Senate
Study
Bill
1251
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
APPROPRIATIONS
BILL
BY
SENATE
APPROPRIATIONS
SUBCOMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES)
(SUCCESSOR
TO
LSB
1004SA)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
including
other
related
provisions
and
appropriations,
2
providing
penalties,
and
including
effective,
retroactive,
3
and
applicability
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
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DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2013-2014
2
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
3
the
general
fund
of
the
state
to
the
department
on
aging
for
4
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
5
2014,
the
following
amount,
or
so
much
thereof
as
is
necessary,
6
to
be
used
for
the
purposes
designated:
7
For
aging
programs
for
the
department
on
aging
and
area
8
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
9
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
10
aging
and
disabilities
resource
center,
and
other
services
11
which
may
include
but
are
not
limited
to
adult
day
services,
12
respite
care,
chore
services,
information
and
assistance,
13
and
material
aid,
for
information
and
options
counseling
for
14
persons
with
disabilities
who
are
18
years
of
age
or
older,
15
and
for
salaries,
support,
administration,
maintenance,
and
16
miscellaneous
purposes,
and
for
not
more
than
the
following
17
full-time
equivalent
positions:
18
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$
12,831,025
19
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FTEs
28.00
20
1.
Funds
appropriated
in
this
section
may
be
used
to
21
supplement
federal
funds
under
federal
regulations.
To
22
receive
funds
appropriated
in
this
section,
a
local
area
23
agency
on
aging
shall
match
the
funds
with
moneys
from
other
24
sources
according
to
rules
adopted
by
the
department.
Funds
25
appropriated
in
this
section
may
be
used
for
elderly
services
26
not
specifically
enumerated
in
this
section
only
if
approved
27
by
an
area
agency
on
aging
for
provision
of
the
service
within
28
the
area.
29
2.
Of
the
funds
appropriated
in
this
section,
$279,946
30
shall
be
transferred
to
the
economic
development
authority
for
31
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
32
retired
and
senior
volunteer
program.
33
3.
a.
The
department
on
aging
shall
establish
and
enforce
34
procedures
relating
to
expenditure
of
state
and
federal
funds
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by
area
agencies
on
aging
that
require
compliance
with
both
1
state
and
federal
laws,
rules,
and
regulations,
including
but
2
not
limited
to
all
of
the
following:
3
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
4
or
services
received
or
performed
prior
to
the
end
of
the
5
fiscal
period
designated
for
use
of
the
funds.
6
(2)
Prohibiting
prepayment
for
goods
or
services
not
7
received
or
performed
prior
to
the
end
of
the
fiscal
period
8
designated
for
use
of
the
funds.
9
(3)
Prohibiting
the
prepayment
for
goods
or
services
10
not
defined
specifically
by
good
or
service,
time
period,
or
11
recipient.
12
(4)
Prohibiting
the
establishment
of
accounts
from
which
13
future
goods
or
services
which
are
not
defined
specifically
by
14
good
or
service,
time
period,
or
recipient,
may
be
purchased.
15
b.
The
procedures
shall
provide
that
if
any
funds
are
16
expended
in
a
manner
that
is
not
in
compliance
with
the
17
procedures
and
applicable
federal
and
state
laws,
rules,
and
18
regulations,
and
are
subsequently
subject
to
repayment,
the
19
area
agency
on
aging
expending
such
funds
in
contravention
of
20
such
procedures,
laws,
rules
and
regulations,
not
the
state,
21
shall
be
liable
for
such
repayment.
22
4.
Of
the
funds
appropriated
in
this
section,
$250,000
23
shall
be
used
to
fund
services
to
meet
the
unmet
needs
of
older
24
individuals
as
identified
in
the
annual
compilation
of
unmet
25
service
units
by
the
area
agencies
on
aging.
26
5.
Of
the
funds
appropriated
in
this
section,
$600,000
27
shall
be
used
to
fund
home
and
community-based
services
through
28
the
area
agencies
on
aging
that
enable
older
individuals
to
29
avoid
more
costly
utilization
of
residential
or
institutional
30
services
and
remain
in
their
own
homes.
31
6.
Of
the
funds
appropriated
in
this
section,
$2,210,646
32
shall
be
used
to
administer
the
office
of
substitute
decision
33
maker
established
pursuant
to
chapter
231E,
on
a
statewide
34
basis.
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7.
Of
the
funds
appropriated
in
this
subsection,
$40,000
1
shall
be
used
for
implementation
of
a
guardianship
and
2
conservatorship
monitoring
and
assistance
pilot
project
as
3
specified
in
this
Act.
4
DIVISION
II
5
OFFICE
OF
LONG-TERM
CARE
RESIDENT’S
ADVOCATE
——
FY
2013-2014
6
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
RESIDENT’S
ADVOCATE.
There
7
is
appropriated
from
the
general
fund
of
the
state
to
the
8
office
of
long-term
care
resident’s
advocate
for
the
fiscal
9
year
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
10
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
11
used
for
the
purposes
designated:
12
For
salaries,
support,
administration,
maintenance,
and
13
miscellaneous
purposes,
and
for
not
more
than
the
following
14
full-time
equivalent
positions:
15
.
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.
$
1,321,707
16
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.
FTEs
16.00
17
1.
Of
the
funds
appropriated
in
this
section,
$500,000
18
shall
be
used
to
provide
five
additional
local
long-term
care
19
resident’s
advocates
to
continue
moving
toward
the
national
20
recommendation
of
one
full-time
equivalent
paid
staff
ombudsman
21
per
2,000
long-term
care
beds
in
the
state.
22
2.
Of
the
funds
appropriated
in
this
section,
$210,000
23
shall
be
used
to
provide
two
local
long-term
care
resident’s
24
advocates
to
administer
the
certified
volunteer
long-term
25
care
resident’s
advocate
program
pursuant
to
section
231.45,
26
including
operational
certification
and
training
costs.
27
DIVISION
III
28
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2013-2014
29
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
30
from
the
general
fund
of
the
state
to
the
department
of
public
31
health
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
32
June
30,
2014,
the
following
amounts,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purposes
designated:
34
1.
ADDICTIVE
DISORDERS
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For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
1
other
drugs,
and
treating
individuals
affected
by
addictive
2
behaviors,
including
gambling,
and
for
not
more
than
the
3
following
full-time
equivalent
positions:
4
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.
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.
.
$
29,763,690
5
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.
FTEs
13.00
6
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
7
$7,753,830
shall
be
used
for
the
tobacco
use
prevention
8
and
control
initiative,
including
efforts
at
the
state
and
9
local
levels,
as
provided
in
chapter
142A
.
The
commission
10
on
tobacco
use
prevention
and
control
established
pursuant
11
to
section
142A.3
shall
advise
the
director
of
public
health
12
in
prioritizing
funding
needs
and
the
allocation
of
moneys
13
appropriated
for
the
programs
and
activities
of
the
initiative
14
under
this
subparagraph
(1)
and
shall
make
recommendations
to
15
the
director
in
the
development
of
budget
requests
relating
to
16
the
initiative.
17
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$50,000
18
shall
be
used
for
a
social
media
campaign
to
address
tobacco
19
use
reduction.
20
(3)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
21
$453,830
shall
be
transferred
to
the
alcoholic
beverages
22
division
of
the
department
of
commerce
for
enforcement
of
23
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
24
tobacco
control
activities
approved
by
the
division
of
tobacco
25
use
prevention
and
control
as
specified
in
the
memorandum
of
26
understanding
entered
into
between
the
divisions.
27
(b)
For
the
fiscal
year
beginning
July
1,
2013,
and
ending
28
June
30,
2014,
the
terms
of
the
memorandum
of
understanding,
29
entered
into
between
the
division
of
tobacco
use
prevention
30
and
control
of
the
department
of
public
health
and
the
31
alcoholic
beverages
division
of
the
department
of
commerce,
32
governing
compliance
checks
conducted
to
ensure
licensed
retail
33
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
34
ordinances
relating
to
persons
under
eighteen
years
of
age,
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shall
restrict
the
number
of
such
checks
to
one
check
per
1
retail
outlet,
and
one
additional
check
for
any
retail
outlet
2
found
to
be
in
violation
during
the
first
check.
3
b.
Of
the
funds
appropriated
in
this
subsection,
4
$22,049,360
shall
be
used
for
problem
gambling
and
5
substance-related
disorder
prevention,
treatment,
and
recovery
6
services,
including
a
24-hour
helpline,
public
information
7
resources,
professional
training,
and
program
evaluation.
8
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
9
$18,932,508
shall
be
used
for
substance-related
disorder
10
prevention
and
treatment.
11
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
12
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
13
program
to
provide
substance-related
disorder
prevention
14
programming
for
children.
15
(i)
Of
the
funds
allocated
in
this
subparagraph
division
16
(a),
$427,539
shall
be
used
for
grant
funding
for
organizations
17
that
provide
programming
for
children
by
utilizing
mentors.
18
Programs
approved
for
such
grants
shall
be
certified
or
will
19
be
certified
within
six
months
of
receiving
the
grant
award
20
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
21
standards
for
effective
practice
for
mentoring
programs.
22
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
23
(a),
$426,839
shall
be
used
for
grant
funding
for
organizations
24
that
provide
programming
that
includes
youth
development
and
25
leadership.
The
programs
shall
also
be
recognized
as
being
26
programs
that
are
scientifically
based
with
evidence
of
their
27
effectiveness
in
reducing
substance-related
disorders
in
28
children.
29
(iii)
The
department
of
public
health
shall
utilize
a
30
request
for
proposals
process
to
implement
the
grant
program.
31
(iv)
All
grant
recipients
shall
participate
in
a
program
32
evaluation
as
a
requirement
for
receiving
grant
funds.
33
(v)
Of
the
funds
allocated
in
this
subparagraph
division
34
(a),
up
to
$44,922
may
be
used
to
administer
substance-related
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disorder
prevention
grants
and
for
program
evaluations.
1
(b)
Of
the
funds
allocated
in
this
subparagraph
2
(1),
$273,062
shall
be
used
for
culturally
competent
3
substance-related
disorder
treatment
pilot
projects.
4
(i)
The
department
shall
utilize
the
amount
allocated
5
in
this
subparagraph
division
(b)
for
at
least
three
pilot
6
projects
to
provide
culturally
competent
substance-related
7
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
8
project
shall
target
a
particular
ethnic
minority
population.
9
The
populations
targeted
shall
include
but
are
not
limited
to
10
African
American,
Asian,
and
Latino.
11
(ii)
The
pilot
project
requirements
shall
provide
for
12
documentation
or
other
means
to
ensure
access
to
the
cultural
13
competence
approach
used
by
a
pilot
project
so
that
such
14
approach
can
be
replicated
and
improved
upon
in
successor
15
programs.
16
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
17
to
$3,116,852
may
be
used
for
problem
gambling
prevention,
18
treatment,
and
recovery
services.
19
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
20
$2,579,000
shall
be
used
for
problem
gambling
prevention
and
21
treatment.
22
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
23
$437,852
may
be
used
for
a
24-hour
helpline,
public
information
24
resources,
professional
training,
and
program
evaluation.
25
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
26
to
$100,000
may
be
used
for
the
licensing
of
problem
gambling
27
treatment
programs.
28
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
29
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
30
diagnosis
of
substance-related
disorder
and
gambling
addiction
31
shall
be
given
priority
in
treatment
services.
