House
File
2578
-
Introduced
HOUSE
FILE
2578
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
LSB
5004HB)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
1
services
and
veterans
and
including
other
related
provisions
2
and
appropriations,
providing
penalties,
and
including
3
effective
date
and
retroactive
and
other
applicability
date
4
provisions.
5
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
6
TLSB
5004HV
(2)
89
pf/rn
H.F.
2578
DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2022-2023
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,
2022,
and
ending
June
30,
5
2023,
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
9
years
of
age
and
older
with
case
management,
Iowa’s
aging
and
10
disabilities
resource
center,
and
other
services
which
may
11
include
but
are
not
limited
to
adult
day,
respite
care,
chore,
12
information
and
assistance,
and
material
aid,
for
information
13
and
options
counseling
for
persons
with
disabilities
who
14
are
18
years
of
age
or
older,
and
for
salaries,
support,
15
administration,
maintenance,
and
miscellaneous
purposes,
and
16
for
not
more
than
the
following
full-time
equivalent
positions:
17
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$
11,804,082
18
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FTEs
28.00
19
1.
Funds
appropriated
in
this
section
may
be
used
to
20
supplement
federal
funds
under
federal
regulations.
To
21
receive
funds
appropriated
in
this
section,
a
local
area
22
agency
on
aging
shall
match
the
funds
with
moneys
from
other
23
sources
according
to
rules
adopted
by
the
department.
Funds
24
appropriated
in
this
section
may
be
used
for
elderly
services
25
not
specifically
enumerated
in
this
section
only
if
approved
26
by
an
area
agency
on
aging
for
provision
of
the
service
within
27
the
area.
28
2.
Of
the
funds
appropriated
in
this
section,
$418,700
is
29
transferred
to
the
economic
development
authority
for
the
Iowa
30
commission
on
volunteer
services
to
be
used
for
the
retired
and
31
senior
volunteer
program.
32
3.
a.
The
department
on
aging
shall
establish
and
enforce
33
procedures
relating
to
expenditure
of
state
and
federal
funds
34
by
area
agencies
on
aging
that
require
compliance
with
both
35
-1-
LSB
5004HV
(2)
89
pf/rn
1/
85
H.F.
2578
state
and
federal
laws,
rules,
and
regulations,
including
but
1
not
limited
to
all
of
the
following:
2
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
3
or
services
received
or
performed
prior
to
the
end
of
the
4
fiscal
period
designated
for
use
of
the
funds.
5
(2)
Prohibiting
prepayment
for
goods
or
services
not
6
received
or
performed
prior
to
the
end
of
the
fiscal
period
7
designated
for
use
of
the
funds.
8
(3)
Prohibiting
prepayment
for
goods
or
services
not
9
defined
specifically
by
good
or
service,
time
period,
or
10
recipient.
11
(4)
Prohibiting
the
establishment
of
accounts
from
which
12
future
goods
or
services
which
are
not
defined
specifically
by
13
good
or
service,
time
period,
or
recipient,
may
be
purchased.
14
b.
The
procedures
shall
provide
that
if
any
funds
are
15
expended
in
a
manner
that
is
not
in
compliance
with
the
16
procedures
and
applicable
federal
and
state
laws,
rules,
and
17
regulations,
and
are
subsequently
subject
to
repayment,
the
18
area
agency
on
aging
expending
such
funds
in
contravention
of
19
such
procedures,
laws,
rules
and
regulations,
not
the
state,
20
shall
be
liable
for
such
repayment.
21
4.
Of
the
funds
appropriated
in
this
section,
$1,312,000
22
shall
be
used
for
the
purposes
of
chapter
231E
and
to
23
administer
the
prevention
of
elder
abuse,
neglect,
and
24
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
25
with
the
requirements
of
the
federal
Older
Americans
Act
of
26
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
27
5.
Of
the
funds
appropriated
in
this
section,
$1,000,000
28
shall
be
used
to
fund
continuation
of
the
aging
and
disability
29
resource
center
lifelong
links
to
provide
individuals
and
30
caregivers
with
information
and
services
to
plan
for
and
31
maintain
independence.
32
6.
Of
the
funds
appropriated
in
this
section,
$850,000
33
shall
be
used
by
the
department
on
aging,
in
collaboration
with
34
the
department
of
human
services
and
affected
stakeholders,
35
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5004HV
(2)
89
pf/rn
2/
85
H.F.
2578
to
continue
to
expand
the
pilot
initiative
to
provide
1
long-term
care
options
counseling
utilizing
support
planning
2
protocols,
to
assist
non-Medicaid
eligible
consumers
who
3
indicate
a
preference
to
return
to
the
community
and
are
4
deemed
appropriate
for
discharge,
to
return
to
their
community
5
following
a
nursing
facility
stay;
and
shall
be
used
by
the
6
department
on
aging
to
fund
home
and
community-based
services
7
to
enable
older
individuals
to
avoid
more
costly
utilization
8
of
residential
or
institutional
services
and
remain
in
their
9
homes.
The
department
on
aging
shall
submit
a
report
regarding
10
the
outcomes
of
the
pilot
initiative
to
the
governor
and
the
11
general
assembly
by
December
15,
2022.
12
DIVISION
II
13
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2022-2023
14
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
15
appropriated
from
the
general
fund
of
the
state
to
the
office
16
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
17
1,
2022,
and
ending
June
30,
2023,
the
following
amount,
or
18
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
19
designated:
20
For
salaries,
support,
administration,
maintenance,
and
21
miscellaneous
purposes,
and
for
not
more
than
the
following
22
full-time
equivalent
positions:
23
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$
1,449,821
24
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FTEs
16.00
25
DIVISION
III
26
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2022-2023
27
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
28
from
the
general
fund
of
the
state
to
the
department
of
public
29
health
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
30
June
30,
2023,
the
following
amounts,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purposes
designated:
32
1.
ADDICTIVE
DISORDERS
33
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
34
and
other
drugs,
and
treating
individuals
affected
by
addictive
35
-3-
LSB
5004HV
(2)
89
pf/rn
3/
85
H.F.
2578
behaviors,
including
gambling,
and
for
not
more
than
the
1
following
full-time
equivalent
positions:
2
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.
$
23,659,379
3
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FTEs
12.00
4
a.
Of
the
funds
appropriated
in
this
subsection,
$4,020,894
5
shall
be
used
for
the
tobacco
use
prevention
and
control
6
initiative,
including
efforts
at
the
state
and
local
levels,
7
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
8
prevention
and
control
established
pursuant
to
section
142A.3
9
shall
advise
the
director
of
public
health
in
prioritizing
10
funding
needs
and
the
allocation
of
moneys
appropriated
for
11
the
programs
and
initiatives.
Activities
of
the
programs
12
and
initiatives
shall
be
in
alignment
with
the
United
States
13
centers
for
disease
control
and
prevention
best
practices
14
for
comprehensive
tobacco
control
programs
that
include
15
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
16
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
17
cessation.
18
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
19
$19,638,485
shall
be
used
for
problem
gambling
and
20
substance-related
disorder
prevention,
treatment,
and
recovery
21
services,
including
a
24-hour
helpline,
public
information
22
resources,
professional
training,
youth
prevention,
and
program
23
evaluation.
24
(2)
Of
the
amount
allocated
under
this
paragraph,
$306,000
25
shall
be
utilized
by
the
department
of
public
health,
in
26
collaboration
with
the
department
of
human
services,
to
27
maintain
a
single
statewide
24-hour
crisis
hotline
for
the
Iowa
28
children’s
behavioral
health
system
that
incorporates
warmline
29
services
which
may
be
provided
through
expansion
of
existing
30
capabilities
maintained
by
the
department
of
public
health
as
31
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
section
16
.
32
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
33
by
the
appropriations
and
allocations
made
in
this
division
of
34
this
Act
for
purposes
of
substance-related
disorder
treatment
35
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(2)
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2578
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
1
2022.
2
2.
HEALTHY
CHILDREN
AND
FAMILIES
3
For
promoting
the
optimum
health
status
for
children
and
4
adolescents
from
birth
through
21
years
of
age,
and
families,
5
and
for
not
more
than
the
following
full-time
equivalent
6
positions:
7
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$
5,816,681
8
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FTEs
14.00
9
3.
CHRONIC
CONDITIONS
10
For
serving
individuals
identified
as
having
chronic
11
conditions
or
special
health
care
needs,
and
for
not
more
than
12
the
following
full-time
equivalent
positions:
13
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$
4,258,373
14
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FTEs
10.00
15
4.
COMMUNITY
CAPACITY
16
For
strengthening
the
health
care
delivery
system
at
the
17
local
level,
and
for
not
more
than
the
following
full-time
18
equivalent
positions:
19
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$
6,519,306
20
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FTEs
13.00
21
a.
Of
the
funds
appropriated
in
this
subsection,
$2,100,000
22
shall
be
deposited
in
the
medical
residency
training
account
23
created
in
section
135.175,
subsection
5
,
paragraph
“a”,
and
24
is
appropriated
from
the
account
to
the
department
of
public
25
health
to
be
used
for
the
purposes
of
the
medical
residency
26
training
state
matching
grants
program
as
specified
in
section
27
135.176
.
28
b.
Of
the
funds
appropriated
in
this
subsection,
$800,000
29
shall
be
used
for
rural
psychiatric
residencies
to
support
the
30
annual
creation
and
training
of
six
psychiatric
residents
who
31
will
provide
mental
health
services
in
underserved
areas
of
32
the
state.
Notwithstanding
section
8.33,
moneys
that
remain
33
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
34
shall
not
revert
but
shall
remain
available
for
expenditure
for
35
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2578
the
purposes
designated
for
subsequent
fiscal
years.
1
c.
Of
the
funds
appropriated
in
this
subsection,
$425,000
2
shall
be
used
for
the
creation
or
continuation
of
a
center
of
3
excellence
program
to
encourage
innovation
and
collaboration
4
among
regional
health
care
providers
in
a
rural
area
based
5
upon
the
results
of
a
regional
community
needs
assessment
to
6
transform
health
care
delivery
in
order
to
provide
quality,
7
sustainable
care
that
meets
the
needs
of
the
local
communities.
8
An
applicant
for
the
funds
shall
specify
how
the
funds
will
9
be
expended
to
accomplish
the
goals
of
the
program
and
shall
10
provide
a
detailed
five-year
sustainability
plan
prior
to
11
being
awarded
any
funding.
Following
the
receipt
of
funding,
12
a
recipient
shall
submit
periodic
reports
as
specified
by
the
13
department
to
the
governor
and
the
general
assembly
regarding
14
the
recipient’s
expenditure
of
the
funds
and
progress
in
15
accomplishing
the
program
goals.
16
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
17
To
provide
public
health
services
that
reduce
risks
and
18
invest
in
promoting
and
protecting
good
health
over
the
19
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
20
vulnerable
populations:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,662,464
22
6.
INFECTIOUS
DISEASES
23
For
reducing
the
incidence
and
prevalence
of
communicable
24
diseases,
and
for
not
more
than
the
following
full-time
25
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,796,206
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
6.00
28
7.
PUBLIC
PROTECTION
29
a.
For
protecting
the
health
and
safety
of
the
public
30
through
establishing
standards
and
enforcing
regulations,
and
31
for
not
more
than
the
following
full-time
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,466,601
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
142.00
34
b.
Of
the
funds
appropriated
in
this
subsection,
not
more
35
-6-
LSB
5004HV
(2)
89
pf/rn
6/
85
H.F.
2578
than
$304,000
shall
be
credited
to
the
emergency
medical
1
services
fund
created
in
section
135.25
.
Moneys
in
the
2
emergency
medical
services
fund
are
appropriated
to
the
3
department
to
be
used
for
the
purposes
of
the
fund.
4
8.
RESOURCE
MANAGEMENT
5
For
establishing
and
sustaining
the
overall
ability
of
the
6
department
to
deliver
services
to
the
public,
and
for
not
more
7
than
the
following
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
933,871
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
10
9.
MISCELLANEOUS
PROVISIONS
11
The
university
of
Iowa
hospitals
and
clinics
under
the
12
control
of
the
state
board
of
regents
shall
not
receive
13
indirect
costs
from
the
funds
appropriated
in
this
section.
14
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
15
department
shall
be
on
at
least
a
quarterly
basis.
16
Sec.
4.
DEPARTMENT
OF
PUBLIC
HEALTH
——
SPORTS
WAGERING
17
RECEIPTS
FUND.
There
is
appropriated
from
the
sports
wagering
18
receipts
fund
created
in
section
8.57,
subsection
6,
to
the
19
department
of
public
health
for
the
fiscal
year
beginning
July
20
1,
2022,
and
ending
June
30,
2023,
the
following
amount,
or
21
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
22
designated:
23
For
problem
gambling
and
substance-related
disorder
24
prevention,
treatment,
and
recovery
services,
including
a
25
24-hour
helpline,
public
information
resources,
professional
26
training,
youth
prevention,
and
program
evaluation:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,750,000
28
DIVISION
IV
29
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2022-2023
30
Sec.
5.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
31
appropriated
from
the
general
fund
of
the
state
to
the
32
department
of
veterans
affairs
for
the
fiscal
year
beginning
33
July
1,
2022,
and
ending
June
30,
2023,
the
following
amounts,
34
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
35
-7-
LSB
5004HV
(2)
89
pf/rn
7/
85
H.F.
2578
designated:
1
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
2
For
salaries,
support,
maintenance,
and
miscellaneous
3
purposes,
and
for
not
more
than
the
following
full-time
4
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,229,763
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
7
2.
IOWA
VETERANS
HOME
8
For
salaries,
support,
maintenance,
and
miscellaneous
9
purposes:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,131,552
11
a.
The
Iowa
veterans
home
billings
involving
the
department
12
of
human
services
shall
be
submitted
to
the
department
on
at
13
least
a
monthly
basis.
14
b.
The
Iowa
veterans
home
expenditure
report
shall
be
15
submitted
monthly
to
the
general
assembly.
16
c.
The
Iowa
veterans
home
shall
continue
to
include
in
the
17
annual
discharge
report
applicant
information
to
provide
for
18
the
collection
of
demographic
information
including
but
not
19
limited
to
the
number
of
individuals
applying
for
admission
and
20
admitted
or
denied
admittance
and
the
basis
for
the
admission
21
or
denial;
the
age,
gender,
and
race
of
such
individuals;
22
and
the
level
of
care
for
which
such
individuals
applied
for
23
admission
including
residential
or
nursing
level
of
care.
24
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
25
For
transfer
to
the
Iowa
finance
authority
for
the
26
continuation
of
the
home
ownership
assistance
program
for
27
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
28
the
United
States,
pursuant
to
section
16.54
:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
30
Sec.
6.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
31
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
32
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
33
July
1,
2022,
and
ending
June
30,
2023,
the
amount
appropriated
34
from
the
general
fund
of
the
state
pursuant
to
that
section
35
-8-
LSB
5004HV
(2)
89
pf/rn
8/
85
H.F.
2578
for
the
following
designated
purposes
shall
not
exceed
the
1
following
amount:
2
For
the
county
commissions
of
veteran
affairs
fund
under
3
section
35A.16
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
5
DIVISION
V
6
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2022-2023
7
Sec.
7.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
8
GRANT.
There
is
appropriated
from
the
fund
created
in
section
9
8.41
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2022,
and
ending
June
30,
2023,
from
moneys
11
received
under
the
federal
temporary
assistance
for
needy
12
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
13
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
14
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
15
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
16
purposes
designated:
17
1.
To
be
credited
to
the
family
investment
program
account
18
and
used
for
assistance
under
the
family
investment
program
19
under
chapter
239B
:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,002,006
21
2.
To
be
credited
to
the
family
investment
program
account
22
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
23
program
and
implementing
family
investment
agreements
in
24
accordance
with
chapter
239B
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
26
3.
To
be
used
for
the
family
development
and
27
self-sufficiency
grant
program
in
accordance
with
section
28
216A.107
:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,888,980
30
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
31
subsection
that
remain
unencumbered
or
unobligated
at
the
close
32
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
33
for
expenditure
for
the
purposes
designated
until
the
close
of
34
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
35
-9-
LSB
5004HV
(2)
89
pf/rn
9/
85
H.F.
2578
encumbered
or
obligated
on
or
before
September
30,
2023,
the
1
moneys
shall
revert.
2
4.
For
field
operations:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
4
5.
For
general
administration:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
6
6.
For
state
child
care
assistance:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
8
a.
Of
the
funds
appropriated
in
this
subsection,
9
$26,205,412
is
transferred
to
the
child
care
and
development
10
block
grant
appropriation
made
by
the
Eighty-ninth
General
11
Assembly,
2022
session,
for
the
federal
fiscal
year
beginning
12
October
1,
2022,
and
ending
September
30,
2023.
Of
this
13
amount,
$200,000
shall
be
used
for
provision
of
educational
14
opportunities
to
registered
child
care
home
providers
in
order
15
to
improve
services
and
programs
offered
by
this
category
16
of
providers
and
to
increase
the
number
of
providers.
The
17
department
may
contract
with
institutions
of
higher
education
18
or
child
care
resource
and
referral
centers
to
provide
19
the
educational
opportunities.
Allowable
administrative
20
costs
under
the
contracts
shall
not
exceed
5
percent.
The
21
application
for
a
grant
shall
not
exceed
two
pages
in
length.
22
b.
Any
funds
appropriated
in
this
subsection
remaining
23
unallocated
shall
be
used
for
state
child
care
assistance
24
payments
for
families
who
are
employed
including
but
not
25
limited
to
individuals
enrolled
in
the
family
investment
26
program.
27
7.
For
child
and
family
services:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
29
8.
For
child
abuse
prevention
grants:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
31
9.
For
pregnancy
prevention
grants
on
the
condition
that
32
family
planning
services
are
funded:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
34
Pregnancy
prevention
grants
shall
be
awarded
to
programs
35
-10-
LSB
5004HV
(2)
89
pf/rn
10/
85
H.F.
2578
in
existence
on
or
before
July
1,
2022,
if
the
programs
have
1
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
2
pregnancy
prevention
programs
which
are
developed
after
July
3
1,
2022,
if
the
programs
are
based
on
existing
models
that
4
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
5
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
6
section
14,
subsections
1
and
2
,
including
the
requirement
that
7
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
8
the
awarding
of
grants
shall
be
given
to
programs
that
serve
9
areas
of
the
state
which
demonstrate
the
highest
percentage
of
10
unplanned
pregnancies
of
females
of
childbearing
age
within
the
11
geographic
area
to
be
served
by
the
grant.
12
10.
For
technology
needs
and
other
resources
necessary
to
13
meet
federal
and
state
reporting,
tracking,
and
case
management
14
requirements
and
other
departmental
needs:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
16
11.
a.
Notwithstanding
any
provision
to
the
contrary,
17
including
but
not
limited
to
requirements
in
section
8.41
or
18
provisions
in
2021
Iowa
Acts
or
2022
Iowa
Acts
regarding
the
19
receipt
and
appropriation
of
federal
block
grants,
federal
20
funds
from
the
temporary
assistance
for
needy
families
block
21
grant
received
by
the
state
and
not
otherwise
appropriated
22
in
this
section
and
remaining
available
for
the
fiscal
year
23
beginning
July
1,
2022,
are
appropriated
to
the
department
of
24
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
25
the
following
priority
order:
the
family
investment
program,
26
for
state
child
care
assistance
program
payments
for
families
27
who
are
employed,
and
for
the
family
investment
program
share
28
of
system
costs
for
eligibility
determination
and
related
29
functions.
The
federal
funds
appropriated
in
this
paragraph
30
“a”
shall
be
expended
only
after
all
other
funds
appropriated
31
in
subsection
1
for
assistance
under
the
family
investment
32
program,
in
subsection
6
for
state
child
care
assistance,
or
33
in
subsection
10
for
technology
needs
and
other
resources
34
necessary
to
meet
departmental
needs,
as
applicable,
have
been
35
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5004HV
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pf/rn
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85
H.F.
2578
expended.
For
the
purposes
of
this
subsection,
the
funds
1
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
2
to
the
child
care
and
development
block
grant
appropriation
3
are
considered
fully
expended
when
the
full
amount
has
been
4
transferred.
5
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
6
general
assembly
and
department
of
management
of
the
amount
of
7
funds
appropriated
in
this
subsection
that
was
expended
in
the
8
prior
quarter.
9
12.
Of
the
amounts
appropriated
in
this
section,
10
$12,962,008
for
the
fiscal
year
beginning
July
1,
2022,
is
11
transferred
to
the
appropriation
of
the
federal
social
services
12
block
grant
made
to
the
department
of
human
services
for
that
13
fiscal
year.
14
13.
For
continuation
of
the
program
providing
categorical
15
eligibility
for
the
supplemental
nutrition
assistance
program
16
(SNAP)
as
specified
for
the
program
in
the
section
of
this
17
division
of
this
Act
relating
to
the
family
investment
program
18
account:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
20
14.
