Senate
Study
Bill
3175
-
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
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2016-2017
2
Section
1.
2015
Iowa
Acts,
chapter
137,
section
121,
is
3
amended
to
read
as
follows:
4
SEC.
121.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
5
the
general
fund
of
the
state
to
the
department
on
aging
for
6
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
7
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purposes
designated:
9
For
aging
programs
for
the
department
on
aging
and
area
10
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
11
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
12
aging
and
disabilities
resource
center,
and
other
services
13
which
may
include
but
are
not
limited
to
adult
day
services,
14
respite
care,
chore
services,
information
and
assistance,
15
and
material
aid,
for
information
and
options
counseling
for
16
persons
with
disabilities
who
are
18
years
of
age
or
older,
17
and
for
salaries,
support,
administration,
maintenance,
and
18
miscellaneous
purposes
,
and
for
not
more
than
the
following
19
full-time
equivalent
positions
:
20
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$
5,699,866
21
11,436,066
22
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FTEs
31.00
23
1.
Funds
appropriated
in
this
section
may
be
used
to
24
supplement
federal
funds
under
federal
regulations.
To
25
receive
funds
appropriated
in
this
section,
a
local
area
26
agency
on
aging
shall
match
the
funds
with
moneys
from
other
27
sources
according
to
rules
adopted
by
the
department.
Funds
28
appropriated
in
this
section
may
be
used
for
elderly
services
29
not
specifically
enumerated
in
this
section
only
if
approved
30
by
an
area
agency
on
aging
for
provision
of
the
service
within
31
the
area.
32
2.
Of
the
funds
appropriated
in
this
section,
$139,973
33
$279,946
is
transferred
to
the
economic
development
authority
34
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
35
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the
retired
and
senior
volunteer
program.
1
3.
a.
The
department
on
aging
shall
establish
and
enforce
2
procedures
relating
to
expenditure
of
state
and
federal
funds
3
by
area
agencies
on
aging
that
require
compliance
with
both
4
state
and
federal
laws,
rules,
and
regulations,
including
but
5
not
limited
to
all
of
the
following:
6
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
7
or
services
received
or
performed
prior
to
the
end
of
the
8
fiscal
period
designated
for
use
of
the
funds.
9
(2)
Prohibiting
prepayment
for
goods
or
services
not
10
received
or
performed
prior
to
the
end
of
the
fiscal
period
11
designated
for
use
of
the
funds.
12
(3)
Prohibiting
the
prepayment
for
goods
or
services
13
not
defined
specifically
by
good
or
service,
time
period,
or
14
recipient.
15
(4)
Prohibiting
the
establishment
of
accounts
from
which
16
future
goods
or
services
which
are
not
defined
specifically
by
17
good
or
service,
time
period,
or
recipient,
may
be
purchased.
18
b.
The
procedures
shall
provide
that
if
any
funds
are
19
expended
in
a
manner
that
is
not
in
compliance
with
the
20
procedures
and
applicable
federal
and
state
laws,
rules,
and
21
regulations,
and
are
subsequently
subject
to
repayment,
the
22
area
agency
on
aging
expending
such
funds
in
contravention
of
23
such
procedures,
laws,
rules
and
regulations,
not
the
state,
24
shall
be
liable
for
such
repayment.
25
4.
Of
the
funds
appropriated
in
this
section,
at
least
26
$125,000
$250,000
shall
be
used
to
fund
the
unmet
needs
27
identified
through
Iowa’s
aging
and
disability
resource
center
28
network.
29
5.
Of
the
funds
appropriated
in
this
section,
at
30
least
$300,000
$600,000
shall
be
used
to
fund
home
and
31
community-based
services
through
the
area
agencies
on
aging
32
that
enable
older
individuals
to
avoid
more
costly
utilization
33
of
residential
or
institutional
services
and
remain
in
their
34
own
homes.
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6.
Of
the
funds
appropriated
in
this
section,
$406,833
1
$850,000
shall
be
used
for
the
purposes
of
chapter
231E
and
2
section
231.56A
,
of
which
$144,333
$325,000
shall
be
used
for
3
the
office
of
substitute
decision
maker
pursuant
to
chapter
4
231E
,
and
the
remainder
shall
be
distributed
equally
to
the
5
area
agencies
on
aging
to
administer
the
prevention
of
elder
6
abuse,
neglect,
and
exploitation
program
pursuant
to
section
7
231.56A
,
in
accordance
with
the
requirements
of
the
federal
8
Older
Americans
Act
of
1965,
42
U.S.C.
§3001
et
seq.,
as
9
amended.
10
DIVISION
II
11
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2016-2017
12
Sec.
2.
2015
Iowa
Acts,
chapter
137,
section
122,
is
amended
13
to
read
as
follows:
14
SEC.
122.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
15
1.
There
is
appropriated
from
the
general
fund
of
the
state
16
to
the
office
of
long-term
care
ombudsman
for
the
fiscal
year
17
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
18
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
19
purposes
designated:
20
For
salaries,
support,
administration,
maintenance,
and
21
miscellaneous
purposes
,
and
for
not
more
than
the
following
22
full-time
equivalent
positions
:
23
.
.
.
.
.
.
.
.
.
.
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.
.
$
638,391
24
1,276,783
25
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.
FTEs
17.00
26
2.
Of
the
funds
appropriated
in
this
section,
$110,000
shall
27
be
used
to
continue
to
provide
for
additional
local
long-term
28
care
ombudsmen.
29
DIVISION
III
30
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2016-2017
31
Sec.
3.
2015
Iowa
Acts,
chapter
137,
section
123,
is
amended
32
to
read
as
follows:
33
SEC.
123.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
34
appropriated
from
the
general
fund
of
the
state
to
the
35
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department
of
public
health
for
the
fiscal
year
beginning
July
1
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
2
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
3
designated:
4
1.
ADDICTIVE
DISORDERS
5
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
6
and
other
drugs,
and
treating
individuals
affected
by
addictive
7
behaviors,
including
gambling
,
and
for
not
more
than
the
8
following
full-time
equivalent
positions
:
9
.
.
.
.
.
.
.
.
.
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.
$
13,631,845
10
26,988,690
11
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.
FTEs
10.00
12
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
13
$2,624,180
$5,248,361
shall
be
used
for
the
tobacco
use
14
prevention
and
control
initiative,
including
efforts
at
the
15
state
and
local
levels,
as
provided
in
chapter
142A
.
The
16
commission
on
tobacco
use
prevention
and
control
established
17
pursuant
to
section
142A.3
shall
advise
the
director
of
18
public
health
in
prioritizing
funding
needs
and
the
allocation
19
of
moneys
appropriated
for
the
programs
and
initiatives.
20
Activities
of
the
programs
and
initiatives
shall
be
in
21
alignment
with
the
United
States
centers
for
disease
control
22
and
prevention
best
practices
for
comprehensive
tobacco
control
23
programs
that
include
the
goals
of
preventing
youth
initiation
24
of
tobacco
usage,
reducing
exposure
to
secondhand
smoke,
25
and
promotion
of
tobacco
cessation.
To
maximize
resources,
26
the
department
shall
determine
if
third-party
sources
are
27
available
to
instead
provide
nicotine
replacement
products
28
to
an
applicant
prior
to
provision
of
such
products
to
an
29
applicant
under
the
initiative.
The
department
shall
track
and
30
report
to
the
individuals
specified
in
this
Act
,
any
reduction
31
in
the
provision
of
nicotine
replacement
products
realized
32
by
the
initiative
through
implementation
of
the
prerequisite
33
screening.
34
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
35
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$226,533
$453,067
is
transferred
to
the
alcoholic
beverages
1
division
of
the
department
of
commerce
for
enforcement
of
2
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
3
tobacco
control
activities
approved
by
the
division
of
tobacco
4
use
prevention
and
control
of
the
department
of
public
health
5
as
specified
in
the
memorandum
of
understanding
entered
into
6
between
the
divisions.
7
(b)
For
the
fiscal
year
beginning
July
1,
2016,
and
ending
8
June
30,
2017,
the
terms
of
the
memorandum
of
understanding,
9
entered
into
between
the
division
of
tobacco
use
prevention
10
and
control
of
the
department
of
public
health
and
the
11
alcoholic
beverages
division
of
the
department
of
commerce,
12
governing
compliance
checks
conducted
to
ensure
licensed
retail
13
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
14
ordinances
relating
to
persons
under
eighteen
18
years
of
15
age,
shall
continue
to
restrict
the
number
of
such
checks
to
16
one
check
per
retail
outlet,
and
one
additional
check
for
any
17
retail
outlet
found
to
be
in
violation
during
the
first
check.
18
b.
Of
the
funds
appropriated
in
this
subsection,
19
$11,007,664
$21,740,329
shall
be
used
for
problem
gambling
and
20
substance-related
disorder
prevention,
treatment,
and
recovery
21
services,
including
a
24-hour
helpline,
public
information
22
resources,
professional
training,
and
program
evaluation.
23
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$9,451,857
24
$18,903,715
shall
be
used
for
substance-related
disorder
25
prevention
and
treatment.
26
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
27
$449,650
$899,300
shall
be
used
for
the
public
purpose
of
a
28
grant
program
to
provide
substance-related
disorder
prevention
29
programming
for
children.
30
(i)
Of
the
funds
allocated
in
this
subparagraph
division
31
(a),
$213,769
$427,539
shall
be
used
for
grant
funding
for
32
organizations
that
provide
programming
for
children
by
33
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
34
certified
or
must
be
certified
within
six
months
of
receiving
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the
grant
award
by
the
Iowa
commission
on
volunteer
services
as
1
utilizing
the
standards
for
effective
practice
for
mentoring
2
programs.
3
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
4
(a),
$213,419
$426,839
shall
be
used
for
grant
funding
for
5
organizations
providing
programming
that
includes
youth
6
development
and
leadership
services.
The
programs
shall
7
also
be
recognized
as
being
programs
that
are
scientifically
8
based
with
evidence
of
their
effectiveness
in
reducing
9
substance-related
disorders
in
children.
10
(iii)
The
department
of
public
health
shall
utilize
a
11
request
for
proposals
process
to
implement
the
grant
program.
12
(iv)
All
grant
recipients
shall
participate
in
a
program
13
evaluation
as
a
requirement
for
receiving
grant
funds.
14
(v)
Of
the
funds
allocated
in
this
subparagraph
division
15
(a),
up
to
$22,461
$44,922
may
be
used
to
administer
16
substance-related
disorder
prevention
grants
and
for
program
17
evaluations.
18
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
19
$136,301
$272,603
shall
be
used
for
culturally
competent
20
substance-related
disorder
treatment
pilot
projects.
21
(i)
The
department
shall
utilize
the
amount
allocated
22
in
this
subparagraph
division
(b)
for
at
least
three
pilot
23
projects
to
provide
culturally
competent
substance-related
24
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
25
project
shall
target
a
particular
ethnic
minority
population.
26
The
populations
targeted
shall
include
but
are
not
limited
to
27
African
American,
Asian,
and
Latino.
28
(ii)
The
pilot
project
requirements
shall
provide
for
29
documentation
or
other
means
to
ensure
access
to
the
cultural
30
competence
approach
used
by
a
pilot
project
so
that
such
31
approach
can
be
replicated
and
improved
upon
in
successor
32
programs.
