustments
of
the
residential
care
28
facility
or
in-home
health-related
care
reimbursement
rates
29
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
30
requirements
are
met.
In
addition,
the
department
may
make
31
other
programmatic
and
rate
adjustments
necessary
to
remain
32
within
the
amount
appropriated
in
this
section
while
ensuring
33
compliance
with
federal
requirements.
The
department
may
adopt
34
emergency
rules
to
implement
the
provisions
of
this
subsection.
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Sec.
17.
2013
Iowa
Acts,
chapter
138,
section
145,
is
1
amended
to
read
as
follows:
2
SEC.
145.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
3
1.
There
is
appropriated
from
the
general
fund
of
the
4
state
to
the
department
of
human
services
for
the
fiscal
year
5
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
6
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
7
purpose
designated:
8
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
9
program
pursuant
to
chapter
514I
,
including
supplemental
dental
10
services,
for
receipt
of
federal
financial
participation
under
11
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
12
children’s
health
insurance
program:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,403,051
14
45,877,998
15
2.
Of
the
funds
appropriated
in
this
section,
$70,725
16
$153,500
is
allocated
for
continuation
of
the
contract
for
17
outreach
with
the
department
of
public
health.
18
3.
The
department
of
human
services
shall
request
approval
19
from
the
centers
for
Medicare
and
Medicaid
services
of
the
20
United
States
department
of
health
and
human
services
to
21
utilize
administrative
funding
under
the
federal
Children’s
22
Health
Insurance
Program
Reauthorization
Act
of
2009,
Pub.
23
L.
No.
111-3,
to
provide
the
maximum
federal
matching
funds
24
available
to
implement
a
new
health
services
initiative
as
25
provided
under
section
2105(a)(1)(D)(ii)
of
the
federal
Social
26
Security
Act,
to
fund
the
state
poison
control
center.
27
Sec.
18.
2013
Iowa
Acts,
chapter
138,
section
146,
is
28
amended
to
read
as
follows:
29
SEC.
146.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
30
from
the
general
fund
of
the
state
to
the
department
of
human
31
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
32
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purpose
designated:
34
For
child
care
programs:
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354,897
1
45,622,828
2
1.
Of
the
funds
appropriated
in
this
section,
$27,377,595
3
$37,903,401
shall
be
used
for
state
child
care
assistance
in
4
accordance
with
section
237A.13
.
5
2.
Nothing
in
this
section
shall
be
construed
or
is
6
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
7
to
persons
who
are
eligible
for
assistance
due
to
an
income
8
level
consistent
with
the
waiting
list
requirements
of
section
9
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
10
this
section
is
limited
to
the
extent
of
the
funds
appropriated
11
in
this
section.
12
3.
Of
the
funds
appropriated
in
this
section,
$216,227
13
$432,453
is
allocated
for
the
statewide
grant
program
for
child
14
care
resource
and
referral
services
under
section
237A.26
.
15
A
list
of
the
registered
and
licensed
child
care
facilities
16
operating
in
the
area
served
by
a
child
care
resource
and
17
referral
service
shall
be
made
available
to
the
families
18
receiving
state
child
care
assistance
in
that
area.
19
4.
Of
the
funds
appropriated
in
this
section,
$468,487
20
$936,974
is
allocated
for
child
care
quality
improvement
21
initiatives
including
but
not
limited
to
the
voluntary
quality
22
rating
system
in
accordance
with
section
237A.30
.
23
5.
Of
the
funds
appropriated
in
this
section,
$67,589
shall
24
be
used
to
conduct
fingerprint-based
national
criminal
history
25
record
checks
of
home-based
child
care
providers
pursuant
26
to
section
237A.5,
subsection
2
,
through
the
United
States
27
department
of
justice,
federal
bureau
of
investigation.
28
6.
Of
the
amount
appropriated
in
this
section,
up
to
29
$12,500
shall
be
used
to
continue
to
implement
a
searchable
30
internet-based
application
as
part
of
the
consumer
information
31
made
available
under
section
237A.25
.
The
application
shall
32
provide
a
listing
of
the
child
care
providers
in
this
state
33
that
have
received
a
rating
under
the
voluntary
quality
rating
34
system
implemented
pursuant
to
section
237A.30
and
information
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on
whether
a
provider
specializes
in
child
care
for
infants,
1
school-age
children,
children
with
special
needs,
or
other
2
populations
or
provides
any
other
specialized
services
to
3
support
family
needs.
4
7.
Of
the
funds
appropriated
in
this
section,
$3,175,000
5
$6,350,000
shall
be
credited
to
the
early
childhood
programs
6
grants
account
in
the
early
childhood
Iowa
fund
created
7
in
section
256I.11
.
The
moneys
shall
be
distributed
for
8
funding
of
community-based
early
childhood
programs
targeted
9
to
children
from
birth
through
five
years
of
age
developed
10
by
early
childhood
Iowa
areas
in
accordance
with
approved
11
community
plans
as
provided
in
section
256I.8
.
12
8.
The
department
may
use
any
of
the
funds
appropriated
13
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
14
expanding
child
care
assistance
and
related
programs.
For
15
the
purpose
of
expenditures
of
state
and
federal
child
care
16
funding,
funds
shall
be
considered
obligated
at
the
time
17
expenditures
are
projected
or
are
allocated
to
the
department’s
18
service
areas.
Projections
shall
be
based
on
current
and
19
projected
caseload
growth,
current
and
projected
provider
20
rates,
staffing
requirements
for
eligibility
determination
21
and
management
of
program
requirements
including
data
systems
22
management,
staffing
requirements
for
administration
of
the
23
program,
contractual
and
grant
obligations
and
any
transfers
24
to
other
state
agencies,
and
obligations
for
decategorization
25
or
innovation
projects.
26
9.
A
portion
of
the
state
match
for
the
federal
child
care
27
and
development
block
grant
shall
be
provided
as
necessary
to
28
meet
federal
matching
funds
requirements
through
the
state
29
general
fund
appropriation
made
for
child
development
grants
30
and
other
programs
for
at-risk
children
in
section
279.51
.
31
10.
If
a
uniform
reduction
ordered
by
the
governor
under
32
section
8.31
or
other
operation
of
law,
transfer,
or
federal
33
funding
reduction
reduces
the
appropriation
made
in
this
34
section
for
the
fiscal
year,
the
percentage
reduction
in
the
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amount
paid
out
to
or
on
behalf
of
the
families
participating
1
in
the
state
child
care
assistance
program
shall
be
equal
to
or
2
less
than
the
percentage
reduction
made
for
any
other
purpose
3
payable
from
the
appropriation
made
in
this
section
and
the
4
federal
funding
relating
to
it.
The
percentage
reduction
to
5
the
other
allocations
made
in
this
section
shall
be
the
same
as
6
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
7
change
of
the
federal
funding
reduction,
as
applicable.
8
If
there
is
an
unanticipated
increase
in
federal
funding
9
provided
for
state
child
care
assistance,
the
entire
amount
10
of
the
increase
shall
be
used
for
state
child
care
assistance
11
payments.
If
the
appropriations
made
for
purposes
of
the
12
state
child
care
assistance
program
for
the
fiscal
year
are
13
determined
to
be
insufficient,
it
is
the
intent
of
the
general
14
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
15
in
order
to
avoid
establishment
of
waiting
list
requirements.
16
11.
Notwithstanding
section
8.33
,
moneys
advanced
for
17
purposes
of
the
programs
developed
by
early
childhood
Iowa
18
areas,
advanced
for
purposes
of
wraparound
child
care,
or
19
received
from
the
federal
appropriations
made
for
the
purposes
20
of
this
section
that
remain
unencumbered
or
unobligated
at
the
21
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
22
remain
available
for
expenditure
for
the
purposes
designated
23
until
the
close
of
the
succeeding
fiscal
year.
24
Sec.
19.
2013
Iowa
Acts,
chapter
138,
section
147,
is
25
amended
to
read
as
follows:
26
SEC.
147.
JUVENILE
INSTITUTIONS.
There
is
appropriated
27
from
the
general
fund
of
the
state
to
the
department
of
human
28
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
29
June
30,
2015,
the
following
amounts,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purposes
designated:
31
1.
For
operation
of
the
costs
of
security,
building
and
32
grounds
maintenance,
utilities,
salary,
and
support
for
the
33
facilities
located
at
the
Iowa
juvenile
home
at
Toledo
and
for
34
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
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for
not
more
than
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,429,678
2
788,531
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
4
15.00
5
2.
For
operation
of
the
state
training
school
at
Eldora
and
6
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
7
and
for
not
more
than
the
following
full-time
equivalent
8
positions:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,628,485
10
11,500,098
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
12
Of
the
funds
appropriated
in
this
subsection,
$45,575
13
$91,150
shall
be
used
for
distribution
to
licensed
classroom
14
teachers
at
this
and
other
institutions
under
the
control
of
15
the
department
of
human
services
based
upon
the
average
student
16
yearly
enrollment
at
each
institution
as
determined
by
the
17
department.
18
3.
A
portion
of
the
moneys
appropriated
in
this
section
19
shall
be
used
by
the
state
training
school
and
by
the
Iowa
20
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
21
activities
at
the
institutions
in
the
fiscal
year
beginning
22
July
1,
2014.
23
Sec.
20.
2013
Iowa
Acts,
chapter
138,
is
amended
by
adding
24
the
following
new
section:
25
NEW
SECTION
.
SEC.
147A.
CHILDREN
ADJUDICATED
AS
DELINQUENT
26
OR
CHILD
IN
NEED
OF
ASSISTANCE
——
IOWA
JUVENILE
HOME.
There
27
is
appropriated
from
the
general
fund
of
the
state
to
the
28
department
of
human
services
for
the
fiscal
year
beginning
July
29
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
30
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
31
designated:
32
For
the
placement
costs
of
female
children
adjudicated
33
as
delinquent
and
male
and
female
children
adjudicated
as
a
34
child
in
need
of
assistance,
and
for
the
costs
of
compensatory
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education
for
children
formerly
placed
at
the
Iowa
juvenile
1
home
at
Toledo:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,110,534
3
1.
Of
the
funds
appropriated
in
this
section,
$3,892,534
4
shall
be
used
for
the
placement
costs
of
female
children
5
adjudicated
as
delinquent
and
male
and
female
children
6
adjudicated
as
a
child
in
need
of
assistance,
who
are
deemed
by
7
the
department
to
be
eligible
for
use
of
the
funds.
8
2.
Of
the
funds
appropriated
in
this
section,
$1,218,000
9
shall
be
used
for
the
costs
of
compensatory
education
to
10
address
the
reviews
of
special
education
of
certain
children
11
placed
at
the
Iowa
juvenile
home
conducted
by
the
department
of
12
education
in
fall
2013
and
reported
to
the
department
of
human
13
services
on
October
7
and
December
20,
2013.
14
3.
By
January
1,
2015,
the
department
shall
provide
a
15
report
to
the
governor
and
the
legislative
services
agency
that
16
includes
a
description
of
the
status
of
juvenile
delinquent
17
girls
in
out-of-home
placements
during
the
period
beginning
18
December
1,
2013,
and
ending
December
1,
2014;
identifies
19
their
placement
histories;
provides
the
reason
for
placement;
20
provides
a
status
report
on
educational
services
and
treatment
21
of
youth
at
department
facilities;
and
makes
appropriate
22
recommendations
for
legislation
deemed
necessary.
23
Sec.
21.
2013
Iowa
Acts,
chapter
138,
section
148,
is
24
amended
to
read
as
follows:
25
SEC.
148.
CHILD
AND
FAMILY
SERVICES.
26
1.
There
is
appropriated
from
the
general
fund
of
the
27
state
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
29
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
child
and
family
services:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
45,641,960
33
95,664,831
34
2.
Up
to
$2,600,000
$5,200,000
of
the
amount
of
federal
35
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temporary
assistance
for
needy
families
block
grant
funding
1
appropriated
in
this
division
of
this
Act
for
child
and
family
2
services
shall
be
made
available
for
purposes
of
juvenile
3
delinquent
graduated
sanction
services.
4
3.
The
department
may
transfer
funds
appropriated
in
this
5
section
as
necessary
to
pay
the
nonfederal
costs
of
services
6
reimbursed
under
the
medical
assistance
program,
state
child
7
care
assistance
program,
or
the
family
investment
program
which
8
are
provided
to
children
who
would
otherwise
receive
services
9
paid
under
the
appropriation
in
this
section.
The
department
10
may
transfer
funds
appropriated
in
this
section
to
the
11
appropriations
made
in
this
division
of
this
Act
for
general
12
administration
and
for
field
operations
for
resources
necessary
13
to
implement
and
operate
the
services
funded
in
this
section.
14
4.
a.
Of
the
funds
appropriated
in
this
section,
up
15
to
$16,121,163
$36,400,721
is
allocated
as
the
statewide
16
expenditure
target
under
section
232.143
for
group
foster
care
17
maintenance
and
services.
If
the
department
projects
that
such
18
expenditures
for
the
fiscal
year
will
be
less
than
the
target
19
amount
allocated
in
this
lettered
paragraph,
the
department
may
20
reallocate
the
excess
to
provide
additional
funding
for
shelter
21
care
or
the
child
welfare
emergency
services
addressed
with
the
22
allocation
for
shelter
care.
23
b.
If
at
any
time
after
September
30,
2014,
annualization
24
of
a
service
area’s
current
expenditures
indicates
a
service
25
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
26
target
under
section
232.143
by
more
than
5
percent,
the
27
department
and
juvenile
court
services
shall
examine
all
28
group
foster
care
placements
in
that
service
area
in
order
to
29
identify
those
which
might
be
appropriate
for
termination.
30
In
addition,
any
aftercare
services
believed
to
be
needed
31
for
the
children
whose
placements
may
be
terminated
shall
be
32
identified.
The
department
and
juvenile
court
services
shall
33
initiate
action
to
set
dispositional
review
hearings
for
the
34
placements
identified.
In
such
a
dispositional
review
hearing,
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the
juvenile
court
shall
determine
whether
needed
aftercare
1
services
are
available
and
whether
termination
of
the
placement
2
is
in
the
best
interest
of
the
child
and
the
community.
3
5.
In
accordance
with
the
provisions
of
section
232.188
,
4
the
department
shall
continue
the
child
welfare
and
juvenile
5
justice
funding
initiative
during
fiscal
year
2014-2015.
Of
6
the
funds
appropriated
in
this
section,
$858,877
$1,717,753
7
is
allocated
specifically
for
expenditure
for
fiscal
year
8
2014-2015
through
the
decategorization
service
services
funding
9
pools
and
governance
boards
established
pursuant
to
section
10
232.188
.
11
6.
A
portion
of
the
funds
appropriated
in
this
section
12
may
be
used
for
emergency
family
assistance
to
provide
other
13
resources
required
for
a
family
participating
in
a
family
14
preservation
or
reunification
project
or
successor
project
to
15
stay
together
or
to
be
reunified.
16
7.
Notwithstanding
section
234.35
or
any
other
provision
17
of
law
to
the
contrary,
state
funding
for
shelter
care
and
18
the
child
welfare
emergency
services
contracting
implemented
19
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
20
limited
to
$3,808,024
$7,717,822
.
