Senate File 2336 - Reprinted SENATE FILE 2336 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO SSB 3201) (As Amended and Passed by the Senate April 12, 2012 ) A BILL FOR An Act relating to appropriations for health and human services 1 and including other related provisions and appropriations, 2 making penalties applicable, and including effective, 3 retroactive, and applicability date provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 SF 2336 (5) 84 pf/jp/jh

S.F. 2336 DIVISION I 1 DEPARTMENT ON AGING 2 Section 1. 2011 Iowa Acts, chapter 129, section 113, is 3 amended to read as follows: 4 SEC. 113. DEPARTMENT ON AGING. There is appropriated from 5 the general fund of the state to the department on aging for 6 the fiscal year beginning July 1, 2012, and ending June 30, 7 2013, the following amount, or so much thereof as is necessary, 8 to be used for the purposes designated: 9 For aging programs for the department on aging and area 10 agencies on aging to provide citizens of Iowa who are 60 years 11 of age and older with case management for frail elders, Iowa’s 12 aging and disabilities resource center, and other services 13 which may include but are not limited to adult day services, 14 respite care, chore services, information and assistance, 15 and material aid, for information and options counseling for 16 persons with disabilities who are 18 years of age or older, 17 and for salaries, support, administration, maintenance, and 18 miscellaneous purposes, and for not more than the following 19 full-time equivalent positions: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,151,288 21 10,402,577 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 35.00 36.00 23 1. Funds appropriated in this section may be used to 24 supplement federal funds under federal regulations. To 25 receive funds appropriated in this section, a local area 26 agency on aging shall match the funds with moneys from other 27 sources according to rules adopted by the department. Funds 28 appropriated in this section may be used for elderly services 29 not specifically enumerated in this section only if approved 30 by an area agency on aging for provision of the service within 31 the area. 32 2. The amount appropriated in this section includes 33 additional funding of $225,000 for delivery of long-term care 34 services to seniors with low or moderate incomes. 35 -1- SF 2336 (5) 84 pf/jp/jh 1/ 96

S.F. 2336 3. Of the funds appropriated in this section, $89,973 1 $179,946 shall be transferred to the department of economic 2 development for the Iowa commission on volunteer services to be 3 used for the retired and senior volunteer program. 4 4. a. The department on aging shall establish and enforce 5 procedures relating to expenditure of state and federal funds 6 by area agencies on aging that require compliance with both 7 state and federal laws, rules, and regulations, including but 8 not limited to all of the following: 9 (1) Requiring that expenditures are incurred only for goods 10 or services received or performed prior to the end of the 11 fiscal period designated for use of the funds. 12 (2) Prohibiting prepayment for goods or services not 13 received or performed prior to the end of the fiscal period 14 designated for use of the funds. 15 (3) Prohibiting the prepayment for goods or services 16 not defined specifically by good or service, time period, or 17 recipient. 18 (4) Prohibiting the establishment of accounts from which 19 future goods or services which are not defined specifically by 20 good or service, time period, or recipient, may be purchased. 21 b. The procedures shall provide that if any funds are 22 expended in a manner that is not in compliance with the 23 procedures and applicable federal and state laws, rules, and 24 regulations, and are subsequently subject to repayment, the 25 area agency on aging expending such funds in contravention of 26 such procedures, laws, rules and regulations, not the state, 27 shall be liable for such repayment. 28 5. Of the funds appropriated in this section, $100,000 29 shall be used to provide an additional local long-term care 30 resident’s advocate to administer the certified volunteer 31 long-term care resident’s advocate program pursuant to section 32 231.45 as enacted in this 2012 Act. It is the intent of the 33 general assembly that the number of local long-term care 34 resident’s advocates as provided in section 231.42 be increased 35 -2- SF 2336 (5) 84 pf/jp/jh 2/ 96

