House File 2460 - Introduced HOUSE FILE 2460 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO LSB 5014HB) A BILL FOR An Act relating to appropriations for health and human services 1 and veterans and including other related provisions and 2 appropriations, and including effective date and retroactive 3 and other applicability date provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5014HV (1) 86 pf/rh/rn
H.F. 2460 DIVISION I 1 DEPARTMENT ON AGING —— FY 2016-2017 2 Section 1. 2015 Iowa Acts, chapter 137, section 121, is 3 amended to read as follows: 4 SEC. 121. 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, 2016, and ending June 30, 7 2017, the following amount, or so much thereof as is necessary, 8 to be used for the purposes designated: 9 For aging programs for the department on aging and area 10 agencies on aging to provide citizens of Iowa who are 60 years 11 of age and older with case management for frail elders, Iowa’s 12 aging and disabilities resource center, and other services 13 which may include but are not limited to adult day services, 14 respite care, chore services, information and assistance, 15 and material aid, for information and options counseling for 16 persons with disabilities who are 18 years of age or older, 17 and for salaries, support, administration, maintenance, and 18 miscellaneous purposes, and for not more than the following 19 full-time equivalent positions: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,699,866 21 11,436,066 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 31.00 23 1. Funds appropriated in this section may be used to 24 supplement federal funds under federal regulations. To 25 receive funds appropriated in this section, a local area 26 agency on aging shall match the funds with moneys from other 27 sources according to rules adopted by the department. Funds 28 appropriated in this section may be used for elderly services 29 not specifically enumerated in this section only if approved 30 by an area agency on aging for provision of the service within 31 the area. 32 2. Of the funds appropriated in this section, $139,973 33 $279,946 is transferred to the economic development authority 34 for the Iowa commission on volunteer services to be used for 35 -1- LSB 5014HV (1) 86 pf/rh/rn 1/ 116
H.F. 2460 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, at least 26 $125,000 $250,000 shall be used to fund the unmet needs 27 identified through Iowa’s aging and disability resource center 28 network. 29 5. Of the funds appropriated in this section, at 30 least $300,000 $600,000 shall be used to fund home and 31 community-based services through the area agencies on aging 32 that enable older individuals to avoid more costly utilization 33 of residential or institutional services and remain in their 34 own homes. 35 -2- LSB 5014HV (1) 86 pf/rh/rn 2/ 116
H.F. 2460 6. Of the funds appropriated in this section, $406,833 1 $850,000 shall be used for the purposes of chapter 231E and 2 section 231.56A , of which $144,333 $350,000 shall be used for 3 the office of substitute decision maker pursuant to chapter 4 231E , and the remainder shall be distributed equally to the 5 area agencies on aging to administer the prevention of elder 6 abuse, neglect, and exploitation program pursuant to section 7 231.56A , in accordance with the requirements of the federal 8 Older Americans Act of 1965, 42 U.S.C. §3001 et seq., as 9 amended. 10 DIVISION II 11 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2016-2017 12 Sec. 2. 2015 Iowa Acts, chapter 137, section 122, is amended 13 to read as follows: 14 SEC. 122. OFFICE OF LONG-TERM CARE OMBUDSMAN. 15 1. There is appropriated from the general fund of the state 16 to the office of long-term care ombudsman for the fiscal year 17 beginning July 1, 2016, and ending June 30, 2017, the following 18 amount, or so much thereof as is necessary, to be used for the 19 purposes designated: 20 For salaries, support, administration, maintenance, and 21 miscellaneous purposes, and for not more than the following 22 full-time equivalent positions: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 638,391 24 1,276,783 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 17.00 26 2. Of the funds appropriated in this section, $110,000 27 $220,000 shall be used to continue to provide for additional 28 local long-term care ombudsmen. 29 DIVISION III 30 DEPARTMENT OF PUBLIC HEALTH —— FY 2016-2017 31 Sec. 3. 2015 Iowa Acts, chapter 137, section 123, is amended 32 to read as follows: 33 SEC. 123. DEPARTMENT OF PUBLIC HEALTH. There is 34 appropriated from the general fund of the state to the 35 -3- LSB 5014HV (1) 86 pf/rh/rn 3/ 116
H.F. 2460 department of public health for the fiscal year beginning July 1 1, 2016, and ending June 30, 2017, the following amounts, or 2 so much thereof as is necessary, to be used for the purposes 3 designated: 4 1. ADDICTIVE DISORDERS 5 For reducing the prevalence of the use of tobacco, alcohol, 6 and other drugs, and treating individuals affected by addictive 7 behaviors, including gambling, and for not more than the 8 following full-time equivalent positions: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 13,631,845 10 26,988,690 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 12 a. (1) Of the funds appropriated in this subsection, 13 $2,624,180 $5,248,361 shall be used for the tobacco use 14 prevention and control initiative, including efforts at the 15 state and local levels, as provided in chapter 142A . The 16 commission on tobacco use prevention and control established 17 pursuant to section 142A.3 shall advise the director of 18 public health in prioritizing funding needs and the allocation 19 of moneys appropriated for the programs and initiatives. 20 Activities of the programs and initiatives shall be in 21 alignment with the United States centers for disease control 22 and prevention best practices for comprehensive tobacco control 23 programs that include the goals of preventing youth initiation 24 of tobacco usage, reducing exposure to secondhand smoke, 25 and promotion of tobacco cessation. To maximize resources, 26 the department shall determine if third-party sources are 27 available to instead provide nicotine replacement products 28 to an applicant prior to provision of such products to an 29 applicant under the initiative. The department shall track and 30 report to the individuals specified in this Act , any reduction 31 in the provision of nicotine replacement products realized 32 by the initiative through implementation of the prerequisite 33 screening. 34 (2) (a) Of the funds allocated in this paragraph “a”, 35 -4- LSB 5014HV (1) 86 pf/rh/rn 4/ 116
H.F. 2460 $226,533 is transferred to the The department shall collaborate 1 with the alcoholic beverages division of the department of 2 commerce for enforcement of tobacco laws, regulations, and 3 ordinances and to engage in tobacco control activities approved 4 by the division of tobacco use prevention and control of the 5 department of public health as specified in the memorandum of 6 understanding entered into between the divisions. 7 (b) For the fiscal year beginning July 1, 2016, and ending 8 June 30, 2017, 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 18 years of 15 age, shall continue to restrict the number of such checks to 16 one check per retail outlet, and one additional check for any 17 retail outlet found to be in violation during the first check. 18 b. Of the funds appropriated in this subsection, 19 $11,007,664 $21,740,329 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, youth prevention, and program 23 evaluation. 24 (1) Of the funds allocated in this paragraph “b”, $9,451,857 25 shall be used for substance-related disorder prevention and 26 treatment. 27 (a) Of the funds allocated in this subparagraph (1), 28 $449,650 shall be used for the public purpose of a grant 29 program to provide substance-related disorder prevention 30 programming for children. 31 (i) Of the funds allocated in this subparagraph division 32 (a), $213,769 shall be used for grant funding for organizations 33 that provide programming for children by utilizing mentors. 34 Programs approved for such grants shall be certified or must 35 -5- LSB 5014HV (1) 86 pf/rh/rn 5/ 116
H.F. 2460 be certified within six months of receiving the grant award 1 by the Iowa commission on volunteer services as utilizing the 2 standards for effective practice for mentoring programs. 3 (ii) Of the funds allocated in this subparagraph division 4 (a), $213,419 shall be used for grant funding for organizations 5 providing programming that includes youth development and 6 leadership services. The programs shall also be recognized as 7 being programs that are scientifically based with evidence of 8 their effectiveness in reducing substance-related disorders in 9 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 may be used to administer substance-related 16 disorder prevention grants and for program evaluations. 17 (b) Of the funds allocated in this subparagraph 18 (1), $136,301 shall be used for culturally competent 19 substance-related disorder treatment pilot projects. 20 (i) The department shall utilize the amount allocated 21 in this subparagraph division (b) for at least three pilot 22 projects to provide culturally competent substance-related 23 disorder treatment in various areas of the state. Each pilot 24 project shall target a particular ethnic minority population. 25 The populations targeted shall include but are not limited to 26 African American, Asian, and Latino. 27 (ii) The pilot project requirements shall provide for 28 documentation or other means to ensure access to the cultural 29 competence approach used by a pilot project so that such 30 approach can be replicated and improved upon in successor 31 programs. 32 (2) Of the funds allocated in this paragraph “b”, up 33 to $1,555,807 may be used for problem gambling prevention, 34 treatment, and recovery services. 35 -6- LSB 5014HV (1) 86 pf/rh/rn 6/ 116
H.F. 2460 (a) Of the funds allocated in this subparagraph (2), 1 $1,286,881 shall be used for problem gambling prevention and 2 treatment. 3 (b) Of the funds allocated in this subparagraph (2), up to 4 $218,926 may be used for a 24-hour helpline, public information 5 resources, professional training, and program evaluation. 6 (c) Of the funds allocated in this subparagraph (2), up 7 to $50,000 may be used for the licensing of problem gambling 8 treatment programs. 9 (3) It is the intent of the general assembly that from the 10 moneys allocated in this paragraph “b”, persons with a dual 11 diagnosis of substance-related disorder and gambling addiction 12 shall be given priority in treatment services. 13 c. Notwithstanding any provision of law to the contrary, 14 to standardize the availability, delivery, cost of delivery, 15 and accountability of problem gambling and substance-related 16 disorder treatment services statewide, the department shall 17 continue implementation of a process to create a system 18 for delivery of treatment services in accordance with the 19 requirements specified in 2008 Iowa Acts, chapter 1187, section 20 3, subsection 4 . To ensure the system provides a continuum 21 of treatment services that best meets the needs of Iowans, 22 the problem gambling and substance-related disorder treatment 23 services in any area may be provided either by a single agency 24 or by separate agencies submitting a joint proposal. 25 (1) The system for delivery of substance-related disorder 26 and problem gambling treatment shall include problem gambling 27 prevention. 28 (2) The system for delivery of substance-related disorder 29 and problem gambling treatment shall include substance-related 30 disorder prevention by July 1, 2017. 31 (3) Of the funds allocated in paragraph “b”, the department 32 may use up to $50,000 for administrative costs to continue 33 developing and implementing the process in accordance with this 34 paragraph “c”. 35 -7- LSB 5014HV (1) 86 pf/rh/rn 7/ 116
