House
File
649
-
Reprinted
HOUSE
FILE
649
BY
COMMITTEE
ON
APPROPRIATIONS
(As
Amended
and
Passed
by
the
House
April
7,
2011
)
A
BILL
FOR
An
Act
relating
to
and
making
appropriations
for
health
and
1
human
services
and
including
other
related
provisions
and
2
appropriations,
and
including
effective,
retroactive,
and
3
applicability
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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649
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DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2011-2012
2
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
3
the
general
fund
of
the
state
to
the
department
on
aging
for
4
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
5
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
6
to
be
used
for
the
purposes
designated:
7
For
aging
programs
for
the
department
on
aging
and
area
8
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
9
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
10
aging
and
disabilities
resource
center,
and
other
services
11
which
may
include
but
are
not
limited
to
adult
day
services,
12
respite
care,
chore
services,
information
and
assistance,
13
and
material
aid,
for
information
and
options
counseling
for
14
persons
with
disabilities
who
are
18
years
of
age
or
older,
15
and
for
salaries,
support,
administration,
maintenance,
and
16
miscellaneous
purposes,
and
for
not
more
than
the
following
17
full-time
equivalent
positions:
18
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$
9,852,577
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FTEs
35.00
20
1.
Funds
appropriated
in
this
section
may
be
used
to
21
supplement
federal
funds
under
federal
regulations.
To
22
receive
funds
appropriated
in
this
section,
a
local
area
23
agency
on
aging
shall
match
the
funds
with
moneys
from
other
24
sources
according
to
rules
adopted
by
the
department.
Funds
25
appropriated
in
this
section
may
be
used
for
elderly
services
26
not
specifically
enumerated
in
this
section
only
if
approved
27
by
an
area
agency
on
aging
for
provision
of
the
service
within
28
the
area.
29
2.
Of
the
funds
appropriated
in
this
section,
$179,946
shall
30
be
transferred
to
the
department
of
economic
development
for
31
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
32
retired
and
senior
volunteer
program.
33
3.
a.
The
department
on
aging
shall
establish
and
enforce
34
procedures
relating
to
expenditure
of
state
and
federal
funds
35
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by
area
agencies
on
aging
that
require
compliance
with
both
1
state
and
federal
laws,
rules,
and
regulations,
including
but
2
not
limited
to
all
of
the
following:
3
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
4
or
services
received
or
performed
prior
to
the
end
of
the
5
fiscal
period
designated
for
use
of
the
funds.
6
(2)
Prohibiting
prepayment
for
goods
or
services
not
7
received
or
performed
prior
to
the
end
of
the
fiscal
period
8
designated
for
use
of
the
funds.
9
(3)
Prohibiting
the
prepayment
for
goods
or
services
10
not
defined
specifically
by
good
or
service,
time
period,
or
11
recipient.
12
(4)
Prohibiting
the
establishment
of
accounts
from
which
13
future
goods
or
services
which
are
not
defined
specifically
by
14
good
or
service,
time
period,
or
recipient,
may
be
purchased.
15
b.
The
procedures
shall
provide
that
if
any
funds
are
16
expended
in
a
manner
that
is
not
in
compliance
with
the
17
procedures
and
applicable
federal
and
state
laws,
rules,
and
18
regulations,
and
are
subsequently
subject
to
repayment,
the
19
area
agency
on
aging
expending
such
funds
in
contravention
of
20
such
procedures,
laws,
rules
and
regulations,
not
the
state,
21
shall
be
liable
for
such
repayment.
22
DIVISION
II
23
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2011-2012
24
Sec.
2.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
25
from
the
general
fund
of
the
state
to
the
department
of
public
26
health
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
27
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
28
necessary,
to
be
used
for
the
purposes
designated:
29
1.
ADDICTIVE
DISORDERS
30
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
31
other
drugs,
and
treating
individuals
affected
by
addictive
32
behaviors,
including
gambling,
and
for
not
more
than
the
33
following
full-time
equivalent
positions:
34
.
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.
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.
$
20,703,190
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649
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FTEs
13.00
1
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
2
$453,830
shall
be
transferred
to
the
alcoholic
beverages
3
division
of
the
department
of
commerce
for
enforcement
of
4
tobacco
laws,
regulations,
and
ordinances
in
accordance
with
5
2011
Iowa
Acts,
House
File
467,
if
enacted.
6
(2)
Implementation
of
the
tobacco
use
prevention
and
7
control
initiative
for
the
fiscal
year
beginning
July
1,
2011,
8
including
efforts
at
the
state
and
local
levels,
as
provided
9
in
chapter
142A,
shall
be
limited
to
the
extent
of
the
funding
10
available.
11
b.
Of
the
funds
appropriated
in
this
subsection,
12
$20,249,360
shall
be
used
for
problem
gambling
and
substance
13
abuse
prevention,
treatment,
and
recovery
services,
including
a
14
24-hour
helpline,
public
information
resources,
professional
15
training,
and
program
evaluation.
16
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
17
$17,132,508
shall
be
used
for
substance
abuse
prevention
and
18
treatment.
19
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
20
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
21
program
to
provide
substance
abuse
prevention
programming
for
22
children.
23
(i)
Of
the
funds
allocated
in
this
subparagraph
division
24
(a),
$427,539
shall
be
used
for
grant
funding
for
organizations
25
that
provide
programming
for
children
by
utilizing
mentors.
26
Programs
approved
for
such
grants
shall
be
certified
or
will
27
be
certified
within
six
months
of
receiving
the
grant
award
28
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
29
standards
for
effective
practice
for
mentoring
programs.
30
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
31
(a),
$426,839
shall
be
used
for
grant
funding
for
organizations
32
that
provide
programming
that
includes
youth
development
and
33
leadership.
The
programs
shall
also
be
recognized
as
being
34
programs
that
are
scientifically
based
with
evidence
of
their
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effectiveness
in
reducing
substance
abuse
in
children.
1
(iii)
The
department
of
public
health
shall
utilize
a
2
request
for
proposals
process
to
implement
the
grant
program.
3
(iv)
All
grant
recipients
shall
participate
in
a
program
4
evaluation
as
a
requirement
for
receiving
grant
funds.
5
(v)
Of
the
funds
allocated
in
this
subparagraph
subpart
6
(a),
up
to
$44,922
may
be
used
to
administer
substance
abuse
7
prevention
grants
and
for
program
evaluations.
8
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
9
$273,062
shall
be
used
for
culturally
competent
substance
abuse
10
treatment
pilot
projects.
11
(i)
The
department
shall
utilize
the
amount
allocated
in
12
this
subparagraph
subpart
(b)
for
at
least
three
pilot
projects
13
to
provide
culturally
competent
substance
abuse
treatment
in
14
various
areas
of
the
state.
Each
pilot
project
shall
target
15
a
particular
ethnic
minority
population.
The
populations
16
targeted
shall
include
but
are
not
limited
to
African
American,
17
Asian,
and
Latino.
18
(ii)
The
pilot
project
requirements
shall
provide
for
19
documentation
or
other
means
to
ensure
access
to
the
cultural
20
competence
approach
used
by
a
pilot
project
so
that
such
21
approach
can
be
replicated
and
improved
upon
in
successor
22
programs.
23
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
24
to
$3,116,852
may
be
used
for
problem
gambling
prevention,
25
treatment,
and
recovery
services.
26
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
27
$2,579,000
shall
be
used
for
problem
gambling
prevention
and
28
treatment.
29
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
30
$437,852
may
be
used
for
a
24-hour
helpline,
public
information
31
resources,
professional
training,
and
program
evaluation.
32
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
33
to
$100,000
may
be
used
for
the
licensing
of
problem
gambling
34
treatment
programs.
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(3)
It
is
the
intent
of
the
general
assembly
that
from
the
1
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
2
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
3
given
priority
in
treatment
services.
4
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
5
to
standardize
the
availability,
delivery,
cost
of
delivery,
6
and
accountability
of
problem
gambling
and
substance
abuse
7
treatment
services
statewide,
the
department
shall
continue
8
implementation
of
a
process
to
create
a
system
for
delivery
9
of
treatment
services
in
accordance
with
the
requirements
10
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
11
subsection
4.
To
ensure
the
system
provides
a
continuum
of
12
treatment
services
that
best
meets
the
needs
of
Iowans,
the
13
problem
gambling
and
substance
abuse
treatment
services
in
any
14
area
may
be
provided
either
by
a
single
agency
or
by
separate
15
agencies
submitting
a
joint
proposal.
16
(1)
The
system
for
delivery
of
substance
abuse
and
17
problem
gambling
treatment
shall
include
problem
gambling
18
prevention
by
July
1,
2012.
The
department
shall
submit
a
19
proposed
legislative
bill
in
accordance
with
section
2.16,
for
20
consideration
during
the
2012
legislative
session,
addressing
21
any
statutory
revisions
necessary
for
full
implementation
of
22
the
system.
23
(2)
The
system
for
delivery
of
substance
abuse
and
problem
24
gambling
treatment
shall
include
substance
abuse
prevention
by
25
July
1,
2014.
26
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
27
may
use
up
to
$100,000
for
administrative
costs
to
continue
28
developing
and
implementing
the
process
in
accordance
with
this
29
paragraph
“c”.
30
d.
The
requirement
of
section
123.53,
subsection
5,
is
met
31
by
the
appropriations
and
allocations
made
in
this
Act
for
32
purposes
of
substance
abuse
treatment
and
addictive
disorders
33
for
the
fiscal
year
beginning
July
1,
2011.
34
e.
The
department
of
public
health
shall
work
with
all
other
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departments
that
fund
substance
abuse
prevention
and
treatment
1
services
and
all
such
departments
shall,
to
the
extent
2
necessary,
collectively
meet
the
state
maintenance
of
effort
3
requirements
for
expenditures
for
substance
abuse
services
4
as
required
under
the
federal
substance
abuse
prevention
and
5
treatment
block
grant.
6
f.
The
department
shall
amend
or
otherwise
revise
7
departmental
policies
and
contract
provisions
in
order
to
8
eliminate
free
t-shirt
distribution,
banner
production,
and
9
other
unnecessary
promotional
expenditures.
10
2.
HEALTHY
CHILDREN
AND
FAMILIES
11
For
promoting
the
optimum
health
status
for
children,
12
adolescents
from
birth
through
21
years
of
age,
and
families,
13
and
for
not
more
than
the
following
full-time
equivalent
14
positions:
15
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$
2,601,905
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FTEs
10.00
17
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
18
than
$739,318
shall
be
used
for
the
healthy
opportunities
to
19
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
20
established
pursuant
to
section
135.106.
The
funding
shall
21
be
distributed
to
renew
the
grants
that
were
provided
to
the
22
grantees
that
operated
the
program
during
the
fiscal
year
23
ending
June
30,
2011.
24
b.
Of
the
funds
appropriated
in
this
subsection,
$287,520
25
shall
be
used
to
continue
to
address
the
healthy
mental
26
development
of
children
from
birth
through
five
years
of
age
27
through
local
evidence-based
strategies
that
engage
both
the
28
public
and
private
sectors
in
promoting
healthy
development,
29
prevention,
and
treatment
for
children.
30
c.
Of
the
funds
appropriated
in
this
subsection,
$31,597
31
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
32
funds
to
continue
the
donated
dental
services
program
patterned
33
after
the
projects
developed
by
the
dental
lifeline
network
34
to
provide
dental
services
to
indigent
elderly
and
disabled
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individuals.
1
d.
Of
the
funds
appropriated
in
this
subsection,
$112,677
2
shall
be
used
for
childhood
obesity
prevention.
3
e.
Of
the
funds
appropriated
in
this
subsection,
$163,760
4
shall
be
used
to
provide
audiological
services
and
hearing
5
aids
for
children.
The
department
may
enter
into
a
contract
6
to
administer
this
paragraph.
7
f.
Of
the
funds
appropriated
in
this
subsection,
$50,000
8
shall
be
used
for
a
matching
dental
education
loan
repayment
9
program
in
conjunction
with
the
primary
care
provider
10
recruitment
and
retention
endeavor
established
in
section
11
135.107.
The
department
shall
work
with
a
dental
nonprofit
12
health
service
corporation
to
develop
the
criteria
for
the
loan
13
repayment
program.
14
3.
CHRONIC
CONDITIONS
15
For
serving
individuals
identified
as
having
chronic
16
conditions
or
special
health
care
needs,
and
for
not
more
than
17
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,262,256
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
20
a.
Of
the
funds
appropriated
in
this
subsection,
$136,808
21
shall
be
used
for
grants
to
individual
patients
who
have
22
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
23
special
foods.
24
b.
Of
the
funds
appropriated
in
this
subsection,
$383,600
25
is
allocated
for
continuation
of
the
contracts
for
resource
26
facilitator
services
in
accordance
with
section
135.22B,
27
subsection
9,
and
for
brain
injury
training
services
and
28
recruiting
of
service
providers
to
increase
the
capacity
within
29
this
state
to
address
the
needs
of
individuals
with
brain
30
injuries
and
such
individuals’
families.
31
c.
Of
the
funds
appropriated
in
this
subsection,
$468,874
32
shall
be
used
as
additional
funding
to
leverage
federal
funding
33
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
34
assistance
program
supplemental
drug
treatment
grants.
35
-7-
HF
649
(7)
84
pf/jp/mb
7/
150
H.F.
649
d.
Of
the
funds
appropriated
in
this
subsection,
$31,254
1
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
an
2
existing
national-affiliated
organization
to
provide
education,
3
client-centered
programs,
and
client
and
family
support
for
4
people
living
with
epilepsy
and
their
families.
5
e.
Of
the
funds
appropriated
in
this
subsection,
$755,791
6
shall
be
used
for
child
health
specialty
clinics.
7
f.
Of
the
funds
appropriated
in
this
subsection,
$711,052
8
shall
be
used
for
the
comprehensive
cancer
control
program
to
9
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
10
detection,
effective
treatment,
and
ensuring
quality
of
life.
11
Of
the
funds
allocated
in
this
lettered
paragraph,
$363,987
12
shall
be
used
to
support
a
melanoma
research
symposium,
a
13
melanoma
biorepository
and
registry,
basic
and
translational
14
melanoma
research,
and
clinical
trials.
15
g.
Of
the
funds
appropriated
in
this
subsection,
$126,450
16
shall
be
used
for
cervical
and
colon
cancer
screening.
17
h.
Of
the
funds
appropriated
in
this
subsection,
$421,782
18
shall
be
used
for
the
center
for
congenital
and
inherited
19
disorders.
20
i.
Of
the
funds
appropriated
in
this
subsection,
$129,937
21
shall
be
used
for
the
prescription
drug
donation
repository
22
program
created
in
chapter
135M.
23
4.
COMMUNITY
CAPACITY
24
For
strengthening
the
health
care
delivery
system
at
the
25
local
level,
and
for
not
more
than
the
following
full-time
26
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,677,659
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
29
a.
Of
the
funds
appropriated
in
this
subsection,
$100,000
30
is
allocated
for
a
child
vision
screening
program
implemented
31
through
the
university
of
Iowa
hospitals
and
clinics
in
32
collaboration
with
early
childhood
Iowa
areas.
33
b.
Of
the
funds
appropriated
in
this
subsection,
$111,308
is
34
allocated
for
continuation
of
an
initiative
implemented
at
the
35
-8-
HF
649
(7)
84
pf/jp/mb
8/
150
H.F.
649
university
of
Iowa
and
$100,493
is
allocated
for
continuation
1
of
an
initiative
at
the
state
mental
health
institute
at
2
Cherokee
to
expand
and
improve
the
workforce
engaged
in
3
mental
health
treatment
and
services.
The
initiatives
shall
4
receive
input
from
the
university
of
Iowa,
the
department
5
of
human
services,
the
department
of
public
health,
and
the
6
mental
health,
mental
retardation,
developmental
disabilities,
7
and
brain
injury
commission
to
address
the
focus
of
the
8
initiatives.
9
c.
Of
the
funds
appropriated
in
this
subsection,
$1,171,491
10
shall
be
used
for
essential
public
health
services
that
promote
11
healthy
aging
throughout
the
lifespan,
contracted
through
a
12
formula
for
local
boards
of
health,
to
enhance
health
promotion
13
and
disease
prevention
services.
14
d.
Of
the
funds
appropriated
in
this
section,
$121,817
shall
15
be
deposited
in
the
governmental
public
health
system
fund
16
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
17
fund.
18
e.
Of
the
funds
appropriated
in
this
subsection,
$106,279
19
shall
be
used
for
the
mental
health
professional
shortage
area
20
program
implemented
pursuant
to
section
135.80.
21
f.
Of
the
funds
appropriated
in
this
subsection,
22
$38,263
shall
be
used
for
a
grant
to
a
statewide
association
23
of
psychologists
that
is
affiliated
with
the
American
24
psychological
association
to
be
used
for
continuation
of
a
25
program
to
rotate
intern
psychologists
in
placements
in
urban
26
and
rural
mental
health
professional
shortage
areas,
as
defined
27
in
section
135.80.
28
g.
Of
the
funds
appropriated
in
this
subsection,
the
29
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
30
safety
net
provider
network
established
pursuant
to
section
31
135.153
to
be
used
for
the
purposes
designated:
32
(1)
For
distribution
to
the
Iowa-Nebraska
primary
33
care
association
for
statewide
coordination
of
the
Iowa
34
collaborative
safety
net
provider
network:
35
-9-
HF
649
(7)
84
pf/jp/mb
9/
150
H.F.
649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,597
1
(2)
For
distribution
to
the
local
boards
of
health
that
2
provide
direct
services
for
pilot
programs
in
three
counties
to
3
assist
patients
in
determining
an
appropriate
medical
home:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
68,332
5
(3)
For
distribution
to
maternal
and
child
health
centers
6
for
pilot
programs
in
three
counties
to
assist
patients
in
7
determining
an
appropriate
medical
home:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
68,332
9
(4)
For
distribution
to
free
clinics
for
necessary
10
infrastructure,
statewide
coordination,
provider
recruitment,
11
service
delivery,
and
provision
of
assistance
to
patients
in
12
determining
an
appropriate
medical
home:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
113,754
14
(5)
For
distribution
to
rural
health
clinics
for
necessary
15
infrastructure,
statewide
coordination,
provider
recruitment,
16
service
delivery,
and
provision
of
assistance
to
patients
in
17
determining
an
appropriate
medical
home:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
101,264
19
(6)
For
continuation
of
the
safety
net
provider
patient
20
access
to
specialty
health
care
initiative
as
described
in
2007
21
Iowa
Acts,
chapter
218,
section
109:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
238,420
23
(7)
For
continuation
of
the
pharmaceutical
infrastructure
24
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
25
chapter
218,
section
108:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
247,590
27
The
Iowa
collaborative
safety
net
provider
network
may
28
continue
to
distribute
funds
allocated
pursuant
to
this
29
lettered
paragraph
through
existing
contracts
or
renewal
of
30
existing
contracts.
31
h.
The
department
shall
utilize
funds
received
through
32
the
grant
by
the
United
States
department
of
health
and
human
33
services,
health
resources
and
services
administration
to
34
develop
and
pilot
a
training
and
credentialing
model
for
direct
35
-10-
HF
649
(7)
84
pf/jp/mb
10/
150
H.F.
649
care
professionals,
to
the
extent
allowable,
to
continue
1
implementation
of
the
recommendations
of
the
direct
care
worker
2
task
force
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
3
based
upon
the
report
submitted
to
the
governor
and
the
general
4
assembly
in
December
2006.
5
i.
The
department
may
utilize
one
of
the
full-time
6
equivalent
positions
authorized
in
this
subsection
for
7
administration
of
the
activities
related
to
the
Iowa
8
collaborative
safety
net
provider
network.
9
j.
Of
the
funds
appropriated
in
this
subsection,
the
10
department
may
use
up
to
$60,000
for
up
to
one
full-time
11
equivalent
position
to
administer
the
volunteer
health
care
12
provider
program
pursuant
to
section
135.24.
13
5.
HEALTHY
AGING
14
To
provide
public
health
services
that
reduce
risks
and
15
invest
in
promoting
and
protecting
good
health
over
the
16
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
17
vulnerable
populations:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
19
a.
Of
the
funds
appropriated
in
this
subsection,
$2,009,187
20
shall
be
used
for
local
public
health
nursing
services.
21
b.
Of
the
funds
appropriated
in
this
subsection,
$5,287,955
22
shall
be
used
for
home
care
aide
services.
23
6.
ENVIRONMENTAL
HAZARDS
24
For
reducing
the
public’s
exposure
to
hazards
in
the
25
environment,
primarily
chemical
hazards,
and
for
not
more
than
26
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
813,777
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
29
Of
the
funds
appropriated
in
this
subsection,
$544,377
shall
30
be
used
for
childhood
lead
poisoning
provisions.
31
7.
INFECTIOUS
DISEASES
32
For
reducing
the
incidence
and
prevalence
of
communicable
33
diseases,
and
for
not
more
than
the
following
full-time
34
equivalent
positions:
35
-11-
HF
649
(7)
84
pf/jp/mb
11/
150
H.F.
649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,345,847
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
2
8.
PUBLIC
PROTECTION
3
For
protecting
the
health
and
safety
of
the
public
through
4
establishing
standards
and
enforcing
regulations,
and
for
not
5
more
than
the
following
full-time
equivalent
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,906,532
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
8
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
9
than
$424,146
shall
be
credited
to
the
emergency
medical
10
services
fund
created
in
section
135.25.
Moneys
in
the
11
emergency
medical
services
fund
are
appropriated
to
the
12
department
to
be
used
for
the
purposes
of
the
fund.
13
b.
Of
the
funds
appropriated
in
this
subsection,
$210,619
14
shall
be
used
for
sexual
violence
prevention
programming
15
through
a
statewide
organization
representing
programs
serving
16
victims
of
sexual
violence
through
the
department’s
sexual
17
violence
prevention
program.
The
amount
allocated
in
this
18
lettered
paragraph
shall
not
be
used
to
supplant
funding
19
administered
for
other
sexual
violence
prevention
or
victims
20
assistance
programs.
21
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
22
than
$436,582
shall
be
used
for
the
state
poison
control
23
center.
24
d.
If
2011
Iowa
Acts,
House
File
658
or
successor
25
legislation,
is
enacted,
the
department
of
public
health
shall
26
transfer
$177,844
to
the
department
of
agriculture
and
land
27
stewardship
for
the
purposes
of
performing
functions
pursuant
28
to
section
192.109,
as
amended
by
House
File
658
or
successor
29
legislation.
30
9.
RESOURCE
MANAGEMENT
31
For
establishing
and
sustaining
the
overall
ability
of
the
32
department
to
deliver
services
to
the
public,
and
for
not
more
33
than
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
819,554
35
-12-
HF
649
(7)
84
pf/jp/mb
12/
150
H.F.
649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
1
The
university
of
Iowa
hospitals
and
clinics
under
the
2
control
of
the
state
board
of
regents
shall
not
receive
3
indirect
costs
from
the
funds
appropriated
in
this
section.
4
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
5
department
shall
be
on
at
least
a
quarterly
basis.
6
DIVISION
III
7
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2011-2012
8
Sec.
3.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
9
appropriated
from
the
general
fund
of
the
state
to
the
10
department
of
veterans
affairs
for
the
fiscal
year
beginning
11
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
12
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
13
designated:
14
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
15
For
salaries,
support,
maintenance,
and
miscellaneous
16
purposes,
including
the
war
orphans
educational
assistance
fund
17
created
in
section
35.8,
and
for
not
more
than
the
following
18
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
998,832
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
21
2.
IOWA
VETERANS
HOME
22
For
salaries,
support,
maintenance,
and
miscellaneous
23
purposes:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,952,151
25
a.
The
Iowa
veterans
home
billings
involving
the
department
26
of
human
services
shall
be
submitted
to
the
department
on
at
27
least
a
monthly
basis.
28
b.
If
there
is
a
change
in
the
employer
of
employees
29
providing
services
at
the
Iowa
veterans
home
under
a
collective
30
bargaining
agreement,
such
employees
and
the
agreement
shall
31
be
continued
by
the
successor
employer
as
though
there
had
not
32
been
a
change
in
employer.
33
c.
Within
available
resources
and
in
conformance
with
34
associated
state
and
federal
program
eligibility
requirements,
35
-13-
HF
649
(7)
84
pf/jp/mb
13/
150
H.F.
649
the
Iowa
veterans
home
may
implement
measures
to
provide
1
financial
assistance
to
or
on
behalf
of
veterans
or
their
2
spouses
participating
in
the
community
reentry
program.
3
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
4
VETERANS
5
For
provision
of
educational
assistance
pursuant
to
section
6
35.9:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,416
8
Sec.
4.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
AFFAIRS
9
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
10
appropriation
in
the
following
designated
section
for
the
11
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
12
the
amounts
appropriated
from
the
general
fund
of
the
state
13
pursuant
to
that
section
for
the
following
designated
purposes
14
shall
not
exceed
the
following
amount:
15
For
the
county
commissions
of
veterans
affairs
fund
under
16
section
35A.16:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
18
DIVISION
IV
19
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2011-2012
20
Sec.
5.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
21
GRANT.
There
is
appropriated
from
the
fund
created
in
section
22
8.41
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2011,
and
ending
June
30,
2012,
from
moneys
24
received
under
the
federal
temporary
assistance
for
needy
25
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
26
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
27
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
28
received
under
the
emergency
contingency
fund
for
temporary
29
assistance
for
needy
families
state
program
established
30
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
31
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
legislation,
32
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
33
be
used
for
the
purposes
designated:
34
1.
To
be
credited
to
the
family
investment
program
account
35
-14-
HF
649
(7)
84
pf/jp/mb
14/
150
H.F.
649
and
used
for
assistance
under
the
family
investment
program
1
under
chapter
239B:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,500,738
3
2.
To
be
credited
to
the
family
investment
program
account
4
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
5
program
and
implementing
family
investment
agreements
in
6
accordance
with
chapter
239B:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,411,528
8
3.
To
be
used
for
the
family
development
and
9
self-sufficiency
grant
program
in
accordance
with
section
10
216A.107:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
12
Notwithstanding
section
8.33,
moneys
appropriated
in
this
13
subsection
that
remain
unencumbered
or
unobligated
at
the
close
14
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
15
for
expenditure
for
the
purposes
designated
until
the
close
of
16
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
17
encumbered
or
obligated
on
or
before
September
30,
2012,
the
18
moneys
shall
revert.
19
4.
For
field
operations:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
21
5.
For
general
administration:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
23
6.
For
state
child
care
assistance:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,382,687
25
The
funds
appropriated
in
this
subsection
shall
be
26
transferred
to
the
child
care
and
development
block
grant
27
appropriation
made
by
the
Eighty-fourth
General
Assembly,
2011
28
Session,
for
the
federal
fiscal
year
beginning
October
1,
29
2011,
and
ending
September
30,
2012.
Of
this
amount,
$200,000
30
shall
be
used
for
provision
of
educational
opportunities
to
31
registered
child
care
home
providers
in
order
to
improve
32
services
and
programs
offered
by
this
category
of
providers
33
and
to
increase
the
number
of
providers.
The
department
may
34
contract
with
institutions
of
higher
education
or
child
care
35
-15-
HF
649
(7)
84
pf/jp/mb
15/
150
H.F.
649
resource
and
referral
centers
to
provide
the
educational
1
opportunities.
Allowable
administrative
costs
under
the
2
contracts
shall
not
exceed
5
percent.
The
application
for
a
3
grant
shall
not
exceed
two
pages
in
length.
4
7.
For
mental
health
and
developmental
disabilities
5
community
services:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
7
8.
For
child
and
family
services:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
9
9.
For
child
abuse
prevention
grants:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
11
10.
For
pregnancy
prevention
grants
on
the
condition
that
12
family
planning
services
are
funded:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
14
Pregnancy
prevention
grants
shall
be
awarded
to
pregnancy
15
prevention
programs
that
are
based
on
existing
models
that
16
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
17
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
18
section
14,
subsections
1
and
2,
including
the
requirement
that
19
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
20
the
awarding
of
grants
shall
be
given
to
programs
that
serve
21
areas
of
the
state
which
demonstrate
the
highest
percentage
of
22
unplanned
pregnancies
of
females
of
childbearing
age
within
the
23
geographic
area
to
be
served
by
the
grant.
24
11.
For
technology
needs
and
other
resources
necessary
25
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
26
management
requirements:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
28
12.
To
be
credited
to
the
state
child
care
assistance
29
appropriation
made
in
this
section
to
be
used
for
funding
of
30
community-based
early
childhood
programs
targeted
to
children
31
from
birth
through
five
years
of
age
developed
by
early
32
childhood
Iowa
areas
as
provided
in
section
256I.11:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,350,000
34
The
department
shall
transfer
TANF
block
grant
funding
35
-16-
HF
649
(7)
84
pf/jp/mb
16/
150
H.F.
649
appropriated
and
allocated
in
this
subsection
to
the
child
care
1
and
development
block
grant
appropriation
in
accordance
with
2
federal
law
as
necessary
to
comply
with
the
provisions
of
this
3
subsection.
4
13.
a.
Notwithstanding
any
provision
to
the
contrary,
5
including
but
not
limited
to
requirements
in
section
8.41
6
or
provisions
in
2010
Iowa
Acts
regarding
the
receipt
and
7
appropriation
of
federal
block
grants,
federal
funds
from
the
8
emergency
contingency
fund
for
temporary
assistance
for
needy
9
families
state
program
established
pursuant
to
the
federal
10
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
11
111-5
§
2101,
received
by
the
state
during
the
fiscal
year
12
beginning
July
1,
2010,
and
ending
June
30,
2011,
not
otherwise
13
appropriated
in
this
section
and
remaining
available
as
of
14
July
1,
2011,
and
received
by
the
state
during
the
fiscal
15
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
are
16
appropriated
to
the
extent
as
may
be
necessary
to
be
used
in
17
the
following
priority
order:
the
family
investment
program
18
for
the
fiscal
year
and
for
state
child
care
assistance
program
19
payments
for
individuals
enrolled
in
the
family
investment
20
program
who
are
employed.
The
federal
funds
appropriated
in
21
this
paragraph
“a”
shall
be
expended
only
after
all
other
22
funds
appropriated
in
subsection
1
for
the
assistance
under
23
the
family
investment
program
under
chapter
239B
have
been
24
expended.
25
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
26
legislative
services
agency
and
department
of
management
of
27
the
amount
of
funds
appropriated
in
this
subsection
that
was
28
expended
in
the
prior
quarter.
29
14.
Of
the
amounts
appropriated
in
this
section,
30
$12,962,008
for
the
fiscal
year
beginning
July
1,
2011,
shall
31
be
transferred
to
the
appropriation
of
the
federal
social
32
services
block
grant
made
for
that
fiscal
year.
33
15.
For
continuation
of
the
program
allowing
the
department
34
to
maintain
categorical
eligibility
for
the
food
assistance
35
-17-
HF
649
(7)
84
pf/jp/mb
17/
150
H.F.
649
program
as
required
under
the
section
of
this
division
relating
1
to
the
family
investment
account:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
146,072
3
16.
The
department
may
transfer
funds
allocated
in
this
4
section
to
the
appropriations
made
in
this
Act
for
general
5
administration
and
field
operations
for
resources
necessary
to
6
implement
and
operate
the
services
referred
to
in
this
section
7
and
those
funded
in
the
appropriation
made
in
this
division
of
8
this
Act
for
the
family
investment
program
from
the
general
9
fund
of
the
state.
10
Sec.
6.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
11
1.
Moneys
credited
to
the
family
investment
program
(FIP)
12
account
for
the
fiscal
year
beginning
July
1,
2011,
and
13
ending
June
30,
2012,
shall
be
used
to
provide
assistance
in
14
accordance
with
chapter
239B.
15
2.
The
department
may
use
a
portion
of
the
moneys
credited
16
to
the
FIP
account
under
this
section
as
necessary
for
17
salaries,
support,
maintenance,
and
miscellaneous
purposes.
18
3.
The
department
may
transfer
funds
allocated
in
19
this
section
to
the
appropriations
in
this
Act
for
general
20
administration
and
field
operations
for
resources
necessary
to
21
implement
and
operate
the
services
referred
to
in
this
section
22
and
those
funded
in
the
appropriation
made
in
this
division
of
23
this
Act
for
the
family
investment
program
from
the
general
24
fund
of
the
state.
25
4.
Moneys
appropriated
in
this
division
of
this
Act
and
26
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
27
1,
2011,
and
ending
June
30,
2012,
are
allocated
as
follows:
28
a.
To
be
retained
by
the
department
of
human
services
to
29
be
used
for
coordinating
with
the
department
of
human
rights
30
to
more
effectively
serve
participants
in
the
FIP
program
and
31
other
shared
clients
and
to
meet
federal
reporting
requirements
32
under
the
federal
temporary
assistance
for
needy
families
block
33
grant:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
35
-18-
HF
649
(7)
84
pf/jp/mb
18/
150
H.F.
649
b.
To
the
department
of
human
rights
for
staffing,
1
administration,
and
implementation
of
the
family
development
2
and
self-sufficiency
grant
program
in
accordance
with
section
3
216A.107:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,342,834
5
(1)
Of
the
funds
allocated
for
the
family
development
and
6
self-sufficiency
grant
program
in
this
lettered
paragraph,
7
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
8
administration
of
the
grant
program.
9
(2)
The
department
of
human
rights
may
continue
to
implement
10
the
family
development
and
self-sufficiency
grant
program
11
statewide
during
fiscal
year
2011-2012.
12
c.
For
the
diversion
subaccount
of
the
FIP
account:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,698,400
14
A
portion
of
the
moneys
allocated
for
the
subaccount
may
15
be
used
for
field
operations
salaries,
data
management
system
16
development,
and
implementation
costs
and
support
deemed
17
necessary
by
the
director
of
human
services
in
order
to
18
administer
the
FIP
diversion
program.
19
d.
For
the
food
stamp
employment
and
training
program:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
21
(1)
The
department
shall
amend
the
food
stamp
employment
and
22
training
state
plan
in
order
to
maximize
to
the
fullest
extent
23
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
24
for
the
claiming
of
allowable
federal
matching
funds
from
the
25
United
States
department
of
agriculture
pursuant
to
the
federal
26
food
stamp
employment
and
training
program
for
providing
27
education,
employment,
and
training
services
for
eligible
food
28
assistance
program
participants,
including
but
not
limited
to
29
related
dependent
care
and
transportation
expenses.
30
(2)
The
department
shall
continue
the
categorical
federal
31
food
assistance
program
eligibility
at
160
percent
of
the
32
federal
poverty
level
and
continue
to
eliminate
the
asset
test
33
from
eligibility
requirements,
consistent
with
federal
food
34
assistance
program
requirements.
The
department
shall
include
35
-19-
HF
649
(7)
84
pf/jp/mb
19/
150
H.F.
649
as
many
food
assistance
households
as
is
allowed
by
federal
1
law.
The
eligibility
provisions
shall
conform
to
all
federal
2
requirements
including
requirements
addressing
individuals
who
3
are
incarcerated
or
otherwise
ineligible.
4
e.
For
the
JOBS
program:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,235,905
6
5.
Of
the
child
support
collections
assigned
under
FIP,
7
an
amount
equal
to
the
federal
share
of
support
collections
8
shall
be
credited
to
the
child
support
recovery
appropriation
9
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
10
assigned
child
support
collections
received
by
the
child
11
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
12
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
13
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
14
payments
account.