The
department
may
transfer
funds
allocated
in
this
21
section
to
the
appropriations
made
in
this
division
of
this
Act
22
for
the
same
fiscal
year
for
general
administration
and
field
23
operations
for
resources
necessary
to
implement
and
operate
the
24
services
referred
to
in
this
section
and
those
funded
in
the
25
appropriation
made
in
this
division
of
this
Act
for
the
same
26
fiscal
year
for
the
family
investment
program
from
the
general
27
fund
of
the
state.
28
15.
With
the
exception
of
moneys
allocated
under
this
29
section
for
the
family
development
and
self-sufficiency
grant
30
program,
to
the
extent
moneys
allocated
in
this
section
are
31
deemed
by
the
department
not
to
be
necessary
to
support
the
32
purposes
for
which
they
are
allocated,
such
moneys
may
be
used
33
in
the
same
fiscal
year
for
any
other
purpose
for
which
funds
34
are
allocated
in
this
section
or
in
section
8
of
this
division
35
-12-
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85
H.F.
2578
of
this
Act
for
the
family
investment
program
account.
If
1
there
are
conflicting
needs,
priority
shall
first
be
given
2
to
the
family
investment
program
account
as
specified
under
3
subsection
1
of
this
section
and
used
for
the
purposes
of
4
assistance
under
the
family
investment
program
in
accordance
5
with
chapter
239B
,
followed
by
state
child
care
assistance
6
program
payments
for
families
who
are
employed,
followed
by
7
other
priorities
as
specified
by
the
department.
8
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
9
1.
Moneys
credited
to
the
family
investment
program
(FIP)
10
account
for
the
fiscal
year
beginning
July
1,
2022,
and
11
ending
June
30,
2023,
shall
be
used
to
provide
assistance
in
12
accordance
with
chapter
239B
.
13
2.
The
department
may
use
a
portion
of
the
moneys
credited
14
to
the
FIP
account
under
this
section
as
necessary
for
15
salaries,
support,
maintenance,
and
miscellaneous
purposes,
16
including
administrative
and
information
technology
costs
17
associated
with
rent
reimbursement
and
other
income
assistance
18
programs
administered
by
the
department.
19
3.
The
department
may
transfer
funds
allocated
in
20
subsection
4,
excluding
the
allocation
under
subsection
4,
21
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
22
this
Act
for
the
same
fiscal
year
for
general
administration
23
and
field
operations
for
resources
necessary
to
implement
24
and
operate
the
services
referred
to
in
this
section
and
25
those
funded
in
the
appropriations
made
in
section
7
for
the
26
temporary
assistance
for
needy
families
block
grant
and
in
27
section
9
for
the
family
investment
program
from
the
general
28
fund
of
the
state
in
this
division
of
this
Act
for
the
same
29
fiscal
year.
30
4.
Moneys
appropriated
in
this
division
of
this
Act
and
31
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
32
1,
2022,
and
ending
June
30,
2023,
are
allocated
as
follows:
33
a.
To
be
retained
by
the
department
of
human
services
to
34
be
used
for
coordinating
with
the
department
of
human
rights
35
-13-
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5004HV
(2)
89
pf/rn
13/
85
H.F.
2578
to
more
effectively
serve
participants
in
FIP
and
other
shared
1
clients
and
to
meet
federal
reporting
requirements
under
the
2
federal
temporary
assistance
for
needy
families
block
grant:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
4
b.
To
the
department
of
human
rights
for
staffing,
5
administration,
and
implementation
of
the
family
development
6
and
self-sufficiency
grant
program
in
accordance
with
section
7
216A.107
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,192,834
9
(1)
Of
the
funds
allocated
for
the
family
development
10
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
11
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
12
administration
of
the
grant
program.
13
(2)
The
department
of
human
rights
may
continue
to
implement
14
the
family
development
and
self-sufficiency
grant
program
15
statewide
during
fiscal
year
2022-2023.
16
(3)
The
department
of
human
rights
may
engage
in
activities
17
to
strengthen
and
improve
family
outcomes
measures
and
18
data
collection
systems
under
the
family
development
and
19
self-sufficiency
grant
program.
20
c.
For
the
diversion
subaccount
of
the
FIP
account:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,293,000
22
A
portion
of
the
moneys
allocated
for
the
diversion
23
subaccount
may
be
used
for
field
operations,
salaries,
data
24
management
system
development,
and
implementation
costs
and
25
support
deemed
necessary
by
the
director
of
human
services
26
in
order
to
administer
the
FIP
diversion
program.
To
the
27
extent
moneys
allocated
in
this
paragraph
“c”
are
deemed
by
the
28
department
not
to
be
necessary
to
support
diversion
activities,
29
such
moneys
may
be
used
for
other
efforts
intended
to
increase
30
engagement
by
family
investment
program
participants
in
work,
31
education,
or
training
activities,
or
for
the
purposes
of
32
assistance
under
the
family
investment
program
in
accordance
33
with
chapter
239B
.
34
d.
For
the
SNAP
employment
and
training
program:
35
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5004HV
(2)
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pf/rn
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85
H.F.
2578
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
1
(1)
The
department
shall
apply
the
federal
SNAP
employment
2
and
training
state
plan
in
order
to
maximize
to
the
fullest
3
extent
permitted
by
federal
law
the
use
of
the
50
percent
4
federal
reimbursement
provisions
for
the
claiming
of
allowable
5
federal
reimbursement
funds
from
the
United
States
department
6
of
agriculture
pursuant
to
the
federal
SNAP
employment
and
7
training
program
for
providing
education,
employment,
and
8
training
services
for
eligible
SNAP
participants,
including
9
but
not
limited
to
related
dependent
care
and
transportation
10
expenses.
11
(2)
The
department
shall
continue
the
categorical
12
federal
SNAP
eligibility
at
160
percent
of
the
federal
13
poverty
level
and
continue
to
eliminate
the
asset
test
from
14
eligibility
requirements,
consistent
with
federal
SNAP
program
15
requirements.
The
department
shall
include
as
many
SNAP
16
households
as
is
allowed
by
federal
law.
The
eligibility
17
provisions
shall
conform
to
all
federal
requirements
including
18
requirements
addressing
individuals
who
are
disqualified
for
19
committing
an
intentional
program
violation
or
are
otherwise
20
ineligible.
21
e.
For
the
JOBS
program,
not
more
than:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,018,258
23
5.
Of
the
child
support
collections
assigned
under
FIP,
24
an
amount
equal
to
the
federal
share
of
support
collections
25
shall
be
credited
to
the
child
support
recovery
appropriation
26
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
27
assigned
child
support
collections
received
by
the
child
28
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
29
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
30
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
31
payments
account.
If
as
a
consequence
of
the
appropriations
32
and
allocations
made
in
this
section
the
resulting
amounts
33
are
insufficient
to
sustain
cash
assistance
payments
and
meet
34
federal
maintenance
of
effort
requirements,
the
department
35
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5004HV
(2)
89
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15/
85
H.F.
2578
shall
seek
supplemental
funding.
If
child
support
collections
1
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
2
determined
not
to
be
required
for
maintenance
of
effort,
the
3
state
share
of
either
amount
may
be
transferred
to
or
retained
4
in
the
child
support
payments
account.
5
Sec.
9.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
6
is
appropriated
from
the
general
fund
of
the
state
to
the
7
department
of
human
services
for
the
fiscal
year
beginning
July
8
1,
2022,
and
ending
June
30,
2023,
the
following
amount,
or
9
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
10
designated:
11
To
be
credited
to
the
family
investment
program
(FIP)
12
account
and
used
for
family
investment
program
assistance
13
under
chapter
239B
and
other
costs
associated
with
providing
14
needs-based
benefits
or
assistance:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,003,978
16
1.
Of
the
funds
appropriated
in
this
section,
$6,606,198
is
17
allocated
for
the
JOBS
program.
18
2.
Of
the
funds
appropriated
in
this
section,
$4,313,854
is
19
allocated
for
the
family
development
and
self-sufficiency
grant
20
program.
21
3.
a.
Notwithstanding
section
8.39
,
for
the
fiscal
22
year
beginning
July
1,
2022,
if
necessary
to
meet
federal
23
maintenance
of
effort
requirements
or
to
transfer
federal
24
temporary
assistance
for
needy
families
block
grant
funding
25
to
be
used
for
purposes
of
the
federal
social
services
block
26
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
27
receiving
federal
funding
or
to
implement,
in
accordance
with
28
this
division
of
this
Act,
activities
currently
funded
with
29
juvenile
court
services,
county,
or
community
moneys
and
state
30
moneys
used
in
combination
with
such
moneys;
to
comply
with
31
federal
requirements;
or
to
maximize
the
use
of
federal
funds;
32
the
department
of
human
services
may
transfer
funds
within
or
33
between
any
of
the
appropriations
made
in
this
division
of
this
34
Act
and
appropriations
in
law
for
the
federal
social
services
35
-16-
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5004HV
(2)
89
pf/rn
16/
85
H.F.
2578
block
grant
to
the
department
for
the
following
purposes,
1
provided
that
the
combined
amount
of
state
and
federal
2
temporary
assistance
for
needy
families
block
grant
funding
3
for
each
appropriation
remains
the
same
before
and
after
the
4
transfer:
5
(1)
For
the
family
investment
program.
6
(2)
For
state
child
care
assistance.
7
(3)
For
child
and
family
services.
8
(4)
For
field
operations.
9
(5)
For
general
administration.
10
b.
This
subsection
shall
not
be
construed
to
prohibit
the
11
use
of
existing
state
transfer
authority
for
other
purposes.
12
The
department
shall
report
any
transfers
made
pursuant
to
this
13
subsection
to
the
general
assembly.
14
4.
Of
the
funds
appropriated
in
this
section,
$195,000
15
shall
be
used
for
a
contract
for
tax
preparation
assistance
16
to
low-income
Iowans
to
expand
the
usage
of
the
earned
income
17
tax
credit.
The
purpose
of
the
contract
is
to
supply
this
18
assistance
to
underserved
areas
of
the
state.
The
department
19
shall
not
retain
any
portion
of
the
allocation
under
this
20
subsection
for
administrative
costs.
21
5.
Of
the
funds
appropriated
in
this
section,
$70,000
shall
22
be
used
for
the
continuation
of
the
parenting
program,
as
23
specified
in
441
IAC
ch.
100
,
relating
to
parental
obligations,
24
in
which
the
child
support
recovery
unit
participates,
to
25
support
the
efforts
of
a
nonprofit
organization
committed
to
26
strengthening
the
community
through
youth
development,
healthy
27
living,
and
social
responsibility
headquartered
in
a
county
28
with
a
population
over
450,000
according
to
the
2020
certified
29
federal
census.
The
funds
allocated
in
this
subsection
shall
30
be
used
by
the
recipient
organization
to
develop
a
larger
31
community
effort,
through
public
and
private
partnerships,
to
32
support
a
broad-based
multi-county
parenthood
initiative
that
33
promotes
payment
of
child
support
obligations,
improved
family
34
relationships,
and
full-time
employment.
35
-17-
LSB
5004HV
(2)
89
pf/rn
17/
85
H.F.
2578
6.
The
department
may
transfer
funds
appropriated
in
this
1
section,
excluding
the
allocation
in
subsection
2
for
the
2
family
development
and
self-sufficiency
grant
program,
to
the
3
appropriations
made
in
this
division
of
this
Act
for
general
4
administration
and
field
operations
as
necessary
to
administer
5
this
section,
section
7
for
the
temporary
assistance
for
needy
6
families
block
grant,
and
section
8
for
the
family
investment
7
program
account.
8
Sec.
10.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
9
from
the
general
fund
of
the
state
to
the
department
of
human
10
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
11
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purposes
designated:
13
For
child
support
recovery,
including
salaries,
support,
14
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
15
the
following
full-time
equivalent
positions:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,942,885
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
18
1.
The
department
shall
expend
up
to
$24,000,
including
19
federal
financial
participation,
for
the
fiscal
year
beginning
20
July
1,
2022,
for
a
child
support
public
awareness
campaign.
21
The
department
and
the
office
of
the
attorney
general
shall
22
cooperate
in
continuation
of
the
campaign.
The
public
23
awareness
campaign
shall
emphasize,
through
a
variety
of
24
media
activities,
the
importance
of
maximum
involvement
of
25
both
parents
in
the
lives
of
their
children
as
well
as
the
26
importance
of
payment
of
child
support
obligations.
27
2.
Federal
access
and
visitation
grant
moneys
shall
be
28
issued
directly
to
private
not-for-profit
agencies
that
provide
29
services
designed
to
increase
compliance
with
the
child
access
30
provisions
of
court
orders,
including
but
not
limited
to
31
neutral
visitation
sites
and
mediation
services.
32
3.
The
appropriation
made
to
the
department
for
child
33
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
34
manner
necessary
for
purposes
of
cash
flow
management,
and
for
35
-18-
LSB
5004HV
(2)
89
pf/rn
18/
85
H.F.
2578
cash
flow
management
purposes
the
department
may
temporarily
1
draw
more
than
the
amount
appropriated,
provided
the
amount
2
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
3
Sec.
11.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
4
FY
2022-2023.
Any
funds
remaining
in
the
health
care
trust
5
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
6
July
1,
2022,
and
ending
June
30,
2023,
are
appropriated
to
7
the
department
of
human
services
to
supplement
the
medical
8
assistance
program
appropriations
made
in
this
division
of
this
9
Act,
for
medical
assistance
reimbursement
and
associated
costs,
10
including
program
administration
and
costs
associated
with
11
program
implementation.
12
Sec.
12.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
13
2022-2023.
Any
funds
remaining
in
the
Medicaid
fraud
fund
14
created
in
section
249A.50
for
the
fiscal
year
beginning
15
July
1,
2022,
and
ending
June
30,
2023,
are
appropriated
to
16
the
department
of
human
services
to
supplement
the
medical
17
assistance
appropriations
made
in
this
division
of
this
Act,
18
for
medical
assistance
reimbursement
and
associated
costs,
19
including
program
administration
and
costs
associated
with
20
program
implementation.
21
Sec.
13.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
22
general
fund
of
the
state
to
the
department
of
human
services
23
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
24
2023,
the
following
amount,
or
so
much
thereof
as
is
necessary,
25
to
be
used
for
the
purpose
designated:
26
For
medical
assistance
program
reimbursement
and
associated
27
costs
as
specifically
provided
in
the
reimbursement
28
methodologies
in
effect
on
June
30,
2022,
except
as
otherwise
29
expressly
authorized
by
law,
consistent
with
options
under
30
federal
law
and
regulations,
and
contingent
upon
receipt
of
31
approval
from
the
office
of
the
governor
of
reimbursement
for
32
each
abortion
performed
under
the
program:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,539,659,031
34
1.
Iowans
support
reducing
the
number
of
abortions
35
-19-
LSB
5004HV
(2)
89
pf/rn
19/
85
H.F.
2578
performed
in
our
state.
Funds
appropriated
under
this
section
1
shall
not
be
used
for
abortions,
unless
otherwise
authorized
2
under
this
section.
3
2.
The
provisions
of
this
section
relating
to
abortions
4
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
5
pursuant
to
chapter
249N
.
6
3.
The
department
shall
utilize
not
more
than
$60,000
of
7
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
8
health
insurance
premium
payment
program
as
established
in
1992
9
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
10
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
11
not
more
than
$5,000
may
be
expended
for
administrative
12
purposes.
13
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
14
of
public
health
for
addictive
disorders,
$950,000
for
15
the
fiscal
year
beginning
July
1,
2022,
is
transferred
16
to
the
department
of
human
services
for
an
integrated
17
substance-related
disorder
managed
care
system.
The
18
departments
of
human
services
and
public
health
shall
19
work
together
to
maintain
the
level
of
mental
health
and
20
substance-related
disorder
treatment
services
provided
by
the
21
managed
care
contractors.
Each
department
shall
take
the
steps
22
necessary
to
continue
the
federal
waivers
as
necessary
to
23
maintain
the
level
of
services.
24
5.
The
department
shall
aggressively
pursue
options
for
25
providing
medical
assistance
or
other
assistance
to
individuals
26
with
special
needs
who
become
ineligible
to
continue
receiving
27
services
under
the
early
and
periodic
screening,
diagnostic,
28
and
treatment
program
under
the
medical
assistance
program
29
due
to
becoming
21
years
of
age
who
have
been
approved
for
30
additional
assistance
through
the
department’s
exception
to
31
policy
provisions,
but
who
have
health
care
needs
in
excess
32
of
the
funding
available
through
the
exception
to
policy
33
provisions.
34
6.
Of
the
funds
appropriated
in
this
section,
up
to
35
-20-
LSB
5004HV
(2)
89
pf/rn
20/
85
H.F.
2578
$3,050,082
may
be
transferred
to
the
field
operations
or
1
general
administration
appropriations
in
this
division
of
this
2
Act
for
operational
costs
associated
with
Part
D
of
the
federal
3
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
4
of
2003,
Pub.
L.
No.
108-173.
5
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
6
may
be
transferred
to
the
appropriation
in
this
division
of
7
this
Act
for
health
program
operations
to
be
used
for
clinical
8
assessment
services
and
prior
authorization
of
services.
9
8.
A
portion
of
the
funds
appropriated
in
this
section
may
10
be
transferred
to
the
appropriations
in
this
division
of
this
11
Act
for
general
administration,
health
program
operations,
the
12
children’s
health
insurance
program,
or
field
operations
to
be
13
used
for
the
state
match
cost
to
comply
with
the
payment
error
14
rate
measurement
(PERM)
program
for
both
the
medical
assistance
15
and
children’s
health
insurance
programs
as
developed
by
the
16
centers
for
Medicare
and
Medicaid
services
of
the
United
States
17
department
of
health
and
human
services
to
comply
with
the
18
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
19
No.
107-300,
and
to
support
other
reviews
and
quality
control
20
activities
to
improve
the
integrity
of
these
programs.
21
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
22
amount
is
allocated
to
supplement
the
incomes
of
residents
of
23
nursing
facilities,
intermediate
care
facilities
for
persons
24
with
mental
illness,
and
intermediate
care
facilities
for
25
persons
with
an
intellectual
disability,
with
incomes
of
less
26
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
27
personal
needs
allowance
of
$50
per
month
pursuant
to
section
28
249A.30A
.
29
10.
One
hundred
percent
of
the
nonfederal
share
of
payments
30
to
area
education
agencies
that
are
medical
assistance
31
providers
for
medical
assistance-covered
services
provided
to
32
medical
assistance-covered
children,
shall
be
made
from
the
33
appropriation
made
in
this
section.
34
11.
A
portion
of
the
funds
appropriated
in
this
section
may
35
-21-
LSB
5004HV
(2)
89
pf/rn
21/
85
H.F.
2578
be
transferred
to
the
appropriation
in
this
division
of
this
1
Act
for
health
program
operations
to
be
used
for
administrative
2
activities
associated
with
the
money
follows
the
person
3
demonstration
project.
4
12.
Of
the
funds
appropriated
in
this
section,
$349,011
5
shall
be
used
for
the
administration
of
the
health
insurance
6
premium
payment
program,
including
salaries,
support,
7
maintenance,
and
miscellaneous
purposes.
8
13.
a.
The
department
may
increase
the
amounts
allocated
9
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
10
associated
with
the
medical
assistance
program,
as
necessary,
11
to
sustain
cost
management
efforts.
The
department
shall
12
report
any
such
increase
to
the
general
assembly
and
the
13
department
of
management.
14
b.
If
the
savings
to
the
medical
assistance
program
from
15
ongoing
cost
management
efforts
exceed
the
associated
cost
16
for
the
fiscal
year
beginning
July
1,
2022,
the
department
17
may
transfer
any
savings
generated
for
the
fiscal
year
due
18
to
medical
assistance
program
cost
management
efforts
to
the
19
appropriation
made
in
this
division
of
this
Act
for
health
20
program
operations
or
general
administration
to
defray
the
21
costs
associated
with
implementing
the
efforts.
22
14.
For
the
fiscal
year
beginning
July
1,
2022,
and
ending
23
June
30,
2023,
the
replacement
generation
tax
revenues
required
24
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
25
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
26
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
27
to
and
supplement
the
appropriation
made
in
this
section
and
28
used
for
the
allocations
made
in
this
section.
29
15.
a.
Of
the
funds
appropriated
in
this
section,
up
30
to
$50,000
may
be
transferred
by
the
department
to
the
31
appropriation
made
in
this
division
of
this
Act
to
the
32
department
for
the
same
fiscal
year
for
general
administration
33
to
be
used
for
associated
administrative
expenses
and
for
not
34
more
than
1.00
full-time
equivalent
position,
in
addition
to
35
-22-
LSB
5004HV
(2)
89
pf/rn
22/
85
H.F.
2578
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
1
implementing
the
children’s
mental
health
home
project.
2
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
3
may
be
transferred
by
the
department
to
the
appropriation
made
4
to
the
department
in
this
division
of
this
Act
for
the
same
5
fiscal
year
for
Medicaid
program-related
general
administration
6
planning
and
implementation
activities.