H.F. 2460 d. The requirement of section 123.53 123.17 , subsection 1 5 , is met by the appropriations and allocations made in this 2 division of this Act for purposes of substance-related disorder 3 treatment and addictive disorders for the fiscal year beginning 4 July 1, 2016. 5 e. The department of public health shall work with all 6 other departments that fund substance-related disorder 7 prevention and treatment services and all such departments 8 shall, to the extent necessary, collectively meet the state 9 maintenance of effort requirements for expenditures for 10 substance-related disorder services as required under the 11 federal substance-related disorder prevention and treatment 12 block grant. 13 2. HEALTHY CHILDREN AND FAMILIES 14 For promoting the optimum health status for children, 15 adolescents from birth through 21 years of age, and families, 16 and for not more than the following full-time equivalent 17 positions: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,308,771 19 5,593,774 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 21 a. Of the funds appropriated in this subsection, not 22 more than $367,420 $734,841 shall be used for the healthy 23 opportunities for parents to experience success (HOPES)-healthy 24 families Iowa (HFI) program established pursuant to section 25 135.106 . The funding shall be distributed to renew the grants 26 that were provided to the grantees that operated the program 27 during the fiscal year ending June 30, 2016. 28 b. In order to implement the legislative intent stated in 29 sections 135.106 and 256I.9 , that priority for home visitation 30 program funding be given to programs using evidence-based or 31 promising models for home visitation, it is the intent of the 32 general assembly to phase in the funding priority in accordance 33 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2 , 34 paragraph “0b”. 35 -8- LSB 5014HV (1) 86 pf/rh/rn 8/ 116
H.F. 2460 c. Of the funds appropriated in this subsection, $1,099,414 1 $3,175,059 shall be used for continuation of the department’s 2 initiative to provide for adequate developmental surveillance 3 and screening during a child’s first five years. The funds 4 shall be used first to fully fund the current sites to ensure 5 that the sites are fully operational, with the remaining 6 funds to be used for expansion to additional sites. The full 7 implementation and expansion shall include enhancing the scope 8 of the program through collaboration with the child health 9 specialty clinics to promote healthy child development through 10 early identification and response to both biomedical and social 11 determinants of healthy development; by monitoring child 12 health metrics to inform practice, document long-term health 13 impacts and savings, and provide for continuous improvement 14 through training, education, and evaluation; and by providing 15 for practitioner consultation particularly for children with 16 behavioral conditions and needs. The department of public 17 health shall also collaborate with the Iowa Medicaid enterprise 18 and the child health specialty clinics to integrate the 19 activities of the first five initiative into the establishment 20 of patient-centered medical homes, community utilities, 21 accountable care organizations, and other integrated care 22 models developed to improve health quality and population 23 health while reducing health care costs. To the maximum extent 24 possible, funding allocated in this paragraph shall be utilized 25 as matching funds for medical assistance program reimbursement. 26 d. Of the funds appropriated in this subsection, $37,320 27 $74,640 shall be distributed to a statewide dental carrier to 28 provide funds to continue the donated dental services program 29 patterned after the projects developed by the lifeline network 30 to provide dental services to indigent individuals who are 31 elderly or with disabilities. 32 e. Of the funds appropriated in this subsection, $55,997 33 $111,995 shall be used for childhood obesity prevention. 34 f. Of the funds appropriated in this subsection, $81,384 35 -9- LSB 5014HV (1) 86 pf/rh/rn 9/ 116
H.F. 2460 $162,768 shall be used to provide audiological services and 1 hearing aids for children. The department may enter into a 2 contract to administer this paragraph. 3 g. Of the funds appropriated in this subsection, $12,500 4 $25,000 is transferred to the university of Iowa college of 5 dentistry for provision of primary dental services to children. 6 State funds shall be matched on a dollar-for-dollar basis. 7 The university of Iowa college of dentistry shall coordinate 8 efforts with the department of public health, bureau of 9 oral and health delivery systems, to provide dental care to 10 underserved populations throughout the state. 11 h. Of the funds appropriated in this subsection, $25,000 12 $50,000 shall be used to address youth suicide prevention. 13 i. Of the funds appropriated in this subsection, $25,000 14 $50,000 shall be used to support the Iowa effort to address the 15 survey of children who experience adverse childhood experiences 16 known as ACEs. 17 j. The department of public health shall continue to 18 administer the program to assist parents in this state with 19 costs resulting from the death of a child in accordance with 20 the provisions of 2014 Iowa Acts, chapter 1140, section 22, 21 subsection 12 . 22 3. CHRONIC CONDITIONS 23 For serving individuals identified as having chronic 24 conditions or special health care needs, and for not more than 25 the following full-time equivalent positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,477,846 27 4,930,692 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 29 a. Of the funds appropriated in this subsection, $79,966 30 $159,932 shall be used for grants to individual patients who 31 have an inherited metabolic disorder to assist with the costs 32 of medically necessary foods and formula. 33 b. Of the funds appropriated in this subsection, $445,822 34 $891,644 shall be used for the brain injury services program 35 -10- LSB 5014HV (1) 86 pf/rh/rn 10/ 116
H.F. 2460 pursuant to section 135.22B , including for continuation of the 1 contracts for resource facilitator services in accordance with 2 section 135.22B, subsection 9 , and to enhance brain injury 3 training and recruitment of service providers on a statewide 4 basis. Of the amount allocated in this paragraph, $47,500 5 $95,000 shall be used to fund one full-time equivalent position 6 to serve as the state brain injury services program manager. 7 c. Of the funds appropriated in this subsection, $273,991 8 $547,982 shall be used as additional funding to leverage 9 federal funding through the federal Ryan White Care Act, Tit. 10 II, AIDS drug assistance program supplemental drug treatment 11 grants. 12 d. Of the funds appropriated in this subsection, $74,911 13 $149,823 shall be used for the public purpose of continuing 14 to contract with an existing national-affiliated organization 15 to provide education, client-centered programs, and client 16 and family support for people living with epilepsy and their 17 families. The amount allocated in this paragraph in excess 18 of $50,000 $100,000 shall be matched dollar-for-dollar by the 19 organization specified. 20 e. Of the funds appropriated in this subsection, $392,557 21 $785,114 shall be used for child health specialty clinics. 22 f. Of the funds appropriated in this subsection, 23 $200,000 $400,000 shall be used by the regional autism 24 assistance program established pursuant to section 256.35 , 25 and administered by the child health specialty clinic located 26 at the university of Iowa hospitals and clinics. The funds 27 shall be used to enhance interagency collaboration and 28 coordination of educational, medical, and other human services 29 for persons with autism, their families, and providers of 30 services, including delivering regionalized services of care 31 coordination, family navigation, and integration of services 32 through the statewide system of regional child health specialty 33 clinics and fulfilling other requirements as specified in 34 chapter 225D . The university of Iowa shall not receive funds 35 -11- LSB 5014HV (1) 86 pf/rh/rn 11/ 116
H.F. 2460 allocated under this paragraph for indirect costs associated 1 with the regional autism assistance program. 2 g. Of the funds appropriated in this subsection, $285,496 3 $570,993 shall be used for the comprehensive cancer control 4 program to reduce the burden of cancer in Iowa through 5 prevention, early detection, effective treatment, and ensuring 6 quality of life. Of the funds allocated in this paragraph “g”, 7 $75,000 $150,000 shall be used to support a melanoma research 8 symposium, a melanoma biorepository and registry, basic and 9 translational melanoma research, and clinical trials. 10 h. Of the funds appropriated in this subsection, $63,225 11 $101,450 shall be used for cervical and colon cancer screening, 12 and $150,000 $300,000 shall be used to enhance the capacity 13 of the cervical cancer screening program to include provision 14 of recommended prevention and early detection measures to a 15 broader range of low-income women. 16 i. Of the funds appropriated in this subsection, $263,347 17 $526,695 shall be used for the center for congenital and 18 inherited disorders. 19 j. Of the funds appropriated in this subsection, $64,705 20 $129,411 shall be used for the prescription drug donation 21 repository program created in chapter 135M . 22 k. Of the funds appropriated in this subsection, $107,631 23 $215,263 shall be used by the department of public health 24 for reform-related activities, including but not limited to 25 facilitation of communication to stakeholders at the state and 26 local level, administering the patient-centered health advisory 27 council pursuant to section 135.159 , and involvement in health 28 care system innovation activities occurring across the state. 29 l. Of the funds appropriated in this subsection, $12,500 30 $25,000 shall be used for administration of chapter 124D , the 31 medical cannabidiol Act. 32 4. COMMUNITY CAPACITY 33 For strengthening the health care delivery system at the 34 local level, and for not more than the following full-time 35 -12- LSB 5014HV (1) 86 pf/rh/rn 12/ 116