33
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
34
to
$1,555,807
$2,836,614
may
be
used
for
problem
gambling
35
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prevention,
treatment,
and
recovery
services.
1
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
2
$1,286,881
$2,073,762
shall
be
used
for
problem
gambling
3
prevention
and
treatment.
4
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
5
$218,926
$662,852
may
be
used
for
a
24-hour
helpline,
public
6
information
resources,
professional
training,
and
program
7
evaluation.
8
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
9
to
$50,000
$100,000
may
be
used
for
the
licensing
of
problem
10
gambling
treatment
programs.
11
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
12
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
13
diagnosis
of
substance-related
disorder
and
gambling
addiction
14
shall
be
given
priority
in
treatment
services.
15
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
16
to
standardize
the
availability,
delivery,
cost
of
delivery,
17
and
accountability
of
problem
gambling
and
substance-related
18
disorder
treatment
services
statewide,
the
department
shall
19
continue
implementation
of
a
process
to
create
a
system
20
for
delivery
of
treatment
services
in
accordance
with
the
21
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
22
3,
subsection
4
.
To
ensure
the
system
provides
a
continuum
23
of
treatment
services
that
best
meets
the
needs
of
Iowans,
24
the
problem
gambling
and
substance-related
disorder
treatment
25
services
in
any
area
may
be
provided
either
by
a
single
agency
26
or
by
separate
agencies
submitting
a
joint
proposal.
27
(1)
The
system
for
delivery
of
substance-related
disorder
28
and
problem
gambling
treatment
shall
include
problem
gambling
29
prevention.
30
(2)
The
system
for
delivery
of
substance-related
disorder
31
and
problem
gambling
treatment
shall
include
substance-related
32
disorder
prevention
by
July
1,
2017.
33
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
34
may
use
up
to
$50,000
$100,000
for
administrative
costs
to
35
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continue
developing
and
implementing
the
process
in
accordance
1
with
this
paragraph
“c”.
2
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
3
by
the
appropriations
and
allocations
made
in
this
division
of
4
this
Act
for
purposes
of
substance-related
disorder
treatment
5
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
6
2016.
7
e.
The
department
of
public
health
shall
work
with
all
8
other
departments
that
fund
substance-related
disorder
9
prevention
and
treatment
services
and
all
such
departments
10
shall,
to
the
extent
necessary,
collectively
meet
the
state
11
maintenance
of
effort
requirements
for
expenditures
for
12
substance-related
disorder
services
as
required
under
the
13
federal
substance-related
disorder
prevention
and
treatment
14
block
grant.
15
2.
HEALTHY
CHILDREN
AND
FAMILIES
16
For
promoting
the
optimum
health
status
for
children,
17
adolescents
from
birth
through
21
years
of
age,
and
families
,
18
and
for
not
more
than
the
following
full-time
equivalent
19
positions
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,308,771
21
4,617,543
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
23
a.
Of
the
funds
appropriated
in
this
subsection,
not
24
more
than
$367,420
$734,841
shall
be
used
for
the
healthy
25
opportunities
for
parents
to
experience
success
(HOPES)-healthy
26
families
Iowa
(HFI)
program
established
pursuant
to
section
27
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
28
that
were
provided
to
the
grantees
that
operated
the
program
29
during
the
fiscal
year
ending
June
30,
2016.
30
b.
In
order
to
implement
the
legislative
intent
stated
in
31
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
32
program
funding
be
given
to
programs
using
evidence-based
or
33
promising
models
for
home
visitation,
it
is
the
intent
of
the
34
general
assembly
to
phase
in
the
funding
priority
in
accordance
35
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with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2
,
1
paragraph
“0b”.
2
c.
Of
the
funds
appropriated
in
this
subsection,
$1,099,414
3
$2,198,828
shall
be
used
for
continuation
of
the
department’s
4
initiative
to
provide
for
adequate
developmental
surveillance
5
and
screening
during
a
child’s
first
five
years.
The
funds
6
shall
be
used
first
to
fully
fund
the
current
sites
to
ensure
7
that
the
sites
are
fully
operational,
with
the
remaining
8
funds
to
be
used
for
expansion
to
additional
sites.
The
full
9
implementation
and
expansion
shall
include
enhancing
the
scope
10
of
the
program
through
collaboration
with
the
child
health
11
specialty
clinics
to
promote
healthy
child
development
through
12
early
identification
and
response
to
both
biomedical
and
social
13
determinants
of
healthy
development;
by
monitoring
child
14
health
metrics
to
inform
practice,
document
long-term
health
15
impacts
and
savings,
and
provide
for
continuous
improvement
16
through
training,
education,
and
evaluation;
and
by
providing
17
for
practitioner
consultation
particularly
for
children
with
18
behavioral
conditions
and
needs.
The
department
of
public
19
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
20
and
the
child
health
specialty
clinics
to
integrate
the
21
activities
of
the
first
five
initiative
into
the
establishment
22
of
patient-centered
medical
homes,
community
utilities,
23
accountable
care
organizations,
and
other
integrated
care
24
models
developed
to
improve
health
quality
and
population
25
health
while
reducing
health
care
costs.
To
the
maximum
extent
26
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
27
as
matching
funds
for
medical
assistance
program
reimbursement.
28
d.
Of
the
funds
appropriated
in
this
subsection,
$37,320
29
$74,640
shall
be
distributed
to
a
statewide
dental
carrier
to
30
provide
funds
to
continue
the
donated
dental
services
program
31
patterned
after
the
projects
developed
by
the
lifeline
network
32
to
provide
dental
services
to
indigent
individuals
who
are
33
elderly
or
with
disabilities.
34
e.
Of
the
funds
appropriated
in
this
subsection,
$55,997
35
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H.F.
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$111,995
shall
be
used
for
childhood
obesity
prevention.
1
f.
Of
the
funds
appropriated
in
this
subsection,
$81,384
2
$162,768
shall
be
used
to
provide
audiological
services
and
3
hearing
aids
for
children.
The
department
may
enter
into
a
4
contract
to
administer
this
paragraph.
5
g.
Of
the
funds
appropriated
in
this
subsection,
$12,500
6
$25,000
is
transferred
to
the
university
of
Iowa
college
of
7
dentistry
for
provision
of
primary
dental
services
to
children.
8
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
9
The
university
of
Iowa
college
of
dentistry
shall
coordinate
10
efforts
with
the
department
of
public
health,
bureau
of
11
oral
and
health
delivery
systems,
to
provide
dental
care
to
12
underserved
populations
throughout
the
state.
13
h.
Of
the
funds
appropriated
in
this
subsection,
$25,000
14
$50,000
shall
be
used
to
address
youth
suicide
prevention.
15
i.
Of
the
funds
appropriated
in
this
subsection,
$25,000
16
$50,000
shall
be
used
to
support
the
Iowa
effort
to
address
the
17
survey
of
children
who
experience
adverse
childhood
experiences
18
known
as
ACEs.
19
j.
The
department
of
public
health
shall
continue
to
20
administer
the
program
to
assist
parents
in
this
state
with
21
costs
resulting
from
the
death
of
a
child
in
accordance
with
22
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
23
subsection
12
.
24
3.
CHRONIC
CONDITIONS
25
For
serving
individuals
identified
as
having
chronic
26
conditions
or
special
health
care
needs
,
and
for
not
more
than
27
the
following
full-time
equivalent
positions
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,477,846
29
4,930,692
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
31
a.
Of
the
funds
appropriated
in
this
subsection,
$79,966
32
$159,932
shall
be
used
for
grants
to
individual
patients
who
33
have
an
inherited
metabolic
disorder
to
assist
with
the
costs
34
of
medically
necessary
foods
and
formula.
35
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H.F.
_____
b.
Of
the
funds
appropriated
in
this
subsection,
$445,822
1
$891,644
shall
be
used
for
the
brain
injury
services
program
2
pursuant
to
section
135.22B
,
including
for
continuation
of
the
3
contracts
for
resource
facilitator
services
in
accordance
with
4
section
135.22B,
subsection
9
,
and
to
enhance
brain
injury
5
training
and
recruitment
of
service
providers
on
a
statewide
6
basis.
Of
the
amount
allocated
in
this
paragraph,
$47,500
7
$95,000
shall
be
used
to
fund
one
full-time
equivalent
position
8
to
serve
as
the
state
brain
injury
services
program
manager.
9
c.
Of
the
funds
appropriated
in
this
subsection,
$273,991
10
$547,982
shall
be
used
as
additional
funding
to
leverage
11
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
12
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
13
grants.
14
d.
Of
the
funds
appropriated
in
this
subsection,
$74,911
15
$149,823
shall
be
used
for
the
public
purpose
of
continuing
16
to
contract
with
an
existing
national-affiliated
organization
17
to
provide
education,
client-centered
programs,
and
client
18
and
family
support
for
people
living
with
epilepsy
and
their
19
families.
The
amount
allocated
in
this
paragraph
in
excess
20
of
$50,000
$100,000
shall
be
matched
dollar-for-dollar
by
the
21
organization
specified.
22
e.
Of
the
funds
appropriated
in
this
subsection,
$392,557
23
$785,114
shall
be
used
for
child
health
specialty
clinics.
24
f.
Of
the
funds
appropriated
in
this
subsection,
25
$200,000
$400,000
shall
be
used
by
the
regional
autism
26
assistance
program
established
pursuant
to
section
256.35
,
27
and
administered
by
the
child
health
specialty
clinic
located
28
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
29
shall
be
used
to
enhance
interagency
collaboration
and
30
coordination
of
educational,
medical,
and
other
human
services
31
for
persons
with
autism,
their
families,
and
providers
of
32
services,
including
delivering
regionalized
services
of
care
33
coordination,
family
navigation,
and
integration
of
services
34
through
the
statewide
system
of
regional
child
health
specialty
35
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clinics
and
fulfilling
other
requirements
as
specified
in
1
chapter
225D
.
The
university
of
Iowa
shall
not
receive
funds
2
allocated
under
this
paragraph
for
indirect
costs
associated
3
with
the
regional
autism
assistance
program.
4
g.
Of
the
funds
appropriated
in
this
subsection,
$285,496
5
$545,993
shall
be
used
for
the
comprehensive
cancer
control
6
program
to
reduce
the
burden
of
cancer
in
Iowa
through
7
prevention,
early
detection,
effective
treatment,
and
ensuring
8
quality
of
life.
Of
the
funds
allocated
in
this
paragraph
“g”,
9
$75,000
$150,000
shall
be
used
to
support
a
melanoma
research
10
symposium,
a
melanoma
biorepository
and
registry,
basic
and
11
translational
melanoma
research,
and
clinical
trials.
12
h.
Of
the
funds
appropriated
in
this
subsection,
$63,225
13
$101,450
shall
be
used
for
cervical
and
colon
cancer
screening,
14
and
$150,000
$300,000
shall
be
used
to
enhance
the
capacity
15
of
the
cervical
cancer
screening
program
to
include
provision
16
of
recommended
prevention
and
early
detection
measures
to
a
17
broader
range
of
low-income
women.
18
i.
Of
the
funds
appropriated
in
this
subsection,
$263,347
19
$526,695
shall
be
used
for
the
center
for
congenital
and
20
inherited
disorders.
21
j.