32
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
33
to
standardize
the
availability,
delivery,
cost
of
delivery,
34
and
accountability
of
problem
gambling
and
substance-related
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disorder
treatment
services
statewide,
the
department
shall
1
continue
implementation
of
a
process
to
create
a
system
2
for
delivery
of
treatment
services
in
accordance
with
the
3
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
4
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
5
of
treatment
services
that
best
meets
the
needs
of
Iowans,
6
the
problem
gambling
and
substance-related
disorder
treatment
7
services
in
any
area
may
be
provided
either
by
a
single
agency
8
or
by
separate
agencies
submitting
a
joint
proposal.
9
(1)
The
system
for
delivery
of
substance-related
disorder
10
and
problem
gambling
treatment
shall
include
problem
gambling
11
prevention.
12
(2)
The
system
for
delivery
of
substance-related
disorder
13
and
problem
gambling
treatment
shall
include
substance-related
14
disorder
prevention
by
July
1,
2014.
15
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
16
may
use
up
to
$100,000
for
administrative
costs
to
continue
17
developing
and
implementing
the
process
in
accordance
with
this
18
paragraph
“c”.
19
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
20
by
the
appropriations
and
allocations
made
in
this
Act
for
21
purposes
of
substance-related
disorder
treatment
and
addictive
22
disorders
for
the
fiscal
year
beginning
July
1,
2013.
23
e.
The
department
of
public
health
shall
work
with
all
24
other
departments
that
fund
substance-related
disorder
25
prevention
and
treatment
services
and
all
such
departments
26
shall,
to
the
extent
necessary,
collectively
meet
the
state
27
maintenance
of
effort
requirements
for
expenditures
for
28
substance-related
disorder
services
as
required
under
the
29
federal
substance-related
disorder
prevention
and
treatment
30
block
grant.
31
2.
HEALTHY
CHILDREN
AND
FAMILIES
32
For
promoting
the
optimum
health
status
for
children,
33
adolescents
from
birth
through
21
years
of
age,
and
families,
34
and
for
not
more
than
the
following
full-time
equivalent
35
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positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,996,099
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
3
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
4
than
$739,318
shall
be
used
for
the
healthy
opportunities
to
5
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
6
established
pursuant
to
section
135.106
.
The
funding
shall
7
be
distributed
to
renew
the
grants
that
were
provided
to
the
8
grantees
that
operated
the
program
during
the
fiscal
year
9
ending
June
30,
2013.
10
b.
In
order
to
implement
the
legislative
intent
stated
in
11
sections
135.106
and
256I.9,
that
priority
for
home
visitation
12
program
funding
be
given
to
programs
using
evidence-based
or
13
promising
models
for
home
visitation,
it
is
the
intent
of
the
14
general
assembly
to
phase-in
the
funding
priority
in
accordance
15
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
16
paragraph
0b.
17
c.
Of
the
funds
appropriated
in
this
subsection,
$2,672,425
18
shall
be
used
to
expand
the
department’s
initiative
to
19
provide
for
adequate
developmental
surveillance
and
screening
20
during
a
child’s
first
five
years
statewide.
The
expansion
21
shall
include
enhancing
the
scope
of
the
program
through
22
collaboration
with
the
child
health
specialty
clinics
to
23
promote
healthy
child
development
through
early
identification
24
and
response
to
both
biomedical
and
social
determinants
25
of
healthy
development;
by
developing
child
health
metrics
26
to
inform
practice,
document
long-term
health
impacts
and
27
savings,
and
provide
for
continuous
improvement
through
28
training,
education,
and
evaluation;
and
by
providing
for
29
practitioner
consultation
particularly
for
children
with
30
behavioral
conditions
and
needs.
The
department
of
public
31
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
32
and
the
child
health
specialty
clinics
to
integrate
the
33
activities
of
the
first
five
initiative
into
the
establishment
34
of
patient-centered
medical
homes,
community
utilities,
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accountable
care
organizations,
and
other
integrated
care
1
models
developed
to
improve
health
quality
and
population
2
health
while
reducing
health
care
costs.
To
the
maximum
extent
3
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
4
as
matching
funds
for
medical
assistance
program
reimbursement.
5
d.
Of
the
funds
appropriated
in
this
subsection,
$31,597
6
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
7
funds
to
continue
the
donated
dental
services
program
patterned
8
after
the
projects
developed
by
the
lifeline
network
to
provide
9
dental
services
to
indigent
elderly
and
disabled
individuals.
10
e.
Of
the
funds
appropriated
in
this
subsection,
$112,677
11
shall
be
used
for
childhood
obesity
prevention.
12
f.
Of
the
funds
appropriated
in
this
subsection,
$163,760
13
shall
be
used
to
provide
audiological
services
and
hearing
14
aids
for
children.
The
department
may
enter
into
a
contract
15
to
administer
this
paragraph.
16
g.
Of
the
funds
appropriated
in
this
subsection,
$25,000
17
shall
be
transferred
to
the
university
of
Iowa
college
of
18
dentistry
for
provision
of
primary
dental
services
to
children.
19
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
20
The
university
of
Iowa
college
of
dentistry
shall
coordinate
21
efforts
with
the
department
of
public
health,
bureau
of
22
oral
and
health
delivery
systems,
to
provide
dental
care
to
23
underserved
populations
throughout
the
state.
24
h.
Of
the
funds
appropriated
in
this
subsection,
$50,000
25
shall
be
used
to
address
youth
suicide
prevention.
26
i.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
27
shall
be
used
to
expand
the
I-smile
oral
health
program
to
28
at-risk
adults
with
a
priority
to
serve
individuals
60
years
29
of
age
or
older
to
improve
systemic
health
and
quality
of
30
life,
including
to
individuals
with
disabilities
and
older
31
individuals
with
physical,
cognitive,
or
behavioral
limitations
32
or
chronic
or
complex
conditions
that
adversely
affect
oral
33
self-care,
result
in
greater
susceptibility
to
oral
disease,
or
34
limit
accessibility
to
professional
oral
care.
35
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3.
CHRONIC
CONDITIONS
1
For
serving
individuals
identified
as
having
chronic
2
conditions
or
special
health
care
needs,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,220,411
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
6
a.
Of
the
funds
appropriated
in
this
subsection,
$160,582
7
shall
be
used
for
grants
to
individual
patients
who
have
8
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
9
special
foods.
10
b.
Of
the
funds
appropriated
in
this
subsection,
$893,600
11
shall
be
used
for
the
brain
injury
services
program
pursuant
to
12
section
135.22B,
including
for
continuation
of
the
contracts
13
for
resource
facilitator
services
in
accordance
with
section
14
135.22B,
subsection
9,
and
to
enhance
brain
injury
training
and
15
recruitment
of
service
providers
on
a
statewide
basis.
Of
the
16
amount
allocated
in
this
paragraph,
$95,000
shall
be
used
to
17
fund
one
full-time
equivalent
position
to
serve
as
the
state
18
brain
injury
service
program
manager.
19
c.
Of
the
funds
appropriated
in
this
subsection,
$550,000
20
shall
be
used
as
additional
funding
to
leverage
federal
funding
21
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
22
assistance
program
supplemental
drug
treatment
grants.
23
d.
Of
the
funds
appropriated
in
this
subsection,
$100,000
24
shall
be
used
for
the
public
purpose
of
continuing
a
grant
25
with
an
existing
national-affiliated
organization
to
provide
26
education,
client-centered
programs,
and
client
and
family
27
support
for
people
living
with
epilepsy
and
their
families.
28
e.
Of
the
funds
appropriated
in
this
subsection,
$788,303
29
shall
be
used
for
child
health
specialty
clinics.
30
f.
Of
the
funds
appropriated
in
this
subsection,
$400,000
31
shall
be
used
by
the
regional
autism
assistance
program
32
established
pursuant
to
section
256.35,
and
administered
by
33
the
child
health
specialty
clinic
located
at
the
university
of
34
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
35
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interagency
collaboration
and
coordination
of
educational,
1
medical,
and
other
human
services
for
persons
with
autism,
2
their
families,
and
providers
of
services,
including
delivering
3
regionalized
services
of
care
coordination,
family
navigation,
4
and
integration
of
services
through
the
statewide
system
of
5
regional
child
health
speciality
clinics
and
fulfilling
other
6
requirements
as
specified
in
chapter
225D,
creating
the
autism
7
support
program,
as
enacted
in
this
Act.
The
university
of
8
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
9
indirect
costs
associated
with
the
regional
autism
assistance
10
program.
11
g.
Of
the
funds
appropriated
in
this
subsection,
$597,065
12
shall
be
used
for
the
comprehensive
cancer
control
program
to
13
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
14
detection,
effective
treatment,
and
ensuring
quality
of
life.
15
Of
the
funds
allocated
in
this
lettered
paragraph,
$150,000
16
shall
be
used
to
support
a
melanoma
research
symposium,
a
17
melanoma
biorepository
and
registry,
basic
and
translational
18
melanoma
research,
and
clinical
trials.
19
h.
Of
the
funds
appropriated
in
this
subsection,
$126,450
20
shall
be
used
for
colon
cancer
screening,
and
$500,000
shall
21
be
used
to
enhance
the
capacity
of
the
breast
and
cervical
22
cancer
screening
program
to
include
provision
of
recommended
23
prevention
and
early
detection
measures
to
a
broader
range
of
24
low-income
women.
25
i.
Of
the
funds
appropriated
in
this
subsection,
$528,834
26
shall
be
used
for
the
center
for
congenital
and
inherited
27
disorders.
28
j.
Of
the
funds
appropriated
in
this
subsection,
$129,937
29
shall
be
used
for
the
prescription
drug
donation
repository
30
program
created
in
chapter
135M
.
31
k.
Of
the
funds
appropriated
in
this
subsection,
$215,263
32
shall
be
used
for
the
costs
of
the
medical
home
system
advisory
33
council
established
pursuant
to
section
135.159
including
34
incorporation
of
the
development
and
implementation
of
the
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prevention
and
chronic
care
management
state
initiative.
1
l.
Of
the
funds
appropriated
in
this
subsection,
$139,719
2
shall
be
used
to
fund
the
state
comprehensive
Alzheimer’s
3
disease
response
strategy
as
enacted
in
this
Act.
4
4.
COMMUNITY
CAPACITY
5
For
strengthening
the
health
care
delivery
system
at
the
6
local
level,
and
for
not
more
than
the
following
full-time
7
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,514,110
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
10
a.
Of
the
funds
appropriated
in
this
subsection,
$100,000
11
is
allocated
for
continuation
of
the
child
vision
screening
12
program
implemented
through
the
university
of
Iowa
hospitals
13
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
14
The
program
shall
submit
a
report
to
the
individuals
identified
15
in
this
Act
for
submission
of
reports
regarding
the
use
of
16
funds
allocated
under
this
paragraph
“a”.
The
report
shall
17
include
the
objectives
and
results
for
the
program
year
18
including
the
target
population
and
how
the
funds
allocated
19
assisted
the
program
in
meeting
the
objectives;
the
number,
20
age,
and
location
within
the
state
of
individuals
served;
21
the
type
of
services
provided
to
the
individuals
served;
the
22
distribution
of
funds
based
on
service
provided;
and
the
23
continuing
needs
of
the
program.
