Senate
File
446
-
Reprinted
SENATE
FILE
446
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
SSB
1251)
(As
Amended
and
Passed
by
the
Senate
April
18,
2013
)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
including
other
related
provisions
and
appropriations,
2
providing
penalties,
and
including
effective,
retroactive,
3
and
applicability
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2013-2014
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,
2013,
and
ending
June
30,
5
2014,
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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$
12,831,025
19
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FTEs
28.00
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,
$279,946
30
shall
be
transferred
to
the
economic
development
authority
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
4.
Of
the
funds
appropriated
in
this
section,
$250,000
23
shall
be
used
to
fund
services
to
meet
the
unmet
needs
of
older
24
individuals
as
identified
in
the
annual
compilation
of
unmet
25
service
units
by
the
area
agencies
on
aging.
26
5.
Of
the
funds
appropriated
in
this
section,
$600,000
27
shall
be
used
to
fund
home
and
community-based
services
through
28
the
area
agencies
on
aging
that
enable
older
individuals
to
29
avoid
more
costly
utilization
of
residential
or
institutional
30
services
and
remain
in
their
own
homes.
31
6.
Of
the
funds
appropriated
in
this
section,
$2,210,646
32
shall
be
used
to
administer
the
office
of
substitute
decision
33
maker
established
pursuant
to
chapter
231E,
on
a
statewide
34
basis.
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7.
Of
the
funds
appropriated
in
this
subsection,
$40,000
1
shall
be
used
for
implementation
of
a
guardianship
and
2
conservatorship
monitoring
and
assistance
pilot
project
as
3
specified
in
this
Act.
4
DIVISION
II
5
OFFICE
OF
LONG-TERM
CARE
RESIDENT’S
ADVOCATE
——
FY
2013-2014
6
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
RESIDENT’S
ADVOCATE.
There
7
is
appropriated
from
the
general
fund
of
the
state
to
the
8
office
of
long-term
care
resident’s
advocate
for
the
fiscal
9
year
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
10
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
11
used
for
the
purposes
designated:
12
For
salaries,
support,
administration,
maintenance,
and
13
miscellaneous
purposes,
and
for
not
more
than
the
following
14
full-time
equivalent
positions:
15
.
.
.
.
.
.
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.
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.
.
$
1,321,707
16
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.
FTEs
16.00
17
1.
Of
the
funds
appropriated
in
this
section,
$500,000
18
shall
be
used
to
provide
five
additional
local
long-term
care
19
resident’s
advocates
to
continue
moving
toward
the
national
20
recommendation
of
one
full-time
equivalent
paid
staff
ombudsman
21
per
2,000
long-term
care
beds
in
the
state.
22
2.
Of
the
funds
appropriated
in
this
section,
$210,000
23
shall
be
used
to
provide
two
local
long-term
care
resident’s
24
advocates
to
administer
the
certified
volunteer
long-term
25
care
resident’s
advocate
program
pursuant
to
section
231.45,
26
including
operational
certification
and
training
costs.
27
DIVISION
III
28
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2013-2014
29
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
30
from
the
general
fund
of
the
state
to
the
department
of
public
31
health
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
32
June
30,
2014,
the
following
amounts,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purposes
designated:
34
1.
ADDICTIVE
DISORDERS
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For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
1
other
drugs,
and
treating
individuals
affected
by
addictive
2
behaviors,
including
gambling,
and
for
not
more
than
the
3
following
full-time
equivalent
positions:
4
.
.
.
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.
$
29,763,690
5
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.
FTEs
13.00
6
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
7
$7,748,361
shall
be
used
for
the
tobacco
use
prevention
8
and
control
initiative,
including
efforts
at
the
state
and
9
local
levels,
as
provided
in
chapter
142A
.
The
commission
10
on
tobacco
use
prevention
and
control
established
pursuant
11
to
section
142A.3
shall
advise
the
director
of
public
health
12
in
prioritizing
funding
needs
and
the
allocation
of
moneys
13
appropriated
for
the
programs
and
activities
of
the
initiative
14
under
this
subparagraph
(1)
and
shall
make
recommendations
to
15
the
director
in
the
development
of
budget
requests
relating
to
16
the
initiative.
