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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45/
92
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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_____
H.F.
_____
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
welfare
and
juvenile
28
justice
funding
initiative
during
fiscal
year
2016-2017.
Of
29
the
funds
appropriated
in
this
section,
$858,876
$1,717,753
30
is
allocated
specifically
for
expenditure
for
fiscal
year
31
2016-2017
through
the
decategorization
services
funding
pools
32
and
governance
boards
established
pursuant
to
section
232.188
.
33
6.
A
portion
of
the
funds
appropriated
in
this
section
34
may
be
used
for
emergency
family
assistance
to
provide
other
35
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S.F.
_____
H.F.
_____
resources
required
for
a
family
participating
in
a
family
1
preservation
or
reunification
project
or
successor
project
to
2
stay
together
or
to
be
reunified.
3
7.
Notwithstanding
section
234.35
or
any
other
provision
4
of
law
to
the
contrary,
state
funding
for
shelter
care
and
5
the
child
welfare
emergency
services
contracting
implemented
6
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
7
limited
to
$4,034,237
$8,096,158
.
8
8.
Federal
funds
received
by
the
state
during
the
fiscal
9
year
beginning
July
1,
2016,
as
the
result
of
the
expenditure
10
of
state
funds
appropriated
during
a
previous
state
fiscal
11
year
for
a
service
or
activity
funded
under
this
section
are
12
appropriated
to
the
department
to
be
used
as
additional
funding
13
for
services
and
purposes
provided
for
under
this
section.
14
Notwithstanding
section
8.33
,
moneys
received
in
accordance
15
with
this
subsection
that
remain
unencumbered
or
unobligated
at
16
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
17
shall
remain
available
for
the
purposes
designated
until
the
18
close
of
the
succeeding
fiscal
year.
19
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
20
$1,645,000
$3,290,000
is
allocated
for
the
payment
of
the
21
expenses
of
court-ordered
services
provided
to
juveniles
22
who
are
under
the
supervision
of
juvenile
court
services,
23
which
expenses
are
a
charge
upon
the
state
pursuant
to
24
section
232.141,
subsection
4
.
Of
the
amount
allocated
in
25
this
paragraph
“a”,
up
to
$778,143
$1,556,286
shall
be
made
26
available
to
provide
school-based
supervision
of
children
27
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
28
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
29
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
30
the
school
district
or
other
funding
source
as
approved
by
the
31
chief
juvenile
court
officer.
32
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
33
$748,985
is
allocated
for
the
payment
of
the
expenses
of
34
court-ordered
services
provided
to
children
who
are
under
the
35
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_____
H.F.
_____
supervision
of
the
department,
which
expenses
are
a
charge
upon
1
the
state
pursuant
to
section
232.141,
subsection
4
.
2
c.
Notwithstanding
section
232.141
or
any
other
provision
3
of
law
to
the
contrary,
the
amounts
allocated
in
this
4
subsection
shall
be
distributed
to
the
judicial
districts
5
as
determined
by
the
state
court
administrator
and
to
the
6
department’s
service
areas
as
determined
by
the
administrator
7
of
the
department
of
human
services’
division
of
child
and
8
family
services.
The
state
court
administrator
and
the
9
division
administrator
shall
make
the
determination
of
the
10
distribution
amounts
on
or
before
June
15,
2016.
11
d.
Notwithstanding
chapter
232
or
any
other
provision
of
12
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
13
order
any
service
which
is
a
charge
upon
the
state
pursuant
14
to
section
232.141
if
there
are
insufficient
court-ordered
15
services
funds
available
in
the
district
court
or
departmental
16
service
area
distribution
amounts
to
pay
for
the
service.
The
17
chief
juvenile
court
officer
and
the
departmental
service
area
18
manager
shall
encourage
use
of
the
funds
allocated
in
this
19
subsection
such
that
there
are
sufficient
funds
to
pay
for
20
all
court-related
services
during
the
entire
year.
The
chief
21
juvenile
court
officers
and
departmental
service
area
managers
22
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
23
in
the
distribution
amounts
and
shall
cooperatively
request
the
24
state
court
administrator
or
division
administrator
to
transfer
25
funds
between
the
judicial
districts’
or
departmental
service
26
areas’
distribution
amounts
as
prudent.
27
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
28
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
29
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
30
entered
under
chapter
232
which
is
a
charge
upon
the
state
31
under
section
232.141,
subsection
4
.
32
f.
Of
the
funds
allocated
in
this
subsection,
not
more
33
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
34
administration
of
the
requirements
under
this
subsection.
35
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92
S.F.
_____
H.F.
_____
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
1
shall
be
used
by
the
department
of
human
services
to
support
2
the
interstate
commission
for
juveniles
in
accordance
with
3
the
interstate
compact
for
juveniles
as
provided
in
section
4
232.173
.
5
10.
Of
the
funds
appropriated
in
this
section,
$4,026,613
6
$8,053,226
is
allocated
for
juvenile
delinquent
graduated
7
sanctions
services.
Any
state
funds
saved
as
a
result
of
8
efforts
by
juvenile
court
services
to
earn
a
federal
Tit.
IV-E
9
match
for
juvenile
court
services
administration
may
be
used
10
for
the
juvenile
delinquent
graduated
sanctions
services.
11
11.
Of
the
funds
appropriated
in
this
section,
$804,142
12
$1,608,285
is
transferred
to
the
department
of
public
health
13
to
be
used
for
the
child
protection
center
grant
program
for
14
child
protection
centers
located
in
Iowa
in
accordance
with
15
section
135.118
.
The
grant
amounts
under
the
program
shall
be
16
equalized
so
that
each
center
receives
a
uniform
base
amount
17
of
$122,500
$245,000
,
and
the
remaining
funds
shall
be
awarded
18
through
a
funding
formula
based
upon
the
volume
of
children
19
served.
20
12.
If
the
department
receives
federal
approval
to
21
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
22
Security
Act
to
enable
providers
to
serve
children
who
remain
23
in
the
children’s
families
and
communities,
for
purposes
of
24
eligibility
under
the
medical
assistance
program
through
25
25
years
of
age,
children
who
participate
in
the
waiver
shall
be
26
considered
to
be
placed
in
foster
care.
27
13.
Of
the
funds
appropriated
in
this
section,
$2,012,583
28
$4,025,167
is
allocated
for
the
preparation
for
adult
living
29
program
pursuant
to
section
234.46
.
30
14.
Of
the
funds
appropriated
in
this
section,
$113,668
31
$227,337
shall
be
used
for
the
public
purpose
of
continuing
32
a
grant
to
a
nonprofit
human
services
organization
providing
33
services
to
individuals
and
families
in
multiple
locations
in
34
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
35
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92
S.F.
_____
H.F.
_____
immediate,
sensitive
support
and
forensic
interviews,
medical
1
exams,
needs
assessments,
and
referrals
for
victims
of
child
2
abuse
and
their
nonoffending
family
members.
3
15.
Of
the
funds
appropriated
in
this
section,
$150,310
4
$300,620
is
allocated
for
the
foster
care
youth
council
5
approach
of
providing
a
support
network
to
children
placed
in
6
foster
care.
7
16.
Of
the
funds
appropriated
in
this
section,
$101,000
8
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
9
continuation
of
the
initiative
to
address
child
sexual
abuse
10
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
11
18,
subsection
21
.
12
17.
Of
the
funds
appropriated
in
this
section,
$315,120
13
$630,240
is
allocated
for
the
community
partnership
for
child
14
protection
sites.
15
18.
Of
the
funds
appropriated
in
this
section,
$185,625
16
$371,250
is
allocated
for
the
department’s
minority
youth
and
17
family
projects
under
the
redesign
of
the
child
welfare
system.
18
19.
Of
the
funds
appropriated
in
this
section,
$593,297
19
$1,186,595
is
allocated
for
funding
of
the
community
circle
of
20
care
collaboration
for
children
and
youth
in
northeast
Iowa.
21
20.
Of
the
funds
appropriated
in
this
section,
at
least
22
$73,579
$147,158
shall
be
used
for
the
continuation
of
the
23
child
welfare
provider
training
academy,
a
collaboration
24
between
the
coalition
for
family
and
children’s
services
in
25
Iowa
and
the
department.
26
21.
Of
the
funds
appropriated
in
this
section,
$105,936
27
$211,872
shall
be
used
for
continuation
of
the
central
Iowa
28
system
of
care
program
grant
through
June
30,
2017.
29
22.
Of
the
funds
appropriated
in
this
section,
$117,500
30
$235,000
shall
be
used
for
the
public
purpose
of
the
31
continuation
and
expansion
of
a
system
of
care
program
grant
32
implemented
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
33
comprehensive
and
long-term
approach
for
helping
children
34
and
families
by
addressing
the
key
areas
in
a
child’s
life
35
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_____
H.F.
_____
of
childhood
basic
needs,
education
and
work,
family,
and
1
community.
2
23.
Of
the
funds
appropriated
in
this
section,
at
least
3
$12,500
$25,000
shall
be
used
to
continue
and
to
expand
the
4
foster
care
respite
pilot
program
in
which
postsecondary
5
students
in
social
work
and
other
human
services-related
6
programs
receive
experience
by
assisting
family
foster
care
7
providers
with
respite
and
other
support.
8
24.
Of
the
funds
appropriated
in
this
section,
$55,000
9
$110,000
shall
be
used
for
the
public
purpose
of
funding
10
community-based
services
and
other
supports
with
a
system
of
11
care
approach
for
children
with
a
serious
emotional
disturbance
12
and
their
families
through
a
nonprofit
provider
of
child
13
welfare
services
that
has
been
in
existence
for
more
than
115
14
years,
is
located
in
a
county
with
a
population
of
more
than
15
200,000
but
less
than
220,000
according
to
the
latest
census
16
information
issued
by
the
United
States
census
bureau,
is
17
licensed
as
a
psychiatric
medical
institution
for
children,
and
18
was
a
system
of
care
grantee
prior
to
July
1,
2016.
19
Sec.
17.
2015
Iowa
Acts,
chapter
137,
section
139,
is
20
amended
to
read
as
follows:
21
SEC.
139.
ADOPTION
SUBSIDY.
22
1.
There
is
appropriated
from
the
general
fund
of
the
23
state
to
the
department
of
human
services
for
the
fiscal
year
24
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
25
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
26
purpose
designated:
27
a.
For
adoption
subsidy
payments
and
services:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,499,143
29
43,046,664
30
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
31
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
32
of
the
following
purposes:
33
(a)
For
adoption
subsidy
payments
and
related
costs.
34
(b)
For
post-adoption
services
and
for
other
purposes
under
35
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92
S.F.
_____
H.F.
_____
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
1
(2)
The
department
of
human
services
may
transfer
funds
2
appropriated
in
this
subsection
to
the
appropriation
for
3
child
and
family
services
in
this
Act
for
the
purposes
of
4
post-adoption
services
as
specified
in
this
paragraph
“b”.
5
2.
The
department
may
transfer
funds
appropriated
in
6
this
section
to
the
appropriation
made
in
this
division
of
7
this
Act
for
general
administration
for
costs
paid
from
the
8
appropriation
relating
to
adoption
subsidy.
9
3.
Federal
funds
received
by
the
state
during
the
10
fiscal
year
beginning
July
1,
2016,
as
the
result
of
the
11
expenditure
of
state
funds
during
a
previous
state
fiscal
12
year
for
a
service
or
activity
funded
under
this
section
are
13
appropriated
to
the
department
to
be
used
as
additional
funding
14
for
the
services
and
activities
funded
under
this
section.
