Senate
Study
Bill
1266
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
GOVERNOR
BUDGET
BILL)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
veterans
and
including
other
related
provisions
and
2
appropriations,
providing
penalties,
and
including
effective
3
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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S.F.
_____
H.F.
_____
DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2021-2022
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,
2021,
and
ending
June
30,
5
2022,
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:
16
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$
11,164,382
17
1.
Funds
appropriated
in
this
section
may
be
used
to
18
supplement
federal
funds
under
federal
regulations.
To
19
receive
funds
appropriated
in
this
section,
a
local
area
20
agency
on
aging
shall
match
the
funds
with
moneys
from
other
21
sources
according
to
rules
adopted
by
the
department.
Funds
22
appropriated
in
this
section
may
be
used
for
elderly
services
23
not
specifically
enumerated
in
this
section
only
if
approved
24
by
an
area
agency
on
aging
for
provision
of
the
service
within
25
the
area.
26
2.
Of
the
funds
appropriated
in
this
section,
$279,000
is
27
transferred
to
the
economic
development
authority
for
the
Iowa
28
commission
on
volunteer
services
to
be
used
for
the
retired
and
29
senior
volunteer
program.
30
3.
a.
The
department
on
aging
shall
establish
and
enforce
31
procedures
relating
to
expenditure
of
state
and
federal
funds
32
by
area
agencies
on
aging
that
require
compliance
with
both
33
state
and
federal
laws,
rules,
and
regulations,
including
but
34
not
limited
to
all
of
the
following:
35
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S.F.
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H.F.
_____
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
1
or
services
received
or
performed
prior
to
the
end
of
the
2
fiscal
period
designated
for
use
of
the
funds.
3
(2)
Prohibiting
prepayment
for
goods
or
services
not
4
received
or
performed
prior
to
the
end
of
the
fiscal
period
5
designated
for
use
of
the
funds.
6
(3)
Prohibiting
prepayment
for
goods
or
services
not
7
defined
specifically
by
good
or
service,
time
period,
or
8
recipient.
9
(4)
Prohibiting
the
establishment
of
accounts
from
which
10
future
goods
or
services
which
are
not
defined
specifically
by
11
good
or
service,
time
period,
or
recipient,
may
be
purchased.
12
b.
The
procedures
shall
provide
that
if
any
funds
are
13
expended
in
a
manner
that
is
not
in
compliance
with
the
14
procedures
and
applicable
federal
and
state
laws,
rules,
and
15
regulations,
and
are
subsequently
subject
to
repayment,
the
16
area
agency
on
aging
expending
such
funds
in
contravention
of
17
such
procedures,
laws,
rules
and
regulations,
not
the
state,
18
shall
be
liable
for
such
repayment.
19
4.
Of
the
funds
appropriated
in
this
section,
at
least
20
$600,000
shall
be
used
to
fund
home
and
community-based
21
services
through
the
area
agencies
on
aging
that
enable
older
22
individuals
to
avoid
more
costly
utilization
of
residential
or
23
institutional
services
and
remain
in
their
own
homes.
24
5.
Of
the
funds
appropriated
in
this
section,
$812,000
shall
25
be
used
for
the
purposes
of
chapter
231E
and
to
administer
26
the
prevention
of
elder
abuse,
neglect,
and
exploitation
27
program
pursuant
to
section
231.56A
,
in
accordance
with
the
28
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
29
U.S.C.
§3001
et
seq.,
as
amended.
30
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
31
shall
be
used
to
fund
continuation
of
the
aging
and
disability
32
resource
center
lifelong
links
to
provide
individuals
and
33
caregivers
with
information
and
services
to
plan
for
and
34
maintain
independence.
35
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_____
H.F.
_____
7.
Of
the
funds
appropriated
in
this
section,
$250,000
1
shall
be
used
by
the
department
on
aging,
in
collaboration
with
2
the
department
of
human
services
and
affected
stakeholders,
3
to
continue
to
expand
the
pilot
initiative
to
provide
4
long-term
care
options
counseling
utilizing
support
planning
5
protocols,
to
assist
non-Medicaid
eligible
consumers
who
6
indicate
a
preference
to
return
to
the
community
and
are
7
deemed
appropriate
for
discharge,
to
return
to
their
community
8
following
a
nursing
facility
stay.
The
department
on
aging
9
shall
submit
a
report
regarding
the
outcomes
of
the
pilot
10
initiative
to
the
governor
and
the
general
assembly
by
December
11
15,
2021.
12
DIVISION
II
13
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2021-2022
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,
2021,
and
ending
June
30,
2022,
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:
22
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.
$
1,149,821
23
DIVISION
III
24
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2021-2022
25
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
public
27
health
for
the
fiscal
year
beginning
July
1,
2021,
and
ending
28
June
30,
2022,
the
following
amounts,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purposes
designated:
30
1.
ADDICTIVE
DISORDERS
31
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
32
and
other
drugs,
and
treating
individuals
affected
by
addictive
33
behaviors,
including
gambling:
34
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.
.
$
23,659,379
35
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S.F.
_____
H.F.
_____
a.
Of
the
funds
appropriated
in
this
subsection,
$4,020,894
1
shall
be
used
for
the
tobacco
use
prevention
and
control
2
initiative,
including
efforts
at
the
state
and
local
levels,
3
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
4
prevention
and
control
established
pursuant
to
section
142A.3
5
shall
advise
the
director
of
public
health
in
prioritizing
6
funding
needs
and
the
allocation
of
moneys
appropriated
for
7
the
programs
and
initiatives.
Activities
of
the
programs
8
and
initiatives
shall
be
in
alignment
with
the
United
States
9
centers
for
disease
control
and
prevention
best
practices
10
for
comprehensive
tobacco
control
programs
that
include
11
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
12
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
13
cessation.
14
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
15
$19,638,485
shall
be
used
for
problem
gambling
and
16
substance-related
disorder
prevention,
treatment,
and
recovery
17
services,
including
a
24-hour
helpline,
public
information
18
resources,
professional
training,
youth
prevention,
and
program
19
evaluation.
20
(2)
Of
the
amount
allocated
under
this
paragraph,
$306,000
21
shall
be
utilized
by
the
department
of
public
health,
in
22
collaboration
with
the
department
of
human
services,
to
23
maintain
a
single
statewide
24-hour
crisis
hotline
for
the
Iowa
24
children’s
behavioral
health
system
that
incorporates
warmline
25
services
which
may
be
provided
through
expansion
of
existing
26
capabilities
maintained
by
the
department
of
public
health
as
27
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
section
16
.
28
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
29
by
the
appropriations
and
allocations
made
in
this
division
of
30
this
Act
for
purposes
of
substance-related
disorder
treatment
31
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
32
2021.
33
2.
HEALTHY
CHILDREN
AND
FAMILIES
34
For
promoting
the
optimum
health
status
for
children
and
35
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S.F.
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H.F.
_____
adolescents
from
birth
through
21
years
of
age,
and
families:
1
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.
$
5,816,681
2
3.
CHRONIC
CONDITIONS
3
For
serving
individuals
identified
as
having
chronic
4
conditions
or
special
health
care
needs:
5
.
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.
$
4,223,373
6
4.
COMMUNITY
CAPACITY
7
For
strengthening
the
health
care
delivery
system
at
the
8
local
level:
9
.
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.
$
6,794,306
10
a.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
11
shall
be
deposited
in
the
medical
residency
training
account
12
created
in
section
135.175,
subsection
5
,
paragraph
“a”,
and
13
is
appropriated
from
the
account
to
the
department
of
public
14
health
to
be
used
for
the
purposes
of
the
medical
residency
15
training
state
matching
grants
program
as
specified
in
section
16
135.176
.
17
b.
Of
the
funds
appropriated
in
this
subsection,
$250,000
18
shall
be
used
for
the
public
purpose
of
providing
funding
to
19
Des
Moines
university
to
continue
a
provider
education
project
20
to
provide
primary
care
physicians
with
the
training
and
skills
21
necessary
to
recognize
the
signs
of
mental
illness
in
patients.
22
c.
Of
the
funds
appropriated
in
this
subsection,
$600,000
23
shall
be
used
for
rural
psychiatric
residencies
to
support
the
24
annual
creation
and
training
of
four
psychiatric
residents
who
25
will
provide
mental
health
services
in
underserved
areas
of
26
the
state.
Notwithstanding
section
8.33,
moneys
that
remain
27
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
28
shall
not
revert
but
shall
remain
available
for
expenditure
for
29
the
purposes
designated
for
subsequent
fiscal
years.
30
d.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
31
shall
be
used
for
the
creation
of
two
centers
of
excellence
32
programs
to
encourage
innovation
and
collaboration
among
33
regional
health
care
providers
to
transform
health
care
34
delivery
in
order
to
provide
quality,
sustainable
care
that
35
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H.F.
_____
meets
the
needs
of
local
communities.
1
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
2
To
provide
public
health
services
that
reduce
risks
and
3
invest
in
promoting
and
protecting
good
health
over
the
4
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
5
vulnerable
populations:
6
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.
.
$
7,662,464
7
6.
INFECTIOUS
DISEASES
8
For
reducing
the
incidence
and
prevalence
of
communicable
9
diseases:
10
.
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.
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.
.
$
1,796,206
11
7.
PUBLIC
PROTECTION
12
For
protecting
the
health
and
safety
of
the
public
through
13
establishing
standards
and
enforcing
regulations:
14
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.
$
4,466,601
15
Of
the
funds
appropriated
in
this
subsection,
not
more
than
16
$304,000
shall
be
credited
to
the
emergency
medical
services
17
fund
created
in
section
135.25
.
Moneys
in
the
emergency
18
medical
services
fund
are
appropriated
to
the
department
to
be
19
used
for
the
purposes
of
the
fund.
20
8.
RESOURCE
MANAGEMENT
21
For
establishing
and
sustaining
the
overall
ability
of
the
22
department
to
deliver
services
to
the
public:
23
.
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.
.
.
.
.
.
.
$
933,871
24
9.
MISCELLANEOUS
PROVISIONS
25
The
university
of
Iowa
hospitals
and
clinics
under
the
26
control
of
the
state
board
of
regents
shall
not
receive
27
indirect
costs
from
the
funds
appropriated
in
this
section.
28
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
29
department
shall
be
on
at
least
a
quarterly
basis.
30
Sec.
4.
DEPARTMENT
OF
PUBLIC
HEALTH
——
SPORTS
WAGERING
31
RECEIPTS
FUND.
There
is
appropriated
from
the
sports
wagering
32
receipts
fund
created
in
section
8.57,
subsection
6,
to
the
33
department
of
public
health
for
the
fiscal
year
beginning
July
34
1,
2021,
and
ending
June
30,
2022,
the
following
amount,
or
35
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pf/rn
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123
S.F.
_____
H.F.
_____
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
1
designated:
2
For
problem
gambling
and
substance-related
disorder
3
prevention,
treatment,
and
recovery
services,
including
a
4
24-hour
helpline,
public
information
resources,
professional
5
training,
youth
prevention,
and
program
evaluation:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,750,000
7
DIVISION
IV
8
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2021-2022
9
Sec.
5.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
10
appropriated
from
the
general
fund
of
the
state
to
the
11
department
of
veterans
affairs
for
the
fiscal
year
beginning
12
July
1,
2021,
and
ending
June
30,
2022,
the
following
amounts,
13
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
14
designated:
15
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
16
For
salaries,
support,
maintenance,
and
miscellaneous
17
purposes:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,229,763
19
2.
IOWA
VETERANS
HOME
20
For
salaries,
support,
maintenance,
and
miscellaneous
21
purposes:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,131,552
23
a.
The
Iowa
veterans
home
billings
involving
the
department
24
of
human
services
shall
be
submitted
to
the
department
on
at
25
least
a
monthly
basis.
26
b.
The
Iowa
veterans
home
expenditure
report
shall
be
27
submitted
monthly
to
the
general
assembly.
28
c.
The
Iowa
veterans
home
shall
continue
to
include
in
the
29
annual
discharge
report
applicant
information
to
provide
for
30
the
collection
of
demographic
information
including
but
not
31
limited
to
the
number
of
individuals
applying
for
admission
and
32
admitted
or
denied
admittance
and
the
basis
for
the
admission
33
or
denial;
the
age,
gender,
and
race
of
such
individuals;
34
and
the
level
of
care
for
which
such
individuals
applied
for
35
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123
S.F.
_____
H.F.
_____
admission
including
residential
or
nursing
level
of
care.
1
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
2
For
transfer
to
the
Iowa
finance
authority
for
the
3
continuation
of
the
home
ownership
assistance
program
for
4
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
5
the
United
States,
pursuant
to
section
16.54
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
7
Sec.
6.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
8
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
9
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
10
July
1,
2021,
and
ending
June
30,
2022,
the
amount
appropriated
11
from
the
general
fund
of
the
state
pursuant
to
that
section
12
for
the
following
designated
purposes
shall
not
exceed
the
13
following
amount:
14
For
the
county
commissions
of
veteran
affairs
fund
under
15
section
35A.16
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
17
DIVISION
V
18
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2021-2022
19
Sec.
7.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
20
GRANT.
There
is
appropriated
from
the
fund
created
in
section
21
8.41
to
the
department
of
human
services
for
the
fiscal
year
22
beginning
July
1,
2021,
and
ending
June
30,
2022,
from
moneys
23
received
under
the
federal
temporary
assistance
for
needy
24
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
25
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
26
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
27
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
28
purposes
designated:
29
1.
To
be
credited
to
the
family
investment
program
account
30
and
used
for
assistance
under
the
family
investment
program
31
under
chapter
239B
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,002,006
33
2.
To
be
credited
to
the
family
investment
program
account
34
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
35
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123
S.F.
_____
H.F.
_____
program
and
implementing
family
investment
agreements
in
1
accordance
with
chapter
239B
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
3
3.
To
be
used
for
the
family
development
and
4
self-sufficiency
grant
program
in
accordance
with
section
5
216A.107
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,888,980
7
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
8
subsection
that
remain
unencumbered
or
unobligated
at
the
close
9
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
10
for
expenditure
for
the
purposes
designated
until
the
close
of
11
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
12
encumbered
or
obligated
on
or
before
September
30,
2022,
the
13
moneys
shall
revert.
14
4.
For
field
operations:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
16
5.
For
general
administration:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
18
6.
For
state
child
care
assistance:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
20
a.
Of
the
funds
appropriated
in
this
subsection,
21
$26,205,412
is
transferred
to
the
child
care
and
development
22
block
grant
appropriation
made
by
the
Eighty-ninth
General
23
Assembly,
2021
session,
for
the
federal
fiscal
year
beginning
24
October
1,
2021,
and
ending
September
30,
2022.
Of
this
25
amount,
$200,000
shall
be
used
for
provision
of
educational
26
opportunities
to
registered
child
care
home
providers
in
order
27
to
improve
services
and
programs
offered
by
this
category
28
of
providers
and
to
increase
the
number
of
providers.
The
29
department
may
contract
with
institutions
of
higher
education
30
or
child
care
resource
and
referral
centers
to
provide
31
the
educational
opportunities.
Allowable
administrative
32
costs
under
the
contracts
shall
not
exceed
5
percent.
The
33
application
for
a
grant
shall
not
exceed
two
pages
in
length.
34
b.
Any
funds
appropriated
in
this
subsection
remaining
35
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123
S.F.
_____
H.F.
_____
unallocated
shall
be
used
for
state
child
care
assistance
1
payments
for
families
who
are
employed
including
but
not
2
limited
to
individuals
enrolled
in
the
family
investment
3
program.
4
7.
For
child
and
family
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
6
8.
For
child
abuse
prevention
grants:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
8
9.
For
pregnancy
prevention
grants
on
the
condition
that
9
family
planning
services
are
funded:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
11
Pregnancy
prevention
grants
shall
be
awarded
to
programs
12
in
existence
on
or
before
July
1,
2021,
if
the
programs
have
13
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
14
pregnancy
prevention
programs
which
are
developed
after
July
15
1,
2021,
if
the
programs
are
based
on
existing
models
that
16
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
17
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
18
section
14,
subsections
1
and
2
,
including
the
requirement
that
19
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
20
the
awarding
of
grants
shall
be
given
to
programs
that
serve
21
areas
of
the
state
which
demonstrate
the
highest
percentage
of
22
unplanned
pregnancies
of
females
of
childbearing
age
within
the
23
geographic
area
to
be
served
by
the
grant.
24
10.
For
technology
needs
and
other
resources
necessary
to
25
meet
federal,
state,
and
welfare
reform
reporting,
tracking,
26
and
case
management
requirements
and
other
departmental
needs:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
28
11.
a.
Notwithstanding
any
provision
to
the
contrary,
29
including
but
not
limited
to
requirements
in
section
8.41
or
30
provisions
in
2020
Iowa
Acts
or
2021
Iowa
Acts
regarding
the
31
receipt
and
appropriation
of
federal
block
grants,
federal
32
funds
from
the
temporary
assistance
for
needy
families
block
33
grant
received
by
the
state
and
not
otherwise
appropriated
34
in
this
section
and
remaining
available
for
the
fiscal
year
35
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10/
123
S.F.
_____
H.F.
_____
beginning
July
1,
2021,
are
appropriated
to
the
department
of
1
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
2
the
following
priority
order:
the
family
investment
program,
3
for
state
child
care
assistance
program
payments
for
families
4
who
are
employed,
and
for
the
family
investment
program
share
5
of
system
costs
for
eligibility
determination
and
related
6
functions.
The
federal
funds
appropriated
in
this
paragraph
7
“a”
shall
be
expended
only
after
all
other
funds
appropriated
8
in
subsection
1
for
assistance
under
the
family
investment
9
program,
in
subsection
6
for
state
child
care
assistance,
or
10
in
subsection
10
for
technology
costs
related
to
the
family
11
investment
program,
as
applicable,
have
been
expended.
For
12
the
purposes
of
this
subsection,
the
funds
appropriated
in
13
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
14
and
development
block
grant
appropriation
are
considered
fully
15
expended
when
the
full
amount
has
been
transferred.
16
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
17
legislative
services
agency
and
department
of
management
of
18
the
amount
of
funds
appropriated
in
this
subsection
that
was
19
expended
in
the
prior
quarter.
20
12.
Of
the
amounts
appropriated
in
this
section,
21
$12,962,008
for
the
fiscal
year
beginning
July
1,
2021,
is
22
transferred
to
the
appropriation
of
the
federal
social
services
23
block
grant
made
to
the
department
of
human
services
for
that
24
fiscal
year.
25
13.
For
continuation
of
the
program
providing
categorical
26
eligibility
for
the
food
assistance
program
as
specified
27
for
the
program
in
the
section
of
this
division
of
this
Act
28
relating
to
the
family
investment
program
account:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
30
14.
The
department
may
transfer
funds
allocated
in
this
31
section
to
the
appropriations
made
in
this
division
of
this
Act
32
for
the
same
fiscal
year
for
general
administration
and
field
33
operations
for
resources
necessary
to
implement
and
operate
the
34
services
referred
to
in
this
section
and
those
funded
in
the
35
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123
S.F.
_____
H.F.
_____
appropriation
made
in
this
division
of
this
Act
for
the
same
1
fiscal
year
for
the
family
investment
program
from
the
general
2
fund
of
the
state.
3
15.
With
the
exception
of
moneys
allocated
under
this
4
section
for
the
family
development
and
self-sufficiency
grant
5
program,
to
the
extent
moneys
allocated
in
this
section
are
6
deemed
by
the
department
not
to
be
necessary
to
support
the
7
purposes
for
which
they
are
allocated,
such
moneys
may
be
8
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
9
funds
are
allocated
in
this
section
or
in
section
8
of
this
10
division
for
the
family
investment
program
account.
If
there
11
are
conflicting
needs,
priority
shall
first
be
given
to
the
12
family
investment
program
account
as
specified
under
subsection
13
1
of
this
section
and
used
for
the
purposes
of
assistance
under
14
the
family
investment
program
in
accordance
with
chapter
239B
,
15
followed
by
state
child
care
assistance
program
payments
for
16
families
who
are
employed,
followed
by
other
priorities
as
17
specified
by
the
department.
18
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
19
1.
Moneys
credited
to
the
family
investment
program
(FIP)
20
account
for
the
fiscal
year
beginning
July
1,
2021,
and
21
ending
June
30,
2022,
shall
be
used
to
provide
assistance
in
22
accordance
with
chapter
239B
.
23
2.
The
department
may
use
a
portion
of
the
moneys
credited
24
to
the
FIP
account
under
this
section
as
necessary
for
25
salaries,
support,
maintenance,
and
miscellaneous
purposes.
26
3.
The
department
may
transfer
funds
allocated
in
27
subsection
4,
excluding
the
allocation
under
subsection
4,
28
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
29
this
Act
for
the
same
fiscal
year
for
general
administration
30
and
field
operations
for
resources
necessary
to
implement
31
and
operate
the
services
referred
to
in
this
section
and
32
those
funded
in
the
appropriations
made
in
section
7
for
the
33
temporary
assistance
for
needy
families
block
grant
and
in
34
section
9
for
the
family
investment
program
from
the
general
35
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123
S.F.
_____
H.F.
_____
fund
of
the
state
in
this
division
of
this
Act
for
the
same
1
fiscal
year.
2
4.
Moneys
appropriated
in
this
division
of
this
Act
and
3
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
4
1,
2021,
and
ending
June
30,
2022,
are
allocated
as
follows:
5
a.
To
be
retained
by
the
department
of
human
services
to
6
be
used
for
coordinating
with
the
department
of
human
rights
7
to
more
effectively
serve
participants
in
FIP
and
other
shared
8
clients
and
to
meet
federal
reporting
requirements
under
the
9
federal
temporary
assistance
for
needy
families
block
grant:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
11
b.
To
the
department
of
human
rights
for
staffing,
12
administration,
and
implementation
of
the
family
development
13
and
self-sufficiency
grant
program
in
accordance
with
section
14
216A.107
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
16
(1)
Of
the
funds
allocated
for
the
family
development
17
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
18
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
19
administration
of
the
grant
program.
20
(2)
The
department
of
human
rights
may
continue
to
implement
21
the
family
development
and
self-sufficiency
grant
program
22
statewide
during
fiscal
year
2021-2022.
23
(3)
The
department
of
human
rights
may
engage
in
activities
24
to
strengthen
and
improve
family
outcomes
measures
and
25
data
collection
systems
under
the
family
development
and
26
self-sufficiency
grant
program.
27
c.
For
the
diversion
subaccount
of
the
FIP
account:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,293,000
29
A
portion
of
the
moneys
allocated
for
the
diversion
30
subaccount
may
be
used
for
field
operations,
salaries,
data
31
management
system
development,
and
implementation
costs
and
32
support
deemed
necessary
by
the
director
of
human
services
33
in
order
to
administer
the
FIP
diversion
program.
To
the
34
extent
moneys
allocated
in
this
paragraph
“c”
are
deemed
by
the
35
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S.F.
_____
H.F.
_____
department
not
to
be
necessary
to
support
diversion
activities,
1
such
moneys
may
be
used
for
other
efforts
intended
to
increase
2
engagement
by
family
investment
program
participants
in
work,
3
education,
or
training
activities,
or
for
the
purposes
of
4
assistance
under
the
family
investment
program
in
accordance
5
with
chapter
239B
.
6
d.
For
the
food
assistance
employment
and
training
program:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
8
(1)
The
department
shall
apply
the
federal
supplemental
9
nutrition
assistance
program
(SNAP)
employment
and
training
10
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
11
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
12
provisions
for
the
claiming
of
allowable
federal
reimbursement
13
funds
from
the
United
States
department
of
agriculture
14
pursuant
to
the
federal
SNAP
employment
and
training
program
15
for
providing
education,
employment,
and
training
services
16
for
eligible
food
assistance
program
participants,
including
17
but
not
limited
to
related
dependent
care
and
transportation
18
expenses.
19
(2)
The
department
shall
continue
the
categorical
federal
20
food
assistance
program
eligibility
at
160
percent
of
the
21
federal
poverty
level
and
continue
to
eliminate
the
asset
test
22
from
eligibility
requirements,
consistent
with
federal
food
23
assistance
program
requirements.
The
department
shall
include
24
as
many
food
assistance
households
as
is
allowed
by
federal
25
law.
The
eligibility
provisions
shall
conform
to
all
federal
26
requirements
including
requirements
addressing
individuals
who
27
are
incarcerated
or
otherwise
ineligible.
28
e.
For
the
JOBS
program,
not
more
than:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,018,258
30
5.
Of
the
child
support
collections
assigned
under
FIP,
31
an
amount
equal
to
the
federal
share
of
support
collections
32
shall
be
credited
to
the
child
support
recovery
appropriation
33
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
34
assigned
child
support
collections
received
by
the
child
35
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S.F.
_____
H.F.
_____
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
1
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
2
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
3
payments
account.
If
as
a
consequence
of
the
appropriations
4
and
allocations
made
in
this
section
the
resulting
amounts
5
are
insufficient
to
sustain
cash
assistance
payments
and
meet
6
federal
maintenance
of
effort
requirements,
the
department
7
shall
seek
supplemental
funding.
If
child
support
collections
8
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
9
determined
not
to
be
required
for
maintenance
of
effort,
the
10
state
share
of
either
amount
may
be
transferred
to
or
retained
11
in
the
child
support
payments
account.
12
Sec.
9.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
13
is
appropriated
from
the
general
fund
of
the
state
to
the
14
department
of
human
services
for
the
fiscal
year
beginning
July
15
1,
2021,
and
ending
June
30,
2022,
the
following
amount,
or
16
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
17
designated:
18
To
be
credited
to
the
family
investment
program
(FIP)
19
account
and
used
for
family
investment
program
assistance
20
under
chapter
239B
and
other
costs
associated
with
providing
21
needs-based
benefits
or
assistance:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,003,978
23
1.
Of
the
funds
appropriated
in
this
section,
$6,606,198
is
24
allocated
for
the
JOBS
program.
25
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
26
allocated
for
the
family
development
and
self-sufficiency
grant
27
program.
28
3.
a.
Notwithstanding
section
8.39
,
for
the
fiscal
29
year
beginning
July
1,
2021,
if
necessary
to
meet
federal
30
maintenance
of
effort
requirements
or
to
transfer
federal
31
temporary
assistance
for
needy
families
block
grant
funding
32
to
be
used
for
purposes
of
the
federal
social
services
block
33
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
34
receiving
federal
funding
or
to
implement,
in
accordance
with
35
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123
S.F.
_____
H.F.
_____
this
division
of
this
Act,
activities
currently
funded
with
1
juvenile
court
services,
county,
or
community
moneys
and
state
2
moneys
used
in
combination
with
such
moneys;
to
comply
with
3
federal
requirements;
or
to
maximize
the
use
of
federal
funds;
4
the
department
of
human
services
may
transfer
funds
within
or
5
between
any
of
the
appropriations
made
in
this
division
of
this
6
Act
and
appropriations
in
law
for
the
federal
social
services
7
block
grant
to
the
department
for
the
following
purposes,
8
provided
that
the
combined
amount
of
state
and
federal
9
temporary
assistance
for
needy
families
block
grant
funding
10
for
each
appropriation
remains
the
same
before
and
after
the
11
transfer:
12
(1)
For
the
family
investment
program.
13
(2)
For
state
child
care
assistance.
14
(3)
For
child
and
family
services.
15
(4)
For
field
operations.
16
(5)
For
general
administration.
17
b.
This
subsection
shall
not
be
construed
to
prohibit
the
18
use
of
existing
state
transfer
authority
for
other
purposes.
19
The
department
shall
report
any
transfers
made
pursuant
to
this
20
subsection
to
the
general
assembly.
21
4.
Of
the
funds
appropriated
in
this
section,
$195,000
22
shall
be
used
for
a
contract
for
tax
preparation
assistance
23
to
low-income
Iowans
to
expand
the
usage
of
the
earned
income
24
tax
credit.
The
purpose
of
the
contract
is
to
supply
this
25
assistance
to
underserved
areas
of
the
state.
The
department
26
shall
not
retain
any
portion
of
the
allocation
under
this
27
subsection
for
administrative
costs.
28
5.
Of
the
funds
appropriated
in
this
section,
$70,000
shall
29
be
used
for
the
continuation
of
the
parenting
program,
as
30
specified
in
441
IAC
ch.
100
,
relating
to
parental
obligations,
31
in
which
the
child
support
recovery
unit
participates,
to
32
support
the
efforts
of
a
nonprofit
organization
committed
33
to
strengthening
the
community
through
youth
development,
34
healthy
living,
and
social
responsibility
headquartered
in
35
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S.F.
_____
H.F.
_____
a
county
with
a
population
over
350,000
according
to
the
1
latest
certified
federal
census.
The
funds
allocated
in
this
2
subsection
shall
be
used
by
the
recipient
organization
to
3
develop
a
larger
community
effort,
through
public
and
private
4
partnerships,
to
support
a
broad-based
multi-county
parenthood
5
initiative
that
promotes
payment
of
child
support
obligations,
6
improved
family
relationships,
and
full-time
employment.