24
b.
Of
the
funds
appropriated
in
this
subsection,
$111,308
is
25
allocated
for
continuation
of
an
initiative
implemented
at
the
26
university
of
Iowa
and
$100,493
is
allocated
for
continuation
27
of
an
initiative
at
the
state
mental
health
institute
at
28
Cherokee
to
expand
and
improve
the
workforce
engaged
in
mental
29
health
treatment
and
services.
The
initiatives
shall
receive
30
input
from
the
university
of
Iowa,
the
department
of
human
31
services,
the
department
of
public
health,
and
the
mental
32
health
and
disability
services
commission
to
address
the
focus
33
of
the
initiatives.
34
c.
Of
the
funds
appropriated
in
this
subsection,
$1,171,491
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shall
be
used
for
essential
public
health
services
that
promote
1
healthy
aging
throughout
the
lifespan,
contracted
through
a
2
formula
for
local
boards
of
health,
to
enhance
health
promotion
3
and
disease
prevention
services.
4
d.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
5
be
deposited
in
the
governmental
public
health
system
fund
6
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
7
fund.
8
e.
Of
the
funds
appropriated
in
this
subsection,
$144,542
9
shall
be
used
for
the
mental
health
professional
shortage
area
10
program
implemented
pursuant
to
section
135.180
.
11
f.
Of
the
funds
appropriated
in
this
subsection,
12
$38,263
shall
be
used
for
a
grant
to
a
statewide
association
13
of
psychologists
that
is
affiliated
with
the
American
14
psychological
association
to
be
used
for
continuation
of
a
15
program
to
rotate
intern
psychologists
in
placements
in
urban
16
and
rural
mental
health
professional
shortage
areas,
as
defined
17
in
section
135.180
.
18
g.
Of
the
funds
appropriated
in
this
subsection,
the
19
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
20
safety
net
provider
network
established
pursuant
to
section
21
135.153
to
be
used
for
the
purposes
designated.
The
following
22
amounts
allocated
under
this
lettered
paragraph
shall
be
23
distributed
to
the
specified
provider
and
shall
not
be
reduced
24
for
administrative
or
other
costs
prior
to
distribution:
25
(1)
For
distribution
to
the
Iowa
primary
care
association
26
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
27
provider
network:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
146,563
29
(2)
For
distribution
to
the
Iowa
primary
care
association
30
to
be
used
to
continue
a
training
program
for
sexual
assault
31
response
team
(SART)
members,
including
representatives
of
32
law
enforcement,
victim
advocates,
prosecutors,
and
certified
33
medical
personnel:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
35
-13-
LSB
1004SB
(1)
85
pf/jp
13/
120
S.F.
_____
(3)
For
distribution
to
federally
qualified
health
centers
1
for
necessary
infrastructure,
statewide
coordination,
provider
2
recruitment,
service
delivery,
and
provision
of
assistance
to
3
patients
in
determining
an
appropriate
medical
home:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
5
(4)
For
distribution
to
the
local
boards
of
health
that
6
provide
direct
services
for
pilot
programs
in
three
counties
to
7
assist
patients
in
securing
a
medical
home
inclusive
of
dental
8
care:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
77,609
10
(5)
For
distribution
to
maternal
and
child
health
centers
11
for
pilot
programs
in
three
service
areas
to
assist
patients
in
12
securing
a
medical
home
inclusive
of
dental
care:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
95,582
14
(6)
For
distribution
to
free
clinics
for
necessary
15
infrastructure,
statewide
coordination,
provider
recruitment,
16
service
delivery,
and
provision
of
assistance
to
patients
in
17
securing
a
medical
home
inclusive
of
dental
care:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
19
(7)
For
distribution
to
rural
health
clinics
for
necessary
20
infrastructure,
statewide
coordination,
provider
recruitment,
21
service
delivery,
and
provision
of
assistance
to
patients
in
22
determining
an
appropriate
medical
home:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
142,192
24
(8)
For
continuation
of
the
safety
net
provider
patient
25
access
to
a
specialty
health
care
initiative
as
described
in
26
2007
Iowa
Acts,
chapter
218,
section
109:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
450,000
28
(9)
For
continuation
of
the
pharmaceutical
infrastructure
29
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
30
chapter
218,
section
108:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
415,000
32
(10)
For
distribution
to
the
Iowa
family
planning
network
33
agencies
for
necessary
infrastructure,
statewide
coordination,
34
provider
recruitment,
service
delivery,
and
provision
of
35
-14-
LSB
1004SB
(1)
85
pf/jp
14/
120
S.F.
_____
assistance
to
patients
in
determining
an
appropriate
medical
1
home:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
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
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
8
$206,750
shall
be
used
for
continuation
of
the
work
of
the
9
direct
care
worker
advisory
council
established
pursuant
to
10
2008
Iowa
Acts,
chapter
1188,
section
69,
in
implementing
the
11
recommendations
in
the
final
report
submitted
by
the
advisory
12
council
to
the
governor
and
the
general
assembly
in
March
2012.
13
(2)
The
advisory
council,
in
collaboration
with
the
board
14
of
direct
care
professionals
created
in
chapter
152F,
if
15
enacted
in
2013
Iowa
Acts,
Senate
File
232,
or
2013
successor
16
legislation,
shall
do
all
of
the
following:
17
(a)
Develop
and
conduct
necessary
outreach
and
education
18
for
individuals
providing
direct
care
services,
consumers,
19
training
providers
including
but
not
limited
to
community
20
college
health
occupation
and
training
centers,
employers,
and
21
other
interested
parties
to
provide
information
about
and
the
22
process
for
participation
in
direct
care
professional
voluntary
23
certification.
24
(b)
Determine
data
collection
needs,
collect
data,
and
25
track
and
analyze
data
to
determine
the
effect
of
certification
26
on
recruitment
and
retention,
turnover
rates,
the
cost
of
27
turnover,
consumer
and
employer
satisfaction,
and
public
28
protection.
The
analysis
of
the
data
collected
shall
also
be
29
used
to
inform
changes
in
the
certification
system
to
provide
30
for
continuous
improvement
for
direct
care
professionals,
31
consumers
and
employers,
and
the
public.
32
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
33
$207,750
shall
be
used
for
allocation
to
an
independent
34
statewide
direct
care
worker
association
under
continuation
35
-15-
LSB
1004SB
(1)
85
pf/jp
15/
120
S.F.
_____
of
the
contract
in
effect
during
the
fiscal
year
ending
June
1
30,
2013,
with
terms
determined
by
the
director
of
public
2
health
relating
to
education,
outreach,
leadership
development,
3
mentoring,
and
other
initiatives
intended
to
enhance
the
4
recruitment
and
retention
of
direct
care
workers
in
health
care
5
and
long-term
care
settings.
6
(2)
Of
the
funds
appropriated
in
this
subsection,
$75,000
7
shall
be
used
to
provide
scholarships
or
other
forms
of
8
subsidization
for
direct
care
worker
educational
conferences,
9
training,
or
outreach
activities.
10
(3)
Of
the
funds
appropriated
in
this
subsection,
up
to
11
$300,000
shall
be
used
for
the
direct
care
professional
board
12
created
pursuant
to
chapter
152F,
if
enacted
in
2013
Iowa
Acts,
13
Senate
File
232,
or
2013
successor
legislation.
However,
14
expenditure
of
the
funds
allocated
in
this
subparagraph
(3)
15
shall
be
limited
to
$184,530
for
the
initial
5,000
applications
16
for
certification
received.
Expenditure
of
the
remainder
17
shall
be
expended
incrementally,
according
to
the
number
of
18
additional
applications
received.
19
j.
Of
the
funds
appropriated
in
this
subsection,
the
20
department
may
use
up
to
$58,518
for
up
to
one
full-time
21
equivalent
position
to
administer
the
volunteer
health
care
22
provider
program
pursuant
to
section
135.24
.
23
k.
Of
the
funds
appropriated
in
this
subsection,
$50,000
24
shall
be
used
for
a
matching
dental
education
loan
repayment
25
program
to
be
allocated
to
a
dental
nonprofit
health
service
26
corporation
to
develop
the
criteria
and
implement
the
loan
27
repayment
program.
28
l.
Of
the
funds
appropriated
in
this
subsection,
$105,823
29
shall
be
transferred
to
the
college
student
aid
commission
for
30
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
in
31
section
261.113
to
be
used
for
the
purposes
of
the
fund.
32
m.
Of
the
funds
appropriated
in
this
subsection,
$150,000
33
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
34
specified
in
section
142C.18.
35
-16-
LSB
1004SB
(1)
85
pf/jp
16/
120
S.F.
_____
n.
Of
the
funds
appropriated
in
this
subsection,
$100,000
1
shall
be
used
for
continuation
of
a
grant
to
a
nationally
2
affiliated
volunteer
eye
organization
that
has
an
established
3
program
for
children
and
adults
and
that
is
solely
dedicated
to
4
preserving
sight
and
preventing
blindness
through
education,
5
nationally
certified
vision
screening
and
training,
and
6
community
and
patient
service
programs.
The
organization
7
shall
submit
a
report
to
the
individuals
identified
in
this
8
Act
for
submission
of
reports
regarding
the
use
of
funds
9
allocated
under
this
paragraph
“n”.
The
report
shall
include
10
the
objectives
and
results
for
the
program
year
including
11
the
target
population
and
how
the
funds
allocated
assisted
12
the
program
in
meeting
the
objectives;
the
number,
age,
and
13
location
within
the
state
of
individuals
served;
the
type
of
14
services
provided
to
the
individuals
served;
the
distribution
15
of
funds
based
on
service
provided;
and
the
continuing
needs
16
of
the
program.
17
o.
Of
the
funds
appropriated
in
this
subsection,
$25,000
18
shall
be
used
for
the
establishment
of
wellness
council
under
19
the
direction
of
the
director
of
public
health
to
increase
20
support
for
wellness
activities
in
the
state.
21
p.
Of
the
funds
appropriated
in
this
section,
$1,158,150
22
is
allocated
to
the
Iowa
collaborative
safety
net
provider
23
network
established
pursuant
to
section
135.153
to
be
used
for
24
development
and
implementation
of
a
statewide
regionally-based
25
network
to
provide
an
integrated
approach
to
health
care
26
delivery
through
care
coordination
that
supports
primary
27
care
providers
and
links
patients
with
community
resources
28
necessary
to
empower
patients
in
addressing
biomedical
and
29
social
determinants
of
health
to
improve
health
outcomes.
The
30
Iowa
collaborative
safety
net
provider
network
shall
submit
a
31
report
to
the
individuals
designated
in
this
Act
for
submission
32
of
reports
by
June
30,
2013,
including
progress
in
developing
33
and
implementing
the
network,
how
the
funds
were
distributed
34
and
used
in
developing
and
implementing
the
network,
and
the
35
-17-
LSB
1004SB
(1)
85
pf/jp
17/
120
S.F.
_____
remaining
needs
in
developing
and
implementing
the
network.
1
q.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
2
be
deposited
in
the
area
health
education
centers
fund,
as
3
enacted
by
this
Act,
to
be
used
for
the
purposes
of
the
fund.
4
r.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
5
be
used
for
the
public
purpose
of
supporting
a
partnership
6
between
medical
providers
and
parents
through
community
health
7
centers
to
promote
reading
and
encourage
literacy
skills
so
8
children
enter
school
prepared
for
success
in
reading.
