House File 685
HOUSE FILE
BY COMMITTEE ON APPROPRIATIONS
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.
3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
4 TLSB 3481HV 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, 2003, and
1 5 ending June 30, 2004, 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, 2003, through June 30, 2004,
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, 2003, through June 30, 2004, 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, 2003, through June
1 29 30, 2004, 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, 2003, through June
1 34 30, 2004, 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, 2003, through June
2 5 30, 2004, 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, 2003,
2 23 through June 30, 2004, 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, 2003,
2 29 through June 30, 2004, 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, 2003, through June
2 35 30, 2004, 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, $100,000 shall
3 16 be used to continue the efforts of the Iowa chronic care
3 17 consortium.
3 18 5. To the Iowa department of public health:
3 19 a. For the tobacco use prevention and control initiative,
3 20 including efforts at the state and local levels, as provided
3 21 in chapter 142A and for not more than the following full=time
3 22 equivalent positions:
3 23 .................................................. $ 5,000,000
3 24 .............................................. FTEs 7.00
3 25 (1) The director of public health shall dedicate
3 26 sufficient resources to promote and ensure retailer compliance
3 27 with tobacco laws and ordinances relating to persons under 18
3 28 years of age, and shall prioritize the state's compliance in
3 29 the allocation of available funds to comply with 42 U.S.C. }
3 30 300x=26 and section 453A.2.
3 31 (2) Of the full=time equivalent positions funded under
3 32 this section, two full=time equivalent positions shall be
3 33 utilized to provide for enforcement of tobacco laws,
3 34 regulations, and ordinances under a chapter 28D agreement
3 35 entered into between the Iowa department of public health and
4 1 the alcoholic beverages division of the department of
4 2 commerce.
4 3 (3) Of the funds appropriated in this paragraph "a", not
4 4 more than $525,759 shall be expended on administration and
4 5 management of the program.
4 6 (4) Of the funds appropriated in this paragraph "a", not
4 7 less than 80 percent of the amount expended in the fiscal year
4 8 beginning July 1, 2001, for community partnerships shall be
4 9 expended in the fiscal year beginning July 1, 2003, for that
4 10 purpose.
4 11 b. For a grant to a program that utilizes high school
4 12 mentors to teach life skills, violence prevention, and
4 13 character education in an effort to reduce the illegal use of
4 14 alcohol, tobacco, and other substances:
4 15 .................................................. $ 400,000
4 16 c. For provision of smoking cessation products as provided
4 17 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 products to
4 22 patients. The department shall adopt a methodology for the
4 23 awarding of the grants to the health clinics based upon the
4 24 order of receipt of applications.
4 25 d. For additional substance abuse treatment under the
4 26 substance abuse treatment program:
4 27 .................................................. $ 11,800,000
4 28 (1) The department shall use funds appropriated in this
4 29 paragraph "d" to enhance the quality of and to expand the
4 30 capacity to provide 24=hour substance abuse treatment
4 31 programs.
4 32 (2) The department shall use funds appropriated in this
4 33 paragraph "d" to expand the length of individual client
4 34 substance abuse treatment plans, as necessary to reduce
4 35 program recidivism.
5 1 (3) The department shall use funds appropriated in this
5 2 paragraph "d" to share research=based best practices for
5 3 treatment with substance abuse treatment facilities.
5 4 (4) The department shall use funds appropriated in this
5 5 paragraph "d" to develop a results=based funding approach for
5 6 substance abuse treatment services.
5 7 (5) The department shall use funds appropriated in this
5 8 paragraph "d" to develop a program to encourage individuals
5 9 who are successfully managing their substance abuse problems
5 10 to serve as role models.
5 11 (6) The department shall submit a report annually by March
5 12 1, to the governor and the general assembly delineating the
5 13 success rates of the substance abuse treatment programs that
5 14 receive funding under this paragraph "d".
5 15 e. For the healthy Iowans 2010 plan within the Iowa
5 16 department of public health and for not more than the
5 17 following full=time equivalent positions:
5 18 .................................................. $ 2,346,960
5 19 ............................................... FTEs 4.00
5 20 (1) Of the funds appropriated in this paragraph "e", not
5 21 more than $1,157,482 shall be used for core public health
5 22 functions, including home health care and public health
5 23 nursing services, contracted through a formula by local boards
5 24 of health, to enhance disease and injury prevention services.
5 25 (2) Of the funds appropriated in this paragraph "e", not
5 26 more than $387,320 shall be used for the continuation and
5 27 support of a coordinated system of delivery of trauma and
5 28 emergency medical services.
5 29 (3) Of the funds appropriated in this paragraph "e", not
5 30 more than $437,000 shall be used for the state poison control
5 31 center.
