House File 2577
HOUSE FILE
BY COMMITTEE ON APPROPRIATIONS
(SUCCESSOR TO HSB 729)
Passed House, Date Passed Senate, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act relating to and making appropriations from the healthy
2 Iowans tobacco trust and the tobacco settlement trust fund and
3 providing an effective date.
4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
5 TLSB 7051HV 80
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PAG LIN
1 1 Section 1. HEALTHY IOWANS TOBACCO TRUST == APPROPRIATIONS
1 2 TO DEPARTMENTS. There is appropriated from the healthy Iowans
1 3 tobacco trust created in section 12.65 to the following
1 4 departments for the fiscal year beginning July 1, 2004, and
1 5 ending June 30, 2005, the following amounts, or so much
1 6 thereof as is necessary, to be used for the purposes
1 7 designated:
1 8 1. To the department of human services:
1 9 a. Unless otherwise provided, to maintain the
1 10 reimbursement rate for all noninstitutional medical assistance
1 11 providers, with the exception of anesthesia and dental
1 12 services, at the rate provided under the federal Medicare
1 13 program for such providers during the fiscal year beginning
1 14 July 1, 2000, and ending June 30, 2001, as specified in 2000
1 15 Iowa Acts, chapter 1221, section 1, subsection 1, paragraph
1 16 "a", for the fiscal year July 1, 2004, through June 30, 2005,
1 17 and to continue the resource=based relative value system of
1 18 reimbursement under the medical assistance program:
1 19 .................................................. $ 8,095,718
1 20 b. To maintain the reimbursement rate at the usual and
1 21 customary rate as established in 2000 Iowa Acts, chapter 1221,
1 22 section 1, subsection 1, paragraph "b", for the fiscal year
1 23 July 1, 2004, through June 30, 2005, for dental services under
1 24 the medical assistance program:
1 25 .................................................. $ 3,814,973
1 26 c. To maintain the reimbursement rate as established in
1 27 2000 Iowa Acts, chapter 1221, section 1, subsection 1,
1 28 paragraph "e", for the fiscal year July 1, 2004, through June
1 29 30, 2005, for hospitals under the medical assistance program:
1 30 .................................................. $ 3,035,278
1 31 d. To maintain the reimbursement rate as established in
1 32 2000 Iowa Acts, chapter 1221, section 1, subsection 1,
1 33 paragraph "f", for the fiscal year July 1, 2004, through June
1 34 30, 2005, for home health care services under the medical
1 35 assistance program:
2 1 .................................................. $ 2,108,279
2 2 e. To maintain the reimbursement rate as established in
2 3 2000 Iowa Acts, chapter 1221, section 1, subsection 1,
2 4 paragraph "g", for the fiscal year July 1, 2004, through June
2 5 30, 2005, for critical access hospitals under the medical
2 6 assistance program:
2 7 .................................................. $ 250,000
2 8 f. To maintain the expansion of home health care services
2 9 and habilitative day care as established in 2000 Iowa Acts,
2 10 chapter 1221, section 1, subsection 1, paragraph "h", under
2 11 the medical assistance program for children with special
2 12 needs:
2 13 .................................................. $ 1,975,496
2 14 g. To maintain the expansion of respite care services
2 15 provided through home and community=based waivers as
2 16 established in 2000 Iowa Acts, chapter 1221, section 1,
2 17 subsection 1, paragraph "i", under the medical assistance
2 18 program:
2 19 .................................................. $ 1,137,309
2 20 h. To maintain the cost=of=living adjustment as
2 21 established in 2000 Iowa Acts, chapter 1221, section 1,
2 22 subsection 1, paragraph "c", for the fiscal year July 1, 2004,
2 23 through June 30, 2005, for rehabilitative treatment and
2 24 support services providers under child and family services:
2 25 .................................................. $ 3,243,026
2 26 i. To maintain the cost=of=living adjustment as
2 27 established in 2000 Iowa Acts, chapter 1221, section 1,
2 28 subsection 1, paragraph "d", for the fiscal year July 1, 2004,
2 29 through June 30, 2005, for adoption, independent living,
2 30 shelter care, and home studies services providers:
2 31 .................................................. $ 468,967
2 32 j. To maintain the reimbursement rate as established in
2 33 2000 Iowa Acts, chapter 1221, section 1, subsection 1,
2 34 paragraph "j", for the fiscal year July 1, 2004, through June
2 35 30, 2005, to service providers under the purview of the
3 1 department of human services:
3 2 .................................................. $ 545,630
3 3 2. To the department of human services to continue the
3 4 supplementation of the children's health insurance program
3 5 appropriation:
3 6 .................................................. $ 200,000
3 7 3. To the department of human services to provide coverage
3 8 under the medical assistance program to women who require
3 9 treatment for breast or cervical cancer as provided in section
3 10 249A.3, subsection 2, paragraph "b":
3 11 .................................................. $ 250,000
3 12 4. To the department of human services to continue the
3 13 supplementation of the medical assistance appropriation:
3 14 .................................................. $ 14,346,750
3 15 Of the amount appropriated in this subsection, $50,000
3 16 shall be used to continue the efforts of the Iowa chronic care
3 17 consortium pursuant to 2003 Iowa Acts, chapter 112, section
3 18 12, as amended by 2003 Iowa Acts, chapter 179, sections 166
3 19 and 167.