Of
the
funds
appropriated
in
this
subsection,
$64,705
22
$129,411
shall
be
used
for
the
prescription
drug
donation
23
repository
program
created
in
chapter
135M
.
24
k.
Of
the
funds
appropriated
in
this
subsection,
$107,631
25
$215,263
shall
be
used
by
the
department
of
public
health
26
for
reform-related
activities,
including
but
not
limited
to
27
facilitation
of
communication
to
stakeholders
at
the
state
and
28
local
level,
administering
the
patient-centered
health
advisory
29
council
pursuant
to
section
135.159
,
and
involvement
in
health
30
care
system
innovation
activities
occurring
across
the
state.
31
l.
Of
the
funds
appropriated
in
this
subsection,
$12,500
32
$25,000
shall
be
used
for
administration
of
chapter
124D
,
the
33
medical
cannabidiol
Act.
34
4.
COMMUNITY
CAPACITY
35
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_____
H.F.
_____
For
strengthening
the
health
care
delivery
system
at
the
1
local
level
,
and
for
not
more
than
the
following
full-time
2
equivalent
positions
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,410,667
4
7,239,136
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
6
a.
Of
the
funds
appropriated
in
this
subsection,
$49,707
7
$99,414
is
allocated
for
continuation
of
the
child
vision
8
screening
program
implemented
through
the
university
of
Iowa
9
hospitals
and
clinics
in
collaboration
with
early
childhood
10
Iowa
areas.
The
program
shall
submit
a
report
to
the
11
individuals
identified
in
this
Act
for
submission
of
reports
12
regarding
the
use
of
funds
allocated
under
this
paragraph
13
“a”.
The
report
shall
include
the
objectives
and
results
for
14
the
program
year
including
the
target
population
and
how
the
15
funds
allocated
assisted
the
program
in
meeting
the
objectives;
16
the
number,
age,
and
location
within
the
state
of
individuals
17
served;
the
type
of
services
provided
to
the
individuals
18
served;
the
distribution
of
funds
based
on
service
provided;
19
and
the
continuing
needs
of
the
program.
20
b.
Of
the
funds
appropriated
in
this
subsection,
$55,328
21
$110,656
is
allocated
for
continuation
of
an
initiative
22
implemented
at
the
university
of
Iowa
and
$49,952
$99,904
23
is
allocated
for
continuation
of
an
initiative
at
the
state
24
mental
health
institute
at
Cherokee
to
expand
and
improve
the
25
workforce
engaged
in
mental
health
treatment
and
services.
26
The
initiatives
shall
receive
input
from
the
university
of
27
Iowa,
the
department
of
human
services,
the
department
of
28
public
health,
and
the
mental
health
and
disability
services
29
commission
to
address
the
focus
of
the
initiatives.
30
c.
Of
the
funds
appropriated
in
this
subsection,
$582,314
31
$1,164,628
shall
be
used
for
essential
public
health
services
32
that
promote
healthy
aging
throughout
one’s
lifespan,
33
contracted
through
a
formula
for
local
boards
of
health,
to
34
enhance
health
promotion
and
disease
prevention
services.
35
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_____
H.F.
_____
d.
Of
the
funds
appropriated
in
this
section
subsection
,
1
$49,643
$99,286
shall
be
deposited
in
the
governmental
public
2
health
system
fund
created
in
section
135A.8
to
be
used
for
the
3
purposes
of
the
fund.
4
e.
Of
the
funds
appropriated
in
this
subsection,
$52,724
5
shall
be
used
to
continue
to
address
the
shortage
of
mental
6
health
professionals
in
the
state.
7
f.
Of
the
funds
appropriated
in
this
subsection,
$25,000
8
$50,000
shall
be
used
for
a
grant
to
a
statewide
association
9
of
psychologists
that
is
affiliated
with
the
American
10
psychological
association
to
be
used
for
continuation
of
a
11
program
to
rotate
intern
psychologists
in
placements
in
urban
12
and
rural
mental
health
professional
shortage
areas,
as
defined
13
in
section
135.180
.
14
g.
(1)
Of
the
funds
appropriated
in
this
subsection,
15
$1,441,484
$1,210,770
shall
be
allocated
as
a
grant
to
the
Iowa
16
primary
care
association
to
be
used
pursuant
to
section
135.153
17
for
the
statewide
coordination
of
the
Iowa
collaborative
18
safety
net
provider
network.
Coordination
of
the
network
19
shall
focus
on
increasing
access
by
underserved
populations
20
to
health
care
services,
increasing
integration
of
the
21
health
system
and
collaboration
across
the
continuum
of
care
22
with
a
focus
on
safety
net
services,
and
enhancing
the
Iowa
23
collaborative
safety
net
provider
network’s
communication
and
24
education
efforts.
The
amount
allocated
as
a
grant
under
this
25
subparagraph
(1)
shall
be
used
as
follows
to
support
the
Iowa
26
collaborative
safety
net
provider
network
goals
of
increased
27
access,
health
system
integration,
and
engagement:
28
(a)
For
distribution
to
safety
net
partners
in
the
state
29
that
work
to
increase
access
of
the
underserved
population
to
30
health
services:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
512,742
32
(i)
Of
the
amount
allocated
in
this
subparagraph
33
division
(a),
up
to
$206,707
shall
be
distributed
to
the
34
Iowa
prescription
drug
corporation
for
continuation
of
the
35
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H.F.
_____
pharmaceutical
infrastructure
for
safety
net
providers
as
1
described
in
2007
Iowa
Acts,
chapter
218,
section
108
.
2
(ii)
Of
the
amount
allocated
in
this
subparagraph
division
3
(a),
up
to
$174,161
shall
be
distributed
to
free
clinics
and
4
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
5
coordination,
provider
recruitment,
service
delivery,
and
6
provision
of
assistance
to
patients
in
securing
a
medical
home
7
inclusive
of
oral
health
care.
8
(iii)
Of
the
amount
allocated
in
this
subparagraph
9
division
(a),
up
to
$25,000
shall
be
distributed
to
the
10
Iowa
coalition
against
sexual
assault
to
continue
a
training
11
program
for
sexual
assault
response
team
(SART)
members,
12
including
representatives
of
law
enforcement,
victim
advocates,
13
prosecutors,
and
certified
medical
personnel.
14
(iv)
Of
the
amount
allocated
in
this
subparagraph
division
15
(a),
up
to
$106,874
shall
be
distributed
to
the
Polk
county
16
medical
society
for
continuation
of
the
safety
net
provider
17
patient
access
to
a
specialty
health
care
initiative
as
18
described
in
2007
Iowa
Acts,
chapter
218,
section
109
.
19
(c)
For
distribution
to
safety
net
partners
in
the
state
20
that
work
to
serve
as
a
resource
for
credible,
accurate
21
information
on
health
care-related
needs
and
services
22
for
vulnerable
populations
in
the
state
including
the
23
Iowa
association
of
rural
health
clinics
for
necessary
24
infrastructure
and
service
delivery
transformation
and
the
Iowa
25
primary
care
association
to
support
partner
engagement,
program
26
management,
and
statewide
coordination
of
the
network:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
92,642
28
(2)
The
amount
allocated
under
this
paragraph
“g”
shall
29
not
be
reduced
for
administrative
or
other
costs
prior
to
30
distribution.
The
Iowa
collaborative
safety
net
provider
31
network
may
continue
to
distribute
funds
allocated
pursuant
to
32
this
paragraph
“g”
through
existing
contracts
or
renewal
of
33
existing
contracts.
34
(3)
For
each
goal
of
the
Iowa
collaborative
safety
net
35
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provider
network,
the
Iowa
primary
care
association
shall
1
submit
a
progress
report
to
the
individuals
designated
in
this
2
Act
for
submission
of
reports
by
December
15,
2016,
including
3
progress
in
developing
and
implementing
the
network,
how
the
4
funds
were
distributed
and
used
in
developing
and
implementing
5
the
network,
and
the
remaining
needs
identified
to
fully
6
develop
and
implement
the
network.
7
h.
Of
the
funds
appropriated
in
this
subsection,
$106,700
8
$213,400
shall
be
used
for
continuation
of
the
work
of
the
9
direct
care
worker
advisory
council
established
pursuant
to
10
2008
Iowa
Acts,
chapter
1188,
section
69
,
in
implementing
the
11
recommendations
in
the
final
report
submitted
by
the
advisory
12
council
to
the
governor
and
the
general
assembly
in
March
2012,
13
including
by
continuing
to
develop,
promote,
and
make
available
14
on
a
statewide
basis
the
prepare-to-care
core
curriculum
and
15
its
associated
modules
and
specialties
through
various
formats
16
including
online
access,
community
colleges,
and
other
venues;
17
exploring
new
and
maintaining
existing
specialties
including
18
but
not
limited
to
oral
health
and
dementia
care;
supporting
19
instructor
training;
and
assessing
and
making
recommendations
20
concerning
the
Iowa
care
book
and
information
technology
21
systems
and
infrastructure
uses
and
needs.
22
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
23
$108,187
$216,375
shall
be
used
for
allocation
to
an
24
independent
statewide
direct
care
worker
organization
selected
25
through
a
request
for
proposals
process.
The
contract
shall
26
include
performance
and
outcomes
measures,
and
shall
allow
the
27
contractor
to
use
a
portion
of
the
funds
received
under
the
28
contract
to
collect
data
to
determine
results
based
on
the
29
performance
and
outcomes
measures.
30
(2)
Of
the
funds
appropriated
in
this
subsection,
$37,500
31
$75,000
shall
be
used
to
provide
scholarships
or
other
forms
of
32
subsidization
for
direct
care
worker
educational
conferences,
33
training,
or
outreach
activities.
34
j.
Of
the
funds
appropriated
in
this
subsection,
the
35
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92
S.F.
_____
H.F.
_____
department
may
use
up
to
$29,087
$58,175
for
up
to
one
1
full-time
equivalent
position
to
administer
the
volunteer
2
health
care
provider
program
pursuant
to
section
135.24
.
3
k.
Of
the
funds
appropriated
in
this
subsection,
$50,000
4
$100,000
shall
be
used
for
a
matching
dental
education
loan
5
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
6
service
corporation
to
continue
to
develop
the
criteria
and
7
implement
the
loan
repayment
program.
8
l.
Of
the
funds
appropriated
in
this
subsection,
$52,911
9
$105,823
is
transferred
to
the
college
student
aid
commission
10
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
11
in
section
261.113
to
be
used
for
the
purposes
of
the
fund.
12
m.
Of
the
funds
appropriated
in
this
subsection,
$125,000
13
$250,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
14
registry
as
specified
in
section
142C.18
.
15
n.
Of
the
funds
appropriated
in
this
subsection,
$50,000
16
$100,000
shall
be
used
for
continuation
of
a
grant
to
a
17
nationally
affiliated
volunteer
eye
organization
that
has
an
18
established
program
for
children
and
adults
and
that
is
solely
19
dedicated
to
preserving
sight
and
preventing
blindness
through
20
education,
nationally
certified
vision
screening
and
training,
21
and
community
and
patient
service
programs.
The
organization
22
shall
submit
a
report
to
the
individuals
identified
in
this
23
Act
for
submission
of
reports
regarding
the
use
of
funds
24
allocated
under
this
paragraph
“n”.