21
8.
Federal
funds
received
by
the
state
during
the
fiscal
22
year
beginning
July
1,
2014,
as
the
result
of
the
expenditure
23
of
state
funds
appropriated
during
a
previous
state
fiscal
24
year
for
a
service
or
activity
funded
under
this
section
are
25
appropriated
to
the
department
to
be
used
as
additional
funding
26
for
services
and
purposes
provided
for
under
this
section.
27
Notwithstanding
section
8.33
,
moneys
received
in
accordance
28
with
this
subsection
that
remain
unencumbered
or
unobligated
at
29
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
30
shall
remain
available
for
the
purposes
designated
until
the
31
close
of
the
succeeding
fiscal
year.
32
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
33
$1,645,000
$3,290,000
is
allocated
for
the
payment
of
the
34
expenses
of
court-ordered
services
provided
to
juveniles
who
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are
under
the
supervision
of
juvenile
court
services,
which
1
expenses
are
a
charge
upon
the
state
pursuant
to
section
2
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
3
lettered
paragraph,
up
to
$778,144
$1,556,287
shall
be
made
4
available
to
provide
school-based
supervision
of
children
5
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
6
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
7
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
8
the
school
district
or
other
funding
source
as
approved
by
the
9
chief
juvenile
court
officer.
10
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,493
11
$748,985
is
allocated
for
the
payment
of
the
expenses
of
12
court-ordered
services
provided
to
children
who
are
under
the
13
supervision
of
the
department,
which
expenses
are
a
charge
upon
14
the
state
pursuant
to
section
232.141,
subsection
4
.
15
c.
Notwithstanding
section
232.141
or
any
other
provision
16
of
law
to
the
contrary,
the
amounts
allocated
in
this
17
subsection
shall
be
distributed
to
the
judicial
districts
18
as
determined
by
the
state
court
administrator
and
to
the
19
department’s
service
areas
as
determined
by
the
administrator
20
of
the
department’s
division
of
child
and
family
services.
The
21
state
court
administrator
and
the
division
administrator
shall
22
make
the
determination
of
the
distribution
amounts
on
or
before
23
June
15,
2014.
24
d.
Notwithstanding
chapter
232
or
any
other
provision
of
25
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
26
order
any
service
which
is
a
charge
upon
the
state
pursuant
27
to
section
232.141
if
there
are
insufficient
court-ordered
28
services
funds
available
in
the
district
court
or
departmental
29
service
area
distribution
amounts
to
pay
for
the
service.
The
30
chief
juvenile
court
officer
and
the
departmental
service
area
31
manager
shall
encourage
use
of
the
funds
allocated
in
this
32
subsection
such
that
there
are
sufficient
funds
to
pay
for
33
all
court-related
services
during
the
entire
year.
The
chief
34
juvenile
court
officers
and
departmental
service
area
managers
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shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
1
in
the
distribution
amounts
and
shall
cooperatively
request
the
2
state
court
administrator
or
division
administrator
to
transfer
3
funds
between
the
judicial
districts’
or
departmental
service
4
areas’
distribution
amounts
as
prudent.
5
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
6
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
7
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
8
entered
under
chapter
232
which
is
a
charge
upon
the
state
9
under
section
232.141,
subsection
4
.
10
f.
Of
the
funds
allocated
in
this
subsection,
not
more
11
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
12
administration
of
the
requirements
under
this
subsection.
13
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
14
shall
be
used
by
the
department
of
human
services
to
support
15
the
interstate
commission
for
juveniles
in
accordance
with
16
the
interstate
compact
for
juveniles
as
provided
in
section
17
232.173
.
18
10.
Of
the
funds
appropriated
in
this
section,
$4,026,613
19
$8,053,226
is
allocated
for
juvenile
delinquent
graduated
20
sanctions
services.
Any
state
funds
saved
as
a
result
of
21
efforts
by
juvenile
court
services
to
earn
federal
Tit.
IV-E
22
match
for
juvenile
court
services
administration
may
be
used
23
for
the
juvenile
delinquent
graduated
sanctions
services.
24
11.
Of
the
funds
appropriated
in
this
section,
$804,143
25
$1,608,285
is
transferred
to
the
department
of
public
health
26
to
be
used
for
the
child
protection
center
grant
program
in
27
accordance
with
section
135.118
.
The
grant
amounts
under
the
28
program
shall
be
equalized
so
that
each
center
receives
a
29
uniform
amount
of
at
least
$122,500
$245,000
.
30
12.
If
the
department
receives
federal
approval
to
31
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
32
Security
Act
to
enable
providers
to
serve
children
who
remain
33
in
the
children’s
families
and
communities,
for
purposes
of
34
eligibility
under
the
medical
assistance
program
through
25
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years
of
age,
children
who
participate
in
the
waiver
shall
be
1
considered
to
be
placed
in
foster
care.
2
13.
Of
the
funds
appropriated
in
this
section,
$1,628,490
3
$3,256,980
is
allocated
for
the
preparation
for
adult
living
4
program
pursuant
to
section
234.46
.
5
14.
Of
the
funds
appropriated
in
this
section,
$260,075
6
$520,150
shall
be
used
for
juvenile
drug
courts.
The
amount
7
allocated
in
this
subsection
shall
be
distributed
as
follows:
8
To
the
judicial
branch
for
salaries
to
assist
with
the
9
operation
of
juvenile
drug
court
programs
operated
in
the
10
following
jurisdictions:
11
a.
Marshall
county:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
13
62,708
14
b.
Woodbury
county:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
16
125,682
17
c.
Polk
county:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
19
195,892
20
d.
The
third
judicial
district:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
22
67,934
23
e.
The
eighth
judicial
district:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
25
67,934
26
15.
Of
the
funds
appropriated
in
this
section,
$113,669
27
$227,337
shall
be
used
for
the
public
purpose
of
continuing
28
a
grant
to
a
nonprofit
human
services
organization
providing
29
services
to
individuals
and
families
in
multiple
locations
in
30
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
31
immediate,
sensitive
support
and
forensic
interviews,
medical
32
exams,
needs
assessments,
and
referrals
for
victims
of
child
33
abuse
and
their
nonoffending
family
members.
34
16.
Of
the
funds
appropriated
in
this
section,
$100,295
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$210,260
is
allocated
for
the
foster
care
youth
council
1
approach
of
providing
a
support
network
to
children
placed
in
2
foster
care.
3
17.
Of
the
funds
appropriated
in
this
section,
$101,000
4
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
5
continuation
of
the
initiative
to
address
child
sexual
abuse
6
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
7
18,
subsection
21.
8
18.
Of
the
funds
appropriated
in
this
section,
$315,120
9
$630,240
is
allocated
for
the
community
partnership
for
child
10
protection
sites.
11
19.
Of
the
funds
appropriated
in
this
section,
$185,625
12
$371,250
is
allocated
for
the
department’s
minority
youth
and
13
family
projects
under
the
redesign
of
the
child
welfare
system.
14
20.
Of
the
funds
appropriated
in
this
section,
$718,298
15
$1,186,595
is
allocated
for
funding
of
the
community
circle
of
16
care
collaboration
for
children
and
youth
in
northeast
Iowa.
17
21.
Of
the
funds
appropriated
in
this
section,
at
least
18
$73,579
$147,158
shall
be
used
for
the
child
welfare
training
19
academy.
20
22.
Of
the
funds
appropriated
in
this
section,
$12,500
21
$25,000
shall
be
used
for
the
public
purpose
of
continuation
22
of
a
grant
to
a
child
welfare
services
provider
headquartered
23
in
a
county
with
a
population
between
205,000
and
215,000
in
24
the
latest
certified
federal
census
that
provides
multiple
25
services
including
but
not
limited
to
a
psychiatric
medical
26
institution
for
children,
shelter,
residential
treatment,
after
27
school
programs,
school-based
programming,
and
an
Asperger’s
28
syndrome
program,
to
be
used
for
support
services
for
children
29
with
autism
spectrum
disorder
and
their
families.
30
23.
Of
the
funds
appropriated
in
this
section,
$12,500
31
$25,000
shall
be
used
for
the
public
purpose
of
continuing
a
32
grant
to
a
hospital-based
provider
headquartered
in
a
county
33
with
a
population
between
90,000
and
95,000
in
the
latest
34
certified
federal
census
that
provides
multiple
services
35
-49-
LSB
5006HV
(2)
85
pf/jp
49/
95
H.F.
2463
including
but
not
limited
to
diagnostic,
therapeutic,
and
1
behavioral
services
to
individuals
with
autism
spectrum
2
disorder
across
the
lifespan.
The
grant
recipient
shall
3
utilize
the
funds
to
continue
the
pilot
project
to
determine
4
the
necessary
support
services
for
children
with
autism
5
spectrum
disorder
and
their
families
to
be
included
in
the
6
children’s
disabilities
services
system.
The
grant
recipient
7
shall
submit
findings
and
recommendations
based
upon
the
8
results
of
the
pilot
project
to
the
individuals
specified
in
9
this
division
of
this
Act
for
submission
of
reports
by
December
10
31,
2014.
11
24.
Of
the
funds
appropriated
in
this
section,
$163,974
12
$211,872
shall
be
used
for
continuation
of
the
central
Iowa
13
system
of
care
program
grant
through
June
30,
2015.
14
25.
Of
the
funds
appropriated
in
this
section,
$80,000
15
$110,000
shall
be
used
for
the
public
purpose
of
the
16
continuation
of
a
system
of
care
grant
implemented
in
Cerro
17
Gordo
and
Linn
counties.
18
26.
Of
the
funds
appropriated
in
this
section,
at
least
19
$12,500
$25,000
shall
be
used
to
continue
and
to
expand
the
20
foster
care
respite
pilot
program
in
which
postsecondary
21
students
in
social
work
and
other
human
services-related
22
programs
receive
experience
by
assisting
family
foster
care
23
providers
with
respite
and
other
support.
24
27.
Of
the
funds
appropriated
in
this
section,
$160,000
25
shall
be
used
for
the
public
purpose
of
funding
child
welfare
26
services
with
a
system
of
care
approach
through
a
nonprofit
27
provider
of
child
welfare
services
that
has
been
in
existence
28
for
more
than
115
years,
is
located
in
a
county
with
a
29
population
of
more
than
200,000
but
less
than
220,000
according
30
to
the
latest
census
information
issued
by
the
United
States
31
census
bureau
provider,
is
licensed
as
a
psychiatric
medical
32
institution
for
children,
and
has
not
been
a
system
of
care
33
grantee
prior
to
July
1,
2014.
34
Sec.
22.
2013
Iowa
Acts,
chapter
138,
section
149,
is
35
-50-
LSB
5006HV
(2)
85
pf/jp
50/
95
H.F.
2463
amended
to
read
as
follows:
1
SEC.
149.
ADOPTION
SUBSIDY.
2
1.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
5
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purpose
designated:
7
For
adoption
subsidy
payments
and
services:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,364,641
9
42,580,749
10
2.
The
department
may
transfer
funds
appropriated
in
11
this
section
to
the
appropriation
made
in
this
division
of
12
this
Act
for
general
administration
for
costs
paid
from
the
13
appropriation
relating
to
adoption
subsidy.
14
3.
Federal
funds
received
by
the
state
during
the
15
fiscal
year
beginning
July
1,
2014,
as
the
result
of
the
16
expenditure
of
state
funds
during
a
previous
state
fiscal
17
year
for
a
service
or
activity
funded
under
this
section
are
18
appropriated
to
the
department
to
be
used
as
additional
funding
19
for
the
services
and
activities
funded
under
this
section.
20
Notwithstanding
section
8.33
,
moneys
received
in
accordance
21
with
this
subsection
that
remain
unencumbered
or
unobligated
22
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
23
but
shall
remain
available
for
expenditure
for
the
purposes
24
designated
until
the
close
of
the
succeeding
fiscal
year.
25
Sec.
23.
2013
Iowa
Acts,
chapter
138,
section
151,
is
26
amended
to
read
as
follows:
27
SEC.
151.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
28
1.
There
is
appropriated
from
the
general
fund
of
the
29
state
to
the
department
of
human
services
for
the
fiscal
year
30
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
31
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purpose
designated:
33
For
the
family
support
subsidy
program
subject
to
the
34
enrollment
restrictions
in
section
225C.37,
subsection
3
:
35
-51-
LSB
5006HV
(2)
85
pf/jp
51/
95
H.F.
2463
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
546,478
1
1,079,739
2
2.
The
department
shall
use
at
least
$241,750
$532,500
3
of
the
moneys
appropriated
in
this
section
for
the
family
4
support
center
component
of
the
comprehensive
family
support
5
program
under
section
225C.47
.
Not
more
than
$12,500
$25,000
6
of
the
amount
allocated
in
this
subsection
shall
be
used
for
7
administrative
costs.
8
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
9
funding
available
for
the
family
support
subsidy
program
10
is
reduced
from
the
amount
initially
used
to
establish
the
11
figure
for
the
number
of
family
members
for
whom
a
subsidy
12
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
13
notwithstanding
section
225C.38,
subsection
2
,
the
department
14
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
15
of
funding
available.
16
Sec.
24.
2013
Iowa
Acts,
chapter
138,
section
152,
is
17
amended
to
read
as
follows:
18
SEC.
152.
CONNER
DECREE.
There
is
appropriated
from
the
19
general
fund
of
the
state
to
the
department
of
human
services
20
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
21
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
22
to
be
used
for
the
purpose
designated:
23
For
building
community
capacity
through
the
coordination
24
and
provision
of
training
opportunities
in
accordance
with
the
25
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
26
Iowa,
July
14,
1994):
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
28
33,632
29
Sec.
25.
2013
Iowa
Acts,
chapter
138,
section
153,
is
30
amended
to
read
as
follows:
31
SEC.
153.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
32
from
the
general
fund
of
the
state
to
the
department
of
human
33
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
34
June
30,
2015,
the
following
amounts,
or
so
much
thereof
as
is
35
-52-
LSB
5006HV
(2)
85
pf/jp
52/
95
H.F.
2463
necessary,
to
be
used
for
the
purposes
designated:
1
1.
For
the
state
mental
health
institute
at
Cherokee
for
2
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
3
for
not
more
than
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,977,232
5
6,031,934
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
7
2.
For
the
state
mental
health
institute
at
Clarinda
for
8
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
9
for
not
more
than
the
following
full-time
equivalent
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,375,934
11
6,787,309
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
13
3.
For
the
state
mental
health
institute
at
Independence
for
14
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
15
for
not
more
than
the
following
full-time
equivalent
positions:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,159,389
17
10,484,386
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
19
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
20
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
21
and
for
not
more
than
the
following
full-time
equivalent
22
positions:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
683,343
24
1,417,796
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.92
26
Sec.
26.
2013
Iowa
Acts,
chapter
138,
section
154,
is
27
amended
to
read
as
follows:
28
SEC.
154.
STATE
RESOURCE
CENTERS.
29
1.
There
is
appropriated
from
the
general
fund
of
the
30
state
to
the
department
of
human
services
for
the
fiscal
year
31
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
32
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purposes
designated:
34
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
35
-53-
LSB
5006HV
(2)
85
pf/jp
53/
95
H.F.