7
6.
The
department
may
transfer
funds
appropriated
in
this
8
section,
excluding
the
allocation
in
subsection
2
for
the
9
family
development
and
self-sufficiency
grant
program,
to
the
10
appropriations
made
in
this
division
of
this
Act
for
general
11
administration
and
field
operations
as
necessary
to
administer
12
this
section,
section
7
for
the
temporary
assistance
for
needy
13
families
block
grant,
and
section
8
for
the
family
investment
14
program
account.
15
Sec.
10.
CHILD
SUPPORT
RECOVERY.
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,
2021,
and
ending
18
June
30,
2022,
the
following
amount,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purposes
designated:
20
For
child
support
recovery,
including
salaries,
support,
21
maintenance,
and
miscellaneous
purposes:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,942,885
23
1.
The
department
shall
expend
up
to
$24,000,
including
24
federal
financial
participation,
for
the
fiscal
year
beginning
25
July
1,
2021,
for
a
child
support
public
awareness
campaign.
26
The
department
and
the
office
of
the
attorney
general
shall
27
cooperate
in
continuation
of
the
campaign.
The
public
28
awareness
campaign
shall
emphasize,
through
a
variety
of
29
media
activities,
the
importance
of
maximum
involvement
of
30
both
parents
in
the
lives
of
their
children
as
well
as
the
31
importance
of
payment
of
child
support
obligations.
32
2.
Federal
access
and
visitation
grant
moneys
shall
be
33
issued
directly
to
private
not-for-profit
agencies
that
provide
34
services
designed
to
increase
compliance
with
the
child
access
35
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pf/rn
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123
S.F.
_____
H.F.
_____
provisions
of
court
orders,
including
but
not
limited
to
1
neutral
visitation
sites
and
mediation
services.
2
3.
The
appropriation
made
to
the
department
for
child
3
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
4
manner
necessary
for
purposes
of
cash
flow
management,
and
for
5
cash
flow
management
purposes
the
department
may
temporarily
6
draw
more
than
the
amount
appropriated,
provided
the
amount
7
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
8
Sec.
11.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
9
FY
2021-2022.
Any
funds
remaining
in
the
health
care
trust
10
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
11
July
1,
2021,
and
ending
June
30,
2022,
are
appropriated
to
12
the
department
of
human
services
to
supplement
the
medical
13
assistance
program
appropriations
made
in
this
division
of
this
14
Act,
for
medical
assistance
reimbursement
and
associated
costs,
15
including
program
administration
and
costs
associated
with
16
program
implementation.
17
Sec.
12.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
18
2021-2022.
Any
funds
remaining
in
the
Medicaid
fraud
fund
19
created
in
section
249A.50
for
the
fiscal
year
beginning
20
July
1,
2021,
and
ending
June
30,
2022,
are
appropriated
to
21
the
department
of
human
services
to
supplement
the
medical
22
assistance
appropriations
made
in
this
division
of
this
Act,
23
for
medical
assistance
reimbursement
and
associated
costs,
24
including
program
administration
and
costs
associated
with
25
program
implementation.
26
Sec.
13.
MENTAL
HEALTH
AND
DISABILITY
REGIONAL
SERVICES
27
FUND
——
FY
2021-2022.
There
is
appropriated
from
the
general
28
fund
of
the
state
to
the
department
of
human
services
for
the
29
fiscal
year
beginning
July
1,
2021,
and
ending
June
30,
2022,
30
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
31
used
for
the
purpose
designated:
32
For
transfer
to
the
mental
health
and
disability
regional
33
services
fund
created
in
section
225C.7A,
or
a
successor
fund:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,000,000
35
-18-
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1013XG
(22)
89
pf/rn
18/
123
S.F.
_____
H.F.
_____
Moneys
transferred
to
the
mental
health
and
disability
1
regional
services
fund
under
this
section
are
appropriated
to
2
the
department
of
human
services
for
distribution
to
regions
3
for
funding
of
mental
health
and
disability
services
in
4
accordance
with
section
225C.7A.
5
Sec.
14.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
6
general
fund
of
the
state
to
the
department
of
human
services
7
for
the
fiscal
year
beginning
July
1,
2021,
and
ending
June
30,
8
2022,
the
following
amount,
or
so
much
thereof
as
is
necessary,
9
to
be
used
for
the
purpose
designated:
10
For
medical
assistance
program
reimbursement
and
associated
11
costs
as
specifically
provided
in
the
reimbursement
12
methodologies
in
effect
on
June
30,
2021,
except
as
otherwise
13
expressly
authorized
by
law,
consistent
with
options
under
14
federal
law
and
regulations,
and
contingent
upon
receipt
of
15
approval
from
the
office
of
the
governor
of
reimbursement
for
16
each
abortion
performed
under
the
program:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,481,499,409
18
1.
Iowans
support
reducing
the
number
of
abortions
19
performed
in
our
state.
Funds
appropriated
under
this
section
20
shall
not
be
used
for
abortions,
unless
otherwise
authorized
21
under
this
section.
22
2.
The
provisions
of
this
section
relating
to
abortions
23
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
24
pursuant
to
chapter
249N
.
25
3.
The
department
shall
utilize
not
more
than
$60,000
of
26
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
27
health
insurance
premium
payment
program
as
established
in
1992
28
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
29
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
30
not
more
than
$5,000
may
be
expended
for
administrative
31
purposes.
32
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
33
of
public
health
for
addictive
disorders,
$950,000
for
34
the
fiscal
year
beginning
July
1,
2021,
is
transferred
35
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89
pf/rn
19/
123
S.F.
_____
H.F.
_____
to
the
department
of
human
services
for
an
integrated
1
substance-related
disorder
managed
care
system.
The
2
departments
of
human
services
and
public
health
shall
3
work
together
to
maintain
the
level
of
mental
health
and
4
substance-related
disorder
treatment
services
provided
by
the
5
managed
care
contractors.
Each
department
shall
take
the
steps
6
necessary
to
continue
the
federal
waivers
as
necessary
to
7
maintain
the
level
of
services.
8
5.
The
department
shall
aggressively
pursue
options
for
9
providing
medical
assistance
or
other
assistance
to
individuals
10
with
special
needs
who
become
ineligible
to
continue
receiving
11
services
under
the
early
and
periodic
screening,
diagnostic,
12
and
treatment
program
under
the
medical
assistance
program
13
due
to
becoming
21
years
of
age
who
have
been
approved
for
14
additional
assistance
through
the
department’s
exception
to
15
policy
provisions,
but
who
have
health
care
needs
in
excess
16
of
the
funding
available
through
the
exception
to
policy
17
provisions.
18
6.
Of
the
funds
appropriated
in
this
section,
up
to
19
$3,050,082
may
be
transferred
to
the
field
operations
or
20
general
administration
appropriations
in
this
division
of
this
21
Act
for
operational
costs
associated
with
Part
D
of
the
federal
22
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
23
of
2003,
Pub.
L.
No.
108-173.
24
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
25
may
be
transferred
to
the
appropriation
in
this
division
of
26
this
Act
for
health
program
operations
to
be
used
for
clinical
27
assessment
services
and
prior
authorization
of
services.
28
8.
A
portion
of
the
funds
appropriated
in
this
section
may
29
be
transferred
to
the
appropriations
in
this
division
of
this
30
Act
for
general
administration,
health
program
operations,
the
31
children’s
health
insurance
program,
or
field
operations
to
be
32
used
for
the
state
match
cost
to
comply
with
the
payment
error
33
rate
measurement
(PERM)
program
for
both
the
medical
assistance
34
and
children’s
health
insurance
programs
as
developed
by
the
35
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89
pf/rn
20/
123
S.F.
_____
H.F.
_____
centers
for
Medicare
and
Medicaid
services
of
the
United
States
1
department
of
health
and
human
services
to
comply
with
the
2
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
3
No.
107-300,
and
to
support
other
reviews
and
quality
control
4
activities
to
improve
the
integrity
of
these
programs.
5
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
6
amount
is
allocated
to
supplement
the
incomes
of
residents
of
7
nursing
facilities,
intermediate
care
facilities
for
persons
8
with
mental
illness,
and
intermediate
care
facilities
for
9
persons
with
an
intellectual
disability,
with
incomes
of
less
10
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
11
personal
needs
allowance
of
$50
per
month
pursuant
to
section
12
249A.30A
.
13
10.
a.
Hospitals
that
meet
the
conditions
specified
14
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
15
expenditures
or
transfer
to
the
medical
assistance
program
16
an
amount
equal
to
provide
the
nonfederal
share
for
a
17
disproportionate
share
hospital
payment
in
an
amount
up
to
the
18
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
19
The
hospitals
that
meet
the
conditions
specified
shall
receive
20
and
retain
100
percent
of
the
total
disproportionate
share
21
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
22
as
approved
in
the
Medicaid
state
plan.
23
(1)
The
hospital
qualifies
for
disproportionate
share
and
24
graduate
medical
education
payments.
25
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
26
than
500
beds
and
eight
or
more
distinct
residency
specialty
27
or
subspecialty
programs
recognized
by
the
American
college
of
28
graduate
medical
education.
29
b.
Distribution
of
the
disproportionate
share
payments
30
shall
be
made
on
a
monthly
basis.
The
total
amount
of
31
disproportionate
share
payments
including
graduate
medical
32
education,
enhanced
disproportionate
share,
and
Iowa
33
state-owned
teaching
hospital
payments
shall
not
exceed
the
34
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
35
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89
pf/rn
21/
123
S.F.
_____
H.F.
_____
In
addition,
the
total
amount
of
all
disproportionate
1
share
payments
shall
not
exceed
the
hospital-specific
2
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
3
11.
One
hundred
percent
of
the
nonfederal
share
of
payments
4
to
area
education
agencies
that
are
medical
assistance
5
providers
for
medical
assistance-covered
services
provided
to
6
medical
assistance-covered
children,
shall
be
made
from
the
7
appropriation
made
in
this
section.
8
12.
A
portion
of
the
funds
appropriated
in
this
section
may
9
be
transferred
to
the
appropriation
in
this
division
of
this
10
Act
for
health
program
operations
to
be
used
for
administrative
11
activities
associated
with
the
money
follows
the
person
12
demonstration
project.
13
13.
Of
the
funds
appropriated
in
this
section,
$349,011
14
shall
be
used
for
the
administration
of
the
health
insurance
15
premium
payment
program,
including
salaries,
support,
16
maintenance,
and
miscellaneous
purposes.
17
14.
a.
The
department
may
increase
the
amounts
allocated
18
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
19
associated
with
the
medical
assistance
program,
as
necessary,
20
to
sustain
cost
management
efforts.
The
department
shall
21
report
any
such
increase
to
the
general
assembly
and
the
22
department
of
management.
23
b.
If
the
savings
to
the
medical
assistance
program
from
24
ongoing
cost
management
efforts
exceed
the
associated
cost
25
for
the
fiscal
year
beginning
July
1,
2021,
the
department
26
may
transfer
any
savings
generated
for
the
fiscal
year
due
27
to
medical
assistance
program
cost
management
efforts
to
the
28
appropriation
made
in
this
division
of
this
Act
for
health
29
program
operations
or
general
administration
to
defray
the
30
costs
associated
with
implementing
the
efforts.
31
15.
For
the
fiscal
year
beginning
July
1,
2021,
and
ending
32
June
30,
2022,
the
replacement
generation
tax
revenues
required
33
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
34
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
35
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123
S.F.
_____
H.F.
_____
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
1
to
and
supplement
the
appropriation
made
in
this
section
and
2
used
for
the
allocations
made
in
this
section.
3
16.
a.
Of
the
funds
appropriated
in
this
section,
up
4
to
$50,000
may
be
transferred
by
the
department
to
the
5
appropriation
made
in
this
division
of
this
Act
to
the
6
department
for
the
same
fiscal
year
for
general
administration
7
to
be
used
for
associated
administrative
expenses.
8
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
9
may
be
transferred
by
the
department
to
the
appropriation
made
10
to
the
department
in
this
division
of
this
Act
for
the
same
11
fiscal
year
for
Medicaid
program-related
general
administration
12
planning
and
implementation
activities.
The
funds
may
be
used
13
for
contracts
or
for
personnel
in
addition
to
the
amounts
14
appropriated
for
general
administration
for
the
fiscal
year.
15
c.
Of
the
funds
appropriated
in
this
section,
up
to
16
$3,000,000
may
be
transferred
by
the
department
to
the
17
appropriations
made
in
this
division
of
this
Act
for
the
18
same
fiscal
year
for
general
administration
or
health
19
program
operations
to
be
used
to
support
the
development
20
and
implementation
of
standardized
assessment
tools
for
21
persons
with
mental
illness,
an
intellectual
disability,
a
22
developmental
disability,
or
a
brain
injury.
23
17.
Of
the
funds
appropriated
in
this
section,
$150,000
24
shall
be
used
for
lodging
expenses
associated
with
care
25
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
26
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
27
and
whose
income
is
at
or
below
200
percent
of
the
federal
28
poverty
level
as
defined
by
the
most
recently
revised
poverty
29
income
guidelines
published
by
the
United
States
department
of
30
health
and
human
services.
The
department
of
human
services
31
shall
establish
the
maximum
number
of
overnight
stays
and
the
32
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
33
based
on
the
state
employee
rate
established
by
the
department
34
of
administrative
services.
The
funds
allocated
in
this
35
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123
S.F.
_____
H.F.
_____
subsection
shall
not
be
used
as
nonfederal
share
matching
1
funds.
2
18.
Of
the
funds
appropriated
in
this
section,
up
to
3
$3,383,880
shall
be
used
for
administration
of
the
state
family
4
planning
services
program
pursuant
to
section
217.41B
,
and
5
of
this
amount,
the
department
may
use
up
to
$200,000
for
6
administrative
expenses.
7
19.
Of
the
funds
appropriated
in
this
section,
$1,545,530
8
shall
be
used
and
may
be
transferred
to
other
appropriations
9
in
this
division
of
this
Act
as
necessary
to
administer
the
10
provisions
in
the
division
of
this
Act
relating
to
Medicaid
11
program
administration.
12
Sec.
15.
HEALTH
PROGRAM
OPERATIONS.
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,
2021,
and
ending
15
June
30,
2022,
the
following
amount,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purpose
designated:
17
For
health
program
operations:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,831,343
19
1.
The
department
of
inspections
and
appeals
shall
20
provide
all
state
matching
funds
for
survey
and
certification
21
activities
performed
by
the
department
of
inspections
22
and
appeals.
The
department
of
human
services
is
solely
23
responsible
for
distributing
the
federal
matching
funds
for
24
such
activities.
25
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
26
be
used
for
continuation
of
home
and
community-based
services
27
waiver
quality
assurance
programs,
including
the
review
and
28
streamlining
of
processes
and
policies
related
to
oversight
and
29
quality
management
to
meet
state
and
federal
requirements.
30
3.
Of
the
amount
appropriated
in
this
section,
up
to
31
$200,000
may
be
transferred
to
the
appropriation
for
general
32
administration
in
this
division
of
this
Act
to
be
used
for
the
33
development
of
key
health
initiatives
such
as
development
and
34
oversight
of
managed
care
programs
and
development
of
health
35
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H.F.
_____
strategies
targeted
toward
improved
quality
and
reduced
costs
1
in
the
Medicaid
program.
2
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
3
shall
be
used
for
planning
and
development,
in
cooperation
with
4
the
department
of
public
health,
of
a
phased-in
program
to
5
provide
a
dental
home
for
children.
6
5.
a.
Of
the
funds
appropriated
in
this
section,
$573,000
7
shall
be
credited
to
the
autism
support
program
fund
created
8
in
section
225D.2
to
be
used
for
the
autism
support
program
9
created
in
chapter
225D
,
with
the
exception
of
the
following
10
amount
of
this
allocation
which
shall
be
used
as
follows:
11
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
12
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
13
nonprofit
provider
of
child
welfare
services
that
has
been
in
14
existence
for
more
than
115
years,
is
located
in
a
county
with
15
a
population
between
200,000
and
220,000
according
to
the
most
16
recent
federal
decennial
census,
is
licensed
as
a
psychiatric
17
medical
institution
for
children,
and
provides
school-based
18
programming,
to
be
used
for
support
services
for
children
with
19
autism
spectrum
disorder
and
their
families.
20
Sec.
16.
STATE
SUPPLEMENTARY
ASSISTANCE.
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,
2021,
and
ending
June
30,
2022,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
the
state
supplementary
assistance
program:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,349,002
28
2.
The
department
shall
increase
the
personal
needs
29
allowance
for
residents
of
residential
care
facilities
by
the
30
same
percentage
and
at
the
same
time
as
federal
supplemental
31
security
income
and
federal
social
security
benefits
are
32
increased
due
to
a
recognized
increase
in
the
cost
of
living.
33
The
department
may
adopt
emergency
rules
to
implement
this
34
subsection.
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H.F.
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3.
If
during
the
fiscal
year
beginning
July
1,
2021,
1
the
department
projects
that
state
supplementary
assistance
2
expenditures
for
a
calendar
year
will
not
meet
the
federal
3
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
4
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
5
§1382g,
the
department
may
take
actions
including
but
not
6
limited
to
increasing
the
personal
needs
allowance
for
7
residential
care
facility
residents
and
making
programmatic
8
adjustments
or
upward
adjustments
of
the
residential
care
9
facility
or
in-home
health-related
care
reimbursement
rates
10
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
11
requirements
are
met.
In
addition,
the
department
may
make
12
other
programmatic
and
rate
adjustments
necessary
to
remain
13
within
the
amount
appropriated
in
this
section
while
ensuring
14
compliance
with
federal
requirements.
The
department
may
adopt
15
emergency
rules
to
implement
the
provisions
of
this
subsection.
16
4.
Notwithstanding
section
8.33
,
moneys
appropriated
17
in
this
section
that
remain
unencumbered
or
unobligated
18
at
the
close
of
the
fiscal
year
shall
not
revert
but
19
shall
remain
available
for
expenditure
for
the
purposes
20
designated,
including
for
liability
amounts
associated
with
the
21
supplemental
nutrition
assistance
program
payment
error
rate,
22
until
the
close
of
the
succeeding
fiscal
year.
23
Sec.
17.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
24
1.
There
is
appropriated
from
the
general
fund
of
the
25
state
to
the
department
of
human
services
for
the
fiscal
year
26
beginning
July
1,
2021,
and
ending
June
30,
2022,
the
following
27
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
28
purpose
designated:
29
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
30
program
pursuant
to
chapter
514I
,
including
supplemental
dental
31
services,
for
receipt
of
federal
financial
participation
under
32
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
33
children’s
health
insurance
program:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,460,555
35
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S.F.
_____
H.F.
_____
2.
Of
the
funds
appropriated
in
this
section,
$149,189
is
1
allocated
for
continuation
of
the
contract
for
outreach
with
2
the
department
of
public
health.
3
3.
A
portion
of
the
funds
appropriated
in
this
section
may
4
be
transferred
to
the
appropriations
made
in
this
division
of
5
this
Act
for
field
operations
or
health
program
operations
to
6
be
used
for
the
integration
of
hawk-i
program
eligibility,
7
payment,
and
administrative
functions
under
the
purview
of
8
the
department
of
human
services,
including
for
the
Medicaid
9
management
information
system
upgrade.
10
Sec.
18.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
11
from
the
general
fund
of
the
state
to
the
department
of
human
12
services
for
the
fiscal
year
beginning
July
1,
2021,
and
ending
13
June
30,
2022,
the
following
amount,
or
so
much
thereof
as
is
14
necessary,
to
be
used
for
the
purpose
designated:
15
For
child
care
programs:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,816,931
17
1.
Of
the
funds
appropriated
in
this
section,
$34,966,931
18
shall
be
used
for
state
child
care
assistance
in
accordance
19
with
section
237A.13
.
20
2.
Nothing
in
this
section
shall
be
construed
or
is
21
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
22
to
persons
who
are
eligible
for
assistance
due
to
an
income
23
level
consistent
with
the
waiting
list
requirements
of
section
24
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
25
this
section
is
limited
to
the
extent
of
the
funds
appropriated
26
in
this
section.
27
3.
A
list
of
the
registered
and
licensed
child
care
28
facilities
operating
in
the
area
served
by
a
child
care
29
resource
and
referral
service
shall
be
made
available
to
the
30
families
receiving
state
child
care
assistance
in
that
area.
31
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
32
shall
be
credited
to
the
early
childhood
programs
grants
33
account
in
the
early
childhood
Iowa
fund
created
in
section
34
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
35
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_____
H.F.
_____
community-based
early
childhood
programs
targeted
to
children
1
from
birth
through
five
years
of
age
developed
by
early
2
childhood
Iowa
areas
in
accordance
with
approved
community
3
plans
as
provided
in
section
256I.8
.
4
5.
The
department
may
use
any
of
the
funds
appropriated
5
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
6
expanding
child
care
assistance
and
related
programs.
For
7
the
purpose
of
expenditures
of
state
and
federal
child
care
8
funding,
funds
shall
be
considered
obligated
at
the
time
9
expenditures
are
projected
or
are
allocated
to
the
department’s
10
service
areas.
Projections
shall
be
based
on
current
and
11
projected
caseload
growth,
current
and
projected
provider
12
rates,
staffing
requirements
for
eligibility
determination
13
and
management
of
program
requirements
including
data
systems
14
management,
staffing
requirements
for
administration
of
the
15
program,
contractual
and
grant
obligations
and
any
transfers
16
to
other
state
agencies,
and
obligations
for
decategorization
17
or
innovation
projects.
18
6.
A
portion
of
the
state
match
for
the
federal
child
care
19
and
development
block
grant
shall
be
provided
as
necessary
to
20
meet
federal
matching
funds
requirements
through
the
state
21
general
fund
appropriation
made
for
child
development
grants
22
and
other
programs
for
at-risk
children
in
section
279.51
.
23
7.
If
a
uniform
reduction
ordered
by
the
governor
under
24
section
8.31
or
other
operation
of
law,
transfer,
or
federal
25
funding
reduction
reduces
the
appropriation
made
in
this
26
section
for
the
fiscal
year,
the
percentage
reduction
in
the
27
amount
paid
out
to
or
on
behalf
of
the
families
participating
28
in
the
state
child
care
assistance
program
shall
be
equal
to
or
29
less
than
the
percentage
reduction
made
for
any
other
purpose
30
payable
from
the
appropriation
made
in
this
section
and
the
31
federal
funding
relating
to
it.
The
percentage
reduction
to
32
the
other
allocations
made
in
this
section
shall
be
the
same
as
33
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
34
change
of
the
federal
funding
reduction,
as
applicable.
If
35
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H.F.
_____
there
is
an
unanticipated
increase
in
federal
funding
provided
1
for
state
child
care
services,
the
entire
amount
of
the
2
increase,
except
as
necessary
to
meet
federal
requirements
3
including
quality
set
asides,
shall
be
used
for
state
child
4
care
assistance
payments.
If
the
appropriations
made
for
5
purposes
of
the
state
child
care
assistance
program
for
the
6
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
7
of
the
general
assembly
to
appropriate
sufficient
funding
for
8
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
9
requirements.
10
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
11
purposes
of
the
programs
developed
by
early
childhood
Iowa
12
areas,
advanced
for
purposes
of
wraparound
child
care,
or
13
received
from
the
federal
appropriations
made
for
the
purposes
14
of
this
section
that
remain
unencumbered
or
unobligated
at
the
15
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
16
remain
available
for
expenditure
for
the
purposes
designated
17
until
the
close
of
the
succeeding
fiscal
year.
18
Sec.
19.
JUVENILE
INSTITUTION.
There
is
appropriated
19
from
the
general
fund
of
the
state
to
the
department
of
human
20
services
for
the
fiscal
year
beginning
July
1,
2021,
and
ending
21
June
30,
2022,
the
following
amounts,
or
so
much
thereof
as
is
22
necessary,
to
be
used
for
the
purposes
designated:
23
1.
a.
For
operation
of
the
state
training
school
at
Eldora
24
and
for
salaries,
support,
maintenance,
and
miscellaneous
25
purposes:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,397,068
27
b.
Of
the
funds
appropriated
in
this
subsection,
$91,000
28
shall
be
used
for
distribution
to
licensed
classroom
teachers
29
at
this
and
other
institutions
under
the
control
of
the
30
department
of
human
services
based
upon
the
average
student
31
yearly
enrollment
at
each
institution
as
determined
by
the
32
department.
33
2.
A
portion
of
the
moneys
appropriated
in
this
section
34
shall
be
used
by
the
state
training
school
at
Eldora
for
35
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S.F.
_____
H.F.
_____
grants
for
adolescent
pregnancy
prevention
activities
at
the
1
institution
in
the
fiscal
year
beginning
July
1,
2021.
2
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
3
shall
be
used
by
the
state
training
school
at
Eldora
for
a
4
substance
use
disorder
treatment
program
at
the
institution
for
5
the
fiscal
year
beginning
July
1,
2021.
6
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
7
this
section
that
remain
unencumbered
or
unobligated
at
the
8
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
9
available
for
expenditure
for
the
purposes
designated
until
the
10
close
of
the
succeeding
fiscal
year.
11
Sec.
20.
CHILD
AND
FAMILY
SERVICES.
12
1.
There
is
appropriated
from
the
general
fund
of
the
13
state
to
the
department
of
human
services
for
the
fiscal
year
14
beginning
July
1,
2021,
and
ending
June
30,
2022,
the
following
15
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
16
purpose
designated:
17
For
child
and
family
services:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
89,071,930
19
2.
The
department
may
transfer
funds
appropriated
in
this
20
section
as
necessary
to
pay
the
nonfederal
costs
of
services
21
reimbursed
under
the
medical
assistance
program,
state
child
22
care
assistance
program,
or
the
family
investment
program
which
23
are
provided
to
children
who
would
otherwise
receive
services
24
paid
under
the
appropriation
in
this
section.
The
department
25
may
transfer
funds
appropriated
in
this
section
to
the
26
appropriations
made
in
this
division
of
this
Act
for
general
27
administration
and
for
field
operations
for
resources
necessary
28
to
implement
and
operate
the
services
funded
in
this
section.
29
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
30
$31,500,000
is
allocated
as
the
statewide
expenditure
target
31
under
section
232.143
for
group
foster
care
maintenance
and
32
services.
If
the
department
projects
that
such
expenditures
33
for
the
fiscal
year
will
be
less
than
the
target
amount
34
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
35
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H.F.
_____
the
excess
to
provide
additional
funding
for
family
foster
1
care,
independent
living,
family-centered
services,
shelter
2
care,
or
the
child
welfare
emergency
services
addressed
with
3
the
allocation
for
shelter
care.
4
b.
If
at
any
time
after
September
30,
2021,
annualization
5
of
a
service
area’s
current
expenditures
indicates
a
service
6
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
7
target
under
section
232.143
by
more
than
5
percent,
the
8
department
and
juvenile
court
services
shall
examine
all
9
group
foster
care
placements
in
that
service
area
in
order
to
10
identify
those
which
might
be
appropriate
for
termination.
11
In
addition,
any
aftercare
services
believed
to
be
needed
12
for
the
children
whose
placements
may
be
terminated
shall
be
13
identified.
The
department
and
juvenile
court
services
shall
14
initiate
action
to
set
dispositional
review
hearings
for
the
15
placements
identified.
In
such
a
dispositional
review
hearing,
16
the
juvenile
court
shall
determine
whether
needed
aftercare
17
services
are
available
and
whether
termination
of
the
placement
18
is
in
the
best
interest
of
the
child
and
the
community.
19
4.
In
accordance
with
the
provisions
of
section
232.188
,
20
the
department
shall
continue
the
child
welfare
and
juvenile
21
justice
funding
initiative
during
fiscal
year
2021-2022.
Of
22
the
funds
appropriated
in
this
section,
$1,717,000
is
allocated
23
specifically
for
expenditure
for
fiscal
year
2021-2022
through
24
the
decategorization
services
funding
pools
and
governance
25
boards
established
pursuant
to
section
232.188
.
26
5.
A
portion
of
the
funds
appropriated
in
this
section
27
may
be
used
for
emergency
family
assistance
to
provide
other
28
resources
required
for
a
family
participating
in
a
family
29
preservation
or
reunification
project
or
successor
project
to
30
stay
together
or
to
be
reunified.
31
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
32
amount
is
allocated
for
shelter
care
and
the
child
welfare
33
emergency
services
contracting
implemented
to
provide
for
or
34
prevent
the
need
for
shelter
care.
35
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7.
Federal
funds
received
by
the
state
during
the
fiscal
1
year
beginning
July
1,
2021,
as
the
result
of
the
expenditure
2
of
state
funds
appropriated
during
a
previous
state
fiscal
3
year
for
a
service
or
activity
funded
under
this
section
are
4
appropriated
to
the
department
to
be
used
as
additional
funding
5
for
services
and
purposes
provided
for
under
this
section.
