House Study Bill 685 - Introduced HOUSE FILE _____ BY (PROPOSED COMMITTEE ON APPROPRIATIONS BILL BY HOUSE APPROPRIATIONS SUBCOMMITTEE ON HEALTH AND HUMAN SERVICES) 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 5006HB (2) 85 pf/jp

H.F. _____ 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,300,190 21 10,606,066 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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- LSB 5006HB (2) 85 pf/jp 1/ 92

H.F. _____ 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 -2- LSB 5006HB (2) 85 pf/jp 2/ 92

H.F. _____ $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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 510,854 17 821,707 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 -3- LSB 5006HB (2) 85 pf/jp 3/ 92

H.F. _____ 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 13,581,845 7 27,088,690 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 -4- LSB 5006HB (2) 85 pf/jp 4/ 92

H.F. _____ 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 -5- LSB 5006HB (2) 85 pf/jp 5/ 92

H.F. _____ 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 -6- LSB 5006HB (2) 85 pf/jp 6/ 92

H.F. _____ 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 -7- LSB 5006HB (2) 85 pf/jp 7/ 92

H.F. _____ 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 -8- LSB 5006HB (2) 85 pf/jp 8/ 92

H.F. _____ 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 -9- LSB 5006HB (2) 85 pf/jp 9/ 92

H.F. _____ $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 -10- LSB 5006HB (2) 85 pf/jp 10/ 92

H.F. _____ 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 -11- LSB 5006HB (2) 85 pf/jp 11/ 92

H.F. _____ 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. 35 -12- LSB 5006HB (2) 85 pf/jp 12/ 92

H.F. _____ 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 9,292,336 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 35 -13- LSB 5006HB (2) 85 pf/jp 13/ 92

H.F. _____ 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 35 -14- LSB 5006HB (2) 85 pf/jp 14/ 92

H.F. _____ 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, 35 -15- LSB 5006HB (2) 85 pf/jp 15/ 92

H.F. _____ 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 35 -16- LSB 5006HB (2) 85 pf/jp 16/ 92

H.F. _____ $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 -17- LSB 5006HB (2) 85 pf/jp 17/ 92