17
(2)
Of
the
funds
allocated
in
this
paragraph
“a”,
$50,000
18
shall
be
used
for
a
social
media
campaign
to
address
tobacco
19
use
reduction.
20
(3)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
21
$453,067
shall
be
transferred
to
the
alcoholic
beverages
22
division
of
the
department
of
commerce
for
enforcement
of
23
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
24
tobacco
control
activities
approved
by
the
division
of
tobacco
25
use
prevention
and
control
as
specified
in
the
memorandum
of
26
understanding
entered
into
between
the
divisions.
27
(b)
For
the
fiscal
year
beginning
July
1,
2013,
and
ending
28
June
30,
2014,
the
terms
of
the
memorandum
of
understanding,
29
entered
into
between
the
division
of
tobacco
use
prevention
30
and
control
of
the
department
of
public
health
and
the
31
alcoholic
beverages
division
of
the
department
of
commerce,
32
governing
compliance
checks
conducted
to
ensure
licensed
retail
33
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
34
ordinances
relating
to
persons
under
eighteen
years
of
age,
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shall
restrict
the
number
of
such
checks
to
one
check
per
1
retail
outlet,
and
one
additional
check
for
any
retail
outlet
2
found
to
be
in
violation
during
the
first
check.
3
b.
Of
the
funds
appropriated
in
this
subsection,
4
$22,015,329
shall
be
used
for
problem
gambling
and
5
substance-related
disorder
prevention,
treatment,
and
recovery
6
services,
including
a
24-hour
helpline,
public
information
7
resources,
professional
training,
and
program
evaluation.
8
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
9
$18,903,715
shall
be
used
for
substance-related
disorder
10
prevention
and
treatment.
11
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
12
$899,300
shall
be
used
for
the
public
purpose
of
a
grant
13
program
to
provide
substance-related
disorder
prevention
14
programming
for
children.
15
(i)
Of
the
funds
allocated
in
this
subparagraph
division
16
(a),
$427,539
shall
be
used
for
grant
funding
for
organizations
17
that
provide
programming
for
children
by
utilizing
mentors.
18
Programs
approved
for
such
grants
shall
be
certified
or
will
19
be
certified
within
six
months
of
receiving
the
grant
award
20
by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
21
standards
for
effective
practice
for
mentoring
programs.
22
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
23
(a),
$426,839
shall
be
used
for
grant
funding
for
organizations
24
that
provide
programming
that
includes
youth
development
and
25
leadership.
The
programs
shall
also
be
recognized
as
being
26
programs
that
are
scientifically
based
with
evidence
of
their
27
effectiveness
in
reducing
substance-related
disorders
in
28
children.
29
(iii)
The
department
of
public
health
shall
utilize
a
30
request
for
proposals
process
to
implement
the
grant
program.
31
(iv)
All
grant
recipients
shall
participate
in
a
program
32
evaluation
as
a
requirement
for
receiving
grant
funds.
33
(v)
Of
the
funds
allocated
in
this
subparagraph
division
34
(a),
up
to
$44,922
may
be
used
to
administer
substance-related
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disorder
prevention
grants
and
for
program
evaluations.
1
(b)
Of
the
funds
allocated
in
this
subparagraph
2
(1),
$272,603
shall
be
used
for
culturally
competent
3
substance-related
disorder
treatment
pilot
projects.
4
(i)
The
department
shall
utilize
the
amount
allocated
5
in
this
subparagraph
division
(b)
for
at
least
three
pilot
6
projects
to
provide
culturally
competent
substance-related
7
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
8
project
shall
target
a
particular
ethnic
minority
population.
9
The
populations
targeted
shall
include
but
are
not
limited
to
10
African
American,
Asian,
and
Latino.
11
(ii)
The
pilot
project
requirements
shall
provide
for
12
documentation
or
other
means
to
ensure
access
to
the
cultural
13
competence
approach
used
by
a
pilot
project
so
that
such
14
approach
can
be
replicated
and
improved
upon
in
successor
15
programs.
16
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
17
to
$3,111,614
may
be
used
for
problem
gambling
prevention,
18
treatment,
and
recovery
services.
19
(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
20
$2,573,762
shall
be
used
for
problem
gambling
prevention
and
21
treatment.
22
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
23
$437,852
may
be
used
for
a
24-hour
helpline,
public
information
24
resources,
professional
training,
and
program
evaluation.