The
report
shall
include
25
the
objectives
and
results
for
the
program
year
including
26
the
target
population
and
how
the
funds
allocated
assisted
27
the
program
in
meeting
the
objectives;
the
number,
age,
and
28
location
within
the
state
of
individuals
served;
the
type
of
29
services
provided
to
the
individuals
served;
the
distribution
30
of
funds
based
on
services
provided;
and
the
continuing
needs
31
of
the
program.
32
o.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
33
$2,000,000
shall
be
deposited
in
the
medical
residency
training
34
account
created
in
section
135.175,
subsection
5,
paragraph
35
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92
S.F.
_____
H.F.
_____
“a”
,
and
is
appropriated
from
the
account
to
the
department
1
of
public
health
to
be
used
for
the
purposes
of
the
medical
2
residency
training
state
matching
grants
program
as
specified
3
in
section
135.176
.
However,
notwithstanding
any
provision
to
4
the
contrary
in
section
135.176
,
priority
in
the
awarding
of
5
grants
shall
be
given
to
sponsors
that
propose
preference
in
6
the
use
of
the
grant
funds
for
psychiatric
residency
positions
7
and
family
practice
residency
positions.
8
p.
Of
the
funds
appropriated
in
this
subsection,
$78,309
9
$156,619
is
allocated
to
the
university
of
Iowa
hospitals
and
10
clinics
to
continue
a
systematic
and
evidence-based
practice
11
collaborative
care
model
to
improve
outcomes
of
mental
health
12
treatment
in
primary
care
settings
in
the
state.
Funds
shall
13
be
used
to
establish
the
collaborative
care
model
in
several
14
primary
care
practices
in
rural
and
urban
areas
throughout
the
15
state,
to
provide
staffing
to
administer
the
model,
and
to
16
provide
staff
training
and
database
management
to
track
and
17
manage
patient
outcomes.
18
5.
HEALTHY
AGING
19
To
provide
public
health
services
that
reduce
risks
and
20
invest
in
promoting
and
protecting
good
health
over
the
21
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
22
vulnerable
populations:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
24
7,297,142
25
6.
INFECTIOUS
DISEASES
26
For
reducing
the
incidence
and
prevalence
of
communicable
27
diseases
,
and
for
not
more
than
the
following
full-time
28
equivalent
positions
:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,577
30
1,335,155
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
32
7.
PUBLIC
PROTECTION
33
For
protecting
the
health
and
safety
of
the
public
through
34
establishing
standards
and
enforcing
regulations
,
and
for
not
35
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86
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18/
92
S.F.
_____
H.F.
_____
more
than
the
following
full-time
equivalent
positions
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,169,595
2
4,399,191
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
136.00
4
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
5
than
$227,350
$454,700
shall
be
credited
to
the
emergency
6
medical
services
fund
created
in
section
135.25
.
Moneys
in
7
the
emergency
medical
services
fund
are
appropriated
to
the
8
department
to
be
used
for
the
purposes
of
the
fund.
9
b.
Of
the
funds
appropriated
in
this
subsection,
$101,516
10
$203,032
shall
be
used
for
sexual
violence
prevention
11
programming
through
a
statewide
organization
representing
12
programs
serving
victims
of
sexual
violence
through
the
13
department’s
sexual
violence
prevention
program.
The
amount
14
allocated
in
this
paragraph
“b”
shall
not
be
used
to
supplant
15
funding
administered
for
other
sexual
violence
prevention
or
16
victims
assistance
programs.
17
c.
Of
the
funds
appropriated
in
this
subsection,
$299,375
18
$598,751
shall
be
used
for
the
state
poison
control
center.
19
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
20
1140,
section
102
,
the
federal
matching
funds
available
to
21
the
state
poison
control
center
from
the
department
of
human
22
services
under
the
federal
Children’s
Health
Insurance
Program
23
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
24
administrative
cap
rule
of
10
percent
applicable
to
funding
25
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
26
included
within
the
department’s
calculations
of
the
cap.
27
d.
Of
the
funds
appropriated
in
this
subsection,
$268,875
28
$537,750
shall
be
used
for
childhood
lead
poisoning
provisions.
29
8.
RESOURCE
MANAGEMENT
30
For
establishing
and
sustaining
the
overall
ability
of
the
31
department
to
deliver
services
to
the
public
,
and
for
not
more
32
than
the
following
full-time
equivalent
positions
:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
427,536
34
1,005,072
35
-19-
LSB
5024XG
(22)
86
pf/rh/rn
19/
92
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
1
The
university
of
Iowa
hospitals
and
clinics
under
the
2
control
of
the
state
board
of
regents
shall
not
receive
3
indirect
costs
from
the
funds
appropriated
in
this
section.
4
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
5
department
shall
be
on
at
least
a
quarterly
basis.
6
DIVISION
IV
7
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2016-2017
8
Sec.
4.
2015
Iowa
Acts,
chapter
137,
section
124,
is
amended
9
to
read
as
follows:
10
SEC.
124.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
11
appropriated
from
the
general
fund
of
the
state
to
the
12
department
of
veterans
affairs
for
the
fiscal
year
beginning
13
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
14
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
15
designated:
16
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
17
For
salaries,
support,
maintenance,
and
miscellaneous
18
purposes
,
and
for
not
more
than
the
following
full-time
19
equivalent
positions
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,273
21
1,200,546
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
23
2.
IOWA
VETERANS
HOME
24
For
salaries,
support,
maintenance,
and
miscellaneous
25
purposes:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,797,498
27
7,594,996
28
a.
The
Iowa
veterans
home
billings
involving
the
department
29
of
human
services
shall
be
submitted
to
the
department
on
at
30
least
a
monthly
basis.
31
c.
Within
available
resources
and
in
conformance
with
32
associated
state
and
federal
program
eligibility
requirements,
33
the
Iowa
veterans
home
may
implement
measures
to
provide
34
financial
assistance
to
or
on
behalf
of
veterans
or
their
35
-20-
LSB
5024XG
(22)
86
pf/rh/rn
20/
92
S.F.
_____
H.F.
_____
spouses
who
are
participating
in
the
community
reentry
program.
1
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
2
For
transfer
to
the
Iowa
finance
authority
for
the
3
continuation
of
the
home
ownership
assistance
program
for
4
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
5
the
United
States,
pursuant
to
section
16.54
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,000
7
2,500,000
8
Sec.
5.
2015
Iowa
Acts,
chapter
137,
section
125,
is
amended
9
to
read
as
follows:
10
SEC.
125.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
11
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
12
standing
appropriation
in
section
35A.16
for
the
fiscal
year
13
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
amount
14
appropriated
from
the
general
fund
of
the
state
pursuant
to
15
that
section
for
the
following
designated
purposes
shall
not
16
exceed
the
following
amount:
17
For
the
county
commissions
of
veteran
affairs
fund
under
18
section
35A.16
:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
20
990,000
21
DIVISION
V
22
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2016-2017
23
Sec.
6.
2015
Iowa
Acts,
chapter
137,
section
126,
is
amended
24
to
read
as
follows:
25
SEC.
126.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
26
GRANT.
There
is
appropriated
from
the
fund
created
in
section
27
8.41
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2016,
and
ending
June
30,
2017,
from
moneys
29
received
under
the
federal
temporary
assistance
for
needy
30
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
31
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
32
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
33
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
34
purposes
designated:
35
-21-
LSB
5024XG
(22)
86
pf/rh/rn
21/
92
S.F.
_____
H.F.
_____
1.
To
be
credited
to
the
family
investment
program
account
1
and
used
for
assistance
under
the
family
investment
program
2
under
chapter
239B
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,568,497
4
5,112,462
5
2.
To
be
credited
to
the
family
investment
program
account
6
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
7
program
and
implementing
family
investment
agreements
in
8
accordance
with
chapter
239B
:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,069,089
10
5,575,693
11
3.
To
be
used
for
the
family
development
and
12
self-sufficiency
grant
program
in
accordance
with
section
13
216A.107
:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
15
2,898,980
16
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
17
subsection
that
remain
unencumbered
or
unobligated
at
the
close
18
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
19
for
expenditure
for
the
purposes
designated
until
the
close
of
20
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
21
encumbered
or
obligated
on
or
before
September
30,
2016
2017
,
22
the
moneys
shall
revert.
23
4.
For
field
operations:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
25
31,296,232
26
5.
For
general
administration:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
28
3,744,000
29
6.
For
state
child
care
assistance:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,523,555
31
41,666,826
32
a.
Of
the
funds
appropriated
in
this
subsection,
33
$13,164,048
$26,328,097
is
transferred
to
the
child
care
and
34
development
block
grant
appropriation
made
by
the
Eighty-sixth
35
-22-
LSB
5024XG
(22)
86
pf/rh/rn
22/
92
S.F.
_____
H.F.
_____
General
Assembly,
2016
Session,
for
the
federal
fiscal
year
1
beginning
October
1,
2016,
and
ending
September
30,
2017.
Of
2
this
amount,
$100,000
$200,000
shall
be
used
for
provision
3
of
educational
opportunities
to
registered
child
care
home
4
providers
in
order
to
improve
services
and
programs
offered
5
by
this
category
of
providers
and
to
increase
the
number
of
6
providers.
The
department
may
contract
with
institutions
7
of
higher
education
or
child
care
resource
and
referral
8
centers
to
provide
the
educational
opportunities.
Allowable
9
administrative
costs
under
the
contracts
shall
not
exceed
5
10
percent.
The
application
for
a
grant
shall
not
exceed
two
11
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.
17
7.
For
distribution
to
counties
and
regions
through
the
18
property
tax
relief
fund
for
mental
health
and
disability
19
services
as
provided
in
an
appropriation
made
for
this
purpose:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
21
8.
For
child
and
family
services:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
23
36,978,482
24
9.
For
child
abuse
prevention
grants:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
26
125,000
27
10.
For
pregnancy
prevention
grants
on
the
condition
that
28
family
planning
services
are
funded:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
30
1,930,067
31
Pregnancy
prevention
grants
shall
be
awarded
to
programs
32
in
existence
on
or
before
July
1,
2016,
if
the
programs
have
33
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
34
pregnancy
prevention
programs
which
are
developed
after
July
35
-23-
LSB
5024XG
(22)
86
pf/rh/rn
23/
92
S.F.
_____
H.F.
_____
1,
2016,
if
the
programs
are
based
on
existing
models
that
1
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
2
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
3
section
14,
subsections
1
and
2
,
including
the
requirement
that
4
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
5
the
awarding
of
grants
shall
be
given
to
programs
that
serve
6
areas
of
the
state
which
demonstrate
the
highest
percentage
of
7
unplanned
pregnancies
of
females
of
childbearing
age
within
the
8
geographic
area
to
be
served
by
the
grant.
9
11.
For
technology
needs
and
other
resources
necessary
10
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
11
management
requirements:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
13
1,037,186
14
12.
For
the
family
investment
program
share
of
the
costs
to
15
continue
to
develop
and
maintain
a
new,
integrated
eligibility
16
determination
system:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,327,440
18
15,611,077
19
13.
a.