S.F. 2336 each year until 15 local long-term care resident’s advocates 1 are available in the state. 2 DIVISION II 3 DEPARTMENT OF PUBLIC HEALTH 4 Sec. 2. 2011 Iowa Acts, chapter 129, section 114, is amended 5 to read as follows: 6 SEC. 114. DEPARTMENT OF PUBLIC HEALTH. There is 7 appropriated from the general fund of the state to the 8 department of public health for the fiscal year beginning July 9 1, 2012, and ending June 30, 2013, the following amounts, or 10 so much thereof as is necessary, to be used for the purposes 11 designated: 12 1. ADDICTIVE DISORDERS 13 For reducing the prevalence of use of tobacco, alcohol, and 14 other drugs, and treating individuals affected by addictive 15 behaviors, including gambling, and for not more than the 16 following full-time equivalent positions: 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 11,751,595 18 25,653,190 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 20 a. (1) Of the funds appropriated in this subsection, 21 $1,626,915 $5,403,830 shall be used for the tobacco use 22 prevention and control initiative, including efforts at the 23 state and local levels, as provided in chapter 142A . The 24 commission on tobacco use prevention and control established 25 pursuant to section 142A.3 shall advise the director of 26 public health in prioritizing funding needs and the allocation 27 of moneys appropriated for the programs and activities of 28 the initiative under this subparagraph (1) and shall make 29 recommendations to the director in the development of budget 30 requests relating to the initiative. 31 (2) (a) Of the funds allocated in this paragraph “a”, 32 $226,915 $453,830 shall be transferred to the alcoholic 33 beverages division of the department of commerce for 34 enforcement of tobacco laws, regulations, and ordinances in 35 -3- SF 2336 (5) 84 pf/jp/jh 3/ 96

S.F. 2336 accordance with 2011 Iowa Acts, House File 467 , as enacted 1 chapter 63 . 2 (b) For the fiscal year beginning July 1, 2012, and ending 3 June 30, 2013, the terms of a chapter 28D agreement, entered 4 into between the division of tobacco use prevention and control 5 of the department of public health and the alcoholic beverages 6 division of the department of commerce, governing compliance 7 checks conducted to ensure licensed retail tobacco outlet 8 conformity with tobacco laws, regulations, and ordinances 9 relating to persons under eighteen years of age, shall restrict 10 the number of such checks to one check per retail outlet, and 11 one additional check for any retail outlet found to be in 12 violation during the first check. 13 b. Of the funds appropriated in this subsection, 14 $10,124,680 $20,249,360 shall be used for problem gambling and 15 substance abuse prevention, treatment, and recovery services, 16 including a 24-hour helpline, public information resources, 17 professional training, and program evaluation. 18 (1) Of the funds allocated in this paragraph “b”, $8,566,254 19 $17,132,508 shall be used for substance abuse prevention and 20 treatment. 21 (a) Of the funds allocated in this subparagraph (1), 22 $449,650 $899,300 shall be used for the public purpose of a 23 grant program to provide substance abuse prevention programming 24 for children. 25 (i) Of the funds allocated in this subparagraph division 26 (a), $213,769 $427,539 shall be used for grant funding for 27 organizations that provide programming for children by 28 utilizing mentors. Programs approved for such grants shall be 29 certified or will be certified within six months of receiving 30 the grant award by the Iowa commission on volunteer services as 31 utilizing the standards for effective practice for mentoring 32 programs. 33 (ii) Of the funds allocated in this subparagraph division 34 (a), $213,419 $426,839 shall be used for grant funding for 35 -4- SF 2336 (5) 84 pf/jp/jh 4/ 96

