Senate
File
515
-
Introduced
SENATE
FILE
515
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
SSB
1199)
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
1050SV
(1)
87
pf/hb/rn
S.F.
515
DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2017-2018
2
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
3
the
general
fund
of
the
state
to
the
department
on
aging
for
4
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
5
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
6
to
be
used
for
the
purposes
designated:
7
For
aging
programs
for
the
department
on
aging
and
area
8
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
9
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
10
aging
and
disabilities
resource
center,
and
other
services
11
which
may
include
but
are
not
limited
to
adult
day
services,
12
respite
care,
chore
services,
information
and
assistance,
13
and
material
aid,
for
information
and
options
counseling
for
14
persons
with
disabilities
who
are
18
years
of
age
or
older,
15
and
for
salaries,
support,
administration,
maintenance,
and
16
miscellaneous
purposes,
and
for
not
more
than
the
following
17
full-time
equivalent
positions:
18
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$
11,042,476
19
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FTEs
27.00
20
1.
Funds
appropriated
in
this
section
may
be
used
to
21
supplement
federal
funds
under
federal
regulations.
To
22
receive
funds
appropriated
in
this
section,
a
local
area
23
agency
on
aging
shall
match
the
funds
with
moneys
from
other
24
sources
according
to
rules
adopted
by
the
department.
Funds
25
appropriated
in
this
section
may
be
used
for
elderly
services
26
not
specifically
enumerated
in
this
section
only
if
approved
27
by
an
area
agency
on
aging
for
provision
of
the
service
within
28
the
area.
29
2.
Of
the
funds
appropriated
in
this
section,
$279,946
is
30
transferred
to
the
economic
development
authority
for
the
Iowa
31
commission
on
volunteer
services
to
be
used
for
the
retired
and
32
senior
volunteer
program.
33
3.
a.
The
department
on
aging
shall
establish
and
enforce
34
procedures
relating
to
expenditure
of
state
and
federal
funds
35
-1-
LSB
1050SV
(1)
87
pf/hb/rn
1/
151
S.F.
515
by
area
agencies
on
aging
that
require
compliance
with
both
1
state
and
federal
laws,
rules,
and
regulations,
including
but
2
not
limited
to
all
of
the
following:
3
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
4
or
services
received
or
performed
prior
to
the
end
of
the
5
fiscal
period
designated
for
use
of
the
funds.
6
(2)
Prohibiting
prepayment
for
goods
or
services
not
7
received
or
performed
prior
to
the
end
of
the
fiscal
period
8
designated
for
use
of
the
funds.
9
(3)
Prohibiting
the
prepayment
for
goods
or
services
10
not
defined
specifically
by
good
or
service,
time
period,
or
11
recipient.
12
(4)
Prohibiting
the
establishment
of
accounts
from
which
13
future
goods
or
services
which
are
not
defined
specifically
by
14
good
or
service,
time
period,
or
recipient,
may
be
purchased.
15
b.
The
procedures
shall
provide
that
if
any
funds
are
16
expended
in
a
manner
that
is
not
in
compliance
with
the
17
procedures
and
applicable
federal
and
state
laws,
rules,
and
18
regulations,
and
are
subsequently
subject
to
repayment,
the
19
area
agency
on
aging
expending
such
funds
in
contravention
of
20
such
procedures,
laws,
rules
and
regulations,
not
the
state,
21
shall
be
liable
for
such
repayment.
22
4.
Of
the
funds
appropriated
in
this
section,
at
least
23
$250,000
shall
be
used
to
fund
the
unmet
needs
identified
24
through
Iowa’s
aging
and
disability
resource
center
network.
25
5.
Of
the
funds
appropriated
in
this
section,
at
least
26
$600,000
shall
be
used
to
fund
home
and
community-based
27
services
through
the
area
agencies
on
aging
that
enable
older
28
individuals
to
avoid
more
costly
utilization
of
residential
or
29
institutional
services
and
remain
in
their
own
homes.
30
6.
Of
the
funds
appropriated
in
this
section,
$812,537
31
shall
be
used
for
the
purposes
of
chapter
231E
and
section
32
231.56A
,
of
which
$350,000
shall
be
used
for
the
office
of
33
substitute
decision
maker
pursuant
to
chapter
231E
,
and
the
34
remainder
shall
be
distributed
equally
to
the
area
agencies
on
35
-2-
LSB
1050SV
(1)
87
pf/hb/rn
2/
151
S.F.
515
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
1
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
2
with
the
requirements
of
the
federal
Older
Americans
Act
of
3
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
4
7.
Of
the
funds
appropriated
in
this
section,
$750,000
5
shall
be
used
to
fund
continuation
of
the
aging
and
disability
6
resource
center
lifelong
links
to
provide
individuals
and
7
caregivers
with
information
and
services
to
plan
for
and
8
maintain
independence.
9
8.
Notwithstanding
section
8.39,
for
the
fiscal
year
10
beginning
July
1,
2017,
the
department
may
transfer
funds
11
within
or
between
the
allocations
made
in
this
division
of
this
12
Act
for
the
same
fiscal
year
in
accordance
with
departmental
13
priorities.
The
department
shall
report
any
such
transfers
14
to
the
individuals
specified
in
this
Act
for
submission
of
15
reports.
This
subsection
shall
not
be
construed
to
prohibit
16
the
use
of
existing
state
transfer
authority
for
other
17
purposes.
18
DIVISION
II
19
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2017-2018
20
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
21
appropriated
from
the
general
fund
of
the
state
to
the
office
22
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
23
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
24
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
25
designated:
26
For
salaries,
support,
administration,
maintenance,
and
27
miscellaneous
purposes,
and
for
not
more
than
the
following
28
full-time
equivalent
positions:
29
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$
1,160,281
30
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FTEs
16.00
31
DIVISION
III
32
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2017-2018
33
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
34
from
the
general
fund
of
the
state
to
the
department
of
public
35
-3-
LSB
1050SV
(1)
87
pf/hb/rn
3/
151
S.F.
515
health
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
1
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
2
necessary,
to
be
used
for
the
purposes
designated:
3
1.
ADDICTIVE
DISORDERS
4
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
5
and
other
drugs,
and
treating
individuals
affected
by
addictive
6
behaviors,
including
gambling,
and
for
not
more
than
the
7
following
full-time
equivalent
positions:
8
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$
24,985,831
9
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FTEs
10.00
10
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
11
$4,021,225
shall
be
used
for
the
tobacco
use
prevention
12
and
control
initiative,
including
efforts
at
the
state
and
13
local
levels,
as
provided
in
chapter
142A
.
The
commission
14
on
tobacco
use
prevention
and
control
established
pursuant
15
to
section
142A.3
shall
advise
the
director
of
public
health
16
in
prioritizing
funding
needs
and
the
allocation
of
moneys
17
appropriated
for
the
programs
and
initiatives.
Activities
18
of
the
programs
and
initiatives
shall
be
in
alignment
with
19
the
United
States
centers
for
disease
control
and
prevention
20
best
practices
for
comprehensive
tobacco
control
programs
that
21
include
the
goals
of
preventing
youth
initiation
of
tobacco
22
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
23
of
tobacco
cessation.
To
maximize
resources,
the
department
24
shall
determine
if
third-party
sources
are
available
to
25
instead
provide
nicotine
replacement
products
to
an
applicant
26
prior
to
provision
of
such
products
to
an
applicant
under
27
the
initiative.
The
department
shall
track
and
report
to
28
the
individuals
specified
in
this
Act,
any
reduction
in
29
the
provision
of
nicotine
replacement
products
realized
by
30
the
initiative
through
implementation
of
the
prerequisite
31
screening.
32
(2)
(a)
The
department
shall
collaborate
with
the
33
alcoholic
beverages
division
of
the
department
of
commerce
for
34
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
35
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1050SV
(1)
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pf/hb/rn
4/
151
S.F.
515
engage
in
tobacco
control
activities
approved
by
the
division
1
of
tobacco
use
prevention
and
control
of
the
department
of
2
public
health
as
specified
in
the
memorandum
of
understanding
3
entered
into
between
the
divisions.
4
(b)
For
the
fiscal
year
beginning
July
1,
2017,
and
ending
5
June
30,
2018,
the
terms
of
the
memorandum
of
understanding,
6
entered
into
between
the
division
of
tobacco
use
prevention
7
and
control
of
the
department
of
public
health
and
the
8
alcoholic
beverages
division
of
the
department
of
commerce,
9
governing
compliance
checks
conducted
to
ensure
licensed
retail
10
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
11
ordinances
relating
to
persons
under
18
years
of
age,
shall
12
continue
to
restrict
the
number
of
such
checks
to
one
check
per
13
retail
outlet,
and
one
additional
check
for
any
retail
outlet
14
found
to
be
in
violation
during
the
first
check.
15
b.
Of
the
funds
appropriated
in
this
subsection,
16
$20,964,606
shall
be
used
for
problem
gambling
and
17
substance-related
disorder
prevention,
treatment,
and
recovery
18
services,
including
a
24-hour
helpline,
public
information
19
resources,
professional
training,
youth
prevention,
and
program
20
evaluation.
21
c.
The
requirement
of
section
123.17,
subsection
5,
is
met
22
by
the
appropriations
and
allocations
made
in
this
division
of
23
this
Act
for
purposes
of
substance-related
disorder
treatment
24
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
25
2017.
26
2.
HEALTHY
CHILDREN
AND
FAMILIES
27
For
promoting
the
optimum
health
status
for
children,
28
adolescents
from
birth
through
21
years
of
age,
and
families,
29
and
for
not
more
than
the
following
full-time
equivalent
30
positions:
31
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$
5,325,632
32
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FTEs
12.00
33
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
34
than
$734,841
shall
be
used
for
the
healthy
opportunities
for
35
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1050SV
(1)
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5/
151
S.F.
515
parents
to
experience
success
(HOPES)-healthy
families
Iowa
1
(HFI)
program
established
pursuant
to
section
135.106
.
The
2
funding
shall
be
distributed
to
renew
the
grants
that
were
3
provided
to
the
grantees
that
operated
the
program
during
the
4
fiscal
year
ending
June
30,
2017.
5
b.
In
order
to
implement
the
legislative
intent
stated
in
6
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
7
program
funding
be
given
to
programs
using
evidence-based
or
8
promising
models
for
home
visitation,
it
is
the
intent
of
the
9
general
assembly
to
phase
in
the
funding
priority
in
accordance
10
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2
,
11
paragraph
“0b”.
12
c.
Of
the
funds
appropriated
in
this
subsection,
$3,075,101
13
shall
be
used
for
continuation
of
the
department’s
initiative
14
to
provide
for
adequate
developmental
surveillance
and
15
screening
during
a
child’s
first
five
years.
The
funds
shall
16
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
17
the
sites
are
fully
operational,
with
the
remaining
funds
18
to
be
used
for
expansion
to
additional
sites.
The
full
19
implementation
and
expansion
shall
include
enhancing
the
scope
20
of
the
program
through
collaboration
with
the
child
health
21
specialty
clinics
to
promote
healthy
child
development
through
22
early
identification
and
response
to
both
biomedical
and
social
23
determinants
of
healthy
development;
by
monitoring
child
24
health
metrics
to
inform
practice,
document
long-term
health
25
impacts
and
savings,
and
provide
for
continuous
improvement
26
through
training,
education,
and
evaluation;
and
by
providing
27
for
practitioner
consultation
particularly
for
children
with
28
behavioral
conditions
and
needs.
The
department
of
public
29
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
30
and
the
child
health
specialty
clinics
to
integrate
the
31
activities
of
the
first
five
initiative
into
the
establishment
32
of
patient-centered
medical
homes,
community
utilities,
33
accountable
care
organizations,
and
other
integrated
care
34
models
developed
to
improve
health
quality
and
population
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health
while
reducing
health
care
costs.
To
the
maximum
extent
1
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
2
as
matching
funds
for
medical
assistance
program
reimbursement.
3
d.
Of
the
funds
appropriated
in
this
subsection,
$64,640
4
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
5
funds
to
continue
the
donated
dental
services
program
patterned
6
after
the
projects
developed
by
the
lifeline
network
to
provide
7
dental
services
to
indigent
individuals
who
are
elderly
or
with
8
disabilities.
9
e.
Of
the
funds
appropriated
in
this
subsection,
$156,482
10
shall
be
used
to
provide
audiological
services
and
hearing
11
aids
for
children.
The
department
may
enter
into
a
contract
12
to
administer
this
paragraph.
13
f.
Of
the
funds
appropriated
in
this
subsection,
$23,000
is
14
transferred
to
the
university
of
Iowa
college
of
dentistry
for
15
provision
of
primary
dental
services
to
children.
State
funds
16
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
17
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
18
department
of
public
health,
bureau
of
oral
and
health
delivery
19
systems,
to
provide
dental
care
to
underserved
populations
20
throughout
the
state.
21
g.
Of
the
funds
appropriated
in
this
subsection,
$50,000
22
shall
be
used
to
address
youth
suicide
prevention.
23
h.
Of
the
funds
appropriated
in
this
subsection,
$40,511
24
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
25
of
children
who
experience
adverse
childhood
experiences
known
26
as
ACEs.
27
i.
The
department
of
public
health
shall
continue
to
28
administer
the
program
to
assist
parents
in
this
state
with
29
costs
resulting
from
the
death
of
a
child
in
accordance
with
30
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
31
subsection
12
.
32
3.
CHRONIC
CONDITIONS
33
For
serving
individuals
identified
as
having
chronic
34
conditions
or
special
health
care
needs,
and
for
not
more
than
35
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the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,170,750
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
3
a.
Of
the
funds
appropriated
in
this
subsection,
$153,755
4
shall
be
used
for
grants
to
individual
patients
who
have
an
5
inherited
metabolic
disorder
to
assist
with
the
costs
of
6
medically
necessary
foods
and
formula.
7
b.
Of
the
funds
appropriated
in
this
subsection,
$1,020,794
8
shall
be
used
for
the
brain
injury
services
program
pursuant
9
to
section
135.22B,
including
for
contracting
with
an
existing
10
nationally
affiliated
and
statewide
organization
whose
purpose
11
is
to
educate,
serve,
and
support
Iowans
with
brain
injury
and
12
their
families
for
resource
facilitator
services
in
accordance
13
with
section
135.22B,
subsection
9,
and
for
contracting
to
14
enhance
brain
injury
training
and
recruitment
of
service
15
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
16
this
paragraph,
$95,000
shall
be
used
to
fund
one
full-time
17
equivalent
position
to
serve
as
the
state
brain
injury
services
18
program
manager.
19
c.
Of
the
funds
appropriated
in
this
subsection,
$144,097
20
shall
be
used
for
the
public
purpose
of
continuing
to
contract
21
with
an
existing
national-affiliated
organization
to
provide
22
education,
client-centered
programs,
and
client
and
family
23
support
for
people
living
with
epilepsy
and
their
families.
24
The
amount
allocated
in
this
paragraph
in
excess
of
$100,000
25
shall
be
matched
dollar-for-dollar
by
the
organization
26
specified.
27
d.
Of
the
funds
appropriated
in
this
subsection,
$809,550
28
shall
be
used
for
child
health
specialty
clinics.
29
e.
Of
the
funds
appropriated
in
this
subsection,
$384,552
30
shall
be
used
by
the
regional
autism
assistance
program
31
established
pursuant
to
section
256.35
,
and
administered
by
32
the
child
health
specialty
clinic
located
at
the
university
of
33
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
34
interagency
collaboration
and
coordination
of
educational,
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medical,
and
other
human
services
for
persons
with
autism,
1
their
families,
and
providers
of
services,
including
delivering
2
regionalized
services
of
care
coordination,
family
navigation,
3
and
integration
of
services
through
the
statewide
system
of
4
regional
child
health
specialty
clinics
and
fulfilling
other
5
requirements
as
specified
in
chapter
225D
.
The
university
of
6
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
7
indirect
costs
associated
with
the
regional
autism
assistance
8
program.
9
f.
Of
the
funds
appropriated
in
this
subsection,
$577,375
10
shall
be
used
for
the
comprehensive
cancer
control
program
to
11
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
12
detection,
effective
treatment,
and
ensuring
quality
of
life.
13
Of
the
funds
allocated
in
this
paragraph
“f”,
$150,000
shall
14
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
15
biorepository
and
registry,
basic
and
translational
melanoma
16
research,
and
clinical
trials.
17
g.
Of
the
funds
appropriated
in
this
subsection,
$97,532
18
shall
be
used
for
cervical
and
colon
cancer
screening,
and
19
$177,720
shall
be
used
to
enhance
the
capacity
of
the
cervical
20
cancer
screening
program
to
include
provision
of
recommended
21
prevention
and
early
detection
measures
to
a
broader
range
of
22
low-income
women.
23
h.
Of
the
funds
appropriated
in
this
subsection,
$506,355
24
shall
be
used
for
the
center
for
congenital
and
inherited
25
disorders.
26
i.
Of
the
funds
appropriated
in
this
subsection,
27
$215,263
shall
be
used
by
the
department
of
public
health
28
for
reform-related
activities,
including
but
not
limited
to
29
facilitation
of
communication
to
stakeholders
at
the
state
and
30
local
level,
administering
the
patient-centered
health
advisory
31
council
pursuant
to
section
135.159
,
and
involvement
in
health
32
care
system
innovation
activities
occurring
across
the
state.
33
j.
Of
the
funds
appropriated
in
this
subsection,
$22,100
34
shall
be
used
for
administration
of
chapter
124D
,
the
medical
35
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cannabidiol
Act.
1
4.
COMMUNITY
CAPACITY
2
For
strengthening
the
health
care
delivery
system
at
the
3
local
level,
and
for
not
more
than
the
following
full-time
4
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,807,776
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
7
a.
Of
the
funds
appropriated
in
this
subsection,
$95,575
8
is
allocated
for
continuation
of
the
child
vision
screening
9
program
implemented
through
the
university
of
Iowa
hospitals
10
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
11
The
program
shall
submit
a
report
to
the
individuals
identified
12
in
this
Act
for
submission
of
reports
regarding
the
use
of
13
funds
allocated
under
this
paragraph
“a”.
The
report
shall
14
include
the
objectives
and
results
for
the
program
year
15
including
the
target
population
and
how
the
funds
allocated
16
assisted
the
program
in
meeting
the
objectives;
the
number,
17
age,
and
location
within
the
state
of
individuals
served;
18
the
type
of
services
provided
to
the
individuals
served;
the
19
distribution
of
funds
based
on
service
provided;
and
the
20
continuing
needs
of
the
program.
21
b.
Of
the
funds
appropriated
in
this
subsection,
$105,656
is
22
allocated
for
continuation
of
an
initiative
implemented
at
the
23
university
of
Iowa
to
expand
and
improve
the
workforce
engaged
24
in
mental
health
treatment
and
services.
The
initiative
shall
25
receive
input
from
the
university
of
Iowa,
the
department
of
26
human
services,
the
department
of
public
health,
and
the
mental
27
health
and
disability
services
commission
to
address
the
focus
28
of
the
initiative.
29
c.
Of
the
funds
appropriated
in
this
section,
$83,315
shall
30
be
deposited
in
the
governmental
public
health
system
fund
31
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
32
fund.
33
d.
Of
the
funds
appropriated
in
this
subsection,
34
$48,069
shall
be
used
for
a
grant
to
a
statewide
association
35
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of
psychologists
that
is
affiliated
with
the
American
1
psychological
association
to
be
used
for
continuation
of
a
2
program
to
rotate
intern
psychologists
in
placements
in
urban
3
and
rural
mental
health
professional
shortage
areas,
as
defined
4
in
section
135.180
.
5
e.
Of
the
funds
appropriated
in
this
subsection,
the
6
following
amounts
are
allocated
to
be
used
as
follows
to
7
support
the
Iowa
collaborative
safety
net
provider
network
8
goals
of
increased
access,
health
system
integration,
and
9
engagement:
10
(1)
Not
less
than
$521,863
is
allocated
to
the
Iowa
11
prescription
drug
corporation
for
continuation
of
the
12
pharmaceutical
infrastructure
for
safety
net
providers
as
13
described
in
2007
Iowa
Acts,
chapter
218,
section
108
,
and
for
14
the
prescription
drug
donation
repository
program
created
in
15
chapter
135M.
16
(2)
Not
less
than
$334,870
is
allocated
to
free
clinics
and
17
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
18
coordination,
provider
recruitment,
service
delivery,
and
19
provision
of
assistance
to
patients
in
securing
a
medical
home
20
inclusive
of
oral
health
care.
21
(3)
Not
less
than
$25,000
is
allocated
to
the
Iowa
22
association
of
rural
health
clinics
for
necessary
23
infrastructure
and
service
delivery
transformation.
24
f.
Of
the
funds
appropriated
in
this
subsection,
$163,400
25
shall
be
used
for
continuation
of
the
work
of
the
direct
care
26
worker
advisory
council
established
pursuant
to
2008
Iowa
Acts,
27
chapter
1188,
section
69
,
in
implementing
the
recommendations
28
in
the
final
report
submitted
by
the
advisory
council
to
the
29
governor
and
the
general
assembly
in
March
2012,
including
30
by
continuing
to
develop,
promote,
and
make
available
on
a
31
statewide
basis
the
prepare-to-care
core
curriculum
and
its
32
associated
modules
and
specialties
through
various
formats
33
including
online
access,
community
colleges,
and
other
venues;
34
exploring
new
and
maintaining
existing
specialties
including
35
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but
not
limited
to
oral
health
and
dementia
care;
supporting
1
instructor
training;
and
assessing
and
making
recommendations
2
concerning
the
Iowa
care
book
and
information
technology
3
systems
and
infrastructure
uses
and
needs.
4
g.
Of
the
funds
appropriated
in
this
subsection,
$104,019
5
shall
be
allocated
for
continuation
of
the
contract
with
6
an
independent
statewide
direct
care
worker
organization
7
previously
selected
through
a
request
for
proposals
process.
8
The
contract
shall
continue
to
include
performance
and
outcomes
9
measures,
and
shall
continue
to
allow
the
contractor
to
use
a
10
portion
of
the
funds
received
under
the
contract
to
collect
11
data
to
determine
results
based
on
the
performance
and
outcomes
12
measures.
13
h.
Of
the
funds
appropriated
in
this
subsection,
the
14
department
may
use
up
to
$58,175
for
up
to
one
full-time
15
equivalent
position
to
administer
the
volunteer
health
care
16
provider
program
pursuant
to
section
135.24
.
17
i.
Of
the
funds
appropriated
in
this
subsection,
$96,138
18
shall
be
used
for
a
matching
dental
education
loan
repayment
19
program
to
be
allocated
to
a
dental
nonprofit
health
service
20
corporation
to
continue
to
develop
the
criteria
and
implement
21
the
loan
repayment
program.
22
j.
Of
the
funds
appropriated
in
this
subsection,
$52,911
is
23
transferred
to
the
college
student
aid
commission
for
deposit
24
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
25
261.113
to
be
used
for
the
purposes
of
the
fund.
26
k.
Of
the
funds
appropriated
in
this
subsection,
$150,000
27
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
28
specified
in
section
142C.18
.
29
l.
Of
the
funds
appropriated
in
this
subsection,
$96,138
30
shall
be
used
for
continuation
of
a
grant
to
a
nationally
31
affiliated
volunteer
eye
organization
that
has
an
established
32
program
for
children
and
adults
and
that
is
solely
dedicated
to
33
preserving
sight
and
preventing
blindness
through
education,
34
nationally
certified
vision
screening
and
training,
and
35
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community
and
patient
service
programs.
The
organization
1
shall
submit
a
report
to
the
individuals
identified
in
this
2
Act
for
submission
of
reports
regarding
the
use
of
funds
3
allocated
under
this
paragraph
“l”.
The
report
shall
include
4
the
objectives
and
results
for
the
program
year
including
5
the
target
population
and
how
the
funds
allocated
assisted
6
the
program
in
meeting
the
objectives;
the
number,
age,
and
7
location
within
the
state
of
individuals
served;
the
type
of
8
services
provided
to
the
individuals
served;
the
distribution
9
of
funds
based
on
services
provided;
and
the
continuing
needs
10
of
the
program.
11
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
12
To
provide
public
health
services
that
reduce
risks
and
13
invest
in
promoting
and
protecting
good
health
over
the
14
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
15
vulnerable
populations:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,197,878
17
6.
INFECTIOUS
DISEASES
18
For
reducing
the
incidence
and
prevalence
of
communicable
19
diseases,
and
for
not
more
than
the
following
full-time
20
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,646,426
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
23
7.
PUBLIC
PROTECTION
24
For
protecting
the
health
and
safety
of
the
public
through
25
establishing
standards
and
enforcing
regulations,
and
for
not
26
more
than
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,195,139
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
138.00
29
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
30
than
$304,700
shall
be
credited
to
the
emergency
medical
31
services
fund
created
in
section
135.25
.
Moneys
in
the
32
emergency
medical
services
fund
are
appropriated
to
the
33
department
to
be
used
for
the
purposes
of
the
fund.
34
b.
Of
the
funds
appropriated
in
this
subsection,
up
35
-13-
LSB
1050SV
(1)
87
pf/hb/rn
13/
151
S.F.
515
to
$243,260
shall
be
used
for
sexual
violence
prevention
1
programming
through
a
statewide
organization
representing
2
programs
serving
victims
of
sexual
violence
through
the
3
department’s
sexual
violence
prevention
program,
and
for
4
continuation
of
a
training
program
for
sexual
assault
5
response
team
(SART)
members,
including
representatives
of
6
law
enforcement,
victim
advocates,
prosecutors,
and
certified
7
medical
personnel.
The
amount
allocated
in
this
paragraph
“b”
8
shall
not
be
used
to
supplant
funding
administered
for
other
9
sexual
violence
prevention
or
victims
assistance
programs.
10
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
11
$575,627
shall
be
used
for
the
state
poison
control
center.
12
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
13
1140,
section
102
,
the
federal
matching
funds
available
to
14
the
state
poison
control
center
from
the
department
of
human
15
services
under
the
federal
Children’s
Health
Insurance
Program
16
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
17
administrative
cap
rule
of
10
percent
applicable
to
funding
18
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
19
included
within
the
department’s
calculations
of
the
cap.
20
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
21
$516,982
shall
be
used
for
childhood
lead
poisoning
provisions.
22
8.
RESOURCE
MANAGEMENT
23
For
establishing
and
sustaining
the
overall
ability
of
the
24
department
to
deliver
services
to
the
public,
and
for
not
more
25
than
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
971,215
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
28
9.
MISCELLANEOUS
PROVISIONS
29
The
university
of
Iowa
hospitals
and
clinics
under
the
30
control
of
the
state
board
of
regents
shall
not
receive
31
indirect
costs
from
the
funds
appropriated
in
this
section.
32
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
33
department
shall
be
on
at
least
a
quarterly
basis.
34
10.
GENERAL
REDUCTION
35
-14-
LSB
1050SV
(1)
87
pf/hb/rn
14/
151
S.F.
515
For
the
period
beginning
July
1,
2017,
and
ending
June
30,
1
2018,
the
department
of
public
health,
in
consultation
with
2
the
department
of
management,
shall
identify
and
implement
a
3
reduction
in
expenditures
made
from
appropriations
from
the
4
general
fund
to
the
department
of
public
health
in
the
amount
5
of
$1,281,367.
6
11.
TRANSFERS
7
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
8
July
1,
2017,
the
department
may
transfer
funds
within
or
9
between
any
of
the
allocations
or
appropriations
made
in
this
10
division
of
this
Act
for
the
same
fiscal
year,
to
be
used
in
11
accordance
with
departmental
priorities
as
specified
in
the
12
department’s
report
to
the
general
assembly
submitted
pursuant
13
to
2016
Iowa
Acts,
chapter
1139,
section
3.
The
department
14
shall
report
any
such
transfers
to
the
individuals
specified
15
in
this
Act
for
submission
of
reports.
This
subsection
shall
16
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
17
authority
for
other
purposes.
18
DIVISION
IV
19
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2017-2018
20
Sec.
4.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
21
appropriated
from
the
general
fund
of
the
state
to
the
22
department
of
veterans
affairs
for
the
fiscal
year
beginning
23
July
1,
2017,
and
ending
June
30,
2018,
the
following
amounts,
24
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
25
designated:
26
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
27
For
salaries,
support,
maintenance,
and
miscellaneous
28
purposes,
and
for
not
more
than
the
following
full-time
29
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,142,557
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
32
2.
IOWA
VETERANS
HOME
33
For
salaries,
support,
maintenance,
and
miscellaneous
34
purposes:
35
-15-
LSB
1050SV
(1)
87
pf/hb/rn
15/
151
S.F.
515
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,228,140
1
a.
The
Iowa
veterans
home
billings
involving
the
department
2
of
human
services
shall
be
submitted
to
the
department
on
at
3
least
a
monthly
basis.
4
b.
Within
available
resources
and
in
conformance
with
5
associated
state
and
federal
program
eligibility
requirements,
6
the
Iowa
veterans
home
may
implement
measures
to
provide
7
financial
assistance
to
or
on
behalf
of
veterans
or
their
8
spouses
who
are
participating
in
the
community
reentry
program.
9
c.
The
Iowa
veterans
home
expenditure
report
shall
be
10
submitted
monthly
to
the
legislative
services
agency.
11
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
12
annual
discharge
report
applicant
information
to
provide
for
13
the
collection
of
demographic
information
including
but
not
14
limited
to
the
number
of
individuals
applying
for
admission
and
15
admitted
or
denied
admittance
and
the
basis
for
the
admission
16
or
denial;
the
age,
gender,
and
race
of
such
individuals;
17
and
the
level
of
care
for
which
such
individuals
applied
for
18
admission
including
residential
or
nursing
level
of
care.
19
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
20
For
transfer
to
the
Iowa
finance
authority
for
the
21
continuation
of
the
home
ownership
assistance
program
for
22
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
23
the
United
States,
pursuant
to
section
16.54
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
25
Sec.
5.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
26
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
27
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
28
July
1,
2017,
and
ending
June
30,
2018,
the
amount
appropriated
29
from
the
general
fund
of
the
state
pursuant
to
that
section
30
for
the
following
designated
purposes
shall
not
exceed
the
31
following
amount:
32
For
the
county
commissions
of
veteran
affairs
fund
under
33
section
35A.16
:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
947,925
35
-16-
LSB
1050SV
(1)
87
pf/hb/rn
16/
151
S.F.
515
DIVISION
V
1
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2017-2018
2
Sec.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
3
GRANT.
There
is
appropriated
from
the
fund
created
in
section
4
8.41
to
the
department
of
human
services
for
the
fiscal
year
5
beginning
July
1,
2017,
and
ending
June
30,
2018,
from
moneys
6
received
under
the
federal
temporary
assistance
for
needy
7
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
8
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
9
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
10
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purposes
designated:
12
1.
To
be
credited
to
the
family
investment
program
account
13
and
used
for
assistance
under
the
family
investment
program
14
under
chapter
239B
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,112,462
16
2.
To
be
credited
to
the
family
investment
program
account
17
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
18
program
and
implementing
family
investment
agreements
in
19
accordance
with
chapter
239B
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,575,693
21
3.
To
be
used
for
the
family
development
and
22
self-sufficiency
grant
program
in
accordance
with
section
23
216A.107
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
25
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
26
subsection
that
remain
unencumbered
or
unobligated
at
the
close
27
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
28
for
expenditure
for
the
purposes
designated
until
the
close
of
29
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
30
encumbered
or
obligated
on
or
before
September
30,
2017,
the
31
moneys
shall
revert.
32
4.
For
field
operations:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
34
5.
For
general
administration:
35
-17-
LSB
1050SV
(1)
87
pf/hb/rn
17/
151
S.F.
515
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
1
6.
For
state
child
care
assistance:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,866,826
3
a.
Of
the
funds
appropriated
in
this
subsection,
4
$26,328,097
is
transferred
to
the
child
care
and
development
5
block
grant
appropriation
made
by
the
Eighty-seventh
General
6
Assembly,
2017
session,
for
the
federal
fiscal
year
beginning
7
October
1,
2017,
and
ending
September
30,
2018.
Of
this
8
amount,
$200,000
shall
be
used
for
provision
of
educational
9
opportunities
to
registered
child
care
home
providers
in
order
10
to
improve
services
and
programs
offered
by
this
category
11
of
providers
and
to
increase
the
number
of
providers.
The
12
department
may
contract
with
institutions
of
higher
education
13
or
child
care
resource
and
referral
centers
to
provide
14
the
educational
opportunities.
Allowable
administrative
15
costs
under
the
contracts
shall
not
exceed
5
percent.
The
16
application
for
a
grant
shall
not
exceed
two
pages
in
length.
17
b.
Any
funds
appropriated
in
this
subsection
remaining
18
unallocated
shall
be
used
for
state
child
care
assistance
19
payments
for
families
who
are
employed
including
but
not
20
limited
to
individuals
enrolled
in
the
family
investment
21
program.
22
7.
For
child
and
family
services:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
24
8.
For
child
abuse
prevention
grants:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
26
9.
For
pregnancy
prevention
grants
on
the
condition
that
27
family
planning
services
are
funded:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
29
Pregnancy
prevention
grants
shall
be
awarded
to
programs
30
in
existence
on
or
before
July
1,
2017,
if
the
programs
have
31
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
32
pregnancy
prevention
programs
which
are
developed
after
July
33
1,
2017,
if
the
programs
are
based
on
existing
models
that
34
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
35
-18-
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1050SV
(1)
87
pf/hb/rn
18/
151
S.F.
515
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
1
section
14,
subsections
1
and
2
,
including
the
requirement
that
2
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
3
the
awarding
of
grants
shall
be
given
to
programs
that
serve
4
areas
of
the
state
which
demonstrate
the
highest
percentage
of
5
unplanned
pregnancies
of
females
of
childbearing
age
within
the
6
geographic
area
to
be
served
by
the
grant.
7
10.
For
technology
needs
and
other
resources
necessary
8
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
9
management
requirements:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
11
11.
a.
Notwithstanding
any
provision
to
the
contrary,
12
including
but
not
limited
to
requirements
in
section
8.41
or
13
provisions
in
2016
or
2017
Iowa
Acts
regarding
the
receipt
and
14
appropriation
of
federal
block
grants,
federal
funds
from
the
15
temporary
assistance
for
needy
families
block
grant
received
by
16
the
state
and
not
otherwise
appropriated
in
this
section
and
17
remaining
available
for
the
fiscal
year
beginning
July
1,
2017,
18
are
appropriated
to
the
department
of
human
services
to
the
19
extent
as
may
be
necessary
to
be
used
in
the
following
priority
20
order:
the
family
investment
program,
for
state
child
care
21
assistance
program
payments
for
families
who
are
employed,
and
22
for
the
family
investment
program
share
of
costs
to
develop
and
23
maintain
a
new,
integrated
eligibility
determination
system.
24
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
25
expended
only
after
all
other
funds
appropriated
in
subsection
26
1
for
the
assistance
under
the
family
investment
program,
27
in
subsection
6
for
child
care
assistance,
or
in
subsection
28
12
for
the
family
investment
program
share
of
the
costs
to
29
continue
to
develop
and
maintain
a
new,
integrated
eligibility
30
determination
system,
as
applicable,
have
been
expended.
