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
.
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.
$
5,699,866
21
11,436,066
22
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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-
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5014HV
(1)
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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
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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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
$
638,391
24
1,276,783
25
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.
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-
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5014HV
(1)
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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
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,631,845
10
26,988,690
11
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.
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.
.
.
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.
.
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.
.
.
.
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
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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
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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
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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
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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
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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
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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-
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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-
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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
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$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
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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.
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(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
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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
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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
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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
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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
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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
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116
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(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
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116
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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
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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
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116
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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-
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(1)
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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
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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
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116
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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
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116
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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
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116
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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
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116
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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
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116
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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
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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
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116
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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
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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
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$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
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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
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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
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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
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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
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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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,670,969
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88,944,956
1
2.
Up
to
$2,600,000
of
Of
the
amount
of
federal
temporary
2
assistance
for
needy
families
block
grant
funding
appropriated
3
in
this
division
of
this
Act
for
child
and
family
services
4
section,
$5,200,000
shall
be
made
available
used
for
purposes
5
of
juvenile
delinquent
graduated
sanction
services.
6
3.
The
department
may
transfer
funds
appropriated
in
this
7
section
as
necessary
to
pay
the
nonfederal
costs
of
services
8
reimbursed
under
the
medical
assistance
program,
state
child
9
care
assistance
program,
or
the
family
investment
program
which
10
are
provided
to
children
who
would
otherwise
receive
services
11
paid
under
the
appropriation
in
this
section.
The
department
12
may
transfer
funds
appropriated
in
this
section
to
the
13
appropriations
made
in
this
division
of
this
Act
for
general
14
administration
and
for
field
operations
for
resources
necessary
15
to
implement
and
operate
the
services
funded
in
this
section.
16
4.
a.
Of
the
funds
appropriated
in
this
section,
up
17
to
$17,910,893
$35,736,649
is
allocated
as
the
statewide
18
expenditure
target
under
section
232.143
for
group
foster
care
19
maintenance
and
services.
If
the
department
projects
that
such
20
expenditures
for
the
fiscal
year
will
be
less
than
the
target
21
amount
allocated
in
this
paragraph
“a”,
the
department
may
22
reallocate
the
excess
to
provide
additional
funding
for
shelter
23
care
or
the
child
welfare
emergency
services
addressed
with
the
24
allocation
for
shelter
care.
25
b.
If
at
any
time
after
September
30,
2016,
annualization
26
of
a
service
area’s
current
expenditures
indicates
a
service
27
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
28
target
under
section
232.143
by
more
than
5
percent,
the
29
department
and
juvenile
court
services
shall
examine
all
30
group
foster
care
placements
in
that
service
area
in
order
to
31
identify
those
which
might
be
appropriate
for
termination.
32
In
addition,
any
aftercare
services
believed
to
be
needed
33
for
the
children
whose
placements
may
be
terminated
shall
be
34
identified.
The
department
and
juvenile
court
services
shall
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initiate
action
to
set
dispositional
review
hearings
for
the
1
placements
identified.
In
such
a
dispositional
review
hearing,
2
the
juvenile
court
shall
determine
whether
needed
aftercare
3
services
are
available
and
whether
termination
of
the
placement
4
is
in
the
best
interest
of
the
child
and
the
community.
5
5.
In
accordance
with
the
provisions
of
section
232.188
,
6
the
department
shall
continue
the
child
welfare
and
juvenile
7
justice
funding
initiative
during
fiscal
year
2016-2017.
Of
8
the
funds
appropriated
in
this
section,
$858,876
$1,717,753
9
is
allocated
specifically
for
expenditure
for
fiscal
year
10
2016-2017
through
the
decategorization
services
funding
pools
11
and
governance
boards
established
pursuant
to
section
232.188
.
12
6.
A
portion
of
the
funds
appropriated
in
this
section
13
may
be
used
for
emergency
family
assistance
to
provide
other
14
resources
required
for
a
family
participating
in
a
family
15
preservation
or
reunification
project
or
successor
project
to
16
stay
together
or
to
be
reunified.
17
7.
Notwithstanding
section
234.35
or
any
other
provision
18
of
law
to
the
contrary,
state
funding
for
shelter
care
and
19
the
child
welfare
emergency
services
contracting
implemented
20
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
21
limited
to
$4,034,237
$8,096,158
.
22
8.
Federal
funds
received
by
the
state
during
the
fiscal
23
year
beginning
July
1,
2016,
as
the
result
of
the
expenditure
24
of
state
funds
appropriated
during
a
previous
state
fiscal
25
year
for
a
service
or
activity
funded
under
this
section
are
26
appropriated
to
the
department
to
be
used
as
additional
funding
27
for
services
and
purposes
provided
for
under
this
section.
28
Notwithstanding
section
8.33
,
moneys
received
in
accordance
29
with
this
subsection
that
remain
unencumbered
or
unobligated
at
30
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
31
shall
remain
available
for
the
purposes
designated
until
the
32
close
of
the
succeeding
fiscal
year.
33
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
34
$1,645,000
$3,290,000
is
allocated
for
the
payment
of
the
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expenses
of
court-ordered
services
provided
to
juveniles
1
who
are
under
the
supervision
of
juvenile
court
services,
2
which
expenses
are
a
charge
upon
the
state
pursuant
to
3
section
232.141,
subsection
4
.
Of
the
amount
allocated
in
4
this
paragraph
“a”,
up
to
$778,143
$1,556,287
shall
be
made
5
available
to
provide
school-based
supervision
of
children
6
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
7
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
8
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
9
the
school
district
or
other
funding
source
as
approved
by
the
10
chief
juvenile
court
officer.
11
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
12
$748,985
is
allocated
for
the
payment
of
the
expenses
of
13
court-ordered
services
provided
to
children
who
are
under
the
14
supervision
of
the
department,
which
expenses
are
a
charge
upon
15
the
state
pursuant
to
section
232.141,
subsection
4
.
16
c.
Notwithstanding
section
232.141
or
any
other
provision
17
of
law
to
the
contrary,
the
amounts
allocated
in
this
18
subsection
shall
be
distributed
to
the
judicial
districts
19
as
determined
by
the
state
court
administrator
and
to
the
20
department’s
service
areas
as
determined
by
the
administrator
21
of
the
department
of
human
services’
division
of
child
and
22
family
services.
The
state
court
administrator
and
the
23
division
administrator
shall
make
the
determination
of
the
24
distribution
amounts
on
or
before
June
15,
2016.
25
d.
Notwithstanding
chapter
232
or
any
other
provision
of
26
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
27
order
any
service
which
is
a
charge
upon
the
state
pursuant
28
to
section
232.141
if
there
are
insufficient
court-ordered
29
services
funds
available
in
the
district
court
or
departmental
30
service
area
distribution
amounts
to
pay
for
the
service.
The
31
chief
juvenile
court
officer
and
the
departmental
service
area
32
manager
shall
encourage
use
of
the
funds
allocated
in
this
33
subsection
such
that
there
are
sufficient
funds
to
pay
for
34
all
court-related
services
during
the
entire
year.
The
chief
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juvenile
court
officers
and
departmental
service
area
managers
1
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
2
in
the
distribution
amounts
and
shall
cooperatively
request
the
3
state
court
administrator
or
division
administrator
to
transfer
4
funds
between
the
judicial
districts’
or
departmental
service
5
areas’
distribution
amounts
as
prudent.
6
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
7
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
8
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
9
entered
under
chapter
232
which
is
a
charge
upon
the
state
10
under
section
232.141,
subsection
4
.
11
f.
Of
the
funds
allocated
in
this
subsection,
not
more
12
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
13
administration
of
the
requirements
under
this
subsection.
14
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
15
shall
be
used
by
the
department
of
human
services
to
support
16
the
interstate
commission
for
juveniles
in
accordance
with
17
the
interstate
compact
for
juveniles
as
provided
in
section
18
232.173
.
19
10.
Of
the
funds
appropriated
in
this
section,
$4,026,613
20
$8,053,227
is
allocated
for
juvenile
delinquent
graduated
21
sanctions
services.
Any
state
funds
saved
as
a
result
of
22
efforts
by
juvenile
court
services
to
earn
a
federal
Tit.
IV-E
23
match
for
juvenile
court
services
administration
may
be
used
24
for
the
juvenile
delinquent
graduated
sanctions
services.
25
11.
Of
the
funds
appropriated
in
this
section,
$804,142
26
$1,658,285
is
transferred
to
the
department
of
public
health
27
to
be
used
for
the
child
protection
center
grant
program
for
28
child
protection
centers
located
in
Iowa
in
accordance
with
29
section
135.118
.
The
grant
amounts
under
the
program
shall
30
be
equalized
so
that
each
center
receives
a
uniform
base
31
amount
of
$122,500
$245,000
,
so
that
$50,000
is
awarded
to
32
establish
a
satellite
child
protection
center
in
a
city
in
33
north
central
Iowa
that
is
the
county
seat
of
a
county
with
34
a
population
between
44,000
and
45,000
according
to
the
2010
35
-51-
LSB
5014HV
(1)
86
pf/rh/rn
51/
116
H.F.
2460
federal
decennial
census,
and
so
that
the
remaining
funds
shall
1
be
are
awarded
through
a
funding
formula
based
upon
the
volume
2
of
children
served.
3
12.
If
the
department
receives
federal
approval
to
4
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
5
Security
Act
to
enable
providers
to
serve
children
who
remain
6
in
the
children’s
families
and
communities,
for
purposes
of
7
eligibility
under
the
medical
assistance
program
through
25
8
years
of
age,
children
who
participate
in
the
waiver
shall
be
9
considered
to
be
placed
in
foster
care.
10
13.
Of
the
funds
appropriated
in
this
section,
$2,012,583
11
$4,025,167
is
allocated
for
the
preparation
for
adult
living
12
program
pursuant
to
section
234.46
.
13
14.
Of
the
funds
appropriated
in
this
section,
$113,668
14
$227,337
shall
be
used
for
the
public
purpose
of
continuing
15
a
grant
to
a
nonprofit
human
services
organization
providing
16
services
to
individuals
and
families
in
multiple
locations
in
17
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
18
immediate,
sensitive
support
and
forensic
interviews,
medical
19
exams,
needs
assessments,
and
referrals
for
victims
of
child
20
abuse
and
their
nonoffending
family
members.
21
15.
Of
the
funds
appropriated
in
this
section,
$150,310
22
$300,620
is
allocated
for
the
foster
care
youth
council
23
approach
of
providing
a
support
network
to
children
placed
in
24
foster
care.
25
16.
Of
the
funds
appropriated
in
this
section,
$101,000
26
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
27
continuation
of
the
initiative
to
address
child
sexual
abuse
28
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
29
18,
subsection
21
.
30
17.
Of
the
funds
appropriated
in
this
section,
$315,120
31
$630,240
is
allocated
for
the
community
partnership
for
child
32
protection
sites.
33
18.
Of
the
funds
appropriated
in
this
section,
$185,625
34
$371,250
is
allocated
for
the
department’s
minority
youth
and
35
-52-
LSB
5014HV
(1)
86
pf/rh/rn
52/
116
H.F.
2460
family
projects
under
the
redesign
of
the
child
welfare
system.
1
19.
Of
the
funds
appropriated
in
this
section,
$593,297
2
$1,186,595
is
allocated
for
funding
of
the
community
circle
of
3
care
collaboration
for
children
and
youth
in
northeast
Iowa.
4
20.
Of
the
funds
appropriated
in
this
section,
at
least
5
$73,579
$147,158
shall
be
used
for
the
continuation
of
the
6
child
welfare
provider
training
academy,
a
collaboration
7
between
the
coalition
for
family
and
children’s
services
in
8
Iowa
and
the
department.
9
21.
Of
the
funds
appropriated
in
this
section,
$105,936
10
$211,872
shall
be
used
for
continuation
of
the
central
Iowa
11
system
of
care
program
grant
through
June
30,
2017.
12
22.
Of
the
funds
appropriated
in
this
section,
$117,500
13
$235,000
shall
be
used
for
the
public
purpose
of
the
14
continuation
and
expansion
of
a
system
of
care
program
grant
15
implemented
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
16
comprehensive
and
long-term
approach
for
helping
children
17
and
families
by
addressing
the
key
areas
in
a
child’s
life
18
of
childhood
basic
needs,
education
and
work,
family,
and
19
community.
20
23.
Of
the
funds
appropriated
in
this
section,
at
least
21
$12,500
$25,000
shall
be
used
to
continue
and
to
expand
the
22
foster
care
respite
pilot
program
in
which
postsecondary
23
students
in
social
work
and
other
human
services-related
24
programs
receive
experience
by
assisting
family
foster
care
25
providers
with
respite
and
other
support.
26
24.
Of
the
funds
appropriated
in
this
section,
$55,000
27
$110,000
shall
be
used
for
the
public
purpose
of
funding
28
community-based
services
and
other
supports
with
a
system
of
29
care
approach
for
children
with
a
serious
emotional
disturbance
30
and
their
families
through
a
nonprofit
provider
of
child
31
welfare
services
that
has
been
in
existence
for
more
than
115
32
years,
is
located
in
a
county
with
a
population
of
more
than
33
200,000
but
less
than
220,000
according
to
the
latest
census
34
information
issued
by
the
United
States
census
bureau,
is
35
-53-
LSB
5014HV
(1)
86
pf/rh/rn
53/
116
H.F.
2460
licensed
as
a
psychiatric
medical
institution
for
children,
and
1
was
a
system
of
care
grantee
prior
to
July
1,
2016.
2
Sec.
17.
2015
Iowa
Acts,
chapter
137,
section
139,
is
3
amended
to
read
as
follows:
4
SEC.
139.
ADOPTION
SUBSIDY.
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
a.
For
adoption
subsidy
payments
and
services:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,499,143
12
43,046,664
13
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
14
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
15
of
the
following
purposes:
16
(a)
For
adoption
subsidy
payments
and
related
costs.
17
(b)
For
post-adoption
services
and
for
other
purposes
under
18
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
19
(2)
The
department
of
human
services
may
transfer
funds
20
appropriated
in
this
subsection
to
the
appropriation
for
21
child
and
family
services
in
this
Act
for
the
purposes
of
22
post-adoption
services
as
specified
in
this
paragraph
“b”.
23
2.
The
department
may
transfer
funds
appropriated
in
24
this
section
to
the
appropriation
made
in
this
division
of
25
this
Act
for
general
administration
for
costs
paid
from
the
26
appropriation
relating
to
adoption
subsidy.
27
3.
Federal
funds
received
by
the
state
during
the
28
fiscal
year
beginning
July
1,
2016,
as
the
result
of
the
29
expenditure
of
state
funds
during
a
previous
state
fiscal
30
year
for
a
service
or
activity
funded
under
this
section
are
31
appropriated
to
the
department
to
be
used
as
additional
funding
32
for
the
services
and
activities
funded
under
this
section.
33
Notwithstanding
section
8.33
,
moneys
received
in
accordance
34
with
this
subsection
that
remain
unencumbered
or
unobligated
35
-54-
LSB
5014HV
(1)
86
pf/rh/rn
54/
116
H.F.
2460
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
1
but
shall
remain
available
for
expenditure
for
the
purposes
2
designated
until
the
close
of
the
succeeding
fiscal
year.
3
Sec.
18.
2015
Iowa
Acts,
chapter
137,
section
141,
is
4
amended
to
read
as
follows:
5
SEC.
141.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
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
family
support
subsidy
program
subject
to
the
12
enrollment
restrictions
in
section
225C.37,
subsection
3
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
536,966
14
1,069,282
15
2.
The
department
shall
use
at
least
$320,750
$727,500
16
of
the
moneys
appropriated
in
this
section
for
the
family
17
support
center
component
of
the
comprehensive
family
support
18
program
under
section
225C.47
.
Not
more
than
$12,500
$25,000
19
of
the
amount
allocated
in
this
subsection
shall
be
used
for
20
administrative
costs.
21
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
22
funding
available
for
the
family
support
subsidy
program
23
is
reduced
from
the
amount
initially
used
to
establish
the
24
figure
for
the
number
of
family
members
for
whom
a
subsidy
25
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
26
notwithstanding
section
225C.38,
subsection
2
,
the
department
27
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
28
of
funding
available.
29
Sec.
19.
2015
Iowa
Acts,
chapter
137,
section
142,
is
30
amended
to
read
as
follows:
31
SEC.
142.
CONNER
DECREE.
There
is
appropriated
from
the
32
general
fund
of
the
state
to
the
department
of
human
services
33
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
34
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
35
-55-
LSB
5014HV
(1)
86
pf/rh/rn
55/
116
H.F.
2460
to
be
used
for
the
purpose
designated:
1
For
building
community
capacity
through
the
coordination
2
and
provision
of
training
opportunities
in
accordance
with
the
3
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
4
Iowa,
July
14,
1994):
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
6
33,632
7
Sec.
20.
2015
Iowa
Acts,
chapter
137,
section
143,
is
8
amended
to
read
as
follows:
9
SEC.
143.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
10
from
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
amounts,
or
so
much
thereof
as
is
13
necessary,
to
be
used
for
the
purposes
designated
which
amounts
14
shall
not
be
transferred
or
expended
for
any
purpose
other
than
15
the
purposes
designated,
notwithstanding
section
218.6
to
the
16
contrary:
17
1.
For
operation
of
the
state
mental
health
institute
at
18
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
19
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
20
more
than
the
following
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,772,808
22
14,644,041
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
24
2.
