House
Study
Bill
248
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
APPROPRIATIONS
BILL
BY
CHAIRPERSON
MOHR)
A
BILL
FOR
An
Act
relating
to
appropriations
for
veterans
and
health
and
1
human
services
and
including
other
related
provisions
and
2
appropriations
including
health
policy
oversight,
public
3
assistance
program
provisions
and
a
public
assistance
4
modernization
fund,
sprinkler
systems
for
home
and
5
community-based
services
waiver
recipient
residences,
a
6
state-funded
family
medicine
obstetrics
fellowship
program
7
and
fund,
adoption
subsidy
program
nonrecurring
adoption
8
expenses,
real
estate
transactions
involving
departmental
9
institutions,
providing
penalties,
and
including
effective
10
date
and
other
applicability
date
provisions.
11
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
12
TLSB
1004YC
(6)
90
pf/rn
H.F.
_____
DIVISION
I
1
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2023-2024
2
Section
1.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
3
appropriated
from
the
general
fund
of
the
state
to
the
4
department
of
veterans
affairs
for
the
fiscal
year
beginning
5
July
1,
2023,
and
ending
June
30,
2024,
the
following
amounts,
6
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
7
designated:
8
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
9
For
salaries,
support,
maintenance,
and
miscellaneous
10
purposes,
and
for
not
more
than
the
following
full-time
11
equivalent
positions:
12
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$
1,033,289
13
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FTEs
15.00
14
2.
IOWA
VETERANS
HOME
15
For
salaries,
support,
maintenance,
and
miscellaneous
16
purposes:
17
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$
7,115,335
18
a.
The
Iowa
veterans
home
billings
involving
the
department
19
of
health
and
human
services
shall
be
submitted
to
the
20
department
on
at
least
a
monthly
basis.
21
b.
The
Iowa
veterans
home
expenditure
report
shall
be
22
submitted
monthly
to
the
general
assembly.
23
c.
The
Iowa
veterans
home
shall
continue
to
include
in
the
24
annual
discharge
report
applicant
information
to
provide
for
25
the
collection
of
demographic
information
including
but
not
26
limited
to
the
number
of
individuals
applying
for
admission
and
27
admitted
or
denied
admittance
and
the
basis
for
the
admission
28
or
denial;
the
age,
gender,
and
race
of
such
individuals;
29
and
the
level
of
care
for
which
such
individuals
applied
for
30
admission
including
residential
or
nursing
level
of
care.
31
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
32
For
transfer
to
the
Iowa
finance
authority
for
the
33
continuation
of
the
home
ownership
assistance
program
for
34
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
35
-1-
LSB
1004YC
(6)
90
pf/rn
1/
82
H.F.
_____
the
United
States,
pursuant
to
section
16.54
:
1
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$
2,200,000
2
Sec.
2.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
3
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
4
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
5
July
1,
2023,
and
ending
June
30,
2024,
the
amount
appropriated
6
from
the
general
fund
of
the
state
pursuant
to
that
section
7
for
the
following
designated
purposes
shall
not
exceed
the
8
following
amount:
9
For
the
county
commissions
of
veteran
affairs
fund
under
10
section
35A.16
:
11
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$
990,000
12
DIVISION
II
13
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
AGING
——
FY
14
2023-2024
15
Sec.
3.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
16
AGING.
There
is
appropriated
from
the
general
fund
of
the
17
state
to
the
department
of
health
and
human
services
for
the
18
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
19
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
20
used
for
the
purposes
designated:
21
For
aging
programs
for
the
department
of
health
and
human
22
services
and
area
agencies
on
aging
to
provide
citizens
of
23
Iowa
who
are
60
years
of
age
and
older
with
case
management,
24
Iowa’s
aging
and
disabilities
resource
center,
and
other
25
services
which
may
include
but
are
not
limited
to
adult
26
day,
respite
care,
chore,
information
and
assistance,
and
27
material
aid,
for
information
and
options
counseling
for
28
persons
with
disabilities
who
are
18
years
of
age
or
older,
29
and
for
salaries,
support,
administration,
maintenance,
and
30
miscellaneous
purposes,
and
for
not
more
than
the
following
31
full-time
equivalent
positions:
32
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$
11,799,361
33
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FTEs
31.00
34
1.
Funds
appropriated
in
this
section
may
be
used
to
35
-2-
LSB
1004YC
(6)
90
pf/rn
2/
82
H.F.
_____
supplement
federal
funds
under
federal
regulations.
To
1
receive
funds
appropriated
in
this
section,
a
local
area
2
agency
on
aging
shall
match
the
funds
with
moneys
from
other
3
sources
according
to
rules
adopted
by
the
department.
Funds
4
appropriated
in
this
section
may
be
used
for
elderly
services
5
not
specifically
enumerated
in
this
section
only
if
approved
6
by
an
area
agency
on
aging
for
provision
of
the
service
within
7
the
area.
8
2.
Of
the
funds
appropriated
in
this
section,
$418,700
is
9
transferred
to
the
Iowa
commission
on
volunteer
service
to
be
10
used
for
the
retired
and
senior
volunteer
program.
11
3.
a.
The
department
of
health
and
human
services
shall
12
establish
and
enforce
procedures
relating
to
expenditure
13
of
state
and
federal
funds
by
area
agencies
on
aging
that
14
require
compliance
with
both
state
and
federal
laws,
rules,
and
15
regulations,
including
but
not
limited
to
all
of
the
following:
16
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
17
or
services
received
or
performed
prior
to
the
end
of
the
18
fiscal
period
designated
for
use
of
the
funds.
19
(2)
Prohibiting
prepayment
for
goods
or
services
not
20
received
or
performed
prior
to
the
end
of
the
fiscal
period
21
designated
for
use
of
the
funds.
22
(3)
Prohibiting
prepayment
for
goods
or
services
not
23
defined
specifically
by
good
or
service,
time
period,
or
24
recipient.
25
(4)
Prohibiting
the
establishment
of
accounts
from
which
26
future
goods
or
services
which
are
not
defined
specifically
by
27
good
or
service,
time
period,
or
recipient,
may
be
purchased.
28
b.
The
procedures
shall
provide
that
if
any
funds
are
29
expended
in
a
manner
that
is
not
in
compliance
with
the
30
procedures
and
applicable
federal
and
state
laws,
rules,
and
31
regulations,
and
are
subsequently
subject
to
repayment,
the
32
area
agency
on
aging
expending
such
funds
in
contravention
of
33
such
procedures,
laws,
rules
and
regulations,
not
the
state,
34
shall
be
liable
for
such
repayment.
35
-3-
LSB
1004YC
(6)
90
pf/rn
3/
82
H.F.
_____
4.
Of
the
funds
appropriated
in
this
section,
$1,312,000
1
shall
be
used
for
the
purposes
of
chapter
231E
and
to
2
administer
the
prevention
of
elder
abuse,
neglect,
and
3
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
4
with
the
requirements
of
the
federal
Older
Americans
Act
of
5
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
6
5.
Of
the
funds
appropriated
in
this
section,
$1,000,000
7
shall
be
used
to
fund
continuation
of
the
aging
and
disability
8
resource
center
lifelong
links
to
provide
individuals
and
9
caregivers
with
information
and
services
to
plan
for
and
10
maintain
independence.
11
6.
Of
the
funds
appropriated
in
this
section,
$850,000
12
shall
be
used
by
the
department
of
health
and
human
services,
13
in
collaboration
with
affected
stakeholders,
to
continue
to
14
expand
the
pilot
initiative
to
provide
long-term
care
options
15
counseling
utilizing
support
planning
protocols,
to
assist
16
non-Medicaid
eligible
consumers
who
indicate
a
preference
17
to
return
to
the
community
and
are
deemed
appropriate
for
18
discharge,
to
return
to
their
community
following
a
nursing
19
facility
stay;
and
shall
be
used
by
the
department
to
fund
home
20
and
community-based
services
to
enable
older
individuals
to
21
avoid
more
costly
utilization
of
residential
or
institutional
22
services
and
remain
in
their
homes.
The
department
shall
23
submit
a
report
regarding
the
outcomes
of
the
pilot
initiative
24
to
the
governor
and
the
general
assembly
by
December
15,
2023.
25
DIVISION
III
26
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2023-2024
27
Sec.
4.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
28
appropriated
from
the
general
fund
of
the
state
to
the
office
29
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
30
1,
2023,
and
ending
June
30,
2024,
the
following
amount,
or
31
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
32
designated:
33
For
salaries,
support,
administration,
maintenance,
and
34
miscellaneous
purposes,
and
for
not
more
than
the
following
35
-4-
LSB
1004YC
(6)
90
pf/rn
4/
82
H.F.
_____
full-time
equivalent
positions:
1
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$
1,148,959
2
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FTEs
12.00
3
DIVISION
IV
4
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
PUBLIC
HEALTH
——
FY
5
2023-2024
6
Sec.
5.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
PUBLIC
7
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
8
state
to
the
department
of
health
and
human
services
for
the
9
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
10
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
11
be
used
for
the
purposes
designated:
12
1.
ADDICTIVE
DISORDERS
13
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
14
and
other
drugs,
and
treating
individuals
affected
by
addictive
15
behaviors,
including
gambling,
and
for
not
more
than
the
16
following
full-time
equivalent
positions:
17
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$
23,656,992
18
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FTEs
12.00
19
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
20
$4,020,894
shall
be
used
for
the
tobacco
use
prevention
and
21
control
initiative,
including
efforts
at
the
state
and
local
22
levels,
as
provided
in
chapter
142A
.
The
commission
on
tobacco
23
use
prevention
and
control
established
pursuant
to
section
24
142A.3
shall
advise
the
director
of
health
and
human
services
25
in
prioritizing
funding
needs
and
the
allocation
of
moneys
26
appropriated
for
the
programs
and
initiatives.
Activities
27
of
the
programs
and
initiatives
shall
be
in
alignment
with
28
the
United
States
centers
for
disease
control
and
prevention
29
best
practices
for
comprehensive
tobacco
control
programs
30
that
include
the
goals
of
preventing
youth
initiation
of
31
tobacco
usage,
reducing
exposure
to
secondhand
smoke,
and
32
promotion
of
tobacco
cessation.
To
maximize
resources,
33
the
department
shall
determine
if
third-party
sources
are
34
available
to
instead
provide
nicotine
replacement
products
35
-5-
LSB
1004YC
(6)
90
pf/rn
5/
82
H.F.
_____
to
an
applicant
prior
to
provision
of
such
products
to
an
1
applicant
under
the
initiative.
The
department
shall
track
and
2
report
to
the
governor
and
the
general
assembly
any
reduction
3
in
the
provision
of
nicotine
replacement
products
realized
4
by
the
initiative
through
implementation
of
the
prerequisite
5
screening.
6
(2)
(a)
The
department
shall
collaborate
with
the
7
department
of
revenue
for
enforcement
of
tobacco
laws,
8
regulations,
and
ordinances
and
to
engage
in
tobacco
control
9
activities
approved
by
the
departments
as
specified
in
10
the
memorandum
of
understanding
entered
into
between
the
11
departments.
12
(b)
For
the
fiscal
year
beginning
July
1,
2023,
and
ending
13
June
30,
2024,
the
terms
of
the
memorandum
of
understanding,
14
entered
into
between
the
department
of
revenue
and
the
15
department,
governing
compliance
checks
conducted
to
ensure
16
licensed
retail
tobacco
outlet
conformity
with
tobacco
laws,
17
regulations,
and
ordinances
relating
to
persons
under
21
years
18
of
age,
shall
continue
to
restrict
the
number
of
such
checks
to
19
one
check
per
retail
outlet,
and
one
additional
check
for
any
20
retail
outlet
found
to
be
in
violation
during
the
first
check.
21
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
22
$19,638,485
shall
be
used
for
problem
gambling
and
substance
23
use
disorder
prevention,
treatment,
and
recovery
services,
24
including
a
24-hour
helpline,
public
information
resources,
25
professional
training,
youth
prevention,
and
program
26
evaluation.
27
(2)
Of
the
amount
allocated
under
this
paragraph,
28
$306,000
shall
be
utilized
by
the
department
to
maintain
29
a
single
statewide
24-hour
crisis
hotline
for
the
Iowa
30
children’s
behavioral
health
system
that
incorporates
warmline
31
services
which
may
be
provided
through
expansion
of
existing
32
capabilities
as
required
pursuant
to
2018
Iowa
Acts,
chapter
33
1056,
section
16
.
34
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
35
-6-
LSB
1004YC
(6)
90
pf/rn
6/
82
H.F.
_____
by
the
appropriations
and
allocations
made
in
this
division
of
1
this
Act
for
purposes
of
substance
use
disorder
treatment
and
2
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2023.
3
2.
HEALTHY
CHILDREN
AND
FAMILIES
4
For
promoting
the
optimum
health
status
for
children
and
5
adolescents
from
birth
through
21
years
of
age,
and
families,
6
and
for
not
more
than
the
following
full-time
equivalent
7
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,815,491
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
10
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
11
than
$734,000
shall
be
used
for
the
healthy
opportunities
for
12
parents
to
experience
success
(HOPES)-healthy
families
Iowa
13
(HFI)
program
established
pursuant
to
section
135.106
.
14
b.
In
order
to
implement
the
legislative
intent
stated
15
in
sections
135.106
and
256I.9
,
priority
for
home
visitation
16
program
funding
shall
be
given
to
programs
using
evidence-based
17
or
promising
models
for
home
visitation.
18
c.
Of
the
funds
appropriated
in
this
subsection,
$3,075,000
19
shall
be
used
for
continuation
of
the
department’s
initiative
20
to
provide
for
adequate
developmental
surveillance
and
21
screening
during
a
child’s
first
five
years.
The
funds
shall
22
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
23
the
sites
are
fully
operational,
with
the
remaining
funds
24
to
be
used
for
expansion
to
additional
sites.
The
full
25
implementation
and
expansion
shall
include
enhancing
the
scope
26
of
the
initiative
through
collaboration
with
the
child
health
27
specialty
clinics
to
promote
healthy
child
development
through
28
early
identification
and
response
to
both
biomedical
and
social
29
determinants
of
healthy
development;
by
monitoring
child
30
health
metrics
to
inform
practice,
document
long-term
health
31
impacts
and
savings,
and
provide
for
continuous
improvement
32
through
training,
education,
and
evaluation;
and
by
providing
33
for
practitioner
consultation
particularly
for
children
with
34
behavioral
conditions
and
needs.
The
department
shall
also
35
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LSB
1004YC
(6)
90
pf/rn
7/
82
H.F.
_____
collaborate
with
the
Medicaid
program
and
the
child
health
1
specialty
clinics
to
integrate
the
activities
of
the
first
five
2
initiative
into
the
establishment
of
patient-centered
medical
3
homes,
community
utilities,
accountable
care
organizations,
4
and
other
integrated
care
models
developed
to
improve
health
5
quality
and
population
health
while
reducing
health
care
costs.
6
To
the
maximum
extent
possible,
funding
allocated
in
this
7
paragraph
shall
be
utilized
as
matching
funds
for
Medicaid
8
program
reimbursement.
9
d.
Of
the
funds
appropriated
in
this
subsection,
$64,000
10
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
11
funds
to
continue
the
donated
dental
services
program
patterned
12
after
the
projects
developed
by
the
dental
lifeline
network
to
13
provide
dental
services
to
indigent
individuals
who
are
elderly
14
or
with
disabilities.
15
e.
Of
the
funds
appropriated
in
this
subsection,
$156,000
16
shall
be
used
to
provide
audiological
services
and
hearing
aids
17
for
children.
18
f.
Of
the
funds
appropriated
in
this
subsection,
$23,000
is
19
transferred
to
the
university
of
Iowa
college
of
dentistry
for
20
provision
of
primary
dental
services
to
children.
State
funds
21
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
22
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
23
department
to
provide
dental
care
to
underserved
populations
24
throughout
the
state.
25
g.
Of
the
funds
appropriated
in
this
subsection,
$50,000
26
shall
be
used
to
address
youth
suicide
prevention.
27
h.
Of
the
funds
appropriated
in
this
subsection,
$40,000
28
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
29
of
children
who
experience
adverse
childhood
experiences
known
30
as
ACEs.
31
i.
Of
the
funds
appropriated
in
this
subsection,
up
to
32
$494,000
shall
be
used
for
childhood
obesity
prevention.
33
3.
CHRONIC
CONDITIONS
34
For
serving
individuals
identified
as
having
chronic
35
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1004YC
(6)
90
pf/rn
8/
82
H.F.
_____
conditions
or
special
health
care
needs,
and
for
not
more
than
1
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,256,595
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
4
a.
Of
the
funds
appropriated
in
this
subsection,
$188,000
5
shall
be
used
for
grants
to
individual
patients
who
have
an
6
inherited
metabolic
disorder
to
assist
with
the
costs
of
7
medically
necessary
foods
and
formula.
8
b.
Of
the
funds
appropriated
in
this
subsection,
$1,055,000
9
shall
be
used
for
the
brain
injury
services
program
pursuant
10
to
section
135.22B
,
including
$861,000
for
contracting
with
an
11
existing
nationally
affiliated
and
statewide
organization
whose
12
purpose
is
to
educate,
serve,
and
support
Iowans
with
brain
13
injury
and
their
families,
for
resource
facilitator
services
14
in
accordance
with
section
135.22B,
subsection
9
,
and
for
15
contracting
to
enhance
brain
injury
training
and
recruitment
16
of
service
providers
on
a
statewide
basis.
Of
the
amount
17
allocated
in
this
paragraph,
$95,000
shall
be
used
to
fund
18
1.00
full-time
equivalent
position
to
serve
as
the
state
brain
19
injury
services
program
manager.
20
c.
Of
the
funds
appropriated
in
this
subsection,
$144,000
21
shall
be
used
for
the
public
purpose
of
continuing
to
contract
22
with
an
existing
nationally
affiliated
organization
to
provide
23
education,
client-centered
programs,
and
client
and
family
24
support
for
people
living
with
epilepsy
and
their
families.
25
The
amount
allocated
in
this
paragraph
in
excess
of
$50,000
26
shall
be
matched
dollar-for-dollar
by
the
organization
27
specified.
Funds
allocated
under
this
paragraph
shall
be
28
distributed
in
their
entirety
for
the
purpose
specified
on
July
29
1,
2023.
30
d.
Of
the
funds
appropriated
in
this
subsection,
$809,000
31
shall
be
used
for
child
health
specialty
clinics.
32
e.
Of
the
funds
appropriated
in
this
subsection,
$384,000
33
shall
be
used
by
the
regional
autism
assistance
program
34
established
pursuant
to
section
256.35
,
and
administered
by
35
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1004YC
(6)
90
pf/rn
9/
82
H.F.
_____
the
child
health
specialty
clinic
located
at
the
university
of
1
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
2
interagency
collaboration
and
coordination
of
educational,
3
medical,
and
other
health
and
human
services
for
persons
with
4
autism,
their
families,
and
providers
of
services,
including
5
delivering
regionalized
services
of
care
coordination,
6
family
navigation,
and
integration
of
services
through
the
7
statewide
system
of
regional
child
health
specialty
clinics
and
8
fulfilling
other
requirements
as
specified
in
chapter
225D
.
9
The
university
of
Iowa
shall
not
receive
funds
allocated
under
10
this
paragraph
for
indirect
costs
associated
with
the
regional
11
autism
assistance
program.
12
f.
Of
the
funds
appropriated
in
this
subsection,
$577,000
13
shall
be
used
for
the
comprehensive
cancer
control
program
to
14
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
15
detection,
effective
treatment,
and
ensuring
quality
of
life.
16
Of
the
funds
allocated
in
this
paragraph
“f”,
$150,000
shall
17
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
18
biorepository
and
registry,
basic
and
translational
melanoma
19
research,
and
clinical
trials.
20
g.
Of
the
funds
appropriated
in
this
subsection,
$97,000
21
shall
be
used
for
cervical
and
colon
cancer
screening,
and
22
$177,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
23
cancer
screening
program
to
include
provision
of
recommended
24
prevention
and
early
detection
measures
to
a
broader
range
of
25
low-income
women.
26
h.
Of
the
funds
appropriated
in
this
subsection,
$506,000
27
shall
be
used
for
the
center
for
congenital
and
inherited
28
disorders.
29
4.
COMMUNITY
CAPACITY
30
For
strengthening
the
health
care
delivery
system
at
the
31
local
level,
and
for
not
more
than
the
following
full-time
32
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,435,682
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
35
-10-
LSB
1004YC
(6)
90
pf/rn
10/
82
H.F.