For
31
the
purposes
of
this
subsection,
the
funds
appropriated
in
32
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
33
and
development
block
grant
appropriation
are
considered
fully
34
expended
when
the
full
amount
has
been
transferred.
35
-19-
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1050SV
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19/
151
S.F.
515
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
1
legislative
services
agency
and
department
of
management
of
2
the
amount
of
funds
appropriated
in
this
subsection
that
was
3
expended
in
the
prior
quarter.
4
12.
Of
the
amounts
appropriated
in
this
section,
5
$12,962,008
for
the
fiscal
year
beginning
July
1,
2017,
is
6
transferred
to
the
appropriation
of
the
federal
social
services
7
block
grant
made
to
the
department
of
human
services
for
that
8
fiscal
year.
9
13.
For
continuation
of
the
program
providing
categorical
10
eligibility
for
the
food
assistance
program
as
specified
11
for
the
program
in
the
section
of
this
division
of
this
Act
12
relating
to
the
family
investment
program
account:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
14
14.
The
department
may
transfer
funds
allocated
in
this
15
section
to
the
appropriations
made
in
this
division
of
this
Act
16
for
the
same
fiscal
year
for
general
administration
and
field
17
operations
for
resources
necessary
to
implement
and
operate
the
18
services
referred
to
in
this
section
and
those
funded
in
the
19
appropriation
made
in
this
division
of
this
Act
for
the
same
20
fiscal
year
for
the
family
investment
program
from
the
general
21
fund
of
the
state.
22
15.
With
the
exception
of
moneys
allocated
under
this
23
section
for
the
family
development
and
self-sufficiency
grant
24
program,
to
the
extent
moneys
allocated
in
this
section
are
25
deemed
by
the
department
not
to
be
necessary
to
support
the
26
purposes
for
which
they
are
allocated,
such
moneys
may
be
27
credited
to
the
family
investment
program
account
as
specified
28
under
subsection
1
of
this
section
and
used
for
the
purposes
of
29
assistance
under
the
family
investment
program
in
accordance
30
with
chapter
239B
in
the
same
fiscal
year.
31
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
32
1.
Moneys
credited
to
the
family
investment
program
(FIP)
33
account
for
the
fiscal
year
beginning
July
1,
2017,
and
34
ending
June
30,
2018,
shall
be
used
to
provide
assistance
in
35
-20-
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1050SV
(1)
87
pf/hb/rn
20/
151
S.F.
515
accordance
with
chapter
239B
.
1
2.
The
department
may
use
a
portion
of
the
moneys
credited
2
to
the
FIP
account
under
this
section
as
necessary
for
3
salaries,
support,
maintenance,
and
miscellaneous
purposes.
4
3.
The
department
may
transfer
funds
allocated
in
5
subsection
4
to
the
appropriations
made
in
this
division
of
6
this
Act
for
the
same
fiscal
year
for
general
administration
7
and
field
operations
for
resources
necessary
to
implement
and
8
operate
the
family
investment
program
services
referred
to
in
9
this
section
and
those
funded
in
the
appropriation
made
in
this
10
division
of
this
Act
for
the
same
fiscal
year
for
the
family
11
investment
program
from
the
general
fund
of
the
state.
12
4.
Moneys
appropriated
in
this
division
of
this
Act
and
13
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
14
1,
2017,
and
ending
June
30,
2018,
are
allocated
as
follows:
15
a.
To
be
retained
by
the
department
of
human
services
to
16
be
used
for
coordinating
with
the
department
of
human
rights
17
to
more
effectively
serve
participants
in
FIP
and
other
shared
18
clients
and
to
meet
federal
reporting
requirements
under
the
19
federal
temporary
assistance
for
needy
families
block
grant:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
21
b.
To
the
department
of
human
rights
for
staffing,
22
administration,
and
implementation
of
the
family
development
23
and
self-sufficiency
grant
program
in
accordance
with
section
24
216A.107
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
26
(1)
Of
the
funds
allocated
for
the
family
development
27
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
28
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
29
administration
of
the
grant
program.
30
(2)
The
department
of
human
rights
may
continue
to
implement
31
the
family
development
and
self-sufficiency
grant
program
32
statewide
during
fiscal
year
2017-2018.
33
(3)
The
department
of
human
rights
may
engage
in
activities
34
to
strengthen
and
improve
family
outcomes
measures
and
35
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1050SV
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21/
151
S.F.
515
data
collection
systems
under
the
family
development
and
1
self-sufficiency
grant
program.
2
c.
For
the
diversion
subaccount
of
the
FIP
account:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
4
A
portion
of
the
moneys
allocated
for
the
subaccount
may
5
be
used
for
field
operations,
salaries,
data
management
6
system
development,
and
implementation
costs
and
support
7
deemed
necessary
by
the
director
of
human
services
in
order
to
8
administer
the
FIP
diversion
program.
To
the
extent
moneys
9
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
10
not
to
be
necessary
to
support
diversion
activities,
such
11
moneys
may
be
used
for
other
efforts
intended
to
increase
12
engagement
by
family
investment
program
participants
in
work,
13
education,
or
training
activities,
or
for
the
purposes
of
14
assistance
under
the
family
investment
program
in
accordance
15
with
chapter
239B.
16
d.
For
the
food
assistance
employment
and
training
program:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
18
(1)
The
department
shall
apply
the
federal
supplemental
19
nutrition
assistance
program
(SNAP)
employment
and
training
20
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
21
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
22
provisions
for
the
claiming
of
allowable
federal
reimbursement
23
funds
from
the
United
States
department
of
agriculture
24
pursuant
to
the
federal
SNAP
employment
and
training
program
25
for
providing
education,
employment,
and
training
services
26
for
eligible
food
assistance
program
participants,
including
27
but
not
limited
to
related
dependent
care
and
transportation
28
expenses.
29
(2)
The
department
shall
continue
the
categorical
federal
30
food
assistance
program
eligibility
at
160
percent
of
the
31
federal
poverty
level
and
continue
to
eliminate
the
asset
test
32
from
eligibility
requirements,
consistent
with
federal
food
33
assistance
program
requirements.
The
department
shall
include
34
as
many
food
assistance
households
as
is
allowed
by
federal
35
-22-
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1050SV
(1)
87
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22/
151
S.F.
515
law.
The
eligibility
provisions
shall
conform
to
all
federal
1
requirements
including
requirements
addressing
individuals
who
2
are
incarcerated
or
otherwise
ineligible.
3
e.
For
the
JOBS
program:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,523,290
5
5.
Of
the
child
support
collections
assigned
under
FIP,
6
an
amount
equal
to
the
federal
share
of
support
collections
7
shall
be
credited
to
the
child
support
recovery
appropriation
8
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
9
assigned
child
support
collections
received
by
the
child
10
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
11
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
12
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
13
payments
account.
If
as
a
consequence
of
the
appropriations
14
and
allocations
made
in
this
section
the
resulting
amounts
15
are
insufficient
to
sustain
cash
assistance
payments
and
meet
16
federal
maintenance
of
effort
requirements,
the
department
17
shall
seek
supplemental
funding.
If
child
support
collections
18
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
19
determined
not
to
be
required
for
maintenance
of
effort,
the
20
state
share
of
either
amount
may
be
transferred
to
or
retained
21
in
the
child
support
payments
account.
22
6.
The
department
may
adopt
emergency
rules
for
the
family
23
investment,
JOBS,
food
assistance,
and
medical
assistance
24
programs
if
necessary
to
comply
with
federal
requirements.
25
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
26
is
appropriated
from
the
general
fund
of
the
state
to
the
27
department
of
human
services
for
the
fiscal
year
beginning
July
28
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
29
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
30
designated:
31
To
be
credited
to
the
family
investment
program
(FIP)
32
account
and
used
for
family
investment
program
assistance
under
33
chapter
239B
:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,004,480
35
-23-
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1050SV
(1)
87
pf/hb/rn
23/
151
S.F.
515
1.
Of
the
funds
appropriated
in
this
section,
$7,947,597
is
1
allocated
for
the
JOBS
program.
2
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
3
allocated
for
the
family
development
and
self-sufficiency
grant
4
program.
5
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
6
beginning
July
1,
2017,
if
necessary
to
meet
federal
7
maintenance
of
effort
requirements
or
to
transfer
federal
8
temporary
assistance
for
needy
families
block
grant
funding
9
to
be
used
for
purposes
of
the
federal
social
services
block
10
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
11
receiving
federal
funding
or
to
implement,
in
accordance
with
12
this
division
of
this
Act,
activities
currently
funded
with
13
juvenile
court
services,
county,
or
community
moneys
and
state
14
moneys
used
in
combination
with
such
moneys;
to
comply
with
15
federal
requirements;
or
to
maximize
the
use
of
federal
funds,
16
the
department
of
human
services
may
transfer
funds
within
or
17
between
any
of
the
appropriations
made
in
this
division
of
this
18
Act
and
appropriations
in
law
for
the
federal
social
services
19
block
grant
to
the
department
for
the
following
purposes,
20
provided
that
the
combined
amount
of
state
and
federal
21
temporary
assistance
for
needy
families
block
grant
funding
22
for
each
appropriation
remains
the
same
before
and
after
the
23
transfer:
24
a.
For
the
family
investment
program.
25
b.
For
child
care
assistance.
26
c.
For
child
and
family
services.
27
d.
For
field
operations.
28
e.
For
general
administration.
29
This
subsection
shall
not
be
construed
to
prohibit
the
use
30
of
existing
state
transfer
authority
for
other
purposes.
The
31
department
shall
report
any
transfers
made
pursuant
to
this
32
subsection
to
the
legislative
services
agency.
33
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
34
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
35
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organization
with
a
history
of
providing
tax
preparation
1
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
2
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
3
supply
this
assistance
to
underserved
areas
of
the
state.
4
5.
Of
the
funds
appropriated
in
this
section,
$60,000
shall
5
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
6
defined
in
441
IAC
100.1
,
relating
to
parental
obligations,
7
in
which
the
child
support
recovery
unit
participates,
to
8
support
the
efforts
of
a
nonprofit
organization
committed
9
to
strengthening
the
community
through
youth
development,
10
healthy
living,
and
social
responsibility
headquartered
in
11
a
county
with
a
population
over
350,000
according
to
the
12
latest
certified
federal
census.
The
funds
allocated
in
this
13
subsection
shall
be
used
by
the
recipient
organization
to
14
develop
a
larger
community
effort,
through
public
and
private
15
partnerships,
to
support
a
broad-based
multi-county
fatherhood
16
initiative
that
promotes
payment
of
child
support
obligations,
17
improved
family
relationships,
and
full-time
employment.
18
6.
The
department
may
transfer
funds
appropriated
in
this
19
section
to
the
appropriations
made
in
this
division
of
this
Act
20
for
general
administration
and
field
operations
as
necessary
21
to
administer
this
section
and
the
overall
family
investment
22
program.
23
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
human
25
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
26
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purposes
designated:
28
For
child
support
recovery,
including
salaries,
support,
29
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
30
the
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,586,635
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
33
1.
The
department
shall
expend
up
to
$24,329,
including
34
federal
financial
participation,
for
the
fiscal
year
beginning
35
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July
1,
2017,
for
a
child
support
public
awareness
campaign.
1
The
department
and
the
office
of
the
attorney
general
shall
2
cooperate
in
continuation
of
the
campaign.
The
public
3
awareness
campaign
shall
emphasize,
through
a
variety
of
4
media
activities,
the
importance
of
maximum
involvement
of
5
both
parents
in
the
lives
of
their
children
as
well
as
the
6
importance
of
payment
of
child
support
obligations.
7
2.
Federal
access
and
visitation
grant
moneys
shall
be
8
issued
directly
to
private
not-for-profit
agencies
that
provide
9
services
designed
to
increase
compliance
with
the
child
access
10
provisions
of
court
orders,
including
but
not
limited
to
11
neutral
visitation
sites
and
mediation
services.
12
3.
The
appropriation
made
to
the
department
for
child
13
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
14
manner
necessary
for
purposes
of
cash
flow
management,
and
for
15
cash
flow
management
purposes
the
department
may
temporarily
16
draw
more
than
the
amount
appropriated,
provided
the
amount
17
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
18
4.
With
the
exception
of
the
funding
amount
specified,
the
19
requirements
established
under
2001
Iowa
Acts,
chapter
191,
20
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
21
be
applicable
to
parental
obligation
pilot
projects
for
the
22
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018.
23
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
24
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
25
in
effect
until
June
30,
2018.
26
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
27
FY
2017-2018.
Any
funds
remaining
in
the
health
care
trust
28
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
29
July
1,
2017,
and
ending
June
30,
2018,
are
appropriated
to
30
the
department
of
human
services
to
supplement
the
medical
31
assistance
program
appropriations
made
in
this
division
of
this
32
Act,
for
medical
assistance
reimbursement
and
associated
costs,
33
including
program
administration
and
costs
associated
with
34
program
implementation.
35
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Sec.
11.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
1
2017-2018.
Any
funds
remaining
in
the
Medicaid
fraud
fund
2
created
in
section
249A.50
for
the
fiscal
year
beginning
3
July
1,
2017,
and
ending
June
30,
2018,
are
appropriated
to
4
the
department
of
human
services
to
supplement
the
medical
5
assistance
appropriations
made
in
this
division
of
this
Act,
6
for
medical
assistance
reimbursement
and
associated
costs,
7
including
program
administration
and
costs
associated
with
8
program
implementation.
9
Sec.
12.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
10
general
fund
of
the
state
to
the
department
of
human
services
11
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
12
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
13
to
be
used
for
the
purpose
designated:
14
For
medical
assistance
program
reimbursement
and
associated
15
costs
as
specifically
provided
in
the
reimbursement
16
methodologies
in
effect
on
June
30,
2017,
except
as
otherwise
17
expressly
authorized
by
law,
consistent
with
options
under
18
federal
law
and
regulations,
and
contingent
upon
receipt
of
19
approval
from
the
office
of
the
governor
of
reimbursement
for
20
each
abortion
performed
under
the
program:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,284,605,740
22
1.
Iowans
support
reducing
the
number
of
abortions
23
performed
in
our
state.
Funds
appropriated
under
this
section
24
shall
not
be
used
for
abortions,
unless
otherwise
authorized
25
under
this
section.
26
2.
The
provisions
of
this
section
relating
to
abortions
27
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
28
pursuant
to
chapter
249N
.
29
3.
The
department
shall
utilize
not
more
than
$60,000
of
30
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
31
health
insurance
premium
payment
program
as
established
in
1992
32
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
33
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
34
not
more
than
$5,000
may
be
expended
for
administrative
35
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purposes.
1
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
2
of
public
health
for
addictive
disorders,
$950,000
for
3
the
fiscal
year
beginning
July
1,
2017,
is
transferred
4
to
the
department
of
human
services
for
an
integrated
5
substance-related
disorder
managed
care
system.
The
6
departments
of
human
services
and
public
health
shall
7
work
together
to
maintain
the
level
of
mental
health
and
8
substance-related
disorder
treatment
services
provided
by
the
9
managed
care
contractors.
Each
department
shall
take
the
steps
10
necessary
to
continue
the
federal
waivers
as
necessary
to
11
maintain
the
level
of
services.
12
5.
a.
The
department
shall
aggressively
pursue
options
for
13
providing
medical
assistance
or
other
assistance
to
individuals
14
with
special
needs
who
become
ineligible
to
continue
receiving
15
services
under
the
early
and
periodic
screening,
diagnostic,
16
and
treatment
program
under
the
medical
assistance
program
17
due
to
becoming
21
years
of
age
who
have
been
approved
for
18
additional
assistance
through
the
department’s
exception
to
19
policy
provisions,
but
who
have
health
care
needs
in
excess
20
of
the
funding
available
through
the
exception
to
policy
21
provisions.
22
b.
Of
the
funds
appropriated
in
this
section,
$100,000
23
shall
be
used
for
participation
in
one
or
more
pilot
projects
24
operated
by
a
private
provider
to
allow
the
individual
or
25
individuals
to
receive
service
in
the
community
in
accordance
26
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
27
(1999),
for
the
purpose
of
providing
medical
assistance
or
28
other
assistance
to
individuals
with
special
needs
who
become
29
ineligible
to
continue
receiving
services
under
the
early
and
30
periodic
screening,
diagnostic,
and
treatment
program
under
31
the
medical
assistance
program
due
to
becoming
21
years
of
32
age
who
have
been
approved
for
additional
assistance
through
33
the
department’s
exception
to
policy
provisions,
but
who
have
34
health
care
needs
in
excess
of
the
funding
available
through
35
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the
exception
to
the
policy
provisions.
1
6.
Of
the
funds
appropriated
in
this
section,
up
to
2
$3,050,082
may
be
transferred
to
the
field
operations
or
3
general
administration
appropriations
in
this
division
of
this
4
Act
for
operational
costs
associated
with
Part
D
of
the
federal
5
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
6
of
2003,
Pub.
L.
No.
108-173.
7
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
8
may
be
transferred
to
the
appropriation
in
this
division
9
of
this
Act
for
medical
contracts
to
be
used
for
clinical
10
assessment
services
and
prior
authorization
of
services.
11
8.
A
portion
of
the
funds
appropriated
in
this
section
12
may
be
transferred
to
the
appropriations
in
this
division
of
13
this
Act
for
general
administration,
medical
contracts,
the
14
children’s
health
insurance
program,
or
field
operations
to
be
15
used
for
the
state
match
cost
to
comply
with
the
payment
error
16
rate
measurement
(PERM)
program
for
both
the
medical
assistance
17
and
children’s
health
insurance
programs
as
developed
by
the
18
centers
for
Medicare
and
Medicaid
services
of
the
United
States
19
department
of
health
and
human
services
to
comply
with
the
20
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
21
107-300.
22
9.
The
department
shall
continue
to
implement
the
23
recommendations
of
the
assuring
better
child
health
and
24
development
initiative
II
(ABCDII)
clinical
panel
to
the
25
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
26
services
healthy
mental
development
collaborative
board
27
regarding
changes
to
billing
procedures,
codes,
and
eligible
28
service
providers.
29
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
30
amount
is
allocated
to
supplement
the
incomes
of
residents
of
31
nursing
facilities,
intermediate
care
facilities
for
persons
32
with
mental
illness,
and
intermediate
care
facilities
for
33
persons
with
an
intellectual
disability,
with
incomes
of
less
34
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
35
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personal
needs
allowance
of
$50
per
month
pursuant
to
section
1
249A.30A
.
2
11.
a.
Hospitals
that
meet
the
conditions
specified
3
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
4
expenditures
or
transfer
to
the
medical
assistance
program
5
an
amount
equal
to
provide
the
nonfederal
share
for
a
6
disproportionate
share
hospital
payment
in
an
amount
up
to
the
7
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
8
The
hospitals
that
meet
the
conditions
specified
shall
receive
9
and
retain
100
percent
of
the
total
disproportionate
share
10
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
11
as
approved
in
the
Medicaid
state
plan.
12
(1)
The
hospital
qualifies
for
disproportionate
share
and
13
graduate
medical
education
payments.
14
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
15
than
500
beds
and
eight
or
more
distinct
residency
specialty
16
or
subspecialty
programs
recognized
by
the
American
college
of
17
graduate
medical
education.
18
b.
Distribution
of
the
disproportionate
share
payments
19
shall
be
made
on
a
monthly
basis.
The
total
amount
of
20
disproportionate
share
payments
including
graduate
medical
21
education,
enhanced
disproportionate
share,
and
Iowa
22
state-owned
teaching
hospital
payments
shall
not
exceed
the
23
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
24
In
addition,
the
total
amount
of
all
disproportionate
25
share
payments
shall
not
exceed
the
hospital-specific
26
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
27
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
28
to
area
education
agencies
that
are
medical
assistance
29
providers
for
medical
assistance-covered
services
provided
to
30
medical
assistance-covered
children,
shall
be
made
from
the
31
appropriation
made
in
this
section.
32
13.
A
portion
of
the
funds
appropriated
in
this
section
33
may
be
transferred
to
the
appropriation
in
this
division
of
34
this
Act
for
medical
contracts
to
be
used
for
administrative
35
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activities
associated
with
the
money
follows
the
person
1
demonstration
project.
2
14.
Of
the
funds
appropriated
in
this
section,
$349,011
3
shall
be
used
for
the
administration
of
the
health
insurance
4
premium
payment
program,
including
salaries,
support,
5
maintenance,
and
miscellaneous
purposes.
6
15.
a.
The
department
shall
implement
all
of
the
following
7
cost
containment
strategies:
8
(1)
An
adjustment
to
the
reimbursement
policy
in
order
9
to
eliminate
the
primary
care
physician
rate
increase
10
originally
authorized
by
the
federal
Health
Care
and
Education
11
Reconciliation
Act
of
2010,
section
1202,
Pub.
L.
No.
111-152,
12
42
U.S.C.
§1396a(a)(13)(C)
that
allows
qualified
primary
care
13
physicians
to
receive
the
greater
of
the
Medicare
rate
or
14
Medicaid
rate
for
a
specified
set
of
codes.
15
(2)
A
strategy
to
ensure
that
total
reimbursement
for
16
Medicare
Part
A
and
Medicare
Part
B
crossover
claims
is
limited
17
to
the
Medicaid
reimbursement
rate.
18
(3)
An
adjustment
to
Medicaid
reimbursement
rates
for
19
physician
services
by
applying
a
site
of
service
differential
20
to
reflect
the
difference
between
the
cost
of
physician
21
services
when
provided
in
a
health
facility
setting
and
the
22
cost
of
physician
services
when
provided
in
a
physician’s
23
office.
24
(4)
An
adjustment
to
the
inpatient
diagnostic
related
group
25
(DRG)
cost
threshold
formula
to
be
the
greater
of
two
times
the
26
statewide
average
DRG
payment
for
that
case
or
the
hospital’s
27
individual
DRG
payment
for
that
case
plus
$75,000.
28
(5)
An
adjustment
to
the
Medicaid
anesthesia
conversion
29
factor
to
be
equal
to
the
calendar
year
2017
Medicare
30
anesthesia
conversion
factor
as
adjusted
for
the
state,
and
31
converted
to
a
per
minute
amount.
Each
January
1,
thereafter,
32
the
department
shall
apply
the
applicable
Medicare
anesthesia
33
conversion
factor
adjusted
for
the
state,
and
converted
to
a
34
per
minute
amount.
35
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(6)
An
alignment
of
billing
and
reimbursement
for
1
consultation
services
rendered
in
an
office,
other
outpatient,
2
or
inpatient
setting
with
Medicare
billing
and
reimbursement.
3
(7)
Elimination
of
the
three-month
retroactive
Medicaid
4
coverage
benefit
for
Medicaid
applicants
effective
October
1,
5
2017.
The
department
shall
seek
a
waiver
from
the
centers
for
6
Medicare
and
Medicaid
services
of
the
United
States
department
7
of
health
and
human
services
to
implement
the
strategy.
8
If
federal
approval
is
received,
an
applicant’s
Medicaid
9
coverage
shall
be
effective
on
the
first
day
of
the
month
of
10
application,
as
allowed
under
the
Medicaid
state
plan.
11
b.
The
department
shall
implement
the
cost
containment
12
strategies
specified
in
this
subsection
beginning
July
1,
2017,
13
or
as
otherwise
specified.
If
federal
approval
is
required,
14
the
strategy
shall
be
implemented
effective
upon
receipt
of
15
federal
approval.
16
c.
The
department
may
adopt
emergency
rules
to
implement
17
this
subsection.
18
16.
a.
The
department
may
increase
the
amounts
allocated
19
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
20
associated
with
the
medical
assistance
program,
as
necessary,
21
to
implement
cost
containment
strategies.
The
department
shall
22
report
any
such
increase
to
the
legislative
services
agency
and
23
the
department
of
management.
24
b.
If
the
savings
to
the
medical
assistance
program
from
25
cost
containment
efforts
exceed
the
cost
for
the
fiscal
26
year
beginning
July
1,
2017,
the
department
may
transfer
any
27
savings
generated
for
the
fiscal
year
due
to
medical
assistance
28
program
cost
containment
efforts
to
the
appropriation
29
made
in
this
division
of
this
Act
for
medical
contracts
or
30
general
administration
to
defray
the
increased
contract
costs
31
associated
with
implementing
such
efforts.
32
17.
For
the
fiscal
year
beginning
July
1,
2017,
and
ending
33
June
30,
2018,
the
replacement
generation
tax
revenues
required
34
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
35
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section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
1
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
2
to
and
supplement
the
appropriation
made
in
this
section
and
3
used
for
the
allocations
made
in
this
section.
4
18.
a.
Of
the
funds
appropriated
in
this
section,
up
5
to
$50,000
may
be
transferred
by
the
department
to
the
6
appropriation
made
in
this
division
of
this
Act
to
the
7
department
for
the
same
fiscal
year
for
general
administration
8
to
be
used
for
associated
administrative
expenses
and
for
not
9
more
than
one
full-time
equivalent
position,
in
addition
to
10
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
11
implementing
the
children’s
mental
health
home
project.
12
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
13
may
be
transferred
by
the
department
to
the
appropriation
made
14
to
the
department
in
this
division
of
this
Act
for
the
same
15
fiscal
year
for
Medicaid
program-related
general
administration
16
planning
and
implementation
activities.
The
funds
may
be
used
17
for
contracts
or
for
personnel
in
addition
to
the
amounts
18
appropriated
for
and
the
positions
authorized
for
general
19
administration
for
the
fiscal
year.
20
c.
Of
the
funds
appropriated
in
this
section,
up
to
21
$3,000,000
may
be
transferred
by
the
department
to
the
22
appropriations
made
in
this
division
of
this
Act
for
the
same
23
fiscal
year
for
general
administration
or
medical
contracts
24
to
be
used
to
support
the
development
and
implementation
of
25
standardized
assessment
tools
for
persons
with
mental
illness,
26
an
intellectual
disability,
a
developmental
disability,
or
a
27
brain
injury.
28
19.
Of
the
funds
appropriated
in
this
section,
$150,000
29
shall
be
used
for
lodging
expenses
associated
with
care
30
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
31
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
32
and
whose
income
is
at
or
below
200
percent
of
the
federal
33
poverty
level
as
defined
by
the
most
recently
revised
poverty
34
income
guidelines
published
by
the
United
States
department
of
35
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health
and
human
services.
The
department
of
human
services
1
shall
establish
the
maximum
number
of
overnight
stays
and
the
2
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
3
based
on
the
state
employee
rate
established
by
the
department
4
of
administrative
services.
The
funds
allocated
in
this
5
subsection
shall
not
be
used
as
nonfederal
share
matching
6
funds.
7
20.
Of
the
funds
appropriated
in
this
section,
up
to
8
$3,383,880
shall
be
used
for
administration
of
the
state
family
9
planning
services
program
as
enacted
in
this
2017
Act,
and
10
of
this
amount,
the
department
may
use
up
to
$200,000
for
11
administrative
expenses.
12
21.
The
department
shall
report
the
implementation
of
13
any
cost
containment
strategies
to
the
individuals
specified
14
in
this
division
of
this
Act
for
submission
of
reports
upon
15
implementation.
16
22.
The
department
shall
report
the
implementation
of
any
17
process
improvement
changes
and
any
related
cost
reductions
18
to
the
individuals
specified
in
this
division
of
this
Act
for
19
submission
of
reports
upon
implementation.
20
23.
The
Medicaid
managed
care
organizations
shall
explore
21
options
provided
by
national
human
services
nonprofit
22
organizations
that
provide
innovative
services
for
persons
with
23
behavioral
health
challenges
to
incorporate
assertive
community
24
treatment
teams
into
the
services
provided
to
individuals
with
25
severe
and
persistent
mental
illness
in
order
to
minimize
or
26
prevent
recurrent
acute
episodes
and
to
enhance
quality
of
life
27
and
functioning.
28
24.
To
the
extent
a
managed
care
organization
has
developed
29
a
closed
or
exclusive
provider
network
through
contractual
30
arrangements
with
selected
providers,
such
managed
care
31
organization
shall
accept
into
such
closed
or
exclusive
network
32
any
willing
licensed
or
certified
health
care
provider
who
33
holds
a
current,
active
license
or
certification
in
good
34
standing,
as
applicable,
who
is
not
experiencing
adverse
care
35
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quality
issues,
and
who
agrees
to
accept
the
fee
schedule,
1
payment,
or
reimbursement
rate
for
such
health
care
provider
in
2
that
network
in
the
specific
geographic
area
of
the
licensed
or
3
certified
health
care
provider.
4
25.
The
department
of
human
services
shall
include
in
the
5
Medicaid
managed
care
contracts
beginning
with
the
contract
6
period
effective
July
1,
2017,
per
member
per
month
capitation
7
payments
to
managed
care
organizations
that
encourage
the
8
utilization
of
home
and
community-based
services
as
an
9
alternative
to
residential
care
for
members.
10
Sec.
13.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
11
general
fund
of
the
state
to
the
department
of
human
services
12
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
13
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
14
to
be
used
for
the
purpose
designated:
15
For
medical
contracts:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,626,464
17
1.
The
department
of
inspections
and
appeals
shall
18
provide
all
state
matching
funds
for
survey
and
certification
19
activities
performed
by
the
department
of
inspections
20
and
appeals.
The
department
of
human
services
is
solely
21
responsible
for
distributing
the
federal
matching
funds
for
22
such
activities.
23
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
24
be
used
for
continuation
of
home
and
community-based
services
25
waiver
quality
assurance
programs,
including
the
review
and
26
streamlining
of
processes
and
policies
related
to
oversight
and
27
quality
management
to
meet
state
and
federal
requirements.
28
3.
Of
the
amount
appropriated
in
this
section,
up
to
29
$200,000
may
be
transferred
to
the
appropriation
for
general
30
administration
in
this
division
of
this
Act
to
be
used
for
31
additional
full-time
equivalent
positions
in
the
development
of
32
key
health
initiatives
such
as
cost
containment,
development
33
and
oversight
of
managed
care
programs,
and
development
of
34
health
strategies
targeted
toward
improved
quality
and
reduced
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costs
in
the
Medicaid
program.
1
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
2
shall
be
used
for
planning
and
development,
in
cooperation
with
3
the
department
of
public
health,
of
a
phased-in
program
to
4
provide
a
dental
home
for
children.
5
5.
Of
the
funds
appropriated
in
this
section,
$950,000
6
shall
be
credited
to
the
autism
support
program
fund
created
7
in
section
225D.2
to
be
used
for
the
autism
support
program
8
created
in
chapter
225D
,
with
the
exception
of
the
following
9
amounts
of
this
allocation
which
shall
be
used
as
follows:
10
a.
Of
the
amount
appropriated
in
this
section,
$202,000
11
shall
be
used
for
the
public
purpose
of
providing
a
one-year
12
grant
to
Drake
university
to
establish
a
master’s
program
in
13
applied
behavioral
analysis,
including
the
establishment
of
14
remote
learning
sites
and
a
remote
system
to
maximize
outreach
15
and
enrollment
in
the
program.
16
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
17
shall
be
used
for
the
public
purpose
of
continuation
of
a
18
grant
to
a
child
welfare
services
provider
headquartered
in
a
19
county
with
a
population
between
205,000
and
215,000
in
the
20
latest
certified
federal
census
that
provides
multiple
services
21
including
but
not
limited
to
a
psychiatric
medical
institution
22
for
children,
shelter,
residential
treatment,
after
school
23
programs,
school-based
programming,
and
an
Asperger’s
syndrome
24
program,
to
be
used
for
support
services
for
children
with
25
autism
spectrum
disorder
and
their
families.
26
c.
Of
the
funds
allocated
in
this
subsection,
$25,000
27
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
28
a
hospital-based
provider
headquartered
in
a
county
with
a
29
population
between
90,000
and
95,000
in
the
latest
certified
30
federal
census
that
provides
multiple
services
including
31
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
32
services
to
individuals
with
autism
spectrum
disorder
across
33
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
34
to
continue
the
pilot
project
to
determine
the
necessary
35
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515
support
services
for
children
with
autism
spectrum
disorder
and
1
their
families
to
be
included
in
the
children’s
disabilities
2
services
system.
The
grant
recipient
shall
submit
findings
and
3
recommendations
based
upon
the
results
of
the
pilot
project
4
to
the
individuals
specified
in
this
division
of
this
Act
for
5
submission
of
reports
by
December
31,
2017.
6
Sec.
14.
STATE
SUPPLEMENTARY
ASSISTANCE.
7
1.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
For
the
state
supplementary
assistance
program:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,372,658
14
2.
The
department
shall
increase
the
personal
needs
15
allowance
for
residents
of
residential
care
facilities
by
the
16
same
percentage
and
at
the
same
time
as
federal
supplemental
17
security
income
and
federal
social
security
benefits
are
18
increased
due
to
a
recognized
increase
in
the
cost
of
living.
19
The
department
may
adopt
emergency
rules
to
implement
this
20
subsection.
21
3.
If
during
the
fiscal
year
beginning
July
1,
2017,
22
the
department
projects
that
state
supplementary
assistance
23
expenditures
for
a
calendar
year
will
not
meet
the
federal
24
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
25
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
26
§1382g,
the
department
may
take
actions
including
but
not
27
limited
to
increasing
the
personal
needs
allowance
for
28
residential
care
facility
residents
and
making
programmatic
29
adjustments
or
upward
adjustments
of
the
residential
care
30
facility
or
in-home
health-related
care
reimbursement
rates
31
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
32
requirements
are
met.
In
addition,
the
department
may
make
33
other
programmatic
and
rate
adjustments
necessary
to
remain
34
within
the
amount
appropriated
in
this
section
while
ensuring
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515
compliance
with
federal
requirements.
The
department
may
adopt
1
emergency
rules
to
implement
the
provisions
of
this
subsection.
2
Sec.
15.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
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,
2017,
and
ending
June
30,
2018,
the
following
6
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
7
purpose
designated:
8
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
9
program
pursuant
to
chapter
514I
,
including
supplemental
dental
10
services,
for
receipt
of
federal
financial
participation
under
11
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
12
children’s
health
insurance
program:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,518,452
14
2.
Of
the
funds
appropriated
in
this
section,
$42,800
is
15
allocated
for
continuation
of
the
contract
for
outreach
with
16
the
department
of
public
health.
17
Sec.
16.
CHILD
CARE
ASSISTANCE.
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,
2017,
and
ending
20
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purpose
designated:
22
For
child
care
programs:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,343,616
24
1.
Of
the
funds
appropriated
in
this
section,
$33,493,616
25
shall
be
used
for
state
child
care
assistance
in
accordance
26
with
section
237A.13
.
27
2.
Nothing
in
this
section
shall
be
construed
or
is
28
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
29
to
persons
who
are
eligible
for
assistance
due
to
an
income
30
level
consistent
with
the
waiting
list
requirements
of
section
31
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
32
this
section
is
limited
to
the
extent
of
the
funds
appropriated
33
in
this
section.
34
3.
A
list
of
the
registered
and
licensed
child
care
35
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facilities
operating
in
the
area
served
by
a
child
care
1
resource
and
referral
service
shall
be
made
available
to
the
2
families
receiving
state
child
care
assistance
in
that
area.