15
Notwithstanding
section
8.33
,
moneys
received
in
accordance
16
with
this
subsection
that
remain
unencumbered
or
unobligated
17
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
18
but
shall
remain
available
for
expenditure
for
the
purposes
19
designated
until
the
close
of
the
succeeding
fiscal
year.
20
Sec.
18.
2015
Iowa
Acts,
chapter
137,
section
141,
is
21
amended
to
read
as
follows:
22
SEC.
141.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
26
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purpose
designated:
28
For
the
family
support
subsidy
program
subject
to
the
29
enrollment
restrictions
in
section
225C.37,
subsection
3
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
536,966
31
1,069,282
32
2.
The
department
shall
use
at
At
least
$320,750
$727,500
33
of
the
moneys
appropriated
in
this
section
is
allocated
to
34
the
department
of
public
health
for
the
family
support
center
35
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92
S.F.
_____
H.F.
_____
component
of
the
comprehensive
family
support
program
under
1
section
225C.47
chapter
225C,
subchapter
V
.
Not
more
than
2
$12,500
of
the
amount
allocated
in
this
subsection
shall
be
3
used
for
administrative
costs.
4
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
5
funding
available
for
the
family
support
subsidy
program
6
is
reduced
from
the
amount
initially
used
to
establish
the
7
figure
for
the
number
of
family
members
for
whom
a
subsidy
8
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
9
notwithstanding
section
225C.38,
subsection
2
,
the
department
10
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
11
of
funding
available.
12
Sec.
19.
2015
Iowa
Acts,
chapter
137,
section
142,
is
13
amended
to
read
as
follows:
14
SEC.
142.
CONNER
DECREE.
There
is
appropriated
from
the
15
general
fund
of
the
state
to
the
department
of
human
services
16
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
17
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
18
to
be
used
for
the
purpose
designated:
19
For
building
community
capacity
through
the
coordination
20
and
provision
of
training
opportunities
in
accordance
with
the
21
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
22
Iowa,
July
14,
1994):
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
24
33,632
25
Sec.
20.
2015
Iowa
Acts,
chapter
137,
section
143,
is
26
amended
to
read
as
follows:
27
SEC.
143.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
28
from
the
general
fund
of
the
state
to
the
department
of
human
29
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
30
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purposes
designated
which
amounts
32
shall
not
be
transferred
or
expended
for
any
purpose
other
than
33
the
purposes
designated,
notwithstanding
section
218.6
to
the
34
contrary
:
35
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86
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92
S.F.
_____
H.F.
_____
1.
For
operation
of
the
state
mental
health
institute
at
1
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
2
support,
maintenance,
and
miscellaneous
purposes
,
and
for
not
3
more
than
the
following
full-time
equivalent
positions
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,772,808
5
14,644,041
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
7
2.
For
operation
of
the
state
mental
health
institute
at
8
Independence
as
required
by
chapters
218
and
226
for
salaries,
9
support,
maintenance,
and
miscellaneous
purposes
,
and
for
not
10
more
than
the
following
full-time
equivalent
positions
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,162,104
12
18,552,103
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
14
Sec.
21.
2015
Iowa
Acts,
chapter
137,
section
144,
is
15
amended
to
read
as
follows:
16
SEC.
144.
STATE
RESOURCE
CENTERS.
17
1.
There
is
appropriated
from
the
general
fund
of
the
18
state
to
the
department
of
human
services
for
the
fiscal
year
19
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
20
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purposes
designated:
22
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
23
support,
maintenance,
and
miscellaneous
purposes:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,762,241
25
20,719,486
26
b.
For
the
state
resource
center
at
Woodward
for
salaries,
27
support,
maintenance,
and
miscellaneous
purposes:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,291,903
29
14,053,011
30
2.
The
department
may
continue
to
bill
for
state
resource
31
center
services
utilizing
a
scope
of
services
approach
used
for
32
private
providers
of
intermediate
care
facilities
for
persons
33
with
an
intellectual
disability
services,
in
a
manner
which
34
does
not
shift
costs
between
the
medical
assistance
program,
35
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pf/rh/rn
55/
92
S.F.
_____
H.F.
_____
counties,
or
other
sources
of
funding
for
the
state
resource
1
centers.
2
3.
The
state
resource
centers
may
expand
the
time-limited
3
assessment
and
respite
services
during
the
fiscal
year.
4
4.
If
the
department’s
administration
and
the
department
5
of
management
concur
with
a
finding
by
a
state
resource
6
center’s
superintendent
that
projected
revenues
can
reasonably
7
be
expected
to
pay
the
salary
and
support
costs
for
a
new
8
employee
position,
or
that
such
costs
for
adding
a
particular
9
number
of
new
positions
for
the
fiscal
year
would
be
less
10
than
the
overtime
costs
if
new
positions
would
not
be
added,
11
the
superintendent
may
add
the
new
position
or
positions.
If
12
the
vacant
positions
available
to
a
resource
center
do
not
13
include
the
position
classification
desired
to
be
filled,
the
14
state
resource
center’s
superintendent
may
reclassify
any
15
vacant
position
as
necessary
to
fill
the
desired
position.
The
16
superintendents
of
the
state
resource
centers
may,
by
mutual
17
agreement,
pool
vacant
positions
and
position
classifications
18
during
the
course
of
the
fiscal
year
in
order
to
assist
one
19
another
in
filling
necessary
positions.
20
5.
If
existing
capacity
limitations
are
reached
in
21
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
22
a
special
need
for
which
a
payment
source
or
other
funding
23
is
available
for
the
service
or
to
address
the
special
need,
24
and
facilities
for
the
service
or
to
address
the
special
need
25
can
be
provided
within
the
available
payment
source
or
other
26
funding,
the
superintendent
of
a
state
resource
center
may
27
authorize
opening
not
more
than
two
units
or
other
facilities
28
and
begin
implementing
the
service
or
addressing
the
special
29
need
during
fiscal
year
2016-2017.
30
Sec.
22.
2015
Iowa
Acts,
chapter
137,
section
145,
is
31
amended
to
read
as
follows:
32
SEC.
145.
SEXUALLY
VIOLENT
PREDATORS.
33
1.
There
is
appropriated
from
the
general
fund
of
the
34
state
to
the
department
of
human
services
for
the
fiscal
year
35
-56-
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5024XG
(22)
86
pf/rh/rn
56/
92
S.F.
_____
H.F.
_____
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
1
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
2
purpose
designated:
3
For
costs
associated
with
the
commitment
and
treatment
of
4
sexually
violent
predators
in
the
unit
located
at
the
state
5
mental
health
institute
at
Cherokee,
including
costs
of
legal
6
services
and
other
associated
costs,
including
salaries,
7
support,
maintenance,
and
miscellaneous
purposes
,
and
for
not
8
more
than
the
following
full-time
equivalent
positions
:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,946,539
10
10,193,079
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
12
2.
Unless
specifically
prohibited
by
law,
if
the
amount
13
charged
provides
for
recoupment
of
at
least
the
entire
amount
14
of
direct
and
indirect
costs,
the
department
of
human
services
15
may
contract
with
other
states
to
provide
care
and
treatment
16
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
17
violent
predators
at
Cherokee.
The
moneys
received
under
18
such
a
contract
shall
be
considered
to
be
repayment
receipts
19
and
used
for
the
purposes
of
the
appropriation
made
in
this
20
section.
21
Sec.
23.
2015
Iowa
Acts,
chapter
137,
section
146,
is
22
amended
to
read
as
follows:
23
SEC.
146.
FIELD
OPERATIONS.
There
is
appropriated
from
the
24
general
fund
of
the
state
to
the
department
of
human
services
25
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
26
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
27
to
be
used
for
the
purposes
designated:
28
For
field
operations,
including
salaries,
support,
29
maintenance,
and
miscellaneous
purposes
,
and
for
not
more
than
30
the
following
full-time
equivalent
positions
:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,460,488
32
58,920,976
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
34
2.
Priority
in
filling
full-time
equivalent
positions
35
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92
S.F.
_____
H.F.
_____
shall
be
given
to
those
positions
related
to
child
protection
1
services
and
eligibility
determination
for
low-income
families.
2
Sec.
24.
2015
Iowa
Acts,
chapter
137,
section
147,
is
3
amended
to
read
as
follows:
4
SEC.
147.
GENERAL
ADMINISTRATION.
There
is
appropriated
5
from
the
general
fund
of
the
state
to
the
department
of
human
6
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
7
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
8
necessary,
to
be
used
for
the
purpose
designated:
9
For
general
administration,
including
salaries,
support,
10
maintenance,
and
miscellaneous
purposes
,
and
for
not
more
than
11
the
following
full-time
equivalent
positions
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,449,099
13
14,873,198
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
15
2.
Of
the
funds
appropriated
in
this
section,
$75,000
16
$150,000
shall
be
used
to
continue
the
contract
for
the
17
provision
of
a
program
to
provide
technical
assistance,
18
support,
and
consultation
to
providers
of
habilitation
services
19
and
home
and
community-based
services
waiver
services
for
20
adults
with
disabilities
under
the
medical
assistance
program.
21
3.
Of
the
funds
appropriated
in
this
section,
$25,000
22
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
23
used
for
administrative
support
of
the
council
on
homelessness
24
established
in
section
16.2D
and
for
the
council
to
fulfill
its
25
duties
in
addressing
and
reducing
homelessness
in
the
state.
26
4.
Of
the
funds
appropriated
in
this
section,
$125,000
27
$250,000
shall
be
transferred
to
and
deposited
in
the
28
administrative
fund
of
the
Iowa
ABLE
savings
plan
trust
created
29
in
section
12I.4
,
if
enacted
in
this
or
any
other
Act,
to
be
30
used
for
implementation
and
administration
activities
of
the
31
Iowa
ABLE
savings
plan
trust.
32
Sec.
25.
2015
Iowa
Acts,
chapter
137,
is
amended
by
adding
33
the
following
new
section:
34
NEW
SECTION
.
SEC.
147A.
DEPARTMENT-WIDE
DUTIES.
There
35
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pf/rh/rn
58/
92
S.F.
_____
H.F.
_____
is
appropriated
from
the
general
fund
of
the
state
to
the
1
department
of
human
services
for
the
fiscal
year
beginning
July
2
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
3
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
4
designated:
5
For
salaries,
support,
maintenance,
and
miscellaneous
6
purposes
at
facilities
under
the
purview
of
the
department
of
7
human
services:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
9
Sec.
26.
2015
Iowa
Acts,
chapter
137,
section
148,
is
10
amended
to
read
as
follows:
11
SEC.
148.
VOLUNTEERS.
There
is
appropriated
from
the
12
general
fund
of
the
state
to
the
department
of
human
services
13
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
14
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
15
to
be
used
for
the
purpose
designated:
16
For
development
and
coordination
of
volunteer
services:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
18
84,686
19
Sec.
27.
2015
Iowa
Acts,
chapter
137,
section
149,
is
20
amended
to
read
as
follows:
21
SEC.
149.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
22
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
23
DEPARTMENT
OF
HUMAN
SERVICES.
24
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
25
the
total
state
funding
amount
for
the
nursing
facility
budget
26
shall
not
exceed
$151,421,458.
27
(2)
The
department,
in
cooperation
with
nursing
facility
28
representatives,
shall
review
projections
for
state
funding
29
expenditures
for
reimbursement
of
nursing
facilities
on
a
30
quarterly
basis
and
the
department
shall
determine
if
an
31
adjustment
to
the
medical
assistance
reimbursement
rate
is
32
necessary
in
order
to
provide
reimbursement
within
the
state
33
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
34
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
35
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59/
92
S.F.
_____
H.F.