_____
a.
Of
the
funds
appropriated
in
this
subsection,
$95,000
1
is
allocated
for
continuation
of
the
child
vision
screening
2
program
implemented
through
the
university
of
Iowa
hospitals
3
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
4
The
program
shall
submit
a
report
to
the
department
regarding
5
the
use
of
funds
allocated
under
this
paragraph
“a”.
The
6
report
shall
include
the
objectives
and
results
for
the
7
program
year
including
the
target
population
and
how
the
funds
8
allocated
assisted
the
program
in
meeting
the
objectives;
the
9
number,
age,
and
location
within
the
state
of
individuals
10
served;
the
type
of
services
provided
to
the
individuals
11
served;
the
distribution
of
funds
based
on
the
services
12
provided;
and
the
continuing
needs
of
the
program.
13
b.
Of
the
funds
appropriated
in
this
subsection,
14
$48,000
shall
be
used
for
a
grant
to
a
statewide
association
15
of
psychologists,
that
is
affiliated
with
the
American
16
psychological
association,
to
be
used
for
continuation
of
a
17
program
to
rotate
intern
psychologists
in
placements
that
18
serve
urban
and
rural
mental
health
professional
shortage
19
areas.
Once
an
intern
psychologist
begins
service,
the
intern
20
psychologist
may
continue
serving
in
the
location
of
the
intern
21
psychologist’s
placement,
notwithstanding
any
change
in
the
22
mental
health
professional
shortage
area
designation
of
such
23
location.
The
intern
psychologist
may
also
provide
services
24
via
telehealth,
to
underserved
populations,
and
to
Medicaid
25
members.
For
the
purposes
of
this
paragraph
“b”,
“mental
26
health
professional
shortage
area”
means
a
geographic
area
27
in
this
state
that
has
been
designated
by
the
United
States
28
department
of
health
and
human
services,
health
resources
and
29
services
administration,
bureau
of
health
professionals,
as
30
having
a
shortage
of
mental
health
professionals.
31
c.
Of
the
funds
appropriated
in
this
subsection,
the
32
following
amounts
are
allocated
to
be
used
as
follows
33
to
support
the
goals
of
increased
access,
health
system
34
integration,
and
engagement:
35
-11-
LSB
1004YC
(6)
90
pf/rn
11/
82
H.F.
_____
(1)
Not
less
than
$600,000
is
allocated
to
the
Iowa
1
prescription
drug
corporation
for
continuation
of
the
2
pharmaceutical
infrastructure
originally
established
for
safety
3
net
providers
as
described
in
2007
Iowa
Acts,
chapter
218,
4
section
108
,
and
for
the
prescription
drug
donation
repository
5
program
created
in
chapter
135M
.
Funds
allocated
under
this
6
subparagraph
shall
be
distributed
in
their
entirety
for
the
7
purpose
specified
on
July
1,
2023.
8
(2)
Not
less
than
$334,000
is
allocated
to
free
clinics
and
9
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
10
coordination,
provider
recruitment,
service
delivery,
and
11
provision
of
assistance
to
patients
in
securing
a
medical
home
12
inclusive
of
oral
health
care.
Funds
allocated
under
this
13
subparagraph
shall
be
distributed
in
their
entirety
for
the
14
purpose
specified
on
July
1,
2023.
15
(3)
Not
less
than
$25,000
is
allocated
to
the
Iowa
16
association
of
rural
health
clinics
for
necessary
17
infrastructure
and
service
delivery
transformation.
Funds
18
allocated
under
this
subparagraph
shall
be
distributed
in
their
19
entirety
for
the
purpose
specified
on
July
1,
2023.
20
(4)
Not
less
than
$225,000
is
allocated
to
the
Polk
21
county
medical
society
for
continuation
of
the
safety
net
22
provider
patients
access
to
specialty
health
care
initiative
as
23
described
in
2007
Iowa
Acts,
chapter
218,
section
109
.
Funds
24
allocated
under
this
subparagraph
shall
be
distributed
in
their
25
entirety
for
the
purpose
specified
on
July
1,
2023.
26
d.
Of
the
funds
appropriated
in
this
subsection,
$191,000
27
is
allocated
for
the
purposes
of
health
care
and
public
health
28
workforce
initiatives.
29
e.
Of
the
funds
appropriated
in
this
subsection,
$96,000
30
shall
be
used
for
a
matching
dental
education
loan
repayment
31
program
to
be
allocated
to
a
dental
nonprofit
health
service
32
corporation
to
continue
to
develop
the
criteria
and
implement
33
the
loan
repayment
program.
34
f.
Of
the
funds
appropriated
in
this
subsection,
$100,000
35
-12-
LSB
1004YC
(6)
90
pf/rn
12/
82
H.F.
_____
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
1
specified
in
section
142C.18
.
2
g.
Of
the
funds
appropriated
in
this
subsection,
$96,000
3
shall
be
used
for
continuation
of
a
grant
to
a
nationally
4
affiliated
volunteer
eye
organization
that
has
an
established
5
program
for
children
and
adults
and
that
is
solely
dedicated
to
6
preserving
sight
and
preventing
blindness
through
education,
7
nationally
certified
vision
screening
and
training,
and
8
community
and
patient
service
programs.
The
contractor
shall
9
submit
a
report
to
the
general
assembly
regarding
the
use
10
of
funds
allocated
under
this
paragraph
“g”.
The
report
11
shall
include
the
objectives
and
results
for
the
program
year
12
including
the
target
population
and
how
the
funds
allocated
13
assisted
the
program
in
meeting
the
objectives;
the
number,
14
age,
grade
level
if
appropriate,
and
location
within
the
state
15
of
individuals
served;
the
type
of
services
provided
to
the
16
individuals
served;
the
distribution
of
funds
based
on
the
17
services
provided;
and
the
continuing
needs
of
the
program.
18
h.
Of
the
funds
appropriated
in
this
subsection,
$2,100,000
19
shall
be
deposited
in
the
medical
residency
training
account
20
created
in
section
135.175,
subsection
5
,
paragraph
“a”,
and
is
21
appropriated
from
the
account
to
the
department
to
be
used
for
22
the
purposes
of
the
medical
residency
training
state
matching
23
grants
program
as
specified
in
section
135.176
.
24
i.
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
j.
Of
the
funds
appropriated
in
this
subsection,
$800,000
30
shall
be
used
for
rural
psychiatric
residencies
to
annually
31
fund
six
psychiatric
residents
who
will
provide
mental
health
32
services
in
underserved
areas
of
the
state.
Notwithstanding
33
section
8.33,
moneys
that
remain
unencumbered
or
unobligated
34
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
35
-13-
LSB
1004YC
(6)
90
pf/rn
13/
82
H.F.
_____
remain
available
for
expenditure
for
the
purposes
designated
1
for
subsequent
fiscal
years.
2
k.
Of
the
funds
appropriated
in
this
subsection,
$150,000
3
shall
be
used
for
psychiatric
training
to
increase
access
to
4
mental
health
care
services
by
expanding
the
mental
health
5
workforce
via
training
of
additional
physician
assistants
and
6
nurse
practitioners.
7
1.
Of
the
funds
appropriated
in
this
subsection,
$425,000
8
shall
be
used
for
the
continuation
of
a
center
of
excellence
9
program
to
award
two
grants
to
encourage
innovation
and
10
collaboration
among
regional
health
care
providers
in
a
rural
11
area
based
upon
the
results
of
a
regional
community
needs
12
assessment
to
transform
health
care
delivery
in
order
to
13
provide
quality,
sustainable
care
that
meets
the
needs
of
the
14
local
communities.
An
applicant
for
the
grant
funds
shall
15
specify
how
the
grant
funds
will
be
expended
to
accomplish
the
16
goals
of
the
program
and
shall
provide
a
detailed
five-year
17
sustainability
plan
prior
to
being
awarded
any
grant
funding.
18
Following
the
receipt
of
grant
funding,
a
recipient
shall
19
submit
periodic
reports
as
specified
by
the
department
to
the
20
governor
and
the
general
assembly
regarding
the
recipient’s
21
expenditure
of
the
grant
funds
and
progress
in
accomplishing
22
the
program’s
goals.
23
m.
Of
the
funds
appropriated
in
this
subsection,
$560,000
24
shall
be
deposited
in
the
family
medicine
obstetrics
fellowship
25
program
fund
to
be
used
for
the
state
family
medicine
26
obstetrics
fellowship
program,
in
accordance
with
section
27
135.182,
if
enacted
in
this
Act,
to
meet
a
critical
demand
for
28
well-trained
family
medicine
obstetrics
practitioners
in
rural
29
and
underserved
areas
in
the
state.
30
n.
Of
the
funds
appropriated
in
this
subsection,
$358,201
31
is
allocated
for
the
Iowa
commission
on
volunteer
service
for
32
purposes
of
the
Iowa
state
commission
grant
program
and
the
33
Iowa’s
promise
and
Iowa
mentoring
partnership
programs.
34
(1)
Of
the
funds
allocated
in
this
paragraph,
$75,000
shall
35
-14-
LSB
1004YC
(6)
90
pf/rn
14/
82
H.F.
_____
be
used
for
the
purposes
of
the
Iowa
state
commission
grant
1
program
and
$93,201
shall
be
used
for
the
purposes
of
the
2
Iowa’s
promise
and
Iowa
mentoring
partnership
programs.
3
(2)
Notwithstanding
section
8.33,
funds
allocated
in
this
4
paragraph
that
remain
unencumbered
or
unobligated
at
the
close
5
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
6
for
expenditure
for
the
purposes
designated
until
the
close
of
7
the
succeeding
fiscal
year.
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,
and
for
not
more
than
the
following
full-time
17
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,795,902
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
6.00
20
7.
PUBLIC
PROTECTION
21
For
protecting
the
health
and
safety
of
the
public
through
22
establishing
standards
and
enforcing
regulations,
and
for
not
23
more
than
the
following
full-time
equivalent
positions:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,581,792
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
57.00
26
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
27
than
$304,000
shall
be
credited
to
the
emergency
medical
28
services
fund
created
in
section
135.25
.
Moneys
in
the
29
emergency
medical
services
fund
are
appropriated
to
the
30
department
to
be
used
for
the
purposes
of
the
fund.
31
b.
Of
the
funds
appropriated
in
this
subsection,
up
32
to
$243,000
shall
be
used
for
sexual
violence
prevention
33
programming
through
a
statewide
organization
representing
34
programs
serving
victims
of
sexual
violence
through
the
35
-15-
LSB
1004YC
(6)
90
pf/rn
15/
82
H.F.
_____
department’s
sexual
violence
prevention
program,
and
for
1
continuation
of
a
training
program
for
sexual
assault
2
response
team
(SART)
members,
including
representatives
of
3
law
enforcement,
victim
advocates,
prosecutors,
and
certified
4
medical
personnel.
The
amount
allocated
in
this
paragraph
“b”
5
shall
not
be
used
to
supplant
funding
administered
for
other
6
sexual
violence
prevention
or
victims
assistance
programs.
7
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
8
$750,000
shall
be
used
for
the
state
poison
control
center.
9
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
1140,
10
section
102
,
the
federal
matching
funds
available
to
the
11
state
poison
control
center
from
the
department
under
the
12
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
13
allotment
shall
be
subject
to
the
federal
administrative
cap
14
rule
of
10
percent
applicable
to
funding
provided
under
Tit.
15
XXI
of
the
federal
Social
Security
Act
and
included
within
the
16
department’s
calculations
of
the
cap.
17
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
18
$504,000
shall
be
used
for
childhood
lead
poisoning
provisions.
19
8.
RESOURCE
MANAGEMENT
20
For
establishing
and
sustaining
the
overall
ability
of
the
21
department
to
deliver
services
to
the
public,
and
for
not
more
22
than
the
following
full-time
equivalent
positions:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
933,543
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
25
9.
MISCELLANEOUS
PROVISIONS
26
The
university
of
Iowa
hospitals
and
clinics
under
the
27
control
of
the
state
board
of
regents
shall
not
receive
28
indirect
costs
from
the
funds
appropriated
in
this
section.
29
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
30
department
shall
be
on
at
least
a
quarterly
basis.
31
10.
IOWA
HEALTH
INFORMATION
NETWORK
ENHANCEMENTS
32
The
department
shall
work
with
the
board
established
33
in
chapter
135D
to
develop
plans
for
program
enhancements
34
in
the
Iowa
health
information
network,
for
the
purpose
of
35
-16-
LSB
1004YC
(6)
90
pf/rn
16/
82
H.F.
_____
empowering
Iowa
patients
to
access
and
direct
their
health
1
information
utilizing
the
Iowa
health
information
network.
2
Program
enhancements
shall
protect
data
privacy,
facilitate
the
3
interchange
of
health
data
for
the
purpose
of
improving
public
4
health
outcomes,
and
increase
participation
by
health
care
5
providers.
6
Sec.
6.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
SPORTS
7
WAGERING
RECEIPTS
FUND.
There
is
appropriated
from
the
sports
8
wagering
receipts
fund
created
in
section
8.57,
subsection
6,
9
to
the
department
of
health
and
human
services
for
the
fiscal
10
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
11
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
12
used
for
the
purposes
designated:
13
For
problem
gambling
and
substance
use
disorder
prevention,
14
treatment,
and
recovery
services,
including
a
24-hour
helpline,
15
public
information
resources,
professional
training,
youth
16
prevention,
and
program
evaluation:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,750,000
18
DIVISION
V
19
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
SERVICES
——
20
FY
2023-2024
21
Sec.
7.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
22
GRANT.
There
is
appropriated
from
the
fund
created
in
section
23
8.41
to
the
department
of
health
and
human
services
for
the
24
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
25
from
moneys
received
under
the
federal
temporary
assistance
26
for
needy
families
(TANF)
block
grant
pursuant
to
the
federal
27
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
28
of
1996,
Pub.
L.
No.
104-193,
and
successor
legislation,
the
29
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
30
used
for
the
purposes
designated:
31
1.
To
be
credited
to
the
family
investment
program
(FIP)
32
account
and
used
for
assistance
under
FIP
in
accordance
with
33
chapter
239B
:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,002,006
35
-17-
LSB
1004YC
(6)
90
pf/rn
17/
82
H.F.
_____
2.
To
be
credited
to
the
FIP
account
and
used
for
the
job
1
opportunities
and
basic
skills
(JOBS)
program
and
implementing
2
family
investment
agreements
in
accordance
with
chapter
239B
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
4
3.
To
be
used
for
the
family
development
and
5
self-sufficiency
grant
program
in
accordance
with
section
6
216A.107
:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,888,980
8
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
9
subsection
that
remain
unencumbered
or
unobligated
at
the
close
10
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
11
for
expenditure
for
the
purposes
designated
until
the
close
of
12
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
13
encumbered
or
obligated
on
or
before
September
30,
2024,
the
14
moneys
shall
revert.
15
4.
For
field
operations:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
17
5.
For
general
administration:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
19
6.
For
state
child
care
assistance:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
21
a.
Of
the
funds
appropriated
in
this
subsection,
22
$26,205,412
is
transferred
to
the
child
care
and
development
23
block
grant
appropriation
made
by
the
Ninetieth
General
24
Assembly,
2023
session,
for
the
federal
fiscal
year
beginning
25
October
1,
2023,
and
ending
September
30,
2024.
Of
this
26
amount,
$200,000
shall
be
used
for
provision
of
educational
27
opportunities
to
registered
child
care
home
providers
in
order
28
to
improve
services
and
programs
offered
by
this
category
29
of
providers
and
to
increase
the
number
of
providers.
The
30
department
may
contract
with
institutions
of
higher
education
31
or
child
care
resource
and
referral
centers
to
provide
32
the
educational
opportunities.
Allowable
administrative
33
costs
under
the
contracts
shall
not
exceed
5
percent.
The
34
application
for
a
grant
shall
not
exceed
two
pages
in
length.
35
-18-
LSB
1004YC
(6)
90
pf/rn
18/
82
H.F.
_____
b.
Any
funds
appropriated
in
this
subsection
remaining
1
unallocated
shall
be
used
for
state
child
care
assistance
2
payments
for
families
who
are
employed
including
but
not
3
limited
to
individuals
enrolled
in
FIP.
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,
2023,
if
the
programs
have
13
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
14
pregnancy
prevention
programs
which
are
developed
after
July
15
1,
2023,
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
and
state
reporting,
tracking,
and
case
management
26
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
2022
Iowa
Acts
or
2023
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
-19-
LSB
1004YC
(6)
90
pf/rn
19/
82
H.F.
_____
beginning
July
1,
2023,
are
appropriated
to
the
department
of
1
health
and
human
services
to
the
extent
as
may
be
necessary
2
to
be
used
in
the
following
priority
order:
for
FIP,
for
3
state
child
care
assistance
program
payments
for
families
4
who
are
employed,
and
for
the
FIP
share
of
system
costs
for
5
eligibility
determination
and
related
functions.
The
federal
6
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
7
only
after
all
other
funds
appropriated
in
subsection
l
for
8
assistance
under
FIP,
in
subsection
6
for
state
child
care
9
assistance,
or
in
subsection
10
for
technology
needs
and
other
10
resources
necessary
to
meet
departmental
needs,
as
applicable,
11
have
been
expended.
For
the
purposes
of
this
subsection,
the
12
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
13
to
the
child
care
and
development
block
grant
appropriation
14
are
considered
fully
expended
when
the
full
amount
has
been
15
transferred.
16
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
17
general
assembly
and
department
of
management
of
the
amount
of
18
funds
appropriated
in
this
subsection
that
was
expended
in
the
19
prior
quarter.
20
12.
Of
the
amounts
appropriated
in
this
section,
21
$12,962,008
for
the
fiscal
year
beginning
July
1,
2023,
is
22
transferred
to
the
appropriation
of
the
federal
social
services
23
block
grant
made
to
the
department
of
health
and
human
services
24
for
that
fiscal
year.
25
13.
For
continuation
of
the
program
providing
categorical
26
eligibility
for
the
supplemental
nutrition
assistance
program
27
(SNAP)
as
specified
in
section
239.2,
if
enacted
by
2023
Iowa
28
Acts,
Senate
File
494:
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
-20-
LSB
1004YC
(6)
90
pf/rn
20/
82
H.F.
_____
appropriation
made
in
this
division
of
this
Act
for
the
same
1
fiscal
year
for
FIP
from
the
general
fund
of
the
state.
2
15.
With
the
exception
of
moneys
allocated
under
this
3
section
for
the
family
development
and
self-sufficiency
grant
4
program,
to
the
extent
moneys
allocated
in
this
section
are
5
deemed
by
the
department
not
to
be
necessary
to
support
the
6
purposes
for
which
they
are
allocated,
such
moneys
may
be
used
7
in
the
same
fiscal
year
for
any
other
purpose
for
which
funds
8
are
allocated
in
this
section
or
in
section
8
of
this
division
9
of
this
Act
for
the
FIP
account.
If
there
are
conflicting
10
needs,
priority
shall
first
be
given
to
the
FIP
account
as
11
specified
under
subsection
1
of
this
section
and
used
for
the
12
purposes
of
assistance
under
FIP
in
accordance
with
chapter
13
239B
,
followed
by
state
child
care
assistance
program
payments
14
for
families
who
are
employed,
followed
by
other
priorities
as
15
specified
by
the
department.
16
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
17
1.
Moneys
credited
to
the
FIP
account
for
the
fiscal
year
18
beginning
July
1,
2023,
and
ending
June
30,
2024,
shall
be
used
19
to
provide
assistance
in
accordance
with
chapter
239B
.
20
2.
The
department
may
use
a
portion
of
the
moneys
credited
21
to
the
FIP
account
under
this
section
as
necessary
for
22
salaries,
support,
maintenance,
and
miscellaneous
purposes,
23
including
administrative
and
information
technology
costs
24
associated
with
rent
reimbursement
and
other
income
assistance
25
programs
administered
by
the
department.
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
FIP
from
the
general
fund
of
the
state
in
this
35
-21-
LSB
1004YC
(6)
90
pf/rn
21/
82
H.F.
_____
division
of
this
Act
for
the
same
fiscal
year.
1
4.
Moneys
appropriated
in
this
division
of
this
Act
and
2
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
3
1,
2023,
and
ending
June
30,
2024,
are
allocated
as
follows:
4
a.
To
be
used
by
the
department
of
health
and
human
services
5
to
more
effectively
serve
participants
in
FIP
and
other
clients
6
and
to
meet
federal
reporting
requirements
under
the
federal
7
temporary
assistance
for
needy
families
block
grant:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
9
b.
