Senate
Study
Bill
3194
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
GOVERNOR
BUDGET
BILL)
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
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pf/rn
S.F.
_____
H.F.
_____
DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2020-2021
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,
2020,
and
ending
June
30,
5
2021,
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:
17
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$
11,202,196
18
1.
Funds
appropriated
in
this
section
may
be
used
to
19
supplement
federal
funds
under
federal
regulations.
To
20
receive
funds
appropriated
in
this
section,
a
local
area
21
agency
on
aging
shall
match
the
funds
with
moneys
from
other
22
sources
according
to
rules
adopted
by
the
department.
Funds
23
appropriated
in
this
section
may
be
used
for
elderly
services
24
not
specifically
enumerated
in
this
section
only
if
approved
25
by
an
area
agency
on
aging
for
provision
of
the
service
within
26
the
area.
27
2.
Of
the
funds
appropriated
in
this
section,
$279,000
is
28
transferred
to
the
economic
development
authority
for
the
Iowa
29
commission
on
volunteer
services
to
be
used
for
the
retired
and
30
senior
volunteer
program.
31
3.
a.
The
department
on
aging
shall
establish
and
enforce
32
procedures
relating
to
expenditure
of
state
and
federal
funds
33
by
area
agencies
on
aging
that
require
compliance
with
both
34
state
and
federal
laws,
rules,
and
regulations,
including
but
35
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S.F.
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not
limited
to
all
of
the
following:
1
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
2
or
services
received
or
performed
prior
to
the
end
of
the
3
fiscal
period
designated
for
use
of
the
funds.
4
(2)
Prohibiting
prepayment
for
goods
or
services
not
5
received
or
performed
prior
to
the
end
of
the
fiscal
period
6
designated
for
use
of
the
funds.
7
(3)
Prohibiting
prepayment
for
goods
or
services
not
8
defined
specifically
by
good
or
service,
time
period,
or
9
recipient.
10
(4)
Prohibiting
the
establishment
of
accounts
from
which
11
future
goods
or
services
which
are
not
defined
specifically
by
12
good
or
service,
time
period,
or
recipient,
may
be
purchased.
13
b.
The
procedures
shall
provide
that
if
any
funds
are
14
expended
in
a
manner
that
is
not
in
compliance
with
the
15
procedures
and
applicable
federal
and
state
laws,
rules,
and
16
regulations,
and
are
subsequently
subject
to
repayment,
the
17
area
agency
on
aging
expending
such
funds
in
contravention
of
18
such
procedures,
laws,
rules
and
regulations,
not
the
state,
19
shall
be
liable
for
such
repayment.
20
4.
Of
the
funds
appropriated
in
this
section,
at
least
21
$600,000
shall
be
used
to
fund
home
and
community-based
22
services
through
the
area
agencies
on
aging
that
enable
older
23
individuals
to
avoid
more
costly
utilization
of
residential
or
24
institutional
services
and
remain
in
their
own
homes.
25
5.
Of
the
funds
appropriated
in
this
section,
$812,000
shall
26
be
used
for
the
purposes
of
chapter
231E
and
to
administer
27
the
prevention
of
elder
abuse,
neglect,
and
exploitation
28
program
pursuant
to
section
231.56A
,
in
accordance
with
the
29
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
30
U.S.C.
§3001
et
seq.,
as
amended.
31
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
32
shall
be
used
to
fund
continuation
of
the
aging
and
disability
33
resource
center
lifelong
links
to
provide
individuals
and
34
caregivers
with
information
and
services
to
plan
for
and
35
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S.F.
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H.F.
_____
maintain
independence.
1
7.
Of
the
funds
appropriated
in
this
section,
$250,000
2
shall
be
used
by
the
department
on
aging,
in
collaboration
with
3
the
department
of
human
services
and
affected
stakeholders,
4
to
continue
to
expand
the
pilot
initiative
to
provide
5
long-term
care
options
counseling
utilizing
support
planning
6
protocols,
to
assist
non-Medicaid
eligible
consumers
who
7
indicate
a
preference
to
return
to
the
community
and
are
8
deemed
appropriate
for
discharge,
to
return
to
their
community
9
following
a
nursing
facility
stay.
The
department
on
aging
10
shall
submit
a
report
regarding
the
outcomes
of
the
pilot
11
initiative
to
the
governor
and
the
general
assembly
by
December
12
15,
2020.
13
DIVISION
II
14
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2020-2021
15
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
16
appropriated
from
the
general
fund
of
the
state
to
the
office
17
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
18
1,
2020,
and
ending
June
30,
2021,
the
following
amount,
or
19
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
20
designated:
21
For
salaries,
support,
administration,
maintenance,
and
22
miscellaneous
purposes:
23
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.
$
1,168,936
24
DIVISION
III
25
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2020-2021
26
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
27
from
the
general
fund
of
the
state
to
the
department
of
public
28
health
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
29
June
30,
2021,
the
following
amounts,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purposes
designated:
31
1.
ADDICTIVE
DISORDERS
32
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
33
and
other
drugs,
and
treating
individuals
affected
by
addictive
34
behaviors,
including
gambling:
35
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3/
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S.F.
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H.F.
_____
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$
25,129,012
1
a.
Of
the
funds
appropriated
in
this
subsection,
$4,020,852
2
shall
be
used
for
the
tobacco
use
prevention
and
control
3
initiative,
including
efforts
at
the
state
and
local
levels,
4
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
5
prevention
and
control
established
pursuant
to
section
142A.3
6
shall
advise
the
director
of
public
health
in
prioritizing
7
funding
needs
and
the
allocation
of
moneys
appropriated
for
8
the
programs
and
initiatives.
Activities
of
the
programs
9
and
initiatives
shall
be
in
alignment
with
the
United
States
10
centers
for
disease
control
and
prevention
best
practices
11
for
comprehensive
tobacco
control
programs
that
include
12
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
13
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
14
cessation.
15
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
16
$21,088,527
shall
be
used
for
problem
gambling
and
17
substance-related
disorder
prevention,
treatment,
and
recovery
18
services,
including
a
24-hour
helpline,
public
information
19
resources,
professional
training,
youth
prevention,
and
program
20
evaluation.
21
(2)
Of
the
amount
allocated
under
this
paragraph,
$306,000
22
shall
be
utilized
by
the
department
of
public
health,
in
23
collaboration
with
the
department
of
human
services,
to
24
maintain
a
single
statewide
24-hour
crisis
hotline
for
the
Iowa
25
children’s
behavioral
health
system
that
incorporates
warmline
26
services
which
may
be
provided
through
expansion
of
existing
27
capabilities
maintained
by
the
department
of
public
health
as
28
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
section
16.
29
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
30
by
the
appropriations
and
allocations
made
in
this
division
of
31
this
Act
for
purposes
of
substance-related
disorder
treatment
32
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
33
2020.
34
2.
HEALTHY
CHILDREN
AND
FAMILIES
35
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_____
H.F.
_____
For
promoting
the
optimum
health
status
for
children
and
1
adolescents
from
birth
through
21
years
of
age,
and
families:
2
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.
$
5,824,387
3
3.
CHRONIC
CONDITIONS
4
For
serving
individuals
identified
as
having
chronic
5
conditions
or
special
health
care
needs:
6
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$
4,237,927
7
4.
COMMUNITY
CAPACITY
8
For
strengthening
the
health
care
delivery
system
at
the
9
local
level:
10
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$
7,004,757
11
a.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
12
shall
be
deposited
in
the
medical
residency
training
account
13
created
in
section
135.175,
subsection
5,
paragraph
“a”,
and
14
is
appropriated
from
the
account
to
the
department
of
public
15
health
to
be
used
for
the
purposes
of
the
medical
residency
16
training
state
matching
grants
program
as
specified
in
section
17
135.176.
18
b.
Of
the
funds
appropriated
in
this
subsection,
$250,000
19
shall
be
used
for
the
public
purpose
of
providing
funding
to
20
Des
Moines
university
to
continue
a
provider
education
project
21
to
provide
primary
care
physicians
with
the
training
and
skills
22
necessary
to
recognize
the
signs
of
mental
illness
in
patients.
23
c.
Of
the
funds
appropriated
in
this
subsection,
$800,000
24
shall
be
used
for
rural
psychiatric
residencies
to
support
the
25
annual
creation
and
training
of
four
psychiatric
residents
who
26
will
provide
mental
health
services
in
underserved
areas
of
27
the
state.
Notwithstanding
section
8.33,
moneys
allocated
in
28
this
paragraph
“c”
that
remain
unencumbered
or
unobligated
at
29
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
30
available
for
expenditure
for
the
purposes
designated
for
31
subsequent
fiscal
years.
32
d.
Of
the
funds
appropriated
in
this
subsection,
33
$400,000
shall
be
used
for
a
family
medicine
obstetrics
and
34
gynecology
fellowship
program
to
offer
four
physician
fellows
35
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_____
H.F.
_____
a
one-year
period
of
specialized
obstetrics
and
gynecology
1
training
following
a
three-year
family
medicine
residency.
2
Notwithstanding
section
8.33,
moneys
allocated
in
this
3
paragraph
“d”
that
remain
unencumbered
or
unobligated
at
the
4
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
5
available
for
expenditure
for
the
purposes
designated
for
6
subsequent
fiscal
years.
7
e.
Of
the
funds
appropriated
in
this
subsection,
$100,000
8
shall
be
used
to
expand
access
to
telementoring
technology
to
9
enable
specialty
conferences
between
obstetrician/gynecologists
10
and
family
medicine
physicians.
11
f.
Of
the
funds
appropriated
in
this
subsection,
$500,000
12
shall
be
used
for
a
centers
of
excellence
pilot
program
to
13
encourage
innovation
and
collaboration
among
regional
health
14
care
providers
in
order
to
transform
health
care
delivery
to
15
provide
quality,
sustainable
care
that
meets
the
needs
of
local
16
communities.
17
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
18
To
provide
public
health
services
that
reduce
risks
and
19
invest
in
promoting
and
protecting
good
health
over
the
20
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
21
vulnerable
populations:
22
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.
$
7,662,464
23
6.
INFECTIOUS
DISEASES
24
For
reducing
the
incidence
and
prevalence
of
communicable
25
diseases:
26
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.
$
1,803,212
27
7.
PUBLIC
PROTECTION
28
For
protecting
the
health
and
safety
of
the
public
through
29
establishing
standards
and
enforcing
regulations:
30
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,314,883
31
Of
the
funds
appropriated
in
this
subsection,
not
more
than
32
$304,000
shall
be
credited
to
the
emergency
medical
services
33
fund
created
in
section
135.25
.
Moneys
in
the
emergency
34
medical
services
fund
are
appropriated
to
the
department
to
be
35
-6-
LSB
5013XG
(11)
88
pf/rn
6/
58
S.F.
_____
H.F.
_____
used
for
the
purposes
of
the
fund.
1
8.
RESOURCE
MANAGEMENT
2
For
establishing
and
sustaining
the
overall
ability
of
the
3
department
to
deliver
services
to
the
public:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
936,139
5
9.
MISCELLANEOUS
PROVISIONS
6
The
university
of
Iowa
hospitals
and
clinics
under
the
7
control
of
the
state
board
of
regents
shall
not
receive
8
indirect
costs
from
the
funds
appropriated
in
this
section.
9
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
10
department
shall
be
on
at
least
a
quarterly
basis.
11
Sec.
4.
DEPARTMENT
OF
PUBLIC
HEALTH
——
GAMBLING
TREATMENT
12
PROGRAM.
There
is
appropriated
from
the
sports
wagering
13
receipts
fund
created
in
section
8.57,
subsection
6,
to
the
14
department
of
public
health
for
the
fiscal
year
beginning
July
15
1,
2020,
and
ending
June
30,
2021,
the
following
amount
or
16
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
17
designated:
18
For
the
purposes
of
the
gambling
treatment
program
19
established
pursuant
to
section
135.150:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
300,000
21
DIVISION
IV
22
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2020-2021
23
Sec.
5.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
24
appropriated
from
the
general
fund
of
the
state
to
the
25
department
of
veterans
affairs
for
the
fiscal
year
beginning
26
July
1,
2020,
and
ending
June
30,
2021,
the
following
amounts,
27
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
28
designated:
29
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
30
For
salaries,
support,
maintenance,
and
miscellaneous
31
purposes:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,249,946
33
2.
IOWA
VETERANS
HOME
34
For
salaries,
support,
maintenance,
and
miscellaneous
35
-7-
LSB
5013XG
(11)
88
pf/rn
7/
58
S.F.
_____
H.F.
_____
purposes:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,131,552
2
a.
The
Iowa
veterans
home
billings
involving
the
department
3
of
human
services
shall
be
submitted
to
the
department
on
at
4
least
a
monthly
basis.
5
b.
Within
available
resources
and
in
conformance
with
6
associated
state
and
federal
program
eligibility
requirements,
7
the
Iowa
veterans
home
may
implement
measures
to
provide
8
financial
assistance
to
or
on
behalf
of
veterans
or
their
9
spouses
who
are
participating
in
the
community
reentry
program.
10
c.
The
Iowa
veterans
home
expenditure
report
shall
be
11
submitted
monthly
to
the
legislative
services
agency.
12
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
13
annual
discharge
report
applicant
information
to
provide
for
14
the
collection
of
demographic
information
including
but
not
15
limited
to
the
number
of
individuals
applying
for
admission
and
16
admitted
or
denied
admittance
and
the
basis
for
the
admission
17
or
denial;
the
age,
gender,
and
race
of
such
individuals;
18
and
the
level
of
care
for
which
such
individuals
applied
for
19
admission
including
residential
or
nursing
level
of
care.
