Senate
File
505
-
Introduced
SENATE
FILE
505
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
SSB
1288)
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:
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DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2015-2016
2
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
3
the
general
fund
of
the
state
to
the
department
on
aging
for
4
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
5
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
6
to
be
used
for
the
purposes
designated:
7
For
aging
programs
for
the
department
on
aging
and
area
8
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
9
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
10
aging
and
disabilities
resource
center,
and
other
services
11
which
may
include
but
are
not
limited
to
adult
day
services,
12
respite
care,
chore
services,
information
and
assistance,
13
and
material
aid,
for
information
and
options
counseling
for
14
persons
with
disabilities
who
are
18
years
of
age
or
older,
15
and
for
salaries,
support,
administration,
maintenance,
and
16
miscellaneous
purposes,
and
for
not
more
than
the
following
17
full-time
equivalent
positions:
18
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$
11,436,066
19
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FTEs
31.00
20
1.
Funds
appropriated
in
this
section
may
be
used
to
21
supplement
federal
funds
under
federal
regulations.
To
22
receive
funds
appropriated
in
this
section,
a
local
area
23
agency
on
aging
shall
match
the
funds
with
moneys
from
other
24
sources
according
to
rules
adopted
by
the
department.
Funds
25
appropriated
in
this
section
may
be
used
for
elderly
services
26
not
specifically
enumerated
in
this
section
only
if
approved
27
by
an
area
agency
on
aging
for
provision
of
the
service
within
28
the
area.
29
2.
Of
the
funds
appropriated
in
this
section,
$279,946
is
30
transferred
to
the
economic
development
authority
for
the
Iowa
31
commission
on
volunteer
services
to
be
used
for
the
retired
and
32
senior
volunteer
program.
33
3.
a.
The
department
on
aging
shall
establish
and
enforce
34
procedures
relating
to
expenditure
of
state
and
federal
funds
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by
area
agencies
on
aging
that
require
compliance
with
both
1
state
and
federal
laws,
rules,
and
regulations,
including
but
2
not
limited
to
all
of
the
following:
3
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
4
or
services
received
or
performed
prior
to
the
end
of
the
5
fiscal
period
designated
for
use
of
the
funds.
6
(2)
Prohibiting
prepayment
for
goods
or
services
not
7
received
or
performed
prior
to
the
end
of
the
fiscal
period
8
designated
for
use
of
the
funds.
9
(3)
Prohibiting
the
prepayment
for
goods
or
services
10
not
defined
specifically
by
good
or
service,
time
period,
or
11
recipient.
12
(4)
Prohibiting
the
establishment
of
accounts
from
which
13
future
goods
or
services
which
are
not
defined
specifically
by
14
good
or
service,
time
period,
or
recipient,
may
be
purchased.
15
b.
The
procedures
shall
provide
that
if
any
funds
are
16
expended
in
a
manner
that
is
not
in
compliance
with
the
17
procedures
and
applicable
federal
and
state
laws,
rules,
and
18
regulations,
and
are
subsequently
subject
to
repayment,
the
19
area
agency
on
aging
expending
such
funds
in
contravention
of
20
such
procedures,
laws,
rules
and
regulations,
not
the
state,
21
shall
be
liable
for
such
repayment.
22
4.
Of
the
funds
appropriated
in
this
section,
at
least
23
$250,000
shall
be
used
to
fund
the
unmet
needs
identified
24
through
Iowa’s
aging
and
disability
resource
center
network.
25
5.
Of
the
funds
appropriated
in
this
section,
at
least
26
$600,000
shall
be
used
to
fund
home
and
community-based
27
services
through
the
area
agencies
on
aging
that
enable
older
28
individuals
to
avoid
more
costly
utilization
of
residential
or
29
institutional
services
and
remain
in
their
own
homes.
30
6.
Of
the
funds
appropriated
in
this
section,
$850,000
31
shall
be
used
for
the
purposes
of
chapter
231E
and
section
32
231.56A,
of
which
$325,000
shall
be
used
for
the
office
of
33
substitute
decision
maker
pursuant
to
chapter
231E,
and
the
34
remainder
shall
be
distributed
equally
to
the
area
agencies
on
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aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
1
exploitation
program
pursuant
to
section
231.56A,
in
accordance
2
with
the
requirements
of
the
federal
Older
Americans
Act
of
3
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
4
DIVISION
II
5
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2015-2016
6
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
7
1.
There
is
appropriated
from
the
general
fund
of
the
state
8
to
the
office
of
long-term
care
ombudsman
for
the
fiscal
year
9
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purposes
designated:
12
For
salaries,
support,
administration,
maintenance,
and
13
miscellaneous
purposes,
and
for
not
more
than
the
following
14
full-time
equivalent
positions:
15
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.
$
1,506,783
16
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.
FTEs
21.00
17
2.
Of
the
funds
appropriated
in
this
section,
$450,000
shall
18
be
used
to
provide
additional
local
long-term
care
ombudsmen.
19
3.
The
office
of
long-term
care
ombudsman
and
the
department
20
of
human
services
shall
collaborate
to
develop
a
Medicaid
21
state
plan
amendment
to
provide
for
the
claiming
of
federal
22
financial
participation
for
office
of
long-term
care
ombudsman
23
activities
that
are
performed
to
assist
with
administration
of
24
the
Medicaid
program.
The
Medicaid
state
plan
amendment
shall
25
be
submitted
to
the
centers
for
Medicare
and
Medicaid
services
26
of
the
United
States
department
of
health
and
human
services
in
27
a
timely
manner
to
allow
for
such
claiming
of
federal
financial
28
participation
beginning
January
1,
2016.
29
DIVISION
III
30
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2015-2016
31
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
32
from
the
general
fund
of
the
state
to
the
department
of
public
33
health
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
34
June
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
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necessary,
to
be
used
for
the
purposes
designated:
1
1.
ADDICTIVE
DISORDERS
2
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
3
and
other
drugs,
and
treating
individuals
affected
by
addictive
4
behaviors,
including
gambling,
and
for
not
more
than
the
5
following
full-time
equivalent
positions:
6
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.
$
27,263,690
7
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FTEs
10.00
8
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
9
$5,248,361
shall
be
used
for
the
tobacco
use
prevention
10
and
control
initiative,
including
efforts
at
the
state
and
11
local
levels,
as
provided
in
chapter
142A
.
The
commission
12
on
tobacco
use
prevention
and
control
established
pursuant
13
to
section
142A.3
shall
advise
the
director
of
public
health
14
in
prioritizing
funding
needs
and
the
allocation
of
moneys
15
appropriated
for
the
programs
and
initiatives.
Activities
16
of
the
programs
and
initiatives
shall
be
in
alignment
with
17
the
United
States
centers
for
disease
control
and
prevention
18
best
practices
for
comprehensive
tobacco
control
programs
that
19
include
the
goals
of
preventing
youth
initiation
of
tobacco
20
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
of
21
tobacco
cessation.
22
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
23
$453,067
is
transferred
to
the
alcoholic
beverages
division
of
24
the
department
of
commerce
for
enforcement
of
tobacco
laws,
25
regulations,
and
ordinances
and
to
engage
in
tobacco
control
26
activities
approved
by
the
division
of
tobacco
use
prevention
27
and
control
of
the
department
of
public
health
as
specified
28
in
the
memorandum
of
understanding
entered
into
between
the
29
divisions.
30
(b)
For
the
fiscal
year
beginning
July
1,
2015,
and
ending
31
June
30,
2016,
the
terms
of
the
memorandum
of
understanding,
32
entered
into
between
the
division
of
tobacco
use
prevention
33
and
control
of
the
department
of
public
health
and
the
34
alcoholic
beverages
division
of
the
department
of
commerce,
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governing
compliance
checks
conducted
to
ensure
licensed
retail
1
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
2
ordinances
relating
to
persons
under
eighteen
years
of
age,
3
shall
continue
to
restrict
the
number
of
such
checks
to
one
4
check
per
retail
outlet,
and
one
additional
check
for
any
5
retail
outlet
found
to
be
in
violation
during
the
first
check.
6
b.
Of
the
funds
appropriated
in
this
subsection,
7
$22,015,329
shall
be
used
for
problem
gambling
and
8
substance-related
disorder
prevention,
treatment,
and
recovery
9
services,
including
a
24-hour
helpline,
public
information
10
resources,
professional
training,
and
program
evaluation.
11
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
12
$18,903,715
shall
be
used
for
substance-related
disorder
13
prevention
and
treatment.
14
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
15
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
16
program
to
provide
substance-related
disorder
prevention
17
programming
for
children.
18
(i)
Of
the
funds
allocated
in
this
subparagraph
division
19
(a),
$427,539
shall
be
used
for
grant
funding
for
organizations
20
that
provide
programming
for
children
by
utilizing
mentors.
21
Programs
approved
for
such
grants
shall
be
certified
or
must
22
be
certified
within
six
months
of
receiving
the
grant
award
23
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
24
standards
for
effective
practice
for
mentoring
programs.
25
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
26
(a),
$426,839
shall
be
used
for
grant
funding
for
organizations
27
providing
programming
that
includes
youth
development
and
28
leadership
services.
The
programs
shall
also
be
recognized
as
29
being
programs
that
are
scientifically
based
with
evidence
of
30
their
effectiveness
in
reducing
substance-related
disorders
in
31
children.
32
(iii)
The
department
of
public
health
shall
utilize
a
33
request
for
proposals
process
to
implement
the
grant
program.
34
(iv)
All
grant
recipients
shall
participate
in
a
program
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evaluation
as
a
requirement
for
receiving
grant
funds.
1
(v)
Of
the
funds
allocated
in
this
subparagraph
division
2
(a),
up
to
$44,922
may
be
used
to
administer
substance-related
3
disorder
prevention
grants
and
for
program
evaluations.
4
(b)
Of
the
funds
allocated
in
this
subparagraph
5
(1),
$272,603
shall
be
used
for
culturally
competent
6
substance-related
disorder
treatment
pilot
projects.
7
(i)
The
department
shall
utilize
the
amount
allocated
8
in
this
subparagraph
division
(b)
for
at
least
three
pilot
9
projects
to
provide
culturally
competent
substance-related
10
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
11
project
shall
target
a
particular
ethnic
minority
population.
12
The
populations
targeted
shall
include
but
are
not
limited
to
13
African
American,
Asian,
and
Latino.
14
(ii)
The
pilot
project
requirements
shall
provide
for
15
documentation
or
other
means
to
ensure
access
to
the
cultural
16
competence
approach
used
by
a
pilot
project
so
that
such
17
approach
can
be
replicated
and
improved
upon
in
successor
18
programs.
19
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
20
to
$3,111,614
may
be
used
for
problem
gambling
prevention,
21
treatment,
and
recovery
services.
22
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
23
$2,573,762
shall
be
used
for
problem
gambling
prevention
and
24
treatment.
25
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
26
$437,852
may
be
used
for
a
24-hour
helpline,
public
information
27
resources,
professional
training,
and
program
evaluation.
28
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
29
to
$100,000
may
be
used
for
the
licensing
of
problem
gambling
30
treatment
programs.
31
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
32
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
33
diagnosis
of
substance-related
disorder
and
gambling
addiction
34
shall
be
given
priority
in
treatment
services.
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c.
Notwithstanding
any
provision
of
law
to
the
contrary,
1
to
standardize
the
availability,
delivery,
cost
of
delivery,
2
and
accountability
of
problem
gambling
and
substance-related
3
disorder
treatment
services
statewide,
the
department
shall
4
continue
implementation
of
a
process
to
create
a
system
5
for
delivery
of
treatment
services
in
accordance
with
the
6
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
7
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
8
of
treatment
services
that
best
meets
the
needs
of
Iowans,
9
the
problem
gambling
and
substance-related
disorder
treatment
10
services
in
any
area
may
be
provided
either
by
a
single
agency
11
or
by
separate
agencies
submitting
a
joint
proposal.
12
(1)
The
system
for
delivery
of
substance-related
disorder
13
and
problem
gambling
treatment
shall
include
problem
gambling
14
prevention.
15
(2)
The
system
for
delivery
of
substance-related
disorder
16
and
problem
gambling
treatment
shall
include
substance-related
17
disorder
prevention
by
July
1,
2016.
18
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
19
may
use
up
to
$100,000
for
administrative
costs
to
continue
20
developing
and
implementing
the
process
in
accordance
with
this
21
paragraph
“c”.
22
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
23
by
the
appropriations
and
allocations
made
in
this
division
of
24
this
Act
for
purposes
of
substance-related
disorder
treatment
25
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
26
2015.
27
e.
The
department
of
public
health
shall
work
with
all
28
other
departments
that
fund
substance-related
disorder
29
prevention
and
treatment
services
and
all
such
departments
30
shall,
to
the
extent
necessary,
collectively
meet
the
state
31
maintenance
of
effort
requirements
for
expenditures
for
32
substance-related
disorder
services
as
required
under
the
33
federal
substance-related
disorder
prevention
and
treatment
34
block
grant.
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2.
HEALTHY
CHILDREN
AND
FAMILIES
1
For
promoting
the
optimum
health
status
for
children,
2
adolescents
from
birth
through
21
years
of
age,
and
families,
3
and
for
not
more
than
the
following
full-time
equivalent
4
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,331,602
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
7
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
8
than
$734,841
shall
be
used
for
the
healthy
opportunities
for
9
parents
to
experience
success
(HOPES)-healthy
families
Iowa
10
(HFI)
program
established
pursuant
to
section
135.106
.
The
11
funding
shall
be
distributed
to
renew
the
grants
that
were
12
provided
to
the
grantees
that
operated
the
program
during
the
13
fiscal
year
ending
June
30,
2015.
14
b.
In
order
to
implement
the
legislative
intent
stated
in
15
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
16
program
funding
be
given
to
programs
using
evidence-based
or
17
promising
models
for
home
visitation,
it
is
the
intent
of
the
18
general
assembly
to
phase
in
the
funding
priority
in
accordance
19
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
20
paragraph
0b.
21
c.
Of
the
funds
appropriated
in
this
subsection,
$4,912,887
22
shall
be
used
to
expand
statewide
the
department’s
initiative
23
to
provide
for
adequate
developmental
surveillance
and
24
screening
during
a
child’s
first
five
years.
The
funds
shall
25
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
26
the
sites
are
fully
operational,
with
the
remaining
funds
27
to
be
used
for
expansion
to
additional
sites.
The
full
28
implementation
and
expansion
shall
include
enhancing
the
scope
29
of
the
program
through
collaboration
with
the
child
health
30
specialty
clinics
to
promote
healthy
child
development
through
31
early
identification
and
response
to
both
biomedical
and
social
32
determinants
of
healthy
development;
by
monitoring
child
33
health
metrics
to
inform
practice,
document
long-term
health
34
impacts
and
savings,
and
provide
for
continuous
improvement
35
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through
training,
education,
and
evaluation;
and
by
providing
1
for
practitioner
consultation
particularly
for
children
with
2
behavioral
conditions
and
needs.
The
department
of
public
3
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
4
and
the
child
health
specialty
clinics
to
integrate
the
5
activities
of
the
first
five
initiative
into
the
establishment
6
of
patient-centered
medical
homes,
community
utilities,
7
accountable
care
organizations,
and
other
integrated
care
8
models
developed
to
improve
health
quality
and
population
9
health
while
reducing
health
care
costs.
To
the
maximum
extent
10
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
11
as
matching
funds
for
medical
assistance
program
reimbursement.
12
d.
Of
the
funds
appropriated
in
this
subsection,
$74,640
13
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
14
funds
to
continue
the
donated
dental
services
program
patterned
15
after
the
projects
developed
by
the
lifeline
network
to
provide
16
dental
services
to
indigent
individuals
who
are
elderly
or
with
17
disabilities.
18
e.
Of
the
funds
appropriated
in
this
subsection,
$111,995
19
shall
be
used
for
childhood
obesity
prevention.
20
f.
Of
the
funds
appropriated
in
this
subsection,
$162,768
21
shall
be
used
to
provide
audiological
services
and
hearing
22
aids
for
children.
The
department
may
enter
into
a
contract
23
to
administer
this
paragraph.
24
g.
Of
the
funds
appropriated
in
this
subsection,
$25,000
is
25
transferred
to
the
university
of
Iowa
college
of
dentistry
for
26
provision
of
primary
dental
services
to
children.
State
funds
27
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
28
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
29
department
of
public
health,
bureau
of
oral
and
health
delivery
30
systems,
to
provide
dental
care
to
underserved
populations
31
throughout
the
state.
32
h.
Of
the
funds
appropriated
in
this
subsection,
$50,000
33
shall
be
used
to
address
youth
suicide
prevention.
34
i.
Of
the
funds
appropriated
in
this
subsection,
$50,000
35
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shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
1
of
children
who
experience
adverse
childhood
experiences
known
2
as
ACEs.
3
3.
CHRONIC
CONDITIONS
4
For
serving
individuals
identified
as
having
chronic
5
conditions
or
special
health
care
needs,
and
for
not
more
than
6
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,105,861
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
9
a.
Of
the
funds
appropriated
in
this
subsection,
$159,932
10
shall
be
used
for
grants
to
individual
patients
who
have
an
11
inherited
metabolic
disorder
to
assist
with
the
costs
of
12
medically
necessary
foods
and
formula.
13
b.
Of
the
funds
appropriated
in
this
subsection,
$891,644
14
shall
be
used
for
the
brain
injury
services
program
pursuant
to
15
section
135.22B
,
including
for
continuation
of
the
contracts
16
for
resource
facilitator
services
in
accordance
with
section
17
135.22B,
subsection
9
,
and
to
enhance
brain
injury
training
and
18
recruitment
of
service
providers
on
a
statewide
basis.
Of
the
19
amount
allocated
in
this
paragraph,
$95,000
shall
be
used
to
20
fund
one
full-time
equivalent
position
to
serve
as
the
state
21
brain
injury
services
program
manager.
22
c.
Of
the
funds
appropriated
in
this
subsection,
$547,982
23
shall
be
used
as
additional
funding
to
leverage
federal
funding
24
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
25
assistance
program
supplemental
drug
treatment
grants.
26
d.
Of
the
funds
appropriated
in
this
subsection,
$149,823
27
shall
be
used
for
the
public
purpose
of
continuing
to
contract
28
with
an
existing
national-affiliated
organization
to
provide
29
education,
client-centered
programs,
and
client
and
family
30
support
for
people
living
with
epilepsy
and
their
families.
31
The
amount
allocated
in
this
paragraph
in
excess
of
$100,000
32
shall
be
matched
dollar-for-dollar
by
the
organization
33
specified.
34
e.
Of
the
funds
appropriated
in
this
subsection,
$785,114
35
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shall
be
used
for
child
health
specialty
clinics.
1
f.
Of
the
funds
appropriated
in
this
subsection,
$400,000
2
shall
be
used
by
the
regional
autism
assistance
program
3
established
pursuant
to
section
256.35
,
and
administered
by
4
the
child
health
specialty
clinic
located
at
the
university
of
5
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
6
interagency
collaboration
and
coordination
of
educational,
7
medical,
and
other
human
services
for
persons
with
autism,
8
their
families,
and
providers
of
services,
including
delivering
9
regionalized
services
of
care
coordination,
family
navigation,
10
and
integration
of
services
through
the
statewide
system
of
11
regional
child
health
specialty
clinics
and
fulfilling
other
12
requirements
as
specified
in
chapter
225D
.
The
university
of
13
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
14
indirect
costs
associated
with
the
regional
autism
assistance
15
program.
16
g.
Of
the
funds
appropriated
in
this
subsection,
$570,993
17
shall
be
used
for
the
comprehensive
cancer
control
program
to
18
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
19
detection,
effective
treatment,
and
ensuring
quality
of
life.
20
Of
the
funds
allocated
in
this
paragraph
“g”,
$150,000
shall
21
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
22
biorepository
and
registry,
basic
and
translational
melanoma
23
research,
and
clinical
trials.
24
h.
Of
the
funds
appropriated
in
this
subsection,
$126,450
25
shall
be
used
for
cervical
and
colon
cancer
screening,
and
26
$300,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
27
cancer
screening
program
to
include
provision
of
recommended
28
prevention
and
early
detection
measures
to
a
broader
range
of
29
low-income
women.
30
i.
Of
the
funds
appropriated
in
this
subsection,
$676,864
31
shall
be
used
for
the
center
for
congenital
and
inherited
32
disorders
including
to
provide
for
surveillance
of
stillbirths
33
as
defined
in
section
136A.2.
34
j.
Of
the
funds
appropriated
in
this
subsection,
$129,411
35
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shall
be
used
for
the
prescription
drug
donation
repository
1
program
created
in
chapter
135M
.
2
k.
Of
the
funds
appropriated
in
this
subsection,
3
$215,263
shall
be
used
by
the
department
of
public
health
4
for
reform-related
activities,
including
but
not
limited
to
5
facilitation
of
communication
to
stakeholders
at
the
state
and
6
local
level,
administering
the
patient-centered
health
advisory
7
council
pursuant
to
section
135.159,
and
involvement
in
health
8
care
system
innovation
activities
occurring
across
the
state.
9
l.
Of
the
funds
appropriated
in
this
subsection,
$25,000
10
shall
be
used
for
administration
of
chapter
124D,
the
medical
11
cannabidiol
Act,
or
other
Code
provisions
authorizing
the
12
compassionate
medical
use
of
cannabis,
if
enacted
by
the
2015
13
regular
session
of
the
Eighty-sixth
General
Assembly.
14
4.
COMMUNITY
CAPACITY
15
For
strengthening
the
health
care
delivery
system
at
the
16
local
level,
and
for
not
more
than
the
following
full-time
17
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,719,716
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
20
a.
Of
the
funds
appropriated
in
this
subsection,
$99,414
21
is
allocated
for
continuation
of
the
child
vision
screening
22
program
implemented
through
the
university
of
Iowa
hospitals
23
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
24
The
program
shall
submit
a
report
to
the
individuals
identified
25
in
this
Act
for
submission
of
reports
regarding
the
use
of
26
funds
allocated
under
this
paragraph
“a”.
The
report
shall
27
include
the
objectives
and
results
for
the
program
year
28
including
the
target
population
and
how
the
funds
allocated
29
assisted
the
program
in
meeting
the
objectives;
the
number,
30
age,
and
location
within
the
state
of
individuals
served;
31
the
type
of
services
provided
to
the
individuals
served;
the
32
distribution
of
funds
based
on
service
provided;
and
the
33
continuing
needs
of
the
program.
34
b.
Of
the
funds
appropriated
in
this
subsection,
$110,656
is
35
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505
allocated
for
continuation
of
an
initiative
implemented
at
the
1
university
of
Iowa
and
$99,904
is
allocated
for
continuation
of
2
an
initiative
at
the
state
mental
health
institute
at
Cherokee
3
to
expand
and
improve
the
workforce
engaged
in
mental
health
4
treatment
and
services.
The
initiatives
shall
receive
input
5
from
the
university
of
Iowa,
the
department
of
human
services,
6
the
department
of
public
health,
and
the
mental
health
and
7
disability
services
commission
to
address
the
focus
of
the
8
initiatives.
9
c.
Of
the
funds
appropriated
in
this
subsection,
$1,164,628
10
shall
be
used
for
essential
public
health
services
that
promote
11
healthy
aging
throughout
one’s
lifespan,
contracted
through
a
12
formula
for
local
boards
of
health,
to
enhance
health
promotion
13
and
disease
prevention
services.
14
d.
Of
the
funds
appropriated
in
this
section,
$99,286
shall
15
be
deposited
in
the
governmental
public
health
system
fund
16
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
17
fund.
18
e.
Of
the
funds
appropriated
in
this
subsection,
$105,448
19
shall
be
used
to
continue
to
address
the
shortage
of
mental
20
health
professionals
in
the
state.
21
f.
Of
the
funds
appropriated
in
this
subsection,
22
$50,000
shall
be
used
for
a
grant
to
a
statewide
association
23
of
psychologists
that
is
affiliated
with
the
American
24
psychological
association
to
be
used
for
continuation
of
a
25
program
to
rotate
intern
psychologists
in
placements
in
urban
26
and
rural
mental
health
professional
shortage
areas,
as
defined
27
in
section
135.180
.
28
g.
(1)
Of
the
funds
appropriated
in
this
subsection,
29
$2,882,969
shall
be
allocated
as
a
grant
to
the
Iowa
primary
30
care
association
to
be
used
pursuant
to
section
135.153
for
31
the
statewide
coordination
of
the
Iowa
collaborative
safety
32
net
provider
network.
Coordination
of
the
network
shall
33
focus
on
increasing
access
by
underserved
populations
to
34
health
care
services,
increasing
integration
of
the
health
35
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207
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505
system
and
collaboration
across
the
continuum
of
care
with
1
a
focus
on
safety
net
services,
and
enhancing
the
Iowa
2
collaborative
safety
net
provider
network’s
communication
and
3
education
efforts.
The
amount
allocated
as
a
grant
under
this
4
subparagraph
(1)
shall
be
used
as
follows
to
support
the
Iowa
5
collaborative
safety
net
provider
network
goals
of
increased
6
access,
health
system
integration,
and
engagement:
7
(a)
For
distribution
to
safety
net
partners
in
the
state
8
that
work
to
increase
access
of
the
underserved
population
to
9
health
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,025,485
11
(i)
Of
the
amount
allocated
in
this
subparagraph
12
division
(a),
up
to
$413,415
shall
be
distributed
to
the
13
Iowa
prescription
drug
corporation
for
continuation
of
the
14
pharmaceutical
infrastructure
for
safety
net
providers
as
15
described
in
2007
Iowa
Acts,
chapter
218,
section
108.
16
(ii)
Of
the
amount
allocated
in
this
subparagraph
division
17
(a),
up
to
$348,322
shall
be
distributed
to
free
clinics
and
18
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
19
coordination,
provider
recruitment,
service
delivery,
and
20
provision
of
assistance
to
patients
in
securing
a
medical
home
21
inclusive
of
oral
health
care.
22
(iii)
Of
the
amount
allocated
in
this
subparagraph
23
division
(a),
up
to
$50,000
shall
be
distributed
to
the
24
Iowa
coalition
against
sexual
assault
to
continue
a
training
25
program
for
sexual
assault
response
team
(SART)
members,
26
including
representatives
of
law
enforcement,
victim
advocates,
27
prosecutors,
and
certified
medical
personnel.
28
(iv)
Of
the
amount
allocated
in
this
subparagraph
division
29
(a),
up
to
$213,748
shall
be
distributed
to
the
Polk
county
30
medical
society
for
continuation
of
the
safety
net
provider
31
patient
access
to
a
specialty
health
care
initiative
as
32
described
in
2007
Iowa
Acts,
chapter
218,
section
109.
33
(b)
For
distribution
to
safety
net
partners
in
the
34
state
that
work
to
increase
health
system
integration,
care
35
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505
coordination,
and
collaboration
across
the
continuum
of
care
1
with
a
focus
on
safety
net
services.
Such
efforts
shall
2
include
but
not
be
limited
to
community
care
coordination
team
3
development
and
integration
of
medical
and
behavioral
health
4
services.
Efforts
shall
also
include
working,
in
conjunction
5
with
the
department
of
human
services
and
the
department
6
of
public
health,
to
support
Medicaid
managed
care
efforts
7
inclusive
of
the
state
innovation
model
through
the
continued
8
development
and
implementation
of
community
care
coordination
9
teams.
Implementation
of
the
community
care
coordination
10
teams
shall
be
accomplished
through
a
statewide
regionally
11
based
network
that
provides
an
integrated
approach
to
health
12
care
delivery
through
care
coordination
that
supports
primary
13
care
providers
and
links
patients
with
community
resources
14
necessary
to
empower
patients
in
addressing
biomedical
and
15
social
determinants
of
health
to
improve
health
outcomes:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,672,199
17
(c)
For
distribution
to
safety
net
partners
in
the
state
18
that
work
to
serve
as
a
resource
for
credible,
accurate
19
information
on
health
care-related
needs
and
services
20
for
vulnerable
populations
in
the
state
including
the
21
Iowa
association
of
rural
health
clinics
for
necessary
22
infrastructure
and
service
delivery
transformation
and
the
Iowa
23
primary
care
association
to
support
partner
engagement,
program
24
management,
and
statewide
coordination
of
the
network:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
185,285
26
(2)
The
amount
allocated
under
this
paragraph
“g”
shall
27
not
be
reduced
for
administrative
or
other
costs
prior
to
28
distribution.
The
Iowa
collaborative
safety
net
provider
29
network
may
continue
to
distribute
funds
allocated
pursuant
to
30
this
paragraph
“g”
through
existing
contracts
or
renewal
of
31
existing
contracts.
32
(3)
For
each
goal
of
the
Iowa
collaborative
safety
net
33
provider
network,
the
Iowa
primary
care
association
shall
34
submit
a
progress
report
to
the
individuals
designated
in
this
35
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207
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505
Act
for
submission
of
reports
by
December
15,
2015,
including
1
progress
in
developing
and
implementing
the
network,
how
the
2
funds
were
distributed
and
used
in
developing
and
implementing
3
the
network,
and
the
remaining
needs
identified
to
fully
4
develop
and
implement
the
network.
5
h.
Of
the
funds
appropriated
in
this
subsection,
$213,400
6
shall
be
used
for
continuation
of
the
work
of
the
direct
care
7
worker
advisory
council
established
pursuant
to
2008
Iowa
Acts,
8
chapter
1188,
section
69,
in
implementing
the
recommendations
9
in
the
final
report
submitted
by
the
advisory
council
to
the
10
governor
and
the
general
assembly
in
March
2012,
including
11
by
continuing
to
develop,
promote,
and
make
available
on
a
12
statewide
basis
the
prepare-to-care
core
curriculum
and
its
13
associated
modules
and
specialties
through
various
formats
14
including
online
access,
community
colleges,
and
other
venues;
15
exploring
new
and
maintaining
existing
specialties
including
16
but
not
limited
to
oral
health
and
dementia
care;
supporting
17
instructor
training;
and
assessing
and
making
recommendations
18
concerning
the
Iowa
care
book
and
information
technology
19
systems
and
infrastructure
uses
and
needs.
20
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
21
$216,375
shall
be
used
for
allocation
to
an
independent
22
statewide
direct
care
worker
organization
under
continuation
23
of
the
contract
in
effect
during
the
fiscal
year
ending
June
24
30,
2015.
25
(2)
Of
the
funds
appropriated
in
this
subsection,
26
$105,000
shall
be
used
to
provide
scholarships
or
other
27
forms
of
subsidization
for
direct
care
worker
educational
28
conferences,
training,
or
outreach
activities,
and
for
the
29
mouth-care-matters
oral
health
care
project.
30
j.
Of
the
funds
appropriated
in
this
subsection,
the
31
department
may
use
up
to
$58,175
for
up
to
one
full-time
32
equivalent
position
to
administer
the
volunteer
health
care
33
provider
program
pursuant
to
section
135.24
.
34
k.
Of
the
funds
appropriated
in
this
subsection,
$100,000
35
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505
shall
be
used
for
a
matching
dental
education
loan
repayment
1
program
to
be
allocated
to
a
dental
nonprofit
health
service
2
corporation
to
continue
to
develop
the
criteria
and
implement
3
the
loan
repayment
program.
4
l.
Of
the
funds
appropriated
in
this
subsection,
$105,823
is
5
transferred
to
the
college
student
aid
commission
for
deposit
6
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
7
261.113
to
be
used
for
the
purposes
of
the
fund.
8
m.
Of
the
funds
appropriated
in
this
subsection,
$250,000
9
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
10
specified
in
section
142C.18
.
11
n.
Of
the
funds
appropriated
in
this
subsection,
$100,000
12
shall
be
used
for
continuation
of
a
grant
to
a
nationally
13
affiliated
volunteer
eye
organization
that
has
an
established
14
program
for
children
and
adults
and
that
is
solely
dedicated
to
15
preserving
sight
and
preventing
blindness
through
education,
16
nationally
certified
vision
screening
and
training,
and
17
community
and
patient
service
programs.
The
organization
18
shall
submit
a
report
to
the
individuals
identified
in
this
19
Act
for
submission
of
reports
regarding
the
use
of
funds
20
allocated
under
this
paragraph
“n”.
The
report
shall
include
21
the
objectives
and
results
for
the
program
year
including
22
the
target
population
and
how
the
funds
allocated
assisted
23
the
program
in
meeting
the
objectives;
the
number,
age,
and
24
location
within
the
state
of
individuals
served;
the
type
of
25
services
provided
to
the
individuals
served;
the
distribution
26
of
funds
based
on
services
provided;
and
the
continuing
needs
27
of
the
program.
28
o.
Of
the
funds
appropriated
in
this
subsection,
$25,000
29
shall
be
used
for
the
continuation
of
a
wellness
council
under
30
the
direction
of
the
director
of
public
health
to
increase
31
support
for
wellness
activities
in
the
state.
32
p.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
33
shall
be
deposited
in
the
medical
residency
training
account
34
created
in
section
135.175,
subsection
5,
paragraph
“a”
,
and
35
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S.F.
505
is
appropriated
from
the
account
to
the
department
of
public
1
health
to
be
used
for
the
purposes
of
the
medical
residency
2
training
state
matching
grants
program
as
specified
in
section
3
135.176
.
However,
notwithstanding
any
provision
to
the
4
contrary
in
section
135.176,
priority
in
the
awarding
of
grants
5
shall
be
given
to
sponsors
that
propose
preference
in
the
use
6
of
the
grant
funds
for
psychiatric
residency
positions
and
7
family
practice
residency
positions.
8
5.
HEALTHY
AGING
9
To
provide
public
health
services
that
reduce
risks
and
10
invest
in
promoting
and
protecting
good
health
over
the
11
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
12
vulnerable
populations:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
14
6.
INFECTIOUS
DISEASES
15
For
reducing
the
incidence
and
prevalence
of
communicable
16
diseases,
and
for
not
more
than
the
following
full-time
17
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,335,155
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
20
7.
PUBLIC
PROTECTION
21
For
protecting
the
health
and
safety
of
the
public
through
22
establishing
standards
and
enforcing
regulations,
and
for
not
23
more
than
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,339,191
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
135.50
26
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
27
than
$454,700
shall
be
credited
to
the
emergency
medical
28
services
fund
created
in
section
135.25
.
Moneys
in
the
29
emergency
medical
services
fund
are
appropriated
to
the
30
department
to
be
used
for
the
purposes
of
the
fund.
31
b.
Of
the
funds
appropriated
in
this
subsection,
$203,032
32
shall
be
used
for
sexual
violence
prevention
programming
33
through
a
statewide
organization
representing
programs
34
serving
victims
of
sexual
violence
through
the
department’s
35
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505
sexual
violence
prevention
program.
The
amount
allocated
1
in
this
paragraph
“b”
shall
not
be
used
to
supplant
funding
2
administered
for
other
sexual
violence
prevention
or
victims
3
assistance
programs.
4
c.
Of
the
funds
appropriated
in
this
subsection,
$598,751
5
shall
be
used
for
the
state
poison
control
center.
Pursuant
6
to
the
directive
under
2014
Iowa
Acts,
chapter
1140,
section
7
102,
the
federal
matching
funds
available
to
the
state
poison
8
control
center
from
the
department
of
human
services
under
the
9
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
10
allotment
shall
be
subject
to
the
federal
administrative
cap
11
rule
of
10
percent
applicable
to
funding
provided
under
Tit.
12
XXI
of
the
federal
Social
Security
Act
and
included
within
the
13
department’s
calculations
of
the
cap.
14
d.
Of
the
funds
appropriated
in
this
subsection,
$537,750
15
shall
be
used
for
childhood
lead
poisoning
provisions.
16
8.
RESOURCE
MANAGEMENT
17
For
establishing
and
sustaining
the
overall
ability
of
the
18
department
to
deliver
services
to
the
public,
and
for
not
more
19
than
the
following
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
855,072
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
22
The
university
of
Iowa
hospitals
and
clinics
under
the
23
control
of
the
state
board
of
regents
shall
not
receive
24
indirect
costs
from
the
funds
appropriated
in
this
section.
25
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
26
department
shall
be
on
at
least
a
quarterly
basis.
27
DIVISION
IV
28
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2015-2016
29
Sec.
4.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
30
appropriated
from
the
general
fund
of
the
state
to
the
31
department
of
veterans
affairs
for
the
fiscal
year
beginning
32
July
1,
2015,
and
ending
June
30,
2016,
the
following
amounts,
33
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
34
designated:
35
-19-
LSB
2653SV
(2)
86
pf/rj
19/
207
S.F.
505
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
1
For
salaries,
support,
maintenance,
and
miscellaneous
2
purposes,
and
for
not
more
than
the
following
full-time
3
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,200,546
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
6
2.
IOWA
VETERANS
HOME
7
For
salaries,
support,
maintenance,
and
miscellaneous
8
purposes:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,594,996
10
a.
The
Iowa
veterans
home
billings
involving
the
department
11
of
human
services
shall
be
submitted
to
the
department
on
at
12
least
a
monthly
basis.
13
b.
If
there
is
a
change
in
the
employer
of
employees
14
providing
services
at
the
Iowa
veterans
home
under
a
collective
15
bargaining
agreement,
such
employees
and
the
agreement
shall
16
be
continued
by
the
successor
employer
as
though
there
had
not
17
been
a
change
in
employer.
18
c.
Within
available
resources
and
in
conformance
with
19
associated
state
and
federal
program
eligibility
requirements,
20
the
Iowa
veterans
home
may
implement
measures
to
provide
21
financial
assistance
to
or
on
behalf
of
veterans
or
their
22
spouses
who
are
participating
in
the
community
reentry
program.
23
d.
The
Iowa
veterans
home
expenditure
report
shall
be
24
submitted
monthly
to
the
legislative
services
agency.
25
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
26
For
transfer
to
the
Iowa
finance
authority
for
the
27
continuation
of
the
home
ownership
assistance
program
for
28
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
29
the
United
States,
pursuant
to
section
16.54
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,500,000
31
Sec.
5.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
32
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
33
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
34
July
1,
2015,
and
ending
June
30,
2016,
the
amount
appropriated
35
-20-
LSB
2653SV
(2)
86
pf/rj
20/
207
S.F.
505
from
the
general
fund
of
the
state
pursuant
to
that
section
1
for
the
following
designated
purposes
shall
not
exceed
the
2
following
amount:
3
For
the
county
commissions
of
veteran
affairs
fund
under
4
section
35A.16
:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
6
DIVISION
V
7
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2015-2016
8
Sec.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
9
GRANT.
There
is
appropriated
from
the
fund
created
in
section
10
8.41
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2015,
and
ending
June
30,
2016,
from
moneys
12
received
under
the
federal
temporary
assistance
for
needy
13
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
14
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
15
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
16
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purposes
designated:
18
1.
To
be
credited
to
the
family
investment
program
account
19
and
used
for
assistance
under
the
family
investment
program
20
under
chapter
239B
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,136,995
22
2.
To
be
credited
to
the
family
investment
program
account
23
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
24
program
and
implementing
family
investment
agreements
in
25
accordance
with
chapter
239B
:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,138,178
27
3.
To
be
used
for
the
family
development
and
28
self-sufficiency
grant
program
in
accordance
with
section
29
216A.107
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
31
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
32
subsection
that
remain
unencumbered
or
unobligated
at
the
close
33
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
34
for
expenditure
for
the
purposes
designated
until
the
close
of
35
-21-
LSB
2653SV
(2)
86
pf/rj
21/
207
S.F.
505
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
1
encumbered
or
obligated
on
or
before
September
30,
2016,
the
2
moneys
shall
revert.
3
4.
For
field
operations:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
5
5.
For
general
administration:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
7
6.
For
state
child
care
assistance:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
9
a.
Of
the
funds
appropriated
in
this
subsection,
10
$26,328,097
is
transferred
to
the
child
care
and
development
11
block
grant
appropriation
made
by
the
Eighty-sixth
General
12
Assembly,
2015
Session,
for
the
federal
fiscal
year
beginning
13
October
1,
2015,
and
ending
September
30,
2016.
Of
this
14
amount,
$200,000
shall
be
used
for
provision
of
educational
15
opportunities
to
registered
child
care
home
providers
in
order
16
to
improve
services
and
programs
offered
by
this
category
17
of
providers
and
to
increase
the
number
of
providers.
The
18
department
may
contract
with
institutions
of
higher
education
19
or
child
care
resource
and
referral
centers
to
provide
20
the
educational
opportunities.
Allowable
administrative
21
costs
under
the
contracts
shall
not
exceed
5
percent.
The
22
application
for
a
grant
shall
not
exceed
two
pages
in
length.
23
b.
Any
funds
appropriated
in
this
subsection
remaining
24
unallocated
shall
be
used
for
state
child
care
assistance
25
payments
for
families
who
are
employed
including
but
not
26
limited
to
individuals
enrolled
in
the
family
investment
27
program.
28
7.
For
distribution
to
counties
and
regions
through
the
29
property
tax
relief
fund
for
mental
health
and
disability
30
services
as
provided
in
an
appropriation
made
for
this
purpose:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
32
8.
For
child
and
family
services:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
34
9.
For
child
abuse
prevention
grants:
35
-22-
LSB
2653SV
(2)
86
pf/rj
22/
207
S.F.
505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
1
10.
For
pregnancy
prevention
grants
on
the
condition
that
2
family
planning
services
are
funded:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
4
Pregnancy
prevention
grants
shall
be
awarded
to
programs
5
in
existence
on
or
before
July
1,
2015,
if
the
programs
have
6
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
7
pregnancy
prevention
programs
which
are
developed
after
July
8
1,
2015,
if
the
programs
are
based
on
existing
models
that
9
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
10
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
11
section
14,
subsections
1
and
2,
including
the
requirement
that
12
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
13
the
awarding
of
grants
shall
be
given
to
programs
that
serve
14
areas
of
the
state
which
demonstrate
the
highest
percentage
of
15
unplanned
pregnancies
of
females
of
childbearing
age
within
the
16
geographic
area
to
be
served
by
the
grant.
17
11.
For
technology
needs
and
other
resources
necessary
18
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
19
management
requirements:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
21
12.
For
the
family
investment
program
share
of
the
costs
to
22
continue
to
develop
and
maintain
a
new,
integrated
eligibility
23
determination
system:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,654,880
25
13.
a.
Notwithstanding
any
provision
to
the
contrary,
26
including
but
not
limited
to
requirements
in
section
8.41
or
27
provisions
in
2014
or
2015
Iowa
Acts
regarding
the
receipt
and
28
appropriation
of
federal
block
grants,
federal
funds
from
the
29
temporary
assistance
for
needy
families
block
grant
received
by
30
the
state
and
not
otherwise
appropriated
in
this
section
and
31
remaining
available
for
the
fiscal
year
beginning
July
1,
2015,
32
are
appropriated
to
the
department
of
human
services
to
the
33
extent
as
may
be
necessary
to
be
used
in
the
following
priority
34
order:
the
family
investment
program,
for
state
child
care
35
-23-
LSB
2653SV
(2)
86
pf/rj
23/
207
S.F.
505
assistance
program
payments
for
families
who
are
employed,
and
1
for
the
family
investment
program
share
of
costs
to
develop
and
2
maintain
a
new,
integrated
eligibility
determination
system.
3
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
4
expended
only
after
all
other
funds
appropriated
in
subsection
5
1
for
the
assistance
under
the
family
investment
program,
6
in
subsection
6
for
child
care
assistance,
or
in
subsection
7
12
for
the
family
investment
program
share
of
the
costs
to
8
continue
to
develop
and
maintain
a
new,
integrated
eligibility
9
determination
system,
as
applicable,
have
been
expended.
For
10
the
purposes
of
this
subsection,
the
funds
appropriated
in
11
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
12
and
development
block
grant
appropriation
are
considered
fully
13
expended
when
the
full
amount
has
been
transferred.
14
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
15
legislative
services
agency
and
department
of
management
of
16
the
amount
of
funds
appropriated
in
this
subsection
that
was
17
expended
in
the
prior
quarter.
18
14.
Of
the
amounts
appropriated
in
this
section,
19
$12,962,008
for
the
fiscal
year
beginning
July
1,
2015,
is
20
transferred
to
the
appropriation
of
the
federal
social
services
21
block
grant
made
to
the
department
of
human
services
for
that
22
fiscal
year.
23
15.
For
continuation
of
the
program
providing
categorical
24
eligibility
for
the
food
assistance
program
as
specified
for
25
the
program
in
the
section
of
this
division
of
this
2015
Act
26
relating
to
the
family
investment
program
account:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
28
16.
The
department
may
transfer
funds
allocated
in
this
29
section
to
the
appropriations
made
in
this
division
of
this
Act
30
for
the
same
fiscal
year
for
general
administration
and
field
31
operations
for
resources
necessary
to
implement
and
operate
the
32
services
referred
to
in
this
section
and
those
funded
in
the
33
appropriation
made
in
this
division
of
this
Act
for
the
same
34
fiscal
year
for
the
family
investment
program
from
the
general
35
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S.F.
505
fund
of
the
state.
1
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
2
1.
Moneys
credited
to
the
family
investment
program
(FIP)
3
account
for
the
fiscal
year
beginning
July
1,
2015,
and
4
ending
June
30,
2016,
shall
be
used
to
provide
assistance
in
5
accordance
with
chapter
239B
.
6
2.
The
department
may
use
a
portion
of
the
moneys
credited
7
to
the
FIP
account
under
this
section
as
necessary
for
8
salaries,
support,
maintenance,
and
miscellaneous
purposes.
9
3.
The
department
may
transfer
funds
allocated
in
10
subsection
4
to
the
appropriations
made
in
this
division
of
11
this
Act
for
the
same
fiscal
year
for
general
administration
12
and
field
operations
for
resources
necessary
to
implement
and
13
operate
the
family
investment
program
services
referred
to
in
14
this
section
and
those
funded
in
the
appropriation
made
in
this
15
division
of
this
Act
for
the
same
fiscal
year
for
the
family
16
investment
program
from
the
general
fund
of
the
state.
17
4.
Moneys
appropriated
in
this
division
of
this
Act
and
18
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
19
1,
2015,
and
ending
June
30,
2016,
are
allocated
as
follows:
20
a.
To
be
retained
by
the
department
of
human
services
to
21
be
used
for
coordinating
with
the
department
of
human
rights
22
to
more
effectively
serve
participants
in
FIP
and
other
shared
23
clients
and
to
meet
federal
reporting
requirements
under
the
24
federal
temporary
assistance
for
needy
families
block
grant:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
26
b.
To
the
department
of
human
rights
for
staffing,
27
administration,
and
implementation
of
the
family
development
28
and
self-sufficiency
grant
program
in
accordance
with
section
29
216A.107
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,392,834
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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505
(2)
The
department
of
human
rights
may
continue
to
implement
1
the
family
development
and
self-sufficiency
grant
program
2
statewide
during
fiscal
year
2015-2016.
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
9
A
portion
of
the
moneys
allocated
for
the
subaccount
may
10
be
used
for
field
operations,
salaries,
data
management
11
system
development,
and
implementation
costs
and
support
12
deemed
necessary
by
the
director
of
human
services
in
order
13
to
administer
the
FIP
diversion
program.
To
the
extent
14
moneys
allocated
in
this
paragraph
“c”
are
not
deemed
by
the
15
department
to
be
necessary
to
support
diversion
activities,
16
such
moneys
may
be
used
for
other
efforts
intended
to
increase
17
engagement
by
family
investment
program
participants
in
work,
18
education,
or
training
activities.
19
d.
For
the
food
assistance
employment
and
training
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
21
(1)
The
department
shall
apply
the
federal
supplemental
22
nutrition
assistance
program
(SNAP)
employment
and
training
23
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
24
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
25
provisions
for
the
claiming
of
allowable
federal
reimbursement
26
funds
from
the
United
States
department
of
agriculture
27
pursuant
to
the
federal
SNAP
employment
and
training
program
28
for
providing
education,
employment,
and
training
services
29
for
eligible
food
assistance
program
participants,
including
30
but
not
limited
to
related
dependent
care
and
transportation
31
expenses.
32
(2)
The
department
shall
continue
the
categorical
federal
33
food
assistance
program
eligibility
at
160
percent
of
the
34
federal
poverty
level
and
continue
to
eliminate
the
asset
test
35
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505
from
eligibility
requirements,
consistent
with
federal
food
1
assistance
program
requirements.
The
department
shall
include
2
as
many
food
assistance
households
as
is
allowed
by
federal
3
law.
The
eligibility
provisions
shall
conform
to
all
federal
4
requirements
including
requirements
addressing
individuals
who
5
are
incarcerated
or
otherwise
ineligible.
6
e.
For
the
JOBS
program:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,540,398
8
5.
Of
the
child
support
collections
assigned
under
FIP,
9
an
amount
equal
to
the
federal
share
of
support
collections
10
shall
be
credited
to
the
child
support
recovery
appropriation
11
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
12
assigned
child
support
collections
received
by
the
child
13
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
14
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
15
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
16
payments
account.
If
as
a
consequence
of
the
appropriations
17
and
allocations
made
in
this
section
the
resulting
amounts
18
are
insufficient
to
sustain
cash
assistance
payments
and
meet
19
federal
maintenance
of
effort
requirements,
the
department
20
shall
seek
supplemental
funding.
If
child
support
collections
21
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
22
determined
not
to
be
required
for
maintenance
of
effort,
the
23
state
share
of
either
amount
may
be
transferred
to
or
retained
24
in
the
child
support
payments
account.
25
6.
The
department
may
adopt
emergency
rules
for
the
family
26
investment,
JOBS,
food
assistance,
and
medical
assistance
27
programs
if
necessary
to
comply
with
federal
requirements.
28
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
29
is
appropriated
from
the
general
fund
of
the
state
to
the
30
department
of
human
services
for
the
fiscal
year
beginning
July
31
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
or
32
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
33
designated:
34
To
be
credited
to
the
family
investment
program
(FIP)
35
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505
account
and
used
for
family
investment
program
assistance
under
1
chapter
239B
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,093,875
3
1.
