Senate
File
561
-
Introduced
SENATE
FILE
561
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
SSB
1213)
A
BILL
FOR
An
Act
relating
to
appropriations
for
veterans
and
health
1
and
human
services
and
including
other
related
provisions
2
and
appropriations,
providing
penalties,
and
including
3
effective
date
and
retroactive
and
other
applicability
date
4
provisions.
5
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
6
TLSB
1004SV
(2)
90
pf/rn
S.F.
561
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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$
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FTEs
___
14
2.
IOWA
VETERANS
HOME
15
For
salaries,
support,
maintenance,
and
miscellaneous
16
purposes:
17
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$
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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
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pf/rn
1/
70
S.F.
561
the
United
States,
pursuant
to
section
16.54
:
1
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$
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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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$
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12
DIVISION
II
13
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
AGING
——
14
FY
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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$
___
33
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FTEs
___
34
1.
Funds
appropriated
in
this
section
may
be
used
to
35
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(2)
90
pf/rn
2/
70
S.F.
561
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,
$______
shall
9
be
used
by
the
Iowa
commission
on
volunteer
services
for
the
10
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
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561
4.
Of
the
funds
appropriated
in
this
section,
$_____
shall
1
be
used
for
the
purposes
of
chapter
231E
and
to
administer
2
the
prevention
of
elder
abuse,
neglect,
and
exploitation
3
program
pursuant
to
section
231.56A
,
in
accordance
with
the
4
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
5
U.S.C.
§3001
et
seq.,
as
amended.
6
5.
Of
the
funds
appropriated
in
this
section,
$______
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,
$_____
shall
12
be
used
by
the
department
of
health
and
human
services,
in
13
collaboration
with
affected
stakeholders,
to
continue
to
14
expand
the
pilot
initiative
to
provide
long-term
care
options
15
counseling
utilizing
support
planning
protocols,
to
assist
16
non-Medicaid
eligible
consumers
who
indicate
a
preference
17
to
return
to
the
community
and
are
deemed
appropriate
for
18
discharge,
to
return
to
their
community
following
a
nursing
19
facility
stay;
and
shall
be
used
by
the
department
to
fund
home
20
and
community-based
services
to
enable
older
individuals
to
21
avoid
more
costly
utilization
of
residential
or
institutional
22
services
and
remain
in
their
homes.
The
department
shall
23
submit
a
report
regarding
the
outcomes
of
the
pilot
initiative
24
to
the
governor
and
the
general
assembly
by
December
15,
2023.
25
DIVISION
III
26
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2023-2024
27
Sec.
4.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
28
appropriated
from
the
general
fund
of
the
state
to
the
office
29
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
30
1,
2023,
and
ending
June
30,
2024,
the
following
amount,
or
31
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
32
designated:
33
For
salaries,
support,
administration,
maintenance,
and
34
miscellaneous
purposes,
and
for
not
more
than
the
following
35
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(2)
90
pf/rn
4/
70
S.F.
561
full-time
equivalent
positions:
1
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$
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FTEs
___
3
DIVISION
IV
4
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
PUBLIC
HEALTH
——
5
FY
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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$
___
18
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FTEs
___
19
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
20
$______
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
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561
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
alcoholic
beverages
division
of
the
department
of
commerce
8
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
9
and
to
engage
in
tobacco
control
activities
approved
by
the
10
division
and
the
department
as
specified
in
the
memorandum
11
of
understanding
entered
into
between
the
division
and
the
12
department.
13
(b)
For
the
fiscal
year
beginning
July
1,
2023,
and
ending
14
June
30,
2024,
the
terms
of
the
memorandum
of
understanding,
15
entered
into
between
the
alcoholic
beverages
division
of
the
16
department
of
commerce
and
the
department,
governing
compliance
17
checks
conducted
to
ensure
licensed
retail
tobacco
outlet
18
conformity
with
tobacco
laws,
regulations,
and
ordinances
19
relating
to
persons
under
21
years
of
age,
shall
continue
to
20
restrict
the
number
of
such
checks
to
one
check
per
retail
21
outlet,
and
one
additional
check
for
any
retail
outlet
found
to
22
be
in
violation
during
the
first
check.
23
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
24
$______
shall
be
used
for
problem
gambling
and
substance
25
use
disorder
prevention,
treatment,
and
recovery
services,
26
including
a
24-hour
helpline,
public
information
resources,
27
professional
training,
youth
prevention,
and
program
28
evaluation.
29
(2)
Of
the
amount
allocated
under
this
paragraph,
30
$______
shall
be
utilized
by
the
department
to
maintain
31
a
single
statewide
24-hour
crisis
hotline
for
the
Iowa
32
children’s
behavioral
health
system
that
incorporates
warmline
33
services
which
may
be
provided
through
expansion
of
existing
34
capabilities
as
required
pursuant
to
2018
Iowa
Acts,
chapter
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1056,
section
16
.
1
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
2
by
the
appropriations
and
allocations
made
in
this
division
of
3
this
Act
for
purposes
of
substance
use
disorder
treatment
and
4
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2023.
5
2.
HEALTHY
CHILDREN
AND
FAMILIES
6
For
promoting
the
optimum
health
status
for
children
and
7
adolescents
from
birth
through
21
years
of
age,
and
families,
8
and
for
not
more
than
the
following
full-time
equivalent
9
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
12
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
13
than
$_____
shall
be
used
for
the
healthy
opportunities
for
14
parents
to
experience
success
(HOPES)-healthy
families
Iowa
15
(HFI)
program
established
pursuant
to
section
135.106
.
16
b.
In
order
to
implement
the
legislative
intent
stated
17
in
sections
135.106
and
256I.9
,
priority
for
home
visitation
18
program
funding
shall
be
given
to
programs
using
evidence-based
19
or
promising
models
for
home
visitation.
20
c.
Of
the
funds
appropriated
in
this
subsection,
$______
21
shall
be
used
for
continuation
of
the
department’s
initiative
22
to
provide
for
adequate
developmental
surveillance
and
23
screening
during
a
child’s
first
five
years.
The
funds
shall
24
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
25
the
sites
are
fully
operational,
with
the
remaining
funds
26
to
be
used
for
expansion
to
additional
sites.
The
full
27
implementation
and
expansion
shall
include
enhancing
the
scope
28
of
the
initiative
through
collaboration
with
the
child
health
29
specialty
clinics
to
promote
healthy
child
development
through
30
early
identification
and
response
to
both
biomedical
and
social
31
determinants
of
healthy
development;
by
monitoring
child
32
health
metrics
to
inform
practice,
document
long-term
health
33
impacts
and
savings,
and
provide
for
continuous
improvement
34
through
training,
education,
and
evaluation;
and
by
providing
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for
practitioner
consultation
particularly
for
children
with
1
behavioral
conditions
and
needs.
The
department
shall
also
2
collaborate
with
the
Medicaid
program
and
the
child
health
3
specialty
clinics
to
integrate
the
activities
of
the
first
five
4
initiative
into
the
establishment
of
patient-centered
medical
5
homes,
community
utilities,
accountable
care
organizations,
6
and
other
integrated
care
models
developed
to
improve
health
7
quality
and
population
health
while
reducing
health
care
costs.
8
To
the
maximum
extent
possible,
funding
allocated
in
this
9
paragraph
shall
be
utilized
as
matching
funds
for
Medicaid
10
program
reimbursement.
11
d.
Of
the
funds
appropriated
in
this
subsection,
$_____
12
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
13
funds
to
continue
the
donated
dental
services
program
patterned
14
after
the
projects
developed
by
the
dental
lifeline
network
to
15
provide
dental
services
to
indigent
individuals
who
are
elderly
16
or
with
disabilities.
17
e.
Of
the
funds
appropriated
in
this
subsection,
$______
18
shall
be
used
to
provide
audiological
services
and
hearing
aids
19
for
children.
20
f.
Of
the
funds
appropriated
in
this
subsection,
$_____
is
21
transferred
to
the
university
of
Iowa
college
of
dentistry
for
22
provision
of
primary
dental
services
to
children.
State
funds
23
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
24
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
25
department
to
provide
dental
care
to
underserved
populations
26
throughout
the
state.
27
g.
Of
the
funds
appropriated
in
this
subsection,
$_____
28
shall
be
used
to
address
youth
suicide
prevention.
29
h.
Of
the
funds
appropriated
in
this
subsection,
$_____
30
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
31
of
children
who
experience
adverse
childhood
experiences
known
32
as
ACEs.
33
i.
Of
the
funds
appropriated
in
this
subsection,
up
to
34
$_____
shall
be
used
for
childhood
obesity
prevention.
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3.
CHRONIC
CONDITIONS
1
For
serving
individuals
identified
as
having
chronic
2
conditions
or
special
health
care
needs,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
6
a.
Of
the
funds
appropriated
in
this
subsection,
$_____
7
shall
be
used
for
grants
to
individual
patients
who
have
an
8
inherited
metabolic
disorder
to
assist
with
the
costs
of
9
medically
necessary
foods
and
formula.
10
b.
Of
the
funds
appropriated
in
this
subsection,
$______
11
shall
be
used
for
the
brain
injury
services
program
pursuant
12
to
section
135.22B
,
including
$_____
for
contracting
with
an
13
existing
nationally
affiliated
and
statewide
organization
whose
14
purpose
is
to
educate,
serve,
and
support
Iowans
with
brain
15
injury
and
their
families,
for
resource
facilitator
services
16
in
accordance
with
section
135.22B,
subsection
9
,
and
for
17
contracting
to
enhance
brain
injury
training
and
recruitment
18
of
service
providers
on
a
statewide
basis.
Of
the
amount
19
allocated
in
this
paragraph,
$_____
shall
be
used
to
fund
_____
20
full-time
equivalent
position
to
serve
as
the
state
brain
21
injury
services
program
manager.
22
c.
Of
the
funds
appropriated
in
this
subsection,
$_____
23
shall
be
used
for
the
public
purpose
of
continuing
to
contract
24
with
an
existing
nationally
affiliated
organization
to
provide
25
education,
client-centered
programs,
and
client
and
family
26
support
for
people
living
with
epilepsy
and
their
families.
27
The
amount
allocated
in
this
paragraph
in
excess
of
$_____
28
shall
be
matched
dollar-for-dollar
by
the
organization
29
specified.
Funds
allocated
under
this
paragraph
shall
be
30
distributed
in
their
entirety
for
the
purpose
specified
on
July
31
1,
2023.
32
d.
Of
the
funds
appropriated
in
this
subsection,
$_____
33
shall
be
used
for
child
health
specialty
clinics.
34
e.
Of
the
funds
appropriated
in
this
subsection,
$_____
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shall
be
used
by
the
regional
autism
assistance
program
1
established
pursuant
to
section
256.35
,
and
administered
by
2
the
child
health
specialty
clinic
located
at
the
university
of
3
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
4
interagency
collaboration
and
coordination
of
educational,
5
medical,
and
other
health
and
human
services
for
persons
with
6
autism,
their
families,
and
providers
of
services,
including
7
delivering
regionalized
services
of
care
coordination,
8
family
navigation,
and
integration
of
services
through
the
9
statewide
system
of
regional
child
health
specialty
clinics
and
10
fulfilling
other
requirements
as
specified
in
chapter
225D
.
11
The
university
of
Iowa
shall
not
receive
funds
allocated
under
12
this
paragraph
for
indirect
costs
associated
with
the
regional
13
autism
assistance
program.
14
f.
Of
the
funds
appropriated
in
this
subsection,
$_____
15
shall
be
used
for
the
comprehensive
cancer
control
program
to
16
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
17
detection,
effective
treatment,
and
ensuring
quality
of
life.
18
Of
the
funds
allocated
in
this
paragraph
“f”,
$_____
shall
19
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
20
biorepository
and
registry,
basic
and
translational
melanoma
21
research,
and
clinical
trials.
22
g.
Of
the
funds
appropriated
in
this
subsection,
$_____
23
shall
be
used
for
cervical
and
colon
cancer
screening,
and
24
$_____
shall
be
used
to
enhance
the
capacity
of
the
cervical
25
cancer
screening
program
to
include
provision
of
recommended
26
prevention
and
early
detection
measures
to
a
broader
range
of
27
low-income
women.
28
h.
Of
the
funds
appropriated
in
this
subsection,
$_____
29
shall
be
used
for
the
center
for
congenital
and
inherited
30
disorders.
31
4.
COMMUNITY
CAPACITY
32
For
strengthening
the
health
care
delivery
system
at
the
33
local
level,
and
for
not
more
than
the
following
full-time
34
equivalent
positions:
35
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
2
a.
Of
the
funds
appropriated
in
this
subsection,
$_____
3
is
allocated
for
continuation
of
the
child
vision
screening
4
program
implemented
through
the
university
of
Iowa
hospitals
5
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
6
The
program
shall
submit
a
report
to
the
department
regarding
7
the
use
of
funds
allocated
under
this
paragraph
“a”.
The
8
report
shall
include
the
objectives
and
results
for
the
9
program
year
including
the
target
population
and
how
the
funds
10
allocated
assisted
the
program
in
meeting
the
objectives;
the
11
number,
age,
and
location
within
the
state
of
individuals
12
served;
the
type
of
services
provided
to
the
individuals
13
served;
the
distribution
of
funds
based
on
the
services
14
provided;
and
the
continuing
needs
of
the
program.
15
b.
Of
the
funds
appropriated
in
this
subsection,
16
$_____
shall
be
used
for
a
grant
to
a
statewide
association
17
of
psychologists,
that
is
affiliated
with
the
American
18
psychological
association,
to
be
used
for
continuation
of
a
19
program
to
rotate
intern
psychologists
in
placements
that
20
serve
urban
and
rural
mental
health
professional
shortage
21
areas.
Once
an
intern
psychologist
begins
service,
the
intern
22
psychologist
may
continue
serving
in
the
location
of
the
intern
23
psychologist’s
placement,
notwithstanding
any
change
in
the
24
mental
health
professional
shortage
area
designation
of
such
25
location.
The
intern
psychologist
may
also
provide
services
26
via
telehealth,
to
underserved
populations,
and
to
Medicaid
27
members.
For
the
purposes
of
this
paragraph
“b”,
“mental
28
health
professional
shortage
area”
means
a
geographic
area
29
in
this
state
that
has
been
designated
by
the
United
States
30
department
of
health
and
human
services,
health
resources
and
31
services
administration,
bureau
of
health
professionals,
as
32
having
a
shortage
of
mental
health
professionals.
33
c.
Of
the
funds
appropriated
in
this
subsection,
the
34
following
amounts
are
allocated
to
be
used
as
follows
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to
support
the
goals
of
increased
access,
health
system
1
integration,
and
engagement:
2
(1)
Not
less
than
$_____
is
allocated
to
the
Iowa
3
prescription
drug
corporation
for
continuation
of
the
4
pharmaceutical
infrastructure
for
safety
net
providers
as
5
described
in
2007
Iowa
Acts,
chapter
218,
section
108
,
and
for
6
the
prescription
drug
donation
repository
program
created
in
7
chapter
135M
.
Funds
allocated
under
this
subparagraph
shall
8
be
distributed
in
their
entirety
for
the
purpose
specified
on
9
July
1,
2023.
10
(2)
Not
less
than
$_____
is
allocated
to
free
clinics
and
11
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
12
coordination,
provider
recruitment,
service
delivery,
and
13
provision
of
assistance
to
patients
in
securing
a
medical
home
14
inclusive
of
oral
health
care.
Funds
allocated
under
this
15
subparagraph
shall
be
distributed
in
their
entirety
for
the
16
purpose
specified
on
July
1,
2023.
17
(3)
Not
less
than
$_____
is
allocated
to
the
Iowa
18
association
of
rural
health
clinics
for
necessary
19
infrastructure
and
service
delivery
transformation.
Funds
20
allocated
under
this
subparagraph
shall
be
distributed
in
their
21
entirety
for
the
purpose
specified
on
July
1,
2023.