20
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
21
For
transfer
to
the
Iowa
finance
authority
for
the
22
continuation
of
the
home
ownership
assistance
program
for
23
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
24
the
United
States,
pursuant
to
section
16.54
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
26
Sec.
6.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
27
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
28
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
29
July
1,
2020,
and
ending
June
30,
2021,
the
amount
appropriated
30
from
the
general
fund
of
the
state
pursuant
to
that
section
31
for
the
following
designated
purposes
shall
not
exceed
the
32
following
amount:
33
For
the
county
commissions
of
veteran
affairs
fund
under
34
section
35A.16
:
35
-8-
LSB
5013XG
(11)
88
pf/rn
8/
58
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
1
DIVISION
V
2
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2020-2021
3
Sec.
7.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
4
GRANT.
There
is
appropriated
from
the
fund
created
in
section
5
8.41
to
the
department
of
human
services
for
the
fiscal
year
6
beginning
July
1,
2020,
and
ending
June
30,
2021,
from
moneys
7
received
under
the
federal
temporary
assistance
for
needy
8
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
9
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
10
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
11
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purposes
designated:
13
1.
To
be
credited
to
the
family
investment
program
account
14
and
used
for
assistance
under
the
family
investment
program
15
under
chapter
239B
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,002,006
17
2.
To
be
credited
to
the
family
investment
program
account
18
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
19
program
and
implementing
family
investment
agreements
in
20
accordance
with
chapter
239B
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
22
3.
To
be
used
for
the
family
development
and
23
self-sufficiency
grant
program
in
accordance
with
section
24
216A.107
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,888,980
26
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
27
subsection
that
remain
unencumbered
or
unobligated
at
the
close
28
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
29
for
expenditure
for
the
purposes
designated
until
the
close
of
30
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
31
encumbered
or
obligated
on
or
before
September
30,
2020,
the
32
moneys
shall
revert.
33
4.
For
field
operations:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
35
-9-
LSB
5013XG
(11)
88
pf/rn
9/
58
S.F.
_____
H.F.
_____
5.
For
general
administration:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
2
6.
For
state
child
care
assistance:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
4
a.
Of
the
funds
appropriated
in
this
subsection,
5
$26,205,412
is
transferred
to
the
child
care
and
development
6
block
grant
appropriation
made
by
the
Eighty-ninth
General
7
Assembly,
2020
session,
for
the
federal
fiscal
year
beginning
8
October
1,
2020,
and
ending
September
30,
2021.
Of
this
9
amount,
$200,000
shall
be
used
for
provision
of
educational
10
opportunities
to
registered
child
care
home
providers
in
order
11
to
improve
services
and
programs
offered
by
this
category
12
of
providers
and
to
increase
the
number
of
providers.
The
13
department
may
contract
with
institutions
of
higher
education
14
or
child
care
resource
and
referral
centers
to
provide
15
the
educational
opportunities.
Allowable
administrative
16
costs
under
the
contracts
shall
not
exceed
5
percent.
The
17
application
for
a
grant
shall
not
exceed
two
pages
in
length.
18
b.
Any
funds
appropriated
in
this
subsection
remaining
19
unallocated
shall
be
used
for
state
child
care
assistance
20
payments
for
families
who
are
employed
including
but
not
21
limited
to
individuals
enrolled
in
the
family
investment
22
program.
23
7.
For
child
and
family
services:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
25
8.
For
child
abuse
prevention
grants:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
27
9.
For
pregnancy
prevention
grants
on
the
condition
that
28
family
planning
services
are
funded:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
30
Pregnancy
prevention
grants
shall
be
awarded
to
programs
31
in
existence
on
or
before
July
1,
2020,
if
the
programs
have
32
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
33
pregnancy
prevention
programs
which
are
developed
after
July
34
1,
2020,
if
the
programs
are
based
on
existing
models
that
35
-10-
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5013XG
(11)
88
pf/rn
10/
58
S.F.
_____
H.F.
_____
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
1
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
2
section
14,
subsections
1
and
2
,
including
the
requirement
that
3
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
4
the
awarding
of
grants
shall
be
given
to
programs
that
serve
5
areas
of
the
state
which
demonstrate
the
highest
percentage
of
6
unplanned
pregnancies
of
females
of
childbearing
age
within
the
7
geographic
area
to
be
served
by
the
grant.
8
10.
For
technology
needs
and
other
resources
necessary
to
9
meet
federal
and
state
reporting,
tracking,
and
case
management
10
requirements
and
other
departmental
needs:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
12
11.
a.
Notwithstanding
any
provision
to
the
contrary,
13
including
but
not
limited
to
requirements
in
section
8.41
or
14
provisions
in
2019
Iowa
Acts
or
2020
Iowa
Acts
regarding
the
15
receipt
and
appropriation
of
federal
block
grants,
federal
16
funds
from
the
temporary
assistance
for
needy
families
block
17
grant
received
by
the
state
and
not
otherwise
appropriated
18
in
this
section
and
remaining
available
for
the
fiscal
year
19
beginning
July
1,
2020,
are
appropriated
to
the
department
of
20
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
21
the
following
priority
order:
the
family
investment
program,
22
for
state
child
care
assistance
program
payments
for
families
23
who
are
employed,
and
for
the
family
investment
program
share
24
of
system
costs
for
eligibility
determination
and
related
25
functions.
The
federal
funds
appropriated
in
this
paragraph
26
shall
be
expended
only
after
all
other
funds
appropriated
27
in
subsection
1
for
assistance
under
the
family
investment
28
program,
in
subsection
6
for
state
child
care
assistance,
or
29
in
subsection
10
for
technology
costs
related
to
the
family
30
investment
program,
as
applicable,
have
been
expended.
For
31
the
purposes
of
this
subsection,
the
funds
appropriated
in
32
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
33
and
development
block
grant
appropriation
are
considered
fully
34
expended
when
the
full
amount
has
been
transferred.
35
-11-
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5013XG
(11)
88
pf/rn
11/
58
S.F.
_____
H.F.
_____
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
1
legislative
services
agency
and
department
of
management
of
2
the
amount
of
funds
appropriated
in
this
subsection
that
was
3
expended
in
the
prior
quarter.
4
12.
Of
the
amounts
appropriated
in
this
section,
5
$12,962,008
for
the
fiscal
year
beginning
July
1,
2020,
is
6
transferred
to
the
appropriation
of
the
federal
social
services
7
block
grant
made
to
the
department
of
human
services
for
that
8
fiscal
year.
9
13.
For
continuation
of
the
program
providing
categorical
10
eligibility
for
the
food
assistance
program
as
specified
11
for
the
program
in
the
section
of
this
division
of
this
Act
12
relating
to
the
family
investment
program
account:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
14
14.
The
department
may
transfer
funds
allocated
in
this
15
section
to
the
appropriations
made
in
this
division
of
this
Act
16
for
the
same
fiscal
year
for
general
administration
and
field
17
operations
for
resources
necessary
to
implement
and
operate
the
18
services
referred
to
in
this
section
and
those
funded
in
the
19
appropriation
made
in
this
division
of
this
Act
for
the
same
20
fiscal
year
for
the
family
investment
program
from
the
general
21
fund
of
the
state.
22
15.
With
the
exception
of
moneys
allocated
under
this
23
section
for
the
family
development
and
self-sufficiency
grant
24
program,
to
the
extent
moneys
allocated
in
this
section
are
25
deemed
by
the
department
not
to
be
necessary
to
support
the
26
purposes
for
which
they
are
allocated,
such
moneys
may
be
27
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
28
funds
are
allocated
in
this
section
or
in
section
8
of
this
29
division
for
the
family
investment
program
account.
If
there
30
are
conflicting
needs,
priority
shall
first
be
given
to
the
31
family
investment
program
account
as
specified
under
subsection
32
1
of
this
section
and
used
for
the
purposes
of
assistance
under
33
the
family
investment
program
in
accordance
with
chapter
239B
,
34
followed
by
state
child
care
assistance
program
payments
for
35
-12-
LSB
5013XG
(11)
88
pf/rn
12/
58
S.F.
_____
H.F.
_____
families
who
are
employed,
followed
by
other
priorities
as
1
specified
by
the
department.
2
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
3
1.
Moneys
credited
to
the
family
investment
program
(FIP)
4
account
for
the
fiscal
year
beginning
July
1,
2020,
and
5
ending
June
30,
2021,
shall
be
used
to
provide
assistance
in
6
accordance
with
chapter
239B
.
7
2.
The
department
may
use
a
portion
of
the
moneys
credited
8
to
the
FIP
account
under
this
section
as
necessary
for
9
salaries,
support,
maintenance,
and
miscellaneous
purposes.
10
3.
The
department
may
transfer
funds
allocated
in
11
subsection
4,
excluding
the
allocation
under
subsection
4,
12
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
13
this
Act
for
the
same
fiscal
year
for
general
administration
14
and
field
operations
for
resources
necessary
to
implement
15
and
operate
the
services
referred
to
in
this
section
and
16
those
funded
in
the
appropriations
made
in
section
7
for
the
17
temporary
assistance
for
needy
families
block
grant
and
in
18
section
9
for
the
family
investment
program
from
the
general
19
fund
of
the
state
in
this
division
of
this
Act
for
the
same
20
fiscal
year.
21
4.
Moneys
appropriated
in
this
division
of
this
Act
and
22
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
23
1,
2020,
and
ending
June
30,
2021,
are
allocated
as
follows:
24
a.
To
be
retained
by
the
department
of
human
services
to
25
be
used
for
coordinating
with
the
department
of
human
rights
26
to
more
effectively
serve
participants
in
FIP
and
other
shared
27
clients
and
to
meet
federal
reporting
requirements
under
the
28
federal
temporary
assistance
for
needy
families
block
grant:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
30
b.
To
the
department
of
human
rights
for
staffing,
31
administration,
and
implementation
of
the
family
development
32
and
self-sufficiency
grant
program
in
accordance
with
section
33
216A.107
:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
35
-13-
LSB
5013XG
(11)
88
pf/rn
13/
58
S.F.
_____
H.F.
_____
(1)
Of
the
funds
allocated
for
the
family
development
1
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
2
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
3
administration
of
the
grant
program.
4
(2)
The
department
of
human
rights
may
continue
to
implement
5
the
family
development
and
self-sufficiency
grant
program
6
statewide
during
fiscal
year
2020-2021.
7
(3)
The
department
of
human
rights
may
engage
in
activities
8
to
strengthen
and
improve
family
outcomes
measures
and
9
data
collection
systems
under
the
family
development
and
10
self-sufficiency
grant
program.
11
c.
For
the
diversion
subaccount
of
the
FIP
account:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,293,000
13
A
portion
of
the
moneys
allocated
for
the
diversion
14
subaccount
may
be
used
for
field
operations,
salaries,
data
15
management
system
development,
and
implementation
costs
and
16
support
deemed
necessary
by
the
director
of
human
services
17
in
order
to
administer
the
FIP
diversion
program.
To
the
18
extent
moneys
allocated
in
this
paragraph
are
deemed
by
the
19
department
not
to
be
necessary
to
support
diversion
activities,
20
such
moneys
may
be
used
for
other
efforts
intended
to
increase
21
engagement
by
family
investment
program
participants
in
work,
22
education,
or
training
activities,
or
for
the
purposes
of
23
assistance
under
the
family
investment
program
in
accordance
24
with
chapter
239B
.
25
d.
For
the
food
assistance
employment
and
training
program:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
27
(1)
The
department
shall
apply
the
federal
supplemental
28
nutrition
assistance
program
(SNAP)
employment
and
training
29
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
30
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
31
provisions
for
the
claiming
of
allowable
federal
reimbursement
32
funds
from
the
United
States
department
of
agriculture
33
pursuant
to
the
federal
SNAP
employment
and
training
program
34
for
providing
education,
employment,
and
training
services
35
-14-
LSB
5013XG
(11)
88
pf/rn
14/
58
S.F.
_____
H.F.
_____
for
eligible
food
assistance
program
participants,
including
1
but
not
limited
to
related
dependent
care
and
transportation
2
expenses.
3
(2)
The
department
shall
continue
the
categorical
federal
4
food
assistance
program
eligibility
at
160
percent
of
the
5
federal
poverty
level
and
continue
to
eliminate
the
asset
test
6
from
eligibility
requirements,
consistent
with
federal
food
7
assistance
program
requirements.
The
department
shall
include
8
as
many
food
assistance
households
as
is
allowed
by
federal
9
law.
The
eligibility
provisions
shall
conform
to
all
federal
10
requirements
including
requirements
addressing
individuals
who
11
are
incarcerated
or
otherwise
ineligible.
12
e.
For
the
JOBS
program:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,837,505
14
5.
Of
the
child
support
collections
assigned
under
FIP,
15
an
amount
equal
to
the
federal
share
of
support
collections
16
shall
be
credited
to
the
child
support
recovery
appropriation
17
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
18
assigned
child
support
collections
received
by
the
child
19
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
20
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
21
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
22
payments
account.
If
as
a
consequence
of
the
appropriations
23
and
allocations
made
in
this
section
the
resulting
amounts
24
are
insufficient
to
sustain
cash
assistance
payments
and
meet
25
federal
maintenance
of
effort
requirements,
the
department
26
shall
seek
supplemental
funding.
If
child
support
collections
27
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
28
determined
not
to
be
required
for
maintenance
of
effort,
the
29
state
share
of
either
amount
may
be
transferred
to
or
retained
30
in
the
child
support
payments
account.
31
6.
The
department
may
adopt
emergency
rules
for
the
family
32
investment,
JOBS,
food
assistance,
and
medical
assistance
33
programs
if
necessary
to
comply
with
federal
requirements.