H.F. 2460 equivalent positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,410,667 2 7,739,136 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 11.00 4 13.00 5 a. Of the funds appropriated in this subsection, $49,707 6 $146,414 is allocated for continuation of the child vision 7 screening program implemented through the university of Iowa 8 hospitals and clinics in collaboration with early childhood 9 Iowa areas. The program shall submit a report to the 10 individuals identified in this Act for submission of reports 11 regarding the use of funds allocated under this paragraph 12 “a”. The report shall include the objectives and results for 13 the program year including the target population and how the 14 funds allocated assisted the program in meeting the objectives; 15 the number, age, and location within the state of individuals 16 served; the type of services provided to the individuals 17 served; the distribution of funds based on service provided; 18 and the continuing needs of the program. 19 b. Of the funds appropriated in this subsection, $55,328 20 $110,656 is allocated for continuation of an initiative 21 implemented at the university of Iowa and $49,952 $99,904 22 is allocated for continuation of an initiative at the state 23 mental health institute at Cherokee to expand and improve the 24 workforce engaged in mental health treatment and services. 25 The initiatives shall receive input from the university of 26 Iowa, the department of human services, the department of 27 public health, and the mental health and disability services 28 commission to address the focus of the initiatives. 29 c. Of the funds appropriated in this subsection, $582,314 30 $1,164,628 shall be used for essential public health services 31 that promote healthy aging throughout one’s lifespan, 32 contracted through a formula for local boards of health, to 33 enhance health promotion and disease prevention services. 34 d. Of the funds appropriated in this section subsection , 35 -13- LSB 5014HV (1) 86 pf/rh/rn 13/ 116
H.F. 2460 $49,643 $99,286 shall be deposited in the governmental public 1 health system fund created in section 135A.8 to be used for the 2 purposes of the fund. 3 e. Of the funds appropriated in this subsection, $52,724 4 shall be used to continue to address the shortage of mental 5 health professionals in the state. 6 f. Of the funds appropriated in this subsection, $25,000 7 $50,000 shall be used for a grant to a statewide association 8 of psychologists that is affiliated with the American 9 psychological association to be used for continuation of a 10 program to rotate intern psychologists in placements in urban 11 and rural mental health professional shortage areas, as defined 12 in section 135.180 . 13 g. (1) Of the funds appropriated in this subsection, 14 $1,441,484 $1,210,770 shall be allocated as a grant to the Iowa 15 primary care association to be used pursuant to section 135.153 16 for the statewide coordination of the Iowa collaborative 17 safety net provider network. Coordination of the network 18 shall focus on increasing access by underserved populations 19 to health care services, increasing integration of the 20 health system and collaboration across the continuum of care 21 with a focus on safety net services, and enhancing the Iowa 22 collaborative safety net provider network’s communication and 23 education efforts. The amount allocated as a grant under this 24 subparagraph (1) shall be used as follows to support the Iowa 25 collaborative safety net provider network goals of increased 26 access, health system integration, and engagement: 27 (a) For distribution to safety net partners in the state 28 that work to increase access of the underserved population to 29 health services: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 512,742 31 1,025,485 32 (i) Of the amount allocated in this subparagraph division 33 (a), up to $206,707 $413,415 shall be distributed to the 34 Iowa prescription drug corporation for continuation of the 35 -14- LSB 5014HV (1) 86 pf/rh/rn 14/ 116
H.F. 2460 pharmaceutical infrastructure for safety net providers as 1 described in 2007 Iowa Acts, chapter 218, section 108 . 2 (ii) Of the amount allocated in this subparagraph division 3 (a), up to $174,161 $348,322 shall be distributed to free 4 clinics and free clinics of Iowa for necessary infrastructure, 5 statewide coordination, provider recruitment, service delivery, 6 and provision of assistance to patients in securing a medical 7 home inclusive of oral health care. 8 (iii) Of the amount allocated in this subparagraph division 9 (a), up to $25,000 $50,000 shall be distributed to the Iowa 10 coalition against sexual assault to continue a training 11 program for sexual assault response team (SART) members, 12 including representatives of law enforcement, victim advocates, 13 prosecutors, and certified medical personnel. 14 (iv) Of the amount allocated in this subparagraph division 15 (a), up to $106,874 $213,748 shall be distributed to the Polk 16 county medical society for continuation of the safety net 17 provider patient access to a specialty health care initiative 18 as described in 2007 Iowa Acts, chapter 218, section 109 . 19 (c) For distribution to safety net partners in the state 20 that work to serve as a resource for credible, accurate 21 information on health care-related needs and services 22 for vulnerable populations in the state including the 23 Iowa association of rural health clinics for necessary 24 infrastructure and service delivery transformation and the Iowa 25 primary care association to support partner engagement, program 26 management, and statewide coordination of the network: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 92,642 28 185,285 29 (2) The amount allocated under this paragraph “g” shall 30 not be reduced for administrative or other costs prior to 31 distribution. The Iowa collaborative safety net provider 32 network may continue to distribute funds allocated pursuant to 33 this paragraph “g” through existing contracts or renewal of 34 existing contracts. 35 -15- LSB 5014HV (1) 86 pf/rh/rn 15/ 116
H.F. 2460 (3) For each goal of the Iowa collaborative safety net 1 provider network, the Iowa primary care association shall 2 submit a progress report to the individuals designated in this 3 Act for submission of reports by December 15, 2016, including 4 progress in developing and implementing the network, how the 5 funds were distributed and used in developing and implementing 6 the network, and the remaining needs identified to fully 7 develop and implement the network. 8 h. Of the funds appropriated in this subsection, $106,700 9 $213,400 shall be used for continuation of the work of the 10 direct care worker advisory council established pursuant to 11 2008 Iowa Acts, chapter 1188, section 69 , in implementing the 12 recommendations in the final report submitted by the advisory 13 council to the governor and the general assembly in March 2012, 14 including by continuing to develop, promote, and make available 15 on a statewide basis the prepare-to-care core curriculum and 16 its associated modules and specialties through various formats 17 including online access, community colleges, and other venues; 18 exploring new and maintaining existing specialties including 19 but not limited to oral health and dementia care; supporting 20 instructor training; and assessing and making recommendations 21 concerning the Iowa care book and information technology 22 systems and infrastructure uses and needs. 23 i. (1) Of the funds appropriated in this subsection, 24 $108,187 $216,375 shall be used for allocation to an 25 independent statewide direct care worker organization selected 26 through a request for proposals process. The contract shall 27 include performance and outcomes measures, and shall allow the 28 contractor to use a portion of the funds received under the 29 contract to collect data to determine results based on the 30 performance and outcomes measures. 31 (2) Of the funds appropriated in this subsection, $37,500 32 $75,000 shall be used to provide scholarships or other forms of 33 subsidization for direct care worker educational conferences, 34 training, or outreach activities. 35 -16- LSB 5014HV (1) 86 pf/rh/rn 16/ 116
H.F. 2460 j. Of the funds appropriated in this subsection, the 1 department may use up to $29,087 $58,175 for up to one 2 full-time equivalent position to administer the volunteer 3 health care provider program pursuant to section 135.24 . 4 k. Of the funds appropriated in this subsection, $50,000 5 $100,000 shall be used for a matching dental education loan 6 repayment program to be allocated to a dental nonprofit health 7 service corporation to continue to develop the criteria and 8 implement the loan repayment program. 9 l. Of the funds appropriated in this subsection, $52,911 10 $179,882 is transferred to the college student aid commission 11 for deposit in the rural Iowa primary care trust fund created 12 in section 261.113 to be used for the purposes of the fund. 13 m. Of the funds appropriated in this subsection, $125,000 14 $250,000 shall be used for the purposes of the Iowa donor 15 registry as specified in section 142C.18 . 16 n. Of the funds appropriated in this subsection, $50,000 17 $100,000 shall be used for continuation of a grant to a 18 nationally affiliated volunteer eye organization that has an 19 established program for children and adults and that is solely 20 dedicated to preserving sight and preventing blindness through 21 education, nationally certified vision screening and training, 22 and community and patient service programs. The organization 23 shall submit a report to the individuals identified in this 24 Act for submission of reports regarding the use of funds 25 allocated under this paragraph “n”. The report shall include 26 the objectives and results for the program year including 27 the target population and how the funds allocated assisted 28 the program in meeting the objectives; the number, age, and 29 location within the state of individuals served; the type of 30 services provided to the individuals served; the distribution 31 of funds based on services provided; and the continuing needs 32 of the program. 33 o. Of the funds appropriated in this subsection, $1,000,000 34 $2,500,000 shall be deposited in the medical residency training 35 -17- LSB 5014HV (1) 86 pf/rh/rn 17/ 116
H.F. 2460 account created in section 135.175, subsection 5, paragraph 1 “a” , and is appropriated from the account to the department 2 of public health to be used for the purposes of the medical 3 residency training state matching grants program as specified 4 in section 135.176 . However, notwithstanding any provision to 5 the contrary in section 135.176 , priority in the awarding of 6 the first $2,000,000 of moneys in the fund for grants shall be 7 given to sponsors that propose preference in the use of the 8 grant funds for psychiatric residency positions and family 9 practice residency positions and priority in the awarding of 10 any additional moneys in the fund shall be given to sponsors 11 that propose preference in the use of the grant funds for 12 internal medicine positions . 13 p. Of the funds appropriated in this subsection, $78,309 14 $156,619 is allocated to the university of Iowa hospitals and 15 clinics to continue a systematic and evidence-based practice 16 collaborative care model to improve outcomes of mental health 17 treatment in primary care settings in the state. Funds shall 18 be used to establish the collaborative care model in several 19 primary care practices in rural and urban areas throughout the 20 state, to provide staffing to administer the model, and to 21 provide staff training and database management to track and 22 manage patient outcomes. 23 5. HEALTHY AGING 24 To provide public health services that reduce risks and 25 invest in promoting and protecting good health over the 26 course of a lifetime with a priority given to older Iowans and 27 vulnerable populations: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,648,571 29 7,297,142 30 6. INFECTIOUS DISEASES 31 For reducing the incidence and prevalence of communicable 32 diseases, and for not more than the following full-time 33 equivalent positions: 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 667,577 35 -18- LSB 5014HV (1) 86 pf/rh/rn 18/ 116
