Senate File 2418 - Introduced SENATE FILE 2418 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO SSB 3222) A BILL FOR An Act relating to appropriations for health and human 1 services and veterans and including other related provisions 2 and appropriations, providing penalties, and including 3 effective date and retroactive and other applicability date 4 provisions. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 6 TLSB 5031SV (1) 87 pf/rn
S.F. 2418 DIVISION I 1 DEPARTMENT ON AGING —— FY 2018-2019 2 Section 1. 2017 Iowa Acts, chapter 174, section 40, 3 unnumbered paragraphs 1 and 2, are amended to read as follows: 4 There is appropriated from the general fund of the state 5 to the department on aging for the fiscal year beginning July 6 1, 2018, and ending June 30, 2019, the following amount, or 7 so much thereof as is necessary, to be used for the purposes 8 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,521,238 21 11,042,924 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 27.00 23 Sec. 2. 2017 Iowa Acts, chapter 174, section 40, subsections 24 2, 4, 5, 6, and 7, are amended to read as follows: 25 2. Of the funds appropriated in this section, $139,973 26 $279,946 is transferred to the economic development authority 27 for the Iowa commission on volunteer services to be used for 28 the retired and senior volunteer program. 29 4. Of the funds appropriated in this section, at least 30 $125,000 $250,000 shall be used to fund the unmet needs 31 identified through Iowa’s aging and disability resource center 32 network. 33 5. Of the funds appropriated in this section, at 34 least $300,000 $600,000 shall be used to fund home and 35 -1- LSB 5031SV (1) 87 pf/rn 1/ 120
S.F. 2418 community-based services through the area agencies on aging 1 that enable older individuals to avoid more costly utilization 2 of residential or institutional services and remain in their 3 own homes. 4 6. Of the funds appropriated in this section, $406,268 5 $812,537 shall be used for the purposes of chapter 231E and 6 section 231.56A , of which $175,000 shall be used for the office 7 of substitute decision maker pursuant to chapter 231E , and the 8 remainder shall be distributed equally to the area agencies on 9 aging to administer the prevention of elder abuse, neglect, and 10 exploitation program pursuant to section 231.56A , in accordance 11 with the requirements of the federal Older Americans Act of 12 1965, 42 U.S.C. §3001 et seq., as amended. 13 7. Of the funds appropriated in this section, $375,000 14 $1,000,000 shall be used to fund continuation of the aging 15 and disability resource center lifelong links to provide 16 individuals and caregivers with information and services to 17 plan for and maintain independence. 18 Sec. 3. 2017 Iowa Acts, chapter 174, section 40, subsection 19 8, is amended by striking the subsection. 20 Sec. 4. 2017 Iowa Acts, chapter 174, section 40, is amended 21 by adding the following new subsection: 22 NEW SUBSECTION . 9. Of the funds appropriated in this 23 section, $100,000 shall be used by the department on aging, 24 in collaboration with the department of human services and 25 affected stakeholders, to design a pilot initiative to provide 26 long-term care options counseling utilizing support planning 27 protocols, to assist non-Medicaid eligible consumers who 28 indicate a preference to return to the community and are 29 deemed appropriate for discharge, to return to their community 30 following a nursing facility stay. The department on aging 31 shall submit the design plan as well as recommendations for 32 legislation necessary to administer the initiative, including 33 but not limited to legislation to allow the exchange of contact 34 information for nursing facility residents appropriate for 35 -2- LSB 5031SV (1) 87 pf/rn 2/ 120
S.F. 2418 discharge planning, to the governor and the general assembly by 1 December 15, 2018. 2 DIVISION II 3 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2018-2019 4 Sec. 5. 2017 Iowa Acts, chapter 174, section 41, is amended 5 to read as follows: 6 SEC. 41. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is 7 appropriated from the general fund of the state to the office 8 of long-term care ombudsman for the fiscal year beginning July 9 1, 2018, and ending June 30, 2019, the following amount, or 10 so much thereof as is necessary, to be used for the purposes 11 designated: 12 For salaries, support, administration, maintenance, and 13 miscellaneous purposes, and for not more than the following 14 full-time equivalent positions: 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 580,140 16 1,149,821 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.00 18 DIVISION III 19 DEPARTMENT OF PUBLIC HEALTH —— FY 2018-2019 20 Sec. 6. 2017 Iowa Acts, chapter 174, section 42, subsections 21 1, 2, 3, 4, 5, 6, 7, and 8, are amended to read as follows: 22 1. ADDICTIVE DISORDERS 23 For reducing the prevalence of the use of tobacco, alcohol, 24 and other drugs, and treating individuals affected by addictive 25 behaviors, including gambling, and for not more than the 26 following full-time equivalent positions: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,492,915 28 24,804,344 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 30 11.00 31 a. (1) Of the funds appropriated in this subsection, 32 $2,010,612 $4,021,225 shall be used for the tobacco use 33 prevention and control initiative, including efforts at the 34 state and local levels, as provided in chapter 142A . The 35 -3- LSB 5031SV (1) 87 pf/rn 3/ 120
S.F. 2418 commission on tobacco use prevention and control established 1 pursuant to section 142A.3 shall advise the director of 2 public health in prioritizing funding needs and the allocation 3 of moneys appropriated for the programs and initiatives. 4 Activities of the programs and initiatives shall be in 5 alignment with the United States centers for disease control 6 and prevention best practices for comprehensive tobacco control 7 programs that include the goals of preventing youth initiation 8 of tobacco usage, reducing exposure to secondhand smoke, 9 and promotion of tobacco cessation. To maximize resources, 10 the department shall determine if third-party sources are 11 available to instead provide nicotine replacement products 12 to an applicant prior to provision of such products to an 13 applicant under the initiative. The department shall track and 14 report to the individuals specified in this Act, any reduction 15 in the provision of nicotine replacement products realized 16 by the initiative through implementation of the prerequisite 17 screening. 18 (2) (a) The department shall collaborate with the 19 alcoholic beverages division of the department of commerce for 20 enforcement of tobacco laws, regulations, and ordinances and to 21 engage in tobacco control activities approved by the division 22 of tobacco use prevention and control of the department of 23 public health as specified in the memorandum of understanding 24 entered into between the divisions. 25 (b) For the fiscal year beginning July 1, 2018, and ending 26 June 30, 2019, the terms of the memorandum of understanding, 27 entered into between the division of tobacco use prevention 28 and control of the department of public health and the 29 alcoholic beverages division of the department of commerce, 30 governing compliance checks conducted to ensure licensed retail 31 tobacco outlet conformity with tobacco laws, regulations, and 32 ordinances relating to persons under 18 years of age, shall 33 continue to restrict the number of such checks to one check per 34 retail outlet, and one additional check for any retail outlet 35 -4- LSB 5031SV (1) 87 pf/rn 4/ 120
S.F. 2418 found to be in violation during the first check. 1 b. Of the funds appropriated in this subsection, 2 $10,482,303 $20,783,119 shall be used for problem gambling and 3 substance-related disorder prevention, treatment, and recovery 4 services, including a 24-hour helpline, public information 5 resources, professional training, youth prevention, and program 6 evaluation. 7 c. The requirement of section 123.17, subsection 5 , is met 8 by the appropriations and allocations made in this division of 9 this Act for purposes of substance-related disorder treatment 10 and addictive disorders for the fiscal year beginning July 1, 11 2018. 12 d. The department of public health, in collaboration with 13 the department of human services, shall engage a stakeholder 14 workgroup to review reimbursement provisions applicable 15 to substance use disorder services providers. The issues 16 considered by the workgroup shall include but are not limited 17 to the adequacy of reimbursement provisions including for 18 both outpatient and residential treatment, whether it is 19 appropriate to rebase reimbursement, whether there is equity in 20 reimbursement compared to the reimbursement methodologies used 21 for providers of similar behavioral health services, and access 22 to substance use disorder services providers including whether 23 the designated number of community mental health centers in the 24 state is sufficient. The workgroup shall review the reports 25 of previous workgroups including those authorized in 2014 Iowa 26 Acts, chapter 1140, section 3, subsection 1, and shall report 27 the workgroup’s findings and recommendations to the general 28 assembly on or before December 15, 2018. 29 2. HEALTHY CHILDREN AND FAMILIES 30 For promoting the optimum health status for children, 31 adolescents from birth through 21 years of age, and families, 32 and for not more than the following full-time equivalent 33 positions: 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,662,816 35 -5- LSB 5031SV (1) 87 pf/rn 5/ 120
S.F. 2418 5,820,625 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 2 a. Of the funds appropriated in this subsection, not 3 more than $367,420 $734,841 shall be used for the healthy 4 opportunities for parents to experience success (HOPES)-healthy 5 families Iowa (HFI) program established pursuant to section 6 135.106 . The funding shall be distributed to renew the grants 7 that were provided to the grantees that operated the program 8 during the fiscal year ending June 30, 2018. 9 b. In order to implement the legislative intent stated in 10 sections 135.106 and 256I.9 , that priority for home visitation 11 program funding be given to programs using evidence-based or 12 promising models for home visitation, it is the intent of the 13 general assembly to phase in the funding priority in accordance 14 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2, 15 paragraph “0b” . 16 c. Of the funds appropriated in this subsection, $1,537,550 17 $3,075,101 shall be used for continuation of the department’s 18 initiative to provide for adequate developmental surveillance 19 and screening during a child’s first five years. The funds 20 shall be used first to fully fund the current sites to ensure 21 that the sites are fully operational, with the remaining 22 funds to be used for expansion to additional sites. The full 23 implementation and expansion shall include enhancing the scope 24 of the initiative through collaboration with the child health 25 specialty clinics to promote healthy child development through 26 early identification and response to both biomedical and social 27 determinants of healthy development; by monitoring child 28 health metrics to inform practice, document long-term health 29 impacts and savings, and provide for continuous improvement 30 through training, education, and evaluation; and by providing 31 for practitioner consultation particularly for children with 32 behavioral conditions and needs. The department of public 33 health shall also collaborate with the Iowa Medicaid enterprise 34 and the child health specialty clinics to integrate the 35 -6- LSB 5031SV (1) 87 pf/rn 6/ 120