34
Sec.
9.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
35
-15-
LSB
5013XG
(11)
88
pf/rn
15/
58
S.F.
_____
H.F.
_____
is
appropriated
from
the
general
fund
of
the
state
to
the
1
department
of
human
services
for
the
fiscal
year
beginning
July
2
1,
2020,
and
ending
June
30,
2021,
the
following
amount,
or
3
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
4
designated:
5
To
be
credited
to
the
family
investment
program
(FIP)
6
account
and
used
for
family
investment
program
assistance
under
7
chapter
239B
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,793,542
9
1.
Of
the
funds
appropriated
in
this
section,
$6,425,445
is
10
allocated
for
the
JOBS
program.
11
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
12
allocated
for
the
family
development
and
self-sufficiency
grant
13
program.
14
3.
a.
Notwithstanding
section
8.39
,
for
the
fiscal
15
year
beginning
July
1,
2020,
if
necessary
to
meet
federal
16
maintenance
of
effort
requirements
or
to
transfer
federal
17
temporary
assistance
for
needy
families
block
grant
funding
18
to
be
used
for
purposes
of
the
federal
social
services
block
19
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
20
receiving
federal
funding
or
to
implement,
in
accordance
with
21
this
division
of
this
Act,
activities
currently
funded
with
22
juvenile
court
services,
county,
or
community
moneys
and
state
23
moneys
used
in
combination
with
such
moneys;
to
comply
with
24
federal
requirements;
or
to
maximize
the
use
of
federal
funds;
25
the
department
of
human
services
may
transfer
funds
within
or
26
between
any
of
the
appropriations
made
in
this
division
of
this
27
Act
and
appropriations
in
law
for
the
federal
social
services
28
block
grant
to
the
department
for
the
following
purposes,
29
provided
that
the
combined
amount
of
state
and
federal
30
temporary
assistance
for
needy
families
block
grant
funding
31
for
each
appropriation
remains
the
same
before
and
after
the
32
transfer:
33
(1)
For
the
family
investment
program.
34
(2)
For
state
child
care
assistance.
35
-16-
LSB
5013XG
(11)
88
pf/rn
16/
58
S.F.
_____
H.F.
_____
(3)
For
child
and
family
services.
1
(4)
For
field
operations.
2
(5)
For
general
administration.
3
b.
This
subsection
shall
not
be
construed
to
prohibit
the
4
use
of
existing
state
transfer
authority
for
other
purposes.
5
The
department
shall
report
any
transfers
made
pursuant
to
this
6
subsection
to
the
legislative
services
agency.
7
4.
Of
the
funds
appropriated
in
this
section,
$195,000
8
shall
be
used
for
a
contract
with
an
Iowa-based
nonprofit
9
organization
with
a
history
of
providing
tax
preparation
10
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
11
the
earned
income
tax
credit.
The
purpose
of
the
contract
is
12
to
supply
this
assistance
to
underserved
areas
of
the
state.
13
The
department
shall
not
retain
any
portion
of
the
allocation
14
under
this
subsection
for
administrative
costs.
15
5.
Of
the
funds
appropriated
in
this
section,
$70,000
shall
16
be
used
for
the
continuation
of
the
parenting
program,
as
17
specified
in
441
IAC
ch.
100,
relating
to
parental
obligations,
18
in
which
the
child
support
recovery
unit
participates,
to
19
support
the
efforts
of
a
nonprofit
organization
committed
20
to
strengthening
the
community
through
youth
development,
21
healthy
living,
and
social
responsibility
headquartered
in
22
a
county
with
a
population
over
350,000
according
to
the
23
latest
certified
federal
census.
The
funds
allocated
in
this
24
subsection
shall
be
used
by
the
recipient
organization
to
25
develop
a
larger
community
effort,
through
public
and
private
26
partnerships,
to
support
a
broad-based
multi-county
parenthood
27
initiative
that
promotes
payment
of
child
support
obligations,
28
improved
family
relationships,
and
full-time
employment.
29
6.
The
department
may
transfer
funds
appropriated
in
this
30
section,
excluding
the
allocation
in
subsection
2
for
the
31
family
development
and
self-sufficiency
grant
program,
to
the
32
appropriations
made
in
this
division
of
this
Act
for
general
33
administration
and
field
operations
as
necessary
to
administer
34
this
section,
section
7
for
the
temporary
assistance
for
needy
35
-17-
LSB
5013XG
(11)
88
pf/rn
17/
58
S.F.
_____
H.F.
_____
families
block
grant,
and
section
8
for
the
family
investment
1
program
account.
2
Sec.
10.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
3
from
the
general
fund
of
the
state
to
the
department
of
human
4
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
5
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
6
necessary,
to
be
used
for
the
purposes
designated:
7
For
child
support
recovery,
including
salaries,
support,
8
maintenance,
and
miscellaneous
purposes:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,247,977
10
1.
The
department
shall
expend
up
to
$24,000,
including
11
federal
financial
participation,
for
the
fiscal
year
beginning
12
July
1,
2020,
for
a
child
support
public
awareness
campaign.
13
The
department
and
the
office
of
the
attorney
general
shall
14
cooperate
in
continuation
of
the
campaign.
The
public
15
awareness
campaign
shall
emphasize,
through
a
variety
of
16
media
activities,
the
importance
of
maximum
involvement
of
17
both
parents
in
the
lives
of
their
children
as
well
as
the
18
importance
of
payment
of
child
support
obligations.
19
2.
Federal
access
and
visitation
grant
moneys
shall
be
20
issued
directly
to
private
not-for-profit
agencies
that
provide
21
services
designed
to
increase
compliance
with
the
child
access
22
provisions
of
court
orders,
including
but
not
limited
to
23
neutral
visitation
sites
and
mediation
services.
24
3.
The
appropriation
made
to
the
department
for
child
25
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
26
manner
necessary
for
purposes
of
cash
flow
management,
and
for
27
cash
flow
management
purposes
the
department
may
temporarily
28
draw
more
than
the
amount
appropriated,
provided
the
amount
29
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
30
Sec.
11.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
31
FY
2020-2021.
Any
funds
remaining
in
the
health
care
trust
32
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
33
July
1,
2020,
and
ending
June
30,
2021,
are
appropriated
to
34
the
department
of
human
services
to
supplement
the
medical
35
-18-
LSB
5013XG
(11)
88
pf/rn
18/
58
S.F.
_____
H.F.
_____
assistance
program
appropriations
made
in
this
division
of
this
1
Act,
for
medical
assistance
reimbursement
and
associated
costs,
2
including
program
administration
and
costs
associated
with
3
program
implementation.
4
Sec.
12.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
5
2020-2021.
Any
funds
remaining
in
the
Medicaid
fraud
fund
6
created
in
section
249A.50
for
the
fiscal
year
beginning
7
July
1,
2020,
and
ending
June
30,
2021,
are
appropriated
to
8
the
department
of
human
services
to
supplement
the
medical
9
assistance
appropriations
made
in
this
division
of
this
Act,
10
for
medical
assistance
reimbursement
and
associated
costs,
11
including
program
administration
and
costs
associated
with
12
program
implementation.
13
Sec.
13.
MENTAL
HEALTH
AND
DISABILITY
REGIONAL
SERVICES
14
FUND
——
FY
2020-2021.
There
is
appropriated
from
the
general
15
fund
of
the
state
to
the
department
of
human
services
for
the
16
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
2021,
17
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
18
used
for
the
purpose
designated:
19
For
transfer
to
the
mental
health
and
disability
regional
20
services
fund
created
in
section
225C.7A,
or
a
successor
fund:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
80,600,000
22
Moneys
transferred
to
the
mental
health
and
disability
23
regional
services
fund
under
this
section
are
appropriated
to
24
the
department
of
human
services
for
distribution
to
counties
25
for
funding
of
mental
health
and
disability
services
in
26
accordance
with
section
225C.7A.
27
Sec.
14.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
28
general
fund
of
the
state
to
the
department
of
human
services
29
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
30
2021,
the
following
amount,
or
so
much
thereof
as
is
necessary,
31
to
be
used
for
the
purpose
designated:
32
For
medical
assistance
program
reimbursement
and
associated
33
costs
as
specifically
provided
in
the
reimbursement
34
methodologies
in
effect
on
June
30,
2019,
except
as
otherwise
35
-19-
LSB
5013XG
(11)
88
pf/rn
19/
58
S.F.
_____
H.F.
_____
expressly
authorized
by
law,
consistent
with
options
under
1
federal
law
and
regulations,
and
contingent
upon
receipt
of
2
approval
from
the
office
of
the
governor
of
reimbursement
for
3
each
abortion
performed
under
the
program:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,594,425,375
5
1.
Iowans
support
reducing
the
number
of
abortions
6
performed
in
our
state.
Funds
appropriated
under
this
section
7
shall
not
be
used
for
abortions,
unless
otherwise
authorized
8
under
this
section.
9
2.
The
provisions
of
this
section
relating
to
abortions
10
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
11
pursuant
to
chapter
249N
.
12
3.
The
department
shall
utilize
not
more
than
$60,000
of
13
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
14
health
insurance
premium
payment
program
as
established
in
1992
15
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
16
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
17
not
more
than
$5,000
may
be
expended
for
administrative
18
purposes.
19
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
20
of
public
health
for
addictive
disorders,
$950,000
for
21
the
fiscal
year
beginning
July
1,
2020,
is
transferred
22
to
the
department
of
human
services
for
an
integrated
23
substance-related
disorder
managed
care
system.
The
24
departments
of
human
services
and
public
health
shall
25
work
together
to
maintain
the
level
of
mental
health
and
26
substance-related
disorder
treatment
services
provided
by
the
27
managed
care
contractors.
Each
department
shall
take
the
steps
28
necessary
to
continue
the
federal
waivers
as
necessary
to
29
maintain
the
level
of
services.
30
5.
The
department
shall
aggressively
pursue
options
for
31
providing
medical
assistance
or
other
assistance
to
individuals
32
with
special
needs
who
become
ineligible
to
continue
receiving
33
services
under
the
early
and
periodic
screening,
diagnostic,
34
and
treatment
program
under
the
medical
assistance
program
35
-20-
LSB
5013XG
(11)
88
pf/rn
20/
58
S.F.
_____
H.F.
_____
due
to
becoming
21
years
of
age
who
have
been
approved
for
1
additional
assistance
through
the
department’s
exception
to
2
policy
provisions,
but
who
have
health
care
needs
in
excess
3
of
the
funding
available
through
the
exception
to
policy
4
provisions.
5
6.
Of
the
funds
appropriated
in
this
section,
up
to
6
$3,050,082
may
be
transferred
to
the
field
operations
or
7
general
administration
appropriations
in
this
division
of
this
8
Act
for
operational
costs
associated
with
Part
D
of
the
federal
9
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
10
of
2003,
Pub.
L.
No.
108-173.
11
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
12
may
be
transferred
to
the
appropriation
in
this
division
13
of
this
Act
for
medical
contracts
to
be
used
for
clinical
14
assessment
services
and
prior
authorization
of
services.
15
8.
A
portion
of
the
funds
appropriated
in
this
section
16
may
be
transferred
to
the
appropriations
in
this
division
of
17
this
Act
for
general
administration,
medical
contracts,
the
18
children’s
health
insurance
program,
or
field
operations
to
be
19
used
for
the
state
match
cost
to
comply
with
the
payment
error
20
rate
measurement
(PERM)
program
for
both
the
medical
assistance
21
and
children’s
health
insurance
programs
as
developed
by
the
22
centers
for
Medicare
and
Medicaid
services
of
the
United
States
23
department
of
health
and
human
services
to
comply
with
the
24
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
25
No.
107-300,
and
to
support
other
reviews
and
quality
control
26
activities
to
improve
the
integrity
of
these
programs.
27
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
28
amount
is
allocated
to
supplement
the
incomes
of
residents
of
29
nursing
facilities,
intermediate
care
facilities
for
persons
30
with
mental
illness,
and
intermediate
care
facilities
for
31
persons
with
an
intellectual
disability,
with
incomes
of
less
32
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
33
personal
needs
allowance
of
$50
per
month
pursuant
to
section
34
249A.30A
.
35
-21-
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5013XG
(11)
88
pf/rn
21/
58
S.F.
_____
H.F.
_____
10.
a.
Hospitals
that
meet
the
conditions
specified
1
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
2
expenditures
or
transfer
to
the
medical
assistance
program
3
an
amount
equal
to
provide
the
nonfederal
share
for
a
4
disproportionate
share
hospital
payment
in
an
amount
up
to
the
5
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
6
The
hospitals
that
meet
the
conditions
specified
shall
receive
7
and
retain
100
percent
of
the
total
disproportionate
share
8
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
9
as
approved
in
the
Medicaid
state
plan.
10
(1)
The
hospital
qualifies
for
disproportionate
share
and
11
graduate
medical
education
payments.
12
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
13
than
500
beds
and
eight
or
more
distinct
residency
specialty
14
or
subspecialty
programs
recognized
by
the
American
college
of
15
graduate
medical
education.
16
b.
Distribution
of
the
disproportionate
share
payments
17
shall
be
made
on
a
monthly
basis.
The
total
amount
of
18
disproportionate
share
payments
including
graduate
medical
19
education,
enhanced
disproportionate
share,
and
Iowa
20
state-owned
teaching
hospital
payments
shall
not
exceed
the
21
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
22
In
addition,
the
total
amount
of
all
disproportionate
23
share
payments
shall
not
exceed
the
hospital-specific
24
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
25
11.