The
funds
may
be
used
7
for
contracts
or
for
personnel
in
addition
to
the
amounts
8
appropriated
for
and
the
positions
authorized
for
general
9
administration
for
the
fiscal
year.
10
c.
Of
the
funds
appropriated
in
this
section,
up
to
11
$3,000,000
may
be
transferred
by
the
department
to
the
12
appropriations
made
in
this
division
of
this
Act
for
the
13
same
fiscal
year
for
general
administration
or
health
14
program
operations
to
be
used
to
support
the
development
15
and
implementation
of
standardized
assessment
tools
for
16
persons
with
mental
illness,
an
intellectual
disability,
a
17
developmental
disability,
or
a
brain
injury.
18
16.
Of
the
funds
appropriated
in
this
section,
$150,000
19
shall
be
used
for
lodging
expenses
associated
with
care
20
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
21
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
22
and
whose
income
is
at
or
below
200
percent
of
the
federal
23
poverty
level
as
defined
by
the
most
recently
revised
poverty
24
income
guidelines
published
by
the
United
States
department
of
25
health
and
human
services.
The
department
of
human
services
26
shall
establish
the
maximum
number
of
overnight
stays
and
the
27
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
28
based
on
the
state
employee
rate
established
by
the
department
29
of
administrative
services.
The
funds
allocated
in
this
30
subsection
shall
not
be
used
as
nonfederal
share
matching
31
funds.
32
17.
Of
the
funds
appropriated
in
this
section,
up
to
33
$3,383,880
shall
be
used
for
administration
of
the
state
family
34
planning
services
program
pursuant
to
section
217.41B
,
and
35
-23-
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5004HV
(2)
89
pf/rn
23/
85
H.F.
2578
of
this
amount,
the
department
may
use
up
to
$200,000
for
1
administrative
expenses.
2
18.
Of
the
funds
appropriated
in
this
section,
$1,545,530
3
shall
be
used
and
may
be
transferred
to
other
appropriations
4
in
this
division
of
this
Act
as
necessary
to
administer
the
5
provisions
in
the
division
of
this
Act
relating
to
Medicaid
6
program
administration.
7
19.
The
department
shall
comply
with
the
centers
for
8
Medicare
and
Medicaid
services’
guidance
related
to
Medicaid
9
program
and
children’s
health
insurance
program
maintenance
10
of
effort
provisions,
including
eligibility
standards,
11
methodologies,
procedures,
and
continuous
enrollment,
to
12
receive
the
enhanced
federal
medical
assistance
percentage
13
under
section
6008(b)
of
the
federal
Families
First
Coronavirus
14
Response
Act,
Pub.
L.
No.
116-127.
The
department
shall
15
utilize
and
implement
all
tools,
processes,
and
resources
16
available
to
expediently
return
to
normal
eligibility
and
17
enrollment
operations
in
compliance
with
federal
guidance
and
18
expectations.
19
20.
A
portion
of
the
funds
appropriated
in
this
section
20
may
be
transferred
to
the
appropriation
made
in
this
division
21
of
this
Act
for
the
children’s
health
insurance
program,
22
if
the
children’s
health
insurance
program
appropriation
23
is
insufficient
to
cover
the
designated
purposes
of
that
24
appropriation.
25
21.
No
later
than
January
1,
2023,
the
department
of
26
human
services
shall
implement
a
tiered
rate
reimbursement
27
methodology
for
psychiatric
intensive
inpatient
care
under
the
28
Medicaid
program
based
on
the
level
of
patient
acuity
and
other
29
factors
as
recommended
in
the
inpatient
bed
tracking
study
30
committee
report
submitted
to
the
governor
and
the
general
31
assembly
on
December
1,
2021.
32
22.
The
department
of
human
services
shall
submit
a
Medicaid
33
state
plan
amendment
to
the
centers
for
Medicare
and
Medicaid
34
services
to
request
the
addition
of
functional
family
therapy
35
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5004HV
(2)
89
pf/rn
24/
85
H.F.
2578
and
multisystemic
therapy
for
youth
as
covered
services
under
1
the
Medicaid
program.
The
department
shall
include
functional
2
family
therapy
and
multisystemic
therapy
under
the
Medicaid
3
program
as
covered
services
upon
receipt
of
federal
approval.
4
23.
Of
the
funds
appropriated
in
this
section,
$7,400,000
5
shall
be
used
to
implement
reductions
in
the
waiting
list
for
6
the
home
and
community-based
services
waiver
for
persons
with
7
an
intellectual
disability.
8
Sec.
14.
HEALTH
PROGRAM
OPERATIONS.
There
is
appropriated
9
from
the
general
fund
of
the
state
to
the
department
of
human
10
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
11
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purpose
designated:
13
For
health
program
operations:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,446,343
15
1.
The
department
of
inspections
and
appeals
shall
16
provide
all
state
matching
funds
for
survey
and
certification
17
activities
performed
by
the
department
of
inspections
18
and
appeals.
The
department
of
human
services
is
solely
19
responsible
for
distributing
the
federal
matching
funds
for
20
such
activities.
21
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
22
be
used
for
continuation
of
home
and
community-based
services
23
waiver
quality
assurance
programs,
including
the
review
and
24
streamlining
of
processes
and
policies
related
to
oversight
and
25
quality
management
to
meet
state
and
federal
requirements.
26
3.
Of
the
amount
appropriated
in
this
section,
up
to
27
$200,000
may
be
transferred
to
the
appropriation
for
general
28
administration
in
this
division
of
this
Act
to
be
used
for
29
additional
full-time
equivalent
positions
in
the
development
30
of
key
health
initiatives
such
as
development
and
oversight
31
of
managed
care
programs
and
development
of
health
strategies
32
targeted
toward
improved
quality
and
reduced
costs
in
the
33
Medicaid
program.
34
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
35
-25-
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5004HV
(2)
89
pf/rn
25/
85
H.F.
2578
shall
be
used
for
planning
and
development,
in
cooperation
with
1
the
department
of
public
health,
of
a
phased-in
program
to
2
provide
a
dental
home
for
children.
3
5.
a.
Of
the
funds
appropriated
in
this
section,
$188,000
4
shall
be
credited
to
the
autism
support
program
fund
created
5
in
section
225D.2
to
be
used
for
the
autism
support
program
6
created
in
chapter
225D
,
with
the
exception
of
the
following
7
amount
of
this
allocation
which
shall
be
used
as
follows:
8
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
9
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
10
a
nonprofit
provider
of
child
welfare
services
that
has
been
11
in
existence
for
more
than
115
years,
is
located
in
a
county
12
with
a
population
between
220,000
and
250,000
according
to
the
13
2020
federal
decennial
census,
is
licensed
as
a
psychiatric
14
medical
institution
for
children,
and
provides
school-based
15
programming,
to
be
used
for
support
services
for
children
with
16
autism
spectrum
disorder
and
their
families.
17
Sec.
15.
STATE
SUPPLEMENTARY
ASSISTANCE.
18
1.
There
is
appropriated
from
the
general
fund
of
the
19
state
to
the
department
of
human
services
for
the
fiscal
year
20
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
21
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
22
purpose
designated:
23
For
the
state
supplementary
assistance
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,349,002
25
2.
The
department
shall
increase
the
personal
needs
26
allowance
for
residents
of
residential
care
facilities
by
the
27
same
percentage
and
at
the
same
time
as
federal
supplemental
28
security
income
and
federal
social
security
benefits
are
29
increased
due
to
a
recognized
increase
in
the
cost
of
living.
30
The
department
may
adopt
emergency
rules
to
implement
this
31
subsection.
32
3.
If
during
the
fiscal
year
beginning
July
1,
2022,
33
the
department
projects
that
state
supplementary
assistance
34
expenditures
for
a
calendar
year
will
not
meet
the
federal
35
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89
pf/rn
26/
85
H.F.
2578
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
1
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
2
§1382g,
the
department
may
take
actions
including
but
not
3
limited
to
increasing
the
personal
needs
allowance
for
4
residential
care
facility
residents
and
making
programmatic
5
adjustments
or
upward
adjustments
of
the
residential
care
6
facility
or
in-home
health-related
care
reimbursement
rates
7
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
8
requirements
are
met.
In
addition,
the
department
may
make
9
other
programmatic
and
rate
adjustments
necessary
to
remain
10
within
the
amount
appropriated
in
this
section
while
ensuring
11
compliance
with
federal
requirements.
The
department
may
adopt
12
emergency
rules
to
implement
the
provisions
of
this
subsection.
13
4.
Notwithstanding
section
8.33
,
moneys
appropriated
14
in
this
section
that
remain
unencumbered
or
unobligated
15
at
the
close
of
the
fiscal
year
shall
not
revert
but
16
shall
remain
available
for
expenditure
for
the
purposes
17
designated,
including
for
liability
amounts
associated
with
the
18
supplemental
nutrition
assistance
program
payment
error
rate,
19
until
the
close
of
the
succeeding
fiscal
year.
20
Sec.
16.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
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,
2022,
and
ending
June
30,
2023,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
27
program
pursuant
to
chapter
514I
,
including
supplemental
dental
28
services,
for
receipt
of
federal
financial
participation
under
29
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
30
children’s
health
insurance
program:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,713,403
32
2.
Of
the
funds
appropriated
in
this
section,
$158,850
is
33
allocated
for
continuation
of
the
contract
for
outreach
with
34
the
department
of
public
health.
35
-27-
LSB
5004HV
(2)
89
pf/rn
27/
85
H.F.
2578
3.
A
portion
of
the
funds
appropriated
in
this
section
may
1
be
transferred
to
the
appropriations
made
in
this
division
of
2
this
Act
for
field
operations
or
health
program
operations
to
3
be
used
for
the
integration
of
hawk-i
program
eligibility,
4
payment,
and
administrative
functions
under
the
purview
of
5
the
department
of
human
services,
including
for
the
Medicaid
6
management
information
system
upgrade.
7
Sec.
17.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
8
from
the
general
fund
of
the
state
to
the
department
of
human
9
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
10
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
11
necessary,
to
be
used
for
the
purpose
designated:
12
For
child
care
programs:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,816,931
14
1.
Of
the
funds
appropriated
in
this
section,
$34,966,931
15
shall
be
used
for
state
child
care
assistance
in
accordance
16
with
section
237A.13
.
17
2.
Nothing
in
this
section
shall
be
construed
or
is
18
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
19
to
persons
who
are
eligible
for
assistance
due
to
an
income
20
level
consistent
with
the
waiting
list
requirements
of
section
21
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
22
this
section
is
limited
to
the
extent
of
the
funds
appropriated
23
in
this
section.
24
3.
A
list
of
the
registered
and
licensed
child
care
25
facilities
operating
in
the
area
served
by
a
child
care
26
resource
and
referral
service
shall
be
made
available
to
the
27
families
receiving
state
child
care
assistance
in
that
area.
28
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
29
shall
be
credited
to
the
early
childhood
programs
grants
30
account
in
the
early
childhood
Iowa
fund
created
in
section
31
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
32
community-based
early
childhood
programs
targeted
to
children
33
from
birth
through
five
years
of
age
developed
by
early
34
childhood
Iowa
areas
in
accordance
with
approved
community
35
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5004HV
(2)
89
pf/rn
28/
85
H.F.
2578
plans
as
provided
in
section
256I.8
.
1
5.
The
department
may
use
any
of
the
funds
appropriated
2
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
3
expanding
child
care
assistance
and
related
programs.
For
4
the
purpose
of
expenditures
of
state
and
federal
child
care
5
funding,
funds
shall
be
considered
obligated
at
the
time
6
expenditures
are
projected
or
are
allocated
to
the
department’s
7
service
areas.
Projections
shall
be
based
on
current
and
8
projected
caseload
growth,
current
and
projected
provider
9
rates,
staffing
requirements
for
eligibility
determination
10
and
management
of
program
requirements
including
data
systems
11
management,
staffing
requirements
for
administration
of
the
12
program,
contractual
and
grant
obligations
and
any
transfers
13
to
other
state
agencies,
and
obligations
for
decategorization
14
or
innovation
projects.
15
6.
A
portion
of
the
state
match
for
the
federal
child
care
16
and
development
block
grant
shall
be
provided
as
necessary
to
17
meet
federal
matching
funds
requirements
through
the
state
18
general
fund
appropriation
made
for
child
development
grants
19
and
other
programs
for
at-risk
children
in
section
279.51
.
20
7.
If
a
uniform
reduction
ordered
by
the
governor
under
21
section
8.31
or
other
operation
of
law,
transfer,
or
federal
22
funding
reduction
reduces
the
appropriation
made
in
this
23
section
for
the
fiscal
year,
the
percentage
reduction
in
the
24
amount
paid
out
to
or
on
behalf
of
the
families
participating
25
in
the
state
child
care
assistance
program
shall
be
equal
to
or
26
less
than
the
percentage
reduction
made
for
any
other
purpose
27
payable
from
the
appropriation
made
in
this
section
and
the
28
federal
funding
relating
to
it.
The
percentage
reduction
to
29
the
other
allocations
made
in
this
section
shall
be
the
same
as
30
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
31
change
of
the
federal
funding
reduction,
as
applicable.
If
32
there
is
an
unanticipated
increase
in
federal
funding
provided
33
for
state
child
care
services,
the
entire
amount
of
the
34
increase,
except
as
necessary
to
meet
federal
requirements
35
-29-
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5004HV
(2)
89
pf/rn
29/
85
H.F.
2578
including
quality
set
asides,
shall
be
used
for
state
child
1
care
assistance
payments.
If
the
appropriations
made
for
2
purposes
of
the
state
child
care
assistance
program
for
the
3
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
4
of
the
general
assembly
to
appropriate
sufficient
funding
for
5
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
6
requirements.
7
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
8
purposes
of
the
programs
developed
by
early
childhood
Iowa
9
areas,
advanced
for
purposes
of
wraparound
child
care,
or
10
received
from
the
federal
appropriations
made
for
the
purposes
11
of
this
section
that
remain
unencumbered
or
unobligated
at
the
12
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
13
remain
available
for
expenditure
for
the
purposes
designated
14
until
the
close
of
the
succeeding
fiscal
year.
15
Sec.
18.
JUVENILE
INSTITUTION.
There
is
appropriated
16
from
the
general
fund
of
the
state
to
the
department
of
human
17
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
18
June
30,
2023,
the
following
amounts,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purposes
designated:
20
1.
a.
For
operation
of
the
state
training
school
at
Eldora
21
and
for
salaries,
support,
maintenance,
and
miscellaneous
22
purposes,
and
for
not
more
than
the
following
full-time
23
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,606,871
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
207.00
26
b.
Of
the
funds
appropriated
in
this
subsection,
$91,000
27
shall
be
used
for
distribution
to
licensed
classroom
teachers
28
at
this
and
other
institutions
under
the
control
of
the
29
department
of
human
services
based
upon
the
average
student
30
yearly
enrollment
at
each
institution
as
determined
by
the
31
department.
32
2.
A
portion
of
the
moneys
appropriated
in
this
section
33
shall
be
used
by
the
state
training
school
at
Eldora
for
34
grants
for
adolescent
pregnancy
prevention
activities
at
the
35
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85
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institution
in
the
fiscal
year
beginning
July
1,
2022.
1
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
2
shall
be
used
by
the
state
training
school
at
Eldora
for
a
3
substance
use
disorder
treatment
program
at
the
institution
for
4
the
fiscal
year
beginning
July
1,
2022.
5
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
6
this
section
that
remain
unencumbered
or
unobligated
at
the
7
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
8
available
for
expenditure
for
the
purposes
designated
until
the
9
close
of
the
succeeding
fiscal
year.
10
Sec.
19.
CHILD
AND
FAMILY
SERVICES.
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,
2022,
and
ending
June
30,
2023,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purpose
designated:
16
For
child
and
family
services:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
93,571,677
18
2.
The
department
may
transfer
funds
appropriated
in
this
19
section
as
necessary
to
pay
the
nonfederal
costs
of
services
20
reimbursed
under
the
medical
assistance
program,
state
child
21
care
assistance
program,
or
the
family
investment
program
which
22
are
provided
to
children
who
would
otherwise
receive
services
23
paid
under
the
appropriation
in
this
section.
The
department
24
may
transfer
funds
appropriated
in
this
section
to
the
25
appropriations
made
in
this
division
of
this
Act
for
general
26
administration
and
for
field
operations
for
resources
necessary
27
to
implement
and
operate
the
services
funded
in
this
section.
28
3.
a.
(1)
Of
the
funds
appropriated
in
this
section,
up
to
29
$40,500,000
is
allocated
as
the
statewide
expenditure
target
30
under
section
232.143
for
group
foster
care
maintenance
and
31
services.
If
the
department
projects
that
such
expenditures
32
for
the
fiscal
year
will
be
less
than
the
target
amount
33
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
34
the
excess
to
provide
additional
funding
for
family
foster
35
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care,
supervised
apartment
living,
family-centered
services,
1
shelter
care,
or
the
child
welfare
emergency
services
addressed
2
with
the
allocation
for
shelter
care.
3
(2)
If
2022
Iowa
Acts,
House
File
2507,
amending
section
4
232.143,
is
enacted,
notwithstanding
subparagraph
(1),
of
5
the
funds
appropriated
in
this
section,
up
to
$40,500,000
is
6
allocated
for
group
foster
care
maintenance
and
services.
If
7
the
department
projects
that
such
expenditures
for
the
fiscal
8
year
will
be
less
than
the
target
amount
in
this
paragraph
“a”,
9
the
department
may
reallocate
the
excess
to
provide
additional
10
funding
for
family
foster
care,
supervised
apartment
living,
11
family-centered
services,
shelter
care,
or
the
child
welfare
12
emergency
services
addresses
with
the
allocation
for
shelter
13
care.
14
b.
Unless
2022
Iowa
Acts,
House
File
2507,
is
enacted,
15
if
at
any
time
after
September
30,
2022,
annualization
of
a
16
service
area’s
current
expenditures
indicates
a
service
area
17
is
at
risk
of
exceeding
its
group
foster
care
expenditure
18
target
under
section
232.143
by
more
than
5
percent,
the
19
department
and
juvenile
court
services
shall
examine
all
20
group
foster
care
placements
in
that
service
area
in
order
to
21
identify
those
which
might
be
appropriate
for
termination.
22
In
addition,
any
aftercare
services
believed
to
be
needed
23
for
the
children
whose
placements
may
be
terminated
shall
be
24
identified.
The
department
and
juvenile
court
services
shall
25
initiate
action
to
set
dispositional
review
hearings
for
the
26
placements
identified.
In
such
a
dispositional
review
hearing,
27
the
juvenile
court
shall
determine
whether
needed
aftercare
28
services
are
available
and
whether
termination
of
the
placement
29
is
in
the
best
interest
of
the
child
and
the
community.
If
30
2022
Iowa
Acts,
House
File
2507,
is
enacted,
the
applicable
31
provisions
of
House
File
2507
shall
supersede
the
provisions
32
of
this
paragraph
“b”.
33
4.
In
accordance
with
the
provisions
of
section
232.188
,
34
the
department
shall
continue
the
child
welfare
and
juvenile
35
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justice
funding
initiative
during
fiscal
year
2022-2023.
Of
1
the
funds
appropriated
in
this
section,
$1,717,000
is
allocated
2
specifically
for
expenditure
for
fiscal
year
2022-2023
through
3
the
decategorization
services
funding
pools
and
governance
4
boards
established
pursuant
to
section
232.188
.
5
5.
A
portion
of
the
funds
appropriated
in
this
section
6
may
be
used
for
emergency
family
assistance
to
provide
other
7
resources
required
for
a
family
participating
in
a
family
8
preservation
or
reunification
project
or
successor
project
to
9
stay
together
or
to
be
reunified.
10
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
11
amount
is
allocated
for
shelter
care
and
the
child
welfare
12
emergency
services
contracting
implemented
to
provide
for
or
13
prevent
the
need
for
shelter
care.
14
7.
Federal
funds
received
by
the
state
during
the
fiscal
15
year
beginning
July
1,
2022,
as
the
result
of
the
expenditure
16
of
state
funds
appropriated
during
a
previous
state
fiscal
17
year
for
a
service
or
activity
funded
under
this
section
are
18
appropriated
to
the
department
to
be
used
as
additional
funding
19
for
services
and
purposes
provided
for
under
this
section.
20
Notwithstanding
section
8.33
,
moneys
received
in
accordance
21
with
this
subsection
that
remain
unencumbered
or
unobligated
at
22
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
23
shall
remain
available
for
the
purposes
designated
until
the
24
close
of
the
succeeding
fiscal
year.
25
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
26
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
27
court-ordered
services
provided
to
juveniles
who
are
under
the
28
supervision
of
juvenile
court
services,
which
expenses
are
a
29
charge
upon
the
state
pursuant
to
section
232.141,
subsection
30
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
31
$1,556,000
shall
be
made
available
to
provide
school-based
32
supervision
of
children
adjudicated
under
chapter
232
,
of
which
33
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
34
A
portion
of
the
cost
of
each
school-based
liaison
officer
35
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shall
be
paid
by
the
school
district
or
other
funding
source
as
1
approved
by
the
chief
juvenile
court
officer.