H.F. 2460 1,335,155 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 2 7. PUBLIC PROTECTION 3 For protecting the health and safety of the public through 4 establishing standards and enforcing regulations, and for not 5 more than the following full-time equivalent positions: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,169,595 7 4,399,191 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 136.00 9 137.00 10 a. Of the funds appropriated in this subsection, not more 11 than $227,350 $454,700 shall be credited to the emergency 12 medical services fund created in section 135.25 . Moneys in 13 the emergency medical services fund are appropriated to the 14 department to be used for the purposes of the fund. 15 b. Of the funds appropriated in this subsection, $101,516 16 $203,032 shall be used for sexual violence prevention 17 programming through a statewide organization representing 18 programs serving victims of sexual violence through the 19 department’s sexual violence prevention program. The amount 20 allocated in this paragraph “b” shall not be used to supplant 21 funding administered for other sexual violence prevention or 22 victims assistance programs. 23 c. Of the funds appropriated in this subsection, $299,375 24 $598,751 shall be used for the state poison control center. 25 Pursuant to the directive under 2014 Iowa Acts, chapter 26 1140, section 102 , the federal matching funds available to 27 the state poison control center from the department of human 28 services under the federal Children’s Health Insurance Program 29 Reauthorization Act allotment shall be subject to the federal 30 administrative cap rule of 10 percent applicable to funding 31 provided under Tit. XXI of the federal Social Security Act and 32 included within the department’s calculations of the cap. 33 d. Of the funds appropriated in this subsection, $268,875 34 $537,750 shall be used for childhood lead poisoning provisions. 35 -19- LSB 5014HV (1) 86 pf/rh/rn 19/ 116
H.F. 2460 8. RESOURCE MANAGEMENT 1 For establishing and sustaining the overall ability of the 2 department to deliver services to the public, and for not more 3 than the following full-time equivalent positions: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 427,536 5 1,005,072 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 7 9. MISCELLANEOUS PROVISIONS 8 a. The university of Iowa hospitals and clinics under 9 the control of the state board of regents shall not receive 10 indirect costs from the funds appropriated in this section. 11 The university of Iowa hospitals and clinics billings to the 12 department shall be on at least a quarterly basis. 13 b. Unless otherwise already required under this section of 14 this Act, any entity to which appropriated funds are allocated 15 or distributed under this section shall submit a progress 16 report to the department of public health by December 15, 17 2016, which includes the objectives and results, to date, 18 for the program year and how the funds are assisting the 19 program in meeting the objectives, the target population 20 served and the type of services provided, and the continuing 21 needs of the recipient entity and the service population. The 22 department shall review the information reported and shall make 23 recommendations to the governor and the general assembly to 24 realign, bundle, or otherwise redistribute funding to meet the 25 needs identified and improve services during the subsequent 26 fiscal year. 27 c. The department of public health shall submit a report 28 to the individuals identified in this Act for submission 29 of reports by December 15, 2016, regarding a proposal for 30 realigning, bundling, redistributing, or otherwise adjusting 31 the department’s funding streams to reflect the department’s 32 priorities and goals and to provide increased flexibility in 33 the distribution of funding to meet these priorities and goals. 34 The proposal shall specifically include recommendations for a 35 -20- LSB 5014HV (1) 86 pf/rh/rn 20/ 116
H.F. 2460 broader, more systematic and strategic workforce initiative 1 which may include a comprehensive study of workforce program 2 needs and the establishment of an advisory workgroup. The 3 proposal shall also specifically include strategies, developed 4 in collaboration with the department of education, to encourage 5 elementary and secondary education students to pursue careers 6 in the fields of health and health care. 7 DIVISION IV 8 DEPARTMENT OF VETERANS AFFAIRS —— FY 2016-2017 9 Sec. 4. 2015 Iowa Acts, chapter 137, section 124, is amended 10 to read as follows: 11 SEC. 124. DEPARTMENT OF VETERANS AFFAIRS. There is 12 appropriated from the general fund of the state to the 13 department of veterans affairs for the fiscal year beginning 14 July 1, 2016, and ending June 30, 2017, the following amounts, 15 or so much thereof as is necessary, to be used for the purposes 16 designated: 17 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 18 For salaries, support, maintenance, and miscellaneous 19 purposes, and for not more than the following full-time 20 equivalent positions: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 600,273 22 1,200,546 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 24 2. IOWA VETERANS HOME 25 For salaries, support, maintenance, and miscellaneous 26 purposes: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,797,498 28 7,594,996 29 a. The Iowa veterans home billings involving the department 30 of human services shall be submitted to the department on at 31 least a monthly basis. 32 c. Within available resources and in conformance with 33 associated state and federal program eligibility requirements, 34 the Iowa veterans home may implement measures to provide 35 -21- LSB 5014HV (1) 86 pf/rh/rn 21/ 116
H.F. 2460 financial assistance to or on behalf of veterans or their 1 spouses who are participating in the community reentry program. 2 3. HOME OWNERSHIP ASSISTANCE PROGRAM 3 For transfer to the Iowa finance authority for the 4 continuation of the home ownership assistance program for 5 persons who are or were eligible members of the armed forces of 6 the United States, pursuant to section 16.54 : 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,250,000 8 2,500,000 9 Sec. 5. 2015 Iowa Acts, chapter 137, section 125, is amended 10 to read as follows: 11 SEC. 125. LIMITATION OF COUNTY COMMISSIONS OF VETERAN 12 AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the 13 standing appropriation in section 35A.16 for the fiscal year 14 beginning July 1, 2016, and ending June 30, 2017, the amount 15 appropriated from the general fund of the state pursuant to 16 that section for the following designated purposes shall not 17 exceed the following amount: 18 For the county commissions of veteran affairs fund under 19 section 35A.16 : 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 495,000 21 990,000 22 DIVISION V 23 DEPARTMENT OF HUMAN SERVICES —— FY 2016-2017 24 Sec. 6. 2015 Iowa Acts, chapter 137, section 126, is amended 25 to read as follows: 26 SEC. 126. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 27 GRANT. There is appropriated from the fund created in section 28 8.41 to the department of human services for the fiscal year 29 beginning July 1, 2016, and ending June 30, 2017, from moneys 30 received under the federal temporary assistance for needy 31 families (TANF) block grant pursuant to the federal Personal 32 Responsibility and Work Opportunity Reconciliation Act of 1996, 33 Pub. L. No. 104-193, and successor legislation, the following 34 amounts, or so much thereof as is necessary, to be used for the 35 -22- LSB 5014HV (1) 86 pf/rh/rn 22/ 116
H.F. 2460 purposes designated: 1 1. To be credited to the family investment program account 2 and used for assistance under the family investment program 3 under chapter 239B : 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,568,497 5 5,112,462 6 2. To be credited to the family investment program account 7 and used for the job opportunities and basic skills (JOBS) 8 program and implementing family investment agreements in 9 accordance with chapter 239B : 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,069,089 11 5,575,693 12 3. To be used for the family development and 13 self-sufficiency grant program in accordance with section 14 216A.107 : 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,449,490 16 2,898,980 17 Notwithstanding section 8.33 , moneys appropriated in this 18 subsection that remain unencumbered or unobligated at the close 19 of the fiscal year shall not revert but shall remain available 20 for expenditure for the purposes designated until the close of 21 the succeeding fiscal year. However, unless such moneys are 22 encumbered or obligated on or before September 30, 2016, the 23 moneys shall revert. 24 4. For field operations: 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,648,116 26 35,774,330 27 5. For general administration: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,872,000 29 3,744,000 30 6. For state child care assistance: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 17,523,555 32 46,866,826 33 a. Of the funds appropriated in this subsection, 34 $13,164,048 $26,328,097 is transferred to the child care and 35 -23- LSB 5014HV (1) 86 pf/rh/rn 23/ 116
H.F. 2460 development block grant appropriation made by the Eighty-sixth 1 General Assembly, 2016 Session, for the federal fiscal year 2 beginning October 1, 2016, and ending September 30, 2017. Of 3 this amount, $100,000 $200,000 shall be used for provision 4 of educational opportunities to registered child care home 5 providers in order to improve services and programs offered 6 by this category of providers and to increase the number of 7 providers. The department may contract with institutions 8 of higher education or child care resource and referral 9 centers to provide the educational opportunities. Allowable 10 administrative costs under the contracts shall not exceed 5 11 percent. The application for a grant shall not exceed two 12 pages in length. 13 b. Any funds appropriated in this subsection remaining 14 unallocated shall be used for state child care assistance 15 payments for families who are employed including but not 16 limited to individuals enrolled in the family investment 17 program. 18 7. For distribution to counties and regions through the 19 property tax relief fund for mental health and disability 20 services as provided in an appropriation made for this purpose: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,447,026 22 8. For child and family services: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,042,215 24 36,256,581 25 9. For child abuse prevention grants: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,500 27 125,000 28 10. For pregnancy prevention grants on the condition that 29 family planning services are funded: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 965,033 31 1,930,067 32 Pregnancy prevention grants shall be awarded to programs 33 in existence on or before July 1, 2016, if the programs have 34 demonstrated positive outcomes. Grants shall be awarded to 35 -24- LSB 5014HV (1) 86 pf/rh/rn 24/ 116