S.F. 2418 activities of the first five initiative into the establishment 1 of patient-centered medical homes, community utilities, 2 accountable care organizations, and other integrated care 3 models developed to improve health quality and population 4 health while reducing health care costs. To the maximum extent 5 possible, funding allocated in this paragraph shall be utilized 6 as matching funds for medical assistance program reimbursement. 7 d. Of the funds appropriated in this subsection, $32,320 8 $64,640 shall be distributed to a statewide dental carrier to 9 provide funds to continue the donated dental services program 10 patterned after the projects developed by the lifeline network 11 to provide dental services to indigent individuals who are 12 elderly or with disabilities. 13 e. Of the funds appropriated in this subsection, $78,241 14 $156,482 shall be used to provide audiological services and 15 hearing aids for children. The department may enter into a 16 contract to administer this paragraph. 17 f. Of the funds appropriated in this subsection, $11,500 18 $23,000 is transferred to the university of Iowa college of 19 dentistry for provision of primary dental services to children. 20 State funds shall be matched on a dollar-for-dollar basis. 21 The university of Iowa college of dentistry shall coordinate 22 efforts with the department of public health, bureau of 23 oral and health delivery systems, to provide dental care to 24 underserved populations throughout the state. 25 g. Of the funds appropriated in this subsection, $25,000 26 $50,000 shall be used to address youth suicide prevention. 27 h. Of the funds appropriated in this subsection, $20,255 28 $40,511 shall be used to support the Iowa effort to address the 29 survey of children who experience adverse childhood experiences 30 known as ACEs. 31 i. The department of public health shall continue to 32 administer the program to assist parents in this state with 33 costs resulting from the death of a child in accordance with 34 the provisions of 2014 Iowa Acts, chapter 1140, section 22, 35 -7- LSB 5031SV (1) 87 pf/rn 7/ 120
S.F. 2418 subsection 12 . 1 j. Of the funds appropriated in this subsection, up to 2 $494,993 shall be used for childhood obesity prevention. 3 3. CHRONIC CONDITIONS 4 For serving individuals identified as having chronic 5 conditions or special health care needs, and for not more than 6 the following full-time equivalent positions: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,085,375 8 4,528,109 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 10 9.00 11 a. Of the funds appropriated in this subsection, $76,877 12 $153,755 shall be used for grants to individual patients who 13 have an inherited metabolic disorder to assist with the costs 14 of medically necessary foods and formula. 15 b. Of the funds appropriated in this subsection, $510,397 16 $1,055,291 shall be used for the brain injury services program 17 pursuant to section 135.22B , including for contracting with an 18 existing nationally affiliated and statewide organization whose 19 purpose is to educate, serve, and support Iowans with brain 20 injury and their families for resource facilitator services 21 in accordance with section 135.22B, subsection 9 , and for 22 contracting to enhance brain injury training and recruitment 23 of service providers on a statewide basis. Of the amount 24 allocated in this paragraph, $47,500 $95,000 shall be used to 25 fund one full-time equivalent position to serve as the state 26 brain injury services program manager. 27 c. Of the funds appropriated in this subsection, $72,048 28 $144,097 shall be used for the public purpose of continuing 29 to contract with an existing national-affiliated organization 30 to provide education, client-centered programs, and client 31 and family support for people living with epilepsy and their 32 families. The amount allocated in this paragraph in excess 33 of $50,000 $100,000 shall be matched dollar-for-dollar by the 34 organization specified. 35 -8- LSB 5031SV (1) 87 pf/rn 8/ 120
S.F. 2418 d. Of the funds appropriated in this subsection, $404,775 1 $809,550 shall be used for child health specialty clinics. 2 e. Of the funds appropriated in this subsection, 3 $192,276 $384,552 shall be used by the regional autism 4 assistance program established pursuant to section 256.35 , 5 and administered by the child health specialty clinic located 6 at the university of Iowa hospitals and clinics. The funds 7 shall be used to enhance interagency collaboration and 8 coordination of educational, medical, and other human services 9 for persons with autism, their families, and providers of 10 services, including delivering regionalized services of care 11 coordination, family navigation, and integration of services 12 through the statewide system of regional child health specialty 13 clinics and fulfilling other requirements as specified in 14 chapter 225D . The university of Iowa shall not receive funds 15 allocated under this paragraph for indirect costs associated 16 with the regional autism assistance program. 17 f. Of the funds appropriated in this subsection, $288,687 18 $577,375 shall be used for the comprehensive cancer control 19 program to reduce the burden of cancer in Iowa through 20 prevention, early detection, effective treatment, and ensuring 21 quality of life. Of the funds allocated in this paragraph “f”, 22 $75,000 $150,000 shall be used to support a melanoma research 23 symposium, a melanoma biorepository and registry, basic and 24 translational melanoma research, and clinical trials. 25 g. Of the funds appropriated in this subsection, $48,766 26 $97,532 shall be used for cervical and colon cancer screening, 27 and $88,860 $177,720 shall be used to enhance the capacity of 28 the cervical cancer screening program to include provision 29 of recommended prevention and early detection measures to a 30 broader range of low-income women. 31 h. Of the funds appropriated in this subsection, $253,177 32 $506,355 shall be used for the center for congenital and 33 inherited disorders. 34 i. Of the funds appropriated in this subsection, $107,631 35 -9- LSB 5031SV (1) 87 pf/rn 9/ 120
S.F. 2418 $225,263 shall be used by the department of public health 1 for reform-related activities, including but not limited to 2 facilitation of communication to stakeholders at the state and 3 local level, administering the patient-centered health advisory 4 council pursuant to section 135.159 , and involvement in health 5 care system innovation activities occurring across the state. 6 j. Of the funds appropriated in this subsection, $11,050 7 $322,100 shall be used for administration of chapter 124D 124E , 8 the medical cannabidiol Act. 9 4. COMMUNITY CAPACITY 10 For strengthening the health care delivery system at the 11 local level, and for not more than the following full-time 12 equivalent positions: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,453,888 14 4,865,152 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 16 a. Of the funds appropriated in this subsection, $47,787 17 $95,575 is allocated for continuation of the child vision 18 screening program implemented through the university of Iowa 19 hospitals and clinics in collaboration with early childhood 20 Iowa areas. The program shall submit a report to the 21 individuals identified in this Act for submission of reports 22 regarding the use of funds allocated under this paragraph 23 “a”. The report shall include the objectives and results for 24 the program year including the target population and how the 25 funds allocated assisted the program in meeting the objectives; 26 the number, age, and location within the state of individuals 27 served; the type of services provided to the individuals 28 served; the distribution of funds based on service provided; 29 and the continuing needs of the program. 30 b. Of the funds appropriated in this subsection, $52,828 is 31 allocated for continuation of an initiative implemented at the 32 university of Iowa to expand and improve the workforce engaged 33 in mental health treatment and services. The initiative shall 34 receive input from the university of Iowa, the department of 35 -10- LSB 5031SV (1) 87 pf/rn 10/ 120
S.F. 2418 human services, the department of public health, and the mental 1 health and disability services commission to address the focus 2 of the initiative. 3 c. Of the funds appropriated in this section, $41,657 shall 4 be deposited in the governmental public health system fund 5 created in section 135A.8 to be used for the purposes of the 6 fund. 7 d. Of the funds appropriated in this subsection, $24,034 8 $48,069 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 e. Of the funds appropriated in this subsection, the 15 following amounts are allocated to be used as follows to 16 support the Iowa collaborative safety net provider network 17 goals of increased access, health system integration, and 18 engagement. 19 (1) Not less than $260,931 $437,829 is allocated to the 20 Iowa prescription drug corporation for continuation of the 21 pharmaceutical infrastructure for safety net providers as 22 described in 2007 Iowa Acts, chapter 218, section 108 , and for 23 the prescription drug donation repository program created in 24 chapter 135M . 25 (2) Not less than $167,435 $334,870 is allocated to free 26 clinics and free clinics of Iowa for necessary infrastructure, 27 statewide coordination, provider recruitment, service delivery, 28 and provision of assistance to patients in securing a medical 29 home inclusive of oral health care. 30 (3) Not less than $12,500 $25,000 is allocated to the 31 Iowa association of rural health clinics for necessary 32 infrastructure and service delivery transformation. 33 (4) Not less than $50,000 $205,493 is allocated to the 34 Polk county medical society for continuation of the safety net 35 -11- LSB 5031SV (1) 87 pf/rn 11/ 120
S.F. 2418 provider patient access to a specialty health care initiative 1 as described in 2007 Iowa Acts, chapter 218, section 109 . 2 f. Of the funds appropriated in this subsection, $38,115 3 $15,000 shall be used by the department in implementing 4 the recommendations in the final report submitted by the 5 direct care worker advisory council to the governor and the 6 general assembly in March 2012, including by continuing to 7 develop, promote, and make available on a statewide basis the 8 prepare-to-care core curriculum and its associated modules 9 and specialties through various formats including online 10 access, community colleges, and other venues; exploring new and 11 maintaining existing specialties including but not limited to 12 oral health and dementia care; supporting instructor training; 13 and assessing and making recommendations concerning the Iowa 14 care book and information technology systems and infrastructure 15 uses and needs. 16 g. Of the funds appropriated in this subsection, $95,594 17 $176,188 shall be allocated for continuation of the contract 18 with an independent statewide direct care worker organization 19 previously selected through a request for proposals process. 20 The contract shall continue to include performance and outcomes 21 measures, and shall continue to allow the contractor to use a 22 portion of the funds received under the contract to collect 23 data to determine results based on the performance and outcomes 24 measures. 25 h. Of the funds appropriated in this subsection, the 26 department may use up to $29,087 $58,175 for up to one 27 full-time equivalent position to administer the volunteer 28 health care provider program pursuant to section 135.24 . 29 i. Of the funds appropriated in this subsection, $48,069 30 $96,138 shall be used for a matching dental education loan 31 repayment program to be allocated to a dental nonprofit health 32 service corporation to continue to develop the criteria and 33 implement the loan repayment program. 34 j. Of the funds appropriated in this subsection, $26,455 is 35 -12- LSB 5031SV (1) 87 pf/rn 12/ 120