3 20 5. To the department of human services for general
3 21 administration of health=related programs:
3 22 .................................................. $ 274,000
3 23 6. To the Iowa department of public health:
3 24 a. For the tobacco use prevention and control initiative,
3 25 including efforts at the state and local levels, as provided
3 26 in chapter 142A and for not more than the following full=time
3 27 equivalent positions:
3 28 .................................................. $ 5,011,565
3 29 .............................................. FTEs 7.00
3 30 (1) The director of public health shall dedicate
3 31 sufficient resources to promote and ensure retailer compliance
3 32 with tobacco laws and ordinances relating to persons under 18
3 33 years of age, and shall prioritize the state's compliance in
3 34 the allocation of available funds to comply with 42 U.S.C. }
3 35 300x=26 and section 453A.2.
4 1 (2) Of the full=time equivalent positions funded under
4 2 this section, two full=time equivalent positions shall be
4 3 utilized to provide for enforcement of tobacco laws,
4 4 regulations, and ordinances under a chapter 28D agreement
4 5 entered into between the Iowa department of public health and
4 6 the alcoholic beverages division of the department of
4 7 commerce.
4 8 (3) Of the funds appropriated in this paragraph "a", not
4 9 more than $525,759 shall be expended on administration and
4 10 management of the program.
4 11 (4) Of the funds appropriated in this paragraph "a", not
4 12 less than 80 percent of the amount expended in the fiscal year
4 13 beginning July 1, 2001, for community partnerships shall be
4 14 expended in the fiscal year beginning July 1, 2004, for that
4 15 purpose.
4 16 b. For provision of smoking cessation and smoking-related
4 17 diseases products as provided in this paragraph:
4 18 .................................................. $ 75,000
4 19 The department shall award grants to free health clinics
4 20 that are tax=exempt organizations pursuant to 26 U.S.C. } 501
4 21 (c)(3) to fund the provision of smoking cessation and smoking=
4 22 related diseases products to patients. The department shall
4 23 adopt a methodology for the awarding of the grants to the
4 24 health clinics based upon the order of receipt of
4 25 applications.
4 26 c. For additional substance abuse treatment under the
4 27 substance abuse treatment program:
4 28 .................................................. $ 11,800,000
4 29 (1) The department shall use funds appropriated in this
4 30 paragraph "c" to enhance the quality of and to expand the
4 31 capacity to provide 24=hour substance abuse treatment
4 32 programs.
4 33 (2) The department shall use funds appropriated in this
4 34 paragraph "c" to expand the length of individual client
4 35 substance abuse treatment plans, as necessary to reduce
5 1 program recidivism.
5 2 (3) The department shall use funds appropriated in this
5 3 paragraph "c" to share research=based best practices for
5 4 treatment with substance abuse treatment facilities.
5 5 (4) The department shall use funds appropriated in this
5 6 paragraph "c" to develop a results=based funding approach for
5 7 substance abuse treatment services.
5 8 (5) The department shall use funds appropriated in this
5 9 paragraph "c" to develop a program to encourage individuals
5 10 who are successfully managing their substance abuse problems
5 11 to serve as role models.