H.F. 2460 pregnancy prevention programs which are developed after July 1 1, 2016, if the programs are based on existing models that 2 have demonstrated positive outcomes. Grants shall comply with 3 the requirements provided in 1997 Iowa Acts, chapter 208, 4 section 14, subsections 1 and 2 , including the requirement that 5 grant programs must emphasize sexual abstinence. Priority in 6 the awarding of grants shall be given to programs that serve 7 areas of the state which demonstrate the highest percentage of 8 unplanned pregnancies of females of childbearing age within the 9 geographic area to be served by the grant. 10 11. For technology needs and other resources necessary 11 to meet federal welfare reform reporting, tracking, and case 12 management requirements: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 518,593 14 1,037,186 15 12. For the family investment program share of the costs to 16 continue to develop and maintain a new, integrated eligibility 17 determination system: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,327,440 19 6,654,880 20 13. a. Notwithstanding any provision to the contrary, 21 including but not limited to requirements in section 8.41 or 22 provisions in 2015 or 2016 Iowa Acts regarding the receipt and 23 appropriation of federal block grants, federal funds from the 24 temporary assistance for needy families block grant received by 25 the state and not otherwise appropriated in this section and 26 remaining available for the fiscal year beginning July 1, 2016, 27 are appropriated to the department of human services to the 28 extent as may be necessary to be used in the following priority 29 order: the family investment program, for state child care 30 assistance program payments for families who are employed, and 31 for the family investment program share of costs to develop and 32 maintain a new, integrated eligibility determination system. 33 The federal funds appropriated in this paragraph “a” shall be 34 expended only after all other funds appropriated in subsection 35 -25- LSB 5014HV (1) 86 pf/rh/rn 25/ 116
H.F. 2460 1 for the assistance under the family investment program, 1 in subsection 6 for child care assistance, or in subsection 2 12 for the family investment program share of the costs to 3 continue to develop and maintain a new, integrated eligibility 4 determination system, as applicable, have been expended. For 5 the purposes of this subsection, the funds appropriated in 6 subsection 6, paragraph “a”, for transfer to the child care 7 and development block grant appropriation are considered fully 8 expended when the full amount has been transferred. 9 b. The department shall, on a quarterly basis, advise the 10 legislative services agency and department of management of 11 the amount of funds appropriated in this subsection that was 12 expended in the prior quarter. 13 14. Of the amounts appropriated in this section, $6,481,004 14 $12,962,008 for the fiscal year beginning July 1, 2016, is 15 transferred to the appropriation of the federal social services 16 block grant made to the department of human services for that 17 fiscal year. 18 15. For continuation of the program providing categorical 19 eligibility for the food assistance program as specified for 20 the program in the section of this division of this 2016 Act 21 relating to the family investment program account: 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,500 23 25,000 24 16. The department may transfer funds allocated in this 25 section to the appropriations made in this division of this Act 26 for the same fiscal year for general administration and field 27 operations for resources necessary to implement and operate the 28 services referred to in this section and those funded in the 29 appropriation made in this division of this Act for the same 30 fiscal year for the family investment program from the general 31 fund of the state. 32 Sec. 7. 2015 Iowa Acts, chapter 137, section 127, is amended 33 to read as follows: 34 SEC. 127. FAMILY INVESTMENT PROGRAM ACCOUNT. 35 -26- LSB 5014HV (1) 86 pf/rh/rn 26/ 116
H.F. 2460 1. Moneys credited to the family investment program (FIP) 1 account for the fiscal year beginning July 1, 2016, and 2 ending June 30, 2017, shall be used to provide assistance in 3 accordance with chapter 239B . 4 2. The department may use a portion of the moneys credited 5 to the FIP account under this section as necessary for 6 salaries, support, maintenance, and miscellaneous purposes. 7 3. The department may transfer funds allocated in 8 subsection 4 to the appropriations made in this division of 9 this Act for the same fiscal year for general administration 10 and field operations for resources necessary to implement and 11 operate the family investment program services referred to in 12 this section and those funded in the appropriation made in this 13 division of this Act for the same fiscal year for the family 14 investment program from the general fund of the state. 15 4. Moneys appropriated in this division of this Act and 16 credited to the FIP account for the fiscal year beginning July 17 1, 2016, and ending June 30, 2017, are allocated as follows: 18 a. To be retained by the department of human services to 19 be used for coordinating with the department of human rights 20 to more effectively serve participants in FIP and other shared 21 clients and to meet federal reporting requirements under the 22 federal temporary assistance for needy families block grant: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,000 24 20,000 25 b. To the department of human rights for staffing, 26 administration, and implementation of the family development 27 and self-sufficiency grant program in accordance with section 28 216A.107 : 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,096,417 30 6,192,834 31 (1) Of the funds allocated for the family development 32 and self-sufficiency grant program in this paragraph “b”, 33 not more than 5 percent of the funds shall be used for the 34 administration of the grant program. 35 -27- LSB 5014HV (1) 86 pf/rh/rn 27/ 116
H.F. 2460 (2) The department of human rights may continue to implement 1 the family development and self-sufficiency grant program 2 statewide during fiscal year 2016-2017. 3 (3) The department of human rights may engage in activities 4 to strengthen and improve family outcomes measures and 5 data collection systems under the family development and 6 self-sufficiency grant program. 7 c. For the diversion subaccount of the FIP account: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 407,500 9 815,000 10 A portion of the moneys allocated for the subaccount may 11 be used for field operations, salaries, data management 12 system development, and implementation costs and support 13 deemed necessary by the director of human services in order 14 to administer the FIP diversion program. To the extent 15 moneys allocated in this paragraph “c” are not deemed by the 16 department to be necessary to support diversion activities, 17 such moneys may be used for other efforts intended to increase 18 engagement by family investment program participants in work, 19 education, or training activities. 20 d. For the food assistance employment and training program: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,294 22 66,588 23 (1) The department shall apply the federal supplemental 24 nutrition assistance program (SNAP) employment and training 25 state plan in order to maximize to the fullest extent permitted 26 by federal law the use of the 50 percent federal reimbursement 27 provisions for the claiming of allowable federal reimbursement 28 funds from the United States department of agriculture 29 pursuant to the federal SNAP employment and training program 30 for providing education, employment, and training services 31 for eligible food assistance program participants, including 32 but not limited to related dependent care and transportation 33 expenses. 34 (2) The department shall continue the categorical federal 35 -28- LSB 5014HV (1) 86 pf/rh/rn 28/ 116
H.F. 2460 food assistance program eligibility at 160 percent of the 1 federal poverty level and continue to eliminate the asset test 2 from eligibility requirements, consistent with federal food 3 assistance program requirements. The department shall include 4 as many food assistance households as is allowed by federal 5 law. The eligibility provisions shall conform to all federal 6 requirements including requirements addressing individuals who 7 are incarcerated or otherwise ineligible. 8 e. For the JOBS program: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,770,199 10 16,129,101 11 5. Of the child support collections assigned under FIP, 12 an amount equal to the federal share of support collections 13 shall be credited to the child support recovery appropriation 14 made in this division of this Act. Of the remainder of the 15 assigned child support collections received by the child 16 support recovery unit, a portion shall be credited to the FIP 17 account, a portion may be used to increase recoveries, and a 18 portion may be used to sustain cash flow in the child support 19 payments account. If as a consequence of the appropriations 20 and allocations made in this section the resulting amounts 21 are insufficient to sustain cash assistance payments and meet 22 federal maintenance of effort requirements, the department 23 shall seek supplemental funding. If child support collections 24 assigned under FIP are greater than estimated or are otherwise 25 determined not to be required for maintenance of effort, the 26 state share of either amount may be transferred to or retained 27 in the child support payments account. 28 6. The department may adopt emergency rules for the family 29 investment, JOBS, food assistance, and medical assistance 30 programs if necessary to comply with federal requirements. 31 Sec. 8. 2015 Iowa Acts, chapter 137, section 128, is amended 32 to read as follows: 33 SEC. 128. FAMILY INVESTMENT PROGRAM GENERAL FUND. There 34 is appropriated from the general fund of the state to the 35 -29- LSB 5014HV (1) 86 pf/rh/rn 29/ 116
H.F. 2460 department of human services for the fiscal year beginning July 1 1, 2016, and ending June 30, 2017, the following amount, or 2 so much thereof as is necessary, to be used for the purpose 3 designated: 4 To be credited to the family investment program (FIP) 5 account and used for family investment program assistance under 6 chapter 239B : 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 24,336,937 8 48,673,875 9 1. Of the funds appropriated in this section, $3,701,110 10 $10,553,408 is allocated for the JOBS program. 11 2. Of the funds appropriated in this section, $1,656,927 12 $3,313,854 is allocated for the family development and 13 self-sufficiency grant program. 14 3. Notwithstanding section 8.39 , for the fiscal year 15 beginning July 1, 2016, if necessary to meet federal 16 maintenance of effort requirements ; or to transfer federal 17 temporary assistance for needy families block grant funding 18 to be used for purposes of the federal social services block 19 grant ; or to meet cash flow needs resulting from delays in 20 receiving federal funding ; or to implement, in accordance 21 with this division of this Act, activities currently funded 22 with juvenile court services, county, or community moneys 23 and state moneys used in combination with such moneys ; to 24 comply with federal requirements; or to maximize the use of 25 federal funds , the department of human services may transfer 26 funds within or between any of the appropriations made in 27 this division of this Act and appropriations in law for the 28 federal social services block grant to the department for the 29 following purposes, provided that the combined amount of state 30 and federal temporary assistance for needy families block grant 31 funding for each appropriation remains the same before and 32 after the transfer: 33 a. For the family investment program. 34 b. For child care assistance. 35 -30- LSB 5014HV (1) 86 pf/rh/rn 30/ 116