22
(4)
Not
less
than
$_____
is
allocated
to
the
Polk
county
23
medical
society
for
continuation
of
the
safety
net
provider
24
patient
access
to
specialty
health
care
initiative
as
described
25
in
2007
Iowa
Acts,
chapter
218,
section
109
.
Funds
allocated
26
under
this
subparagraph
shall
be
distributed
in
their
entirety
27
for
the
purpose
specified
on
July
1,
2023.
28
d.
Of
the
funds
appropriated
in
this
subsection,
$_____
is
29
allocated
for
the
purposes
of
health
care
and
public
health
30
workforce
initiatives.
31
e.
Of
the
funds
appropriated
in
this
subsection,
$_____
32
shall
be
used
for
a
matching
dental
education
loan
repayment
33
program
to
be
allocated
to
a
dental
nonprofit
health
service
34
corporation
to
continue
to
develop
the
criteria
and
implement
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the
loan
repayment
program.
1
f.
Of
the
funds
appropriated
in
this
subsection,
$_____
2
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
3
specified
in
section
142C.18
.
4
g.
Of
the
funds
appropriated
in
this
subsection,
$_____
5
shall
be
used
for
continuation
of
a
grant
to
a
nationally
6
affiliated
volunteer
eye
organization
that
has
an
established
7
program
for
children
and
adults
and
that
is
solely
dedicated
to
8
preserving
sight
and
preventing
blindness
through
education,
9
nationally
certified
vision
screening
and
training,
and
10
community
and
patient
service
programs.
The
contractor
shall
11
submit
a
report
to
the
general
assembly
regarding
the
use
12
of
funds
allocated
under
this
paragraph
“g”.
The
report
13
shall
include
the
objectives
and
results
for
the
program
year
14
including
the
target
population
and
how
the
funds
allocated
15
assisted
the
program
in
meeting
the
objectives;
the
number,
16
age,
grade
level
if
appropriate,
and
location
within
the
state
17
of
individuals
served;
the
type
of
services
provided
to
the
18
individuals
served;
the
distribution
of
funds
based
on
the
19
services
provided;
and
the
continuing
needs
of
the
program.
20
h.
Of
the
funds
appropriated
in
this
subsection,
$______
21
shall
be
deposited
in
the
medical
residency
training
account
22
created
in
section
135.175,
subsection
5
,
paragraph
“a”,
and
is
23
appropriated
from
the
account
to
the
department
to
be
used
for
24
the
purposes
of
the
medical
residency
training
state
matching
25
grants
program
as
specified
in
section
135.176
.
26
i.
Of
the
funds
appropriated
in
this
subsection,
$_____
27
shall
be
used
for
the
public
purpose
of
providing
funding
to
28
Des
Moines
university
to
continue
a
provider
education
project
29
to
provide
primary
care
physicians
with
the
training
and
skills
30
necessary
to
recognize
the
signs
of
mental
illness
in
patients.
31
j.
Of
the
funds
appropriated
in
this
subsection,
$_____
32
shall
be
used
for
rural
psychiatric
residencies
to
support
the
33
annual
creation
and
training
of
six
psychiatric
residents
who
34
will
provide
mental
health
services
in
underserved
areas
of
35
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1004SV
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pf/rn
13/
70
S.F.
561
the
state.
Notwithstanding
section
8.33,
moneys
that
remain
1
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
2
shall
not
revert
but
shall
remain
available
for
expenditure
for
3
the
purposes
designated
for
subsequent
fiscal
years.
4
k.
Of
the
funds
appropriated
in
this
subsection,
$_____
5
shall
be
used
for
psychiatric
training
to
increase
access
to
6
mental
health
care
services
by
expanding
the
mental
health
7
workforce
via
training
of
additional
physician
assistants
and
8
nurse
practitioners.
9
1.
Of
the
funds
appropriated
in
this
subsection,
$_____
10
shall
be
used
for
the
creation
or
continuation
of
a
center
of
11
excellence
program
to
encourage
innovation
and
collaboration
12
among
regional
health
care
providers
in
a
rural
area
based
13
upon
the
results
of
a
regional
community
needs
assessment
to
14
transform
health
care
delivery
in
order
to
provide
quality,
15
sustainable
care
that
meets
the
needs
of
the
local
communities.
16
An
applicant
for
the
funds
shall
specify
how
the
funds
will
17
be
expended
to
accomplish
the
goals
of
the
program
and
shall
18
provide
a
detailed
five-year
sustainability
plan
prior
to
19
being
awarded
any
funding.
Following
the
receipt
of
funding,
20
a
recipient
shall
submit
periodic
reports
as
specified
by
the
21
department
to
the
governor
and
the
general
assembly
regarding
22
the
recipient’s
expenditure
of
the
funds
and
progress
in
23
accomplishing
the
program
goals.
24
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
25
To
provide
public
health
services
that
reduce
risks
and
26
invest
in
promoting
and
protecting
good
health
over
the
27
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
28
vulnerable
populations:
29
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.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
$
___
30
6.
INFECTIOUS
DISEASES
31
For
reducing
the
incidence
and
prevalence
of
communicable
32
diseases,
and
for
not
more
than
the
following
full-time
33
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
35
-14-
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1004SV
(2)
90
pf/rn
14/
70
S.F.
561
.
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.
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.
.
.
.
.
.
.
.
.
FTEs
___
1
7.
PUBLIC
PROTECTION
2
For
protecting
the
health
and
safety
of
the
public
through
3
establishing
standards
and
enforcing
regulations,
and
for
not
4
more
than
the
following
full-time
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
6
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
7
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
8
than
$_____
shall
be
credited
to
the
emergency
medical
services
9
fund
created
in
section
135.25
.
Moneys
in
the
emergency
10
medical
services
fund
are
appropriated
to
the
department
to
be
11
used
for
the
purposes
of
the
fund.
12
b.
Of
the
funds
appropriated
in
this
subsection,
up
to
13
$_____
shall
be
used
for
sexual
violence
prevention
programming
14
through
a
statewide
organization
representing
programs
serving
15
victims
of
sexual
violence
through
the
department’s
sexual
16
violence
prevention
program,
and
for
continuation
of
a
training
17
program
for
sexual
assault
response
team
(SART)
members,
18
including
representatives
of
law
enforcement,
victim
advocates,
19
prosecutors,
and
certified
medical
personnel.
The
amount
20
allocated
in
this
paragraph
“b”
shall
not
be
used
to
supplant
21
funding
administered
for
other
sexual
violence
prevention
or
22
victims
assistance
programs.
23
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
24
$_____
shall
be
used
for
the
state
poison
control
center.
25
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
1140,
26
section
102
,
the
federal
matching
funds
available
to
the
27
state
poison
control
center
from
the
department
under
the
28
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
29
allotment
shall
be
subject
to
the
federal
administrative
cap
30
rule
of
10
percent
applicable
to
funding
provided
under
Tit.
31
XXI
of
the
federal
Social
Security
Act
and
included
within
the
32
department’s
calculations
of
the
cap.
33
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
34
$_____
shall
be
used
for
childhood
lead
poisoning
provisions.
35
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70
S.F.
561
8.
RESOURCE
MANAGEMENT
1
For
establishing
and
sustaining
the
overall
ability
of
the
2
department
to
deliver
services
to
the
public,
and
for
not
more
3
than
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
6
9.
MISCELLANEOUS
PROVISIONS
7
The
university
of
Iowa
hospitals
and
clinics
under
the
8
control
of
the
state
board
of
regents
shall
not
receive
9
indirect
costs
from
the
funds
appropriated
in
this
section.
10
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
11
department
shall
be
on
at
least
a
quarterly
basis.
12
Sec.
6.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
SPORTS
13
WAGERING
RECEIPTS
FUND.
There
is
appropriated
from
the
sports
14
wagering
receipts
fund
created
in
section
8.57,
subsection
6,
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
purposes
designated:
19
For
problem
gambling
and
substance
use
disorder
prevention,
20
treatment,
and
recovery
services,
including
a
24-hour
helpline,
21
public
information
resources,
professional
training,
youth
22
prevention,
and
program
evaluation:
23
.
.
.
.
.
.
.
.
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.
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.
.
.
.
$
___
24
DIVISION
V
25
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
RIGHTS
26
Sec.
7.
HUMAN
RIGHTS.
There
is
appropriated
from
the
27
general
fund
of
the
state
to
the
department
of
health
and
human
28
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
29
June
30,
2024,
the
following
amounts,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purposes
designated:
31
1.
HUMAN
RIGHTS
CENTRAL
ADMINISTRATION
32
For
salaries,
support,
maintenance,
and
miscellaneous
33
purposes,
and
for
not
more
than
the
following
full-time
34
equivalent
positions:
35
-16-
LSB
1004SV
(2)
90
pf/rn
16/
70
S.F.
561
.
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.
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.
.
$
___
1
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.
.
.
.
.
.
.
.
.
FTEs
___
2
2.
COMMUNITY
ADVOCACY
AND
SERVICES
3
For
salaries,
support,
maintenance,
and
miscellaneous
4
purposes,
and
for
not
more
than
the
following
full-time
5
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
$
___
7
.
.
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.
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.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
8
3.
CRIMINAL
AND
JUVENILE
JUSTICE
PLANNING
9
a.
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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.
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.
.
.
.
.
.
.
.
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.
.
.
.
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.
.
.
.
.
.
$
___
13
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
14
b.
(1)
For
a
single
grant
to
a
program
located
in
a
city
15
with
a
higher
than
average
juvenile
crime
rate
as
determined
by
16
the
department
of
health
and
human
services
and
a
population
17
greater
than
80,000
as
determined
by
the
2020
federal
decennial
18
census,
which
may
be
used
for
studying,
planning,
programming,
19
and
capital,
that
is
committed
to
deterring
juvenile
20
delinquency
through
early
intervention
in
the
criminal
justice
21
system
by
providing
a
comprehensive,
multifaceted
delivery
of
22
social
services
and
which
shall
meet
the
guiding
principles
23
and
standards
for
assessment
centers
set
forth
by
the
national
24
assessment
center
association:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
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.
.
.
.
.
.
.
$
___
26
(2)
The
program
shall
use
no
more
than
5
percent
of
the
27
grant
for
administrative
costs.
28
(3)
A
city
shall
not
receive
a
grant
under
this
paragraph,
29
or
a
similar
grant
from
the
state,
for
more
than
two
30
consecutive
fiscal
years
unless
no
other
city
meets
the
31
requirements
specified
in
subparagraph
(1).
32
c.
The
justice
advisory
board
and
the
juvenile
justice
33
advisory
council
shall
coordinate
their
efforts
in
carrying
out
34
their
respective
duties
relative
to
juvenile
justice.
35
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90
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70
S.F.
561
DIVISION
VI
1
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
SERVICES
——
2
FY
2023-2024
3
Sec.
8.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
4
GRANT.
There
is
appropriated
from
the
fund
created
in
section
5
8.41
to
the
department
of
health
and
human
services
for
the
6
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
7
from
moneys
received
under
the
federal
temporary
assistance
8
for
needy
families
(TANF)
block
grant
pursuant
to
the
federal
9
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
10
of
1996,
Pub.
L.
No.
104-193,
and
successor
legislation,
the
11
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
12
used
for
the
purposes
designated:
13
1.
To
be
credited
to
the
family
investment
program
account
14
and
used
for
assistance
under
the
family
investment
program
15
under
chapter
239B
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
17
2.
To
be
credited
to
the
family
investment
program
account
18
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
19
program
and
implementing
family
investment
agreements
in
20
accordance
with
chapter
239B
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
22
3.
To
be
used
for
the
family
development
and
23
self-sufficiency
grant
program
in
accordance
with
section
24
216A.107
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
26
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
27
subsection
that
remain
unencumbered
or
unobligated
at
the
close
28
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
29
for
expenditure
for
the
purposes
designated
until
the
close
of
30
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
31
encumbered
or
obligated
on
or
before
September
30,
2024,
the
32
moneys
shall
revert.
33
4.
For
field
operations:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
35
-18-
LSB
1004SV
(2)
90
pf/rn
18/
70
S.F.
561
5.
For
general
administration:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
2
6.
For
state
child
care
assistance:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
4
a.
Of
the
funds
appropriated
in
this
subsection,
$______
5
is
transferred
to
the
child
care
and
development
block
grant
6
appropriation
made
by
the
Ninetieth
General
Assembly,
2023
7
session,
for
the
federal
fiscal
year
beginning
October
1,
2023,
8
and
ending
September
30,
2024.
Of
this
amount,
$_____
shall
be
9
used
for
provision
of
educational
opportunities
to
registered
10
child
care
home
providers
in
order
to
improve
services
and
11
programs
offered
by
this
category
of
providers
and
to
increase
12
the
number
of
providers.
The
department
may
contract
with
13
institutions
of
higher
education
or
child
care
resource
and
14
referral
centers
to
provide
the
educational
opportunities.
15
Allowable
administrative
costs
under
the
contracts
shall
not
16
exceed
5
percent.
The
application
for
a
grant
shall
not
exceed
17
two
pages
in
length.
18
b.
Any
funds
appropriated
in
this
subsection
remaining
19
unallocated
shall
be
used
for
state
child
care
assistance
20
payments
for
families
who
are
employed
including
but
not
21
limited
to
individuals
enrolled
in
the
family
investment
22
program.
23
7.
For
child
and
family
services:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
25
8.
For
child
abuse
prevention
grants:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
27
9.
For
pregnancy
prevention
grants
on
the
condition
that
28
family
planning
services
are
funded:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
30
Pregnancy
prevention
grants
shall
be
awarded
to
programs
31
in
existence
on
or
before
July
1,
2023,
if
the
programs
have
32
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
33
pregnancy
prevention
programs
which
are
developed
after
July
34
1,
2023,
if
the
programs
are
based
on
existing
models
that
35
-19-
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1004SV
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90
pf/rn
19/
70
S.F.
561
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
1
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
2
section
14,
subsections
1
and
2
,
including
the
requirement
that
3
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
4
the
awarding
of
grants
shall
be
given
to
programs
that
serve
5
areas
of
the
state
which
demonstrate
the
highest
percentage
of
6
unplanned
pregnancies
of
females
of
childbearing
age
within
the
7
geographic
area
to
be
served
by
the
grant.
8
10.
For
technology
needs
and
other
resources
necessary
to
9
meet
federal
and
state
reporting,
tracking,
and
case
management
10
requirements
and
other
departmental
needs:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
12
11.
a.
Notwithstanding
any
provision
to
the
contrary,
13
including
but
not
limited
to
requirements
in
section
8.41
or
14
provisions
in
2022
Iowa
Acts
or
2023
Iowa
Acts
regarding
the
15
receipt
and
appropriation
of
federal
block
grants,
federal
16
funds
from
the
temporary
assistance
for
needy
families
block
17
grant
received
by
the
state
and
not
otherwise
appropriated
18
in
this
section
and
remaining
available
for
the
fiscal
year
19
beginning
July
1,
2023,
are
appropriated
to
the
department
of
20
health
and
human
services
to
the
extent
as
may
be
necessary
to
21
be
used
in
the
following
priority
order:
the
family
investment
22
program,
for
state
child
care
assistance
program
payments
23
for
families
who
are
employed,
and
for
the
family
investment
24
program
share
of
system
costs
for
eligibility
determination
25
and
related
functions.
The
federal
funds
appropriated
in
this
26
paragraph
“a”
shall
be
expended
only
after
all
other
funds
27
appropriated
in
subsection
1
for
assistance
under
the
family
28
investment
program,
in
subsection
6
for
state
child
care
29
assistance,
or
in
subsection
10
for
technology
needs
and
other
30
resources
necessary
to
meet
departmental
needs,
as
applicable,
31
have
been
expended.