_____
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2)
,
1
if
the
state
funding
expenditures
for
the
nursing
facility
2
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
3
specified
in
subparagraph
(1),
the
department
shall
adjust
4
the
reimbursement
for
nursing
facilities
reimbursed
under
the
5
case-mix
reimbursement
system
to
maintain
expenditures
of
the
6
nursing
facility
budget
within
the
specified
amount
for
the
7
fiscal
year.
8
(3)
For
the
fiscal
year
beginning
July
1,
2016,
case-mix,
9
non-case
mix,
and
special
population
nursing
facilities
shall
10
be
reimbursed
under
Medicaid
fee-for-service
in
accordance
with
11
the
methodology
in
effect
on
June
30,
2016.
12
(4)
For
any
open
or
unsettled
nursing
facility
cost
report
13
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
14
beginning
July
1,
2015,
including
any
cost
report
remanded
on
15
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
16
or
x-ray
costs,
the
department
shall
offset
all
reported
17
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
18
received
from
Medicare
or
other
revenue
source
for
any
purpose.
19
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
20
report
is
not
considered
open
or
unsettled
if
the
facility
did
21
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
22
any
appeal
rights
initiated
have
been
exhausted.
23
b.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
24
the
department
shall
establish
the
pharmacy
dispensing
fee
25
reimbursement
under
Medicaid
fee-for-service
at
$11.73
per
26
prescription,
until
a
cost
of
dispensing
survey
is
completed.
27
The
actual
dispensing
fee
shall
be
determined
by
a
cost
of
28
dispensing
survey
performed
by
the
department
and
required
to
29
be
completed
by
all
medical
assistance
program
participating
30
pharmacies
every
two
years,
adjusted
as
necessary
to
maintain
31
expenditures
within
the
amount
appropriated
to
the
department
32
for
this
purpose
for
the
fiscal
year.
33
(2)
The
department
shall
utilize
an
average
acquisition
34
cost
reimbursement
methodology
for
all
drugs
covered
under
the
35
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60/
92
S.F.
_____
H.F.
_____
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
1
chapter
1133,
section
33
.
2
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
3
Medicare
and
Medicaid
services
of
the
United
States
department
4
of
health
and
human
services
(CMS)
requires,
as
a
condition
5
of
federal
Medicaid
funding,
that
the
department
implement
an
6
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
7
based
on
the
average
manufacturer’s
price
(AMP),
the
department
8
may
utilize
a
reimbursement
methodology
for
all
drugs
covered
9
under
the
Medicaid
program
based
on
the
national
average
drug
10
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
11
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
12
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
13
administrative
costs,
and
minimize
any
change
in
the
aggregate
14
reimbursement
for
drugs.
The
department
may
adopt
emergency
15
rules
to
implement
this
subparagraph.
16
c.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
17
reimbursement
rates
under
Medicaid
fee-for-service
for
18
outpatient
hospital
services
shall
remain
at
the
rates
in
19
effect
on
June
30,
2016,
subject
to
Medicaid
program
upper
20
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
21
expenditures
within
the
amount
appropriated
to
the
department
22
for
this
purpose
for
the
fiscal
year.
23
(2)
For
the
fiscal
year
beginning
July
1,
2016,
24
reimbursement
rates
under
Medicaid
fee-for-service
for
25
inpatient
hospital
services
shall
remain
at
the
rates
in
effect
26
on
June
30,
2016,
subject
to
Medicaid
program
upper
payment
27
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
28
within
the
amount
appropriated
to
the
department
for
this
29
purpose
for
the
fiscal
year.
30
(3)
For
the
fiscal
year
beginning
July
1,
2016,
the
graduate
31
medical
education
and
disproportionate
share
hospital
fund
32
shall
remain
at
the
amount
in
effect
on
June
30,
2016,
except
33
that
the
portion
of
the
fund
attributable
to
graduate
medical
34
education
shall
be
reduced
in
an
amount
that
reflects
the
35
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61/
92
S.F.
_____
H.F.
_____
elimination
of
graduate
medical
education
payments
made
to
1
out-of-state
hospitals.
2
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
3
funds
in
procuring
health
care
services
for
low-income
Iowans,
4
funds
appropriated
in
this
Act
for
hospital
services
shall
5
not
be
used
for
activities
which
would
be
excluded
from
a
6
determination
of
reasonable
costs
under
the
federal
Medicare
7
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
8
d.
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
9
rates
under
Medicaid
fee-for-service
for
rural
health
clinics,
10
hospices
,
and
acute
mental
hospitals
shall
be
increased
in
11
accordance
with
increases
under
the
federal
Medicare
program
or
12
as
supported
by
their
Medicare
audited
costs.
13
e.
For
the
fiscal
year
beginning
July
1,
2016,
independent
14
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
15
under
Medicaid
fee-for-service
using
the
same
methodology
in
16
effect
on
June
30,
2016.
17
f.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
18
reimbursement
rates
under
Medicaid
fee-for-service
for
home
19
health
agencies
shall
continue
to
be
based
on
the
Medicare
low
20
utilization
payment
adjustment
(LUPA)
methodology
with
state
21
geographic
wage
adjustments,
and
updated
to
reflect
the
most
22
recent
Medicare
LUPA
rates
shall
remain
at
those
rates
in
23
effect
on
June
30,
2016
.
24
(2)
For
the
fiscal
year
beginning
July
1,
2016,
rates
25
under
Medicaid
fee-for-service
for
private
duty
nursing
and
26
personal
care
services
under
the
early
and
periodic
screening,
27
diagnostic,
and
treatment
program
benefit
shall
be
calculated
28
based
on
the
methodology
in
effect
on
June
30,
2016.
29
g.
For
the
fiscal
year
beginning
July
1,
2016,
federally
30
qualified
health
centers
and
rural
health
clinics
shall
receive
31
cost-based
reimbursement
for
100
percent
of
the
reasonable
32
costs
for
the
provision
of
services
to
recipients
of
medical
33
assistance.
34
h.
For
the
fiscal
year
beginning
July
1,
2016,
the
35
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reimbursement
rates
under
Medicaid
fee-for-service
for
dental
1
services
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
2
i.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
3
state-owned
psychiatric
medical
institutions
for
children
shall
4
receive
cost-based
reimbursement
for
100
percent
of
the
actual
5
and
allowable
costs
for
the
provision
of
services
to
recipients
6
of
medical
assistance.
7
(2)
For
the
nonstate-owned
psychiatric
medical
8
institutions
for
children,
reimbursement
rates
under
Medicaid
9
fee-for-service
shall
be
based
on
the
reimbursement
methodology
10
developed
by
the
Medicaid
managed
care
contractor
for
11
behavioral
health
services
in
effect
on
June
30,
2016,
as
12
required
for
federal
compliance.
13
(3)
As
a
condition
of
participation
in
the
medical
14
assistance
program,
enrolled
providers
shall
accept
the
medical
15
assistance
reimbursement
rate
for
any
covered
goods
or
services
16
provided
to
recipients
of
medical
assistance
who
are
children
17
under
the
custody
of
a
psychiatric
medical
institution
for
18
children.
19
j.
For
the
fiscal
year
beginning
July
1,
2016,
unless
20
otherwise
specified
in
this
Act,
all
noninstitutional
medical
21
assistance
provider
reimbursement
rates
under
Medicaid
22
fee-for-service
shall
remain
at
the
rates
in
effect
on
June
23
30,
2016,
except
for
area
education
agencies,
local
education
24
agencies,
infant
and
toddler
services
providers,
home
and
25
community-based
services
providers
including
consumer-directed
26
attendant
care
providers
under
a
section
1915(c)
or
1915(i)
27
waiver,
targeted
case
management
providers,
and
those
providers
28
whose
rates
are
required
to
be
determined
pursuant
to
section
29
249A.20
.
30
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
31
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
32
under
Medicaid
fee-for-service
for
anesthesiologists
shall
33
remain
at
the
rate
in
effect
on
June
30,
2016.
34
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
35
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H.F.
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beginning
July
1,
2016,
the
average
reimbursement
rate
under
1
Medicaid
fee-for-service
for
health
care
providers
eligible
for
2
use
of
the
federal
Medicare
resource-based
relative
value
scale
3
reimbursement
methodology
under
section
249A.20
shall
remain
4
at
the
rate
in
effect
on
June
30,
2016;
however,
this
rate
5
shall
not
exceed
the
maximum
level
authorized
by
the
federal
6
government.
7
m.
For
the
fiscal
year
beginning
July
1,
2016,
the
8
reimbursement
rate
for
residential
care
facilities
shall
not
9
be
less
than
the
minimum
payment
level
as
established
by
the
10
federal
government
to
meet
the
federally
mandated
maintenance
11
of
effort
requirement.
The
flat
reimbursement
rate
for
12
facilities
electing
not
to
file
annual
cost
reports
shall
not
13
be
less
than
the
minimum
payment
level
as
established
by
the
14
federal
government
to
meet
the
federally
mandated
maintenance
15
of
effort
requirement.
16
n.
For
the
fiscal
year
beginning
July
1,
2016,
the
17
reimbursement
rates
under
Medicaid
fee-for-service
for
18
inpatient
mental
health
services
provided
at
hospitals
shall
19
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
20
Medicaid
program
upper
payment
limit
rules;
and
psychiatrists
21
shall
be
reimbursed
at
the
medical
assistance
program
22
fee-for-service
rate
in
effect
on
June
30,
2016.
23
o.
For
the
fiscal
year
beginning
July
1,
2016,
community
24
mental
health
centers
may
choose
to
be
reimbursed
under
25
Medicaid
fee-for-service
for
the
services
provided
to
26
recipients
of
medical
assistance
through
either
of
the
27
following
options:
28
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
29
(2)
In
accordance
with
the
alternative
reimbursement
rate
30
methodology
established
by
the
medical
assistance
program’s
31
managed
care
contractor
for
mental
health
services
and
approved
32
by
the
department
of
human
services
in
effect
on
June
30,
2016
.
33
p.
For
the
fiscal
year
beginning
July
1,
2016,
the
34
reimbursement
rate
under
Medicaid
fee-for-service
for
providers
35
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H.F.
_____
of
family
planning
services
that
are
eligible
to
receive
a
90
1
percent
federal
match
shall
remain
at
the
rates
in
effect
on
2
June
30,
2016.
3
q.
For
the
fiscal
year
beginning
July
1,
2016,
the
upper
4
limits
on
reimbursement
rates
under
Medicaid
fee-for-service
5
for
providers
of
home
and
community-based
services
waiver
6
services
shall
remain
at
the
limits
in
effect
on
June
30,
2016.
7
r.
For
the
fiscal
year
beginning
July
1,
2016,
the
8
reimbursement
rates
under
Medicaid
fee-for-service
for
9
emergency
medical
service
providers
shall
remain
at
the
rates
10
in
effect
on
June
30,
2016.
11
2.
For
the
fiscal
year
beginning
July
1,
2016,
the
12
reimbursement
rate
for
providers
reimbursed
under
the
13
in-home-related
care
program
shall
not
be
less
than
the
minimum
14
payment
level
as
established
by
the
federal
government
to
meet
15
the
federally
mandated
maintenance
of
effort
requirement.
16
3.
Unless
otherwise
directed
in
this
section,
when
the
17
department’s
reimbursement
methodology
for
any
provider
18
reimbursed
in
accordance
with
this
section
includes
an
19
inflation
factor,
this
factor
shall
not
exceed
the
amount
20
by
which
the
consumer
price
index
for
all
urban
consumers
21
increased
during
the
calendar
year
ending
December
31,
2002.
22
4.