2463
support,
maintenance,
and
miscellaneous
purposes:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,137,236
2
21,695,266
3
b.
For
the
state
resource
center
at
Woodward
for
salaries,
4
support,
maintenance,
and
miscellaneous
purposes:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,110,232
6
14,855,693
7
2.
The
department
may
continue
to
bill
for
state
resource
8
center
services
utilizing
a
scope
of
services
approach
used
for
9
private
providers
of
ICFID
services,
in
a
manner
which
does
not
10
shift
costs
between
the
medical
assistance
program,
counties,
11
or
other
sources
of
funding
for
the
state
resource
centers.
12
3.
The
state
resource
centers
may
expand
the
time-limited
13
assessment
and
respite
services
during
the
fiscal
year.
14
4.
If
the
department’s
administration
and
the
department
15
of
management
concur
with
a
finding
by
a
state
resource
16
center’s
superintendent
that
projected
revenues
can
reasonably
17
be
expected
to
pay
the
salary
and
support
costs
for
a
new
18
employee
position,
or
that
such
costs
for
adding
a
particular
19
number
of
new
positions
for
the
fiscal
year
would
be
less
20
than
the
overtime
costs
if
new
positions
would
not
be
added,
21
the
superintendent
may
add
the
new
position
or
positions.
If
22
the
vacant
positions
available
to
a
resource
center
do
not
23
include
the
position
classification
desired
to
be
filled,
the
24
state
resource
center’s
superintendent
may
reclassify
any
25
vacant
position
as
necessary
to
fill
the
desired
position.
The
26
superintendents
of
the
state
resource
centers
may,
by
mutual
27
agreement,
pool
vacant
positions
and
position
classifications
28
during
the
course
of
the
fiscal
year
in
order
to
assist
one
29
another
in
filling
necessary
positions.
30
5.
If
existing
capacity
limitations
are
reached
in
31
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
32
a
special
need
for
which
a
payment
source
or
other
funding
33
is
available
for
the
service
or
to
address
the
special
need,
34
and
facilities
for
the
service
or
to
address
the
special
need
35
-54-
LSB
5006HV
(2)
85
pf/jp
54/
95
H.F.
2463
can
be
provided
within
the
available
payment
source
or
other
1
funding,
the
superintendent
of
a
state
resource
center
may
2
authorize
opening
not
more
than
two
units
or
other
facilities
3
and
begin
implementing
the
service
or
addressing
the
special
4
need
during
fiscal
year
2014-2015.
5
Sec.
27.
2013
Iowa
Acts,
chapter
138,
section
155,
is
6
amended
to
read
as
follows:
7
SEC.
155.
SEXUALLY
VIOLENT
PREDATORS.
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,
2014,
and
ending
June
30,
2015,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purpose
designated:
13
For
costs
associated
with
the
commitment
and
treatment
of
14
sexually
violent
predators
in
the
unit
located
at
the
state
15
mental
health
institute
at
Cherokee,
including
costs
of
legal
16
services
and
other
associated
costs,
including
salaries,
17
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
18
more
than
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,708,485
20
9,923,563
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
124.50
22
132.50
23
2.
Unless
specifically
prohibited
by
law,
if
the
amount
24
charged
provides
for
recoupment
of
at
least
the
entire
amount
25
of
direct
and
indirect
costs,
the
department
of
human
services
26
may
contract
with
other
states
to
provide
care
and
treatment
27
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
28
violent
predators
at
Cherokee.
The
moneys
received
under
29
such
a
contract
shall
be
considered
to
be
repayment
receipts
30
and
used
for
the
purposes
of
the
appropriation
made
in
this
31
section.
32
Sec.
28.
2013
Iowa
Acts,
chapter
138,
section
156,
is
33
amended
to
read
as
follows:
34
SEC.
156.
FIELD
OPERATIONS.
There
is
appropriated
from
the
35
-55-
LSB
5006HV
(2)
85
pf/jp
55/
95
H.F.
2463
general
fund
of
the
state
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purposes
designated:
4
For
field
operations,
including
salaries,
support,
5
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
6
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,261,194
8
66,670,976
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
10
1A.
As
a
condition
of
this
appropriation,
the
department
11
shall
make
every
possible
effort
to
fill
the
entire
number
of
12
positions
authorized
by
this
section
and,
unless
specifically
13
provided
otherwise
by
an
applicable
collective
bargaining
14
agreement,
the
department
is
not
subject
to
any
approval
15
requirement
external
to
the
department
to
fill
a
field
16
operations
vacancy
within
the
number
of
full-time
equivalent
17
positions
authorized
by
this
section.
The
department
shall
18
report
on
the
first
of
each
month
to
the
chairpersons
and
19
ranking
members
of
the
appropriations
committees
of
the
senate
20
and
house
of
representatives,
and
the
persons
designated
by
21
this
Act
for
submission
of
reports
concerning
the
status
of
22
filling
the
positions.
23
2.
Priority
in
filling
full-time
equivalent
positions
24
shall
be
given
to
those
positions
related
to
child
protection
25
services
and
eligibility
determination
for
low-income
families.
26
Sec.
29.
2013
Iowa
Acts,
chapter
138,
section
157,
is
27
amended
to
read
as
follows:
28
SEC.
157.
GENERAL
ADMINISTRATION.
There
is
appropriated
29
from
the
general
fund
of
the
state
to
the
department
of
human
30
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
31
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
32
necessary,
to
be
used
for
the
purpose
designated:
33
For
general
administration,
including
salaries,
support,
34
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
35
-56-
LSB
5006HV
(2)
85
pf/jp
56/
95
H.F.
2463
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,152,386
2
16,304,602
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
4
1.
Of
the
funds
appropriated
in
this
section,
$31,772
5
$38,543
is
allocated
for
the
prevention
of
disabilities
policy
6
council
established
in
section
225B.3
.
7
2A.
The
department
shall
report
at
least
monthly
to
the
8
legislative
services
agency
concerning
the
department’s
9
operational
and
program
expenditures.
10
3.
Of
the
funds
appropriated
in
this
section,
$66,150
11
$132,300
shall
be
used
to
continue
the
contract
for
the
12
provision
of
a
program
to
provide
technical
assistance,
13
support,
and
consultation
to
providers
of
habilitation
services
14
and
home
and
community-based
services
waiver
services
for
15
adults
with
disabilities
under
the
medical
assistance
program.
16
4.
Of
the
funds
appropriated
in
this
section,
$25,000
17
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
18
used
for
administrative
support
of
the
council
on
homelessness
19
established
in
section
16.100A
and
for
the
council
to
fulfill
20
its
duties
in
addressing
and
reducing
homelessness
in
the
21
state.
22
5A.
Of
the
funds
appropriated
in
this
section
$250,000
is
23
transferred
to
the
department
of
inspections
and
appeals
to
be
24
used
to
implement
a
new
mental
health
advocate
division
in
the
25
department
in
accordance
with
this
2014
Act.
26
Sec.
30.
2013
Iowa
Acts,
chapter
138,
section
158,
is
27
amended
to
read
as
follows:
28
SEC.
158.
VOLUNTEERS.
There
is
appropriated
from
the
29
general
fund
of
the
state
to
the
department
of
human
services
30
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
31
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
32
to
be
used
for
the
purpose
designated:
33
For
development
and
coordination
of
volunteer
services:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
35
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5006HV
(2)
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95
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2463
84,686
1
Sec.
31.
2013
Iowa
Acts,
chapter
138,
section
159,
2
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
to
read
3
as
follows:
4
(1)
For
the
fiscal
year
beginning
July
1,
2014,
the
total
5
state
funding
amount
for
the
nursing
facility
budget
shall
not
6
exceed
$268,712,511
$282,878,824
.
7
Sec.
32.
2013
Iowa
Acts,
chapter
138,
section
159,
8
subsection
1,
paragraph
b,
is
amended
to
read
as
follows:
9
b.
(1)
For
the
fiscal
year
beginning
July
1,
2014,
10
the
department
shall
continue
the
pharmacy
dispensing
fee
11
reimbursement
at
$10.12
per
prescription
until
a
cost
of
12
dispensing
survey
is
completed
.
The
actual
dispensing
fee
13
shall
be
determined
by
a
cost
of
dispensing
survey
performed
14
by
the
department
and
required
to
be
completed
by
all
medical
15
assistance
program
participating
pharmacies
every
two
years
16
beginning
in
FY
2014-2015.
17
(2)
The
department
shall
utilize
an
average
acquisition
18
cost
reimbursement
methodology
for
all
drugs
covered
under
the
19
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
20
chapter
1133,
section
33.
21
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
22
Medicare
and
Medicaid
services
of
the
United
States
department
23
of
health
and
human
services
(CMS)
requires,
as
a
condition
24
of
federal
Medicaid
funding,
that
the
department
implement
an
25
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
26
based
on
the
average
manufacturer’s
price
(AMP),
the
department
27
may
utilize
a
reimbursement
methodology
for
all
drugs
covered
28
under
the
Medicaid
program
based
on
the
national
average
drug
29
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
30
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
31
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
32
administrative
costs,
and
minimize
any
change
in
the
aggregate
33
reimbursement
for
drugs.
The
department
may
adopt
emergency
34
rules
to
implement
this
subparagraph.
35
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2463
Sec.
33.
2013
Iowa
Acts,
chapter
138,
section
159,
1
subsection
1,
paragraph
n,
is
amended
to
read
as
follows:
2
n.
For
the
fiscal
year
beginning
July
1,
2014,
the
3
reimbursement
rates
for
inpatient
mental
health
services
4
provided
at
hospitals
shall
remain
at
the
rates
in
effect
5
on
June
30,
2014,
subject
to
Medicaid
program
upper
payment
6
limit
rules;
community
mental
health
centers
and
providers
7
of
mental
health
services
to
county
residents
pursuant
to
a
8
waiver
approved
under
section
225C.7,
subsection
3
,
shall
be
9
reimbursed
at
100
percent
of
the
reasonable
costs
for
the
10
provision
of
services
to
recipients
of
medical
assistance;
and
11
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
12
program
fee
for
service
rate.
13
Sec.
34.
2013
Iowa
Acts,
chapter
138,
section
159,
14
subsection
1,
is
amended
by
adding
the
following
new
paragraph:
15
NEW
PARAGRAPH
.
0o.
For
the
fiscal
year
beginning
July
16
1,
2014,
community
mental
health
centers
may
choose
to
be
17
reimbursed
for
the
services
provided
to
recipients
of
medical
18
assistance
through
either
of
the
following
options:
19
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
20
(2)
In
accordance
with
the
alternative
reimbursement
rate
21
methodology
established
by
the
medical
assistance
program’s
22
managed
care
contractor
for
mental
health
services
and
approved
23
by
the
department
of
human
services.
24
Sec.
35.
2013
Iowa
Acts,
chapter
138,
section
159,
25
subsection
6,
is
amended
to
read
as
follows:
26
6.
For
the
fiscal
year
beginning
July
1,
2014,
the
27
reimbursement
rates
for
family-centered
service
providers,
28
family
foster
care
service
providers,
group
foster
care
service
29
providers,
and
the
resource
family
recruitment
and
retention
30
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
31
2014.
32
Sec.
36.
2013
Iowa
Acts,
chapter
138,
section
159,
is
33
amended
by
adding
the
following
new
subsection:
34
NEW
SUBSECTION
.
6A.
a.
For
the
purposes
of
this
35
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2463
subsection,
“combined
reimbursement
rate”
means
the
combined
1
service
and
maintenance
reimbursement
rate
for
a
service
level
2
under
the
department’s
reimbursement
methodology.
3
b.
For
the
fiscal
year
beginning
July
1,
2014,
the
combined
4
reimbursement
rate
for
the
department’s
group
foster
care
5
service
levels,
community
-
D1,
comprehensive
-
D2,
and
6
enhanced
-
D3,
shall
be
80
percent
of
the
patient-day
weighted
7
statewide
average
cost
of
group
foster
care
cost
reports
8
that
were
verified
and
used
for
the
foster
group
care
rate
9
methodology
workgroup
final
report
submitted
to
the
general
10
assembly
in
December
2012,
as
adjusted
for
utilization
in
the
11
fiscal
year
beginning
July
1,
2014.
12
Sec.
37.
2013
Iowa
Acts,
chapter
138,
section
159,
13
subsection
9,
is
amended
to
read
as
follows:
14
9.
For
the
fiscal
year
beginning
July
1,
2013
2014
,
the
15
department
shall
calculate
reimbursement
rates
for
intermediate
16
care
facilities
for
persons
with
intellectual
disabilities
at
17
the
80th
percentile.
Beginning
July
1,
2013
2014
,
the
rate
18
calculation
methodology
shall
utilize
the
consumer
price
index
19
inflation
factor
applicable
to
the
fiscal
year
beginning
July
20
1,
2013.
21
Sec.
38.
2013
Iowa
Acts,
chapter
138,
section
160,
is
22
amended
to
read
as
follows:
23
SEC.
160.
EMERGENCY
RULES.
24
1.
If
specifically
authorized
by
a
provision
of
this
25
division
of
this
Act
for
the
fiscal
year
beginning
July
1,
2013
26
2014
,
the
department
of
human
services
or
the
mental
health
27
and
disability
services
commission
may
adopt
administrative
28
rules
under
section
17A.4,
subsection
3
,
and
section
17A.5,
29
subsection
2
,
paragraph
“b”,
to
implement
the
provisions
and
30
the
rules
shall
become
effective
immediately
upon
filing
or
31
on
a
later
effective
date
specified
in
the
rules,
unless
the
32
effective
date
is
delayed
by
the
administrative
rules
review
33
committee.
Any
rules
adopted
in
accordance
with
this
section
34
shall
not
take
effect
before
the
rules
are
reviewed
by
the
35
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administrative
rules
review
committee.
The
delay
authority
1
provided
to
the
administrative
rules
review
committee
under
2
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
3
shall
be
applicable
to
a
delay
imposed
under
this
section
,
4
notwithstanding
a
provision
in
those
sections
making
them
5
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”
.
6
Any
rules
adopted
in
accordance
with
the
provisions
of
this
7
section
shall
also
be
published
as
notice
of
intended
action
8
as
provided
in
section
17A.4
.
9
2.
If
during
the
fiscal
year
beginning
July
1,
2013
10
2014
,
the
department
of
human
services
is
adopting
rules
in
11
accordance
with
this
section
or
as
otherwise
directed
or
12
authorized
by
state
law,
and
the
rules
will
result
in
an
13
expenditure
increase
beyond
the
amount
anticipated
in
the
14
budget
process
or
if
the
expenditure
was
not
addressed
in
15
the
budget
process
for
the
fiscal
year,
the
department
shall
16
notify
the
persons
designated
by
this
division
of
this
Act
for
17
submission
of
reports,
the
chairpersons
and
ranking
members
18
of
the
committees
on
appropriations,
and
the
department
of
19
management
concerning
the
rules
and
the
expenditure
increase.
20
The
notification
shall
be
provided
at
least
30
calendar
days
21
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
22
administrative
rules
coordinator
and
the
administrative
code
23
editor.