For
the
purposes
of
this
subsection,
the
32
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
33
to
the
child
care
and
development
block
grant
appropriation
34
are
considered
fully
expended
when
the
full
amount
has
been
35
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90
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20/
70
S.F.
561
transferred.
1
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
2
general
assembly
and
department
of
management
of
the
amount
of
3
funds
appropriated
in
this
subsection
that
was
expended
in
the
4
prior
quarter.
5
12.
Of
the
amounts
appropriated
in
this
section,
$_____
for
6
the
fiscal
year
beginning
July
1,
2023,
is
transferred
to
the
7
appropriation
of
the
federal
social
services
block
grant
made
8
to
the
department
of
health
and
human
services
for
that
fiscal
9
year.
10
13.
For
continuation
of
the
program
providing
categorical
11
eligibility
for
the
supplemental
nutrition
assistance
program
12
(SNAP)
as
specified
for
the
program
in
the
section
of
this
13
division
of
this
Act
relating
to
the
family
investment
program
14
account:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
16
14.
The
department
may
transfer
funds
allocated
in
this
17
section
to
the
appropriations
made
in
this
division
of
this
Act
18
for
the
same
fiscal
year
for
general
administration
and
field
19
operations
for
resources
necessary
to
implement
and
operate
the
20
services
referred
to
in
this
section
and
those
funded
in
the
21
appropriation
made
in
this
division
of
this
Act
for
the
same
22
fiscal
year
for
the
family
investment
program
from
the
general
23
fund
of
the
state.
24
15.
With
the
exception
of
moneys
allocated
under
this
25
section
for
the
family
development
and
self-sufficiency
grant
26
program,
to
the
extent
moneys
allocated
in
this
section
are
27
deemed
by
the
department
not
to
be
necessary
to
support
the
28
purposes
for
which
they
are
allocated,
such
moneys
may
be
used
29
in
the
same
fiscal
year
for
any
other
purpose
for
which
funds
30
are
allocated
in
this
section
or
in
section
9
of
this
division
31
of
this
Act
for
the
family
investment
program
account.
If
32
there
are
conflicting
needs,
priority
shall
first
be
given
33
to
the
family
investment
program
account
as
specified
under
34
subsection
1
of
this
section
and
used
for
the
purposes
of
35
-21-
LSB
1004SV
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90
pf/rn
21/
70
S.F.
561
assistance
under
the
family
investment
program
in
accordance
1
with
chapter
239B
,
followed
by
state
child
care
assistance
2
program
payments
for
families
who
are
employed,
followed
by
3
other
priorities
as
specified
by
the
department.
4
Sec.
9.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
5
1.
Moneys
credited
to
the
family
investment
program
(FIP)
6
account
for
the
fiscal
year
beginning
July
1,
2023,
and
7
ending
June
30,
2024,
shall
be
used
to
provide
assistance
in
8
accordance
with
chapter
239B
.
9
2.
The
department
may
use
a
portion
of
the
moneys
credited
10
to
the
FIP
account
under
this
section
as
necessary
for
11
salaries,
support,
maintenance,
and
miscellaneous
purposes,
12
including
administrative
and
information
technology
costs
13
associated
with
rent
reimbursement
and
other
income
assistance
14
programs
administered
by
the
department.
15
3.
The
department
may
transfer
funds
allocated
in
16
subsection
4,
excluding
the
allocation
under
subsection
4,
17
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
18
this
Act
for
the
same
fiscal
year
for
general
administration
19
and
field
operations
for
resources
necessary
to
implement
20
and
operate
the
services
referred
to
in
this
section
and
21
those
funded
in
the
appropriations
made
in
section
8
for
the
22
temporary
assistance
for
needy
families
block
grant
and
in
23
section
10
for
the
family
investment
program
from
the
general
24
fund
of
the
state
in
this
division
of
this
Act
for
the
same
25
fiscal
year.
26
4.
Moneys
appropriated
in
this
division
of
this
Act
and
27
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
28
1,
2023,
and
ending
June
30,
2024,
are
allocated
as
follows:
29
a.
To
be
used
by
the
department
of
health
and
human
services
30
to
more
effectively
serve
participants
in
FIP
and
other
31
programs
and
to
meet
federal
reporting
requirements
under
the
32
federal
temporary
assistance
for
needy
families
block
grant:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
34
b.
To
be
used
by
the
department
of
health
and
human
services
35
-22-
LSB
1004SV
(2)
90
pf/rn
22/
70
S.F.
561
for
staffing,
administration,
and
implementation
of
the
family
1
development
and
self-sufficiency
grant
program
in
accordance
2
with
section
216A.107
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
4
(1)
Of
the
funds
allocated
for
the
family
development
5
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
6
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
7
administration
of
the
grant
program.
8
(2)
The
department
of
health
and
human
services
may
continue
9
to
implement
the
family
development
and
self-sufficiency
grant
10
program
statewide
during
fiscal
year
2023-2024.
11
(3)
The
department
of
health
and
human
services
may
engage
12
in
activities
to
strengthen
and
improve
family
outcomes
13
measures
and
data
collection
systems
under
the
family
14
development
and
self-sufficiency
grant
program.
15
c.
For
the
diversion
subaccount
of
the
FIP
account:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
17
A
portion
of
the
moneys
allocated
for
the
diversion
18
subaccount
may
be
used
for
field
operations,
salaries,
data
19
management
system
development,
and
implementation
costs
and
20
support
deemed
necessary
by
the
director
of
health
and
human
21
services
in
order
to
administer
the
FIP
diversion
program.
22
To
the
extent
moneys
allocated
in
this
paragraph
“c”
are
23
deemed
by
the
department
not
to
be
necessary
to
support
24
diversion
activities,
such
moneys
may
be
used
for
other
efforts
25
intended
to
increase
engagement
by
family
investment
program
26
participants
in
work,
education,
or
training
activities,
or
for
27
the
purposes
of
assistance
under
the
family
investment
program
28
in
accordance
with
chapter
239B
.
29
d.
For
the
SNAP
employment
and
training
program:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
31
(1)
The
department
shall
apply
the
federal
SNAP
employment
32
and
training
state
plan
in
order
to
maximize
to
the
fullest
33
extent
permitted
by
federal
law
the
use
of
the
50
percent
34
federal
reimbursement
provisions
for
the
claiming
of
allowable
35
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federal
reimbursement
funds
from
the
United
States
department
1
of
agriculture
pursuant
to
the
federal
SNAP
employment
and
2
training
program
for
providing
education,
employment,
and
3
training
services
for
eligible
SNAP
participants,
including
4
but
not
limited
to
related
dependent
care
and
transportation
5
expenses.
6
(2)
The
department
shall
continue
the
categorical
7
federal
SNAP
eligibility
at
160
percent
of
the
federal
8
poverty
level
and
continue
to
eliminate
the
asset
test
from
9
eligibility
requirements,
consistent
with
federal
SNAP
program
10
requirements.
The
department
shall
include
as
many
SNAP
11
households
as
is
allowed
by
federal
law.
The
eligibility
12
provisions
shall
conform
to
all
federal
requirements
including
13
requirements
addressing
individuals
who
are
disqualified
for
14
committing
an
intentional
program
violation
or
are
otherwise
15
ineligible.
16
e.
For
the
JOBS
program,
not
more
than:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
.
.
.
.
$
___
18
5.
Of
the
child
support
collections
assigned
under
FIP,
an
19
amount
equal
to
the
federal
share
of
support
collections
shall
20
be
credited
to
the
child
support
services
appropriation
made
21
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
22
child
support
collections
received
by
child
support
services,
23
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
24
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
25
sustain
cash
flow
in
the
child
support
payments
account.
If
26
as
a
consequence
of
the
appropriations
and
allocations
made
in
27
this
section
the
resulting
amounts
are
insufficient
to
sustain
28
cash
assistance
payments
and
meet
federal
maintenance
of
effort
29
requirements,
the
department
shall
seek
supplemental
funding.
30
If
child
support
collections
assigned
under
FIP
are
greater
31
than
estimated
or
are
otherwise
determined
not
to
be
required
32
for
maintenance
of
effort,
the
state
share
of
either
amount
may
33
be
transferred
to
or
retained
in
the
child
support
payments
34
account.
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Sec.
10.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
1
is
appropriated
from
the
general
fund
of
the
state
to
the
2
department
of
health
and
human
services
for
the
fiscal
year
3
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
following
4
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
5
purpose
designated:
6
To
be
credited
to
the
family
investment
program
(FIP)
7
account
and
used
for
family
investment
program
assistance
8
under
chapter
239B
and
other
costs
associated
with
providing
9
needs-based
benefits
or
assistance:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
11
1.
Of
the
funds
appropriated
in
this
section,
$_____
is
12
allocated
for
the
JOBS
program.
13
2.
Of
the
funds
appropriated
in
this
section,
$_____
is
14
allocated
for
the
family
development
and
self-sufficiency
grant
15
program.
16
3.
a.
Notwithstanding
section
8.39
,
for
the
fiscal
17
year
beginning
July
1,
2023,
if
necessary
to
meet
federal
18
maintenance
of
effort
requirements
or
to
transfer
federal
19
temporary
assistance
for
needy
families
block
grant
funding
20
to
be
used
for
purposes
of
the
federal
social
services
block
21
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
22
receiving
federal
funding
or
to
implement,
in
accordance
with
23
this
division
of
this
Act,
activities
currently
funded
with
24
juvenile
court
services,
county,
or
community
moneys
and
25
state
moneys
used
in
combination
with
such
moneys;
to
comply
26
with
federal
requirements;
or
to
maximize
the
use
of
federal
27
funds;
the
department
of
health
and
human
services
may
transfer
28
funds
within
or
between
any
of
the
appropriations
made
in
29
this
division
of
this
Act
and
appropriations
in
law
for
the
30
federal
social
services
block
grant
to
the
department
for
the
31
following
purposes,
provided
that
the
combined
amount
of
state
32
and
federal
temporary
assistance
for
needy
families
block
grant
33
funding
for
each
appropriation
remains
the
same
before
and
34
after
the
transfer:
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(1)
For
the
family
investment
program.
1
(2)
For
state
child
care
assistance.
2
(3)
For
child
and
family
services.
3
(4)
For
field
operations.
4
(5)
For
general
administration.
5
b.
This
subsection
shall
not
be
construed
to
prohibit
the
6
use
of
existing
state
transfer
authority
for
other
purposes.
7
The
department
shall
report
any
transfers
made
pursuant
to
this
8
subsection
to
the
general
assembly.
9
4.
Of
the
funds
appropriated
in
this
section,
$_____
shall
10
be
used
for
a
contract
for
tax
preparation
assistance
to
11
low-income
Iowans
to
expand
the
usage
of
the
earned
income
12
tax
credit.
The
purpose
of
the
contract
is
to
supply
this
13
assistance
to
underserved
areas
of
the
state.
The
department
14
shall
not
retain
any
portion
of
the
allocation
under
this
15
subsection
for
administrative
costs.
16
5.
Of
the
funds
appropriated
in
this
section,
$_____
shall
17
be
used
for
the
continuation
of
the
parenting
program,
as
18
specified
in
441
IAC
ch.
100
,
relating
to
parental
obligations,
19
in
which
child
support
services
participates,
to
support
the
20
efforts
of
a
nonprofit
organization
committed
to
strengthening
21
the
community
through
youth
development,
healthy
living,
22
and
social
responsibility
headquartered
in
a
county
with
23
a
population
over
450,000
according
to
the
2020
certified
24
federal
census.
The
funds
allocated
in
this
subsection
shall
25
be
used
by
the
recipient
organization
to
develop
a
larger
26
community
effort,
through
public
and
private
partnerships,
to
27
support
a
broad-based
multi-county
parenthood
initiative
that
28
promotes
payment
of
child
support
obligations,
improved
family
29
relationships,
and
full-time
employment.
30
6.
The
department
may
transfer
funds
appropriated
in
this
31
section,
excluding
the
allocation
in
subsection
2
for
the
32
family
development
and
self-sufficiency
grant
program,
to
the
33
appropriations
made
in
this
division
of
this
Act
for
general
34
administration
and
field
operations
as
necessary
to
administer
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this
section,
section
8
for
the
temporary
assistance
for
needy
1
families
block
grant,
and
section
9
for
the
family
investment
2
program
account.
3
Sec.
11.
CHILD
SUPPORT
SERVICES.
There
is
appropriated
from
4
the
general
fund
of
the
state
to
the
department
of
health
and
5
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
6
ending
June
30,
2024,
the
following
amount,
or
so
much
thereof
7
as
is
necessary,
to
be
used
for
the
purposes
designated:
8
For
child
support
services,
including
salaries,
support,
9
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
10
the
following
full-time
equivalent
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
13
1.
The
department
shall
expend
up
to
$_____,
including
14
federal
financial
participation,
for
the
fiscal
year
beginning
15
July
1,
2023,
for
a
child
support
public
awareness
campaign.
16
The
department
and
the
office
of
the
attorney
general
shall
17
cooperate
in
continuation
of
the
campaign.
The
public
18
awareness
campaign
shall
emphasize,
through
a
variety
of
19
media
activities,
the
importance
of
maximum
involvement
of
20
both
parents
in
the
lives
of
their
children
as
well
as
the
21
importance
of
payment
of
child
support
obligations.
22
2.
Federal
access
and
visitation
grant
moneys
shall
be
23
issued
directly
to
private
not-for-profit
agencies
that
provide
24
services
designed
to
increase
compliance
with
the
child
access
25
provisions
of
court
orders,
including
but
not
limited
to
26
neutral
visitation
sites
and
mediation
services.
27
3.
The
appropriation
made
to
the
department
for
child
28
support
services
may
be
used
throughout
the
fiscal
year
in
the
29
manner
necessary
for
purposes
of
cash
flow
management,
and
for
30
cash
flow
management
purposes
the
department
may
temporarily
31
draw
more
than
the
amount
appropriated,
provided
the
amount
32
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
33
Sec.
12.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
34
FY
2023-2024.
Any
funds
remaining
in
the
health
care
trust
35
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fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
1
July
1,
2023,
and
ending
June
30,
2024,
are
appropriated
to
2
the
department
of
health
and
human
services
to
supplement
3
the
medical
assistance
program
appropriations
made
in
this
4
division
of
this
Act,
for
medical
assistance
reimbursement
and
5
associated
costs,
including
program
administration
and
costs
6
associated
with
program
implementation.
7
Sec.
13.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
8
2023-2024.
Any
funds
remaining
in
the
Medicaid
fraud
fund
9
created
in
section
249A.50
for
the
fiscal
year
beginning
July
10
1,
2023,
and
ending
June
30,
2024,
are
appropriated
to
the
11
department
of
health
and
human
services
to
supplement
the
12
medical
assistance
appropriations
made
in
this
division
of
this
13
Act,
for
medical
assistance
reimbursement
and
associated
costs,
14
including
program
administration
and
costs
associated
with
15
program
implementation.
16
Sec.
14.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
17
general
fund
of
the
state
to
the
department
of
health
and
human
18
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
19
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
20
necessary,
to
be
used
for
the
purpose
designated:
21
For
medical
assistance
program
reimbursement
and
associated
22
costs
as
specifically
provided
in
the
reimbursement
23
methodologies
in
effect
on
June
30,
2023,
except
as
otherwise
24
expressly
authorized
by
law,
consistent
with
options
under
25
federal
law
and
regulations,
and
contingent
upon
receipt
of
26
approval
from
the
office
of
the
governor
of
reimbursement
for
27
each
abortion
performed
under
the
program:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
29
1.
Iowans
support
reducing
the
number
of
abortions
30
performed
in
our
state.
Funds
appropriated
under
this
section
31
shall
not
be
used
for
abortions,
unless
otherwise
authorized
32
under
this
section.
33
2.
The
provisions
of
this
section
relating
to
abortions
34
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
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pursuant
to
chapter
249N
.
1
3.