H.F. 2460 c. For child and family services. 1 d. For field operations. 2 e. For general administration. 3 f. For distribution to counties or regions through the 4 property tax relief fund for mental health and disability 5 services as provided in an appropriation for this purpose. 6 This subsection shall not be construed to prohibit the use 7 of existing state transfer authority for other purposes. The 8 department shall report any transfers made pursuant to this 9 subsection to the legislative services agency. 10 4. Of the funds appropriated in this section, $97,839 11 $195,678 shall be used for continuation of a grant to an 12 Iowa-based nonprofit organization with a history of providing 13 tax preparation assistance to low-income Iowans in order to 14 expand the usage of the earned income tax credit. The purpose 15 of the grant is to supply this assistance to underserved areas 16 of the state. 17 5. Of the funds appropriated in this section, $30,000 18 $60,000 shall be used for the continuation of an unfunded 19 pilot project, as defined in 441 IAC 100.1 , relating to 20 parental obligations, in which the child support recovery 21 unit participates, to support the efforts of a nonprofit 22 organization committed to strengthening the community through 23 youth development, healthy living, and social responsibility 24 headquartered in a county with a population over 350,000. 25 The funds allocated in this subsection shall be used by 26 the recipient organization to develop a larger community 27 effort, through public and private partnerships, to support a 28 broad-based multi-county fatherhood initiative that promotes 29 payment of child support obligations, improved family 30 relationships, and full-time employment. 31 6. The department may transfer funds appropriated in this 32 section to the appropriations made in this division of this Act 33 for general administration and field operations as necessary 34 to administer this section and the overall family investment 35 -31- LSB 5014HV (1) 86 pf/rh/rn 31/ 116
H.F. 2460 program. 1 Sec. 9. 2015 Iowa Acts, chapter 137, section 129, is amended 2 to read as follows: 3 SEC. 129. CHILD SUPPORT RECOVERY. There is appropriated 4 from the general fund of the state to the department of human 5 services for the fiscal year beginning July 1, 2016, and ending 6 June 30, 2017, the following amount, or so much thereof as is 7 necessary, to be used for the purposes designated: 8 For child support recovery, including salaries, support, 9 maintenance, and miscellaneous purposes, and for not more than 10 the following full-time equivalent positions: 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,331,686 12 14,663,373 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 464.00 14 1. The department shall expend up to $12,164 $24,329 , 15 including federal financial participation, for the fiscal year 16 beginning July 1, 2016, for a child support public awareness 17 campaign. The department and the office of the attorney 18 general shall cooperate in continuation of the campaign. The 19 public awareness campaign shall emphasize, through a variety 20 of media activities, the importance of maximum involvement of 21 both parents in the lives of their children as well as the 22 importance of payment of child support obligations. 23 2. Federal access and visitation grant moneys shall be 24 issued directly to private not-for-profit agencies that provide 25 services designed to increase compliance with the child access 26 provisions of court orders, including but not limited to 27 neutral visitation sites and mediation services. 28 3. The appropriation made to the department for child 29 support recovery may be used throughout the fiscal year in the 30 manner necessary for purposes of cash flow management, and for 31 cash flow management purposes the department may temporarily 32 draw more than the amount appropriated, provided the amount 33 appropriated is not exceeded at the close of the fiscal year. 34 4. With the exception of the funding amount specified, the 35 -32- LSB 5014HV (1) 86 pf/rh/rn 32/ 116
H.F. 2460 requirements established under 2001 Iowa Acts, chapter 191, 1 section 3, subsection 5, paragraph “c” , subparagraph (3), shall 2 be applicable to parental obligation pilot projects for the 3 fiscal year beginning July 1, 2016, and ending June 30, 2017. 4 Notwithstanding 441 IAC 100.8 , providing for termination of 5 rules relating to the pilot projects, the rules shall remain 6 in effect until June 30, 2017. 7 Sec. 10. 2015 Iowa Acts, chapter 137, section 132, is 8 amended to read as follows: 9 SEC. 132. MEDICAL ASSISTANCE. There is appropriated from 10 the general fund of the state to the department of human 11 services for the fiscal year beginning July 1, 2016, and ending 12 June 30, 2017, the following amount, or so much thereof as is 13 necessary, to be used for the purpose designated: 14 For medical assistance program reimbursement and associated 15 costs as specifically provided in the reimbursement 16 methodologies in effect on June 30, 2016, except as otherwise 17 expressly authorized by law, consistent with options under 18 federal law and regulations, and contingent upon receipt of 19 approval from the office of the governor of reimbursement for 20 each abortion performed under the program: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 651,595,782 22 1,315,246,446 23 1. Iowans support reducing the number of abortions 24 performed in our state. Funds appropriated under this section 25 shall not be used for abortions, unless otherwise authorized 26 under this section. 27 2. The provisions of this section relating to abortions 28 shall also apply to the Iowa health and wellness plan created 29 pursuant to chapter 249N . 30 3. The department shall utilize not more than $30,000 31 $60,000 of the funds appropriated in this section to continue 32 the AIDS/HIV health insurance premium payment program as 33 established in 1992 Iowa Acts, Second Extraordinary Session, 34 chapter 1001, section 409, subsection 6 . Of the funds 35 -33- LSB 5014HV (1) 86 pf/rh/rn 33/ 116
H.F. 2460 allocated in this subsection, not more than $2,500 $5,000 may 1 be expended for administrative purposes. 2 4. Of the funds appropriated in this Act to the department 3 of public health for addictive disorders, $475,000 $950,000 4 for the fiscal year beginning July 1, 2016, is transferred 5 to the department of human services for an integrated 6 substance-related disorder managed care system. The department 7 shall not assume management of the substance-related disorder 8 system in place of the managed care contractor unless such 9 a change in approach is specifically authorized in law. 10 The departments of human services and public health shall 11 work together to maintain the level of mental health and 12 substance-related disorder treatment services provided by the 13 managed care contractor through the Iowa plan for behavioral 14 health contractors . Each department shall take the steps 15 necessary to continue the federal waivers as necessary to 16 maintain the level of services. 17 5. a. The department shall aggressively pursue options for 18 providing medical assistance or other assistance to individuals 19 with special needs who become ineligible to continue receiving 20 services under the early and periodic screening, diagnostic, 21 and treatment program under the medical assistance program 22 due to becoming 21 years of age who have been approved for 23 additional assistance through the department’s exception to 24 policy provisions, but who have health care needs in excess 25 of the funding available through the exception to policy 26 provisions. 27 b. Of the funds appropriated in this section, $50,000 28 $100,000 shall be used for participation in one or more 29 pilot projects operated by a private provider to allow the 30 individual or individuals to receive service in the community 31 in accordance with principles established in Olmstead v. 32 L.C., 527 U.S. 581 (1999), for the purpose of providing 33 medical assistance or other assistance to individuals with 34 special needs who become ineligible to continue receiving 35 -34- LSB 5014HV (1) 86 pf/rh/rn 34/ 116
H.F. 2460 services under the early and periodic screening, diagnostic, 1 and treatment program under the medical assistance program 2 due to becoming 21 years of age who have been approved for 3 additional assistance through the department’s exception to 4 policy provisions, but who have health care needs in excess 5 of the funding available through the exception to the policy 6 provisions. 7 6. Of the funds appropriated in this section, up to 8 $1,525,041 $3,050,082 may be transferred to the field 9 operations or general administration appropriations in this 10 division of this Act for operational costs associated with Part 11 D of the federal Medicare Prescription Drug Improvement and 12 Modernization Act of 2003, Pub. L. No. 108-173. 13 7. Of the funds appropriated in this section, up to 14 $221,050 $442,100 may be transferred to the appropriation in 15 this division of this Act for medical contracts to be used 16 for clinical assessment services and prior authorization of 17 services. 18 8. A portion of the funds appropriated in this section 19 may be transferred to the appropriations in this division of 20 this Act for general administration, medical contracts, the 21 children’s health insurance program, or field operations to be 22 used for the state match cost to comply with the payment error 23 rate measurement (PERM) program for both the medical assistance 24 and children’s health insurance programs as developed by the 25 centers for Medicare and Medicaid services of the United States 26 department of health and human services to comply with the 27 federal Improper Payments Information Act of 2002, Pub. L. No. 28 107-300. 29 9. The department shall continue to implement the 30 recommendations of the assuring better child health and 31 development initiative II (ABCDII) clinical panel to the 32 Iowa early and periodic screening, diagnostic, and treatment 33 services healthy mental development collaborative board 34 regarding changes to billing procedures, codes, and eligible 35 -35- LSB 5014HV (1) 86 pf/rh/rn 35/ 116
H.F. 2460 service providers. 1 10. Of the funds appropriated in this section, a sufficient 2 amount is allocated to supplement the incomes of residents of 3 nursing facilities, intermediate care facilities for persons 4 with mental illness, and intermediate care facilities for 5 persons with an intellectual disability, with incomes of less 6 than $50 in the amount necessary for the residents to receive a 7 personal needs allowance of $50 per month pursuant to section 8 249A.30A . 9 11. Of the funds appropriated in this section, the following 10 amounts are transferred to the appropriations made in this 11 division of this Act for the state mental health institutes: 12 a. Cherokee mental health institute . . . . . . . . . . $ 4,549,212 13 b. Independence mental health institute . . . . . . $ 4,522,947 14 12. a. Of the funds appropriated in this section, 15 $2,041,939 is allocated for the state match for a 16 disproportionate share hospital payment of $4,544,712 to 17 The hospitals that meet both of the conditions specified 18 in subparagraphs (1) and (2) . In addition, the hospitals 19 that meet the conditions specified shall either certify 20 public expenditures or transfer to the medical assistance 21 program an amount equal to provide the nonfederal share 22 for a disproportionate share hospital payment of $8,772,003 23 $26,633,430 . The hospitals that meet the conditions 24 specified shall receive and retain 100 percent of the total 25 disproportionate share hospital payment of $13,316,715 26 $26,633,430 . 27 (1) The hospital qualifies for disproportionate share and 28 graduate medical education payments. 29 (2) The hospital is an Iowa state-owned hospital with more 30 than 500 beds and eight or more distinct residency specialty 31 or subspecialty programs recognized by the American college of 32 graduate medical education. 33 b. Distribution of the disproportionate share payments 34 shall be made on a monthly basis. The total amount of 35 -36- LSB 5014HV (1) 86 pf/rh/rn 36/ 116