To
the
department
of
health
and
human
services
for
10
staffing,
administration,
and
implementation
of
the
family
11
development
and
self-sufficiency
grant
program
in
accordance
12
with
section
216A.107
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,192,834
14
(1)
Of
the
funds
allocated
for
the
family
development
15
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
16
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
17
administration
of
the
grant
program.
18
(2)
The
department
of
health
and
human
services
may
continue
19
to
implement
the
family
development
and
self-sufficiency
grant
20
program
statewide
during
fiscal
year
2023-2024.
21
(3)
The
department
of
health
and
human
services
may
engage
22
in
activities
to
strengthen
and
improve
family
outcomes
23
measures
and
data
collection
systems
under
the
family
24
development
and
self-sufficiency
grant
program.
25
c.
For
the
diversion
subaccount
of
the
FIP
account:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,293,000
27
A
portion
of
the
moneys
allocated
for
the
diversion
28
subaccount
may
be
used
for
field
operations,
salaries,
data
29
management
system
development,
and
implementation
costs
and
30
support
deemed
necessary
by
the
director
of
health
and
human
31
services
in
order
to
administer
the
FIP
diversion
program.
To
32
the
extent
moneys
allocated
in
this
paragraph
“c”
are
deemed
33
by
the
department
not
to
be
necessary
to
support
diversion
34
activities,
such
moneys
may
be
used
for
other
efforts
intended
35
-22-
LSB
1004YC
(6)
90
pf/rn
22/
82
H.F.
_____
to
increase
engagement
by
FIP
participants
in
work,
education,
1
or
training
activities,
or
for
the
purposes
of
assistance
under
2
FIP
in
accordance
with
chapter
239B
.
3
d.
For
the
SNAP
employment
and
training
program:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
5
(1)
The
department
shall
apply
the
federal
SNAP
employment
6
and
training
state
plan
in
order
to
maximize
to
the
fullest
7
extent
permitted
by
federal
law
the
use
of
the
50
percent
8
federal
reimbursement
provisions
for
the
claiming
of
allowable
9
federal
reimbursement
funds
from
the
United
States
department
10
of
agriculture
pursuant
to
the
federal
SNAP
employment
and
11
training
program
for
providing
education,
employment,
and
12
training
services
for
eligible
SNAP
participants,
including
13
but
not
limited
to
related
dependent
care
and
transportation
14
expenses.
15
(2)
The
department
shall
continue
categorical
federal
16
SNAP
eligibility
as
specified
in
section
239.2,
if
enacted
17
by
2023
Iowa
Acts,
Senate
File
494,
consistent
with
federal
18
SNAP
requirements.
The
eligibility
provisions
shall
conform
19
to
all
federal
requirements
including
requirements
addressing
20
individuals
who
are
disqualified
for
committing
an
intentional
21
program
violation
or
are
otherwise
ineligible.
22
e.
For
the
JOBS
program,
not
more
than:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,018,258
24
5.
Of
the
child
support
collections
assigned
under
FIP,
an
25
amount
equal
to
the
federal
share
of
support
collections
shall
26
be
credited
to
the
child
support
services
appropriation
made
27
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
28
child
support
collections
received
by
child
support
services,
29
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
30
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
31
sustain
cash
flow
in
the
child
support
payments
account.
If
32
as
a
consequence
of
the
appropriations
and
allocations
made
in
33
this
section
the
resulting
amounts
are
insufficient
to
sustain
34
cash
assistance
payments
and
meet
federal
maintenance
of
effort
35
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pf/rn
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82
H.F.
_____
requirements,
the
department
shall
seek
supplemental
funding.
1
If
child
support
collections
assigned
under
FIP
are
greater
2
than
estimated
or
are
otherwise
determined
not
to
be
required
3
for
maintenance
of
effort,
the
state
share
of
either
amount
may
4
be
transferred
to
or
retained
in
the
child
support
payments
5
account.
6
Sec.
9.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
7
is
appropriated
from
the
general
fund
of
the
state
to
the
8
department
of
health
and
human
services
for
the
fiscal
year
9
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
following
10
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
11
purpose
designated:
12
To
be
credited
to
the
FIP
account
and
used
for
FIP
assistance
13
in
accordance
with
chapter
239B
and
for
other
costs
associated
14
with
providing
needs-based
benefits
or
assistance:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
41,003,575
16
1.
Of
the
funds
appropriated
in
this
section,
$6,606,198
is
17
allocated
for
the
JOBS
program.
18
2.
Of
the
funds
appropriated
in
this
section,
$4,313,854
is
19
allocated
for
the
family
development
and
self-sufficiency
grant
20
program.
21
3.
a.
Notwithstanding
section
8.39
,
for
the
fiscal
22
year
beginning
July
1,
2023,
if
necessary
to
meet
federal
23
maintenance
of
effort
requirements
or
to
transfer
federal
24
temporary
assistance
for
needy
families
block
grant
funding
25
to
be
used
for
purposes
of
the
federal
social
services
block
26
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
27
receiving
federal
funding
or
to
implement,
in
accordance
with
28
this
division
of
this
Act,
activities
currently
funded
with
29
juvenile
court
services,
county,
or
community
moneys
and
30
state
moneys
used
in
combination
with
such
moneys;
to
comply
31
with
federal
requirements;
or
to
maximize
the
use
of
federal
32
funds;
the
department
of
health
and
human
services
may
transfer
33
funds
within
or
between
any
of
the
appropriations
made
in
34
this
division
of
this
Act
and
appropriations
in
law
for
the
35
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1004YC
(6)
90
pf/rn
24/
82
H.F.
_____
federal
social
services
block
grant
to
the
department
for
the
1
following
purposes,
provided
that
the
combined
amount
of
state
2
and
federal
temporary
assistance
for
needy
families
block
grant
3
funding
for
each
appropriation
remains
the
same
before
and
4
after
the
transfer:
5
(1)
For
FIP.
6
(2)
For
state
child
care
assistance.
7
(3)
For
child
and
family
services.
8
(4)
For
field
operations.
9
(5)
For
general
administration.
10
b.
This
subsection
shall
not
be
construed
to
prohibit
the
11
use
of
existing
state
transfer
authority
for
other
purposes.
12
The
department
shall
report
any
transfers
made
pursuant
to
this
13
subsection
to
the
general
assembly.
14
4.
Of
the
funds
appropriated
in
this
section,
$195,000
15
shall
be
used
for
a
contract
for
tax
preparation
assistance
16
to
low-income
Iowans
to
expand
the
usage
of
the
earned
income
17
tax
credit.
The
purpose
of
the
contract
is
to
supply
this
18
assistance
to
underserved
areas
of
the
state.
The
department
19
shall
not
retain
any
portion
of
the
allocation
under
this
20
subsection
for
administrative
costs.
21
5.
Of
the
funds
appropriated
in
this
section,
$70,000
shall
22
be
used
for
the
continuation
of
the
parenting
program,
as
23
specified
in
441
IAC
ch.
100
,
relating
to
parental
obligations,
24
in
which
child
support
services
participates,
to
support
the
25
efforts
of
a
nonprofit
organization
committed
to
strengthening
26
the
community
through
youth
development,
healthy
living,
27
and
social
responsibility
headquartered
in
a
county
with
28
a
population
over
450,000
according
to
the
2020
certified
29
federal
census.
The
funds
allocated
in
this
subsection
shall
30
be
used
by
the
recipient
organization
to
develop
a
larger
31
community
effort,
through
public
and
private
partnerships,
to
32
support
a
broad-based
multi-county
parenthood
initiative
that
33
promotes
payment
of
child
support
obligations,
improved
family
34
relationships,
and
full-time
employment.
35
-25-
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1004YC
(6)
90
pf/rn
25/
82
H.F.
_____
6.
The
department
may
transfer
funds
appropriated
in
this
1
section,
excluding
the
allocation
in
subsection
2
for
the
2
family
development
and
self-sufficiency
grant
program,
to
the
3
appropriations
made
in
this
division
of
this
Act
for
general
4
administration
and
field
operations
as
necessary
to
administer
5
this
section,
section
7
for
the
temporary
assistance
for
needy
6
families
block
grant,
and
section
8
for
the
FIP
account.
7
Sec.
10.
CHILD
SUPPORT
SERVICES.
There
is
appropriated
from
8
the
general
fund
of
the
state
to
the
department
of
health
and
9
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
10
ending
June
30,
2024,
the
following
amount,
or
so
much
thereof
11
as
is
necessary,
to
be
used
for
the
purposes
designated:
12
For
child
support
services,
including
salaries,
support,
13
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
14
the
following
full-time
equivalent
positions:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,914,329
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
17
1.
The
department
shall
expend
up
to
$24,000,
including
18
federal
financial
participation,
for
the
fiscal
year
beginning
19
July
1,
2023,
for
a
child
support
public
awareness
campaign.
20
The
department
and
the
office
of
the
attorney
general
shall
21
cooperate
in
continuation
of
the
campaign.
The
public
22
awareness
campaign
shall
emphasize,
through
a
variety
of
23
media
activities,
the
importance
of
maximum
involvement
of
24
both
parents
in
the
lives
of
their
children
as
well
as
the
25
importance
of
payment
of
child
support
obligations.
26
2.
Federal
access
and
visitation
grant
moneys
shall
be
27
issued
directly
to
private
not-for-profit
agencies
that
provide
28
services
designed
to
increase
compliance
with
the
child
access
29
provisions
of
court
orders,
including
but
not
limited
to
30
neutral
visitation
sites
and
mediation
services.
31
3.
The
appropriation
made
to
the
department
for
child
32
support
services
may
be
used
throughout
the
fiscal
year
in
the
33
manner
necessary
for
purposes
of
cash
flow
management,
and
for
34
cash
flow
management
purposes
the
department
may
temporarily
35
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LSB
1004YC
(6)
90
pf/rn
26/
82
H.F.
_____
draw
more
than
the
amount
appropriated,
provided
the
amount
1
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
2
Sec.
11.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
3
FY
2023-2024.
Any
funds
remaining
in
the
health
care
trust
4
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
5
July
1,
2023,
and
ending
June
30,
2024,
are
appropriated
to
6
the
department
of
health
and
human
services
to
supplement
7
the
medical
assistance
program
appropriations
made
in
this
8
division
of
this
Act,
for
medical
assistance
reimbursement
and
9
associated
costs,
including
program
administration
and
costs
10
associated
with
program
implementation.
11
Sec.
12.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
12
2023-2024.
Any
funds
remaining
in
the
Medicaid
fraud
fund
13
created
in
section
249A.50
for
the
fiscal
year
beginning
July
14
1,
2023,
and
ending
June
30,
2024,
are
appropriated
to
the
15
department
of
health
and
human
services
to
supplement
the
16
medical
assistance
appropriations
made
in
this
division
of
this
17
Act,
for
medical
assistance
reimbursement
and
associated
costs,
18
including
program
administration
and
costs
associated
with
19
program
implementation.
20
Sec.
13.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
21
general
fund
of
the
state
to
the
department
of
health
and
human
22
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
23
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purpose
designated:
25
For
medical
assistance
program
reimbursement
and
associated
26
costs
as
specifically
provided
in
the
reimbursement
27
methodologies
in
effect
on
June
30,
2023,
except
as
otherwise
28
expressly
authorized
by
law,
consistent
with
options
under
29
federal
law
and
regulations,
and
contingent
upon
receipt
of
30
approval
from
the
office
of
the
governor
of
reimbursement
for
31
each
abortion
performed
under
the
program:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,543,626,779
33
1.
Iowans
support
reducing
the
number
of
abortions
34
performed
in
our
state.
Funds
appropriated
under
this
section
35
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(6)
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pf/rn
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82
H.F.
_____
shall
not
be
used
for
abortions,
unless
otherwise
authorized
1
under
this
section.
2
2.
The
provisions
of
this
section
relating
to
abortions
3
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
4
pursuant
to
chapter
249N
.
5
3.
The
department
shall
utilize
not
more
than
$60,000
of
6
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
7
health
insurance
premium
payment
program
as
established
in
1992
8
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
9
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
10
not
more
than
$5,000
may
be
expended
for
administrative
11
purposes.
12
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
13
of
health
and
human
services
for
addictive
disorders,
$950,000
14
shall
be
used
for
an
integrated
substance
use
disorder
managed
15
care
system.
The
department
shall
maintain
the
level
of
mental
16
health
and
substance
use
disorder
treatment
services
provided
17
by
the
managed
care
contractors.
The
department
shall
take
the
18
steps
necessary
to
continue
the
federal
waivers
as
necessary
to
19
maintain
the
level
of
services.
20
5.
The
department
shall
aggressively
pursue
options
for
21
providing
medical
assistance
or
other
assistance
to
individuals
22
with
special
needs
who
become
ineligible
to
continue
receiving
23
services
under
the
early
and
periodic
screening,
diagnostic,
24
and
treatment
program
under
the
medical
assistance
program
25
due
to
becoming
21
years
of
age
who
have
been
approved
for
26
additional
assistance
through
the
department’s
exception
to
27
policy
provisions,
but
who
have
health
care
needs
in
excess
28
of
the
funding
available
through
the
exception
to
policy
29
provisions.
30
6.
Of
the
funds
appropriated
in
this
section,
up
to
31
$3,050,082
may
be
transferred
to
the
field
operations
or
32
general
administration
appropriations
in
this
division
of
this
33
Act
for
operational
costs
associated
with
Part
D
of
the
federal
34
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
35
-28-
LSB
1004YC
(6)
90
pf/rn
28/
82
H.F.
_____
of
2003,
Pub.
L.
No.
108-173.
1
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
2
may
be
transferred
to
the
appropriation
in
this
division
of
3
this
Act
for
health
program
operations
to
be
used
for
clinical
4
assessment
services
and
prior
authorization
of
services.
5
8.
A
portion
of
the
funds
appropriated
in
this
section
may
6
be
transferred
to
the
appropriations
in
this
division
of
this
7
Act
for
general
administration,
health
program
operations,
the
8
children’s
health
insurance
program,
or
field
operations
to
be
9
used
for
the
state
match
cost
to
comply
with
the
payment
error
10
rate
measurement
(PERM)
program
for
both
the
medical
assistance
11
and
children’s
health
insurance
programs
as
developed
by
the
12
centers
for
Medicare
and
Medicaid
services
of
the
United
States
13
department
of
health
and
human
services
to
comply
with
the
14
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
15
No.
107-300,
and
to
support
other
reviews
and
quality
control
16
activities
to
improve
the
integrity
of
these
programs.
17
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
18
amount
is
allocated
to
supplement
the
incomes
of
residents
of
19
nursing
facilities,
intermediate
care
facilities
for
persons
20
with
mental
illness,
and
intermediate
care
facilities
for
21
persons
with
an
intellectual
disability,
with
incomes
of
less
22
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
23
personal
needs
allowance
of
$50
per
month
pursuant
to
section
24
249A.30A
.
25
10.
One
hundred
percent
of
the
nonfederal
share
of
payments
26
to
area
education
agencies
that
are
medical
assistance
27
providers
for
medical
assistance-covered
services
provided
to
28
medical
assistance-covered
children,
shall
be
made
from
the
29
appropriation
made
in
this
section.
30
11.
A
portion
of
the
funds
appropriated
in
this
section
may
31
be
transferred
to
the
appropriation
in
this
division
of
this
32
Act
for
health
program
operations
to
be
used
for
administrative
33
activities
associated
with
the
money
follows
the
person
34
demonstration
project.
35
-29-
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pf/rn
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82
H.F.
_____
12.
Of
the
funds
appropriated
in
this
section,
$349,011
1
shall
be
used
for
the
administration
of
the
health
insurance
2
premium
payment
program,
including
salaries,
support,
3
maintenance,
and
miscellaneous
purposes.
4
13.
a.
The
department
may
increase
the
amounts
allocated
5
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
6
associated
with
the
medical
assistance
program,
as
necessary,
7
to
sustain
cost
management
efforts.
The
department
shall
8
report
any
such
increase
to
the
general
assembly
and
the
9
department
of
management.
10
b.
If
the
savings
to
the
medical
assistance
program
from
11
ongoing
cost
management
efforts
exceed
the
associated
cost
12
for
the
fiscal
year
beginning
July
1,
2023,
the
department
13
may
transfer
any
savings
generated
for
the
fiscal
year
due
14
to
medical
assistance
program
cost
management
efforts
to
the
15
appropriation
made
in
this
division
of
this
Act
for
health
16
program
operations
or
general
administration
to
defray
the
17
costs
associated
with
implementing
the
efforts.
18
14.
For
the
fiscal
year
beginning
July
1,
2023,
and
ending
19
June
30,
2024,
the
replacement
generation
tax
revenues
required
20
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
21
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
22
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
23
to
and
supplement
the
appropriation
made
in
this
section
and
24
used
for
the
allocations
made
in
this
section.
25
15.
a.
Of
the
funds
appropriated
in
this
section,
up
26
to
$50,000
may
be
transferred
by
the
department
to
the
27
appropriation
made
in
this
division
of
this
Act
to
the
28
department
for
the
same
fiscal
year
for
general
administration
29
to
be
used
for
associated
administrative
expenses
and
for
not
30
more
than
1.00
full-time
equivalent
position,
in
addition
to
31
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
32
implementing
the
children’s
mental
health
home
project.
33
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
34
may
be
transferred
by
the
department
to
the
appropriation
made
35
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pf/rn
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82
H.F.
_____
to
the
department
in
this
division
of
this
Act
for
the
same
1
fiscal
year
for
Medicaid
program-related
general
administration
2
planning
and
implementation
activities.
The
funds
may
be
used
3
for
contracts
or
for
personnel
in
addition
to
the
amounts
4
appropriated
for
and
the
positions
authorized
for
general
5
administration
for
the
fiscal
year.
6
c.
Of
the
funds
appropriated
in
this
section,
up
to
7
$3,000,000
may
be
transferred
by
the
department
to
the
8
appropriations
made
in
this
division
of
this
Act
for
the
9
same
fiscal
year
for
general
administration
or
health
10
program
operations
to
be
used
to
support
the
development
11
and
implementation
of
standardized
assessment
tools
for
12
persons
with
mental
illness,
an
intellectual
disability,
a
13
developmental
disability,
or
a
brain
injury.
14
16.
Of
the
funds
appropriated
in
this
section,
$150,000
15
shall
be
used
for
lodging
expenses
associated
with
care
16
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
17
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
18
and
whose
income
is
at
or
below
200
percent
of
the
federal
19
poverty
level
as
defined
by
the
most
recently
revised
poverty
20
income
guidelines
published
by
the
United
States
department
of
21
health
and
human
services.
The
department
of
health
and
human
22
services
shall
establish
the
maximum
number
of
overnight
stays
23
and
the
maximum
rate
reimbursed
for
overnight
lodging,
which
24
may
be
based
on
the
state
employee
rate
established
by
the
25
department
of
administrative
services.
The
funds
allocated
in
26
this
subsection
shall
not
be
used
as
nonfederal
share
matching
27
funds.
28
17.
Of
the
funds
appropriated
in
this
section,
up
to
29
$3,383,880
shall
be
used
for
administration
of
the
state
family
30
planning
services
program
pursuant
to
section
217.41B
,
and
31
of
this
amount,
the
department
may
use
up
to
$200,000
for
32
administrative
expenses.
33
18.
Of
the
funds
appropriated
in
this
section,
$1,545,530
34
shall
be
used
and
may
be
transferred
to
other
appropriations
35
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82
H.F.
_____
in
this
division
of
this
Act
as
necessary
to
administer
the
1
provisions
in
the
division
of
this
Act
relating
to
Medicaid
2
program
administration.
3
19.
The
department
shall
comply
with
the
centers
for
4
Medicare
and
Medicaid
services’
guidance
related
to
Medicaid
5
program
and
children’s
health
insurance
program
maintenance
6
of
effort
provisions,
including
eligibility
standards,
7
methodologies,
procedures,
and
continuous
enrollment,
to
8
receive
the
enhanced
federal
medical
assistance
percentage
9
under
section
6008(b)
of
the
federal
Families
First
Coronavirus
10
Response
Act,
Pub.
L.
No.
116-127
and
section
5131
of
the
11
federal
Consolidated
Appropriations
Act,
2023,
Pub.
L.
No.
12
117-328.
The
department
shall
utilize
and
implement
all
tools,
13
processes,
and
resources
available
to
expediently
return
to
14
normal
eligibility
and
enrollment
operations
in
compliance
with
15
federal
guidance
and
expectations.