24
Sec.
39.
2013
Iowa
Acts,
chapter
138,
section
161,
is
25
amended
to
read
as
follows:
26
SEC.
161.
REPORTS.
Any
reports
or
other
information
27
required
to
be
compiled
and
submitted
under
this
Act
during
28
the
fiscal
year
beginning
July
1,
2013
2014
,
shall
be
29
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
30
appropriations
subcommittee
on
health
and
human
services,
the
31
legislative
services
agency,
and
the
legislative
caucus
staffs
32
on
or
before
the
dates
specified
for
submission
of
the
reports
33
or
information.
34
DIVISION
VI
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HEALTH
CARE
ACCOUNTS
AND
FUNDS
1
Sec.
40.
2013
Iowa
Acts,
chapter
138,
section
162,
is
2
amended
to
read
as
follows:
3
SEC.
162.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
4
appropriated
from
the
pharmaceutical
settlement
account
created
5
in
section
249A.33
to
the
department
of
human
services
for
the
6
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
7
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
8
used
for
the
purpose
designated:
9
Notwithstanding
any
provision
of
law
to
the
contrary,
to
10
supplement
the
appropriations
made
in
this
Act
for
medical
11
contracts
under
the
medical
assistance
program
for
the
fiscal
12
year
beginning
July
1,
2013
2014
,
and
ending
June
30,
2014
13
2015
:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,325,000
15
5,467,564
16
Sec.
41.
2013
Iowa
Acts,
chapter
138,
section
163,
is
17
amended
to
read
as
follows:
18
SEC.
163.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
19
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
20
and
subject
to
the
availability
of
funds,
there
is
appropriated
21
from
the
quality
assurance
trust
fund
created
in
section
22
249L.4
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
24
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
25
designated:
26
To
supplement
the
appropriation
made
in
this
Act
from
the
27
general
fund
of
the
state
to
the
department
of
human
services
28
for
medical
assistance
for
the
same
fiscal
year:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
28,788,917
30
29,195,653
31
DIVISION
VII
32
PERSONNEL
SETTLEMENT
AGREEMENTS
33
Sec.
42.
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS.
As
a
34
condition
of
the
appropriations
in
this
2014
Act,
the
moneys
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appropriated
and
any
other
moneys
available
shall
not
be
used
1
for
payment
of
a
personnel
settlement
agreement
that
contains
a
2
confidentiality
provision
intended
to
prevent
public
disclosure
3
of
the
agreement
or
any
terms
of
the
agreement.
4
DIVISION
VIII
5
PRIOR
YEAR
APPROPRIATIONS
6
MEDICAL
RESIDENCY
7
Sec.
43.
2013
Iowa
Acts,
chapter
138,
section
3,
subsection
8
4,
paragraph
r,
is
amended
to
read
as
follows:
9
r.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
10
shall
be
deposited
in
the
medical
residency
training
account
11
created
in
section
135.175,
subsection
5,
paragraph
“a”
,
and
12
is
appropriated
from
the
account
to
the
department
of
public
13
health
to
be
used
for
the
purposes
of
the
medical
residency
14
training
state
matching
grants
program
as
specified
in
section
15
135.176
.
However,
notwithstanding
any
provision
to
the
16
contrary
in
section
135.176,
priority
in
the
awarding
of
grants
17
shall
be
given
to
the
development
of
new
medical
residency
18
positions,
psychiatric
residency
positions,
and
family
practice
19
residency
positions.
20
CONSUMER-DIRECTED
ATTENDANT
CARE
21
Sec.
44.
2013
Iowa
Acts,
chapter
138,
section
12,
subsection
22
19,
paragraph
a,
subparagraph
(6),
is
amended
to
read
as
23
follows:
24
(6)
The
department
shall
require
transition
of
the
25
provision
by
individual
providers
of
personal
care
under
the
26
consumer-directed
attendant
care
option
to
agency-provided
27
personal
care
services
and
shall
retain
the
consumer
choice
28
option
for
those
individuals
able
and
desiring
to
self-direct
29
services.
30
AUTISM
31
Sec.
45.
2013
Iowa
Acts,
chapter
138,
section
13,
subsection
32
10,
is
amended
to
read
as
follows:
33
10.
Of
the
funds
appropriated
in
this
section,
$2,000,000
34
shall
be
used
for
the
autism
support
program
created
in
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chapter
225D
,
as
enacted
in
this
Act,
beginning
January
1,
1
2014.
Notwithstanding
section
8.33,
moneys
allocated
in
this
2
subsection
that
remain
unencumbered
or
unobligated
at
the
close
3
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
4
for
expenditure
for
the
purposes
designated
until
the
close
of
5
the
succeeding
fiscal
year.
6
FOSTER
CARE
RESPITE
7
Sec.
46.
2013
Iowa
Acts,
chapter
138,
section
18,
subsection
8
26,
is
amended
to
read
as
follows:
9
26.
Of
the
funds
appropriated
in
this
section,
at
least
10
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
11
care
respite
pilot
program
in
which
postsecondary
students
in
12
social
work
and
other
human
services-related
programs
receive
13
experience
by
assisting
family
foster
care
providers
with
14
respite
and
other
support.
Notwithstanding
section
8.33,
15
moneys
allocated
in
this
subsection
that
remain
unencumbered
or
16
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
17
but
shall
remain
available
for
expenditure
for
the
purposes
18
designated
until
the
close
of
the
succeeding
fiscal
year.
19
COMMUNITY
MENTAL
HEALTH
CENTER
REIMBURSEMENT
20
Sec.
47.
2013
Iowa
Acts,
chapter
138,
section
29,
subsection
21
1,
paragraph
n,
is
amended
to
read
as
follows:
22
n.
For
the
fiscal
year
beginning
July
1,
2013,
the
23
reimbursement
rates
for
inpatient
mental
health
services
24
provided
at
hospitals
shall
be
increased
by
1
percent
over
the
25
rates
in
effect
on
June
30,
2013,
subject
to
Medicaid
program
26
upper
payment
limit
rules;
community
mental
health
centers
27
and
providers
of
mental
health
services
to
county
residents
28
pursuant
to
a
waiver
approved
under
section
225C.7,
subsection
29
3
,
shall
be
reimbursed
at
100
percent
of
the
reasonable
30
costs
for
the
provision
of
services
to
recipients
of
medical
31
assistance;
and
psychiatrists
shall
be
reimbursed
at
the
32
medical
assistance
program
fee-for-service
rate.
33
Sec.
48.
2013
Iowa
Acts,
chapter
138,
section
29,
subsection
34
1,
is
amended
by
adding
the
following
new
paragraph:
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NEW
PARAGRAPH
.
0o.
For
the
fiscal
year
beginning
July
1
1,
2013,
community
mental
health
centers
may
choose
to
be
2
reimbursed
for
the
services
provided
to
recipients
of
medical
3
assistance
through
either
of
the
following
options:
4
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
5
(2)
In
accordance
with
the
alternative
reimbursement
rate
6
methodology
established
by
the
medical
assistance
program’s
7
managed
care
contractor
for
mental
health
services
and
approved
8
by
the
department
of
human
services.
9
Sec.
49.
EMERGENCY
RULES.
The
department
of
human
services
10
may
adopt
emergency
rules
under
section
17A.4,
subsection
3,
11
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
12
the
section
of
this
division
of
this
Act
amending
2013
Iowa
13
Acts,
chapter
138,
section
29,
subsection
1,
paragraph
“n”
and
14
enacting
“0o”,
and
the
rules
shall
be
effective
immediately
15
upon
filing
unless
a
later
date
is
specified
in
the
rules.
Any
16
rules
adopted
in
accordance
with
this
section
shall
also
be
17
published
as
a
notice
of
intended
action
as
provided
in
section
18
17A.4.
19
Sec.
50.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
20
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
21
enactment.
22
Sec.
51.
RETROACTIVE
APPLICABILITY.
The
section
of
this
23
division
of
this
Act
amending
2013
Iowa
Acts,
chapter
138,
24
section
12,
subsection
19,
paragraph
“a”,
subparagraph
(6),
25
applies
retroactively
to
July
1,
2013.
26
Sec.
52.
RETROACTIVE
APPLICABILITY.
The
sections
of
this
27
division
of
this
Act
amending
2013
Iowa
Acts,
chapter
138,
28
section
29,
subsection
1,
paragraph
“n”
and
enacting
new
29
paragraph
“0o”,
apply
retroactively
to
July
1,
2013.
30
DIVISION
IX
31
MENTAL
HEALTH
AND
DISABILITY
SERVICES
32
Sec.
53.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
33
EQUALIZATION
PAYMENTS
TRANSFER
AND
APPROPRIATION.
34
1.
There
is
transferred
from
the
general
fund
of
the
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state
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
2
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purposes
designated:
4
For
deposit
in
the
property
tax
relief
fund
created
in
5
section
426B.1
,
for
distribution
as
provided
in
this
section:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
30,555,823
7
2.
The
moneys
credited
to
the
property
tax
relief
fund
in
8
accordance
with
this
section
are
appropriated
to
the
department
9
of
human
services
for
distribution
of
equalization
payments
for
10
counties
in
the
amounts
specified
in
section
426B.3,
subsection
11
4
,
for
the
fiscal
year
beginning
July
1,
2014.
If
the
county
12
is
part
of
a
region
that
has
been
approved
by
the
department
in
13
accordance
with
section
331.389
,
to
commence
partial
or
full
14
operations,
the
county’s
equalization
payment
shall
be
remitted
15
to
the
region
for
expenditure
as
approved
by
the
region’s
16
governing
board.
17
3.
a.
For
the
purposes
of
this
subsection,
“payment
18
obligation”
means
an
outstanding
obligation
for
payment
to
19
the
department
of
human
services
for
the
undisputed
cost
of
20
services
provided
under
the
medical
assistance
program
prior
21
to
July
1,
2012,
or
for
the
undisputed
cost
of
non-Medicaid
22
services
provided
prior
to
July
1,
2013.
23
b.
Unless
a
county
has
entered
into
an
agreement
as
provided
24
in
paragraph
“c”,
if
a
county
receiving
an
equalization
payment
25
under
this
section
has
a
payment
obligation,
the
county
shall
26
remit
to
the
department
any
unpaid
portion
of
the
payment
27
obligation
prior
to
June
30,
2015,
from
moneys
available
to
the
28
county
that
meet
federal
match
requirements
for
the
medical
29
assistance
program
and
for
the
child
enrollment
contingency
30
fund
under
the
federal
Children’s
Health
Insurance
Program
31
Reauthorization
Act
of
2009.
32
c.
A
county
that
has
not
paid
the
county’s
payment
33
obligation
in
full
as
provided
in
paragraph
“b”
shall
enter
34
into
an
agreement
with
the
department
for
remittance
of
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any
unpaid
portion
of
the
county’s
payment
obligation.
An
1
agreement
entered
into
under
this
lettered
paragraph
shall
2
provide
for
remittance
of
any
unpaid
portion
by
the
end
of
3
the
fiscal
year
beginning
July
1,
2014.
The
equalization
4
payment
for
a
county
subject
to
this
lettered
paragraph
shall
5
be
remitted
as
provided
by
the
county’s
agreement
with
the
6
department.
7
d.
The
equalization
payment
for
a
county
that
is
not
subject
8
to
paragraph
“c”
shall
be
remitted
on
or
before
July
15,
2014.
9
Sec.
54.
STATE
PAYMENT
PROGRAM
REMITTANCE
APPROPRIATION.
10
The
moneys
transferred
to
the
property
tax
relief
fund
for
the
11
fiscal
year
beginning
July
1,
2014,
from
the
federal
social
12
services
block
grant
pursuant
to
2013
Iowa
Acts,
chapter
136,
13
section
11,
subsection
3,
paragraph
“e”,
and
from
the
federal
14
temporary
assistance
for
needy
families
block
grant,
totaling
15
at
least
$11,774,275,
are
appropriated
to
the
department
of
16
human
services
for
the
fiscal
year
beginning
July
1,
2014,
to
17
be
used
for
distribution
of
state
payment
program
remittances
18
to
counties
for
the
fiscal
year
in
accordance
with
this
19
section.
The
state
payment
program
remittance
shall
be
an
20
amount
equal
to
the
amount
paid
to
a
county
of
residence
under
21
the
program
for
state
case
services
known
as
the
state
payment
22
program,
implemented
pursuant
to
section
331.440,
subsection
23
5
,
Code
2013,
during
the
most
recently
available
twelve-month
24
period.
25
Sec.
55.
VOCATIONAL
REHABILITATION
SERVICES
——
26
EMPLOYMENT.
The
department
of
human
services
and
the
division
27
of
vocational
rehabilitation
services
of
the
department
of
28
education
shall
jointly
develop
protocols
and
program
models
to
29
integrate
the
employment-related
services
and
other
supports
30
provided
to
persons
with
disabilities
through
federal
match
31
funding
administered
by
the
department
and
the
division.
32
The
department
and
the
division
shall
report
on
or
before
33
December
15,
2014,
to
the
individuals
identified
in
this
Act
34
for
submission
of
reports
and
to
the
chairpersons
and
ranking
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members
of
the
joint
appropriations
subcommittee
on
education
1
on
the
expenditure
of
such
funding
in
the
previous
fiscal
year
2
along
with
findings
and
recommendations.
3
Sec.
56.
BED
AVAILABILITY
TRACKING
SYSTEM
PROPOSAL.
The
4
department
of
human
services
shall
continue
and
expand
upon
5
the
study
regarding
the
possible
development
of
a
psychiatric
6
and
substance-related
disorder
treatment
hospital
bed
tracking
7
system
as
documented
in
its
report
submitted
in
December
8
2013
pursuant
to
2013
Iowa
Acts,
chapter
130,
section
56.
9
In
addition
to
representatives
of
magistrates
and
the
Iowa
10
hospital
association,
the
expanded
study
shall
include
11
representatives
of
the
regional
mental
health
and
disability
12
services
system,
state
mental
health
institutes,
and
the
Iowa
13
association
of
community
providers.
The
study
shall
identify
14
options
for
implementing
a
bed
tracking
system
in
the
fiscal
15
year
beginning
July
1,
2015,
and
include
a
detailed
proposal
16
for
the
option
preferred
by
the
study
group.
The
content
of
17
the
detailed
proposal
shall
include
a
budget,
identification
18
of
how
bed
availability
and
related
data
would
be
entered
19
into
the
system
and
verified,
how
privacy
information
would
20
be
protected,
preferred
options
and
rationales
for
addressing
21
implementation
issues,
a
preferred
administrative
structure,
22
and
other
operational
provisions.
The
results
of
the
expanded
23
study
shall
be
submitted
on
or
before
December
15,
2014,
along
24
with
findings
and
recommendations
to
the
governor
and
the
25
persons
designated
by
this
Act
for
submission
of
reports.
26
Sec.
57.
STUDY
OF
COMMUNITY-BASED
SERVICE
OPTIONS
FOR
27
PERSONS
WITH
SERIOUS
MENTAL
ILLNESS.
