House File 766 - Introduced HOUSE FILE 766 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO HSB 253) 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 1004HV (2) 88 pf/rn
H.F. 766 DIVISION I 1 DEPARTMENT ON AGING —— FY 2019-2020 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, 2019, and ending June 30, 5 2020, 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 11,191,441 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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, $279,000 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 1004HV (2) 88 pf/rn 1/ 83
H.F. 766 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 prepayment for goods or services not 10 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 $600,000 shall be used to fund home and community-based 24 services through the area agencies on aging that enable older 25 individuals to avoid more costly utilization of residential or 26 institutional services and remain in their own homes. 27 5. Of the funds appropriated in this section, $812,000 shall 28 be used for the purposes of chapter 231E and to administer 29 the prevention of elder abuse, neglect, and exploitation 30 program pursuant to section 231.56A , in accordance with the 31 requirements of the federal Older Americans Act of 1965, 42 32 U.S.C. §3001 et seq., as amended. 33 6. Of the funds appropriated in this section, $1,000,000 34 shall be used to fund continuation of the aging and disability 35 -2- LSB 1004HV (2) 88 pf/rn 2/ 83
H.F. 766 resource center lifelong links to provide individuals and 1 caregivers with information and services to plan for and 2 maintain independence. 3 7. Of the funds appropriated in this section, $250,000 4 shall be used by the department on aging, in collaboration with 5 the department of human services and affected stakeholders, to 6 expand the pilot initiative to provide long-term care options 7 counseling utilizing support planning protocols, to assist 8 non-Medicaid eligible consumers who indicate a preference 9 to return to the community and are deemed appropriate for 10 discharge, to return to their community following a nursing 11 facility stay. The department on aging shall submit a report 12 regarding the outcomes of the pilot initiative to the governor 13 and the general assembly by December 15, 2019. 14 DIVISION II 15 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2019-2020 16 Sec. 2. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is 17 appropriated from the general fund of the state to the office 18 of long-term care ombudsman for the fiscal year beginning July 19 1, 2019, and ending June 30, 2020, the following amount, or 20 so much thereof as is necessary, to be used for the purposes 21 designated: 22 For salaries, support, administration, maintenance, and 23 miscellaneous purposes, and for not more than the following 24 full-time equivalent positions: 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,149,821 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.00 27 DIVISION III 28 DEPARTMENT OF PUBLIC HEALTH —— FY 2019-2020 29 Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriated 30 from the general fund of the state to the department of public 31 health for the fiscal year beginning July 1, 2019, and ending 32 June 30, 2020, the following amounts, or so much thereof as is 33 necessary, to be used for the purposes designated: 34 1. ADDICTIVE DISORDERS 35 -3- LSB 1004HV (2) 88 pf/rn 3/ 83
H.F. 766 For reducing the prevalence of the use of tobacco, alcohol, 1 and other drugs, and treating individuals affected by addictive 2 behaviors, including gambling, and for not more than the 3 following full-time equivalent positions: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25,110,000 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 11.00 6 a. (1) Of the funds appropriated in this subsection, 7 $4,021,000 shall be used for the tobacco use prevention 8 and control initiative, including efforts at the state and 9 local levels, as provided in chapter 142A . The commission 10 on tobacco use prevention and control established pursuant 11 to section 142A.3 shall advise the director of public health 12 in prioritizing funding needs and the allocation of moneys 13 appropriated for the programs and initiatives. Activities 14 of the programs and initiatives shall be in alignment with 15 the United States centers for disease control and prevention 16 best practices for comprehensive tobacco control programs that 17 include the goals of preventing youth initiation of tobacco 18 usage, reducing exposure to secondhand smoke, and promotion 19 of tobacco cessation. To maximize resources, the department 20 shall determine if third-party sources are available to 21 instead provide nicotine replacement products to an applicant 22 prior to provision of such products to an applicant under 23 the initiative. The department shall track and report to 24 the individuals specified in this Act, any reduction in 25 the provision of nicotine replacement products realized by 26 the initiative through implementation of the prerequisite 27 screening. 28 (2) (a) The department shall collaborate with the 29 alcoholic beverages division of the department of commerce for 30 enforcement of tobacco laws, regulations, and ordinances and to 31 engage in tobacco control activities approved by the division 32 of tobacco use prevention and control of the department of 33 public health as specified in the memorandum of understanding 34 entered into between the divisions. 35 -4- LSB 1004HV (2) 88 pf/rn 4/ 83
H.F. 766 (b) For the fiscal year beginning July 1, 2019, and ending 1 June 30, 2020, the terms of the memorandum of understanding, 2 entered into between the division of tobacco use prevention 3 and control of the department of public health and the 4 alcoholic beverages division of the department of commerce, 5 governing compliance checks conducted to ensure licensed retail 6 tobacco outlet conformity with tobacco laws, regulations, and 7 ordinances relating to persons under 18 years of age, shall 8 continue to restrict the number of such checks to one check per 9 retail outlet, and one additional check for any retail outlet 10 found to be in violation during the first check. 11 b. (1) Of the funds appropriated in this subsection, 12 $21,089,000 shall be used for problem gambling and 13 substance-related disorder prevention, treatment, and recovery 14 services, including a 24-hour helpline, public information 15 resources, professional training, youth prevention, and program 16 evaluation. 17 (2) Of the amount allocated under this paragraph, $306,000 18 shall be utilized by the department of public health, in 19 collaboration with the department of human services, to support 20 establishment and maintenance of a single statewide 24-hour 21 crisis hotline for the Iowa children’s behavioral health system 22 that incorporates warmline services which may be provided 23 through expansion of existing capabilities maintained by the 24 department of public health as required pursuant to 2018 Iowa 25 Acts, chapter 1056, section 16. 26 c. The requirement of section 123.17, subsection 5 , is met 27 by the appropriations and allocations made in this division of 28 this Act for purposes of substance-related disorder treatment 29 and addictive disorders for the fiscal year beginning July 1, 30 2019. 31 2. HEALTHY CHILDREN AND FAMILIES 32 For promoting the optimum health status for children and 33 adolescents from birth through 21 years of age, and families, 34 and for not more than the following full-time equivalent 35 -5- LSB 1004HV (2) 88 pf/rn 5/ 83
H.F. 766 positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,817,057 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 3 a. Of the funds appropriated in this subsection, not more 4 than $734,000 shall be used for the healthy opportunities for 5 parents to experience success (HOPES)-healthy families Iowa 6 (HFI) program established pursuant to section 135.106 . 7 b. In order to implement the legislative intent stated 8 in sections 135.106 and 256I.9 , priority for home visitation 9 program funding shall be given to programs using evidence-based 10 or promising models for home visitation. 11 c. Of the funds appropriated in this subsection, $3,075,000 12 shall be used for continuation of the department’s initiative 13 to provide for adequate developmental surveillance and 14 screening during a child’s first five years. The funds shall 15 be used first to fully fund the current sites to ensure that 16 the sites are fully operational, with the remaining funds 17 to be used for expansion to additional sites. The full 18 implementation and expansion shall include enhancing the scope 19 of the initiative through collaboration with the child health 20 specialty clinics to promote healthy child development through 21 early identification and response to both biomedical and social 22 determinants of healthy development; by monitoring child 23 health metrics to inform practice, document long-term health 24 impacts and savings, and provide for continuous improvement 25 through training, education, and evaluation; and by providing 26 for practitioner consultation particularly for children with 27 behavioral conditions and needs. The department of public 28 health shall also collaborate with the Iowa Medicaid enterprise 29 and the child health specialty clinics to integrate the 30 activities of the first five initiative into the establishment 31 of patient-centered medical homes, community utilities, 32 accountable care organizations, and other integrated care 33 models developed to improve health quality and population 34 health while reducing health care costs. To the maximum extent 35 -6- LSB 1004HV (2) 88 pf/rn 6/ 83
H.F. 766 possible, funding allocated in this paragraph shall be utilized 1 as matching funds for medical assistance program reimbursement. 2 d. Of the funds appropriated in this subsection, $64,000 3 shall be used to provide funds for a donated dental services 4 program patterned after the projects developed by the lifeline 5 network to provide dental services to indigent individuals who 6 are elderly or with disabilities. 7 e. Of the funds appropriated in this subsection, $156,000 8 shall be used to provide audiological services and hearing aids 9 for children. 10 f. Of the funds appropriated in this subsection, $23,000 is 11 transferred to the university of Iowa college of dentistry for 12 provision of primary dental services to children. State funds 13 shall be matched on a dollar-for-dollar basis. The university 14 of Iowa college of dentistry shall coordinate efforts with the 15 department of public health, oral and health delivery system 16 bureau, to provide dental care to underserved populations 17 throughout the state. 18 g. Of the funds appropriated in this subsection, $50,000 19 shall be used to address youth suicide prevention. 20 h. Of the funds appropriated in this subsection, $40,000 21 shall be used to support the Iowa effort to address the survey 22 of children who experience adverse childhood experiences known 23 as ACEs. 24 i. Of the funds appropriated in this subsection, up to 25 $494,000 shall be used for childhood obesity prevention. 26 3. CHRONIC CONDITIONS 27 For serving individuals identified as having chronic 28 conditions or special health care needs, and for not more than 29 the following full-time equivalent positions: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,223,519 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 9.00 32 a. Of the funds appropriated in this subsection, $153,000 33 shall be used for grants to individual patients who have an 34 inherited metabolic disorder to assist with the costs of 35 -7- LSB 1004HV (2) 88 pf/rn 7/ 83