25
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
26
to
$100,000
may
be
used
for
the
licensing
of
problem
gambling
27
treatment
programs.
28
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
29
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
30
diagnosis
of
substance-related
disorder
and
gambling
addiction
31
shall
be
given
priority
in
treatment
services.
32
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
33
to
standardize
the
availability,
delivery,
cost
of
delivery,
34
and
accountability
of
problem
gambling
and
substance-related
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disorder
treatment
services
statewide,
the
department
shall
1
continue
implementation
of
a
process
to
create
a
system
2
for
delivery
of
treatment
services
in
accordance
with
the
3
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
4
3,
subsection
4.
To
ensure
the
system
provides
a
continuum
5
of
treatment
services
that
best
meets
the
needs
of
Iowans,
6
the
problem
gambling
and
substance-related
disorder
treatment
7
services
in
any
area
may
be
provided
either
by
a
single
agency
8
or
by
separate
agencies
submitting
a
joint
proposal.
9
(1)
The
system
for
delivery
of
substance-related
disorder
10
and
problem
gambling
treatment
shall
include
problem
gambling
11
prevention.
12
(2)
The
system
for
delivery
of
substance-related
disorder
13
and
problem
gambling
treatment
shall
include
substance-related
14
disorder
prevention
by
July
1,
2014.
15
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
16
may
use
up
to
$100,000
for
administrative
costs
to
continue
17
developing
and
implementing
the
process
in
accordance
with
this
18
paragraph
“c”.
19
d.
The
requirement
of
section
123.53,
subsection
5
,
is
met
20
by
the
appropriations
and
allocations
made
in
this
Act
for
21
purposes
of
substance-related
disorder
treatment
and
addictive
22
disorders
for
the
fiscal
year
beginning
July
1,
2013.
23
e.
The
department
of
public
health
shall
work
with
all
24
other
departments
that
fund
substance-related
disorder
25
prevention
and
treatment
services
and
all
such
departments
26
shall,
to
the
extent
necessary,
collectively
meet
the
state
27
maintenance
of
effort
requirements
for
expenditures
for
28
substance-related
disorder
services
as
required
under
the
29
federal
substance-related
disorder
prevention
and
treatment
30
block
grant.
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
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446
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,996,099
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
3
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
4
than
$734,841
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,
2013.
10
b.
In
order
to
implement
the
legislative
intent
stated
in
11
sections
135.106
and
256I.9,
that
priority
for
home
visitation
12
program
funding
be
given
to
programs
using
evidence-based
or
13
promising
models
for
home
visitation,
it
is
the
intent
of
the
14
general
assembly
to
phase-in
the
funding
priority
in
accordance
15
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2,
16
paragraph
0b.
17
c.
Of
the
funds
appropriated
in
this
subsection,
$2,670,427
18
shall
be
used
to
expand
the
department’s
initiative
to
19
provide
for
adequate
developmental
surveillance
and
screening
20
during
a
child’s
first
five
years
statewide.
The
expansion
21
shall
include
enhancing
the
scope
of
the
program
through
22
collaboration
with
the
child
health
specialty
clinics
to
23
promote
healthy
child
development
through
early
identification
24
and
response
to
both
biomedical
and
social
determinants
25
of
healthy
development;
by
developing
child
health
metrics
26
to
inform
practice,
document
long-term
health
impacts
and
27
savings,
and
provide
for
continuous
improvement
through
28
training,
education,
and
evaluation;
and
by
providing
for
29
practitioner
consultation
particularly
for
children
with
30
behavioral
conditions
and
needs.
The
department
of
public
31
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
32
and
the
child
health
specialty
clinics
to
integrate
the
33
activities
of
the
first
five
initiative
into
the
establishment
34
of
patient-centered
medical
homes,
community
utilities,
35
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accountable
care
organizations,
and
other
integrated
care
1
models
developed
to
improve
health
quality
and
population
2
health
while
reducing
health
care
costs.
To
the
maximum
extent
3
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
4
as
matching
funds
for
medical
assistance
program
reimbursement.
5
d.
Of
the
funds
appropriated
in
this
subsection,
$31,597
6
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
7
funds
to
continue
the
donated
dental
services
program
patterned
8
after
the
projects
developed
by
the
lifeline
network
to
provide
9
dental
services
to
indigent
elderly
and
disabled
individuals.