3
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
4
shall
be
credited
to
the
early
childhood
programs
grants
5
account
in
the
early
childhood
Iowa
fund
created
in
section
6
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
7
community-based
early
childhood
programs
targeted
to
children
8
from
birth
through
five
years
of
age
developed
by
early
9
childhood
Iowa
areas
in
accordance
with
approved
community
10
plans
as
provided
in
section
256I.8
.
11
5.
The
department
may
use
any
of
the
funds
appropriated
12
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
13
expanding
child
care
assistance
and
related
programs.
For
14
the
purpose
of
expenditures
of
state
and
federal
child
care
15
funding,
funds
shall
be
considered
obligated
at
the
time
16
expenditures
are
projected
or
are
allocated
to
the
department’s
17
service
areas.
Projections
shall
be
based
on
current
and
18
projected
caseload
growth,
current
and
projected
provider
19
rates,
staffing
requirements
for
eligibility
determination
20
and
management
of
program
requirements
including
data
systems
21
management,
staffing
requirements
for
administration
of
the
22
program,
contractual
and
grant
obligations
and
any
transfers
23
to
other
state
agencies,
and
obligations
for
decategorization
24
or
innovation
projects.
25
6.
A
portion
of
the
state
match
for
the
federal
child
care
26
and
development
block
grant
shall
be
provided
as
necessary
to
27
meet
federal
matching
funds
requirements
through
the
state
28
general
fund
appropriation
made
for
child
development
grants
29
and
other
programs
for
at-risk
children
in
section
279.51
.
30
7.
If
a
uniform
reduction
ordered
by
the
governor
under
31
section
8.31
or
other
operation
of
law,
transfer,
or
federal
32
funding
reduction
reduces
the
appropriation
made
in
this
33
section
for
the
fiscal
year,
the
percentage
reduction
in
the
34
amount
paid
out
to
or
on
behalf
of
the
families
participating
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in
the
state
child
care
assistance
program
shall
be
equal
to
or
1
less
than
the
percentage
reduction
made
for
any
other
purpose
2
payable
from
the
appropriation
made
in
this
section
and
the
3
federal
funding
relating
to
it.
The
percentage
reduction
to
4
the
other
allocations
made
in
this
section
shall
be
the
same
as
5
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
6
change
of
the
federal
funding
reduction,
as
applicable.
7
If
there
is
an
unanticipated
increase
in
federal
funding
8
provided
for
state
child
care
assistance,
the
entire
amount
9
of
the
increase
shall
be
used
for
state
child
care
assistance
10
payments.
If
the
appropriations
made
for
purposes
of
the
11
state
child
care
assistance
program
for
the
fiscal
year
are
12
determined
to
be
insufficient,
it
is
the
intent
of
the
general
13
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
14
in
order
to
avoid
establishment
of
waiting
list
requirements.
15
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
16
purposes
of
the
programs
developed
by
early
childhood
Iowa
17
areas,
advanced
for
purposes
of
wraparound
child
care,
or
18
received
from
the
federal
appropriations
made
for
the
purposes
19
of
this
section
that
remain
unencumbered
or
unobligated
at
the
20
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
21
remain
available
for
expenditure
for
the
purposes
designated
22
until
the
close
of
the
succeeding
fiscal
year.
23
Sec.
17.
JUVENILE
INSTITUTION.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
human
25
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
26
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purposes
designated:
28
1.
For
operation
of
the
state
training
school
at
Eldora
and
29
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
30
and
for
not
more
than
the
following
full-time
equivalent
31
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,350,443
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
189.00
34
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
35
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151
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515
be
used
for
distribution
to
licensed
classroom
teachers
at
this
1
and
other
institutions
under
the
control
of
the
department
of
2
human
services
based
upon
the
average
student
yearly
enrollment
3
at
each
institution
as
determined
by
the
department.
4
2.
A
portion
of
the
moneys
appropriated
in
this
section
5
shall
be
used
by
the
state
training
school
at
Eldora
for
6
grants
for
adolescent
pregnancy
prevention
activities
at
the
7
institution
in
the
fiscal
year
beginning
July
1,
2017.
8
Sec.
18.
CHILD
AND
FAMILY
SERVICES.
9
1.
There
is
appropriated
from
the
general
fund
of
the
10
state
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
12
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
13
purpose
designated:
14
For
child
and
family
services:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
87,329,375
16
2.
The
department
may
transfer
funds
appropriated
in
this
17
section
as
necessary
to
pay
the
nonfederal
costs
of
services
18
reimbursed
under
the
medical
assistance
program,
state
child
19
care
assistance
program,
or
the
family
investment
program
which
20
are
provided
to
children
who
would
otherwise
receive
services
21
paid
under
the
appropriation
in
this
section.
The
department
22
may
transfer
funds
appropriated
in
this
section
to
the
23
appropriations
made
in
this
division
of
this
Act
for
general
24
administration
and
for
field
operations
for
resources
necessary
25
to
implement
and
operate
the
services
funded
in
this
section.
26
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
27
$35,736,649
is
allocated
as
the
statewide
expenditure
target
28
under
section
232.143
for
group
foster
care
maintenance
and
29
services.
If
the
department
projects
that
such
expenditures
30
for
the
fiscal
year
will
be
less
than
the
target
amount
31
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
32
the
excess
to
provide
additional
funding
for
shelter
care
33
or
the
child
welfare
emergency
services
addressed
with
the
34
allocation
for
shelter
care.
35
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515
b.
If
at
any
time
after
September
30,
2017,
annualization
1
of
a
service
area’s
current
expenditures
indicates
a
service
2
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
3
target
under
section
232.143
by
more
than
5
percent,
the
4
department
and
juvenile
court
services
shall
examine
all
5
group
foster
care
placements
in
that
service
area
in
order
to
6
identify
those
which
might
be
appropriate
for
termination.
7
In
addition,
any
aftercare
services
believed
to
be
needed
8
for
the
children
whose
placements
may
be
terminated
shall
be
9
identified.
The
department
and
juvenile
court
services
shall
10
initiate
action
to
set
dispositional
review
hearings
for
the
11
placements
identified.
In
such
a
dispositional
review
hearing,
12
the
juvenile
court
shall
determine
whether
needed
aftercare
13
services
are
available
and
whether
termination
of
the
placement
14
is
in
the
best
interest
of
the
child
and
the
community.
15
4.
In
accordance
with
the
provisions
of
section
232.188
,
16
the
department
shall
continue
the
child
welfare
and
juvenile
17
justice
funding
initiative
during
fiscal
year
2017-2018.
Of
18
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
19
specifically
for
expenditure
for
fiscal
year
2017-2018
through
20
the
decategorization
services
funding
pools
and
governance
21
boards
established
pursuant
to
section
232.188
.
22
5.
A
portion
of
the
funds
appropriated
in
this
section
23
may
be
used
for
emergency
family
assistance
to
provide
other
24
resources
required
for
a
family
participating
in
a
family
25
preservation
or
reunification
project
or
successor
project
to
26
stay
together
or
to
be
reunified.
27
6.
Notwithstanding
section
234.35
or
any
other
provision
28
of
law
to
the
contrary,
state
funding
for
shelter
care
and
29
the
child
welfare
emergency
services
contracting
implemented
30
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
31
limited
to
$8,096,158.
32
7.
Federal
funds
received
by
the
state
during
the
fiscal
33
year
beginning
July
1,
2017,
as
the
result
of
the
expenditure
34
of
state
funds
appropriated
during
a
previous
state
fiscal
35
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S.F.
515
year
for
a
service
or
activity
funded
under
this
section
are
1
appropriated
to
the
department
to
be
used
as
additional
funding
2
for
services
and
purposes
provided
for
under
this
section.
3
Notwithstanding
section
8.33
,
moneys
received
in
accordance
4
with
this
subsection
that
remain
unencumbered
or
unobligated
at
5
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
6
shall
remain
available
for
the
purposes
designated
until
the
7
close
of
the
succeeding
fiscal
year.
8
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
9
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
10
court-ordered
services
provided
to
juveniles
who
are
under
the
11
supervision
of
juvenile
court
services,
which
expenses
are
a
12
charge
upon
the
state
pursuant
to
section
232.141,
subsection
13
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
14
$1,556,287
shall
be
made
available
to
provide
school-based
15
supervision
of
children
adjudicated
under
chapter
232
,
of
which
16
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
17
A
portion
of
the
cost
of
each
school-based
liaison
officer
18
shall
be
paid
by
the
school
district
or
other
funding
source
as
19
approved
by
the
chief
juvenile
court
officer.
20
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
21
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
22
services
provided
to
children
who
are
under
the
supervision
23
of
the
department,
which
expenses
are
a
charge
upon
the
state
24
pursuant
to
section
232.141,
subsection
4
.
25
c.
Notwithstanding
section
232.141
or
any
other
provision
26
of
law
to
the
contrary,
the
amounts
allocated
in
this
27
subsection
shall
be
distributed
to
the
judicial
districts
28
as
determined
by
the
state
court
administrator
and
to
the
29
department’s
service
areas
as
determined
by
the
administrator
30
of
the
department
of
human
services’
division
of
child
and
31
family
services.
The
state
court
administrator
and
the
32
division
administrator
shall
make
the
determination
of
the
33
distribution
amounts
on
or
before
June
15,
2017.
34
d.
Notwithstanding
chapter
232
or
any
other
provision
of
35
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law
to
the
contrary,
a
district
or
juvenile
court
shall
not
1
order
any
service
which
is
a
charge
upon
the
state
pursuant
2
to
section
232.141
if
there
are
insufficient
court-ordered
3
services
funds
available
in
the
district
court
or
departmental
4
service
area
distribution
amounts
to
pay
for
the
service.
The
5
chief
juvenile
court
officer
and
the
departmental
service
area
6
manager
shall
encourage
use
of
the
funds
allocated
in
this
7
subsection
such
that
there
are
sufficient
funds
to
pay
for
8
all
court-related
services
during
the
entire
year.
The
chief
9
juvenile
court
officers
and
departmental
service
area
managers
10
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
11
in
the
distribution
amounts
and
shall
cooperatively
request
the
12
state
court
administrator
or
division
administrator
to
transfer
13
funds
between
the
judicial
districts’
or
departmental
service
14
areas’
distribution
amounts
as
prudent.
15
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
16
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
17
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
18
entered
under
chapter
232
which
is
a
charge
upon
the
state
19
under
section
232.141,
subsection
4
.
20
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
21
$83,000
may
be
used
by
the
judicial
branch
for
administration
22
of
the
requirements
under
this
subsection.
23
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
24
shall
be
used
by
the
department
of
human
services
to
support
25
the
interstate
commission
for
juveniles
in
accordance
with
26
the
interstate
compact
for
juveniles
as
provided
in
section
27
232.173
.
28
9.
Of
the
funds
appropriated
in
this
section,
$12,253,227
is
29
allocated
for
juvenile
delinquent
graduated
sanctions
services.
30
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
31
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
32
services
administration
may
be
used
for
the
juvenile
delinquent
33
graduated
sanctions
services.
34
10.
Of
the
funds
appropriated
in
this
section,
$1,658,285
is
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transferred
to
the
department
of
public
health
to
be
used
for
1
the
child
protection
center
grant
program
for
child
protection
2
centers
located
in
Iowa
in
accordance
with
section
135.118
.
3
The
grant
amounts
under
the
program
shall
be
equalized
so
that
4
each
center
receives
a
uniform
base
amount
of
$245,000,
so
that
5
$50,000
is
awarded
to
establish
a
satellite
child
protection
6
center
in
a
city
in
north
central
Iowa
that
is
the
county
7
seat
of
a
county
with
a
population
between
44,000
and
45,000
8
according
to
the
latest
certified
federal
census,
and
so
that
9
the
remaining
funds
are
awarded
through
a
funding
formula
based
10
upon
the
volume
of
children
served.
11
11.
If
the
department
receives
federal
approval
to
12
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
13
Security
Act
to
enable
providers
to
serve
children
who
remain
14
in
the
children’s
families
and
communities,
for
purposes
of
15
eligibility
under
the
medical
assistance
program
through
25
16
years
of
age,
children
who
participate
in
the
waiver
shall
be
17
considered
to
be
placed
in
foster
care.
18
12.
Of
the
funds
appropriated
in
this
section,
$4,025,167
is
19
allocated
for
the
preparation
for
adult
living
program
pursuant
20
to
section
234.46
.
21
13.
Of
the
funds
appropriated
in
this
section,
$227,337
22
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
23
a
nonprofit
human
services
organization
providing
services
to
24
individuals
and
families
in
multiple
locations
in
southwest
25
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
26
sensitive
support
and
forensic
interviews,
medical
exams,
needs
27
assessments,
and
referrals
for
victims
of
child
abuse
and
their
28
nonoffending
family
members.
29
14.
Of
the
funds
appropriated
in
this
section,
$300,620
30
is
allocated
for
the
foster
care
youth
council
approach
of
31
providing
a
support
network
to
children
placed
in
foster
care.
32
15.
Of
the
funds
appropriated
in
this
section,
$202,000
is
33
allocated
for
use
pursuant
to
section
235A.1
for
continuation
34
of
the
initiative
to
address
child
sexual
abuse
implemented
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pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
1
21
.
2
16.
Of
the
funds
appropriated
in
this
section,
$630,240
is
3
allocated
for
the
community
partnership
for
child
protection
4
sites.
5
17.
Of
the
funds
appropriated
in
this
section,
$371,250
6
is
allocated
for
the
department’s
minority
youth
and
family
7
projects
under
the
redesign
of
the
child
welfare
system.
8
18.
Of
the
funds
appropriated
in
this
section,
$1,186,595
9
is
allocated
for
funding
of
the
community
circle
of
care
10
collaboration
for
children
and
youth
in
northeast
Iowa.
11
19.
Of
the
funds
appropriated
in
this
section,
at
least
12
$147,158
shall
be
used
for
the
continuation
of
the
child
13
welfare
provider
training
academy,
a
collaboration
between
the
14
coalition
for
family
and
children’s
services
in
Iowa
and
the
15
department.
16
20.
Of
the
funds
appropriated
in
this
section,
$211,872
17
shall
be
used
for
continuation
of
the
central
Iowa
system
of
18
care
program
grant
through
June
30,
2018.
19
21.
Of
the
funds
appropriated
in
this
section,
$235,000
20
shall
be
used
for
the
public
purpose
of
the
continuation
21
and
expansion
of
a
system
of
care
program
grant
implemented
22
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
23
and
long-term
approach
for
helping
children
and
families
by
24
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
25
needs,
education
and
work,
family,
and
community.
26
22.
Of
the
funds
appropriated
in
this
section,
at
least
27
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
28
care
respite
pilot
program
in
which
postsecondary
students
in
29
social
work
and
other
human
services-related
programs
receive
30
experience
by
assisting
family
foster
care
providers
with
31
respite
and
other
support.
32
23.
Of
the
funds
appropriated
in
this
section,
$110,000
33
shall
be
used
for
the
public
purpose
of
funding
community-based
34
services
and
other
supports
with
a
system
of
care
approach
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for
children
with
a
serious
emotional
disturbance
and
their
1
families
through
a
nonprofit
provider
of
child
welfare
services
2
that
has
been
in
existence
for
more
than
115
years,
is
located
3
in
a
county
with
a
population
of
more
than
200,000
but
less
4
than
220,000
according
to
the
latest
certified
federal
census,
5
is
licensed
as
a
psychiatric
medical
institution
for
children,
6
and
was
a
system
of
care
grantee
prior
to
July
1,
2017.
7
Sec.
19.
ADOPTION
SUBSIDY.
8
1.
There
is
appropriated
from
the
general
fund
of
the
9
state
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purpose
designated:
13
a.
For
adoption
subsidy
payments
and
services:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,777,910
15
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
16
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
17
of
the
following
purposes:
18
(a)
For
adoption
subsidy
payments
and
related
costs.
19
(b)
For
post-adoption
services
and
for
other
purposes
under
20
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
21
(2)
The
department
of
human
services
may
transfer
funds
22
appropriated
in
this
subsection
to
the
appropriation
for
23
child
and
family
services
in
this
Act
for
the
purposes
of
24
post-adoption
services
as
specified
in
this
paragraph
“b”.
25
2.
The
department
may
transfer
funds
appropriated
in
26
this
section
to
the
appropriation
made
in
this
division
of
27
this
Act
for
general
administration
for
costs
paid
from
the
28
appropriation
relating
to
adoption
subsidy.
29
3.
Federal
funds
received
by
the
state
during
the
30
fiscal
year
beginning
July
1,
2017,
as
the
result
of
the
31
expenditure
of
state
funds
during
a
previous
state
fiscal
32
year
for
a
service
or
activity
funded
under
this
section
are
33
appropriated
to
the
department
to
be
used
as
additional
funding
34
for
the
services
and
activities
funded
under
this
section.
35
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515
Notwithstanding
section
8.33
,
moneys
received
in
accordance
1
with
this
subsection
that
remain
unencumbered
or
unobligated
2
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
3
but
shall
remain
available
for
expenditure
for
the
purposes
4
designated
until
the
close
of
the
succeeding
fiscal
year.
5
Sec.
20.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
6
in
the
juvenile
detention
home
fund
created
in
section
232.142
7
during
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
8
30,
2018,
are
appropriated
to
the
department
of
human
services
9
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
10
2018,
for
distribution
of
an
amount
equal
to
a
percentage
of
11
the
costs
of
the
establishment,
improvement,
operation,
and
12
maintenance
of
county
or
multicounty
juvenile
detention
homes
13
in
the
fiscal
year
beginning
July
1,
2015.
Moneys
appropriated
14
for
distribution
in
accordance
with
this
section
shall
be
15
allocated
among
eligible
detention
homes,
prorated
on
the
basis
16
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
17
eligible
detention
homes
in
the
fiscal
year
beginning
July
18
1,
2015.
The
percentage
figure
shall
be
determined
by
the
19
department
based
on
the
amount
available
for
distribution
for
20
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
21
financial
aid
payable
by
the
state
under
that
provision
for
the
22
fiscal
year
beginning
July
1,
2017,
shall
be
limited
to
the
23
amount
appropriated
for
the
purposes
of
this
section.
24
Sec.
21.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
28
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
the
family
support
subsidy
program
subject
to
the
31
enrollment
restrictions
in
section
225C.37,
subsection
3
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,069,282
33
2.
At
least
$787,500
of
the
moneys
appropriated
in
this
34
section
is
transferred
to
the
department
of
public
health
for
35
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515
the
family
support
center
component
of
the
comprehensive
family
1
support
program
under
chapter
225C,
subchapter
V.
2
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
3
funding
available
for
the
family
support
subsidy
program
4
is
reduced
from
the
amount
initially
used
to
establish
the
5
figure
for
the
number
of
family
members
for
whom
a
subsidy
6
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
7
notwithstanding
section
225C.38,
subsection
2
,
the
department
8
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
9
of
funding
available.
10
Sec.
22.
CONNER
DECREE.
There
is
appropriated
from
the
11
general
fund
of
the
state
to
the
department
of
human
services
12
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
13
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
14
to
be
used
for
the
purpose
designated:
15
For
building
community
capacity
through
the
coordination
16
and
provision
of
training
opportunities
in
accordance
with
the
17
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
18
Iowa,
July
14,
1994):
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
20
Sec.
23.
MENTAL
HEALTH
INSTITUTES.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
24
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purposes
designated:
26
a.
For
operation
of
the
state
mental
health
institute
at
27
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
28
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
29
more
than
the
following
full-time
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,870,254
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
162.00
32
b.
For
operation
of
the
state
mental
health
institute
at
33
Independence
as
required
by
chapters
218
and
226
for
salaries,
34
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
35
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515
more
than
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,513,621
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
204.00
3
2.
Notwithstanding
sections
218.78
and
249A.11,
any
revenue
4
received
from
the
state
mental
health
institute
at
Cherokee
or
5
the
state
mental
health
institute
at
Independence
pursuant
to
6
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
7
health
institute.
8
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
9
a
Medicaid
member
residing
at
the
state
mental
health
10
institute
at
Cherokee
or
the
state
mental
health
institute
11
at
Independence
shall
retain
Medicaid
eligibility
during
12
the
period
of
the
Medicaid
member’s
stay
for
which
federal
13
financial
participation
is
available.
14
Sec.
24.
STATE
RESOURCE
CENTERS.
15
1.
There
is
appropriated
from
the
general
fund
of
the
16
state
to
the
department
of
human
services
for
the
fiscal
year
17
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
18
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
19
purposes
designated:
20
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
21
support,
maintenance,
and
miscellaneous
purposes:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,887,781
23
b.
For
the
state
resource
center
at
Woodward
for
salaries,
24
support,
maintenance,
and
miscellaneous
purposes:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,077,034
26
2.
The
department
may
continue
to
bill
for
state
resource
27
center
services
utilizing
a
scope
of
services
approach
used
for
28
private
providers
of
intermediate
care
facilities
for
persons
29
with
an
intellectual
disability
services,
in
a
manner
which
30
does
not
shift
costs
between
the
medical
assistance
program,
31
counties,
or
other
sources
of
funding
for
the
state
resource
32
centers.
33
3.
The
state
resource
centers
may
expand
the
time-limited
34
assessment
and
respite
services
during
the
fiscal
year.
35
-50-
LSB
1050SV
(1)
87
pf/hb/rn
50/
151
S.F.
515
4.
If
the
department’s
administration
and
the
department
1
of
management
concur
with
a
finding
by
a
state
resource
2
center’s
superintendent
that
projected
revenues
can
reasonably
3
be
expected
to
pay
the
salary
and
support
costs
for
a
new
4
employee
position,
or
that
such
costs
for
adding
a
particular
5
number
of
new
positions
for
the
fiscal
year
would
be
less
6
than
the
overtime
costs
if
new
positions
would
not
be
added,
7
the
superintendent
may
add
the
new
position
or
positions.
If
8
the
vacant
positions
available
to
a
resource
center
do
not
9
include
the
position
classification
desired
to
be
filled,
the
10
state
resource
center’s
superintendent
may
reclassify
any
11
vacant
position
as
necessary
to
fill
the
desired
position.
The
12
superintendents
of
the
state
resource
centers
may,
by
mutual
13
agreement,
pool
vacant
positions
and
position
classifications
14
during
the
course
of
the
fiscal
year
in
order
to
assist
one
15
another
in
filling
necessary
positions.
16
5.
If
existing
capacity
limitations
are
reached
in
17
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
18
a
special
need
for
which
a
payment
source
or
other
funding
19
is
available
for
the
service
or
to
address
the
special
need,
20
and
facilities
for
the
service
or
to
address
the
special
need
21
can
be
provided
within
the
available
payment
source
or
other
22
funding,
the
superintendent
of
a
state
resource
center
may
23
authorize
opening
not
more
than
two
units
or
other
facilities
24
and
begin
implementing
the
service
or
addressing
the
special
25
need
during
fiscal
year
2017-2018.
26
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
27
1.
There
is
appropriated
from
the
general
fund
of
the
28
state
to
the
department
of
human
services
for
the
fiscal
year
29
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
30
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
31
purpose
designated:
32
For
costs
associated
with
the
commitment
and
treatment
of
33
sexually
violent
predators
in
the
unit
located
at
the
state
34
mental
health
institute
at
Cherokee,
including
costs
of
legal
35
-51-
LSB
1050SV
(1)
87
pf/hb/rn
51/
151
S.F.
515
services
and
other
associated
costs,
including
salaries,
1
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
2
more
than
the
following
full-time
equivalent
positions:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,464,747
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
112.00
5
2.
Unless
specifically
prohibited
by
law,
if
the
amount
6
charged
provides
for
recoupment
of
at
least
the
entire
amount
7
of
direct
and
indirect
costs,
the
department
of
human
services
8
may
contract
with
other
states
to
provide
care
and
treatment
9
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
10
violent
predators
at
Cherokee.
The
moneys
received
under
11
such
a
contract
shall
be
considered
to
be
repayment
receipts
12
and
used
for
the
purposes
of
the
appropriation
made
in
this
13
section.
14
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
15
general
fund
of
the
state
to
the
department
of
human
services
16
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
17
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
18
to
be
used
for
the
purposes
designated:
19
For
field
operations,
including
salaries,
support,
20
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
21
the
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,484,435
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,583.00
24
Priority
in
filling
full-time
equivalent
positions
shall
be
25
given
to
those
positions
related
to
child
protection
services
26
and
eligibility
determination
for
low-income
families.
27
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
28
from
the
general
fund
of
the
state
to
the
department
of
human
29
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
30
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purpose
designated:
32
For
general
administration,
including
salaries,
support,
33
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
34
the
following
full-time
equivalent
positions:
35
-52-
LSB
1050SV
(1)
87
pf/hb/rn
52/
151
S.F.
515
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,883,040
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
2
1.
The
department
shall
report
at
least
monthly
to
the
3
legislative
services
agency
concerning
the
department’s
4
operational
and
program
expenditures.
5
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
6
be
used
to
continue
the
contract
for
the
provision
of
a
program
7
to
provide
technical
assistance,
support,
and
consultation
to
8
providers
of
habilitation
services
and
home
and
community-based
9
services
waiver
services
for
adults
with
disabilities
under
the
10
medical
assistance
program.
11
3.
Of
the
funds
appropriated
in
this
section,
$50,000
12
is
transferred
to
the
Iowa
finance
authority
to
be
used
13
for
administrative
support
of
the
council
on
homelessness
14
established
in
section
16.2D
and
for
the
council
to
fulfill
its
15
duties
in
addressing
and
reducing
homelessness
in
the
state.
16
4.
Of
the
funds
appropriated
in
this
section,
$250,000
shall
17
be
transferred
to
and
deposited
in
the
administrative
fund
of
18
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
19
be
used
for
implementation
and
administration
activities
of
the
20
Iowa
ABLE
savings
plan
trust.
21
5.
Of
the
funds
appropriated
in
this
section,
$200,000
22
is
transferred
to
the
economic
development
authority
for
23
the
Iowa
commission
on
volunteer
services
to
continue
to
be
24
used
for
RefugeeRISE
AmeriCorps
program
established
under
25
Code
section
15H.8
for
member
recruitment
and
training
to
26
improve
the
economic
well-being
and
health
of
economically
27
disadvantaged
refugees
in
local
communities
across
Iowa.
Funds
28
transferred
may
be
used
to
supplement
federal
funds
under
29
federal
regulations.
30
6.
Of
the
funds
appropriated
in
this
section,
$300,000
shall
31
be
used
to
contract
for
children’s
well-being
collaboratives
32
grants
for
the
development
and
implementation
of
children’s
33
well-being
collaboratives
to
establish
and
coordinate
34
prevention
and
early
intervention
services
to
promote
improved
35
-53-
LSB
1050SV
(1)
87
pf/hb/rn
53/
151
S.F.
515
mental
health
and
well-being
for
children
and
families,
as
1
enacted
in
this
2017
Act.
2
Sec.
28.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
3
from
the
general
fund
of
the
state
to
the
department
of
human
4
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
5
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
6
necessary,
to
be
used
for
the
purposes
designated:
7
For
salaries,
support,
maintenance,
and
miscellaneous
8
purposes
at
facilities
under
the
purview
of
the
department
of
9
human
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
11
Sec.
29.
VOLUNTEERS.
There
is
appropriated
from
the
general
12
fund
of
the
state
to
the
department
of
human
services
for
the
13
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
14
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
15
used
for
the
purpose
designated:
16
For
development
and
coordination
of
volunteer
services:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
18
Sec.
30.
GENERAL
REDUCTION.
For
the
period
beginning
July
19
1,
2017,
and
ending
June
30,
2018,
the
department
of
human
20
services,
in
consultation
with
the
department
of
management,
21
shall
identify
and
implement
a
reduction
in
expenditures
made
22
from
appropriations
from
the
general
fund
to
the
department
of
23
human
services
in
the
amount
of
$1,467,303.
24
Sec.
31.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
25
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
26
DEPARTMENT
OF
HUMAN
SERVICES.
27
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
2017,
28
the
department
shall
rebase
case-mix
nursing
facility
rates
29
effective
July
1,
2017,
to
the
extent
possible
within
the
state
30
funding
appropriated
for
this
purpose.
31
(b)
For
the
fiscal
year
beginning
July
1,
2017,
non-case-mix
32
and
special
population
nursing
facilities
shall
be
reimbursed
33
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
34
prior
fiscal
year.
35
-54-
LSB
1050SV
(1)
87
pf/hb/rn
54/
151
S.F.
515
(c)
For
managed
care
claims,
the
department
of
human
1
services
shall
adjust
the
payment
rate
floor
for
nursing
2
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
3
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
4
calculated
in
accordance
with
441
IAC
81.6.
The
department
5
shall
then
calculate
adjusted
reimbursement
rates,
including
6
but
not
limited
to
add-on-payments,
annually,
and
shall
7
notify
Medicaid
managed
care
organizations
of
the
adjusted
8
reimbursement
rates
within
30
days
of
determining
the
adjusted
9
reimbursement
rates.
Any
adjustment
of
reimbursement
rates
10
under
this
subparagraph
division
shall
be
budget
neutral
to
the
11
state
budget.
12
(2)
For
any
open
or
unsettled
nursing
facility
cost
report
13
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
14
beginning
July
1,
2016,
including
any
cost
report
remanded
on
15
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
16
or
x-ray
costs,
the
department
shall
offset
all
reported
17
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
18
received
from
Medicare
or
other
revenue
source
for
any
purpose.
19
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
20
report
is
not
considered
open
or
unsettled
if
the
facility
did
21
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
22
any
appeal
rights
initiated
have
been
exhausted.
23
b.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
24
the
department
shall
establish
the
pharmacy
dispensing
fee
25
reimbursement
at
$10.02
per
prescription,
until
a
cost
of
26
dispensing
survey
is
completed.
The
actual
dispensing
fee
27
shall
be
determined
by
a
cost
of
dispensing
survey
performed
28
by
the
department
and
required
to
be
completed
by
all
medical
29
assistance
program
participating
pharmacies
every
two
years,
30
adjusted
as
necessary
to
maintain
expenditures
within
the
31
amount
appropriated
to
the
department
for
this
purpose
for
the
32
fiscal
year.
33
(2)
The
department
shall
utilize
an
average
acquisition
34
cost
reimbursement
methodology
for
all
drugs
covered
under
the
35
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medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
1
chapter
1133,
section
33
.
2
c.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
3
reimbursement
rates
for
outpatient
hospital
services
shall
4
be
rebased
effective
January
1,
2018,
subject
to
Medicaid
5
program
upper
payment
limit
rules,
and
adjusted
as
necessary
6
to
maintain
expenditures
within
the
amount
appropriated
to
the
7
department
for
this
purpose
for
the
fiscal
year.
8
(2)
For
the
fiscal
year
beginning
July
1,
2017,
9
reimbursement
rates
for
inpatient
hospital
services
shall
10
remain
at
the
rates
in
effect
on
June
30,
2017,
subject
to
11
Medicaid
program
upper
payment
limit
rules,
and
adjusted
12
as
necessary
to
maintain
expenditures
within
the
amount
13
appropriated
to
the
department
for
this
purpose
for
the
fiscal
14
year.
15
(3)
For
the
fiscal
year
beginning
July
1,
2017,
the
graduate
16
medical
education
and
disproportionate
share
hospital
fund
17
shall
remain
at
the
amount
in
effect
on
June
30,
2017,
except
18
that
the
portion
of
the
fund
attributable
to
graduate
medical
19
education
shall
be
reduced
in
an
amount
that
reflects
the
20
elimination
of
graduate
medical
education
payments
made
to
21
out-of-state
hospitals.
22
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
23
funds
in
procuring
health
care
services
for
low-income
Iowans,
24
funds
appropriated
in
this
Act
for
hospital
services
shall
25
not
be
used
for
activities
which
would
be
excluded
from
a
26
determination
of
reasonable
costs
under
the
federal
Medicare
27
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
28
d.
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
29
rates
for
hospices
and
acute
mental
hospitals
shall
be
30
increased
in
accordance
with
increases
under
the
federal
31
Medicare
program
or
as
supported
by
their
Medicare
audited
32
costs.
33
e.
For
the
fiscal
year
beginning
July
1,
2017,
independent
34
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
35
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using
the
same
methodology
in
effect
on
June
30,
2017.
1
f.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
2
reimbursement
rates
for
home
health
agencies
shall
continue
to
3
be
based
on
the
Medicare
low
utilization
payment
adjustment
4
(LUPA)
methodology
with
state
geographic
wage
adjustments.
5
The
department
shall
continue
to
update
the
rates
every
two
6
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
7
extent
possible
within
the
state
funding
appropriated
for
this
8
purpose.
9
(2)
For
the
fiscal
year
beginning
July
1,
2017,
rates
for
10
private
duty
nursing
and
personal
care
services
under
the
early
11
and
periodic
screening,
diagnostic,
and
treatment
program
12
benefit
shall
be
calculated
based
on
the
methodology
in
effect
13
on
June
30,
2017.
14
g.
For
the
fiscal
year
beginning
July
1,
2017,
federally
15
qualified
health
centers
and
rural
health
clinics
shall
receive
16
cost-based
reimbursement
for
100
percent
of
the
reasonable
17
costs
for
the
provision
of
services
to
recipients
of
medical
18
assistance.
19
h.
For
the
fiscal
year
beginning
July
1,
2017,
the
20
reimbursement
rates
for
dental
services
shall
remain
at
the
21
rates
in
effect
on
June
30,
2017.
22
i.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
23
reimbursement
rates
for
non-state-owned
psychiatric
medical
24
institutions
for
children
shall
be
based
on
the
reimbursement
25
methodology
in
effect
on
June
30,
2017.
26
(2)
As
a
condition
of
participation
in
the
medical
27
assistance
program,
enrolled
providers
shall
accept
the
medical
28
assistance
reimbursement
rate
for
any
covered
goods
or
services
29
provided
to
recipients
of
medical
assistance
who
are
children
30
under
the
custody
of
a
psychiatric
medical
institution
for
31
children.
32
j.
For
the
fiscal
year
beginning
July
1,
2017,
unless
33
otherwise
specified
in
this
Act,
all
noninstitutional
medical
34
assistance
provider
reimbursement
rates
shall
remain
at
the
35
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rates
in
effect
on
June
30,
2017,
except
for
area
education
1
agencies,
local
education
agencies,
infant
and
toddler
2
services
providers,
home
and
community-based
services
providers
3
including
consumer-directed
attendant
care
providers
under
a
4
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
5
providers,
and
those
providers
whose
rates
are
required
to
be
6
determined
pursuant
to
section
249A.20
.
7
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
8
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rate
9
for
anesthesiologists
shall
be
adjusted
to
implement
the
cost
10
containment
strategies
authorized
for
the
medical
assistance
11
program
in
this
2017
Act.
12
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
13
beginning
July
1,
2017,
the
average
reimbursement
rate
for
14
health
care
providers
eligible
for
use
of
the
federal
Medicare
15
resource-based
relative
value
scale
reimbursement
methodology
16
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
17
June
30,
2017;
however,
this
rate
shall
not
exceed
the
maximum
18
level
authorized
by
the
federal
government.
19
m.