The
department
shall
utilize
not
more
than
$_____
of
the
2
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
3
health
insurance
premium
payment
program
as
established
in
1992
4
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
5
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
6
not
more
than
$5,000.00
may
be
expended
for
administrative
7
purposes.
8
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
9
of
health
and
human
services
for
addictive
disorders,
$______
10
shall
be
used
for
an
integrated
substance
use
disorder
managed
11
care
system.
The
department
shall
maintain
the
level
of
mental
12
health
and
substance
use
disorder
treatment
services
provided
13
by
the
managed
care
contractors.
The
department
shall
take
the
14
steps
necessary
to
continue
the
federal
waivers
as
necessary
to
15
maintain
the
level
of
services.
16
5.
The
department
shall
aggressively
pursue
options
for
17
providing
medical
assistance
or
other
assistance
to
individuals
18
with
special
needs
who
become
ineligible
to
continue
receiving
19
services
under
the
early
and
periodic
screening,
diagnostic,
20
and
treatment
program
under
the
medical
assistance
program
21
due
to
becoming
21
years
of
age
who
have
been
approved
for
22
additional
assistance
through
the
department’s
exception
to
23
policy
provisions,
but
who
have
health
care
needs
in
excess
24
of
the
funding
available
through
the
exception
to
policy
25
provisions.
26
6.
Of
the
funds
appropriated
in
this
section,
up
to
27
$_____
may
be
transferred
to
the
field
operations
or
general
28
administration
appropriations
in
this
division
of
this
Act
29
for
operational
costs
associated
with
Part
D
of
the
federal
30
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
31
of
2003,
Pub.
L.
No.
108-173.
32
7.
Of
the
funds
appropriated
in
this
section,
up
to
$_____
33
may
be
transferred
to
the
appropriation
in
this
division
of
34
this
Act
for
health
program
operations
to
be
used
for
clinical
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561
assessment
services
and
prior
authorization
of
services.
1
8.
A
portion
of
the
funds
appropriated
in
this
section
may
2
be
transferred
to
the
appropriations
in
this
division
of
this
3
Act
for
general
administration,
health
program
operations,
the
4
children’s
health
insurance
program,
or
field
operations
to
be
5
used
for
the
state
match
cost
to
comply
with
the
payment
error
6
rate
measurement
(PERM)
program
for
both
the
medical
assistance
7
and
children’s
health
insurance
programs
as
developed
by
the
8
centers
for
Medicare
and
Medicaid
services
of
the
United
States
9
department
of
health
and
human
services
to
comply
with
the
10
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
11
No.
107-300,
and
to
support
other
reviews
and
quality
control
12
activities
to
improve
the
integrity
of
these
programs.
13
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
14
amount
is
allocated
to
supplement
the
incomes
of
residents
of
15
nursing
facilities,
intermediate
care
facilities
for
persons
16
with
mental
illness,
and
intermediate
care
facilities
for
17
persons
with
an
intellectual
disability,
with
incomes
of
less
18
than
$50.00
in
the
amount
necessary
for
the
residents
to
19
receive
a
personal
needs
allowance
of
$50.00
per
month
pursuant
20
to
section
249A.30A
.
21
10.
One
hundred
percent
of
the
nonfederal
share
of
payments
22
to
area
education
agencies
that
are
medical
assistance
23
providers
for
medical
assistance-covered
services
provided
to
24
medical
assistance-covered
children,
shall
be
made
from
the
25
appropriation
made
in
this
section.
26
11.
A
portion
of
the
funds
appropriated
in
this
section
may
27
be
transferred
to
the
appropriation
in
this
division
of
this
28
Act
for
health
program
operations
to
be
used
for
administrative
29
activities
associated
with
the
money
follows
the
person
30
demonstration
project.
31
12.
Of
the
funds
appropriated
in
this
section,
$_____
shall
32
be
used
for
the
administration
of
the
health
insurance
premium
33
payment
program,
including
salaries,
support,
maintenance,
and
34
miscellaneous
purposes.
35
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13.
a.
The
department
may
increase
the
amounts
allocated
1
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
2
associated
with
the
medical
assistance
program,
as
necessary,
3
to
sustain
cost
management
efforts.
The
department
shall
4
report
any
such
increase
to
the
general
assembly
and
the
5
department
of
management.
6
b.
If
the
savings
to
the
medical
assistance
program
from
7
ongoing
cost
management
efforts
exceed
the
associated
cost
8
for
the
fiscal
year
beginning
July
1,
2023,
the
department
9
may
transfer
any
savings
generated
for
the
fiscal
year
due
10
to
medical
assistance
program
cost
management
efforts
to
the
11
appropriation
made
in
this
division
of
this
Act
for
health
12
program
operations
or
general
administration
to
defray
the
13
costs
associated
with
implementing
the
efforts.
14
14.
For
the
fiscal
year
beginning
July
1,
2023,
and
ending
15
June
30,
2024,
the
replacement
generation
tax
revenues
required
16
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
17
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
18
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
19
to
and
supplement
the
appropriation
made
in
this
section
and
20
used
for
the
allocations
made
in
this
section.
21
15.
a.
Of
the
funds
appropriated
in
this
section,
22
up
to
$_____
may
be
transferred
by
the
department
to
the
23
appropriation
made
in
this
division
of
this
Act
to
the
24
department
for
the
same
fiscal
year
for
general
administration
25
to
be
used
for
associated
administrative
expenses
and
for
not
26
more
than
1.00
full-time
equivalent
position,
in
addition
to
27
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
28
implementing
the
children’s
mental
health
home
project.
29
b.
Of
the
funds
appropriated
in
this
section,
up
to
$_____
30
may
be
transferred
by
the
department
to
the
appropriation
made
31
to
the
department
in
this
division
of
this
Act
for
the
same
32
fiscal
year
for
Medicaid
program-related
general
administration
33
planning
and
implementation
activities.
The
funds
may
be
used
34
for
contracts
or
for
personnel
in
addition
to
the
amounts
35
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561
appropriated
for
and
the
positions
authorized
for
general
1
administration
for
the
fiscal
year.
2
c.
Of
the
funds
appropriated
in
this
section,
up
to
$_____
3
may
be
transferred
by
the
department
to
the
appropriations
4
made
in
this
division
of
this
Act
for
the
same
fiscal
year
5
for
general
administration
or
health
program
operations
to
6
be
used
to
support
the
development
and
implementation
of
7
standardized
assessment
tools
for
persons
with
mental
illness,
8
an
intellectual
disability,
a
developmental
disability,
or
a
9
brain
injury.
10
16.
Of
the
funds
appropriated
in
this
section,
$_____
11
shall
be
used
for
lodging
expenses
associated
with
care
12
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
13
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
14
and
whose
income
is
at
or
below
200
percent
of
the
federal
15
poverty
level
as
defined
by
the
most
recently
revised
poverty
16
income
guidelines
published
by
the
United
States
department
of
17
health
and
human
services.
The
department
of
health
and
human
18
services
shall
establish
the
maximum
number
of
overnight
stays
19
and
the
maximum
rate
reimbursed
for
overnight
lodging,
which
20
may
be
based
on
the
state
employee
rate
established
by
the
21
department
of
administrative
services.
The
funds
allocated
in
22
this
subsection
shall
not
be
used
as
nonfederal
share
matching
23
funds.
24
17.
Of
the
funds
appropriated
in
this
section,
up
to
$______
25
shall
be
used
for
administration
of
the
state
family
planning
26
services
program
pursuant
to
section
217.41B
,
and
of
this
27
amount,
the
department
may
use
up
to
$_____
for
administrative
28
expenses.
29
18.
Of
the
funds
appropriated
in
this
section,
$______
30
shall
be
used
and
may
be
transferred
to
other
appropriations
31
in
this
division
of
this
Act
as
necessary
to
administer
the
32
provisions
in
the
division
of
this
Act
relating
to
Medicaid
33
program
administration.
34
19.
The
department
shall
comply
with
the
centers
for
35
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561
Medicare
and
Medicaid
services’
guidance
related
to
Medicaid
1
program
and
children’s
health
insurance
program
maintenance
2
of
effort
provisions,
including
eligibility
standards,
3
methodologies,
procedures,
and
continuous
enrollment,
to
4
receive
the
enhanced
federal
medical
assistance
percentage
5
under
section
6008(b)
of
the
federal
Families
First
Coronavirus
6
Response
Act,
Pub.
L.
No.
116-127.
The
department
shall
7
utilize
and
implement
all
tools,
processes,
and
resources
8
available
to
expediently
return
to
normal
eligibility
and
9
enrollment
operations
in
compliance
with
federal
guidance
and
10
expectations.
11
20.
A
portion
of
the
funds
appropriated
in
this
section
12
may
be
transferred
to
the
appropriation
made
in
this
division
13
of
this
Act
for
the
children’s
health
insurance
program,
14
if
the
children’s
health
insurance
program
appropriation
15
is
insufficient
to
cover
the
designated
purposes
of
that
16
appropriation.
17
Sec.
15.
HEALTH
PROGRAM
OPERATIONS.
There
is
appropriated
18
from
the
general
fund
of
the
state
to
the
department
of
health
19
and
human
services
for
the
fiscal
year
beginning
July
1,
2023,
20
and
ending
June
30,
2024,
the
following
amount,
or
so
much
21
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
22
For
health
program
operations:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
24
1.
The
department
of
inspections,
appeals,
and
licensing
25
shall
provide
all
state
matching
funds
for
survey
and
26
certification
activities
performed
by
the
department
of
27
inspections,
appeals,
and
licensing.
The
department
of
health
28
and
human
services
is
solely
responsible
for
distributing
the
29
federal
matching
funds
for
such
activities.
30
2.
Of
the
funds
appropriated
in
this
section,
$_____
shall
31
be
used
for
continuation
of
home
and
community-based
services
32
waiver
quality
assurance
programs,
including
the
review
and
33
streamlining
of
processes
and
policies
related
to
oversight
and
34
quality
management
to
meet
state
and
federal
requirements.
35
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561
3.
Of
the
amount
appropriated
in
this
section,
up
to
1
$_____
may
be
transferred
to
the
appropriation
for
general
2
administration
in
this
division
of
this
Act
to
be
used
for
3
additional
full-time
equivalent
positions
in
the
development
4
of
key
health
initiatives
such
as
development
and
oversight
5
of
managed
care
programs
and
development
of
health
strategies
6
targeted
toward
improved
quality
and
reduced
costs
in
the
7
Medicaid
program.
8
4.
Of
the
funds
appropriated
in
this
section,
$______
shall
9
be
used
for
planning
and
development
of
a
phased-in
program
to
10
provide
a
dental
home
for
children.
11
5.
a.
Of
the
funds
appropriated
in
this
section,
$_____
12
shall
be
credited
to
the
autism
support
program
fund
created
13
in
section
225D.2
to
be
used
for
the
autism
support
program
14
created
in
chapter
225D
,
with
the
exception
of
the
following
15
amount
of
this
allocation
which
shall
be
used
as
follows:
16
b.
Of
the
funds
allocated
in
this
subsection,
$_____
shall
17
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
18
a
nonprofit
provider
of
child
welfare
services
that
has
been
19
in
existence
for
more
than
115
years,
is
located
in
a
county
20
with
a
population
between
220,000
and
250,000
according
to
the
21
2020
federal
decennial
census,
is
licensed
as
a
psychiatric
22
medical
institution
for
children,
and
provides
school-based
23
programming,
to
be
used
for
support
services
for
children
with
24
autism
spectrum
disorder
and
their
families.
25
Sec.
16.
STATE
SUPPLEMENTARY
ASSISTANCE.
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
the
state
supplementary
assistance
program:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
33
2.
The
department
shall
increase
the
personal
needs
34
allowance
for
residents
of
residential
care
facilities
by
the
35
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561
same
percentage
and
at
the
same
time
as
federal
supplemental
1
security
income
and
federal
social
security
benefits
are
2
increased
due
to
a
recognized
increase
in
the
cost
of
living.
3
The
department
may
adopt
emergency
rules
to
implement
this
4
subsection.
5
3.
If
during
the
fiscal
year
beginning
July
1,
2023,
6
the
department
projects
that
state
supplementary
assistance
7
expenditures
for
a
calendar
year
will
not
meet
the
federal
8
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
9
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
10
§1382g,
the
department
may
take
actions
including
but
not
11
limited
to
increasing
the
personal
needs
allowance
for
12
residential
care
facility
residents
and
making
programmatic
13
adjustments
or
upward
adjustments
of
the
residential
care
14
facility
or
in-home
health-related
care
reimbursement
rates
15
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
16
requirements
are
met.
In
addition,
the
department
may
make
17
other
programmatic
and
rate
adjustments
necessary
to
remain
18
within
the
amount
appropriated
in
this
section
while
ensuring
19
compliance
with
federal
requirements.
The
department
may
adopt
20
emergency
rules
to
implement
the
provisions
of
this
subsection.
21
4.
Notwithstanding
section
8.33
,
moneys
appropriated
22
in
this
section
that
remain
unencumbered
or
unobligated
23
at
the
close
of
the
fiscal
year
shall
not
revert
but
24
shall
remain
available
for
expenditure
for
the
purposes
25
designated,
including
for
liability
amounts
associated
with
the
26
supplemental
nutrition
assistance
program
payment
error
rate,
27
until
the
close
of
the
succeeding
fiscal
year.
28
Sec.
17.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
29
1.
There
is
appropriated
from
the
general
fund
of
the
state
30
to
the
department
of
health
and
human
services
for
the
fiscal
31
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
32
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
33
used
for
the
purpose
designated:
34
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(Hawki)
35
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561
program
pursuant
to
chapter
514I
,
including
supplemental
dental
1
services,
for
receipt
of
federal
financial
participation
under
2
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
3
children’s
health
insurance
program:
4
.
.
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.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
5
2.
Of
the
funds
appropriated
in
this
section,
$_____
is
6
allocated
for
continuation
of
the
contract
for
outreach.
7
3.
A
portion
of
the
funds
appropriated
in
this
section
may
8
be
transferred
to
the
appropriations
made
in
this
division
of
9
this
Act
for
field
operations
or
health
program
operations
10
to
be
used
for
the
integration
of
Hawki
program
eligibility,
11
payment,
and
administrative
functions
under
the
purview
of
the
12
department
of
health
and
human
services,
including
for
the
13
Medicaid
management
information
system
upgrade.
14
Sec.
18.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
from
15
the
general
fund
of
the
state
to
the
department
of
health
and
16
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
17
ending
June
30,
2024,
the
following
amount,
or
so
much
thereof
18
as
is
necessary,
to
be
used
for
the
purpose
designated:
19
For
child
care
programs:
20
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
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.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
21
1.
Of
the
funds
appropriated
in
this
section,
$_____
shall
22
be
used
for
state
child
care
assistance
in
accordance
with
23
section
237A.13
.
24
2.
Nothing
in
this
section
shall
be
construed
or
is
25
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
26
to
persons
who
are
eligible
for
assistance
due
to
an
income
27
level
consistent
with
the
waiting
list
requirements
of
section
28
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
29
this
section
is
limited
to
the
extent
of
the
funds
appropriated
30
in
this
section.
31
3.
A
list
of
the
registered
and
licensed
child
care
32
facilities
operating
in
the
area
served
by
a
child
care
33
resource
and
referral
service
shall
be
made
available
to
the
34
families
receiving
state
child
care
assistance
in
that
area.
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4.
Of
the
funds
appropriated
in
this
section,
$_____
shall
1
be
credited
to
the
early
childhood
programs
grants
account
in
2
the
early
childhood
Iowa
fund
created
in
section
256I.11
.
The
3
moneys
shall
be
distributed
for
funding
of
community-based
4
early
childhood
programs
targeted
to
children
from
birth
5
through
five
years
of
age
developed
by
early
childhood
Iowa
6
areas
in
accordance
with
approved
community
plans
as
provided
7
in
section
256I.8
.