9
5.
HEALTHY
AGING
10
To
provide
public
health
services
that
reduce
risks
and
11
invest
in
promoting
and
protecting
good
health
over
the
12
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
13
vulnerable
populations:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
15
a.
Of
the
funds
appropriated
in
this
subsection,
$2,009,187
16
shall
be
used
for
local
public
health
nursing
services.
17
b.
Of
the
funds
appropriated
in
this
subsection,
$5,287,955
18
shall
be
used
for
home
care
aide
services.
19
6.
ENVIRONMENTAL
HAZARDS
20
For
reducing
the
public’s
exposure
to
hazards
in
the
21
environment,
primarily
chemical
hazards,
and
for
not
more
than
22
the
following
full-time
equivalent
positions:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
803,870
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
25
Of
the
funds
appropriated
in
this
subsection,
$544,377
shall
26
be
used
for
childhood
lead
poisoning
provisions.
27
7.
INFECTIOUS
DISEASES
28
For
reducing
the
incidence
and
prevalence
of
communicable
29
diseases,
and
for
not
more
than
the
following
full-time
30
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,335,155
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
33
8.
PUBLIC
PROTECTION
34
For
protecting
the
health
and
safety
of
the
public
through
35
-18-
LSB
1004SB
(1)
85
pf/jp
18/
120
S.F.
_____
establishing
standards
and
enforcing
regulations,
and
for
not
1
more
than
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,259,571
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
130.00
4
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
5
than
$500,334
shall
be
credited
to
the
emergency
medical
6
services
fund
created
in
section
135.25
.
Moneys
in
the
7
emergency
medical
services
fund
are
appropriated
to
the
8
department
to
be
used
for
the
purposes
of
the
fund.
9
b.
Of
the
funds
appropriated
in
this
subsection,
$210,619
10
shall
be
used
for
sexual
violence
prevention
programming
11
through
a
statewide
organization
representing
programs
serving
12
victims
of
sexual
violence
through
the
department’s
sexual
13
violence
prevention
program.
The
amount
allocated
in
this
14
lettered
paragraph
shall
not
be
used
to
supplant
funding
15
administered
for
other
sexual
violence
prevention
or
victims
16
assistance
programs.
17
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
18
than
$539,477
shall
be
used
for
the
state
poison
control
19
center.
20
d.
Of
the
funds
appropriated
in
this
section,
$368,000
shall
21
be
used
for
maintenance
of
environmental
health
programs
to
22
ensure
public
safety.
23
e.
Of
the
funds
appropriated
in
this
section,
$28,000
shall
24
be
used
as
one-time
funding
to
transition
the
licensing
of
25
orthotists,
prosthetists,
and
pedorthists
to
a
fee-supported
26
licensing
model.
27
f.
Of
the
funds
appropriated
in
this
section,
$28,644
shall
28
be
used
for
the
costs
of
the
emergency
medical
services
task
29
force
as
enacted
in
this
Act.
30
g.
Of
the
funds
appropriated
in
this
section,
$55,800
shall
31
be
used
as
one-time
funding
for
the
board
of
behavioral
science
32
to
incorporate
the
provisions
of
2013
Iowa
Acts,
House
File
33
569,
if
enacted,
relating
to
the
licensure
of
professional
34
practicing
substance
and
addictive
disorder
counseling
or
35
-19-
LSB
1004SB
(1)
85
pf/jp
19/
120
S.F.
_____
providing
substance
and
addictive
disorder
prevention
services.
1
9.
RESOURCE
MANAGEMENT
2
For
establishing
and
sustaining
the
overall
ability
of
the
3
department
to
deliver
services
to
the
public,
and
for
not
more
4
than
the
following
full-time
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
804,054
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
7
The
university
of
Iowa
hospitals
and
clinics
under
the
8
control
of
the
state
board
of
regents
shall
not
receive
9
indirect
costs
from
the
funds
appropriated
in
this
section.
10
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
11
department
shall
be
on
at
least
a
quarterly
basis.
12
DIVISION
IV
13
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2013-2014
14
Sec.
4.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
15
appropriated
from
the
general
fund
of
the
state
to
the
16
department
of
veterans
affairs
for
the
fiscal
year
beginning
17
July
1,
2013,
and
ending
June
30,
2014,
the
following
amounts,
18
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
19
designated:
20
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
21
For
salaries,
support,
maintenance,
and
miscellaneous
22
purposes,
including
the
war
orphans
educational
assistance
fund
23
created
in
section
35.8
,
or
a
successor
funding
provision
for
24
war
orphans
educational
assistance,
if
enacted,
and
for
not
25
more
than
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,093,508
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
28
2.
IOWA
VETERANS
HOME
29
For
salaries,
support,
maintenance,
and
miscellaneous
30
purposes:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,025,714
32
a.
The
Iowa
veterans
home
billings
involving
the
department
33
of
human
services
shall
be
submitted
to
the
department
on
at
34
least
a
monthly
basis.
35
-20-
LSB
1004SB
(1)
85
pf/jp
20/
120
S.F.
_____
b.
If
there
is
a
change
in
the
employer
of
employees
1
providing
services
at
the
Iowa
veterans
home
under
a
collective
2
bargaining
agreement,
such
employees
and
the
agreement
shall
3
be
continued
by
the
successor
employer
as
though
there
had
not
4
been
a
change
in
employer.
5
c.
Within
available
resources
and
in
conformance
with
6
associated
state
and
federal
program
eligibility
requirements,
7
the
Iowa
veterans
home
may
implement
measures
to
provide
8
financial
assistance
to
or
on
behalf
of
veterans
or
their
9
spouses
who
are
participating
in
the
community
reentry
program.
10
d.
The
Iowa
veterans
home
expenditure
report
shall
be
11
submitted
monthly
to
the
legislative
services
agency.
12
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
13
VETERANS
14
For
provision
of
educational
assistance
pursuant
to
section
15
35.9
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,416
17
4.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
18
For
transfer
to
the
Iowa
finance
authority
for
the
19
continuation
of
the
home
ownership
assistance
program
for
20
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
21
the
United
States,
pursuant
to
section
16.54:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,600,000
23
Sec.
5.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
24
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
25
appropriation
in
the
following
designated
section
for
the
26
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
2014,
27
the
amounts
appropriated
from
the
general
fund
of
the
state
28
pursuant
to
that
section
for
the
following
designated
purposes
29
shall
not
exceed
the
following
amount:
30
For
the
county
commissions
of
veteran
affairs
fund
under
31
section
35A.16
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
33
DIVISION
V
34
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2013-2014
35
-21-
LSB
1004SB
(1)
85
pf/jp
21/
120
S.F.
_____
Sec.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
1
GRANT.
There
is
appropriated
from
the
fund
created
in
section
2
8.41
to
the
department
of
human
services
for
the
fiscal
year
3
beginning
July
1,
2013,
and
ending
June
30,
2014,
from
moneys
4
received
under
the
federal
temporary
assistance
for
needy
5
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
6
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
7
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
8
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
9
purposes
designated:
10
1.
To
be
credited
to
the
family
investment
program
account
11
and
used
for
assistance
under
the
family
investment
program
12
under
chapter
239B
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,116,948
14
2.
To
be
credited
to
the
family
investment
program
account
15
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
16
program
and
implementing
family
investment
agreements
in
17
accordance
with
chapter
239B
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,866,439
19
3.
To
be
used
for
the
family
development
and
20
self-sufficiency
grant
program
in
accordance
with
section
21
216A.107
:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
23
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
24
subsection
that
remain
unencumbered
or
unobligated
at
the
close
25
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
26
for
expenditure
for
the
purposes
designated
until
the
close
of
27
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
28
encumbered
or
obligated
on
or
before
September
30,
2014,
the
29
moneys
shall
revert.
30
4.
For
field
operations:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
32
5.
For
general
administration:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
34
6.
For
state
child
care
assistance:
35
-22-
LSB
1004SB
(1)
85
pf/jp
22/
120
S.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,382,687
1
The
funds
appropriated
in
this
subsection
shall
be
2
transferred
to
the
child
care
and
development
block
grant
3
appropriation
made
by
the
Eighty-fifth
General
Assembly,
2013
4
Session,
for
the
federal
fiscal
year
beginning
October
1,
5
2013,
and
ending
September
30,
2014.
Of
this
amount,
$200,000
6
shall
be
used
for
provision
of
educational
opportunities
to
7
registered
child
care
home
providers
in
order
to
improve
8
services
and
programs
offered
by
this
category
of
providers
9
and
to
increase
the
number
of
providers.
The
department
may
10
contract
with
institutions
of
higher
education
or
child
care
11
resource
and
referral
centers
to
provide
the
educational
12
opportunities.
Allowable
administrative
costs
under
the
13
contracts
shall
not
exceed
5
percent.
The
application
for
a
14
grant
shall
not
exceed
two
pages
in
length.
15
7.
For
transfer
to
the
property
tax
relief
fund
and
16
distribution
to
counties
for
mental
health
and
disability
17
services
as
provided
in
an
appropriation
made
for
this
purpose:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
19
8.
For
child
and
family
services:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
21
9.
For
child
abuse
prevention
grants:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
23
10.
For
pregnancy
prevention
grants
on
the
condition
that
24
family
planning
services
are
funded:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
26
Pregnancy
prevention
grants
shall
be
awarded
to
programs
27
in
existence
on
or
before
July
1,
2013,
if
the
programs
have
28
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
29
pregnancy
prevention
programs
which
are
developed
after
July
30
1,
2013,
if
the
programs
are
based
on
existing
models
that
31
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
32
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
33
section
14,
subsections
1
and
2,
including
the
requirement
that
34
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
35
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_____
the
awarding
of
grants
shall
be
given
to
programs
that
serve
1
areas
of
the
state
which
demonstrate
the
highest
percentage
of
2
unplanned
pregnancies
of
females
of
childbearing
age
within
the
3
geographic
area
to
be
served
by
the
grant.
4
11.
For
technology
needs
and
other
resources
necessary
5
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
6
management
requirements:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
8
12.
To
be
credited
to
the
state
child
care
assistance
9
appropriation
made
in
this
section
to
be
used
for
funding
of
10
community-based
early
childhood
programs
targeted
to
children
11
from
birth
through
five
years
of
age
developed
by
early
12
childhood
Iowa
areas
as
provided
in
section
256I.8
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,350,000
14
The
department
shall
transfer
TANF
block
grant
funding
15
appropriated
and
allocated
in
this
subsection
to
the
child
care
16
and
development
block
grant
appropriation
in
accordance
with
17
federal
law
as
necessary
to
comply
with
the
provisions
of
this
18
subsection.
19
13.
a.
Notwithstanding
any
provision
to
the
contrary,
20
including
but
not
limited
to
requirements
in
section
8.41
or
21
provisions
in
2012
or
2013
Iowa
Acts
regarding
the
receipt
and
22
appropriation
of
federal
block
grants,
federal
funds
from
the
23
temporary
assistance
for
needy
families
block
grant
received
24
by
the
state
not
otherwise
appropriated
in
this
section
and
25
remaining
available
for
the
fiscal
year
beginning
July
1,
26
2013,
are
appropriated
to
the
department
of
human
services
to
27
the
extent
as
may
be
necessary
to
be
used
in
the
following
28
priority
order:
the
family
investment
program
for
the
fiscal
29
year
and
for
state
child
care
assistance
program
payments
for
30
individuals
enrolled
in
the
family
investment
program
who
are
31
employed.