5 12 (6) The department shall submit a report annually by March
5 13 1, to the governor and the general assembly delineating the
5 14 success rates of the substance abuse treatment programs that
5 15 receive funding under this paragraph "c".
5 16 d. For the healthy Iowans 2010 plan within the Iowa
5 17 department of public health and for not more than the
5 18 following full=time equivalent positions:
5 19 .................................................. $ 2,346,960
5 20 ............................................... FTEs 4.00
5 21 (1) Of the funds appropriated in this paragraph "d", not
5 22 more than $1,157,482 shall be used for core public health
5 23 functions, including home health care and public health
5 24 nursing services, contracted through a formula by local boards
5 25 of health, to enhance disease and injury prevention services.
5 26 (2) Of the funds appropriated in this paragraph "d", not
5 27 more than $387,320 shall be used for the continuation and
5 28 support of a coordinated system of delivery of trauma and
5 29 emergency medical services.
5 30 (3) Of the funds appropriated in this paragraph "d", not
5 31 more than $437,000 shall be used for the state poison control
5 32 center.
5 33 (4) Of the funds appropriated in this paragraph "d", not
5 34 more than $288,770 shall be used for the development of
5 35 scientific and medical expertise in environmental
6 1 epidemiology.
6 2 (5) Of the funds appropriated in this paragraph "d", not
6 3 more than $76,388 shall be used for the childhood lead
6 4 poisoning prevention program.
6 5 e. For the automated external defibrillator grant program
6 6 established by 2004 Iowa Acts, House File 2464, if enacted:
6 7 .................................................. $ 250,000
6 8 f. For the center for congenital and inherited disorders:
6 9 .................................................. $ 26,000
6 10 6. To the department of corrections:
6 11 .................................................. $ 980,000
6 12 a. Of the funds appropriated in this subsection, $127,217
6 13 is allocated to the second judicial district department of
6 14 correctional services to replace expired federal funding for
6 15 day programming.
6 16 b. Of the funds appropriated in this subsection, $35,359
6 17 is allocated to the third judicial district department of
6 18 correctional services to replace expired federal funding for
6 19 the drug court program.
6 20 c. Of the funds appropriated in this subsection, $191,731
6 21 is allocated to the fourth judicial district department of
6 22 correctional services for a drug court program.
6 23 d. Of the funds appropriated in this subsection, $255,693
6 24 is allocated to the fifth judicial district department of
6 25 correctional services to replace expired funding for the drug
6 26 court program.
6 27 e. Of the funds appropriated in this subsection, $370,000
6 28 is allocated to the Newton correctional facility for a value=
6 29 based treatment program. Of the funds allocated in this
6 30 paragraph, $60,000 shall be used to operate a similar value=
6 31 based treatment program at the Iowa correctional institution
6 32 for women at Mitchellville. Moneys allocated for the program
6 33 at Mitchellville that remain unencumbered or unobligated for
6 34 that purpose at the close of the fiscal year shall revert.
6 35 7. To the department for the blind:
7 1 .................................................. $ 130,000
7 2 To plan, establish, administer, and promote a statewide
7 3 program to provide audio news and information services to
7 4 blind or visually impaired persons residing in this state.
7 5 Sec. 2. PURCHASE OF SERVICE CONTRACT PROVIDERS ==
7 6 REIMBURSEMENT INCREASE. There is appropriated from the
7 7 healthy Iowans tobacco trust created in section 12.65 to the
7 8 property tax relief fund created in section 426B.1 for the
7 9 fiscal year beginning July 1, 2004, and ending June 30, 2005,
7 10 the following amount, or so much thereof as is necessary, to
7 11 be used for the purposes designated:
7 12 For assistance to the counties with limited county mental
7 13 health, mental retardation, and developmental disabilities
7 14 services fund balances which were selected in accordance with
7 15 2000 Iowa Acts, chapter 1221, section 3, to receive such
7 16 assistance in the same amount provided during the fiscal year
7 17 beginning July 1, 2000, and ending June 30, 2001, to pay
7 18 reimbursement increases in accordance with 2000 Iowa Acts,
7 19 chapter 1221, section 3:
7 20 .................................................. $ 146,750
7 21 Sec. 3. IOWA EMPOWERMENT FUND. There is appropriated from
7 22 the healthy Iowans tobacco trust created in section 12.65, to
7 23 the Iowa empowerment fund created in section 28.9 for the
7 24 fiscal year beginning July 1, 2004, and ending June 30, 2005,
7 25 for deposit in the school ready children grants account and
7 26 for distribution as provided in this section:
7 27 .................................................. $ 2,153,250
7 28 Sec. 4. DEPARTMENT OF CORRECTIONS == SPECIAL NEEDS UNIT.