The
department
of
28
human
services
shall
engage
representatives
of
the
department
29
of
inspections
and
appeals,
the
regional
mental
health
and
30
disability
services
system,
the
Iowa
association
of
community
31
providers
and
other
service
providers,
and
other
stakeholders
32
to
study
community-based
placement
options
for
persons
with
33
serious
mental
illness
to
divert
them
from
or
end
their
need
34
for
an
institutional
placement.
The
study
shall
consider
35
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both
services
currently
available
and
services
that
should
1
be
developed
to
meet
the
needs
of
persons
with
serious
2
mental
illness.
The
system
elements
addressed
by
the
study
3
shall
include
but
are
not
limited
to
regulatory,
liability,
4
and
funding
issues,
and
other
barriers
to
maintaining
5
current
community-based
services
options
and
developing
new
6
options.
The
results
of
the
study,
including
findings
and
7
recommendations
shall
be
reported
on
or
before
December
15,
8
2014,
to
the
governor
and
the
persons
designated
by
this
Act
9
for
submission
of
reports.
10
Sec.
58.
Section
331.388,
subsection
3,
Code
2014,
is
11
amended
to
read
as
follows:
12
3.
“Population”
means
,
as
of
July
1
of
the
fiscal
year
13
preceding
the
fiscal
year
in
which
the
population
figure
is
14
applied,
the
population
shown
by
the
latest
preceding
certified
15
federal
census
or
the
latest
applicable
population
estimate
16
issued
by
the
United
States
census
bureau,
whichever
is
most
17
recent.
18
Sec.
59.
Section
331.391,
Code
2014,
is
amended
by
adding
19
the
following
new
subsection:
20
NEW
SUBSECTION
.
4.
If
a
region
is
meeting
the
financial
21
obligations
for
implementation
of
its
regional
service
system
22
management
plan
for
a
fiscal
year
and
residual
funding
is
23
anticipated,
the
regional
administrator
shall
reserve
an
24
adequate
amount
for
cash
flow
of
expenditure
obligations
in
25
the
next
fiscal
year.
The
cash
flow
amount
shall
not
exceed
26
twenty-five
percent
of
the
gross
expenditures
budgeted
for
the
27
combined
account
or
for
all
regional
accounts
for
the
fiscal
28
year
in
progress.
Residual
funding
remaining
after
the
cash
29
flow
amount
is
reserved
shall
be
used
to
expand
the
region’s
30
core
services
under
section
331.397,
subsection
4,
and
then
to
31
make
additional
core
service
domains
available
in
the
region
as
32
enumerated
in
section
331.397,
subsection
6.
33
Sec.
60.
Section
331.397,
subsection
4,
paragraph
d,
34
unnumbered
paragraph
1,
Code
2014,
is
amended
to
read
as
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follows:
1
Support
for
employment
or
for
activities
leading
to
2
employment
providing
an
appropriate
match
with
an
individual’s
3
abilities
,
including
but
not
limited
to
all
of
the
following:
4
Sec.
61.
Section
331.424A,
Code
2014,
is
amended
by
adding
5
the
following
new
subsection:
6
NEW
SUBSECTION
.
3A.
An
amount
shall
be
reserved
in
the
7
county
services
fund
to
address
cash
flow
obligations
in
the
8
next
fiscal
year.
The
cash
flow
amount
shall
not
exceed
9
twenty-five
percent
of
the
gross
expenditures
budgeted
from
the
10
county
services
fund
for
the
fiscal
year
in
progress.
The
cash
11
flow
amount
for
a
county’s
services
fund
shall
be
specified
in
12
the
regional
governance
agreement
entered
into
by
the
county
13
under
section
331.392.
14
Sec.
62.
Section
426B.3,
subsection
4,
Code
2014,
is
amended
15
to
read
as
follows:
16
4.
a.
For
the
fiscal
years
beginning
July
1,
2013,
17
and
July
1,
2014,
and
July
1,
2015,
a
county
with
a
county
18
population
expenditure
target
amount
that
exceeds
the
amount
19
of
the
county’s
base
year
expenditures
for
mental
health
and
20
disabilities
services
shall
receive
an
equalization
payment
for
21
the
difference.
22
b.
The
equalization
payments
determined
in
accordance
23
with
this
subsection
shall
be
made
by
the
department
of
human
24
services
for
each
fiscal
year
as
provided
in
appropriations
25
made
from
the
property
tax
relief
fund
for
this
purpose.
If
26
the
county
is
part
of
a
region
that
has
been
approved
by
the
27
department
in
accordance
with
section
331.389
,
to
commence
28
partial
or
full
operations,
the
county’s
equalization
payment
29
shall
be
remitted
to
the
region
or
the
county,
as
appropriate,
30
for
expenditure
as
approved
by
the
region’s
governing
board
or
31
in
accordance
with
the
county’s
service
management
plan,
as
32
appropriate.
The
payment
for
a
county
that
has
been
approved
33
by
the
department
to
operate
as
an
individual
county
region
34
shall
be
remitted
to
the
county
for
expenditure
as
approved
by
35
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the
county
board
of
supervisors.
For
the
fiscal
year
beginning
1
July
1,
2013,
and
succeeding
fiscal
years,
the
payment
shall
2
be
remitted
on
or
before
December
31
only
for
those
counties
3
approved
to
operate
as
an
individual
county
region
or
to
be
4
part
of
a
region.
Remittance
of
the
payment
for
a
county
5
without
such
approval
shall
be
deferred
until
such
approval
is
6
granted.
7
Sec.
63.
Section
426B.3,
subsection
5,
paragraph
b,
Code
8
2014,
is
amended
to
read
as
follows:
9
b.
(1)
For
the
fiscal
year
beginning
July
1,
2013,
and
10
succeeding
fiscal
years,
the
department
of
human
services
shall
11
calculate
a
Medicaid
offset
amount
for
each
county
for
the
12
fiscal
year.
The
department
shall
adopt
rules
in
consultation
13
with
the
county
finance
committee
specifying
the
information
14
to
be
used
in
calculating
a
Medicaid
offset
amount.
The
15
information
shall
include
but
is
not
limited
to
identification
16
of
the
amount
expended
for
specific
services
and
supports
that
17
would
otherwise
be
payable
by
the
county
for
persons
eligible
18
under
a
county’s
approved
service
management
plan
but
are
were
19
instead
paid
by
the
Iowa
health
and
wellness
plan.
The
amount
20
calculated
for
a
county
shall
be
subject
to
review
by
the
21
auditor
of
that
county
or
subject
to
independent
audit.
The
22
Medicaid
offset
amounts
calculated
for
the
counties
are
subject
23
to
review
by
the
auditor
of
state
prior
to
their
certification.
24
The
Medicaid
offset
amounts
calculated
by
the
department
for
a
25
county
for
a
fiscal
year
are
not
official
until
certified
by
26
the
director
of
human
services
and
submitted
to
the
governor
27
and
general
assembly
by
October
15
December
1
immediately
28
following
the
end
of
the
fiscal
year
for
which
the
offset
29
amounts
were
calculated.
30
(2)
In
implementing
subparagraph
(1),
a
county’s
offset
31
amount
for
the
fiscal
year
beginning
July
1,
2013,
shall
be
32
calculated
by
first
identifying
the
actual
amounts
expended
33
from
the
county’s
services
fund
during
the
base
period
of
July
34
1,
2013,
through
December
31,
2013,
for
services
and
supports
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provided
to
persons
who
became
eligible
for
the
Iowa
health
1
and
wellness
plan
during
the
implementation
period
of
January
2
1,
2014,
and
June
30,
2014.
For
purposes
of
calculating
the
3
offset
amount,
it
shall
be
assumed
that
the
expenditures
for
4
the
same
services
and
supports
provided
under
the
plan
during
5
the
implementation
period
are
equal
to
the
amount
expended
by
6
the
county
for
those
services
and
supports
for
the
comparable
7
time
during
the
base
period.
8
Sec.
64.
2013
Iowa
Acts,
chapter
136,
section
11,
subsection
9
3,
paragraph
e,
is
amended
to
read
as
follows:
10
e.
To
be
credited
to
the
property
tax
relief
fund
created
11
in
section
426B.1
:
12
(1)
FY
2013-2014
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,480,233
14
Of
the
amount
allocated
in
this
subparagraph,
up
to
15
$600,000
may
be
used
by
the
department
of
human
services
for
16
distribution
to
counties
for
state
case
services
provided
17
in
prior
fiscal
years
for
persons
with
mental
illness,
18
intellectual
disability,
or
a
developmental
disability
in
19
accordance
with
section
331.440,
Code
2013
.
20
(2)
FFY
2014-2015
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,480,233
22
Of
the
amount
allocated
in
this
subparagraph,
up
to
23
$600,000
may
be
used
by
the
department
of
human
services
for
24
distribution
to
counties
for
state
case
services
provided
for
25
persons
with
mental
illness,
intellectual
disability,
or
a
26
developmental
disability
in
accordance
with
section
331.440,
27
Code
2013,
or
in
accordance
with
a
dispute
resolution
process
28
implemented
in
accordance
with
section
331.394,
subsection
5
29
or
6.
30
DIVISION
X
31
FAMILY
SUPPLEMENTATION
32
Sec.
65.
Section
249A.4,
subsection
10,
paragraph
b,
33
subparagraph
(6),
Code
2014,
is
amended
to
read
as
follows:
34
(6)
Supplementation
shall
not
be
applicable
if
the
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facility’s
occupancy
rate
is
less
than
eighty
fifty
percent.
1
DIVISION
XI
2
MISCELLANEOUS
3
Sec.
66.
Section
217.32,
Code
2014,
is
amended
to
read
as
4
follows:
5
217.32
Office
space
in
county.
6
Where
the
department
of
human
services
assigns
personnel
to
7
an
office
located
in
a
county
for
the
purpose
of
performing
in
8
that
county
designated
duties
and
responsibilities
assigned
by
9
law
to
the
department,
it
shall
be
the
responsibility
of
the
10
county
to
provide
and
maintain
the
necessary
office
space
and
11
office
supplies
and
equipment
for
the
personnel
so
assigned
12
in
the
same
manner
as
if
they
were
employees
of
the
county.
13
The
department
shall
at
least
annually,
or
more
frequently
if
14
the
department
so
elects,
reimburse
the
county
for
a
portion,
15
designated
by
law,
of
the
cost
of
maintaining
office
space
and
16
providing
supplies
and
equipment
as
required
by
this
section
,
17
and
also
for
a
similar
portion
of
the
cost
of
providing
the
18
necessary
office
space
if
in
order
to
do
so
it
is
necessary
19
for
the
county
to
lease
office
space
outside
the
courthouse
or
20
any
other
building
owned
by
the
county.
The
portion
of
the
21
foregoing
costs
reimbursed
to
the
county
under
this
section
22
shall
be
equivalent
to
the
proportion
of
those
costs
which
23
the
federal
government
authorizes
to
be
paid
from
available
24
federal
funds,
unless
the
general
assembly
directs
otherwise
25
when
appropriating
funds
for
support
of
the
department.
The
26
department
shall
annually
report
to
the
auditor
of
state,
on
27
or
before
November
1,
detailing
for
the
preceding
fiscal
year
28
the
charges
to
and
costs
incurred
by
each
county
for
office
29
space
and
for
providing
supplies
and
equipment
and
the
amounts
30
reimbursed
by
the
department
in
accordance
with
this
section.
31
The
auditor
of
state
shall
analyze
the
information
and
publicly
32
issue
an
opinion
as
to
whether
the
charges
and
costs
incurred
33
and
reimbursement
amounts
are
reasonable,
as
compared
to
cost
34
limitations
and
reimbursement
amounts
applied
by
the
department
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to
private
providers,
to
federal
cost
guidelines,
and
to
other
1
standards
identified
by
the
auditor
of
state.
2
Sec.
67.
Section
256I.8,
subsection
3,
Code
2014,
is
amended
3
to
read
as
follows:
4
3.
An
area
board
shall
not
be
a
provider
of
services
to
or
5
for
the
area
board
except
as
authorized
by
a
waiver
granted
6
by
the
state
board
.
The
state
board
shall
adopt
criteria
7
for
granting
a
waiver
based
upon
cost
effectiveness,
service
8
quality
improvement
or
maintenance,
or
other
appropriate
basis
9
identified
by
the
state
board.
10
DIVISION
XII
11
ASSET
VERIFICATION
12
Sec.
68.
MEDICAID
PROGRAM
——
ASSET,
INCOME,
AND
IDENTITY
13
VERIFICATION.
The
department
of
human
services
shall
contract
14
with
a
third-party
vendor
to
establish
an
electronic
asset,
15
income,
and
identity
eligibility
verification
system
for
the
16
purposes
of
determining
or
redetermining
the
eligibility
of
17
an
individual
who
is
an
applicant
for
or
recipient
of
medical
18
assistance
under
the
Medicaid
state
plan
on
the
basis
of
19
being
aged,
blind,
or
disabled
in
accordance
with
42
U.S.C.
20
§1396w.
The
third-party
vendor
shall
be
able
to
demonstrate
in
21
writing
its
current
relationships
or
contracts
with
financial
22
institutions
in
the
state
and
nationally.
Participation
by
23
financial
institutions
in
providing
account
balances
for
asset
24
verification
shall
remain
voluntary.
The
department
of
human
25
services
shall
submit
by
September
1,
2014,
a
progress
report
26
to
the
individuals
identified
in
this
2014
Act
for
submission
27
of
reports.
28
Sec.
69.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
29
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
30
enactment.
31
DIVISION
XIII
32
INTERDEPARTMENTAL
COORDINATION
——
INDIVIDUALS
RELEASED
FROM
33
CORRECTIONAL
SYSTEM
34
Sec.
70.
INTERDEPARTMENTAL
COORDINATION
——
INDIVIDUALS
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RELEASED
FROM
THE
CORRECTIONAL
SYSTEM.
1
1.
The
department
of
human
services,
the
department
2
of
public
health,
and
the
department
of
corrections
shall
3
implement
an
interagency
collaborative
effort
to
provide
an
4
integrated
approach
to
address
the
medical
and
psychosocial
5
needs
of
individuals
upon
release
from
a
correctional
facility.
6
The
collaboration
shall
provide
for
all
of
the
following:
7
a.
Coordination
between
the
departments
of
policies
and
8
procedures
to
facilitate
information
sharing,
during
the
9
prerelease,
transitional,
and
postrelease
phases,
including
the
10
development
of
protocols
to
share
health
and
other
personal
11
information
of
an
individual
between
departmental
personnel
12
involved
in
providing
the
individual’s
prerelease,
transition,
13
and
postrelease
services
and
support.
14
b.
Cross-disciplinary
prerelease
preparation
that
includes
15
application
for
medical
assistance,
social
security
disability,
16
and
other
supports
for
which
the
individual
may
be
eligible;
17
assessment
of
the
holistic
clinical
and
social
needs
of
the
18
individual
including
but
not
limited
those
relating
to
health
19
and
medical
care,
housing,
education
and
training,
employment
20
assistance,
and
legal
assistance;
and
identification
of
21
community-based
services
and
providers
necessary
to
address
22
identified
needs,
including
but
not
limited
those
necessary
to
23
address
mental
health
and
substance-related
disorders.
24
c.