The
federal
funds
appropriated
in
this
paragraph
“a”
32
shall
be
expended
only
after
all
other
funds
appropriated
in
33
subsection
1
for
the
assistance
under
the
family
investment
34
program
under
chapter
239B
have
been
expended.
35
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_____
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
1
legislative
services
agency
and
department
of
management
of
2
the
amount
of
funds
appropriated
in
this
subsection
that
was
3
expended
in
the
prior
quarter.
4
14.
Of
the
amounts
appropriated
in
this
section,
5
$12,962,008
for
the
fiscal
year
beginning
July
1,
2013,
shall
6
be
transferred
to
the
appropriation
of
the
federal
social
7
services
block
grant
made
to
the
department
of
human
services
8
for
that
fiscal
year.
9
15.
For
continuation
of
the
program
providing
categorical
10
eligibility
for
the
food
assistance
program:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
12
16.
The
department
may
transfer
funds
allocated
in
this
13
section
to
the
appropriations
made
in
this
division
of
this
Act
14
for
the
same
fiscal
year
for
general
administration
and
field
15
operations
for
resources
necessary
to
implement
and
operate
the
16
services
referred
to
in
this
section
and
those
funded
in
the
17
appropriation
made
in
this
division
of
this
Act
for
the
same
18
fiscal
year
for
the
family
investment
program
from
the
general
19
fund
of
the
state.
20
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
21
1.
Moneys
credited
to
the
family
investment
program
(FIP)
22
account
for
the
fiscal
year
beginning
July
1,
2013,
and
23
ending
June
30,
2014,
shall
be
used
to
provide
assistance
in
24
accordance
with
chapter
239B
.
25
2.
The
department
may
use
a
portion
of
the
moneys
credited
26
to
the
FIP
account
under
this
section
as
necessary
for
27
salaries,
support,
maintenance,
and
miscellaneous
purposes.
28
3.
The
department
may
transfer
funds
allocated
in
this
29
section
to
the
appropriations
made
in
this
division
of
this
Act
30
for
the
same
fiscal
year
for
general
administration
and
field
31
operations
for
resources
necessary
to
implement
and
operate
the
32
services
referred
to
in
this
section
and
those
funded
in
the
33
appropriation
made
in
this
division
of
this
Act
for
the
same
34
fiscal
year
for
the
family
investment
program
from
the
general
35
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_____
fund
of
the
state.
1
4.
Moneys
appropriated
in
this
division
of
this
Act
and
2
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
3
1,
2013,
and
ending
June
30,
2014,
are
allocated
as
follows:
4
a.
To
be
retained
by
the
department
of
human
services
to
5
be
used
for
coordinating
with
the
department
of
human
rights
6
to
more
effectively
serve
participants
in
the
FIP
program
and
7
other
shared
clients
and
to
meet
federal
reporting
requirements
8
under
the
federal
temporary
assistance
for
needy
families
block
9
grant:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
11
b.
To
the
department
of
human
rights
for
staffing,
12
administration,
and
implementation
of
the
family
development
13
and
self-sufficiency
grant
program
in
accordance
with
section
14
216A.107
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,500,000
16
(1)
Of
the
funds
allocated
for
the
family
development
and
17
self-sufficiency
grant
program
in
this
lettered
paragraph,
18
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
19
administration
of
the
grant
program.
20
(2)
The
department
of
human
rights
may
continue
to
implement
21
the
family
development
and
self-sufficiency
grant
program
22
statewide
during
fiscal
year
2013-2014.
23
c.
For
the
diversion
subaccount
of
the
FIP
account:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,698,400
25
A
portion
of
the
moneys
allocated
for
the
subaccount
may
26
be
used
for
field
operations
salaries,
data
management
system
27
development,
and
implementation
costs
and
support
deemed
28
necessary
by
the
director
of
human
services
in
order
to
29
administer
the
FIP
diversion
program.
30
d.
For
the
food
assistance
employment
and
training
program:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
32
(1)
The
department
shall
apply
the
federal
supplemental
33
nutrition
assistance
program
(SNAP)
employment
and
training
34
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
35
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by
federal
law
the
use
of
the
50
percent
federal
reimbursement
1
provisions
for
the
claiming
of
allowable
federal
reimbursement
2
funds
from
the
United
States
department
of
agriculture
3
pursuant
to
the
federal
SNAP
employment
and
training
program
4
for
providing
education,
employment,
and
training
services
5
for
eligible
food
assistance
program
participants,
including
6
but
not
limited
to
related
dependent
care
and
transportation
7
expenses.
8
(2)
The
department
shall
continue
the
categorical
federal
9
food
assistance
program
eligibility
at
160
percent
of
the
10
federal
poverty
level
and
continue
to
eliminate
the
asset
test
11
from
eligibility
requirements,
consistent
with
federal
food
12
assistance
program
requirements.
The
department
shall
include
13
as
many
food
assistance
households
as
is
allowed
by
federal
14
law.
The
eligibility
provisions
shall
conform
to
all
federal
15
requirements
including
requirements
addressing
individuals
who
16
are
incarcerated
or
otherwise
ineligible.
17
e.
For
the
JOBS
program:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,690,816
19
5.
Of
the
child
support
collections
assigned
under
FIP,
20
an
amount
equal
to
the
federal
share
of
support
collections
21
shall
be
credited
to
the
child
support
recovery
appropriation
22
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
23
assigned
child
support
collections
received
by
the
child
24
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
25
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
26
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
27
payments
account.
If
as
a
consequence
of
the
appropriations
28
and
allocations
made
in
this
section
the
resulting
amounts
29
are
insufficient
to
sustain
cash
assistance
payments
and
meet
30
federal
maintenance
of
effort
requirements,
the
department
31
shall
seek
supplemental
funding.
If
child
support
collections
32
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
33
determined
not
to
be
required
for
maintenance
of
effort,
the
34
state
share
of
either
amount
may
be
transferred
to
or
retained
35
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_____
in
the
child
support
payment
account.
1
6.
The
department
may
adopt
emergency
rules
for
the
family
2
investment,
JOBS,
food
assistance,
and
medical
assistance
3
programs
if
necessary
to
comply
with
federal
requirements.
4
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
5
is
appropriated
from
the
general
fund
of
the
state
to
the
6
department
of
human
services
for
the
fiscal
year
beginning
July
7
1,
2013,
and
ending
June
30,
2014,
the
following
amount,
or
8
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
9
designated:
10
To
be
credited
to
the
family
investment
program
(FIP)
11
account
and
used
for
family
investment
program
assistance
under
12
chapter
239B
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,894,380
14
1.
Of
the
funds
appropriated
in
this
section,
$7,824,377
is
15
allocated
for
the
JOBS
program.
16
2.
Of
the
funds
appropriated
in
this
section,
$3,621,020
is
17
allocated
for
the
family
development
and
self-sufficiency
grant
18
program.
19
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
20
beginning
July
1,
2013,
if
necessary
to
meet
federal
21
maintenance
of
effort
requirements
or
to
transfer
federal
22
temporary
assistance
for
needy
families
block
grant
funding
23
to
be
used
for
purposes
of
the
federal
social
services
block
24
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
25
receiving
federal
funding
or
to
implement,
in
accordance
with
26
this
division
of
this
Act,
activities
currently
funded
with
27
juvenile
court
services,
county,
or
community
moneys
and
state
28
moneys
used
in
combination
with
such
moneys,
the
department
29
of
human
services
may
transfer
funds
within
or
between
any
30
of
the
appropriations
made
in
this
division
of
this
Act
and
31
appropriations
in
law
for
the
federal
social
services
block
32
grant
to
the
department
for
the
following
purposes,
provided
33
that
the
combined
amount
of
state
and
federal
temporary
34
assistance
for
needy
families
block
grant
funding
for
each
35
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S.F.
_____
appropriation
remains
the
same
before
and
after
the
transfer:
1
a.
For
the
family
investment
program.
2
b.
For
child
care
assistance.
3
c.
For
child
and
family
services.
4
d.
For
field
operations.
5
e.
For
general
administration.
6
f.
For
distribution
to
counties
for
state
case
services
for
7
persons
with
mental
illness,
an
intellectual
disability,
or
a
8
developmental
disability.
9
This
subsection
shall
not
be
construed
to
prohibit
the
use
10
of
existing
state
transfer
authority
for
other
purposes.
The
11
department
shall
report
any
transfers
made
pursuant
to
this
12
subsection
to
the
legislative
services
agency.
13
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
14
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
15
organization
with
a
history
of
providing
tax
preparation
16
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
17
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
18
supply
this
assistance
to
underserved
areas
of
the
state.
19
5.
Of
the
funds
appropriated
in
this
section,
$40,000
20
shall
be
used
to
fund
the
expansion
of
an
existing
unfunded
21
pilot
project,
as
defined
in
441
IAC
100.1,
relating
to
22
parental
obligations,
in
which
the
child
support
recovery
23
unit
participates,
to
support
the
efforts
of
a
nonprofit
24
organization
committed
to
strengthening
the
community
through
25
youth
development,
healthy
living,
and
social
responsibility
in
26
a
county
with
a
population
over
350,000.
The
funds
allocated
27
in
this
subsection
shall
be
used
by
the
recipient
organization
28
to
develop
a
larger
community
effort,
through
public
and
29
private
partnerships,
to
support
a
broad-based
fatherhood
30
initiative
that
promotes
payment
of
child
support
obligations,
31
improved
family
relationships,
and
full-time
employment.
32
6.
The
department
may
transfer
funds
appropriated
in
this
33
section
to
the
appropriations
made
in
this
division
of
this
Act
34
for
general
administration
and
field
operations
as
necessary
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to
administer
this
section
and
the
overall
family
investment
1
program.
2
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
3
from
the
general
fund
of
the
state
to
the
department
of
human
4
services
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
5
June
30,
2014,
the
following
amount,
or
so
much
thereof
as
is
6
necessary,
to
be
used
for
the
purposes
designated:
7
For
child
support
recovery,
including
salaries,
support,
8
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
9
the
following
full-time
equivalent
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,173,770
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
12
1.
The
department
shall
expend
up
to
$24,329,
including
13
federal
financial
participation,
for
the
fiscal
year
beginning
14
July
1,
2013,
for
a
child
support
public
awareness
campaign.
15
The
department
and
the
office
of
the
attorney
general
shall
16
cooperate
in
continuation
of
the
campaign.
The
public
17
awareness
campaign
shall
emphasize,
through
a
variety
of
18
media
activities,
the
importance
of
maximum
involvement
of
19
both
parents
in
the
lives
of
their
children
as
well
as
the
20
importance
of
payment
of
child
support
obligations.
21
2.
Federal
access
and
visitation
grant
moneys
shall
be
22
issued
directly
to
private
not-for-profit
agencies
that
provide
23
services
designed
to
increase
compliance
with
the
child
access
24
provisions
of
court
orders,
including
but
not
limited
to
25
neutral
visitation
sites
and
mediation
services.
26
3.
The
appropriation
made
to
the
department
for
child
27
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
28
manner
necessary
for
purposes
of
cash
flow
management,
and
for
29
cash
flow
management
purposes
the
department
may
temporarily
30
draw
more
than
the
amount
appropriated,
provided
the
amount
31
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
32
4.