Notwithstanding
any
provision
to
the
contrary,
20
including
but
not
limited
to
requirements
in
section
8.41
or
21
provisions
in
2015
or
2016
Iowa
Acts
regarding
the
receipt
and
22
appropriation
of
federal
block
grants,
federal
funds
from
the
23
temporary
assistance
for
needy
families
block
grant
received
by
24
the
state
and
not
otherwise
appropriated
in
this
section
and
25
remaining
available
for
the
fiscal
year
beginning
July
1,
2016,
26
are
appropriated
to
the
department
of
human
services
to
the
27
extent
as
may
be
necessary
to
be
used
in
the
following
priority
28
order:
the
family
investment
program,
for
state
child
care
29
assistance
program
payments
for
families
who
are
employed,
and
30
for
the
family
investment
program
share
of
costs
to
develop
and
31
maintain
a
new,
integrated
eligibility
determination
system.
32
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
33
expended
only
after
all
other
funds
appropriated
in
subsection
34
1
for
the
assistance
under
the
family
investment
program,
35
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_____
H.F.
_____
in
subsection
6
for
child
care
assistance,
or
in
subsection
1
12
for
the
family
investment
program
share
of
the
costs
to
2
continue
to
develop
and
maintain
a
new,
integrated
eligibility
3
determination
system,
as
applicable,
have
been
expended.
For
4
the
purposes
of
this
subsection,
the
funds
appropriated
in
5
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
6
and
development
block
grant
appropriation
are
considered
fully
7
expended
when
the
full
amount
has
been
transferred.
8
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
9
legislative
services
agency
and
department
of
management
of
10
the
amount
of
funds
appropriated
in
this
subsection
that
was
11
expended
in
the
prior
quarter.
12
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
13
$12,962,008
for
the
fiscal
year
beginning
July
1,
2016,
is
14
transferred
to
the
appropriation
of
the
federal
social
services
15
block
grant
made
to
the
department
of
human
services
for
that
16
fiscal
year.
17
15.
For
continuation
of
the
program
providing
categorical
18
eligibility
for
the
food
assistance
program
as
specified
for
19
the
program
in
the
section
of
this
division
of
this
2016
Act
20
relating
to
the
family
investment
program
account:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
22
25,000
23
16.
The
department
may
transfer
funds
allocated
in
this
24
section
to
the
appropriations
made
in
this
division
of
this
Act
25
for
the
same
fiscal
year
for
general
administration
and
field
26
operations
for
resources
necessary
to
implement
and
operate
the
27
services
referred
to
in
this
section
and
those
funded
in
the
28
appropriation
made
in
this
division
of
this
Act
for
the
same
29
fiscal
year
for
the
family
investment
program
from
the
general
30
fund
of
the
state.
31
Sec.
7.
2015
Iowa
Acts,
chapter
137,
section
127,
is
amended
32
to
read
as
follows:
33
SEC.
127.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
34
1.
Moneys
credited
to
the
family
investment
program
(FIP)
35
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_____
H.F.
_____
account
for
the
fiscal
year
beginning
July
1,
2016,
and
1
ending
June
30,
2017,
shall
be
used
to
provide
assistance
in
2
accordance
with
chapter
239B
.
3
2.
The
department
may
use
a
portion
of
the
moneys
credited
4
to
the
FIP
account
under
this
section
as
necessary
for
5
salaries,
support,
maintenance,
and
miscellaneous
purposes.
6
3.
The
department
may
transfer
funds
allocated
in
7
subsection
4
to
the
appropriations
made
in
this
division
of
8
this
Act
for
the
same
fiscal
year
for
general
administration
9
and
field
operations
for
resources
necessary
to
implement
and
10
operate
the
family
investment
program
services
referred
to
in
11
this
section
and
those
funded
in
the
appropriation
made
in
this
12
division
of
this
Act
for
the
same
fiscal
year
for
the
family
13
investment
program
from
the
general
fund
of
the
state.
14
4.
Moneys
appropriated
in
this
division
of
this
Act
and
15
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
16
1,
2016,
and
ending
June
30,
2017,
are
allocated
as
follows:
17
a.
To
be
retained
by
the
department
of
human
services
to
18
be
used
for
coordinating
with
the
department
of
human
rights
19
to
more
effectively
serve
participants
in
FIP
and
other
shared
20
clients
and
to
meet
federal
reporting
requirements
under
the
21
federal
temporary
assistance
for
needy
families
block
grant:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
23
20,000
24
b.
To
the
department
of
human
rights
for
staffing,
25
administration,
and
implementation
of
the
family
development
26
and
self-sufficiency
grant
program
in
accordance
with
section
27
216A.107
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
29
6,192,834
30
(1)
Of
the
funds
allocated
for
the
family
development
31
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
32
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
33
administration
of
the
grant
program.
34
(2)
The
department
of
human
rights
may
continue
to
implement
35
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_____
H.F.
_____
the
family
development
and
self-sufficiency
grant
program
1
statewide
during
fiscal
year
2016-2017.
2
(3)
The
department
of
human
rights
may
engage
in
activities
3
to
strengthen
and
improve
family
outcomes
measures
and
4
data
collection
systems
under
the
family
development
and
5
self-sufficiency
grant
program.
6
c.
For
the
diversion
subaccount
of
the
FIP
account:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
8
815,000
9
A
portion
of
the
moneys
allocated
for
the
subaccount
may
10
be
used
for
field
operations,
salaries,
data
management
11
system
development,
and
implementation
costs
and
support
12
deemed
necessary
by
the
director
of
human
services
in
order
13
to
administer
the
FIP
diversion
program.
To
the
extent
14
moneys
allocated
in
this
paragraph
“c”
are
not
deemed
by
the
15
department
to
be
necessary
to
support
diversion
activities,
16
such
moneys
may
be
used
for
other
efforts
intended
to
increase
17
engagement
by
family
investment
program
participants
in
work,
18
education,
or
training
activities.
19
d.
For
the
food
assistance
employment
and
training
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
21
66,588
22
(1)
The
department
shall
apply
the
federal
supplemental
23
nutrition
assistance
program
(SNAP)
employment
and
training
24
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
25
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
26
provisions
for
the
claiming
of
allowable
federal
reimbursement
27
funds
from
the
United
States
department
of
agriculture
28
pursuant
to
the
federal
SNAP
employment
and
training
program
29
for
providing
education,
employment,
and
training
services
30
for
eligible
food
assistance
program
participants,
including
31
but
not
limited
to
related
dependent
care
and
transportation
32
expenses.
33
(2)
The
department
shall
continue
the
categorical
federal
34
food
assistance
program
eligibility
at
160
percent
of
the
35
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_____
H.F.
_____
federal
poverty
level
and
continue
to
eliminate
the
asset
test
1
from
eligibility
requirements,
consistent
with
federal
food
2
assistance
program
requirements.
The
department
shall
include
3
as
many
food
assistance
households
as
is
allowed
by
federal
4
law.
The
eligibility
provisions
shall
conform
to
all
federal
5
requirements
including
requirements
addressing
individuals
who
6
are
incarcerated
or
otherwise
ineligible.
7
e.
For
the
JOBS
program:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,770,199
9
16,129,101
10
5.
Of
the
child
support
collections
assigned
under
FIP,
11
an
amount
equal
to
the
federal
share
of
support
collections
12
shall
be
credited
to
the
child
support
recovery
appropriation
13
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
14
assigned
child
support
collections
received
by
the
child
15
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
16
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
17
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
18
payments
account.
If
as
a
consequence
of
the
appropriations
19
and
allocations
made
in
this
section
the
resulting
amounts
20
are
insufficient
to
sustain
cash
assistance
payments
and
meet
21
federal
maintenance
of
effort
requirements,
the
department
22
shall
seek
supplemental
funding.
If
child
support
collections
23
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
24
determined
not
to
be
required
for
maintenance
of
effort,
the
25
state
share
of
either
amount
may
be
transferred
to
or
retained
26
in
the
child
support
payments
account.
27
6.
The
department
may
adopt
emergency
rules
for
the
family
28
investment,
JOBS,
food
assistance,
and
medical
assistance
29
programs
if
necessary
to
comply
with
federal
requirements.
30
Sec.
8.
2015
Iowa
Acts,
chapter
137,
section
128,
is
amended
31
to
read
as
follows:
32
SEC.
128.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
33
is
appropriated
from
the
general
fund
of
the
state
to
the
34
department
of
human
services
for
the
fiscal
year
beginning
July
35
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_____
H.F.
_____
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
1
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
2
designated:
3
To
be
credited
to
the
family
investment
program
(FIP)
4
account
and
used
for
family
investment
program
assistance
under
5
chapter
239B
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,336,937
7
48,673,875
8
1.
Of
the
funds
appropriated
in
this
section,
$3,701,110
9
$10,553,408
is
allocated
for
the
JOBS
program.
10
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
11
$3,313,854
is
allocated
for
the
family
development
and
12
self-sufficiency
grant
program.
13
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
14
beginning
July
1,
2016,
if
necessary
to
meet
federal
15
maintenance
of
effort
requirements
or
to
transfer
federal
16
temporary
assistance
for
needy
families
block
grant
funding
17
to
be
used
for
purposes
of
the
federal
social
services
block
18
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
19
receiving
federal
funding
or
to
implement,
in
accordance
with
20
this
division
of
this
Act,
activities
currently
funded
with
21
juvenile
court
services,
county,
or
community
moneys
and
state
22
moneys
used
in
combination
with
such
moneys
;
to
comply
with
23
federal
requirements;
or
to
maximize
the
use
of
federal
funds
,
24
the
department
of
human
services
may
transfer
funds
within
or
25
between
any
of
the
appropriations
made
in
this
division
of
this
26
Act
and
appropriations
in
law
for
the
federal
social
services
27
block
grant
to
the
department
for
the
following
purposes,
28
provided
that
the
combined
amount
of
state
and
federal
29
temporary
assistance
for
needy
families
block
grant
funding
30
for
each
appropriation
remains
the
same
before
and
after
the
31
transfer:
32
a.
For
the
family
investment
program.
33
b.
For
child
care
assistance.
34
c.
For
child
and
family
services.
35
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S.F.
_____
H.F.
_____
d.
For
field
operations.
1
e.
For
general
administration.
2
f.
For
distribution
to
counties
or
regions
through
the
3
property
tax
relief
fund
for
mental
health
and
disability
4
services
as
provided
in
an
appropriation
for
this
purpose.
5
This
subsection
shall
not
be
construed
to
prohibit
the
use
6
of
existing
state
transfer
authority
for
other
purposes.
The
7
department
shall
report
any
transfers
made
pursuant
to
this
8
subsection
to
the
legislative
services
agency.
9
4.
Of
the
funds
appropriated
in
this
section,
$97,839
10
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
11
Iowa-based
nonprofit
organization
with
a
history
of
providing
12
tax
preparation
assistance
to
low-income
Iowans
in
order
to
13
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
14
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
15
of
the
state.
16
5.
Of
the
funds
appropriated
in
this
section,
$30,000
17
$60,000
shall
be
used
for
the
continuation
of
an
unfunded
18
pilot
project,
as
defined
in
441
IAC
100.1
,
relating
to
19
parental
obligations,
in
which
the
child
support
recovery
20
unit
participates,
to
support
the
efforts
of
a
nonprofit
21
organization
committed
to
strengthening
the
community
through
22
youth
development,
healthy
living,
and
social
responsibility
23
headquartered
in
a
county
with
a
population
over
350,000.
