Senate
Study
Bill
1280
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
GOVERNOR
BUDGET
BILL)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
veterans
and
including
other
related
provisions
and
2
appropriations,
and
including
effective
date
and
retroactive
3
and
other
applicability
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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DIVISION
I
1
DEPARTMENT
ON
AGING
2
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
3
from
the
general
fund
of
the
state
to
the
department
on
aging
4
for
the
following
fiscal
years,
the
following
amounts,
or
so
5
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
6
designated:
7
1.
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:
17
a.
FY
2015-2016
18
.
.
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.
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$
11,436,066
19
b.
FY
2016-2017
20
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.
$
11,436,066
21
2.
Funds
appropriated
in
this
section
may
be
used
to
22
supplement
federal
funds
under
federal
regulations.
To
23
receive
funds
appropriated
in
this
section,
a
local
area
24
agency
on
aging
shall
match
the
funds
with
moneys
from
other
25
sources
according
to
rules
adopted
by
the
department.
Funds
26
appropriated
in
this
section
may
be
used
for
elderly
services
27
not
specifically
enumerated
in
this
section
only
if
approved
28
by
an
area
agency
on
aging
for
provision
of
the
service
within
29
the
area.
30
3.
Of
the
funds
appropriated
in
this
section,
$279,946
31
is
transferred
each
fiscal
year
to
the
economic
development
32
authority
for
the
Iowa
commission
on
volunteer
services
to
be
33
used
for
the
retired
and
senior
volunteer
program.
34
4.
a.
The
department
on
aging
shall
establish
and
enforce
35
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procedures
relating
to
expenditure
of
state
and
federal
funds
1
by
area
agencies
on
aging
that
require
compliance
with
both
2
state
and
federal
laws,
rules,
and
regulations,
including
but
3
not
limited
to
all
of
the
following:
4
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
5
or
services
received
or
performed
prior
to
the
end
of
the
6
fiscal
period
designated
for
use
of
the
funds.
7
(2)
Prohibiting
prepayment
for
goods
or
services
not
8
received
or
performed
prior
to
the
end
of
the
fiscal
period
9
designated
for
use
of
the
funds.
10
(3)
Prohibiting
the
prepayment
for
goods
or
services
11
not
defined
specifically
by
good
or
service,
time
period,
or
12
recipient.
13
(4)
Prohibiting
the
establishment
of
accounts
from
which
14
future
goods
or
services
which
are
not
defined
specifically
by
15
good
or
service,
time
period,
or
recipient,
may
be
purchased.
16
b.
The
procedures
shall
provide
that
if
any
funds
are
17
expended
in
a
manner
that
is
not
in
compliance
with
the
18
procedures
and
applicable
federal
and
state
laws,
rules,
and
19
regulations,
and
are
subsequently
subject
to
repayment,
the
20
area
agency
on
aging
expending
such
funds
in
contravention
of
21
such
procedures,
laws,
rules
and
regulations,
not
the
state,
22
shall
be
liable
for
such
repayment.
23
5.
Of
the
funds
appropriated
in
this
section,
$250,000
shall
24
be
used
each
fiscal
year
to
fund
the
unmet
needs
identified
25
through
Iowa’s
aging
and
disability
resource
center
network.
26
6.
Of
the
funds
appropriated
in
this
section,
$600,000
27
shall
be
used
each
fiscal
year
to
fund
home
and
community-based
28
services
through
the
area
agencies
on
aging
that
enable
older
29
individuals
to
avoid
more
costly
utilization
of
residential
or
30
institutional
services
and
remain
in
their
own
homes.
31
7.
Of
the
funds
appropriated
in
this
section,
$850,000
32
shall
be
used
each
fiscal
year
for
the
purposes
of
chapter
33
231E
and
section
231.56A,
of
which
$325,000
shall
be
used
each
34
fiscal
year
to
fund
the
initial
reestablishment
of
the
office
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of
substitute
decision
maker
pursuant
to
chapter
231E,
and
the
1
remainder
shall
be
distributed
equally
to
the
area
agencies
on
2
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
3
exploitation
program
pursuant
to
section
231.56A,
in
accordance
4
with
the
requirements
of
the
federal
Older
Americans
Act
of
5
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
6
8.
Of
the
funds
appropriated
in
this
section,
$250,000
7
shall
be
used
each
fiscal
year
to
award
to
each
area
agency
on
8
aging
designated
under
section
231.32
an
amount
in
proportion
9
to
the
estimated
number
of
older
individuals
in
Iowa
served
10
by
that
area
agency
on
aging
compared
to
the
total
estimated
11
number
of
older
individuals
in
Iowa,
to
be
used
to
provide
12
congregate
meals
and
home-delivered
meals
to
food-insecure
13
older
individuals
in
Iowa.
14
DIVISION
II
15
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
16
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
17
appropriated
from
the
general
fund
of
the
state
to
the
office
18
of
long-term
care
ombudsman
established
in
section
231.42,
19
for
the
following
fiscal
years,
the
following
amounts,
or
so
20
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
21
designated:
22
For
salaries,
support,
administration,
maintenance,
and
23
miscellaneous
purposes:
24
1.
FY
2015-2016
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
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.
.
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.
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.
.
.
.
.
$
1,056,783
26
2.
FY
2016-2017
27
.
.
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.
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.
.
$
1,062,828
28
DIVISION
III
29
DEPARTMENT
OF
PUBLIC
HEALTH
30
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
31
from
the
general
fund
of
the
state
to
the
department
of
public
32
health
for
the
following
fiscal
years,
the
following
amounts,
33
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
34
designated:
35
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1.
ADDICTIVE
DISORDERS
1
a.
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
2
and
other
drugs,
and
treating
individuals
affected
by
addictive
3
behaviors,
including
gambling:
4
(1)
FY
2015-2016
5
.
.
.
.
.
.
.
.
.
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.
.
.
.
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.
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.
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.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,263,690
6
(2)
FY
2016-2017
7
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
$
27,263,690
8
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
9
$5,248,361
shall
be
used
each
fiscal
year
for
the
tobacco
use
10
prevention
and
control
initiative,
including
efforts
at
the
11
state
and
local
levels,
as
provided
in
chapter
142A
.
The
12
commission
on
tobacco
use
prevention
and
control
established
13
pursuant
to
section
142A.3
shall
advise
the
director
of
14
public
health
in
prioritizing
funding
needs
and
the
allocation
15
of
moneys
appropriated
for
the
programs
and
initiatives.
16
Activities
of
the
programs
and
initiatives
shall
be
in
17
alignment
with
the
United
States
centers
for
disease
control
18
and
prevention
best
practices
for
comprehensive
tobacco
control
19
programs
that
include
the
goals
of
preventing
youth
initiation
20
of
tobacco
usage,
reducing
exposure
to
secondhand
smoke,
and
21
promotion
of
tobacco
cessation.
22
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
“b”,
23
$453,067
is
transferred
each
fiscal
year
to
the
alcoholic
24
beverages
division
of
the
department
of
commerce
for
25
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
26
engage
in
tobacco
control
activities
approved
by
the
division
27
of
tobacco
use
prevention
and
control
of
the
department
of
28
public
health
as
specified
in
the
memorandum
of
understanding
29
entered
into
between
the
divisions.
30
(b)
The
terms
of
the
memorandum
of
understanding,
entered
31
into
between
the
division
of
tobacco
use
prevention
and
control
32
of
the
department
of
public
health
and
the
alcoholic
beverages
33
division
of
the
department
of
commerce,
governing
compliance
34
checks
conducted
to
ensure
licensed
retail
tobacco
outlet
35
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conformity
with
tobacco
laws,
regulations,
and
ordinances
1
relating
to
persons
under
eighteen
years
of
age,
under
this
2
subparagraph
(2)
shall
continue
to
restrict
the
number
of
such
3
checks
to
one
check
per
retail
outlet,
and
one
additional
check
4
for
any
retail
outlet
found
to
be
in
violation
during
the
first
5
check.
6
c.
Of
the
funds
appropriated
in
this
subsection,
7
$22,015,329
shall
be
used
each
fiscal
year
for
problem
gambling
8
and
substance-related
disorder
prevention,
treatment,
and
9
recovery
services,
including
a
24-hour
helpline,
public
10
information
resources,
professional
training,
and
program
11
evaluation.
12
(1)
Of
the
funds
allocated
in
this
paragraph
13
“c”,
$18,903,715
shall
be
used
each
fiscal
year
for
14
substance-related
disorder
prevention
and
treatment.
15
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
16
$899,300
shall
be
used
each
fiscal
year
for
the
public
purpose
17
of
a
grant
program
to
provide
substance-related
disorder
18
prevention
programming
for
children.
19
(i)
Of
the
funds
allocated
in
this
subparagraph
division
20
(a),
$427,539
shall
be
used
each
fiscal
year
for
grant
funding
21
for
organizations
that
provide
programming
for
children
by
22
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
23
certified
or
must
be
certified
within
six
months
of
receiving
24
the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
25
utilizing
the
standards
for
effective
practice
for
mentoring
26
programs.
27
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
28
(a),
$426,839
shall
be
used
each
fiscal
year
for
grant
funding
29
for
organizations
that
provide
programming
that
includes
30
youth
development
and
leadership.
The
programs
shall
also
be
31
recognized
as
being
programs
that
are
scientifically
based
with
32
evidence
of
their
effectiveness
in
reducing
substance-related
33
disorders
in
children.
34
(iii)
The
department
of
public
health
shall
utilize
a
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request
for
proposals
process
to
implement
the
grant
program.
1
(iv)
All
grant
recipients
shall
participate
in
a
program
2
evaluation
as
a
requirement
for
receiving
grant
funds.
3
(v)
Of
the
funds
allocated
in
this
subparagraph
division
4
(a),
up
to
$44,922
may
be
used
each
fiscal
year
to
administer
5
substance-related
disorder
prevention
grants
and
for
program
6
evaluations.
7
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
8
$272,603
shall
be
used
each
fiscal
year
for
culturally
9
competent
substance-related
disorder
treatment
pilot
projects.
10
(i)
The
department
shall
utilize
the
amount
allocated
11
in
this
subparagraph
division
(b)
each
fiscal
year
for
at
12
least
three
pilot
projects
to
provide
culturally
competent
13
substance-related
disorder
treatment
in
various
areas
of
the
14
state.
Each
pilot
project
shall
target
a
particular
ethnic
15
minority
population.
The
populations
targeted
shall
include
16
but
are
not
limited
to
African
American,
Asian,
and
Latino
17
populations.
18
(ii)
The
pilot
project
requirements
shall
provide
for
19
documentation
or
other
means
to
ensure
access
to
the
cultural
20
competence
approach
used
by
a
pilot
project
so
that
such
21
approach
can
be
replicated
and
improved
upon
in
successor
22
programs.
23
(2)
Of
the
funds
allocated
in
this
paragraph
“c”,
up
to
24
$3,111,614
may
be
used
each
fiscal
year
for
problem
gambling
25
prevention,
treatment,
and
recovery
services.
26
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
27
$2,573,762
shall
be
used
each
fiscal
year
for
problem
gambling
28
prevention
and
treatment.
29
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
30
$437,852
may
be
used
each
fiscal
year
for
a
24-hour
helpline,
31
public
information
resources,
professional
training,
and
32
program
evaluation.
33
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
34
to
$100,000
may
be
used
each
fiscal
year
for
the
licensing
of
35
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problem
gambling
treatment
programs.
1
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
2
moneys
allocated
in
this
paragraph
“c”,
persons
with
a
dual
3
diagnosis
of
substance-related
disorder
and
gambling
addiction
4
shall
be
given
priority
in
treatment
services.
5
d.
Notwithstanding
any
provision
of
law
to
the
contrary,
6
to
standardize
the
availability,
delivery,
cost
of
delivery,
7
and
accountability
of
problem
gambling
and
substance-related
8
disorder
treatment
services
statewide,
the
department
shall
9
continue
implementation
of
a
process
to
create
a
system
10
for
delivery
of
treatment
services
in
accordance
with
the
11
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
12
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
13
of
treatment
services
that
best
meets
the
needs
of
Iowans,
14
the
problem
gambling
and
substance-related
disorder
treatment
15
services
in
any
area
may
be
provided
either
by
a
single
agency
16
or
by
separate
agencies
submitting
a
joint
proposal.
17
(1)
The
system
for
delivery
of
substance-related
disorder
18
and
problem
gambling
treatment
shall
include
problem
gambling
19
prevention.
20
(2)
The
system
for
delivery
of
substance-related
disorder
21
and
problem
gambling
treatment
shall
include
substance-related
22
disorder
prevention
by
July
1,
2016.
23
(3)
Of
the
funds
allocated
in
paragraph
“c”,
the
department
24
may
use
up
to
$100,000
each
fiscal
year
for
administrative
25
costs
to
continue
developing
and
implementing
the
process
in
26
accordance
with
this
paragraph
“d”.
27
e.
The
requirement
of
section
123.53,
subsection
5
,
is
met
28
by
the
appropriations
and
allocations
made
in
this
2015
Act
for
29
purposes
of
substance-related
disorder
treatment
and
addictive
30
disorders
for
each
fiscal
year.
31
f.
The
department
of
public
health
shall
work
with
all
32
other
departments
that
fund
substance-related
disorder
33
prevention
and
treatment
services
and
all
such
departments
34
shall,
to
the
extent
necessary,
collectively
meet
the
state
35
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maintenance
of
effort
requirements
for
expenditures
for
1
substance-related
disorder
services
as
required
under
the
2
federal
substance-related
disorder
prevention
and
treatment
3
block
grant.
4
2.
HEALTHY
CHILDREN
AND
FAMILIES
5
a.
For
promoting
the
optimum
health
status
for
children,
6
adolescents
from
birth
through
21
years
of
age,
and
families:
7
(1)
FY
2015-2016
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,046,602
9
(2)
FY
2016-2017
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,046,602
11
b.
Of
the
funds
appropriated
in
this
subsection,
not
more
12
than
$734,841
shall
be
used
each
fiscal
year
for
the
healthy
13
opportunities
for
parents
to
experience
success
(HOPES)-healthy
14
families
Iowa
(HFI)
program
established
pursuant
to
section
15
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
16
that
were
provided
to
the
grantees
that
operated
the
program
17
during
the
prior
fiscal
year.
18
c.
In
order
to
implement
the
legislative
intent
stated
in
19
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
20
program
funding
be
given
to
programs
using
evidence-based
or
21
promising
models
for
home
visitation,
it
is
the
intent
of
the
22
general
assembly
to
phase
in
the
funding
priority
in
accordance
23
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
24
paragraph
0b.
25
d.
Of
the
funds
appropriated
in
this
subsection,
$1,627,887
26
shall
be
used
each
fiscal
year
to
continue
the
department’s
27
initiative
to
provide
for
adequate
developmental
surveillance
28
and
screening
during
a
child’s
first
five
years
statewide.
The
29
funds
shall
be
used
first
to
fully
fund
the
current
sites
to
30
ensure
that
the
sites
are
fully
operational,
with
the
remaining
31
funds
to
be
used
for
expansion
to
additional
sites.
The
full
32
implementation
and
expansion
shall
include
enhancing
the
scope
33
of
the
program
through
collaboration
with
the
child
health
34
specialty
clinics
to
promote
healthy
child
development
through
35
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_____
H.F.
_____
early
identification
and
response
to
both
biomedical
and
social
1
determinants
of
healthy
development;
by
monitoring
child
2
health
metrics
to
inform
practice,
document
long-term
health
3
impacts
and
savings,
and
provide
for
continuous
improvement
4
through
training,
education,
and
evaluation;
and
by
providing
5
for
practitioner
consultation
particularly
for
children
with
6
behavioral
conditions
and
needs.
The
department
of
public
7
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
8
and
the
child
health
specialty
clinics
to
integrate
the
9
activities
of
the
first
five
initiative
into
the
establishment
10
of
patient-centered
medical
homes,
community
utilities,
11
accountable
care
organizations,
and
other
integrated
care
12
models
developed
to
improve
health
quality
and
population
13
health
while
reducing
health
care
costs.
To
the
maximum
extent
14
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
15
as
matching
funds
for
medical
assistance
program
reimbursement.
16
e.
Of
the
funds
appropriated
in
this
subsection,
$74,640
17
shall
be
distributed
each
fiscal
year
to
a
statewide
dental
18
carrier
to
provide
funds
to
continue
the
donated
dental
19
services
program
patterned
after
the
projects
developed
by
the
20
lifeline
network
to
provide
dental
services
to
indigent
elderly
21
and
disabled
individuals.
22
f.
Of
the
funds
appropriated
in
this
subsection,
$111,995
23
shall
be
used
each
fiscal
year
for
childhood
obesity
24
prevention.
25
g.
Of
the
funds
appropriated
in
this
subsection,
$162,768
26
shall
be
used
each
fiscal
year
to
provide
audiological
services
27
and
hearing
aids
for
children.
The
department
may
enter
into
a
28
contract
to
administer
this
paragraph.
29
h.
Of
the
funds
appropriated
in
this
subsection,
$25,000
is
30
transferred
each
fiscal
year
to
the
university
of
Iowa
college
31
of
dentistry
for
provision
of
primary
dental
services
to
32
children.
State
funds
shall
be
matched
on
a
dollar-for-dollar
33
basis.
The
university
of
Iowa
college
of
dentistry
shall
34
coordinate
efforts
with
the
department
of
public
health,
bureau
35
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S.F.
_____
H.F.
_____
of
oral
and
health
delivery
systems,
to
provide
dental
care
to
1
underserved
populations
throughout
the
state.
2
i.
Of
the
funds
appropriated
in
this
subsection,
$50,000
3
shall
be
used
each
fiscal
year
to
address
youth
suicide
4
prevention.
5
j.
Of
the
funds
appropriated
in
this
subsection,
$50,000
6
shall
be
used
each
fiscal
year
to
support
the
Iowa
effort
to
7
address
the
survey
of
children
who
experience
adverse
childhood
8
experiences
known
as
ACEs.
9
3.
CHRONIC
CONDITIONS
10
a.
For
serving
individuals
identified
as
having
chronic
11
conditions
or
special
health
care
needs:
12
(1)
FY
2015-2016
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,955,692
14
(2)
FY
2016-2017
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,955,692
16
b.
Of
the
funds
appropriated
in
this
subsection,
$159,932
17
shall
be
used
each
fiscal
year
for
grants
to
individual
18
patients
who
have
an
inherited
metabolic
disorder
to
assist
19
with
the
costs
of
medically
necessary
foods
and
formula.
20
c.
Of
the
funds
appropriated
in
this
subsection,
$891,644
21
shall
be
used
each
fiscal
year
for
the
brain
injury
services
22
program
pursuant
to
section
135.22B
,
including
for
continuation
23
of
the
contracts
for
resource
facilitator
services
in
24
accordance
with
section
135.22B,
subsection
9
,
and
to
enhance
25
brain
injury
training
and
recruitment
of
service
providers
on
a
26
statewide
basis.
Of
the
amount
allocated
in
this
paragraph,
27
$95,000
shall
be
used
each
fiscal
year
to
fund
one
full-time
28
equivalent
position
to
serve
as
the
state
brain
injury
services
29
program
manager.
30
d.
Of
the
funds
appropriated
in
this
subsection,
$547,982
31
shall
be
used
each
fiscal
year
as
additional
funding
to
32
leverage
federal
funding
through
the
federal
Ryan
White
Care
33
Act,
Tit.
II,
AIDS
drug
assistance
program
supplemental
drug
34
treatment
grants.
35
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S.F.
_____
H.F.
_____
e.
Of
the
funds
appropriated
in
this
subsection,
$149,823
1
shall
be
used
each
fiscal
year
for
the
public
purpose
of
2
continuing
to
contract
with
an
existing
national-affiliated
3
organization
to
provide
education,
client-centered
programs,
4
and
client
and
family
support
for
people
living
with
epilepsy
5
and
their
families.
The
amount
allocated
each
fiscal
year
6
in
this
paragraph
in
excess
of
$100,000
shall
be
matched
7
dollar-for-dollar
by
the
organization
specified.
8
f.
Of
the
funds
appropriated
in
this
subsection,
$785,114
9
shall
be
used
each
fiscal
year
for
child
health
specialty
10
clinics.
11
g.
Of
the
funds
appropriated
in
this
subsection,
$400,000
12
shall
be
used
each
fiscal
year
by
the
regional
autism
13
assistance
program
established
pursuant
to
section
256.35
,
14
and
administered
by
the
child
health
specialty
clinic
located
15
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
16
shall
be
used
to
enhance
interagency
collaboration
and
17
coordination
of
educational,
medical,
and
other
human
services
18
for
persons
with
autism,
their
families,
and
providers
of
19
services,
including
delivering
regionalized
services
of
care
20
coordination,
family
navigation,
and
integration
of
services
21
through
the
statewide
system
of
regional
child
health
specialty
22
clinics
and
fulfilling
other
requirements
as
specified
in
23
chapter
225D
.
The
university
of
Iowa
shall
not
receive
funds
24
allocated
under
this
paragraph
for
indirect
costs
associated
25
with
the
regional
autism
assistance
program.
26
h.
Of
the
funds
appropriated
in
this
subsection,
$570,993
27
shall
be
used
each
fiscal
year
for
the
comprehensive
cancer
28
control
program
to
reduce
the
burden
of
cancer
in
Iowa
through
29
prevention,
early
detection,
effective
treatment,
and
ensuring
30
quality
of
life.
Of
the
funds
allocated
in
this
paragraph
“h”,
31
$150,000
shall
be
used
each
fiscal
year
to
support
a
melanoma
32
research
symposium,
a
melanoma
biorepository
and
registry,
33
basic
and
translational
melanoma
research,
and
clinical
trials.
34
i.
Of
the
funds
appropriated
in
this
subsection,
$126,450
35
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S.F.
_____
H.F.
_____
shall
be
used
each
fiscal
year
for
cervical
and
colon
cancer
1
screening,
and
$300,000
shall
be
used
each
fiscal
year
to
2
enhance
the
capacity
of
the
cervical
cancer
screening
program
3
to
include
provision
of
recommended
prevention
and
early
4
detection
measures
to
a
broader
range
of
low-income
women.
5
j.
Of
the
funds
appropriated
in
this
subsection,
$526,695
6
shall
be
used
each
fiscal
year
for
the
center
for
congenital
7
and
inherited
disorders.
8
k.
Of
the
funds
appropriated
in
this
subsection,
$129,411
9
shall
be
used
each
fiscal
year
for
the
prescription
drug
10
donation
repository
program
created
in
chapter
135M
.
11
l.
Of
the
funds
appropriated
in
this
subsection,
12
$215,263
shall
be
used
by
the
department
of
public
health
13
for
reform-related
activities,
including
but
not
limited
to
14
facilitation
of
communication
to
stakeholders
at
the
state
and
15
local
level,
administering
the
patient-centered
health
advisory
16
council
pursuant
to
section
135.159,
and
involvement
in
health
17
care
system
innovation
activities
occurring
across
the
state.
18
4.
COMMUNITY
CAPACITY
19
a.
For
strengthening
the
health
care
delivery
system
at
the
20
local
level:
21
(1)
FY
2015-2016
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,689,716
23
(2)
FY
2016-2017
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,689,716
25
b.
Of
the
funds
appropriated
in
this
subsection,
$99,414
26
is
allocated
each
fiscal
year
for
continuation
of
the
child
27
vision
screening
program
implemented
through
the
university
28
of
Iowa
hospitals
and
clinics
in
collaboration
with
early
29
childhood
Iowa
areas.
The
program
shall
submit
a
report
to
the
30
individuals
identified
in
this
Act
for
submission
of
reports
31
regarding
the
use
of
funds
allocated
under
this
paragraph
“b”.
32
The
report
shall
include
the
objectives
and
results
for
each
33
program
year
including
the
target
population
and
how
the
funds
34
allocated
assisted
the
program
in
meeting
the
objectives;
the
35
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86
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_____
H.F.
_____
number,
age,
and
location
within
the
state
of
individuals
1
served;
the
type
of
services
provided
to
the
individuals
2
served;
the
distribution
of
funds
based
on
service
provided;
3
and
the
continuing
needs
of
the
program.
4
c.
Of
the
funds
appropriated
in
this
subsection,
$110,656
is
5
allocated
each
fiscal
year
for
continuation
of
an
initiative
6
implemented
at
the
university
of
Iowa
and
$99,904
is
allocated
7
each
fiscal
year
for
continuation
of
an
initiative
at
the
state
8
mental
health
institute
at
Cherokee
to
expand
and
improve
the
9
workforce
engaged
in
mental
health
treatment
and
services.
10
The
initiatives
shall
receive
input
from
the
university
of
11
Iowa,
the
department
of
human
services,
the
department
of
12
public
health,
and
the
mental
health
and
disability
services
13
commission
to
address
the
focus
of
the
initiatives.
14
d.
Of
the
funds
appropriated
in
this
subsection,
$1,164,628
15
shall
be
used
each
fiscal
year
for
essential
public
health
16
services
that
promote
healthy
aging
throughout
the
lifespan,
17
contracted
through
a
formula
for
local
boards
of
health,
to
18
enhance
health
promotion
and
disease
prevention
services.