S.F. 2336 organizations that provide programming that includes youth 1 development and leadership. The programs shall also be 2 recognized as being programs that are scientifically based with 3 evidence of their effectiveness in reducing substance abuse in 4 children. 5 (iii) The department of public health shall utilize a 6 request for proposals process to implement the grant program. 7 (iv) All grant recipients shall participate in a program 8 evaluation as a requirement for receiving grant funds. 9 (v) Of the funds allocated in this subparagraph division 10 (a), up to $22,461 $44,922 may be used to administer substance 11 abuse prevention grants and for program evaluations. 12 (b) Of the funds allocated in this subparagraph (1), 13 $136,531 $273,062 shall be used for culturally competent 14 substance abuse treatment pilot projects. 15 (i) The department shall utilize the amount allocated 16 in this subparagraph division (b) for at least three pilot 17 projects to provide culturally competent substance abuse 18 treatment in various areas of the state. Each pilot project 19 shall target a particular ethnic minority population. The 20 populations targeted shall include but are not limited to 21 African American, Asian, and Latino. 22 (ii) The pilot project requirements shall provide for 23 documentation or other means to ensure access to the cultural 24 competence approach used by a pilot project so that such 25 approach can be replicated and improved upon in successor 26 programs. 27 (2) Of the funds allocated in this paragraph “b”, up 28 to $1,558,426 $3,116,852 may be used for problem gambling 29 prevention, treatment, and recovery services. 30 (a) Of the funds allocated in this subparagraph (2), 31 $1,289,500 $2,579,000 shall be used for problem gambling 32 prevention and treatment. 33 (b) Of the funds allocated in this subparagraph (2), up to 34 $218,926 $437,852 may be used for a 24-hour helpline, public 35 -5- SF 2336 (5) 84 pf/jp/jh 5/ 96

S.F. 2336 information resources, professional training, and program 1 evaluation. 2 (c) Of the funds allocated in this subparagraph (2), up 3 to $50,000 $100,000 may be used for the licensing of problem 4 gambling treatment programs. 5 (3) It is the intent of the general assembly that from the 6 moneys allocated in this paragraph “b”, persons with a dual 7 diagnosis of substance abuse and gambling addictions shall be 8 given priority in treatment services. 9 c. Notwithstanding any provision of law to the contrary, 10 to standardize the availability, delivery, cost of delivery, 11 and accountability of problem gambling and substance abuse 12 treatment services statewide, the department shall continue 13 implementation of a process to create a system for delivery 14 of treatment services in accordance with the requirements 15 specified in 2008 Iowa Acts, chapter 1187, section 3, 16 subsection 4. To ensure the system provides a continuum of 17 treatment services that best meets the needs of Iowans, the 18 problem gambling and substance abuse treatment services in any 19 area may be provided either by a single agency or by separate 20 agencies submitting a joint proposal. 21 (1) The system for delivery of substance abuse and problem 22 gambling treatment shall include problem gambling prevention. 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 $50,000 $100,000 for administrative costs to 28 continue developing and implementing the process in accordance 29 with this 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, 2012. 34 e. The department of public health shall work with all other 35 -6- SF 2336 (5) 84 pf/jp/jh 6/ 96

S.F. 2336 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,297,135 16 2,694,270 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 18 a. Of the funds appropriated in this subsection, not 19 more than $369,659 $739,318 shall be used for the healthy 20 opportunities to experience success (HOPES)-healthy families 21 Iowa (HFI) program established pursuant to section 135.106 . 22 The funding shall be distributed to renew the grants that were 23 provided to the grantees that operated the program during the 24 fiscal year ending June 30, 2012. 25 0b. (1) In order to implement the legislative intent 26 stated in sections 135.106 and 256I.9, that priority for 27 home visitation program funding be given to programs using 28 evidence-based or promising models for home visitation, it is 29 the intent of the general assembly to phase-in the funding 30 priority as follows: 31 (a) By July 1, 2013, 25 percent of state funds expended 32 for home visiting programs are for evidence-based or promising 33 program models. 34 (b) By July 1, 2014, 50 percent of state funds expended 35 -7- SF 2336 (5) 84 pf/jp/jh 7/ 96