For
Notwithstanding
section
234.38,
for
the
fiscal
23
year
beginning
July
1,
2016,
the
foster
family
basic
daily
24
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
25
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
26
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
27
children
ages
12
through
15
years
shall
be
$19.10,
and
the
28
rate
for
children
and
young
adults
ages
16
and
older
shall
29
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
30
care,
the
preparation
for
adult
living
program
maintenance
rate
31
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
32
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
33
disallowance
of
additional
amounts
for
court
costs
and
other
34
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
35
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chapter
1031,
section
408
,
shall
be
continued.
1
5.
For
the
fiscal
year
beginning
July
1,
2016,
the
maximum
2
reimbursement
rates
for
social
services
providers
under
3
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
4
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
5
each
service,
whichever
is
less.
However,
if
a
new
service
6
or
service
provider
is
added
after
June
30,
2016,
the
initial
7
reimbursement
rate
for
the
service
or
provider
shall
be
based
8
upon
a
weighted
average
of
provider
rates
for
similar
services.
9
6.
For
the
fiscal
year
beginning
July
1,
2016,
the
10
reimbursement
rates
for
resource
family
recruitment
and
11
retention
contractors,
child
welfare
emergency
services
12
contractors,
and
supervised
apartment
living
foster
care
13
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
14
7.
a.
For
the
purposes
of
this
subsection,
“combined
15
reimbursement
rate”
means
the
combined
service
and
maintenance
16
reimbursement
rate
for
a
service
level
under
the
department’s
17
reimbursement
methodology.
Effective
July
1,
2016,
the
18
combined
reimbursement
rate
for
a
group
foster
care
service
19
level
shall
be
the
amount
designated
in
this
subsection.
20
However,
if
a
group
foster
care
provider’s
reimbursement
rate
21
for
a
service
level
as
of
June
30,
2016,
is
more
than
the
rate
22
designated
in
this
subsection,
the
provider’s
reimbursement
23
shall
remain
at
the
higher
rate.
24
b.
Unless
a
group
foster
care
provider
is
subject
to
the
25
exception
provided
in
paragraph
“a”,
effective
July
1,
2016,
26
the
combined
reimbursement
rates
for
the
service
levels
under
27
the
department’s
reimbursement
methodology
shall
be
as
follows:
28
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
29
be
at
least
$84.17.
30
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
31
shall
be
at
least
$119.09.
32
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
33
be
at
least
$131.09.
34
8.
The
group
foster
care
reimbursement
rates
paid
for
35
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_____
placement
of
children
out
of
state
shall
be
calculated
1
according
to
the
same
rate-setting
principles
as
those
used
for
2
in-state
providers,
unless
the
director
of
human
services
or
3
the
director’s
designee
determines
that
appropriate
care
cannot
4
be
provided
within
the
state.
The
payment
of
the
daily
rate
5
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
6
which
service
is
provided.
7
9.
a.
For
the
fiscal
year
beginning
July
1,
2016,
the
8
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
9
emergency
services
implemented
to
provide
or
prevent
the
need
10
for
shelter
care
shall
be
established
by
contract.
11
b.
For
the
fiscal
year
beginning
July
1,
2016,
the
combined
12
service
and
maintenance
components
of
the
reimbursement
rate
13
paid
for
shelter
care
services
shall
be
based
on
the
financial
14
and
statistical
report
submitted
to
the
department.
The
15
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
16
department
shall
reimburse
a
shelter
care
provider
at
the
17
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
18
to
exceed
the
maximum
reimbursement
rate.
19
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
20
fiscal
year
beginning
July
1,
2016,
the
amount
of
the
statewide
21
average
of
the
actual
and
allowable
rates
for
reimbursement
of
22
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
23
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
24
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
25
2015.
26
10.
For
the
fiscal
year
beginning
July
1,
2016,
the
27
department
shall
calculate
reimbursement
rates
under
Medicaid
28
fee-for-service
for
intermediate
care
facilities
for
persons
29
with
an
intellectual
disability
at
the
80th
percentile.
30
Beginning
July
1,
2016,
the
rate
calculation
methodology
shall
31
utilize
the
consumer
price
index
inflation
factor
applicable
to
32
the
fiscal
year
beginning
July
1,
2016.
33
11.
For
the
fiscal
year
beginning
July
1,
2016,
for
child
34
care
providers
reimbursed
under
the
state
child
care
assistance
35
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H.F.
_____
program,
the
department
shall
set
provider
reimbursement
1
rates
based
on
the
rate
reimbursement
survey
completed
in
2
December
2004.
Effective
July
1,
2016,
the
child
care
provider
3
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
4
30,
2016.
The
department
shall
set
rates
in
a
manner
so
as
5
to
provide
incentives
for
a
nonregistered
provider
to
become
6
registered
by
applying
the
increase
only
to
registered
and
7
licensed
providers.
8
12A.
For
claims
subject
to
a
Medicaid
managed
care
contract,
9
reimbursement
shall
be
based
on
the
methodology
established
by
10
the
Medicaid
managed
care
organization
contract.
11
13.
The
department
may
adopt
emergency
rules
to
implement
12
this
section.
13
Sec.
28.
2015
Iowa
Acts,
chapter
137,
is
amended
by
adding
14
the
following
new
section:
15
NEW
SECTION
.
SEC.
151A.
TRANSFER
OF
MEDICAID
MODERNIZATION
16
SAVINGS
BETWEEN
APPROPRIATIONS
FY
2016-2017.
Notwithstanding
17
section
8.39,
subsection
1,
for
the
fiscal
year
beginning
July
18
1,
2016,
if
savings
resulting
from
the
governor’s
Medicaid
19
modernization
initiative
accrue
to
the
medical
contracts
or
20
children’s
health
insurance
program
appropriation
from
the
21
general
fund
of
the
state
and
not
to
the
medical
assistance
22
appropriation
from
the
general
fund
of
the
state
under
this
23
division
of
this
Act,
such
savings
may
be
transferred
to
such
24
medical
assistance
appropriation
for
the
same
fiscal
year
25
without
prior
written
consent
and
approval
of
the
governor
and
26
the
director
of
the
department
of
management.
The
department
27
of
human
services
shall
report
any
transfers
made
pursuant
to
28
this
section
to
the
legislative
services
agency.
29
DIVISION
VI
30
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2016-2017
31
Sec.
29.
2015
Iowa
Acts,
chapter
137,
section
152,
is
32
amended
to
read
as
follows:
33
SEC.
152.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
34
appropriated
from
the
pharmaceutical
settlement
account
created
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_____
H.F.
_____
in
section
249A.33
to
the
department
of
human
services
for
the
1
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
2
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
3
used
for
the
purpose
designated:
4
Notwithstanding
any
provision
of
law
to
the
contrary,
to
5
supplement
the
appropriations
made
in
this
Act
for
medical
6
contracts
under
the
medical
assistance
program
for
the
fiscal
7
year
beginning
July
1,
2016,
and
ending
June
30,
2017:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,001,088
9
500,000
10
Sec.
30.
2015
Iowa
Acts,
chapter
137,
section
153,
is
11
amended
to
read
as
follows:
12
SEC.
153.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
13
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
14
and
subject
to
the
availability
of
funds,
there
is
appropriated
15
from
the
quality
assurance
trust
fund
created
in
section
16
249L.4
to
the
department
of
human
services
for
the
fiscal
year
17
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
18
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
19
designated:
20
To
supplement
the
appropriation
made
in
this
Act
from
the
21
general
fund
of
the
state
to
the
department
of
human
services
22
for
medical
assistance
for
the
same
fiscal
year:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,602,604
24
36,705,208
25
Sec.
31.
2015
Iowa
Acts,
chapter
137,
section
154,
is
26
amended
to
read
as
follows:
27
SEC.
154.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
28
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
29
the
contrary
and
subject
to
the
availability
of
funds,
there
is
30
appropriated
from
the
hospital
health
care
access
trust
fund
31
created
in
section
249M.4
to
the
department
of
human
services
32
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
33
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
34
necessary,
for
the
purposes
designated:
35
-69-
LSB
5024XG
(22)
86
pf/rh/rn
69/
92
S.F.
_____
H.F.
_____
To
supplement
the
appropriation
made
in
this
Act
from
the
1
general
fund
of
the
state
to
the
department
of
human
services
2
for
medical
assistance
for
the
same
fiscal
year:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,350,000
4
34,700,000
5
DIVISION
VII
6
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEY
——
FY
2016-2017
7
Sec.
32.
2015
Iowa
Acts,
chapter
137,
section
157,
is
8
amended
to
read
as
follows:
9
SEC.
157.
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEYS.
The
10
moneys
transferred
to
the
property
tax
relief
fund
for
the
11
fiscal
year
beginning
July
1,
2015
2016
,
from
the
federal
12
social
services
block
grant
pursuant
to
2015
Iowa
Acts,
13
House
File
630
,
and
from
the
federal
temporary
assistance
for
14
needy
families
block
grant,
totaling
at
least
$11,774,275
15
7,456,296
,
are
appropriated
to
the
department
of
human
services
16
for
the
fiscal
year
beginning
July
1,
2015
2016
,
and
ending
17
June
30,
2016
2017
,
to
be
used
for
the
purposes
designated,
18
notwithstanding
any
provision
of
law
to
the
contrary:
19
1.
For
distribution
to
any
mental
health
and
disability
20
services
region
where
25
percent
of
the
region’s
projected
21
expenditures
exceeds
the
region’s
projected
fund
balance
the
22
family
planning
services
program
as
enacted
in
this
2016
Act
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
480,000
24
2,999,305
25
a.
For
purposes
of
this
subsection:
26
(1)
“Available
funds”
means
a
county
mental
health
and
27
services
fund
balance
on
June
30,
2015,
plus
the
maximum
amount
28
a
county
was
allowed
to
levy
for
the
fiscal
year
beginning
July
29
1,
2015.
30
(2)
“Projected
expenditures”
means
the
actual
expenditures
31
of
a
mental
health
and
disability
services
region
as
of
June
32
30,
2015,
multiplied
by
an
annual
inflation
rate
of
2
percent
33
plus
the
projected
costs
for
new
core
services
administered
by
34
the
region
as
provided
in
a
region’s
regional
service
system
35
-70-
LSB
5024XG
(22)
86
pf/rh/rn
70/
92
S.F.
_____
H.F.
_____
management
plan
approved
pursuant
to
section
331.393
for
the
1
fiscal
year
beginning
July
1,
2015.
2
(3)
“Projected
fund
balance”
means
the
difference
between
a
3
mental
health
and
disability
services
region’s
available
funds
4
and
projected
expenditures.
5
b.
If
sufficient
funds
are
not
available
to
implement
this
6
subsection,
the
department
of
human
services
shall
distribute
7
funds
to
a
region
in
proportion
to
the
availability
of
funds.
8
2.
To
be
transferred
to
the
appropriation
in
this
Act
for
9
child
and
family
services
for
the
fiscal
year
beginning
July
1,
10
2016,
to
be
used
for
the
purpose
of
that
appropriation:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,407,137
12
4,456,991
13
DIVISION
VIII
14
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS
15
FAMILY
INVESTMENT
PROGRAM
ACCOUNT
FY
2015-2016
16
Sec.
33.
2015
Iowa
Acts,
chapter
137,
section
7,
subsection
17
4,
paragraph
e,
is
amended
to
read
as
follows:
18
e.
For
the
JOBS
program:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,540,398
20
17,140,398
21
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND
FY
2015-2016
22
Sec.
34.
2015
Iowa
Acts,
chapter
137,
section
8,
unnumbered
23
paragraph
2,
is
amended
to
read
as
follows:
24
To
be
credited
to
the
family
investment
program
(FIP)
25
account
and
used
for
family
investment
program
assistance
under
26
chapter
239B
:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,673,875
28
44,773,875
29
Sec.