For
the
fiscal
year
beginning
July
1,
2017,
the
20
reimbursement
rate
for
residential
care
facilities
shall
not
21
be
less
than
the
minimum
payment
level
as
established
by
the
22
federal
government
to
meet
the
federally
mandated
maintenance
23
of
effort
requirement.
The
flat
reimbursement
rate
for
24
facilities
electing
not
to
file
annual
cost
reports
shall
not
25
be
less
than
the
minimum
payment
level
as
established
by
the
26
federal
government
to
meet
the
federally
mandated
maintenance
27
of
effort
requirement.
28
n.
For
the
fiscal
year
beginning
July
1,
2017,
the
29
reimbursement
rates
for
inpatient
mental
health
services
30
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
31
June
30,
2017,
subject
to
Medicaid
program
upper
payment
limit
32
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
33
assistance
program
fee-for-service
rate
in
effect
on
June
30,
34
2017.
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o.
For
the
fiscal
year
beginning
July
1,
2017,
community
1
mental
health
centers
may
choose
to
be
reimbursed
for
the
2
services
provided
to
recipients
of
medical
assistance
through
3
either
of
the
following
options:
4
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
5
(2)
In
accordance
with
the
alternative
reimbursement
rate
6
methodology
approved
by
the
department
of
human
services
in
7
effect
on
June
30,
2017.
8
p.
For
the
fiscal
year
beginning
July
1,
2017,
the
9
reimbursement
rate
for
providers
of
family
planning
services
10
that
are
eligible
to
receive
a
90
percent
federal
match
shall
11
remain
at
the
rates
in
effect
on
June
30,
2017.
12
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
13
for
the
fiscal
year
beginning
July
1,
2017,
the
upper
14
limits
and
reimbursement
rates
for
providers
of
home
and
15
community-based
services
waiver
services
shall
be
reimbursed
16
using
the
reimbursement
methodology
in
effect
on
June
30,
2017.
17
r.
For
the
fiscal
year
beginning
July
1,
2017,
the
18
reimbursement
rates
for
emergency
medical
service
providers
19
shall
remain
at
the
rates
in
effect
on
June
30,
2017.
20
s.
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
21
rates
for
substance-related
disorder
treatment
programs
22
licensed
under
section
125.13
shall
remain
at
the
rates
in
23
effect
on
June
30,
2017.
24
2.
For
the
fiscal
year
beginning
July
1,
2017,
the
25
reimbursement
rate
for
providers
reimbursed
under
the
26
in-home-related
care
program
shall
not
be
less
than
the
minimum
27
payment
level
as
established
by
the
federal
government
to
meet
28
the
federally
mandated
maintenance
of
effort
requirement.
29
3.
Unless
otherwise
directed
in
this
section,
when
the
30
department’s
reimbursement
methodology
for
any
provider
31
reimbursed
in
accordance
with
this
section
includes
an
32
inflation
factor,
this
factor
shall
not
exceed
the
amount
33
by
which
the
consumer
price
index
for
all
urban
consumers
34
increased
during
the
calendar
year
ending
December
31,
2002.
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4.
Notwithstanding
section
234.38,
for
the
fiscal
1
year
beginning
July
1,
2017,
the
foster
family
basic
daily
2
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
3
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
4
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
5
children
ages
12
through
15
years
shall
be
$19.10,
and
the
6
rate
for
children
and
young
adults
ages
16
and
older
shall
7
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
8
care,
the
preparation
for
adult
living
program
maintenance
rate
9
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
10
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
11
disallowance
of
additional
amounts
for
court
costs
and
other
12
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
13
chapter
1031,
section
408
,
shall
be
continued.
14
5.
For
the
fiscal
year
beginning
July
1,
2017,
the
maximum
15
reimbursement
rates
for
social
services
providers
under
16
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2017,
17
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
18
each
service,
whichever
is
less.
However,
if
a
new
service
19
or
service
provider
is
added
after
June
30,
2017,
the
initial
20
reimbursement
rate
for
the
service
or
provider
shall
be
based
21
upon
a
weighted
average
of
provider
rates
for
similar
services.
22
6.
a.
For
the
fiscal
year
beginning
July
1,
2017,
the
23
reimbursement
rates
for
resource
family
recruitment
and
24
retention
contractors
shall
be
established
by
contract.
25
b.
For
the
fiscal
year
beginning
July
1,
2017,
the
26
reimbursement
rates
for
supervised
apartment
living
foster
care
27
providers
shall
be
established
by
contract.
28
7.
a.
For
the
purposes
of
this
subsection,
“combined
29
reimbursement
rate”
means
the
combined
service
and
maintenance
30
reimbursement
rate
for
a
service
level
under
the
department’s
31
reimbursement
methodology.
Effective
July
1,
2017,
the
32
combined
reimbursement
rate
for
a
group
foster
care
service
33
level
shall
be
the
amount
designated
in
this
subsection.
34
However,
if
a
group
foster
care
provider’s
reimbursement
rate
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for
a
service
level
as
of
June
30,
2017,
is
more
than
the
rate
1
designated
in
this
subsection,
the
provider’s
reimbursement
2
shall
remain
at
the
higher
rate.
3
b.
Unless
a
group
foster
care
provider
is
subject
to
the
4
exception
provided
in
paragraph
“a”,
effective
July
1,
2017,
5
the
combined
reimbursement
rates
for
the
service
levels
under
6
the
department’s
reimbursement
methodology
shall
be
as
follows:
7
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
8
be
at
least
$84.17.
9
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
10
shall
be
at
least
$119.09.
11
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
12
be
at
least
$131.09.
13
8.
The
group
foster
care
reimbursement
rates
paid
for
14
placement
of
children
out
of
state
shall
be
calculated
15
according
to
the
same
rate-setting
principles
as
those
used
for
16
in-state
providers,
unless
the
director
of
human
services
or
17
the
director’s
designee
determines
that
appropriate
care
cannot
18
be
provided
within
the
state.
The
payment
of
the
daily
rate
19
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
20
which
service
is
provided.
21
9.
a.
For
the
fiscal
year
beginning
July
1,
2017,
the
22
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
23
emergency
services
implemented
to
provide
or
prevent
the
need
24
for
shelter
care
shall
be
established
by
contract.
25
b.
For
the
fiscal
year
beginning
July
1,
2017,
the
combined
26
service
and
maintenance
components
of
the
reimbursement
rate
27
paid
for
shelter
care
services
shall
be
based
on
the
financial
28
and
statistical
report
submitted
to
the
department.
The
29
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
30
department
shall
reimburse
a
shelter
care
provider
at
the
31
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
32
to
exceed
the
maximum
reimbursement
rate.
33
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
34
fiscal
year
beginning
July
1,
2017,
the
amount
of
the
statewide
35
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average
of
the
actual
and
allowable
rates
for
reimbursement
of
1
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
2
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
3
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
4
2016.
5
10.
For
the
fiscal
year
beginning
July
1,
2017,
the
6
department
shall
calculate
reimbursement
rates
for
intermediate
7
care
facilities
for
persons
with
an
intellectual
disability
8
at
the
80th
percentile.
Beginning
July
1,
2017,
the
rate
9
calculation
methodology
shall
utilize
the
consumer
price
index
10
inflation
factor
applicable
to
the
fiscal
year
beginning
July
11
1,
2017.
12
11.
For
the
fiscal
year
beginning
July
1,
2017,
for
child
13
care
providers
reimbursed
under
the
state
child
care
assistance
14
program,
the
department
shall
set
provider
reimbursement
15
rates
based
on
the
rate
reimbursement
survey
completed
in
16
December
2004.
Effective
July
1,
2017,
the
child
care
provider
17
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
18
30,
2017.
The
department
shall
set
rates
in
a
manner
so
as
19
to
provide
incentives
for
a
nonregistered
provider
to
become
20
registered
by
applying
the
increase
only
to
registered
and
21
licensed
providers.
22
12.
For
the
fiscal
year
beginning
July
1,
2017,
23
notwithstanding
any
provision
to
the
contrary
under
this
24
section,
affected
providers
or
services
shall
be
reimbursed
as
25
follows:
26
a.
For
fee-for-service
claims,
a
rate
or
reimbursement
27
shall
be
calculated
based
on
the
methodology
otherwise
28
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
29
2017,
for
the
respective
provider
or
service.
30
b.
For
claims
subject
to
a
managed
care
contract
with
31
the
exception
of
any
provider
or
service
to
which
a
rate
or
32
reimbursement
increase
is
applicable
for
the
fiscal
year
under
33
this
section,
the
rate
or
reimbursement
shall
be
based
on
the
34
methodology
established
by
the
managed
care
contract.
However,
35
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any
rate
or
reimbursement
established
under
such
contract
1
shall
not
be
lower
than
the
rate
or
reimbursement
floor
2
established
by
the
department
of
human
services
as
the
managed
3
care
organization
rate
or
reimbursement
floor
for
a
respective
4
provider
or
service
in
effect
on
April
1,
2016.
5
13.
Notwithstanding
any
provision
to
the
contrary,
6
reimbursement
rates
and
methodologies
under
this
section
may
7
be
adjusted
as
necessary
to
implement
the
cost
containment
8
strategies
authorized
for
the
medical
assistance
program
in
9
this
2017
Act.
10
14.
The
department
may
adopt
emergency
rules
to
implement
11
this
section.
12
Sec.
32.
EMERGENCY
RULES.
13
1.
If
specifically
authorized
by
a
provision
of
this
14
division
of
this
Act,
the
department
of
human
services
or
15
the
mental
health
and
disability
services
commission
may
16
adopt
administrative
rules
under
section
17A.4,
subsection
17
3
,
and
section
17A.5,
subsection
2,
paragraph
“b”
,
to
18
implement
the
provisions
of
this
division
of
this
Act
and
19
the
rules
shall
become
effective
immediately
upon
filing
or
20
on
a
later
effective
date
specified
in
the
rules,
unless
the
21
effective
date
of
the
rules
is
delayed
or
the
applicability
22
of
the
rules
is
suspended
by
the
administrative
rules
review
23
committee.
Any
rules
adopted
in
accordance
with
this
section
24
shall
not
take
effect
before
the
rules
are
reviewed
by
the
25
administrative
rules
review
committee.
The
delay
authority
26
provided
to
the
administrative
rules
review
committee
under
27
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
28
shall
be
applicable
to
a
delay
imposed
under
this
section,
29
notwithstanding
a
provision
in
those
sections
making
them
30
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”
.
31
Any
rules
adopted
in
accordance
with
the
provisions
of
this
32
section
shall
also
be
published
as
a
notice
of
intended
action
33
as
provided
in
section
17A.4
.
34
2.
If
during
a
fiscal
year,
the
department
of
human
35
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services
is
adopting
rules
in
accordance
with
this
section
1
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
2
rules
will
result
in
an
expenditure
increase
beyond
the
amount
3
anticipated
in
the
budget
process
or
if
the
expenditure
was
4
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
5
department
shall
notify
the
persons
designated
by
this
division
6
of
this
Act
for
submission
of
reports,
the
chairpersons
and
7
ranking
members
of
the
committees
on
appropriations,
and
8
the
department
of
management
concerning
the
rules
and
the
9
expenditure
increase.
The
notification
shall
be
provided
at
10
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
11
is
submitted
to
the
administrative
rules
coordinator
and
the
12
administrative
code
editor.
13
Sec.
33.
REPORTS.
Any
reports
or
other
information
14
required
to
be
compiled
and
submitted
under
this
Act
during
the
15
fiscal
year
beginning
July
1,
2017,
shall
be
submitted
to
the
16
chairpersons
and
ranking
members
of
the
joint
appropriations
17
subcommittee
on
health
and
human
services,
the
legislative
18
services
agency,
and
the
legislative
caucus
staffs
on
or
19
before
the
dates
specified
for
submission
of
the
reports
or
20
information.
21
Sec.
34.
TRANSFER
OF
MEDICAID
MODERNIZATION
SAVINGS
BETWEEN
22
APPROPRIATIONS
FY
2017-2018.
Notwithstanding
section
8.39,
23
subsection
1,
for
the
fiscal
year
beginning
July
1,
2017,
if
24
savings
resulting
from
the
governor’s
Medicaid
modernization
25
initiative
accrue
to
the
medical
contracts
or
children’s
health
26
insurance
program
appropriation
from
the
general
fund
of
the
27
state
and
not
to
the
medical
assistance
appropriation
from
the
28
general
fund
of
the
state
under
this
division
of
this
Act,
29
such
savings
may
be
transferred
to
such
medical
assistance
30
appropriation
for
the
same
fiscal
year
without
prior
written
31
consent
and
approval
of
the
governor
and
the
director
of
the
32
department
of
management.
The
department
of
human
services
33
shall
report
any
transfers
made
pursuant
to
this
section
to
the
34
legislative
services
agency.
35
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DIVISION
VI
1
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2017-2018
2
Sec.
35.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
3
appropriated
from
the
pharmaceutical
settlement
account
created
4
in
section
249A.33
to
the
department
of
human
services
for
the
5
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
6
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
7
used
for
the
purpose
designated:
8
Notwithstanding
any
provision
of
law
to
the
contrary,
to
9
supplement
the
appropriations
made
in
this
Act
for
medical
10
contracts
under
the
medical
assistance
program
for
the
fiscal
11
year
beginning
July
1,
2017,
and
ending
June
30,
2018:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
800,000
13
Sec.
36.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
14
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
15
subject
to
the
availability
of
funds,
there
is
appropriated
16
from
the
quality
assurance
trust
fund
created
in
section
17
249L.4
to
the
department
of
human
services
for
the
fiscal
year
18
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
19
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
20
designated:
21
To
supplement
the
appropriation
made
in
this
Act
from
the
22
general
fund
of
the
state
to
the
department
of
human
services
23
for
medical
assistance
for
the
same
fiscal
year:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,705,208
25
Sec.
37.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
26
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
27
the
contrary
and
subject
to
the
availability
of
funds,
there
is
28
appropriated
from
the
hospital
health
care
access
trust
fund
29
created
in
section
249M.4
to
the
department
of
human
services
30
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
31
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
32
necessary,
for
the
purposes
designated:
33
To
supplement
the
appropriation
made
in
this
Act
from
the
34
general
fund
of
the
state
to
the
department
of
human
services
35
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151
S.F.
515
for
medical
assistance
for
the
same
fiscal
year:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
2
Sec.
38.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
3
FOR
FY
2017-2018.
Notwithstanding
section
8.33
,
if
moneys
4
appropriated
for
purposes
of
the
medical
assistance
program
for
5
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
6
2018,
from
the
general
fund
of
the
state,
the
quality
assurance
7
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
8
in
excess
of
actual
expenditures
for
the
medical
assistance
9
program
and
remain
unencumbered
or
unobligated
at
the
close
10
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
11
shall
remain
available
for
expenditure
for
the
purposes
of
the
12
medical
assistance
program
until
the
close
of
the
succeeding
13
fiscal
year.
14
DIVISION
VII
15
DEPARTMENT
ON
AGING
——
FY
2018-2019
16
Sec.
39.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
17
the
general
fund
of
the
state
to
the
department
on
aging
for
18
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
19
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purposes
designated:
21
For
aging
programs
for
the
department
on
aging
and
area
22
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
23
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
24
aging
and
disabilities
resource
center,
and
other
services
25
which
may
include
but
are
not
limited
to
adult
day
services,
26
respite
care,
chore
services,
information
and
assistance,
27
and
material
aid,
for
information
and
options
counseling
for
28
persons
with
disabilities
who
are
18
years
of
age
or
older,
29
and
for
salaries,
support,
administration,
maintenance,
and
30
miscellaneous
purposes,
and
for
not
more
than
the
following
31
full-time
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,521,238
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
27.00
34
1.
Funds
appropriated
in
this
section
may
be
used
to
35
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515
supplement
federal
funds
under
federal
regulations.
To
1
receive
funds
appropriated
in
this
section,
a
local
area
2
agency
on
aging
shall
match
the
funds
with
moneys
from
other
3
sources
according
to
rules
adopted
by
the
department.
Funds
4
appropriated
in
this
section
may
be
used
for
elderly
services
5
not
specifically
enumerated
in
this
section
only
if
approved
6
by
an
area
agency
on
aging
for
provision
of
the
service
within
7
the
area.
8
2.
Of
the
funds
appropriated
in
this
section,
$139,973
is
9
transferred
to
the
economic
development
authority
for
the
Iowa
10
commission
on
volunteer
services
to
be
used
for
the
retired
and
11
senior
volunteer
program.
12
3.
a.
The
department
on
aging
shall
establish
and
enforce
13
procedures
relating
to
expenditure
of
state
and
federal
funds
14
by
area
agencies
on
aging
that
require
compliance
with
both
15
state
and
federal
laws,
rules,
and
regulations,
including
but
16
not
limited
to
all
of
the
following:
17
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
18
or
services
received
or
performed
prior
to
the
end
of
the
19
fiscal
period
designated
for
use
of
the
funds.
20
(2)
Prohibiting
prepayment
for
goods
or
services
not
21
received
or
performed
prior
to
the
end
of
the
fiscal
period
22
designated
for
use
of
the
funds.
23
(3)
Prohibiting
the
prepayment
for
goods
or
services
24
not
defined
specifically
by
good
or
service,
time
period,
or
25
recipient.
26
(4)
Prohibiting
the
establishment
of
accounts
from
which
27
future
goods
or
services
which
are
not
defined
specifically
by
28
good
or
service,
time
period,
or
recipient,
may
be
purchased.
29
b.
The
procedures
shall
provide
that
if
any
funds
are
30
expended
in
a
manner
that
is
not
in
compliance
with
the
31
procedures
and
applicable
federal
and
state
laws,
rules,
and
32
regulations,
and
are
subsequently
subject
to
repayment,
the
33
area
agency
on
aging
expending
such
funds
in
contravention
of
34
such
procedures,
laws,
rules
and
regulations,
not
the
state,
35
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151
S.F.
515
shall
be
liable
for
such
repayment.
1
4.
Of
the
funds
appropriated
in
this
section,
at
least
2
$125,000
shall
be
used
to
fund
the
unmet
needs
identified
3
through
Iowa’s
aging
and
disability
resource
center
network.
4
5.
Of
the
funds
appropriated
in
this
section,
at
least
5
$300,000
shall
be
used
to
fund
home
and
community-based
6
services
through
the
area
agencies
on
aging
that
enable
older
7
individuals
to
avoid
more
costly
utilization
of
residential
or
8
institutional
services
and
remain
in
their
own
homes.
9
6.
Of
the
funds
appropriated
in
this
section,
$406,268
10
shall
be
used
for
the
purposes
of
chapter
231E
and
section
11
231.56A
,
of
which
$175,000
shall
be
used
for
the
office
of
12
substitute
decision
maker
pursuant
to
chapter
231E
,
and
the
13
remainder
shall
be
distributed
equally
to
the
area
agencies
on
14
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
15
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
16
with
the
requirements
of
the
federal
Older
Americans
Act
of
17
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
18
7.
Of
the
funds
appropriated
in
this
section,
$375,000
19
shall
be
used
to
fund
continuation
of
the
aging
and
disability
20
resource
center
lifelong
links
to
provide
individuals
and
21
caregivers
with
information
and
services
to
plan
for
and
22
maintain
independence.
23
8.
Notwithstanding
section
8.39,
for
the
fiscal
year
24
beginning
July
1,
2018,
the
department
may
transfer
funds
25
within
or
between
the
allocations
made
in
this
division
of
this
26
Act
for
the
same
fiscal
year
in
accordance
with
departmental
27
priorities.
The
department
shall
report
any
such
transfers
28
to
the
individuals
specified
in
this
Act
for
submission
of
29
reports.
This
subsection
shall
not
be
construed
to
prohibit
30
the
use
of
existing
state
transfer
authority
for
other
31
purposes.
32
DIVISION
VIII
33
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2018-2019
34
Sec.
40.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
35
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pf/hb/rn
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151
S.F.
515
appropriated
from
the
general
fund
of
the
state
to
the
office
1
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
2
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
3
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
4
designated:
5
For
salaries,
support,
administration,
maintenance,
and
6
miscellaneous
purposes,
and
for
not
more
than
the
following
7
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
580,140
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.00
10
DIVISION
IX
11
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2018-2019
12
Sec.
41.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
13
from
the
general
fund
of
the
state
to
the
department
of
public
14
health
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
15
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purposes
designated:
17
1.
ADDICTIVE
DISORDERS
18
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
19
and
other
drugs,
and
treating
individuals
affected
by
addictive
20
behaviors,
including
gambling,
and
for
not
more
than
the
21
following
full-time
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,492,915
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
24
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
25
$2,010,612
shall
be
used
for
the
tobacco
use
prevention
26
and
control
initiative,
including
efforts
at
the
state
and
27
local
levels,
as
provided
in
chapter
142A
.
The
commission
28
on
tobacco
use
prevention
and
control
established
pursuant
29
to
section
142A.3
shall
advise
the
director
of
public
health
30
in
prioritizing
funding
needs
and
the
allocation
of
moneys
31
appropriated
for
the
programs
and
initiatives.
Activities
32
of
the
programs
and
initiatives
shall
be
in
alignment
with
33
the
United
States
centers
for
disease
control
and
prevention
34
best
practices
for
comprehensive
tobacco
control
programs
that
35
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151
S.F.
515
include
the
goals
of
preventing
youth
initiation
of
tobacco
1
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
2
of
tobacco
cessation.
To
maximize
resources,
the
department
3
shall
determine
if
third-party
sources
are
available
to
4
instead
provide
nicotine
replacement
products
to
an
applicant
5
prior
to
provision
of
such
products
to
an
applicant
under
6
the
initiative.
The
department
shall
track
and
report
to
7
the
individuals
specified
in
this
Act,
any
reduction
in
8
the
provision
of
nicotine
replacement
products
realized
by
9
the
initiative
through
implementation
of
the
prerequisite
10
screening.
11
(2)
(a)
The
department
shall
collaborate
with
the
12
alcoholic
beverages
division
of
the
department
of
commerce
for
13
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
14
engage
in
tobacco
control
activities
approved
by
the
division
15
of
tobacco
use
prevention
and
control
of
the
department
of
16
public
health
as
specified
in
the
memorandum
of
understanding
17
entered
into
between
the
divisions.
18
(b)
For
the
fiscal
year
beginning
July
1,
2018,
and
ending
19
June
30,
2019,
the
terms
of
the
memorandum
of
understanding,
20
entered
into
between
the
division
of
tobacco
use
prevention
21
and
control
of
the
department
of
public
health
and
the
22
alcoholic
beverages
division
of
the
department
of
commerce,
23
governing
compliance
checks
conducted
to
ensure
licensed
retail
24
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
25
ordinances
relating
to
persons
under
18
years
of
age,
shall
26
continue
to
restrict
the
number
of
such
checks
to
one
check
per
27
retail
outlet,
and
one
additional
check
for
any
retail
outlet
28
found
to
be
in
violation
during
the
first
check.
29
b.
Of
the
funds
appropriated
in
this
subsection,
30
$10,482,303
shall
be
used
for
problem
gambling
and
31
substance-related
disorder
prevention,
treatment,
and
recovery
32
services,
including
a
24-hour
helpline,
public
information
33
resources,
professional
training,
youth
prevention,
and
program
34
evaluation.
35
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151
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515
c.
The
requirement
of
section
123.17,
subsection
5,
is
met
1
by
the
appropriations
and
allocations
made
in
this
division
of
2
this
Act
for
purposes
of
substance-related
disorder
treatment
3
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
4
2018.
5
2.
HEALTHY
CHILDREN
AND
FAMILIES
6
For
promoting
the
optimum
health
status
for
children,
7
adolescents
from
birth
through
21
years
of
age,
and
families,
8
and
for
not
more
than
the
following
full-time
equivalent
9
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,662,816
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
12
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
13
than
$367,420
shall
be
used
for
the
healthy
opportunities
for
14
parents
to
experience
success
(HOPES)-healthy
families
Iowa
15
(HFI)
program
established
pursuant
to
section
135.106
.
The
16
funding
shall
be
distributed
to
renew
the
grants
that
were
17
provided
to
the
grantees
that
operated
the
program
during
the
18
fiscal
year
ending
June
30,
2018.
19
b.
In
order
to
implement
the
legislative
intent
stated
in
20
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
21
program
funding
be
given
to
programs
using
evidence-based
or
22
promising
models
for
home
visitation,
it
is
the
intent
of
the
23
general
assembly
to
phase
in
the
funding
priority
in
accordance
24
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2
,
25
paragraph
“0b”.
26
c.
Of
the
funds
appropriated
in
this
subsection,
$1,537,550
27
shall
be
used
for
continuation
of
the
department’s
initiative
28
to
provide
for
adequate
developmental
surveillance
and
29
screening
during
a
child’s
first
five
years.
The
funds
shall
30
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
31
the
sites
are
fully
operational,
with
the
remaining
funds
32
to
be
used
for
expansion
to
additional
sites.
The
full
33
implementation
and
expansion
shall
include
enhancing
the
scope
34
of
the
program
through
collaboration
with
the
child
health
35
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515
specialty
clinics
to
promote
healthy
child
development
through
1
early
identification
and
response
to
both
biomedical
and
social
2
determinants
of
healthy
development;
by
monitoring
child
3
health
metrics
to
inform
practice,
document
long-term
health
4
impacts
and
savings,
and
provide
for
continuous
improvement
5
through
training,
education,
and
evaluation;
and
by
providing
6
for
practitioner
consultation
particularly
for
children
with
7
behavioral
conditions
and
needs.
The
department
of
public
8
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
9
and
the
child
health
specialty
clinics
to
integrate
the
10
activities
of
the
first
five
initiative
into
the
establishment
11
of
patient-centered
medical
homes,
community
utilities,
12
accountable
care
organizations,
and
other
integrated
care
13
models
developed
to
improve
health
quality
and
population
14
health
while
reducing
health
care
costs.
To
the
maximum
extent
15
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
16
as
matching
funds
for
medical
assistance
program
reimbursement.
17
d.
Of
the
funds
appropriated
in
this
subsection,
$32,320
18
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
19
funds
to
continue
the
donated
dental
services
program
patterned
20
after
the
projects
developed
by
the
lifeline
network
to
provide
21
dental
services
to
indigent
individuals
who
are
elderly
or
with
22
disabilities.
23
e.
Of
the
funds
appropriated
in
this
subsection,
$78,241
24
shall
be
used
to
provide
audiological
services
and
hearing
25
aids
for
children.
The
department
may
enter
into
a
contract
26
to
administer
this
paragraph.
27
f.
Of
the
funds
appropriated
in
this
subsection,
$11,500
is
28
transferred
to
the
university
of
Iowa
college
of
dentistry
for
29
provision
of
primary
dental
services
to
children.
State
funds
30
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
31
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
32
department
of
public
health,
bureau
of
oral
and
health
delivery
33
systems,
to
provide
dental
care
to
underserved
populations
34
throughout
the
state.
35
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515
g.
Of
the
funds
appropriated
in
this
subsection,
$25,000
1
shall
be
used
to
address
youth
suicide
prevention.
2
h.
Of
the
funds
appropriated
in
this
subsection,
$20,255
3
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
4
of
children
who
experience
adverse
childhood
experiences
known
5
as
ACEs.
6
i.
The
department
of
public
health
shall
continue
to
7
administer
the
program
to
assist
parents
in
this
state
with
8
costs
resulting
from
the
death
of
a
child
in
accordance
with
9
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
10
subsection
12
.
11
3.
CHRONIC
CONDITIONS
12
For
serving
individuals
identified
as
having
chronic
13
conditions
or
special
health
care
needs,
and
for
not
more
than
14
the
following
full-time
equivalent
positions:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,085,375
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
17
a.
Of
the
funds
appropriated
in
this
subsection,
$76,877
18
shall
be
used
for
grants
to
individual
patients
who
have
an
19
inherited
metabolic
disorder
to
assist
with
the
costs
of
20
medically
necessary
foods
and
formula.
21
b.
Of
the
funds
appropriated
in
this
subsection,
$510,397
22
shall
be
used
for
the
brain
injury
services
program
pursuant
23
to
section
135.22B,
including
for
contracting
with
an
existing
24
nationally
affiliated
and
statewide
organization
whose
purpose
25
is
to
educate,
serve,
and
support
Iowans
with
brain
injury
and
26
their
families
for
resource
facilitator
services
in
accordance
27
with
section
135.22B,
subsection
9,
and
for
contracting
to
28
enhance
brain
injury
training
and
recruitment
of
service
29
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
30
this
paragraph,
$47,500
shall
be
used
to
fund
one
full-time
31
equivalent
position
to
serve
as
the
state
brain
injury
services
32
program
manager.
33
c.
Of
the
funds
appropriated
in
this
subsection,
$72,048
34
shall
be
used
for
the
public
purpose
of
continuing
to
contract
35
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1050SV
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151
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515
with
an
existing
national-affiliated
organization
to
provide
1
education,
client-centered
programs,
and
client
and
family
2
support
for
people
living
with
epilepsy
and
their
families.
3
The
amount
allocated
in
this
paragraph
in
excess
of
$50,000
4
shall
be
matched
dollar-for-dollar
by
the
organization
5
specified.
6
d.
Of
the
funds
appropriated
in
this
subsection,
$404,775
7
shall
be
used
for
child
health
specialty
clinics.
8
e.
Of
the
funds
appropriated
in
this
subsection,
$192,276
9
shall
be
used
by
the
regional
autism
assistance
program
10
established
pursuant
to
section
256.35
,
and
administered
by
11
the
child
health
specialty
clinic
located
at
the
university
of
12
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
13
interagency
collaboration
and
coordination
of
educational,
14
medical,
and
other
human
services
for
persons
with
autism,
15
their
families,
and
providers
of
services,
including
delivering
16
regionalized
services
of
care
coordination,
family
navigation,
17
and
integration
of
services
through
the
statewide
system
of
18
regional
child
health
specialty
clinics
and
fulfilling
other
19
requirements
as
specified
in
chapter
225D
.
The
university
of
20
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
21
indirect
costs
associated
with
the
regional
autism
assistance
22
program.
23
f.
Of
the
funds
appropriated
in
this
subsection,
$288,687
24
shall
be
used
for
the
comprehensive
cancer
control
program
to
25
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
26
detection,
effective
treatment,
and
ensuring
quality
of
life.
27
Of
the
funds
allocated
in
this
paragraph
“f”,
$75,000
shall
28
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
29
biorepository
and
registry,
basic
and
translational
melanoma
30
research,
and
clinical
trials.
31
g.
Of
the
funds
appropriated
in
this
subsection,
$48,766
32
shall
be
used
for
cervical
and
colon
cancer
screening,
and
33
$88,860
shall
be
used
to
enhance
the
capacity
of
the
cervical
34
cancer
screening
program
to
include
provision
of
recommended
35
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515
prevention
and
early
detection
measures
to
a
broader
range
of
1
low-income
women.
2
h.
Of
the
funds
appropriated
in
this
subsection,
$253,177
3
shall
be
used
for
the
center
for
congenital
and
inherited
4
disorders.
5
i.
Of
the
funds
appropriated
in
this
subsection,
6
$107,631
shall
be
used
by
the
department
of
public
health
7
for
reform-related
activities,
including
but
not
limited
to
8
facilitation
of
communication
to
stakeholders
at
the
state
and
9
local
level,
administering
the
patient-centered
health
advisory
10
council
pursuant
to
section
135.159
,
and
involvement
in
health
11
care
system
innovation
activities
occurring
across
the
state.
12
j.
Of
the
funds
appropriated
in
this
subsection,
$11,050
13
shall
be
used
for
administration
of
chapter
124D
,
the
medical
14
cannabidiol
Act.
15
4.
COMMUNITY
CAPACITY
16
For
strengthening
the
health
care
delivery
system
at
the
17
local
level,
and
for
not
more
than
the
following
full-time
18
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,403,888
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
21
a.
Of
the
funds
appropriated
in
this
subsection,
$47,787
22
is
allocated
for
continuation
of
the
child
vision
screening
23
program
implemented
through
the
university
of
Iowa
hospitals
24
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
25
The
program
shall
submit
a
report
to
the
individuals
identified
26
in
this
Act
for
submission
of
reports
regarding
the
use
of
27
funds
allocated
under
this
paragraph
“a”.
The
report
shall
28
include
the
objectives
and
results
for
the
program
year
29
including
the
target
population
and
how
the
funds
allocated
30
assisted
the
program
in
meeting
the
objectives;
the
number,
31
age,
and
location
within
the
state
of
individuals
served;
32
the
type
of
services
provided
to
the
individuals
served;
the
33
distribution
of
funds
based
on
service
provided;
and
the
34
continuing
needs
of
the
program.
35
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515
b.
Of
the
funds
appropriated
in
this
subsection,
$52,828
is
1
allocated
for
continuation
of
an
initiative
implemented
at
the
2
university
of
Iowa
to
expand
and
improve
the
workforce
engaged
3
in
mental
health
treatment
and
services.
The
initiative
shall
4
receive
input
from
the
university
of
Iowa,
the
department
of
5
human
services,
the
department
of
public
health,
and
the
mental
6
health
and
disability
services
commission
to
address
the
focus
7
of
the
initiative.
8
c.
Of
the
funds
appropriated
in
this
section,
$41,657
shall
9
be
deposited
in
the
governmental
public
health
system
fund
10
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
11
fund.
12
d.
Of
the
funds
appropriated
in
this
subsection,
13
$24,034
shall
be
used
for
a
grant
to
a
statewide
association
14
of
psychologists
that
is
affiliated
with
the
American
15
psychological
association
to
be
used
for
continuation
of
a
16
program
to
rotate
intern
psychologists
in
placements
in
urban
17
and
rural
mental
health
professional
shortage
areas,
as
defined
18
in
section
135.180
.
19
e.
Of
the
funds
appropriated
in
this
subsection,
the
20
following
amounts
are
allocated
to
be
used
as
follows
to
21
support
the
Iowa
collaborative
safety
net
provider
network
22
goals
of
increased
access,
health
system
integration,
and
23
engagement.
24
(1)
Not
less
than
$260,931
is
allocated
to
the
Iowa
25
prescription
drug
corporation
for
continuation
of
the
26
pharmaceutical
infrastructure
for
safety
net
providers
as
27
described
in
2007
Iowa
Acts,
chapter
218,
section
108
,
and
for
28
the
prescription
drug
donation
repository
program
created
in
29
chapter
135M.
30
(2)
Not
less
than
$167,435
is
allocated
to
free
clinics
and
31
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
32
coordination,
provider
recruitment,
service
delivery,
and
33
provision
of
assistance
to
patients
in
securing
a
medical
home
34
inclusive
of
oral
health
care.
35
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515
(3)
Not
less
than
$12,500
is
allocated
to
the
Iowa
1
association
of
rural
health
clinics
for
necessary
2
infrastructure
and
service
delivery
transformation.
3
f.
Of
the
funds
appropriated
in
this
subsection,
$81,700
4
shall
be
used
for
continuation
of
the
work
of
the
direct
care
5
worker
advisory
council
established
pursuant
to
2008
Iowa
Acts,
6
chapter
1188,
section
69
,
in
implementing
the
recommendations
7
in
the
final
report
submitted
by
the
advisory
council
to
the
8
governor
and
the
general
assembly
in
March
2012,
including
9
by
continuing
to
develop,
promote,
and
make
available
on
a
10
statewide
basis
the
prepare-to-care
core
curriculum
and
its
11
associated
modules
and
specialties
through
various
formats
12
including
online
access,
community
colleges,
and
other
venues;
13
exploring
new
and
maintaining
existing
specialties
including
14
but
not
limited
to
oral
health
and
dementia
care;
supporting
15
instructor
training;
and
assessing
and
making
recommendations
16
concerning
the
Iowa
care
book
and
information
technology
17
systems
and
infrastructure
uses
and
needs.