10
e.
Of
the
funds
appropriated
in
this
subsection,
$111,995
11
shall
be
used
for
childhood
obesity
prevention.
12
f.
Of
the
funds
appropriated
in
this
subsection,
$162,768
13
shall
be
used
to
provide
audiological
services
and
hearing
14
aids
for
children.
The
department
may
enter
into
a
contract
15
to
administer
this
paragraph.
16
g.
Of
the
funds
appropriated
in
this
subsection,
$25,000
17
shall
be
transferred
to
the
university
of
Iowa
college
of
18
dentistry
for
provision
of
primary
dental
services
to
children.
19
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
20
The
university
of
Iowa
college
of
dentistry
shall
coordinate
21
efforts
with
the
department
of
public
health,
bureau
of
22
oral
and
health
delivery
systems,
to
provide
dental
care
to
23
underserved
populations
throughout
the
state.
24
h.
Of
the
funds
appropriated
in
this
subsection,
$50,000
25
shall
be
used
to
address
youth
suicide
prevention.
26
i.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
27
shall
be
used
to
expand
the
I-smile
oral
health
program
to
28
at-risk
adults
with
a
priority
to
serve
individuals
60
years
29
of
age
or
older
to
improve
systemic
health
and
quality
of
30
life,
including
to
individuals
with
disabilities
and
older
31
individuals
with
physical,
cognitive,
or
behavioral
limitations
32
or
chronic
or
complex
conditions
that
adversely
affect
oral
33
self-care,
result
in
greater
susceptibility
to
oral
disease,
or
34
limit
accessibility
to
professional
oral
care.
35
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3.
CHRONIC
CONDITIONS
1
For
serving
individuals
identified
as
having
chronic
2
conditions
or
special
health
care
needs,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,220,411
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
7.00
6
a.
Of
the
funds
appropriated
in
this
subsection,
$159,932
7
shall
be
used
for
grants
to
individual
patients
who
have
8
phenylketonuria
(PKU)
to
assist
with
the
costs
of
necessary
9
special
foods.
10
b.
Of
the
funds
appropriated
in
this
subsection,
$891,644
11
shall
be
used
for
the
brain
injury
services
program
pursuant
to
12
section
135.22B,
including
for
continuation
of
the
contracts
13
for
resource
facilitator
services
in
accordance
with
section
14
135.22B,
subsection
9,
and
to
enhance
brain
injury
training
and
15
recruitment
of
service
providers
on
a
statewide
basis.
Of
the
16
amount
allocated
in
this
paragraph,
$95,000
shall
be
used
to
17
fund
one
full-time
equivalent
position
to
serve
as
the
state
18
brain
injury
service
program
manager.
19
c.
Of
the
funds
appropriated
in
this
subsection,
$547,982
20
shall
be
used
as
additional
funding
to
leverage
federal
funding
21
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
22
assistance
program
supplemental
drug
treatment
grants.
23
d.
Of
the
funds
appropriated
in
this
subsection,
$99,823
24
shall
be
used
for
the
public
purpose
of
continuing
a
grant
25
with
an
existing
national-affiliated
organization
to
provide
26
education,
client-centered
programs,
and
client
and
family
27
support
for
people
living
with
epilepsy
and
their
families.
28
e.
Of
the
funds
appropriated
in
this
subsection,
$785,114
29
shall
be
used
for
child
health
specialty
clinics.
30
f.
Of
the
funds
appropriated
in
this
subsection,
$400,000
31
shall
be
used
by
the
regional
autism
assistance
program
32
established
pursuant
to
section
256.35,
and
administered
by
33
the
child
health
specialty
clinic
located
at
the
university
of
34
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
35
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interagency
collaboration
and
coordination
of
educational,
1
medical,
and
other
human
services
for
persons
with
autism,
2
their
families,
and
providers
of
services,
including
delivering
3
regionalized
services
of
care
coordination,
family
navigation,
4
and
integration
of
services
through
the
statewide
system
of
5
regional
child
health
specialty
clinics
and
fulfilling
other
6
requirements
as
specified
in
chapter
225D,
creating
the
autism
7
support
program,
as
enacted
in
this
Act.