With
the
exception
of
the
funding
amount
specified,
the
33
requirements
established
under
2001
Iowa
Acts,
chapter
191,
34
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
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be
applicable
to
parental
obligation
pilot
projects
for
the
1
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
2014.
2
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
3
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
4
in
effect
until
June
30,
2014.
5
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
6
FY
2013-2014.
Any
funds
remaining
in
the
health
care
trust
7
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
8
July
1,
2013,
and
ending
June
30,
2014,
are
appropriated
to
9
the
department
of
human
services
to
supplement
the
medical
10
assistance
program
appropriations
made
in
this
division
of
this
11
Act,
for
medical
assistance
reimbursement
and
associated
costs,
12
including
program
administration
and
costs
associated
with
13
program
implementation.
14
Sec.
11.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
15
general
fund
of
the
state
to
the
department
of
human
services
16
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
17
2014,
the
following
amount,
or
so
much
thereof
as
is
necessary,
18
to
be
used
for
the
purpose
designated:
19
For
medical
assistance
program
reimbursement
and
associated
20
costs
as
specifically
provided
in
the
reimbursement
21
methodologies
in
effect
on
June
30,
2013,
except
as
otherwise
22
expressly
authorized
by
law,
and
consistent
with
options
under
23
federal
law
and
regulations:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,292,985,748
25
1.
The
funds
appropriated
in
this
section
shall
be
used
26
in
accordance
with
2011
Iowa
Acts,
chapter
129,
section
10,
27
subsection
1.
28
2.
The
department
shall
utilize
not
more
than
$60,000
of
29
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
30
health
insurance
premium
payment
program
as
established
in
1992
31
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
32
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
33
not
more
than
$5,000
may
be
expended
for
administrative
34
purposes.
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3.
Of
the
funds
appropriated
in
this
Act
to
the
department
1
of
public
health
for
addictive
disorders,
$950,000
for
the
2
fiscal
year
beginning
July
1,
2013,
shall
be
transferred
3
to
the
department
of
human
services
for
an
integrated
4
substance-related
disorder
managed
care
system.
The
department
5
shall
not
assume
management
of
the
substance-related
disorder
6
system
in
place
of
the
managed
care
contractor
unless
such
7
a
change
in
approach
is
specifically
authorized
in
law.
8
The
departments
of
human
services
and
public
health
shall
9
work
together
to
maintain
the
level
of
mental
health
and
10
substance-related
disorder
treatment
services
provided
by
the
11
managed
care
contractor
through
the
Iowa
plan
for
behavioral
12
health.
Each
department
shall
take
the
steps
necessary
to
13
continue
the
federal
waivers
as
necessary
to
maintain
the
level
14
of
services.
15
4.
a.
The
department
shall
aggressively
pursue
options
for
16
providing
medical
assistance
or
other
assistance
to
individuals
17
with
special
needs
who
become
ineligible
to
continue
receiving
18
services
under
the
early
and
periodic
screening,
diagnostic,
19
and
treatment
program
under
the
medical
assistance
program
20
due
to
becoming
21
years
of
age
who
have
been
approved
for
21
additional
assistance
through
the
department’s
exception
to
22
policy
provisions,
but
who
have
health
care
needs
in
excess
23
of
the
funding
available
through
the
exception
to
policy
24
provisions.
25
b.
Of
the
funds
appropriated
in
this
section,
$100,000
26
shall
be
used
for
participation
in
one
or
more
pilot
projects
27
operated
by
a
private
provider
to
allow
the
individual
or
28
individuals
to
receive
service
in
the
community
in
accordance
29
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
30
(1999),
for
the
purpose
of
providing
medical
assistance
or
31
other
assistance
to
individuals
with
special
needs
who
become
32
ineligible
to
continue
receiving
services
under
the
early
and
33
periodic
screening,
diagnostic,
and
treatment
program
under
34
the
medical
assistance
program
due
to
becoming
21
years
of
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age
who
have
been
approved
for
additional
assistance
through
1
the
department’s
exception
to
policy
provisions,
but
who
have
2
health
care
needs
in
excess
of
the
funding
available
through
3
the
exception
to
the
policy
provisions.
4
5.
Of
the
funds
appropriated
in
this
section,
up
to
5
$3,050,082
may
be
transferred
to
the
field
operations
or
6
general
administration
appropriations
in
this
division
of
this
7
Act
for
operational
costs
associated
with
Part
D
of
the
federal
8
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
9
of
2003,
Pub.
L.
No.
108-173.
10
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
11
may
be
transferred
to
the
appropriation
in
this
division
12
of
this
Act
for
medical
contracts
to
be
used
for
clinical
13
assessment
services
and
prior
authorization
of
services.
14
7.
A
portion
of
the
funds
appropriated
in
this
section
15
may
be
transferred
to
the
appropriations
in
this
division
of
16
this
Act
for
general
administration,
medical
contracts,
the
17
children’s
health
insurance
program,
or
field
operations
to
be
18
used
for
the
state
match
cost
to
comply
with
the
payment
error
19
rate
measurement
(PERM)
program
for
both
the
medical
assistance
20
and
children’s
health
insurance
programs
as
developed
by
the
21
centers
for
Medicare
and
Medicaid
services
of
the
United
States
22
department
of
health
and
human
services
to
comply
with
the
23
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
24
107-300.
25
8.
It
is
the
intent
of
the
general
assembly
that
the
26
department
continue
to
implement
the
recommendations
of
27
the
assuring
better
child
health
and
development
initiative
28
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
29
screening,
diagnostic,
and
treatment
services
healthy
mental
30
development
collaborative
board
regarding
changes
to
billing
31
procedures,
codes,
and
eligible
service
providers.
32
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
33
amount
is
allocated
to
supplement
the
incomes
of
residents
of
34
nursing
facilities,
intermediate
care
facilities
for
persons
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with
mental
illness,
and
intermediate
care
facilities
for
1
persons
with
an
intellectual
disability,
with
incomes
of
less
2
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
3
personal
needs
allowance
of
$50
per
month
pursuant
to
section
4
249A.30A.
5
10.
Of
the
funds
appropriated
in
this
section,
the
following
6
amounts
shall
be
transferred
to
the
appropriations
made
in
this
7
division
of
this
Act
for
the
state
mental
health
institutes:
8
a.
Cherokee
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
9,098,425
9
b.
Clarinda
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
1,977,305
10
c.
Independence
mental
health
institute
.
.
.
.
.
.
.
$
9,045,894
11
d.
Mount
Pleasant
mental
health
institute
.
.
.
.
.
$
5,752,587
12
11.
a.
Of
the
funds
appropriated
in
this
section,
13
$7,969,074
is
allocated
for
the
state
match
for
a
14
disproportionate
share
hospital
payment
of
$19,133,430
to
15
hospitals
that
meet
both
of
the
conditions
specified
in
16
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
17
meet
the
conditions
specified
shall
either
certify
public
18
expenditures
or
transfer
to
the
medical
assistance
program
19
an
amount
equal
to
provide
the
nonfederal
share
for
a
20
disproportionate
share
hospital
payment
of
$7,500,000.
The
21
hospitals
that
meet
the
conditions
specified
shall
receive
and
22
retain
100
percent
of
the
total
disproportionate
share
hospital
23
payment
of
$26,633,430.
24
(1)
The
hospital
qualifies
for
disproportionate
share
and
25
graduate
medical
education
payments.
26
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
27
than
500
beds
and
eight
or
more
distinct
residency
specialty
28
or
subspecialty
programs
recognized
by
the
American
college
of
29
graduate
medical
education.
30
b.
Distribution
of
the
disproportionate
share
payments
31
shall
be
made
on
a
monthly
basis.
The
total
amount
of
32
disproportionate
share
payments
including
graduate
medical
33
education,
enhanced
disproportionate
share,
and
Iowa
34
state-owned
teaching
hospital
payments
shall
not
exceed
the
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amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
1
In
addition,
the
total
amount
of
all
disproportionate
2
share
payments
shall
not
exceed
the
hospital-specific
3
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
4
12.
The
university
of
Iowa
hospitals
and
clinics
shall
5
either
certify
public
expenditures
or
transfer
to
the
6
appropriations
made
in
this
division
of
this
Act
for
medical
7
assistance
an
amount
equal
to
provide
the
nonfederal
share
8
for
increased
medical
assistance
payments
for
inpatient
and
9
outpatient
hospital
services
of
$9,900,000.
The
university
of
10
Iowa
hospitals
and
clinics
shall
receive
and
retain
100
percent
11
of
the
total
increase
in
medical
assistance
payments.
12
13.
Of
the
funds
appropriated
in
this
section,
up
to
13
$11,921,225
may
be
transferred
to
the
IowaCare
account
created
14
in
section
249J.24
.
15
14.
Of
the
funds
appropriated
in
this
section,
$200,000
16
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
17
2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
18
Iowa
Acts,
chapter
179,
sections
166
and
167.
19
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
20
to
area
education
agencies
that
are
medical
assistance
21
providers
for
medical
assistance-covered
services
provided
to
22
medical
assistance-covered
children,
shall
be
made
from
the
23
appropriation
made
in
this
section.
24
16.
Any
new
or
renewed
contract
entered
into
by
the
25
department
with
a
third
party
to
administer
behavioral
health
26
services
under
the
medical
assistance
program
shall
provide
27
that
any
interest
earned
on
payments
from
the
state
during
28
the
state
fiscal
year
shall
be
remitted
to
the
department
29
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
30
assistance
program.
31
17.
The
department
shall
continue
to
implement
the
32
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
33
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
34
section
55,
relating
to
eligibility
for
certain
persons
with
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disabilities
under
the
medical
assistance
program
in
accordance
1
with
the
federal
Family
Opportunity
Act.
2
18.
A
portion
of
the
funds
appropriated
in
this
section
3
may
be
transferred
to
the
appropriation
in
this
division
of
4
this
Act
for
medical
contracts
to
be
used
for
administrative
5
activities
associated
with
the
money
follows
the
person
6
demonstration
project.
7
19.
Of
the
funds
appropriated
in
this
section,
$349,011
8
shall
be
used
for
the
administration
of
the
health
insurance
9
premium
payment
program,
including
salaries,
support,
10
maintenance,
and
miscellaneous
purposes.
11
20.
a.
The
department
shall
implement
the
following
cost
12
containment
strategies
for
the
medical
assistance
program
and
13
shall
adopt
emergency
rules
for
such
implementation:
14
(1)
Notwithstanding
any
provision
of
law
to
the
contrary,
15
the
department
shall
integrate
medical
assistance
program
16
habilitation
services
into
the
Iowa
plan
contract
for
the
17
fiscal
year
beginning
July
1,
2013.
18
(2)
The
department
shall
require
prior
authorization
for
19
provision
of
any
home
health
services
for
adults
in
excess
of
20
one
hundred
visits
per
year.
21
(3)
The
department
shall
prohibit
coverage
for
elective,
22
nonmedically
necessary
cesarean
sections.
23
(4)
The
department
shall
require
prior
authorization
based
24
on
specified
criteria
before
providing
reimbursement
for
25
hospital
swing
bed
placements
and
continued
stays.