Of
the
funds
appropriated
in
this
section,
$7,402,220
is
4
allocated
for
the
JOBS
program.
5
2.
Of
the
funds
appropriated
in
this
section,
$3,513,854
is
6
allocated
for
the
family
development
and
self-sufficiency
grant
7
program.
8
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
9
beginning
July
1,
2015,
if
necessary
to
meet
federal
10
maintenance
of
effort
requirements
or
to
transfer
federal
11
temporary
assistance
for
needy
families
block
grant
funding
12
to
be
used
for
purposes
of
the
federal
social
services
block
13
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
14
receiving
federal
funding
or
to
implement,
in
accordance
with
15
this
division
of
this
Act,
activities
currently
funded
with
16
juvenile
court
services,
county,
or
community
moneys
and
state
17
moneys
used
in
combination
with
such
moneys,
the
department
18
of
human
services
may
transfer
funds
within
or
between
any
19
of
the
appropriations
made
in
this
division
of
this
Act
and
20
appropriations
in
law
for
the
federal
social
services
block
21
grant
to
the
department
for
the
following
purposes,
provided
22
that
the
combined
amount
of
state
and
federal
temporary
23
assistance
for
needy
families
block
grant
funding
for
each
24
appropriation
remains
the
same
before
and
after
the
transfer:
25
a.
For
the
family
investment
program.
26
b.
For
child
care
assistance.
27
c.
For
child
and
family
services.
28
d.
For
field
operations.
29
e.
For
general
administration.
30
f.
For
distribution
to
counties
or
regions
through
the
31
property
tax
relief
fund
for
mental
health
and
disability
32
services
as
provided
in
an
appropriation
for
this
purpose.
33
This
subsection
shall
not
be
construed
to
prohibit
the
use
34
of
existing
state
transfer
authority
for
other
purposes.
The
35
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207
S.F.
505
department
shall
report
any
transfers
made
pursuant
to
this
1
subsection
to
the
legislative
services
agency.
2
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
3
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
4
organization
with
a
history
of
providing
tax
preparation
5
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
6
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
7
supply
this
assistance
to
underserved
areas
of
the
state.
8
5.
Of
the
funds
appropriated
in
this
section,
$80,000
shall
9
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
10
defined
in
441
IAC
100.1,
relating
to
parental
obligations,
11
in
which
the
child
support
recovery
unit
participates,
to
12
support
the
efforts
of
a
nonprofit
organization
committed
to
13
strengthening
the
community
through
youth
development,
healthy
14
living,
and
social
responsibility
headquartered
in
a
county
15
with
a
population
over
350,000.
The
funds
allocated
in
this
16
subsection
shall
be
used
by
the
recipient
organization
to
17
develop
a
larger
community
effort,
through
public
and
private
18
partnerships,
to
support
a
broad-based
multi-county
fatherhood
19
initiative
that
promotes
payment
of
child
support
obligations,
20
improved
family
relationships,
and
full-time
employment.
21
6.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
22
be
used
as
a
grant
to
a
nonprofit
organization
organized
under
23
section
501(c)(4)
of
the
Internal
Revenue
Code
to
implement
a
24
youth
development
strategy
through
after-school
programming
25
that
promotes
academic
success,
healthy
lifestyles,
good
26
character,
and
citizenship.
The
organization
shall
meet
all
of
27
the
following
criteria:
28
a.
Operate
statewide
and
provide
services
through
more
than
29
one
location.
30
b.
Provide
the
after-school
programming
for
students
ages
31
five
through
eighteen
years
of
age
who
are
members
of
families
32
eligible
for
the
federal
temporary
assistance
for
needy
33
families
program.
34
c.
Provide
evidence,
based
on
measurable
outcomes,
that
the
35
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505
after-school
programming
provided
results
in
increased
student
1
achievement.
2
7.
The
department
may
transfer
funds
appropriated
in
this
3
section
to
the
appropriations
made
in
this
division
of
this
Act
4
for
general
administration
and
field
operations
as
necessary
5
to
administer
this
section
and
the
overall
family
investment
6
program.
7
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
8
from
the
general
fund
of
the
state
to
the
department
of
human
9
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
10
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
11
necessary,
to
be
used
for
the
purposes
designated:
12
For
child
support
recovery,
including
salaries,
support,
13
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
14
the
following
full-time
equivalent
positions:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,663,373
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
17
1.
The
department
shall
expend
up
to
$24,329,
including
18
federal
financial
participation,
for
the
fiscal
year
beginning
19
July
1,
2015,
for
a
child
support
public
awareness
campaign.
20
The
department
and
the
office
of
the
attorney
general
shall
21
cooperate
in
continuation
of
the
campaign.
The
public
22
awareness
campaign
shall
emphasize,
through
a
variety
of
23
media
activities,
the
importance
of
maximum
involvement
of
24
both
parents
in
the
lives
of
their
children
as
well
as
the
25
importance
of
payment
of
child
support
obligations.
26
2.
Federal
access
and
visitation
grant
moneys
shall
be
27
issued
directly
to
private
not-for-profit
agencies
that
provide
28
services
designed
to
increase
compliance
with
the
child
access
29
provisions
of
court
orders,
including
but
not
limited
to
30
neutral
visitation
sites
and
mediation
services.
31
3.
The
appropriation
made
to
the
department
for
child
32
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
33
manner
necessary
for
purposes
of
cash
flow
management,
and
for
34
cash
flow
management
purposes
the
department
may
temporarily
35
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S.F.
505
draw
more
than
the
amount
appropriated,
provided
the
amount
1
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
2
4.
With
the
exception
of
the
funding
amount
specified,
the
3
requirements
established
under
2001
Iowa
Acts,
chapter
191,
4
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
5
be
applicable
to
parental
obligation
pilot
projects
for
the
6
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016.
7
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
8
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
9
in
effect
until
June
30,
2016.
10
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
11
FY
2015-2016.
Any
funds
remaining
in
the
health
care
trust
12
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
13
July
1,
2015,
and
ending
June
30,
2016,
are
appropriated
to
14
the
department
of
human
services
to
supplement
the
medical
15
assistance
program
appropriations
made
in
this
division
of
this
16
Act,
for
medical
assistance
reimbursement
and
associated
costs,
17
including
program
administration
and
costs
associated
with
18
program
implementation.
19
Sec.
11.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
20
2015-2016.
Any
funds
remaining
in
the
Medicaid
fraud
fund
21
created
in
section
249A.50
for
the
fiscal
year
beginning
22
July
1,
2015,
and
ending
June
30,
2016,
are
appropriated
to
23
the
department
of
human
services
to
supplement
the
medical
24
assistance
appropriations
made
in
this
division
of
this
Act,
25
for
medical
assistance
reimbursement
and
associated
costs,
26
including
program
administration
and
costs
associated
with
27
program
implementation.
28
Sec.
12.
MEDICAL
ASSISTANCE.
29
1.
There
is
appropriated
from
the
general
fund
of
the
30
state
to
the
department
of
human
services
for
the
fiscal
year
31
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
32
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purpose
designated:
34
For
medical
assistance
program
reimbursement
and
associated
35
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costs
as
specifically
provided
in
the
reimbursement
1
methodologies
in
effect
on
June
30,
2015,
except
as
otherwise
2
expressly
authorized
by
law,
including
reimbursement
for
3
abortion
services
which
shall
be
available
under
the
medical
4
assistance
program
only
for
those
abortions
which
are
medically
5
necessary:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,346,353,640
7
2.
Medically
necessary
abortions
are
those
performed
under
8
any
of
the
following
conditions:
9
a.
The
attending
physician
certifies
that
continuing
the
10
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
11
b.
The
attending
physician
certifies
that
the
fetus
is
12
physically
deformed,
mentally
deficient,
or
afflicted
with
a
13
congenital
illness.
14
c.
The
pregnancy
is
the
result
of
a
rape
which
is
reported
15
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
16
public
or
private
health
agency
which
may
include
a
family
17
physician.
18
d.
The
pregnancy
is
the
result
of
incest
which
is
reported
19
within
150
days
of
the
incident
to
a
law
enforcement
agency
20
or
public
or
private
health
agency
which
may
include
a
family
21
physician.
22
e.
Any
spontaneous
abortion,
commonly
known
as
a
23
miscarriage,
if
not
all
of
the
products
of
conception
are
24
expelled.
25
3.
a.
Iowans
support
reducing
the
number
of
abortions
26
performed
in
our
state.
For
an
abortion
covered
under
the
27
program,
except
in
the
case
of
a
medical
emergency,
as
defined
28
in
section
135L.1
,
for
any
woman,
the
physician
shall
certify
29
both
of
the
following:
30
(1)
That
the
woman
has
been
given
the
opportunity
to
view
an
31
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
32
before
an
abortion
is
performed.
33
(2)
That
the
woman
has
been
provided
information
regarding
34
the
options
relative
to
a
pregnancy,
including
continuing
the
35
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pregnancy
to
term
and
retaining
parental
rights
following
the
1
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
2
child
for
adoption,
and
terminating
the
pregnancy.
3
b.
The
provisions
of
this
section
relating
to
abortions
4
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
5
pursuant
to
chapter
249N
.
6
4.
The
department
shall
utilize
not
more
than
$60,000
of
7
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
8
health
insurance
premium
payment
program
as
established
in
1992
9
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
10
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
11
not
more
than
$5,000
may
be
expended
for
administrative
12
purposes.
13
5.
Of
the
funds
appropriated
in
this
Act
to
the
department
14
of
public
health
for
addictive
disorders,
$950,000
for
15
the
fiscal
year
beginning
July
1,
2015,
is
transferred
16
to
the
department
of
human
services
for
an
integrated
17
substance-related
disorder
managed
care
system.
The
department
18
shall
not
assume
management
of
the
substance-related
disorder
19
system
in
place
of
the
managed
care
contractor
unless
such
20
a
change
in
approach
is
specifically
authorized
in
law.
21
The
departments
of
human
services
and
public
health
shall
22
work
together
to
maintain
the
level
of
mental
health
and
23
substance-related
disorder
treatment
services
provided
by
the
24
managed
care
contractor
through
the
Iowa
plan
for
behavioral
25
health.
Each
department
shall
take
the
steps
necessary
to
26
continue
the
federal
waivers
as
necessary
to
maintain
the
level
27
of
services.
28
6.
a.
The
department
shall
aggressively
pursue
options
for
29
providing
medical
assistance
or
other
assistance
to
individuals
30
with
special
needs
who
become
ineligible
to
continue
receiving
31
services
under
the
early
and
periodic
screening,
diagnostic,
32
and
treatment
program
under
the
medical
assistance
program
33
due
to
becoming
21
years
of
age
who
have
been
approved
for
34
additional
assistance
through
the
department’s
exception
to
35
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policy
provisions,
but
who
have
health
care
needs
in
excess
1
of
the
funding
available
through
the
exception
to
policy
2
provisions.
3
b.
Of
the
funds
appropriated
in
this
section,
$100,000
4
shall
be
used
for
participation
in
one
or
more
pilot
projects
5
operated
by
a
private
provider
to
allow
the
individual
or
6
individuals
to
receive
service
in
the
community
in
accordance
7
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
8
(1999),
for
the
purpose
of
providing
medical
assistance
or
9
other
assistance
to
individuals
with
special
needs
who
become
10
ineligible
to
continue
receiving
services
under
the
early
and
11
periodic
screening,
diagnostic,
and
treatment
program
under
12
the
medical
assistance
program
due
to
becoming
21
years
of
13
age
who
have
been
approved
for
additional
assistance
through
14
the
department’s
exception
to
policy
provisions,
but
who
have
15
health
care
needs
in
excess
of
the
funding
available
through
16
the
exception
to
the
policy
provisions.
17
7.
Of
the
funds
appropriated
in
this
section,
up
to
18
$3,050,082
may
be
transferred
to
the
field
operations
or
19
general
administration
appropriations
in
this
division
of
this
20
Act
for
operational
costs
associated
with
Part
D
of
the
federal
21
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
22
of
2003,
Pub.
L.
No.
108-173.
23
8.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
24
may
be
transferred
to
the
appropriation
in
this
division
25
of
this
Act
for
medical
contracts
to
be
used
for
clinical
26
assessment
services
and
prior
authorization
of
services.
27
9.
A
portion
of
the
funds
appropriated
in
this
section
28
may
be
transferred
to
the
appropriations
in
this
division
of
29
this
Act
for
general
administration,
medical
contracts,
the
30
children’s
health
insurance
program,
or
field
operations
to
be
31
used
for
the
state
match
cost
to
comply
with
the
payment
error
32
rate
measurement
(PERM)
program
for
both
the
medical
assistance
33
and
children’s
health
insurance
programs
as
developed
by
the
34
centers
for
Medicare
and
Medicaid
services
of
the
United
States
35
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505
department
of
health
and
human
services
to
comply
with
the
1
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
2
107-300.
3
10.
The
department
shall
continue
to
implement
the
4
recommendations
of
the
assuring
better
child
health
and
5
development
initiative
II
(ABCDII)
clinical
panel
to
the
6
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
7
services
healthy
mental
development
collaborative
board
8
regarding
changes
to
billing
procedures,
codes,
and
eligible
9
service
providers.
10
11.
Of
the
funds
appropriated
in
this
section,
a
sufficient
11
amount
is
allocated
to
supplement
the
incomes
of
residents
of
12
nursing
facilities,
intermediate
care
facilities
for
persons
13
with
mental
illness,
and
intermediate
care
facilities
for
14
persons
with
an
intellectual
disability,
with
incomes
of
less
15
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
16
personal
needs
allowance
of
$50
per
month
pursuant
to
section
17
249A.30A
.
18
12.
Of
the
funds
appropriated
in
this
section,
the
following
19
amounts
are
transferred
to
the
appropriations
made
in
this
20
division
of
this
Act
for
the
state
mental
health
institutes:
21
a.
Cherokee
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
9,098,425
22
b.
Clarinda
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
1,977,305
23
c.
Independence
mental
health
institute
.
.
.
.
.
.
.
$
9,045,894
24
13.
a.
Of
the
funds
appropriated
in
this
section,
25
$8,596,650
is
allocated
for
the
state
match
for
a
26
disproportionate
share
hospital
payment
of
$19,133,430
to
27
hospitals
that
meet
both
of
the
conditions
specified
in
28
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
29
meet
the
conditions
specified
shall
either
certify
public
30
expenditures
or
transfer
to
the
medical
assistance
program
31
an
amount
equal
to
provide
the
nonfederal
share
for
a
32
disproportionate
share
hospital
payment
of
$7,500,000.
The
33
hospitals
that
meet
the
conditions
specified
shall
receive
and
34
retain
100
percent
of
the
total
disproportionate
share
hospital
35
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payment
of
$26,633,430.
1
(1)
The
hospital
qualifies
for
disproportionate
share
and
2
graduate
medical
education
payments.
3
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
4
than
500
beds
and
eight
or
more
distinct
residency
specialty
5
or
subspecialty
programs
recognized
by
the
American
college
of
6
graduate
medical
education.
7
b.
Distribution
of
the
disproportionate
share
payments
8
shall
be
made
on
a
monthly
basis.
The
total
amount
of
9
disproportionate
share
payments
including
graduate
medical
10
education,
enhanced
disproportionate
share,
and
Iowa
11
state-owned
teaching
hospital
payments
shall
not
exceed
the
12
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
13
In
addition,
the
total
amount
of
all
disproportionate
14
share
payments
shall
not
exceed
the
hospital-specific
15
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
16
c.
The
university
of
Iowa
hospitals
and
clinics
shall
either
17
certify
public
expenditures
or
transfer
to
the
appropriations
18
made
in
this
division
of
this
Act
for
medical
assistance
an
19
amount
equal
to
provide
the
nonfederal
share
for
increased
20
medical
assistance
payments
for
inpatient
and
outpatient
21
hospital
services
of
$9,900,000.
The
university
of
Iowa
22
hospitals
and
clinics
shall
receive
and
retain
100
percent
of
23
the
total
increase
in
medical
assistance
payments.
24
d.
Program
payments
for
disproportionate
share
hospitals
25
and
graduate
medical
education,
and
the
upper
payment
limits
26
applicable
to
these
programs
shall
be
held
harmless
from
the
27
impacts
of
Medicaid
managed
care
and
the
governor’s
Medicaid
28
modernization
initiative.
Payment
methodologies
utilized
29
for
these
programs
may
be
adjusted
or
converted
to
other
30
methodologies
or
payment
types
in
order
to
comply
with
this
31
hold
harmless
requirement.
32
14.
One
hundred
percent
of
the
nonfederal
share
of
payments
33
to
area
education
agencies
that
are
medical
assistance
34
providers
for
medical
assistance-covered
services
provided
to
35
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medical
assistance-covered
children,
shall
be
made
from
the
1
appropriation
made
in
this
section.
2
15.
Any
new
or
renewed
contract
entered
into
by
the
3
department
with
a
third
party
to
administer
behavioral
health
4
services
under
the
medical
assistance
program
shall
provide
5
that
any
interest
earned
on
payments
from
the
state
during
6
the
state
fiscal
year
shall
be
remitted
to
the
department
7
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
8
assistance
program.
9
16.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
transferred
to
the
appropriation
in
this
division
of
11
this
Act
for
medical
contracts
to
be
used
for
administrative
12
activities
associated
with
the
money
follows
the
person
13
demonstration
project.
14
17.
Of
the
funds
appropriated
in
this
section,
$349,011
15
shall
be
used
for
the
administration
of
the
health
insurance
16
premium
payment
program,
including
salaries,
support,
17
maintenance,
and
miscellaneous
purposes.
18
18.
a.
The
department
may
increase
the
amounts
allocated
19
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
20
associated
with
the
medical
assistance
program,
as
necessary,
21
to
implement
cost
containment
strategies.
The
department
shall
22
report
any
such
increase
to
the
legislative
services
agency
and
23
the
department
of
management.
24
b.
If
the
savings
to
the
medical
assistance
program
from
25
cost
containment
efforts
exceed
the
cost
for
the
fiscal
26
year
beginning
July
1,
2015,
the
department
may
transfer
any
27
savings
generated
for
the
fiscal
year
due
to
medical
assistance
28
program
cost
containment
efforts
to
the
appropriation
29
made
in
this
division
of
this
Act
for
medical
contracts
or
30
general
administration
to
defray
the
increased
contract
costs
31
associated
with
implementing
such
efforts.
32
c.
The
department
of
human
services
shall
not
implement
33
the
following
cost
containment
measures
as
recommended
by
the
34
governor
for
the
fiscal
year
beginning
July
1,
2015:
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(1)
A
measure
to
provide
uniform
rates
of
$.575
per
mile
1
based
on
the
2015
Internal
Revenue
Service
mileage
rate
and
2
of
$9.29,
the
current
statewide
average,
per
one-way
trip
for
3
Medicaid
program
home
and
community-based
services
waivers.
4
(2)
A
measure
to
cap
the
total
costs
of
all
services
5
received
by
a
recipient
of
the
home
and
community-based
6
services
waiver
for
individuals
with
an
intellectual
disability
7
at
the
daily
intermediate
care
facility
for
persons
with
an
8
intellectual
disability
(ICF/ID)
per
diem
rate
of
$346.39
per
9
day
based
on
the
80th
percentile
of
all
ICF/ID
rates.
10
(3)
A
measure
to
align
individual
requests
for
exceptions
to
11
policy
with
the
capped
total
cost
of
services
for
a
recipient
12
of
the
home
and
community-based
services
waiver
for
individuals
13
with
an
intellectual
disability
as
computed
under
subparagraph
14
(2).
15
(4)
A
measure
to
utilize
the
supports
intensity
scale
16
to
determine
payment
amounts
and
a
tiered
payment
system
17
for
the
services
provided
to
adults
served
under
the
home
18
and
community-based
services
waiver
for
individuals
with
an
19
intellectual
disability.
20
(5)
A
measure
to
accelerate
implementation
of
the
provision
21
that
beginning
July
1,
2015,
rather
than
July
1,
2016,
the
22
department
of
human
services
requires
services
through
the
23
consumer-directed
attendant
care
option
to
be
provided
through
24
an
agency
or
consumer
choices
option.
25
(6)
A
measure
to
reallocate
funding
for
community-based
26
systems
of
care
to
instead
support
integrated
health
homes.
27
(7)
A
measure
to
increase
the
university
of
Iowa
hospitals
28
and
clinics
state
share
responsibility
for
the
supplemental
29
disproportionate
share
hospital
payment
to
the
university
of
30
Iowa
hospitals
and
clinics
for
the
fiscal
year
beginning
July
31
1,
2015.
32
d.
The
department
shall
report
the
implementation
of
33
any
cost
containment
strategies
under
this
subsection
to
34
the
individuals
specified
in
this
division
of
this
Act
for
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submission
of
reports
on
a
quarterly
basis.
1
19.
For
the
fiscal
year
beginning
July
1,
2015,
and
ending
2
June
30,
2016,
the
replacement
generation
tax
revenues
required
3
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
4
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
5
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
6
to
and
supplement
the
appropriation
made
in
this
section
and
7
used
for
the
allocations
made
in
this
section.
8
20.
The
department
shall
continue
to
administer
the
state
9
balancing
incentive
payments
program
as
specified
in
2012
Iowa
10
Acts,
chapter
1133,
section
14.
11
21.
a.
Of
the
funds
appropriated
in
this
section,
$900,000
12
shall
be
used
for
continued
implementation
of
the
children’s
13
mental
health
home
project
proposed
by
the
department
of
human
14
services
and
reported
to
the
general
assembly’s
mental
health
15
and
disability
services
study
committee
in
December
2011.
Of
16
this
amount,
up
to
$50,000
may
be
transferred
by
the
department
17
to
the
appropriation
made
in
this
division
of
this
Act
to
the
18
department
for
the
same
fiscal
year
for
general
administration
19
to
be
used
for
associated
administrative
expenses
and
for
not
20
more
than
one
full-time
equivalent
position,
in
addition
to
21
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
22
implementing
the
project.
23
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
24
may
be
transferred
by
the
department
to
the
appropriation
made
25
to
the
department
in
this
division
of
this
Act
for
the
same
26
fiscal
year
for
Medicaid
program-related
general
administration
27
planning
and
implementation
activities.
The
funds
may
be
used
28
for
contracts
or
for
personnel
in
addition
to
the
amounts
29
appropriated
for
and
the
positions
authorized
for
general
30
administration
for
the
fiscal
year.
31
c.
Of
the
funds
appropriated
in
this
section,
up
to
32
$3,000,000
may
be
transferred
by
the
department
to
the
33
appropriations
made
in
this
division
of
this
Act
for
the
same
34
fiscal
year
for
general
administration
or
medical
contracts
35
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to
be
used
to
support
the
development
and
implementation
of
1
standardized
assessment
tools
for
persons
with
mental
illness,
2
an
intellectual
disability,
a
developmental
disability,
or
a
3
brain
injury.
4
22.
Of
the
funds
appropriated
in
this
section,
$250,000
5
shall
be
used
for
lodging
expenses
associated
with
care
6
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
7
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
8
and
whose
income
is
at
or
below
200
percent
of
the
federal
9
poverty
level
as
defined
by
the
most
recently
revised
poverty
10
income
guidelines
published
by
the
United
States
department
of
11
health
and
human
services.
The
department
of
human
services
12
shall
establish
the
maximum
number
of
overnight
stays
and
the
13
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
14
based
on
the
state
employee
rate
established
by
the
department
15
of
administrative
services.
The
funds
allocated
in
this
16
subsection
shall
not
be
used
as
nonfederal
share
matching
17
funds.
18
23.
The
department
of
human
services
shall
adopt
rules
to
19
provide
for
coverage
of
telehealth
under
the
Medicaid
program.
20
The
rules
shall
provide
that
in-person
contact
between
a
21
health
care
professional
and
a
patient
is
not
required
as
a
22
prerequisite
for
payment
for
services
appropriately
provided
23
through
telehealth
in
accordance
with
generally
accepted
health
24
care
practices
and
standards
prevailing
in
the
applicable
25
professional
community
at
the
time
the
services
are
provided.
26
Health
care
services
provided
through
in-person
consultations
27
or
through
telehealth
shall
be
treated
as
equivalent
services
28
for
the
purposes
of
reimbursement.
29
24.
a.
For
inpatient
and
outpatient
services
provided
30
by
hospitals
on
or
after
July
1,
2015,
the
department
of
31
human
services
shall
recalculate
and
prospectively
apply
an
32
updated
cost-to-charge
ratio
upon
the
request
of
a
hospital
to
33
implement
price
or
charge
reductions,
if
all
of
the
following
34
criteria
are
met:
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(1)
The
recalculation
of
an
updated
cost-to-charge
ratio
is
1
budget
neutral
to
the
state
funding
amount
appropriated
for
the
2
respective
fiscal
year
and
maintains
budget
neutral
payments
or
3
revenue
to
all
hospitals.
4
(2)
The
hospital
requesting
the
price
or
charge
reduction
5
submits
a
proforma
cost
report
and
charge
master
that
reflects
6
the
anticipated
cost-to-charge
reduction.
7
b.
Based
upon
the
proforma
cost
report
submitted
by
the
8
requesting
hospital,
the
department
of
human
services
shall
9
prospectively
apply
the
recalculated
cost-to-charge
ratio
as
10
appropriate
to
submitted
claims
for
health
care
services.
11
25.
The
department
of
human
services
shall
not
adopt
12
emergency
rules
to
implement
Medicaid
managed
care
or
the
13
governor’s
Medicaid
modernization
initiative.
14
26.
The
number
of
home
and
community-based
services
waiver
15
slots
available
during
the
fiscal
year
beginning
July
1,
2015,
16
shall
not
be
reduced
below
the
number
of
such
slots
available
17
on
January
1,
2015.
18
Sec.
13.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
19
general
fund
of
the
state
to
the
department
of
human
services
20
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
21
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
22
to
be
used
for
the
purpose
designated:
23
For
medical
contracts:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
22,153,584
25
1.
The
department
of
inspections
and
appeals
shall
26
provide
all
state
matching
funds
for
survey
and
certification
27
activities
performed
by
the
department
of
inspections
28
and
appeals.
The
department
of
human
services
is
solely
29
responsible
for
distributing
the
federal
matching
funds
for
30
such
activities.
31
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
32
be
used
for
continuation
of
home
and
community-based
services
33
waiver
quality
assurance
programs,
including
the
review
and
34
streamlining
of
processes
and
policies
related
to
oversight
and
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quality
management
to
meet
state
and
federal
requirements.
1
3.
Of
the
amount
appropriated
in
this
section,
up
to
2
$200,000
may
be
transferred
to
the
appropriation
for
general
3
administration
in
this
division
of
this
Act
to
be
used
for
4
additional
full-time
equivalent
positions
in
the
development
of
5
key
health
initiatives
such
as
cost
containment,
development
6
and
oversight
of
managed
care
programs,
and
development
of
7
health
strategies
targeted
toward
improved
quality
and
reduced
8
costs
in
the
Medicaid
program.
9
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
10
shall
be
used
for
planning
and
development,
in
cooperation
with
11
the
department
of
public
health,
of
a
phased-in
program
to
12
provide
a
dental
home
for
children.
13
5.
Of
the
funds
appropriated
in
this
section,
$2,000,000
14
shall
be
used
for
the
autism
support
program
created
in
chapter
15
225D
.
16
Sec.
14.
STATE
SUPPLEMENTARY
ASSISTANCE.
17
1.
There
is
appropriated
from
the
general
fund
of
the
18
state
to
the
department
of
human
services
for
the
fiscal
year
19
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
20
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purpose
designated:
22
For
the
state
supplementary
assistance
program:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$12,997,187
24
2.
The
department
shall
increase
the
personal
needs
25
allowance
for
residents
of
residential
care
facilities
by
the
26
same
percentage
and
at
the
same
time
as
federal
supplemental
27
security
income
and
federal
social
security
benefits
are
28
increased
due
to
a
recognized
increase
in
the
cost
of
living.
29
The
department
may
adopt
emergency
rules
to
implement
this
30
subsection.
31
3.
If
during
the
fiscal
year
beginning
July
1,
2015,
32
the
department
projects
that
state
supplementary
assistance
33
expenditures
for
a
calendar
year
will
not
meet
the
federal
34
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
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505
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
1
§1382g,
the
department
may
take
actions
including
but
not
2
limited
to
increasing
the
personal
needs
allowance
for
3
residential
care
facility
residents
and
making
programmatic
4
adjustments
or
upward
adjustments
of
the
residential
care
5
facility
or
in-home
health-related
care
reimbursement
rates
6
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
7
requirements
are
met.
In
addition,
the
department
may
make
8
other
programmatic
and
rate
adjustments
necessary
to
remain
9
within
the
amount
appropriated
in
this
section
while
ensuring
10
compliance
with
federal
requirements.
The
department
may
adopt
11
emergency
rules
to
implement
the
provisions
of
this
subsection.
12
Sec.
15.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
13
1.
There
is
appropriated
from
the
general
fund
of
the
14
state
to
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
16
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purpose
designated:
18
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
19
program
pursuant
to
chapter
514I
,
including
supplemental
dental
20
services,
for
receipt
of
federal
financial
participation
under
21
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
22
children’s
health
insurance
program:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,163,844
24
2.
Of
the
funds
appropriated
in
this
section,
$42,800
is
25
allocated
for
continuation
of
the
contract
for
outreach
with
26
the
department
of
public
health.
27
Sec.
16.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
28
from
the
general
fund
of
the
state
to
the
department
of
human
29
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
30
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purpose
designated:
32
For
child
care
programs:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
56,638,030
34
1.
Of
the
funds
appropriated
in
this
section,
$48,818,603
35
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505
shall
be
used
for
state
child
care
assistance
in
accordance
1
with
section
237A.13
.
2
2.
Nothing
in
this
section
shall
be
construed
or
is
3
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
4
to
persons
who
are
eligible
for
assistance
due
to
an
income
5
level
consistent
with
the
waiting
list
requirements
of
section
6
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
7
this
section
is
limited
to
the
extent
of
the
funds
appropriated
8
in
this
section.
9
3.
Of
the
funds
appropriated
in
this
section,
$432,453
10
is
allocated
for
the
statewide
grant
program
for
child
care
11
resource
and
referral
services
under
section
237A.26
.
A
list
12
of
the
registered
and
licensed
child
care
facilities
operating
13
in
the
area
served
by
a
child
care
resource
and
referral
14
service
shall
be
made
available
to
the
families
receiving
state
15
child
care
assistance
in
that
area.
16
4.
Of
the
funds
appropriated
in
this
section,
$936,974
17
is
allocated
for
child
care
quality
improvement
initiatives
18
including
but
not
limited
to
the
voluntary
quality
rating
19
system
in
accordance
with
section
237A.30
.
20
5.
Of
the
funds
appropriated
in
this
section,
$6,350,000
21
shall
be
credited
to
the
early
childhood
programs
grants
22
account
in
the
early
childhood
Iowa
fund
created
in
section
23
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
24
community-based
early
childhood
programs
targeted
to
children
25
from
birth
through
five
years
of
age
developed
by
early
26
childhood
Iowa
areas
in
accordance
with
approved
community
27
plans
as
provided
in
section
256I.8
.
28
6.
The
department
may
use
any
of
the
funds
appropriated
29
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
30
expanding
child
care
assistance
and
related
programs.
For
31
the
purpose
of
expenditures
of
state
and
federal
child
care
32
funding,
funds
shall
be
considered
obligated
at
the
time
33
expenditures
are
projected
or
are
allocated
to
the
department’s
34
service
areas.
Projections
shall
be
based
on
current
and
35
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505
projected
caseload
growth,
current
and
projected
provider
1
rates,
staffing
requirements
for
eligibility
determination
2
and
management
of
program
requirements
including
data
systems
3
management,
staffing
requirements
for
administration
of
the
4
program,
contractual
and
grant
obligations
and
any
transfers
5
to
other
state
agencies,
and
obligations
for
decategorization
6
or
innovation
projects.
7
7.
A
portion
of
the
state
match
for
the
federal
child
care
8
and
development
block
grant
shall
be
provided
as
necessary
to
9
meet
federal
matching
funds
requirements
through
the
state
10
general
fund
appropriation
made
for
child
development
grants
11
and
other
programs
for
at-risk
children
in
section
279.51
.
12
8.
If
a
uniform
reduction
ordered
by
the
governor
under
13
section
8.31
or
other
operation
of
law,
transfer,
or
federal
14
funding
reduction
reduces
the
appropriation
made
in
this
15
section
for
the
fiscal
year,
the
percentage
reduction
in
the
16
amount
paid
out
to
or
on
behalf
of
the
families
participating
17
in
the
state
child
care
assistance
program
shall
be
equal
to
or
18
less
than
the
percentage
reduction
made
for
any
other
purpose
19
payable
from
the
appropriation
made
in
this
section
and
the
20
federal
funding
relating
to
it.
The
percentage
reduction
to
21
the
other
allocations
made
in
this
section
shall
be
the
same
as
22
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
23
change
of
the
federal
funding
reduction,
as
applicable.
24
If
there
is
an
unanticipated
increase
in
federal
funding
25
provided
for
state
child
care
assistance,
the
entire
amount
26
of
the
increase
shall
be
used
for
state
child
care
assistance
27
payments.
If
the
appropriations
made
for
purposes
of
the
28
state
child
care
assistance
program
for
the
fiscal
year
are
29
determined
to
be
insufficient,
it
is
the
intent
of
the
general
30
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
31
in
order
to
avoid
establishment
of
waiting
list
requirements.
32
9.
Notwithstanding
section
8.33
,
moneys
advanced
for
33
purposes
of
the
programs
developed
by
early
childhood
Iowa
34
areas,
advanced
for
purposes
of
wraparound
child
care,
or
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received
from
the
federal
appropriations
made
for
the
purposes
1
of
this
section
that
remain
unencumbered
or
unobligated
at
the
2
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
3
remain
available
for
expenditure
for
the
purposes
designated
4
until
the
close
of
the
succeeding
fiscal
year.
5
10.
Of
the
funds
appropriated
in
this
section,
$100,000
6
is
transferred
to
the
department
of
public
health
to
be
used
7
to
continue
a
program
to
assist
parents
in
this
state
with
8
costs
resulting
from
the
death
of
a
child
in
accordance
with
9
this
subsection.
If
it
is
less
costly
than
administering
the
10
program
directly,
the
department
shall
issue
a
request
for
11
proposals
and
issue
a
grant
to
an
appropriate
organization
to
12
administer
the
program.
13
a.
The
program
funding
shall
be
used
to
assist
parents
who
14
reside
in
this
state
with
costs
incurred
for
a
funeral,
burial
15
or
cremation,
cemetery
costs,
or
grave
marker
costs
associated
16
with
the
unintended
death
of
a
child
of
the
parent
or
a
child
17
under
the
care
of
a
guardian
or
custodian.
The
department
18
shall
consider
the
following
eligibility
factors
in
developing
19
program
requirements:
20
(1)
The
child
was
a
stillborn
infant
or
was
less
than
age
21
eighteen
at
the
time
of
death.
22
(2)
The
request
for
assistance
was
approved
by
the
local
23
board
or
department
of
health
or
the
county
general
assistance
24
director
and
may
have
been
referred
by
a
local
funeral
home.
25
(3)
To
be
eligible,
the
parent,
guardian,
or
custodian
must
26
have
an
annual
household
income
that
is
less
than
145
percent
27
of
the
federal
poverty
level
based
on
the
number
of
people
28
in
the
applicant’s
household
as
defined
by
the
most
recently
29
revised
poverty
income
guidelines
published
by
the
United
30
States
department
of
health
and
human
services.
31
(4)
The
maximum
amount
of
grant
assistance
provided
to
a
32
parent,
guardian,
or
custodian
associated
with
the
death
of
33
a
child
is
$2,000.
If
the
death
is
a
multiple
death
and
the
34
infants
or
children
are
being
cremated,
or
buried
together,
the
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same
limitation
applies.
1
(5)
To
the
extent
the
overall
amount
of
assistance
received
2
by
a
recipient
for
the
costs
addressed
under
this
subsection
3
does
not
exceed
the
overall
total
of
the
costs,
the
recipient
4
may
receive
other
public
or
private
assistance
in
addition
to
5
grant
assistance
under
this
section.
6
b.
Notwithstanding
section
8.33,
moneys
transferred
by
this
7
subsection
that
remain
unencumbered
or
unobligated
at
the
close
8
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
9
for
expenditure
for
the
purposes
designated
until
expended.
10
Sec.
17.
JUVENILE
INSTITUTIONS.
There
is
appropriated
11
from
the
general
fund
of
the
state
to
the
department
of
human
12
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
13
June
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
14
necessary,
to
be
used
for
the
purposes
designated:
15
1.
For
the
costs
of
security,
building
and
grounds
16
maintenance,
utilities,
salary,
and
support
for
the
facilities
17
located
at
the
Iowa
juvenile
home
at
Toledo
and
for
salaries,
18
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
19
more
than
the
following
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
372,766
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
2.00
22
2.
For
operation
of
the
state
training
school
at
Eldora
and
23
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
24
and
for
not
more
than
the
following
full-time
equivalent
25
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,445,552
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
28
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
29
be
used
for
distribution
to
licensed
classroom
teachers
at
this
30
and
other
institutions
under
the
control
of
the
department
of
31
human
services
based
upon
the
average
student
yearly
enrollment
32
at
each
institution
as
determined
by
the
department.
33
Sec.
18.
CHILD
AND
FAMILY
SERVICES.
34
1.
There
is
appropriated
from
the
general
fund
of
the
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505
state
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
2
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purpose
designated:
4
For
child
and
family
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
98,182,179
6
2.
Up
to
$5,200,000
of
the
amount
of
federal
temporary
7
assistance
for
needy
families
block
grant
funding
appropriated
8
in
this
division
of
this
Act
for
child
and
family
services
9
shall
be
made
available
for
purposes
of
juvenile
delinquent
10
graduated
sanction
services.
11
3.
The
department
may
transfer
funds
appropriated
in
this
12
section
as
necessary
to
pay
the
nonfederal
costs
of
services
13
reimbursed
under
the
medical
assistance
program,
state
child
14
care
assistance
program,
or
the
family
investment
program
which
15
are
provided
to
children
who
would
otherwise
receive
services
16
paid
under
the
appropriation
in
this
section.
The
department
17
may
transfer
funds
appropriated
in
this
section
to
the
18
appropriations
made
in
this
division
of
this
Act
for
general
19
administration
and
for
field
operations
for
resources
necessary
20
to
implement
and
operate
the
services
funded
in
this
section.
21
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
22
$35,821,786
is
allocated
as
the
statewide
expenditure
target
23
under
section
232.143
for
group
foster
care
maintenance
and
24
services.
If
the
department
projects
that
such
expenditures
25
for
the
fiscal
year
will
be
less
than
the
target
amount
26
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
27
the
excess
to
provide
additional
funding
for
shelter
care
28
or
the
child
welfare
emergency
services
addressed
with
the
29
allocation
for
shelter
care.
30
b.
If
at
any
time
after
September
30,
2015,
annualization
31
of
a
service
area’s
current
expenditures
indicates
a
service
32
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
33
target
under
section
232.143
by
more
than
5
percent,
the
34
department
and
juvenile
court
services
shall
examine
all
35
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group
foster
care
placements
in
that
service
area
in
order
to
1
identify
those
which
might
be
appropriate
for
termination.
2
In
addition,
any
aftercare
services
believed
to
be
needed
3
for
the
children
whose
placements
may
be
terminated
shall
be
4
identified.
The
department
and
juvenile
court
services
shall
5
initiate
action
to
set
dispositional
review
hearings
for
the
6
placements
identified.
In
such
a
dispositional
review
hearing,
7
the
juvenile
court
shall
determine
whether
needed
aftercare
8
services
are
available
and
whether
termination
of
the
placement
9
is
in
the
best
interest
of
the
child
and
the
community.
10
5.
In
accordance
with
the
provisions
of
section
232.188
,
11
the
department
shall
continue
the
child
welfare
and
juvenile
12
justice
funding
initiative
during
fiscal
year
2015-2016.
Of
13
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
14
specifically
for
expenditure
for
fiscal
year
2015-2016
through
15
the
decategorization
services
funding
pools
and
governance
16
boards
established
pursuant
to
section
232.188
.
17
6.
A
portion
of
the
funds
appropriated
in
this
section
18
may
be
used
for
emergency
family
assistance
to
provide
other
19
resources
required
for
a
family
participating
in
a
family
20
preservation
or
reunification
project
or
successor
project
to
21
stay
together
or
to
be
reunified.
22
7.
Notwithstanding
section
234.35
or
any
other
provision
23
of
law
to
the
contrary,
state
funding
for
shelter
care
and
24
the
child
welfare
emergency
services
contracting
implemented
25
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
26
limited
to
$8,068,474.
27
8.
Federal
funds
received
by
the
state
during
the
fiscal
28
year
beginning
July
1,
2015,
as
the
result
of
the
expenditure
29
of
state
funds
appropriated
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
services
and
purposes
provided
for
under
this
section.
33
Notwithstanding
section
8.33
,
moneys
received
in
accordance
34
with
this
subsection
that
remain
unencumbered
or
unobligated
at
35
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the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
1
shall
remain
available
for
the
purposes
designated
until
the
2
close
of
the
succeeding
fiscal
year.
3
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
4
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
5
court-ordered
services
provided
to
juveniles
who
are
under
the
6
supervision
of
juvenile
court
services,
which
expenses
are
a
7
charge
upon
the
state
pursuant
to
section
232.141,
subsection
8
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
9
$1,556,287
shall
be
made
available
to
provide
school-based
10
supervision
of
children
adjudicated
under
chapter
232
,
of
which
11
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
12
A
portion
of
the
cost
of
each
school-based
liaison
officer
13
shall
be
paid
by
the
school
district
or
other
funding
source
as
14
approved
by
the
chief
juvenile
court
officer.
15
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
16
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
17
services
provided
to
children
who
are
under
the
supervision
18
of
the
department,
which
expenses
are
a
charge
upon
the
state
19
pursuant
to
section
232.141,
subsection
4
.
20
c.
Notwithstanding
section
232.141
or
any
other
provision
21
of
law
to
the
contrary,
the
amounts
allocated
in
this
22
subsection
shall
be
distributed
to
the
judicial
districts
23
as
determined
by
the
state
court
administrator
and
to
the
24
department’s
service
areas
as
determined
by
the
administrator
25
of
the
department
of
human
services’
division
of
child
and
26
family
services.
The
state
court
administrator
and
the
27
division
administrator
shall
make
the
determination
of
the
28
distribution
amounts
on
or
before
June
15,
2015.
29
d.
Notwithstanding
chapter
232
or
any
other
provision
of
30
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
31
order
any
service
which
is
a
charge
upon
the
state
pursuant
32
to
section
232.141
if
there
are
insufficient
court-ordered
33
services
funds
available
in
the
district
court
or
departmental
34
service
area
distribution
amounts
to
pay
for
the
service.
The
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chief
juvenile
court
officer
and
the
departmental
service
area
1
manager
shall
encourage
use
of
the
funds
allocated
in
this
2
subsection
such
that
there
are
sufficient
funds
to
pay
for
3
all
court-related
services
during
the
entire
year.
The
chief
4
juvenile
court
officers
and
departmental
service
area
managers
5
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
6
in
the
distribution
amounts
and
shall
cooperatively
request
the
7
state
court
administrator
or
division
administrator
to
transfer
8
funds
between
the
judicial
districts’
or
departmental
service
9
areas’
distribution
amounts
as
prudent.
10
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
11
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
12
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
13
entered
under
chapter
232
which
is
a
charge
upon
the
state
14
under
section
232.141,
subsection
4
.
15
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
16
$83,000
may
be
used
by
the
judicial
branch
for
administration
17
of
the
requirements
under
this
subsection.
18
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
19
shall
be
used
by
the
department
of
human
services
to
support
20
the
interstate
commission
for
juveniles
in
accordance
with
21
the
interstate
compact
for
juveniles
as
provided
in
section
22
232.173
.
23
10.
Of
the
funds
appropriated
in
this
section,
$8,053,227
is
24
allocated
for
juvenile
delinquent
graduated
sanctions
services.
25
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
26
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
27
services
administration
may
be
used
for
the
juvenile
delinquent
28
graduated
sanctions
services.
29
11.
Of
the
funds
appropriated
in
this
section,
$1,608,285
is
30
transferred
to
the
department
of
public
health
to
be
used
for
31
the
child
protection
center
grant
program
for
child
protection
32
centers
located
in
Iowa
in
accordance
with
section
135.118
.
33
The
grant
amounts
under
the
program
shall
be
equalized
so
that
34
each
center
receives
a
uniform
base
amount
of
$245,000,
and
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the
remaining
funds
shall
be
awarded
through
a
funding
formula
1
based
upon
the
volume
of
children
served.
2
12.
If
the
department
receives
federal
approval
to
3
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
4
Security
Act
to
enable
providers
to
serve
children
who
remain
5
in
the
children’s
families
and
communities,
for
purposes
of
6
eligibility
under
the
medical
assistance
program
through
25
7
years
of
age,
children
who
participate
in
the
waiver
shall
be
8
considered
to
be
placed
in
foster
care.
9
13.
Of
the
funds
appropriated
in
this
section,
$4,025,167
is
10
allocated
for
the
preparation
for
adult
living
program
pursuant
11
to
section
234.46
.
12
14.
Of
the
funds
appropriated
in
this
section,
$520,150
13
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
14
in
this
subsection
shall
be
distributed
as
follows:
15
To
the
judicial
branch
for
salaries
to
assist
with
the
16
operation
of
juvenile
drug
court
programs
operated
in
the
17
following
jurisdictions:
18
a.
Marshall
county:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,708
20
b.
Woodbury
county:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,682
22
c.
Polk
county:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
195,892
24
d.
The
third
judicial
district:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
26
e.
The
eighth
judicial
district:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
28
15.
Of
the
funds
appropriated
in
this
section,
$227,337
29
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
30
a
nonprofit
human
services
organization
providing
services
to
31
individuals
and
families
in
multiple
locations
in
southwest
32
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
33
sensitive
support
and
forensic
interviews,
medical
exams,
needs
34
assessments,
and
referrals
for
victims
of
child
abuse
and
their
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nonoffending
family
members.
1
16.
Of
the
funds
appropriated
in
this
section,
$300,620
2
is
allocated
for
the
foster
care
youth
council
approach
of
3
providing
a
support
network
to
children
placed
in
foster
care.
4
17.
Of
the
funds
appropriated
in
this
section,
$202,000
is
5
allocated
for
use
pursuant
to
section
235A.1
for
continuation
6
of
the
initiative
to
address
child
sexual
abuse
implemented
7
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
8
21.
9
18.
Of
the
funds
appropriated
in
this
section,
$630,240
is
10
allocated
for
the
community
partnership
for
child
protection
11
sites.
12
19.
Of
the
funds
appropriated
in
this
section,
$371,250
13
is
allocated
for
the
department’s
minority
youth
and
family
14
projects
under
the
redesign
of
the
child
welfare
system.
15
20.
Of
the
funds
appropriated
in
this
section,
$1,186,595
16
is
allocated
for
funding
of
the
community
circle
of
care
17
collaboration
for
children
and
youth
in
northeast
Iowa.
18
21.
Of
the
funds
appropriated
in
this
section,
at
least
19
$147,158
shall
be
used
for
the
continuation
of
the
child
20
welfare
provider
training
academy,
a
collaboration
between
the
21
coalition
for
family
and
children’s
services
in
Iowa
and
the
22
department.
23
22.
Of
the
funds
appropriated
in
this
section,
$25,000
24
shall
be
used
for
the
public
purpose
of
continuation
of
a
25
grant
to
a
child
welfare
services
provider
headquartered
in
a
26
county
with
a
population
between
205,000
and
215,000
in
the
27
latest
certified
federal
census
that
provides
multiple
services
28
including
but
not
limited
to
a
psychiatric
medical
institution
29
for
children,
shelter,
residential
treatment,
after
school
30
programs,
school-based
programming,
and
an
Asperger’s
syndrome
31
program,
to
be
used
for
support
services
for
children
with
32
autism
spectrum
disorder
and
their
families.
33
23.
Of
the
funds
appropriated
in
this
section,
$25,000
34
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
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a
hospital-based
provider
headquartered
in
a
county
with
a
1
population
between
90,000
and
95,000
in
the
latest
certified
2
federal
census
that
provides
multiple
services
including
3
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
4
services
to
individuals
with
autism
spectrum
disorder
across
5
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
6
to
continue
the
pilot
project
to
determine
the
necessary
7
support
services
for
children
with
autism
spectrum
disorder
and
8
their
families
to
be
included
in
the
children’s
disabilities
9
services
system.
The
grant
recipient
shall
submit
findings
and
10
recommendations
based
upon
the
results
of
the
pilot
project
11
to
the
individuals
specified
in
this
division
of
this
Act
for
12
submission
of
reports
by
December
31,
2015.
13
24.
Of
the
funds
appropriated
in
this
section,
$211,872
14
shall
be
used
for
continuation
of
the
central
Iowa
system
of
15
care
program
grant
through
June
30,
2016.
16
25.
Of
the
funds
appropriated
in
this
section,
$250,000
17
shall
be
used
for
the
public
purpose
of
the
continuation
18
and
expansion
of
a
system
of
care
program
grant
implemented
19
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
20
and
long-term
approach
for
helping
children
and
families
by
21
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
22
needs,
education
and
work,
family,
and
community.
23
26.
Of
the
funds
appropriated
in
this
section,
at
least
24
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
25
care
respite
pilot
program
in
which
postsecondary
students
in
26
social
work
and
other
human
services-related
programs
receive
27
experience
by
assisting
family
foster
care
providers
with
28
respite
and
other
support.
29
27.