One
hundred
percent
of
the
nonfederal
share
of
payments
26
to
area
education
agencies
that
are
medical
assistance
27
providers
for
medical
assistance-covered
services
provided
to
28
medical
assistance-covered
children,
shall
be
made
from
the
29
appropriation
made
in
this
section.
30
12.
A
portion
of
the
funds
appropriated
in
this
section
31
may
be
transferred
to
the
appropriation
in
this
division
of
32
this
Act
for
medical
contracts
to
be
used
for
administrative
33
activities
associated
with
the
money
follows
the
person
34
demonstration
project.
35
-22-
LSB
5013XG
(11)
88
pf/rn
22/
58
S.F.
_____
H.F.
_____
13.
Of
the
funds
appropriated
in
this
section,
$349,011
1
shall
be
used
for
the
administration
of
the
health
insurance
2
premium
payment
program,
including
salaries,
support,
3
maintenance,
and
miscellaneous
purposes.
4
14.
a.
The
department
may
increase
the
amounts
allocated
5
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
6
associated
with
the
medical
assistance
program,
as
necessary,
7
to
sustain
cost
management
efforts.
The
department
shall
8
report
any
such
increase
to
the
legislative
services
agency
and
9
the
department
of
management.
10
b.
If
the
savings
to
the
medical
assistance
program
from
11
ongoing
cost
management
efforts
exceed
the
associated
cost
12
for
the
fiscal
year
beginning
July
1,
2020,
the
department
13
may
transfer
any
savings
generated
for
the
fiscal
year
due
14
to
medical
assistance
program
cost
management
efforts
to
the
15
appropriation
made
in
this
division
of
this
Act
for
medical
16
contracts
or
general
administration
to
defray
the
costs
17
associated
with
implementing
the
efforts.
18
15.
For
the
fiscal
year
beginning
July
1,
2020,
and
ending
19
June
30,
2021,
the
replacement
generation
tax
revenues
required
20
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
21
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
22
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
23
to
and
supplement
the
appropriation
made
in
this
section
and
24
used
for
the
allocations
made
in
this
section.
25
16.
a.
Of
the
funds
appropriated
in
this
section,
up
26
to
$50,000
may
be
transferred
by
the
department
to
the
27
appropriation
made
in
this
division
of
this
Act
to
the
28
department
for
the
same
fiscal
year
for
general
administration
29
to
be
used
for
associated
administrative
expenses
and
for
not
30
more
than
1.00
full-time
equivalent
position,
in
addition
to
31
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
32
implementing
the
children’s
mental
health
home
project.
33
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
34
may
be
transferred
by
the
department
to
the
appropriation
made
35
-23-
LSB
5013XG
(11)
88
pf/rn
23/
58
S.F.
_____
H.F.
_____
to
the
department
in
this
division
of
this
Act
for
the
same
1
fiscal
year
for
Medicaid
program-related
general
administration
2
planning
and
implementation
activities.
The
funds
may
be
used
3
for
contracts
or
for
personnel
in
addition
to
the
amounts
4
appropriated
for
and
the
positions
authorized
for
general
5
administration
for
the
fiscal
year.
6
c.
Of
the
funds
appropriated
in
this
section,
up
to
7
$3,000,000
may
be
transferred
by
the
department
to
the
8
appropriations
made
in
this
division
of
this
Act
for
the
same
9
fiscal
year
for
general
administration
or
medical
contracts
10
to
be
used
to
support
the
development
and
implementation
of
11
standardized
assessment
tools
for
persons
with
mental
illness,
12
an
intellectual
disability,
a
developmental
disability,
or
a
13
brain
injury.
14
17.
Of
the
funds
appropriated
in
this
section,
$150,000
15
shall
be
used
for
lodging
expenses
associated
with
care
16
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
17
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
18
and
whose
income
is
at
or
below
200
percent
of
the
federal
19
poverty
level
as
defined
by
the
most
recently
revised
poverty
20
income
guidelines
published
by
the
United
States
department
of
21
health
and
human
services.
The
department
of
human
services
22
shall
establish
the
maximum
number
of
overnight
stays
and
the
23
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
24
based
on
the
state
employee
rate
established
by
the
department
25
of
administrative
services.
The
funds
allocated
in
this
26
subsection
shall
not
be
used
as
nonfederal
share
matching
27
funds.
28
18.
Of
the
funds
appropriated
in
this
section,
up
to
29
$3,383,880
shall
be
used
for
administration
of
the
state
family
30
planning
services
program
pursuant
to
section
217.41B,
and
31
of
this
amount,
the
department
may
use
up
to
$200,000
for
32
administrative
expenses.
33
19.
Of
the
funds
appropriated
in
this
section,
$1,545,530
34
shall
be
used
and
may
be
transferred
to
other
appropriations
35
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58
S.F.
_____
H.F.
_____
in
this
division
of
this
Act
as
necessary
to
administer
the
1
provisions
in
the
division
of
this
Act
relating
to
Medicaid
2
program
administration.
3
20.
Of
the
funds
appropriated
in
this
section,
$5,000,000
4
shall
be
used
to
increase
the
availability
of
telehealth
5
providers
and
sites
of
service.
6
Sec.
15.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
7
general
fund
of
the
state
to
the
department
of
human
services
8
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
9
2021,
the
following
amount,
or
so
much
thereof
as
is
necessary,
10
to
be
used
for
the
purpose
designated:
11
For
medical
contracts:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,832,301
13
1.
The
department
of
inspections
and
appeals
shall
14
provide
all
state
matching
funds
for
survey
and
certification
15
activities
performed
by
the
department
of
inspections
16
and
appeals.
The
department
of
human
services
is
solely
17
responsible
for
distributing
the
federal
matching
funds
for
18
such
activities.
19
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
20
be
used
for
continuation
of
home
and
community-based
services
21
waiver
quality
assurance
programs,
including
the
review
and
22
streamlining
of
processes
and
policies
related
to
oversight
and
23
quality
management
to
meet
state
and
federal
requirements.
24
3.
Of
the
amount
appropriated
in
this
section,
up
to
25
$200,000
may
be
transferred
to
the
appropriation
for
general
26
administration
in
this
division
of
this
Act
to
be
used
for
27
additional
full-time
equivalent
positions
in
the
development
28
of
key
health
initiatives
such
as
development
and
oversight
29
of
managed
care
programs
and
development
of
health
strategies
30
targeted
toward
improved
quality
and
reduced
costs
in
the
31
Medicaid
program.
32
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
33
shall
be
used
for
planning
and
development,
in
cooperation
with
34
the
department
of
public
health,
of
a
phased-in
program
to
35
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58
S.F.
_____
H.F.
_____
provide
a
dental
home
for
children.
1
5.
a.
Of
the
funds
appropriated
in
this
section,
$573,000
2
shall
be
credited
to
the
autism
support
program
fund
created
3
in
section
225D.2
to
be
used
for
the
autism
support
program
4
created
in
chapter
225D
,
with
the
exception
of
the
following
5
amount
of
this
allocation
which
shall
be
used
as
follows:
6
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
7
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
8
nonprofit
provider
of
child
welfare
services
that
has
been
in
9
existence
for
more
than
115
years,
is
located
in
a
county
with
10
a
population
between
200,000
and
220,000
according
to
the
most
11
recent
federal
decennial
census,
is
licensed
as
a
psychiatric
12
medical
institution
for
children,
and
provides
school-based
13
programming,
to
be
used
for
support
services
for
children
with
14
autism
spectrum
disorder
and
their
families.
15
Sec.
16.
STATE
SUPPLEMENTARY
ASSISTANCE.
16
1.
There
is
appropriated
from
the
general
fund
of
the
17
state
to
the
department
of
human
services
for
the
fiscal
year
18
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
19
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
20
purpose
designated:
21
For
the
state
supplementary
assistance
program:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,349,002
23
2.
The
department
shall
increase
the
personal
needs
24
allowance
for
residents
of
residential
care
facilities
by
the
25
same
percentage
and
at
the
same
time
as
federal
supplemental
26
security
income
and
federal
social
security
benefits
are
27
increased
due
to
a
recognized
increase
in
the
cost
of
living.
28
The
department
may
adopt
emergency
rules
to
implement
this
29
subsection.
30
3.
If
during
the
fiscal
year
beginning
July
1,
2020,
31
the
department
projects
that
state
supplementary
assistance
32
expenditures
for
a
calendar
year
will
not
meet
the
federal
33
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
34
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
35
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88
pf/rn
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58
S.F.
_____
H.F.
_____
§1382g,
the
department
may
take
actions
including
but
not
1
limited
to
increasing
the
personal
needs
allowance
for
2
residential
care
facility
residents
and
making
programmatic
3
adjustments
or
upward
adjustments
of
the
residential
care
4
facility
or
in-home
health-related
care
reimbursement
rates
5
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
6
requirements
are
met.
In
addition,
the
department
may
make
7
other
programmatic
and
rate
adjustments
necessary
to
remain
8
within
the
amount
appropriated
in
this
section
while
ensuring
9
compliance
with
federal
requirements.
The
department
may
adopt
10
emergency
rules
to
implement
the
provisions
of
this
subsection.
11
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
12
this
section
that
remain
unencumbered
or
unobligated
at
the
13
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
14
available
for
expenditure
for
the
purposes
designated
until
the
15
close
of
the
succeeding
fiscal
year.
16
Sec.
17.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
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,
2020,
and
ending
June
30,
2021,
the
following
20
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purpose
designated:
22
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
23
program
pursuant
to
chapter
514I
,
including
supplemental
dental
24
services,
for
receipt
of
federal
financial
participation
under
25
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
26
children’s
health
insurance
program:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,132,725
28
2.
Of
the
funds
appropriated
in
this
section,
$146,682
is
29
allocated
for
continuation
of
the
contract
for
outreach
with
30
the
department
of
public
health.
31
3.
A
portion
of
the
funds
appropriated
in
this
section
may
32
be
transferred
to
the
appropriations
made
in
this
division
of
33
this
Act
for
field
operations
or
medical
contracts
to
be
used
34
for
the
integration
of
hawk-i
program
eligibility,
payment,
and
35
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pf/rn
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58
S.F.
_____
H.F.
_____
administrative
functions
under
the
purview
of
the
department
1
of
human
services,
including
for
the
Medicaid
management
2
information
system
upgrade.
3
Sec.
18.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
4
from
the
general
fund
of
the
state
to
the
department
of
human
5
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
6
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
7
necessary,
to
be
used
for
the
purpose
designated:
8
For
child
care
programs:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,817,751
10
1.
Of
the
funds
appropriated
in
this
section,
$34,967,751
11
shall
be
used
for
state
child
care
assistance
in
accordance
12
with
section
237A.13
.
13
2.
Nothing
in
this
section
shall
be
construed
or
is
14
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
15
to
persons
who
are
eligible
for
assistance
due
to
an
income
16
level
consistent
with
the
waiting
list
requirements
of
section
17
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
18
this
section
is
limited
to
the
extent
of
the
funds
appropriated
19
in
this
section.
20
3.
A
list
of
the
registered
and
licensed
child
care
21
facilities
operating
in
the
area
served
by
a
child
care
22
resource
and
referral
service
shall
be
made
available
to
the
23
families
receiving
state
child
care
assistance
in
that
area.
24
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
25
shall
be
credited
to
the
early
childhood
programs
grants
26
account
in
the
early
childhood
Iowa
fund
created
in
section
27
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
28
community-based
early
childhood
programs
targeted
to
children
29
from
birth
through
five
years
of
age
developed
by
early
30
childhood
Iowa
areas
in
accordance
with
approved
community
31
plans
as
provided
in
section
256I.8
.
32
5.
The
department
may
use
any
of
the
funds
appropriated
33
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
34
expanding
child
care
assistance
and
related
programs.
For
35
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58
S.F.
_____
H.F.
_____
the
purpose
of
expenditures
of
state
and
federal
child
care
1
funding,
funds
shall
be
considered
obligated
at
the
time
2
expenditures
are
projected
or
are
allocated
to
the
department’s
3
service
areas.
Projections
shall
be
based
on
current
and
4
projected
caseload
growth,
current
and
projected
provider
5
rates,
staffing
requirements
for
eligibility
determination
6
and
management
of
program
requirements
including
data
systems
7
management,
staffing
requirements
for
administration
of
the
8
program,
contractual
and
grant
obligations
and
any
transfers
9
to
other
state
agencies,
and
obligations
for
decategorization
10
or
innovation
projects.
11
6.
A
portion
of
the
state
match
for
the
federal
child
care
12
and
development
block
grant
shall
be
provided
as
necessary
to
13
meet
federal
matching
funds
requirements
through
the
state
14
general
fund
appropriation
made
for
child
development
grants
15
and
other
programs
for
at-risk
children
in
section
279.51
.
16
7.
If
a
uniform
reduction
ordered
by
the
governor
under
17
section
8.31
or
other
operation
of
law,
transfer,
or
federal
18
funding
reduction
reduces
the
appropriation
made
in
this
19
section
for
the
fiscal
year,
the
percentage
reduction
in
the
20
amount
paid
out
to
or
on
behalf
of
the
families
participating
21
in
the
state
child
care
assistance
program
shall
be
equal
to
or
22
less
than
the
percentage
reduction
made
for
any
other
purpose
23
payable
from
the
appropriation
made
in
this
section
and
the
24
federal
funding
relating
to
it.
The
percentage
reduction
to
25
the
other
allocations
made
in
this
section
shall
be
the
same
as
26
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
27
change
of
the
federal
funding
reduction,
as
applicable.
If
28
there
is
an
unanticipated
increase
in
federal
funding
provided
29
for
state
child
care
services,
the
entire
amount
of
the
30
increase,
except
as
necessary
to
meet
federal
requirements
31
including
quality
set
asides,
shall
be
used
for
state
child
32
care
assistance
payments.