19
e.
Of
the
funds
appropriated
in
this
section,
$99,286
20
shall
be
deposited
each
fiscal
year
in
the
governmental
public
21
health
system
fund
created
in
section
135A.8
to
be
used
for
the
22
purposes
of
the
fund.
23
f.
Of
the
funds
appropriated
in
this
subsection,
$105,448
24
shall
be
used
each
fiscal
year
to
continue
to
address
the
25
shortage
of
mental
health
professionals
in
the
state.
26
g.
Of
the
funds
appropriated
in
this
subsection,
$50,000
27
shall
be
used
each
fiscal
year
for
a
grant
to
a
statewide
28
association
of
psychologists
that
is
affiliated
with
the
29
American
psychological
association
to
be
used
for
continuation
30
of
a
program
to
rotate
intern
psychologists
in
placements
in
31
urban
and
rural
mental
health
professional
shortage
areas,
as
32
defined
in
section
135.180
.
33
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
34
$2,882,969
shall
be
allocated
each
fiscal
year
as
a
grant
35
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101
S.F.
_____
H.F.
_____
to
the
Iowa
primary
care
association
to
be
used
pursuant
to
1
section
135.153
for
the
statewide
coordination
of
the
Iowa
2
collaborative
safety
net
provider
network.
Coordination
of
3
the
network
shall
focus
on
increasing
access
by
underserved
4
populations
to
health
care
services,
increasing
the
health
5
system’s
integration
and
collaboration
across
the
continuum
of
6
care
with
a
focus
on
safety
net
services,
and
enhancing
the
7
Iowa
collaborative
safety
net
provider
network’s
communication
8
and
education
efforts.
9
(2)
Efforts
shall
include
working
in
conjunction
with
the
10
department
of
human
services
for
continued
development
and
11
implementation
of
a
statewide
regionally
based
network
to
12
provide
an
integrated
approach
to
health
care
delivery
through
13
care
coordination
that
supports
primary
care
providers
and
14
links
patients
with
community
resources
necessary
to
empower
15
patients
in
addressing
biomedical
and
social
determinants
of
16
health
to
improve
health
outcomes.
The
Iowa
primary
care
17
association
shall
submit
a
progress
report
to
the
individuals
18
designated
in
this
Act
for
submission
of
reports
by
December
19
15,
annually,
regarding
such
a
network
including
progress
in
20
developing
and
implementing
the
network,
how
the
funds
were
21
distributed
and
used
in
developing
and
implementing
the
network
22
in
the
prior
state
fiscal
year,
and
the
remaining
needs
in
23
developing
and
implementing
the
network.
24
(3)
The
amount
allocated
under
this
paragraph
“h”
shall
25
not
be
reduced
for
administrative
or
other
costs
prior
to
26
distribution.
The
Iowa
collaborative
safety
net
provider
27
network
may
continue
to
distribute
funds
allocated
pursuant
to
28
this
paragraph
“h”
through
existing
contracts
or
renewal
of
29
existing
contracts.
30
i.
Of
the
funds
appropriated
in
this
subsection,
$213,400
31
shall
be
used
each
fiscal
year
for
continuation
of
the
work
of
32
the
direct
care
worker
advisory
council
established
pursuant
to
33
2008
Iowa
Acts,
chapter
1188,
section
69,
in
implementing
the
34
recommendations
in
the
final
report
submitted
by
the
advisory
35
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101
S.F.
_____
H.F.
_____
council
to
the
governor
and
the
general
assembly
in
March
2012.
1
j.
(1)
Of
the
funds
appropriated
in
this
subsection,
2
$216,375
shall
be
used
each
fiscal
year
for
allocation
to
an
3
independent
statewide
direct
care
worker
organization
under
4
continuation
of
the
contract
in
effect
during
the
prior
fiscal
5
year.
6
(2)
Of
the
funds
appropriated
in
this
subsection,
$75,000
7
shall
be
used
each
fiscal
year
to
provide
scholarships
or
other
8
forms
of
subsidization
for
direct
care
worker
educational
9
conferences,
training,
or
outreach
activities.
10
k.
Of
the
funds
appropriated
in
this
subsection,
the
11
department
may
use
up
to
$58,175
each
fiscal
year
for
up
to
12
one
full-time
equivalent
position
to
administer
the
volunteer
13
health
care
provider
program
pursuant
to
section
135.24
.
14
l.
Of
the
funds
appropriated
in
this
subsection,
$50,000
15
shall
be
used
each
fiscal
year
for
a
matching
dental
education
16
loan
repayment
program
to
be
allocated
to
a
dental
nonprofit
17
health
service
corporation
to
develop
the
criteria
and
18
implement
the
loan
repayment
program.
19
m.
Of
the
funds
appropriated
in
this
subsection,
$105,823
20
is
transferred
each
fiscal
year
to
the
college
student
aid
21
commission
for
deposit
in
the
rural
Iowa
primary
care
trust
22
fund
created
in
section
261.113
to
be
used
for
the
purposes
of
23
the
fund.
24
n.
Of
the
funds
appropriated
in
this
subsection,
$250,000
25
shall
be
used
each
fiscal
year
for
the
purposes
of
the
Iowa
26
donor
registry
as
specified
in
section
142C.18
.
27
o.
Of
the
funds
appropriated
in
this
subsection,
$100,000
28
shall
be
used
each
fiscal
year
for
continuation
of
a
grant
to
a
29
nationally
affiliated
volunteer
eye
organization
that
has
an
30
established
program
for
children
and
adults
and
that
is
solely
31
dedicated
to
preserving
sight
and
preventing
blindness
through
32
education,
nationally
certified
vision
screening
and
training,
33
and
community
and
patient
service
programs.
The
organization
34
shall
submit
a
report
to
the
individuals
identified
in
this
35
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S.F.
_____
H.F.
_____
Act
for
submission
of
reports
regarding
the
use
of
funds
1
allocated
under
this
paragraph
“o”.
The
report
shall
include
2
the
objectives
and
results
for
each
program
year
including
3
the
target
population
and
how
the
funds
allocated
assisted
4
the
program
in
meeting
the
objectives;
the
number,
age,
and
5
location
within
the
state
of
individuals
served;
the
type
of
6
services
provided
to
the
individuals
served;
the
distribution
7
of
funds
based
on
services
provided;
and
the
continuing
needs
8
of
the
program.
9
p.
Of
the
funds
appropriated
in
this
subsection,
$25,000
10
shall
be
used
each
fiscal
year
for
the
continuation
of
a
11
wellness
council
under
the
direction
of
the
director
of
public
12
health
to
increase
support
for
wellness
activities
in
the
13
state.
14
q.
Of
the
funds
appropriated
in
this
subsection,
$3,000,000
15
shall
be
deposited
each
fiscal
year
in
the
medical
residency
16
training
account
created
in
section
135.175
,
if
enacted
17
by
the
Eighty-sixth
General
Assembly,
2015
session,
and
18
is
appropriated
each
fiscal
year
from
the
account
to
the
19
department
of
public
health
to
be
used
for
the
purposes
of
the
20
medical
residency
training
state
matching
grants
program
as
21
specified
in
section
135.176
,
if
enacted
by
the
Eighty-sixth
22
General
Assembly,
2015
session.
However,
notwithstanding
any
23
provision
to
the
contrary
in
section
135.176,
if
enacted
by
24
the
Eighty-sixth
General
Assembly,
2015
session,
priority
in
25
the
awarding
of
grants
shall
be
given
to
sponsors
that
propose
26
preference
in
the
use
of
the
grant
funds
for
psychiatric
27
residency
positions
and
family
practice
residency
positions.
28
r.
Of
the
funds
appropriated
in
this
section,
$50,000
29
shall
be
distributed
each
fiscal
year
to
a
statewide
nonprofit
30
organization
to
be
used
for
the
public
purpose
of
supporting
31
a
partnership
between
medical
providers
and
parents
through
32
community
health
centers
to
promote
reading
and
encourage
33
literacy
skills
so
children
enter
school
prepared
for
success
34
in
reading.
35
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86
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101
S.F.
_____
H.F.
_____
5.
HEALTHY
AGING
1
To
provide
public
health
services
that
reduce
risks
and
2
invest
in
promoting
and
protecting
good
health
over
the
3
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
4
vulnerable
populations:
5
a.
FY
2015-2016
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
7
b.
FY
2016-2017
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
9
6.
INFECTIOUS
DISEASES
10
For
reducing
the
incidence
and
prevalence
of
communicable
11
diseases:
12
a.
FY
2015-2016
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,335,155
14
b.
FY
2016-2017
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,335,155
16
7.
PUBLIC
PROTECTION
17
a.
For
protecting
the
health
and
safety
of
the
public
18
through
establishing
standards
and
enforcing
regulations:
19
(1)
FY
2015-2016
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,339,191
21
(2)
FY
2016-2017
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,339,191
23
b.
Of
the
funds
appropriated
in
this
subsection,
not
24
more
than
$454,700
shall
be
credited
each
fiscal
year
to
the
25
emergency
medical
services
fund
created
in
section
135.25
.
26
Moneys
in
the
emergency
medical
services
fund
are
appropriated
27
to
the
department
to
be
used
for
the
purposes
of
the
fund.
28
c.
Of
the
funds
appropriated
in
this
subsection,
$203,032
29
shall
be
used
each
fiscal
year
for
sexual
violence
prevention
30
programming
through
a
statewide
organization
representing
31
programs
serving
victims
of
sexual
violence
through
the
32
department’s
sexual
violence
prevention
program.
The
amount
33
allocated
in
this
paragraph
“c”
shall
not
be
used
to
supplant
34
funding
administered
for
other
sexual
violence
prevention
or
35
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86
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S.F.
_____
H.F.
_____
victims
assistance
programs.
1
d.
Of
the
funds
appropriated
in
this
subsection,
$598,751
2
shall
be
used
each
fiscal
year
for
the
state
poison
control
3
center.
Pursuant
to
the
directive
under
2014
Iowa
Acts,
4
chapter
1140,
section
102,
the
federal
matching
funds
available
5
to
the
state
poison
control
center
from
the
department
of
human
6
services
under
the
federal
Children’s
Health
Insurance
Program
7
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
8
administrative
cap
rule
of
10
percent
applicable
to
funding
9
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
10
included
within
the
department’s
calculations
of
the
cap.
11
8.
RESOURCE
MANAGEMENT
12
For
establishing
and
sustaining
the
overall
ability
of
the
13
department
to
deliver
services
to
the
public:
14
a.
FY
2015-2016
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
855,072
16
b.
FY
2016-2017
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
855,072
18
The
university
of
Iowa
hospitals
and
clinics
under
the
19
control
of
the
state
board
of
regents
shall
not
receive
20
indirect
costs
from
the
funds
appropriated
in
this
section.
21
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
22
department
shall
be
on
at
least
a
quarterly
basis.
23
DIVISION
IV
24
DEPARTMENT
OF
VETERANS
AFFAIRS
25
Sec.
4.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
26
appropriated
from
the
general
fund
of
the
state
to
the
27
department
of
veterans
affairs
for
the
following
fiscal
years,
28
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
29
be
used
for
the
purposes
designated:
30
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
31
For
salaries,
support,
maintenance,
and
miscellaneous
32
purposes:
33
a.
FY
2015-2016
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,200,546
35
-18-
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1030XG
(31)
86
pf/rh/rj
18/
101
S.F.
_____
H.F.
_____
b.
FY
2016-2017
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,200,546
2
2.
IOWA
VETERANS
HOME
3
a.
For
salaries,
support,
maintenance,
and
miscellaneous
4
purposes:
5
(1)
FY
2015-2016
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,594,996
7
(2)
FY
2016-2017
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,594,996
9
b.
The
Iowa
veterans
home
billings
involving
the
department
10
of
human
services
shall
be
submitted
to
the
department
on
at
11
least
a
monthly
basis.
12
c.
Within
available
resources
and
in
conformance
with
13
associated
state
and
federal
program
eligibility
requirements,
14
the
Iowa
veterans
home
may
implement
measures
to
provide
15
financial
assistance
to
or
on
behalf
of
veterans
or
their
16
spouses
who
are
participating
in
the
community
reentry
program.
17
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
18
For
transfer
to
the
Iowa
finance
authority
for
the
19
continuation
of
the
home
ownership
assistance
program
for
20
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
21
the
United
States,
pursuant
to
section
16.54
:
22
a.
FY
2015-2016
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,500,000
24
b.
FY
2016-2017
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,500,000
26
Sec.
5.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
27
FUND
STANDING
APPROPRIATIONS.
There
is
appropriated
from
the
28
general
fund
of
the
state
pursuant
to
section
35A.16
for
the
29
following
fiscal
years,
the
following
amounts:
30
For
the
county
commissions
of
veteran
affairs
fund
under
31
section
35A.16
:
32
1.
FY
2015-2016
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
34
2.
FY
2016-2017
35
-19-
LSB
1030XG
(31)
86
pf/rh/rj
19/
101
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
1
DIVISION
V
2
DEPARTMENT
OF
HUMAN
SERVICES
3
Sec.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
4
GRANT.
There
is
appropriated
from
the
fund
created
in
section
5
8.41
to
the
department
of
human
services
for
the
following
6
fiscal
years,
from
moneys
received
under
the
federal
temporary
7
assistance
for
needy
families
(TANF)
block
grant
pursuant
8
to
the
federal
Personal
Responsibility
and
Work
Opportunity
9
Reconciliation
Act
of
1996,
Pub.
L.
No.
104-193,
and
successor
10
legislation,
the
following
amounts,
or
so
much
thereof
as
is
11
necessary,
to
be
used
for
the
purposes
designated:
12
1.
To
be
credited
to
the
family
investment
program
account
13
and
used
for
assistance
under
the
family
investment
program
14
under
chapter
239B
:
15
a.
FY
2015-2016
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,136,995
17
b.
FY
2016-2017
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,590,734
19
2.
To
be
credited
to
the
family
investment
program
account
20
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
21
program
and
implementing
family
investment
agreements
in
22
accordance
with
chapter
239B
:
23
a.
FY
2015-2016
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,138,178
25
b.
FY
2016-2017
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,135,713
27
3.
To
be
used
for
the
family
development
and
28
self-sufficiency
grant
program
in
accordance
with
section
29
216A.107
:
30
a.
FY
2015-2016
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
32
b.
FY
2016-2017
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
34
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
35
-20-
LSB
1030XG
(31)
86
pf/rh/rj
20/
101
S.F.
_____
H.F.
_____
subsection
that
remain
unencumbered
or
unobligated
at
the
close
1
of
each
fiscal
year
shall
not
revert
but
shall
remain
available
2
for
expenditure
for
the
purposes
designated
until
the
close
of
3
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
4
encumbered
or
obligated
on
or
before
September
30
of
a
fiscal
5
year,
the
moneys
shall
revert.
6
4.
For
field
operations:
7
a.
FY
2015-2016
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
9
b.
FY
2016-2017
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
11
5.
For
general
administration:
12
a.
FY
2015-2016
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
14
b.
FY
2016-2017
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
16
6.
a.
For
state
child
care
assistance:
17
(1)
FY
2015-2016
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
19
(2)
FY
2016-2017
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
21
b.
Of
the
funds
appropriated
in
this
subsection,
22
$26,328,097
is
transferred
each
fiscal
year
to
the
child
23
care
and
development
block
grant
appropriation
made
by
the
24
Eighty-sixth
General
Assembly,
2015
Session,
for
the
federal
25
fiscal
year
beginning
October
1,
2015,
and
ending
September
26
30,
2016,
and
for
the
federal
fiscal
year
beginning
October
1,
27
2016,
and
ending
September
30,
2017.
Of
this
amount,
$200,000
28
shall
be
used
each
fiscal
year
for
provision
of
educational
29
opportunities
to
registered
child
care
home
providers
in
order
30
to
improve
services
and
programs
offered
by
this
category
31
of
providers
and
to
increase
the
number
of
providers.
The
32
department
may
contract
with
institutions
of
higher
education
33
or
child
care
resource
and
referral
centers
to
provide
34
the
educational
opportunities.
Allowable
administrative
35
-21-
LSB
1030XG
(31)
86
pf/rh/rj
21/
101
S.F.
_____
H.F.
_____
costs
under
the
contracts
shall
not
exceed
5
percent.
The
1
application
for
a
grant
shall
not
exceed
two
pages
in
length.
2
c.
Any
funds
appropriated
in
this
subsection
remaining
3
unallocated
shall
be
used
each
fiscal
year
for
state
child
4
care
assistance
payments
for
families
who
are
employed,
5
including
but
not
limited
to
individuals
enrolled
in
the
family
6
investment
program.
7
7.
For
distribution
to
counties
and
regions
through
the
8
property
tax
relief
fund
for
mental
health
and
disability
9
services
as
provided
in
an
appropriation
made
for
this
purpose:
10
a.
FY
2015-2016
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
12
b.
FY
2016-2017
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
14
8.
For
child
and
family
services:
15
a.
FY
2015-2016
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
17
b.
FY
2016-2017
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
19
9.
For
child
abuse
prevention
grants:
20
a.
FY
2015-2016
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
22
b.
FY
2016-2017
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
24
10.
a.
For
pregnancy
prevention
grants:
25
(1)
FY
2015-2016
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
27
(2)
FY
2016-2017
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
29
b.
Pregnancy
prevention
grants
shall
be
awarded
to
programs
30
in
existence
on
or
before
July
1
of
each
fiscal
year
if
the
31
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
32
awarded
to
pregnancy
prevention
programs
which
are
developed
33
after
July
1
of
each
fiscal
year
if
the
programs
are
based
34
on
existing
models
that
have
demonstrated
positive
outcomes.
35
-22-
LSB
1030XG
(31)
86
pf/rh/rj
22/
101
S.F.
_____
H.F.
_____
Grants
shall
comply
with
the
requirements
provided
in
1997
Iowa
1
Acts,
chapter
208,
section
14,
subsections
1
and
2,
including
2
the
requirement
that
grant
programs
must
emphasize
sexual
3
abstinence.
Priority
in
the
awarding
of
grants
shall
be
given
4
to
programs
that
serve
areas
of
the
state
which
demonstrate
5
the
highest
percentage
of
unplanned
pregnancies
of
females
of
6
childbearing
age
within
the
geographic
area
to
be
served
by
the
7
grant.
8
11.
For
technology
needs
and
other
resources
necessary
9
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
10
management
requirements:
11
a.
FY
2015-2016
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
13
b.
FY
2016-2017
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
15
12.
For
the
family
investment
program
share
of
the
costs
to
16
continue
to
develop
and
maintain
a
new,
integrated
eligibility
17
determination
system:
18
a.
FY
2015-2016
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,654,880
20
b.
FY
2016-2017
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,838,944
22
13.
a.
Notwithstanding
any
provision
to
the
contrary,
23
including
but
not
limited
to
requirements
in
section
8.41
or
24
provisions
in
2014,
2015,
or
2016
Iowa
Acts
regarding
the
25
receipt
and
appropriation
of
federal
block
grants,
federal
26
funds
from
the
temporary
assistance
for
needy
families
block
27
grant
received
by
the
state
not
otherwise
appropriated
in
this
28
section
and
remaining
available
for
each
fiscal
year
beginning
29
July
1,
2015,
or
July
1,
2016,
respectively,
are
appropriated
30
to
the
department
of
human
services
to
the
extent
as
may
be
31
necessary
to
be
used
in
the
following
priority
order:
the
32
family
investment
program,
for
state
child
care
assistance
33
program
payments
for
families
who
are
employed,
and
for
34
the
family
investment
program
share
of
costs
to
develop
and
35
-23-
LSB
1030XG
(31)
86
pf/rh/rj
23/
101
S.F.
_____
H.F.
_____
maintain
a
new,
integrated
eligibility
determination
system.
1
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
2
expended
only
after
all
other
funds
appropriated
in
subsection
3
1
for
assistance
under
the
family
investment
program,
in
4
subsection
6
for
child
care
assistance,
and
in
subsection
5
12
for
the
family
investment
program
share
of
the
costs
to
6
continue
to
develop
and
maintain
a
new,
integrated
eligibility
7
determination
system,
as
applicable,
have
been
expended.
For
8
the
purposes
of
this
subsection,
the
funds
appropriated
in
9
subsection
6,
paragraph
“b”,
for
transfer
to
the
child
care
10
and
development
block
grant
appropriation
are
considered
fully
11
expended
when
the
full
amount
has
been
transferred.
12
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
13
legislative
services
agency
and
department
of
management
of
14
the
amount
of
funds
appropriated
in
this
subsection
that
was
15
expended
in
the
prior
quarter.
16
14.
Of
the
amounts
appropriated
in
this
section,
17
$12,962,008
for
each
fiscal
year,
is
transferred
to
the
18
appropriation
of
the
federal
social
services
block
grant
made
19
to
the
department
of
human
services
for
that
fiscal
year.
20
15.
For
continuation
of
the
program
providing
categorical
21
eligibility
for
the
food
assistance
program
as
specified
for
22
the
program
in
the
section
of
this
division
of
this
2015
Act
23
relating
to
the
family
investment
program
account:
24
a.
FY
2015-2016
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
26
b.
FY
2016-2017
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
28
16.
The
department
may
transfer
funds
allocated
in
this
29
section
to
the
appropriations
made
in
this
division
of
this
30
2015
Act
for
the
same
fiscal
year
for
general
administration
31
and
field
operations
for
resources
necessary
to
implement
and
32
operate
the
services
referred
to
in
this
section
and
those
33
funded
in
the
appropriation
made
in
this
division
of
this
2015
34
Act
for
the
same
fiscal
year
for
the
family
investment
program
35
-24-
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1030XG
(31)
86
pf/rh/rj
24/
101
S.F.
_____
H.F.
_____
from
the
general
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
ending
4
June
30,
2016,
and
for
the
fiscal
year
beginning
July
1,
2016,
5
and
ending
June
30,
2017,
shall
be
used
to
provide
assistance
6
in
accordance
with
chapter
239B
.
7
2.
The
department
may
use
a
portion
of
the
moneys
credited
8
to
the
FIP
account
under
this
section
as
necessary
for
9
salaries,
support,
maintenance,
and
miscellaneous
purposes.
10
3.
The
department
may
transfer
funds
allocated
in
this
11
section
to
the
appropriations
made
in
this
division
of
this
Act
12
for
the
same
fiscal
year
for
general
administration
and
field
13
operations
for
resources
necessary
to
implement
and
operate
the
14
services
referred
to
in
this
section
and
those
funded
in
the
15
appropriation
made
in
this
division
of
this
Act
for
the
same
16
fiscal
year
for
the
family
investment
program
from
the
general
17
fund
of
the
state.
18
4.
Moneys
appropriated
in
this
division
of
this
Act
and
19
credited
to
the
FIP
account
for
the
following
fiscal
years,
are
20
allocated
as
follows:
21
a.
To
be
retained
by
the
department
of
human
services
to
22
be
used
for
coordinating
with
the
department
of
human
rights
23
to
more
effectively
serve
participants
in
FIP
and
other
shared
24
clients
and
to
meet
federal
reporting
requirements
under
the
25
federal
temporary
assistance
for
needy
families
block
grant:
26
(1)
FY
2015-2016
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
28
(2)
FY
2016-2017
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
30
b.
(1)
To
the
department
of
human
rights
for
staffing,
31
administration,
and
implementation
of
the
family
development
32
and
self-sufficiency
grant
program
in
accordance
with
section
33
216A.107
:
34
(a)
FY
2015-2016
35
-25-
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(31)
86
pf/rh/rj
25/
101
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
1
(b)
FY
2016-2017
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
3
(2)
Of
the
funds
allocated
for
the
family
development
and
4
self-sufficiency
grant
program
in
this
paragraph
“b”,
not
more
5
than
5
percent
of
the
funds
shall
be
used
each
fiscal
year
for
6
the
administration
of
the
grant
program.
7
(3)
The
department
of
human
rights
may
continue
to
implement
8
the
family
development
and
self-sufficiency
grant
program
9
statewide
during
each
fiscal
year.
10
c.
(1)
For
the
diversion
subaccount
of
the
FIP
account:
11
(a)
FY
2015-2016
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
13
(b)
FY
2016-2017
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
15
(2)
A
portion
of
the
moneys
allocated
for
the
subaccount
16
may
be
used
for
field
operations,
salaries,
data
management
17
system
development,
and
implementation
costs
and
support
18
deemed
necessary
by
the
director
of
human
services
in
order
19
to
administer
the
FIP
diversion
program.
To
the
extent
20
moneys
allocated
in
this
paragraph
“c”
are
not
deemed
by
the
21
department
to
be
necessary
to
support
diversion
activities,
22
such
moneys
may
be
used
for
other
efforts
intended
to
increase
23
engagement
by
family
investment
program
participants
in
work,
24
education,
or
training
activities.
25
d.
(1)
For
the
food
assistance
employment
and
training
26
program:
27
(a)
FY
2015-2016
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
29
(b)
FY
2016-2017
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
31
(2)
The
department
shall
apply
the
federal
supplemental
32
nutrition
assistance
program
(SNAP)
employment
and
training
33
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
34
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
35
-26-
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(31)
86
pf/rh/rj
26/
101
S.F.