H.F. 766 medically necessary foods and formula. 1 b. Of the funds appropriated in this subsection, $1,055,000 2 shall be used for the brain injury services program pursuant to 3 section 135.22B , including for resource facilitator services in 4 accordance with section 135.22B, subsection 9 , and to enhance 5 brain injury training and recruitment of service providers on a 6 statewide basis. Of the amount allocated in this paragraph, 7 $95,000 shall be used to fund one full-time equivalent position 8 to serve as the state brain injury services program manager. 9 c. Of the funds appropriated in this subsection, $144,000 10 shall be used to provide education, client-centered programs, 11 and client and family support for people living with epilepsy 12 and their families. If the department does not administer 13 this paragraph “c” internally, the amount allocated in this 14 paragraph shall be matched dollar-for-dollar by the contractor 15 selected through the request for proposals process. 16 d. Of the funds appropriated in this subsection, $809,000 17 shall be used for child health specialty clinics. 18 e. Of the funds appropriated in this subsection, $384,000 19 shall be used by the regional autism assistance program 20 established pursuant to section 256.35 , and administered by 21 the child health specialty clinic located at the university of 22 Iowa hospitals and clinics. The funds shall be used to enhance 23 interagency collaboration and coordination of educational, 24 medical, and other human services for persons with autism, 25 their families, and providers of services, including delivering 26 regionalized services of care coordination, family navigation, 27 and integration of services through the statewide system of 28 regional child health specialty clinics and fulfilling other 29 requirements as specified in chapter 225D . The university of 30 Iowa shall not receive funds allocated under this paragraph for 31 indirect costs associated with the regional autism assistance 32 program. 33 f. Of the funds appropriated in this subsection, $577,000 34 shall be used for the comprehensive cancer control program to 35 -8- LSB 1004HV (2) 88 pf/rn 8/ 83
H.F. 766 reduce the burden of cancer in Iowa through prevention, early 1 detection, effective treatment, and ensuring quality of life. 2 Of the funds allocated in this paragraph “f”, $150,000 shall 3 be used to support a melanoma research symposium, a melanoma 4 biorepository and registry, basic and translational melanoma 5 research, and clinical trials. 6 g. Of the funds appropriated in this subsection, $97,000 7 shall be used for cervical and colon cancer screening, and 8 $177,000 shall be used to enhance the capacity of the cervical 9 cancer screening program to include provision of recommended 10 prevention and early detection measures to a broader range of 11 low-income women. 12 h. Of the funds appropriated in this subsection, $506,000 13 shall be used for the center for congenital and inherited 14 disorders. 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,516,677 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 21 a. Of the funds appropriated in this subsection, $95,000 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 department regarding 26 the use of funds allocated under this paragraph “a”. The 27 report shall include the objectives and results for the 28 program year including the target population and how the funds 29 allocated assisted the program in meeting the objectives; the 30 number, age, and location within the state of individuals 31 served; the type of services provided to the individuals 32 served; the distribution of funds based on service provided; 33 and the continuing needs of the program. 34 b. Of the funds appropriated in this subsection, $48,000 35 -9- LSB 1004HV (2) 88 pf/rn 9/ 83
H.F. 766 shall be used for a program to rotate intern psychologists 1 in placements in urban and rural mental health professional 2 shortage areas. For the purposes of this paragraph “b”, 3 “mental health professional shortage areas” means geographic 4 areas in this state that have been designated by the United 5 States department of health and human services, health 6 resources and services administration, bureau of health 7 professionals, as having a shortage of mental health 8 professionals. 9 c. Of the funds appropriated in this subsection, the 10 following amounts are allocated to be used as follows 11 to support the goals of increased access, health system 12 integration, and engagement: 13 (1) Not less than $542,000 is allocated for the 14 pharmaceutical infrastructure for safety net providers as 15 described in 2007 Iowa Acts, chapter 218, section 108 , and for 16 the prescription drug donation repository program created in 17 chapter 135M . 18 (2) Not less than $334,000 is allocated for free clinics 19 for necessary infrastructure, statewide coordination, provider 20 recruitment, service delivery, and provision of assistance to 21 patients in securing a medical home inclusive of oral health 22 care. 23 (3) Not less than $25,000 is allocated for rural health 24 clinics for necessary infrastructure and service delivery 25 transformation. 26 (4) Not less than $205,000 is allocated for the safety net 27 provider patients access to specialty health care initiative as 28 described in 2007 Iowa Acts, chapter 218, section 109 . 29 d. Of the funds appropriated in this subsection, $191,000 30 is allocated for the purposes of health care and public health 31 workforce initiatives. 32 e. Of the funds appropriated in this subsection, $96,000 33 shall be used for a matching dental education loan repayment 34 program. 35 -10- LSB 1004HV (2) 88 pf/rn 10/ 83
H.F. 766 f. Of the funds appropriated in this subsection, $100,000 1 shall be used for the purposes of the Iowa donor registry as 2 specified in section 142C.18 . 3 g. Of the funds appropriated in this subsection, $96,000 4 shall be used for efforts to preserve sight and prevent 5 blindness through education, nationally certified vision 6 screening and training, and community and patient service 7 programs for children and adults. If the department does 8 not administer this paragraph “g” internally, the contractor 9 selected through the request for proposals process shall 10 submit a report to the department regarding the use of funds 11 allocated under this paragraph “g”. The report shall include 12 the objectives and results for the program year including 13 the target population and how the funds allocated assisted 14 the program in meeting the objectives; the number, age, and 15 location within the state of individuals served; the type of 16 services provided to the individuals served; the distribution 17 of funds based on services provided; and the continuing needs 18 of the program. 19 h. Of the funds appropriated in this subsection, $2,000,000 20 shall be deposited in the medical residency training account 21 created in section 135.175, subsection 5, paragraph “a”, and 22 is appropriated from the account to the department of public 23 health to be used for the purposes of the medical residency 24 training state matching grants program as specified in section 25 135.176. 26 i. Of the funds appropriated in this subsection, $250,000 27 shall be used for the public purpose of providing funding to 28 Des Moines university to continue a provider education project 29 to provide primary care physicians with the training and skills 30 necessary to recognize the signs of mental illness in patients. 31 j. Of the funds appropriated in this subsection, $400,000 32 shall be used for rural psychiatric residencies to support the 33 annual creation and training of four psychiatric residents who 34 will provide mental health services in underserved areas of the 35 -11- LSB 1004HV (2) 88 pf/rn 11/ 83
H.F. 766 state. 1 k. Of the funds appropriated in this subsection, $150,000 2 shall be used for psychiatric training to increase access to 3 mental health care services by expanding the mental health 4 workforce via training of additional physician assistants and 5 nurse practitioners. 6 5. ESSENTIAL PUBLIC HEALTH SERVICES 7 To provide public health services that reduce risks and 8 invest in promoting and protecting good health over the 9 course of a lifetime with a priority given to older Iowans and 10 vulnerable populations: 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,662,464 12 6. INFECTIOUS DISEASES 13 For reducing the incidence and prevalence of communicable 14 diseases, and for not more than the following full-time 15 equivalent positions: 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,796,426 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 18 7. PUBLIC PROTECTION 19 For protecting the health and safety of the public through 20 establishing standards and enforcing regulations, and for not 21 more than the following full-time equivalent positions: 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,093,383 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 142.00 24 a. Of the funds appropriated in this subsection, not more 25 than $304,000 shall be credited to the emergency medical 26 services fund created in section 135.25 . Moneys in the 27 emergency medical services fund are appropriated to the 28 department to be used for the purposes of the fund. 29 b. Of the funds appropriated in this subsection, up 30 to $243,000 shall be used for sexual violence prevention 31 programming, and for a training program for sexual assault 32 response team (SART) members, including representatives of 33 law enforcement, victim advocates, prosecutors, and certified 34 medical personnel. The amount allocated in this paragraph “b” 35 -12- LSB 1004HV (2) 88 pf/rn 12/ 83
H.F. 766 shall not be used to supplant funding administered for other 1 sexual violence prevention or victims assistance programs. 2 c. Of the funds appropriated in this subsection, up to 3 $500,000 shall be used for the state poison control center. 4 Pursuant to the directive under 2014 Iowa Acts, chapter 5 1140, section 102 , the federal matching funds available to 6 the state poison control center from the department of human 7 services under the federal Children’s Health Insurance Program 8 Reauthorization Act allotment shall be subject to the federal 9 administrative cap rule of 10 percent applicable to funding 10 provided under Tit. XXI of the federal Social Security Act and 11 included within the department’s calculations of the cap. 12 d. Of the funds appropriated in this subsection, up to 13 $504,000 shall be used for childhood lead poisoning provisions. 14 8. RESOURCE MANAGEMENT 15 For establishing and sustaining the overall ability of the 16 department to deliver services to the public, and for not more 17 than the following full-time equivalent positions: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 971,215 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 20 9. MISCELLANEOUS PROVISIONS 21 The university of Iowa hospitals and clinics under the 22 control of the state board of regents shall not receive 23 indirect costs from the funds appropriated in this section. 24 The university of Iowa hospitals and clinics billings to the 25 department shall be on at least a quarterly basis. 26 Sec. 4. USE OF REQUEST FOR PROPOSALS PROCESS —— PROHIBITED 27 USE OF FUNDS FOR LOBBYING. 28 1. a. If an entity is not specified to receive moneys 29 allocated or appropriated to administer a program or activity 30 in this division of this Act and the department elects not 31 to administer such program or activity internally, a request 32 for proposals process shall be utilized to select an entity to 33 administer such program or activity. 34 b. Unless otherwise specifically provided, the department 35 -13- LSB 1004HV (2) 88 pf/rn 13/ 83
