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: 5 TLSB 1004SB (1) 85 pf/jp
S.F. _____ 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,831,025 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 35 -1- LSB 1004SB (1) 85 pf/jp 1/ 120
S.F. _____ 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. 35 -2- LSB 1004SB (1) 85 pf/jp 2/ 120
S.F. _____ 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,321,707 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 35 -3- LSB 1004SB (1) 85 pf/jp 3/ 120
S.F. _____ 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29,763,690 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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, 35 -4- LSB 1004SB (1) 85 pf/jp 4/ 120
S.F. _____ 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 35 -5- LSB 1004SB (1) 85 pf/jp 5/ 120
S.F. _____ 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 35 -6- LSB 1004SB (1) 85 pf/jp 6/ 120
S.F. _____ 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 -7- LSB 1004SB (1) 85 pf/jp 7/ 120
S.F. _____ 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, 35 -8- LSB 1004SB (1) 85 pf/jp 8/ 120
S.F. _____ 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 -9- LSB 1004SB (1) 85 pf/jp 9/ 120
S.F. _____ 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 -10- LSB 1004SB (1) 85 pf/jp 10/ 120
S.F. _____ 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 35 -11- LSB 1004SB (1) 85 pf/jp 11/ 120
S.F. _____ 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 35 -12- LSB 1004SB (1) 85 pf/jp 12/ 120
S.F. _____ 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 -23- LSB 1004SB (1) 85 pf/jp 23/ 120
S.F. _____ 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 -24- LSB 1004SB (1) 85 pf/jp 24/ 120
S.F. _____ 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 -25- LSB 1004SB (1) 85 pf/jp 25/ 120
S.F. _____ 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 -26- LSB 1004SB (1) 85 pf/jp 26/ 120
S.F. _____ 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 -27- LSB 1004SB (1) 85 pf/jp 27/ 120
S.F. _____ 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 -28- LSB 1004SB (1) 85 pf/jp 28/ 120
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 35 -29- LSB 1004SB (1) 85 pf/jp 29/ 120
S.F. _____ 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 35 -30- LSB 1004SB (1) 85 pf/jp 30/ 120
S.F. _____ 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. 35 -31- LSB 1004SB (1) 85 pf/jp 31/ 120
S.F. _____ 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 35 -32- LSB 1004SB (1) 85 pf/jp 32/ 120
S.F. _____ 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 35 -33- LSB 1004SB (1) 85 pf/jp 33/ 120
S.F. _____ 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 35 -34- LSB 1004SB (1) 85 pf/jp 34/ 120
S.F. _____ 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 35 -35- LSB 1004SB (1) 85 pf/jp 35/ 120
S.F. _____ 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. 35 -36- LSB 1004SB (1) 85 pf/jp 36/ 120
S.F. _____ (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 35 -37- LSB 1004SB (1) 85 pf/jp 37/ 120
S.F. _____ 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 35 -38- LSB 1004SB (1) 85 pf/jp 38/ 120
S.F. _____ 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 -39- LSB 1004SB (1) 85 pf/jp 39/ 120
S.F. _____ 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 35 -40- LSB 1004SB (1) 85 pf/jp 40/ 120
S.F. _____ 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. 35 -41- LSB 1004SB (1) 85 pf/jp 41/ 120
S.F. _____ 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 35 -42- LSB 1004SB (1) 85 pf/jp 42/ 120
S.F. _____ 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. 35 -43- LSB 1004SB (1) 85 pf/jp 43/ 120
S.F. _____ 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 35 -44- LSB 1004SB (1) 85 pf/jp 44/ 120
S.F. _____ 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 35 -45- LSB 1004SB (1) 85 pf/jp 45/ 120
S.F. _____ 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 35 -46- LSB 1004SB (1) 85 pf/jp 46/ 120
S.F. _____ 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. 35 -47- LSB 1004SB (1) 85 pf/jp 47/ 120
S.F. _____ 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