Transitional
and
postrelease
interagency
communication
25
and
coordination
to
ensure
a
more
seamless
transition
26
of
the
individual
to
the
community,
ongoing
linkages
to
27
community-based
services,
and
continuity
of
care.
28
2.
The
departments
shall
submit
by
December
15,
2014,
a
29
report
to
the
individuals
identified
in
this
2014
Act
for
30
submission
of
reports
describing
the
details
of
the
approach
31
developed
and
implemented,
any
barriers
to
the
development
32
and
implementation,
any
recommendations
for
changes
in
33
statute
or
rules
to
facilitate
the
approach,
and
any
other
34
recommendations.
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DIVISION
XIV
1
DEPARTMENTAL
RESPONSIBILITY
FOR
MENTAL
HEALTH
ADVOCATES
2
Sec.
71.
NEW
SECTION
.
10A.901
Definitions.
3
As
used
in
this
article,
unless
the
context
otherwise
4
requires:
5
1.
“Administrator”
means
the
person
coordinating
the
6
administration
of
the
division.
7
2.
“Division”
means
the
mental
health
advocate
division
of
8
the
department
of
inspections
and
appeals.
9
Sec.
72.
NEW
SECTION
.
10A.902
Duties
of
administrator.
10
The
administrator
shall
administer
the
division’s
conduct
11
of
the
mental
health
advocate
program
as
provided
by
section
12
229.19
and
other
applicable
law.
The
person
appointed
as
13
administrator
must
meet
the
qualifications
to
be
appointed
as
a
14
mental
health
advocate.
The
administrator’s
duties
may
include
15
but
are
not
limited
to
all
of
the
following:
16
1.
a.
Approving
the
appointment
of
persons
to
serve
as
17
mental
health
advocates
and
identifying
qualifications
for
18
persons
serving
as
mental
health
advocates.
A
mental
health
19
advocate
serving
as
of
June
30,
2015,
shall
be
deemed
to
be
20
qualified.
The
minimum
qualifications
for
a
mental
health
21
advocate
whose
initial
appointment
commences
on
or
after
July
22
1,
2015,
shall
be
a
bachelor’s
degree
from
an
accredited
23
school,
college,
or
university
in
social
work,
counseling,
24
human
services,
health,
nursing,
or
psychology,
and
one
year
25
of
experience
in
the
provision
of
mental
health
services.
A
26
person
who
is
a
licensed
registered
nurse
pursuant
to
chapter
27
152
who
is
current
with
applicable
continuing
education
28
requirements
shall
be
deemed
to
have
met
the
minimum
experience
29
requirement.
30
b.
The
administrator
shall
contract
with
the
state
board
of
31
regents
to
employ
persons
appointed
to
serve
as
mental
health
32
advocates.
33
2.
Training
persons
appointed
to
serve
as
mental
health
34
advocates.
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3.
Implementing
procedures
for
the
responsibilities
1
performed
by
persons
appointed
to
serve
as
mental
health
2
advocates
and
for
reassigning
advocate
responsibilities
based
3
on
the
location
of
the
patient’s
placement
or
other
patient
4
need.
The
court
shall
be
notified
of
any
reassignment.
The
5
procedures
for
appointing
a
person
to
a
vacant
mental
health
6
advocate
position
assigned
to
a
geographic
area
shall
require
7
the
person
appointed
to
the
vacant
position
to
reside
within
8
the
assigned
geographic
area.
9
4.
Administering
program
additions
and
expansions,
10
including
providing
advocate
services
for
persons
with
a
11
substance-related
disorder
and
persons
found
not
guilty
12
by
reason
of
insanity,
if
such
additions
or
expansions
are
13
authorized
and
funded.
14
5.
Developing
and
implementing
a
case
weight
system
for
use
15
in
appointing
and
compensating
advocates.
16
6.
Administering
case
reviews
and
audits.
17
7.
Implementing
a
uniform
description
of
the
duties
18
of
mental
health
advocates,
based
upon
the
best
practices
19
developed
and
promulgated
by
the
judicial
council
pursuant
to
20
section
229.19,
subsection
1,
paragraph
“c”
.
21
Sec.
73.
TRANSITION.
22
1.
The
department
of
inspections
and
appeals
shall
commence
23
organizational
activities
during
the
fiscal
year
beginning
July
24
1,
2014,
as
necessary
to
fully
implement
this
division
and
25
assume
responsibility
for
mental
health
advocates
as
provided
26
in
this
division
and
division
II
of
this
Act
on
July
1,
2015.
27
2.
If
necessary
for
the
purposes
of
subsection
1,
the
28
department
of
inspections
and
appeals
may
adopt
emergency
29
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
30
subsection
2,
paragraph
“b”,
to
implement
the
provisions
of
31
division
II
of
this
Act
on
July
1,
2015,
and
the
rules
shall
32
be
effective
immediately
upon
filing
unless
a
later
date
is
33
specified
in
the
rules.
Any
rules
adopted
in
accordance
with
34
this
section
shall
also
be
published
as
a
notice
of
intended
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action
as
provided
in
section
17A.4.
1
DIVISION
XV
2
IMPLEMENTATION
——
MENTAL
HEALTH
ADVOCATES
3
Sec.
74.
Section
225C.4,
subsection
1,
paragraph
m,
Code
4
2014,
is
amended
to
read
as
follows:
5
m.
Provide
consultation
and
technical
assistance
to
6
patients’
mental
health
advocates
appointed
pursuant
to
7
section
229.19
,
in
cooperation
with
the
judicial
branch
and
the
8
department
of
inspections
and
appeals,
and
to
the
certified
9
volunteer
long-term
care
ombudsmen
certified
pursuant
to
10
section
231.45
.
11
Sec.
75.
Section
226.31,
Code
2014,
is
amended
to
read
as
12
follows:
13
226.31
Examination
by
court
——
notice.
14
Before
granting
the
order
authorized
in
section
226.30
15
the
court
or
judge
shall
investigate
the
allegations
of
the
16
petition
and
before
proceeding
to
a
hearing
on
the
allegations
17
shall
require
notice
to
be
served
on
the
attorney
who
18
represented
the
patient
in
any
prior
proceedings
under
sections
19
229.6
to
229.15
or
the
and
to
any
mental
health
advocate
20
appointed
for
the
patient
under
section
229.19
,
or
in
the
case
21
of
a
patient
who
entered
the
hospital
voluntarily,
on
any
22
relative,
friend,
or
guardian
of
the
person
in
question
of
the
23
filing
of
the
application.
At
the
hearing
the
court
or
judge
24
shall
appoint
a
guardian
ad
litem
for
the
person,
if
the
court
25
or
judge
deems
such
action
necessary
to
protect
the
rights
26
of
the
person.
The
guardian
ad
litem
shall
be
a
practicing
27
attorney.
28
Sec.
76.
Section
229.2,
subsection
1,
paragraph
b,
29
subparagraph
(6),
Code
2014,
is
amended
to
read
as
follows:
30
(6)
Upon
approval
of
the
admission
of
a
minor
over
the
31
minor’s
objections,
the
juvenile
court
shall
appoint
an
32
individual
to
act
as
an
advocate
representing
the
interests
33
of
the
minor
in
the
same
manner
as
an
a
mental
health
34
advocate
representing
the
interests
of
patients
involuntarily
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hospitalized
pursuant
to
in
accordance
with
section
229.19
.
1
Sec.
77.
Section
229.9A,
Code
2014,
is
amended
to
read
as
2
follows:
3
229.9A
Advocate
Mental
health
advocate
informed
——
hearings
.
4
The
court
shall
direct
the
clerk
to
furnish
the
mental
health
5
advocate
of
the
respondent’s
county
of
residence
designated
for
6
the
court
by
the
department
of
inspections
and
appeals
with
a
7
copy
of
application
and
any
order
issued
pursuant
to
section
8
229.8,
subsection
3
.
The
mental
health
advocate
designated
for
9
the
court
may
attend
the
hospitalization
any
court
hearing
of
10
any
involving
the
respondent
for
whom
the
advocate
has
received
11
notice
of
a
hospitalization
hearing
.
12
Sec.
78.
Section
229.12,
subsection
2,
Code
2014,
is
amended
13
to
read
as
follows:
14
2.
All
persons
not
necessary
for
the
conduct
of
the
15
proceeding
shall
be
excluded,
except
that
the
court
may
admit
16
persons
having
a
legitimate
interest
in
the
proceeding
and
17
shall
permit
the
mental
health
advocate
from
the
respondent’s
18
county
of
residence
designated
for
the
court
by
the
department
19
of
inspections
and
appeals
to
attend
the
hearing.
Upon
motion
20
of
the
county
attorney,
the
judge
may
exclude
the
respondent
21
from
the
hearing
during
the
testimony
of
any
particular
witness
22
if
the
judge
determines
that
witness’s
testimony
is
likely
to
23
cause
the
respondent
severe
emotional
trauma.
24
Sec.
79.
Section
229.14A,
subsection
1,
Code
2014,
is
25
amended
to
read
as
follows:
26
1.
With
respect
to
a
chief
medical
officer’s
report
made
27
pursuant
to
section
229.14,
subsection
1
,
paragraph
“b”
,
“c”
,
28
or
“d”
,
or
any
other
provision
of
this
chapter
related
to
29
involuntary
commitment
for
which
the
court
issues
a
placement
30
order
or
a
transfer
of
placement
is
authorized,
the
court
shall
31
provide
notice
to
the
respondent
,
and
the
respondent’s
attorney
32
or
,
and
any
mental
health
advocate
appointed
for
the
respondent
33
pursuant
to
section
229.19
concerning
the
placement
order
34
and
the
respondent’s
right
to
request
a
placement
hearing
to
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determine
if
the
order
for
placement
or
transfer
of
placement
1
is
appropriate.
2
Sec.
80.
Section
229.14A,
subsection
5,
paragraph
c,
Code
3
2014,
is
amended
to
read
as
follows:
4
c.
If
the
respondent’s
attorney
has
withdrawn
pursuant
to
5
section
229.19
,
the
court
shall
appoint
an
attorney
for
the
6
respondent
in
the
manner
described
in
section
229.8,
subsection
7
1
.
8
Sec.
81.
Section
229.15,
subsection
6,
Code
2014,
is
amended
9
to
read
as
follows:
10
6.
Upon
receipt
of
any
report
required
or
authorized
by
11
this
section
the
court
shall
furnish
a
copy
to
the
patient’s
12
attorney
,
or
alternatively
and
to
the
mental
health
advocate
13
appointed
as
required
by
section
229.19
for
the
patient
.
The
14
court
shall
examine
the
report
and
take
the
action
thereon
15
which
it
deems
appropriate.
Should
the
court
fail
to
receive
16
any
report
required
by
this
section
or
section
229.14
at
the
17
time
the
report
is
due,
the
court
shall
investigate
the
reason
18
for
the
failure
to
report
and
take
whatever
action
may
be
19
necessary
in
the
matter.
20
Sec.
82.
Section
229.19,
Code
2014,
is
amended
to
read
as
21
follows:
22
229.19
Advocates
Mental
health
advocates
——
duties
——
23
compensation
——
state
and
county
liability
.
24
1.
a.
In
each
county
with
a
population
of
three
hundred
25
thousand
or
more
inhabitants
the
board
of
supervisors
shall
26
appoint
an
individual
who
has
demonstrated
by
prior
activities
27
an
informed
concern
for
the
welfare
and
rehabilitation
of
28
persons
with
mental
illness,
and
who
is
not
an
officer
or
29
employee
of
the
department
of
human
services
nor
of
any
agency
30
or
facility
providing
care
or
treatment
to
persons
with
mental
31
illness,
to
act
as
an
advocate
representing
the
interests
of
32
patients
involuntarily
hospitalized
by
the
court,
in
any
matter
33
relating
to
the
patients’
hospitalization
or
treatment
under
34
section
229.14
or
229.15
.
In
each
county
with
a
population
of
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under
three
hundred
thousand
inhabitants,
the
chief
judge
of
1
the
judicial
district
encompassing
the
county
shall
appoint
2
the
advocate.
For
the
purposes
of
this
section,
“division”
3
means
the
mental
health
advocate
division
of
the
department
of
4
inspections
and
appeals.
5
b.
The
court
or,
if
the
advocate
is
appointed
by
the
county
6
board
of
supervisors,
the
board
shall
assign
the
advocate
7
appointed
from
a
patient’s
county
of
residence
to
represent
8
the
interests
of
the
patient.
If
a
patient
has
no
county
of
9
residence
or
the
patient
is
a
state
case,
the
court
or,
if
the
10
advocate
is
appointed
by
the
county
board
of
supervisors,
the
11
board
shall
assign
the
advocate
appointed
from
the
county
where
12
the
hospital
or
facility
is
located
to
represent
the
interests
13
of
the
patient.
14
c.
The
advocate’s
responsibility
with
respect
to
any
patient
15
shall
begin
at
whatever
time
the
attorney
employed
or
appointed
16
to
represent
that
patient
as
respondent
in
hospitalization
17
proceedings,
conducted
under
sections
229.6
to
229.13
,
reports
18
to
the
court
that
the
attorney’s
services
are
no
longer
19
required
and
requests
the
court’s
approval
to
withdraw
as
20
counsel
for
that
patient.
However,
if
21
b.
If
the
patient
is
found
to
be
seriously
mentally
impaired
22
at
the
hospitalization
hearing,
the
attorney
representing
the
23
patient
shall
automatically
be
relieved
of
responsibility
in
24
the
case
and
an
a
mental
health
advocate
shall
be
assigned
to
25
appointed
for
the
patient
at
the
conclusion
of
the
hearing
26
unless
the
attorney
indicates
an
intent
to
continue
the
27
attorney’s
services
and
.
The
court
shall
notify
the
division
28
of
the
court’s
finding
and
the
division
shall
appoint
an
29
advocate
for
the
patient.
The
advocate’s
responsibility
with
30
respect
to
a
patient
shall
begin
when
the
advocate
is
appointed
31
for
the
patient.
The
attorney
representing
the
patient
shall
32
automatically
be
relieved
of
responsibility
at
the
conclusion
33
of
the
hearing
unless
the
attorney
requests
to
continue
34
representation
and
the
court
so
directs
authorizes
the
attorney
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to
remain
on
the
case
.
If
the
court
directs
the
attorney
to
1
remain
on
the
case,
the
attorney
shall
assume
all
the
duties
2
of
an
advocate
cooperate
with
the
advocate
appointed
for
the
3
patient
.
The
clerk
shall
furnish
the
advocate
with
a
copy
of
4
the
court’s
order
approving
the
withdrawal
or
continuation
of
5
the
attorney
and
shall
inform
the
patient
of
the
name
of
the
6
patient’s
advocate.
7
d.
c.
With
regard
to
each
patient
whose
interests
the
8
for
whom
a
mental
health
advocate
is
required
to
represent
9
appointed
pursuant
to
this
section
,
the
advocate’s
duties
shall
10
include
all
of
the
following:
11
(1)
To
review
each
report
submitted
pursuant
to
sections
12
229.14
and
229.15
.
13
(2)
If
the
advocate
is
not
an
attorney,
to
To
advise
the
14
court
at
any
time
it
appears
that
the
services
of
an
attorney
15
are
required
to
properly
safeguard
the
patient’s
interests.