8
5.
The
department
may
use
any
of
the
funds
appropriated
9
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
10
expanding
child
care
assistance
and
related
programs.
For
11
the
purpose
of
expenditures
of
state
and
federal
child
care
12
funding,
funds
shall
be
considered
obligated
at
the
time
13
expenditures
are
projected
or
are
allocated
to
the
department’s
14
service
areas.
Projections
shall
be
based
on
current
and
15
projected
caseload
growth,
current
and
projected
provider
16
rates,
staffing
requirements
for
eligibility
determination
17
and
management
of
program
requirements
including
data
systems
18
management,
staffing
requirements
for
administration
of
the
19
program,
contractual
and
grant
obligations
and
any
transfers
20
to
other
state
agencies,
and
obligations
for
decategorization
21
or
innovation
projects.
22
6.
A
portion
of
the
state
match
for
the
federal
child
care
23
and
development
block
grant
shall
be
provided
as
necessary
to
24
meet
federal
matching
funds
requirements
through
the
state
25
general
fund
appropriation
made
for
child
development
grants
26
and
other
programs
for
at-risk
children
in
section
279.51
.
27
7.
If
a
uniform
reduction
ordered
by
the
governor
under
28
section
8.31
or
other
operation
of
law,
transfer,
or
federal
29
funding
reduction
reduces
the
appropriation
made
in
this
30
section
for
the
fiscal
year,
the
percentage
reduction
in
the
31
amount
paid
out
to
or
on
behalf
of
the
families
participating
32
in
the
state
child
care
assistance
program
shall
be
equal
to
or
33
less
than
the
percentage
reduction
made
for
any
other
purpose
34
payable
from
the
appropriation
made
in
this
section
and
the
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federal
funding
relating
to
it.
The
percentage
reduction
to
1
the
other
allocations
made
in
this
section
shall
be
the
same
as
2
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
3
change
of
the
federal
funding
reduction,
as
applicable.
If
4
there
is
an
unanticipated
increase
in
federal
funding
provided
5
for
state
child
care
services,
the
entire
amount
of
the
6
increase,
except
as
necessary
to
meet
federal
requirements
7
including
quality
set
asides,
shall
be
used
for
state
child
8
care
assistance
payments.
If
the
appropriations
made
for
9
purposes
of
the
state
child
care
assistance
program
for
the
10
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
11
of
the
general
assembly
to
appropriate
sufficient
funding
for
12
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
13
requirements.
14
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
15
purposes
of
the
programs
developed
by
early
childhood
Iowa
16
areas,
advanced
for
purposes
of
wraparound
child
care,
or
17
received
from
the
federal
appropriations
made
for
the
purposes
18
of
this
section
that
remain
unencumbered
or
unobligated
at
the
19
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
20
remain
available
for
expenditure
for
the
purposes
designated
21
until
the
close
of
the
succeeding
fiscal
year.
22
Sec.
19.
JUVENILE
INSTITUTION.
There
is
appropriated
from
23
the
general
fund
of
the
state
to
the
department
of
health
and
24
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
25
ending
June
30,
2024,
the
following
amounts,
or
so
much
thereof
26
as
is
necessary,
to
be
used
for
the
purposes
designated:
27
1.
a.
For
operation
of
the
state
training
school
at
Eldora
28
and
for
salaries,
support,
maintenance,
and
miscellaneous
29
purposes,
and
for
not
more
than
the
following
full-time
30
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
33
b.
Of
the
funds
appropriated
in
this
subsection,
$_____
34
shall
be
used
for
distribution
to
licensed
classroom
teachers
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at
this
and
other
institutions
under
the
control
of
the
1
department
of
health
and
human
services
based
upon
the
average
2
student
yearly
enrollment
at
each
institution
as
determined
by
3
the
department.
4
2.
A
portion
of
the
moneys
appropriated
in
this
section
5
shall
be
used
by
the
state
training
school
at
Eldora
for
6
grants
for
adolescent
pregnancy
prevention
activities
at
the
7
institution
in
the
fiscal
year
beginning
July
1,
2023.
8
3.
Of
the
funds
appropriated
in
this
subsection,
$_____
9
shall
be
used
by
the
state
training
school
at
Eldora
for
a
10
substance
use
disorder
treatment
program
at
the
institution
for
11
the
fiscal
year
beginning
July
1,
2023.
12
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
13
this
section
that
remain
unencumbered
or
unobligated
at
the
14
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
15
available
for
expenditure
for
the
purposes
designated
until
the
16
close
of
the
succeeding
fiscal
year.
17
Sec.
20.
CHILD
AND
FAMILY
SERVICES.
18
1.
There
is
appropriated
from
the
general
fund
of
the
state
19
to
the
department
of
health
and
human
services
for
the
fiscal
20
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
21
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
22
used
for
the
purpose
designated:
23
For
child
and
family
services:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
25
2.
The
department
may
transfer
funds
appropriated
in
this
26
section
as
necessary
to
pay
the
nonfederal
costs
of
services
27
reimbursed
under
the
medical
assistance
program,
state
child
28
care
assistance
program,
or
the
family
investment
program
which
29
are
provided
to
children
who
would
otherwise
receive
services
30
paid
under
the
appropriation
in
this
section.
The
department
31
may
transfer
funds
appropriated
in
this
section
to
the
32
appropriations
made
in
this
division
of
this
Act
for
general
33
administration
and
for
field
operations
for
resources
necessary
34
to
implement
and
operate
the
services
funded
in
this
section.
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3.
Of
the
funds
appropriated
in
this
section,
up
to
$_____
1
is
allocated
for
group
foster
care
maintenance
and
services.
2
4.
In
accordance
with
the
provisions
of
section
232.188
,
3
the
department
shall
continue
the
child
welfare
and
juvenile
4
justice
funding
initiative
during
fiscal
year
2023-2024.
Of
5
the
funds
appropriated
in
this
section,
$_____
is
allocated
6
specifically
for
expenditure
for
fiscal
year
2023-2024
through
7
the
decategorization
services
funding
pools
and
governance
8
boards
established
pursuant
to
section
232.188
.
9
5.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
used
for
emergency
family
assistance
to
provide
other
11
resources
required
for
a
family
participating
in
a
family
12
preservation
or
reunification
project
or
successor
project
to
13
stay
together
or
to
be
reunified.
14
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
15
amount
is
allocated
for
shelter
care
and
the
child
welfare
16
emergency
services
contracting
implemented
to
provide
for
or
17
prevent
the
need
for
shelter
care.
18
7.
Federal
funds
received
by
the
state
during
the
fiscal
19
year
beginning
July
1,
2023,
as
the
result
of
the
expenditure
20
of
state
funds
appropriated
during
a
previous
state
fiscal
21
year
for
a
service
or
activity
funded
under
this
section
are
22
appropriated
to
the
department
to
be
used
as
additional
funding
23
for
services
and
purposes
provided
for
under
this
section.
24
Notwithstanding
section
8.33
,
moneys
received
in
accordance
25
with
this
subsection
that
remain
unencumbered
or
unobligated
at
26
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
27
shall
remain
available
for
the
purposes
designated
until
the
28
close
of
the
succeeding
fiscal
year.
29
8.
a.
Of
the
funds
appropriated
in
this
section,
up
30
to
$_____
is
allocated
for
the
payment
of
the
expenses
of
31
court-ordered
services
provided
to
juveniles
who
are
under
the
32
supervision
of
juvenile
court
services,
which
expenses
are
a
33
charge
upon
the
state
pursuant
to
section
232.141,
subsection
34
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
$_____
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shall
be
made
available
to
provide
school-based
supervision
of
1
children
adjudicated
under
chapter
232
,
of
which
not
more
than
2
$_____
may
be
used
for
the
purpose
of
training.
A
portion
of
3
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
4
the
school
district
or
other
funding
source
as
approved
by
the
5
chief
juvenile
court
officer.
6
b.
Of
the
funds
appropriated
in
this
section,
up
to
$_____
7
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
8
services
provided
to
children
who
are
under
the
supervision
9
of
the
department,
which
expenses
are
a
charge
upon
the
state
10
pursuant
to
section
232.141,
subsection
4
.
11
c.
Notwithstanding
section
232.141
or
any
other
provision
12
of
law
to
the
contrary,
the
amounts
allocated
in
this
13
subsection
shall
be
distributed
to
the
judicial
districts
14
as
determined
by
the
state
court
administrator
and
to
the
15
department’s
service
areas
as
determined
by
the
department.
16
The
state
court
administrator
and
the
department
shall
make
the
17
determination
of
the
distribution
amounts
on
or
before
June
15,
18
2023.
19
d.
Notwithstanding
chapter
232
or
any
other
provision
of
20
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
21
order
any
service
which
is
a
charge
upon
the
state
pursuant
22
to
section
232.141
if
there
are
insufficient
court-ordered
23
services
funds
available
in
the
district
court
or
departmental
24
service
area
distribution
amounts
to
pay
for
the
service.
The
25
chief
juvenile
court
officer
and
the
departmental
service
area
26
manager
shall
encourage
use
of
the
funds
allocated
in
this
27
subsection
such
that
there
are
sufficient
funds
to
pay
for
28
all
court-related
services
during
the
entire
year.
The
chief
29
juvenile
court
officers
and
departmental
service
area
managers
30
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
31
in
the
distribution
amounts
and
shall
cooperatively
request
32
the
state
court
administrator
or
department
to
transfer
funds
33
between
the
judicial
districts’
or
departmental
service
areas’
34
distribution
amounts
as
prudent.
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e.
Notwithstanding
any
provision
of
law
to
the
contrary,
1
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
2
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
3
entered
under
chapter
232
which
is
a
charge
upon
the
state
4
under
section
232.141,
subsection
4
.
5
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
6
$_____
may
be
used
by
the
judicial
branch
for
administration
of
7
the
requirements
under
this
subsection.
8
g.
Of
the
funds
allocated
in
this
subsection,
$_____
shall
9
be
used
by
the
department
of
health
and
human
services
to
10
support
the
interstate
commission
for
juveniles
in
accordance
11
with
the
interstate
compact
for
juveniles
as
provided
in
12
section
232.173
.
13
9.
Of
the
funds
appropriated
in
this
section,
$_____
is
14
allocated
for
juvenile
delinquent
graduated
sanctions
services.
15
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
16
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
17
services
administration
may
be
used
for
the
juvenile
delinquent
18
graduated
sanctions
services.
19
10.
Of
the
funds
appropriated
in
this
section,
$_____
shall
20
be
used
for
the
child
protection
center
grant
program
for
21
child
protection
centers
located
in
Iowa
in
accordance
with
22
section
135.118
.
The
grant
amounts
under
the
program
shall
be
23
equalized
so
that
each
center
receives
a
uniform
base
amount
24
of
$_____,
and
so
that
the
remaining
funds
are
awarded
through
25
a
funding
formula
based
upon
the
volume
of
children
served.
26
To
increase
access
to
child
protection
center
services
for
27
children
in
rural
areas,
the
funding
formula
for
the
awarding
28
of
the
remaining
funds
shall
provide
for
the
awarding
of
an
29
enhanced
amount
to
eligible
grantees
to
develop
and
maintain
30
satellite
centers
in
underserved
regions
of
the
state.
31
11.
Of
the
funds
appropriated
in
this
section,
$_____
is
32
allocated
for
the
preparation
for
adult
living
program
pursuant
33
to
section
234.46
.
34
12.
Of
the
funds
appropriated
in
this
section,
$_____
shall
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be
used
for
the
public
purpose
of
continuing
a
grant
to
a
1
nonprofit
human
services
organization,
providing
services
to
2
individuals
and
families
in
multiple
locations
in
southwest
3
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
4
sensitive
support
and
forensic
interviews,
medical
exams,
needs
5
assessments,
and
referrals
for
victims
of
child
abuse
and
their
6
nonoffending
family
members.
7
13.
Of
the
funds
appropriated
in
this
section,
$_____
8
is
allocated
for
the
foster
care
youth
council
approach
of
9
providing
a
support
network
to
children
placed
in
foster
care.
10
14.
Of
the
funds
appropriated
in
this
section,
$_____
is
11
allocated
for
use
pursuant
to
section
235A.1
for
continuation
12
of
the
initiative
to
address
child
sexual
abuse
implemented
13
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
14
21
.
15
15.
Of
the
funds
appropriated
in
this
section,
$_____
is
16
allocated
for
the
community
partnership
for
child
protection
17
sites.
18
16.
Of
the
funds
appropriated
in
this
section,
$_____
19
is
allocated
for
the
department’s
minority
youth
and
family
20
projects
under
the
redesign
of
the
child
welfare
system.
21
17.
Of
the
funds
appropriated
in
this
section,
$_____
22
is
allocated
for
funding
of
the
community
circle
of
care
23
collaboration
for
children
and
youth
in
northeast
Iowa.
24
18.
Of
the
funds
appropriated
in
this
section,
at
least
25
$_____
shall
be
used
for
the
continuation
of
the
child
welfare
26
provider
training
program.
27
19.
Of
the
funds
appropriated
in
this
section,
$_____
28
shall
be
used
for
continuation
of
the
central
Iowa
system
of
29
care
program
grant
for
the
purposes
of
funding
community-based
30
services
and
other
supports
with
a
system
of
care
approach
for
31
children
with
serious
emotional
disturbance
and
their
families
32
through
a
nonprofit
provider
that
is
located
in
a
county
33
with
a
population
of
more
than
450,000
according
to
the
2020
34
certified
federal
census,
is
licensed
as
a
psychiatric
medical
35
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institution
for
children,
and
was
a
system
of
care
grantee
1
prior
to
July
1,
2023.
2
20.
Of
the
funds
appropriated
in
this
section,
$_____
3
shall
be
used
for
the
public
purpose
of
the
continuation
4
and
expansion
of
a
system
of
care
program
grant
implemented
5
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
6
and
long-term
approach
for
helping
children
and
families
by
7
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
8
needs,
education
and
work,
family,
and
community.
9
21.
Of
the
funds
appropriated
in
this
section,
$_____
shall
10
be
used
for
the
public
purpose
of
funding
community-based
11
services
and
other
supports
with
a
system
of
care
approach
12
for
children
with
a
serious
emotional
disturbance
and
their
13
families
through
a
nonprofit
provider
of
child
welfare
services
14
that
has
been
in
existence
for
more
than
115
years,
is
located
15
in
a
county
with
a
population
of
more
than
230,000
according
to
16
the
2020
certified
federal
census,
is
licensed
as
a
psychiatric
17
medical
institution
for
children,
and
was
a
system
of
care
18
grantee
prior
to
July
1,
2023.
19
22.
If
a
separate
funding
source
is
identified
that
reduces
20
the
need
for
state
funds
within
an
allocation
under
this
21
section,
the
allocated
state
funds
may
be
redistributed
to
22
other
allocations
under
this
section
for
the
same
fiscal
year.
23
23.
Of
the
funds
appropriated
in
this
section,
a
portion
may
24
be
used
for
family-centered
services
for
purposes
of
complying
25
with
the
federal
Family
First
Prevention
Services
Act
of
2018,
26
Pub.
L.
No.
115-123,
and
successor
legislation.
27
24.
Of
the
funds
appropriated
in
this
section,
$_____
28
shall
be
used
to
support
placements
in
qualified
residential
29
treatment
programs.
30
Sec.
21.
CHILD
ADVOCACY
BOARD.
There
is
appropriated
from
31
the
general
fund
of
the
state
to
the
department
of
health
and
32
human
services
for
the
fiscal
year
beginning
July
1,
2023,
and
33
ending
June
30,
2024,
the
following
amount,
or
so
much
thereof
34
as
is
necessary,
to
be
used
for
the
purposes
designated:
35
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
1
1.
For
foster
care
review
and
the
court
appointed
special
2
advocate
program,
including
salaries,
support,
maintenance,
and
3
miscellaneous
purposes,
and
for
not
more
than
the
following
4
full-time
equivalent
positions:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
7
2.