6
Notwithstanding
section
8.33
,
moneys
received
in
accordance
7
with
this
subsection
that
remain
unencumbered
or
unobligated
at
8
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
9
shall
remain
available
for
the
purposes
designated
until
the
10
close
of
the
succeeding
fiscal
year.
11
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
12
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
13
court-ordered
services
provided
to
juveniles
who
are
under
the
14
supervision
of
juvenile
court
services,
which
expenses
are
a
15
charge
upon
the
state
pursuant
to
section
232.141,
subsection
16
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
17
$1,556,000
shall
be
made
available
to
provide
school-based
18
supervision
of
children
adjudicated
under
chapter
232
,
of
which
19
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
20
A
portion
of
the
cost
of
each
school-based
liaison
officer
21
shall
be
paid
by
the
school
district
or
other
funding
source
as
22
approved
by
the
chief
juvenile
court
officer.
23
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,000
24
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
25
services
provided
to
children
who
are
under
the
supervision
26
of
the
department,
which
expenses
are
a
charge
upon
the
state
27
pursuant
to
section
232.141,
subsection
4
.
28
c.
Notwithstanding
section
232.141
or
any
other
provision
29
of
law
to
the
contrary,
the
amounts
allocated
in
this
30
subsection
shall
be
distributed
to
the
judicial
districts
31
as
determined
by
the
state
court
administrator
and
to
the
32
department’s
service
areas
as
determined
by
the
administrator
33
of
the
department
of
human
services’
division
of
child
and
34
family
services.
The
state
court
administrator
and
the
35
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division
administrator
shall
make
the
determination
of
the
1
distribution
amounts
on
or
before
June
15,
2021.
2
d.
Notwithstanding
chapter
232
or
any
other
provision
of
3
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
4
order
any
service
which
is
a
charge
upon
the
state
pursuant
5
to
section
232.141
if
there
are
insufficient
court-ordered
6
services
funds
available
in
the
district
court
or
departmental
7
service
area
distribution
amounts
to
pay
for
the
service.
The
8
chief
juvenile
court
officer
and
the
departmental
service
area
9
manager
shall
encourage
use
of
the
funds
allocated
in
this
10
subsection
such
that
there
are
sufficient
funds
to
pay
for
11
all
court-related
services
during
the
entire
year.
The
chief
12
juvenile
court
officers
and
departmental
service
area
managers
13
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
14
in
the
distribution
amounts
and
shall
cooperatively
request
the
15
state
court
administrator
or
division
administrator
to
transfer
16
funds
between
the
judicial
districts’
or
departmental
service
17
areas’
distribution
amounts
as
prudent.
18
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
19
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
20
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
21
entered
under
chapter
232
which
is
a
charge
upon
the
state
22
under
section
232.141,
subsection
4
.
23
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
24
$83,000
may
be
used
by
the
judicial
branch
for
administration
25
of
the
requirements
under
this
subsection.
26
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
27
shall
be
used
by
the
department
of
human
services
to
support
28
the
interstate
commission
for
juveniles
in
accordance
with
29
the
interstate
compact
for
juveniles
as
provided
in
section
30
232.173
.
31
9.
Of
the
funds
appropriated
in
this
section,
$12,253,000
is
32
allocated
for
juvenile
delinquent
graduated
sanctions
services.
33
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
34
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
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services
administration
may
be
used
for
the
juvenile
delinquent
1
graduated
sanctions
services.
2
10.
Of
the
funds
appropriated
in
this
section,
$1,658,000
is
3
transferred
to
the
department
of
public
health
to
be
used
for
4
the
child
protection
center
grant
program
for
child
protection
5
centers
located
in
Iowa
in
accordance
with
section
135.118
.
6
The
grant
amounts
under
the
program
shall
be
equalized
so
that
7
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
8
that
the
remaining
funds
are
awarded
through
a
funding
formula
9
based
upon
the
volume
of
children
served.
To
increase
access
10
to
child
protection
center
services
for
children
in
rural
11
areas,
the
funding
formula
for
the
awarding
of
the
remaining
12
funds
shall
provide
for
the
awarding
of
an
enhanced
amount
to
13
eligible
grantees
to
develop
and
maintain
satellite
centers
in
14
underserved
regions
of
the
state.
15
11.
Of
the
funds
appropriated
in
this
section,
$4,025,000
is
16
allocated
for
the
preparation
for
adult
living
program
pursuant
17
to
section
234.46
.
18
12.
Of
the
funds
appropriated
in
this
section,
$227,000
19
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
20
nonprofit
human
services
organization,
providing
services
to
21
individuals
and
families
in
multiple
locations
in
southwest
22
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
23
sensitive
support
and
forensic
interviews,
medical
exams,
needs
24
assessments,
and
referrals
for
victims
of
child
abuse
and
their
25
nonoffending
family
members.
26
13.
Of
the
funds
appropriated
in
this
section,
$300,000
27
is
allocated
for
the
foster
care
youth
council
approach
of
28
providing
a
support
network
to
children
placed
in
foster
care.
29
14.
Of
the
funds
appropriated
in
this
section,
$202,000
is
30
allocated
for
use
pursuant
to
section
235A.1
for
continuation
31
of
the
initiative
to
address
child
sexual
abuse
implemented
32
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
33
21
.
34
15.
Of
the
funds
appropriated
in
this
section,
$630,000
is
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H.F.
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allocated
for
the
community
partnership
for
child
protection
1
sites.
2
16.
Of
the
funds
appropriated
in
this
section,
$371,000
3
is
allocated
for
the
department’s
minority
youth
and
family
4
projects
under
the
redesign
of
the
child
welfare
system.
5
17.
Of
the
funds
appropriated
in
this
section,
$851,000
6
is
allocated
for
funding
of
the
community
circle
of
care
7
collaboration
for
children
and
youth
in
northeast
Iowa.
8
18.
Of
the
funds
appropriated
in
this
section,
at
least
9
$147,000
shall
be
used
for
the
continuation
of
the
child
10
welfare
provider
training
academy,
a
collaboration
between
the
11
coalition
for
family
and
children’s
services
in
Iowa
and
the
12
department.
13
19.
Of
the
funds
appropriated
in
this
section,
$211,000
14
shall
be
used
for
continuation
of
the
central
Iowa
system
of
15
care
program
grant
through
June
30,
2022.
16
20.
Of
the
funds
appropriated
in
this
section,
$235,000
17
shall
be
used
for
the
public
purpose
of
the
continuation
18
and
expansion
of
a
system
of
care
program
grant
implemented
19
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
20
and
long-term
approach
for
helping
children
and
families
by
21
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
22
needs,
education
and
work,
family,
and
community.
23
21.
Of
the
funds
appropriated
in
this
section,
$110,000
24
shall
be
used
for
the
public
purpose
of
funding
community-based
25
services
and
other
supports
with
a
system
of
care
approach
26
for
children
with
a
serious
emotional
disturbance
and
their
27
families
through
a
nonprofit
provider
of
child
welfare
services
28
that
has
been
in
existence
for
more
than
115
years,
is
located
29
in
a
county
with
a
population
of
more
than
200,000
but
less
30
than
235,000
according
to
the
latest
certified
federal
census,
31
is
licensed
as
a
psychiatric
medical
institution
for
children,
32
and
was
a
system
of
care
grantee
prior
to
July
1,
2021.
33
22.
If
a
separate
funding
source
is
identified
that
reduces
34
the
need
for
state
funds
within
an
allocation
under
this
35
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section,
the
allocated
state
funds
may
be
redistributed
to
1
other
allocations
under
this
section
for
the
same
fiscal
year.
2
23.
Of
the
funds
appropriated
in
this
section,
a
portion
may
3
be
used
for
family-centered
services
for
purposes
of
complying
4
with
the
federal
Family
First
Prevention
Services
Act
of
2018,
5
Pub.
L.
No.
115-123,
and
successor
legislation.
6
Sec.
21.
ADOPTION
SUBSIDY.
7
1.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2021,
and
ending
June
30,
2022,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
a.
For
adoption
subsidy
payments
and
related
costs
and
for
13
other
services
provided
for
under
paragraph
“b”,
subparagraph
14
(2):
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,596,007
16
b.
(1)
Of
the
funds
appropriated
in
this
section,
a
17
sufficient
amount
is
allocated
for
adoption
subsidy
payments
18
and
related
costs.
19
(2)
Any
funds
appropriated
in
this
section
remaining
after
20
the
allocation
under
subparagraph
(1)
are
designated
and
21
allocated
as
state
savings
resulting
from
implementation
of
22
the
federal
Fostering
Connections
to
Success
and
Increasing
23
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
24
legislation,
as
determined
in
accordance
with
42
U.S.C.
25
§673(a)(8),
and
shall
be
used
for
post-adoption
services
and
26
for
other
purposes
allowed
under
these
federal
laws,
Tit.
IV-B
27
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
28
(a)
The
department
of
human
services
may
transfer
funds
29
allocated
in
this
subparagraph
(2)
to
the
appropriation
for
30
child
and
family
services
in
this
division
of
this
Act
for
the
31
purposes
designated
in
this
subparagraph
(2).
32
(b)
Notwithstanding
section
8.33,
moneys
allocated
33
under
this
subparagraph
(2)
shall
not
revert
to
any
fund
but
34
shall
remain
available
for
the
purposes
designated
in
this
35
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subparagraph
(2)
until
expended.
1
2.
The
department
may
transfer
funds
appropriated
in
2
this
section
to
the
appropriation
made
in
this
division
of
3
this
Act
for
general
administration
for
costs
paid
from
the
4
appropriation
relating
to
adoption
subsidy.
5
3.
Federal
funds
received
by
the
state
during
the
6
fiscal
year
beginning
July
1,
2021,
as
the
result
of
the
7
expenditure
of
state
funds
during
a
previous
state
fiscal
8
year
for
a
service
or
activity
funded
under
this
section
are
9
appropriated
to
the
department
to
be
used
as
additional
funding
10
for
the
services
and
activities
funded
under
this
section.
11
Notwithstanding
section
8.33
,
moneys
received
in
accordance
12
with
this
subsection
that
remain
unencumbered
or
unobligated
13
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
14
but
shall
remain
available
for
expenditure
for
the
purposes
15
designated
until
the
close
of
the
succeeding
fiscal
year.
16
Sec.
22.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
17
in
the
juvenile
detention
home
fund
created
in
section
232.142
18
during
the
fiscal
year
beginning
July
1,
2021,
and
ending
June
19
30,
2022,
are
appropriated
to
the
department
of
human
services
20
for
the
fiscal
year
beginning
July
1,
2021,
and
ending
June
30,
21
2022,
for
distribution
of
an
amount
equal
to
a
percentage
of
22
the
costs
of
the
establishment,
improvement,
operation,
and
23
maintenance
of
county
or
multicounty
juvenile
detention
homes
24
in
the
fiscal
year
beginning
July
1,
2020.
Moneys
appropriated
25
for
distribution
in
accordance
with
this
section
shall
be
26
allocated
among
eligible
detention
homes,
prorated
on
the
basis
27
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
28
eligible
detention
homes
in
the
fiscal
year
beginning
July
29
1,
2020.
The
percentage
figure
shall
be
determined
by
the
30
department
based
on
the
amount
available
for
distribution
for
31
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
32
financial
aid
payable
by
the
state
under
that
provision
for
the
33
fiscal
year
beginning
July
1,
2021,
shall
be
limited
to
the
34
amount
appropriated
for
the
purposes
of
this
section.
35
-37-
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1013XG
(22)
89
pf/rn
37/
123
S.F.
_____
H.F.
_____
Sec.
23.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
1
1.
There
is
appropriated
from
the
general
fund
of
the
2
state
to
the
department
of
human
services
for
the
fiscal
year
3
beginning
July
1,
2021,
and
ending
June
30,
2022,
the
following
4
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
5
purpose
designated:
6
For
the
family
support
subsidy
program
subject
to
the
7
enrollment
restrictions
in
section
225C.37,
subsection
3
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
949,282
9
2.
At
least
$899,291
of
the
moneys
appropriated
in
this
10
section
is
transferred
to
the
department
of
public
health
for
11
the
family
support
center
component
of
the
comprehensive
family
12
support
program
under
chapter
225C,
subchapter
V
.
13
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
14
funding
available
for
the
family
support
subsidy
program
15
is
reduced
from
the
amount
initially
used
to
establish
the
16
figure
for
the
number
of
family
members
for
whom
a
subsidy
17
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
18
notwithstanding
section
225C.38,
subsection
2
,
the
department
19
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
20
of
funding
available.
21
Sec.
24.
CONNER
DECREE.
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,
2021,
and
ending
June
30,
24
2022,
the
following
amount,
or
so
much
thereof
as
is
necessary,
25
to
be
used
for
the
purpose
designated:
26
For
building
community
capacity
through
the
coordination
27
and
provision
of
training
opportunities
in
accordance
with
the
28
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871
(S.D.
29
Iowa,
July
14,
1994):
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
31
Sec.
25.
MENTAL
HEALTH
INSTITUTES.
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2021,
and
ending
June
30,
2022,
the
following
35
-38-
LSB
1013XG
(22)
89
pf/rn
38/
123
S.F.
_____
H.F.
_____
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purposes
designated:
2
a.
For
operation
of
the
state
mental
health
institute
at
3
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
4
support,
maintenance,
and
miscellaneous
purposes:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,058,356
6
b.
For
operation
of
the
state
mental
health
institute
at
7
Independence
as
required
by
chapters
218
and
226
for
salaries,
8
support,
maintenance,
and
miscellaneous
purposes:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,628,077
10
2.
a.
Notwithstanding
sections
218.78
and
249A.11
,
any
11
revenue
received
from
the
state
mental
health
institute
at
12
Cherokee
or
the
state
mental
health
institute
at
Independence
13
pursuant
to
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
14
the
mental
health
institute.
15
b.
Notwithstanding
sections
218.78
and
249A.11,
any
16
COVID-19
related
funding
received
through
federal
funding
17
sources
by
the
state
mental
health
institute
at
Cherokee
or
the
18
state
mental
health
institute
at
Independence
may
be
retained
19
and
expended
by
the
mental
health
institute.
20
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
21
a
Medicaid
member
residing
at
the
state
mental
health
22
institute
at
Cherokee
or
the
state
mental
health
institute
23
at
Independence
shall
retain
Medicaid
eligibility
during
24
the
period
of
the
Medicaid
member’s
stay
for
which
federal
25
financial
participation
is
available.
26
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
27
this
section
that
remain
unencumbered
or
unobligated
at
the
28
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
29
available
for
expenditure
for
the
purposes
designated
until
the
30
close
of
the
succeeding
fiscal
year.
31
Sec.
26.
STATE
RESOURCE
CENTERS.
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2021,
and
ending
June
30,
2022,
the
following
35
-39-
LSB
1013XG
(22)
89
pf/rn
39/
123
S.F.
_____
H.F.
_____
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purposes
designated:
2
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
3
support,
maintenance,
and
miscellaneous
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,802,873
5
b.
For
the
state
resource
center
at
Woodward
for
salaries,
6
support,
maintenance,
and
miscellaneous
purposes:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,698,094
8
2.
The
department
may
continue
to
bill
for
state
resource
9
center
services
utilizing
a
scope
of
services
approach
used
for
10
private
providers
of
intermediate
care
facilities
for
persons
11
with
an
intellectual
disability
services,
in
a
manner
which
12
does
not
shift
costs
between
the
medical
assistance
program,
13
counties,
or
other
sources
of
funding
for
the
state
resource
14
centers.
15
3.
The
state
resource
centers
may
expand
the
time-limited
16
assessment
and
respite
services
during
the
fiscal
year.
17
4.
If
the
department’s
administration
and
the
department
18
of
management
concur
with
a
finding
by
a
state
resource
19
center’s
superintendent
that
projected
revenues
can
reasonably
20
be
expected
to
pay
the
salary
and
support
costs
for
a
new
21
employee
position,
or
that
such
costs
for
adding
a
particular
22
number
of
new
positions
for
the
fiscal
year
would
be
less
23
than
the
overtime
costs
if
new
positions
would
not
be
added,
24
the
superintendent
may
add
the
new
position
or
positions.
If
25
the
vacant
positions
available
to
a
resource
center
do
not
26
include
the
position
classification
desired
to
be
filled,
the
27
state
resource
center’s
superintendent
may
reclassify
any
28
vacant
position
as
necessary
to
fill
the
desired
position.
The
29
superintendents
of
the
state
resource
centers
may,
by
mutual
30
agreement,
pool
vacant
positions
and
position
classifications
31
during
the
course
of
the
fiscal
year
in
order
to
assist
one
32
another
in
filling
necessary
positions.
33
5.
If
existing
capacity
limitations
are
reached
in
34
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
35
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(22)
89
pf/rn
40/
123
S.F.
_____
H.F.
_____
a
special
need
for
which
a
payment
source
or
other
funding
1
is
available
for
the
service
or
to
address
the
special
need,
2
and
facilities
for
the
service
or
to
address
the
special
need
3
can
be
provided
within
the
available
payment
source
or
other
4
funding,
the
superintendent
of
a
state
resource
center
may
5
authorize
opening
not
more
than
two
units
or
other
facilities
6
and
begin
implementing
the
service
or
addressing
the
special
7
need
during
fiscal
year
2021-2022.
8
6.
Notwithstanding
section
8.33
,
and
notwithstanding
9
the
amount
limitation
specified
in
section
222.92
,
moneys
10
appropriated
in
this
section
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.
14
Sec.
27.
SEXUALLY
VIOLENT
PREDATORS.
15
1.
There
is
appropriated
from
the
general
fund
of
the
16
state
to
the
department
of
human
services
for
the
fiscal
year
17
beginning
July
1,
2021,
and
ending
June
30,
2022,
the
following
18
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
19
purpose
designated:
20
For
costs
associated
with
the
commitment
and
treatment
of
21
sexually
violent
predators
in
the
unit
located
at
the
state
22
mental
health
institute
at
Cherokee,
including
costs
of
legal
23
services
and
other
associated
costs,
including
salaries,
24
support,
maintenance,
and
miscellaneous
purposes:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,643,727
26
2.
Unless
specifically
prohibited
by
law,
if
the
amount
27
charged
provides
for
recoupment
of
at
least
the
entire
amount
28
of
direct
and
indirect
costs,
the
department
of
human
services
29
may
contract
with
other
states
to
provide
care
and
treatment
30
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
31
violent
predators
at
Cherokee.
The
moneys
received
under
32
such
a
contract
shall
be
considered
to
be
repayment
receipts
33
and
used
for
the
purposes
of
the
appropriation
made
in
this
34
section.
35
-41-
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1013XG
(22)
89
pf/rn
41/
123
S.F.
_____
H.F.
_____
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
1
this
section
that
remain
unencumbered
or
unobligated
at
the
2
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
3
available
for
expenditure
for
the
purposes
designated
until
the
4
close
of
the
succeeding
fiscal
year.
5
Sec.
28.
FIELD
OPERATIONS.
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,
2021,
and
ending
June
30,
2022,
the
following
9
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purposes
designated:
11
For
field
operations,
including
salaries,
support,
12
maintenance,
and
miscellaneous
purposes:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
60,596,667
14
2.
Priority
in
filling
full-time
equivalent
positions
15
shall
be
given
to
those
positions
related
to
child
protection
16
services
and
eligibility
determination
for
low-income
families.
17
Sec.
29.
GENERAL
ADMINISTRATION.
There
is
appropriated
18
from
the
general
fund
of
the
state
to
the
department
of
human
19
services
for
the
fiscal
year
beginning
July
1,
2021,
and
ending
20
June
30,
2022,
the
following
amount,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purpose
designated:
22
For
general
administration,
including
salaries,
support,
23
maintenance,
and
miscellaneous
purposes:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,542,189
25
1.
The
department
shall
report
at
least
monthly
to
the
26
general
assembly
concerning
the
department’s
operational
and
27
program
expenditures.
28
2.
Of
the
funds
appropriated
in
this
section,
$150,000
29
shall
be
used
for
the
provision
of
a
program
to
provide
30
technical
assistance,
support,
and
consultation
to
providers
31
of
habilitation
services
and
home
and
community-based
services
32
waiver
services
for
adults
with
disabilities
under
the
medical
33
assistance
program.
34
3.
Of
the
funds
appropriated
in
this
section,
$50,000
35
-42-
LSB
1013XG
(22)
89
pf/rn
42/
123
S.F.
_____
H.F.
_____
is
transferred
to
the
Iowa
finance
authority
to
be
used
1
for
administrative
support
of
the
council
on
homelessness
2
established
in
section
16.2D
and
for
the
council
to
fulfill
its
3
duties
in
addressing
and
reducing
homelessness
in
the
state.
4
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
5
be
transferred
to
and
deposited
in
the
administrative
fund
of
6
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
7
be
used
for
implementation
and
administration
activities
of
the
8
Iowa
ABLE
savings
plan
trust.
9
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
10
transferred
to
the
economic
development
authority
for
the
Iowa
11
commission
on
volunteer
services
to
continue
to
be
used
for
the
12
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
13
for
member
recruitment
and
training
to
improve
the
economic
14
well-being
and
health
of
economically
disadvantaged
refugees
in
15
local
communities
across
Iowa.
Funds
transferred
may
be
used
16
to
supplement
federal
funds
under
federal
regulations.
17
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
18
shall
be
used
as
follows:
19
a.
To
address
the
department’s
responsibility
to
support
20
the
work
of
the
children’s
behavioral
health
system
state
board
21
and
implementation
of
the
services
required
pursuant
to
section
22
331.397.
23
b.
To
support
the
cost
of
establishing
and
implementing
new
24
or
additional
services
required
pursuant
to
sections
331.397
25
and
331.397A.
26
c.
Of
the
amount
allocated,
$32,000
shall
be
transferred
27
to
the
department
of
public
health
to
support
the
costs
of
28
establishing
and
implementing
new
or
additional
services
29
required
pursuant
to
sections
331.397
and
331.397A.
30
Sec.
30.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
31
from
the
general
fund
of
the
state
to
the
department
of
human
32
services
for
the
fiscal
year
beginning
July
1,
2021,
and
ending
33
June
30,
2022,
the
following
amount,
or
so
much
thereof
as
is
34
necessary,
to
be
used
for
the
purposes
designated:
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S.F.
_____
H.F.
_____
For
salaries,
support,
maintenance,
and
miscellaneous
1
purposes
at
facilities
under
the
purview
of
the
department
of
2
human
services:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
4
Sec.
31.
VOLUNTEERS.
There
is
appropriated
from
the
general
5
fund
of
the
state
to
the
department
of
human
services
for
the
6
fiscal
year
beginning
July
1,
2021,
and
ending
June
30,
2022,
7
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
8
used
for
the
purpose
designated:
9
For
development
and
coordination
of
volunteer
services:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
11
Sec.
32.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
12
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
13
DEPARTMENT
OF
HUMAN
SERVICES.
14
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
15
2021,
the
department
shall
rebase
case-mix
nursing
facility
16
rates
effective
July
1,
2021,
to
the
extent
possible
within
the
17
state
funding,
including
the
$10,000,000
appropriated
for
this
18
purpose.
19
(b)
For
the
fiscal
year
beginning
July
1,
2021,
non-case-mix
20
and
special
population
nursing
facilities
shall
be
reimbursed
21
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
22
prior
fiscal
year.
23
(c)
For
managed
care
claims,
the
department
of
human
24
services
shall
adjust
the
payment
rate
floor
for
nursing
25
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
26
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
27
calculated
in
accordance
with
subparagraph
division
(a)
and
28
441
IAC
81.6.
The
department
shall
then
calculate
adjusted
29
reimbursement
rates,
including
but
not
limited
to
add-on
30
payments,
annually,
and
shall
notify
Medicaid
managed
care
31
organizations
of
the
adjusted
reimbursement
rates
within
30
32
days
of
determining
the
adjusted
reimbursement
rates.
Any
33
adjustment
of
reimbursement
rates
under
this
subparagraph
34
division
shall
be
budget
neutral
to
the
state
budget.
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H.F.
_____
(d)
For
the
fiscal
year
beginning
July
1,
2021,
Medicaid
1
managed
care
long-term
services
and
supports
capitation
2
rates
shall
be
adjusted
to
reflect
the
rebasing
pursuant
to
3
subparagraph
division
(a)
for
the
patient
populations
residing
4
in
Medicaid-certified
nursing
facilities.
5
(2)
Medicaid
managed
care
organizations
shall
adjust
6
facility-specific
rates
based
upon
payment
rate
listings
issued
7
by
the
department.
The
rate
adjustments
shall
be
applied
8
prospectively
from
the
effective
date
of
the
rate
letter
issued
9
by
the
department.
10
b.
(1)
For
the
fiscal
year
beginning
July
1,
2021,
11
the
department
shall
establish
the
pharmacy
dispensing
fee
12
reimbursement
at
$10.07
per
prescription,
until
a
cost
of
13
dispensing
survey
is
completed.
The
actual
dispensing
fee
14
shall
be
determined
by
a
cost
of
dispensing
survey
performed
15
by
the
department
and
required
to
be
completed
by
all
medical
16
assistance
program
participating
pharmacies
every
two
years,
17
adjusted
as
necessary
to
maintain
expenditures
within
the
18
amount
appropriated
to
the
department
for
this
purpose
for
19
the
fiscal
year.
A
change
in
the
dispensing
fee
shall
become
20
effective
following
federal
approval
of
the
Medicaid
state
21
plan.
22
(2)
The
department
shall
utilize
an
average
acquisition
23
cost
reimbursement
methodology
for
all
drugs
covered
under
the
24
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
25
chapter
1133,
section
33
.
26
c.
(1)
For
the
fiscal
year
beginning
July
1,
2021,
27
reimbursement
rates
for
outpatient
hospital
services
shall
28
remain
at
the
rates
in
effect
on
June
30,
2021,
subject
to
29
Medicaid
program
upper
payment
limit
rules,
and
adjusted
30
as
necessary
to
maintain
expenditures
within
the
amount
31
appropriated
to
the
department
for
this
purpose
for
the
fiscal
32
year.
33
(2)
For
the
fiscal
year
beginning
July
1,
2021,
34
reimbursement
rates
for
inpatient
hospital
services
shall
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S.F.
_____
H.F.
_____
be
rebased
effective
October
1,
2021,
subject
to
Medicaid
1
program
upper
payment
limit
rules,
and
adjusted
as
necessary
2
to
maintain
expenditures
within
the
amount
appropriated
to
the
3
department
for
this
purpose
for
the
fiscal
year.
4
(3)
For
the
fiscal
year
beginning
July
1,
2021,
under
5
both
fee-for-service
and
managed
care
administration
of
6
the
Medicaid
program,
critical
access
hospitals
shall
be
7
reimbursed
for
inpatient
and
outpatient
services
based
on
the
8
hospital-specific
critical
access
hospital
cost
adjustment
9
factor
methodology
utilizing
the
most
recent
and
complete
cost
10
reporting
period
as
applied
prospectively
within
the
funds
11
appropriated
for
such
purpose
for
the
fiscal
year.
12
(4)
For
the
fiscal
year
beginning
July
1,
2021,
the
graduate
13
medical
education
and
disproportionate
share
hospital
fund
14
shall
remain
at
the
amount
in
effect
on
June
30,
2021,
except
15
that
the
portion
of
the
fund
attributable
to
graduate
medical
16
education
shall
be
reduced
in
an
amount
that
reflects
the
17
elimination
of
graduate
medical
education
payments
made
to
18
out-of-state
hospitals.
19
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
20
funds
in
procuring
health
care
services
for
low-income
Iowans,
21
funds
appropriated
in
this
Act
for
hospital
services
shall
22
not
be
used
for
activities
which
would
be
excluded
from
a
23
determination
of
reasonable
costs
under
the
federal
Medicare
24
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
25
d.
For
the
fiscal
year
beginning
July
1,
2021,
reimbursement
26
rates
for
hospices
and
acute
psychiatric
hospitals
shall
be
27
increased
in
accordance
with
increases
under
the
federal
28
Medicare
program
or
as
supported
by
their
Medicare
audited
29
costs.
30
e.
For
the
fiscal
year
beginning
July
1,
2021,
independent
31
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
32
using
the
same
methodology
in
effect
on
June
30,
2021.
33
f.
(1)
For
the
fiscal
year
beginning
July
1,
2021,
34
reimbursement
rates
for
home
health
agencies
shall
continue
to
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S.F.
_____
H.F.
_____
be
based
on
the
Medicare
low
utilization
payment
adjustment
1
(LUPA)
methodology
with
state
geographic
wage
adjustments.
2
The
department
shall
continue
to
update
the
rates
every
two
3
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
4
extent
possible
within
the
state
funding
appropriated
for
this
5
purpose.
6
(2)
For
the
fiscal
year
beginning
July
1,
2021,
rates
for
7
private
duty
nursing
and
personal
care
services
under
the
early
8
and
periodic
screening,
diagnostic,
and
treatment
program
9
benefit
shall
be
calculated
based
on
the
methodology
in
effect
10
on
June
30,
2021.
