Senate
Study
Bill
3133
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
GOVERNOR
BUDGET
BILL)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
veterans
and
including
other
related
provisions
and
2
appropriations,
and
including
effective
and
applicability
3
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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DIVISION
I
1
DEPARTMENT
ON
AGING
2
Section
1.
2013
Iowa
Acts,
chapter
138,
section
131,
is
3
amended
to
read
as
follows:
4
SEC.
131.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
5
the
general
fund
of
the
state
to
the
department
on
aging
for
6
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
7
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purposes
designated:
9
For
aging
programs
for
the
department
on
aging
and
area
10
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
11
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
12
aging
and
disabilities
resource
center,
and
other
services
13
which
may
include
but
are
not
limited
to
adult
day
services,
14
respite
care,
chore
services,
information
and
assistance,
15
and
material
aid,
for
information
and
options
counseling
for
16
persons
with
disabilities
who
are
18
years
of
age
or
older,
17
and
for
salaries,
support,
administration,
maintenance,
and
18
miscellaneous
purposes
,
and
for
not
more
than
the
following
19
full-time
equivalent
positions
:
20
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$
5,300,190
21
10,931,066
22
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FTEs
28.00
23
1.
Funds
appropriated
in
this
section
may
be
used
to
24
supplement
federal
funds
under
federal
regulations.
To
25
receive
funds
appropriated
in
this
section,
a
local
area
26
agency
on
aging
shall
match
the
funds
with
moneys
from
other
27
sources
according
to
rules
adopted
by
the
department.
Funds
28
appropriated
in
this
section
may
be
used
for
elderly
services
29
not
specifically
enumerated
in
this
section
only
if
approved
30
by
an
area
agency
on
aging
for
provision
of
the
service
within
31
the
area.
32
2.
Of
the
funds
appropriated
in
this
section,
$139,973
33
$279,946
is
transferred
to
the
economic
development
authority
34
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
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the
retired
and
senior
volunteer
program.
1
3.
a.
The
department
on
aging
shall
establish
and
enforce
2
procedures
relating
to
expenditure
of
state
and
federal
funds
3
by
area
agencies
on
aging
that
require
compliance
with
both
4
state
and
federal
laws,
rules,
and
regulations,
including
but
5
not
limited
to
all
of
the
following:
6
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
7
or
services
received
or
performed
prior
to
the
end
of
the
8
fiscal
period
designated
for
use
of
the
funds.
9
(2)
Prohibiting
prepayment
for
goods
or
services
not
10
received
or
performed
prior
to
the
end
of
the
fiscal
period
11
designated
for
use
of
the
funds.
12
(3)
Prohibiting
the
prepayment
for
goods
or
services
13
not
defined
specifically
by
good
or
service,
time
period,
or
14
recipient.
15
(4)
Prohibiting
the
establishment
of
accounts
from
which
16
future
goods
or
services
which
are
not
defined
specifically
by
17
good
or
service,
time
period,
or
recipient,
may
be
purchased.
18
b.
The
procedures
shall
provide
that
if
any
funds
are
19
expended
in
a
manner
that
is
not
in
compliance
with
the
20
procedures
and
applicable
federal
and
state
laws,
rules,
and
21
regulations,
and
are
subsequently
subject
to
repayment,
the
22
area
agency
on
aging
expending
such
funds
in
contravention
of
23
such
procedures,
laws,
rules
and
regulations,
not
the
state,
24
shall
be
liable
for
such
repayment.
25
4.
Of
the
funds
appropriated
in
this
section,
$125,000
26
$250,000
shall
be
used
to
fund
services
to
meet
the
unmet
needs
27
of
older
individuals
as
identified
in
the
annual
compilation
28
of
unmet
service
units
by
the
area
agencies
on
aging
through
29
Iowa’s
aging
and
disability
resource
center
network
.
30
5.
Of
the
funds
appropriated
in
this
section,
$300,000
31
$600,000
shall
be
used
to
fund
home
and
community-based
32
services
through
the
area
agencies
on
aging
that
enable
older
33
individuals
to
avoid
more
costly
utilization
of
residential
or
34
institutional
services
and
remain
in
their
own
homes.
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6.
Of
the
funds
appropriated
in
this
subsection,
$10,000
1
$20,000
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
6
Sec.
2.
2013
Iowa
Acts,
chapter
138,
section
132,
is
amended
7
to
read
as
follows:
8
SEC.
132.
OFFICE
OF
LONG-TERM
CARE
RESIDENT’S
9
ADVOCATE.
There
is
appropriated
from
the
general
fund
of
the
10
state
to
the
office
of
long-term
care
resident’s
advocate
for
11
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
12
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
13
to
be
used
for
the
purposes
designated:
14
For
salaries,
support,
administration,
maintenance,
and
15
miscellaneous
purposes
,
and
for
not
more
than
the
following
16
full-time
equivalent
positions
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
510,854
18
929,315
19
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.
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.
.
.
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.
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.
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.
.
.
.
.
.
.
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.
.
FTEs
13.00
20
2.
Of
the
funds
appropriated
in
this
section,
$105,000
21
$210,000
shall
be
used
to
provide
two
local
long-term
care
22
resident’s
advocates
to
administer
the
certified
volunteer
23
long-term
care
resident’s
advocates
program
pursuant
to
section
24
231.45
,
including
operational
certification
and
training
costs.
25
DIVISION
III
26
DEPARTMENT
OF
PUBLIC
HEALTH
27
Sec.
3.
2013
Iowa
Acts,
chapter
138,
section
133,
is
amended
28
to
read
as
follows:
29
SEC.
133.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
30
appropriated
from
the
general
fund
of
the
state
to
the
31
department
of
public
health
for
the
fiscal
year
beginning
July
32
1,
2014,
and
ending
June
30,
2015,
the
following
amounts,
or
33
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
34
designated:
35
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1.
ADDICTIVE
DISORDERS
1
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
2
other
drugs,
and
treating
individuals
affected
by
addictive
3
behaviors,
including
gambling
,
and
for
not
more
than
the
4
following
full-time
equivalent
positions
:
5
.
.
.
.
.
.
.
.
.
.
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.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,581,845
6
27,088,690
7
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.
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.
.
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.
.
.
.
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.
FTEs
13.00
8
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
9
$2,574,181
$5,073,361
shall
be
used
for
the
tobacco
use
10
prevention
and
control
initiative,
including
efforts
at
the
11
state
and
local
levels,
as
provided
in
chapter
142A
.
The
12
commission
on
tobacco
use
prevention
and
control
established
13
pursuant
to
section
142A.3
shall
advise
the
director
of
14
public
health
in
prioritizing
funding
needs
and
the
allocation
15
of
moneys
appropriated
for
the
programs
and
activities
of
16
the
initiative
under
this
subparagraph
(1)
and
shall
make
17
recommendations
to
the
director
in
the
development
of
budget
18
requests
relating
to
the
initiative.
19
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$37,500
20
shall
be
used
to
develop
a
social
media
structure
to
engage
21
youth
and
prevent
youth
initiation
of
tobacco
use.
Of
the
22
amount
allocated
in
this
subparagraph
(2),
$12,500
$25,000
23
shall
be
used
for
a
youth
summit.
24
(3)
Of
the
funds
allocated
in
this
paragraph
“a”,
$100,000
25
$200,000
shall
be
used
to
increase
the
efficacy
of
local
26
tobacco
control
efforts
by
community
partnerships,
including
27
through
professional
development,
regional
trainings
and
round
28
table
planning
efforts,
and
a
training
opportunity
involving
29
all
community
partnerships.
30
(4)
Of
the
funds
allocated
in
this
paragraph
“a”,
$600,000
31
$1,950,000
shall
be
used
to
promote
smoking
cessation
and
to
32
reduce
the
number
of
tobacco
users
in
the
state
by
offering
33
nicotine
replacement
therapy
to
uninsured
and
underinsured
34
Iowans.
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(5)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
1
$226,534
$453,067
is
transferred
to
the
alcoholic
beverages
2
division
of
the
department
of
commerce
for
enforcement
of
3
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
4
tobacco
control
activities
approved
by
the
division
of
tobacco
5
use
prevention
and
control
as
specified
in
the
memorandum
of
6
understanding
entered
into
between
the
divisions.
7
(b)
For
the
fiscal
year
beginning
July
1,
2014,
and
ending
8
June
30,
2015,
the
terms
of
the
memorandum
of
understanding,
9
entered
into
between
the
division
of
tobacco
use
prevention
10
and
control
of
the
department
of
public
health
and
the
11
alcoholic
beverages
division
of
the
department
of
commerce,
12
governing
compliance
checks
conducted
to
ensure
licensed
retail
13
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
14
ordinances
relating
to
persons
under
eighteen
years
of
age,
15
shall
restrict
the
number
of
such
checks
to
one
check
per
16
retail
outlet,
and
one
additional
check
for
any
retail
outlet
17
found
to
be
in
violation
during
the
first
check.
18
b.
Of
the
funds
appropriated
in
this
subsection,
19
$11,007,665
$22,015,329
shall
be
used
for
problem
gambling
and
20
substance-related
disorder
prevention,
treatment,
and
recovery
21
services,
including
a
24-hour
helpline,
public
information
22
resources,
professional
training,
and
program
evaluation.
23
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$9,451,858
24
$18,903,715
shall
be
used
for
substance-related
disorder
25
prevention
and
treatment.
26
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
27
$449,650
$899,300
shall
be
used
for
the
public
purpose
of
a
28
grant
program
to
provide
substance-related
disorder
prevention
29
programming
for
children.
30
(i)
Of
the
funds
allocated
in
this
subparagraph
division
31
(a),
$213,770
$427,539
shall
be
used
for
grant
funding
for
32
organizations
that
provide
programming
for
children
by
33
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
34
certified
or
will
be
certified
within
six
months
of
receiving
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the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
1
utilizing
the
standards
for
effective
practice
for
mentoring
2
programs.
3
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
4
(a),
$213,420
$426,839
shall
be
used
for
grant
funding
for
5
organizations
that
provide
programming
that
includes
youth
6
development
and
leadership.
The
programs
shall
also
be
7
recognized
as
being
programs
that
are
scientifically
based
with
8
evidence
of
their
effectiveness
in
reducing
substance-related
9
disorders
in
children.
10
(iii)
The
department
of
public
health
shall
utilize
a
11
request
for
proposals
process
to
implement
the
grant
program.
12
(iv)
All
grant
recipients
shall
participate
in
a
program
13
evaluation
as
a
requirement
for
receiving
grant
funds.
14
(v)
Of
the
funds
allocated
in
this
subparagraph
division
15
(a),
up
to
$22,461
$44,922
may
be
used
to
administer
16
substance-related
disorder
prevention
grants
and
for
program
17
evaluations.
18
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
19
$136,302
$272,603
shall
be
used
for
culturally
competent
20
substance-related
disorder
treatment
pilot
projects.
21
(i)
The
department
shall
utilize
the
amount
allocated
22
in
this
subparagraph
division
(b)
for
at
least
three
pilot
23
projects
to
provide
culturally
competent
substance-related
24
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
25
project
shall
target
a
particular
ethnic
minority
population.
26
The
populations
targeted
shall
include
but
are
not
limited
to
27
African
American,
Asian,
and
Latino.
28
(ii)
The
pilot
project
requirements
shall
provide
for
29
documentation
or
other
means
to
ensure
access
to
the
cultural
30
competence
approach
used
by
a
pilot
project
so
that
such
31
approach
can
be
replicated
and
improved
upon
in
successor
32
programs.
33
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
34
to
$1,555,807
$3,111,614
may
be
used
for
problem
gambling
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prevention,
treatment,
and
recovery
services.
1
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
2
$1,286,881
$2,573,762
shall
be
used
for
problem
gambling
3
prevention
and
treatment.
4
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
5
$218,926
$437,852
may
be
used
for
a
24-hour
helpline,
public
6
information
resources,
professional
training,
and
program
7
evaluation.
8
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
9
to
$50,000
$100,000
may
be
used
for
the
licensing
of
problem
10
gambling
treatment
programs.
11
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
12
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
13
diagnosis
of
substance-related
disorder
and
gambling
addiction
14
shall
be
given
priority
in
treatment
services.
15
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
16
to
standardize
the
availability,
delivery,
cost
of
delivery,
17
and
accountability
of
problem
gambling
and
substance-related
18
disorder
treatment
services
statewide,
the
department
shall
19
continue
implementation
of
a
process
to
create
a
system
20
for
delivery
of
treatment
services
in
accordance
with
the
21
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
22
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
23
of
treatment
services
that
best
meets
the
needs
of
Iowans,
24
the
problem
gambling
and
substance-related
disorder
treatment
25
services
in
any
area
may
be
provided
either
by
a
single
agency
26
or
by
separate
agencies
submitting
a
joint
proposal.
27
(1)
The
system
for
delivery
of
substance-related
disorder
28
and
problem
gambling
treatment
shall
include
problem
gambling
29
prevention.
30
(2)
The
system
for
delivery
of
substance-related
disorder
31
and
problem
gambling
treatment
shall
include
substance-related
32
disorder
prevention
by
July
1,
2015.
33
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
34
may
use
up
to
$50,000
$100,000
for
administrative
costs
to
35
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H.F.
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continue
developing
and
implementing
the
process
in
accordance
1
with
this
paragraph
“c”.
2
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
3
by
the
appropriations
and
allocations
made
in
this
Act
for
4
purposes
of
substance-related
disorder
treatment
and
addictive
5
disorders
for
the
fiscal
year
beginning
July
1,
2014.
6
e.
The
department
of
public
health
shall
work
with
all
7
other
departments
that
fund
substance-related
disorder
8
prevention
and
treatment
services
and
all
such
departments
9
shall,
to
the
extent
necessary,
collectively
meet
the
state
10
maintenance
of
effort
requirements
for
expenditures
for
11
substance-related
disorder
services
as
required
under
the
12
federal
substance-related
disorder
prevention
and
treatment
13
block
grant.
14
2.
HEALTHY
CHILDREN
AND
FAMILIES
15
For
promoting
the
optimum
health
status
for
children,
16
adolescents
from
birth
through
21
years
of
age,
and
families
,
17
and
for
not
more
than
the
following
full-time
equivalent
18
positions
:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,826,780
20
3,628,559
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
22
a.
Of
the
funds
appropriated
in
this
subsection,
not
23
more
than
$367,421
$734,841
shall
be
used
for
the
healthy
24
opportunities
for
parents
to
experience
success
(HOPES)-healthy
25
families
Iowa
(HFI)
program
established
pursuant
to
section
26
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
27
that
were
provided
to
the
grantees
that
operated
the
program
28
during
the
fiscal
year
ending
June
30,
2014.
29
b.
In
order
to
implement
the
legislative
intent
stated
in
30
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
31
program
funding
be
given
to
programs
using
evidence-based
or
32
promising
models
for
home
visitation,
it
is
the
intent
of
the
33
general
assembly
to
phase
in
the
funding
priority
in
accordance
34
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
35
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paragraph
0b.
1
c.
Of
the
funds
appropriated
in
this
subsection,
$663,944
2
$1,327,887
shall
be
used
to
continue
the
department’s
3
initiative
to
provide
for
adequate
developmental
surveillance
4
and
screening
during
a
child’s
first
five
years
statewide.
The
5
funds
shall
be
used
first
to
fully
fund
the
current
sites
to
6
ensure
that
the
sites
are
fully
operational,
with
the
remaining
7
funds
to
be
used
for
expansion
to
additional
sites.
The
full
8
implementation
and
expansion
shall
include
enhancing
the
scope
9
of
the
program
through
collaboration
with
the
child
health
10
specialty
clinics
to
promote
healthy
child
development
through
11
early
identification
and
response
to
both
biomedical
and
social
12
determinants
of
healthy
development;
by
developing
child
13
health
metrics
to
inform
practice,
document
long-term
health
14
impacts
and
savings,
and
provide
for
continuous
improvement
15
through
training,
education,
and
evaluation;
and
by
providing
16
for
practitioner
consultation
particularly
for
children
with
17
behavioral
conditions
and
needs.
The
department
of
public
18
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
19
and
the
child
health
specialty
clinics
to
integrate
the
20
activities
of
the
first
five
initiative
into
the
establishment
21
of
patient-centered
medical
homes,
community
utilities,
22
accountable
care
organizations,
and
other
integrated
care
23
models
developed
to
improve
health
quality
and
population
24
health
while
reducing
health
care
costs.
To
the
maximum
extent
25
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
26
as
matching
funds
for
medical
assistance
program
reimbursement.
27
d.
Of
the
funds
appropriated
in
this
subsection,
$15,799
28
$31,597
shall
be
distributed
to
a
statewide
dental
carrier
to
29
provide
funds
to
continue
the
donated
dental
services
program
30
patterned
after
the
projects
developed
by
the
lifeline
network
31
to
provide
dental
services
to
indigent
elderly
and
disabled
32
individuals.
33
e.
Of
the
funds
appropriated
in
this
subsection,
$55,998
34
$111,995
shall
be
used
for
childhood
obesity
prevention.
35
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f.
Of
the
funds
appropriated
in
this
subsection,
$81,384
1
$137,768
shall
be
used
to
provide
audiological
services
and
2
hearing
aids
for
children.
The
department
may
enter
into
a
3
contract
to
administer
this
paragraph.
4
g.
Of
the
funds
appropriated
in
this
subsection,
$12,500
5
$25,000
is
transferred
to
the
university
of
Iowa
college
of
6
dentistry
for
provision
of
primary
dental
services
to
children.
7
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
8
The
university
of
Iowa
college
of
dentistry
shall
coordinate
9
efforts
with
the
department
of
public
health,
bureau
of
10
oral
and
health
delivery
systems,
to
provide
dental
care
to
11
underserved
populations
throughout
the
state.
12
h.
Of
the
funds
appropriated
in
this
subsection,
$25,000
13
$50,000
shall
be
used
to
address
youth
suicide
prevention.
14
3.
CHRONIC
CONDITIONS
15
For
serving
individuals
identified
as
having
chronic
16
conditions
or
special
health
care
needs
,
and
for
not
more
than
17
the
following
full-time
equivalent
positions
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,540,346
19
5,040,692
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
6.00
21
a.
Of
the
funds
appropriated
in
this
subsection,
$79,966
22
$159,932
shall
be
used
for
grants
to
individual
patients
23
who
have
phenylketonuria
(PKU)
to
assist
with
the
costs
of
24
necessary
special
foods.
25
b.
Of
the
funds
appropriated
in
this
subsection,
$445,822
26
$891,644
shall
be
used
for
the
brain
injury
services
program
27
pursuant
to
section
135.22B
,
including
for
continuation
of
the
28
contracts
for
resource
facilitator
services
in
accordance
with
29
section
135.22B,
subsection
9
,
and
to
enhance
brain
injury
30
training
and
recruitment
of
service
providers
on
a
statewide
31
basis.
Of
the
amount
allocated
in
this
paragraph,
$47,500
32
shall
be
used
to
fund
one
full-time
equivalent
position
to
33
serve
as
the
state
brain
injury
service
program
manager.
34
c.
Of
the
funds
appropriated
in
this
subsection,
$273,991
35
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H.F.
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$547,982
shall
be
used
as
additional
funding
to
leverage
1
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
2
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
3
grants.
4
d.
Of
the
funds
appropriated
in
this
subsection,
$49,912
5
$99,823
shall
be
used
for
the
public
purpose
of
continuing
to
6
contract
with
an
existing
national-affiliated
organization
7
to
provide
education,
client-centered
programs,
and
client
8
and
family
support
for
people
living
with
epilepsy
and
their
9
families.
10
e.
Of
the
funds
appropriated
in
this
subsection,
$392,557
11
$785,114
shall
be
used
for
child
health
specialty
clinics.
12
f.