H.F. 2460 disproportionate share payments including graduate medical 1 education, enhanced disproportionate share, and Iowa 2 state-owned teaching hospital payments shall not exceed the 3 amount of the state’s allotment under Pub. L. No. 102-234. 4 In addition, the total amount of all disproportionate 5 share payments shall not exceed the hospital-specific 6 disproportionate share limits under Pub. L. No. 103-66. 7 c. The university of Iowa hospitals and clinics shall either 8 certify public expenditures or transfer to the appropriations 9 made in this division of this Act for medical assistance an 10 amount equal to provide the nonfederal share for increased 11 medical assistance payments for inpatient and outpatient 12 hospital services of $4,950,000 $9,900,000 . The university of 13 Iowa hospitals and clinics shall receive and retain 100 percent 14 of the total increase in medical assistance payments. 15 d. Payment methodologies utilized for disproportionate 16 share hospitals and graduate medical education, and other 17 supplemental payments under the Medicaid program may be 18 adjusted or converted to other methodologies or payment types 19 to provide these payments through Medicaid managed care after 20 April 1, 2016 . The department of human services shall obtain 21 approval from the centers for Medicare and Medicaid services 22 of the United States department of health and human services 23 prior to implementation of any such adjusted or converted 24 methodologies or payment types. 25 13. One hundred percent of the nonfederal share of payments 26 to area education agencies that are medical assistance 27 providers for medical assistance-covered services provided to 28 medical assistance-covered children, shall be made from the 29 appropriation made in this section. 30 14. Any new or renewed contract entered into by the 31 department with a third party to administer services under the 32 medical assistance program shall provide that any interest 33 earned on payments from the state during the state fiscal year 34 shall be remitted to the department and treated as recoveries 35 -37- LSB 5014HV (1) 86 pf/rh/rn 37/ 116
H.F. 2460 to offset the costs of the medical assistance program. 1 15. A portion of the funds appropriated in this section 2 may be transferred to the appropriation in this division of 3 this Act for medical contracts to be used for administrative 4 activities associated with the money follows the person 5 demonstration project. 6 16. Of the funds appropriated in this section, $174,505 7 $349,011 shall be used for the administration of the health 8 insurance premium payment program, including salaries, support, 9 maintenance, and miscellaneous purposes. 10 17. a. The department may increase the amounts allocated 11 for salaries, support, maintenance, and miscellaneous purposes 12 associated with the medical assistance program, as necessary, 13 to implement cost containment strategies. The department shall 14 report any such increase to the legislative services agency and 15 the department of management. 16 b. If the savings to the medical assistance program from 17 cost containment efforts exceed the cost for the fiscal 18 year beginning July 1, 2016, the department may transfer any 19 savings generated for the fiscal year due to medical assistance 20 program cost containment efforts to the appropriation 21 made in this division of this Act for medical contracts or 22 general administration to defray the increased contract costs 23 associated with implementing such efforts. 24 18. For the fiscal year beginning July 1, 2016, and ending 25 June 30, 2017, the replacement generation tax revenues required 26 to be deposited in the property tax relief fund pursuant to 27 section 437A.8, subsection 4, paragraph “d” , and section 28 437A.15, subsection 3, paragraph “f” , shall instead be credited 29 to and supplement the appropriation made in this section and 30 used for the allocations made in this section. 31 19. The department shall continue to administer the state 32 balancing incentive payments program as specified in 2012 Iowa 33 Acts, chapter 1133, section 14 . 34 20. a. Of the funds appropriated in this section, up 35 -38- LSB 5014HV (1) 86 pf/rh/rn 38/ 116
H.F. 2460 to $25,000 $50,000 may be transferred by the department to 1 the appropriation made in this division of this Act to the 2 department for the same fiscal year for general administration 3 to be used for associated administrative expenses and for not 4 more than one full-time equivalent position, in addition to 5 those authorized for the same fiscal year, to be assigned to 6 implementing the children’s mental health home project. 7 b. Of the funds appropriated in this section, up to 8 $200,000 $400,000 may be transferred by the department to 9 the appropriation made to the department in this division of 10 this Act for the same fiscal year for Medicaid program-related 11 general administration planning and implementation activities. 12 The funds may be used for contracts or for personnel in 13 addition to the amounts appropriated for and the positions 14 authorized for general administration for the fiscal year. 15 c. Of the funds appropriated in this section, up to 16 $1,500,000 $3,000,000 may be transferred by the department 17 to the appropriations made in this division of this Act 18 for the same fiscal year for general administration or 19 medical contracts to be used to support the development 20 and implementation of standardized assessment tools for 21 persons with mental illness, an intellectual disability, a 22 developmental disability, or a brain injury. 23 21. Of the funds appropriated in this section, $125,000 24 $250,000 shall be used for lodging expenses associated with 25 care provided at the university of Iowa hospitals and clinics 26 for patients with cancer whose travel distance is 30 miles or 27 more and whose income is at or below 200 percent of the federal 28 poverty level as defined by the most recently revised poverty 29 income guidelines published by the United States department of 30 health and human services. The department of human services 31 shall establish the maximum number of overnight stays and the 32 maximum rate reimbursed for overnight lodging, which may be 33 based on the state employee rate established by the department 34 of administrative services. The funds allocated in this 35 -39- LSB 5014HV (1) 86 pf/rh/rn 39/ 116
H.F. 2460 subsection shall not be used as nonfederal share matching 1 funds. 2 22. The department of human services shall not implement 3 the following cost containment strategies as recommended by the 4 governor for the fiscal year beginning July 1, 2016: 5 a. A policy to ensure that reimbursement for Medicare Part A 6 and Medicare Part B crossover claims is limited to the Medicaid 7 reimbursement rate. 8 b. An adjustment to the reimbursement policy in order to end 9 the primary care physician rate increase originally authorized 10 by the federal Health Care and Education Reconciliation 11 Act of 2010, section 1202, Pub. L. No. 111-152, 42 U.S.C. 12 §1396a(a)(13)(C) that allows qualified primary care physicians 13 to receive the greater of the Medicare rate or Medicaid rate 14 for a specified set of codes. 15 23. The department shall report the implementation of 16 any cost containment strategies to the individuals specified 17 in this division of this Act for submission of reports upon 18 implementation. 19 24. The department shall report the implementation of any 20 improved processing changes and any related cost reductions 21 to the individuals specified in this division of this Act for 22 submission of reports upon implementation. 23 25. Of the funds appropriated in this section, $3,000,000 24 shall be used to implement reductions in the waiting lists 25 of all medical assistance home and community-based services 26 waivers. 27 26. The department shall submit a report to the individuals 28 identified in this Act for submission of reports, regarding 29 changes in home and community-based services waiver supported 30 employment and prevocational services by December 15, 2016. 31 27. The department shall require that all dental benefit 32 managers contracting with the department to provide benefits 33 under the dental wellness program meet contract requirements 34 including but not limited to those related to network adequacy, 35 -40- LSB 5014HV (1) 86 pf/rh/rn 40/ 116
H.F. 2460 access to services, performance measures, and benefit design, 1 identical to those requirements for dental benefit managers 2 contracting under the program during the fiscal year beginning 3 July 1, 2015. 4 Sec. 11. 2015 Iowa Acts, chapter 137, section 133, is 5 amended to read as follows: 6 SEC. 133. MEDICAL CONTRACTS. There is appropriated from the 7 general fund of the state to the department of human services 8 for the fiscal year beginning July 1, 2016, and ending June 30, 9 2017, the following amount, or so much thereof as is necessary, 10 to be used for the purpose designated: 11 For medical contracts: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,806,982 13 17,045,964 14 1. The department of inspections and appeals shall 15 provide all state matching funds for survey and certification 16 activities performed by the department of inspections 17 and appeals. The department of human services is solely 18 responsible for distributing the federal matching funds for 19 such activities. 20 2. Of the funds appropriated in this section, $25,000 21 $50,000 shall be used for continuation of home and 22 community-based services waiver quality assurance programs, 23 including the review and streamlining of processes and policies 24 related to oversight and quality management to meet state and 25 federal requirements. 26 3. Of the amount appropriated in this section, up to 27 $100,000 $200,000 may be transferred to the appropriation 28 for general administration in this division of this Act to 29 be used for additional full-time equivalent positions in the 30 development of key health initiatives such as cost containment, 31 development and oversight of managed care programs, and 32 development of health strategies targeted toward improved 33 quality and reduced costs in the Medicaid program. 34 4. Of the funds appropriated in this section, $500,000 35 -41- LSB 5014HV (1) 86 pf/rh/rn 41/ 116