If
as
a
consequence
of
the
appropriations
15
and
allocations
made
in
this
section
the
resulting
amounts
16
are
insufficient
to
sustain
cash
assistance
payments
and
meet
17
federal
maintenance
of
effort
requirements,
the
department
18
shall
seek
supplemental
funding.
If
child
support
collections
19
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
20
determined
not
to
be
required
for
maintenance
of
effort,
the
21
state
share
of
either
amount
may
be
transferred
to
or
retained
22
in
the
child
support
payment
account.
23
6.
The
department
may
adopt
emergency
rules
for
the
family
24
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
25
if
necessary
to
comply
with
federal
requirements.
26
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
27
is
appropriated
from
the
general
fund
of
the
state
to
the
28
department
of
human
services
for
the
fiscal
year
beginning
July
29
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
or
30
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
31
designated:
32
To
be
credited
to
the
family
investment
program
(FIP)
33
account
and
used
for
family
investment
program
assistance
under
34
chapter
239B:
35
-20-
HF
649
(7)
84
pf/jp/mb
20/
150
H.F.
649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,421,027
1
1.
Of
the
funds
appropriated
in
this
section,
$7,824,377
is
2
allocated
for
the
JOBS
program.
3
2.
Of
the
funds
appropriated
in
this
section,
$2,463,854
is
4
allocated
for
the
family
development
and
self-sufficiency
grant
5
program.
6
3.
Notwithstanding
section
8.39,
for
the
fiscal
year
7
beginning
July
1,
2011,
if
necessary
to
meet
federal
8
maintenance
of
effort
requirements
or
to
transfer
federal
9
temporary
assistance
for
needy
families
block
grant
funding
10
to
be
used
for
purposes
of
the
federal
social
services
block
11
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
12
receiving
federal
funding
or
to
implement,
in
accordance
with
13
this
division
of
this
Act,
activities
currently
funded
with
14
juvenile
court
services,
county,
or
community
moneys
and
state
15
moneys
used
in
combination
with
such
moneys,
the
department
16
of
human
services
may
transfer
funds
within
or
between
any
17
of
the
appropriations
made
in
this
division
of
this
Act
and
18
appropriations
in
law
for
the
federal
social
services
block
19
grant
to
the
department
for
the
following
purposes,
provided
20
that
the
combined
amount
of
state
and
federal
temporary
21
assistance
for
needy
families
block
grant
funding
for
each
22
appropriation
remains
the
same
before
and
after
the
transfer:
23
a.
For
the
family
investment
program.
24
b.
For
child
care
assistance.
25
c.
For
child
and
family
services.
26
d.
For
field
operations.
27
e.
For
general
administration.
28
f.
MH/MR/DD/BI
community
services
(local
purchase).
29
This
subsection
shall
not
be
construed
to
prohibit
the
use
30
of
existing
state
transfer
authority
for
other
purposes.
The
31
department
shall
report
any
transfers
made
pursuant
to
this
32
subsection
to
the
legislative
services
agency.
33
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
34
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
35
-21-
HF
649
(7)
84
pf/jp/mb
21/
150
H.F.
649
organization
with
a
history
of
providing
tax
preparation
1
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
2
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
3
supply
this
assistance
to
underserved
areas
of
the
state.
4
Sec.
8.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
5
from
the
general
fund
of
the
state
to
the
department
of
human
6
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
7
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
8
necessary,
to
be
used
for
the
purposes
designated:
9
For
child
support
recovery,
including
salaries,
support,
10
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
11
the
following
full-time
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,119,255
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
14
1.
The
department
shall
expend
up
to
$24,329,
including
15
federal
financial
participation,
for
the
fiscal
year
beginning
16
July
1,
2011,
for
a
child
support
public
awareness
campaign.
17
The
department
and
the
office
of
the
attorney
general
shall
18
cooperate
in
continuation
of
the
campaign.
The
public
19
awareness
campaign
shall
emphasize,
through
a
variety
of
20
media
activities,
the
importance
of
maximum
involvement
of
21
both
parents
in
the
lives
of
their
children
as
well
as
the
22
importance
of
payment
of
child
support
obligations.
23
2.
Federal
access
and
visitation
grant
moneys
shall
be
24
issued
directly
to
private
not-for-profit
agencies
that
provide
25
services
designed
to
increase
compliance
with
the
child
access
26
provisions
of
court
orders,
including
but
not
limited
to
27
neutral
visitation
sites
and
mediation
services.
28
3.
The
appropriation
made
to
the
department
for
child
29
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
30
manner
necessary
for
purposes
of
cash
flow
management,
and
for
31
cash
flow
management
purposes
the
department
may
temporarily
32
draw
more
than
the
amount
appropriated,
provided
the
amount
33
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
34
4.
With
the
exception
of
the
funding
amount
specified,
the
35
-22-
HF
649
(7)
84
pf/jp/mb
22/
150
H.F.
649
requirements
established
under
2001
Iowa
Acts,
chapter
191,
1
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
2
be
applicable
to
parental
obligation
pilot
projects
for
the
3
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012.
4
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
5
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
6
in
effect
until
June
30,
2012.
7
Sec.
9.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE.
Any
8
funds
remaining
in
the
health
care
trust
fund
created
in
9
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2011,
10
and
ending
June
30,
2012,
are
appropriated
to
the
department
11
of
human
services
to
supplement
the
medical
assistance
program
12
appropriations
made
in
this
Act,
for
medical
assistance
13
reimbursement
and
associated
costs,
including
program
14
administration
and
costs
associated
with
implementation.
15
Sec.
10.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
16
general
fund
of
the
state
to
the
department
of
human
services
17
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
18
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
19
to
be
used
for
the
purpose
designated:
20
For
medical
assistance
reimbursement
and
associated
costs
21
as
specifically
provided
in
the
reimbursement
methodologies
22
in
effect
on
June
30,
2011,
except
as
otherwise
expressly
23
authorized
by
law,
including
reimbursement
for
abortion
24
services
which
shall
be
available
under
the
medical
assistance
25
program
only
for
those
abortions
which
are
medically
necessary:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$897,237,190
27
1.
Medically
necessary
abortions
are
those
performed
under
28
any
of
the
following
conditions:
29
a.
The
attending
physician
certifies
that
continuing
the
30
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
31
b.
Any
spontaneous
abortion,
commonly
known
as
a
32
miscarriage,
if
not
all
of
the
products
of
conception
are
33
expelled.
34
2.
The
department
shall
utilize
not
more
than
$60,000
of
35
-23-
HF
649
(7)
84
pf/jp/mb
23/
150
H.F.
649
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
1
health
insurance
premium
payment
program
as
established
in
1992
2
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
3
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
4
not
more
than
$5,000
may
be
expended
for
administrative
5
purposes.
6
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
7
of
public
health
for
addictive
disorders,
$950,000
for
the
8
fiscal
year
beginning
July
1,
2011,
shall
be
transferred
to
9
the
department
of
human
services
for
an
integrated
substance
10
abuse
managed
care
system.
The
department
shall
not
assume
11
management
of
the
substance
abuse
system
in
place
of
the
12
managed
care
contractor
unless
such
a
change
in
approach
is
13
specifically
authorized
in
law.
The
departments
of
human
14
services
and
public
health
shall
work
together
to
maintain
15
the
level
of
mental
health
and
substance
abuse
services
16
provided
by
the
managed
care
contractor
through
the
Iowa
plan
17
for
behavioral
health.
Each
department
shall
take
the
steps
18
necessary
to
continue
the
federal
waivers
as
necessary
to
19
maintain
the
level
of
services.
20
4.
a.
The
department
shall
aggressively
pursue
options
for
21
providing
medical
assistance
or
other
assistance
to
individuals
22
with
special
needs
who
become
ineligible
to
continue
receiving
23
services
under
the
early
and
periodic
screening,
diagnostic,
24
and
treatment
program
under
the
medical
assistance
program
25
due
to
becoming
21
years
of
age
who
have
been
approved
for
26
additional
assistance
through
the
department’s
exception
to
27
policy
provisions,
but
who
have
health
care
needs
in
excess
28
of
the
funding
available
through
the
exception
to
policy
29
provisions.
30
b.
Of
the
funds
appropriated
in
this
section,
$100,000
31
shall
be
used
for
participation
in
one
or
more
pilot
projects
32
operated
by
a
private
provider
to
allow
the
individual
or
33
individuals
to
receive
service
in
the
community
in
accordance
34
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
35
-24-
HF
649
(7)
84
pf/jp/mb
24/
150
H.F.
649
(1999),
for
the
purpose
of
providing
medical
assistance
or
1
other
assistance
to
individuals
with
special
needs
who
become
2
ineligible
to
continue
receiving
services
under
the
early
and
3
periodic
screening,
diagnosis,
and
treatment
program
under
4
the
medical
assistance
program
due
to
becoming
21
years
of
5
age
who
have
been
approved
for
additional
assistance
through
6
the
department’s
exception
to
policy
provisions,
but
who
have
7
health
care
needs
in
excess
of
the
funding
available
through
8
the
exception
to
the
policy
provisions.
9
5.
Of
the
funds
appropriated
in
this
section,
up
to
10
$3,050,082
may
be
transferred
to
the
field
operations
11
or
general
administration
appropriations
in
this
Act
for
12
operational
costs
associated
with
Part
D
of
the
federal
13
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
14
of
2003,
Pub.
L.
No.
108-173.
15
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
16
may
be
transferred
to
the
appropriation
in
this
Act
for
medical
17
contracts
to
be
used
for
clinical
assessment
services
and
prior
18
authorization
of
services.
19
7.
A
portion
of
the
funds
appropriated
in
this
section
20
may
be
transferred
to
the
appropriations
in
this
division
of
21
this
Act
for
general
administration,
medical
contracts,
the
22
children’s
health
insurance
program,
or
field
operations
to
be
23
used
for
the
state
match
cost
to
comply
with
the
payment
error
24
rate
measurement
(PERM)
program
for
both
the
medical
assistance
25
and
children’s
health
insurance
programs
as
developed
by
the
26
centers
for
Medicare
and
Medicaid
services
of
the
United
States
27
department
of
health
and
human
services
to
comply
with
the
28
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
29
107-300.
30
8.
It
is
the
intent
of
the
general
assembly
that
the
31
department
continue
to
implement
the
recommendations
of
32
the
assuring
better
child
health
and
development
initiative
33
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
34
screening,
diagnostic,
and
treatment
services
healthy
mental
35
-25-
HF
649
(7)
84
pf/jp/mb
25/
150
H.F.
649
development
collaborative
board
regarding
changes
to
billing
1
procedures,
codes,
and
eligible
service
providers.
2
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
3
amount
is
allocated
to
supplement
the
incomes
of
residents
of
4
nursing
facilities,
intermediate
care
facilities
for
persons
5
with
mental
illness,
and
intermediate
care
facilities
for
6
persons
with
mental
retardation,
with
incomes
of
less
than
$50
7
in
the
amount
necessary
for
the
residents
to
receive
a
personal
8
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A.
9
10.
Of
the
funds
appropriated
in
this
section,
the
following
10
amounts
shall
be
transferred
to
the
appropriations
made
in
this
11
division
of
this
Act
for
the
state
mental
health
institutes:
12
a.
Cherokee
mental
health
institute
..........
$
9,098,425
13
b.
Clarinda
mental
health
institute
..........
$
1,977,305
14
c.
Independence
mental
health
institute
......
$
9,045,894
15
d.
Mount
Pleasant
mental
health
institute
....
$
5,752,587
16
11.
a.
Of
the
funds
appropriated
in
this
section,
17
$7,425,684
is
allocated
for
the
state
match
for
a
18
disproportionate
share
hospital
payment
of
$19,133,430
to
19
hospitals
that
meet
both
of
the
conditions
specified
in
20
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
21
meet
the
conditions
specified
shall
either
certify
public
22
expenditures
or
transfer
to
the
medical
assistance
program
23
an
amount
equal
to
provide
the
nonfederal
share
for
a
24
disproportionate
share
hospital
payment
of
$7,500,000.
The
25
hospitals
that
meet
the
conditions
specified
shall
receive
and
26
retain
100
percent
of
the
total
disproportionate
share
hospital
27
payment
of
$26,633,430.
28
(1)
The
hospital
qualifies
for
disproportionate
share
and
29
graduate
medical
education
payments.
30
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
31
than
500
beds
and
eight
or
more
distinct
residency
specialty
32
or
subspecialty
programs
recognized
by
the
American
college
of
33
graduate
medical
education.
34
b.
Distribution
of
the
disproportionate
share
payments
35
-26-
HF
649
(7)
84
pf/jp/mb
26/
150
H.F.
649
shall
be
made
on
a
monthly
basis.
The
total
amount
of
1
disproportionate
share
payments
including
graduate
medical
2
education,
enhanced
disproportionate
share,
and
Iowa
3
state-owned
teaching
hospital
payments
shall
not
exceed
the
4
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
5
In
addition,
the
total
amount
of
all
disproportionate
6
share
payments
shall
not
exceed
the
hospital-specific
7
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
8
12.
The
university
of
Iowa
hospitals
and
clinics
shall
9
either
certify
public
expenditures
or
transfer
to
the
medical
10
assistance
appropriation
an
amount
equal
to
provide
the
11
nonfederal
share
for
increased
medical
assistance
payments
for
12
inpatient
and
outpatient
hospital
services
of
$9,900,000.
The
13
university
of
Iowa
hospitals
and
clinics
shall
receive
and
14
retain
100
percent
of
the
total
increase
in
medical
assistance
15
payments.
16
13.
Of
the
funds
appropriated
in
this
section,
up
to
17
$4,480,304
may
be
transferred
to
the
IowaCare
account
created
18
in
section
249J.24.
19
14.
Of
the
funds
appropriated
in
this
section,
$200,000
20
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
21
2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
22
Iowa
Acts,
chapter
179,
sections
166
and
167.
23
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
24
to
area
education
agencies
that
are
medical
assistance
25
providers
for
medical
assistance-covered
services
provided
to
26
medical
assistance-covered
children,
shall
be
made
from
the
27
appropriation
made
in
this
section.
28
16.
Any
new
or
renewed
contract
entered
into
by
the
29
department
with
a
third
party
to
administer
behavioral
health
30
services
under
the
medical
assistance
program
shall
provide
31
that
any
interest
earned
on
payments
from
the
state
during
32
the
state
fiscal
year
shall
be
remitted
to
the
department
33
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
34
assistance
program.
35
-27-
HF
649
(7)
84
pf/jp/mb
27/
150
H.F.
649
17.
The
department
shall
continue
to
implement
the
1
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
2
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
3
section
55,
relating
to
eligibility
for
certain
persons
with
4
disabilities
under
the
medical
assistance
program
in
accordance
5
with
the
federal
family
opportunity
Act.
6
18.
A
portion
of
the
funds
appropriated
in
this
section
7
may
be
transferred
to
the
appropriation
in
this
division
of
8
this
Act
for
medical
contracts
to
be
used
for
administrative
9
activities
associated
with
the
money
follows
the
person
10
demonstration
project.
11
19.
Of
the
funds
appropriated
in
this
section,
$349,011
12
shall
be
used
for
the
administration
of
the
health
insurance
13
premium
payment
program,
including
salaries,
support,
14
maintenance,
and
miscellaneous
purposes
for
the
fiscal
year
15
beginning
July
1,
2011.
16
20.
a.
The
department
may
increase
the
amounts
allocated
17
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
18
associated
with
the
medical
assistance
program
as
necessary
19
to
implement
cost
containment
efforts
in
order
to
accomplish
20
medical
assistance
program
savings.
The
department
shall
21
report
any
such
increase
to
the
legislative
services
agency
and
22
department
of
management.
23
b.
If
the
savings
to
the
medical
assistance
program
exceed
24
the
cost,
the
department
may
transfer
any
savings
generated
25
for
the
fiscal
year
due
to
medical
assistance
program
cost
26
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
27
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
28
2009,
or
cost
containment
efforts
initiated
by
the
department
29
during
fiscal
year
2011-2012,
to
the
appropriation
made
in
30
this
division
of
this
Act
for
medical
contracts
or
general
31
administration
to
defray
the
increased
contract
costs
32
associated
with
implementing
such
efforts.
33
21.
The
department
may
implement
cost
containment
34
strategies
recommended
by
the
governor
by
using
a
sole
35
-28-
HF
649
(7)
84
pf/jp/mb
28/
150
H.F.
649
source
contract
process
or
by
expanding
an
existing
contract
1
without
using
a
competitive
process.
The
department
may
adopt
2
emergency
rules
to
implement
the
cost
containment
strategies
3
recommended
by
the
governor.
4
22.
The
department
shall
report
the
implementation
of
5
any
cost
containment
strategies
under
this
section
to
the
6
individuals
specified
in
this
Act
to
receive
reports
on
a
7
quarterly
basis.
8
23.
Notwithstanding
any
provision
of
law
to
the
contrary,
9
the
department
of
human
services
shall
amend
the
section
10
1915(b)
waiver
and
Iowa
plan
contract
to
include
remedial
11
services
under
the
Iowa
plan
contract
effective
July
1,
2011.
12
Sec.
11.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
13
general
fund
of
the
state
to
the
department
of
human
services
14
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
15
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
16
to
be
used
for
the
purpose
designated:
17
For
medical
contracts:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,773,844
19
The
department
of
inspections
and
appeals
shall
provide
all
20
state
matching
funds
for
survey
and
certification
activities
21
performed
by
the
department
of
inspections
and
appeals.
22
The
department
of
human
services
is
solely
responsible
for
23
distributing
the
federal
matching
funds
for
such
activities.
24
Sec.
12.
STATE
SUPPLEMENTARY
ASSISTANCE.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
28
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
the
state
supplementary
assistance
program:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,850,747
32
2.
The
department
shall
increase
the
personal
needs
33
allowance
for
residents
of
residential
care
facilities
by
the
34
same
percentage
and
at
the
same
time
as
federal
supplemental
35
-29-
HF
649
(7)
84
pf/jp/mb
29/
150
H.F.
649
security
income
and
federal
social
security
benefits
are
1
increased
due
to
a
recognized
increase
in
the
cost
of
living.
2
The
department
may
adopt
emergency
rules
to
implement
this
3
subsection.
4
3.
If
during
the
fiscal
year
beginning
July
1,
2011,
5
the
department
projects
that
state
supplementary
assistance
6
expenditures
for
a
calendar
year
will
not
meet
the
federal
7
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
8
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
9
§
1382g,
the
department
may
take
actions
including
but
not
10
limited
to
increasing
the
personal
needs
allowance
for
11
residential
care
facility
residents
and
making
programmatic
12
adjustments
or
upward
adjustments
of
the
residential
care
13
facility
or
in-home
health-related
care
reimbursement
rates
14
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
15
requirements
are
met.
In
addition,
the
department
may
make
16
other
programmatic
and
rate
adjustments
necessary
to
remain
17
within
the
amount
appropriated
in
this
section
while
ensuring
18
compliance
with
federal
requirements.
The
department
may
adopt
19
emergency
rules
to
implement
the
provisions
of
this
subsection.
20
Sec.
13.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
21
There
is
appropriated
from
the
general
fund
of
the
state
to
22
the
department
of
human
services
for
the
fiscal
year
beginning
23
July
1,
2011,
and
ending
June
30,
2012,
the
following
amount,
24
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
25
designated:
26
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
27
program
pursuant
to
chapter
514I,
including
supplemental
dental
28
services,
for
receipt
of
federal
financial
participation
under
29
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
30
children’s
health
insurance
program:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,927,152
32
Sec.
14.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
33
from
the
general
fund
of
the
state
to
the
department
of
human
34
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
35
-30-
HF
649
(7)
84
pf/jp/mb
30/
150
H.F.
649
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
1
necessary,
to
be
used
for
the
purpose
designated:
2
For
child
care
programs:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
51,237,662
4
1.
Of
the
funds
appropriated
in
this
section,
$49,868,235
5
shall
be
used
for
state
child
care
assistance
in
accordance
6
with
section
237A.13.
7
2.
Nothing
in
this
section
shall
be
construed
or
is
8
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
9
to
persons
who
are
eligible
for
assistance
due
to
an
income
10
level
consistent
with
the
waiting
list
requirements
of
section
11
237A.13.
Any
state
obligation
to
provide
services
pursuant
to
12
this
section
is
limited
to
the
extent
of
the
funds
appropriated
13
in
this
section.
14
3.
Of
the
funds
appropriated
in
this
section,
$432,453
is
15
allocated
for
the
statewide
program
for
child
care
resource
16
and
referral
services
under
section
237A.26.
A
list
of
the
17
registered
and
licensed
child
care
facilities
operating
in
the
18
area
served
by
a
child
care
resource
and
referral
service
shall
19
be
made
available
to
the
families
receiving
state
child
care
20
assistance
in
that
area.
21
4.
Of
the
funds
appropriated
in
this
section,
$936,974
22
is
allocated
for
child
care
quality
improvement
initiatives
23
including
but
not
limited
to
the
voluntary
quality
rating
24
system
in
accordance
with
section
237.30.
The
amount
of
25
funding
designated
for
meeting
the
federal
requirement
to
26
expend
at
least
4
percent
of
the
federal
child
care
and
27
development
fund
moneys
on
activities
to
improve
the
quality
28
of
child
care
shall
be
reduced
by
$2,000,000
from
the
amount
29
designated
for
such
activities
in
the
prior
fiscal
year.
30
5.
The
department
may
use
any
of
the
funds
appropriated
31
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
32
expanding
child
care
assistance
and
related
programs.
For
33
the
purpose
of
expenditures
of
state
and
federal
child
care
34
funding,
funds
shall
be
considered
obligated
at
the
time
35
-31-
HF
649
(7)
84
pf/jp/mb
31/
150
H.F.
649
expenditures
are
projected
or
are
allocated
to
the
department’s
1
service
areas.
Projections
shall
be
based
on
current
and
2
projected
caseload
growth,
current
and
projected
provider
3
rates,
staffing
requirements
for
eligibility
determination
4
and
management
of
program
requirements
including
data
systems
5
management,
staffing
requirements
for
administration
of
the
6
program,
contractual
and
grant
obligations
and
any
transfers
7
to
other
state
agencies,
and
obligations
for
decategorization
8
or
innovation
projects.
9
6.
A
portion
of
the
state
match
for
the
federal
child
care
10
and
development
block
grant
shall
be
provided
as
necessary
to
11
meet
federal
matching
funds
requirements
through
the
state
12
general
fund
appropriation
made
for
child
development
grants
13
and
other
programs
for
at-risk
children
in
section
279.51.
14
7.
If
a
uniform
reduction
ordered
by
the
governor
under
15
section
8.31
or
other
operation
of
law,
transfer,
or
federal
16
funding
reduction
reduces
the
appropriation
made
in
this
17
section
for
the
fiscal
year,
the
percentage
reduction
in
the
18
amount
paid
out
to
or
on
behalf
of
the
families
participating
19
in
the
state
child
care
assistance
program
shall
be
equal
to
or
20
less
than
the
percentage
reduction
made
for
any
other
purpose
21
payable
from
the
appropriation
made
in
this
section
and
the
22
federal
funding
relating
to
it.
The
percentage
reduction
to
23
the
other
allocations
made
in
this
section
shall
be
the
same
as
24
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
25
change
of
the
federal
funding
reduction,
as
applicable.
26
If
there
is
an
unanticipated
increase
in
federal
funding
27
provided
for
state
child
care
assistance,
the
entire
amount
28
of
the
increase
shall
be
used
for
state
child
care
assistance
29
payments.
If
the
appropriations
made
for
purposes
of
the
30
state
child
care
assistance
program
for
the
fiscal
year
are
31
determined
to
be
insufficient,
it
is
the
intent
of
the
general
32
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
33
in
order
to
avoid
establishment
of
waiting
list
requirements.
34
8.
Notwithstanding
section
8.33,
moneys
appropriated
in
35
-32-
HF
649
(7)
84
pf/jp/mb
32/
150
H.F.
649
this
section
or
received
from
the
federal
appropriations
made
1
for
the
purposes
of
this
section
that
remain
unencumbered
or
2
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
3
to
any
fund
but
shall
remain
available
for
expenditure
for
the
4
purposes
designated
until
the
close
of
the
succeeding
fiscal
5
year.
6
Sec.
15.
JUVENILE
INSTITUTIONS.
There
is
appropriated
7
from
the
general
fund
of
the
state
to
the
department
of
human
8
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
9
June
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
10
necessary,
to
be
used
for
the
purposes
designated:
11
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
12
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
13
for
not
more
than
the
following
full-time
equivalent
positions:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,258,251
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
16
2.
For
operation
of
the
state
training
school
at
Eldora
and
17
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
18
and
for
not
more
than
the
following
full-time
equivalent
19
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,638,677
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
22
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
23
be
used
for
distribution
to
licensed
classroom
teachers
at
this
24
and
other
institutions
under
the
control
of
the
department
of
25
human
services
based
upon
the
average
student
yearly
enrollment
26
at
each
institution
as
determined
by
the
department.
27
3.
A
portion
of
the
moneys
appropriated
in
this
section
28
shall
be
used
by
the
state
training
school
and
by
the
Iowa
29
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
30
activities
at
the
institutions
in
the
fiscal
year
beginning
31
July
1,
2011.
32
Sec.
16.
CHILD
AND
FAMILY
SERVICES.
33
1.
There
is
appropriated
from
the
general
fund
of
the
34
state
to
the
department
of
human
services
for
the
fiscal
year
35
-33-
HF
649
(7)
84
pf/jp/mb
33/
150
H.F.
649
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
1
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
2
purpose
designated:
3
For
child
and
family
services:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
82,020,163
5
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
6
amount
allocated
under
the
appropriation
made
for
the
purposes
7
of
this
section
in
prior
years
for
purposes
of
juvenile
8
delinquent
graduated
sanction
services,
up
to
$5,200,000
of
the
9
amount
of
federal
temporary
assistance
for
needy
families
block
10
grant
funding
appropriated
in
this
division
of
this
Act
for
11
child
and
family
services
shall
be
made
available
for
purposes
12
of
juvenile
delinquent
graduated
sanction
services.
13
3.
The
department
may
transfer
funds
appropriated
in
this
14
section
as
necessary
to
pay
the
nonfederal
costs
of
services
15
reimbursed
under
the
medical
assistance
program,
state
child
16
care
assistance
program,
or
the
family
investment
program
which
17
are
provided
to
children
who
would
otherwise
receive
services
18
paid
under
the
appropriation
in
this
section.
The
department
19
may
transfer
funds
appropriated
in
this
section
to
the
20
appropriations
made
in
this
division
of
this
Act
for
general
21
administration
and
for
field
operations
for
resources
necessary
22
to
implement
and
operate
the
services
funded
in
this
section.
23
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
24
$30,169,129
is
allocated
as
the
statewide
expenditure
target
25
under
section
232.143
for
group
foster
care
maintenance
and
26
services.
If
the
department
projects
that
such
expenditures
27
for
the
fiscal
year
will
be
less
than
the
target
amount
28
allocated
in
this
lettered
paragraph,
the
department
may
29
reallocate
the
excess
to
provide
additional
funding
for
shelter
30
care
or
the
child
welfare
emergency
services
addressed
with
the
31
allocation
for
shelter
care.
32
b.
If
at
any
time
after
September
30,
2011,
annualization
33
of
a
service
area’s
current
expenditures
indicates
a
service
34
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
35
-34-
HF
649
(7)
84
pf/jp/mb
34/
150
H.F.
649
target
under
section
232.143
by
more
than
5
percent,
the
1
department
and
juvenile
court
services
shall
examine
all
2
group
foster
care
placements
in
that
service
area
in
order
to
3
identify
those
which
might
be
appropriate
for
termination.
4
In
addition,
any
aftercare
services
believed
to
be
needed
5
for
the
children
whose
placements
may
be
terminated
shall
be
6
identified.
The
department
and
juvenile
court
services
shall
7
initiate
action
to
set
dispositional
review
hearings
for
the
8
placements
identified.
In
such
a
dispositional
review
hearing,
9
the
juvenile
court
shall
determine
whether
needed
aftercare
10
services
are
available
and
whether
termination
of
the
placement
11
is
in
the
best
interest
of
the
child
and
the
community.
12
5.
In
accordance
with
the
provisions
of
section
232.188,
13
the
department
shall
continue
the
child
welfare
and
juvenile
14
justice
funding
initiative
during
fiscal
year
2011-2012.
Of
15
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
16
specifically
for
expenditure
for
fiscal
year
2011-2012
through
17
the
decategorization
service
funding
pools
and
governance
18
boards
established
pursuant
to
section
232.188.
19
6.
A
portion
of
the
funds
appropriated
in
this
section
20
may
be
used
for
emergency
family
assistance
to
provide
other
21
resources
required
for
a
family
participating
in
a
family
22
preservation
or
reunification
project
or
successor
project
to
23
stay
together
or
to
be
reunified.
24
7.
Notwithstanding
section
234.35
or
any
other
provision
25
of
law
to
the
contrary,
state
funding
for
shelter
care
and
26
the
child
welfare
emergency
services
contracting
implemented
27
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
28
limited
to
$7,170,116.
The
department
may
execute
contracts
29
that
result
from
the
department’s
request
for
proposal,
bid
30
number
ACFS-11-114,
to
provide
the
range
of
child
welfare
31
emergency
services
described
in
the
request
for
proposals,
and
32
any
subsequent
amendments
to
the
request
for
proposals.
33
8.
Federal
funds
received
by
the
state
during
the
fiscal
34
year
beginning
July
1,
2011,
as
the
result
of
the
expenditure
35
-35-
HF
649
(7)
84
pf/jp/mb
35/
150
H.F.
649
of
state
funds
appropriated
during
a
previous
state
fiscal
1
year
for
a
service
or
activity
funded
under
this
section
are
2
appropriated
to
the
department
to
be
used
as
additional
funding
3
for
services
and
purposes
provided
for
under
this
section.
4
Notwithstanding
section
8.33,
moneys
received
in
accordance
5
with
this
subsection
that
remain
unencumbered
or
unobligated
at
6
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
7
shall
remain
available
for
the
purposes
designated
until
the
8
close
of
the
succeeding
fiscal
year.
9
9.
Of
the
funds
appropriated
in
this
section,
at
least
10
$3,696,285
shall
be
used
for
protective
child
care
assistance.
11
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
12
$2,062,488
is
allocated
for
the
payment
of
the
expenses
of
13
court-ordered
services
provided
to
juveniles
who
are
under
the
14
supervision
of
juvenile
court
services,
which
expenses
are
a
15
charge
upon
the
state
pursuant
to
section
232.141,
subsection
16
4.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
to
17
$1,556,287
shall
be
made
available
to
provide
school-based
18
supervision
of
children
adjudicated
under
chapter
232,
of
which
19
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
20
A
portion
of
the
cost
of
each
school-based
liaison
officer
21
shall
be
paid
by
the
school
district
or
other
funding
source
as
22
approved
by
the
chief
juvenile
court
officer.
23
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
24
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
25
services
provided
to
children
who
are
under
the
supervision
26
of
the
department,
which
expenses
are
a
charge
upon
the
state
27
pursuant
to
section
232.141,
subsection
4.
28
c.
Notwithstanding
section
232.141
or
any
other
provision
29
of
law
to
the
contrary,
the
amounts
allocated
in
this
30
subsection
shall
be
distributed
to
the
judicial
districts
31
as
determined
by
the
state
court
administrator
and
to
the
32
department’s
service
areas
as
determined
by
the
administrator
33
of
the
department’s
division
of
child
and
family
services.
The
34
state
court
administrator
and
the
division
administrator
shall
35
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649
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36/
150
H.F.
649
make
the
determination
of
the
distribution
amounts
on
or
before
1
June
15,
2011.
2
d.
Notwithstanding
chapter
232
or
any
other
provision
of
3
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
4
order
any
service
which
is
a
charge
upon
the
state
pursuant
5
to
section
232.141
if
there
are
insufficient
court-ordered
6
services
funds
available
in
the
district
court
or
departmental
7
service
area
distribution
amounts
to
pay
for
the
service.
The
8
chief
juvenile
court
officer
and
the
departmental
service
area
9
manager
shall
encourage
use
of
the
funds
allocated
in
this
10
subsection
such
that
there
are
sufficient
funds
to
pay
for
11
all
court-related
services
during
the
entire
year.
The
chief
12
juvenile
court
officers
and
departmental
service
area
managers
13
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
14
in
the
distribution
amounts
and
shall
cooperatively
request
the
15
state
court
administrator
or
division
administrator
to
transfer
16
funds
between
the
judicial
districts’
or
departmental
service
17
areas’
distribution
amounts
as
prudent.
18
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
19
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
20
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
21
entered
under
chapter
232
which
is
a
charge
upon
the
state
22
under
section
232.141,
subsection
4.
23
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
24
$83,000
may
be
used
by
the
judicial
branch
for
administration
25
of
the
requirements
under
this
subsection.
26
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
27
shall
be
used
by
the
department
of
human
services
to
support
28
the
interstate
commission
for
juveniles
in
accordance
with
29
the
interstate
compact
for
juveniles
as
provided
in
section
30
232.173.
31
11.
Of
the
funds
appropriated
in
this
section,
$4,522,602
is
32
allocated
for
juvenile
delinquent
graduated
sanctions
services.
33
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
34
services
to
earn
federal
Tit.
IV-E
match
for
juvenile
court
35
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649
services
administration
may
be
used
for
the
juvenile
delinquent
1
graduated
sanctions
services.
2
12.
Of
the
funds
appropriated
in
this
section,
$988,285
3
shall
be
transferred
to
the
department
of
public
health
to
4
be
used
for
the
child
protection
center
grant
program
in
5
accordance
with
section
135.118.
6
13.
If
the
department
receives
federal
approval
to
7
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
8
Security
Act
to
enable
providers
to
serve
children
who
remain
9
in
the
children’s
families
and
communities,
for
purposes
of
10
eligibility
under
the
medical
assistance
program,
children
who
11
participate
in
the
waiver
shall
be
considered
to
be
placed
in
12
foster
care.
13
14.
Of
the
funds
appropriated
in
this
section,
$3,069,832
is
14
allocated
for
the
preparation
for
adult
living
program
pursuant
15
to
section
234.46.
16
15.
Of
the
funds
appropriated
in
this
section,
$520,150
17
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
18
in
this
subsection
shall
be
distributed
as
follows:
19
To
the
judicial
branch
for
salaries
to
assist
with
the
20
operation
of
juvenile
drug
court
programs
operated
in
the
21
following
jurisdictions:
22
a.
Marshall
county:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,708
24
b.
Woodbury
county:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,682
26
c.
Polk
county:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
195,892
28
d.
The
third
judicial
district:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
30
e.
The
eighth
judicial
district:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
32
16.
Of
the
funds
appropriated
in
this
section,
$227,337
33
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
34
a
nonprofit
human
services
organization
providing
services
to
35
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150
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649
individuals
and
families
in
multiple
locations
in
southwest
1
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
2
sensitive
support
and
forensic
interviews,
medical
exams,
needs
3
assessments,
and
referrals
for
victims
of
child
abuse
and
their
4
nonoffending
family
members.
5
17.
Of
the
funds
appropriated
in
this
section,
$125,590
6
is
allocated
for
the
elevate
approach
of
providing
a
support
7
network
to
children
placed
in
foster
care.
8
18.
Of
the
funds
appropriated
in
this
section,
$202,000
is
9
allocated
for
use
pursuant
to
section
235A.1
for
continuation
10
of
the
initiative
to
address
child
sexual
abuse
implemented
11
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
12
21.