S.F. 2336 for home visiting programs are for evidence-based or promising 1 program models. 2 (c) By July 1, 2015, 75 percent of state funds expended 3 for home visiting programs are for evidence-based or promising 4 program models. 5 (d) By July 1, 2016, 90 percent of state funds expended 6 for home visiting programs are for evidence-based or promising 7 program models. The remaining 10 percent of funds may be 8 used for innovative program models that do not yet meet the 9 definition of evidence-based or promising programs. 10 (2) For the purposes of this lettered paragraph, unless the 11 context otherwise requires: 12 (a) “Evidence-based program” means a program that is based 13 on scientific evidence demonstrating that the program model 14 is effective. An evidence-based program shall be reviewed 15 onsite and compared to program model standards by the model 16 developer or the developer’s designee at least every five years 17 to ensure that the program continues to maintain fidelity 18 with the program model. The program model shall have had 19 demonstrated significant and sustained positive outcomes in an 20 evaluation utilizing a well-designed and rigorous randomized 21 controlled research design or a quasi-experimental research 22 design, and the evaluation results shall have been published in 23 a peer-reviewed journal. 24 (b) “Family support programs” includes group-based parent 25 education or home visiting programs that are designed to 26 strengthen protective factors, including parenting skills, 27 increasing parental knowledge of child development, and 28 increasing family functioning and problem solving skills. A 29 family support program may be used as an early intervention 30 strategy to improve birth outcomes, parental knowledge, family 31 economic success, the home learning environment, family and 32 child involvement with others, and coordination with other 33 community resources. A family support program may have a 34 specific focus on preventing child maltreatment or ensuring 35 -8- SF 2336 (5) 84 pf/jp/jh 8/ 96

S.F. 2336 children are safe, healthy, and ready to succeed in school. 1 (c) “Promising program” means a program that meets all of 2 the following requirements: 3 (i) The program conforms to a clear, consistent family 4 support model that has been in existence for at least three 5 years. 6 (ii) The program is grounded in relevant empirically-based 7 knowledge. 8 (iii) The program is linked to program-determined outcomes. 9 (iv) The program is associated with a national or state 10 organization that either has comprehensive program standards 11 that ensure high-quality service delivery and continuous 12 program quality improvement or the program model has 13 demonstrated through the program’s benchmark outcomes that the 14 program has achieved significant positive outcomes equivalent 15 to those achieved by program models with published significant 16 and sustained results in a peer-reviewed journal. 17 (v) The program has been awarded the Iowa family support 18 credential and has been reviewed onsite at least every five 19 years to ensure the program’s adherence to the Iowa family 20 support standards approved by the early childhood Iowa 21 state board created in section 256I.3 or a comparable set of 22 standards. The onsite review is completed by an independent 23 review team that is not associated with the program or the 24 organization administering the program. 25 (3) (a) The data reporting requirements applicable to 26 the HOPES-HFI program services shall include the requirements 27 adopted by the early childhood Iowa state board pursuant 28 to section 256I.4 for the family support programs targeted 29 to families expecting a child or with newborn and infant 30 children through age five and funded through the state board. 31 The department of public health may specify additional data 32 reporting requirements for the HOPES-HFI program services. The 33 HOPES-HFI program services shall be required to participate in 34 a state administered internet-based data collection system by 35 -9- SF 2336 (5) 84 pf/jp/jh 9/ 96

S.F. 2336 July 1, 2013. The annual reporting concerning the HOPES-HFI 1 program services shall include program outcomes beginning with 2 the 2015 report. 3 (b) The data on families served that is collected by the 4 HOPES-HFI program shall include but is not limited to basic 5 demographic information, services received, funding utilized, 6 and program outcomes for the children and families served. 7 (c) The HOPES-HFI program shall work with the early 8 childhood Iowa state board in the state board’s efforts 9 to identify minimum competency standards for the employees 10 and supervisors of family support programs funded. The 11 HOPES-HFI program, along with the state board, shall submit 12 recommendations concerning the standards to the governor and 13 general assembly on or before January 1, 2014. 14 (d) On or before January 1, 2013, the HOPES-HFI program 15 shall adopt criminal and child abuse record check requirements 16 for the employees and supervisors of family support programs 17 funded through the program. 18 (e) The HOPES-HFI program shall work with the early 19 childhood Iowa state board in the state board’s efforts to 20 develop a plan to implement a coordinated intake and referral 21 process for publicly funded family support programs in order 22 to engage the families expecting a child or with newborn and 23 infant children through age five in all communities in the 24 state by July 1, 2015. 25 b. Of the funds appropriated in this subsection, $164,942 26 $329,885 shall be used to continue to address the healthy 27 mental development of children from birth through five years 28 of age through local evidence-based strategies that engage 29 both the public and private sectors in promoting healthy 30 development, prevention, and treatment for children. The 31 department shall work with the department of human services, 32 Iowa Medicaid enterprise, to develop a plan to secure matching 33 medical assistance program funding to provide services under 34 this paragraph, which may include a per member per month 35 -10- SF 2336 (5) 84 pf/jp/jh 10/ 96