18
g.
Of
the
funds
appropriated
in
this
subsection,
$52,009
19
shall
be
allocated
for
continuation
of
the
contract
with
20
an
independent
statewide
direct
care
worker
organization
21
previously
selected
through
a
request
for
proposals
process.
22
The
contract
shall
continue
to
include
performance
and
outcomes
23
measures,
and
shall
continue
to
allow
the
contractor
to
use
a
24
portion
of
the
funds
received
under
the
contract
to
collect
25
data
to
determine
results
based
on
the
performance
and
outcomes
26
measures.
27
h.
Of
the
funds
appropriated
in
this
subsection,
the
28
department
may
use
up
to
$29,087
for
up
to
one
full-time
29
equivalent
position
to
administer
the
volunteer
health
care
30
provider
program
pursuant
to
section
135.24
.
31
i.
Of
the
funds
appropriated
in
this
subsection,
$48,069
32
shall
be
used
for
a
matching
dental
education
loan
repayment
33
program
to
be
allocated
to
a
dental
nonprofit
health
service
34
corporation
to
continue
to
develop
the
criteria
and
implement
35
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151
S.F.
515
the
loan
repayment
program.
1
j.
Of
the
funds
appropriated
in
this
subsection,
$26,455
is
2
transferred
to
the
college
student
aid
commission
for
deposit
3
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
4
261.113
to
be
used
for
the
purposes
of
the
fund.
5
k.
Of
the
funds
appropriated
in
this
subsection,
$75,000
6
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
7
specified
in
section
142C.18
.
8
l.
Of
the
funds
appropriated
in
this
subsection,
$48,069
9
shall
be
used
for
continuation
of
a
grant
to
a
nationally
10
affiliated
volunteer
eye
organization
that
has
an
established
11
program
for
children
and
adults
and
that
is
solely
dedicated
to
12
preserving
sight
and
preventing
blindness
through
education,
13
nationally
certified
vision
screening
and
training,
and
14
community
and
patient
service
programs.
The
organization
15
shall
submit
a
report
to
the
individuals
identified
in
this
16
Act
for
submission
of
reports
regarding
the
use
of
funds
17
allocated
under
this
paragraph
“l”.
The
report
shall
include
18
the
objectives
and
results
for
the
program
year
including
19
the
target
population
and
how
the
funds
allocated
assisted
20
the
program
in
meeting
the
objectives;
the
number,
age,
and
21
location
within
the
state
of
individuals
served;
the
type
of
22
services
provided
to
the
individuals
served;
the
distribution
23
of
funds
based
on
services
provided;
and
the
continuing
needs
24
of
the
program.
25
m.
Of
the
funds
appropriated
in
this
subsection,
$436,327
26
shall
be
deposited
in
the
medical
residency
training
account
27
created
in
section
135.175,
subsection
5,
paragraph
“a”,
and
28
is
appropriated
from
the
account
to
the
department
of
public
29
health
to
be
used
for
the
purposes
of
the
medical
residency
30
training
state
matching
grants
program
as
specified
in
section
31
135.176.
32
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
33
To
provide
public
health
services
that
reduce
risks
and
34
invest
in
promoting
and
protecting
good
health
over
the
35
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151
S.F.
515
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
1
vulnerable
populations:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,098,939
3
6.
INFECTIOUS
DISEASES
4
For
reducing
the
incidence
and
prevalence
of
communicable
5
diseases,
and
for
not
more
than
the
following
full-time
6
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
823,213
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
9
7.
PUBLIC
PROTECTION
10
For
protecting
the
health
and
safety
of
the
public
through
11
establishing
standards
and
enforcing
regulations,
and
for
not
12
more
than
the
following
full-time
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,097,569
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
138.00
15
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
16
than
$152,350
shall
be
credited
to
the
emergency
medical
17
services
fund
created
in
section
135.25
.
Moneys
in
the
18
emergency
medical
services
fund
are
appropriated
to
the
19
department
to
be
used
for
the
purposes
of
the
fund.
20
b.
Of
the
funds
appropriated
in
this
subsection,
up
21
to
$121,630
shall
be
used
for
sexual
violence
prevention
22
programming
through
a
statewide
organization
representing
23
programs
serving
victims
of
sexual
violence
through
the
24
department’s
sexual
violence
prevention
program,
and
for
25
continuation
of
a
training
program
for
sexual
assault
26
response
team
(SART)
members,
including
representatives
of
27
law
enforcement,
victim
advocates,
prosecutors,
and
certified
28
medical
personnel.
The
amount
allocated
in
this
paragraph
“b”
29
shall
not
be
used
to
supplant
funding
administered
for
other
30
sexual
violence
prevention
or
victims
assistance
programs.
31
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
32
$287,813
shall
be
used
for
the
state
poison
control
center.
33
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
34
1140,
section
102
,
the
federal
matching
funds
available
to
35
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151
S.F.
515
the
state
poison
control
center
from
the
department
of
human
1
services
under
the
federal
Children’s
Health
Insurance
Program
2
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
3
administrative
cap
rule
of
10
percent
applicable
to
funding
4
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
5
included
within
the
department’s
calculations
of
the
cap.
6
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
7
$258,491
shall
be
used
for
childhood
lead
poisoning
provisions.
8
8.
RESOURCE
MANAGEMENT
9
For
establishing
and
sustaining
the
overall
ability
of
the
10
department
to
deliver
services
to
the
public,
and
for
not
more
11
than
the
following
full-time
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
485,607
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
14
9.
MISCELLANEOUS
PROVISIONS
15
The
university
of
Iowa
hospitals
and
clinics
under
the
16
control
of
the
state
board
of
regents
shall
not
receive
17
indirect
costs
from
the
funds
appropriated
in
this
section.
18
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
19
department
shall
be
on
at
least
a
quarterly
basis.
20
10.
GENERAL
REDUCTION
21
For
the
period
beginning
July
1,
2018,
and
ending
June
30,
22
2019,
the
department
of
public
health,
in
consultation
with
23
the
department
of
management,
shall
identify
and
implement
a
24
reduction
in
expenditures
made
from
appropriations
from
the
25
general
fund
of
the
state
to
the
department
of
public
health
in
26
the
amount
of
$640,683.
27
11.
TRANSFERS
28
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
29
July
1,
2018,
the
department
may
transfer
funds
within
or
30
between
any
of
the
allocations
or
appropriations
made
in
this
31
division
of
this
Act
for
the
same
fiscal
year,
to
be
used
in
32
accordance
with
departmental
priorities
as
specified
in
the
33
department’s
report
to
the
general
assembly
submitted
pursuant
34
to
2016
Iowa
Acts,
chapter
1139,
section
3.
The
department
35
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87
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151
S.F.
515
shall
report
any
such
transfers
to
the
individuals
specified
1
in
this
Act
for
submission
of
reports.
This
subsection
shall
2
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
3
authority
for
other
purposes.
4
DIVISION
X
5
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2018-2019
6
Sec.
42.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
7
appropriated
from
the
general
fund
of
the
state
to
the
8
department
of
veterans
affairs
for
the
fiscal
year
beginning
9
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
10
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
11
designated:
12
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
13
For
salaries,
support,
maintenance,
and
miscellaneous
14
purposes,
and
for
not
more
than
the
following
full-time
15
equivalent
positions:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
571,278
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
18
2.
IOWA
VETERANS
HOME
19
For
salaries,
support,
maintenance,
and
miscellaneous
20
purposes:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,614,070
22
a.
The
Iowa
veterans
home
billings
involving
the
department
23
of
human
services
shall
be
submitted
to
the
department
on
at
24
least
a
monthly
basis.
25
b.
Within
available
resources
and
in
conformance
with
26
associated
state
and
federal
program
eligibility
requirements,
27
the
Iowa
veterans
home
may
implement
measures
to
provide
28
financial
assistance
to
or
on
behalf
of
veterans
or
their
29
spouses
who
are
participating
in
the
community
reentry
program.
30
c.
The
Iowa
veterans
home
expenditure
report
shall
be
31
submitted
monthly
to
the
legislative
services
agency.
32
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
33
annual
discharge
report
applicant
information
and
to
provide
34
for
the
collection
of
demographic
information
including
but
not
35
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1050SV
(1)
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151
S.F.
515
limited
to
the
number
of
individuals
applying
for
admission
and
1
admitted
or
denied
admittance
and
the
basis
for
the
admission
2
or
denial;
the
age,
gender,
and
race
of
such
individuals;
3
and
the
level
of
care
for
which
such
individuals
applied
for
4
admission
including
residential
or
nursing
level
of
care.
5
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
6
For
transfer
to
the
Iowa
finance
authority
for
the
7
continuation
of
the
home
ownership
assistance
program
for
8
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
9
the
United
States,
pursuant
to
section
16.54
:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
11
Sec.
43.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
12
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
13
standing
appropriation
in
section
35A.16
for
the
fiscal
year
14
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
amount
15
appropriated
from
the
general
fund
of
the
state
pursuant
to
16
that
section
for
the
following
designated
purposes
shall
not
17
exceed
the
following
amount:
18
For
the
county
commissions
of
veteran
affairs
fund
under
19
section
35A.16
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
473,962
21
DIVISION
XI
22
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2018-2019
23
Sec.
44.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
24
GRANT.
There
is
appropriated
from
the
fund
created
in
section
25
8.41
to
the
department
of
human
services
for
the
fiscal
year
26
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
moneys
27
received
under
the
federal
temporary
assistance
for
needy
28
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
29
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
30
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
31
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purposes
designated:
33
1.
To
be
credited
to
the
family
investment
program
account
34
and
used
for
assistance
under
the
family
investment
program
35
-82-
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1050SV
(1)
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pf/hb/rn
82/
151
S.F.
515
under
chapter
239B
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,556,231
2
2.
To
be
credited
to
the
family
investment
program
account
3
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
4
program
and
implementing
family
investment
agreements
in
5
accordance
with
chapter
239B
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,787,846
7
3.
To
be
used
for
the
family
development
and
8
self-sufficiency
grant
program
in
accordance
with
section
9
216A.107
:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
11
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
12
subsection
that
remain
unencumbered
or
unobligated
at
the
close
13
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
14
for
expenditure
for
the
purposes
designated
until
the
close
of
15
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
16
encumbered
or
obligated
on
or
before
September
30,
2018,
the
17
moneys
shall
revert.
18
4.
For
field
operations:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
20
5.
For
general
administration:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
22
6.
For
state
child
care
assistance:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,933,413
24
a.
Of
the
funds
appropriated
in
this
subsection,
25
$13,164,048
is
transferred
to
the
child
care
and
development
26
block
grant
appropriation
made
by
the
Eighty-seventh
General
27
Assembly,
2018
session,
for
the
federal
fiscal
year
beginning
28
October
1,
2018,
and
ending
September
30,
2019.
Of
this
29
amount,
$100,000
shall
be
used
for
provision
of
educational
30
opportunities
to
registered
child
care
home
providers
in
order
31
to
improve
services
and
programs
offered
by
this
category
32
of
providers
and
to
increase
the
number
of
providers.
The
33
department
may
contract
with
institutions
of
higher
education
34
or
child
care
resource
and
referral
centers
to
provide
35
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151
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515
the
educational
opportunities.
Allowable
administrative
1
costs
under
the
contracts
shall
not
exceed
5
percent.
The
2
application
for
a
grant
shall
not
exceed
two
pages
in
length.
3
b.
Any
funds
appropriated
in
this
subsection
remaining
4
unallocated
shall
be
used
for
state
child
care
assistance
5
payments
for
families
who
are
employed
including
but
not
6
limited
to
individuals
enrolled
in
the
family
investment
7
program.
8
7.
For
child
and
family
services:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,190,327
10
8.
For
child
abuse
prevention
grants:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
12
9.
For
pregnancy
prevention
grants
on
the
condition
that
13
family
planning
services
are
funded:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
15
Pregnancy
prevention
grants
shall
be
awarded
to
programs
16
in
existence
on
or
before
July
1,
2018,
if
the
programs
have
17
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
18
pregnancy
prevention
programs
which
are
developed
after
July
19
1,
2018,
if
the
programs
are
based
on
existing
models
that
20
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
21
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
22
section
14,
subsections
1
and
2
,
including
the
requirement
that
23
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
24
the
awarding
of
grants
shall
be
given
to
programs
that
serve
25
areas
of
the
state
which
demonstrate
the
highest
percentage
of
26
unplanned
pregnancies
of
females
of
childbearing
age
within
the
27
geographic
area
to
be
served
by
the
grant.
28
10.
For
technology
needs
and
other
resources
necessary
29
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
30
management
requirements:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
32
11.
a.
Notwithstanding
any
provision
to
the
contrary,
33
including
but
not
limited
to
requirements
in
section
8.41
or
34
provisions
in
2017
or
2018
Iowa
Acts
regarding
the
receipt
and
35
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515
appropriation
of
federal
block
grants,
federal
funds
from
the
1
temporary
assistance
for
needy
families
block
grant
received
by
2
the
state
and
not
otherwise
appropriated
in
this
section
and
3
remaining
available
for
the
fiscal
year
beginning
July
1,
2018,
4
are
appropriated
to
the
department
of
human
services
to
the
5
extent
as
may
be
necessary
to
be
used
in
the
following
priority
6
order:
the
family
investment
program,
for
state
child
care
7
assistance
program
payments
for
families
who
are
employed,
and
8
for
the
family
investment
program
share
of
costs
to
develop
and
9
maintain
a
new,
integrated
eligibility
determination
system.
10
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
11
expended
only
after
all
other
funds
appropriated
in
subsection
12
1
for
the
assistance
under
the
family
investment
program,
13
in
subsection
6
for
child
care
assistance,
or
in
subsection
14
12
for
the
family
investment
program
share
of
the
costs
to
15
continue
to
develop
and
maintain
a
new,
integrated
eligibility
16
determination
system,
as
applicable,
have
been
expended.
For
17
the
purposes
of
this
subsection,
the
funds
appropriated
in
18
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
19
and
development
block
grant
appropriation
are
considered
fully
20
expended
when
the
full
amount
has
been
transferred.
21
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
22
legislative
services
agency
and
department
of
management
of
23
the
amount
of
funds
appropriated
in
this
subsection
that
was
24
expended
in
the
prior
quarter.
25
12.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
26
for
the
fiscal
year
beginning
July
1,
2018,
is
transferred
to
27
the
appropriation
of
the
federal
social
services
block
grant
28
made
to
the
department
of
human
services
for
that
fiscal
year.
29
13.
For
continuation
of
the
program
providing
categorical
30
eligibility
for
the
food
assistance
program
as
specified
31
for
the
program
in
the
section
of
this
division
of
this
Act
32
relating
to
the
family
investment
program
account:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
34
14.
The
department
may
transfer
funds
allocated
in
this
35
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S.F.
515
section
to
the
appropriations
made
in
this
division
of
this
Act
1
for
the
same
fiscal
year
for
general
administration
and
field
2
operations
for
resources
necessary
to
implement
and
operate
the
3
services
referred
to
in
this
section
and
those
funded
in
the
4
appropriation
made
in
this
division
of
this
Act
for
the
same
5
fiscal
year
for
the
family
investment
program
from
the
general
6
fund
of
the
state.
7
15.
With
the
exception
of
moneys
allocated
under
this
8
section
for
the
family
development
and
self-sufficiency
grant
9
program,
to
the
extent
moneys
allocated
in
this
section
are
10
deemed
by
the
department
not
to
be
necessary
to
support
the
11
purposes
for
which
they
are
allocated,
such
moneys
may
be
12
credited
to
the
family
investment
program
account
as
specified
13
under
subsection
1
of
this
section
and
used
for
the
purposes
of
14
assistance
under
the
family
investment
program
under
chapter
15
239B
in
the
same
fiscal
year.
16
Sec.
45.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
17
1.
Moneys
credited
to
the
family
investment
program
(FIP)
18
account
for
the
fiscal
year
beginning
July
1,
2018,
and
19
ending
June
30,
2019,
shall
be
used
to
provide
assistance
in
20
accordance
with
chapter
239B
.
21
2.
The
department
may
use
a
portion
of
the
moneys
credited
22
to
the
FIP
account
under
this
section
as
necessary
for
23
salaries,
support,
maintenance,
and
miscellaneous
purposes.
24
3.
The
department
may
transfer
funds
allocated
in
25
subsection
4
to
the
appropriations
made
in
this
division
of
26
this
Act
for
the
same
fiscal
year
for
general
administration
27
and
field
operations
for
resources
necessary
to
implement
and
28
operate
the
family
investment
program
services
referred
to
in
29
this
section
and
those
funded
in
the
appropriation
made
in
this
30
division
of
this
Act
for
the
same
fiscal
year
for
the
family
31
investment
program
from
the
general
fund
of
the
state.
32
4.
Moneys
appropriated
in
this
division
of
this
Act
and
33
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
34
1,
2018,
and
ending
June
30,
2019,
are
allocated
as
follows:
35
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151
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515
a.
To
be
retained
by
the
department
of
human
services
to
1
be
used
for
coordinating
with
the
department
of
human
rights
2
to
more
effectively
serve
participants
in
FIP
and
other
shared
3
clients
and
to
meet
federal
reporting
requirements
under
the
4
federal
temporary
assistance
for
needy
families
block
grant:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
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
(1)
Of
the
funds
allocated
for
the
family
development
12
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
13
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
14
administration
of
the
grant
program.
15
(2)
The
department
of
human
rights
may
continue
to
implement
16
the
family
development
and
self-sufficiency
grant
program
17
statewide
during
fiscal
year
2018-2019.
18
(3)
The
department
of
human
rights
may
engage
in
activities
19
to
strengthen
and
improve
family
outcomes
measures
and
20
data
collection
systems
under
the
family
development
and
21
self-sufficiency
grant
program.
22
c.
For
the
diversion
subaccount
of
the
FIP
account:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
24
A
portion
of
the
moneys
allocated
for
the
subaccount
may
25
be
used
for
field
operations,
salaries,
data
management
26
system
development,
and
implementation
costs
and
support
27
deemed
necessary
by
the
director
of
human
services
in
order
to
28
administer
the
FIP
diversion
program.
To
the
extent
moneys
29
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
30
not
to
be
necessary
to
support
diversion
activities,
such
31
moneys
may
be
used
for
other
efforts
intended
to
increase
32
engagement
by
family
investment
program
participants
in
work,
33
education,
or
training
activities,
or
for
the
purposes
of
34
assistance
under
the
family
investment
program
in
accordance
35
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151
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515
with
chapter
239B.
1
d.
For
the
food
assistance
employment
and
training
program:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
3
(1)
The
department
shall
apply
the
federal
supplemental
4
nutrition
assistance
program
(SNAP)
employment
and
training
5
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
6
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
7
provisions
for
the
claiming
of
allowable
federal
reimbursement
8
funds
from
the
United
States
department
of
agriculture
9
pursuant
to
the
federal
SNAP
employment
and
training
program
10
for
providing
education,
employment,
and
training
services
11
for
eligible
food
assistance
program
participants,
including
12
but
not
limited
to
related
dependent
care
and
transportation
13
expenses.
14
(2)
The
department
shall
continue
the
categorical
federal
15
food
assistance
program
eligibility
at
160
percent
of
the
16
federal
poverty
level
and
continue
to
eliminate
the
asset
test
17
from
eligibility
requirements,
consistent
with
federal
food
18
assistance
program
requirements.
The
department
shall
include
19
as
many
food
assistance
households
as
is
allowed
by
federal
20
law.
The
eligibility
provisions
shall
conform
to
all
federal
21
requirements
including
requirements
addressing
individuals
who
22
are
incarcerated
or
otherwise
ineligible.
23
e.
For
the
JOBS
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,761,645
25
5.
Of
the
child
support
collections
assigned
under
FIP,
26
an
amount
equal
to
the
federal
share
of
support
collections
27
shall
be
credited
to
the
child
support
recovery
appropriation
28
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
29
assigned
child
support
collections
received
by
the
child
30
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
31
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
32
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
33
payments
account.
If
as
a
consequence
of
the
appropriations
34
and
allocations
made
in
this
section
the
resulting
amounts
35
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151
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515
are
insufficient
to
sustain
cash
assistance
payments
and
meet
1
federal
maintenance
of
effort
requirements,
the
department
2
shall
seek
supplemental
funding.
If
child
support
collections
3
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
4
determined
not
to
be
required
for
maintenance
of
effort,
the
5
state
share
of
either
amount
may
be
transferred
to
or
retained
6
in
the
child
support
payments
account.
7
6.
The
department
may
adopt
emergency
rules
for
the
family
8
investment,
JOBS,
food
assistance,
and
medical
assistance
9
programs
if
necessary
to
comply
with
federal
requirements.
10
Sec.
46.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
11
is
appropriated
from
the
general
fund
of
the
state
to
the
12
department
of
human
services
for
the
fiscal
year
beginning
July
13
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
14
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
15
designated:
16
To
be
credited
to
the
family
investment
program
(FIP)
17
account
and
used
for
family
investment
program
assistance
under
18
chapter
239B
:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,502,240
20
1.
Of
the
funds
appropriated
in
this
section,
$3,973,798
is
21
allocated
for
the
JOBS
program.
22
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
is
23
allocated
for
the
family
development
and
self-sufficiency
grant
24
program.
25
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
26
beginning
July
1,
2018,
if
necessary
to
meet
federal
27
maintenance
of
effort
requirements
or
to
transfer
federal
28
temporary
assistance
for
needy
families
block
grant
funding
29
to
be
used
for
purposes
of
the
federal
social
services
block
30
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
31
receiving
federal
funding
or
to
implement,
in
accordance
with
32
this
division
of
this
Act,
activities
currently
funded
with
33
juvenile
court
services,
county,
or
community
moneys
and
state
34
moneys
used
in
combination
with
such
moneys;
to
comply
with
35
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federal
requirements;
or
to
maximize
the
use
of
federal
funds,
1
the
department
of
human
services
may
transfer
funds
within
or
2
between
any
of
the
appropriations
made
in
this
division
of
this
3
Act
and
appropriations
in
law
for
the
federal
social
services
4
block
grant
to
the
department
for
the
following
purposes,
5
provided
that
the
combined
amount
of
state
and
federal
6
temporary
assistance
for
needy
families
block
grant
funding
7
for
each
appropriation
remains
the
same
before
and
after
the
8
transfer:
9
a.
For
the
family
investment
program.
10
b.
For
child
care
assistance.
11
c.
For
child
and
family
services.
12
d.
For
field
operations.
13
e.
For
general
administration.
14
This
subsection
shall
not
be
construed
to
prohibit
the
use
15
of
existing
state
transfer
authority
for
other
purposes.
The
16
department
shall
report
any
transfers
made
pursuant
to
this
17
subsection
to
the
legislative
services
agency.
18
4.
Of
the
funds
appropriated
in
this
section,
$97,839
shall
19
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
20
organization
with
a
history
of
providing
tax
preparation
21
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
22
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
23
supply
this
assistance
to
underserved
areas
of
the
state.
24
5.
Of
the
funds
appropriated
in
this
section,
$30,000
shall
25
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
26
defined
in
441
IAC
100.1
,
relating
to
parental
obligations,
27
in
which
the
child
support
recovery
unit
participates,
to
28
support
the
efforts
of
a
nonprofit
organization
committed
29
to
strengthening
the
community
through
youth
development,
30
healthy
living,
and
social
responsibility
headquartered
in
31
a
county
with
a
population
over
350,000
according
to
the
32
latest
certified
federal
census.
The
funds
allocated
in
this
33
subsection
shall
be
used
by
the
recipient
organization
to
34
develop
a
larger
community
effort,
through
public
and
private
35
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1050SV
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151
S.F.
515
partnerships,
to
support
a
broad-based
multi-county
fatherhood
1
initiative
that
promotes
payment
of
child
support
obligations,
2
improved
family
relationships,
and
full-time
employment.
3
6.
The
department
may
transfer
funds
appropriated
in
this
4
section
to
the
appropriations
made
in
this
division
of
this
Act
5
for
general
administration
and
field
operations
as
necessary
6
to
administer
this
section
and
the
overall
family
investment
7
program.
8
Sec.
47.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
9
from
the
general
fund
of
the
state
to
the
department
of
human
10
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
11
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purposes
designated:
13
For
child
support
recovery,
including
salaries,
support,
14
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
15
the
following
full-time
equivalent
positions:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,293,317
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
18
1.
The
department
shall
expend
up
to
$12,164,
including
19
federal
financial
participation,
for
the
fiscal
year
beginning
20
July
1,
2018,
for
a
child
support
public
awareness
campaign.
21
The
department
and
the
office
of
the
attorney
general
shall
22
cooperate
in
continuation
of
the
campaign.
The
public
23
awareness
campaign
shall
emphasize,
through
a
variety
of
24
media
activities,
the
importance
of
maximum
involvement
of
25
both
parents
in
the
lives
of
their
children
as
well
as
the
26
importance
of
payment
of
child
support
obligations.
27
2.
Federal
access
and
visitation
grant
moneys
shall
be
28
issued
directly
to
private
not-for-profit
agencies
that
provide
29
services
designed
to
increase
compliance
with
the
child
access
30
provisions
of
court
orders,
including
but
not
limited
to
31
neutral
visitation
sites
and
mediation
services.
32
3.
The
appropriation
made
to
the
department
for
child
33
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
34
manner
necessary
for
purposes
of
cash
flow
management,
and
for
35
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151
S.F.
515
cash
flow
management
purposes
the
department
may
temporarily
1
draw
more
than
the
amount
appropriated,
provided
the
amount
2
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
3
4.
With
the
exception
of
the
funding
amount
specified,
the
4
requirements
established
under
2001
Iowa
Acts,
chapter
191,
5
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
6
be
applicable
to
parental
obligation
pilot
projects
for
the
7
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019.
8
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
9
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
10
in
effect
until
June
30,
2019.
11
Sec.
48.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
12
FY
2018-2019.
Any
funds
remaining
in
the
health
care
trust
13
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
14
July
1,
2018,
and
ending
June
30,
2019,
are
appropriated
to
15
the
department
of
human
services
to
supplement
the
medical
16
assistance
program
appropriations
made
in
this
division
of
this
17
Act,
for
medical
assistance
reimbursement
and
associated
costs,
18
including
program
administration
and
costs
associated
with
19
program
implementation.
20
Sec.
49.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
21
2018-2019.
Any
funds
remaining
in
the
Medicaid
fraud
fund
22
created
in
section
249A.50
for
the
fiscal
year
beginning
23
July
1,
2018,
and
ending
June
30,
2019,
are
appropriated
to
24
the
department
of
human
services
to
supplement
the
medical
25
assistance
appropriations
made
in
this
division
of
this
Act,
26
for
medical
assistance
reimbursement
and
associated
costs,
27
including
program
administration
and
costs
associated
with
28
program
implementation.
29
Sec.
50.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
32
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
33
to
be
used
for
the
purpose
designated:
34
For
medical
assistance
program
reimbursement
and
associated
35
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costs
as
specifically
provided
in
the
reimbursement
1
methodologies
in
effect
on
June
30,
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$642,302,870
7
1.
Iowans
support
reducing
the
number
of
abortions
8
performed
in
our
state.
Funds
appropriated
under
this
section
9
shall
not
be
used
for
abortions,
unless
otherwise
authorized
10
under
this
section.
11
2.
The
provisions
of
this
section
relating
to
abortions
12
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
13
pursuant
to
chapter
249N
.
14
3.
The
department
shall
utilize
not
more
than
$30,000
of
15
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
16
health
insurance
premium
payment
program
as
established
in
1992
17
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
18
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
19
not
more
than
$2,500
may
be
expended
for
administrative
20
purposes.
21
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
22
of
public
health
for
addictive
disorders,
$475,000
for
23
the
fiscal
year
beginning
July
1,
2018,
is
transferred
24
to
the
department
of
human
services
for
an
integrated
25
substance-related
disorder
managed
care
system.
The
26
departments
of
human
services
and
public
health
shall
27
work
together
to
maintain
the
level
of
mental
health
and
28
substance-related
disorder
treatment
services
provided
by
the
29
managed
care
contractors.
Each
department
shall
take
the
steps
30
necessary
to
continue
the
federal
waivers
as
necessary
to
31
maintain
the
level
of
services.
32
5.
a.
The
department
shall
aggressively
pursue
options
for
33
providing
medical
assistance
or
other
assistance
to
individuals
34
with
special
needs
who
become
ineligible
to
continue
receiving
35
-93-
LSB
1050SV
(1)
87
pf/hb/rn
93/
151
S.F.
515
services
under
the
early
and
periodic
screening,
diagnostic,
1
and
treatment
program
under
the
medical
assistance
program
2
due
to
becoming
21
years
of
age
who
have
been
approved
for
3
additional
assistance
through
the
department’s
exception
to
4
policy
provisions,
but
who
have
health
care
needs
in
excess
5
of
the
funding
available
through
the
exception
to
policy
6
provisions.
7
b.
Of
the
funds
appropriated
in
this
section,
$50,000
8
shall
be
used
for
participation
in
one
or
more
pilot
projects
9
operated
by
a
private
provider
to
allow
the
individual
or
10
individuals
to
receive
service
in
the
community
in
accordance
11
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
12
(1999),
for
the
purpose
of
providing
medical
assistance
or
13
other
assistance
to
individuals
with
special
needs
who
become
14
ineligible
to
continue
receiving
services
under
the
early
and
15
periodic
screening,
diagnostic,
and
treatment
program
under
16
the
medical
assistance
program
due
to
becoming
21
years
of
17
age
who
have
been
approved
for
additional
assistance
through
18
the
department’s
exception
to
policy
provisions,
but
who
have
19
health
care
needs
in
excess
of
the
funding
available
through
20
the
exception
to
the
policy
provisions.
21
6.
Of
the
funds
appropriated
in
this
section,
up
to
22
$1,525,041
may
be
transferred
to
the
field
operations
or
23
general
administration
appropriations
in
this
division
of
this
24
Act
for
operational
costs
associated
with
Part
D
of
the
federal
25
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
26
of
2003,
Pub.
L.
No.
108-173.
27
7.
Of
the
funds
appropriated
in
this
section,
up
to
$221,050
28
may
be
transferred
to
the
appropriation
in
this
division
29
of
this
Act
for
medical
contracts
to
be
used
for
clinical
30
assessment
services
and
prior
authorization
of
services.
31
8.
A
portion
of
the
funds
appropriated
in
this
section
32
may
be
transferred
to
the
appropriations
in
this
division
of
33
this
Act
for
general
administration,
medical
contracts,
the
34
children’s
health
insurance
program,
or
field
operations
to
be
35
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1050SV
(1)
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151
S.F.
515
used
for
the
state
match
cost
to
comply
with
the
payment
error
1
rate
measurement
(PERM)
program
for
both
the
medical
assistance
2
and
children’s
health
insurance
programs
as
developed
by
the
3
centers
for
Medicare
and
Medicaid
services
of
the
United
States
4
department
of
health
and
human
services
to
comply
with
the
5
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
6
107-300.
7
9.
The
department
shall
continue
to
implement
the
8
recommendations
of
the
assuring
better
child
health
and
9
development
initiative
II
(ABCDII)
clinical
panel
to
the
10
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
11
services
healthy
mental
development
collaborative
board
12
regarding
changes
to
billing
procedures,
codes,
and
eligible
13
service
providers.
14
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
15
amount
is
allocated
to
supplement
the
incomes
of
residents
of
16
nursing
facilities,
intermediate
care
facilities
for
persons
17
with
mental
illness,
and
intermediate
care
facilities
for
18
persons
with
an
intellectual
disability,
with
incomes
of
less
19
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
20
personal
needs
allowance
of
$50
per
month
pursuant
to
section
21
249A.30A
.
22
11.
a.
Hospitals
that
meet
the
conditions
specified
23
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
24
expenditures
or
transfer
to
the
medical
assistance
program
25
an
amount
equal
to
provide
the
nonfederal
share
for
a
26
disproportionate
share
hospital
payment
in
an
amount
up
to
the
27
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
28
The
hospitals
that
meet
the
conditions
specified
shall
receive
29
and
retain
100
percent
of
the
total
disproportionate
share
30
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
31
as
approved
in
the
Medicaid
state
plan.
32
(1)
The
hospital
qualifies
for
disproportionate
share
and
33
graduate
medical
education
payments.
34
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
35
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(1)
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151
S.F.
515
than
500
beds
and
eight
or
more
distinct
residency
specialty
1
or
subspecialty
programs
recognized
by
the
American
college
of
2
graduate
medical
education.
3
b.
Distribution
of
the
disproportionate
share
payments
4
shall
be
made
on
a
monthly
basis.
The
total
amount
of
5
disproportionate
share
payments
including
graduate
medical
6
education,
enhanced
disproportionate
share,
and
Iowa
7
state-owned
teaching
hospital
payments
shall
not
exceed
the
8
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
9
In
addition,
the
total
amount
of
all
disproportionate
10
share
payments
shall
not
exceed
the
hospital-specific
11
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
12
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
13
to
area
education
agencies
that
are
medical
assistance
14
providers
for
medical
assistance-covered
services
provided
to
15
medical
assistance-covered
children,
shall
be
made
from
the
16
appropriation
made
in
this
section.
17
13.
A
portion
of
the
funds
appropriated
in
this
section
18
may
be
transferred
to
the
appropriation
in
this
division
of
19
this
Act
for
medical
contracts
to
be
used
for
administrative
20
activities
associated
with
the
money
follows
the
person
21
demonstration
project.
22
14.
Of
the
funds
appropriated
in
this
section,
$174,505
23
shall
be
used
for
the
administration
of
the
health
insurance
24
premium
payment
program,
including
salaries,
support,
25
maintenance,
and
miscellaneous
purposes.
26
15.
a.
The
department
may
increase
the
amounts
allocated
27
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
28
associated
with
the
medical
assistance
program,
as
necessary,
29
to
implement
cost
containment
strategies.
The
department
shall
30
report
any
such
increase
to
the
legislative
services
agency
and
31
the
department
of
management.
32
b.
If
the
savings
to
the
medical
assistance
program
from
33
cost
containment
efforts
exceed
the
cost
for
the
fiscal
34
year
beginning
July
1,
2018,
the
department
may
transfer
any
35
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1050SV
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87
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151
S.F.
515
savings
generated
for
the
fiscal
year
due
to
medical
assistance
1
program
cost
containment
efforts
to
the
appropriation
2
made
in
this
division
of
this
Act
for
medical
contracts
or
3
general
administration
to
defray
the
increased
contract
costs
4
associated
with
implementing
such
efforts.
5
16.
For
the
fiscal
year
beginning
July
1,
2018,
and
ending
6
June
30,
2019,
the
replacement
generation
tax
revenues
required
7
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
8
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
9
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
10
to
and
supplement
the
appropriation
made
in
this
section
and
11
used
for
the
allocations
made
in
this
section.