H.F. 766 shall not retain any portion of the funds allocated or 1 appropriated for programs or activities administered by a 2 specified entity or by an entity selected through a request for 3 proposals process to be used for administrative costs under 4 this division of this Act. 5 c. The department shall submit a report to the individuals 6 identified in this Act for submission of reports by December 7 15, 2019, regarding the outcomes of any program or activity 8 administered by a specified entity or an entity selected 9 through a request for proposals process under this division of 10 this Act. 11 2. Moneys appropriated or allocated under this division of 12 this Act shall not be used, directly or indirectly, for the 13 compensation of a lobbyist. For the purposes of this section, 14 “lobbyist” means the same as defined in section 68B.2; however, 15 “lobbyist” does not include a person employed by a state agency 16 of the executive branch of state government who represents 17 the agency relative to the passage, defeat, approval, or 18 modification of legislation that is being considered by the 19 general assembly. 20 DIVISION IV 21 DEPARTMENT OF VETERANS AFFAIRS —— FY 2019-2020 22 Sec. 5. DEPARTMENT OF VETERANS AFFAIRS. There is 23 appropriated from the general fund of the state to the 24 department of veterans affairs for the fiscal year beginning 25 July 1, 2019, and ending June 30, 2020, the following amounts, 26 or so much thereof as is necessary, to be used for the purposes 27 designated: 28 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 29 For salaries, support, maintenance, and miscellaneous 30 purposes, and for not more than the following full-time 31 equivalent positions: 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,225,500 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 34 2. IOWA VETERANS HOME 35 -14- LSB 1004HV (2) 88 pf/rn 14/ 83
H.F. 766 For salaries, support, maintenance, and miscellaneous 1 purposes: 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,162,976 3 a. The Iowa veterans home billings involving the department 4 of human services shall be submitted to the department on at 5 least a monthly basis. 6 b. Within available resources and in conformance with 7 associated state and federal program eligibility requirements, 8 the Iowa veterans home may implement measures to provide 9 financial assistance to or on behalf of veterans or their 10 spouses who are participating in the community reentry program. 11 c. The Iowa veterans home expenditure report shall be 12 submitted monthly to the legislative services agency. 13 d. The Iowa veterans home shall continue to include in the 14 annual discharge report applicant information to provide for 15 the collection of demographic information including but not 16 limited to the number of individuals applying for admission and 17 admitted or denied admittance and the basis for the admission 18 or denial; the age, gender, and race of such individuals; 19 and the level of care for which such individuals applied for 20 admission including residential or nursing level of care. 21 3. HOME OWNERSHIP ASSISTANCE PROGRAM 22 For transfer to the Iowa finance authority for the 23 continuation of the home ownership assistance program for 24 persons who are or were eligible members of the armed forces of 25 the United States, pursuant to section 16.54 : 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,000,000 27 Sec. 6. LIMITATION OF COUNTY COMMISSIONS OF VETERAN AFFAIRS 28 FUND STANDING APPROPRIATIONS. Notwithstanding the standing 29 appropriation in section 35A.16 for the fiscal year beginning 30 July 1, 2019, and ending June 30, 2020, the amount appropriated 31 from the general fund of the state pursuant to that section 32 for the following designated purposes shall not exceed the 33 following amount: 34 For the county commissions of veteran affairs fund under 35 -15- LSB 1004HV (2) 88 pf/rn 15/ 83
H.F. 766 section 35A.16 : 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 990,000 2 DIVISION V 3 DEPARTMENT OF HUMAN SERVICES —— FY 2019-2020 4 Sec. 7. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 5 GRANT. There is appropriated from the fund created in section 6 8.41 to the department of human services for the fiscal year 7 beginning July 1, 2019, and ending June 30, 2020, from moneys 8 received under the federal temporary assistance for needy 9 families (TANF) block grant pursuant to the federal Personal 10 Responsibility and Work Opportunity Reconciliation Act of 1996, 11 Pub. L. No. 104-193, and successor legislation, the following 12 amounts, or so much thereof as is necessary, to be used for the 13 purposes designated: 14 1. To be credited to the family investment program account 15 and used for assistance under the family investment program 16 under chapter 239B : 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,524,006 18 2. To be credited to the family investment program account 19 and used for the job opportunities and basic skills (JOBS) 20 program and implementing family investment agreements in 21 accordance with chapter 239B : 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,412,060 23 3. To be used for the family development and 24 self-sufficiency grant program in accordance with section 25 216A.107 : 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,898,980 27 Notwithstanding section 8.33 , moneys appropriated in this 28 subsection that remain unencumbered or unobligated at the close 29 of the fiscal year shall not revert but shall remain available 30 for expenditure for the purposes designated until the close of 31 the succeeding fiscal year. However, unless such moneys are 32 encumbered or obligated on or before September 30, 2020, the 33 moneys shall revert. 34 4. For field operations: 35 -16- LSB 1004HV (2) 88 pf/rn 16/ 83
H.F. 766 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 31,296,232 1 5. For general administration: 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,744,000 3 6. For state child care assistance: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 47,166,826 5 a. Of the funds appropriated in this subsection, 6 $26,205,412 is transferred to the child care and development 7 block grant appropriation made by the Eighty-eighth General 8 Assembly, 2019 session, for the federal fiscal year beginning 9 October 1, 2019, and ending September 30, 2020. Of this 10 amount, $200,000 shall be used for provision of educational 11 opportunities to registered child care home providers in order 12 to improve services and programs offered by this category 13 of providers and to increase the number of providers. The 14 department may contract with institutions of higher education 15 or child care resource and referral centers to provide 16 the educational opportunities. Allowable administrative 17 costs under the contracts shall not exceed 5 percent. The 18 application for a grant shall not exceed two pages in length. 19 b. Any funds appropriated in this subsection remaining 20 unallocated shall be used for state child care assistance 21 payments for families who are employed including but not 22 limited to individuals enrolled in the family investment 23 program. 24 7. For child and family services: 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 32,380,654 26 8. For child abuse prevention grants: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 125,000 28 9. For pregnancy prevention grants on the condition that 29 family planning services are funded: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,913,203 31 Pregnancy prevention grants shall be awarded to programs 32 in existence on or before July 1, 2019, if the programs have 33 demonstrated positive outcomes. Grants shall be awarded to 34 pregnancy prevention programs which are developed after July 35 -17- LSB 1004HV (2) 88 pf/rn 17/ 83
H.F. 766 1, 2019, if the programs are based on existing models that 1 have demonstrated positive outcomes. Grants shall comply with 2 the requirements provided in 1997 Iowa Acts, chapter 208, 3 section 14, subsections 1 and 2 , including the requirement that 4 grant programs must emphasize sexual abstinence. Priority in 5 the awarding of grants shall be given to programs that serve 6 areas of the state which demonstrate the highest percentage of 7 unplanned pregnancies of females of childbearing age within the 8 geographic area to be served by the grant. 9 10. For technology needs and other resources necessary 10 to meet federal welfare reform reporting, tracking, and case 11 management requirements: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,037,186 13 11. a. Notwithstanding any provision to the contrary, 14 including but not limited to requirements in section 8.41 or 15 provisions in 2018 Iowa Acts or 2019 Iowa Acts regarding the 16 receipt and appropriation of federal block grants, federal 17 funds from the temporary assistance for needy families block 18 grant received by the state and not otherwise appropriated 19 in this section and remaining available for the fiscal year 20 beginning July 1, 2019, are appropriated to the department of 21 human services to the extent as may be necessary to be used in 22 the following priority order: the family investment program, 23 for state child care assistance program payments for families 24 who are employed, and for the family investment program share 25 of system costs for eligibility determination and related 26 functions. The federal funds appropriated in this paragraph 27 “a” shall be expended only after all other funds appropriated 28 in subsection 1 for assistance under the family investment 29 program, in subsection 6 for state child care assistance, or 30 in subsection 10 for technology costs related to the family 31 investment program, as applicable, have been expended. For 32 the purposes of this subsection, the funds appropriated in 33 subsection 6, paragraph “a”, for transfer to the child care 34 and development block grant appropriation are considered fully 35 -18- LSB 1004HV (2) 88 pf/rn 18/ 83
H.F. 766 expended when the full amount has been transferred. 1 b. The department shall, on a quarterly basis, advise the 2 legislative services agency and department of management of 3 the amount of funds appropriated in this subsection that was 4 expended in the prior quarter. 5 12. Of the amounts appropriated in this section, 6 $12,962,008 for the fiscal year beginning July 1, 2019, is 7 transferred to the appropriation of the federal social services 8 block grant made to the department of human services for that 9 fiscal year. 10 13. For continuation of the program providing categorical 11 eligibility for the food assistance program as specified 12 for the program in the section of this division of this Act 13 relating to the family investment program account: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 14,236 15 14. The department may transfer funds allocated in this 16 section to the appropriations made in this division of this Act 17 for the same fiscal year for general administration and field 18 operations for resources necessary to implement and operate the 19 services referred to in this section and those funded in the 20 appropriation made in this division of this Act for the same 21 fiscal year for the family investment program from the general 22 fund of the state. 23 15. With the exception of moneys allocated under this 24 section for the family development and self-sufficiency grant 25 program, to the extent moneys allocated in this section are 26 deemed by the department not to be necessary to support the 27 purposes for which they are allocated, such moneys may be 28 used in the same fiscal year for any other purpose for which 29 funds are allocated in this section or in section 8 of this 30 division for the family investment program account. If there 31 are conflicting needs, priority shall first be given to the 32 family investment program account as specified under subsection 33 1 of this section and used for the purposes of assistance under 34 the family investment program in accordance with chapter 239B , 35 -19- LSB 1004HV (2) 88 pf/rn 19/ 83