Of
the
funds
appropriated
in
this
subsection,
13
$200,000
$400,000
shall
be
used
by
the
regional
autism
14
assistance
program
established
pursuant
to
section
256.35
,
15
and
administered
by
the
child
health
specialty
clinic
located
16
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
17
shall
be
used
to
enhance
interagency
collaboration
and
18
coordination
of
educational,
medical,
and
other
human
services
19
for
persons
with
autism,
their
families,
and
providers
of
20
services,
including
delivering
regionalized
services
of
care
21
coordination,
family
navigation,
and
integration
of
services
22
through
the
statewide
system
of
regional
child
health
specialty
23
clinics
and
fulfilling
other
requirements
as
specified
in
24
chapter
225D
,
creating
the
autism
support
program,
as
enacted
25
in
this
Act.
The
university
of
Iowa
shall
not
receive
funds
26
allocated
under
this
paragraph
for
indirect
costs
associated
27
with
the
regional
autism
assistance
program.
28
g.
Of
the
funds
appropriated
in
this
subsection,
$285,497
29
$444,543
shall
be
used
for
the
comprehensive
cancer
control
30
program
to
reduce
the
burden
of
cancer
in
Iowa
through
31
prevention,
early
detection,
effective
treatment,
and
ensuring
32
quality
of
life.
Of
the
funds
allocated
in
this
lettered
33
paragraph,
$75,000
$150,000
shall
be
used
to
support
a
melanoma
34
research
symposium,
a
melanoma
biorepository
and
registry,
35
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basic
and
translational
melanoma
research,
and
clinical
trials.
1
h.
Of
the
funds
appropriated
in
this
subsection,
$63,225
2
$126,450
shall
be
used
for
cervical
and
colon
cancer
screening,
3
and
$250,000
$500,000
shall
be
used
to
enhance
the
capacity
of
4
the
breast
and
cervical
cancer
screening
program
to
include
5
provision
of
recommended
prevention
and
early
detection
6
measures
to
a
broader
range
of
low-income
women.
7
i.
Of
the
funds
appropriated
in
this
subsection,
$263,348
8
$526,695
shall
be
used
for
the
center
for
congenital
and
9
inherited
disorders.
10
j.
Of
the
funds
appropriated
in
this
subsection,
$64,706
11
$129,411
shall
be
used
for
the
prescription
drug
donation
12
repository
program
created
in
chapter
135M
.
13
k.
Of
the
funds
appropriated
in
this
subsection,
$107,632
14
$175,263
shall
be
used
for
the
costs
of
the
medical
home
system
15
advisory
council
established
pursuant
to
section
135.159
16
including
incorporation
of
the
development
and
implementation
17
of
the
prevention
and
chronic
care
management
state
initiative.
18
4.
COMMUNITY
CAPACITY
19
For
strengthening
the
health
care
delivery
system
at
the
20
local
level
,
and
for
not
more
than
the
following
full-time
21
equivalent
positions
:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,281,309
23
9,562,617
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
18.25
25
a.
Of
the
funds
appropriated
in
this
subsection,
$49,707
26
$99,414
is
allocated
for
continuation
of
the
child
vision
27
screening
program
implemented
through
the
university
of
Iowa
28
hospitals
and
clinics
in
collaboration
with
early
childhood
29
Iowa
areas.
The
program
shall
submit
a
report
to
the
30
individuals
identified
in
this
Act
for
submission
of
reports
31
regarding
the
use
of
funds
allocated
under
this
paragraph
32
“a”.
The
report
shall
include
the
objectives
and
results
for
33
the
program
year
including
the
target
population
and
how
the
34
funds
allocated
assisted
the
program
in
meeting
the
objectives;
35
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_____
H.F.
_____
the
number,
age,
and
location
within
the
state
of
individuals
1
served;
the
type
of
services
provided
to
the
individuals
2
served;
the
distribution
of
funds
based
on
service
provided;
3
and
the
continuing
needs
of
the
program.
4
b.
Of
the
funds
appropriated
in
this
subsection,
$55,328
5
$110,656
is
allocated
for
continuation
of
an
initiative
6
implemented
at
the
university
of
Iowa
and
$49,952
$99,904
7
is
allocated
for
continuation
of
an
initiative
at
the
state
8
mental
health
institute
at
Cherokee
to
expand
and
improve
the
9
workforce
engaged
in
mental
health
treatment
and
services.
10
The
initiatives
shall
receive
input
from
the
university
of
11
Iowa,
the
department
of
human
services,
the
department
of
12
public
health,
and
the
mental
health
and
disability
services
13
commission
to
address
the
focus
of
the
initiatives.
14
c.
Of
the
funds
appropriated
in
this
subsection,
$582,314
15
$1,164,628
shall
be
used
for
essential
public
health
services
16
that
promote
healthy
aging
throughout
the
lifespan,
contracted
17
through
a
formula
for
local
boards
of
health,
to
enhance
health
18
promotion
and
disease
prevention
services.
19
d.
Of
the
funds
appropriated
in
this
section,
$49,643
20
$99,286
shall
be
deposited
in
the
governmental
public
health
21
system
fund
created
in
section
135A.8
to
be
used
for
the
22
purposes
of
the
fund.
23
e.
Of
the
funds
appropriated
in
this
subsection,
$52,724
24
$105,448
shall
be
used
to
continue
to
address
the
shortage
of
25
mental
health
professionals
in
the
state.
26
f.
Of
the
funds
appropriated
in
this
subsection,
$25,000
27
$50,000
shall
be
used
for
a
grant
to
a
statewide
association
28
of
psychologists
that
is
affiliated
with
the
American
29
psychological
association
to
be
used
for
continuation
of
a
30
program
to
rotate
intern
psychologists
in
placements
in
urban
31
and
rural
mental
health
professional
shortage
areas,
as
defined
32
in
section
135.180
.
33
g.
Of
the
funds
appropriated
in
this
subsection,
the
34
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
35
-13-
LSB
5015XG
(16)
85
pf/jp
13/
83
S.F.
_____
H.F.
_____
safety
net
provider
network
established
pursuant
to
section
1
135.153
to
be
used
for
the
purposes
designated.
The
following
2
amounts
allocated
under
this
lettered
paragraph
shall
be
3
distributed
to
the
specified
provider
and
shall
not
be
reduced
4
for
administrative
or
other
costs
prior
to
distribution:
5
(1)
For
distribution
to
the
Iowa
primary
care
association
6
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
7
provider
network:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
72,893
9
145,785
10
(2)
For
distribution
to
the
Iowa
primary
care
association
11
to
be
used
to
continue
a
training
program
for
sexual
assault
12
response
team
(SART)
members,
including
representatives
of
13
law
enforcement,
victim
advocates,
prosecutors,
and
certified
14
medical
personnel:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
16
50,000
17
(3)
For
distribution
to
federally
qualified
health
centers
18
for
necessary
infrastructure,
statewide
coordination,
provider
19
recruitment,
service
delivery,
and
provision
of
assistance
to
20
patients
in
securing
a
medical
home
inclusive
of
oral
health
21
care:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
37,500
23
75,000
24
(4)
For
distribution
to
the
local
boards
of
health
that
25
provide
direct
services
for
pilot
programs
in
three
counties
to
26
assist
patients
in
securing
a
medical
home
inclusive
of
oral
27
health
care:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,577
29
77,153
30
(5)
For
distribution
to
maternal
and
child
health
centers
31
for
pilot
programs
in
three
service
areas
to
assist
patients
in
32
securing
a
medical
home
inclusive
of
oral
health
care:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,563
34
95,126
35
-14-
LSB
5015XG
(16)
85
pf/jp
14/
83
S.F.
_____
H.F.
_____
(6)
For
distribution
to
free
clinics
for
necessary
1
infrastructure,
statewide
coordination,
provider
recruitment,
2
service
delivery,
and
provision
of
assistance
to
patients
in
3
securing
a
medical
home
inclusive
of
oral
health
care:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
174,161
5
348,322
6
(7)
For
distribution
to
rural
health
clinics
for
necessary
7
infrastructure,
statewide
coordination,
provider
recruitment,
8
service
delivery,
and
provision
of
assistance
to
patients
in
9
securing
a
medical
home
inclusive
of
oral
health
care:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
70,772
11
141,544
12
(8)
For
continuation
of
the
safety
net
provider
patient
13
access
to
a
specialty
health
care
initiative
as
described
in
14
2007
Iowa
Acts,
chapter
218,
section
109:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
189,237
16
378,474
17
(9)
For
continuation
of
the
pharmaceutical
infrastructure
18
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
19
chapter
218,
section
108:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
206,708
21
413,415
22
The
Iowa
collaborative
safety
net
provider
network
may
23
continue
to
distribute
funds
allocated
pursuant
to
this
24
lettered
paragraph
through
existing
contracts
or
renewal
of
25
existing
contracts.
26
The
Iowa
collaborative
safety
net
provider
network
may
27
continue
to
distribute
funds
allocated
pursuant
to
this
28
lettered
paragraph
through
existing
contracts
or
renewal
of
29
existing
contracts.
30
h.
Of
the
funds
appropriated
in
this
subsection,
$87,950
31
$175,900
shall
be
used
for
continuation
of
the
work
of
the
32
direct
care
worker
advisory
council
established
pursuant
to
33
2008
Iowa
Acts,
chapter
1188,
section
69,
in
implementing
the
34
recommendations
in
the
final
report
submitted
by
the
advisory
35
-15-
LSB
5015XG
(16)
85
pf/jp
15/
83
S.F.
_____
H.F.
_____
council
to
the
governor
and
the
general
assembly
in
March
2012.
1
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
2
$89,438
$178,875
shall
be
used
for
allocation
to
an
independent
3
statewide
direct
care
worker
organization
under
continuation
4
of
the
contract
in
effect
during
the
fiscal
year
ending
June
5
30,
2013
2014
,
with
terms
determined
by
the
director
of
public
6
health
relating
to
education,
outreach,
leadership
development,
7
mentoring,
and
other
initiatives
intended
to
enhance
the
8
recruitment
and
retention
of
direct
care
workers
in
health
care
9
and
long-term
care
settings.
10
(2)
Of
the
funds
appropriated
in
this
subsection,
$37,500
11
$75,000
shall
be
used
to
provide
scholarships
or
other
forms
of
12
subsidization
for
direct
care
worker
educational
conferences,
13
training,
or
outreach
activities.
14
j.
Of
the
funds
appropriated
in
this
subsection,
the
15
department
may
use
up
to
$29,088
$58,175
for
up
to
one
16
full-time
equivalent
position
to
administer
the
volunteer
17
health
care
provider
program
pursuant
to
section
135.24
.
18
k.
Of
the
funds
appropriated
in
this
subsection,
$24,854
19
$49,707
shall
be
used
for
a
matching
dental
education
loan
20
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
21
service
corporation
to
develop
the
criteria
and
implement
the
22
loan
repayment
program.
23
l.
Of
the
funds
appropriated
in
this
subsection,
$52,912
24
$105,823
is
transferred
to
the
college
student
aid
commission
25
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
26
in
section
261.113
to
be
used
for
the
purposes
of
the
fund.
27
m.
Of
the
funds
appropriated
in
this
subsection,
$75,000
28
$150,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
29
registry
as
specified
in
section
142C.18
.
30
n.
Of
the
funds
appropriated
in
this
subsection,
$50,000
31
$100,000
shall
be
used
for
continuation
of
a
grant
to
a
32
nationally
affiliated
volunteer
eye
organization
that
has
an
33
established
program
for
children
and
adults
and
that
is
solely
34
dedicated
to
preserving
sight
and
preventing
blindness
through
35
-16-
LSB
5015XG
(16)
85
pf/jp
16/
83
S.F.
_____
H.F.
_____
education,
nationally
certified
vision
screening
and
training,
1
and
community
and
patient
service
programs.
The
organization
2
shall
submit
a
report
to
the
individuals
identified
in
this
3
Act
for
submission
of
reports
regarding
the
use
of
funds
4
allocated
under
this
paragraph
“n”.
The
report
shall
include
5
the
objectives
and
results
for
the
program
year
including
6
the
target
population
and
how
the
funds
allocated
assisted
7
the
program
in
meeting
the
objectives;
the
number,
age,
and
8
location
within
the
state
of
individuals
served;
the
type
of
9
services
provided
to
the
individuals
served;
the
distribution
10
of
funds
based
on
services
provided;
and
the
continuing
needs
11
of
the
program.
12
o.
Of
the
funds
appropriated
in
this
subsection,
$12,500
13
$25,000
shall
be
used
for
the
establishment
continuation
of
a
14
wellness
council
under
the
direction
of
the
director
of
public
15
health
to
increase
support
for
wellness
activities
in
the
16
state.
17
p.
Of
the
funds
appropriated
in
this
section,
$579,075
18
$1,158,150
is
allocated
to
the
Iowa
collaborative
safety
net
19
provider
network
established
pursuant
to
section
135.153
to
20
be
used
for
the
continued
development
and
implementation
of
a
21
statewide
regionally
based
network
to
provide
an
integrated
22
approach
to
health
care
delivery
through
care
coordination
23
that
supports
primary
care
providers
and
links
patients
with
24
community
resources
necessary
to
empower
patients
in
addressing
25
biomedical
and
social
determinants
of
health
to
improve
health
26
outcomes.
The
Iowa
collaborative
safety
net
provider
network
27
shall
work
in
conjunction
with
the
department
of
human
services
28
to
align
the
integrated
network
with
the
health
care
delivery
29
system
model
developed
under
the
state
innovation
models
30
initiative
grant.
The
Iowa
collaborative
safety
net
provider
31
network
shall
submit
a
progress
report
to
the
individuals
32
designated
in
this
Act
for
submission
of
reports
by
December
33
31,
2014,
including
progress
in
developing
and
implementing
the
34
network,
how
the
funds
were
distributed
and
used
in
developing
35
-17-
LSB
5015XG
(16)
85
pf/jp
17/
83
S.F.
_____
H.F.
_____
and
implementing
the
network,
and
the
remaining
needs
in
1
developing
and
implementing
the
network.
2
q.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
3
$3,000,000
shall
be
deposited
in
the
medical
residency
training
4
account
created
in
section
135.175,
subsection
5,
paragraph
5
“a”
,
and
is
appropriated
from
the
account
to
the
department
6
of
public
health
to
be
used
for
the
purposes
of
the
medical
7
residency
training
state
matching
grants
program
as
specified
8
in
section
135.176
.
9
r.
Of
the
funds
appropriated
in
this
section,
$25,000
10
$50,000
shall
be
distributed
to
a
statewide
nonprofit
11
organization
to
be
used
for
the
public
purpose
of
supporting
12
a
partnership
between
medical
providers
and
parents
through
13
community
health
centers
to
promote
reading
and
encourage
14
literacy
skills
so
children
enter
school
prepared
for
success
15
in
reading.
16
5.
HEALTHY
AGING
17
To
provide
public
health
services
that
reduce
risks
and
18
invest
in
promoting
and
protecting
good
health
over
the
19
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
20
vulnerable
populations:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
22
7,297,142
23
6.
ENVIRONMENTAL
HAZARDS
24
For
reducing
the
public’s
exposure
to
hazards
in
the
25
environment,
primarily
chemical
hazards
,
and
for
not
more
than
26
the
following
full-time
equivalent
positions
:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
401,935
28
803,870
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
30
Of
the
funds
appropriated
in
this
subsection,
$268,875
31
$537,750
shall
be
used
for
childhood
lead
poisoning
provisions.
32
7.
INFECTIOUS
DISEASES
33
For
reducing
the
incidence
and
prevalence
of
communicable
34
diseases
,
and
for
not
more
than
the
following
full-time
35
-18-
LSB
5015XG
(16)
85
pf/jp
18/
83
S.F.
_____
H.F.
_____
equivalent
positions
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,578
2
1,335,155
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
4
8.
PUBLIC
PROTECTION
5
For
protecting
the
health
and
safety
of
the
public
through
6
establishing
standards
and
enforcing
regulations
,
and
for
not
7
more
than
the
following
full-time
equivalent
positions
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,639,386
9
3,297,127
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
131.00
11
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
12
than
$227,350
$454,700
shall
be
credited
to
the
emergency
13
medical
services
fund
created
in
section
135.25
.
Moneys
in
14
the
emergency
medical
services
fund
are
appropriated
to
the
15
department
to
be
used
for
the
purposes
of
the
fund.
16
b.
Of
the
funds
appropriated
in
this
subsection,
$101,516
17
$203,032
shall
be
used
for
sexual
violence
prevention
18
programming
through
a
statewide
organization
representing
19
programs
serving
victims
of
sexual
violence
through
the
20
department’s
sexual
violence
prevention
program.
The
amount
21
allocated
in
this
lettered
paragraph
shall
not
be
used
to
22
supplant
funding
administered
for
other
sexual
violence
23
prevention
or
victims
assistance
programs.
24
c.
Of
the
funds
appropriated
in
this
subsection,
$299,376
25
not
more
than
$598,751
shall
be
used
for
the
state
poison
26
control
center.
27
9.
RESOURCE
MANAGEMENT
28
For
establishing
and
sustaining
the
overall
ability
of
the
29
department
to
deliver
services
to
the
public
,
and
for
not
more
30
than
the
following
full-time
equivalent
positions
:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
402,027
32
920,072
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
34
The
university
of
Iowa
hospitals
and
clinics
under
the
35
-19-
LSB
5015XG
(16)
85
pf/jp
19/
83
S.F.
_____
H.F.
_____
control
of
the
state
board
of
regents
shall
not
receive
1
indirect
costs
from
the
funds
appropriated
in
this
section.
2
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
3
department
shall
be
on
at
least
a
quarterly
basis.
4
DIVISION
IV
5
VETERANS
6
Sec.
4.
2013
Iowa
Acts,
chapter
138,
section
134,
is
amended
7
to
read
as
follows:
8
SEC.
134.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
9
appropriated
from
the
general
fund
of
the
state
to
the
10
department
of
veterans
affairs
for
the
fiscal
year
beginning
11
July
1,
2014,
and
ending
June
30,
2015,
the
following
amounts,
12
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
13
designated:
14
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
15
For
salaries,
support,
maintenance,
and
miscellaneous
16
purposes
,
and
for
not
more
than
the
following
full-time
17
equivalent
positions
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
546,754
19
1,095,951
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
21
2.
IOWA
VETERANS
HOME
22
For
salaries,
support,
maintenance,
and
miscellaneous
23
purposes:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,762,857
25
a.
The
Iowa
veterans
home
billings
involving
the
department
26
of
human
services
shall
be
submitted
to
the
department
on
at
27
least
a
monthly
basis.
28
b.
If
there
is
a
change
in
the
employer
of
employees
29
providing
services
at
the
Iowa
veterans
home
under
a
collective
30
bargaining
agreement,
such
employees
and
the
agreement
shall
31
be
continued
by
the
successor
employer
as
though
there
had
not
32
been
a
change
in
employer.
33
c.
Within
available
resources
and
in
conformance
with
34
associated
state
and
federal
program
eligibility
requirements,
35
-20-
LSB
5015XG
(16)
85
pf/jp
20/
83
S.F.
_____
H.F.
_____
the
Iowa
veterans
home
may
implement
measures
to
provide
1
financial
assistance
to
or
on
behalf
of
veterans
or
their
2
spouses
who
are
participating
in
the
community
reentry
program.
3
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
4
For
transfer
to
the
Iowa
finance
authority
for
the
5
continuation
of
the
home
ownership
assistance
program
for
6
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
7
the
United
States,
pursuant
to
section
16.54
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
800,000
9
2,500,000
10
Sec.
5.
2013
Iowa
Acts,
chapter
138,
is
amended
by
adding
11
the
following
new
section:
12
NEW
SECTION
.
SEC.
134A.
IOWA
VETERANS
HOME.
13
1.
There
is
appropriated
from
the
general
fund
of
the
state
14
to
the
Iowa
veterans
home
for
the
fiscal
year
beginning
July
15
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
16
so
such
thereof
as
is
necessary,
to
be
used
for
the
purposes
17
designated:
18
For
salaries,
support,
maintenance,
and
miscellaneous
19
purposes:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,594,996
21
2.
a.