For
operation
of
the
state
mental
health
institute
at
25
Independence
as
required
by
chapters
218
and
226
for
salaries,
26
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
27
more
than
the
following
full-time
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,162,104
29
18,552,103
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
31
Sec.
21.
2015
Iowa
Acts,
chapter
137,
section
144,
is
32
amended
to
read
as
follows:
33
SEC.
144.
STATE
RESOURCE
CENTERS.
34
1.
There
is
appropriated
from
the
general
fund
of
the
35
-56-
LSB
5014HV
(1)
86
pf/rh/rn
56/
116
H.F.
2460
state
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
2
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purposes
designated:
4
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
5
support,
maintenance,
and
miscellaneous
purposes:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,762,241
7
20,719,486
8
b.
For
the
state
resource
center
at
Woodward
for
salaries,
9
support,
maintenance,
and
miscellaneous
purposes:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,291,903
11
14,053,011
12
2.
The
department
may
continue
to
bill
for
state
resource
13
center
services
utilizing
a
scope
of
services
approach
used
for
14
private
providers
of
intermediate
care
facilities
for
persons
15
with
an
intellectual
disability
services,
in
a
manner
which
16
does
not
shift
costs
between
the
medical
assistance
program,
17
counties,
or
other
sources
of
funding
for
the
state
resource
18
centers.
19
3.
The
state
resource
centers
may
expand
the
time-limited
20
assessment
and
respite
services
during
the
fiscal
year.
21
4.
If
the
department’s
administration
and
the
department
22
of
management
concur
with
a
finding
by
a
state
resource
23
center’s
superintendent
that
projected
revenues
can
reasonably
24
be
expected
to
pay
the
salary
and
support
costs
for
a
new
25
employee
position,
or
that
such
costs
for
adding
a
particular
26
number
of
new
positions
for
the
fiscal
year
would
be
less
27
than
the
overtime
costs
if
new
positions
would
not
be
added,
28
the
superintendent
may
add
the
new
position
or
positions.
If
29
the
vacant
positions
available
to
a
resource
center
do
not
30
include
the
position
classification
desired
to
be
filled,
the
31
state
resource
center’s
superintendent
may
reclassify
any
32
vacant
position
as
necessary
to
fill
the
desired
position.
The
33
superintendents
of
the
state
resource
centers
may,
by
mutual
34
agreement,
pool
vacant
positions
and
position
classifications
35
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116
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during
the
course
of
the
fiscal
year
in
order
to
assist
one
1
another
in
filling
necessary
positions.
2
5.
If
existing
capacity
limitations
are
reached
in
3
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
4
a
special
need
for
which
a
payment
source
or
other
funding
5
is
available
for
the
service
or
to
address
the
special
need,
6
and
facilities
for
the
service
or
to
address
the
special
need
7
can
be
provided
within
the
available
payment
source
or
other
8
funding,
the
superintendent
of
a
state
resource
center
may
9
authorize
opening
not
more
than
two
units
or
other
facilities
10
and
begin
implementing
the
service
or
addressing
the
special
11
need
during
fiscal
year
2016-2017.
12
Sec.
22.
2015
Iowa
Acts,
chapter
137,
section
145,
is
13
amended
to
read
as
follows:
14
SEC.
145.
SEXUALLY
VIOLENT
PREDATORS.
15
1.
There
is
appropriated
from
the
general
fund
of
the
16
state
to
the
department
of
human
services
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
purpose
designated:
20
For
costs
associated
with
the
commitment
and
treatment
of
21
sexually
violent
predators
in
the
unit
located
at
the
state
22
mental
health
institute
at
Cherokee,
including
costs
of
legal
23
services
and
other
associated
costs,
including
salaries,
24
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
25
more
than
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,946,539
27
10,193,079
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
29
2.
Unless
specifically
prohibited
by
law,
if
the
amount
30
charged
provides
for
recoupment
of
at
least
the
entire
amount
31
of
direct
and
indirect
costs,
the
department
of
human
services
32
may
contract
with
other
states
to
provide
care
and
treatment
33
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
34
violent
predators
at
Cherokee.
The
moneys
received
under
35
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116
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2460
such
a
contract
shall
be
considered
to
be
repayment
receipts
1
and
used
for
the
purposes
of
the
appropriation
made
in
this
2
section.
3
Sec.
23.
2015
Iowa
Acts,
chapter
137,
section
146,
is
4
amended
to
read
as
follows:
5
SEC.
146.
FIELD
OPERATIONS.
There
is
appropriated
from
the
6
general
fund
of
the
state
to
the
department
of
human
services
7
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
8
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
9
to
be
used
for
the
purposes
designated:
10
For
field
operations,
including
salaries,
support,
11
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
12
the
following
full-time
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,460,488
14
54,442,877
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
16
2.
Priority
in
filling
full-time
equivalent
positions
17
shall
be
given
to
those
positions
related
to
child
protection
18
services
and
eligibility
determination
for
low-income
families.
19
Sec.
24.
2015
Iowa
Acts,
chapter
137,
section
147,
is
20
amended
to
read
as
follows:
21
SEC.
147.
GENERAL
ADMINISTRATION.
There
is
appropriated
22
from
the
general
fund
of
the
state
to
the
department
of
human
23
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
24
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
25
necessary,
to
be
used
for
the
purpose
designated:
26
For
general
administration,
including
salaries,
support,
27
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
28
the
following
full-time
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,449,099
30
15,373,198
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
32
2.
Of
the
funds
appropriated
in
this
section,
$75,000
33
$150,000
shall
be
used
to
continue
the
contract
for
the
34
provision
of
a
program
to
provide
technical
assistance,
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2460
support,
and
consultation
to
providers
of
habilitation
services
1
and
home
and
community-based
services
waiver
services
for
2
adults
with
disabilities
under
the
medical
assistance
program.
3
3.
Of
the
funds
appropriated
in
this
section,
$25,000
4
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
5
used
for
administrative
support
of
the
council
on
homelessness
6
established
in
section
16.2D
and
for
the
council
to
fulfill
its
7
duties
in
addressing
and
reducing
homelessness
in
the
state.
8
4.
Of
the
funds
appropriated
in
this
section,
$125,000
9
$250,000
shall
be
transferred
to
and
deposited
in
the
10
administrative
fund
of
the
Iowa
ABLE
savings
plan
trust
created
11
in
section
12I.4
,
if
enacted
in
this
or
any
other
Act,
to
be
12
used
for
implementation
and
administration
activities
of
the
13
Iowa
ABLE
savings
plan
trust.
14
5.
Of
the
funds
appropriated
in
this
section,
$300,000
shall
15
be
used
to
contract
for
planning
grants
for
the
development
and
16
implementation
of
children’s
mental
health
crisis
services
as
17
provided
in
this
Act.
18
6.
Of
the
funds
appropriated
in
this
section,
$200,000
19
shall
be
used
to
continue
to
expand
the
provision
of
nationally
20
accredited
and
recognized
internet-based
training
to
include
21
mental
health
and
disability
services
providers.
22
Sec.
25.
2015
Iowa
Acts,
chapter
137,
is
amended
by
adding
23
the
following
new
section:
24
NEW
SECTION
.
SEC.
147A.
DEPARTMENT-WIDE
DUTIES.
There
25
is
appropriated
from
the
general
fund
of
the
state
to
the
26
department
of
human
services
for
the
fiscal
year
beginning
July
27
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
28
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
29
designated:
30
For
salaries,
support,
maintenance,
and
miscellaneous
31
purposes
at
facilities
under
the
purview
of
the
department
of
32
human
services:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
34
Sec.
26.
2015
Iowa
Acts,
chapter
137,
section
148,
is
35
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116
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amended
to
read
as
follows:
1
SEC.
148.
VOLUNTEERS.
There
is
appropriated
from
the
2
general
fund
of
the
state
to
the
department
of
human
services
3
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
4
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
5
to
be
used
for
the
purpose
designated:
6
For
development
and
coordination
of
volunteer
services:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
8
84,686
9
Sec.
27.
2015
Iowa
Acts,
chapter
137,
section
149,
is
10
amended
to
read
as
follows:
11
SEC.
149.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
12
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
13
DEPARTMENT
OF
HUMAN
SERVICES.
14
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
15
the
total
state
funding
amount
for
the
nursing
facility
budget
16
shall
not
exceed
$151,421,458.
17
(2)
The
department,
in
cooperation
with
nursing
facility
18
representatives,
shall
review
projections
for
state
funding
19
expenditures
for
reimbursement
of
nursing
facilities
on
a
20
quarterly
basis
and
the
department
shall
determine
if
an
21
adjustment
to
the
medical
assistance
reimbursement
rate
is
22
necessary
in
order
to
provide
reimbursement
within
the
state
23
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
24
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
25
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2)
,
26
if
the
state
funding
expenditures
for
the
nursing
facility
27
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
28
specified
in
subparagraph
(1),
the
department
shall
adjust
29
the
reimbursement
for
nursing
facilities
reimbursed
under
the
30
case-mix
reimbursement
system
to
maintain
expenditures
of
the
31
nursing
facility
budget
within
the
specified
amount
for
the
32
fiscal
year.
33
(3)
For
the
fiscal
year
beginning
July
1,
2016,
case-mix,
34
non-case
mix,
and
special
population
nursing
facilities
shall
35
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be
reimbursed
in
accordance
with
the
methodology
in
effect
on
1
June
30,
2016.
2
(4)
For
any
open
or
unsettled
nursing
facility
cost
report
3
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
4
beginning
July
1,
2015,
including
any
cost
report
remanded
on
5
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
6
or
x-ray
costs,
the
department
shall
offset
all
reported
7
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
8
received
from
Medicare
or
other
revenue
source
for
any
purpose.
9
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
10
report
is
not
considered
open
or
unsettled
if
the
facility
did
11
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
12
any
appeal
rights
initiated
have
been
exhausted.
13
b.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
14
the
department
shall
establish
the
pharmacy
dispensing
fee
15
reimbursement
at
$11.73
per
prescription,
until
a
cost
of
16
dispensing
survey
is
completed.
The
actual
dispensing
fee
17
shall
be
determined
by
a
cost
of
dispensing
survey
performed
18
by
the
department
and
required
to
be
completed
by
all
medical
19
assistance
program
participating
pharmacies
every
two
years,
20
adjusted
as
necessary
to
maintain
expenditures
within
the
21
amount
appropriated
to
the
department
for
this
purpose
for
the
22
fiscal
year.
23
(2)
The
department
shall
utilize
an
average
acquisition
24
cost
reimbursement
methodology
for
all
drugs
covered
under
the
25
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
26
chapter
1133,
section
33
.
27
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
28
Medicare
and
Medicaid
services
of
the
United
States
department
29
of
health
and
human
services
(CMS)
requires,
as
a
condition
30
of
federal
Medicaid
funding,
that
the
department
implement
an
31
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
32
based
on
the
average
manufacturer’s
price
(AMP),
the
department
33
may
utilize
a
reimbursement
methodology
for
all
drugs
covered
34
under
the
Medicaid
program
based
on
the
national
average
drug
35
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acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
1
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
2
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
3
administrative
costs,
and
minimize
any
change
in
the
aggregate
4
reimbursement
for
drugs.
The
department
may
adopt
emergency
5
rules
to
implement
this
subparagraph.
6
c.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
7
reimbursement
rates
for
outpatient
hospital
services
shall
8
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
9
Medicaid
program
upper
payment
limit
rules,
and
adjusted
10
as
necessary
to
maintain
expenditures
within
the
amount
11
appropriated
to
the
department
for
this
purpose
for
the
fiscal
12
year.
13
(2)
For
the
fiscal
year
beginning
July
1,
2016,
14
reimbursement
rates
for
inpatient
hospital
services
shall
15
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
16
Medicaid
program
upper
payment
limit
rules,
and
adjusted
17
as
necessary
to
maintain
expenditures
within
the
amount
18
appropriated
to
the
department
for
this
purpose
for
the
fiscal
19
year.
20
(3)
For
the
fiscal
year
beginning
July
1,
2016,
the
graduate
21
medical
education
and
disproportionate
share
hospital
fund
22
shall
remain
at
the
amount
in
effect
on
June
30,
2016,
except
23
that
the
portion
of
the
fund
attributable
to
graduate
medical
24
education
shall
be
reduced
in
an
amount
that
reflects
the
25
elimination
of
graduate
medical
education
payments
made
to
26
out-of-state
hospitals.
27
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
28
funds
in
procuring
health
care
services
for
low-income
Iowans,
29
funds
appropriated
in
this
Act
for
hospital
services
shall
30
not
be
used
for
activities
which
would
be
excluded
from
a
31
determination
of
reasonable
costs
under
the
federal
Medicare
32
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
33
d.
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
34
rates
for
rural
health
clinics,
hospices
,
and
acute
mental
35
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hospitals
shall
be
increased
in
accordance
with
increases
under
1
the
federal
Medicare
program
or
as
supported
by
their
Medicare
2
audited
costs.
3
e.
For
the
fiscal
year
beginning
July
1,
2016,
independent
4
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
5
using
the
same
methodology
in
effect
on
June
30,
2016.
6
f.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
7
reimbursement
rates
for
home
health
agencies
shall
continue
to
8
be
based
on
the
Medicare
low
utilization
payment
adjustment
9
(LUPA)
methodology
with
state
geographic
wage
adjustments,
and
10
updated
to
reflect
the
most
recent
Medicare
LUPA
rates
within
11
the
amount
appropriated
to
the
department
for
this
purpose
for
12
the
fiscal
year
.
13
(2)
For
the
fiscal
year
beginning
July
1,
2016,
rates
for
14
private
duty
nursing
and
personal
care
services
under
the
early
15
and
periodic
screening,
diagnostic,
and
treatment
program
16
benefit
shall
be
calculated
based
on
the
methodology
in
effect
17
on
June
30,
2016.
18
g.
For
the
fiscal
year
beginning
July
1,
2016,
federally
19
qualified
health
centers
and
rural
health
clinics
shall
receive
20
cost-based
reimbursement
for
100
percent
of
the
reasonable
21
costs
for
the
provision
of
services
to
recipients
of
medical
22
assistance.
23
h.
For
the
fiscal
year
beginning
July
1,
2016,
the
24
reimbursement
rates
for
dental
services
shall
remain
at
the
25
rates
in
effect
on
June
30,
2016.
26
i.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
27
state-owned
psychiatric
medical
institutions
for
children
shall
28
receive
cost-based
reimbursement
for
100
percent
of
the
actual
29
and
allowable
costs
for
the
provision
of
services
to
recipients
30
of
medical
assistance.
31
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
32
for
children,
reimbursement
rates
shall
be
based
on
the
33
reimbursement
methodology
developed
by
the
Medicaid
managed
34
care
contractor
for
behavioral
health
services
as
required
for
35
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federal
compliance.
1
(3)
As
a
condition
of
participation
in
the
medical
2
assistance
program,
enrolled
providers
shall
accept
the
medical
3
assistance
reimbursement
rate
for
any
covered
goods
or
services
4
provided
to
recipients
of
medical
assistance
who
are
children
5
under
the
custody
of
a
psychiatric
medical
institution
for
6
children.
7
j.
For
the
fiscal
year
beginning
July
1,
2016,
unless
8
otherwise
specified
in
this
Act,
all
noninstitutional
medical
9
assistance
provider
reimbursement
rates
shall
remain
at
the
10
rates
in
effect
on
June
30,
2016,
except
for
area
education
11
agencies,
local
education
agencies,
infant
and
toddler
12
services
providers,
home
and
community-based
services
providers
13
including
consumer-directed
attendant
care
providers
under
a
14
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
15
providers,
and
those
providers
whose
rates
are
required
to
be
16
determined
pursuant
to
section
249A.20
.
17
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
18
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
19
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
20
30,
2016.
21
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
22
beginning
July
1,
2016,
the
average
reimbursement
rate
for
23
health
care
providers
eligible
for
use
of
the
federal
Medicare
24
resource-based
relative
value
scale
reimbursement
methodology
25
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
26
June
30,
2016;
however,
this
rate
shall
not
exceed
the
maximum
27
level
authorized
by
the
federal
government.
28
m.
For
the
fiscal
year
beginning
July
1,
2016,
the
29
reimbursement
rate
for
residential
care
facilities
shall
not
30
be
less
than
the
minimum
payment
level
as
established
by
the
31
federal
government
to
meet
the
federally
mandated
maintenance
32
of
effort
requirement.
The
flat
reimbursement
rate
for
33
facilities
electing
not
to
file
annual
cost
reports
shall
not
34
be
less
than
the
minimum
payment
level
as
established
by
the
35
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federal
government
to
meet
the
federally
mandated
maintenance
1
of
effort
requirement.
2
n.
For
the
fiscal
year
beginning
July
1,
2016,
the
3
reimbursement
rates
for
inpatient
mental
health
services
4
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
5
June
30,
2016,
subject
to
Medicaid
program
upper
payment
limit
6
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
7
assistance
program
fee-for-service
rate
in
effect
on
June
30,
8
2016.
9
o.
For
the
fiscal
year
beginning
July
1,
2016,
community
10
mental
health
centers
may
choose
to
be
reimbursed
for
the
11
services
provided
to
recipients
of
medical
assistance
through
12
either
of
the
following
options:
13
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
14
(2)
In
accordance
with
the
alternative
reimbursement
rate
15
methodology
established
by
the
medical
assistance
program’s
16
managed
care
contractor
for
mental
health
services
and
approved
17
by
the
department
of
human
services
in
effect
on
June
30,
2016
.