12
17.
a.
Of
the
funds
appropriated
in
this
section,
up
13
to
$25,000
may
be
transferred
by
the
department
to
the
14
appropriation
made
in
this
division
of
this
Act
to
the
15
department
for
the
same
fiscal
year
for
general
administration
16
to
be
used
for
associated
administrative
expenses
and
for
not
17
more
than
one
full-time
equivalent
position,
in
addition
to
18
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
19
implementing
the
children’s
mental
health
home
project.
20
b.
Of
the
funds
appropriated
in
this
section,
up
to
$200,000
21
may
be
transferred
by
the
department
to
the
appropriation
made
22
to
the
department
in
this
division
of
this
Act
for
the
same
23
fiscal
year
for
Medicaid
program-related
general
administration
24
planning
and
implementation
activities.
The
funds
may
be
used
25
for
contracts
or
for
personnel
in
addition
to
the
amounts
26
appropriated
for
and
the
positions
authorized
for
general
27
administration
for
the
fiscal
year.
28
c.
Of
the
funds
appropriated
in
this
section,
up
to
29
$1,500,000
may
be
transferred
by
the
department
to
the
30
appropriations
made
in
this
division
of
this
Act
for
the
same
31
fiscal
year
for
general
administration
or
medical
contracts
32
to
be
used
to
support
the
development
and
implementation
of
33
standardized
assessment
tools
for
persons
with
mental
illness,
34
an
intellectual
disability,
a
developmental
disability,
or
a
35
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151
S.F.
515
brain
injury.
1
18.
Of
the
funds
appropriated
in
this
section,
$75,000
2
shall
be
used
for
lodging
expenses
associated
with
care
3
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
4
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
5
and
whose
income
is
at
or
below
200
percent
of
the
federal
6
poverty
level
as
defined
by
the
most
recently
revised
poverty
7
income
guidelines
published
by
the
United
States
department
of
8
health
and
human
services.
The
department
of
human
services
9
shall
establish
the
maximum
number
of
overnight
stays
and
the
10
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
11
based
on
the
state
employee
rate
established
by
the
department
12
of
administrative
services.
The
funds
allocated
in
this
13
subsection
shall
not
be
used
as
nonfederal
share
matching
14
funds.
15
19.
Of
the
funds
appropriated
in
this
section,
up
to
16
$1,691,940
shall
be
used
for
administration
of
the
state
17
family
planning
services
program
as
enacted
in
this
2017
Act,
18
and
of
this
amount
the
department
may
use
to
up
$100,000
for
19
administrative
expenses.
20
20.
The
department
shall
report
the
implementation
of
21
any
cost
containment
strategies
to
the
individuals
specified
22
in
this
division
of
this
Act
for
submission
of
reports
upon
23
implementation.
24
21.
The
department
shall
report
the
implementation
of
any
25
process
improvement
changes
and
any
related
cost
reductions
26
to
the
individuals
specified
in
this
division
of
this
Act
for
27
submission
of
reports
upon
implementation.
28
Sec.
51.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
29
general
fund
of
the
state
to
the
department
of
human
services
30
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
31
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
32
to
be
used
for
the
purpose
designated:
33
For
medical
contracts:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,813,232
35
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1050SV
(1)
87
pf/hb/rn
98/
151
S.F.
515
1.
The
department
of
inspections
and
appeals
shall
1
provide
all
state
matching
funds
for
survey
and
certification
2
activities
performed
by
the
department
of
inspections
3
and
appeals.
The
department
of
human
services
is
solely
4
responsible
for
distributing
the
federal
matching
funds
for
5
such
activities.
6
2.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
7
be
used
for
continuation
of
home
and
community-based
services
8
waiver
quality
assurance
programs,
including
the
review
and
9
streamlining
of
processes
and
policies
related
to
oversight
and
10
quality
management
to
meet
state
and
federal
requirements.
11
3.
Of
the
amount
appropriated
in
this
section,
up
to
12
$100,000
may
be
transferred
to
the
appropriation
for
general
13
administration
in
this
division
of
this
Act
to
be
used
for
14
additional
full-time
equivalent
positions
in
the
development
of
15
key
health
initiatives
such
as
cost
containment,
development
16
and
oversight
of
managed
care
programs,
and
development
of
17
health
strategies
targeted
toward
improved
quality
and
reduced
18
costs
in
the
Medicaid
program.
19
4.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
20
be
used
for
planning
and
development,
in
cooperation
with
the
21
department
of
public
health,
of
a
phased-in
program
to
provide
22
a
dental
home
for
children.
23
5.
Of
the
funds
appropriated
in
this
section,
$475,000
24
shall
be
credited
to
the
autism
support
program
fund
created
25
in
section
225D.2
to
be
used
for
the
autism
support
program
26
created
in
chapter
225D
,
with
the
exception
of
the
following
27
amounts
of
this
allocation
which
shall
be
used
as
follows:
28
a.
Of
the
funds
allocated
in
this
subsection,
$125,000
29
shall
be
deposited
in
the
board-certified
behavior
analyst
and
30
board-certified
assistant
behavior
analyst
grants
program
fund
31
created
in
section
135.181
,
to
be
used
for
the
purposes
of
the
32
fund.
33
b.
Of
the
funds
allocated
in
this
subsection,
$12,500
34
shall
be
used
for
the
public
purpose
of
continuation
of
a
35
-99-
LSB
1050SV
(1)
87
pf/hb/rn
99/
151
S.F.
515
grant
to
a
child
welfare
services
provider
headquartered
in
a
1
county
with
a
population
between
205,000
and
215,000
in
the
2
latest
certified
federal
census
that
provides
multiple
services
3
including
but
not
limited
to
a
psychiatric
medical
institution
4
for
children,
shelter,
residential
treatment,
after
school
5
programs,
school-based
programming,
and
an
Asperger’s
syndrome
6
program,
to
be
used
for
support
services
for
children
with
7
autism
spectrum
disorder
and
their
families.
8
c.
Of
the
funds
allocated
in
this
subsection,
$12,500
9
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
10
a
hospital-based
provider
headquartered
in
a
county
with
a
11
population
between
90,000
and
95,000
in
the
latest
certified
12
federal
census
that
provides
multiple
services
including
13
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
14
services
to
individuals
with
autism
spectrum
disorder
across
15
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
16
to
continue
the
pilot
project
to
determine
the
necessary
17
support
services
for
children
with
autism
spectrum
disorder
and
18
their
families
to
be
included
in
the
children’s
disabilities
19
services
system.
The
grant
recipient
shall
submit
findings
and
20
recommendations
based
upon
the
results
of
the
pilot
project
21
to
the
individuals
specified
in
this
division
of
this
Act
for
22
submission
of
reports
by
December
31,
2018.
23
Sec.
52.
STATE
SUPPLEMENTARY
ASSISTANCE.
24
1.
There
is
appropriated
from
the
general
fund
of
the
25
state
to
the
department
of
human
services
for
the
fiscal
year
26
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
27
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
28
purpose
designated:
29
For
the
state
supplementary
assistance
program:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,186,329
31
2.
The
department
shall
increase
the
personal
needs
32
allowance
for
residents
of
residential
care
facilities
by
the
33
same
percentage
and
at
the
same
time
as
federal
supplemental
34
security
income
and
federal
social
security
benefits
are
35
-100-
LSB
1050SV
(1)
87
pf/hb/rn
100/
151
S.F.
515
increased
due
to
a
recognized
increase
in
the
cost
of
living.
1
The
department
may
adopt
emergency
rules
to
implement
this
2
subsection.
3
3.
If
during
the
fiscal
year
beginning
July
1,
2018,
4
the
department
projects
that
state
supplementary
assistance
5
expenditures
for
a
calendar
year
will
not
meet
the
federal
6
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
7
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
8
§1382g,
the
department
may
take
actions
including
but
not
9
limited
to
increasing
the
personal
needs
allowance
for
10
residential
care
facility
residents
and
making
programmatic
11
adjustments
or
upward
adjustments
of
the
residential
care
12
facility
or
in-home
health-related
care
reimbursement
rates
13
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
14
requirements
are
met.
In
addition,
the
department
may
make
15
other
programmatic
and
rate
adjustments
necessary
to
remain
16
within
the
amount
appropriated
in
this
section
while
ensuring
17
compliance
with
federal
requirements.
The
department
may
adopt
18
emergency
rules
to
implement
the
provisions
of
this
subsection.
19
Sec.
53.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
20
1.
There
is
appropriated
from
the
general
fund
of
the
21
state
to
the
department
of
human
services
for
the
fiscal
year
22
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
23
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
24
purpose
designated:
25
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
26
program
pursuant
to
chapter
514I
,
including
supplemental
dental
27
services,
for
receipt
of
federal
financial
participation
under
28
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
29
children’s
health
insurance
program:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,259,226
31
2.
Of
the
funds
appropriated
in
this
section,
$21,400
is
32
allocated
for
continuation
of
the
contract
for
outreach
with
33
the
department
of
public
health.
34
Sec.
54.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
35
-101-
LSB
1050SV
(1)
87
pf/hb/rn
101/
151
S.F.
515
from
the
general
fund
of
the
state
to
the
department
of
human
1
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
2
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
3
necessary,
to
be
used
for
the
purpose
designated:
4
For
child
care
programs:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,671,808
6
1.
Of
the
funds
appropriated
in
this
section,
$16,746,808
7
shall
be
used
for
state
child
care
assistance
in
accordance
8
with
section
237A.13
.
9
2.
Nothing
in
this
section
shall
be
construed
or
is
10
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
11
to
persons
who
are
eligible
for
assistance
due
to
an
income
12
level
consistent
with
the
waiting
list
requirements
of
section
13
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
14
this
section
is
limited
to
the
extent
of
the
funds
appropriated
15
in
this
section.
16
3.
A
list
of
the
registered
and
licensed
child
care
17
facilities
operating
in
the
area
served
by
a
child
care
18
resource
and
referral
service
shall
be
made
available
to
the
19
families
receiving
state
child
care
assistance
in
that
area.
20
4.
Of
the
funds
appropriated
in
this
section,
$2,925,000
21
shall
be
credited
to
the
early
childhood
programs
grants
22
account
in
the
early
childhood
Iowa
fund
created
in
section
23
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
24
community-based
early
childhood
programs
targeted
to
children
25
from
birth
through
five
years
of
age
developed
by
early
26
childhood
Iowa
areas
in
accordance
with
approved
community
27
plans
as
provided
in
section
256I.8
.
28
5.
The
department
may
use
any
of
the
funds
appropriated
29
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
30
expanding
child
care
assistance
and
related
programs.
For
31
the
purpose
of
expenditures
of
state
and
federal
child
care
32
funding,
funds
shall
be
considered
obligated
at
the
time
33
expenditures
are
projected
or
are
allocated
to
the
department’s
34
service
areas.
Projections
shall
be
based
on
current
and
35
-102-
LSB
1050SV
(1)
87
pf/hb/rn
102/
151
S.F.
515
projected
caseload
growth,
current
and
projected
provider
1
rates,
staffing
requirements
for
eligibility
determination
2
and
management
of
program
requirements
including
data
systems
3
management,
staffing
requirements
for
administration
of
the
4
program,
contractual
and
grant
obligations
and
any
transfers
5
to
other
state
agencies,
and
obligations
for
decategorization
6
or
innovation
projects.
7
6.
A
portion
of
the
state
match
for
the
federal
child
care
8
and
development
block
grant
shall
be
provided
as
necessary
to
9
meet
federal
matching
funds
requirements
through
the
state
10
general
fund
appropriation
made
for
child
development
grants
11
and
other
programs
for
at-risk
children
in
section
279.51
.
12
7.
If
a
uniform
reduction
ordered
by
the
governor
under
13
section
8.31
or
other
operation
of
law,
transfer,
or
federal
14
funding
reduction
reduces
the
appropriation
made
in
this
15
section
for
the
fiscal
year,
the
percentage
reduction
in
the
16
amount
paid
out
to
or
on
behalf
of
the
families
participating
17
in
the
state
child
care
assistance
program
shall
be
equal
to
or
18
less
than
the
percentage
reduction
made
for
any
other
purpose
19
payable
from
the
appropriation
made
in
this
section
and
the
20
federal
funding
relating
to
it.
The
percentage
reduction
to
21
the
other
allocations
made
in
this
section
shall
be
the
same
as
22
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
23
change
of
the
federal
funding
reduction,
as
applicable.
24
If
there
is
an
unanticipated
increase
in
federal
funding
25
provided
for
state
child
care
assistance,
the
entire
amount
26
of
the
increase
shall
be
used
for
state
child
care
assistance
27
payments.
If
the
appropriations
made
for
purposes
of
the
28
state
child
care
assistance
program
for
the
fiscal
year
are
29
determined
to
be
insufficient,
it
is
the
intent
of
the
general
30
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
31
in
order
to
avoid
establishment
of
waiting
list
requirements.
32
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
33
purposes
of
the
programs
developed
by
early
childhood
Iowa
34
areas,
advanced
for
purposes
of
wraparound
child
care,
or
35
-103-
LSB
1050SV
(1)
87
pf/hb/rn
103/
151
S.F.
515
received
from
the
federal
appropriations
made
for
the
purposes
1
of
this
section
that
remain
unencumbered
or
unobligated
at
the
2
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
3
remain
available
for
expenditure
for
the
purposes
designated
4
until
the
close
of
the
succeeding
fiscal
year.
5
Sec.
55.
JUVENILE
INSTITUTION.
There
is
appropriated
6
from
the
general
fund
of
the
state
to
the
department
of
human
7
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
8
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
9
necessary,
to
be
used
for
the
purposes
designated:
10
1.
For
operation
of
the
state
training
school
at
Eldora
and
11
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
12
and
for
not
more
than
the
following
full-time
equivalent
13
positions:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,675,221
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
189.00
16
Of
the
funds
appropriated
in
this
subsection,
$45,575
shall
17
be
used
for
distribution
to
licensed
classroom
teachers
at
this
18
and
other
institutions
under
the
control
of
the
department
of
19
human
services
based
upon
the
average
student
yearly
enrollment
20
at
each
institution
as
determined
by
the
department.
21
2.
A
portion
of
the
moneys
appropriated
in
this
section
22
shall
be
used
by
the
state
training
school
at
Eldora
for
23
grants
for
adolescent
pregnancy
prevention
activities
at
the
24
institution
in
the
fiscal
year
beginning
July
1,
2018.
25
Sec.
56.
CHILD
AND
FAMILY
SERVICES.
26
1.
There
is
appropriated
from
the
general
fund
of
the
27
state
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
29
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
child
and
family
services:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,664,687
33
2.
The
department
may
transfer
funds
appropriated
in
this
34
section
as
necessary
to
pay
the
nonfederal
costs
of
services
35
-104-
LSB
1050SV
(1)
87
pf/hb/rn
104/
151
S.F.
515
reimbursed
under
the
medical
assistance
program,
state
child
1
care
assistance
program,
or
the
family
investment
program
which
2
are
provided
to
children
who
would
otherwise
receive
services
3
paid
under
the
appropriation
in
this
section.
The
department
4
may
transfer
funds
appropriated
in
this
section
to
the
5
appropriations
made
in
this
division
of
this
Act
for
general
6
administration
and
for
field
operations
for
resources
necessary
7
to
implement
and
operate
the
services
funded
in
this
section.
8
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
9
$17,868,324
is
allocated
as
the
statewide
expenditure
target
10
under
section
232.143
for
group
foster
care
maintenance
and
11
services.
If
the
department
projects
that
such
expenditures
12
for
the
fiscal
year
will
be
less
than
the
target
amount
13
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
14
the
excess
to
provide
additional
funding
for
shelter
care
15
or
the
child
welfare
emergency
services
addressed
with
the
16
allocation
for
shelter
care.
17
b.
If
at
any
time
after
September
30,
2018,
annualization
18
of
a
service
area’s
current
expenditures
indicates
a
service
19
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
20
target
under
section
232.143
by
more
than
5
percent,
the
21
department
and
juvenile
court
services
shall
examine
all
22
group
foster
care
placements
in
that
service
area
in
order
to
23
identify
those
which
might
be
appropriate
for
termination.
24
In
addition,
any
aftercare
services
believed
to
be
needed
25
for
the
children
whose
placements
may
be
terminated
shall
be
26
identified.
The
department
and
juvenile
court
services
shall
27
initiate
action
to
set
dispositional
review
hearings
for
the
28
placements
identified.
In
such
a
dispositional
review
hearing,
29
the
juvenile
court
shall
determine
whether
needed
aftercare
30
services
are
available
and
whether
termination
of
the
placement
31
is
in
the
best
interest
of
the
child
and
the
community.
32
4.
In
accordance
with
the
provisions
of
section
232.188
,
33
the
department
shall
continue
the
child
welfare
and
juvenile
34
justice
funding
initiative
during
fiscal
year
2018-2019.
Of
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the
funds
appropriated
in
this
section,
$858,876
is
allocated
1
specifically
for
expenditure
for
fiscal
year
2018-2019
through
2
the
decategorization
services
funding
pools
and
governance
3
boards
established
pursuant
to
section
232.188
.
4
5.
A
portion
of
the
funds
appropriated
in
this
section
5
may
be
used
for
emergency
family
assistance
to
provide
other
6
resources
required
for
a
family
participating
in
a
family
7
preservation
or
reunification
project
or
successor
project
to
8
stay
together
or
to
be
reunified.
9
6.
Notwithstanding
section
234.35
or
any
other
provision
10
of
law
to
the
contrary,
state
funding
for
shelter
care
and
11
the
child
welfare
emergency
services
contracting
implemented
12
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
13
limited
to
$4,048,079.
14
7.
Federal
funds
received
by
the
state
during
the
fiscal
15
year
beginning
July
1,
2018,
as
the
result
of
the
expenditure
16
of
state
funds
appropriated
during
a
previous
state
fiscal
17
year
for
a
service
or
activity
funded
under
this
section
are
18
appropriated
to
the
department
to
be
used
as
additional
funding
19
for
services
and
purposes
provided
for
under
this
section.
20
Notwithstanding
section
8.33
,
moneys
received
in
accordance
21
with
this
subsection
that
remain
unencumbered
or
unobligated
at
22
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
23
shall
remain
available
for
the
purposes
designated
until
the
24
close
of
the
succeeding
fiscal
year.
25
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
26
$1,645,000
is
allocated
for
the
payment
of
the
expenses
of
27
court-ordered
services
provided
to
juveniles
who
are
under
28
the
supervision
of
juvenile
court
services,
which
expenses
29
are
a
charge
upon
the
state
pursuant
to
section
232.141,
30
subsection
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
31
up
to
$778,143
shall
be
made
available
to
provide
school-based
32
supervision
of
children
adjudicated
under
chapter
232
,
of
which
33
not
more
than
$7,500
may
be
used
for
the
purpose
of
training.
34
A
portion
of
the
cost
of
each
school-based
liaison
officer
35
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shall
be
paid
by
the
school
district
or
other
funding
source
as
1
approved
by
the
chief
juvenile
court
officer.
2
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
3
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
4
services
provided
to
children
who
are
under
the
supervision
5
of
the
department,
which
expenses
are
a
charge
upon
the
state
6
pursuant
to
section
232.141,
subsection
4
.
7
c.
Notwithstanding
section
232.141
or
any
other
provision
8
of
law
to
the
contrary,
the
amounts
allocated
in
this
9
subsection
shall
be
distributed
to
the
judicial
districts
10
as
determined
by
the
state
court
administrator
and
to
the
11
department’s
service
areas
as
determined
by
the
administrator
12
of
the
department
of
human
services’
division
of
child
and
13
family
services.
The
state
court
administrator
and
the
14
division
administrator
shall
make
the
determination
of
the
15
distribution
amounts
on
or
before
June
15,
2018.
16
d.
Notwithstanding
chapter
232
or
any
other
provision
of
17
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
18
order
any
service
which
is
a
charge
upon
the
state
pursuant
19
to
section
232.141
if
there
are
insufficient
court-ordered
20
services
funds
available
in
the
district
court
or
departmental
21
service
area
distribution
amounts
to
pay
for
the
service.
The
22
chief
juvenile
court
officer
and
the
departmental
service
area
23
manager
shall
encourage
use
of
the
funds
allocated
in
this
24
subsection
such
that
there
are
sufficient
funds
to
pay
for
25
all
court-related
services
during
the
entire
year.
The
chief
26
juvenile
court
officers
and
departmental
service
area
managers
27
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
28
in
the
distribution
amounts
and
shall
cooperatively
request
the
29
state
court
administrator
or
division
administrator
to
transfer
30
funds
between
the
judicial
districts’
or
departmental
service
31
areas’
distribution
amounts
as
prudent.
32
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
33
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
34
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
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entered
under
chapter
232
which
is
a
charge
upon
the
state
1
under
section
232.141,
subsection
4
.
2
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
3
$41,500
may
be
used
by
the
judicial
branch
for
administration
4
of
the
requirements
under
this
subsection.
5
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
6
shall
be
used
by
the
department
of
human
services
to
support
7
the
interstate
commission
for
juveniles
in
accordance
with
8
the
interstate
compact
for
juveniles
as
provided
in
section
9
232.173
.
10
9.
Of
the
funds
appropriated
in
this
section,
$6,126,613
is
11
allocated
for
juvenile
delinquent
graduated
sanctions
services.
12
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
13
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
14
services
administration
may
be
used
for
the
juvenile
delinquent
15
graduated
sanctions
services.
16
10.
Of
the
funds
appropriated
in
this
section,
$829,142
is
17
transferred
to
the
department
of
public
health
to
be
used
for
18
the
child
protection
center
grant
program
for
child
protection
19
centers
located
in
Iowa
in
accordance
with
section
135.118
.
20
The
grant
amounts
under
the
program
shall
be
equalized
so
that
21
each
center
receives
a
uniform
base
amount
of
$122,500,
so
that
22
$25,000
is
awarded
to
establish
a
satellite
child
protection
23
center
in
a
city
in
north
central
Iowa
that
is
the
county
24
seat
of
a
county
with
a
population
between
44,000
and
45,000
25
according
to
the
2010
federal
decennial
census,
and
so
that
the
26
remaining
funds
are
awarded
through
a
funding
formula
based
27
upon
the
volume
of
children
served.
28
11.
If
the
department
receives
federal
approval
to
29
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
30
Security
Act
to
enable
providers
to
serve
children
who
remain
31
in
the
children’s
families
and
communities,
for
purposes
of
32
eligibility
under
the
medical
assistance
program
through
25
33
years
of
age,
children
who
participate
in
the
waiver
shall
be
34
considered
to
be
placed
in
foster
care.
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12.
Of
the
funds
appropriated
in
this
section,
$2,012,583
is
1
allocated
for
the
preparation
for
adult
living
program
pursuant
2
to
section
234.46
.
3
13.
Of
the
funds
appropriated
in
this
section,
$113,668
4
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
5
a
nonprofit
human
services
organization
providing
services
to
6
individuals
and
families
in
multiple
locations
in
southwest
7
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
8
sensitive
support
and
forensic
interviews,
medical
exams,
needs
9
assessments,
and
referrals
for
victims
of
child
abuse
and
their
10
nonoffending
family
members.
11
14.
Of
the
funds
appropriated
in
this
section,
$150,310
12
is
allocated
for
the
foster
care
youth
council
approach
of
13
providing
a
support
network
to
children
placed
in
foster
care.
14
15.
Of
the
funds
appropriated
in
this
section,
$101,000
is
15
allocated
for
use
pursuant
to
section
235A.1
for
continuation
16
of
the
initiative
to
address
child
sexual
abuse
implemented
17
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
18
21
.
19
16.
Of
the
funds
appropriated
in
this
section,
$315,120
is
20
allocated
for
the
community
partnership
for
child
protection
21
sites.
22
17.
Of
the
funds
appropriated
in
this
section,
$185,625
23
is
allocated
for
the
department’s
minority
youth
and
family
24
projects
under
the
redesign
of
the
child
welfare
system.
25
18.
Of
the
funds
appropriated
in
this
section,
$593,297
26
is
allocated
for
funding
of
the
community
circle
of
care
27
collaboration
for
children
and
youth
in
northeast
Iowa.
28
19.
Of
the
funds
appropriated
in
this
section,
at
least
29
$73,579
shall
be
used
for
the
continuation
of
the
child
30
welfare
provider
training
academy,
a
collaboration
between
the
31
coalition
for
family
and
children’s
services
in
Iowa
and
the
32
department.
33
20.
Of
the
funds
appropriated
in
this
section,
$105,936
34
shall
be
used
for
continuation
of
the
central
Iowa
system
of
35
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care
program
grant
through
June
30,
2019.
1
21.
Of
the
funds
appropriated
in
this
section,
$117,500
2
shall
be
used
for
the
public
purpose
of
the
continuation
3
and
expansion
of
a
system
of
care
program
grant
implemented
4
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
5
and
long-term
approach
for
helping
children
and
families
by
6
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
7
needs,
education
and
work,
family,
and
community.
8
22.
Of
the
funds
appropriated
in
this
section,
at
least
9
$12,500
shall
be
used
to
continue
and
to
expand
the
foster
10
care
respite
pilot
program
in
which
postsecondary
students
in
11
social
work
and
other
human
services-related
programs
receive
12
experience
by
assisting
family
foster
care
providers
with
13
respite
and
other
support.
14
23.
Of
the
funds
appropriated
in
this
section,
$55,000
15
shall
be
used
for
the
public
purpose
of
funding
community-based
16
services
and
other
supports
with
a
system
of
care
approach
17
for
children
with
a
serious
emotional
disturbance
and
their
18
families
through
a
nonprofit
provider
of
child
welfare
services
19
that
has
been
in
existence
for
more
than
115
years,
is
located
20
in
a
county
with
a
population
of
more
than
200,000
but
less
21
than
220,000
according
to
the
latest
certified
federal
census,
22
is
licensed
as
a
psychiatric
medical
institution
for
children,
23
and
was
a
system
of
care
grantee
prior
to
July
1,
2018.
24
Sec.
57.
ADOPTION
SUBSIDY.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
28
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
a.
For
adoption
subsidy
payments
and
services:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,388,955
32
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
33
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
34
of
the
following
purposes:
35
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(a)
For
adoption
subsidy
payments
and
related
costs.
1
(b)
For
post-adoption
services
and
for
other
purposes
under
2
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
3
(2)
The
department
of
human
services
may
transfer
funds
4
appropriated
in
this
subsection
to
the
appropriation
for
5
child
and
family
services
in
this
Act
for
the
purposes
of
6
post-adoption
services
as
specified
in
this
paragraph
“b”.
7
2.
The
department
may
transfer
funds
appropriated
in
8
this
section
to
the
appropriation
made
in
this
division
of
9
this
Act
for
general
administration
for
costs
paid
from
the
10
appropriation
relating
to
adoption
subsidy.
11
3.
Federal
funds
received
by
the
state
during
the
12
fiscal
year
beginning
July
1,
2018,
as
the
result
of
the
13
expenditure
of
state
funds
during
a
previous
state
fiscal
14
year
for
a
service
or
activity
funded
under
this
section
are
15
appropriated
to
the
department
to
be
used
as
additional
funding
16
for
the
services
and
activities
funded
under
this
section.
17
Notwithstanding
section
8.33
,
moneys
received
in
accordance
18
with
this
subsection
that
remain
unencumbered
or
unobligated
19
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
20
but
shall
remain
available
for
expenditure
for
the
purposes
21
designated
until
the
close
of
the
succeeding
fiscal
year.
22
Sec.
58.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
23
in
the
juvenile
detention
home
fund
created
in
section
232.142
24
during
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
25
30,
2019,
are
appropriated
to
the
department
of
human
services
26
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
27
2019,
for
distribution
of
an
amount
equal
to
a
percentage
of
28
the
costs
of
the
establishment,
improvement,
operation,
and
29
maintenance
of
county
or
multicounty
juvenile
detention
homes
30
in
the
fiscal
year
beginning
July
1,
2015.
Moneys
appropriated
31
for
distribution
in
accordance
with
this
section
shall
be
32
allocated
among
eligible
detention
homes,
prorated
on
the
basis
33
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
34
eligible
detention
homes
in
the
fiscal
year
beginning
July
35
-111-
LSB
1050SV
(1)
87
pf/hb/rn
111/
151
S.F.
515
1,
2015.
The
percentage
figure
shall
be
determined
by
the
1
department
based
on
the
amount
available
for
distribution
for
2
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
3
financial
aid
payable
by
the
state
under
that
provision
for
the
4
fiscal
year
beginning
July
1,
2018,
shall
be
limited
to
the
5
amount
appropriated
for
the
purposes
of
this
section.
6
Sec.
59.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
7
1.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
For
the
family
support
subsidy
program
subject
to
the
13
enrollment
restrictions
in
section
225C.37,
subsection
3
:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
534,641
15
2.
At
least
$393,750
of
the
moneys
appropriated
in
this
16
section
is
transferred
to
the
department
of
public
health
for
17
the
family
support
center
component
of
the
comprehensive
family
18
support
program
under
chapter
225C,
subchapter
V.
19
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
20
funding
available
for
the
family
support
subsidy
program
21
is
reduced
from
the
amount
initially
used
to
establish
the
22
figure
for
the
number
of
family
members
for
whom
a
subsidy
23
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
24
notwithstanding
section
225C.38,
subsection
2
,
the
department
25
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
26
of
funding
available.
27
Sec.
60.
CONNER
DECREE.
There
is
appropriated
from
the
28
general
fund
of
the
state
to
the
department
of
human
services
29
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
30
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
31
to
be
used
for
the
purpose
designated:
32
For
building
community
capacity
through
the
coordination
33
and
provision
of
training
opportunities
in
accordance
with
the
34
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
35
-112-
LSB
1050SV
(1)
87
pf/hb/rn
112/
151
S.F.
515
Iowa,
July
14,
1994):
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
2
Sec.
61.
MENTAL
HEALTH
INSTITUTES.
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
operation
of
the
state
mental
health
institute
at
9
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
10
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
11
more
than
the
following
full-time
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,935,127
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
162.00
14
b.
For
operation
of
the
state
mental
health
institute
at
15
Independence
as
required
by
chapters
218
and
226
for
salaries,
16
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
17
more
than
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,756,810
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
204.00
20
2.
Notwithstanding
sections
218.78
and
249A.11,
any
revenue
21
received
from
the
state
mental
health
institute
at
Cherokee
or
22
the
state
mental
health
institute
at
Independence
pursuant
to
23
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
24
health
institute.
25
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
26
a
Medicaid
member
residing
at
the
state
mental
health
27
institute
at
Cherokee
or
the
state
mental
health
institute
28
at
Independence
shall
retain
Medicaid
eligibility
during
29
the
period
of
the
Medicaid
member’s
stay
for
which
federal
30
financial
participation
is
available.
31
Sec.
62.
STATE
RESOURCE
CENTERS.
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
35
-113-
LSB
1050SV
(1)
87
pf/hb/rn
113/
151
S.F.
515
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purposes
designated:
2
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
3
support,
maintenance,
and
miscellaneous
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,943,890
5
b.
For
the
state
resource
center
at
Woodward
for
salaries,
6
support,
maintenance,
and
miscellaneous
purposes:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,038,517
8
2.
The
department
may
continue
to
bill
for
state
resource
9
center
services
utilizing
a
scope
of
services
approach
used
for
10
private
providers
of
intermediate
care
facilities
for
persons
11
with
an
intellectual
disability
services,
in
a
manner
which
12
does
not
shift
costs
between
the
medical
assistance
program,
13
counties,
or
other
sources
of
funding
for
the
state
resource
14
centers.
15
3.
The
state
resource
centers
may
expand
the
time-limited
16
assessment
and
respite
services
during
the
fiscal
year.
17
4.
If
the
department’s
administration
and
the
department
18
of
management
concur
with
a
finding
by
a
state
resource
19
center’s
superintendent
that
projected
revenues
can
reasonably
20
be
expected
to
pay
the
salary
and
support
costs
for
a
new
21
employee
position,
or
that
such
costs
for
adding
a
particular
22
number
of
new
positions
for
the
fiscal
year
would
be
less
23
than
the
overtime
costs
if
new
positions
would
not
be
added,
24
the
superintendent
may
add
the
new
position
or
positions.
If
25
the
vacant
positions
available
to
a
resource
center
do
not
26
include
the
position
classification
desired
to
be
filled,
the
27
state
resource
center’s
superintendent
may
reclassify
any
28
vacant
position
as
necessary
to
fill
the
desired
position.
The
29
superintendents
of
the
state
resource
centers
may,
by
mutual
30
agreement,
pool
vacant
positions
and
position
classifications
31
during
the
course
of
the
fiscal
year
in
order
to
assist
one
32
another
in
filling
necessary
positions.
33
5.
If
existing
capacity
limitations
are
reached
in
34
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
35
-114-
LSB
1050SV
(1)
87
pf/hb/rn
114/
151
S.F.
515
a
special
need
for
which
a
payment
source
or
other
funding
1
is
available
for
the
service
or
to
address
the
special
need,
2
and
facilities
for
the
service
or
to
address
the
special
need
3
can
be
provided
within
the
available
payment
source
or
other
4
funding,
the
superintendent
of
a
state
resource
center
may
5
authorize
opening
not
more
than
two
units
or
other
facilities
6
and
begin
implementing
the
service
or
addressing
the
special
7
need
during
fiscal
year
2018-2019.
8
Sec.
63.
SEXUALLY
VIOLENT
PREDATORS.
9
1.
There
is
appropriated
from
the
general
fund
of
the
10
state
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
12
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
13
purpose
designated:
14
For
costs
associated
with
the
commitment
and
treatment
of
15
sexually
violent
predators
in
the
unit
located
at
the
state
16
mental
health
institute
at
Cherokee,
including
costs
of
legal
17
services
and
other
associated
costs,
including
salaries,
18
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
19
more
than
the
following
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,732,373
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
112.00
22
2.
Unless
specifically
prohibited
by
law,
if
the
amount
23
charged
provides
for
recoupment
of
at
least
the
entire
amount
24
of
direct
and
indirect
costs,
the
department
of
human
services
25
may
contract
with
other
states
to
provide
care
and
treatment
26
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
27
violent
predators
at
Cherokee.
The
moneys
received
under
28
such
a
contract
shall
be
considered
to
be
repayment
receipts
29
and
used
for
the
purposes
of
the
appropriation
made
in
this
30
section.
31
Sec.
64.
FIELD
OPERATIONS.
There
is
appropriated
from
the
32
general
fund
of
the
state
to
the
department
of
human
services
33
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
34
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
35
-115-
LSB
1050SV
(1)
87
pf/hb/rn
115/
151
S.F.
515
to
be
used
for
the
purposes
designated:
1
For
field
operations,
including
salaries,
support,
2
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,242,217
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,583.00
6
Priority
in
filling
full-time
equivalent
positions
shall
be
7
given
to
those
positions
related
to
child
protection
services
8
and
eligibility
determination
for
low-income
families.
9
Sec.
65.
GENERAL
ADMINISTRATION.
There
is
appropriated
10
from
the
general
fund
of
the
state
to
the
department
of
human
11
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
12
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
13
necessary,
to
be
used
for
the
purpose
designated:
14
For
general
administration,
including
salaries,
support,
15
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
16
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,941,520
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
19
1.