The
Iowa
veterans
home
billings
involving
the
22
department
of
human
services
shall
be
submitted
to
the
23
department
on
at
least
a
monthly
basis.
24
b.
If
there
is
a
change
in
the
employer
of
employees
25
providing
services
at
the
Iowa
veterans
home
under
a
collective
26
bargaining
agreement,
such
employees
and
the
agreement
shall
27
be
continued
by
the
successor
employer
as
though
there
had
not
28
been
a
change
in
employer.
29
c.
Within
available
resources
and
in
conformance
with
30
associated
state
and
federal
program
eligibility
requirements,
31
the
Iowa
veterans
home
may
implement
measures
to
provide
32
financial
assistance
to
or
on
behalf
of
veterans
or
their
33
spouses
who
are
participating
in
the
community
reentry
program.
34
Sec.
6.
2013
Iowa
Acts,
chapter
138,
section
135,
is
amended
35
-21-
LSB
5015XG
(16)
85
pf/jp
21/
83
S.F.
_____
H.F.
_____
to
read
as
follows:
1
SEC.
135.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
2
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
3
standing
appropriation
in
the
following
designated
section
for
4
For
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
5
2015,
the
amounts
appropriated
from
the
general
fund
of
the
6
state
pursuant
to
that
section
for
the
following
designated
7
purposes
shall
not
exceed
the
following
amount:
8
For
the
amount
of
the
appropriation
for
the
county
9
commissions
of
veteran
affairs
fund
under
is
limited
to
the
10
amount
specified
in
section
35A.16
,
as
amended
by
this
2014
11
Act
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
13
990,000
14
DIVISION
V
15
DEPARTMENT
OF
HUMAN
SERVICES
16
Sec.
7.
2013
Iowa
Acts,
chapter
138,
section
136,
is
amended
17
to
read
as
follows:
18
SEC.
136.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
19
GRANT.
There
is
appropriated
from
the
fund
created
in
section
20
8.41
to
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2014,
and
ending
June
30,
2015,
from
moneys
22
received
under
the
federal
temporary
assistance
for
needy
23
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
24
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
25
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
26
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purposes
designated:
28
1.
To
be
credited
to
the
family
investment
program
account
29
and
used
for
assistance
under
the
family
investment
program
30
under
chapter
239B
:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,058,474
32
14,231,391
33
2.
To
be
credited
to
the
family
investment
program
account
34
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
35
-22-
LSB
5015XG
(16)
85
pf/jp
22/
83
S.F.
_____
H.F.
_____
program
and
implementing
family
investment
agreements
in
1
accordance
with
chapter
239B
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,933,220
3
11,091,911
4
3.
To
be
used
for
the
family
development
and
5
self-sufficiency
grant
program
in
accordance
with
section
6
216A.107
:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
8
2,898,980
9
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
10
subsection
that
remain
unencumbered
or
unobligated
at
the
close
11
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
12
for
expenditure
for
the
purposes
designated
until
the
close
of
13
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
14
encumbered
or
obligated
on
or
before
September
30,
2015,
the
15
moneys
shall
revert.
16
4.
For
field
operations:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
18
31,296,232
19
5.
For
general
administration:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
21
3,744,000
22
6.
For
state
child
care
assistance:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,866,344
24
27,947,110
25
a.
The
Of
funds
appropriated
in
this
subsection
are
,
26
$26,347,110
is
transferred
to
the
child
care
and
development
27
block
grant
appropriation
made
by
the
Eighty-fifth
General
28
Assembly,
2013
Session,
for
the
federal
fiscal
year
beginning
29
October
1,
2014,
and
ending
September
30,
2015
,
in
2013
30
Iowa
Acts,
chapter
136,
section
14
.
Of
this
amount,
31
$100,000
$200,000
shall
be
used
for
provision
of
educational
32
opportunities
to
registered
child
care
home
providers
in
order
33
to
improve
services
and
programs
offered
by
this
category
34
of
providers
and
to
increase
the
number
of
providers.
The
35
-23-
LSB
5015XG
(16)
85
pf/jp
23/
83
S.F.
_____
H.F.
_____
department
may
contract
with
institutions
of
higher
education
1
or
child
care
resource
and
referral
centers
to
provide
2
the
educational
opportunities.
Allowable
administrative
3
costs
under
the
contracts
shall
not
exceed
5
percent.
The
4
application
for
a
grant
shall
not
exceed
two
pages
in
length.
5
b.
Any
funds
appropriated
in
this
subsection
remaining
6
unallocated
shall
be
used
for
state
child
care
assistance
7
payments
for
individuals
enrolled
in
the
family
investment
8
program
who
are
employed.
9
7.
For
distribution
to
counties
and
regions
through
the
10
property
tax
relief
mental
health
and
disability
services
fund
11
for
mental
health
and
disability
services
as
provided
in
an
12
appropriation
made
for
this
purpose
for
persons
with
mental
13
illness
or
an
intellectual
disability
:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
15
4,894,052
16
The
moneys
appropriated
in
this
subsection
shall
be
credited
17
to
the
mental
health
and
disability
regional
services
fund
18
created
in
section
225C.7A
and
shall
be
used
by
the
department
19
of
human
services
in
accordance
with
an
appropriation
made
for
20
this
purpose.
21
8.
For
child
and
family
services:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
23
32,084,430
24
9.
For
child
abuse
prevention
grants:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
26
125,000
27
10.
For
pregnancy
prevention
grants
on
the
condition
that
28
family
planning
services
are
funded:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,034
30
1,930,067
31
Pregnancy
prevention
grants
shall
be
awarded
to
programs
32
in
existence
on
or
before
July
1,
2014,
if
the
programs
have
33
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
34
pregnancy
prevention
programs
which
are
developed
after
July
35
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83
S.F.
_____
H.F.
_____
1,
2014,
if
the
programs
are
based
on
existing
models
that
1
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
2
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
3
section
14,
subsections
1
and
2,
including
the
requirement
that
4
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
5
the
awarding
of
grants
shall
be
given
to
programs
that
serve
6
areas
of
the
state
which
demonstrate
the
highest
percentage
of
7
unplanned
pregnancies
of
females
of
childbearing
age
within
the
8
geographic
area
to
be
served
by
the
grant.
9
11.
For
technology
needs
and
other
resources
necessary
10
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
11
management
requirements:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
13
1,037,186
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
12.
For
the
family
investment
program
share
of
the
costs
to
20
continue
to
develop
and
maintain
a
new,
integrated
eligibility
21
determination
system:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,525,226
23
939,458
24
13.
a.
Notwithstanding
any
provision
to
the
contrary,
25
including
but
not
limited
to
requirements
in
section
8.41
or
26
provisions
in
2013
or
2014
Iowa
Acts
regarding
the
receipt
and
27
appropriation
of
federal
block
grants,
federal
funds
from
the
28
temporary
assistance
for
needy
families
block
grant
received
29
by
the
state
not
otherwise
appropriated
in
this
section
and
30
remaining
available
for
the
fiscal
year
beginning
July
1,
2014,
31
are
appropriated
to
the
department
of
human
services
to
the
32
extent
as
may
be
necessary
to
be
used
in
the
following
priority
33
order:
the
family
investment
program,
for
state
child
care
34
assistance
program
payments
for
individuals
enrolled
in
the
35
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83
S.F.
_____
H.F.
_____
family
investment
program
who
are
employed,
and
for
the
family
1
investment
program
share
of
costs
to
develop
and
maintain
a
2
new,
integrated
eligibility
determination
system.
The
federal
3
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
4
after
all
other
funds
appropriated
in
subsection
1
for
the
5
assistance
under
the
family
investment
program,
in
subsection
6
6
for
child
care
assistance,
or
in
subsection
12
for
the
family
7
investment
program
share
of
the
costs
to
continue
to
develop
8
and
maintain
a
new,
integrated
eligibility
determination
9
system,
as
applicable,
have
been
expended.
10
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
11
legislative
services
agency
and
department
of
management
of
12
the
amount
of
funds
appropriated
in
this
subsection
that
was
13
expended
in
the
prior
quarter.
14
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
15
$12,962,008
for
the
fiscal
year
beginning
July
1,
2014,
is
16
transferred
to
the
appropriation
of
the
federal
social
services
17
block
grant
made
to
the
department
of
human
services
for
that
18
fiscal
year.
19
15.
For
continuation
of
the
program
providing
categorical
20
eligibility
for
the
food
assistance
program
as
specified
for
21
the
program
in
the
section
of
this
division
relating
to
the
22
family
investment
program
account:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
24
25,000
25
16.
The
department
may
transfer
funds
allocated
in
this
26
section
to
the
appropriations
made
in
this
division
of
this
Act
27
for
the
same
fiscal
year
for
general
administration
and
field
28
operations
for
resources
necessary
to
implement
and
operate
the
29
services
referred
to
in
this
section
and
those
funded
in
the
30
appropriation
made
in
this
division
of
this
Act
for
the
same
31
fiscal
year
for
the
family
investment
program
from
the
general
32
fund
of
the
state.
33
Sec.
8.
2013
Iowa
Acts,
chapter
138,
section
137,
is
amended
34
to
read
as
follows:
35
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83
S.F.
_____
H.F.
_____
SEC.
137.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1
1.
Moneys
credited
to
the
family
investment
program
(FIP)
2
account
for
the
fiscal
year
beginning
July
1,
2014,
and
3
ending
June
30,
2015,
shall
be
used
to
provide
assistance
in
4
accordance
with
chapter
239B
.
5
2.
The
department
may
use
a
portion
of
the
moneys
credited
6
to
the
FIP
account
under
this
section
as
necessary
for
7
salaries,
support,
maintenance,
and
miscellaneous
purposes.
8
3.
The
department
may
transfer
funds
allocated
in
this
9
section
to
the
appropriations
made
in
this
division
of
this
Act
10
for
the
same
fiscal
year
for
general
administration
and
field
11
operations
for
resources
necessary
to
implement
and
operate
the
12
services
referred
to
in
this
section
and
those
funded
in
the
13
appropriation
made
in
this
division
of
this
Act
for
the
same
14
fiscal
year
for
the
family
investment
program
from
the
general
15
fund
of
the
state.
16
4.
Moneys
appropriated
in
this
division
of
this
Act
and
17
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
18
1,
2014,
and
ending
June
30,
2015,
are
allocated
as
follows:
19
a.
To
be
retained
by
the
department
of
human
services
to
20
be
used
for
coordinating
with
the
department
of
human
rights
21
to
more
effectively
serve
participants
in
FIP
and
other
shared
22
clients
and
to
meet
federal
reporting
requirements
under
the
23
federal
temporary
assistance
for
needy
families
block
grant:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
25
20,000
26
b.
To
the
department
of
human
rights
for
staffing,
27
administration,
and
implementation
of
the
family
development
28
and
self-sufficiency
grant
program
in
accordance
with
section
29
216A.107
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,021,417
31
6,042,834
32
(1)
Of
the
funds
allocated
for
the
family
development
and
33
self-sufficiency
grant
program
in
this
lettered
paragraph,
34
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
35
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83
S.F.
_____
H.F.
_____
administration
of
the
grant
program.
1
(2)
The
department
of
human
rights
may
continue
to
implement
2
the
family
development
and
self-sufficiency
grant
program
3
statewide
during
fiscal
year
2014-2015.
4
c.
For
the
diversion
subaccount
of
the
FIP
account:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
849,200
6
2,315,000
7
A
portion
of
the
moneys
allocated
for
the
subaccount
may
8
be
used
for
field
operations,
salaries,
data
management
9
system
development,
and
implementation
costs
and
support
10
deemed
necessary
by
the
director
of
human
services
in
order
to
11
administer
the
FIP
diversion
program.
To
the
extent
moneys
12
allocated
in
this
lettered
paragraph
are
not
deemed
by
the
13
department
to
be
necessary
to
support
diversion
activities,
14
such
moneys
may
be
used
for
other
efforts
intended
to
increase
15
engagement
by
family
investment
program
participants
in
work,
16
education,
or
training
activities.
17
d.
For
the
food
assistance
employment
and
training
program:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
19
66,588
20
(1)
The
department
shall
apply
the
federal
supplemental
21
nutrition
assistance
program
(SNAP)
employment
and
training
22
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
23
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
24
provisions
for
the
claiming
of
allowable
federal
reimbursement
25
funds
from
the
United
States
department
of
agriculture
26
pursuant
to
the
federal
SNAP
employment
and
training
program
27
for
providing
education,
employment,
and
training
services
28
for
eligible
food
assistance
program
participants,
including
29
but
not
limited
to
related
dependent
care
and
transportation
30
expenses.
31
(2)
The
department
shall
continue
the
categorical
federal
32
food
assistance
program
eligibility
at
160
percent
of
the
33
federal
poverty
level
and
continue
to
eliminate
the
asset
test
34
from
eligibility
requirements,
consistent
with
federal
food
35
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83
S.F.
_____
H.F.
_____
assistance
program
requirements.
The
department
shall
include
1
as
many
food
assistance
households
as
is
allowed
by
federal
2
law.
The
eligibility
provisions
shall
conform
to
all
federal
3
requirements
including
requirements
addressing
individuals
who
4
are
incarcerated
or
otherwise
ineligible.
5
e.
For
the
JOBS
program:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,845,408
7
18,494,131
8
5.
Of
the
child
support
collections
assigned
under
FIP,
9
an
amount
equal
to
the
federal
share
of
support
collections
10
shall
be
credited
to
the
child
support
recovery
appropriation
11
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
12
assigned
child
support
collections
received
by
the
child
13
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
14
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
15
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
16
payments
account.
If
as
a
consequence
of
the
appropriations
17
and
allocations
made
in
this
section
the
resulting
amounts
18
are
insufficient
to
sustain
cash
assistance
payments
and
meet
19
federal
maintenance
of
effort
requirements,
the
department
20
shall
seek
supplemental
funding.
If
child
support
collections
21
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
22
determined
not
to
be
required
for
maintenance
of
effort,
the
23
state
share
of
either
amount
may
be
transferred
to
or
retained
24
in
the
child
support
payment
account.
25
6.
The
department
may
adopt
emergency
rules
for
the
family
26
investment,
JOBS,
food
assistance,
and
medical
assistance
27
programs
if
necessary
to
comply
with
federal
requirements.
28
Sec.
9.
2013
Iowa
Acts,
chapter
138,
section
138,
is
amended
29
to
read
as
follows:
30
SEC.
138.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
31
is
appropriated
from
the
general
fund
of
the
state
to
the
32
department
of
human
services
for
the
fiscal
year
beginning
July
33
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
34
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
35
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29/
83
S.F.
_____
H.F.
_____
designated:
1
To
be
credited
to
the
family
investment
program
(FIP)
2
account
and
used
for
family
investment
program
assistance
under
3
chapter
239B
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,218,607
5
48,503,875
6
1.
Of
the
funds
appropriated
in
this
section,
$3,912,189
7
$7,402,220
is
allocated
for
the
JOBS
program.
8
2.
Of
the
funds
appropriated
in
this
section,
$1,581,927
9
$3,163,854
is
allocated
for
the
family
development
and
10
self-sufficiency
grant
program.
11
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
12
beginning
July
1,
2014,
if
necessary
to
meet
federal
13
maintenance
of
effort
requirements
or
to
transfer
federal
14
temporary
assistance
for
needy
families
block
grant
funding
15
to
be
used
for
purposes
of
the
federal
social
services
block
16
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
17
receiving
federal
funding
or
to
implement,
in
accordance
with
18
this
division
of
this
Act,
activities
currently
funded
with
19
juvenile
court
services,
county,
or
community
moneys
and
state
20
moneys
used
in
combination
with
such
moneys,
the
department
21
of
human
services
may
transfer
funds
within
or
between
any
22
of
the
appropriations
made
in
this
division
of
this
Act
and
23
appropriations
in
law
for
the
federal
social
services
block
24
grant
to
the
department
for
the
following
purposes,
provided
25
that
the
combined
amount
of
state
and
federal
temporary
26
assistance
for
needy
families
block
grant
funding
for
each
27
appropriation
remains
the
same
before
and
after
the
transfer:
28
a.
For
the
family
investment
program.
29
b.
For
child
care
assistance.
30
c.
For
child
and
family
services.
31
d.
For
field
operations.
32
e.
For
general
administration.
33
f.
For
distribution
to
counties
or
regions
through
the
34
mental
health
and
disability
regional
services
fund
created
in
35
-30-
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83
S.F.
_____
H.F.
_____
section
225C.7A
for
services
to
for
persons
with
mental
illness
1
or
an
intellectual
disability
in
accordance
with
that
section
.
2
This
subsection
shall
not
be
construed
to
prohibit
the
use
3
of
existing
state
transfer
authority
for
other
purposes.
The
4
department
shall
report
any
transfers
made
pursuant
to
this
5
subsection
to
the
legislative
services
agency.
6
4.
Of
the
funds
appropriated
in
this
section,
$97,839
7
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
8
Iowa-based
nonprofit
organization
with
a
history
of
providing
9
tax
preparation
assistance
to
low-income
Iowans
in
order
to
10
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
11
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
12
of
the
state.
13
5.
Of
the
funds
appropriated
in
this
section,
$20,000
14
$40,000
shall
be
used
for
the
continuation
of
an
unfunded
15
pilot
project,
as
defined
in
441
IAC
100.1,
relating
to
16
parental
obligations,
in
which
the
child
support
recovery
17
unit
participates,
to
support
the
efforts
of
a
nonprofit
18
organization
committed
to
strengthening
the
community
through
19
youth
development,
healthy
living,
and
social
responsibility
in
20
a
county
with
a
population
over
350,000.
The
funds
allocated
21
in
this
subsection
shall
be
used
by
the
recipient
organization
22
to
develop
a
larger
community
effort,
through
public
and
23
private
partnerships,
to
support
a
broad-based
fatherhood
24
initiative
that
promotes
payment
of
child
support
obligations,
25
improved
family
relationships,
and
full-time
employment.
26
6.
The
department
may
transfer
funds
appropriated
in
this
27
section
to
the
appropriations
made
in
this
division
of
this
Act
28
for
general
administration
and
field
operations
as
necessary
29
to
administer
this
section
and
the
overall
family
investment
30
program.
31
Sec.
10.
2013
Iowa
Acts,
chapter
138,
section
139,
is
32
amended
to
read
as
follows:
33
SEC.
139.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
34
from
the
general
fund
of
the
state
to
the
department
of
human
35
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83
S.F.
_____
H.F.
_____
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
1
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
2
necessary,
to
be
used
for
the
purposes
designated:
3
For
child
support
recovery,
including
salaries,
support,
4
maintenance,
and
miscellaneous
purposes
,
and
for
not
more
than
5
the
following
full-time
equivalent
positions
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,086,885
7
14,911,230
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
9
1.
The
department
shall
expend
up
to
$12,165
$24,329
,
10
including
federal
financial
participation,
for
the
fiscal
year
11
beginning
July
1,
2014,
for
a
child
support
public
awareness
12
campaign.
The
department
and
the
office
of
the
attorney
13
general
shall
cooperate
in
continuation
of
the
campaign.
The
14
public
awareness
campaign
shall
emphasize,
through
a
variety
15
of
media
activities,
the
importance
of
maximum
involvement
of
16
both
parents
in
the
lives
of
their
children
as
well
as
the
17
importance
of
payment
of
child
support
obligations.
18
2.
Federal
access
and
visitation
grant
moneys
shall
be
19
issued
directly
to
private
not-for-profit
agencies
that
provide
20
services
designed
to
increase
compliance
with
the
child
access
21
provisions
of
court
orders,
including
but
not
limited
to
22
neutral
visitation
sites
and
mediation
services.
23
3.
The
appropriation
made
to
the
department
for
child
24
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
25
manner
necessary
for
purposes
of
cash
flow
management,
and
for
26
cash
flow
management
purposes
the
department
may
temporarily
27
draw
more
than
the
amount
appropriated,
provided
the
amount
28
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
29
4.
With
the
exception
of
the
funding
amount
specified,
the
30
requirements
established
under
2001
Iowa
Acts,
chapter
191,
31
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
32
be
applicable
to
parental
obligation
pilot
projects
for
the
33
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015.