_____
H.F.
_____
provisions
for
the
claiming
of
allowable
federal
reimbursement
1
funds
from
the
United
States
department
of
agriculture
2
pursuant
to
the
federal
SNAP
employment
and
training
program
3
for
providing
education,
employment,
and
training
services
4
for
eligible
food
assistance
program
participants,
including
5
but
not
limited
to
related
dependent
care
and
transportation
6
expenses.
7
(3)
The
department
shall
continue
the
categorical
federal
8
food
assistance
program
eligibility
at
160
percent
of
the
9
federal
poverty
level
and
continue
to
eliminate
the
asset
test
10
from
eligibility
requirements,
consistent
with
federal
food
11
assistance
program
requirements.
The
department
shall
include
12
as
many
food
assistance
households
as
is
allowed
by
federal
13
law.
The
eligibility
provisions
shall
conform
to
all
federal
14
requirements
including
requirements
addressing
individuals
who
15
are
incarcerated
or
otherwise
ineligible.
16
e.
For
the
JOBS
program:
17
(1)
FY
2015-2016
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,540,398
19
(2)
FY
2016-2017
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,537,933
21
5.
Of
the
child
support
collections
assigned
under
FIP,
an
22
amount
equal
to
the
federal
share
of
support
collections
shall
23
be
credited
each
fiscal
year
to
the
child
support
recovery
24
appropriation
made
in
this
division
of
this
Act.
Of
the
25
remainder
of
the
assigned
child
support
collections
received
26
by
the
child
support
recovery
unit
each
fiscal
year,
a
portion
27
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
28
to
increase
recoveries,
and
a
portion
may
be
used
to
sustain
29
cash
flow
in
the
child
support
payments
account.
If
as
a
30
consequence
of
the
appropriations
and
allocations
made
in
this
31
section
the
resulting
amounts
are
insufficient
to
sustain
cash
32
assistance
payments
and
meet
federal
maintenance
of
effort
33
requirements
for
a
fiscal
year,
the
department
shall
seek
34
supplemental
funding
for
that
fiscal
year.
If
child
support
35
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86
pf/rh/rj
27/
101
S.F.
_____
H.F.
_____
collections
assigned
under
FIP
are
greater
than
estimated
or
1
are
otherwise
determined
not
to
be
required
for
maintenance
2
of
effort
for
a
fiscal
year,
the
state
share
of
either
amount
3
may
be
transferred
to
or
retained
in
the
child
support
payment
4
account
for
that
fiscal
year.
5
6.
The
department
may
adopt
emergency
rules
for
the
family
6
investment,
JOBS,
food
assistance,
and
medical
assistance
7
programs
if
necessary
to
comply
with
federal
requirements.
8
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
9
is
appropriated
from
the
general
fund
of
the
state
to
the
10
department
of
human
services
for
the
following
fiscal
years,
11
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
12
be
used
for
the
purpose
designated:
13
1.
To
be
credited
to
the
family
investment
program
(FIP)
14
account
and
used
for
family
investment
program
assistance
under
15
chapter
239B
:
16
a.
FY
2015-2016
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,693,875
18
b.
FY
2016-2017
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,693,875
20
2.
Of
the
funds
appropriated
in
this
section,
$7,402,220
is
21
allocated
each
fiscal
year
for
the
JOBS
program.
22
3.
Of
the
funds
appropriated
in
this
section,
$3,313,854
23
is
allocated
each
fiscal
year
for
the
family
development
and
24
self-sufficiency
grant
program.
25
4.
a.
Notwithstanding
section
8.39
,
for
each
fiscal
26
year,
if
necessary
to
meet
federal
maintenance
of
effort
27
requirements
or
to
transfer
federal
temporary
assistance
for
28
needy
families
block
grant
funding
to
be
used
for
purposes
29
of
the
federal
social
services
block
grant
or
to
meet
cash
30
flow
needs
resulting
from
delays
in
receiving
federal
31
funding
or
to
implement,
in
accordance
with
this
division
of
32
this
Act,
activities
currently
funded
with
juvenile
court
33
services,
county,
or
community
moneys
and
state
moneys
used
in
34
combination
with
such
moneys,
the
department
of
human
services
35
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101
S.F.
_____
H.F.
_____
may
transfer
funds
within
or
between
any
of
the
appropriations
1
made
in
this
division
of
this
Act
and
appropriations
in
law
2
for
the
federal
social
services
block
grant
to
the
department
3
for
the
following
purposes,
provided
that
the
combined
amount
4
of
state
and
federal
temporary
assistance
for
needy
families
5
block
grant
funding
for
each
appropriation
for
each
fiscal
year
6
remains
the
same
before
and
after
the
transfer:
7
(1)
For
the
family
investment
program.
8
(2)
For
child
care
assistance.
9
(3)
For
child
and
family
services.
10
(4)
For
field
operations.
11
(5)
For
general
administration.
12
(6)
For
distribution
to
counties
or
regions
through
the
13
property
tax
relief
fund
for
mental
health
and
disability
14
services
as
provided
in
an
appropriation
for
this
purpose.
15
b.
This
subsection
shall
not
be
construed
to
prohibit
the
16
use
of
existing
state
transfer
authority
for
other
purposes.
17
The
department
shall
report
any
transfers
made
pursuant
to
this
18
subsection
to
the
legislative
services
agency.
19
5.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
20
be
used
each
fiscal
year
for
continuation
of
a
grant
to
an
21
Iowa-based
nonprofit
organization
with
a
history
of
providing
22
tax
preparation
assistance
to
low-income
Iowans
in
order
to
23
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
24
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
25
of
the
state.
26
6.
Of
the
funds
appropriated
in
this
section,
$80,000
27
shall
be
used
each
fiscal
year
for
the
continuation
of
an
28
unfunded
pilot
project,
as
defined
in
441
IAC
100.1,
relating
29
to
parental
obligations,
in
which
the
child
support
recovery
30
unit
participates,
to
support
the
efforts
of
a
nonprofit
31
organization
committed
to
strengthening
the
community
through
32
youth
development,
healthy
living,
and
social
responsibility
33
headquartered
in
a
county
with
a
population
over
350,000.
34
The
funds
allocated
in
this
subsection
shall
be
used
by
35
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S.F.
_____
H.F.
_____
the
recipient
organization
to
develop
a
larger
community
1
effort,
through
public
and
private
partnerships,
to
support
a
2
broad-based
multi-county
fatherhood
initiative
that
promotes
3
payment
of
child
support
obligations,
improved
family
4
relationships,
and
full-time
employment.
5
7.
Of
the
funds
appropriated
in
this
section,
$1,000,000
6
shall
be
transferred
to
the
appropriations
made
in
this
7
division
of
this
Act
for
medical
assistance
for
the
fiscal
year
8
beginning
July
1,
2015,
and
for
the
fiscal
year
beginning
July
9
1,
2016.
10
8.
The
department
may
transfer
funds
appropriated
in
this
11
section
for
each
fiscal
year
to
the
appropriations
made
in
12
this
division
of
this
Act
for
general
administration
and
field
13
operations
for
each
fiscal
year
as
necessary
to
administer
this
14
section
and
the
overall
family
investment
program.
15
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
16
from
the
general
fund
of
the
state
to
the
department
of
human
17
services
for
the
following
fiscal
years,
the
following
amounts,
18
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
19
designated:
20
1.
For
child
support
recovery,
including
salaries,
support,
21
maintenance,
and
miscellaneous
purposes:
22
a.
FY
2015-2016
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,663,373
24
b.
FY
2016-2017
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,811,115
26
2.
The
department
shall
expend
up
to
$24,329
each
fiscal
27
year,
including
federal
financial
participation,
for
a
28
child
support
public
awareness
campaign.
The
department
29
and
the
office
of
the
attorney
general
shall
cooperate
in
30
continuation
of
the
campaign.
The
public
awareness
campaign
31
shall
emphasize,
through
a
variety
of
media
activities,
the
32
importance
of
maximum
involvement
of
both
parents
in
the
lives
33
of
their
children
as
well
as
the
importance
of
payment
of
child
34
support
obligations.
35
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S.F.
_____
H.F.
_____
3.
Federal
access
and
visitation
grant
moneys
shall
be
1
issued
directly
to
private
not-for-profit
agencies
that
provide
2
services
designed
to
increase
compliance
with
the
child
access
3
provisions
of
court
orders,
including
but
not
limited
to
4
neutral
visitation
sites
and
mediation
services.
5
4.
The
appropriation
made
to
the
department
for
child
6
support
recovery
may
be
used
throughout
each
fiscal
year
in
the
7
manner
necessary
for
purposes
of
cash
flow
management,
and
for
8
cash
flow
management
purposes
the
department
may
temporarily
9
draw
more
than
the
amount
appropriated
for
a
fiscal
year,
10
provided
the
amount
appropriated
is
not
exceeded
at
the
close
11
of
a
fiscal
year.
12
5.
With
the
exception
of
the
funding
amount
specified,
the
13
requirements
established
under
2001
Iowa
Acts,
chapter
191,
14
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
15
be
applicable
to
parental
obligation
pilot
projects
for
each
16
fiscal
year.
Notwithstanding
441
IAC
100.8,
providing
for
17
termination
of
rules
relating
to
the
pilot
projects,
the
rules
18
shall
remain
in
effect
until
June
30,
2017.
19
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE.
Any
20
funds
remaining
in
the
health
care
trust
fund
created
in
21
section
453A.35A
for
the
respective
fiscal
years
beginning
July
22
1,
2015,
and
ending
June
30,
2016,
and
beginning
July
1,
2016,
23
and
ending
June
30,
2017,
are
appropriated
to
the
department
24
of
human
services
to
supplement
the
medical
assistance
program
25
appropriations
made
in
this
division
of
this
Act
for
the
26
same
fiscal
year,
for
medical
assistance
reimbursement
and
27
associated
costs,
including
program
administration
and
costs
28
associated
with
program
implementation.
29
Sec.
11.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE.
Any
30
funds
remaining
in
the
Medicaid
fraud
fund
created
in
section
31
249A.50
for
the
respective
fiscal
years
beginning
July
1,
32
2015,
and
ending
June
30,
2016,
and
beginning
July
1,
2016,
33
and
ending
June
30,
2017,
are
appropriated
to
the
department
34
of
human
services
to
supplement
the
medical
assistance
35
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S.F.
_____
H.F.
_____
appropriations
made
in
this
division
of
this
Act
for
the
1
same
fiscal
year,
for
medical
assistance
reimbursement
and
2
associated
costs,
including
program
administration
and
costs
3
associated
with
program
implementation.
4
Sec.
12.
MEDICAL
ASSISTANCE.
5
1.
There
is
appropriated
from
the
general
fund
of
the
6
state
to
the
department
of
human
services
for
the
following
7
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
8
necessary,
to
be
used
for
the
purpose
designated:
9
For
medical
assistance
program
reimbursement
and
associated
10
costs
as
specifically
provided
in
the
reimbursement
11
methodologies
in
effect
on
June
30
of
the
prior
fiscal
year,
12
except
as
otherwise
expressly
authorized
by
law,
including
13
reimbursement
for
abortion
services
which
shall
be
available
14
under
the
medical
assistance
program
only
for
those
abortions
15
which
are
medically
necessary:
16
a.
FY
2015-2016
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,012,355,027
18
b.
FY
2016-2017
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,002,354,991
20
2.
Medically
necessary
abortions
are
those
performed
under
21
any
of
the
following
conditions:
22
a.
The
attending
physician
certifies
that
continuing
the
23
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
24
b.
The
attending
physician
certifies
that
the
fetus
is
25
physically
deformed,
mentally
deficient,
or
afflicted
with
a
26
congenital
illness.
27
c.
The
pregnancy
is
the
result
of
a
rape
which
is
reported
28
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
29
public
or
private
health
agency
which
may
include
a
family
30
physician.
31
d.
The
pregnancy
is
the
result
of
incest
which
is
reported
32
within
150
days
of
the
incident
to
a
law
enforcement
agency
33
or
public
or
private
health
agency
which
may
include
a
family
34
physician.
35
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S.F.
_____
H.F.
_____
e.
Any
spontaneous
abortion,
commonly
known
as
a
1
miscarriage,
if
not
all
of
the
products
of
conception
are
2
expelled.
3
3.
a.
Iowans
support
reducing
the
number
of
abortions
4
performed
in
our
state.
For
an
abortion
covered
under
the
5
program,
except
in
the
case
of
a
medical
emergency,
as
defined
6
in
section
135L.1
,
for
any
woman,
the
physician
shall
certify
7
both
of
the
following:
8
(1)
That
the
woman
has
been
given
the
opportunity
to
view
an
9
ultrasound
image
of
the
fetus
as
part
of
the
standard
of
care
10
before
an
abortion
is
performed.
11
(2)
That
the
woman
has
been
provided
information
regarding
12
the
options
relative
to
a
pregnancy,
including
continuing
the
13
pregnancy
to
term
and
retaining
parental
rights
following
the
14
child’s
birth,
continuing
the
pregnancy
to
term
and
placing
the
15
child
for
adoption,
and
terminating
the
pregnancy.
16
b.
Funds
appropriated
under
this
section
shall
not
be
used
17
for
abortions
which
do
not
qualify
for
reimbursement
with
18
federal
matching
funds.
19
c.
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
$60,000
23
of
the
funds
appropriated
in
this
section
each
fiscal
year
24
to
continue
the
AIDS/HIV
health
insurance
premium
payment
25
program
as
established
in
1992
Iowa
Acts,
Second
Extraordinary
26
Session,
chapter
1001,
section
409,
subsection
6.
Of
the
funds
27
allocated
in
this
subsection,
not
more
than
$5,000
may
be
28
expended
for
administrative
purposes
each
fiscal
year.
29
5.
Of
the
funds
appropriated
in
this
Act
to
the
department
30
of
public
health
for
addictive
disorders
in
each
fiscal
year,
31
$950,000
is
transferred
each
fiscal
year
to
the
department
32
of
human
services
for
an
integrated
substance-related
33
disorder
managed
care
system.
The
department
shall
not
assume
34
management
of
the
substance-related
disorder
system
in
place
of
35
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101
S.F.
_____
H.F.
_____
the
managed
care
contractor
unless
such
a
change
in
approach
1
is
specifically
authorized
in
law.
The
departments
of
human
2
services
and
public
health
shall
work
together
to
maintain
the
3
level
of
mental
health
and
substance-related
disorder
treatment
4
services
provided
by
the
managed
care
contractor
through
5
the
Iowa
plan
for
behavioral
health.
Each
department
shall
6
take
the
steps
necessary
to
continue
the
federal
waivers
as
7
necessary
to
maintain
the
level
of
services.
8
6.
a.
The
department
shall
aggressively
pursue
options
for
9
providing
medical
assistance
or
other
assistance
to
individuals
10
with
special
needs
who
become
ineligible
to
continue
receiving
11
services
under
the
early
and
periodic
screening,
diagnostic,
12
and
treatment
program
under
the
medical
assistance
program
13
due
to
becoming
21
years
of
age
who
have
been
approved
for
14
additional
assistance
through
the
department’s
exception
to
15
policy
provisions,
but
who
have
health
care
needs
in
excess
16
of
the
funding
available
through
the
exception
to
policy
17
provisions.
18
b.
Of
the
funds
appropriated
in
this
section,
$100,000
19
shall
be
used
each
fiscal
year
for
participation
in
one
or
20
more
pilot
projects
operated
by
a
private
provider
to
allow
21
the
individual
or
individuals
to
receive
service
in
the
22
community
in
accordance
with
principles
established
in
Olmstead
23
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
24
medical
assistance
or
other
assistance
to
individuals
with
25
special
needs
who
become
ineligible
to
continue
receiving
26
services
under
the
early
and
periodic
screening,
diagnostic,
27
and
treatment
program
under
the
medical
assistance
program
28
due
to
becoming
21
years
of
age
who
have
been
approved
for
29
additional
assistance
through
the
department’s
exception
to
30
policy
provisions,
but
who
have
health
care
needs
in
excess
31
of
the
funding
available
through
the
exception
to
the
policy
32
provisions.
33
7.
Of
the
funds
appropriated
in
this
section,
up
to
34
$3,050,082
may
be
transferred
each
fiscal
year
to
the
field
35
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101
S.F.
_____
H.F.
_____
operations
or
general
administration
appropriations
in
this
1
division
of
this
Act
for
operational
costs
associated
with
Part
2
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
3
Modernization
Act
of
2003,
Pub.
L.
No.
108-173.
4
8.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
5
may
be
transferred
each
fiscal
year
to
the
appropriation
in
6
this
division
of
this
Act
for
medical
contracts
to
be
used
7
for
clinical
assessment
services
and
prior
authorization
of
8
services.
9
9.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
transferred
each
fiscal
year
to
the
appropriations
in
11
this
division
of
this
Act
for
general
administration,
medical
12
contracts,
the
children’s
health
insurance
program,
or
field
13
operations
to
be
used
for
the
state
match
cost
to
comply
with
14
the
payment
error
rate
measurement
(PERM)
program
for
both
the
15
medical
assistance
and
children’s
health
insurance
programs
as
16
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
17
the
United
States
department
of
health
and
human
services
to
18
comply
with
the
federal
Improper
Payments
Information
Act
of
19
2002,
Pub.
L.
No.
107-300.
20
10.
It
is
the
intent
of
the
general
assembly
that
the
21
department
continue
to
implement
the
recommendations
of
22
the
assuring
better
child
health
and
development
initiative
23
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
24
screening,
diagnostic,
and
treatment
services
healthy
mental
25
development
collaborative
board
regarding
changes
to
billing
26
procedures,
codes,
and
eligible
service
providers.
27
11.
Of
the
funds
appropriated
in
this
section,
a
sufficient
28
amount
is
allocated
each
fiscal
year
to
supplement
the
29
incomes
of
residents
of
nursing
facilities,
intermediate
care
30
facilities
for
persons
with
mental
illness,
and
intermediate
31
care
facilities
for
persons
with
an
intellectual
disability,
32
with
incomes
of
less
than
$50
in
the
amount
necessary
for
the
33
residents
to
receive
a
personal
needs
allowance
of
$50
per
34
month
pursuant
to
section
249A.30A
.
35
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101
S.F.
_____
H.F.
_____
12.
a.
Of
the
funds
appropriated
in
this
section,
1
$4,083,878
is
allocated
each
fiscal
year
for
the
state
match
2
for
a
disproportionate
share
hospital
payment
of
$9,089,424
3
each
fiscal
year
to
hospitals
that
meet
both
of
the
conditions
4
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
5
hospitals
that
meet
the
conditions
specified
shall
either
6
certify
public
expenditures
or
transfer
to
the
medical
7
assistance
program
each
fiscal
year
an
amount
equal
to
provide
8
the
nonfederal
share
for
a
disproportionate
share
hospital
9
payment
of
$17,544,006.
The
hospitals
that
meet
the
conditions
10
specified
shall
receive
and
retain
100
percent
of
the
total
11
disproportionate
share
hospital
payment
of
$26,633,430
each
12
fiscal
year.
13
(1)
The
hospital
qualifies
for
disproportionate
share
and
14
graduate
medical
education
payments.
15
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
16
than
500
beds
and
eight
or
more
distinct
residency
specialty
17
or
subspecialty
programs
recognized
by
the
American
college
of
18
graduate
medical
education.
19
b.
Distribution
of
the
disproportionate
share
payments
20
shall
be
made
on
a
monthly
basis.
The
total
amount
of
21
disproportionate
share
payments
including
graduate
medical
22
education,
enhanced
disproportionate
share,
and
Iowa
23
state-owned
teaching
hospital
payments
shall
not
exceed
the
24
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
25
In
addition,
the
total
amount
of
all
disproportionate
26
share
payments
shall
not
exceed
the
hospital-specific
27
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
28
13.
The
university
of
Iowa
hospitals
and
clinics
shall
29
either
certify
public
expenditures
or
transfer
to
the
30
appropriations
made
in
this
division
of
this
Act
for
medical
31
assistance
each
fiscal
year
an
amount
equal
to
provide
the
32
nonfederal
share
for
increased
medical
assistance
payments
for
33
inpatient
and
outpatient
hospital
services
of
$9,900,000.
The
34
university
of
Iowa
hospitals
and
clinics
shall
receive
and
35
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36/
101
S.F.
_____
H.F.
_____
retain
100
percent
of
the
total
increase
in
medical
assistance
1
payments
each
fiscal
year.
2
14.
One
hundred
percent
of
the
nonfederal
share
of
payments
3
to
area
education
agencies
that
are
medical
assistance
4
providers
for
medical
assistance-covered
services
provided
to
5
medical
assistance-covered
children,
shall
be
made
from
the
6
appropriation
made
in
this
section
each
fiscal
year.
7
15.
Any
new
or
renewed
contract
entered
into
by
the
8
department
with
a
third
party
to
administer
behavioral
health
9
services
under
the
medical
assistance
program
each
fiscal
10
year
shall
provide
that
any
interest
earned
on
payments
from
11
the
state
during
a
state
fiscal
year
shall
be
remitted
to
the
12
department
and
treated
as
recoveries
to
offset
the
costs
of
the
13
medical
assistance
program.
14
16.
A
portion
of
the
funds
appropriated
in
this
section
15
may
be
transferred
to
the
appropriation
in
this
division
of
16
this
Act
for
medical
contracts
to
be
used
for
administrative
17
activities
associated
with
the
money
follows
the
person
18
demonstration
project.
19
17.
Of
the
funds
appropriated
in
this
section,
$349,011
20
shall
be
used
each
fiscal
year
for
the
administration
of
the
21
health
insurance
premium
payment
program,
including
salaries,
22
support,
maintenance,
and
miscellaneous
purposes.
23
18.
a.
The
department
may
increase
the
amounts
allocated
24
each
fiscal
year
for
salaries,
support,
maintenance,
and
25
miscellaneous
purposes
associated
with
the
medical
assistance
26
program,
as
necessary,
to
implement
cost
containment
27
strategies.
The
department
shall
report
any
such
increase
28
to
the
legislative
services
agency
and
the
department
of
29
management.
30
b.
If
the
savings
to
the
medical
assistance
program
exceed
31
the
cost
for
a
fiscal
year,
the
department
may
transfer
any
32
savings
generated
for
a
fiscal
year
due
to
medical
assistance
33
program
cost
containment
efforts
to
the
appropriation
made
in
34
this
division
of
this
Act
for
medical
contracts
or
general
35
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86
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101
S.F.
_____
H.F.
_____
administration
for
the
same
fiscal
year
to
defray
the
increased
1
contract
costs
associated
with
implementing
such
efforts.
2
19.
For
each
fiscal
year,
the
replacement
generation
tax
3
revenues
required
to
be
deposited
in
the
property
tax
relief
4
fund
pursuant
to
section
437A.8,
subsection
4,
paragraph
“d”
,
5
and
section
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
6
be
credited
to
and
supplement
the
appropriation
made
in
this
7
section
and
used
for
the
allocations
made
in
this
section
for
8
the
same
fiscal
year.
9
20.
The
department
shall
continue
to
administer
the
state
10
balancing
incentive
payments
program
as
specified
in
2012
Iowa
11
Acts,
chapter
1133,
section
14.
12
21.
Of
the
funds
appropriated
in
this
section,
$250,000
13
shall
be
used
each
fiscal
year
for
lodging
expenses
associated
14
with
care
provided
at
the
university
of
Iowa
hospitals
and
15
clinics
for
patients
with
cancer
whose
travel
distance
is
30
16
miles
or
more
and
whose
income
is
at
or
below
200
percent
of
the
17
federal
poverty
level
as
defined
by
the
most
recently
revised
18
poverty
income
guidelines
published
by
the
United
States
19
department
of
health
and
human
services.
The
department
of
20
human
services
shall
establish
the
maximum
number
of
overnight
21
stays
and
the
maximum
rate
reimbursed
for
overnight
lodging,
22
which
may
be
based
on
the
state
employee
rate
established
by
23
the
department
of
administrative
services.
The
funds
allocated
24
in
this
subsection
shall
not
be
used
as
nonfederal
share
25
matching
funds.
26
22.
The
department
of
human
services
may
adopt
emergency
27
rules
as
necessary
to
implement
the
Medicaid
modernization
28
initiative
to
be
implemented
beginning
January
1,
2016.
29
Sec.
13.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
——
30
MEDICAL
ASSISTANCE
AND
OTHER
DEPARTMENTAL
EXPENDITURES.
31
1.
There
is
appropriated
from
the
general
fund
of
the
32
state
to
the
department
of
human
services
for
the
following
33
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
34
necessary,
to
be
used
for
the
purposes
designated:
35
-38-
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(31)
86
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101
S.F.
_____
H.F.
_____
For
medical
assistance
program
costs
and
other
departmental
1
expenditures
associated
with
the
redesign
of
mental
health
and
2
disability
services,
in
accordance
with
this
section:
3
a.
FY
2015-2016
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$328,392,168
5
b.