Of
the
funds
appropriated
in
this
section,
$110,000
30
shall
be
used
for
the
public
purpose
of
funding
community-based
31
services
and
other
supports
with
a
system
of
care
approach
32
for
children
with
a
serious
emotional
disturbance
and
their
33
families
through
a
nonprofit
provider
of
child
welfare
services
34
that
has
been
in
existence
for
more
than
115
years,
is
located
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in
a
county
with
a
population
of
more
than
200,000
but
less
1
than
220,000
according
to
the
latest
census
information
2
issued
by
the
United
States
census
bureau,
is
licensed
as
a
3
psychiatric
medical
institution
for
children,
and
was
a
system
4
of
care
grantee
prior
to
July
1,
2015.
5
Sec.
19.
ADOPTION
SUBSIDY.
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,
2015,
and
ending
June
30,
2016,
the
following
9
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purpose
designated:
11
For
adoption
subsidy
payments
and
services:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,998,286
13
2.
The
department
may
transfer
funds
appropriated
in
14
this
section
to
the
appropriation
made
in
this
division
of
15
this
Act
for
general
administration
for
costs
paid
from
the
16
appropriation
relating
to
adoption
subsidy.
17
3.
Federal
funds
received
by
the
state
during
the
18
fiscal
year
beginning
July
1,
2015,
as
the
result
of
the
19
expenditure
of
state
funds
during
a
previous
state
fiscal
20
year
for
a
service
or
activity
funded
under
this
section
are
21
appropriated
to
the
department
to
be
used
as
additional
funding
22
for
the
services
and
activities
funded
under
this
section.
23
Notwithstanding
section
8.33
,
moneys
received
in
accordance
24
with
this
subsection
that
remain
unencumbered
or
unobligated
25
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
26
but
shall
remain
available
for
expenditure
for
the
purposes
27
designated
until
the
close
of
the
succeeding
fiscal
year.
28
Sec.
20.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
29
in
the
juvenile
detention
home
fund
created
in
section
232.142
30
during
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
31
30,
2016,
are
appropriated
to
the
department
of
human
services
32
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
33
2016,
for
distribution
of
an
amount
equal
to
a
percentage
of
34
the
costs
of
the
establishment,
improvement,
operation,
and
35
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505
maintenance
of
county
or
multicounty
juvenile
detention
homes
1
in
the
fiscal
year
beginning
July
1,
2014.
Moneys
appropriated
2
for
distribution
in
accordance
with
this
section
shall
be
3
allocated
among
eligible
detention
homes,
prorated
on
the
basis
4
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
5
eligible
detention
homes
in
the
fiscal
year
beginning
July
6
1,
2014.
The
percentage
figure
shall
be
determined
by
the
7
department
based
on
the
amount
available
for
distribution
for
8
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
9
financial
aid
payable
by
the
state
under
that
provision
for
the
10
fiscal
year
beginning
July
1,
2015,
shall
be
limited
to
the
11
amount
appropriated
for
the
purposes
of
this
section.
12
Sec.
21.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
13
1.
There
is
appropriated
from
the
general
fund
of
the
14
state
to
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
16
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purpose
designated:
18
For
the
family
support
subsidy
program
subject
to
the
19
enrollment
restrictions
in
section
225C.37,
subsection
3
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,073,932
21
2.
The
department
shall
use
at
least
$641,500
of
the
moneys
22
appropriated
in
this
section
for
the
family
support
center
23
component
of
the
comprehensive
family
support
program
under
24
section
225C.47
.
Not
more
than
$25,000
of
the
amount
allocated
25
in
this
subsection
shall
be
used
for
administrative
costs.
26
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
27
funding
available
for
the
family
support
subsidy
program
28
is
reduced
from
the
amount
initially
used
to
establish
the
29
figure
for
the
number
of
family
members
for
whom
a
subsidy
30
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
31
notwithstanding
section
225C.38,
subsection
2
,
the
department
32
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
33
of
funding
available.
34
Sec.
22.
CONNER
DECREE.
There
is
appropriated
from
the
35
-56-
LSB
2653SV
(2)
86
pf/rj
56/
207
S.F.
505
general
fund
of
the
state
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purpose
designated:
4
For
building
community
capacity
through
the
coordination
5
and
provision
of
training
opportunities
in
accordance
with
the
6
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
7
Iowa,
July
14,
1994):
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
9
Sec.
23.
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,
2015,
and
ending
12
June
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
13
necessary,
to
be
used
for
the
purposes
designated:
14
1.
For
the
state
mental
health
institute
at
Cherokee
for
15
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
16
for
not
more
than
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,545,616
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
19
2.
For
the
state
mental
health
institute
at
Clarinda
for
20
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
21
for
not
more
than
the
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,812,899
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
24
3.
For
the
state
mental
health
institute
at
Independence
for
25
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
26
for
not
more
than
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,390,773
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
29
Sec.
24.
STATE
RESOURCE
CENTERS.
30
1.
There
is
appropriated
from
the
general
fund
of
the
31
state
to
the
department
of
human
services
for
the
fiscal
year
32
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
33
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
34
purposes
designated:
35
-57-
LSB
2653SV
(2)
86
pf/rj
57/
207
S.F.
505
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
1
support,
maintenance,
and
miscellaneous
purposes:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
22,024,482
3
b.
For
the
state
resource
center
at
Woodward
for
salaries,
4
support,
maintenance,
and
miscellaneous
purposes:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,933,806
6
2.
The
department
may
continue
to
bill
for
state
resource
7
center
services
utilizing
a
scope
of
services
approach
used
for
8
private
providers
of
intermediate
care
facilities
for
persons
9
with
an
intellectual
disability
services,
in
a
manner
which
10
does
not
shift
costs
between
the
medical
assistance
program,
11
counties,
or
other
sources
of
funding
for
the
state
resource
12
centers.
13
3.
The
state
resource
centers
may
expand
the
time-limited
14
assessment
and
respite
services
during
the
fiscal
year.
15
4.
If
the
department’s
administration
and
the
department
16
of
management
concur
with
a
finding
by
a
state
resource
17
center’s
superintendent
that
projected
revenues
can
reasonably
18
be
expected
to
pay
the
salary
and
support
costs
for
a
new
19
employee
position,
or
that
such
costs
for
adding
a
particular
20
number
of
new
positions
for
the
fiscal
year
would
be
less
21
than
the
overtime
costs
if
new
positions
would
not
be
added,
22
the
superintendent
may
add
the
new
position
or
positions.
If
23
the
vacant
positions
available
to
a
resource
center
do
not
24
include
the
position
classification
desired
to
be
filled,
the
25
state
resource
center’s
superintendent
may
reclassify
any
26
vacant
position
as
necessary
to
fill
the
desired
position.
The
27
superintendents
of
the
state
resource
centers
may,
by
mutual
28
agreement,
pool
vacant
positions
and
position
classifications
29
during
the
course
of
the
fiscal
year
in
order
to
assist
one
30
another
in
filling
necessary
positions.
31
5.
If
existing
capacity
limitations
are
reached
in
32
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
33
a
special
need
for
which
a
payment
source
or
other
funding
34
is
available
for
the
service
or
to
address
the
special
need,
35
-58-
LSB
2653SV
(2)
86
pf/rj
58/
207
S.F.
505
and
facilities
for
the
service
or
to
address
the
special
need
1
can
be
provided
within
the
available
payment
source
or
other
2
funding,
the
superintendent
of
a
state
resource
center
may
3
authorize
opening
not
more
than
two
units
or
other
facilities
4
and
begin
implementing
the
service
or
addressing
the
special
5
need
during
fiscal
year
2015-2016.
6
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
7
1.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
For
costs
associated
with
the
commitment
and
treatment
of
13
sexually
violent
predators
in
the
unit
located
at
the
state
14
mental
health
institute
at
Cherokee,
including
costs
of
legal
15
services
and
other
associated
costs,
including
salaries,
16
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
17
more
than
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,893,079
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
20
2.
Unless
specifically
prohibited
by
law,
if
the
amount
21
charged
provides
for
recoupment
of
at
least
the
entire
amount
22
of
direct
and
indirect
costs,
the
department
of
human
services
23
may
contract
with
other
states
to
provide
care
and
treatment
24
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
25
violent
predators
at
Cherokee.
The
moneys
received
under
26
such
a
contract
shall
be
considered
to
be
repayment
receipts
27
and
used
for
the
purposes
of
the
appropriation
made
in
this
28
section.
29
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
32
2016,
the
following
amount,
or
so
much
thereof
as
is
necessary,
33
to
be
used
for
the
purposes
designated:
34
For
field
operations,
including
salaries,
support,
35
-59-
LSB
2653SV
(2)
86
pf/rj
59/
207
S.F.
505
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
1
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,920,976
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
4
1.
As
a
condition
of
this
appropriation,
the
department
5
shall
make
every
possible
effort
to
fill
the
entire
number
of
6
positions
authorized
by
this
section
and,
unless
specifically
7
provided
otherwise
by
an
applicable
collective
bargaining
8
agreement,
the
department
is
not
subject
to
any
approval
9
requirement
external
to
the
department
to
fill
a
field
10
operations
vacancy
within
the
number
of
full-time
equivalent
11
positions
authorized
by
this
section.
The
department
shall
12
report
on
the
first
of
each
month
to
the
chairpersons
and
13
ranking
members
of
the
appropriations
committees
of
the
senate
14
and
house
of
representatives,
and
the
persons
designated
by
15
this
Act
for
submission
of
reports
concerning
the
status
of
16
filling
the
positions.
17
2.
Priority
in
filling
full-time
equivalent
positions
18
shall
be
given
to
those
positions
related
to
child
protection
19
services
and
eligibility
determination
for
low-income
families.
20
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
21
from
the
general
fund
of
the
state
to
the
department
of
human
22
services
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
23
June
30,
2016,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purpose
designated:
25
For
general
administration,
including
salaries,
support,
26
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
27
the
following
full-time
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,161,741
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
30
1.
Of
the
funds
appropriated
in
this
section,
$38,543
is
31
allocated
for
the
prevention
of
disabilities
policy
council
32
created
in
section
225B.103,
if
enacted
in
this
Act.
33
2.
The
department
shall
report
at
least
monthly
to
the
34
legislative
services
agency
concerning
the
department’s
35
-60-
LSB
2653SV
(2)
86
pf/rj
60/
207
S.F.
505
operational
and
program
expenditures.
1
3.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
2
be
used
to
continue
the
contract
for
the
provision
of
a
program
3
to
provide
technical
assistance,
support,
and
consultation
to
4
providers
of
habilitation
services
and
home
and
community-based
5
services
waiver
services
for
adults
with
disabilities
under
the
6
medical
assistance
program.
7
4.
Of
the
funds
appropriated
in
this
section,
$50,000
8
is
transferred
to
the
Iowa
finance
authority
to
be
used
9
for
administrative
support
of
the
council
on
homelessness
10
established
in
section
16.2D
and
for
the
council
to
fulfill
its
11
duties
in
addressing
and
reducing
homelessness
in
the
state.
12
5.
Of
the
funds
appropriated
in
this
section,
$250,000
13
is
allocated
to
an
Iowa
food
bank
association
selected
by
14
the
department
for
the
purchase
of
food
on
behalf
of
an
Iowa
15
emergency
feeding
organization
or
for
the
distribution
of
16
moneys
to
the
Iowa
emergency
feeding
organization
for
the
17
purchase
of
food.
The
moneys
allocated
in
this
subsection
18
shall
be
allocated
only
to
the
extent
that
the
allocated
moneys
19
are
matched
on
a
dollar-for-dollar
basis.
Notwithstanding
20
section
8.33,
moneys
allocated
in
this
subsection
that
remain
21
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
22
shall
not
revert
but
shall
remain
available
for
expenditure
for
23
the
purposes
designated
until
the
close
of
the
following
fiscal
24
year.
25
6.
Of
the
funds
appropriated
in
this
section,
$250,000
26
shall
be
transferred
to
and
deposited
in
the
administrative
27
fund
of
the
Iowa
ABLE
savings
plan
trust
created
in
section
28
12I.4,
if
enacted
in
this
Act,
to
be
used
for
implementation
29
and
administration
activities
of
the
Iowa
ABLE
savings
plan
30
trust.
Such
activities
may
include
the
funding
of
a
program
31
manager
position,
the
issuance
of
a
request
for
proposals,
32
and
creation
of
an
informational
internet
site,
but
shall
not
33
include
funding
for
marketing.
The
appropriation
made
in
this
34
section
is
deemed
to
meet
the
requirement
in
the
section
of
35
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the
division
of
this
Act,
if
enacted,
relating
to
contingent
1
implementation
of
chapter
12I.
2
Sec.
28.
VOLUNTEERS.
There
is
appropriated
from
the
general
3
fund
of
the
state
to
the
department
of
human
services
for
the
4
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
5
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
6
used
for
the
purpose
designated:
7
For
development
and
coordination
of
volunteer
services:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
9
Sec.
29.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
10
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
11
DEPARTMENT
OF
HUMAN
SERVICES.
12
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
13
the
total
state
funding
amount
for
the
nursing
facility
budget
14
shall
not
exceed
$321,900,006.
15
(2)
For
the
fiscal
year
beginning
July
1,
2015,
the
16
department
shall
rebase
case-mix
nursing
facility
rates
17
effective
July
1,
2015.
However,
total
nursing
facility
budget
18
expenditures,
including
both
case-mix
and
noncase-mix,
shall
19
not
exceed
the
amount
specified
in
subparagraph
(1).
When
20
calculating
case-mix
per
diem
cost
and
the
patient-day-weighted
21
medians
used
in
rate-setting
for
nursing
facilities
effective
22
July
1,
2015,
the
inflation
factor
applied
from
the
midpoint
23
of
the
cost
report
period
to
the
first
day
of
the
state
fiscal
24
year
rate
period
shall
be
adjusted
to
maintain
state
funding
25
within
the
amount
specified
in
subparagraph
(1).
26
(3)
The
department,
in
cooperation
with
nursing
facility
27
representatives,
shall
review
projections
for
state
funding
28
expenditures
for
reimbursement
of
nursing
facilities
on
a
29
quarterly
basis
and
the
department
shall
determine
if
an
30
adjustment
to
the
medical
assistance
reimbursement
rate
is
31
necessary
in
order
to
provide
reimbursement
within
the
state
32
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
33
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
34
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
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if
the
state
funding
expenditures
for
the
nursing
facility
1
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
2
specified
in
subparagraph
(1),
the
department
shall
adjust
3
the
reimbursement
for
nursing
facilities
reimbursed
under
the
4
case-mix
reimbursement
system
to
maintain
expenditures
of
the
5
nursing
facility
budget
within
the
specified
amount
for
the
6
fiscal
year.
7
(4)
For
the
fiscal
year
beginning
July
1,
2015,
special
8
population
nursing
facilities
shall
be
reimbursed
in
accordance
9
with
the
methodology
in
effect
on
June
30,
2015.
10
(5)
For
any
open
or
unsettled
nursing
facility
cost
report
11
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
12
beginning
July
1,
2014,
including
any
cost
report
remanded
on
13
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
14
or
x-ray
costs,
the
department
shall
offset
all
reported
15
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
16
received
from
Medicare
or
other
revenue
source
for
any
purpose.
17
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
18
report
is
not
considered
open
or
unsettled
if
the
facility
did
19
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
20
any
appeal
rights
initiated
have
been
exhausted.
21
b.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
22
the
department
shall
establish
the
pharmacy
dispensing
fee
23
reimbursement
at
$11.73
per
prescription
as
determined
by
the
24
June
2014
cost
of
dispensing
fee
survey.
25
(2)
The
department
shall
utilize
an
average
acquisition
26
cost
reimbursement
methodology
for
all
drugs
covered
under
the
27
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
28
chapter
1133,
section
33.
29
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
30
Medicare
and
Medicaid
services
of
the
United
States
department
31
of
health
and
human
services
(CMS)
requires,
as
a
condition
32
of
federal
Medicaid
funding,
that
the
department
implement
an
33
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
34
based
on
the
average
manufacturer’s
price
(AMP),
the
department
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may
utilize
a
reimbursement
methodology
for
all
drugs
covered
1
under
the
Medicaid
program
based
on
the
national
average
drug
2
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
3
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
4
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
5
administrative
costs,
and
minimize
any
change
in
the
aggregate
6
reimbursement
for
drugs.
The
department
may
adopt
emergency
7
rules
to
implement
this
subparagraph.
8
c.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
9
reimbursement
rates
for
outpatient
hospital
services
shall
10
remain
at
the
rates
in
effect
on
June
30,
2015,
subject
11
to
Medicaid
program
upper
payment
limit
rules
and
adjusted
12
as
necessary
to
maintain
expenditures
within
the
amount
13
appropriated
to
the
department
for
this
purpose
for
the
fiscal
14
year.
15
(2)
For
the
fiscal
year
beginning
July
1,
2015,
16
reimbursement
rates
for
inpatient
hospital
services
shall
be
17
rebased
effective
October
1,
2015,
subject
to
Medicaid
program
18
upper
payment
limit
rules
and
adjusted
as
necessary
to
maintain
19
expenditures
within
the
amount
appropriated
to
the
department
20
for
this
purpose
for
the
fiscal
year.
21
(3)
For
the
fiscal
year
beginning
July
1,
2015,
the
graduate
22
medical
education
and
disproportionate
share
hospital
fund
23
shall
remain
at
the
amount
in
effect
on
June
30,
2015,
except
24
that
the
portion
of
the
fund
attributable
to
graduate
medical
25
education
shall
be
reduced
in
an
amount
that
reflects
the
26
elimination
of
graduate
medical
education
payments
made
to
27
out-of-state
hospitals.
28
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
29
funds
in
procuring
health
care
services
for
low-income
Iowans,
30
funds
appropriated
in
this
Act
for
hospital
services
shall
31
not
be
used
for
activities
which
would
be
excluded
from
a
32
determination
of
reasonable
costs
under
the
federal
Medicare
33
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
34
d.
For
the
fiscal
year
beginning
July
1,
2015,
reimbursement
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rates
for
rural
health
clinics,
hospices,
and
acute
mental
1
hospitals
shall
be
increased
in
accordance
with
increases
under
2
the
federal
Medicare
program
or
as
supported
by
their
Medicare
3
audited
costs.
4
e.
For
the
fiscal
year
beginning
July
1,
2015,
independent
5
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
6
using
the
same
methodology
in
effect
on
June
30,
2015.
7
f.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
8
reimbursement
rates
for
home
health
agencies
shall
continue
to
9
be
based
on
the
Medicare
low
utilization
payment
adjustment
10
(LUPA)
methodology
with
state
geographic
wage
adjustments,
and
11
updated
to
reflect
the
most
recent
Medicare
LUPA
rates.
12
(2)
For
the
fiscal
year
beginning
July
1,
2015,
rates
for
13
private
duty
nursing
and
personal
care
services
under
the
early
14
and
periodic
screening,
diagnostic,
and
treatment
program
15
benefit
shall
be
calculated
based
on
the
methodology
in
effect
16
on
June
30,
2015.
17
g.
For
the
fiscal
year
beginning
July
1,
2015,
federally
18
qualified
health
centers
shall
receive
cost-based
reimbursement
19
for
100
percent
of
the
reasonable
costs
for
the
provision
of
20
services
to
recipients
of
medical
assistance.
21
h.
For
the
fiscal
year
beginning
July
1,
2015,
the
22
reimbursement
rates
for
dental
services
shall
remain
at
the
23
rates
in
effect
on
June
30,
2015.
24
i.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
25
state-owned
psychiatric
medical
institutions
for
children
shall
26
receive
cost-based
reimbursement
for
100
percent
of
the
actual
27
and
allowable
costs
for
the
provision
of
services
to
recipients
28
of
medical
assistance.
29
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
30
for
children,
reimbursement
rates
shall
be
based
on
the
31
reimbursement
methodology
developed
by
the
department
as
32
required
for
federal
compliance.
33
(3)
As
a
condition
of
participation
in
the
medical
34
assistance
program,
enrolled
providers
shall
accept
the
medical
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assistance
reimbursement
rate
for
any
covered
goods
or
services
1
provided
to
recipients
of
medical
assistance
who
are
children
2
under
the
custody
of
a
psychiatric
medical
institution
for
3
children.
4
j.
For
the
fiscal
year
beginning
July
1,
2015,
unless
5
otherwise
specified
in
this
Act,
all
noninstitutional
medical
6
assistance
provider
reimbursement
rates
shall
remain
at
the
7
rates
in
effect
on
June
30,
2015,
except
for
area
education
8
agencies,
local
education
agencies,
infant
and
toddler
9
services
providers,
home
and
community-based
services
providers
10
including
consumer-directed
attendant
care
providers
under
a
11
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
12
providers,
and
those
providers
whose
rates
are
required
to
be
13
determined
pursuant
to
section
249A.20
.
14
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
15
fiscal
year
beginning
July
1,
2015,
the
reimbursement
rate
for
16
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
17
30,
2015.
18
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
19
beginning
July
1,
2015,
the
average
reimbursement
rate
for
20
health
care
providers
eligible
for
use
of
the
federal
Medicare
21
resource-based
relative
value
scale
reimbursement
methodology
22
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
23
June
30,
2015;
however,
this
rate
shall
not
exceed
the
maximum
24
level
authorized
by
the
federal
government.
25
m.
For
the
fiscal
year
beginning
July
1,
2015,
the
26
reimbursement
rate
for
residential
care
facilities
shall
not
27
be
less
than
the
minimum
payment
level
as
established
by
the
28
federal
government
to
meet
the
federally
mandated
maintenance
29
of
effort
requirement.
The
flat
reimbursement
rate
for
30
facilities
electing
not
to
file
annual
cost
reports
shall
not
31
be
less
than
the
minimum
payment
level
as
established
by
the
32
federal
government
to
meet
the
federally
mandated
maintenance
33
of
effort
requirement.
34
n.
For
the
fiscal
year
beginning
July
1,
2015,
the
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reimbursement
rates
for
inpatient
mental
health
services
1
provided
at
hospitals
shall
be
rebased
effective
October
1,
2
2015,
subject
to
Medicaid
program
upper
payment
limit
rules;
3
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
4
program
fee-for-service
rate
in
effect
on
June
30,
2015.
5
o.
For
the
fiscal
year
beginning
July
1,
2015,
community
6
mental
health
centers
may
choose
to
be
reimbursed
for
the
7
services
provided
to
recipients
of
medical
assistance
through
8
either
of
the
following
options:
9
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
10
(2)
In
accordance
with
the
alternative
reimbursement
rate
11
methodology
established
by
the
medical
assistance
program’s
12
managed
care
contractor
for
mental
health
services
and
approved
13
by
the
department
of
human
services.
14
p.
For
the
fiscal
year
beginning
July
1,
2015,
the
15
reimbursement
rate
for
providers
of
family
planning
services
16
that
are
eligible
to
receive
a
90
percent
federal
match
shall
17
remain
at
the
rates
in
effect
on
June
30,
2015.
18
q.
For
the
fiscal
year
beginning
July
1,
2015,
the
upper
19
limits
on
reimbursement
rates
for
providers
of
home
and
20
community-based
services
waiver
services
shall
be
increased
by
21
1.5
percent
over
the
limits
in
effect
on
June
30,
2015.
22
r.
For
the
fiscal
year
beginning
July
1,
2015,
the
23
reimbursement
rates
for
emergency
medical
service
providers
24
shall
remain
at
the
rates
in
effect
on
June
30,
2015.
25
s.
For
the
fiscal
year
beginning
July
1,
2015,
reimbursement
26
rates
for
substance-related
disorder
treatment
programs
27
licensed
under
section
125.13
shall
be
increased
by
3
percent
28
over
the
rates
in
effect
on
June
30,
2015.
29
2.
For
the
fiscal
year
beginning
July
1,
2015,
the
30
reimbursement
rate
for
providers
reimbursed
under
the
31
in-home-related
care
program
shall
not
be
less
than
the
minimum
32
payment
level
as
established
by
the
federal
government
to
meet
33
the
federally
mandated
maintenance
of
effort
requirement.
34
3.
Unless
otherwise
directed
in
this
section,
when
the
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department’s
reimbursement
methodology
for
any
provider
1
reimbursed
in
accordance
with
this
section
includes
an
2
inflation
factor,
this
factor
shall
not
exceed
the
amount
3
by
which
the
consumer
price
index
for
all
urban
consumers
4
increased
during
the
calendar
year
ending
December
31,
2002.
5
4.
For
the
fiscal
year
beginning
July
1,
2015,
the
foster
6
family
basic
daily
maintenance
rate
and
the
maximum
adoption
7
subsidy
rate
for
children
ages
0
through
5
years
shall
be
8
$16.78,
the
rate
for
children
ages
6
through
11
years
shall
be
9
$17.45,
the
rate
for
children
ages
12
through
15
years
shall
10
be
$19.10,
and
the
rate
for
children
and
young
adults
ages
16
11
and
older
shall
be
$19.35.
For
youth
ages
18
to
21
who
have
12
exited
foster
care,
the
preparation
for
adult
living
program
13
maintenance
rate
shall
be
$602.70
per
month.
The
maximum
14
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
15
limited
to
$500
and
the
disallowance
of
additional
amounts
16
for
court
costs
and
other
related
legal
expenses
implemented
17
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408,
shall
18
be
continued.
19
5.
For
the
fiscal
year
beginning
July
1,
2015,
the
maximum
20
reimbursement
rates
for
social
services
providers
under
21
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2015,
22
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
23
each
service,
whichever
is
less.
However,
if
a
new
service
24
or
service
provider
is
added
after
June
30,
2015,
the
initial
25
reimbursement
rate
for
the
service
or
provider
shall
be
based
26
upon
a
weighted
average
of
provider
rates
for
similar
services.
27
6.
For
the
fiscal
year
beginning
July
1,
2015,
the
28
reimbursement
rates
for
resource
family
recruitment
and
29
retention
contractors,
child
welfare
emergency
services
30
contractors,
and
supervised
apartment
living
foster
care
31
providers
shall
be
increased
by
5
percent
over
the
rates
in
32
effect
on
June
30,
2015.
33
7.
For
the
fiscal
year
beginning
July
1,
2015,
the
34
reimbursement
rate
for
safety
plan
services
and
family
safety,
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505
risk,
and
permanency
services
(family-centered)
shall
be
1
increased
as
follows:
2
a.
The
statewide
base
monthly
payment
amount
for
all
3
family
safety,
risk,
and
permanency
services
(family-centered)
4
contractors
shall
be
increased
by
$25.22
per
month
over
the
5
rate
in
effect
on
June
30,
2015.
6
(1)
Family
safety,
risk,
and
permanency
services
7
Performance
Measure
1
payments
shall
be
increased
by
$5.25
per
8
case
over
the
rate
in
effect
on
June
30,
2015.
9
(2)
Family
safety,
risk,
and
permanency
services
10
Performance
Measure
2
payments
shall
be
increased
by
$13.15
per
11
case
over
the
rate
in
effect
on
June
30,
2015.
12
(3)
Family
safety,
risk,
and
permanency
services
13
Performance
Measure
3
payments
shall
be
increased
by
$26.25
per
14
case
over
the
rate
in
effect
on
June
30,
2015.
15
(4)
Family
safety,
risk,
and
permanency
services
16
Performance
Measure
4
payments
shall
be
increased
by
$26.25
per
17
case
over
the
rate
in
effect
on
June
30,
2015.
18
b.
The
maximum
reimbursement
unit
rate
for
safety
plan
19
services
shall
be
increased
by
$27.61
over
the
rate
in
effect
20
on
June
30,
2015.
21
(1)
Safety
plan
services
Performance
Measure
1
payments
22
shall
be
increased
by
$5.25
per
case
over
the
rate
in
effect
on
23
June
30,
2015.
24
(2)
Safety
plan
services
Performance
Measure
2
payments
25
shall
be
increased
by
$5.25
per
case
over
the
rate
in
effect
on
26
June
30,
2015.
27
8.
a.
For
the
purposes
of
this
subsection,
“combined
28
reimbursement
rate”
means
the
combined
service
and
maintenance
29
reimbursement
rate
for
a
service
level
under
the
department’s
30
reimbursement
methodology.
Effective
July
1,
2015,
the
31
combined
reimbursement
rate
for
a
group
foster
care
service
32
level
shall
be
the
amount
designated
in
this
subsection.
33
However,
if
a
group
foster
care
provider’s
reimbursement
rate
34
for
a
service
level
as
of
June
30,
2015,
is
more
than
the
rate
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designated
in
this
subsection,
the
provider’s
reimbursement
1
shall
remain
at
the
higher
rate.
2
b.
Unless
a
group
foster
care
provider
is
subject
to
the
3
exception
provided
in
paragraph
“a”,
effective
July
1,
2015,
4
the
combined
reimbursement
rates
for
the
service
levels
under
5
the
department’s
reimbursement
methodology
shall
be
as
follows:
6
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
7
be
at
least
$84.17.
8
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
9
shall
be
at
least
$119.09.
10
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
11
be
at
least
$131.09.
12
9.
The
group
foster
care
reimbursement
rates
paid
for
13
placement
of
children
out
of
state
shall
be
calculated
14
according
to
the
same
rate-setting
principles
as
those
used
for
15
in-state
providers,
unless
the
director
of
human
services
or
16
the
director’s
designee
determines
that
appropriate
care
cannot
17
be
provided
within
the
state.
The
payment
of
the
daily
rate
18
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
19
which
service
is
provided.
20
10.
a.
For
the
fiscal
year
beginning
July
1,
2015,
the
21
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
22
emergency
services
implemented
to
provide
or
prevent
the
need
23
for
shelter
care
shall
be
established
by
contract.
24
b.
For
the
fiscal
year
beginning
July
1,
2015,
the
combined
25
service
and
maintenance
components
of
the
reimbursement
rate
26
paid
for
shelter
care
services
shall
be
based
on
the
financial
27
and
statistical
report
submitted
to
the
department.
The
28
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
29
department
shall
reimburse
a
shelter
care
provider
at
the
30
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
31
to
exceed
the
maximum
reimbursement
rate.
32
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
33
fiscal
year
beginning
July
1,
2015,
the
amount
of
the
statewide
34
average
of
the
actual
and
allowable
rates
for
reimbursement
of
35
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juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
1
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
2
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
3
2014.
4
11.
For
the
fiscal
year
beginning
July
1,
2015,
the
5
department
shall
calculate
reimbursement
rates
for
intermediate
6
care
facilities
for
persons
with
an
intellectual
disability
7
at
the
80th
percentile.
Beginning
July
1,
2015,
the
rate
8
calculation
methodology
shall
utilize
the
consumer
price
index
9
inflation
factor
applicable
to
the
fiscal
year
beginning
July
10
1,
2015.
11
12.
For
the
fiscal
year
beginning
July
1,
2015,
for
child
12
care
providers
reimbursed
under
the
state
child
care
assistance
13
program,
the
department
shall
set
provider
reimbursement
14
rates
based
on
the
rate
reimbursement
survey
completed
in
15
December
2004.
Effective
July
1,
2015,
the
child
care
provider
16
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
17
30,
2015.
The
department
shall
set
rates
in
a
manner
so
as
18
to
provide
incentives
for
a
nonregistered
provider
to
become
19
registered
by
applying
the
increase
only
to
registered
and
20
licensed
providers.
21
13.
For
the
fiscal
year
beginning
July
1,
2015,
if
the
22
centers
for
Medicare
and
Medicaid
services
of
the
United
23
States
department
of
health
and
human
services
approves
the
24
waivers
necessary
to
implement
medical
assistance
program
25
managed
care
applicable
to
any
providers
or
services
subject
to
26
reimbursement
under
this
section,
notwithstanding
any
provision
27
to
the
contrary
under
this
section,
affected
providers
or
28
services
shall
instead
be
reimbursed
as
follows:
29
a.
For
fee-for-service
claims,
reimbursement
rates
shall
30
be
calculated
based
on
the
methodology
otherwise
specified
in
31
this
section
for
the
fiscal
year
beginning
July
1,
2015,
for
32
the
respective
provider
or
service.
33
b.
For
claims
subject
to
a
managed
care
contract,
34
reimbursement
shall
be
based
on
the
actuarially
sound
35
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505
capitation
rates
established
under
the
contract.
However,
1
any
reimbursement
established
under
such
contract
shall
not
2
be
lower
than
the
reimbursement
otherwise
specified
in
this
3
section
for
the
fiscal
year
beginning
July
1,
2015,
for
the
4
respective
provider
or
service.
5
14.
The
department
may
adopt
emergency
rules
to
implement
6
this
section.
7
Sec.
30.
EMERGENCY
RULES.
8
1.
If
specifically
authorized
by
a
provision
of
this
9
division
of
this
Act,
the
department
of
human
services
or
10
the
mental
health
and
disability
services
commission
may
11
adopt
administrative
rules
under
section
17A.4,
subsection
12
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
13
implement
the
provisions
of
this
division
of
this
Act
and
14
the
rules
shall
become
effective
immediately
upon
filing
or
15
on
a
later
effective
date
specified
in
the
rules,
unless
the
16
effective
date
of
the
rules
is
delayed
or
the
applicability
17
of
the
rules
is
suspended
by
the
administrative
rules
review
18
committee.
Any
rules
adopted
in
accordance
with
this
section
19
shall
not
take
effect
before
the
rules
are
reviewed
by
the
20
administrative
rules
review
committee.
The
delay
authority
21
provided
to
the
administrative
rules
review
committee
under
22
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
23
shall
be
applicable
to
a
delay
imposed
under
this
section,
24
notwithstanding
a
provision
in
those
sections
making
them
25
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
26
Any
rules
adopted
in
accordance
with
the
provisions
of
this
27
section
shall
also
be
published
as
a
notice
of
intended
action
28
as
provided
in
section
17A.4.
29
2.
If
during
a
fiscal
year,
the
department
of
human
30
services
is
adopting
rules
in
accordance
with
this
section
31
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
32
rules
will
result
in
an
expenditure
increase
beyond
the
amount
33
anticipated
in
the
budget
process
or
if
the
expenditure
was
34
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
35
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505
department
shall
notify
the
persons
designated
by
this
division
1
of
this
Act
for
submission
of
reports,
the
chairpersons
and
2
ranking
members
of
the
committees
on
appropriations,
and
3
the
department
of
management
concerning
the
rules
and
the
4
expenditure
increase.
The
notification
shall
be
provided
at
5
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
6
is
submitted
to
the
administrative
rules
coordinator
and
the
7
administrative
code
editor.
8
Sec.
31.
REPORTS.
Any
reports
or
other
information
9
required
to
be
compiled
and
submitted
under
this
Act
during
the
10
fiscal
year
beginning
July
1,
2015,
shall
be
submitted
to
the
11
chairpersons
and
ranking
members
of
the
joint
appropriations
12
subcommittee
on
health
and
human
services,
the
legislative
13
services
agency,
and
the
legislative
caucus
staffs
on
or
14
before
the
dates
specified
for
submission
of
the
reports
or
15
information.
16
Sec.
32.
EFFECTIVE
UPON
ENACTMENT.
The
following
17
provisions
of
this
division
of
this
Act,
being
deemed
of
18
immediate
importance,
take
effect
upon
enactment:
19
1.
The
provision
relating
to
section
232.141
and
directing
20
the
state
court
administrator
and
the
division
administrator
of
21
the
department
of
human
services
division
of
child
and
family
22
services
to
make
the
determination,
by
June
15,
2015,
of
the
23
distribution
of
funds
allocated
for
the
payment
of
the
expenses
24
of
court-ordered
services
provided
to
juveniles
which
are
a
25
charge
upon
the
state.
26
2.
The
provision
prohibiting
the
department
of
human
27
services
from
adopting
emergency
rules
to
implement
Medicaid
28
managed
care
or
the
governor’s
Medicaid
modernization
29
initiative.
30
DIVISION
VI
31
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2015-2016
32
Sec.
33.
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
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207
S.F.
505
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
2016,
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,
2015,
and
ending
June
30,
2016:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
8
Sec.
34.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
9
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
10
subject
to
the
availability
of
funds,
there
is
appropriated
11
from
the
quality
assurance
trust
fund
created
in
section
12
249L.4
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2015,
and
ending
June
30,
2016,
the
following
14
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
15
designated:
16
To
supplement
the
appropriation
made
in
this
Act
from
the
17
general
fund
of
the
state
to
the
department
of
human
services
18
for
medical
assistance
for
the
same
fiscal
year:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,705,208
20
Sec.
35.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
21
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
22
the
contrary
and
subject
to
the
availability
of
funds,
there
is
23
appropriated
from
the
hospital
health
care
access
trust
fund
24
created
in
section
249M.4
to
the
department
of
human
services
25
for
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
26
30,
2016,
the
following
amounts,
or
so
much
thereof
as
is
27
necessary,
for
the
purposes
designated:
28
To
supplement
the
appropriation
made
in
this
Act
from
the
29
general
fund
of
the
state
to
the
department
of
human
services
30
for
medical
assistance
for
the
same
fiscal
year:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,700,000
32
Sec.
36.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
33
FOR
FY
2015-2016.
Notwithstanding
section
8.33
,
if
moneys
34
appropriated
for
purposes
of
the
medical
assistance
program
for
35
-74-
LSB
2653SV
(2)
86
pf/rj
74/
207
S.F.
505
the
fiscal
year
beginning
July
1,
2015,
and
ending
June
30,
1
2016,
from
the
general
fund
of
the
state,
the
quality
assurance
2
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
3
in
excess
of
actual
expenditures
for
the
medical
assistance
4
program
and
remain
unencumbered
or
unobligated
at
the
close
5
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
6
shall
remain
available
for
expenditure
for
the
purposes
of
the
7
medical
assistance
program
until
the
close
of
the
succeeding
8
fiscal
year.
9
DIVISION
VII
10
PATIENT-CENTERED
HEALTH
ADVISORY
COUNCIL
11
Sec.
37.
Section
135.159,
subsection
2,
paragraph
a,
12
unnumbered
paragraph
1,
Code
2015,
is
amended
to
read
as
13
follows:
14
The
department
shall
establish
an
a
patient-centered
health
15
advisory
council
which
shall
include
but
is
not
limited
to
16
all
of
the
following
members,
selected
by
their
respective
17
organizations,
and
any
other
members
the
department
determines
18
necessary
to
assist
in
the
department’s
duties
at
various
19
stages
of
development
of
the
medical
home
system:
20
Sec.
38.
Section
135.159,
subsection
2,
paragraph
b,
Code
21
2015,
is
amended
to
read
as
follows:
22
b.
Public
members
of
the
patient-centered
health
advisory
23
council
shall
receive
reimbursement
for
actual
expenses
24
incurred
while
serving
in
their
official
capacity
only
if
they
25
are
not
eligible
for
reimbursement
by
the
organization
that
26
they
represent.
27
Sec.
39.
Section
135.159,
subsection
10,
Code
2015,
is
28
amended
to
read
as
follows:
29
10.
The
department
shall
integrate
the
recommendations
and
30
policies
developed
pursuant
to
section
135.161
,
Code
2011,
into
31
the
medical
home
system
and
shall
incorporate
the
development
32
and
implementation
of
the
state
initiative
for
prevention
33
and
chronic
care
management
as
developed
pursuant
to
section
34
135.161
,
Code
2011,
into
the
duties
of
the
medical
home
system
35
-75-
LSB
2653SV
(2)
86
pf/rj
75/
207
S.F.
505
patient-centered
health
advisory
council
beginning
January
1,
1
2012.
2
Sec.
40.
CODE
EDITOR
DIRECTIVE.
The
Code
editor
shall
amend
3
the
headnote
of
section
135.159,
Code
2015,
to
read
Medical
home
4
system
——
patient-centered
health
advisory
council
——
development
5
and
implementation
.
6
DIVISION
VIII
7
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS
8
DECATEGORIZATION
9
Sec.
41.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
10
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
11
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
12
pool
that
remained
unencumbered
or
unobligated
at
the
close
13
of
the
fiscal
year
beginning
July
1,
2012,
and
were
deemed
14
carryover
funding
to
remain
available
for
the
two
succeeding
15
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
16
the
close
of
the
fiscal
year
beginning
July
1,
2014,
shall
17
not
revert
but
shall
be
transferred
to
the
medical
assistance
18
program
for
the
fiscal
year
beginning
July
1,
2014.
19
COMMUNITY
MENTAL
HEALTH
SERVICES
APPROPRIATION
20
Sec.
42.
2013
Iowa
Acts,
chapter
136,
section
2,
subsection
21
1,
paragraph
c,
is
amended
to
read
as
follows:
22
c.
The
department
shall
allocate
not
less
than
95
percent
23
of
the
amount
of
the
block
grant
each
federal
fiscal
year
24
to
eligible
community
mental
health
services
providers
for
25
carrying
out
the
plan
submitted
to
and
approved
by
the
federal
26
substance
abuse
and
mental
health
services
administration
27
for
the
fiscal
year
involved
,
except
that
for
federal
fiscal
28
year
2014-2015,
$1,643,467
of
such
federal
block
grant
funds
29
shall
be
used
for
child
and
family
services
pursuant
to
2013
30
Iowa
Acts,
chapter
138,
section
148,
as
amended
by
2014
Iowa
31
Acts,
chapter
1140,
section
25,
for
the
purposes
of
2014
Iowa
32
Acts,
chapter
1140,
section
25,
subsection
20,
relating
to
33
the
community
circle
of
care
collaboration
for
children
and
34
youth
in
northeast
Iowa,
subsection
24
relating
to
the
central
35
-76-
LSB
2653SV
(2)
86
pf/rj
76/
207
S.F.
505
Iowa
system
of
care
program
grant,
subsection
25
relating
1
to
the
system
of
care
grant
implemented
in
Cerro
Gordo
and
2
Linn
counties,
and
subsection
27
relating
to
a
system
of
care
3
approach
for
children
with
a
serious
emotional
disturbance
and
4
their
families
through
a
nonprofit
provider
of
child
welfare
5
services
licensed
as
a
psychiatric
medical
institution
for
6
children
.
7
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
8
Sec.
43.
2013
Iowa
Acts,
chapter
138,
section
136,
9
subsections
1,
2,
6,
and
13,
as
amended
by
2014
Iowa
Acts,
10
chapter
1140,
section
9,
are
amended
to
read
as
follows:
11
1.
To
be
credited
to
the
family
investment
program
account
12
and
used
for
assistance
under
the
family
investment
program
13
under
chapter
239B
:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,879,488
15
6,281,222
16
2.
To
be
credited
to
the
family
investment
program
account
17
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
18
program
and
implementing
family
investment
agreements
in
19
accordance
with
chapter
239B
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,091,911
21
10,232,340
22
6.
For
state
child
care
assistance:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
24
41,210,239
25
a.
Of
the
funds
appropriated
in
this
subsection,
26
$26,347,110
$26,332,712
is
transferred
to
the
child
care
and
27
development
block
grant
appropriation
made
by
the
Eighty-fifth
28
General
Assembly,
2013
Session,
in
2013
Iowa
Acts,
chapter
136,
29
section
14
for
the
federal
fiscal
year
beginning
October
1,
30
2014,
and
ending
September
30,
2015.
Of
this
amount,
$200,000
31
shall
be
used
for
provision
of
educational
opportunities
to
32
registered
child
care
home
providers
in
order
to
improve
33
services
and
programs
offered
by
this
category
of
providers
34
and
to
increase
the
number
of
providers.
The
department
may
35
-77-
LSB
2653SV
(2)
86
pf/rj
77/
207
S.F.
505
contract
with
institutions
of
higher
education
or
child
care
1
resource
and
referral
centers
to
provide
the
educational
2
opportunities.
Allowable
administrative
costs
under
the
3
contracts
shall
not
exceed
5
percent.
The
application
for
a
4
grant
shall
not
exceed
two
pages
in
length.
5
b.
Any
funds
appropriated
in
this
subsection
remaining
6
unallocated
shall
be
used
for
state
child
care
assistance
7
payments
for
families
who
are
employed,
including
but
not
8
limited
to
individuals
enrolled
in
the
family
investment
9
program
who
are
employed
.
10
13.
a.
Notwithstanding
any
provision
to
the
contrary,
11
including
but
not
limited
to
requirements
in
section
8.41
or
12
provisions
in
2013
or
2014
Iowa
Acts
regarding
the
receipt
and
13
appropriation
of
federal
block
grants,
federal
funds
from
the
14
temporary
assistance
for
needy
families
block
grant
received
15
by
the
state
not
otherwise
appropriated
in
this
section
and
16
remaining
available
for
the
fiscal
year
beginning
July
1,
2014,
17
are
appropriated
to
the
department
of
human
services
to
the
18
extent
as
may
be
necessary
to
be
used
in
the
following
priority
19
order:
the
family
investment
program,
for
state
child
care
20
assistance
program
payments
for
individuals
enrolled
in
the
21
family
investment
program
families
who
are
employed,
and
for
22
the
family
investment
program
share
of
costs
to
develop
and
23
maintain
a
new,
integrated
eligibility
determination
system.
24
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
25
expended
only
after
all
other
funds
appropriated
in
subsection
26
1
for
the
assistance
under
the
family
investment
program,
27
in
subsection
6
for
child
care
assistance,
or
in
subsection
28
12
for
the
family
investment
program
share
of
the
costs
to
29
continue
to
develop
and
maintain
a
new,
integrated
eligibility
30
determination
system,
as
applicable,
have
been
expended.
For
31
the
purposes
of
this
subsection,
the
funds
appropriated
in
32
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
and
33
development
block
grant
are
considered
fully
expended
when
the
34
full
amount
has
been
transferred.
35
-78-
LSB
2653SV
(2)
86
pf/rj
78/
207
S.F.
505
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
1
legislative
services
agency
and
department
of
management
of
2
the
amount
of
funds
appropriated
in
this
subsection
that
was
3
expended
in
the
prior
quarter.
4
CHILD
SUPPORT
RECOVERY
UNIT
5
Sec.
44.
2013
Iowa
Acts,
chapter
138,
section
139,
6
unnumbered
paragraph
2,
as
amended
by
2014
Iowa
Acts,
chapter
7
1140,
section
12,
is
amended
to
read
as
follows:
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,911,230
12
14,771,230
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
14
MEDICAL
ASSISTANCE
15
Sec.
45.
2013
Iowa
Acts,
chapter
139,
section
142,
16
unnumbered
paragraph
2,
as
amended
by
2014
Iowa
Acts,
chapter
17
1140,
section
14,
is
amended
to
read
as
follows:
18
For
medical
assistance
program
reimbursement
and
associated
19
costs
as
specifically
provided
in
the
reimbursement
20
methodologies
in
effect
on
June
30,
2014,
except
as
otherwise
21
expressly
authorized
by
law,
consistent
with
options
under
22
federal
law
and
regulations,
and
contingent
upon
receipt
of
23
approval
from
the
office
of
the
governor
of
reimbursement
for
24
each
abortion
performed
under
the
program:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,658,393
26
1,310,299,250
27
MEDICAL
CONTRACTS
28
Sec.
46.
2013
Iowa
Acts,
chapter
138,
section
143,
29
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
30
chapter
1140,
section
19,
are
amended
to
read
as
follows:
31
There
is
appropriated
from
the
general
fund
of
the
state
to
32
the
department
of
human
services
for
the
fiscal
year
beginning
33
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
34
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
35
-79-
LSB
2653SV
(2)
86
pf/rj
79/
207
S.F.
505
designated:
1
For
medical
contracts:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,148,576
3
12,896,400
4
STATE
SUPPLEMENTARY
ASSISTANCE
5
Sec.
47.
2013
Iowa
Acts,
chapter
138,
section
144,
6
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
7
section
20,
is
amended
to
read
as
follows:
8
1.
There
is
appropriated
from
the
general
fund
of
the
9
state
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purpose
designated:
13
For
the
state
supplementary
assistance
program:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,121,154
15
12,965,318
16
CHILDREN’S
HEALTH
INSURANCE
PROGRAM/
17
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
18
Sec.
48.
2013
Iowa
Acts,
chapter
138,
section
145,
19
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
20
section
21,
is
amended
to
read
as
follows:
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
27
program
pursuant
to
chapter
514I
,
including
supplemental
dental
28
services,
for
receipt
of
federal
financial
participation
under
29
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
30
children’s
health
insurance
program:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
45,877,998
32
45,097,085
33
CHILD
CARE
ASSISTANCE
34
Sec.
49.
2013
Iowa
Acts,
chapter
138,
section
146,
35
-80-
LSB
2653SV
(2)
86
pf/rj
80/
207
S.F.
505
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
1
chapter
1140,
section
22,
are
amended
to
read
as
follows:
2
There
is
appropriated
from
the
general
fund
of
the
state
to
3
the
department
of
human
services
for
the
fiscal
year
beginning
4
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
5
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
6
designated:
7
For
child
care
programs:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,132,080
9
36,303,944
10
CHILDREN
ADJUDICATED
AS
DELINQUENT
AND
CHILD
IN
NEED
OF
11
ASSISTANCE
PLACEMENTS
12
Sec.
50.
2013
Iowa
Acts,
chapter
138,
unnumbered
paragraphs
13
1
and
2,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
14
24,
are
amended
to
read
as
follows:
15
There
is
appropriated
from
the
general
fund
of
the
state
to
16
the
department
of
human
services
for
the
fiscal
year
beginning
17
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
18
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
19
designated:
20
For
the
placement
costs
of
female
children
adjudicated
as
21
delinquent
and
male
and
female
children
adjudicated
as
a
child
22
in
need
of
assistance:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
24
1,400,000
25
CHILD
AND
FAMILY
SERVICES
26
Sec.
51.
2013
Iowa
Acts,
chapter
138,
section
148,
27
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
28
section
25,
is
amended
to
read
as
follows:
29
1.
There
is
appropriated
from
the
general
fund
of
the
30
state
to
the
department
of
human
services
for
the
fiscal
year
31
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
32
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purpose
designated:
34
For
child
and
family
services:
35
-81-
LSB
2653SV
(2)
86
pf/rj
81/
207
S.F.
505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
94,857,554
1
91,364,087
2
ADOPTION
SUBSIDY
3
Sec.
52.