35.
2015
Iowa
Acts,
chapter
137,
section
8,
subsection
30
1,
is
amended
to
read
as
follows:
31
1.
Of
the
funds
appropriated
in
this
section,
$7,402,220
32
$7,002,220
is
allocated
for
the
JOBS
program.
33
MEDICAL
ASSISTANCE
APPROPRIATION
——
FY
2015-2016
34
Sec.
36.
2015
Iowa
Acts,
chapter
137,
section
12,
unnumbered
35
-71-
LSB
5024XG
(22)
86
pf/rh/rn
71/
92
S.F.
_____
H.F.
_____
paragraph
2,
is
amended
to
read
as
follows:
1
For
medical
assistance
program
reimbursement
and
associated
2
costs
as
specifically
provided
in
the
reimbursement
3
methodologies
in
effect
on
June
30,
2015,
except
as
otherwise
4
expressly
authorized
by
law,
consistent
with
options
under
5
federal
law
and
regulations,
and
contingent
upon
receipt
of
6
approval
from
the
office
of
the
governor
of
reimbursement
for
7
each
abortion
performed
under
the
program:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,303,191,564
9
1,387,191,564
10
MODERNIZATION
EMERGENCY
RULES
FY
2015-2016
11
Sec.
37.
2015
Iowa
Acts,
chapter
137,
section
12,
subsection
12
24,
is
amended
to
read
as
follows:
13
24.
The
department
of
human
services
may
adopt
emergency
14
rules
as
necessary
to
implement
the
governor’s
Medicaid
15
modernization
initiative
beginning
January
March
1,
2016.
16
STATE
SUPPLEMENTARY
ASSISTANCE
FY
2015-2016
17
Sec.
38.
2015
Iowa
Acts,
chapter
137,
section
14,
unnumbered
18
paragraph
2,
is
amended
to
read
as
follows:
19
For
the
state
supplementary
assistance
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,997,187
21
11,897,187
22
CHILD
CARE
ASSISTANCE
FY
2015-2016
23
Sec.
39.
2015
Iowa
Acts,
chapter
137,
section
16,
unnumbered
24
paragraph
2,
is
amended
to
read
as
follows:
25
For
child
care
programs:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
51,408,668
27
41,408,668
28
Sec.
40.
2015
Iowa
Acts,
chapter
137,
section
16,
subsection
29
1,
is
amended
to
read
as
follows:
30
1.
Of
the
funds
appropriated
in
this
section,
$43,689,241
31
$33,689,241
shall
be
used
for
state
child
care
assistance
in
32
accordance
with
section
237A.13
.
33
NURSING
FACILITY
BUDGET
FY
2015-2016
34
Sec.
41.
2015
Iowa
Acts,
chapter
137,
section
29,
subsection
35
-72-
LSB
5024XG
(22)
86
pf/rh/rn
72/
92
S.F.
_____
H.F.
_____
1,
paragraph
a,
subparagraph
(1),
is
amended
to
read
as
1
follows:
2
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2015,
3
the
total
state
funding
amount
for
the
nursing
facility
budget
4
shall
not
exceed
$151,421,158
$227,131,737
.
5
DIVISION
IX
6
SOCIAL
SERVICES
BLOCK
GRANT
FY
2013-2014,
FY
2014-2015,
7
FY
2015-2016,
AND
FY
2016-2017
8
Sec.
42.
2013
Iowa
Acts,
chapter
136,
section
11,
subsection
9
3,
paragraph
e,
as
amended
by
2014
Iowa
Acts,
chapter
1140,
10
section
83,
is
amended
to
read
as
follows:
11
e.
To
be
credited
to
the
property
tax
relief
fund
created
12
in
section
426B.1
:
13
(1)
FY
2013-2014
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,480,233
15
Of
the
amount
allocated
in
this
subparagraph,
up
to
16
$600,000
may
be
used
by
the
department
of
human
services
for
17
distribution
to
counties
for
state
case
services
provided
for
18
persons
with
mental
illness,
intellectual
disability,
or
a
19
developmental
disability
in
accordance
with
section
331.440,
20
Code
2013
or
a
dispute
resolution
process
implemented
in
21
accordance
with
section
331.394,
subsection
5
or
6
.
22
(2)
FFY
2014-2015
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,480,233
24
Of
the
amount
allocated
in
this
subparagraph,
up
to
25
$600,000
may
be
used
by
the
department
of
human
services
for
26
distribution
to
counties
for
state
case
services
provided
for
27
persons
with
mental
illness,
intellectual
disability,
or
a
28
developmental
disability
in
accordance
with
section
331.440,
29
Code
2013
,
or
in
accordance
with
a
dispute
resolution
process
30
implemented
in
accordance
with
section
331.394,
subsection
31
5
or
6
.
Any
portion
of
the
$600,000
used
for
state
cases
32
that
remains
unexpended
shall
not
be
distributed
to
counties,
33
but
shall
be
retained
by
the
department
of
human
services
to
34
be
expended
on
activities
as
provided
in
the
federal
social
35
-73-
LSB
5024XG
(22)
86
pf/rh/rn
73/
92
S.F.
_____
H.F.
_____
services
block
grant
plan.
1
Sec.
43.
2015
Iowa
Acts,
chapter
130,
section
11,
subsection
2
3,
paragraph
e,
is
amended
to
read
as
follows:
3
e.
To
be
credited
to
the
property
tax
relief
fund
created
4
in
section
426B.1
:
5
(1)
FFY
2015-2016
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,456,296
7
Of
the
amount
allocated
in
this
subparagraph,
up
to
8
$600,000
may
be
used
by
the
department
of
human
services
for
9
distribution
to
counties
for
state
case
services
provided
for
10
persons
with
mental
illness,
intellectual
disability,
or
a
11
developmental
disability
in
accordance
with
section
331.440,
12
Code
2013
,
or
in
accordance
with
a
dispute
resolution
process
13
implemented
in
accordance
with
section
331.394,
subsections
14
5
or
6
.
Any
portion
of
the
$600,000
used
for
state
cases
15
that
remains
unexpended
shall
not
be
distributed
to
counties,
16
but
shall
be
retained
by
the
department
of
human
services
to
17
be
expended
on
activities
as
provided
in
the
federal
social
18
services
block
grant
plan.
19
(2)
FFY
2016-2017
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,456,296
21
Of
the
amount
allocated
in
this
subparagraph,
up
to
22
$600,000
may
be
used
by
the
department
of
human
services
for
23
distribution
to
counties
for
state
case
services
provided
for
24
persons
with
mental
illness,
intellectual
disability,
or
a
25
developmental
disability
in
accordance
with
section
331.440,
26
Code
2013
,
or
in
accordance
with
a
dispute
resolution
process
27
implemented
in
accordance
with
section
331.394,
subsections
5
28
or
6
.
29
Sec.
44.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
30
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
31
enactment.
32
Sec.
45.
RETROACTIVE
APPLICABILITY.
33
1.
The
section
of
this
division
of
this
Act
amending
2013
34
Iowa
Acts,
chapter
136,
section
11,
subsection
3,
paragraph
e,
35
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S.F.
_____
H.F.
_____
as
amended
by
2014
Iowa
Acts,
chapter
1140,
section
83,
applies
1
retroactively
to
July
1,
2013.
2
2.
The
section
of
this
Act
amending
2015
Iowa
Acts,
3
chapter
130,
section
11,
subsection
3,
paragraph
e,
applies
4
retroactively
to
July
1,
2015.
5
DIVISION
X
6
DECATEGORIZATION
7
Sec.
46.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
8
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
9
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
10
pool
that
remained
unencumbered
or
unobligated
at
the
close
11
of
the
fiscal
year
beginning
July
1,
2013,
and
were
deemed
12
carryover
funding
to
remain
available
for
the
two
succeeding
13
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
14
the
close
of
the
fiscal
year
beginning
July
1,
2015,
shall
15
not
revert
but
shall
be
transferred
to
the
medical
assistance
16
program
for
the
fiscal
year
beginning
July
1,
2015.
17
Sec.
47.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
18
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
19
enactment.
20
Sec.
48.
RETROACTIVE
APPLICABILITY.
This
division
of
this
21
Act
is
retroactively
applicable
to
July
1,
2015.
22
DIVISION
XI
23
STATE
FAMILY
PLANNING
SERVICES
PROGRAM
24
Sec.
49.
STATE
FAMILY
PLANNING
SERVICES
PROGRAM
——
25
ESTABLISHMENT
——
DISCONTINUATION
OF
MEDICAID
FAMILY
PLANNING
26
NETWORK
WAIVER.
27
1.
The
department
of
human
services
shall
discontinue
the
28
Medicaid
family
planning
network
waiver
effective
July
1,
2016,
29
and
shall
instead
establish
a
state
family
planning
services
30
program.
The
state
program
shall
replicate
the
eligibility
31
requirements
and
other
provisions
included
in
the
Medicaid
32
family
planning
network
waiver
as
approved
by
the
centers
for
33
Medicare
and
Medicaid
services
of
the
United
States
department
34
of
health
and
human
services
in
effect
on
June
30,
2016,
but
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shall
provide
for
distribution
of
the
family
planning
services
1
program
funds
in
accordance
with
this
section.
2
2.
Distribution
of
family
planning
services
program
funds
3
shall
be
made
to
eligible
applicants
in
the
following
order
of
4
priority:
5
a.
Public
entities
that
provide
family
planning
services
6
including
state,
county,
or
local
community
health
clinics
and
7
federally
qualified
health
centers.
8
b.
Nonpublic
entities
that,
in
addition
to
family
planning
9
services,
provide
required
primary
health
services
as
described
10
in
42
U.S.C.
§254b(b)(1)(A).
11
c.
Nonpublic
entities
that
provide
family
planning
12
services
but
do
not
provide
required
primary
health
services
as
13
described
in
42
U.S.C.
§254b(b)(1)(A).
14
3.
Distribution
of
family
planning
services
program
funds
15
under
this
section
shall
be
made
in
a
manner
that
continues
16
access
to
family
planning
services.
17
4.
Distribution
of
family
planning
services
program
funds
18
shall
not
be
made
to
any
entity
that
performs
abortions
or
that
19
maintains
or
operates
a
facility
where
abortions
are
performed.
20
For
the
purposes
of
this
section,
“abortion”
does
not
include
21
any
of
the
following:
22
a.
The
treatment
of
a
woman
for
a
physical
disorder,
23
physical
injury,
or
physical
illness,
including
a
24
life-endangering
physical
condition
caused
by
or
arising
from
25
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
26
place
the
woman
in
danger
of
death.
27
b.
The
treatment
of
a
woman
for
a
spontaneous
abortion,
28
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
29
of
human
conception
are
expelled.
30
c.
The
treatment
of
a
woman
for
an
abortion
when
the
31
pregnancy
was
the
result
of
rape
or
incest.
32
5.
Family
planning
services
program
funds
distributed
in
33
accordance
with
this
section
shall
not
be
used
for
direct
or
34
indirect
costs,
including
but
not
limited
to
administrative
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costs
or
expenses,
overhead,
employee
salaries,
rent,
and
1
telephone
and
other
utility
costs,
related
to
providing
2
abortions
as
specified
in
subsection
4.
3
6.
The
department
of
human
services
shall
submit
a
report
to
4
the
governor
and
the
general
assembly,
annually
by
January
1,
5
listing
any
entities
that
received
funds
pursuant
to
subsection
6
2,
paragraph
“c”,
and
the
amount
and
type
of
funds
received
by
7
such
entities
during
the
preceding
calendar
year.