7 29 There is appropriated from the healthy Iowans tobacco trust
7 30 created in section 12.65, to the department of corrections for
7 31 the fiscal year beginning July 1, 2004, and ending June 30,
7 32 2005, the following amount, or so much thereof as is
7 33 necessary, to be used for the purpose designated:
7 34 For operating the special needs unit at the Fort Madison
7 35 correctional facility:
8 1 .................................................. $ 1,187,285
8 2 Sec. 5. ENDOWMENT FOR IOWA'S HEALTH ACCOUNT == TRANSFER.
8 3 In addition to the amount transferred pursuant to section
8 4 12E.12, subsection 1, paragraph "b", subparagraph (2),
8 5 subparagraph subdivision (b), $6,316,077 is transferred from
8 6 the endowment for Iowa's health account of the tobacco
8 7 settlement trust fund created in section 12E.12 to the healthy
8 8 Iowans tobacco trust created in section 12.65 for the fiscal
8 9 year beginning July 1, 2004, and ending June 30, 2005.
8 10 Sec. 6. Section 216B.3, Code Supplement 2003, is amended
8 11 by adding the following new subsection:
8 12 NEW SUBSECTION. 18. Plan, establish, administer, and
8 13 promote a statewide program to provide audio news and
8 14 information services to blind or visually impaired persons
8 15 residing in this state.
8 16 a. The commission may enter into necessary contracts and
8 17 arrangements with the national federation for the blind to
8 18 provide for the delivery of newspapers over the telephone,
8 19 furnished by the national federation for the blind.
8 20 b. The commission may enter into necessary contracts and
8 21 arrangements with the Iowa radio reading information service
8 22 for the blind and print handicapped to provide for the
8 23 delivery of newspapers, magazines, and other printed materials
8 24 over the radio, furnished by the Iowa radio reading
8 25 information service for the blind and print handicapped.
8 26 Sec. 7. Section 216B.4, unnumbered paragraph 1, Code 2003,
8 27 is amended to read as follows:
8 28 The director may accept financial aid from the government
8 29 of the United States for carrying out rehabilitation and
8 30 physical restoration of the blind and for providing library,
8 31 news, and information services to persons who are blind and
8 32 persons with physical disabilities.
8 33 Sec. 8. 2003 Iowa Acts, chapter 183, section 1, subsection
8 34 5, paragraph b, is amended to read as follows:
8 35 b. For a grant to a program that utilizes high school
9 1 mentors to teach life skills, violence prevention, and
9 2 character education in an effort to reduce the illegal use of
9 3 alcohol, tobacco, and other substances:
9 4 .................................................. $ 400,000
9 5 (1) The program described in this paragraph "b" shall meet
9 6 all of the following requirements:
9 7 (a) The program shall be a statewide mentoring program
9 8 that is an alternative to mentoring programs that utilize the
9 9 standards of effective practice.
9 10 (b) The program shall contract with a university to assist
9 11 in curriculum development and performance evaluation.
9 12 (c) The program shall provide for some level of public=
9 13 private partnership.
9 14 (d) The program shall obtain the assistance of the Iowa
9 15 department of public health in the development of the
9 16 performance evaluation design.
9 17 (e) The program shall demonstrate improvement in meeting
9 18 the current standards.
9 19 (2) The Iowa department of public health may use up to
9 20 $50,000 of the moneys appropriated under this paragraph "b" to
9 21 provide technical assistance to and monitoring of the program.
9 22 (3) Notwithstanding section 8.33, moneys appropriated under
9 23 this paragraph "b" that remain unencumbered or unobligated at
9 24 the close of the fiscal year shall not revert but shall remain
9 25 available for the purpose designated in the succeeding fiscal
9 26 year.
9 27 Sec. 9. EFFECTIVE DATE. The section of this Act amending
9 28 2003 Iowa Acts, chapter 183, being deemed of immediate
9 29 importance, takes effect upon enactment.
9 30 HF 2577
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