S.F. 2418 transferred to the college student aid commission for deposit 1 in the rural Iowa primary care trust fund created in section 2 261.113 to be used for the purposes of the fund. 3 k. Of the funds appropriated in this subsection, $75,000 4 $100,000 shall be used for the purposes of the Iowa donor 5 registry as specified in section 142C.18 . 6 l. Of the funds appropriated in this subsection, $48,069 7 $96,138 shall be used for continuation of a grant to a 8 nationally affiliated volunteer eye organization that has an 9 established program for children and adults and that is solely 10 dedicated to preserving sight and preventing blindness through 11 education, nationally certified vision screening and training, 12 and community and patient service programs. The organization 13 shall submit a report to the individuals identified in this 14 Act for submission of reports regarding the use of funds 15 allocated under this paragraph “l”. The report shall include 16 the objectives and results for the program year including 17 the target population and how the funds allocated assisted 18 the program in meeting the objectives; the number, age, and 19 location within the state of individuals served; the type of 20 services provided to the individuals served; the distribution 21 of funds based on services provided; and the continuing needs 22 of the program. 23 m. Of the funds appropriated in this subsection, $436,327 24 $2,000,000 shall be deposited in the medical residency training 25 account created in section 135.175, subsection 5 , paragraph 26 “a”, and is appropriated from the account to the department 27 of public health to be used for the purposes of the medical 28 residency training state matching grants program as specified 29 in section 135.176 . 30 n. Of the funds appropriated in this subsection, $250,000 31 shall be used for the public purpose of providing funding to 32 Des Moines university to establish a provider education project 33 to provide primary care physicians with the training and skills 34 necessary to recognize signs of mental illness in patients. 35 -13- LSB 5031SV (1) 87 pf/rn 13/ 120
S.F. 2418 5. ESSENTIAL PUBLIC HEALTH SERVICES 1 To provide public health services that reduce risks and 2 invest in promoting and protecting good health over the 3 course of a lifetime with a priority given to older Iowans and 4 vulnerable populations: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,098,939 6 7,662,464 7 6. INFECTIOUS DISEASES 8 For reducing the incidence and prevalence of communicable 9 diseases, and for not more than the following full-time 10 equivalent positions: 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 823,213 12 1,796,426 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 14 7. PUBLIC PROTECTION 15 For protecting the health and safety of the public through 16 establishing standards and enforcing regulations, and for not 17 more than the following full-time equivalent positions: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,097,569 19 4,095,139 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 138.00 21 141.00 22 a. Of the funds appropriated in this subsection, not more 23 than $152,350 $304,700 shall be credited to the emergency 24 medical services fund created in section 135.25 . Moneys in 25 the emergency medical services fund are appropriated to the 26 department to be used for the purposes of the fund. 27 b. Of the funds appropriated in this subsection, up 28 to $121,630 $243,260 shall be used for sexual violence 29 prevention programming through a statewide organization 30 representing programs serving victims of sexual violence 31 through the department’s sexual violence prevention program, 32 and for continuation of a training program for sexual assault 33 response team (SART) members, including representatives of 34 law enforcement, victim advocates, prosecutors, and certified 35 -14- LSB 5031SV (1) 87 pf/rn 14/ 120
S.F. 2418 medical personnel. The amount allocated in this paragraph “b” 1 shall not be used to supplant funding administered for other 2 sexual violence prevention or victims assistance programs. 3 c. Of the funds appropriated in this subsection, up to 4 $287,813 $500,000 shall be used for the state poison control 5 center. Pursuant to the directive under 2014 Iowa Acts, 6 chapter 1140, section 102 , the federal matching funds available 7 to the state poison control center from the department of human 8 services under the federal Children’s Health Insurance Program 9 Reauthorization Act allotment shall be subject to the federal 10 administrative cap rule of 10 percent applicable to funding 11 provided under Tit. XXI of the federal Social Security Act and 12 included within the department’s calculations of the cap. 13 d. Of the funds appropriated in this subsection, up to 14 $258,491 $504,796 shall be used for childhood lead poisoning 15 provisions. 16 8. RESOURCE MANAGEMENT 17 For establishing and sustaining the overall ability of the 18 department to deliver services to the public, and for not more 19 than the following full-time equivalent positions: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 485,607 21 971,215 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 23 Sec. 7. 2017 Iowa Acts, chapter 174, section 42, subsections 24 10 and 11, are amended by striking the subsections. 25 DIVISION IV 26 DEPARTMENT OF VETERANS AFFAIRS —— FY 2018-2019 27 Sec. 8. 2017 Iowa Acts, chapter 174, section 43, is amended 28 to read as follows: 29 SEC. 43. DEPARTMENT OF VETERANS AFFAIRS. There is 30 appropriated from the general fund of the state to the 31 department of veterans affairs for the fiscal year beginning 32 July 1, 2018, and ending June 30, 2019, the following amounts, 33 or so much thereof as is necessary, to be used for the purposes 34 designated: 35 -15- LSB 5031SV (1) 87 pf/rn 15/ 120
S.F. 2418 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 1 For salaries, support, maintenance, and miscellaneous 2 purposes, and for not more than the following full-time 3 equivalent positions: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 571,278 5 1,150,500 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 7 2. IOWA VETERANS HOME 8 For salaries, support, maintenance, and miscellaneous 9 purposes: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,614,070 11 7,162,976 12 a. The Iowa veterans home billings involving the department 13 of human services shall be submitted to the department on at 14 least a monthly basis. 15 b. Within available resources and in conformance with 16 associated state and federal program eligibility requirements, 17 the Iowa veterans home may implement measures to provide 18 financial assistance to or on behalf of veterans or their 19 spouses who are participating in the community reentry program. 20 d. The Iowa veterans home shall continue to include in the 21 annual discharge report applicant information and to provide 22 for the collection of demographic information including but not 23 limited to the number of individuals applying for admission and 24 admitted or denied admittance and the basis for the admission 25 or denial; the age, gender, and race of such individuals; 26 and the level of care for which such individuals applied for 27 admission including residential or nursing level of care. 28 3. HOME OWNERSHIP ASSISTANCE PROGRAM 29 For transfer to the Iowa finance authority for the 30 continuation of the home ownership assistance program for 31 persons who are or were eligible members of the armed forces of 32 the United States, pursuant to section 16.54 : 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,000,000 34 2,000,000 35 -16- LSB 5031SV (1) 87 pf/rn 16/ 120
S.F. 2418 Sec. 9. 2017 Iowa Acts, chapter 174, section 44, is amended 1 to read as follows: 2 SEC. 44. LIMITATION OF COUNTY COMMISSIONS OF VETERAN 3 AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the 4 standing appropriation in section 35A.16 for the fiscal year 5 beginning July 1, 2018, and ending June 30, 2019, the amount 6 appropriated from the general fund of the state pursuant to 7 that section for the following designated purposes shall not 8 exceed the following amount: 9 For the county commissions of veteran affairs fund under 10 section 35A.16 : 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 473,962 12 990,000 13 DIVISION V 14 DEPARTMENT OF HUMAN SERVICES —— FY 2018-2019 15 Sec. 10. 2017 Iowa Acts, chapter 174, section 45, is amended 16 to read as follows: 17 SEC. 45. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 18 GRANT. There is appropriated from the fund created in section 19 8.41 to the department of human services for the fiscal year 20 beginning July 1, 2018, and ending June 30, 2019, from moneys 21 received under the federal temporary assistance for needy 22 families (TANF) block grant pursuant to the federal Personal 23 Responsibility and Work Opportunity Reconciliation Act of 1996, 24 Pub. L. No. 104-193, and successor legislation, the following 25 amounts, or so much thereof as is necessary, to be used for the 26 purposes designated: 27 1. To be credited to the family investment program account 28 and used for assistance under the family investment program 29 under chapter 239B : 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,556,231 31 4,539,006 32 2. To be credited to the family investment program account 33 and used for the job opportunities and basic skills (JOBS) 34 program and implementing family investment agreements in 35 -17- LSB 5031SV (1) 87 pf/rn 17/ 120
S.F. 2418 accordance with chapter 239B : 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,787,846 2 5,412,060 3 3. To be used for the family development and 4 self-sufficiency grant program in accordance with section 5 216A.107 : 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,449,490 7 2,883,980 8 Notwithstanding section 8.33 , moneys appropriated in this 9 subsection that remain unencumbered or unobligated at the close 10 of the fiscal year shall not revert but shall remain available 11 for expenditure for the purposes designated until the close of 12 the succeeding fiscal year. However, unless such moneys are 13 encumbered or obligated on or before September 30, 2019, the 14 moneys shall revert. 15 4. For field operations: 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,648,116 17 31,296,232 18 5. For general administration: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,872,000 20 3,744,000 21 6. For state child care assistance: 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 23,933,413 23 47,166,826 24 a. Of the funds appropriated in this subsection, 25 $13,164,048 $26,205,412 is transferred to the child care 26 and development block grant appropriation made by the 27 Eighty-seventh General Assembly, 2018 session, for the federal 28 fiscal year beginning October 1, 2018, and ending September 29 30, 2019. Of this amount, $100,000 $200,000 shall be used 30 for provision of educational opportunities to registered 31 child care home providers in order to improve services and 32 programs offered by this category of providers and to increase 33 the number of providers. The department may contract with 34 institutions of higher education or child care resource and 35 -18- LSB 5031SV (1) 87 pf/rn 18/ 120