H.F. 766 followed by state child care assistance program payments for 1 families who are employed, followed by other priorities as 2 specified by the department. 3 Sec. 8. FAMILY INVESTMENT PROGRAM ACCOUNT. 4 1. Moneys credited to the family investment program (FIP) 5 account for the fiscal year beginning July 1, 2019, and 6 ending June 30, 2020, shall be used to provide assistance in 7 accordance with chapter 239B . 8 2. The department may use a portion of the moneys credited 9 to the FIP account under this section as necessary for 10 salaries, support, maintenance, and miscellaneous purposes. 11 3. The department may transfer funds allocated in 12 subsection 4, excluding the allocation under subsection 4, 13 paragraph “b”, to the appropriations made in this division of 14 this Act for the same fiscal year for general administration 15 and field operations for resources necessary to implement 16 and operate the services referred to in this section and 17 those funded in the appropriations made in section 7 for the 18 temporary assistance for needy families block grant and in 19 section 9 for the family investment program from the general 20 fund of the state in this division of this Act for the same 21 fiscal year. 22 4. Moneys appropriated in this division of this Act and 23 credited to the FIP account for the fiscal year beginning July 24 1, 2019, and ending June 30, 2020, are allocated as follows: 25 a. To be retained by the department of human services to 26 be used for coordinating with the department of human rights 27 to more effectively serve participants in FIP and other shared 28 clients and to meet federal reporting requirements under the 29 federal temporary assistance for needy families block grant: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 20,000 31 b. To the department of human rights for staffing, 32 administration, and implementation of the family development 33 and self-sufficiency grant program in accordance with section 34 216A.107 : 35 -20- LSB 1004HV (2) 88 pf/rn 20/ 83
H.F. 766 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,192,834 1 (1) Of the funds allocated for the family development 2 and self-sufficiency grant program in this paragraph “b”, 3 not more than 5 percent of the funds shall be used for the 4 administration of the grant program. 5 (2) The department of human rights may continue to implement 6 the family development and self-sufficiency grant program 7 statewide during fiscal year 2019-2020. 8 (3) The department of human rights may engage in activities 9 to strengthen and improve family outcomes measures and 10 data collection systems under the family development and 11 self-sufficiency grant program. 12 c. For the diversion subaccount of the FIP account: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 815,000 14 A portion of the moneys allocated for the diversion 15 subaccount may be used for field operations, salaries, data 16 management system development, and implementation costs and 17 support deemed necessary by the director of human services 18 in order to administer the FIP diversion program. To the 19 extent moneys allocated in this paragraph “c” are deemed by the 20 department not to be necessary to support diversion activities, 21 such moneys may be used for other efforts intended to increase 22 engagement by family investment program participants in work, 23 education, or training activities, or for the purposes of 24 assistance under the family investment program in accordance 25 with chapter 239B . 26 d. For the food assistance employment and training program: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 66,588 28 (1) The department shall apply the federal supplemental 29 nutrition assistance program (SNAP) employment and training 30 state plan in order to maximize to the fullest extent permitted 31 by federal law the use of the 50 percent federal reimbursement 32 provisions for the claiming of allowable federal reimbursement 33 funds from the United States department of agriculture 34 pursuant to the federal SNAP employment and training program 35 -21- LSB 1004HV (2) 88 pf/rn 21/ 83
H.F. 766 for providing education, employment, and training services 1 for eligible food assistance program participants, including 2 but not limited to related dependent care and transportation 3 expenses. 4 (2) The department shall continue the categorical federal 5 food assistance program eligibility at 160 percent of the 6 federal poverty level and continue to eliminate the asset test 7 from eligibility requirements, consistent with federal food 8 assistance program requirements. The department shall include 9 as many food assistance households as is allowed by federal 10 law. The eligibility provisions shall conform to all federal 11 requirements including requirements addressing individuals who 12 are incarcerated or otherwise ineligible. 13 e. For the JOBS program: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,018,258 15 5. Of the child support collections assigned under FIP, 16 an amount equal to the federal share of support collections 17 shall be credited to the child support recovery appropriation 18 made in this division of this Act. Of the remainder of the 19 assigned child support collections received by the child 20 support recovery unit, a portion shall be credited to the FIP 21 account, a portion may be used to increase recoveries, and a 22 portion may be used to sustain cash flow in the child support 23 payments account. If as a consequence of the appropriations 24 and allocations made in this section the resulting amounts 25 are insufficient to sustain cash assistance payments and meet 26 federal maintenance of effort requirements, the department 27 shall seek supplemental funding. If child support collections 28 assigned under FIP are greater than estimated or are otherwise 29 determined not to be required for maintenance of effort, the 30 state share of either amount may be transferred to or retained 31 in the child support payments account. 32 6. The department may adopt emergency rules for the family 33 investment, JOBS, food assistance, and medical assistance 34 programs if necessary to comply with federal requirements. 35 -22- LSB 1004HV (2) 88 pf/rn 22/ 83
H.F. 766 Sec. 9. FAMILY INVESTMENT PROGRAM GENERAL FUND. There 1 is appropriated from the general fund of the state to the 2 department of human services for the fiscal year beginning July 3 1, 2019, and ending June 30, 2020, the following amount, or 4 so much thereof as is necessary, to be used for the purpose 5 designated: 6 To be credited to the family investment program (FIP) 7 account and used for family investment program assistance under 8 chapter 239B : 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 39,849,365 10 1. Of the funds appropriated in this section, $6,606,198 is 11 allocated for the JOBS program. 12 2. Of the funds appropriated in this section, $3,313,854 is 13 allocated for the family development and self-sufficiency grant 14 program. 15 3. a. Notwithstanding section 8.39 , for the fiscal 16 year beginning July 1, 2019, if necessary to meet federal 17 maintenance of effort requirements or to transfer federal 18 temporary assistance for needy families block grant funding 19 to be used for purposes of the federal social services block 20 grant or to meet cash flow needs resulting from delays in 21 receiving federal funding or to implement, in accordance with 22 this division of this Act, activities currently funded with 23 juvenile court services, county, or community moneys and state 24 moneys used in combination with such moneys; to comply with 25 federal requirements; or to maximize the use of federal funds; 26 the department of human services may transfer funds within or 27 between any of the appropriations made in this division of this 28 Act and appropriations in law for the federal social services 29 block grant to the department for the following purposes, 30 provided that the combined amount of state and federal 31 temporary assistance for needy families block grant funding 32 for each appropriation remains the same before and after the 33 transfer: 34 (1) For the family investment program. 35 -23- LSB 1004HV (2) 88 pf/rn 23/ 83
H.F. 766 (2) For state child care assistance. 1 (3) For child and family services. 2 (4) For field operations. 3 (5) For general administration. 4 b. This subsection shall not be construed to prohibit the 5 use of existing state transfer authority for other purposes. 6 The department shall report any transfers made pursuant to this 7 subsection to the legislative services agency. 8 4. Of the funds appropriated in this section, $195,000 shall 9 be used for the provision of tax preparation assistance to 10 low-income Iowans in order to expand the usage of the earned 11 income tax credit. The purpose of the allocation is to supply 12 this assistance to underserved areas of the state. 13 5. Of the funds appropriated in this section, $70,000 14 shall be used for the parenting program as specified in 15 441 IAC ch. 100, relating to parental obligations, in which 16 the child support recovery unit participates. The funds 17 allocated in this subsection shall be used to develop a larger 18 community effort, through public and private partnerships, to 19 support a broad-based multi-county parenthood initiative that 20 promotes payment of child support obligations, improved family 21 relationships, and full-time employment. 22 6. The department may transfer funds appropriated in this 23 section, excluding the allocation in subsection 2 for the 24 family development and self-sufficiency grant program, to the 25 appropriations made in this division of this Act for general 26 administration and field operations as necessary to administer 27 this section, section 7 for the temporary assistance for needy 28 families block grant, and section 8 for the family investment 29 program account. 30 Sec. 10. CHILD SUPPORT RECOVERY. There is appropriated 31 from the general fund of the state to the department of human 32 services for the fiscal year beginning July 1, 2019, and ending 33 June 30, 2020, the following amount, or so much thereof as is 34 necessary, to be used for the purposes designated: 35 -24- LSB 1004HV (2) 88 pf/rn 24/ 83