11
g.
For
the
fiscal
year
beginning
July
1,
2021,
federally
12
qualified
health
centers
and
rural
health
clinics
shall
receive
13
cost-based
reimbursement
for
100
percent
of
the
reasonable
14
costs
for
the
provision
of
services
to
recipients
of
medical
15
assistance.
16
h.
For
the
fiscal
year
beginning
July
1,
2021,
the
17
reimbursement
rates
for
dental
services
shall
remain
at
the
18
rates
in
effect
on
June
30,
2021.
19
i.
(1)
For
the
fiscal
year
beginning
July
1,
2021,
20
reimbursement
rates
for
non-state-owned
psychiatric
medical
21
institutions
for
children
shall
be
increased
to
the
extent
22
possible
within
the
$3,900,000
appropriated
for
this
purpose.
23
(2)
As
a
condition
of
participation
in
the
medical
24
assistance
program,
enrolled
providers
shall
accept
the
medical
25
assistance
reimbursement
rate
for
any
covered
goods
or
services
26
provided
to
recipients
of
medical
assistance
who
are
children
27
under
the
custody
of
a
psychiatric
medical
institution
for
28
children.
29
j.
For
the
fiscal
year
beginning
July
1,
2021,
unless
30
otherwise
specified
in
this
Act,
all
noninstitutional
medical
31
assistance
provider
reimbursement
rates
shall
remain
at
the
32
rates
in
effect
on
June
30,
2021,
except
for
area
education
33
agencies,
local
education
agencies,
infant
and
toddler
34
services
providers,
home
and
community-based
services
providers
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S.F.
_____
H.F.
_____
including
consumer-directed
attendant
care
providers
under
a
1
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
2
providers,
and
those
providers
whose
rates
are
required
to
be
3
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
4
mental
health
parity
requirements.
5
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
6
fiscal
year
beginning
July
1,
2021,
the
reimbursement
rate
for
7
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
8
30,
2021,
and
updated
on
January
1,
2022,
to
align
with
the
9
most
current
Iowa
Medicare
anesthesia
rate.
10
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
11
beginning
July
1,
2021,
the
average
reimbursement
rate
for
12
health
care
providers
eligible
for
use
of
the
federal
Medicare
13
resource-based
relative
value
scale
reimbursement
methodology
14
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
15
June
30,
2021;
however,
this
rate
shall
not
exceed
the
maximum
16
level
authorized
by
the
federal
government.
17
m.
For
the
fiscal
year
beginning
July
1,
2021,
the
18
reimbursement
rate
for
residential
care
facilities
shall
not
19
be
less
than
the
minimum
payment
level
as
established
by
the
20
federal
government
to
meet
the
federally
mandated
maintenance
21
of
effort
requirement.
The
flat
reimbursement
rate
for
22
facilities
electing
not
to
file
annual
cost
reports
shall
not
23
be
less
than
the
minimum
payment
level
as
established
by
the
24
federal
government
to
meet
the
federally
mandated
maintenance
25
of
effort
requirement.
26
n.
For
the
fiscal
year
beginning
July
1,
2021,
the
27
reimbursement
rates
for
inpatient
mental
health
services
28
provided
at
hospitals
shall
be
rebased
effective
October
1,
29
2021,
subject
to
Medicaid
program
upper
payment
limit
rules
30
and
adjusted
as
necessary
to
maintain
expenditures
within
the
31
amount
appropriated
to
the
department
for
this
purpose
for
32
the
fiscal
year;
and
psychiatrists
shall
be
reimbursed
at
the
33
medical
assistance
program
fee-for-service
rate
in
effect
on
34
June
30,
2021.
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S.F.
_____
H.F.
_____
o.
For
the
fiscal
year
beginning
July
1,
2021,
community
1
mental
health
centers
may
choose
to
be
reimbursed
for
the
2
services
provided
to
recipients
of
medical
assistance
through
3
either
of
the
following
options:
4
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
5
(2)
In
accordance
with
the
alternative
reimbursement
rate
6
methodology
approved
by
the
department
of
human
services
in
7
effect
on
June
30,
2021.
8
p.
For
the
fiscal
year
beginning
July
1,
2021,
the
9
reimbursement
rate
for
providers
of
family
planning
services
10
that
are
eligible
to
receive
a
90
percent
federal
match
shall
11
remain
at
the
rates
in
effect
on
June
30,
2021.
12
q.
For
the
fiscal
year
beginning
July
1,
2021,
the
upper
13
limits
and
reimbursement
rates
for
providers
of
home
and
14
community-based
services
waiver
services
and
habilitation
15
services
shall
be
increased
to
the
extent
possible
within
the
16
$8,000,000
appropriated
for
this
purpose.
17
r.
For
the
fiscal
year
beginning
July
1,
2021,
the
18
reimbursement
rates
for
emergency
medical
service
providers
19
shall
remain
at
the
rates
in
effect
on
June
30,
2021,
or
as
20
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
21
the
United
States
department
of
health
and
human
services.
22
s.
For
the
fiscal
year
beginning
July
1,
2021,
reimbursement
23
rates
for
substance-related
disorder
treatment
programs
24
licensed
under
section
125.13
shall
remain
at
the
rates
in
25
effect
on
June
30,
2021.
26
t.
For
the
fiscal
year
beginning
July
1,
2021,
assertive
27
community
treatment
per
diem
rates
shall
remain
at
the
rates
in
28
effect
on
June
30,
2021.
29
u.
For
the
fiscal
year
beginning
July
1,
2021,
the
30
reimbursement
rate
for
family-centered
services
providers
shall
31
be
established
by
contract.
32
2.
For
the
fiscal
year
beginning
July
1,
2021,
the
33
reimbursement
rate
for
providers
reimbursed
under
the
34
in-home-related
care
program
shall
not
be
less
than
the
minimum
35
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_____
H.F.
_____
payment
level
as
established
by
the
federal
government
to
meet
1
the
federally
mandated
maintenance
of
effort
requirement.
2
3.
Unless
otherwise
directed
in
this
section,
when
the
3
department’s
reimbursement
methodology
for
any
provider
4
reimbursed
in
accordance
with
this
section
includes
an
5
inflation
factor,
this
factor
shall
not
exceed
the
amount
6
by
which
the
consumer
price
index
for
all
urban
consumers
7
increased
during
the
calendar
year
ending
December
31,
2002.
8
4.
Notwithstanding
section
234.38
,
for
the
fiscal
9
year
beginning
July
1,
2021,
the
foster
family
basic
daily
10
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
11
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
12
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
13
children
ages
12
through
15
years
shall
be
$19.10,
and
the
14
rate
for
children
and
young
adults
ages
16
and
older
shall
15
be
$19.35.
For
youth
ages
18
to
23
who
have
exited
foster
16
care,
the
preparation
for
adult
living
program
maintenance
17
rate
shall
be
up
to
$602.70
per
month
as
calculated
based
on
18
the
age
of
the
participant.
The
maximum
payment
for
adoption
19
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
20
disallowance
of
additional
amounts
for
court
costs
and
other
21
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
22
chapter
1031,
section
408
,
shall
be
continued.
23
5.
For
the
fiscal
year
beginning
July
1,
2021,
the
maximum
24
reimbursement
rates
for
social
services
providers
under
25
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2021,
26
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
27
each
service,
whichever
is
less.
However,
if
a
new
service
28
or
service
provider
is
added
after
June
30,
2021,
the
initial
29
reimbursement
rate
for
the
service
or
provider
shall
be
based
30
upon
a
weighted
average
of
provider
rates
for
similar
services.
31
6.
a.
For
the
fiscal
year
beginning
July
1,
2021,
the
32
reimbursement
rates
for
resource
family
recruitment
and
33
retention
contractors
shall
be
established
by
contract.
34
b.
For
the
fiscal
year
beginning
July
1,
2021,
the
35
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_____
H.F.
_____
reimbursement
rates
for
supervised
apartment
living
foster
care
1
providers
shall
be
established
by
contract.
2
7.
For
the
fiscal
year
beginning
July
1,
2021,
the
3
reimbursement
rate
for
group
foster
care
providers
shall
be
the
4
combined
service
and
maintenance
reimbursement
rate
established
5
by
contract.
6
8.
The
group
foster
care
reimbursement
rates
paid
for
7
placement
of
children
out
of
state
shall
be
calculated
8
according
to
the
same
rate-setting
principles
as
those
used
for
9
in-state
providers,
unless
the
director
of
human
services
or
10
the
director’s
designee
determines
that
appropriate
care
cannot
11
be
provided
within
the
state.
The
payment
of
the
daily
rate
12
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
13
which
service
is
provided.
14
9.
a.
For
the
fiscal
year
beginning
July
1,
2021,
the
15
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
16
emergency
services
implemented
to
provide
or
prevent
the
need
17
for
shelter
care
shall
be
established
by
contract.
18
b.
For
the
fiscal
year
beginning
July
1,
2021,
the
combined
19
service
and
maintenance
components
of
the
reimbursement
rate
20
paid
for
shelter
care
services
shall
be
based
on
the
financial
21
and
statistical
report
submitted
to
the
department.
The
22
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
23
department
shall
reimburse
a
shelter
care
provider
at
the
24
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
25
to
exceed
the
maximum
reimbursement
rate.
26
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
27
fiscal
year
beginning
July
1,
2021,
the
amount
of
the
statewide
28
average
of
the
actual
and
allowable
rates
for
reimbursement
of
29
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
30
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
31
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
32
2020.
33
10.
For
the
fiscal
year
beginning
July
1,
2021,
the
34
department
shall
calculate
reimbursement
rates
for
intermediate
35
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123
S.F.
_____
H.F.
_____
care
facilities
for
persons
with
an
intellectual
disability
1
at
the
80th
percentile.
Beginning
July
1,
2021,
the
rate
2
calculation
methodology
shall
utilize
the
consumer
price
index
3
inflation
factor
applicable
to
the
fiscal
year
beginning
July
4
1,
2021.
5
11.
Effective
July
1,
2021,
the
child
care
provider
6
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
7
30,
2021.
The
department
shall
set
rates
in
a
manner
so
as
8
to
provide
incentives
for
a
nonregistered
provider
to
become
9
registered
by
applying
any
increase
only
to
registered
and
10
licensed
providers.
11
12.
The
department
may
adopt
emergency
rules
to
implement
12
this
section.
13
Sec.
33.
EMERGENCY
RULES.
14
1.
If
necessary
to
comply
with
federal
requirements
15
including
time
frames,
or
if
specifically
authorized
by
a
16
provision
of
this
division
of
this
Act,
the
department
of
17
human
services
or
the
mental
health
and
disability
services
18
commission
may
adopt
administrative
rules
under
section
17A.4,
19
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
20
to
implement
the
provisions
of
this
division
of
this
Act
and
21
the
rules
shall
become
effective
immediately
upon
filing
or
22
on
a
later
effective
date
specified
in
the
rules,
unless
the
23
effective
date
of
the
rules
is
delayed
or
the
applicability
24
of
the
rules
is
suspended
by
the
administrative
rules
review
25
committee.
Any
rules
adopted
in
accordance
with
this
section
26
shall
not
take
effect
before
the
rules
are
reviewed
by
the
27
administrative
rules
review
committee.
The
delay
authority
28
provided
to
the
administrative
rules
review
committee
under
29
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
30
shall
be
applicable
to
a
delay
imposed
under
this
section,
31
notwithstanding
a
provision
in
those
sections
making
them
32
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”.
33
Any
rules
adopted
in
accordance
with
the
provisions
of
this
34
section
shall
also
be
published
as
a
notice
of
intended
action
35
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S.F.
_____
H.F.
_____
as
provided
in
section
17A.4.
1
2.
If
during
a
fiscal
year,
the
department
of
human
2
services
is
adopting
rules
in
accordance
with
this
section
3
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
4
rules
will
result
in
an
expenditure
increase
beyond
the
amount
5
anticipated
in
the
budget
process
or
if
the
expenditure
was
6
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
7
department
shall
notify
the
legislative
services
agency
and
8
the
department
of
management
concerning
the
rules
and
the
9
expenditure
increase.
The
notification
shall
be
provided
at
10
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
11
is
submitted
to
the
administrative
rules
coordinator
and
the
12
administrative
code
editor.
13
Sec.
34.
REPORTS.
Any
reports
or
other
information
required
14
to
be
compiled
and
submitted
under
this
Act
during
the
fiscal
15
year
beginning
July
1,
2021,
shall
be
submitted
to
the
general
16
assembly
on
or
before
the
dates
specified
for
submission
of
the
17
reports
or
information.
18
Sec.
35.
EFFECTIVE
UPON
ENACTMENT.
The
following
19
provisions
of
this
division
of
this
Act,
being
deemed
of
20
immediate
importance,
take
effect
upon
enactment:
21
1.
The
provision
relating
to
section
232.141
and
directing
22
the
state
court
administrator
and
the
division
administrator
of
23
the
department
of
human
services
division
of
child
and
family
24
services
to
make
the
determination,
by
June
15,
2021,
of
the
25
distribution
of
funds
allocated
for
the
payment
of
the
expenses
26
of
court-ordered
services
provided
to
juveniles
which
are
a
27
charge
upon
the
state.
28
DIVISION
VI
29
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2021-2022
30
Sec.
36.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
31
appropriated
from
the
pharmaceutical
settlement
account
created
32
in
section
249A.33
to
the
department
of
human
services
for
the
33
fiscal
year
beginning
July
1,
2021,
and
ending
June
30,
2022,
34
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
35
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(22)
89
pf/rn
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123
S.F.
_____
H.F.
_____
used
for
the
purpose
designated:
1
Notwithstanding
any
provision
of
law
to
the
contrary,
to
2
supplement
the
appropriations
made
in
this
Act
for
health
3
program
operations
under
the
medical
assistance
program
for
the
4
fiscal
year
beginning
July
1,
2021,
and
ending
June
30,
2022:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
6
Sec.
37.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
7
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
8
subject
to
the
availability
of
funds,
there
is
appropriated
9
from
the
quality
assurance
trust
fund
created
in
section
10
249L.4
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2021,
and
ending
June
30,
2022,
the
following
12
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
13
designated:
14
To
supplement
the
appropriation
made
in
this
Act
from
the
15
general
fund
of
the
state
to
the
department
of
human
services
16
for
medical
assistance
for
the
same
fiscal
year:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
56,305,139
18
Sec.
38.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
19
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
20
the
contrary
and
subject
to
the
availability
of
funds,
there
is
21
appropriated
from
the
hospital
health
care
access
trust
fund
22
created
in
section
249M.4
to
the
department
of
human
services
23
for
the
fiscal
year
beginning
July
1,
2021,
and
ending
June
24
30,
2022,
the
following
amounts,
or
so
much
thereof
as
is
25
necessary,
for
the
purposes
designated:
26
To
supplement
the
appropriation
made
in
this
Act
from
the
27
general
fund
of
the
state
to
the
department
of
human
services
28
for
medical
assistance
for
the
same
fiscal
year:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
30
Sec.
39.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
31
FOR
FY
2021-2022.
Notwithstanding
section
8.33
,
if
moneys
32
appropriated
for
purposes
of
the
medical
assistance
program
for
33
the
fiscal
year
beginning
July
1,
2021,
and
ending
June
30,
34
2022,
from
the
general
fund
of
the
state,
the
quality
assurance
35
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(22)
89
pf/rn
54/
123
S.F.
_____
H.F.
_____
trust
fund,
and
the
hospital
health
care
access
trust
fund,
are
1
in
excess
of
actual
expenditures
for
the
medical
assistance
2
program
and
remain
unencumbered
or
unobligated
at
the
close
3
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
4
shall
remain
available
for
expenditure
for
the
purposes
of
the
5
medical
assistance
program
until
the
close
of
the
succeeding
6
fiscal
year.
7
DIVISION
VII
8
DEPARTMENT
ON
AGING
——
FY
2022-2023
9
Sec.
40.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
10
the
general
fund
of
the
state
to
the
department
on
aging
for
11
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
12
2023,
the
following
amount,
or
so
much
thereof
as
is
necessary,
13
to
be
used
for
the
purposes
designated:
14
For
aging
programs
for
the
department
on
aging
and
area
15
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
16
years
of
age
and
older
with
case
management,
Iowa’s
aging
and
17
disabilities
resource
center,
and
other
services
which
may
18
include
but
are
not
limited
to
adult
day,
respite
care,
chore,
19
information
and
assistance,
and
material
aid,
for
information
20
and
options
counseling
for
persons
with
disabilities
who
21
are
18
years
of
age
or
older,
and
for
salaries,
support,
22
administration,
maintenance,
and
miscellaneous
purposes:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,164,382
24
1.
Funds
appropriated
in
this
section
may
be
used
to
25
supplement
federal
funds
under
federal
regulations.
To
26
receive
funds
appropriated
in
this
section,
a
local
area
27
agency
on
aging
shall
match
the
funds
with
moneys
from
other
28
sources
according
to
rules
adopted
by
the
department.
Funds
29
appropriated
in
this
section
may
be
used
for
elderly
services
30
not
specifically
enumerated
in
this
section
only
if
approved
31
by
an
area
agency
on
aging
for
provision
of
the
service
within
32
the
area.
33
2.
Of
the
funds
appropriated
in
this
section,
$279,000
is
34
transferred
to
the
economic
development
authority
for
the
Iowa
35
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1013XG
(22)
89
pf/rn
55/
123
S.F.
_____
H.F.
_____
commission
on
volunteer
services
to
be
used
for
the
retired
and
1
senior
volunteer
program.
2
3.
a.
The
department
on
aging
shall
establish
and
enforce
3
procedures
relating
to
expenditure
of
state
and
federal
funds
4
by
area
agencies
on
aging
that
require
compliance
with
both
5
state
and
federal
laws,
rules,
and
regulations,
including
but
6
not
limited
to
all
of
the
following:
7
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
8
or
services
received
or
performed
prior
to
the
end
of
the
9
fiscal
period
designated
for
use
of
the
funds.
10
(2)
Prohibiting
prepayment
for
goods
or
services
not
11
received
or
performed
prior
to
the
end
of
the
fiscal
period
12
designated
for
use
of
the
funds.
13
(3)
Prohibiting
prepayment
for
goods
or
services
not
14
defined
specifically
by
good
or
service,
time
period,
or
15
recipient.
16
(4)
Prohibiting
the
establishment
of
accounts
from
which
17
future
goods
or
services
which
are
not
defined
specifically
by
18
good
or
service,
time
period,
or
recipient,
may
be
purchased.
19
b.
The
procedures
shall
provide
that
if
any
funds
are
20
expended
in
a
manner
that
is
not
in
compliance
with
the
21
procedures
and
applicable
federal
and
state
laws,
rules,
and
22
regulations,
and
are
subsequently
subject
to
repayment,
the
23
area
agency
on
aging
expending
such
funds
in
contravention
of
24
such
procedures,
laws,
rules
and
regulations,
not
the
state,
25
shall
be
liable
for
such
repayment.
26
4.
Of
the
funds
appropriated
in
this
section,
at
least
27
$600,000
shall
be
used
to
fund
home
and
community-based
28
services
through
the
area
agencies
on
aging
that
enable
older
29
individuals
to
avoid
more
costly
utilization
of
residential
or
30
institutional
services
and
remain
in
their
own
homes.
31
5.
Of
the
funds
appropriated
in
this
section,
$812,000
shall
32
be
used
for
the
purposes
of
chapter
231E
and
to
administer
33
the
prevention
of
elder
abuse,
neglect,
and
exploitation
34
program
pursuant
to
section
231.56A
,
in
accordance
with
the
35
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89
pf/rn
56/
123
S.F.
_____
H.F.
_____
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
1
U.S.C.
§3001
et
seq.,
as
amended.
2
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
3
shall
be
used
to
fund
continuation
of
the
aging
and
disability
4
resource
center
lifelong
links
to
provide
individuals
and
5
caregivers
with
information
and
services
to
plan
for
and
6
maintain
independence.
7
7.
Of
the
funds
appropriated
in
this
section,
$250,000
8
shall
be
used
by
the
department
on
aging,
in
collaboration
with
9
the
department
of
human
services
and
affected
stakeholders,
10
to
continue
to
expand
the
pilot
initiative
to
provide
11
long-term
care
options
counseling
utilizing
support
planning
12
protocols,
to
assist
non-Medicaid
eligible
consumers
who
13
indicate
a
preference
to
return
to
the
community
and
are
14
deemed
appropriate
for
discharge,
to
return
to
their
community
15
following
a
nursing
facility
stay.
The
department
on
aging
16
shall
submit
a
report
regarding
the
outcomes
of
the
pilot
17
initiative
to
the
governor
and
the
general
assembly
by
December
18
15,
2022.
19
DIVISION
VIII
20
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2022-2023
21
Sec.
41.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
22
appropriated
from
the
general
fund
of
the
state
to
the
office
23
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
24
1,
2022,
and
ending
June
30,
2023,
the
following
amount,
or
25
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
26
designated:
27
For
salaries,
support,
administration,
maintenance,
and
28
miscellaneous
purposes:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,149,821
30
DIVISION
IX
31
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2022-2023
32
Sec.
42.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
33
from
the
general
fund
of
the
state
to
the
department
of
public
34
health
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
35
-57-
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1013XG
(22)
89
pf/rn
57/
123
S.F.
_____
H.F.
_____
June
30,
2023,
the
following
amounts,
or
so
much
thereof
as
is
1
necessary,
to
be
used
for
the
purposes
designated:
2
1.
ADDICTIVE
DISORDERS
3
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
4
and
other
drugs,
and
treating
individuals
affected
by
addictive
5
behaviors,
including
gambling:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,659,379
7
a.
Of
the
funds
appropriated
in
this
subsection,
$4,020,894
8
shall
be
used
for
the
tobacco
use
prevention
and
control
9
initiative,
including
efforts
at
the
state
and
local
levels,
10
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
11
prevention
and
control
established
pursuant
to
section
142A.3
12
shall
advise
the
director
of
public
health
in
prioritizing
13
funding
needs
and
the
allocation
of
moneys
appropriated
for
14
the
programs
and
initiatives.
Activities
of
the
programs
15
and
initiatives
shall
be
in
alignment
with
the
United
States
16
centers
for
disease
control
and
prevention
best
practices
17
for
comprehensive
tobacco
control
programs
that
include
18
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
19
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
20
cessation.
21
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
22
$19,638,485
shall
be
used
for
problem
gambling
and
23
substance-related
disorder
prevention,
treatment,
and
recovery
24
services,
including
a
24-hour
helpline,
public
information
25
resources,
professional
training,
youth
prevention,
and
program
26
evaluation.
27
(2)
Of
the
amount
allocated
under
this
paragraph,
$306,000
28
shall
be
utilized
by
the
department
of
public
health,
in
29
collaboration
with
the
department
of
human
services,
to
30
maintain
a
single
statewide
24-hour
crisis
hotline
for
the
Iowa
31
children’s
behavioral
health
system
that
incorporates
warmline
32
services
which
may
be
provided
through
expansion
of
existing
33
capabilities
maintained
by
the
department
of
public
health
as
34
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
section
16
.
35
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89
pf/rn
58/
123
S.F.
_____
H.F.
_____
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
1
by
the
appropriations
and
allocations
made
in
this
division
of
2
this
Act
for
purposes
of
substance-related
disorder
treatment
3
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
4
2022.
5
2.
HEALTHY
CHILDREN
AND
FAMILIES
6
For
promoting
the
optimum
health
status
for
children
and
7
adolescents
from
birth
through
21
years
of
age,
and
families:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,816,681
9
3.
CHRONIC
CONDITIONS
10
For
serving
individuals
identified
as
having
chronic
11
conditions
or
special
health
care
needs:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,223,373
13
4.
COMMUNITY
CAPACITY
14
For
strengthening
the
health
care
delivery
system
at
the
15
local
level:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,794,306
17
a.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
18
shall
be
deposited
in
the
medical
residency
training
account
19
created
in
section
135.175,
subsection
5
,
paragraph
“a”,
and
20
is
appropriated
from
the
account
to
the
department
of
public
21
health
to
be
used
for
the
purposes
of
the
medical
residency
22
training
state
matching
grants
program
as
specified
in
section
23
135.176
.
24
b.
Of
the
funds
appropriated
in
this
subsection,
$250,000
25
shall
be
used
for
the
public
purpose
of
providing
funding
to
26
Des
Moines
university
to
continue
a
provider
education
project
27
to
provide
primary
care
physicians
with
the
training
and
skills
28
necessary
to
recognize
the
signs
of
mental
illness
in
patients.
29
c.
Of
the
funds
appropriated
in
this
subsection,
$600,000
30
shall
be
used
for
rural
psychiatric
residencies
to
support
the
31
annual
creation
and
training
of
four
psychiatric
residents
who
32
will
provide
mental
health
services
in
underserved
areas
of
33
the
state.
Notwithstanding
section
8.33,
moneys
that
remain
34
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
35
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1013XG
(22)
89
pf/rn
59/
123
S.F.
_____
H.F.
_____
shall
not
revert
but
shall
remain
available
for
expenditure
for
1
the
purposes
designated
for
subsequent
fiscal
years.
2
d.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
3
shall
be
used
for
the
creation
of
two
centers
of
excellence
4
programs
to
encourage
innovation
and
collaboration
among
5
regional
health
care
providers
to
transform
health
care
6
delivery
in
order
to
provide
quality,
sustainable
care
that
7
meets
the
needs
of
local
communities.
8
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
9
To
provide
public
health
services
that
reduce
risks
and
10
invest
in
promoting
and
protecting
good
health
over
the
11
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
12
vulnerable
populations:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,662,464
14
6.
INFECTIOUS
DISEASES
15
For
reducing
the
incidence
and
prevalence
of
communicable
16
diseases:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,796,206
18
7.
PUBLIC
PROTECTION
19
For
protecting
the
health
and
safety
of
the
public
through
20
establishing
standards
and
enforcing
regulations:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,466,601
22
Of
the
funds
appropriated
in
this
subsection,
not
more
than
23
$304,000
shall
be
credited
to
the
emergency
medical
services
24
fund
created
in
section
135.25
.
Moneys
in
the
emergency
25
medical
services
fund
are
appropriated
to
the
department
to
be
26
used
for
the
purposes
of
the
fund.
27
8.
RESOURCE
MANAGEMENT
28
For
establishing
and
sustaining
the
overall
ability
of
the
29
department
to
deliver
services
to
the
public:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
933,871
31
9.
MISCELLANEOUS
PROVISIONS
32
The
university
of
Iowa
hospitals
and
clinics
under
the
33
control
of
the
state
board
of
regents
shall
not
receive
34
indirect
costs
from
the
funds
appropriated
in
this
section.
35
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1013XG
(22)
89
pf/rn
60/
123
S.F.
_____
H.F.
_____
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
1
department
shall
be
on
at
least
a
quarterly
basis.
2
Sec.
43.
DEPARTMENT
OF
PUBLIC
HEALTH
——
SPORTS
WAGERING
3
RECEIPTS
FUND.
There
is
appropriated
from
the
sports
wagering
4
receipts
fund
created
in
section
8.57,
subsection
6,
to
the
5
department
of
public
health
for
the
fiscal
year
beginning
July
6
1,
2022,
and
ending
June
30,
2023,
the
following
amount,
or
7
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
8
designated:
9
For
problem
gambling
and
substance-related
disorder
10
prevention,
treatment,
and
recovery
services,
including
a
11
24-hour
helpline,
public
information
resources,
professional
12
training,
youth
prevention,
and
program
evaluation:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,750,000
14
DIVISION
X
15
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2022-2023
16
Sec.
44.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
17
appropriated
from
the
general
fund
of
the
state
to
the
18
department
of
veterans
affairs
for
the
fiscal
year
beginning
19
July
1,
2022,
and
ending
June
30,
2023,
the
following
amounts,
20
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
21
designated:
22
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
23
For
salaries,
support,
maintenance,
and
miscellaneous
24
purposes:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,229,763
26
2.
IOWA
VETERANS
HOME
27
For
salaries,
support,
maintenance,
and
miscellaneous
28
purposes:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,131,552
30
a.
The
Iowa
veterans
home
billings
involving
the
department
31
of
human
services
shall
be
submitted
to
the
department
on
at
32
least
a
monthly
basis.
33
b.
The
Iowa
veterans
home
expenditure
report
shall
be
34
submitted
monthly
to
the
general
assembly.
35
-61-
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89
pf/rn
61/
123
S.F.
_____
H.F.
_____
c.
The
Iowa
veterans
home
shall
continue
to
include
in
the
1
annual
discharge
report
applicant
information
to
provide
for
2
the
collection
of
demographic
information
including
but
not
3
limited
to
the
number
of
individuals
applying
for
admission
and
4
admitted
or
denied
admittance
and
the
basis
for
the
admission
5
or
denial;
the
age,
gender,
and
race
of
such
individuals;
6
and
the
level
of
care
for
which
such
individuals
applied
for
7
admission
including
residential
or
nursing
level
of
care.