16
20.
A
portion
of
the
funds
appropriated
in
this
section
17
may
be
transferred
to
the
appropriation
made
in
this
division
18
of
this
Act
for
the
children’s
health
insurance
program,
19
if
the
children’s
health
insurance
program
appropriation
20
is
insufficient
to
cover
the
designated
purposes
of
that
21
appropriation.
22
21.
Notwithstanding
any
provision
to
the
contrary,
of
the
23
funds
appropriated
in
this
section,
$13,000,000
shall
be
used
24
to
increase
reimbursement
rates
for
mental
health
and
substance
25
use
disorder
providers
in
accordance
with
a
methodology
26
determined
by
the
department.
Of
the
amount
allocated
27
under
this
subsection,
$7,000,000
shall
be
used
to
increase
28
reimbursement
rates
for
individual
mental
health
therapy
29
providers,
$3,000,000
shall
be
used
to
increase
reimbursement
30
rates
for
mental
health
providers,
and
$3,000,000
shall
be
used
31
to
increase
reimbursement
rates
for
substance
use
disorder
32
providers.
33
22.
Of
the
funds
appropriated
in
this
section,
$5,500,000
34
shall
be
used
to
maintain
the
reimbursement
rates
of
eligible
35
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pf/rn
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82
H.F.
_____
home
and
community-based
services
providers
at
the
rates
in
1
effect
on
June
30,
2023.
2
Sec.
14.
HEALTH
PROGRAM
OPERATIONS.
There
is
appropriated
3
from
the
general
fund
of
the
state
to
the
department
of
health
4
and
human
services
for
the
fiscal
year
beginning
July
1,
2023,
5
and
ending
June
30,
2024,
the
following
amount,
or
so
much
6
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
7
For
health
program
operations:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,446,067
9
1.
The
department
of
inspections,
appeals,
and
licensing
10
shall
provide
all
state
matching
funds
for
survey
and
11
certification
activities
performed
by
the
department
of
12
inspections,
appeals,
and
licensing.
The
department
of
health
13
and
human
services
is
solely
responsible
for
distributing
the
14
federal
matching
funds
for
such
activities.
15
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
16
be
used
for
continuation
of
home
and
community-based
services
17
waiver
quality
assurance
programs,
including
the
review
and
18
streamlining
of
processes
and
policies
related
to
oversight
and
19
quality
management
to
meet
state
and
federal
requirements.
20
3.
Of
the
amount
appropriated
in
this
section,
up
to
21
$200,000
may
be
transferred
to
the
appropriation
for
general
22
administration
in
this
division
of
this
Act
to
be
used
for
23
additional
full-time
equivalent
positions
in
the
development
24
of
key
health
initiatives
such
as
development
and
oversight
25
of
managed
care
programs
and
development
of
health
strategies
26
targeted
toward
improved
quality
and
reduced
costs
in
the
27
Medicaid
program.
28
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
29
shall
be
used
for
planning
and
development
of
a
phased-in
30
program
to
provide
a
dental
home
for
children.
31
5.
a.
Of
the
funds
appropriated
in
this
section,
$188,000
32
shall
be
credited
to
the
autism
support
program
fund
created
33
in
section
225D.2
to
be
used
for
the
autism
support
program
34
created
in
chapter
225D
,
with
the
exception
of
the
following
35
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pf/rn
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82
H.F.
_____
amount
of
this
allocation
which
shall
be
used
as
follows:
1
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
2
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
3
a
nonprofit
provider
of
child
welfare
services
that
has
been
4
in
existence
for
more
than
115
years,
is
located
in
a
county
5
with
a
population
between
220,000
and
250,000
according
to
the
6
2020
federal
decennial
census,
is
licensed
as
a
psychiatric
7
medical
institution
for
children,
and
provides
school-based
8
programming,
to
be
used
for
support
services
for
children
with
9
autism
spectrum
disorder
and
their
families.
10
Sec.
15.
STATE
SUPPLEMENTARY
ASSISTANCE.
11
1.
There
is
appropriated
from
the
general
fund
of
the
state
12
to
the
department
of
health
and
human
services
for
the
fiscal
13
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
14
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
15
used
for
the
purpose
designated:
16
For
the
state
supplementary
assistance
program:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,349,002
18
2.
The
department
shall
increase
the
personal
needs
19
allowance
for
residents
of
residential
care
facilities
by
the
20
same
percentage
and
at
the
same
time
as
federal
supplemental
21
security
income
and
federal
social
security
benefits
are
22
increased
due
to
a
recognized
increase
in
the
cost
of
living.
23
The
department
may
adopt
emergency
rules
to
implement
this
24
subsection.
25
3.
If
during
the
fiscal
year
beginning
July
1,
2023,
26
the
department
projects
that
state
supplementary
assistance
27
expenditures
for
a
calendar
year
will
not
meet
the
federal
28
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
29
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
30
§1382g,
the
department
may
take
actions
including
but
not
31
limited
to
increasing
the
personal
needs
allowance
for
32
residential
care
facility
residents
and
making
programmatic
33
adjustments
or
upward
adjustments
of
the
residential
care
34
facility
or
in-home
health-related
care
reimbursement
rates
35
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pf/rn
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82
H.F.
_____
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
1
requirements
are
met.
In
addition,
the
department
may
make
2
other
programmatic
and
rate
adjustments
necessary
to
remain
3
within
the
amount
appropriated
in
this
section
while
ensuring
4
compliance
with
federal
requirements.
The
department
may
adopt
5
emergency
rules
to
implement
the
provisions
of
this
subsection.
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,
10
including
for
liability
amounts
associated
with
the
SNAP
11
payment
error
rate,
until
the
close
of
the
succeeding
fiscal
12
year.
13
Sec.
16.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
14
1.
There
is
appropriated
from
the
general
fund
of
the
state
15
to
the
department
of
health
and
human
services
for
the
fiscal
16
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
17
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
18
used
for
the
purpose
designated:
19
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(Hawki)
20
program
pursuant
to
chapter
514I
,
including
supplemental
dental
21
services,
for
receipt
of
federal
financial
participation
under
22
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
23
children’s
health
insurance
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,661,688
25
2.
Of
the
funds
appropriated
in
this
section,
a
sufficient
26
amount
is
allocated
for
continuation
of
the
contract
for
27
outreach.
28
3.
A
portion
of
the
funds
appropriated
in
this
section
may
29
be
transferred
to
the
appropriations
made
in
this
division
of
30
this
Act
for
field
operations
or
health
program
operations
31
to
be
used
for
the
integration
of
Hawki
program
eligibility,
32
payment,
and
administrative
functions
under
the
purview
of
the
33
department
of
health
and
human
services,
including
for
the
34
Medicaid
management
information
system
upgrade.
35
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1004YC
(6)
90
pf/rn
35/
82
H.F.
_____
Sec.
17.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
1
the
general
fund
of
the
state
to
the
department
of
health
and
2
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
3
ending
June
30,
2024,
the
following
amount,
or
so
much
thereof
4
as
is
necessary,
to
be
used
for
the
purpose
designated:
5
For
child
care
programs:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
64,223,730
7
1.
Of
the
funds
appropriated
in
this
section,
$34,966,931
8
shall
be
used
for
state
child
care
assistance
in
accordance
9
with
section
237A.13
.
10
2.
Nothing
in
this
section
shall
be
construed
or
is
11
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
12
to
persons
who
are
eligible
for
assistance
due
to
an
income
13
level
consistent
with
the
waiting
list
requirements
of
section
14
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
15
this
section
is
limited
to
the
extent
of
the
funds
appropriated
16
in
this
section.
17
3.
A
list
of
the
registered
and
licensed
child
care
18
facilities
operating
in
the
area
served
by
a
child
care
19
resource
and
referral
service
shall
be
made
available
to
the
20
families
receiving
state
child
care
assistance
in
that
area.
21
4.
Of
the
funds
appropriated
in
this
section,
$29,256,799
22
shall
be
deposited
in
the
school
ready
children
grants
account
23
of
the
early
childhood
Iowa
fund
created
in
section
256I.11,
24
and
shall
be
allocated
as
follows
for
the
fiscal
year
beginning
25
July
1,
2023:
26
a.
Of
the
amount
deposited
under
this
subsection,
not
27
more
than
$265,950
is
allocated
for
the
early
childhood
Iowa
28
program
and
other
technical
assistance
activities.
Moneys
29
allocated
under
this
lettered
paragraph
may
be
used
by
the
30
early
childhood
Iowa
state
board
for
the
purpose
of
skills
31
development
and
support
for
ongoing
training
of
staff.
The
32
early
childhood
Iowa
state
board
may
reserve
a
portion
of
the
33
allocation
under
paragraph
“b”,
not
to
exceed
$88,650,
for
34
the
technical
assistance
expenses
of
the
early
childhood
Iowa
35
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program,
including
the
reimbursement
of
staff.
However,
except
1
as
otherwise
provided
in
this
subsection,
moneys
shall
not
be
2
used
for
additional
staff
or
for
the
reimbursement
of
staff.
3
b.
Of
the
amount
deposited
under
this
subsection,
4
$2,318,018
shall
be
used
for
efforts
to
improve
the
quality
5
of
early
care,
health,
and
education
programs.
Moneys
6
allocated
pursuant
to
this
lettered
paragraph
may
be
used
7
for
additional
staff
and
for
the
reimbursement
of
staff
in
8
early
childhood
Iowa
areas
and
for
local
quality
improvement
9
efforts.
The
early
childhood
Iowa
state
board
shall
determine
10
the
methodology
to
make
the
most
productive
use
of
the
funding,
11
which
may
include
use
of
the
distribution
formula,
grants,
or
12
other
means.
13
c.
Of
the
amount
deposited
under
this
subsection,
$825,030
14
shall
be
used
for
support
of
professional
development
and
15
training
activities
for
persons
working
in
early
care,
16
health,
and
education
by
the
early
childhood
Iowa
state
17
board
in
collaboration
with
the
professional
development
18
component
group
maintained
by
the
early
childhood
Iowa
19
stakeholders
alliance
pursuant
to
section
256I.12,
and
the
20
early
childhood
Iowa
area
boards.
Expenditures
shall
be
21
limited
to
professional
development
and
training
activities,
22
and
strategic
plan
implementation
staff
as
agreed
upon
by
the
23
parties
participating
in
the
collaboration
as
approved
by
the
24
early
childhood
Iowa
state
board.
25
d.
Of
the
amount
deposited
under
this
subsection,
$200,000
26
shall
be
used
to
invest
in
the
state’s
early
childhood
database
27
system
that
integrates
state
administrative
data
to
provide
28
results
that
inform
and
improve
the
early
childhood
system
of
29
programs
and
services
in
the
state.
30
e.
Of
the
amount
deposited
under
this
subsection,
31
$5,850,000
shall
be
distributed
for
funding
of
community-based
32
early
childhood
programs
targeted
to
children
from
birth
33
through
five
years
of
age
developed
by
early
childhood
Iowa
34
areas
in
accordance
with
approved
community
plans
as
provided
35
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in
section
256I.8.
Up
to
$65,000
of
the
funds
allocated
in
1
this
paragraph
may
be
used
for
additional
technical
assistance
2
staff.
3
5.
The
department
may
use
any
of
the
funds
appropriated
4
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
5
expanding
child
care
assistance
and
related
programs.
For
6
the
purpose
of
expenditures
of
state
and
federal
child
care
7
funding,
funds
shall
be
considered
obligated
at
the
time
8
expenditures
are
projected
or
are
allocated
to
the
department’s
9
service
areas.
Projections
shall
be
based
on
current
and
10
projected
caseload
growth,
current
and
projected
provider
11
rates,
staffing
requirements
for
eligibility
determination
12
and
management
of
program
requirements
including
data
systems
13
management,
staffing
requirements
for
administration
of
the
14
program,
contractual
and
grant
obligations
and
any
transfers
15
to
other
state
agencies,
and
obligations
for
decategorization
16
or
innovation
projects.
17
6.
A
portion
of
the
state
match
for
the
federal
child
care
18
and
development
block
grant
shall
be
provided
as
necessary
to
19
meet
federal
matching
funds
requirements
through
the
state
20
general
fund
appropriation
made
for
child
development
grants
21
and
other
programs
for
at-risk
children
in
section
279.51
.
22
7.
If
a
uniform
reduction
ordered
by
the
governor
under
23
section
8.31
or
other
operation
of
law,
transfer,
or
federal
24
funding
reduction
reduces
the
appropriation
made
in
this
25
section
for
the
fiscal
year,
the
percentage
reduction
in
the
26
amount
paid
out
to
or
on
behalf
of
the
families
participating
27
in
the
state
child
care
assistance
program
shall
be
equal
to
or
28
less
than
the
percentage
reduction
made
for
any
other
purpose
29
payable
from
the
appropriation
made
in
this
section
and
the
30
federal
funding
relating
to
it.
The
percentage
reduction
to
31
the
other
allocations
made
in
this
section
shall
be
the
same
as
32
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
33
change
of
the
federal
funding
reduction,
as
applicable.
If
34
there
is
an
unanticipated
increase
in
federal
funding
provided
35
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for
state
child
care
services,
the
entire
amount
of
the
1
increase,
except
as
necessary
to
meet
federal
requirements
2
including
quality
set
asides,
shall
be
used
for
state
child
3
care
assistance
payments.
If
the
appropriations
made
for
4
purposes
of
the
state
child
care
assistance
program
for
the
5
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
6
of
the
general
assembly
to
appropriate
sufficient
funding
for
7
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
8
requirements.
9
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
10
purposes
of
the
programs
developed
by
early
childhood
Iowa
11
areas,
advanced
for
purposes
of
wraparound
child
care,
or
12
received
from
the
federal
appropriations
made
for
the
purposes
13
of
this
section
that
remain
unencumbered
or
unobligated
at
the
14
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
15
remain
available
for
expenditure
for
the
purposes
designated
16
until
the
close
of
the
succeeding
fiscal
year.
17
Sec.
18.
JUVENILE
INSTITUTION.
There
is
appropriated
from
18
the
general
fund
of
the
state
to
the
department
of
health
and
19
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
20
ending
June
30,
2024,
the
following
amounts,
or
so
much
thereof
21
as
is
necessary,
to
be
used
for
the
purposes
designated:
22
1.
a.
For
operation
of
the
state
training
school
at
Eldora
23
and
for
salaries,
support,
maintenance,
and
miscellaneous
24
purposes,
and
for
not
more
than
the
following
full-time
25
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,568,511
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
207.00
28
b.
Of
the
funds
appropriated
in
this
subsection,
$91,000
29
shall
be
used
for
distribution
to
licensed
classroom
teachers
30
at
this
and
other
institutions
under
the
control
of
the
31
department
of
health
and
human
services
based
upon
the
average
32
student
yearly
enrollment
at
each
institution
as
determined
by
33
the
department.
34
2.
A
portion
of
the
moneys
appropriated
in
this
section
35
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shall
be
used
by
the
state
training
school
at
Eldora
for
1
grants
for
adolescent
pregnancy
prevention
activities
at
the
2
institution
in
the
fiscal
year
beginning
July
1,
2023.
3
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
4
shall
be
used
by
the
state
training
school
at
Eldora
for
a
5
substance
use
disorder
treatment
program
at
the
institution
for
6
the
fiscal
year
beginning
July
1,
2023.
7
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
8
this
section
that
remain
unencumbered
or
unobligated
at
the
9
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
10
available
for
expenditure
for
the
purposes
designated
until
the
11
close
of
the
succeeding
fiscal
year.
12
Sec.
19.
CHILD
AND
FAMILY
SERVICES.
13
1.
There
is
appropriated
from
the
general
fund
of
the
state
14
to
the
department
of
health
and
human
services
for
the
fiscal
15
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
16
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
17
used
for
the
purpose
designated:
18
For
child
and
family
services:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
79,027,794
20
2.
The
department
may
transfer
funds
appropriated
in
this
21
section
as
necessary
to
pay
the
nonfederal
costs
of
services
22
reimbursed
under
the
medical
assistance
program,
the
state
23
child
care
assistance
program,
or
FIP
which
are
provided
to
24
children
who
would
otherwise
receive
services
paid
under
the
25
appropriation
in
this
section.
The
department
may
transfer
26
funds
appropriated
in
this
section
to
the
appropriations
made
27
in
this
division
of
this
Act
for
general
administration
and
28
for
field
operations
for
resources
necessary
to
implement
and
29
operate
the
services
funded
in
this
section.
30
3.
Of
the
funds
appropriated
in
this
section,
up
to
31
$40,500,000
is
allocated
for
group
foster
care
maintenance
and
32
services.
33
4.
In
accordance
with
the
provisions
of
section
232.188
,
34
the
department
shall
continue
the
child
welfare
and
juvenile
35
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justice
funding
initiative
during
fiscal
year
2023-2024.
Of
1
the
funds
appropriated
in
this
section,
$1,717,000
is
allocated
2
specifically
for
expenditure
for
fiscal
year
2023-2024
through
3
the
decategorization
services
funding
pools
and
governance
4
boards
established
pursuant
to
section
232.188
.
5
5.
A
portion
of
the
funds
appropriated
in
this
section
6
may
be
used
for
emergency
family
assistance
to
provide
other
7
resources
required
for
a
family
participating
in
a
family
8
preservation
or
reunification
project
or
successor
project
to
9
stay
together
or
to
be
reunified.
10
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
11
amount
is
allocated
for
shelter
care
and
the
child
welfare
12
emergency
services
contracting
implemented
to
provide
for
or
13
prevent
the
need
for
shelter
care.
14
7.
Federal
funds
received
by
the
state
during
the
fiscal
15
year
beginning
July
1,
2023,
as
the
result
of
the
expenditure
16
of
state
funds
appropriated
during
a
previous
state
fiscal
17
year
for
a
service
or
activity
funded
under
this
section
are
18
appropriated
to
the
department
to
be
used
as
additional
funding
19
for
services
and
purposes
provided
for
under
this
section.
20
Notwithstanding
section
8.33
,
moneys
received
in
accordance
21
with
this
subsection
that
remain
unencumbered
or
unobligated
at
22
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
23
shall
remain
available
for
the
purposes
designated
until
the
24
close
of
the
succeeding
fiscal
year.
25
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
26
$748,000
is
allocated
for
the
payment
of
the
expenses
of
27
court-ordered
services
provided
to
children
who
are
under
the
28
supervision
of
the
department,
which
expenses
are
a
charge
upon
29
the
state
pursuant
to
section
232.141,
subsection
4
.
30
b.
Notwithstanding
section
232.141
or
any
other
31
provision
of
law
to
the
contrary,
the
amounts
allocated
in
32
this
subsection
shall
be
distributed
as
determined
by
the
33
department.
The
department
shall
make
the
determination
of
the
34
distribution
amounts
on
or
before
June
15,
2023.
35
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c.
Notwithstanding
chapter
232
or
any
other
provision
1
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
2
not
order
any
service
which
is
a
charge
upon
the
state
3
pursuant
to
section
232.141
if
the
court-ordered
services
4
distribution
amount
is
insufficient
to
pay
for
the
service.
5
The
department
shall
encourage
use
of
the
funds
allocated
in
6
this
subsection
such
that
there
are
sufficient
funds
to
pay
7
for
all
court-related
services
during
the
entire
year.
The
8
department
shall
attempt
to
anticipate
potential
surpluses
9
and
shortfalls
in
the
distribution
amounts
and
shall
transfer
10
distribution
amounts
as
prudent.
11
d.
Notwithstanding
any
provision
of
law
to
the
contrary,
12
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
13
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
14
entered
under
chapter
232
which
is
a
charge
upon
the
state
15
under
section
232.141,
subsection
4
.
16
9.
Of
the
funds
appropriated
in
this
section,
$1,658,000
17
shall
be
used
for
the
child
protection
center
grant
program
for
18
child
protection
centers
located
in
Iowa
in
accordance
with
19
section
135.118
.
The
grant
amounts
under
the
program
shall
be
20
equalized
so
that
each
center
receives
a
uniform
base
amount
of
21
$245,000,
and
so
that
the
remaining
funds
are
awarded
through
22
a
funding
formula
based
upon
the
volume
of
children
served.
23
To
increase
access
to
child
protection
center
services
for
24
children
in
rural
areas,
the
funding
formula
for
the
awarding
25
of
the
remaining
funds
shall
provide
for
the
awarding
of
an
26
enhanced
amount
to
eligible
grantees
to
develop
and
maintain
27
satellite
centers
in
underserved
regions
of
the
state.
28
10.