24
The
funds
allocated
in
this
subsection
shall
be
used
by
25
the
recipient
organization
to
develop
a
larger
community
26
effort,
through
public
and
private
partnerships,
to
support
a
27
broad-based
multi-county
fatherhood
initiative
that
promotes
28
payment
of
child
support
obligations,
improved
family
29
relationships,
and
full-time
employment.
30
6.
The
department
may
transfer
funds
appropriated
in
this
31
section
to
the
appropriations
made
in
this
division
of
this
Act
32
for
general
administration
and
field
operations
as
necessary
33
to
administer
this
section
and
the
overall
family
investment
34
program.
35
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92
S.F.
_____
H.F.
_____
Sec.
9.
2015
Iowa
Acts,
chapter
137,
section
129,
is
amended
1
to
read
as
follows:
2
SEC.
129.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
3
from
the
general
fund
of
the
state
to
the
department
of
human
4
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
5
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
6
necessary,
to
be
used
for
the
purposes
designated:
7
For
child
support
recovery,
including
salaries,
support,
8
maintenance,
and
miscellaneous
purposes
,
and
for
not
more
than
9
the
following
full-time
equivalent
positions
:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,331,686
11
14,663,373
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
13
1.
The
department
shall
expend
up
to
$12,164
$24,329
,
14
including
federal
financial
participation,
for
the
fiscal
year
15
beginning
July
1,
2016,
for
a
child
support
public
awareness
16
campaign.
The
department
and
the
office
of
the
attorney
17
general
shall
cooperate
in
continuation
of
the
campaign.
The
18
public
awareness
campaign
shall
emphasize,
through
a
variety
19
of
media
activities,
the
importance
of
maximum
involvement
of
20
both
parents
in
the
lives
of
their
children
as
well
as
the
21
importance
of
payment
of
child
support
obligations.
22
2.
Federal
access
and
visitation
grant
moneys
shall
be
23
issued
directly
to
private
not-for-profit
agencies
that
provide
24
services
designed
to
increase
compliance
with
the
child
access
25
provisions
of
court
orders,
including
but
not
limited
to
26
neutral
visitation
sites
and
mediation
services.
27
3.
The
appropriation
made
to
the
department
for
child
28
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
29
manner
necessary
for
purposes
of
cash
flow
management,
and
for
30
cash
flow
management
purposes
the
department
may
temporarily
31
draw
more
than
the
amount
appropriated,
provided
the
amount
32
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
33
4.
With
the
exception
of
the
funding
amount
specified,
the
34
requirements
established
under
2001
Iowa
Acts,
chapter
191,
35
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_____
H.F.
_____
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
1
be
applicable
to
parental
obligation
pilot
projects
for
the
2
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017.
3
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
4
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
5
in
effect
until
June
30,
2017.
6
Sec.
10.
2015
Iowa
Acts,
chapter
137,
section
132,
is
7
amended
to
read
as
follows:
8
SEC.
132.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
9
the
general
fund
of
the
state
to
the
department
of
human
10
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
11
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purpose
designated:
13
For
medical
assistance
program
reimbursement
and
associated
14
costs
as
specifically
provided
in
the
reimbursement
15
methodologies
in
effect
on
June
30,
2016,
except
as
otherwise
16
expressly
authorized
by
law,
consistent
with
options
under
17
federal
law
and
regulations,
and
contingent
upon
receipt
of
18
approval
from
the
office
of
the
governor
of
reimbursement
for
19
each
abortion
performed
under
the
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
651,595,782
21
1,326,546,446
22
1.
Iowans
support
reducing
the
number
of
abortions
23
performed
in
our
state.
Funds
appropriated
under
this
section
24
shall
not
be
used
for
abortions,
unless
otherwise
authorized
25
under
this
section.
26
2.
The
provisions
of
this
section
relating
to
abortions
27
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
28
pursuant
to
chapter
249N
.
29
3.
The
department
shall
utilize
not
more
than
$30,000
30
$60,000
of
the
funds
appropriated
in
this
section
to
continue
31
the
AIDS/HIV
health
insurance
premium
payment
program
as
32
established
in
1992
Iowa
Acts,
Second
Extraordinary
Session,
33
chapter
1001,
section
409,
subsection
6
.
Of
the
funds
34
allocated
in
this
subsection,
not
more
than
$2,500
$5,000
may
35
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92
S.F.
_____
H.F.
_____
be
expended
for
administrative
purposes.
1
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
2
of
public
health
for
addictive
disorders,
$475,000
$950,000
3
for
the
fiscal
year
beginning
July
1,
2016,
is
transferred
4
to
the
department
of
human
services
for
an
integrated
5
substance-related
disorder
managed
care
system.
The
department
6
shall
not
assume
management
of
the
substance-related
disorder
7
system
in
place
of
the
managed
care
contractor
unless
such
8
a
change
in
approach
is
specifically
authorized
in
law.
9
The
departments
of
human
services
and
public
health
shall
10
work
together
to
maintain
the
level
of
mental
health
and
11
substance-related
disorder
treatment
services
provided
by
the
12
managed
care
contractor
through
the
Iowa
plan
for
behavioral
13
health
contractors
.
Each
department
shall
take
the
steps
14
necessary
to
continue
the
federal
waivers
as
necessary
to
15
maintain
the
level
of
services.
16
5.
a.
The
department
shall
aggressively
pursue
options
for
17
providing
medical
assistance
or
other
assistance
to
individuals
18
with
special
needs
who
become
ineligible
to
continue
receiving
19
services
under
the
early
and
periodic
screening,
diagnostic,
20
and
treatment
program
under
the
medical
assistance
program
21
due
to
becoming
21
years
of
age
who
have
been
approved
for
22
additional
assistance
through
the
department’s
exception
to
23
policy
provisions,
but
who
have
health
care
needs
in
excess
24
of
the
funding
available
through
the
exception
to
policy
25
provisions.
26
b.
Of
the
funds
appropriated
in
this
section,
$50,000
27
$100,000
shall
be
used
for
participation
in
one
or
more
28
pilot
projects
operated
by
a
private
provider
to
allow
the
29
individual
or
individuals
to
receive
service
in
the
community
30
in
accordance
with
principles
established
in
Olmstead
v.
31
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
32
medical
assistance
or
other
assistance
to
individuals
with
33
special
needs
who
become
ineligible
to
continue
receiving
34
services
under
the
early
and
periodic
screening,
diagnostic,
35
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_____
H.F.
_____
and
treatment
program
under
the
medical
assistance
program
1
due
to
becoming
21
years
of
age
who
have
been
approved
for
2
additional
assistance
through
the
department’s
exception
to
3
policy
provisions,
but
who
have
health
care
needs
in
excess
4
of
the
funding
available
through
the
exception
to
the
policy
5
provisions.
6
6.
Of
the
funds
appropriated
in
this
section,
up
to
7
$1,525,041
$3,050,082
may
be
transferred
to
the
field
8
operations
or
general
administration
appropriations
in
this
9
division
of
this
Act
for
operational
costs
associated
with
Part
10
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
11
Modernization
Act
of
2003,
Pub.
L.
No.
108-173.
12
7.
Of
the
funds
appropriated
in
this
section,
up
to
13
$221,050
$442,100
may
be
transferred
to
the
appropriation
in
14
this
division
of
this
Act
for
medical
contracts
to
be
used
15
for
clinical
assessment
services
and
prior
authorization
of
16
services.
17
8.
A
portion
of
the
funds
appropriated
in
this
section
18
may
be
transferred
to
the
appropriations
in
this
division
of
19
this
Act
for
general
administration,
medical
contracts,
the
20
children’s
health
insurance
program,
or
field
operations
to
be
21
used
for
the
state
match
cost
to
comply
with
the
payment
error
22
rate
measurement
(PERM)
program
for
both
the
medical
assistance
23
and
children’s
health
insurance
programs
as
developed
by
the
24
centers
for
Medicare
and
Medicaid
services
of
the
United
States
25
department
of
health
and
human
services
to
comply
with
the
26
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
27
107-300.
28
9.
The
department
shall
continue
to
implement
the
29
recommendations
of
the
assuring
better
child
health
and
30
development
initiative
II
(ABCDII)
clinical
panel
to
the
31
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
32
services
healthy
mental
development
collaborative
board
33
regarding
changes
to
billing
procedures,
codes,
and
eligible
34
service
providers.
35
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_____
H.F.
_____
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
1
amount
is
allocated
to
supplement
the
incomes
of
residents
of
2
nursing
facilities,
intermediate
care
facilities
for
persons
3
with
mental
illness,
and
intermediate
care
facilities
for
4
persons
with
an
intellectual
disability,
with
incomes
of
less
5
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
6
personal
needs
allowance
of
$50
per
month
pursuant
to
section
7
249A.30A
.
8
11.
Of
the
funds
appropriated
in
this
section,
the
following
9
amounts
are
transferred
to
the
appropriations
made
in
this
10
division
of
this
Act
for
the
state
mental
health
institutes:
11
a.
Cherokee
mental
health
institute
.
.
.
.
.
.
.
.
.
.
$
4,549,212
12
b.
Independence
mental
health
institute
.
.
.
.
.
.
$
4,522,947
13
12.
a.
Of
the
funds
appropriated
in
this
section,
14
$2,041,939
is
allocated
for
the
state
match
for
a
15
disproportionate
share
hospital
payment
of
$4,544,712
to
16
The
hospitals
that
meet
both
of
the
conditions
specified
17
in
subparagraphs
(1)
and
(2)
.
In
addition,
the
hospitals
18
that
meet
the
conditions
specified
shall
either
certify
19
public
expenditures
or
transfer
to
the
medical
assistance
20
program
an
amount
equal
to
provide
the
nonfederal
share
21
for
a
disproportionate
share
hospital
payment
of
$8,772,003
22
$26,633,430
.
The
hospitals
that
meet
the
conditions
23
specified
shall
receive
and
retain
100
percent
of
the
total
24
disproportionate
share
hospital
payment
of
$13,316,715
25
$26,633,430
.
26
(1)
The
hospital
qualifies
for
disproportionate
share
and
27
graduate
medical
education
payments.
28
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
29
than
500
beds
and
eight
or
more
distinct
residency
specialty
30
or
subspecialty
programs
recognized
by
the
American
college
of
31
graduate
medical
education.
32
b.
Distribution
of
the
disproportionate
share
payments
33
shall
be
made
on
a
monthly
basis.
The
total
amount
of
34
disproportionate
share
payments
including
graduate
medical
35
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35/
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S.F.
_____
H.F.
_____
education,
enhanced
disproportionate
share,
and
Iowa
1
state-owned
teaching
hospital
payments
shall
not
exceed
the
2
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
3
In
addition,
the
total
amount
of
all
disproportionate
4
share
payments
shall
not
exceed
the
hospital-specific
5
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
6
c.
The
university
of
Iowa
hospitals
and
clinics
shall
either
7
certify
public
expenditures
or
transfer
to
the
appropriations
8
made
in
this
division
of
this
Act
for
medical
assistance
an
9
amount
equal
to
provide
the
nonfederal
share
for
increased
10
medical
assistance
payments
for
inpatient
and
outpatient
11
hospital
services
of
$4,950,000
$9,900,000
.
The
university
of
12
Iowa
hospitals
and
clinics
shall
receive
and
retain
100
percent
13
of
the
total
increase
in
medical
assistance
payments.
14
d.