2
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,000
3
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
4
services
provided
to
children
who
are
under
the
supervision
5
of
the
department,
which
expenses
are
a
charge
upon
the
state
6
pursuant
to
section
232.141,
subsection
4
.
7
c.
Notwithstanding
section
232.141
or
any
other
provision
8
of
law
to
the
contrary,
the
amounts
allocated
in
this
9
subsection
shall
be
distributed
to
the
judicial
districts
10
as
determined
by
the
state
court
administrator
and
to
the
11
department’s
service
areas
as
determined
by
the
administrator
12
of
the
department
of
human
services’
division
of
child
and
13
family
services.
The
state
court
administrator
and
the
14
division
administrator
shall
make
the
determination
of
the
15
distribution
amounts
on
or
before
June
15,
2022.
16
d.
Notwithstanding
chapter
232
or
any
other
provision
of
17
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
18
order
any
service
which
is
a
charge
upon
the
state
pursuant
19
to
section
232.141
if
there
are
insufficient
court-ordered
20
services
funds
available
in
the
district
court
or
departmental
21
service
area
distribution
amounts
to
pay
for
the
service.
The
22
chief
juvenile
court
officer
and
the
departmental
service
area
23
manager
shall
encourage
use
of
the
funds
allocated
in
this
24
subsection
such
that
there
are
sufficient
funds
to
pay
for
25
all
court-related
services
during
the
entire
year.
The
chief
26
juvenile
court
officers
and
departmental
service
area
managers
27
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
28
in
the
distribution
amounts
and
shall
cooperatively
request
the
29
state
court
administrator
or
division
administrator
to
transfer
30
funds
between
the
judicial
districts’
or
departmental
service
31
areas’
distribution
amounts
as
prudent.
32
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
33
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
34
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
35
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85
H.F.
2578
entered
under
chapter
232
which
is
a
charge
upon
the
state
1
under
section
232.141,
subsection
4
.
2
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
3
$83,000
may
be
used
by
the
judicial
branch
for
administration
4
of
the
requirements
under
this
subsection.
5
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
6
shall
be
used
by
the
department
of
human
services
to
support
7
the
interstate
commission
for
juveniles
in
accordance
with
8
the
interstate
compact
for
juveniles
as
provided
in
section
9
232.173
.
10
9.
Of
the
funds
appropriated
in
this
section,
$12,253,000
is
11
allocated
for
juvenile
delinquent
graduated
sanctions
services.
12
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
13
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
14
services
administration
may
be
used
for
the
juvenile
delinquent
15
graduated
sanctions
services.
16
10.
Of
the
funds
appropriated
in
this
section,
$1,658,000
is
17
transferred
to
the
department
of
public
health
to
be
used
for
18
the
child
protection
center
grant
program
for
child
protection
19
centers
located
in
Iowa
in
accordance
with
section
135.118
.
20
The
grant
amounts
under
the
program
shall
be
equalized
so
that
21
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
22
that
the
remaining
funds
are
awarded
through
a
funding
formula
23
based
upon
the
volume
of
children
served.
To
increase
access
24
to
child
protection
center
services
for
children
in
rural
25
areas,
the
funding
formula
for
the
awarding
of
the
remaining
26
funds
shall
provide
for
the
awarding
of
an
enhanced
amount
to
27
eligible
grantees
to
develop
and
maintain
satellite
centers
in
28
underserved
regions
of
the
state.
29
11.
Of
the
funds
appropriated
in
this
section,
$4,025,000
is
30
allocated
for
the
preparation
for
adult
living
program
pursuant
31
to
section
234.46
.
32
12.
Of
the
funds
appropriated
in
this
section,
$227,000
33
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
34
nonprofit
human
services
organization,
providing
services
to
35
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85
H.F.
2578
individuals
and
families
in
multiple
locations
in
southwest
1
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
2
sensitive
support
and
forensic
interviews,
medical
exams,
needs
3
assessments,
and
referrals
for
victims
of
child
abuse
and
their
4
nonoffending
family
members.
5
13.
Of
the
funds
appropriated
in
this
section,
$300,000
6
is
allocated
for
the
foster
care
youth
council
approach
of
7
providing
a
support
network
to
children
placed
in
foster
care.
8
14.
Of
the
funds
appropriated
in
this
section,
$202,000
is
9
allocated
for
use
pursuant
to
section
235A.1
for
continuation
10
of
the
initiative
to
address
child
sexual
abuse
implemented
11
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
12
21
.
13
15.
Of
the
funds
appropriated
in
this
section,
$630,000
is
14
allocated
for
the
community
partnership
for
child
protection
15
sites.
16
16.
Of
the
funds
appropriated
in
this
section,
$371,000
17
is
allocated
for
the
department’s
minority
youth
and
family
18
projects
under
the
redesign
of
the
child
welfare
system.
19
17.
Of
the
funds
appropriated
in
this
section,
$851,000
20
is
allocated
for
funding
of
the
community
circle
of
care
21
collaboration
for
children
and
youth
in
northeast
Iowa.
22
18.
Of
the
funds
appropriated
in
this
section,
at
least
23
$147,000
shall
be
used
for
the
continuation
of
the
child
24
welfare
provider
training
program.
25
19.
Of
the
funds
appropriated
in
this
section,
$211,000
26
shall
be
used
for
continuation
of
the
central
Iowa
system
of
27
care
program
grant
for
the
purposes
of
funding
community-based
28
services
and
other
supports
with
a
system
of
care
approach
for
29
children
with
serious
emotional
disturbance
and
their
families
30
through
a
nonprofit
provider
that
is
located
in
a
county
with
a
31
population
of
over
420,000
but
less
than
450,000
according
to
32
the
2010
certified
federal
census,
is
licensed
as
a
psychiatric
33
medical
institution
for
children,
and
was
a
system
of
care
34
grantee
prior
to
July
1,
2022.
35
-36-
LSB
5004HV
(2)
89
pf/rn
36/
85
H.F.
2578
20.
Of
the
funds
appropriated
in
this
section,
$235,000
1
shall
be
used
for
the
public
purpose
of
the
continuation
2
and
expansion
of
a
system
of
care
program
grant
implemented
3
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
4
and
long-term
approach
for
helping
children
and
families
by
5
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
6
needs,
education
and
work,
family,
and
community.
7
21.
Of
the
funds
appropriated
in
this
section,
$110,000
8
shall
be
used
for
the
public
purpose
of
funding
community-based
9
services
and
other
supports
with
a
system
of
care
approach
10
for
children
with
a
serious
emotional
disturbance
and
their
11
families
through
a
nonprofit
provider
of
child
welfare
services
12
that
has
been
in
existence
for
more
than
115
years,
is
located
13
in
a
county
with
a
population
of
more
than
230,000
according
to
14
the
2020
certified
federal
census,
is
licensed
as
a
psychiatric
15
medical
institution
for
children,
and
was
a
system
of
care
16
grantee
prior
to
July
1,
2022.
17
22.
If
a
separate
funding
source
is
identified
that
reduces
18
the
need
for
state
funds
within
an
allocation
under
this
19
section,
the
allocated
state
funds
may
be
redistributed
to
20
other
allocations
under
this
section
for
the
same
fiscal
year.
21
23.
Of
the
funds
appropriated
in
this
section,
a
portion
may
22
be
used
for
family-centered
services
for
purposes
of
complying
23
with
the
federal
Family
First
Prevention
Services
Act
of
2018,
24
Pub.
L.
No.
115-123,
and
successor
legislation.
25
24.
Of
the
funds
appropriated
in
this
section,
$3,850,718
26
shall
be
used
to
support
placements
in
qualified
residential
27
treatment
programs.
28
Sec.
20.
ADOPTION
SUBSIDY.
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,
2022,
and
ending
June
30,
2023,
the
following
32
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purpose
designated:
34
a.
For
adoption
subsidy
payments
and
related
costs
and
for
35
-37-
LSB
5004HV
(2)
89
pf/rn
37/
85
H.F.
2578
other
services
provided
for
under
paragraph
“b”,
subparagraph
1
(2):
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,596,007
3
b.
(1)
Of
the
funds
appropriated
in
this
section,
a
4
sufficient
amount
is
allocated
for
adoption
subsidy
payments
5
and
related
costs.
6
(2)
Any
funds
appropriated
in
this
section
remaining
after
7
the
allocation
under
subparagraph
(1)
are
designated
and
8
allocated
as
state
savings
resulting
from
implementation
of
9
the
federal
Fostering
Connections
to
Success
and
Increasing
10
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
11
legislation,
as
determined
in
accordance
with
42
U.S.C.
12
§673(a)(8),
and
shall
be
used
for
post-adoption
services
and
13
for
other
purposes
allowed
under
these
federal
laws,
Tit.
IV-B
14
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
15
(a)
The
department
of
human
services
may
transfer
funds
16
allocated
in
this
subparagraph
(2)
to
the
appropriation
for
17
child
and
family
services
in
this
division
of
this
Act
for
the
18
purposes
designated
in
this
subparagraph
(2).
19
(b)
Notwithstanding
section
8.33,
moneys
allocated
20
under
this
subparagraph
(2)
shall
not
revert
to
any
fund
but
21
shall
remain
available
for
the
purposes
designated
in
this
22
subparagraph
(2)
until
expended.
23
2.
The
department
may
transfer
funds
appropriated
in
24
this
section
to
the
appropriation
made
in
this
division
of
25
this
Act
for
general
administration
for
costs
paid
from
the
26
appropriation
relating
to
adoption
subsidy.
27
3.
Federal
funds
received
by
the
state
during
the
28
fiscal
year
beginning
July
1,
2022,
as
the
result
of
the
29
expenditure
of
state
funds
during
a
previous
state
fiscal
30
year
for
a
service
or
activity
funded
under
this
section
are
31
appropriated
to
the
department
to
be
used
as
additional
funding
32
for
the
services
and
activities
funded
under
this
section.
33
Notwithstanding
section
8.33
,
moneys
received
in
accordance
34
with
this
subsection
that
remain
unencumbered
or
unobligated
35
-38-
LSB
5004HV
(2)
89
pf/rn
38/
85
H.F.
2578
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
1
but
shall
remain
available
for
expenditure
for
the
purposes
2
designated
until
the
close
of
the
succeeding
fiscal
year.
3
Sec.
21.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
4
in
the
juvenile
detention
home
fund
created
in
section
232.142
5
during
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
6
30,
2023,
are
appropriated
to
the
department
of
human
services
7
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
8
2023,
for
distribution
of
an
amount
equal
to
a
percentage
of
9
the
costs
of
the
establishment,
improvement,
operation,
and
10
maintenance
of
county
or
multicounty
juvenile
detention
homes
11
in
the
fiscal
year
beginning
July
1,
2021.
Moneys
appropriated
12
for
distribution
in
accordance
with
this
section
shall
be
13
allocated
among
eligible
detention
homes,
prorated
on
the
basis
14
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
15
eligible
detention
homes
in
the
fiscal
year
beginning
July
16
1,
2021.
The
percentage
figure
shall
be
determined
by
the
17
department
based
on
the
amount
available
for
distribution
for
18
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
19
financial
aid
payable
by
the
state
under
that
provision
for
the
20
fiscal
year
beginning
July
1,
2022,
shall
be
limited
to
the
21
amount
appropriated
for
the
purposes
of
this
section.
22
Sec.
22.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
26
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purpose
designated:
28
For
the
family
support
subsidy
program
subject
to
the
29
enrollment
restrictions
in
section
225C.37,
subsection
3
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
949,282
31
2.
At
least
$931,536
of
the
moneys
appropriated
in
this
32
section
is
transferred
to
the
department
of
public
health
for
33
the
family
support
center
component
of
the
comprehensive
family
34
support
program
under
chapter
225C,
subchapter
V
.
35
-39-
LSB
5004HV
(2)
89
pf/rn
39/
85
H.F.
2578
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
1
funding
available
for
the
family
support
subsidy
program
2
is
reduced
from
the
amount
initially
used
to
establish
the
3
figure
for
the
number
of
family
members
for
whom
a
subsidy
4
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
5
notwithstanding
section
225C.38,
subsection
2
,
the
department
6
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
7
of
funding
available.
8
Sec.
23.
CONNER
DECREE.
There
is
appropriated
from
the
9
general
fund
of
the
state
to
the
department
of
human
services
10
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
11
2023,
the
following
amount,
or
so
much
thereof
as
is
necessary,
12
to
be
used
for
the
purpose
designated:
13
For
building
community
capacity
through
the
coordination
14
and
provision
of
training
opportunities
in
accordance
with
the
15
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
16
Iowa,
July
14,
1994):
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
18
Sec.
24.
MENTAL
HEALTH
INSTITUTES.
19
1.
There
is
appropriated
from
the
general
fund
of
the
20
state
to
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
22
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
23
purposes
designated:
24
a.
For
operation
of
the
state
mental
health
institute
at
25
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
26
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
27
more
than
the
following
full-time
equivalent
positions:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,613,624
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.00
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,
and
for
not
33
more
than
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,688,928
35
-40-
LSB
5004HV
(2)
89
pf/rn
40/
85
H.F.
2578
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
208.00
1
2.
a.
Notwithstanding
sections
218.78
and
249A.11
,
any
2
revenue
received
from
the
state
mental
health
institute
at
3
Cherokee
or
the
state
mental
health
institute
at
Independence
4
pursuant
to
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
5
the
mental
health
institute.
6
b.
Notwithstanding
sections
218.78
and
249A.11,
any
7
COVID-19
related
funding
received
through
federal
funding
8
sources
by
the
state
mental
health
institute
at
Cherokee
or
the
9
state
mental
health
institute
at
Independence
may
be
retained
10
and
expended
by
the
mental
health
institute.
11
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
12
a
Medicaid
member
residing
at
the
state
mental
health
13
institute
at
Cherokee
or
the
state
mental
health
institute
14
at
Independence
shall
retain
Medicaid
eligibility
during
15
the
period
of
the
Medicaid
member’s
stay
for
which
federal
16
financial
participation
is
available.
17
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
18
this
section
that
remain
unencumbered
or
unobligated
at
the
19
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
20
available
for
expenditure
for
the
purposes
designated
until
the
21
close
of
the
succeeding
fiscal
year.
22
Sec.
25.
STATE
RESOURCE
CENTERS.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
26
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purposes
designated:
28
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
29
support,
maintenance,
and
miscellaneous
purposes:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,288,739
31
b.
For
the
state
resource
center
at
Woodward
for
salaries,
32
support,
maintenance,
and
miscellaneous
purposes:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,409,294
34
2.
The
department
may
continue
to
bill
for
state
resource
35
-41-
LSB
5004HV
(2)
89
pf/rn
41/
85
H.F.
2578
center
services
utilizing
a
scope
of
services
approach
used
for
1
private
providers
of
intermediate
care
facilities
for
persons
2
with
an
intellectual
disability
services,
in
a
manner
which
3
does
not
shift
costs
between
the
medical
assistance
program,
4
mental
health
and
disability
services
regions,
or
other
sources
5
of
funding
for
the
state
resource
centers.
6
3.
The
state
resource
centers
may
expand
the
time-limited
7
assessment
and
respite
services
during
the
fiscal
year.
8
4.
If
the
department’s
administration
and
the
department
9
of
management
concur
with
a
finding
by
a
state
resource
10
center’s
superintendent
that
projected
revenues
can
reasonably
11
be
expected
to
pay
the
salary
and
support
costs
for
a
new
12
employee
position,
or
that
such
costs
for
adding
a
particular
13
number
of
new
positions
for
the
fiscal
year
would
be
less
14
than
the
overtime
costs
if
new
positions
would
not
be
added,
15
the
superintendent
may
add
the
new
position
or
positions.
If
16
the
vacant
positions
available
to
a
resource
center
do
not
17
include
the
position
classification
desired
to
be
filled,
the
18
state
resource
center’s
superintendent
may
reclassify
any
19
vacant
position
as
necessary
to
fill
the
desired
position.
The
20
superintendents
of
the
state
resource
centers
may,
by
mutual
21
agreement,
pool
vacant
positions
and
position
classifications
22
during
the
course
of
the
fiscal
year
in
order
to
assist
one
23
another
in
filling
necessary
positions.
24
5.
If
existing
capacity
limitations
are
reached
in
25
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
26
a
special
need
for
which
a
payment
source
or
other
funding
27
is
available
for
the
service
or
to
address
the
special
need,
28
and
facilities
for
the
service
or
to
address
the
special
need
29
can
be
provided
within
the
available
payment
source
or
other
30
funding,
the
superintendent
of
a
state
resource
center
may
31
authorize
opening
not
more
than
two
units
or
other
facilities
32
and
begin
implementing
the
service
or
addressing
the
special
33
need
during
fiscal
year
2022-2023.
34
6.
Notwithstanding
section
8.33
,
and
notwithstanding
35
-42-
LSB
5004HV
(2)
89
pf/rn
42/
85
H.F.
2578
the
amount
limitation
specified
in
section
222.92
,
moneys
1
appropriated
in
this
section
that
remain
unencumbered
or
2
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
3
but
shall
remain
available
for
expenditure
for
the
purposes
4
designated
until
the
close
of
the
succeeding
fiscal
year.
5
Sec.
26.
SEXUALLY
VIOLENT
PREDATORS.
6
1.
There
is
appropriated
from
the
general
fund
of
the
7
state
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
9
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purpose
designated:
11
For
costs
associated
with
the
commitment
and
treatment
of
12
sexually
violent
predators
in
the
unit
located
at
the
state
13
mental
health
institute
at
Cherokee,
including
costs
of
legal
14
services
and
other
associated
costs,
including
salaries,
15
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
16
more
than
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,891,276
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
140.00
19
2.
Unless
specifically
prohibited
by
law,
if
the
amount
20
charged
provides
for
recoupment
of
at
least
the
entire
amount
21
of
direct
and
indirect
costs,
the
department
of
human
services
22
may
contract
with
other
states
to
provide
care
and
treatment
23
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
24
violent
predators
at
Cherokee.
The
moneys
received
under
25
such
a
contract
shall
be
considered
to
be
repayment
receipts
26
and
used
for
the
purposes
of
the
appropriation
made
in
this
27
section.
28
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
29
this
section
that
remain
unencumbered
or
unobligated
at
the
30
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
31
available
for
expenditure
for
the
purposes
designated
until
the
32
close
of
the
succeeding
fiscal
year.
33
Sec.
27.
FIELD
OPERATIONS.
34
1.
There
is
appropriated
from
the
general
fund
of
the
35
-43-
LSB
5004HV
(2)
89
pf/rn
43/
85
H.F.
2578
state
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
2
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purposes
designated:
4
For
field
operations,
including
salaries,
support,
5
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
6
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
65,894,438
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,589.00
9
2.
Priority
in
filling
full-time
equivalent
positions
10
shall
be
given
to
those
positions
related
to
child
protection
11
services
and
eligibility
determination
for
low-income
families.
12
Sec.
28.
GENERAL
ADMINISTRATION.
There
is
appropriated
13
from
the
general
fund
of
the
state
to
the
department
of
human
14
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
15
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purpose
designated:
17
For
general
administration,
including
salaries,
support,
18
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
19
the
following
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,342,189
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
22
1.
The
department
shall
report
at
least
monthly
to
the
23
general
assembly
concerning
the
department’s
operational
and
24
program
expenditures.
25
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
26
be
used
for
the
provision
of
a
program
to
provide
technical
27
assistance,
support,
and
consultation
to
providers
of
home
and
28
community-based
services
under
the
medical
assistance
program.
29
3.
Of
the
funds
appropriated
in
this
section,
$50,000
30
is
transferred
to
the
Iowa
finance
authority
to
be
used
31
for
administrative
support
of
the
council
on
homelessness
32
established
in
section
16.2D
and
for
the
council
to
fulfill
its
33
duties
in
addressing
and
reducing
homelessness
in
the
state.
34
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
35
-44-
LSB
5004HV
(2)
89
pf/rn
44/
85
H.F.
2578
be
transferred
to
and
deposited
in
the
administrative
fund
of
1
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
2
be
used
for
implementation
and
administration
activities
of
the
3
Iowa
ABLE
savings
plan
trust.
4
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
5
transferred
to
the
economic
development
authority
for
the
Iowa
6
commission
on
volunteer
services
to
continue
to
be
used
for
the
7
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
8
for
member
recruitment
and
training
to
improve
the
economic
9
well-being
and
health
of
economically
disadvantaged
refugees
in
10
local
communities
across
Iowa.
Funds
transferred
may
be
used
11
to
supplement
federal
funds
under
federal
regulations.
12
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
13
shall
be
used
as
follows:
14
a.
To
fund
not
more
than
1.00
full-time
equivalent
position
15
to
address
the
department’s
responsibility
to
support
the
work
16
of
the
children’s
behavioral
health
system
state
board
and
17
implementation
of
the
services
required
pursuant
to
section
18
331.397.
19
b.