H.F. 2460 $1,000,000 shall be used for planning and development, 1 in cooperation with the department of public health, of a 2 phased-in program to provide a dental home for children. 3 5. Of the funds appropriated in this section, $1,000,000 4 $2,000,000 shall be used for the autism support program created 5 in chapter 225D , with the exception of the following amounts of 6 this allocation which shall be used as follows: 7 a. Of the funds allocated in this subsection, $125,000 8 $250,000 shall be deposited in the board-certified behavior 9 analyst and board-certified assistant behavior analyst grants 10 program fund created in section 135.181 , as enacted in this 11 Act, to be used for the purposes of the fund. 12 b. Of the funds allocated in this subsection, $12,500 13 $25,000 shall be used for the public purpose of continuation 14 of a grant to a child welfare services provider headquartered 15 in a county with a population between 205,000 and 215,000 in 16 the latest certified federal census that provides multiple 17 services including but not limited to a psychiatric medical 18 institution for children, shelter, residential treatment, after 19 school programs, school-based programming, and an Asperger’s 20 syndrome program, to be used for support services for children 21 with autism spectrum disorder and their families. 22 c. Of the funds allocated in this subsection, $12,500 23 $25,000 shall be used for the public purpose of continuing a 24 grant to a hospital-based provider headquartered in a county 25 with a population between 90,000 and 95,000 in the latest 26 certified federal census that provides multiple services 27 including but not limited to diagnostic, therapeutic, and 28 behavioral services to individuals with autism spectrum 29 disorder across one’s lifespan. The grant recipient shall 30 utilize the funds to continue the pilot project to determine 31 the necessary support services for children with autism 32 spectrum disorder and their families to be included in the 33 children’s disabilities services system. The grant recipient 34 shall submit findings and recommendations based upon the 35 -42- LSB 5014HV (1) 86 pf/rh/rn 42/ 116
H.F. 2460 results of the pilot project to the individuals specified in 1 this division of this Act for submission of reports by December 2 31, 2015 2016 . 3 Sec. 12. 2015 Iowa Acts, chapter 137, section 134, is 4 amended to read as follows: 5 SEC. 134. STATE SUPPLEMENTARY ASSISTANCE. 6 1. There is appropriated from the general fund of the 7 state to the department of human services for the fiscal year 8 beginning July 1, 2016, and ending June 30, 2017, the following 9 amount, or so much thereof as is necessary, to be used for the 10 purpose designated: 11 For the state supplementary assistance program: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,498,593 13 11,611,442 14 2. The department shall increase the personal needs 15 allowance for residents of residential care facilities by the 16 same percentage and at the same time as federal supplemental 17 security income and federal social security benefits are 18 increased due to a recognized increase in the cost of living. 19 The department may adopt emergency rules to implement this 20 subsection. 21 3. If during the fiscal year beginning July 1, 2016, 22 the department projects that state supplementary assistance 23 expenditures for a calendar year will not meet the federal 24 pass-through requirement specified in Tit. XVI of the federal 25 Social Security Act, section 1618, as codified in 42 U.S.C. 26 §1382g, the department may take actions including but not 27 limited to increasing the personal needs allowance for 28 residential care facility residents and making programmatic 29 adjustments or upward adjustments of the residential care 30 facility or in-home health-related care reimbursement rates 31 prescribed in this division of this Act to ensure that federal 32 requirements are met. In addition, the department may make 33 other programmatic and rate adjustments necessary to remain 34 within the amount appropriated in this section while ensuring 35 -43- LSB 5014HV (1) 86 pf/rh/rn 43/ 116
H.F. 2460 compliance with federal requirements. The department may adopt 1 emergency rules to implement the provisions of this subsection. 2 Sec. 13. 2015 Iowa Acts, chapter 137, section 135, is 3 amended to read as follows: 4 SEC. 135. CHILDREN’S HEALTH INSURANCE PROGRAM. 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, 2016, and ending June 30, 2017, the following 8 amount, or so much thereof as is necessary, to be used for the 9 purpose designated: 10 For maintenance of the healthy and well kids in Iowa (hawk-i) 11 program pursuant to chapter 514I , including supplemental dental 12 services, for receipt of federal financial participation under 13 Tit. XXI of the federal Social Security Act, which creates the 14 children’s health insurance program: 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,206,922 16 9,176,652 17 2. Of the funds appropriated in this section, $21,400 18 $42,800 is allocated for continuation of the contract for 19 outreach with the department of public health. 20 Sec. 14. 2015 Iowa Acts, chapter 137, section 136, is 21 amended to read as follows: 22 SEC. 136. CHILD CARE ASSISTANCE. There is appropriated 23 from the general fund of the state to the department of human 24 services for the fiscal year beginning July 1, 2016, and ending 25 June 30, 2017, the following amount, or so much thereof as is 26 necessary, to be used for the purpose designated: 27 For child care programs: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25,704,334 29 36,389,561 30 1. Of the funds appropriated in this section, $21,844,620 31 $30,039,561 shall be used for state child care assistance in 32 accordance with section 237A.13 . 33 2. Nothing in this section shall be construed or is 34 intended as or shall imply a grant of entitlement for services 35 -44- LSB 5014HV (1) 86 pf/rh/rn 44/ 116
H.F. 2460 to persons who are eligible for assistance due to an income 1 level consistent with the waiting list requirements of section 2 237A.13 . Any state obligation to provide services pursuant to 3 this section is limited to the extent of the funds appropriated 4 in this section. 5 3. Of the funds appropriated in this section, $216,226 6 is allocated for the statewide grant program for child care 7 resource and referral services under section 237A.26 . A list 8 of the registered and licensed child care facilities operating 9 in the area served by a child care resource and referral 10 service shall be made available to the families receiving state 11 child care assistance in that area. 12 4. Of the funds appropriated in this section, $468,487 13 is allocated for child care quality improvement initiatives 14 including but not limited to the voluntary quality rating 15 system in accordance with section 237A.30 . 16 5. Of the funds appropriated in this section, $3,175,000 17 $6,350,000 shall be credited to the early childhood programs 18 grants account in the early childhood Iowa fund created 19 in section 256I.11 . The moneys shall be distributed for 20 funding of community-based early childhood programs targeted 21 to children from birth through five years of age developed 22 by early childhood Iowa areas in accordance with approved 23 community plans as provided in section 256I.8 . 24 6. The department may use any of the funds appropriated 25 in this section as a match to obtain federal funds for use in 26 expanding child care assistance and related programs. For 27 the purpose of expenditures of state and federal child care 28 funding, funds shall be considered obligated at the time 29 expenditures are projected or are allocated to the department’s 30 service areas. Projections shall be based on current and 31 projected caseload growth, current and projected provider 32 rates, staffing requirements for eligibility determination 33 and management of program requirements including data systems 34 management, staffing requirements for administration of the 35 -45- LSB 5014HV (1) 86 pf/rh/rn 45/ 116
H.F. 2460 program, contractual and grant obligations and any transfers 1 to other state agencies, and obligations for decategorization 2 or innovation projects. 3 7. A portion of the state match for the federal child care 4 and development block grant shall be provided as necessary to 5 meet federal matching funds requirements through the state 6 general fund appropriation made for child development grants 7 and other programs for at-risk children in section 279.51 . 8 8. If a uniform reduction ordered by the governor under 9 section 8.31 or other operation of law, transfer, or federal 10 funding reduction reduces the appropriation made in this 11 section for the fiscal year, the percentage reduction in the 12 amount paid out to or on behalf of the families participating 13 in the state child care assistance program shall be equal to or 14 less than the percentage reduction made for any other purpose 15 payable from the appropriation made in this section and the 16 federal funding relating to it. The percentage reduction to 17 the other allocations made in this section shall be the same as 18 the uniform reduction ordered by the governor or the percentage 19 change of the federal funding reduction, as applicable. 20 If there is an unanticipated increase in federal funding 21 provided for state child care assistance, the entire amount 22 of the increase shall be used for state child care assistance 23 payments. If the appropriations made for purposes of the 24 state child care assistance program for the fiscal year are 25 determined to be insufficient, it is the intent of the general 26 assembly to appropriate sufficient funding for the fiscal year 27 in order to avoid establishment of waiting list requirements. 28 9. Notwithstanding section 8.33 , moneys advanced for 29 purposes of the programs developed by early childhood Iowa 30 areas, advanced for purposes of wraparound child care, or 31 received from the federal appropriations made for the purposes 32 of this section that remain unencumbered or unobligated at the 33 close of the fiscal year shall not revert to any fund but shall 34 remain available for expenditure for the purposes designated 35 -46- LSB 5014HV (1) 86 pf/rh/rn 46/ 116
H.F. 2460 until the close of the succeeding fiscal year. 1 Sec. 15. 2015 Iowa Acts, chapter 137, section 137, is 2 amended to read as follows: 3 SEC. 137. JUVENILE INSTITUTION. There is appropriated 4 from the general fund of the state to the department of human 5 services for the fiscal year beginning July 1, 2016, and ending 6 June 30, 2017, the following amounts, or so much thereof as is 7 necessary, to be used for the purposes designated: 8 1. For operation of the state training school at Eldora and 9 for salaries, support, maintenance, and miscellaneous purposes, 10 and for not more than the following full-time equivalent 11 positions: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,116,710 13 12,233,420 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 169.30 15 Of the funds appropriated in this subsection, $45,575 16 $91,150 shall be used for distribution to licensed classroom 17 teachers at this and other institutions under the control of 18 the department of human services based upon the average student 19 yearly enrollment at each institution as determined by the 20 department. 21 2. A portion of the moneys appropriated in this section 22 shall be used by the state training school at Eldora for 23 grants for adolescent pregnancy prevention activities at the 24 institution in the fiscal year beginning July 1, 2016. 25 Sec. 16. 2015 Iowa Acts, chapter 137, section 138, is 26 amended to read as follows: 27 SEC. 138. CHILD AND FAMILY SERVICES. 28 1. There is appropriated from the general fund of the 29 state to the department of human services for the fiscal year 30 beginning July 1, 2016, and ending June 30, 2017, the following 31 amount, or so much thereof as is necessary, to be used for the 32 purpose designated: 33 For child and family services: 34 . . . . . . . . . . . . . . . . . . . . .