Of
the
funds
appropriated
in
this
section,
up
to
29
$4,025,000
is
allocated
for
the
preparation
for
adult
living
30
program
pursuant
to
section
234.46
.
31
11.
Of
the
funds
appropriated
in
this
section,
$227,000
32
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
33
nonprofit
human
services
organization,
providing
services
to
34
individuals
and
families
in
multiple
locations
in
southwest
35
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82
H.F.
_____
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
1
sensitive
support
and
forensic
interviews,
medical
exams,
needs
2
assessments,
and
referrals
for
victims
of
child
abuse
and
their
3
nonoffending
family
members.
4
12.
Of
the
funds
appropriated
in
this
section,
$300,000
5
is
allocated
for
the
foster
care
youth
council
approach
of
6
providing
a
support
network
to
children
placed
in
foster
care.
7
13.
Of
the
funds
appropriated
in
this
section,
$202,000
is
8
allocated
for
use
pursuant
to
section
235A.1
for
continuation
9
of
the
initiative
to
address
child
sexual
abuse
implemented
10
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
11
21
.
12
14.
Of
the
funds
appropriated
in
this
section,
$630,000
is
13
allocated
for
the
community
partnership
for
child
protection
14
sites.
15
15.
Of
the
funds
appropriated
in
this
section,
up
to
16
$371,000
is
allocated
for
the
department’s
minority
youth
and
17
family
projects
under
the
redesign
of
the
child
welfare
system.
18
16.
Of
the
funds
appropriated
in
this
section,
$851,000
19
is
allocated
for
funding
of
the
community
circle
of
care
20
collaboration
for
children
and
youth
in
northeast
Iowa.
21
17.
Of
the
funds
appropriated
in
this
section,
at
least
22
$147,000
shall
be
used
for
the
continuation
of
the
child
23
welfare
provider
training
program.
24
18.
Of
the
funds
appropriated
in
this
section,
$211,000
25
shall
be
used
for
continuation
of
the
central
Iowa
system
of
26
care
program
grant
for
the
purposes
of
funding
community-based
27
services
and
other
supports
with
a
system
of
care
approach
for
28
children
with
serious
emotional
disturbance
and
their
families
29
through
a
nonprofit
provider
that
is
located
in
a
county
30
with
a
population
of
more
than
450,000
according
to
the
2020
31
certified
federal
census,
is
licensed
as
a
psychiatric
medical
32
institution
for
children,
and
was
a
system
of
care
grantee
33
prior
to
July
1,
2023.
34
19.
Of
the
funds
appropriated
in
this
section,
$235,000
35
-43-
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1004YC
(6)
90
pf/rn
43/
82
H.F.
_____
shall
be
used
for
the
public
purpose
of
the
continuation
1
and
expansion
of
a
system
of
care
program
grant
implemented
2
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
3
and
long-term
approach
for
helping
children
and
families
by
4
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
5
needs,
education
and
work,
family,
and
community.
6
20.
Of
the
funds
appropriated
in
this
section,
$110,000
7
shall
be
used
for
the
public
purpose
of
funding
community-based
8
services
and
other
supports
with
a
system
of
care
approach
9
for
children
with
a
serious
emotional
disturbance
and
their
10
families
through
a
nonprofit
provider
of
child
welfare
services
11
that
has
been
in
existence
for
more
than
115
years,
is
located
12
in
a
county
with
a
population
of
more
than
230,000
according
to
13
the
2020
certified
federal
census,
is
licensed
as
a
psychiatric
14
medical
institution
for
children,
and
was
a
system
of
care
15
grantee
prior
to
July
1,
2023.
16
21.
If
a
separate
funding
source
is
identified
that
reduces
17
the
need
for
state
funds
within
an
allocation
under
this
18
section,
the
allocated
state
funds
may
be
redistributed
to
19
other
allocations
under
this
section
for
the
same
fiscal
year.
20
22.
Of
the
funds
appropriated
in
this
section,
a
portion
may
21
be
used
for
family-centered
services
for
purposes
of
complying
22
with
the
federal
Family
First
Prevention
Services
Act
of
2018,
23
Pub.
L.
No.
115-123,
and
successor
legislation.
24
Sec.
20.
ADOPTION
SUBSIDY.
25
1.
There
is
appropriated
from
the
general
fund
of
the
state
26
to
the
department
of
health
and
human
services
for
the
fiscal
27
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
28
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
29
used
for
the
purpose
designated:
30
a.
For
adoption
subsidy
payments
and
related
costs
and
for
31
other
operations
and
services
provided
for
under
paragraph
“b”:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,883,507
33
b.
(1)
Of
the
funds
appropriated
in
this
section,
a
34
sufficient
amount
is
allocated
for
adoption
subsidy
payments
35
-44-
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1004YC
(6)
90
pf/rn
44/
82
H.F.
_____
and
related
costs.
1
(2)
Any
funds
appropriated
in
this
section
remaining
after
2
the
allocation
under
subparagraph
(1)
are
designated
and
3
allocated
as
state
savings
resulting
from
implementation
of
4
the
federal
Fostering
Connections
to
Success
and
Increasing
5
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
6
legislation,
as
determined
in
accordance
with
42
U.S.C.
7
§673(a)(8),
and
shall
be
used
for
post-adoption
services
and
8
for
other
purposes
allowed
under
these
federal
laws,
Tit.
IV-B
9
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
10
(a)
The
department
of
health
and
human
services
may
transfer
11
funds
allocated
in
this
subparagraph
(2)
to
the
appropriation
12
for
child
and
family
services
in
this
division
of
this
Act
for
13
the
purposes
designated
in
this
subparagraph
(2).
14
(b)
Notwithstanding
section
8.33,
moneys
allocated
15
under
this
subparagraph
(2)
shall
not
revert
to
any
fund
but
16
shall
remain
available
for
the
purposes
designated
in
this
17
subparagraph
(2)
until
expended.
18
2.
The
department
may
transfer
funds
appropriated
in
this
19
section
remaining
after
the
transfer
of
funds
under
subsection
20
1,
paragraph
“b”,
to
the
appropriation
made
in
this
division
21
of
this
Act
for
general
administration
for
costs
paid
from
the
22
appropriation
relating
to
adoption
subsidy.
23
3.
Federal
funds
received
by
the
state
during
the
24
fiscal
year
beginning
July
1,
2023,
as
the
result
of
the
25
expenditure
of
state
funds
during
a
previous
state
fiscal
26
year
for
a
service
or
activity
funded
under
this
section
are
27
appropriated
to
the
department
to
be
used
as
additional
funding
28
for
the
services
and
activities
funded
under
this
section.
29
Notwithstanding
section
8.33
,
moneys
received
in
accordance
30
with
this
subsection
that
remain
unencumbered
or
unobligated
31
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
32
but
shall
remain
available
for
expenditure
for
the
purposes
33
designated
until
the
close
of
the
succeeding
fiscal
year.
34
4.
The
maximum
payment
for
adoption
subsidy
nonrecurring
35
-45-
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1004YC
(6)
90
pf/rn
45/
82
H.F.
_____
expenses
shall
be
established
in
accordance
with
section
1
234.48,
if
enacted
in
this
Act.
2
5.
Notwithstanding
section
8.33,
moneys
appropriated
in
3
this
section
that
remain
unencumbered
or
unobligated
at
the
4
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
5
available
for
the
purposes
designated
until
the
close
of
the
6
succeeding
fiscal
year.
7
Sec.
21.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
8
1.
There
is
appropriated
from
the
general
fund
of
the
state
9
to
the
department
of
health
and
human
services
for
the
fiscal
10
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
11
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
12
used
for
the
purpose
designated:
13
For
the
family
support
subsidy
program
subject
to
the
14
enrollment
restrictions
in
section
225C.37,
subsection
3
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
949,282
16
2.
At
least
$931,536
of
the
moneys
appropriated
in
this
17
section
shall
be
used
for
the
family
support
center
component
18
of
the
comprehensive
family
support
program
under
chapter
225C,
19
subchapter
V
.
20
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
21
funding
available
for
the
family
support
subsidy
program
22
is
reduced
from
the
amount
initially
used
to
establish
the
23
figure
for
the
number
of
family
members
for
whom
a
subsidy
24
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
25
notwithstanding
section
225C.38,
subsection
2
,
the
department
26
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
27
of
funding
available.
28
Sec.
22.
CONNER
DECREE.
There
is
appropriated
from
the
29
general
fund
of
the
state
to
the
department
of
health
and
human
30
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
31
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
32
necessary,
to
be
used
for
the
purpose
designated:
33
For
building
community
capacity
through
the
coordination
34
and
provision
of
training
opportunities
in
accordance
with
the
35
-46-
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1004YC
(6)
90
pf/rn
46/
82
H.F.
_____
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
1
Iowa,
July
14,
1994):
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
3
Sec.
23.
MENTAL
HEALTH
INSTITUTES.
4
1.
There
is
appropriated
from
the
general
fund
of
the
state
5
to
the
department
of
health
and
human
services
for
the
fiscal
6
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
7
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
8
used
for
the
purposes
designated:
9
a.
For
operation
of
the
state
mental
health
institute
at
10
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
11
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
12
more
than
the
following
full-time
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,923,252
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
188.00
15
b.
For
operation
of
the
state
mental
health
institute
at
16
Independence
as
required
by
chapters
218
and
226
for
salaries,
17
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
18
more
than
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,811,470
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
211.00
21
2.
a.
Notwithstanding
sections
218.78
and
249A.11
,
any
22
revenue
received
from
the
state
mental
health
institute
at
23
Cherokee
or
the
state
mental
health
institute
at
Independence
24
pursuant
to
42
C.F.R.
§438.6(e)
may
be
retained
and
expended
25
by
the
mental
health
institute.
26
b.
Notwithstanding
sections
218.78
and
249A.11,
any
27
COVID-19
related
funding
received
through
federal
funding
28
sources
by
the
state
mental
health
institute
at
Cherokee
or
the
29
state
mental
health
institute
at
Independence
may
be
retained
30
and
expended
by
the
mental
health
institute.
31
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
32
a
Medicaid
member
residing
at
the
state
mental
health
33
institute
at
Cherokee
or
the
state
mental
health
institute
34
at
Independence
shall
retain
Medicaid
eligibility
during
35
-47-
LSB
1004YC
(6)
90
pf/rn
47/
82
H.F.
_____
the
period
of
the
Medicaid
member’s
stay
for
which
federal
1
financial
participation
is
available.
2
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
3
this
section
that
remain
unencumbered
or
unobligated
at
the
4
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
5
available
for
expenditure
for
the
purposes
designated
until
the
6
close
of
the
succeeding
fiscal
year.
7
Sec.
24.
STATE
RESOURCE
CENTERS.
8
1.
There
is
appropriated
from
the
general
fund
of
the
state
9
to
the
department
of
health
and
human
services
for
the
fiscal
10
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
11
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
12
used
for
the
purposes
designated:
13
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
14
support,
maintenance,
and
miscellaneous
purposes:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,255,132
16
b.
For
the
state
resource
center
at
Woodward
for
salaries,
17
support,
maintenance,
and
miscellaneous
purposes:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,389,577
19
2.
The
department
may
continue
to
bill
for
state
resource
20
center
services
utilizing
a
scope
of
services
approach
used
for
21
private
providers
of
intermediate
care
facilities
for
persons
22
with
an
intellectual
disability
services,
in
a
manner
which
23
does
not
shift
costs
between
the
medical
assistance
program,
24
mental
health
and
disability
services
regions,
or
other
sources
25
of
funding
for
the
state
resource
centers.
26
3.
The
state
resource
centers
may
expand
the
time-limited
27
assessment
and
respite
services
during
the
fiscal
year.
28
4.
If
the
department’s
administration
and
the
department
29
of
management
concur
with
a
finding
by
a
state
resource
30
center’s
superintendent
that
projected
revenues
can
reasonably
31
be
expected
to
pay
the
salary
and
support
costs
for
a
new
32
employee
position,
or
that
such
costs
for
adding
a
particular
33
number
of
new
positions
for
the
fiscal
year
would
be
less
34
than
the
overtime
costs
if
new
positions
would
not
be
added,
35
-48-
LSB
1004YC
(6)
90
pf/rn
48/
82
H.F.
_____
the
superintendent
may
add
the
new
position
or
positions.
If
1
the
vacant
positions
available
to
a
resource
center
do
not
2
include
the
position
classification
desired
to
be
filled,
the
3
state
resource
center’s
superintendent
may
reclassify
any
4
vacant
position
as
necessary
to
fill
the
desired
position.
The
5
superintendents
of
the
state
resource
centers
may,
by
mutual
6
agreement,
pool
vacant
positions
and
position
classifications
7
during
the
course
of
the
fiscal
year
in
order
to
assist
one
8
another
in
filling
necessary
positions.
9
5.
If
existing
capacity
limitations
are
reached
in
10
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
11
a
special
need
for
which
a
payment
source
or
other
funding
12
is
available
for
the
service
or
to
address
the
special
need,
13
and
facilities
for
the
service
or
to
address
the
special
need
14
can
be
provided
within
the
available
payment
source
or
other
15
funding,
the
superintendent
of
a
state
resource
center
may
16
authorize
opening
not
more
than
two
units
or
other
facilities
17
and
begin
implementing
the
service
or
addressing
the
special
18
need
during
fiscal
year
2023-2024.
19
6.
Notwithstanding
section
8.33
,
and
notwithstanding
20
the
amount
limitation
specified
in
section
222.92
,
moneys
21
appropriated
in
this
section
that
remain
unencumbered
or
22
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
23
but
shall
remain
available
for
expenditure
for
the
purposes
24
designated
until
the
close
of
the
succeeding
fiscal
year.
25
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
26
1.
There
is
appropriated
from
the
general
fund
of
the
state
27
to
the
department
of
health
and
human
services
for
the
fiscal
28
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
29
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
30
used
for
the
purpose
designated:
31
For
costs
associated
with
the
commitment
and
treatment
of
32
sexually
violent
predators
in
the
unit
located
at
the
state
33
mental
health
institute
at
Cherokee,
including
costs
of
legal
34
services
and
other
associated
costs,
including
salaries,
35
-49-
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1004YC
(6)
90
pf/rn
49/
82
H.F.
_____
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
1
more
than
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,865,337
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
167.00
4
2.
Unless
specifically
prohibited
by
law,
if
the
amount
5
charged
provides
for
recoupment
of
at
least
the
entire
amount
6
of
direct
and
indirect
costs,
the
department
of
health
and
7
human
services
may
contract
with
other
states
to
provide
8
care
and
treatment
of
persons
placed
by
the
other
states
at
9
the
unit
for
sexually
violent
predators
at
Cherokee.
The
10
moneys
received
under
such
a
contract
shall
be
considered
11
to
be
repayment
receipts
and
used
for
the
purposes
of
the
12
appropriation
made
in
this
section.
13
3.
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.
26.
FIELD
OPERATIONS.
19
1.
There
is
appropriated
from
the
general
fund
of
the
state
20
to
the
department
of
health
and
human
services
for
the
fiscal
21
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
22
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
23
used
for
the
purposes
designated:
24
For
field
operations,
including
salaries,
support,
25
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
26
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,056,945
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,589.00
29
2.
Of
the
funds
appropriated
in
this
section,
$1,370,436
30
shall
be
used
for
the
purpose
of
increasing
compensation
for
31
child
welfare
case
workers
and
to
support
case
workers
with
32
complex
cases
in
all
service
areas.
33
3.
In
addition
to
subsection
2,
priority
in
filling
34
full-time
equivalent
positions
shall
be
given
to
those
35
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90
pf/rn
50/
82
H.F.
_____
positions
related
to
child
protection
services
and
eligibility
1
determination
for
low-income
families.
2
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
3
from
the
general
fund
of
the
state
to
the
department
of
health
4
and
human
services
for
the
fiscal
year
beginning
July
1,
2023,
5
and
ending
June
30,
2024,
the
following
amount,
or
so
much
6
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
7
For
general
administration,
including
salaries,
support,
8
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
9
the
following
full-time
equivalent
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,913,662
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
341.86
12
1.
The
department
shall
report
at
least
monthly
to
the
13
general
assembly
concerning
the
department’s
operational
and
14
program
expenditures.
15
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
16
be
used
for
the
provision
of
a
program
to
provide
technical
17
assistance,
support,
and
consultation
to
providers
of
home
and
18
community-based
services
under
the
medical
assistance
program.
19
3.
Of
the
funds
appropriated
in
this
section,
$50,000
20
is
transferred
to
the
Iowa
finance
authority
to
be
used
21
for
administrative
support
of
the
council
on
homelessness
22
established
in
section
16.2D
and
for
the
council
to
fulfill
its
23
duties
in
addressing
and
reducing
homelessness
in
the
state.
24
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
25
be
transferred
to
and
deposited
in
the
administrative
fund
of
26
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
27
be
used
for
implementation
and
administration
activities
of
the
28
Iowa
ABLE
savings
plan
trust.
29
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
30
transferred
to
the
Iowa
commission
on
volunteer
service
to
31
continue
to
be
used
for
the
RefugeeRISE
AmeriCorps
program
32
established
under
section
15H.8
for
member
recruitment
and
33
training
to
improve
the
economic
well-being
and
health
of
34
economically
disadvantaged
refugees
in
local
communities
across
35
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pf/rn
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82
H.F.
_____
Iowa.
Funds
transferred
may
be
used
to
supplement
federal
1
funds
under
federal
regulations.
2
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
3
shall
be
used
as
follows:
4
a.
To
fund
not
more
than
1.00
full-time
equivalent
position
5
to
address
the
department’s
responsibility
to
support
the
work
6
of
the
children’s
behavioral
health
system
state
board
and
7
implementation
of
the
services
required
pursuant
to
section
8
331.397.
9
b.
To
support
the
cost
of
establishing
and
implementing
new
10
or
additional
services
required
pursuant
to
sections
331.397
11
and
331.397A.
12
c.
Of
the
amount
allocated,
$32,000
shall
be
used
to
support
13
the
costs
of
establishing
and
implementing
new
or
additional
14
services
required
pursuant
to
sections
331.397
and
331.397A.
15
7.
Of
the
funds
appropriated
in
this
section,
$800,000
shall
16
be
used
for
the
renovation
and
construction
of
certain
nursing
17
facilities,
consistent
with
the
provisions
of
chapter
249K.
18
8.
Of
the
funds
appropriated
under
this
section,
$1,000,000
19
shall
be
used
for
the
purposes
of
program
administration
and
20
provision
of
pregnancy
support
services
through
the
more
21
options
for
maternal
support
program
in
accordance
with
section
22
217.41C.
23
9.
Of
the
funds
appropriated
under
this
section,
$2,602,312
24
shall
be
used
for
the
child
advocacy
board
for
foster
care
25
review
and
the
court
appointed
special
advocate
program,
26
including
for
salaries,
support,
maintenance,
and
miscellaneous
27
purposes.
28
a.
The
department,
in
coordination
with
the
child
advocacy
29
board,
shall
submit
an
application
for
funding
available
30
pursuant
to
Tit.
IV-E
of
the
federal
Social
Security
Act
for
31
claims
for
child
advocacy
board
administrative
review
costs.
32
b.
The
court
appointed
special
advocate
program
shall
33
investigate
and
develop
opportunities
for
expanding
fundraising
34
for
the
program.
35
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90
pf/rn
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82
H.F.
_____
c.
Administrative
costs
charged
by
the
department
for
items
1
funded
under
this
subsection
shall
not
exceed
4
percent
of
the
2
amount
appropriated
in
this
subsection.
3
Sec.
28.
DEPARTMENT-WIDE
DUTIES.
4
1.
There
is
appropriated
from
the
general
fund
of
the
state
5
to
the
department
of
health
and
human
services
for
the
fiscal
6
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
7
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
8
used
for
the
purposes
designated:
9
For
salaries,
support,
maintenance,
and
miscellaneous
10
purposes
at
facilities
under
the
purview
of
the
department
of
11
health
and
human
services:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,157,590
13
2.
Of
the
funds
appropriated
under
this
section,
$5,000,000
14
shall
be
used
for
support
of
institutions
listed
under
section
15
218.6.
Any
transfer
of
these
funds
for
the
institutions
16
listed
under
section
218.6
shall
comply
with
section
218.6.
17
The
department
shall
submit
a
report
to
the
general
assembly
18
detailing
the
expenditure
of
such
funds.
19
Sec.
29.
VOLUNTEERS.