If
the
appropriations
made
for
33
purposes
of
the
state
child
care
assistance
program
for
the
34
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
35
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pf/rn
29/
58
S.F.
_____
H.F.
_____
of
the
general
assembly
to
appropriate
sufficient
funding
for
1
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
2
requirements.
3
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
4
purposes
of
the
programs
developed
by
early
childhood
Iowa
5
areas,
advanced
for
purposes
of
wraparound
child
care,
or
6
received
from
the
federal
appropriations
made
for
the
purposes
7
of
this
section
that
remain
unencumbered
or
unobligated
at
the
8
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
9
remain
available
for
expenditure
for
the
purposes
designated
10
until
the
close
of
the
succeeding
fiscal
year.
11
Sec.
19.
JUVENILE
INSTITUTION.
There
is
appropriated
12
from
the
general
fund
of
the
state
to
the
department
of
human
13
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
14
June
30,
2021,
the
following
amounts,
or
so
much
thereof
as
is
15
necessary,
to
be
used
for
the
purposes
designated:
16
1.
a.
For
operation
of
the
state
training
school
at
Eldora
17
and
for
salaries,
support,
maintenance,
and
miscellaneous
18
purposes:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,333,688
20
b.
Of
the
funds
appropriated
in
this
subsection,
$91,000
21
shall
be
used
for
distribution
to
licensed
classroom
teachers
22
at
this
and
other
institutions
under
the
control
of
the
23
department
of
human
services
based
upon
the
average
student
24
yearly
enrollment
at
each
institution
as
determined
by
the
25
department.
26
2.
A
portion
of
the
moneys
appropriated
in
this
section
27
shall
be
used
by
the
state
training
school
at
Eldora
for
28
grants
for
adolescent
pregnancy
prevention
activities
at
the
29
institution
in
the
fiscal
year
beginning
July
1,
2020.
30
3.
Of
the
funds
appropriated
in
this
section,
$212,000
shall
31
be
used
by
the
state
training
school
at
Eldora
for
a
substance
32
use
disorder
treatment
program
at
the
institution
for
the
33
fiscal
year
beginning
July
1,
2020.
34
Sec.
20.
CHILD
AND
FAMILY
SERVICES.
35
-30-
LSB
5013XG
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pf/rn
30/
58
S.F.
_____
H.F.
_____
1.
There
is
appropriated
from
the
general
fund
of
the
1
state
to
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
3
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
4
purpose
designated:
5
For
child
and
family
services:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
89,077,415
7
2.
The
department
may
transfer
funds
appropriated
in
this
8
section
as
necessary
to
pay
the
nonfederal
costs
of
services
9
reimbursed
under
the
medical
assistance
program,
state
child
10
care
assistance
program,
or
the
family
investment
program
which
11
are
provided
to
children
who
would
otherwise
receive
services
12
paid
under
the
appropriation
in
this
section.
The
department
13
may
transfer
funds
appropriated
in
this
section
to
the
14
appropriations
made
in
this
division
of
this
Act
for
general
15
administration
and
for
field
operations
for
resources
necessary
16
to
implement
and
operate
the
services
funded
in
this
section.
17
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
18
$26,025,000
is
allocated
as
the
statewide
expenditure
target
19
under
section
232.143
for
group
foster
care
maintenance
and
20
services.
If
the
department
projects
that
such
expenditures
21
for
the
fiscal
year
will
be
less
than
the
target
amount
22
allocated
in
this
paragraph,
the
department
may
reallocate
the
23
excess
to
provide
additional
funding
for
family
foster
care,
24
independent
living,
family-centered
services,
shelter
care,
25
or
the
child
welfare
emergency
services
addressed
with
the
26
allocation
for
shelter
care.
27
b.
If
at
any
time
after
September
30,
2020,
annualization
28
of
a
service
area’s
current
expenditures
indicates
a
service
29
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
30
target
under
section
232.143
by
more
than
5
percent,
the
31
department
and
juvenile
court
services
shall
examine
all
32
group
foster
care
placements
in
that
service
area
in
order
to
33
identify
those
which
might
be
appropriate
for
termination.
34
In
addition,
any
aftercare
services
believed
to
be
needed
35
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LSB
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88
pf/rn
31/
58
S.F.
_____
H.F.
_____
for
the
children
whose
placements
may
be
terminated
shall
be
1
identified.
The
department
and
juvenile
court
services
shall
2
initiate
action
to
set
dispositional
review
hearings
for
the
3
placements
identified.
In
such
a
dispositional
review
hearing,
4
the
juvenile
court
shall
determine
whether
needed
aftercare
5
services
are
available
and
whether
termination
of
the
placement
6
is
in
the
best
interest
of
the
child
and
the
community.
7
4.
In
accordance
with
the
provisions
of
section
232.188
,
8
the
department
shall
continue
the
child
welfare
and
juvenile
9
justice
funding
initiative
during
fiscal
year
2020-2021.
Of
10
the
funds
appropriated
in
this
section,
$1,717,000
is
allocated
11
specifically
for
expenditure
for
fiscal
year
2020-2021
through
12
the
decategorization
services
funding
pools
and
governance
13
boards
established
pursuant
to
section
232.188
.
14
5.
A
portion
of
the
funds
appropriated
in
this
section
15
may
be
used
for
emergency
family
assistance
to
provide
other
16
resources
required
for
a
family
participating
in
a
family
17
preservation
or
reunification
project
or
successor
project
to
18
stay
together
or
to
be
reunified.
19
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
20
amount
is
allocated
for
shelter
care
and
the
child
welfare
21
emergency
services
contracting
implemented
to
provide
for
or
22
prevent
the
need
for
shelter
care.
23
7.
Federal
funds
received
by
the
state
during
the
fiscal
24
year
beginning
July
1,
2020,
as
the
result
of
the
expenditure
25
of
state
funds
appropriated
during
a
previous
state
fiscal
26
year
for
a
service
or
activity
funded
under
this
section
are
27
appropriated
to
the
department
to
be
used
as
additional
funding
28
for
services
and
purposes
provided
for
under
this
section.
29
Notwithstanding
section
8.33
,
moneys
received
in
accordance
30
with
this
subsection
that
remain
unencumbered
or
unobligated
at
31
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
32
shall
remain
available
for
the
purposes
designated
until
the
33
close
of
the
succeeding
fiscal
year.
34
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
35
-32-
LSB
5013XG
(11)
88
pf/rn
32/
58
S.F.
_____
H.F.
_____
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
1
court-ordered
services
provided
to
juveniles
who
are
under
the
2
supervision
of
juvenile
court
services,
which
expenses
are
a
3
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
4
.
Of
the
amount
allocated
in
this
paragraph,
up
to
$1,556,000
5
shall
be
made
available
to
provide
school-based
supervision
of
6
children
adjudicated
under
chapter
232
,
of
which
not
more
than
7
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
8
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
9
the
school
district
or
other
funding
source
as
approved
by
the
10
chief
juvenile
court
officer.
11
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,000
12
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
13
services
provided
to
children
who
are
under
the
supervision
14
of
the
department,
which
expenses
are
a
charge
upon
the
state
15
pursuant
to
section
232.141,
subsection
4
.
16
c.
Notwithstanding
section
232.141
or
any
other
provision
17
of
law
to
the
contrary,
the
amounts
allocated
in
this
18
subsection
shall
be
distributed
to
the
judicial
districts
19
as
determined
by
the
state
court
administrator
and
to
the
20
department’s
service
areas
as
determined
by
the
administrator
21
of
the
department
of
human
services’
division
of
child
and
22
family
services.
The
state
court
administrator
and
the
23
division
administrator
shall
make
the
determination
of
the
24
distribution
amounts
on
or
before
June
15,
2020.
25
d.
Notwithstanding
chapter
232
or
any
other
provision
of
26
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
27
order
any
service
which
is
a
charge
upon
the
state
pursuant
28
to
section
232.141
if
there
are
insufficient
court-ordered
29
services
funds
available
in
the
district
court
or
departmental
30
service
area
distribution
amounts
to
pay
for
the
service.
The
31
chief
juvenile
court
officer
and
the
departmental
service
area
32
manager
shall
encourage
use
of
the
funds
allocated
in
this
33
subsection
such
that
there
are
sufficient
funds
to
pay
for
34
all
court-related
services
during
the
entire
year.
The
chief
35
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pf/rn
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58
S.F.
_____
H.F.
_____
juvenile
court
officers
and
departmental
service
area
managers
1
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
2
in
the
distribution
amounts
and
shall
cooperatively
request
the
3
state
court
administrator
or
division
administrator
to
transfer
4
funds
between
the
judicial
districts’
or
departmental
service
5
areas’
distribution
amounts
as
prudent.
6
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
7
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
8
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
9
entered
under
chapter
232
which
is
a
charge
upon
the
state
10
under
section
232.141,
subsection
4
.
11
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
12
$83,000
may
be
used
by
the
judicial
branch
for
administration
13
of
the
requirements
under
this
subsection.
14
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
15
shall
be
used
by
the
department
of
human
services
to
support
16
the
interstate
commission
for
juveniles
in
accordance
with
17
the
interstate
compact
for
juveniles
as
provided
in
section
18
232.173
.
19
9.
Of
the
funds
appropriated
in
this
section,
$12,253,000
is
20
allocated
for
juvenile
delinquent
graduated
sanctions
services.
21
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
22
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
23
services
administration
may
be
used
for
the
juvenile
delinquent
24
graduated
sanctions
services.
25
10.
Of
the
funds
appropriated
in
this
section,
$1,658,000
is
26
transferred
to
the
department
of
public
health
to
be
used
for
27
the
child
protection
center
grant
program
for
child
protection
28
centers
located
in
Iowa
in
accordance
with
section
135.118
.
29
The
grant
amounts
under
the
program
shall
be
equalized
so
that
30
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
31
that
the
remaining
funds
are
awarded
through
a
funding
formula
32
based
upon
the
volume
of
children
served.
To
increase
access
33
to
child
protection
center
services
for
children
in
rural
34
areas,
the
funding
formula
for
the
awarding
of
the
remaining
35
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58
S.F.
_____
H.F.
_____
funds
shall
provide
for
the
awarding
of
an
enhanced
amount
to
1
eligible
grantees
to
develop
and
maintain
satellite
centers
in
2
underserved
regions
of
the
state.
3
11.
Of
the
funds
appropriated
in
this
section,
$4,025,000
is
4
allocated
for
the
preparation
for
adult
living
program
pursuant
5
to
section
234.46
.
6
12.
Of
the
funds
appropriated
in
this
section,
$227,000
7
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
8
nonprofit
human
services
organization,
providing
services
to
9
individuals
and
families
in
multiple
locations
in
southwest
10
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
11
sensitive
support
and
forensic
interviews,
medical
exams,
needs
12
assessments,
and
referrals
for
victims
of
child
abuse
and
their
13
nonoffending
family
members.
14
13.
Of
the
funds
appropriated
in
this
section,
$300,000
15
is
allocated
for
the
foster
care
youth
council
approach
of
16
providing
a
support
network
to
children
placed
in
foster
care.
17
14.
Of
the
funds
appropriated
in
this
section,
$202,000
is
18
allocated
for
use
pursuant
to
section
235A.1
for
continuation
19
of
the
initiative
to
address
child
sexual
abuse
implemented
20
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
21
21
.
22
15.
Of
the
funds
appropriated
in
this
section,
$630,000
is
23
allocated
for
the
community
partnership
for
child
protection
24
sites.
25
16.
Of
the
funds
appropriated
in
this
section,
$371,000
26
is
allocated
for
the
department’s
minority
youth
and
family
27
projects
under
the
redesign
of
the
child
welfare
system.
28
17.
Of
the
funds
appropriated
in
this
section,
$851,000
29
is
allocated
for
funding
of
the
community
circle
of
care
30
collaboration
for
children
and
youth
in
northeast
Iowa.
31
18.
Of
the
funds
appropriated
in
this
section,
at
least
32
$147,000
shall
be
used
for
the
continuation
of
the
child
33
welfare
provider
training
academy,
a
collaboration
between
the
34
coalition
for
family
and
children’s
services
in
Iowa
and
the
35
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35/
58
S.F.
_____
H.F.
_____
department.
1
19.
Of
the
funds
appropriated
in
this
section,
$211,000
2
shall
be
used
for
continuation
of
the
central
Iowa
system
of
3
care
program
grant
through
June
30,
2021.
4
20.
Of
the
funds
appropriated
in
this
section,
$235,000
5
shall
be
used
for
the
public
purpose
of
the
continuation
6
and
expansion
of
a
system
of
care
program
grant
implemented
7
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
8
and
long-term
approach
for
helping
children
and
families
by
9
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
10
needs,
education
and
work,
family,
and
community.
11
21.
Of
the
funds
appropriated
in
this
section,
$110,000
12
shall
be
used
for
the
public
purpose
of
funding
community-based
13
services
and
other
supports
with
a
system
of
care
approach
14
for
children
with
a
serious
emotional
disturbance
and
their
15
families
through
a
nonprofit
provider
of
child
welfare
services
16
that
has
been
in
existence
for
more
than
115
years,
is
located
17
in
a
county
with
a
population
of
more
than
200,000
but
less
18
than
220,000
according
to
the
latest
certified
federal
census,
19
is
licensed
as
a
psychiatric
medical
institution
for
children,
20
and
was
a
system
of
care
grantee
prior
to
July
1,
2020.
21
22.
If
a
separate
funding
source
is
identified
that
reduces
22
the
need
for
state
funds
within
an
allocation
under
this
23
section,
the
allocated
state
funds
may
be
redistributed
to
24
other
allocations
under
this
section
for
the
same
fiscal
year.