34
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
35
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_____
H.F.
_____
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
1
in
effect
until
June
30,
2015.
2
Sec.
11.
2013
Iowa
Acts,
chapter
138,
section
140,
is
3
amended
to
read
as
follows:
4
SEC.
140.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
5
FY
2013-2014
2014-2015
.
Any
funds
remaining
in
the
health
6
care
trust
fund
created
in
section
453A.35A
for
the
fiscal
7
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
are
8
appropriated
to
the
department
of
human
services
to
supplement
9
the
medical
assistance
program
appropriations
made
in
this
10
division
of
this
Act,
for
medical
assistance
reimbursement
and
11
associated
costs,
including
program
administration
and
costs
12
associated
with
program
implementation.
13
Sec.
12.
2013
Iowa
Acts,
chapter
138,
section
141,
is
14
amended
to
read
as
follows:
15
SEC.
141.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
16
FY
2014-2015.
Any
funds
remaining
in
the
Medicaid
fraud
17
fund
created
in
section
249A.7
for
the
fiscal
year
beginning
18
July
1,
2014,
and
ending
June
30,
2015,
are
appropriated
to
19
the
department
of
human
services
to
supplement
the
medical
20
assistance
appropriations
made
in
this
division
of
this
Act,
21
for
medical
assistance
reimbursement
and
associated
costs,
22
including
program
administration
and
costs
associated
with
23
program
implementation.
24
Sec.
13.
2013
Iowa
Acts,
chapter
138,
section
142,
is
25
amended
to
read
as
follows:
26
SEC.
142.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
27
the
general
fund
of
the
state
to
the
department
of
human
28
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
29
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purpose
designated:
31
For
medical
assistance
program
reimbursement
and
associated
32
costs
as
specifically
provided
in
the
reimbursement
33
methodologies
in
effect
on
June
30,
2014,
except
as
otherwise
34
expressly
authorized
by
law,
consistent
with
options
under
35
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_____
H.F.
_____
federal
law
and
regulations,
and
contingent
upon
receipt
of
1
approval
from
the
office
of
the
governor
of
reimbursement
for
2
each
abortion
performed
under
the
program:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,143,810,311
4
962,091,053
5
1.
a.
Iowans
support
reducing
the
number
of
abortions
6
performed
in
our
state.
For
an
abortion
covered
under
the
7
program,
except
in
the
case
of
a
medical
emergency,
as
defined
8
in
section
135L.1
,
for
any
woman,
the
physician
shall
certify
9
both
of
the
following:
10
(1)
That
the
woman
has
been
given
the
opportunity
to
view
an
11
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
12
before
an
abortion
is
performed.
13
(2)
That
the
woman
has
been
provided
information
regarding
14
the
options
relative
to
a
pregnancy,
including
continuing
the
15
pregnancy
to
term
and
retaining
parental
rights
following
the
16
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
17
child
for
adoption,
and
terminating
the
pregnancy.
18
b.
Funds
appropriated
under
this
section
shall
not
be
used
19
for
abortions,
unless
otherwise
authorized
under
this
section.
20
c.
The
provisions
of
this
section
relating
to
abortions
21
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
22
pursuant
to
chapter
249N
,
as
enacted
in
this
Act.
23
2.
The
department
shall
utilize
not
more
than
$60,000
of
24
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
25
health
insurance
premium
payment
program
as
established
in
1992
26
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
27
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
28
not
more
than
$5,000
may
be
expended
for
administrative
29
purposes.
30
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
31
of
public
health
for
addictive
disorders,
$950,000
for
32
the
fiscal
year
beginning
July
1,
2014,
is
transferred
33
to
the
department
of
human
services
for
an
integrated
34
substance-related
disorder
managed
care
system.
The
department
35
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83
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_____
H.F.
_____
shall
not
assume
management
of
the
substance-related
disorder
1
system
in
place
of
the
managed
care
contractor
unless
such
2
a
change
in
approach
is
specifically
authorized
in
law.
3
The
departments
of
human
services
and
public
health
shall
4
work
together
to
maintain
the
level
of
mental
health
and
5
substance-related
disorder
treatment
services
provided
by
the
6
managed
care
contractor
through
the
Iowa
plan
for
behavioral
7
health.
Each
department
shall
take
the
steps
necessary
to
8
continue
the
federal
waivers
as
necessary
to
maintain
the
level
9
of
services.
10
4.
a.
The
department
shall
aggressively
pursue
options
for
11
providing
medical
assistance
or
other
assistance
to
individuals
12
with
special
needs
who
become
ineligible
to
continue
receiving
13
services
under
the
early
and
periodic
screening,
diagnostic,
14
and
treatment
program
under
the
medical
assistance
program
15
due
to
becoming
21
years
of
age
who
have
been
approved
for
16
additional
assistance
through
the
department’s
exception
to
17
policy
provisions,
but
who
have
health
care
needs
in
excess
18
of
the
funding
available
through
the
exception
to
policy
19
provisions.
20
b.
Of
the
funds
appropriated
in
this
section,
$100,000
21
shall
be
used
for
participation
in
one
or
more
pilot
projects
22
operated
by
a
private
provider
to
allow
the
individual
or
23
individuals
to
receive
service
in
the
community
in
accordance
24
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
25
(1999),
for
the
purpose
of
providing
medical
assistance
or
26
other
assistance
to
individuals
with
special
needs
who
become
27
ineligible
to
continue
receiving
services
under
the
early
and
28
periodic
screening,
diagnostic,
and
treatment
program
under
29
the
medical
assistance
program
due
to
becoming
21
years
of
30
age
who
have
been
approved
for
additional
assistance
through
31
the
department’s
exception
to
policy
provisions,
but
who
have
32
health
care
needs
in
excess
of
the
funding
available
through
33
the
exception
to
the
policy
provisions.
34
5.
Of
the
funds
appropriated
in
this
section,
up
to
35
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H.F.
_____
$3,050,082
may
be
transferred
to
the
field
operations
or
1
general
administration
appropriations
in
this
division
of
this
2
Act
for
operational
costs
associated
with
Part
D
of
the
federal
3
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
4
of
2003,
Pub.
L.
No.
108-173.
5
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
6
may
be
transferred
to
the
appropriation
in
this
division
7
of
this
Act
for
medical
contracts
to
be
used
for
clinical
8
assessment
services
and
prior
authorization
of
services.
9
7.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
transferred
to
the
appropriations
in
this
division
of
11
this
Act
for
general
administration,
medical
contracts,
the
12
children’s
health
insurance
program,
or
field
operations
to
be
13
used
for
the
state
match
cost
to
comply
with
the
payment
error
14
rate
measurement
(PERM)
program
for
both
the
medical
assistance
15
and
children’s
health
insurance
programs
as
developed
by
the
16
centers
for
Medicare
and
Medicaid
services
of
the
United
States
17
department
of
health
and
human
services
to
comply
with
the
18
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
19
107-300.
20
8.
It
is
the
intent
of
the
general
assembly
that
the
21
department
continue
to
implement
the
recommendations
of
22
the
assuring
better
child
health
and
development
initiative
23
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
24
screening,
diagnostic,
and
treatment
services
healthy
mental
25
development
collaborative
board
regarding
changes
to
billing
26
procedures,
codes,
and
eligible
service
providers.
27
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
28
amount
is
allocated
to
supplement
the
incomes
of
residents
of
29
nursing
facilities,
intermediate
care
facilities
for
persons
30
with
mental
illness,
and
intermediate
care
facilities
for
31
persons
with
an
intellectual
disability,
with
incomes
of
less
32
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
33
personal
needs
allowance
of
$50
per
month
pursuant
to
section
34
249A.30A
.
35
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83
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_____
H.F.
_____
10.
Of
the
funds
appropriated
in
this
section,
the
following
1
amounts
are
transferred
to
the
appropriations
made
in
this
2
division
of
this
Act
for
the
state
mental
health
institutes:
3
a.
Cherokee
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
9,098,425
4
b.
Clarinda
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
1,977,305
5
c.
Independence
mental
health
institute
.
.
.
.
.
.
.
$
9,045,894
6
d.
Mount
Pleasant
mental
health
institute
.
.
.
.
.
$
5,752,587
7
11.
a.
Of
the
funds
appropriated
in
this
section,
8
$7,969,074
$8,391,922
is
allocated
for
the
state
match
for
9
a
disproportionate
share
hospital
payment
of
$19,133,430
10
to
hospitals
that
meet
both
of
the
conditions
specified
11
in
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
12
that
meet
the
conditions
specified
shall
either
certify
13
public
expenditures
or
transfer
to
the
medical
assistance
14
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
15
disproportionate
share
hospital
payment
of
$7,500,000.
The
16
hospitals
that
meet
the
conditions
specified
shall
receive
and
17
retain
100
percent
of
the
total
disproportionate
share
hospital
18
payment
of
$26,633,430.
19
(1)
The
hospital
qualifies
for
disproportionate
share
and
20
graduate
medical
education
payments.
21
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
22
than
500
beds
and
eight
or
more
distinct
residency
specialty
23
or
subspecialty
programs
recognized
by
the
American
college
of
24
graduate
medical
education.
25
b.
Distribution
of
the
disproportionate
share
payments
26
shall
be
made
on
a
monthly
basis.
The
total
amount
of
27
disproportionate
share
payments
including
graduate
medical
28
education,
enhanced
disproportionate
share,
and
Iowa
29
state-owned
teaching
hospital
payments
shall
not
exceed
the
30
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
31
In
addition,
the
total
amount
of
all
disproportionate
32
share
payments
shall
not
exceed
the
hospital-specific
33
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
34
12.
The
university
of
Iowa
hospitals
and
clinics
shall
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_____
H.F.
_____
either
certify
public
expenditures
or
transfer
to
the
1
appropriations
made
in
this
division
of
this
Act
for
medical
2
assistance
an
amount
equal
to
provide
the
nonfederal
share
3
for
increased
medical
assistance
payments
for
inpatient
and
4
outpatient
hospital
services
of
$9,900,000.
The
university
of
5
Iowa
hospitals
and
clinics
shall
receive
and
retain
100
percent
6
of
the
total
increase
in
medical
assistance
payments.
7
13.
One
hundred
percent
of
the
nonfederal
share
of
payments
8
to
area
education
agencies
that
are
medical
assistance
9
providers
for
medical
assistance-covered
services
provided
to
10
medical
assistance-covered
children,
shall
be
made
from
the
11
appropriation
made
in
this
section.
12
14.
Any
new
or
renewed
contract
entered
into
by
the
13
department
with
a
third
party
to
administer
behavioral
health
14
services
under
the
medical
assistance
program
shall
provide
15
that
any
interest
earned
on
payments
from
the
state
during
16
the
state
fiscal
year
shall
be
remitted
to
the
department
17
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
18
assistance
program.
19
15.
The
department
shall
continue
to
implement
the
20
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
21
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
22
section
55,
relating
to
eligibility
for
certain
persons
with
23
disabilities
under
the
medical
assistance
program
in
accordance
24
with
the
federal
Family
Opportunity
Act.
25
16.
A
portion
of
the
funds
appropriated
in
this
section
26
may
be
transferred
to
the
appropriation
in
this
division
of
27
this
Act
for
medical
contracts
to
be
used
for
administrative
28
activities
associated
with
the
money
follows
the
person
29
demonstration
project.
30
17.
Of
the
funds
appropriated
in
this
section,
$349,011
31
shall
be
used
for
the
administration
of
the
health
insurance
32
premium
payment
program,
including
salaries,
support,
33
maintenance,
and
miscellaneous
purposes.
34
18.
a.
The
department
shall
continue
to
implement
the
cost
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containment
strategies
for
the
medical
assistance
program
in
1
the
fiscal
year
beginning
July
1,
2014,
that
were
recommended
2
by
the
governor
for
the
fiscal
year
beginning
July
1,
2013,
as
3
specified
in
this
Act
and
may
adopt
emergency
rules
for
such
4
implementation.
5
b.
The
department
may
increase
the
amounts
allocated
for
6
salaries,
support,
maintenance,
and
miscellaneous
purposes
7
associated
with
the
medical
assistance
program,
as
necessary,
8
to
implement
the
cost
containment
strategies.
The
department
9
shall
report
any
such
increase
to
the
legislative
services
10
agency
and
the
department
of
management.
11
c.
If
the
savings
to
the
medical
assistance
program
exceed
12
the
cost
for
the
fiscal
year
beginning
July
1,
2014,
the
13
department
may
transfer
any
savings
generated
for
the
fiscal
14
year
due
to
medical
assistance
program
cost
containment
efforts
15
to
the
appropriation
made
in
this
division
of
this
Act
for
16
medical
contracts
or
general
administration
to
defray
the
17
increased
contract
costs
associated
with
implementing
such
18
efforts.
19
19.
a.
Of
the
funds
appropriated
in
this
section,
$900,000
20
shall
be
used
to
continue
implementation
of
the
children’s
21
mental
health
home
project
proposed
by
the
department
of
human
22
services
and
reported
to
the
general
assembly’s
mental
health
23
and
disability
services
study
committee
in
December
2011.
Of
24
this
amount,
up
to
$50,000
may
be
transferred
by
the
department
25
to
the
appropriation
made
in
this
division
of
this
Act
to
the
26
department
for
the
same
fiscal
year
for
general
administration
27
to
be
used
for
associated
administrative
expenses
and
for
not
28
more
than
one
full-time
equivalent
position,
in
addition
to
29
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
30
implementing
the
project.
31
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
32
may
be
transferred
by
the
department
to
the
appropriation
made
33
to
the
department
in
this
division
of
this
Act
for
the
same
34
fiscal
year
for
general
administration
to
continue
to
support
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_____
H.F.
_____
the
redesign
of
mental
health
and
disability
services
and
1
the
state
balancing
incentive
payments
program
planning
and
2
implementation
activities.
The
funds
may
be
used
for
contracts
3
or
for
personnel
in
addition
to
the
amounts
appropriated
for
4
and
the
positions
authorized
for
general
administration
for
the
5
same
fiscal
year.
6
c.
Of
the
funds
appropriated
in
this
section,
up
to
7
$3,000,000
may
be
transferred
by
the
department
to
the
8
appropriations
made
to
the
department
in
this
division
of
9
this
Act
for
the
same
fiscal
year
for
general
administration
10
or
medical
contracts
to
be
used
to
continue
to
support
the
11
development
and
implementation
of
standardized
assessment
tools
12
for
persons
with
mental
illness,
an
intellectual
disability,
a
13
developmental
disability,
or
a
brain
injury.
14
d.
For
the
fiscal
year
beginning
July
1,
2014,
and
ending
15
June
30,
2015,
the
replacement
generation
tax
revenues
required
16
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
17
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
18
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
19
to
and
supplement
the
appropriation
made
in
this
section
and
20
used
for
the
allocations
made
in
this
subsection.
21
20.
The
department
shall
continue
to
administer
the
state
22
balancing
incentive
payments
program
as
specified
in
2012
Iowa
23
Acts,
chapter
1133,
section
14.
24
21.
Of
the
funds
appropriated
in
this
section,
$250,000
25
shall
be
used
for
lodging
expenses
associated
with
care
26
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
27
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
28
and
whose
income
is
at
or
below
200
percent
of
the
federal
29
poverty
level
as
defined
by
the
most
recently
revised
poverty
30
income
guidelines
published
by
the
United
States
department
of
31
health
and
human
services.
The
department
of
human
services
32
shall
establish
the
maximum
number
of
overnight
stays
and
the
33
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
34
based
on
the
state
employee
rate
established
by
the
department
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_____
H.F.
_____
of
administrative
services.
The
funds
allocated
in
this
1
subsection
shall
not
be
used
as
nonfederal
share
matching
2
funds.
3
Sec.
14.
2013
Iowa
Acts,
chapter
138,
is
amended
by
adding
4
the
following
new
section:
5
NEW
SECTION
.
SEC.
142A.
MENTAL
HEALTH
AND
DISABILITY
6
SERVICES
REDESIGN
——
MEDICAL
ASSISTANCE
AND
OTHER
DEPARTMENTAL
7
EXPENDITURES
——
FY
2014-2015.
8
1.
There
is
appropriated
from
the
general
fund
of
the
9
state
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purposes
designated:
13
For
medical
assistance
program
costs
and
other
departmental
14
expenditures
associated
with
redesign
of
mental
health
and
15
disability
services,
in
accordance
with
this
section:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$279,826,402
17
2.
The
amount
remaining
following
the
other
allocations
18
made
by
this
section
is
transferred
to
the
appropriation
made
19
from
the
general
fund
of
the
state
in
this
division
of
this
Act
20
for
the
medical
assistance
program
for
the
same
fiscal
year
21
and
shall
be
used
to
pay
the
nonfederal
share
of
the
following
22
medical
assistance
program
services
costs
that
prior
to
July
1,
23
2012,
would
have
been
billed
to
counties:
24
a.
Habilitation.
25
b.
Targeted
case
management.
26
c.
Home
and
community-based
services
waiver
services
for
27
persons
with
intellectual
disabilities
and
brain
injury.
28
d.
Community-based
intermediate
care
facilities
for
persons
29
with
an
intellectual
disability.
30
e.
The
state
resource
centers.
31
3.
Of
the
funds
appropriated
in
this
section,
up
to
$50,000
32
may
be
transferred
by
the
department
to
the
appropriation
33
made
in
this
division
of
this
Act
to
the
department
for
the
34
same
fiscal
year
for
general
administration
to
be
used
for
35
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H.F.
_____
associated
administrative
expenses
and
for
not
more
than
one
1
full-time
equivalent
position,
in
addition
to
those
authorized
2
for
the
same
fiscal
year,
to
be
assigned
to
implementing
the
3
children’s
mental
health
home
project.
4
4.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
5
may
be
transferred
by
the
department
to
the
appropriation
made
6
to
the
department
in
this
division
of
this
Act
for
the
same
7
fiscal
year
for
general
administration
to
support
redesign
and
8
the
state
balancing
incentive
payments
program
planning
and
9
implementation
activities.
The
funds
may
be
used
for
contracts
10
or
for
personnel
in
addition
to
the
amounts
appropriated
for
11
and
the
positions
authorized
for
general
administration
for
the
12
fiscal
year.
13
5.
Of
the
funds
appropriated
in
this
section,
up
to
14
$3,050,000
may
be
transferred
by
the
department
to
the
15
appropriations
made
to
the
department
in
this
division
of
16
this
Act
for
the
same
fiscal
year
for
general
administration
17
or
medical
contracts
to
be
used
to
support
the
development
18
and
implementation
of
standardized
assessment
tools
for
19
persons
with
mental
illness,
an
intellectual
disability,
a
20
developmental
disability,
or
a
brain
injury.
21
6.
For
the
fiscal
year
beginning
July
1,
2014,
and
ending
22
June
30,
2015,
the
replacement
generation
tax
revenues
required
23
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
24
section
437A.8,
subsection
4,
paragraph
“d”,
and
section
25
437A.15,
subsection
3,
paragraph
“f”,
shall
instead
be
credited
26
to
and
supplement
the
appropriation
made
in
this
section.
27
Sec.
15.
2013
Iowa
Acts,
chapter
138,
section
143,
is
28
amended
to
read
as
follows:
29
SEC.
143.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2013
2014
,
and
ending
32
June
30,
2014
2015
,
the
following
amount,
or
so
much
thereof
as
33
is
necessary,
to
be
used
for
the
purpose
designated:
34
For
medical
contracts:
35
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S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,145,785
1
16,323,366
2
1.
The
department
of
inspections
and
appeals
shall
3
provide
all
state
matching
funds
for
survey
and
certification
4
activities
performed
by
the
department
of
inspections
5
and
appeals.
The
department
of
human
services
is
solely
6
responsible
for
distributing
the
federal
matching
funds
for
7
such
activities.
8
2.