18
p.
For
the
fiscal
year
beginning
July
1,
2016,
the
19
reimbursement
rate
for
providers
of
family
planning
services
20
that
are
eligible
to
receive
a
90
percent
federal
match
shall
21
remain
at
the
rates
in
effect
on
June
30,
2016.
22
q.
For
the
fiscal
year
beginning
July
1,
2016,
the
upper
23
limits
on
reimbursement
rates
for
providers
of
home
and
24
community-based
services
waiver
services
shall
remain
at
the
25
limits
in
effect
on
June
30,
2016.
26
r.
For
the
fiscal
year
beginning
July
1,
2016,
the
27
reimbursement
rates
for
emergency
medical
service
providers
28
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
29
s.
For
the
fiscal
year
beginning
July
1,
2016,
the
30
reimbursement
rates
for
community
providers
shall
be
increased
31
by
1
percent
over
the
fee-for-service
rates
in
effect
on
June
32
30,
2016.
33
2.
For
the
fiscal
year
beginning
July
1,
2016,
the
34
reimbursement
rate
for
providers
reimbursed
under
the
35
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in-home-related
care
program
shall
not
be
less
than
the
minimum
1
payment
level
as
established
by
the
federal
government
to
meet
2
the
federally
mandated
maintenance
of
effort
requirement.
3
3.
Unless
otherwise
directed
in
this
section,
when
the
4
department’s
reimbursement
methodology
for
any
provider
5
reimbursed
in
accordance
with
this
section
includes
an
6
inflation
factor,
this
factor
shall
not
exceed
the
amount
7
by
which
the
consumer
price
index
for
all
urban
consumers
8
increased
during
the
calendar
year
ending
December
31,
2002.
9
4.
For
Notwithstanding
section
234.38,
for
the
fiscal
10
year
beginning
July
1,
2016,
the
foster
family
basic
daily
11
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
12
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
13
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
14
children
ages
12
through
15
years
shall
be
$19.10,
and
the
15
rate
for
children
and
young
adults
ages
16
and
older
shall
16
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
17
care,
the
preparation
for
adult
living
program
maintenance
rate
18
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
19
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
20
disallowance
of
additional
amounts
for
court
costs
and
other
21
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
22
chapter
1031,
section
408
,
shall
be
continued.
23
5.
For
the
fiscal
year
beginning
July
1,
2016,
the
maximum
24
reimbursement
rates
for
social
services
providers
under
25
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
26
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
27
each
service,
whichever
is
less.
However,
if
a
new
service
28
or
service
provider
is
added
after
June
30,
2016,
the
initial
29
reimbursement
rate
for
the
service
or
provider
shall
be
based
30
upon
a
weighted
average
of
provider
rates
for
similar
services.
31
6.
For
the
fiscal
year
beginning
July
1,
2016,
the
32
reimbursement
rates
for
resource
family
recruitment
and
33
retention
contractors,
child
welfare
emergency
services
34
contractors,
and
supervised
apartment
living
foster
care
35
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providers
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
1
7.
a.
For
the
purposes
of
this
subsection,
“combined
2
reimbursement
rate”
means
the
combined
service
and
maintenance
3
reimbursement
rate
for
a
service
level
under
the
department’s
4
reimbursement
methodology.
Effective
July
1,
2016,
the
5
combined
reimbursement
rate
for
a
group
foster
care
service
6
level
shall
be
the
amount
designated
in
this
subsection.
7
However,
if
a
group
foster
care
provider’s
reimbursement
rate
8
for
a
service
level
as
of
June
30,
2016,
is
more
than
the
rate
9
designated
in
this
subsection,
the
provider’s
reimbursement
10
shall
remain
at
the
higher
rate.
11
b.
Unless
a
group
foster
care
provider
is
subject
to
the
12
exception
provided
in
paragraph
“a”,
effective
July
1,
2016,
13
the
combined
reimbursement
rates
for
the
service
levels
under
14
the
department’s
reimbursement
methodology
shall
be
as
follows:
15
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
16
be
at
least
$84.17.
17
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
18
shall
be
at
least
$119.09.
19
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
20
be
at
least
$131.09.
21
8.
The
group
foster
care
reimbursement
rates
paid
for
22
placement
of
children
out
of
state
shall
be
calculated
23
according
to
the
same
rate-setting
principles
as
those
used
for
24
in-state
providers,
unless
the
director
of
human
services
or
25
the
director’s
designee
determines
that
appropriate
care
cannot
26
be
provided
within
the
state.
The
payment
of
the
daily
rate
27
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
28
which
service
is
provided.
29
9.
a.
For
the
fiscal
year
beginning
July
1,
2016,
the
30
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
31
emergency
services
implemented
to
provide
or
prevent
the
need
32
for
shelter
care
shall
be
established
by
contract.
33
b.
For
the
fiscal
year
beginning
July
1,
2016,
the
combined
34
service
and
maintenance
components
of
the
reimbursement
rate
35
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paid
for
shelter
care
services
shall
be
based
on
the
financial
1
and
statistical
report
submitted
to
the
department.
The
2
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
3
department
shall
reimburse
a
shelter
care
provider
at
the
4
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
5
to
exceed
the
maximum
reimbursement
rate.
6
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
7
fiscal
year
beginning
July
1,
2016,
the
amount
of
the
statewide
8
average
of
the
actual
and
allowable
rates
for
reimbursement
of
9
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
10
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
11
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
12
2015.
13
10.
For
the
fiscal
year
beginning
July
1,
2016,
the
14
department
shall
calculate
reimbursement
rates
for
intermediate
15
care
facilities
for
persons
with
an
intellectual
disability
16
at
the
80th
percentile.
Beginning
July
1,
2016,
the
rate
17
calculation
methodology
shall
utilize
the
consumer
price
index
18
inflation
factor
applicable
to
the
fiscal
year
beginning
July
19
1,
2016.
20
11.
For
the
fiscal
year
beginning
July
1,
2016,
for
child
21
care
providers
reimbursed
under
the
state
child
care
assistance
22
program,
the
department
shall
set
provider
reimbursement
23
rates
based
on
the
rate
reimbursement
survey
completed
in
24
December
2004.
Effective
July
1,
2016,
the
child
care
provider
25
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
26
30,
2016.
The
department
shall
set
rates
in
a
manner
so
as
27
to
provide
incentives
for
a
nonregistered
provider
to
become
28
registered
by
applying
the
increase
only
to
registered
and
29
licensed
providers.
30
11A.
For
the
fiscal
year
beginning
July
1,
2016,
31
notwithstanding
any
provision
to
the
contrary
under
this
32
section,
affected
providers
or
services
shall
instead
be
33
reimbursed
as
follows:
34
a.
For
fee-for-service
claims,
reimbursement
shall
be
35
-69-
LSB
5014HV
(1)
86
pf/rh/rn
69/
116
H.F.
2460
calculated
based
on
the
methodology
otherwise
specified
in
this
1
section
for
the
fiscal
year
beginning
July
1,
2016,
for
the
2
respective
provider
or
service.
3
b.
For
claims
subject
to
a
managed
care
contract,
4
reimbursement
shall
be
based
on
the
methodology
established
5
by
the
managed
care
organization
contract.
However,
any
6
reimbursement
established
under
such
contract
shall
not
be
7
lower
than
the
reimbursement
otherwise
specified
in
this
8
section
for
fee-for-service
claims
for
the
fiscal
year
9
beginning
July
1,
2016,
for
the
respective
provider
or
service.
10
13.
The
department
may
adopt
emergency
rules
to
implement
11
this
section.
12
Sec.
28.
2015
Iowa
Acts,
chapter
137,
is
amended
by
adding
13
the
following
new
section:
14
NEW
SECTION
.
SEC.
151A.
TRANSFER
OF
MEDICAID
MODERNIZATION
15
SAVINGS
BETWEEN
APPROPRIATIONS
FY
2016-2017.
Notwithstanding
16
section
8.39,
subsection
1,
for
the
fiscal
year
beginning
July
17
1,
2016,
if
savings
resulting
from
the
governor’s
Medicaid
18
modernization
initiative
accrue
to
the
medical
contracts
or
19
children’s
health
insurance
program
appropriation
from
the
20
general
fund
of
the
state
and
not
to
the
medical
assistance
21
appropriation
from
the
general
fund
of
the
state
under
this
22
division
of
this
Act,
such
savings
may
be
transferred
to
such
23
medical
assistance
appropriation
for
the
same
fiscal
year
24
without
prior
written
consent
and
approval
of
the
governor
and
25
the
director
of
the
department
of
management.
The
department
26
of
human
services
shall
report
any
transfers
made
pursuant
to
27
this
section
to
the
legislative
services
agency.
28
DIVISION
VI
29
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2016-2017
30
Sec.
29.
2015
Iowa
Acts,
chapter
137,
section
152,
is
31
amended
to
read
as
follows:
32
SEC.
152.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
33
appropriated
from
the
pharmaceutical
settlement
account
created
34
in
section
249A.33
to
the
department
of
human
services
for
the
35
-70-
LSB
5014HV
(1)
86
pf/rh/rn
70/
116
H.F.
2460
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
1
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
2
used
for
the
purpose
designated:
3
Notwithstanding
any
provision
of
law
to
the
contrary,
to
4
supplement
the
appropriations
made
in
this
Act
for
medical
5
contracts
under
the
medical
assistance
program
for
the
fiscal
6
year
beginning
July
1,
2016,
and
ending
June
30,
2017:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,001,088
8
1,300,000
9
Sec.
30.
2015
Iowa
Acts,
chapter
137,
section
153,
is
10
amended
to
read
as
follows:
11
SEC.
153.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
12
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
13
and
subject
to
the
availability
of
funds,
there
is
appropriated
14
from
the
quality
assurance
trust
fund
created
in
section
15
249L.4
to
the
department
of
human
services
for
the
fiscal
year
16
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
17
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
18
designated:
19
To
supplement
the
appropriation
made
in
this
Act
from
the
20
general
fund
of
the
state
to
the
department
of
human
services
21
for
medical
assistance
for
the
same
fiscal
year:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,602,604
23
36,705,208
24
Sec.
31.
2015
Iowa
Acts,
chapter
137,
section
154,
is
25
amended
to
read
as
follows:
26
SEC.
154.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
27
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
28
the
contrary
and
subject
to
the
availability
of
funds,
there
is
29
appropriated
from
the
hospital
health
care
access
trust
fund
30
created
in
section
249M.4
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
32
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
33
necessary,
for
the
purposes
designated:
34
To
supplement
the
appropriation
made
in
this
Act
from
the
35
-71-
LSB
5014HV
(1)
86
pf/rh/rn
71/
116
H.F.
2460
general
fund
of
the
state
to
the
department
of
human
services
1
for
medical
assistance
for
the
same
fiscal
year:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,350,000
3
34,700,000
4
DIVISION
VII
5
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEY
——
FY
2016-2017
6
Sec.
32.
2015
Iowa
Acts,
chapter
137,
section
157,
is
7
amended
to
read
as
follows:
8
SEC.
157.
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEYS.
The
9
moneys
transferred
to
the
property
tax
relief
fund
for
the
10
fiscal
year
beginning
July
1,
2015
2016
,
from
the
federal
11
social
services
block
grant
pursuant
to
2015
Iowa
Acts,
12
House
File
630
,
and
from
the
federal
temporary
assistance
for
13
needy
families
block
grant,
totaling
at
least
$11,774,275
14
7,456,296
,
are
appropriated
to
the
department
of
human
services
15
for
the
fiscal
year
beginning
July
1,
2015
2016
,
and
ending
16
June
30,
2016
2017
,
to
be
used
for
the
purposes
designated,
17
notwithstanding
any
provision
of
law
to
the
contrary:
18
1.
For
distribution
to
any
mental
health
and
disability
19
services
region
where
25
percent
of
the
region’s
projected
20
expenditures
exceeds
the
region’s
projected
fund
balance
the
21
family
planning
services
program,
including
for
implementation
22
and
administration,
as
enacted
in
this
2016
Act
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
480,000
24
2,999,305
25
a.
For
purposes
of
this
subsection:
26
(1)
“Available
funds”
means
a
county
mental
health
and
27
services
fund
balance
on
June
30,
2015,
plus
the
maximum
amount
28
a
county
was
allowed
to
levy
for
the
fiscal
year
beginning
July
29
1,
2015.
30
(2)
“Projected
expenditures”
means
the
actual
expenditures
31
of
a
mental
health
and
disability
services
region
as
of
June
32
30,
2015,
multiplied
by
an
annual
inflation
rate
of
2
percent
33
plus
the
projected
costs
for
new
core
services
administered
by
34
the
region
as
provided
in
a
region’s
regional
service
system
35
-72-
LSB
5014HV
(1)
86
pf/rh/rn
72/
116
H.F.
2460
management
plan
approved
pursuant
to
section
331.393
for
the
1
fiscal
year
beginning
July
1,
2015.
2
(3)
“Projected
fund
balance”
means
the
difference
between
a
3
mental
health
and
disability
services
region’s
available
funds
4
and
projected
expenditures.
5
b.
If
sufficient
funds
are
not
available
to
implement
this
6
subsection,
the
department
of
human
services
shall
distribute
7
funds
to
a
region
in
proportion
to
the
availability
of
funds.
8
2.
To
be
transferred
to
the
appropriation
in
this
Act
for
9
child
and
family
services
for
the
fiscal
year
beginning
July
1,
10
2016,
to
be
used
for
the
purpose
of
that
appropriation:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,407,137
12
8,774,970
13
DIVISION
VIII
14
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS
15
FAMILY
INVESTMENT
PROGRAM
ACCOUNT
FY
2015-2016
16
Sec.
33.
2015
Iowa
Acts,
chapter
137,
section
7,
subsection
17
4,
paragraph
e,
is
amended
to
read
as
follows:
18
e.
For
the
JOBS
program:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,540,398
20
17,140,398
21
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND
FY
2015-2016
22
Sec.
34.
2015
Iowa
Acts,
chapter
137,
section
8,
unnumbered
23
paragraph
2,
is
amended
to
read
as
follows:
24
To
be
credited
to
the
family
investment
program
(FIP)
25
account
and
used
for
family
investment
program
assistance
under
26
chapter
239B
:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,673,875
28
44,773,875
29
Sec.
35.
2015
Iowa
Acts,
chapter
137,
section
8,
subsection
30
1,
is
amended
to
read
as
follows:
31
1.
Of
the
funds
appropriated
in
this
section,
$7,402,220
32
$7,002,220
is
allocated
for
the
JOBS
program.
33
MEDICAL
ASSISTANCE
APPROPRIATION
——
FY
2015-2016
34
Sec.
36.
2015
Iowa
Acts,
chapter
137,
section
12,
unnumbered
35
-73-
LSB
5014HV
(1)
86
pf/rh/rn
73/
116
H.F.
2460
paragraph
2,
is
amended
to
read
as
follows:
1
For
medical
assistance
program
reimbursement
and
associated
2
costs
as
specifically
provided
in
the
reimbursement
3
methodologies
in
effect
on
June
30,
2015,
except
as
otherwise
4
expressly
authorized
by
law,
consistent
with
options
under
5
federal
law
and
regulations,
and
contingent
upon
receipt
of
6
approval
from
the
office
of
the
governor
of
reimbursement
for
7
each
abortion
performed
under
the
program:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,303,191,564
9
1,318,191,564
10
MODERNIZATION
EMERGENCY
RULES
FY
2015-2016
11
Sec.
37.
2015
Iowa
Acts,
chapter
137,
section
12,
subsection
12
24,
is
amended
to
read
as
follows:
13
24.
The
department
of
human
services
may
adopt
emergency
14
rules
as
necessary
to
implement
the
governor’s
Medicaid
15
modernization
initiative
beginning
January
April
1,
2016.
16
STATE
SUPPLEMENTARY
ASSISTANCE
FY
2015-2016
17
Sec.
38.
2015
Iowa
Acts,
chapter
137,
section
14,
unnumbered
18
paragraph
2,
is
amended
to
read
as
follows:
19
For
the
state
supplementary
assistance
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,997,187
21
11,897,187
22
CHILD
CARE
ASSISTANCE
FY
2015-2016
23
Sec.
39.
2015
Iowa
Acts,
chapter
137,
section
16,
unnumbered
24
paragraph
2,
is
amended
to
read
as
follows:
25
For
child
care
programs:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
51,408,668
27
41,408,668
28
Sec.
40.
2015
Iowa
Acts,
chapter
137,
section
16,
subsection
29
1,
is
amended
to
read
as
follows:
30
1.
Of
the
funds
appropriated
in
this
section,
$43,689,241
31
$33,689,241
shall
be
used
for
state
child
care
assistance
in
32
accordance
with
section
237A.13
.
33
Sec.
41.
2015
Iowa
Acts,
chapter
137,
section
16,
subsection
34
9,
is
amended
to
read
as
follows:
35
-74-
LSB
5014HV
(1)
86
pf/rh/rn
74/
116
H.F.
2460
9.
Notwithstanding
section
8.33
,
moneys
advanced
for
1
purposes
of
the
programs
developed
by
early
childhood
Iowa
2
areas,
advanced
for
purposes
of
wraparound
child
care,
3
appropriated
in
this
section
or
received
from
the
federal
4
appropriations
made
for
the
purposes
of
this
section
that
5
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
6
year
shall
not
revert
to
any
fund
but
shall
remain
available
7
for
expenditure
for
the
purposes
designated
until
the
close
of
8
the
succeeding
fiscal
year.