8
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
9
For
transfer
to
the
Iowa
finance
authority
for
the
10
continuation
of
the
home
ownership
assistance
program
for
11
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
12
the
United
States,
pursuant
to
section
16.54
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
14
Sec.
45.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
15
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
16
standing
appropriation
in
section
35A.16
for
the
fiscal
year
17
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
amount
18
appropriated
from
the
general
fund
of
the
state
pursuant
to
19
that
section
for
the
following
designated
purposes
shall
not
20
exceed
the
following
amount:
21
For
the
county
commissions
of
veteran
affairs
fund
under
22
section
35A.16
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
24
DIVISION
XI
25
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2022-2023
26
Sec.
46.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
27
GRANT.
There
is
appropriated
from
the
fund
created
in
section
28
8.41
to
the
department
of
human
services
for
the
fiscal
year
29
beginning
July
1,
2022,
and
ending
June
30,
2023,
from
moneys
30
received
under
the
federal
temporary
assistance
for
needy
31
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
32
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
33
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
34
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
35
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1013XG
(22)
89
pf/rn
62/
123
S.F.
_____
H.F.
_____
purposes
designated:
1
1.
To
be
credited
to
the
family
investment
program
account
2
and
used
for
assistance
under
the
family
investment
program
3
under
chapter
239B
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,002,006
5
2.
To
be
credited
to
the
family
investment
program
account
6
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
7
program
and
implementing
family
investment
agreements
in
8
accordance
with
chapter
239B
:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
10
3.
To
be
used
for
the
family
development
and
11
self-sufficiency
grant
program
in
accordance
with
section
12
216A.107
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,888,980
14
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
15
subsection
that
remain
unencumbered
or
unobligated
at
the
close
16
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
17
for
expenditure
for
the
purposes
designated
until
the
close
of
18
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
19
encumbered
or
obligated
on
or
before
September
30,
2023,
the
20
moneys
shall
revert.
21
4.
For
field
operations:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
23
5.
For
general
administration:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
25
6.
For
state
child
care
assistance:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
27
a.
Of
the
funds
appropriated
in
this
subsection,
28
$26,205,412
is
transferred
to
the
child
care
and
development
29
block
grant
appropriation
made
by
the
Eighty-ninth
General
30
Assembly,
2021
session,
for
the
federal
fiscal
year
beginning
31
October
1,
2022,
and
ending
September
30,
2023.
Of
this
32
amount,
$200,000
shall
be
used
for
provision
of
educational
33
opportunities
to
registered
child
care
home
providers
in
order
34
to
improve
services
and
programs
offered
by
this
category
35
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1013XG
(22)
89
pf/rn
63/
123
S.F.
_____
H.F.
_____
of
providers
and
to
increase
the
number
of
providers.
The
1
department
may
contract
with
institutions
of
higher
education
2
or
child
care
resource
and
referral
centers
to
provide
3
the
educational
opportunities.
Allowable
administrative
4
costs
under
the
contracts
shall
not
exceed
5
percent.
The
5
application
for
a
grant
shall
not
exceed
two
pages
in
length.
6
b.
Any
funds
appropriated
in
this
subsection
remaining
7
unallocated
shall
be
used
for
state
child
care
assistance
8
payments
for
families
who
are
employed
including
but
not
9
limited
to
individuals
enrolled
in
the
family
investment
10
program.
11
7.
For
child
and
family
services:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
13
8.
For
child
abuse
prevention
grants:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
15
9.
For
pregnancy
prevention
grants
on
the
condition
that
16
family
planning
services
are
funded:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
18
Pregnancy
prevention
grants
shall
be
awarded
to
programs
19
in
existence
on
or
before
July
1,
2022,
if
the
programs
have
20
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
21
pregnancy
prevention
programs
which
are
developed
after
July
22
1,
2022,
if
the
programs
are
based
on
existing
models
that
23
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
24
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
25
section
14,
subsections
1
and
2
,
including
the
requirement
that
26
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
27
the
awarding
of
grants
shall
be
given
to
programs
that
serve
28
areas
of
the
state
which
demonstrate
the
highest
percentage
of
29
unplanned
pregnancies
of
females
of
childbearing
age
within
the
30
geographic
area
to
be
served
by
the
grant.
31
10.
For
technology
needs
and
other
resources
necessary
to
32
meet
federal,
state,
and
welfare
reform
reporting,
tracking,
33
and
case
management
requirements
and
other
departmental
needs:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
35
-64-
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1013XG
(22)
89
pf/rn
64/
123
S.F.
_____
H.F.
_____
11.
a.
Notwithstanding
any
provision
to
the
contrary,
1
including
but
not
limited
to
requirements
in
section
8.41
or
2
provisions
in
2021
Iowa
Acts
or
2022
Iowa
Acts
regarding
the
3
receipt
and
appropriation
of
federal
block
grants,
federal
4
funds
from
the
temporary
assistance
for
needy
families
block
5
grant
received
by
the
state
and
not
otherwise
appropriated
6
in
this
section
and
remaining
available
for
the
fiscal
year
7
beginning
July
1,
2022,
are
appropriated
to
the
department
of
8
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
9
the
following
priority
order:
the
family
investment
program,
10
for
state
child
care
assistance
program
payments
for
families
11
who
are
employed,
and
for
the
family
investment
program
share
12
of
system
costs
for
eligibility
determination
and
related
13
functions.
The
federal
funds
appropriated
in
this
paragraph
14
“a”
shall
be
expended
only
after
all
other
funds
appropriated
15
in
subsection
1
for
assistance
under
the
family
investment
16
program,
in
subsection
6
for
state
child
care
assistance,
or
17
in
subsection
10
for
technology
costs
related
to
the
family
18
investment
program,
as
applicable,
have
been
expended.
For
19
the
purposes
of
this
subsection,
the
funds
appropriated
in
20
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
21
and
development
block
grant
appropriation
are
considered
fully
22
expended
when
the
full
amount
has
been
transferred.
23
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
24
legislative
services
agency
and
department
of
management
of
25
the
amount
of
funds
appropriated
in
this
subsection
that
was
26
expended
in
the
prior
quarter.
27
12.
Of
the
amounts
appropriated
in
this
section,
28
$12,962,008
for
the
fiscal
year
beginning
July
1,
2022,
is
29
transferred
to
the
appropriation
of
the
federal
social
services
30
block
grant
made
to
the
department
of
human
services
for
that
31
fiscal
year.
32
13.
For
continuation
of
the
program
providing
categorical
33
eligibility
for
the
food
assistance
program
as
specified
34
for
the
program
in
the
section
of
this
division
of
this
Act
35
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1013XG
(22)
89
pf/rn
65/
123
S.F.
_____
H.F.
_____
relating
to
the
family
investment
program
account:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
2
14.
The
department
may
transfer
funds
allocated
in
this
3
section
to
the
appropriations
made
in
this
division
of
this
Act
4
for
the
same
fiscal
year
for
general
administration
and
field
5
operations
for
resources
necessary
to
implement
and
operate
the
6
services
referred
to
in
this
section
and
those
funded
in
the
7
appropriation
made
in
this
division
of
this
Act
for
the
same
8
fiscal
year
for
the
family
investment
program
from
the
general
9
fund
of
the
state.
10
15.
With
the
exception
of
moneys
allocated
under
this
11
section
for
the
family
development
and
self-sufficiency
grant
12
program,
to
the
extent
moneys
allocated
in
this
section
are
13
deemed
by
the
department
not
to
be
necessary
to
support
the
14
purposes
for
which
they
are
allocated,
such
moneys
may
be
15
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
16
funds
are
allocated
in
this
section
or
in
section
46
of
this
17
division
for
the
family
investment
program
account.
If
there
18
are
conflicting
needs,
priority
shall
first
be
given
to
the
19
family
investment
program
account
as
specified
under
subsection
20
1
of
this
section
and
used
for
the
purposes
of
assistance
under
21
the
family
investment
program
in
accordance
with
chapter
239B
,
22
followed
by
state
child
care
assistance
program
payments
for
23
families
who
are
employed,
followed
by
other
priorities
as
24
specified
by
the
department.
25
Sec.
47.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
26
1.
Moneys
credited
to
the
family
investment
program
(FIP)
27
account
for
the
fiscal
year
beginning
July
1,
2022,
and
28
ending
June
30,
2023,
shall
be
used
to
provide
assistance
in
29
accordance
with
chapter
239B
.
30
2.
The
department
may
use
a
portion
of
the
moneys
credited
31
to
the
FIP
account
under
this
section
as
necessary
for
32
salaries,
support,
maintenance,
and
miscellaneous
purposes.
33
3.
The
department
may
transfer
funds
allocated
in
34
subsection
4,
excluding
the
allocation
under
subsection
4,
35
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1013XG
(22)
89
pf/rn
66/
123
S.F.
_____
H.F.
_____
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
1
this
Act
for
the
same
fiscal
year
for
general
administration
2
and
field
operations
for
resources
necessary
to
implement
3
and
operate
the
services
referred
to
in
this
section
and
4
those
funded
in
the
appropriations
made
in
section
45
for
the
5
temporary
assistance
for
needy
families
block
grant
and
in
6
section
47
for
the
family
investment
program
from
the
general
7
fund
of
the
state
in
this
division
of
this
Act
for
the
same
8
fiscal
year.
9
4.
Moneys
appropriated
in
this
division
of
this
Act
and
10
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
11
1,
2022,
and
ending
June
30,
2023,
are
allocated
as
follows:
12
a.
To
be
retained
by
the
department
of
human
services
to
13
be
used
for
coordinating
with
the
department
of
human
rights
14
to
more
effectively
serve
participants
in
FIP
and
other
shared
15
clients
and
to
meet
federal
reporting
requirements
under
the
16
federal
temporary
assistance
for
needy
families
block
grant:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
18
b.
To
the
department
of
human
rights
for
staffing,
19
administration,
and
implementation
of
the
family
development
20
and
self-sufficiency
grant
program
in
accordance
with
section
21
216A.107
:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
23
(1)
Of
the
funds
allocated
for
the
family
development
24
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
25
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
26
administration
of
the
grant
program.
27
(2)
The
department
of
human
rights
may
continue
to
implement
28
the
family
development
and
self-sufficiency
grant
program
29
statewide
during
fiscal
year
2022-2023.
30
(3)
The
department
of
human
rights
may
engage
in
activities
31
to
strengthen
and
improve
family
outcomes
measures
and
32
data
collection
systems
under
the
family
development
and
33
self-sufficiency
grant
program.
34
c.
For
the
diversion
subaccount
of
the
FIP
account:
35
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(22)
89
pf/rn
67/
123
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,293,000
1
A
portion
of
the
moneys
allocated
for
the
diversion
2
subaccount
may
be
used
for
field
operations,
salaries,
data
3
management
system
development,
and
implementation
costs
and
4
support
deemed
necessary
by
the
director
of
human
services
5
in
order
to
administer
the
FIP
diversion
program.
To
the
6
extent
moneys
allocated
in
this
paragraph
“c”
are
deemed
by
the
7
department
not
to
be
necessary
to
support
diversion
activities,
8
such
moneys
may
be
used
for
other
efforts
intended
to
increase
9
engagement
by
family
investment
program
participants
in
work,
10
education,
or
training
activities,
or
for
the
purposes
of
11
assistance
under
the
family
investment
program
in
accordance
12
with
chapter
239B
.
13
d.
For
the
food
assistance
employment
and
training
program:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
15
(1)
The
department
shall
apply
the
federal
supplemental
16
nutrition
assistance
program
(SNAP)
employment
and
training
17
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
18
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
19
provisions
for
the
claiming
of
allowable
federal
reimbursement
20
funds
from
the
United
States
department
of
agriculture
21
pursuant
to
the
federal
SNAP
employment
and
training
program
22
for
providing
education,
employment,
and
training
services
23
for
eligible
food
assistance
program
participants,
including
24
but
not
limited
to
related
dependent
care
and
transportation
25
expenses.
26
(2)
The
department
shall
continue
the
categorical
federal
27
food
assistance
program
eligibility
at
160
percent
of
the
28
federal
poverty
level
and
continue
to
eliminate
the
asset
test
29
from
eligibility
requirements,
consistent
with
federal
food
30
assistance
program
requirements.
The
department
shall
include
31
as
many
food
assistance
households
as
is
allowed
by
federal
32
law.
The
eligibility
provisions
shall
conform
to
all
federal
33
requirements
including
requirements
addressing
individuals
who
34
are
incarcerated
or
otherwise
ineligible.
35
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123
S.F.
_____
H.F.
_____
e.
For
the
JOBS
program,
not
more
than:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,018,258
2
5.
Of
the
child
support
collections
assigned
under
FIP,
3
an
amount
equal
to
the
federal
share
of
support
collections
4
shall
be
credited
to
the
child
support
recovery
appropriation
5
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
6
assigned
child
support
collections
received
by
the
child
7
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
8
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
9
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
10
payments
account.
If
as
a
consequence
of
the
appropriations
11
and
allocations
made
in
this
section
the
resulting
amounts
12
are
insufficient
to
sustain
cash
assistance
payments
and
meet
13
federal
maintenance
of
effort
requirements,
the
department
14
shall
seek
supplemental
funding.
If
child
support
collections
15
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
16
determined
not
to
be
required
for
maintenance
of
effort,
the
17
state
share
of
either
amount
may
be
transferred
to
or
retained
18
in
the
child
support
payments
account.
19
Sec.
48.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
20
is
appropriated
from
the
general
fund
of
the
state
to
the
21
department
of
human
services
for
the
fiscal
year
beginning
July
22
1,
2022,
and
ending
June
30,
2023,
the
following
amount,
or
23
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
24
designated:
25
To
be
credited
to
the
family
investment
program
(FIP)
26
account
and
used
for
family
investment
program
assistance
27
under
chapter
239B
and
other
costs
associated
with
providing
28
needs-based
benefits
or
assistance:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,003,978
30
1.
Of
the
funds
appropriated
in
this
section,
$6,606,198
is
31
allocated
for
the
JOBS
program.
32
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
33
allocated
for
the
family
development
and
self-sufficiency
grant
34
program.
35
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123
S.F.
_____
H.F.
_____
3.
a.
Notwithstanding
section
8.39
,
for
the
fiscal
1
year
beginning
July
1,
2022,
if
necessary
to
meet
federal
2
maintenance
of
effort
requirements
or
to
transfer
federal
3
temporary
assistance
for
needy
families
block
grant
funding
4
to
be
used
for
purposes
of
the
federal
social
services
block
5
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
6
receiving
federal
funding
or
to
implement,
in
accordance
with
7
this
division
of
this
Act,
activities
currently
funded
with
8
juvenile
court
services,
county,
or
community
moneys
and
state
9
moneys
used
in
combination
with
such
moneys;
to
comply
with
10
federal
requirements;
or
to
maximize
the
use
of
federal
funds;
11
the
department
of
human
services
may
transfer
funds
within
or
12
between
any
of
the
appropriations
made
in
this
division
of
this
13
Act
and
appropriations
in
law
for
the
federal
social
services
14
block
grant
to
the
department
for
the
following
purposes,
15
provided
that
the
combined
amount
of
state
and
federal
16
temporary
assistance
for
needy
families
block
grant
funding
17
for
each
appropriation
remains
the
same
before
and
after
the
18
transfer:
19
(1)
For
the
family
investment
program.
20
(2)
For
state
child
care
assistance.
21
(3)
For
child
and
family
services.
22
(4)
For
field
operations.
23
(5)
For
general
administration.
24
b.
This
subsection
shall
not
be
construed
to
prohibit
the
25
use
of
existing
state
transfer
authority
for
other
purposes.
26
The
department
shall
report
any
transfers
made
pursuant
to
this
27
subsection
to
the
general
assembly.
28
4.
Of
the
funds
appropriated
in
this
section,
$195,000
29
shall
be
used
for
a
contract
for
tax
preparation
assistance
30
to
low-income
Iowans
in
order
to
expand
the
usage
of
the
31
earned
income
tax
credit.
The
purpose
of
the
contract
is
to
32
supply
this
assistance
to
underserved
areas
of
the
state.
The
33
department
shall
not
retain
any
portion
of
the
allocation
under
34
this
subsection
for
administrative
costs.
35
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pf/rn
70/
123
S.F.
_____
H.F.
_____
5.
Of
the
funds
appropriated
in
this
section,
$70,000
shall
1
be
used
for
the
continuation
of
the
parenting
program,
as
2
specified
in
441
IAC
ch.
100
,
relating
to
parental
obligations,
3
in
which
the
child
support
recovery
unit
participates,
to
4
support
the
efforts
of
a
nonprofit
organization
committed
5
to
strengthening
the
community
through
youth
development,
6
healthy
living,
and
social
responsibility
headquartered
in
7
a
county
with
a
population
over
350,000
according
to
the
8
latest
certified
federal
census.
The
funds
allocated
in
this
9
subsection
shall
be
used
by
the
recipient
organization
to
10
develop
a
larger
community
effort,
through
public
and
private
11
partnerships,
to
support
a
broad-based
multi-county
parenthood
12
initiative
that
promotes
payment
of
child
support
obligations,
13
improved
family
relationships,
and
full-time
employment.
14
6.
The
department
may
transfer
funds
appropriated
in
this
15
section,
excluding
the
allocation
in
subsection
2
for
the
16
family
development
and
self-sufficiency
grant
program,
to
the
17
appropriations
made
in
this
division
of
this
Act
for
general
18
administration
and
field
operations
as
necessary
to
administer
19
this
section,
section
45
for
the
temporary
assistance
for
needy
20
families
block
grant,
and
section
46
for
the
family
investment
21
program
account.
22
Sec.
49.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
23
from
the
general
fund
of
the
state
to
the
department
of
human
24
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
25
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
26
necessary,
to
be
used
for
the
purposes
designated:
27
For
child
support
recovery,
including
salaries,
support,
28
maintenance,
and
miscellaneous
purposes:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,942,885
30
1.
The
department
shall
expend
up
to
$24,000,
including
31
federal
financial
participation,
for
the
fiscal
year
beginning
32
July
1,
2022,
for
a
child
support
public
awareness
campaign.
33
The
department
and
the
office
of
the
attorney
general
shall
34
cooperate
in
continuation
of
the
campaign.
The
public
35
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89
pf/rn
71/
123
S.F.
_____
H.F.
_____
awareness
campaign
shall
emphasize,
through
a
variety
of
1
media
activities,
the
importance
of
maximum
involvement
of
2
both
parents
in
the
lives
of
their
children
as
well
as
the
3
importance
of
payment
of
child
support
obligations.
4
2.
Federal
access
and
visitation
grant
moneys
shall
be
5
issued
directly
to
private
not-for-profit
agencies
that
provide
6
services
designed
to
increase
compliance
with
the
child
access
7
provisions
of
court
orders,
including
but
not
limited
to
8
neutral
visitation
sites
and
mediation
services.
9
3.
The
appropriation
made
to
the
department
for
child
10
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
11
manner
necessary
for
purposes
of
cash
flow
management,
and
for
12
cash
flow
management
purposes
the
department
may
temporarily
13
draw
more
than
the
amount
appropriated,
provided
the
amount
14
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
15
Sec.
50.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
16
FY
2022-2023.
Any
funds
remaining
in
the
health
care
trust
17
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
18
July
1,
2022,
and
ending
June
30,
2023,
are
appropriated
to
19
the
department
of
human
services
to
supplement
the
medical
20
assistance
program
appropriations
made
in
this
division
of
this
21
Act,
for
medical
assistance
reimbursement
and
associated
costs,
22
including
program
administration
and
costs
associated
with
23
program
implementation.
24
Sec.
51.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
25
2022-2023.
Any
funds
remaining
in
the
Medicaid
fraud
fund
26
created
in
section
249A.50
for
the
fiscal
year
beginning
27
July
1,
2022,
and
ending
June
30,
2023,
are
appropriated
to
28
the
department
of
human
services
to
supplement
the
medical
29
assistance
appropriations
made
in
this
division
of
this
Act,
30
for
medical
assistance
reimbursement
and
associated
costs,
31
including
program
administration
and
costs
associated
with
32
program
implementation.
33
Sec.
52.
MENTAL
HEALTH
AND
DISABILITY
REGIONAL
SERVICES
34
FUND
——
FY
2022-2023.
There
is
appropriated
from
the
general
35
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1013XG
(22)
89
pf/rn
72/
123
S.F.
_____
H.F.
_____
fund
of
the
state
to
the
department
of
human
services
for
the
1
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
2023,
2
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
3
used
for
the
purpose
designated:
4
For
transfer
to
the
mental
health
and
disability
regional
5
services
fund
created
in
section
225C.7A,
or
a
successor
fund:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
30,000,000
7
Moneys
transferred
to
the
mental
health
and
disability
8
regional
services
fund
under
this
section
are
appropriated
to
9
the
department
of
human
services
for
distribution
to
regions
10
for
funding
of
mental
health
and
disability
services
in
11
accordance
with
section
225C.7A.
12
Sec.
53.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
13
general
fund
of
the
state
to
the
department
of
human
services
14
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
15
2023,
the
following
amount,
or
so
much
thereof
as
is
necessary,
16
to
be
used
for
the
purpose
designated:
17
For
medical
assistance
program
reimbursement
and
associated
18
costs
as
specifically
provided
in
the
reimbursement
19
methodologies
in
effect
on
June
30,
2022,
except
as
otherwise
20
expressly
authorized
by
law,
consistent
with
options
under
21
federal
law
and
regulations,
and
contingent
upon
receipt
of
22
approval
from
the
office
of
the
governor
of
reimbursement
for
23
each
abortion
performed
under
the
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,491,499,409
25
1.
Iowans
support
reducing
the
number
of
abortions
26
performed
in
our
state.
Funds
appropriated
under
this
section
27
shall
not
be
used
for
abortions,
unless
otherwise
authorized
28
under
this
section.
29
2.
The
provisions
of
this
section
relating
to
abortions
30
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
31
pursuant
to
chapter
249N
.
32
3.
The
department
shall
utilize
not
more
than
$60,000
of
33
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
34
health
insurance
premium
payment
program
as
established
in
1992
35
-73-
LSB
1013XG
(22)
89
pf/rn
73/
123
S.F.
_____
H.F.
_____
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
1
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
2
not
more
than
$5,000
may
be
expended
for
administrative
3
purposes.
4
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
5
of
public
health
for
addictive
disorders,
$950,000
for
6
the
fiscal
year
beginning
July
1,
2022,
is
transferred
7
to
the
department
of
human
services
for
an
integrated
8
substance-related
disorder
managed
care
system.
The
9
departments
of
human
services
and
public
health
shall
10
work
together
to
maintain
the
level
of
mental
health
and
11
substance-related
disorder
treatment
services
provided
by
the
12
managed
care
contractors.
Each
department
shall
take
the
steps
13
necessary
to
continue
the
federal
waivers
as
necessary
to
14
maintain
the
level
of
services.
15
5.
The
department
shall
aggressively
pursue
options
for
16
providing
medical
assistance
or
other
assistance
to
individuals
17
with
special
needs
who
become
ineligible
to
continue
receiving
18
services
under
the
early
and
periodic
screening,
diagnostic,
19
and
treatment
program
under
the
medical
assistance
program
20
due
to
becoming
21
years
of
age
who
have
been
approved
for
21
additional
assistance
through
the
department’s
exception
to
22
policy
provisions,
but
who
have
health
care
needs
in
excess
23
of
the
funding
available
through
the
exception
to
policy
24
provisions.
25
6.
Of
the
funds
appropriated
in
this
section,
up
to
26
$3,050,082
may
be
transferred
to
the
field
operations
or
27
general
administration
appropriations
in
this
division
of
this
28
Act
for
operational
costs
associated
with
Part
D
of
the
federal
29
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
30
of
2003,
Pub.
L.
No.
108-173.
31
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
32
may
be
transferred
to
the
appropriation
in
this
division
of
33
this
Act
for
health
program
operations
to
be
used
for
clinical
34
assessment
services
and
prior
authorization
of
services.
35
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(22)
89
pf/rn
74/
123
S.F.
_____
H.F.
_____
8.
A
portion
of
the
funds
appropriated
in
this
section
may
1
be
transferred
to
the
appropriations
in
this
division
of
this
2
Act
for
general
administration,
health
program
operations,
the
3
children’s
health
insurance
program,
or
field
operations
to
be
4
used
for
the
state
match
cost
to
comply
with
the
payment
error
5
rate
measurement
(PERM)
program
for
both
the
medical
assistance
6
and
children’s
health
insurance
programs
as
developed
by
the
7
centers
for
Medicare
and
Medicaid
services
of
the
United
States
8
department
of
health
and
human
services
to
comply
with
the
9
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
10
No.
107-300,
and
to
support
other
reviews
and
quality
control
11
activities
to
improve
the
integrity
of
these
programs.
12
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
13
amount
is
allocated
to
supplement
the
incomes
of
residents
of
14
nursing
facilities,
intermediate
care
facilities
for
persons
15
with
mental
illness,
and
intermediate
care
facilities
for
16
persons
with
an
intellectual
disability,
with
incomes
of
less
17
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
18
personal
needs
allowance
of
$50
per
month
pursuant
to
section
19
249A.30A
.
20
10.
a.
Hospitals
that
meet
the
conditions
specified
21
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
22
expenditures
or
transfer
to
the
medical
assistance
program
23
an
amount
equal
to
provide
the
nonfederal
share
for
a
24
disproportionate
share
hospital
payment
in
an
amount
up
to
the
25
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
26
The
hospitals
that
meet
the
conditions
specified
shall
receive
27
and
retain
100
percent
of
the
total
disproportionate
share
28
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
29
as
approved
in
the
Medicaid
state
plan.
30
(1)
The
hospital
qualifies
for
disproportionate
share
and
31
graduate
medical
education
payments.
32
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
33
than
500
beds
and
eight
or
more
distinct
residency
specialty
34
or
subspecialty
programs
recognized
by
the
American
college
of
35
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1013XG
(22)
89
pf/rn
75/
123
S.F.
_____
H.F.
_____
graduate
medical
education.
1
b.
Distribution
of
the
disproportionate
share
payments
2
shall
be
made
on
a
monthly
basis.
The
total
amount
of
3
disproportionate
share
payments
including
graduate
medical
4
education,
enhanced
disproportionate
share,
and
Iowa
5
state-owned
teaching
hospital
payments
shall
not
exceed
the
6
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
7
In
addition,
the
total
amount
of
all
disproportionate
8
share
payments
shall
not
exceed
the
hospital-specific
9
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
10
11.
One
hundred
percent
of
the
nonfederal
share
of
payments
11
to
area
education
agencies
that
are
medical
assistance
12
providers
for
medical
assistance-covered
services
provided
to
13
medical
assistance-covered
children,
shall
be
made
from
the
14
appropriation
made
in
this
section.
15
12.
A
portion
of
the
funds
appropriated
in
this
section
may
16
be
transferred
to
the
appropriation
in
this
division
of
this
17
Act
for
health
program
operations
to
be
used
for
administrative
18
activities
associated
with
the
money
follows
the
person
19
demonstration
project.
20
13.
Of
the
funds
appropriated
in
this
section,
$349,011
21
shall
be
used
for
the
administration
of
the
health
insurance
22
premium
payment
program,
including
salaries,
support,
23
maintenance,
and
miscellaneous
purposes.
24
14.
a.
The
department
may
increase
the
amounts
allocated
25
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
26
associated
with
the
medical
assistance
program,
as
necessary,
27
to
sustain
cost
management
efforts.
The
department
shall
28
report
any
such
increase
to
the
general
assembly
and
the
29
department
of
management.
30
b.
If
the
savings
to
the
medical
assistance
program
from
31
ongoing
cost
management
efforts
exceed
the
associated
cost
32
for
the
fiscal
year
beginning
July
1,
2022,
the
department
33
may
transfer
any
savings
generated
for
the
fiscal
year
due
34
to
medical
assistance
program
cost
management
efforts
to
the
35
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LSB
1013XG
(22)
89
pf/rn
76/
123
S.F.
_____
H.F.
_____
appropriation
made
in
this
division
of
this
Act
for
health
1
program
operations
or
general
administration
to
defray
the
2
costs
associated
with
implementing
the
efforts.
3
15.
For
the
fiscal
year
beginning
July
1,
2022,
and
ending
4
June
30,
2023,
the
replacement
generation
tax
revenues
required
5
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
6
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
7
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
8
to
and
supplement
the
appropriation
made
in
this
section
and
9
used
for
the
allocations
made
in
this
section.
10
16.
a.
Of
the
funds
appropriated
in
this
section,
up
11
to
$50,000
may
be
transferred
by
the
department
to
the
12
appropriation
made
in
this
division
of
this
Act
to
the
13
department
for
the
same
fiscal
year
for
general
administration
14
to
be
used
for
associated
administrative
expenses.