13
19.
Of
the
funds
appropriated
in
this
section,
$630,240
is
14
allocated
for
the
community
partnership
for
child
protection
15
sites.
16
20.
Of
the
funds
appropriated
in
this
section,
$371,250
17
is
allocated
for
the
department’s
minority
youth
and
family
18
projects
under
the
redesign
of
the
child
welfare
system.
19
21.
Of
the
funds
appropriated
in
this
section,
$1,200,495
20
is
allocated
for
funding
of
the
state
match
for
the
federal
21
substance
abuse
and
mental
health
services
administration
22
(SAMHSA)
system
of
care
grant.
23
22.
Of
the
funds
appropriated
in
this
section,
at
least
24
$147,158
shall
be
used
for
the
child
welfare
training
academy.
25
23.
Of
the
funds
appropriated
in
this
section,
$25,000
26
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
27
a
child
welfare
services
provider
headquartered
in
a
county
28
with
a
population
between
205,000
and
215,000
in
the
latest
29
certified
federal
census
that
provides
multiple
services
30
including
but
not
limited
to
a
psychiatric
medical
institution
31
for
children,
shelter,
residential
treatment,
after
school
32
programs,
school-based
programming,
and
an
Asperger’s
syndrome
33
program,
to
be
used
for
support
services
for
children
with
34
autism
spectrum
disorder
and
their
families.
35
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649
Sec.
17.
ADOPTION
SUBSIDY.
1
1.
There
is
appropriated
from
the
general
fund
of
the
2
state
to
the
department
of
human
services
for
the
fiscal
year
3
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
4
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
5
purpose
designated:
6
For
adoption
subsidy
payments
and
services:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,897,591
8
2.
The
department
may
transfer
funds
appropriated
in
this
9
section
to
the
appropriation
made
in
this
Act
for
general
10
administration
for
costs
paid
from
the
appropriation
relating
11
to
adoption
subsidy.
12
3.
Federal
funds
received
by
the
state
during
the
13
fiscal
year
beginning
July
1,
2011,
as
the
result
of
the
14
expenditure
of
state
funds
during
a
previous
state
fiscal
15
year
for
a
service
or
activity
funded
under
this
section
are
16
appropriated
to
the
department
to
be
used
as
additional
funding
17
for
the
services
and
activities
funded
under
this
section.
18
Notwithstanding
section
8.33,
moneys
received
in
accordance
19
with
this
subsection
that
remain
unencumbered
or
unobligated
20
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
21
but
shall
remain
available
for
expenditure
for
the
purposes
22
designated
until
the
close
of
the
succeeding
fiscal
year.
23
Sec.
18.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
24
in
the
juvenile
detention
home
fund
created
in
section
232.142
25
during
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
26
30,
2012,
are
appropriated
to
the
department
of
human
services
27
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
28
2012,
for
distribution
of
an
amount
equal
to
a
percentage
of
29
the
costs
of
the
establishment,
improvement,
operation,
and
30
maintenance
of
county
or
multicounty
juvenile
detention
homes
31
in
the
fiscal
year
beginning
July
1,
2010.
Moneys
appropriated
32
for
distribution
in
accordance
with
this
section
shall
be
33
allocated
among
eligible
detention
homes,
prorated
on
the
basis
34
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
35
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150
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649
eligible
detention
homes
in
the
fiscal
year
beginning
July
1
1,
2010.
The
percentage
figure
shall
be
determined
by
the
2
department
based
on
the
amount
available
for
distribution
for
3
the
fund.
Notwithstanding
section
232.142,
subsection
3,
the
4
financial
aid
payable
by
the
state
under
that
provision
for
the
5
fiscal
year
beginning
July
1,
2011,
shall
be
limited
to
the
6
amount
appropriated
for
the
purposes
of
this
section.
7
The
department
of
human
services
shall
work
with
juvenile
8
detention
centers
and
other
stakeholders
to
review
the
current
9
methodology
for
distribution
of
moneys
from
the
juvenile
10
detention
home
fund,
consider
alternative
distribution
11
methodologies,
and
report
findings
and
recommendations
to
12
the
persons
designated
by
this
division
of
this
Act
for
the
13
submission
of
reports
and
to
the
division
of
criminal
and
14
juvenile
justice
planning
of
the
department
of
human
rights
by
15
December
15,
2011.
It
is
the
intent
of
the
general
assembly
16
to
shift
responsibility
for
administering
the
fund
from
the
17
department
of
human
services
to
the
division
of
criminal
and
18
juvenile
justice
planning
of
the
department
of
human
rights,
19
effective
with
the
fiscal
year
beginning
July
1,
2012.
20
Sec.
19.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
the
family
support
subsidy
program
subject
to
the
27
enrollment
restrictions
in
section
225C.37,
subsection
3:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,167,998
29
2.
The
department
shall
use
at
least
$385,500
of
the
moneys
30
appropriated
in
this
section
for
the
family
support
center
31
component
of
the
comprehensive
family
support
program
under
32
section
225C.47.
Not
more
than
$25,000
of
the
amount
allocated
33
in
this
subsection
shall
be
used
for
administrative
costs.
34
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
35
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150
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649
funding
available
for
the
family
support
subsidy
program
1
is
reduced
from
the
amount
initially
used
to
establish
the
2
figure
for
the
number
of
family
members
for
whom
a
subsidy
3
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
4
notwithstanding
section
225C.38,
subsection
2,
the
department
5
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
6
of
funding
available.
7
Sec.
20.
CONNER
DECREE.
There
is
appropriated
from
the
8
general
fund
of
the
state
to
the
department
of
human
services
9
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
10
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
11
to
be
used
for
the
purpose
designated:
12
For
building
community
capacity
through
the
coordination
13
and
provision
of
training
opportunities
in
accordance
with
the
14
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
15
Iowa,
July
14,
1994):
16
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.
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.
.
.
.
.
.
.
$
33,622
17
Sec.
21.
MENTAL
HEALTH
INSTITUTES.
18
There
is
appropriated
from
the
general
fund
of
the
state
to
19
the
department
of
human
services
for
the
fiscal
year
beginning
20
July
1,
2011,
and
ending
June
30,
2012,
the
following
amounts,
21
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
22
designated:
23
1.
For
the
state
mental
health
institute
at
Cherokee
for
24
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
25
for
not
more
than
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,877,308
27
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
28
2.
For
the
state
mental
health
institute
at
Clarinda
for
29
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
30
for
not
more
than
the
following
full-time
equivalent
positions:
31
.
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.
.
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.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,411,734
32
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
33
3.
For
the
state
mental
health
institute
at
Independence
for
34
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
35
-42-
HF
649
(7)
84
pf/jp/mb
42/
150
H.F.
649
for
not
more
than
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
$
10,275,685
2
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.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
3
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
4
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
5
and
for
not
more
than
the
following
full-time
equivalent
6
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
944,323
8
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.
.
.
.
.
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.
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.
.
.
.
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.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
91.72
9
Sec.
22.
STATE
RESOURCE
CENTERS.
10
1.
There
is
appropriated
from
the
general
fund
of
the
11
state
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
13
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purposes
designated:
15
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
16
support,
maintenance,
and
miscellaneous
purposes:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,807,801
18
b.
For
the
state
resource
center
at
Woodward
for
salaries,
19
support,
maintenance,
and
miscellaneous
purposes:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,085,658
21
2.
The
department
may
continue
to
bill
for
state
resource
22
center
services
utilizing
a
scope
of
services
approach
used
for
23
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
24
shift
costs
between
the
medical
assistance
program,
counties,
25
or
other
sources
of
funding
for
the
state
resource
centers.
26
3.
The
state
resource
centers
may
expand
the
time-limited
27
assessment
and
respite
services
during
the
fiscal
year.
28
4.
If
the
department’s
administration
and
the
department
29
of
management
concur
with
a
finding
by
a
state
resource
30
center’s
superintendent
that
projected
revenues
can
reasonably
31
be
expected
to
pay
the
salary
and
support
costs
for
a
new
32
employee
position,
or
that
such
costs
for
adding
a
particular
33
number
of
new
positions
for
the
fiscal
year
would
be
less
34
than
the
overtime
costs
if
new
positions
would
not
be
added,
35
-43-
HF
649
(7)
84
pf/jp/mb
43/
150
H.F.
649
the
superintendent
may
add
the
new
position
or
positions.
If
1
the
vacant
positions
available
to
a
resource
center
do
not
2
include
the
position
classification
desired
to
be
filled,
the
3
state
resource
center’s
superintendent
may
reclassify
any
4
vacant
position
as
necessary
to
fill
the
desired
position.
The
5
superintendents
of
the
state
resource
centers
may,
by
mutual
6
agreement,
pool
vacant
positions
and
position
classifications
7
during
the
course
of
the
fiscal
year
in
order
to
assist
one
8
another
in
filling
necessary
positions.
9
5.
If
existing
capacity
limitations
are
reached
in
10
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
11
a
special
need
for
which
a
payment
source
or
other
funding
12
is
available
for
the
service
or
to
address
the
special
need,
13
and
facilities
for
the
service
or
to
address
the
special
need
14
can
be
provided
within
the
available
payment
source
or
other
15
funding,
the
superintendent
of
a
state
resource
center
may
16
authorize
opening
not
more
than
two
units
or
other
facilities
17
and
begin
implementing
the
service
or
addressing
the
special
18
need
during
fiscal
year
2011-2012.
19
Sec.
23.
MI/MR/DD
STATE
CASES.
20
1.
There
is
appropriated
from
the
general
fund
of
the
21
state
to
the
department
of
human
services
for
the
fiscal
year
22
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
23
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
24
purpose
designated:
25
For
distribution
to
counties
for
state
case
services
26
for
persons
with
mental
illness,
mental
retardation,
and
27
developmental
disabilities
in
accordance
with
section
331.440:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,169,482
29
2.
For
the
fiscal
year
beginning
July
1,
2011,
and
ending
30
June
30,
2012,
$200,000
is
allocated
for
state
case
services
31
from
the
amounts
appropriated
from
the
fund
created
in
section
32
8.41
to
the
department
of
human
services
from
the
funds
33
received
from
the
federal
government
under
42
U.S.C.
ch.
6A,
34
subch.
XVII,
relating
to
the
community
mental
health
center
35
-44-
HF
649
(7)
84
pf/jp/mb
44/
150
H.F.
649
block
grant,
for
the
federal
fiscal
years
beginning
October
1
1,
2009,
and
ending
September
30,
2010,
beginning
October
1,
2
2010,
and
ending
September
30,
2011,
and
beginning
October
1,
3
2011,
and
ending
September
30,
2012.
The
allocation
made
in
4
this
subsection
shall
be
made
prior
to
any
other
distribution
5
allocation
of
the
appropriated
federal
funds.
6
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
7
this
section
that
remain
unencumbered
or
unobligated
at
the
8
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
9
available
for
expenditure
for
the
purposes
designated
until
the
10
close
of
the
succeeding
fiscal
year.
11
Sec.
24.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
12
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
13
the
general
fund
of
the
state
to
the
mental
health
and
14
developmental
disabilities
community
services
fund
created
in
15
section
225C.7
for
the
fiscal
year
beginning
July
1,
2011,
and
16
ending
June
30,
2012,
the
following
amount,
or
so
much
thereof
17
as
is
necessary,
to
be
used
for
the
purpose
designated:
18
For
mental
health
and
developmental
disabilities
community
19
services
in
accordance
with
this
division
of
this
Act:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
21
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
22
shall
be
allocated
to
counties
for
funding
of
community-based
23
mental
health
and
developmental
disabilities
services.
The
24
moneys
shall
be
allocated
to
a
county
as
follows:
25
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
26
state’s
population
of
persons
with
an
annual
income
which
is
27
equal
to
or
less
than
the
poverty
guideline
established
by
the
28
federal
office
of
management
and
budget.
29
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
30
state’s
general
population.
31
2.
a.
A
county
shall
utilize
the
funding
the
county
32
receives
pursuant
to
subsection
1
for
services
provided
to
33
persons
with
a
disability,
as
defined
in
section
225C.2.
34
However,
no
more
than
50
percent
of
the
funding
shall
be
used
35
-45-
HF
649
(7)
84
pf/jp/mb
45/
150
H.F.
649
for
services
provided
to
any
one
of
the
service
populations.
1
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
2
county
receives
under
subsection
1
for
contemporary
services
3
provided
to
persons
with
a
disability,
as
described
in
rules
4
adopted
by
the
department.
5
3.
Of
the
funds
appropriated
in
this
section,
$23,544
6
shall
be
used
to
support
the
Iowa
compass
program
providing
7
computerized
information
and
referral
services
for
Iowans
with
8
disabilities
and
their
families.
9
4.
a.
Funding
appropriated
for
purposes
of
the
federal
10
social
services
block
grant
is
allocated
for
distribution
11
to
counties
for
local
purchase
of
services
for
persons
with
12
mental
illness
or
mental
retardation
or
other
developmental
13
disability.
14
b.
The
funds
allocated
in
this
subsection
shall
be
expended
15
by
counties
in
accordance
with
the
county’s
county
management
16
plan
approved
by
the
board
of
supervisors.
A
county
without
17
an
approved
county
management
plan
shall
not
receive
allocated
18
funds
until
the
county’s
management
plan
is
approved.
19
c.
The
funds
provided
by
this
subsection
shall
be
allocated
20
to
each
county
as
follows:
21
(1)
Fifty
percent
based
upon
the
county’s
proportion
of
the
22
state’s
population
of
persons
with
an
annual
income
which
is
23
equal
to
or
less
than
the
poverty
guideline
established
by
the
24
federal
office
of
management
and
budget.
25
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
26
county
for
local
purchase
of
services
in
the
preceding
fiscal
27
year.
28
5.
A
county
is
eligible
for
funds
under
this
section
if
the
29
county
qualifies
for
a
state
payment
as
described
in
section
30
331.439.
31
6.
The
latest
certified
census
issued
by
the
United
States
32
bureau
of
the
census
shall
be
applied
for
the
population
33
factors
utilized
in
this
section.
34
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
35
-46-
HF
649
(7)
84
pf/jp/mb
46/
150
H.F.
649
1.
There
is
appropriated
from
the
general
fund
of
the
1
state
to
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
3
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
4
purpose
designated:
5
For
costs
associated
with
the
commitment
and
treatment
of
6
sexually
violent
predators
in
the
unit
located
at
the
state
7
mental
health
institute
at
Cherokee,
including
costs
of
legal
8
services
and
other
associated
costs,
including
salaries,
9
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
10
more
than
the
following
full-time
equivalent
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,550,727
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
13
2.
Unless
specifically
prohibited
by
law,
if
the
amount
14
charged
provides
for
recoupment
of
at
least
the
entire
amount
15
of
direct
and
indirect
costs,
the
department
of
human
services
16
may
contract
with
other
states
to
provide
care
and
treatment
17
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
18
violent
predators
at
Cherokee.
The
moneys
received
under
19
such
a
contract
shall
be
considered
to
be
repayment
receipts
20
and
used
for
the
purposes
of
the
appropriation
made
in
this
21
section.
22
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
23
general
fund
of
the
state
to
the
department
of
human
services
24
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
25
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
26
to
be
used
for
the
purposes
designated:
27
For
field
operations,
including
salaries,
support,
28
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
29
the
following
full-time
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,339,921
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
32
Priority
in
filling
full-time
equivalent
positions
shall
be
33
given
to
those
positions
related
to
child
protection
services
34
and
eligibility
determination
for
low-income
families.
35
-47-
HF
649
(7)
84
pf/jp/mb
47/
150
H.F.
649
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
1
from
the
general
fund
of
the
state
to
the
department
of
human
2
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
3
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
4
necessary,
to
be
used
for
the
purpose
designated:
5
For
general
administration,
including
salaries,
support,
6
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
7
the
following
full-time
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,146,745
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
285.00
10
1.
Of
the
funds
appropriated
in
this
section,
$38,543
11
allocated
for
the
prevention
of
disabilities
policy
council
12
established
in
section
225B.3.
13
2.
The
department
shall
report
at
least
monthly
to
the
14
legislative
services
agency
concerning
the
department’s
15
operational
and
program
expenditures.
16
3.
Of
the
funds
appropriated
in
this
section,
$132,300
shall
17
be
used
to
implement
a
program
to
provide
technical
assistance,
18
support,
and
consultation
to
providers
of
habilitation
services
19
and
home
and
community-based
waiver
services
for
adults
with
20
disabilities
under
the
medical
assistance
program.
21
4.
Of
the
funds
appropriated
in
this
section,
$176,400
shall
22
be
used
to
expand
the
provision
of
nationally
accredited
and
23
recognized
internet-based
training
to
include
mental
health
and
24
disability
services
providers.
25
5.
Of
the
funds
appropriated
in
this
section,
$500,000
26
shall
be
used
for
implementation
of
child
protection
system
27
improvements
addressed
in
2011
Iowa
Acts,
House
File
562,
if
28
enacted.
29
Sec.
28.
VOLUNTEERS.
There
is
appropriated
from
the
general
30
fund
of
the
state
to
the
department
of
human
services
for
the
31
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
32
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
33
used
for
the
purpose
designated:
34
For
development
and
coordination
of
volunteer
services:
35
-48-
HF
649
(7)
84
pf/jp/mb
48/
150
H.F.
649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,660
1
Sec.
29.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
2
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
3
DEPARTMENT
OF
HUMAN
SERVICES.
4
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2011,
5
the
total
state
funding
amount
for
the
nursing
facility
budget
6
shall
not
exceed
$225,502,551.
7
(2)
For
the
fiscal
year
beginning
July
1,
2011,
the
8
department
shall
rebase
case-mix
nursing
facility
rates
9
effective
July
1,
2011.
However,
total
nursing
facility
budget
10
expenditures,
including
both
case-mix
and
noncase-mix
shall
11
not
exceed
the
amount
specified
in
subparagraph
(1).
When
12
calculating
case-mix
per
diem
cost
and
the
patient-day-weighted
13
medians
used
in
rate-setting
for
nursing
facilities
effective
14
July
1,
2011,
the
inflation
factor
applied
from
the
midpoint
15
of
the
cost
report
period
to
the
first
day
of
the
state
fiscal
16
year
rate
period
shall
be
adjusted
to
maintain
state
funding
17
within
the
amount
specified
in
subparagraph
(1).
18
(3)
The
department,
in
cooperation
with
nursing
facility
19
representatives,
shall
review
projections
for
state
funding
20
expenditures
for
reimbursement
of
nursing
facilities
on
a
21
quarterly
basis
and
the
department
shall
determine
if
an
22
adjustment
to
the
medical
assistance
reimbursement
rate
is
23
necessary
in
order
to
provide
reimbursement
within
the
state
24
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
25
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
26
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
27
if
the
state
funding
expenditures
for
the
nursing
facility
28
budget
for
the
fiscal
year
is
projected
to
exceed
the
amount
29
specified
in
subparagraph
(1),
the
department
shall
adjust
30
the
reimbursement
for
nursing
facilities
reimbursed
under
the
31
case-mix
reimbursement
system
to
maintain
expenditures
of
the
32
nursing
facility
budget
within
the
specified
amount
for
the
33
fiscal
year.
34
(4)
For
the
fiscal
year
beginning
July
1,
2011,
special
35
-49-
HF
649
(7)
84
pf/jp/mb
49/
150
H.F.
649
population
nursing
facilities
shall
be
reimbursed
in
accordance
1
with
the
methodology
in
effect
on
June
30,
2011.
2
b.
For
the
fiscal
year
beginning
July
1,
2011,
the
3
department
shall
reimburse
pharmacy
dispensing
fees
using
a
4
single
rate
of
$4.34
per
prescription
or
the
pharmacy’s
usual
5
and
customary
fee,
whichever
is
lower.
6
c.
(1)
For
the
fiscal
year
beginning
July
1,
2011,
7
reimbursement
rates
for
outpatient
hospital
services
shall
be
8
rebased
effective
January
1,
2012.
9
(2)
For
the
fiscal
year
beginning
July
1,
2011,
10
reimbursement
rates
for
inpatient
hospital
services
shall
be
11
rebased
effective
October
1,
2011.
12
(3)
The
total
amount
of
increased
funding
available
for
13
reimbursement
attributable
to
rebasing
under
this
paragraph
14
for
the
fiscal
year
beginning
July
1,
2011,
shall
not
exceed
15
$4,500,000.
16
(4)
For
the
fiscal
year
beginning
July
1,
2011,
the
graduate
17
medical
education
and
disproportionate
share
hospital
fund
18
shall
remain
at
the
amount
in
effect
on
June
30,
2011.
19
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
20
funds
in
procuring
health
care
services
for
low-income
Iowans,
21
funds
appropriated
in
this
Act
for
hospital
services
shall
22
not
be
used
for
activities
which
would
be
excluded
from
a
23
determination
of
reasonable
costs
under
the
federal
Medicare
24
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
25
d.
For
the
fiscal
year
beginning
July
1,
2011,
reimbursement
26
rates
for
rural
health
clinics,
hospices,
and
acute
mental
27
hospitals
shall
be
increased
in
accordance
with
increases
under
28
the
federal
Medicare
program
or
as
supported
by
their
Medicare
29
audited
costs.
30
e.
For
the
fiscal
year
beginning
July
1,
2011,
independent
31
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
32
using
the
same
methodology
in
effect
on
June
30,
2011.
33
f.
For
the
fiscal
year
beginning
July
1,
2011,
reimbursement
34
rates
for
home
health
agencies
shall
remain
at
the
rates
in
35
-50-
HF
649
(7)
84
pf/jp/mb
50/
150
H.F.
649
effect
on
June
30,
2011,
not
to
exceed
a
home
health
agency’s
1
actual
allowable
cost.
2
g.
For
the
fiscal
year
beginning
July
1,
2011,
federally
3
qualified
health
centers
shall
receive
cost-based
reimbursement
4
for
100
percent
of
the
reasonable
costs
for
the
provision
of
5
services
to
recipients
of
medical
assistance.
6
h.
For
the
fiscal
year
beginning
July
1,
2011,
the
7
reimbursement
rates
for
dental
services
shall
remain
at
the
8
rates
in
effect
on
June
30,
2011.
9
i.
For
the
fiscal
year
beginning
July
1,
2011,
state-owned
10
psychiatric
medical
institutions
for
children
shall
receive
11
cost-based
reimbursement
for
100
percent
of
the
actual
and
12
allowable
costs
for
the
provision
of
services
to
recipients
of
13
medical
assistance.
For
nonstate-owned
psychiatric
medical
14
institutions
for
children,
reimbursement
rates
shall
remain
at
15
the
rates
in
effect
on
June
30,
2011.
16
j.
For
the
fiscal
year
beginning
July
1,
2011,
unless
17
otherwise
specified
in
this
Act,
all
noninstitutional
medical
18
assistance
provider
reimbursement
rates
shall
remain
at
the
19
rates
in
effect
on
June
30,
2011,
except
for
area
education
20
agencies,
local
education
agencies,
infant
and
toddler
services
21
providers,
and
those
providers
whose
rates
are
required
to
be
22
determined
pursuant
to
section
249A.20.
23
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
24
fiscal
year
beginning
July
1,
2011,
the
reimbursement
rate
for
25
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
26
30,
2011.
27
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
28
beginning
July
1,
2011,
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
that
section
shall
remain
at
the
rate
in
effect
on
June
32
30,
2011;
however,
this
rate
shall
not
exceed
the
maximum
level
33
authorized
by
the
federal
government.
34
m.
For
the
fiscal
year
beginning
July
1,
2011,
the
35
-51-
HF
649
(7)
84
pf/jp/mb
51/
150
H.F.
649
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.
For
the
fiscal
year
beginning
July
1,
2011,
inpatient
9
mental
health
services
provided
at
hospitals
shall
be
rebased
10
effective
October
1,
2011,
subject
to
Medicaid
program
upper
11
payment
limit
rules;
community
mental
health
centers
and
12
providers
of
mental
health
services
to
county
residents
13
pursuant
to
a
waiver
approved
under
section
225C.7,
subsection
14
3,
shall
be
reimbursed
at
100
percent
of
the
reasonable
15
costs
for
the
provision
of
services
to
recipients
of
medical
16
assistance;
and
psychiatrists
shall
be
reimbursed
at
the
17
medical
assistance
program
fee
for
service
rate.
18
o.
For
the
fiscal
year
beginning
July
1,
2011,
the
19
reimbursement
rate
for
consumer-directed
attendant
care
shall
20
remain
at
the
rates
in
effect
on
June
30,
2011.
21
p.
For
the
fiscal
year
beginning
July
1,
2011,
the
22
reimbursement
rate
for
providers
of
family
planning
services
23
that
are
eligible
to
receive
a
90
percent
federal
match
shall
24
remain
at
the
rates
in
effect
on
June
30,
2011.
25
2.
For
the
fiscal
year
beginning
July
1,
2011,
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
-52-
HF
649
(7)
84
pf/jp/mb
52/
150
H.F.
649
increased
during
the
calendar
year
ending
December
31,
2002.
1
4.
For
the
fiscal
year
beginning
July
1,
2011,
2
notwithstanding
section
234.38,
the
foster
family
basic
daily
3
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
4
children
ages
0
through
5
years
shall
be
$15.74,
the
rate
for
5
children
ages
6
through
11
years
shall
be
$16.37,
the
rate
for
6
children
ages
12
through
15
years
shall
be
$17.92,
and
the
7
rate
for
children
and
young
adults
ages
16
and
older
shall
be
8
$18.16.
The
maximum
supervised
apartment
living
foster
care
9
reimbursement
rate
shall
be
$25.00
per
day.
For
youth
ages
10
18
to
21
who
have
exited
foster
care,
the
maximum
preparation
11
for
adult
living
program
maintenance
rate
shall
be
$574.00
per
12
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
13
expenses
shall
be
limited
to
$500
and
the
disallowance
of
14
additional
amounts
for
court
costs
and
other
related
legal
15
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
16
section
408
shall
be
continued.
17
5.
For
the
fiscal
year
beginning
July
1,
2011,
the
maximum
18
reimbursement
rates
under
the
supervised
apartment
living
19
program
and
for
social
services
providers
under
contract
20
shall
remain
at
the
rates
in
effect
on
June
30,
2011,
or
the
21
provider’s
actual
and
allowable
cost
plus
inflation
for
each
22
service,
whichever
is
less.
However,
if
a
new
service
or
23
service
provider
is
added
after
June
30,
2011,
the
initial
24
reimbursement
rate
for
the
service
or
provider
shall
be
25
based
upon
actual
and
allowable
costs.
Providers
may
also
26
be
eligible
for
an
additional
amount
as
specified
under
the
27
department’s
request
for
proposal,
bid
number
ACFS-11-115.
28
6.
For
the
fiscal
year
beginning
July
1,
2011,
the
29
reimbursement
rates
for
family-centered
service
providers,
30
family
foster
care
service
providers,
group
foster
care
service
31
providers,
and
the
resource
family
recruitment
and
retention
32
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
33
2011.
34
7.
The
group
foster
care
reimbursement
rates
paid
for
35
-53-
HF
649
(7)
84
pf/jp/mb
53/
150
H.F.
649
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
human
services
or
3
the
director’s
designee
determines
that
appropriate
care
cannot
4
be
provided
within
the
state.
The
payment
of
the
daily
rate
5
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
6
which
service
is
provided.
7
8.
a.
For
the
fiscal
year
beginning
July
1,
2011,
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
in
a
contract
based
on
11
the
requirements
of
the
department’s
request
for
proposal,
bid
12
number
ACFS-11-114.
13
b.
For
the
fiscal
year
beginning
July
1,
2011,
the
combined
14
service
and
maintenance
components
of
the
reimbursement
rate
15
paid
for
shelter
care
services
shall
be
based
on
the
financial
16
and
statistical
report
submitted
to
the
department.
The
17
maximum
reimbursement
rate
shall
be
$92.36
per
day.
The
18
department
shall
reimburse
a
shelter
care
provider
at
the
19
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
20
to
exceed
the
maximum
reimbursement
rate.
21
c.
Notwithstanding
section
232.141,
subsection
8,
for
the
22
fiscal
year
beginning
July
1,
2011,
the
amount
of
the
statewide
23
average
of
the
actual
and
allowable
rates
for
reimbursement
of
24
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
25
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
26
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
27
2010.
28
9.
For
the
fiscal
year
beginning
July
1,
2011,
the
29
department
shall
calculate
reimbursement
rates
for
intermediate
30
care
facilities
for
persons
with
mental
retardation
at
the
31
80th
percentile.
Beginning
July
1,
2011,
the
rate
calculation
32
methodology
shall
utilize
the
consumer
price
index
inflation
33
factor
applicable
to
the
fiscal
year
beginning
July
1,
2011.
34
10.
For
the
fiscal
year
beginning
July
1,
2011,
for
child
35
-54-
HF
649
(7)
84
pf/jp/mb
54/
150
H.F.
649
care
providers
reimbursed
under
the
state
child
care
assistance
1
program,
the
department
shall
set
provider
reimbursement
2
rates
based
on
the
rate
reimbursement
survey
completed
in
3
December
2004.
Effective
July
1,
2011,
the
child
care
provider
4
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
5
30,
2011.
The
department
shall
set
rates
in
a
manner
so
as
6
to
provide
incentives
for
a
nonregistered
provider
to
become
7
registered
by
applying
the
increase
only
to
registered
and
8
licensed
providers.
9
11.
The
department
may
adopt
emergency
rules
to
implement
10
this
section.
11
Sec.
30.
EMERGENCY
RULES.
12
1.
If
specifically
authorized
by
a
provision
of
this
13
division
of
this
Act,
the
department
of
human
services
or
14
the
mental
health,
and
disability
services
commission
may
15
adopt
administrative
rules
under
section
17A.4,
subsection
16
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
17
implement
the
provisions
and
the
rules
shall
become
effective
18
immediately
upon
filing
or
on
a
later
effective
date
specified
19
in
the
rules,
unless
the
effective
date
is
delayed
by
the
20
administrative
rules
review
committee.
Any
rules
adopted
in
21
accordance
with
this
section
shall
not
take
effect
before
22
the
rules
are
reviewed
by
the
administrative
rules
review
23
committee.
The
delay
authority
provided
to
the
administrative
24
rules
review
committee
under
section
17A.4,
subsection
7,
and
25
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
26
imposed
under
this
section,
notwithstanding
a
provision
in
27
those
sections
making
them
inapplicable
to
section
17A.5,
28
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
29
with
the
provisions
of
this
section
shall
also
be
published
as
30
notice
of
intended
action
as
provided
in
section
17A.4.
31
2.
If
during
the
fiscal
year
beginning
July
1,
2011,
the
32
department
of
human
services
is
adopting
rules
in
accordance
33
with
this
section
or
as
otherwise
directed
or
authorized
by
34
state
law,
and
the
rules
will
result
in
an
expenditure
increase
35
-55-
HF
649
(7)
84
pf/jp/mb
55/
150
H.F.
649
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
1
expenditure
was
not
addressed
in
the
budget
process
for
the
2
fiscal
year,
the
department
shall
notify
the
persons
designated
3
by
this
division
of
this
Act
for
submission
of
reports,
4
the
chairpersons
and
ranking
members
of
the
committees
on
5
appropriations,
and
the
department
of
management
concerning
the
6
rules
and
the
expenditure
increase.
The
notification
shall
be
7
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
8
the
rules
is
submitted
to
the
administrative
rules
coordinator
9
and
the
administrative
code
editor.
10
Sec.
31.
FEDERAL
GRANTS
REPORTING.
During
the
fiscal
11
year
beginning
July
1,
2011,
the
departments
and
agencies
12
receiving
an
appropriation
in
this
Act
from
the
general
fund
13
of
the
state
shall
report
to
the
persons
designated
by
this
14
Act
for
submission
of
reports
and
the
department
of
management
15
within
60
calendar
days
of
applying
for
or
renewing
a
federal
16
grant
with
a
value
over
$1,000.
The
report
shall
list
the
17
federal
funding
source
and
address
the
potential
need
for
the
18
commitment
of
state
funding
in
order
to
match
or
continue
the
19
funding
provided
by
the
federal
grant
in
the
present
or
the
20
future.
21
Sec.
32.
REPORTS.
Any
reports
or
information
required
to
be
22
compiled
and
submitted
under
this
Act
shall
be
submitted
to
the
23
chairpersons
and
ranking
members
of
the
joint
appropriations
24
subcommittee
on
health
and
human
services,
the
legislative
25
services
agency,
and
the
legislative
caucus
staffs
on
or
26
before
the
dates
specified
for
submission
of
the
reports
or
27
information.
28
Sec.
33.
EFFECTIVE
DATE.
The
following
provision
of
this
29
division
of
this
Act,
being
deemed
of
immediate
importance,
30
take
effect
upon
enactment:
31
The
provision
under
the
appropriation
for
child
and
family
32
services,
relating
to
requirements
of
section
232.143
for
33
representatives
of
the
department
of
human
services
and
34
juvenile
court
services
to
establish
a
plan
for
continuing
35
-56-
HF
649
(7)
84
pf/jp/mb
56/
150
H.F.
649
group
foster
care
expenditures
for
fiscal
year
2011-2012.
1
DIVISION
V
2
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
3
IOWACARE
ACCOUNT,
HEALTH
CARE
4
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
ACCOUNT,
5
QUALITY
ASSURANCE
TRUST
FUND,
6
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
7
Sec.
34.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
8
appropriated
from
the
pharmaceutical
settlement
account
created
9
in
section
249A.33
to
the
department
of
human
services
for
the
10
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
11
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
12
used
for
the
purpose
designated:
13
Notwithstanding
any
provision
of
law
to
the
contrary,
to
14
supplement
the
appropriations
made
in
this
Act
for
medical
15
contracts
under
the
medical
assistance
program:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,433,613
17
Sec.
35.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
18
1.
There
is
appropriated
from
the
IowaCare
account
19
created
in
section
249J.24
to
the
state
board
of
regents
for
20
distribution
to
the
university
of
Iowa
hospitals
and
clinics
21
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
22
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
23
to
be
used
for
the
purposes
designated:
24
For
salaries,
support,
maintenance,
equipment,
and
25
miscellaneous
purposes,
for
the
provision
of
medical
and
26
surgical
treatment
of
indigent
patients,
for
provision
of
27
services
to
members
of
the
expansion
population
pursuant
to
28
chapter
249J,
and
for
medical
education:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,284,584
30
a.
Funds
appropriated
in
this
subsection
shall
not
be
used
31
to
perform
abortions
except
medically
necessary
abortions,
32
and
shall
not
be
used
to
operate
the
early
termination
of
33
pregnancy
clinic
except
for
the
performance
of
medically
34
necessary
abortions.
For
the
purpose
of
this
subsection,
35
-57-
HF
649
(7)
84
pf/jp/mb
57/
150
H.F.
649
medically
necessary
abortions
are
those
performed
under
any
of
1
the
following
conditions:
2
(1)
The
attending
physician
certifies
that
continuing
the
3
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
4
(2)
Any
spontaneous
abortion,
commonly
known
as
a
5
miscarriage,
if
not
all
of
the
products
of
conception
are
6
expelled.
7
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
8
the
amount
appropriated
in
this
subsection
shall
be
distributed
9
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
10
Medicaid
enterprise.
11
c.
The
university
of
Iowa
hospitals
and
clinics
shall
12
certify
public
expenditures
in
an
amount
equal
to
provide
13
the
nonfederal
share
on
total
expenditures
not
to
exceed
14
$20,000,000.