The
department
shall
report
at
least
monthly
to
the
20
legislative
services
agency
concerning
the
department’s
21
operational
and
program
expenditures.
22
2.
Of
the
funds
appropriated
in
this
section,
$75,000
shall
23
be
used
to
continue
the
contract
for
the
provision
of
a
program
24
to
provide
technical
assistance,
support,
and
consultation
to
25
providers
of
habilitation
services
and
home
and
community-based
26
services
waiver
services
for
adults
with
disabilities
under
the
27
medical
assistance
program.
28
3.
Of
the
funds
appropriated
in
this
section,
$25,000
29
is
transferred
to
the
Iowa
finance
authority
to
be
used
30
for
administrative
support
of
the
council
on
homelessness
31
established
in
section
16.2D
and
for
the
council
to
fulfill
its
32
duties
in
addressing
and
reducing
homelessness
in
the
state.
33
4.
Of
the
funds
appropriated
in
this
section,
$125,000
shall
34
be
transferred
to
and
deposited
in
the
administrative
fund
of
35
-116-
LSB
1050SV
(1)
87
pf/hb/rn
116/
151
S.F.
515
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
1
be
used
for
implementation
and
administration
activities
of
the
2
Iowa
ABLE
savings
plan
trust.
3
5.
Of
the
funds
appropriated
in
this
section,
$100,000
4
is
transferred
to
the
economic
development
authority
for
5
the
Iowa
commission
on
volunteer
services
to
continue
to
be
6
used
for
RefugeeRISE
AmeriCorps
program
established
under
7
Code
section
15H.8
for
member
recruitment
and
training
to
8
improve
the
economic
well-being
and
health
of
economically
9
disadvantaged
refugees
in
local
communities
across
Iowa.
Funds
10
transferred
may
be
used
to
supplement
federal
funds
under
11
federal
regulations.
12
Sec.
66.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
13
from
the
general
fund
of
the
state
to
the
department
of
human
14
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
15
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purposes
designated:
17
For
salaries,
support,
maintenance,
and
miscellaneous
18
purposes
at
facilities
under
the
purview
of
the
department
of
19
human
services:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,439,637
21
Sec.
67.
VOLUNTEERS.
There
is
appropriated
from
the
general
22
fund
of
the
state
to
the
department
of
human
services
for
the
23
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
24
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
25
used
for
the
purpose
designated:
26
For
development
and
coordination
of
volunteer
services:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
28
Sec.
68.
GENERAL
REDUCTION.
For
the
period
beginning
July
29
1,
2018,
and
ending
June
30,
2019,
the
department
of
human
30
services,
in
consultation
with
the
department
of
management,
31
shall
identify
and
implement
a
reduction
in
expenditures
made
32
from
appropriations
from
the
general
fund
to
the
department
of
33
human
services
in
the
amount
of
$733,651.
34
Sec.
69.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
35
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(1)
87
pf/hb/rn
117/
151
S.F.
515
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
1
DEPARTMENT
OF
HUMAN
SERVICES.
2
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
3
1,
2018,
case-mix,
non-case
mix,
and
special
population
4
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
5
methodology
in
effect
on
June
30,
2018.
6
(b)
For
managed
care
claims,
the
department
of
human
7
services
shall
adjust
the
payment
rate
floor
for
nursing
8
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
9
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
10
calculated
in
accordance
with
441
IAC
81.6.
The
department
11
shall
then
calculate
adjusted
reimbursement
rates,
including
12
but
not
limited
to
add-on-payments,
annually,
and
shall
13
notify
Medicaid
managed
care
organizations
of
the
adjusted
14
reimbursement
rates
within
30
days
of
determining
the
adjusted
15
reimbursement
rates.
Any
adjustment
of
reimbursement
rates
16
under
this
subparagraph
division
shall
be
budget
neutral
to
the
17
state
budget.
18
(2)
For
any
open
or
unsettled
nursing
facility
cost
report
19
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
20
beginning
July
1,
2017,
including
any
cost
report
remanded
on
21
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
22
or
x-ray
costs,
the
department
shall
offset
all
reported
23
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
24
received
from
Medicare
or
other
revenue
source
for
any
purpose.
25
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
26
report
is
not
considered
open
or
unsettled
if
the
facility
did
27
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
28
any
appeal
rights
initiated
have
been
exhausted.
29
b.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
30
the
department
shall
establish
the
pharmacy
dispensing
fee
31
reimbursement
at
$10.02
per
prescription,
until
a
cost
of
32
dispensing
survey
is
completed.
The
actual
dispensing
fee
33
shall
be
determined
by
a
cost
of
dispensing
survey
performed
34
by
the
department
and
required
to
be
completed
by
all
medical
35
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1050SV
(1)
87
pf/hb/rn
118/
151
S.F.
515
assistance
program
participating
pharmacies
every
two
years,
1
adjusted
as
necessary
to
maintain
expenditures
within
the
2
amount
appropriated
to
the
department
for
this
purpose
for
the
3
fiscal
year.
4
(2)
The
department
shall
utilize
an
average
acquisition
5
cost
reimbursement
methodology
for
all
drugs
covered
under
the
6
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
7
chapter
1133,
section
33
.
8
c.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
9
reimbursement
rates
for
outpatient
hospital
services
shall
10
remain
at
the
rates
in
effect
on
June
30,
2018,
subject
to
11
Medicaid
program
upper
payment
limit
rules,
and
adjusted
12
as
necessary
to
maintain
expenditures
within
the
amount
13
appropriated
to
the
department
for
this
purpose
for
the
fiscal
14
year.
15
(2)
For
the
fiscal
year
beginning
July
1,
2018,
16
reimbursement
rates
for
inpatient
hospital
services
shall
17
be
rebased
effective
October
1,
2018,
subject
to
Medicaid
18
program
upper
payment
limit
rules,
and
adjusted
as
necessary
19
to
maintain
expenditures
within
the
amount
appropriated
to
the
20
department
for
this
purpose
for
the
fiscal
year.
21
(3)
For
the
fiscal
year
beginning
July
1,
2018,
the
graduate
22
medical
education
and
disproportionate
share
hospital
fund
23
shall
remain
at
the
amount
in
effect
on
June
30,
2018,
except
24
that
the
portion
of
the
fund
attributable
to
graduate
medical
25
education
shall
be
reduced
in
an
amount
that
reflects
the
26
elimination
of
graduate
medical
education
payments
made
to
27
out-of-state
hospitals.
28
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
29
funds
in
procuring
health
care
services
for
low-income
Iowans,
30
funds
appropriated
in
this
Act
for
hospital
services
shall
31
not
be
used
for
activities
which
would
be
excluded
from
a
32
determination
of
reasonable
costs
under
the
federal
Medicare
33
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
34
d.
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
35
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151
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515
rates
for
hospices
and
acute
mental
hospitals
shall
be
1
increased
in
accordance
with
increases
under
the
federal
2
Medicare
program
or
as
supported
by
their
Medicare
audited
3
costs.
4
e.
For
the
fiscal
year
beginning
July
1,
2018,
independent
5
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
6
using
the
same
methodology
in
effect
on
June
30,
2018.
7
f.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
8
reimbursement
rates
for
home
health
agencies
shall
continue
to
9
be
based
on
the
Medicare
low
utilization
payment
adjustment
10
(LUPA)
methodology
with
state
geographic
wage
adjustments.
11
The
department
shall
continue
to
update
the
rates
every
two
12
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
13
extent
possible
within
the
state
funding
appropriated
for
this
14
purpose.
15
(2)
For
the
fiscal
year
beginning
July
1,
2018,
rates
for
16
private
duty
nursing
and
personal
care
services
under
the
early
17
and
periodic
screening,
diagnostic,
and
treatment
program
18
benefit
shall
be
calculated
based
on
the
methodology
in
effect
19
on
June
30,
2018.
20
g.
For
the
fiscal
year
beginning
July
1,
2018,
federally
21
qualified
health
centers
and
rural
health
clinics
shall
receive
22
cost-based
reimbursement
for
100
percent
of
the
reasonable
23
costs
for
the
provision
of
services
to
recipients
of
medical
24
assistance.
25
h.
For
the
fiscal
year
beginning
July
1,
2018,
the
26
reimbursement
rates
for
dental
services
shall
remain
at
the
27
rates
in
effect
on
June
30,
2018.
28
i.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
29
reimbursement
rates
for
the
non-state-owned
psychiatric
medical
30
institution
for
children
shall
be
based
on
the
methodology
in
31
effect
on
June
30,
2018.
32
(2)
As
a
condition
of
participation
in
the
medical
33
assistance
program,
enrolled
providers
shall
accept
the
medical
34
assistance
reimbursement
rate
for
any
covered
goods
or
services
35
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151
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515
provided
to
recipients
of
medical
assistance
who
are
children
1
under
the
custody
of
a
psychiatric
medical
institution
for
2
children.
3
j.
For
the
fiscal
year
beginning
July
1,
2018,
unless
4
otherwise
specified
in
this
Act,
all
noninstitutional
medical
5
assistance
provider
reimbursement
rates
shall
remain
at
the
6
rates
in
effect
on
June
30,
2018,
except
for
area
education
7
agencies,
local
education
agencies,
infant
and
toddler
8
services
providers,
home
and
community-based
services
providers
9
including
consumer-directed
attendant
care
providers
under
a
10
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
11
providers,
and
those
providers
whose
rates
are
required
to
be
12
determined
pursuant
to
section
249A.20
.
13
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
14
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rate
15
for
anesthesiologists
shall
be
adjusted
to
implement
the
cost
16
containment
strategies
authorized
for
the
medical
assistance
17
program
in
this
2017
Act.
18
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
19
beginning
July
1,
2018,
the
average
reimbursement
rate
for
20
health
care
providers
eligible
for
use
of
the
federal
Medicare
21
resource-based
relative
value
scale
reimbursement
methodology
22
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
23
June
30,
2018;
however,
this
rate
shall
not
exceed
the
maximum
24
level
authorized
by
the
federal
government.
25
m.
For
the
fiscal
year
beginning
July
1,
2018,
the
26
reimbursement
rate
for
residential
care
facilities
shall
not
27
be
less
than
the
minimum
payment
level
as
established
by
the
28
federal
government
to
meet
the
federally
mandated
maintenance
29
of
effort
requirement.
The
flat
reimbursement
rate
for
30
facilities
electing
not
to
file
annual
cost
reports
shall
not
31
be
less
than
the
minimum
payment
level
as
established
by
the
32
federal
government
to
meet
the
federally
mandated
maintenance
33
of
effort
requirement.
34
n.
For
the
fiscal
year
beginning
July
1,
2018,
the
35
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151
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515
reimbursement
rates
for
inpatient
mental
health
services
1
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
2
June
30,
2018,
subject
to
Medicaid
program
upper
payment
limit
3
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
4
assistance
program
fee-for-service
rate
in
effect
on
June
30,
5
2018.
6
o.
For
the
fiscal
year
beginning
July
1,
2018,
community
7
mental
health
centers
may
choose
to
be
reimbursed
for
the
8
services
provided
to
recipients
of
medical
assistance
through
9
either
of
the
following
options:
10
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
11
(2)
In
accordance
with
the
alternative
reimbursement
rate
12
methodology
approved
by
the
department
of
human
services
in
13
effect
on
June
30,
2018.
14
p.
For
the
fiscal
year
beginning
July
1,
2018,
the
15
reimbursement
rate
for
providers
of
family
planning
services
16
that
are
eligible
to
receive
a
90
percent
federal
match
shall
17
remain
at
the
rates
in
effect
on
June
30,
2018.
18
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
19
for
the
fiscal
year
beginning
July
1,
2018,
the
upper
20
limits
and
reimbursement
rates
for
providers
of
home
and
21
community-based
services
waiver
services
shall
be
reimbursed
22
using
the
reimbursement
methodology
in
effect
on
June
30,
2018.
23
r.
For
the
fiscal
year
beginning
July
1,
2018,
the
24
reimbursement
rates
for
emergency
medical
service
providers
25
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
26
s.
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
27
rates
for
substance-related
disorder
treatment
programs
28
licensed
under
section
125.13
shall
remain
at
the
rates
in
29
effect
on
June
30,
2018.
30
2.
For
the
fiscal
year
beginning
July
1,
2018,
the
31
reimbursement
rate
for
providers
reimbursed
under
the
32
in-home-related
care
program
shall
not
be
less
than
the
minimum
33
payment
level
as
established
by
the
federal
government
to
meet
34
the
federally
mandated
maintenance
of
effort
requirement.
35
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1050SV
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151
S.F.
515
3.
Unless
otherwise
directed
in
this
section,
when
the
1
department’s
reimbursement
methodology
for
any
provider
2
reimbursed
in
accordance
with
this
section
includes
an
3
inflation
factor,
this
factor
shall
not
exceed
the
amount
4
by
which
the
consumer
price
index
for
all
urban
consumers
5
increased
during
the
calendar
year
ending
December
31,
2002.
6
4.
Notwithstanding
section
234.38,
for
the
fiscal
7
year
beginning
July
1,
2018,
the
foster
family
basic
daily
8
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
9
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
10
children
ages
6
through
11
years
shall
be
$17.43,
the
rate
for
11
children
ages
12
through
15
years
shall
be
$19.10,
and
the
12
rate
for
children
and
young
adults
ages
16
and
older
shall
13
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
14
care,
the
preparation
for
adult
living
program
maintenance
rate
15
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
16
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
17
disallowance
of
additional
amounts
for
court
costs
and
other
18
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
19
chapter
1031,
section
408
,
shall
be
continued.
20
5.
For
the
fiscal
year
beginning
July
1,
2018,
the
maximum
21
reimbursement
rates
for
social
services
providers
under
22
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2018,
23
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
24
each
service,
whichever
is
less.
However,
if
a
new
service
25
or
service
provider
is
added
after
June
30,
2018,
the
initial
26
reimbursement
rate
for
the
service
or
provider
shall
be
based
27
upon
a
weighted
average
of
provider
rates
for
similar
services.
28
6.
a.
For
the
fiscal
year
beginning
July
1,
2018,
the
29
reimbursement
rates
for
resource
family
recruitment
and
30
retention
contractors
shall
be
established
by
contract.
31
b.
For
the
fiscal
year
beginning
July
1,
2018,
the
32
reimbursement
rates
for
supervised
apartment
living
foster
care
33
providers
shall
be
established
by
contract.
34
7.
a.
For
the
purposes
of
this
subsection,
“combined
35
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reimbursement
rate”
means
the
combined
service
and
maintenance
1
reimbursement
rate
for
a
service
level
under
the
department’s
2
reimbursement
methodology.
Effective
July
1,
2018,
the
3
combined
reimbursement
rate
for
a
group
foster
care
service
4
level
shall
be
the
amount
designated
in
this
subsection.
5
However,
if
a
group
foster
care
provider’s
reimbursement
rate
6
for
a
service
level
as
of
June
30,
2018,
is
more
than
the
rate
7
designated
in
this
subsection,
the
provider’s
reimbursement
8
shall
remain
at
the
higher
rate.
9
b.
Unless
a
group
foster
care
provider
is
subject
to
the
10
exception
provided
in
paragraph
“a”,
effective
July
1,
2018,
11
the
combined
reimbursement
rates
for
the
service
levels
under
12
the
department’s
reimbursement
methodology
shall
be
as
follows:
13
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
14
be
at
least
$84.17.
15
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
16
shall
be
at
least
$119.09.
17
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
18
be
at
least
$131.09.
19
8.
The
group
foster
care
reimbursement
rates
paid
for
20
placement
of
children
out
of
state
shall
be
calculated
21
according
to
the
same
rate-setting
principles
as
those
used
for
22
in-state
providers,
unless
the
director
of
human
services
or
23
the
director’s
designee
determines
that
appropriate
care
cannot
24
be
provided
within
the
state.
The
payment
of
the
daily
rate
25
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
26
which
service
is
provided.
27
9.
a.
For
the
fiscal
year
beginning
July
1,
2018,
the
28
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
29
emergency
services
implemented
to
provide
or
prevent
the
need
30
for
shelter
care
shall
be
established
by
contract.
31
b.
For
the
fiscal
year
beginning
July
1,
2018,
the
combined
32
service
and
maintenance
components
of
the
reimbursement
rate
33
paid
for
shelter
care
services
shall
be
based
on
the
financial
34
and
statistical
report
submitted
to
the
department.
The
35
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maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
1
department
shall
reimburse
a
shelter
care
provider
at
the
2
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
3
to
exceed
the
maximum
reimbursement
rate.
4
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
5
fiscal
year
beginning
July
1,
2018,
the
amount
of
the
statewide
6
average
of
the
actual
and
allowable
rates
for
reimbursement
of
7
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
8
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
9
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
10
2017.
11
10.
For
the
fiscal
year
beginning
July
1,
2018,
the
12
department
shall
calculate
reimbursement
rates
for
intermediate
13
care
facilities
for
persons
with
an
intellectual
disability
14
at
the
80th
percentile.
Beginning
July
1,
2018,
the
rate
15
calculation
methodology
shall
utilize
the
consumer
price
index
16
inflation
factor
applicable
to
the
fiscal
year
beginning
July
17
1,
2018.
18
11.
For
the
fiscal
year
beginning
July
1,
2018,
for
child
19
care
providers
reimbursed
under
the
state
child
care
assistance
20
program,
the
department
shall
set
provider
reimbursement
21
rates
based
on
the
rate
reimbursement
survey
completed
in
22
December
2004.
Effective
July
1,
2018,
the
child
care
provider
23
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
24
30,
2018.
The
department
shall
set
rates
in
a
manner
so
as
25
to
provide
incentives
for
a
nonregistered
provider
to
become
26
registered
by
applying
the
increase
only
to
registered
and
27
licensed
providers.
28
12.
For
the
fiscal
year
beginning
July
1,
2018,
29
notwithstanding
any
provision
to
the
contrary
under
this
30
section,
affected
providers
or
services
shall
be
reimbursed
as
31
follows:
32
a.
For
fee-for-service
claims,
reimbursement
shall
be
33
calculated
based
on
the
methodology
otherwise
specified
in
this
34
section
for
the
fiscal
year
beginning
July
1,
2018,
for
the
35
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respective
provider
or
service.
1
b.
For
claims
subject
to
a
managed
care
contract
with
the
2
exception
of
any
provider
or
service
to
which
a
reimbursement
3
increase
is
applicable
for
the
fiscal
year
under
this
section,
4
reimbursement
shall
be
based
on
the
methodology
established
by
5
the
managed
care
contract.
However,
any
rate
or
reimbursement
6
established
under
such
contract
shall
not
be
lower
than
the
7
rate
or
reimbursement
floor
established
by
the
department
8
of
human
services
as
the
managed
care
organization
rate
or
9
reimbursement
floor
for
a
respective
provider
or
service
in
10
effect
on
April
1,
2016.
11
13.
Notwithstanding
any
provision
to
the
contrary,
12
reimbursement
rates
and
methodologies
under
this
section
may
13
be
adjusted
as
necessary
to
implement
the
cost
containment
14
strategies
authorized
for
the
medical
assistance
program
in
15
this
2017
Act.
16
14.
The
department
may
adopt
emergency
rules
to
implement
17
this
section.
18
Sec.
70.
EMERGENCY
RULES.
19
1.
If
specifically
authorized
by
a
provision
of
this
20
division
of
this
Act,
the
department
of
human
services
or
21
the
mental
health
and
disability
services
commission
may
22
adopt
administrative
rules
under
section
17A.4,
subsection
23
3
,
and
section
17A.5,
subsection
2,
paragraph
“b”
,
to
24
implement
the
provisions
of
this
division
of
this
Act
and
25
the
rules
shall
become
effective
immediately
upon
filing
or
26
on
a
later
effective
date
specified
in
the
rules,
unless
the
27
effective
date
of
the
rules
is
delayed
or
the
applicability
28
of
the
rules
is
suspended
by
the
administrative
rules
review
29
committee.
Any
rules
adopted
in
accordance
with
this
section
30
shall
not
take
effect
before
the
rules
are
reviewed
by
the
31
administrative
rules
review
committee.
The
delay
authority
32
provided
to
the
administrative
rules
review
committee
under
33
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
34
shall
be
applicable
to
a
delay
imposed
under
this
section,
35
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S.F.
515
notwithstanding
a
provision
in
those
sections
making
them
1
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”
.
2
Any
rules
adopted
in
accordance
with
the
provisions
of
this
3
section
shall
also
be
published
as
a
notice
of
intended
action
4
as
provided
in
section
17A.4
.
5
2.
If
during
a
fiscal
year,
the
department
of
human
6
services
is
adopting
rules
in
accordance
with
this
section
7
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
8
rules
will
result
in
an
expenditure
increase
beyond
the
amount
9
anticipated
in
the
budget
process
or
if
the
expenditure
was
10
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
11
department
shall
notify
the
persons
designated
by
this
division
12
of
this
Act
for
submission
of
reports,
the
chairpersons
and
13
ranking
members
of
the
committees
on
appropriations,
and
14
the
department
of
management
concerning
the
rules
and
the
15
expenditure
increase.
The
notification
shall
be
provided
at
16
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
17
is
submitted
to
the
administrative
rules
coordinator
and
the
18
administrative
code
editor.
19
Sec.
71.
REPORTS.
Any
reports
or
other
information
20
required
to
be
compiled
and
submitted
under
this
Act
during
the
21
fiscal
year
beginning
July
1,
2018,
shall
be
submitted
to
the
22
chairpersons
and
ranking
members
of
the
joint
appropriations
23
subcommittee
on
health
and
human
services,
the
legislative
24
services
agency,
and
the
legislative
caucus
staffs
on
or
25
before
the
dates
specified
for
submission
of
the
reports
or
26
information.
27
Sec.
72.
TRANSFER
OF
MEDICAID
MODERNIZATION
SAVINGS
BETWEEN
28
APPROPRIATIONS
FY
2018-2019.
Notwithstanding
section
8.39,
29
subsection
1,
for
the
fiscal
year
beginning
July
1,
2018,
if
30
savings
resulting
from
the
governor’s
Medicaid
modernization
31
initiative
accrue
to
the
medical
contracts
or
children’s
health
32
insurance
program
appropriation
from
the
general
fund
of
the
33
state
and
not
to
the
medical
assistance
appropriation
from
the
34
general
fund
of
the
state
under
this
division
of
this
Act,
35
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(1)
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pf/hb/rn
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151
S.F.
515
such
savings
may
be
transferred
to
such
medical
assistance
1
appropriation
for
the
same
fiscal
year
without
prior
written
2
consent
and
approval
of
the
governor
and
the
director
of
the
3
department
of
management.
The
department
of
human
services
4
shall
report
any
transfers
made
pursuant
to
this
section
to
the
5
legislative
services
agency.
6
DIVISION
XII
7
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2018-2019
8
Sec.
73.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
9
appropriated
from
the
pharmaceutical
settlement
account
created
10
in
section
249A.33
to
the
department
of
human
services
for
the
11
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
12
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
13
used
for
the
purpose
designated:
14
Notwithstanding
any
provision
of
law
to
the
contrary,
to
15
supplement
the
appropriations
made
in
this
Act
for
medical
16
contracts
under
the
medical
assistance
program
for
the
fiscal
17
year
beginning
July
1,
2018,
and
ending
June
30,
2019:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
19
Sec.
74.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
20
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
21
subject
to
the
availability
of
funds,
there
is
appropriated
22
from
the
quality
assurance
trust
fund
created
in
section
23
249L.4
to
the
department
of
human
services
for
the
fiscal
year
24
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
25
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
26
designated:
27
To
supplement
the
appropriation
made
in
this
Act
from
the
28
general
fund
of
the
state
to
the
department
of
human
services
29
for
medical
assistance
for
the
same
fiscal
year:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,352,604
31
Sec.
75.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
32
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
33
the
contrary
and
subject
to
the
availability
of
funds,
there
is
34
appropriated
from
the
hospital
health
care
access
trust
fund
35
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151
S.F.
515
created
in
section
249M.4
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
2
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
3
necessary,
for
the
purposes
designated:
4
To
supplement
the
appropriation
made
in
this
Act
from
the
5
general
fund
of
the
state
to
the
department
of
human
services
6
for
medical
assistance
for
the
same
fiscal
year:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,960,277
8
Sec.
76.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
9
FOR
FY
2018-2019.
Notwithstanding
section
8.33
,
if
moneys
10
appropriated
for
purposes
of
the
medical
assistance
program
for
11
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
12
2019,
from
the
general
fund
of
the
state,
the
quality
assurance
13
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
14
in
excess
of
actual
expenditures
for
the
medical
assistance
15
program
and
remain
unencumbered
or
unobligated
at
the
close
16
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
17
shall
remain
available
for
expenditure
for
the
purposes
of
the
18
medical
assistance
program
until
the
close
of
the
succeeding
19
fiscal
year.
20
DIVISION
XIII
21
CHILD
CARE
FACILITY
FUND
——
USE
FOR
FIELD
OPERATIONS
22
Sec.
77.
CHILD
CARE
FACILITY
FUND
——
USE
FOR
FIELD
23
OPERATIONS.
Notwithstanding
section
237A.4A,
subsection
5,
24
Code
2017,
for
the
fiscal
year
beginning
July
1,
2017,
and
25
ending
June
30,
2018,
in
addition
to
the
costs
of
dedicated
26
staffing
to
perform
the
duties
described
in
section
237A.4A,
27
up
to
$590,082
of
the
moneys
in
the
child
care
facility
fund
28
may
be
used
by
the
department
of
human
services
for
additional
29
expenditures
of
the
child
care
regulatory
unit
within
the
30
department’s
field
operations.
31
Sec.
78.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
32
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
33
enactment.
34
DIVISION
XIV
35
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151
S.F.
515
BIOLOGICS
AND
GENETICALLY
TARGETED
DRUGS
——
MEDICAID
1
Sec.
79.
Section
249A.20A,
subsection
3,
Code
2017,
is
2
amended
to
read
as
follows:
3
3.
a.
The
pharmaceutical
and
therapeutics
committee
shall
4
recommend
a
preferred
drug
list
to
the
department.
5
b.
The
committee
shall
develop
the
preferred
drug
list
6
by
considering
each
drug’s
clinically
meaningful
therapeutic
7
advantages
in
terms
of
safety,
effectiveness,
and
clinical
8
outcome.
9
c.
The
committee
shall
use
evidence-based
research
methods
10
in
selecting
the
drugs
to
be
included
on
the
preferred
drug
11
list.
12
d.
When
making
recommendations
or
determinations
regarding
13
beneficiary
access
to
drugs
and
biological
products
for
rare
14
diseases
and
drugs
and
biological
products
that
are
genetically
15
targeted,
the
committee
shall
request
and
consider
information
16
from
individuals
who
possess
scientific
or
medical
training
17
with
respect
to
the
drug,
biological
product,
or
rare
disease.
18
e.
The
committee
shall
periodically
review
all
drug
classes
19
included
on
the
preferred
drug
list
and
may
amend
the
list
to
20
ensure
that
the
list
provides
for
medically
appropriate
drug
21
therapies
for
medical
assistance
recipients
and
achieves
cost
22
savings
to
the
medical
assistance
program.
23
f.
The
department
may
procure
a
sole
source
contract
24
with
an
outside
entity
or
contractor
to
provide
professional
25
administrative
support
to
the
pharmaceutical
and
therapeutics
26
committee
in
researching
and
recommending
drugs
to
be
placed
on
27
the
preferred
drug
list.
28
Sec.
80.
Section
249A.24,
Code
2017,
is
amended
by
adding
29
the
following
new
subsection:
30
NEW
SUBSECTION
.
2A.
When
making
recommendations
or
31
determinations
regarding
beneficiary
access
to
drugs
and
32
biological
products
for
rare
diseases
and
drugs
and
biological
33
products
that
are
genetically
targeted,
the
commission
shall
34
request
and
consider
information
from
individuals
who
possess
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scientific
or
medical
training
with
respect
to
the
drug,
1
biological
product,
or
rare
disease.
2
DIVISION
XV
3
PUBLIC
ASSISTANCE
PROGRAMS
OVERSIGHT
4
Sec.
81.
2017
Iowa
Acts,
House
File
531,
section
2,
5
subsection
1,
as
enacted,
is
amended
to
read
as
follows:
6
1.
The
department
of
human
services
shall
review
state
7
efforts,
including
pilot
programs
related
to
data
sharing
8
between
states
and
technology-based
solutions
designed
to
curb
9
interstate
dual
participation,
to
address
program
integrity
10
for
public
assistance
programs
including
Medicaid,
the
family
11
investment
program
(FIP),
the
supplemental
nutrition
assistance
12
program
(SNAP),
and
the
child
care
assistance
program.
As
13
part
of
the
review,
the
department
shall
explore
opportunities
14
to
join
existing
pilot
efforts
in
collaboration
with
other
15
states
including
the
effort
involving
the
national
accuracy
16
clearinghouse,
or
to
develop
a
separate
pilot
effort
in
Iowa.
17
Sec.
82.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
18
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
19
enactment.
20
Sec.
83.
RETROACTIVE
APPLICABILITY.
This
division
of
this
21
Act
applies
retroactively
to
March
30,
2017.
22
DIVISION
XVI
23
BACKGROUND
CHECK
PRIVATE
SECTOR
ALTERNATIVES
24
Sec.
84.
BACKGROUND
CHECK
——
PRIVATE
SECTOR
25
ALTERNATIVES.
The
department
of
human
services
and
the
26
department
of
public
safety
shall
jointly
review
private
sector
27
alternatives
to
the
performance
of
state
mandated
criminal
28
background
checks
currently
performed
solely
by
the
department
29
of
public
safety.
The
departments
shall
submit
a
report
to
30
the
governor
and
the
general
assembly
by
December
15,
2017,
31
including
a
description
of
the
process
used
in
reviewing
32
private
sector
alternatives
to
perform
criminal
background
33
checks,
the
findings
from
the
review,
and
recommendations
for
34
utilizing
private
sector
entities
as
an
alternative
to
the
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department
of
public
safety
in
performing
criminal
background
1
checks.
2
DIVISION
XVII
3
PSYCHIATRIC
BED
TRACKING
SYSTEM
4
Sec.
85.
DEPARTMENT
OF
HUMAN
SERVICES
PSYCHIATRIC
BED
5
TRACKING
SYSTEM.
The
department
of
human
services
shall
amend
6
its
administrative
rules
pursuant
to
chapter
17A
to
require
7
the
state
mental
health
institutes
and
hospitals
licensed
8
to
provide
inpatient
psychiatric
treatment
and
services
to
9
participate
in
the
psychiatric
bed
tracking
system
and
to
10
ensure
updates
are
made,
at
a
minimum,
two
times
per
day
to
11
the
psychiatric
bed
tracking
system.
Updates
shall
include
12
information
on
the
availability
of
inpatient
child,
adult,
13
and
geriatric
psychiatric
beds
staffed
and
available
and
14
information
on
the
gender
that
can
be
accepted
for
each
15
available
bed.
16
DIVISION
XVIII
17
CHILDREN’S
WELL-BEING
COLLABORATIVES
AND
ADVISORY
COMMITTEE
18
Sec.
86.
CHILDREN’S
WELL-BEING
COLLABORATIVES
——
GRANTS.
19
1.
The
department
of
human
services
shall
establish
a
20
request
for
proposals
process
which
shall
be
based
upon
21
recommendations
for
the
development
and
implementation
22
of
children’s
well-being
collaboratives
described
in
the
23
children’s
mental
health
study
report
submitted
by
the
24
department
to
the
general
assembly
on
December
15,
2016.
25
2.
A
well-being
collaborative
shall
consist
of
a
26
broad-based
group
of
entities
in
a
defined
geographical
area
27
represented
by
a
lead
agency.
Entities
in
the
well-being
28
collaborative
shall
include
a
broad-based
representation
of
key
29
providers
including
but
not
limited
to
providers
of
prevention
30
and
early
intervention
services
and
mental
health
services
to
31
the
target
population.
32
3.
A
well-being
collaborative
shall
be
responsible
for
33
developing
interagency
coordination
and
collaboration
for
34
the
provision
of
prevention
and
early
intervention
services
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within
the
designated
geographic
area
and
shall,
at
a
minimum,
1
demonstrate
all
of
the
following:
2
a.
Experience
and
a
strong
understanding
of
how
best
to
3
engage
children
and
families
to
achieve
positive
mental
health
4
and
well-being
outcomes.
5
b.
An
ability
to
provide
or
administer
prevention
services
6
for
the
improvement
of
children’s
mental
health
and
well-being.
7
c.
Experience
and
effectiveness
in
coordinating
the
8
collaborative
efforts
of
multiple
stakeholders
working
toward
9
a
common
goal
of
improving
the
effectiveness
of
the
group’s
10
efforts
to
achieve
measurable
improved
outcomes.
11
4.
A
well-being
collaborative
shall
build
and
maintain
12
intentional
collaboration
among
all
entities
with
the
goal
of
13
providing
measurable
improvements
in
outcomes
for
children
and
14
families.
15
5.
A
well-being
collaborative
shall
build
and
improve
16
coordination
and
effectiveness
among
entities
to
develop
and
17
provide
primary,
secondary,
and
tertiary
prevention
and
early
18
intervention
services
that
are
nonduplicative
and
that
are
19
aligned
to
meet
the
needs
of
children
and
families
in
the
20
geographic
area.
21
6.
A
well-being
collaborative
shall
provide
technical
22
assistance
to
a
diverse
array
of
stakeholders,
facilitate
23
the
distribution
of
public
awareness
materials
that
include
24
information
aimed
at
reducing
the
stigma
of
mental
illness,
25
and
provide
updates
on
changes
in
state
and
federal
policy
26
in
relation
to
prevention
and
early
intervention
efforts
27
concerning
children’s
mental
health
and
well-being.
28
7.
A
well-being
collaborative
shall
establish
or
enhance
29
collaborative
efforts
in
all
of
the
following
areas:
30
a.
The
selection
and
implementation
of
evidence-based
or
31
promising
prevention
and
early
intervention
models.
32
b.
Understanding
funding
sources
and
how
to
utilize
33
available
funding
most
effectively.
34
c.
The
adoption
or
development,
implementation,
and
35
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analysis
of
community
needs
assessments.
1
d.
The
development,
implementation,
and
analysis
of
a
2
community
work
plan
based
on
the
results
of
the
community
needs
3
assessment.
4
e.
The
adoption
or
development
and
implementation
of
a
5
uniform
family
assessment.
6
f.
The
utilization
of
research
and
data
analysis
to
guide
7
the
work
of
the
well-being
collaborative.
8
g.
The
provision
of
culturally
competent
services
and
the
9
ability
to
address
issues
relating
to
the
disproportionate
10
representation
of
a
population
group.
11
h.
The
development
of
public
awareness
and
training
12
programs,
including
programs
aimed
at
reducing
the
stigma
of
13
mental
illness.
14
i.
The
recruitment
and
retention
of
members
in
the
15
well-being
collaborative
with
a
focus
on
achieving
the
goals
16
and
outcomes
of
the
collaborative
and
supporting
all
members
in
17
the
collaborative.
18
8.