9
NURSING
FACILITY
BUDGET
FY
2015-2016
10
Sec.
42.
2015
Iowa
Acts,
chapter
137,
section
29,
subsection
11
1,
paragraph
a,
subparagraph
(1),
is
amended
to
read
as
12
follows:
13
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
total
14
state
funding
amount
for
the
nursing
facility
budget
shall
not
15
exceed
$151,421,158
$227,131,737
.
16
Sec.
43.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
17
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
18
enactment.
19
Sec.
44.
RETROACTIVE
APPLICABILITY.
This
division
of
this
20
Act
is
retroactively
applicable
to
July
1,
2015.
21
DIVISION
IX
22
DECATEGORIZATION
23
Sec.
45.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
24
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
25
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
26
pool
that
remained
unencumbered
or
unobligated
at
the
close
27
of
the
fiscal
year
beginning
July
1,
2013,
and
were
deemed
28
carryover
funding
to
remain
available
for
the
two
succeeding
29
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
30
the
close
of
the
fiscal
year
beginning
July
1,
2015,
shall
31
not
revert
but
shall
be
transferred
to
the
medical
assistance
32
program
for
the
fiscal
year
beginning
July
1,
2015.
33
Sec.
46.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
34
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
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enactment.
1
Sec.
47.
RETROACTIVE
APPLICABILITY.
This
division
of
this
2
Act
is
retroactively
applicable
to
July
1,
2015.
3
DIVISION
X
4
CODE
CHANGES
5
LOCAL
OFFICES
OF
SUBSTITUTE
DECISION
MAKER
6
Sec.
48.
Section
231E.4,
subsection
3,
paragraph
a,
Code
7
2016,
is
amended
to
read
as
follows:
8
a.
Select
persons
through
a
request
for
proposals
process
to
9
establish
local
offices
of
substitute
decision
maker
in
each
10
of
the
planning
and
service
areas.
Local
offices
shall
be
11
established
statewide
on
or
before
July
1,
2017
2018
.
12
INSTITUTIONS
FOR
PERSONS
WITH
AN
INTELLECTUAL
DISABILITY
——
13
ASSESSMENT
14
Sec.
49.
Section
222.60A,
Code
2016,
is
amended
to
read
as
15
follows:
16
222.60A
Cost
of
assessment.
17
Notwithstanding
any
provision
of
this
chapter
to
the
18
contrary,
any
amount
attributable
to
any
fee
assessed
19
assessment
pursuant
to
section
249A.21
that
would
otherwise
20
be
the
liability
of
any
county
shall
be
paid
by
the
state.
21
The
department
may
transfer
funds
from
the
appropriation
for
22
medical
assistance
to
pay
any
amount
attributable
to
any
fee
23
assessed
assessment
pursuant
to
section
249A.21
that
is
a
24
liability
of
the
state.
25
Sec.
50.
Section
249A.12,
subsection
3,
paragraph
c,
Code
26
2016,
is
amended
to
read
as
follows:
27
c.
Effective
February
1,
2002,
the
The
state
shall
be
28
responsible
for
all
of
the
nonfederal
share
of
the
costs
of
29
intermediate
care
facility
for
persons
with
an
intellectual
30
disability
services
provided
under
medical
assistance
31
attributable
to
the
assessment
fee
for
intermediate
care
32
facilities
for
individuals
with
an
intellectual
disability
33
imposed
pursuant
to
section
249A.21
.
Effective
February
1,
34
2003,
a
A
county
is
not
required
to
reimburse
the
department
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and
shall
not
be
billed
for
the
nonfederal
share
of
the
costs
1
of
such
services
attributable
to
the
assessment
fee
.
2
Sec.
51.
Section
249A.21,
Code
2016,
is
amended
to
read
as
3
follows:
4
249A.21
Intermediate
care
facilities
for
persons
with
an
5
intellectual
disability
——
assessment.
6
1.
The
department
may
assess
An
intermediate
care
7
facilities
facility
for
persons
with
an
intellectual
8
disability,
as
defined
in
section
135C.1
,
a
fee
in
shall
be
9
assessed
an
amount
for
the
preceding
calendar
quarter,
not
to
10
exceed
six
percent
of
the
total
annual
revenue
of
the
facility
11
for
the
preceding
fiscal
year.
12
2.
The
assessment
shall
be
paid
by
each
intermediate
care
13
facility
for
persons
with
an
intellectual
disability
to
the
14
department
in
equal
monthly
amounts
on
or
before
the
fifteenth
15
day
of
each
month
on
a
quarterly
basis
.
The
department
may
16
deduct
the
monthly
amount
from
medical
assistance
payments
to
17
a
facility
described
in
subsection
1
.
The
amount
deducted
18
from
payments
shall
not
exceed
the
total
amount
of
the
19
assessments
due
An
intermediate
care
facility
for
persons
with
20
an
intellectual
disability
shall
submit
the
assessment
amount
21
no
later
than
thirty
days
following
the
end
of
each
calendar
22
quarter
.
23
3.
Revenue
from
the
assessments
shall
be
credited
The
24
department
shall
collect
the
assessment
imposed
and
shall
25
credit
all
revenues
collected
to
the
state
medical
assistance
26
appropriation.
This
revenue
may
be
used
only
for
services
27
for
which
federal
financial
participation
under
the
medical
28
assistance
program
is
available
to
match
state
funds.
29
4.
If
the
department
determines
that
an
intermediate
care
30
facility
for
persons
with
an
intellectual
disability
has
31
underpaid
or
overpaid
the
assessment,
the
department
shall
32
notify
the
intermediate
care
facility
for
persons
with
an
33
intellectual
disability
of
the
amount
of
the
unpaid
assessment
34
or
refund
due.
Such
payment
or
refund
shall
be
due
or
refunded
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within
thirty
days
of
the
issuance
of
the
notice.
1
5.
An
intermediate
care
facility
for
persons
with
an
2
intellectual
disability
that
fails
to
pay
the
assessment
within
3
the
time
frame
specified
in
this
section
shall
pay,
in
addition
4
to
the
outstanding
assessment,
a
penalty
in
the
amount
of
one
5
and
five-tenths
percent
of
the
assessment
amount
owed
for
6
each
month
or
portion
of
each
month
the
payment
is
overdue.
7
However,
if
the
department
determines
that
good
cause
is
shown
8
for
failure
to
comply
with
payment
of
the
assessment,
the
9
department
shall
waive
the
penalty
or
a
portion
of
the
penalty.
10
6.
If
an
assessment
has
not
been
received
by
the
department
11
by
the
last
day
of
the
third
month
after
the
payment
is
due,
12
the
department
shall
suspend
payment
due
the
intermediate
care
13
facility
for
persons
with
an
intellectual
disability
under
the
14
medical
assistance
program
including
payments
made
on
behalf
15
of
the
medical
assistance
program
by
a
Medicaid
managed
care
16
organization
contractor.
17
7.
The
assessment
imposed
under
this
section
constitutes
18
a
debt
due
and
owing
the
state
and
may
be
collected
by
civil
19
action,
including
but
not
limited
to
the
filing
of
tax
liens,
20
and
any
other
method
provided
for
by
law.
21
8.
If
federal
financial
participation
to
match
the
22
assessments
made
under
subsection
1
becomes
unavailable
under
23
federal
law,
the
department
shall
terminate
the
imposing
of
the
24
assessments
beginning
on
the
date
that
the
federal
statutory,
25
regulatory,
or
interpretive
change
takes
effect.
26
5.
9.
The
department
of
human
services
may
procure
a
sole
27
source
contract
to
implement
the
provisions
of
this
section
.
28
6.
10.
The
department
may
adopt
administrative
rules
under
29
section
17A.4,
subsection
3
,
and
section
17A.5,
subsection
2
,
30
paragraph
“b”
,
to
implement
this
section
,
and
any
fee
assessed
31
pursuant
to
this
section
against
an
intermediate
care
facility
32
for
persons
with
an
intellectual
disability
that
is
operated
by
33
the
state
may
be
made
retroactive
to
October
1,
2003
.
34
DIVISION
XI
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HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
1
Sec.
52.
REPEAL.
Section
249M.5,
Code
2016,
is
repealed.
2
Sec.
53.
REVIEW
OF
ALTERNATIVE
ASSESSMENT
METHODOLOGY.
The
3
department
of
human
services
shall
explore
alternative
hospital
4
health
care
access
assessment
methodologies
and
shall
make
5
recommendations
to
the
governor
and
the
general
assembly
by
6
December
15,
2016,
regarding
continuation
of
the
hospital
7
health
care
access
assessment
program
beyond
July
1,
2017,
and
8
an
alternative
assessment
methodology.
Any
continuation
of
9
the
program
and
assessment
methodology
shall
meet
all
of
the
10
following
guidelines:
11
1.
All
funds
generated
by
the
assessment
shall
be
returned
12
to
participating
hospitals
in
the
form
of
higher
Medicaid
13
payments.
14
2.
Continuation
of
the
program
and
any
new
assessment
15
methodology
shall
be
subject
to
any
required
federal
approval.
16
3.
Any
new
assessment
methodology
shall
minimize
the
17
negative
financial
impact
on
participating
hospitals
to
the
18
greatest
extent
possible.
19
4.
Any
new
assessment
methodology
shall
result
in
at
least
20
the
same
if
not
a
greater
aggregate
financial
benefit
to
21
participating
hospitals
compared
with
the
benefit
existing
22
under
the
program
prior
to
July
1,
2016.
23
5.
Only
participating
hospitals
subject
to
imposition
24
of
the
assessment
shall
receive
a
financial
return
from
the
25
program.
26
6.
Any
continuation
of
the
program
shall
include
a
means
27
of
tracking
the
financial
return
to
individual
participating
28
hospitals.
29
7.
Any
quality
metrics
utilized
by
the
program,
if
30
continued,
shall
align
with
similar
metrics
being
used
under
31
Medicare
and
the
state
innovation
model
initiative
process.
32
8.
Any
new
assessment
methodology
shall
incorporate
a
33
recognition
of
the
increased
costs
attributable
to
care
and
34
services
such
as
inpatient
psychiatric
care,
rehabilitation
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services,
and
neonatal
intensive
care
units.
1
9.
Any
continuation
of
the
program
shall
include
oversight
2
and
review
by
representatives
of
the
Iowa
hospital
association
3
and
affected
hospitals
to
ensure
appropriate
implementation
and
4
administration
of
the
program.
5
Sec.
54.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
6
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
7
enactment.
8
Sec.
55.
RETROACTIVE
APPLICABILITY.
This
division
of
this
9
Act
is
retroactively
applicable
to
June
30,
2016.
10
DIVISION
XII
11
STATE
FAMILY
PLANNING
SERVICES
PROGRAM
12
Sec.
56.
STATE
FAMILY
PLANNING
SERVICES
PROGRAM
——
13
ESTABLISHMENT
——
DISCONTINUATION
OF
MEDICAID
FAMILY
PLANNING
14
NETWORK
WAIVER.
15
1.
The
department
of
human
services
shall
discontinue
the
16
Medicaid
family
planning
network
waiver
effective
July
1,
2016,
17
and
shall
instead
establish
a
state
family
planning
services
18
program.
The
state
program
shall
replicate
the
eligibility
19
requirements
and
other
provisions
included
in
the
Medicaid
20
family
planning
network
waiver
as
approved
by
the
centers
for
21
Medicare
and
Medicaid
services
of
the
United
States
department
22
of
health
and
human
services
in
effect
on
June
30,
2016,
but
23
shall
provide
for
distribution
of
the
family
planning
services
24
program
funds
in
accordance
with
this
section.
25
2.
Distribution
of
family
planning
services
program
funds
26
shall
be
made
to
eligible
applicants
in
the
following
order
of
27
priority:
28
a.
Public
entities
that
provide
family
planning
services
29
including
state,
county,
or
local
community
health
clinics
and
30
federally
qualified
health
centers.
31
b.
Nonpublic
entities
that,
in
addition
to
family
planning
32
services,
provide
required
primary
health
services
as
described
33
in
42
U.S.C.
§254b(b)(1)(A).
34
c.
Nonpublic
entities
that
provide
family
planning
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services
but
do
not
provide
required
primary
health
services
as
1
described
in
42
U.S.C.
§254b(b)(1)(A).
2
3.
Distribution
of
family
planning
services
program
funds
3
under
this
section
shall
be
made
in
a
manner
that
continues
4
access
to
family
planning
services.
5
4.
Distribution
of
family
planning
services
program
funds
6
shall
not
be
made
to
any
entity
that
performs
abortions
or
that
7
maintains
or
operates
a
facility
where
abortions
are
performed.
8
For
the
purposes
of
this
section,
“abortion”
does
not
include
9
any
of
the
following:
10
a.
The
treatment
of
a
woman
for
a
physical
disorder,
11
physical
injury,
or
physical
illness,
including
a
12
life-endangering
physical
condition
caused
by
or
arising
from
13
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
14
place
the
woman
in
danger
of
death.
15
b.
The
treatment
of
a
woman
for
a
spontaneous
abortion,
16
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
17
of
human
conception
are
expelled.
18
5.
Family
planning
services
program
funds
distributed
in
19
accordance
with
this
section
shall
not
be
used
for
direct
or
20
indirect
costs,
including
but
not
limited
to
administrative
21
costs
or
expenses,
overhead,
employee
salaries,
rent,
and
22
telephone
and
other
utility
costs,
related
to
providing
23
abortions
as
specified
in
subsection
4.
24
6.
The
department
of
human
services
shall
submit
a
report
to
25
the
governor
and
the
general
assembly,
annually
by
January
1,
26
listing
any
entities
that
received
funds
pursuant
to
subsection
27
2,
paragraph
“c”,
and
the
amount
and
type
of
funds
received
by
28
such
entities
during
the
preceding
calendar
year.
The
report
29
shall
provide
a
detailed
explanation
of
how
the
department
30
determined
that
distribution
of
family
planning
services
31
program
funds
to
such
an
entity,
instead
of
to
an
entity
32
described
in
subsection
2,
paragraph
“a”
or
“b”,
was
necessary
33
to
prevent
severe
limitation
or
elimination
of
access
to
family
34
planning
services
in
the
region
of
the
state
where
the
entity
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located.
1
DIVISION
XIII
2
AUTISM
SUPPORT
PROGRAM
3
Sec.
57.
Section
135.181,
subsections
1
and
2,
Code
2016,
4
are
amended
to
read
as
follows:
5
1.
The
department
shall
establish
a
board-certified
6
behavior
analyst
and
board-certified
assistant
behavior
7
analyst
grants
program
to
provide
grants
to
Iowa
resident
and
8
nonresident
applicants
who
have
been
accepted
for
admission
or
9
are
attending
a
board
of
regents
university,
community
college,
10
or
an
accredited
private
institution,
within
or
outside
the
11
state
of
Iowa,
are
enrolled
in
a
program
that
is
accredited
12
and
meets
coursework
requirements
to
prepare
the
applicant
13
to
be
eligible
for
board
certification
as
a
behavior
analyst
14
or
assistant
behavior
analyst,
and
demonstrate
financial
15
need.
Priority
in
the
awarding
of
a
grant
shall
be
given
to
16
applicants
who
are
residents
of
Iowa.
17
2.
The
department,
in
cooperation
with
the
department
18
of
education,
shall
adopt
rules
pursuant
to
chapter
17A
to
19
establish
minimum
standards
for
applicants
to
be
eligible
for
a
20
grant
that
address
all
of
the
following:
21
a.
Eligibility
requirements
for
and
qualifications
of
22
an
applicant
to
receive
a
grant.
The
applicant
shall
agree
23
to
practice
in
the
state
of
Iowa
for
a
period
of
time,
not
24
to
exceed
four
years,
as
specified
in
the
contract
entered
25
into
between
the
applicant
and
the
department
at
the
time
the
26
grant
is
awarded.
In
addition,
the
applicant
shall
agree,
as
27
specified
in
the
contract,
that
during
the
contract
period,
28
the
applicant
will
assist
in
supervising
an
individual
working
29
toward
board
certification
as
a
behavior
analyst
or
assistant
30
behavior
analyst
or
to
consult
with
schools
and
service
31
providers
that
provide
services
and
supports
to
individuals
32
with
autism.
33
b.
The
application
process
for
the
grant.
34
c.
Criteria
for
preference
in
awarding
of
the
grants.
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Priority
in
the
awarding
of
a
grant
shall
be
given
to
1
applicants
who
are
residents
of
Iowa.
2
d.
Determination
of
the
amount
of
a
grant.
The
amount
3
of
funding
awarded
to
each
applicant
shall
be
based
on
the
4
applicant’s
enrollment
status,
the
number
of
applicants,
and
5
the
total
amount
of
available
funds.
The
total
amount
of
funds
6
awarded
to
an
individual
applicant
shall
not
exceed
fifty
7
percent
of
the
total
costs
attributable
to
program
tuition
and
8
fees,
annually.
9
e.
Use
of
the
funds
awarded.
Funds
awarded
may
be
used
10
to
offset
the
costs
attributable
to
tuition
and
fees
for
the
11
accredited
behavior
analyst
or
assistant
behavior
analyst
12
program.
13
Sec.
58.
Section
135.181,
Code
2016,
is
amended
by
adding
14
the
following
new
subsection:
15
NEW
SUBSECTION
.
4.
The
department
shall
submit
a
report
16
to
the
governor
and
the
general
assembly
no
later
than
January
17
1,
annually,
that
includes
but
is
not
limited
to
all
of
the
18
following:
19
a.