15
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
16
may
be
transferred
by
the
department
to
the
appropriation
made
17
to
the
department
in
this
division
of
this
Act
for
the
same
18
fiscal
year
for
Medicaid
program-related
general
administration
19
planning
and
implementation
activities.
The
funds
may
be
used
20
for
contracts
or
for
personnel
in
addition
to
the
amounts
21
appropriated
for
general
administration
for
the
fiscal
year.
22
c.
Of
the
funds
appropriated
in
this
section,
up
to
23
$3,000,000
may
be
transferred
by
the
department
to
the
24
appropriations
made
in
this
division
of
this
Act
for
the
25
same
fiscal
year
for
general
administration
or
health
26
program
operations
to
be
used
to
support
the
development
27
and
implementation
of
standardized
assessment
tools
for
28
persons
with
mental
illness,
an
intellectual
disability,
a
29
developmental
disability,
or
a
brain
injury.
30
17.
Of
the
funds
appropriated
in
this
section,
$150,000
31
shall
be
used
for
lodging
expenses
associated
with
care
32
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
33
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
34
and
whose
income
is
at
or
below
200
percent
of
the
federal
35
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1013XG
(22)
89
pf/rn
77/
123
S.F.
_____
H.F.
_____
poverty
level
as
defined
by
the
most
recently
revised
poverty
1
income
guidelines
published
by
the
United
States
department
of
2
health
and
human
services.
The
department
of
human
services
3
shall
establish
the
maximum
number
of
overnight
stays
and
the
4
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
5
based
on
the
state
employee
rate
established
by
the
department
6
of
administrative
services.
The
funds
allocated
in
this
7
subsection
shall
not
be
used
as
nonfederal
share
matching
8
funds.
9
18.
Of
the
funds
appropriated
in
this
section,
up
to
10
$3,383,880
shall
be
used
for
administration
of
the
state
family
11
planning
services
program
pursuant
to
section
217.41B
,
and
12
of
this
amount,
the
department
may
use
up
to
$200,000
for
13
administrative
expenses.
14
19.
Of
the
funds
appropriated
in
this
section,
$1,545,530
15
shall
be
used
and
may
be
transferred
to
other
appropriations
16
in
this
division
of
this
Act
as
necessary
to
administer
the
17
provisions
in
the
division
of
this
Act
relating
to
Medicaid
18
program
administration.
19
Sec.
54.
HEALTH
PROGRAM
OPERATIONS.
There
is
appropriated
20
from
the
general
fund
of
the
state
to
the
department
of
human
21
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
22
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
23
necessary,
to
be
used
for
the
purpose
designated:
24
For
health
program
operations:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,831,343
26
1.
The
department
of
inspections
and
appeals
shall
27
provide
all
state
matching
funds
for
survey
and
certification
28
activities
performed
by
the
department
of
inspections
29
and
appeals.
The
department
of
human
services
is
solely
30
responsible
for
distributing
the
federal
matching
funds
for
31
such
activities.
32
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
33
be
used
for
continuation
of
home
and
community-based
services
34
waiver
quality
assurance
programs,
including
the
review
and
35
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(22)
89
pf/rn
78/
123
S.F.
_____
H.F.
_____
streamlining
of
processes
and
policies
related
to
oversight
and
1
quality
management
to
meet
state
and
federal
requirements.
2
3.
Of
the
amount
appropriated
in
this
section,
up
to
3
$200,000
may
be
transferred
to
the
appropriation
for
general
4
administration
in
this
division
of
this
Act
to
be
used
for
the
5
development
of
key
health
initiatives
such
as
development
and
6
oversight
of
managed
care
programs
and
development
of
health
7
strategies
targeted
toward
improved
quality
and
reduced
costs
8
in
the
Medicaid
program.
9
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
10
shall
be
used
for
planning
and
development,
in
cooperation
with
11
the
department
of
public
health,
of
a
phased-in
program
to
12
provide
a
dental
home
for
children.
13
5.
a.
Of
the
funds
appropriated
in
this
section,
$573,000
14
shall
be
credited
to
the
autism
support
program
fund
created
15
in
section
225D.2
to
be
used
for
the
autism
support
program
16
created
in
chapter
225D
,
with
the
exception
of
the
following
17
amount
of
this
allocation
which
shall
be
used
as
follows:
18
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
19
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
20
nonprofit
provider
of
child
welfare
services
that
has
been
in
21
existence
for
more
than
115
years,
is
located
in
a
county
with
22
a
population
between
200,000
and
220,000
according
to
the
most
23
recent
federal
decennial
census,
is
licensed
as
a
psychiatric
24
medical
institution
for
children,
and
provides
school-based
25
programming,
to
be
used
for
support
services
for
children
with
26
autism
spectrum
disorder
and
their
families.
27
Sec.
55.
STATE
SUPPLEMENTARY
ASSISTANCE.
28
1.
There
is
appropriated
from
the
general
fund
of
the
29
state
to
the
department
of
human
services
for
the
fiscal
year
30
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
31
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purpose
designated:
33
For
the
state
supplementary
assistance
program:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,349,002
35
-79-
LSB
1013XG
(22)
89
pf/rn
79/
123
S.F.
_____
H.F.
_____
2.
The
department
shall
increase
the
personal
needs
1
allowance
for
residents
of
residential
care
facilities
by
the
2
same
percentage
and
at
the
same
time
as
federal
supplemental
3
security
income
and
federal
social
security
benefits
are
4
increased
due
to
a
recognized
increase
in
the
cost
of
living.
5
The
department
may
adopt
emergency
rules
to
implement
this
6
subsection.
7
3.
If
during
the
fiscal
year
beginning
July
1,
2022,
8
the
department
projects
that
state
supplementary
assistance
9
expenditures
for
a
calendar
year
will
not
meet
the
federal
10
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
11
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
12
§1382g,
the
department
may
take
actions
including
but
not
13
limited
to
increasing
the
personal
needs
allowance
for
14
residential
care
facility
residents
and
making
programmatic
15
adjustments
or
upward
adjustments
of
the
residential
care
16
facility
or
in-home
health-related
care
reimbursement
rates
17
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
18
requirements
are
met.
In
addition,
the
department
may
make
19
other
programmatic
and
rate
adjustments
necessary
to
remain
20
within
the
amount
appropriated
in
this
section
while
ensuring
21
compliance
with
federal
requirements.
The
department
may
adopt
22
emergency
rules
to
implement
the
provisions
of
this
subsection.
23
4.
Notwithstanding
section
8.33
,
moneys
appropriated
24
in
this
section
that
remain
unencumbered
or
unobligated
25
at
the
close
of
the
fiscal
year
shall
not
revert
but
26
shall
remain
available
for
expenditure
for
the
purposes
27
designated,
including
for
liability
amounts
associated
with
the
28
supplemental
nutrition
assistance
program
payment
error
rate,
29
until
the
close
of
the
succeeding
fiscal
year.
30
Sec.
56.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
31
1.
There
is
appropriated
from
the
general
fund
of
the
32
state
to
the
department
of
human
services
for
the
fiscal
year
33
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
34
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
35
-80-
LSB
1013XG
(22)
89
pf/rn
80/
123
S.F.
_____
H.F.
_____
purpose
designated:
1
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
2
program
pursuant
to
chapter
514I
,
including
supplemental
dental
3
services,
for
receipt
of
federal
financial
participation
under
4
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
5
children’s
health
insurance
program:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,326,863
7
2.
Of
the
funds
appropriated
in
this
section,
$162,029
is
8
allocated
for
continuation
of
the
contract
for
outreach
with
9
the
department
of
public
health.
10
3.
A
portion
of
the
funds
appropriated
in
this
section
may
11
be
transferred
to
the
appropriations
made
in
this
division
of
12
this
Act
for
field
operations
or
health
program
operations
to
13
be
used
for
the
integration
of
hawk-i
program
eligibility,
14
payment,
and
administrative
functions
under
the
purview
of
15
the
department
of
human
services,
including
for
the
Medicaid
16
management
information
system
upgrade.
17
Sec.
57.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
18
from
the
general
fund
of
the
state
to
the
department
of
human
19
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
20
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purpose
designated:
22
For
child
care
programs:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,816,931
24
1.
Of
the
funds
appropriated
in
this
section,
$34,966,931
25
shall
be
used
for
state
child
care
assistance
in
accordance
26
with
section
237A.13
.
27
2.
Nothing
in
this
section
shall
be
construed
or
is
28
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
29
to
persons
who
are
eligible
for
assistance
due
to
an
income
30
level
consistent
with
the
waiting
list
requirements
of
section
31
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
32
this
section
is
limited
to
the
extent
of
the
funds
appropriated
33
in
this
section.
34
3.
A
list
of
the
registered
and
licensed
child
care
35
-81-
LSB
1013XG
(22)
89
pf/rn
81/
123
S.F.
_____
H.F.
_____
facilities
operating
in
the
area
served
by
a
child
care
1
resource
and
referral
service
shall
be
made
available
to
the
2
families
receiving
state
child
care
assistance
in
that
area.
3
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
4
shall
be
credited
to
the
early
childhood
programs
grants
5
account
in
the
early
childhood
Iowa
fund
created
in
section
6
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
7
community-based
early
childhood
programs
targeted
to
children
8
from
birth
through
five
years
of
age
developed
by
early
9
childhood
Iowa
areas
in
accordance
with
approved
community
10
plans
as
provided
in
section
256I.8
.
11
5.
The
department
may
use
any
of
the
funds
appropriated
12
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
13
expanding
child
care
assistance
and
related
programs.
For
14
the
purpose
of
expenditures
of
state
and
federal
child
care
15
funding,
funds
shall
be
considered
obligated
at
the
time
16
expenditures
are
projected
or
are
allocated
to
the
department’s
17
service
areas.
Projections
shall
be
based
on
current
and
18
projected
caseload
growth,
current
and
projected
provider
19
rates,
staffing
requirements
for
eligibility
determination
20
and
management
of
program
requirements
including
data
systems
21
management,
staffing
requirements
for
administration
of
the
22
program,
contractual
and
grant
obligations
and
any
transfers
23
to
other
state
agencies,
and
obligations
for
decategorization
24
or
innovation
projects.
25
6.
A
portion
of
the
state
match
for
the
federal
child
care
26
and
development
block
grant
shall
be
provided
as
necessary
to
27
meet
federal
matching
funds
requirements
through
the
state
28
general
fund
appropriation
made
for
child
development
grants
29
and
other
programs
for
at-risk
children
in
section
279.51
.
30
7.
If
a
uniform
reduction
ordered
by
the
governor
under
31
section
8.31
or
other
operation
of
law,
transfer,
or
federal
32
funding
reduction
reduces
the
appropriation
made
in
this
33
section
for
the
fiscal
year,
the
percentage
reduction
in
the
34
amount
paid
out
to
or
on
behalf
of
the
families
participating
35
-82-
LSB
1013XG
(22)
89
pf/rn
82/
123
S.F.
_____
H.F.
_____
in
the
state
child
care
assistance
program
shall
be
equal
to
or
1
less
than
the
percentage
reduction
made
for
any
other
purpose
2
payable
from
the
appropriation
made
in
this
section
and
the
3
federal
funding
relating
to
it.
The
percentage
reduction
to
4
the
other
allocations
made
in
this
section
shall
be
the
same
as
5
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
6
change
of
the
federal
funding
reduction,
as
applicable.
If
7
there
is
an
unanticipated
increase
in
federal
funding
provided
8
for
state
child
care
services,
the
entire
amount
of
the
9
increase,
except
as
necessary
to
meet
federal
requirements
10
including
quality
set
asides,
shall
be
used
for
state
child
11
care
assistance
payments.
If
the
appropriations
made
for
12
purposes
of
the
state
child
care
assistance
program
for
the
13
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
14
of
the
general
assembly
to
appropriate
sufficient
funding
for
15
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
16
requirements.
17
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
18
purposes
of
the
programs
developed
by
early
childhood
Iowa
19
areas,
advanced
for
purposes
of
wraparound
child
care,
or
20
received
from
the
federal
appropriations
made
for
the
purposes
21
of
this
section
that
remain
unencumbered
or
unobligated
at
the
22
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
23
remain
available
for
expenditure
for
the
purposes
designated
24
until
the
close
of
the
succeeding
fiscal
year.
25
Sec.
58.
JUVENILE
INSTITUTION.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
human
27
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
28
June
30,
2023,
the
following
amounts,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purposes
designated:
30
1.
a.
For
operation
of
the
state
training
school
at
Eldora
31
and
for
salaries,
support,
maintenance,
and
miscellaneous
32
purposes:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,397,068
34
b.
Of
the
funds
appropriated
in
this
subsection,
$91,000
35
-83-
LSB
1013XG
(22)
89
pf/rn
83/
123
S.F.
_____
H.F.
_____
shall
be
used
for
distribution
to
licensed
classroom
teachers
1
at
this
and
other
institutions
under
the
control
of
the
2
department
of
human
services
based
upon
the
average
student
3
yearly
enrollment
at
each
institution
as
determined
by
the
4
department.
5
2.
A
portion
of
the
moneys
appropriated
in
this
section
6
shall
be
used
by
the
state
training
school
at
Eldora
for
7
grants
for
adolescent
pregnancy
prevention
activities
at
the
8
institution
in
the
fiscal
year
beginning
July
1,
2022.
9
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
10
shall
be
used
by
the
state
training
school
at
Eldora
for
a
11
substance
use
disorder
treatment
program
at
the
institution
for
12
the
fiscal
year
beginning
July
1,
2022.
13
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
14
this
section
that
remain
unencumbered
or
unobligated
at
the
15
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
16
available
for
expenditure
for
the
purposes
designated
until
the
17
close
of
the
succeeding
fiscal
year.
18
Sec.
59.
CHILD
AND
FAMILY
SERVICES.
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
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
23
purpose
designated:
24
For
child
and
family
services:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
89,071,930
26
2.
The
department
may
transfer
funds
appropriated
in
this
27
section
as
necessary
to
pay
the
nonfederal
costs
of
services
28
reimbursed
under
the
medical
assistance
program,
state
child
29
care
assistance
program,
or
the
family
investment
program
which
30
are
provided
to
children
who
would
otherwise
receive
services
31
paid
under
the
appropriation
in
this
section.
The
department
32
may
transfer
funds
appropriated
in
this
section
to
the
33
appropriations
made
in
this
division
of
this
Act
for
general
34
administration
and
for
field
operations
for
resources
necessary
35
-84-
LSB
1013XG
(22)
89
pf/rn
84/
123
S.F.
_____
H.F.
_____
to
implement
and
operate
the
services
funded
in
this
section.
1
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
2
$31,500,000
is
allocated
as
the
statewide
expenditure
target
3
under
section
232.143
for
group
foster
care
maintenance
and
4
services.
If
the
department
projects
that
such
expenditures
5
for
the
fiscal
year
will
be
less
than
the
target
amount
6
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
7
the
excess
to
provide
additional
funding
for
family
foster
8
care,
independent
living,
family-centered
services,
shelter
9
care,
or
the
child
welfare
emergency
services
addressed
with
10
the
allocation
for
shelter
care.
11
b.
If
at
any
time
after
September
30,
2022,
annualization
12
of
a
service
area’s
current
expenditures
indicates
a
service
13
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
14
target
under
section
232.143
by
more
than
5
percent,
the
15
department
and
juvenile
court
services
shall
examine
all
16
group
foster
care
placements
in
that
service
area
in
order
to
17
identify
those
which
might
be
appropriate
for
termination.
18
In
addition,
any
aftercare
services
believed
to
be
needed
19
for
the
children
whose
placements
may
be
terminated
shall
be
20
identified.
The
department
and
juvenile
court
services
shall
21
initiate
action
to
set
dispositional
review
hearings
for
the
22
placements
identified.
In
such
a
dispositional
review
hearing,
23
the
juvenile
court
shall
determine
whether
needed
aftercare
24
services
are
available
and
whether
termination
of
the
placement
25
is
in
the
best
interest
of
the
child
and
the
community.
26
4.
In
accordance
with
the
provisions
of
section
232.188
,
27
the
department
shall
continue
the
child
welfare
and
juvenile
28
justice
funding
initiative
during
fiscal
year
2022-2023.
Of
29
the
funds
appropriated
in
this
section,
$1,717,000
is
allocated
30
specifically
for
expenditure
for
fiscal
year
2022-2023
through
31
the
decategorization
services
funding
pools
and
governance
32
boards
established
pursuant
to
section
232.188
.
33
5.
A
portion
of
the
funds
appropriated
in
this
section
34
may
be
used
for
emergency
family
assistance
to
provide
other
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resources
required
for
a
family
participating
in
a
family
1
preservation
or
reunification
project
or
successor
project
to
2
stay
together
or
to
be
reunified.
3
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
4
amount
is
allocated
for
shelter
care
and
the
child
welfare
5
emergency
services
contracting
implemented
to
provide
for
or
6
prevent
the
need
for
shelter
care.
7
7.
Federal
funds
received
by
the
state
during
the
fiscal
8
year
beginning
July
1,
2022,
as
the
result
of
the
expenditure
9
of
state
funds
appropriated
during
a
previous
state
fiscal
10
year
for
a
service
or
activity
funded
under
this
section
are
11
appropriated
to
the
department
to
be
used
as
additional
funding
12
for
services
and
purposes
provided
for
under
this
section.
13
Notwithstanding
section
8.33
,
moneys
received
in
accordance
14
with
this
subsection
that
remain
unencumbered
or
unobligated
at
15
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
16
shall
remain
available
for
the
purposes
designated
until
the
17
close
of
the
succeeding
fiscal
year.
18
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
19
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
20
court-ordered
services
provided
to
juveniles
who
are
under
the
21
supervision
of
juvenile
court
services,
which
expenses
are
a
22
charge
upon
the
state
pursuant
to
section
232.141,
subsection
23
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
24
$1,556,000
shall
be
made
available
to
provide
school-based
25
supervision
of
children
adjudicated
under
chapter
232
,
of
which
26
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
27
A
portion
of
the
cost
of
each
school-based
liaison
officer
28
shall
be
paid
by
the
school
district
or
other
funding
source
as
29
approved
by
the
chief
juvenile
court
officer.
30
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,000
31
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
32
services
provided
to
children
who
are
under
the
supervision
33
of
the
department,
which
expenses
are
a
charge
upon
the
state
34
pursuant
to
section
232.141,
subsection
4
.
35
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c.
Notwithstanding
section
232.141
or
any
other
provision
1
of
law
to
the
contrary,
the
amounts
allocated
in
this
2
subsection
shall
be
distributed
to
the
judicial
districts
3
as
determined
by
the
state
court
administrator
and
to
the
4
department’s
service
areas
as
determined
by
the
administrator
5
of
the
department
of
human
services’
division
of
child
and
6
family
services.
The
state
court
administrator
and
the
7
division
administrator
shall
make
the
determination
of
the
8
distribution
amounts
on
or
before
June
15,
2022.
9
d.
Notwithstanding
chapter
232
or
any
other
provision
of
10
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
11
order
any
service
which
is
a
charge
upon
the
state
pursuant
12
to
section
232.141
if
there
are
insufficient
court-ordered
13
services
funds
available
in
the
district
court
or
departmental
14
service
area
distribution
amounts
to
pay
for
the
service.
The
15
chief
juvenile
court
officer
and
the
departmental
service
area
16
manager
shall
encourage
use
of
the
funds
allocated
in
this
17
subsection
such
that
there
are
sufficient
funds
to
pay
for
18
all
court-related
services
during
the
entire
year.
The
chief
19
juvenile
court
officers
and
departmental
service
area
managers
20
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
21
in
the
distribution
amounts
and
shall
cooperatively
request
the
22
state
court
administrator
or
division
administrator
to
transfer
23
funds
between
the
judicial
districts’
or
departmental
service
24
areas’
distribution
amounts
as
prudent.
25
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
26
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
27
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
28
entered
under
chapter
232
which
is
a
charge
upon
the
state
29
under
section
232.141,
subsection
4
.
30
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
31
$83,000
may
be
used
by
the
judicial
branch
for
administration
32
of
the
requirements
under
this
subsection.
33
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
34
shall
be
used
by
the
department
of
human
services
to
support
35
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the
interstate
commission
for
juveniles
in
accordance
with
1
the
interstate
compact
for
juveniles
as
provided
in
section
2
232.173
.
3
9.
Of
the
funds
appropriated
in
this
section,
$12,253,000
is
4
allocated
for
juvenile
delinquent
graduated
sanctions
services.
5
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
6
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
7
services
administration
may
be
used
for
the
juvenile
delinquent
8
graduated
sanctions
services.
9
10.
Of
the
funds
appropriated
in
this
section,
$1,658,000
is
10
transferred
to
the
department
of
public
health
to
be
used
for
11
the
child
protection
center
grant
program
for
child
protection
12
centers
located
in
Iowa
in
accordance
with
section
135.118
.
13
The
grant
amounts
under
the
program
shall
be
equalized
so
that
14
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
15
that
the
remaining
funds
are
awarded
through
a
funding
formula
16
based
upon
the
volume
of
children
served.
To
increase
access
17
to
child
protection
center
services
for
children
in
rural
18
areas,
the
funding
formula
for
the
awarding
of
the
remaining
19
funds
shall
provide
for
the
awarding
of
an
enhanced
amount
to
20
eligible
grantees
to
develop
and
maintain
satellite
centers
in
21
underserved
regions
of
the
state.
22
11.
Of
the
funds
appropriated
in
this
section,
$4,025,000
is
23
allocated
for
the
preparation
for
adult
living
program
pursuant
24
to
section
234.46
.
25
12.
Of
the
funds
appropriated
in
this
section,
$227,000
26
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
27
nonprofit
human
services
organization,
providing
services
to
28
individuals
and
families
in
multiple
locations
in
southwest
29
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
30
sensitive
support
and
forensic
interviews,
medical
exams,
needs
31
assessments,
and
referrals
for
victims
of
child
abuse
and
their
32
nonoffending
family
members.
33
13.
Of
the
funds
appropriated
in
this
section,
$300,000
34
is
allocated
for
the
foster
care
youth
council
approach
of
35
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providing
a
support
network
to
children
placed
in
foster
care.
1
14.
Of
the
funds
appropriated
in
this
section,
$202,000
is
2
allocated
for
use
pursuant
to
section
235A.1
for
continuation
3
of
the
initiative
to
address
child
sexual
abuse
implemented
4
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
5
21
.
6
15.
Of
the
funds
appropriated
in
this
section,
$630,000
is
7
allocated
for
the
community
partnership
for
child
protection
8
sites.
9
16.
Of
the
funds
appropriated
in
this
section,
$371,000
10
is
allocated
for
the
department’s
minority
youth
and
family
11
projects
under
the
redesign
of
the
child
welfare
system.
12
17.
Of
the
funds
appropriated
in
this
section,
$851,000
13
is
allocated
for
funding
of
the
community
circle
of
care
14
collaboration
for
children
and
youth
in
northeast
Iowa.
15
18.
Of
the
funds
appropriated
in
this
section,
at
least
16
$147,000
shall
be
used
for
the
continuation
of
the
child
17
welfare
provider
training
academy,
a
collaboration
between
the
18
coalition
for
family
and
children’s
services
in
Iowa
and
the
19
department.
20
19.
Of
the
funds
appropriated
in
this
section,
$211,000
21
shall
be
used
for
continuation
of
the
central
Iowa
system
of
22
care
program
grant
through
June
30,
2023.
23
20.
Of
the
funds
appropriated
in
this
section,
$235,000
24
shall
be
used
for
the
public
purpose
of
the
continuation
25
and
expansion
of
a
system
of
care
program
grant
implemented
26
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
27
and
long-term
approach
for
helping
children
and
families
by
28
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
29
needs,
education
and
work,
family,
and
community.
30
21.
Of
the
funds
appropriated
in
this
section,
$110,000
31
shall
be
used
for
the
public
purpose
of
funding
community-based
32
services
and
other
supports
with
a
system
of
care
approach
33
for
children
with
a
serious
emotional
disturbance
and
their
34
families
through
a
nonprofit
provider
of
child
welfare
services
35
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that
has
been
in
existence
for
more
than
115
years,
is
located
1
in
a
county
with
a
population
of
more
than
200,000
but
less
2
than
235,000
according
to
the
latest
certified
federal
census,
3
is
licensed
as
a
psychiatric
medical
institution
for
children,
4
and
was
a
system
of
care
grantee
prior
to
July
1,
2022.
5
22.
If
a
separate
funding
source
is
identified
that
reduces
6
the
need
for
state
funds
within
an
allocation
under
this
7
section,
the
allocated
state
funds
may
be
redistributed
to
8
other
allocations
under
this
section
for
the
same
fiscal
year.
9
23.
Of
the
funds
appropriated
in
this
section,
a
portion
may
10
be
used
for
family-centered
services
for
purposes
of
complying
11
with
the
federal
Family
First
Prevention
Services
Act
of
2018,
12
Pub.
L.
No.
115-123,
and
successor
legislation.
13
Sec.
60.
ADOPTION
SUBSIDY.
14
1.
There
is
appropriated
from
the
general
fund
of
the
15
state
to
the
department
of
human
services
for
the
fiscal
year
16
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
17
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
18
purpose
designated:
19
a.
For
adoption
subsidy
payments
and
related
costs
and
for
20
other
services
provided
under
paragraph
“b”,
subparagraph
(2):
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,596,007
22
b.
(1)
Of
the
funds
appropriated
in
this
section,
a
23
sufficient
amount
is
allocated
for
adoption
subsidy
payments
24
and
related
costs.
25
(2)
Any
funds
appropriated
in
this
section
remaining
after
26
the
allocation
under
subparagraph
(1)
are
designated
and
27
allocated
as
state
savings
resulting
from
implementation
of
28
the
federal
Fostering
Connections
to
Success
and
Increasing
29
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
30
legislation,
as
determined
in
accordance
with
42
U.S.C.
31
§673(a)(8),
and
shall
be
used
for
post-adoption
services
and
32
for
other
purposes
allowed
under
these
federal
laws,
Tit.
IV-B
33
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
34
(a)
The
department
of
human
services
may
transfer
funds
35
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allocated
in
this
subparagraph
(2)
to
the
appropriation
for
1
child
and
family
services
in
this
division
of
this
Act
for
the
2
purposes
designated
in
this
subparagraph
(2).
3
(b)
Notwithstanding
section
8.33,
moneys
allocated
4
under
this
subparagraph
(2)
shall
not
revert
to
any
fund
but
5
shall
remain
available
for
the
purposes
designated
in
this
6
subparagraph
(2)
until
expended.
7
2.
The
department
may
transfer
funds
appropriated
in
8
this
section
to
the
appropriation
made
in
this
division
of
9
this
Act
for
general
administration
for
costs
paid
from
the
10
appropriation
relating
to
adoption
subsidy.
11
3.
Federal
funds
received
by
the
state
during
the
12
fiscal
year
beginning
July
1,
2022,
as
the
result
of
the
13
expenditure
of
state
funds
during
a
previous
state
fiscal
14
year
for
a
service
or
activity
funded
under
this
section
are
15
appropriated
to
the
department
to
be
used
as
additional
funding
16
for
the
services
and
activities
funded
under
this
section.
17
Notwithstanding
section
8.33
,
moneys
received
in
accordance
18
with
this
subsection
that
remain
unencumbered
or
unobligated
19
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
20
but
shall
remain
available
for
expenditure
for
the
purposes
21
designated
until
the
close
of
the
succeeding
fiscal
year.
22
Sec.
61.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
23
in
the
juvenile
detention
home
fund
created
in
section
232.142
24
during
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
25
30,
2023,
are
appropriated
to
the
department
of
human
services
26
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
27
2023,
for
distribution
of
an
amount
equal
to
a
percentage
of
28
the
costs
of
the
establishment,
improvement,
operation,
and
29
maintenance
of
county
or
multicounty
juvenile
detention
homes
30
in
the
fiscal
year
beginning
July
1,
2021.
Moneys
appropriated
31
for
distribution
in
accordance
with
this
section
shall
be
32
allocated
among
eligible
detention
homes,
prorated
on
the
basis
33
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
34
eligible
detention
homes
in
the
fiscal
year
beginning
July
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1,
2021.
The
percentage
figure
shall
be
determined
by
the
1
department
based
on
the
amount
available
for
distribution
for
2
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
3
financial
aid
payable
by
the
state
under
that
provision
for
the
4
fiscal
year
beginning
July
1,
2022,
shall
be
limited
to
the
5
amount
appropriated
for
the
purposes
of
this
section.
6
Sec.
62.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
7
1.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
human
services
for
the
fiscal
year
9
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
For
the
family
support
subsidy
program
subject
to
the
13
enrollment
restrictions
in
section
225C.37,
subsection
3
:
14
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
.
.
.
$
949,282
15
2.