FY
2016-2017
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$348,423,326
7
2.
The
amount
remaining
following
other
allocations
made
in
8
this
section
is
transferred
to
the
appropriation
made
from
the
9
general
fund
of
the
state
in
this
division
of
this
Act
for
the
10
medical
assistance
program
for
the
same
fiscal
year
and
shall
11
be
used
to
pay
the
nonfederal
share
of
the
following
medical
12
assistance
program
services
costs
that
prior
to
July
1,
2012,
13
would
have
been
billed
to
counties:
14
a.
Habilitation.
15
b.
Targeted
case
management.
16
c.
Home
and
community-based
services
waiver
services
for
17
persons
with
intellectual
disabilities
and
brain
injury.
18
d.
Community-based
intermediate
care
facilities
for
persons
19
with
an
intellectual
disability.
20
e.
The
state
resource
centers.
21
3.
Of
the
funds
appropriated
in
this
section,
up
to
$50,000
22
may
be
transferred
by
the
department
to
the
appropriation
23
made
in
this
division
of
this
Act
to
the
department
for
the
24
same
fiscal
year
for
general
administration
to
be
used
for
25
associated
administrative
expenses
and
for
not
more
than
one
26
full-time
equivalent
position,
in
addition
to
those
authorized
27
for
the
same
fiscal
year,
to
be
assigned
to
implement
the
28
children’s
mental
health
home
project.
29
4.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
30
may
be
transferred
by
the
department
to
the
appropriation
31
made
to
the
department
in
this
division
of
this
Act
for
the
32
same
fiscal
year
for
general
administration
planning
and
33
implementation
activities.
The
funds
may
be
used
for
contracts
34
or
for
personnel
in
addition
to
the
amounts
appropriated
for
35
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101
S.F.
_____
H.F.
_____
and
the
positions
authorized
for
general
administration
for
the
1
fiscal
year.
2
5.
Of
the
funds
appropriated
in
this
section,
up
to
3
$3,000,000
may
be
transferred
by
the
department
to
the
4
appropriations
made
in
this
division
of
this
Act
for
the
same
5
fiscal
year
for
general
administration
or
medical
contracts
6
to
be
used
to
support
the
development
and
implementation
of
7
standardized
assessment
tools
for
persons
with
mental
illness,
8
an
intellectual
disability,
a
developmental
disability,
or
a
9
brain
injury.
10
Sec.
14.
IOWA
HEALTH
AND
WELLNESS
PLAN
EXPENDITURES.
There
11
is
appropriated
from
the
general
fund
of
the
state
to
the
12
department
of
human
services
for
the
following
fiscal
years,
13
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
14
be
used
for
the
purposes
designated:
15
For
the
Iowa
health
and
wellness
plan
pursuant
to
chapter
16
249N:
17
1.
FY
2015-2016
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,073,676
19
2.
FY
2016-2017
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
44,906,046
21
Sec.
15.
MEDICAL
CONTRACTS.
22
1.
There
is
appropriated
from
the
general
fund
of
the
23
state
to
the
department
of
human
services
for
the
following
24
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
25
necessary,
to
be
used
for
the
purpose
designated:
26
For
medical
contracts:
27
a.
FY
2015-2016
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
22,903,584
29
b.
FY
2016-2017
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,771,206
31
2.
The
department
of
inspections
and
appeals
shall
32
provide
all
state
matching
funds
for
survey
and
certification
33
activities
performed
by
the
department
of
inspections
34
and
appeals.
The
department
of
human
services
is
solely
35
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86
pf/rh/rj
40/
101
S.F.
_____
H.F.
_____
responsible
for
distributing
the
federal
matching
funds
for
1
such
activities.
2
3.
Of
the
funds
appropriated
in
this
section,
$50,000
3
shall
be
used
each
fiscal
year
for
continuation
of
home
and
4
community-based
services
waiver
quality
assurance
programs,
5
including
the
review
and
streamlining
of
processes
and
policies
6
related
to
oversight
and
quality
management
to
meet
state
and
7
federal
requirements.
8
4.
Of
the
amount
appropriated
in
this
section,
up
9
to
$200,000
may
be
transferred
each
fiscal
year
to
the
10
appropriation
for
general
administration
in
this
division
11
of
this
Act
to
be
used
for
additional
full-time
equivalent
12
positions
in
the
development
of
key
health
initiatives
such
as
13
cost
containment,
development
and
oversight
of
managed
care
14
programs,
and
development
of
health
strategies
targeted
toward
15
improved
quality
and
reduced
costs
in
the
Medicaid
program.
16
5.
Of
the
funds
appropriated
in
this
section,
$1,000,000
17
shall
be
used
each
fiscal
year
for
planning
and
development,
18
in
cooperation
with
the
department
of
public
health,
of
a
19
phased-in
program
to
provide
a
dental
home
for
children.
20
6.
Of
the
funds
appropriated
in
this
section,
$2,000,000
21
shall
be
used
each
fiscal
year
for
the
autism
support
program
22
created
in
chapter
225D
.
23
Sec.
16.
STATE
SUPPLEMENTARY
ASSISTANCE.
24
1.
There
is
appropriated
from
the
general
fund
of
the
25
state
to
the
department
of
human
services
for
the
following
26
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purpose
designated:
28
For
the
state
supplementary
assistance
program:
29
a.
FY
2015-2016
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,997,187
31
b.
FY
2016-2017
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,769,251
33
2.
The
department
shall
increase
the
personal
needs
34
allowance
for
residents
of
residential
care
facilities
by
the
35
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101
S.F.
_____
H.F.
_____
same
percentage
and
at
the
same
time
as
federal
supplemental
1
security
income
and
federal
social
security
benefits
are
2
increased
due
to
a
recognized
increase
in
the
cost
of
living.
3
The
department
may
adopt
emergency
rules
to
implement
this
4
subsection.
5
3.
If
during
a
fiscal
year,
the
department
projects
that
6
state
supplementary
assistance
expenditures
for
the
calendar
7
year
will
not
meet
the
federal
pass-through
requirement
8
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
9
section
1618,
as
codified
in
42
U.S.C.
§1382g,
the
department
10
may
take
actions
including
but
not
limited
to
increasing
11
the
personal
needs
allowance
for
residential
care
facility
12
residents
and
making
programmatic
adjustments
or
upward
13
adjustments
of
the
residential
care
facility
or
in-home
14
health-related
care
reimbursement
rates
prescribed
in
this
15
division
of
this
Act
to
ensure
that
federal
requirements
are
16
met.
In
addition,
the
department
may
make
other
programmatic
17
and
rate
adjustments
necessary
to
remain
within
the
amount
18
appropriated
in
this
section
for
a
fiscal
year
while
ensuring
19
compliance
with
federal
requirements.
The
department
may
adopt
20
emergency
rules
to
implement
the
provisions
of
this
subsection.
21
Sec.
17.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
22
1.
There
is
appropriated
from
the
general
fund
of
the
23
state
to
the
department
of
human
services
for
the
following
24
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
25
necessary,
to
be
used
for
the
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
a.
FY
2015-2016
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,163,844
33
b.
FY
2016-2017
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,839,307
35
-42-
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1030XG
(31)
86
pf/rh/rj
42/
101
S.F.
_____
H.F.
_____
2.
Of
the
funds
appropriated
in
this
section,
$42,800
is
1
allocated
each
fiscal
year
for
continuation
of
the
contract
for
2
outreach
with
the
department
of
public
health.
3
Sec.
18.
CHILD
CARE
ASSISTANCE.
4
1.
There
is
appropriated
from
the
general
fund
of
the
5
state
to
the
department
of
human
services
for
the
following
6
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
7
necessary,
to
be
used
for
the
purpose
designated:
8
For
child
care
programs:
9
a.
FY
2015-2016
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
52,553,279
11
b.
FY
2016-2017
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
52,553,279
13
2.
Of
the
funds
appropriated
in
this
section,
$44,733,852
14
shall
be
used
each
fiscal
year
for
state
child
care
assistance
15
in
accordance
with
section
237A.13
.
16
3.
Nothing
in
this
section
shall
be
construed
or
is
17
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
18
to
persons
who
are
eligible
for
assistance
due
to
an
income
19
level
consistent
with
the
waiting
list
requirements
of
section
20
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
21
this
section
is
limited
to
the
extent
of
the
funds
appropriated
22
in
this
section
for
each
fiscal
year.
23
4.
Of
the
funds
appropriated
in
this
section,
$432,453
is
24
allocated
each
fiscal
year
for
the
statewide
grant
program
25
for
child
care
resource
and
referral
services
under
section
26
237A.26
.
A
list
of
the
registered
and
licensed
child
care
27
facilities
operating
in
the
area
served
by
a
child
care
28
resource
and
referral
service
shall
be
made
available
to
the
29
families
receiving
state
child
care
assistance
in
that
area.
30
5.
Of
the
funds
appropriated
in
this
section,
$936,974
is
31
allocated
each
fiscal
year
for
child
care
quality
improvement
32
initiatives
including
but
not
limited
to
the
voluntary
quality
33
rating
system
in
accordance
with
section
237A.30
.
34
6.
Of
the
funds
appropriated
in
this
section,
$6,350,000
35
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S.F.
_____
H.F.
_____
shall
be
credited
each
fiscal
year
to
the
early
childhood
1
programs
grants
account
in
the
early
childhood
Iowa
fund
2
created
in
section
256I.11
.
The
moneys
shall
be
distributed
3
for
funding
of
community-based
early
childhood
programs
4
targeted
to
children
from
birth
through
five
years
of
age
5
developed
by
early
childhood
Iowa
areas
in
accordance
with
6
approved
community
plans
as
provided
in
section
256I.8
.
7
7.
The
department
may
use
any
of
the
funds
appropriated
8
in
this
section
each
fiscal
year
as
a
match
to
obtain
federal
9
funds
for
the
same
fiscal
year
for
use
in
expanding
child
10
care
assistance
and
related
programs.
For
the
purpose
of
11
expenditures
of
state
and
federal
child
care
funding,
funds
12
shall
be
considered
obligated
at
the
time
expenditures
are
13
projected
or
are
allocated
to
the
department’s
service
areas.
14
Projections
shall
be
based
on
current
and
projected
caseload
15
growth,
current
and
projected
provider
rates,
staffing
16
requirements
for
eligibility
determination
and
management
17
of
program
requirements
including
data
systems
management,
18
staffing
requirements
for
administration
of
the
program,
19
contractual
and
grant
obligations
and
any
transfers
to
other
20
state
agencies,
and
obligations
for
decategorization
or
21
innovation
projects.
22
8.
A
portion
of
the
state
match
for
the
federal
child
care
23
and
development
block
grant
shall
be
provided
each
fiscal
24
year
as
necessary
to
meet
federal
matching
funds
requirements
25
through
the
state
general
fund
appropriation
made
for
the
same
26
fiscal
year
for
child
development
grants
and
other
programs
for
27
at-risk
children
in
section
279.51
.
28
9.
If
a
uniform
reduction
ordered
by
the
governor
under
29
section
8.31
or
other
operation
of
law,
transfer,
or
federal
30
funding
reduction
reduces
the
appropriation
made
in
this
31
section
for
a
fiscal
year,
the
percentage
reduction
in
the
32
amount
paid
out
to
or
on
behalf
of
the
families
participating
33
in
the
state
child
care
assistance
program
shall
be
equal
to
34
or
less
than
the
percentage
reduction
ordered
by
the
governor
35
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101
S.F.
_____
H.F.
_____
or
the
percentage
change
of
the
federal
funding
reduction,
as
1
applicable.
If
there
is
an
unanticipated
increase
in
federal
2
funding
provided
for
state
child
care
assistance,
the
entire
3
amount
of
the
increase
shall
be
used
for
state
child
care
4
assistance
payments.
If
the
appropriations
made
for
purposes
5
of
the
state
child
care
assistance
program
for
a
fiscal
year
6
are
determined
to
be
insufficient,
it
is
the
intent
of
the
7
general
assembly
to
appropriate
sufficient
funding
for
the
same
8
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
9
requirements.
10
10.
Notwithstanding
section
8.33
,
moneys
advanced
for
11
purposes
of
the
programs
developed
by
early
childhood
Iowa
12
areas,
advanced
for
purposes
of
wraparound
child
care,
or
13
received
from
the
federal
appropriations
made
for
the
purposes
14
of
this
section
that
remain
unencumbered
or
unobligated
at
the
15
close
of
a
fiscal
year
shall
not
revert
to
any
fund
but
shall
16
remain
available
for
expenditure
for
the
purposes
designated
17
until
the
close
of
the
succeeding
fiscal
year.
18
11.
a.
Of
the
funds
appropriated
in
this
section,
$100,000
19
is
transferred
each
fiscal
year
to
the
department
of
public
20
health
to
be
used
for
a
program
to
assist
parents
in
this
state
21
with
costs
resulting
from
the
death
of
a
child
in
accordance
22
with
this
subsection.
If
it
is
less
costly
than
administering
23
the
program
directly,
the
department
shall
issue
a
request
for
24
proposals
and
issue
a
grant
to
an
appropriate
organization
to
25
administer
the
program.
26
b.
The
program
funding
shall
be
used
to
assist
parents
who
27
reside
in
this
state
with
costs
incurred
for
a
funeral,
burial
28
or
cremation,
cemetery
costs,
or
grave
marker
costs
associated
29
with
the
unintended
death
of
a
child
of
the
parent
or
a
child
30
under
the
care
of
a
guardian
or
custodian.
The
department
31
shall
consider
the
following
eligibility
factors
in
developing
32
program
requirements:
33
(1)
The
child
was
a
stillborn
infant
or
was
less
than
age
34
eighteen
at
the
time
of
death.
35
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86
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101
S.F.
_____
H.F.
_____
(2)
The
request
for
assistance
was
approved
by
the
local
1
board
or
department
of
health
or
the
county
general
assistance
2
director
and
may
have
been
referred
by
a
local
funeral
home.
3
(3)
To
be
eligible,
the
parent,
guardian,
or
custodian
must
4
have
an
annual
household
income
that
is
less
than
145
percent
5
of
the
federal
poverty
level
based
on
the
number
of
people
6
in
the
applicant’s
household
as
defined
by
the
most
recently
7
revised
poverty
income
guidelines
published
by
the
United
8
States
department
of
health
and
human
services.
9
(4)
The
maximum
amount
of
grant
assistance
provided
to
a
10
parent,
guardian,
or
custodian
associated
with
the
death
of
11
a
child
is
$2,000.
If
the
death
is
a
multiple
death
and
the
12
infants
or
children
are
being
cremated,
or
buried
together,
the
13
same
limitation
applies.
14
(5)
To
the
extent
the
overall
amount
of
assistance
received
15
by
a
recipient
for
the
costs
addressed
under
this
subsection
16
does
not
exceed
the
overall
total
of
the
costs,
the
recipient
17
may
receive
other
public
or
private
assistance
in
addition
to
18
grant
assistance
under
this
section.
19
Sec.
19.
JUVENILE
INSTITUTIONS.
There
is
appropriated
20
from
the
general
fund
of
the
state
to
the
department
of
human
21
services
for
the
following
fiscal
years,
the
following
amounts,
22
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
23
designated:
24
1.
For
the
costs
of
security,
building
and
grounds
25
maintenance,
utilities,
salary,
and
support
for
the
facilities
26
located
at
the
Iowa
juvenile
home
at
Toledo:
27
a.
FY
2015-2016
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
507,766
29
b.
FY
2016-2017
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
507,766
31
2.
a.
For
operation
of
the
state
training
school
at
Eldora
32
and
for
salaries,
support,
maintenance,
and
miscellaneous
33
purposes:
34
(1)
FY
2015-2016
35
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86
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46/
101
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,445,552
1
(2)
FY
2016-2017
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,445,552
3
b.
Of
the
funds
appropriated
in
this
subsection,
$91,150
4
shall
be
used
each
fiscal
year
for
distribution
to
licensed
5
classroom
teachers
at
this
and
other
institutions
under
the
6
control
of
the
department
of
human
services
based
upon
the
7
average
student
yearly
enrollment
at
each
institution
as
8
determined
by
the
department.
9
3.
A
portion
of
the
moneys
appropriated
in
this
section
10
shall
be
used
each
fiscal
year
by
the
state
training
school
for
11
grants
for
adolescent
pregnancy
prevention
activities
at
the
12
institution.
13
Sec.
20.
CHILD
AND
FAMILY
SERVICES.
14
1.
There
is
appropriated
from
the
general
fund
of
the
15
state
to
the
department
of
human
services
for
the
following
16
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purpose
designated:
18
For
child
and
family
services:
19
a.
FY
2015-2016
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
94,967,179
21
b.
FY
2016-2017
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
94,999,886
23
2.
Up
to
$5,200,000
of
the
amount
of
federal
temporary
24
assistance
for
needy
families
block
grant
funding
appropriated
25
in
this
division
of
this
Act
for
child
and
family
services
26
shall
be
made
available
each
fiscal
year
for
purposes
of
27
juvenile
delinquent
graduated
sanction
services.
28
3.
The
department
may
transfer
funds
appropriated
in
this
29
section
each
fiscal
year
as
necessary
to
pay
the
nonfederal
30
costs
of
services
reimbursed
under
the
medical
assistance
31
program,
state
child
care
assistance
program,
or
the
family
32
investment
program
which
are
provided
to
children
who
would
33
otherwise
receive
services
paid
under
the
appropriation
in
34
this
section
each
fiscal
year.
The
department
may
transfer
35
-47-
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1030XG
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86
pf/rh/rj
47/
101
S.F.
_____
H.F.
_____
funds
appropriated
in
this
section
each
fiscal
year
to
the
1
appropriations
made
in
this
division
of
this
Act
each
fiscal
2
year
for
general
administration
and
for
field
operations
for
3
resources
necessary
to
implement
and
operate
the
services
4
funded
in
this
section.
5
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
6
$35,821,786
is
allocated
each
fiscal
year
as
the
statewide
7
expenditure
target
under
section
232.143
for
group
foster
care
8
maintenance
and
services.
If
the
department
projects
that
such
9
expenditures
for
a
fiscal
year
will
be
less
than
the
target
10
amount
allocated
in
this
paragraph
“a”
for
the
same
fiscal
11
year,
the
department
may
reallocate
the
excess
to
provide
12
additional
funding
for
shelter
care
or
the
child
welfare
13
emergency
services
addressed
with
the
allocation
for
the
same
14
fiscal
year
for
shelter
care.
15
b.
If
at
any
time
after
September
30
of
a
fiscal
year,
16
annualization
of
a
service
area’s
current
expenditures
17
indicates
a
service
area
is
at
risk
of
exceeding
its
group
18
foster
care
expenditure
target
under
section
232.143
by
more
19
than
5
percent,
the
department
and
juvenile
court
services
20
shall
examine
all
group
foster
care
placements
in
that
service
21
area
in
order
to
identify
those
which
might
be
appropriate
22
for
termination.
In
addition,
any
aftercare
services
23
believed
to
be
needed
for
the
children
whose
placements
may
be
24
terminated
shall
be
identified.
The
department
and
juvenile
25
court
services
shall
initiate
action
to
set
dispositional
26
review
hearings
for
the
placements
identified.
In
such
27
a
dispositional
review
hearing,
the
juvenile
court
shall
28
determine
whether
needed
aftercare
services
are
available
and
29
whether
termination
of
the
placement
is
in
the
best
interest
30
of
the
child
and
the
community.
31
5.
In
accordance
with
the
provisions
of
section
232.188
,
32
the
department
shall
continue
the
child
welfare
and
juvenile
33
justice
funding
initiative
during
each
fiscal
year.
Of
the
34
funds
appropriated
in
this
section,
$1,717,753
is
allocated
35
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101
S.F.
_____
H.F.
_____
each
fiscal
year
specifically
for
expenditure
through
the
1
decategorization
services
funding
pools
and
governance
boards
2
established
pursuant
to
section
232.188
.
3
6.
A
portion
of
the
funds
appropriated
in
this
section
4
each
fiscal
year
may
be
used
for
emergency
family
assistance
5
to
provide
other
resources
required
for
a
family
participating
6
in
a
family
preservation
or
reunification
project
or
successor
7
project
to
stay
together
or
to
be
reunified.
8
7.
State
funding
for
shelter
care
and
the
child
welfare
9
emergency
services
contracting
implemented
to
provide
for
10
or
prevent
the
need
for
shelter
care
shall
be
limited
to
11
$7,684,261
each
fiscal
year.
12
8.
Federal
funds
received
by
the
state
during
each
13
fiscal
year,
as
the
result
of
the
expenditure
of
state
funds
14
appropriated
during
a
previous
state
fiscal
year
for
a
service
15
or
activity
funded
under
this
section
are
appropriated
to
the
16
department
to
be
used
each
fiscal
year
as
additional
funding
17
for
services
and
purposes
provided
for
under
this
section.
18
Notwithstanding
section
8.33
,
moneys
received
in
accordance
19
with
this
subsection
that
remain
unencumbered
or
unobligated
20
at
the
close
of
a
fiscal
year
shall
not
revert
to
any
fund
but
21
shall
remain
available
for
the
purposes
designated
until
the
22
close
of
the
succeeding
fiscal
year.
23
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
24
$3,290,000
is
allocated
each
fiscal
year
for
the
payment
of
25
the
expenses
of
court-ordered
services
provided
to
juveniles
26
who
are
under
the
supervision
of
juvenile
court
services,
27
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
28
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
29
paragraph
“a”,
up
to
$1,556,287
shall
be
made
available
each
30
fiscal
year
to
provide
school-based
supervision
of
children
31
adjudicated
under
chapter
232
,
of
which
not
more
than
$15,000
32
may
be
used
each
fiscal
year
for
the
purpose
of
training.
A
33
portion
of
the
cost
of
each
school-based
liaison
officer
shall
34
be
paid
by
the
school
district
or
other
funding
source
as
35
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101
S.F.
_____
H.F.
_____
approved
by
the
chief
juvenile
court
officer.
1
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
2
is
allocated
each
fiscal
year
for
the
payment
of
the
expenses
3
of
court-ordered
services
provided
to
children
who
are
under
4
the
supervision
of
the
department,
which
expenses
are
a
charge
5
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
6
c.
Of
the
funds
allocated
in
this
subsection,
not
more
than
7
$83,000
may
be
used
each
fiscal
year
by
the
judicial
branch
for
8
administration
of
the
requirements
under
this
subsection.
9
d.
Of
the
funds
allocated
in
this
subsection,
$17,000
shall
10
be
used
each
fiscal
year
by
the
department
of
human
services
to
11
support
the
interstate
commission
for
juveniles
in
accordance
12
with
the
interstate
compact
for
juveniles
as
provided
in
13
section
232.173
.
14
10.
Of
the
funds
appropriated
in
this
section,
$8,053,227
is
15
allocated
each
fiscal
year
for
juvenile
delinquent
graduated
16
sanctions
services.
Any
state
funds
saved
each
fiscal
year
as
17
a
result
of
efforts
by
juvenile
court
services
to
earn
federal
18
Tit.
IV-E
match
for
juvenile
court
services
administration
19
may
be
used
for
the
juvenile
delinquent
graduated
sanctions
20
services.
21
11.
Of
the
funds
appropriated
in
this
section,
$1,608,285
22
is
transferred
each
fiscal
year
to
the
department
of
public
23
health
to
be
used
for
the
child
protection
center
grant
program
24
in
accordance
with
section
135.118
.
The
grant
amounts
under
25
the
program
shall
be
equalized
so
that
each
center
receives
a
26
uniform
amount
of
at
least
$245,000
each
fiscal
year.
27
12.
If
the
department
receives
federal
approval
to
28
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
29
Security
Act
to
enable
providers
to
serve
children
who
remain
30
in
the
children’s
families
and
communities,
for
purposes
of
31
eligibility
under
the
medical
assistance
program
through
25
32
years
of
age,
children
who
participate
in
the
waiver
shall
be
33
considered
to
be
placed
in
foster
care.
34
13.
Of
the
funds
appropriated
in
this
section,
$4,025,167
is
35
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101
S.F.
_____
H.F.
_____
allocated
each
fiscal
year
for
the
preparation
for
adult
living
1
program
pursuant
to
section
234.46
.
2
14.
Of
the
funds
appropriated
in
this
section,
$520,150
3
shall
be
used
each
fiscal
year
for
juvenile
drug
courts.
The
4
amount
allocated
in
this
subsection
shall
be
distributed
each
5
fiscal
year
as
follows:
6
To
the
judicial
branch
for
salaries
to
assist
with
the
7
operation
of
juvenile
drug
court
programs
operated
in
the
8
following
jurisdictions:
9
a.
Marshall
county:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,708
11
b.
Woodbury
county:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,682
13
c.
Polk
county:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
195,892
15
d.
The
third
judicial
district:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
17
e.
The
eighth
judicial
district:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
19
15.
Of
the
funds
appropriated
in
this
section,
$227,337
20
shall
be
used
each
fiscal
year
for
the
public
purpose
of
21
continuing
a
grant
to
a
nonprofit
human
services
organization
22
providing
services
to
individuals
and
families
in
multiple
23
locations
in
southwest
Iowa
and
Nebraska
for
support
of
a
24
project
providing
immediate,
sensitive
support
and
forensic
25
interviews,
medical
exams,
needs
assessments,
and
referrals
for
26
victims
of
child
abuse
and
their
nonoffending
family
members.