S.F. 2418 referral centers to provide the educational opportunities. 1 Allowable administrative costs under the contracts shall not 2 exceed 5 percent. The application for a grant shall not exceed 3 two pages in length. 4 b. Any funds appropriated in this subsection remaining 5 unallocated shall be used for state child care assistance 6 payments for families who are employed including but not 7 limited to individuals enrolled in the family investment 8 program. 9 7. For child and family services: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,190,327 11 32,380,654 12 8. For child abuse prevention grants: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,500 14 125,000 15 9. For pregnancy prevention grants on the condition that 16 family planning services are funded: 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 965,033 18 1,913,203 19 Pregnancy prevention grants shall be awarded to programs 20 in existence on or before July 1, 2018, if the programs have 21 demonstrated positive outcomes. Grants shall be awarded to 22 pregnancy prevention programs which are developed after July 23 1, 2018, if the programs are based on existing models that 24 have demonstrated positive outcomes. Grants shall comply with 25 the requirements provided in 1997 Iowa Acts, chapter 208, 26 section 14, subsections 1 and 2 , including the requirement that 27 grant programs must emphasize sexual abstinence. Priority in 28 the awarding of grants shall be given to programs that serve 29 areas of the state which demonstrate the highest percentage of 30 unplanned pregnancies of females of childbearing age within the 31 geographic area to be served by the grant. 32 10. For technology needs and other resources necessary 33 to meet federal welfare reform reporting, tracking, and case 34 management requirements: 35 -19- LSB 5031SV (1) 87 pf/rn 19/ 120
S.F. 2418 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 518,593 1 1,037,186 2 11. a. Notwithstanding any provision to the contrary, 3 including but not limited to requirements in section 8.41 or 4 provisions in 2017 or 2018 Iowa Acts regarding the receipt and 5 appropriation of federal block grants, federal funds from the 6 temporary assistance for needy families block grant received 7 by the state and not otherwise appropriated in this section 8 and remaining available for the fiscal year beginning July 1, 9 2018, are appropriated to the department of human services to 10 the extent as may be necessary to be used in the following 11 priority order: the family investment program, for state child 12 care assistance program payments for families who are employed, 13 and for the family investment program share of system costs 14 to develop and maintain a new, integrated for eligibility 15 determination system and related functions . The federal funds 16 appropriated in this paragraph “a” shall be expended only after 17 all other funds appropriated in subsection 1 for assistance 18 under the family investment program, in subsection 6 for child 19 care assistance, or in subsection 10 for technology costs 20 related to the family investment program, as applicable, have 21 been expended. For the purposes of this subsection, the funds 22 appropriated in subsection 6, paragraph “a”, for transfer 23 to the child care and development block grant appropriation 24 are considered fully expended when the full amount has been 25 transferred. 26 b. The department shall, on a quarterly basis, advise the 27 legislative services agency and department of management of 28 the amount of funds appropriated in this subsection that was 29 expended in the prior quarter. 30 12. Of the amounts appropriated in this section, $6,481,004 31 $12,962,008 for the fiscal year beginning July 1, 2018, is 32 transferred to the appropriation of the federal social services 33 block grant made to the department of human services for that 34 fiscal year. 35 -20- LSB 5031SV (1) 87 pf/rn 20/ 120
S.F. 2418 13. For continuation of the program providing categorical 1 eligibility for the food assistance program as specified 2 for the program in the section of this division of this Act 3 relating to the family investment program account: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,500 5 14,236 6 14. The department may transfer funds allocated in this 7 section to the appropriations made in this division of this Act 8 for the same fiscal year for general administration and field 9 operations for resources necessary to implement and operate the 10 services referred to in this section and those funded in the 11 appropriation made in this division of this Act for the same 12 fiscal year for the family investment program from the general 13 fund of the state. 14 15. With the exception of moneys allocated under this 15 section for the family development and self-sufficiency grant 16 program, to the extent moneys allocated in this section are 17 deemed by the department not to be necessary to support the 18 purposes for which they are allocated, such moneys may be 19 credited used in the same fiscal year for any other purpose 20 for which funds are allocated in this section or in section 7 21 of this division for the family investment program account. 22 If there are conflicting needs, priority shall first be given 23 to the family investment program account as specified under 24 subsection 1 of this section and used for the purposes of 25 assistance under the family investment program under chapter 26 239B in the same fiscal year , followed by state child care 27 assistance program payments for families who are employed, 28 followed by other priorities as specified by the department . 29 Sec. 11. 2017 Iowa Acts, chapter 174, section 46, subsection 30 4, is amended to read as follows: 31 4. Moneys appropriated in this division of this Act and 32 credited to the FIP account for the fiscal year beginning July 33 1, 2018, and ending June 30, 2019, are allocated as follows: 34 a. To be retained by the department of human services to 35 -21- LSB 5031SV (1) 87 pf/rn 21/ 120
S.F. 2418 be used for coordinating with the department of human rights 1 to more effectively serve participants in FIP and other shared 2 clients and to meet federal reporting requirements under the 3 federal temporary assistance for needy families block grant: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,000 5 5,000 6 b. To the department of human rights for staffing, 7 administration, and implementation of the family development 8 and self-sufficiency grant program in accordance with section 9 216A.107 : 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,096,417 11 6,192,834 12 (1) Of the funds allocated for the family development 13 and self-sufficiency grant program in this paragraph “b”, 14 not more than 5 percent of the funds shall be used for the 15 administration of the grant program. 16 (2) The department of human rights may continue to implement 17 the family development and self-sufficiency grant program 18 statewide during fiscal year 2018-2019. 19 (3) The department of human rights may engage in activities 20 to strengthen and improve family outcomes measures and 21 data collection systems under the family development and 22 self-sufficiency grant program. 23 c. For the diversion subaccount of the FIP account: 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 407,500 25 749,694 26 A portion of the moneys allocated for the subaccount may 27 be used for field operations, salaries, data management 28 system development, and implementation costs and support 29 deemed necessary by the director of human services in order to 30 administer the FIP diversion program. To the extent moneys 31 allocated in this paragraph “c” are deemed by the department 32 not to be necessary to support diversion activities, such 33 moneys may be used for other efforts intended to increase 34 engagement by family investment program participants in work, 35 -22- LSB 5031SV (1) 87 pf/rn 22/ 120
S.F. 2418 education, or training activities, or for the purposes of 1 assistance under the family investment program in accordance 2 with chapter 239B . 3 d. For the food assistance employment and training program: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,294 5 66,588 6 (1) The department shall apply the federal supplemental 7 nutrition assistance program (SNAP) employment and training 8 state plan in order to maximize to the fullest extent permitted 9 by federal law the use of the 50 percent federal reimbursement 10 provisions for the claiming of allowable federal reimbursement 11 funds from the United States department of agriculture 12 pursuant to the federal SNAP employment and training program 13 for providing education, employment, and training services 14 for eligible food assistance program participants, including 15 but not limited to related dependent care and transportation 16 expenses. 17 (2) The department shall continue the categorical federal 18 food assistance program eligibility at 160 percent of the 19 federal poverty level and continue to eliminate the asset test 20 from eligibility requirements, consistent with federal food 21 assistance program requirements. The department shall include 22 as many food assistance households as is allowed by federal 23 law. The eligibility provisions shall conform to all federal 24 requirements including requirements addressing individuals who 25 are incarcerated or otherwise ineligible. 26 e. For the JOBS program: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,761,645 28 12,139,821 29 Sec. 12. 2017 Iowa Acts, chapter 174, section 46, is amended 30 by adding the following new subsection: 31 NEW SUBSECTION . 7. The department of human services shall 32 convene a workgroup to review opportunities to increase state 33 engagement in the supplemental nutrition assistance program 34 (SNAP) employment and training program. The workgroup shall 35 -23- LSB 5031SV (1) 87 pf/rn 23/ 120
S.F. 2418 explore the feasibility of expansion of the current pilot 1 program to a statewide basis, the potential involvement of 2 community-based organizations to the extent allowed by federal 3 law, and the leveraging of state and private funding to match 4 available federal funds. The membership of the workgroup 5 shall include representatives of the department of human 6 services, community colleges, community-based organizations 7 serving SNAP recipients, philanthropic organizations, and other 8 stakeholders with relevant interest or expertise as determined 9 by the department. The workgroup shall submit a report of its 10 findings and recommendations to the governor and the general 11 assembly by December 15, 2018. 12 Sec. 13. 2017 Iowa Acts, chapter 174, section 47, unnumbered 13 paragraph 2, is amended to read as follows: 14 To be credited to the family investment program (FIP) 15 account and used for family investment program assistance under 16 chapter 239B : 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 21,502,240 18 40,365,715 19 Sec. 14. 2017 Iowa Acts, chapter 174, section 47, 20 subsections 1, 2, 4, and 5, are amended to read as follows: 21 1. Of the funds appropriated in this section, $3,973,798 22 $6,727,761 is allocated for the JOBS program. 23 2. Of the funds appropriated in this section, $1,656,927 24 $3,313,854 is allocated for the family development and 25 self-sufficiency grant program. 26 4. Of the funds appropriated in this section, $97,839 27 $195,678 shall be used for continuation of a grant to an 28 Iowa-based nonprofit organization with a history of providing 29 tax preparation assistance to low-income Iowans in order to 30 expand the usage of the earned income tax credit. The purpose 31 of the grant is to supply this assistance to underserved areas 32 of the state. 33 5. Of the funds appropriated in this section, $30,000 34 $70,000 shall be used for the continuation of an unfunded pilot 35 -24- LSB 5031SV (1) 87 pf/rn 24/ 120