To
support
the
cost
of
establishing
and
implementing
new
20
or
additional
services
required
pursuant
to
sections
331.397
21
and
331.397A.
22
c.
Of
the
amount
allocated,
$32,000
shall
be
transferred
23
to
the
department
of
public
health
to
support
the
costs
of
24
establishing
and
implementing
new
or
additional
services
25
required
pursuant
to
sections
331.397
and
331.397A.
26
7.
Of
the
funds
appropriated
in
this
section,
$800,000
shall
27
be
used
for
the
renovation
and
construction
of
certain
nursing
28
facilities,
consistent
with
the
provisions
of
chapter
249K.
29
Sec.
29.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
30
from
the
general
fund
of
the
state
to
the
department
of
human
31
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
32
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purposes
designated:
34
For
salaries,
support,
maintenance,
and
miscellaneous
35
-45-
LSB
5004HV
(2)
89
pf/rn
45/
85
H.F.
2578
purposes
at
facilities
under
the
purview
of
the
department
of
1
human
services:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,172,123
3
Sec.
30.
VOLUNTEERS.
There
is
appropriated
from
the
general
4
fund
of
the
state
to
the
department
of
human
services
for
the
5
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
2023,
6
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
7
used
for
the
purpose
designated:
8
For
development
and
coordination
of
volunteer
services:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
10
Sec.
31.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
11
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
12
DEPARTMENT
OF
HUMAN
SERVICES.
13
1.
a.
(1)
(a)
Notwithstanding
any
provision
of
law
to
the
14
contrary,
for
the
fiscal
year
beginning
July
1,
2022,
case-mix
15
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
16
methodology
in
effect
on
June
30,
2022.
17
(b)
For
the
fiscal
year
beginning
July
1,
2022,
non-case-mix
18
and
special
population
nursing
facilities
shall
be
reimbursed
19
in
accordance
with
the
methodology
in
effect
on
June
30,
2022.
20
(c)
For
managed
care
claims,
the
department
of
human
21
services
shall
adjust
the
payment
rate
floor
for
nursing
22
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
23
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
24
calculated
in
accordance
with
subparagraph
division
(a)
and
25
441
IAC
81.6.
The
department
shall
then
calculate
adjusted
26
reimbursement
rates,
including
but
not
limited
to
add-on
27
payments,
annually,
and
shall
notify
Medicaid
managed
care
28
organizations
of
the
adjusted
reimbursement
rates
within
30
29
days
of
determining
the
adjusted
reimbursement
rates.
Any
30
adjustment
of
reimbursement
rates
under
this
subparagraph
31
division
shall
be
budget
neutral
to
the
state
budget.
32
(d)
For
the
fiscal
year
beginning
July
1,
2022,
Medicaid
33
managed
care
long-term
services
and
supports
capitation
rates
34
shall
be
adjusted
to
reflect
the
case-mix
adjusted
rates
35
-46-
LSB
5004HV
(2)
89
pf/rn
46/
85
H.F.
2578
specified
pursuant
to
subparagraph
division
(a)
for
the
patient
1
populations
residing
in
Medicaid-certified
nursing
facilities.
2
(2)
Medicaid
managed
care
organizations
shall
adjust
3
facility-specific
rates
based
upon
payment
rate
listings
issued
4
by
the
department.
The
rate
adjustments
shall
be
applied
5
prospectively
from
the
effective
date
of
the
rate
letter
issued
6
by
the
department.
7
b.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
the
8
department
shall
establish
the
fee-for-service
pharmacy
9
dispensing
fee
reimbursement
at
$10.38
per
prescription,
10
until
a
cost
of
dispensing
survey
is
completed.
The
actual
11
dispensing
fee
shall
be
determined
by
a
cost
of
dispensing
12
survey
performed
by
the
department
and
required
to
be
completed
13
by
all
medical
assistance
program
participating
pharmacies
14
every
two
years,
adjusted
as
necessary
to
maintain
expenditures
15
within
the
amount
appropriated
to
the
department
for
this
16
purpose
for
the
fiscal
year.
A
change
in
the
dispensing
17
fee
shall
become
effective
following
federal
approval
of
the
18
Medicaid
state
plan.
19
(2)
The
department
shall
utilize
an
average
acquisition
20
cost
reimbursement
methodology
for
all
drugs
covered
under
the
21
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
22
chapter
1133,
section
33.
23
c.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
24
reimbursement
rates
for
outpatient
hospital
services
shall
25
remain
at
the
rates
in
effect
on
June
30,
2022,
subject
to
26
Medicaid
program
upper
payment
limit
rules,
and
adjusted
27
as
necessary
to
maintain
expenditures
within
the
amount
28
appropriated
to
the
department
for
this
purpose
for
the
fiscal
29
year.
30
(2)
For
the
fiscal
year
beginning
July
1,
2022,
31
reimbursement
rates
for
inpatient
hospital
services
shall
32
remain
at
the
rates
in
effect
on
June
30,
2022,
subject
to
33
Medicaid
program
upper
payment
limit
rules,
and
adjusted
34
as
necessary
to
maintain
expenditures
within
the
amount
35
-47-
LSB
5004HV
(2)
89
pf/rn
47/
85
H.F.
2578
appropriated
to
the
department
for
this
purpose
for
the
fiscal
1
year.
2
(3)
For
the
fiscal
year
beginning
July
1,
2022,
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,
2022,
the
graduate
11
medical
education
and
disproportionate
share
hospital
fund
12
shall
remain
at
the
amount
in
effect
on
June
30,
2022,
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,
2022,
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,
2022,
independent
29
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
30
using
the
same
methodology
in
effect
on
June
30,
2022.
31
f.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
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.
The
35
-48-
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5004HV
(2)
89
pf/rn
48/
85
H.F.
2578
department
shall
continue
to
update
the
rates
every
two
years
1
to
reflect
the
most
recent
Medicare
LUPA
rates.
2
(2)
For
the
fiscal
year
beginning
July
1,
2022,
the
3
department
shall
create
a
reimbursement
rate
structure
that
4
provides
incentives
to
home
health
care
providers
located
in
5
rural
areas
and
providing
home
health
care
to
Medicaid
members,
6
within
the
$4,000,000
appropriated
for
this
purpose.
The
rate
7
structure
shall
include
a
telehealth
component
to
incentivize
8
the
provision
of
necessary
supervision
for
skilled
care
without
9
requiring
travel
time.
For
the
purposes
of
this
subparagraph
10
(2),
“rural
area”
means
an
area
that
is
not
an
Iowa
core
based
11
statistical
area
as
defined
by
the
federal
office
of
management
12
and
budget.
13
(3)
For
the
fiscal
year
beginning
July
1,
2022,
rates
for
14
private
duty
nursing
and
personal
care
services
under
the
early
15
and
periodic
screening,
diagnostic,
and
treatment
program
16
benefit
shall
be
calculated
based
on
the
methodology
in
effect
17
on
June
30,
2022.
18
g.
For
the
fiscal
year
beginning
July
1,
2022,
federally
19
qualified
health
centers
and
rural
health
clinics
shall
receive
20
cost-based
reimbursement
for
100
percent
of
the
reasonable
21
costs
for
the
provision
of
services
to
recipients
of
medical
22
assistance.
23
h.
For
the
fiscal
year
beginning
July
1,
2022,
the
24
reimbursement
rates
for
dental
services
shall
remain
at
the
25
rates
in
effect
on
June
30,
2022.
26
i.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
27
reimbursement
rates
for
non-state-owned
psychiatric
medical
28
institutions
for
children
shall
be
based
on
the
reimbursement
29
methodology
in
effect
on
June
30,
2022.
30
(2)
As
a
condition
of
participation
in
the
medical
31
assistance
program,
enrolled
providers
shall
accept
the
medical
32
assistance
reimbursement
rate
for
any
covered
goods
or
services
33
provided
to
recipients
of
medical
assistance
who
are
children
34
under
the
custody
of
a
psychiatric
medical
institution
for
35
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(2)
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pf/rn
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85
H.F.
2578
children.
1
j.
For
the
fiscal
year
beginning
July
1,
2022,
unless
2
otherwise
specified
in
this
Act,
all
noninstitutional
medical
3
assistance
provider
reimbursement
rates
shall
remain
at
the
4
rates
in
effect
on
June
30,
2022,
except
for
area
education
5
agencies,
local
education
agencies,
infant
and
toddler
6
services
providers,
home
and
community-based
services
providers
7
including
consumer-directed
attendant
care
providers
under
a
8
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
9
providers,
and
those
providers
whose
rates
are
required
to
be
10
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
11
mental
health
parity
requirements.
12
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
13
fiscal
year
beginning
July
1,
2022,
the
reimbursement
rate
for
14
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
15
30,
2022,
and
updated
on
January
1,
2023,
to
align
with
the
16
most
current
Iowa
Medicare
anesthesia
rate.
17
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
18
beginning
July
1,
2022,
the
average
reimbursement
rate
for
19
health
care
providers
eligible
for
use
of
the
federal
Medicare
20
resource-based
relative
value
scale
reimbursement
methodology
21
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
22
June
30,
2022;
however,
this
rate
shall
not
exceed
the
maximum
23
level
authorized
by
the
federal
government.
24
m.
For
the
fiscal
year
beginning
July
1,
2022,
the
25
reimbursement
rate
for
residential
care
facilities
shall
not
26
be
less
than
the
minimum
payment
level
as
established
by
the
27
federal
government
to
meet
the
federally
mandated
maintenance
28
of
effort
requirement.
The
flat
reimbursement
rate
for
29
facilities
electing
not
to
file
annual
cost
reports
shall
not
30
be
less
than
the
minimum
payment
level
as
established
by
the
31
federal
government
to
meet
the
federally
mandated
maintenance
32
of
effort
requirement.
33
n.
For
the
fiscal
year
beginning
July
1,
2022,
the
34
reimbursement
rates
for
inpatient
mental
health
services
35
-50-
LSB
5004HV
(2)
89
pf/rn
50/
85
H.F.
2578
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
1
June
30,
2022,
subject
to
Medicaid
program
upper
payment
limit
2
rules
and
adjusted
as
necessary
to
maintain
expenditures
within
3
the
amount
appropriated
to
the
department
for
this
purpose
for
4
the
fiscal
year;
and
psychiatrists
shall
be
reimbursed
at
the
5
medical
assistance
program
fee-for-service
rate
in
effect
on
6
June
30,
2022.
7
o.
For
the
fiscal
year
beginning
July
1,
2022,
community
8
mental
health
centers
may
choose
to
be
reimbursed
for
the
9
services
provided
to
recipients
of
medical
assistance
through
10
either
of
the
following
options:
11
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
12
(2)
In
accordance
with
the
alternative
reimbursement
rate
13
methodology
approved
by
the
department
of
human
services
in
14
effect
on
June
30,
2022.
15
p.
For
the
fiscal
year
beginning
July
1,
2022,
the
16
reimbursement
rate
for
providers
of
family
planning
services
17
that
are
eligible
to
receive
a
90
percent
federal
match
shall
18
remain
at
the
rates
in
effect
on
June
30,
2022.
19
q.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
20
reimbursement
rates
for
providers
of
home
and
community-based
21
services
waiver
and
habilitation
services
shall
be
increased
22
to
the
extent
possible
within
the
$14,600,000
appropriated
for
23
this
purpose.
The
entire
rate
increase
shall
be
used
for
wages
24
and
associated
costs
specific
to
wages,
benefits,
and
required
25
withholding
of
direct
support
professionals
and
frontline
26
management,
including
consumer
choices
option
employees.
27
(2)
For
the
fiscal
year
beginning
July
1,
2022,
28
reimbursement
rates
for
intermediate
care
facility
for
29
persons
with
an
intellectual
disability
providers
shall
be
30
increased
over
the
rates
in
effect
on
June
30,
2022,
within
31
the
$3,125,778
appropriated
for
this
purpose.
The
entire
rate
32
increase
shall
be
used
for
wages
and
associated
costs
specific
33
to
wages,
benefits,
and
required
withholding
of
direct
support
34
professionals
and
frontline
management.
35
-51-
LSB
5004HV
(2)
89
pf/rn
51/
85
H.F.
2578
(3)
For
the
fiscal
year
beginning
July
1,
2022,
1
reimbursement
rates
for
providers
of
state
plan
home
and
2
community-based
services
home-based
habilitation
services
3
shall
remain
at
the
rates
in
effect
on
June
30,
2022.
The
4
reimbursement
rates
for
home-based
habilitation
services
shall
5
be
based
on
a
fee
schedule
that
incorporates
the
acuity-based
6
tiers.
7
r.
For
the
fiscal
year
beginning
July
1,
2022,
the
8
reimbursement
rates
for
emergency
medical
service
providers
9
shall
remain
at
the
rates
in
effect
on
June
30,
2022,
or
as
10
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
11
the
United
States
department
of
health
and
human
services.
12
s.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
13
reimbursement
rates
for
substance-related
disorder
treatment
14
programs
licensed
under
section
125.13
shall
remain
at
the
15
rates
in
effect
on
June
30,
2022.
16
(2)
For
the
fiscal
year
beginning
July
1,
2022,
the
17
department
shall
establish
a
fee
schedule
or
provider-specific
18
rate
structure
to
increase
reimbursement
rates
for
residential
19
substance
use
treatment
providers
within
the
$1,100,000
20
appropriated
for
this
purpose.
21
t.
For
the
fiscal
year
beginning
July
1,
2022,
assertive
22
community
treatment
per
diem
rates
shall
remain
at
the
rates
in
23
effect
on
June
30,
2022.
24
u.
For
the
fiscal
year
beginning
July
1,
2022,
the
25
reimbursement
rate
for
family-centered
services
providers
shall
26
be
established
by
contract.
27
v.
For
the
fiscal
year
beginning
July
1,
2022,
the
28
reimbursement
rate
for
air
ambulance
services
shall
remain
at
29
the
rate
in
effect
on
June
30,
2022.
30
w.
For
the
fiscal
year
beginning
July
1,
2022,
all
31
behavioral
health
intervention
services
reimbursement
rates
32
shall
be
increased
over
the
rates
in
effect
on
June
30,
2022,
33
within
the
$3,000,000
appropriated
for
this
purpose.
The
34
entire
rate
increase
shall
be
used
for
wages
and
associated
35
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5004HV
(2)
89
pf/rn
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85
H.F.
2578
costs
specific
to
wages,
benefits,
and
required
withholding
of
1
direct
support
professionals
and
frontline
management.
2
x.
For
the
fiscal
year
beginning
July
1,
2022,
all
applied
3
behavioral
analysis
services
reimbursement
rates
shall
be
4
increased
over
the
rates
in
effect
on
June
30,
2022,
within
the
5
$385,000
appropriated
for
this
purpose.
6
2.
For
the
fiscal
year
beginning
July
1,
2022,
the
7
reimbursement
rate
for
providers
reimbursed
under
the
8
in-home-related
care
program
shall
not
be
less
than
the
minimum
9
payment
level
as
established
by
the
federal
government
to
meet
10
the
federally
mandated
maintenance
of
effort
requirement.
11
3.
Unless
otherwise
directed
in
this
section,
when
the
12
department’s
reimbursement
methodology
for
any
provider
13
reimbursed
in
accordance
with
this
section
includes
an
14
inflation
factor,
this
factor
shall
not
exceed
the
amount
15
by
which
the
consumer
price
index
for
all
urban
consumers
16
increased
during
the
most
recently
ended
calendar
year.
17
4.
Notwithstanding
section
234.38
,
for
the
fiscal
18
year
beginning
July
1,
2022,
the
foster
family
basic
daily
19
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
20
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
21
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
22
children
ages
12
through
15
years
shall
be
$19.10,
and
the
23
rate
for
children
and
young
adults
ages
16
and
older
shall
24
be
$19.35.
For
youth
ages
18
to
23
who
have
exited
foster
25
care,
the
preparation
for
adult
living
program
maintenance
26
rate
shall
be
up
to
$602.70
per
month
as
calculated
based
on
27
the
age
of
the
participant.
The
maximum
payment
for
adoption
28
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
29
disallowance
of
additional
amounts
for
court
costs
and
other
30
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
31
chapter
1031,
section
408
,
shall
be
continued.
32
5.
For
the
fiscal
year
beginning
July
1,
2022,
the
maximum
33
reimbursement
rates
for
social
services
providers
under
34
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2022,
35
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5004HV
(2)
89
pf/rn
53/
85
H.F.
2578
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
1
each
service,
whichever
is
less.
However,
if
a
new
service
2
or
service
provider
is
added
after
June
30,
2022,
the
initial
3
reimbursement
rate
for
the
service
or
provider
shall
be
based
4
upon
a
weighted
average
of
provider
rates
for
similar
services.
5
6.
a.
For
the
fiscal
year
beginning
July
1,
2022,
the
6
reimbursement
rates
for
resource
family
recruitment
and
7
retention
contractors
shall
be
established
by
contract.
8
b.
For
the
fiscal
year
beginning
July
1,
2022,
the
9
reimbursement
rates
for
supervised
apartment
living
foster
care
10
providers
shall
be
established
by
contract.
11
7.
For
the
fiscal
year
beginning
July
1,
2022,
the
12
reimbursement
rate
for
group
foster
care
providers
shall
be
the
13
combined
service
and
maintenance
reimbursement
rate
established
14
by
contract.
15
8.
The
group
foster
care
reimbursement
rates
paid
for
16
placement
of
children
out
of
state
shall
be
calculated
17
according
to
the
same
rate-setting
principles
as
those
used
for
18
in-state
providers,
unless
the
director
of
human
services
or
19
the
director’s
designee
determines
that
appropriate
care
cannot
20
be
provided
within
the
state.
The
payment
of
the
daily
rate
21
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
22
which
service
is
provided.
23
9.
a.
For
the
fiscal
year
beginning
July
1,
2022,
the
24
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
25
emergency
services
implemented
to
provide
or
prevent
the
need
26
for
shelter
care
shall
be
established
by
contract.
27
b.
For
the
fiscal
year
beginning
July
1,
2022,
the
combined
28
service
and
maintenance
components
of
the
per
day
reimbursement
29
rate
paid
for
shelter
care
services
shall
be
based
on
the
30
financial
and
statistical
report
submitted
to
the
department.
31
The
maximum
per
day
reimbursement
rate
shall
be
the
maximum
32
per
day
reimbursement
rate
in
effect
on
June
30,
2022,
as
33
increased
within
the
$649,029
appropriated
for
this
purpose.
34
The
department
shall
reimburse
a
shelter
care
provider
at
the
35
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(2)
89
pf/rn
54/
85
H.F.
2578
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
1
to
exceed
the
maximum
reimbursement
rate.
2
c.
Unless
2022
Iowa
Acts,
House
File
2507,
is
enacted,
3
notwithstanding
section
232.141,
subsection
8
,
for
the
fiscal
4
year
beginning
July
1,
2022,
the
amount
of
the
statewide
5
average
of
the
actual
and
allowable
rates
for
reimbursement
of
6
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
7
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
8
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
9
2021.
If
2022
Iowa
Acts,
House
File
2507,
is
enacted,
the
10
applicable
provisions
of
House
File
2507
shall
supersede
the
11
provisions
of
this
paragraph
“c”.
12
10.
For
the
fiscal
year
beginning
July
1,
2022,
the
13
department
shall
calculate
reimbursement
rates
for
intermediate
14
care
facilities
for
persons
with
an
intellectual
disability
15
at
the
80th
percentile.
Beginning
July
1,
2022,
the
rate
16
calculation
methodology
shall
utilize
the
consumer
price
index
17
inflation
factor
applicable
to
the
fiscal
year
beginning
July
18
1,
2022.
19
11.
Effective
July
1,
2022,
child
care
provider
20
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
21
30,
2022.
The
department
shall
set
rates
in
a
manner
so
as
22
to
provide
incentives
for
a
nonregistered
provider
to
become
23
registered
by
applying
any
increase
only
to
registered
and
24
licensed
providers.
25
12.
The
department
may
adopt
emergency
rules
to
implement
26
this
section.
27
Sec.
32.
EMERGENCY
RULES.
28
1.
If
necessary
to
comply
with
federal
requirements
29
including
time
frames,
or
if
specifically
authorized
by
a
30
provision
of
this
division
of
this
Act,
the
department
of
31
human
services
or
the
mental
health
and
disability
services
32
commission
may
adopt
administrative
rules
under
section
17A.4,
33
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
34
to
implement
the
provisions
of
this
division
of
this
Act
and
35
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2578
the
rules
shall
become
effective
immediately
upon
filing
or
1
on
a
later
effective
date
specified
in
the
rules,
unless
the
2
effective
date
of
the
rules
is
delayed
or
the
applicability
3
of
the
rules
is
suspended
by
the
administrative
rules
review
4
committee.
Any
rules
adopted
in
accordance
with
this
section
5
shall
not
take
effect
before
the
rules
are
reviewed
by
the
6
administrative
rules
review
committee.