27
16.
Of
the
funds
appropriated
in
this
section,
$300,620
is
28
allocated
each
fiscal
year
for
the
foster
care
youth
council
29
approach
of
providing
a
support
network
to
children
placed
in
30
foster
care.
31
17.
Of
the
funds
appropriated
in
this
section,
$202,000
is
32
allocated
each
fiscal
year
for
use
pursuant
to
section
235A.1
33
for
continuation
of
the
initiative
to
address
child
sexual
34
abuse
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
35
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86
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101
S.F.
_____
H.F.
_____
section
18,
subsection
21.
1
18.
Of
the
funds
appropriated
in
this
section,
$630,240
is
2
allocated
each
fiscal
year
for
the
community
partnership
for
3
child
protection
sites.
4
19.
Of
the
funds
appropriated
in
this
section,
$371,250
is
5
allocated
each
fiscal
year
for
the
department’s
minority
youth
6
and
family
projects
under
the
redesign
of
the
child
welfare
7
system.
8
20.
Of
the
funds
appropriated
in
this
section,
at
least
9
$147,158
shall
be
used
each
fiscal
year
for
the
child
welfare
10
training
academy.
11
21.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
12
be
used
each
fiscal
year
for
the
public
purpose
of
continuation
13
of
a
grant
to
a
child
welfare
services
provider
headquartered
14
in
a
county
with
a
population
between
205,000
and
215,000
in
15
the
latest
certified
federal
census
that
provides
multiple
16
services
including
but
not
limited
to
a
psychiatric
medical
17
institution
for
children,
shelter,
residential
treatment,
after
18
school
programs,
school-based
programming,
and
an
Asperger’s
19
syndrome
program,
to
be
used
for
support
services
for
children
20
with
autism
spectrum
disorder
and
their
families.
21
22.
Of
the
funds
appropriated
in
this
section,
$25,000
22
shall
be
used
each
fiscal
year
for
the
public
purpose
of
23
continuing
a
grant
to
a
hospital-based
provider
headquartered
24
in
a
county
with
a
population
between
90,000
and
95,000
in
25
the
latest
certified
federal
census
that
provides
multiple
26
services
including
but
not
limited
to
diagnostic,
therapeutic,
27
and
behavioral
services
to
individuals
with
autism
spectrum
28
disorder
across
the
lifespan.
The
grant
recipient
shall
29
utilize
the
funds
to
continue
the
pilot
project
to
determine
30
the
necessary
support
services
for
children
with
autism
31
spectrum
disorder
and
their
families
to
be
included
in
the
32
children’s
disabilities
services
system.
The
grant
recipient
33
shall
submit
findings
and
recommendations
based
upon
the
34
results
of
the
pilot
project
to
the
individuals
specified
in
35
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101
S.F.
_____
H.F.
_____
this
division
of
this
Act
for
submission
of
reports
by
December
1
31
of
each
fiscal
year.
2
23.
Of
the
funds
appropriated
in
this
section,
at
least
3
$25,000
shall
be
used
each
fiscal
year
to
continue
and
4
to
expand
the
foster
care
respite
pilot
program
in
which
5
postsecondary
students
in
social
work
and
other
human
6
services-related
programs
receive
experience
by
assisting
7
family
foster
care
providers
with
respite
and
other
support.
8
24.
Of
the
funds
appropriated
in
this
section,
$600,000
9
shall
be
transferred
to
the
appropriations
made
in
this
10
division
of
this
Act
for
the
medical
assistance
program
for
the
11
fiscal
year
beginning
July
1,
2015,
and
for
the
fiscal
year
12
beginning
July
1,
2016.
13
Sec.
21.
ADOPTION
SUBSIDY.
14
1.
There
is
appropriated
from
the
general
fund
of
the
15
state
to
the
department
of
human
services
for
the
following
16
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purpose
designated:
18
For
adoption
subsidy
payments
and
services:
19
a.
FY
2015-2016
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,888,386
21
b.
FY
2016-2017
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,604,551
23
2.
The
department
may
transfer
funds
appropriated
in
this
24
section
for
each
fiscal
year
to
the
appropriation
made
in
this
25
division
of
this
Act
for
general
administration
for
the
same
26
fiscal
year
for
costs
paid
from
the
appropriation
relating
to
27
adoption
subsidy.
28
3.
Federal
funds
received
by
the
state
during
each
fiscal
29
year,
as
the
result
of
the
expenditure
of
state
funds
during
30
a
previous
state
fiscal
year
for
a
service
or
activity
31
funded
under
this
section
are
appropriated
to
the
department
32
to
be
used
as
additional
funding
for
the
same
fiscal
year
33
for
the
services
and
activities
funded
under
this
section.
34
Notwithstanding
section
8.33
,
moneys
received
in
accordance
35
-53-
LSB
1030XG
(31)
86
pf/rh/rj
53/
101
S.F.
_____
H.F.
_____
with
this
subsection
that
remain
unencumbered
or
unobligated
1
at
the
close
of
a
fiscal
year
shall
not
revert
to
any
fund
2
but
shall
remain
available
for
expenditure
for
the
purposes
3
designated
until
the
close
of
the
succeeding
fiscal
year.
4
Sec.
22.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
5
in
the
juvenile
detention
home
fund
created
in
section
232.142
6
during
the
fiscal
years
beginning
July
1,
2015,
and
July
1,
7
2016,
are
appropriated
to
the
department
of
human
services
for
8
the
same
fiscal
year.
Of
the
moneys
in
the
fund,
$1,000,000
in
9
each
fiscal
year
shall
be
transferred
to
the
appropriation
in
10
this
division
of
this
Act
for
child
and
family
services.
The
11
remaining
moneys
in
the
fund
shall
be
used
in
the
same
fiscal
12
year
for
distribution
of
an
amount
equal
to
the
percentage
of
13
the
costs
of
the
establishment,
improvement,
operation,
and
14
maintenance
of
county
or
multicounty
juvenile
detention
homes
15
in
the
prior
fiscal
year.
Moneys
appropriated
for
distribution
16
in
accordance
with
this
section
shall
be
allocated
among
17
eligible
detention
homes,
prorated
on
the
basis
of
an
eligible
18
detention
home’s
proportion
of
the
costs
of
all
eligible
19
detention
homes
in
the
prior
fiscal
year.
The
percentage
20
figure
shall
be
determined
by
the
department
based
on
the
21
amount
available
for
distribution
from
the
fund
for
a
fiscal
22
year.
The
financial
aid
payable
by
the
state
under
section
23
232.142,
subsection
3,
for
a
fiscal
year
shall
be
limited
to
24
the
amount
appropriated
for
the
purposes
of
this
section
for
25
the
same
fiscal
year.
26
Sec.
23.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
27
1.
There
is
appropriated
from
the
general
fund
of
the
28
state
to
the
department
of
human
services
for
the
following
29
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purpose
designated:
31
For
the
family
support
subsidy
program
subject
to
the
32
enrollment
restrictions
in
section
225C.37,
subsection
3
:
33
a.
FY
2015-2016
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,073,932
35
-54-
LSB
1030XG
(31)
86
pf/rh/rj
54/
101
S.F.
_____
H.F.
_____
b.
FY
2016-2017
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,072,563
2
2.
The
department
shall
use
at
least
$641,500
of
the
moneys
3
appropriated
in
this
section
for
each
fiscal
year
for
the
4
family
support
center
component
of
the
comprehensive
family
5
support
program
under
section
225C.47
.
Not
more
than
$25,000
6
of
the
amount
allocated
in
this
subsection
for
each
fiscal
year
7
shall
be
used
for
administrative
costs.
8
Sec.
24.
CONNER
DECREE.
There
is
appropriated
from
the
9
general
fund
of
the
state
to
the
department
of
human
services
10
for
the
following
fiscal
years,
the
following
amounts,
or
11
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
12
designated:
13
For
building
community
capacity
through
the
coordination
14
and
provision
of
training
opportunities
in
accordance
with
the
15
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
16
Iowa,
July
14,
1994):
17
1.
FY
2015-2016
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
19
2.
FY
2016-2017
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
21
Sec.
25.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
22
from
the
general
fund
of
the
state
to
the
department
of
human
23
services
for
the
following
fiscal
years,
the
following
amounts,
24
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
25
designated:
26
1.
For
the
state
mental
health
institute
at
Cherokee
for
27
salaries,
support,
maintenance,
and
miscellaneous
purposes:
28
a.
FY
2015-2016
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,644,041
30
b.
FY
2016-2017
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,644,041
32
2.
For
the
state
mental
health
institute
at
Independence
for
33
salaries,
support,
maintenance,
and
miscellaneous
purposes:
34
a.
FY
2015-2016
35
-55-
LSB
1030XG
(31)
86
pf/rh/rj
55/
101
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,963,370
1
b.
FY
2016-2017
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,969,287
3
Sec.
26.
STATE
RESOURCE
CENTERS.
4
1.
There
is
appropriated
from
the
general
fund
of
the
5
state
to
the
department
of
human
services
for
the
following
6
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
7
necessary,
to
be
used
for
the
purposes
designated:
8
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
9
support,
maintenance,
and
miscellaneous
purposes:
10
(1)
FY
2015-2016
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
22,024,482
12
(2)
FY
2016-2017
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,851,476
14
b.
For
the
state
resource
center
at
Woodward
for
salaries,
15
support,
maintenance,
and
miscellaneous
purposes:
16
(1)
FY
2015-2016
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,933,806
18
(2)
FY
2016-2017
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,818,440
20
2.
The
department
may
continue
to
bill
for
state
resource
21
center
services
utilizing
a
scope
of
services
approach
used
for
22
private
providers
of
intermediate
care
facilities
for
persons
23
with
an
intellectual
disability
services,
in
a
manner
which
24
does
not
shift
costs
between
the
medical
assistance
program,
25
counties,
or
other
sources
of
funding
for
the
state
resource
26
centers.
27
3.
The
state
resource
centers
may
expand
the
time-limited
28
assessment
and
respite
services
during
a
fiscal
year.
29
4.
If
the
department’s
administration
and
the
department
of
30
management
concur
with
a
finding
by
a
state
resource
center’s
31
superintendent
that
projected
revenues
for
a
fiscal
year
can
32
reasonably
be
expected
to
pay
the
salary
and
support
costs
33
for
a
new
employee
position,
or
that
such
costs
for
adding
34
a
particular
number
of
new
positions
for
a
fiscal
year
would
35
-56-
LSB
1030XG
(31)
86
pf/rh/rj
56/
101
S.F.
_____
H.F.
_____
be
less
than
the
overtime
costs
if
new
positions
would
not
1
be
added,
the
superintendent
may
add
the
new
position
or
2
positions
for
the
same
fiscal
year.
If
the
vacant
positions
3
available
to
a
resource
center
do
not
include
the
position
4
classification
desired
to
be
filled,
the
state
resource
5
center’s
superintendent
may
reclassify
any
vacant
position
as
6
necessary
to
fill
the
desired
position.
The
superintendents
7
of
the
state
resource
centers
may,
by
mutual
agreement,
pool
8
vacant
positions
and
position
classifications
during
the
course
9
of
a
fiscal
year
in
order
to
assist
one
another
in
filling
10
necessary
positions.
11
5.
If
existing
capacity
limitations
are
reached
in
12
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
13
a
special
need
for
which
a
payment
source
or
other
funding
is
14
available
for
the
service
or
to
address
the
special
need
in
15
a
fiscal
year,
and
facilities
for
the
service
or
to
address
16
the
special
need
can
be
provided
within
the
available
payment
17
source
or
other
funding
in
a
fiscal
year,
the
superintendent
of
18
a
state
resource
center
may
authorize
opening
not
more
than
two
19
units
or
other
facilities
and
begin
implementing
the
service
or
20
addressing
the
special
need
during
the
same
fiscal
year.
21
Sec.
27.
SEXUALLY
VIOLENT
PREDATORS.
22
1.
There
is
appropriated
from
the
general
fund
of
the
23
state
to
the
department
of
human
services
for
the
following
24
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
25
necessary,
to
be
used
for
the
purpose
designated:
26
For
costs
associated
with
the
commitment
and
treatment
of
27
sexually
violent
predators
in
the
unit
located
at
the
state
28
mental
health
institute
at
Cherokee,
including
costs
of
legal
29
services
and
other
associated
costs,
including
salaries,
30
support,
maintenance,
and
miscellaneous
purposes:
31
a.
FY
2015-2016
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,893,079
33
b.
FY
2016-2017
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,893,079
35
-57-
LSB
1030XG
(31)
86
pf/rh/rj
57/
101
S.F.
_____
H.F.
_____
2.
Unless
specifically
prohibited
by
law,
if
the
amount
1
charged
provides
for
recoupment
of
at
least
the
entire
amount
2
of
direct
and
indirect
costs,
the
department
of
human
services
3
may
contract
with
other
states
to
provide
care
and
treatment
4
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
5
violent
predators
at
Cherokee.
The
moneys
received
under
such
6
a
contract
shall
be
considered
to
be
repayment
receipts
and
7
used
for
the
purposes
of
the
appropriation
made
in
this
section
8
for
the
same
fiscal
year.
9
Sec.
28.
FIELD
OPERATIONS.
There
is
appropriated
from
the
10
general
fund
of
the
state
to
the
department
of
human
services
11
for
the
following
fiscal
years,
the
following
amounts,
or
so
12
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
13
designated:
14
For
field
operations,
including
salaries,
support,
15
maintenance,
and
miscellaneous
purposes:
16
1.
FY
2015-2016
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,920,976
18
2.
FY
2016-2017
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,920,976
20
Sec.
29.
GENERAL
ADMINISTRATION.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
following
23
fiscal
years,
the
following
amounts,
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:
27
a.
FY
2015-2016
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,661,741
29
b.
FY
2016-2017
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,661,741
31
2.
Of
the
funds
appropriated
in
this
section,
$38,543
32
is
allocated
for
each
fiscal
year
for
the
prevention
of
33
disabilities
policy
council
established
in
section
225B.3.
34
3.
Of
the
funds
appropriated
in
this
section,
$150,000
35
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101
S.F.
_____
H.F.
_____
shall
be
used
for
each
fiscal
year
to
continue
the
contract
for
1
the
provision
of
a
program
to
provide
technical
assistance,
2
support,
and
consultation
to
providers
of
habilitation
services
3
and
home
and
community-based
services
waiver
services
for
4
adults
with
disabilities
under
the
medical
assistance
program.
5
4.
Of
the
funds
appropriated
in
this
section,
$50,000
is
6
transferred
for
each
fiscal
year
to
the
Iowa
finance
authority
7
to
be
used
for
administrative
support
of
the
council
on
8
homelessness
established
in
section
16.2D
and
for
the
council
9
to
fulfill
its
duties
in
addressing
and
reducing
homelessness
10
in
the
state.
11
Sec.
30.
VOLUNTEERS.
There
is
appropriated
from
the
general
12
fund
of
the
state
to
the
department
of
human
services
for
the
13
following
fiscal
years,
the
following
amounts,
or
so
much
14
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
15
For
development
and
coordination
of
volunteer
services:
16
1.
FY
2015-2016
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
18
2.
FY
2016-2017
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
20
Sec.
31.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
21
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
22
DEPARTMENT
OF
HUMAN
SERVICES.
23
1.
a.
(1)
For
the
period
beginning
July
1,
2015,
and
24
ending
December
31,
2015,
the
total
state
funding
amount
for
25
the
nursing
facility
budget
shall
not
exceed
$160,950,003.
26
Beginning
January
1,
2016,
medical
assistance
program
managed
27
care
contractors
shall
be
responsible
for
nursing
facility
28
payments
and
aggregate
spending
shall
be
limited
to
the
29
actuarially
sound
capitation
rates
in
effect
for
that
period.
30
(2)
For
the
fiscal
year
beginning
July
1,
2015,
the
31
department
shall
rebase
case-mix
nursing
facility
rates
32
effective
July
1,
2015.
However,
total
nursing
facility
budget
33
expenditures,
for
the
period
beginning
July
1,
2015,
and
ending
34
December
31,
2015,
including
both
case-mix
and
noncase-mix,
35
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_____
H.F.
_____
shall
not
exceed
the
amount
specified
in
subparagraph
1
(1).
When
calculating
case-mix
per
diem
cost
and
the
2
patient-day-weighted
medians
used
in
rate-setting
for
nursing
3
facilities
effective
July
1,
2015,
the
inflation
factor
applied
4
from
the
midpoint
of
the
cost
report
period
to
the
first
day
of
5
the
state
fiscal
year
rate
period
shall
be
adjusted
to
maintain
6
state
funding
within
the
amount
specified
in
subparagraph
(1).
7
(3)
The
department,
in
cooperation
with
nursing
facility
8
representatives,
shall
review
projections
for
state
funding
9
expenditures
for
reimbursement
of
nursing
facilities
on
a
10
quarterly
basis
and
the
department
shall
determine
if
an
11
adjustment
to
the
medical
assistance
reimbursement
rate
is
12
necessary
in
order
to
provide
reimbursement
within
the
state
13
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
14
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
15
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
16
if
the
state
funding
expenditures
for
the
nursing
facility
17
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
18
specified
in
subparagraph
(1),
the
department
shall
adjust
19
the
reimbursement
for
nursing
facilities
reimbursed
under
the
20
case-mix
reimbursement
system
to
maintain
expenditures
of
the
21
nursing
facility
budget
within
the
specified
amount
for
the
22
fiscal
year.
23
(4)
For
the
fiscal
year
beginning
July
1,
2016,
nursing
24
facilities
shall
be
reimbursed
in
accordance
with
the
25
methodology
in
effect
on
June
30,
2016.
26
b.
Special
population
nursing
facilities
shall
be
27
reimbursed
for
the
following
fiscal
years
as
follows:
28
(1)
For
the
fiscal
year
beginning
July
1,
2015,
in
29
accordance
with
the
methodology
in
effect
on
June
30,
2015.
30
(2)
For
the
fiscal
year
beginning
July
1,
2016,
in
31
accordance
with
the
methodology
in
effect
on
June
30,
2016.
32
c.
(1)
The
department
shall
establish
the
pharmacy
33
dispensing
fee
reimbursement
as
follows:
34
(a)
For
the
fiscal
year
beginning
July
1,
2015,
at
$11.73
as
35
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_____
H.F.
_____
determined
by
the
June
2014
cost
of
dispensing
survey.
1
(b)
For
fee-for-service
claims
for
the
fiscal
year
2
beginning
July
1,
2016,
at
$11.73
per
prescription,
until
a
3
cost
of
dispensing
survey
is
completed.
The
actual
dispensing
4
fee
shall
be
determined
by
a
cost
of
dispensing
survey
5
performed
by
the
department
and
required
to
be
completed
by
all
6
medical
assistance
program
participating
pharmacies
every
two
7
years,
adjusted
as
necessary
to
maintain
expenditures
within
8
the
amount
appropriated
to
the
department
for
this
purpose
for
9
the
fiscal
year.
10
(2)
The
department
shall
utilize
an
average
acquisition
11
cost
reimbursement
methodology
for
all
drugs
covered
under
the
12
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
13
chapter
1133,
section
33.
14
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
15
Medicare
and
Medicaid
services
of
the
United
States
department
16
of
health
and
human
services
(CMS)
requires,
as
a
condition
17
of
federal
Medicaid
funding,
that
the
department
implement
an
18
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
19
based
on
the
average
manufacturer’s
price
(AMP),
the
department
20
may
utilize
a
reimbursement
methodology
for
all
drugs
covered
21
under
the
Medicaid
program
based
on
the
national
average
drug
22
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
23
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
24
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
25
administrative
costs,
and
minimize
any
change
in
the
aggregate
26
reimbursement
for
drugs.
The
department
may
adopt
emergency
27
rules
to
implement
this
subparagraph.
28
d.
(1)
Reimbursement
rates
for
outpatient
hospital
29
services
shall
be
established
as
follows
for
the
following
30
fiscal
years:
31
(a)
For
the
fiscal
year
beginning
July
1,
2015,
32
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
33
June
30,
2015,
subject
to
Medicaid
program
upper
payment
limit
34
rules.
35
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_____
H.F.
_____
(b)
For
fee-for-service
claims
for
the
fiscal
year
1
beginning
July
1,
2016,
reimbursement
rates
shall
remain
at
the
2
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
3
upper
payment
limit
rules.
4
(2)
Reimbursement
rates
for
inpatient
hospital
services
5
shall
be
established
as
follows
for
the
following
fiscal
years:
6
(a)
For
the
fiscal
year
beginning
July
1,
2015,
7
reimbursement
rates
shall
rebased
effective
October
1,
2015,
8
subject
to
Medicaid
program
upper
payment
limit
rules
and
9
adjusted
as
necessary
to
maintain
expenditures
within
the
10
amount
appropriated
to
the
department
for
this
purpose
for
the
11
fiscal
year.
12
(b)
For
fee-for-service
claims
for
the
fiscal
year
13
beginning
July
1,
2016,
reimbursement
rates
shall
remain
at
the
14
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
15
upper
payment
limit
rules.
16
(3)
The
graduate
medical
education
and
disproportionate
17
share
hospital
fund
amount
shall
be
as
follows
for
the
18
following
fiscal
years:
19
(a)
For
the
fiscal
year
beginning
July
1,
2015,
the
fund
20
shall
remain
at
the
amount
in
effect
on
June
30,
2015,
except
21
that
the
portion
of
the
fund
attributable
to
graduate
medical
22
education
shall
be
reduced
in
an
amount
that
reflects
the
23
elimination
of
graduate
medical
education
payments
made
to
24
out-of-state
hospitals.
25
(b)
For
the
fiscal
year
beginning
July
1,
2016,
the
fund
26
shall
remain
at
the
amount
in
effect
on
June
30,
2016,
except
27
that
the
portion
of
the
fund
attributable
to
graduate
medical
28
education
shall
be
reduced
in
an
amount
that
reflects
the
29
elimination
of
graduate
medical
education
payments
made
to
30
out-of-state
hospitals.
31
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
32
funds
in
procuring
health
care
services
for
low-income
Iowans,
33
funds
appropriated
in
this
Act
for
hospital
services
shall
34
not
be
used
for
activities
which
would
be
excluded
from
a
35
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_____
H.F.
_____
determination
of
reasonable
costs
under
the
federal
Medicare
1
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
2
e.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
3
reimbursement
rates
for
rural
health
clinics,
hospices,
and
4
acute
mental
hospitals
shall
be
increased
in
accordance
with
5
increases
under
the
federal
Medicare
program
or
as
supported
by
6
their
Medicare
audited
costs.
7
(2)
For
fee-for-service
claims
for
the
fiscal
year
8
beginning
July
1,
2016,
reimbursement
rates
for
rural
health
9
clinics,
hospices,
and
acute
mental
hospitals
shall
be
10
increased
in
accordance
with
increases
under
the
federal
11
Medicare
program
or
as
supported
by
their
Medicare
audited
12
costs.
13
f.
Independent
laboratories
and
rehabilitation
agencies
14
shall
be
reimbursed
as
follows
for
the
following
fiscal
years:
15
(1)
For
the
fiscal
year
beginning
July
1,
2015,
16
reimbursement
rates
shall
be
determined
based
on
the
same
17
methodology
in
effect
on
June
30,
2015.
18
(2)
For
fee-for-service
claims
for
the
fiscal
year
19
beginning
July
1,
2016,
reimbursement
rates
shall
be
determined
20
based
on
the
same
methodology
in
effect
on
June
30,
2016.
21
g.
(1)
Home
health
agencies
shall
be
reimbursed
as
follows
22
for
the
following
fiscal
years:
23
(a)
For
the
fiscal
year
beginning
July
1,
2015,
24
reimbursement
rates
for
home
health
agencies
shall
continue
to
25
be
based
on
the
Medicare
low
utilization
payment
adjustment
26
(LUPA)
methodology
with
state
geographic
wage
adjustments,
and
27
updated
to
reflect
the
most
recent
Medicare
LUPA
rates.
28
(b)
For
fee-for-service
claims
for
the
fiscal
year
29
beginning
July
1,
2016,
reimbursement
rates
for
home
health
30
agencies
shall
continue
to
be
based
on
the
Medicare
LUPA
31
methodology
with
state
geographic
wage
adjustments,
and
shall
32
remain
at
the
rates
in
effect
on
June
30,
2016.
33
(2)
Private
duty
nursing
and
personal
care
services
under
34
the
early
and
periodic
screening,
diagnostic,
and
treatment
35
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S.F.
_____
H.F.
_____
program
benefit
shall
be
reimbursed
as
follows
for
the
1
following
fiscal
years:
2
(a)
For
the
fiscal
year
beginning
July
1,
2015,
3
reimbursement
rates
shall
be
calculated
based
on
the
4
methodology
in
effect
on
June
30,
2015.