2013
Iowa
Acts,
chapter
138,
section
149,
4
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
5
section
26,
is
amended
to
read
as
follows:
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,
2014,
and
ending
June
30,
2015,
the
following
9
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purpose
designated:
11
For
adoption
subsidy
payments
and
services:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,580,749
13
41,744,149
14
FAMILY
SUPPORT
SUBSIDY
15
Sec.
53.
2013
Iowa
Acts,
chapter
138,
section
151,
16
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
17
section
27,
is
amended
to
read
as
follows:
18
1.
There
is
appropriated
from
the
general
fund
of
the
19
state
to
the
department
of
human
services
for
the
fiscal
year
20
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
21
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
22
purpose
designated:
23
For
the
family
support
subsidy
program
subject
to
the
24
enrollment
restrictions
in
section
225C.37,
subsection
3
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,079,739
26
579,739
27
FIELD
OPERATIONS
28
Sec.
54.
2013
Iowa
Acts,
chapter
138,
section
156,
29
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
30
chapter
1140,
section
32,
are
amended
to
read
as
follows:
31
There
is
appropriated
from
the
general
fund
of
the
state
to
32
the
department
of
human
services
for
the
fiscal
year
beginning
33
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
34
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
35
-82-
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2653SV
(2)
86
pf/rj
82/
207
S.F.
505
designated:
1
For
field
operations,
including
salaries,
support,
2
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,170,976
5
61,170,976
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
7
GENERAL
ADMINISTRATION
8
Sec.
55.
2013
Iowa
Acts,
chapter
138,
section
157,
9
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
10
chapter
1140,
section
33,
are
amended
to
read
as
follows:
11
There
is
appropriated
from
the
general
fund
of
the
state
to
12
the
department
of
human
services
for
the
fiscal
year
beginning
13
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
14
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
15
designated:
16
For
general
administration,
including
salaries,
support,
17
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
18
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,072,302
20
15,072,302
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
22
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
23
Sec.
56.
2013
Iowa
Acts,
chapter
138,
section
162,
as
24
amended
by
2014
Iowa
Acts,
chapter
1140,
section
47,
is
amended
25
to
read
as
follows:
26
SEC.
162.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
27
appropriated
from
the
pharmaceutical
settlement
account
created
28
in
section
249A.33
to
the
department
of
human
services
for
the
29
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
30
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
31
used
for
the
purpose
designated:
32
Notwithstanding
any
provision
of
law
to
the
contrary,
to
33
supplement
the
appropriations
made
in
this
Act
for
medical
34
contracts
under
the
medical
assistance
program
for
the
fiscal
35
-83-
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2653SV
(2)
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pf/rj
83/
207
S.F.
505
year
beginning
July
1,
2014,
and
ending
June
30,
2015:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,467,564
2
6,969,740
3
QUALITY
ASSURANCE
TRUST
FUND
4
Sec.
57.
2013
Iowa
Acts,
chapter
138,
section
163,
as
5
amended
by
2014
Iowa
Acts,
chapter
1140,
section
48,
is
amended
6
to
read
as
follows:
7
SEC.
163.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
8
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
9
and
subject
to
the
availability
of
funds,
there
is
appropriated
10
from
the
quality
assurance
trust
fund
created
in
section
11
249L.4
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
13
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
14
designated:
15
To
supplement
the
appropriation
made
in
this
Act
from
the
16
general
fund
of
the
state
to
the
department
of
human
services
17
for
medical
assistance
for
the
same
fiscal
year:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,195,653
19
29,695,653
20
Sec.
58.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
21
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
22
enactment.
23
Sec.
59.
RETROACTIVE
APPLICABILITY.
This
division
of
this
24
Act
is
retroactively
applicable
to
July
1,
2014.
25
DIVISION
IX
26
QUALITY
ASSURANCE
ASSESSMENT
27
Sec.
60.
Section
249L.3,
subsection
1,
paragraph
d,
Code
28
2015,
is
amended
to
read
as
follows:
29
d.
The
aggregate
quality
assurance
assessments
imposed
30
under
this
chapter
shall
not
exceed
the
lower
of
be
established
31
at
three
percent
of
the
aggregate
non-Medicare
revenues
of
a
32
nursing
facility
or
the
maximum
amount
that
may
be
assessed
33
pursuant
to
the
indirect
guarantee
threshold
as
established
34
pursuant
to
42
C.F.R.
§433.68(f)(3)(i),
and
shall
be
stated
on
35
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207
S.F.
505
a
per-patient-day
basis.
1
DIVISION
X
2
HEALTH
POLICY
——
OVERSIGHT
3
Sec.
61.
NEW
SECTION
.
2.70
Legislative
health
policy
4
oversight
committee.
5
1.
A
legislative
health
policy
oversight
committee
6
is
created
to
provide
a
formal
venue
for
oversight
of
7
and
stakeholder
engagement
in,
the
design,
development,
8
implementation,
administration,
and
funding
associated
9
with
general
state
health
care
policy,
with
a
particular
10
focus
on
the
Medicaid
program.
The
overall
purpose
of
the
11
committee
is
to
ensure
that
health
care
policy
in
this
state
12
is
consumer-focused
and
provides
for
accessible,
accountable,
13
efficient,
cost-effective,
and
quality
health
care.
The
goal
14
of
the
committee
is
to
continue
to
further
health
policy
that
15
improves
health
care,
improves
population
health,
reduces
16
health
care
costs,
and
integrates
medical
and
social
services
17
and
supports
into
a
holistic
health
system.
18
2.
a.
The
committee
shall
include
all
of
the
following
19
members:
20
(1)
The
co-chairpersons
and
ranking
members
of
the
21
legislative
joint
appropriations
subcommittee
on
health
22
and
human
services,
or
members
of
the
joint
appropriations
23
subcommittee
designated
by
the
respective
co-chairpersons
or
24
ranking
members.
25
(2)
The
chairpersons
and
ranking
members
of
the
26
human
resources
committees
of
the
senate
and
house
of
27
representatives,
or
members
of
the
respective
committees
28
designated
by
the
respective
chairpersons
or
ranking
members.
29
(3)
The
chairpersons
and
ranking
members
of
the
30
appropriations
committees
of
the
senate
and
house
of
31
representatives,
or
members
of
the
respective
committees
32
designated
by
the
respective
chairpersons
or
ranking
members.
33
b.
The
members
of
the
committee
shall
receive
a
per
diem
as
34
provided
in
section
2.10.
35
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207
S.F.
505
c.
The
committee
shall
meet
at
least
quarterly,
but
may
meet
1
as
often
as
necessary.
The
committee
may
request
information
2
from
sources
as
deemed
appropriate,
and
the
department
of
human
3
services
and
other
agencies
of
state
government
shall
provide
4
information
to
the
committee
as
requested.
The
legislative
5
services
agency
shall
provide
staff
support
to
the
committee.
6
d.
The
committee
shall
select
co-chairpersons,
one
7
representing
the
senate
and
one
representing
the
house
of
8
representatives,
annually,
from
its
membership.
A
majority
of
9
the
members
of
the
committee
shall
constitute
a
quorum.
10
e.
The
committee
may
contract
for
the
services
of
persons
11
who
are
qualified
by
education,
expertise,
or
experience
to
12
advise,
consult
with,
or
otherwise
assist
the
committee
in
the
13
performance
of
its
duties.
14
3.
The
committee
shall
submit
a
report
to
the
governor
and
15
the
general
assembly
by
December
15,
annually.
16
Sec.
62.
NEW
SECTION
.
231.44
Utilization
of
resources
17
——
assistance
and
advocacy
related
to
long-term
services
and
18
supports
under
the
Medicaid
program.
19
1.
The
office
of
long-term
care
ombudsman
may
utilize
its
20
available
resources
to
provide
assistance
and
advocacy
services
21
to
potential
or
actual
recipients,
or
the
families
or
legal
22
representatives
of
such
potential
or
actual
recipients,
of
23
long-term
services
and
supports
provided
through
the
Medicaid
24
program.
Such
assistance
and
advocacy
shall
include
but
is
not
25
limited
to
all
of
the
following:
26
a.
Providing
information,
education,
consultation,
and
27
assistance
regarding
eligibility
for,
enrollment
in,
and
the
28
obtaining
of
long-term
services
and
supports
through
the
29
Medicaid
program.
30
b.
Identifying
and
referring
individuals
who
may
be
eligible
31
for
and
in
need
of
long-term
services
and
supports
to
the
32
Medicaid
program.
33
c.
Developing
procedures
for
tracking
and
reporting
34
individual
requests
for
assistance
with
the
obtaining
of
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necessary
services
and
supports.
1
d.
Providing
consultation
for
individuals
transitioning
into
2
or
out
of
an
institutional
setting
or
across
levels
of
care.
3
e.
Identifying
gaps
in
or
duplication
of
services
provided
4
to
older
individuals
and
persons
with
disabilities
and
5
developing
strategies
to
improve
the
delivery
and
coordination
6
of
these
services
for
these
individuals.
7
f.
Providing
advice,
assistance,
and
negotiation
relating
8
to
the
preparation
and
filing
of
complaints,
grievances,
and
9
appeals
of
complaints
or
grievances
relating
to
long-term
10
services
and
supports
under
the
Medicaid
program.
11
g.
Providing
individual
case
advocacy
services
in
12
administrative
hearings
and
legal
representation
for
judicial
13
proceedings
related
to
long-term
services
and
supports
under
14
the
Medicaid
program.
15
2.
A
representative
of
the
office
of
long-term
care
16
ombudsman
providing
assistance
and
advocacy
services
authorized
17
under
this
section
for
an
individual,
shall
be
provided
18
access
to
the
individual,
and
shall
be
provided
access
to
19
the
individual’s
medical
and
social
records
as
authorized
by
20
the
individual
or
the
individual’s
legal
representative,
as
21
necessary
to
carry
out
the
duties
specified
in
this
section.
22
3.
A
representative
of
the
office
of
long-term
care
23
ombudsman
providing
assistance
and
advocacy
services
authorized
24
under
this
section
for
an
individual,
shall
be
provided
access
25
to
administrative
records
related
to
the
provision
of
the
26
long-term
services
and
supports
to
the
individual,
as
necessary
27
to
carry
out
the
duties
specified
in
this
section.
28
4.
For
the
purposes
of
this
section:
29
a.
“Institutional
setting”
includes
a
long-term
care
30
facility,
an
elder
group
home,
or
an
assisted
living
program.
31
b.
“Long-term
services
and
supports”
means
the
broad
range
of
32
health,
health-related,
and
personal
care
assistance
services
33
and
supports,
provided
in
both
institutional
settings
and
home
34
and
community-based
settings,
necessary
for
older
individuals
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and
persons
with
disabilities
who
experience
limitations
in
1
their
capacity
for
self-care
due
to
a
physical,
cognitive,
or
2
mental
disability
or
condition.
3
Sec.
63.
MEDICAID
MANAGED
CARE
ORGANIZATIONS
——
UTILIZATION
4
OF
CAPITATED
PAYMENTS.
5
1.
All
of
the
following
shall
apply
to
Medicaid
managed
care
6
contracts
entered
into
on
or
after
July
1,
2015:
7
a.
Two
percent
of
the
Medicaid
capitation
payment
amount
8
specified
under
the
contract
shall
be
withheld
by
the
state
to
9
be
used
to
provide
for
Medicaid
program
oversight,
including
10
for
a
health
consumer
ombudsman
function,
and
for
quality
11
improvement.
12
b.
The
minimum
medical
loss
ratio
applicable
to
Medicaid
13
managed
care
shall
be
established
at
no
less
than
eighty-five
14
percent.
The
portion
of
the
Medicaid
capitation
payment
paid
15
to
a
Medicaid
managed
care
contractor
that
is
required
to
be
16
dedicated
to
meeting
the
minimum
medical
loss
ratio
shall
be
17
allocated
to
a
Medicaid
claims
fund.
Expenditures
of
moneys
18
in
the
Medicaid
claims
fund
shall
comply
with
all
of
the
19
following:
20
(1)
Only
expenditures
for
medical
claims
shall
be
21
considered
in
computing
the
minimum
medical
loss
ratio
22
as
specified
in
the
contract.
For
the
purposes
of
the
23
computation,
“medical
claims”
means
only
the
costs
of
claims
24
for
direct
delivery
of
covered
benefits
incurred
during
the
25
applicable
minimum
medical
loss
ratio
reporting
period,
not
26
otherwise
defined
or
designated
as
administrative
costs,
27
population
health
benefits
or
quality
improvement,
or
profit
in
28
this
section.
29
(2)
If
a
Medicaid
managed
care
contractor
does
not
meet
30
the
minimum
medical
loss
ratio
established
under
the
contract
31
for
the
reporting
period
specified,
the
Medicaid
managed
32
care
contractor
shall
remit
the
excess
amount,
multiplied
33
by
the
total
contract
revenue,
to
the
state
for
community
34
reinvestment,
oversight,
and
quality
improvement.
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c.
The
portion
of
the
Medicaid
capitation
payment
that
is
1
not
required
to
be
dedicated
to
meeting
the
minimum
medical
2
loss
ratio,
shall
be
allocated
to
an
administrative
fund.
3
Expenditure
or
use
of
moneys
in
the
administrative
fund
shall
4
comply
with
all
of
the
following:
5
(1)
Funds
in
the
administrative
fund
may
be
used
for
6
population
health
and
quality
improvement
activities
7
including
conflict
or
reinvestment
free
case
management,
care
8
coordination,
community
benefit
expenditures,
nontraditional
9
consumer-centered
services
that
address
social
determinants
10
of
health,
health
information
technology,
data
collection
and
11
analysis,
and
other
population
health
and
quality
improvement
12
activities
as
specified
by
rule
of
the
department
of
human
13
services.
14
(2)
Administrative
costs
shall
not
exceed
the
percentage
15
applicable
to
the
Medicaid
program
for
administrative
costs
for
16
FY
2015
of
a
maximum
of
4
percent
calculated
as
a
percentage
of
17
the
Medicaid
capitation
payment
during
the
applicable
minimum
18
medical
loss
ratio
reporting
period.
Administrative
functions
19
and
costs
shall
not
be
shifted
to
providers
or
other
entities
20
as
a
means
of
administrative
cost
avoidance.
21
(3)
Profit,
including
reserves
and
earnings
on
reserves
22
such
as
investment
income
and
earned
interest,
as
a
percentage
23
of
the
Medicaid
capitated
payment,
shall
be
limited
to
a
24
maximum
of
3
percent
during
the
applicable
minimum
medical
loss
25
ratio
reporting
period.
26
(4)
Any
funds
remaining
in
the
administrative
fund
27
following
allowable
expenditures
or
uses
specified
in
28
subparagraphs
(1),
(2),
and
(3)
shall
be
remitted
to
the
state
29
for
community
reinvestment,
oversight,
and
quality
improvement.
30
2.
The
department
of
human
services
shall
specify
by
rule
31
reporting
requirements
for
Medicaid
managed
care
contractors
32
under
this
section.
33
Sec.
64.
PROPOSAL
FOR
A
HEALTH
CONSUMER
OMBUDSMAN
34
ALLIANCE.
The
office
of
long-term
care
ombudsman
shall
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collaborate
with
the
department
on
aging,
the
office
of
1
substitute
decision
maker,
the
department
of
veterans
affairs,
2
the
department
of
human
services,
the
department
of
public
3
health,
the
department
of
inspections
and
appeals,
the
4
designated
protection
and
advocacy
agency
as
provided
in
5
section
135C.2,
subsection
4,
the
civil
rights
commission,
the
6
senior
health
insurance
information
program,
the
Iowa
insurance
7
consumer
advocate,
Iowa
legal
aid,
and
other
consumer
advocates
8
and
consumer
assistance
programs,
to
develop
a
proposal
for
the
9
establishment
of
a
health
consumer
ombudsman
alliance.
The
10
purpose
of
the
alliance
is
to
provide
a
permanent
coordinated
11
system
of
independent
consumer
supports
to
ensure
that
12
consumers,
including
consumers
covered
under
Medicaid
managed
13
care,
obtain
and
maintain
essential
health
care,
are
provided
14
unbiased
information
in
understanding
coverage
models,
and
are
15
assisted
in
resolving
problems
regarding
health
care
services,
16
coverage,
access,
and
rights.
The
proposal
developed
shall
17
include
annual
budget
projections
and
shall
be
submitted
to
the
18
governor
and
the
general
assembly
no
later
than
December
15,
19
2015.
20
Sec.
65.
FUNCTIONAL,
LEVEL
OF
CARE,
AND
NEEDS-BASED
21
ASSESSMENTS
——
CASE
MANAGEMENT.
22
1.
The
department
of
human
services
shall
contract
23
with
a
conflict
free
third
party
to
conduct
initial
and
24
subsequent
functional,
level
of
care,
and
needs
assessments
and
25
reassessments
of
consumers
who
may
be
eligible
for
long-term
26
services
and
supports
and
are
subject
to
a
Medicaid
managed
27
care
contract.
Such
assessments
and
reassessments
shall
not
28
be
completed
by
a
Medicaid
managed
care
organization
under
29
contract
with
the
state
or
by
any
entity
that
is
not
deemed
30
conflict
free.
If
a
managed
care
contractor
becomes
aware
that
31
an
applicant
may
require
long-term
services
and
supports
or
32
that
an
enrolled
consumer’s
functional
level
of
care,
support
33
needs,
or
medical
status
has
changed,
the
Medicaid
managed
care
34
contractor
shall
notify
the
department
and
the
conflict
free
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third
party
shall
administer
any
assessment
or
reassessment
1
in
response
to
the
notification.
A
case
manager
or
Medicaid
2
managed
care
contractor
shall
not
alter
a
consumer’s
service
3
plan
independent
of
the
prior
administration
of
an
assessment
4
or
reassessment
conducted
by
the
conflict
free
third
party.
5
The
department
of
human
services
shall
retain
authority
to
6
determine
or
redetermine
a
consumer’s
categorical,
financial,
7
level
of
care
or
needs-based
eligibility
based
on
the
conflict
8
free
third
party
assessment
or
reassessment.
9
2.
The
department
of
human
services
shall
provide
for
10
administration
of
non-biased,
community-based,
in-person
11
options
counseling
by
a
conflict
free
third
party
for
12
applicants
for
a
Medicaid
managed
care
plan.
13
3.
Case
management
under
a
Medicaid
managed
care
contract
14
shall
be
administered
in
a
conflict
free
manner.
15
4.
For
the
purposes
of
this
section,
“conflict
free”
means
16
conflict
free
pursuant
to
specifications
of
the
balancing
17
incentive
program
requirements.
18
DIVISION
XI
19
AUTISM
20
Sec.
66.
Section
225D.1,
subsections
3
and
8,
Code
2015,
are
21
amended
to
read
as
follows:
22
3.
“Autism
service
provider”
means
a
person
providing
23
applied
behavioral
analysis,
who
meets
all
of
the
following
24
criteria:
25
a.
Is
any
of
the
following:
26
(1)
Is
certified
as
a
behavior
analyst
by
the
behavior
27
analyst
certification
board
or
is
a
health
professional
28
licensed
under
chapter
147
.
29
(2)
Is
a
board-certified
assistant
behavior
analyst
who
30
performs
duties,
identified
by
and
based
on
the
standards
of
31
the
behavior
analyst
certification
board,
under
the
supervision
32
of
a
board-certified
behavior
analyst.
33
b.
Is
approved
as
a
member
of
the
provider
network
by
the
34
department.
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8.
“Eligible
individual”
means
a
child
less
than
nine
1
fifteen
years
of
age
who
has
been
diagnosed
with
autism
based
2
on
a
diagnostic
assessment
of
autism,
is
not
otherwise
eligible
3
for
coverage
for
applied
behavioral
analysis
treatment
under
4
the
medical
assistance
program,
section
514C.28
,
or
private
5
insurance
coverage,
and
whose
household
income
does
not
exceed
6
four
hundred
percent
of
the
federal
poverty
level.
7
Sec.
67.
Section
225D.2,
subsection
2,
paragraph
c,
Code
8
2015,
is
amended
to
read
as
follows:
9
c.
Notwithstanding
the
age
limitation
for
an
eligible
10
individual,
a
provision
that
if
an
eligible
individual
reaches
11
nine
fifteen
years
of
age
prior
to
completion
of
the
maximum
12
applied
behavioral
analysis
treatment
period
specified
in
13
paragraph
“b”
,
the
individual
may
complete
such
treatment
in
14
accordance
with
the
individual’s
treatment
plan,
not
to
exceed
15
the
maximum
treatment
period.
16
Sec.
68.
Section
225D.2,
subsection
2,
Code
2015,
is
amended
17
by
adding
the
following
new
paragraph:
18
NEW
PARAGRAPH
.
l.
Proof
of
eligibility
for
the
autism
19
support
program
that
includes
a
written
denial
for
coverage
or
20
a
benefits
summary
indicating
that
applied
behavioral
analysis
21
treatment
is
not
a
covered
benefit
for
which
the
applicant
22
is
eligible,
under
the
Medicaid
program,
section
514C.28,
or
23
private
insurance
coverage.
24
DIVISION
XII
25
OFFICE
OF
SUBSTITUTE
DECISIONMAKER
26
Sec.
69.
Section
231E.4,
subsection
3,
paragraph
a,
Code
27
2015,
is
amended
to
read
as
follows:
28
a.
Select
persons
through
a
request
for
proposals
process
to
29
establish
local
offices
of
substitute
decision
maker
in
each
30
of
the
planning
and
service
areas.
Local
offices
shall
be
31
established
statewide
on
or
before
July
1,
2015
2017
.
32
DIVISION
XIII
33
DEMENTIA
WORKFORCE
34
Sec.
70.
INTERAGENCY
DEMENTIA
PROFICIENT
WORKFORCE
TASK
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FORCE.
The
department
on
aging
shall
convene
an
interagency
1
task
force,
in
collaboration
with
the
office
of
long-term
2
care
ombudsman,
the
office
of
substitute
decision
maker,
the
3
departments
of
public
health,
human
services,
and
inspections
4
and
appeals,
and
the
Alzheimer’s
association,
to
review
the
5
recommendations
for
a
standard
curriculum
model
for
dementia
6
education
submitted
by
the
Alzheimer’s
association
dementia
7
education
task
force
to
the
department
on
aging
in
June
2010,
8
in
the
Iowa
dementia
education
project
final
report,
and
the
9
curricula-related
recommendations
submitted
by
the
direct
care
10
worker
task
force
and
the
direct
care
worker
advisory
council;
11
identify
staff,
in
settings
in
which
individuals
with
dementia
12
may
seek
services
and
care,
who
should
have
some
level
of
13
dementia
proficiency
and
analyze
gaps
in
existing
training
14
and
educational
requirements;
and
develop
an
implementation
15
plan
to
transition
toward
competency-based
dementia
curricula
16
and
training
that
achieves
dementia
proficiency
across
a
17
broader
care
continuum.
To
the
greatest
extent
possible,
18
the
plan
shall
address
training
strategies
for
different
19
settings,
levels
of
skill,
and
licensure.
The
plan
shall
20
include
a
timeline
for
implementation,
fiscal
implications
of
21
recommendations,
and
identification
of
key
decision
points
22
for
the
general
assembly.
The
task
force
shall
provide
23
opportunities
for
stakeholder
input
from
affected
industry,
24
education,
professional,
employee,
and
consumer
organizations.
25
The
task
force
shall
submit
its
recommendations
to
the
governor
26
and
the
general
assembly
no
later
than
December
15,
2015.
27
DIVISION
XIV
28
PHARMACEUTICAL
COLLECTION
AND
DISPOSAL
PROGRAM
29
Sec.
71.
Section
155A.43,
Code
2015,
is
amended
to
read
as
30
follows:
31
155A.43
Pharmaceutical
collection
and
disposal
program
——
32
annual
allocation.
33
Of
the
fees
collected
pursuant
to
sections
124.301
and
34
147.80
and
chapter
155A
by
the
board
of
pharmacy,
and
retained
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by
the
board
pursuant
to
section
147.82
,
not
more
than
1
one
hundred
twenty-five
seventy-five
thousand
dollars
may
2
be
allocated
annually
by
the
board
for
administering
the
3
pharmaceutical
collection
and
disposal
program
originally
4
established
pursuant
to
2009
Iowa
Acts,
ch.
175,
§9.
The
5
program
shall
provide
for
the
management
and
disposal
of
6
unused,
excess,
and
expired
pharmaceuticals.
The
board
of
7
pharmacy
may
cooperate
with
the
Iowa
pharmacy
association
and
8
may
consult
with
the
department
and
sanitary
landfill
operators
9
in
administering
the
program.
10
DIVISION
XV
11
MEDICAID
STATE
PLAN
——
FAMILY
PLANNING
12
Sec.
72.
MEDICAID
STATE
PLAN
AMENDMENT
——
FAMILY
13
PLANNING.
The
department
of
human
services
shall
amend
the
14
medical
assistance
state
plan
to
include,
effective
no
later
15
than
January
1,
2016,
the
eligibility
provisions
of
the
Iowa
16
family
planning
network
section
1115
demonstration
waiver
in
17
effect
on
January
1,
2015.
The
department
shall
implement
18
the
state
plan
amendment
upon
receipt
of
approval
by
the
19
centers
for
Medicare
and
Medicaid
services
of
the
United
States
20
department
of
health
and
human
services.
21
Sec.
73.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
22
deemed
of
immediate
importance,
takes
effect
upon
enactment.
23
DIVISION
XVI
24
IOWA
ABLE
SAVINGS
PLAN
TRUST
25
Sec.
74.
NEW
SECTION
.
12I.1
Purpose
and
definitions.
26
1.
The
general
assembly
finds
that
the
general
welfare
27
and
well-being
of
the
state
are
directly
related
to
the
28
health,
maintenance,
independence,
and
quality
of
life
of
its
29
disabled
residents,
and
that
a
vital
and
valid
public
purpose
30
is
served
by
the
creation
and
implementation
of
programs
that
31
encourage
and
make
possible
savings
to
secure
funding
for
32
disability-related
expenses
on
behalf
of
individuals
with
33
disabilities
that
will
supplement,
but
not
supplant,
other
34
benefits
provided
by
various
federal,
state,
and
private
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sources.
The
creation
of
the
means
of
encouragement
for
1
citizens
to
invest
in
such
a
program
represents
the
carrying
2
out
of
a
vital
and
valid
public
purpose.
In
order
to
make
3
available
to
the
citizens
of
the
state
an
opportunity
to
fund
4
future
disability-related
expenses
of
individuals,
it
is
5
necessary
that
a
public
trust
be
established
in
which
moneys
6
may
be
invested
for
payment
of
future
disability-related
7
expenses
of
an
individual.
8
2.
As
used
in
this
chapter,
unless
the
context
otherwise
9
requires:
10
a.
“Account
balance
limit”
means
the
maximum
allowable
11
aggregate
balance
of
an
account
established
for
a
designated
12
beneficiary.
Account
earnings,
if
any,
are
included
in
the
13
account
balance
limit.
14
b.
“Account
owner”
means
an
individual
who
enters
into
a
15
participation
agreement
under
this
chapter
for
the
payment
16
of
qualified
disability
expenses
on
behalf
of
a
designated
17
beneficiary.
18
c.
“Contracting
state”
means
the
same
as
defined
in
section
19
529A
of
the
Internal
Revenue
Code.
20
d.
“Designated
beneficiary”
means
an
individual
who
is
a
21
resident
of
this
state
or
a
resident
of
a
contracting
state
and
22
who
meets
the
definition
of
“eligible
individual”
in
section
23
529A
of
the
Internal
Revenue
Code.
24
e.
“Internal
Revenue
Code”
means
the
Internal
Revenue
Code
25
of
1986,
as
amended,
and
regulations
promulgated
thereunder.
26
f.
“Iowa
ABLE
savings
plan
trust”
or
“trust”
means
the
trust
27
created
under
section
12I.2.
28
g.
“Participation
agreement”
means
an
agreement
between
the
29
account
owner
and
the
trust
entered
into
under
this
chapter.
30
h.
“Qualified
ABLE
program
”
means
the
same
as
defined
in
31
section
529A
of
the
Internal
Revenue
Code.
32
i.
“Qualified
disability
expenses”
means
the
same
as
defined
33
in
section
529A
of
the
Internal
Revenue
Code.
34
j.
“Resident”
shall
be
defined
by
rules
adopted
by
the
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treasurer
of
state.
The
rules
shall
determine
residency
in
1
such
manner
as
may
be
required
or
permitted
under
section
2
529A
of
the
Internal
Revenue
Code,
or,
in
the
absence
of
any
3
guidance
under
federal
law,
as
the
treasurer
of
state
deems
4
advisable
for
the
purpose
of
satisfying
the
requirements
of
5
section
529A
of
the
Internal
Revenue
Code.
6
Sec.
75.
NEW
SECTION
.
12I.2
Creation
of
Iowa
ABLE
savings
7
plan
trust.
8
An
Iowa
ABLE
savings
plan
trust
is
created.
The
treasurer
of
9
state
is
the
trustee
of
the
trust,
and
has
all
powers
necessary
10
to
carry
out
and
effectuate
the
purposes,
objectives,
and
11
provisions
of
this
chapter
pertaining
to
the
trust,
including
12
the
power
to
do
all
of
the
following:
13
1.
Make
and
enter
into
contracts
necessary
for
the
14
administration
of
the
trust
created
under
this
chapter.
15
2.
Enter
into
agreements
with
this
state
or
any
other
16
state,
or
any
federal
or
other
state
agency,
or
other
entity
as
17
required
to
implement
this
chapter.
18
3.
Carry
out
the
duties
and
obligations
of
the
trust
19
pursuant
to
this
chapter.
20
4.
Accept
any
grants,
gifts,
legislative
appropriations,
21
and
other
moneys
from
the
state,
any
unit
of
federal,
state,
or
22
local
government,
or
any
other
person,
firm,
partnership,
or
23
corporation
which
the
treasurer
of
state
shall
deposit
into
the
24
administrative
fund
or
program
fund.
25
5.
Participate
in
any
federal,
state,
or
local
governmental
26
program
for
the
benefit
of
the
trust.
27
6.
Procure
insurance
against
any
loss
in
connection
with
the
28
property,
assets,
or
activities
of
the
trust.
29
7.
Enter
into
participation
agreements
with
account
owners.
30
8.
Make
payments
to
designated
beneficiaries
pursuant
to
31
participation
agreements.
32
9.
Make
refunds
to
account
owners
upon
the
termination
33
of
participation
agreements,
and
partial
nonqualified
34
distributions
to
account
owners,
pursuant
to
this
chapter
and
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the
limitations
and
restrictions
set
forth
in
this
chapter.
1
10.
Invest
moneys
from
the
program
fund
in
any
investments
2
that
are
determined
by
the
treasurer
of
state
to
be
3
appropriate.
4
11.
Engage
investment
advisors,
if
necessary,
to
assist
in
5
the
investment
of
trust
assets.
6
12.
Contract
for
goods
and
services
and
engage
personnel
7
as
necessary,
including
consultants,
actuaries,
managers,
8
legal
counsel,
and
auditors
for
the
purpose
of
rendering
9
professional,
managerial,
and
technical
assistance
and
advice
10
to
the
treasurer
of
state
regarding
trust
administration
and
11
operation.
12
13.
Establish,
impose,
and
collect
administrative
fees
13
and
charges
in
connection
with
transactions
of
the
trust,
and
14
provide
for
reasonable
service
charges,
including
penalties
for
15
cancellations
and
late
payments
with
respect
to
participation
16
agreements.
17
14.
Administer
the
funds
of
the
trust.
18
15.
Prepare
and
file
reports
and
notices.
19
16.
Enter
into
agreements
with
contracting
states
to
permit
20
residents
of
the
contracting
state
to
participate
in
the
Iowa
21
ABLE
savings
plan
trust.
22
17.
Adopt
rules
pursuant
to
chapter
17A
for
the
23
administration
of
this
chapter.
24
Sec.
76.
NEW
SECTION
.
12I.3
Participation
agreements
for
25
trust.
26
On
or
after
July
1,
2016,
the
trust
may
enter
into
27
participation
agreements
with
account
owners
pursuant
to
the
28
following
terms
and
agreements:
29
1.
a.
Unless
otherwise
permitted
under
section
529A
of
the
30
Internal
Revenue
Code,
the
treasurer
of
state
shall
allow
only
31
one
participation
agreement
per
designated
beneficiary.
32
b.
Unless
otherwise
permitted
under
section
529A
of
the
33
Internal
Revenue
Code,
the
account
owner
must
also
be
the
34
designated
beneficiary
of
the
account.
However,
a
trustee
or
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legal
guardian
may
be
designated
as
custodian
of
an
account
for
1
a
designated
beneficiary
who
is
a
minor
or
who
lacks
capacity
2
to
enter
into
a
participation
agreement
if
such
designation
is
3
not
prohibited
under
section
529A
of
the
Internal
Revenue
Code.
4
c.
The
treasurer
of
state
shall
set
an
annual
contribution
5
limit
and
account
balance
limit
to
maintain
compliance
with
6
section
529A
of
the
Internal
Revenue
Code.
A
contribution
7
shall
not
be
permitted
to
the
extent
it
exceeds
the
annual
8
contribution
limit
or
causes
the
aggregate
balance
of
the
9
account
established
for
the
designated
beneficiary
to
exceed
10
the
applicable
account
balance
limit.
11
d.
The
maximum
amount
that
may
be
deducted
per
year
for
12
Iowa
income
tax
purposes
by
an
individual
for
contributions
on
13
behalf
of
any
one
designated
beneficiary
that
is
a
resident
14
of
this
state
shall
not
exceed
the
maximum
deductible
amount
15
determined
for
the
year
pursuant
to
section
12D.3,
subsection
16
1,
paragraph
“a”
.
17
e.
Participation
agreements
may
be
amended
to
provide
18
for
adjusted
levels
of
contributions
based
upon
changed
19
circumstances
or
changes
in
disability-related
expenses.
20
f.
Any
person
may
make
contributions
pursuant
to
a
21
participation
agreement
on
behalf
of
a
designated
beneficiary
22
under
rules
adopted
by
the
treasurer
of
state.
23
2.
The
execution
of
a
participation
agreement
by
the
trust
24
shall
not
guarantee
in
any
way
that
future
disability-related
25
expenses
will
be
equal
to
projections
and
estimates
provided
by
26
the
trust
or
that
the
account
owner
or
designated
beneficiary
27
is
guaranteed
any
of
the
following:
28
a.
A
return
of
principal.
29
b.
A
rate
of
interest
or
other
return
from
the
trust.
30
c.
Payment
of
interest
or
other
return
from
the
trust.
31
3.
a.
A
designated
beneficiary
under
a
participation
32
agreement
may
be
changed
as
permitted
under
rules
adopted
by
33
the
treasurer
of
state
upon
written
request
of
the
account
34
owner
as
long
as
such
change
would
be
permitted
by
section
529A
35
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of
the
Internal
Revenue
Code.
1
b.
Participation
agreements
may
otherwise
be
freely
amended
2
throughout
their
terms
in
order
to
enable
account
owners
to
3
increase
or
decrease
the
level
of
participation,
change
the
4
designated
beneficiary,
and
carry
out
similar
matters
as
5
authorized
by
rule.
6
4.
Each
participation
agreement
shall
provide
that
the
7
participation
agreement
may
be
canceled
upon
the
terms
and
8
conditions,
and
upon
payment
of
applicable
fees
and
costs
set
9
forth
and
contained
in
the
rules
adopted
by
the
treasurer
of
10
state.
11
Sec.
77.
NEW
SECTION
.
12I.4
Program
and
administrative
12
funds
——
investment
and
payment.
13
1.
a.
The
treasurer
of
state
shall
segregate
moneys
14
received
by
the
trust
into
two
funds:
the
program
fund
and
the
15
administrative
fund.
16
b.
All
moneys
paid
by
account
owners
or
other
persons
17
on
behalf
of
a
designated
beneficiary
in
connection
with
18
participation
agreements
shall
be
deposited
as
received
into
19
separate
accounts
for
each
designated
beneficiary
within
the
20
program
fund.
21
c.
Contributions
to
the
trust
made
on
behalf
of
designated
22
beneficiaries
may
only
be
made
in
the
form
of
cash.
23
d.
An
account
owner
or
designated
beneficiary
is
24
not
permitted
to
provide
investment
direction
regarding
25
contributions
or
earnings
held
by
the
trust.
26
2.
Moneys
accrued
by
account
owners
in
the
program
fund
27
of
the
trust
may
be
used
for
payments
of
qualified
disability
28
expenses.
29
3.
Moneys
in
the
account
of
a
designated
beneficiary
may
30
be
claimed
by
the
Iowa
Medicaid
program
as
provided
in
section
31
529A(f)
of
the
Internal
Revenue
Code
and
subject
to
limitations
32
imposed
by
the
treasurer
of
state.
33
4.
The
trust
shall
comply
with
Pub.
L.
No.
113-295,
§103,
34
regarding
treatment
of
ABLE
accounts
under
certain
federal
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programs.
1
5.
Moneys
in
the
funds
are
not
subject
to
section
8.33.
2
Notwithstanding
section
12C.7,
interest
or
earnings
on
moneys
3
in
the
funds
shall
be
credited
to
the
funds.
4
Sec.
78.
NEW
SECTION
.
12I.5
Cancellation
of
agreements.
5
An
account
owner
may
cancel
a
participation
agreement
at
6
will.
Upon
cancellation
of
a
participation
agreement,
an
7
account
owner
shall
be
entitled
to
the
return
of
the
account
8
owner’s
account
balance.
9
Sec.
79.
NEW
SECTION
.
12I.6
Repayment
and
ownership
of
10
payments
and
investment
income
——
transfer
of
ownership
rights.
11
1.
a.
An
account
owner
retains
ownership
of
all
12
contributions
made
on
behalf
of
a
designated
beneficiary
under
13
a
participation
agreement
up
to
the
date
of
utilization
for
14
payment
of
qualified
disability
expenses
of
the
designated
15
beneficiary.
16
b.
All
income
derived
from
the
investment
of
the
17
contributions
made
on
behalf
of
a
designated
beneficiary
shall
18
be
considered
to
be
held
in
trust
for
the
benefit
of
the
19
designated
beneficiary.
20
2.
In
the
event
the
trust
is
terminated
prior
to
payment
of
21
qualified
disability
expenses
for
the
designated
beneficiary,
22
the
account
owner
is
entitled
to
a
refund
of
the
account
23
owner’s
account
balance.
24
3.
Any
amounts
which
may
be
paid
to
any
person
or
persons
25
pursuant
to
the
Iowa
ABLE
savings
plan
trust
but
which
are
not
26
listed
in
this
section
are
owned
by
the
trust.
27
4.
An
account
owner
may
transfer
ownership
rights
to
28
another
designated
beneficiary,
including
a
gift
of
the
29
ownership
rights
to
a
designated
beneficiary
who
is
a
minor,
in
30
accordance
with
rules
adopted
by
the
treasurer
of
state
and
the
31
terms
of
the
participation
agreement,
so
long
as
the
transfer
32
would
be
permitted
by
section
529A
of
the
Internal
Revenue
33
Code.
34
5.
An
account
owner
or
designated
beneficiary
shall
not
be
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entitled
to
utilize
any
interest
in
the
trust
as
security
for
1
a
loan.
2
Sec.
80.
NEW
SECTION
.
12I.7
Reports
——
annual
audited
3
financial
report
——
reports
under
federal
law.
4
1.
a.
The
treasurer
of
state
shall
submit
an
annual
5
audited
financial
report,
prepared
in
accordance
with
generally
6
accepted
accounting
principles,
on
the
operations
of
the
trust
7
by
November
1
to
the
governor
and
the
general
assembly.
8
b.
The
annual
audit
shall
be
made
either
by
the
auditor
9
of
state
or
by
an
independent
certified
public
accountant
10
designated
by
the
auditor
of
state
and
shall
include
direct
and
11
indirect
costs
attributable
to
the
use
of
outside
consultants,
12
independent
contractors,
and
any
other
persons
who
are
not
13
state
employees.
14
2.
The
annual
audit
shall
be
supplemented
by
all
of
the
15
following
information
prepared
by
the
treasurer
of
state:
16
a.
Any
related
studies
or
evaluations
prepared
in
the
17
preceding
year.
18
b.
A
summary
of
the
benefits
provided
by
the
trust,
19
including
the
number
of
account
owners
and
designated
20
beneficiaries
in
the
trust,
or,
if
the
trust
has
caused
this
21
state
to
become
a
contracting
state
pursuant
to
section
12I.10,
22
a
summary
of
the
benefits
provided
to
Iowa
residents
by
the
23
contracted
qualified
ABLE
program,
including
the
number
of
24
account
owners
and
designated
beneficiaries
in
the
contracted
25
qualified
ABLE
program
who
are
Iowa
residents.
26
c.
Any
other
information
deemed
relevant
by
the
treasurer
of
27
state
in
order
to
make
a
full,
fair,
and
effective
disclosure
28
of
the
operations
of
the
trust
or
the
contracted
qualified
ABLE
29
program
if
applicable.
30
3.
The
treasurer
of
state
shall
prepare
and
submit
to
the
31
secretary
of
the
United
States
treasury
or
other
required
party
32
any
reports,
notices,
or
statements
required
under
section
529A
33
of
the
Internal
Revenue
Code.
34
Sec.
81.
NEW
SECTION
.
12I.8
Tax
considerations.
35
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505
1.
For
federal
income
tax
purposes,
the
Iowa
ABLE
savings
1
plan
trust
shall
be
considered
a
qualified
ABLE
program
exempt
2
from
taxation
pursuant
to
section
529A
of
the
Internal
Revenue
3
Code
and
shall
be
operated
so
that
it
meets
the
requirements
of
4
section
529A
of
the
Internal
Revenue
Code.
5
2.
State
income
tax
treatment
of
the
Iowa
ABLE
savings
plan
6
trust
shall
be
as
provided
in
section
422.7,
subsections
34
and
7
34A.
8
3.
State
inheritance
tax
treatment
of
interests
in
Iowa
ABLE
9
savings
plans
shall
be
as
provided
in
section
450.4,
subsection
10
9.
11
Sec.
82.
NEW
SECTION
.
12I.9
Property
rights
to
assets
in
12
trust.
13
1.
The
assets
of
the
trust
shall
at
all
times
be
preserved,
14
invested,
and
expended
solely
and
only
for
the
purposes
of
the
15
trust
and
shall
be
held
in
trust
for
the
account
owners
and
16
designated
beneficiaries.
17
2.
Except
as
provided
in
section
12I.4,
subsection
3,
no
18
property
rights
in
the
trust
shall
exist
in
favor
of
the
state.
19
3.
Except
as
provided
in
section
12I.4,
subsection
3,
the
20
assets
of
the
trust
shall
not
be
transferred
or
used
by
the
21
state
for
any
purposes
other
than
the
purposes
of
the
trust.
22
Sec.
83.
NEW
SECTION
.
12I.10
Implementation
as
a
23
contracting
state
——
tax
considerations.
24
1.
The
general
assembly
acknowledges
that
section
529A
of
25
the
Internal
Revenue
Code
permits
access
to
qualified
ABLE
26
programs
by
residents
of
a
state
without
such
a
program.
The
27
general
assembly
finds
that
becoming
a
contracting
state
may
28
accomplish
the
public
purpose
set
forth
in
section
12I.1,
29
subsection
1,
in
the
same
manner
as
if
the
qualified
ABLE
30
program
under
the
Iowa
ABLE
savings
plan
trust
were
to
be
31
implemented
and
administered
by
this
state.
To
that
end,
32
the
treasurer
of
state,
as
trustee
of
the
trust,
may
defer
33
implementation
of
the
qualified
ABLE
program
under
the
trust
34
and
alternatively
cause
this
state
to
become
a
contracting
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state
by
entering
into
an
agreement
with
another
state
with
a
1
qualified
ABLE
program
to
provide
Iowa
residents
access
to
that
2
state’s
qualified
ABLE
program.
The
trust
shall
not
enter
into
3
an
agreement
pursuant
to
this
section
unless
the
treasurer,
4
as
trustee
of
the
trust,
determines
that
all
of
the
following
5
requirements
are
satisfied:
6
a.
The
program
is
a
qualified
ABLE
program.
7
b.
The
qualified
ABLE
program
provides
comparable
benefits
8
and
protections
to
Iowa
residents
as
would
be
provided
under
9
the
Iowa
ABLE
savings
plan
trust.
10
c.
That
entering
into
an
agreement
for
access
to
the
11
qualified
ABLE
program
would
not
result
in
increased
costs
to
12
the
state
or
to
account
owners
and
designated
beneficiaries
as
13
compared
to
the
costs
of
implementing
and
administering
the
14
qualified
ABLE
program
under
the
Iowa
ABLE
savings
plan
trust.
15
d.
The
qualified
ABLE
program
will
be
audited
annually
by
16
an
independent
certified
public
accountant
or
by
the
state
17
auditor,
or
similar
public
official,
of
the
state
that
has
18
implemented
the
qualified
ABLE
program.
19
e.
The
qualified
ABLE
program
will
provide
information
to
20
the
treasurer
of
state
as
trustee
of
the
trust
so
as
to
allow
21
the
trustee
to
fulfill
the
reporting
requirements
in
section
22
12I.7.
23
2.
a.
The
maximum
amount
that
may
be
deducted
per
year
for
24
Iowa
income
tax
purposes
by
an
individual
for
contributions
on
25
behalf
of
any
one
designated
beneficiary
that
is
a
resident
of
26
this
state
to
the
qualified
ABLE
program
with
which
the
state
27
has
contracted
pursuant
to
this
section
shall
not
exceed
the
28
maximum
deductible
amount
determined
for
the
year
pursuant
to
29
section
12D.3,
subsection
1,
paragraph
“a”
.
30
b.
State
income
tax
treatment
of
the
qualified
ABLE
program
31
with
which
the
state
has
contracted
pursuant
to
this
section
32
shall
be
as
provided
in
section
422.7,
subsections
34
and
34A.
33
3.
State
inheritance
tax
treatment
of
interests
in
the
34
qualified
ABLE
program
with
which
the
state
has
contracted
35
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pursuant
to
this
section
shall
be
as
provided
in
section
450.4,
1
subsection
9.
2
Sec.
84.
NEW
SECTION
.
12I.11
Construction.
3
This
chapter
shall
be
construed
liberally
in
order
to
4
effectuate
its
purpose.
5
Sec.
85.
Section
422.7,
Code
2015,
is
amended
by
adding
the
6
following
new
subsections:
7
NEW
SUBSECTION
.
34.
a.
Subtract
the
amount
contributed
8
during
the
tax
year
on
behalf
of
a
designated
beneficiary
9
that
is
a
resident
of
this
state
to
the
Iowa
ABLE
savings
10
plan
trust
or
to
the
qualified
ABLE
program
with
which
the
11
state
has
contracted
pursuant
to
section
12I.10,
not
to
exceed
12
the
maximum
contribution
level
established
in
section
12I.3,
13
subsection
1,
paragraph
“d”
,
or
section
12I.10,
subsection
2,
14
paragraph
“a”
,
as
applicable.
15
b.
Add
the
amount
resulting
from
the
cancellation
of
a
16
participation
agreement
refunded
to
the
taxpayer
as
an
account
17
owner
in
the
Iowa
ABLE
savings
plan
trust
or
the
qualified
18
ABLE
program
with
which
the
state
has
contracted
pursuant
to
19
section
12I.10
to
the
extent
previously
deducted
pursuant
20
to
this
subsection
by
the
taxpayer
or
any
other
person
as
a
21
contribution
to
the
trust
or
qualified
ABLE
program.
22
c.
Add
the
amount
resulting
from
a
withdrawal
made
by
a
23
taxpayer
from
the
Iowa
ABLE
savings
plan
trust
or
the
qualified
24
ABLE
program
with
which
the
state
has
contracted
pursuant
to
25
section
12I.10
for
purposes
other
than
the
payment
of
qualified
26
disability
expenses
to
the
extent
previously
deducted
pursuant
27
to
this
subsection
by
the
taxpayer
or
any
other
person
as
a
28
contribution
to
the
trust
or
qualified
ABLE
program.
29
NEW
SUBSECTION
.
34A.
Subtract,
to
the
extent
included,
30
income
from
interest
and
earnings
received
from
the
Iowa
ABLE
31
savings
plan
trust
created
in
chapter
12I,
or
received
by
a
32
resident
account
owner
from
a
qualified
ABLE
program
with
which
33
the
state
has
contracted
pursuant
to
section
12I.10.
34
Sec.
86.
Section
450.4,
Code
2015,
is
amended
by
adding
the
35
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505
following
new
subsection:
1
NEW
SUBSECTION
.
9.
On
the
value
of
any
interest
in
the
Iowa
2
ABLE
savings
plan
trust
created
in
chapter
12I,
or
any
interest
3
held
by
a
resident
account
owner
in
a
qualified
ABLE
program
4
with
which
the
state
has
contracted
pursuant
to
section
12I.10.
5
Sec.
87.
CONTINGENT
IMPLEMENTATION.
The
implementation
of
6
chapter
12I
as
enacted
in
this
division
of
this
Act
is
subject
7
to
an
appropriation
with
the
stated
purpose
of
the
Iowa
ABLE
8
Savings
Plan
Trust.
9
Sec.
88.
APPLICABILITY.
The
section
of
this
division
of
10
this
Act
amending
section
450.4
applies
to
estates
of
decedents
11
dying
on
or
after
January
1,
2016.
12
Sec.
89.
APPLICABILITY.
The
section
of
this
division
of
13
this
Act
amending
section
422.7
applies
to
tax
years
beginning
14
on
or
after
January
1,
2016.
15
DIVISION
XVII
16
STATE
CHILD
CARE
ASSISTANCE
——
INCOME
ELIGIBILITY
17
Sec.
90.
Section
237A.13,
subsection
7,
paragraph
c,
Code
18
2015,
is
amended
to
read
as
follows:
19
c.