The
department
of
health
and
human
services,
in
8
coordination
with
the
child
advocacy
board,
shall
submit
an
9
application
for
funding
available
pursuant
to
Tit.
IV-E
of
the
10
federal
Social
Security
Act
for
claims
for
child
advocacy
board
11
administrative
review
costs.
12
3.
The
court
appointed
special
advocate
program
shall
13
investigate
and
develop
opportunities
for
expanding
14
fund-raising
for
the
program.
15
4.
Administrative
costs
of
the
department
of
health
and
16
human
services
for
items
funded
under
this
section
shall
not
17
exceed
4
percent
of
the
amount
appropriated
in
this
section.
18
5.
The
department
of
health
and
human
services
shall
not
19
reallocate
moneys
appropriated
to
the
child
advocacy
board
in
20
this
section.
21
Sec.
22.
EARLY
CHILDHOOD
IOWA
FUND
——
GENERAL
AID.
There
22
is
appropriated
from
the
general
fund
of
the
state
to
the
23
department
of
health
and
human
services
for
the
fiscal
year
24
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
following
25
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
26
purposes
designated.
27
For
deposit
in
the
school
ready
children
grants
account
of
28
the
early
childhood
Iowa
fund
created
in
section
256I.11
:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
30
1.
From
the
moneys
deposited
in
the
school
ready
children
31
grants
account
for
the
fiscal
year
beginning
July
1,
2023,
and
32
ending
June
30,
2024,
not
more
than
$__________
is
allocated
33
for
the
early
childhood
Iowa
program
and
other
technical
34
assistance
activities.
Moneys
allocated
under
this
subsection
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may
be
used
by
the
early
childhood
Iowa
state
board
for
the
1
purpose
of
skills
development
and
support
for
ongoing
training
2
of
staff.
However,
except
as
otherwise
provided
in
this
3
section,
moneys
shall
not
be
used
for
additional
staff
or
for
4
the
reimbursement
of
staff.
5
2.
Of
the
amount
appropriated
in
this
section
for
deposit
6
in
the
school
ready
children
grants
account
of
the
early
7
childhood
Iowa
fund,
$__________
shall
be
used
for
efforts
8
to
improve
the
quality
of
early
care,
health,
and
education
9
programs.
Moneys
allocated
pursuant
to
this
subsection
may
be
10
used
for
additional
staff
and
for
the
reimbursement
of
staff.
11
The
early
childhood
Iowa
state
board
may
reserve
a
portion
of
12
the
allocation,
not
to
exceed
$__________,
for
the
technical
13
assistance
expenses
of
the
early
childhood
Iowa
program,
14
including
the
reimbursement
of
staff,
and
shall
distribute
15
the
remainder
to
early
childhood
Iowa
areas
for
local
quality
16
improvement
efforts
through
a
methodology
identified
by
the
17
early
childhood
Iowa
state
board
to
make
the
most
productive
18
use
of
the
funding,
which
may
include
use
of
the
distribution
19
formula,
grants,
or
other
means.
20
3.
Of
the
amount
appropriated
in
this
section
for
deposit
21
in
the
school
ready
children
grants
account
of
the
early
22
childhood
Iowa
fund,
$__________
shall
be
used
for
support
23
of
professional
development
and
training
activities
for
24
persons
working
in
early
care,
health,
and
education
by
25
the
early
childhood
Iowa
state
board
in
collaboration
with
26
the
professional
development
component
groups
maintained
by
27
the
early
childhood
Iowa
stakeholders
alliance
pursuant
to
28
section
256I.12
,
and
the
early
childhood
Iowa
area
boards.
29
Expenditures
shall
be
limited
to
professional
development
and
30
training
activities
agreed
upon
by
the
parties
participating
in
31
the
collaboration
as
approved
by
the
early
childhood
Iowa
state
32
board.
33
4.
Of
the
amount
appropriated
in
this
section
for
deposit
34
in
the
school
ready
children
grants
account
of
the
early
35
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childhood
Iowa
fund,
$__________
shall
be
used
to
invest
in
1
this
state’s
early
childhood
database
system
that
integrates
2
state
administrative
data
to
provide
results
that
inform
and
3
improve
the
early
childhood
system
of
programs
and
services
in
4
this
state.
5
Sec.
23.
ADOPTION
SUBSIDY.
6
1.
There
is
appropriated
from
the
general
fund
of
the
state
7
to
the
department
of
health
and
human
services
for
the
fiscal
8
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
9
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
10
used
for
the
purpose
designated:
11
a.
For
adoption
subsidy
payments
and
related
costs
and
for
12
other
operations
and
services
provided
for
under
paragraph
“b”
13
and
paragraph
“c”,
subparagraph
(2):
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
15
b.
Of
the
funds
appropriated
in
this
section,
up
to
$_____
16
may
be
transferred
to
the
appropriation
for
department-wide
17
duties
in
this
division
of
this
Act
to
be
used
for
facility
18
operations.
19
c.
(1)
Of
the
funds
appropriated
in
this
section
remaining
20
after
the
transfer
of
funds
under
paragraph
“b”,
a
sufficient
21
amount
is
allocated
for
adoption
subsidy
payments
and
related
22
costs.
23
(2)
Any
funds
appropriated
in
this
section
remaining
after
24
the
allocation
under
subparagraph
(1)
are
designated
and
25
allocated
as
state
savings
resulting
from
implementation
of
26
the
federal
Fostering
Connections
to
Success
and
Increasing
27
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
and
successor
28
legislation,
as
determined
in
accordance
with
42
U.S.C.
29
§673(a)(8),
and
shall
be
used
for
post-adoption
services
and
30
for
other
purposes
allowed
under
these
federal
laws,
Tit.
IV-B
31
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
32
(a)
The
department
of
health
and
human
services
may
transfer
33
funds
allocated
in
this
subparagraph
(2)
to
the
appropriation
34
for
child
and
family
services
in
this
division
of
this
Act
for
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the
purposes
designated
in
this
subparagraph
(2).
1
(b)
Notwithstanding
section
8.33,
moneys
allocated
2
under
this
subparagraph
(2)
shall
not
revert
to
any
fund
but
3
shall
remain
available
for
the
purposes
designated
in
this
4
subparagraph
(2)
until
expended.
5
2.
The
department
may
transfer
funds
appropriated
in
this
6
section
remaining
after
the
transfer
of
funds
under
subsection
7
1,
paragraph
“b”,
to
the
appropriation
made
in
this
division
8
of
this
Act
for
general
administration
for
costs
paid
from
the
9
appropriation
relating
to
adoption
subsidy.
10
3.
Federal
funds
received
by
the
state
during
the
11
fiscal
year
beginning
July
1,
2023,
as
the
result
of
the
12
expenditure
of
state
funds
during
a
previous
state
fiscal
13
year
for
a
service
or
activity
funded
under
this
section
are
14
appropriated
to
the
department
to
be
used
as
additional
funding
15
for
the
services
and
activities
funded
under
this
section.
16
Notwithstanding
section
8.33
,
moneys
received
in
accordance
17
with
this
subsection
that
remain
unencumbered
or
unobligated
18
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
19
but
shall
remain
available
for
expenditure
for
the
purposes
20
designated
until
the
close
of
the
succeeding
fiscal
year.
21
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
22
this
section
that
remain
unencumbered
or
unobligated
at
the
23
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
24
available
for
the
purposes
designated
until
the
close
of
the
25
succeeding
fiscal
year.
26
Sec.
24.
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
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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
Sec.
25.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
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
the
family
support
subsidy
program
subject
to
the
19
enrollment
restrictions
in
section
225C.37,
subsection
3
:
20
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.
.
$
___
21
2.
At
least
$_____
of
the
moneys
appropriated
in
this
22
section
shall
be
used
for
the
family
support
center
component
23
of
the
comprehensive
family
support
program
under
chapter
225C,
24
subchapter
V
.
25
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
26
funding
available
for
the
family
support
subsidy
program
27
is
reduced
from
the
amount
initially
used
to
establish
the
28
figure
for
the
number
of
family
members
for
whom
a
subsidy
29
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
30
notwithstanding
section
225C.38,
subsection
2
,
the
department
31
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
32
of
funding
available.
33
Sec.
26.
CONNER
DECREE.
There
is
appropriated
from
the
34
general
fund
of
the
state
to
the
department
of
health
and
human
35
-49-
LSB
1004SV
(2)
90
pf/rn
49/
70
S.F.
561
services
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
1
June
30,
2024,
the
following
amount,
or
so
much
thereof
as
is
2
necessary,
to
be
used
for
the
purpose
designated:
3
For
building
community
capacity
through
the
coordination
4
and
provision
of
training
opportunities
in
accordance
with
the
5
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
6
Iowa,
July
14,
1994):
7
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.
$
___
8
Sec.
27.
MENTAL
HEALTH
INSTITUTES.
9
1.
There
is
appropriated
from
the
general
fund
of
the
state
10
to
the
department
of
health
and
human
services
for
the
fiscal
11
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
12
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
13
used
for
the
purposes
designated:
14
a.
For
operation
of
the
state
mental
health
institute
at
15
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
16
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
17
more
than
the
following
full-time
equivalent
positions:
18
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.
.
$
___
19
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.
.
.
.
.
FTEs
___
20
b.
For
operation
of
the
state
mental
health
institute
at
21
Independence
as
required
by
chapters
218
and
226
for
salaries,
22
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
23
more
than
the
following
full-time
equivalent
positions:
24
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.
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.
.
.
.
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.
.
$
___
25
.
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.
.
.
.
.
.
FTEs
___
26
2.
a.
Notwithstanding
sections
218.78
and
249A.11
,
any
27
revenue
received
from
the
state
mental
health
institute
at
28
Cherokee
or
the
state
mental
health
institute
at
Independence
29
pursuant
to
42
C.F.R.
§438.6(e)
may
be
retained
and
expended
30
by
the
mental
health
institute.
31
b.
Notwithstanding
sections
218.78
and
249A.11,
any
32
COVID-19
related
funding
received
through
federal
funding
33
sources
by
the
state
mental
health
institute
at
Cherokee
or
the
34
state
mental
health
institute
at
Independence
may
be
retained
35
-50-
LSB
1004SV
(2)
90
pf/rn
50/
70
S.F.
561
and
expended
by
the
mental
health
institute.
1
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
2
a
Medicaid
member
residing
at
the
state
mental
health
3
institute
at
Cherokee
or
the
state
mental
health
institute
4
at
Independence
shall
retain
Medicaid
eligibility
during
5
the
period
of
the
Medicaid
member’s
stay
for
which
federal
6
financial
participation
is
available.
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.
28.
STATE
RESOURCE
CENTERS.
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
amounts,
or
so
much
thereof
as
is
necessary,
to
be
17
used
for
the
purposes
designated:
18
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
19
support,
maintenance,
and
miscellaneous
purposes:
20
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
21
b.
For
the
state
resource
center
at
Woodward
for
salaries,
22
support,
maintenance,
and
miscellaneous
purposes:
23
.
.
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.
.
.
.
.
.
$
___
24
2.
The
department
may
continue
to
bill
for
state
resource
25
center
services
utilizing
a
scope
of
services
approach
used
for
26
private
providers
of
intermediate
care
facilities
for
persons
27
with
an
intellectual
disability
services,
in
a
manner
which
28
does
not
shift
costs
between
the
medical
assistance
program,
29
mental
health
and
disability
services
regions,
or
other
sources
30
of
funding
for
the
state
resource
centers.
31
3.
The
state
resource
centers
may
expand
the
time-limited
32
assessment
and
respite
services
during
the
fiscal
year.
33
4.
If
the
department’s
administration
and
the
department
34
of
management
concur
with
a
finding
by
a
state
resource
35
-51-
LSB
1004SV
(2)
90
pf/rn
51/
70
S.F.
561
center’s
superintendent
that
projected
revenues
can
reasonably
1
be
expected
to
pay
the
salary
and
support
costs
for
a
new
2
employee
position,
or
that
such
costs
for
adding
a
particular
3
number
of
new
positions
for
the
fiscal
year
would
be
less
4
than
the
overtime
costs
if
new
positions
would
not
be
added,
5
the
superintendent
may
add
the
new
position
or
positions.
If
6
the
vacant
positions
available
to
a
resource
center
do
not
7
include
the
position
classification
desired
to
be
filled,
the
8
state
resource
center’s
superintendent
may
reclassify
any
9
vacant
position
as
necessary
to
fill
the
desired
position.
The
10
superintendents
of
the
state
resource
centers
may,
by
mutual
11
agreement,
pool
vacant
positions
and
position
classifications
12
during
the
course
of
the
fiscal
year
in
order
to
assist
one
13
another
in
filling
necessary
positions.
14
5.
If
existing
capacity
limitations
are
reached
in
15
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
16
a
special
need
for
which
a
payment
source
or
other
funding
17
is
available
for
the
service
or
to
address
the
special
need,
18
and
facilities
for
the
service
or
to
address
the
special
need
19
can
be
provided
within
the
available
payment
source
or
other
20
funding,
the
superintendent
of
a
state
resource
center
may
21
authorize
opening
not
more
than
two
units
or
other
facilities
22
and
begin
implementing
the
service
or
addressing
the
special
23
need
during
fiscal
year
2023-2024.
24
6.
Notwithstanding
section
8.33
,
and
notwithstanding
25
the
amount
limitation
specified
in
section
222.92
,
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
expenditure
for
the
purposes
29
designated
until
the
close
of
the
succeeding
fiscal
year.
30
Sec.
29.
SEXUALLY
VIOLENT
PREDATORS.
31
1.
There
is
appropriated
from
the
general
fund
of
the
state
32
to
the
department
of
health
and
human
services
for
the
fiscal
33
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
34
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
35
-52-
LSB
1004SV
(2)
90
pf/rn
52/
70
S.F.
561
used
for
the
purpose
designated:
1
For
costs
associated
with
the
commitment
and
treatment
of
2
sexually
violent
predators
in
the
unit
located
at
the
state
3
mental
health
institute
at
Cherokee,
including
costs
of
legal
4
services
and
other
associated
costs,
including
salaries,
5
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
6
more
than
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
$
___
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
9
2.
Unless
specifically
prohibited
by
law,
if
the
amount
10
charged
provides
for
recoupment
of
at
least
the
entire
amount
11
of
direct
and
indirect
costs,
the
department
of
health
and
12
human
services
may
contract
with
other
states
to
provide
13
care
and
treatment
of
persons
placed
by
the
other
states
at
14
the
unit
for
sexually
violent
predators
at
Cherokee.
The
15
moneys
received
under
such
a
contract
shall
be
considered
16
to
be
repayment
receipts
and
used
for
the
purposes
of
the
17
appropriation
made
in
this
section.
18
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
19
this
section
that
remain
unencumbered
or
unobligated
at
the
20
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
21
available
for
expenditure
for
the
purposes
designated
until
the
22
close
of
the
succeeding
fiscal
year.
23
Sec.
30.
FIELD
OPERATIONS.
24
1.
There
is
appropriated
from
the
general
fund
of
the
state
25
to
the
department
of
health
and
human
services
for
the
fiscal
26
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
27
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
28
used
for
the
purposes
designated:
29
For
field
operations,
including
salaries,
support,
30
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
31
the
following
full-time
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
34
2.
Priority
in
filling
full-time
equivalent
positions
35
-53-
LSB
1004SV
(2)
90
pf/rn
53/
70
S.F.
561
shall
be
given
to
those
positions
related
to
child
protection
1
services
and
eligibility
determination
for
low-income
families.
2
Sec.
31.
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
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,
$_____
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,
$_____
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,
$_____
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,
$_____
30
shall
be
used
by
the
Iowa
commission
on
volunteer
services
31
to
continue
to
support
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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Iowa.
The
funds
may
be
used
to
supplement
federal
funds
under
1
federal
regulations.