26
(5)
The
department
shall
align
payment
methodologies
and
27
rates
between
medical
and
nonmedical
transportation
services
28
through
the
transportation
brokerage
provider.
29
(6)
The
department
shall
require
that
all
fees
for
employee
30
records
checks
shall
be
paid
by
the
medical
assistance
home
and
31
community-based
waiver
services
consumer-directed
attendant
32
care
or
consumer
choices
option
provider,
with
the
exception
33
of
one
initial
state
records
check
per
employee
which
shall
be
34
paid
by
the
Iowa
Medicaid
enterprise.
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(7)
The
department
shall
require
transition
of
the
1
provision
by
individual
providers
of
personal
care
under
the
2
consumer-directed
attendant
care
option
to
agency-provided
3
personal
care
services
and
shall
retain
the
consumer
choice
4
option
for
those
individuals
able
and
desiring
to
self-direct
5
services.
6
(8)
The
department
shall
require
that
persons
with
an
7
intellectual
disability
receiving
services
under
the
medical
8
assistance
program
receive
a
functional
assessment
utilizing
9
the
supports
intensity
scale
tool.
The
department
shall
10
contract
with
an
independent
entity
to
perform
the
functional
11
assessments.
The
department
shall
implement
a
tiered
resource
12
allocation
methodology
for
service
plans
under
the
medical
13
assistance
home
and
community-based
services
waiver
for
persons
14
with
an
intellectual
disability.
15
(9)
The
department
shall
develop
a
new
reimbursement
16
methodology
for
medical
assistance
targeted
case
management
17
that
applies
appropriate
cost
limits.
18
(10)
The
department
shall
implement
an
integrated
health
19
home
approach
under
the
medical
assistance
program
for
persons
20
with
chronic
mental
illness.
The
approach
shall
integrate
the
21
functions
of
medical
assistance
targeted
case
management.
22
(11)
The
department
shall
expand
the
categories
of
diabetic
23
supplies
for
which
a
rebate
may
be
received.
24
(12)
The
department
shall
limit
authorizations
for
25
institutional-based
care
to
30
days
for
members
following
26
discharge
from
a
hospital
if
the
member
previously
lived
in
a
27
community-based
setting.
28
b.
The
department
shall
not
implement
the
cost
containment
29
strategy
to
require
a
primary
care
referral
for
the
provision
30
of
chiropractic
services.
31
c.
The
department
may
increase
the
amounts
allocated
for
32
salaries,
support,
maintenance,
and
miscellaneous
purposes
33
associated
with
the
medical
assistance
program,
as
necessary,
34
to
implement
the
cost
containment
strategies.
The
department
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shall
report
any
such
increase
to
the
legislative
services
1
agency
and
the
department
of
management.
2
d.
If
the
savings
to
the
medical
assistance
program
exceed
3
the
cost
for
the
fiscal
year,
the
department
may
transfer
any
4
savings
generated
for
the
fiscal
year
due
to
medical
assistance
5
program
cost
containment
efforts
to
the
appropriation
6
made
in
this
division
of
this
Act
for
medical
contracts
or
7
general
administration
to
defray
the
increased
contract
costs
8
associated
with
implementing
such
efforts.
9
e.
The
department
shall
report
the
implementation
of
10
any
cost
containment
strategies
under
this
subsection
to
11
the
individuals
specified
in
this
division
of
this
Act
for
12
submission
of
reports
on
a
quarterly
basis.
13
21.
Notwithstanding
any
provision
of
law
to
the
contrary,
14
the
department
of
human
services
shall
continue
implementation
15
of
the
amended
section
1915(b)
waiver
and
Iowa
plan
contract
16
for
inclusion
of
remedial
services
under
the
Iowa
plan
contract
17
for
the
fiscal
year
beginning
July
1,
2013.
18
22.
Of
the
funds
appropriated
in
this
section,
$7,041,689
19
shall
be
used
to
implement
reductions
in
the
waiting
lists
20
of
all
medical
assistance
home
and
community-based
services
21
waivers.
22
23.
a.
Of
the
funds
appropriated
in
this
section,
$900,000
23
shall
be
used
to
implement
the
children’s
mental
health
24
home
project
proposed
by
the
department
of
human
services
25
and
reported
to
the
general
assembly’s
mental
health
and
26
disability
services
study
committee
in
December
2011.
Of
this
27
amount,
up
to
$50,000
may
be
transferred
by
the
department
to
28
the
appropriation
made
in
this
division
of
this
Act
to
the
29
department
for
the
same
fiscal
year
for
general
administration
30
to
be
used
for
associated
administrative
expenses
and
for
not
31
more
than
one
full-time
equivalent
position,
in
addition
to
32
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
33
implementing
the
project.
34
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
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may
be
transferred
by
the
department
to
the
appropriation
1
made
to
the
department
in
this
division
of
this
Act
for
2
the
same
fiscal
year
for
general
administration
to
support
3
the
redesign
of
mental
health
and
disability
services
and
4
the
state
balancing
incentive
payments
program
planning
and
5
implementation
activities.
The
funds
may
be
used
for
contracts
6
or
for
personnel
in
addition
to
the
amounts
appropriated
for
7
and
the
positions
authorized
for
general
administration
for
the
8
same
fiscal
year.
9
c.
Of
the
funds
appropriated
in
this
section,
up
to
10
$3,000,000
may
be
transferred
by
the
department
to
the
11
appropriations
made
to
the
department
in
this
division
of
12
this
Act
for
the
same
fiscal
year
for
general
administration
13
or
medical
contracts
to
be
used
to
support
the
development
14
and
implementation
of
standardized
assessment
tools
for
15
persons
with
mental
illness,
an
intellectual
disability,
a
16
developmental
disability,
or
a
brain
injury.
17
d.
For
the
fiscal
year
beginning
July
1,
2013,
and
ending
18
June
30,
2014,
the
replacement
generation
tax
revenues
required
19
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
20
section
437A.8,
subsection
4,
paragraph
“d”,
and
section
21
437A.15,
subsection
3,
paragraph
“f”,
shall
instead
be
credited
22
to
and
supplement
the
appropriation
made
in
this
section
and
23
used
for
the
allocations
made
in
this
subsection.
24
24.
Of
the
funds
appropriated
in
this
section,
$250,000
25
shall
be
used
for
lodging
expenses
associated
with
patient
26
care
provided
at
the
university
of
Iowa
hospitals
and
clinics
27
under
chapter
249J.
The
department
of
human
services
shall
28
establish
the
maximum
number
of
overnight
stays
and
the
maximum
29
rate
reimbursed
for
overnight
lodging,
which
may
be
based
30
on
the
state
employee
rate
established
by
the
department
31
of
administrative
services.
The
funds
allocated
in
this
32
subsection
shall
not
be
used
as
nonfederal
share
matching
33
funds.
34
Sec.
12.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
35
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S.F.
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general
fund
of
the
state
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
2
2014,
the
following
amount,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purpose
designated:
4
For
medical
contracts:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,691,569
6
1.
The
department
of
inspections
and
appeals
shall
7
provide
all
state
matching
funds
for
survey
and
certification
8
activities
performed
by
the
department
of
inspections
9
and
appeals.
The
department
of
human
services
is
solely
10
responsible
for
distributing
the
federal
matching
funds
for
11
such
activities.
12
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
13
be
used
for
continuation
of
home
and
community-based
services
14
waiver
quality
assurance
programs,
including
the
review
and
15
streamlining
of
processes
and
policies
related
to
oversight
and
16
quality
management
to
meet
state
and
federal
requirements.
17
3.
Of
the
amount
appropriated
in
this
section,
up
to
18
$200,000
may
be
transferred
to
the
appropriation
for
general
19
administration
in
this
division
of
this
Act
to
be
used
for
20
additional
full-time
equivalent
positions
in
the
development
of
21
key
health
initiatives
such
as
cost
containment,
development
22
and
oversight
of
managed
care
programs,
and
development
of
23
health
strategies
targeted
toward
improved
quality
and
reduced
24
costs
in
the
Medicaid
program.
25
4.
Of
the
funds
appropriated
in
this
section,
$64,398
shall
26
be
used
for
provision
of
the
IowaCare
program
nurse
helpline
27
for
the
expansion
population
as
provided
in
section
249J.6.
28
5.
Of
the
funds
appropriated
in
this
section,
$80,000
shall
29
be
used
for
costs
related
to
audits,
performance
evaluations,
30
and
studies
required
pursuant
to
chapter
249J.
31
6.
Of
the
funds
appropriated
in
this
section,
$194,654
shall
32
be
used
for
administrative
costs
associated
with
chapter
249J.
33
7.
Of
the
funds
appropriated
in
this
section,
$1,000,000
34
shall
be
used
for
planning
and
development,
in
cooperation
with
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the
department
of
public
health,
of
a
phased-in
program
to
1
provide
a
dental
home
for
children
in
accordance
with
section
2
249J.14.
3
8.
Of
the
funds
appropriated
in
this
section,
$270,000
shall
4
be
used
for
payment
to
the
publicly
owned
acute
care
teaching
5
hospital
located
in
a
county
with
a
population
of
over
350,000
6
that
is
a
participating
provider
pursuant
to
chapter
249J.
7
Disbursements
under
this
subsection
shall
be
made
monthly.
8
The
hospital
shall
submit
a
report
following
the
close
of
9
the
fiscal
year
regarding
use
of
the
funds
allocated
in
this
10
subsection
to
the
persons
specified
in
this
Act
to
receive
11
reports.
12
9.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
13
be
used
for
continuation
of
an
accountable
care
organization
14
pilot
project.
15
10.
Of
the
funds
appropriated
in
this
section,
$75,000
shall
16
be
used
for
continued
implementation
of
a
uniform
cost
report.
17
11.
Of
the
funds
appropriated
in
this
section,
$3,300,000
18
shall
be
used
for
the
autism
support
program
created
in
chapter
19
225D,
as
enacted
in
this
Act.
20
Sec.
13.
STATE
SUPPLEMENTARY
ASSISTANCE.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
the
state
supplementary
assistance
program:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,512,174
28
2.
The
department
shall
increase
the
personal
needs
29
allowance
for
residents
of
residential
care
facilities
by
the
30
same
percentage
and
at
the
same
time
as
federal
supplemental
31
security
income
and
federal
social
security
benefits
are
32
increased
due
to
a
recognized
increase
in
the
cost
of
living.
33
The
department
may
adopt
emergency
rules
to
implement
this
34
subsection.
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3.
If
during
the
fiscal
year
beginning
July
1,
2013,
1
the
department
projects
that
state
supplementary
assistance
2
expenditures
for
a
calendar
year
will
not
meet
the
federal
3
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
4
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
5
§
1382g,
the
department
may
take
actions
including
but
not
6
limited
to
increasing
the
personal
needs
allowance
for
7
residential
care
facility
residents
and
making
programmatic
8
adjustments
or
upward
adjustments
of
the
residential
care
9
facility
or
in-home
health-related
care
reimbursement
rates
10
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
11
requirements
are
met.
In
addition,
the
department
may
make
12
other
programmatic
and
rate
adjustments
necessary
to
remain
13
within
the
amount
appropriated
in
this
section
while
ensuring
14
compliance
with
federal
requirements.
The
department
may
adopt
15
emergency
rules
to
implement
the
provisions
of
this
subsection.
16
Sec.
14.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
17
1.