Of
the
funds
appropriated
in
this
section,
$25,000
9
$50,000
shall
be
used
for
continuation
of
home
and
10
community-based
services
waiver
quality
assurance
programs,
11
including
the
review
and
streamlining
of
processes
and
policies
12
related
to
oversight
and
quality
management
to
meet
state
and
13
federal
requirements.
14
3.
Of
the
amount
appropriated
in
this
section,
up
to
15
$100,000
$200,000
may
be
transferred
to
the
appropriation
16
for
general
administration
in
this
division
of
this
Act
to
17
be
used
for
additional
full-time
equivalent
positions
in
the
18
development
of
key
health
initiatives
such
as
cost
containment,
19
development
and
oversight
of
managed
care
programs,
and
20
development
of
health
strategies
targeted
toward
improved
21
quality
and
reduced
costs
in
the
Medicaid
program.
22
4.
Of
the
funds
appropriated
in
this
section,
$500,000
23
$1,000,000
shall
be
used
for
planning
and
development,
24
in
cooperation
with
the
department
of
public
health,
of
a
25
phased-in
program
to
provide
a
dental
home
for
children.
26
5.
Of
the
funds
appropriated
in
this
section,
$37,500
shall
27
be
used
for
continued
implementation
of
a
uniform
cost
report.
28
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
29
$2,000,000
shall
be
used
for
the
autism
support
program
created
30
in
chapter
225D
,
as
enacted
in
this
Act.
31
7.
Of
the
funds
appropriated
in
this
section,
$49,895
shall
32
be
used
for
continued
implementation
of
an
electronic
medical
33
records
system.
34
Sec.
16.
2013
Iowa
Acts,
chapter
138,
section
144,
is
35
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S.F.
_____
H.F.
_____
amended
to
read
as
follows:
1
SEC.
144.
STATE
SUPPLEMENTARY
ASSISTANCE.
2
1.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
5
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purpose
designated:
7
For
the
state
supplementary
assistance
program:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,256,087
9
14,121,154
10
2.
The
department
shall
increase
the
personal
needs
11
allowance
for
residents
of
residential
care
facilities
by
the
12
same
percentage
and
at
the
same
time
as
federal
supplemental
13
security
income
and
federal
social
security
benefits
are
14
increased
due
to
a
recognized
increase
in
the
cost
of
living.
15
The
department
may
adopt
emergency
rules
to
implement
this
16
subsection.
17
3.
If
during
the
fiscal
year
beginning
July
1,
2014,
18
the
department
projects
that
state
supplementary
assistance
19
expenditures
for
a
calendar
year
will
not
meet
the
federal
20
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
21
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
22
§
1382g,
the
department
may
take
actions
including
but
not
23
limited
to
increasing
the
personal
needs
allowance
for
24
residential
care
facility
residents
and
making
programmatic
25
adjustments
or
upward
adjustments
of
the
residential
care
26
facility
or
in-home
health-related
care
reimbursement
rates
27
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
28
requirements
are
met.
In
addition,
the
department
may
make
29
other
programmatic
and
rate
adjustments
necessary
to
remain
30
within
the
amount
appropriated
in
this
section
while
ensuring
31
compliance
with
federal
requirements.
The
department
may
adopt
32
emergency
rules
to
implement
the
provisions
of
this
subsection.
33
Sec.
17.
2013
Iowa
Acts,
chapter
138,
section
145,
is
34
amended
to
read
as
follows:
35
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_____
H.F.
_____
SEC.
145.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
1
1.
There
is
appropriated
from
the
general
fund
of
the
2
state
to
the
department
of
human
services
for
the
fiscal
year
3
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
4
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
5
purpose
designated:
6
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
7
program
pursuant
to
chapter
514I
,
including
supplemental
dental
8
services,
for
receipt
of
federal
financial
participation
under
9
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
10
children’s
health
insurance
program:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,403,051
12
45,877,998
13
2.
Of
the
funds
appropriated
in
this
section,
$70,725
14
$153,500
is
allocated
for
continuation
of
the
contract
for
15
outreach
with
the
department
of
public
health.
16
Sec.
18.
2013
Iowa
Acts,
chapter
138,
section
146,
is
17
amended
to
read
as
follows:
18
SEC.
146.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
19
from
the
general
fund
of
the
state
to
the
department
of
human
20
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
21
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
22
necessary,
to
be
used
for
the
purpose
designated:
23
For
child
care
programs:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354,897
25
57,925,206
26
1.
Of
the
funds
appropriated
in
this
section,
$27,377,595
27
$50,205,779
shall
be
used
for
state
child
care
assistance
in
28
accordance
with
section
237A.13
.
29
2.
Nothing
in
this
section
shall
be
construed
or
is
30
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
31
to
persons
who
are
eligible
for
assistance
due
to
an
income
32
level
consistent
with
the
waiting
list
requirements
of
section
33
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
34
this
section
is
limited
to
the
extent
of
the
funds
appropriated
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S.F.
_____
H.F.
_____
in
this
section.
1
3.
Of
the
funds
appropriated
in
this
section,
$216,227
2
$432,453
is
allocated
for
the
statewide
program
for
child
care
3
resource
and
referral
services
under
section
237A.26
.
A
list
4
of
the
registered
and
licensed
child
care
facilities
operating
5
in
the
area
served
by
a
child
care
resource
and
referral
6
service
shall
be
made
available
to
the
families
receiving
state
7
child
care
assistance
in
that
area.
8
4.
Of
the
funds
appropriated
in
this
section,
$468,487
9
$936,974
is
allocated
for
child
care
quality
improvement
10
initiatives
including
but
not
limited
to
the
voluntary
quality
11
rating
system
in
accordance
with
section
237A.30
.
12
5.
Of
the
funds
appropriated
in
this
section,
$67,589
shall
13
be
used
to
conduct
fingerprint-based
national
criminal
history
14
record
checks
of
home-based
child
care
providers
pursuant
15
to
section
237A.5,
subsection
2
,
through
the
United
States
16
department
of
justice,
federal
bureau
of
investigation.
17
6.
Of
the
amount
appropriated
in
this
section,
up
to
18
$12,500
shall
be
used
to
continue
to
implement
a
searchable
19
internet-based
application
as
part
of
the
consumer
information
20
made
available
under
section
237A.25
.
The
application
shall
21
provide
a
listing
of
the
child
care
providers
in
this
state
22
that
have
received
a
rating
under
the
voluntary
quality
rating
23
system
implemented
pursuant
to
section
237A.30
and
information
24
on
whether
a
provider
specializes
in
child
care
for
infants,
25
school-age
children,
children
with
special
needs,
or
other
26
populations
or
provides
any
other
specialized
services
to
27
support
family
needs.
28
7.
Of
the
funds
appropriated
in
this
section,
$3,175,000
29
$6,350,000
shall
be
credited
to
the
early
childhood
programs
30
grants
account
in
the
early
childhood
Iowa
fund
created
31
in
section
256I.11
.
The
moneys
shall
be
distributed
for
32
funding
of
community-based
early
childhood
programs
targeted
33
to
children
from
birth
through
five
years
of
age
developed
34
by
early
childhood
Iowa
areas
in
accordance
with
approved
35
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83
S.F.
_____
H.F.
_____
community
plans
as
provided
in
section
256I.8
.
1
8.
The
department
may
use
any
of
the
funds
appropriated
2
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
3
expanding
child
care
assistance
and
related
programs.
For
4
the
purpose
of
expenditures
of
state
and
federal
child
care
5
funding,
funds
shall
be
considered
obligated
at
the
time
6
expenditures
are
projected
or
are
allocated
to
the
department’s
7
service
areas.
Projections
shall
be
based
on
current
and
8
projected
caseload
growth,
current
and
projected
provider
9
rates,
staffing
requirements
for
eligibility
determination
10
and
management
of
program
requirements
including
data
systems
11
management,
staffing
requirements
for
administration
of
the
12
program,
contractual
and
grant
obligations
and
any
transfers
13
to
other
state
agencies,
and
obligations
for
decategorization
14
or
innovation
projects.
15
9.
A
portion
of
the
state
match
for
the
federal
child
care
16
and
development
block
grant
shall
be
provided
as
necessary
to
17
meet
federal
matching
funds
requirements
through
the
state
18
general
fund
appropriation
made
for
child
development
grants
19
and
other
programs
for
at-risk
children
in
section
279.51
.
20
10.
If
a
uniform
reduction
ordered
by
the
governor
under
21
section
8.31
or
other
operation
of
law,
transfer,
or
federal
22
funding
reduction
reduces
the
appropriation
made
in
this
23
section
for
the
fiscal
year,
the
percentage
reduction
in
the
24
amount
paid
out
to
or
on
behalf
of
the
families
participating
25
in
the
state
child
care
assistance
program
shall
be
equal
to
or
26
less
than
the
percentage
reduction
made
for
any
other
purpose
27
payable
from
the
appropriation
made
in
this
section
and
the
28
federal
funding
relating
to
it.
The
percentage
reduction
to
29
the
other
allocations
made
in
this
section
shall
be
the
same
as
30
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
31
change
of
the
federal
funding
reduction,
as
applicable.
32
If
there
is
an
unanticipated
increase
in
federal
funding
33
provided
for
state
child
care
assistance,
the
entire
amount
34
of
the
increase
shall
be
used
for
state
child
care
assistance
35
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_____
H.F.
_____
payments.
If
the
appropriations
made
for
purposes
of
the
1
state
child
care
assistance
program
for
the
fiscal
year
are
2
determined
to
be
insufficient,
it
is
the
intent
of
the
general
3
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
4
in
order
to
avoid
establishment
of
waiting
list
requirements.
5
11.
Notwithstanding
section
8.33
,
moneys
advanced
for
6
purposes
of
the
programs
developed
by
early
childhood
Iowa
7
areas,
advanced
for
purposes
of
wraparound
child
care,
or
8
received
from
the
federal
appropriations
made
for
the
purposes
9
of
this
section
that
remain
unencumbered
or
unobligated
at
the
10
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
11
remain
available
for
expenditure
for
the
purposes
designated
12
until
the
close
of
the
succeeding
fiscal
year.
13
Sec.
19.
2013
Iowa
Acts,
chapter
138,
section
147,
is
14
amended
to
read
as
follows:
15
SEC.
147.
JUVENILE
INSTITUTIONS.
There
is
appropriated
16
from
the
general
fund
of
the
state
to
the
department
of
human
17
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
18
June
30,
2015,
the
following
amounts,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purposes
designated:
20
1.
For
operation
of
the
costs
of
security,
building
and
21
grounds
maintenance,
utilities,
salary,
and
support
for
the
22
facilities
located
at
the
Iowa
juvenile
home
at
Toledo
and
for
23
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
24
for
not
more
than
the
following
full-time
equivalent
positions
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,429,678
26
788,531
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
28
2.
For
operation
of
the
state
training
school
at
Eldora
and
29
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
,
30
and
for
not
more
than
the
following
full-time
equivalent
31
positions
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,628,485
33
11,500,098
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
35
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48/
83
S.F.
_____
H.F.
_____
Of
the
funds
appropriated
in
this
subsection,
$45,575
1
$91,150
shall
be
used
for
distribution
to
licensed
classroom
2
teachers
at
this
and
other
institutions
under
the
control
of
3
the
department
of
human
services
based
upon
the
average
student
4
yearly
enrollment
at
each
institution
as
determined
by
the
5
department.
6
3.
A
portion
of
the
moneys
appropriated
in
this
section
7
shall
be
used
by
the
state
training
school
and
by
the
Iowa
8
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
9
activities
at
the
institutions
in
the
fiscal
year
beginning
10
July
1,
2014.
11
Sec.
20.
2013
Iowa
Acts,
chapter
138,
is
amended
by
adding
12
the
following
new
section:
13
NEW
SECTION
.
SEC.
147A.
CHILDREN
ADJUDICATED
AS
DELINQUENT
14
OR
CHILD
IN
NEED
OF
ASSISTANCE
——
IOWA
JUVENILE
HOME.
There
15
is
appropriated
from
the
general
fund
of
the
state
to
the
16
department
of
human
services
for
the
fiscal
year
beginning
July
17
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
or
18
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
19
designated:
20
For
the
placement
costs
of
female
children
adjudicated
21
as
delinquent
and
male
and
female
children
adjudicated
as
a
22
child
in
need
of
assistance,
and
for
the
costs
of
compensatory
23
education
for
children
formerly
placed
at
the
Iowa
juvenile
24
home
at
Toledo:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,110,534
26
1.
Of
the
funds
appropriated
in
this
section,
$3,892,534
27
shall
be
used
for
the
placement
costs
of
female
children
28
adjudicated
as
delinquent
and
male
and
female
children
29
adjudicated
as
a
child
in
need
of
assistance,
who
are
deemed
by
30
the
department
to
be
eligible
for
use
of
the
funds.
31
2.
Of
the
funds
appropriated
in
this
section,
$1,218,000
32
shall
be
used
for
the
costs
of
compensatory
education
to
33
address
the
reviews
of
special
education
of
certain
children
34
placed
at
the
Iowa
juvenile
home
conducted
by
the
department
of
35
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education
in
fall
2013
and
reported
to
the
department
of
human
1
services
on
October
7
and
December
20,
2013.
2
Sec.
21.
2013
Iowa
Acts,
chapter
138,
section
148,
is
3
amended
to
read
as
follows:
4
SEC.
148.
CHILD
AND
FAMILY
SERVICES.
5
1.
There
is
appropriated
from
the
general
fund
of
the
6
state
to
the
department
of
human
services
for
the
fiscal
year
7
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
8
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
9
purpose
designated:
10
For
child
and
family
services:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
45,641,960
12
91,762,511
13
2.
Up
to
$2,600,000
$5,200,000
of
the
amount
of
federal
14
temporary
assistance
for
needy
families
block
grant
funding
15
appropriated
in
this
division
of
this
Act
for
child
and
family
16
services
shall
be
made
available
for
purposes
of
juvenile
17
delinquent
graduated
sanction
services.
18
3.
The
department
may
transfer
funds
appropriated
in
this
19
section
as
necessary
to
pay
the
nonfederal
costs
of
services
20
reimbursed
under
the
medical
assistance
program,
state
child
21
care
assistance
program,
or
the
family
investment
program
which
22
are
provided
to
children
who
would
otherwise
receive
services
23
paid
under
the
appropriation
in
this
section.
The
department
24
may
transfer
funds
appropriated
in
this
section
to
the
25
appropriations
made
in
this
division
of
this
Act
for
general
26
administration
and
for
field
operations
for
resources
necessary
27
to
implement
and
operate
the
services
funded
in
this
section.
28
4.
a.
Of
the
funds
appropriated
in
this
section,
up
29
to
$16,121,163
$32,318,243
is
allocated
as
the
statewide
30
expenditure
target
under
section
232.143
for
group
foster
care
31
maintenance
and
services.
If
the
department
projects
that
such
32
expenditures
for
the
fiscal
year
will
be
less
than
the
target
33
amount
allocated
in
this
lettered
paragraph,
the
department
may
34
reallocate
the
excess
to
provide
additional
funding
for
shelter
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care
or
the
child
welfare
emergency
services
addressed
with
the
1
allocation
for
shelter
care.
2
b.
If
at
any
time
after
September
30,
2014,
annualization
3
of
a
service
area’s
current
expenditures
indicates
a
service
4
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
5
target
under
section
232.143
by
more
than
5
percent,
the
6
department
and
juvenile
court
services
shall
examine
all
7
group
foster
care
placements
in
that
service
area
in
order
to
8
identify
those
which
might
be
appropriate
for
termination.
9
In
addition,
any
aftercare
services
believed
to
be
needed
10
for
the
children
whose
placements
may
be
terminated
shall
be
11
identified.
The
department
and
juvenile
court
services
shall
12
initiate
action
to
set
dispositional
review
hearings
for
the
13
placements
identified.
In
such
a
dispositional
review
hearing,
14
the
juvenile
court
shall
determine
whether
needed
aftercare
15
services
are
available
and
whether
termination
of
the
placement
16
is
in
the
best
interest
of
the
child
and
the
community.
17
5.
In
accordance
with
the
provisions
of
section
232.188
,
18
the
department
shall
continue
the
child
welfare
and
juvenile
19
justice
funding
initiative
during
fiscal
year
2014-2015.
Of
20
the
funds
appropriated
in
this
section,
$858,877
$1,717,753
21
is
allocated
specifically
for
expenditure
for
fiscal
year
22
2014-2015
through
the
decategorization
service
funding
pools
23
and
governance
boards
established
pursuant
to
section
232.188
.
24
6.
A
portion
of
the
funds
appropriated
in
this
section
25
may
be
used
for
emergency
family
assistance
to
provide
other
26
resources
required
for
a
family
participating
in
a
family
27
preservation
or
reunification
project
or
successor
project
to
28
stay
together
or
to
be
reunified.
29
7.
Notwithstanding
As
authorized
by
section
234.35
or
30
any
other
provision
of
law
to
the
contrary
,
as
amended
by
31
this
2014
Act,
state
funding
for
shelter
care
and
the
child
32
welfare
emergency
services
contracting
implemented
to
provide
33
for
or
prevent
the
need
for
shelter
care
shall
be
limited
to
34
$3,808,024
$7,717,822
.
35
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8.
Federal
funds
received
by
the
state
during
the
fiscal
1
year
beginning
July
1,
2014,
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
$1,645,000
$3,290,000
is
allocated
for
the
payment
of
the
13
expenses
of
court-ordered
services
provided
to
juveniles
who
14
are
under
the
supervision
of
juvenile
court
services,
which
15
expenses
are
a
charge
upon
the
state
pursuant
to
section
16
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
17
lettered
paragraph,
up
to
$778,144
$1,556,287
shall
be
made
18
available
to
provide
school-based
supervision
of
children
19
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
20
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
21
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
22
the
school
district
or
other
funding
source
as
approved
by
the
23
chief
juvenile
court
officer.
24
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,493
25
$748,985
is
allocated
for
the
payment
of
the
expenses
of
26
court-ordered
services
provided
to
children
who
are
under
the
27
supervision
of
the
department,
which
expenses
are
a
charge
upon
28
the
state
pursuant
to
section
232.141,
subsection
4
.
29
c.
Notwithstanding
In
accordance
with
section
232.141
or
30
any
other
provision
of
law
to
the
contrary
as
amended
by
this
31
2014
Act
,
the
amounts
allocated
in
this
subsection
shall
be
32
distributed
to
the
judicial
districts
as
determined
by
the
33
state
court
administrator
and
to
the
department’s
service
areas
34
as
determined
by
the
administrator
of
the
department’s
division
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of
child
and
family
services.
The
state
court
administrator
1
and
the
division
administrator
shall
make
the
determination
of
2
the
distribution
amounts
on
or
before
June
15,
2014.
3
d.
Notwithstanding
chapter
232
or
any
other
provision
of
4
law
to
the
contrary
In
accordance
with
section
232.141,
as
5
amended
by
this
2014
Act
,
a
district
or
juvenile
court
shall
6
not
order
any
service
which
is
a
charge
upon
the
state
pursuant
7
to
section
232.141
if
there
are
insufficient
court-ordered
8
services
funds
available
in
the
district
court
or
departmental
9
service
area
distribution
amounts
to
pay
for
the
service.
The
10
chief
juvenile
court
officer
and
the
departmental
service
area
11
manager
shall
encourage
use
of
the
funds
allocated
in
this
12
subsection
such
that
there
are
sufficient
funds
to
pay
for
13
all
court-related
services
during
the
entire
year.
The
chief
14
juvenile
court
officers
and
departmental
service
area
managers
15
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
16
in
the
distribution
amounts
and
shall
cooperatively
request
the
17
state
court
administrator
or
division
administrator
to
transfer
18
funds
between
the
judicial
districts’
or
departmental
service
19
areas’
distribution
amounts
as
prudent.
20
e.
Notwithstanding
any
provision
of
law
to
the
contrary
In
21
accordance
with
section
232.141,
as
amended
by
this
2014
Act
,
22
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
23
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
24
entered
under
chapter
232
which
is
a
charge
upon
the
state
25
under
section
232.141,
subsection
4
.