S.F. 2336 payment to reimburse the care coordination and community 1 outreach services component that links young children and their 2 families with identified service needs. 3 c. Of the funds appropriated in this subsection, $15,798 4 $31,597 shall be distributed to a statewide dental carrier to 5 provide funds to continue the donated dental services program 6 patterned after the projects developed by the lifeline network 7 to provide dental services to indigent elderly and disabled 8 individuals. 9 d. Of the funds appropriated in this subsection, $56,338 10 $112,677 shall be used for childhood obesity prevention. 11 e. Of the funds appropriated in this subsection, $81,880 12 $163,760 shall be used to provide audiological services and 13 hearing aids for children. The department may enter into a 14 contract to administer this paragraph. 15 f. Of the funds appropriated in this subsection, $100,000 16 shall be transferred to the university of Iowa college of 17 dentistry for provision of primary dental services to children. 18 State funds shall be matched on a dollar-for-dollar basis. 19 The university of Iowa college of dentistry shall coordinate 20 efforts with the department of public health, bureau of oral 21 health, to provide dental care to underserved populations 22 throughout the state. 23 3. CHRONIC CONDITIONS 24 For serving individuals identified as having chronic 25 conditions or special health care needs, and for not more than 26 the following full-time equivalent positions: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,680,828 28 3,919,028 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 30 5.00 31 a. Of the funds appropriated in this subsection, $80,291 32 $160,582 shall be used for grants to individual patients 33 who have phenylketonuria (PKU) to assist with the costs of 34 necessary special foods. 35 -11- SF 2336 (5) 84 pf/jp/jh 11/ 96

S.F. 2336 b. Of the funds appropriated in this subsection, $241,800 1 $483,600 is allocated for continuation of the contracts for 2 resource facilitator services in accordance with section 3 135.22B, subsection 9 , and for brain injury training services 4 and recruiting of service providers to increase the capacity 5 within this state to address the needs of individuals with 6 brain injuries and such individuals’ families. 7 c. Of the funds appropriated in this subsection, $249,437 8 $550,000 shall be used as additional funding to leverage 9 federal funding through the federal Ryan White Care Act, Tit. 10 II, AIDS drug assistance program supplemental drug treatment 11 grants. 12 d. Of the funds appropriated in this subsection, $15,627 13 $50,000 shall be used for the public purpose of providing 14 a grant to an existing national-affiliated organization to 15 provide education, client-centered programs, and client and 16 family support for people living with epilepsy and their 17 families. 18 e. Of the funds appropriated in this subsection, $394,151 19 $788,303 shall be used for child health specialty clinics. 20 f. Of the funds appropriated in this subsection, $248,533 21 $497,065 shall be used for the comprehensive cancer control 22 program to reduce the burden of cancer in Iowa through 23 prevention, early detection, effective treatment, and ensuring 24 quality of life. Of the funds allocated in this lettered 25 paragraph, $75,000 $150,000 shall be used to support a melanoma 26 research symposium, a melanoma biorepository and registry, 27 basic and translational melanoma research, and clinical trials. 28 g. Of the funds appropriated in this subsection, $63,225 29 $126,450 shall be used for cervical and colon cancer screening. 30 h. Of the funds appropriated in this subsection, $264,417 31 $528,834 shall be used for the center for congenital and 32 inherited disorders. A portion of the funds allocated in this 33 lettered paragraph may be used for one full-time equivalent 34 position for administration of the center. 35 -12- SF 2336 (5) 84 pf/jp/jh 12/ 96