Families
with
an
income
of
more
than
one
hundred
20
percent
but
not
more
than
one
hundred
forty-five
sixty
percent
21
of
the
federal
poverty
level
whose
members,
for
at
least
22
twenty-eight
hours
per
week
in
the
aggregate,
are
employed
23
or
are
participating
at
a
satisfactory
level
in
an
approved
24
training
program
or
educational
program.
25
Sec.
91.
DIRECTIVE
TO
DEPARTMENT
OF
HUMAN
SERVICES
ON
26
CHILD
CARE
ASSISTANCE.
The
department
of
human
services
shall
27
amend
its
administrative
rules
relating
to
income
eligibility
28
for
state
child
care
assistance,
according
to
family
size
for
29
children
needing
basic
care,
to
families
whose
nonexempt
gross
30
monthly
income
does
not
exceed
160
percent
of
the
federal
31
poverty
level.
32
DIVISION
XVIII
33
COUNTY
MENTAL
HEALTH
AND
DISABILITIES
SERVICES
FUNDING
——
34
EQUALIZATION
AND
MEDICAID
OFFSET
35
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505
Sec.
92.
Section
331.424A,
subsection
8,
unnumbered
1
paragraph
1,
Code
2015,
is
amended
to
read
as
follows:
2
Notwithstanding
subsection
6
,
for
the
fiscal
years
beginning
3
July
1,
2013,
July
1,
2014,
and
July
1,
2015,
and
July
1,
2016,
4
county
revenues
from
taxes
levied
by
the
county
and
credited
5
to
the
county
services
fund
shall
not
exceed
the
lower
of
the
6
following
amounts:
7
Sec.
93.
Section
426B.3,
subsection
1,
Code
2015,
is
amended
8
to
read
as
follows:
9
1.
For
the
fiscal
years
beginning
July
1,
2013,
July
10
1,
2014,
and
July
1,
2015,
and
July
1,
2016,
the
state
and
11
county
funding
for
the
mental
health
and
disability
services
12
administered
or
paid
for
by
counties
shall
be
provided
based
on
13
a
statewide
per
capita
expenditure
target
amount
computed
in
14
accordance
with
this
section
and
section
331.424A
.
15
Sec.
94.
Section
426B.3,
subsection
4,
paragraph
a,
Code
16
2015,
is
amended
to
read
as
follows:
17
a.
For
the
fiscal
years
beginning
July
1,
2013,
July
1,
18
2014,
and
July
1,
2015,
and
July
1,
2016,
a
county
with
a
county
19
population
expenditure
target
amount
that
exceeds
the
amount
20
of
the
county’s
base
year
expenditures
for
mental
health
and
21
disabilities
services
shall
receive
an
equalization
payment
for
22
the
difference.
23
Sec.
95.
Section
426B.3,
subsection
5,
Code
2015,
is
amended
24
by
striking
the
subsection.
25
DIVISION
XIX
26
MEDICAID
OFFSET
PAYMENTS
——
PROPERTY
TAX
RELIEF
FUND
27
APPROPRIATIONS
28
Sec.
96.
MEDICAID
OFFSET
PAYMENTS
——
PROPERTY
TAX
RELIEF
29
FUND
APPROPRIATION.
30
1.
Of
the
moneys
credited
to
the
property
tax
relief
fund
31
pursuant
to
section
426B.3,
subsection
5,
paragraph
“e”,
32
subparagraph
(1),
Code
2015,
in
the
fiscal
year
beginning
July
33
1,
2014,
and
ending
June
30,
2015,
there
is
appropriated
to
the
34
department
of
human
services
for
the
fiscal
year
beginning
July
35
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207
S.F.
505
1,
2015,
and
ending
June
30,
2016,
the
following
amounts,
to
be
1
used
for
the
purposes
designated,
notwithstanding
any
contrary
2
provision
of
chapter
426B:
3
a.
For
reductions
in
the
waiting
lists
of
all
medical
4
assistance
home
and
community-based
services
waivers:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,092,000
6
b.
For
allocation
to
the
department
on
aging
for
a
grant
7
to
a
nationally
affiliated
organization
providing
support
and
8
education
to
people
living
with
Alzheimer’s
disease
and
other
9
related
dementias
to
be
used
for
a
statewide
public
awareness
10
campaign
regarding
the
signs
of
Alzheimer’s
disease
and
other
11
related
dementias
and
the
resources
available
to
such
people:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
13
c.
For
development
of
an
application
for
a
planning
14
grant
through
the
substance
abuse
and
mental
health
services
15
administration
of
the
United
States
department
of
health
and
16
human
services
to
participate
in
a
two-year
pilot
project
for
17
certified
community
behavioral
health
clinics
under
the
federal
18
Protecting
Access
to
Medicare
Act
of
2014,
Pub.
L.
No.
113-93:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
240,000
20
The
department
may
use
the
funds
allocated
pursuant
to
this
21
paragraph
to
contract
for
necessary
support
to
develop
and
22
submit
the
application
for
the
planning
grant.
The
department
23
shall
submit
the
application
for
the
planning
grant
to
the
24
centers
for
Medicare
and
Medicaid
services
of
the
United
States
25
department
of
health
and
human
services
upon
completion
of
the
26
application.
27
2.
Of
the
moneys
credited
to
the
property
tax
relief
28
fund
pursuant
to
section
426B.3,
subsection
5,
paragraph
e,
29
subparagraph
(1),
Code
2015,
in
the
fiscal
year
beginning
July
30
1,
2014,
and
ending
June
30,
2015,
there
is
appropriated
to
31
the
department
of
human
services
for
the
fiscal
year
beginning
32
July
1,
2015,
and
ending
June
30,
2016,
the
following
amount,
33
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
34
designated:
35
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a.
For
distribution
to
a
mental
health
and
disability
1
services
region
where
25
percent
of
a
region’s
projected
2
expenditures
exceeds
the
region’s
projected
fund
balance:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,554,651
4
b.
For
purposes
of
this
section:
5
(1)
“Available
funds”
means
a
county
mental
health
and
6
services
fund
balance
on
June
30,
2015,
plus
the
maximum
amount
7
a
county
was
allowed
to
levy
for
the
fiscal
year
beginning
July
8
1,
2015.
9
(2)
“Projected
expenditures”
means
the
actual
expenditures
10
of
a
mental
health
and
disability
services
region
as
of
June
11
30,
2015,
multiplied
by
an
annual
inflation
rate
equal
to
12
2
percent
plus
the
projected
costs
for
core
services
and
13
additional
core
services
administered
by
the
region
as
provided
14
in
a
region’s
regional
service
system
management
plan
approved
15
pursuant
to
section
331.393
for
the
fiscal
year
beginning
July
16
1,
2015.
17
(3)
“Projected
fund
balance”
means
the
difference
between
a
18
mental
health
and
disability
services
region’s
available
funds
19
and
projected
expenditures.
20
c.
If
sufficient
funds
are
not
available
to
implement
this
21
subsection,
the
department
of
human
services
shall
distribute
22
funds
to
a
region
in
proportion
to
the
availability
of
funds.
23
DIVISION
XX
24
PROPERTY
TAX
RELIEF
FUND
——
BLOCK
GRANT
MONEYS
——
MENTAL
HEALTH
25
INSTITUTES
26
Sec.
97.
MENTAL
HEALTH
INSTITUTES.
The
moneys
transferred
27
to
the
property
tax
relief
fund
for
the
fiscal
year
beginning
28
July
1,
2015,
from
the
federal
social
services
block
grant
29
pursuant
to
2015
Iowa
Acts,
House
File
630,
if
enacted,
and
30
from
the
federal
temporary
assistance
for
needy
families
block
31
grant,
totaling
at
least
$11,774,275,
are
appropriated
to
the
32
department
of
human
services
for
the
fiscal
year
beginning
July
33
1,
2015,
and
ending
June
30,
2016,
to
be
used
for
the
purposes
34
designated:
35
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1.
For
the
state
mental
health
institute
at
Clarinda
for
1
salaries,
support,
maintenance,
and
miscellaneous
purposes:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,836,507
3
2.
For
the
state
mental
health
institute
at
Mount
Pleasant
4
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
5
and
for
not
more
than
the
following
full-time
equivalent
6
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,937,768
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.68
9
DIVISION
XXI
10
STUDY
——
CHILD
WELFARE
ADVISORY
COMMITTEE
11
Sec.
98.
STUDY
——
CHILD
WELFARE
ADVISORY
COMMITTEE.
The
12
child
welfare
advisory
committee
of
the
council
on
human
13
services
established
pursuant
to
section
217.3A
shall
study
14
procedures
in
the
department
of
human
services
for
receiving
15
complaints
from
families
involved
in
guardianship,
placement,
16
and
custody
proceedings;
the
specificity
and
clarity
of
court
17
orders
issued
in
foster
care
placements
pursuant
to
the
State
18
of
Iowa
Primary
Review
of
Tit.
IV-E
Foster
Care
Eligibility
19
Report
of
Findings
for
October
1,
2012,
through
March
31,
2013;
20
caseload
trends
of
social
workers,
including
an
analysis
of
how
21
Iowa
compares
nationally
and
with
best
practices
as
defined
22
by
national
associations;
and
immunity
provisions
for
social
23
workers
employed
by
the
department
of
human
services
and
basic
24
qualifications
of
social
workers
employed
by
the
department
25
of
human
services.
The
committee
shall
submit
a
report
with
26
findings
and
recommendations
to
the
governor
and
general
27
assembly
on
or
before
December
15,
2015.
28
DIVISION
XXII
29
COVERAGE
OF
SERVICES
PROVIDED
BY
A
PHYSICAL
THERAPIST,
30
OCCUPATIONAL
THERAPIST,
OR
SPEECH
PATHOLOGIST
31
Sec.
99.
NEW
SECTION
.
514C.30
Services
provided
by
32
a
physical
therapist,
occupational
therapist,
or
speech
33
pathologist.
34
1.
Notwithstanding
the
uniformity
of
treatment
requirements
35
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of
section
514C.6,
a
policy,
contract,
or
plan
providing
1
for
third-party
payment
or
prepayment
of
health
or
medical
2
expenses
shall
not
impose
a
copayment
or
coinsurance
amount
3
on
an
insured
for
services
provided
by
a
physical
therapist
4
licensed
pursuant
to
chapter
148A,
by
an
occupational
therapist
5
licensed
pursuant
to
chapter
148B,
or
by
a
speech
pathologist
6
licensed
pursuant
to
154F
that
is
greater
than
the
copayment
or
7
coinsurance
amount
imposed
on
the
insured
for
services
provided
8
by
a
person
engaged
in
the
practice
of
medicine
and
surgery
9
or
osteopathic
medicine
and
surgery
under
chapter
148
for
the
10
same
or
a
similar
diagnosed
condition
even
if
a
different
11
nomenclature
is
used
to
describe
the
condition
for
which
the
12
services
are
provided.
13
2.
This
section
applies
to
the
following
classes
of
14
third-party
payment
provider
policies,
contracts,
or
plans
15
delivered,
issued
for
delivery,
continued,
or
renewed
in
this
16
state
on
or
after
July
1,
2015:
17
a.
Individual
or
group
accident
and
sickness
insurance
18
providing
coverage
on
an
expense-incurred
basis.
19
b.
An
individual
or
group
hospital
or
medical
service
20
contract
issued
pursuant
to
chapter
509,
514,
or
514A.
21
c.
An
individual
or
group
health
maintenance
organization
22
contract
regulated
under
chapter
514B.
23
d.
A
plan
established
pursuant
to
chapter
509A
for
public
24
employees.
25
e.
An
organized
delivery
system
licensed
by
the
director
of
26
public
health.
27
3.
This
section
shall
not
apply
to
accident-only,
28
specified
disease,
short-term
hospital
or
medical,
hospital
29
confinement
indemnity,
credit,
dental,
vision,
Medicare
30
supplement,
long-term
care,
basic
hospital
and
medical-surgical
31
expense
coverage
as
defined
by
the
commissioner,
disability
32
income
insurance
coverage,
coverage
issued
as
a
supplement
33
to
liability
insurance,
workers’
compensation
or
similar
34
insurance,
or
automobile
medical
payment
insurance.
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DIVISION
XXIII
1
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
WORKGROUP
2
Sec.
100.
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
3
WORKGROUP.
The
department
of
human
services,
in
cooperation
4
with
the
departments
of
education
and
public
health,
shall
5
facilitate
a
workgroup
of
stakeholders
to
study
and
make
6
recommendations
relating
to
children’s
mental
health
and
7
well-being
in
this
state.
The
issues
that
may
be
considered
8
by
the
workgroup
include
developing
a
strategic
plan
for
9
data
systems
to
provide
for
a
comprehensive
analysis
of
10
the
mental
health
and
well-being
of
children
in
this
state;
11
creating
a
comprehensive
system
of
care
for
children
that
12
incorporates
a
coordinated
response
to
mental
health
issues
13
across
many
disciplines
including
education,
public
health,
14
mental
health,
child
welfare,
and
child
welfare
systems
15
and
services
and
that
specifically
addresses
the
effects
of
16
adverse
childhood
experiences
and
extreme
child
poverty
and
17
homelessness;
and
building
interdepartmental
awareness
of
18
issues
relating
to
child
mental
health
and
well-being
and
19
creating
interdepartmental
strategies
for
helping
improve
20
child
mental
health
and
well-being
and
understanding
impacts
21
on
education
and
employment
outcomes;
examining
child
care
22
quality
and
affordability;
and
determining
how
government
can
23
create
community
partnerships
to
help
address
issues
of
child
24
mental
health
and
well-being.
In
carrying
out
the
charge
25
of
the
workgroup,
the
workgroup
shall
review
a
2014
report
26
by
the
children’s
defense
fund
on
the
state
of
America’s
27
children
containing
the
most
recent
and
reliable
national
and
28
state-by-state
data
on
many
complex
issues
affecting
children’s
29
health
and
well-being,
including
data
on
more
than
7,000
30
homeless
public
school
students
in
Iowa.
The
workgroup
shall
31
develop
and
recommend
proactive
strategies
across
state
systems
32
to
address
these
most
complex
needs
impacting
children’s
mental
33
health
and
well-being
which
will
also
aid
different
populations
34
of
children
with
fewer
challenges.
The
workgroup
shall
submit
35
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a
report
on
the
study
and
make
recommendations
to
the
governor
1
and
the
general
assembly
on
or
before
December
15,
2015.
2
DIVISION
XXIV
3
PREVENTION
OF
DISABILITIES
POLICY
COUNCIL
4
Sec.
101.
NEW
SECTION
.
225B.101
Findings
and
intent.
5
1.
The
general
assembly
finds
that:
6
a.
Between
ten
and
twenty
percent
of
Iowans
have
a
7
disability
that
affects
their
ability
to
learn,
work,
8
communicate,
perform
activities
of
daily
living,
and
9
participate
in
everyday
community
life.
These
disabilities
10
are
the
result
of
genetics,
environmental
factors,
injury,
or
11
illness;
may
occur
at
any
point
in
life;
may
be
mild,
severe,
12
or
intermittent;
and
are
often
very
costly
for
the
individuals
13
affected,
their
families,
and
government
both
in
terms
of
14
quality
of
life
and
financial
expenditures.
15
b.
Most
disabilities
are
due
to
conditions
that
can
be
16
prevented,
can
be
minimized
if
recognized
and
treated
early,
or
17
can
be
reduced
through
appropriate
accommodation.
18
c.
A
need
exists
to
optimize
the
use
of
cost-effective
19
prevention
of
disability
strategies
in
state
policies
and
20
programs
in
order
to
reduce
the
cost
of
disabilities
to
Iowa’s
21
citizens
and
government.
22
2.
It
is
the
intent
of
the
general
assembly
to
establish
23
a
structure
and
process
to
identify
opportunities
to
enhance
24
prevention
of
disability
efforts
in
Iowa,
design
cross-agency
25
strategies
to
address
the
prevention
of
disabilities,
integrate
26
and
coordinate
proven
prevention
of
disability
strategies
27
within
state
programs,
and
inform
the
general
assembly
about
28
priority
prevention
of
disability
policies
and
programs.
29
Sec.
102.
NEW
SECTION
.
225B.102
Definitions.
30
As
used
in
this
chapter,
unless
the
context
otherwise
31
requires:
32
1.
“Council”
means
the
prevention
of
disabilities
policy
33
council.
34
2.
“Disability”
means
an
individual
who
meets
the
definition
35
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in
42
U.S.C.
§12102.
1
3.
“Prevention”
activities
include
policies,
programs,
and
2
practices
that
do
any
of
the
following:
3
a.
Prevent
a
disability
or
a
condition
that
leads
to
a
4
disability
from
occurring.
5
b.
Identify
a
disability
or
a
condition
that
leads
to
a
6
disability
early
on
so
that
intervention
can
eliminate
the
risk
7
of
a
disability
or
minimize
the
disability’s
effect.
8
c.
Reduce
the
effects
of
a
disability
on
an
individual’s
9
health
and
independence.
10
Sec.
103.
NEW
SECTION
.
225B.103
Prevention
of
disabilities
11
policy
council
established
——
membership
——
duties.
12
1.
A
prevention
of
disabilities
policy
council
is
13
established
to
focus
state
prevention
of
disability
efforts
14
and
provide
oversight
in
the
development
and
operation
of
a
15
coordinated
prevention
of
disabilities
system.
The
council
16
shall
consist
of
the
following
members:
17
a.
Three
providers
of
disability
prevention
services
18
appointed
by
the
governor
and
confirmed
by
the
senate.
The
19
governor
may
consider
recommendations
from
the
prevention
of
20
disabilities
policy
council
in
making
appointments.
21
b.
Three
persons
with
expertise
in
priority
prevention
areas
22
appointed
by
the
governor
and
confirmed
by
the
senate.
The
23
governor
may
consider
recommendations
from
the
prevention
of
24
disabilities
policy
council
in
making
appointments.
25
c.
Three
persons
with
disabilities
or
family
members
26
of
a
person
with
disabilities
appointed
by
the
governor,
27
and
confirmed
by
the
senate.
The
governor
may
consider
28
recommendations
from
the
prevention
of
disabilities
policy
29
council
in
making
appointments.
30
d.
One
representative
each
from
the
department
on
aging,
31
department
of
education,
department
of
human
services,
and
32
department
of
public
health
appointed
by
the
directors
of
the
33
respective
agencies.
34
e.
Two
members
of
the
senate
appointed
by
the
senate
35
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majority
leader
and
minority
leader
and
two
members
of
the
1
house
of
representatives
appointed
by
the
speaker
of
the
house
2
and
the
house
minority
leader.
3
2.
Members
of
the
council
appointed
by
the
governor
shall
4
serve
three-year
staggered
terms
for
terms
beginning
and
ending
5
as
provided
in
section
69.19.
Members
representing
the
state
6
departments
shall
serve
one-year
terms
and
shall
serve
as
ex
7
officio,
nonvoting
members.
Members
of
the
general
assembly
8
appointed
to
the
council
shall
serve
two-year
terms
as
provided
9
in
section
69.16B
and
shall
serve
as
ex
officio,
nonvoting
10
members.
Vacancies
on
the
council
shall
be
filled
in
the
same
11
manner
as
original
appointments.
Members
are
entitled
to
12
reimbursement
of
actual
expenses
incurred
in
performance
of
13
their
official
duties.
14
3.
The
council
shall
do
all
of
the
following:
15
a.
Review
the
prevention
of
disabilities
activities
of
16
public
and
private
entities
and
provide
recommendations
to
17
optimize
the
planning,
implementation,
and
evaluation
of
18
prevention
of
disabilities
efforts.
19
b.
Promote
cooperative
and
complementary
planning
among
the
20
public,
nonpublic,
and
volunteer
sectors
involved
in
prevention
21
of
disabilities
activities.
22
c.
Facilitate
coordination
of
prevention
of
disabilities
23
activities
among
state
departments
to
develop
an
integrated
24
system
of
care.
25
d.
Provide
support
and
technical
assistance
to
public
26
or
nonpublic
entities
to
identify,
seek,
implement,
and
27
evaluate
state,
federal,
and
private
grants
for
prevention
of
28
disabilities
activities.
29
e.
Encourage
research
into
the
causes
and
prevention
of
30
disabilities,
including
methods
to
evaluate
the
effectiveness
31
of
prevention
efforts.
32
f.
Promote
professional
and
provider
training
in
33
evidence-based
prevention
of
disabilities
measures
and
assure
34
adequate
dissemination
of
such
to
appropriate
entities.
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g.
Submit
to
the
governor
and
general
assembly
annually
by
1
November
1
a
report
that
includes
all
of
the
following:
2
(1)
A
summary
of
all
disabilities
prevention
activities
3
conducted
since
the
preceding
annual
report.
4
(2)
Recommendations
for
policy
and
priorities
for
the
5
prevention
of
disabilities.
6
4.
The
council
shall
meet
at
least
six
times
during
the
7
year.
A
majority
of
the
members
of
the
council
constitutes
a
8
quorum
and
a
quorum
is
necessary
to
act
on
matters
within
the
9
purview
of
the
council.
10
Sec.
104.
NEW
SECTION
.
225B.104
Rules.
11
The
department
of
human
services
shall
adopt
and
update
12
administrative
rules
as
necessary
to
implement
the
provisions
13
of
this
chapter.
All
rules
adopted
by
the
department
of
human
14
services
pursuant
to
this
section
are
subject
to
approval
by
15
the
council.
16
Sec.
105.
NEW
SECTION
.
225B.105
Coordination
with
state
17
agencies.
18
1.
The
directors
or
deputy
directors
of
the
state
19
departments
on
aging,
and
of
education,
human
services,
and
20
public
health
shall
meet
at
least
annually
with
the
council
and
21
shall
do
all
of
the
following:
22
a.
Provide
an
update
to
the
council
regarding
the
status
23
of
prevention
of
disabilities
policies
and
programs
with
24
each
respective
department
and
provide
recommendations
about
25
priorities
the
council
should
consider
in
the
next
year.
26
b.
Receive
new
policy
and
program
recommendations
from
the
27
council
regarding
the
prevention
of
disabilities.
28
2.
The
council
may
seek
and
receive
data
from
state
29
departments
that
will
aid
in
developing,
implementing,
and
30
evaluating
prevention
of
disabilities
efforts
and
systems
in
31
Iowa.
32
Sec.
106.
NEW
SECTION
.
225B.106
Coordination
with
33
disability
groups.
34
The
chairpersons
and
designated
staff
of
chairpersons
of
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public
and
private
state
disabilities
prevention
groups
shall
1
meet
with
the
council
at
least
annually
to
do
all
of
the
2
following:
3
1.
Identify
ways
to
incorporate
prevention
of
disabilities
4
activities
within
Iowa’s
disabilities
services
system.
5
2.
Assist
in
developing
a
policy
agenda
for
prevention
of
6
disabilities
services
system
improvements.
7
Sec.
107.
NEW
SECTION
.
225B.107
Evaluation.
8
The
state’s
prevention
of
disability
effort
and
the
council
9
are
subject
to
review
and
evaluation
by
the
governor
and
the
10
general
assembly.
11
DIVISION
XXV
12
FACILITY
FOR
PERSONS
WITH
AGGRESSIVE
OR
PSYCHIATRIC
BEHAVIORS
13
——
INTERIM
COMMITTEE
14
Sec.
108.
FACILITY
FOR
PERSONS
WITH
AGGRESSIVE
OR
15
PSYCHIATRIC
BEHAVIORS
——
INTERIM
COMMITTEE
——
REPORT.
16
1.
The
legislative
council
is
requested
to
establish
an
17
interim
study
committee
relating
to
the
establishment
of
one
18
or
more
facilities
to
provide
care
and
treatment
for
persons
19
who
are
sexually
aggressive,
combative,
or
who
have
unmet
20
geropsychiatric
needs.
21
2.
The
study
committee
shall
be
composed
of
ten
members
22
of
the
general
assembly.
Five
members
shall
be
members
of
23
the
senate,
three
of
whom
shall
be
appointed
by
the
majority
24
leader
of
the
senate,
and
two
of
whom
shall
be
appointed
by
25
the
minority
leader
of
the
senate.
Five
members
shall
be
26
members
of
the
house
of
representatives,
three
of
whom
shall
27
be
appointed
by
the
speaker
of
the
house
of
representatives,
28
and
two
of
whom
shall
be
appointed
by
the
minority
leader
of
29
the
house
of
representatives.
30
3.
The
study
committee
shall
receive
testimony
from
31
stakeholders
with
an
interest
or
expertise
relating
to
the
32
care
and
treatment
of
persons
who
are
sexually
aggressive,
33
combative,
or
who
have
unmet
geropsychiatric
needs
including
34
health
care
providers,
long-term
care
facilities,
hospitals,
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health
systems,
and
other
entities;
consumers
and
families
of
1
consumers;
individuals
involved
in
the
delivery
and
financing
2
of
related
services
and
supports;
and
representatives
of
3
agencies
responsible
for
oversight,
funding,
and
regulation
of
4
such
services
and
supports.
5
4.
The
study
committee
shall
specifically
address
and
6
make
recommendations
relating
to
the
characteristics
of
the
7
residents
for
such
a
facility
and
the
size
of
the
resident
8
populations
to
be
served;
options
for
creating
a
new
facility
9
or
expanding
an
existing
facility;
workforce
recruitment,
10
training,
and
compensation
issues;
requirements
that
the
11
facility
or
facilities
must
meet
in
order
to
qualify
for
12
Medicaid
reimbursement;
and
any
other
information
deemed
13
appropriate
by
the
committee.
14
5.
The
study
committee
shall
meet
during
the
2015
15
legislative
interim
and
shall
submit
a
report
and
16
recommendations
to
the
general
assembly
by
January
1,
2016.
17
DIVISION
XXVI
18
ANATOMICAL
GIFT
PUBLIC
AWARENESS
AND
TRANSPLANTATION
FUND
19
Sec.
109.
Section
142C.15,
subsection
4,
paragraph
c,
20
unnumbered
paragraph
1,
Code
2015,
is
amended
to
read
as
21
follows:
22
Not
more
than
fifty
percent
of
the
Any
unobligated
moneys
23
in
the
fund
annually
may
be
expended
in
the
form
of
grants
to
24
transplant
recipients,
transplant
candidates,
living
organ
25
donors,
or
to
legal
representatives
on
behalf
of
transplant
26
recipients,
transplant
candidates,
or
living
organ
donors.
27
Transplant
recipients,
transplant
candidates,
living
organ
28
donors,
or
the
legal
representatives
of
transplant
recipients,
29
transplant
candidates,
or
living
organ
donors
shall
submit
30
grant
applications
with
supporting
documentation
provided
31
by
a
hospital
that
performs
transplants,
verifying
that
the
32
person
by
or
for
whom
the
application
is
submitted
requires
a
33
transplant
or
is
a
living
organ
donor
and
specifying
the
amount
34
of
the
costs
associated
with
the
following,
if
funds
are
not
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available
from
any
other
third-party
payor:
1
DIVISION
XXVII
2
HOSPITAL
AND
LONG-TERM
CARE
PHARMACY
PRACTICE
——
3
PNEUMOCOCCAL
VACCINES
——
BOARD
OF
PHARMACY
RULES
4
Sec.
110.
HOSPITAL
AND
LONG-TERM
CARE
PHARMACY
PRACTICE
——
5
PNEUMOCOCCAL
VACCINES
——
BOARD
OF
PHARMACY
RULES.
The
board
6
of
pharmacy
shall
adopt
rules
pursuant
to
chapter
17A
relating
7
to
hospital
and
long-term
care
pharmacy
practices
that
allow,
8
as
authorized
by
federal
law,
in
addition
to
influenza
and
9
pneumococcal
polysaccharide
vaccines,
that
a
written
or
verbal
10
patient-specific
medication
administration
order
shall
not
11
be
required
prior
to
administration
to
an
adult
patient
of
12
pneumococcal
conjugate
vaccine
pursuant
to
physician-approved
13
hospital
or
facility
policy
and
after
the
patient
has
been
14
assessed
for
contraindications.
15
DIVISION
XXVIII
16
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
——
CONTINUED
ENROLLMENT
17
Sec.
111.
Section
514I.8,
subsection
3,
Code
2015,
is
18
amended
to
read
as
follows:
19
3.
In
accordance
with
the
rules
adopted
by
the
board,
a
20
child
may
be
determined
to
be
presumptively
eligible
for
the
21
program
pending
a
final
eligibility
determination.
Following
22
final
determination
of
eligibility,
a
child
shall
be
eligible
23
for
a
twelve-month
period.
At
the
end
of
the
twelve-month
24
period,
a
review
of
the
circumstances
of
the
child’s
family
25
shall
be
conducted
to
establish
eligibility
and
cost
sharing
26
for
the
subsequent
twelve-month
period.
Pending
such
review
27
of
the
circumstances
of
the
child’s
family,
the
child
shall
28
continue
to
be
eligible
for
and
remain
enrolled
in
the
same
29
plan
if
the
family
complies
with
requirements
to
provide
30
information
and
verification
of
income,
otherwise
cooperates
31
in
the
annual
review
process,
and
submits
the
completed
32
review
form
and
any
information
necessary
to
establish
33
continued
eligibility
in
a
timely
manner
in
accordance
with
34
administrative
rules.
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DIVISION
XXIX
1
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS
2
Sec.
112.
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS.
As
a
3
condition
of
the
appropriations
in
this
2015
Act,
the
moneys
4
appropriated
and
any
other
moneys
available
shall
not
be
used
5
for
payment
of
a
personnel
settlement
agreement
that
contains
a
6
confidentiality
provision
intended
to
prevent
public
disclosure
7
of
the
agreement
or
any
terms
of
the
agreement.
8
DIVISION
XXX
9
MEDICAID
REIMBURSEMENT
——
PSYCHIATRISTS
10
Sec.
113.
Section
249A.15,
Code
2015,
is
amended
to
read
as
11
follows:
12
249A.15
Licensed
psychologists
eligible
for
payment.
13
The
department
shall
adopt
rules
pursuant
to
chapter
17A
14
entitling
psychologists
who
are
licensed
pursuant
to
chapter
15
154B
and
psychologists
who
are
licensed
in
the
state
where
16
the
services
are
provided
and
have
a
doctorate
degree
in
17
psychology,
have
had
at
least
two
years
of
clinical
experience
18
in
a
recognized
health
setting,
or
have
met
the
standards
of
a
19
national
register
of
health
service
providers
in
psychology,
20
to
payment
for
services
provided
to
recipients
of
medical
21
assistance,
subject
to
limitations
and
exclusions
the
22
department
finds
necessary
on
the
basis
of
federal
laws
and
23
regulations
and
of
funds
available
for
the
medical
assistance
24
program.
25
DIVISION
XXXI
26
DEPARTMENT
ON
AGING
——
FY
2016-2017
27
Sec.
114.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
28
the
general
fund
of
the
state
to
the
department
on
aging
for
29
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
30
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
31
to
be
used
for
the
purposes
designated:
32
For
aging
programs
for
the
department
on
aging
and
area
33
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
34
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
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aging
and
disabilities
resource
center,
and
other
services
1
which
may
include
but
are
not
limited
to
adult
day
services,
2
respite
care,
chore
services,
information
and
assistance,
3
and
material
aid,
for
information
and
options
counseling
for
4
persons
with
disabilities
who
are
18
years
of
age
or
older,
5
and
for
salaries,
support,
administration,
maintenance,
and
6
miscellaneous
purposes,
and
for
not
more
than
the
following
7
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,718,033
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
31.00
10
1.
Funds
appropriated
in
this
section
may
be
used
to
11
supplement
federal
funds
under
federal
regulations.
To
12
receive
funds
appropriated
in
this
section,
a
local
area
13
agency
on
aging
shall
match
the
funds
with
moneys
from
other
14
sources
according
to
rules
adopted
by
the
department.
Funds
15
appropriated
in
this
section
may
be
used
for
elderly
services
16
not
specifically
enumerated
in
this
section
only
if
approved
17
by
an
area
agency
on
aging
for
provision
of
the
service
within
18
the
area.
19
2.
Of
the
funds
appropriated
in
this
section,
$139,973
is
20
transferred
to
the
economic
development
authority
for
the
Iowa
21
commission
on
volunteer
services
to
be
used
for
the
retired
and
22
senior
volunteer
program.
23
3.
a.
The
department
on
aging
shall
establish
and
enforce
24
procedures
relating
to
expenditure
of
state
and
federal
funds
25
by
area
agencies
on
aging
that
require
compliance
with
both
26
state
and
federal
laws,
rules,
and
regulations,
including
but
27
not
limited
to
all
of
the
following:
28
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
29
or
services
received
or
performed
prior
to
the
end
of
the
30
fiscal
period
designated
for
use
of
the
funds.
31
(2)
Prohibiting
prepayment
for
goods
or
services
not
32
received
or
performed
prior
to
the
end
of
the
fiscal
period
33
designated
for
use
of
the
funds.
34
(3)
Prohibiting
the
prepayment
for
goods
or
services
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not
defined
specifically
by
good
or
service,
time
period,
or
1
recipient.
2
(4)
Prohibiting
the
establishment
of
accounts
from
which
3
future
goods
or
services
which
are
not
defined
specifically
by
4
good
or
service,
time
period,
or
recipient,
may
be
purchased.
5
b.
The
procedures
shall
provide
that
if
any
funds
are
6
expended
in
a
manner
that
is
not
in
compliance
with
the
7
procedures
and
applicable
federal
and
state
laws,
rules,
and
8
regulations,
and
are
subsequently
subject
to
repayment,
the
9
area
agency
on
aging
expending
such
funds
in
contravention
of
10
such
procedures,
laws,
rules
and
regulations,
not
the
state,
11
shall
be
liable
for
such
repayment.
12
4.
Of
the
funds
appropriated
in
this
section,
at
least
13
$125,000
shall
be
used
to
fund
the
unmet
needs
identified
14
through
Iowa’s
aging
and
disability
resource
center
network.
15
5.
Of
the
funds
appropriated
in
this
section,
at
least
16
$300,000
shall
be
used
to
fund
home
and
community-based
17
services
through
the
area
agencies
on
aging
that
enable
older
18
individuals
to
avoid
more
costly
utilization
of
residential
or
19
institutional
services
and
remain
in
their
own
homes.
20
6.
Of
the
funds
appropriated
in
this
section,
$425,000
21
shall
be
used
for
the
purposes
of
chapter
231E
and
section
22
231.56A,
of
which
$162,500
shall
be
used
for
the
office
of
23
substitute
decision
maker
pursuant
to
chapter
231E,
and
the
24
remainder
shall
be
distributed
equally
to
the
area
agencies
on
25
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
26
exploitation
program
pursuant
to
section
231.56A,
in
accordance
27
with
the
requirements
of
the
federal
Older
Americans
Act
of
28
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
29
DIVISION
XXXII
30
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2016-2017
31
Sec.
115.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
32
1.
There
is
appropriated
from
the
general
fund
of
the
state
33
to
the
office
of
long-term
care
ombudsman
for
the
fiscal
year
34
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
35
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505
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purposes
designated:
2
For
salaries,
support,
administration,
maintenance,
and
3
miscellaneous
purposes,
and
for
not
more
than
the
following
4
full-time
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
753,392
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
21.00
7
2.
Of
the
funds
appropriated
in
this
section,
$225,000
shall
8
be
used
to
continue
to
provide
for
additional
local
long-term
9
care
ombudsmen.
10
DIVISION
XXXIII
11
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2016-2017
12
Sec.
116.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
13
appropriated
from
the
general
fund
of
the
state
to
the
14
department
of
public
health
for
the
fiscal
year
beginning
July
15
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
16
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
17
designated:
18
1.
ADDICTIVE
DISORDERS
19
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
20
and
other
drugs,
and
treating
individuals
affected
by
addictive
21
behaviors,
including
gambling,
and
for
not
more
than
the
22
following
full-time
equivalent
positions:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,631,845
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
25
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
26
$2,624,181
shall
be
used
for
the
tobacco
use
prevention
27
and
control
initiative,
including
efforts
at
the
state
and
28
local
levels,
as
provided
in
chapter
142A
.
The
commission
29
on
tobacco
use
prevention
and
control
established
pursuant
30
to
section
142A.3
shall
advise
the
director
of
public
health
31
in
prioritizing
funding
needs
and
the
allocation
of
moneys
32
appropriated
for
the
programs
and
initiatives.
Activities
33
of
the
programs
and
initiatives
shall
be
in
alignment
with
34
the
United
States
centers
for
disease
control
and
prevention
35
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best
practices
for
comprehensive
tobacco
control
programs
that
1
include
the
goals
of
preventing
youth
initiation
of
tobacco
2
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
of
3
tobacco
cessation.
4
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
5
$226,534
is
transferred
to
the
alcoholic
beverages
division
of
6
the
department
of
commerce
for
enforcement
of
tobacco
laws,
7
regulations,
and
ordinances
and
to
engage
in
tobacco
control
8
activities
approved
by
the
division
of
tobacco
use
prevention
9
and
control
of
the
department
of
public
health
as
specified
10
in
the
memorandum
of
understanding
entered
into
between
the
11
divisions.
12
(b)
For
the
fiscal
year
beginning
July
1,
2016,
and
ending
13
June
30,
2017,
the
terms
of
the
memorandum
of
understanding,
14
entered
into
between
the
division
of
tobacco
use
prevention
15
and
control
of
the
department
of
public
health
and
the
16
alcoholic
beverages
division
of
the
department
of
commerce,
17
governing
compliance
checks
conducted
to
ensure
licensed
retail
18
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
19
ordinances
relating
to
persons
under
eighteen
years
of
age,
20
shall
continue
to
restrict
the
number
of
such
checks
to
one
21
check
per
retail
outlet,
and
one
additional
check
for
any
22
retail
outlet
found
to
be
in
violation
during
the
first
check.
23
b.
Of
the
funds
appropriated
in
this
subsection,
24
$11,007,664
shall
be
used
for
problem
gambling
and
25
substance-related
disorder
prevention,
treatment,
and
recovery
26
services,
including
a
24-hour
helpline,
public
information
27
resources,
professional
training,
and
program
evaluation.
28
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$9,451,857
29
shall
be
used
for
substance-related
disorder
prevention
and
30
treatment.
31
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
32
$449,650
shall
be
used
for
the
public
purpose
of
a
grant
33
program
to
provide
substance-related
disorder
prevention
34
programming
for
children.
35
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(i)
Of
the
funds
allocated
in
this
subparagraph
division
1
(a),
$213,770
shall
be
used
for
grant
funding
for
organizations
2
that
provide
programming
for
children
by
utilizing
mentors.
3
Programs
approved
for
such
grants
shall
be
certified
or
must
4
be
certified
within
six
months
of
receiving
the
grant
award
5
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
6
standards
for
effective
practice
for
mentoring
programs.
7
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
8
(a),
$213,420
shall
be
used
for
grant
funding
for
organizations
9
providing
programming
that
includes
youth
development
and
10
leadership
services.
The
programs
shall
also
be
recognized
as
11
being
programs
that
are
scientifically
based
with
evidence
of
12
their
effectiveness
in
reducing
substance-related
disorders
in
13
children.
14
(iii)
The
department
of
public
health
shall
utilize
a
15
request
for
proposals
process
to
implement
the
grant
program.
16
(iv)
All
grant
recipients
shall
participate
in
a
program
17
evaluation
as
a
requirement
for
receiving
grant
funds.
18
(v)
Of
the
funds
allocated
in
this
subparagraph
division
19
(a),
up
to
$22,461
may
be
used
to
administer
substance-related
20
disorder
prevention
grants
and
for
program
evaluations.
21
(b)
Of
the
funds
allocated
in
this
subparagraph
22
(1),
$136,302
shall
be
used
for
culturally
competent
23
substance-related
disorder
treatment
pilot
projects.
24
(i)
The
department
shall
utilize
the
amount
allocated
25
in
this
subparagraph
division
(b)
for
at
least
three
pilot
26
projects
to
provide
culturally
competent
substance-related
27
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
28
project
shall
target
a
particular
ethnic
minority
population.
29
The
populations
targeted
shall
include
but
are
not
limited
to
30
African
American,
Asian,
and
Latino.
31
(ii)
The
pilot
project
requirements
shall
provide
for
32
documentation
or
other
means
to
ensure
access
to
the
cultural
33
competence
approach
used
by
a
pilot
project
so
that
such
34
approach
can
be
replicated
and
improved
upon
in
successor
35
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505
programs.
1
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
2
to
$1,555,807
may
be
used
for
problem
gambling
prevention,
3
treatment,
and
recovery
services.
4
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
5
$1,286,881
shall
be
used
for
problem
gambling
prevention
and
6
treatment.
7
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
8
$218,926
may
be
used
for
a
24-hour
helpline,
public
information
9
resources,
professional
training,
and
program
evaluation.
10
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
11
to
$50,000
may
be
used
for
the
licensing
of
problem
gambling
12
treatment
programs.
13
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
14
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
15
diagnosis
of
substance-related
disorder
and
gambling
addiction
16
shall
be
given
priority
in
treatment
services.
17
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
18
to
standardize
the
availability,
delivery,
cost
of
delivery,
19
and
accountability
of
problem
gambling
and
substance-related
20
disorder
treatment
services
statewide,
the
department
shall
21
continue
implementation
of
a
process
to
create
a
system
22
for
delivery
of
treatment
services
in
accordance
with
the
23
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
24
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
25
of
treatment
services
that
best
meets
the
needs
of
Iowans,
26
the
problem
gambling
and
substance-related
disorder
treatment
27
services
in
any
area
may
be
provided
either
by
a
single
agency
28
or
by
separate
agencies
submitting
a
joint
proposal.
29
(1)
The
system
for
delivery
of
substance-related
disorder
30
and
problem
gambling
treatment
shall
include
problem
gambling
31
prevention.
32
(2)
The
system
for
delivery
of
substance-related
disorder
33
and
problem
gambling
treatment
shall
include
substance-related
34
disorder
prevention
by
July
1,
2017.
35
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(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
1
may
use
up
to
$50,000
for
administrative
costs
to
continue
2
developing
and
implementing
the
process
in
accordance
with
this
3
paragraph
“c”.
4
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
5
by
the
appropriations
and
allocations
made
in
this
division
of
6
this
Act
for
purposes
of
substance-related
disorder
treatment
7
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
8
2016.
9
e.
The
department
of
public
health
shall
work
with
all
10
other
departments
that
fund
substance-related
disorder
11
prevention
and
treatment
services
and
all
such
departments
12
shall,
to
the
extent
necessary,
collectively
meet
the
state
13
maintenance
of
effort
requirements
for
expenditures
for
14
substance-related
disorder
services
as
required
under
the
15
federal
substance-related
disorder
prevention
and
treatment
16
block
grant.
17
2.
HEALTHY
CHILDREN
AND
FAMILIES
18
For
promoting
the
optimum
health
status
for
children,
19
adolescents
from
birth
through
21
years
of
age,
and
families,
20
and
for
not
more
than
the
following
full-time
equivalent
21
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,665,801
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
24
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
25
than
$367,421
shall
be
used
for
the
healthy
opportunities
for
26
parents
to
experience
success
(HOPES)-healthy
families
Iowa
27
(HFI)
program
established
pursuant
to
section
135.106
.
The
28
funding
shall
be
distributed
to
renew
the
grants
that
were
29
provided
to
the
grantees
that
operated
the
program
during
the
30
fiscal
year
ending
June
30,
2016.
31
b.
In
order
to
implement
the
legislative
intent
stated
in
32
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
33
program
funding
be
given
to
programs
using
evidence-based
or
34
promising
models
for
home
visitation,
it
is
the
intent
of
the
35
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505
general
assembly
to
phase
in
the
funding
priority
in
accordance
1
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
2
paragraph
0b.
3
c.
Of
the
funds
appropriated
in
this
subsection,
$2,456,444
4
shall
be
used
to
continue
to
expand
statewide
the
department’s
5
initiative
to
provide
for
adequate
developmental
surveillance
6
and
screening
during
a
child’s
first
five
years.
The
funds
7
shall
be
used
first
to
fully
fund
the
current
sites
to
ensure
8
that
the
sites
are
fully
operational,
with
the
remaining
9
funds
to
be
used
for
expansion
to
additional
sites.
The
full
10
implementation
and
expansion
shall
include
enhancing
the
scope
11
of
the
program
through
collaboration
with
the
child
health
12
specialty
clinics
to
promote
healthy
child
development
through
13
early
identification
and
response
to
both
biomedical
and
social
14
determinants
of
healthy
development;
by
monitoring
child
15
health
metrics
to
inform
practice,
document
long-term
health
16
impacts
and
savings,
and
provide
for
continuous
improvement
17
through
training,
education,
and
evaluation;
and
by
providing
18
for
practitioner
consultation
particularly
for
children
with
19
behavioral
conditions
and
needs.
The
department
of
public
20
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
21
and
the
child
health
specialty
clinics
to
integrate
the
22
activities
of
the
first
five
initiative
into
the
establishment
23
of
patient-centered
medical
homes,
community
utilities,
24
accountable
care
organizations,
and
other
integrated
care
25
models
developed
to
improve
health
quality
and
population
26
health
while
reducing
health
care
costs.
To
the
maximum
extent
27
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
28
as
matching
funds
for
medical
assistance
program
reimbursement.
29
d.
Of
the
funds
appropriated
in
this
subsection,
$37,320
30
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
31
funds
to
continue
the
donated
dental
services
program
patterned
32
after
the
projects
developed
by
the
lifeline
network
to
provide
33
dental
services
to
indigent
individuals
who
are
elderly
or
with
34
disabilities.
35
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505
e.
Of
the
funds
appropriated
in
this
subsection,
$55,998
1
shall
be
used
for
childhood
obesity
prevention.
2
f.
Of
the
funds
appropriated
in
this
subsection,
$81,384
3
shall
be
used
to
provide
audiological
services
and
hearing
4
aids
for
children.
The
department
may
enter
into
a
contract
5
to
administer
this
paragraph.
6
g.
Of
the
funds
appropriated
in
this
subsection,
$12,500
is
7
transferred
to
the
university
of
Iowa
college
of
dentistry
for
8
provision
of
primary
dental
services
to
children.
State
funds
9
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
10
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
11
department
of
public
health,
bureau
of
oral
and
health
delivery
12
systems,
to
provide
dental
care
to
underserved
populations
13
throughout
the
state.
14
h.
Of
the
funds
appropriated
in
this
subsection,
$25,000
15
shall
be
used
to
address
youth
suicide
prevention.
16
i.
Of
the
funds
appropriated
in
this
subsection,
$25,000
17
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
18
of
children
who
experience
adverse
childhood
experiences
known
19
as
ACEs.
20
3.
CHRONIC
CONDITIONS
21
For
serving
individuals
identified
as
having
chronic
22
conditions
or
special
health
care
needs,
and
for
not
more
than
23
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,552,931
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
26
a.
Of
the
funds
appropriated
in
this
subsection,
$79,966
27
shall
be
used
for
grants
to
individual
patients
who
have
an
28
inherited
metabolic
disorder
to
assist
with
the
costs
of
29
medically
necessary
foods
and
formula.
30
b.
Of
the
funds
appropriated
in
this
subsection,
$445,822
31
shall
be
used
for
the
brain
injury
services
program
pursuant
to
32
section
135.22B
,
including
for
continuation
of
the
contracts
33
for
resource
facilitator
services
in
accordance
with
section
34
135.22B,
subsection
9
,
and
to
enhance
brain
injury
training
and
35
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recruitment
of
service
providers
on
a
statewide
basis.
Of
the
1
amount
allocated
in
this
paragraph,
$47,500
shall
be
used
to
2
fund
one
full-time
equivalent
position
to
serve
as
the
state
3
brain
injury
services
program
manager.
4
c.
Of
the
funds
appropriated
in
this
subsection,
$273,991
5
shall
be
used
as
additional
funding
to
leverage
federal
funding
6
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
7
assistance
program
supplemental
drug
treatment
grants.
8
d.
Of
the
funds
appropriated
in
this
subsection,
$74,912
9
shall
be
used
for
the
public
purpose
of
continuing
to
contract
10
with
an
existing
national-affiliated
organization
to
provide
11
education,
client-centered
programs,
and
client
and
family
12
support
for
people
living
with
epilepsy
and
their
families.
13
The
amount
allocated
in
this
paragraph
in
excess
of
$50,000
14
shall
be
matched
dollar-for-dollar
by
the
organization
15
specified.
16
e.
Of
the
funds
appropriated
in
this
subsection,
$392,557
17
shall
be
used
for
child
health
specialty
clinics.
18
f.
Of
the
funds
appropriated
in
this
subsection,
$200,000
19
shall
be
used
by
the
regional
autism
assistance
program
20
established
pursuant
to
section
256.35
,
and
administered
by
21
the
child
health
specialty
clinic
located
at
the
university
of
22
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
23
interagency
collaboration
and
coordination
of
educational,
24
medical,
and
other
human
services
for
persons
with
autism,
25
their
families,
and
providers
of
services,
including
delivering
26
regionalized
services
of
care
coordination,
family
navigation,
27
and
integration
of
services
through
the
statewide
system
of
28
regional
child
health
specialty
clinics
and
fulfilling
other
29
requirements
as
specified
in
chapter
225D
.
The
university
of
30
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
31
indirect
costs
associated
with
the
regional
autism
assistance
32
program.
33
g.
Of
the
funds
appropriated
in
this
subsection,
$285,497
34
shall
be
used
for
the
comprehensive
cancer
control
program
to
35
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reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
1
detection,
effective
treatment,
and
ensuring
quality
of
life.
2
Of
the
funds
allocated
in
this
paragraph
“g”,
$75,000
shall
3
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
4
biorepository
and
registry,
basic
and
translational
melanoma
5
research,
and
clinical
trials.
6
h.
Of
the
funds
appropriated
in
this
subsection,
$63,225
7
shall
be
used
for
cervical
and
colon
cancer
screening,
and
8
$150,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
9
cancer
screening
program
to
include
provision
of
recommended
10
prevention
and
early
detection
measures
to
a
broader
range
of
11
low-income
women.