The
number
of
applications
received
for
the
immediately
20
preceding
fiscal
year.
21
b.
The
number
of
applications
approved
and
the
total
amount
22
of
funding
awarded
in
grants
in
the
immediately
preceding
23
fiscal
year.
24
c.
The
cost
of
administering
the
program
in
the
immediately
25
preceding
fiscal
year.
26
d.
Recommendations
for
any
changes
to
the
program.
27
Sec.
59.
Section
225D.1,
subsection
8,
Code
2016,
is
amended
28
to
read
as
follows:
29
8.
“Eligible
individual”
means
a
child
less
than
nine
30
fourteen
years
of
age
who
has
been
diagnosed
with
autism
based
31
on
a
diagnostic
assessment
of
autism,
is
not
otherwise
eligible
32
for
coverage
for
applied
behavioral
analysis
treatment
under
33
the
medical
assistance
program,
section
514C.28
,
or
private
34
insurance
coverage,
and
whose
household
income
does
not
exceed
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four
five
hundred
percent
of
the
federal
poverty
level.
1
Sec.
60.
Section
225D.2,
subsection
2,
paragraphs
c
and
d,
2
Code
2016,
are
amended
to
read
as
follows:
3
c.
Notwithstanding
the
age
limitation
for
an
eligible
4
individual,
a
provision
that
if
an
eligible
individual
reaches
5
nine
fourteen
years
of
age
prior
to
completion
of
the
maximum
6
applied
behavioral
analysis
treatment
period
specified
in
7
paragraph
“b”
,
the
individual
may
complete
such
treatment
in
8
accordance
with
the
individual’s
treatment
plan,
not
to
exceed
9
the
maximum
treatment
period.
10
d.
A
graduated
schedule
for
cost-sharing
by
an
eligible
11
individual
based
on
a
percentage
of
the
total
benefit
amount
12
expended
for
the
eligible
individual,
annually.
Cost-sharing
13
shall
be
applicable
to
eligible
individuals
with
household
14
incomes
at
or
above
two
hundred
percent
of
the
federal
poverty
15
level
in
incrementally
increased
amounts
up
to
a
maximum
of
ten
16
fifteen
percent.
The
rules
shall
provide
a
financial
hardship
17
exemption
from
payment
of
the
cost-sharing
based
on
criteria
18
established
by
rule
of
the
department.
19
Sec.
61.
AUTISM
SUPPORT
FUND
——
CARRYFORWARD.
20
Notwithstanding
section
225D.2,
moneys
credited
to
the
fund
21
that
remain
unexpended
or
unobligated
at
the
close
of
the
22
fiscal
year
beginning
July
1,
2015,
shall
be
transferred
to
the
23
appropriation
in
this
Act
for
medical
contracts
to
be
used
for
24
the
purpose
of
that
appropriation
for
the
succeeding
fiscal
25
year.
26
Sec.
62.
EFFECTIVE
DATE.
The
section
of
this
division
27
of
this
Act
providing
for
carryforward
of
moneys
that
remain
28
unexpended
or
unobligated
at
the
close
of
the
fiscal
year
29
beginning
July
1,
2015,
being
deemed
of
immediate
importance,
30
takes
effect
upon
enactment.
31
Sec.
63.
RETROACTIVE
APPLICABILITY.
The
section
of
this
32
division
of
this
Act
providing
for
carryforward
of
moneys
that
33
remain
unexpended
or
unobligated
at
the
close
of
the
fiscal
34
year
beginning
July
1,
2015,
is
retroactively
applicable
to
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July
1,
2015.
1
DIVISION
XIV
2
IOWA
HIGH
QUALITY
HEALTH
CARE
INITIATIVE
CONSUMER
PROTECTION
3
OUTCOME
ACHIEVEMENT
AND
PROGRAM
INTEGRITY
4
Sec.
64.
IOWA
HIGH
QUALITY
HEALTH
CARE
INITIATIVE
——
5
LEGISLATIVE
GOALS.
The
goals
of
the
Iowa
high
quality
health
6
care
initiative
are
to
improve
quality
of
and
access
to
care
7
for
Medicaid
members,
promote
accountability
for
outcomes,
and
8
create
a
more
predictable
and
sustainable
Medicaid
budget.
The
9
main
focus
in
moving
to
managed
care
is
to
provide
the
Medicaid
10
members
with
the
opportunity
to
realize
improved
health
quality
11
and
outcomes
through
wellness
initiatives,
preventive
care,
and
12
coordinated
care.
13
Sec.
65.
IOWA
HIGH
QUALITY
HEALTH
CARE
INITIATIVE
——
14
DEPARTMENT
OF
HUMAN
SERVICES
——
REPORTS.
The
department
of
15
human
services
shall
submit
to
the
chairpersons
and
ranking
16
members
of
the
human
resources
committees
of
the
senate
and
the
17
house
of
representatives
and
to
the
chairpersons
and
ranking
18
members
of
the
joint
appropriations
subcommittee
on
health
19
and
human
services,
quarterly
reports,
and
an
annual
report
20
beginning
December
15,
2016,
and
annually
by
December
15,
21
thereafter,
regarding
Medicaid
program
consumer
protections,
22
outcome
achievement,
and
program
integrity
as
specified
in
23
this
division.
The
reports
shall
be
based
on
and
updated
to
24
include
the
most
recent
information
available.
The
reports
25
shall
include
an
executive
summary
of
the
information
and
26
data
compiled,
an
analysis
of
the
information
and
data,
27
and
any
trends
or
issues
identified
through
such
analysis,
28
to
the
extent
such
information
is
not
otherwise
considered
29
confidential
or
protected
information
pursuant
to
federal
or
30
state
law.
The
joint
appropriations
subcommittee
on
health
and
31
human
services
shall
dedicate
a
meeting
of
the
subcommittee
32
during
the
subsequent
session
of
the
general
assembly
to
review
33
of
the
annual
report.
34
1.
CONSUMER
PROTECTION.
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The
general
assembly
recognizes
the
need
for
ongoing
review
1
of
Medicaid
member
engagement
with
and
feedback
regarding
2
Medicaid
managed
care.
The
Iowa
high
quality
health
care
3
initiative
shall
ensure
access
to
medically
necessary
services
4
and
shall
ensure
that
Medicaid
members
are
fully
engaged
in
5
their
own
health
care
in
order
to
achieve
overall
positive
6
health
outcomes.
The
consumer
protection
component
of
the
7
reports
submitted
as
required
under
this
section
shall
be
based
8
on
all
of
the
following
reports
relating
to
member
and
provider
9
services:
10
a.
Member
enrollment
and
disenrollment.
11
b.
Member
grievances
and
appeals
including
all
of
the
12
following:
13
(1)
The
percentage
of
grievances
and
appeals
resolved
14
timely.
15
(2)
The
number
of
grievances
and
appeals
received.
16
c.
Member
call
center
performance
including
the
service
17
level
for
members,
providers,
and
pharmacy.
18
d.
Prior
authorization
denials
and
modifications
including
19
all
of
the
following:
20
(1)
The
percentage
of
prior
authorizations
approved,
21
denied,
and
modified.
22
(2)
The
percentage
of
prior
authorizations
processed
within
23
required
time
frames.
24
e.
Provider
network
access
including
key
gaps
in
provider
25
coverage
based
on
contract
time
and
distance
standards.
26
f.
Care
coordination,
including
the
ratio
of
members
to
care
27
coordinators.
28
g.
Level
of
care
and
functional
assessments,
including
the
29
percentage
of
level
of
care
assessments
completed
timely.
30
h.
Population-specific
reporting
including
all
of
the
31
following:
32
(1)
General
population.
33
(2)
Special
needs.
34
(3)
Behavioral
health.
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(4)
Elderly.
1
2.
OUTCOME
ACHIEVEMENT.
2
The
primary
focus
of
the
general
assembly
in
moving
to
3
Medicaid
managed
care
is
to
improve
the
quality
of
care
and
4
outcomes
for
Medicaid
members.
The
state
has
demonstrated
5
how
preventive
services
and
the
coordination
of
care
for
all
6
of
a
Medicaid
member’s
treatment
significantly
improve
the
7
health
and
well-being
of
the
state’s
most
vulnerable
citizens.
8
In
order
to
ensure
continued
improvement,
ongoing
review
of
9
member
outcomes
as
well
as
of
the
process
that
supports
a
10
strong
provider
network
is
necessary.
The
outcome
achievement
11
component
of
the
reports
submitted
as
required
under
this
12
section
shall
be
based
on
all
of
the
following
reports
relating
13
to
member
health
outcomes
and
contract
management
outcomes:
14
a.
Contract
management
including
all
of
the
following:
15
(1)
Claims
processing
including
all
of
the
following:
16
(a)
The
percentage
of
claims
paid
and
denied.
17
(b)
The
percentage
of
claims
adjudicated
timely.
18
(2)
Encounter
data
including
all
of
the
following:
19
(a)
Timeliness.
20
(b)
Completeness.
21
(c)
Accuracy.
22
(3)
Value-based
purchasing
(VBP)
enrollment
including
the
23
percentage
of
members
covered
by
a
VBP
arrangement.
24
(4)
Financial
information
including
all
of
the
following:
25
(a)
Managed
care
organization
(MCO)
capitation
payments.
26
(b)
The
medical
loss
ratio.
27
(c)
Program
cost
savings.
28
b.
Member
health
outcomes
including
all
of
the
following:
29
(1)
Annual
healthcare
effectiveness
and
information
set
30
(HEDIS)
performance.
31
(2)
Other
quality
measures
including
all
of
the
following:
32
(a)
Behavioral
health.
33
(b)
Children’s
health.
34
(c)
Prenatal
and
birth
outcomes.
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(d)
Chronic
condition
management.
1
(e)
Adult
preventative
care.
2
(3)
Value
index
score
(VIS)
performance.
3
(4)
Annual
consumer
assessment
of
healthcare
providers
and
4
systems
(CAHPS)
performance.
5
(5)
Utilization
information
including
all
of
the
following:
6
(a)
Inpatient
hospital
admissions
and
potential
7
preventative
admissions.
8
(b)
Readmissions.
9
(c)
Outpatient
visits.
10
(d)
Emergency
department
visits
and
potentially
preventable
11
emergency
department
visits.
12
3.
PROGRAM
INTEGRITY.
13
The
Medicaid
program
has
traditionally
included
14
comprehensive
oversight
and
program
integrity
controls.
15
Under
Medicaid
managed
care,
federal,
state,
and
contractual
16
safeguards
will
continue
to
be
incorporated
to
prevent,
detect,
17
and
eliminate
provider
fraud,
waste,
and
abuse
to
maintain
a
18
sustainable
Medicaid
program.
The
program
integrity
component
19
of
the
reports
submitted
as
required
under
this
section
shall
20
be
based
on
all
of
the
following
reports
relating
to
program
21
integrity:
22
a.
The
level
of
fraud,
waste,
and
abuse
identified
by
the
23
MCOs.
24
b.
Managed
care
organization
adherence
to
the
program
25
integrity
plan.
26
c.
Notification
of
the
state
by
the
MCOs
regarding
fraud,
27
waste,
and
abuse.
28
d.
The
impact
of
program
activities
on
capitation
payments.
29
e.
Enrollment
and
payment
information
including
all
of
the
30
following:
31
(1)
Eligibility.
32
(2)
Third-party
liability.
33
f.
Managed
care
organization
reserves
compared
to
minimum
34
reserves
required
by
the
insurance
division
of
the
department
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of
commerce.
1
g.
A
summary
report
by
the
insurance
division
of
the
2
department
of
commerce
including
information
relating
to
health
3
maintenance
organization
licensure,
the
annual
independent
4
audit,
insurance
division
reporting,
and
reinsurance.
5
4.
INCLUSION
OF
INFORMATION
FROM
OTHER
OVERSIGHT
6
ENTITIES.
The
council
on
human
services,
the
medical
7
assistance
advisory
council,
the
hawk-i
board,
the
mental
8
health
and
disability
services
commission,
and
the
office
9
of
long-term
care
ombudsman
shall
regularly
review
Medicaid
10
managed
care
as
it
relates
to
the
entity’s
respective
statutory
11
duties.
These
entities
shall
submit
executive
summaries
of
12
pertinent
information
regarding
their
deliberations
during
the
13
prior
year
relating
to
Medicaid
managed
care
to
the
department
14
of
human
services
no
later
than
November
15,
annually,
for
15
inclusion
in
the
annual
report
submitted
as
required
under
this
16
section.
17
Sec.
66.
IOWA
HIGH
QUALITY
HEALTH
CARE
INITIATIVE
——
18
ADDITIONAL
OVERSIGHT.
19
1.
The
council
on
human
services,
the
medical
assistance
20
advisory
council,
and
the
hawk-i
board
shall
submit
to
the
21
chairpersons
and
ranking
members
of
the
human
resources
22
committees
of
the
senate
and
the
house
of
representatives
23
and
to
the
chairpersons
and
ranking
members
of
the
joint
24
appropriations
subcommittee
on
health
and
human
services,
on
a
25
quarterly
basis,
minutes
of
their
respective
meetings
during
26
which
the
council
or
board
addressed
Medicaid
managed
care.
27
2.
The
director
of
human
services
shall
submit
the
28
compilation
of
the
input
and
recommendations
from
stakeholders
29
and
Medicaid
members
attending
the
public
meetings
convened
30
pursuant
to
2015
Iowa
Acts,
chapter
137,
section
63,
to
31
the
chairpersons
and
ranking
members
of
the
human
resources
32
committees
of
the
senate
and
the
house
of
representatives
33
and
to
the
chairpersons
and
ranking
members
of
the
joint
34
appropriations
subcommittee
on
health
and
human
services,
on
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a
quarterly
basis.
1
Sec.
67.
IOWA
HIGH
QUALITY
HEALTH
CARE
INITIATIVE
——
2
POSTING
OF
PUBLIC
INFORMATION.
The
department
of
human
3
services
shall
post
information
from
all
of
the
following
4
reports,
as
the
information
becomes
available
and
to
the
extent
5
such
information
is
not
otherwise
considered
confidential
or
6
protected
information
pursuant
to
federal
or
state
law,
on
the
7
Iowa
health
link
internet
site:
8
1.
CONSUMER
PROTECTION:
9
a.
Member
enrollment
and
disenrollment.
10
b.
Member
grievances
and
appeals
including
all
of
the
11
following:
12
(1)
The
percentage
of
grievances
and
appeals
resolved
13
timely.
14
(2)
The
number
of
grievances
and
appeals
received.
15
c.
Member
call
center
performance
including
the
service
16
level
for
members,
providers,
and
pharmacy.
17
d.
Prior
authorization
denials
and
modifications
including
18
all
of
the
following:
19
(1)
The
percentage
of
prior
authorizations
approved,
20
denied,
and
modified.
21
(2)
The
percentage
of
prior
authorizations
processed
within
22
required
time
frames.
23
e.
Provider
network
access
including
key
gaps
in
provider
24
coverage
based
on
contract
time
and
distance
standards.
25
f.
Care
coordination,
including
the
ratio
of
members
to
care
26
coordinators.
27
g.
Level
of
care
and
functional
assessments,
including
the
28
percentage
of
level
of
care
assessments
completed
timely.
29
h.
Population-specific
reporting
including
all
of
the
30
following:
31
(1)
General
population.
32
(2)
Special
needs.
33
(3)
Behavioral
health.
34
(4)
Elderly.
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2.
OUTCOME
ACHIEVEMENT:
1
a.
Contract
management:
2
(1)
Claims
processing
including
all
of
the
following:
3
(a)
The
percentage
of
claims
paid
and
denied.
4
(b)
The
percentage
of
claims
adjudicated
timely.
5
(2)
Encounter
data
including
all
of
the
following:
6
(a)
Timeliness.
7
(b)
Completeness.
8
(c)
Accuracy.
9
(3)
Value-based
purchasing
(VBP)
enrollment
including
the
10
percentage
of
members
covered
by
a
VBP
arrangement.
11
(4)
Financial
information
including
all
of
the
following:
12
(a)
Managed
care
organization
capitation
payments.
13
(b)
Medical
loss
ratio.
14
(c)
Program
cost
savings.
15
b.
Member
health
outcomes
including
all
of
the
following:
16
(1)
Annual
healthcare
effectiveness
and
information
set
17
(HEDIS)
performance.
18
(2)
Other
quality
measures
including
all
of
the
following:
19
(a)
Behavioral
health.
20
(b)
Children’s
health.
21
(c)
Prenatal
and
birth
outcomes.
22
(d)
Chronic
condition
management.
23
(e)
Adult
preventative
care.
24
(3)
Value
index
score
(VIS)
performance.
25
(4)
Annual
consumer
assessment
of
healthcare
providers
and
26
systems
(CAHPS)
performance.
27
(5)
Utilization
information
including
all
of
the
following:
28
(a)
Inpatient
admissions
and
potential
preventative
29
admissions.
30
(b)
Readmissions.
31
(c)
Outpatient
visits.
32
(d)
Emergency
department
visits
and
potentially
preventable
33
emergency
department
visits.
34
3.
PROGRAM
INTEGRITY:
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a.
The
level
of
fraud,
waste,
and
abuse
identified
by
the
1
MCOs.
2
b.
Managed
care
organization
adherence
to
the
program
3
integrity
plan.
4
c.
Notification
of
the
state
by
the
MCOs
regarding
fraud,
5
waste,
and
abuse.
6
d.
The
impact
of
program
activities
on
capitation
payments.