There
is
appropriated
from
the
20
general
fund
of
the
state
to
the
department
of
health
and
human
21
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
22
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
23
necessary,
to
be
used
for
the
purpose
designated:
24
For
development
and
coordination
of
volunteer
services:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
26
Sec.
30.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
27
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
28
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES.
29
1.
a.
(1)
(a)
(i)
Notwithstanding
any
provision
of
30
law
to
the
contrary,
for
the
fiscal
period
beginning
July
1,
31
2023,
and
ending
June
30,
2025,
the
department
of
health
and
32
human
services
shall
rebase
case-mix
nursing
facility
rates
33
beginning
July
1,
2023,
using
the
Medicaid
cost
reports
on
file
34
for
the
period
ending
December
31,
2022,
and
applying
a
minimum
35
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90
pf/rn
53/
82
H.F.
_____
occupancy
factor
of
70
percent,
as
provided
pursuant
to
2021
1
Iowa
Acts,
chapter
182,
section
39,
to
the
extent
possible
2
within
the
state
funding,
including
the
$15,000,000
provided
3
for
this
purpose.
4
(ii)
For
the
fiscal
year
beginning
July
1,
2023,
the
5
department
of
health
and
human
services
shall
determine
and
6
adjust
each
nursing
facility’s
case-mix
index
on
a
semiannual
7
basis.
A
separate
calculation
shall
be
made
to
determine
the
8
average
case-mix
index
for
a
nursing
facility-wide
case-mix
9
index,
and
a
case-mix
index
for
the
residents
of
a
nursing
10
facility
who
are
medical
assistance
program
recipients
using
11
all
of
the
minimum
data
set
reports
by
the
nursing
facility
for
12
the
previous
semiannual
period
of
the
state
fiscal
year
using
a
13
day
weighted
calculation.
14
(b)
For
the
fiscal
year
beginning
July
1,
2023,
non-case-mix
15
and
special
population
nursing
facilities
shall
be
reimbursed
16
in
accordance
with
the
methodology
in
effect
on
June
30,
2023.
17
(c)
For
managed
care
claims,
the
department
of
health
18
and
human
services
shall
adjust
the
payment
rate
floor
for
19
nursing
facilities,
annually,
to
maintain
a
rate
floor
that
is
20
no
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
21
rate
calculated
in
accordance
with
subparagraph
division
22
(a)
and
441
IAC
81.6
.
The
department
shall
then
calculate
23
adjusted
reimbursement
rates,
including
but
not
limited
to
24
add-on
payments,
annually,
and
shall
notify
Medicaid
managed
25
care
organizations
of
the
adjusted
reimbursement
rates
within
26
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
27
adjustment
of
reimbursement
rates
under
this
subparagraph
28
division
shall
be
budget
neutral
to
the
state
budget.
29
(d)
For
the
fiscal
year
beginning
July
1,
2023,
Medicaid
30
managed
care
long-term
services
and
supports
capitation
rates
31
shall
be
adjusted
to
reflect
the
case-mix
adjusted
rates
32
specified
pursuant
to
subparagraph
division
(a)
for
the
patient
33
populations
residing
in
Medicaid-certified
nursing
facilities.
34
(2)
Medicaid
managed
care
organizations
shall
adjust
35
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90
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facility-specific
rates
based
upon
payment
rate
listings
issued
1
by
the
department.
The
rate
adjustments
shall
be
applied
2
prospectively
from
the
effective
date
of
the
rate
letter
issued
3
by
the
department.
4
b.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
the
5
department
shall
establish
the
fee-for-service
pharmacy
6
dispensing
fee
reimbursement
at
$10.38
per
prescription,
7
until
a
cost
of
dispensing
survey
is
completed.
The
actual
8
dispensing
fee
shall
be
determined
by
a
cost
of
dispensing
9
survey
performed
by
the
department
and
required
to
be
completed
10
by
all
medical
assistance
program
participating
pharmacies
11
every
two
years,
adjusted
as
necessary
to
maintain
expenditures
12
within
the
amount
appropriated
to
the
department
for
this
13
purpose
for
the
fiscal
year.
A
change
in
the
dispensing
14
fee
shall
become
effective
following
federal
approval
of
the
15
Medicaid
state
plan.
16
(2)
The
department
shall
utilize
an
average
acquisition
17
cost
reimbursement
methodology
for
all
drugs
covered
under
the
18
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
19
chapter
1133,
section
33.
20
c.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
21
reimbursement
rates
for
outpatient
hospital
services
shall
22
be
rebased
effective
January
1,
2024,
subject
to
Medicaid
23
program
upper
payment
limit
rules,
and
adjusted
as
necessary
24
to
maintain
expenditures
within
the
amount
appropriated
to
the
25
department
for
this
purpose
for
the
fiscal
year.
26
(2)
For
the
fiscal
year
beginning
July
1,
2023,
27
reimbursement
rates
for
inpatient
hospital
services
shall
28
remain
at
the
rates
in
effect
on
June
30,
2023,
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
(3)
For
the
fiscal
year
beginning
July
1,
2023,
under
34
both
fee-for-service
and
managed
care
administration
of
35
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the
Medicaid
program,
critical
access
hospitals
shall
be
1
reimbursed
for
inpatient
and
outpatient
services
based
on
the
2
hospital-specific
critical
access
hospital
cost
adjustment
3
factor
methodology
utilizing
the
most
recent
and
complete
cost
4
reporting
period
as
applied
prospectively
within
the
funds
5
appropriated
for
such
purpose
for
the
fiscal
year.
6
(4)
For
the
fiscal
year
beginning
July
1,
2023,
the
graduate
7
medical
education
and
disproportionate
share
hospital
fund
8
shall
remain
at
the
amount
in
effect
on
June
30,
2023,
except
9
that
the
portion
of
the
fund
attributable
to
graduate
medical
10
education
shall
be
reduced
in
an
amount
that
reflects
the
11
elimination
of
graduate
medical
education
payments
made
to
12
out-of-state
hospitals.
13
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
14
funds
in
procuring
health
care
services
for
low-income
Iowans,
15
funds
appropriated
in
this
Act
for
hospital
services
shall
16
not
be
used
for
activities
which
would
be
excluded
from
a
17
determination
of
reasonable
costs
under
the
federal
Medicare
18
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
19
d.
For
the
fiscal
year
beginning
July
1,
2023,
reimbursement
20
rates
for
hospices
and
acute
psychiatric
hospitals
shall
be
21
increased
in
accordance
with
increases
under
the
federal
22
Medicare
program
or
as
supported
by
their
Medicare
audited
23
costs.
24
e.
For
the
fiscal
year
beginning
July
1,
2023,
independent
25
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
26
using
the
same
methodology
in
effect
on
June
30,
2023.
27
f.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
28
reimbursement
rates
for
home
health
agencies
shall
continue
to
29
be
based
on
the
Medicare
low
utilization
payment
adjustment
30
(LUPA)
methodology
with
state
geographic
wage
adjustments.
31
The
department
shall
continue
to
update
the
rates
every
two
32
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
33
extent
possible
within
the
state
funding
appropriated
for
this
34
purpose.
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(2)
For
the
fiscal
year
beginning
July
1,
2023,
the
1
department
shall
continue
the
reimbursement
rate
structure
that
2
provides
incentives
to
home
health
care
providers
located
in
3
rural
areas
and
providing
home
health
care
to
Medicaid
members.
4
The
rate
structure
shall
include
a
telehealth
component
to
5
incentivize
the
provision
of
necessary
supervision
for
skilled
6
care
without
requiring
travel
time.
For
the
purposes
of
this
7
subparagraph
(2),
“rural
area”
means
an
area
that
is
not
an
8
Iowa
core
based
statistical
area
as
defined
by
the
federal
9
office
of
management
and
budget.
10
(3)
For
the
fiscal
year
beginning
July
1,
2023,
rates
for
11
private
duty
nursing
and
personal
care
services
under
the
early
12
and
periodic
screening,
diagnostic,
and
treatment
program
13
benefit
shall
be
calculated
based
on
the
methodology
in
effect
14
on
June
30,
2023.
15
g.
For
the
fiscal
year
beginning
July
1,
2023,
federally
16
qualified
health
centers
and
rural
health
clinics
shall
receive
17
cost-based
reimbursement
for
100
percent
of
the
reasonable
18
costs
for
the
provision
of
services
to
recipients
of
medical
19
assistance.
20
h.
For
the
fiscal
year
beginning
July
1,
2023,
the
21
reimbursement
rates
for
dental
services
shall
remain
at
the
22
rates
in
effect
on
June
30,
2023.
23
i.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
24
reimbursement
rates
for
non-state-owned
psychiatric
medical
25
institutions
for
children
shall
be
based
on
the
reimbursement
26
methodology
in
effect
on
June
30,
2023.
27
(2)
As
a
condition
of
participation
in
the
medical
28
assistance
program,
enrolled
providers
shall
accept
the
medical
29
assistance
reimbursement
rate
for
any
covered
goods
or
services
30
provided
to
recipients
of
medical
assistance
who
are
children
31
under
the
custody
of
a
psychiatric
medical
institution
for
32
children.
33
j.
For
the
fiscal
year
beginning
July
1,
2023,
unless
34
otherwise
specified
in
this
Act,
all
noninstitutional
medical
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_____
assistance
provider
reimbursement
rates
shall
remain
at
the
1
rates
in
effect
on
June
30,
2023,
except
for
area
education
2
agencies,
local
education
agencies,
infant
and
toddler
3
services
providers,
home
and
community-based
services
providers
4
including
consumer-directed
attendant
care
providers
under
a
5
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
6
providers,
and
those
providers
whose
rates
are
required
to
be
7
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
8
mental
health
parity
requirements.
9
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
10
fiscal
year
beginning
July
1,
2023,
the
reimbursement
rate
for
11
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
12
30,
2023,
and
updated
on
January
1,
2024,
to
align
with
the
13
most
current
Iowa
Medicare
anesthesia
rate.
14
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
15
beginning
July
1,
2023,
the
average
reimbursement
rate
for
16
health
care
providers
eligible
for
use
of
the
federal
Medicare
17
resource-based
relative
value
scale
reimbursement
methodology
18
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
19
June
30,
2023;
however,
this
rate
shall
not
exceed
the
maximum
20
level
authorized
by
the
federal
government.
21
m.
For
the
fiscal
year
beginning
July
1,
2023,
the
22
reimbursement
rate
for
residential
care
facilities
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.
The
flat
reimbursement
rate
for
26
facilities
electing
not
to
file
annual
cost
reports
shall
not
27
be
less
than
the
minimum
payment
level
as
established
by
the
28
federal
government
to
meet
the
federally
mandated
maintenance
29
of
effort
requirement.
30
n.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
the
31
reimbursement
rates
for
inpatient
mental
health
services
32
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
33
June
30,
2023,
subject
to
Medicaid
program
upper
payment
limit
34
rules
and
adjusted
as
necessary
to
maintain
expenditures
within
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_____
the
amount
appropriated
to
the
department
for
this
purpose
for
1
the
fiscal
year;
and
psychiatrists
shall
be
reimbursed
at
the
2
medical
assistance
program
fee-for-service
rate
in
effect
on
3
June
30,
2023.
4
(2)
The
department
of
health
and
human
services
shall
5
continue
the
tiered
rate
reimbursement
methodology
for
6
psychiatric
intensive
inpatient
care.
7
o.
For
the
fiscal
year
beginning
July
1,
2023,
community
8
mental
health
centers
may
choose
to
be
reimbursed
for
the
9
services
provided
to
recipients
of
medical
assistance
through
10
either
of
the
following
options:
11
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
12
(2)
In
accordance
with
the
alternative
reimbursement
rate
13
methodology
approved
by
the
department
of
health
and
human
14
services
in
effect
on
June
30,
2023.
15
p.
For
the
fiscal
year
beginning
July
1,
2023,
the
16
reimbursement
rate
for
providers
of
family
planning
services
17
that
are
eligible
to
receive
a
90
percent
federal
match
shall
18
remain
at
the
rates
in
effect
on
June
30,
2023.
19
q.
For
the
fiscal
year
beginning
July
1,
2023,
the
20
reimbursement
rates
for
emergency
medical
service
providers
21
shall
remain
at
the
rates
in
effect
on
June
30,
2023,
or
as
22
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
23
the
United
States
department
of
health
and
human
services.
24
r.
For
the
fiscal
year
beginning
July
1,
2023,
reimbursement
25
rates
for
substance
use
disorder
treatment
programs
licensed
26
under
section
125.13
shall
remain
at
the
rates
in
effect
on
27
June
30,
2023.
28
s.
For
the
fiscal
year
beginning
July
1,
2023,
assertive
29
community
treatment
per
diem
rates
shall
remain
at
the
rates
in
30
effect
on
June
30,
2023.
31
t.
For
the
fiscal
year
beginning
July
1,
2023,
the
32
reimbursement
rate
for
family-centered
services
providers
shall
33
be
established
by
contract.
34
u.
For
the
fiscal
year
beginning
July
1,
2023,
the
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_____
reimbursement
rate
for
air
ambulance
services
shall
remain
at
1
the
rate
in
effect
on
June
30,
2023.
2
v.
For
the
fiscal
year
beginning
July
1,
2023,
all
applied
3
behavioral
analysis
services
reimbursement
rates
shall
remain
4
at
the
rates
in
effect
on
June
30,
2023.
5
w.
For
the
fiscal
year
beginning
July
1,
2023,
all
6
behavioral
health
intervention
services
reimbursement
rates
7
shall
remain
at
the
rates
in
effect
on
June
30,
2023.
8
2.
For
the
fiscal
year
beginning
July
1,
2023,
the
9
reimbursement
rate
for
providers
reimbursed
under
the
10
in-home-related
care
program
shall
not
be
less
than
the
minimum
11
payment
level
as
established
by
the
federal
government
to
meet
12
the
federally
mandated
maintenance
of
effort
requirement.
13
3.
Unless
otherwise
directed
in
this
section,
when
the
14
department’s
reimbursement
methodology
for
any
provider
15
reimbursed
in
accordance
with
this
section
includes
an
16
inflation
factor,
this
factor
shall
not
exceed
the
amount
17
by
which
the
consumer
price
index
for
all
urban
consumers
18
increased
during
the
most
recently
ended
calendar
year.
19
4.
Notwithstanding
section
234.38
,
for
the
fiscal
20
year
beginning
July
1,
2023,
the
foster
family
basic
daily
21
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
22
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
23
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
24
children
ages
12
through
15
years
shall
be
$19.10,
and
the
25
rate
for
children
and
young
adults
ages
16
and
older
shall
be
26
$19.35.
For
youth
ages
18
to
23
who
have
exited
foster
care,
27
the
preparation
for
adult
living
program
maintenance
rate
shall
28
be
up
to
$602.70
per
month
as
calculated
based
on
the
age
of
the
29
participant.
30
5.
For
the
fiscal
year
beginning
July
1,
2023,
the
maximum
31
reimbursement
rates
for
social
services
providers
under
32
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2023,
33
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
34
each
service,
whichever
is
less.
However,
if
a
new
service
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_____
or
service
provider
is
added
after
June
30,
2023,
the
initial
1
reimbursement
rate
for
the
service
or
provider
shall
be
based
2
upon
a
weighted
average
of
provider
rates
for
similar
services.
3
6.
a.
For
the
fiscal
year
beginning
July
1,
2023,
the
4
reimbursement
rates
for
resource
family
recruitment
and
5
retention
contractors
shall
be
established
by
contract.
6
b.
For
the
fiscal
year
beginning
July
1,
2023,
the
7
reimbursement
rates
for
supervised
apartment
living
foster
care
8
providers
shall
be
established
by
contract.
9
7.
For
the
fiscal
year
beginning
July
1,
2023,
the
10
reimbursement
rate
for
group
foster
care
providers
shall
be
the
11
combined
service
and
maintenance
reimbursement
rate
established
12
by
contract.
13
8.
The
group
foster
care
reimbursement
rates
paid
for
14
placement
of
children
out
of
state
shall
be
calculated
15
according
to
the
same
rate-setting
principles
as
those
used
for
16
in-state
providers,
unless
the
director
of
health
and
human
17
services
or
the
director’s
designee
determines
that
appropriate
18
care
cannot
be
provided
within
the
state.
The
payment
of
the
19
daily
rate
shall
be
based
on
the
number
of
days
in
the
calendar
20
month
in
which
service
is
provided.
21
9.
a.
For
the
fiscal
year
beginning
July
1,
2023,
the
22
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
23
emergency
services
implemented
to
provide
or
prevent
the
need
24
for
shelter
care
shall
be
established
by
contract.
25
b.
For
the
fiscal
year
beginning
July
1,
2023,
the
combined
26
service
and
maintenance
components
of
the
per
day
reimbursement
27
rate
paid
for
shelter
care
services
shall
be
based
on
the
28
financial
and
statistical
report
submitted
to
the
department.
29
The
maximum
per
day
reimbursement
rate
shall
be
the
maximum
30
per
day
reimbursement
rate
in
effect
on
June
30,
2023.
The
31
department
shall
reimburse
a
shelter
care
provider
at
the
32
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
33
to
exceed
the
maximum
reimbursement
rate.
34
10.
For
the
fiscal
year
beginning
July
1,
2023,
the
35
-61-
LSB
1004YC
(6)
90
pf/rn
61/
82
H.F.
_____
department
shall
calculate
reimbursement
rates
for
intermediate
1
care
facilities
for
persons
with
an
intellectual
disability
2
at
the
80th
percentile.
Beginning
July
1,
2023,
the
rate
3
calculation
methodology
shall
utilize
the
consumer
price
index
4
inflation
factor
applicable
to
the
fiscal
year
beginning
July
5
1,
2023.
6
11.
The
department
may
adopt
emergency
rules
to
implement
7
this
section.
8
Sec.
31.
EMERGENCY
RULES.
9
1.
If
necessary
to
comply
with
federal
requirements
10
including
time
frames,
or
if
specifically
authorized
by
a
11
provision
of
this
division
of
this
Act,
the
department
of
12
health
and
human
services
or
the
mental
health
and
disability
13
services
commission
shall
adopt
administrative
rules
under
14
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
15
paragraph
“b”,
to
implement
the
provisions
of
this
division
16
of
this
Act
and
shall
submit
such
rules
to
the
administrative
17
rules
coordinator
and
the
administrative
code
editor
pursuant
18
to
section
17A.5,
subsection
1,
within
the
same
period.
The
19
rules
shall
be
effective
immediately
upon
filing
unless
a
20
later
date
is
specified
in
the
rules.
Any
rules
adopted
in
21
accordance
with
this
section
shall
also
be
published
as
a
22
notice
of
intended
action
as
provided
in
section
17A.4.
23
2.
If
during
a
fiscal
year,
the
department
of
health
and
24
human
services
is
adopting
rules
in
accordance
with
this
25
section
or
as
otherwise
directed
or
authorized
by
state
26
law,
and
the
rules
will
result
in
an
expenditure
increase
27
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
28
expenditure
was
not
addressed
in
the
budget
process
for
the
29
fiscal
year,
the
department
shall
notify
the
general
assembly
30
and
the
department
of
management
concerning
the
rules
and
the
31
expenditure
increase.
The
notification
shall
be
provided
at
32
least
thirty
calendar
days
prior
to
the
date
notice
of
the
33
rules
is
submitted
to
the
administrative
rules
coordinator
and
34
the
administrative
code
editor.
35
-62-
LSB
1004YC
(6)
90
pf/rn
62/
82
H.F.
_____
Sec.
32.
REPORTS.
Unless
otherwise
provided,
any
reports
or
1
other
information
required
to
be
compiled
and
submitted
under
2
this
Act
during
the
fiscal
year
beginning
July
1,
2023,
shall
3
be
submitted
on
or
before
the
dates
specified
for
submission
4
of
the
reports
or
information.
5
Sec.
33.
EFFECTIVE
UPON
ENACTMENT.
The
following
provision
6
of
this
division
of
this
Act,
being
deemed
of
immediate
7
importance,
takes
effect
upon
enactment:
8
The
provision
relating
to
section
232.141
and
directing
9
the
department
of
health
and
human
services
to
make
the
10
determination,
by
June
15,
2023,
of
the
distribution
of
funds
11
allocated
for
the
payment
of
the
expenses
of
court-ordered
12
services
provided
to
juveniles
which
are
a
charge
upon
the
13
state.
14
DIVISION
VI
15
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
RIGHTS
16
Sec.
34.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
17
RIGHTS.
There
is
appropriated
from
the
general
fund
of
the
18
state
to
the
department
of
health
and
human
services
for
the
19
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
20
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
21
be
used
for
the
purposes
designated:
22
1.