There
is
appropriated
from
the
general
fund
of
the
18
state
to
the
department
of
human
services
for
the
fiscal
year
19
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
following
20
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purpose
designated:
22
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
23
program
pursuant
to
chapter
514I
,
including
supplemental
dental
24
services,
for
receipt
of
federal
financial
participation
under
25
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
26
children’s
health
insurance
program:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,806,102
28
2.
Of
the
funds
appropriated
in
this
section,
$141,450
is
29
allocated
for
continuation
of
the
contract
for
outreach
with
30
the
department
of
public
health.
31
Sec.
15.
CHILD
CARE
ASSISTANCE.
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,
2013,
and
ending
34
June
30,
2014,
the
following
amount,
or
so
much
thereof
as
is
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_____
necessary,
to
be
used
for
the
purpose
designated:
1
For
child
care
programs:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
72,931,661
3
1.
Of
the
funds
appropriated
in
this
section,
$71,427,056
4
shall
be
used
for
state
child
care
assistance
in
accordance
5
with
section
237A.13
.
6
2.
Nothing
in
this
section
shall
be
construed
or
is
7
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
8
to
persons
who
are
eligible
for
assistance
due
to
an
income
9
level
consistent
with
the
waiting
list
requirements
of
section
10
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
11
this
section
is
limited
to
the
extent
of
the
funds
appropriated
12
in
this
section.
13
3.
Of
the
funds
appropriated
in
this
section,
$432,453
is
14
allocated
for
the
statewide
program
for
child
care
resource
15
and
referral
services
under
section
237A.26
.
A
list
of
the
16
registered
and
licensed
child
care
facilities
operating
in
the
17
area
served
by
a
child
care
resource
and
referral
service
shall
18
be
made
available
to
the
families
receiving
state
child
care
19
assistance
in
that
area.
20
4.
Of
the
funds
appropriated
in
this
section,
$936,974
21
is
allocated
for
child
care
quality
improvement
initiatives
22
including
but
not
limited
to
the
voluntary
quality
rating
23
system
in
accordance
with
section
237A.30
.
24
5.
Of
the
funds
appropriated
in
this
section,
$135,178
25
shall
be
used
for
the
cost
of
a
child
care
provider
conducting
26
a
federally-required
national
criminal
history
check
of
a
27
person’s
fingerprints
through
the
United
States
department
of
28
justice,
federal
bureau
of
investigation.
29
6.
The
department
shall
change
the
standard
period
for
30
redetermining
the
eligibility
of
a
state
child
care
assistance
31
program
participant
to
12
months
and
increase
the
income
32
eligibility
for
employed
families
under
the
program
to
148
33
percent
of
the
federal
poverty
level,
in
accordance
with
the
34
amendments
in
this
Act
to
section
237A.13.
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7.
The
department
may
use
any
of
the
funds
appropriated
1
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
2
expanding
child
care
assistance
and
related
programs.
For
3
the
purpose
of
expenditures
of
state
and
federal
child
care
4
funding,
funds
shall
be
considered
obligated
at
the
time
5
expenditures
are
projected
or
are
allocated
to
the
department’s
6
service
areas.
Projections
shall
be
based
on
current
and
7
projected
caseload
growth,
current
and
projected
provider
8
rates,
staffing
requirements
for
eligibility
determination
9
and
management
of
program
requirements
including
data
systems
10
management,
staffing
requirements
for
administration
of
the
11
program,
contractual
and
grant
obligations
and
any
transfers
12
to
other
state
agencies,
and
obligations
for
decategorization
13
or
innovation
projects.
14
8.
A
portion
of
the
state
match
for
the
federal
child
care
15
and
development
block
grant
shall
be
provided
as
necessary
to
16
meet
federal
matching
funds
requirements
through
the
state
17
general
fund
appropriation
made
for
child
development
grants
18
and
other
programs
for
at-risk
children
in
section
279.51
.
19
9.
If
a
uniform
reduction
ordered
by
the
governor
under
20
section
8.31
or
other
operation
of
law,
transfer,
or
federal
21
funding
reduction
reduces
the
appropriation
made
in
this
22
section
for
the
fiscal
year,
the
percentage
reduction
in
the
23
amount
paid
out
to
or
on
behalf
of
the
families
participating
24
in
the
state
child
care
assistance
program
shall
be
equal
to
or
25
less
than
the
percentage
reduction
made
for
any
other
purpose
26
payable
from
the
appropriation
made
in
this
section
and
the
27
federal
funding
relating
to
it.
The
percentage
reduction
to
28
the
other
allocations
made
in
this
section
shall
be
the
same
as
29
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
30
change
of
the
federal
funding
reduction,
as
applicable.
31
If
there
is
an
unanticipated
increase
in
federal
funding
32
provided
for
state
child
care
assistance,
the
entire
amount
33
of
the
increase
shall
be
used
for
state
child
care
assistance
34
payments.
If
the
appropriations
made
for
purposes
of
the
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_____
state
child
care
assistance
program
for
the
fiscal
year
are
1
determined
to
be
insufficient,
it
is
the
intent
of
the
general
2
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
3
in
order
to
avoid
establishment
of
waiting
list
requirements.
4
10.
Notwithstanding
section
8.33
,
moneys
advanced
for
5
purposes
of
the
programs
developed
by
early
childhood
Iowa
6
areas,
advanced
for
purposes
of
wraparound
child
care,
or
7
received
from
the
federal
appropriations
made
for
the
purposes
8
of
this
section
that
remain
unencumbered
or
unobligated
at
the
9
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
10
remain
available
for
expenditure
for
the
purposes
designated
11
until
the
close
of
the
succeeding
fiscal
year.
12
Sec.
16.
JUVENILE
INSTITUTIONS.
There
is
appropriated
13
from
the
general
fund
of
the
state
to
the
department
of
human
14
services
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
15
June
30,
2014,
the
following
amounts,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purposes
designated:
17
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
18
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
19
for
not
more
than
the
following
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,859,355
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
22
2.
For
operation
of
the
state
training
school
at
Eldora
and
23
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
24
and
for
not
more
than
the
following
full-time
equivalent
25
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,256,969
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
28
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
29
be
used
for
distribution
to
licensed
classroom
teachers
at
this
30
and
other
institutions
under
the
control
of
the
department
of
31
human
services
based
upon
the
average
student
yearly
enrollment
32
at
each
institution
as
determined
by
the
department.
33
3.
A
portion
of
the
moneys
appropriated
in
this
section
34
shall
be
used
by
the
state
training
school
and
by
the
Iowa
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juvenile
home
for
grants
for
adolescent
pregnancy
prevention
1
activities
at
the
institutions
in
the
fiscal
year
beginning
2
July
1,
2013.
3
Sec.
17.
CHILD
AND
FAMILY
SERVICES.
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,
2013,
and
ending
June
30,
2014,
the
following
7
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purpose
designated:
9
For
child
and
family
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
93,188,770
11
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
12
amount
allocated
under
the
appropriation
made
for
the
purposes
13
of
this
section
in
prior
years
for
purposes
of
juvenile
14
delinquent
graduated
sanction
services,
up
to
$5,200,000
of
the
15
amount
of
federal
temporary
assistance
for
needy
families
block
16
grant
funding
appropriated
in
this
division
of
this
Act
for
17
child
and
family
services
shall
be
made
available
for
purposes
18
of
juvenile
delinquent
graduated
sanction
services.
19
3.
The
department
may
transfer
funds
appropriated
in
this
20
section
as
necessary
to
pay
the
nonfederal
costs
of
services
21
reimbursed
under
the
medical
assistance
program,
state
child
22
care
assistance
program,
or
the
family
investment
program
which
23
are
provided
to
children
who
would
otherwise
receive
services
24
paid
under
the
appropriation
in
this
section.
The
department
25
may
transfer
funds
appropriated
in
this
section
to
the
26
appropriations
made
in
this
division
of
this
Act
for
general
27
administration
and
for
field
operations
for
resources
necessary
28
to
implement
and
operate
the
services
funded
in
this
section.
29
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
30
$30,837,098
is
allocated
as
the
statewide
expenditure
target
31
under
section
232.143
for
group
foster
care
maintenance
and
32
services.
If
the
department
projects
that
such
expenditures
33
for
the
fiscal
year
will
be
less
than
the
target
amount
34
allocated
in
this
lettered
paragraph,
the
department
may
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reallocate
the
excess
to
provide
additional
funding
for
shelter
1
care
or
the
child
welfare
emergency
services
addressed
with
the
2
allocation
for
shelter
care.
3
b.
If
at
any
time
after
September
30,
2013,
annualization
4
of
a
service
area’s
current
expenditures
indicates
a
service
5
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
6
target
under
section
232.143
by
more
than
5
percent,
the
7
department
and
juvenile
court
services
shall
examine
all
8
group
foster
care
placements
in
that
service
area
in
order
to
9
identify
those
which
might
be
appropriate
for
termination.
10
In
addition,
any
aftercare
services
believed
to
be
needed
11
for
the
children
whose
placements
may
be
terminated
shall
be
12
identified.
The
department
and
juvenile
court
services
shall
13
initiate
action
to
set
dispositional
review
hearings
for
the
14
placements
identified.
In
such
a
dispositional
review
hearing,
15
the
juvenile
court
shall
determine
whether
needed
aftercare
16
services
are
available
and
whether
termination
of
the
placement
17
is
in
the
best
interest
of
the
child
and
the
community.
18
5.
In
accordance
with
the
provisions
of
section
232.188
,
19
the
department
shall
continue
the
child
welfare
and
juvenile
20
justice
funding
initiative
during
fiscal
year
2013-2014.
Of
21
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
22
specifically
for
expenditure
for
fiscal
year
2013-2014
through
23
the
decategorization
service
funding
pools
and
governance
24
boards
established
pursuant
to
section
232.188
.
25
6.
A
portion
of
the
funds
appropriated
in
this
section
26
may
be
used
for
emergency
family
assistance
to
provide
other
27
resources
required
for
a
family
participating
in
a
family
28
preservation
or
reunification
project
or
successor
project
to
29
stay
together
or
to
be
reunified.
30
7.
Notwithstanding
section
234.35
or
any
other
provision
31
of
law
to
the
contrary,
state
funding
for
shelter
care
and
32
the
child
welfare
emergency
services
contracting
implemented
33
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
34
limited
to
$6,870,116.
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8.
Federal
funds
received
by
the
state
during
the
fiscal
1
year
beginning
July
1,
2013,
as
the
result
of
the
expenditure
2
of
state
funds
appropriated
during
a
previous
state
fiscal
3
year
for
a
service
or
activity
funded
under
this
section
are
4
appropriated
to
the
department
to
be
used
as
additional
funding
5
for
services
and
purposes
provided
for
under
this
section.
6
Notwithstanding
section
8.33
,
moneys
received
in
accordance
7
with
this
subsection
that
remain
unencumbered
or
unobligated
at
8
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
9
shall
remain
available
for
the
purposes
designated
until
the
10
close
of
the
succeeding
fiscal
year.
11
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
12
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
13
court-ordered
services
provided
to
juveniles
who
are
under
the
14
supervision
of
juvenile
court
services,
which
expenses
are
a
15
charge
upon
the
state
pursuant
to
section
232.141,
subsection
16
4
.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
to
17
$1,556,287
shall
be
made
available
to
provide
school-based
18
supervision
of
children