S.F. 2418 project the parenting program , as defined specified in 441 IAC 1 100.1 100 , relating to parental obligations, in which the child 2 support recovery unit participates, to support the efforts 3 of a nonprofit organization committed to strengthening the 4 community through youth development, healthy living, and social 5 responsibility headquartered in a county with a population 6 over 350,000 according to the latest certified federal 7 census. The funds allocated in this subsection shall be used 8 by the recipient organization to develop a larger community 9 effort, through public and private partnerships, to support a 10 broad-based multi-county fatherhood parenthood initiative that 11 promotes payment of child support obligations, improved family 12 relationships, and full-time employment. 13 Sec. 15. 2017 Iowa Acts, chapter 174, section 48, unnumbered 14 paragraph 2, is amended to read as follows: 15 For child support recovery, including salaries, support, 16 maintenance, and miscellaneous purposes, and for not more than 17 the following full-time equivalent positions: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,293,317 19 14,586,635 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 459.00 21 Sec. 16. 2017 Iowa Acts, chapter 174, section 48, subsection 22 1, is amended to read as follows: 23 1. The department shall expend up to $12,164 $24,329 , 24 including federal financial participation, for the fiscal year 25 beginning July 1, 2018, for a child support public awareness 26 campaign. The department and the office of the attorney 27 general shall cooperate in continuation of the campaign. The 28 public awareness campaign shall emphasize, through a variety 29 of media activities, the importance of maximum involvement of 30 both parents in the lives of their children as well as the 31 importance of payment of child support obligations. 32 Sec. 17. 2017 Iowa Acts, chapter 174, section 51, unnumbered 33 paragraph 2, is amended to read as follows: 34 For medical assistance program reimbursement and associated 35 -25- LSB 5031SV (1) 87 pf/rn 25/ 120
S.F. 2418 costs as specifically provided in the reimbursement 1 methodologies in effect on June 30, 2018, except as otherwise 2 expressly authorized by law, consistent with options under 3 federal law and regulations, and contingent upon receipt of 4 approval from the office of the governor of reimbursement for 5 each abortion performed under the program: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 642,202,870 7 1,337,946,375 8 Sec. 18. 2017 Iowa Acts, chapter 174, section 51, 9 subsections 3, 4, 5, 6, 7, 8, 14, 17, 18, and 19, are amended 10 to read as follows: 11 3. The department shall utilize not more than $30,000 12 $60,000 of the funds appropriated in this section to continue 13 the AIDS/HIV health insurance premium payment program as 14 established in 1992 Iowa Acts, Second Extraordinary Session, 15 chapter 1001, section 409, subsection 6 . Of the funds 16 allocated in this subsection, not more than $2,500 $5,000 may 17 be expended for administrative purposes. 18 4. Of the funds appropriated in this Act to the 19 department of public health for addictive disorders, $475,000 20 $950,000 for the fiscal year beginning July 1, 2018, is 21 transferred to the department of human services for an 22 integrated substance-related disorder managed care system. 23 The departments of human services and public health shall 24 work together to maintain the level of mental health and 25 substance-related disorder treatment services provided by the 26 managed care contractors. Each department shall take the steps 27 necessary to continue the federal waivers as necessary to 28 maintain the level of services. 29 5. a. The department shall aggressively pursue options for 30 providing medical assistance or other assistance to individuals 31 with special needs who become ineligible to continue receiving 32 services under the early and periodic screening, diagnostic, 33 and treatment program under the medical assistance program 34 due to becoming 21 years of age who have been approved for 35 -26- LSB 5031SV (1) 87 pf/rn 26/ 120
S.F. 2418 additional assistance through the department’s exception to 1 policy provisions, but who have health care needs in excess 2 of the funding available through the exception to policy 3 provisions. 4 b. Of the funds appropriated in this section, $50,000 5 $100,000 shall be used for participation in one or more 6 pilot projects operated by a private provider to allow the 7 individual or individuals to receive service in the community 8 in accordance with principles established in Olmstead v. 9 L.C., 527 U.S. 581 (1999), for the purpose of providing 10 medical assistance or other assistance to individuals with 11 special needs who become ineligible to continue receiving 12 services under the early and periodic screening, diagnostic, 13 and treatment program under the medical assistance program 14 due to becoming 21 years of age who have been approved for 15 additional assistance through the department’s exception to 16 policy provisions, but who have health care needs in excess 17 of the funding available through the exception to the policy 18 provisions. 19 6. Of the funds appropriated in this section, up to 20 $1,525,041 $3,050,082 may be transferred to the field 21 operations or general administration appropriations in this 22 division of this Act for operational costs associated with Part 23 D of the federal Medicare Prescription Drug Improvement and 24 Modernization Act of 2003, Pub. L. No. 108-173. 25 7. Of the funds appropriated in this section, up to 26 $221,050 $442,100 may be transferred to the appropriation in 27 this division of this Act for medical contracts to be used 28 for clinical assessment services and prior authorization of 29 services. 30 8. A portion of the funds appropriated in this section 31 may be transferred to the appropriations in this division of 32 this Act for general administration, medical contracts, the 33 children’s health insurance program, or field operations to be 34 used for the state match cost to comply with the payment error 35 -27- LSB 5031SV (1) 87 pf/rn 27/ 120
S.F. 2418 rate measurement (PERM) program for both the medical assistance 1 and children’s health insurance programs as developed by the 2 centers for Medicare and Medicaid services of the United States 3 department of health and human services to comply with the 4 federal Improper Payments Information Act of 2002, Pub. L. 5 No. 107-300 , and to support other reviews and quality control 6 activities to improve the integrity of these programs . 7 14. Of the funds appropriated in this section, $174,505 8 $349,011 shall be used for the administration of the health 9 insurance premium payment program, including salaries, support, 10 maintenance, and miscellaneous purposes. 11 17. a. Of the funds appropriated in this section, up 12 to $25,000 $50,000 may be transferred by the department to 13 the appropriation made in this division of this Act to the 14 department for the same fiscal year for general administration 15 to be used for associated administrative expenses and for not 16 more than one full-time equivalent position, in addition to 17 those authorized for the same fiscal year, to be assigned to 18 implementing the children’s mental health home project. 19 b. Of the funds appropriated in this section, up to 20 $200,000 $400,000 may be transferred by the department to 21 the appropriation made to the department in this division of 22 this Act for the same fiscal year for Medicaid program-related 23 general administration planning and implementation activities. 24 The funds may be used for contracts or for personnel in 25 addition to the amounts appropriated for and the positions 26 authorized for general administration for the fiscal year. 27 c. Of the funds appropriated in this section, up to 28 $1,500,000 $3,000,000 may be transferred by the department 29 to the appropriations made in this division of this Act 30 for the same fiscal year for general administration or 31 medical contracts to be used to support the development 32 and implementation of standardized assessment tools for 33 persons with mental illness, an intellectual disability, a 34 developmental disability, or a brain injury. 35 -28- LSB 5031SV (1) 87 pf/rn 28/ 120
S.F. 2418 18. Of the funds appropriated in this section, $75,000 1 $150,000 shall be used for lodging expenses associated with 2 care provided at the university of Iowa hospitals and clinics 3 for patients with cancer whose travel distance is 30 miles or 4 more and whose income is at or below 200 percent of the federal 5 poverty level as defined by the most recently revised poverty 6 income guidelines published by the United States department of 7 health and human services. The department of human services 8 shall establish the maximum number of overnight stays and the 9 maximum rate reimbursed for overnight lodging, which may be 10 based on the state employee rate established by the department 11 of administrative services. The funds allocated in this 12 subsection shall not be used as nonfederal share matching 13 funds. 14 19. Of the funds appropriated in this section, up to 15 $1,691,940 $3,383,880 shall be used for administration of the 16 state family planning services program as enacted in this 2017 17 Act, and of this amount the department may use to up $100,000 18 up to $200,000 for administrative expenses. 19 Sec. 19. 2017 Iowa Acts, chapter 174, section 51, is amended 20 by adding the following new subsections: 21 NEW SUBSECTION . 22. Of the funds appropriated in this 22 section, $300,000 shall be used by the department of human 23 services through a request for proposals process to establish 24 a partnership between the university of Iowa hospitals and 25 clinics and a nonprofit durable medical equipment provider 26 and manufacturer to provide new, refurbished, or repaired 27 durable medical equipment to Medicaid members in the state. 28 Such durable medical equipment provider and manufacturer 29 shall be authorized as a Medicaid provider in the state on or 30 after April 1, 2018, and shall have the capability to provide 31 assessments for customized wheelchairs, manufacture bathing aid 32 equipment and mobility bathing aids, offer in-home care, and 33 sell durable medical equipment at cost in Iowa and online as of 34 June 1, 2018. 35 -29- LSB 5031SV (1) 87 pf/rn 29/ 120