12
i.
Of
the
funds
appropriated
in
this
subsection,
$338,432
13
shall
be
used
for
the
center
for
congenital
and
inherited
14
disorders
including
to
provide
for
surveillance
of
stillbirths
15
as
defined
in
section
136A.2.
16
j.
Of
the
funds
appropriated
in
this
subsection,
$64,706
17
shall
be
used
for
the
prescription
drug
donation
repository
18
program
created
in
chapter
135M
.
19
k.
Of
the
funds
appropriated
in
this
subsection,
20
$107,632
shall
be
used
by
the
department
of
public
health
21
for
reform-related
activities,
including
but
not
limited
to
22
facilitation
of
communication
to
stakeholders
at
the
state
and
23
local
level,
administering
the
patient-centered
health
advisory
24
council
pursuant
to
section
135.159,
and
involvement
in
health
25
care
system
innovation
activities
occurring
across
the
state.
26
l.
Of
the
funds
appropriated
in
this
subsection,
$12,500
27
shall
be
used
for
administration
of
chapter
124D,
the
medical
28
cannabidiol
Act,
or
other
Code
provisions
authorizing
the
29
compassionate
medical
use
of
cannabis,
if
enacted
by
the
2016
30
regular
session
of
the
Eighty-sixth
General
Assembly.
31
4.
COMMUNITY
CAPACITY
32
For
strengthening
the
health
care
delivery
system
at
the
33
local
level,
and
for
not
more
than
the
following
full-time
34
equivalent
positions:
35
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505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,359,858
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
2
a.
Of
the
funds
appropriated
in
this
subsection,
$49,707
3
is
allocated
for
continuation
of
the
child
vision
screening
4
program
implemented
through
the
university
of
Iowa
hospitals
5
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
6
The
program
shall
submit
a
report
to
the
individuals
identified
7
in
this
Act
for
submission
of
reports
regarding
the
use
of
8
funds
allocated
under
this
paragraph
“a”.
The
report
shall
9
include
the
objectives
and
results
for
the
program
year
10
including
the
target
population
and
how
the
funds
allocated
11
assisted
the
program
in
meeting
the
objectives;
the
number,
12
age,
and
location
within
the
state
of
individuals
served;
13
the
type
of
services
provided
to
the
individuals
served;
the
14
distribution
of
funds
based
on
service
provided;
and
the
15
continuing
needs
of
the
program.
16
b.
Of
the
funds
appropriated
in
this
subsection,
$55,328
is
17
allocated
for
continuation
of
an
initiative
implemented
at
the
18
university
of
Iowa
and
$49,952
is
allocated
for
continuation
of
19
an
initiative
at
the
state
mental
health
institute
at
Cherokee
20
to
expand
and
improve
the
workforce
engaged
in
mental
health
21
treatment
and
services.
The
initiatives
shall
receive
input
22
from
the
university
of
Iowa,
the
department
of
human
services,
23
the
department
of
public
health,
and
the
mental
health
and
24
disability
services
commission
to
address
the
focus
of
the
25
initiatives.
26
c.
Of
the
funds
appropriated
in
this
subsection,
$582,314
27
shall
be
used
for
essential
public
health
services
that
promote
28
healthy
aging
throughout
one’s
lifespan,
contracted
through
a
29
formula
for
local
boards
of
health,
to
enhance
health
promotion
30
and
disease
prevention
services.
31
d.
Of
the
funds
appropriated
in
this
section,
$49,643
shall
32
be
deposited
in
the
governmental
public
health
system
fund
33
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
34
fund.
35
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e.
Of
the
funds
appropriated
in
this
subsection,
$52,724
1
shall
be
used
to
continue
to
address
the
shortage
of
mental
2
health
professionals
in
the
state.
3
f.
Of
the
funds
appropriated
in
this
subsection,
4
$25,000
shall
be
used
for
a
grant
to
a
statewide
association
5
of
psychologists
that
is
affiliated
with
the
American
6
psychological
association
to
be
used
for
continuation
of
a
7
program
to
rotate
intern
psychologists
in
placements
in
urban
8
and
rural
mental
health
professional
shortage
areas,
as
defined
9
in
section
135.180
.
10
g.
(1)
Of
the
funds
appropriated
in
this
subsection,
11
$1,441,485
shall
be
allocated
as
a
grant
to
the
Iowa
primary
12
care
association
to
be
used
pursuant
to
section
135.153
for
13
the
statewide
coordination
of
the
Iowa
collaborative
safety
14
net
provider
network.
Coordination
of
the
network
shall
15
focus
on
increasing
access
by
underserved
populations
to
16
health
care
services,
increasing
integration
of
the
health
17
system
and
collaboration
across
the
continuum
of
care
with
18
a
focus
on
safety
net
services,
and
enhancing
the
Iowa
19
collaborative
safety
net
provider
network’s
communication
and
20
education
efforts.
The
amount
allocated
as
a
grant
under
this
21
subparagraph
(1)
shall
be
used
as
follows
to
support
the
Iowa
22
collaborative
safety
net
provider
network
goals
of
increased
23
access,
health
system
integration,
and
engagement:
24
(a)
For
distribution
to
safety
net
partners
in
the
state
25
that
work
to
increase
access
of
the
underserved
population
to
26
health
services:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
512,743
28
(i)
Of
the
amount
allocated
in
this
subparagraph
29
division
(a),
up
to
$206,708
shall
be
distributed
to
the
30
Iowa
prescription
drug
corporation
for
continuation
of
the
31
pharmaceutical
infrastructure
for
safety
net
providers
as
32
described
in
2007
Iowa
Acts,
chapter
218,
section
108.
33
(ii)
Of
the
amount
allocated
in
this
subparagraph
division
34
(a),
up
to
$174,161
shall
be
distributed
to
free
clinics
and
35
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free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
1
coordination,
provider
recruitment,
service
delivery,
and
2
provision
of
assistance
to
patients
in
securing
a
medical
home
3
inclusive
of
oral
health
care.
4
(iii)
Of
the
amount
allocated
in
this
subparagraph
5
division
(a),
up
to
$25,000
shall
be
distributed
to
the
6
Iowa
coalition
against
sexual
assault
to
continue
a
training
7
program
for
sexual
assault
response
team
(SART)
members,
8
including
representatives
of
law
enforcement,
victim
advocates,
9
prosecutors,
and
certified
medical
personnel.
10
(iv)
Of
the
amount
allocated
in
this
subparagraph
division
11
(a),
up
to
$106,874
shall
be
distributed
to
the
Polk
county
12
medical
society
for
continuation
of
the
safety
net
provider
13
patient
access
to
a
specialty
health
care
initiative
as
14
described
in
2007
Iowa
Acts,
chapter
218,
section
109.
15
(b)
For
distribution
to
safety
net
partners
in
the
16
state
that
work
to
increase
health
system
integration,
care
17
coordination,
and
collaboration
across
the
continuum
of
care
18
with
a
focus
on
safety
net
services.
Such
efforts
shall
19
include
but
not
be
limited
to
community
care
coordination
team
20
development
and
integration
of
medical
and
behavioral
health
21
services.
Efforts
shall
also
include
working,
in
conjunction
22
with
the
department
of
human
services
and
the
department
23
of
public
health,
to
support
Medicaid
managed
care
efforts
24
inclusive
of
the
state
innovation
model
through
the
continued
25
development
and
implementation
of
community
care
coordination
26
teams.
Implementation
of
the
community
care
coordination
27
teams
shall
be
accomplished
through
a
statewide
regionally
28
based
network
that
provides
an
integrated
approach
to
health
29
care
delivery
through
care
coordination
that
supports
primary
30
care
providers
and
links
patients
with
community
resources
31
necessary
to
empower
patients
in
addressing
biomedical
and
32
social
determinants
of
health
to
improve
health
outcomes:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
836,100
34
(c)
For
distribution
to
safety
net
partners
in
the
state
35
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that
work
to
serve
as
a
resource
for
credible,
accurate
1
information
on
health
care-related
needs
and
services
2
for
vulnerable
populations
in
the
state
including
the
3
Iowa
association
of
rural
health
clinics
for
necessary
4
infrastructure
and
service
delivery
transformation
and
the
Iowa
5
primary
care
association
to
support
partner
engagement,
program
6
management,
and
statewide
coordination
of
the
network:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
92,643
8
(2)
The
amount
allocated
under
this
paragraph
“g”
shall
9
not
be
reduced
for
administrative
or
other
costs
prior
to
10
distribution.
The
Iowa
collaborative
safety
net
provider
11
network
may
continue
to
distribute
funds
allocated
pursuant
to
12
this
paragraph
“g”
through
existing
contracts
or
renewal
of
13
existing
contracts.
14
(3)
For
each
goal
of
the
Iowa
collaborative
safety
net
15
provider
network,
the
Iowa
primary
care
association
shall
16
submit
a
progress
report
to
the
individuals
designated
in
this
17
Act
for
submission
of
reports
by
December
15,
2016,
including
18
progress
in
developing
and
implementing
the
network,
how
the
19
funds
were
distributed
and
used
in
developing
and
implementing
20
the
network,
and
the
remaining
needs
identified
to
fully
21
develop
and
implement
the
network.
22
h.
Of
the
funds
appropriated
in
this
subsection,
$106,700
23
shall
be
used
for
continuation
of
the
work
of
the
direct
care
24
worker
advisory
council
established
pursuant
to
2008
Iowa
Acts,
25
chapter
1188,
section
69,
in
implementing
the
recommendations
26
in
the
final
report
submitted
by
the
advisory
council
to
the
27
governor
and
the
general
assembly
in
March
2012,
including
28
by
continuing
to
develop,
promote,
and
make
available
on
a
29
statewide
basis
the
prepare-to-care
core
curriculum
and
its
30
associated
modules
and
specialties
through
various
formats
31
including
online
access,
community
colleges,
and
other
venues;
32
exploring
new
and
maintaining
existing
specialties
including
33
but
not
limited
to
oral
health
and
dementia
care;
supporting
34
instructor
training;
and
assessing
and
making
recommendations
35
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LSB
2653SV
(2)
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207
S.F.
505
concerning
the
Iowa
care
book
and
information
technology
1
systems
and
infrastructure
uses
and
needs.
2
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
3
$108,188
shall
be
used
for
allocation
to
an
independent
4
statewide
direct
care
worker
organization
under
continuation
5
of
the
contract
in
effect
during
the
fiscal
year
ending
June
6
30,
2016.
7
(2)
Of
the
funds
appropriated
in
this
subsection,
8
$52,500
shall
be
used
to
provide
scholarships
or
other
9
forms
of
subsidization
for
direct
care
worker
educational
10
conferences,
training,
or
outreach
activities,
and
for
the
11
mouth-care-matters
oral
health
care
project.
12
j.
Of
the
funds
appropriated
in
this
subsection,
the
13
department
may
use
up
to
$29,088
for
up
to
one
full-time
14
equivalent
position
to
administer
the
volunteer
health
care
15
provider
program
pursuant
to
section
135.24
.
16
k.
Of
the
funds
appropriated
in
this
subsection,
$50,000
17
shall
be
used
for
a
matching
dental
education
loan
repayment
18
program
to
be
allocated
to
a
dental
nonprofit
health
service
19
corporation
to
continue
to
develop
the
criteria
and
implement
20
the
loan
repayment
program.
21
l.
Of
the
funds
appropriated
in
this
subsection,
$52,912
is
22
transferred
to
the
college
student
aid
commission
for
deposit
23
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
24
261.113
to
be
used
for
the
purposes
of
the
fund.
25
m.
Of
the
funds
appropriated
in
this
subsection,
$125,000
26
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
27
specified
in
section
142C.18
.
28
n.
Of
the
funds
appropriated
in
this
subsection,
$50,000
29
shall
be
used
for
continuation
of
a
grant
to
a
nationally
30
affiliated
volunteer
eye
organization
that
has
an
established
31
program
for
children
and
adults
and
that
is
solely
dedicated
to
32
preserving
sight
and
preventing
blindness
through
education,
33
nationally
certified
vision
screening
and
training,
and
34
community
and
patient
service
programs.
The
organization
35
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LSB
2653SV
(2)
86
pf/rj
135/
207
S.F.
505
shall
submit
a
report
to
the
individuals
identified
in
this
1
Act
for
submission
of
reports
regarding
the
use
of
funds
2
allocated
under
this
paragraph
“n”.
The
report
shall
include
3
the
objectives
and
results
for
the
program
year
including
4
the
target
population
and
how
the
funds
allocated
assisted
5
the
program
in
meeting
the
objectives;
the
number,
age,
and
6
location
within
the
state
of
individuals
served;
the
type
of
7
services
provided
to
the
individuals
served;
the
distribution
8
of
funds
based
on
services
provided;
and
the
continuing
needs
9
of
the
program.
10
o.
Of
the
funds
appropriated
in
this
subsection,
$12,500
11
shall
be
used
for
the
continuation
of
a
wellness
council
under
12
the
direction
of
the
director
of
public
health
to
increase
13
support
for
wellness
activities
in
the
state.
14
p.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
15
shall
be
deposited
in
the
medical
residency
training
account
16
created
in
section
135.175,
subsection
5,
paragraph
“a”
,
and
17
is
appropriated
from
the
account
to
the
department
of
public
18
health
to
be
used
for
the
purposes
of
the
medical
residency
19
training
state
matching
grants
program
as
specified
in
section
20
135.176
.
However,
notwithstanding
any
provision
to
the
21
contrary
in
section
135.176,
priority
in
the
awarding
of
grants
22
shall
be
given
to
sponsors
that
propose
preference
in
the
use
23
of
the
grant
funds
for
psychiatric
residency
positions
and
24
family
practice
residency
positions.
25
5.
HEALTHY
AGING
26
To
provide
public
health
services
that
reduce
risks
and
27
invest
in
promoting
and
protecting
good
health
over
the
28
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
29
vulnerable
populations:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
31
6.
INFECTIOUS
DISEASES
32
For
reducing
the
incidence
and
prevalence
of
communicable
33
diseases,
and
for
not
more
than
the
following
full-time
34
equivalent
positions:
35
-136-
LSB
2653SV
(2)
86
pf/rj
136/
207
S.F.
505
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,578
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,169,596
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
135.50
8
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
9
than
$227,350
shall
be
credited
to
the
emergency
medical
10
services
fund
created
in
section
135.25
.
Moneys
in
the
11
emergency
medical
services
fund
are
appropriated
to
the
12
department
to
be
used
for
the
purposes
of
the
fund.
13
b.
Of
the
funds
appropriated
in
this
subsection,
$101,516
14
shall
be
used
for
sexual
violence
prevention
programming
15
through
a
statewide
organization
representing
programs
16
serving
victims
of
sexual
violence
through
the
department’s
17
sexual
violence
prevention
program.
The
amount
allocated
18
in
this
paragraph
“b”
shall
not
be
used
to
supplant
funding
19
administered
for
other
sexual
violence
prevention
or
victims
20
assistance
programs.
21
c.
Of
the
funds
appropriated
in
this
subsection,
$299,376
22
shall
be
used
for
the
state
poison
control
center.
Pursuant
23
to
the
directive
under
2014
Iowa
Acts,
chapter
1140,
section
24
102,
the
federal
matching
funds
available
to
the
state
poison
25
control
center
from
the
department
of
human
services
under
the
26
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
27
allotment
shall
be
subject
to
the
federal
administrative
cap
28
rule
of
10
percent
applicable
to
funding
provided
under
Tit.
29
XXI
of
the
federal
Social
Security
Act
and
included
within
the
30
department’s
calculations
of
the
cap.
31
d.
Of
the
funds
appropriated
in
this
subsection,
$268,875
32
shall
be
used
for
childhood
lead
poisoning
provisions.
33
8.
RESOURCE
MANAGEMENT
34
For
establishing
and
sustaining
the
overall
ability
of
the
35
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LSB
2653SV
(2)
86
pf/rj
137/
207
S.F.
505
department
to
deliver
services
to
the
public,
and
for
not
more
1
than
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
427,536
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
4
The
university
of
Iowa
hospitals
and
clinics
under
the
5
control
of
the
state
board
of
regents
shall
not
receive
6
indirect
costs
from
the
funds
appropriated
in
this
section.
7
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
8
department
shall
be
on
at
least
a
quarterly
basis.
9
DIVISION
XXXIV
10
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2016-2017
11
Sec.
117.
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
23
2.
IOWA
VETERANS
HOME
24
For
salaries,
support,
maintenance,
and
miscellaneous
25
purposes:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,797,498
27
a.
The
Iowa
veterans
home
billings
involving
the
department
28
of
human
services
shall
be
submitted
to
the
department
on
at
29
least
a
monthly
basis.
30
b.
If
there
is
a
change
in
the
employer
of
employees
31
providing
services
at
the
Iowa
veterans
home
under
a
collective
32
bargaining
agreement,
such
employees
and
the
agreement
shall
33
be
continued
by
the
successor
employer
as
though
there
had
not
34
been
a
change
in
employer.
35
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LSB
2653SV
(2)
86
pf/rj
138/
207
S.F.
505
c.
Within
available
resources
and
in
conformance
with
1
associated
state
and
federal
program
eligibility
requirements,
2
the
Iowa
veterans
home
may
implement
measures
to
provide
3
financial
assistance
to
or
on
behalf
of
veterans
or
their
4
spouses
who
are
participating
in
the
community
reentry
program.
5
d.
The
Iowa
veterans
home
expenditure
report
shall
be
6
submitted
monthly
to
the
legislative
services
agency.
7
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
8
For
transfer
to
the
Iowa
finance
authority
for
the
9
continuation
of
the
home
ownership
assistance
program
for
10
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
11
the
United
States,
pursuant
to
section
16.54
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,000
13
Sec.
118.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
14
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
15
standing
appropriation
in
section
35A.16
for
the
fiscal
year
16
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
amount
17
appropriated
from
the
general
fund
of
the
state
pursuant
to
18
that
section
for
the
following
designated
purposes
shall
not
19
exceed
the
following
amount:
20
For
the
county
commissions
of
veteran
affairs
fund
under
21
section
35A.16
:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
23
DIVISION
XXXV
24
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2016-2017
25
Sec.
119.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
26
GRANT.
There
is
appropriated
from
the
fund
created
in
section
27
8.41
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2016,
and
ending
June
30,
2017,
from
moneys
29
received
under
the
federal
temporary
assistance
for
needy
30
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
31
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
32
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
33
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
34
purposes
designated:
35
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LSB
2653SV
(2)
86
pf/rj
139/
207
S.F.
505
1.
To
be
credited
to
the
family
investment
program
account
1
and
used
for
assistance
under
the
family
investment
program
2
under
chapter
239B
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,568,498
4
2.
To
be
credited
to
the
family
investment
program
account
5
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
6
program
and
implementing
family
investment
agreements
in
7
accordance
with
chapter
239B
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,069,089
9
3.
To
be
used
for
the
family
development
and
10
self-sufficiency
grant
program
in
accordance
with
section
11
216A.107
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
13
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
14
subsection
that
remain
unencumbered
or
unobligated
at
the
close
15
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
16
for
expenditure
for
the
purposes
designated
until
the
close
of
17
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
18
encumbered
or
obligated
on
or
before
September
30,
2016,
the
19
moneys
shall
revert.
20
4.
For
field
operations:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
22
5.
For
general
administration:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
24
6.
For
state
child
care
assistance:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,523,555
26
a.
Of
the
funds
appropriated
in
this
subsection,
27
$13,164,049
is
transferred
to
the
child
care
and
development
28
block
grant
appropriation
made
by
the
Eighty-sixth
General
29
Assembly,
2016
Session,
for
the
federal
fiscal
year
beginning
30
October
1,
2016,
and
ending
September
30,
2017.
Of
this
31
amount,
$100,000
shall
be
used
for
provision
of
educational
32
opportunities
to
registered
child
care
home
providers
in
order
33
to
improve
services
and
programs
offered
by
this
category
34
of
providers
and
to
increase
the
number
of
providers.
The
35
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S.F.
505
department
may
contract
with
institutions
of
higher
education
1
or
child
care
resource
and
referral
centers
to
provide
2
the
educational
opportunities.
Allowable
administrative
3
costs
under
the
contracts
shall
not
exceed
5
percent.
The
4
application
for
a
grant
shall
not
exceed
two
pages
in
length.
5
b.
Any
funds
appropriated
in
this
subsection
remaining
6
unallocated
shall
be
used
for
state
child
care
assistance
7
payments
for
families
who
are
employed
including
but
not
8
limited
to
individuals
enrolled
in
the
family
investment
9
program.
10
7.
For
distribution
to
counties
and
regions
through
the
11
property
tax
relief
fund
for
mental
health
and
disability
12
services
as
provided
in
an
appropriation
made
for
this
purpose:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
14
8.
For
child
and
family
services:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
16
9.
For
child
abuse
prevention
grants:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
18
10.
For
pregnancy
prevention
grants
on
the
condition
that
19
family
planning
services
are
funded:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,034
21
Pregnancy
prevention
grants
shall
be
awarded
to
programs
22
in
existence
on
or
before
July
1,
2016,
if
the
programs
have
23
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
24
pregnancy
prevention
programs
which
are
developed
after
July
25
1,
2016,
if
the
programs
are
based
on
existing
models
that
26
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
27
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
28
section
14,
subsections
1
and
2,
including
the
requirement
that
29
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
30
the
awarding
of
grants
shall
be
given
to
programs
that
serve
31
areas
of
the
state
which
demonstrate
the
highest
percentage
of
32
unplanned
pregnancies
of
females
of
childbearing
age
within
the
33
geographic
area
to
be
served
by
the
grant.
34
11.
For
technology
needs
and
other
resources
necessary
35
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S.F.
505
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
1
management
requirements:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
3
12.
For
the
family
investment
program
share
of
the
costs
to
4
continue
to
develop
and
maintain
a
new,
integrated
eligibility
5
determination
system:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,327,440
7
13.
a.
Notwithstanding
any
provision
to
the
contrary,
8
including
but
not
limited
to
requirements
in
section
8.41
or
9
provisions
in
2015
or
2016
Iowa
Acts
regarding
the
receipt
and
10
appropriation
of
federal
block
grants,
federal
funds
from
the
11
temporary
assistance
for
needy
families
block
grant
received
by
12
the
state
and
not
otherwise
appropriated
in
this
section
and
13
remaining
available
for
the
fiscal
year
beginning
July
1,
2016,
14
are
appropriated
to
the
department
of
human
services
to
the
15
extent
as
may
be
necessary
to
be
used
in
the
following
priority
16
order:
the
family
investment
program,
for
state
child
care
17
assistance
program
payments
for
families
who
are
employed,
and
18
for
the
family
investment
program
share
of
costs
to
develop
and
19
maintain
a
new,
integrated
eligibility
determination
system.
20
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
21
expended
only
after
all
other
funds
appropriated
in
subsection
22
1
for
the
assistance
under
the
family
investment
program,
23
in
subsection
6
for
child
care
assistance,
or
in
subsection
24
12
for
the
family
investment
program
share
of
the
costs
to
25
continue
to
develop
and
maintain
a
new,
integrated
eligibility
26
determination
system,
as
applicable,
have
been
expended.
For
27
the
purposes
of
this
subsection,
the
funds
appropriated
in
28
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
29
and
development
block
grant
appropriation
are
considered
fully
30
expended
when
the
full
amount
has
been
transferred.
31
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
32
legislative
services
agency
and
department
of
management
of
33
the
amount
of
funds
appropriated
in
this
subsection
that
was
34
expended
in
the
prior
quarter.
35
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505
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
1
for
the
fiscal
year
beginning
July
1,
2016,
is
transferred
to
2
the
appropriation
of
the
federal
social
services
block
grant
3
made
to
the
department
of
human
services
for
that
fiscal
year.
4
15.
For
continuation
of
the
program
providing
categorical
5
eligibility
for
the
food
assistance
program
as
specified
for
6
the
program
in
the
section
of
this
division
of
this
2016
Act
7
relating
to
the
family
investment
program
account:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
9
16.
The
department
may
transfer
funds
allocated
in
this
10
section
to
the
appropriations
made
in
this
division
of
this
Act
11
for
the
same
fiscal
year
for
general
administration
and
field
12
operations
for
resources
necessary
to
implement
and
operate
the
13
services
referred
to
in
this
section
and
those
funded
in
the
14
appropriation
made
in
this
division
of
this
Act
for
the
same
15
fiscal
year
for
the
family
investment
program
from
the
general
16
fund
of
the
state.
17
Sec.
120.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
18
1.
Moneys
credited
to
the
family
investment
program
(FIP)
19
account
for
the
fiscal
year
beginning
July
1,
2016,
and
20
ending
June
30,
2017,
shall
be
used
to
provide
assistance
in
21
accordance
with
chapter
239B
.
22
2.
The
department
may
use
a
portion
of
the
moneys
credited
23
to
the
FIP
account
under
this
section
as
necessary
for
24
salaries,
support,
maintenance,
and
miscellaneous
purposes.
25
3.
The
department
may
transfer
funds
allocated
in
26
subsection
4
to
the
appropriations
made
in
this
division
of
27
this
Act
for
the
same
fiscal
year
for
general
administration
28
and
field
operations
for
resources
necessary
to
implement
and
29
operate
the
family
investment
program
services
referred
to
in
30
this
section
and
those
funded
in
the
appropriation
made
in
this
31
division
of
this
Act
for
the
same
fiscal
year
for
the
family
32
investment
program
from
the
general
fund
of
the
state.
33
4.
Moneys
appropriated
in
this
division
of
this
Act
and
34
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
35
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S.F.
505
1,
2016,
and
ending
June
30,
2017,
are
allocated
as
follows:
1
a.
To
be
retained
by
the
department
of
human
services
to
2
be
used
for
coordinating
with
the
department
of
human
rights
3
to
more
effectively
serve
participants
in
FIP
and
other
shared
4
clients
and
to
meet
federal
reporting
requirements
under
the
5
federal
temporary
assistance
for
needy
families
block
grant:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
7
b.
To
the
department
of
human
rights
for
staffing,
8
administration,
and
implementation
of
the
family
development
9
and
self-sufficiency
grant
program
in
accordance
with
section
10
216A.107
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,196,417
12
(1)
Of
the
funds
allocated
for
the
family
development
13
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
14
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
15
administration
of
the
grant
program.
16
(2)
The
department
of
human
rights
may
continue
to
implement
17
the
family
development
and
self-sufficiency
grant
program
18
statewide
during
fiscal
year
2016-2017.
19
(3)
The
department
of
human
rights
may
engage
in
activities
20
to
strengthen
and
improve
family
outcomes
measures
and
21
data
collection
systems
under
the
family
development
and
22
self-sufficiency
grant
program.
23
c.
For
the
diversion
subaccount
of
the
FIP
account:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
25
A
portion
of
the
moneys
allocated
for
the
subaccount
may
26
be
used
for
field
operations,
salaries,
data
management
27
system
development,
and
implementation
costs
and
support
28
deemed
necessary
by
the
director
of
human
services
in
order
29
to
administer
the
FIP
diversion
program.
To
the
extent
30
moneys
allocated
in
this
paragraph
“c”
are
not
deemed
by
the
31
department
to
be
necessary
to
support
diversion
activities,
32
such
moneys
may
be
used
for
other
efforts
intended
to
increase
33
engagement
by
family
investment
program
participants
in
work,
34
education,
or
training
activities.
35
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S.F.
505
d.
For
the
food
assistance
employment
and
training
program:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
2
(1)
The
department
shall
apply
the
federal
supplemental
3
nutrition
assistance
program
(SNAP)
employment
and
training
4
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
5
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
6
provisions
for
the
claiming
of
allowable
federal
reimbursement
7
funds
from
the
United
States
department
of
agriculture
8
pursuant
to
the
federal
SNAP
employment
and
training
program
9
for
providing
education,
employment,
and
training
services
10
for
eligible
food
assistance
program
participants,
including
11
but
not
limited
to
related
dependent
care
and
transportation
12
expenses.
13
(2)
The
department
shall
continue
the
categorical
federal
14
food
assistance
program
eligibility
at
160
percent
of
the
15
federal
poverty
level
and
continue
to
eliminate
the
asset
test
16
from
eligibility
requirements,
consistent
with
federal
food
17
assistance
program
requirements.
The
department
shall
include
18
as
many
food
assistance
households
as
is
allowed
by
federal
19
law.
The
eligibility
provisions
shall
conform
to
all
federal
20
requirements
including
requirements
addressing
individuals
who
21
are
incarcerated
or
otherwise
ineligible.
22
e.
For
the
JOBS
program:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,770,199
24
5.
Of
the
child
support
collections
assigned
under
FIP,
25
an
amount
equal
to
the
federal
share
of
support
collections
26
shall
be
credited
to
the
child
support
recovery
appropriation
27
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
28
assigned
child
support
collections
received
by
the
child
29
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
30
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
31
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
32
payments
account.
If
as
a
consequence
of
the
appropriations
33
and
allocations
made
in
this
section
the
resulting
amounts
34
are
insufficient
to
sustain
cash
assistance
payments
and
meet
35
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505
federal
maintenance
of
effort
requirements,
the
department
1
shall
seek
supplemental
funding.
If
child
support
collections
2
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
3
determined
not
to
be
required
for
maintenance
of
effort,
the
4
state
share
of
either
amount
may
be
transferred
to
or
retained
5
in
the
child
support
payments
account.
6
6.
The
department
may
adopt
emergency
rules
for
the
family
7
investment,
JOBS,
food
assistance,
and
medical
assistance
8
programs
if
necessary
to
comply
with
federal
requirements.
9
Sec.
121.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
10
is
appropriated
from
the
general
fund
of
the
state
to
the
11
department
of
human
services
for
the
fiscal
year
beginning
July
12
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
13
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
14
designated:
15
To
be
credited
to
the
family
investment
program
(FIP)
16
account
and
used
for
family
investment
program
assistance
under
17
chapter
239B
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,546,938
19
1.
Of
the
funds
appropriated
in
this
section,
$3,701,110
is
20
allocated
for
the
JOBS
program.
21
2.
Of
the
funds
appropriated
in
this
section,
$1,756,927
is
22
allocated
for
the
family
development
and
self-sufficiency
grant
23
program.
24
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
25
beginning
July
1,
2016,
if
necessary
to
meet
federal
26
maintenance
of
effort
requirements
or
to
transfer
federal
27
temporary
assistance
for
needy
families
block
grant
funding
28
to
be
used
for
purposes
of
the
federal
social
services
block
29
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
30
receiving
federal
funding
or
to
implement,
in
accordance
with
31
this
division
of
this
Act,
activities
currently
funded
with
32
juvenile
court
services,
county,
or
community
moneys
and
state
33
moneys
used
in
combination
with
such
moneys,
the
department
34
of
human
services
may
transfer
funds
within
or
between
any
35
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505
of
the
appropriations
made
in
this
division
of
this
Act
and
1
appropriations
in
law
for
the
federal
social
services
block
2
grant
to
the
department
for
the
following
purposes,
provided
3
that
the
combined
amount
of
state
and
federal
temporary
4
assistance
for
needy
families
block
grant
funding
for
each
5
appropriation
remains
the
same
before
and
after
the
transfer:
6
a.
For
the
family
investment
program.
7
b.
For
child
care
assistance.
8
c.
For
child
and
family
services.
9
d.
For
field
operations.
10
e.
For
general
administration.
11
f.
For
distribution
to
counties
or
regions
through
the
12
property
tax
relief
fund
for
mental
health
and
disability
13
services
as
provided
in
an
appropriation
for
this
purpose.
14
This
subsection
shall
not
be
construed
to
prohibit
the
use
15
of
existing
state
transfer
authority
for
other
purposes.
The
16
department
shall
report
any
transfers
made
pursuant
to
this
17
subsection
to
the
legislative
services
agency.
18
4.
Of
the
funds
appropriated
in
this
section,
$97,839
shall
19
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
20
organization
with
a
history
of
providing
tax
preparation
21
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
22
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
23
supply
this
assistance
to
underserved
areas
of
the
state.
24
5.
Of
the
funds
appropriated
in
this
section,
$40,000
shall
25
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
26
defined
in
441
IAC
100.1,
relating
to
parental
obligations,
27
in
which
the
child
support
recovery
unit
participates,
to
28
support
the
efforts
of
a
nonprofit
organization
committed
to
29
strengthening
the
community
through
youth
development,
healthy
30
living,
and
social
responsibility
headquartered
in
a
county
31
with
a
population
over
350,000.
The
funds
allocated
in
this
32
subsection
shall
be
used
by
the
recipient
organization
to
33
develop
a
larger
community
effort,
through
public
and
private
34
partnerships,
to
support
a
broad-based
multi-county
fatherhood
35
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505
initiative
that
promotes
payment
of
child
support
obligations,
1
improved
family
relationships,
and
full-time
employment.
2
6.
Of
the
funds
appropriated
in
this
section,
$100,000
3
shall
be
used
to
continue
a
grant
to
a
nonprofit
organization
4
organized
under
section
501(c)(4)
of
the
Internal
Revenue
Code
5
to
continue
a
youth
development
strategy
through
after-school
6
programming
that
promotes
academic
success,
healthy
lifestyles,
7
good
character,
and
citizenship.
The
organization
shall
meet
8
all
of
the
following
criteria:
9
a.
Operate
statewide
and
provide
services
through
more
than
10
one
location.
11
b.
Provide
the
after-school
programming
for
students
ages
12
five
through
eighteen
years
of
age
who
are
members
of
families
13
eligible
for
the
federal
temporary
assistance
for
needy
14
families
program.
15
c.
Provide
evidence,
based
on
measurable
outcomes,
that
the
16
after-school
programming
provided
results
in
increased
student
17
achievement.
18
7.
The
department
may
transfer
funds
appropriated
in
this
19
section
to
the
appropriations
made
in
this
division
of
this
Act
20
for
general
administration
and
field
operations
as
necessary
21
to
administer
this
section
and
the
overall
family
investment
22
program.
23
Sec.
122.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
human
25
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
26
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purposes
designated:
28
For
child
support
recovery,
including
salaries,
support,
29
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
30
the
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,331,687
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
33
1.
The
department
shall
expend
up
to
$12,165,
including
34
federal
financial
participation,
for
the
fiscal
year
beginning
35
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July
1,
2016,
for
a
child
support
public
awareness
campaign.
1
The
department
and
the
office
of
the
attorney
general
shall
2
cooperate
in
continuation
of
the
campaign.
The
public
3
awareness
campaign
shall
emphasize,
through
a
variety
of
4
media
activities,
the
importance
of
maximum
involvement
of
5
both
parents
in
the
lives
of
their
children
as
well
as
the
6
importance
of
payment
of
child
support
obligations.
7
2.
Federal
access
and
visitation
grant
moneys
shall
be
8
issued
directly
to
private
not-for-profit
agencies
that
provide
9
services
designed
to
increase
compliance
with
the
child
access
10
provisions
of
court
orders,
including
but
not
limited
to
11
neutral
visitation
sites
and
mediation
services.
12
3.
The
appropriation
made
to
the
department
for
child
13
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
14
manner
necessary
for
purposes
of
cash
flow
management,
and
for
15
cash
flow
management
purposes
the
department
may
temporarily
16
draw
more
than
the
amount
appropriated,
provided
the
amount
17
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
18
4.
With
the
exception
of
the
funding
amount
specified,
the
19
requirements
established
under
2001
Iowa
Acts,
chapter
191,
20
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
21
be
applicable
to
parental
obligation
pilot
projects
for
the
22
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017.
23
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
24
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
25
in
effect
until
June
30,
2017.
26
Sec.
123.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
27
FY
2016-2017.
Any
funds
remaining
in
the
health
care
trust
28
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
29
July
1,
2016,
and
ending
June
30,
2017,
are
appropriated
to
30
the
department
of
human
services
to
supplement
the
medical
31
assistance
program
appropriations
made
in
this
division
of
this
32
Act,
for
medical
assistance
reimbursement
and
associated
costs,
33
including
program
administration
and
costs
associated
with
34
program
implementation.
35
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505
Sec.
124.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
1
2016-2017.
Any
funds
remaining
in
the
Medicaid
fraud
fund
2
created
in
section
249A.50
for
the
fiscal
year
beginning
3
July
1,
2016,
and
ending
June
30,
2017,
are
appropriated
to
4
the
department
of
human
services
to
supplement
the
medical
5
assistance
appropriations
made
in
this
division
of
this
Act,
6
for
medical
assistance
reimbursement
and
associated
costs,
7
including
program
administration
and
costs
associated
with
8
program
implementation.
9
Sec.
125.
MEDICAL
ASSISTANCE.
10
1.
There
is
appropriated
from
the
general
fund
of
the
11
state
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
For
medical
assistance
program
reimbursement
and
associated
16
costs
as
specifically
provided
in
the
reimbursement
17
methodologies
in
effect
on
June
30,
2016,
except
as
otherwise
18
expressly
authorized
by
law,
including
reimbursement
for
19
abortion
services
which
shall
be
available
under
the
medical
20
assistance
program
only
for
those
abortions
which
are
medically
21
necessary:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$673,176,820
23
2.
Medically
necessary
abortions
are
those
performed
under
24
any
of
the
following
conditions:
25
a.
The
attending
physician
certifies
that
continuing
the
26
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
27
b.
The
attending
physician
certifies
that
the
fetus
is
28
physically
deformed,
mentally
deficient,
or
afflicted
with
a
29
congenital
illness.
30
c.
The
pregnancy
is
the
result
of
a
rape
which
is
reported
31
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
32
public
or
private
health
agency
which
may
include
a
family
33
physician.
34
d.
The
pregnancy
is
the
result
of
incest
which
is
reported
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within
150
days
of
the
incident
to
a
law
enforcement
agency
1
or
public
or
private
health
agency
which
may
include
a
family
2
physician.
3
e.
Any
spontaneous
abortion,
commonly
known
as
a
4
miscarriage,
if
not
all
of
the
products
of
conception
are
5
expelled.
6
3.
a.
Iowans
support
reducing
the
number
of
abortions
7
performed
in
our
state.
For
an
abortion
covered
under
the
8
program,
except
in
the
case
of
a
medical
emergency,
as
defined
9
in
section
135L.1
,
for
any
woman,
the
physician
shall
certify
10
both
of
the
following:
11
(1)
That
the
woman
has
been
given
the
opportunity
to
view
an
12
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
13
before
an
abortion
is
performed.
14
(2)
That
the
woman
has
been
provided
information
regarding
15
the
options
relative
to
a
pregnancy,
including
continuing
the
16
pregnancy
to
term
and
retaining
parental
rights
following
the
17
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
18
child
for
adoption,
and
terminating
the
pregnancy.
19
b.
The
provisions
of
this
section
relating
to
abortions
20
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
21
pursuant
to
chapter
249N
.
22
4.
The
department
shall
utilize
not
more
than
$30,000
of
23
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
24
health
insurance
premium
payment
program
as
established
in
1992
25
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
26
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
27
not
more
than
$2,500
may
be
expended
for
administrative
28
purposes.
29
5.
Of
the
funds
appropriated
in
this
Act
to
the
department
30
of
public
health
for
addictive
disorders,
$475,000
for
31
the
fiscal
year
beginning
July
1,
2016,
is
transferred
32
to
the
department
of
human
services
for
an
integrated
33
substance-related
disorder
managed
care
system.
The
department
34
shall
not
assume
management
of
the
substance-related
disorder
35
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system
in
place
of
the
managed
care
contractor
unless
such
1
a
change
in
approach
is
specifically
authorized
in
law.
2
The
departments
of
human
services
and
public
health
shall
3
work
together
to
maintain
the
level
of
mental
health
and
4
substance-related
disorder
treatment
services
provided
by
the
5
managed
care
contractor
through
the
Iowa
plan
for
behavioral
6
health.
Each
department
shall
take
the
steps
necessary
to
7
continue
the
federal
waivers
as
necessary
to
maintain
the
level
8
of
services.
9
6.
a.
The
department
shall
aggressively
pursue
options
for
10
providing
medical
assistance
or
other
assistance
to
individuals
11
with
special
needs
who
become
ineligible
to
continue
receiving
12
services
under
the
early
and
periodic
screening,
diagnostic,
13
and
treatment
program
under
the
medical
assistance
program
14
due
to
becoming
21
years
of
age
who
have
been
approved
for
15
additional
assistance
through
the
department’s
exception
to
16
policy
provisions,
but
who
have
health
care
needs
in
excess
17
of
the
funding
available
through
the
exception
to
policy
18
provisions.
19
b.
Of
the
funds
appropriated
in
this
section,
$50,000
20
shall
be
used
for
participation
in
one
or
more
pilot
projects
21
operated
by
a
private
provider
to
allow
the
individual
or
22
individuals
to
receive
service
in
the
community
in
accordance
23
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
24
(1999),
for
the
purpose
of
providing
medical
assistance
or
25
other
assistance
to
individuals
with
special
needs
who
become
26
ineligible
to
continue
receiving
services
under
the
early
and
27
periodic
screening,
diagnostic,
and
treatment
program
under
28
the
medical
assistance
program
due
to
becoming
21
years
of
29
age
who
have
been
approved
for
additional
assistance
through
30
the
department’s
exception
to
policy
provisions,
but
who
have
31
health
care
needs
in
excess
of
the
funding
available
through
32
the
exception
to
the
policy
provisions.
33
7.
Of
the
funds
appropriated
in
this
section,
up
to
34
$1,525,041
may
be
transferred
to
the
field
operations
or
35
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general
administration
appropriations
in
this
division
of
this
1
Act
for
operational
costs
associated
with
Part
D
of
the
federal
2
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
3
of
2003,
Pub.
L.
No.
108-173.
4
8.
Of
the
funds
appropriated
in
this
section,
up
to
$221,050
5
may
be
transferred
to
the
appropriation
in
this
division
6
of
this
Act
for
medical
contracts
to
be
used
for
clinical
7
assessment
services
and
prior
authorization
of
services.
8
9.
A
portion
of
the
funds
appropriated
in
this
section
9
may
be
transferred
to
the
appropriations
in
this
division
of
10
this
Act
for
general
administration,
medical
contracts,
the
11
children’s
health
insurance
program,
or
field
operations
to
be
12
used
for
the
state
match
cost
to
comply
with
the
payment
error
13
rate
measurement
(PERM)
program
for
both
the
medical
assistance
14
and
children’s
health
insurance
programs
as
developed
by
the
15
centers
for
Medicare
and
Medicaid
services
of
the
United
States
16
department
of
health
and
human
services
to
comply
with
the
17
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
18
107-300.
19
10.
The
department
shall
continue
to
implement
the
20
recommendations
of
the
assuring
better
child
health
and
21
development
initiative
II
(ABCDII)
clinical
panel
to
the
22
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
23
services
healthy
mental
development
collaborative
board
24
regarding
changes
to
billing
procedures,
codes,
and
eligible
25
service
providers.
26
11.
Of
the
funds
appropriated
in
this
section,
a
sufficient
27
amount
is
allocated
to
supplement
the
incomes
of
residents
of
28
nursing
facilities,
intermediate
care
facilities
for
persons
29
with
mental
illness,
and
intermediate
care
facilities
for
30
persons
with
an
intellectual
disability,
with
incomes
of
less
31
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
32
personal
needs
allowance
of
$50
per
month
pursuant
to
section
33
249A.30A
.
34
12.
Of
the
funds
appropriated
in
this
section,
the
following
35
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amounts
are
transferred
to
the
appropriations
made
in
this
1
division
of
this
Act
for
the
state
mental
health
institutes:
2
a.
Cherokee
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
4,549,213
3
b.
Clarinda
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
988,653
4
c.
Independence
mental
health
institute
.
.
.
.
.
.
.
$
4,522,947
5
13.
a.
Of
the
funds
appropriated
in
this
section,
6
$4,298,325
is
allocated
for
the
state
match
for
a
7
disproportionate
share
hospital
payment
of
$9,566,715
to
8
hospitals
that
meet
both
of
the
conditions
specified
in
9
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
10
meet
the
conditions
specified
shall
either
certify
public
11
expenditures
or
transfer
to
the
medical
assistance
program
12
an
amount
equal
to
provide
the
nonfederal
share
for
a
13
disproportionate
share
hospital
payment
of
$3,750,000.
The
14
hospitals
that
meet
the
conditions
specified
shall
receive
and
15
retain
100
percent
of
the
total
disproportionate
share
hospital
16
payment
of
$13,316,715.
17
(1)
The
hospital
qualifies
for
disproportionate
share
and
18
graduate
medical
education
payments.
19
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
20
than
500
beds
and
eight
or
more
distinct
residency
specialty
21
or
subspecialty
programs
recognized
by
the
American
college
of
22
graduate
medical
education.
23
b.
Distribution
of
the
disproportionate
share
payments
24
shall
be
made
on
a
monthly
basis.
The
total
amount
of
25
disproportionate
share
payments
including
graduate
medical
26
education,
enhanced
disproportionate
share,
and
Iowa
27
state-owned
teaching
hospital
payments
shall
not
exceed
the
28
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
29
In
addition,
the
total
amount
of
all
disproportionate
30
share
payments
shall
not
exceed
the
hospital-specific
31
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
32
c.
The
university
of
Iowa
hospitals
and
clinics
shall
either
33
certify
public
expenditures
or
transfer
to
the
appropriations
34
made
in
this
division
of
this
Act
for
medical
assistance
an
35
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amount
equal
to
provide
the
nonfederal
share
for
increased
1
medical
assistance
payments
for
inpatient
and
outpatient
2
hospital
services
of
$4,950,000.
The
university
of
Iowa
3
hospitals
and
clinics
shall
receive
and
retain
100
percent
of
4
the
total
increase
in
medical
assistance
payments.
5
d.
Program
payments
for
disproportionate
share
hospitals
6
and
graduate
medical
education,
and
the
upper
payment
limits
7
applicable
to
these
programs
shall
be
held
harmless
from
the
8
impacts
of
Medicaid
managed
care
and
the
governor’s
Medicaid
9
modernization
initiative.
Payment
methodologies
utilized
10
for
these
programs
may
be
adjusted
or
converted
to
other
11
methodologies
or
payment
types
in
order
to
comply
with
this
12
hold
harmless
requirement.
13
14.
One
hundred
percent
of
the
nonfederal
share
of
payments
14
to
area
education
agencies
that
are
medical
assistance
15
providers
for
medical
assistance-covered
services
provided
to
16
medical
assistance-covered
children,
shall
be
made
from
the
17
appropriation
made
in
this
section.
18
15.
Any
new
or
renewed
contract
entered
into
by
the
19
department
with
a
third
party
to
administer
behavioral
health
20
services
under
the
medical
assistance
program
shall
provide
21
that
any
interest
earned
on
payments
from
the
state
during
22
the
state
fiscal
year
shall
be
remitted
to
the
department
23
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
24
assistance
program.
25
16.
A
portion
of
the
funds
appropriated
in
this
section
26
may
be
transferred
to
the
appropriation
in
this
division
of
27
this
Act
for
medical
contracts
to
be
used
for
administrative
28
activities
associated
with
the
money
follows
the
person
29
demonstration
project.
30
17.
Of
the
funds
appropriated
in
this
section,
$174,506
31
shall
be
used
for
the
administration
of
the
health
insurance
32
premium
payment
program,
including
salaries,
support,
33
maintenance,
and
miscellaneous
purposes.
34
18.
a.
The
department
may
increase
the
amounts
allocated
35
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for
salaries,
support,
maintenance,
and
miscellaneous
purposes
1
associated
with
the
medical
assistance
program,
as
necessary,
2
to
implement
cost
containment
strategies.
The
department
shall
3
report
any
such
increase
to
the
legislative
services
agency
and
4
the
department
of
management.
5
b.
If
the
savings
to
the
medical
assistance
program
from
6
cost
containment
efforts
exceed
the
cost
for
the
fiscal
7
year
beginning
July
1,
2016,
the
department
may
transfer
any
8
savings
generated
for
the
fiscal
year
due
to
medical
assistance
9
program
cost
containment
efforts
to
the
appropriation
10
made
in
this
division
of
this
Act
for
medical
contracts
or
11
general
administration
to
defray
the
increased
contract
costs
12
associated
with
implementing
such
efforts.
13
c.
The
department
of
human
services
shall
not
implement
14
the
following
cost
containment
measures
as
recommended
by
the
15
governor
for
the
fiscal
year
beginning
July
1,
2016:
16
(1)
A
measure
to
provide
uniform
rates
of
$.575
per
mile
17
based
on
the
2015
Internal
Revenue
Service
mileage
rate
and
18
of
$9.29,
the
current
statewide
average,
per
one-way
trip
for
19
Medicaid
program
home
and
community-based
services
waivers.
20
(2)
A
measure
to
cap
the
total
costs
of
all
services
21
received
by
a
recipient
of
the
home
and
community-based
22
services
waiver
for
individuals
with
an
intellectual
disability
23
at
the
daily
intermediate
care
facility
for
persons
with
an
24
intellectual
disability
(ICF/ID)
per
diem
rate
of
$346.39
per
25
day
based
on
the
80th
percentile
of
all
ICF/ID
rates.
26
(3)
A
measure
to
align
individual
requests
for
exceptions
to
27
policy
with
the
capped
total
cost
of
services
for
a
recipient
28
of
the
home
and
community-based
services
waiver
for
individuals
29
with
an
intellectual
disability
as
computed
under
subparagraph
30
(2).
31
(4)
A
measure
to
utilize
the
supports
intensity
scale
32
to
determine
payment
amounts
and
a
tiered
payment
system
33
for
the
services
provided
to
adults
served
under
the
home
34
and
community-based
services
waiver
for
individuals
with
an
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intellectual
disability.
1
(5)
A
measure
to
reallocate
funding
for
community-based
2
systems
of
care
to
instead
support
integrated
health
homes.
3
(6)
A
measure
to
increase
the
university
of
Iowa
hospitals
4
and
clinics
state
share
responsibility
for
the
supplemental
5
disproportionate
share
hospital
payment
to
the
university
of
6
Iowa
hospitals
and
clinics
for
the
fiscal
year
beginning
July
7
1,
2016.