2
6.
Of
the
funds
appropriated
in
this
section,
up
to
$_____
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,
$_____
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,
$_____
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,
$_____
19
shall
be
used
for
the
purposes
of
program
administration
20
and
provision
of
pregnancy
support
services
through
the
21
more
options
for
maternal
support
program
created
in
section
22
217.41C.
23
Sec.
32.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
health
25
and
human
services
for
the
fiscal
year
beginning
July
1,
26
2023,
and
ending
June
30,
2024,
the
following
amount,
or
so
27
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
28
designated:
29
For
salaries,
support,
maintenance,
and
miscellaneous
30
purposes
at
facilities
under
the
purview
of
the
department
of
31
health
and
human
services:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
33
Sec.
33.
IOWA
COMMISSION
ON
VOLUNTEER
SERVICE.
34
1.
a.
There
is
appropriated
from
the
general
fund
of
the
35
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state
to
the
department
of
health
and
human
services
for
the
1
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024,
2
the
following
amount,
or
so
much
thereof
as
is
necessary,
for
3
use
by
the
Iowa
commission
on
volunteer
service
for
purposes
4
of
the
Iowa
state
commission
grant
program,
the
Iowa’s
promise
5
and
Iowa
mentoring
partnership
programs,
for
coordination
6
of
volunteer
services,
and
for
not
more
than
the
following
7
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
___
10
b.
Of
the
moneys
appropriated
in
this
section,
the
11
department
shall
allocate
$__________
for
purposes
of
the
Iowa
12
state
commission
grant
program
and
$__________
for
purposes
of
13
the
Iowa’s
promise
and
Iowa
mentoring
partnership
programs.
14
2.
Notwithstanding
section
8.33,
moneys
appropriated
in
15
this
section
that
remain
unencumbered
or
unobligated
at
the
16
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
17
available
for
expenditure
for
the
purposes
designated
until
the
18
close
of
the
succeeding
fiscal
year.
19
Sec.
34.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
20
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
21
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES.
22
1.
a.
(1)
(a)
Notwithstanding
any
provision
of
law
to
23
the
contrary,
for
the
fiscal
year
beginning
July
1,
2023,
the
24
department
of
health
and
human
services
shall
rebase
case-mix
25
nursing
facility
rates
using
the
Medicaid
cost
reports
on
file
26
for
the
period
ending
December
31,
2022,
and
applying
a
minimum
27
occupancy
factor
of
70
percent
as
provided
pursuant
to
2021
28
Iowa
Acts,
chapter
182,
section
39.
29
(b)
For
the
fiscal
year
beginning
July
1,
2023,
non-case-mix
30
and
special
population
nursing
facilities
shall
be
reimbursed
31
in
accordance
with
the
methodology
in
effect
on
June
30,
2023.
32
(c)
For
managed
care
claims,
the
department
of
health
33
and
human
services
shall
adjust
the
payment
rate
floor
for
34
nursing
facilities,
annually,
to
maintain
a
rate
floor
that
is
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no
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
1
rate
calculated
in
accordance
with
subparagraph
division
2
(a)
and
441
IAC
81.6
.
The
department
shall
then
calculate
3
adjusted
reimbursement
rates,
including
but
not
limited
to
4
add-on
payments,
annually,
and
shall
notify
Medicaid
managed
5
care
organizations
of
the
adjusted
reimbursement
rates
within
6
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
7
adjustment
of
reimbursement
rates
under
this
subparagraph
8
division
shall
be
budget
neutral
to
the
state
budget.
9
(d)
For
the
fiscal
year
beginning
July
1,
2023,
Medicaid
10
managed
care
long-term
services
and
supports
capitation
rates
11
shall
be
adjusted
to
reflect
the
case-mix
adjusted
rates
12
specified
pursuant
to
subparagraph
division
(a)
for
the
patient
13
populations
residing
in
Medicaid-certified
nursing
facilities.
14
(2)
Medicaid
managed
care
organizations
shall
adjust
15
facility-specific
rates
based
upon
payment
rate
listings
issued
16
by
the
department.
The
rate
adjustments
shall
be
applied
17
prospectively
from
the
effective
date
of
the
rate
letter
issued
18
by
the
department.
19
b.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
the
20
department
shall
establish
the
fee-for-service
pharmacy
21
dispensing
fee
reimbursement
at
$____
per
prescription,
until
a
22
cost
of
dispensing
survey
is
completed.
The
actual
dispensing
23
fee
shall
be
determined
by
a
cost
of
dispensing
survey
24
performed
by
the
department
and
required
to
be
completed
by
all
25
medical
assistance
program
participating
pharmacies
every
two
26
years,
adjusted
as
necessary
to
maintain
expenditures
within
27
the
amount
appropriated
to
the
department
for
this
purpose
for
28
the
fiscal
year.
A
change
in
the
dispensing
fee
shall
become
29
effective
following
federal
approval
of
the
Medicaid
state
30
plan.
31
(2)
The
department
shall
utilize
an
average
acquisition
32
cost
reimbursement
methodology
for
all
drugs
covered
under
the
33
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
34
chapter
1133,
section
33.
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c.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
1
reimbursement
rates
for
outpatient
hospital
services
shall
2
remain
at
the
rates
in
effect
on
June
30,
2023,
subject
to
3
Medicaid
program
upper
payment
limit
rules,
and
adjusted
4
as
necessary
to
maintain
expenditures
within
the
amount
5
appropriated
to
the
department
for
this
purpose
for
the
fiscal
6
year.
7
(2)
For
the
fiscal
year
beginning
July
1,
2023,
8
reimbursement
rates
for
inpatient
hospital
services
shall
9
be
rebased
effective
October
1,
2023,
subject
to
Medicaid
10
program
upper
payment
limit
rules,
and
adjusted
as
necessary
11
to
maintain
expenditures
within
the
amount
appropriated
to
the
12
department
for
this
purpose
for
the
fiscal
year.
13
(3)
For
the
fiscal
year
beginning
July
1,
2023,
under
14
both
fee-for-service
and
managed
care
administration
of
15
the
Medicaid
program,
critical
access
hospitals
shall
be
16
reimbursed
for
inpatient
and
outpatient
services
based
on
the
17
hospital-specific
critical
access
hospital
cost
adjustment
18
factor
methodology
utilizing
the
most
recent
and
complete
cost
19
reporting
period
as
applied
prospectively
within
the
funds
20
appropriated
for
such
purpose
for
the
fiscal
year.
21
(4)
For
the
fiscal
year
beginning
July
1,
2023,
the
graduate
22
medical
education
and
disproportionate
share
hospital
fund
23
shall
remain
at
the
amount
in
effect
on
June
30,
2023,
except
24
that
the
portion
of
the
fund
attributable
to
graduate
medical
25
education
shall
be
reduced
in
an
amount
that
reflects
the
26
elimination
of
graduate
medical
education
payments
made
to
27
out-of-state
hospitals.
28
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
29
funds
in
procuring
health
care
services
for
low-income
Iowans,
30
funds
appropriated
in
this
Act
for
hospital
services
shall
31
not
be
used
for
activities
which
would
be
excluded
from
a
32
determination
of
reasonable
costs
under
the
federal
Medicare
33
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
34
d.
For
the
fiscal
year
beginning
July
1,
2023,
reimbursement
35
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rates
for
hospices
and
acute
psychiatric
hospitals
shall
be
1
increased
in
accordance
with
increases
under
the
federal
2
Medicare
program
or
as
supported
by
their
Medicare
audited
3
costs.
4
e.
For
the
fiscal
year
beginning
July
1,
2023,
independent
5
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
6
using
the
same
methodology
in
effect
on
June
30,
2023.
7
f.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
8
reimbursement
rates
for
home
health
agencies
shall
continue
to
9
be
based
on
the
Medicare
low
utilization
payment
adjustment
10
(LUPA)
methodology
with
state
geographic
wage
adjustments.
The
11
department
shall
continue
to
update
the
rates
every
two
years
12
to
reflect
the
most
recent
Medicare
LUPA
rates.
13
(2)
For
the
fiscal
year
beginning
July
1,
2023,
the
14
department
shall
continue
the
reimbursement
rate
structure
that
15
provides
incentives
to
home
health
care
providers
located
in
16
rural
areas
and
providing
home
health
care
to
Medicaid
members.
17
The
rate
structure
shall
include
a
telehealth
component
to
18
incentivize
the
provision
of
necessary
supervision
for
skilled
19
care
without
requiring
travel
time.
For
the
purposes
of
this
20
subparagraph
(2),
“rural
area”
means
an
area
that
is
not
an
21
Iowa
core
based
statistical
area
as
defined
by
the
federal
22
office
of
management
and
budget.
23
(3)
For
the
fiscal
year
beginning
July
1,
2023,
rates
for
24
private
duty
nursing
and
personal
care
services
under
the
early
25
and
periodic
screening,
diagnostic,
and
treatment
program
26
benefit
shall
be
calculated
based
on
the
methodology
in
effect
27
on
June
30,
2023.
28
g.
For
the
fiscal
year
beginning
July
1,
2023,
federally
29
qualified
health
centers
and
rural
health
clinics
shall
receive
30
cost-based
reimbursement
for
100
percent
of
the
reasonable
31
costs
for
the
provision
of
services
to
recipients
of
medical
32
assistance.
33
h.
For
the
fiscal
year
beginning
July
1,
2023,
the
34
reimbursement
rates
for
dental
services
shall
remain
at
the
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rates
in
effect
on
June
30,
2023.
1
i.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
2
reimbursement
rates
for
non-state-owned
psychiatric
medical
3
institutions
for
children
shall
be
based
on
the
reimbursement
4
methodology
in
effect
on
June
30,
2023.
5
(2)
As
a
condition
of
participation
in
the
medical
6
assistance
program,
enrolled
providers
shall
accept
the
medical
7
assistance
reimbursement
rate
for
any
covered
goods
or
services
8
provided
to
recipients
of
medical
assistance
who
are
children
9
under
the
custody
of
a
psychiatric
medical
institution
for
10
children.
11
j.
For
the
fiscal
year
beginning
July
1,
2023,
unless
12
otherwise
specified
in
this
Act,
all
noninstitutional
medical
13
assistance
provider
reimbursement
rates
shall
remain
at
the
14
rates
in
effect
on
June
30,
2023,
except
for
area
education
15
agencies,
local
education
agencies,
infant
and
toddler
16
services
providers,
home
and
community-based
services
providers
17
including
consumer-directed
attendant
care
providers
under
a
18
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
19
providers,
and
those
providers
whose
rates
are
required
to
be
20
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
21
mental
health
parity
requirements.
22
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
23
fiscal
year
beginning
July
1,
2023,
the
reimbursement
rate
for
24
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
25
30,
2023,
and
updated
on
January
1,
2024,
to
align
with
the
26
most
current
Iowa
Medicare
anesthesia
rate.
27
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
28
beginning
July
1,
2023,
the
average
reimbursement
rate
for
29
health
care
providers
eligible
for
use
of
the
federal
Medicare
30
resource-based
relative
value
scale
reimbursement
methodology
31
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
32
June
30,
2023;
however,
this
rate
shall
not
exceed
the
maximum
33
level
authorized
by
the
federal
government.
34
m.
For
the
fiscal
year
beginning
July
1,
2023,
the
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reimbursement
rate
for
residential
care
facilities
shall
not
1
be
less
than
the
minimum
payment
level
as
established
by
the
2
federal
government
to
meet
the
federally
mandated
maintenance
3
of
effort
requirement.
The
flat
reimbursement
rate
for
4
facilities
electing
not
to
file
annual
cost
reports
shall
not
5
be
less
than
the
minimum
payment
level
as
established
by
the
6
federal
government
to
meet
the
federally
mandated
maintenance
7
of
effort
requirement.
8
n.
(1)
For
the
fiscal
year
beginning
July
1,
2023,
the
9
reimbursement
rates
for
inpatient
mental
health
services
10
provided
at
hospitals
shall
be
rebased
effective
October
1,
11
2023,
subject
to
Medicaid
program
upper
payment
limit
rules
12
and
adjusted
as
necessary
to
maintain
expenditures
within
the
13
amount
appropriated
to
the
department
for
this
purpose
for
14
the
fiscal
year;
and
psychiatrists
shall
be
reimbursed
at
the
15
medical
assistance
program
fee-for-service
rate
in
effect
on
16
June
30,
2023.
17
(2)
The
department
of
health
and
human
services
shall
18
continue
the
tiered
rate
reimbursement
methodology
for
19
psychiatric
intensive
inpatient
care.
20
o.
For
the
fiscal
year
beginning
July
1,
2023,
community
21
mental
health
centers
may
choose
to
be
reimbursed
for
the
22
services
provided
to
recipients
of
medical
assistance
through
23
either
of
the
following
options:
24
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
25
(2)
In
accordance
with
the
alternative
reimbursement
rate
26
methodology
approved
by
the
department
of
health
and
human
27
services
in
effect
on
June
30,
2023.
28
p.
For
the
fiscal
year
beginning
July
1,
2023,
the
29
reimbursement
rate
for
providers
of
family
planning
services
30
that
are
eligible
to
receive
a
90
percent
federal
match
shall
31
remain
at
the
rates
in
effect
on
June
30,
2023.
32
q.
For
the
fiscal
year
beginning
July
1,
2023,
reimbursement
33
rates
for
intermediate
care
facility
for
persons
with
an
34
intellectual
disability
providers
shall
remain
at
the
rates
in
35
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561
effect
on
June
30,
2023.
1
r.
For
the
fiscal
year
beginning
July
1,
2023,
the
2
reimbursement
rates
for
emergency
medical
service
providers
3
shall
remain
at
the
rates
in
effect
on
June
30,
2023,
or
as
4
approved
by
the
centers
for
Medicare
and
Medicaid
services
of
5
the
United
States
department
of
health
and
human
services.
6
s.
For
the
fiscal
year
beginning
July
1,
2023,
reimbursement
7
rates
for
substance
use
disorder
treatment
programs
licensed
8
under
section
125.13
shall
remain
at
the
rates
in
effect
on
9
June
30,
2023.
10
t.
For
the
fiscal
year
beginning
July
1,
2023,
assertive
11
community
treatment
per
diem
rates
shall
remain
at
the
rates
in
12
effect
on
June
30,
2023.
13
u.
For
the
fiscal
year
beginning
July
1,
2023,
the
14
reimbursement
rate
for
family-centered
services
providers
shall
15
be
established
by
contract.
16
v.
For
the
fiscal
year
beginning
July
1,
2023,
the
17
reimbursement
rate
for
air
ambulance
services
shall
remain
at
18
the
rate
in
effect
on
June
30,
2023.
19
w.
For
the
fiscal
year
beginning
July
1,
2023,
all
applied
20
behavioral
analysis
services
reimbursement
rates
shall
remain
21
at
the
rates
in
effect
on
June
30,
2023.
22
x.
For
the
fiscal
year
beginning
July
1,
2023,
all
23
behavioral
health
intervention
services
reimbursement
rates
24
shall
remain
at
the
rates
in
effect
on
June
30,
2023.
25
2.
For
the
fiscal
year
beginning
July
1,
2023,
the
26
reimbursement
rate
for
providers
reimbursed
under
the
27
in-home-related
care
program
shall
not
be
less
than
the
minimum
28
payment
level
as
established
by
the
federal
government
to
meet
29
the
federally
mandated
maintenance
of
effort
requirement.
30
3.
Unless
otherwise
directed
in
this
section,
when
the
31
department’s
reimbursement
methodology
for
any
provider
32
reimbursed
in
accordance
with
this
section
includes
an
33
inflation
factor,
this
factor
shall
not
exceed
the
amount
34
by
which
the
consumer
price
index
for
all
urban
consumers
35
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561
increased
during
the
most
recently
ended
calendar
year.
1
4.