S.F. 2418 NEW SUBSECTION . 23. The department of human services shall 1 expand Medicaid coverage to provide care for young adults with 2 complex medical conditions in a special population nursing 3 facility as specified by rule of the department pursuant to 4 this subsection. The department shall adopt rules pursuant to 5 chapter 17A to expand the criteria for a special population 6 nursing facility under the Medicaid program to include a 7 nursing facility that serves residents, 100 percent of whom are 8 aged 30 and under and require the skilled level of care, and to 9 include a nursing facility that serves residents, 100 percent 10 of whom require care from a facility licensed by the department 11 of inspections and appeals as an intermediate care facility 12 for persons with medical complexity as defined by rule of the 13 department. 14 NEW SUBSECTION . 24. Consistent with the informational 15 bulletin published May 9, 2017, by the centers for Medicare and 16 Medicaid services of the United States department of health and 17 human services, in implementing the regulation that finalized 18 criteria for home and community-based settings appropriate for 19 provision of home and community-based services, the department 20 of human services shall continue progress with the statewide 21 transition plan to be approved by March 17, 2019, but shall 22 extend the transition period to demonstrate compliance with 23 the home and community-based settings criteria until March 17, 24 2022, for those settings to which a transition period applies. 25 NEW SUBSECTION . 25. The department of human services shall 26 utilize $3,000,000 of the funds appropriated under this section 27 to adjust current supported community living provider daily 28 rate cells under the tiered rate reimbursement methodology 29 effective with dates of service beginning July 1, 2018. The 30 department shall work with the Medicaid program actuary to 31 evaluate the current tiered rates and the tiered rates phase-in 32 plan to determine the necessary apportionment of such funds. 33 In addition, the department, working with the Medicaid program 34 actuary, shall review the current tiered rates and the tiered 35 -30- LSB 5031SV (1) 87 pf/rn 30/ 120
S.F. 2418 rates phase-in plan and shall propose recommendations for any 1 changes. The department shall convene the tiered rate provider 2 workgroup initially convened in the fiscal year beginning July 3 1, 2016, to review the actuarial findings and recommendations. 4 The tiered rates may be adjusted based upon the actuarial 5 findings and recommendations if such adjustments are budget 6 neutral. A report of the actuarial findings, recommendations, 7 and comments provided by the tiered rate provider workgroup 8 shall be submitted to the governor and the general assembly by 9 December 15, 2018. If additional funding is appropriated to 10 implement the recommendations, the additional funding shall be 11 incorporated into the managed care organization capitation rate 12 setting process for the fiscal year beginning July 1, 2019. 13 NEW SUBSECTION . 26. The department of human services shall 14 review all current Medicaid fee schedules and shall submit a 15 report to the governor and the general assembly by January 15, 16 2019, regarding how the current rates compare to the equivalent 17 Medicare fee schedules or other appropriate reimbursement 18 methodologies for specific services and including a plan for 19 phased-in implementation of any changes. 20 NEW SUBSECTION . 27. Of the funds appropriated in this 21 section, $1,545,530 shall be used and may be transferred to 22 other appropriations in this division of this Act as necessary 23 to administer the provisions in the division of this Act 24 relating to Medicaid program administration. 25 NEW SUBSECTION . 28. Of the funds appropriated in this 26 section, $876,015 shall be used and may be transferred to other 27 appropriations in this division of this Act as necessary to 28 administer the provisions of 2018 Iowa Acts, House File 2456, 29 as enacted. 30 Sec. 20. 2017 Iowa Acts, chapter 174, section 52, is amended 31 to read as follows: 32 SEC. 52. MEDICAL CONTRACTS. There is appropriated from the 33 general fund of the state to the department of human services 34 for the fiscal year beginning July 1, 2018, and ending June 30, 35 -31- LSB 5031SV (1) 87 pf/rn 31/ 120
S.F. 2418 2019, the following amount, or so much thereof as is necessary, 1 to be used for the purpose designated: 2 For medical contracts: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,813,232 4 16,603,198 5 1. The department of inspections and appeals shall 6 provide all state matching funds for survey and certification 7 activities performed by the department of inspections 8 and appeals. The department of human services is solely 9 responsible for distributing the federal matching funds for 10 such activities. 11 2. Of the funds appropriated in this section, $25,000 12 $50,000 shall be used for continuation of home and 13 community-based services waiver quality assurance programs, 14 including the review and streamlining of processes and policies 15 related to oversight and quality management to meet state and 16 federal requirements. 17 3. Of the amount appropriated in this section, up to 18 $100,000 $200,000 may be transferred to the appropriation 19 for general administration in this division of this Act to 20 be used for additional full-time equivalent positions in the 21 development of key health initiatives such as cost containment, 22 development and oversight of managed care programs, and 23 development of health strategies targeted toward improved 24 quality and reduced costs in the Medicaid program. 25 4. Of the funds appropriated in this section, $500,000 26 $1,000,000 shall be used for planning and development, 27 in cooperation with the department of public health, of a 28 phased-in program to provide a dental home for children. 29 5. Of the funds appropriated in this section, $475,000 30 $723,000 shall be credited to the autism support program fund 31 created in section 225D.2 to be used for the autism support 32 program created in chapter 225D , with the exception of the 33 following amounts of this allocation which shall be used as 34 follows: 35 -32- LSB 5031SV (1) 87 pf/rn 32/ 120
S.F. 2418 a. Of the funds allocated in this subsection, $125,000 1 shall be deposited in the board-certified behavior analyst and 2 board-certified assistant behavior analyst grants program fund 3 created in section 135.181 , to be used for the purposes of the 4 fund. 5 b. Of the funds allocated in this subsection, $12,500 6 $25,000 shall be used for the public purpose of continuation 7 of a grant to a child welfare services provider headquartered 8 in a county with a population between 205,000 and 215,000 in 9 the latest certified federal census that provides multiple 10 services including but not limited to a psychiatric medical 11 institution for children, shelter, residential treatment, after 12 school programs, school-based programming, and an Asperger’s 13 syndrome program, to be used for support services for children 14 with autism spectrum disorder and their families. 15 c. Of the funds allocated in this subsection, $12,500 16 shall be used for the public purpose of continuing a grant to 17 a hospital-based provider headquartered in a county with a 18 population between 90,000 and 95,000 in the latest certified 19 federal census that provides multiple services including 20 but not limited to diagnostic, therapeutic, and behavioral 21 services to individuals with autism spectrum disorder across 22 one’s lifespan. The grant recipient shall utilize the funds 23 to continue the pilot project to determine the necessary 24 support services for children with autism spectrum disorder and 25 their families to be included in the children’s disabilities 26 services system. The grant recipient shall submit findings and 27 recommendations based upon the results of the pilot project 28 to the individuals specified in this division of this Act for 29 submission of reports by December 31, 2018. 30 Sec. 21. 2017 Iowa Acts, chapter 174, section 53, unnumbered 31 paragraph 2, is amended to read as follows: 32 For the state supplementary assistance program: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,186,329 34 10,250,873 35 -33- LSB 5031SV (1) 87 pf/rn 33/ 120
S.F. 2418 Sec. 22. 2017 Iowa Acts, chapter 174, section 53, is amended 1 by adding the following new subsection: 2 NEW SUBSECTION . 4. Notwithstanding section 8.33, moneys 3 appropriated in this section that remain unencumbered or 4 unobligated at the close of the fiscal year shall not revert 5 but shall remain available for expenditure for the purposes 6 designated until the close of the succeeding fiscal year. 7 Sec. 23. 2017 Iowa Acts, chapter 174, section 54, is amended 8 to read as follows: 9 SEC. 54. CHILDREN’S HEALTH INSURANCE PROGRAM. 10 1. There is appropriated from the general fund of the 11 state to the department of human services for the fiscal year 12 beginning July 1, 2018, and ending June 30, 2019, the following 13 amount, or so much thereof as is necessary, to be used for the 14 purpose designated: 15 For maintenance of the healthy and well kids in Iowa (hawk-i) 16 program pursuant to chapter 514I , including supplemental dental 17 services, for receipt of federal financial participation under 18 Tit. XXI of the federal Social Security Act, which creates the 19 children’s health insurance program: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,259,226 21 7,064,057 22 2. Of the funds appropriated in this section, $21,400 23 $42,800 is allocated for continuation of the contract for 24 outreach with the department of public health. 25 Sec. 24. 2017 Iowa Acts, chapter 174, section 55, unnumbered 26 paragraph 2, is amended to read as follows: 27 For child care programs: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 19,671,808 29 40,816,831 30 Sec. 25. 2017 Iowa Acts, chapter 174, section 55, 31 subsections 1 and 4, are amended to read as follows: 32 1. Of the funds appropriated in this section, $16,746,808 33 $34,966,931 shall be used for state child care assistance in 34 accordance with section 237A.13 . 35 -34- LSB 5031SV (1) 87 pf/rn 34/ 120
S.F. 2418 4. Of the funds appropriated in this section, $2,925,000 1 $5,850,000 shall be credited to the early childhood programs 2 grants account in the early childhood Iowa fund created 3 in section 256I.11 . The moneys shall be distributed for 4 funding of community-based early childhood programs targeted 5 to children from birth through five years of age developed 6 by early childhood Iowa areas in accordance with approved 7 community plans as provided in section 256I.8 . 8 Sec. 26. 2017 Iowa Acts, chapter 174, section 56, is amended 9 to read as follows: 10 SEC. 56. JUVENILE INSTITUTION. There is appropriated 11 from the general fund of the state to the department of human 12 services for the fiscal year beginning July 1, 2018, and ending 13 June 30, 2019, the following amounts, or so much thereof as is 14 necessary, to be used for the purposes designated: 15 1. For operation of the state training school at Eldora and 16 for salaries, support, maintenance, and miscellaneous purposes, 17 and for not more than the following full-time equivalent 18 positions: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,675,221 20 12,762,443 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 189.00 22 Of the funds appropriated in this subsection, $45,575 23 $91,150 shall be used for distribution to licensed classroom 24 teachers at this and other institutions under the control of 25 the department of human services based upon the average student 26 yearly enrollment at each institution as determined by the 27 department. 28 2. A portion of the moneys appropriated in this section 29 shall be used by the state training school at Eldora for 30 grants for adolescent pregnancy prevention activities at the 31 institution in the fiscal year beginning July 1, 2018. 32 3. Of the funds appropriated in this subsection, $212,000 33 shall be used by the state training school at Eldora for a 34 substance use disorder treatment program at the institution in 35 -35- LSB 5031SV (1) 87 pf/rn 35/ 120