8
d.
The
department
shall
report
the
implementation
of
9
any
cost
containment
strategies
under
this
subsection
to
10
the
individuals
specified
in
this
division
of
this
Act
for
11
submission
of
reports
on
a
quarterly
basis.
12
19.
For
the
fiscal
year
beginning
July
1,
2016,
and
ending
13
June
30,
2017,
the
replacement
generation
tax
revenues
required
14
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
15
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
16
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
17
to
and
supplement
the
appropriation
made
in
this
section
and
18
used
for
the
allocations
made
in
this
section.
19
20.
The
department
shall
continue
to
administer
the
state
20
balancing
incentive
payments
program
as
specified
in
2012
Iowa
21
Acts,
chapter
1133,
section
14.
22
21.
a.
Of
the
funds
appropriated
in
this
section,
$450,000
23
shall
be
used
for
continued
implementation
of
the
children’s
24
mental
health
home
project
proposed
by
the
department
of
human
25
services
and
reported
to
the
general
assembly’s
mental
health
26
and
disability
services
study
committee
in
December
2011.
Of
27
this
amount,
up
to
$25,000
may
be
transferred
by
the
department
28
to
the
appropriation
made
in
this
division
of
this
Act
to
the
29
department
for
the
same
fiscal
year
for
general
administration
30
to
be
used
for
associated
administrative
expenses
and
for
not
31
more
than
one
full-time
equivalent
position,
in
addition
to
32
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
33
implementing
the
project.
34
b.
Of
the
funds
appropriated
in
this
section,
up
to
$200,000
35
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may
be
transferred
by
the
department
to
the
appropriation
made
1
to
the
department
in
this
division
of
this
Act
for
the
same
2
fiscal
year
for
Medicaid
program-related
general
administration
3
planning
and
implementation
activities.
The
funds
may
be
used
4
for
contracts
or
for
personnel
in
addition
to
the
amounts
5
appropriated
for
and
the
positions
authorized
for
general
6
administration
for
the
fiscal
year.
7
c.
Of
the
funds
appropriated
in
this
section,
up
to
8
$1,500,000
may
be
transferred
by
the
department
to
the
9
appropriations
made
in
this
division
of
this
Act
for
the
same
10
fiscal
year
for
general
administration
or
medical
contracts
11
to
be
used
to
support
the
development
and
implementation
of
12
standardized
assessment
tools
for
persons
with
mental
illness,
13
an
intellectual
disability,
a
developmental
disability,
or
a
14
brain
injury.
15
22.
Of
the
funds
appropriated
in
this
section,
$125,000
16
shall
be
used
for
lodging
expenses
associated
with
care
17
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
18
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
19
and
whose
income
is
at
or
below
200
percent
of
the
federal
20
poverty
level
as
defined
by
the
most
recently
revised
poverty
21
income
guidelines
published
by
the
United
States
department
of
22
health
and
human
services.
The
department
of
human
services
23
shall
establish
the
maximum
number
of
overnight
stays
and
the
24
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
25
based
on
the
state
employee
rate
established
by
the
department
26
of
administrative
services.
The
funds
allocated
in
this
27
subsection
shall
not
be
used
as
nonfederal
share
matching
28
funds.
29
23.
a.
For
inpatient
and
outpatient
services
provided
by
30
hospitals
on
or
after
July
1,
2016,
the
department
of
human
31
services
shall
continue
to
recalculate
and
prospectively
32
apply
an
updated
cost-to-charge
ratio
upon
the
request
of
a
33
hospital
to
implement
price
or
charge
reductions,
if
all
of
the
34
following
criteria
are
met:
35
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(1)
The
recalculation
of
an
updated
cost-to-charge
ratio
is
1
budget
neutral
to
the
state
funding
amount
appropriated
for
the
2
respective
fiscal
year
and
maintains
budget
neutral
payments
or
3
revenue
to
all
hospitals.
4
(2)
The
hospital
requesting
the
price
or
charge
reduction
5
submits
a
proforma
cost
report
and
charge
master
that
reflects
6
the
anticipated
cost-to-charge
reduction.
7
b.
Based
upon
the
proforma
cost
report
submitted
by
the
8
requesting
hospital,
the
department
of
human
services
shall
9
prospectively
apply
the
recalculated
cost-to-charge
ratio
as
10
appropriate
to
submitted
claims
for
health
care
services.
11
24.
The
department
of
human
services
shall
not
adopt
12
emergency
rules
to
implement
Medicaid
managed
care
or
the
13
governor’s
Medicaid
modernization
initiative.
14
25.
The
number
of
home
and
community-based
services
waiver
15
slots
available
during
the
fiscal
year
beginning
July
1,
2016,
16
shall
not
be
reduced
below
the
number
of
such
slots
available
17
on
January
1,
2015.
18
Sec.
126.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
19
general
fund
of
the
state
to
the
department
of
human
services
20
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
21
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
22
to
be
used
for
the
purpose
designated:
23
For
medical
contracts:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,076,792
25
1.
The
department
of
inspections
and
appeals
shall
26
provide
all
state
matching
funds
for
survey
and
certification
27
activities
performed
by
the
department
of
inspections
28
and
appeals.
The
department
of
human
services
is
solely
29
responsible
for
distributing
the
federal
matching
funds
for
30
such
activities.
31
2.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
32
be
used
for
continuation
of
home
and
community-based
services
33
waiver
quality
assurance
programs,
including
the
review
and
34
streamlining
of
processes
and
policies
related
to
oversight
and
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quality
management
to
meet
state
and
federal
requirements.
1
3.
Of
the
amount
appropriated
in
this
section,
up
to
2
$100,000
may
be
transferred
to
the
appropriation
for
general
3
administration
in
this
division
of
this
Act
to
be
used
for
4
additional
full-time
equivalent
positions
in
the
development
of
5
key
health
initiatives
such
as
cost
containment,
development
6
and
oversight
of
managed
care
programs,
and
development
of
7
health
strategies
targeted
toward
improved
quality
and
reduced
8
costs
in
the
Medicaid
program.
9
4.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
10
be
used
for
planning
and
development,
in
cooperation
with
the
11
department
of
public
health,
of
a
phased-in
program
to
provide
12
a
dental
home
for
children.
13
5.
Of
the
funds
appropriated
in
this
section,
$1,000,000
14
shall
be
used
for
the
autism
support
program
created
in
chapter
15
225D
.
16
Sec.
127.
STATE
SUPPLEMENTARY
ASSISTANCE.
17
1.
There
is
appropriated
from
the
general
fund
of
the
18
state
to
the
department
of
human
services
for
the
fiscal
year
19
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
20
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purpose
designated:
22
For
the
state
supplementary
assistance
program:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,498,594
24
2.
The
department
shall
increase
the
personal
needs
25
allowance
for
residents
of
residential
care
facilities
by
the
26
same
percentage
and
at
the
same
time
as
federal
supplemental
27
security
income
and
federal
social
security
benefits
are
28
increased
due
to
a
recognized
increase
in
the
cost
of
living.
29
The
department
may
adopt
emergency
rules
to
implement
this
30
subsection.
31
3.
If
during
the
fiscal
year
beginning
July
1,
2016,
32
the
department
projects
that
state
supplementary
assistance
33
expenditures
for
a
calendar
year
will
not
meet
the
federal
34
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
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Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
1
§1382g,
the
department
may
take
actions
including
but
not
2
limited
to
increasing
the
personal
needs
allowance
for
3
residential
care
facility
residents
and
making
programmatic
4
adjustments
or
upward
adjustments
of
the
residential
care
5
facility
or
in-home
health-related
care
reimbursement
rates
6
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
7
requirements
are
met.
In
addition,
the
department
may
make
8
other
programmatic
and
rate
adjustments
necessary
to
remain
9
within
the
amount
appropriated
in
this
section
while
ensuring
10
compliance
with
federal
requirements.
The
department
may
adopt
11
emergency
rules
to
implement
the
provisions
of
this
subsection.
12
Sec.
128.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
13
1.
There
is
appropriated
from
the
general
fund
of
the
14
state
to
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
16
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purpose
designated:
18
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
19
program
pursuant
to
chapter
514I
,
including
supplemental
dental
20
services,
for
receipt
of
federal
financial
participation
under
21
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
22
children’s
health
insurance
program:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,581,922
24
2.
Of
the
funds
appropriated
in
this
section,
$21,400
is
25
allocated
for
continuation
of
the
contract
for
outreach
with
26
the
department
of
public
health.
27
Sec.
129.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
28
from
the
general
fund
of
the
state
to
the
department
of
human
29
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
30
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purpose
designated:
32
For
child
care
programs:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
28,319,015
34
1.
Of
the
funds
appropriated
in
this
section,
$24,409,301
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shall
be
used
for
state
child
care
assistance
in
accordance
1
with
section
237A.13
.
2
2.
Nothing
in
this
section
shall
be
construed
or
is
3
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
4
to
persons
who
are
eligible
for
assistance
due
to
an
income
5
level
consistent
with
the
waiting
list
requirements
of
section
6
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
7
this
section
is
limited
to
the
extent
of
the
funds
appropriated
8
in
this
section.
9
3.
Of
the
funds
appropriated
in
this
section,
$216,227
10
is
allocated
for
the
statewide
grant
program
for
child
care
11
resource
and
referral
services
under
section
237A.26
.
A
list
12
of
the
registered
and
licensed
child
care
facilities
operating
13
in
the
area
served
by
a
child
care
resource
and
referral
14
service
shall
be
made
available
to
the
families
receiving
state
15
child
care
assistance
in
that
area.
16
4.
Of
the
funds
appropriated
in
this
section,
$468,487
17
is
allocated
for
child
care
quality
improvement
initiatives
18
including
but
not
limited
to
the
voluntary
quality
rating
19
system
in
accordance
with
section
237A.30
.
20
5.
Of
the
funds
appropriated
in
this
section,
$3,175,000
21
shall
be
credited
to
the
early
childhood
programs
grants
22
account
in
the
early
childhood
Iowa
fund
created
in
section
23
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
24
community-based
early
childhood
programs
targeted
to
children
25
from
birth
through
five
years
of
age
developed
by
early
26
childhood
Iowa
areas
in
accordance
with
approved
community
27
plans
as
provided
in
section
256I.8
.
28
6.
The
department
may
use
any
of
the
funds
appropriated
29
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
30
expanding
child
care
assistance
and
related
programs.
For
31
the
purpose
of
expenditures
of
state
and
federal
child
care
32
funding,
funds
shall
be
considered
obligated
at
the
time
33
expenditures
are
projected
or
are
allocated
to
the
department’s
34
service
areas.
Projections
shall
be
based
on
current
and
35
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projected
caseload
growth,
current
and
projected
provider
1
rates,
staffing
requirements
for
eligibility
determination
2
and
management
of
program
requirements
including
data
systems
3
management,
staffing
requirements
for
administration
of
the
4
program,
contractual
and
grant
obligations
and
any
transfers
5
to
other
state
agencies,
and
obligations
for
decategorization
6
or
innovation
projects.
7
7.
A
portion
of
the
state
match
for
the
federal
child
care
8
and
development
block
grant
shall
be
provided
as
necessary
to
9
meet
federal
matching
funds
requirements
through
the
state
10
general
fund
appropriation
made
for
child
development
grants
11
and
other
programs
for
at-risk
children
in
section
279.51
.
12
8.
If
a
uniform
reduction
ordered
by
the
governor
under
13
section
8.31
or
other
operation
of
law,
transfer,
or
federal
14
funding
reduction
reduces
the
appropriation
made
in
this
15
section
for
the
fiscal
year,
the
percentage
reduction
in
the
16
amount
paid
out
to
or
on
behalf
of
the
families
participating
17
in
the
state
child
care
assistance
program
shall
be
equal
to
or
18
less
than
the
percentage
reduction
made
for
any
other
purpose
19
payable
from
the
appropriation
made
in
this
section
and
the
20
federal
funding
relating
to
it.
The
percentage
reduction
to
21
the
other
allocations
made
in
this
section
shall
be
the
same
as
22
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
23
change
of
the
federal
funding
reduction,
as
applicable.
24
If
there
is
an
unanticipated
increase
in
federal
funding
25
provided
for
state
child
care
assistance,
the
entire
amount
26
of
the
increase
shall
be
used
for
state
child
care
assistance
27
payments.
If
the
appropriations
made
for
purposes
of
the
28
state
child
care
assistance
program
for
the
fiscal
year
are
29
determined
to
be
insufficient,
it
is
the
intent
of
the
general
30
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
31
in
order
to
avoid
establishment
of
waiting
list
requirements.
32
9.
Notwithstanding
section
8.33
,
moneys
advanced
for
33
purposes
of
the
programs
developed
by
early
childhood
Iowa
34
areas,
advanced
for
purposes
of
wraparound
child
care,
or
35
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received
from
the
federal
appropriations
made
for
the
purposes
1
of
this
section
that
remain
unencumbered
or
unobligated
at
the
2
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
3
remain
available
for
expenditure
for
the
purposes
designated
4
until
the
close
of
the
succeeding
fiscal
year.
5
10.
Of
the
funds
appropriated
in
this
section,
$50,000
6
is
transferred
to
the
department
of
public
health
to
be
used
7
to
continue
a
program
to
assist
parents
in
this
state
with
8
costs
resulting
from
the
death
of
a
child
in
accordance
with
9
this
subsection.
If
it
is
less
costly
than
administering
the
10
program
directly,
the
department
shall
issue
a
request
for
11
proposals
and
issue
a
grant
to
an
appropriate
organization
to
12
administer
the
program.
13
a.
The
program
funding
shall
be
used
to
assist
parents
who
14
reside
in
this
state
with
costs
incurred
for
a
funeral,
burial
15
or
cremation,
cemetery
costs,
or
grave
marker
costs
associated
16
with
the
unintended
death
of
a
child
of
the
parent
or
a
child
17
under
the
care
of
a
guardian
or
custodian.
The
department
18
shall
consider
the
following
eligibility
factors
in
developing
19
program
requirements:
20
(1)
The
child
was
a
stillborn
infant
or
was
less
than
age
21
eighteen
at
the
time
of
death.
22
(2)
The
request
for
assistance
was
approved
by
the
local
23
board
or
department
of
health
or
the
county
general
assistance
24
director
and
may
have
been
referred
by
a
local
funeral
home.
25
(3)
To
be
eligible,
the
parent,
guardian,
or
custodian
must
26
have
an
annual
household
income
that
is
less
than
145
percent
27
of
the
federal
poverty
level
based
on
the
number
of
people
28
in
the
applicant’s
household
as
defined
by
the
most
recently
29
revised
poverty
income
guidelines
published
by
the
United
30
States
department
of
health
and
human
services.
31
(4)
The
maximum
amount
of
grant
assistance
provided
to
a
32
parent,
guardian,
or
custodian
associated
with
the
death
of
33
a
child
is
$2,000.
If
the
death
is
a
multiple
death
and
the
34
infants
or
children
are
being
cremated,
or
buried
together,
the
35
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same
limitation
applies.
1
(5)
To
the
extent
the
overall
amount
of
assistance
received
2
by
a
recipient
for
the
costs
addressed
under
this
subsection
3
does
not
exceed
the
overall
total
of
the
costs,
the
recipient
4
may
receive
other
public
or
private
assistance
in
addition
to
5
grant
assistance
under
this
section.
6
b.
Notwithstanding
section
8.33,
moneys
transferred
by
this
7
subsection
that
remain
unencumbered
or
unobligated
at
the
close
8
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
9
for
expenditure
for
the
purposes
designated
until
expended.
10
Sec.
130.
JUVENILE
INSTITUTIONS.
There
is
appropriated
11
from
the
general
fund
of
the
state
to
the
department
of
human
12
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
13
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
14
necessary,
to
be
used
for
the
purposes
designated:
15
1.
For
the
costs
of
security,
building
and
grounds
16
maintenance,
utilities,
salary,
and
support
for
the
facilities
17
located
at
the
Iowa
juvenile
home
at
Toledo
and
for
salaries,
18
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
19
more
than
the
following
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
186,383
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
2.00
22
2.
For
operation
of
the
state
training
school
at
Eldora
and
23
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
24
and
for
not
more
than
the
following
full-time
equivalent
25
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,222,776
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
28
Of
the
funds
appropriated
in
this
subsection,
$45,575
shall
29
be
used
for
distribution
to
licensed
classroom
teachers
at
this
30
and
other
institutions
under
the
control
of
the
department
of
31
human
services
based
upon
the
average
student
yearly
enrollment
32
at
each
institution
as
determined
by
the
department.
33
Sec.
131.
CHILD
AND
FAMILY
SERVICES.
34
1.
There
is
appropriated
from
the
general
fund
of
the
35
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207
S.F.
505
state
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
2
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purpose
designated:
4
For
child
and
family
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,091,090
6
2.
Up
to
$2,600,000
of
the
amount
of
federal
temporary
7
assistance
for
needy
families
block
grant
funding
appropriated
8
in
this
division
of
this
Act
for
child
and
family
services
9
shall
be
made
available
for
purposes
of
juvenile
delinquent
10
graduated
sanction
services.
11
3.
The
department
may
transfer
funds
appropriated
in
this
12
section
as
necessary
to
pay
the
nonfederal
costs
of
services
13
reimbursed
under
the
medical
assistance
program,
state
child
14
care
assistance
program,
or
the
family
investment
program
which
15
are
provided
to
children
who
would
otherwise
receive
services
16
paid
under
the
appropriation
in
this
section.
The
department
17
may
transfer
funds
appropriated
in
this
section
to
the
18
appropriations
made
in
this
division
of
this
Act
for
general
19
administration
and
for
field
operations
for
resources
necessary
20
to
implement
and
operate
the
services
funded
in
this
section.
21
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
22
$17,910,893
is
allocated
as
the
statewide
expenditure
target
23
under
section
232.143
for
group
foster
care
maintenance
and
24
services.
If
the
department
projects
that
such
expenditures
25
for
the
fiscal
year
will
be
less
than
the
target
amount
26
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
27
the
excess
to
provide
additional
funding
for
shelter
care
28
or
the
child
welfare
emergency
services
addressed
with
the
29
allocation
for
shelter
care.
30
b.
If
at
any
time
after
September
30,
2016,
annualization
31
of
a
service
area’s
current
expenditures
indicates
a
service
32
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
33
target
under
section
232.143
by
more
than
5
percent,
the
34
department
and
juvenile
court
services
shall
examine
all
35
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505
group
foster
care
placements
in
that
service
area
in
order
to
1
identify
those
which
might
be
appropriate
for
termination.
2
In
addition,
any
aftercare
services
believed
to
be
needed
3
for
the
children
whose
placements
may
be
terminated
shall
be
4
identified.
The
department
and
juvenile
court
services
shall
5
initiate
action
to
set
dispositional
review
hearings
for
the
6
placements
identified.
In
such
a
dispositional
review
hearing,
7
the
juvenile
court
shall
determine
whether
needed
aftercare
8
services
are
available
and
whether
termination
of
the
placement
9
is
in
the
best
interest
of
the
child
and
the
community.
10
5.
In
accordance
with
the
provisions
of
section
232.188
,
11
the
department
shall
continue
the
child
welfare
and
juvenile
12
justice
funding
initiative
during
fiscal
year
2016-2017.
Of
13
the
funds
appropriated
in
this
section,
$858,877
is
allocated
14
specifically
for
expenditure
for
fiscal
year
2016-2017
through
15
the
decategorization
services
funding
pools
and
governance
16
boards
established
pursuant
to
section
232.188
.
17
6.
A
portion
of
the
funds
appropriated
in
this
section
18
may
be
used
for
emergency
family
assistance
to
provide
other
19
resources
required
for
a
family
participating
in
a
family
20
preservation
or
reunification
project
or
successor
project
to
21
stay
together
or
to
be
reunified.
22
7.
Notwithstanding
section
234.35
or
any
other
provision
23
of
law
to
the
contrary,
state
funding
for
shelter
care
and
24
the
child
welfare
emergency
services
contracting
implemented
25
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
26
limited
to
$4,034,237.
27
8.
Federal
funds
received
by
the
state
during
the
fiscal
28
year
beginning
July
1,
2016,
as
the
result
of
the
expenditure
29
of
state
funds
appropriated
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
services
and
purposes
provided
for
under
this
section.
33
Notwithstanding
section
8.33
,
moneys
received
in
accordance
34
with
this
subsection
that
remain
unencumbered
or
unobligated
at
35
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207
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505
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
1
shall
remain
available
for
the
purposes
designated
until
the
2
close
of
the
succeeding
fiscal
year.
3
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
4
$1,645,000
is
allocated
for
the
payment
of
the
expenses
of
5
court-ordered
services
provided
to
juveniles
who
are
under
6
the
supervision
of
juvenile
court
services,
which
expenses
7
are
a
charge
upon
the
state
pursuant
to
section
232.141,
8
subsection
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
9
up
to
$778,144
shall
be
made
available
to
provide
school-based
10
supervision
of
children
adjudicated
under
chapter
232
,
of
which
11
not
more
than
$7,500
may
be
used
for
the
purpose
of
training.
12
A
portion
of
the
cost
of
each
school-based
liaison
officer
13
shall
be
paid
by
the
school
district
or
other
funding
source
as
14
approved
by
the
chief
juvenile
court
officer.
15
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,493
16
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
17
services
provided
to
children
who
are
under
the
supervision
18
of
the
department,
which
expenses
are
a
charge
upon
the
state
19
pursuant
to
section
232.141,
subsection
4
.
20
c.
Notwithstanding
section
232.141
or
any
other
provision
21
of
law
to
the
contrary,
the
amounts
allocated
in
this
22
subsection
shall
be
distributed
to
the
judicial
districts
23
as
determined
by
the
state
court
administrator
and
to
the
24
department’s
service
areas
as
determined
by
the
administrator
25
of
the
department
of
human
services’
division
of
child
and
26
family
services.
The
state
court
administrator
and
the
27
division
administrator
shall
make
the
determination
of
the
28
distribution
amounts
on
or
before
June
15,
2016.
29
d.
Notwithstanding
chapter
232
or
any
other
provision
of
30
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
31
order
any
service
which
is
a
charge
upon
the
state
pursuant
32
to
section
232.141
if
there
are
insufficient
court-ordered
33
services
funds
available
in
the
district
court
or
departmental
34
service
area
distribution
amounts
to
pay
for
the
service.
The
35
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505
chief
juvenile
court
officer
and
the
departmental
service
area
1
manager
shall
encourage
use
of
the
funds
allocated
in
this
2
subsection
such
that
there
are
sufficient
funds
to
pay
for
3
all
court-related
services
during
the
entire
year.
The
chief
4
juvenile
court
officers
and
departmental
service
area
managers
5
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
6
in
the
distribution
amounts
and
shall
cooperatively
request
the
7
state
court
administrator
or
division
administrator
to
transfer
8
funds
between
the
judicial
districts’
or
departmental
service
9
areas’
distribution
amounts
as
prudent.
10
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
11
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
12
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
13
entered
under
chapter
232
which
is
a
charge
upon
the
state
14
under
section
232.141,
subsection
4
.
15
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
16
$41,500
may
be
used
by
the
judicial
branch
for
administration
17
of
the
requirements
under
this
subsection.
18
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
19
shall
be
used
by
the
department
of
human
services
to
support
20
the
interstate
commission
for
juveniles
in
accordance
with
21
the
interstate
compact
for
juveniles
as
provided
in
section
22
232.173
.
23
10.
Of
the
funds
appropriated
in
this
section,
$4,026,614
is
24
allocated
for
juvenile
delinquent
graduated
sanctions
services.
25
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
26
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
27
services
administration
may
be
used
for
the
juvenile
delinquent
28
graduated
sanctions
services.
29
11.
Of
the
funds
appropriated
in
this
section,
$804,143
is
30
transferred
to
the
department
of
public
health
to
be
used
for
31
the
child
protection
center
grant
program
for
child
protection
32
centers
located
in
Iowa
in
accordance
with
section
135.118
.
33
The
grant
amounts
under
the
program
shall
be
equalized
so
that
34
each
center
receives
a
uniform
base
amount
of
$122,500,
and
35
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207
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505
the
remaining
funds
shall
be
awarded
through
a
funding
formula
1
based
upon
the
volume
of
children
served.
2
12.
If
the
department
receives
federal
approval
to
3
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
4
Security
Act
to
enable
providers
to
serve
children
who
remain
5
in
the
children’s
families
and
communities,
for
purposes
of
6
eligibility
under
the
medical
assistance
program
through
25
7
years
of
age,
children
who
participate
in
the
waiver
shall
be
8
considered
to
be
placed
in
foster
care.
9
13.
Of
the
funds
appropriated
in
this
section,
$2,012,584
is
10
allocated
for
the
preparation
for
adult
living
program
pursuant
11
to
section
234.46
.
12
14.
Of
the
funds
appropriated
in
this
section,
$260,075
13
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
14
in
this
subsection
shall
be
distributed
as
follows:
15
To
the
judicial
branch
for
salaries
to
assist
with
the
16
operation
of
juvenile
drug
court
programs
operated
in
the
17
following
jurisdictions:
18
a.
Marshall
county:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,354
20
b.
Woodbury
county:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,841
22
c.
Polk
county:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
97,946
24
d.
The
third
judicial
district:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
26
e.
The
eighth
judicial
district:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,967
28
15.
Of
the
funds
appropriated
in
this
section,
$113,669
29
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
30
a
nonprofit
human
services
organization
providing
services
to
31
individuals
and
families
in
multiple
locations
in
southwest
32
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
33
sensitive
support
and
forensic
interviews,
medical
exams,
needs
34
assessments,
and
referrals
for
victims
of
child
abuse
and
their
35
-170-
LSB
2653SV
(2)
86
pf/rj
170/
207
S.F.
505
nonoffending
family
members.
1
16.
Of
the
funds
appropriated
in
this
section,
$150,310
2
is
allocated
for
the
foster
care
youth
council
approach
of
3
providing
a
support
network
to
children
placed
in
foster
care.
4
17.
Of
the
funds
appropriated
in
this
section,
$101,000
is
5
allocated
for
use
pursuant
to
section
235A.1
for
continuation
6
of
the
initiative
to
address
child
sexual
abuse
implemented
7
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
8
21.
9
18.
Of
the
funds
appropriated
in
this
section,
$315,120
is
10
allocated
for
the
community
partnership
for
child
protection
11
sites.
12
19.
Of
the
funds
appropriated
in
this
section,
$185,625
13
is
allocated
for
the
department’s
minority
youth
and
family
14
projects
under
the
redesign
of
the
child
welfare
system.
15
20.
Of
the
funds
appropriated
in
this
section,
$593,298
16
is
allocated
for
funding
of
the
community
circle
of
care
17
collaboration
for
children
and
youth
in
northeast
Iowa.
18
21.
Of
the
funds
appropriated
in
this
section,
at
least
19
$73,579
shall
be
used
for
the
continuation
of
the
child
20
welfare
provider
training
academy,
a
collaboration
between
the
21
coalition
for
family
and
children’s
services
in
Iowa
and
the
22
department.
23
22.
Of
the
funds
appropriated
in
this
section,
$12,500
24
shall
be
used
for
the
public
purpose
of
continuation
of
a
25
grant
to
a
child
welfare
services
provider
headquartered
in
a
26
county
with
a
population
between
205,000
and
215,000
in
the
27
latest
certified
federal
census
that
provides
multiple
services
28
including
but
not
limited
to
a
psychiatric
medical
institution
29
for
children,
shelter,
residential
treatment,
after
school
30
programs,
school-based
programming,
and
an
Asperger’s
syndrome
31
program,
to
be
used
for
support
services
for
children
with
32
autism
spectrum
disorder
and
their
families.
33
23.
Of
the
funds
appropriated
in
this
section,
$12,500
34
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
35
-171-
LSB
2653SV
(2)
86
pf/rj
171/
207
S.F.
505
a
hospital-based
provider
headquartered
in
a
county
with
a
1
population
between
90,000
and
95,000
in
the
latest
certified
2
federal
census
that
provides
multiple
services
including
3
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
4
services
to
individuals
with
autism
spectrum
disorder
across
5
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
6
to
continue
the
pilot
project
to
determine
the
necessary
7
support
services
for
children
with
autism
spectrum
disorder
and
8
their
families
to
be
included
in
the
children’s
disabilities
9
services
system.
The
grant
recipient
shall
submit
findings
and
10
recommendations
based
upon
the
results
of
the
pilot
project
11
to
the
individuals
specified
in
this
division
of
this
Act
for
12
submission
of
reports
by
December
31,
2016.
13
24.
Of
the
funds
appropriated
in
this
section,
$105,936
14
shall
be
used
for
continuation
of
the
central
Iowa
system
of
15
care
program
grant
through
June
30,
2017.
16
25.
Of
the
funds
appropriated
in
this
section,
$125,000
17
shall
be
used
for
the
public
purpose
of
the
continuation
18
and
expansion
of
a
system
of
care
program
grant
implemented
19
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
20
and
long-term
approach
for
helping
children
and
families
by
21
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
22
needs,
education
and
work,
family,
and
community.
23
26.
Of
the
funds
appropriated
in
this
section,
at
least
24
$12,500
shall
be
used
to
continue
and
to
expand
the
foster
25
care
respite
pilot
program
in
which
postsecondary
students
in
26
social
work
and
other
human
services-related
programs
receive
27
experience
by
assisting
family
foster
care
providers
with
28
respite
and
other
support.
29
27.
Of
the
funds
appropriated
in
this
section,
$55,000
30
shall
be
used
for
the
public
purpose
of
funding
community-based
31
services
and
other
supports
with
a
system
of
care
approach
32
for
children
with
a
serious
emotional
disturbance
and
their
33
families
through
a
nonprofit
provider
of
child
welfare
services
34
that
has
been
in
existence
for
more
than
115
years,
is
located
35
-172-
LSB
2653SV
(2)
86
pf/rj
172/
207
S.F.
505
in
a
county
with
a
population
of
more
than
200,000
but
less
1
than
220,000
according
to
the
latest
census
information
2
issued
by
the
United
States
census
bureau,
is
licensed
as
a
3
psychiatric
medical
institution
for
children,
and
was
a
system
4
of
care
grantee
prior
to
July
1,
2016.
5
Sec.
132.
ADOPTION
SUBSIDY.
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
adoption
subsidy
payments
and
services:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,499,143
13
2.
The
department
may
transfer
funds
appropriated
in
14
this
section
to
the
appropriation
made
in
this
division
of
15
this
Act
for
general
administration
for
costs
paid
from
the
16
appropriation
relating
to
adoption
subsidy.
17
3.
Federal
funds
received
by
the
state
during
the
18
fiscal
year
beginning
July
1,
2016,
as
the
result
of
the
19
expenditure
of
state
funds
during
a
previous
state
fiscal
20
year
for
a
service
or
activity
funded
under
this
section
are
21
appropriated
to
the
department
to
be
used
as
additional
funding
22
for
the
services
and
activities
funded
under
this
section.
23
Notwithstanding
section
8.33
,
moneys
received
in
accordance
24
with
this
subsection
that
remain
unencumbered
or
unobligated
25
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
26
but
shall
remain
available
for
expenditure
for
the
purposes
27
designated
until
the
close
of
the
succeeding
fiscal
year.
28
Sec.
133.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
29
in
the
juvenile
detention
home
fund
created
in
section
232.142
30
during
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
31
30,
2017,
are
appropriated
to
the
department
of
human
services
32
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
33
2017,
for
distribution
of
an
amount
equal
to
a
percentage
of
34
the
costs
of
the
establishment,
improvement,
operation,
and
35
-173-
LSB
2653SV
(2)
86
pf/rj
173/
207
S.F.
505
maintenance
of
county
or
multicounty
juvenile
detention
homes
1
in
the
fiscal
year
beginning
July
1,
2015.
Moneys
appropriated
2
for
distribution
in
accordance
with
this
section
shall
be
3
allocated
among
eligible
detention
homes,
prorated
on
the
basis
4
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
5
eligible
detention
homes
in
the
fiscal
year
beginning
July
6
1,
2015.
The
percentage
figure
shall
be
determined
by
the
7
department
based
on
the
amount
available
for
distribution
for
8
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
9
financial
aid
payable
by
the
state
under
that
provision
for
the
10
fiscal
year
beginning
July
1,
2016,
shall
be
limited
to
the
11
amount
appropriated
for
the
purposes
of
this
section.
12
Sec.
134.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
13
1.
There
is
appropriated
from
the
general
fund
of
the
14
state
to
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
16
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purpose
designated:
18
For
the
family
support
subsidy
program
subject
to
the
19
enrollment
restrictions
in
section
225C.37,
subsection
3
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
536,966
21
2.
The
department
shall
use
at
least
$320,750
of
the
moneys
22
appropriated
in
this
section
for
the
family
support
center
23
component
of
the
comprehensive
family
support
program
under
24
section
225C.47
.
Not
more
than
$12,500
of
the
amount
allocated
25
in
this
subsection
shall
be
used
for
administrative
costs.
26
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
27
funding
available
for
the
family
support
subsidy
program
28
is
reduced
from
the
amount
initially
used
to
establish
the
29
figure
for
the
number
of
family
members
for
whom
a
subsidy
30
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
31
notwithstanding
section
225C.38,
subsection
2
,
the
department
32
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
33
of
funding
available.
34
Sec.
135.
CONNER
DECREE.
There
is
appropriated
from
the
35
-174-
LSB
2653SV
(2)
86
pf/rj
174/
207
S.F.
505
general
fund
of
the
state
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purpose
designated:
4
For
building
community
capacity
through
the
coordination
5
and
provision
of
training
opportunities
in
accordance
with
the
6
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
7
Iowa,
July
14,
1994):
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
9
Sec.
136.
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:
14
1.
For
the
state
mental
health
institute
at
Cherokee
for
15
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
16
for
not
more
than
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,772,808
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
19
2.
For
the
state
mental
health
institute
at
Clarinda
for
20
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
21
for
not
more
than
the
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
906,450
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
24
3.
For
the
state
mental
health
institute
at
Independence
for
25
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
26
for
not
more
than
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,195,387
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
29
Sec.
137.
STATE
RESOURCE
CENTERS.
30
1.
There
is
appropriated
from
the
general
fund
of
the
31
state
to
the
department
of
human
services
for
the
fiscal
year
32
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
33
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
34
purposes
designated:
35
-175-
LSB
2653SV
(2)
86
pf/rj
175/
207
S.F.
505
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
1
support,
maintenance,
and
miscellaneous
purposes:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,012,241
3
b.
For
the
state
resource
center
at
Woodward
for
salaries,
4
support,
maintenance,
and
miscellaneous
purposes:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,466,903
6
2.
The
department
may
continue
to
bill
for
state
resource
7
center
services
utilizing
a
scope
of
services
approach
used
for
8
private
providers
of
intermediate
care
facilities
for
persons
9
with
an
intellectual
disability
services,
in
a
manner
which
10
does
not
shift
costs
between
the
medical
assistance
program,
11
counties,
or
other
sources
of
funding
for
the
state
resource
12
centers.
13
3.
The
state
resource
centers
may
expand
the
time-limited
14
assessment
and
respite
services
during
the
fiscal
year.
15
4.
If
the
department’s
administration
and
the
department
16
of
management
concur
with
a
finding
by
a
state
resource
17
center’s
superintendent
that
projected
revenues
can
reasonably
18
be
expected
to
pay
the
salary
and
support
costs
for
a
new
19
employee
position,
or
that
such
costs
for
adding
a
particular
20
number
of
new
positions
for
the
fiscal
year
would
be
less
21
than
the
overtime
costs
if
new
positions
would
not
be
added,
22
the
superintendent
may
add
the
new
position
or
positions.
If
23
the
vacant
positions
available
to
a
resource
center
do
not
24
include
the
position
classification
desired
to
be
filled,
the
25
state
resource
center’s
superintendent
may
reclassify
any
26
vacant
position
as
necessary
to
fill
the
desired
position.
The
27
superintendents
of
the
state
resource
centers
may,
by
mutual
28
agreement,
pool
vacant
positions
and
position
classifications
29
during
the
course
of
the
fiscal
year
in
order
to
assist
one
30
another
in
filling
necessary
positions.
31
5.
If
existing
capacity
limitations
are
reached
in
32
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
33
a
special
need
for
which
a
payment
source
or
other
funding
34
is
available
for
the
service
or
to
address
the
special
need,
35
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and
facilities
for
the
service
or
to
address
the
special
need
1
can
be
provided
within
the
available
payment
source
or
other
2
funding,
the
superintendent
of
a
state
resource
center
may
3
authorize
opening
not
more
than
two
units
or
other
facilities
4
and
begin
implementing
the
service
or
addressing
the
special
5
need
during
fiscal
year
2016-2017.
6
Sec.
138.
SEXUALLY
VIOLENT
PREDATORS.
7
1.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
For
costs
associated
with
the
commitment
and
treatment
of
13
sexually
violent
predators
in
the
unit
located
at
the
state
14
mental
health
institute
at
Cherokee,
including
costs
of
legal
15
services
and
other
associated
costs,
including
salaries,
16
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
17
more
than
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,946,540
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
20
2.
Unless
specifically
prohibited
by
law,
if
the
amount
21
charged
provides
for
recoupment
of
at
least
the
entire
amount
22
of
direct
and
indirect
costs,
the
department
of
human
services
23
may
contract
with
other
states
to
provide
care
and
treatment
24
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
25
violent
predators
at
Cherokee.
The
moneys
received
under
26
such
a
contract
shall
be
considered
to
be
repayment
receipts
27
and
used
for
the
purposes
of
the
appropriation
made
in
this
28
section.
29
Sec.
139.
FIELD
OPERATIONS.
There
is
appropriated
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
32
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
33
to
be
used
for
the
purposes
designated:
34
For
field
operations,
including
salaries,
support,
35
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maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
1
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,460,488
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
4
1.
As
a
condition
of
this
appropriation,
the
department
5
shall
make
every
possible
effort
to
fill
the
entire
number
of
6
positions
authorized
by
this
section
and,
unless
specifically
7
provided
otherwise
by
an
applicable
collective
bargaining
8
agreement,
the
department
is
not
subject
to
any
approval
9
requirement
external
to
the
department
to
fill
a
field
10
operations
vacancy
within
the
number
of
full-time
equivalent
11
positions
authorized
by
this
section.
The
department
shall
12
report
on
the
first
of
each
month
to
the
chairpersons
and
13
ranking
members
of
the
appropriations
committees
of
the
senate
14
and
house
of
representatives,
and
the
persons
designated
by
15
this
Act
for
submission
of
reports
concerning
the
status
of
16
filling
the
positions.
17
2.
Priority
in
filling
full-time
equivalent
positions
18
shall
be
given
to
those
positions
related
to
child
protection
19
services
and
eligibility
determination
for
low-income
families.
20
Sec.
140.
GENERAL
ADMINISTRATION.
There
is
appropriated
21
from
the
general
fund
of
the
state
to
the
department
of
human
22
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
23
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purpose
designated:
25
For
general
administration,
including
salaries,
support,
26
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
27
the
following
full-time
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,580,871
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
30
1.
Of
the
funds
appropriated
in
this
section,
$19,272
is
31
allocated
for
the
prevention
of
disabilities
policy
council
32
created
in
section
225B.103,
if
enacted
in
this
or
any
other
33
Act.
34
2.
The
department
shall
report
at
least
monthly
to
the
35
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505
legislative
services
agency
concerning
the
department’s
1
operational
and
program
expenditures.
2
3.
Of
the
funds
appropriated
in
this
section,
$75,000
shall
3
be
used
to
continue
the
contract
for
the
provision
of
a
program
4
to
provide
technical
assistance,
support,
and
consultation
to
5
providers
of
habilitation
services
and
home
and
community-based
6
services
waiver
services
for
adults
with
disabilities
under
the
7
medical
assistance
program.
8
4.
Of
the
funds
appropriated
in
this
section,
$25,000
9
is
transferred
to
the
Iowa
finance
authority
to
be
used
10
for
administrative
support
of
the
council
on
homelessness
11
established
in
section
16.2D
and
for
the
council
to
fulfill
its
12
duties
in
addressing
and
reducing
homelessness
in
the
state.
13
5.
Of
the
funds
appropriated
in
this
section,
$125,000
14
is
allocated
to
an
Iowa
food
bank
association
selected
by
15
the
department
for
the
purchase
of
food
on
behalf
of
an
Iowa
16
emergency
feeding
organization
or
for
the
distribution
of
17
moneys
to
the
Iowa
emergency
feeding
organization
for
the
18
purchase
of
food.
The
moneys
allocated
in
this
subsection
19
shall
be
allocated
only
to
the
extent
that
the
allocated
moneys
20
are
matched
on
a
dollar-for-dollar
basis.
Notwithstanding
21
section
8.33,
moneys
allocated
in
this
subsection
that
remain
22
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
23
shall
not
revert
but
shall
remain
available
for
expenditure
for
24
the
purposes
designated
until
the
close
of
the
following
fiscal
25
year.
26
6.
Of
the
funds
appropriated
in
this
section,
$125,000
shall
27
be
transferred
to
and
deposited
in
the
administrative
fund
of
28
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4,
if
29
enacted
in
this
or
any
other
Act,
to
be
used
for
implementation
30
and
administration
activities
of
the
Iowa
ABLE
savings
plan
31
trust.
32
Sec.
141.
VOLUNTEERS.
There
is
appropriated
from
the
33
general
fund
of
the
state
to
the
department
of
human
services
34
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
35
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207
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505
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
1
to
be
used
for
the
purpose
designated:
2
For
development
and
coordination
of
volunteer
services:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
4
Sec.
142.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
5
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
6
DEPARTMENT
OF
HUMAN
SERVICES.
7
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
8
the
total
state
funding
amount
for
the
nursing
facility
budget
9
shall
not
exceed
$160,950,003.
10
(2)
The
department,
in
cooperation
with
nursing
facility
11
representatives,
shall
review
projections
for
state
funding
12
expenditures
for
reimbursement
of
nursing
facilities
on
a
13
quarterly
basis
and
the
department
shall
determine
if
an
14
adjustment
to
the
medical
assistance
reimbursement
rate
is
15
necessary
in
order
to
provide
reimbursement
within
the
state
16
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
17
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
18
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
19
if
the
state
funding
expenditures
for
the
nursing
facility
20
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
21
specified
in
subparagraph
(1),
the
department
shall
adjust
22
the
reimbursement
for
nursing
facilities
reimbursed
under
the
23
case-mix
reimbursement
system
to
maintain
expenditures
of
the
24
nursing
facility
budget
within
the
specified
amount
for
the
25
fiscal
year.
26
(3)
For
the
fiscal
year
beginning
July
1,
2016,
special
27
population
nursing
facilities
shall
be
reimbursed
in
accordance
28
with
the
methodology
in
effect
on
June
30,
2016.
29
(4)
For
any
open
or
unsettled
nursing
facility
cost
report
30
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
31
beginning
July
1,
2015,
including
any
cost
report
remanded
on
32
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
33
or
x-ray
costs,
the
department
shall
offset
all
reported
34
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
35
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received
from
Medicare
or
other
revenue
source
for
any
purpose.
1
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
2
report
is
not
considered
open
or
unsettled
if
the
facility
did
3
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
4
any
appeal
rights
initiated
have
been
exhausted.
5
b.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
6
the
department
shall
establish
the
pharmacy
dispensing
fee
7
reimbursement
at
$11.73
per
prescription,
until
a
cost
of
8
dispensing
survey
is
completed.
The
actual
dispensing
fee
9
shall
be
determined
by
a
cost
of
dispensing
survey
performed
10
by
the
department
and
required
to
be
completed
by
all
medical
11
assistance
program
participating
pharmacies
every
two
years,
12
adjusted
as
necessary
to
maintain
expenditures
within
the
13
amount
appropriated
to
the
department
for
this
purpose
for
the
14
fiscal
year.
15
(2)
The
department
shall
utilize
an
average
acquisition
16
cost
reimbursement
methodology
for
all
drugs
covered
under
the
17
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
18
chapter
1133,
section
33.
19
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
20
Medicare
and
Medicaid
services
of
the
United
States
department
21
of
health
and
human
services
(CMS)
requires,
as
a
condition
22
of
federal
Medicaid
funding,
that
the
department
implement
an
23
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
24
based
on
the
average
manufacturer’s
price
(AMP),
the
department
25
may
utilize
a
reimbursement
methodology
for
all
drugs
covered
26
under
the
Medicaid
program
based
on
the
national
average
drug
27
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
28
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
29
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
30
administrative
costs,
and
minimize
any
change
in
the
aggregate
31
reimbursement
for
drugs.
The
department
may
adopt
emergency
32
rules
to
implement
this
subparagraph.
33
c.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
34
reimbursement
rates
for
outpatient
hospital
services
shall
35
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505
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
1
to
Medicaid
program
upper
payment
limit
rules
and
adjusted
2
as
necessary
to
maintain
expenditures
within
the
amount
3
appropriated
to
the
department
for
this
purpose
for
the
fiscal
4
year.
5
(2)
For
the
fiscal
year
beginning
July
1,
2016,
6
reimbursement
rates
for
inpatient
hospital
services
shall
7
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
8
to
Medicaid
program
upper
payment
limit
rules
and
adjusted
9
as
necessary
to
maintain
expenditures
within
the
amount
10
appropriated
to
the
department
for
this
purpose
for
the
fiscal
11
year.
12
(3)
For
the
fiscal
year
beginning
July
1,
2016,
the
graduate
13
medical
education
and
disproportionate
share
hospital
fund
14
shall
remain
at
the
amount
in
effect
on
June
30,
2016,
except
15
that
the
portion
of
the
fund
attributable
to
graduate
medical
16
education
shall
be
reduced
in
an
amount
that
reflects
the
17
elimination
of
graduate
medical
education
payments
made
to
18
out-of-state
hospitals.
19
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
20
funds
in
procuring
health
care
services
for
low-income
Iowans,
21
funds
appropriated
in
this
Act
for
hospital
services
shall
22
not
be
used
for
activities
which
would
be
excluded
from
a
23
determination
of
reasonable
costs
under
the
federal
Medicare
24
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
25
d.
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
26
rates
for
rural
health
clinics,
hospices,
and
acute
mental
27
hospitals
shall
be
increased
in
accordance
with
increases
under
28
the
federal
Medicare
program
or
as
supported
by
their
Medicare
29
audited
costs.
30
e.
For
the
fiscal
year
beginning
July
1,
2016,
independent
31
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
32
using
the
same
methodology
in
effect
on
June
30,
2016.
33
f.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
34
reimbursement
rates
for
home
health
agencies
shall
continue
to
35
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be
based
on
the
Medicare
low
utilization
payment
adjustment
1
(LUPA)
methodology
with
state
geographic
wage
adjustments,
and
2
updated
to
reflect
the
most
recent
Medicare
LUPA
rates.
3
(2)
For
the
fiscal
year
beginning
July
1,
2016,
rates
for
4
private
duty
nursing
and
personal
care
services
under
the
early
5
and
periodic
screening,
diagnostic,
and
treatment
program
6
benefit
shall
be
calculated
based
on
the
methodology
in
effect
7
on
June
30,
2016.
8
g.
For
the
fiscal
year
beginning
July
1,
2016,
federally
9
qualified
health
centers
shall
receive
cost-based
reimbursement
10
for
100
percent
of
the
reasonable
costs
for
the
provision
of
11
services
to
recipients
of
medical
assistance.
12
h.
For
the
fiscal
year
beginning
July
1,
2016,
the
13
reimbursement
rates
for
dental
services
shall
remain
at
the
14
rates
in
effect
on
June
30,
2016.
15
i.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
16
state-owned
psychiatric
medical
institutions
for
children
shall
17
receive
cost-based
reimbursement
for
100
percent
of
the
actual
18
and
allowable
costs
for
the
provision
of
services
to
recipients
19
of
medical
assistance.
20
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
21
for
children,
reimbursement
rates
shall
be
based
on
the
22
reimbursement
methodology
developed
by
the
department
as
23
required
for
federal
compliance.
24
(3)
As
a
condition
of
participation
in
the
medical
25
assistance
program,
enrolled
providers
shall
accept
the
medical
26
assistance
reimbursement
rate
for
any
covered
goods
or
services
27
provided
to
recipients
of
medical
assistance
who
are
children
28
under
the
custody
of
a
psychiatric
medical
institution
for
29
children.
30
j.
For
the
fiscal
year
beginning
July
1,
2016,
unless
31
otherwise
specified
in
this
Act,
all
noninstitutional
medical
32
assistance
provider
reimbursement
rates
shall
remain
at
the
33
rates
in
effect
on
June
30,
2016,
except
for
area
education
34
agencies,
local
education
agencies,
infant
and
toddler
35
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services
providers,
home
and
community-based
services
providers
1
including
consumer-directed
attendant
care
providers
under
a
2
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
3
providers,
and
those
providers
whose
rates
are
required
to
be
4
determined
pursuant
to
section
249A.20
.
5
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
6
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
7
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
8
30,
2016.
9
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
10
beginning
July
1,
2016,
the
average
reimbursement
rate
for
11
health
care
providers
eligible
for
use
of
the
federal
Medicare
12
resource-based
relative
value
scale
reimbursement
methodology
13
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
14
June
30,
2016;
however,
this
rate
shall
not
exceed
the
maximum
15
level
authorized
by
the
federal
government.
16
m.
For
the
fiscal
year
beginning
July
1,
2016,
the
17
reimbursement
rate
for
residential
care
facilities
shall
not
18
be
less
than
the
minimum
payment
level
as
established
by
the
19
federal
government
to
meet
the
federally
mandated
maintenance
20
of
effort
requirement.
The
flat
reimbursement
rate
for
21
facilities
electing
not
to
file
annual
cost
reports
shall
not
22
be
less
than
the
minimum
payment
level
as
established
by
the
23
federal
government
to
meet
the
federally
mandated
maintenance
24
of
effort
requirement.