H.F. 766 For child support recovery, including salaries, support, 1 maintenance, and miscellaneous purposes, and for not more than 2 the following full-time equivalent positions: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,265,040 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 459.00 5 1. The department shall expend up to $24,000, including 6 federal financial participation, for the fiscal year beginning 7 July 1, 2019, for a child support public awareness campaign. 8 The department and the office of the attorney general shall 9 cooperate in continuation of the campaign. The public 10 awareness campaign shall emphasize, through a variety of 11 media activities, the importance of maximum involvement of 12 both parents in the lives of their children as well as the 13 importance of payment of child support obligations. 14 2. Federal access and visitation grant moneys shall be 15 issued directly to private not-for-profit agencies that provide 16 services designed to increase compliance with the child access 17 provisions of court orders, including but not limited to 18 neutral visitation sites and mediation services. 19 3. The appropriation made to the department for child 20 support recovery may be used throughout the fiscal year in the 21 manner necessary for purposes of cash flow management, and for 22 cash flow management purposes the department may temporarily 23 draw more than the amount appropriated, provided the amount 24 appropriated is not exceeded at the close of the fiscal year. 25 Sec. 11. HEALTH CARE TRUST FUND —— MEDICAL ASSISTANCE —— 26 FY 2019-2020. Any funds remaining in the health care trust 27 fund created in section 453A.35A for the fiscal year beginning 28 July 1, 2019, and ending June 30, 2020, are appropriated to 29 the department of human services to supplement the medical 30 assistance program appropriations made in this division of this 31 Act, for medical assistance reimbursement and associated costs, 32 including program administration and costs associated with 33 program implementation. 34 Sec. 12. MEDICAID FRAUD FUND —— MEDICAL ASSISTANCE —— FY 35 -25- LSB 1004HV (2) 88 pf/rn 25/ 83
H.F. 766 2019-2020. Any funds remaining in the Medicaid fraud fund 1 created in section 249A.50 for the fiscal year beginning 2 July 1, 2019, and ending June 30, 2020, are appropriated to 3 the department of human services to supplement the medical 4 assistance appropriations made in this division of this Act, 5 for medical assistance reimbursement and associated costs, 6 including program administration and costs associated with 7 program implementation. 8 Sec. 13. MEDICAL ASSISTANCE. There is appropriated from the 9 general fund of the state to the department of human services 10 for the fiscal year beginning July 1, 2019, and ending June 30, 11 2020, the following amount, or so much thereof as is necessary, 12 to be used for the purpose designated: 13 For medical assistance program reimbursement and associated 14 costs as specifically provided in the reimbursement 15 methodologies in effect on June 30, 2019, except as otherwise 16 expressly authorized by law, consistent with options under 17 federal law and regulations, and contingent upon receipt of 18 approval from the office of the governor of reimbursement for 19 each abortion performed under the program: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,431,334,812 21 1. Iowans support reducing the number of abortions 22 performed in our state. Funds appropriated under this section 23 shall not be used for abortions, unless otherwise authorized 24 under this section. 25 2. The provisions of this section relating to abortions 26 shall also apply to the Iowa health and wellness plan created 27 pursuant to chapter 249N . 28 3. The department shall utilize not more than $60,000 of 29 the funds appropriated in this section to continue the AIDS/HIV 30 health insurance premium payment program as established in 1992 31 Iowa Acts, Second Extraordinary Session, chapter 1001, section 32 409, subsection 6 . Of the funds allocated in this subsection, 33 not more than $5,000 may be expended for administrative 34 purposes. 35 -26- LSB 1004HV (2) 88 pf/rn 26/ 83
H.F. 766 4. Of the funds appropriated in this Act to the department 1 of public health for addictive disorders, $950,000 for 2 the fiscal year beginning July 1, 2019, is transferred 3 to the department of human services for an integrated 4 substance-related disorder managed care system. The 5 departments of human services and public health shall 6 work together to maintain the level of mental health and 7 substance-related disorder treatment services provided by the 8 managed care contractors. Each department shall take the steps 9 necessary to continue the federal waivers as necessary to 10 maintain the level of services. 11 5. a. The department shall aggressively pursue options for 12 providing medical assistance or other assistance to individuals 13 with special needs who become ineligible to continue receiving 14 services under the early and periodic screening, diagnostic, 15 and treatment program under the medical assistance program 16 due to becoming 21 years of age who have been approved for 17 additional assistance through the department’s exception to 18 policy provisions, but who have health care needs in excess 19 of the funding available through the exception to policy 20 provisions. 21 b. Of the funds appropriated in this section, $100,000 22 shall be used for participation in one or more pilot projects 23 operated by a private provider to allow the individual or 24 individuals to receive service in the community in accordance 25 with principles established in Olmstead v. L.C., 527 U.S. 581 26 (1999), for the purpose of providing medical assistance or 27 other assistance to individuals with special needs who become 28 ineligible to continue receiving services under the early and 29 periodic screening, diagnostic, and treatment program under 30 the medical assistance program due to becoming 21 years of 31 age who have been approved for additional assistance through 32 the department’s exception to policy provisions, but who have 33 health care needs in excess of the funding available through 34 the exception to the policy provisions. 35 -27- LSB 1004HV (2) 88 pf/rn 27/ 83
H.F. 766 6. Of the funds appropriated in this section, up to 1 $3,050,082 may be transferred to the field operations or 2 general administration appropriations in this division of this 3 Act for operational costs associated with Part D of the federal 4 Medicare Prescription Drug Improvement and Modernization Act 5 of 2003, Pub. L. No. 108-173. 6 7. Of the funds appropriated in this section, up to $442,100 7 may be transferred to the appropriation in this division 8 of this Act for medical contracts to be used for clinical 9 assessment services and prior authorization of services. 10 8. A portion of the funds appropriated in this section 11 may be transferred to the appropriations in this division of 12 this Act for general administration, medical contracts, the 13 children’s health insurance program, or field operations to be 14 used for the state match cost to comply with the payment error 15 rate measurement (PERM) program for both the medical assistance 16 and children’s health insurance programs as developed by the 17 centers for Medicare and Medicaid services of the United States 18 department of health and human services to comply with the 19 federal Improper Payments Information Act of 2002, Pub. L. 20 No. 107-300, and to support other reviews and quality control 21 activities to improve the integrity of these programs. 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 -28- LSB 1004HV (2) 88 pf/rn 28/ 83
H.F. 766 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 -29- LSB 1004HV (2) 88 pf/rn 29/ 83
H.F. 766 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. For the fiscal year beginning July 1, 2019, and ending 7 June 30, 2020, the replacement generation tax revenues required 8 to be deposited in the property tax relief fund pursuant to 9 section 437A.8, subsection 4 , paragraph “d”, and section 10 437A.15, subsection 3 , paragraph “f”, shall instead be credited 11 to and supplement the appropriation made in this section and 12 used for the allocations made in this section. 13 16. a. Of the funds appropriated in this section, up 14 to $50,000 may be transferred by the department to the 15 appropriation made in this division of this Act to the 16 department for the same fiscal year for general administration 17 to be used for associated administrative expenses and for not 18 more than one full-time equivalent position, in addition to 19 those authorized for the same fiscal year, to be assigned to 20 implementing the children’s mental health home project. 21 b. Of the funds appropriated in this section, up to $400,000 22 may be transferred by the department to the appropriation made 23 to the department in this division of this Act for the same 24 fiscal year for Medicaid program-related general administration 25 planning and implementation activities. The funds may be used 26 for contracts or for personnel in addition to the amounts 27 appropriated for and the positions authorized for general 28 administration for the fiscal year. 29 c. Of the funds appropriated in this section, up to 30 $3,000,000 may be transferred by the department to the 31 appropriations made in this division of this Act for the same 32 fiscal year for general administration or medical contracts 33 to be used to support the development and implementation of 34 standardized assessment tools for persons with mental illness, 35 -30- LSB 1004HV (2) 88 pf/rn 30/ 83
H.F. 766 an intellectual disability, a developmental disability, or a 1 brain injury. 2 17. Of the funds appropriated in this section, $150,000 3 shall be used for lodging expenses associated with care 4 provided at the university of Iowa hospitals and clinics for 5 patients with cancer whose travel distance is 30 miles or more 6 and whose income is at or below 200 percent of the federal 7 poverty level as defined by the most recently revised poverty 8 income guidelines published by the United States department of 9 health and human services. The department of human services 10 shall establish the maximum number of overnight stays and the 11 maximum rate reimbursed for overnight lodging, which may be 12 based on the state employee rate established by the department 13 of administrative services. The funds allocated in this 14 subsection shall not be used as nonfederal share matching 15 funds. 16 18. Of the funds appropriated in this section, up to 17 $3,383,880 shall be used for administration of the state family 18 planning services program pursuant to section 217.41B, and 19 of this amount, the department may use up to $200,000 for 20 administrative expenses. 21 19. Of the funds appropriated in this section, $1,545,530 22 shall be used and may be transferred to other appropriations 23 in this division of this Act as necessary to administer the 24 provisions in the division of this Act relating to Medicaid 25 program administration. 26 20. The department shall continue to implement and 27 administer the provisions of 2018 Iowa Acts, chapter 1056. 28 Of the funds appropriated in this section, up to $39,069 may 29 be transferred to the department of inspections and appeals 30 for inspection costs related to such implementation and 31 administration. 32 21. Of the funds appropriated in this section, up to 33 $1,200,000 shall be used to implement reductions in the waiting 34 list for the children’s mental health home and community-based 35 -31- LSB 1004HV (2) 88 pf/rn 31/ 83