S.F. 2418 the fiscal year beginning July 1, 2018. 1 Sec. 27. 2017 Iowa Acts, chapter 174, section 57, is amended 2 to read as follows: 3 SEC. 57. CHILD AND FAMILY SERVICES. 4 1. There is appropriated from the general fund of the 5 state to the department of human services for the fiscal year 6 beginning July 1, 2018, and ending June 30, 2019, the following 7 amount, or so much thereof as is necessary, to be used for the 8 purpose designated: 9 For child and family services: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 43,639,687 11 84,939,774 12 2. The department may transfer funds appropriated in this 13 section as necessary to pay the nonfederal costs of services 14 reimbursed under the medical assistance program, state child 15 care assistance program, or the family investment program which 16 are provided to children who would otherwise receive services 17 paid under the appropriation in this section. The department 18 may transfer funds appropriated in this section to the 19 appropriations made in this division of this Act for general 20 administration and for field operations for resources necessary 21 to implement and operate the services funded in this section. 22 3. a. Of the funds appropriated in this section, up 23 to $17,868,324 $34,536,648 is allocated as the statewide 24 expenditure target under section 232.143 for group foster care 25 maintenance and services. If the department projects that such 26 expenditures for the fiscal year will be less than the target 27 amount allocated in this paragraph “a”, the department may 28 reallocate the excess to provide additional funding for shelter 29 care or the child welfare emergency services addressed with the 30 allocation for shelter care. 31 b. If at any time after September 30, 2018, annualization 32 of a service area’s current expenditures indicates a service 33 area is at risk of exceeding its group foster care expenditure 34 target under section 232.143 by more than 5 percent, the 35 -36- LSB 5031SV (1) 87 pf/rn 36/ 120
S.F. 2418 department and juvenile court services shall examine all 1 group foster care placements in that service area in order to 2 identify those which might be appropriate for termination. 3 In addition, any aftercare services believed to be needed 4 for the children whose placements may be terminated shall be 5 identified. The department and juvenile court services shall 6 initiate action to set dispositional review hearings for the 7 placements identified. In such a dispositional review hearing, 8 the juvenile court shall determine whether needed aftercare 9 services are available and whether termination of the placement 10 is in the best interest of the child and the community. 11 4. In accordance with the provisions of section 232.188 , 12 the department shall continue the child welfare and juvenile 13 justice funding initiative during fiscal year 2018-2019. Of 14 the funds appropriated in this section, $858,876 $1,717,753 15 is allocated specifically for expenditure for fiscal year 16 2018-2019 through the decategorization services funding pools 17 and governance boards established pursuant to section 232.188 . 18 5. A portion of the funds appropriated in this section 19 may be used for emergency family assistance to provide other 20 resources required for a family participating in a family 21 preservation or reunification project or successor project to 22 stay together or to be reunified. 23 6. Notwithstanding section 234.35 or any other provision 24 of law to the contrary, state funding for shelter care and 25 the child welfare emergency services contracting implemented 26 to provide for or prevent the need for shelter care shall be 27 limited to $4,048,079 $8,096,158 . 28 7. Federal funds received by the state during the fiscal 29 year beginning July 1, 2018, as the result of the expenditure 30 of state funds appropriated during a previous state fiscal 31 year for a service or activity funded under this section are 32 appropriated to the department to be used as additional funding 33 for services and purposes provided for under this section. 34 Notwithstanding section 8.33 , moneys received in accordance 35 -37- LSB 5031SV (1) 87 pf/rn 37/ 120
S.F. 2418 with this subsection that remain unencumbered or unobligated at 1 the close of the fiscal year shall not revert to any fund but 2 shall remain available for the purposes designated until the 3 close of the succeeding fiscal year. 4 8. a. Of the funds appropriated in this section, up to 5 $1,645,000 $3,290,000 is allocated for the payment of the 6 expenses of court-ordered services provided to juveniles 7 who are under the supervision of juvenile court services, 8 which expenses are a charge upon the state pursuant to 9 section 232.141, subsection 4 . Of the amount allocated in 10 this paragraph “a”, up to $778,143 $1,556,287 shall be made 11 available to provide school-based supervision of children 12 adjudicated under chapter 232 , of which not more than $7,500 13 $15,000 may be used for the purpose of training. A portion of 14 the cost of each school-based liaison officer shall be paid by 15 the school district or other funding source as approved by the 16 chief juvenile court officer. 17 b. Of the funds appropriated in this section, up to $374,492 18 $748,985 is allocated for the payment of the expenses of 19 court-ordered services provided to children who are under the 20 supervision of the department, which expenses are a charge upon 21 the state pursuant to section 232.141, subsection 4 . 22 c. Notwithstanding section 232.141 or any other provision 23 of law to the contrary, the amounts allocated in this 24 subsection shall be distributed to the judicial districts 25 as determined by the state court administrator and to the 26 department’s service areas as determined by the administrator 27 of the department of human services’ division of child and 28 family services. The state court administrator and the 29 division administrator shall make the determination of the 30 distribution amounts on or before June 15, 2018. 31 d. Notwithstanding chapter 232 or any other provision of 32 law to the contrary, a district or juvenile court shall not 33 order any service which is a charge upon the state pursuant 34 to section 232.141 if there are insufficient court-ordered 35 -38- LSB 5031SV (1) 87 pf/rn 38/ 120
S.F. 2418 services funds available in the district court or departmental 1 service area distribution amounts to pay for the service. The 2 chief juvenile court officer and the departmental service area 3 manager shall encourage use of the funds allocated in this 4 subsection such that there are sufficient funds to pay for 5 all court-related services during the entire year. The chief 6 juvenile court officers and departmental service area managers 7 shall attempt to anticipate potential surpluses and shortfalls 8 in the distribution amounts and shall cooperatively request the 9 state court administrator or division administrator to transfer 10 funds between the judicial districts’ or departmental service 11 areas’ distribution amounts as prudent. 12 e. Notwithstanding any provision of law to the contrary, 13 a district or juvenile court shall not order a county to pay 14 for any service provided to a juvenile pursuant to an order 15 entered under chapter 232 which is a charge upon the state 16 under section 232.141, subsection 4 . 17 f. Of the funds allocated in this subsection, not more 18 than $41,500 $83,000 may be used by the judicial branch for 19 administration of the requirements under this subsection. 20 g. Of the funds allocated in this subsection, $8,500 $17,000 21 shall be used by the department of human services to support 22 the interstate commission for juveniles in accordance with 23 the interstate compact for juveniles as provided in section 24 232.173 . 25 9. Of the funds appropriated in this section, $6,126,613 26 $12,253,227 is allocated for juvenile delinquent graduated 27 sanctions services. Any state funds saved as a result of 28 efforts by juvenile court services to earn a federal Tit. IV-E 29 match for juvenile court services administration may be used 30 for the juvenile delinquent graduated sanctions services. 31 10. Of the funds appropriated in this section, $829,142 32 $1,658,285 is transferred to the department of public health 33 to be used for the child protection center grant program for 34 child protection centers located in Iowa in accordance with 35 -39- LSB 5031SV (1) 87 pf/rn 39/ 120
S.F. 2418 section 135.118 . The grant amounts under the program shall be 1 equalized so that each center receives a uniform base amount 2 of $122,500 $245,000 , so that $25,000 $50,000 is awarded to 3 establish a satellite child protection center in a city in 4 north central Iowa that is the county seat of a county with 5 a population between 44,000 and 45,000 according to the 2010 6 federal decennial census, and so that the remaining funds are 7 awarded through a funding formula based upon the volume of 8 children served. 9 11. If the department receives federal approval to 10 implement a waiver under Tit. IV-E of the federal Social 11 Security Act to enable providers to serve children who remain 12 in the children’s families and communities, for purposes of 13 eligibility under the medical assistance program through 25 14 years of age, children who participate in the waiver shall be 15 considered to be placed in foster care. 16 12. Of the funds appropriated in this section, $2,012,583 17 $4,025,167 is allocated for the preparation for adult living 18 program pursuant to section 234.46 . 19 13. Of the funds appropriated in this section, $113,668 20 $227,337 shall be used for the public purpose of continuing 21 a grant to a nonprofit human services organization providing 22 services to individuals and families in multiple locations in 23 southwest Iowa and Nebraska for support of a project providing 24 immediate, sensitive support and forensic interviews, medical 25 exams, needs assessments, and referrals for victims of child 26 abuse and their nonoffending family members. 27 14. Of the funds appropriated in this section, $150,310 28 $300,620 is allocated for the foster care youth council 29 approach of providing a support network to children placed in 30 foster care. 31 15. Of the funds appropriated in this section, $101,000 32 $202,000 is allocated for use pursuant to section 235A.1 for 33 continuation of the initiative to address child sexual abuse 34 implemented pursuant to 2007 Iowa Acts, chapter 218, section 35 -40- LSB 5031SV (1) 87 pf/rn 40/ 120