Notwithstanding
section
234.38
,
for
the
fiscal
2
year
beginning
July
1,
2023,
the
foster
family
basic
daily
3
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
4
children
ages
0
through
5
years
shall
be
$____,
the
rate
for
5
children
ages
6
through
11
years
shall
be
$____,
the
rate
for
6
children
ages
12
through
15
years
shall
be
$____,
and
the
7
rate
for
children
and
young
adults
ages
16
and
older
shall
8
be
$____.
For
youth
ages
18
to
23
who
have
exited
foster
9
care,
the
preparation
for
adult
living
program
maintenance
10
rate
shall
be
up
to
$_____
per
month
as
calculated
based
on
11
the
age
of
the
participant.
The
maximum
payment
for
adoption
12
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
13
disallowance
of
additional
amounts
for
court
costs
and
other
14
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
15
chapter
1031,
section
408
,
shall
be
continued.
16
5.
For
the
fiscal
year
beginning
July
1,
2023,
the
maximum
17
reimbursement
rates
for
social
services
providers
under
18
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2023,
19
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
20
each
service,
whichever
is
less.
However,
if
a
new
service
21
or
service
provider
is
added
after
June
30,
2023,
the
initial
22
reimbursement
rate
for
the
service
or
provider
shall
be
based
23
upon
a
weighted
average
of
provider
rates
for
similar
services.
24
6.
a.
For
the
fiscal
year
beginning
July
1,
2023,
the
25
reimbursement
rates
for
resource
family
recruitment
and
26
retention
contractors
shall
be
established
by
contract.
27
b.
For
the
fiscal
year
beginning
July
1,
2023,
the
28
reimbursement
rates
for
supervised
apartment
living
foster
care
29
providers
shall
be
established
by
contract.
30
7.
For
the
fiscal
year
beginning
July
1,
2023,
the
31
reimbursement
rate
for
group
foster
care
providers
shall
be
the
32
combined
service
and
maintenance
reimbursement
rate
established
33
by
contract.
34
8.
The
group
foster
care
reimbursement
rates
paid
for
35
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70
S.F.
561
placement
of
children
out
of
state
shall
be
calculated
1
according
to
the
same
rate-setting
principles
as
those
used
for
2
in-state
providers,
unless
the
director
of
health
and
human
3
services
or
the
director’s
designee
determines
that
appropriate
4
care
cannot
be
provided
within
the
state.
The
payment
of
the
5
daily
rate
shall
be
based
on
the
number
of
days
in
the
calendar
6
month
in
which
service
is
provided.
7
9.
a.
For
the
fiscal
year
beginning
July
1,
2023,
the
8
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
9
emergency
services
implemented
to
provide
or
prevent
the
need
10
for
shelter
care
shall
be
established
by
contract.
11
b.
For
the
fiscal
year
beginning
July
1,
2023,
the
combined
12
service
and
maintenance
components
of
the
per
day
reimbursement
13
rate
paid
for
shelter
care
services
shall
be
based
on
the
14
financial
and
statistical
report
submitted
to
the
department.
15
The
maximum
per
day
reimbursement
rate
shall
be
the
maximum
16
per
day
reimbursement
rate
in
effect
on
June
30,
2023.
The
17
department
shall
reimburse
a
shelter
care
provider
at
the
18
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
19
to
exceed
the
maximum
reimbursement
rate.
20
10.
For
the
fiscal
year
beginning
July
1,
2023,
the
21
department
shall
calculate
reimbursement
rates
for
intermediate
22
care
facilities
for
persons
with
an
intellectual
disability
23
at
the
80th
percentile.
Beginning
July
1,
2023,
the
rate
24
calculation
methodology
shall
utilize
the
consumer
price
index
25
inflation
factor
applicable
to
the
fiscal
year
beginning
July
26
1,
2023.
27
11.
Effective
July
1,
2023,
child
care
provider
28
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
29
30,
2023.
The
department
shall
set
rates
in
a
manner
so
as
30
to
provide
incentives
for
a
nonregistered
provider
to
become
31
registered
by
applying
any
increase
only
to
registered
and
32
licensed
providers.
33
12.
The
department
may
adopt
emergency
rules
to
implement
34
this
section.
35
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561
Sec.
35.
EMERGENCY
RULES.
1
1.
If
necessary
to
comply
with
federal
requirements
2
including
time
frames,
or
if
specifically
authorized
by
a
3
provision
of
this
division
of
this
Act,
the
department
of
4
health
and
human
services
or
the
mental
health
and
disability
5
services
commission
shall
adopt
administrative
rules
under
6
section
17A.4,
subsection
3,
and
section
17A.5,
subsection
2,
7
paragraph
“b”,
to
implement
the
provisions
of
this
division
8
of
this
Act
and
shall
submit
such
rules
to
the
administrative
9
rules
coordinator
and
the
administrative
code
editor
pursuant
10
to
section
17A.5,
subsection
1.
The
rules
shall
be
effective
11
immediately
upon
filing
unless
a
later
date
is
specified
in
the
12
rules.
Any
rules
adopted
in
accordance
with
this
section
shall
13
also
be
published
as
a
notice
of
intended
action
as
provided
14
in
section
17A.4.
15
2.
If
during
a
fiscal
year,
the
department
of
health
and
16
human
services
is
adopting
rules
in
accordance
with
this
17
section
or
as
otherwise
directed
or
authorized
by
state
18
law,
and
the
rules
will
result
in
an
expenditure
increase
19
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
20
expenditure
was
not
addressed
in
the
budget
process
for
the
21
fiscal
year,
the
department
shall
notify
the
general
assembly
22
and
the
department
of
management
concerning
the
rules
and
the
23
expenditure
increase.
The
notification
shall
be
provided
at
24
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
25
is
submitted
to
the
administrative
rules
coordinator
and
the
26
administrative
code
editor.
27
Sec.
36.
REPORTS.
Unless
otherwise
provided,
any
reports
or
28
other
information
required
to
be
compiled
and
submitted
under
29
this
Act
during
the
fiscal
year
beginning
July
1,
2023,
shall
30
be
submitted
on
or
before
the
dates
specified
for
submission
31
of
the
reports
or
information.
32
Sec.
37.
EFFECTIVE
UPON
ENACTMENT.
The
following
provision
33
of
this
division
of
this
Act,
being
deemed
of
immediate
34
importance,
takes
effect
upon
enactment:
35
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S.F.
561
The
provision
relating
to
section
232.141
and
directing
the
1
state
court
administrator
and
the
department
of
health
and
2
human
services
to
make
the
determination,
by
June
15,
2023,
3
of
the
distribution
of
funds
allocated
for
the
payment
of
the
4
expenses
of
court-ordered
services
provided
to
juveniles
which
5
are
a
charge
upon
the
state.
6
DIVISION
VII
7
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2023-2024
8
Sec.
38.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT
——
DEPARTMENT
9
OF
HEALTH
AND
HUMAN
SERVICES.
There
is
appropriated
from
the
10
pharmaceutical
settlement
account
created
in
section
249A.33
to
11
the
department
of
health
and
human
services
for
the
fiscal
year
12
beginning
July
1,
2023,
and
ending
June
30,
2024,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
Notwithstanding
any
provision
of
law
to
the
contrary,
to
16
supplement
the
appropriations
made
in
this
Act
for
health
17
program
operations
under
the
medical
assistance
program
for
the
18
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
2024:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
20
Sec.
39.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
21
HEALTH
AND
HUMAN
SERVICES.
Notwithstanding
any
provision
to
22
the
contrary
and
subject
to
the
availability
of
funds,
there
is
23
appropriated
from
the
quality
assurance
trust
fund
created
in
24
section
249L.4
to
the
department
of
health
and
human
services
25
for
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
26
30,
2024,
the
following
amounts,
or
so
much
thereof
as
is
27
necessary,
for
the
purposes
designated:
28
To
supplement
the
appropriation
made
in
this
Act
from
the
29
general
fund
of
the
state
to
the
department
of
health
and
human
30
services
for
medical
assistance
for
the
same
fiscal
year:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
32
Sec.
40.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
33
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES.
Notwithstanding
any
34
provision
to
the
contrary
and
subject
to
the
availability
of
35
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90
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70
S.F.
561
funds,
there
is
appropriated
from
the
hospital
health
care
1
access
trust
fund
created
in
section
249M.4
to
the
department
2
of
health
and
human
services
for
the
fiscal
year
beginning
July
3
1,
2023,
and
ending
June
30,
2024,
the
following
amounts,
or
so
4
much
thereof
as
is
necessary,
for
the
purposes
designated:
5
To
supplement
the
appropriation
made
in
this
Act
from
the
6
general
fund
of
the
state
to
the
department
of
health
and
human
7
services
for
medical
assistance
for
the
same
fiscal
year:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
___
9
Sec.
41.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
10
FOR
FY
2023-2024.
Notwithstanding
section
8.33
,
if
moneys
11
appropriated
for
purposes
of
the
medical
assistance
program
for
12
the
fiscal
year
beginning
July
1,
2023,
and
ending
June
30,
13
2024,
from
the
general
fund
of
the
state,
the
quality
assurance
14
trust
fund,
and
the
hospital
health
care
access
trust
fund,
are
15
in
excess
of
actual
expenditures
for
the
medical
assistance
16
program
and
remain
unencumbered
or
unobligated
at
the
close
17
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
18
shall
remain
available
for
expenditure
for
the
purposes
of
the
19
medical
assistance
program
until
the
close
of
the
succeeding
20
fiscal
year.
21
DIVISION
VIII
22
DECATEGORIZATION
CARRYOVER
FUNDING
23
Sec.
42.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2020
——
24
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
25
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
26
the
funding
pool
that
remained
unencumbered
or
unobligated
at
27
the
close
of
the
fiscal
year
beginning
July
1,
2019,
and
were
28
deemed
carryover
funding
to
remain
available
for
the
three
29
succeeding
fiscal
years
that
still
remain
unencumbered
or
30
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
31
2022,
shall
not
revert
but
shall
be
transferred
to
the
medical
32
assistance
program
for
the
fiscal
year
beginning
July
1,
2023.
33
Sec.
43.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
34
deemed
of
immediate
importance,
takes
effect
upon
enactment.
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Sec.
44.
RETROACTIVE
APPLICABILITY.
This
division
of
this
1
Act
applies
retroactively
to
July
1,
2022.
2
DIVISION
IX
3
TRANSFER
OF
PROPERTY
TAX
RELIEF
FUND
BALANCE
4
Sec.
45.
TRANSFER
OF
PROPERTY
TAX
RELIEF
FUND
BALANCE
——
5
FY
2022-2023.
Notwithstanding
any
provision
to
the
contrary,
6
any
funds
remaining
in
the
property
tax
relief
fund
created
7
in
section
426B.1
at
the
close
of
the
fiscal
year
beginning
8
July
1,
2022,
shall
be
transferred
to
the
region
incentive
fund
9
created
in
the
mental
health
and
disability
services
regional
10
service
fund
pursuant
to
section
225C.7A.
11
Sec.
46.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
12
deemed
of
immediate
importance,
takes
effect
upon
enactment.
13
DIVISION
X
14
PUBLIC
HEALTH
EMERGENCY
PROVISIONS
COVID-19
REGULATIONS
15
Sec.
47.
COVID-19
FEDERAL
REGULATIONS.
For
the
time
16
period
beginning
on
the
effective
date
of
this
division
of
17
this
Act,
and
ending
June
30,
2024,
notwithstanding
state
18
administrative
rules
to
the
contrary,
to
the
extent
federal
19
regulations
relating
to
the
COVID-19
pandemic
differ
from
state
20
administrative
rules,
including
applicable
federal
waivers,
21
the
federal
regulations
are
controlling
during
the
pendency
of
22
the
federally
declared
state
of
emergency
and
for
such
period
23
of
time
following
the
end
of
the
federally
declared
state
of
24
emergency
applicable
to
the
respective
federal
regulations.
25
EXPLANATION
26
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
27
the
explanation’s
substance
by
the
members
of
the
general
assembly.
28
This
bill
relates
to
appropriations
for
health
and
human
29
services
for
FY
2023-2024
to
the
department
of
veterans
30
affairs,
the
Iowa
veterans
home,
the
department
of
health
and
31
human
services
——
aging,
the
office
of
the
long-term
care
32
ombudsman,
the
department
of
health
and
human
services
——
33
public
health,
and
the
department
of
health
and
human
services
34
——
human
services.
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DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
1
division
makes
appropriations
from
the
general
fund
of
the
2
state
to
the
department
of
veterans
affairs
for
administration,
3
for
the
Iowa
veterans
home,
for
transfer
to
the
Iowa
finance
4
authority
for
the
home
ownership
assistance
program,
and
for
5
the
county
commissions
of
veterans
affairs.
6
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
AGING.
This
7
division
makes
appropriations
from
the
general
fund
of
the
8
state
to
the
department
of
health
and
human
services
for
9
programs
and
services
related
to
aging.
10
LONG-TERM
CARE
OMBUDSMAN.
This
division
makes
11
appropriations
from
the
general
fund
of
the
state
to
the
office
12
of
the
long-term
care
ombudsman.
13
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
PUBLIC
HEALTH.
14
This
division
makes
appropriations
from
the
general
fund
of
15
the
state
and
from
the
sports
wagering
receipts
fund
to
the
16
department
of
health
and
human
services
for
programs
and
17
services
related
to
public
health.
18
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
RIGHTS.
19
This
division
makes
appropriations
from
the
general
fund
of
20
the
state
to
the
department
of
health
and
human
services
for
21
programs
and
services
related
to
human
rights.
22
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
HUMAN
SERVICES.
23
This
division
makes
appropriations
from
the
general
fund
of
the
24
state
and
the
federal
temporary
assistance
for
needy
families
25
block
grant
to
the
department
of
health
and
human
services
for
26
programs
and
services
relating
to
human
services
including
27
early
childhood
Iowa,
the
Iowa
commission
on
volunteer
28
services,
and
the
child
advocacy
board.
The
reimbursement
29
section
addresses
reimbursement
for
providers
reimbursed
by
the
30
department
of
health
and
human
services.
31
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
makes
certain
32
health-related
appropriations.
A
number
of
the
appropriations
33
are
made
for
purposes
of
the
Medicaid
program
in
addition
to
34
the
general
fund
appropriations
made
for
this
purpose
for
the
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same
fiscal
year.
1
DECATEGORIZATION
AND
CARRYOVER
FUNDING.
This
division
2
provides
for
the
transfer
of
carryover
decategorization
funds
3
that
remained
unencumbered
or
unobligated
at
the
close
of
the
4
fiscal
year
beginning
July
1,
2022,
to
the
Medicaid
program
for
5
FY
2023-2024.
The
division
takes
effect
upon
enactment
and
is
6
retroactively
applicable
to
July
1,
2022.
7
TRANSFER
OF
PROPERTY
TAX
RELIEF
FUND
BALANCE.
This
division
8
transfers
any
funds
remaining
in
the
property
tax
relief
fund
9
created
in
Code
section
426B.1
at
the
close
of
FY
2022-2023
10
to
the
region
incentive
fund
created
in
the
mental
health
and
11
disability
services
regional
service
fund
pursuant
to
Code
12
section
225C.7A.
The
division
takes
effect
upon
enactment.
13
PUBLIC
HEALTH
EMERGENCY
PROVISIONS
COVID-19
REGULATIONS.
14
This
division
provides
that
for
FY
2023-2024,
notwithstanding
15
state
administrative
rules
to
the
contrary,
to
the
extent
16
federal
regulations
relating
to
the
COVID-19
pandemic
differ
17
from
state
administrative
rules,
including
applicable
federal
18
waivers,
the
federal
regulations
are
controlling
during
the
19
pendency
of
the
federally
declared
state
of
emergency
and
for
20
such
period
of
time
following
the
end
of
the
federally
declared
21
state
of
emergency
applicable
to
the
respective
federal
22
regulations.
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