5
(b)
For
fee-for-service
claims
for
the
fiscal
year
6
beginning
July
1,
2016,
reimbursement
rates
shall
be
calculated
7
based
on
the
methodology
in
effect
on
June
30,
2016.
8
h.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
9
federally
qualified
health
centers
shall
receive
cost-based
10
reimbursement
for
100
percent
of
the
reasonable
costs
for
the
11
provision
of
services
to
recipients
of
medical
assistance.
12
(2)
For
fee-for-service
claims
for
the
fiscal
year
13
beginning
July
1,
2016,
federally
qualified
health
centers
14
shall
receive
cost-based
reimbursement
for
100
percent
of
the
15
reasonable
costs
for
the
provision
of
services
to
recipients
16
of
medical
assistance.
17
i.
The
reimbursement
rates
for
dental
services
shall
be
as
18
follows
for
the
following
fiscal
years:
19
(1)
For
the
fiscal
year
beginning
July
1,
2015,
20
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
21
30,
2015.
22
(2)
For
fee-for-service
claims
for
the
fiscal
year
23
beginning
July
1,
2016,
reimbursement
rates
shall
remain
at
the
24
rates
in
effect
on
June
30,
2016.
25
j.
(1)
For
nonstate-owned
psychiatric
medical
institutions
26
for
children,
reimbursement
rates
shall
be
based
on
the
27
reimbursement
methodology
developed
by
the
medical
assistance
28
program
managed
care
contractor
for
mental
health
services
as
29
required
for
federal
compliance.
30
(2)
As
a
condition
of
participation
in
the
medical
31
assistance
program,
enrolled
providers
shall
accept
the
medical
32
assistance
reimbursement
rate
for
any
covered
goods
or
services
33
provided
to
recipients
of
medical
assistance
who
are
children
34
under
the
custody
of
a
psychiatric
medical
institution
for
35
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S.F.
_____
H.F.
_____
children.
1
k.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
unless
2
otherwise
specified
in
this
Act,
all
noninstitutional
medical
3
assistance
provider
reimbursement
rates
shall
remain
at
the
4
rates
in
effect
on
June
30
of
the
prior
fiscal
year,
except
5
for
area
education
agencies,
local
education
agencies,
infant
6
and
toddler
services
providers,
home
and
community-based
7
services
providers
including
consumer-directed
attendant
care
8
providers
under
a
section
1915(c)
or
1915(i)
waiver,
targeted
9
case
management
providers,
and
those
providers
whose
rates
are
10
required
to
be
determined
pursuant
to
section
249A.20.
11
(2)
For
fee-for-service
claims
for
the
fiscal
year
12
beginning
July
1,
2016,
unless
otherwise
specified
in
this
Act,
13
all
noninstitutional
medical
assistance
provider
reimbursement
14
rates
shall
remain
at
the
rates
in
effect
on
June
30
of
the
15
prior
fiscal
year,
except
for
area
education
agencies,
local
16
education
agencies,
infant
and
toddler
services
providers,
17
home
and
community-based
services
providers
including
18
consumer-directed
attendant
care
providers
under
a
section
19
1915(c)
or
1915(i)
waiver,
targeted
case
management
providers,
20
and
those
providers
whose
rates
are
required
to
be
determined
21
pursuant
to
section
249A.20.
22
l.
Notwithstanding
any
provision
to
the
contrary,
the
23
reimbursement
rate
for
anesthesiologists
shall
be
as
follows
24
for
the
following
fiscal
years:
25
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
26
reimbursement
rate
shall
remain
at
the
rates
in
effect
on
June
27
30,
2015.
28
(2)
For
fee-for-service
claims
for
the
fiscal
year
29
beginning
July
1,
2016,
the
reimbursement
rate
shall
remain
at
30
the
rates
in
effect
on
June
30,
2016.
31
m.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
32
average
reimbursement
rate
for
health
care
providers
eligible
33
for
use
of
the
federal
Medicare
resource-based
relative
value
34
scale
reimbursement
methodology
under
section
249A.20
shall
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remain
at
the
rate
in
effect
on
June
30
of
the
prior
fiscal
1
year;
however,
this
rate
shall
not
exceed
the
maximum
level
2
authorized
by
the
federal
government.
3
(2)
For
fee-for-service
claims
for
the
fiscal
year
4
beginning
July
1,
2016,
the
average
reimbursement
rate
for
5
health
care
providers
eligible
for
use
of
the
federal
Medicare
6
resource-based
relative
value
scale
reimbursement
methodology
7
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
8
June
30
of
the
prior
fiscal
year;
however,
this
rate
shall
not
9
exceed
the
maximum
level
authorized
by
the
federal
government.
10
n.
For
the
fiscal
years
beginning
July
1,
2015,
and
July
1,
11
2016,
the
reimbursement
rate
for
residential
care
facilities
12
shall
not
be
less
than
the
minimum
payment
level
as
established
13
by
the
federal
government
to
meet
the
federally
mandated
14
maintenance
of
effort
requirement.
The
flat
reimbursement
15
rate
for
facilities
electing
not
to
file
annual
cost
reports
16
shall
not
be
less
than
the
minimum
payment
level
as
established
17
by
the
federal
government
to
meet
the
federally
mandated
18
maintenance
of
effort
requirement.
19
o.
(1)
The
reimbursement
rates
for
inpatient
mental
health
20
services
provided
at
hospitals
shall
be
as
follows
for
the
21
following
fiscal
years:
22
(a)
For
the
fiscal
year
beginning
July
1,
2015,
the
rates
23
shall
be
rebased
effective
October
1,
2015,
subject
to
Medicaid
24
program
upper
payment
limit
rules.
25
(b)
For
fee-for-service
claims
for
the
fiscal
year
26
beginning
July
1,
2016,
reimbursement
rates
shall
remain
at
the
27
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
28
upper
payment
limit
rules.
29
(2)
The
reimbursement
rate
for
psychiatrists
shall
be
as
30
follows
for
the
following
fiscal
years:
31
(a)
For
the
fiscal
year
beginning
July
1,
2015,
the
rate
32
shall
be
the
medical
assistance
program
fee-for-service
rate
in
33
effect
on
June
30,
2015.
34
(b)
For
fee-for-service
claims
for
the
fiscal
year
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beginning
July
1,
2016,
the
rate
shall
be
the
medical
1
assistance
program
fee-for-service
rate
in
effect
on
June
30,
2
2016.
3
p.
For
the
fiscal
years
beginning
July
1,
2015,
and
July
4
1,
2016,
community
mental
health
centers
may
choose
to
be
5
reimbursed
through
one
of
the
following
options:
6
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
7
(2)
In
accordance
with
the
alternative
reimbursement
rate
8
methodology
established
by
the
medical
assistance
program’s
9
managed
care
contractor
for
mental
health
services
and
approved
10
by
the
department
of
human
services.
11
q.
The
reimbursement
rate
for
providers
of
family
planning
12
services
that
are
eligible
to
receive
a
90
percent
federal
13
match
shall
be
as
follows
for
the
following
fiscal
years:
14
(1)
For
the
fiscal
year
beginning
July
1,
2015,
rates
shall
15
remain
at
the
rates
in
effect
on
June
30,
2015.
16
(2)
For
fee-for-service
claims
for
the
fiscal
year
17
beginning
July
1,
2016,
rates
shall
remain
at
the
rates
in
18
effect
on
June
30,
2016.
19
r.
The
upper
limits
on
reimbursement
rates
for
providers
of
20
home
and
community-based
services
waiver
services
shall
be
the
21
following
for
the
following
fiscal
years:
22
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
upper
23
limits
shall
be
the
same
as
the
limits
in
effect
on
June
24
30,
2015,
except
that
the
department
shall
implement
cost
25
containment
strategies
related
to
modified
payment
limits
for
26
waiver
services
as
recommended
by
the
governor
for
the
fiscal
27
year.
28
(2)
For
the
fiscal
year
beginning
July
1,
2016,
the
upper
29
limits
shall
be
the
same
as
the
limits
in
effect
on
June
30
30,
2016,
except
that
the
department
shall
implement
cost
31
containment
strategies
related
to
modified
payment
limits
for
32
waiver
services
as
recommended
by
the
governor
for
the
fiscal
33
year.
34
s.
The
reimbursement
rate
for
emergency
medical
service
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providers
shall
be
the
following
for
the
following
fiscal
1
years:
2
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
rate
3
shall
remain
at
the
rate
in
effect
on
June
30,
2015.
4
(2)
For
fee-for-service
claims
for
the
fiscal
year
5
beginning
July
1,
2016,
the
rate
shall
remain
at
the
rate
in
6
effect
on
June
30,
2016.
7
2.
For
the
fiscal
years
beginning
July
1,
2015,
and
July
1,
8
2016,
the
reimbursement
rate
for
providers
reimbursed
under
the
9
in-home-related
care
program
shall
not
be
less
than
the
minimum
10
payment
level
as
established
by
the
federal
government
to
meet
11
the
federally
mandated
maintenance
of
effort
requirement.
12
3.
Unless
otherwise
directed
in
this
section,
when
the
13
department’s
reimbursement
methodology
for
any
provider
14
reimbursed
in
accordance
with
this
section
includes
an
15
inflation
factor,
this
factor
shall
not
exceed
the
amount
16
by
which
the
consumer
price
index
for
all
urban
consumers
17
increased
during
the
calendar
year
ending
December
31,
2002.
18
4.
a.
The
foster
family
basic
daily
maintenance
rate
and
19
the
maximum
adoption
subsidy
rate
shall
be
as
follows
for
the
20
following
fiscal
years:
21
(1)
(a)
For
the
fiscal
year
beginning
July
1,
2015,
for
22
children
ages
0
through
5
years,
the
rate
shall
be
$16.78.
23
(b)
For
the
fiscal
year
beginning
July
1,
2016,
for
children
24
ages
0
through
5
years,
the
rate
shall
be
$16.78.
25
(2)
(a)
For
the
fiscal
year
beginning
July
1,
2015,
for
26
children
ages
6
through
11
years,
the
rate
shall
be
$17.45.
27
(b)
For
the
fiscal
year
beginning
July
1,
2016,
for
children
28
ages
6
through
11
years,
the
rate
shall
be
$17.45.
29
(3)
(a)
For
the
fiscal
year
beginning
July
1,
2015,
for
30
children
ages
12
through
15
years,
the
rate
shall
be
$19.10.
31
(b)
For
the
fiscal
year
beginning
July
1,
2016,
for
children
32
ages
12
through
15
years,
the
rate
shall
be
$19.10.
33
(4)
(a)
For
the
fiscal
year
beginning
July
1,
2015,
for
34
children
and
young
adults
ages
16
and
older,
the
rate
shall
be
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$19.35.
1
(b)
For
the
fiscal
year
beginning
July
1,
2016,
for
children
2
and
young
adults
ages
16
and
older,
the
rate
shall
be
$19.35.
3
b.
For
youth
ages
18
to
21
who
have
exited
foster
care,
the
4
preparation
for
adult
living
program
maintenance
rate
shall
be
5
as
follows
for
the
following
fiscal
years:
6
(1)
For
the
fiscal
year
beginning
July
1,
2015,
$602.70
per
7
month.
8
(2)
For
the
fiscal
year
beginning
July
1,
2016,
$602.70
per
9
month.
10
c.
The
maximum
payment
for
adoption
subsidy
nonrecurring
11
expenses
shall
be
limited
as
follows
for
the
following
fiscal
12
years:
13
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
limit
14
shall
be
$500.
15
(2)
For
the
fiscal
year
beginning
July
1,
2016,
the
limit
16
shall
be
$500.
17
d.
For
the
fiscal
years
beginning
July
1,
2015,
and
July
1,
18
2016,
the
disallowance
of
additional
amounts
for
court
costs
19
and
other
related
legal
expenses
implemented
pursuant
to
2010
20
Iowa
Acts,
chapter
1031,
section
408,
shall
be
continued.
21
5.
a.
The
maximum
reimbursement
rates
under
the
supervised
22
apartment
living
program
and
for
social
services
providers
23
under
contract
shall
be
as
follows
for
the
following
fiscal
24
years:
25
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
rates
26
shall
remain
at
the
rates
in
effect
on
June
30,
2015,
or
the
27
provider’s
actual
and
allowable
cost
plus
inflation
for
each
28
service,
whichever
is
less.
29
(2)
For
the
fiscal
year
beginning
July
1,
2016,
the
rates
30
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
or
the
31
provider’s
actual
and
allowable
cost
plus
inflation
for
each
32
service,
whichever
is
less.
33
b.
Notwithstanding
paragraph
“a”,
if
a
new
service
or
34
service
provider
is
added
after
June
30
of
the
prior
fiscal
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year,
the
initial
reimbursement
rate
for
the
service
or
1
provider
shall
be
based
upon
a
weighted
average
of
provider
2
rates
for
similar
services.
3
6.
The
reimbursement
rates
for
family-centered
service
4
providers,
family
foster
care
service
providers,
and
the
5
resource
family
recruitment
and
retention
contractor
shall
be
6
as
follows
for
the
following
fiscal
years:
7
a.
For
the
fiscal
year
beginning
July
1,
2015,
the
rates
8
shall
remain
at
the
rates
in
effect
on
June
30,
2015.
9
b.
For
the
fiscal
year
beginning
July
1,
2016,
the
rates
10
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
11
7.
a.
For
the
purposes
of
this
subsection,
“combined
12
reimbursement
rate”
means
the
combined
service
and
maintenance
13
reimbursement
rate
for
a
service
level
under
the
department’s
14
reimbursement
methodology.
The
combined
reimbursement
rate
15
for
a
group
foster
care
service
level
shall
be
the
amount
16
designated
in
this
subsection
for
the
fiscal
year
specified.
17
However,
if
a
group
foster
care
provider’s
reimbursement
rate
18
for
a
service
level
as
of
June
30
of
the
prior
fiscal
year
19
is
higher
than
the
rate
designated
in
this
subsection,
the
20
provider’s
reimbursement
shall
remain
at
the
higher
rate.
21
b.
Unless
a
group
foster
care
provider
is
subject
to
the
22
exception
provided
in
paragraph
“a”,
the
combined
reimbursement
23
rates
for
the
service
levels
under
the
department’s
24
reimbursement
methodology
shall
be
as
follows
for
the
following
25
fiscal
year:
26
(1)
For
the
fiscal
year
beginning
July
1,
2015:
27
(a)
For
service
level
community
-
D1,
the
daily
rate
shall
28
be
at
least
$84.17.
29
(b)
For
service
level
comprehensive
-
D2,
the
daily
rate
30
shall
be
at
least
$119.09.
31
(c)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
32
be
at
least
$131.09.
33
(2)
For
the
fiscal
year
beginning
July
1,
2016:
34
(a)
For
service
level,
community
-
D1,
the
daily
rate
shall
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be
at
least
$84.17.
1
(b)
For
service
level,
comprehensive
-
D2,
the
daily
rate
2
shall
be
at
least
$119.09.
3
(c)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
4
be
at
least
$131.09.
5
8.
The
group
foster
care
reimbursement
rates
paid
for
6
placement
of
children
out
of
state
shall
be
calculated
7
according
to
the
same
rate-setting
principles
as
those
used
for
8
in-state
providers,
unless
the
director
of
human
services
or
9
the
director’s
designee
determines
that
appropriate
care
cannot
10
be
provided
within
the
state.
The
payment
of
the
daily
rate
11
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
12
which
service
is
provided.
13
9.
a.
For
the
fiscal
years
beginning
July
1,
2015,
and
14
July
1,
2016,
the
reimbursement
rate
paid
for
shelter
care
and
15
the
child
welfare
emergency
services
implemented
to
provide
16
or
prevent
the
need
for
shelter
care
shall
be
established
by
17
contract.
18
b.
(1)
The
combined
service
and
maintenance
components
of
19
the
reimbursement
rate
paid
for
shelter
care
services
shall
be
20
based
on
the
financial
and
statistical
report
submitted
to
the
21
department,
and
the
maximum
reimbursement
rate
per
day
shall
be
22
as
follows
for
the
following
fiscal
years:
23
(a)
For
the
fiscal
year
beginning
July
1,
2015,
the
maximum
24
rate
shall
be
$96.98.
25
(b)
For
the
fiscal
year
beginning
July
1,
2016,
the
maximum
26
rate
shall
be
$96.98.
27
(2)
The
department
shall
reimburse
a
shelter
care
provider
28
at
the
provider’s
actual
and
allowable
unit
cost,
plus
29
inflation,
not
to
exceed
the
maximum
reimbursement
rate.
30
c.
The
limitation
on
recovery
of
unpaid
juvenile
shelter
31
home
costs
payable
by
the
public
for
purposes
of
section
32
232.141,
subsection
8,
as
amended
by
this
2015
Act,
is
$143.63.
33
10.
a.
The
department
shall
calculate
reimbursement
rates
34
for
intermediate
care
facilities
for
persons
with
intellectual
35
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_____
H.F.
_____
disabilities
at
the
following
percentile
for
the
following
1
fiscal
years:
2
(1)
For
the
fiscal
year
beginning
July
1,
2015,
at
the
80th
3
percentile.
4
(2)
For
the
fiscal
year
beginning
July
1,
2016,
at
the
80th
5
percentile.
6
b.
The
rate
calculation
methodology
shall
utilize
the
7
consumer
price
index
inflation
factor
applicable
to
the
fiscal
8
year
beginning
July
1
of
the
prior
fiscal
year.
9
11.
a.
For
child
care
providers
reimbursed
under
the
10
state
child
care
assistance
program,
the
department
shall
set
11
provider
reimbursement
rates
based
on
the
following
for
the
12
following
fiscal
years:
13
(1)
Effective
July
1,
2015,
the
reimbursement
rate
shall
14
remain
at
the
rate
in
effect
on
June
30,
2015.
15
(2)
Effective
July
1,
2016,
the
reimbursement
rate
shall
16
remain
at
the
rate
in
effect
on
June
30,
2016.
17
b.
The
department
shall
set
rates
in
a
manner
so
as
to
18
provide
incentives
for
a
nonregistered
provider
to
become
19
registered
by
applying
any
increase
only
to
registered
and
20
licensed
providers.
21
12.
The
department
may
adopt
emergency
rules
to
implement
22
this
section.
23
Sec.
32.
EMERGENCY
RULES.
24
1.
If
specifically
authorized
by
a
provision
of
this
25
division
of
this
Act,
the
department
of
human
services
or
26
the
mental
health
and
disability
services
commission
may
27
adopt
administrative
rules
under
section
17A.4,
subsection
28
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
29
implement
the
provisions
of
this
division
of
this
Act
and
30
the
rules
shall
become
effective
immediately
upon
filing
or
31
on
a
later
effective
date
specified
in
the
rules,
unless
the
32
effective
date
of
the
rules
is
delayed
or
the
applicability
33
of
the
rules
is
suspended
by
the
administrative
rules
review
34
committee.
Any
rules
adopted
in
accordance
with
this
section
35
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H.F.
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shall
not
take
effect
before
the
rules
are
reviewed
by
the
1
administrative
rules
review
committee.
The
delay
authority
2
provided
to
the
administrative
rules
review
committee
under
3
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
4
shall
be
applicable
to
a
delay
imposed
under
this
section,
5
notwithstanding
a
provision
in
those
sections
making
them
6
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
7
Any
rules
adopted
in
accordance
with
the
provisions
of
this
8
section
shall
also
be
published
as
a
notice
of
intended
action
9
as
provided
in
section
17A.4.
10
2.
If
during
a
fiscal
year,
the
department
of
human
11
services
is
adopting
rules
in
accordance
with
this
section
12
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
13
rules
will
result
in
an
expenditure
increase
beyond
the
amount
14
anticipated
in
the
budget
process
or
if
the
expenditure
was
15
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
16
department
shall
notify
the
persons
designated
by
this
division
17
of
this
Act
for
submission
of
reports,
the
chairpersons
and
18
ranking
members
of
the
committees
on
appropriations,
and
19
the
department
of
management
concerning
the
rules
and
the
20
expenditure
increase.
The
notification
shall
be
provided
at
21
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
22
is
submitted
to
the
administrative
rules
coordinator
and
the
23
administrative
code
editor.
24
Sec.
33.
REPORTS.
Any
reports
or
other
information
required
25
to
be
compiled
and
submitted
under
this
Act
during
a
fiscal
26
year,
shall
be
submitted
to
the
chairpersons
and
ranking
27
members
of
the
joint
appropriations
subcommittee
on
health
28
and
human
services,
the
legislative
services
agency,
and
the
29
legislative
caucus
staffs
on
or
before
the
dates
specified
for
30
submission
of
the
reports
or
information.
31
DIVISION
VI
32
HEALTH
CARE
ACCOUNTS
AND
FUNDS
33
Sec.
34.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
34
appropriated
from
the
pharmaceutical
settlement
account
created
35
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S.F.
_____
H.F.
_____
in
section
249A.33
to
the
department
of
human
services
for
1
the
following
fiscal
years,
the
following
amounts,
or
so
much
2
thereof
as
is
necessary,
to
be
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
same
6
fiscal
year:
7
1.
FY
2015-2016
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
9
2.
FY
2016-2017
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
11
Sec.
35.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
12
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
13
subject
to
the
availability
of
funds,
there
is
appropriated
14
from
the
quality
assurance
trust
fund
created
in
section
15
249L.4
to
the
department
of
human
services
for
the
following
16
fiscal
years,
the
following
amounts,
or
so
much
thereof
as
is
17
necessary,
for
the
purposes
designated:
18
To
supplement
the
appropriation
made
in
this
Act
from
the
19
general
fund
of
the
state
to
the
department
of
human
services
20
for
medical
assistance
for
the
same
fiscal
year:
21
1.
FY
2015-2016
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,705,208
23
2.
FY
2016-2017
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,705,208
25
Sec.
36.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
26
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
27
the
contrary
and
subject
to
the
availability
of
funds,
there
is
28
appropriated
from
the
hospital
health
care
access
trust
fund
29
created
in
section
249M.4
to
the
department
of
human
services
30
for
the
following
fiscal
years,
the
following
amounts,
or
so
31
much
thereof
as
is
necessary,
for
the
purposes
designated:
32
To
supplement
the
appropriations
made
in
this
Act
from
the
33
general
fund
of
the
state
to
the
department
of
human
services
34
for
medical
assistance
for
the
same
fiscal
year:
35
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S.F.
_____
H.F.
_____
1.
FY
2015-2016
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,700,000
2
2.
FY
2016-2017
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,700,000
4
Sec.
37.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION.
5
Notwithstanding
section
8.33
,
if
moneys
appropriated
for
6
purposes
of
the
medical
assistance
program
for
the
fiscal
year
7
beginning
July
1,
2015,
and
ending
June
30,
2016,
or
the
fiscal
8
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
from
the
9
general
fund
of
the
state,
the
quality
assurance
trust
fund
10
and
the
hospital
health
care
access
trust
fund,
are
in
excess
11
of
actual
expenditures
for
the
medical
assistance
program
and
12
remain
unencumbered
or
unobligated
at
the
close
of
a
fiscal
13
year,
the
excess
moneys
shall
not
revert
but
shall
remain
14
available
for
expenditure
for
the
purposes
of
the
medical
15
assistance
program
until
the
close
of
the
succeeding
fiscal
16
year.
17
DIVISION
VII
18
CODE
CHANGES
19
Sec.
38.
Section
35A.16,
subsection
1,
paragraph
b,
Code
20
2015,
is
amended
to
read
as
follows:
21
b.
There
is
appropriated
from
the
general
fund
of
the
state
22
to
the
department,
for
the
fiscal
year
beginning
July
1,
2009
23
2015
,
and
for
each
subsequent
fiscal
year,
the
sum
of
one
24
million
nine
hundred
ninety
thousand
dollars
to
be
credited
to
25
the
county
commissions
of
veteran
affairs
fund.
26
Sec.
39.
Section
135.159,
subsection
2,
paragraph
a,
27
unnumbered
paragraph
1,
Code
2015,
is
amended
to
read
as
28
follows:
29
The
department
shall
establish
an
a
patient-centered
health
30
advisory
council
which
shall
include
but
is
not
limited
to
31
all
of
the
following
members,
selected
by
their
respective
32
organizations,
and
any
other
members
the
department
determines
33
necessary
to
assist
in
the
department’s
duties
at
various
34
stages
of
development
of
the
medical
home
system:
35
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_____
H.F.
_____
Sec.
40.
Section
135.159,
subsection
2,
paragraph
b,
Code
1
2015,
is
amended
to
read
as
follows:
2
b.
Public
members
of
the
patient-centered
health
advisory
3
council
shall
receive
reimbursement
for
actual
expenses
4
incurred
while
serving
in
their
official
capacity
only
if
they
5
are
not
eligible
for
reimbursement
by
the
organization
that
6
they
represent.
7
Sec.
41.
Section
135.159,
subsection
10,
Code
2015,
is
8
amended
to
read
as
follows:
9
10.
The
department
shall
integrate
the
recommendations
and
10
policies
developed
pursuant
to
section
135.161
,
Code
2011,
into
11
the
medical
home
system
and
shall
incorporate
the
development
12
and
implementation
of
the
state
initiative
for
prevention
13
and
chronic
care
management
as
developed
pursuant
to
section
14
135.161
,
Code
2011,
into
the
duties
of
the
medical
home
system
15
patient-centered
health
advisory
council
beginning
January
1,
16
2012.