25
23.
A
portion
of
the
funds
appropriated
in
this
section
26
may
be
used
for
family-centered
services
for
the
purposes
of
27
complying
with
the
federal
family
first
prevention
and
services
28
Act
of
2018,
Pub.
L.
No.
115-123,
and
successor
legislation.
29
Sec.
21.
ADOPTION
SUBSIDY.
30
1.
There
is
appropriated
from
the
general
fund
of
the
31
state
to
the
department
of
human
services
for
the
fiscal
year
32
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
33
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
34
purpose
designated:
35
-36-
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(11)
88
pf/rn
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58
S.F.
_____
H.F.
_____
a.
For
adoption
subsidy
payments
and
services:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,588,378
2
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
3
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
4
of
the
following
purposes:
5
(a)
For
adoption
subsidy
payments
and
related
costs.
6
(b)
For
post-adoption
services
and
for
other
purposes
under
7
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
8
(2)
The
department
of
human
services
may
transfer
funds
9
appropriated
in
this
subsection
to
the
appropriation
for
10
child
and
family
services
in
this
Act
for
the
purposes
of
11
post-adoption
services
and
for
other
purposes
under
Tit.
IV-B
12
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
13
c.
Notwithstanding
section
8.33
,
moneys
corresponding
to
14
the
state
savings
resulting
from
implementation
of
the
federal
15
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
16
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
17
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
18
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
19
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
20
purposes
designated
in
this
subsection
until
expended.
The
21
amount
of
such
savings
and
any
corresponding
funds
remaining
22
at
the
close
of
the
fiscal
year
shall
be
determined
separately
23
and
any
changes
in
either
amount
between
fiscal
years
shall
not
24
result
in
an
unfunded
need.
25
2.
The
department
may
transfer
funds
appropriated
in
26
this
section
to
the
appropriation
made
in
this
division
of
27
this
Act
for
general
administration
for
costs
paid
from
the
28
appropriation
relating
to
adoption
subsidy.
29
3.
Federal
funds
received
by
the
state
during
the
30
fiscal
year
beginning
July
1,
2020,
as
the
result
of
the
31
expenditure
of
state
funds
during
a
previous
state
fiscal
32
year
for
a
service
or
activity
funded
under
this
section
are
33
appropriated
to
the
department
to
be
used
as
additional
funding
34
for
the
services
and
activities
funded
under
this
section.
35
-37-
LSB
5013XG
(11)
88
pf/rn
37/
58
S.F.
_____
H.F.
_____
Notwithstanding
section
8.33
,
moneys
received
in
accordance
1
with
this
subsection
that
remain
unencumbered
or
unobligated
2
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
3
but
shall
remain
available
for
expenditure
for
the
purposes
4
designated
until
the
close
of
the
succeeding
fiscal
year.
5
Sec.
22.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
6
in
the
juvenile
detention
home
fund
created
in
section
232.142
7
during
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
8
30,
2021,
are
appropriated
to
the
department
of
human
services
9
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
10
2021,
for
distribution
of
an
amount
equal
to
a
percentage
of
11
the
costs
of
the
establishment,
improvement,
operation,
and
12
maintenance
of
county
or
multicounty
juvenile
detention
homes
13
in
the
fiscal
year
beginning
July
1,
2019.
Moneys
appropriated
14
for
distribution
in
accordance
with
this
section
shall
be
15
allocated
among
eligible
detention
homes,
prorated
on
the
basis
16
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
17
eligible
detention
homes
in
the
fiscal
year
beginning
July
18
1,
2019.
The
percentage
figure
shall
be
determined
by
the
19
department
based
on
the
amount
available
for
distribution
for
20
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
21
financial
aid
payable
by
the
state
under
that
provision
for
the
22
fiscal
year
beginning
July
1,
2020,
shall
be
limited
to
the
23
amount
appropriated
for
the
purposes
of
this
section.
24
Sec.
23.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
28
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
the
family
support
subsidy
program
subject
to
the
31
enrollment
restrictions
in
section
225C.37,
subsection
3
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
949,282
33
2.
At
least
$875,195
of
the
moneys
appropriated
in
this
34
section
is
transferred
to
the
department
of
public
health
for
35
-38-
LSB
5013XG
(11)
88
pf/rn
38/
58
S.F.
_____
H.F.
_____
the
family
support
center
component
of
the
comprehensive
family
1
support
program
under
chapter
225C
,
subchapter
V.
2
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
3
funding
available
for
the
family
support
subsidy
program
4
is
reduced
from
the
amount
initially
used
to
establish
the
5
figure
for
the
number
of
family
members
for
whom
a
subsidy
6
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
7
notwithstanding
section
225C.38,
subsection
2
,
the
department
8
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
9
of
funding
available.
10
Sec.
24.
CONNER
DECREE.
There
is
appropriated
from
the
11
general
fund
of
the
state
to
the
department
of
human
services
12
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
13
2021,
the
following
amount,
or
so
much
thereof
as
is
necessary,
14
to
be
used
for
the
purpose
designated:
15
For
building
community
capacity
through
the
coordination
16
and
provision
of
training
opportunities
in
accordance
with
the
17
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
18
Iowa,
July
14,
1994):
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
20
Sec.
25.
MENTAL
HEALTH
INSTITUTES.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
24
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purposes
designated:
26
a.
For
operation
of
the
state
mental
health
institute
at
27
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
28
support,
maintenance,
and
miscellaneous
purposes:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,826,075
30
b.
For
operation
of
the
state
mental
health
institute
at
31
Independence
as
required
by
chapters
218
and
226
for
salaries,
32
support,
maintenance,
and
miscellaneous
purposes:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,710,614
34
2.
Notwithstanding
sections
218.78
and
249A.11
,
any
revenue
35
-39-
LSB
5013XG
(11)
88
pf/rn
39/
58
S.F.
_____
H.F.
_____
received
from
the
state
mental
health
institute
at
Cherokee
or
1
the
state
mental
health
institute
at
Independence
pursuant
to
2
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
3
health
institute.
4
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
5
a
Medicaid
member
residing
at
the
state
mental
health
6
institute
at
Cherokee
or
the
state
mental
health
institute
7
at
Independence
shall
retain
Medicaid
eligibility
during
8
the
period
of
the
Medicaid
member’s
stay
for
which
federal
9
financial
participation
is
available.
10
Sec.
26.
STATE
RESOURCE
CENTERS.
11
1.
There
is
appropriated
from
the
general
fund
of
the
12
state
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
14
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purposes
designated:
16
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
17
support,
maintenance,
and
miscellaneous
purposes:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,536,391
19
b.
For
the
state
resource
center
at
Woodward
for
salaries,
20
support,
maintenance,
and
miscellaneous
purposes:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,452,986
22
2.
The
department
may
continue
to
bill
for
state
resource
23
center
services
utilizing
a
scope
of
services
approach
used
for
24
private
providers
of
intermediate
care
facilities
for
persons
25
with
an
intellectual
disability
services,
in
a
manner
which
26
does
not
shift
costs
between
the
medical
assistance
program,
27
counties,
or
other
sources
of
funding
for
the
state
resource
28
centers.
29
3.
The
state
resource
centers
may
expand
the
time-limited
30
assessment
and
respite
services
during
the
fiscal
year.
31
4.
If
the
department’s
administration
and
the
department
32
of
management
concur
with
a
finding
by
a
state
resource
33
center’s
superintendent
that
projected
revenues
can
reasonably
34
be
expected
to
pay
the
salary
and
support
costs
for
a
new
35
-40-
LSB
5013XG
(11)
88
pf/rn
40/
58
S.F.
_____
H.F.
_____
employee
position,
or
that
such
costs
for
adding
a
particular
1
number
of
new
positions
for
the
fiscal
year
would
be
less
2
than
the
overtime
costs
if
new
positions
would
not
be
added,
3
the
superintendent
may
add
the
new
position
or
positions.
If
4
the
vacant
positions
available
to
a
resource
center
do
not
5
include
the
position
classification
desired
to
be
filled,
the
6
state
resource
center’s
superintendent
may
reclassify
any
7
vacant
position
as
necessary
to
fill
the
desired
position.
The
8
superintendents
of
the
state
resource
centers
may,
by
mutual
9
agreement,
pool
vacant
positions
and
position
classifications
10
during
the
course
of
the
fiscal
year
in
order
to
assist
one
11
another
in
filling
necessary
positions.
12
5.
If
existing
capacity
limitations
are
reached
in
13
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
14
a
special
need
for
which
a
payment
source
or
other
funding
15
is
available
for
the
service
or
to
address
the
special
need,
16
and
facilities
for
the
service
or
to
address
the
special
need
17
can
be
provided
within
the
available
payment
source
or
other
18
funding,
the
superintendent
of
a
state
resource
center
may
19
authorize
opening
not
more
than
two
units
or
other
facilities
20
and
begin
implementing
the
service
or
addressing
the
special
21
need
during
fiscal
year
2020-2021.
22
6.
Notwithstanding
section
8.33
,
and
notwithstanding
23
the
amount
limitation
specified
in
section
222.92
,
moneys
24
appropriated
in
this
section
that
remain
unencumbered
or
25
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
26
but
shall
remain
available
for
expenditure
for
the
purposes
27
designated
until
the
close
of
the
succeeding
fiscal
year.
28
Sec.
27.
SEXUALLY
VIOLENT
PREDATORS.
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,
2020,
and
ending
June
30,
2021,
the
following
32
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purpose
designated:
34
For
costs
associated
with
the
commitment
and
treatment
of
35
-41-
LSB
5013XG
(11)
88
pf/rn
41/
58
S.F.
_____
H.F.
_____
sexually
violent
predators
in
the
unit
located
at
the
state
1
mental
health
institute
at
Cherokee,
including
costs
of
legal
2
services
and
other
associated
costs,
including
salaries,
3
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
4
more
than
the
following
full-time
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,452,572
6
2.
Unless
specifically
prohibited
by
law,
if
the
amount
7
charged
provides
for
recoupment
of
at
least
the
entire
amount
8
of
direct
and
indirect
costs,
the
department
of
human
services
9
may
contract
with
other
states
to
provide
care
and
treatment
10
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
11
violent
predators
at
Cherokee.
The
moneys
received
under
12
such
a
contract
shall
be
considered
to
be
repayment
receipts
13
and
used
for
the
purposes
of
the
appropriation
made
in
this
14
section.
15
Sec.
28.
FIELD
OPERATIONS.
16
1.
There
is
appropriated
from
the
general
fund
of
the
17
state
to
the
department
of
human
services
for
the
fiscal
year
18
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
19
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
20
purposes
designated:
21
For
field
operations,
including
salaries,
support,
22
maintenance,
and
miscellaneous
purposes:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
60,341,204
24
2.
Priority
in
filling
full-time
equivalent
positions
25
shall
be
given
to
those
positions
related
to
child
protection
26
services
and
eligibility
determination
for
low-income
families.
27
Sec.
29.
GENERAL
ADMINISTRATION.
There
is
appropriated
28
from
the
general
fund
of
the
state
to
the
department
of
human
29
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
30
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purpose
designated:
32
For
general
administration,
including
salaries,
support,
33
maintenance,
and
miscellaneous
purposes:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,264,728
35
-42-
LSB
5013XG
(11)
88
pf/rn
42/
58
S.F.
_____
H.F.
_____
1.
The
department
shall
report
at
least
monthly
to
the
1
legislative
services
agency
concerning
the
department’s
2
operational
and
program
expenditures.
3
2.
Of
the
funds
appropriated
in
this
section,
$150,000
4
shall
be
used
for
the
provision
of
a
program
to
provide
5
technical
assistance,
support,
and
consultation
to
providers
6
of
habilitation
services
and
home
and
community-based
services
7
waiver
services
for
adults
with
disabilities
under
the
medical
8
assistance
program.
9
3.
Of
the
funds
appropriated
in
this
section,
$50,000
10
is
transferred
to
the
Iowa
finance
authority
to
be
used
11
for
administrative
support
of
the
council
on
homelessness
12
established
in
section
16.2D
and
for
the
council
to
fulfill
its
13
duties
in
addressing
and
reducing
homelessness
in
the
state.
14
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
15
be
transferred
to
and
deposited
in
the
administrative
fund
of
16
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
17
be
used
for
implementation
and
administration
activities
of
the
18
Iowa
ABLE
savings
plan
trust.
19
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
20
transferred
to
the
economic
development
authority
for
the
Iowa
21
commission
on
volunteer
services
to
continue
to
be
used
for
the
22
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
23
for
member
recruitment
and
training
to
improve
the
economic
24
well-being
and
health
of
economically
disadvantaged
refugees
in
25
local
communities
across
Iowa.
Funds
transferred
may
be
used
26
to
supplement
federal
funds
under
federal
regulations.
27
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
28
shall
be
used
to
support
the
work
of
the
children’s
behavioral
29
health
system
state
board
created
in
section
225C.51
and
the
30
children’s
behavioral
health
system
as
defined
in
section
31
225C.2.
Of
the
amount
allocated
in
this
subsection,
$32,000
32
shall
be
transferred
to
the
department
of
public
health
to
33
support
the
costs
related
to
the
children’s
behavioral
health
34
system.
35
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S.F.
_____
H.F.
_____
Sec.
30.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
1
from
the
general
fund
of
the
state
to
the
department
of
human
2
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
3
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
4
necessary,
to
be
used
for
the
purposes
designated:
5
For
salaries,
support,
maintenance,
and
miscellaneous
6
purposes
at
facilities
under
the
purview
of
the
department
of
7
human
services:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
9
Sec.
31.
VOLUNTEERS.