The
delay
authority
7
provided
to
the
administrative
rules
review
committee
under
8
section
17A.4,
subsection
7,
and
section
17A.8,
subsections
9
9
and
10,
shall
be
applicable
to
a
delay
imposed
under
this
10
section,
notwithstanding
a
provision
in
those
subsections
11
making
them
inapplicable
to
section
17A.5,
subsection
2,
12
paragraph
“b”.
Any
rules
adopted
in
accordance
with
the
13
provisions
of
this
section
shall
also
be
published
as
a
notice
14
of
intended
action
as
provided
in
section
17A.4.
15
2.
If
during
a
fiscal
year,
the
department
of
human
16
services
is
adopting
rules
in
accordance
with
this
section
17
or
as
otherwise
directed
or
authorized
by
state
law,
and
18
the
rules
will
result
in
an
expenditure
increase
beyond
the
19
amount
anticipated
in
the
budget
process
or
if
the
expenditure
20
was
not
addressed
in
the
budget
process
for
the
fiscal
21
year,
the
department
shall
notify
the
general
assembly
and
22
the
department
of
management
concerning
the
rules
and
the
23
expenditure
increase.
The
notification
shall
be
provided
at
24
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
25
is
submitted
to
the
administrative
rules
coordinator
and
the
26
administrative
code
editor.
27
Sec.
33.
REPORTS.
Unless
otherwise
provided,
any
reports
or
28
other
information
required
to
be
compiled
and
submitted
under
29
this
Act
during
the
fiscal
year
beginning
July
1,
2022,
shall
30
be
submitted
on
or
before
the
dates
specified
for
submission
31
of
the
reports
or
information.
32
Sec.
34.
EFFECTIVE
UPON
ENACTMENT.
Unless
2022
Iowa
Acts,
33
House
File
2507,
is
enacted,
the
following
provision
of
this
34
division
of
this
Act,
being
deemed
of
immediate
importance,
35
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H.F.
2578
takes
effect
upon
enactment:
1
The
provision
relating
to
section
232.141
and
directing
the
2
state
court
administrator
and
the
division
administrator
of
3
the
department
of
human
services
division
of
child
and
family
4
services
to
make
the
determination,
by
June
15,
2022,
of
the
5
distribution
of
funds
allocated
for
the
payment
of
the
expenses
6
of
court-ordered
services
provided
to
juveniles
which
are
a
7
charge
upon
the
state.
8
DIVISION
VI
9
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2022-2023
10
Sec.
35.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
11
appropriated
from
the
pharmaceutical
settlement
account
created
12
in
section
249A.33
to
the
department
of
human
services
for
the
13
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
2023,
14
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
15
used
for
the
purpose
designated:
16
Notwithstanding
any
provision
of
law
to
the
contrary,
to
17
supplement
the
appropriations
made
in
this
Act
for
health
18
program
operations
under
the
medical
assistance
program
for
the
19
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
2023:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
21
Sec.
36.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
22
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
23
subject
to
the
availability
of
funds,
there
is
appropriated
24
from
the
quality
assurance
trust
fund
created
in
section
25
249L.4
to
the
department
of
human
services
for
the
fiscal
year
26
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
27
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
28
designated:
29
To
supplement
the
appropriation
made
in
this
Act
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
medical
assistance
for
the
same
fiscal
year:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
56,305,139
33
Sec.
37.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
34
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
35
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2578
the
contrary
and
subject
to
the
availability
of
funds,
there
is
1
appropriated
from
the
hospital
health
care
access
trust
fund
2
created
in
section
249M.4
to
the
department
of
human
services
3
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
4
30,
2023,
the
following
amounts,
or
so
much
thereof
as
is
5
necessary,
for
the
purposes
designated:
6
To
supplement
the
appropriation
made
in
this
Act
from
the
7
general
fund
of
the
state
to
the
department
of
human
services
8
for
medical
assistance
for
the
same
fiscal
year:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
10
Sec.
38.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
11
FOR
FY
2022-2023.
Notwithstanding
section
8.33
,
if
moneys
12
appropriated
for
purposes
of
the
medical
assistance
program
for
13
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
14
2023,
from
the
general
fund
of
the
state,
the
quality
assurance
15
trust
fund,
and
the
hospital
health
care
access
trust
fund,
are
16
in
excess
of
actual
expenditures
for
the
medical
assistance
17
program
and
remain
unencumbered
or
unobligated
at
the
close
18
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
19
shall
remain
available
for
expenditure
for
the
purposes
of
the
20
medical
assistance
program
until
the
close
of
the
succeeding
21
fiscal
year.
22
DIVISION
VII
23
DECATEGORIZATION
CARRYOVER
FUNDING
24
Sec.
39.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2020
——
25
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
26
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
27
the
funding
pool
that
remained
unencumbered
or
unobligated
28
at
the
close
of
the
fiscal
year
beginning
July
1,
2019,
and
29
were
deemed
carryover
funding
to
remain
available
for
the
two
30
succeeding
fiscal
years
that
still
remain
unencumbered
or
31
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
32
2021,
shall
not
revert
but
shall
be
transferred
to
the
medical
33
assistance
program
for
the
fiscal
year
beginning
July
1,
2022.
34
Sec.
40.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
35
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2578
deemed
of
immediate
importance,
takes
effect
upon
enactment.
1
Sec.
41.
RETROACTIVE
APPLICABILITY.
This
division
of
this
2
Act
applies
retroactively
to
July
1,
2021.
3
DIVISION
VIII
4
TRANSFER
OF
PROPERTY
TAX
RELIEF
FUND
BALANCE
5
Sec.
42.
TRANSFER
OF
PROPERTY
TAX
RELIEF
FUND
BALANCE
——
6
FY
2021-2022.
Notwithstanding
any
provision
to
the
contrary,
7
any
funds
remaining
in
the
property
tax
relief
fund
created
8
in
section
426B.1
at
the
close
of
the
fiscal
year
beginning
9
July
1,
2021,
shall
be
transferred
to
the
region
incentive
fund
10
created
in
the
mental
health
and
disability
services
regional
11
service
fund
pursuant
to
section
225C.7A.
12
Sec.
43.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
13
deemed
of
immediate
importance,
takes
effect
upon
enactment.
14
DIVISION
IX
15
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS
16
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND
17
Sec.
44.
2021
Iowa
Acts,
chapter
182,
section
9,
is
amended
18
by
adding
the
following
new
subsection:
19
NEW
SUBSECTION
.
7.
Notwithstanding
section
8.33,
moneys
20
appropriated
in
this
section
that
remain
unencumbered
or
21
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
22
but
shall
remain
available
for
one-time
purposes,
and
may
be
23
transferred
to
the
appropriation
in
this
division
of
this
Act
24
for
general
administration
for
technology
purposes,
until
the
25
close
of
the
succeeding
fiscal
year.
26
CHILD
AND
FAMILY
SERVICES
27
Sec.
45.
2021
Iowa
Acts,
chapter
182,
section
19,
is
amended
28
by
adding
the
following
new
subsection:
29
NEW
SUBSECTION
.
24.
Notwithstanding
section
8.33,
moneys
30
appropriated
in
this
section
that
remain
unencumbered
or
31
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
32
but
shall
remain
available
for
the
purposes
designated
until
33
the
close
of
the
succeeding
fiscal
year.
34
FIELD
OPERATIONS
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2578
Sec.
46.
2021
Iowa
Acts,
chapter
182,
section
27,
is
amended
1
by
adding
the
following
new
subsection:
2
NEW
SUBSECTION
.
3.
Notwithstanding
section
8.33,
moneys
3
appropriated
in
this
section
that
remain
unencumbered
or
4
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
5
but
shall
remain
available
for
one-time
expenditure
purposes
6
until
the
close
of
the
succeeding
fiscal
year.
7
GENERAL
ADMINISTRATION
8
Sec.
47.
2021
Iowa
Acts,
chapter
182,
section
28,
is
amended
9
by
adding
the
following
new
subsection:
10
NEW
SUBSECTION
.
8.
Notwithstanding
section
8.33,
moneys
11
appropriated
in
this
section
that
remain
unencumbered
or
12
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
13
but
shall
remain
available
for
one-time
expenditure
purposes
14
until
the
close
of
the
succeeding
fiscal
year.
15
Sec.
48.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
16
deemed
of
immediate
importance,
takes
effect
upon
enactment.
17
DIVISION
X
18
PUBLIC
HEALTH
EMERGENCY
PROVISIONS
COVID-19
REGULATIONS
19
Sec.
49.
COVID-19
FEDERAL
REGULATIONS.
For
the
time
20
period
beginning
on
the
effective
date
of
this
division
of
21
this
Act,
and
ending
June
30,
2023,
notwithstanding
state
22
administrative
rules
to
the
contrary,
to
the
extent
federal
23
regulations
relating
to
the
COVID-19
pandemic
differ
from
state
24
administrative
rules,
including
applicable
federal
waivers,
25
the
federal
regulations
are
controlling
during
the
pendency
of
26
the
federally
declared
state
of
emergency
and
for
such
period
27
of
time
following
the
end
of
the
federally
declared
state
of
28
emergency
applicable
to
the
respective
federal
regulations.
29
DIVISION
XI
30
HEALTH
AND
HUMAN
SERVICES
REALIGNMENT
31
Sec.
50.
TRANSITION
OF
DEPARTMENT
OF
HUMAN
SERVICES
AND
32
DEPARTMENT
OF
PUBLIC
HEALTH
INTO
DEPARTMENT
OF
HEALTH
AND
HUMAN
33
SERVICES.
34
1.
Definitions.
For
the
purposes
of
this
section:
35
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a.
“Department
of
health
and
human
services”
or
1
“department”
means
the
department
of
health
and
human
services
2
created
under
this
section.
3
b.
“Transition
department”
means
the
department
of
human
4
services
or
the
department
of
public
health.
5
c.
“Transition
departments”
means
the
department
of
human
6
services
and
the
department
of
public
health.
7
d.
“Transition
period”
means
the
period
beginning
July
1,
8
2022,
and
ending
June
30,
2023.
9
2.
Creation
of
department
of
health
and
human
services
10
——
transition
period
——
powers
and
duties.
Notwithstanding
11
any
conflicting
provision
of
law
to
the
contrary,
there
is
12
created
a
department
of
health
and
human
services.
During
13
the
transition
period,
the
department
of
health
and
human
14
services
shall
have
and
may
exercise
all
of
the
policymaking
15
functions,
regulatory
and
enforcement
powers,
rights,
duties,
16
and
responsibilities
of
the
department
of
human
services
and
17
the
department
of
public
health
as
prescribed
by
law
or
rule
18
in
effect
on
July
1,
2022,
including
but
not
limited
to
those
19
relating
to:
20
a.
All
obligations
and
contracts
of
a
transition
21
department,
including
obligations
and
contracts
related
to
a
22
grant
program.
23
b.
All
property
and
records
in
the
custody
of
a
transition
24
department.
25
c.
All
funds
appropriated
to
a
transition
department
by
the
26
general
assembly
and
all
state,
federal,
and
other
funds
for
27
which
expenditure
by
a
transition
department
is
authorized.
28
d.
Complaints,
investigations,
contested
cases,
causes
of
29
action,
and
statutes
of
limitations
involving
a
transition
30
department.
31
(1)
All
complaints,
investigations,
contested
cases,
or
32
a
remand
of
an
action
by
a
reviewing
court
pending
before
a
33
transition
department
or
an
authorized
person
of
a
transition
34
department
shall
continue
without
change
in
status
before
35
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the
department
and
shall
be
governed
by
the
laws
and
rules
1
applicable
to
the
complaint,
investigation,
contested
case,
or
2
remand
action
or
proceeding
in
effect
on
July
1,
2022.
3
(2)
Any
cause
of
action
or
statute
of
limitation
relating
4
to
a
transition
department
shall
not
be
affected
as
a
result
5
of
the
transition
and
such
cause
of
action
or
statute
of
6
limitation
shall
apply
to
the
department.
7
e.
Rules,
policies,
and
forms.
All
rules,
policies,
and
8
forms
adopted
by
or
on
behalf
of
a
transition
department
shall
9
become
rules,
policies,
and
forms
of
the
department
and
shall
10
remain
in
effect
unless
altered
by
the
department.
11
f.
Licenses,
permits,
and
certifications.
All
licenses,
12
permits,
and
certifications
issued
by
a
transition
department
13
shall
continue
in
effect
as
a
license,
permit,
or
certification
14
of
the
department
in
accordance
with
the
law
or
rule
governing
15
the
license,
permit,
or
certification
in
effect
on
July
1,
16
2022,
until
the
license,
permit,
or
certification
expires,
is
17
suspended
or
revoked,
or
otherwise
becomes
invalid
by
the
terms
18
of
such
law
or
rule.
19
g.
References
to
a
department
or
director.
All
references
20
to
the
department
of
public
health
or
the
department
of
human
21
services
in
law
or
in
rule
shall
be
interpreted
to
mean
the
22
department
of
health
and
human
services,
and
all
references
to
23
the
director
of
public
health
or
the
director
of
human
services
24
shall
be
interpreted
to
mean
the
director
of
the
department
of
25
health
and
human
services.
26
h.
Departmental
structure.
27
(1)
Any
transition
department,
transition
department
28
subunit,
or
transition
department
body
created
or
established
29
by
law
and
in
existence
on
July
1,
2022,
shall
continue
in
30
full
force
and
effect
and
shall
not
be
permanently
abolished,
31
merged,
or
otherwise
altered
until
amended,
repealed,
or
32
supplemented
by
action
of
the
general
assembly.
33
(2)
This
paragraph
shall
not
prohibit
a
transition
34
department,
transition
department
subunit,
or
transition
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department
body
created
or
established
by
law
in
existence
on
1
July
1,
2022,
from
sharing
or
coordinating
responsibilities
2
or
functions
under
their
respective
purviews
nor
prohibit
3
the
director
from
temporarily
integrating
such
departments,
4
subunits,
or
bodies
or
the
responsibilities
or
functions
under
5
their
respective
purviews
in
furtherance
of
the
transition
plan
6
during
the
transition
period.
7
3.
Transition
period
leadership.
During
the
transition
8
period,
the
director
of
human
services
shall
continue
to
act
9
as
the
director
of
human
services,
shall
assume
the
duties
of
10
the
director
of
public
health,
shall
act
as
the
director
of
11
the
department
of
health
and
human
services,
and
may
thereby
12
exercise
any
policymaking
functions,
regulatory
and
enforcement
13
powers,
rights,
duties,
and
responsibilities
of
the
director
14
of
human
services
and
the
director
of
public
health
including
15
those
duties
prescribed
by
law
for
the
department
of
human
16
services
or
the
department
of
public
health
in
effect
on
July
17
1,
2022.
18
4.
Federal
authorization
and
effective
date
of
19
authorizations.
If
a
transition
department
or
the
department
20
determines
that
a
waiver
or
authorization
from
the
federal
21
government
is
necessary
to
administer
any
provision
of
22
this
section,
the
department
shall
request
the
waiver
or
23
authorization,
and
notwithstanding
any
other
effective
date
to
24
the
contrary,
the
provision
shall
take
effect
only
upon
receipt
25
of
federal
approval.
26
5.
Initial
written
transition
plan.
27
a.
On
or
before
September
30,
2022,
the
transition
28
departments
or
department
shall
publish
on
their
respective
29
internet
sites
an
initial
written
transition
plan
for
merging
30
the
functions
of
the
transition
departments
into
the
department
31
of
health
and
human
services
effective
July
1,
2023,
in
order
32
to
do
all
of
the
following:
33
(1)
More
efficiently
and
effectively
manage
health
and
34
human
services
programs
that
are
the
responsibility
of
the
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state.
1
(2)
Establish
a
health
and
human
services
policy
for
the
2
state.
3
(3)
Promote
health
and
the
quality
of
life
in
the
health
and
4
human
services
field.
5
b.
The
transition
plan
shall
describe,
at
a
minimum,
all
of
6
the
following:
7
(1)
The
tasks
that
require
completion
before
July
1,
2023,
8
including
a
description
of
how
the
transition
departments
shall
9
solicit
comment
from
stakeholders,
including
employees
of
the
10
transition
departments,
clients
and
partners
of
the
transition
11
departments,
members
of
the
public,
and
members
of
the
general
12
assembly.
13
(2)
The
proposed
organizational
structure
of
the
14
department,
at
a
minimum,
including
the
division
level
of
15
the
table
of
organization.
Any
personnel
in
the
state
merit
16
system
of
employment
who
are
mandatorily
transferred
due
to
the
17
transition
shall
be
so
transferred
without
any
loss
in
salary,
18
benefits,
or
accrued
years
of
service.
19
(3)
Proposed
changes
to
any
transition
department
boards,
20
commissions,
committees,
councils,
or
other
bodies
and
their
21
functions.
22
(4)
Office
space
and
infrastructure
requirements
related
23
to
the
transition.
24
(5)
Any
work
site
location
changes
for
transitioning
25
employees.
26
(6)
The
transition
of
service
delivery
sites.
27
(7)
Procedures
for
the
transfer
and
reconciliation
of
28
budgeting
and
funding
between
the
transition
departments
and
29
the
department.
30
(8)
The
transition
of
technology
services
of
the
transition
31
departments
to
the
department.
32
(9)
Any
additional
known
tasks
that
may
require
completion
33
after
the
transition
on
July
1,
2023.
34
c.
The
written
transition
plan
published
under
paragraph
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“b”
shall:
1
(1)
Include
a
detailed
timeline
for
the
completion
of
the
2
tasks
described.
3
(2)
Be
updated
quarterly
during
the
remainder
of
the
4
transition
period.
5
(3)
Describe
how
information
will
be
provided
to
clients
6
of
the
transition
departments
and
the
department
regarding
any
7
changes
in
service
delivery.
8
(4)
Describe
how
the
transition
to
the
department
will
be
9
funded,
including
how
expenses
associated
with
the
transition
10
will
be
managed;
how
funding
for
services
provided
by
the
11
transition
departments
will
be
managed
to
ensure
provision
12
of
services
by
the
transition
departments
and
the
department
13
without
interruption;
and
how
federal
funds
will
be
used
by
14
or
transferred
between
the
transition
departments
and
the
15
department
to
ensure
provision
of
services
by
the
transition
16
departments
and
the
department
without
interruption.
17
6.
Statutory
and
administrative
rule
updates.
18
a.
Legislative
changes
required
to
implement
the
19
transition.
Additional
legislation
is
necessary
to
fully
20
implement
the
transition.
The
director
of
the
department
21
of
health
and
human
services
shall,
in
compliance
with
22
section
2.16,
prepare
draft
legislation
for
submission
to
the
23
legislative
services
agency,
as
necessary,
for
consideration
24
by
the
general
assembly
during
the
2023
legislative
25
session,
to
implement
the
transition
effective
July
1,
2023.
26
Notwithstanding
any
provision
to
the
contrary
in
section
2.16,
27
the
draft
legislation
shall
be
submitted
to
the
legislative
28
services
agency
by
October
1,
2022.
29
b.
Update
of
administrative
code
required
by
the
30
transition.
In
updating
references
and
the
format
in
the
31
Iowa
administrative
code,
in
order
to
correspond
to
the
32
transferring
of
duties
of
the
transition
departments,
the
33
administrative
rules
coordinator
and
the
administrative
rules
34
review
committee,
in
consultation
with
the
administrative
code
35
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editor,
shall
collectively
develop
a
schedule
for
the
necessary
1
updating
of
the
Iowa
administrative
code.
2
DIVISION
XII
3
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
QUALITY
4
OF
CARE
RATE
ADD-ON
PROGRAM
5
Sec.
51.
Section
249L.2,
subsections
6
and
7,
Code
2022,
are
6
amended
by
striking
the
subsections.
7
Sec.
52.
Section
249L.2,
subsection
8,
Code
2022,
is
amended
8
to
read
as
follows:
9
8.
“Nursing
facility”
means
a
licensed
nursing
facility
as
10
defined
in
section
135C.1
that
is
a
freestanding
facility
or
11
a
nursing
facility
operated
by
a
hospital
licensed
pursuant
12
to
chapter
135B
,
but
does
not
include
a
distinct-part
skilled
13
nursing
unit
or
a
swing-bed
unit
operated
by
a
hospital,
or
14
a
nursing
facility
owned
by
the
state
or
federal
government
15
or
other
governmental
unit.
“Nursing
facility”
includes
a
16
non-state
government-owned
nursing
facility
if
the
nursing
17
facility
participates
in
the
non-state
government-owned
nursing
18
facility
quality
of
care
rate
add-on
program.
19
Sec.
53.
REPEAL.
2019
Iowa
Acts,
chapter
85,
sections
103,
20
104,
and
108,
are
repealed.
21
Sec.
54.
REPEAL.
2020
Iowa
Acts,
chapter
1063,
section
390,
22
is
repealed.
23
DIVISION
XIII
24
HEARING
AIDS
AND
AUDIOLOGIC
SERVICES
FUNDING
PROGRAM
——
25
ADMINISTRATION
26
Sec.
55.
HEARING
AID
AND
AUDIOLOGIC
SERVICES
FUNDING
27
PROGRAM
ADMINISTRATION.