The
report
8
shall
provide
a
detailed
explanation
of
how
the
department
9
determined
that
distribution
of
family
planning
services
10
program
funds
to
such
an
entity,
instead
of
to
an
entity
11
described
in
subsection
2,
paragraph
“a”
or
“b”,
was
necessary
12
to
prevent
severe
limitation
or
elimination
of
access
to
family
13
planning
services
in
the
region
of
the
state
where
the
entity
14
is
located.
15
DIVISION
XII
16
CODE
CHANGES
17
LOCAL
OFFICES
OF
SUBSTITUTE
DECISION
MAKER
18
Sec.
50.
Section
231E.4,
subsection
3,
paragraph
a,
Code
19
2016,
is
amended
to
read
as
follows:
20
a.
Select
persons
through
a
request
for
proposals
process
to
21
establish
local
offices
of
substitute
decision
maker
in
each
22
of
the
planning
and
service
areas.
Local
offices
shall
be
23
established
statewide
on
or
before
July
1,
2017
2018
.
24
INSTITUTIONS
FOR
PERSONS
WITH
AN
INTELLECTUAL
DISABILITY
——
25
ASSESSMENT
26
Sec.
51.
Section
222.60A,
Code
2016,
is
amended
to
read
as
27
follows:
28
222.60A
Cost
of
assessment.
29
Notwithstanding
any
provision
of
this
chapter
to
the
30
contrary,
any
amount
attributable
to
any
fee
assessed
31
assessment
pursuant
to
section
249A.21
that
would
otherwise
32
be
the
liability
of
any
county
shall
be
paid
by
the
state.
33
The
department
may
transfer
funds
from
the
appropriation
for
34
medical
assistance
to
pay
any
amount
attributable
to
any
fee
35
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assessed
assessment
pursuant
to
section
249A.21
that
is
a
1
liability
of
the
state.
2
Sec.
52.
Section
249A.12,
subsection
3,
paragraph
c,
Code
3
2016,
is
amended
to
read
as
follows:
4
c.
Effective
February
1,
2002,
the
The
state
shall
be
5
responsible
for
all
of
the
nonfederal
share
of
the
costs
of
6
intermediate
care
facility
for
persons
with
an
intellectual
7
disability
services
provided
under
medical
assistance
8
attributable
to
the
assessment
fee
for
intermediate
care
9
facilities
for
individuals
with
an
intellectual
disability
10
imposed
pursuant
to
section
249A.21
.
Effective
February
1,
11
2003,
a
A
county
is
not
required
to
reimburse
the
department
12
and
shall
not
be
billed
for
the
nonfederal
share
of
the
costs
13
of
such
services
attributable
to
the
assessment
fee
.
14
Sec.
53.
Section
249A.21,
Code
2016,
is
amended
to
read
as
15
follows:
16
249A.21
Intermediate
care
facilities
for
persons
with
an
17
intellectual
disability
——
assessment.
18
1.
The
department
may
assess
An
intermediate
care
19
facilities
facility
for
persons
with
an
intellectual
20
disability,
as
defined
in
section
135C.1
,
a
fee
in
shall
be
21
assessed
an
amount
for
the
preceding
calendar
quarter,
not
to
22
exceed
six
percent
of
the
total
annual
revenue
of
the
facility
23
for
the
preceding
fiscal
year.
24
2.
The
assessment
shall
be
paid
by
each
intermediate
care
25
facility
for
persons
with
an
intellectual
disability
to
the
26
department
in
equal
monthly
amounts
on
or
before
the
fifteenth
27
day
of
each
month
on
a
quarterly
basis
.
The
department
may
28
deduct
the
monthly
amount
from
medical
assistance
payments
to
29
a
facility
described
in
subsection
1
.
The
amount
deducted
30
from
payments
shall
not
exceed
the
total
amount
of
the
31
assessments
due
An
intermediate
care
facility
for
persons
with
32
an
intellectual
disability
shall
submit
the
assessment
amount
33
no
later
than
thirty
days
following
the
end
of
each
calendar
34
quarter
.
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3.
Revenue
from
the
assessments
shall
be
credited
The
1
department
shall
collect
the
assessment
imposed
and
shall
2
credit
all
revenues
collected
to
the
state
medical
assistance
3
appropriation.
This
revenue
may
be
used
only
for
services
4
for
which
federal
financial
participation
under
the
medical
5
assistance
program
is
available
to
match
state
funds.
6
4.
If
the
department
determines
that
an
intermediate
care
7
facility
for
persons
with
an
intellectual
disability
has
8
underpaid
or
overpaid
the
assessment,
the
department
shall
9
notify
the
intermediate
care
facility
for
persons
with
an
10
intellectual
disability
of
the
amount
of
the
unpaid
assessment
11
or
refund
due.
Such
payment
or
refund
shall
be
due
or
refunded
12
within
thirty
days
of
the
issuance
of
the
notice.
13
5.
An
intermediate
care
facility
for
persons
with
an
14
intellectual
disability
that
fails
to
pay
the
assessment
within
15
the
time
frame
specified
in
this
section
shall
pay,
in
addition
16
to
the
outstanding
assessment,
a
penalty
in
the
amount
of
one
17
and
five-tenths
percent
of
the
assessment
amount
owed
for
18
each
month
or
portion
of
each
month
the
payment
is
overdue.
19
However,
if
the
department
determines
that
good
cause
is
shown
20
for
failure
to
comply
with
payment
of
the
assessment,
the
21
department
shall
waive
the
penalty
or
a
portion
of
the
penalty.
22
6.
If
an
assessment
has
not
been
received
by
the
department
23
by
the
last
day
of
the
third
month
after
the
payment
is
due,
24
the
department
shall
suspend
payment
due
the
intermediate
care
25
facility
for
persons
with
an
intellectual
disability
under
the
26
medical
assistance
program
including
payments
made
on
behalf
27
of
the
medical
assistance
program
by
a
Medicaid
managed
care
28
organization
contractor.
29
7.
The
assessment
imposed
under
this
section
constitutes
30
a
debt
due
and
owing
the
state
and
may
be
collected
by
civil
31
action,
including
but
not
limited
to
the
filing
of
tax
liens,
32
and
any
other
method
provided
for
by
law.
33
8.
If
federal
financial
participation
to
match
the
34
assessments
made
under
subsection
1
becomes
unavailable
under
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federal
law,
the
department
shall
terminate
the
imposing
of
the
1
assessments
beginning
on
the
date
that
the
federal
statutory,
2
regulatory,
or
interpretive
change
takes
effect.
3
5.
9.
The
department
of
human
services
may
procure
a
sole
4
source
contract
to
implement
the
provisions
of
this
section
.
5
6.
10.
The
department
may
adopt
administrative
rules
under
6
section
17A.4,
subsection
3
,
and
section
17A.5,
subsection
2
,
7
paragraph
“b”
,
to
implement
this
section
,
and
any
fee
assessed
8
pursuant
to
this
section
against
an
intermediate
care
facility
9
for
persons
with
an
intellectual
disability
that
is
operated
by
10
the
state
may
be
made
retroactive
to
October
1,
2003
.
11
STATE
CASES
LANGUAGE
UPDATE
12
Sec.
54.
Section
218.99,
Code
2016,
is
amended
to
read
as
13
follows:
14
218.99
Counties
to
be
notified
of
patients’
personal
15
accounts.
16
The
administrator
in
control
of
a
state
institution
shall
17
direct
the
business
manager
of
each
institution
under
the
18
administrator’s
jurisdiction
which
is
mentioned
in
section
19
331.424,
subsection
1
,
paragraph
“a”
,
subparagraphs
(1)
and
20
(2),
and
for
which
services
are
paid
under
section
331.424A
,
21
to
quarterly
inform
the
county
of
residence
or
the
county
or
22
region
determined
to
be
responsible
pursuant
to
section
331.394
23
of
any
patient
or
resident
who
has
an
amount
in
excess
of
two
24
hundred
dollars
on
account
in
the
patients’
personal
deposit
25
fund
and
the
amount
on
deposit.
The
administrators
shall
26
direct
the
business
manager
to
further
notify
the
county
of
27
residence
or
the
county
or
region
determined
to
be
responsible
28
pursuant
to
section
331.394
at
least
fifteen
days
before
the
29
release
of
funds
in
excess
of
two
hundred
dollars
or
upon
the
30
death
of
the
patient
or
resident.
If
the
patient
or
resident
31
has
no
residency
in
this
state
or
the
person’s
residency
is
32
unknown
so
that
the
person
is
deemed
to
be
a
state
case,
33
notice
shall
be
made
to
the
director
of
human
services
and
the
34
administrator
in
control
of
the
institution
involved.
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Sec.
55.
Section
222.60,
Code
2016,
is
amended
to
read
as
1
follows:
2
222.60
Costs
paid
by
county
or
state
region
——
diagnosis
and
3
evaluation.
4
1.
All
necessary
and
legal
expenses
for
the
cost
of
5
admission
or
for
the
treatment,
training,
instruction,
care,
6
habilitation,
support,
and
transportation
of
persons
with
an
7
intellectual
disability,
as
provided
for
in
the
applicable
8
regional
service
system
management
plan
implemented
pursuant
9
to
section
331.393
in
a
state
resource
center,
or
in
a
special
10
unit,
or
any
public
or
private
facility
within
or
without
the
11
state,
approved
by
the
director
of
human
services,
shall
be
12
paid
by
either:
13
a.
The
regional
administrator
for
the
person’s
county
of
14
residence.
15
b.
The
state
county
or
region
determined
to
be
responsible
16
pursuant
to
section
331.394
when
the
person
is
a
resident
in
17
another
state
or
in
a
foreign
country,
or
when
the
person’s
18
residence
is
unknown.
The
payment
responsibility
shall
be
19
deemed
to
be
a
state
case.
20
2.
a.
Prior
to
the
regional
administrator
for
a
county
21
of
residence
or
region
approving
the
payment
of
expenses
for
22
a
person
under
this
section
,
the
regional
administrator
may
23
require
that
the
person
be
diagnosed
to
determine
if
the
person
24
has
an
intellectual
disability
or
that
the
person
be
evaluated
25
to
determine
the
appropriate
level
of
services
required
to
meet
26
the
person’s
needs
relating
to
an
intellectual
disability.
The
27
diagnosis
and
the
evaluation
may
be
performed
concurrently
and
28
shall
be
performed
by
an
individual
or
individuals
approved
by
29
the
regional
administrator
for
the
person’s
county
of
residence
30
or
for
the
county
or
region
determined
to
be
responsible
31
pursuant
to
section
331.394
who
are
qualified
to
perform
the
32
diagnosis
or
the
evaluation.
Following
the
initial
approval
33
for
payment
of
expenses,
the
regional
administrator
may
require
34
that
an
evaluation
be
performed
at
reasonable
time
periods.
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b.
The
cost
of
a
regional
administrator-required
diagnosis
1
and
an
evaluation
is
at
the
mental
health
and
disability
2
services
region’s
expense.
For
a
state
case,
the
state
3
may
apply
the
diagnosis
and
evaluation
provisions
of
this
4
subsection
at
the
state’s
expense.
5
c.
A
diagnosis
or
an
evaluation
under
this
section
may
be
6
part
of
a
diagnosis
and
assessment
process
implemented
by
the
7
applicable
regional
administrator,
provided
that
a
diagnosis
is
8
performed
only
by
an
individual
qualified
as
provided
in
this
9
section
.
10
3.
a.
A
diagnosis
of
an
intellectual
disability
under
11
this
section
shall
be
made
only
when
the
onset
of
the
person’s
12
condition
was
prior
to
the
age
of
eighteen
years
and
shall
be
13
based
on
an
assessment
of
the
person’s
intellectual
functioning
14
and
level
of
adaptive
skills.