There
is
appropriated
from
the
general
10
fund
of
the
state
to
the
department
of
human
services
for
the
11
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
2021,
12
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
13
used
for
the
purpose
designated:
14
For
development
and
coordination
of
volunteer
services:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
16
Sec.
32.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
17
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
18
DEPARTMENT
OF
HUMAN
SERVICES.
19
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
20
2020,
the
department
shall
rebase
case-mix
nursing
facility
21
rates
effective
July
1,
2020,
to
the
extent
possible
within
the
22
state
funding,
including
the
$8,000,000,
appropriated
for
this
23
purpose.
24
(b)
For
the
fiscal
year
beginning
July
1,
2020,
non-case-mix
25
and
special
population
nursing
facilities
shall
be
reimbursed
26
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
27
prior
fiscal
year.
28
(2)
For
managed
care
claims,
the
department
of
human
29
services
shall
adjust
the
payment
rate
floor
for
nursing
30
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
31
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
32
rate
calculated
in
accordance
with
subparagraph
division
33
(a)
and
441
IAC
81.6
.
The
department
shall
then
calculate
34
adjusted
reimbursement
rates,
including
but
not
limited
to
35
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_____
H.F.
_____
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
1
care
organizations
of
the
adjusted
reimbursement
rates
within
2
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
3
adjustment
of
reimbursement
rates
under
this
subparagraph
4
division
shall
be
budget
neutral
to
the
state
budget.
5
(3)
Medicaid
managed
care
organizations
shall
adjust
6
facility-specific
rates
based
upon
payment
rate
listings
issued
7
by
the
department.
The
rate
adjustments
shall
be
applied
8
prospectively
from
the
effective
date
of
the
rate
letter
issued
9
by
the
department.
10
b.
(1)
For
the
fiscal
year
beginning
July
1,2020,
the
11
department
shall
establish
the
pharmacy
dispensing
fee
12
reimbursement
at
$10.07
per
prescription,
until
a
cost
of
13
dispensing
survey
is
completed.
The
actual
dispensing
fee
14
shall
be
determined
by
a
cost
of
dispensing
survey
performed
15
by
the
department
and
required
to
be
completed
by
all
medical
16
assistance
program
participating
pharmacies
every
two
years,
17
adjusted
as
necessary
to
maintain
expenditures
within
the
18
amount
appropriated
to
the
department
for
this
purpose
for
the
19
fiscal
year.
20
(2)
The
department
shall
utilize
an
average
acquisition
21
cost
reimbursement
methodology
for
all
drugs
covered
under
the
22
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
23
chapter
1133,
section
33
.
24
c.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
25
reimbursement
rates
for
outpatient
hospital
services
shall
26
remain
at
the
rates
in
effect
on
June
30,
2020,
subject
to
27
Medicaid
program
upper
payment
limit
rules,
and
adjusted
28
as
necessary
to
maintain
expenditures
within
the
amount
29
appropriated
to
the
department
for
this
purpose
for
the
fiscal
30
year.
31
(2)
For
the
fiscal
year
beginning
July
1,
2020,
32
reimbursement
rates
for
inpatient
hospital
services
shall
33
be
rebased
effective
October
1,
2020,
subject
to
Medicaid
34
program
upper
payment
limit
rules,
and
adjusted
as
necessary
35
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S.F.
_____
H.F.
_____
to
maintain
expenditures
within
the
amount
appropriated
to
the
1
department
for
this
purpose
for
the
fiscal
year.
2
(3)
For
the
fiscal
year
beginning
July
1,
2020,
under
3
both
fee-for-service
and
managed
care
administration
of
4
the
Medicaid
program,
critical
access
hospitals
shall
be
5
reimbursed
for
inpatient
and
outpatient
services
based
on
the
6
hospital-specific
critical
access
hospital
cost
adjustment
7
factor
methodology
utilizing
the
most
recent
and
complete
cost
8
reporting
period
as
applied
prospectively
within
the
funds
9
appropriated
for
such
purpose
for
the
fiscal
year.
10
(4)
For
the
fiscal
year
beginning
July
1,
2020,
the
graduate
11
medical
education
and
disproportionate
share
hospital
fund
12
shall
remain
at
the
amount
in
effect
on
June
30,
2020,
except
13
that
the
portion
of
the
fund
attributable
to
graduate
medical
14
education
shall
be
reduced
in
an
amount
that
reflects
the
15
elimination
of
graduate
medical
education
payments
made
to
16
out-of-state
hospitals.
17
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
18
funds
in
procuring
health
care
services
for
low-income
Iowans,
19
funds
appropriated
in
this
Act
for
hospital
services
shall
20
not
be
used
for
activities
which
would
be
excluded
from
a
21
determination
of
reasonable
costs
under
the
federal
Medicare
22
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
23
d.
For
the
fiscal
year
beginning
July
1,
2020,
reimbursement
24
rates
for
hospices
and
acute
psychiatric
hospitals
shall
be
25
increased
in
accordance
with
increases
under
the
federal
26
Medicare
program
or
as
supported
by
their
Medicare
audited
27
costs.
28
e.
For
the
fiscal
year
beginning
July
1,
2020,
independent
29
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
30
using
the
same
methodology
in
effect
on
June
30,
2020.
31
f.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
32
reimbursement
rates
for
home
health
agencies
shall
continue
to
33
be
based
on
the
Medicare
low
utilization
payment
adjustment
34
(LUPA)
methodology
with
state
geographic
wage
adjustments.
35
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58
S.F.
_____
H.F.
_____
The
department
shall
continue
to
update
the
rates
every
two
1
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
2
extent
possible
within
the
state
funding
appropriated
for
this
3
purpose.
4
(2)
For
the
fiscal
year
beginning
July
1,
2020,
rates
for
5
private
duty
nursing
and
personal
care
services
under
the
early
6
and
periodic
screening,
diagnostic,
and
treatment
program
7
benefit
shall
be
calculated
based
on
the
methodology
in
effect
8
on
June
30,
2020.
9
g.
For
the
fiscal
year
beginning
July
1,
2020,
federally
10
qualified
health
centers
and
rural
health
clinics
shall
receive
11
cost-based
reimbursement
for
100
percent
of
the
reasonable
12
costs
for
the
provision
of
services
to
recipients
of
medical
13
assistance.
14
h.
For
the
fiscal
year
beginning
July
1,
2020,
the
15
reimbursement
rates
for
dental
services
shall
remain
at
the
16
rates
in
effect
on
June
30,
2020.
17
i.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
18
reimbursement
rates
for
non-state-owned
psychiatric
medical
19
institutions
for
children
shall
be
based
on
the
reimbursement
20
methodology
in
effect
on
June
30,
2020.
21
(2)
As
a
condition
of
participation
in
the
medical
22
assistance
program,
enrolled
providers
shall
accept
the
medical
23
assistance
reimbursement
rate
for
any
covered
goods
or
services
24
provided
to
recipients
of
medical
assistance
who
are
children
25
under
the
custody
of
a
psychiatric
medical
institution
for
26
children.
27
j.
For
the
fiscal
year
beginning
July
1,
2020,
unless
28
otherwise
specified
in
this
Act,
all
noninstitutional
medical
29
assistance
provider
reimbursement
rates
shall
remain
at
the
30
rates
in
effect
on
June
30,
2020,
except
for
area
education
31
agencies,
local
education
agencies,
infant
and
toddler
32
services
providers,
home
and
community-based
services
providers
33
including
consumer-directed
attendant
care
providers
under
a
34
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
35
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S.F.
_____
H.F.
_____
providers,
and
those
providers
whose
rates
are
required
to
be
1
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
2
mental
health
parity
requirements.
3
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
4
fiscal
year
beginning
July
1,
2020,
the
reimbursement
rate
for
5
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
6
30,
2020,
and
updated
on
January
1,
2021,
to
align
with
the
7
most
current
Iowa
Medicare
anesthesia
rate.
8
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
9
beginning
July
1,
2020,
the
average
reimbursement
rate
for
10
health
care
providers
eligible
for
use
of
the
federal
Medicare
11
resource-based
relative
value
scale
reimbursement
methodology
12
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
13
June
30,
2020;
however,
this
rate
shall
not
exceed
the
maximum
14
level
authorized
by
the
federal
government.
15
m.
For
the
fiscal
year
beginning
July
1,
2020,
the
16
reimbursement
rate
for
residential
care
facilities
shall
not
17
be
less
than
the
minimum
payment
level
as
established
by
the
18
federal
government
to
meet
the
federally
mandated
maintenance
19
of
effort
requirement.
The
flat
reimbursement
rate
for
20
facilities
electing
not
to
file
annual
cost
reports
shall
not
21
be
less
than
the
minimum
payment
level
as
established
by
the
22
federal
government
to
meet
the
federally
mandated
maintenance
23
of
effort
requirement.
24
n.
For
the
fiscal
year
beginning
July
1,
2020,
the
25
reimbursement
rates
for
inpatient
mental
health
services
26
provided
at
hospitals
shall
be
rebased
effective
October
1,
27
2020,
subject
to
Medicaid
program
upper
payment
limit
rules;
28
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
29
program
fee-for-service
rate
in
effect
on
June
30,
2020.
30
o.
For
the
fiscal
year
beginning
July
1,
2020,
community
31
mental
health
centers
may
choose
to
be
reimbursed
for
the
32
services
provided
to
recipients
of
medical
assistance
through
33
either
of
the
following
options:
34
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
35
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S.F.
_____
H.F.
_____
(2)
In
accordance
with
the
alternative
reimbursement
rate
1
methodology
approved
by
the
department
of
human
services
in
2
effect
on
June
30,
2020.
3
p.
For
the
fiscal
year
beginning
July
1,
2020,
the
4
reimbursement
rate
for
providers
of
family
planning
services
5
that
are
eligible
to
receive
a
90
percent
federal
match
shall
6
remain
at
the
rates
in
effect
on
June
30,
2020.
7
q.
For
the
fiscal
year
beginning
July
1,
2020,
the
upper
8
limits
and
reimbursement
rates
for
providers
of
home
and
9
community-based
services
waiver
services
and
habilitation
10
services
shall
be
increased
across-the-board
within
the
11
$3,300,000
of
state
funding
appropriated
for
this
purpose.
12
r.
For
the
fiscal
year
beginning
July
1,
2020,
the
13
reimbursement
rates
for
emergency
medical
service
providers
14
shall
remain
at
the
rates
in
effect
on
June
30,
2020,
or
as
15
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
16
the
United
States
department
of
health
and
human
services.
17
s.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
18
reimbursement
rates
provided
under
managed
care
administration
19
of
the
Medicaid
program
for
substance-related
disorder
20
residential
treatment
programs
licensed
under
section
125.13,
21
shall
be
increased
to
the
extent
possible
within
the
$2,725,690
22
of
state
funding
appropriated
for
this
purpose.
23
(2)
For
the
fiscal
year
beginning
July
1,
2020,
24
reimbursement
rates
for
substance-related
disorder
outpatient
25
treatment
programs
licensed
under
section
125.13,
shall
be
26
increased
to
the
extent
possible
within
the
$3,339,930
of
state
27
funding
appropriated
for
this
purpose.
28
t.
For
the
fiscal
year
beginning
July
1,
2020,
assertive
29
community
treatment
per
diem
rates
shall
remain
at
the
rates
in
30
effect
on
June
30,
2020.
31
2.
For
the
fiscal
year
beginning
July
1,
2020,
the
32
reimbursement
rate
for
providers
reimbursed
under
the
33
in-home-related
care
program
shall
not
be
less
than
the
minimum
34
payment
level
as
established
by
the
federal
government
to
meet
35
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_____
H.F.
_____
the
federally
mandated
maintenance
of
effort
requirement.
1
3.
Unless
otherwise
directed
in
this
section,
when
the
2
department’s
reimbursement
methodology
for
any
provider
3
reimbursed
in
accordance
with
this
section
includes
an
4
inflation
factor,
this
factor
shall
not
exceed
the
amount
5
by
which
the
consumer
price
index
for
all
urban
consumers
6
increased
during
the
calendar
year
ending
December
31,
2002.
7
4.
Notwithstanding
section
234.38
,
for
the
fiscal
8
year
beginning
July
1,
2020,
the
foster
family
basic
daily
9
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
10
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
11
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
12
children
ages
12
through
15
years
shall
be
$19.10,
and
the
13
rate
for
children
and
young
adults
ages
16
and
older
shall
14
be
$19.35.
For
youth
ages
18
to
23
who
have
exited
foster
15
care,
the
preparation
for
adult
living
program
maintenance
rate
16
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
17
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
18
disallowance
of
additional
amounts
for
court
costs
and
other
19
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
20
chapter
1031,
section
408
,
shall
be
continued.
21
5.
For
the
fiscal
year
beginning
July
1,
2020,
the
maximum
22
reimbursement
rates
for
social
services
providers
under
23
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2020,
24
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
25
each
service,
whichever
is
less.
However,
if
a
new
service
26
or
service
provider
is
added
after
June
30,
2020,
the
initial
27
reimbursement
rate
for
the
service
or
provider
shall
be
based
28
upon
a
weighted
average
of
provider
rates
for
similar
services.
29
6.
a.
For
the
fiscal
year
beginning
July
1,
2020,
the
30
reimbursement
rates
for
resource
family
recruitment
and
31
retention
contractors
shall
be
established
by
contract.
32
b.
For
the
fiscal
year
beginning
July
1,
2020,
the
33
reimbursement
rates
for
supervised
apartment
living
foster
care
34
providers
shall
be
established
by
contract.
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H.F.
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7.