HUMAN
RIGHTS
CENTRAL
ADMINISTRATION
23
For
salaries,
support,
maintenance,
and
miscellaneous
24
purposes,
and
for
not
more
than
the
following
full-time
25
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
186,913
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.54
28
2.
COMMUNITY
ADVOCACY
AND
SERVICES
29
For
salaries,
support,
maintenance,
and
miscellaneous
30
purposes,
and
for
not
more
than
the
following
full-time
31
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
956,894
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.55
34
3.
CRIMINAL
AND
JUVENILE
JUSTICE
PLANNING
35
-63-
LSB
1004YC
(6)
90
pf/rn
63/
82
H.F.
_____
a.
For
salaries,
support,
maintenance,
and
miscellaneous
1
purposes,
and
for
not
more
than
the
following
full-time
2
equivalent
positions:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,318,547
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
9.00
5
b.
(1)
For
a
single
grant
to
a
program
located
in
a
city
6
with
a
higher
than
average
juvenile
crime
rate
as
determined
by
7
the
department
of
health
and
human
services
and
a
population
8
greater
than
80,000
as
determined
by
the
2020
federal
decennial
9
census,
which
may
be
used
for
studying,
planning,
programming,
10
and
capital,
that
is
committed
to
deterring
juvenile
11
delinquency
through
early
intervention
in
the
criminal
justice
12
system
by
providing
a
comprehensive,
multifaceted
delivery
of
13
social
services
and
which
shall
meet
the
guiding
principles
14
and
standards
for
assessment
centers
set
forth
by
the
national
15
assessment
center
association:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
140,000
17
(2)
The
program
shall
use
no
more
than
5
percent
of
the
18
grant
for
administrative
costs.
19
(3)
A
city
shall
not
receive
a
grant
under
this
paragraph,
20
or
a
similar
grant
from
the
state,
for
more
than
two
21
consecutive
fiscal
years
unless
no
other
city
meets
the
22
requirements
specified
in
subparagraph
(1).
23
c.
The
justice
advisory
board
and
the
juvenile
justice
24
advisory
council
shall
coordinate
their
efforts
in
carrying
out
25
their
respective
duties
relative
to
juvenile
justice.
26
Sec.
35.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
27
in
the
juvenile
detention
home
fund
created
in
section
232.142
28
during
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
29
30,
2024,
are
appropriated
to
the
department
of
health
and
30
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
31
ending
June
30,
2024,
for
distribution
of
an
amount
equal
to
32
a
percentage
of
the
costs
of
the
establishment,
improvement,
33
operation,
and
maintenance
of
county
or
multicounty
juvenile
34
detention
homes
in
the
fiscal
year
beginning
July
1,
2022.
35
-64-
LSB
1004YC
(6)
90
pf/rn
64/
82
H.F.
_____
Moneys
appropriated
for
distribution
in
accordance
with
1
this
section
shall
be
allocated
among
eligible
detention
2
homes,
prorated
on
the
basis
of
an
eligible
detention
home’s
3
proportion
of
the
costs
of
all
eligible
detention
homes
in
the
4
fiscal
year
beginning
July
1,
2022.
The
percentage
figure
5
shall
be
determined
by
the
department
of
health
and
human
6
services
based
on
the
amount
available
for
distribution
for
7
the
fund.
Notwithstanding
section
232.142,
the
financial
aid
8
percentage
of
total
costs
payable
by
the
state
under
that
9
provision
for
the
fiscal
year
beginning
July
1,
2023,
shall
be
10
limited
to
the
amount
appropriated
for
the
purposes
of
this
11
section.
12
DIVISION
VII
13
HEALTH
AND
HUMAN
SERVICES
——
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
14
FY
2023-2024
15
Sec.
36.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
——
DEPARTMENT
16
OF
HEALTH
AND
HUMAN
SERVICES.
There
is
appropriated
from
the
17
pharmaceutical
settlement
account
created
in
section
249A.33
to
18
the
department
of
health
and
human
services
for
the
fiscal
year
19
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
following
20
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purpose
designated:
22
Notwithstanding
any
provision
of
law
to
the
contrary,
to
23
supplement
the
appropriations
made
in
this
Act
for
health
24
program
operations
under
the
medical
assistance
program
for
the
25
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
27
Sec.
37.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
28
HEALTH
AND
HUMAN
SERVICES.
Notwithstanding
any
provision
to
29
the
contrary
and
subject
to
the
availability
of
funds,
there
is
30
appropriated
from
the
quality
assurance
trust
fund
created
in
31
section
249L.4
to
the
department
of
health
and
human
services
32
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
33
30,
2024,
the
following
amounts,
or
so
much
thereof
as
is
34
necessary,
for
the
purposes
designated:
35
-65-
LSB
1004YC
(6)
90
pf/rn
65/
82
H.F.
_____
To
supplement
the
appropriation
made
in
this
Act
from
the
1
general
fund
of
the
state
to
the
department
of
health
and
human
2
services
for
medical
assistance
for
the
same
fiscal
year:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$111,216,205
4
Sec.
38.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
5
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES.
Notwithstanding
any
6
provision
to
the
contrary
and
subject
to
the
availability
of
7
funds,
there
is
appropriated
from
the
hospital
health
care
8
access
trust
fund
created
in
section
249M.4
to
the
department
9
of
health
and
human
services
for
the
fiscal
year
beginning
July
10
1,
2023,
and
ending
June
30,
2024,
the
following
amounts,
or
so
11
much
thereof
as
is
necessary,
for
the
purposes
designated:
12
To
supplement
the
appropriation
made
in
this
Act
from
the
13
general
fund
of
the
state
to
the
department
of
health
and
human
14
services
for
medical
assistance
for
the
same
fiscal
year:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
16
Sec.
39.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
17
FOR
FY
2023-2024.
Notwithstanding
section
8.33
,
if
moneys
18
appropriated
for
purposes
of
the
medical
assistance
program
for
19
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
20
2024,
from
the
general
fund
of
the
state,
the
quality
assurance
21
trust
fund,
and
the
hospital
health
care
access
trust
fund,
are
22
in
excess
of
actual
expenditures
for
the
medical
assistance
23
program
and
remain
unencumbered
or
unobligated
at
the
close
24
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
25
shall
remain
available
for
expenditure
for
the
purposes
of
the
26
medical
assistance
program
until
the
close
of
the
succeeding
27
fiscal
year.
28
DIVISION
VIII
29
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
MEDICAID
30
PROGRAM
31
Sec.
40.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2021
——
32
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
33
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
34
the
funding
pool
that
remained
unencumbered
or
unobligated
at
35
-66-
LSB
1004YC
(6)
90
pf/rn
66/
82
H.F.
_____
the
close
of
the
fiscal
year
beginning
July
1,
2020,
and
were
1
deemed
carryover
funding
to
remain
available
for
the
three
2
succeeding
fiscal
years
that
still
remain
unencumbered
or
3
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
4
2023,
shall
not
revert
but
shall
be
transferred
to
the
medical
5
assistance
program
for
the
fiscal
year
beginning
July
1,
2024.
6
DIVISION
IX
7
HEALTH
AND
HUMAN
SERVICES
——
PRIOR
APPROPRIATIONS
AND
OTHER
8
PROVISIONS
9
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND
10
Sec.
41.
2022
Iowa
Acts,
chapter
1131,
section
9,
is
amended
11
by
adding
the
following
new
subsection:
12
NEW
SUBSECTION
.
7.
Notwithstanding
section
8.33,
moneys
13
appropriated
in
this
section
that
remain
unencumbered
or
14
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
15
but
shall
remain
available
for
the
purposes
designated
until
16
the
close
of
the
succeeding
fiscal
year.
17
STATE
CHILD
CARE
ASSISTANCE
18
Sec.
42.
2022
Iowa
Acts,
chapter
1131,
section
17,
19
subsection
8,
is
amended
to
read
as
follows:
20
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
21
purposes
of
the
programs
developed
by
early
childhood
Iowa
22
areas,
advanced
for
purposes
of
wraparound
child
care,
or
23
received
from
the
federal
appropriations
made
for
the
purposes
24
of
appropriated
in
this
section
that
remain
unencumbered
or
25
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
26
to
any
fund
but
shall
remain
available
for
expenditure
for
the
27
purposes
designated
until
the
close
of
the
succeeding
fiscal
28
year.
29
CHILD
AND
FAMILY
SERVICES
30
Sec.
43.
2022
Iowa
Acts,
chapter
1131,
section
19,
is
31
amended
by
adding
the
following
new
subsection:
32
NEW
SUBSECTION
.
25.
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
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(6)
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pf/rn
67/
82
H.F.
_____
but
shall
remain
available
for
the
purposes
designated
until
1
the
close
of
the
succeeding
fiscal
year.
2
FIELD
OPERATIONS
3
Sec.
44.
2022
Iowa
Acts,
chapter
1131,
section
27,
is
4
amended
by
adding
the
following
new
subsection:
5
NEW
SUBSECTION
.
3.
Notwithstanding
section
8.33,
moneys
6
appropriated
in
this
section
that
remain
unencumbered
or
7
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
8
but
shall
remain
available
for
the
purposes
designated
until
9
the
close
of
the
succeeding
fiscal
year.
10
MORE
OPTIONS
FOR
MATERNAL
SUPPORT
PROGRAM
11
Sec.
45.
2022
Iowa
Acts,
chapter
1131,
section
28,
12
subsection
8,
is
amended
to
read
as
follows:
13
8.
Of
the
funds
appropriated
under
this
section,
$500,000
14
shall
be
used
for
the
purposes
of
program
administration
15
and
provision
of
pregnancy
support
services
through
the
16
more
options
for
maternal
support
program
created
in
this
17
Act.
Notwithstanding
section
8.33,
moneys
allocated
in
this
18
subsection
that
remain
unencumbered
or
unobligated
at
the
close
19
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
20
for
the
purposes
designated
until
the
close
of
the
succeeding
21
fiscal
year.
22
GENERAL
ADMINISTRATION
23
Sec.
46.
2022
Iowa
Acts,
chapter
1131,
section
28,
is
24
amended
by
adding
the
following
new
subsection:
25
NEW
SUBSECTION
.
9.
Notwithstanding
section
8.33,
moneys
26
appropriated
in
this
section
that
remain
unencumbered
or
27
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
28
but
shall
remain
available
for
the
purposes
designated
until
29
the
close
of
the
succeeding
fiscal
year.
30
QUALITY
ASSURANCE
TRUST
FUND
31
Sec.
47.
2022
Iowa
Acts,
chapter
1131,
section
36,
32
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
33
To
supplement
the
appropriation
made
in
this
Act
from
the
34
general
fund
of
the
state
to
the
department
of
health
and
human
35
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pf/rn
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82
H.F.
_____
services
for
medical
assistance
for
the
same
fiscal
year:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
56,305,139
2
66,282,906
3
Sec.
48.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
4
deemed
of
immediate
importance,
takes
effect
upon
enactment.
5
DIVISION
X
6
HEALTH
AND
HUMAN
SERVICES
——
REPORT
ON
NONREVERSION
OF
FUNDS
7
Sec.
49.
REPORT
ON
NONREVERSION
OF
FUNDS.
The
department
8
of
health
and
human
services
shall
report
the
expenditure
of
9
any
moneys
for
which
nonreversion
authorization
was
provided
10
for
the
fiscal
year
beginning
July
1,
2022,
and
ending
June
30,
11
2023,
to
the
general
assembly
on
a
quarterly
basis
beginning
12
October
1,
2023.
13
DIVISION
XI
14
ELIMINATION
OF
REPEAL
OF
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
15
PROGRAM
16
Sec.
50.
REPEAL.
Section
249M.5,
Code
2023,
is
repealed.
17
Sec.
51.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
18
deemed
of
immediate
importance,
takes
effect
upon
enactment.
19
DIVISION
XII
20
HEALTH
AND
HUMAN
SERVICES
——
REALIGNMENT
PROVISIONS
21
DIRECTOR
OF
HEALTH
AND
HUMAN
SERVICES
——
INSTITUTIONS
——
BUYING
22
AND
SELLING
OF
REAL
ESTATE
23
Sec.
52.
Section
218.94,
as
amended
by
2023
Iowa
Acts,
24
Senate
File
514,
section
411,
as
enacted,
is
amended
to
read
25
as
follows:
26
218.94
Director
may
buy
and
sell
real
estate
——
options
——
27
fund
.
28
1.
a.
The
director
may
secure
options
to
purchase
real
29
estate,
to
acquire
and
sell
real
estate,
and
to
grant
utility
30
easements,
for
the
proper
uses
of
the
institutions.
Real
31
estate
shall
be
acquired
and
sold
and
utility
easements
32
granted,
upon
such
terms
and
conditions
as
the
director
may
33
determine.
Upon
sale
of
the
real
estate,
the
proceeds
shall
34
be
deposited
with
the
treasurer
of
state
and
credited
to
the
35
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pf/rn
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82
H.F.
_____
general
fund
of
the
state
in
a
health
and
human
services
1
capital
reinvestment
fund
created
in
the
state
treasury
under
2
the
control
of
the
department
.
There
is
appropriated
from
the
3
general
such
capital
reinvestment
fund
of
the
state
a
sum
equal
4
to
the
proceeds
deposited
and
credited
to
the
general
capital
5
reinvestment
fund
of
the
state
to
the
department,
which
may
be
6
used
to
purchase
other
real
estate
,
or
for
capital
improvements
7
upon
property
under
the
director’s
control
,
or
for
improvements
8
to
property
which
is
owned
by
the
state
and
utilized
by
the
9
department
.
10
b.
Notwithstanding
section
8.33,
moneys
in
the
capital
11
reinvestment
fund
shall
not
revert
at
the
close
of
a
fiscal
12
year,
and
shall
not
be
transferred,
used,
obligated,
13
appropriated,
or
otherwise
encumbered,
except
as
provided
in
14
this
section.
Notwithstanding
section
12C.7,
subsection
2,
15
interest
or
earnings
on
moneys
deposited
in
the
fund
shall
be
16
credited
to
the
fund.
17
c.
Any
proceeds
from
the
sale
of
real
estate
that
were
18
credited
to
the
general
fund
of
the
state
pursuant
to
section
19
218.94,
Code
2022,
and
that
remain
available
on
June
30,
2023,
20
are
transferred
to
the
capital
reinvestment
fund
to
be
used
for
21
the
purposes
of
the
fund.
22
2.
The
costs
incident
to
securing
of
options,
acquisition
23
and
sale
of
real
estate
and
granting
of
utility
easements,
24
including
but
not
limited
to
appraisals,
invitations
for
25
offers,
abstracts,
and
other
necessary
costs,
may
be
paid
26
from
moneys
appropriated
for
support
and
maintenance
to
the
27
institution
at
which
the
real
estate
is
located
.
Such
costs
28
shall
be
and
the
source
from
which
the
moneys
were
appropriated
29
shall
be
reimbursed
from
the
proceeds
of
the
sale.
30
SCHOOL
READY
CHILDREN
GRANTS
ACCOUNT
31
Sec.
53.
Section
256I.11,
subsection
2,
unnumbered
32
paragraph
1,
as
amended
by
2023
Iowa
Acts,
Senate
File
514,
33
section
1005,
is
amended
to
read
as
follows:
34
A
school
ready
children
grants
account
is
created
in
the
35
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1004YC
(6)
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pf/rn
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82
H.F.
_____
fund
under
the
authority
of
the
director
of
the
department
of
1
education
.
Moneys
credited
to
the
account
are
appropriated
2
to
and
shall
be
distributed
by
the
department
of
education
in
3
the
form
of
grants
to
early
childhood
Iowa
areas
pursuant
to
4
criteria
established
by
the
state
board
in
accordance
with
law.
5
DIVISION
XIII
6
HEALTH
POLICY
OVERSIGHT
COMMITTEE
——
MEDICAID
PROGRAM
7
Sec.
54.
Section
2.45,
subsection
5,
Code
2023,
is
amended
8
to
read
as
follows:
9
5.
The
legislative
health
policy
oversight
committee,
10
which
shall
be
composed
of
ten
members
of
the
general
11
assembly,
consisting
of
five
members
from
each
house,
to
12
be
appointed
by
the
legislative
council.
The
legislative
13
health
policy
oversight
committee
shall
may
meet
at
least
two
14
times,
annually
,
during
the
legislative
interim
to
provide
15
continuing
oversight
for
Medicaid
managed
care,
and
to
ensure
16
effective
and
efficient
administration
of
the
program,
address
17
stakeholder
concerns,
monitor
program
costs
and
expenditures,
18
and
make
recommendations.
19
DIVISION
XIV
20
PUBLIC
ASSISTANCE
PROGRAM
PROVISIONS
21
Sec.
55.
Section
239.1,
subsections
2
and
3,
if
enacted
by
22
2023
Iowa
Acts,
Senate
File
494,
are
amended
by
striking
the
23
subsections
and
inserting
in
lieu
thereof
the
following:
24
2.
“Asset”
for
the
purposes
of
the
asset
test
for
the
25
supplemental
nutrition
assistance
program
under
section
239.4
26
means
all
of
the
following
resources
countable
toward
the
27
maximum
allowed
household
asset
limit
of
fifteen
thousand
28
dollars:
29
a.
All
liquid
resources.
30
b.
All
other
personal
property
excluding
one
vehicle
and
31
the
fair
market
value
in
excess
of
ten
thousand
dollars
of
an
32
additional
vehicle.
33
3.
“Asset
test”
for
the
purposes
of
the
asset
test
for
34
the
supplemental
nutrition
assistance
program
under
section
35
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82
H.F.
_____
239.4
means
the
comparison
of
the
collective
value
of
all
1
countable
assets
of
the
members
of
the
applicant’s
household
to
2
the
maximum
allowed
household
asset
limit
of
fifteen
thousand
3
dollars.
4
Sec.
56.
Section
239.4,
subsection
1,
if
enacted
by
2023
5
Iowa
Acts,
Senate
File
494,
is
amended
to
read
as
follows:
6
1.
For
the
purposes
of
determining
eligibility
for
receipt
7
of
SNAP
benefits,
the
department
shall
conduct
an
asset
test
8
on
all
members
of
the
applicant’s
household.
The
allowable
9
financial
resources
to
be
included
in
or
excluded
from
a
10
determination
of
eligibility
for
SNAP
shall
be
those
specified
11
in
7
U.S.C.
§2014(g)(1)
7
U.S.C.
§2014(g)
,
to
the
extent
12
consistent
with
the
term
“asset”
as
defined
in
this
chapter.
13
Sec.
57.
Section
239.9,
subsection
1,
if
enacted
by
2023
14
Iowa
Acts,
Senate
File
494,
is
amended
to
read
as
follows:
15
1.
Following
a
review
of
an
applicant’s
or
recipient’s
16
eligibility
under
this
chapter,
the
department
may
refer
cases
17
of
suspected
fraud
along
with
any
supportive
information
to
18
the
department
of
inspections
,
and
appeals
,
and
licensing
for
19
review.
20
Sec.
58.
Section
239.10,
subsection
1,
if
enacted
by
2023
21
Iowa
Acts,
Senate
File
494,
is
amended
to
read
as
follows:
22
1.
The
department
of
health
and
human
services
shall
adopt
23
rules
pursuant
to
chapter
17A
to
administer
this
chapter.
24
Sec.
59.
2023
Iowa
Acts,
Senate
File
494,
if
enacted,
is
25
amended
by
adding
the
following
new
section:
26
NEW
SECTION
.
SEC.
10A.
NEW
SECTION
.
239.11
Public
27
assistance
modernization
fund.
28
1.
A
public
assistance
modernization
fund
is
created
in
29
the
state
treasury
under
the
control
of
the
department.
The
30
fund
shall
consist
of
moneys
appropriated
or
transferred
to,
or
31
deposited
in,
the
fund
as
provided
by
law.
32
2.
The
moneys
in
the
fund
shall
be
used
and
shall
be
33
appropriated
only
for
the
purposes
of
modernizing
information
34
technology
systems
and
for
other
modernization
initiatives
35
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pf/rn
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82
H.F.
_____
related
to
delivery
of
public
assistance
programs.
1
3.
The
moneys
deposited
in
the
fund
are
not
subject
to
2
section
8.33
and
shall
not
be
transferred,
used,
obligated,
3
appropriated,
or
otherwise
encumbered
except
as
provided
in
4
this
section.
Notwithstanding
section
12C.7,
subsection
2,
5
interest
or
earnings
on
moneys
deposited
in
the
state
capitol
6
maintenance
fund
shall
be
credited
to
the
fund.