Payment
methodologies
utilized
for
disproportionate
15
share
hospitals
and
graduate
medical
education,
and
other
16
supplemental
payments
under
the
Medicaid
program
may
be
17
adjusted
or
converted
to
other
methodologies
or
payment
types
18
to
provide
these
payments
through
Medicaid
managed
care
after
19
March
1,
2016
.
The
department
of
human
services
shall
obtain
20
approval
from
the
centers
for
Medicare
and
Medicaid
services
21
of
the
United
States
department
of
health
and
human
services
22
prior
to
implementation
of
any
such
adjusted
or
converted
23
methodologies
or
payment
types.
24
13.
One
hundred
percent
of
the
nonfederal
share
of
payments
25
to
area
education
agencies
that
are
medical
assistance
26
providers
for
medical
assistance-covered
services
provided
to
27
medical
assistance-covered
children,
shall
be
made
from
the
28
appropriation
made
in
this
section.
29
14.
Any
new
or
renewed
contract
entered
into
by
the
30
department
with
a
third
party
to
administer
services
under
the
31
medical
assistance
program
shall
provide
that
any
interest
32
earned
on
payments
from
the
state
during
the
state
fiscal
year
33
shall
be
remitted
to
the
department
and
treated
as
recoveries
34
to
offset
the
costs
of
the
medical
assistance
program.
35
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_____
H.F.
_____
15.
A
portion
of
the
funds
appropriated
in
this
section
1
may
be
transferred
to
the
appropriation
in
this
division
of
2
this
Act
for
medical
contracts
to
be
used
for
administrative
3
activities
associated
with
the
money
follows
the
person
4
demonstration
project.
5
16.
Of
the
funds
appropriated
in
this
section,
$174,505
6
$349,011
shall
be
used
for
the
administration
of
the
health
7
insurance
premium
payment
program,
including
salaries,
support,
8
maintenance,
and
miscellaneous
purposes.
9
17.
a.
The
department
may
increase
the
amounts
allocated
10
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
11
associated
with
the
medical
assistance
program,
as
necessary,
12
to
implement
cost
containment
strategies.
The
department
shall
13
report
any
such
increase
to
the
legislative
services
agency
and
14
the
department
of
management.
15
b.
If
the
savings
to
the
medical
assistance
program
from
16
cost
containment
efforts
exceed
the
cost
for
the
fiscal
17
year
beginning
July
1,
2016,
the
department
may
transfer
any
18
savings
generated
for
the
fiscal
year
due
to
medical
assistance
19
program
cost
containment
efforts
to
the
appropriation
20
made
in
this
division
of
this
Act
for
medical
contracts
or
21
general
administration
to
defray
the
increased
contract
costs
22
associated
with
implementing
such
efforts.
23
18.
For
the
fiscal
year
beginning
July
1,
2016,
and
ending
24
June
30,
2017,
the
replacement
generation
tax
revenues
required
25
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
26
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
27
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
28
to
and
supplement
the
appropriation
made
in
this
section
and
29
used
for
the
allocations
made
in
this
section.
30
19.
The
department
shall
continue
to
administer
the
state
31
balancing
incentive
payments
program
as
specified
in
2012
Iowa
32
Acts,
chapter
1133,
section
14
.
33
20.
a.
Of
the
funds
appropriated
in
this
section,
up
34
to
$25,000
$50,000
may
be
transferred
by
the
department
to
35
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pf/rh/rn
37/
92
S.F.
_____
H.F.
_____
the
appropriation
made
in
this
division
of
this
Act
to
the
1
department
for
the
same
fiscal
year
for
general
administration
2
to
be
used
for
associated
administrative
expenses
and
for
not
3
more
than
one
full-time
equivalent
position,
in
addition
to
4
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
5
implementing
the
children’s
mental
health
home
project.
6
b.
Of
the
funds
appropriated
in
this
section,
up
to
7
$200,000
$400,000
may
be
transferred
by
the
department
to
8
the
appropriation
made
to
the
department
in
this
division
of
9
this
Act
for
the
same
fiscal
year
for
Medicaid
program-related
10
general
administration
planning
and
implementation
activities.
11
The
funds
may
be
used
for
contracts
or
for
personnel
in
12
addition
to
the
amounts
appropriated
for
and
the
positions
13
authorized
for
general
administration
for
the
fiscal
year.
14
c.
Of
the
funds
appropriated
in
this
section,
up
to
15
$1,500,000
$3,000,000
may
be
transferred
by
the
department
16
to
the
appropriations
made
in
this
division
of
this
Act
17
for
the
same
fiscal
year
for
general
administration
or
18
medical
contracts
to
be
used
to
support
the
development
19
and
implementation
of
standardized
assessment
tools
for
20
persons
with
mental
illness,
an
intellectual
disability,
a
21
developmental
disability,
or
a
brain
injury.
22
21.
Of
the
funds
appropriated
in
this
section,
$125,000
23
$250,000
shall
be
used
for
lodging
expenses
associated
with
24
care
provided
at
the
university
of
Iowa
hospitals
and
clinics
25
for
patients
with
cancer
whose
travel
distance
is
30
miles
or
26
more
and
whose
income
is
at
or
below
200
percent
of
the
federal
27
poverty
level
as
defined
by
the
most
recently
revised
poverty
28
income
guidelines
published
by
the
United
States
department
of
29
health
and
human
services.
The
department
of
human
services
30
shall
establish
the
maximum
number
of
overnight
stays
and
the
31
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
32
based
on
the
state
employee
rate
established
by
the
department
33
of
administrative
services.
The
funds
allocated
in
this
34
subsection
shall
not
be
used
as
nonfederal
share
matching
35
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_____
H.F.
_____
funds.
1
22.
a.
The
department
of
human
services
shall
implement
2
the
following
cost
containment
strategies
as
recommended
by
the
3
governor
for
the
fiscal
year
beginning
July
1,
2016:
4
(1)
A
policy
to
ensure
that
reimbursement
for
Medicare
5
Part
A
and
Medicare
Part
B
crossover
claims
is
limited
to
the
6
Medicaid
reimbursement
rate.
7
(2)
An
adjustment
to
the
reimbursement
policy
in
order
8
to
end
the
primary
care
physician
rate
increase
originally
9
authorized
by
the
federal
Health
Care
and
Education
10
Reconciliation
Act
of
2010,
section
1202,
Pub.
L.
No.
111-152,
11
42
U.S.C.
§1396a(a)(13)(C)
that
allows
qualified
primary
care
12
physicians
to
receive
the
greater
of
the
Medicare
rate
or
13
Medicaid
rate
for
a
specified
set
of
codes.
14
b.
Notwithstanding
any
provision
of
this
Act
to
the
15
contrary,
Medicaid
fee-for-service
reimbursement
rates
and
16
managed
care
minimum
reimbursement
thresholds
shall
be
adjusted
17
effective
July
1,
2016,
to
implement
this
subsection.
18
c.
The
department
may
adopt
emergency
rules
to
implement
19
this
subsection.
20
23.
The
department
of
human
services
may
adopt
emergency
21
rules
as
necessary
to
implement
the
governor’s
Medicaid
22
modernization
initiative.
23
Sec.
11.
2015
Iowa
Acts,
chapter
137,
section
133,
is
24
amended
to
read
as
follows:
25
SEC.
133.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
26
general
fund
of
the
state
to
the
department
of
human
services
27
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
28
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
29
to
be
used
for
the
purpose
designated:
30
For
medical
contracts:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,806,982
32
19,113,964
33
1.
The
department
of
inspections
and
appeals
shall
34
provide
all
state
matching
funds
for
survey
and
certification
35
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pf/rh/rn
39/
92
S.F.
_____
H.F.
_____
activities
performed
by
the
department
of
inspections
1
and
appeals.
The
department
of
human
services
is
solely
2
responsible
for
distributing
the
federal
matching
funds
for
3
such
activities.
4
2.
Of
the
funds
appropriated
in
this
section,
$25,000
5
$50,000
shall
be
used
for
continuation
of
home
and
6
community-based
services
waiver
quality
assurance
programs,
7
including
the
review
and
streamlining
of
processes
and
policies
8
related
to
oversight
and
quality
management
to
meet
state
and
9
federal
requirements.
10
3.
Of
the
amount
appropriated
in
this
section,
up
to
11
$100,000
$200,000
may
be
transferred
to
the
appropriation
12
for
general
administration
in
this
division
of
this
Act
to
13
be
used
for
additional
full-time
equivalent
positions
in
the
14
development
of
key
health
initiatives
such
as
cost
containment,
15
development
and
oversight
of
managed
care
programs,
and
16
development
of
health
strategies
targeted
toward
improved
17
quality
and
reduced
costs
in
the
Medicaid
program.
18
4.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
19
up
to
$1,000,000
may
be
used
for
planning
and
development,
20
in
cooperation
with
the
department
of
public
health,
of
a
21
phased-in
program
to
provide
a
dental
home
for
children.
22
5.
Of
the
funds
appropriated
in
this
section,
$1,000,000
23
shall
up
to
$2,000,000
may
be
used
for
the
autism
support
24
program
created
in
chapter
225D
,
with
the
exception
of
the
25
following
amounts
of
this
allocation
which
shall
be
used
as
26
follows:
27
a.
Of
the
funds
allocated
in
this
subsection,
$125,000
shall
28
up
to
$250,000
may
be
deposited
in
the
board-certified
behavior
29
analyst
and
board-certified
assistant
behavior
analyst
grants
30
program
fund
created
in
section
135.181
,
as
enacted
in
this
31
Act,
to
be
used
for
the
purposes
of
the
fund.
32
b.
Of
the
funds
allocated
in
this
subsection,
$12,500
33
shall
up
to
$25,000
may
be
used
for
the
public
purpose
of
34
continuation
of
a
grant
to
a
child
welfare
services
provider
35
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pf/rh/rn
40/
92
S.F.
_____
H.F.
_____
headquartered
in
a
county
with
a
population
between
205,000
and
1
215,000
in
the
latest
certified
federal
census
that
provides
2
multiple
services
including
but
not
limited
to
a
psychiatric
3
medical
institution
for
children,
shelter,
residential
4
treatment,
after
school
programs,
school-based
programming,
and
5
an
Asperger’s
syndrome
program,
to
be
used
for
support
services
6
for
children
with
autism
spectrum
disorder
and
their
families.
7
c.
Of
the
funds
allocated
in
this
subsection,
$12,500
8
shall
up
to
$25,000
may
be
used
for
the
public
purpose
of
9
continuing
a
grant
to
a
hospital-based
provider
headquartered
10
in
a
county
with
a
population
between
90,000
and
95,000
in
11
the
latest
certified
federal
census
that
provides
multiple
12
services
including
but
not
limited
to
diagnostic,
therapeutic,
13
and
behavioral
services
to
individuals
with
autism
spectrum
14
disorder
across
one’s
lifespan.
The
grant
recipient
shall
15
utilize
the
funds
to
continue
the
pilot
project
to
determine
16
the
necessary
support
services
for
children
with
autism
17
spectrum
disorder
and
their
families
to
be
included
in
the
18
children’s
disabilities
services
system.
The
grant
recipient
19
shall
submit
findings
and
recommendations
based
upon
the
20
results
of
the
pilot
project
to
the
individuals
specified
in
21
this
division
of
this
Act
for
submission
of
reports
by
December
22
31,
2015.