7
e.
Enrollment
and
payment
information
including
all
of
the
8
following:
9
(1)
Eligibility.
10
(2)
Third-party
liability.
11
f.
Managed
care
organization
reserves
compared
to
minimum
12
reserves
required
by
the
insurance
division
of
the
department
13
of
commerce.
14
g.
A
summary
report
by
the
insurance
division
of
the
15
department
of
commerce
including
information
relating
to
health
16
maintenance
organization
licensure,
the
annual
independent
17
audit,
insurance
division
reporting,
and
reinsurance.
18
DIVISION
XV
19
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
20
Sec.
68.
CHILDREN’S
MENTAL
HEALTH
CRISIS
SERVICES
——
21
PLANNING
GRANTS.
22
1.
The
department
of
human
services
shall
establish
23
a
request
for
proposals
process,
in
cooperation
with
the
24
departments
of
public
health
and
education
and
the
judicial
25
branch,
which
shall
be
based
upon
recommendations
for
26
children’s
mental
health
crisis
services
described
in
the
27
children’s
mental
health
and
well-being
workgroup
final
report
28
submitted
to
the
department
on
December
15,
2015.
29
2.
Planning
grants
shall
be
awarded
to
two
lead
entities.
30
Each
lead
entity
should
be
a
member
of
a
specifically
31
designated
coalition
of
three
to
four
other
entities
that
32
propose
to
serve
different
geographically
defined
areas
of
33
the
state,
but
a
lead
entity
shall
not
be
a
mental
health
and
34
disability
services
region.
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3.
The
request
for
proposals
shall
require
each
grantee
to
1
develop
a
plan
for
children’s
mental
health
crisis
services
for
2
the
grantee’s
defined
geographic
area
that
includes
all
of
the
3
following:
4
a.
Identification
of
the
existing
children’s
mental
health
5
crisis
services
in
the
defined
area.
6
b.
Identification
of
gaps
in
children’s
mental
health
7
crisis
services
in
the
defined
area.
8
c.
A
plan
for
collection
of
data
that
demonstrates
the
9
effects
of
children’s
mental
health
crisis
services
through
the
10
collection
of
outcome
data
and
surveys
of
the
children
affected
11
and
their
families.
12
d.
A
method
for
using
federal,
state,
and
other
funding
13
including
funding
currently
available,
to
implement
and
support
14
children’s
mental
health
crisis
services.
15
e.
Utilization
of
collaborative
processes
developed
from
16
the
recommendations
from
the
children’s
mental
health
and
17
well-being
workgroup
final
report
submitted
to
the
department
18
on
December
15,
2015.
19
f.
A
recommendation
for
any
additional
state
funding
needed
20
to
establish
a
children’s
mental
health
crisis
service
system
21
in
the
defined
area.
22
g.
A
recommendation
for
statewide
standard
requirements
for
23
children’s
mental
health
crisis
services,
as
defined
in
the
24
children’s
mental
health
and
well-being
workgroup
final
report
25
submitted
to
the
department
of
human
services
on
December
15,
26
2015,
including
but
not
limited
to
all
of
the
following:
27
(1)
Standardized
primary
care
practitioner
screenings.
28
(2)
Standardized
mental
health
crisis
screenings.
29
(3)
Standardized
mental
health
and
substance
use
disorder
30
assessments.
31
(4)
Requirements
for
certain
inpatient
psychiatric
32
hospitals
and
psychiatric
medical
institutions
for
children
to
33
accept
and
treat
all
children
regardless
of
the
acuity
of
their
34
condition.
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4.
Each
grantee
shall
submit
a
report
to
the
department
by
1
December
15,
2016.
The
department
shall
combine
the
essentials
2
of
each
report
and
shall
submit
a
report
to
the
general
3
assembly
by
January
15,
2017,
regarding
the
department’s
4
conclusions
and
recommendations.
5
Sec.
69.
CHILDREN’S
WELL-BEING
LEARNING
LABS.
The
6
department
of
human
services,
utilizing
existing
departmental
7
resources
and
with
the
continued
assistance
of
a
private
child
8
welfare
foundation
focused
on
improving
child
well-being,
shall
9
study
and
collect
data
on
emerging,
collaborative
efforts
10
in
existing
programs
engaged
in
addressing
well-being
for
11
children
with
complex
needs
and
their
families
in
communities
12
across
the
state.
The
department
shall
establish
guidelines
13
based
upon
recommendations
in
the
children’s
mental
health
and
14
well-being
workgroup
final
report
submitted
to
the
department
15
on
December
15,
2015,
to
select
three
to
five
such
programs
16
to
be
designated
learning
labs
to
enable
the
department
17
to
engage
in
a
multi-site
learning
process
during
the
2016
18
calendar
year
with
a
goal
of
creating
an
expansive
structured
19
learning
network.
The
department
shall
submit
a
report
with
20
recommendations
including
lessons
learned,
suggested
program
21
design
refinements,
and
implications
for
funding,
policy
22
changes,
and
best
practices
to
the
general
assembly
by
January
23
15,
2017.
24
Sec.
70.
DEPARTMENT
OF
HUMAN
SERVICES
——
ADDITIONAL
25
STUDY
REPORTS.
The
department
of
human
services
shall,
in
26
consultation
with
the
department
of
public
health,
the
mental
27
health
and
disability
services
commission,
and
the
mental
28
health
planning
council,
submit
a
report
with
recommendations
29
to
the
general
assembly
by
December
15,
2016,
regarding
all
of
30
the
following:
31
1.
The
creation
and
implementation
of
a
statewide
32
children’s
mental
health
crisis
service
system
to
include
but
33
not
be
limited
to
an
inventory
of
all
current
children’s
mental
34
health
crisis
service
systems
in
the
state
including
children’s
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mental
health
crisis
service
system
telephone
lines.
The
1
report
shall
include
recommendations
regarding
proposed
changes
2
to
improve
the
effectiveness
of
and
access
to
children’s
mental
3
health
crisis
services.
4
2.
The
development
and
implementation
of
a
children’s
5
mental
health
public
education
and
awareness
campaign
that
6
targets
the
reduction
of
stigma
for
children
with
mental
7
illness
and
that
supports
children
with
mental
illness
and
8
their
families
in
seeking
effective
treatment.
The
plan
shall
9
include
potential
methods
for
funding
such
a
campaign.
10
Sec.
71.
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
ADVISORY
11
COMMITTEE.
The
department
of
human
services
shall
create
and
12
provide
support
to
a
children’s
mental
health
and
well-being
13
advisory
committee
to
continue
the
coordinated
efforts
of
14
the
children’s
mental
health
subcommittee
and
the
children’s
15
well-being
subcommittee
of
the
children’s
mental
health
16
and
well-being
workgroup.
Consideration
shall
be
given
to
17
continued
service
by
members
of
the
children’s
mental
health
18
and
well-being
workgroup
created
pursuant
to
2015
Iowa
Acts,
19
ch.
137,
and
representatives
from
the
departments
of
human
20
services,
public
health,
and
education;
the
judicial
branch;
21
and
other
appropriate
stakeholders
designated
by
the
director.
22
The
advisory
committee
shall
do
all
of
the
following:
23
1.
Provide
guidance
regarding
implementation
of
the
24
recommendations
in
the
children’s
mental
health
and
well-being
25
workgroup
final
report
submitted
to
the
department
on
December
26
15,
2015,
and
subsequent
reports
required
by
this
Act.
27
2.
Select
and
study
additional
children’s
well-being
28
learning
labs
to
assure
a
continued
commitment
to
joint
29
learning
and
comparison
for
all
learning
lab
sites.
30
DIVISION
XVI
31
OPIOID
ANTAGONIST
REVISION
32
Sec.
72.
Section
147A.18,
subsection
5,
as
enacted
by
2016
33
Iowa
Acts,
Senate
File
2218,
section
3,
is
amended
to
read
as
34
follows:
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5.
The
department
shall
may
adopt
rules
pursuant
to
chapter
1
17A
to
implement
and
administer
this
section
,
including
but
2
not
limited
to
standards
and
procedures
for
the
prescription,
3
distribution,
storage,
replacement,
and
administration
of
4
opioid
antagonists,
and
for
the
training
and
authorization
5
to
be
required
for
first
responders
to
administer
an
opioid
6
antagonist
.
7
Sec.
73.
OPIOID
ANTAGONIST
IMPLEMENTATION
8
CONTINGENCY.
2016
Iowa
Acts,
Senate
File
2218,
section
9
4,
is
amended
by
striking
the
section.
10
DIVISION
XVII
11
NURSING
GRANT
PROGRAMS
12
Sec.
74.
Section
135.178,
Code
2016,
is
amended
to
read
as
13
follows:
14
135.178
Nurse
residency
state
matching
grants
program
——
15
repeal
.
16
1.
The
department
shall
establish
a
nurse
residency
state
17
matching
grants
program
to
provide
matching
state
funding
18
to
sponsors
of
nurse
residency
programs
in
this
state
to
19
establish,
expand,
or
support
nurse
residency
programs
that
20
meet
standards
adopted
by
rule
of
the
department.
Funding
for
21
the
program
may
be
provided
through
the
health
care
workforce
22
shortage
fund
or
the
nurse
residency
state
matching
grants
23
program
account
created
in
section
135.175
.
The
department,
24
in
cooperation
with
the
Iowa
board
of
nursing,
the
department
25
of
education,
Iowa
institutions
of
higher
education
with
board
26
of
nursing-approved
programs
to
educate
nurses,
and
the
Iowa
27
nurses
association,
shall
adopt
rules
pursuant
to
chapter
17A
28
to
establish
minimum
standards
for
nurse
residency
programs
29
to
be
eligible
for
a
matching
grant
that
address
all
of
the
30
following:
31
a.
1.
Eligibility
requirements
for
and
qualifications
of
32
a
sponsor
of
a
nurse
residency
program
to
receive
a
grant,
33
including
that
the
program
includes
both
rural
and
urban
34
components.
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b.
2.
The
application
process
for
the
grant.
1
c.
3.
Criteria
for
preference
in
awarding
of
the
grants.
2
d.
4.
Determination
of
the
amount
of
a
grant.
3
e.
5.
Use
of
the
funds
awarded.
Funds
may
be
used
to
pay
4
the
costs
of
establishing,
expanding,
or
supporting
a
nurse
5
residency
program
as
specified
in
this
section
,
including
but
6
not
limited
to
the
costs
associated
with
residency
stipends
and
7
nursing
faculty
stipends.
8
2.
This
section
is
repealed
June
30,
2016.
9
Sec.
75.
Section
261.129,
Code
2016,
is
amended
to
read
as
10
follows:
11
261.129
Iowa
needs
nurses
now
initiative
——
repeal
.
12
1.
Nurse
educator
incentive
payment
program.
13
a.
The
commission
shall
establish
a
nurse
educator
14
incentive
payment
program.
Funding
for
the
program
may
be
15
provided
through
the
health
care
workforce
shortage
fund
or
the
16
health
care
professional
and
Iowa
needs
nurses
now
initiative
17
account
created
in
section
135.175
.
For
the
purposes
of
this
18
subsection
,
“nurse
educator”
means
a
registered
nurse
who
holds
19
a
master’s
degree
or
doctorate
degree
and
is
employed
as
a
20
faculty
member
who
teaches
nursing
in
a
nursing
education
21
program
as
provided
in
655
IAC
2.6
at
a
community
college,
an
22
accredited
private
institution,
or
an
institution
of
higher
23
education
governed
by
the
state
board
of
regents.
24
b.
The
program
shall
consist
of
incentive
payments
to
25
recruit
and
retain
nurse
educators.
The
program
shall
provide
26
for
incentive
payments
of
up
to
twenty
thousand
dollars
for
a
27
nurse
educator
who
remains
teaching
in
a
qualifying
teaching
28
position
for
a
period
of
not
less
than
four
consecutive
29
academic
years.
30
c.
The
nurse
educator
and
the
commission
shall
enter
into
an
31
agreement
specifying
the
obligations
of
the
nurse
educator
and
32
the
commission.
If
the
nurse
educator
leaves
the
qualifying
33
teaching
position
prior
to
teaching
for
four
consecutive
34
academic
years,
the
nurse
educator
shall
be
liable
to
repay
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the
incentive
payment
amount
to
the
state,
plus
interest
as
1
specified
by
rule.
However,
if
the
nurse
educator
leaves
2
the
qualifying
teaching
position
involuntarily,
the
nurse
3
educator
shall
be
liable
to
repay
only
a
pro
rata
amount
of
the
4
incentive
payment
based
on
incompleted
years
of
service.
5
d.
The
commission,
in
consultation
with
the
department
6
of
public
health,
the
board
of
nursing,
the
department
of
7
education,
and
the
Iowa
nurses
association,
shall
adopt
rules
8
pursuant
to
chapter
17A
relating
to
the
establishment
and
9
administration
of
the
nurse
educator
incentive
payment
program.
10
The
rules
shall
include
provisions
specifying
what
constitutes
11
a
qualifying
teaching
position.
12
2.
Nursing
faculty
fellowship
program.
13
a.
The
commission
shall
establish
a
nursing
faculty
14
fellowship
program
to
provide
funds
to
nursing
schools
in
the
15
state,
including
but
not
limited
to
nursing
schools
located
at
16
community
colleges,
for
fellowships
for
individuals
employed
17
in
qualifying
positions
on
the
nursing
faculty.
Funding
for
18
the
program
may
be
provided
through
the
health
care
workforce
19
shortage
fund
or
the
health
care
professional
and
the
Iowa
20
needs
nurses
now
initiative
account
created
in
section
135.175
.
21
The
program
shall
be
designed
to
assist
nursing
schools
in
22
filling
vacancies
in
qualifying
positions
throughout
the
state.
23
b.
The
commission,
in
consultation
with
the
department
24
of
public
health,
the
board
of
nursing,
the
department
of
25
education,
and
the
Iowa
nurses
association,
and
in
cooperation
26
with
nursing
schools
throughout
the
state,
shall
develop
a
27
distribution
formula
which
shall
provide
that
no
more
than
28
thirty
percent
of
the
available
moneys
are
awarded
to
a
single
29
nursing
school.
Additionally,
the
program
shall
limit
funding
30
for
a
qualifying
position
in
a
nursing
school
to
no
more
than
31
ten
thousand
dollars
per
year
for
up
to
three
years.
32
c.
The
commission,
in
consultation
with
the
department
33
of
public
health,
the
board
of
nursing,
the
department
of
34
education,
and
the
Iowa
nurses
association,
shall
adopt
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rules
pursuant
to
chapter
17A
to
administer
the
program.
The
1
rules
shall
include
provisions
specifying
what
constitutes
a
2
qualifying
position
at
a
nursing
school.
3
d.
In
determining
eligibility
for
a
fellowship,
the
4
commission
shall
consider
all
of
the
following:
5
(1)
The
length
of
time
a
qualifying
position
has
gone
6
unfilled
at
a
nursing
school.
7
(2)
Documented
recruiting
efforts
by
a
nursing
school.
8
(3)
The
geographic
location
of
a
nursing
school.
9
(4)
The
type
of
nursing
program
offered
at
the
nursing
10
school,
including
associate,
bachelor’s,
master’s,
or
doctoral
11
degrees
in
nursing,
and
the
need
for
the
specific
nursing
12
program
in
the
state.
13
3.
Nurse
educator
scholarship
program.
14
a.
The
commission
shall
establish
a
nurse
educator
15
scholarship
program.
Funding
for
the
program
may
be
provided
16
through
the
health
care
workforce
shortage
fund
or
the
health
17
care
professional
and
the
Iowa
needs
nurses
now
initiative
18
account
created
in
section
135.175
.
The
goal
of
the
nurse
19
educator
scholarship
program
is
to
address
the
waiting
list
of
20
qualified
applicants
to
Iowa’s
nursing
schools
by
providing
21
incentives
for
the
training
of
additional
nursing
educators.
22
For
the
purposes
of
this
subsection
,
“nurse
educator”
means
23
a
registered
nurse
who
holds
a
master’s
degree
or
doctorate
24
degree
and
is
employed
as
a
faculty
member
who
teaches
nursing
25
in
a
nursing
education
program
as
provided
in
655
IAC
2.6
at
26
a
community
college,
an
accredited
private
institution,
or
an
27
institution
of
higher
education
governed
by
the
state
board
of
28
regents.
29
b.
The
program
shall
consist
of
scholarships
to
further
30
advance
the
education
of
nurses
to
become
nurse
educators.
The
31
program
shall
provide
for
scholarship
payments
in
an
amount
32
established
by
rule
for
students
who
are
preparing
to
teach
in
33
qualifying
teaching
positions.
34
c.
The
commission,
in
consultation
with
the
department
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of
public
health,
the
board
of
nursing,
the
department
of
1
education,
and
the
Iowa
nurses
association,
shall
adopt
rules
2
pursuant
to
chapter
17A
relating
to
the
establishment
and
3
administration
of
the
nurse
educator
scholarship
program.
The
4
rules
shall
include
provisions
specifying
what
constitutes
a
5
qualifying
teaching
position
and
the
amount
of
any
scholarship.
6
4.
Nurse
educator
scholarship-in-exchange-for-service
7
program.
8
a.
The
commission
shall
establish
a
nurse
educator
9
scholarship-in-exchange-for-service
program.
Funding
for
the
10
program
may
be
provided
through
the
health
care
workforce
11
shortage
fund
or
the
health
care
professional
and
Iowa
needs
12
nurses
now
initiative
account
created
in
section
135.175
.