7
4.
This
section
is
repealed
July
1,
2028.
8
Sec.
60.
2023
Iowa
Acts,
Senate
File
494,
section
12,
9
subsection
6,
if
enacted,
is
amended
to
read
as
follows:
10
6.
The
department
of
health
and
human
services
may
contract
11
with
multiple
third-party
vendors
to
administer
this
Act.
12
Sec.
61.
ONE-TIME
SETTLEMENT
FUNDS
——
DEPOSIT
IN
PUBLIC
13
ASSISTANCE
MODERNIZATION
FUND.
For
the
fiscal
year
beginning
14
July
1,
2023,
and
ending
June
30,
2024,
the
department
of
15
health
and
human
services
shall
deposit
up
to
$8,000,000
16
received
from
one-time
medical
assistance
settlement
funds
in
17
the
public
assistance
modernization
fund,
if
enacted
in
this
18
division
of
this
Act.
19
DIVISION
XV
20
HOME
AND
COMMUNITY-BASED
SERVICES
WAIVER
RECIPIENT
RESIDENCES
21
——
SPRINKLER
SYSTEMS
22
Sec.
62.
Section
335.34,
Code
2023,
is
amended
to
read
as
23
follows:
24
335.34
Home
and
community-based
services
waiver
recipient
25
residence.
26
1.
A
county,
county
board
of
supervisors,
or
county
zoning
27
commission
shall
consider
the
residence
of
the
recipient
of
28
services
under
a
home
and
community-based
services
waiver
as
29
a
residential
use
of
property
for
the
purposes
of
zoning
and
30
shall
treat
the
use
of
the
residence
as
a
permitted
use
in
all
31
residential
zones
or
districts,
including
all
single-family
32
residential
zones
or
districts,
of
the
county.
33
2.
A
county,
county
board
of
supervisors,
or
a
county
zoning
34
commission
shall
not
require
that
the
recipient,
or
the
owner
35
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pf/rn
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82
H.F.
_____
of
such
a
residence
if
other
than
the
recipient,
obtain
a
1
conditional
use
permit,
special
use
permit,
special
exception,
2
or
variance.
A
county,
county
board
of
supervisors,
or
county
3
zoning
commission
shall
not
establish
limitations
regarding
the
4
proximity
of
one
such
residence
to
another.
5
3.
A
county,
county
board
of
supervisors,
or
a
county
6
zoning
commission
shall
not
classify
such
a
residence
as
a
7
residential
group
R-3
occupancy
or
as
a
care
facility
within
8
a
dwelling
for
the
purposes
of
enforcement
of
compliance
9
with
the
sprinkler
systems
provisions
specified
in
section
10
903.3.1.3
of
the
international
building
code
or
section
P2904
11
of
the
international
residential
code,
if
adopted,
or
if
such
12
residence
is
inspected
by
the
county.
13
3.
4.
This
section
applies
to
the
residence
of
a
recipient
14
of
services
under
a
home
and
community-based
services
waiver
if
15
the
residence
meets
any
of
the
following
conditions:
16
a.
The
residence
is
a
single-family
dwelling
owned
or
rented
17
by
the
recipient.
18
b.
The
residence
is
a
multifamily
dwelling
which
does
not
19
hold
itself
out
to
the
public
as
a
community-based
residential
20
provider
otherwise
regulated
by
law,
including
but
not
limited
21
to
a
residential
care
facility,
and
which
provides
dwelling
22
units
to
no
more
than
four
recipients
of
services
under
a
home
23
and
community-based
services
waiver
at
any
one
time.
24
4.
5.
For
the
purposes
of
this
section
,
“home
and
25
community-based
services
waiver”
means
“waiver”
as
defined
in
26
section
249A.29
.
27
Sec.
63.
Section
414.32,
Code
2023,
is
amended
to
read
as
28
follows:
29
414.32
Home
and
community-based
services
waiver
recipient
30
residence.
31
1.
A
city,
city
council,
or
city
zoning
commission
shall
32
consider
the
residence
of
the
recipient
of
services
under
a
33
home
and
community-based
services
waiver
as
a
residential
use
34
of
property
for
the
purposes
of
zoning
and
shall
treat
the
use
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of
the
residence
as
a
permitted
use
in
all
residential
zones
1
or
districts,
including
all
single-family
residential
zones
or
2
districts,
of
the
city.
3
2.
A
city,
city
council,
or
city
zoning
commission
shall
4
not
require
that
the
recipient,
or
owner
of
such
residence
if
5
other
than
the
recipient,
obtain
a
conditional
use
permit,
6
special
use
permit,
special
exception,
or
variance.
A
city,
7
city
council,
or
city
zoning
commission
shall
not
establish
8
limitations
regarding
the
proximity
of
one
such
residence
to
9
another.
10
3.
A
city,
city
council,
or
city
zoning
commission
shall
not
11
classify
such
a
residence
as
a
residential
group
R-3
occupancy
12
or
as
a
care
facility
within
a
dwelling
for
the
purposes
of
13
enforcement
of
compliance
with
the
sprinkler
systems
provisions
14
specified
in
section
903.3.1.3
of
the
international
building
15
code
or
section
P2904
of
the
international
residential
code,
if
16
adopted,
or
if
such
residence
is
inspected
by
the
city.
17
3.
4.
This
section
applies
to
the
residence
of
a
recipient
18
of
services
under
a
home
and
community-based
services
waiver
if
19
the
residence
meets
any
of
the
following
conditions:
20
a.
The
residence
is
a
single-family
dwelling
owned
or
rented
21
by
the
recipient.
22
b.
The
residence
is
a
multifamily
dwelling
which
does
not
23
hold
itself
out
to
the
public
as
a
community-based
residential
24
provider
otherwise
regulated
by
law,
including
but
not
limited
25
to
a
residential
care
facility,
and
which
provides
dwelling
26
units
to
no
more
than
four
recipients
of
services
under
a
home
27
and
community-based
services
waiver
at
any
one
time.
28
4.
5.
For
the
purposes
of
this
section
,
“home
and
29
community-based
services
waiver”
means
“waiver”
as
defined
in
30
section
249A.29
.
31
Sec.
64.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
32
deemed
of
immediate
importance,
takes
effect
upon
enactment.
33
DIVISION
XVI
34
STATE-FUNDED
FAMILY
MEDICINE
OBSTETRICS
FELLOWSHIP
PROGRAM
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Sec.
65.
NEW
SECTION
.
135.182
State-funded
family
medicine
1
obstetrics
fellowship
program
——
fund.
2
1.
The
department
shall
establish
a
state-funded
family
3
medicine
obstetrics
fellowship
program
to
increase
access
4
to
family
medicine
obstetrics
practitioners
in
rural
and
5
underserved
areas
of
the
state.
A
person
who
has
completed
an
6
accreditation
council
for
graduate
medical
education
residency
7
program
in
family
medicine
is
eligible
for
participation
8
in
the
fellowship
program.
Participating
fellows
shall
9
enter
into
a
program
agreement
with
a
participating
teaching
10
hospital
which,
at
a
minimum,
requires
the
fellow
to
complete
a
11
one-year
fellowship
and
to
engage
in
full-time
family
medicine
12
obstetrics
practice
in
a
rural
or
underserved
area
of
the
13
state
for
a
period
of
at
least
five
years
within
nine
months
14
following
completion
of
the
fellowship
and
receipt
of
a
license
15
to
practice
medicine
in
the
state.
16
2.
Each
fellow
participating
in
the
program
shall
be
17
eligible
for
a
salary
and
benefits
including
a
stipend
as
18
determined
by
the
participating
teaching
hospital
which
shall
19
be
funded
through
the
family
medicine
obstetrics
fellowship
20
program
fund.
21
3.
The
department
shall
adopt
rules
pursuant
to
chapter
22
17A
to
administer
the
program,
including
defining
rural
and
23
underserved
areas
for
the
purpose
of
the
required
full-time
24
practice
of
a
person
following
completion
of
the
fellowship.
25
4.
a.
A
family
medicine
obstetrics
fellowship
program
26
fund
is
created
in
the
state
treasury
consisting
of
the
moneys
27
appropriated
or
credited
to
the
fund
by
law.
Notwithstanding
28
section
8.33,
moneys
in
the
fund
at
the
end
of
each
fiscal
year
29
shall
not
revert
to
any
other
fund
but
shall
remain
in
the
fund
30
for
use
in
subsequent
fiscal
years.
Moneys
in
the
fund
are
31
appropriated
to
the
department
to
be
used
to
fund
fellowship
32
positions
as
provided
in
this
section.
33
b.
For
the
fiscal
year
beginning
July
1,
2023,
and
each
34
fiscal
year
beginning
July
1
thereafter,
there
is
appropriated
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from
the
general
fund
of
the
state
for
deposit
in
the
family
1
medicine
obstetrics
fellowship
program
fund
an
amount
2
sufficient
to
support
the
creation
of
four
fellowship
positions
3
as
provided
in
this
section.
4
5.
The
department
and
the
participating
teaching
hospitals
5
shall
regularly
evaluate
and
document
their
experiences
6
including
identifying
ways
the
program
may
be
modified
or
7
expanded
to
facilitate
increased
access
to
family
medicine
8
obstetrics
practitioners
in
rural
and
underserved
areas
of
the
9
state.
The
department
shall
submit
an
annual
report
to
the
10
general
assembly
by
January
1.
The
report
shall
include
the
11
number
of
fellowships
funded
to
date
and
any
other
information
12
identified
by
the
department
and
the
participating
teaching
13
hospitals
as
indicators
of
outcomes
and
the
effectiveness
of
14
the
program.
15
6.
For
the
purposes
of
this
section,
“teaching
hospital”
16
means
a
hospital
or
medical
center
that
provides
medical
17
education
to
prospective
and
current
health
professionals.
18
DIVISION
XVII
19
ADOPTION
SUBSIDY
PROGRAM
——
NONRECURRING
ADOPTION
EXPENSES
20
Sec.
66.
NEW
SECTION
.
234.48
Adoption
subsidy
——
21
nonrecurring
adoption
expenses.
22
Notwithstanding
any
provision
to
the
contrary,
the
maximum
23
reimbursement
provided
to
an
adoptive
parent
under
the
24
adoption
subsidy
program
for
nonrecurring
adoption
expenses
25
is
one
thousand
dollars.
For
the
purposes
of
this
section,
26
“nonrecurring
adoption
expenses”
means
the
same
as
defined
in
45
27
C.F.R.
§1356.41.
The
department
shall
adopt
rules
pursuant
to
28
chapter
17A
to
administer
this
section.
29
Sec.
67.
REPEAL.
2010
Iowa
Acts,
chapter
1031,
section
408,
30
is
repealed.
31
EXPLANATION
32
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
33
the
explanation’s
substance
by
the
members
of
the
general
assembly.
34
This
bill
relates
to
appropriations
for
veterans
and
health
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and
human
services
for
FY
2023-2024
to
the
department
of
1
veterans
affairs,
the
Iowa
veterans
home,
the
department
of
2
health
and
human
services
——
aging,
the
office
of
the
long-term
3
care
ombudsman,
the
department
of
health
and
human
services
——
4
public
health,
the
department
of
health
and
human
services
——
5
human
services,
and
the
department
of
health
and
human
services
6
——
human
rights.
7
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
8
division
makes
appropriations
from
the
general
fund
of
the
9
state
to
the
department
of
veterans
affairs
for
administration,
10
for
the
Iowa
veterans
home,
for
transfer
to
the
Iowa
finance
11
authority
for
the
home
ownership
assistance
program,
and
for
12
the
county
commissions
of
veterans
affairs.
13
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
AGING.
This
14
division
makes
appropriations
from
the
general
fund
of
the
15
state
to
the
department
of
health
and
human
services
for
16
programs
and
services
related
to
aging.
17
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
HEALTH
AND
HUMAN
SERVICES
——
PUBLIC
HEALTH.
21
This
division
makes
appropriations
from
the
general
fund
of
22
the
state
and
from
the
sports
wagering
receipts
fund
to
the
23
department
of
health
and
human
services
for
programs
and
24
services
related
to
public
health.
25
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
SERVICES.
26
This
division
makes
appropriations
from
the
general
fund
of
the
27
state
and
the
federal
temporary
assistance
for
needy
families
28
block
grant
to
the
department
of
health
and
human
services
29
for
programs
and
services
relating
to
human
services.
The
30
reimbursement
section
addresses
reimbursement
for
providers
31
reimbursed
by
the
department
of
health
and
human
services.
32
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
RIGHTS.
33
This
division
makes
appropriations
from
the
general
fund
of
34
the
state
to
the
department
of
health
and
human
services
for
35
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programs
and
services
related
to
human
rights
and
from
the
1
juvenile
detention
home
fund
to
the
department
of
health
and
2
human
services
for
juvenile
detention
homes.
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
AND
CARRYOVER
FUNDING.
This
division
9
provides
for
the
transfer
of
carryover
decategorization
funds
10
that
remained
unencumbered
or
unobligated
at
the
close
of
FY
11
2020-2021,
to
the
Medicaid
program
for
FY
2024-2025.
12
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS.
This
division
13
provides
for
nonreversion
of
funds
appropriated
for
the
family
14
investment
program
general
fund,
state
child
care
assistance,
15
child
and
family
services,
field
operations,
the
more
options
16
for
maternal
support
program,
and
general
administration
for
17
FY
2022-2023
to
the
close
of
the
succeeding
fiscal
year.
The
18
division
also
increases
the
appropriation
for
FY
2022-2023
from
19
the
quality
assurance
trust
fund
to
the
department
of
health
20
and
human
services
to
supplement
the
medical
assistance
program
21
appropriation.
The
division
takes
effect
upon
enactment.
22
REPORT
OF
NONREVERSION
OF
FUNDS.
This
division
requires
23
the
department
of
health
and
human
services
to
report
the
24
expenditure
of
any
moneys
for
which
nonreversion
authorization
25
was
provided
for
FY
2022-2023
to
the
general
assembly
on
a
26
quarterly
basis
beginning
October
1,
2023.
27
ELIMINATION
OF
REPEAL
OF
HOSPITAL
HEALTH
CARE
ACCESS
28
ASSESSMENT
PROGRAM.
This
division
eliminates
the
repeal
of
29
Code
chapter
249M,
the
hospital
health
care
access
assessment
30
program.
The
division
takes
effect
upon
enactment.
31
REALIGNMENT
PROVISIONS.
This
division
amends
provisions
of
32
2023
Iowa
Acts,
Senate
File
514,
relating
to
the
director
of
33
health
and
human
services
buying
and
selling
real
estate
and
34
relating
to
the
department
of
health
and
human
services
rather
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than
the
department
of
education
distributing
school
ready
1
children
grants
account
moneys.
2
HEALTH
POLICY
OVERSIGHT.
This
division
amends
provisions
3
relating
to
the
legislative
health
policy
oversight
committee
4
to
provide
that
instead
of
being
required
to
meet
at
least
two
5
times
annually
during
the
legislative
interim,
the
committee
6
may
meet
annually.
7
HOME
AND
COMMUNITY-BASED
SERVICES
WAIVER
RECIPIENT
8
RESIDENCES
——
SPRINKLER
SYSTEMS.
This
division
provides
that
9
a
county,
county
board
of
supervisors,
or
a
county
zoning
10
commission
for
a
county,
or
a
city,
city
council,
or
city
11
zoning
commission
for
a
city
shall
not
classify
a
home
and
12
community-based
services
waiver
recipient
residence
as
a
13
residential
group
R-3
occupancy
or
as
a
care
facility
within
14
a
dwelling
for
the
purposes
of
enforcement
of
compliance
15
with
certain
international
building
code
and
international
16
residential
building
code
provisions
relating
to
sprinkler
17
systems.
18
STATE-FUNDED
FAMILY
MEDICINE
OBSTETRICS
FELLOWSHIP
19
PROGRAM
AND
FUND.
This
division
requires
the
department
of
20
health
and
human
services
to
establish
a
state-funded
family
21
medicine
obstetrics
fellowship
program
to
increase
access
22
to
family
medicine
obstetrics
practitioners
in
rural
and
23
underserved
areas
of
the
state.
A
person
who
has
completed
an
24
accreditation
council
for
graduate
medical
education
residency
25
program
in
family
medicine
is
eligible
for
participation
26
in
the
fellowship
program.
Participating
fellows
shall
27
enter
into
a
program
agreement
with
a
participating
teaching
28
hospital
which,
at
a
minimum,
requires
the
fellow
to
complete
a
29
one-year
fellowship
and
to
engage
in
full-time
family
medicine
30
obstetrics
practice
in
a
rural
or
underserved
area
of
the
31
state
for
a
period
of
at
least
five
years
within
nine
months
32
following
completion
of
the
fellowship
and
receipt
of
a
license
33
to
practice
medicine
in
the
state.
Each
fellow
participating
34
in
the
program
shall
be
eligible
for
salary
and
benefits
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including
a
stipend
as
determined
by
the
participating
teaching
1
hospital
and
funded
through
the
family
medicine
obstetrics
2
fellowship
program
fund.
3
The
division
requires
the
department
of
health
and
human
4
services
to
adopt
administrative
rules
to
administer
the
5
program,
including
defining
rural
and
underserved
areas
for
6
the
purpose
of
the
required
full-time
practice
of
a
person
7
following
completion
of
the
fellowship.
8
The
division
creates
a
family
medicine
obstetrics
fellowship
9
program
fund
in
the
state
treasury
consisting
of
the
moneys
10
appropriated
or
credited
to
the
fund
by
law.
Moneys
in
the
11
fund
at
the
end
of
each
fiscal
year
shall
not
revert
to
any
12
other
fund
but
shall
remain
in
the
fund
for
use
in
subsequent
13
fiscal
years.
Moneys
in
the
fund
are
appropriated
to
HHS
to
be
14
used
to
fund
fellowship
positions
as
provided
in
the
division.
15
The
division
appropriates
a
sufficient
amount
from
the
general
16
fund
of
the
state
to
the
fund
annually
to
support
the
creation
17
of
four
fellowship
positions.
18
The
division
requires
the
department
and
the
participating
19
teaching
hospitals
to
regularly
evaluate
and
document
their
20
experiences
including
identifying
ways
the
program
may
be
21
modified
or
expanded
to
facilitate
increased
access
to
family
22
medicine
obstetrics
practitioners
in
rural
and
underserved
23
areas
of
the
state.
The
department
shall
submit
an
annual
24
report
to
the
general
assembly
by
January
1.
The
report
shall
25
include
the
number
of
fellowships
funded
to
date
and
any
other
26
information
identified
by
HHS
and
the
participating
teaching
27
hospitals
as
indicators
of
outcomes
and
the
effectiveness
of
28
the
program.
29
ADOPTION
SUBSIDY
PROGRAM
——
NONRECURRING
ADOPTION
EXPENSES.
30
This
division
provides
that
the
maximum
reimbursement
provided
31
to
an
adoptive
parent
under
the
adoption
subsidy
program
32
for
nonrecurring
adoption
expenses
is
$1,000.
The
division
33
defines
“nonrecurring
adoption
expenses”
as
the
reasonable
and
34
necessary
adoption
fees,
court
costs,
attorney
fees,
and
other
35
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H.F.
_____
expenses
which
are
directly
related
to
the
legal
adoption
of
a
1
child
with
special
needs
which
are
not
incurred
in
violation
2
of
state,
tribal,
or
federal
law,
and
which
have
not
been
3
reimbursed
from
other
sources
or
other
funds.
Under
federal
4
regulation,
“other
expenses
which
are
directly
related
to
the
5
legal
adoption
of
a
child
with
special
needs”
means
the
costs
6
of
the
adoption
incurred
by
or
on
behalf
of
the
parents
and
7
for
which
parents
carry
the
ultimate
liability
for
payment.
8
Such
costs
may
include
the
adoption
study,
including
health
9
and
psychological
examination,
supervision
of
the
placement
10
prior
to
adoption,
transportation,
and
the
reasonable
costs
11
of
lodging
and
food
for
the
child
or
the
adoptive
parents
12
when
necessary
to
complete
the
placement
or
adoption
process.
13
The
department
of
health
and
human
services
shall
adopt
14
administrative
rules
to
administer
the
division.
The
division
15
also
repeals
a
provision
in
2010
Iowa
Acts
which
limited
16
the
nonrecurring
adoption
expenses
to
$500
and
prohibited
17
additional
amounts
for
court
costs
and
other
related
legal
18
expenses.
19
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