25
n.
For
the
fiscal
year
beginning
July
1,
2016,
the
26
reimbursement
rates
for
inpatient
mental
health
services
27
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
28
June
30,
2016,
subject
to
Medicaid
program
upper
payment
limit
29
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
30
assistance
program
fee-for-service
rate
in
effect
on
June
30,
31
2016.
32
o.
For
the
fiscal
year
beginning
July
1,
2016,
community
33
mental
health
centers
may
choose
to
be
reimbursed
for
the
34
services
provided
to
recipients
of
medical
assistance
through
35
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either
of
the
following
options:
1
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
2
(2)
In
accordance
with
the
alternative
reimbursement
rate
3
methodology
established
by
the
medical
assistance
program’s
4
managed
care
contractor
for
mental
health
services
and
approved
5
by
the
department
of
human
services.
6
p.
For
the
fiscal
year
beginning
July
1,
2016,
the
7
reimbursement
rate
for
providers
of
family
planning
services
8
that
are
eligible
to
receive
a
90
percent
federal
match
shall
9
remain
at
the
rates
in
effect
on
June
30,
2016.
10
q.
For
the
fiscal
year
beginning
July
1,
2016,
the
upper
11
limits
on
reimbursement
rates
for
providers
of
home
and
12
community-based
services
waiver
services
shall
remain
at
the
13
limits
in
effect
on
June
30,
2016.
14
r.
For
the
fiscal
year
beginning
July
1,
2016,
the
15
reimbursement
rates
for
emergency
medical
service
providers
16
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
17
s.
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
18
rates
for
substance-related
disorder
treatment
programs
19
licensed
under
section
125.13
shall
remain
at
the
rates
in
20
effect
on
June
30,
2016.
21
2.
For
the
fiscal
year
beginning
July
1,
2016,
the
22
reimbursement
rate
for
providers
reimbursed
under
the
23
in-home-related
care
program
shall
not
be
less
than
the
minimum
24
payment
level
as
established
by
the
federal
government
to
meet
25
the
federally
mandated
maintenance
of
effort
requirement.
26
3.
Unless
otherwise
directed
in
this
section,
when
the
27
department’s
reimbursement
methodology
for
any
provider
28
reimbursed
in
accordance
with
this
section
includes
an
29
inflation
factor,
this
factor
shall
not
exceed
the
amount
30
by
which
the
consumer
price
index
for
all
urban
consumers
31
increased
during
the
calendar
year
ending
December
31,
2002.
32
4.
For
the
fiscal
year
beginning
July
1,
2016,
the
foster
33
family
basic
daily
maintenance
rate
and
the
maximum
adoption
34
subsidy
rate
for
children
ages
0
through
5
years
shall
be
35
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$16.78,
the
rate
for
children
ages
6
through
11
years
shall
be
1
$17.45,
the
rate
for
children
ages
12
through
15
years
shall
2
be
$19.10,
and
the
rate
for
children
and
young
adults
ages
16
3
and
older
shall
be
$19.35.
For
youth
ages
18
to
21
who
have
4
exited
foster
care,
the
preparation
for
adult
living
program
5
maintenance
rate
shall
be
$602.70
per
month.
The
maximum
6
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
7
limited
to
$500
and
the
disallowance
of
additional
amounts
8
for
court
costs
and
other
related
legal
expenses
implemented
9
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408,
shall
10
be
continued.
11
5.
For
the
fiscal
year
beginning
July
1,
2016,
the
maximum
12
reimbursement
rates
for
social
services
providers
under
13
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
14
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
15
each
service,
whichever
is
less.
However,
if
a
new
service
16
or
service
provider
is
added
after
June
30,
2016,
the
initial
17
reimbursement
rate
for
the
service
or
provider
shall
be
based
18
upon
a
weighted
average
of
provider
rates
for
similar
services.
19
6.
For
the
fiscal
year
beginning
July
1,
2016,
the
20
reimbursement
rates
for
resource
family
recruitment
and
21
retention
contractors,
child
welfare
emergency
services
22
contractors,
and
supervised
apartment
living
foster
care
23
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
24
7.
For
the
fiscal
year
beginning
July
1,
2016,
the
25
reimbursement
rate
for
safety
plan
services
and
family
safety,
26
risk,
and
permanency
services
(family-centered)
shall
be
as
27
follows:
28
a.
The
statewide
base
monthly
payment
amount
for
all
29
family
safety,
risk,
and
permanency
services
(family-centered)
30
contractors
shall
be
the
rate
in
effect
on
June
30,
2016.
31
(1)
Family
safety,
risk,
and
permanency
services
32
Performance
Measure
1
payments
shall
be
the
rate
in
effect
on
33
June
30,
2016.
34
(2)
Family
safety,
risk,
and
permanency
services
35
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Performance
Measure
2
payments
shall
be
the
rate
in
effect
on
1
June
30,
2016.
2
(3)
Family
safety,
risk,
and
permanency
services
3
Performance
Measure
3
payments
shall
be
the
rate
in
effect
on
4
June
30,
2016.
5
(4)
Family
safety,
risk,
and
permanency
services
6
Performance
Measure
4
payments
shall
be
the
rate
in
effect
on
7
June
30,
2016.
8
b.
The
maximum
reimbursement
unit
rate
for
safety
plan
9
services
shall
be
the
rate
in
effect
on
June
30,
2016.
10
(1)
Safety
plan
services
Performance
Measure
1
payments
11
shall
be
the
rate
in
effect
on
June
30,
2016.
12
(2)
Safety
plan
services
Performance
Measure
2
payments
13
shall
be
the
rate
in
effect
on
June
30,
2016.
14
8.
a.
For
the
purposes
of
this
subsection,
“combined
15
reimbursement
rate”
means
the
combined
service
and
maintenance
16
reimbursement
rate
for
a
service
level
under
the
department’s
17
reimbursement
methodology.
Effective
July
1,
2016,
the
18
combined
reimbursement
rate
for
a
group
foster
care
service
19
level
shall
be
the
amount
designated
in
this
subsection.
20
However,
if
a
group
foster
care
provider’s
reimbursement
rate
21
for
a
service
level
as
of
June
30,
2016,
is
more
than
the
rate
22
designated
in
this
subsection,
the
provider’s
reimbursement
23
shall
remain
at
the
higher
rate.
24
b.
Unless
a
group
foster
care
provider
is
subject
to
the
25
exception
provided
in
paragraph
“a”,
effective
July
1,
2016,
26
the
combined
reimbursement
rates
for
the
service
levels
under
27
the
department’s
reimbursement
methodology
shall
be
as
follows:
28
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
29
be
at
least
$84.17.
30
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
31
shall
be
at
least
$119.09.
32
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
33
be
at
least
$131.09.
34
9.
The
group
foster
care
reimbursement
rates
paid
for
35
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placement
of
children
out
of
state
shall
be
calculated
1
according
to
the
same
rate-setting
principles
as
those
used
for
2
in-state
providers,
unless
the
director
of
human
services
or
3
the
director’s
designee
determines
that
appropriate
care
cannot
4
be
provided
within
the
state.
The
payment
of
the
daily
rate
5
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
6
which
service
is
provided.
7
10.
a.
For
the
fiscal
year
beginning
July
1,
2016,
the
8
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
9
emergency
services
implemented
to
provide
or
prevent
the
need
10
for
shelter
care
shall
be
established
by
contract.
11
b.
For
the
fiscal
year
beginning
July
1,
2016,
the
combined
12
service
and
maintenance
components
of
the
reimbursement
rate
13
paid
for
shelter
care
services
shall
be
based
on
the
financial
14
and
statistical
report
submitted
to
the
department.
The
15
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
16
department
shall
reimburse
a
shelter
care
provider
at
the
17
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
18
to
exceed
the
maximum
reimbursement
rate.
19
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
20
fiscal
year
beginning
July
1,
2016,
the
amount
of
the
statewide
21
average
of
the
actual
and
allowable
rates
for
reimbursement
of
22
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
23
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
24
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
25
2015.
26
11.
For
the
fiscal
year
beginning
July
1,
2016,
the
27
department
shall
calculate
reimbursement
rates
for
intermediate
28
care
facilities
for
persons
with
an
intellectual
disability
29
at
the
80th
percentile.
Beginning
July
1,
2016,
the
rate
30
calculation
methodology
shall
utilize
the
consumer
price
index
31
inflation
factor
applicable
to
the
fiscal
year
beginning
July
32
1,
2016.
33
12.
For
the
fiscal
year
beginning
July
1,
2016,
for
child
34
care
providers
reimbursed
under
the
state
child
care
assistance
35
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program,
the
department
shall
set
provider
reimbursement
1
rates
based
on
the
rate
reimbursement
survey
completed
in
2
December
2004.
Effective
July
1,
2016,
the
child
care
provider
3
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
4
30,
2016.
The
department
shall
set
rates
in
a
manner
so
as
5
to
provide
incentives
for
a
nonregistered
provider
to
become
6
registered
by
applying
the
increase
only
to
registered
and
7
licensed
providers.
8
13.
For
the
fiscal
year
beginning
July
1,
2016,
if
the
9
centers
for
Medicare
and
Medicaid
services
of
the
United
10
States
department
of
health
and
human
services
approves
the
11
waivers
necessary
to
implement
medical
assistance
program
12
managed
care
applicable
to
any
providers
or
services
subject
to
13
reimbursement
under
this
section,
notwithstanding
any
provision
14
to
the
contrary
under
this
section,
affected
providers
or
15
services
shall
instead
be
reimbursed
as
follows:
16
a.
For
fee-for-service
claims,
reimbursement
rates
shall
17
be
calculated
based
on
the
methodology
otherwise
specified
in
18
this
section
for
the
fiscal
year
beginning
July
1,
2016,
for
19
the
respective
provider
or
service.
20
b.
For
claims
subject
to
a
managed
care
contract,
21
reimbursement
shall
be
based
on
the
actuarially
sound
22
capitation
rates
established
under
the
contract.
However,
23
any
reimbursement
established
under
such
contract
shall
not
24
be
lower
than
the
reimbursement
otherwise
specified
in
this
25
section
for
the
fiscal
year
beginning
July
1,
2016,
for
the
26
respective
provider
or
service.
27
14.
The
department
may
adopt
emergency
rules
to
implement
28
this
section.
29
Sec.
143.
EMERGENCY
RULES.
30
1.
If
specifically
authorized
by
a
provision
of
this
31
division
of
this
Act,
the
department
of
human
services
or
32
the
mental
health
and
disability
services
commission
may
33
adopt
administrative
rules
under
section
17A.4,
subsection
34
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
35
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implement
the
provisions
of
this
division
of
this
Act
and
1
the
rules
shall
become
effective
immediately
upon
filing
or
2
on
a
later
effective
date
specified
in
the
rules,
unless
the
3
effective
date
of
the
rules
is
delayed
or
the
applicability
4
of
the
rules
is
suspended
by
the
administrative
rules
review
5
committee.
Any
rules
adopted
in
accordance
with
this
section
6
shall
not
take
effect
before
the
rules
are
reviewed
by
the
7
administrative
rules
review
committee.
The
delay
authority
8
provided
to
the
administrative
rules
review
committee
under
9
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
10
shall
be
applicable
to
a
delay
imposed
under
this
section,
11
notwithstanding
a
provision
in
those
sections
making
them
12
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
13
Any
rules
adopted
in
accordance
with
the
provisions
of
this
14
section
shall
also
be
published
as
a
notice
of
intended
action
15
as
provided
in
section
17A.4.
16
2.
If
during
a
fiscal
year,
the
department
of
human
17
services
is
adopting
rules
in
accordance
with
this
section
18
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
19
rules
will
result
in
an
expenditure
increase
beyond
the
amount
20
anticipated
in
the
budget
process
or
if
the
expenditure
was
21
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
22
department
shall
notify
the
persons
designated
by
this
division
23
of
this
Act
for
submission
of
reports,
the
chairpersons
and
24
ranking
members
of
the
committees
on
appropriations,
and
25
the
department
of
management
concerning
the
rules
and
the
26
expenditure
increase.
The
notification
shall
be
provided
at
27
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
28
is
submitted
to
the
administrative
rules
coordinator
and
the
29
administrative
code
editor.
30
Sec.
144.
REPORTS.
Any
reports
or
other
information
31
required
to
be
compiled
and
submitted
under
this
Act
during
the
32
fiscal
year
beginning
July
1,
2016,
shall
be
submitted
to
the
33
chairpersons
and
ranking
members
of
the
joint
appropriations
34
subcommittee
on
health
and
human
services,
the
legislative
35
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505
services
agency,
and
the
legislative
caucus
staffs
on
or
1
before
the
dates
specified
for
submission
of
the
reports
or
2
information.
3
Sec.
145.
EFFECTIVE
UPON
ENACTMENT.
The
following
4
provisions
of
this
division
of
this
Act,
being
deemed
of
5
immediate
importance,
take
effect
upon
enactment:
6
1.
The
provision
relating
to
section
232.141
and
directing
7
the
state
court
administrator
and
the
division
administrator
of
8
the
department
of
human
services
division
of
child
and
family
9
services
to
make
the
determination,
by
June
15,
2016,
of
the
10
distribution
of
funds
allocated
for
the
payment
of
the
expenses
11
of
court-ordered
services
provided
to
juveniles
which
are
a
12
charge
upon
the
state.
13
DIVISION
XXXVI
14
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2016-2017
15
Sec.
146.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
16
appropriated
from
the
pharmaceutical
settlement
account
created
17
in
section
249A.33
to
the
department
of
human
services
for
the
18
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
19
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
20
used
for
the
purpose
designated:
21
Notwithstanding
any
provision
of
law
to
the
contrary,
to
22
supplement
the
appropriations
made
in
this
Act
for
medical
23
contracts
under
the
medical
assistance
program
for
the
fiscal
24
year
beginning
July
1,
2016,
and
ending
June
30,
2017:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
250,000
26
Sec.
147.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
27
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
28
and
subject
to
the
availability
of
funds,
there
is
appropriated
29
from
the
quality
assurance
trust
fund
created
in
section
30
249L.4
to
the
department
of
human
services
for
the
fiscal
year
31
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
32
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
33
designated:
34
To
supplement
the
appropriation
made
in
this
Act
from
the
35
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general
fund
of
the
state
to
the
department
of
human
services
1
for
medical
assistance
for
the
same
fiscal
year:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,352,604
3
Sec.
148.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
4
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
5
the
contrary
and
subject
to
the
availability
of
funds,
there
is
6
appropriated
from
the
hospital
health
care
access
trust
fund
7
created
in
section
249M.4
to
the
department
of
human
services
8
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
9
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
10
necessary,
for
the
purposes
designated:
11
To
supplement
the
appropriation
made
in
this
Act
from
the
12
general
fund
of
the
state
to
the
department
of
human
services
13
for
medical
assistance
for
the
same
fiscal
year:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,350,000
15
Sec.
149.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
16
FOR
FY
2016-2017.
Notwithstanding
section
8.33
,
if
moneys
17
appropriated
for
purposes
of
the
medical
assistance
program
for
18
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
19
2017,
from
the
general
fund
of
the
state,
the
quality
assurance
20
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
21
in
excess
of
actual
expenditures
for
the
medical
assistance
22
program
and
remain
unencumbered
or
unobligated
at
the
close
23
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
24
shall
remain
available
for
expenditure
for
the
purposes
of
the
25
medical
assistance
program
until
the
close
of
the
succeeding
26
fiscal
year.
27
DIVISION
XXXVII
28
PROPERTY
TAX
RELIEF
FUND
——
BLOCK
GRANT
MONEYS
——
MENTAL
HEALTH
29
INSTITUTES
30
Sec.
150.
MENTAL
HEALTH
INSTITUTES.
The
moneys
transferred
31
to
the
property
tax
relief
fund
for
the
fiscal
year
beginning
32
July
1,
2016,
from
the
federal
social
services
block
grant
33
pursuant
to
2015
Iowa
Acts,
House
File
630,
if
enacted,
and
34
from
the
federal
temporary
assistance
for
needy
families
block
35
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grant,
totaling
at
least
$11,774,275,
are
appropriated
to
the
1
department
of
human
services
for
the
fiscal
year
beginning
July
2
1,
2016,
and
ending
June
30,
2017,
to
be
used
for
the
purposes
3
designated:
4
1.
For
the
state
mental
health
institute
at
Clarinda
for
5
salaries,
support,
maintenance,
and
miscellaneous
purposes:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,418,254
7
2.
For
the
state
mental
health
institute
at
Mount
Pleasant
8
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
9
and
for
not
more
than
the
following
full-time
equivalent
10
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,468,884
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.68
13
DIVISION
XXXVIII
14
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS
15
Sec.
151.
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS.
As
a
16
condition
of
the
appropriations
in
this
2016
Act,
the
moneys
17
appropriated
and
any
other
moneys
available
shall
not
be
used
18
for
payment
of
a
personnel
settlement
agreement
that
contains
a
19
confidentiality
provision
intended
to
prevent
public
disclosure
20
of
the
agreement
or
any
terms
of
the
agreement.
21
EXPLANATION
22
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
23
the
explanation’s
substance
by
the
members
of
the
general
assembly.
24
This
bill
relates
to
appropriations
for
health
and
human
25
services
made
in
fiscal
years
2015-2016
and
2016-2017
to
the
26
department
of
veterans
affairs,
Iowa
veterans
home,
department
27
on
aging
(IDA),
office
of
long-term
care
ombudsman,
department
28
of
public
health
(DPH),
Iowa
finance
authority,
department
of
29
human
rights,
and
department
of
human
services
(DHS).
30
The
bill
is
organized
into
divisions.
31
DEPARTMENT
ON
AGING.
These
divisions
make
appropriations
32
from
the
general
fund
of
the
state
for
the
department
on
aging
33
for
FY
2015-2016
and
FY
2016-2017.
34
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
These
divisions
make
35
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505
appropriations
from
the
general
fund
of
the
state
for
the
1
office
of
long-term
care
ombudsman
for
FY
2015-2016
and
FY
2
2016-2017.
3
DEPARTMENT
OF
PUBLIC
HEALTH.
These
divisions
make
4
appropriations
from
the
general
fund
of
the
state
for
the
5
department
of
public
health
for
FY
2015-2016
and
FY
2016-2017.
6
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
7
These
divisions
make
appropriations
from
the
general
fund
8
of
the
state
for
the
department
of
veterans
affairs
for
9
FY
2015-2016
and
FY
2016-2017
for
administration,
the
Iowa
10
veterans
home,
for
transfer
to
the
Iowa
finance
authority
for
11
the
home
ownership
assistance
program,
and
for
the
county
12
commissions
of
veterans
affairs.
13
DEPARTMENT
OF
HUMAN
SERVICES.
These
divisions
make
14
appropriations
from
the
general
fund
of
the
state
and
the
15
federal
temporary
assistance
for
needy
families
block
grant
to
16
DHS
for
FY
2015-2016
and
FY
2016-2017.
The
allocation
for
the
17
family
development
and
self-sufficiency
grant
program
is
made
18
directly
to
the
department
of
human
rights.
The
reimbursement
19
section
addresses
reimbursement
for
providers
reimbursed
by
the
20
department
of
human
services.
The
bill
provides
for
separate
21
appropriations
for
medical
assistance
program
costs
and
other
22
departmental
expenditures
associated
with
the
redesign
of
23
mental
health
and
disability
services
and
for
Iowa
health
and
24
wellness
plan
expenditures.
25
HEALTH
CARE
ACCOUNTS
AND
FUND.
These
divisions
make
26
certain
health-related
appropriations
for
FY
2015-2016
and
27
FY
2016-2017.
A
number
of
the
appropriations
are
made
for
28
purposes
of
the
medical
assistance
(Medicaid)
program
in
29
addition
to
the
general
fund
appropriations
made
for
this
30
purpose
for
the
same
fiscal
year.
31
MEDICAL
ASSISTANCE
PROGRAM
NONREVERSION.
These
divisions
32
provide
that
if
the
total
amounts
appropriated
from
all
sources
33
for
the
Medicaid
program
for
FY
2015-2016
or
FY
2016-2017
34
exceed
the
amount
needed,
the
excess
remains
available
to
be
35
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505
used
for
the
program
in
the
succeeding
fiscal
year.
1
MEDICAL
HOME
SYSTEM
ADVISORY
COUNCIL.
This
division
amends
2
the
Code
to
rename
the
medical
home
system
advisory
council
the
3
patient-centered
health
advisory
council.
4
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS.
This
5
division
includes
amendments
to
appropriations
and
other
6
provisions
made
in
prior
years.
The
division
is
effective
upon
7
enactment
and
is
retroactively
applicable
to
July
1,
2014,
and
8
includes:
9
DECATEGORIZATION
CARRYOVER
FUNDING.
This
division
directs
10
that
moneys
remaining
in
the
funding
pool
that
are
unencumbered
11
or
unobligated
at
the
close
of
FY
2012-2013
and
were
deemed
12
carryover
funds
do
not
revert
to
the
general
fund
of
the
state
13
but
are
transferred
to
the
Medicaid
program
for
FY
2014-2015.
14
ADJUSTMENT
OF
AMOUNTS
OF
PRIOR
APPROPRIATIONS
AND
15
ALLOCATIONS.
The
division
adjusts
amounts
appropriated
16
and
allocated
for
FY
2014-2015
for
community
mental
health
17
services,
the
temporary
assistance
for
needy
families
program,
18
the
child
support
recovery
unit,
Medicaid,
medical
contracts,
19
state
supplementary
assistance,
the
children’s
health
insurance
20
program/healthy
and
well
kids
in
Iowa
program,
child
care
21
assistance,
juvenile
child
in
need
of
assistance
placements,
22
child
and
family
services,
adoption
subsidy,
family
support
23
subsidy,
field
operations,
general
administration,
the
24
pharmaceutical
settlement
account,
and
the
quality
assurance
25
trust
fund.
26
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONAL
FUNDING
27
APPROPRIATION.
This
division
provides
that
for
FFY
2014-2015,
28
FFY
2015-2016,
and
FFY
2016-2017,
from
the
federal
social
29
services
block
grant,
if
allocated,
moneys
in
an
amount
30
totaling
at
least
$11,774,275
annually,
are
appropriated
to
DHS
31
for
each
of
the
state
fiscal
years
beginning
July
1,
2015,
and
32
July
1,
2016,
to
be
distributed
to
mental
health
and
disability
33
service
regions
through
the
property
tax
relief
fund
for
mental
34
health
and
disability
services
in
accordance
with
Code
section
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426B.3.
1
QUALITY
ASSURANCE
ASSESSMENT.
This
division
establishes
2
the
aggregate
quality
assurance
assessments
imposed
on
nursing
3
facilities
at
3
percent
of
the
aggregate
non-Medicare
revenues
4
of
a
nursing
facility.
Current
law
provides
for
a
range
in
5
establishing
the
amount.
6
HEALTH
OVERSIGHT.
This
division
establishes
a
committee
7
comprised
of
legislators
to
provide
oversight
for
health
8
policy
in
the
state.
The
division
also
specifies
limitations
9
on
the
use
of
capitated
payments
to
Medicaid
managed
care
10
organizations.
The
division
provides
for
an
interagency
study
11
to
develop
a
proposal
for
a
health
consumer
ombudsman
alliance,
12
for
third-party
assessment
of
consumer
service
plans,
and
for
13
assistance
and
advocacy
relating
to
long-term
services
and
14
supports.
15
AUTISM.
This
division
amends
provisions
of
the
autism
16
support
program
(Code
chapter
225D).
The
division
amends
17
the
definition
of
“autism
service
provider”
to
include
a
18
board-certified
assistant
behavior
analyst
who
performs
duties
19
under
the
supervision
of
a
board-certified
behavior
analyst
20
and
eliminates
the
inclusion
of
a
health
professional
licensed
21
under
Code
chapter
147
from
the
definition.
The
division
also
22
increases
the
age
limit
for
an
eligible
child
from
9
to
15
23
years,
and
provides
that
proof
of
eligibility
for
the
program
24
includes
a
written
denial
or
a
coverage
of
benefits
summary
25
that
indicates
that
applied
behavioral
analysis
treatment
is
26
not
covered
under
the
individual’s
coverage.
27
OFFICE
OF
SUBSTITUTE
DECISION
MAKER.
This
division
extends
28
from
July
1,
2015,
to
July
1,
2017,
the
date
by
which
local
29
offices
of
the
office
of
substitute
decision
maker
are
to
be
30
established
statewide.
31
DEMENTIA
WORKFORCE.
This
division
provides
for
the
32
establishment
of
an
interagency
dementia-proficient
workforce
33
task
force
to
review
recommendations
for
a
standard
curriculum
34
model
for
dementia
education,
identify
staff
who
should
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have
some
level
of
dementia
proficiency,
and
develop
an
1
implementation
plan
to
transition
toward
competency-based
2
dementia
curricula
and
training
to
achieve
dementia
proficiency
3
across
the
care
continuum.
The
task
force
is
directed
to
4
submit
its
recommendations
to
the
governor
and
the
general
5
assembly
by
December
15,
2015.
6
PHARMACEUTICAL
COLLECTION
AND
DISPOSAL
PROGRAM.
This
7
division
increases
the
codified
limitation
on
the
portion
8
of
certain
fees
collected
by
the
board
of
pharmacy
that
may
9
be
used
for
administering
the
pharmaceutical
collection
and
10
disposal
program
from
$125,000
to
$175,000.
11
MEDICAID
STATE
PLAN
——
FAMILY
PLANNING.
This
division
12
directs
the
department
of
human
services
to
amend
the
Medicaid
13
state
plan
to
include
the
eligibility
provisions
of
the
Iowa
14
family
planning
network
section
1115
demonstration
waiver
in
15
effect
on
January
1,
2015.
The
state
plan
amendment
would
be
16
effective
no
later
than
January
1,
2016.
DHS
is
to
implement
17
the
state
plan
amendment
upon
receipt
of
federal
approval.
18
This
division
takes
effect
upon
enactment.
19
IOWA
ABLE
SAVINGS
PLAN
TRUST.
This
division
creates
an
20
Iowa
ABLE
(Achieving
A
Better
Life
Experience)
savings
plan
21
trust
and
provides
for
various
Iowa
individual
income
tax
and
22
inheritance
tax
benefits.
23
BACKGROUND.
On
December
19,
2014,
the
federal
Achieving
24
A
Better
Life
Experience
Act
of
2014
(ABLE
Act)
was
enacted
25
as
part
of
the
federal
Tax
Increase
Prevention
Act
of
2014
26
(Pub.
L.
No.
113-295).
The
ABLE
Act
allows
states
to
create
27
programs
to
assist
individuals
in
saving
private
funds
for
28
the
purpose
of
supporting
individuals
with
disabilities.
29
Qualifying
state
programs
will
allow
for
the
establishment
30
of
accounts
into
which
eligible
disabled
individuals
or
31
others
may
make
contributions
for
the
payment
of
future
32
disability-related
expenses
of
the
eligible
disabled
33
individual.
Funds
and
earnings
in
accounts
established
34
under
qualifying
state
programs
are
afforded
federal
benefits
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in
certain
circumstances,
including
federal
tax
exemption,
1
bankruptcy
protection,
and
exclusion
from
consideration
under
2
certain
means-tested
programs,
such
as
Medicaid
or
supplemental
3
security
income.
4
IOWA
ABLE
SAVINGS
PLAN
TRUST.
The
division
creates
the
Iowa
5
ABLE
savings
plan
trust
(trust)
under
the
treasurer
of
state
6
(state
treasurer)
that
will
meet
the
requirements
of
§529A
of
7
the
Internal
Revenue
Code
(federal
ABLE
program).
The
state
8
treasurer
is
the
trustee
of
the
trust
and
has
numerous
powers,
9
as
specified
in
the
division,
for
the
purpose
of
carrying
out
10
the
purpose
of
the
trust.
11
The
trust
is
authorized
to
enter
into
participation
12
agreements
beginning
July
1,
2016,
with
individuals
for
the
13
payment
of
future
qualified
disability
expenses,
and
to
enter
14
into
contracts
with
other
states
(contracting
state)
to
allow
15
these
states’
residents
access
to
the
Iowa
ABLE
program.
16
“Qualified
disability
expenses”
means
the
same
as
defined
17
under
the
federal
ABLE
program,
which
generally
defines
the
18
term
to
include
expenses
related
to
a
designated
beneficiary’s
19
education,
housing,
transportation,
employment
training
and
20
support,
assistive
technology
and
personal
support
services,
21
health,
prevention
and
wellness,
financial
management
and
22
administrative
services,
legal
fees,
expenses
for
oversight
and
23
monitoring,
funeral
and
burial
expenses,
and
other
expenses
24
approved
by
the
secretary
of
the
United
States
treasury
25
(secretary).
26
Unless
otherwise
allowed
under
the
federal
ABLE
program,
27
the
person
with
whom
the
state
treasurer
enters
into
a
28
participation
agreement
must
be
both
the
account
owner
and
29
designated
beneficiary.
However,
the
division
allows
a
trustee
30
or
legal
guardian
to
be
designated
as
custodian
of
an
account
31
for
a
designated
beneficiary
who
is
a
minor
or
who
lacks
32
capacity
to
enter
into
a
participation
agreement,
provided
33
such
designation
would
be
allowed
under
the
federal
ABLE
34
program.
“Designated
beneficiary”
is
defined
in
the
division
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as
a
person
who
is
a
resident
of
Iowa
or
a
contracting
state
1
and
who
qualifies
as
an
eligible
individual
under
the
federal
2
ABLE
program,
which
includes
individuals
who
are
entitled
3
to
benefits
based
on
blindness
or
disability
under
Title
II
4
(disability
insurance)
or
Title
XVI
(supplemental
security
5
income)
of
the
federal
Social
Security
Act
if
such
blindness
6
or
disability
occurred
before
attaining
26
years
of
age,
and
7
if
such
individual
files
a
disability
certification
with
the
8
secretary.
9
The
division
requires
the
state
treasurer
to
maintain
a
10
separate
account
in
the
trust
for
each
designated
beneficiary
11
of
a
participation
agreement.
Unless
otherwise
allowed
under
12
the
federal
ABLE
program,
only
one
participation
agreement
13
shall
be
allowed
per
designated
beneficiary.
Any
person
is
14
allowed
to
make
contributions
in
the
form
of
cash
to
an
account
15
on
behalf
of
a
designated
beneficiary.
The
trust
is
required
16
to
maintain
limits
on
the
annual
contributions
to
an
account,
17
and
the
aggregate
balance
in
an
account,
matching
those
set
18
forth
in
the
federal
ABLE
program,
which
prohibits
annual
19
contributions
to
an
account
from
exceeding
the
annual
gift
tax
20
exclusion
amount
($14,000
for
2015),
and
prohibits
an
aggregate
21
account
balance
from
exceeding
the
limit
set
by
a
state
under
22
its
qualified
tuition
program
(currently
$320,000
for
Iowa).
23
The
division
also
permits
the
treasurer
of
state
to
defer
24
implementation
of
the
Iowa
ABLE
program
and
alternatively
enter
25
into
an
agreement
with
another
state’s
qualified
ABLE
program
26
to
provide
Iowa
residents
access
to
that
state’s
program,
if
27
certain
requirements
specified
in
the
division
are
satisfied.
28
The
division
provides
other
various
terms
and
conditions
for
29
participation
agreements,
use
and
segregation
of
trust
funds,
30
cancellation
of
agreements
and
refund
of
account
balances,
and
31
ownership
rights
in
the
trust.
The
division
provides
that
32
an
account
may
be
claimed
by
the
Iowa
Medicaid
program
upon
33
the
death
of
the
designated
beneficiary,
in
accordance
with
34
the
federal
ABLE
program.
The
division
requires
the
state
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treasurer
to
prepare
and
submit
audited
financial
reports
to
1
the
governor
and
general
assembly,
and
further
requires
the
2
state
treasurer
to
comply
with
any
reporting
requirements
of
3
the
federal
ABLE
program.
4
IOWA
TAX
BENEFITS.
The
division
provides
several
tax
5
benefits
under
the
trust.
First,
the
value
of
any
interest
6
in
the
trust
or
other
contracted
state’s
qualified
ABLE
7
program
of
a
decedent
who
was
an
Iowa
resident
dying
on
or
8
after
January
1,
2016,
is
excluded
from
the
Iowa
inheritance
9
tax.
Second,
contributions
to
the
trust
or
other
contracted
10
state’s
qualified
ABLE
program
made
on
or
after
January
1,
11
2016,
on
behalf
of
a
designated
beneficiary
who
is
an
Iowa
12
resident
are
deductible
from
the
Iowa
individual
income
tax
13
up
to
the
maximum
amount
allowed
per
beneficiary
per
year
for
14
purposes
of
the
Iowa
educational
savings
plan
trust
in
Code
15
chapter
12D.
For
2015,
that
amount
is
set
at
$3,163.
Any
16
amounts
refunded
to
a
taxpayer
from
the
cancellation
of
a
17
participation
agreement
or
that
are
withdrawn
for
purposes
18
other
than
the
payment
of
qualified
disability
expenses
of
the
19
designated
beneficiary
must
be
included
in
Iowa
net
income
to
20
the
extent
they
were
previously
deducted
by
the
taxpayer
or
any
21
other
person
as
a
contribution.
Third,
income
and
earnings
22
from
the
trust
or
received
by
resident
account
owners
from
a
23
contracted
state’s
qualified
ABLE
program
are
exempt
from
the
24
Iowa
individual
income
tax.
The
individual
income
tax
benefits
25
apply
to
tax
years
beginning
on
or
after
January
1,
2016.
26
CONTINGENT
IMPLEMENTATION.
The
implementation
of
the
27
division
is
subject
to
an
appropriation
with
the
purpose
of
the
28
trust
stated.
29
CHILD
CARE
ASSISTANCE.
The
division
requires
the
department
30
of
human
services
to
amend
its
administrative
rules
relating
to
31
income
eligibility
for
state
child
care
assistance,
according
32
to
family
size
for
children
needing
basic
care,
to
families
33
whose
nonexempt
gross
monthly
income
does
not
exceed
160
34
percent
of
the
federal
poverty
level.
The
division
makes
a
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conforming
Code
change
to
Code
section
237A.13
relating
to
1
waiting
lists
for
state
child
care
assistance.
2
COUNTY
MENTAL
HEALTH
AND
DISABILITIES
SERVICES
FUNDING
3
——
EQUALIZATION
AND
MEDICAID
OFFSET.
The
mental
health
and
4
disability
services
(MH/DS)
levy
limitations
and
equalization
5
payment
provisions
based
on
general
population
funding
of
6
$47.28
per
capita
are
currently
in
effect
through
FY
2015-2016.
7
This
division
amends
Code
sections
331.424A,
relating
to
8
the
MH/DS
levy,
and
426B.3,
relating
to
per
capita
funding,
9
equalization,
and
Medicaid
offset,
to
extend
these
provisions
10
by
one
year
to
FY
2016-2017.
The
division
eliminates
the
11
county
repayment
of
Medicaid
offset
amounts
in
Code
section
12
426B.3,
subsection
5,
to
the
state
effective
July
1,
2015.
13
MEDICAID
OFFSET
PAYMENTS
——
PROPERTY
TAX
RELIEF
FUND
14
APPROPRIATIONS.
This
division
makes
appropriations
from
the
15
moneys
credited
to
the
property
tax
relief
fund
in
the
form
16
of
county
Medicaid
offset
payments
for
the
FY
2015-2016.
The
17
moneys
are
appropriated
to
DHS
for
reductions
in
the
waiting
18
lists
of
all
Medicaid
home
and
community-based
services
19
waivers;
for
a
grant
for
a
public
awareness
campaign
regarding
20
the
signs
of
Alzheimer’s
disease
and
other
related
dementias
21
and
the
resources
available
to
people
living
with
Alzheimer’s
22
disease
and
other
related
dementias;
for
development
of
an
23
application
for
a
planning
grant
through
the
substance
abuse
24
and
mental
health
services
administration
of
the
United
States
25
department
of
health
and
human
services
to
participate
in
26
a
two-year
pilot
for
certified
community
behavioral
health
27
clinics.
The
division
provides
that
moneys
credited
to
28
the
property
tax
relief
fund
in
the
form
of
county
Medicaid
29
offset
payments
for
FY
2015-2016
shall
be
distributed
to
a
30
mental
health
and
disability
services
region
if
25
percent
of
31
the
region’s
FY
2015-2016
projected
expenditures
exceed
the
32
region’s
FY
2015-2016
projected
fund
balance.
33
PROPERTY
TAX
RELIEF
FUND
——
BLOCK
GRANT
FUNDS
——
MENTAL
34
HEALTH
INSTITUTES
APPROPRIATIONS.
This
division
provides
for
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the
appropriation
of
moneys
transferred
to
the
property
tax
1
relief
fund
from
the
federal
social
services
block
grant
for
2
FY
2015-2016
to
the
mental
health
institutes
at
Mount
Pleasant
3
and
Clarinda.
4
CHILD
WELFARE
ADVISORY
COMMITTEE.
This
division
requires
5
the
child
welfare
advisory
committee
of
the
council
on
human
6
services
to
study
procedures
in
the
department
of
human
7
services
for
receiving
complaints
from
families
involved
8
in
guardianship,
placement,
and
custody
proceedings,
the
9
specificity
and
clarity
of
court
orders
issued
in
foster
care
10
placement
cases,
caseload
trends
of
social
workers
including
11
an
analysis
of
how
Iowa
compares
nationally
and
with
best
12
practices
as
defined
by
national
associations,
and
immunity
13
provisions
for
social
workers
employed
by
the
department
of
14
human
services
and
basic
qualifications
of
social
workers
15
employed
by
the
department
of
human
services.
The
committee
is
16
required
to
submit
a
report
with
findings
and
recommendations
17
to
the
governor
and
general
assembly
on
or
before
December
15,
18
2015.
19
COVERAGE
OF
SERVICES
PROVIDED
BY
A
PHYSICAL
THERAPIST,
20
OCCUPATIONAL
THERAPIST,
OR
SPEECH
PATHOLOGIST.
This
division
21
provides
that
a
policy,
contract,
or
plan
providing
for
22
third-party
payment
or
prepayment
of
health
or
medical
23
expenses
shall
not
impose
a
copayment
or
coinsurance
amount
24
on
an
insured
for
services
provided
by
a
physical
therapist,
25
occupational
therapist,
or
speech
pathologist
that
is
greater
26
than
the
copayment
or
coinsurance
amount
imposed
on
the
insured
27
for
services
rendered
by
a
person
engaged
in
the
practice
of
28
medicine
and
surgery
or
osteopathic
medicine
and
surgery
for
29
the
same
or
a
similar
diagnosed
condition
even
if
a
different
30
nomenclature
is
used
to
describe
the
condition
for
which
the
31
services
are
provided.
32
The
division
applies
to
specified
individual
and
group
33
policies,
contracts,
and
plans
that
are
issued
for
delivery,
34
continued,
or
renewed
in
this
state
on
or
after
July
1,
2015.
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CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
WORKGROUP.
This
1
division
directs
the
department
of
human
services,
in
2
cooperation
with
the
departments
of
education
and
public
3
health,
to
facilitate
a
workgroup
of
stakeholders
to
study
4
and
make
recommendations
relating
to
children’s
mental
health
5
and
well-being
in
the
state.
The
division
specifies
the
6
issues
that
may
be
considered
by
the
workgroup,
including
a
7
strategic
plan
for
data
systems;
a
comprehensive
system
of
8
care
for
children
that
incorporates
a
coordinated
response
to
9
mental
health
issues
across
many
disciplines,
and
specifically
10
addresses
the
effects
of
adverse
childhood
experiences
11
and
extreme
child
poverty
and
homelessness;
and
increasing
12
awareness
of
and
creating
strategies
to
address
child
mental
13
health
and
well-being.
The
workgroup
is
directed
to
review
14
the
2014
report
of
the
children’s
defense
fund
on
the
state
15
of
America’s
children
and
the
most
complex
issues
affecting
16
children’s
health
and
well-being
and
to
develop
and
recommend
17
proactive
strategies
to
address
the
information
presented.
The
18
workgroup
is
directed
to
submit
a
report
to
the
governor
and
19
the
general
assembly
by
December
15,
2015.
20
PREVENTION
OF
DISABILITIES
POLICY
COUNCIL.
This
division
21
relates
to
the
prevention
of
disabilities
policy
council.
22
In
1991,
the
general
assembly
established
the
prevention
23
of
disabilities
council
(council)
in
Code
chapter
225B.
The
24
council
was
created
to
establish
a
system
to
coordinate
25
prevention
of
disability
activities
among
state
departments
and
26
to
assist
the
governor
and
the
general
assembly
in
determining
27
priorities
and
establishing
policies
for
the
prevention
of
28
disabilities.
29
The
division
amends
provisions
in
Code
chapter
225B
relating
30
to
prevention
activities
of
the
council,
council
membership,
31
duties,
and
coordination
efforts
with
state
agencies
and
32
disability
groups,
and
related
definitions.
33
The
division
defines
prevention
activities
of
the
council
34
to
include
policies,
programs,
and
practices
that
prevent
a
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disability
or
a
condition
that
leads
to
a
disability
from
1
occurring;
that
identify
a
disability
or
a
condition
that
leads
2
to
a
disability
early
on
so
that
the
intervention
can
eliminate
3
the
risk
of
a
disability
or
minimize
the
disability’s
effect;
4
or
that
reduce
the
effects
of
a
disability
on
an
individual’s
5
health
and
independence.
The
division
amends
the
definition
of
6
a
disability
to
be
the
same
as
the
federal
definition
under
the
7
federal
Americans
with
Disabilities
Act
(42
U.S.C.
§12102).
8
The
division
provides
that
the
council
replaces
the
current
9
Iowa
developmental
disabilities
council,
to
be
abolished
by
10
law
July
1,
2015,
in
providing
recommendations
for
individual
11
appointments
of
voting
members
to
the
council
and
council
12
membership
is
expanded
to
include
ex
officio
representatives
13
from
the
department
on
aging,
and
the
departments
of
education,
14
public
health,
and
human
services.
15
The
duties
of
the
council
are
expanded
to
include
reviewing
16
the
prevention
of
disabilities
activities
of
public
and
17
private
entities
and
providing
recommendations
to
optimize
18
the
planning,
implementation,
and
evaluation
of
prevention
of
19
disabilities
efforts;
promoting
cooperative
and
complementary
20
planning
among
the
public,
nonpublic,
and
volunteer
sectors
21
involved
in
prevention
of
disabilities
activities;
facilitating
22
coordination
of
prevention
of
disabilities
activities
23
among
state
departments
to
develop
an
integrated
system
of
24
care;
providing
support
and
technical
assistance
to
public
25
or
nonpublic
entities
to
identify,
seek,
implement,
and
26
evaluate
state,
federal,
and
private
grants
for
prevention
27
of
disabilities
activities;
encouraging
research
into
the
28
causes
and
prevention
of
disabilities,
including
methods
to
29
evaluate
the
effectiveness
of
prevention
efforts;
and
promoting
30
professional
and
provider
training
in
evidence-based
prevention
31
of
disabilities
measures
and
assure
adequate
dissemination
of
32
such
to
appropriate
entities.
33
The
division
provides
that
the
directors
or
deputy
directors
34
of
the
state
department
on
aging,
and
the
departments
of
35
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education,
human
services,
and
public
health
shall
meet
at
1
least
annually
with
the
council
to
provide
updates
to
the
2
council
regarding
the
status
of
prevention
of
disabilities
3
policies
and
receive
new
policy
and
program
recommendations
4
from
the
council
regarding
the
prevention
of
disabilities.
5
Chairpersons
and
staff
of
public
and
private
state
disability
6
groups
are
encouraged
to
meet
with
the
council
annually
7
to
identify
ways
to
incorporate
prevention
of
disabilities
8
activities
within
Iowa’s
disabilities
services
system
and
9
to
assist
in
developing
a
policy
agenda
for
prevention
of
10
disabilities
system
improvements.
11
The
division
directs
the
department
of
human
services
to
12
adopt
rules
to
implement
the
division,
subject
to
council
13
approval.
14
FACILITY
FOR
PERSONS
WITH
AGGRESSIVE
OR
PSYCHIATRIC
15
BEHAVIORS
——
INTERIM
COMMITTEE
——
REPORT.
This
division
16
relates
to
the
housing
of
persons
who
are
sexually
aggressive
17
or
combative
or
who
have
unmet
geropsychiatric
needs.
The
18
division
requests
the
legislative
council
to
establish
19
an
interim
legislative
study
committee
relating
to
the
20
establishment
of
one
or
more
facilities
to
provide
care
and
21
treatment
for
persons
who
are
sexually
aggressive,
combative,
22
or
who
have
unmet
geropsychiatric
needs.
The
study
committee
23
shall
receive
testimony
from
certain
stakeholders
with
24
interests
or
expertise
in
the
resident
population
identified
25
for
care
and
treatment,
and
shall
specifically
address
and
26
make
recommendations
relating
to
the
characteristics
of
the
27
residents
for
such
a
facility
and
the
size
of
the
resident
28
population
to
be
served;
options
for
creating
a
new
facility
29
or
expanding
an
existing
facility;
workforce
recruitment,
30
training,
and
compensation
issues;
Medicaid
reimbursement
31
qualifications;
and
any
other
information
deemed
appropriate
32
by
the
committee.
33
The
committee
must
provide
a
report
of
findings
and
34
recommendations
to
the
governor
and
general
assembly
by
January
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1,
2016.
1
ANATOMICAL
GIFT
PUBLIC
AWARENESS
AND
TRANSPLANTATION
FUND.
2
This
division
provides
that
instead
of
a
limitation
of
not
3
more
than
50
percent,
any
unobligated
moneys
in
the
anatomical
4
gift
public
awareness
and
transplantation
fund,
annually,
may
5
be
expended
in
the
form
of
grants
to
transplant
recipients,
6
transplant
candidates,
or
living
organ
donors,
or
to
legal
7
representatives
on
behalf
of
transplant
recipients,
transplant
8
candidates,
or
living
organ
donors.
Such
grants
are
based
on
9
grant
applications
submitted
with
supporting
documentation
10
provided
by
a
hospital
that
performs
transplants,
verifying
11
that
the
person
by
or
for
whom
the
application
is
submitted
12
requires
a
transplant
or
is
a
living
organ
donor
and
specifying
13
the
amount
of
the
costs
associated
with
the
costs
of
the
organ
14
transplantation
procedure,
the
costs
of
post-transplantation
15
drug
or
other
therapy,
and
other
transplantation
costs
16
including
but
not
limited
to
food,
lodging,
and
transportation,
17
if
funds
are
not
available
from
any
other
third-party
payor.
18
Under
current
law,
not
more
than
5
percent
of
the
moneys
in
19
the
fund
may
be
used
by
the
Iowa
department
of
public
health
20
for
administrative
costs
and
of
the
remaining
moneys
in
the
21
fund,
not
more
than
20
percent
annually
may
be
expended
in
22
the
form
of
grants
to
state
agencies
or
to
nonprofit
legal
23
entities
with
an
interest
in
anatomical
gift
public
awareness
24
and
transplantation
to
conduct
public
awareness
projects;
and
25
not
more
than
30
percent
annually
may
be
expended
in
the
form
26
of
grants
to
hospitals
for
reimbursement
for
costs
directly
27
related
to
the
development
of
in-hospital
anatomical
gift
28
public
awareness
projects,
anatomical
gift
referral
protocols,
29
and
associated
administrative
expenses.
30
HOSPITAL
AND
LONG-TERM
CARE
PHARMACY
PRACTICE
——
31
PNEUMOCOCCAL
VACCINES.
This
division
directs
the
board
of
32
pharmacy
to
adopt
rules
pursuant
to
chapter
17A
relating
to
33
hospital
and
long-term
care
pharmacy
practice
that
allow,
34
as
authorized
by
federal
law,
in
addition
to
influenza
and
35
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pneumococcal
polysaccharide
vaccines,
that
a
written
or
verbal
1
patient-specific
medication
administration
order
shall
not
2
be
required
prior
to
administration
to
an
adult
patient
of
3
pneumococcal
conjugate
vaccine
pursuant
to
physician-approved
4
hospital
or
facility
policy
and
after
the
patient
has
been
5
assessed
for
contraindications.
6
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
——
CONTINUED
7
ENROLLMENT.
This
division
provides
that
at
the
end
of
the
8
12-month
eligibility
period
when
a
child’s
family
circumstances
9
are
subject
to
review
to
determine
continued
eligibility,
10
pending
such
review,
the
child
shall
continue
to
be
eligible
11
for
and
remain
enrolled
in
the
same
plan
if
the
family
complies
12
with
requirements
to
provide
information
and
verification
of
13
income,
otherwise
cooperates
in
the
annual
review
process,
14
and
submits
the
completed
review
form
and
any
information
15
necessary
to
establish
continued
eligibility
in
a
timely
manner
16
in
accordance
with
administrative
rules.
17
PERSONNEL
SETTLEMENT
AGREEMENT
PAYMENTS.
This
division
18
provides
that
as
a
condition
of
the
appropriations
in
the
19
Act,
the
moneys
appropriated
and
any
other
moneys
available
20
shall
not
be
used
for
payment
of
a
personnel
settlement
21
agreement
that
contains
a
confidentiality
provision
intended
to
22
prevent
public
disclosure
of
the
agreement
or
any
terms
of
the
23
agreement.
24
MEDICAID
REIMBURSEMENT
——
PSYCHOLOGISTS.
The
division
25
provides
that
in
addition
to
psychologists
who
are
licensed
26
in
the
state
where
the
services
are
provided
and
meet
other
27
specifications,
psychologists
who
are
licensed
under
Code
28
chapter
154B
(psychologists)
are
entitled
to
payment
for
29
services
provided
to
recipients
of
Medicaid,
subject
to
30
limitations
and
exclusions
the
department
of
human
services
31
finds
necessary
based
on
federal
law
and
funds
available.
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