The
diagnosis
shall
be
made
by
15
an
individual
who
is
a
psychologist
or
psychiatrist
who
is
16
professionally
trained
to
administer
the
tests
required
to
17
assess
intellectual
functioning
and
to
evaluate
a
person’s
18
adaptive
skills.
19
b.
A
diagnosis
of
an
intellectual
disability
shall
be
made
20
in
accordance
with
the
criteria
provided
in
the
diagnostic
21
and
statistical
manual
of
mental
disorders,
published
by
the
22
American
psychiatric
association,
as
provided
in
the
definition
23
of
intellectual
disability
in
section
4.1
.
24
Sec.
56.
Section
222.65,
subsection
1,
Code
2016,
is
amended
25
to
read
as
follows:
26
1.
If
the
administrator
concurs
with
a
certified
27
determination
as
to
residency
of
the
person
so
that
the
person
28
is
deemed
a
state
case
under
section
222.60
to
be
a
resident
29
in
another
state
or
in
a
foreign
country,
or
when
the
person’s
30
residence
is
unknown
,
the
administrator
shall
cause
the
person
31
either
to
be
transferred
to
a
resource
center
or
a
special
unit
32
or
to
be
transferred
to
the
place
of
foreign
residency.
33
Sec.
57.
Section
222.66,
Code
2016,
is
amended
to
read
as
34
follows:
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222.66
Transfers
——
state
cases
——
expenses.
1
1.
The
transfer
to
a
resource
center
or
a
special
unit
or
2
to
the
place
of
residency
of
a
person
with
an
intellectual
3
disability
who
has
no
residence
in
this
state
or
whose
4
residency
is
unknown,
shall
be
made
in
accordance
with
such
5
directions
as
shall
be
prescribed
by
the
administrator
and
6
when
practicable
by
employees
of
the
state
resource
center
or
7
the
special
unit.
The
actual
and
necessary
expenses
of
such
8
transfers
shall
be
paid
by
the
department
on
itemized
vouchers
9
sworn
to
by
the
claimants
and
approved
by
the
administrator
10
and
the
approved
amount
is
appropriated
to
the
department
from
11
any
funds
in
the
state
treasury
not
otherwise
appropriated
12
the
county
or
region
determined
to
be
responsible
pursuant
to
13
section
331.394
.
14
2.
The
case
of
a
person
with
an
intellectual
disability
15
who
is
determined
to
have
no
residence
in
this
state
or
whose
16
residence
is
unknown
shall
be
considered
a
state
case.
17
Sec.
58.
Section
222.67,
Code
2016,
is
amended
to
read
as
18
follows:
19
222.67
Charge
on
finding
of
residency.
20
1.
If
a
person
has
been
received
into
a
resource
center
21
or
a
special
unit
as
a
patient
whose
residency
is
unknown
22
and
the
administrator
determines
that
the
residency
of
the
23
patient
was
at
the
time
of
admission
in
a
county
of
this
state,
24
the
administrator
shall
certify
the
determination
and
charge
25
all
legal
costs
and
expenses
pertaining
to
the
admission
26
and
support
of
the
patient
to
the
county
of
residence.
The
27
certification
shall
be
sent
to
the
county
of
residence.
The
28
certification
shall
be
accompanied
by
a
copy
of
the
evidence
29
supporting
the
determination.
30
2.
If
the
person’s
residency
status
has
been
determined
in
31
accordance
with
section
331.394
,
the
legal
costs
and
expenses
32
shall
be
charged
to
the
county
of
residence
or
as
a
state
case
33
the
county
or
region
determined
to
be
responsible
in
accordance
34
with
that
determination
section
.
The
costs
and
expenses
shall
35
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be
collected
as
provided
by
law
in
other
cases.
1
Sec.
59.
Section
226.9C,
subsection
1,
unnumbered
paragraph
2
1,
Code
2016,
is
amended
to
read
as
follows:
3
The
state
mental
health
institute
at
Mount
Pleasant
shall
4
operate
the
dual
diagnosis
mental
health
and
substance-related
5
disorder
treatment
program
on
a
net
budgeting
basis
in
which
6
fifty
percent
of
the
actual
per
diem
and
ancillary
services
7
costs
are
chargeable
to
the
patient’s
county
of
residence
or
as
8
a
state
case
the
county
or
region
determined
to
be
responsible
9
pursuant
to
section
331.394
,
as
appropriate.
Subject
to
the
10
approval
of
the
department,
revenues
attributable
to
the
dual
11
diagnosis
program
for
each
fiscal
year
shall
be
deposited
in
12
the
mental
health
institute’s
account
and
are
appropriated
to
13
the
department
for
the
dual
diagnosis
program,
including
but
14
not
limited
to
all
of
the
following
revenues:
15
Sec.
60.
Section
226.45,
Code
2016,
is
amended
to
read
as
16
follows:
17
226.45
Reimbursement
to
county
or
state
region
.
18
If
a
patient
is
not
receiving
medical
assistance
under
19
chapter
249A
and
the
amount
to
the
account
of
any
patient
20
in
the
patients’
personal
deposit
fund
exceeds
two
hundred
21
dollars,
the
business
manager
of
the
hospital
may
apply
any
of
22
the
excess
to
reimburse
the
county
of
residence
or
the
state
23
for
a
state
case
county
or
region
determined
to
be
responsible
24
pursuant
to
section
331.394
for
liability
incurred
by
the
25
county
or
the
state
region
for
the
payment
of
care,
support
26
and
maintenance
of
the
patient,
when
billed
by
the
county
of
27
residence
or
by
the
administrator
for
a
state
case
region
.
28
Sec.
61.
Section
230.1,
Code
2016,
is
amended
to
read
as
29
follows:
30
230.1
Liability
of
county
and
state
or
region
.
31
1.
The
necessary
and
legal
costs
and
expenses
attending
32
the
taking
into
custody,
care,
investigation,
admission,
33
commitment,
and
support
of
a
person
with
mental
illness
34
admitted
or
committed
to
a
state
hospital
shall
be
paid
by
a
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county
or
by
the
state
region
as
follows:
1
a.
If
the
person
is
eighteen
years
of
age
or
older,
as
2
follows:
3
(1)
The
costs
attributed
to
mental
illness
shall
be
paid
by
4
the
regional
administrator
on
behalf
of
the
person’s
county
of
5
residence.
6
(2)
The
costs
attributed
to
a
substance-related
disorder
7
shall
be
paid
by
the
person’s
county
of
residence.
8
(3)
The
costs
attributable
to
a
dual
diagnosis
of
mental
9
illness
and
a
substance-related
disorder
may
be
split
as
10
provided
in
section
226.9C
.
11
b.
By
the
state
as
a
state
case
county
or
region
determined
12
to
be
responsible
pursuant
to
section
331.394
if
such
person
13
has
no
residence
in
this
state
,
or
if
the
person’s
residence
14
is
unknown
,
or
if
.
15
c.
By
the
state,
if
the
person
is
under
eighteen
years
of
16
age.
17
2.
The
county
of
residence
of
any
person
with
mental
illness
18
who
is
a
patient
of
any
state
institution
shall
be
the
person’s
19
county
of
residence
existing
at
the
time
of
admission
to
the
20
institution.
21
3.
A
mental
health
and
disability
services
region
or
,
county
22
of
residence
,
or
county
or
region
determined
to
be
responsible
23
pursuant
to
section
331.394
is
not
liable
for
costs
and
24
expenses
associated
with
a
person
with
mental
illness
unless
25
the
costs
and
expenses
are
for
services
and
other
support
26
authorized
for
the
person
through
the
county’s
or
region’s
27
regional
administrator.
For
the
purposes
of
this
chapter
,
28
“regional
administrator”
means
the
same
as
defined
in
section
29
331.388
.
30
Sec.
62.
Section
230.2,
Code
2016,
is
amended
to
read
as
31
follows:
32
230.2
Finding
of
residence.
33
If
a
person’s
residency
status
is
disputed,
the
residency
34
shall
be
determined
in
accordance
with
section
331.394
.
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Otherwise,
the
district
court
may,
when
the
person
is
1
ordered
placed
in
a
hospital
for
psychiatric
examination
and
2
appropriate
treatment,
or
as
soon
thereafter
as
the
court
3
obtains
the
proper
information,
make
one
of
the
following
4
determinations
and
enter
the
determination
of
record
whether
5
the
residence
of
the
person
is
in
a
county
or
the
person
is
6
deemed
to
be
a
state
case
,
as
follows:
7
1.
That
the
person’s
residence
is
in
the
county
from
which
8
the
person
was
placed
in
the
hospital.
9
2.
That
the
person’s
residence
is
in
another
county
of
the
10
state.
11
3.
That
the
person’s
residence
is
in
a
foreign
state
or
12
country
and
the
person
is
deemed
to
be
a
state
case
.
13
4.
That
the
person’s
residence
is
unknown
and
the
person
is
14
deemed
to
be
a
state
case
.
15
Sec.
63.
Section
230.8,
Code
2016,
is
amended
to
read
as
16
follows:
17
230.8
Transfers
of
persons
with
mental
illness
——
expenses.
18
The
transfer
to
any
state
hospitals
or
to
the
places
of
their
19
residence
of
persons
with
mental
illness
who
have
no
residence
20
in
this
state
or
whose
residence
is
unknown
and
deemed
to
be
21
a
state
case
,
shall
be
made
according
to
the
directions
of
22
the
administrator,
and
when
practicable
by
employees
of
the
23
state
hospitals.
The
actual
and
necessary
expenses
of
such
24
transfers
shall
be
paid
on
itemized
vouchers
sworn
to
by
the
25
claimants
and
approved
by
the
administrator,
and
the
amount
of
26
the
expenses
is
appropriated
to
the
department
from
any
funds
27
in
the
state
treasury
not
otherwise
appropriated
the
county
28
or
region
determined
to
be
responsible
pursuant
to
section
29
331.394
.
30
Sec.
64.
Section
230.9,
Code
2016,
is
amended
to
read
as
31
follows:
32
230.9
Subsequent
discovery
of
residence.
33
1.
If,
after
a
person
has
been
received
by
a
state
hospital
34
for
persons
with
mental
illness
as
a
state
case
patient
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whose
residence
is
supposed
to
be
outside
this
state,
the
1
administrator
determines
that
the
residence
of
the
person
was,
2
at
the
time
of
admission
or
commitment,
in
a
county
of
this
3
state,
the
administrator
shall
certify
the
determination
and
4
charge
all
legal
costs
and
expenses
pertaining
to
the
admission
5
or
commitment
and
support
of
the
person
to
the
county
of
6
residence.
The
certification
shall
be
sent
to
the
county
of
7
residence.
The
certification
shall
be
accompanied
by
a
copy
8
of
the
evidence
supporting
the
determination.
The
costs
and
9
expenses
shall
be
collected
as
provided
by
law
in
other
cases.
10
2.
If
the
person’s
residency
status
has
been
determined
in
11
accordance
with
section
331.394
,
the
legal
costs
and
expenses
12
shall
be
charged
to
the
county
of
residence
or
as
a
state
case
13
the
county
or
region
determined
to
be
responsible
in
accordance
14
with
that
determination
section
.
15
Sec.
65.
Section
230.11,
Code
2016,
is
amended
to
read
as
16
follows:
17
230.11
Recovery
of
costs
from
state
.