The
Iowa
department
of
public
28
health
shall
not
enter
into
a
contract
with
a
third
party
to
29
administer
the
hearing
aids
and
audiologic
services
funding
30
program
and
shall
adopt
rules
pursuant
to
chapter
17A
to
31
administer
the
program
within
the
department,
including
but
not
32
limited
to
the
administration
of
the
application
process,
the
33
determination
of
applicants’
eligibility,
the
enrollment
of
34
eligible
applicants
into
the
program,
the
maintenance
of
the
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hearing
aids
and
audiologic
services
funding
waitlist,
and
the
1
reimbursement
of
providers.
2
DIVISION
XIV
3
HEARING
AIDS
AND
AUDIOLOGIC
SERVICES
FUNDING
PROGRAM
——
4
FY
2021-2022
NONREVERSION
5
Sec.
56.
2021
Iowa
Acts,
chapter
182,
section
3,
subsection
6
2,
paragraph
e,
is
amended
to
read
as
follows:
7
e.
Of
the
funds
appropriated
in
this
subsection,
$156,000
8
shall
be
used
to
provide
audiological
services
and
hearing
9
aids
for
children.
Notwithstanding
section
8.33,
moneys
10
appropriated
in
this
paragraph
that
remain
unencumbered
or
11
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
12
but
shall
remain
available
for
expenditure
for
the
purposes
13
designated
until
the
close
of
the
succeeding
fiscal
year.
The
14
amount
that
does
not
revert
shall
be
reported
by
the
department
15
to
the
general
assembly.
16
Sec.
57.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
17
deemed
of
immediate
importance,
takes
effect
upon
enactment.
18
DIVISION
XV
19
ADMISSION
OR
TRANSFER
OF
PERSONS
WITH
A
DIAGNOSIS
OF
AN
20
INTELLECTUAL
DISABILITY
TO
A
STATE
MENTAL
HEALTH
INSTITUTE
21
Sec.
58.
Section
4.1,
subsection
9A,
Code
2022,
is
amended
22
by
striking
the
subsection
and
inserting
in
lieu
thereof
the
23
following:
24
9A.
“Intellectual
disability”
means
a
diagnosis
of
25
intellectual
disability
or
intellectual
developmental
disorder,
26
global
developmental
delay,
or
unspecified
intellectual
27
disability
or
intellectual
developmental
disorder
which
28
diagnosis
shall
be
made
only
when
the
onset
of
the
person’s
29
condition
was
during
the
developmental
period
and
based
on
an
30
assessment
of
the
person’s
intellectual
functioning
and
level
31
of
adaptive
skills.
A
diagnosis
of
intellectual
disability
32
shall
be
made
by
a
licensed
psychologist
or
psychiatrist
who
33
is
professionally
trained
to
administer
the
tests
required
to
34
assess
intellectual
functioning
and
to
evaluate
a
person’s
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adaptive
skills
and
shall
be
made
in
accordance
with
the
1
criteria
provided
in
the
current
version
of
the
diagnostic
2
and
statistical
manual
of
mental
disorders
published
by
the
3
American
psychiatric
association.
4
Sec.
59.
Section
226.8,
Code
2022,
is
amended
to
read
as
5
follows:
6
226.8
Persons
with
a
diagnosis
of
an
intellectual
disability
7
not
receivable
——
exception
——
admission
or
transfer
to
state
8
mental
health
institute
.
9
1.
A
Admission
or
transfer
pursuant
to
section
222.7
to
10
a
state
mental
health
institute
of
a
person
who
has
with
a
11
diagnosis
of
an
intellectual
disability,
as
defined
in
section
12
4.1
,
shall
not
be
admitted,
or
transferred
pursuant
to
section
13
222.7
,
to
a
state
mental
health
institute
unless
a
professional
14
diagnostic
evaluation
indicates
that
such
only
occur
under
the
15
following
conditions:
16
a.
If
all
of
the
following
requirements
are
met:
17
(1)
The
person
has
been
determined
by
the
state
mental
18
health
institute
to
meet
admission
criteria
for
inpatient
19
psychiatric
care.
20
(2)
The
state
mental
health
institute
has
determined
the
21
person
will
benefit
from
psychiatric
treatment
or
from
some
22
other
specific
program
available
at
the
state
mental
health
23
institute
to
which
it
is
proposed
to
admit
or
transfer
the
24
person
.
25
(3)
There
is
sufficient
capacity
available
at
the
state
26
mental
health
institute
to
support
the
needs
of
the
person.
27
b.
If
determined
appropriate
for
the
person
at
the
28
sole
discretion
of
the
director
of
human
services,
the
29
administrator,
or
the
director’s
or
administrator’s
designee.
30
2.
Charges
for
the
care
of
any
person
with
a
diagnosis
of
31
an
intellectual
disability
admitted
to
a
state
mental
health
32
institute
shall
be
made
by
the
institute
in
the
manner
provided
33
by
chapter
230
,
but
the
liability
of
any
other
person
to
any
34
county
mental
health
and
disability
services
region
for
the
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cost
of
care
of
such
person
with
a
diagnosis
of
an
intellectual
1
disability
shall
be
as
prescribed
by
section
222.78
.
2
DIVISION
XVI
3
COLLEGES
OF
MEDICINE
AND
DENTISTRY
——
RESIDENCY
——
REPORTS
4
Sec.
60.
Section
262.9,
Code
2022,
is
amended
by
adding
the
5
following
new
subsection:
6
NEW
SUBSECTION
.
39.
Adopt
a
policy
requiring
that
not
less
7
than
seventy-five
percent
of
the
students
who
are
accepted
8
at
the
college
of
medicine
in
the
doctor
of
medicine
program
9
and
who
are
accepted
at
the
college
of
dentistry
at
the
state
10
university
of
Iowa
be
residents
of
Iowa
or
persons
who
were,
11
prior
to
applying
to
such
college,
enrolled
in
an
eligible
12
postsecondary
institution
as
defined
in
section
261E.2.
13
Sec.
61.
Section
263.2,
Code
2022,
is
amended
to
read
as
14
follows:
15
263.2
Degrees
——
reports
.
16
1.
A
person
shall
not
be
admitted
to
courses
of
instruction
17
in
the
university
if
the
person
has
not
completed
the
18
elementary
instruction
in
such
branches
as
are
taught
in
the
19
public
or
accredited
nonpublic
schools
throughout
the
state.
20
2.
Graduates
of
the
university
shall
receive
degrees
or
21
diplomas,
or
other
evidences
of
distinction
such
as
are
usually
22
conferred
and
granted
by
universities
and
are
authorized
by
the
23
state
board
of
regents.
24
3.
The
state
university
of
Iowa,
in
collaboration
with
the
25
university
hospitals
and
clinics,
shall
submit
an
annual
report
26
to
the
general
assembly
providing
the
following
information:
27
a.
The
states
in
which
members
of
each
graduating
class
28
from
the
college
of
dentistry
and
the
college
of
medicine’s
29
doctor
of
medicine
program
reside
during
the
year
immediately
30
following
graduation.
The
information
shall
be
categorized
31
by
either
residents
of
Iowa
at
the
time
of
application
to
the
32
college
or
nonresidents
at
the
time
of
application
to
the
33
college.
34
b.
The
states
in
which
the
university
of
Iowa
hospitals
and
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clinics
primary
care
and
specialty
residents
reside
in
the
year
1
following
completion
of
medical
residency
and
whether
following
2
residency
such
residents
accepted
fellowships.
The
information
3
shall
be
categorized
by
primary
care
and
the
various
areas
of
4
specialty,
and
shall
specify
whether
the
medical
residents
5
were
residents
of
Iowa
prior
to
applying
for
admission
at
an
6
undergraduate
college
or
university,
received
a
baccalaureate
7
degree
from
a
postsecondary
institution
in
Iowa,
or
graduated
8
from
a
medical
school
in
Iowa,
whether
or
not
the
medical
9
residents
were
residents
of
the
state
at
the
time
of
acceptance
10
into
the
university
of
Iowa
hospitals
and
clinics’
residency
11
programs
and,
if
any
residents
accepted
fellowships
following
12
residency,
the
states
in
which
the
fellowships
are
offered
and
13
the
areas
of
specialty
under
the
fellowships.
14
DIVISION
XVII
15
MEDICAL
RESIDENCY
POSITIONS
AND
AUDITION
CLINICALS
16
Sec.
62.
MEDICAL
RESIDENCY
POSITIONS
AND
AUDITION
CLINICALS
17
——
MEDICAL
STUDENTS
AND
APPLICANTS
MEETING
CERTAIN
CRITERIA
——
18
ANNUAL
REPORT.
19
1.
The
university
of
Iowa
hospitals
and
clinics
shall
offer
20
an
interview
for
an
available
medical
residency
position
to
21
any
applicant
who
has
a
residency
specialty
in
obstetrics
and
22
gynecology,
psychiatry,
general
surgery,
emergency
medicine,
23
cardiology,
neurology,
or
primary
care
and
who
also
is
a
24
resident
of
Iowa,
attended
and
earned
an
undergraduate
degree
25
from
an
Iowa
college
or
university,
or
attended
and
earned
a
26
medical
degree
from
a
medical
school
in
Iowa.
27
2.
The
university
of
Iowa
hospitals
and
clinics
shall
28
provide
the
opportunity
to
a
medical
student
attending
a
29
medical
school
in
Iowa
to
participate
in
an
audition
clinical
30
in
the
medical
residency
specialty
for
which
the
medical
31
student
applies
to
allow
the
university
to
constructively
32
review
the
student
in
a
clinical
setting.
33
3.
The
university
of
Iowa
hospitals
and
clinics
shall
submit
34
a
report
to
the
governor
and
the
general
assembly
by
January
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15,
annually,
regarding
the
interviews
and
audition
clinicals
1
as
specified
in
this
section
during
the
prior
fiscal
year.
2
Specifically,
the
report
shall
include
for
each
interview
or
3
audition
clinical
the
name
of
the
student’s
or
applicant’s
4
medical
school,
whether
an
applicant
was
offered
and
5
participated
in
an
interview,
whether
the
student
was
offered
6
and
participated
in
an
audition
clinical,
whether
the
applicant
7
was
accepted
for
one
of
the
residency
program
positions,
and
8
the
total
number
of
available
residency
positions
filled
by
an
9
applicant
meeting
the
criteria
under
this
section.
10
DIVISION
XVIII
11
HEALTH
CARRIERS
——
TELEHEALTH
12
Sec.
63.
Section
514C.34,
subsection
3,
Code
2022,
is
13
amended
to
read
as
follows:
14
3.
a.
Health
care
services
that
are
delivered
by
telehealth
15
must
be
appropriate
and
delivered
in
accordance
with
applicable
16
law
and
generally
accepted
health
care
practices
and
standards
17
prevailing
at
the
time
the
health
care
services
are
provided,
18
including
all
rules
adopted
by
the
appropriate
professional
19
licensing
board,
pursuant
to
chapter
147
,
having
oversight
20
of
the
health
care
professional
providing
the
health
care
21
services.
22
b.
A
health
carrier
shall
not
exclude
a
health
care
23
professional
who
provides
services
for
mental
health
24
conditions,
illnesses,
injuries,
or
diseases
and
who
is
25
physically
located
out-of-state
from
participating
as
a
26
provider,
via
telehealth,
under
a
policy,
plan,
or
contract
27
offered
by
the
health
carrier
in
the
state
if
all
of
the
28
following
requirements
are
met:
29
(1)
The
health
care
professional
is
licensed
in
this
state
30
by
the
appropriate
professional
licensing
board
and
is
able
31
to
deliver
health
care
services
for
mental
health
conditions,
32
illnesses,
injuries,
or
diseases
via
telehealth
in
compliance
33
with
paragraph
“a”
.
34
(2)
The
health
care
professional
is
able
to
satisfy
the
same
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criteria
that
the
health
carrier
uses
to
qualify
a
health
care
1
professional
who
is
located
in
the
state,
and
who
holds
the
2
same
license
as
the
out-of-state
professional,
to
participate
3
as
a
provider,
via
telehealth,
under
a
policy,
plan,
or
4
contract
offered
by
the
health
carrier
in
the
state.
5
Sec.
64.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
6
deemed
of
immediate
importance,
takes
effect
upon
enactment.
7
Sec.
65.
APPLICABILITY.
This
division
of
this
Act
applies
8
to
health
carriers
that
deliver,
issue
for
delivery,
continue,
9
or
renew
a
policy,
contract,
or
plan
in
this
state
on
or
after
10
the
effective
date
of
this
Act.
11
DIVISION
XIX
12
NURSING
FACILITY
CONSTRUCTION
OR
EXPANSION
RELIEF
13
Sec.
66.
Section
249K.2,
subsection
4,
Code
2022,
is
amended
14
to
read
as
follows:
15
4.
“Major
renovations”
means
construction
or
facility
16
improvements
to
a
nursing
facility
in
which
the
total
amount
17
expended
exceeds
one
million
five
seven
hundred
fifty
thousand
18
dollars.
19
Sec.
67.
Section
249K.5,
subsection
2,
Code
2022,
is
amended
20
by
adding
the
following
new
paragraph:
21
NEW
PARAGRAPH
.
c.
The
nursing
facility
for
which
relief
22
or
an
exception
is
requested
is
proposing
replacement
or
23
enhancement
of
an
HVAC,
as
defined
in
section
105.2,
system
for
24
improved
infection
control.
25
Sec.
68.
ADMINISTRATIVE
RULES
——
ADOPTION
AND
26
AMENDMENT.
The
department
of
human
services
shall
adopt
or
27
amend
rules
pursuant
to
chapter
17A
to
administer
this
division
28
of
this
Act.
Specifically,
the
department
shall
amend
rules
29
relating
to
nursing
facility
additional
requirements
for
all
30
requests
for
the
capital
cost
per
diem
instant
relief
add-on
31
and
enhanced
nondirect
care
rate
component
limit
to
provide
32
that
with
regard
to
the
additional
requirements
a
nursing
33
facility
must
meet,
the
facility
has
Medicaid
utilization
at
34
or
above
forty
percent
for
the
two-month
period
before
the
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request
for
additional
reimbursement
is
submitted.
Medicaid
1
utilization
for
this
purpose
is
calculated
as
total
nursing
2
facility
Medicaid
patient
days
divided
by
total
in-house
3
patient
days
as
reported
on
the
facility’s
most
current
4
financial
and
statistical
report.
5
DIVISION
XX
6
HEALTH
CARE
PROVIDERS
——
COVID-19
AND
EXPERIMENTAL
TREATMENTS
7
Sec.
69.
Section
144E.2,
subsection
1,
paragraphs
a,
c,
and
8
e,
Code
2022,
are
amended
to
read
as
follows:
9
a.
Has
a
terminal
illness,
attested
to
by
the
patient’s
a
10
treating
physician
,
or
is
receiving
mechanical
ventilation
to
11
prolong
life
.
12
c.
Has
received
a
recommendation
from
the
individual’s
a
13
physician
for
an
investigational
drug,
biological
product,
or
14
device.
15
e.
Has
documentation
from
the
individual’s
a
physician
that
16
the
individual
meets
the
requirements
of
this
subsection
.
17
Sec.
70.
Section
144E.2,
subsection
2,
Code
2022,
is
amended
18
to
read
as
follows:
19
2.
“Investigational
drug,
biological
product,
or
device”
20
means
a
any
of
the
following:
21
a.
A
drug,
biological
product,
or
device
that
has
22
successfully
completed
phase
1
of
a
United
States
food
and
drug
23
administration-approved
clinical
trial
but
has
not
yet
been
24
approved
for
general
use
by
the
United
States
food
and
drug
25
administration
and
remains
under
investigation
in
a
United
26
States
food
and
drug
administration-approved
clinical
trial.
27
b.
An
off-label
use
of
a
drug.
28
Sec.
71.
Section
144E.2,
Code
2022,
is
amended
by
adding
the
29
following
new
subsection:
30
NEW
SUBSECTION
.
2A.
“Off-label
use
of
a
drug”
means
31
the
legal,
prescribed
use
of
a
drug
in
a
manner
different
32
from
that
described
on
the
United
States
food
and
drug
33
administration-approved
drug
label,
including
the
use
of
a
34
drug
for
a
different
disease
or
medical
condition
or
giving
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a
drug
at
a
different
dose
or
through
a
different
route
of
1
administration
other
than
that
approved
by
the
United
States
2
food
and
drug
administration.
3
Sec.
72.
Section
144E.2,
subsection
4,
unnumbered
paragraph
4
1,
Code
2022,
is
amended
to
read
as
follows:
5
“Written
informed
consent”
means
a
written
document
that
6
is
signed
by
the
patient,
a
parent
of
a
minor
patient,
or
a
7
legal
guardian
or
other
legal
representative
of
the
patient
and
8
attested
to
by
the
patient’s
a
treating
physician
and
a
witness
9
and
that
includes
all
of
the
following:
10
Sec.
73.
Section
144E.2,
subsection
4,
paragraphs
b
and
d,
11
Code
2022,
are
amended
to
read
as
follows:
12
b.
An
attestation
that
the
patient
concurs
with
the
13
patient’s
a
treating
physician
in
believing
that
all
products
14
and
treatments
approved
by
the
United
States
food
and
drug
15
administration
are
unlikely
to
prolong
the
patient’s
life.
16
d.
A
description
of
the
best
and
worst
potential
outcomes
17
of
using
the
investigational
drug,
biological
product,
or
18
device
and
a
realistic
description
of
the
most
likely
outcome.
19
The
description
shall
include
the
possibility
that
new,
20
unanticipated,
different,
or
worse
symptoms
might
result
21
and
that
death
could
be
hastened
by
use
of
the
proposed
22
investigational
drug,
biological
product,
or
device.
The
23
description
shall
be
based
on
the
a
treating
physician’s
24
knowledge
of
the
proposed
investigational
drug,
biological
25
product,
or
device
in
conjunction
with
an
awareness
of
the
26
patient’s
condition.
27
Sec.
74.
Section
144E.4,
Code
2022,
is
amended
by
adding
the
28
following
new
subsection:
29
NEW
SUBSECTION
.
5.
This
chapter
does
not
create
a
duty
30
for
a
hospital
licensed
under
chapter
135B
to
credential
any
31
physician.
32
Sec.
75.
Section
144E.8,
subsection
1,
Code
2022,
is
amended
33
to
read
as
follows:
34
1.
This
chapter
shall
not
create
a
private
cause
of
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action
against
a
manufacturer
of
an
investigational
drug,
1
biological
product,
or
device
,
against
a
physician,
health
care
2
practitioner,
or
facility
that
provides
necessary
follow-up
3
care,
or
against
any
other
person
or
entity
involved
in
the
4
care
of
an
eligible
patient
using
the
investigational
drug,
5
biological
product,
or
device
for
any
harm
done
to
the
eligible
6
patient
resulting
from
the
investigational
drug,
biological
7
product,
or
device,
if
the
manufacturer
or
other
person
or
8
entity
is
complying
in
good
faith
with
the
terms
of
this
9
chapter
and
has
exercised
reasonable
care.
10
Sec.
76.
Section
144E.9,
Code
2022,
is
amended
to
read
as
11
follows:
12
144E.9
Assisting
suicide.
13
This
chapter
shall
not
be
construed
to
allow
a
patient’s
14
treating
physician
to
assist
the
a
patient
in
committing
or
15
attempting
to
commit
suicide
as
prohibited
in
section
707A.2
.
16
Sec.
77.
Section
686D.6,
Code
2022,
is
amended
to
read
as
17
follows:
18
686D.6
Liability
of
and
disciplinary
actions
against
health
19
care
providers.
20
1.
A
health
care
provider
shall
not
be
liable
for
civil
21
damages
or
subject
to
disciplinary
action
by
the
health
22
care
provider’s
licensing
board
for
causing
or
contributing,
23
directly
or
indirectly,
to
the
death
or
injury
of
an
individual
24
as
a
result
of
the
health
care
provider’s
acts
or
omissions
25
while
providing
or
arranging
health
care
in
support
of
the
26
state’s
response
to
COVID-19.
This
subsection
shall
apply
to
27
all
of
the
following:
28
a.
Injury
or
death
resulting
from
screening,
assessing,
29
diagnosing,
caring
for,
or
treating
individuals
with
a
30
suspected
or
confirmed
case
of
COVID-19.
31
b.
Prescribing,
administering,
or
dispensing
a
32
pharmaceutical
for
off-label
use
to
treat
a
patient
with
a
33
suspected
or
confirmed
case
of
COVID-19.
34
c.
Acts
or
omissions
while
providing
health
care
to
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individuals
unrelated
to
COVID-19
when
those
acts
or
omissions
1
support
the
state’s
response
to
COVID-19,
including
any
of
the
2
following:
3
(1)
Delaying
or
canceling
nonurgent
or
elective
dental,
4
medical,
or
surgical
procedures,
or
altering
the
diagnosis
or
5
treatment
of
an
individual
in
response
to
any
federal
or
state
6
statute,
regulation,
order,
or
public
health
guidance.