5 32 (4) Of the funds appropriated in this paragraph "e", not
5 33 more than $288,770 shall be used for the development of
5 34 scientific and medical expertise in environmental
5 35 epidemiology.
6 1 (5) Of the funds appropriated in this paragraph "e", not
6 2 more than $76,388 shall be used for the childhood lead
6 3 poisoning prevention program.
6 4 6. To the department of corrections:
6 5 .................................................. $ 920,000
6 6 a. Of the funds appropriated in this subsection, $127,217
6 7 is allocated to the second judicial district department of
6 8 correctional services to replace expired federal funding for
6 9 day programming.
6 10 b. Of the funds appropriated in this subsection $35,359 is
6 11 allocated to the third judicial district department of
6 12 correctional services to replace expired federal funding for
6 13 the drug court program.
6 14 c. Of the funds appropriated in this subsection, $191,731
6 15 is allocated to the fourth judicial district department of
6 16 correctional services for a drug court program.
6 17 d. Of the funds appropriated in this subsection, $255,693
6 18 is allocated to the fifth judicial district department of
6 19 correctional services to replace expired funding for the drug
6 20 court program.
6 21 e. Of the funds appropriated in this subsection, $310,000
6 22 is allocated to the Newton correctional facility for a value=
6 23 based treatment program. A portion of the funds allocated in
6 24 this paragraph may be used to establish a similar value=based
6 25 treatment program at the Iowa correctional institution for
6 26 women at Mitchellville.
6 27 Sec. 2. PURCHASE OF SERVICE CONTRACT PROVIDERS ==
6 28 REIMBURSEMENT INCREASE. There is appropriated from the
6 29 healthy Iowans tobacco trust created in section 12.65 to the
6 30 property tax relief fund created in section 426B.1 for the
6 31 fiscal year beginning July 1, 2003, and ending June 30, 2004,
6 32 the following amount, or so much thereof as is necessary, to
6 33 be used for the purposes designated:
6 34 For assistance to the counties with limited county mental
6 35 health, mental retardation, and developmental disabilities
7 1 services fund balances which were selected in accordance with
7 2 2000 Iowa Acts, chapter 1221, section 3, to receive such
7 3 assistance in the same amount provided during the fiscal year
7 4 beginning July 1, 2000, and ending June 30, 2001, to pay
7 5 reimbursement increases in accordance with 2000 Iowa Acts,
7 6 chapter 1221, section 3:
7 7 .................................................. $ 146,750
7 8 Sec. 3. IOWA EMPOWERMENT FUND. There is appropriated from
7 9 the healthy Iowans tobacco trust created in section 12.65, to
7 10 the Iowa empowerment fund created in section 28.9 for the
7 11 fiscal year beginning July 1, 2003, and ending June 30, 2004,
7 12 for deposit in the school ready children grants account and
7 13 for distribution as provided in this section:
7 14 .................................................. $ 2,153,250
7 15 Sec. 4. DEPARTMENT OF CORRECTIONS == SPECIAL NEEDS UNIT.
7 16 There is appropriated from the healthy Iowans tobacco trust
7 17 created in section 12.65, to the department of corrections for
7 18 the fiscal year beginning July 1, 2003, and ending June 30,
7 19 2004, the following amount, or so much thereof as is
7 20 necessary, to be used for the purpose designated:
7 21 For operating the special needs unit at the Fort Madison
7 22 correctional facility and for not more than the following
7 23 full=time equivalent positions:
7 24 .................................................. $ 1,100,000
7 25 ............................................... FTEs 17.87
7 26 Sec. 5. RISK POOL APPROPRIATION == TRANSFER.
7 27 Notwithstanding 2002 Iowa Acts, chapter 1175, section 104,
7 28 subsection 1, paragraph "b", as amended by 2003 Iowa Acts,
7 29 House File 667, section 41, if enacted, moneys appropriated
7 30 for the fiscal year beginning July 1, 2003, and ending June
7 31 30, 2004, for deposit in the risk pool pursuant to that
7 32 paragraph shall be transferred to the medical assistance
7 33 appropriation for the same fiscal year.
7 34 Sec. 6. ENDOWMENT FOR IOWA'S HEALTH ACCOUNT == TRANSFER.
7 35 In addition to the amount transferred pursuant to section
8 1 12E.12, subsection 1, paragraph "b", subparagraph (2),
8 2 subparagraph subdivision (b), $5,206,960 is transferred from
8 3 the endowment for Iowa's health account of the tobacco
8 4 settlement trust fund created in section 12E.12 to the healthy
8 5 Iowans tobacco trust created in section 12.65 for the fiscal
8 6 year beginning July 1, 2003, and ending June 30, 2004.
8 7 HF 685
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