26
f.
Of
the
funds
allocated
in
this
subsection,
not
more
27
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
28
administration
of
the
requirements
under
this
subsection.
29
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
30
shall
be
used
by
the
department
of
human
services
to
support
31
the
interstate
commission
for
juveniles
in
accordance
with
32
the
interstate
compact
for
juveniles
as
provided
in
section
33
232.173
.
34
10.
Of
the
funds
appropriated
in
this
section,
$4,026,613
35
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$8,053,227
is
allocated
for
juvenile
delinquent
graduated
1
sanctions
services.
Any
state
funds
saved
as
a
result
of
2
efforts
by
juvenile
court
services
to
earn
federal
Tit.
IV-E
3
match
for
juvenile
court
services
administration
may
be
used
4
for
the
juvenile
delinquent
graduated
sanctions
services.
5
11.
Of
the
funds
appropriated
in
this
section,
$804,143
6
$1,608,285
is
transferred
to
the
department
of
public
health
7
to
be
used
for
the
child
protection
center
grant
program
in
8
accordance
with
section
135.118
.
The
grant
amounts
under
the
9
program
shall
be
equalized
so
that
each
center
receives
a
10
uniform
amount
of
at
least
$122,500
$245,000
.
11
12.
If
the
department
receives
federal
approval
to
12
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
13
Security
Act
to
enable
providers
to
serve
children
who
remain
14
in
the
children’s
families
and
communities,
for
purposes
of
15
eligibility
under
the
medical
assistance
program
through
25
16
years
of
age,
children
who
participate
in
the
waiver
shall
be
17
considered
to
be
placed
in
foster
care.
18
13.
Of
the
funds
appropriated
in
this
section,
$1,628,490
19
$3,256,980
is
allocated
for
the
preparation
for
adult
living
20
program
pursuant
to
section
234.46
.
21
14.
Of
the
funds
appropriated
in
this
section,
$260,075
22
$520,150
shall
be
used
for
juvenile
drug
courts.
The
amount
23
allocated
in
this
subsection
shall
be
distributed
as
follows:
24
To
the
judicial
branch
for
salaries
to
assist
with
the
25
operation
of
juvenile
drug
court
programs
operated
in
the
26
following
jurisdictions:
27
a.
Marshall
county:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
29
62,708
30
b.
Woodbury
county:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
32
125,682
33
c.
Polk
county:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
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H.F.
_____
195,892
1
d.
The
third
judicial
district:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
3
67,934
4
e.
The
eighth
judicial
district:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
6
67,934
7
15.
Of
the
funds
appropriated
in
this
section,
$113,669
8
$227,337
shall
be
used
for
the
public
purpose
of
continuing
9
a
grant
to
a
nonprofit
human
services
organization
providing
10
services
to
individuals
and
families
in
multiple
locations
in
11
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
12
immediate,
sensitive
support
and
forensic
interviews,
medical
13
exams,
needs
assessments,
and
referrals
for
victims
of
child
14
abuse
and
their
nonoffending
family
members.
15
16.
Of
the
funds
appropriated
in
this
section,
$100,295
16
$210,620
is
allocated
for
the
foster
care
youth
council
17
approach
of
providing
a
support
network
to
children
placed
in
18
foster
care.
19
17.
Of
the
funds
appropriated
in
this
section,
$101,000
20
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
21
continuation
of
the
initiative
to
address
child
sexual
abuse
22
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
23
18,
subsection
21.
24
18.
Of
the
funds
appropriated
in
this
section,
$315,120
25
$630,240
is
allocated
for
the
community
partnership
for
child
26
protection
sites.
27
19.
Of
the
funds
appropriated
in
this
section,
$185,625
28
$371,250
is
allocated
for
the
department’s
minority
youth
and
29
family
projects
under
the
redesign
of
the
child
welfare
system.
30
20.
Of
the
funds
appropriated
in
this
section,
$718,298
31
$1,436,595
is
allocated
for
funding
of
the
community
circle
of
32
care
collaboration
for
children
and
youth
in
northeast
Iowa.
33
21.
Of
the
funds
appropriated
in
this
section,
at
least
34
$73,579
$147,158
shall
be
used
for
the
child
welfare
training
35
-55-
LSB
5015XG
(16)
85
pf/jp
55/
83
S.F.
_____
H.F.
_____
academy.
1
22.
Of
the
funds
appropriated
in
this
section,
$12,500
2
$25,000
shall
be
used
for
the
public
purpose
of
continuation
3
of
a
grant
to
a
child
welfare
services
provider
headquartered
4
in
a
county
with
a
population
between
205,000
and
215,000
in
5
the
latest
certified
federal
census
that
provides
multiple
6
services
including
but
not
limited
to
a
psychiatric
medical
7
institution
for
children,
shelter,
residential
treatment,
after
8
school
programs,
school-based
programming,
and
an
Asperger’s
9
syndrome
program,
to
be
used
for
support
services
for
children
10
with
autism
spectrum
disorder
and
their
families.
11
23.
Of
the
funds
appropriated
in
this
section,
$12,500
12
$25,000
shall
be
used
for
the
public
purpose
of
continuing
a
13
grant
to
a
hospital-based
provider
headquartered
in
a
county
14
with
a
population
between
90,000
and
95,000
in
the
latest
15
certified
federal
census
that
provides
multiple
services
16
including
but
not
limited
to
diagnostic,
therapeutic,
and
17
behavioral
services
to
individuals
with
autism
spectrum
18
disorder
across
the
lifespan.
The
grant
recipient
shall
19
utilize
the
funds
to
continue
the
pilot
project
to
determine
20
the
necessary
support
services
for
children
with
autism
21
spectrum
disorder
and
their
families
to
be
included
in
the
22
children’s
disabilities
services
system.
The
grant
recipient
23
shall
submit
findings
and
recommendations
based
upon
the
24
results
of
the
pilot
project
to
the
individuals
specified
in
25
this
division
of
this
Act
for
submission
of
reports
by
December
26
31,
2014.
27
24.
Of
the
funds
appropriated
in
this
section,
$163,974
28
$327,947
shall
be
used
for
continuation
of
the
central
Iowa
29
system
of
care
program
grant
through
June
30,
2015.
30
25.
Of
the
funds
appropriated
in
this
section,
$80,000
31
$160,000
shall
be
used
for
the
public
purpose
of
the
32
continuation
of
a
system
of
care
grant
implemented
in
Cerro
33
Gordo
and
Linn
counties.
34
26.
Of
the
funds
appropriated
in
this
section,
at
least
35
-56-
LSB
5015XG
(16)
85
pf/jp
56/
83
S.F.
_____
H.F.
_____
$12,500
$25,000
shall
be
used
to
continue
and
to
expand
the
1
foster
care
respite
pilot
program
in
which
postsecondary
2
students
in
social
work
and
other
human
services-related
3
programs
receive
experience
by
assisting
family
foster
care
4
providers
with
respite
and
other
support.
5
Sec.
22.
2013
Iowa
Acts,
chapter
138,
section
149,
is
6
amended
to
read
as
follows:
7
SEC.
149.
ADOPTION
SUBSIDY.
8
1.
There
is
appropriated
from
the
general
fund
of
the
9
state
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purpose
designated:
13
For
adoption
subsidy
payments
and
services:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,364,641
15
42,580,749
16
2.
The
department
may
transfer
funds
appropriated
in
17
this
section
to
the
appropriation
made
in
this
division
of
18
this
Act
for
general
administration
for
costs
paid
from
the
19
appropriation
relating
to
adoption
subsidy.
20
3.
Federal
funds
received
by
the
state
during
the
21
fiscal
year
beginning
July
1,
2014,
as
the
result
of
the
22
expenditure
of
state
funds
during
a
previous
state
fiscal
23
year
for
a
service
or
activity
funded
under
this
section
are
24
appropriated
to
the
department
to
be
used
as
additional
funding
25
for
the
services
and
activities
funded
under
this
section.
26
Notwithstanding
section
8.33
,
moneys
received
in
accordance
27
with
this
subsection
that
remain
unencumbered
or
unobligated
28
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
29
but
shall
remain
available
for
expenditure
for
the
purposes
30
designated
until
the
close
of
the
succeeding
fiscal
year.
31
Sec.
23.
2013
Iowa
Acts,
chapter
138,
section
150,
is
32
amended
to
read
as
follows:
33
SEC.
150.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
34
in
the
juvenile
detention
home
fund
created
in
section
232.142
35
-57-
LSB
5015XG
(16)
85
pf/jp
57/
83
S.F.
_____
H.F.
_____
during
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
1
30,
2015,
are
appropriated
to
the
department
of
human
services
2
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
3
2015,
for
distribution
of
an
amount
equal
to
a
percentage
of
4
the
costs
of
the
establishment,
improvement,
operation,
and
5
maintenance
of
county
or
multicounty
juvenile
detention
homes
6
in
the
fiscal
year
beginning
July
1,
2013.
Moneys
appropriated
7
for
distribution
in
accordance
with
this
section
shall
be
8
allocated
among
eligible
detention
homes,
prorated
on
the
basis
9
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
10
eligible
detention
homes
in
the
fiscal
year
beginning
July
11
1,
2013.
The
percentage
figure
shall
be
determined
by
the
12
department
based
on
the
amount
available
for
distribution
for
13
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
14
The
financial
aid
payable
by
the
state
under
that
provision
15
section
232.142,
subsection
3,
as
amended
by
this
2014
Act,
for
16
the
fiscal
year
beginning
July
1,
2014,
shall
be
limited
to
the
17
amount
appropriated
for
the
purposes
of
this
section.
18
Sec.
24.
2013
Iowa
Acts,
chapter
138,
section
151,
is
19
amended
to
read
as
follows:
20
SEC.
151.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
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,
2014,
and
ending
June
30,
2015,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
the
family
support
subsidy
program
subject
to
the
27
enrollment
restrictions
in
section
225C.37,
subsection
3
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
546,478
29
1,079,739
30
2.
The
department
shall
use
at
least
$241,750
$532,500
31
of
the
moneys
appropriated
in
this
section
for
the
family
32
support
center
component
of
the
comprehensive
family
support
33
program
under
section
225C.47
.
Not
more
than
$12,500
$25,000
34
of
the
amount
allocated
in
this
subsection
shall
be
used
for
35
-58-
LSB
5015XG
(16)
85
pf/jp
58/
83
S.F.
_____
H.F.
_____
administrative
costs.
1
3.
If
In
accordance
with
section
225C.38,
as
amended
by
this
2
2014
Act,
if
at
any
time
during
the
fiscal
year,
the
amount
3
of
funding
available
for
the
family
support
subsidy
program
4
is
reduced
from
the
amount
initially
used
to
establish
the
5
figure
for
the
number
of
family
members
for
whom
a
subsidy
6
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
7
notwithstanding
section
225C.38,
subsection
2
,
the
department
8
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
9
of
funding
available.
10
Sec.
25.
2013
Iowa
Acts,
chapter
138,
section
152,
is
11
amended
to
read
as
follows:
12
SEC.
152.
CONNER
DECREE.
There
is
appropriated
from
the
13
general
fund
of
the
state
to
the
department
of
human
services
14
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
15
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
16
to
be
used
for
the
purpose
designated:
17
For
building
community
capacity
through
the
coordination
18
and
provision
of
training
opportunities
in
accordance
with
the
19
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
20
Iowa,
July
14,
1994):
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,811
22
33,632
23
Sec.
26.
2013
Iowa
Acts,
chapter
138,
section
153,
is
24
amended
to
read
as
follows:
25
SEC.
153.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
human
27
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
28
June
30,
2015,
the
following
amounts,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purposes
designated:
30
1.
For
the
state
mental
health
institute
at
Cherokee
for
31
salaries,
support,
maintenance,
and
miscellaneous
purposes
,
and
32
for
not
more
than
the
following
full-time
equivalent
positions
:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,977,232
34
6,031,934
35
-59-
LSB
5015XG
(16)
85
pf/jp
59/
83
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
1
2.
For
the
state
mental
health
institute
at
Clarinda
for
2
salaries,
support,
maintenance,
and
miscellaneous
purposes
,
and
3
for
not
more
than
the
following
full-time
equivalent
positions
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,375,934
5
6,787,309
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
7
3.
For
the
state
mental
health
institute
at
Independence
for
8
salaries,
support,
maintenance,
and
miscellaneous
purposes
,
and
9
for
not
more
than
the
following
full-time
equivalent
positions
:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,159,389
11
10,484,386
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
13
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
14
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
,
15
and
for
not
more
than
the
following
full-time
equivalent
16
positions
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
683,343
18
1,417,796
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.92
20
Sec.
27.
2013
Iowa
Acts,
chapter
138,
section
154,
is
21
amended
to
read
as
follows:
22
SEC.
154.
STATE
RESOURCE
CENTERS.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
26
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purposes
designated:
28
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
29
support,
maintenance,
and
miscellaneous
purposes:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,137,236
31
21,695,266
32
b.
For
the
state
resource
center
at
Woodward
for
salaries,
33
support,
maintenance,
and
miscellaneous
purposes:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,110,232
35
-60-
LSB
5015XG
(16)
85
pf/jp
60/
83
S.F.
_____
H.F.
_____
14,855,693
1
2.
The
department
may
continue
to
bill
for
state
resource
2
center
services
utilizing
a
scope
of
services
approach
used
for
3
private
providers
of
ICFID
services,
in
a
manner
which
does
not
4
shift
costs
between
the
medical
assistance
program,
counties,
5
or
other
sources
of
funding
for
the
state
resource
centers.
6
3.
The
state
resource
centers
may
expand
the
time-limited
7
assessment
and
respite
services
during
the
fiscal
year.
8
4.
If
the
department’s
administration
and
the
department
9
of
management
concur
with
a
finding
by
a
state
resource
10
center’s
superintendent
that
projected
revenues
can
reasonably
11
be
expected
to
pay
the
salary
and
support
costs
for
a
new
12
employee
position,
or
that
such
costs
for
adding
a
particular
13
number
of
new
positions
for
the
fiscal
year
would
be
less
14
than
the
overtime
costs
if
new
positions
would
not
be
added,
15
the
superintendent
may
add
the
new
position
or
positions.
If
16
the
vacant
positions
available
to
a
resource
center
do
not
17
include
the
position
classification
desired
to
be
filled,
the
18
state
resource
center’s
superintendent
may
reclassify
any
19
vacant
position
as
necessary
to
fill
the
desired
position.
The
20
superintendents
of
the
state
resource
centers
may,
by
mutual
21
agreement,
pool
vacant
positions
and
position
classifications
22
during
the
course
of
the
fiscal
year
in
order
to
assist
one
23
another
in
filling
necessary
positions.
24
5.
If
existing
capacity
limitations
are
reached
in
25
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
26
a
special
need
for
which
a
payment
source
or
other
funding
27
is
available
for
the
service
or
to
address
the
special
need,
28
and
facilities
for
the
service
or
to
address
the
special
need
29
can
be
provided
within
the
available
payment
source
or
other
30
funding,
the
superintendent
of
a
state
resource
center
may
31
authorize
opening
not
more
than
two
units
or
other
facilities
32
and
begin
implementing
the
service
or
addressing
the
special
33
need
during
fiscal
year
2014-2015.
34
Sec.
28.
2013
Iowa
Acts,
chapter
138,
section
155,
is
35
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83
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_____
H.F.
_____
amended
to
read
as
follows:
1
SEC.
155.
SEXUALLY
VIOLENT
PREDATORS.
2
1.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
5
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purpose
designated:
7
For
costs
associated
with
the
commitment
and
treatment
of
8
sexually
violent
predators
in
the
unit
located
at
the
state
9
mental
health
institute
at
Cherokee,
including
costs
of
legal
10
services
and
other
associated
costs,
including
salaries,
11
support,
maintenance,
and
miscellaneous
purposes
,
and
for
not
12
more
than
the
following
full-time
equivalent
positions
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,708,485
14
9,425,568
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
124.50
16
2.
Unless
specifically
prohibited
by
law,
if
the
amount
17
charged
provides
for
recoupment
of
at
least
the
entire
amount
18
of
direct
and
indirect
costs,
the
department
of
human
services
19
may
contract
with
other
states
to
provide
care
and
treatment
20
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
21
violent
predators
at
Cherokee.
The
moneys
received
under
22
such
a
contract
shall
be
considered
to
be
repayment
receipts
23
and
used
for
the
purposes
of
the
appropriation
made
in
this
24
section.
25
Sec.
29.
2013
Iowa
Acts,
chapter
138,
section
156,
is
26
amended
to
read
as
follows:
27
SEC.
156.
FIELD
OPERATIONS.
There
is
appropriated
from
the
28
general
fund
of
the
state
to
the
department
of
human
services
29
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
30
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
31
to
be
used
for
the
purposes
designated:
32
For
field
operations,
including
salaries,
support,
33
maintenance,
and
miscellaneous
purposes
,
and
for
not
more
than
34
the
following
full-time
equivalent
positions
:
35
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83
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,261,194
1
66,670,976
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
3
2.
Priority
in
filling
full-time
equivalent
positions
4
shall
be
given
to
those
positions
related
to
child
protection
5
services
and
eligibility
determination
for
low-income
families.
6
Sec.
30.
2013
Iowa
Acts,
chapter
138,
section
157,
is
7
amended
to
read
as
follows:
8
SEC.
157.
GENERAL
ADMINISTRATION.
There
is
appropriated
9
from
the
general
fund
of
the
state
to
the
department
of
human
10
services
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
11
June
30,
2015,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purpose
designated:
13
For
general
administration,
including
salaries,
support,
14
maintenance,
and
miscellaneous
purposes
,
and
for
not
more
than
15
the
following
full-time
equivalent
positions
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,152,386
17
16,079,602
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
19
1.
Of
the
funds
appropriated
in
this
section,
$31,772
20
$38,543
is
allocated
for
the
prevention
of
disabilities
policy
21
council
established
in
section
225B.3
.
22
3.
Of
the
funds
appropriated
in
this
section,
$66,150
23
$132,300
shall
be
used
to
continue
the
contract
for
the
24
provision
of
a
program
to
provide
technical
assistance,
25
support,
and
consultation
to
providers
of
habilitation
services
26
and
home
and
community-based
services
waiver
services
for
27
adults
with
disabilities
under
the
medical
assistance
program.
28
4.
Of
the
funds
appropriated
in
this
section,
$25,000
29
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
30
used
for
administrative
support
of
the
council
on
homelessness
31
established
in
section
16.100A
and
for
the
council
to
fulfill
32
its
duties
in
addressing
and
reducing
homelessness
in
the
33
state.
34
Sec.
31.
2013
Iowa
Acts,
chapter
138,
section
158,
is
35
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_____
H.F.
_____
amended
to
read
as
follows:
1
SEC.
158.
VOLUNTEERS.
There
is
appropriated
from
the
2
general
fund
of
the
state
to
the
department
of
human
services
3
for
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
4
2015,
the
following
amount,
or
so
much
thereof
as
is
necessary,
5
to
be
used
for
the
purpose
designated:
6
For
development
and
coordination
of
volunteer
services:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,330
8
84,660
9
Sec.
32.
2013
Iowa
Acts,
chapter
138,
section
159,
is
10
amended
to
read
as
follows:
11
SEC.
159.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
12
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
13
DEPARTMENT
OF
HUMAN
SERVICES.
14
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2014,
15
the
total
state
funding
amount
for
the
nursing
facility
budget
16
shall
not
exceed
$268,712,511
$282,878,824
.
17
(2)
The
department,
in
cooperation
with
nursing
facility
18
representatives,
shall
review
projections
for
state
funding
19
expenditures
for
reimbursement
of
nursing
facilities
on
a
20
quarterly
basis
and
the
department
shall
determine
if
an
21
adjustment
to
the
medical
assistance
reimbursement
rate
is
22
necessary
in
order
to
provide
reimbursement
within
the
state
23
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
24
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
25
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
26
if
the
state
funding
expenditures
for
the
nursing
facility
27
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
28
specified
in
subparagraph
(1),
the
department
shall
adjust
29
the
reimbursement
for
nursing
facilities
reimbursed
under
the
30
case-mix
reimbursement
system
to
maintain
expenditures
of
the
31
nursing
facility
budget
within
the
specified
amount
for
the
32
fiscal
year.