H.F. 766 services waiver. 1 22. Of the funds appropriated in this section, $1,500,000 2 shall be used to reinstate cost-based reimbursement and the 3 settlement process under the Medicaid program for critical 4 access hospitals in the state, as designated pursuant to 42 5 U.S.C. §1395i-4, to provide reimbursement at the rate provided 6 for such hospitals under the federal Medicare program. 7 Sec. 14. MEDICAL CONTRACTS. There is appropriated from the 8 general fund of the state to the department of human services 9 for the fiscal year beginning July 1, 2019, and ending June 30, 10 2020, the following amount, or so much thereof as is necessary, 11 to be used for the purpose designated: 12 For medical contracts: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 17,992,530 14 1. The department of inspections and appeals shall 15 provide all state matching funds for survey and certification 16 activities performed by the department of inspections 17 and appeals. The department of human services is solely 18 responsible for distributing the federal matching funds for 19 such activities. 20 2. Of the funds appropriated in this section, $50,000 shall 21 be used for continuation of home and community-based services 22 waiver quality assurance programs, including the review and 23 streamlining of processes and policies related to oversight and 24 quality management to meet state and federal requirements. 25 3. Of the amount appropriated in this section, up to 26 $200,000 may be transferred to the appropriation for general 27 administration in this division of this Act to be used for 28 additional full-time equivalent positions in the development 29 of key health initiatives such as development and oversight 30 of managed care programs and development of health strategies 31 targeted toward improved quality and reduced costs in the 32 Medicaid program. 33 4. Of the funds appropriated in this section, $1,000,000 34 shall be used for planning and development, in cooperation with 35 -32- LSB 1004HV (2) 88 pf/rn 32/ 83
H.F. 766 the department of public health, of a phased-in program to 1 provide a dental home for children. 2 5. a. Of the funds appropriated in this section, $573,000 3 shall be credited to the autism support program fund created 4 in section 225D.2 to be used for the autism support program 5 created in chapter 225D , with the exception of the following 6 amount of this allocation which shall be used as follows: 7 b. Of the funds allocated in this subsection, $25,000 shall 8 be used for the public purpose of continuation of a grant to a 9 nonprofit provider of child welfare services that has been in 10 existence for more than 115 years, is located in a county with 11 a population between 200,000 and 220,000 according to the most 12 recent federal decennial census, is licensed as a psychiatric 13 medical institution for children, and provides school-based 14 programming, to be used for support services for children with 15 autism spectrum disorder and their families. 16 Sec. 15. STATE SUPPLEMENTARY ASSISTANCE. 17 1. There is appropriated from the general fund of the 18 state to the department of human services for the fiscal year 19 beginning July 1, 2019, and ending June 30, 2020, the following 20 amount, or so much thereof as is necessary, to be used for the 21 purpose designated: 22 For the state supplementary assistance program: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,812,909 24 2. The department shall increase the personal needs 25 allowance for residents of residential care facilities by the 26 same percentage and at the same time as federal supplemental 27 security income and federal social security benefits are 28 increased due to a recognized increase in the cost of living. 29 The department may adopt emergency rules to implement this 30 subsection. 31 3. If during the fiscal year beginning July 1, 2019, 32 the department projects that state supplementary assistance 33 expenditures for a calendar year will not meet the federal 34 pass-through requirement specified in Tit. XVI of the federal 35 -33- LSB 1004HV (2) 88 pf/rn 33/ 83
H.F. 766 Social Security Act, section 1618, as codified in 42 U.S.C. 1 §1382g, the department may take actions including but not 2 limited to increasing the personal needs allowance for 3 residential care facility residents and making programmatic 4 adjustments or upward adjustments of the residential care 5 facility or in-home health-related care reimbursement rates 6 prescribed in this division of this Act to ensure that federal 7 requirements are met. In addition, the department may make 8 other programmatic and rate adjustments necessary to remain 9 within the amount appropriated in this section while ensuring 10 compliance with federal requirements. The department may adopt 11 emergency rules to implement the provisions of this subsection. 12 4. Notwithstanding section 8.33 , moneys appropriated in 13 this section that remain unencumbered or unobligated at the 14 close of the fiscal year shall not revert but shall remain 15 available for expenditure for the purposes designated until the 16 close of the succeeding fiscal year. 17 Sec. 16. CHILDREN’S HEALTH INSURANCE PROGRAM. 18 1. There is appropriated from the general fund of the 19 state to the department of human services for the fiscal year 20 beginning July 1, 2019, and ending June 30, 2020, the following 21 amount, or so much thereof as is necessary, to be used for the 22 purpose designated: 23 For maintenance of the healthy and well kids in Iowa (hawk-i) 24 program pursuant to chapter 514I , including supplemental dental 25 services, for receipt of federal financial participation under 26 Tit. XXI of the federal Social Security Act, which creates the 27 children’s health insurance program: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 19,361,112 29 2. Of the funds appropriated in this section, $79,486 is 30 allocated for continuation of the contract for outreach with 31 the department of public health. 32 3. A portion of the funds appropriated in this section may 33 be transferred to the appropriations made in this division of 34 this Act for field operations or medical contracts to be used 35 -34- LSB 1004HV (2) 88 pf/rn 34/ 83
H.F. 766 for the integration of hawk-i program eligibility, payment, and 1 administrative functions under the purview of the department 2 of human services, including for the Medicaid management 3 information system upgrade. 4 Sec. 17. CHILD CARE ASSISTANCE. There is appropriated 5 from the general fund of the state to the department of human 6 services for the fiscal year beginning July 1, 2019, and ending 7 June 30, 2020, the following amount, or so much thereof as is 8 necessary, to be used for the purpose designated: 9 For child care programs: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 40,816,931 11 1. Of the funds appropriated in this section, $34,966,931 12 shall be used for state child care assistance in accordance 13 with section 237A.13 . 14 2. Nothing in this section shall be construed or is 15 intended as or shall imply a grant of entitlement for services 16 to persons who are eligible for assistance due to an income 17 level consistent with the waiting list requirements of section 18 237A.13 . Any state obligation to provide services pursuant to 19 this section is limited to the extent of the funds appropriated 20 in this section. 21 3. A list of the registered and licensed child care 22 facilities operating in the area served by a child care 23 resource and referral service shall be made available to the 24 families receiving state child care assistance in that area. 25 4. Of the funds appropriated in this section, $5,850,000 26 shall be credited to the early childhood programs grants 27 account in the early childhood Iowa fund created in section 28 256I.11 . The moneys shall be distributed for funding of 29 community-based early childhood programs targeted to children 30 from birth through five years of age developed by early 31 childhood Iowa areas in accordance with approved community 32 plans as provided in section 256I.8 . 33 5. The department may use any of the funds appropriated 34 in this section as a match to obtain federal funds for use in 35 -35- LSB 1004HV (2) 88 pf/rn 35/ 83
H.F. 766 expanding child care assistance and related programs. For 1 the purpose of expenditures of state and federal child care 2 funding, funds shall be considered obligated at the time 3 expenditures are projected or are allocated to the department’s 4 service areas. Projections shall be based on current and 5 projected caseload growth, current and projected provider 6 rates, staffing requirements for eligibility determination 7 and management of program requirements including data systems 8 management, staffing requirements for administration of the 9 program, contractual and grant obligations and any transfers 10 to other state agencies, and obligations for decategorization 11 or innovation projects. 12 6. A portion of the state match for the federal child care 13 and development block grant shall be provided as necessary to 14 meet federal matching funds requirements through the state 15 general fund appropriation made for child development grants 16 and other programs for at-risk children in section 279.51 . 17 7. If a uniform reduction ordered by the governor under 18 section 8.31 or other operation of law, transfer, or federal 19 funding reduction reduces the appropriation made in this 20 section for the fiscal year, the percentage reduction in the 21 amount paid out to or on behalf of the families participating 22 in the state child care assistance program shall be equal to or 23 less than the percentage reduction made for any other purpose 24 payable from the appropriation made in this section and the 25 federal funding relating to it. The percentage reduction to 26 the other allocations made in this section shall be the same as 27 the uniform reduction ordered by the governor or the percentage 28 change of the federal funding reduction, as applicable. If 29 there is an unanticipated increase in federal funding provided 30 for state child care services, the entire amount of the 31 increase, except as necessary to meet federal requirements 32 including quality set asides, shall be used for state child 33 care assistance payments. If the appropriations made for 34 purposes of the state child care assistance program for the 35 -36- LSB 1004HV (2) 88 pf/rn 36/ 83
H.F. 766 fiscal year are determined to be insufficient, it is the intent 1 of the general assembly to appropriate sufficient funding for 2 the fiscal year in order to avoid establishment of waiting list 3 requirements. 4 8. Notwithstanding section 8.33 , moneys advanced for 5 purposes of the programs developed by early childhood Iowa 6 areas, advanced for purposes of wraparound child care, or 7 received from the federal appropriations made for the purposes 8 of this section that remain unencumbered or unobligated at the 9 close of the fiscal year shall not revert to any fund but shall 10 remain available for expenditure for the purposes designated 11 until the close of the succeeding fiscal year. 12 Sec. 18. JUVENILE INSTITUTION. 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, 2019, and ending 15 June 30, 2020, the following amounts, or so much thereof as is 16 necessary, to be used for the purposes designated: 17 1. a. For operation of the state training school at Eldora 18 and for salaries, support, maintenance, and miscellaneous 19 purposes, and for not more than the following full-time 20 equivalent positions: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 13,920,757 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 207.00 23 b. Of the funds appropriated in this subsection, $91,000 24 shall be used for distribution to licensed classroom teachers 25 at this and other institutions under the control of the 26 department of human services based upon the average student 27 yearly enrollment at each institution as determined by the 28 department. 29 c. The additional full-time equivalent positions authorized 30 in paragraph “a” shall include 1.00 youth services technician, 31 1.00 clinical supervisor, and 1.00 registered nurse full-time 32 equivalent positions. 33 2. A portion of the moneys appropriated in this section 34 shall be used by the state training school at Eldora for 35 -37- LSB 1004HV (2) 88 pf/rn 37/ 83