17
Sec.
42.
Section
137F.1,
subsection
7,
unnumbered
paragraph
18
1,
Code
2015,
is
amended
to
read
as
follows:
19
“Food
establishment”
means
an
operation
that
stores,
20
prepares,
packages,
serves,
vends,
or
otherwise
provides
food
21
for
human
consumption
and
includes
a
food
service
operation
22
in
a
salvage
or
distressed
food
operation,
school,
summer
23
camp,
residential
service
substance
abuse
treatment
facility,
24
halfway
house
substance
abuse
treatment
facility,
correctional
25
facility
operated
by
the
department
of
corrections,
or
the
26
state
training
school
,
or
the
Iowa
juvenile
home
.
“Food
27
establishment”
does
not
include
the
following:
28
Sec.
43.
Section
218.1,
subsections
4,
6,
and
8,
Code
2015,
29
are
amended
by
striking
the
subsections.
30
Sec.
44.
Section
225C.38,
subsection
1,
paragraph
c,
Code
31
2015,
is
amended
to
read
as
follows:
32
c.
Except
as
provided
in
section
225C.41
,
a
family
support
33
subsidy
for
a
fiscal
year
shall
be
in
an
amount
determined
by
34
the
department.
If
at
any
time
during
the
fiscal
year
the
35
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_____
H.F.
_____
amount
of
funding
available
for
the
family
support
subsidy
1
program
is
reduced
from
the
amount
initially
used
to
establish
2
the
payment
for
the
number
of
family
members
for
whom
a
subsidy
3
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
the
4
department
shall
revise
the
payment
as
necessary
to
conform
to
5
the
amount
of
available
funding.
The
parent
or
legal
guardian
6
receiving
a
family
support
subsidy
may
elect
to
receive
a
7
payment
amount
which
is
less
than
the
amount
determined
in
8
accordance
with
this
paragraph.
9
Sec.
45.
Section
226.1,
subsection
1,
paragraphs
a
and
c,
10
Code
2015,
are
amended
by
striking
the
paragraphs.
11
Sec.
46.
Section
230.1,
subsection
1,
paragraph
a,
12
subparagraph
(3),
Code
2015,
is
amended
by
striking
the
13
subparagraph.
14
Sec.
47.
Section
232.102,
subsection
3,
Code
2015,
is
15
amended
to
read
as
follows:
16
3.
After
a
dispositional
hearing
and
upon
written
17
findings
of
fact
based
upon
evidence
in
the
record
that
an
18
alternative
placement
set
forth
in
subsection
1
,
paragraph
19
“a”
,
subparagraph
(1),
has
previously
been
made
and
is
not
20
appropriate,
the
court
may
enter
an
order
transferring
the
21
guardianship
of
the
child
for
the
purposes
of
subsection
9
,
to
22
the
director
of
human
services
for
the
purposes
of
placement
in
23
the
Iowa
juvenile
home
at
Toledo
.
24
Sec.
48.
Section
232.102,
subsection
4,
Code
2015,
is
25
amended
by
striking
the
subsection.
26
Sec.
49.
Section
232.103,
subsection
7,
Code
2015,
is
27
amended
by
striking
the
subsection.
28
Sec.
50.
Section
232.141,
subsection
8,
Code
2015,
is
29
amended
to
read
as
follows:
30
8.
This
subsection
applies
only
to
placements
in
a
juvenile
31
shelter
care
home
which
is
publicly
owned,
operated
as
a
county
32
or
multicounty
shelter
care
home,
organized
under
a
chapter
33
28E
agreement,
or
operated
by
a
private
juvenile
shelter
care
34
home.
If
the
actual
and
allowable
costs
of
a
child’s
shelter
35
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_____
H.F.
_____
care
placement
exceed
the
amount
maximum
reimbursement
rate
1
the
department
is
authorized
to
pay
in
accordance
with
law
and
2
administrative
rule,
the
unpaid
costs
may
be
recovered
from
3
the
child’s
county
of
legal
settlement.
However,
the
maximum
4
amount
of
the
unpaid
costs
which
may
be
recovered
under
this
5
subsection
is
limited
to
the
difference
between
the
amount
6
maximum
reimbursement
rate
the
department
is
authorized
to
7
pay
and
the
statewide
average
of
the
actual
and
allowable
8
rates
in
effect
in
May
of
the
preceding
fiscal
year
for
9
reimbursement
of
juvenile
shelter
care
homes
limitation
on
10
juvenile
shelter
care
home
costs
payable
by
the
public
for
11
the
fiscal
year
.
The
limitation
shall
be
established
for
a
12
fiscal
year
in
appropriations
made
for
this
purpose
by
the
13
general
assembly.
In
no
case
shall
the
home
be
reimbursed
for
14
more
than
the
home’s
actual
and
allowable
costs.
The
unpaid
15
costs
are
payable
pursuant
to
filing
of
verified
claims
against
16
the
county
of
legal
settlement.
A
detailed
statement
of
the
17
facts
upon
which
a
claim
is
based
shall
accompany
the
claim.
18
Any
dispute
between
counties
arising
from
filings
of
claims
19
pursuant
to
this
subsection
shall
be
settled
in
the
manner
20
provided
to
determine
residency
in
section
331.394
.
21
Sec.
51.
Section
232.141,
Code
2015,
is
amended
by
adding
22
the
following
new
subsection:
23
NEW
SUBSECTION
.
9.
a.
Notwithstanding
any
other
24
provision
of
law
to
the
contrary,
funds
appropriated
for
25
services
provided
under
this
section
shall
be
distributed
26
to
the
judicial
districts
as
determined
by
the
state
court
27
administrator
and
to
the
department’s
service
areas
as
28
determined
by
the
administrator
of
the
department’s
division
of
29
child
and
family
services.
The
state
court
administrator
and
30
the
division
administrator
shall
make
the
determination
of
the
31
distribution
amounts
on
or
before
June
15
of
each
year.
32
b.
Notwithstanding
chapter
232
or
any
other
provision
of
33
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
34
order
any
service
which
is
a
charge
upon
the
state
pursuant
to
35
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this
section
if
there
are
insufficient
court-ordered
services
1
funds
available
in
the
district
court
or
departmental
service
2
area
distribution
amounts
to
pay
for
the
service.
The
chief
3
juvenile
court
officer
and
the
departmental
service
area
4
manager
shall
encourage
use
of
the
funds
allocated
in
this
5
subsection
such
that
there
are
sufficient
funds
to
pay
for
6
all
court-related
services
during
the
entire
year.
The
chief
7
juvenile
court
officers
and
departmental
service
area
managers
8
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
9
in
the
distribution
amounts
and
shall
cooperatively
request
the
10
state
court
administrator
or
division
administrator
to
transfer
11
funds
between
the
judicial
districts’
or
departmental
service
12
areas’
distribution
amounts
as
prudent.
13
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
14
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
15
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
16
entered
under
chapter
232
which
is
a
charge
upon
the
state
17
under
subsection
4.
18
Sec.
52.
Section
232.142,
subsection
3,
Code
2015,
is
19
amended
to
read
as
follows:
20
3.
A
county
or
multicounty
juvenile
detention
home
approved
21
pursuant
to
this
section
shall
receive
financial
aid
from
the
22
state
in
a
manner
approved
by
the
director
accordance
with
23
the
requirements
established
in
this
section
for
the
juvenile
24
detention
home
fund
and
in
the
appropriation
made
to
provide
25
such
aid
.
Aid
The
amount
of
aid
paid
by
the
state
shall
not
26
be
at
least
ten
percent
and
not
more
than
fifty
percent
of
the
27
total
cost
costs
of
the
establishment,
improvements,
operation,
28
and
maintenance
of
the
home.
29
Sec.
53.
Section
234.35,
subsection
1,
unnumbered
paragraph
30
1,
Code
2015,
is
amended
to
read
as
follows:
31
The
department
of
human
services
is
responsible
for
paying
32
the
cost
of
foster
care
for
a
child,
according
to
rates
33
established
pursuant
to
section
234.38
and
for
shelter
care
,
34
under
any
of
the
following
circumstances:
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Sec.
54.
Section
234.38,
Code
2015,
is
amended
to
read
as
1
follows:
2
234.38
Foster
care
reimbursement
rates.
3
The
department
of
human
services
shall
make
reimbursement
4
payments
directly
to
foster
parents
for
services
provided
to
5
children
pursuant
to
section
234.6,
subsection
6
,
paragraph
6
“b”
,
or
section
234.35
.
In
Unless
otherwise
provided
by
7
law
and
if
sufficient
funding
is
appropriated
in
any
fiscal
8
year,
the
reimbursement
rate
shall
be
based
upon
sixty-five
9
percent
of
the
United
States
department
of
agriculture
10
estimate
of
the
cost
to
raise
a
child
in
the
calendar
year
11
immediately
preceding
the
fiscal
year.
The
department
may
pay
12
an
additional
stipend
for
a
child
with
special
needs.
13
Sec.
55.
Section
259A.6,
Code
2015,
is
amended
to
read
as
14
follows:
15
259A.6
Residents
of
juvenile
institutions
institution
and
16
juvenile
probationers.
17
Notwithstanding
the
provisions
of
section
259A.2
a
minor
18
who
is
a
resident
of
a
state
training
school
or
the
Iowa
19
juvenile
home
or
a
minor
who
is
placed
under
the
supervision
20
of
a
juvenile
probation
office
may
make
application
for
a
high
21
school
equivalency
diploma
and
upon
successful
completion
of
22
the
program
receive
a
high
school
equivalency
diploma.
23
Sec.
56.
Section
261.6,
subsection
2,
paragraph
b,
Code
24
2015,
is
amended
to
read
as
follows:
25
b.
Is
age
seventeen
and
has
been
placed
in
the
state
26
training
school
or
the
Iowa
juvenile
home
pursuant
to
a
court
27
order
entered
under
chapter
232
under
the
care
and
custody
of
28
the
department
of
human
services.
29
Sec.
57.
Section
261.6,
subsection
2,
paragraph
c,
30
subparagraph
(4),
Code
2015,
is
amended
to
read
as
follows:
31
(4)
On
the
date
the
person
reached
age
eighteen
or
during
32
the
thirty
calendar
days
preceding
or
succeeding
that
date,
33
the
person
was
placed
in
the
state
training
school
or
the
Iowa
34
juvenile
home
pursuant
to
a
court
order
entered
under
chapter
35
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232
under
the
care
and
custody
of
the
department
of
human
1
services.
2
Sec.
58.
Section
282.33,
subsection
1,
Code
2015,
is
amended
3
to
read
as
follows:
4
1.
A
child
who
resides
in
an
institution
for
children
under
5
the
jurisdiction
of
the
director
of
human
services
referred
6
to
in
section
218.1,
subsection
3,
5,
or
7,
or
8
,
and
who
is
7
not
enrolled
in
the
educational
program
of
the
district
of
8
residence
of
the
child,
shall
receive
appropriate
educational
9
services.
The
institution
in
which
the
child
resides
shall
10
submit
a
proposed
program
and
budget
based
on
the
average
11
daily
attendance
of
the
children
residing
in
the
institution
12
to
the
department
of
education
and
the
department
of
human
13
services
by
January
1
for
the
next
succeeding
school
year.
The
14
department
of
education
shall
review
and
approve
or
modify
the
15
proposed
program
and
budget
and
shall
notify
the
department
16
of
administrative
services
of
its
action
by
February
1.
The
17
department
of
administrative
services
shall
pay
the
approved
18
budget
amount
to
the
department
of
human
services
in
monthly
19
installments
beginning
September
15
and
ending
June
15
of
20
the
next
succeeding
school
year.
The
installments
shall
be
21
as
nearly
equal
as
possible
as
determined
by
the
department
22
of
administrative
services,
taking
into
consideration
the
23
relative
budget
and
cash
position
of
the
state’s
resources.
24
The
department
of
administrative
services
shall
pay
the
25
approved
budget
amount
for
the
department
of
human
services
26
from
the
moneys
appropriated
under
section
257.16
and
the
27
department
of
human
services
shall
distribute
the
payment
to
28
the
institution.
The
institution
shall
submit
an
accounting
29
for
the
actual
cost
of
the
program
to
the
department
of
30
education
by
August
1
of
the
following
school
year.
The
31
department
shall
review
and
approve
or
modify
all
expenditures
32
incurred
in
compliance
with
the
guidelines
adopted
pursuant
to
33
section
256.7,
subsection
10
,
and
shall
notify
the
department
34
of
administrative
services
of
the
approved
accounting
amount.
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The
approved
accounting
amount
shall
be
compared
with
any
1
amounts
paid
by
the
department
of
administrative
services
to
2
the
department
of
human
services
and
any
differences
added
3
to
or
subtracted
from
the
October
payment
made
under
this
4
subsection
for
the
next
school
year.
Any
amount
paid
by
the
5
department
of
administrative
services
shall
be
deducted
monthly
6
from
the
state
foundation
aid
paid
under
section
257.16
to
all
7
school
districts
in
the
state
during
the
subsequent
fiscal
8
year.
The
portion
of
the
total
amount
of
the
approved
budget
9
that
shall
be
deducted
from
the
state
aid
of
a
school
district
10
shall
be
the
same
as
the
ratio
that
the
budget
enrollment
for
11
the
budget
year
of
the
school
district
bears
to
the
total
12
budget
enrollment
in
the
state
for
that
budget
year
in
which
13
the
deduction
is
made.
14
Sec.
59.
Section
331.424,
subsection
1,
paragraph
a,
15
subparagraph
(1),
subparagraph
division
(b),
Code
2015,
is
16
amended
by
striking
the
subparagraph
division.
17
Sec.
60.
Section
331.424A,
subsection
1,
Code
2015,
is
18
amended
by
striking
the
subsection
and
inserting
in
lieu
19
thereof
the
following:
20
1.
For
the
purposes
of
this
chapter
and
chapter
426B,
unless
21
the
context
otherwise
requires:
22
a.
“Base
year
expenditures
for
mental
health
and
disabilities
23
services”
means
the
maximum
amount
a
county
was
allowed
to
levy
24
under
this
section
for
the
fiscal
year
beginning
July
1,
2015.
25
b.
“County
services
fund”
means
a
county
mental
health
and
26
disabilities
services
fund
created
pursuant
to
this
section.
27
c.
“Mental
health
and
disability
services
regional
funding
28
level”
means
the
maximum
amount
a
county
or
a
mental
health
29
and
disabilities
service
region
could
have
received
from
the
30
mental
health
and
disability
services
levy
for
the
fiscal
year
31
beginning
July
1,
2014,
plus
state
general
funds
received
from
32
the
department
in
the
fiscal
year
beginning
July
1,
2014,
plus
33
funds
received
from
the
social
services
block
grant
in
the
34
fiscal
year
beginning
July
1,
2014,
less
the
annualized
amount
35
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of
a
county’s
Medicaid
offset
in
the
fiscal
year
beginning
July
1
1,
2014,
multiplied
by
one
hundred
thirty-seven
percent.
2
Sec.
61.
Section
331.424A,
subsection
8,
Code
2015,
is
3
amended
to
read
as
follows:
4
8.
a.
Notwithstanding
subsection
6
,
for
the
fiscal
years
5
year
beginning
July
1,
2013,
July
1,
2014,
and
July
1,
2015,
6
county
revenues
from
taxes
levied
by
the
county
and
credited
7
to
the
county
services
fund
shall
not
exceed
the
lower
of
the
8
following
amounts:
9
a.
(1)
The
amount
of
the
county’s
base
year
expenditures
10
for
mental
health
and
disabilities
services
as
defined
in
11
section
331.438,
Code
Supplement
2011,
minus
the
amount
the
12
county
received
from
the
property
tax
relief
fund
pursuant
to
13
section
426B.1,
Code
2011,
for
the
fiscal
year
beginning
July
14
1,
2008
.
15
b.
(2)
The
amount
equal
to
the
product
of
the
statewide
per
16
capita
expenditure
target
as
defined
in
section
331.424A,
Code
17
2015,
for
the
fiscal
year
beginning
July
1,
2013,
multiplied
by
18
the
county’s
general
population
for
the
same
fiscal
year.
19
b.
For
the
fiscal
year
beginning
July
1,
2015,
county
20
revenues
from
taxes
levied
by
the
county
and
credited
to
the
21
county
services
fund
shall
be
reduced
as
provided
in
section
22
426B.3,
subsection
5,
paragraph
“e”
,
subparagraph
(2),
Code
23
2015.
24
Sec.
62.
Section
331.756,
subsection
51,
Code
2015,
is
25
amended
by
striking
the
subsection.
26
Sec.
63.
Section
331.802,
subsection
3,
paragraph
k,
Code
27
2015,
is
amended
to
read
as
follows:
28
k.
Death
of
a
person
committed
or
admitted
to
a
state
29
mental
health
institute,
a
state
resource
center,
or
the
state
30
training
school
,
or
the
Iowa
juvenile
home
.
31
Sec.
64.
Section
426B.1,
subsection
2,
Code
2015,
is
amended
32
to
read
as
follows:
33
2.
Moneys
shall
be
distributed
The
department
of
human
34
services
may
distribute
from
the
property
tax
relief
fund
to
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counties
for
the
mental
health
and
disability
regional
service
1
system
for
providing
county
base
property
tax
equivalent
2
equalization
payments
and
the
per
capita
growth
amount
3
established
services
regions
up
to
the
difference
between
the
4
mental
health
and
disability
services
regional
funding
level
5
as
defined
in
section
331.424A,
and
the
base
year
expenditures
6
for
mental
health
and
disabilities
services
as
defined
in
7
section
331.424A,
pursuant
to
section
426B.3
,
in
accordance
8
with
the
appropriations
made
to
the
fund
and
other
statutory
9
requirements.
10
Sec.
65.
Section
426B.2,
Code
2015,
is
amended
to
read
as
11
follows:
12
426B.2
Property
tax
relief
fund
payments.
13
1.
The
director
of
human
services
shall
draw
warrants
on
the
14
property
tax
relief
fund,
payable
to
the
county
treasurer
in
15
the
amount
due
to
a
county
pay
appropriated
amounts
to
mental
16
health
and
disability
services
regions
for
the
provision
of
17
mental
health
and
disabilities
services
in
accordance
with
18
section
426B.3
,
and
mail
the
warrants
to
the
county
auditors
in
19
July
and
January
of
each
year
.
20
2.
As
used
in
this
chapter
,
and
in
sections
331.438
and
21
331.439
,
“population”
means
the
latest
applicable
population
22
estimate
issued
by
the
federal
government
same
as
defined
in
23
section
331.388
.
24
3.
Replacement
generation
tax
revenues
received
and
25
deposited
in
the
property
tax
relief
fund
pursuant
to
section
26
437A.8,
subsection
4,
paragraph
“d”
,
are
appropriated
to
27
the
department
of
human
services
to
supplement
the
medical
28
assistance
appropriation
to
be
allocated
for
various
mental
29
health
and
disabilities
services-related
activities.
30
Sec.
66.
Section
426B.3,
Code
2015,
is
amended
by
striking
31
the
section
and
inserting
in
lieu
thereof
the
following:
32
426B.3
Mental
health
and
disabilities
services
regional
33
funding.
34
1.
For
fiscal
years
beginning
on
or
after
July
1,
2015,
the
35
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_____
H.F.
_____
federal,
state,
and
county
funding
for
the
mental
health
and
1
disabilities
services
administered
or
paid
for
by
mental
health
2
and
disability
services
regions
as
described
in
section
331.389
3
shall
be
provided
based
on
a
mental
health
and
disability
4
services
regional
funding
level,
as
defined
in
section
5
331.424A,
and
calculated
in
accordance
with
section
331.424A
6
and
this
section.
7
2.
Any
mental
health
and
disability
services
region
that
8
has
a
mental
health
and
disabilities
services
fund
balance
or
9
whose
member
counties
have
a
mental
health
and
disabilities
10
services
fund
balance
at
or
below
twenty-five
percent
of
the
11
mental
health
and
disability
services
regional
funding
level
12
may
be
eligible
for
distributions
from
the
department
of
13
human
services
up
to
the
difference
between
the
mental
health
14
and
disability
services
regional
funding
level
as
defined
in
15
section
331.424A,
and
base
year
expenditures
for
mental
health
16
and
disabilities
services
as
defined
in
section
331.424A,
from
17
appropriations
designated
for
that
purpose.
18
3.
Any
mental
health
and
disability
services
region
that
19
has
a
fund
balance
or
whose
member
counties
have
a
fund
20
balance
in
excess
of
twenty-five
percent
of
the
mental
health
21
and
disability
services
regional
funding
level
shall
not
22
be
eligible
for
distributions
from
the
department
of
human
23
services
unless
the
department
determines
the
mental
health
24
and
disability
services
region
and
its
member
counties
have
a
25
viable
plan
to
spend
funds
in
excess
of
twenty-five
percent
26
of
the
mental
health
and
disability
services
regional
funding
27
level
within
one
year.
28
4.
If
appropriated
moneys
are
insufficient
to
fully
fund
the
29
difference
between
the
mental
health
and
disability
services
30
regional
funding
level
and
the
base
year
expenditures
for
31
mental
health
and
disabilities
services,
mental
health
and
32
disability
services
regions
eligible
for
distributions
from
the
33
department
of
human
services
shall
receive
an
equal
proportion
34
of
the
moneys
available.
35
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5.
Appropriations
designated
for
this
purpose
shall
be
paid
1
on
a
quarterly
basis
in
July,
October,
January,
and
April,
as
2
federal
funds
become
available.
3
6.
If
the
moneys
appropriated
in
this
section
are
from
4
federal
funds,
the
mental
health
and
disability
services
5
regions
shall
be
required
to
meet
federal
requirements
for
the
6
use
of
the
moneys
within
the
limits
of
their
management
plans.
7
Sec.
67.
Section
426B.4,
Code
2015,
is
amended
to
read
as
8
follows:
9
426B.4
Rules.
10
The
mental
health
and
disability
services
commission
shall
11
consult
with
county
representatives
and
the
director
of
human
12
services
in
prescribing
forms
and
adopting
adopt
rules
pursuant
13
to
chapter
17A
to
administer
this
chapter
.
14
Sec.
68.
REPEAL.
Section
226.9C,
Code
2015,
is
repealed.
15
Sec.
69.
REPEAL.
Chapter
233B,
Code
2015,
is
repealed.
16
Sec.
70.
REPEAL.
Section
426B.5,
Code
2015,
is
repealed.
17
Sec.
71.
CODE
EDITOR
DIRECTIVE.
The
Code
editor
shall
amend
18
the
headnote
of
section
135.159,
Code
2015,
to
read
Medical
home
19
system
——
patient-centered
health
advisory
council
——
development
20
and
implementation
.
21
DIVISION
VIII
22
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS
23
MEDICAID
OFFSET
PAID
BY
COUNTIES
IN
FY
2014-2015
24
Sec.
72.
Section
426B.3,
subsection
5,
paragraph
e,
25
subparagraph
(1),
Code
2015,
is
amended
to
read
as
follows:
26
(1)
(a)
If
the
county
receives
an
equalization
payment
27
in
the
fiscal
year
following
the
calculation
year,
the
county
28
shall
repay
the
Medicaid
offset
amount
to
the
state
from
that
29
equalization
payment.
A
county’s
repayment
pursuant
to
this
30
subparagraph
shall
be
remitted
on
or
before
January
1
of
the
31
fiscal
year
in
which
the
equalization
payment
is
received
and
32
the
repayment
shall
be
credited
to
the
property
tax
relief
33
fund.
Moneys
credited
to
the
property
tax
relief
fund
in
34
accordance
with
this
subparagraph
are
subject
to
appropriation
35
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_____
H.F.
_____
by
the
general
assembly
to
support
mental
health
and
disability
1
services
administered
by
the
regional
system.
The
department
2
of
human
services’
annual
budget
shall
include
recommendations
3
for
reinvestment
of
the
amounts
credited
to
the
fund
to
address
4
core
and
additional
core
services
administered
by
the
regional
5
system.
6
(b)
Notwithstanding
any
provision
to
the
contrary
in
7
subparagraph
division
(a),
during
the
fiscal
year
beginning
8
July
1,
2014,
any
repayment
received
pursuant
to
subparagraph
9
division
(a)
shall
not
be
subject
to
appropriation
by
the
10
general
assembly
to
support
mental
health
and
disabilities
11
services
administered
by
the
regional
system,
but
instead
12
shall
be
transferred
to
the
department
of
human
services
to
13
supplement
the
medical
assistance
program
appropriations
for
14
the
same
fiscal
year.
15
DECATEGORIZATION
16
Sec.
73.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
17
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
18
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
19
pool
that
remained
unencumbered
or
unobligated
at
the
close
20
of
the
fiscal
year
beginning
July
1,
2012,
and
were
deemed
21
carryover
funding
to
remain
available
for
the
two
succeeding
22
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
23
the
close
of
the
fiscal
year
beginning
July
1,
2014,
shall
24
not
revert
but
shall
be
transferred
to
the
medical
assistance
25
program
for
the
fiscal
year
beginning
July
1,
2014.