15
2.
There
is
appropriated
from
the
IowaCare
account
16
created
in
section
249J.24
to
the
state
board
of
regents
for
17
distribution
to
the
university
of
Iowa
hospitals
and
clinics
18
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
19
2012,
the
following
amount,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purposes
designated:
21
For
salaries,
support,
maintenance,
equipment,
and
22
miscellaneous
purposes,
for
the
provision
of
medical
and
23
surgical
treatment
of
indigent
patients,
for
provision
of
24
services
to
members
of
the
expansion
population
pursuant
to
25
chapter
249J,
and
for
medical
education:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
54,226,279
27
Notwithstanding
any
provision
of
law
to
the
contrary,
the
28
amount
appropriated
in
this
subsection
shall
be
distributed
29
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
30
Medicaid
enterprise.
31
3.
There
is
appropriated
from
the
IowaCare
account
32
created
in
section
249J.24,
to
the
state
board
of
regents
for
33
distribution
to
university
of
Iowa
physicians
for
the
fiscal
34
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
35
-58-
HF
649
(7)
84
pf/jp/mb
58/
150
H.F.
649
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
1
for
the
purposes
designated:
2
For
salaries,
support,
maintenance,
equipment,
and
3
miscellaneous
purposes
for
the
provision
of
medical
and
4
surgical
treatment
of
indigent
patients,
for
provision
of
5
services
to
members
of
the
expansion
population
pursuant
to
6
chapter
249J,
and
for
medical
education:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,000,000
8
Notwithstanding
any
provision
of
law
to
the
contrary,
the
9
amount
appropriated
in
this
subsection
shall
be
distributed
10
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
11
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
12
this
subsection
has
been
distributed,
claims
shall
continue
to
13
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
14
however,
no
payment
shall
be
made
based
upon
such
claims.
15
4.
There
is
appropriated
from
the
IowaCare
account
created
16
in
section
249J.24
to
the
department
of
human
services
for
the
17
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
18
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
19
used
for
the
purposes
designated:
20
For
distribution
to
a
publicly
owned
acute
care
teaching
21
hospital
located
in
a
county
with
a
population
over
350,000
for
22
the
provision
of
medical
and
surgical
treatment
of
indigent
23
patients,
for
provision
of
services
to
members
of
the
expansion
24
population
pursuant
to
chapter
249J,
and
for
medical
education:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
51,500,000
26
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
27
the
amount
appropriated
in
this
subsection
shall
be
distributed
28
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
29
Medicaid
enterprise
plus
a
monthly
disproportionate
share
30
hospital
payment.
Any
amount
appropriated
in
this
subsection
31
in
excess
of
$48,500,000
shall
be
distributed
only
if
the
sum
32
of
the
expansion
population
claims
adjudicated
and
paid
by
the
33
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
34
share
hospital
payments
exceeds
$48,500,000.
The
amount
paid
35
-59-
HF
649
(7)
84
pf/jp/mb
59/
150
H.F.
649
in
excess
of
$48,500,000
shall
not
adjust
the
original
monthly
1
payment
amount
but
shall
be
distributed
monthly
based
on
actual
2
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
3
plus
the
estimated
disproportionate
share
hospital
amount.
Any
4
amount
appropriated
in
this
subsection
in
excess
of
$48,500,000
5
shall
be
allocated
only
if
federal
funds
are
available
to
match
6
the
amount
allocated.
7
b.
Notwithstanding
the
total
amount
of
proceeds
distributed
8
pursuant
to
section
249J.24,
subsection
6,
paragraph
“a”,
9
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
10
1,
2011,
and
ending
June
30,
2012,
the
county
treasurer
of
a
11
county
with
a
population
of
over
350,000
in
which
a
publicly
12
owned
acute
care
teaching
hospital
is
located
shall
distribute
13
the
proceeds
collected
pursuant
to
section
347.7
in
a
total
14
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
15
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
16
the
IowaCare
account.
17
c.
(1)
Notwithstanding
the
amount
collected
and
18
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
19
section
249J.24,
subsection
6,
paragraph
“a”,
subparagraph
20
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
21
section
347.7
between
July
1,
2011,
and
December
31,
2011,
22
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
23
the
IowaCare
account
and
collections
during
this
time
period
in
24
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
25
teaching
hospital
identified
in
this
subsection.
26
(2)
Notwithstanding
the
amount
collected
and
distributed
27
for
deposit
in
the
IowaCare
account
pursuant
to
section
28
249J.24,
subsection
6,
paragraph
“a”,
subparagraph
(2),
29
the
first
$19,000,000
in
collections
pursuant
to
section
30
347.7
between
January
1,
2012,
and
June
30,
2012,
shall
be
31
distributed
to
the
treasurer
of
state
for
deposit
in
the
32
IowaCare
account
and
collections
during
this
time
period
in
33
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
34
teaching
hospital
identified
in
this
subsection.
35
-60-
HF
649
(7)
84
pf/jp/mb
60/
150
H.F.
649
5.
There
is
appropriated
from
the
IowaCare
account
created
1
in
section
249J.24
to
the
department
of
human
services
for
the
2
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
3
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
4
used
for
the
purpose
designated:
5
For
payment
to
the
regional
provider
network
specified
6
by
the
department
pursuant
to
section
249J.7
for
provision
7
of
covered
services
to
members
of
the
expansion
population
8
pursuant
to
chapter
249J:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,000,000
10
Notwithstanding
any
provision
of
law
to
the
contrary,
the
11
amount
appropriated
in
this
subsection
shall
be
distributed
12
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
13
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
14
this
subsection
has
been
distributed,
claims
shall
continue
to
15
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
16
however,
no
payment
shall
be
made
based
upon
such
claims.
17
6.
There
is
appropriated
from
the
IowaCare
account
created
18
in
section
249J.24
to
the
department
of
human
services
for
the
19
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
20
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
21
used
for
the
purposes
designated:
22
For
payment
to
nonparticipating
providers
for
covered
23
services
provided
in
accordance
with
section
249J.24A:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
25
Sec.
36.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
26
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
27
Notwithstanding
any
provision
to
the
contrary,
there
is
28
appropriated
from
the
account
for
health
care
transformation
29
created
in
section
249J.23
to
the
department
of
human
services
30
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
31
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
32
necessary,
to
be
used
for
the
purposes
designated:
33
1.
For
the
costs
of
medical
examinations
for
the
expansion
34
population
pursuant
to
section
249J.6:
35
-61-
HF
649
(7)
84
pf/jp/mb
61/
150
H.F.
649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
556,800
1
2.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
2
expansion
population
as
provided
in
section
249J.6:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
4
3.
For
other
health
promotion
partnership
activities
5
pursuant
to
section
249J.14:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
7
4.
For
the
costs
related
to
audits,
performance
8
evaluations,
and
studies
required
pursuant
to
chapter
249J:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
10
5.
For
administrative
costs
associated
with
chapter
249J:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,132,412
12
6.
For
planning
and
development,
in
cooperation
with
the
13
department
of
public
health,
of
a
phased-in
program
to
provide
14
a
dental
home
for
children
in
accordance
with
section
249J.14:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
16
7.
For
continuation
of
the
establishment
of
the
tuition
17
assistance
for
individuals
serving
individuals
with
18
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
19
chapter
1187,
section
130:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
21
8.
For
medical
contracts:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
23
9.
For
payment
to
the
publicly
owned
acute
care
teaching
24
hospital
located
in
a
county
with
a
population
of
over
350,000
25
that
is
a
participating
provider
pursuant
to
chapter
249J:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
290,000
27
Disbursements
under
this
subsection
shall
be
made
monthly.
28
The
hospital
shall
submit
a
report
following
the
close
of
the
29
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
30
subsection
to
the
persons
specified
in
this
Act
to
receive
31
reports.
32
10.
For
the
medical
home
system
advisory
council
33
established
pursuant
to
section
135.159:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
200,000
35
-62-
HF
649
(7)
84
pf/jp/mb
62/
150
H.F.
649
Notwithstanding
section
8.39,
subsection
1,
without
the
1
prior
written
consent
and
approval
of
the
governor
and
the
2
director
of
the
department
of
management,
the
director
of
human
3
services
may
transfer
funds
among
the
appropriations
made
in
4
this
section
as
necessary
to
carry
out
the
purposes
of
the
5
account
for
health
care
transformation.
The
department
shall
6
report
any
transfers
made
pursuant
to
this
section
to
the
7
legislative
services
agency.
8
Sec.
37.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
9
INSPECTIONS
AND
APPEALS.
There
is
appropriated
from
the
10
Medicaid
fraud
account
created
in
section
249A.7
to
the
11
department
of
inspections
and
appeals
for
the
fiscal
year
12
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purposes
designated:
15
For
the
inspection
and
certification
of
assisted
living
16
programs
and
adult
day
care
services,
including
program
17
administration
and
costs
associated
with
implementation:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,339,527
19
Sec.
38.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
HUMAN
20
SERVICES.
There
is
appropriated
from
the
Medicaid
fraud
21
account
created
in
section
249A.7
to
the
department
of
human
22
services
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
23
June
30,
2012,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purposes
designated:
25
To
supplement
the
appropriation
made
in
this
Act
from
the
26
general
fund
of
the
state
to
the
department
of
human
services
27
for
medical
assistance:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
29
Sec.
39.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
30
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
31
subject
to
the
availability
of
funds,
there
is
appropriated
32
from
the
quality
assurance
trust
fund
created
in
section
33
249L.4
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
35
-63-
HF
649
(7)
84
pf/jp/mb
63/
150
H.F.
649
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
1
designated:
2
To
supplement
the
appropriation
made
in
this
Act
from
the
3
general
fund
of
the
state
to
the
department
of
human
services
4
for
medical
assistance:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
6
Sec.
40.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
7
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
8
the
contrary
and
subject
to
the
availability
of
funds,
there
is
9
appropriated
from
the
hospital
health
care
access
trust
fund
10
created
in
section
249M.4
to
the
department
of
human
services
11
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
12
30,
2012,
the
following
amounts,
or
so
much
thereof
as
is
13
necessary,
for
the
purposes
designated:
14
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
15
general
fund
of
the
state
to
the
department
of
human
services
16
for
medical
assistance:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
18
2.
For
deposit
in
the
nonparticipating
provider
19
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
20
the
purposes
of
the
fund:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
22
Sec.
41.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
23
FOR
FY
2011-2012.
Notwithstanding
section
8.33,
if
moneys
24
appropriated
for
purposes
of
the
medical
assistance
program
25
for
the
fiscal
year
beginning
July
1,
2011,
and
ending
June
26
30,
2012,
from
the
general
fund
of
the
state,
the
Medicaid
27
fraud
account,
the
quality
assurance
trust
fund,
and
the
28
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
29
expenditures
for
the
medical
assistance
program
and
remain
30
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
31
the
excess
moneys
shall
not
revert
but
shall
remain
available
32
for
expenditure
for
the
purposes
of
the
medical
assistance
33
program
until
the
close
of
the
succeeding
fiscal
year.
34
DIVISION
VI
35
-64-
HF
649
(7)
84
pf/jp/mb
64/
150
H.F.
649
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
FOR
FISCAL
YEAR
1
2011-2012
2
Sec.
42.
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
3
DEVELOPMENTAL
DISABILITIES
SERVICES
PROPERTY
TAX
4
RELIEF.
Notwithstanding
the
standing
appropriation
in
section
5
426B.1,
subsection
2,
for
the
fiscal
year
beginning
July
1,
6
2011,
and
ending
June
30,
2012,
the
amount
appropriated
from
7
the
general
fund
of
the
state
pursuant
to
that
provision
shall
8
not
exceed
the
following
amount:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
81,199,911
10
Sec.
43.
2010
Iowa
Acts,
chapter
1193,
section
1,
is
amended
11
to
read
as
follows:
12
SECTION
1.
ADULT
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
13
——
FY
2011-2012.
14
1.
Notwithstanding
section
331.439,
subsection
3
,
the
15
allowed
growth
factor
adjustment
for
county
mental
health,
16
mental
retardation,
and
developmental
disabilities
service
17
expenditures
for
the
fiscal
year
beginning
July
1,
2011,
shall
18
be
established
by
statute
which
shall
be
enacted
within
thirty
19
calendar
days
of
the
convening
of
the
Eighty-fourth
General
20
Assembly,
2011
Session,
on
January
10,
2011.
The
governor
21
shall
submit
to
the
general
assembly
a
recommendation
for
such
22
allowed
growth
factor
adjustment
and
the
amounts
of
related
23
appropriations
to
the
general
assembly
on
or
before
January
11,
24
2011.
25
2.
The
appropriation
and
allocations
made
in
this
section
26
fulfill
the
requirements
of
the
governor
and
general
assembly
27
under
subsection
1.
28
3.
There
is
appropriated
from
the
general
fund
of
the
29
state
to
the
department
of
human
services
for
the
fiscal
year
30
beginning
July
1,
2011,
and
ending
June
30,
2012,
the
following
31
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purpose
designated:
33
For
distribution
to
counties
of
the
county
mental
health,
34
mental
retardation,
and
developmental
disabilities
allowed
35
-65-
HF
649
(7)
84
pf/jp/mb
65/
150
H.F.
649
growth
factor
adjustment
for
fiscal
year
2011-2012
as
provided
1
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
2
of
section
331.438,
subsection
2,
and
section
331.439,
3
subsection
3,
and
chapter
426B:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,697,893
5
Sec.
44.
2010
Iowa
Acts,
chapter
1193,
section
1,
as
6
amended
by
this
division
of
this
Act,
is
amended
by
adding
the
7
following
new
subsections:
8
NEW
SUBSECTION
.
4.
Of
the
amount
appropriated
in
this
9
section,
$12,000,000
shall
be
distributed
as
provided
in
this
10
subsection.
11
a.
To
be
eligible
to
receive
a
distribution
under
this
12
subsection,
a
county
must
meet
the
following
requirements:
13
(1)
The
county
is
levying
for
the
maximum
amount
allowed
14
for
the
county’s
mental
health,
mental
retardation,
and
15
developmental
disabilities
services
fund
under
section
331.424A
16
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
17
2011,
or
the
county
is
levying
for
at
least
90
percent
of
the
18
maximum
amount
allowed
for
the
county’s
services
fund
and
that
19
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
20
all
taxable
property
in
the
county.
21
(2)
In
the
fiscal
year
beginning
July
1,
2009,
the
22
county’s
mental
health,
mental
retardation,
and
developmental
23
disabilities
services
fund
ending
balance
under
generally
24
accepted
accounting
principles
was
equal
to
or
less
than
15
25
percent
of
the
county’s
actual
gross
expenditures
for
that
26
fiscal
year.
27
b.
The
amount
of
a
county’s
distribution
from
the
allocation
28
made
in
this
subsection
shall
be
determined
based
upon
the
29
county’s
proportion
of
the
general
population
of
the
counties
30
eligible
to
receive
a
distribution
under
this
subsection.
The
31
latest
certified
federal
census
issued
by
the
United
States
32
bureau
of
the
census
shall
be
applied
in
determining
population
33
for
the
purposes
of
this
paragraph.
34
c.
The
distributions
made
pursuant
to
this
subsection
35
-66-
HF
649
(7)
84
pf/jp/mb
66/
150
H.F.
649
are
subject
to
the
distribution
provisions
and
withholding
1
requirements
established
in
this
section
for
the
county
mental
2
health,
mental
retardation,
and
developmental
disabilities
3
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
4
July
1,
2011.
5
NEW
SUBSECTION
.
5.
The
following
amount
of
the
funding
6
appropriated
in
this
section
is
the
allowed
growth
factor
7
adjustment
for
fiscal
year
2011-2012,
and
shall
be
credited
to
8
the
allowed
growth
funding
pool
created
in
the
property
tax
9
relief
fund
and
for
distribution
in
accordance
with
section
10
426B.5,
subsection
1:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,697,893
12
NEW
SUBSECTION
.
6.
The
following
formula
amounts
shall
be
13
utilized
only
to
calculate
preliminary
distribution
amounts
for
14
the
allowed
growth
factor
adjustment
for
fiscal
year
2011-2012
15
under
this
section
by
applying
the
indicated
formula
provisions
16
to
the
formula
amounts
and
producing
a
preliminary
distribution
17
total
for
each
county:
18
a.
For
calculation
of
a
distribution
amount
for
eligible
19
counties
from
the
allowed
growth
funding
pool
created
in
the
20
property
tax
relief
fund
in
accordance
with
the
requirements
in
21
section
426B.5,
subsection
1:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,773,346
23
b.
For
calculation
of
a
distribution
amount
for
counties
24
from
the
mental
health
and
developmental
disabilities
(MH/DD)
25
community
services
fund
in
accordance
with
the
formula
provided
26
in
the
appropriation
made
for
the
MH/DD
community
services
fund
27
for
the
fiscal
year
beginning
July
1,
2011:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
29
NEW
SUBSECTION
.
7.
a.
After
applying
the
applicable
30
statutory
distribution
formulas
to
the
amounts
indicated
in
31
subsection
6
for
purposes
of
producing
preliminary
distribution
32
totals,
the
department
of
human
services
shall
apply
a
33
withholding
factor
to
adjust
an
eligible
individual
county’s
34
preliminary
distribution
total.
In
order
to
be
eligible
for
35
-67-
HF
649
(7)
84
pf/jp/mb
67/
150
H.F.
649
a
distribution
under
this
section,
a
county
must
be
levying
1
90
percent
or
more
of
the
maximum
amount
allowed
for
the
2
county’s
mental
health,
mental
retardation,
and
developmental
3
disabilities
services
fund
under
section
331.424A
for
taxes
due
4
and
payable
in
the
fiscal
year
for
which
the
distribution
is
5
payable.
6
b.
An
ending
balance
percentage
for
each
county
shall
7
be
determined
by
expressing
the
county’s
ending
balance
on
a
8
modified
accrual
basis
under
generally
accepted
accounting
9
principles
for
the
fiscal
year
beginning
July
1,
2009,
in
the
10
county’s
mental
health,
mental
retardation,
and
developmental
11
disabilities
services
fund
created
under
section
331.424A,
as
a
12
percentage
of
the
county’s
gross
expenditures
from
that
fund
13
for
that
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
14
of
providing
services
from
the
county’s
services
fund
on
or
15
before
July
1,
2009,
and
the
county’s
services
fund
ending
16
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
17
amount
designated
in
the
county
budget
to
service
the
loan
for
18
the
borrowed
moneys,
those
amounts
shall
not
be
considered
19
to
be
part
of
the
county’s
ending
balance
for
purposes
of
20
calculating
an
ending
balance
percentage
under
this
subsection.
21
c.
For
purposes
of
calculating
withholding
factors
and
for
22
ending
balance
amounts
used
for
other
purposes
under
law,
the
23
county
ending
balances
shall
be
adjusted,
using
forms
developed
24
for
this
purpose
by
the
county
finance
committee,
to
disregard
25
the
temporary
funding
increase
provided
to
the
counties
for
26
the
fiscal
year
through
the
federal
American
Recovery
and
27
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
In
addition,
a
28
county
may
adjust
the
ending
balance
amount
by
rebating
to
the
29
department
all
or
a
portion
of
the
allowed
growth
and
MH/DD
30
services
fund
moneys
the
county
received
for
the
fiscal
year
31
beginning
July
1,
2010,
in
accordance
with
2009
Iowa
Acts,
32
chapter
179,
section
1,
as
amended
by
2009
Iowa
Acts,
chapter
33
1192,
sections
47
and
48,
or
from
any
other
services
fund
34
moneys
available
to
the
county.
The
rebate
must
be
remitted
35
-68-
HF
649
(7)
84
pf/jp/mb
68/
150
H.F.
649
to
the
department
on
or
before
June
1,
2011,
in
order
to
be
1
counted.
The
amount
rebated
by
a
county
shall
be
subtracted
2
dollar-for-dollar
from
the
county’s
ending
balance
amount
3
for
the
fiscal
year
beginning
July
1,
2009,
for
purposes
of
4
calculating
the
withholding
factor
and
for
other
ending
balance
5
purposes
for
the
fiscal
year
beginning
July
1,
2011.
The
6
rebates
received
by
the
department
shall
be
credited
to
the
7
property
tax
relief
fund
and
distributed
as
additional
funding
8
for
the
fiscal
year
beginning
July
1,
2011,
in
accordance
with
9
the
formula
provisions
in
this
section.
10
d.
The
withholding
factor
for
a
county
shall
be
the
11
following
applicable
percent:
12
(1)
For
an
ending
balance
percentage
of
less
than
5
13
percent,
a
withholding
factor
of
0
percent.
In
addition,
14
a
county
that
is
subject
to
this
lettered
paragraph
shall
15
receive
an
inflation
adjustment
equal
to
3
percent
of
the
gross
16
expenditures
reported
for
the
county’s
services
fund
for
the
17
fiscal
year.
18
(2)
For
an
ending
balance
percentage
of
5
percent
or
more
19
but
less
than
10
percent,
a
withholding
factor
of
0
percent.
20
In
addition,
a
county
that
is
subject
to
this
lettered
21
paragraph
shall
receive
an
inflation
adjustment
equal
to
2
22
percent
of
the
gross
expenditures
reported
for
the
county’s
23
services
fund
for
the
fiscal
year.
24
(3)
For
an
ending
balance
percentage
of
10
percent
or
more
25
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
26
However,
for
counties
with
an
ending
balance
percentage
of
10
27
percent
or
more
but
less
than
15
percent,
the
amount
withheld
28
shall
be
limited
to
the
amount
by
which
the
county’s
ending
29
balance
was
in
excess
of
the
ending
balance
percentage
of
10
30
percent.
31
(4)
For
an
ending
balance
percentage
of
25
percent
or
more,
32
a
withholding
percentage
of
100
percent.
33
NEW
SUBSECTION
.
8.
The
total
withholding
amounts
applied
34
pursuant
to
subsection
7
shall
be
equal
to
a
withholding
target
35
-69-
HF
649
(7)
84
pf/jp/mb
69/
150
H.F.
649
amount
of
$13,075,453.
If
the
department
of
human
services
1
determines
that
the
amount
appropriated
is
insufficient
or
2
the
amount
to
be
withheld
in
accordance
with
subsection
7
is
3
not
equal
to
the
target
withholding
amount,
the
department
4
shall
adjust
the
withholding
factors
listed
in
subsection
7
as
5
necessary
to
achieve
the
target
withholding
amount.
However,
6
in
making
such
adjustments
to
the
withholding
factors,
the
7
department
shall
strive
to
minimize
changes
to
the
withholding
8
factors
for
those
ending
balance
percentage
ranges
that
are
9
lower
than
others
and
shall
only
adjust
the
zero
withholding
10
factor
or
the
inflation
adjustment
percentages
specified
in
11
subsection
7,
paragraph
“d”,
when
the
amount
appropriated
is
12
insufficient.
13
DIVISION
VII
14
PRIOR
APPROPRIATIONS
AND
RELATED
CHANGES
15
VIETNAM
CONFLICT
VETERANS
BONUS
16
Sec.
45.
Section
35A.8A,
subsection
2,
paragraph
d,
Code
17
2011,
is
amended
to
read
as
follows:
18
d.
The
person
files
an
application
for
compensation
under
19
this
section
,
in
a
manner
determined
by
the
department
of
20
veterans
affairs
,
by
July
1,
2010
May
1,
2011
.
21
Sec.
46.
NEW
SECTION
.
16.185
Community
housing
for
persons
22
with
disabilities
revolving
loan
program
fund.
23
1.
A
community
housing
for
persons
with
disabilities
loan
24
program
fund
is
created
within
the
authority
to
further
the
25
availability
of
affordable
housing
for
Medicaid
waiver-eligible
26
individuals
with
behaviors
that
provide
significant
barriers
to
27
accessing
traditional
rental
opportunities.
The
moneys
in
the
28
fund
are
annually
appropriated
to
the
authority
to
be
used
for
29
the
development
and
operation
of
a
revolving
loan
program
to
30
provide
financing
to
construct
affordable
permanent
supportive
31
housing,
including
through
new
construction,
acquisition
and
32
rehabilitation
of
existing
housing,
or
conversion
or
adaptive
33
reuse.
34
2.
Moneys
transferred
by
the
authority
for
deposit
in
the
35
-70-
HF
649
(7)
84
pf/jp/mb
70/
150
H.F.
649
community
housing
for
persons
with
disabilities
revolving
loan
1
program
fund,
moneys
appropriated
to
the
community
housing
2
for
persons
with
disabilities
revolving
loan
program,
and
any
3
other
moneys
available
to
and
obtained
or
accepted
by
the
4
authority
for
placement
in
the
fund
shall
be
credited
to
the
5
fund.
Additionally,
payment
of
interest,
recaptures
of
awards,
6
and
other
repayments
to
the
community
housing
for
persons
with
7
disabilities
revolving
loan
program
fund
shall
be
credited
8
to
the
fund.
Notwithstanding
section
12C.7,
subsection
2,
9
interest
or
earnings
on
moneys
in
the
community
housing
for
10
persons
with
disabilities
revolving
loan
program
fund
shall
be
11
credited
to
the
fund.
Notwithstanding
section
8.33,
moneys
12
credited
to
the
fund
that
remain
unencumbered
or
unobligated
13
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
other
14
fund.
15
3.
The
authority
shall
annually
allocate
moneys
available
16
in
the
community
housing
for
persons
with
disabilities
17
revolving
loan
program
fund
for
the
development
of
permanent
18
supportive
housing
for
Medicaid
waiver-eligible
individuals.
19
The
authority
shall
develop
a
joint
application
process
for
the
20
allocation
of
United
States
housing
and
urban
development
HOME
21
investment
partnerships
program
funding
and
the
funds
available
22
under
this
section.
Moneys
allocated
to
such
projects
may
be
23
in
the
form
of
loans,
forgivable
loans,
or
a
combination
of
24
loans
and
forgivable
loans.
25
4.
a.
A
project
shall
demonstrate
written
approval
of
the
26
project
by
the
department
of
human
services
to
the
authority
27
prior
to
application
for
funding
under
this
section.
28
b.
In
order
to
be
approved
by
the
department
of
human
29
services
for
application
for
funding
under
this
section,
a
30
project
shall
include
all
of
the
following
components:
31
(1)
Provision
of
services
to
any
of
the
following
Medicaid
32
waiver-eligible
individuals:
33
(a)
Individuals
who
are
currently
underserved
in
community
34
placements,
including
individuals
who
are
physically
aggressive
35
-71-
HF
649
(7)
84
pf/jp/mb
71/
150
H.F.
649
or
have
behaviors
that
are
difficult
to
manage.
1
(b)
Individuals
who
are
currently
residing
in
out-of-state
2
facilities.
3
(c)
Individuals
who
are
currently
receiving
care
in
a
4
licensed
health
care
facility.
5
(2)
A
plan
to
provide
each
individual
with
crisis
6
stabilization
services
to
ensure
that
the
individual’s
7
behavioral
issues
are
appropriately
addressed
by
the
provider.
8
(3)
Policies
and
procedures
that
prohibit
discharge
of
the
9
individual
from
the
waiver
services
provided
by
the
project
10
provider
unless
an
alternative
placement
that
is
acceptable
to
11
the
client
or
client’s
guardian
is
identified.
12
c.
Housing
provided
through
a
project
under
this
section
is
13
exempt
from
the
requirements
of
chapter
135O.
14
5.
The
authority,
in
collaboration
with
the
department
of
15
human
services,
shall
adopt
rules
pursuant
to
chapter
17
to
16
administer
this
section.
17
VIETNAM
CONFLICT
VETERANS
18
BONUS
FUND
19
Sec.
47.
2008
Iowa
Acts,
chapter
1187,
section
68,
as
20
amended
by
2009
Iowa
Acts,
chapter
182,
section
82,
and
2010
21
Iowa
Acts,
chapter
1192,
section
55,
is
amended
to
read
as
22
follows:
23
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
24
section
that
remain
unencumbered
or
unobligated
at
the
close
of
25
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
26
expenditure
for
the
purposes
designated
until
the
close
of
the
27
fiscal
year
beginning
July
1,
2010
repeal
of
section
35A.8A
.
28
Upon
such
repeal,
the
remaining
moneys
shall
be
transferred
to
29
the
veterans
trust
fund
and,
notwithstanding
section
35A.13,
30
subsection
3,
shall
only
be
expended
in
accordance
with
an
31
appropriation
for
purposes
of
a
bonus
enacted
for
veterans
of
32
the
conflicts
in
Panama,
Grenada,
or
the
Persian
Gulf.
33
COMMUNITY
HOUSING
REVOLVING
LOAN
PROGRAM
34
INJURED
VETERANS
GRANT
PROGRAM
35
-72-
HF
649
(7)
84
pf/jp/mb
72/
150
H.F.
649
Sec.
48.
2008
Iowa
Acts,
chapter
1187,
section
69,
1
unnumbered
paragraph
1,
as
amended
by
2009
Iowa
Acts,
chapter
2
182,
section
83,
and
2010
Iowa
Acts,
chapter
1192,
section
56,
3
is
amended
to
read
as
follows:
4
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
5
subsection
that
remain
unencumbered
or
unobligated
at
the
close
6
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
7
for
expenditure
for
the
purposes
designated
until
the
close
of
8
the
fiscal
year
beginning
July
1,
2010
2011
.
9
BEHAVIORAL
HEALTH
SERVICES
10
ACCOUNT
——
MEDICAL
ASSISTANCE
11
Sec.
49.
2009
Iowa
Acts,
chapter
182,
section
9,
subsection
12
16,
paragraph
b,
as
amended
by
2010
Iowa
Acts,
chapter
1192,
13
section
63,
is
amended
to
read
as
follows:
14
b.
The
department
shall
continue
to
maintain
a
separate
15
account
within
the
medical
assistance
budget
for
the
deposit
16
of
all
funds
remitted
pursuant
to
a
contract
with
a
third
17
party
to
administer
behavioral
health
services
under
the
18
medical
assistance
program
established
pursuant
to
2008
Iowa
19
Acts,
chapter
1187,
section
9,
subsection
20.
Notwithstanding
20
section
8.33
,
other
than
funds
remaining
from
the
appropriation
21
allocations
made
for
implementation
of
the
emergency
mental
22
health
crisis
services
and
system,
for
implementation
of
the
23
mental
health
services
system
for
children
and
youth,
and
for
24
training
of
child
welfare
services
providers
in
2008
Iowa
25
Acts,
chapter
1187,
section
9,
subsection
20,
paragraph
“c”,
26
subparagraphs
(1),
(2),
and
(6),
as
authorized
in
2009
Iowa
27
Acts,
chapter
182,
section
72,
funds
remaining
in
the
account
28
that
remain
unencumbered
or
unobligated
at
the
end
of
the
29
fiscal
year
shall
not
revert
but
shall
remain
available
in
30
succeeding
fiscal
years
and
are
appropriated
to
the
department
31
to
be
used
for
the
medical
assistance
program
to
be
used
32
for
purposes
of
crisis
stabilization
and
other
mental
and
33
behavioral
health
service
improvements
.
34
-73-
HF
649
(7)
84
pf/jp/mb
73/
150
H.F.
649
AMERICAN
RECOVERY
AND
REINVESTMENT
ACT
OF
2009
——
ALLOCATION
1
FOR
INFANT
AND
TODDLER
CARE
QUALITY
2
Sec.
50.
2009
Iowa
Acts,
chapter
183,
section
62,
subsection
3
3,
is
amended
to
read
as
follows:
4
3.
For
the
purposes
of
this
subsection,
“federal
poverty
5
level”
means
the
poverty
level
defined
by
the
most
recently
6
revised
poverty
income
guidelines
published
by
the
United
7
States
department
of
health
and
human
services.
The
program
8
shall
provide
financial
assistance
to
families
with
infants
9
and
toddlers
less
than
thirty-six
months
of
age
two
that
have
10
a
family
income
of
more
than
145
percent
but
not
more
than
185
11
percent
of
the
federal
poverty
level.
However,
the
department
12
may
adjust
the
qualifying
criteria
or
the
financial
assistance
13
purpose
provisions
specified
in
this
subsection
or
make
other
14
changes
as
necessary
for
implementation
to
conform
with
federal
15
requirements
for
the
funding.
Outcome
reporting
and
other
16
grant
requirements
shall
be
developed
by
the
department
in
17
cooperation
with
the
Iowa
empowerment
board.
18
Sec.
51.
2009
Iowa
Acts,
chapter
183,
section
62,
subsection
19
4,
paragraph
b,
is
amended
to
read
as
follows:
20
b.
For
providing
sliding
scale
subsidies
for
qualifying
21
families
for
child
care
provided
to
the
families’
infants
22
and
toddlers
by
providers
who
are
accredited
by
the
national
23
association
for
the
education
of
young
children
or
the
national
24
association
for
family
child
care,
or
who
have
a
rating
at
25
level
3
2
or
higher
under
the
child
care
quality
rating
system
26
implemented
pursuant
to
section
237A.30.
27
CHILD
WELFARE
DECATEGORIZATION
28
FY
2009-2010
NONREVERSION
29
Sec.
52.
2009
Iowa
Acts,
chapter
182,
section
14,
subsection
30
5,
is
amended
by
adding
the
following
new
unnumbered
paragraph:
31
NEW
UNNUMBERED
PARAGRAPH
.
Notwithstanding
section
32
232.188,
subsection
5,
moneys
from
the
allocations
made
33
in
this
subsection
or
made
from
any
other
source
for
the
34
decategorization
of
child
welfare
and
juvenile
justice
funding
35
-74-
HF
649
(7)
84
pf/jp/mb
74/
150
H.F.
649
initiative
under
section
232.188
for
the
fiscal
year
beginning
1
July
1,
2009,
that
are
designated
as
carryover
funding
that
2
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
3
year
beginning
July
1,
2010,
shall
not
revert
but
shall
4
be
transferred
to
the
community
housing
for
persons
with
5
disabilities
revolving
loan
program
fund
created
in
section
6
16.185,
as
enacted
by
this
division
of
this
Act.
7
IOWA
DEPARTMENT
ON
AGING
CASE
MANAGEMENT
REVIEW
8
Sec.
53.
2010
Iowa
Acts,
chapter
1192,
section
1,
subsection
9
2,
is
amended
to
read
as
follows:
10
2.
a.
Of
the
funds
appropriated
in
this
section,
$1,246,514
11
shall
be
transferred
to
the
department
of
human
services
in
12
equal
amounts
on
a
quarterly
basis
for
reimbursement
of
case
13
management
services
provided
under
the
medical
assistance
14
elderly
waiver.
The
department
of
human
services
shall
adopt
15
rules
for
case
management
services
provided
under
the
medical
16
assistance
elderly
waiver
in
consultation
with
the
department
17
on
aging.
18
b.
The
department
of
human
services
shall
review
19
projections
for
state
funding
expenditures
for
reimbursement
20
of
case
management
services
under
the
medical
assistance
21
elderly
waiver
on
a
quarterly
basis
and
shall
determine
if
an
22
adjustment
to
the
medical
assistance
reimbursement
rates
are
23
necessary
to
provide
reimbursement
within
the
state
funding
24
amounts
budgeted
under
the
appropriations
made
for
the
fiscal
25
year
for
the
medical
assistance
program.
Any
temporary
26
enhanced
federal
financial
participation
that
may
become
27
available
for
the
medical
assistance
program
during
the
fiscal
28
year
shall
not
be
used
in
projecting
the
medical
assistance
29
elderly
waiver
case
management
budget.