S.F. 2336 i. Of the funds appropriated in this subsection, $64,968 1 $129,937 shall be used for the prescription drug donation 2 repository program created in chapter 135M . 3 j. For provision of early prevention screening by pap smear 4 and advanced screening by colposcope for women with incomes 5 below 250 percent of the federal poverty level, as defined by 6 the most recently revised poverty income guidelines issued by 7 the United States department of health and human services, 8 who are not covered by a third-party payer health policy or 9 contract that pays for such procedures and related laboratory 10 services: 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 500,000 12 The department shall distribute the amount appropriated in 13 this lettered paragraph to providers on behalf of eligible 14 persons within the target population. 15 4. COMMUNITY CAPACITY 16 For strengthening the health care delivery system at the 17 local level, and for not more than the following full-time 18 equivalent positions: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,117,583 20 5,485,547 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 14.00 22 a. Of the funds appropriated in this subsection, $50,000 23 $100,000 is allocated for a child vision screening program 24 implemented through the university of Iowa hospitals and 25 clinics in collaboration with early childhood Iowa areas. 26 b. Of the funds appropriated in this subsection, $55,654 27 $111,308 is allocated for continuation of an initiative 28 implemented at the university of Iowa and $50,246 $100,493 29 is allocated for continuation of an initiative at the state 30 mental health institute at Cherokee to expand and improve the 31 workforce engaged in mental health treatment and services. 32 The initiatives shall receive input from the university of 33 Iowa, the department of human services, the department of 34 public health, and the mental health and disability services 35 -13- SF 2336 (5) 84 pf/jp/jh 13/ 96

S.F. 2336 commission to address the focus of the initiatives. 1 c. Of the funds appropriated in this subsection, $585,745 2 $1,171,491 shall be used for essential public health services 3 that promote healthy aging throughout the lifespan, contracted 4 through a formula for local boards of health, to enhance health 5 promotion and disease prevention services. 6 d. Of the funds appropriated in this section, $60,908 7 $121,817 shall be deposited in the governmental public health 8 system fund created in section 135A.8 to be used for the 9 purposes of the fund. 10 e. Of the funds appropriated in this subsection, $72,271 11 $144,542 shall be used for the mental health professional 12 shortage area program implemented pursuant to section 135.80 . 13 f. Of the funds appropriated in this subsection, $19,131 14 $38,263 shall be used for a grant to a statewide association 15 of psychologists that is affiliated with the American 16 psychological association to be used for continuation of a 17 program to rotate intern psychologists in placements in urban 18 and rural mental health professional shortage areas, as defined 19 in section 135.80 135.180 . 20 g. Of the funds appropriated in this subsection, the 21 following amounts shall be allocated to the Iowa collaborative 22 safety net provider network established pursuant to section 23 135.153 to be used for the purposes designated. The following 24 amounts allocated under this lettered paragraph shall be 25 distributed to the specified provider and shall not be reduced 26 for administrative or other costs prior to distribution: 27 (1) For distribution to the Iowa primary care association 28 for statewide coordination of the Iowa collaborative safety net 29 provider network: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 66,290 31 150,000 32 (1A) For distribution to the Iowa primary care association 33 to be used for the following women’s health initiatives: 34 (a) To establish a grant program for training sexual assault 35 -14- SF 2336 (5) 84 pf/jp/jh 14/ 96

S.F. 2336 response team (SART) members, including representatives of 1 law enforcement, victim advocates, prosecutors, and certified 2 medical personnel: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 50,000 4 (b) To promote access to primary and preventive health care 5 and for provision of assistance to patients in determining an 6 appropriate medical home: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 75,000 8 (1B) For distribution to federally qualified health centers 9 for necessary infrastructure, statewide coordination, provider 10 recruitment, service delivery, and provision of assistance to 11 patients in determining an appropriate medical home: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 125,000 13 (2) For distribution to the local boards of health that 14 provide direct services for pilot programs in three counties to 15 assist patients in determining an appropriate medical home: 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 38,804 17 77,609 18 (3) For distribution to maternal and child health centers 19 for pilot programs in three counties to assist patients in 20 determining an appropriate medical home: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 38,804 22 100,000 23 (4) For distribution to free clinics for necessary 24 infrastructure, statewide coordination, provider recruitment, 25 service delivery, and provision of assistance to patients in 26 determining an appropriate medical home: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,025 28 424,050 29 (5) For distribution to rural health 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 55,215 34 150,000 35 -15- SF 2336 (5) 84 pf/jp/jh 15/ 96