H.F. 766 grants for adolescent pregnancy prevention activities at the 1 institution in the fiscal year beginning July 1, 2019. 2 3. Of the funds appropriated in this subsection, $212,000 3 shall be used by the state training school at Eldora for a 4 substance use disorder treatment program at the institution for 5 the fiscal year beginning July 1, 2019. 6 4. Notwithstanding section 8.33 , moneys appropriated in 7 this section that remain unencumbered or unobligated at the 8 close of the fiscal year shall not revert but shall remain 9 available for expenditure for the purposes designated until the 10 close of the succeeding fiscal year. 11 Sec. 19. CHILD AND FAMILY SERVICES. 12 1. There is appropriated from the general fund of the 13 state to the department of human services for the fiscal year 14 beginning July 1, 2019, and ending June 30, 2020, the following 15 amount, or so much thereof as is necessary, to be used for the 16 purpose designated: 17 For child and family services: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 89,071,761 19 2. The department may transfer funds appropriated in this 20 section as necessary to pay the nonfederal costs of services 21 reimbursed under the medical assistance program, state child 22 care assistance program, or the family investment program which 23 are provided to children who would otherwise receive services 24 paid under the appropriation in this section. The department 25 may transfer funds appropriated in this section to the 26 appropriations made in this division of this Act for general 27 administration and for field operations for resources necessary 28 to implement and operate the services funded in this section. 29 3. a. Of the funds appropriated in this section, up to 30 $34,536,000 is allocated as the statewide expenditure target 31 under section 232.143 for group foster care maintenance and 32 services. If the department projects that such expenditures 33 for the fiscal year will be less than the target amount 34 allocated in this paragraph “a”, the department may reallocate 35 -38- LSB 1004HV (2) 88 pf/rn 38/ 83
H.F. 766 the excess to provide additional funding for family foster 1 care, independent living, family safety, risk and permanency 2 services, shelter care, or the child welfare emergency services 3 addressed with the allocation for shelter care. 4 b. If at any time after September 30, 2019, annualization 5 of a service area’s current expenditures indicates a service 6 area is at risk of exceeding its group foster care expenditure 7 target under section 232.143 by more than 5 percent, the 8 department and juvenile court services shall examine all 9 group foster care placements in that service area in order to 10 identify those which might be appropriate for termination. 11 In addition, any aftercare services believed to be needed 12 for the children whose placements may be terminated shall be 13 identified. The department and juvenile court services shall 14 initiate action to set dispositional review hearings for the 15 placements identified. In such a dispositional review hearing, 16 the juvenile court shall determine whether needed aftercare 17 services are available and whether termination of the placement 18 is in the best interest of the child and the community. 19 4. In accordance with the provisions of section 232.188 , 20 the department shall continue the child welfare and juvenile 21 justice funding initiative during fiscal year 2019-2020. Of 22 the funds appropriated in this section, $1,717,000 is allocated 23 specifically for expenditure for fiscal year 2019-2020 through 24 the decategorization services funding pools and governance 25 boards established pursuant to section 232.188 . 26 5. A portion of the funds appropriated in this section 27 may be used for emergency family assistance to provide other 28 resources required for a family participating in a family 29 preservation or reunification project or successor project to 30 stay together or to be reunified. 31 6. Of the funds appropriated in this section, a sufficient 32 amount is allocated for shelter care and the child welfare 33 emergency services contracting implemented to provide for or 34 prevent the need for shelter care. 35 -39- LSB 1004HV (2) 88 pf/rn 39/ 83
H.F. 766 7. Federal funds received by the state during the fiscal 1 year beginning July 1, 2019, as the result of the expenditure 2 of state funds appropriated during a previous state fiscal 3 year for a service or activity funded under this section are 4 appropriated to the department to be used as additional funding 5 for services and purposes provided for under this section. 6 Notwithstanding section 8.33 , moneys received in accordance 7 with this subsection that remain unencumbered or unobligated at 8 the close of the fiscal year shall not revert to any fund but 9 shall remain available for the purposes designated until the 10 close of the succeeding fiscal year. 11 8. a. Of the funds appropriated in this section, up to 12 $3,290,000 is allocated for the payment of the expenses of 13 court-ordered services provided to juveniles who are under the 14 supervision of juvenile court services, which expenses are a 15 charge upon the state pursuant to section 232.141, subsection 16 4 . Of the amount allocated in this paragraph “a”, up to 17 $1,556,000 shall be made available to provide school-based 18 supervision of children adjudicated under chapter 232 , of which 19 not more than $15,000 may be used for the purpose of training. 20 A portion of the cost of each school-based liaison officer 21 shall be paid by the school district or other funding source as 22 approved by the chief juvenile court officer. 23 b. Of the funds appropriated in this section, up to $748,000 24 is allocated for the payment of the expenses of court-ordered 25 services provided to children who are under the supervision 26 of the department, which expenses are a charge upon the state 27 pursuant to section 232.141, subsection 4 . 28 c. Notwithstanding section 232.141 or any other provision 29 of law to the contrary, the amounts allocated in this 30 subsection shall be distributed to the judicial districts 31 as determined by the state court administrator and to the 32 department’s service areas as determined by the administrator 33 of the department of human services’ division of child and 34 family services. The state court administrator and the 35 -40- LSB 1004HV (2) 88 pf/rn 40/ 83
H.F. 766 division administrator shall make the determination of the 1 distribution amounts on or before June 15, 2019. 2 d. Notwithstanding chapter 232 or any other provision of 3 law to the contrary, a district or juvenile court shall not 4 order any service which is a charge upon the state pursuant 5 to section 232.141 if there are insufficient court-ordered 6 services funds available in the district court or departmental 7 service area distribution amounts to pay for the service. The 8 chief juvenile court officer and the departmental service area 9 manager shall encourage use of the funds allocated in this 10 subsection such that there are sufficient funds to pay for 11 all court-related services during the entire year. The chief 12 juvenile court officers and departmental service area managers 13 shall attempt to anticipate potential surpluses and shortfalls 14 in the distribution amounts and shall cooperatively request the 15 state court administrator or division administrator to transfer 16 funds between the judicial districts’ or departmental service 17 areas’ distribution amounts as prudent. 18 e. Notwithstanding any provision of law to the contrary, 19 a district or juvenile court shall not order a county to pay 20 for any service provided to a juvenile pursuant to an order 21 entered under chapter 232 which is a charge upon the state 22 under section 232.141, subsection 4 . 23 f. Of the funds allocated in this subsection, not more than 24 $83,000 may be used by the judicial branch for administration 25 of the requirements under this subsection. 26 g. Of the funds allocated in this subsection, $17,000 27 shall be used by the department of human services to support 28 the interstate commission for juveniles in accordance with 29 the interstate compact for juveniles as provided in section 30 232.173 . 31 9. Of the funds appropriated in this section, $12,253,000 is 32 allocated for juvenile delinquent graduated sanctions services. 33 Any state funds saved as a result of efforts by juvenile court 34 services to earn a federal Tit. IV-E match for juvenile court 35 -41- LSB 1004HV (2) 88 pf/rn 41/ 83
H.F. 766 services administration may be used for the juvenile delinquent 1 graduated sanctions services. 2 10. Of the funds appropriated in this section, $1,658,000 is 3 transferred to the department of public health to be used for 4 the child protection center grant program for child protection 5 centers located in Iowa in accordance with section 135.118 . 6 The grant amounts under the program shall be equalized so that 7 each center receives a uniform base amount of $245,000, and so 8 that the remaining funds are awarded through a funding formula 9 based upon the volume of children served. 10 11. Of the funds appropriated in this section, $4,025,000 is 11 allocated for the preparation for adult living program pursuant 12 to section 234.46 . 13 12. Of the funds appropriated in this section, $227,000 14 shall be used for the public purpose of continuing a grant to a 15 nonprofit human services organization, providing services to 16 individuals and families in multiple locations in southwest 17 Iowa and Nebraska for support of a project providing immediate, 18 sensitive support and forensic interviews, medical exams, needs 19 assessments, and referrals for victims of child abuse and their 20 nonoffending family members. 21 13. Of the funds appropriated in this section, $300,000 22 is allocated for the foster care youth council approach of 23 providing a support network to children placed in foster care. 24 14. Of the funds appropriated in this section, $202,000 is 25 allocated for use pursuant to section 235A.1 for continuation 26 of the initiative to address child sexual abuse implemented 27 pursuant to 2007 Iowa Acts, chapter 218, section 18, subsection 28 21 . 29 15. Of the funds appropriated in this section, $630,000 is 30 allocated for the community partnership for child protection 31 sites. 32 16. Of the funds appropriated in this section, $371,000 33 is allocated for the department’s minority youth and family 34 projects under the redesign of the child welfare system. 35 -42- LSB 1004HV (2) 88 pf/rn 42/ 83