23
Sec.
12.
2015
Iowa
Acts,
chapter
137,
section
134,
is
24
amended
to
read
as
follows:
25
SEC.
134.
STATE
SUPPLEMENTARY
ASSISTANCE.
26
1.
There
is
appropriated
from
the
general
fund
of
the
27
state
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
29
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
the
state
supplementary
assistance
program:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,498,593
33
11,611,442
34
2.
The
department
shall
increase
the
personal
needs
35
-41-
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(22)
86
pf/rh/rn
41/
92
S.F.
_____
H.F.
_____
allowance
for
residents
of
residential
care
facilities
by
the
1
same
percentage
and
at
the
same
time
as
federal
supplemental
2
security
income
and
federal
social
security
benefits
are
3
increased
due
to
a
recognized
increase
in
the
cost
of
living.
4
The
department
may
adopt
emergency
rules
to
implement
this
5
subsection.
6
3.
If
during
the
fiscal
year
beginning
July
1,
2016,
7
the
department
projects
that
state
supplementary
assistance
8
expenditures
for
a
calendar
year
will
not
meet
the
federal
9
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
10
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
11
§1382g,
the
department
may
take
actions
including
but
not
12
limited
to
increasing
the
personal
needs
allowance
for
13
residential
care
facility
residents
and
making
programmatic
14
adjustments
or
upward
adjustments
of
the
residential
care
15
facility
or
in-home
health-related
care
reimbursement
rates
16
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
17
requirements
are
met.
In
addition,
the
department
may
make
18
other
programmatic
and
rate
adjustments
necessary
to
remain
19
within
the
amount
appropriated
in
this
section
while
ensuring
20
compliance
with
federal
requirements.
The
department
may
adopt
21
emergency
rules
to
implement
the
provisions
of
this
subsection.
22
Sec.
13.
2015
Iowa
Acts,
chapter
137,
section
135,
is
23
amended
to
read
as
follows:
24
SEC.
135.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
28
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
31
program
pursuant
to
chapter
514I
,
including
supplemental
dental
32
services,
for
receipt
of
federal
financial
participation
under
33
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
34
children’s
health
insurance
program:
35
-42-
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5024XG
(22)
86
pf/rh/rn
42/
92
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,206,922
1
9,176,652
2
2.
Of
the
funds
appropriated
in
this
section,
$21,400
up
3
to
$38,000
is
allocated
for
continuation
of
the
contract
for
4
outreach
with
the
department
of
public
health.
5
Sec.
14.
2015
Iowa
Acts,
chapter
137,
section
136,
is
6
amended
to
read
as
follows:
7
SEC.
136.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
8
from
the
general
fund
of
the
state
to
the
department
of
human
9
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
10
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
11
necessary,
to
be
used
for
the
purpose
designated:
12
For
child
care
programs:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,704,334
14
49,889,790
15
1.
Of
the
funds
appropriated
in
this
section,
$21,844,620
16
$43,539,790
shall
be
used
for
state
child
care
assistance
in
17
accordance
with
section
237A.13
.
18
2.
Nothing
in
this
section
shall
be
construed
or
is
19
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
20
to
persons
who
are
eligible
for
assistance
due
to
an
income
21
level
consistent
with
the
waiting
list
requirements
of
section
22
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
23
this
section
is
limited
to
the
extent
of
the
funds
appropriated
24
in
this
section.
25
3.
Of
the
funds
appropriated
in
this
section,
$216,226
26
is
allocated
for
the
statewide
grant
program
for
child
care
27
resource
and
referral
services
under
section
237A.26
.
A
list
28
of
the
registered
and
licensed
child
care
facilities
operating
29
in
the
area
served
by
a
child
care
resource
and
referral
30
service
shall
be
made
available
to
the
families
receiving
state
31
child
care
assistance
in
that
area.
32
4.
Of
the
funds
appropriated
in
this
section,
$468,487
33
is
allocated
for
child
care
quality
improvement
initiatives
34
including
but
not
limited
to
the
voluntary
quality
rating
35
-43-
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5024XG
(22)
86
pf/rh/rn
43/
92
S.F.
_____
H.F.
_____
system
in
accordance
with
section
237A.30
.
1
5.
Of
the
funds
appropriated
in
this
section,
$3,175,000
2
$6,350,000
shall
be
credited
to
the
early
childhood
programs
3
grants
account
in
the
early
childhood
Iowa
fund
created
4
in
section
256I.11
.
The
moneys
shall
be
distributed
for
5
funding
of
community-based
early
childhood
programs
targeted
6
to
children
from
birth
through
five
years
of
age
developed
7
by
early
childhood
Iowa
areas
in
accordance
with
approved
8
community
plans
as
provided
in
section
256I.8
.
9
6.
The
department
may
use
any
of
the
funds
appropriated
10
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
11
expanding
child
care
assistance
and
related
programs.
For
12
the
purpose
of
expenditures
of
state
and
federal
child
care
13
funding,
funds
shall
be
considered
obligated
at
the
time
14
expenditures
are
projected
or
are
allocated
to
the
department’s
15
service
areas.
Projections
shall
be
based
on
current
and
16
projected
caseload
growth,
current
and
projected
provider
17
rates,
staffing
requirements
for
eligibility
determination
18
and
management
of
program
requirements
including
data
systems
19
management,
staffing
requirements
for
administration
of
the
20
program,
contractual
and
grant
obligations
and
any
transfers
21
to
other
state
agencies,
and
obligations
for
decategorization
22
or
innovation
projects.
23
7.
A
portion
of
the
state
match
for
the
federal
child
care
24
and
development
block
grant
shall
be
provided
as
necessary
to
25
meet
federal
matching
funds
requirements
through
the
state
26
general
fund
appropriation
made
for
child
development
grants
27
and
other
programs
for
at-risk
children
in
section
279.51
.
28
8.
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
the
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
or
34
less
than
the
percentage
reduction
made
for
any
other
purpose
35
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S.F.
_____
H.F.
_____
payable
from
the
appropriation
made
in
this
section
and
the
1
federal
funding
relating
to
it.
The
percentage
reduction
to
2
the
other
allocations
made
in
this
section
shall
be
the
same
as
3
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
4
change
of
the
federal
funding
reduction,
as
applicable.
5
If
there
is
an
unanticipated
increase
in
federal
funding
6
provided
for
state
child
care
assistance,
the
entire
amount
7
of
the
increase
shall
be
used
for
state
child
care
assistance
8
payments.
If
the
appropriations
made
for
purposes
of
the
9
state
child
care
assistance
program
for
the
fiscal
year
are
10
determined
to
be
insufficient,
it
is
the
intent
of
the
general
11
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
12
in
order
to
avoid
establishment
of
waiting
list
requirements.
13
9.
Notwithstanding
section
8.33
,
moneys
advanced
for
14
purposes
of
the
programs
developed
by
early
childhood
Iowa
15
areas,
advanced
for
purposes
of
wraparound
child
care,
or
16
received
from
the
federal
appropriations
made
for
the
purposes
17
of
this
section
that
remain
unencumbered
or
unobligated
at
the
18
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
19
remain
available
for
expenditure
for
the
purposes
designated
20
until
the
close
of
the
succeeding
fiscal
year.
21
Sec.
15.
2015
Iowa
Acts,
chapter
137,
section
137,
is
22
amended
to
read
as
follows:
23
SEC.
137.
JUVENILE
INSTITUTION.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
human
25
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
26
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purposes
designated:
28
1.
For
operation
of
the
state
training
school
at
Eldora
and
29
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
,
30
and
for
not
more
than
the
following
full-time
equivalent
31
positions
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,116,710
33
12,233,420
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
35
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S.F.
_____
H.F.
_____
Of
the
funds
appropriated
in
this
subsection,
$45,575
1
$91,150
shall
be
used
for
distribution
to
licensed
classroom
2
teachers
at
this
and
other
institutions
under
the
control
of
3
the
department
of
human
services
based
upon
the
average
student
4
yearly
enrollment
at
each
institution
as
determined
by
the
5
department.
6
2.
A
portion
of
the
moneys
appropriated
in
this
section
7
shall
be
used
by
the
state
training
school
at
Eldora
for
8
grants
for
adolescent
pregnancy
prevention
activities
at
the
9
institution
in
the
fiscal
year
beginning
July
1,
2016.
10
Sec.
16.
2015
Iowa
Acts,
chapter
137,
section
138,
is
11
amended
to
read
as
follows:
12
SEC.
138.
CHILD
AND
FAMILY
SERVICES.
13
1.
There
is
appropriated
from
the
general
fund
of
the
14
state
to
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
16
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purpose
designated:
18
For
child
and
family
services:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,670,969
20
86,133,749
21
2.
Up
As
allowed
by
federal
law
and
regulations,
up
to
22
$2,600,000
$5,200,000
of
the
amount
of
federal
temporary
23
assistance
for
needy
families
block
grant
funding
appropriated
24
in
this
division
of
this
Act
for
child
and
family
services
25
shall
be
made
available
for
purposes
of
juvenile
delinquent
26
graduated
sanction
services.
27
3.
The
department
may
transfer
funds
appropriated
in
this
28
section
as
necessary
to
pay
the
nonfederal
costs
of
services
29
reimbursed
under
the
medical
assistance
program,
state
child
30
care
assistance
program,
or
the
family
investment
program
which
31
are
provided
to
children
who
would
otherwise
receive
services
32
paid
under
the
appropriation
in
this
section.
The
department
33
may
transfer
funds
appropriated
in
this
section
to
the
34
appropriations
made
in
this
division
of
this
Act
for
general
35
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_____
administration
and
for
field
operations
for
resources
necessary
1
to
implement
and
operate
the
services
funded
in
this
section.
2
4.
a.
Of
the
funds
appropriated
in
this
section,
up
3
to
$17,910,893
$35,736,649
is
allocated
as
the
statewide
4
expenditure
target
under
section
232.143
for
group
foster
care
5
maintenance
and
services.
If
the
department
projects
that
such
6
expenditures
for
the
fiscal
year
will
be
less
than
the
target
7
amount
allocated
in
this
paragraph
“a”,
the
department
may
8
reallocate
the
excess
to
provide
additional
funding
for
shelter
9
care
or
the
child
welfare
emergency
services
addressed
with
the
10
allocation
for
shelter
care.
11
b.
If
at
any
time
after
September
30,
2016,
annualization
12
of
a
service
area’s
current
expenditures
indicates
a
service
13
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
14
target
under
section
232.143
by
more
than
5
percent,
the
15
department
and
juvenile
court
services
shall
examine
all
16
group
foster
care
placements
in
that
service
area
in
order
to
17
identify
those
which
might
be
appropriate
for
termination.
18
In
addition,
any
aftercare
services
believed
to
be
needed
19
for
the
children
whose
placements
may
be
terminated
shall
be
20
identified.
The
department
and
juvenile
court
services
shall
21
initiate
action
to
set
dispositional
review
hearings
for
the
22
placements
identified.
In
such
a
dispositional
review
hearing,
23
the
juvenile
court
shall
determine
whether
needed
aftercare
24
services
are
available
and
whether
termination
of
the
placement
25
is
in
the
best
interest
of
the
child
and
the
community.
26
5.
In
accordance
with
the
provisions
of
section
232.188
,
27
the
department
shall
continue
the
child