The
university
of
8
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
9
indirect
costs
associated
with
the
regional
autism
assistance
10
program.
11
g.
Of
the
funds
appropriated
in
this
subsection,
$570,993
12
shall
be
used
for
the
comprehensive
cancer
control
program
to
13
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
14
detection,
effective
treatment,
and
ensuring
quality
of
life.
15
Of
the
funds
allocated
in
this
lettered
paragraph,
$150,000
16
shall
be
used
to
support
a
melanoma
research
symposium,
a
17
melanoma
biorepository
and
registry,
basic
and
translational
18
melanoma
research,
and
clinical
trials.
19
h.
Of
the
funds
appropriated
in
this
subsection,
$126,450
20
shall
be
used
for
cervical
and
colon
cancer
screening,
and
21
$500,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
22
cancer
screening
program
to
include
provision
of
recommended
23
prevention
and
early
detection
measures
to
a
broader
range
of
24
low-income
women.
25
i.
Of
the
funds
appropriated
in
this
subsection,
$526,695
26
shall
be
used
for
the
center
for
congenital
and
inherited
27
disorders.
28
j.
Of
the
funds
appropriated
in
this
subsection,
$129,411
29
shall
be
used
for
the
prescription
drug
donation
repository
30
program
created
in
chapter
135M
.
31
k.
Of
the
funds
appropriated
in
this
subsection,
$215,263
32
shall
be
used
for
the
costs
of
the
medical
home
system
advisory
33
council
established
pursuant
to
section
135.159
including
34
incorporation
of
the
development
and
implementation
of
the
35
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446
prevention
and
chronic
care
management
state
initiative.
1
l.
Of
the
funds
appropriated
in
this
subsection,
$139,719
2
shall
be
used
to
fund
the
state
comprehensive
Alzheimer’s
3
disease
response
strategy
as
enacted
in
this
Act.
4
4.
COMMUNITY
CAPACITY
5
For
strengthening
the
health
care
delivery
system
at
the
6
local
level,
and
for
not
more
than
the
following
full-time
7
equivalent
positions:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,514,110
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
18.25
10
a.
Of
the
funds
appropriated
in
this
subsection,
$99,414
11
is
allocated
for
continuation
of
the
child
vision
screening
12
program
implemented
through
the
university
of
Iowa
hospitals
13
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
14
The
program
shall
submit
a
report
to
the
individuals
identified
15
in
this
Act
for
submission
of
reports
regarding
the
use
of
16
funds
allocated
under
this
paragraph
“a”.
The
report
shall
17
include
the
objectives
and
results
for
the
program
year
18
including
the
target
population
and
how
the
funds
allocated
19
assisted
the
program
in
meeting
the
objectives;
the
number,
20
age,
and
location
within
the
state
of
individuals
served;
21
the
type
of
services
provided
to
the
individuals
served;
the
22
distribution
of
funds
based
on
service
provided;
and
the
23
continuing
needs
of
the
program.
24
b.
Of
the
funds
appropriated
in
this
subsection,
$110,656
is
25
allocated
for
continuation
of
an
initiative
implemented
at
the
26
university
of
Iowa
and
$99,904
is
allocated
for
continuation
of
27
an
initiative
at
the
state
mental
health
institute
at
Cherokee
28
to
expand
and
improve
the
workforce
engaged
in
mental
health
29
treatment
and
services.
The
initiatives
shall
receive
input
30
from
the
university
of
Iowa,
the
department
of
human
services,
31
the
department
of
public
health,
and
the
mental
health
and
32
disability
services
commission
to
address
the
focus
of
the
33
initiatives.
34
c.
Of
the
funds
appropriated
in
this
subsection,
$1,164,628
35
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118
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446
shall
be
used
for
essential
public
health
services
that
promote
1
healthy
aging
throughout
the
lifespan,
contracted
through
a
2
formula
for
local
boards
of
health,
to
enhance
health
promotion
3
and
disease
prevention
services.
4
d.
Of
the
funds
appropriated
in
this
section,
$99,286
shall
5
be
deposited
in
the
governmental
public
health
system
fund
6
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
7
fund.
8
e.
Of
the
funds
appropriated
in
this
subsection,
$105,448
9
shall
be
used
for
the
mental
health
professional
shortage
area
10
program
implemented
pursuant
to
section
135.180
.