At
least
$922,735
of
the
moneys
appropriated
in
this
16
section
is
transferred
to
the
department
of
public
health
for
17
the
family
support
center
component
of
the
comprehensive
family
18
support
program
under
chapter
225C,
subchapter
V
.
19
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
20
funding
available
for
the
family
support
subsidy
program
21
is
reduced
from
the
amount
initially
used
to
establish
the
22
figure
for
the
number
of
family
members
for
whom
a
subsidy
23
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
24
notwithstanding
section
225C.38,
subsection
2
,
the
department
25
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
26
of
funding
available.
27
Sec.
63.
CONNER
DECREE.
There
is
appropriated
from
the
28
general
fund
of
the
state
to
the
department
of
human
services
29
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
30
2023,
the
following
amount,
or
so
much
thereof
as
is
necessary,
31
to
be
used
for
the
purpose
designated:
32
For
building
community
capacity
through
the
coordination
33
and
provision
of
training
opportunities
in
accordance
with
the
34
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871
(S.D.
35
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1013XG
(22)
89
pf/rn
92/
123
S.F.
_____
H.F.
_____
Iowa,
July
14,
1994):
1
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
$
33,632
2
Sec.
64.
MENTAL
HEALTH
INSTITUTES.
3
1.
There
is
appropriated
from
the
general
fund
of
the
4
state
to
the
department
of
human
services
for
the
fiscal
year
5
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
6
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
7
purposes
designated:
8
a.
For
operation
of
the
state
mental
health
institute
at
9
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
10
support,
maintenance,
and
miscellaneous
purposes:
11
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.
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.
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.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,058,356
12
b.
For
operation
of
the
state
mental
health
institute
at
13
Independence
as
required
by
chapters
218
and
226
for
salaries,
14
support,
maintenance,
and
miscellaneous
purposes:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,628,077
16
2.
a.
Notwithstanding
sections
218.78
and
249A.11
,
any
17
revenue
received
from
the
state
mental
health
institute
at
18
Cherokee
or
the
state
mental
health
institute
at
Independence
19
pursuant
to
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
20
the
mental
health
institute.
21
b.
Notwithstanding
sections
218.78
and
249A.11,
any
22
COVID-19
related
funding
received
through
federal
funding
23
sources
by
the
state
mental
health
institute
at
Cherokee
or
the
24
state
mental
health
institute
at
Independence
may
be
retained
25
and
expended
by
the
mental
health
institute.
26
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
27
a
Medicaid
member
residing
at
the
state
mental
health
28
institute
at
Cherokee
or
the
state
mental
health
institute
29
at
Independence
shall
retain
Medicaid
eligibility
during
30
the
period
of
the
Medicaid
member’s
stay
for
which
federal
31
financial
participation
is
available.
32
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
33
this
section
that
remain
unencumbered
or
unobligated
at
the
34
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
35
-93-
LSB
1013XG
(22)
89
pf/rn
93/
123
S.F.
_____
H.F.
_____
available
for
expenditure
for
the
purposes
designated
until
the
1
close
of
the
succeeding
fiscal
year.
2
Sec.
65.
STATE
RESOURCE
CENTERS.
3
1.
There
is
appropriated
from
the
general
fund
of
the
4
state
to
the
department
of
human
services
for
the
fiscal
year
5
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
6
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
7
purposes
designated:
8
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
9
support,
maintenance,
and
miscellaneous
purposes:
10
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,802,873
11
b.
For
the
state
resource
center
at
Woodward
for
salaries,
12
support,
maintenance,
and
miscellaneous
purposes:
13
.
.
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.
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.
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.
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.
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.
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.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,698,094
14
2.
The
department
may
continue
to
bill
for
state
resource
15
center
services
utilizing
a
scope
of
services
approach
used
for
16
private
providers
of
intermediate
care
facilities
for
persons
17
with
an
intellectual
disability
services,
in
a
manner
which
18
does
not
shift
costs
between
the
medical
assistance
program,
19
counties,
or
other
sources
of
funding
for
the
state
resource
20
centers.
21
3.
The
state
resource
centers
may
expand
the
time-limited
22
assessment
and
respite
services
during
the
fiscal
year.
23
4.
If
the
department’s
administration
and
the
department
24
of
management
concur
with
a
finding
by
a
state
resource
25
center’s
superintendent
that
projected
revenues
can
reasonably
26
be
expected
to
pay
the
salary
and
support
costs
for
a
new
27
employee
position,
or
that
such
costs
for
adding
a
particular
28
number
of
new
positions
for
the
fiscal
year
would
be
less
29
than
the
overtime
costs
if
new
positions
would
not
be
added,
30
the
superintendent
may
add
the
new
position
or
positions.
If
31
the
vacant
positions
available
to
a
resource
center
do
not
32
include
the
position
classification
desired
to
be
filled,
the
33
state
resource
center’s
superintendent
may
reclassify
any
34
vacant
position
as
necessary
to
fill
the
desired
position.
The
35
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LSB
1013XG
(22)
89
pf/rn
94/
123
S.F.
_____
H.F.
_____
superintendents
of
the
state
resource
centers
may,
by
mutual
1
agreement,
pool
vacant
positions
and
position
classifications
2
during
the
course
of
the
fiscal
year
in
order
to
assist
one
3
another
in
filling
necessary
positions.
4
5.
If
existing
capacity
limitations
are
reached
in
5
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
6
a
special
need
for
which
a
payment
source
or
other
funding
7
is
available
for
the
service
or
to
address
the
special
need,
8
and
facilities
for
the
service
or
to
address
the
special
need
9
can
be
provided
within
the
available
payment
source
or
other
10
funding,
the
superintendent
of
a
state
resource
center
may
11
authorize
opening
not
more
than
two
units
or
other
facilities
12
and
begin
implementing
the
service
or
addressing
the
special
13
need
during
fiscal
year
2022-2023.
14
6.
Notwithstanding
section
8.33
,
and
notwithstanding
15
the
amount
limitation
specified
in
section
222.92
,
moneys
16
appropriated
in
this
section
that
remain
unencumbered
or
17
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
18
but
shall
remain
available
for
expenditure
for
the
purposes
19
designated
until
the
close
of
the
succeeding
fiscal
year.
20
Sec.
66.
SEXUALLY
VIOLENT
PREDATORS.
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
costs
associated
with
the
commitment
and
treatment
of
27
sexually
violent
predators
in
the
unit
located
at
the
state
28
mental
health
institute
at
Cherokee,
including
costs
of
legal
29
services
and
other
associated
costs,
including
salaries,
30
support,
maintenance,
and
miscellaneous
purposes:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,643,727
32
2.
Unless
specifically
prohibited
by
law,
if
the
amount
33
charged
provides
for
recoupment
of
at
least
the
entire
amount
34
of
direct
and
indirect
costs,
the
department
of
human
services
35
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LSB
1013XG
(22)
89
pf/rn
95/
123
S.F.
_____
H.F.
_____
may
contract
with
other
states
to
provide
care
and
treatment
1
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
2
violent
predators
at
Cherokee.
The
moneys
received
under
3
such
a
contract
shall
be
considered
to
be
repayment
receipts
4
and
used
for
the
purposes
of
the
appropriation
made
in
this
5
section.
6
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
7
this
section
that
remain
unencumbered
or
unobligated
at
the
8
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
9
available
for
expenditure
for
the
purposes
designated
until
the
10
close
of
the
succeeding
fiscal
year.
11
Sec.
67.
FIELD
OPERATIONS.
12
1.
There
is
appropriated
from
the
general
fund
of
the
13
state
to
the
department
of
human
services
for
the
fiscal
year
14
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
15
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
16
purposes
designated:
17
For
field
operations,
including
salaries,
support,
18
maintenance,
and
miscellaneous
purposes:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
61,362,351
20
2.
Priority
in
filling
full-time
equivalent
positions
21
shall
be
given
to
those
positions
related
to
child
protection
22
services
and
eligibility
determination
for
low-income
families.
23
Sec.
68.
GENERAL
ADMINISTRATION.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
human
25
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
26
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purpose
designated:
28
For
general
administration,
including
salaries,
support,
29
maintenance,
and
miscellaneous
purposes:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,542,189
31
1.
The
department
shall
report
at
least
monthly
to
the
32
general
assembly
concerning
the
department’s
operational
and
33
program
expenditures.
34
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
35
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LSB
1013XG
(22)
89
pf/rn
96/
123
S.F.
_____
H.F.
_____
be
used
to
contract
for
the
provision
of
a
program
to
provide
1
technical
assistance,
support,
and
consultation
to
providers
2
of
habilitation
services
and
home
and
community-based
services
3
waiver
services
for
adults
with
disabilities
under
the
medical
4
assistance
program.
5
3.
Of
the
funds
appropriated
in
this
section,
$50,000
6
is
transferred
to
the
Iowa
finance
authority
to
be
used
7
for
administrative
support
of
the
council
on
homelessness
8
established
in
section
16.2D
and
for
the
council
to
fulfill
its
9
duties
in
addressing
and
reducing
homelessness
in
the
state.
10
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
11
be
transferred
to
and
deposited
in
the
administrative
fund
of
12
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
13
be
used
for
implementation
and
administration
activities
of
the
14
Iowa
ABLE
savings
plan
trust.
15
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
16
transferred
to
the
economic
development
authority
for
the
Iowa
17
commission
on
volunteer
services
to
continue
to
be
used
for
the
18
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
19
for
member
recruitment
and
training
to
improve
the
economic
20
well-being
and
health
of
economically
disadvantaged
refugees
in
21
local
communities
across
Iowa.
Funds
transferred
may
be
used
22
to
supplement
federal
funds
under
federal
regulations.
23
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
24
shall
be
used
as
follows:
25
a.
To
address
the
department’s
responsibility
to
support
26
the
work
of
the
children’s
behavioral
health
system
state
board
27
and
implementation
of
the
services
required
pursuant
to
section
28
331.397.
29
b.
To
support
the
cost
of
establishing
and
implementing
new
30
or
additional
services
required
pursuant
to
sections
331.397
31
and
331.397A.
32
c.
Of
the
amount
allocated,
$32,000
shall
be
transferred
33
to
the
department
of
public
health
to
support
the
costs
of
34
establishing
and
implementing
new
or
additional
services
35
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LSB
1013XG
(22)
89
pf/rn
97/
123
S.F.
_____
H.F.
_____
required
pursuant
to
sections
331.397
and
331.397A.
1
Sec.
69.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
2
from
the
general
fund
of
the
state
to
the
department
of
human
3
services
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
4
June
30,
2023,
the
following
amount,
or
so
much
thereof
as
is
5
necessary,
to
be
used
for
the
purposes
designated:
6
For
salaries,
support,
maintenance,
and
miscellaneous
7
purposes
at
facilities
under
the
purview
of
the
department
of
8
human
services:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
10
Sec.
70.
VOLUNTEERS.
There
is
appropriated
from
the
general
11
fund
of
the
state
to
the
department
of
human
services
for
the
12
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
2023,
13
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
14
used
for
the
purpose
designated:
15
For
development
and
coordination
of
volunteer
services:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
17
Sec.
71.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
18
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
19
DEPARTMENT
OF
HUMAN
SERVICES.
20
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
21
2022,
the
department
shall
rebase
case-mix
nursing
facility
22
rates
effective
July
1,
2022,
to
the
extent
possible
within
the
23
state
funding,
including
the
$20,000,000
appropriated
for
this
24
purpose.
25
(b)
For
the
fiscal
year
beginning
July
1,
2022,
non-case-mix
26
and
special
population
nursing
facilities
shall
be
reimbursed
27
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
28
prior
fiscal
year.
29
(c)
For
managed
care
claims,
the
department
of
human
30
services
shall
adjust
the
payment
rate
floor
for
nursing
31
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
32
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
33
calculated
in
accordance
with
subparagraph
division
(a)
and
34
441
IAC
81.6.
The
department
shall
then
calculate
adjusted
35
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123
S.F.
_____
H.F.
_____
reimbursement
rates,
including
but
not
limited
to
add-on
1
payments,
annually,
and
shall
notify
Medicaid
managed
care
2
organizations
of
the
adjusted
reimbursement
rates
within
30
3
days
of
determining
the
adjusted
reimbursement
rates.
Any
4
adjustment
of
reimbursement
rates
under
this
subparagraph
5
division
shall
be
budget
neutral
to
the
state
budget.
6
(d)
For
the
fiscal
year
beginning
July
1,
2022,
Medicaid
7
managed
care
long-term
services
and
supports
capitation
8
rates
shall
be
adjusted
to
reflect
the
rebasing
pursuant
to
9
subparagraph
division
(a)
for
the
patient
populations
residing
10
in
Medicaid-certified
nursing
facilities.
11
(2)
Medicaid
managed
care
organizations
shall
adjust
12
facility-specific
rates
based
upon
payment
rate
listings
issued
13
by
the
department.
The
rate
adjustments
shall
be
applied
14
prospectively
from
the
effective
date
of
the
rate
letter
issued
15
by
the
department.
16
b.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
17
the
department
shall
establish
the
pharmacy
dispensing
fee
18
reimbursement
at
$10.07
per
prescription,
until
a
cost
of
19
dispensing
survey
is
completed.
The
actual
dispensing
fee
20
shall
be
determined
by
a
cost
of
dispensing
survey
performed
21
by
the
department
and
required
to
be
completed
by
all
medical
22
assistance
program
participating
pharmacies
every
two
years,
23
adjusted
as
necessary
to
maintain
expenditures
within
the
24
amount
appropriated
to
the
department
for
this
purpose
for
25
the
fiscal
year.
A
change
in
the
dispensing
fee
shall
become
26
effective
following
federal
approval
of
the
Medicaid
state
27
plan.
28
(2)
The
department
shall
utilize
an
average
acquisition
29
cost
reimbursement
methodology
for
all
drugs
covered
under
the
30
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
31
chapter
1133,
section
33
.
32
c.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
33
reimbursement
rates
for
outpatient
hospital
services
shall
34
remain
at
the
rates
in
effect
on
June
30,
2022,
subject
to
35
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S.F.
_____
H.F.
_____
Medicaid
program
upper
payment
limit
rules,
and
adjusted
1
as
necessary
to
maintain
expenditures
within
the
amount
2
appropriated
to
the
department
for
this
purpose
for
the
fiscal
3
year.
4
(2)
For
the
fiscal
year
beginning
July
1,
2022,
5
reimbursement
rates
for
inpatient
hospital
services
shall
6
remain
at
the
rates
in
effect
on
June
30,
2022,
subject
to
7
Medicaid
program
upper
payment
limit
rules,
and
adjusted
8
as
necessary
to
maintain
expenditures
within
the
amount
9
appropriated
to
the
department
for
this
purpose
for
the
fiscal
10
year.
11
(3)
For
the
fiscal
year
beginning
July
1,
2022,
under
12
both
fee-for-service
and
managed
care
administration
of
13
the
Medicaid
program,
critical
access
hospitals
shall
be
14
reimbursed
for
inpatient
and
outpatient
services
based
on
the
15
hospital-specific
critical
access
hospital
cost
adjustment
16
factor
methodology
utilizing
the
most
recent
and
complete
cost
17
reporting
period
as
applied
prospectively
within
the
funds
18
appropriated
for
such
purpose
for
the
fiscal
year.
19
(4)
For
the
fiscal
year
beginning
July
1,
2022,
the
graduate
20
medical
education
and
disproportionate
share
hospital
fund
21
shall
remain
at
the
amount
in
effect
on
June
30,
2022,
except
22
that
the
portion
of
the
fund
attributable
to
graduate
medical
23
education
shall
be
reduced
in
an
amount
that
reflects
the
24
elimination
of
graduate
medical
education
payments
made
to
25
out-of-state
hospitals.
26
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
27
funds
in
procuring
health
care
services
for
low-income
Iowans,
28
funds
appropriated
in
this
Act
for
hospital
services
shall
29
not
be
used
for
activities
which
would
be
excluded
from
a
30
determination
of
reasonable
costs
under
the
federal
Medicare
31
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
32
d.
For
the
fiscal
year
beginning
July
1,
2022,
reimbursement
33
rates
for
hospices
and
acute
psychiatric
hospitals
shall
be
34
increased
in
accordance
with
increases
under
the
federal
35
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123
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_____
H.F.
_____
Medicare
program
or
as
supported
by
their
Medicare
audited
1
costs.
2
e.
For
the
fiscal
year
beginning
July
1,
2022,
independent
3
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
4
using
the
same
methodology
in
effect
on
June
30,
2022.
5
f.
(1)
For
the
fiscal
year
beginning
July
1,
2022,
6
reimbursement
rates
for
home
health
agencies
shall
continue
to
7
be
based
on
the
Medicare
low
utilization
payment
adjustment
8
(LUPA)
methodology
with
state
geographic
wage
adjustments.
9
The
department
shall
continue
to
update
the
rates
every
two
10
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
11
extent
possible
within
the
state
funding
appropriated
for
this
12
purpose.
13
(2)
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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_____
H.F.
_____
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
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123
S.F.
_____
H.F.
_____
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
psychiatrists
shall
be
reimbursed
at
the
medical
3
assistance
program
fee-for-service
rate
in
effect
on
June
30,
4
2022.
5
o.
For
the
fiscal
year
beginning
July
1,
2022,
community
6
mental
health
centers
may
choose
to
be
reimbursed
for
the
7
services
provided
to
recipients
of
medical
assistance
through
8
either
of
the
following
options:
9
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
10
(2)
In
accordance
with
the
alternative
reimbursement
rate
11
methodology
approved
by
the
department
of
human
services
in
12
effect
on
June
30,
2022.
13
p.
For
the
fiscal
year
beginning
July
1,
2022,
the
14
reimbursement
rate
for
providers
of
family
planning
services
15
that
are
eligible
to
receive
a
90
percent
federal
match
shall
16
remain
at
the
rates
in
effect
on
June
30,
2022.
17
q.
For
the
fiscal
year
beginning
July
1,
2022,
the
upper
18
limits
and
reimbursement
rates
for
providers
of
home
and
19
community-based
services
waiver
services
and
habilitation
20
services
shall
be
reimbursed
using
the
reimbursement
21
methodology
in
effect
on
June
30,
2022.
22
r.
For
the
fiscal
year
beginning
July
1,
2022,
the
23
reimbursement
rates
for
emergency
medical
service
providers
24
shall
remain
at
the
rates
in
effect
on
June
30,
2022,
or
as
25
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
26
the
United
States
department
of
health
and
human
services.
27
s.
For
the
fiscal
year
beginning
July
1,
2022,
reimbursement
28
rates
for
substance-related
disorder
treatment
programs
29
licensed
under
section
125.13
shall
remain
at
the
rates
in
30
effect
on
June
30,
2022.
31
t.
For
the
fiscal
year
beginning
July
1,
2022,
assertive
32
community
treatment
per
diem
rates
shall
remain
at
the
rates
in
33
effect
on
June
30,
2022.
34
u.
For
the
fiscal
year
beginning
July
1,
2022,
the
35
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123
S.F.
_____
H.F.
_____
reimbursement
rate
for
family-centered
services
providers
shall
1
be
established
by
contract.
2
2.
For
the
fiscal
year
beginning
July
1,
2022,
the
3
reimbursement
rate
for
providers
reimbursed
under
the
4
in-home-related
care
program
shall
not
be
less
than
the
minimum
5
payment
level
as
established
by
the
federal
government
to
meet
6
the
federally
mandated
maintenance
of
effort
requirement.
7
3.
Unless
otherwise
directed
in
this
section,
when
the
8
department’s
reimbursement
methodology
for
any
provider
9
reimbursed
in
accordance
with
this
section
includes
an
10
inflation
factor,
this
factor
shall
not
exceed
the
amount
11
by
which
the
consumer
price
index
for
all
urban
consumers
12
increased
during
the
calendar
year
ending
December
31,
2002.
13
4.
Notwithstanding
section
234.38
,
for
the
fiscal
14
year
beginning
July
1,
2022,
the
foster
family
basic
daily
15
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
16
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
17
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
18
children
ages
12
through
15
years
shall
be
$19.10,
and
the
19
rate
for
children
and
young
adults
ages
16
and
older
shall
20
be
$19.35.
For
youth
ages
18
to
23
who
have
exited
foster
21
care,
the
preparation
for
adult
living
program
maintenance
22
rate
shall
be
up
to
$602.70
per
month
as
calculated
based
on
23
the
age
of
the
participant.
The
maximum
payment
for
adoption
24
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
25
disallowance
of
additional
amounts
for
court
costs
and
other
26
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
27
chapter
1031,
section
408
,
shall
be
continued.
28
5.
For
the
fiscal
year
beginning
July
1,
2022,
the
maximum
29
reimbursement
rates
for
social
services
providers
under
30
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2022,
31
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
32
each
service,
whichever
is
less.
However,
if
a
new
service
33
or
service
provider
is
added
after
June
30,
2022,
the
initial
34
reimbursement
rate
for
the
service
or
provider
shall
be
based
35
-104-
LSB
1013XG
(22)
89
pf/rn
104/
123
S.F.
_____
H.F.
_____
upon
a
weighted
average
of
provider
rates
for
similar
services.
1
6.
a.
For
the
fiscal
year
beginning
July
1,
2022,
the
2
reimbursement
rates
for
resource
family
recruitment
and
3
retention
contractors
shall
be
established
by
contract.
4
b.
For
the
fiscal
year
beginning
July
1,
2022,
the
5
reimbursement
rates
for
supervised
apartment
living
foster
care
6
providers
shall
be
established
by
contract.
7
7.
For
the
fiscal
year
beginning
July
1,
2022,
the
8
reimbursement
rate
for
group
foster
care
providers
shall
be
the
9
combined
service
and
maintenance
reimbursement
rate
established
10
by
contract.
11
8.
The
group
foster
care
reimbursement
rates
paid
for
12
placement
of
children
out
of
state
shall
be
calculated
13
according
to
the
same
rate-setting
principles
as
those
used
for
14
in-state
providers,
unless
the
director
of
human
services
or
15
the
director’s
designee
determines
that
appropriate
care
cannot
16
be
provided
within
the
state.
The
payment
of
the
daily
rate
17
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
18
which
service
is
provided.
19
9.
a.
For
the
fiscal
year
beginning
July
1,
2022,
the
20
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
21
emergency
services
implemented
to
provide
or
prevent
the
need
22
for
shelter
care
shall
be
established
by
contract.
23
b.
For
the
fiscal
year
beginning
July
1,
2022,
the
combined
24
service
and
maintenance
components
of
the
reimbursement
rate
25
paid
for
shelter
care
services
shall
be
based
on
the
financial
26
and
statistical
report
submitted
to
the
department.
The
27
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
28
department
shall
reimburse
a
shelter
care
provider
at
the
29
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
30
to
exceed
the
maximum
reimbursement
rate.
31
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
32
fiscal
year
beginning
July
1,
2022,
the
amount
of
the
statewide
33
average
of
the
actual
and
allowable
rates
for
reimbursement
of
34
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
35
-105-
LSB
1013XG
(22)
89
pf/rn
105/
123
S.F.
_____
H.F.
_____
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
1
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
2
2021.
3
10.
For
the
fiscal
year
beginning
July
1,
2022,
the
4
department
shall
calculate
reimbursement
rates
for
intermediate
5
care
facilities
for
persons
with
an
intellectual
disability
6
at
the
80th
percentile.
Beginning
July
1,
2022,
the
rate
7
calculation
methodology
shall
utilize
the
consumer
price
index
8
inflation
factor
applicable
to
the
fiscal
year
beginning
July
9
1,
2022.
10
11.
Effective
July
1,
2022,
the
child
care
provider
11
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
12
30,
2022.
The
department
shall
set
rates
in
a
manner
so
as
13
to
provide
incentives
for
a
nonregistered
provider
to
become
14
registered
by
applying
any
increase
only
to
registered
and
15
licensed
providers.
16
12.
The
department
may
adopt
emergency
rules
to
implement
17
this
section.
18
Sec.
72.
EMERGENCY
RULES.
19
1.
If
specifically
authorized
by
a
provision
of
this
20
division
of
this
Act,
the
department
of
human
services
or
21
the
mental
health
and
disabilities
services
commission
may
22
adopt
administrative
rules
under
section
17A.4,
subsection
3,
23
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
24
provisions
of
this
division
of
this
Act
and
the
rules
shall
25
become
effective
immediately
upon
filing
or
on
a
later
26
effective
date
specified
in
the
rules,
unless
the
effective
27
date
of
the
rules
is
delayed
or
the
applicability
of
the
rules
28
is
suspended
by
the
administrative
rules
review
committee.
Any
29
rules
adopted
in
accordance
with
this
section
shall
not
take
30
effect
before
the
rules
are
reviewed
by
the
administrative
31
rules
review
committee.
The
delay
authority
provided
to
32
the
administrative
rules
review
committee
under
section
33
17A.8,
subsections
9
and
10,
shall
be
applicable
to
a
delay
34
imposed
under
this
section,
notwithstanding
a
provision
in
35
-106-
LSB
1013XG
(22)
89
pf/rn
106/
123
S.F.
_____
H.F.
_____
those
subsections
making
them
inapplicable
to
section
17A.5,
1
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
2
with
the
provisions
of
this
section
shall
also
be
published
as
3
a
notice
of
intended
action
as
provided
in
section
17A.4.
4
2.
If
during
a
fiscal
year,
the
department
of
human
5
services
is
adopting
rules
in
accordance
with
this
section
6
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
7
rules
will
result
in
an
expenditure
increase
beyond
the
amount
8
anticipated
in
the
budget
process
or
if
the
expenditure
was
9
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
10
department
shall
notify
the
legislative
services
agency
and
11
the
department
of
management
concerning
the
rules
and
the
12
expenditure
increase.
The
notification
shall
be
provided
at
13
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
14
is
submitted
to
the
administrative
rules
coordinator
and
the
15
administrative
code
editor.
16
Sec.
73.
REPORTS.
Any
reports
or
other
information
required
17
to
be
compiled
and
submitted
under
this
Act
during
the
fiscal
18
year
beginning
July
1,
2022,
shall
be
submitted
to
the
general
19
assembly
on
or
before
the
dates
specified
for
submission
of
the
20
reports
or
information.
21
Sec.
74.
EFFECTIVE
UPON
ENACTMENT.
The
following
22
provisions
of
this
division
of
this
Act,
being
deemed
of
23
immediate
importance,
take
effect
upon
enactment:
24
The
provision
relating
to
section
232.141
and
directing
the
25
state
court
administrator
and
the
division
administrator
of
26
the
department
of
human
services
division
of
child
and
family
27
services
to
make
the
determination,
by
June
15,
2022,
of
the
28
distribution
of
funds
allocated
for
the
payment
of
the
expenses
29
of
court-ordered
services
provided
to
juveniles
which
are
a
30
charge
upon
the
state.
31
DIVISION
XII
32
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2022-2023
33
Sec.
75.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
34
appropriated
from
the
pharmaceutical
settlement
account
created
35
-107-
LSB
1013XG
(22)
89
pf/rn
107/
123
S.F.
_____
H.F.
_____
in
section
249A.33
to
the
department
of
human
services
for
the
1
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
2023,
2
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
3
used
for
the
purpose
designated:
4
Notwithstanding
any
provision
of
law
to
the
contrary,
to
5
supplement
the
appropriations
made
in
this
Act
for
health
6
program
operations
under
the
medical
assistance
program
for
the
7
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
2023:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
9
Sec.
76.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
10
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
11
subject
to
the
availability
of
funds,
there
is
appropriated
12
from
the
quality
assurance
trust
fund
created
in
section
13
249L.4
to
the
department
of
human
services
for
the
fiscal
year
14
beginning
July
1,
2022,
and
ending
June
30,
2023,
the
following
15
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
16
designated:
17
To
supplement
the
appropriation
made
in
this
Act
from
the
18
general
fund
of
the
state
to
the
department
of
human
services
19
for
medical
assistance
for
the
same
fiscal
year:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
56,305,139
21
Sec.
77.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
22
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
23
the
contrary
and
subject
to
the
availability
of
funds,
there
is
24
appropriated
from
the
hospital
health
care
access
trust
fund
25
created
in
section
249M.4
to
the
department
of
human
services
26
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
27
30,
2023,
the
following
amounts,
or
so
much
thereof
as
is
28
necessary,
for
the
purposes
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
33
Sec.
78.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
34
FOR
FY
2022-2023.
Notwithstanding
section
8.33
,
if
moneys
35
-108-
LSB
1013XG
(22)
89
pf/rn
108/
123
S.F.
_____
H.F.
_____
appropriated
for
purposes
of
the
medical
assistance
program
for
1
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
2
2023,
from
the
general
fund
of
the
state,
the
quality
assurance
3
trust
fund,
and
the
hospital
health
care
access
trust
fund,
are
4
in
excess
of
actual
expenditures
for
the
medical
assistance
5
program
and
remain
unencumbered
or
unobligated
at
the
close
6
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
7
shall
remain
available
for
expenditure
for
the
purposes
of
the
8
medical
assistance
program
until
the
close
of
the
succeeding
9
fiscal
year.