18
Costs
and
expenses
attending
the
taking
into
custody,
19
care,
and
investigation
of
a
person
who
has
been
admitted
20
or
committed
to
a
state
hospital,
United
States
department
21
of
veterans
affairs
hospital,
or
other
agency
of
the
United
22
States
government,
for
persons
with
mental
illness
and
who
23
has
no
residence
in
this
state
or
whose
residence
is
unknown,
24
including
cost
of
commitment,
if
any,
shall
be
paid
as
a
state
25
case
as
approved
by
the
administrator
by
the
county
or
region
26
determined
to
be
responsible
pursuant
to
section
331.394
.
The
27
amount
of
the
costs
and
expenses
approved
by
the
administrator
28
is
appropriated
to
the
department
from
any
money
in
the
29
state
treasury
not
otherwise
appropriated.
Payment
shall
be
30
made
by
the
department
on
itemized
vouchers
executed
by
the
31
auditor
of
the
county
which
has
paid
them,
and
approved
by
the
32
administrator.
33
Sec.
66.
Section
331.394,
subsection
1,
paragraph
a,
Code
34
2016,
is
amended
to
read
as
follows:
35
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a.
“County
of
residence”
means
the
county
in
this
state
in
1
which,
at
the
time
a
person
applies
for
or
receives
services,
2
the
person
is
living
and
has
established
an
ongoing
presence
3
with
the
declared,
good
faith
intention
of
living
in
the
4
county
for
a
permanent
or
indefinite
period
of
time.
The
5
county
of
residence
of
a
person
who
is
a
homeless
person
is
6
the
county
where
the
homeless
person
usually
sleeps.
A
person
7
maintains
residency
in
the
county
in
which
the
person
last
8
resided
while
the
person
is
present
in
another
county
receiving
9
services
in
a
hospital
,
or
a
correctional
facility
,
a
halfway
10
house
for
community-based
corrections
or
substance-related
11
treatment,
a
nursing
facility,
an
intermediate
care
facility
12
for
persons
with
an
intellectual
disability,
or
a
residential
13
care
facility,
or
for
the
purpose
of
attending
a
college
or
14
university
.
15
Sec.
67.
Section
331.394,
subsection
5,
paragraph
b,
Code
16
2016,
is
amended
to
read
as
follows:
17
b.
If
a
county,
region,
or
the
department,
as
applicable,
18
receives
a
billing
for
services
provided
to
a
resident
19
in
another
county
or
region,
or
objects
to
a
residency
20
determination
certified
by
the
department
or
another
county’s
21
or
region’s
regional
administrator
and
asserts
either
that
the
22
person
has
residency
in
another
county
or
region
or
the
person
23
is
not
a
resident
of
this
state
or
the
person’s
residency
24
is
unknown
so
that
the
person
is
deemed
a
state
case
,
the
25
person’s
residency
status
shall
be
determined
as
provided
26
in
this
subsection
.
The
county
or
region
shall
notify
the
27
department
of
the
county’s
or
region’s
assertion
within
one
28
hundred
twenty
days
of
receiving
the
billing.
If
the
county
or
29
region
asserts
that
the
person
has
residency
in
another
county
30
or
region,
that
county
or
region
shall
be
notified
at
the
same
31
time
as
the
department.
If
the
department
disputes
a
residency
32
determination
certification
made
by
a
regional
administrator,
33
the
department
shall
notify
the
affected
counties
or
regions
34
of
the
department’s
assertion.
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Sec.
68.
Section
331.394,
subsection
5,
paragraph
e,
1
subparagraph
(1),
Code
2016,
is
amended
to
read
as
follows:
2
(1)
Unless
a
petition
is
filed
for
judicial
review,
the
3
administrative
law
judge’s
determination
of
the
person’s
4
residency
status
shall
result
in
one
of
the
following:
5
(a)
If
a
county
or
region
is
determined
to
be
the
person’s
6
residence,
the
county
or
region
shall
pay
the
amounts
due
and
7
shall
reimburse
any
other
amounts
paid
for
services
provided
by
8
the
other
county
or
region
or
the
department
on
the
person’s
9
behalf
prior
to
the
determination.
10
(b)
If
it
is
determined
that
the
person
is
not
a
resident
11
of
this
state
or
the
person’s
residency
is
unknown
so
that
the
12
person
is
deemed
to
be
a
state
case
,
the
department
county
or
13
region
providing
services
to
the
person
is
the
responsible
14
county
or
region
and
shall
pay
the
amounts
due
and
shall
15
reimburse
the
county
or
region,
as
applicable,
for
any
payment
16
made
on
behalf
of
the
person
prior
to
the
determination
.
17
Sec.
69.
CODE
EDITOR
DIRECTIVE
——
FUTURE
LEGISLATIVE
18
RECOMMENDATIONS.
19
1.
To
the
extent
not
amended
or
identified
by
the
20
provisions
of
this
Act,
the
Code
editor
is
directed
to
21
correct
all
internal
references
to
the
words
“state
cases”
22
as
is
appropriate
to
the
context
and
to
the
extent
that
such
23
corrections
are
in
conformance
with
the
intent
of
this
Act.
24
2.
The
Code
editor
is
directed
to
correct
in
the
same
manner
25
all
similar
references
in
any
enacted
Iowa
Acts
as
necessary.
26
3.
The
department
of
human
services
shall
make
27
recommendations
for
changes
designed
to
conform
additional
28
Code
provisions
to
the
intent
of
this
Act
and
include
such
29
recommended
changes
in
proposed
legislation
during
the
2017
30
session
of
the
general
assembly.
31
DIVISION
XIII
32
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
33
Sec.
70.
Section
249M.5,
Code
2016,
is
amended
to
read
as
34
follows:
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249M.5
Future
repeal.
1
This
chapter
is
repealed
June
30,
2016
July
1,
2019
.
2
Sec.
71.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
3
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
4
enactment.
5
EXPLANATION
6
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
7
the
explanation’s
substance
by
the
members
of
the
general
assembly.
8
This
bill
relates
to
appropriations
for
health
and
human
9
services
made
in
fiscal
year
2016-2017
to
the
department
of
10
veterans
affairs,
Iowa
veterans
home,
department
on
aging
11
(IDA),
office
of
long-term
care
ombudsman,
department
of
public
12
health
(DPH),
Iowa
finance
authority,
department
of
human
13
rights,
and
department
of
human
services
(DHS).
14
The
bill
is
organized
into
divisions.
15
DEPARTMENT
ON
AGING.
This
division
amends
appropriations
16
made
from
the
general
fund
of
the
state
for
the
department
on
17
aging
for
FY
2016-2017.
18
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
amends
19
appropriations
made
from
the
general
fund
of
the
state
for
the
20
office
of
long-term
care
ombudsman
for
FY
2016-2017.
21
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
amends
22
appropriations
made
from
the
general
fund
of
the
state
for
the
23
department
of
public
health
for
FY
2016-2017.
24
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
25
This
division
amends
appropriations
made
from
the
general
26
fund
of
the
state
for
the
department
of
veterans
affairs
for
27
FY
2016-2017
for
administration,
the
Iowa
veterans
home,
for
28
transfer
to
the
Iowa
finance
authority
for
the
home
ownership
29
assistance
program,
and
for
the
county
commissions
of
veteran
30
affairs.
31
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
amends
32
appropriations
from
the
general
fund
of
the
state
and
the
33
federal
temporary
assistance
for
needy
families
block
grant
34
to
DHS
for
FY
2016-2017.
The
allocation
for
the
family
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development
and
self-sufficiency
grant
program
is
made
directly
1
to
the
department
of
human
rights.
The
reimbursement
section
2
addresses
reimbursement
for
providers
reimbursed
by
the
3
department
of
human
services.
4
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
amends
5
certain
health-related
appropriations
for
FY
2016-2017.
A
6
number
of
the
appropriations
are
made
for
purposes
of
the
7
medical
assistance
(Medicaid)
program
in
addition
to
the
8
general
fund
appropriations
made
for
this
purpose
for
the
same
9
fiscal
year.
10
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEY
——
FY
2016-2017.
11
This
division
provides
that
for
FY
2016-2017,
moneys
12
transferred
to
the
property
tax
relief
fund
totaling
at
least
13
$7,456,296
are
appropriated
to
DHS
to
be
transferred
to
the
14
child
and
family
services
appropriation
for
the
same
fiscal
15
year
and
for
distribution
to
the
family
planning
services
16
program
as
enacted
in
this
Act.
17
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS.
This
18
division
amends
the
appropriations
for
the
family
investment
19
program
account,
the
family
investment
program
general
fund,
20
medical
assistance,
state
supplementary
assistance,
child
care
21
assistance,
and
the
nursing
facility
budget
for
FY
2015-2016.
22
The
bill
also
amends
the
date
for
adoption
of
emergency
rules
23
for
the
Medicaid
modernization
initiative
to
provide
for
the
24
initiative
to
begin
March
1,
2016,
rather
than
January
1,
2016.
25
This
division
takes
effect
upon
enactment
and
is
retroactively
26
applicable
to
July
1,
2015.
27
SOCIAL
SERVICES
BLOCK
GRANT
FOR
FYS
2014
THROUGH
2017.
28
This
division
amends
the
appropriations
of
social
services
29
block
grant
funds
for
fiscal
years
2013-2014,
2014-2015,
30
2015-2016,
and
2016-2017,
to
provide
that
in
FY
2014-2015
and
31
FY
2015-2016,
any
portion
of
the
moneys
used
for
state
cases
32
that
remains
unexpended
shall
not
be
distributed
to
counties,
33
but
shall
be
retained
by
DHS
to
be
expended
on
activities
34
as
provided
in
the
federal
social
services
block
grant
plan.
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H.F.
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The
bill
eliminates
the
allocation
of
up
to
$600,000
for
1
distribution
to
counties
for
state
case
services
for
FY
2
2016-2017.
These
provisions
are
effective
upon
enactment
and
3
are
retroactively
applicable
to
the
start
of
the
respective
4
initial
fiscal
year
of
the
appropriation.
5
DECATEGORIZATION.
This
division
provides
that
6
decategorization
carryover
funds
that
are
unencumbered
or
7
unobligated
at
the
close
of
FY
2015-2016
are
to
be
transferred
8
to
the
Medicaid
appropriation
for
the
same
fiscal
year.
The
9
provision
takes
effect
upon
enactment
and
is
retroactively
10
applicable
to
July
1,
2015.
11
STATE
FAMILY
PLANNING
SERVICES
PROGRAM.
This
division
12
directs
DHS
to
terminate
the
Medicaid
family
planning
network
13
waiver
effective
July
1,
2016,
and
instead
establish
a
state
14
family
planning
services
program.
The
state
program
is
15
required
to
replicate
the
eligibility
requirements
and
other
16
provisions
of
the
waiver,
but
provides
for
a
prioritized
17
distribution
of
the
funds.
Funds
are
prohibited
from
being
18
made
to
any
entity
that
performs
abortions
or
that
maintains
or
19
operates
a
facility
where
abortions
are
performed
and
specifies
20
what
an
abortion
does
not
include.
The
bill
requires
DHS
to
21
report
annually
on
the
distribution
of
the
funds.
22
CODE
CHANGES.
This
division
includes
Code
changes
relating
23
to
local
offices
of
substitute
decision
maker
to
extend
the
24
date
by
which
local
offices
shall
be
established
statewide,
25
institutions
for
persons
with
an
intellectual
disability
26
relating
to
assessments,
and
state
cases
provisions
relating
27
to
the
shifting
of
responsibility
for
payment
of
costs
for
28
nonresidents
from
the
state
to
a
county
or
region.
29
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT.
This
division
30
extends
the
repeal
of
the
hospital
health
care
access
31
assessment
chapter
(Iowa
Code
chapter
249M)
from
June
30,
2016,
32
to
July
1,
2019.
The
division
takes
effect
upon
enactment.
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