For
the
fiscal
year
beginning
July
1,
2020,
the
1
reimbursement
rate
for
group
foster
care
providers
shall
be
the
2
combined
service
and
maintenance
reimbursement
rate
established
3
by
contract.
4
8.
The
group
foster
care
reimbursement
rates
paid
for
5
placement
of
children
out
of
state
shall
be
calculated
6
according
to
the
same
rate-setting
principles
as
those
used
for
7
in-state
providers,
unless
the
director
of
human
services
or
8
the
director’s
designee
determines
that
appropriate
care
cannot
9
be
provided
within
the
state.
The
payment
of
the
daily
rate
10
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
11
which
service
is
provided.
12
9.
a.
For
the
fiscal
year
beginning
July
1,
2020,
the
13
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
14
emergency
services
implemented
to
provide
or
prevent
the
need
15
for
shelter
care
shall
be
established
by
contract.
16
b.
For
the
fiscal
year
beginning
July
1,
2020,
the
combined
17
service
and
maintenance
components
of
the
reimbursement
rate
18
paid
for
shelter
care
services
shall
be
based
on
the
financial
19
and
statistical
report
submitted
to
the
department.
The
20
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
21
department
shall
reimburse
a
shelter
care
provider
at
the
22
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
23
to
exceed
the
maximum
reimbursement
rate.
24
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
25
fiscal
year
beginning
July
1,
2020,
the
amount
of
the
statewide
26
average
of
the
actual
and
allowable
rates
for
reimbursement
of
27
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
28
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
29
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
30
2020.
31
10.
For
the
fiscal
year
beginning
July
1,
2020,
the
32
department
shall
calculate
reimbursement
rates
for
intermediate
33
care
facilities
for
persons
with
an
intellectual
disability
34
at
the
80th
percentile.
Beginning
July
1,
2020,
the
rate
35
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_____
H.F.
_____
calculation
methodology
shall
utilize
the
consumer
price
index
1
inflation
factor
applicable
to
the
fiscal
year
beginning
July
2
1,
2020.
3
11.
Effective
July
1,
2020,
the
child
care
provider
4
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
5
30,
2020.
The
department
shall
set
rates
in
a
manner
so
as
6
to
provide
incentives
for
a
nonregistered
provider
to
become
7
registered
by
applying
any
increase
only
to
registered
and
8
licensed
providers.
9
12.
For
the
fiscal
year
beginning
July
1,
2020,
the
10
reimbursement
rate
for
family-centered
services
providers
shall
11
be
established
by
contract.
12
13.
The
department
may
adopt
emergency
rules
to
implement
13
this
section.
14
Sec.
33.
EMERGENCY
RULES.
15
1.
If
necessary
to
comply
with
federal
requirements,
16
including
time
frames,
or
if
specifically
authorized
by
a
17
provision
of
this
division
of
this
Act,
the
department
of
18
human
services
or
the
mental
health
and
disability
services
19
commission
may
adopt
administrative
rules
under
section
17A.4,
20
subsection
3
,
and
section
17A.5,
subsection
2
,
paragraph
“b”,
21
to
implement
the
provisions
of
this
division
of
this
Act
and
22
the
rules
shall
become
effective
immediately
upon
filing
or
23
on
a
later
effective
date
specified
in
the
rules,
unless
the
24
effective
date
of
the
rules
is
delayed
or
the
applicability
25
of
the
rules
is
suspended
by
the
administrative
rules
review
26
committee.
Any
rules
adopted
in
accordance
with
this
section
27
shall
not
take
effect
before
the
rules
are
reviewed
by
the
28
administrative
rules
review
committee.
The
delay
authority
29
provided
to
the
administrative
rules
review
committee
under
30
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
31
shall
be
applicable
to
a
delay
imposed
under
this
section,
32
notwithstanding
a
provision
in
those
sections
making
them
33
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”.
34
Any
rules
adopted
in
accordance
with
the
provisions
of
this
35
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_____
H.F.
_____
section
shall
also
be
published
as
a
notice
of
intended
action
1
as
provided
in
section
17A.4
.
2
2.
If
during
a
fiscal
year,
the
department
of
human
3
services
is
adopting
rules
in
accordance
with
this
section
4
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
5
rules
will
result
in
an
expenditure
increase
beyond
the
amount
6
anticipated
in
the
budget
process
or
if
the
expenditure
was
7
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
8
department
shall
notify
the
persons
designated
by
this
division
9
of
this
Act
for
submission
of
reports,
the
chairpersons
and
10
ranking
members
of
the
committees
on
appropriations,
and
11
the
department
of
management
concerning
the
rules
and
the
12
expenditure
increase.
The
notification
shall
be
provided
at
13
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
14
is
submitted
to
the
administrative
rules
coordinator
and
the
15
administrative
code
editor.
16
Sec.
34.
REPORTS.
Any
reports
or
other
information
17
required
to
be
compiled
and
submitted
under
this
Act
during
the
18
fiscal
year
beginning
July
1,
2020,
shall
be
submitted
to
the
19
chairpersons
and
ranking
members
of
the
joint
appropriations
20
subcommittee
on
health
and
human
services,
the
legislative
21
services
agency,
and
the
legislative
caucus
staffs
on
or
22
before
the
dates
specified
for
submission
of
the
reports
or
23
information.
24
Sec.
35.
EFFECTIVE
UPON
ENACTMENT.
The
following
25
provisions
of
this
division
of
this
Act,
being
deemed
of
26
immediate
importance,
take
effect
upon
enactment:
27
1.
The
provision
relating
to
section
232.141
and
directing
28
the
state
court
administrator
and
the
division
administrator
of
29
the
department
of
human
services
division
of
child
and
family
30
services
to
make
the
determination,
by
June
15,
2020,
of
the
31
distribution
of
funds
allocated
for
the
payment
of
the
expenses
32
of
court-ordered
services
provided
to
juveniles
which
are
a
33
charge
upon
the
state.
34
DIVISION
VI
35
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S.F.
_____
H.F.
_____
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2020-2021
1
Sec.
36.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
2
appropriated
from
the
pharmaceutical
settlement
account
created
3
in
section
249A.33
to
the
department
of
human
services
for
the
4
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
2021,
5
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
6
used
for
the
purpose
designated:
7
Notwithstanding
any
provision
of
law
to
the
contrary,
to
8
supplement
the
appropriations
made
in
this
Act
for
medical
9
contracts
under
the
medical
assistance
program
for
the
fiscal
10
year
beginning
July
1,
2020,
and
ending
June
30,
2021:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
12
Sec.
37.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
13
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
14
subject
to
the
availability
of
funds,
there
is
appropriated
15
from
the
quality
assurance
trust
fund
created
in
section
16
249L.4
to
the
department
of
human
services
for
the
fiscal
year
17
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
18
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
19
designated:
20
To
supplement
the
appropriation
made
in
this
Act
from
the
21
general
fund
of
the
state
to
the
department
of
human
services
22
for
medical
assistance
for
the
same
fiscal
year:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,570,397
24
Sec.
38.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
25
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
26
the
contrary
and
subject
to
the
availability
of
funds,
there
is
27
appropriated
from
the
hospital
health
care
access
trust
fund
28
created
in
section
249M.4
to
the
department
of
human
services
29
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30
30,
2021,
the
following
amounts,
or
so
much
thereof
as
is
31
necessary,
for
the
purposes
designated:
32
To
supplement
the
appropriation
made
in
this
Act
from
the
33
general
fund
of
the
state
to
the
department
of
human
services
34
for
medical
assistance
for
the
same
fiscal
year:
35
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(11)
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pf/rn
54/
58
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
1
Sec.
39.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
2
FOR
FY
2020-2021.
Notwithstanding
section
8.33
,
if
moneys
3
appropriated
for
purposes
of
the
medical
assistance
program
for
4
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
5
2021,
from
the
general
fund
of
the
state,
the
quality
assurance
6
trust
fund,
and
the
hospital
health
care
access
trust
fund,
are
7
in
excess
of
actual
expenditures
for
the
medical
assistance
8
program
and
remain
unencumbered
or
unobligated
at
the
close
9
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
10
shall
remain
available
for
expenditure
for
the
purposes
of
the
11
medical
assistance
program
until
the
close
of
the
succeeding
12
fiscal
year.
13
DIVISION
VII
14
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS
15
MEDICAL
ASSISTANCE
16
Sec.
40.
2019
Iowa
Acts,
chapter
85,
section
13,
unnumbered
17
paragraph
2,
is
amended
to
read
as
follows:
18
For
medical
assistance
program
reimbursement
and
associated
19
costs
as
specifically
provided
in
the
reimbursement
20
methodologies
in
effect
on
June
30,
2019,
except
as
otherwise
21
expressly
authorized
by
law,
consistent
with
options
under
22
federal
law
and
regulations,
and
contingent
upon
receipt
of
23
approval
from
the
office
of
the
governor
of
reimbursement
for
24
each
abortion
performed
under
the
program:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,427,379,707
26
1,516,364,409
27
CHILDREN’S
HEALTH
INSURANCE
PROGRAM
28
Sec.
41.
2019
Iowa
Acts,
chapter
85,
section
16,
subsection
29
1,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
30
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
31
program
pursuant
to
chapter
514I
,
including
supplemental
dental
32
services,
for
receipt
of
federal
financial
participation
under
33
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
34
children’s
health
insurance
program:
35
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55/
58
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
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.
$
19,361,112
1
21,098,426
2
STATE
RESOURCE
CENTERS
3
Sec.
42.
2019
Iowa
Acts,
chapter
85,
section
25,
subsection
4
1,
paragraph
a,
is
amended
to
read
as
follows:
5
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
6
support,
maintenance,
and
miscellaneous
purposes:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,048,348
8
16,438,259
9
Of
the
funds
appropriated
in
this
paragraph
“a”,
$333,000
10
shall
be
used
for
expert
consultation
at
the
state
resource
11
center
at
Glenwood.
12
Sec.
43.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
13
deemed
of
immediate
importance,
takes
effect
upon
enactment.
14
Sec.
44.
RETROACTIVE
APPLICABILITY.
This
division
of
this
15
Act
applies
retroactively
to
July
1,
2019.
16
DIVISION
VIII
17
DECATEGORIZATION
FY
2018
CARRYOVER
FUNDING
18
Sec.
45.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2018
——
19
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
20
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
21
the
funding
pool
that
remained
unencumbered
or
unobligated
22
at
the
close
of
the
fiscal
year
beginning
July
1,
2017,
and
23
were
deemed
carryover
funding
to
remain
available
for
the
two
24
succeeding
fiscal
years
that
still
remain
unencumbered
or
25
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
26
2019,
shall
not
revert
but
shall
be
transferred
to
the
medical
27
assistance
program
for
the
fiscal
year
beginning
July
1,
2020.
28
Sec.
46.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
29
deemed
of
immediate
importance,
takes
effect
upon
enactment.
30
Sec.
47.
RETROACTIVE
APPLICABILITY.
This
division
of
this
31
Act
applies
retroactively
to
July
1,
2019.
32
EXPLANATION
33
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
34
the
explanation’s
substance
by
the
members
of
the
general
assembly.
35
-56-
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88
pf/rn
56/
58
S.F.
_____
H.F.
_____
This
bill
relates
to
appropriations
for
health
and
human
1
services
for
fiscal
year
2020-2021
to
the
department
of
2
veterans
affairs,
Iowa
veterans
home,
department
on
aging
3
(IDA),
office
of
long-term
care
ombudsman,
department
of
public
4
health
(DPH),
Iowa
finance
authority,
department
of
human
5
rights,
and
department
of
human
services
(DHS).
The
bill
is
6
organized
into
divisions.
7
DEPARTMENT
ON
AGING.
This
division
makes
appropriations
8
from
the
general
fund
of
the
state
to
the
department
on
aging.
9
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
makes
10
appropriations
from
the
general
fund
of
the
state
to
the
office
11
of
long-term
care
ombudsman.
12
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
makes
13
appropriations
from
the
general
fund
of
the
state
to
the
14
department
of
public
health.
15
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
16
division
makes
appropriations
from
the
general
fund
of
the
17
state
to
the
department
of
veterans
affairs
for
administration,
18
the
Iowa
veterans
home,
for
transfer
to
the
Iowa
finance
19
authority
for
the
home
ownership
assistance
program,
and
for
20
the
county
commissions
of
veteran
affairs.
21
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
makes
22
appropriations
from
the
general
fund
of
the
state
and
the
23
federal
temporary
assistance
for
needy
families
block
24
grant
to
DHS.
The
allocation
for
the
family
development
25
and
self-sufficiency
grant
program
is
made
directly
to
26
the
department
of
human
rights.
The
reimbursement
section
27
addresses
reimbursement
for
providers
reimbursed
by
the
28
department
of
human
services.
29
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
makes
certain
30
health-related
appropriations.
A
number
of
the
appropriations
31
are
made
for
purposes
of
the
Medicaid
program
in
addition
to
32
the
general
fund
appropriations
made
for
this
purpose
for
the
33
same
fiscal
year.
34
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS.
This
division
35
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88
pf/rn
57/
58
S.F.
_____
H.F.
_____
provides
for
adjustments
of
appropriations
for
FY
2019-2020
1
relating
to
the
Medicaid
program,
the
state
children’s
health
2
insurance
program,
and
the
state
resource
center
at
Glenwood.
3
DECATEGORIZATION
FY
2018
CARRYOVER
FUNDING.
This
division
4
provides
for
the
transfer
of
decategorization
carryover
funding
5
that
remains
unencumbered
or
unobligated
at
the
close
of
FY
6
2019-2020
to
the
Medicaid
program
for
FY
2020-2021.
7
-58-
LSB
5013XG
(11)
88
pf/rn
58/
58