10
DIVISION
XIII
11
DECATEGORIZATION
CARRYOVER
FUNDING
12
Sec.
79.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2019
——
13
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
14
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
15
the
funding
pool
that
remained
unencumbered
or
unobligated
16
at
the
close
of
the
fiscal
year
beginning
July
1,
2018,
and
17
were
deemed
carryover
funding
to
remain
available
for
the
two
18
succeeding
fiscal
years
that
still
remain
unencumbered
or
19
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
20
2020,
shall
not
revert
but
shall
be
transferred
to
the
medical
21
assistance
program
for
the
fiscal
year
beginning
July
1,
2021.
22
Sec.
80.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
23
deemed
of
immediate
importance,
takes
effect
upon
enactment.
24
Sec.
81.
RETROACTIVE
APPLICABILITY.
This
division
of
this
25
Act
applies
retroactively
to
July
1,
2020.
26
DIVISION
XIV
27
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS
28
FAMILY
INVESTMENT
PROGRAM
ACCOUNT
29
Sec.
82.
2019
Iowa
Acts,
chapter
85,
section
9,
as
amended
30
by
2020
Iowa
Acts,
chapter
1121,
section
20,
is
amended
by
31
adding
the
following
new
subsection:
32
NEW
SUBSECTION
.
8.
Notwithstanding
section
8.33,
moneys
33
appropriated
in
this
section
that
remain
unencumbered
or
34
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
35
-109-
LSB
1013XG
(22)
89
pf/rn
109/
123
S.F.
_____
H.F.
_____
but
shall
remain
available
for
expenditure
for
the
purposes
1
designated,
and
may
be
transferred
to
other
appropriations
made
2
in
this
division
of
this
Act
as
necessary
to
carry
out
the
3
initiatives
included
in
the
report
submitted
on
nonreversion
4
of
funds
required
pursuant
to
2020
Iowa
Acts,
chapter
1121,
5
section
43,
until
the
close
of
the
succeeding
fiscal
year.
6
CHILD
AND
FAMILY
SERVICES
7
Sec.
83.
2019
Iowa
Acts,
chapter
85,
section
19,
as
amended
8
by
2020
Iowa
Acts,
chapter
1121,
section
23,
is
amended
by
9
adding
the
following
new
subsection:
10
NEW
SUBSECTION
.
25.
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
expenditure
for
the
purpose
of
14
the
redesign
of
the
child
welfare
system,
until
the
close
of
15
the
succeeding
fiscal
year.
16
Sec.
84.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
17
deemed
of
immediate
importance,
takes
effect
upon
enactment.
18
DIVISION
XV
19
EXTENSION
OF
FUTURE
REPEAL
——
HOSPITAL
HEALTH
CARE
ACCESS
20
ASSESSMENT
PROGRAM
21
Sec.
85.
Section
249M.5,
Code
2021,
is
amended
to
read
as
22
follows:
23
249M.5
Future
repeal.
24
This
chapter
is
repealed
July
1,
2021
2023
.
25
Sec.
86.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
26
deemed
of
immediate
importance,
takes
effect
upon
enactment.
27
DIVISION
XVI
28
PUBLIC
ASSISTANCE
PROGRAM
OVERSIGHT
29
Sec.
87.
NEW
SECTION
.
239.1
Definitions.
30
As
used
in
this
chapter,
unless
the
context
otherwise
31
requires:
32
1.
“Applicant”
means
an
individual
who
is
applying
for
33
public
assistance
benefits
in
the
state.
34
2.
“Asset”
or
“asset
test”
means
all
assets
of
the
members
35
-110-
LSB
1013XG
(22)
89
pf/rn
110/
123
S.F.
_____
H.F.
_____
of
the
applicant’s
household,
including
all
of
the
following:
1
a.
All
bank
accounts,
excluding
retirement
accounts
of
2
members
of
the
household.
3
b.
All
cash,
excluding
the
first
two
thousand
dollars
of
4
members
of
the
household.
5
c.
All
lottery
and
gambling
income
of
the
household
whether
6
received
as
a
lump
sum
or
installment
payments.
7
d.
All
real
estate,
excluding
the
primary
household
8
residence
and
surrounding
lot.
9
e.
All
other
personal
property
excluding
personal
10
belongings,
household
goods,
and
one
vehicle.
11
3.
“Department”
means
the
department
of
human
services.
12
4.
“Public
assistance”
means
SNAP
(the
supplemental
13
nutrition
assistance
program),
the
Medicaid
program,
FIP
(the
14
family
investment
program),
and
CHIP
(the
children’s
health
15
insurance
program).
16
5.
“Real-time
system”
means
real-time
electronic
access
17
to
a
system
that
allows
verification
of
all
applicable
public
18
assistance
program
eligibility
information
based
on
the
19
most
recent
information
available
to
the
department
through
20
nonmodeled
earned
and
unearned
income,
such
as
commercially
21
available
wage
data.
22
6.
“Recipient”
means
an
individual
who
is
receiving
public
23
assistance
benefits
in
the
state.
24
Sec.
88.
NEW
SECTION
.
239.2
Asset
test
for
supplemental
25
nutrition
assistance
program.
26
1.
For
the
purposes
of
determining
eligibility
for
receipt
27
of
SNAP
benefits,
the
department
shall
conduct
an
asset
test
28
on
all
members
of
the
applicant’s
household.
The
allowable
29
financial
resources
to
be
included
in
or
excluded
from
a
30
determination
of
eligibility
for
SNAP
shall
be
those
specified
31
in
7
U.S.C.
§2014(g)(1).
32
2.
Prior
to
determining
eligibility
for
SNAP
benefits,
33
the
department
shall
access,
at
a
minimum,
for
every
member
34
of
the
applicant’s
household,
the
following
information
from
35
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H.F.
_____
the
following
federal,
state,
and
miscellaneous
sources,
or
1
successor
sources:
2
a.
Federal
sources
and
information:
3
(1)
Earned
and
unearned
income
information
maintained
by
4
the
internal
revenue
service.
5
(2)
The
following
sources
and
information
maintained
by
the
6
United
States
social
security
administration:
7
(a)
Earned
income
information.
8
(b)
Death
register
information.
9
(c)
Prisoner
or
incarceration
status
information.
10
(d)
Supplemental
security
income
information
maintained
in
11
the
state
data
exchange
database.
12
(e)
Beneficiary
records
and
earnings
information
maintained
13
in
the
beneficiary
and
earnings
data
exchange
database.
14
(f)
Earnings
and
pension
information
maintained
in
the
15
beneficiary
earnings
exchange
record
system
database.
16
(3)
The
following
sources
and
information
maintained
by
the
17
United
States
department
of
health
and
human
services:
18
(a)
Income
and
employment
information
maintained
in
the
19
national
directory
of
new
hires
database
by
the
office
of
child
20
support
enforcement
of
the
administration
for
children
and
21
families.
22
(b)
Other
federal
data
sources
maintained
by
the
office
of
23
child
support
enforcement
of
the
administration
for
children
24
and
families.
25
b.
State
sources
and
information:
26
(1)
The
department’s
sources
and
information
including
but
27
not
limited
to
all
of
the
following:
28
(a)
Income
and
employment
information
maintained
by
the
29
child
support
recovery
unit.
30
(b)
Child
care
assistance
information
maintained
by
the
31
division
of
child
and
family
services.
32
(c)
Enrollment
status
in
other
public
assistance
programs.
33
(2)
The
department
of
workforce
development
sources
and
34
information
including
all
of
the
following:
35
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(a)
Employment
information.
1
(b)
Employer
weekly,
monthly,
and
quarterly
reports
of
2
income
and
unemployment
insurance
payments.
3
(3)
The
Iowa
public
employees’
retirement
system
for
4
earnings
and
pension
information.
5
c.
Miscellaneous
sources:
6
(1)
Any
existing
real-time
database
of
persons
currently
7
receiving
benefits
in
other
states,
such
as
the
national
8
accuracy
clearinghouse.
9
(2)
Any
databases
maintained
by
the
Iowa
lottery
10
commission.
11
(3)
Any
existing
real-time
eligibility
system
that
includes
12
employment
and
income
information
maintained
by
a
consumer
13
reporting
agency,
as
defined
by
the
federal
Fair
Credit
14
Reporting
Act,
15
U.S.C.
§1681a,
for
the
purpose
of
obtaining
15
real-time
employment
and
income
information.
16
3.
Prior
to
determining
eligibility
for
SNAP
benefits,
the
17
department
shall
access
information
for
every
member
of
the
18
applicant’s
household
from
the
following
public
records:
19
a.
A
nationwide
public
records
data
source
of
physical
asset
20
ownership.
The
data
source
may
include
but
is
not
limited
to
21
real
property,
automobiles,
watercraft,
aircraft,
and
luxury
22
vehicles,
or
any
other
vehicle
owned
by
the
applicant.
23
b.
National
and
state
financial
institutions
in
order
24
to
locate
undisclosed
depository
accounts
or
verify
account
25
balances
of
disclosed
accounts.
26
4.
The
department
shall
enter
into
a
memorandum
of
27
understanding
with
any
department,
division,
bureau,
section,
28
unit,
or
any
other
subunit
of
a
department
to
obtain
the
29
information
specified
in
this
section.
30
5.
The
provisions
of
this
section
shall
not
apply
if
every
31
member
of
the
applicant’s
household
receives
supplemental
32
security
income.
33
Sec.
89.
NEW
SECTION
.
239.3
Verification
and
authentication
34
systems
——
public
assistance
programs.
35
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H.F.
_____
1.
By
July
1,
2023,
the
department
shall
redesign
an
1
existing
system;
establish
a
new
computerized
income,
asset,
2
and
identity
eligibility
verification
system;
or
contract
with
3
a
third-party
vendor
to
provide
for
identity
verification,
4
identity
authentication,
asset
verification,
and
dual
5
enrollment
prevention
in
order
to
deter
waste,
fraud,
and
6
abuse
in
each
public
assistance
program
administered
by
the
7
department.
8
2.
The
department
may
contract
with
a
third-party
vendor
9
to
develop
or
provide
a
service
for
a
real-time
eligibility
10
system
that
allows
the
department
to
verify
or
authenticate
11
income,
assets,
and
identity
eligibility
of
applicants
and
12
recipients
to
prevent
fraud,
misrepresentation,
and
inadequate
13
documentation
when
determining
eligibility
for
public
14
assistance
programs.
The
system
shall
be
accessed
prior
to
15
determining
eligibility,
periodically
between
eligibility
16
redeterminations,
and
during
eligibility
redeterminations
17
and
reviews.
The
department
may
also
contract
with
a
18
third-party
vendor
to
provide
information
to
facilitate
19
reviews
of
recipient
eligibility
conducted
by
the
department.
20
Specifically,
the
department
may
contract
with
a
third-party
21
consumer
reporting
agency,
as
defined
by
the
federal
Fair
22
Credit
Reporting
Act,
15
U.S.C.
§1681a,
for
the
purpose
of
23
obtaining
real-time
employment
and
income
information.
24
3.
A
contract
entered
into
under
this
section
shall
provide,
25
at
a
minimum,
for
all
of
the
following:
26
a.
The
establishment
of
the
annual
savings
amount
from
27
utilization
of
the
system
or
service,
and
a
provision
that
the
28
contract
may
be
terminated
contingent
upon
the
savings
not
29
exceeding
the
total
yearly
cost
to
the
state
for
utilization
of
30
the
system
or
service.
31
b.
That
the
contract
shall
not
preclude
the
department
32
from
continuing
to
conduct
additional
eligibility
verification
33
or
authentication
processes,
to
receive,
review,
or
verify
34
additional
information
related
to
the
eligibility
of
an
35
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H.F.
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individual,
or
from
contracting
with
a
third-party
vendor
to
1
provide
additional
eligibility
authentication
or
verification
2
information.
3
4.
The
department
shall
seek
federal
approval
as
necessary
4
to
implement
and
administer
this
section.
5
Sec.
90.
NEW
SECTION
.
239.4
Public
assistance
programs
——
6
applicant
and
recipient
eligibility
verification.
7
1.
All
applications
for
initial
public
assistance
8
program
benefits
and
all
determinations
of
ongoing
recipient
9
eligibility
shall
be
processed
through
a
system
as
specified
10
in
this
section.
Complete
initial
applications
shall
be
11
processed
within
the
minimum
period
required
by
federal
law.
12
Prior
to
determining
initial
eligibility
of
an
applicant
for,
13
or
ongoing
eligibility
of
a
recipient
of,
public
assistance,
14
the
department
shall
access
information
for
every
applicant
or
15
recipient
from
the
following
federal,
state,
and
other
sources:
16
a.
Federal
sources
and
information:
17
(1)
Earned
and
unearned
income
information
maintained
by
18
the
internal
revenue
service.
19
(2)
The
following
sources
and
information
maintained
by
the
20
United
States
social
security
administration:
21
(a)
Earned
income
information.
22
(b)
Death
register
information.
23
(c)
Prisoner
or
incarceration
status
information.
24
(d)
Supplemental
security
income
information
maintained
in
25
the
state
data
exchange
database.
26
(e)
Beneficiary
records
and
earnings
information
maintained
27
in
the
beneficiary
and
earnings
data
exchange
database.
28
(f)
Earnings
and
pension
information
maintained
in
the
29
beneficiary
earnings
exchange
record
system
database.
30
(3)
The
following
sources
and
information
maintained
by
the
31
United
States
department
of
health
and
human
services:
32
(a)
Income
and
employment
information
maintained
in
the
33
national
directory
of
new
hires
database
by
the
office
of
child
34
support
enforcement
of
the
administration
for
children
and
35
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H.F.
_____
families.
1
(b)
Other
federal
data
sources
maintained
by
the
office
of
2
child
support
enforcement
of
the
administration
for
children
3
and
families.
4
(4)
Information
maintained
by
the
United
States
citizenship
5
and
immigration
services
of
the
United
States
department
of
6
homeland
security.
7
(5)
Payment
information
for
public
housing
and
section
8
8
housing
assistance
guidelines
maintained
by
the
United
States
9
department
of
housing
and
urban
development.
10
(6)
National
fleeing
felon
information
maintained
by
the
11
United
States
federal
bureau
of
investigation.
12
b.
State
sources
and
information:
13
(1)
The
department’s
sources
and
information
including
but
14
not
limited
to
all
of
the
following:
15
(a)
Income
and
employment
information
maintained
by
the
16
child
support
recovery
unit.
17
(b)
Child
care
assistance
information
maintained
by
the
18
division
of
child
and
family
services.
19
(c)
Enrollment
status
in
other
public
assistance
programs.
20
(2)
The
department
of
workforce
development
sources
and
21
information
including
all
of
the
following:
22
(a)
Employment
information.
23
(b)
Employer
weekly,
monthly,
and
quarterly
reports
of
24
income
and
unemployment
insurance
payments.
25
(3)
The
Iowa
public
employees’
retirement
system
for
26
earnings
and
pension
information.
27
c.
Other
sources
including
all
of
the
following:
28
(1)
Any
existing
real-time
database
of
persons
currently
29
receiving
benefits
in
other
states,
such
as
the
national
30
accuracy
clearinghouse.
31
(2)
An
available
database
of
persons
who
currently
hold
a
32
license,
permit,
or
certificate
from
any
state
agency,
the
cost
33
of
which
exceeds
five
hundred
dollars.
34
(3)
Wage
reporting
and
similar
information
maintained
by
35
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_____
H.F.
_____
states
contiguous
to
Iowa.
1
(4)
A
third-party
consumer
reporting
agency,
as
defined
2
by
the
federal
Fair
Credit
Reporting
Act,
15
U.S.C.
§1681a,
3
for
the
purpose
of
obtaining
real-time
employment
and
income
4
information.
5
2.
Prior
to
determining
the
initial
eligibility
of
an
6
applicant
for,
or
the
ongoing
eligibility
of
a
recipient
7
of,
public
assistance
benefits,
the
department
shall
access
8
information
for
every
applicant
or
recipient
from,
at
a
9
minimum,
the
following
public
records:
10
a.
A
nationwide
public
records
data
source
of
physical
asset
11
ownership.
The
data
source
may
include
but
is
not
limited
to
12
real
property,
automobiles,
watercraft,
aircraft,
and
luxury
13
vehicles,
or
any
other
vehicle
owned
by
the
applicant
for
or
14
recipient
of
assistance.
15
b.
A
nationwide
public
records
data
source
of
incarcerated
16
individuals.
17
c.
A
nationwide
best
address
and
driver’s
license
data
18
source
to
verify
that
individuals
are
residents
of
the
state.
19
d.
A
comprehensive
public
records
database
from
which
the
20
department
may
identify
potential
identity
fraud
or
identity
21
theft
that
is
capable
of
closely
associating
name,
social
22
security
number,
date
of
birth,
phone,
and
address
information.
23
e.
National
and
local
financial
institutions
in
order
24
to
locate
undisclosed
depository
accounts
or
verify
account
25
balances
of
disclosed
accounts.
26
f.
Outstanding
default
or
arrest
warrant
information.
27
3.
The
state
may
contract
with
a
third-party
consumer
28
reporting
agency,
as
defined
by
the
federal
Fair
Credit
29
Reporting
Act,
15
U.S.C.
§1681a,
for
the
purpose
of
obtaining
30
real-time
employment
and
income
information
under
this
section.
31
Sec.
91.
NEW
SECTION
.
239.5
Identity
authentication.
32
Unless
otherwise
prohibited
by
federal
law
or
regulation,
33
prior
to
the
department
awarding
public
assistance
benefits,
an
34
applicant
shall
complete
a
computerized
identity
authentication
35
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S.F.
_____
H.F.
_____
process
to
confirm
the
identity
of
the
applicant.
Identity
1
authentication
shall
be
accomplished
through
a
knowledge-based
2
questionnaire
consisting
of
financial
and
personal
questions.
3
The
questionnaire
shall
contain
questions
tailored
to
assist
4
persons
without
a
bank
account
or
those
who
have
poor
access
5
to
financial
and
banking
services
or
who
do
not
have
an
6
established
credit
history.
The
questionnaire
may
be
submitted
7
by
the
applicant
online,
in
person,
or
via
telephone.
8
Sec.
92.
NEW
SECTION
.
239.6
Case
review
of
applicant
and
9
recipient
information.
10
1.
If
the
information
obtained
from
a
review
of
an
11
applicant’s
or
recipient’s
information
under
this
chapter
does
12
not
result
in
the
department
finding
a
discrepancy
or
change
13
in
an
individual’s
circumstances
affecting
eligibility,
the
14
department
shall
take
no
further
action.
15
2.
If
the
information
obtained
from
a
review
of
the
16
applicant’s
or
recipient’s
information
under
this
chapter
17
results
in
the
department
finding
a
discrepancy
or
change
in
18
the
individual’s
circumstances
affecting
eligibility,
the
19
department
shall
respond
in
accordance
with
the
provisions
of
20
section
239.8.
21
Sec.
93.
NEW
SECTION
.
239.7
Notice
and
right
to
be
heard.
22
1.
An
applicant
for,
or
recipient
of,
public
assistance
23
shall
be
provided
written
notice
and
the
opportunity
to
explain
24
any
issues
identified
in
a
review
performed
under
this
chapter
25
for
initial
eligibility
or
redetermination
of
eligibility.
26
Unless
otherwise
prohibited
by
federal
law
or
regulation,
27
a
self-declaration
by
an
applicant
or
recipient
shall
not
28
be
accepted
as
verification
of
categorical
and
financial
29
eligibility
during
such
review.
30
2.
The
notice
provided
to
the
applicant
or
recipient
shall
31
describe
in
sufficient
detail
the
circumstances
of
the
issue
32
identified,
the
manner
in
which
the
applicant
or
recipient
33
may
respond,
and
the
consequences
of
failing
to
respond
to
34
the
notice
or
resolve
the
issue
identified.
The
applicant
or
35
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recipient
shall
be
provided
ten
days
to
respond
to
the
notice.
1
The
department
may
request
additional
information
as
necessary
2
to
reach
a
decision.
3
3.
An
applicant
or
recipient
may
respond
to
the
notice
as
4
follows:
5
a.
By
disagreeing
with
the
findings
of
the
department.
If
6
the
applicant
or
recipient
responds
in
a
timely
manner
and
7
disagrees
with
the
findings
of
the
department,
the
department
8
shall
reevaluate
the
circumstances
to
determine
if
the
9
applicant’s
or
recipient’s
position
is
valid.
If,
through
10
reevaluation,
the
department
finds
that
the
department
is
in
11
error,
the
department
shall
take
immediate
action
to
correct
12
the
error.
If,
through
reevaluation,
the
department
affirms
13
that
the
applicant’s
or
recipient’s
position
is
invalid,
the
14
department
shall
determine
the
effect
on
the
applicant’s
or
15
recipient’s
eligibility
and
take
appropriate
action.
Written
16
notice
of
the
department’s
determination
and
the
actions
taken
17
shall
be
provided
to
the
applicant
or
recipient.
18
b.
By
agreeing
with
the
findings
of
the
department.
If
19
the
applicant
or
recipient
responds
in
a
timely
manner
and
20
agrees
with
the
findings
of
the
department,
the
department
21
shall
determine
the
effect
on
the
applicant’s
or
recipient’s
22
eligibility
and
take
appropriate
action.
Written
notice
of
the
23
department’s
determination
and
actions
taken
shall
be
provided
24
to
the
applicant
or
recipient.
25
4.
If
the
applicant
or
recipient
fails
to
respond
to
the
26
notice
in
a
timely
manner,
the
department
shall
provide
notice
27
to
terminate
the
applicant’s
application
or
to
discontinue
28
the
recipient’s
enrollment
for
failure
to
cooperate,
and
29
shall
terminate
the
applicant’s
application
or
discontinue
30
the
recipient’s
enrollment.
The
applicant’s
or
recipient’s
31
eligibility
for
such
public
assistance
shall
not
be
established
32
or
reestablished
until
the
issue
has
been
resolved.
33
Sec.
94.
NEW
SECTION
.
239.8
Referrals
for
fraud,
34
misrepresentation,
or
inadequate
documentation.
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1.
Following
a
review
of
an
applicant’s
or
recipient’s
1
eligibility
under
this
chapter,
the
department
may
refer
cases
2
of
suspected
fraud
along
with
any
supportive
information
to
the
3
department
of
inspections
and
appeals
for
review.
4
2.
In
cases
of
substantiated
fraud,
upon
conviction,
the
5
state
shall
review
all
appropriate
legal
options
including
6
but
not
limited
to
removal
of
a
recipient
from
other
public
7
assistance
programs
and
garnishment
of
wages
or
state
income
8
tax
refunds
until
the
department
recovers
an
equal
amount
of
9
benefits
fraudulently
claimed.
10
3.
The
department
may
refer
suspected
cases
of
fraud,
11
misrepresentation,
or
inadequate
documentation
relating
to
12
initial
or
continued
eligibility
to
appropriate
state
agencies,
13
divisions,
or
departments
for
review
of
eligibility
issues
in
14
programs
providing
public
benefits
other
than
those
as
defined
15
in
this
chapter.
16
Sec.
95.
NEW
SECTION
.
239.9
Administration
——
rules
——
17
reporting.
18
1.
The
department
of
human
services
shall
adopt
rules
19
pursuant
to
chapter
17A
to
administer
this
chapter.
20
2.
The
department
shall
submit
a
report
to
the
governor
21
and
the
general
assembly
by
January
15,
2024,
and
by
January
22
15
annually
thereafter
through
January
15,
2028,
detailing
the
23
impact
of
the
verification
and
authentication
measures
taken
24
under
this
chapter.
The
report
shall
include
data
for
all
25
affected
public
assistance
programs
including
the
number
of
26
cases
reviewed,
the
number
of
cases
closed,
the
number
of
fraud
27
investigation
referrals
made,
and
the
amount
of
savings
and
28
cost
avoidance
realized
from
the
provisions
of
this
chapter.
29
Sec.
96.
IMPLEMENTATION.
30
1.
The
department
of
human
services
shall
request
federal
31
approval
including
for
any
state
plan
amendment
or
waiver
32
necessary
to
administer
this
Act.
33
2.
The
provisions
of
this
Act
requiring
federal
approval
34
shall
be
implemented
upon
receipt
of
such
federal
approval.
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3.
The
provisions
of
this
Act
not
requiring
federal
approval
1
shall
be
implemented
as
specified
in
this
Act,
or
if
not
2
specified
in
this
Act,
no
later
than
July
1,
2023.
3
4.
The
department
may
contract
with
multiple
third-party
4
vendors
to
administer
this
Act.
5
EXPLANATION
6
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
7
the
explanation’s
substance
by
the
members
of
the
general
assembly.
8
This
bill
relates
to
appropriations
for
health
and
human
9
services
for
fiscal
years
2021-2022
and
2022-2023
to
the
10
department
of
veterans
affairs,
Iowa
veterans
home,
department
11
on
aging
(IDA),
office
of
long-term
care
ombudsman,
department
12
of
public
health
(DPH),
Iowa
finance
authority,
department
of
13
human
rights,
and
department
of
human
services
(DHS).
The
bill
14
is
organized
into
divisions
for
each
fiscal
year.
15
DEPARTMENT
ON
AGING.
This
division
makes
appropriations
16
from
the
general
fund
of
the
state
to
the
department
on
aging.
17
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
makes
18
appropriations
from
the
general
fund
of
the
state
to
the
office
19
of
long-term
care
ombudsman.
20
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
makes
21
appropriations
from
the
general
fund
of
the
state
and
from
22
the
sports
wagering
receipts
fund
to
the
department
of
public
23
health.
24
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
25
division
makes
appropriations
from
the
general
fund
of
the
26
state
to
the
department
of
veterans
affairs
for
administration,
27
the
Iowa
veterans
home,
for
transfer
to
the
Iowa
finance
28
authority
for
the
home
ownership
assistance
program
and
for
the
29
county
commissions
of
veteran
affairs.
30
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
makes
31
appropriations
from
the
general
fund
of
the
state
and
the
32
federal
temporary
assistance
for
needy
families
block
33
grant
to
DHS.
The
allocation
for
the
family
development
34
and
self-sufficiency
grant
program
is
made
directly
to
35
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the
department
of
human
rights.
The
reimbursement
section
1
addresses
reimbursement
for
providers
reimbursed
by
the
2
department
of
human
services.
3
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
makes
certain
4
health-related
appropriations.
A
number
of
the
appropriations
5
are
made
for
purposes
of
the
Medicaid
program
in
addition
to
6
the
general
fund
appropriations
made
for
this
purpose
for
the
7
same
fiscal
year.
8
DECATEGORIZATION
CARRYOVER
FUNDING.
This
division
provides
9
for
the
transfer
of
carryover
decategorization
funds
that
10
remained
unencumbered
or
unobligated
at
the
close
of
the
fiscal
11
year
beginning
July
1,
2020,
to
the
Medicaid
program
for
12
FY
2021-2022.
The
division
takes
effect
upon
enactment
and
is
13
retroactively
applicable
to
July
1,
2020.
14
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS.
This
division
15
provides
that
funds
appropriated
to
the
department
of
human
16
services
and
credited
to
the
family
investment
program
account
17
that
remain
unencumbered
or
unobligated
at
the
close
of
18
FY
2020-2021
shall
not
revert
but
shall
remain
available
for
19
expenditure
for
the
purposes
designated,
and
may
be
transferred
20
to
other
appropriations
as
necessary
to
carry
out
the
21
initiatives
included
in
the
report
submitted
on
nonreversion
22
of
funds
required
pursuant
to
2020
Iowa
Acts,
chapter
1121,
23
section
43,
until
the
close
of
the
succeeding
fiscal
year.
24
The
division
also
provides
that
funds
appropriated
to
the
25
department
of
human
services
for
child
and
family
services
that
26
remain
unencumbered
or
unobligated
at
the
close
of
FY
2020-2021
27
shall
not
revert
but
shall
remain
available
for
expenditure
for
28
the
purpose
of
the
redesign
of
the
child
welfare
system,
until
29
the
close
of
the
succeeding
fiscal
year.
30
The
division
takes
effect
upon
enactment.
31
EXTENSION
OF
REPEAL
FOR
HOSPITAL
HEALTH
CARE
ACCESS
32
ASSESSMENT
PROGRAM.
This
division
extends
the
repeal
of
33
the
hospital
health
care
access
assessment
program
chapter,
34
Code
chapter
249M,
from
July
1,
2021,
to
July
1,
2023.
This
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provision
takes
effect
upon
enactment.
1
PUBLIC
ASSISTANCE
PROGRAM
OVERSIGHT.
This
division
relates
2
to
public
assistance
program
oversight,
including
various
3
eligibility
verification
and
authentication
measures
under
4
new
Code
chapter
239
relating
to
the
supplemental
nutrition
5
assistance
program
(SNAP),
the
Medicaid
program,
the
family
6
investment
program
(FIP),
and
the
children’s
health
insurance
7
program
(CHIP).
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