The
13
goal
of
the
nurse
educator
scholarship-in-exchange-for-service
14
program
is
to
address
the
waiting
list
of
qualified
applicants
15
to
Iowa’s
nursing
schools
by
providing
incentives
for
the
16
education
of
additional
nursing
educators.
For
the
purposes
17
of
this
subsection
,
“nurse
educator”
means
a
registered
nurse
18
who
holds
a
master’s
degree
or
doctorate
degree
and
is
employed
19
as
a
faculty
member
who
teaches
nursing
in
a
nursing
education
20
program
as
provided
in
655
IAC
2.6
at
a
community
college,
an
21
accredited
private
institution,
or
an
institution
of
higher
22
education
governed
by
the
state
board
of
regents.
23
b.
The
program
shall
consist
of
scholarships
to
further
24
advance
the
education
of
nurses
to
become
nurse
educators.
The
25
program
shall
provide
for
scholarship-in-exchange-for-service
26
payments
in
an
amount
established
by
rule
for
students
who
27
are
preparing
to
teach
in
qualifying
teaching
positions
for
a
28
period
of
not
less
than
four
consecutive
academic
years.
29
c.
The
scholarship-in-exchange-for-service
recipient
30
and
the
commission
shall
enter
into
an
agreement
specifying
31
the
obligations
of
the
applicant
and
the
commission.
32
If
the
nurse
educator
leaves
the
qualifying
teaching
33
position
prior
to
teaching
for
four
consecutive
academic
34
years,
the
nurse
educator
shall
be
liable
to
repay
the
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scholarship-in-exchange-for-service
amount
to
the
state
plus
1
interest
as
specified
by
rule.
However,
if
the
nurse
educator
2
leaves
the
qualified
teaching
position
involuntarily,
the
nurse
3
educator
shall
be
liable
to
repay
only
a
pro
rata
amount
of
the
4
scholarship
based
on
incomplete
years
of
service.
5
d.
The
receipt
of
a
nurse
educator
6
scholarship-in-exchange-for-service
shall
not
impact
7
eligibility
of
an
individual
for
other
financial
incentives
8
including
but
not
limited
to
loan
forgiveness
programs.
9
e.
The
commission,
in
consultation
with
the
department
10
of
public
health,
the
board
of
nursing,
the
department
11
of
education,
and
the
Iowa
nurses
association,
shall
12
adopt
rules
pursuant
to
chapter
17A
relating
to
the
13
establishment
and
administration
of
the
nurse
educator
14
scholarship-in-exchange-for-service
program.
The
rules
15
shall
include
the
provisions
specifying
what
constitutes
16
a
qualifying
teaching
position
and
the
amount
of
any
17
scholarship-in-exchange-for-service.
18
5.
Repeal.
This
section
is
repealed
June
30,
2016.
19
Sec.
76.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
20
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
21
enactment.
22
Sec.
77.
RETROACTIVE
APPLICABILITY.
This
division
of
this
23
Act
is
retroactively
applicable
to
June
30,
2016.
24
DIVISION
XVIII
25
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
PAYMENT
LIMIT
26
SUPPLEMENTAL
PAYMENT
PROGRAM
27
Sec.
78.
Section
249L.2,
subsection
6,
Code
2016,
is
amended
28
to
read
as
follows:
29
6.
“Nursing
facility”
means
a
licensed
nursing
facility
as
30
defined
in
section
135C.1
that
is
a
freestanding
facility
or
31
a
nursing
facility
operated
by
a
hospital
licensed
pursuant
32
to
chapter
135B
,
but
does
not
include
a
distinct-part
skilled
33
nursing
unit
or
a
swing-bed
unit
operated
by
a
hospital,
or
34
a
nursing
facility
owned
by
the
state
or
federal
government
35
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or
other
governmental
unit
.
“Nursing
facility”
includes
a
1
non-state
government-owned
nursing
facility
if
the
nursing
2
facility
participates
in
the
non-state
government-owned
nursing
3
facility
upper
payment
limit
supplemental
payment
program.
4
Sec.
79.
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
5
PAYMENT
LIMIT
SUPPLEMENTAL
PAYMENT
PROGRAM.
6
1.
The
department
of
human
services
shall
submit
to
the
7
centers
for
Medicare
and
Medicaid
services
(CMS)
of
the
United
8
States
department
of
health
and
human
services,
no
later
9
than
June
30,
2016,
a
Medicaid
state
plan
amendment
to
allow
10
qualifying
non-state
government-owned
nursing
facilities
to
11
receive
a
supplemental
payment
in
accordance
with
the
upper
12
payment
limit
requirements
pursuant
to
42
C.F.R.
§447.272.
The
13
supplemental
payment
shall
be
in
addition
to
the
greater
of
the
14
Medicaid
fee-for-service
per
diem
reimbursement
rate
or
the
15
per
diem
payment
established
for
the
nursing
facility
under
a
16
Medicaid
managed
care
contract.
17
2.
At
a
minimum,
the
Medicaid
state
plan
amendment
shall
18
provide
for
all
of
the
following:
19
a.
A
non-state
governmental
entity
shall
provide
the
state
20
share
of
the
expected
supplemental
payment
in
the
form
of
an
21
intergovernmental
transfer
to
the
state.
22
b.
The
state
shall
claim
federal
matching
funds
and
shall
23
make
supplemental
payments
to
eligible
non-state
governmental
24
entities
based
on
the
supplemental
amount
as
calculated
by
25
the
state
for
each
nursing
facility
for
which
a
non-state
26
governmental
entity
owns
the
nursing
facility’s
license.
27
c.
The
supplemental
payment
program
shall
be
budget
neutral
28
to
the
state.
No
general
fund
revenue
shall
be
expended
under
29
the
program
including
for
costs
of
administration.
If
payments
30
under
the
program
result
in
overpayment
to
a
nursing
facility,
31
or
if
CMS
disallows
federal
participation
related
to
a
nursing
32
facility’s
receipt
or
use
of
supplemental
payments
authorized
33
under
the
program,
the
state
may
recoup
an
amount
equivalent
34
to
the
amount
of
supplemental
payments
overpaid
or
disallowed.
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Supplemental
payments
shall
be
subject
to
any
adjustment
1
for
payments
made
in
error,
including
but
not
limited
to
2
adjustments
made
by
state
or
federal
law,
and
the
state
may
3
recoup
an
amount
equivalent
to
any
such
adjustment.
4
d.
A
nursing
facility
participating
in
the
program
shall
5
notify
the
state
of
any
changes
in
ownership
that
may
affect
6
the
nursing
facility’s
continued
eligibility
for
the
program
7
within
thirty
days
of
any
such
change.
8
e.
A
portion
of
the
supplemental
payment
paid
to
a
9
participating
nursing
facility,
not
to
exceed
five
percent,
10
annually,
may
be
used
to
pay
contingent
fees,
consulting
fees,
11
or
legal
fees
associated
with
the
nursing
facility’s
receipt
12
of
the
supplemental
funds,
and
any
such
expenditures
shall
be
13
reported
to
the
department
of
human
services.
14
f.
The
supplemental
payment
paid
to
a
participating
nursing
15
facility
shall
only
be
used
as
specified
in
state
and
federal
16
law.
Supplemental
payments
paid
to
a
participating
nursing
17
facility
shall
only
be
used
as
follows:
18
(1)
A
portion
of
the
amount
received
may
be
used
for
nursing
19
facility
quality
improvement
initiatives
including
but
not
20
limited
to
educational
scholarships
and
nonmandatory
training.
21
Priority
in
the
awarding
of
contracts
for
such
training
shall
22
be
for
Iowa-based
organizations.
23
(2)
A
portion
of
the
amount
received
may
be
used
for
nursing
24
facility
remodeling
or
renovation.
Priority
in
the
awarding
25
of
contracts
for
such
remodeling
or
renovations
shall
be
for
26
Iowa-based
organizations
and
skilled
laborers.
27
(3)
A
portion
of
the
amount
received
may
be
used
for
health
28
information
technology
infrastructure
and
software.
Priority
29
in
the
awarding
of
contracts
for
such
health
information
30
technology
infrastructure
and
software
shall
be
for
Iowa-based
31
organizations.
32
(4)
A
portion
of
the
amount
received
may
be
used
for
33
endowments
to
offset
costs
associated
with
maintenance
of
34
hospitals
licensed
under
chapter
135B
and
nursing
facilities
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licensed
under
chapter
135C.
1
(5)
A
portion
of
the
amount
received
may
be
used
for
2
improved
care
coordination
between
participating
nursing
3
facilities
and
hospitals.
4
g.
A
non-state
governmental
entity
shall
only
be
eligible
5
for
supplemental
payments
attributable
to
up
to
10
percent
of
6
the
non-state
government-owned
nursing
facilities
licensed
in
7
the
state.
8
3.
Following
receipt
of
approval
and
implementation
of
the
9
program,
the
department
shall
submit
a
report
to
the
governor
10
and
the
general
assembly,
annually,
on
or
before
December
15,
11
regarding
the
program.
The
report
shall
include,
at
a
minimum,
12
the
name
and
location
of
participating
non-state
governmental
13
entities
and
the
non-state
government-owned
nursing
facilities
14
with
which
the
non-state
governmental
entities
have
partnered
15
to
participate
in
the
program;
the
amount
of
the
matching
16
funds
provided
by
each
non-state
governmental
entity;
the
net
17
supplemental
payment
amount
received
by
each
participating
18
non-governmental
entity
and
non-state
government-owned
nursing
19
facility;
and
the
amount
expended
for
each
of
the
specified
20
categories
of
approved
expenditure.
21
4.
As
used
in
this
section:
22
a.
“Non-state
governmental
entity”
means
a
hospital
23
authority,
hospital
district,
health
care
district,
city,
or
24
county.
25
b.
“Non-state
government-owned
nursing
facility”
means
a
26
nursing
facility
for
which
a
non-state
governmental
entity
27
holds
the
nursing
facility’s
license
and
is
party
to
the
28
nursing
facility’s
Medicaid
contract.
29
Sec.
80.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
30
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
31
enactment.
32
Sec.
81.
CONTINGENT
IMPLEMENTATION.
The
section
of
this
33
division
of
this
Act
amending
section
249L.2
shall
only
be
34
implemented
upon
receipt
by
the
department
of
human
services
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of
approval
of
the
Medicaid
state
plan
amendment
by
the
1
centers
for
Medicare
and
Medicaid
services
of
the
United
States
2
department
of
health
and
human
services.
3
DIVISION
XIX
4
CAREGIVER
DESIGNATION
5
Sec.
82.
NEW
SECTION
.
144E.1
Definitions.
6
As
used
in
this
chapter,
unless
the
context
otherwise
7
requires:
8
1.
“After-care
assistance”
means
any
assistance
provided
9
by
a
caregiver
to
a
patient
following
the
patient’s
discharge
10
from
a
hospital
that
is
related
to
the
patient’s
condition
11
at
the
time
of
discharge,
including
but
not
limited
to
12
assisting
with
basic
activities
of
daily
living,
assisting
13
with
instrumental
activities
of
daily
living,
and
performing
14
other
tasks
including
but
not
limited
to
managing
wound
care,
15
assisting
in
the
administering
of
medications,
and
operating
16
medical
equipment,
as
determined
to
be
appropriate
by
the
17
patient’s
discharging
physician
or
other
licensed
health
care
18
professional.
19
2.
“Caregiver”
means
any
individual
designated
as
a
20
caregiver
by
a
patient
who
provides
after-care
assistance
to
a
21
patient
in
the
patient’s
residence.
“Caregiver”
includes
but
is
22
not
limited
to
a
relative,
spouse,
partner,
friend,
or
neighbor
23
who
has
a
significant
relationship
with
the
patient.
24
3.
“Discharge”
means
a
patient’s
exit
or
release
from
a
25
hospital
to
the
patient’s
residence
following
an
inpatient
26
admission.
27
4.
“Entry”
means
a
patient’s
admission
into
a
hospital
for
28
the
purposes
of
receiving
inpatient
medical
care.
29
5.
“Facility”
means
a
health
care
facility
as
defined
in
30
section
135C.1,
an
elder
group
home
as
defined
in
section
31
231B.1,
or
an
assisted
living
program
as
defined
in
section
32
231C.2.
33
6.
“Hospital”
means
a
licensed
hospital
as
defined
in
34
section
135B.1.
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7.
“Residence”
means
the
dwelling
that
the
patient
considers
1
to
be
the
patient’s
home.
“Residence”
does
not
include
any
2
rehabilitation
facility,
hospital,
nursing
home,
assisted
3
living
facility,
or
group
home
licensed
by
the
department
of
4
inspections
and
appeals.
5
Sec.
83.
NEW
SECTION
.
144E.2
Caregiver
——
opportunity
to
6
designate.
7
1.
a.
A
hospital
shall
provide
each
patient
or,
if
8
applicable,
the
patient’s
legal
guardian
with
an
opportunity
9
to
designate
at
least
one
caregiver
within
twenty-four
hours
10
following
the
patient’s
entry
into
a
hospital,
and
prior
to
11
the
patient’s
discharge
or
transfer
to
another
hospital
or
12
facility.
13
b.
If
the
patient
is
unconscious
or
otherwise
incapacitated
14
upon
entry
into
the
hospital,
the
hospital
shall
provide
the
15
patient
or
the
patient’s
legal
guardian
with
an
opportunity
to
16
designate
a
caregiver
within
twenty-four
hours
following
the
17
patient’s
recovery
of
consciousness
or
capacity.
18
c.
If
the
patient
or
legal
guardian
declines
to
designate
19
a
caregiver,
the
hospital
shall
promptly
document
this
20
declination
in
the
patient’s
medical
record.
21
d.
If
the
patient
or
the
patient’s
legal
guardian
designates
22
an
individual
as
a
caregiver,
all
of
the
following
shall
apply:
23
(1)
The
hospital
shall
promptly
request
the
written
consent
24
of
the
patient
or
the
patient’s
legal
guardian
to
release
25
medical
information
to
the
patient’s
caregiver
following
the
26
hospital’s
established
procedures
for
releasing
personal
health
27
information
and
in
compliance
with
all
federal
and
state
28
laws.
If
the
patient
or
the
patient’s
legal
guardian
declines
29
to
consent
to
release
medical
information
to
the
patient’s
30
caregiver,
the
hospital
shall
not
be
required
to
provide
notice
31
to
the
caregiver
under
section
144E.3
or
to
provide
information
32
contained
in
the
patient’s
discharge
plan
to
the
caregiver
33
under
section
144E.4.
34
(2)
The
hospital
shall
record
the
patient’s
designation
of
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caregiver,
the
relationship
of
the
caregiver
to
the
patient,
1
and
the
name,
telephone
number,
and
address
of
the
patient’s
2
caregiver
in
the
patient’s
medical
record.
3
e.
A
patient
or
the
patient’s
legal
guardian
may
elect
to
4
change
the
designation
of
the
patient’s
caregiver
at
any
time,
5
and
the
hospital
shall
record
such
change
in
the
patient’s
6
medical
record
prior
to
the
patient’s
discharge.
7
2.
The
designation
of
a
caregiver
by
a
patient
or
a
8
patient’s
legal
guardian
does
not
obligate
the
designated
9
individual
to
perform
any
after-care
assistance
for
the
10
patient.
11
3.
This
section
shall
not
be
construed
to
require
a
patient
12
or
a
patient’s
legal
guardian
to
designate
any
individual
as
a
13
caregiver.
14
Sec.
84.
NEW
SECTION
.
144E.3
Notification
of
caregiver.
15
A
hospital
shall
notify
the
patient’s
caregiver
of
the
16
patient’s
discharge
or
transfer
to
another
hospital
or
facility
17
as
soon
as
possible
upon
issuance
of
a
discharge
or
transfer
18
order
by
the
patient’s
attending
physician
and
prior
to
the
19
patient’s
actual
discharge
or
transfer
to
another
hospital
or
20
facility.
If
the
hospital
is
unable
to
contact
the
caregiver,
21
the
lack
of
contact
shall
not
interfere
with,
delay,
or
22
otherwise
affect
the
medical
care
provided
to
the
patient,
or
23
an
appropriate
discharge
or
transfer
of
the
patient.
24
Sec.
85.
NEW
SECTION
.
144E.4
Instructions
to
caregiver.
25
1.
a.
As
soon
as
possible
and
prior
to
a
patient’s
26
discharge
from
a
hospital,
the
hospital
shall
consult
with
the
27
caregiver
along
with
the
patient
regarding
the
caregiver’s
28
capabilities
and
limitations
and
issue
a
discharge
plan
that
29
describes
the
patient’s
after-care
assistance
needs
at
the
30
patient’s
residence.
At
a
minimum,
the
discharge
plan
shall
31
include:
32
(1)
The
name
and
contact
information
of
the
caregiver.
33
(2)
A
description
of
all
after-care
assistance
tasks
34
necessary
to
maintain
the
patient’s
ability
to
reside
at
the
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patient’s
residence.
1
(3)
Contact
information
for
any
health
care,
community
2
resource,
and
long-term
services
and
supports
necessary
to
3
successfully
carry
out
the
patient’s
discharge
plan.
4
b.
If
the
hospital
is
unable
to
contact
the
caregiver,
5
the
lack
of
contact
shall
not
interfere
with,
delay,
or
6
otherwise
affect
the
medical
care
provided
to
the
patient,
or
7
an
appropriate
discharge
or
transfer
of
the
patient.
8
2.