H.F. 766 17. Of the funds appropriated in this section, $851,000 1 is allocated for funding of the community circle of care 2 collaboration for children and youth in northeast Iowa. 3 18. Of the funds appropriated in this section, at least 4 $147,000 shall be used for the continuation of the child 5 welfare provider training academy, a collaboration between the 6 coalition for family and children’s services in Iowa and the 7 department. 8 19. Of the funds appropriated in this section, $211,000 9 shall be used for continuation of the central Iowa system of 10 care program grant through June 30, 2020. 11 20. Of the funds appropriated in this section, $235,000 12 shall be used for the public purpose of the continuation 13 and expansion of a system of care program grant implemented 14 in Cerro Gordo and Linn counties to utilize a comprehensive 15 and long-term approach for helping children and families by 16 addressing the key areas in a child’s life of childhood basic 17 needs, education and work, family, and community. 18 21. Of the funds appropriated in this section, at least 19 $25,000 shall be used to continue and to expand the foster 20 care respite pilot program in which postsecondary students in 21 social work and other human services-related programs receive 22 experience by assisting family foster care providers with 23 respite and other support. 24 22. Of the funds appropriated in this section, $110,000 25 shall be used for the public purpose of funding community-based 26 services and other supports with a system of care approach 27 for children with a serious emotional disturbance and their 28 families through a nonprofit provider of child welfare services 29 that has been in existence for more than 115 years, is located 30 in a county with a population of more than 200,000 but less 31 than 220,000 according to the latest certified federal census, 32 is licensed as a psychiatric medical institution for children, 33 and was a system of care grantee prior to July 1, 2019. 34 23. If a separate funding source is identified that reduces 35 -43- LSB 1004HV (2) 88 pf/rn 43/ 83
H.F. 766 the need for state funds within an allocation under this 1 section, the allocated state funds may be redistributed to 2 other allocations under this section for the same fiscal year. 3 Sec. 20. ADOPTION SUBSIDY. 4 1. There is appropriated from the general fund of the 5 state to the department of human services for the fiscal year 6 beginning July 1, 2019, and ending June 30, 2020, the following 7 amount, or so much thereof as is necessary, to be used for the 8 purpose designated: 9 a. For adoption subsidy payments and services: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 40,596,007 11 b. (1) The funds appropriated in this section shall be used 12 as authorized or allowed by federal law or regulation for any 13 of the following purposes: 14 (a) For adoption subsidy payments and related costs. 15 (b) For post-adoption services and for other purposes under 16 Tit. IV-B or Tit. IV-E of the federal Social Security Act. 17 (2) The department of human services may transfer funds 18 appropriated in this subsection to the appropriation for 19 child and family services in this Act for the purposes of 20 post-adoption services as specified in this paragraph “b”. 21 c. Notwithstanding section 8.33 , moneys corresponding to 22 the state savings resulting from implementation of the federal 23 Fostering Connections to Success and Increasing Adoptions Act 24 of 2008, Pub. L. No. 110-351, and successor legislation, as 25 determined in accordance with 42 U.S.C. §673(a)(8), that remain 26 unencumbered or unobligated at the close of the fiscal year, 27 shall not revert to any fund but shall remain available for the 28 purposes designated in this subsection until expended. The 29 amount of such savings and any corresponding funds remaining 30 at the close of the fiscal year shall be determined separately 31 and any changes in either amount between fiscal years shall not 32 result in an unfunded need. 33 2. The department may transfer funds appropriated in 34 this section to the appropriation made in this division of 35 -44- LSB 1004HV (2) 88 pf/rn 44/ 83
H.F. 766 this Act for general administration for costs paid from the 1 appropriation relating to adoption subsidy. 2 3. Federal funds received by the state during the 3 fiscal year beginning July 1, 2019, as the result of the 4 expenditure of state funds during a previous state fiscal 5 year for a service or activity funded under this section are 6 appropriated to the department to be used as additional funding 7 for the services and activities funded under this section. 8 Notwithstanding section 8.33 , moneys received in accordance 9 with this subsection that remain unencumbered or unobligated 10 at the close of the fiscal year shall not revert to any fund 11 but shall remain available for expenditure for the purposes 12 designated until the close of the succeeding fiscal year. 13 Sec. 21. JUVENILE DETENTION HOME FUND. Moneys deposited 14 in the juvenile detention home fund created in section 232.142 15 during the fiscal year beginning July 1, 2019, and ending June 16 30, 2020, are appropriated to the department of human services 17 for the fiscal year beginning July 1, 2019, and ending June 30, 18 2020, for distribution of an amount equal to a percentage of 19 the costs of the establishment, improvement, operation, and 20 maintenance of county or multicounty juvenile detention homes 21 in the fiscal year beginning July 1, 2018. Moneys appropriated 22 for distribution in accordance with this section shall be 23 allocated among eligible detention homes, prorated on the basis 24 of an eligible detention home’s proportion of the costs of all 25 eligible detention homes in the fiscal year beginning July 26 1, 2018. The percentage figure shall be determined by the 27 department based on the amount available for distribution for 28 the fund. Notwithstanding section 232.142, subsection 3 , the 29 financial aid payable by the state under that provision for the 30 fiscal year beginning July 1, 2019, shall be limited to the 31 amount appropriated for the purposes of this section. 32 Sec. 22. FAMILY SUPPORT SUBSIDY PROGRAM. 33 1. There is appropriated from the general fund of the 34 state to the department of human services for the fiscal year 35 -45- LSB 1004HV (2) 88 pf/rn 45/ 83
H.F. 766 beginning July 1, 2019, and ending June 30, 2020, the following 1 amount, or so much thereof as is necessary, to be used for the 2 purpose designated: 3 For the family support subsidy program subject to the 4 enrollment restrictions in section 225C.37, subsection 3 : 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 949,282 6 2. At least $819,275 of the moneys appropriated in this 7 section is transferred to the department of public health for 8 the family support center component of the comprehensive family 9 support program under chapter 225C , subchapter V. 10 3. If at any time during the fiscal year, the amount of 11 funding available for the family support subsidy program 12 is reduced from the amount initially used to establish the 13 figure for the number of family members for whom a subsidy 14 is to be provided at any one time during the fiscal year, 15 notwithstanding section 225C.38, subsection 2 , the department 16 shall revise the figure as necessary to conform to the amount 17 of funding available. 18 Sec. 23. CONNER DECREE. There is appropriated from the 19 general fund of the state to the department of human services 20 for the fiscal year beginning July 1, 2019, and ending June 30, 21 2020, the following amount, or so much thereof as is necessary, 22 to be used for the purpose designated: 23 For building community capacity through the coordination 24 and provision of training opportunities in accordance with the 25 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D. 26 Iowa, July 14, 1994): 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,632 28 Sec. 24. MENTAL HEALTH INSTITUTES. 29 1. There is appropriated from the general fund of the 30 state to the department of human services for the fiscal year 31 beginning July 1, 2019, and ending June 30, 2020, the following 32 amounts, or so much thereof as is necessary, to be used for the 33 purposes designated: 34 a. (1) For operation of the state mental health institute 35 -46- LSB 1004HV (2) 88 pf/rn 46/ 83
H.F. 766 at Cherokee as required by chapters 218 and 226 for salaries, 1 support, maintenance, and miscellaneous purposes, and for not 2 more than the following full-time equivalent positions: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 14,216,149 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 169.00 5 (2) The additional full-time equivalent positions 6 authorized in this paragraph “a” shall include 3.50 security 7 staff and 3.00 support staff full-time equivalent positions. 8 b. (1) For operation of the state mental health institute 9 at Independence as required by chapters 218 and 226 for 10 salaries, support, maintenance, and miscellaneous purposes, and 11 for not more than the following full-time equivalent positions: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 19,165,110 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 208.00 14 (2) The additional full-time equivalent positions 15 authorized in this paragraph “b” shall include 3.50 security 16 staff full-time equivalent positions. 17 2. Notwithstanding sections 218.78 and 249A.11 , any revenue 18 received from the state mental health institute at Cherokee or 19 the state mental health institute at Independence pursuant to 20 42 C.F.R §438.6(e) may be retained and expended by the mental 21 health institute. 22 3. Notwithstanding any provision of law to the contrary, 23 a Medicaid member residing at the state mental health 24 institute at Cherokee or the state mental health institute 25 at Independence shall retain Medicaid eligibility during 26 the period of the Medicaid member’s stay for which federal 27 financial participation is available. 28 4. Notwithstanding section 8.33 , moneys appropriated in 29 this section that remain unencumbered or unobligated at the 30 close of the fiscal year shall not revert but shall remain 31 available for expenditure for the purposes designated until the 32 close of the succeeding fiscal year. 33 Sec. 25. STATE RESOURCE CENTERS. 34 1. There is appropriated from the general fund of the 35 -47- LSB 1004HV (2) 88 pf/rn 47/ 83
H.F. 766 state to the department of human services for the fiscal year 1 beginning July 1, 2019, and ending June 30, 2020, the following 2 amounts, or so much thereof as is necessary, to be used for the 3 purposes designated: 4 a. For the state resource center at Glenwood for salaries, 5 support, maintenance, and miscellaneous purposes: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,048,348 7 b. For the state resource center at Woodward for salaries, 8 support, maintenance, and miscellaneous purposes: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,872,356 10 2. The department may continue to bill for state resource 11 center services utilizing a scope of services approach used for 12 private providers of intermediate care facilities for persons 13 with an intellectual disability services, in a manner which 14 does not shift costs between the medical assistance program, 15 counties, or other sources of funding for the state resource 16 centers. 17 3. The state resource centers may expand the time-limited 18 assessment and respite services during the fiscal year. 19 4. If the department’s administration and the department 20 of management concur with a finding by a state resource 21 center’s superintendent that projected revenues can reasonably 22 be expected to pay the salary and support costs for a new 23 employee position, or that such costs for adding