33
(3)
For
the
fiscal
year
beginning
July
1,
2014,
special
34
population
nursing
facilities
shall
be
reimbursed
in
accordance
35
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_____
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with
the
methodology
in
effect
on
June
30,
2014.
1
b.
(1)
For
the
fiscal
year
beginning
July
1,
2014,
2
the
department
shall
continue
the
pharmacy
dispensing
fee
3
reimbursement
at
$10.12
per
prescription
until
a
cost
of
4
dispensing
survey
is
completed
.
The
actual
dispensing
fee
5
shall
be
determined
by
a
cost
of
dispensing
survey
performed
6
by
the
department
and
required
to
be
completed
by
all
medical
7
assistance
program
participating
pharmacies
every
two
years
8
beginning
in
FY
2014-2015.
9
(2)
The
department
shall
utilize
an
average
acquisition
10
cost
reimbursement
methodology
for
all
drugs
covered
under
the
11
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
12
chapter
1133,
section
33.
13
c.
(1)
For
the
fiscal
year
beginning
July
1,
2014,
14
reimbursement
rates
for
outpatient
hospital
services
shall
15
remain
at
the
rates
in
effect
on
June
30,
2014.
16
(2)
For
the
fiscal
year
beginning
July
1,
2014,
17
reimbursement
rates
for
inpatient
hospital
services
shall
18
remain
at
the
rates
in
effect
on
June
30,
2014.
19
(3)
For
the
fiscal
year
beginning
July
1,
2014,
the
graduate
20
medical
education
and
disproportionate
share
hospital
fund
21
shall
remain
at
the
amount
in
effect
on
June
30,
2014,
except
22
that
the
portion
of
the
fund
attributable
to
graduate
medical
23
education
shall
be
reduced
in
an
amount
that
reflects
the
24
elimination
of
graduate
medical
education
payments
made
to
25
out-of-state
hospitals.
26
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
27
funds
in
procuring
health
care
services
for
low-income
Iowans,
28
funds
appropriated
in
this
Act
for
hospital
services
shall
29
not
be
used
for
activities
which
would
be
excluded
from
a
30
determination
of
reasonable
costs
under
the
federal
Medicare
31
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
32
d.
For
the
fiscal
year
beginning
July
1,
2014,
reimbursement
33
rates
for
rural
health
clinics,
hospices,
and
acute
mental
34
hospitals
shall
be
increased
in
accordance
with
increases
under
35
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H.F.
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the
federal
Medicare
program
or
as
supported
by
their
Medicare
1
audited
costs.
2
e.
For
the
fiscal
year
beginning
July
1,
2014,
independent
3
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
4
using
the
same
methodology
in
effect
on
June
30,
2014.
5
f.
(1)
For
the
fiscal
year
beginning
July
1,
2014,
6
reimbursement
rates
for
home
health
agencies
shall
continue
to
7
be
based
on
the
Medicare
low
utilization
payment
adjustment
8
(LUPA)
methodology
in
effect
on
June
30,
2014,
as
adjusted
to
9
not
exceed
the
reimbursement
for
the
fiscal
year
beginning
July
10
1,
2013
with
state
geographic
wage
adjustments
.
Beginning
July
11
1,
2015,
the
department
shall
update
the
rates
every
two
years
12
to
reflect
the
most
recent
Medicare
LUPA
rates.
13
(2)
For
the
fiscal
year
beginning
July
1,
2014,
rates
for
14
private
duty
nursing
and
personal
care
services
under
the
early
15
and
periodic
screening,
diagnostic,
and
treatment
program
16
benefit
shall
be
calculated
based
on
the
methodology
in
effect
17
on
June
30,
2014.
18
g.
For
the
fiscal
year
beginning
July
1,
2014,
federally
19
qualified
health
centers
shall
receive
cost-based
reimbursement
20
for
100
percent
of
the
reasonable
costs
for
the
provision
of
21
services
to
recipients
of
medical
assistance.
22
h.
For
the
fiscal
year
beginning
July
1,
2014,
the
23
reimbursement
rates
for
dental
services
shall
remain
at
the
24
rates
in
effect
on
June
30,
2014.
25
i.
(1)
For
the
fiscal
year
beginning
July
1,
2014,
26
state-owned
psychiatric
medical
institutions
for
children
shall
27
receive
cost-based
reimbursement
for
100
percent
of
the
actual
28
and
allowable
costs
for
the
provision
of
services
to
recipients
29
of
medical
assistance.
30
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
31
for
children,
reimbursement
rates
shall
be
based
on
the
32
reimbursement
methodology
developed
by
the
department
as
33
required
for
federal
compliance.
34
(3)
As
a
condition
of
participation
in
the
medical
35
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S.F.
_____
H.F.
_____
assistance
program,
enrolled
providers
shall
accept
the
medical
1
assistance
reimbursement
rate
for
any
covered
goods
or
services
2
provided
to
recipients
of
medical
assistance
who
are
children
3
under
the
custody
of
a
psychiatric
medical
institution
for
4
children.
5
j.
For
the
fiscal
year
beginning
July
1,
2014,
unless
6
otherwise
specified
in
this
Act,
all
noninstitutional
medical
7
assistance
provider
reimbursement
rates
shall
remain
at
the
8
rates
in
effect
on
June
30,
2014,
except
for
area
education
9
agencies,
local
education
agencies,
infant
and
toddler
10
services
providers,
home
and
community-based
services
providers
11
including
consumer-directed
attendant
care
providers
under
a
12
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
13
providers,
and
those
providers
whose
rates
are
required
to
be
14
determined
pursuant
to
section
249A.20
.
15
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
16
fiscal
year
beginning
July
1,
2014,
the
reimbursement
rate
for
17
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
18
30,
2014.
19
l.
For
the
fiscal
year
beginning
July
1,
2014,
the
average
20
reimbursement
rate
for
health
care
providers
eligible
for
use
21
of
the
federal
Medicare
resource-based
relative
value
scale
22
reimbursement
methodology
under
section
249A.20
shall
remain
23
at
the
rate
in
effect
on
June
30,
2014;
however,
this
rate
24
shall
not
exceed
the
maximum
level
authorized
by
the
federal
25
government.
The
department
may
adjust
reimbursement
rates
26
under
this
paragraph
to
more
closely
align
with
the
Medicare
27
fee
schedule.
Any
such
adjustment
shall
be
budget
neutral.
28
m.
For
the
fiscal
year
beginning
July
1,
2014,
the
29
reimbursement
rate
for
residential
care
facilities
shall
not
30
be
less
than
the
minimum
payment
level
as
established
by
the
31
federal
government
to
meet
the
federally
mandated
maintenance
32
of
effort
requirement.
The
flat
reimbursement
rate
for
33
facilities
electing
not
to
file
annual
cost
reports
shall
not
34
be
less
than
the
minimum
payment
level
as
established
by
the
35
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federal
government
to
meet
the
federally
mandated
maintenance
1
of
effort
requirement.
2
n.
For
the
fiscal
year
beginning
July
1,
2014,
the
3
reimbursement
rates
for
inpatient
mental
health
services
4
provided
at
hospitals
shall
remain
at
the
rates
in
effect
5
on
June
30,
2014,
subject
to
Medicaid
program
upper
payment
6
limit
rules;
community
mental
health
centers
and
providers
7
of
mental
health
services
to
county
residents
pursuant
to
a
8
waiver
approved
under
section
225C.7,
subsection
3
,
shall
be
9
reimbursed
at
100
percent
of
the
reasonable
costs
for
the
10
provision
of
services
to
recipients
of
medical
assistance;
and
11
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
12
program
fee
for
service
rate.
13
o.
For
the
fiscal
year
beginning
July
1,
2014,
the
14
reimbursement
rate
for
providers
of
family
planning
services
15
that
are
eligible
to
receive
a
90
percent
federal
match
shall
16
remain
at
the
rates
in
effect
on
June
30,
2014.
17
p.
For
the
fiscal
year
beginning
July
1,
2014,
the
upper
18
limits
on
reimbursement
rates
for
providers
of
home
and
19
community-based
services
waiver
services
shall
be
the
limits
in
20
effect
on
June
30,
2014.
21
q.
For
the
fiscal
year
beginning
July
1,
2014,
the
22
reimbursement
rate
for
emergency
medical
service
providers
23
shall
be
the
rate
in
effect
on
June
30,
2014.
24
2.
For
the
fiscal
year
beginning
July
1,
2014,
the
25
reimbursement
rate
for
providers
reimbursed
under
the
26
in-home-related
care
program
shall
not
be
less
than
the
minimum
27
payment
level
as
established
by
the
federal
government
to
meet
28
the
federally
mandated
maintenance
of
effort
requirement.
29
3.
Unless
otherwise
directed
in
this
section,
when
the
30
department’s
reimbursement
methodology
for
any
provider
31
reimbursed
in
accordance
with
this
section
includes
an
32
inflation
factor,
this
factor
shall
not
exceed
the
amount
33
by
which
the
consumer
price
index
for
all
urban
consumers
34
increased
during
the
calendar
year
ending
December
31,
2002.
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4.
a.
For
the
fiscal
year
beginning
July
1,
2014,
the
1
foster
family
basic
daily
maintenance
rate
and
the
maximum
2
adoption
subsidy
rate
for
children
ages
0
through
5
years
shall
3
be
$16.78,
the
rate
for
children
ages
6
through
11
years
shall
4
be
$17.45,
the
rate
for
children
ages
12
through
15
years
shall
5
be
$19.10,
and
the
rate
for
children
and
young
adults
ages
16
6
and
older
shall
be
$19.35.
For
youth
ages
18
to
21
who
have
7
exited
foster
care,
the
preparation
for
adult
living
program
8
maintenance
rate
shall
be
$602.70
per
month.
The
maximum
9
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
10
limited
to
$500
and
the
disallowance
of
additional
amounts
11
for
court
costs
and
other
related
legal
expenses
implemented
12
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408
shall
be
13
continued.
14
5.
For
the
fiscal
year
beginning
July
1,
2014,
the
maximum
15
reimbursement
rates
under
the
supervised
apartment
living
16
program
and
for
social
services
providers
under
contract
17
shall
remain
at
the
rates
in
effect
on
June
30,
2014
,
or
the
18
provider’s
actual
and
allowable
cost
plus
inflation
for
each
19
service,
whichever
is
less.
However,
if
.
If
a
new
service
20
or
service
provider
is
added
after
June
30,
2014,
the
initial
21
reimbursement
rate
for
the
service
or
provider
shall
be
based
22
upon
a
weighted
average
of
provider
rates
for
similar
services.
23
6.
For
the
fiscal
year
beginning
July
1,
2014,
the
24
reimbursement
rates
for
family-centered
service
providers,
25
family
foster
care
service
providers,
group
foster
care
service
26
providers,
and
the
resource
family
recruitment
and
retention
27
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
28
2014.
29
7.
The
group
foster
care
reimbursement
rates
paid
for
30
placement
of
children
out
of
state
shall
be
calculated
31
according
to
the
same
rate-setting
principles
as
those
used
for
32
in-state
providers,
unless
the
director
of
human
services
or
33
the
director’s
designee
determines
that
appropriate
care
cannot
34
be
provided
within
the
state.
The
payment
of
the
daily
rate
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shall
be
based
on
the
number
of
days
in
the
calendar
month
in
1
which
service
is
provided.
2
8.
a.
For
the
fiscal
year
beginning
July
1,
2014,
the
3
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
4
emergency
services
implemented
to
provide
or
prevent
the
need
5
for
shelter
care
shall
be
established
by
contract.
6
b.
For
the
fiscal
year
beginning
July
1,
2014,
the
combined
7
service
and
maintenance
components
of
the
reimbursement
rate
8
paid
for
shelter
care
services
shall
be
based
on
the
financial
9
and
statistical
report
submitted
to
the
department.
The
10
maximum
reimbursement
rate
shall
be
$96.98
per
day.
The
11
department
shall
reimburse
a
shelter
care
provider
at
the
12
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
13
to
exceed
the
maximum
reimbursement
rate.
14
c.
Notwithstanding
section
232.141,
subsection
8
,
for
15
For
the
fiscal
year
beginning
July
1,
2014,
the
amount
of
16
the
statewide
average
of
the
actual
and
allowable
rates
for
17
reimbursement
of
juvenile
shelter
care
homes
that
is
utilized
18
for
the
limitation
on
recovery
of
unpaid
costs
shall
remain
19
at
the
amount
in
effect
for
this
purpose
in
the
fiscal
year
20
beginning
July
1,
2013
the
limitation
on
juvenile
shelter
home
21
costs
payable
by
the
public
for
purposes
of
section
232.141,
22
subsection
8,
as
amended
by
this
2014
Act,
is
$143.63
.
23
9.
For
the
fiscal
year
beginning
July
1,
2013
2014
,
the
24
department
shall
calculate
reimbursement
rates
for
intermediate
25
care
facilities
for
persons
with
intellectual
disabilities
at
26
the
80th
percentile.
Beginning
July
1,
2013
2014
,
the
rate
27
calculation
methodology
shall
utilize
the
consumer
price
index
28
inflation
factor
applicable
to
the
fiscal
year
beginning
July
29
1,
2013.
30
10.
For
the
fiscal
year
beginning
July
1,
2014,
for
child
31
care
providers
reimbursed
under
the
state
child
care
assistance
32
program,
the
department
shall
set
provider
reimbursement
rates
33
based
on
the
rate
reimbursement
survey
completed
in
December
34
2004.
However,
for
the
fiscal
year
beginning
July
1,
2014,
35
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such
reimbursement
rates
shall
remain
at
the
rates
in
effect
1
on
June
30,
2014.
The
department
shall
set
rates
in
a
manner
2
so
as
to
provide
incentives
for
a
nonregistered
provider
to
3
become
registered
by
applying
the
increase
only
to
registered
4
and
licensed
providers.
5
11.
The
department
may
adopt
emergency
rules
to
implement
6
this
section.
7
Sec.
33.
2013
Iowa
Acts,
chapter
138,
section
160,
is
8
amended
to
read
as
follows:
9
SEC.
160.
EMERGENCY
RULES.
10
1.
If
specifically
authorized
by
a
provision
of
this
11
division
of
this
Act
for
the
fiscal
year
beginning
July
1,
2013
12
2014
,
the
department
of
human
services
or
the
mental
health
13
and
disability
services
commission
may
adopt
administrative
14
rules
under
section
17A.4,
subsection
3
,
and
section
17A.5,
15
subsection
2
,
paragraph
“b”,
to
implement
the
provisions
and
16
the
rules
shall
become
effective
immediately
upon
filing
or
17
on
a
later
effective
date
specified
in
the
rules,
unless
the
18
effective
date
is
delayed
by
the
administrative
rules
review
19
committee.
Any
rules
adopted
in
accordance
with
this
section
20
shall
not
take
effect
before
the
rules
are
reviewed
by
the
21
administrative
rules
review
committee.
The
delay
authority
22
provided
to
the
administrative
rules
review
committee
under
23
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
24
shall
be
applicable
to
a
delay
imposed
under
this
section,
25
notwithstanding
a
provision
in
those
sections
making
them
26
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”.
27
Any
rules
adopted
in
accordance
with
the
provisions
of
this
28
section
shall
also
be
published
as
notice
of
intended
action
29
as
provided
in
section
17A.4
.
30
2.
If
during
the
fiscal
year
beginning
July
1,
2013
31
2014
,
the
department
of
human
services
is
adopting
rules
in
32
accordance
with
this
section
or
as
otherwise
directed
or
33
authorized
by
state
law,
and
the
rules
will
result
in
an
34
expenditure
increase
beyond
the
amount
anticipated
in
the
35
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budget
process
or
if
the
expenditure
was
not
addressed
in
1
the
budget
process
for
the
fiscal
year,
the
department
shall
2
notify
the
persons
designated
by
this
division
of
this
Act
for
3
submission
of
reports,
the
chairpersons
and
ranking
members
4
of
the
committees
on
appropriations,
and
the
department
of
5
management
concerning
the
rules
and
the
expenditure
increase.
6
The
notification
shall
be
provided
at
least
30
calendar
days
7
prior
to
the
date
notice
of
the
rules
is
submitted
to
the
8
administrative
rules
coordinator
and
the
administrative
code
9
editor.
10
Sec.
34.
2013
Iowa
Acts,
chapter
138,
section
161,
is
11
amended
to
read
as
follows:
12
SEC.
161.
REPORTS.
Any
reports
or
other
information
13
required
to
be
compiled
and
submitted
under
this
Act
during
14
the
fiscal
year
beginning
July
1,
2013
2014
,
shall
be
15
submitted
to
the
chairpersons
and
ranking
members
of
the
joint
16
appropriations
subcommittee
on
health
and
human
services,
the
17
legislative
services
agency,
and
the
legislative
caucus
staffs
18
on
or
before
the
dates
specified
for
submission
of
the
reports
19
or
information.
20
DIVISION
VI
21
HEALTH
CARE
ACCOUNTS
AND
FUNDS
22
Sec.
35.
2013
Iowa
Acts,
chapter
138,
section
162,
is
23
amended
to
read
as
follows:
24
SEC.
162.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
25
appropriated
from
the
pharmaceutical
settlement
account
created
26
in
section
249A.33
to
the
department
of
human
services
for
the
27
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
28
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
29
used
for
the
purpose
designated:
30
Notwithstanding
any
provision
of
law
to
the
contrary,
to
31
supplement
the
appropriations
made
in
this
Act
for
medical
32
contracts
under
the
medical
assistance
program
for
the
fiscal
33
year
beginning
July
1,
2013
2014
,
and
ending
June
30,
2014
34
2015
:
35
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85
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72/
83
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,325,000
1
5,467,564
2
Sec.
36.
2013
Iowa
Acts,
chapter
138,
section
163,
is
3
amended
to
read
as
follows:
4
SEC.
163.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
5
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
6
and
subject
to
the
availability
of
funds,
there
is
appropriated
7
from
the
quality
assurance
trust
fund
created
in
section
8
249L.4
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
10
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
11
designated:
12
To
supplement
the
appropriation
made
in
this
Act
from
the
13
general
fund
of
the
state
to
the
department
of
human
services
14
for
medical
assistance
for
the
same
fiscal
year:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
28,788,917
16
29,195,653
17
Sec.
37.
2013
Iowa
Acts,
chapter
138,
section
165,
is
18
amended
to
read
as
follows:
19
SEC.
165.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
20
FOR
FY
2014-2015.
Notwithstanding
section
8.33
,
if
moneys
21
appropriated
for
purposes
of
the
medical
assistance
program
for
22
the
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
23
2015,
from
the
general
fund
of
the
state,
the
quality
assurance
24
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
25
in
excess
of
actual
expenditures
for
the
medical
assistance
26
program
and
remain
unencumbered
or
unobligated
at
the
close
27
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
28
shall
remain
available
for
expenditure
for
the
purposes
of
the
29
medical
assistance
program
until
the
close
of
the
succeeding
30
fiscal
year.
31
DIVISION
VII
32
MISCELLANEOUS
33
Sec.
38.
Section
35A.16,
subsection
1,
paragraph
b,
Code
34
2014,
is
amended
to
read
as
follows:
35
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S.F.
_____
H.F.
_____
b.
There
is
appropriated
from
the
general
fund
of
the
state
1
to
the
department,
for
the
fiscal
year
beginning
July
1,
2009,
2
and
for
each
subsequent
fiscal
year,
the
sum
of
one
million
3
nine
hundred
ninety
thousand
dollars
to
be
credited
to
the
4
county
commissions
of
veteran
affairs
fund.
5
Sec.
39.
Section
225C.38,
subsection
1,
paragraph
c,
Code
6
2014,
is
amended
to
read
as
follows:
7
c.