The
hospital
issuing
the
discharge
plan
shall
offer
9
to
provide
a
caregiver
with
instructions
for
all
after-care
10
assistance
tasks
described
in
the
discharge
plan.
At
a
11
minimum,
this
instruction
shall
include:
12
a.
A
live
demonstration
or
video
instruction
of
the
13
after-care
tasks,
performed
by
a
hospital
employee
or
14
an
individual
with
whom
the
hospital
has
a
contractual
15
relationship,
who
has
the
appropriate
education
and
competency
16
in
the
task
to
be
performed
and
is
authorized
to
perform
the
17
task,
in
a
culturally-competent
manner
and
in
accordance
with
18
the
hospital’s
requirements
to
provide
language
access
services
19
under
state
and
federal
law.
20
b.
An
opportunity
for
the
caregiver
to
ask
questions
about
21
the
after-care
assistance
tasks.
22
c.
Answers
to
the
caregiver’s
questions
provided
in
23
a
culturally-competent
manner
and
in
accordance
with
the
24
hospital’s
requirements
to
provide
language
access
services
25
under
state
and
federal
law.
26
Sec.
86.
NEW
SECTION
.
144E.5
Adoption
of
rules.
27
The
department
of
inspections
and
appeals,
in
consultation
28
with
the
department
of
public
health,
may
adopt
rules
pursuant
29
to
chapter
17A
to
administer
this
chapter
including
but
not
30
limited
to
rules
to
further
define
the
content
and
scope
of
any
31
instructions
provided
to
caregivers
under
this
chapter.
32
Sec.
87.
NEW
SECTION
.
144E.6
Construction
of
chapter
33
relative
to
other
health
care
directive.
34
Nothing
in
this
chapter
shall
be
construed
to
interfere
with
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the
rights
of
an
agent
operating
under
a
valid
durable
power
of
1
attorney
for
health
care
pursuant
to
chapter
144B.
2
Sec.
88.
NEW
SECTION
.
144E.7
Limitations.
3
1.
Nothing
in
this
chapter
shall
be
construed
to
create
4
a
private
right
of
action
against
a
hospital,
a
hospital
5
employee,
or
any
consultant
or
contractor
with
whom
a
hospital
6
has
a
contractual
relationship,
or
to
limit
or
otherwise
7
supersede
or
replace
existing
rights
or
remedies
under
any
8
other
provision
of
law.
9
2.
Nothing
in
this
chapter
shall
delay
the
appropriate
10
discharge
or
transfer
of
a
patient.
11
3.
Nothing
in
this
chapter
shall
be
construed
to
interfere
12
with
or
supersede
a
health
care
provider’s
instructions
13
regarding
a
Medicare-certified
home
health
agency
or
any
other
14
postacute
care
provider.
15
4.
Nothing
in
this
chapter
shall
be
construed
to
grant
16
decision-making
authority
to
a
caregiver
to
determine
the
type
17
of
provider
or
provider
of
the
patient’s
posthospital
care
as
18
specified
in
the
patient’s
discharge
plan.
19
DIVISION
XX
20
TRAUMA
CARE
SYSTEM
21
Sec.
89.
Section
147A.23,
subsection
2,
paragraph
c,
Code
22
2016,
is
amended
to
read
as
follows:
23
c.
Upon
verification
and
the
issuance
of
a
certificate
of
24
verification,
a
hospital
or
emergency
care
facility
agrees
25
to
maintain
a
level
of
commitment
and
resources
sufficient
26
to
meet
responsibilities
and
standards
as
required
by
the
27
trauma
care
criteria
established
by
rule
under
this
subchapter
.
28
Verifications
are
valid
for
a
period
of
three
years
or
as
29
determined
by
the
department
and
are
renewable.
As
part
of
30
the
verification
and
renewal
process,
the
department
may
31
conduct
periodic
on-site
reviews
of
the
services
and
facilities
32
of
the
hospital
or
emergency
care
facility.
However,
the
33
department
shall
not
decrease
a
hospital’s
trauma
care
34
services
categorization
level
for
which
a
hospital
was
issued
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a
certificate
of
verification
prior
to
July
1,
2015,
unless
1
the
hospital
subsequently
fails
to
maintain
the
requirements
2
existing
at
the
time
of
the
issuance
of
the
certification
of
3
verification
for
that
categorization
level
of
trauma
care
4
services.
5
Sec.
90.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
6
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
7
enactment.
8
Sec.
91.
RETROACTIVE
APPLICABILITY.
This
division
of
this
9
Act
applies
retroactively
to
June
30,
2015.
10
DIVISION
XXI
11
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONS
——
FUNDING
12
Sec.
92.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONS
——
13
FUNDING.
14
1.
There
is
appropriated
from
the
general
fund
of
the
15
state
to
the
department
of
human
services
for
the
fiscal
year
16
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
17
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
18
purpose
designated:
19
For
a
grant
to
a
five-county
mental
health
and
disability
20
services
region
with
a
population
of
between
290,000
to
300,000
21
as
determined
by
the
latest
federal
decennial
census,
for
the
22
provision
of
mental
health
and
disability
services
within
the
23
region:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
25
The
moneys
appropriated
in
this
subsection
are
contingent
26
upon
the
continuation
of
sustainable
service
funding
27
relationships
between
all
counties
in
the
region
for
the
fiscal
28
year
beginning
July
1,
2016,
and
ending
June
30,
2017.
The
29
department
and
the
region
shall
enter
into
a
memorandum
of
30
understanding
regarding
the
use
of
the
moneys
by
the
region
31
prior
to
the
region’s
receipt
of
moneys
under
this
subsection.
32
2.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
35
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amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purpose
designated:
2
For
a
grant
to
a
single-county
mental
health
and
disability
3
services
region
with
a
population
of
over
350,000
as
determined
4
by
the
latest
federal
decennial
census,
for
the
provision
of
5
mental
health
and
disability
services:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
7
The
department
shall
work
with
the
region
awarded
moneys
8
pursuant
to
this
subsection
to
complete
a
three-year
9
sustainable
cash
flow
funding
plan
for
the
delivery
of
mental
10
health
and
disability
services
in
the
region
to
be
submitted
to
11
the
department
by
November
15,
2016.
The
department
and
the
12
region
shall
enter
into
a
memorandum
of
understanding
regarding
13
the
use
of
the
moneys
and
detailing
the
provisions
of
the
plan
14
prior
to
the
region’s
receipt
of
moneys
under
this
subsection.
15
3.
The
department
shall
distribute
moneys
appropriated
16
in
this
section
within
60
days
of
the
date
of
signing
of
the
17
memorandum
of
understanding
between
the
department
and
each
18
region.
19
4.
Moneys
awarded
under
this
section
shall
be
used
by
the
20
regions
consistent
with
each
region’s
service
system
management
21
plan
as
approved
by
the
department.
22
DIVISION
XXII
23
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
PROGRESS
REPORT
24
Sec.
93.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
25
PROGRESS
REPORT.
The
department
of
human
services
shall
review
26
and
report
progress
on
the
implementation
of
the
adult
mental
27
health
and
disability
services
redesign
and
shall
identify
28
any
challenges
faced
in
achieving
the
goals
of
the
redesign.
29
The
progress
report
shall
include
but
not
be
limited
to
30
information
regarding
the
mental
health
and
disability
services
31
regional
service
system
including
governance,
management,
and
32
administration;
the
implementation
of
best
practices
including
33
evidence-based
best
practices;
the
availability
of,
access
34
to,
and
provision
of
initial
core
services
and
additional
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core
services
to
and
for
required
core
service
populations
1
and
additional
core
service
populations;
and
the
financial
2
stability
and
fiscal
viability
of
the
redesign.
The
department
3
shall
submit
its
report
with
findings
to
the
governor
and
the
4
general
assembly
no
later
than
November
15,
2016.
5
EXPLANATION
6
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
7
the
explanation’s
substance
by
the
members
of
the
general
assembly.
8
This
bill
relates
to
appropriations
for
health
and
human
9
services
made
in
fiscal
year
2016-2017
to
the
department
of
10
veterans
affairs,
Iowa
veterans
home,
department
on
aging
11
(IDA),
office
of
long-term
care
ombudsman,
department
of
public
12
health
(DPH),
Iowa
finance
authority,
department
of
human
13
rights,
and
department
of
human
services
(DHS).
14
The
bill
is
organized
into
divisions.
15
DEPARTMENT
ON
AGING.
This
division
amends
appropriations
16
made
from
the
general
fund
of
the
state
for
the
department
on
17
aging
for
FY
2016-2017.
18
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
amends
19
appropriations
made
from
the
general
fund
of
the
state
for
the
20
office
of
long-term
care
ombudsman
for
FY
2016-2017.
21
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
amends
22
appropriations
made
from
the
general
fund
of
the
state
for
the
23
department
of
public
health
for
FY
2016-2017.
24
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
25
This
division
amends
appropriations
made
from
the
general
26
fund
of
the
state
for
the
department
of
veterans
affairs
for
27
FY
2016-2017
for
administration,
the
Iowa
veterans
home,
for
28
transfer
to
the
Iowa
finance
authority
for
the
home
ownership
29
assistance
program,
and
for
the
county
commissions
of
veteran
30
affairs.
31
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
amends
32
appropriations
from
the
general
fund
of
the
state
and
the
33
federal
temporary
assistance
for
needy
families
block
grant
34
to
DHS
for
FY
2016-2017.
The
allocation
for
the
family
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development
and
self-sufficiency
grant
program
is
made
directly
1
to
the
department
of
human
rights.
The
reimbursement
section
2
addresses
reimbursement
for
providers
reimbursed
by
the
3
department
of
human
services.
4
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
amends
5
certain
health-related
appropriations
for
FY
2016-2017.
A
6
number
of
the
appropriations
are
made
for
purposes
of
the
7
medical
assistance
(Medicaid)
program
in
addition
to
the
8
general
fund
appropriations
made
for
this
purpose
for
the
same
9
fiscal
year.
10
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS.
This
11
division
amends
the
appropriations
for
the
family
investment
12
program
account,
the
family
investment
program
general
fund,
13
medical
assistance,
state
supplementary
assistance,
child
care
14
assistance,
and
the
nursing
facility
budget
for
FY
2015-2016.
15
The
bill
also
amends
the
date
for
adoption
of
emergency
rules
16
for
the
Medicaid
modernization
initiative
to
provide
for
the
17
initiative
to
begin
April
1,
2016,
rather
than
January
1,
2016.
18
This
division
takes
effect
upon
enactment
and
is
retroactively
19
applicable
to
July
1,
2015.
20
DECATEGORIZATION.
This
division
provides
that
21
decategorization
carryover
funds
that
are
unencumbered
or
22
unobligated
at
the
close
of
FY
2015-2016
are
to
be
transferred
23
to
the
Medicaid
appropriation
for
the
same
fiscal
year.
The
24
provision
takes
effect
upon
enactment
and
is
retroactively
25
applicable
to
July
1,
2015.
26
CODE
CHANGES.
This
division
includes
Code
changes
relating
27
to
local
offices
of
substitute
decision
maker
to
extend
the
28
date
by
which
local
offices
shall
be
established
statewide
and
29
amends
provisions
relating
to
institutions
for
persons
with
an
30
intellectual
disability
relating
to
assessments.
31
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT.
This
division
32
eliminates
the
repeal
of
the
hospital
health
care
access
33
assessment
chapter
(Code
chapter
249M)
and
provides
for
a
34
review
of
an
alternative
assessment
methodology
and
report.
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The
division
takes
effect
upon
enactment
and
is
retroactively
1
applicable
to
June
30,
2016.
2
STATE
FAMILY
PLANNING
SERVICES
PROGRAM.
This
division
3
directs
DHS
to
terminate
the
Medicaid
family
planning
network
4
waiver
effective
July
1,
2016,
and
instead
establish
a
state
5
family
planning
services
program.
The
state
program
is
6
required
to
replicate
the
eligibility
requirements
and
other
7
provisions
of
the
waiver,
but
provides
for
a
prioritized
8
distribution
of
the
funds.
Funds
are
prohibited
from
being
9
made
to
any
entity
that
performs
abortions
or
that
maintains
or
10
operates
a
facility
where
abortions
are
performed
and
specifies
11
what
an
abortion
does
not
include.
The
bill
requires
DHS
to
12
report
annually
on
the
distribution
of
the
funds.
13
AUTISM
SUPPORT
FUND.
This
division
relates
to
the
autism
14
support
program
by
increasing
the
eligibility
to
those
15
individuals
less
than
14
years
of
age
rather
than
to
children
16
less
than
9
years
of
age,
increasing
the
income
eligibility
17
level
to
500
percent
of
the
federal
poverty
level
in
place
18
of
400
percent
of
the
federal
poverty
level,
and
adjusting
19
the
level
of
cost
sharing
by
a
recipient
of
funding.
The
20
division
also
amends
the
board-certified
behavior
analyst
and
21
board-certified
assistant
behavior
analyst
grants
program
22
and
fund
to
specify
duties
of
a
person
awarded
a
grant,
the
23
maximum
amount
of
the
grant
awarded,
the
use
of
the
funds,
and
24
reporting
requirements
regarding
the
awarding
of
grants;
and
25
provides
that
moneys
in
the
fund
at
the
close
of
FY
2015-2016
26
are
to
be
transferred
to
the
appropriation
for
medical
27
contracts
to
be
used
for
the
purposes
of
the
appropriation
for
28
the
succeeding
fiscal
year.
The
provision
of
the
division
29
relating
to
the
carryforward
of
the
moneys
takes
effect
upon
30
enactment
and
is
retroactively
applicable
to
July
1,
2015.
31
MEDICAID
MANAGED
CARE
OVERSIGHT.
This
division
includes
32
provisions
for
oversight
of
the
Medicaid
managed
care
program.
33
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING.
This
division
34
includes
provisions
relating
to
children’s
mental
health
crisis
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services
planning
grants,
children’s
well-being
learning
labs,
1
children’s
mental
health
study
reports,
and
a
children’s
mental
2
health
and
well-being
advisory
committee.
3
OPIOID
ANTAGONIST
REVISIONS.
This
division
amends
4
provisions
enacted
in
2016
Iowa
Acts,
Senate
File
2218,
5
relating
to
immunity
for
possession
and
administration
6
of
an
opioid
antagonist,
to
authorize
rather
than
require
7
the
department
of
public
health
to
adopt
general
rather
8
than
specific
rules,
and
by
eliminating
the
provision
that
9
implementation
of
the
provision
is
contingent
upon
the
10
availability
of
funding.
11
NURSING
GRANT
PROGRAMS.
This
division
eliminates
the
12
repeal
provisions
for
the
nurse
residency
state
matching
13
grants
program
and
the
Iowa
needs
nurses
now
initiatives.
The
14
division
takes
effect
upon
enactment
and
is
retroactively
15
applicable
to
June
30,
2016.
16
NURSING
FACILITY
SUPPLEMENTAL
PAYMENT
PROGRAM.
This
17
division
directs
DHS
to
submit
a
Medicaid
state
plan
amendment
18
to
CMS
no
later
than
June
30,
2016,
to
allow
qualifying
19
non-state
government-owned
nursing
facilities
to
receive
20
a
supplemental
payment,
in
addition
to
the
greater
of
the
21
Medicaid
fee-for-service
per
diem
or
the
per
diem
payment
22
established
under
the
Medicaid
managed
care
contract.
The
23
division
specifies
provisions
to
be
included
in
the
Medicaid
24
state
plan
amendment.
The
division
also
provides
that
a
25
nursing
facility
that
participates
in
the
supplemental
payment
26
program
is
also
considered
a
nursing
facility
for
purposes
27
of
the
nursing
facility
quality
assurance
assessment
program
28
under
Code
chapter
249L.
The
division
takes
effect
upon
29
enactment.
Implementation
of
the
amendment
to
Code
section
30
249L.2
to
include
a
nursing
facility
that
participates
in
the
31
supplemental
payment
program
as
a
nursing
facility
for
purposes
32
of
the
nursing
facility
quality
assurance
assessment
program
33
under
Code
chapter
249L
is
contingent
upon
federal
approval
of
34
the
supplemental
payment
program.
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CAREGIVER
DESIGNATION.
This
division
relates
to
the
1
designation
of
a
caregiver
relative
to
an
inpatient
admission
2
of
a
patient
to
a
hospital
to
provide
after-care
assistance
3
to
the
patient
upon
discharge
of
the
patient
to
the
patient’s
4
residence.
5
TRAUMA
CARE
SYSTEM.
This
division
provides
for
continuation
6
of
a
hospital’s
trauma
care
services
categorization
level
for
7
which
the
hospital
was
issued
a
certificate
of
verification
8
prior
to
July
1,
2015,
unless
the
hospital
subsequently
9
fails
to
maintain
the
requirements
existing
at
the
time
of
10
the
issuance
of
the
certification
of
verification
for
that
11
categorization
level
of
trauma
care
services.
12
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONS
——
FUNDING.
13
This
division
makes
appropriations
from
the
general
fund
of
the
14
state
to
the
department
of
human
services
for
FY
2016-2017
for
15
certain
mental
health
and
disability
(MH/DS)
services
regions.
16
MENTAL
HEALTH
AND
DISABILITY
SERVICES
PROGRESS
REPORT.
This
17
division
requires
the
department
of
human
services
to
review
18
and
report
progress
on
the
implementation
of
the
adult
MH/DS
19
redesign
including
any
challenges
faced
in
achieving
the
goals
20
of
the
redesign.
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