16
(3)
To
be
readily
accessible
to
communications
from
the
17
patient
and
to
originate
communications
with
the
patient
within
18
five
days
of
the
patient’s
commitment.
19
(4)
To
visit
the
patient
within
fifteen
days
of
the
20
patient’s
commitment
and
periodically
thereafter.
21
(5)
To
communicate
with
medical
personnel
treating
the
22
patient
and
to
review
the
patient’s
medical
records
pursuant
23
to
section
229.25
.
24
(6)
To
file
with
the
court
and
the
division
quarterly
25
reports,
and
additional
reports
as
the
advocate
feels
necessary
26
or
as
required
by
the
court
division
,
in
a
form
prescribed
by
27
the
court
division
.
The
reports
shall
state
what
actions
the
28
advocate
has
taken
with
respect
to
each
patient
and
the
amount
29
of
time
spent.
30
(7)
To
utilize
the
related
best
practices
for
the
duties
31
identified
in
this
paragraph
“d”
“c”
developed
and
promulgated
32
by
the
judicial
council.
33
e.
d.
An
Subject
to
the
availability
of
funding
34
appropriated
for
this
purpose,
a
mental
health
advocate
may
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also
be
appointed
pursuant
to
this
section
for
an
individual
1
who
has
been
diagnosed
with
a
co-occurring
mental
illness
and
2
substance-related
disorder.
3
2.
The
hospital
or
facility
to
which
a
patient
is
committed
4
shall
grant
all
reasonable
requests
of
the
patient’s
mental
5
health
advocate
to
visit
the
patient,
to
communicate
with
6
medical
personnel
treating
the
patient,
and
to
review
the
7
patient’s
medical
records
pursuant
to
section
229.25
.
An
8
advocate
shall
not
disseminate
information
from
a
patient’s
9
medical
records
to
any
other
person
unless
done
for
official
10
purposes
in
connection
with
the
advocate’s
duties
pursuant
to
11
this
chapter
or
when
required
by
law.
12
3.
The
court
or,
if
the
advocate
is
appointed
by
the
county
13
board
of
supervisors,
the
board
division
shall
prescribe
14
provide
reasonable
compensation
for
the
services
of
the
15
advocate
in
accordance
with
section
10A.902
.
The
compensation
16
shall
be
based
upon
the
reports
filed
by
the
advocate
with
17
the
court.
The
advocate’s
compensation
shall
be
paid
by
the
18
county
in
which
the
court
is
located,
either
on
order
of
the
19
court
or,
if
the
advocate
is
appointed
by
the
county
board
of
20
supervisors,
on
the
direction
of
the
board.
If
the
advocate
21
is
appointed
by
the
court,
the
advocate
is
an
employee
of
22
the
state
for
purposes
of
chapter
669
.
If
the
advocate
is
23
appointed
by
the
county
board
of
supervisors,
the
advocate
is
24
an
employee
of
the
county
for
purposes
of
chapter
670
.
If
the
25
patient
or
the
person
who
is
legally
liable
for
the
patient’s
26
support
is
not
indigent,
the
board
division
shall
recover
27
the
costs
of
compensating
the
advocate
from
that
person.
If
28
that
person
has
an
income
level
as
determined
pursuant
to
29
section
815.9
greater
than
one
hundred
percent
but
not
more
30
than
one
hundred
fifty
percent
of
the
poverty
guidelines,
31
at
least
one
hundred
dollars
of
the
advocate’s
compensation
32
shall
be
recovered
in
the
manner
prescribed
by
the
county
33
board
of
supervisors.
If
that
person
has
an
income
level
as
34
determined
pursuant
to
section
815.9
greater
than
one
hundred
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fifty
percent
of
the
poverty
guidelines,
at
least
two
hundred
1
dollars
of
the
advocate’s
compensation
shall
be
recovered
in
2
substantially
the
same
manner
prescribed
by
the
county
board
of
3
supervisors
as
provided
in
section
815.9
.
4
Sec.
83.
Section
229.25,
subsection
1,
paragraph
a,
5
subparagraph
(1),
Code
2014,
is
amended
to
read
as
follows:
6
(1)
The
information
is
requested
by
a
licensed
physician,
7
attorney
,
or
the
mental
health
advocate
who
provides
appointed
8
for
the
person.
The
requester
must
provide
the
chief
medical
9
officer
with
a
written
waiver
signed
by
the
person
about
whom
10
the
information
is
sought.
11
Sec.
84.
APPOINTMENT
OF
MENTAL
HEALTH
ADVOCATES.
The
12
persons
appointed
to
provide
mental
health
advocate
services
13
under
section
229.19
immediately
prior
to
July
1,
2015,
shall
14
be
appointed
as
mental
health
advocates
pursuant
to
section
15
10A.902,
effective
July
1,
2015.
16
Sec.
85.
EFFECTIVE
DATE.
This
division
of
this
Act
takes
17
effect
July
1,
2015.
18
DIVISION
XVI
19
PRIOR
AUTHORIZATION
20
Sec.
86.
NEW
SECTION
.
505.26
Prior
authorization
for
21
prescription
drug
benefits
——
standard
process
and
form.
22
1.
As
used
in
this
section:
23
a.
“Facility”
means
an
institution
providing
health
care
24
services
or
a
health
care
setting,
including
but
not
limited
25
to
hospitals
and
other
licensed
inpatient
centers,
ambulatory
26
surgical
or
treatment
centers,
skilled
nursing
centers,
27
residential
treatment
centers,
diagnostic,
laboratory,
and
28
imaging
centers,
and
rehabilitation
and
other
therapeutic
29
health
settings.
30
b.
“Health
benefit
plan”
means
a
policy,
contract,
31
certificate,
or
agreement
offered
or
issued
by
a
health
carrier
32
to
provide,
deliver,
arrange
for,
pay
for,
or
reimburse
any
of
33
the
costs
of
health
care
services.
34
c.
“Health
care
professional”
means
a
physician
or
other
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health
care
practitioner
licensed,
accredited,
registered,
or
1
certified
to
perform
specified
health
care
services
consistent
2
with
state
law.
3
d.
“Health
care
provider”
means
a
health
care
professional
4
or
a
facility.
5
e.
“Health
care
services”
means
services
for
the
diagnosis,
6
prevention,
treatment,
cure,
or
relief
of
a
health
condition,
7
illness,
injury,
or
disease.
8
f.
“Health
carrier”
means
an
entity
subject
to
the
insurance
9
laws
of
this
state,
or
subject
to
the
jurisdiction
of
the
10
commissioner,
including
an
insurance
company
offering
sickness
11
and
accident
plans,
a
health
maintenance
organization,
a
12
nonprofit
health
service
corporation,
a
plan
established
13
pursuant
to
chapter
509A
for
public
employees,
or
any
other
14
entity
providing
a
plan
of
health
insurance,
health
care
15
benefits,
or
health
care
services.
“Health
carrier”
includes,
16
for
purposes
of
this
section,
an
organized
delivery
system.
17
g.
“Pharmacy
benefits
manager”
means
the
same
as
defined
in
18
section
510B.1.
19
2.
The
commissioner
shall
develop,
by
rule,
a
standard
prior
20
authorization
process
and
form
for
use
by
health
carriers
and
21
pharmacy
benefits
managers
that
require
prior
authorization
for
22
prescription
drug
benefits
pursuant
to
a
health
benefit
plan,
23
by
January
1,
2015.
24
3.
Prior
to
development
of
the
standard
prior
authorization
25
process
and
form,
the
commissioner
shall
hold
at
least
one
26
public
hearing
to
gather
input
in
developing
the
standard
27
process
and
form
from
interested
parties.
28
4.
The
standard
prior
authorization
process
shall
meet
all
29
of
the
following
requirements:
30
a.
Health
carriers
and
pharmacy
benefits
managers
shall
31
allow
health
care
providers
to
submit
a
prior
authorization
32
request
electronically.
33
b.
Health
carriers
and
pharmacy
benefits
managers
shall
34
provide
that
approval
of
a
prior
authorization
request
shall
be
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valid
for
a
minimum
of
one
hundred
eighty
days.
1
c.
Health
carriers
and
pharmacy
benefits
managers
shall
2
ensure
that
the
prior
authorization
process
allows
a
health
3
carrier
or
pharmacy
benefits
manager
to
substitute
a
generic
4
drug
for
a
previously
approved
brand-name
drug
with
the
health
5
care
provider’s
approval
and
the
patient’s
consent.
6
d.
Health
carriers
and
pharmacy
benefits
managers
shall
make
7
the
following
available
and
accessible
on
their
internet
sites:
8
(1)
Prior
authorization
requirements
and
restrictions,
9
including
a
list
of
drugs
that
require
prior
authorization.
10
(2)
Clinical
criteria
that
are
easily
understandable
11
to
health
care
providers,
including
clinical
criteria
for
12
reauthorization
of
a
previously
approved
drug
after
the
prior
13
authorization
period
has
expired.
14
(3)
Standards
for
submitting
and
considering
requests,
15
including
evidence-based
guidelines,
when
possible,
for
making
16
prior
authorization
determinations.
17
e.
Health
carriers
and
pharmacy
benefits
managers
shall
18
provide
a
process
for
health
care
providers
to
appeal
a
prior
19
authorization
determination.
20
5.
In
adopting
an
electronic
prior
authorization
standard,
21
the
commissioner
shall
consider
national
standards
pertaining
22
to
electronic
prior
authorization,
such
as
those
developed
by
23
the
national
council
for
prescription
drug
programs.
24
6.
The
standard
prior
authorization
form
shall
meet
all
of
25
the
following
requirements:
26
a.
Not
exceed
two
pages
in
length.
27
b.
Be
available
in
an
electronic
format.
28
c.
Be
transmissible
in
an
electronic
format.
29
7.
Health
carriers
and
pharmacy
benefits
managers
shall
use
30
and
accept
the
standard
prior
authorization
form
beginning
on
31
July
1,
2015.
Health
care
providers
shall
use
and
submit
the
32
standard
prior
authorization
form,
when
prior
authorization
is
33
required
by
a
health
benefit
plan,
beginning
on
July
1,
2015.
34
8.
a.
If
a
health
carrier
or
pharmacy
benefits
manager
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fails
to
use
or
accept
the
standard
prior
authorization
form
1
or
to
respond
to
a
health
care
provider’s
request
for
prior
2
authorization
of
prescription
drug
benefits
within
seventy-two
3
hours
of
the
health
care
provider’s
submission
of
the
form,
4
the
request
for
prior
authorization
shall
be
considered
to
be
5
approved.
6
b.
However,
if
the
prior
authorization
request
is
7
incomplete,
the
health
carrier
or
pharmacy
benefits
manager
may
8
request
the
additional
information
within
the
seventy-two-hour
9
period
and
once
the
additional
information
is
provided
the
10
provisions
of
paragraph
“a”
shall
again
apply.
11
EXPLANATION
12
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
13
the
explanation’s
substance
by
the
members
of
the
general
assembly.
14
This
bill
relates
to
appropriations
for
health
and
human
15
services
made
in
2013
Iowa
Acts,
chapter
138
(SF
446)
for
16
fiscal
year
2014-2015
to
the
department
of
veterans
affairs,
17
the
Iowa
veterans
home,
the
department
on
aging,
the
office
18
of
long-term
care
ombudsman,
the
department
of
public
health,
19
Iowa
finance
authority,
state
board
of
regents,
department
of
20
inspections
and
appeals,
department
of
human
rights,
and
the
21
department
of
human
services
(DHS).
With
some
exceptions
the
22
enacted
amounts
appropriated
for
FY
2014-2015
are
approximately
23
50
percent
of
the
amounts
appropriated
for
the
same
purposes
24
for
the
prior
fiscal
year
along
with
some
other
changes.
The
25
bill
revises
the
appropriation
amounts.
26
The
bill
is
organized
into
divisions.
27
DEPARTMENT
ON
AGING
——
FY
2014-2015.
This
division
amends
28
appropriations
from
the
general
fund
of
the
state
for
the
29
department
on
aging
for
FY
2014-2015.
30
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2014-2015.
This
31
division
amends
appropriations
from
the
general
fund
of
32
the
state
for
the
office
of
long-term
care
ombudsman
for
FY
33
2014-2015.
34
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2014-2015.
This
division
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amends
appropriations
from
the
general
fund
of
the
state
for
1
the
department
of
public
health.
2
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2014-2015.
This
3
division
amends
appropriations
from
the
general
fund
of
the
4
state
for
the
department
of
veterans
affairs
and
the
Iowa
5
veterans
home
for
FY
2014-2015.
6
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2014-2015.
This
division
7
amends
appropriations
from
the
general
fund
of
the
state
and
8
the
federal
temporary
assistance
for
needy
families
block
grant
9
to
DHS.
The
reimbursement
section
addresses
reimbursement
for
10
providers
reimbursed
by
the
department
of
human
services.
11
HEALTH
CARE
ACCOUNTS
AND
FUND
——
FY
2014-2015.
This
division
12
amends
certain
health-related
appropriations
for
FY
2014-2015.
13
A
number
of
the
appropriations
are
made
for
purposes
of
the
14
medical
assistance
(Medicaid)
program
in
addition
to
the
15
general
fund
appropriations
made
for
this
purpose
for
the
same
16
fiscal
year.
The
division
provides
that
if
the
total
amounts
17
appropriated
from
all
sources
for
the
medicaid
program
for
18
FY
2014-2015
exceed
the
amount
needed,
the
excess
remains
19
available
to
be
used
for
the
program
in
the
succeeding
fiscal
20
year.
21
PERSONNEL
SETTLEMENT
AGREEMENTS.
This
division
provides
22
that
as
a
condition
of
the
appropriations
in
the
bill,
the
23
moneys
appropriated
and
any
other
moneys
available
cannot
be
24
used
for
payment
of
a
personnel
settlement
agreement
that
25
contains
a
confidentiality
provision
intended
to
prevent
public
26
disclosure
of
the
agreement
or
any
terms
of
the
agreement.
27
PRIOR
YEAR
APPROPRIATIONS.
This
division
amends
provisions
28
from
prior
year
appropriations.
29
The
division
amends
a
provision
appropriating
funds
to
30
the
medical
residency
training
account
to
provide
that
31
notwithstanding
any
provision
to
the
contrary
under
the
32
account,
priority
in
awarding
of
grants
shall
be
given
to
the
33
development
of
new
medical
residency
positions,
psychiatric
34
residency
positions,
and
family
practice
residency
positions.
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The
division
repeals
a
provision
which
authorized
a
change
1
in
Medicaid
reimbursement
of
consumer-directed
attendant
care
2
as
a
cost-savings
measure.
3
The
division
amends
provisions
appropriating
funds
for
4
the
autism
support
program
and
for
foster
care
respite
to
5
provide
for
carry
forward
of
funds
that
remain
unencumbered
6
or
unobligated
at
the
close
of
FY
2013-2014
to
the
succeeding
7
fiscal
year
for
the
purposes
designated.
8
The
division
amends
a
provision
relating
to
reimbursement
of
9
community
mental
health
centers
to
provide
a
new
reimbursement
10
methodology.