S.F. 2418 18, subsection 21 . 1 16. Of the funds appropriated in this section, $315,120 2 $630,240 is allocated for the community partnership for child 3 protection sites. 4 17. Of the funds appropriated in this section, $185,625 5 $371,250 is allocated for the department’s minority youth and 6 family projects under the redesign of the child welfare system. 7 18. Of the funds appropriated in this section, $568,297 8 $851,595 is allocated for funding of the community circle of 9 care collaboration for children and youth in northeast Iowa. 10 19. Of the funds appropriated in this section, at least 11 $73,579 $147,158 shall be used for the continuation of the 12 child welfare provider training academy, a collaboration 13 between the coalition for family and children’s services in 14 Iowa and the department. 15 20. Of the funds appropriated in this section, $105,936 16 $211,872 shall be used for continuation of the central Iowa 17 system of care program grant through June 30, 2019. 18 21. Of the funds appropriated in this section, $117,500 19 $235,000 shall be used for the public purpose of the 20 continuation and expansion of a system of care program grant 21 implemented in Cerro Gordo and Linn counties to utilize a 22 comprehensive and long-term approach for helping children 23 and families by addressing the key areas in a child’s life 24 of childhood basic needs, education and work, family, and 25 community. 26 22. Of the funds appropriated in this section, at least 27 $12,500 $25,000 shall be used to continue and to expand the 28 foster care respite pilot program in which postsecondary 29 students in social work and other human services-related 30 programs receive experience by assisting family foster care 31 providers with respite and other support. 32 23. Of the funds appropriated in this section, $55,000 33 $110,000 shall be used for the public purpose of funding 34 community-based services and other supports with a system of 35 -41- LSB 5031SV (1) 87 pf/rn 41/ 120
S.F. 2418 care approach for children with a serious emotional disturbance 1 and their families through a nonprofit provider of child 2 welfare services that has been in existence for more than 3 115 years, is located in a county with a population of more 4 than 200,000 but less than 220,000 according to the latest 5 certified federal census, is licensed as a psychiatric medical 6 institution for children, and was a system of care grantee 7 prior to July 1, 2018. 8 Sec. 28. 2017 Iowa Acts, chapter 174, section 58, subsection 9 1, paragraph a, is amended to read as follows: 10 a. For adoption subsidy payments and services: 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 20,388,955 12 40,445,137 13 Sec. 29. 2017 Iowa Acts, chapter 174, section 60, is amended 14 to read as follows: 15 SEC. 60. FAMILY SUPPORT SUBSIDY PROGRAM. 16 1. There is appropriated from the general fund of the 17 state to the department of human services for the fiscal year 18 beginning July 1, 2018, and ending June 30, 2019, the following 19 amount, or so much thereof as is necessary, to be used for the 20 purpose designated: 21 For the family support subsidy program subject to the 22 enrollment restrictions in section 225C.37, subsection 3 : 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 534,641 24 949,282 25 2. At least $393,750 $787,500 of the moneys appropriated in 26 this section is transferred to the department of public health 27 for the family support center component of the comprehensive 28 family support program under chapter 225C , subchapter V. 29 3. If at any time during the fiscal year, the amount of 30 funding available for the family support subsidy program 31 is reduced from the amount initially used to establish the 32 figure for the number of family members for whom a subsidy 33 is to be provided at any one time during the fiscal year, 34 notwithstanding section 225C.38, subsection 2 , the department 35 -42- LSB 5031SV (1) 87 pf/rn 42/ 120
S.F. 2418 shall revise the figure as necessary to conform to the amount 1 of funding available. 2 Sec. 30. 2017 Iowa Acts, chapter 174, section 61, is amended 3 to read as follows: 4 SEC. 61. CONNER DECREE. There is appropriated from the 5 general fund of the state to the department of human services 6 for the fiscal year beginning July 1, 2018, and ending June 30, 7 2019, the following amount, or so much thereof as is necessary, 8 to be used for the purpose designated: 9 For building community capacity through the coordination 10 and provision of training opportunities in accordance with the 11 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D. 12 Iowa, July 14, 1994): 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,816 14 33,632 15 Sec. 31. 2017 Iowa Acts, chapter 174, section 62, subsection 16 1, is amended to read as follows: 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, 2018, and ending June 30, 2019, the following 20 amounts, or so much thereof as is necessary, to be used for the 21 purposes designated: 22 a. For operation of the state mental health institute at 23 Cherokee as required by chapters 218 and 226 for salaries, 24 support, maintenance, and miscellaneous purposes, and for not 25 more than the following full-time equivalent positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,935,127 27 13,870,254 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 162.00 29 b. For operation of the state mental health institute at 30 Independence as required by chapters 218 and 226 for salaries, 31 support, maintenance, and miscellaneous purposes, and for not 32 more than the following full-time equivalent positions: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,756,810 34 17,513,621 35 -43- LSB 5031SV (1) 87 pf/rn 43/ 120
S.F. 2418 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 204.00 1 Sec. 32. 2017 Iowa Acts, chapter 174, section 63, subsection 2 1, is amended to read as follows: 3 1. There is appropriated from the general fund of the 4 state to the department of human services for the fiscal year 5 beginning July 1, 2018, and ending June 30, 2019, the following 6 amounts, or so much thereof as is necessary, to be used for the 7 purposes designated: 8 a. For the state resource center at Glenwood for salaries, 9 support, maintenance, and miscellaneous purposes: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,943,890 11 16,858,523 12 b. For the state resource center at Woodward for salaries, 13 support, maintenance, and miscellaneous purposes: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,038,517 15 11,386,679 16 Sec. 33. 2017 Iowa Acts, chapter 174, section 64, subsection 17 1, is amended to read as follows: 18 1. There is appropriated from the general fund of the 19 state to the department of human services for the fiscal year 20 beginning July 1, 2018, and ending June 30, 2019, the following 21 amount, or so much thereof as is necessary, to be used for the 22 purpose designated: 23 For costs associated with the commitment and treatment of 24 sexually violent predators in the unit located at the state 25 mental health institute at Cherokee, including costs of legal 26 services and other associated costs, including salaries, 27 support, maintenance, and miscellaneous purposes, and for not 28 more than the following full-time equivalent positions: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,732,373 30 10,864,747 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 112.00 32 132.00 33 Sec. 34. 2017 Iowa Acts, chapter 174, section 65, is amended 34 to read as follows: 35 -44- LSB 5031SV (1) 87 pf/rn 44/ 120
S.F. 2418 SEC. 65. FIELD OPERATIONS. There is appropriated from the 1 general fund of the state to the department of human services 2 for the fiscal year beginning July 1, 2018, and ending June 30, 3 2019, the following amount, or so much thereof as is necessary, 4 to be used for the purposes designated: 5 For field operations, including salaries, support, 6 maintenance, and miscellaneous purposes, and for not more than 7 the following full-time equivalent positions: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 24,242,217 9 49,074,517 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 1,583.00 11 1,539.00 12 Priority in filling full-time equivalent positions shall be 13 given to those positions related to child protection services 14 and eligibility determination for low-income families. 15 Sec. 35. 2017 Iowa Acts, chapter 174, section 66, is amended 16 to read as follows: 17 SEC. 66. GENERAL ADMINISTRATION. There is appropriated 18 from the general fund of the state to the department of human 19 services for the fiscal year beginning July 1, 2018, and ending 20 June 30, 2019, the following amount, or so much thereof as is 21 necessary, to be used for the purpose designated: 22 For general administration, including salaries, support, 23 maintenance, and miscellaneous purposes, and for not more than 24 the following full-time equivalent positions: 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,016,520 26 13,833,040 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 294.00 28 2. Of the funds appropriated in this section, $75,000 29 $150,000 shall be used to continue the contract for the 30 provision of a program to provide technical assistance, 31 support, and consultation to providers of habilitation services 32 and home and community-based services waiver services for 33 adults with disabilities under the medical assistance program. 34 3. Of the funds appropriated in this section, $25,000 35 -45- LSB 5031SV (1) 87 pf/rn 45/ 120
S.F. 2418 $50,000 is transferred to the Iowa finance authority to be 1 used for administrative support of the council on homelessness 2 established in section 16.2D and for the council to fulfill its 3 duties in addressing and reducing homelessness in the state. 4 4. Of the funds appropriated in this section, $100,000 5 $200,000 shall be transferred to and deposited in the 6 administrative fund of the Iowa ABLE savings plan trust 7 created in section 12I.4 , to be used for implementation and 8 administration activities of the Iowa ABLE savings plan trust. 9 5. Of the funds appropriated in this section, $100,000 10 $200,000 is transferred to the economic development authority 11 for the Iowa commission on volunteer services to continue 12 to be used for RefugeeRISE AmeriCorps program established 13 under section 15H.8 for member recruitment and training to 14 improve the economic well-being and health of economically 15 disadvantaged refugees in local communities across Iowa. Funds 16 transferred may be used to supplement federal funds under 17 federal regulations. 18 7. Of the funds appropriated in this section, $300,000 shall 19 be used to contract for children’s well-being collaboratives 20 grants for the development and implementation of children’s 21 well-being collaboratives to establish and coordinate 22 prevention and early intervention services to promote improved 23 mental health and well-being for children and families, as 24 enacted in 2017 Iowa Acts, chapter 174, section 88. 25 8. The department of human services shall submit the 26 strategic plan to create and implement a children’s mental 27 health system submitted to the governor by the children’s 28 system state board established by Executive Order Number Two 29 issued April 23, 2018, to the general assembly by November 15, 30 2018. 31 Sec. 36. 2017 Iowa Acts, chapter 174, section 67, is amended 32 to read as follows: 33 SEC. 67. DEPARTMENT-WIDE DUTIES. There is appropriated 34 from the general fund of the state to the department of human 35 -46- LSB 5031SV (1) 87 pf/rn 46/ 120
S.F. 2418 services for the fiscal year beginning July 1, 2018, and ending 1 June 30, 2019, the following amount, or so much thereof as is 2 necessary, to be used for the purposes designated: 3 For salaries, support, maintenance, and miscellaneous 4