26
COMMUNITY
MENTAL
HEALTH
SERVICES
APPROPRIATION
27
Sec.
74.
2013
Iowa
Acts,
chapter
136,
section
2,
subsection
28
1,
paragraph
c,
is
amended
to
read
as
follows:
29
c.
The
department
shall
allocate
not
less
than
95
percent
30
of
the
amount
of
the
block
grant
each
federal
fiscal
year
31
to
eligible
community
mental
health
services
providers
for
32
carrying
out
the
plan
submitted
to
and
approved
by
the
federal
33
substance
abuse
and
mental
health
services
administration
34
for
the
fiscal
year
involved
,
except
that
for
federal
fiscal
35
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S.F.
_____
H.F.
_____
year
2014-2015,
$1,643,467
of
such
federal
block
grant
funds
1
shall
be
used
for
child
and
family
services
pursuant
to
2013
2
Iowa
Acts,
chapter
138,
section
148,
as
amended
by
2014
Iowa
3
Acts,
chapter
1140,
section
25,
for
the
purposes
of
2014
Iowa
4
Acts,
chapter
1140,
section
25,
subsection
20,
relating
to
5
the
community
circle
of
care
collaboration
for
children
and
6
youth
in
northeast
Iowa,
subsection
24
relating
to
the
central
7
Iowa
system
of
care
program
grant,
subsection
25
relating
8
to
the
system
of
care
grant
implemented
in
Cerro
Gordo
and
9
Linn
counties,
and
subsection
27
relating
to
a
system
of
care
10
approach
for
children
with
a
serious
emotional
disturbance
and
11
their
families
through
a
nonprofit
provider
of
child
welfare
12
services
licensed
as
a
psychiatric
medical
institution
for
13
children
.
14
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
15
Sec.
75.
2013
Iowa
Acts,
chapter
138,
section
136,
16
subsections
1,
2,
6,
and
13,
as
amended
by
2014
Iowa
Acts,
17
chapter
1140,
section
9,
are
amended
to
read
as
follows:
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,879,488
22
6,281,222
23
2.
To
be
credited
to
the
family
investment
program
account
24
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
25
program
and
implementing
family
investment
agreements
in
26
accordance
with
chapter
239B
:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,091,911
28
10,232,340
29
6.
For
state
child
care
assistance:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,047,110
31
41,210,239
32
a.
Of
the
funds
appropriated
in
this
subsection,
33
$26,347,110
$26,332,712
is
transferred
to
the
child
care
and
34
development
block
grant
appropriation
made
by
the
Eighty-fifth
35
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H.F.
_____
General
Assembly,
2013
Session,
in
2013
Iowa
Acts,
chapter
136,
1
section
14
for
the
federal
fiscal
year
beginning
October
1,
2
2014,
and
ending
September
30,
2015.
Of
this
amount,
$200,000
3
shall
be
used
for
provision
of
educational
opportunities
to
4
registered
child
care
home
providers
in
order
to
improve
5
services
and
programs
offered
by
this
category
of
providers
6
and
to
increase
the
number
of
providers.
The
department
may
7
contract
with
institutions
of
higher
education
or
child
care
8
resource
and
referral
centers
to
provide
the
educational
9
opportunities.
Allowable
administrative
costs
under
the
10
contracts
shall
not
exceed
5
percent.
The
application
for
a
11
grant
shall
not
exceed
two
pages
in
length.
12
b.
Any
funds
appropriated
in
this
subsection
remaining
13
unallocated
shall
be
used
for
state
child
care
assistance
14
payments
for
families
who
are
employed,
including
but
not
15
limited
to
individuals
enrolled
in
the
family
investment
16
program
who
are
employed
.
17
13.
a.
Notwithstanding
any
provision
to
the
contrary,
18
including
but
not
limited
to
requirements
in
section
8.41
or
19
provisions
in
2013
or
2014
Iowa
Acts
regarding
the
receipt
and
20
appropriation
of
federal
block
grants,
federal
funds
from
the
21
temporary
assistance
for
needy
families
block
grant
received
22
by
the
state
not
otherwise
appropriated
in
this
section
and
23
remaining
available
for
the
fiscal
year
beginning
July
1,
2014,
24
are
appropriated
to
the
department
of
human
services
to
the
25
extent
as
may
be
necessary
to
be
used
in
the
following
priority
26
order:
the
family
investment
program,
for
state
child
care
27
assistance
program
payments
for
individuals
enrolled
in
the
28
family
investment
program
families
who
are
employed,
and
for
29
the
family
investment
program
share
of
costs
to
develop
and
30
maintain
a
new,
integrated
eligibility
determination
system.
31
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
32
expended
only
after
all
other
funds
appropriated
in
subsection
33
1
for
the
assistance
under
the
family
investment
program,
34
in
subsection
6
for
child
care
assistance,
or
in
subsection
35
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_____
H.F.
_____
12
for
the
family
investment
program
share
of
the
costs
to
1
continue
to
develop
and
maintain
a
new,
integrated
eligibility
2
determination
system,
as
applicable,
have
been
expended.
For
3
the
purposes
of
this
subsection,
the
funds
appropriated
in
4
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
and
5
development
block
grant
are
considered
fully
expended
when
the
6
full
amount
has
been
transferred.
7
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
8
legislative
services
agency
and
department
of
management
of
9
the
amount
of
funds
appropriated
in
this
subsection
that
was
10
expended
in
the
prior
quarter.
11
CHILD
SUPPORT
RECOVERY
UNIT
12
Sec.
76.
2013
Iowa
Acts,
chapter
138,
section
139,
13
unnumbered
paragraph
2,
as
amended
by
2014
Iowa
Acts,
chapter
14
1140,
section
12,
is
amended
to
read
as
follows:
15
For
child
support
recovery,
including
salaries,
support,
16
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
17
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,911,230
19
14,771,230
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
21
MEDICAL
ASSISTANCE
22
Sec.
77.
2013
Iowa
Acts,
chapter
139,
section
142,
23
unnumbered
paragraph
2,
as
amended
by
2014
Iowa
Acts,
chapter
24
1140,
section
14,
is
amended
to
read
as
follows:
25
For
medical
assistance
program
reimbursement
and
associated
26
costs
as
specifically
provided
in
the
reimbursement
27
methodologies
in
effect
on
June
30,
2014,
except
as
otherwise
28
expressly
authorized
by
law,
consistent
with
options
under
29
federal
law
and
regulations,
and
contingent
upon
receipt
of
30
approval
from
the
office
of
the
governor
of
reimbursement
for
31
each
abortion
performed
under
the
program:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,658,393
33
1,284,700,402
34
DISPROPORTIONATE
SHARE
HOSPITAL
35
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(31)
86
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101
S.F.
_____
H.F.
_____
Sec.
78.
2013
Iowa
Acts,
chapter
138,
section
142,
1
subsection
11,
paragraph
a,
unnumbered
paragraph
1,
as
amended
2
by
2014
Iowa
Acts,
chapter
1140,
section
15,
is
amended
to
read
3
as
follows:
4
Of
the
funds
appropriated
in
this
section,
$8,391,922
5
$5,591,922
is
allocated
for
the
state
match
for
a
6
disproportionate
share
hospital
payment
of
$19,133,430
7
$12,749,481
to
hospitals
that
meet
both
of
the
conditions
8
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
9
hospitals
that
meet
the
conditions
specified
shall
either
10
certify
public
expenditures
or
transfer
to
the
medical
11
assistance
program
an
amount
equal
to
provide
the
nonfederal
12
share
for
a
disproportionate
share
hospital
payment
of
13
$7,500,000
$13,883,949
.
The
hospitals
that
meet
the
conditions
14
specified
shall
receive
and
retain
100
percent
of
the
total
15
disproportionate
share
hospital
payment
of
$26,633,430.
16
MEDICAL
CONTRACTS
17
Sec.
79.
2013
Iowa
Acts,
chapter
138,
section
143,
18
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
19
chapter
1140,
section
19,
are
amended
to
read
as
follows:
20
There
is
appropriated
from
the
general
fund
of
the
state
to
21
the
department
of
human
services
for
the
fiscal
year
beginning
22
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
23
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
24
designated:
25
For
medical
contracts:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,148,576
27
12,896,400
28
STATE
SUPPLEMENTARY
ASSISTANCE
29
Sec.
80.
2013
Iowa
Acts,
chapter
138,
section
144,
30
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
31
section
20,
is
amended
to
read
as
follows:
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
35
-91-
LSB
1030XG
(31)
86
pf/rh/rj
91/
101
S.F.
_____
H.F.
_____
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purpose
designated:
2
For
the
state
supplementary
assistance
program:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,121,154
4
12,965,318
5
CHILDREN’S
HEALTH
INSURANCE
PROGRAM/
6
HEALTHY
AND
WELL
KIDS
IN
IOWA
PROGRAM
7
Sec.
81.
2013
Iowa
Acts,
chapter
138,
section
145,
8
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
9
section
21,
is
amended
to
read
as
follows:
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,
2014,
and
ending
June
30,
2015,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
16
program
pursuant
to
chapter
514I
,
including
supplemental
dental
17
services,
for
receipt
of
federal
financial
participation
under
18
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
19
children’s
health
insurance
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
45,877,998
21
45,097,085
22
CHILD
CARE
ASSISTANCE
23
Sec.
82.
2013
Iowa
Acts,
chapter
138,
section
146,
24
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
25
chapter
1140,
section
22,
are
amended
to
read
as
follows:
26
There
is
appropriated
from
the
general
fund
of
the
state
to
27
the
department
of
human
services
for
the
fiscal
year
beginning
28
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
29
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
30
designated:
31
For
child
care
programs:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,132,080
33
36,303,944
34
-92-
LSB
1030XG
(31)
86
pf/rh/rj
92/
101
S.F.
_____
H.F.
_____
CHILDREN
ADJUDICATED
AS
DELINQUENT
AND
CHILD
IN
NEED
OF
1
ASSISTANCE
PLACEMENTS
2
Sec.
83.
2013
Iowa
Acts,
chapter
138,
unnumbered
paragraphs
3
1
and
2,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
4
24,
are
amended
to
read
as
follows:
5
There
is
appropriated
from
the
general
fund
of
the
state
to
6
the
department
of
human
services
for
the
fiscal
year
beginning
7
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
8
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
9
designated:
10
For
the
placement
costs
of
female
children
adjudicated
as
11
delinquent
and
male
and
female
children
adjudicated
as
a
child
12
in
need
of
assistance:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
14
1,400,000
15
CHILD
AND
FAMILY
SERVICES
16
Sec.
84.
2013
Iowa
Acts,
chapter
138,
section
148,
17
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
18
section
25,
is
amended
to
read
as
follows:
19
1.
There
is
appropriated
from
the
general
fund
of
the
20
state
to
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
22
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
23
purpose
designated:
24
For
child
and
family
services:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
94,857,554
26
86,564,087
27
ADOPTION
SUBSIDY
28
Sec.
85.
2013
Iowa
Acts,
chapter
138,
section
149,
29
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
30
section
26,
is
amended
to
read
as
follows:
31
1.
There
is
appropriated
from
the
general
fund
of
the
32
state
to
the
department
of
human
services
for
the
fiscal
year
33
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
34
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
35
-93-
LSB
1030XG
(31)
86
pf/rh/rj
93/
101
S.F.
_____
H.F.
_____
purpose
designated:
1
For
adoption
subsidy
payments
and
services:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,580,749
3
41,628,789
4
FAMILY
SUPPORT
SUBSIDY
5
Sec.
86.
2013
Iowa
Acts,
chapter
138,
section
151,
6
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
7
section
27,
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
family
support
subsidy
program
subject
to
the
14
enrollment
restrictions
in
section
225C.37,
subsection
3
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,079,739
16
579,739
17
CLARINDA
AND
INDEPENDENCE
MENTAL
HEALTH
INSTITUTES
18
Sec.
87.
2013
Iowa
Acts,
chapter
138,
section
153,
19
subsections
2
and
3,
as
amended
by
2014
Iowa
Acts,
chapter
20
1140,
section
29,
are
amended
to
read
as
follows:
21
2.
For
the
state
mental
health
institute
at
Clarinda
for
22
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
23
for
not
more
than
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,787,309
25
6,239,309
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
27
3.
For
the
state
mental
health
institute
at
Independence
for
28
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
29
for
not
more
than
the
following
full-time
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,484,386
31
10,342,865
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
33
GLENWOOD
AND
WOODWARD
STATE
RESOURCE
CENTERS
34
Sec.
88.
2013
Iowa
Acts,
chapter
138,
section
154,
35
-94-
LSB
1030XG
(31)
86
pf/rh/rj
94/
101
S.F.
_____
H.F.
_____
subsection
1,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
1
section
30,
is
amended
to
read
as
follows:
2
1.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
5
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purposes
designated:
7
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
8
support,
maintenance,
and
miscellaneous
purposes:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,695,266
10
21,195,266
11
b.
For
the
state
resource
center
at
Woodward
for
salaries,
12
support,
maintenance,
and
miscellaneous
purposes:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,855,693
14
14,505,693
15
FIELD
OPERATIONS
16
Sec.
89.
2013
Iowa
Acts,
chapter
138,
section
156,
17
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
18
chapter
1140,
section
32,
are
amended
to
read
as
follows:
19
There
is
appropriated
from
the
general
fund
of
the
state
to
20
the
department
of
human
services
for
the
fiscal
year
beginning
21
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
22
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
23
designated:
24
For
field
operations,
including
salaries,
support,
25
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
26
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,170,976
28
61,170,976
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
30
GENERAL
ADMINISTRATION
31
Sec.
90.
2013
Iowa
Acts,
chapter
138,
section
157,
32
unnumbered
paragraphs
1
and
2,
as
amended
by
2014
Iowa
Acts,
33
chapter
1140,
section
33,
are
amended
to
read
as
follows:
34
There
is
appropriated
from
the
general
fund
of
the
state
to
35
-95-
LSB
1030XG
(31)
86
pf/rh/rj
95/
101
S.F.
_____
H.F.
_____
the
department
of
human
services
for
the
fiscal
year
beginning
1
July
1,
2014,
and
ending
June
30,
2015,
the
following
amount,
2
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
3
designated:
4
For
general
administration,
including
salaries,
support,
5
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
6
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,072,302
8
15,072,302
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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FTEs
309.00
10
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
11
Sec.
91.
2013
Iowa
Acts,
chapter
138,
section
162,
as
12
amended
by
2014
Iowa
Acts,
chapter
1140,
section
47,
is
amended
13
to
read
as
follows:
14
SEC.
162.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
15
appropriated
from
the
pharmaceutical
settlement
account
created
16
in
section
249A.33
to
the
department
of
human
services
for
the
17
fiscal
year
beginning
July
1,
2014,
and
ending
June
30,
2015,
18
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
19
used
for
the
purpose
designated:
20
Notwithstanding
any
provision
of
law
to
the
contrary,
to
21
supplement
the
appropriations
made
in
this
Act
for
medical
22
contracts
under
the
medical
assistance
program
for
the
fiscal
23
year
beginning
July
1,
2014,
and
ending
June
30,
2015:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,467,564
25
6,969,740
26
QUALITY
ASSURANCE
TRUST
FUND
27
Sec.
92.
2013
Iowa
Acts,
chapter
138,
section
163,
as
28
amended
by
2014
Iowa
Acts,
chapter
1140,
section
48,
is
amended
29
to
read
as
follows:
30
SEC.
163.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
31
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
32
and
subject
to
the
availability
of
funds,
there
is
appropriated
33
from
the
quality
assurance
trust
fund
created
in
section
34
249L.4
to
the
department
of
human
services
for
the
fiscal
year
35
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S.F.
_____
H.F.
_____
beginning
July
1,
2014,
and
ending
June
30,
2015,
the
following
1
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
2
designated:
3
To
supplement
the
appropriation
made
in
this
Act
from
the
4
general
fund
of
the
state
to
the
department
of
human
services
5
for
medical
assistance
for
the
same
fiscal
year:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,195,653
7
29,695,653
8
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONAL
FUNDING
9
APPROPRIATION
10
Sec.
93.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONAL
11
FUNDING
APPROPRIATION.
Moneys
from
the
federal
social
services
12
block
grant,
if
allocated,
for
FFY
2014-2015,
FFY
2015-2016,
13
and
FFY
2016-2017,
totaling
at
least
$11,774,275
annually,
are
14
appropriated
to
the
department
of
human
services
for
each
of
15
the
state
fiscal
years
beginning
July
1,
2015,
and
July
1,
16
2016,
and
shall
be
distributed
to
mental
health
and
disability
17
service
regions
through
the
property
tax
relief
fund
for
mental
18
health
and
disability
services
in
accordance
with
section
19
426B.3.
20
Sec.
94.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
21
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
22
enactment.
23
Sec.
95.
RETROACTIVE
APPLICABILITY.
This
division
of
this
24
Act
is
retroactively
applicable
to
July
1,
2014.
25
EXPLANATION
26
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
27
the
explanation’s
substance
by
the
members
of
the
general
assembly.
28
This
bill
relates
to
appropriations
for
health
and
human
29
services
made
in
fiscal
years
2015-2016
and
2016-2017
to
the
30
department
of
veterans
affairs,
Iowa
veterans
home,
department
31
on
aging
(IDA),
department
of
public
health
(DPH),
Iowa
finance
32
authority,
department
of
human
rights,
and
department
of
human
33
services
(DHS).
34
The
bill
is
organized
into
divisions.
35
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S.F.
_____
H.F.
_____
DEPARTMENT
ON
AGING.
This
division
makes
appropriations
1
from
the
general
fund
of
the
state
for
the
department
on
aging
2
for
FY
2015-2016
and
FY
2016-2017.
3
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
amends
4
appropriations
from
the
general
fund
of
the
state
for
the
5
office
of
long-term
care
ombudsman
for
FY
2015-2016
and
FY
6
2016-2017.
7
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
makes
8
appropriations
from
the
general
fund
of
the
state
for
the
9
department
of
public
health
for
FY
2015-2016
and
FY
2016-2017.
10
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
11
division
makes
appropriations
from
the
general
fund
of
the
12
state
for
the
department
of
veterans
affairs
for
FY
2015-2016
13
and
FY
2016-2017
for
administration,
the
Iowa
veterans
home,
14
for
transfer
to
the
Iowa
finance
authority
for
the
home
15
ownership
assistance
program,
and
for
the
county
commissions
of
16
veterans
affairs.
17
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
makes
18
appropriations
from
the
general
fund
of
the
state
and
the
19
federal
temporary
assistance
for
needy
families
block
grant
to
20
DHS
for
FY
2015-2016
and
FY
2016-2017.
The
allocation
for
the
21
family
development
and
self-sufficiency
grant
program
is
made
22
directly
to
the
department
of
human
rights.
The
reimbursement
23
section
addresses
reimbursement
for
providers
reimbursed
by
the
24
department
of
human
services.
The
bill
provides
for
separate
25
appropriations
for
medical
assistance
program
costs
and
other
26
departmental
expenditures
associated
with
the
redesign
of
27
mental
health
and
disability
services
and
for
Iowa
health
and
28
wellness
plan
expenditures.
29
HEALTH
CARE
ACCOUNTS
AND
FUND.
This
division
makes
30
certain
health-related
appropriations
for
FY
2015-2016
and
31
FY
2016-2017.
A
number
of
the
appropriations
are
made
for
32
purposes
of
the
medical
assistance
(Medicaid)
program
in
33
addition
to
the
general
fund
appropriations
made
for
this
34
purpose
for
the
same
fiscal
year.
35
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S.F.
_____
H.F.
_____
MEDICAL
ASSISTANCE
PROGRAM
NONREVERSION.
This
division
1
provides
that
if
the
total
amounts
appropriated
from
all
2
sources
for
the
Medicaid
program
for
FY
2015-2016
or
FY
3
2016-2017
exceed
the
amount
needed,
the
excess
remains
4
available
to
be
used
for
the
program
in
the
succeeding
fiscal
5
year.
6
CODE
CHANGES.
This
division
includes
amendments
to
the
Iowa
7
Code
relating
to
the
contents
of
the
bill.
8
COUNTY
COMMISSIONS
OF
VETERANS
AFFAIRS.
The
division
amends
9
section
35A.16
relating
to
the
amount
of
money
appropriated
10
from
the
general
fund
of
the
state
each
fiscal
year
to
be
11
credited
to
the
county
commissions
of
veterans
affairs
fund,
by
12
changing
the
amount
from
$1
million
to
$990,000.
13
MEDICAL
HOME
SYSTEM
ADVISORY
COUNCIL.
The
division
amends
14
the
Code
to
rename
the
medical
home
system
advisory
council
the
15
patient-centered
health
advisory
council.
16
CLARINDA
AND
MOUNT
PLEASANT
MENTAL
HEALTH
INSTITUTES
AND
17
IOWA
JUVENILE
HOME.
The
division
eliminates
Code
references
to
18
the
mental
health
institutes
at
Clarinda
and
Mount
Pleasant
and
19
to
the
Iowa
juvenile
home
and
makes
conforming
Code
changes.
20
AGENCY
FUNDING
——
MISCELLANEOUS.
The
division
includes
21
miscellaneous
statutory
amendments
involving
agencies
receiving
22
appropriations
in
the
bill
and
certain
programs
administered
by
23
those
agencies
including
amendments
to
subsidy
payment
amounts
24
under
the
family
support
subsidy
program,
limitations
on
25
state
reimbursement
for
juvenile
shelter
placements
and
costs
26
relating
to
juvenile
detention
homes,
state
foster
care
cost
27
obligations,
and
foster
care
reimbursement
rates.
28
MENTAL
HEALTH
AND
DISABILITIES
SERVICES
——
SERVICES
AND
29
FINANCING.
The
division
makes
Code
changes
relating
to
the
30
delivery
and
financing
of
mental
health
and
disabilities
31
services
including
changes
to
Code
chapter
426B
relating
to
32
county
property
taxation
relief
involving
mental
health
and
33
disability
services
redesign
financing
and
changes
to
Code
34
section
331.424A,
the
county
mental
health
and
disabilities
35
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S.F.
_____
H.F.
_____
services
fund.
1
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS.
This
2
division
includes
amendments
to
appropriations
and
other
3
provisions
made
in
prior
years.
The
division
is
effective
upon
4
enactment
and
is
retroactively
applicable
to
July
1,
2014,
and
5
includes:
6
MEDICAID
OFFSET
PAID
TO
COUNTIES
FY
2014-2015.
The
division
7
directs
that
during
FY
2014-2015,
any
repayment
made
by
a
8
county
as
a
Medicaid
offset
amount
to
the
state
is
not
subject
9
to
appropriation
by
the
general
assembly
to
support
mental
10
health
and
disabilities
services
administered
by
the
regional
11
system
but
is
instead
to
be
transferred
to
DHS
to
supplement
12
the
Medicaid
program
appropriations
for
the
same
fiscal
year.
13
DECATEGORIZATION
CARRYOVER
FUNDING.
The
division
directs
14
that
moneys
remaining
in
the
funding
pool
that
are
unencumbered
15
or
unobligated
at
the
close
of
FY
2012-2013
and
were
deemed
16
carryover
funds
do
not
revert
to
the
general
fund
of
the
state
17
but
are
transferred
to
the
Medicaid
program
for
FY
2014-2015.
18
ADJUSTMENT
OF
AMOUNTS
OF
PRIOR
APPROPRIATIONS
AND
19
ALLOCATIONS.
The
division
adjusts
amounts
appropriated
and
20
allocated
for
FY
2014-2015
for
the
temporary
assistance
for
21
needy
families
program,
the
child
support
recovery
unit,
22
Medicaid,
disproportionate
share
hospitals,
medical
contracts,
23
state
supplementary
assistance,
the
children’s
health
insurance
24
program/healthy
and
well
kids
in
Iowa
program,
child
care
25
assistance,
juvenile
child
in
need
of
assistance
placements,
26
child
and
family
services,
adoption
subsidy,
family
support
27
subsidy,
the
mental
health
institutes
at
Clarinda
and
28
Independence,
the
Glenwood
and
Woodward
state
resource
centers,
29
field
operations,
general
administration,
the
pharmaceutical
30
settlement
account,
and
the
quality
assurance
trust
fund.
31
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONAL
FUNDING
32
APPROPRIATION.
The
division
provides
that
for
FFY
2014-2015,
33
FFY
2015-2016,
and
FFY
2016-2017,
from
the
federal
social
34
services
block
grant,
if
allocated,
moneys
in
an
amount
35
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101
S.F.
_____
H.F.
_____
totaling
at
least
$11,774,275
annually,
are
appropriated
to
DHS
1
for
each
of
the
state
fiscal
years
beginning
July
1,
2015,
and
2
July
1,
2016,
to
be
distributed
to
mental
health
and
disability
3
service
regions
through
the
property
tax
relief
fund
for
mental
4
health
and
disability
services
in
accordance
with
Code
section
5
426B.3.
6
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101