The
department
of
human
30
services
shall
revise
such
reimbursement
rates
as
necessary
to
31
maintain
expenditures
for
medical
assistance
elderly
waiver
32
case
management
services
within
the
state
funding
amounts
33
budgeted
under
the
appropriations
made
for
the
fiscal
year
for
34
the
medical
assistance
program.
35
-75-
HF
649
(7)
84
pf/jp/mb
75/
150
H.F.
649
IOWA
VETERANS
HOME
1
Sec.
54.
2010
Iowa
Acts,
chapter
1192,
section
3,
subsection
2
2,
is
amended
by
adding
the
following
new
paragraph:
3
NEW
PARAGRAPH
.
d.
The
funds
appropriated
in
this
subsection
4
to
the
Iowa
veterans
home
that
remain
available
for
expenditure
5
for
the
succeeding
fiscal
year
pursuant
to
section
35D.18,
6
subsection
5,
shall
be
distributed
to
be
used
in
the
succeeding
7
fiscal
year
in
accordance
with
this
lettered
paragraph.
The
8
first
$500,000
shall
remain
available
to
be
used
for
the
9
purposes
of
the
Iowa
veterans
home.
On
or
before
October
15,
10
2011,
the
department
of
management
shall
transfer
the
remaining
11
balance
to
the
appropriation
to
the
department
of
human
12
services
for
medical
assistance.
13
MEDICAL
ASSISTANCE
PROGRAM
14
Sec.
55.
2010
Iowa
Acts,
chapter
1192,
section
11,
is
15
amended
by
adding
the
following
new
subsection:
16
NEW
SUBSECTION
.
25.
The
department
may
increase
the
amounts
17
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
18
purposes
associated
with
the
medical
assistance
program
as
19
necessary
to
implement
cost
containment
efforts
in
order
to
20
accomplish
medical
assistance
program
savings.
These
amounts
21
may
be
transferred
to
the
appropriation
made
in
this
division
22
of
this
Act
for
the
health
insurance
premium
payment
program.
23
STATE
SUPPLEMENTARY
ASSISTANCE
PROGRAM
24
Sec.
56.
2010
Iowa
Acts,
chapter
1192,
section
14,
is
25
amended
by
adding
the
following
new
subsection:
26
NEW
SUBSECTION
.
4.
Notwithstanding
section
8.33,
moneys
27
appropriated
in
this
section
that
remain
unencumbered
or
28
unobligated
at
the
close
of
the
fiscal
year
shall
remain
29
available
for
expenditure
for
the
purposes
designated
until
the
30
close
of
the
succeeding
fiscal
year.
31
ADOPTION
SUBSIDY
TRANSFER
32
Sec.
57.
2010
Iowa
Acts,
chapter
1192,
section
20,
is
33
amended
by
adding
the
following
new
subsection:
34
NEW
SUBSECTION
.
4.
Of
the
funds
appropriated
in
this
35
-76-
HF
649
(7)
84
pf/jp/mb
76/
150
H.F.
649
section,
$60,000
shall
be
transferred
to
the
appropriation
1
made
in
this
division
of
this
Act
for
the
state
mental
health
2
institute
at
Cherokee
to
be
used
for
childrens’
beds
at
the
3
institute.
4
IOWA
DEPARTMENT
ON
AGING
CASE
MANAGEMENT
REVIEW
5
Sec.
58.
2010
Iowa
Acts,
chapter
1192,
section
37,
6
subsection
1,
is
amended
to
read
as
follows:
7
1.
a.
Of
the
funds
appropriated
in
this
section,
$1,010,000
8
shall
be
transferred
to
the
department
of
human
services
in
9
equal
amounts
on
a
quarterly
basis
for
reimbursement
of
case
10
management
services
provided
under
the
medical
assistance
11
elderly
waiver.
12
b.
The
department
of
human
services
shall
review
13
projections
for
state
funding
expenditures
for
reimbursement
14
of
case
management
services
under
the
medical
assistance
15
elderly
waiver
on
a
quarterly
basis
and
shall
determine
if
an
16
adjustment
to
the
medical
assistance
reimbursement
rates
are
17
necessary
to
provide
reimbursement
within
the
state
funding
18
amounts
budgeted
under
the
appropriations
made
for
the
fiscal
19
year
for
the
medical
assistance
program.
Any
temporary
20
enhanced
federal
financial
participation
that
may
become
21
available
for
the
medical
assistance
program
during
the
fiscal
22
year
shall
not
be
used
in
projecting
the
medical
assistance
23
elderly
waiver
case
management
budget.
The
department
of
human
24
services
shall
revise
such
reimbursement
rates
as
necessary
to
25
maintain
expenditures
for
medical
assistance
elderly
waiver
26
case
management
services
within
the
state
funding
amounts
27
budgeted
under
the
appropriations
made
for
the
fiscal
year
for
28
the
medical
assistance
program.
29
Sec.
59.
2010
Iowa
Acts,
chapter
1192,
section
44,
is
30
amended
to
read
as
follows:
31
SEC.
44.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
32
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
33
subject
to
the
availability
of
funds,
there
is
appropriated
34
from
the
quality
assurance
trust
fund
created
in
section
35
-77-
HF
649
(7)
84
pf/jp/mb
77/
150
H.F.
649
249L.4
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
2
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
3
designated:
4
To
supplement
the
appropriation
made
in
this
Act
from
the
5
general
fund
of
the
state
to
the
department
of
human
services
6
for
medical
assistance:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,900,000
8
33,708,458
9
1.
Of
the
funds
appropriated
in
this
section,
$7,500,000
10
shall
be
used
for
nursing
facility
reimbursement
under
the
11
medical
assistance
program
in
accordance
with
the
nursing
12
facility
reimbursement
provisions
of
division
IV
of
this
13
Act,
to
continue
application
of
the
administrative
rules
14
changes
relating
to
nursing
facility
reimbursement
and
payment
15
procedures
made
pursuant
to
2010
Iowa
Acts,
Senate
File
2366,
16
if
enacted,
for
the
fiscal
year
beginning
July
1,
2010,
and
17
ending
June
30,
2011,
and
to
restore
the
5
percent
reduction
18
made
in
nursing
facility
reimbursement
in
accordance
with
19
executive
order
number
19
issued
October
8,
2009.
20
2.
The
costs
associated
with
the
implementation
of
this
21
section
shall
be
funded
exclusively
through
moneys
appropriated
22
from
the
quality
assurance
trust
fund,
and
shall
result
in
23
budget
neutrality
to
the
general
fund
of
the
state
for
the
24
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011.
25
MERCHANT
MARINE
BONUS
FUND
TRANSFER
26
Sec.
60.
DEPARTMENT
OF
CULTURAL
AFFAIRS
——
MERCHANT
MARINE
27
BONUS
FUND.
28
1.
The
appropriation
made
from
the
merchant
marine
bonus
29
fund
to
the
department
of
cultural
affairs
for
the
fiscal
year
30
beginning
July
1,
2010,
and
ending
June
30,
2011,
in
2010
Iowa
31
Acts,
chapter
1193,
section
82,
shall
be
transferred
on
the
32
effective
date
of
this
section
to
the
department
of
veterans
33
affairs
to
be
used
for
departmental
costs.
34
2.
Moneys
transferred
pursuant
to
this
section
that
remain
35
-78-
HF
649
(7)
84
pf/jp/mb
78/
150
H.F.
649
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
1
shall
be
credited
to
the
veterans
trust
fund
created
in
section
2
35A.13.
3
Sec.
61.
FAMILY
PLANNING
WAIVER
AND
MAINTENANCE
OF
4
EFFORT.
Notwithstanding
2010
Iowa
Acts,
chapter
1192,
section
5
11,
subsection
24,
the
department
of
human
services
shall
6
not
amend
the
medical
assistance
waiver
for
the
Iowa
family
7
planning
network
in
accordance
with
that
provision,
but
shall
8
instead
continue
the
Iowa
family
planning
waiver
in
effect
9
prior
to
June
30,
2011,
and
shall
only
amend
the
waiver
to
10
increase
the
income
eligibility
percentage
above
the
percentage
11
provided
in
the
waiver
in
effect
if
necessary
and
only
by
the
12
minimum
percentage
required
to
comply
with
maintenance
of
13
effort
requirements.
14
Sec.
62.
DECATEGORIZATION
PROJECT
FUNDING.
For
the
15
period
beginning
June
1,
2010,
and
ending
June
30,
2012,
a
16
child
welfare
and
juvenile
justice
funding
decategorization
17
initiative
project
that
is
incorporated
and
owns
real
property
18
may
utilize
project
funding
to
purchase
liability
insurance.
19
Sec.
63.
ACCOUNTABLE
CARE
ORGANIZATION
——
PILOT.
20
1.
a.
If
an
entity
applies
for
certification
from
the
21
secretary
of
the
United
States
department
of
health
and
22
human
services
prior
to
January
1,
2012,
and
is
subsequently
23
certified
to
administer
an
accountable
care
organization
24
pilot
project,
pursuant
to
the
federal
Patient
Protection
and
25
Accountability
Act,
Pub.
L.
No.
111-148,
the
department
of
26
human
services
shall
work
with
the
entity
to
provide
access
to
27
the
complete
deidentified
claims
data
of
the
medical
assistance
28
recipients
receiving
health
care
services
through
the
pilot
29
project
for
the
purposes
of
identifying
areas
of
utilization,
30
need,
and
potential
cost
savings
to
the
medical
assistance
31
program
subject
to
all
applicable
state
and
federal
laws
and
32
regulations.
The
department
may
also
employ
new
payment
33
models,
information
technology,
and
data
analytics
provisions
34
necessary
to
the
administration
of
the
pilot
project.
35
-79-
HF
649
(7)
84
pf/jp/mb
79/
150
H.F.
649
b.
The
department
of
human
services
shall
work
with
an
1
entity
to
administer
an
accountable
care
organization
pilot
2
project,
only
if
the
centers
for
Medicare
and
Medicaid
services
3
of
the
United
States
department
of
health
and
human
services
4
approves
participation
of
the
medical
assistance
program
in
5
the
pilot
project
and
the
entity
meets
all
of
the
following
6
requirements:
7
(1)
At
a
minimum,
includes
the
participation
of
a
8
prospective
payment
system
hospital,
ten
primary
care
9
physicians,
a
home
health
care
practice,
a
palliative
care
10
services,
a
hospice
service,
and
a
community
mental
health
11
center,
all
of
which
agree
to
be
paid
under
a
partial
or
global
12
payment
for
identified
services.
13
(2)
Requires
all
participating
providers
to
utilize
14
electronic
health
records.
15
(3)
Includes
delivery
of
mental
health
services
to
16
recipients
of
medical
assistance
through
collaboration
with
17
the
regional
community
mental
health
center,
a
federally
18
qualified
health
center,
and
at
least
one
nursing
facility
as
19
consistent
with
any
other
law
enacted
by
the
Eighty-fourth
20
general
assembly,
2011
session,
that
redesigns
the
mental
21
health
delivery
system
in
the
state.
22
c.
The
entity
certified
to
implement
the
pilot
project
shall
23
report
to
the
joint
appropriations
subcommittee
for
health
and
24
human
services
during
the
2012
legislative
session
detailing
25
the
progress
and
expected
outcomes
of
the
pilot
project.
26
Sec.
64.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
27
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
28
enactment.
29
Sec.
65.
RETROACTIVE
APPLICABILITY.
The
section
of
this
30
division
of
this
Act
addressing
child
welfare
and
juvenile
31
justice
funding
decategorization
initiative
project
funding
for
32
the
period
beginning
June
1,
2010,
and
ending
June
30,
2012,
33
applies
retroactively
to
June
1,
2010.
34
Sec.
66.
RETROACTIVE
APPLICABILITY.
The
section
of
35
-80-
HF
649
(7)
84
pf/jp/mb
80/
150
H.F.
649
this
division
of
this
Act
amending
section
35A.8A,
applies
1
retroactively
to
July
1,
2010.
2
DIVISION
VIII
3
PREVENTION
AND
CHRONIC
CARE
MANAGEMENT
4
Sec.
67.
Section
135.159,
subsection
10,
Code
2011,
is
5
amended
to
read
as
follows:
6
10.
The
department
shall
integrate
the
recommendations
7
and
policies
developed
by
the
prevention
and
chronic
care
8
management
advisory
council
pursuant
to
section
135.161,
Code
9
2011,
into
the
medical
home
system
and
shall
incorporate
the
10
development
and
implementation
of
the
state
initiative
for
11
prevention
and
chronic
care
management
as
developed
pursuant
to
12
section
135.161,
Code
2011,
into
the
duties
of
the
medical
home
13
system
advisory
council
beginning
January
1,
2012
.
14
Sec.
68.
Section
135.162,
subsections
1
and
3,
Code
2011,
15
are
amended
to
read
as
follows:
16
1.
The
director
shall
convene
a
clinicians
advisory
panel
to
17
advise
and
recommend
to
the
department
clinically
appropriate,
18
evidence-based
best
practices
regarding
the
implementation
19
of
the
medical
home
as
defined
in
section
135.157
and
the
20
prevention
and
chronic
care
management
initiative
pursuant
to
21
section
135.161
.
The
director
shall
act
as
chairperson
of
the
22
advisory
panel.
23
3.
The
clinicians
advisory
panel
shall
meet
on
a
quarterly
24
basis
to
receive
updates
from
the
director
regarding
strategic
25
planning
and
implementation
progress
on
the
medical
home
and
26
the
prevention
and
chronic
care
management
initiative
and
shall
27
provide
clinical
consultation
to
the
department
regarding
the
28
medical
home
and
the
initiative
.
29
Sec.
69.
Section
136.3,
subsection
14,
Code
2011,
is
amended
30
to
read
as
follows:
31
14.
Perform
those
duties
authorized
pursuant
to
sections
32
135.156
,
and
135.159
,
and
135.161
,
and
other
provisions
of
law.
33
Sec.
70.
REPEAL.
Section
135.161,
Code
2011,
is
repealed.
34
Sec.
71.
EFFECTIVE
DATE.
This
division
of
this
Act
takes
35
-81-
HF
649
(7)
84
pf/jp/mb
81/
150
H.F.
649
effect
December
31,
2011.
1
DIVISION
IX
2
MISCELLANEOUS
3
Sec.
72.
Section
147.136,
Code
2011,
is
amended
to
read
as
4
follows:
5
147.136
Scope
of
recovery.
6
1.
In
Except
as
otherwise
provided
in
subsection
2,
in
an
7
action
for
damages
for
personal
injury
against
a
physician
and
8
surgeon,
osteopathic
physician
and
surgeon,
dentist,
podiatric
9
physician,
optometrist,
pharmacist,
chiropractor,
or
nurse
10
licensed
to
practice
that
profession
in
this
state,
or
against
11
a
hospital
licensed
for
operation
in
this
state,
based
on
the
12
alleged
negligence
of
the
practitioner
in
the
practice
of
the
13
profession
or
occupation,
or
upon
the
alleged
negligence
of
14
the
hospital
in
patient
care,
in
which
liability
is
admitted
15
or
established,
the
damages
awarded
shall
not
include
actual
16
economic
losses
incurred
or
to
be
incurred
in
the
future
by
the
17
claimant
by
reason
of
the
personal
injury,
including
but
not
18
limited
to,
the
cost
of
reasonable
and
necessary
medical
care,
19
rehabilitation
services,
and
custodial
care,
and
the
loss
of
20
services
and
loss
of
earned
income,
to
the
extent
that
those
21
losses
are
replaced
or
are
indemnified
by
insurance,
or
by
22
governmental,
employment,
or
service
benefit
programs
or
from
23
any
other
source
except
the
assets
of
the
claimant
or
of
the
24
members
of
the
claimant’s
immediate
family
.
25
2.
This
section
shall
not
bar
recovery
of
economic
losses
26
replaced
or
indemnified
by
any
of
the
following:
27
a.
Benefits
received
under
the
medical
assistance
program
28
under
chapter
249A.
29
b.
The
assets
of
the
claimant
or
of
the
members
of
the
30
claimant’s
immediate
family.
31
Sec.
73.
Section
232.188,
subsection
5,
paragraph
b,
32
unnumbered
paragraph
1,
Code
2011,
is
amended
to
read
as
33
follows:
34
Notwithstanding
section
8.33
,
moneys
designated
for
a
35
-82-
HF
649
(7)
84
pf/jp/mb
82/
150
H.F.
649
project’s
decategorization
services
funding
pool
that
remain
1
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
2
shall
not
revert
but
shall
remain
available
for
expenditure
as
3
directed
by
the
project’s
governance
board
for
child
welfare
4
and
juvenile
justice
systems
enhancements
and
other
purposes
of
5
the
project
until
the
close
of
the
succeeding
fiscal
year
and
6
for
the
next
two
succeeding
fiscal
years.
Such
moneys
shall
be
7
known
as
“carryover
funding”
.
Moneys
may
be
made
available
to
a
8
funding
pool
from
one
or
more
of
the
following
sources:
9
Sec.
74.
Section
514I.5,
subsection
8,
paragraph
h,
Code
10
2011,
is
amended
to
read
as
follows:
11
h.
The
amount
of
any
cost
sharing
under
the
program
which
12
shall
be
assessed
based
on
family
income
and
which
complies
13
with
federal
law.
The
rules
shall
establish
for
children
of
14
families
with
incomes
exceeding
two
hundred
percent
but
not
15
exceeding
three
hundred
percent
of
the
federal
poverty
level,
16
family
cost-sharing
amounts,
and
graduated
premiums
based
on
a
17
rationally
developed
sliding
fee
schedule,
in
accordance
with
18
federal
law.
19
Sec.
75.
REPEAL.
Section
135.27A,
Code
2011,
is
repealed
20
December
31,
2011.
21
DIVISION
X
22
DEPARTMENT
ON
AGING
——
FY
2012-2013
23
Sec.
76.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
24
the
general
fund
of
the
state
to
the
department
on
aging
for
25
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
26
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
27
to
be
used
for
the
purposes
designated:
28
For
aging
programs
for
the
department
on
aging
and
area
29
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
30
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
31
aging
and
disabilities
resource
center,
and
other
services
32
which
may
include
but
are
not
limited
to
adult
day
services,
33
respite
care,
chore
services,
information
and
assistance,
34
and
material
aid,
for
information
and
options
counseling
for
35
-83-
HF
649
(7)
84
pf/jp/mb
83/
150
H.F.
649
persons
with
disabilities
who
are
18
years
of
age
or
older,
1
and
for
salaries,
support,
administration,
maintenance,
and
2
miscellaneous
purposes,
and
for
not
more
than
the
following
3
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,852,577
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
35.00
6
1.
Funds
appropriated
in
this
section
may
be
used
to
7
supplement
federal
funds
under
federal
regulations.
To
8
receive
funds
appropriated
in
this
section,
a
local
area
9
agency
on
aging
shall
match
the
funds
with
moneys
from
other
10
sources
according
to
rules
adopted
by
the
department.
Funds
11
appropriated
in
this
section
may
be
used
for
elderly
services
12
not
specifically
enumerated
in
this
section
only
if
approved
13
by
an
area
agency
on
aging
for
provision
of
the
service
within
14
the
area.
15
2.
Of
the
funds
appropriated
in
this
section,
$179,946
shall
16
be
transferred
to
the
department
of
economic
development
for
17
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
18
retired
and
senior
volunteer
program.
19
3.
a.
The
department
on
aging
shall
establish
and
enforce
20
procedures
relating
to
expenditure
of
state
and
federal
funds
21
by
area
agencies
on
aging
that
require
compliance
with
both
22
state
and
federal
laws,
rules,
and
regulations,
including
but
23
not
limited
to
all
of
the
following:
24
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
25
or
services
received
or
performed
prior
to
the
end
of
the
26
fiscal
period
designated
for
use
of
the
funds.
27
(2)
Prohibiting
prepayment
for
goods
or
services
not
28
received
or
performed
prior
to
the
end
of
the
fiscal
period
29
designated
for
use
of
the
funds.
30
(3)
Prohibiting
the
prepayment
for
goods
or
services
31
not
defined
specifically
by
good
or
service,
time
period,
or
32
recipient.
33
(4)
Prohibiting
the
establishment
of
accounts
from
which
34
future
goods
or
services
which
are
not
defined
specifically
by
35
-84-
HF
649
(7)
84
pf/jp/mb
84/
150
H.F.
649
good
or
service,
time
period,
or
recipient,
may
be
purchased.
1
b.
The
procedures
shall
provide
that
if
any
funds
are
2
expended
in
a
manner
that
is
not
in
compliance
with
the
3
procedures
and
applicable
federal
and
state
laws,
rules,
and
4
regulations,
and
are
subsequently
subject
to
repayment,
the
5
area
agency
on
aging
expending
such
funds
in
contravention
of
6
such
procedures,
laws,
rules
and
regulations,
not
the
state,
7
shall
be
liable
for
such
repayment.
8
DIVISION
XI
9
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2012-2013
10
Sec.
77.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
11
from
the
general
fund
of
the
state
to
the
department
of
public
12
health
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
13
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
14
necessary,
to
be
used
for
the
purposes
designated:
15
1.
ADDICTIVE
DISORDERS
16
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
17
other
drugs,
and
treating
individuals
affected
by
addictive
18
behaviors,
including
gambling,
and
for
not
more
than
the
19
following
full-time
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,703,190
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
22
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
23
$453,830
shall
be
transferred
to
the
alcoholic
beverages
24
division
of
the
department
of
commerce
for
enforcement
of
25
tobacco
laws,
regulations,
and
ordinances
in
accordance
with
26
2011
Iowa
Acts,
House
File
467,
if
enacted.
27
(2)
Implementation
of
the
tobacco
use
prevention
and
28
control
initiative
for
the
fiscal
year
beginning
July
1,
2012,
29
including
efforts
at
the
state
and
local
levels,
as
provided
30
in
chapter
142A,
shall
be
limited
to
the
extent
of
the
funding
31
available.
32
b.
Of
the
funds
appropriated
in
this
subsection,
33
$20,249,360
shall
be
used
for
problem
gambling
and
substance
34
abuse
prevention,
treatment,
and
recovery
services,
including
a
35
-85-
HF
649
(7)
84
pf/jp/mb
85/
150
H.F.
649
24-hour
helpline,
public
information
resources,
professional
1
training,
and
program
evaluation.
2
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
3
$17,132,508
shall
be
used
for
substance
abuse
prevention
and
4
treatment.
5
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
6
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
7
program
to
provide
substance
abuse
prevention
programming
for
8
children.
9
(i)
Of
the
funds
allocated
in
this
subparagraph
division
10
(a),
$427,539
shall
be
used
for
grant
funding
for
organizations
11
that
provide
programming
for
children
by
utilizing
mentors.
12
Programs
approved
for
such
grants
shall
be
certified
or
will
13
be
certified
within
six
months
of
receiving
the
grant
award
14
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
15
standards
for
effective
practice
for
mentoring
programs.
16
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
17
(a),
$426,839
shall
be
used
for
grant
funding
for
organizations
18
that
provide
programming
that
includes
youth
development
and
19
leadership.
The
programs
shall
also
be
recognized
as
being
20
programs
that
are
scientifically
based
with
evidence
of
their
21
effectiveness
in
reducing
substance
abuse
in
children.
22
(iii)
The
department
of
public
health
shall
utilize
a
23
request
for
proposals
process
to
implement
the
grant
program.
24
(iv)
All
grant
recipients
shall
participate
in
a
program
25
evaluation
as
a
requirement
for
receiving
grant
funds.
26
(v)
Of
the
funds
allocated
in
this
subparagraph
subpart
27
(a),
up
to
$44,922
may
be
used
to
administer
substance
abuse
28
prevention
grants
and
for
program
evaluations.
29
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
30
$273,062
shall
be
used
for
culturally
competent
substance
abuse
31
treatment
pilot
projects.
32
(i)
The
department
shall
utilize
the
amount
allocated
in
33
this
subparagraph
subpart
(b)
for
at
least
three
pilot
projects
34
to
provide
culturally
competent
substance
abuse
treatment
in
35
-86-
HF
649
(7)
84
pf/jp/mb
86/
150
H.F.
649
various
areas
of
the
state.
Each
pilot
project
shall
target
1
a
particular
ethnic
minority
population.
The
populations
2
targeted
shall
include
but
are
not
limited
to
African
American,
3
Asian,
and
Latino.
4
(ii)
The
pilot
project
requirements
shall
provide
for
5
documentation
or
other
means
to
ensure
access
to
the
cultural
6
competence
approach
used
by
a
pilot
project
so
that
such
7
approach
can
be
replicated
and
improved
upon
in
successor
8
programs.
9
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
10
to
$3,116,852
may
be
used
for
problem
gambling
prevention,
11
treatment,
and
recovery
services.
12
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
13
$2,579,000
shall
be
used
for
problem
gambling
prevention
and
14
treatment.
15
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
16
$437,852
may
be
used
for
a
24-hour
helpline,
public
information
17
resources,
professional
training,
and
program
evaluation.
18
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
19
to
$100,000
may
be
used
for
the
licensing
of
problem
gambling
20
treatment
programs.
21
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
22
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
23
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
24
given
priority
in
treatment
services.
25
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
26
to
standardize
the
availability,
delivery,
cost
of
delivery,
27
and
accountability
of
problem
gambling
and
substance
abuse
28
treatment
services
statewide,
the
department
shall
continue
29
implementation
of
a
process
to
create
a
system
for
delivery
30
of
treatment
services
in
accordance
with
the
requirements
31
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
32
subsection
4.
To
ensure
the
system
provides
a
continuum
of
33
treatment
services
that
best
meets
the
needs
of
Iowans,
the
34
problem
gambling
and
substance
abuse
treatment
services
in
any
35
-87-
HF
649
(7)
84
pf/jp/mb
87/
150
H.F.
649
area
may
be
provided
either
by
a
single
agency
or
by
separate
1
agencies
submitting
a
joint
proposal.
2
(1)
The
system
for
delivery
of
substance
abuse
and
3
problem
gambling
treatment
shall
include
problem
gambling
4
prevention
by
July
1,
2012.
The
department
shall
submit
a
5
proposed
legislative
bill
in
accordance
with
section
2.16,
for
6
consideration
during
the
2012
legislative
session,
addressing
7
any
statutory
revisions
necessary
for
full
implementation
of
8
the
system.
9
(2)
The
system
for
delivery
of
substance
abuse
and
problem
10
gambling
treatment
shall
include
substance
abuse
prevention
by
11
July
1,
2014.
12
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
13
may
use
up
to
$100,000
for
administrative
costs
to
continue
14
developing
and
implementing
the
process
in
accordance
with
this
15
paragraph
“c”.
16
d.
The
requirement
of
section
123.53,
subsection
5,
is
met
17
by
the
appropriations
and
allocations
made
in
this
Act
for
18
purposes
of
substance
abuse
treatment
and
addictive
disorders
19
for
the
fiscal
year
beginning
July
1,
2011.
20
e.
The
department
of
public
health
shall
work
with
all
other
21
departments
that
fund
substance
abuse
prevention
and
treatment
22
services
and
all
such
departments
shall,
to
the
extent
23
necessary,
collectively
meet
the
state
maintenance
of
effort
24
requirements
for
expenditures
for
substance
abuse
services
25
as
required
under
the
federal
substance
abuse
prevention
and
26
treatment
block
grant.
27
f.
The
department
shall
amend
or
otherwise
revise
28
departmental
policies
and
contract
provisions
in
order
to
29
eliminate
free
t-shirt
distribution,
banner
production,
and
30
other
unnecessary
promotional
expenditures.
31
2.
HEALTHY
CHILDREN
AND
FAMILIES
32
For
promoting
the
optimum
health
status
for
children,
33
adolescents
from
birth
through
21
years
of
age,
and
families,
34
and
for
not
more
than
the
following
full-time
equivalent
35
-88-
HF
649
(7)
84
pf/jp/mb
88/
150
H.F.
649
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,601,905
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
3
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
4
than
$739,318
shall
be
used
for
the
healthy
opportunities
to
5
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
6
established
pursuant
to
section
135.106.
The
funding
shall
7
be
distributed
to
renew
the
grants
that
were
provided
to
the
8
grantees
that
operated
the
program
during
the
fiscal
year
9
ending
June
30,
2012.
10
b.
Of
the
funds
appropriated
in
this
subsection,
$287,520
11
shall
be
used
to
continue
to
address
the
healthy
mental
12
development
of
children
from
birth
through
five
years
of
age
13
through
local
evidence-based
strategies
that
engage
both
the
14
public
and
private
sectors
in
promoting
healthy
development,
15
prevention,
and
treatment
for
children.
16
c.
Of
the
funds
appropriated
in
this
subsection,
$31,597
17
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
18
funds
to
continue
the
donated
dental
services
program
patterned
19
after
the
projects
developed
by
the
lifeline
network
to
provide
20
dental
services
to
indigent
elderly
and
disabled
individuals.
21
d.
Of
the
funds
appropriated
in
this
subsection,
$112,677
22
shall
be
used
for
childhood
obesity
prevention.
23
e.
Of
the
funds
appropriated
in
this
subsection,
$163,760
24
shall
be
used
to
provide
audiological
services
and
hearing
25
aids
for
children.
The
department
may
enter
into
a
contract
26
to
administer
this
paragraph.
27
f.
Of
the
funds
appropriated
in
this
subsection,
$50,000
28
shall
be
used
for
a
matching
dental
education
loan
repayment
29
program
in
conjunction
with
the
primary
care
provider
30
recruitment
and
retention
endeavor
established
in
section
31
135.107.
The
department
shall
work
with
a
dental
nonprofit
32
health
service
corporation
to
develop
the
criteria
for
the
loan
33
repayment
program.
34
3.
CHRONIC
CONDITIONS
35
-89-
HF
649
(7)
84
pf/jp/mb
89/
150
H.F.
649
For
serving
individuals
identified
as
having
chronic
1
conditions
or
special
health
care
needs,
and
for
not
more
than
2
the
following
full-time
equivalent
positions:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,262,256
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
5
a.
Of
the
funds
appropriated
in
this
subsection,
$136,808
6
shall
be
used
for
grants
to
individual
patients
who
have
7
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
8
special
foods.
9
b.
Of
the
funds
appropriated
in
this
subsection,
$383,600
10
is
allocated
for
continuation
of
the
contracts
for
resource
11
facilitator
services
in
accordance
with
section
135.22B,
12
subsection
9,
and
for
brain
injury
training
services
and
13
recruiting
of
service
providers
to
increase
the
capacity
within
14
this
state
to
address
the
needs
of
individuals
with
brain
15
injuries
and
such
individuals’
families.
16
c.
Of
the
funds
appropriated
in
this
subsection,
$468,874
17
shall
be
used
as
additional
funding
to
leverage
federal
funding
18
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
19
assistance
program
supplemental
drug
treatment
grants.
20
d.
Of
the
funds
appropriated
in
this
subsection,
$31,254
21
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
an
22
existing
national-affiliated
organization
to
provide
education,
23
client-centered
programs,
and
client
and
family
support
for
24
people
living
with
epilepsy
and
their
families.
25
e.
Of
the
funds
appropriated
in
this
subsection,
$755,791
26
shall
be
used
for
child
health
specialty
clinics.
27
f.
Of
the
funds
appropriated
in
this
subsection,
$711,052
28
shall
be
used
for
the
comprehensive
cancer
control
program
to
29
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
30
detection,
effective
treatment,
and
ensuring
quality
of
life.
31
Of
the
funds
allocated
in
this
lettered
paragraph,
$363,987
32
shall
be
used
to
support
a
melanoma
research
symposium,
a
33
melanoma
biorepository
and
registry,
basic
and
translational
34
melanoma
research,
and
clinical
trials.
35
-90-
HF
649
(7)
84
pf/jp/mb
90/
150
H.F.
649
g.
Of
the
funds
appropriated
in
this
subsection,
$126,450
1
shall
be
used
for
cervical
and
colon
cancer
screening.
2
h.
Of
the
funds
appropriated
in
this
subsection,
$421,782
3
shall
be
used
for
the
center
for
congenital
and
inherited
4
disorders.
5
i.
Of
the
funds
appropriated
in
this
subsection,
$129,937
6
shall
be
used
for
the
prescription
drug
donation
repository
7
program
created
in
chapter
135M.
8
4.
COMMUNITY
CAPACITY
9
For
strengthening
the
health
care
delivery
system
at
the
10
local
level,
and
for
not
more
than
the
following
full-time
11
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,677,659
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
14.00
14
a.
Of
the
funds
appropriated
in
this
subsection,
$100,000
15
is
allocated
for
a
child
vision
screening
program
implemented
16
through
the
university
of
Iowa
hospitals
and
clinics
in
17
collaboration
with
early
childhood
Iowa
areas.
18
b.
Of
the
funds
appropriated
in
this
subsection,
$111,308
is
19
allocated
for
continuation
of
an
initiative
implemented
at
the
20
university
of
Iowa
and
$100,493
is
allocated
for
continuation
21
of
an
initiative
at
the
state
mental
health
institute
at
22
Cherokee
to
expand
and
improve
the
workforce
engaged
in
23
mental
health
treatment
and
services.
The
initiatives
shall
24
receive
input
from
the
university
of
Iowa,
the
department
25
of
human
services,
the
department
of
public
health,
and
the
26
mental
health,
mental
retardation,
developmental
disabilities,
27
and
brain
injury
commission
to
address
the
focus
of
the
28
initiatives.
29
c.
Of
the
funds
appropriated
in
this
subsection,
$1,171,491
30
shall
be
used
for
essential
public
health
services
that
promote
31
healthy
aging
throughout
the
lifespan,
contracted
through
a
32
formula
for
local
boards
of
health,
to
enhance
health
promotion
33
and
disease
prevention
services.
34
d.
Of
the
funds
appropriated
in
this
section,
$121,817
shall
35
-91-
HF
649
(7)
84
pf/jp/mb
91/
150
H.F.
649
be
deposited
in
the
governmental
public
health
system
fund
1
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
2
fund.
3
e.
Of
the
funds
appropriated
in
this
subsection,
$106,279
4
shall
be
used
for
the
mental
health
professional
shortage
area
5
program
implemented
pursuant
to
section
135.80.
6
f.
Of
the
funds
appropriated
in
this
subsection,
7
$38,263
shall
be
used
for
a
grant
to
a
statewide
association
8
of
psychologists
that
is
affiliated
with
the
American
9
psychological
association
to
be
used
for
continuation
of
a
10
program
to
rotate
intern
psychologists
in
placements
in
urban
11
and
rural
mental
health
professional
shortage
areas,
as
defined
12
in
section
135.80.
13
g.
Of
the
funds
appropriated
in
this
subsection,
the
14
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
15
safety
net
provider
network
established
pursuant
to
section
16
135.153
to
be
used
for
the
purposes
designated:
17
(1)
For
distribution
to
the
Iowa-Nebraska
primary
18
care
association
for
statewide
coordination
of
the
Iowa
19
collaborative
safety
net
provider
network:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
116,597
21
(2)
For
distribution
to
the
local
boards
of
health
that
22
provide
direct
services
for
pilot
programs
in
three
counties
to
23
assist
patients
in
determining
an
appropriate
medical
home:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
68,332
25
(3)
For
distribution
to
maternal
and
child
health
centers
26
for
pilot
programs
in
three
counties
to
assist
patients
in
27
determining
an
appropriate
medical
home:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
68,332
29
(4)
For
distribution
to
free
clinics
for
necessary
30
infrastructure,
statewide
coordination,
provider
recruitment,
31
service
delivery,
and
provision
of
assistance
to
patients
in
32
determining
an
appropriate
medical
home:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
113,754
34
(5)
For
distribution
to
rural
health
clinics
for
necessary
35
-92-
HF
649
(7)
84
pf/jp/mb
92/
150
H.F.