Each
grantee
shall
submit
reports
to
the
department
of
19
human
services
by
December
15,
2017,
and
April
15,
2018,
to
20
include
information
relating
to
the
accomplishments
and
future
21
plans
of
each
well-being
collaborative.
22
Sec.
87.
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
ADVISORY
23
COMMITTEE.
The
department
of
human
services
shall
create
and
24
provide
support
to
a
children’s
mental
health
and
well-being
25
advisory
committee
to
continue
efforts
relating
to
improving
26
children’s
mental
health
crisis
services
and
children’s
27
well-being
learning
labs
and
supporting
the
children’s
28
well-being
collaboratives.
29
DIVISION
XIX
30
STATE
FAMILY
PLANNING
SERVICES
PROGRAM
31
Sec.
88.
NEW
SECTION
.
217.41B
State
family
planning
32
services
program
——
establishment
——
discontinuation
of
Medicaid
33
family
planning
network
waiver.
34
1.
The
department
of
human
services
shall
discontinue
the
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Medicaid
family
planning
network
waiver
effective
July
1,
2017,
1
and
shall
instead
establish
a
state
family
planning
services
2
program.
The
state
program
shall
replicate
the
eligibility
3
requirements
and
other
provisions
included
in
the
Medicaid
4
family
planning
network
waiver
as
approved
by
the
centers
for
5
Medicare
and
Medicaid
services
of
the
United
States
department
6
of
health
and
human
services
in
effect
on
June
30,
2017.
7
2.
Distribution
of
family
planning
services
program
funds
8
under
this
section
shall
be
made
in
a
manner
that
continues
9
access
to
family
planning
services.
10
3.
Distribution
of
family
planning
services
program
funds
11
shall
not
be
made
to
any
entity
that
performs
abortions
or
that
12
maintains
or
operates
a
facility
where
abortions
are
performed.
13
For
the
purposes
of
this
section,
“abortion”
does
not
include
14
any
of
the
following:
15
a.
The
treatment
of
a
woman
for
a
physical
disorder,
16
physical
injury,
or
physical
illness,
including
a
17
life-endangering
physical
condition
caused
by
or
arising
from
18
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
19
place
the
woman
in
danger
of
death.
20
b.
The
treatment
of
a
woman
for
a
spontaneous
abortion,
21
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
22
of
human
conception
are
expelled.
23
4.
Family
planning
services
program
funds
distributed
in
24
accordance
with
this
section
shall
not
be
used
for
direct
or
25
indirect
costs,
including
but
not
limited
to
administrative
26
costs
or
expenses,
overhead,
employee
salaries,
rent,
and
27
telephone
and
other
utility
costs,
related
to
providing
28
abortions
as
specified
in
subsection
3.
29
Sec.
89.
EMERGENCY
RULES.
The
department
of
human
services
30
may
adopt
emergency
rules
under
section
17A.4,
subsection
3,
31
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
32
the
provisions
of
this
division
of
this
Act,
and
the
rules
33
shall
be
effective
immediately
upon
filing
unless
a
later
date
34
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
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with
this
section
shall
also
be
published
as
a
notice
of
1
intended
action
as
provided
in
section
17A.4.
2
Sec.
90.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
3
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
4
enactment.
5
DIVISION
XX
6
MEDICAID
HOME
AND
COMMUNITY-BASED
SERVICES
PROVIDERS
——
7
COST-REPORTING
8
Sec.
91.
MEDICAID
HOME
AND
COMMUNITY-BASED
SERVICES
9
PROVIDERS
——
TIERED
RATES
AND
DOCUMENTATION
CHANGES
——
10
EMERGENCY
RULES.
11
1.
Beginning
July
1,
2017,
the
department
of
human
12
services
shall
discontinue
application
of
the
retrospectively
13
limited
cost
settlement
methodology
based
on
submission
of
14
required
cost
reports
under
441
IAC
79.1,
and
shall
implement
15
tiered
rates
for
providers
of
supported
community
living,
16
day
habilitation
and
adult
day
services
for
persons
with
an
17
intellectual
disability
under
the
home
and
community-based
18
services
waiver
program.
The
tiered
rates
shall
be
implemented
19
in
a
phased-in
approach
to
accommodate
transition
of
providers
20
to
the
revised
reimbursement
model.
The
department
of
human
21
services
and
Medicaid
managed
care
organizations
may
also
22
establish
tiered
rates
for
other
services.
23
2.
The
department
of
human
services
shall
amend
441
IAC
24
24.4
relating
to
standards
of
service
for
providers
of
services
25
to
persons
with
mental
illness,
intellectual
disabilities,
or
26
developmental
disabilities
pursuant
to
chapter
225C
and
441
27
IAC
79.3(2)
relating
to
medical
clinical
records
for
providers
28
of
services
under
the
Medicaid
program
pursuant
to
chapter
29
249A,
to
provide,
effective
November
1,
2017,
that
in
addition
30
to
allowing
documentation
of
the
provision
of
services
or
31
standards
of
service
in
a
narrative
format,
the
following
32
providers
may
also
provide
documentation
in
a
checkbox
form
33
format
in
accordance
with
the
provider’s
organizational
34
policies
and
procedures
and
in
compliance
with
procedures
35
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established
by
the
centers
for
Medicare
and
Medicaid
services
1
of
the
United
States
department
of
health
and
human
services:
2
a.
Advanced
registered
nurse
practitioners.
3
b.
Psychologists.
4
c.
Community
mental
health
centers.
5
d.
Home
and
community-based
habilitation
services
6
providers.
7
e.
Behavioral
health
intervention.
8
f.
Case
management
services
including
home
and
9
community-based
services
case
management
services.
10
g.
Home
and
community-based
services
waiver
services.
11
h.
Behavioral
health
services.
12
i.
Community-based
neurobehavioral
rehabilitation
13
residential
services
and
intermittent
services.
14
3.
The
department
of
human
services
may
adopt
emergency
15
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
16
subsection
2,
paragraph
“b”,
to
implement
the
provisions
of
17
this
division
of
this
Act,
and
the
rules
shall
be
effective
18
immediately
upon
filing
unless
a
later
date
is
specified
in
the
19
rules.
Any
rules
adopted
in
accordance
with
this
section
shall
20
also
be
published
as
a
notice
of
intended
action
as
provided
21
in
section
17A.4.
22
Sec.
92.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
23
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
24
enactment.
25
DIVISION
XXI
26
TELEHEALTH
PARITY
INTERIM
COMMITTEE
27
Sec.
93.
TELEHEALTH
PARITY
INTERIM
COMMITTEE.
28
1.
The
legislative
council
is
requested
to
establish
29
a
study
committee
for
the
2017
interim
to
examine
issues
30
relating
to
telehealth
parity
for
private
insurance
and
state
31
employee
health
plans.
The
study
committee
shall
consult
with
32
stakeholders
to
evaluate
the
benefits
of
telehealth
parity
33
within
the
context
of
the
needs
of
Iowans
such
as
access
to
34
health
care,
review
existing
policies
related
to
telehealth
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reimbursement
and
the
impact
on
private
insurance
and
state
1
employee
health
plans,
consider
the
costs
associated
with
2
telehealth
service
utilization,
consider
telehealth’s
potential
3
impact
to
economic
development
opportunities
for
Iowa’s
4
rural
communities,
and
evaluate
obstacles
such
as
broadband
5
accessibility.
6
2.
The
members
of
the
committee
shall
include:
7
a.
Ten
members
of
the
general
assembly
as
voting
members.
8
(1)
Three
members
shall
be
appointed
by
the
majority
leader
9
of
the
senate,
two
by
the
minority
leader
of
the
senate,
three
10
by
the
speaker
of
the
house
of
representatives,
and
two
by
the
11
minority
leader
of
the
house
of
representatives.
12
(2)
The
legislators
appointed
shall
include:
13
(a)
The
chairpersons
and
ranking
members
of
the
general
14
assembly’s
committees
on
human
resources
or
a
member
of
the
15
committee
designated
by
the
chairperson
or
ranking
member.
16
(b)
The
co-chairpersons
and
ranking
members
of
the
joint
17
appropriations
subcommittee
on
health
and
human
services,
or
a
18
member
of
the
subcommittee
designated
by
the
co-chairperson
or
19
ranking
member.
20
b.
One
representative
of
each
of
the
following
21
organizations
as
nonvoting
members:
22
(1)
The
signal
center
for
health
innovation.
23
(2)
The
Iowa
hospital
association.
24
(3)
An
independent
medical
clinic.
25
(4)
The
Iowa
medical
society.
26
(5)
The
Iowa
healthcare
association.
27
(6)
The
federation
of
Iowa
insurers.
28
(7)
AARP
Iowa.
29
(8)
The
Iowa
telecommunications
association.
30
(9)
A
mental
health
and
disability
services
region.
31
c.
The
following
agency
directors
or
commissioner
as
ex
32
officio
nonvoting
members:
33
(1)
The
director
of
public
health,
or
the
director’s
34
designee.
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(2)
The
director
of
the
department
of
administrative
1
services,
or
the
director’s
designee.
2
(3)
The
director
of
the
department
on
aging,
or
the
3
director’s
designee.
4
(4)
The
commissioner
of
insurance
or
the
commissioner’s
5
designee.
6
3.
The
interim
committee
may
request
information
and
7
assistance
from
state
agencies
as
applicable
to
the
purpose
of
8
the
interim
committee,
as
needed
to
complete
the
work
of
the
9
interim
committee.
10
4.
The
interim
committee
shall
submit
its
findings
and
11
recommendations
to
the
general
assembly
by
December
15,
2017,
12
for
consideration
during
the
2018
legislative
session.
13
DIVISION
XXII
14
ALZHEIMER’S
AND
OTHER
FORMS
OF
DEMENTIA
——
HEALTH
AND
15
RESILIENCE
OUTREACH
(HERO)
PROJECT
——
DEMENTIA-SPECIFIC
CARE
16
Sec.
94.
HERO
PROJECT.
The
department
of
public
health
17
shall
collaborate
with
stakeholders
that
support
individuals
18
with
Alzheimer’s
disease
to
identify
funding
opportunities
19
to
support
the
health
and
resilience
outreach
(HERO)
project
20
for
individuals
caring
for
a
family
member
with
Alzheimer’s
or
21
other
forms
of
dementia.
22
Sec.
95.
ACCESS
TO
DEMENTIA-SPECIFIC
CARE.
The
department
23
on
aging,
the
department
of
public
health,
the
department
of
24
inspections
and
appeals,
and
the
department
of
human
services
25
shall
jointly
analyze
and
make
recommendations
regarding
26
options
for
coordination
between
state
agencies
and
private
27
entities
to
promote
increased
access
to
dementia-specific
care
28
in
both
residential
and
home
and
community-based
settings.
The
29
analyses
and
recommendations
shall
address
barriers
to,
gaps
30
in,
and
opportunities
for
increased
access,
the
availability
of
31
services
in
home
and
community-based
settings
as
an
alternative
32
to
residential
settings,
and
any
changes
in
law
necessary
to
33
better
address
the
needs
of
individuals
with
dementia
and
their
34
families.
The
departments
shall
submit
a
joint
report
of
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findings
and
recommendations
to
the
governor
and
the
general
1
assembly
by
December
15,
2017.
2
DIVISION
XXIII
3
OFFICE
OF
MINORITY
AND
MULTICULTURAL
HEALTH
——
REPEAL
4
Sec.
96.
Section
135.159,
subsection
3,
paragraph
i,
Code
5
2017,
is
amended
to
read
as
follows:
6
i.
For
children,
coordinate
with
and
integrate
guidelines,
7
data,
and
information
from
existing
newborn
and
child
health
8
programs
and
entities,
including
but
not
limited
to
the
healthy
9
opportunities
for
parents
to
experience
success
–
healthy
10
families
Iowa
program,
the
early
childhood
Iowa
initiative,
11
the
center
for
congenital
and
inherited
disorders
screening
12
and
health
care
programs,
standards
of
care
for
pediatric
13
health
guidelines,
the
office
of
minority
and
multicultural
14
health
established
in
section
135.12
,
the
oral
health
bureau
15
established
in
section
135.15
,
and
other
similar
programs
and
16
services.
17
Sec.
97.
REPEAL.
Section
135.12,
Code
2017,
is
repealed.
18
DIVISION
XXIV
19
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS
20
ADOPTION
SUBSIDY
PAYMENTS
AND
SERVICES
21
Sec.
98.
2015
Iowa
Acts,
chapter
137,
section
139,
as
22
amended
by
2016
Iowa
Acts,
chapter
1139,
section
17,
subsection
23
1,
is
amended
by
adding
the
following
new
paragraph:
24
NEW
PARAGRAPH
.
c.
Notwithstanding
section
8.33,
25
moneys
corresponding
to
the
state
savings
resulting
from
26
implementation
of
the
federal
Fostering
Connections
to
Success
27
and
Increasing
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
28
and
successor
legislation,
as
determined
in
accordance
with
29
42
U.S.C.
§673(a)(8),
that
remain
unencumbered
or
unobligated
30
at
the
close
of
the
fiscal
year,
shall
not
revert
to
any
fund
31
but
shall
remain
available
for
the
purposes
designated
in
this
32
subsection
until
expended.
The
amount
of
such
savings
and
any
33
corresponding
funds
remaining
at
the
close
of
the
fiscal
year
34
shall
be
determined
separately
and
any
changes
in
either
amount
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between
fiscal
years
shall
not
result
in
an
unfunded
need.
1
DECATEGORIZATION
2
Sec.
99.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
3
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
4
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
5
pool
that
remained
unencumbered
or
unobligated
at
the
close
6
of
the
fiscal
year
beginning
July
1,
2014,
and
were
deemed
7
carryover
funding
to
remain
available
for
the
two
succeeding
8
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
9
the
close
of
the
fiscal
year
beginning
July
1,
2016,
shall
10
not
revert
but
shall
be
transferred
to
the
medical
assistance
11
program
for
the
fiscal
year
beginning
July
1,
2017.
12
Sec.
100.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
13
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
14
enactment.
15
Sec.
101.
RETROACTIVE
APPLICABILITY.
This
division
of
this
16
Act
applies
retroactively
to
July
1,
2016.
17
DIVISION
XXV
18
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
AND
IOWACARE
19
ACCOUNT
——
BALANCES
——
REVERSIONS
20
Sec.
102.
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
AND
21
IOWACARE
ACCOUNT
——
AVAILABILITY
——
REVERSIONS.
22
Notwithstanding
any
provision
of
law
to
the
contrary,
for
the
23
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
24
there
is
appropriated
from
the
IowaCare
account
established
in
25
section
249J.24,
Code
2013,
and
the
nonparticipating
provider
26
reimbursement
fund
established
in
section
249J.24A,
Code
27
2013,
to
the
department
of
human
services
medical
assistance
28
appropriation
in
this
2017
Act
any
unencumbered
or
unobligated
29
moneys
from
the
account
and
fund
to
be
used
for
the
purposes
of
30
the
IowaCare
account
as
provided
in
section
249J.24,
Code
2013.
31
Notwithstanding
section
8.33,
moneys
appropriated
in
this
32
section
that
remain
unencumbered
or
unobligated
at
the
close
of
33
a
fiscal
year
shall
not
revert
but
shall
remain
available
for
34
expenditure
for
the
purposes
designated
until
expended.
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Sec.
103.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
1
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
2
enactment.
3
DIVISION
XXVI
4
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
PROGRAM
——
REPEAL
5
Sec.
104.
Section
249M.5,
Code
2017,
is
amended
to
read
as
6
follows:
7
249M.5
Future
repeal.
8
This
chapter
is
repealed
July
1,
2017
2019
.
9
Sec.
105.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
10
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
11
enactment.
12
Sec.
106.
RETROACTIVE
APPLICABILITY.
This
division
of
this
13
Act
applies
retroactively
to
June
30,
2017.
14
DIVISION
XXVII
15
CUSTODIAL
CARE
16
Sec.
107.
Section
249.12,
Code
2017,
is
amended
to
read
as
17
follows:
18
249.12
Cost-related
system.
19
1.
In
order
to
assure
that
the
necessary
data
is
available
20
to
aid
the
general
assembly
to
determine
appropriate
funding
21
for
the
custodial
care
program,
the
department
of
human
22
services
shall
develop
a
cost-related
system
for
financial
23
supplementation
to
individuals
who
need
custodial
care
and
who
24
have
insufficient
resources
to
purchase
the
care
needed.
25
2.
All
privately
operated
licensed
custodial
facilities
in
26
Iowa
shall
cooperate
with
the
department
of
human
services
to
27
develop
the
cost-related
plan.
After
the
plan
is
implemented,
28
state
supplemental
funds
shall
not
be
used
for
the
care
of
29
any
individual
in
facilities
that
have
not
submitted
cost
30
statements
to
the
department
of
human
services.
31
3.
Beginning
July
1,
2017,
privately
operated
licensed
32
custodial
facilities
in
Iowa
shall
be
reimbursed
based
on
the
33
maximum
per
diem
rates
established
by
the
general
assembly
34
through
the
appropriations
process.
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DIVISION
XXVIII
1
JUVENILE
BEDS
CAP
2
Sec.
108.
Section
232.142,
subsection
5,
Code
2017,
is
3
amended
to
read
as
follows:
4
5.
The
director
shall
approve
annually
all
such
homes
5
established
and
maintained
under
the
provisions
of
this
6
chapter
.
A
home
shall
not
be
approved
unless
it
complies
with
7
minimal
rules
and
standards
adopted
by
the
director
and
has
8
been
inspected
by
the
department
of
inspections
and
appeals.
9
The
statewide
number
of
beds
in
the
homes
approved
by
the
10
director
shall
not
exceed
two
hundred
sixty-two
seventy-two
11
beds
beginning
July
1,
2017,
and
shall
not
exceed
two
hundred
12
eighty-two
beds
beginning
July
1,
2018,
and
thereafter
.
13
DIVISION
XXIX
14
TRANSFERS
OF
FUNDS
BETWEEN
DHS
INSTITUTIONS
15
Sec.
109.
Section
218.6,
Code
2017,
is
amended
to
read
as
16
follows:
17
218.6
Transfer
of
appropriations
made
to
institutions.
18
Notwithstanding
section
8.39,
subsection
1
,
without
the
19
prior
written
consent
and
approval
of
the
governor
and
the
20
director
of
the
department
of
management,
the
director
of
human
21
services
may
transfer
funds
between
the
appropriations
made
for
22
the
same
type
of
institution
institutions
,
listed
as
follows:
23
1.
The
state
resource
centers.
24
2.
The
state
mental
health
institutes.
25
3.
The
state
juvenile
institutions
consisting
of
the
state
26
training
school
and
the
Iowa
juvenile
home
.
27
4.
The
civil
commitment
unit
for
sexual
offenders.
28
DIVISION
XXX
29
PELVIC
EXAMS
——
PRIOR
CONSENT
30
Sec.
110.
NEW
SECTION
.
147.114
Prior
informed
consent
31
relative
to
pelvic
examinations
——
patient
under
anesthesia
or
32
unconscious
——
penalties.
33
1.
A
person
licensed
or
certified
to
practice
a
34
profession,
or
a
student
undertaking
a
course
of
instruction
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or
participating
in
a
clinical
training
or
residency
program
1
for
a
profession,
shall
not
perform
a
pelvic
examination
on
an
2
anesthetized
or
unconscious
patient
unless
one
of
the
following
3
conditions
is
met:
4
a.
The
patient
or
the
patient’s
authorized
representative
5
provides
prior
written
informed
consent
to
the
pelvic
6
examination,
and
the
pelvic
examination
is
necessary
for
7
preventive,
diagnostic,
or
treatment
purposes.
8
b.
The
patient
or
the
patient’s
authorized
representative
9
has
provided
prior
written
informed
consent
to
a
surgical
10
procedure
or
diagnostic
examination
to
be
performed
on
the
11
patient,
and
the
performance
of
a
pelvic
examination
is
within
12
the
scope
of
care
ordered
for
that
surgical
procedure
or
13
diagnostic
examination.
14
c.
The
patient
is
unconscious
and
incapable
of
providing
15
prior
informed
consent,
and
the
pelvic
examination
is
necessary
16
for
diagnostic
or
treatment
purposes.
17
d.
A
court
has
ordered
the
performance
of
the
pelvic
18
examination
for
the
purposes
of
collection
of
evidence.
19
2.
A
person
who
violates
this
section
is
subject
to
the
20
penalty
specified
under
section
147.86,
and
any
professional
21
disciplinary
provisions,
as
applicable.
22
EXPLANATION
23
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
24
the
explanation’s
substance
by
the
members
of
the
general
assembly.
25
This
bill
relates
to
appropriations
for
health
and
human
26
services
for
fiscal
years
2017-2018
and
2018-2019
to
the
27
department
of
veterans
affairs,
Iowa
veterans
home,
department
28
on
aging
(IDA),
office
of
long-term
care
ombudsman,
department
29
of
public
health
(DPH),
Iowa
finance
authority,
department
of
30
human
rights,
and
department
of
human
services
(DHS).
31
The
bill
is
organized
into
divisions.
32
DEPARTMENT
ON
AGING.
This
division
makes
appropriations
33
from
the
general
fund
of
the
state
to
the
department
on
aging
34
for
FY
2017-2018
and
FY
2018-2019.
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OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
makes
1
appropriations
from
the
general
fund
of
the
state
to
the
office
2
of
long-term
care
ombudsman
for
FY
2017-2018
and
FY
2018-2019.
3
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
makes
4
appropriations
from
the
general
fund
of
the
state
to
the
5
department
of
public
health
for
FY
2017-2018
and
FY
2018-2019.
6
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
7
division
makes
appropriations
from
the
general
fund
of
the
8
state
to
the
department
of
veterans
affairs
for
FY
2017-2018
9
and
FY
2018-2019
for
administration,
the
Iowa
veterans
home,
10
for
transfer
to
the
Iowa
finance
authority
for
the
home
11
ownership
assistance
program,
and
for
the
county
commissions
12
of
veteran
affairs.
13
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
makes
14
appropriations
from
the
general
fund
of
the
state
and
the
15
federal
temporary
assistance
for
needy
families
block
grant
to
16
DHS
for
FY
2017-2018
and
FY
2018-2019.
The
allocation
for
the
17
family
development
and
self-sufficiency
grant
program
is
made
18
directly
to
the
department
of
human
rights.
The
reimbursement
19
section
addresses
reimbursement
for
providers
reimbursed
by
the
20
department
of
human
services.
21
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
makes
22
certain
health-related
appropriations
for
FY
2017-2018
and
23
FY
2018-2019.
A
number
of
the
appropriations
are
made
for
24
purposes
of
the
medical
assistance
(Medicaid)
program
in
25
addition
to
the
general
fund
appropriations
made
for
this
26
purpose
for
the
same
fiscal
year.
27
CHILD
CARE
FACILITY
FUND
——
USE
FOR
FIELD
OPERATIONS.
This
28
division
provides
for
the
use
of
a
specified
amount
of
the
29
moneys
in
the
child
care
facility
fund
for
field
operations
30
related
to
the
child
care
regulatory
unit
in
FY
2017-2018.
31
This
division
takes
effect
upon
enactment.
32
BIOLOGICS
AND
GENETICALLY
TARGETED
DRUGS
——
MEDICAID.
33
This
division
directs
the
pharmaceutical
and
therapeutics
34
committee
and
the
drug
utilization
review
committee
when
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making
recommendations
or
determinations
regarding
Medicaid
1
beneficiary
access
to
drugs
and
biological
products
for
rare
2
diseases
and
drugs
and
biological
products
that
are
genetically
3
targeted,
to
request
and
consider
information
from
individuals
4
who
possess
scientific
or
medical
training
with
respect
to
the
5
drug,
biological
product,
or
rare
disease.
6
PUBLIC
ASSISTANCE
PROGRAMS
OVERSIGHT.
This
division
amends
7
2017
Iowa
Acts,
House
File
531,
to
specifically
include
the
8
national
accuracy
clearinghouse
in
the
pilot
efforts
DHS
is
to
9
explore
in
addressing
program
integrity
for
public
assistance
10
programs.
The
division
takes
effect
upon
enactment
and
is
11
retroactively
applicable
to
March
30,
2017.
12
BACKGROUND
CHECKS
——
PRIVATE
SECTOR
ALTERNATIVES.
This
13
division
directs
DHS
and
the
department
of
public
safety
to
14
jointly
review
private
sector
alternatives
to
the
performance
15
of
state
mandated
criminal
background
checks
currently
16
performed
solely
by
the
department
of
public
safety.
The
17
departments
shall
submit
a
report
to
the
governor
and
the
18
general
assembly
by
December
15,
2017,
including
a
description
19
of
the
process
used
in
reviewing
private
sector
alternatives,
20
findings
from
the
review,
and
recommendations
for
utilizing
21
private
sector
entities
as
an
alternative
to
the
department
of
22
public
safety
in
performing
criminal
background
checks.
23
PSYCHIATRIC
BED
TRACKING
SYSTEM.
This
division
directs
24
DHS
to
amend
administrative
rules
to
require
the
state
25
mental
health
institutes
and
hospitals
licensed
to
provide
26
inpatient
psychiatric
treatment
and
services
to
participate
27
in
the
psychiatric
bed
tracking
system
and
to
ensure
updates,
28
including
the
availability
of
inpatient
child,
adult,
29
and
geriatric
psychiatric
beds
staffed
and
available
and
30
information
on
the
gender
that
can
be
accepted
for
each
31
available
bed,
are
made,
at
a
minimum
two
times
per
day
to
the
32
psychiatric
bed
tracking
system.
33
CHILDREN’S
WELL-BEING
COLLABORATIVES
AND
ADVISORY
COMMITTEE.
34
This
division
directs
DHS
to
establish
a
request
for
proposals
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process,
based
upon
recommendations
for
the
development
1
and
implementation
of
children’s
well-being
collaboratives
2
described
in
the
children’s
mental
health
and
well-being
3
workgroup
final
report
submitted
by
the
department
on
4
December
15,
2016,
to
issue
grants
to
children’s
well-being
5
collaboratives.
Entities
selected
as
well-being
collaboratives
6
shall
include
a
broad-based
representation
of
key
providers,
7
and
each
entity
shall
be
responsible
for
developing
interagency
8
coordination
and
collaboration,
provide
technical
assistance
to
9
a
diverse
array
of
stakeholders,
distribute
public
awareness
10
materials,
and
provide
updates
on
changes
in
state
and
federal
11
policy
in
relation
to
prevention
and
early
intervention
efforts
12
concerning
children’s
mental
health
and
well-being.
Each
13
grantee
is
required
to
submit
two
reports:
one
by
December
14
15,
2017,
and
the
other
by
April
15,
2018.
The
division
also
15
directs
DHS
to
create
and
provide
support
to
a
children’s
16
mental
health
and
well-being
advisory
committee
to
continue
17
efforts
relating
to
improving
children’s
mental
health
crisis
18
services
and
children’s
well-being
learning
labs
and
supporting
19
the
children’s
well-being
collaboratives.
20
STATE
FAMILY
PLANNING
SERVICES
PROGRAM.
This
division
21
establishes
the
state
family
planning
services
program
July
1,
22
2017,
and
discontinues
the
Medicaid
family
planning
network
23
waiver
in
effect
on
June
30,
2017.
The
state
program
is
to
24
replicate
the
eligibility
requirements
and
other
provisions
25
included
in
the
Medicaid
waiver
program.
Distribution
of
26
family
planning
services
program
funds
shall
not
be
made
to
27
any
entity
that
performs
abortions
as
defined
in
the
division,
28
including
for
direct
or
indirect
costs
related
to
providing
29
abortions.
The
division
provides
for
emergency
rulemaking
and
30
takes
effect
upon
enactment.
31
MEDICAID
HOME
AND
COMMUNITY-BASED
SERVICES
(HCBS)
PROVIDERS
32
TIERED
REIMBURSEMENT
——
DOCUMENTATION.
This
division
33
directs
DHS
to
discontinue
application
of
the
retrospectively
34
limited
cost
settlement
methodology
based
on
submission
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of
required
cost
reports
and
to
implement
tiered
rates
for
1
providers
of
supported
community
living,
day
habilitation,
2
and
adult
day
services
for
persons
with
an
intellectual
3
disability
under
the
home
and
community-based
services
4
waiver
program.
The
tiered
rates
shall
be
implemented
in
a
5
phased-in
approach
to
accommodate
transition
of
providers
to
6
the
revised
reimbursement
model.
DHS
and
Medicaid
managed
7
care
organizations
may
also
establish
tiered
rates
for
8
other
services.
The
division
also
directs
DHS
to
amend
9
administrative
rules
to
allow
documentation
of
certain
10
providers
specified
in
the
division
to
submit
documentation
in
11
a
checkbox
form
format
rather
than
in
a
narrative
format.
The
12
division
authorizes
DHS
to
adopt
emergency
rules
to
implement
13
the
division.
The
division
takes
effect
upon
enactment.
14
TELEHEALTH
PARITY
INTERIM
COMMITTEE.
This
division
15
requests
that
the
legislative
council
create
a
legislative
16
interim
committee
to
study
and
make
recommendations
regarding
17
telehealth
parity.
18
ALZHEIMER’S
AND
OTHER
FORMS
OF
DEMENTIA
——
HEALTH
AND
19
RESILIENCE
OUTREACH
(HERO)
PROJECT.
This
division
directs
20
DPH
to
collaborate
with
stakeholders
that
support
individuals
21
with
Alzheimer’s
disease
to
identify
funding
opportunities
22
to
support
the
health
and
resilience
outreach
(HERO)
project
23
for
individuals
caring
for
a
family
member
with
Alzheimer’s
24
or
other
forms
of
dementia.
The
division
also
directs
the
25
department
on
aging,
DPH,
the
department
of
inspections
and
26
appeals,
and
DHS
to
analyze
and
make
recommendations
regarding
27
options
for
coordination
between
state
agencies
and
private
28
entities
to
promote
increased
access
to
dementia-specific
29
care
in
both
residential
and
community-based
settings.
The
30
departments
shall
submit
a
joint
report
of
findings
and
31
recommendations
to
the
governor
and
the
general
assembly
by
32
December
15,
2017.
33
OFFICE
OF
MINORITY
AND
MULTICULTURAL
HEALTH.
This
division
34
repeals
Code
section
135.12,
the
office
of
minority
and
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multicultural
health,
and
makes
conforming
changes
in
the
Code.
1
PRIOR
YEAR
APPROPRIATIONS
AND
PROVISIONS.
This
division
2
provides
for
the
nonreversion
of
funds
appropriated
for
FY
3
2016-2017
for
adoption
subsidy
payments
and
services;
and
4
provides
for
transfer
to
the
medical
assistance
appropriation
5
for
FY
2016-2017
of
state-appropriated
moneys
in
the
funding
6
pool
for
decategorization
that
remain
unencumbered
or
7
unobligated
at
the
close
of
the
fiscal
year
beginning
July
8
1,
2014,
and
that
were
deemed
carryover
funding
to
remain
9
available
for
the
two
succeeding
fiscal
years
that
still
remain
10
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
11
beginning
July
1,
2016.
These
provisions
take
effect
upon
12
enactment
and
are
retroactively
applicable
to
July
1,
2016.
13
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
AND
IOWACARE
14
ACCOUNT
REVERSIONS.
This
division
provides
that
for
FY
15
2016–2017,
any
moneys
remaining
in
the
nonparticipating
16
provider
reimbursement
fund
or
the
IowaCare
account
are
17
appropriated
to
the
department
of
human
services
medical
18
assistance
appropriation
to
be
used
for
the
purposes
of
the
19
IowaCare
account
as
provided
in
Code
section
249J.24.
Moneys
20
that
remain
unencumbered
or
unobligated
at
the
close
of
a
21
fiscal
year
shall
not
revert
but
shall
remain
available
for
22
expenditure
for
the
purposes
designated
until
expended.
This
23
provision
takes
effect
upon
enactment.
24
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
REPEAL.
This
25
division
extends
the
repeal
of
the
hospital
health
care
access
26
assessment
program
from
July
1,
2017,
to
July
1,
2019.
This
27
provision
takes
effect
upon
enactment
and
is
retroactively
28
applicable
to
June
30,
2017.
29
CUSTODIAL
CARE
REIMBURSEMENT.
This
division
amends
30
provisions
related
to
reimbursement
of
custodial
care
provided
31
for
persons
receiving
state
supplementary
assistance.
Under
32
current
law,
DHS
is
required
to
develop
a
cost-related
system
33
for
financial
supplementation
to
individuals
who
need
custodial
34
care
and
who
have
insufficient
resources
to
purchase
the
care
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needed.
In
developing
the
cost-related
system,
all
privately
1
operated
licensed
custodial
facilities
in
the
state
are
2
required
to
cooperate
with
DHS
to
develop
the
plan,
and
once
3
the
plan
is
developed,
state
supplemental
funds
are
prohibited
4
from
being
used
for
the
care
of
any
individual
in
a
facility
5
that
has
not
submitted
costs
statements
to
DHS.
Under
the
6
division,
the
prohibition
that
no
state
supplemental
funds
are
7
to
be
used
for
the
care
of
any
individual
in
a
facility
that
has
8
not
submitted
cost
statements
to
DHS
is
eliminated
and
instead,
9
beginning
July
1,
2018,
all
privately
operated
licensed
10
custodial
facilities
in
Iowa
are
to
be
reimbursed
based
on
the
11
maximum
per
diem
rates
established
by
the
general
assembly.
12
JUVENILE
BED
CAP.
This
division
increases
the
statewide
13
number
of
beds
in
juvenile
homes
approved
by
the
director
of
14
the
department
of
human
services
from
not
to
exceed
262
to
not
15
to
exceed
272
beginning
July
1,
2017,
and
not
to
exceed
282
16
beginning
July
1,
2018,
and
thereafter.
17
TRANSFERS
OF
FUNDS
BETWEEN
DHS
INSTITUTIONS.
This
division
18
provides
that,
in
addition
to
authorizing
the
transfer
of
19
funds
between
the
appropriations
made
for
facilities
under
the
20
purview
of
the
department
of
human
services
including
the
state
21
resource
centers,
the
state
mental
health
institutes,
and
the
22
state
training
school,
transfers
are
also
authorized
between
23
these
institutions
and
the
civil
commitment
unit
for
sexual
24
offenders.
25
PELVIC
EXAMS
——
PRIOR
CONSENT.
This
division
prohibits
26
a
person
licensed
or
certified
to
practice
a
health-related
27
profession
or
a
student
undertaking
a
course
of
professional
28
instruction
or
participating
in
a
clinical
training
or
29
residency
program
for
such
a
profession
as
defined
in
Code
30
section
147.1
(health-related
professions),
from
performing
a
31
pelvic
examination
on
an
anesthetized
or
unconscious
patient
32
unless
one
of
four
specified
conditions
is
met.
A
person
who
33
violates
a
provision
of
the
division
is
subject
to
the
existing
34
penalty
in
Code
section
147.86,
which
is
a
serious
misdemeanor,
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and
to
any
professional
disciplinary
provisions,
as
applicable.
1
A
serious
misdemeanor
is
punishable
by
confinement
for
no
more
2
than
one
year
and
a
fine
of
at
least
$315
but
not
more
than
3
$1,875.
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