Except
as
provided
in
section
225C.41
,
a
family
support
8
subsidy
for
a
fiscal
year
shall
be
in
an
amount
determined
by
9
the
department.
However,
if
at
any
time
during
the
fiscal
year
10
the
funding
amount
available
for
the
family
support
subsidy
11
program
is
reduced
from
the
amount
initially
used
to
establish
12
the
subsidy
amount,
the
department
shall
revise
the
subsidy
13
amount
as
necessary
to
conform
to
the
funding
amount
available.
14
The
parent
or
legal
guardian
receiving
a
family
support
subsidy
15
may
elect
to
receive
a
payment
amount
which
is
less
than
the
16
amount
determined
in
accordance
with
this
paragraph.
17
Sec.
40.
Section
232.141,
subsection
5,
Code
2014,
is
18
amended
by
adding
the
following
new
paragraph:
19
NEW
PARAGRAPH
.
c.
(1)
The
amount
allocated
for
a
fiscal
20
year
for
purposes
of
subsection
4
in
the
appropriation
21
enacted
by
the
general
assembly
for
that
fiscal
year
shall
be
22
distributed
to
the
judicial
districts
as
determined
by
the
23
state
court
administrator
and
to
the
department’s
service
areas
24
as
determined
by
the
administrator
of
the
department’s
division
25
of
child
and
family
services.
The
state
court
administrator
26
and
the
division
administrator
shall
make
the
determination
of
27
the
distribution
amounts
on
or
before
June
15
preceding
the
28
beginning
of
the
fiscal
year.
29
(2)
A
district
or
juvenile
court
shall
not
order
any
service
30
which
is
a
charge
upon
the
state
pursuant
to
subsection
4
if
31
there
are
insufficient
court-ordered
services
funds
available
32
in
the
district
court
or
departmental
service
area
distribution
33
amounts
to
pay
for
the
service.
The
chief
juvenile
court
34
officer
and
the
departmental
service
area
manager
shall
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_____
H.F.
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encourage
use
of
the
distribution
amounts
and
other
available
1
moneys
such
that
there
are
sufficient
funds
to
pay
for
all
2
court-related
services
during
the
entire
year.
The
chief
3
juvenile
court
officers
and
departmental
service
area
managers
4
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
5
in
the
distribution
amounts
and
shall
cooperatively
request
the
6
state
court
administrator
or
division
administrator
to
transfer
7
funds
between
the
judicial
districts’
or
departmental
service
8
areas’
distribution
amounts
as
prudent.
9
(3)
Notwithstanding
any
provision
of
law
to
the
contrary,
10
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
11
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
12
entered
under
this
chapter
which
is
a
charge
upon
the
state
in
13
accordance
with
subsection
4.
14
Sec.
41.
Section
232.141,
subsection
8,
Code
2014,
is
15
amended
to
read
as
follows:
16
8.
This
subsection
applies
only
to
placements
in
a
juvenile
17
shelter
care
home
which
is
publicly
owned,
operated
as
a
county
18
or
multicounty
shelter
care
home,
organized
under
a
chapter
19
28E
agreement,
or
operated
by
a
private
juvenile
shelter
care
20
home.
If
the
actual
and
allowable
costs
of
a
child’s
shelter
21
care
placement
exceed
the
amount
maximum
reimbursement
rate
22
the
department
is
authorized
to
pay
in
accordance
with
law
23
and
administrative
rule,
the
unpaid
costs
may
be
recovered
24
from
the
child’s
county
of
legal
settlement.
However,
the
25
maximum
amount
of
the
unpaid
costs
which
may
be
recovered
26
under
this
subsection
is
limited
to
the
difference
between
27
the
amount
maximum
reimbursement
rate
the
department
is
28
authorized
to
pay
and
the
statewide
average
of
the
actual
and
29
allowable
rates
in
effect
in
May
of
the
preceding
fiscal
year
30
for
reimbursement
of
juvenile
shelter
care
homes
limitation
31
on
juvenile
shelter
home
costs
payable
by
the
public
for
the
32
fiscal
year
.
The
limitation
shall
be
established
for
a
fiscal
33
year
in
appropriations
law
enacted
by
the
general
assembly.
In
34
no
case
shall
the
home
be
reimbursed
for
more
than
the
home’s
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actual
and
allowable
costs.
The
unpaid
costs
are
payable
1
pursuant
to
filing
of
verified
claims
against
the
county
of
2
legal
settlement.
A
detailed
statement
of
the
facts
upon
3
which
a
claim
is
based
shall
accompany
the
claim.
Any
dispute
4
between
counties
arising
from
filings
of
claims
pursuant
to
5
this
subsection
shall
be
settled
in
the
manner
provided
to
6
determine
residency
in
section
331.394
.
7
Sec.
42.
Section
232.142,
subsection
3,
Code
2014,
is
8
amended
to
read
as
follows:
9
3.
A
county
or
multicounty
juvenile
detention
home
approved
10
pursuant
to
this
section
shall
receive
financial
aid
from
the
11
state
in
a
manner
approved
by
the
director
in
accordance
with
12
the
requirements
established
in
this
section
for
the
juvenile
13
detention
home
fund
and
in
appropriations
made
to
provide
such
14
aid
.
Aid
The
amount
of
aid
paid
by
the
state
shall
not
be
at
15
least
ten
percent
and
not
more
than
fifty
percent
of
the
total
16
cost
costs
of
the
establishment,
improvements,
operation,
and
17
maintenance
of
the
home.
18
Sec.
43.
Section
234.35,
subsection
1,
unnumbered
paragraph
19
1,
Code
2014,
is
amended
to
read
as
follows:
20
The
department
of
human
services
is
responsible
for
paying
21
the
cost
of
foster
care
for
a
child
,
according
to
rates
22
established
pursuant
to
section
234.38
,
and
for
shelter
care,
23
under
any
of
the
following
circumstances:
24
Sec.
44.
Section
234.38,
Code
2014,
is
amended
to
read
as
25
follows:
26
234.38
Foster
care
reimbursement
rates.
27
The
department
of
human
services
shall
make
reimbursement
28
payments
directly
to
foster
parents
for
services
provided
to
29
children
pursuant
to
section
234.6,
subsection
6
,
paragraph
30
“b”
,
or
section
234.35
.
In
any
fiscal
year,
unless
otherwise
31
provided
by
law
and
subject
to
the
appropriation
of
sufficient
32
funding,
the
reimbursement
rate
shall
be
based
upon
sixty-five
33
percent
of
the
United
States
department
of
agriculture
34
estimate
of
the
cost
to
raise
a
child
in
the
calendar
year
35
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immediately
preceding
the
fiscal
year.
The
department
may
pay
1
an
additional
stipend
for
a
child
with
special
needs.
2
Sec.
45.
Section
249A.20,
Code
2014,
is
amended
to
read
as
3
follows:
4
249A.20
Noninstitutional
health
providers
——
reimbursement.
5
1.
Beginning
November
1,
2000,
the
The
department
shall
6
use
the
federal
Medicare
resource-based
relative
value
scale
7
methodology
to
reimburse
all
applicable
noninstitutional
health
8
providers,
excluding
anesthesia
and
dental
services,
that
on
9
June
30,
2000,
are
reimbursed
on
a
fee-for-service
basis
for
10
provision
of
services
under
the
medical
assistance
program.
11
The
department
shall
apply
the
federal
Medicare
resource-based
12
relative
value
scale
methodology
to
such
health
providers
in
13
the
same
manner
as
the
methodology
is
applied
under
the
federal
14
Medicare
program
and
shall
not
utilize
the
resource-based
15
relative
value
scale
methodology
in
a
manner
that
discriminates
16
between
such
health
providers.
The
reimbursement
schedule
17
shall
be
adjusted
annually
on
July
1,
and
shall
provide
for
18
reimbursement
that
is
not
less
than
the
reimbursement
provided
19
under
the
fee
schedule
established
for
Iowa
under
the
federal
20
Medicare
program
in
effect
on
January
1
of
that
calendar
year
21
and
adjusted
as
necessary
to
not
exceed
the
amount
appropriated
22
to
the
department
for
this
purpose
for
the
fiscal
year
.
23
2.
A
provider
reimbursed
under
section
249A.31
is
not
a
24
noninstitutional
health
provider.
25
DIVISION
VIII
26
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
27
Sec.
46.
2013
Iowa
Acts,
chapter
138,
section
32,
is
amended
28
to
read
as
follows:
29
SEC.
32.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
30
appropriated
from
the
pharmaceutical
settlement
account
created
31
in
section
249A.33
to
the
department
of
human
services
for
32
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
33
2014,
the
following
amount
amounts
,
or
so
much
thereof
as
is
34
necessary,
to
be
used
for
the
purpose
purposes
designated:
35
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S.F.
_____
H.F.
_____
1.
Notwithstanding
any
provision
of
law
to
the
contrary,
1
to
supplement
the
appropriations
made
in
this
Act
for
medical
2
contracts
under
the
medical
assistance
program
for
the
fiscal
3
year
beginning
July
1,
2013,
and
ending
June
30,
2014:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,650,000
5
2.
Notwithstanding
any
provision
of
law
to
the
contrary
to
6
supplement
the
appropriations
made
in
this
Act
for
the
medical
7
assistance
program
for
the
fiscal
year
beginning
July
1,
2013,
8
and
ending
June
30,
2014:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
631,110
10
Sec.
47.
2013
Iowa
Acts,
chapter
138,
section
35,
is
amended
11
to
read
as
follows:
12
SEC.
35.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
13
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
14
subject
to
the
availability
of
funds,
there
is
appropriated
15
from
the
quality
assurance
trust
fund
created
in
section
16
249L.4
to
the
department
of
human
services
for
the
fiscal
year
17
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
following
18
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
19
designated:
20
To
supplement
the
appropriation
made
in
this
Act
from
the
21
general
fund
of
the
state
to
the
department
of
human
services
22
for
medical
assistance
for
the
same
fiscal
year:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
28,788,917
24
31,160,454
25
Sec.
48.
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
——
FY
26
2013-2014.
As
of
December
31,
2013,
any
funds
remaining
in
27
the
account
for
health
care
transformation
created
in
section
28
249J.23,
Code
2013,
shall
revert
to
the
general
fund
of
the
29
state.
30
Sec.
49.
IOWACARE
ACCOUNT.
Until
June
30,
2015,
any
funds
31
remaining
in
the
IowaCare
account
created
in
section
249J.24,
32
Code
2013,
shall
remain
available
and
are
appropriated
to
the
33
department
of
human
services
for
the
payment
of
valid
claims.
34
Sec.
50.
IMMEDIATE
EFFECTIVE
DATE.
This
division
of
this
35
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Act,
being
deemed
of
immediate
importance,
takes
effect
upon
1
enactment.
2
Sec.
51.
RETROACTIVE
APPLICABILITY.
The
following
sections
3
of
this
division
of
this
Act
apply
retroactively
to
July
1,
4
2013:
5
1.
The
section
relating
to
the
reversion
of
funds
remaining
6
in
the
account
for
health
care
transformation
to
the
general
7
fund
of
the
state.
8
2.
The
section
relating
to
availability
and
appropriation
9
of
the
funds
remaining
in
the
IowaCare
account.
10
EXPLANATION
11
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
12
the
explanation’s
substance
by
the
members
of
the
general
assembly.
13
This
bill
relates
to
appropriations
for
health
and
human
14
services
made
in
2013
Iowa
Acts,
chapter
138
(SF
446)
for
15
fiscal
year
2014-2015
to
the
department
of
veterans
affairs,
16
the
Iowa
veterans
home,
the
department
on
aging,
the
department
17
of
public
health,
Iowa
finance
authority,
state
board
of
18
regents,
department
of
inspections
and
appeals,
department
of
19
human
rights,
and
enacted
the
department
of
human
services
20
(DHS).
With
some
exceptions
the
enacted
amounts
appropriated
21
for
FY
2014-2015
are
approximately
50
percent
of
the
amounts
22
appropriated
for
the
same
purposes
for
the
prior
fiscal
23
year
along
with
some
other
changes.
The
bill
revises
the
24
appropriation
amounts.
Vetoed
language
is
omitted.
25
The
bill
is
organized
into
divisions.
26
DEPARTMENT
ON
AGING
——
FY
2014-2015.
This
division
amends
27
appropriations
from
the
general
fund
of
the
state
for
the
28
department
on
aging
for
FY
2014-2015.
29
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2014-2015.
This
30
division
amends
appropriations
from
the
general
fund
of
31
the
state
for
the
office
of
long-term
care
ombudsman
for
FY
32
2014-2015.
33
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2014-2015.
This
division
34
amends
appropriations
from
the
general
fund
of
the
state
for
35
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H.F.
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the
department
of
public
health
for
FY
2014-2015.
1
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2014-2015.
This
2
division
amends
appropriations
from
the
general
fund
of
the
3
state
for
the
department
of
veterans
affairs
and
the
Iowa
4
veterans
home
for
FY
2014-2015.
In
addition
to
amount
changes,
5
the
appropriations
for
the
department
and
the
veterans
home
are
6
divided
into
separate
line
items.
7
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2014-2015.
This
division
8
amends
appropriations
from
the
general
fund
of
the
state
and
9
the
federal
temporary
assistance
for
needy
families
block
10
grant
to
DHS.
The
allocation
for
the
family
development
11
and
self-sufficiency
grant
program
is
made
directly
to
12
the
department
of
human
rights.
The
reimbursement
section
13
addresses
reimbursement
for
providers
reimbursed
by
the
14
department
of
human
services.
The
allocations
for
certain
15
mental
health
and
disability
services
(MH/DS)
under
the
medical
16
assistance
(Medicaid)
appropriation
are
stricken
and
replaced
17
with
a
new,
separate
line
item
appropriation
for
the
same
18
purposes.
The
appropriation
for
the
Iowa
juvenile
home
at
19
Toledo
is
amended
to
apply
to
the
facilities
located
at
the
20
home
and
to
reduce
the
amount.
A
new
appropriation
is
made
21
for
the
placement
costs
of
female
children
adjudicated
as
22
delinquent
and
male
and
female
children
adjudicated
as
a
child
23
in
need
of
assistance
identified
by
the
department,
and
for
24
the
costs
of
compensatory
education
to
address
the
reviews
25
of
special
education
of
certain
children
placed
at
the
Iowa
26
juvenile
home
conducted
by
the
department
of
education
in
27
fall
2013
and
reported
to
the
department
of
human
services
on
28
October
7
and
December
20,
2013.
29
HEALTH
CARE
ACCOUNTS
AND
FUND
——
FY
2014-2015.
This
division
30
amends
certain
health-related
appropriations
for
FY
2014-2015.
31
A
number
of
the
appropriations
are
made
for
purposes
of
the
32
medical
assistance
(Medicaid)
program
in
addition
to
the
33
general
fund
appropriations
made
for
this
purpose
for
the
same
34
fiscal
year.
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The
appropriation
from
the
pharmaceutical
settlement
1
account
to
DHS,
originally
limited
to
supplement
the
Medicaid
2
program
medical
contracts
appropriations,
is
expanded
to
also
3
supplement
the
general
Medicaid
appropriations.
4
An
increase
is
made
in
the
amount
of
the
appropriation
made
5
to
supplement
the
Medicaid
program
from
the
quality
assurance
6
trust
fund.
7
The
division
provides
that
if
the
total
amounts
appropriated
8
from
all
sources
for
the
medicaid
program
for
FY
2014-2015
9
exceed
the
amount
needed,
the
excess
remains
available
to
be
10
used
for
the
program
in
the
succeeding
fiscal
year.
11
MISCELLANEOUS.
This
division
includes
miscellaneous
12
statutory
amendments
involving
the
agencies
receiving
13
appropriations
in
the
bill
and
the
programs
administered
by
14
those
agencies.
Many
of
the
amendments
codify
exceptions
to
15
codified
law
that
were
enacted
in
appropriations
made
in
SF
466
16
and
in
previous
years
appropriations.
17
Code
section
35A.16,
relating
to
the
county
commissions
18
of
veteran
affairs
fund,
is
amended
to
reduce
the
standing
19
appropriation
to
the
fund
from
$1
million
to
$990,000.
Each
20
county
in
the
state
receives
$10,000
from
the
fund
annually.
21
Code
section
225C.38,
relating
to
payments
under
the
family
22
support
subsidy
program,
is
amended
to
address
the
subsidy
23
amounts.
If
during
the
fiscal
year
the
funding
amount
used
24
to
establish
the
subsidy
amount
is
reduced,
the
department
is
25
required
to
revise
the
subsidy
amount
to
conform
to
the
funding
26
amount.
The
procedure
for
establishing
the
maximum
amount
of
27
unpaid
costs
that
may
be
recovered
from
a
child’s
county
of
28
legal
settlement
is
amended
to
provide
for
a
limitation
on
29
juvenile
shelter
home
payable
by
the
public
to
be
established
30
for
a
fiscal
year
in
appropriations
law
enacted
by
the
general
31
assembly.
32
Code
section
232.141,
relating
to
juvenile
justice
33
expenses,
is
amended
to
codify
a
procedure
for
the
state
34
court
administrator
and
a
department
of
human
services
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division
administrator
to
distribute
to
judicial
districts
1
and
departmental
service
areas
the
overall
amount
allocated
2
by
appropriation
for
juvenile
justice
court-ordered
services.
3
The
district
or
juvenile
court
is
prohibited
from
ordering
a
4
service
charged
to
the
state
when
there
is
insufficient
funding
5
in
the
distribution
amount.
The
court
is
also
prohibited
from
6
ordering
a
county
to
pay
for
a
service
that
is
a
charge
upon
the
7
state.
8
Code
section
232.141
is
also
amended
to
provide
that
state
9
reimbursement
for
a
juvenile
shelter
placement
is
limited
to
10
the
amount
the
department
of
human
services
is
authorized
to
11
pay
in
accordance
with
law
and
administrative
rule.
12
Code
section
232.142,
relating
to
the
costs
of
juvenile
13
detention
homes,
is
amended
to
remove
a
requirement
for
the
14
state
financial
aid
to
be
at
least
10
percent
of
the
detention
15
home
costs
and
to
reference
the
funding
source
for
the
16
financial
aid.
17
Code
section
234.35,
relating
to
when
the
state
is
18
responsible
to
pay
for
the
cost
of
foster
care,
is
amended
to
19
include
a
reference
to
shelter
care
and
to
strike
a
reference
20
to
a
foster
care
reimbursement
rate
standard
in
Code
section
21
234.38,
which
is
amended
by
the
bill.
22
Code
section
234.38,
relating
to
foster
care
reimbursement
23
rates,
is
amended
to
modify
the
requirement
that
the
rates
24
shall
be
based
on
65
percent
of
the
federal
estimate
of
the
25
cost
to
raise
a
child.
The
bill
provides
that
the
requirement
26
can
be
modified
by
law
and
is
subject
to
the
appropriation
of
27
sufficient
funding.
28
Code
section
249A.20,
relating
to
reimbursement
of
29
noninstitutional
health
providers
under
the
Medicaid
program,
30
is
amended
to
require
that
the
annual
adjustment
of
the
31
reimbursement
schedule
for
the
providers
is
based
on
the
amount
32
of
the
annual
appropriation
made
for
this
reimbursement.
33
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES.
This
division
34
includes
changes
to
prior
appropriations
and
other
related
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changes
including
increases
in
the
2013-2014
appropriations
1
made
from
the
pharmaceutical
settlement
account
and
the
quality
2
assurance
trust
fund;
a
provision
transferring
any
moneys
3
remaining
in
the
account
for
health
care
transformation
as
4
of
December
31,
2013,
to
the
general
fund
of
the
state;
and
5
a
provision
authorizing
that
until
June
30,
2015,
funds
in
6
the
IowaCare
account
remain
available
and
are
appropriated
to
7
the
department
of
human
services
for
payment
of
valid
claims.
8
The
division
takes
effect
upon
enactment
and
for
the
sections
9
relating
to
the
health
care
transformation
and
IowaCare
10
accounts
is
retroactively
applicable
to
July
1,
2013.
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