649
infrastructure,
statewide
coordination,
provider
recruitment,
1
service
delivery,
and
provision
of
assistance
to
patients
in
2
determining
an
appropriate
medical
home:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
101,264
4
(6)
For
continuation
of
the
safety
net
provider
patient
5
access
to
specialty
health
care
initiative
as
described
in
2007
6
Iowa
Acts,
chapter
218,
section
109:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
238,420
8
(7)
For
continuation
of
the
pharmaceutical
infrastructure
9
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
10
chapter
218,
section
108:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
247,590
12
The
Iowa
collaborative
safety
net
provider
network
may
13
continue
to
distribute
funds
allocated
pursuant
to
this
14
lettered
paragraph
through
existing
contracts
or
renewal
of
15
existing
contracts.
16
h.
The
department
shall
utilize
funds
received
through
17
the
grant
by
the
United
States
department
of
health
and
human
18
services,
health
resources
and
services
administration
to
19
develop
and
pilot
a
training
and
credentialing
model
for
direct
20
care
professionals,
to
the
extent
allowable,
to
continue
21
implementation
of
the
recommendations
of
the
direct
care
worker
22
task
force
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
23
based
upon
the
report
submitted
to
the
governor
and
the
general
24
assembly
in
December
2006.
25
i.
The
department
may
utilize
one
of
the
full-time
26
equivalent
positions
authorized
in
this
subsection
for
27
administration
of
the
activities
related
to
the
Iowa
28
collaborative
safety
net
provider
network.
29
j.
Of
the
funds
appropriated
in
this
subsection,
the
30
department
may
use
up
to
$60,000
for
up
to
one
full-time
31
equivalent
position
to
administer
the
volunteer
health
care
32
provider
program
pursuant
to
section
135.24.
33
5.
HEALTHY
AGING
34
To
provide
public
health
services
that
reduce
risks
and
35
-93-
HF
649
(7)
84
pf/jp/mb
93/
150
H.F.
649
invest
in
promoting
and
protecting
good
health
over
the
1
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
2
vulnerable
populations:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,297,142
4
a.
Of
the
funds
appropriated
in
this
subsection,
$2,009,187
5
shall
be
used
for
local
public
health
nursing
services.
6
b.
Of
the
funds
appropriated
in
this
subsection,
$5,287,955
7
shall
be
used
for
home
care
aide
services.
8
6.
ENVIRONMENTAL
HAZARDS
9
For
reducing
the
public’s
exposure
to
hazards
in
the
10
environment,
primarily
chemical
hazards,
and
for
not
more
than
11
the
following
full-time
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
813,777
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
14
Of
the
funds
appropriated
in
this
subsection,
$544,377
shall
15
be
used
for
childhood
lead
poisoning
provisions.
16
7.
INFECTIOUS
DISEASES
17
For
reducing
the
incidence
and
prevalence
of
communicable
18
diseases,
and
for
not
more
than
the
following
full-time
19
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,345,847
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
22
8.
PUBLIC
PROTECTION
23
For
protecting
the
health
and
safety
of
the
public
through
24
establishing
standards
and
enforcing
regulations,
and
for
not
25
more
than
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,906,532
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
125.00
28
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
29
than
$424,146
shall
be
credited
to
the
emergency
medical
30
services
fund
created
in
section
135.25.
Moneys
in
the
31
emergency
medical
services
fund
are
appropriated
to
the
32
department
to
be
used
for
the
purposes
of
the
fund.
33
b.
Of
the
funds
appropriated
in
this
subsection,
$210,619
34
shall
be
used
for
sexual
violence
prevention
programming
35
-94-
HF
649
(7)
84
pf/jp/mb
94/
150
H.F.
649
through
a
statewide
organization
representing
programs
serving
1
victims
of
sexual
violence
through
the
department’s
sexual
2
violence
prevention
program.
The
amount
allocated
in
this
3
lettered
paragraph
shall
not
be
used
to
supplant
funding
4
administered
for
other
sexual
violence
prevention
or
victims
5
assistance
programs.
6
c.
Of
the
funds
appropriated
in
this
subsection,
not
more
7
than
$436,582
shall
be
used
for
the
state
poison
control
8
center.
9
9.
RESOURCE
MANAGEMENT
10
For
establishing
and
sustaining
the
overall
ability
of
the
11
department
to
deliver
services
to
the
public,
and
for
not
more
12
than
the
following
full-time
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
819,554
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
15
The
university
of
Iowa
hospitals
and
clinics
under
the
16
control
of
the
state
board
of
regents
shall
not
receive
17
indirect
costs
from
the
funds
appropriated
in
this
section.
18
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
19
department
shall
be
on
at
least
a
quarterly
basis.
20
DIVISION
XII
21
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2012-2013
22
Sec.
78.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
23
appropriated
from
the
general
fund
of
the
state
to
the
24
department
of
veterans
affairs
for
the
fiscal
year
beginning
25
July
1,
2012,
and
ending
June
30,
2013,
the
following
amounts,
26
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
27
designated:
28
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
29
For
salaries,
support,
maintenance,
and
miscellaneous
30
purposes,
including
the
war
orphans
educational
assistance
fund
31
created
in
section
35.8,
and
for
not
more
than
the
following
32
full-time
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
998,832
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.34
35
-95-
HF
649
(7)
84
pf/jp/mb
95/
150
H.F.
649
2.
IOWA
VETERANS
HOME
1
For
salaries,
support,
maintenance,
and
miscellaneous
2
purposes:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,952,151
4
a.
The
Iowa
veterans
home
billings
involving
the
department
5
of
human
services
shall
be
submitted
to
the
department
on
at
6
least
a
monthly
basis.
7
b.
If
there
is
a
change
in
the
employer
of
employees
8
providing
services
at
the
Iowa
veterans
home
under
a
collective
9
bargaining
agreement,
such
employees
and
the
agreement
shall
10
be
continued
by
the
successor
employer
as
though
there
had
not
11
been
a
change
in
employer.
12
c.
Within
available
resources
and
in
conformance
with
13
associated
state
and
federal
program
eligibility
requirements,
14
the
Iowa
veterans
home
may
implement
measures
to
provide
15
financial
assistance
to
or
on
behalf
of
veterans
or
their
16
spouses
participating
in
the
community
reentry
program.
17
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
18
VETERANS
19
For
provision
of
educational
assistance
pursuant
to
section
20
35.9:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,416
22
Sec.
79.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
23
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
24
standing
appropriation
in
the
following
designated
section
for
25
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
26
2013,
the
amounts
appropriated
from
the
general
fund
of
the
27
state
pursuant
to
that
section
for
the
following
designated
28
purposes
shall
not
exceed
the
following
amount:
29
For
the
county
commissions
of
veterans
affairs
fund
under
30
section
35A.16:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
32
DIVISION
XIII
33
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2012-2013
34
Sec.
80.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
35
-96-
HF
649
(7)
84
pf/jp/mb
96/
150
H.F.
649
GRANT.
There
is
appropriated
from
the
fund
created
in
section
1
8.41
to
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2012,
and
ending
June
30,
2013,
from
moneys
3
received
under
the
federal
temporary
assistance
for
needy
4
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
5
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
6
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
7
received
under
the
emergency
contingency
fund
for
temporary
8
assistance
for
needy
families
state
program
established
9
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
10
of
2009,
Pub.
L.
No.
111-5
§
2101,
and
successor
legislation,
11
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
12
be
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,500,738
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,411,528
22
3.
To
be
used
for
the
family
development
and
23
self-sufficiency
grant
program
in
accordance
with
section
24
216A.107:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
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,
2013,
the
32
moneys
shall
revert.
33
4.
For
field
operations:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
35
-97-
HF
649
(7)
84
pf/jp/mb
97/
150
H.F.
649
5.
For
general
administration:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
2
6.
For
state
child
care
assistance:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,382,687
4
The
funds
appropriated
in
this
subsection
shall
be
5
transferred
to
the
child
care
and
development
block
grant
6
appropriation
made
by
the
Eighty-fourth
General
Assembly,
2012
7
Session,
for
the
federal
fiscal
year
beginning
October
1,
8
2012,
and
ending
September
30,
2013.
Of
this
amount,
$200,000
9
shall
be
used
for
provision
of
educational
opportunities
to
10
registered
child
care
home
providers
in
order
to
improve
11
services
and
programs
offered
by
this
category
of
providers
12
and
to
increase
the
number
of
providers.
The
department
may
13
contract
with
institutions
of
higher
education
or
child
care
14
resource
and
referral
centers
to
provide
the
educational
15
opportunities.
Allowable
administrative
costs
under
the
16
contracts
shall
not
exceed
5
percent.
The
application
for
a
17
grant
shall
not
exceed
two
pages
in
length.
18
7.
For
mental
health
and
developmental
disabilities
19
community
services:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
21
8.
For
child
and
family
services:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
23
9.
For
child
abuse
prevention
grants:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
25
10.
For
pregnancy
prevention
grants
on
the
condition
that
26
family
planning
services
are
funded:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
28
Pregnancy
prevention
grants
shall
be
awarded
to
pregnancy
29
prevention
programs
that
are
based
on
existing
models
that
30
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
31
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
32
section
14,
subsections
1
and
2,
including
the
requirement
that
33
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
34
the
awarding
of
grants
shall
be
given
to
programs
that
serve
35
-98-
HF
649
(7)
84
pf/jp/mb
98/
150
H.F.
649
areas
of
the
state
which
demonstrate
the
highest
percentage
of
1
unplanned
pregnancies
of
females
of
childbearing
age
within
the
2
geographic
area
to
be
served
by
the
grant.
3
11.
For
technology
needs
and
other
resources
necessary
4
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
5
management
requirements:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
7
12.
To
be
credited
to
the
state
child
care
assistance
8
appropriation
made
in
this
section
to
be
used
for
funding
of
9
community-based
early
childhood
programs
targeted
to
children
10
from
birth
through
five
years
of
age
developed
by
early
11
childhood
Iowa
areas
as
provided
in
section
256I.11:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,350,000
13
The
department
shall
transfer
TANF
block
grant
funding
14
appropriated
and
allocated
in
this
subsection
to
the
child
care
15
and
development
block
grant
appropriation
in
accordance
with
16
federal
law
as
necessary
to
comply
with
the
provisions
of
this
17
subsection.
18
13.
a.
Notwithstanding
any
provision
to
the
contrary,
19
including
but
not
limited
to
requirements
in
section
8.41
or
20
provisions
in
2011
or
2012
Iowa
Acts
regarding
the
receipt
21
and
appropriation
of
federal
block
grants,
federal
funds
22
from
the
emergency
contingency
fund
for
temporary
assistance
23
for
needy
families
state
program
established
pursuant
to
the
24
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
25
L.
No.
111-5
§
2101,
received
by
the
state
during
the
fiscal
26
year
beginning
July
1,
2011,
and
ending
June
30,
2012,
not
27
otherwise
appropriated
in
this
section
and
remaining
available
28
as
of
July
1,
2012,
and
received
by
the
state
during
the
fiscal
29
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
are
30
appropriated
to
the
extent
as
may
be
necessary
to
be
used
in
31
the
following
priority
order:
the
family
investment
program
32
for
the
fiscal
year
and
for
state
child
care
assistance
program
33
payments
for
individuals
enrolled
in
the
family
investment
34
program
who
are
employed.
The
federal
funds
appropriated
in
35
-99-
HF
649
(7)
84
pf/jp/mb
99/
150
H.F.
649
this
paragraph
“a”
shall
be
expended
only
after
all
other
1
funds
appropriated
in
subsection
1
for
the
assistance
under
2
the
family
investment
program
under
chapter
239B
have
been
3
expended.
4
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
5
legislative
services
agency
and
department
of
management
of
6
the
amount
of
funds
appropriated
in
this
subsection
that
was
7
expended
in
the
prior
quarter.
8
14.
Of
the
amounts
appropriated
in
this
section,
9
$12,962,008
for
the
fiscal
year
beginning
July
1,
2012,
shall
10
be
transferred
to
the
appropriation
of
the
federal
social
11
services
block
grant
made
for
that
fiscal
year.
12
15.
For
continuation
of
the
program
allowing
the
department
13
to
maintain
categorical
eligibility
for
the
food
assistance
14
program
as
required
under
the
section
of
this
division
relating
15
to
the
family
investment
account:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
146,072
17
16.
The
department
may
transfer
funds
allocated
in
this
18
section
to
the
appropriations
made
in
this
Act
for
general
19
administration
and
field
operations
for
resources
necessary
to
20
implement
and
operate
the
services
referred
to
in
this
section
21
and
those
funded
in
the
appropriation
made
in
this
division
of
22
this
Act
for
the
family
investment
program
from
the
general
23
fund
of
the
state.
24
Sec.
81.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
25
1.
Moneys
credited
to
the
family
investment
program
(FIP)
26
account
for
the
fiscal
year
beginning
July
1,
2012,
and
27
ending
June
30,
2013,
shall
be
used
to
provide
assistance
in
28
accordance
with
chapter
239B.
29
2.
The
department
may
use
a
portion
of
the
moneys
credited
30
to
the
FIP
account
under
this
section
as
necessary
for
31
salaries,
support,
maintenance,
and
miscellaneous
purposes.
32
3.
The
department
may
transfer
funds
allocated
in
33
this
section
to
the
appropriations
in
this
Act
for
general
34
administration
and
field
operations
for
resources
necessary
to
35
-100-
HF
649
(7)
84
pf/jp/mb
100/
150
H.F.
649
implement
and
operate
the
services
referred
to
in
this
section
1
and
those
funded
in
the
appropriation
made
in
this
division
of
2
this
Act
for
the
family
investment
program
from
the
general
3
fund
of
the
state.
4
4.
Moneys
appropriated
in
this
division
of
this
Act
and
5
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
6
1,
2012,
and
ending
June
30,
2013,
are
allocated
as
follows:
7
a.
To
be
retained
by
the
department
of
human
services
to
8
be
used
for
coordinating
with
the
department
of
human
rights
9
to
more
effectively
serve
participants
in
the
FIP
program
and
10
other
shared
clients
and
to
meet
federal
reporting
requirements
11
under
the
federal
temporary
assistance
for
needy
families
block
12
grant:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
14
b.
To
the
department
of
human
rights
for
staffing,
15
administration,
and
implementation
of
the
family
development
16
and
self-sufficiency
grant
program
in
accordance
with
section
17
216A.107:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,342,834
19
(1)
Of
the
funds
allocated
for
the
family
development
and
20
self-sufficiency
grant
program
in
this
lettered
paragraph,
21
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
22
administration
of
the
grant
program.
23
(2)
The
department
of
human
rights
may
continue
to
implement
24
the
family
development
and
self-sufficiency
grant
program
25
statewide
during
fiscal
year
2012-2013.
26
c.
For
the
diversion
subaccount
of
the
FIP
account:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,698,400
28
A
portion
of
the
moneys
allocated
for
the
subaccount
may
29
be
used
for
field
operations
salaries,
data
management
system
30
development,
and
implementation
costs
and
support
deemed
31
necessary
by
the
director
of
human
services
in
order
to
32
administer
the
FIP
diversion
program.
33
d.
For
the
food
stamp
employment
and
training
program:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
35
-101-
HF
649
(7)
84
pf/jp/mb
101/
150
H.F.
649
(1)
The
department
shall
amend
the
food
stamp
employment
and
1
training
state
plan
in
order
to
maximize
to
the
fullest
extent
2
permitted
by
federal
law
the
use
of
the
50-50
match
provisions
3
for
the
claiming
of
allowable
federal
matching
funds
from
the
4
United
States
department
of
agriculture
pursuant
to
the
federal
5
food
stamp
employment
and
training
program
for
providing
6
education,
employment,
and
training
services
for
eligible
food
7
assistance
program
participants,
including
but
not
limited
to
8
related
dependent
care
and
transportation
expenses.
9
(2)
The
department
shall
continue
the
categorical
federal
10
food
assistance
program
eligibility
at
160
percent
of
the
11
federal
poverty
level
and
continue
to
eliminate
the
asset
test
12
from
eligibility
requirements,
consistent
with
federal
food
13
assistance
program
requirements.
The
department
shall
include
14
as
many
food
assistance
households
as
is
allowed
by
federal
15
law.
The
eligibility
provisions
shall
conform
to
all
federal
16
requirements
including
requirements
addressing
individuals
who
17
are
incarcerated
or
otherwise
ineligible.
18
e.
For
the
JOBS
program:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,235,905
20
5.
Of
the
child
support
collections
assigned
under
FIP,
21
an
amount
equal
to
the
federal
share
of
support
collections
22
shall
be
credited
to
the
child
support
recovery
appropriation
23
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
24
assigned
child
support
collections
received
by
the
child
25
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
26
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
27
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
28
payments
account.
If
as
a
consequence
of
the
appropriations
29
and
allocations
made
in
this
section
the
resulting
amounts
30
are
insufficient
to
sustain
cash
assistance
payments
and
meet
31
federal
maintenance
of
effort
requirements,
the
department
32
shall
seek
supplemental
funding.
If
child
support
collections
33
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
34
determined
not
to
be
required
for
maintenance
of
effort,
the
35
-102-
HF
649
(7)
84
pf/jp/mb
102/
150
H.F.
649
state
share
of
either
amount
may
be
transferred
to
or
retained
1
in
the
child
support
payment
account.
2
6.
The
department
may
adopt
emergency
rules
for
the
family
3
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
4
if
necessary
to
comply
with
federal
requirements.
5
Sec.
82.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
6
is
appropriated
from
the
general
fund
of
the
state
to
the
7
department
of
human
services
for
the
fiscal
year
beginning
July
8
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
9
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
10
designated:
11
To
be
credited
to
the
family
investment
program
(FIP)
12
account
and
used
for
family
investment
program
assistance
under
13
chapter
239B:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,421,027
15
1.
Of
the
funds
appropriated
in
this
section,
$7,824,377
is
16
allocated
for
the
JOBS
program.
17
2.
Of
the
funds
appropriated
in
this
section,
$2,463,854
is
18
allocated
for
the
family
development
and
self-sufficiency
grant
19
program.
20
3.
Notwithstanding
section
8.39,
for
the
fiscal
year
21
beginning
July
1,
2012,
if
necessary
to
meet
federal
22
maintenance
of
effort
requirements
or
to
transfer
federal
23
temporary
assistance
for
needy
families
block
grant
funding
24
to
be
used
for
purposes
of
the
federal
social
services
block
25
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
26
receiving
federal
funding
or
to
implement,
in
accordance
with
27
this
division
of
this
Act,
activities
currently
funded
with
28
juvenile
court
services,
county,
or
community
moneys
and
state
29
moneys
used
in
combination
with
such
moneys,
the
department
30
of
human
services
may
transfer
funds
within
or
between
any
31
of
the
appropriations
made
in
this
division
of
this
Act
and
32
appropriations
in
law
for
the
federal
social
services
block
33
grant
to
the
department
for
the
following
purposes,
provided
34
that
the
combined
amount
of
state
and
federal
temporary
35
-103-
HF
649
(7)
84
pf/jp/mb
103/
150
H.F.
649
assistance
for
needy
families
block
grant
funding
for
each
1
appropriation
remains
the
same
before
and
after
the
transfer:
2
a.
For
the
family
investment
program.
3
b.
For
child
care
assistance.
4
c.
For
child
and
family
services.
5
d.
For
field
operations.
6
e.
For
general
administration.
7
f.
MH/MR/DD/BI
community
services
(local
purchase).
8
This
subsection
shall
not
be
construed
to
prohibit
the
use
9
of
existing
state
transfer
authority
for
other
purposes.
The
10
department
shall
report
any
transfers
made
pursuant
to
this
11
subsection
to
the
legislative
services
agency.
12
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
13
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
14
organization
with
a
history
of
providing
tax
preparation
15
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
16
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
17
supply
this
assistance
to
underserved
areas
of
the
state.
18
Sec.
83.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
19
from
the
general
fund
of
the
state
to
the
department
of
human
20
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
21
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
22
necessary,
to
be
used
for
the
purposes
designated:
23
For
child
support
recovery,
including
salaries,
support,
24
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
25
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,219,255
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
475.00
28
1.
The
department
shall
expend
up
to
$24,329,
including
29
federal
financial
participation,
for
the
fiscal
year
beginning
30
July
1,
2012,
for
a
child
support
public
awareness
campaign.
31
The
department
and
the
office
of
the
attorney
general
shall
32
cooperate
in
continuation
of
the
campaign.
The
public
33
awareness
campaign
shall
emphasize,
through
a
variety
of
34
media
activities,
the
importance
of
maximum
involvement
of
35
-104-
HF
649
(7)
84
pf/jp/mb
104/
150
H.F.
649
both
parents
in
the
lives
of
their
children
as
well
as
the
1
importance
of
payment
of
child
support
obligations.
2
2.
Federal
access
and
visitation
grant
moneys
shall
be
3
issued
directly
to
private
not-for-profit
agencies
that
provide
4
services
designed
to
increase
compliance
with
the
child
access
5
provisions
of
court
orders,
including
but
not
limited
to
6
neutral
visitation
sites
and
mediation
services.
7
3.
The
appropriation
made
to
the
department
for
child
8
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
9
manner
necessary
for
purposes
of
cash
flow
management,
and
for
10
cash
flow
management
purposes
the
department
may
temporarily
11
draw
more
than
the
amount
appropriated,
provided
the
amount
12
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
13
4.
With
the
exception
of
the
funding
amount
specified,
the
14
requirements
established
under
2001
Iowa
Acts,
chapter
191,
15
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
16
be
applicable
to
parental
obligation
pilot
projects
for
the
17
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013.
18
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
19
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
20
in
effect
until
June
30,
2013.
21
Sec.
84.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE.
Any
22
funds
remaining
in
the
health
care
trust
fund
created
in
23
section
453A.35A
for
the
fiscal
year
beginning
July
1,
2012,
24
and
ending
June
30,
2013,
are
appropriated
to
the
department
25
of
human
services
to
supplement
the
medical
assistance
program
26
appropriations
made
in
this
Act,
for
medical
assistance
27
reimbursement
and
associated
costs,
including
program
28
administration
and
costs
associated
with
implementation.
29
Sec.
85.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
30
general
fund
of
the
state
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
32
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
33
to
be
used
for
the
purpose
designated:
34
For
medical
assistance
reimbursement
and
associated
costs
35
-105-
HF
649
(7)
84
pf/jp/mb
105/
150
H.F.
649
as
specifically
provided
in
the
reimbursement
methodologies
1
in
effect
on
June
30,
2012,
except
as
otherwise
expressly
2
authorized
by
law,
including
reimbursement
for
abortion
3
services
which
shall
be
available
under
the
medical
assistance
4
program
only
for
those
abortions
which
are
medically
necessary:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$955,237,190
6
1.
Medically
necessary
abortions
are
those
performed
under
7
any
of
the
following
conditions:
8
a.
The
attending
physician
certifies
that
continuing
the
9
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
10
b.
Any
spontaneous
abortion,
commonly
known
as
a
11
miscarriage,
if
not
all
of
the
products
of
conception
are
12
expelled.
13
2.
The
department
shall
utilize
not
more
than
$60,000
of
14
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
15
health
insurance
premium
payment
program
as
established
in
1992
16
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
17
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
18
not
more
than
$5,000
may
be
expended
for
administrative
19
purposes.
20
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
21
of
public
health
for
addictive
disorders,
$950,000
for
the
22
fiscal
year
beginning
July
1,
2012,
shall
be
transferred
to
23
the
department
of
human
services
for
an
integrated
substance
24
abuse
managed
care
system.
The
department
shall
not
assume
25
management
of
the
substance
abuse
system
in
place
of
the
26
managed
care
contractor
unless
such
a
change
in
approach
is
27
specifically
authorized
in
law.
The
departments
of
human
28
services
and
public
health
shall
work
together
to
maintain
29
the
level
of
mental
health
and
substance
abuse
services
30
provided
by
the
managed
care
contractor
through
the
Iowa
plan
31
for
behavioral
health.
Each
department
shall
take
the
steps
32
necessary
to
continue
the
federal
waivers
as
necessary
to
33
maintain
the
level
of
services.
34
4.
a.
The
department
shall
aggressively
pursue
options
for
35
-106-
HF
649
(7)
84
pf/jp/mb
106/
150
H.F.
649
providing
medical
assistance
or
other
assistance
to
individuals
1
with
special
needs
who
become
ineligible
to
continue
receiving
2
services
under
the
early
and
periodic
screening,
diagnostic,
3
and
treatment
program
under
the
medical
assistance
program
4
due
to
becoming
21
years
of
age
who
have
been
approved
for
5
additional
assistance
through
the
department’s
exception
to
6
policy
provisions,
but
who
have
health
care
needs
in
excess
7
of
the
funding
available
through
the
exception
to
policy
8
provisions.
9
b.
Of
the
funds
appropriated
in
this
section,
$100,000
10
shall
be
used
for
participation
in
one
or
more
pilot
projects
11
operated
by
a
private
provider
to
allow
the
individual
or
12
individuals
to
receive
service
in
the
community
in
accordance
13
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
14
(1999),
for
the
purpose
of
providing
medical
assistance
or
15
other
assistance
to
individuals
with
special
needs
who
become
16
ineligible
to
continue
receiving
services
under
the
early
and
17
periodic
screening,
diagnosis,
and
treatment
program
under
18
the
medical
assistance
program
due
to
becoming
21
years
of
19
age
who
have
been
approved
for
additional
assistance
through
20
the
department’s
exception
to
policy
provisions,
but
who
have
21
health
care
needs
in
excess
of
the
funding
available
through
22
the
exception
to
the
policy
provisions.
23
5.
Of
the
funds
appropriated
in
this
section,
up
to
24
$3,050,082
may
be
transferred
to
the
field
operations
25
or
general
administration
appropriations
in
this
Act
for
26
operational
costs
associated
with
Part
D
of
the
federal
27
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
28
of
2003,
Pub.
L.
No.
108-173.
29
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
30
may
be
transferred
to
the
appropriation
in
this
Act
for
medical
31
contracts
to
be
used
for
clinical
assessment
services
and
prior
32
authorization
of
services.
33
7.
A
portion
of
the
funds
appropriated
in
this
section
34
may
be
transferred
to
the
appropriations
in
this
division
of
35
-107-
HF
649
(7)
84
pf/jp/mb
107/
150
H.F.
649
this
Act
for
general
administration,
medical
contracts,
the
1
children’s
health
insurance
program,
or
field
operations
to
be
2
used
for
the
state
match
cost
to
comply
with
the
payment
error
3
rate
measurement
(PERM)
program
for
both
the
medical
assistance
4
and
children’s
health
insurance
programs
as
developed
by
the
5
centers
for
Medicare
and
Medicaid
services
of
the
United
States
6
department
of
health
and
human
services
to
comply
with
the
7
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
8
107-300.
9
8.
It
is
the
intent
of
the
general
assembly
that
the
10
department
continue
to
implement
the
recommendations
of
11
the
assuring
better
child
health
and
development
initiative
12
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
13
screening,
diagnostic,
and
treatment
services
healthy
mental
14
development
collaborative
board
regarding
changes
to
billing
15
procedures,
codes,
and
eligible
service
providers.
16
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
17
amount
is
allocated
to
supplement
the
incomes
of
residents
of
18
nursing
facilities,
intermediate
care
facilities
for
persons
19
with
mental
illness,
and
intermediate
care
facilities
for
20
persons
with
mental
retardation,
with
incomes
of
less
than
$50
21
in
the
amount
necessary
for
the
residents
to
receive
a
personal
22
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A.
23
10.
Of
the
funds
appropriated
in
this
section,
the
following
24
amounts
shall
be
transferred
to
the
appropriations
made
in
this
25
division
of
this
Act
for
the
state
mental
health
institutes:
26
a.
Cherokee
mental
health
institute
..........
$
9,098,425
27
b.
Clarinda
mental
health
institute
..........
$
1,977,305
28
c.
Independence
mental
health
institute
......
$
9,045,894
29
d.
Mount
Pleasant
mental
health
institute
....
$
5,752,587
30
11.
a.
Of
the
funds
appropriated
in
this
section,
31
$7,425,684
is
allocated
for
the
state
match
for
a
32
disproportionate
share
hospital
payment
of
$19,133,430
to
33
hospitals
that
meet
both
of
the
conditions
specified
in
34
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
35
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meet
the
conditions
specified
shall
either
certify
public
1
expenditures
or
transfer
to
the
medical
assistance
program
2
an
amount
equal
to
provide
the
nonfederal
share
for
a
3
disproportionate
share
hospital
payment
of
$7,500,000.
The
4
hospitals
that
meet
the
conditions
specified
shall
receive
and
5
retain
100
percent
of
the
total
disproportionate
share
hospital
6
payment
of
$26,633,430.
7
(1)
The
hospital
qualifies
for
disproportionate
share
and
8
graduate
medical
education
payments.
9
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
10
than
500
beds
and
eight
or
more
distinct
residency
specialty
11
or
subspecialty
programs
recognized
by
the
American
college
of
12
graduate
medical
education.
13
b.
Distribution
of
the
disproportionate
share
payments
14
shall
be
made
on
a
monthly
basis.
The
total
amount
of
15
disproportionate
share
payments
including
graduate
medical
16
education,
enhanced
disproportionate
share,
and
Iowa
17
state-owned
teaching
hospital
payments
shall
not
exceed
the
18
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
19
In
addition,
the
total
amount
of
all
disproportionate
20
share
payments
shall
not
exceed
the
hospital-specific
21
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
22
12.
The
university
of
Iowa
hospitals
and
clinics
shall
23
either
certify
public
expenditures
or
transfer
to
the
medical
24
assistance
appropriation
an
amount
equal
to
provide
the
25
nonfederal
share
for
increased
medical
assistance
payments
for
26
inpatient
and
outpatient
hospital
services
of
$9,900,000.
The
27
university
of
Iowa
hospitals
and
clinics
shall
receive
and
28
retain
100
percent
of
the
total
increase
in
medical
assistance
29
payments.
30
13.
Of
the
funds
appropriated
in
this
section,
up
to
31
$4,480,304
may
be
transferred
to
the
IowaCare
account
created
32
in
section
249J.24.
33
14.
Of
the
funds
appropriated
in
this
section,
$200,000
34
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
35
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2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
1
Iowa
Acts,
chapter
179,
sections
166
and
167.
2
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
3
to
area
education
agencies
that
are
medical
assistance
4
providers
for
medical
assistance-covered
services
provided
to
5
medical
assistance-covered
children,
shall
be
made
from
the
6
appropriation
made
in
this
section.
7
16.
Any
new
or
renewed
contract
entered
into
by
the
8
department
with
a
third
party
to
administer
behavioral
health
9
services
under
the
medical
assistance
program
shall
provide
10
that
any
interest
earned
on
payments
from
the
state
during
11
the
state
fiscal
year
shall
be
remitted
to
the
department
12
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
13
assistance
program.
14
17.
The
department
shall
continue
to
implement
the
15
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
16
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
17
section
55,
relating
to
eligibility
for
certain
persons
with
18
disabilities
under
the
medical
assistance
program
in
accordance
19
with
the
federal
family
opportunity
Act.
20
18.
A
portion
of
the
funds
appropriated
in
this
section
21
may
be
transferred
to
the
appropriation
in
this
division
of
22
this
Act
for
medical
contracts
to
be
used
for
administrative
23
activities
associated
with
the
money
follows
the
person
24
demonstration
project.
25
19.
Of
the
funds
appropriated
in
this
section,
$349,011
26
shall
be
used
for
the
administration
of
the
health
insurance
27
premium
payment
program,
including
salaries,
support,
28
maintenance,
and
miscellaneous
purposes
for
the
fiscal
year
29
beginning
July
1,
2012.
30
20.
a.
The
department
may
increase
the
amounts
allocated
31
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
32
associated
with
the
medical
assistance
program
as
necessary
33
to
implement
cost
containment
efforts
in
order
to
accomplish
34
medical
assistance
program
savings.
The
department
shall
35
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report
any
such
increase
to
the
legislative
services
agency
and
1
department
of
management.
2
b.
If
the
savings
to
the
medical
assistance
program
exceed
3
the
cost,
the
department
may
transfer
any
savings
generated
4
for
the
fiscal
year
due
to
medical
assistance
program
cost
5
containment
efforts
initiated
pursuant
to
2010
Iowa
Acts,
6
chapter
1031,
Executive
Order
No.
20,
issued
December
16,
7
2009,
or
cost
containment
efforts
initiated
by
the
department
8
during
fiscal
year
2012-2013,
to
the
appropriation
made
in
9
this
division
of
this
Act
for
medical
contracts
or
general
10
administration
to
defray
the
increased
contract
costs
11
associated
with
implementing
such
efforts.
12
21.
The
department
may
implement
cost
containment
13
strategies
recommended
by
the
governor
by
using
a
sole
14
source
contract
process
or
by
expanding
an
existing
contract
15
without
using
a
competitive
process.
The
department
may
adopt
16
emergency
rules
to
implement
the
cost
containment
strategies
17
recommended
by
the
governor.
18
22.
The
department
shall
report
the
implementation
of
19
any
cost
containment
strategies
under
this
section
to
the
20
individuals
specified
in
this
Act
to
receive
reports
on
a
21
quarterly
basis.
22
23.
Notwithstanding
any
provision
of
law
to
the
contrary,
23
the
department
of
human
services
shall
continue
implementation
24
of
the
amended
section
1915(b)
waiver
and
Iowa
plan
contract
25
for
inclusion
of
remedial
services
under
the
Iowa
plan
contract
26
for
the
fiscal
year
beginning
July
1,
2012.
27
Sec.
86.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
28
general
fund
of
the
state
to
the
department
of
human
services
29
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
30
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
31
to
be
used
for
the
purpose
designated:
32
For
medical
contracts:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,773,844
34
The
department
of
inspections
and
appeals
shall
provide
all
35
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state
matching
funds
for
survey
and
certification
activities
1
performed
by
the
department
of
inspections
and
appeals.
2
The
department
of
human
services
is
solely
responsible
for
3
distributing
the
federal
matching
funds
for
such
activities.
4
Sec.
87.
STATE
SUPPLEMENTARY
ASSISTANCE.
5
1.
There
is
appropriated
from
the
general
fund
of
the
6
state
to
the
department
of
human
services
for
the
fiscal
year
7
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
8
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
9
purpose
designated:
10
For
the
state
supplementary
assistance
program:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,850,747
12
2.
The
department
shall
increase
the
personal
needs
13
allowance
for
residents
of
residential
care
facilities
by
the
14
same
percentage
and
at
the
same
time
as
federal
supplemental
15
security
income
and
federal
social
security
benefits
are
16
increased
due
to
a
recognized
increase
in
the
cost
of
living.
17
The
department
may
adopt
emergency
rules
to
implement
this
18
subsection.
19
3.
If
during
the
fiscal
year
beginning
July
1,
2012,
20
the
department
projects
that
state
supplementary
assistance
21
expenditures
for
a
calendar
year
will
not
meet
the
federal
22
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
23
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
24
§
1382g,
the
department
may
take
actions
including
but
not
25
limited
to
increasing
the
personal
needs
allowance
for
26
residential
care
facility
residents
and
making
programmatic
27
adjustments
or
upward
adjustments
of
the
residential
care
28
facility
or
in-home
health-related
care
reimbursement
rates
29
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
30
requirements
are
met.