S.F. 2336 (6) For continuation of the safety net provider patient 1 access to specialty health care initiative as described in 2007 2 Iowa Acts, chapter 218, section 109: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 130,000 4 400,000 5 (7) For continuation of the pharmaceutical infrastructure 6 for safety net providers as described in 2007 Iowa Acts, 7 chapter 218, section 108: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 135,000 9 435,000 10 The Iowa collaborative safety net provider network may 11 continue to distribute funds allocated pursuant to this 12 lettered paragraph through existing contracts or renewal of 13 existing contracts. 14 h. (1) Of the funds appropriated in this subsection, 15 $74,500 shall be used for continued implementation of 16 the recommendations of the direct care worker task force 17 established pursuant to 2005 Iowa Acts, chapter 88, based upon 18 the report submitted to the governor and the general assembly 19 in December 2006. The department may use a portion of the 20 funds allocated in this lettered paragraph for an additional 21 position to assist in the continued implementation. 22 i. (1) Of the funds appropriated in this subsection, 23 $65,050 $145,100 shall be used for allocation to an independent 24 statewide direct care worker association that serves the 25 entirety of the direct care workforce under a contract with 26 terms determined by the director of public health relating 27 to education, outreach, leadership development, mentoring, 28 and other initiatives intended to enhance the recruitment and 29 retention of direct care workers in health care and long-term 30 care settings. 31 (2) Of the funds appropriated in this subsection, $29,000 32 $58,000 shall be used to provide scholarships or other forms of 33 subsidization for direct care worker educational conferences, 34 training, or outreach activities. 35 -16- SF 2336 (5) 84 pf/jp/jh 16/ 96

S.F. 2336 j. Of the funds appropriated in this subsection, the 1 department may use up to $29,259 $58,518 for up to one 2 full-time equivalent position to administer the volunteer 3 health care provider program pursuant to section 135.24 . 4 k. Of the funds appropriated in this subsection, $25,000 5 $50,000 shall be used for a matching dental education loan 6 repayment program to be allocated to a dental nonprofit health 7 service corporation to develop the criteria and implement the 8 loan repayment program. 9 l. Of the funds appropriated in this subsection, $250,000 10 shall be used as state matching funds for the primary care 11 provider recruitment and retention endeavor established 12 pursuant to section 135.107. Notwithstanding any provision 13 to the contrary including whether a community is located in a 14 federally designated health professional shortage area, the 15 funds shall be used for loans to medical students who upon 16 receiving a permanent license in this state will engage in 17 the full-time practice of medicine and surgery or osteopathic 18 medicine and surgery specializing in family medicine, 19 pediatrics, psychiatry, internal medicine, or general surgery 20 in a city within the state with a population of less than 21 26,000 that is located more than 20 miles from a city with a 22 population of 50,000 or more. The department may adopt rules 23 pursuant to chapter 17A to implement this paragraph “l”. 24 m. Of the funds appropriated in this subsection, $100,000 25 shall be used for the purposes of the Iowa donor registry as 26 specified in section 142C.18. 27 n. Of the funds appropriated in this subsection, $100,000 28 shall be used for continuation of a grant to a nationally 29 affiliated volunteer eye organization that has an established 30 program for children and adults and that is solely dedicated to 31 preserving sight and preventing blindness through education, 32 nationally certified vision screening and training, and 33 community and patient service programs. 34 5. HEALTHY AGING 35 -17- SF 2336 (5) 84 pf/jp/jh 17/ 96