7
(2)
Diagnosing
or
treating
patients
outside
the
normal
8
scope
of
the
health
care
provider’s
license
or
practice.
9
(3)
Using
medical
devices,
equipment,
or
supplies
outside
10
of
their
normal
use
for
the
provision
of
health
care,
including
11
using
or
modifying
medical
devices,
equipment,
or
supplies
for
12
an
unapproved
use.
13
(4)
Conducting
tests
or
providing
treatment
to
any
14
individual
outside
the
premises
of
a
health
care
facility.
15
(5)
Acts
or
omissions
undertaken
by
a
health
care
provider
16
because
of
a
lack
of
staffing,
facilities,
medical
devices,
17
equipment,
supplies,
or
other
resources
attributable
to
18
COVID-19
that
renders
the
health
care
provider
unable
to
19
provide
the
level
or
manner
of
care
to
any
person
that
20
otherwise
would
have
been
required
in
the
absence
of
COVID-19.
21
(6)
Acts
or
omissions
undertaken
by
a
health
care
provider
22
relating
to
use
or
nonuse
of
personal
protective
equipment.
23
2.
This
section
shall
not
relieve
any
person
of
liability
24
for
civil
damages
or
a
health
care
provider
from
disciplinary
25
action
by
the
health
care
provider’s
licensing
board
for
any
26
act
or
omission
which
constitutes
recklessness
or
willful
27
misconduct.
28
Sec.
78.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
29
deemed
of
immediate
importance,
takes
effect
upon
enactment.
30
DIVISION
XXI
31
HEALTH-RELATED
DATA
32
Sec.
79.
Section
11.41,
subsection
3,
Code
2022,
is
amended
33
to
read
as
follows:
34
3.
If
the
information,
records,
instrumentalities,
and
35
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properties
sought
by
the
auditor
of
state
are
required
by
law
1
to
be
kept
confidential,
the
auditor
of
state
shall
have
access
2
to
the
information,
records,
instrumentalities,
and
properties,
3
but
shall
maintain
the
confidentiality
of
all
such
information
4
and
is
subject
to
the
same
penalties
as
the
lawful
custodian
5
of
the
information
for
dissemination
of
the
information.
6
However,
the
auditor
of
state
shall
not
have
access
to
the
7
income
tax
returns
of
individuals
or
to
an
individual’s
name
8
or
residential
address
from
a
reportable
disease
report
under
9
section
139A.3
.
10
Sec.
80.
Section
135.166,
subsection
2,
Code
2022,
is
11
amended
to
read
as
follows:
12
2.
Unless
otherwise
authorized
or
required
by
state
or
13
federal
law,
data
collected
under
this
section
shall
not
14
include
the
social
security
number
or
name
of
the
individual
15
subject
of
the
data.
16
Sec.
81.
Section
139A.3,
Code
2022,
is
amended
by
adding
the
17
following
new
subsection:
18
NEW
SUBSECTION
.
1A.
A
state
or
local
agency
employee
19
or
agent
shall
not
have
access
to
personally
identifiable
20
information
included
in
a
reportable
disease
report
provided
21
to
or
maintained
by
the
department,
a
local
board,
or
a
local
22
department,
unless
the
employee
or
agent
has
completed
data
23
confidentiality
training.
24
DIVISION
XXII
25
PSYCHIATRY
RESIDENCY
PROGRAM
26
Sec.
82.
NEW
SECTION
.
135.180
State-funded
psychiatry
27
residency
program
——
fund
——
appropriations.
28
1.
The
university
of
Iowa
hospitals
and
clinics
shall
29
administer
a
state-funded
psychiatry
residency
program
30
in
cooperation
with
the
state
mental
health
institutes
at
31
Independence
and
Cherokee,
the
state
resource
centers
at
32
Glenwood
and
Woodward,
the
state
training
school
at
Eldora,
33
and
the
Iowa
medical
and
classification
center
at
Oakdale.
34
The
university
of
Iowa
hospitals
and
clinics
shall
expand
the
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psychiatry
residency
program
to
provide
additional
residency
1
positions
by
providing
financial
support
for
residency
2
positions
which
are
in
excess
of
the
federal
residency
cap
3
established
by
the
federal
Balanced
Budget
Act
of
1997,
Pub.
L.
4
No.
105-33.
Participating
residents
shall
complete
a
portion
5
of
their
psychiatry
training
at
one
of
the
state
mental
health
6
institutes,
the
state
resource
centers,
the
state
training
7
school,
or
the
Iowa
medical
and
classification
center
at
8
Oakdale.
For
accreditation-required
clinical
experiences
not
9
available
at
the
state
mental
health
institutes,
the
state
10
resource
centers,
the
state
training
school,
or
the
Iowa
11
medical
and
classification
center
at
Oakdale,
the
psychiatry
12
residency
program
and
its
residents
may
utilize
clinical
13
rotations
at
the
university
of
Iowa
hospitals
and
clinics
and
14
its
affiliates
across
the
state.
15
2.
The
residency
program
shall
provide
for
the
awarding
16
of
twelve
residency
positions
for
each
class
of
residents.
17
Preference
in
the
awarding
of
residency
positions
shall
18
be
given
to
candidates
who
are
residents
of
Iowa,
attended
19
and
earned
an
undergraduate
degree
from
an
Iowa
college
or
20
university,
or
attended
and
earned
a
medical
degree
from
a
21
medical
school
in
Iowa.
22
3.
A
psychiatry
residency
program
fund
is
created
in
23
the
state
treasury
consisting
of
the
moneys
appropriated
or
24
credited
to
the
fund
by
law.
Notwithstanding
section
8.33,
25
moneys
in
the
fund
at
the
end
of
each
fiscal
year
shall
not
26
revert
to
any
other
fund
but
shall
remain
in
the
psychiatry
27
residency
program
fund
for
use
in
subsequent
fiscal
years.
28
Moneys
in
the
fund
are
appropriated
to
the
university
of
Iowa
29
hospitals
and
clinics
to
be
used
for
the
purposes
of
the
30
program.
For
fiscal
years
beginning
on
or
after
July
1,
2023,
31
there
is
appropriated
from
the
general
fund
of
the
state
to
the
32
psychiatry
residency
program
fund
the
following
amounts
to
be
33
used
for
the
purposes
of
the
program:
34
a.
For
the
fiscal
year
beginning
July
1,
2023,
one
million
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two
hundred
thousand
dollars.
1
b.
For
the
fiscal
year
beginning
July
1,
2024,
two
million
2
four
hundred
thousand
dollars.
3
c.
For
the
fiscal
year
beginning
July
1,
2025,
three
million
4
six
hundred
thousand
dollars.
5
d.
For
the
fiscal
year
beginning
July
1,
2026,
and
each
6
fiscal
year
thereafter,
four
million
eight
hundred
thousand
7
dollars.
8
EXPLANATION
9
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
10
the
explanation’s
substance
by
the
members
of
the
general
assembly.
11
This
bill
relates
to
appropriations
for
health
and
human
12
services
for
fiscal
year
(FY)
2022-2023
to
the
department
of
13
veterans
affairs,
Iowa
veterans
home,
department
on
aging
14
(IDA),
office
of
long-term
care
ombudsman,
department
of
public
15
health
(DPH),
Iowa
finance
authority,
department
of
human
16
rights,
and
department
of
human
services
(DHS).
The
bill
is
17
organized
into
divisions
for
each
fiscal
year.
18
DEPARTMENT
ON
AGING.
This
division
makes
appropriations
19
from
the
general
fund
of
the
state
to
the
department
on
aging.
20
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
makes
21
appropriations
from
the
general
fund
of
the
state
to
the
office
22
of
long-term
care
ombudsman.
23
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
makes
24
appropriations
from
the
general
fund
of
the
state
and
from
25
the
sports
wagering
receipts
fund
to
the
department
of
public
26
health.
27
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
28
division
makes
appropriations
from
the
general
fund
of
the
29
state
to
the
department
of
veterans
affairs
for
administration,
30
the
Iowa
veterans
home,
for
transfer
to
the
Iowa
finance
31
authority
for
the
home
ownership
assistance
program
and
for
the
32
county
commissions
of
veteran
affairs.
33
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
makes
34
appropriations
from
the
general
fund
of
the
state
and
the
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federal
temporary
assistance
for
needy
families
block
1
grant
to
DHS.
The
allocation
for
the
family
development
2
and
self-sufficiency
grant
program
is
made
directly
to
3
the
department
of
human
rights.
The
reimbursement
section
4
addresses
reimbursement
for
providers
reimbursed
by
the
5
department
of
human
services.
6
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
makes
certain
7
health-related
appropriations.
A
number
of
the
appropriations
8
are
made
for
purposes
of
the
Medicaid
program
in
addition
to
9
the
general
fund
appropriations
made
for
this
purpose
for
the
10
same
fiscal
year.
11
DECATEGORIZATION
CARRYOVER
FUNDING.
This
division
provides
12
for
the
transfer
of
carryover
decategorization
funds
that
13
remained
unencumbered
or
unobligated
at
the
close
of
the
fiscal
14
year
beginning
July
1,
2021,
to
the
Medicaid
program
for
15
FY
2022-2023.
The
division
takes
effect
upon
enactment
and
is
16
retroactively
applicable
to
July
1,
2021.
17
TRANSFER
OF
PROPERTY
TAX
RELIEF
FUND
BALANCE.
This
division
18
transfers
any
funds
remaining
in
the
property
tax
relief
fund
19
created
in
Code
section
426B.1
at
the
close
of
FY
2021-2022
to
20
the
region
incentive
fund
created
in
the
mental
health
and
21
disability
services
regional
service
fund
pursuant
to
Code
22
section
225C.7A.
The
division
takes
effect
upon
enactment.
23
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS.
This
division
24
provides
that
moneys
appropriated
for
the
family
investment
25
program
general
fund,
child
and
family
services,
field
26
operations,
and
general
administration
for
FY
2021-2022
shall
27
not
revert
but
shall
remain
available
for
one-time
expenditure
28
or
for
the
purposes
designated,
or
may
be
transferred
and
used,
29
as
specified,
until
the
close
of
the
succeeding
fiscal
year.
30
PUBLIC
HEALTH
EMERGENCY
PROVISIONS
COVID-19
REGULATIONS.
31
This
division
provides
that
for
FY
2022-2023,
notwithstanding
32
state
administrative
rules
to
the
contrary,
to
the
extent
33
federal
regulations
relating
to
the
COVID-19
pandemic
differ
34
from
state
administrative
rules,
including
applicable
federal
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waivers,
the
federal
regulations
are
controlling
during
the
1
pendency
of
the
federally
declared
state
of
emergency
and
for
2
such
period
of
time
following
the
end
of
the
federally
declared
3
state
of
emergency
applicable
to
the
respective
federal
4
regulations.
5
HEALTH
AND
HUMAN
SERVICES
REALIGNMENT.
This
division
6
provides
a
process
during
a
transition
period
beginning
July
7
1,
2022,
and
ending
June
30,
2023,
for
the
realignment
of
8
the
department
of
public
health
and
the
department
of
human
9
services
into
the
department
of
health
and
human
services
10
effective
July
1,
2023.
11
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
QUALITY
OF
CARE
12
RATE
ADD-ON
PROGRAM.
This
division
eliminates
the
non-state
13
government-owned
nursing
facility
quality
of
care
rate
add-on
14
program,
and
makes
conforming
changes
in
the
Iowa
Acts
and
the
15
Code.
16
HEARING
AIDS
AND
AUDIOLOGIC
SERVICES
FUNDING
PROGRAM
——
17
ADMINISTRATION.
This
division
prohibits
DPH
from
entering
into
18
a
contract
with
a
third
party
to
administer
the
hearing
aids
19
and
audiologic
services
funding
program,
and
requires
DPH
to
20
adopt
administrative
rules
to
administer
the
program
within
the
21
department.
22
HEARING
AIDS
AND
AUDIOLOGIC
SERVICES
FUNDING
PROGRAM.
This
23
division
provides
that
funds
that
were
appropriated
to
DPH
24
for
FY
2021-2022
for
the
hearing
aids
and
audiologic
services
25
funding
program
that
remain
unencumbered
or
unobligated
at
the
26
close
of
the
fiscal
year
are
not
to
revert,
but
are
to
remain
27
available
for
the
purposes
designated
until
the
close
of
the
28
succeeding
fiscal
year.
The
amount
that
does
not
revert
is
to
29
be
reported
by
DPH
to
the
general
assembly.
The
division
takes
30
effect
upon
enactment.
31
ADMISSION
OR
TRANSFER
——
PERSONS
WITH
DIAGNOSIS
OF
32
INTELLECTUAL
DISABILITY
——
STATE
MENTAL
HEALTH
INSTITUTE.
This
33
division
provides
for
the
admission
or
transfer
of
a
person
34
with
a
diagnosis
of
an
intellectual
disability
to
a
state
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mental
health
institute,
if
certain
prescribed
conditions
are
1
met
and
redefines
“intellectual
disability”
under
Code
section
2
4.1
(rules)
for
construction
of
statutes.
3
COLLEGES
OF
MEDICINE
AND
DENTISTRY
——
RESIDENCY
AND
4
REPORTING.
This
division
requires
the
state
board
of
regents
5
to
adopt
a
policy
requiring
that
not
less
than
75
percent
6
of
the
students
accepted
at
the
colleges
of
medicine
in
the
7
doctor
of
medicine
program
and
the
college
of
dentistry
at
the
8
state
university
of
Iowa
be
residents
of
Iowa
or
persons
who
9
prior
to
applying
to
the
college
of
medicine
or
dentistry
were
10
enrolled
in
a
community
college
in
Iowa,
an
accredited
private
11
institution
in
Iowa,
or
a
regents
university.
12
The
division
also
requires
the
state
university
of
Iowa,
in
13
collaboration
with
the
university
of
Iowa
hospitals
and
clinics
14
(UIHC),
to
submit
an
annual
report
to
the
general
assembly
15
with
information
relating
to
the
residency
of
graduates
of
16
the
college
of
medicine’s
doctor
of
medicine
program
and
the
17
college
of
dentistry
during
the
year
immediately
following
18
graduation,
the
states
in
which
UIHC
primary
care
and
specialty
19
residents
reside
following
completion
of
medical
residency,
and
20
whether
such
residents
accepted
fellowships
along
with
other
21
specifics
regarding
residency.
22
MEDICAL
RESIDENCY
POSITIONS
AND
AUDITION
CLINICALS.
This
23
division
requires
UIHC
to
offer
interviews
and
audition
24
clinicals
to
specified
applicants
for
medical
residency
25
positions
or
for
medical
students
attending
a
medical
school
26
in
Iowa.
UIHC
is
required
to
submit
an
annual
report
to
the
27
governor
and
the
general
assembly
regarding
the
interview
and
28
audition
clinicals
in
the
prior
fiscal
year.
29
INSURANCE
CARRIERS
——
TELEHEALTH.
This
division
prohibits
30
certain
health
carriers
(carriers)
from
excluding
certain
31
out-of-state
health
care
professionals
(professionals)
who
32
provide
services
for
mental
health
conditions,
illnesses,
33
injuries,
or
diseases
(mental
health)
from
participating
as
34
providers,
via
telehealth,
under
a
policy,
plan,
or
contract
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offered
by
the
health
carrier
if
the
professional
is
licensed
1
in
Iowa,
is
able
to
deliver
health
care
services
for
mental
2
health
via
telehealth
in
compliance
with
Code
chapter
514C.34,
3
and
is
able
to
satisfy
the
same
criteria
that
the
carrier
uses
4
to
qualify
in-state
professionals,
who
hold
the
same
license
as
5
the
out-of-state
professional,
as
providers.
6
The
division
takes
effect
upon
enactment
and
applies
to
7
carriers
that
deliver,
issue
for
delivery,
continue,
or
renew
8
a
policy,
contract,
or
plan
in
this
state
on
or
after
the
9
division’s
effective
date.
10
NURSING
FACILITY
CONSTRUCTION
OR
EXPANSION
RELIEF.
This
11
division
relates
to
nursing
facility
construction
or
expansion
12
under
Code
chapter
249K
(nursing
facility
construction
or
13
expansion).
The
Code
chapter
provides
a
mechanism
to
support
14
the
appropriate
number
of
nursing
facility
beds
for
the
state
15
and
to
financially
assist
nursing
facilities
in
remaining
16
compliant
with
applicable
regulations.
17
The
bill
provides
that
in
order
to
be
eligible
for
rate
18
relief
and
exceptions
under
the
Code
chapter,
a
nursing
19
facility’s
major
renovation
value
threshold
is
reduced
from
20
$1.5
million
to
$750,000,
includes,
as
an
additional
criterion
21
that
a
nursing
facility
requesting
relief
or
an
exception
is
22
proposing,
replacement
or
enhancement
of
an
HVAC
system
for
23
improved
infection
control,
and
directs
DHS
to
adopt
or
amend
24
administrative
rules
to
administer
the
program.
25
EXPERIMENTAL
TREATMENTS.
This
division
expands
the
scope
of
26
provisions
relating
to
experimental
treatments
for
terminally
27
ill
persons.
28
The
division
expands
the
definition
of
“eligible
patient”
29
to
include
a
person
who
is
receiving
mechanical
ventilation
to
30
prolong
life,
and
the
definition
of
an
“investigational
drug,
31
biological
product,
or
device”
to
include
the
off-label
use
of
32
a
drug
as
defined
in
the
division.
33
The
division
replaces
the
current
required
involvement
of
34
the
patient’s
physician
or
the
patient’s
treating
physician
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to
instead
require
involvement
from
a
physician
or
a
treating
1
physician
to
fulfill
certain
duties.
The
division
expands
2
protections
relating
to
a
private
cause
of
action
for
certain
3
persons
complying
in
good
faith
with
and
exercising
reasonable
4
care
and
includes
other
facility
and
licensure-related
5
protections.
6
The
division
takes
effect
upon
enactment.
7
HEALTH-RELATED
DATA.
This
division
relates
to
8
health-related
data
protections.
9
The
division
provides
that
the
auditor
of
state
shall
not
10
have
access
to
an
individual’s
name
or
residential
address
from
11
a
reportable
disease
report.
12
The
division
includes
provisions
related
to
health
13
data
collected
and
used
by
the
department
of
public
health
14
(DPH).
Current
law
directs
DPH
to
enter
into
a
memorandum
of
15
understanding
with
a
contractor
selected
through
a
request
16
for
proposals
process
to
collect,
maintain,
and
disseminate
17
hospital
inpatient,
outpatient,
and
ambulatory
data.
Current
18
law
also
provides
that
unless
otherwise
authorized
by
state
or
19
federal
law,
the
data
collected
shall
not
include
the
social
20
security
number
of
the
individual
subject
of
the
data.
Under
21
the
division,
data
prohibited
from
collection
would
also
22
include
the
name
of
the
individual
subject
of
the
data.
23
The
division
also
prohibits
a
state
or
local
agency
employee
24
or
agent
from
having
access
to
personally
identifiable
25
information
included
in
a
reportable
disease
report
provided
26
to
or
maintained
by
DPH,
a
local
board
of
health,
or
a
local
27
public
health
department,
unless
the
employee
or
agent
has
28
completed
data
confidentiality
training.
29
PSYCHIATRY
RESIDENCY
PROGRAM.
This
division
requires
the
30
university
of
Iowa
hospitals
and
clinics
(UIHC)
to
administer
31
a
state-funded
psychiatry
residency
program
in
cooperation
32
with
the
state
mental
health
institutes
at
Independence
33
and
Cherokee,
the
state
resource
centers
at
Glenwood
and
34
Woodward,
the
state
training
school
at
Eldora,
and
the
Iowa
35
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medical
and
classification
center
at
Oakdale.
The
UIHC
shall
1
expand
the
psychiatry
residency
program
to
provide
additional
2
residency
positions
in
excess
of
those
approved
under
the
3
federal
residency
cap.
Participating
residents
shall
complete
4
a
portion
of
their
psychiatry
training
at
one
of
the
state
5
institutions
specified.
However,
if
accreditation-required
6
clinical
experiences
are
not
available
at
one
of
the
state
7
institutions,
the
program
and
residents
may
utilize
clinical
8
rotations
at
the
UIHC
or
its
affiliates
across
the
state.
The
9
program
shall
award
12
residency
positions
for
each
class
of
10
residents
and
preference
in
the
awarding
of
residency
positions
11
shall
be
given
to
certain
candidates.
12
The
division
creates
a
psychiatry
residency
program
fund
in
13
the
state
treasury
consisting
of
the
moneys
appropriated
or
14
credited
to
the
fund
by
law.
Moneys
in
the
fund
at
the
end
15
of
each
fiscal
year
shall
not
revert
but
shall
remain
in
the
16
fund
for
use
in
subsequent
fiscal
years.
Moneys
in
the
fund
17
are
appropriated
to
the
UIHC
to
be
used
for
the
purposes
of
18
the
program.
The
division
makes
appropriations
for
the
fiscal
19
years
beginning
July
1,
2023,
and
thereafter.
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