In
addition,
the
department
may
make
31
other
programmatic
and
rate
adjustments
necessary
to
remain
32
within
the
amount
appropriated
in
this
section
while
ensuring
33
compliance
with
federal
requirements.
The
department
may
adopt
34
emergency
rules
to
implement
the
provisions
of
this
subsection.
35
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Sec.
88.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
There
1
is
appropriated
from
the
general
fund
of
the
state
to
the
2
department
of
human
services
for
the
fiscal
year
beginning
July
3
1,
2012,
and
ending
June
30,
2013,
the
following
amount,
or
4
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
5
designated:
6
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
7
program
pursuant
to
chapter
514I,
including
supplemental
dental
8
services,
for
receipt
of
federal
financial
participation
under
9
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
10
children’s
health
insurance
program:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,927,152
12
Sec.
89.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
13
from
the
general
fund
of
the
state
to
the
department
of
human
14
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
15
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purpose
designated:
17
For
child
care
programs:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
53,237,662
19
1.
Of
the
funds
appropriated
in
this
section,
$51,868,235
20
shall
be
used
for
state
child
care
assistance
in
accordance
21
with
section
237A.13.
22
2.
Nothing
in
this
section
shall
be
construed
or
is
23
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
24
to
persons
who
are
eligible
for
assistance
due
to
an
income
25
level
consistent
with
the
waiting
list
requirements
of
section
26
237A.13.
Any
state
obligation
to
provide
services
pursuant
to
27
this
section
is
limited
to
the
extent
of
the
funds
appropriated
28
in
this
section.
29
3.
Of
the
funds
appropriated
in
this
section,
$432,453
is
30
allocated
for
the
statewide
program
for
child
care
resource
31
and
referral
services
under
section
237A.26.
A
list
of
the
32
registered
and
licensed
child
care
facilities
operating
in
the
33
area
served
by
a
child
care
resource
and
referral
service
shall
34
be
made
available
to
the
families
receiving
state
child
care
35
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assistance
in
that
area.
1
4.
Of
the
funds
appropriated
in
this
section,
$936,974
2
is
allocated
for
child
care
quality
improvement
initiatives
3
including
but
not
limited
to
the
voluntary
quality
rating
4
system
in
accordance
with
section
237A.30.
The
$2,000,000
5
reduction
applied
to
the
combined
state
and
federal
funding
6
allocated
for
quality
improvement
in
the
prior
fiscal
year
7
shall
be
continued.
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
35
-114-
HF
649
(7)
84
pf/jp/mb
114/
150
H.F.
649
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.
4
If
there
is
an
unanticipated
increase
in
federal
funding
5
provided
for
state
child
care
assistance,
the
entire
amount
6
of
the
increase
shall
be
used
for
state
child
care
assistance
7
payments.
If
the
appropriations
made
for
purposes
of
the
8
state
child
care
assistance
program
for
the
fiscal
year
are
9
determined
to
be
insufficient,
it
is
the
intent
of
the
general
10
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
11
in
order
to
avoid
establishment
of
waiting
list
requirements.
12
8.
Notwithstanding
section
8.33,
moneys
appropriated
in
13
this
section
or
received
from
the
federal
appropriations
made
14
for
the
purposes
of
this
section
that
remain
unencumbered
or
15
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
16
to
any
fund
but
shall
remain
available
for
expenditure
for
the
17
purposes
designated
until
the
close
of
the
succeeding
fiscal
18
year.
19
Sec.
90.
JUVENILE
INSTITUTIONS.
There
is
appropriated
20
from
the
general
fund
of
the
state
to
the
department
of
human
21
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
22
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
23
necessary,
to
be
used
for
the
purposes
designated:
24
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
25
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
26
for
not
more
than
the
following
full-time
equivalent
positions:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,380,319
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
29
2.
For
operation
of
the
state
training
school
at
Eldora
and
30
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
31
and
for
not
more
than
the
following
full-time
equivalent
32
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,733,590
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
35
-115-
HF
649
(7)
84
pf/jp/mb
115/
150
H.F.
649
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
1
be
used
for
distribution
to
licensed
classroom
teachers
at
this
2
and
other
institutions
under
the
control
of
the
department
of
3
human
services
based
upon
the
average
student
yearly
enrollment
4
at
each
institution
as
determined
by
the
department.
5
3.
A
portion
of
the
moneys
appropriated
in
this
section
6
shall
be
used
by
the
state
training
school
and
by
the
Iowa
7
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
8
activities
at
the
institutions
in
the
fiscal
year
beginning
9
July
1,
2012.
10
Sec.
91.
CHILD
AND
FAMILY
SERVICES.
11
1.
There
is
appropriated
from
the
general
fund
of
the
12
state
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purpose
designated:
16
For
child
and
family
services:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
83,020,163
18
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
19
amount
allocated
under
the
appropriation
made
for
the
purposes
20
of
this
section
in
prior
years
for
purposes
of
juvenile
21
delinquent
graduated
sanction
services,
up
to
$5,200,000
of
the
22
amount
of
federal
temporary
assistance
for
needy
families
block
23
grant
funding
appropriated
in
this
division
of
this
Act
for
24
child
and
family
services
shall
be
made
available
for
purposes
25
of
juvenile
delinquent
graduated
sanction
services.
26
3.
The
department
may
transfer
funds
appropriated
in
this
27
section
as
necessary
to
pay
the
nonfederal
costs
of
services
28
reimbursed
under
the
medical
assistance
program,
state
child
29
care
assistance
program,
or
the
family
investment
program
which
30
are
provided
to
children
who
would
otherwise
receive
services
31
paid
under
the
appropriation
in
this
section.
The
department
32
may
transfer
funds
appropriated
in
this
section
to
the
33
appropriations
made
in
this
division
of
this
Act
for
general
34
administration
and
for
field
operations
for
resources
necessary
35
-116-
HF
649
(7)
84
pf/jp/mb
116/
150
H.F.
649
to
implement
and
operate
the
services
funded
in
this
section.
1
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
2
$30,169,129
is
allocated
as
the
statewide
expenditure
target
3
under
section
232.143
for
group
foster
care
maintenance
and
4
services.
If
the
department
projects
that
such
expenditures
5
for
the
fiscal
year
will
be
less
than
the
target
amount
6
allocated
in
this
lettered
paragraph,
the
department
may
7
reallocate
the
excess
to
provide
additional
funding
for
shelter
8
care
or
the
child
welfare
emergency
services
addressed
with
the
9
allocation
for
shelter
care.
10
b.
If
at
any
time
after
September
30,
2012,
annualization
11
of
a
service
area’s
current
expenditures
indicates
a
service
12
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
13
target
under
section
232.143
by
more
than
5
percent,
the
14
department
and
juvenile
court
services
shall
examine
all
15
group
foster
care
placements
in
that
service
area
in
order
to
16
identify
those
which
might
be
appropriate
for
termination.
17
In
addition,
any
aftercare
services
believed
to
be
needed
18
for
the
children
whose
placements
may
be
terminated
shall
be
19
identified.
The
department
and
juvenile
court
services
shall
20
initiate
action
to
set
dispositional
review
hearings
for
the
21
placements
identified.
In
such
a
dispositional
review
hearing,
22
the
juvenile
court
shall
determine
whether
needed
aftercare
23
services
are
available
and
whether
termination
of
the
placement
24
is
in
the
best
interest
of
the
child
and
the
community.
25
5.
In
accordance
with
the
provisions
of
section
232.188,
26
the
department
shall
continue
the
child
welfare
and
juvenile
27
justice
funding
initiative
during
fiscal
year
2012-2013.
Of
28
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
29
specifically
for
expenditure
for
fiscal
year
2012-2013
through
30
the
decategorization
service
funding
pools
and
governance
31
boards
established
pursuant
to
section
232.188.
32
6.
A
portion
of
the
funds
appropriated
in
this
section
33
may
be
used
for
emergency
family
assistance
to
provide
other
34
resources
required
for
a
family
participating
in
a
family
35
-117-
HF
649
(7)
84
pf/jp/mb
117/
150
H.F.
649
preservation
or
reunification
project
or
successor
project
to
1
stay
together
or
to
be
reunified.
2
7.
Notwithstanding
section
234.35
or
any
other
provision
3
of
law
to
the
contrary,
state
funding
for
shelter
care
and
4
the
child
welfare
emergency
services
contracting
implemented
5
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
6
limited
to
$7,170,116.
The
department
may
execute
contracts
7
that
result
from
the
department’s
request
for
proposal,
bid
8
number
ACFS-11-114,
to
provide
the
range
of
child
welfare
9
emergency
services
described
in
the
request
for
proposals,
and
10
any
subsequent
amendments
to
the
request
for
proposals.
11
8.
Federal
funds
received
by
the
state
during
the
fiscal
12
year
beginning
July
1,
2012,
as
the
result
of
the
expenditure
13
of
state
funds
appropriated
during
a
previous
state
fiscal
14
year
for
a
service
or
activity
funded
under
this
section
are
15
appropriated
to
the
department
to
be
used
as
additional
funding
16
for
services
and
purposes
provided
for
under
this
section.
17
Notwithstanding
section
8.33,
moneys
received
in
accordance
18
with
this
subsection
that
remain
unencumbered
or
unobligated
at
19
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
20
shall
remain
available
for
the
purposes
designated
until
the
21
close
of
the
succeeding
fiscal
year.
22
9.
Of
the
funds
appropriated
in
this
section,
at
least
23
$3,696,285
shall
be
used
for
protective
child
care
assistance.
24
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
25
$2,062,488
is
allocated
for
the
payment
of
the
expenses
of
26
court-ordered
services
provided
to
juveniles
who
are
under
the
27
supervision
of
juvenile
court
services,
which
expenses
are
a
28
charge
upon
the
state
pursuant
to
section
232.141,
subsection
29
4.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
to
30
$1,556,287
shall
be
made
available
to
provide
school-based
31
supervision
of
children
adjudicated
under
chapter
232,
of
which
32
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
33
A
portion
of
the
cost
of
each
school-based
liaison
officer
34
shall
be
paid
by
the
school
district
or
other
funding
source
as
35
-118-
HF
649
(7)
84
pf/jp/mb
118/
150
H.F.
649
approved
by
the
chief
juvenile
court
officer.
1
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
2
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
3
services
provided
to
children
who
are
under
the
supervision
4
of
the
department,
which
expenses
are
a
charge
upon
the
state
5
pursuant
to
section
232.141,
subsection
4.
6
c.
Notwithstanding
section
232.141
or
any
other
provision
7
of
law
to
the
contrary,
the
amounts
allocated
in
this
8
subsection
shall
be
distributed
to
the
judicial
districts
9
as
determined
by
the
state
court
administrator
and
to
the
10
department’s
service
areas
as
determined
by
the
administrator
11
of
the
department’s
division
of
child
and
family
services.
The
12
state
court
administrator
and
the
division
administrator
shall
13
make
the
determination
of
the
distribution
amounts
on
or
before
14
June
15,
2012.
15
d.
Notwithstanding
chapter
232
or
any
other
provision
of
16
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
17
order
any
service
which
is
a
charge
upon
the
state
pursuant
18
to
section
232.141
if
there
are
insufficient
court-ordered
19
services
funds
available
in
the
district
court
or
departmental
20
service
area
distribution
amounts
to
pay
for
the
service.
The
21
chief
juvenile
court
officer
and
the
departmental
service
area
22
manager
shall
encourage
use
of
the
funds
allocated
in
this
23
subsection
such
that
there
are
sufficient
funds
to
pay
for
24
all
court-related
services
during
the
entire
year.
The
chief
25
juvenile
court
officers
and
departmental
service
area
managers
26
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
27
in
the
distribution
amounts
and
shall
cooperatively
request
the
28
state
court
administrator
or
division
administrator
to
transfer
29
funds
between
the
judicial
districts’
or
departmental
service
30
areas’
distribution
amounts
as
prudent.
31
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
32
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
33
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
34
entered
under
chapter
232
which
is
a
charge
upon
the
state
35
-119-
HF
649
(7)
84
pf/jp/mb
119/
150
H.F.
649
under
section
232.141,
subsection
4.
1
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
2
$83,000
may
be
used
by
the
judicial
branch
for
administration
3
of
the
requirements
under
this
subsection.
4
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
5
shall
be
used
by
the
department
of
human
services
to
support
6
the
interstate
commission
for
juveniles
in
accordance
with
7
the
interstate
compact
for
juveniles
as
provided
in
section
8
232.173.
9
11.
Of
the
funds
appropriated
in
this
section,
$4,522,602
is
10
allocated
for
juvenile
delinquent
graduated
sanctions
services.
11
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
12
services
to
earn
federal
Tit.
IV-E
match
for
juvenile
court
13
services
administration
may
be
used
for
the
juvenile
delinquent
14
graduated
sanctions
services.
15
12.
Of
the
funds
appropriated
in
this
section,
$988,285
16
shall
be
transferred
to
the
department
of
public
health
to
17
be
used
for
the
child
protection
center
grant
program
in
18
accordance
with
section
135.118.
19
13.
If
the
department
receives
federal
approval
to
20
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
21
Security
Act
to
enable
providers
to
serve
children
who
remain
22
in
the
children’s
families
and
communities,
for
purposes
of
23
eligibility
under
the
medical
assistance
program,
children
who
24
participate
in
the
waiver
shall
be
considered
to
be
placed
in
25
foster
care.
26
14.
Of
the
funds
appropriated
in
this
section,
$3,069,832
is
27
allocated
for
the
preparation
for
adult
living
program
pursuant
28
to
section
234.46.
29
15.
Of
the
funds
appropriated
in
this
section,
$520,150
30
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
31
in
this
subsection
shall
be
distributed
as
follows:
32
To
the
judicial
branch
for
salaries
to
assist
with
the
33
operation
of
juvenile
drug
court
programs
operated
in
the
34
following
jurisdictions:
35
-120-
HF
649
(7)
84
pf/jp/mb
120/
150
H.F.
649
a.
Marshall
county:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,708
2
b.
Woodbury
county:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,682
4
c.
Polk
county:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
195,892
6
d.
The
third
judicial
district:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
8
e.
The
eighth
judicial
district:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
10
16.
Of
the
funds
appropriated
in
this
section,
$227,337
11
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
12
a
nonprofit
human
services
organization
providing
services
to
13
individuals
and
families
in
multiple
locations
in
southwest
14
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
15
sensitive
support
and
forensic
interviews,
medical
exams,
needs
16
assessments,
and
referrals
for
victims
of
child
abuse
and
their
17
nonoffending
family
members.
18
17.
Of
the
funds
appropriated
in
this
section,
$125,590
19
is
allocated
for
the
elevate
approach
of
providing
a
support
20
network
to
children
placed
in
foster
care.
21
18.
Of
the
funds
appropriated
in
this
section,
$202,000
is
22
allocated
for
use
pursuant
to
section
235A.1
for
continuation
23
of
the
initiative
to
address
child
sexual
abuse
implemented
24
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
25
21.
26
19.
Of
the
funds
appropriated
in
this
section,
$630,240
is
27
allocated
for
the
community
partnership
for
child
protection
28
sites.
29
20.
Of
the
funds
appropriated
in
this
section,
$371,250
30
is
allocated
for
the
department’s
minority
youth
and
family
31
projects
under
the
redesign
of
the
child
welfare
system.
32
21.
Of
the
funds
appropriated
in
this
section,
$1,200,495
33
is
allocated
for
funding
of
the
state
match
for
the
federal
34
substance
abuse
and
mental
health
services
administration
35
-121-
HF
649
(7)
84
pf/jp/mb
121/
150
H.F.
649
(SAMHSA)
system
of
care
grant.
1
22.
Of
the
funds
appropriated
in
this
section,
at
least
2
$147,158
shall
be
used
for
the
child
welfare
training
academy.
3
23.
Of
the
funds
appropriated
in
this
section,
$25,000
4
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
5
a
child
welfare
services
provider
headquartered
in
a
county
6
with
a
population
between
205,000
and
215,000
in
the
latest
7
certified
federal
census
that
provides
multiple
services
8
including
but
not
limited
to
a
psychiatric
medical
institution
9
for
children,
shelter,
residential
treatment,
after
school
10
programs,
school-based
programming,
and
an
Asperger’s
syndrome
11
program,
to
be
used
for
support
services
for
children
with
12
autism
spectrum
disorder
and
their
families.
13
Sec.
92.
ADOPTION
SUBSIDY.
14
1.
There
is
appropriated
from
the
general
fund
of
the
15
state
to
the
department
of
human
services
for
the
fiscal
year
16
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
17
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
18
purpose
designated:
19
For
adoption
subsidy
payments
and
services:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,897,591
21
2.
The
department
may
transfer
funds
appropriated
in
this
22
section
to
the
appropriation
made
in
this
Act
for
general
23
administration
for
costs
paid
from
the
appropriation
relating
24
to
adoption
subsidy.
25
3.
Federal
funds
received
by
the
state
during
the
26
fiscal
year
beginning
July
1,
2012,
as
the
result
of
the
27
expenditure
of
state
funds
during
a
previous
state
fiscal
28
year
for
a
service
or
activity
funded
under
this
section
are
29
appropriated
to
the
department
to
be
used
as
additional
funding
30
for
the
services
and
activities
funded
under
this
section.
31
Notwithstanding
section
8.33,
moneys
received
in
accordance
32
with
this
subsection
that
remain
unencumbered
or
unobligated
33
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
34
but
shall
remain
available
for
expenditure
for
the
purposes
35
-122-
HF
649
(7)
84
pf/jp/mb
122/
150
H.F.
649
designated
until
the
close
of
the
succeeding
fiscal
year.
1
Sec.
93.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
2
in
the
juvenile
detention
home
fund
created
in
section
232.142
3
during
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
4
30,
2013,
are
appropriated
to
the
department
of
human
services
5
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
6
2013,
for
distribution
of
an
amount
equal
to
a
percentage
of
7
the
costs
of
the
establishment,
improvement,
operation,
and
8
maintenance
of
county
or
multicounty
juvenile
detention
homes
9
in
the
fiscal
year
beginning
July
1,
2011.
Moneys
appropriated
10
for
distribution
in
accordance
with
this
section
shall
be
11
allocated
among
eligible
detention
homes,
prorated
on
the
basis
12
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
13
eligible
detention
homes
in
the
fiscal
year
beginning
July
14
1,
2011.
The
percentage
figure
shall
be
determined
by
the
15
department
based
on
the
amount
available
for
distribution
for
16
the
fund.
Notwithstanding
section
232.142,
subsection
3,
the
17
financial
aid
payable
by
the
state
under
that
provision
for
the
18
fiscal
year
beginning
July
1,
2012,
shall
be
limited
to
the
19
amount
appropriated
for
the
purposes
of
this
section.
20
Sec.
94.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
21
1.
There
is
appropriated
from
the
general
fund
of
the
22
state
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
24
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
25
purpose
designated:
26
For
the
family
support
subsidy
program
subject
to
the
27
enrollment
restrictions
in
section
225C.37,
subsection
3:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,167,998
29
2.
The
department
shall
use
at
least
$385,500
of
the
moneys
30
appropriated
in
this
section
for
the
family
support
center
31
component
of
the
comprehensive
family
support
program
under
32
section
225C.47.
Not
more
than
$25,000
of
the
amount
allocated
33
in
this
subsection
shall
be
used
for
administrative
costs.
34
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
35
-123-
HF
649
(7)
84
pf/jp/mb
123/
150
H.F.
649
funding
available
for
the
family
support
subsidy
program
1
is
reduced
from
the
amount
initially
used
to
establish
the
2
figure
for
the
number
of
family
members
for
whom
a
subsidy
3
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
4
notwithstanding
section
225C.38,
subsection
2,
the
department
5
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
6
of
funding
available.
7
Sec.
95.
CONNER
DECREE.
There
is
appropriated
from
the
8
general
fund
of
the
state
to
the
department
of
human
services
9
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
10
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
11
to
be
used
for
the
purpose
designated:
12
For
building
community
capacity
through
the
coordination
13
and
provision
of
training
opportunities
in
accordance
with
the
14
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
15
Iowa,
July
14,
1994):
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,622
17
Sec.
96.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
18
from
the
general
fund
of
the
state
to
the
department
of
human
19
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
20
June
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purposes
designated:
22
1.
For
the
state
mental
health
institute
at
Cherokee
for
23
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
24
for
not
more
than
the
following
full-time
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,674,554
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
168.50
27
2.
For
the
state
mental
health
institute
at
Clarinda
for
28
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
29
for
not
more
than
the
following
full-time
equivalent
positions:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,510,702
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
32
3.
For
the
state
mental
health
institute
at
Independence
for
33
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
34
for
not
more
than
the
following
full-time
equivalent
positions:
35
-124-
HF
649
(7)
84
pf/jp/mb
124/
150
H.F.
649
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,476,777
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
2
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
3
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
4
and
for
not
more
than
the
following
full-time
equivalent
5
positions:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,053,121
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
91.72
8
Sec.
97.
STATE
RESOURCE
CENTERS.
9
1.
There
is
appropriated
from
the
general
fund
of
the
10
state
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
12
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
13
purposes
designated:
14
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
15
support,
maintenance,
and
miscellaneous
purposes:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,450,698
17
b.
For
the
state
resource
center
at
Woodward
for
salaries,
18
support,
maintenance,
and
miscellaneous
purposes:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,492,418
20
2.
The
department
may
continue
to
bill
for
state
resource
21
center
services
utilizing
a
scope
of
services
approach
used
for
22
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
23
shift
costs
between
the
medical
assistance
program,
counties,
24
or
other
sources
of
funding
for
the
state
resource
centers.
25
3.
The
state
resource
centers
may
expand
the
time-limited
26
assessment
and
respite
services
during
the
fiscal
year.
27
4.
If
the
department’s
administration
and
the
department
28
of
management
concur
with
a
finding
by
a
state
resource
29
center’s
superintendent
that
projected
revenues
can
reasonably
30
be
expected
to
pay
the
salary
and
support
costs
for
a
new
31
employee
position,
or
that
such
costs
for
adding
a
particular
32
number
of
new
positions
for
the
fiscal
year
would
be
less
33
than
the
overtime
costs
if
new
positions
would
not
be
added,
34
the
superintendent
may
add
the
new
position
or
positions.
If
35
-125-
HF
649
(7)
84
pf/jp/mb
125/
150
H.F.
649
the
vacant
positions
available
to
a
resource
center
do
not
1
include
the
position
classification
desired
to
be
filled,
the
2
state
resource
center’s
superintendent
may
reclassify
any
3
vacant
position
as
necessary
to
fill
the
desired
position.
The
4
superintendents
of
the
state
resource
centers
may,
by
mutual
5
agreement,
pool
vacant
positions
and
position
classifications
6
during
the
course
of
the
fiscal
year
in
order
to
assist
one
7
another
in
filling
necessary
positions.
8
5.
If
existing
capacity
limitations
are
reached
in
9
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
10
a
special
need
for
which
a
payment
source
or
other
funding
11
is
available
for
the
service
or
to
address
the
special
need,
12
and
facilities
for
the
service
or
to
address
the
special
need
13
can
be
provided
within
the
available
payment
source
or
other
14
funding,
the
superintendent
of
a
state
resource
center
may
15
authorize
opening
not
more
than
two
units
or
other
facilities
16
and
begin
implementing
the
service
or
addressing
the
special
17
need
during
fiscal
year
2012-2013.
18
Sec.
98.
MI/MR/DD
STATE
CASES.
19
1.
There
is
appropriated
from
the
general
fund
of
the
20
state
to
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
22
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
23
purpose
designated:
24
For
distribution
to
counties
for
state
case
services
25
for
persons
with
mental
illness,
mental
retardation,
and
26
developmental
disabilities
in
accordance
with
section
331.440:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,169,482
28
2.
For
the
fiscal
year
beginning
July
1,
2012,
and
ending
29
June
30,
2013,
$200,000
is
allocated
for
state
case
services
30
from
the
amounts
appropriated
from
the
fund
created
in
section
31
8.41
to
the
department
of
human
services
from
the
funds
32
received
from
the
federal
government
under
42
U.S.C.
ch.
6A,
33
subch.
XVII,
relating
to
the
community
mental
health
center
34
block
grant,
for
the
federal
fiscal
years
beginning
October
35
-126-
HF
649
(7)
84
pf/jp/mb
126/
150
H.F.
649
1,
2010,
and
ending
September
30,
2011,
beginning
October
1,
1
2011,
and
ending
September
30,
2012,
and
beginning
October
1,
2
2012,
and
ending
September
30,
2013.
The
allocation
made
in
3
this
subsection
shall
be
made
prior
to
any
other
distribution
4
allocation
of
the
appropriated
federal
funds.
5
3.
Notwithstanding
section
8.33,
moneys
appropriated
in
6
this
section
that
remain
unencumbered
or
unobligated
at
the
7
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
8
available
for
expenditure
for
the
purposes
designated
until
the
9
close
of
the
succeeding
fiscal
year.
10
Sec.
99.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
11
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
12
the
general
fund
of
the
state
to
the
mental
health
and
13
developmental
disabilities
community
services
fund
created
in
14
section
225C.7
for
the
fiscal
year
beginning
July
1,
2012,
and
15
ending
June
30,
2013,
the
following
amount,
or
so
much
thereof
16
as
is
necessary,
to
be
used
for
the
purpose
designated:
17
For
mental
health
and
developmental
disabilities
community
18
services
in
accordance
with
this
division
of
this
Act:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
20
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
21
shall
be
allocated
to
counties
for
funding
of
community-based
22
mental
health
and
developmental
disabilities
services.
The
23
moneys
shall
be
allocated
to
a
county
as
follows:
24
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
25
state’s
population
of
persons
with
an
annual
income
which
is
26
equal
to
or
less
than
the
poverty
guideline
established
by
the
27
federal
office
of
management
and
budget.
28
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
29
state’s
general
population.
30
2.
a.
A
county
shall
utilize
the
funding
the
county
31
receives
pursuant
to
subsection
1
for
services
provided
to
32
persons
with
a
disability,
as
defined
in
section
225C.2.
33
However,
no
more
than
50
percent
of
the
funding
shall
be
used
34
for
services
provided
to
any
one
of
the
service
populations.
35
-127-
HF
649
(7)
84
pf/jp/mb
127/
150
H.F.
649
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
1
county
receives
under
subsection
1
for
contemporary
services
2
provided
to
persons
with
a
disability,
as
described
in
rules
3
adopted
by
the
department.
4
3.
Of
the
funds
appropriated
in
this
section,
$23,544
5
shall
be
used
to
support
the
Iowa
compass
program
providing
6
computerized
information
and
referral
services
for
Iowans
with
7
disabilities
and
their
families.
8
4.
a.
Funding
appropriated
for
purposes
of
the
federal
9
social
services
block
grant
is
allocated
for
distribution
10
to
counties
for
local
purchase
of
services
for
persons
with
11
mental
illness
or
mental
retardation
or
other
developmental
12
disability.
13
b.
The
funds
allocated
in
this
subsection
shall
be
expended
14
by
counties
in
accordance
with
the
county’s
county
management
15
plan
approved
by
the
board
of
supervisors.
A
county
without
16
an
approved
county
management
plan
shall
not
receive
allocated
17
funds
until
the
county’s
management
plan
is
approved.
18
c.
The
funds
provided
by
this
subsection
shall
be
allocated
19
to
each
county
as
follows:
20
(1)
Fifty
percent
based
upon
the
county’s
proportion
of
the
21
state’s
population
of
persons
with
an
annual
income
which
is
22
equal
to
or
less
than
the
poverty
guideline
established
by
the
23
federal
office
of
management
and
budget.
24
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
25
county
for
local
purchase
of
services
in
the
preceding
fiscal
26
year.
27
5.
A
county
is
eligible
for
funds
under
this
section
if
the
28
county
qualifies
for
a
state
payment
as
described
in
section
29
331.439.
30
6.
The
most
recent
population
estimates
issued
by
the
United
31
States
bureau
of
the
census
shall
be
applied
for
the
population
32
factors
utilized
in
this
section.
33
Sec.
100.
SEXUALLY
VIOLENT
PREDATORS.
34
1.
There
is
appropriated
from
the
general
fund
of
the
35
-128-
HF
649
(7)
84
pf/jp/mb
128/
150
H.F.
649
state
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
2
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purpose
designated:
4
For
costs
associated
with
the
commitment
and
treatment
of
5
sexually
violent
predators
in
the
unit
located
at
the
state
6
mental
health
institute
at
Cherokee,
including
costs
of
legal
7
services
and
other
associated
costs,
including
salaries,
8
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
9
more
than
the
following
full-time
equivalent
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,674,554
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
89.50
12
2.
Unless
specifically
prohibited
by
law,
if
the
amount
13
charged
provides
for
recoupment
of
at
least
the
entire
amount
14
of
direct
and
indirect
costs,
the
department
of
human
services
15
may
contract
with
other
states
to
provide
care
and
treatment
16
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
17
violent
predators
at
Cherokee.
The
moneys
received
under
18
such
a
contract
shall
be
considered
to
be
repayment
receipts
19
and
used
for
the
purposes
of
the
appropriation
made
in
this
20
section.
21
Sec.
101.
FIELD
OPERATIONS.
There
is
appropriated
from
the
22
general
fund
of
the
state
to
the
department
of
human
services
23
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
24
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
25
to
be
used
for
the
purposes
designated:
26
For
field
operations,
including
salaries,
support,
27
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
28
the
following
full-time
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,339,921
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,781.00
31
Priority
in
filling
full-time
equivalent
positions
shall
be
32
given
to
those
positions
related
to
child
protection
services
33
and
eligibility
determination
for
low-income
families.
34
Sec.
102.
GENERAL
ADMINISTRATION.
There
is
appropriated
35
-129-
HF
649
(7)
84
pf/jp/mb
129/
150
H.F.
649
from
the
general
fund
of
the
state
to
the
department
of
human
1
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
2
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
3
necessary,
to
be
used
for
the
purpose
designated:
4
For
general
administration,
including
salaries,
support,
5
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
6
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,146,745
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
285.00
9
1.
Of
the
funds
appropriated
in
this
section,
$38,543
10
allocated
for
the
prevention
of
disabilities
policy
council
11
established
in
section
225B.3.
12
2.
The
department
shall
report
at
least
monthly
to
the
13
legislative
services
agency
concerning
the
department’s
14
operational
and
program
expenditures.
15
3.
Of
the
funds
appropriated
in
this
section,
$150,000
16
shall
be
used
to
continue
the
program
to
provide
technical
17
assistance,
support,
and
consultation
to
providers
of
18
habilitation
services
and
home
and
community-based
waiver
19
services
for
adults
with
disabilities
under
the
medical
20
assistance
program.
21
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
22
be
used
to
expand
the
provision
of
nationally
accredited
and
23
recognized
internet-based
training
to
include
mental
health
and
24
disability
services
providers.
25
Sec.
103.
VOLUNTEERS.
There
is
appropriated
from
the
26
general
fund
of
the
state
to
the
department
of
human
services
27
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
28
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
29
to
be
used
for
the
purpose
designated:
30
For
development
and
coordination
of
volunteer
services:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,660
32
Sec.
104.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
33
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
34
DEPARTMENT
OF
HUMAN
SERVICES.
35
-130-
HF
649
(7)
84
pf/jp/mb
130/
150
H.F.
649
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
1
the
total
state
funding
amount
for
the
nursing
facility
budget
2
shall
not
exceed
$225,502,551.
3
(2)
The
department,
in
cooperation
with
nursing
facility
4
representatives,
shall
review
projections
for
state
funding
5
expenditures
for
reimbursement
of
nursing
facilities
on
a
6
quarterly
basis
and
the
department
shall
determine
if
an
7
adjustment
to
the
medical
assistance
reimbursement
rate
is
8
necessary
in
order
to
provide
reimbursement
within
the
state
9
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
10
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
11
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
12
if
the
state
funding
expenditures
for
the
nursing
facility
13
budget
for
the
fiscal
year
is
projected
to
exceed
the
amount
14
specified
in
subparagraph
(1),
the
department
shall
adjust
15
the
reimbursement
for
nursing
facilities
reimbursed
under
the
16
case-mix
reimbursement
system
to
maintain
expenditures
of
the
17
nursing
facility
budget
within
the
specified
amount
for
the
18
fiscal
year.
19
(3)
For
the
fiscal
year
beginning
July
1,
2012,
special
20
population
nursing
facilities
shall
be
reimbursed
in
accordance
21
with
the
methodology
in
effect
on
June
30,
2012.
22
b.
For
the
fiscal
year
beginning
July
1,
2012,
the
23
department
shall
reimburse
pharmacy
dispensing
fees
using
a
24
single
rate
of
$4.34
per
prescription
or
the
pharmacy’s
usual
25
and
customary
fee,
whichever
is
lower.
26
c.
(1)
For
the
fiscal
year
beginning
July
1,
2012,
27
reimbursement
rates
for
outpatient
hospital
services
shall
28
remain
at
the
rates
in
effect
on
June
30,
2012.
29
(2)
For
the
fiscal
year
beginning
July
1,
2012,
30
reimbursement
rates
for
inpatient
hospital
services
shall
31
remain
at
the
rates
in
effect
on
June
30,
2012.
32
(3)
For
the
fiscal
year
beginning
July
1,
2012,
the
graduate
33
medical
education
and
disproportionate
share
hospital
fund
34
shall
remain
at
the
amount
in
effect
on
June
30,
2012.
35
-131-
HF
649
(7)
84
pf/jp/mb
131/
150
H.F.
649
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
1
funds
in
procuring
health
care
services
for
low-income
Iowans,
2
funds
appropriated
in
this
Act
for
hospital
services
shall
3
not
be
used
for
activities
which
would
be
excluded
from
a
4
determination
of
reasonable
costs
under
the
federal
Medicare
5
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
6
d.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
7
rates
for
rural
health
clinics,
hospices,
and
acute
mental
8
hospitals
shall
be
increased
in
accordance
with
increases
under
9
the
federal
Medicare
program
or
as
supported
by
their
Medicare
10
audited
costs.
11
e.
For
the
fiscal
year
beginning
July
1,
2012,
independent
12
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
13
using
the
same
methodology
in
effect
on
June
30,
2012.
14
f.
For
the
fiscal
year
beginning
July
1,
2012,
reimbursement
15
rates
for
home
health
agencies
shall
remain
at
the
rates
in
16
effect
on
June
30,
2012,
not
to
exceed
a
home
health
agency’s
17
actual
allowable
cost.
18
g.
For
the
fiscal
year
beginning
July
1,
2012,
federally
19
qualified
health
centers
shall
receive
cost-based
reimbursement
20
for
100
percent
of
the
reasonable
costs
for
the
provision
of
21
services
to
recipients
of
medical
assistance.
22
h.
For
the
fiscal
year
beginning
July
1,
2012,
the
23
reimbursement
rates
for
dental
services
shall
remain
at
the
24
rates
in
effect
on
June
30,
2012.
25
i.
For
the
fiscal
year
beginning
July
1,
2012,
state-owned
26
psychiatric
medical
institutions
for
children
shall
be
27
reimbursed
in
accordance
with
section
249A.31.
28
j.
For
the
fiscal
year
beginning
July
1,
2012,
unless
29
otherwise
specified
in
this
Act,
all
noninstitutional
medical
30
assistance
provider
reimbursement
rates
shall
remain
at
the
31
rates
in
effect
on
June
30,
2012,
except
for
area
education
32
agencies,
local
education
agencies,
infant
and
toddler
services
33
providers,
and
those
providers
whose
rates
are
required
to
be
34
determined
pursuant
to
section
249A.20.