11
The
provisions
in
this
division
take
effect
upon
enactment
12
and
the
provisions
relating
to
reimbursement
of
community
13
mental
health
centers
and
consumer-directed
attendant
care
are
14
retroactively
applicable
to
July
1,
2013.
15
MENTAL
HEALTH
AND
DISABILITY
SERVICES.
This
division
16
relates
to
mental
health
and
disabilities
services
(MH/DS)
17
administered
by
county
regions,
makes
appropriations,
and
18
extends
county
levy
equalization
provisions
for
the
services.
19
A
new
general
fund
transfer
is
made
to
the
property
tax
20
relief
fund
and
then
appropriated
for
FY
2014-2015
for
21
distribution
to
counties
and
regions
to
equalize
the
funding
in
22
order
for
the
combined
amount
of
property
tax
and
equalization
23
funding
available
for
MH/DS
to
amount
to
$47.28
per
capita.
In
24
addition,
an
appropriation
is
made
for
distribution
of
state
25
case
funding
to
counties.
26
The
department
of
human
services
and
the
division
of
27
vocational
rehabilitation
services
of
the
department
of
28
education
are
required
to
jointly
develop
protocols
and
program
29
models
to
integrate
the
employment-related
services
and
other
30
supports
provided
to
persons
with
disabilities
through
federal
31
match
funding
administered
by
the
department
and
the
division.
32
The
department
and
the
division
are
required
to
report
to
the
33
joint
appropriations
subcommittees
on
health
and
human
services
34
and
on
education
on
the
expenditure
of
such
funding
in
the
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previous
fiscal
year
along
with
findings
and
recommendations
1
on
or
before
December
15,
2014.
2
The
department
of
human
services
is
required
to
continue
3
and
expand
a
previous
study
regarding
the
possible
development
4
of
a
psychiatric
and
substance-related
disorder
treatment
5
hospital
bed
tracking
system.
The
study
group
is
required
to
6
identify
options
for
implementing
a
bed
tracking
system
in
the
7
fiscal
year
beginning
July
1,
2015,
and
include
a
detailed
8
proposal
for
the
option
preferred
by
the
study
group.
In
9
addition,
the
department
is
required
to
engage
with
various
10
stakeholders
to
study
community-based
placement
options
for
11
persons
with
serious
mental
illness
to
divert
from
or
end
the
12
need
for
an
institutional
placement
of
the
persons
and
to
make
13
recommendations.
14
Code
section
331.388,
relating
to
definitions
for
the
15
regional
MH/DS
system
and
Code
section
426B.3,
relating
to
16
property
tax
relief
fund
payments,
are
amended
to
revise
17
population
definitions.
The
definitions
require
the
use
of
18
the
population
shown
by
the
latest
preceding
certified
federal
19
census
or
the
latest
applicable
population
estimate
issued
by
20
the
United
States
census
bureau,
whichever
is
most
recent.
The
21
bill
provides
that
the
date
utilized
is
July
1
of
the
fiscal
22
year
preceding
the
fiscal
year
in
which
the
population
figure
23
is
applied.
24
Code
section
331.391,
relating
to
MH/DS
regional
financing,
25
is
amended
to
require
that
if
a
region
is
meeting
the
financial
26
obligations
for
implementation
of
its
regional
service
system
27
management
plan
for
a
fiscal
year
and
residual
funding
is
28
anticipated,
the
regional
administrator
is
to
reserve
an
29
adequate
amount
for
cash
flow
of
expenditure
obligations
in
the
30
next
fiscal
year.
The
amount
reserved
for
cash
flow
is
limited
31
to
25
percent
of
the
previous
fiscal
year’s
gross
expenditures.
32
Residual
funding
remaining
after
the
cash
flow
amount
is
33
reserved
is
to
be
used
to
expand
the
region’s
core
services
and
34
then
to
make
additional
core
service
domains
available
in
the
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region.
1
Code
section
331.397,
relating
to
regional
core
services
2
for
the
adult
mental
health
and
disability
services
system,
3
is
amended.
Code
section
331.397
lists
core
service
domains
4
that
the
mental
health
and
disability
service
regions
are
5
required
to
make
available
to
adults
with
mental
illness
or
6
an
intellectual
disability.
Under
each
of
the
domains
is
a
7
list
of
services
included
in
the
domain.
The
bill
requires
8
the
service
domain
relating
to
support
for
employment
to
9
also
authorize
support
for
activities
leading
to
employment
10
providing
an
appropriate
match
with
an
individual’s
abilities.
11
Code
section
331.424,
relating
to
the
county
levy
for
MH/DS,
12
and
Code
section
331.391,
relating
to
regional
finances,
are
13
amended
to
provide
that
a
county
and
the
regions
must
reserve
14
an
adequate
amount
for
cash
flow
purposes
in
the
next
fiscal
15
year.
Residual
funding
remaining
after
the
cash
flow
amount
16
is
reserved
is
to
be
used
to
expand
core
services
and
then
to
17
make
additional
core
services
available.
The
maximum
cash
18
flow
reserve
is
limited
to
25
percent
of
the
gross
expenditure
19
budgeted
for
the
fiscal
year.
20
Code
section
426B.3,
relating
to
per
capita
funding
for
21
county
services
funds
and
the
Medicaid
offset
or
“clawback”,
22
is
amended.
Under
the
clawback
requirement
in
Code
section
23
426B.3,
DHS
is
required
to
calculate
the
amount
that
would
have
24
been
paid
from
a
county
services
fund
for
a
person
eligible
25
under
the
county’s
services
plan
that
would
be
non-Medicaid
26
services
but
due
to
the
person’s
enrollment
under
the
Iowa
27
health
and
wellness
plan
(IHWP)
are
instead
covered
by
IHWP.
28
The
Medicaid
offset
or
clawback
amount
is
80
percent
of
the
29
amount
calculated.
Authority
for
a
county
auditor
to
review
30
the
amount
calculated
for
a
county
or
for
the
amount
to
31
be
independently
audited
is
replaced
with
authority
for
an
32
independent
review
of
all
amounts
by
the
auditor
of
state.
33
Direction
is
provided
for
the
calculation
of
the
clawback
34
amounts
for
fiscal
year
2013-2014
to
be
based
upon
actual
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expenditures
by
counties
during
the
period
of
July
1,
2013,
1
through
December
31,
2013.
2
The
appropriation
of
federal
social
services
block
grant
3
funding
for
FY
2014-2015
in
2013
Iowa
Acts,
chapter
136
(HF
4
614),
to
the
property
tax
relief
fund
is
amended
to
make
an
5
allocation
to
DHS
for
state
case
services
similar
to
the
6
allocation
made
for
this
purpose
for
the
prior
fiscal
year.
7
FAMILY
SUPPLEMENTATION.
This
division
amends
Code
section
8
249A.4,
relating
to
supplementation
by
the
resident
or
family
9
of
a
resident
who
is
covered
by
the
Medicaid
program
of
the
10
costs
of
nursing
care
by
reducing
the
occupancy
rate
of
the
11
nursing
facility
from
80
percent
to
50
percent
in
order
for
12
supplementation
to
be
applicable.
13
MISCELLANEOUS.
This
division
includes
miscellaneous
14
provisions.
15
Code
section
217.32,
relating
to
office
space
provided
by
16
counties
for
department
of
human
services
personnel
assigned
17
to
provide
local
services,
is
amended.
The
department
is
18
required
to
report
annually
to
the
auditor
of
state
detailing
19
the
costs
incurred
by
each
county
for
office
space
and
for
20
providing
supplies
and
equipment
and
the
amounts
reimbursed
by
21
the
department
in
the
preceding
fiscal
year.
The
auditor
of
22
state
is
required
to
publicly
issue
an
opinion
as
to
whether
23
the
charges
and
costs
incurred
and
departmental
reimbursements
24
are
reasonable.
25
Code
section
256I.8,
relating
to
the
duties
of
early
26
childhood
Iowa
area
boards,
is
amended
to
authorize
the
early
27
childhood
Iowa
state
board
to
waive
a
prohibition
against
an
28
area
board
acting
as
a
provider
of
services
to
or
for
the
29
area
board.
The
state
board
is
required
to
adopt
criteria
30
for
granting
a
waiver
based
upon
cost
effectiveness,
service
31
quality
improvement
or
maintenance,
or
other
appropriate
basis
32
identified
by
the
state
board.
33
ASSET
VERIFICATION.
This
division
directs
the
department
34
of
human
services
to
contract
with
a
third-party
vendor
to
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establish
an
electronic
asset,
income,
and
identity
eligibility
1
verification
system
for
applicants
for
and
recipients
of
2
Medicaid
who
are
eligible
based
upon
being
aged,
blind,
3
or
disabled.
The
third-party
vendor
must
demonstrate
in
4
writing
its
current
relationships
or
contracts
with
financial
5
institutions
in
the
state
and
nationally.
Participation
6
by
financial
institutions
in
providing
account
balances
is
7
voluntary.
DHS
is
to
submit
a
progress
report
to
certain
8
legislators
by
September
1,
2014.
The
division
takes
effect
9
upon
enactment.
10
INTERDEPARTMENTAL
COORDINATION
FOR
INDIVIDUALS
RELEASED
11
FROM
THE
CORRECTIONAL
SYSTEM.
This
division
directs
the
12
departments
of
human
services,
public
health,
and
corrections
13
to
implement
an
interagency
collaborative
effort
to
provide
an
14
integrated
approach
to
address
the
medical
and
psychosocial
15
needs
of
individuals
upon
release
from
a
correctional
facility.
16
The
departments
are
directed
to
submit
by
December
15,
2014,
17
a
report
to
certain
legislators
describing
the
details
of
18
the
approach
developed
and
implemented,
any
barriers
to
the
19
development
and
implementation,
any
recommendations
for
changes
20
in
statute
or
rules
to
facilitate
the
approach,
and
any
other
21
recommendations.
22
DEPARTMENTAL
RESPONSIBILITY
FOR
MENTAL
HEALTH
ADVOCATES.
23
This
division
establishes
an
office
of
mental
health
advocate
24
in
the
department
of
inspections
and
appeals
and
specifies
25
duties
for
the
administrator
of
the
office.
The
department
is
26
required
to
contract
with
the
state
board
of
regents
to
employ
27
the
persons
appointed
to
serve
as
mental
health
advocates.
28
A
transition
provision
directs
the
department
to
commence
29
organizational
activities
during
FY
2014-2015
as
necessary
30
to
fully
implement
the
new
departmental
office
and
all
of
31
the
bill’s
related
substantive
provisions
on
July
1,
2015.
32
The
department
is
granted
emergency
rulemaking
authority
if
33
necessary
to
achieve
the
implementation
date.
34
This
division
takes
effect
July
1,
2014.
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IMPLEMENTATION
——
MENTAL
HEALTH
ADVOCATES.
This
division
1
provides
for
implementation
of
the
change
in
administration
2
of
the
mental
health
advocates
on
July
1,
2015,
including
3
conforming
changes
to
various
Code
sections.
4
Code
section
225C.4,
relating
to
the
duties
of
the
5
administrator
of
the
mental
health
and
disability
services
6
division
of
the
department
of
human
services,
is
amended
7
to
correct
a
reference
to
mental
health
advocates
and
to
8
include
the
department
of
human
rights
in
a
duty
for
providing
9
consultation
and
technical
assistance
to
advocates.
10
Code
section
226.31,
relating
to
an
application
for
a
court
11
order
for
transfer
of
a
dangerous
patient
from
a
state
mental
12
health
institute,
is
amended
to
correct
a
reference
to
the
13
advocate
to
be
included
in
a
notice
of
a
hearing.
14
Code
section
229.2,
relating
to
admissions
of
juvenile
15
mental
health
patients,
is
amended
to
correct
a
reference
to
16
the
appointment
of
a
mental
health
advocate
for
juveniles
17
involuntarily
committed.
18
Code
section
229.9A,
relating
to
requirements
for
the
clerk
19
of
court
to
notify
a
mental
health
advocate
of
application
and
20
order
information,
is
amended
to
correct
a
reference
to
the
21
advocate
and
to
authorize
the
advocate
to
attend
any
court
22
hearing
involving
the
respondent.
23
Code
section
229.12,
relating
to
the
procedure
for
24
hospitalization
hearings,
is
amended
to
correct
a
reference
to
25
the
advocate.
26
Code
section
229.14A,
relating
to
notice
requirements
for
27
involuntary
commitment
placement
orders
and
transfers,
is
28
amended
to
correct
a
reference
to
the
advocate
and
to
eliminate
29
a
reference
to
a
procedure
for
withdrawal
of
an
attorney
that
30
is
revised
by
the
bill.
31
Code
section
229.15,
relating
to
the
periodic
reports
32
required
when
hospitalization
of
a
patient
is
continued
by
33
court
order,
is
amended
to
require
the
report
to
be
provided
to
34
the
advocate.
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Code
section
229.19,
the
primary
Code
provision
for
1
mental
health
advocates,
is
extensively
revised
to
insert
2
the
department
of
inspections
and
appeals’
new
mental
health
3
advocate
division
in
place
of
the
counties.
The
court
is
4
required
to
notify
the
office
when
a
patient
is
found
to
be
5
seriously
mentally
impaired
and
the
office
is
required
to
6
appoint
the
advocate.
A
procedure
for
continuation
of
the
7
respondent’s
attorney
when
a
patient
is
found
to
be
seriously
8
mentally
impaired
is
revised
to
require
the
attorney
to
9
cooperate
with
the
patient’s
advocate
instead
of
assuming
the
10
duties
of
an
advocate.
Responsibility
for
compensation
of
11
the
mental
health
advocate
is
shifted
to
the
division
and
the
12
division
is
required
to
recover
the
costs
of
the
mental
health
13
advocate
if
the
person
is
not
indigent.
14
Code
section
229.25,
relating
to
exceptions
for
release
of
15
medical
records
maintained
by
a
hospital
or
other
treatment
16
facility,
is
amended
to
correct
a
reference
to
the
advocate
17
regarding
the
release
of
the
records
to
the
advocate
when
the
18
patient
has
signed
a
waiver.
19
The
bill
includes
a
provision
providing
for
the
appointment
20
on
July
1,
2015,
of
the
persons
serving
as
mental
health
21
advocates
immediately
prior
to
that
date.
22
This
division
takes
effect
July
1,
2015.
23
PRIOR
AUTHORIZATION.
This
division,
in
new
Code
section
24
505.26,
requires
the
development
and
use
of
a
standard
process
25
and
form
to
obtain
prior
authorization
for
prescription
drug
26
benefits
under
a
health
benefit
plan.
The
division
provides
27
definitions
and
requires
the
commissioner
of
insurance
to
28
develop,
by
rule,
a
standard
process
and
form
by
January
1,
29
2015.
Before
developing
the
process
and
form,
the
commissioner
30
is
required
to
hold
at
least
one
public
hearing
to
obtain
input
31
from
interested
parties.
The
form
must
not
exceed
two
pages
in
32
length
and
must
be
available
and
transmissible
in
an
electronic
33
format.
34
-95-
LSB
5006HV
(2)
85
pf/jp
95/
95