35
-132-
HF
649
(7)
84
pf/jp/mb
132/
150
H.F.
649
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
1
fiscal
year
beginning
July
1,
2012,
the
reimbursement
rate
for
2
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
3
30,
2012.
4
l.
Notwithstanding
section
249A.20,
for
the
fiscal
year
5
beginning
July
1,
2012,
the
average
reimbursement
rate
for
6
health
care
providers
eligible
for
use
of
the
federal
Medicare
7
resource-based
relative
value
scale
reimbursement
methodology
8
under
that
section
shall
remain
at
the
rate
in
effect
on
June
9
30,
2012;
however,
this
rate
shall
not
exceed
the
maximum
level
10
authorized
by
the
federal
government.
11
m.
For
the
fiscal
year
beginning
July
1,
2012,
the
12
reimbursement
rate
for
residential
care
facilities
shall
not
13
be
less
than
the
minimum
payment
level
as
established
by
the
14
federal
government
to
meet
the
federally
mandated
maintenance
15
of
effort
requirement.
The
flat
reimbursement
rate
for
16
facilities
electing
not
to
file
annual
cost
reports
shall
not
17
be
less
than
the
minimum
payment
level
as
established
by
the
18
federal
government
to
meet
the
federally
mandated
maintenance
19
of
effort
requirement.
20
n.
For
the
fiscal
year
beginning
July
1,
2012,
inpatient
21
mental
health
services
provided
at
hospitals
shall
remain
at
22
the
rates
in
effect
on
June
30,
2012,
subject
to
Medicaid
23
program
upper
payment
limit
rules;
community
mental
health
24
centers
and
providers
of
mental
health
services
to
county
25
residents
pursuant
to
a
waiver
approved
under
section
225C.7,
26
subsection
3,
shall
be
reimbursed
at
100
percent
of
the
27
reasonable
costs
for
the
provision
of
services
to
recipients
of
28
medical
assistance;
and
psychiatrists
shall
be
reimbursed
at
29
the
medical
assistance
program
fee
for
service
rate.
30
o.
For
the
fiscal
year
beginning
July
1,
2012,
the
31
reimbursement
rate
for
consumer-directed
attendant
care
shall
32
remain
at
the
rates
in
effect
on
June
30,
2012.
33
p.
For
the
fiscal
year
beginning
July
1,
2012,
the
34
reimbursement
rate
for
providers
of
family
planning
services
35
-133-
HF
649
(7)
84
pf/jp/mb
133/
150
H.F.
649
that
are
eligible
to
receive
a
90
percent
federal
match
shall
1
remain
at
the
rates
in
effect
on
June
30,
2012.
2
2.
For
the
fiscal
year
beginning
July
1,
2012,
the
3
reimbursement
rate
for
providers
reimbursed
under
the
4
in-home-related
care
program
shall
not
be
less
than
the
minimum
5
payment
level
as
established
by
the
federal
government
to
meet
6
the
federally
mandated
maintenance
of
effort
requirement.
7
3.
Unless
otherwise
directed
in
this
section,
when
the
8
department’s
reimbursement
methodology
for
any
provider
9
reimbursed
in
accordance
with
this
section
includes
an
10
inflation
factor,
this
factor
shall
not
exceed
the
amount
11
by
which
the
consumer
price
index
for
all
urban
consumers
12
increased
during
the
calendar
year
ending
December
31,
2002.
13
4.
For
the
fiscal
year
beginning
July
1,
2012,
14
notwithstanding
section
234.38,
the
foster
family
basic
daily
15
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
16
children
ages
0
through
5
years
shall
be
$15.74,
the
rate
for
17
children
ages
6
through
11
years
shall
be
$16.37,
the
rate
for
18
children
ages
12
through
15
years
shall
be
$17.92,
and
the
19
rate
for
children
and
young
adults
ages
16
and
older
shall
be
20
$18.16.
The
maximum
supervised
apartment
living
foster
care
21
reimbursement
rate
shall
be
$25.00
per
day.
For
youth
ages
22
18
to
21
who
have
exited
foster
care,
the
maximum
preparation
23
for
adult
living
program
maintenance
rate
shall
be
$574.00
per
24
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
25
expenses
shall
be
limited
to
$500
and
the
disallowance
of
26
additional
amounts
for
court
costs
and
other
related
legal
27
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
28
section
408
shall
be
continued.
29
5.
For
the
fiscal
year
beginning
July
1,
2012,
the
maximum
30
reimbursement
rates
under
the
supervised
apartment
living
31
program
and
for
social
services
providers
under
contract
32
shall
remain
at
the
rates
in
effect
on
June
30,
2012,
or
the
33
provider’s
actual
and
allowable
cost
plus
inflation
for
each
34
service,
whichever
is
less.
However,
if
a
new
service
or
35
-134-
HF
649
(7)
84
pf/jp/mb
134/
150
H.F.
649
service
provider
is
added
after
June
30,
2012,
the
initial
1
reimbursement
rate
for
the
service
or
provider
shall
be
2
based
upon
actual
and
allowable
costs.
Providers
may
also
3
be
eligible
for
an
additional
amount
as
specified
under
the
4
department’s
request
for
proposal,
bid
number
ACFS-11-115.
5
6.
For
the
fiscal
year
beginning
July
1,
2012,
the
6
reimbursement
rates
for
family-centered
service
providers,
7
family
foster
care
service
providers,
group
foster
care
service
8
providers,
and
the
resource
family
recruitment
and
retention
9
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
10
2012.
11
7.
The
group
foster
care
reimbursement
rates
paid
for
12
placement
of
children
out
of
state
shall
be
calculated
13
according
to
the
same
rate-setting
principles
as
those
used
for
14
in-state
providers,
unless
the
director
of
human
services
or
15
the
director’s
designee
determines
that
appropriate
care
cannot
16
be
provided
within
the
state.
The
payment
of
the
daily
rate
17
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
18
which
service
is
provided.
19
8.
a.
For
the
fiscal
year
beginning
July
1,
2012,
the
20
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
21
emergency
services
implemented
to
provide
or
prevent
the
need
22
for
shelter
care
shall
be
established
in
a
contract
based
on
23
the
requirements
of
the
department’s
request
for
proposal,
bid
24
number
ACFS-11-114.
25
b.
For
the
fiscal
year
beginning
July
1,
2012,
the
combined
26
service
and
maintenance
components
of
the
reimbursement
rate
27
paid
for
shelter
care
services
shall
be
based
on
the
financial
28
and
statistical
report
submitted
to
the
department.
The
29
maximum
reimbursement
rate
shall
be
$92.36
per
day.
The
30
department
shall
reimburse
a
shelter
care
provider
at
the
31
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
32
to
exceed
the
maximum
reimbursement
rate.
33
c.
Notwithstanding
section
232.141,
subsection
8,
for
the
34
fiscal
year
beginning
July
1,
2012,
the
amount
of
the
statewide
35
-135-
HF
649
(7)
84
pf/jp/mb
135/
150
H.F.
649
average
of
the
actual
and
allowable
rates
for
reimbursement
of
1
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
2
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
3
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
4
2011.
5
9.
For
the
fiscal
year
beginning
July
1,
2012,
the
6
department
shall
calculate
reimbursement
rates
for
intermediate
7
care
facilities
for
persons
with
mental
retardation
at
the
8
80th
percentile.
Beginning
July
1,
2012,
the
rate
calculation
9
methodology
shall
utilize
the
consumer
price
index
inflation
10
factor
applicable
to
the
fiscal
year
beginning
July
1,
2012.
11
10.
For
the
fiscal
year
beginning
July
1,
2012,
for
child
12
care
providers
reimbursed
under
the
state
child
care
assistance
13
program,
the
department
shall
set
provider
reimbursement
14
rates
based
on
the
rate
reimbursement
survey
completed
in
15
December
2004.
Effective
July
1,
2012,
the
child
care
provider
16
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
17
30,
2012.
The
department
shall
set
rates
in
a
manner
so
as
18
to
provide
incentives
for
a
nonregistered
provider
to
become
19
registered
by
applying
the
increase
only
to
registered
and
20
licensed
providers.
21
11.
The
department
may
adopt
emergency
rules
to
implement
22
this
section.
23
Sec.
105.
EMERGENCY
RULES.
24
1.
If
specifically
authorized
by
a
provision
of
this
25
division
of
this
Act,
the
department
of
human
services
or
26
the
mental
health,
and
disability
services
commission
may
27
adopt
administrative
rules
under
section
17A.4,
subsection
28
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
29
implement
the
provisions
and
the
rules
shall
become
effective
30
immediately
upon
filing
or
on
a
later
effective
date
specified
31
in
the
rules,
unless
the
effective
date
is
delayed
by
the
32
administrative
rules
review
committee.
Any
rules
adopted
in
33
accordance
with
this
section
shall
not
take
effect
before
34
the
rules
are
reviewed
by
the
administrative
rules
review
35
-136-
HF
649
(7)
84
pf/jp/mb
136/
150
H.F.
649
committee.
The
delay
authority
provided
to
the
administrative
1
rules
review
committee
under
section
17A.4,
subsection
7,
and
2
section
17A.8,
subsection
9,
shall
be
applicable
to
a
delay
3
imposed
under
this
section,
notwithstanding
a
provision
in
4
those
sections
making
them
inapplicable
to
section
17A.5,
5
subsection
2,
paragraph
“b”.
Any
rules
adopted
in
accordance
6
with
the
provisions
of
this
section
shall
also
be
published
as
7
notice
of
intended
action
as
provided
in
section
17A.4.
8
2.
If
during
the
fiscal
year
beginning
July
1,
2012,
the
9
department
of
human
services
is
adopting
rules
in
accordance
10
with
this
section
or
as
otherwise
directed
or
authorized
by
11
state
law,
and
the
rules
will
result
in
an
expenditure
increase
12
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
13
expenditure
was
not
addressed
in
the
budget
process
for
the
14
fiscal
year,
the
department
shall
notify
the
persons
designated
15
by
this
division
of
this
Act
for
submission
of
reports,
16
the
chairpersons
and
ranking
members
of
the
committees
on
17
appropriations,
and
the
department
of
management
concerning
the
18
rules
and
the
expenditure
increase.
The
notification
shall
be
19
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
20
the
rules
is
submitted
to
the
administrative
rules
coordinator
21
and
the
administrative
code
editor.
22
Sec.
106.
REPORTS.
Any
reports
or
information
required
to
23
be
compiled
and
submitted
under
this
Act
shall
be
submitted
24
to
the
chairpersons
and
ranking
members
of
the
joint
25
appropriations
subcommittee
on
health
and
human
services,
the
26
legislative
services
agency,
and
the
legislative
caucus
staffs
27
on
or
before
the
dates
specified
for
submission
of
the
reports
28
or
information.
29
Sec.
107.
EFFECTIVE
DATE.
The
following
provision
of
this
30
division
of
this
Act,
being
deemed
of
immediate
importance,
31
take
effect
upon
enactment:
32
The
provision
under
the
appropriation
for
child
and
family
33
services,
relating
to
requirements
of
section
232.143
for
34
representatives
of
the
department
of
human
services
and
35
-137-
HF
649
(7)
84
pf/jp/mb
137/
150
H.F.
649
juvenile
court
services
to
establish
a
plan
for
continuing
1
group
foster
care
expenditures
for
fiscal
year
2012-2013.
2
DIVISION
XIV
3
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
4
IOWACARE
ACCOUNT,
HEALTH
CARE
5
TRANSFORMATION
ACCOUNT,
MEDICAID
FRAUD
ACCOUNT,
6
QUALITY
ASSURANCE
TRUST
FUND,
7
AND
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
FY
2012-2013
8
Sec.
108.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
9
appropriated
from
the
pharmaceutical
settlement
account
created
10
in
section
249A.33
to
the
department
of
human
services
for
the
11
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
12
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
13
used
for
the
purpose
designated:
14
Notwithstanding
any
provision
of
law
to
the
contrary,
to
15
supplement
the
appropriations
made
in
this
Act
for
medical
16
contracts
under
the
medical
assistance
program:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,433,613
18
Sec.
109.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
19
1.
There
is
appropriated
from
the
IowaCare
account
20
created
in
section
249J.24
to
the
state
board
of
regents
for
21
distribution
to
the
university
of
Iowa
hospitals
and
clinics
22
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
23
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
24
to
be
used
for
the
purposes
designated:
25
For
salaries,
support,
maintenance,
equipment,
and
26
miscellaneous
purposes,
for
the
provision
of
medical
and
27
surgical
treatment
of
indigent
patients,
for
provision
of
28
services
to
members
of
the
expansion
population
pursuant
to
29
chapter
249J,
and
for
medical
education:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,284,584
31
a.
Funds
appropriated
in
this
subsection
shall
not
be
used
32
to
perform
abortions
except
medically
necessary
abortions,
33
and
shall
not
be
used
to
operate
the
early
termination
of
34
pregnancy
clinic
except
for
the
performance
of
medically
35
-138-
HF
649
(7)
84
pf/jp/mb
138/
150
H.F.
649
necessary
abortions.
For
the
purpose
of
this
subsection,
1
medically
necessary
abortions
are
those
performed
under
any
of
2
the
following
conditions:
3
(1)
The
attending
physician
certifies
that
continuing
the
4
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
5
(2)
Any
spontaneous
abortion,
commonly
known
as
a
6
miscarriage,
if
not
all
of
the
products
of
conception
are
7
expelled.
8
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
9
the
amount
appropriated
in
this
subsection
shall
be
distributed
10
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
11
Medicaid
enterprise.
12
c.
The
university
of
Iowa
hospitals
and
clinics
shall
13
certify
public
expenditures
in
an
amount
equal
to
provide
14
the
nonfederal
share
on
total
expenditures
not
to
exceed
15
$20,000,000.
16
2.
There
is
appropriated
from
the
IowaCare
account
17
created
in
section
249J.24
to
the
state
board
of
regents
for
18
distribution
to
the
university
of
Iowa
hospitals
and
clinics
19
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
20
2013,
the
following
amount,
or
so
much
thereof
as
is
necessary,
21
to
be
used
for
the
purposes
designated:
22
For
salaries,
support,
maintenance,
equipment,
and
23
miscellaneous
purposes,
for
the
provision
of
medical
and
24
surgical
treatment
of
indigent
patients,
for
provision
of
25
services
to
members
of
the
expansion
population
pursuant
to
26
chapter
249J,
and
for
medical
education:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
54,226,279
28
Notwithstanding
any
provision
of
law
to
the
contrary,
the
29
amount
appropriated
in
this
subsection
shall
be
distributed
30
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
31
Medicaid
enterprise.
32
3.
There
is
appropriated
from
the
IowaCare
account
33
created
in
section
249J.24,
to
the
state
board
of
regents
for
34
distribution
to
university
of
Iowa
physicians
for
the
fiscal
35
-139-
HF
649
(7)
84
pf/jp/mb
139/
150
H.F.
649
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
1
following
amount,
or
so
much
thereof
as
is
necessary
to
be
used
2
for
the
purposes
designated:
3
For
salaries,
support,
maintenance,
equipment,
and
4
miscellaneous
purposes
for
the
provision
of
medical
and
5
surgical
treatment
of
indigent
patients,
for
provision
of
6
services
to
members
of
the
expansion
population
pursuant
to
7
chapter
249J,
and
for
medical
education:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,000,000
9
Notwithstanding
any
provision
of
law
to
the
contrary,
the
10
amount
appropriated
in
this
subsection
shall
be
distributed
11
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
12
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
13
this
subsection
has
been
distributed,
claims
shall
continue
to
14
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
15
however,
no
payment
shall
be
made
based
upon
such
claims.
16
4.
There
is
appropriated
from
the
IowaCare
account
created
17
in
section
249J.24
to
the
department
of
human
services
for
the
18
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
19
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
20
used
for
the
purposes
designated:
21
For
distribution
to
a
publicly
owned
acute
care
teaching
22
hospital
located
in
a
county
with
a
population
over
350,000
for
23
the
provision
of
medical
and
surgical
treatment
of
indigent
24
patients,
for
provision
of
services
to
members
of
the
expansion
25
population
pursuant
to
chapter
249J,
and
for
medical
education:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
51,500,000
27
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
28
the
amount
appropriated
in
this
subsection
shall
be
distributed
29
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
30
Medicaid
enterprise
plus
a
monthly
disproportionate
share
31
hospital
payment.
Any
amount
appropriated
in
this
subsection
32
in
excess
of
$48,500,000
shall
be
distributed
only
if
the
sum
33
of
the
expansion
population
claims
adjudicated
and
paid
by
the
34
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
35
-140-
HF
649
(7)
84
pf/jp/mb
140/
150
H.F.
649
share
hospital
payments
exceeds
$48,500,000.
The
amount
paid
1
in
excess
of
$48,500,000
shall
not
adjust
the
original
monthly
2
payment
amount
but
shall
be
distributed
monthly
based
on
actual
3
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
4
plus
the
estimated
disproportionate
share
hospital
amount.
Any
5
amount
appropriated
in
this
subsection
in
excess
of
$48,500,000
6
shall
be
allocated
only
if
federal
funds
are
available
to
match
7
the
amount
allocated.
8
b.
Notwithstanding
the
total
amount
of
proceeds
distributed
9
pursuant
to
section
249J.24,
subsection
6,
paragraph
“a”,
10
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
11
1,
2012,
and
ending
June
30,
2013,
the
county
treasurer
of
a
12
county
with
a
population
of
over
350,000
in
which
a
publicly
13
owned
acute
care
teaching
hospital
is
located
shall
distribute
14
the
proceeds
collected
pursuant
to
section
347.7
in
a
total
15
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
16
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
17
the
IowaCare
account.
18
c.
(1)
Notwithstanding
the
amount
collected
and
19
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
20
section
249J.24,
subsection
6,
paragraph
“a”,
subparagraph
21
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
22
section
347.7
between
July
1,
2012,
and
December
31,
2012,
23
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
24
the
IowaCare
account
and
collections
during
this
time
period
in
25
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
26
teaching
hospital
identified
in
this
subsection.
27
(2)
Notwithstanding
the
amount
collected
and
distributed
28
for
deposit
in
the
IowaCare
account
pursuant
to
section
29
249J.24,
subsection
6,
paragraph
“a”,
subparagraph
(2),
30
the
first
$19,000,000
in
collections
pursuant
to
section
31
347.7
between
January
1,
2013,
and
June
30,
2013,
shall
be
32
distributed
to
the
treasurer
of
state
for
deposit
in
the
33
IowaCare
account
and
collections
during
this
time
period
in
34
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
35
-141-
HF
649
(7)
84
pf/jp/mb
141/
150
H.F.
649
teaching
hospital
identified
in
this
subsection.
1
5.
There
is
appropriated
from
the
IowaCare
account
created
2
in
section
249J.24
to
the
department
of
human
services
for
the
3
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
4
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
5
used
for
the
purpose
designated:
6
For
payment
to
the
regional
provider
network
specified
7
by
the
department
pursuant
to
section
249J.7
for
provision
8
of
covered
services
to
members
of
the
expansion
population
9
pursuant
to
chapter
249J:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,000,000
11
Notwithstanding
any
provision
of
law
to
the
contrary,
the
12
amount
appropriated
in
this
subsection
shall
be
distributed
13
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
14
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
15
this
subsection
has
been
distributed,
claims
shall
continue
to
16
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
17
however,
no
payment
shall
be
made
based
upon
such
claims.
18
6.
There
is
appropriated
from
the
IowaCare
account
created
19
in
section
249J.24
to
the
department
of
human
services
for
the
20
fiscal
year
beginning
July
1,
2012,
and
ending
June
30,
2013,
21
the
following
amount,
or
so
much
thereof
as
is
necessary
to
be
22
used
for
the
purposes
designated:
23
For
payment
to
nonparticipating
providers
for
covered
24
services
provided
in
accordance
with
section
249J.24A:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
26
Sec.
110.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
27
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
28
Notwithstanding
any
provision
to
the
contrary,
there
is
29
appropriated
from
the
account
for
health
care
transformation
30
created
in
section
249J.23
to
the
department
of
human
services
31
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
32
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purposes
designated:
34
1.
For
the
costs
of
medical
examinations
for
the
expansion
35
-142-
HF
649
(7)
84
pf/jp/mb
142/
150
H.F.
649
population
pursuant
to
section
249J.6:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
556,800
2
2.
For
the
provision
of
an
IowaCare
nurse
helpline
for
the
3
expansion
population
as
provided
in
section
249J.6:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
5
3.
For
other
health
promotion
partnership
activities
6
pursuant
to
section
249J.14:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
8
4.
For
the
costs
related
to
audits,
performance
9
evaluations,
and
studies
required
pursuant
to
chapter
249J:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
11
5.
For
administrative
costs
associated
with
chapter
249J:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,132,412
13
6.
For
planning
and
development,
in
cooperation
with
the
14
department
of
public
health,
of
a
phased-in
program
to
provide
15
a
dental
home
for
children
in
accordance
with
section
249J.14:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
17
7.
For
continuation
of
the
establishment
of
the
tuition
18
assistance
for
individuals
serving
individuals
with
19
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
20
chapter
1187,
section
130:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
22
8.
For
medical
contracts:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
24
9.
For
payment
to
the
publicly
owned
acute
care
teaching
25
hospital
located
in
a
county
with
a
population
of
over
350,000
26
that
is
a
participating
provider
pursuant
to
chapter
249J:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
290,000
28
Disbursements
under
this
subsection
shall
be
made
monthly.
29
The
hospital
shall
submit
a
report
following
the
close
of
the
30
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
31
subsection
to
the
persons
specified
in
this
Act
to
receive
32
reports.
33
Notwithstanding
section
8.39,
subsection
1,
without
the
34
prior
written
consent
and
approval
of
the
governor
and
the
35
-143-
HF
649
(7)
84
pf/jp/mb
143/
150
H.F.
649
director
of
the
department
of
management,
the
director
of
human
1
services
may
transfer
funds
among
the
appropriations
made
in
2
this
section
as
necessary
to
carry
out
the
purposes
of
the
3
account
for
health
care
transformation.
The
department
shall
4
report
any
transfers
made
pursuant
to
this
section
to
the
5
legislative
services
agency.
6
10.
For
the
medical
home
system
advisory
council
7
established
pursuant
to
section
135.159:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
200,000
9
Sec.
111.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
10
INSPECTIONS
AND
APPEALS.
There
is
appropriated
from
the
11
Medicaid
fraud
account
created
in
section
249A.7
to
the
12
department
of
inspections
and
appeals
for
the
fiscal
year
13
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purposes
designated:
16
For
the
inspection
and
certification
of
assisted
living
17
programs
and
adult
day
care
services,
including
program
18
administration
and
costs
associated
with
implementation:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,339,527
20
Sec.
112.
MEDICAID
FRAUD
ACCOUNT
——
DEPARTMENT
OF
HUMAN
21
SERVICES.
There
is
appropriated
from
the
Medicaid
fraud
22
account
created
in
section
249A.7
to
the
department
of
human
23
services
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
24
June
30,
2013,
the
following
amount,
or
so
much
thereof
as
is
25
necessary,
to
be
used
for
the
purposes
designated:
26
To
supplement
the
appropriation
made
in
this
Act
from
the
27
general
fund
of
the
state
to
the
department
of
human
services
28
for
medical
assistance:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
30
Sec.
113.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
31
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
32
and
subject
to
the
availability
of
funds,
there
is
appropriated
33
from
the
quality
assurance
trust
fund
created
in
section
34
249L.4
to
the
department
of
human
services
for
the
fiscal
year
35
-144-
HF
649
(7)
84
pf/jp/mb
144/
150
H.F.
649
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
1
amounts,
or
so
much
thereof
as
is
necessary
for
the
purposes
2
designated:
3
To
supplement
the
appropriation
made
in
this
Act
from
the
4
general
fund
of
the
state
to
the
department
of
human
services
5
for
medical
assistance:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,000,000
7
Sec.
114.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
8
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
9
the
contrary
and
subject
to
the
availability
of
funds,
there
is
10
appropriated
from
the
hospital
health
care
access
trust
fund
11
created
in
section
249M.4
to
the
department
of
human
services
12
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
13
30,
2013,
the
following
amounts,
or
so
much
thereof
as
is
14
necessary,
for
the
purposes
designated:
15
1.
To
supplement
the
appropriation
made
in
this
Act
from
the
16
general
fund
of
the
state
to
the
department
of
human
services
17
for
medical
assistance:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,223,800
19
2.
For
deposit
in
the
nonparticipating
provider
20
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
21
the
purposes
of
the
fund:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
776,200
23
Sec.
115.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
24
FOR
FY
2012-2013.
Notwithstanding
section
8.33,
if
moneys
25
appropriated
for
purposes
of
the
medical
assistance
program
26
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
27
30,
2013,
from
the
general
fund
of
the
state,
the
Medicaid
28
fraud
account,
the
quality
assurance
trust
fund,
and
the
29
hospital
health
care
access
trust
fund,
are
in
excess
of
actual
30
expenditures
for
the
medical
assistance
program
and
remain
31
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
32
the
excess
moneys
shall
not
revert
but
shall
remain
available
33
for
expenditure
for
the
purposes
of
the
medical
assistance
34
program
until
the
close
of
the
succeeding
fiscal
year.
35
-145-
HF
649
(7)
84
pf/jp/mb
145/
150
H.F.
649
DIVISION
XV
1
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
FOR
FISCAL
YEAR
2
2012-2013
3
Sec.
116.
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
4
DEVELOPMENTAL
DISABILITIES
SERVICES
PROPERTY
TAX
5
RELIEF.
Notwithstanding
the
standing
appropriation
in
section
6
426B.1,
subsection
2,
for
the
fiscal
year
beginning
July
1,
7
2012,
and
ending
June
30,
2013,
the
amount
appropriated
from
8
the
general
fund
of
the
state
pursuant
to
that
provision
shall
9
not
exceed
the
following
amount:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
81,199,911
11
Sec.
117.
ADULT
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
——
12
FY
2012-2013.
13
1.
There
is
appropriated
from
the
general
fund
of
the
14
state
to
the
department
of
human
services
for
the
fiscal
year
15
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
16
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purpose
designated:
18
For
distribution
to
counties
of
the
county
mental
health,
19
mental
retardation,
and
developmental
disabilities
allowed
20
growth
factor
adjustment
for
fiscal
year
2012-2013
as
provided
21
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
22
of
section
331.438,
subsection
2,
and
section
331.439,
23
subsection
3,
and
chapter
426B:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,697,893
25
2.
Of
the
amount
appropriated
in
this
section,
$12,000,000
26
shall
be
distributed
as
provided
in
this
subsection.
27
a.
To
be
eligible
to
receive
a
distribution
under
this
28
subsection,
a
county
must
meet
the
following
requirements:
29
(1)
The
county
is
levying
for
the
maximum
amount
allowed
30
for
the
county’s
mental
health,
mental
retardation,
and
31
developmental
disabilities
services
fund
under
section
331.424A
32
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
33
2012,
or
the
county
is
levying
for
at
least
90
percent
of
the
34
maximum
amount
allowed
for
the
county’s
services
fund
and
that
35
-146-
HF
649
(7)
84
pf/jp/mb
146/
150
H.F.
649
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
1
all
taxable
property
in
the
county.
2
(2)
In
the
fiscal
year
beginning
July
1,
2010,
the
3
county’s
mental
health,
mental
retardation,
and
developmental
4
disabilities
services
fund
ending
balance
under
generally
5
accepted
accounting
principles
was
equal
to
or
less
than
15
6
percent
of
the
county’s
actual
gross
expenditures
for
that
7
fiscal
year.
8
b.
The
amount
of
a
county’s
distribution
from
the
allocation
9
made
in
this
subsection
shall
be
determined
based
upon
the
10
county’s
proportion
of
the
general
population
of
the
counties
11
eligible
to
receive
a
distribution
under
this
subsection.
The
12
most
recent
population
estimates
issued
by
the
United
States
13
bureau
of
the
census
shall
be
applied
in
determining
population
14
for
the
purposes
of
this
paragraph.
15
c.
The
distributions
made
pursuant
to
this
subsection
16
are
subject
to
the
distribution
provisions
and
withholding
17
requirements
established
in
this
section
for
the
county
mental
18
health,
mental
retardation,
and
developmental
disabilities
19
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
20
July
1,
2012.
21
3.
The
following
amount
of
the
funding
appropriated
in
this
22
section
is
the
allowed
growth
factor
adjustment
for
fiscal
23
year
2012-2013,
and
shall
be
credited
to
the
allowed
growth
24
funding
pool
created
in
the
property
tax
relief
fund
and
for
25
distribution
in
accordance
with
section
426B.5,
subsection
1:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,697,893
27
4.
The
following
formula
amounts
shall
be
utilized
only
28
to
calculate
preliminary
distribution
amounts
for
the
allowed
29
growth
factor
adjustment
for
fiscal
year
2012-2013
under
this
30
section
by
applying
the
indicated
formula
provisions
to
the
31
formula
amounts
and
producing
a
preliminary
distribution
total
32
for
each
county:
33
a.
For
calculation
of
a
distribution
amount
for
eligible
34
counties
from
the
allowed
growth
funding
pool
created
in
the
35
-147-
HF
649
(7)
84
pf/jp/mb
147/
150
H.F.
649
property
tax
relief
fund
in
accordance
with
the
requirements
in
1
section
426B.5,
subsection
1:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,773,346
3
b.
For
calculation
of
a
distribution
amount
for
counties
4
from
the
mental
health
and
developmental
disabilities
(MH/DD)
5
community
services
fund
in
accordance
with
the
formula
provided
6
in
the
appropriation
made
for
the
MH/DD
community
services
fund
7
for
the
fiscal
year
beginning
July
1,
2012:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
9
5.
a.
After
applying
the
applicable
statutory
distribution
10
formulas
to
the
amounts
indicated
in
subsection
4
for
purposes
11
of
producing
preliminary
distribution
totals,
the
department
12
of
human
services
shall
apply
a
withholding
factor
to
adjust
13
an
eligible
individual
county’s
preliminary
distribution
14
total.
In
order
to
be
eligible
for
a
distribution
under
this
15
section,
a
county
must
be
levying
90
percent
or
more
of
the
16
maximum
amount
allowed
for
the
county’s
mental
health,
mental
17
retardation,
and
developmental
disabilities
services
fund
under
18
section
331.424A
for
taxes
due
and
payable
in
the
fiscal
year
19
for
which
the
distribution
is
payable.
20
b.
An
ending
balance
percentage
for
each
county
shall
21
be
determined
by
expressing
the
county’s
ending
balance
on
a
22
modified
accrual
basis
under
generally
accepted
accounting
23
principles
for
the
fiscal
year
beginning
July
1,
2010,
in
the
24
county’s
mental
health,
mental
retardation,
and
developmental
25
disabilities
services
fund
created
under
section
331.424A,
as
a
26
percentage
of
the
county’s
gross
expenditures
from
that
fund
27
for
that
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
28
of
providing
services
from
the
county’s
services
fund
on
or
29
before
July
1,
2010,
and
the
county’s
services
fund
ending
30
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
31
amount
designated
in
the
county
budget
to
service
the
loan
for
32
the
borrowed
moneys,
those
amounts
shall
not
be
considered
33
to
be
part
of
the
county’s
ending
balance
for
purposes
of
34
calculating
an
ending
balance
percentage
under
this
subsection.
35
-148-
HF
649
(7)
84
pf/jp/mb
148/
150
H.F.
649
c.
For
purposes
of
calculating
withholding
factors
and
for
1
ending
balance
amounts
used
for
other
purposes
under
law,
the
2
county
ending
balances
shall
be
adjusted,
using
forms
developed
3
for
this
purpose
by
the
county
finance
committee,
to
disregard
4
the
temporary
funding
increase
provided
to
the
counties
for
5
the
fiscal
year
through
the
federal
American
Recovery
and
6
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5.
In
addition,
a
7
county
may
adjust
the
ending
balance
amount
by
rebating
to
the
8
department
all
or
a
portion
of
the
allowed
growth
and
MH/DD
9
services
fund
moneys
the
county
received
for
the
fiscal
year
10
beginning
July
1,
2011,
in
accordance
with
this
Act,
or
from
11
any
other
services
fund
moneys
available
to
the
county.
The
12
rebate
must
be
remitted
to
the
department
on
or
before
June
1,
13
2012,
in
order
to
be
counted.
The
amount
rebated
by
a
county
14
shall
be
subtracted
dollar-for-dollar
from
the
county’s
ending
15
balance
amount
for
the
fiscal
year
beginning
July
1,
2010,
16
for
purposes
of
calculating
the
withholding
factor
and
for
17
other
ending
balance
purposes
for
the
fiscal
year
beginning
18
July
1,
2012.
The
rebates
received
by
the
department
shall
be
19
credited
to
the
property
tax
relief
fund
and
distributed
as
20
additional
funding
for
the
fiscal
year
beginning
July
1,
2012,
21
in
accordance
with
the
formula
provisions
in
this
section.
22
d.
The
withholding
factor
for
a
county
shall
be
the
23
following
applicable
percent:
24
(1)
For
an
ending
balance
percentage
of
less
than
5
25
percent,
a
withholding
factor
of
0
percent.
In
addition,
26
a
county
that
is
subject
to
this
lettered
paragraph
shall
27
receive
an
inflation
adjustment
equal
to
3
percent
of
the
gross
28
expenditures
reported
for
the
county’s
services
fund
for
the
29
fiscal
year.
30
(2)
For
an
ending
balance
percentage
of
5
percent
or
more
31
but
less
than
10
percent,
a
withholding
factor
of
0
percent.
32
In
addition,
a
county
that
is
subject
to
this
lettered
33
paragraph
shall
receive
an
inflation
adjustment
equal
to
2
34
percent
of
the
gross
expenditures
reported
for
the
county’s
35
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services
fund
for
the
fiscal
year.
1
(3)
For
an
ending
balance
percentage
of
10
percent
or
more
2
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
3
However,
for
counties
with
an
ending
balance
of
10
percent
or
4
more
but
less
than
15
percent,
the
amount
withheld
shall
be
5
limited
to
the
amount
by
which
the
county’s
ending
balance
was
6
in
excess
of
the
ending
balance
percentage
of
10
percent.
7
(4)
For
an
ending
balance
percentage
of
25
percent
or
more,
8
a
withholding
percentage
of
100
percent.
9
6.
The
total
withholding
amounts
applied
pursuant
to
10
subsection
5
shall
be
equal
to
a
withholding
target
amount
of
11
$13,075,453.
If
the
department
of
human
services
determines
12
that
the
amount
appropriated
is
insufficient
or
the
amount
to
13
be
withheld
in
accordance
with
subsection
5
is
not
equal
to
14
the
target
withholding
amount,
the
department
shall
adjust
the
15
withholding
factors
listed
in
subsection
5
as
necessary
to
16
achieve
the
target
withholding
amount.
However,
in
making
such
17
adjustments
to
the
withholding
factors,
the
department
shall
18
strive
to
minimize
changes
to
the
withholding
factors
for
those
19
ending
balance
percentage
ranges
that
are
lower
than
others
and
20
shall
only
adjust
the
zero
withholding
factor
or
the
inflation
21
adjustment
percentages
specified
in
subsection
5,
paragraph
22
“d”,
when
the
amount
appropriated
is
insufficient.
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