11
f.
Of
the
funds
appropriated
in
this
subsection,
12
$38,263
shall
be
used
for
a
grant
to
a
statewide
association
13
of
psychologists
that
is
affiliated
with
the
American
14
psychological
association
to
be
used
for
continuation
of
a
15
program
to
rotate
intern
psychologists
in
placements
in
urban
16
and
rural
mental
health
professional
shortage
areas,
as
defined
17
in
section
135.180
.
18
g.
Of
the
funds
appropriated
in
this
subsection,
the
19
following
amounts
shall
be
allocated
to
the
Iowa
collaborative
20
safety
net
provider
network
established
pursuant
to
section
21
135.153
to
be
used
for
the
purposes
designated.
The
following
22
amounts
allocated
under
this
lettered
paragraph
shall
be
23
distributed
to
the
specified
provider
and
shall
not
be
reduced
24
for
administrative
or
other
costs
prior
to
distribution:
25
(1)
For
distribution
to
the
Iowa
primary
care
association
26
for
statewide
coordination
of
the
Iowa
collaborative
safety
net
27
provider
network:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
145,785
29
(2)
For
distribution
to
the
Iowa
primary
care
association
30
to
be
used
to
continue
a
training
program
for
sexual
assault
31
response
team
(SART)
members,
including
representatives
of
32
law
enforcement,
victim
advocates,
prosecutors,
and
certified
33
medical
personnel:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
35
-13-
SF
446
(7)
85
pf/jp/jh
13/
118
S.F.
446
(3)
For
distribution
to
federally
qualified
health
centers
1
for
necessary
infrastructure,
statewide
coordination,
provider
2
recruitment,
service
delivery,
and
provision
of
assistance
to
3
patients
in
determining
an
appropriate
medical
home:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
75,000
5
(4)
For
distribution
to
the
local
boards
of
health
that
6
provide
direct
services
for
pilot
programs
in
three
counties
to
7
assist
patients
in
securing
a
medical
home
inclusive
of
dental
8
care:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
77,153
10
(5)
For
distribution
to
maternal
and
child
health
centers
11
for
pilot
programs
in
three
service
areas
to
assist
patients
in
12
securing
a
medical
home
inclusive
of
dental
care:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
95,126
14
(6)
For
distribution
to
free
clinics
for
necessary
15
infrastructure,
statewide
coordination,
provider
recruitment,
16
service
delivery,
and
provision
of
assistance
to
patients
in
17
securing
a
medical
home
inclusive
of
dental
care:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
399,272
19
(7)
For
distribution
to
rural
health
clinics
for
necessary
20
infrastructure,
statewide
coordination,
provider
recruitment,
21
service
delivery,
and
provision
of
assistance
to
patients
in
22
determining
an
appropriate
medical
home:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
141,544
24
(8)
For
continuation
of
the
safety
net
provider
patient
25
access
to
a
specialty
health
care
initiative
as
described
in
26
2007
Iowa
Acts,
chapter
218,
section
109:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
448,474
28
(9)
For
continuation
of
the
pharmaceutical
infrastructure
29
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
30
chapter
218,
section
108:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
413,415
32
(10)
For
distribution
to
the
Iowa
family
planning
network
33
agencies
for
necessary
infrastructure,
statewide
coordination,
34
provider
recruitment,
service
delivery,
and
provision
of
35
-14-
SF
446
(7)
85
pf/jp/jh
14/
118
S.F.
446
assistance
to
patients
in
determining
an
appropriate
medical
1
home:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
3
The
Iowa
collaborative
safety
net
provider
network
may
4
continue
to
distribute
funds
allocated
pursuant
to
this
5
lettered
paragraph
through
existing
contracts
or
renewal
of
6
existing
contracts.
7
h.
(1)
Of
the
funds
appropriated
in
this
subsection,
8
$204,775
shall
be
used
for
continuation
of
the
work
of
the
9
direct
care
worker
advisory
council
established
pursuant
to
10
2008
Iowa
Acts,
chapter
1188,
section
69,
in
implementing
the
11
recommendations
in
the
final
report
submitted
by
the
advisory
12
council
to
the
governor
and
the
general
assembly
in
March
2012.
13
(2)
The
advisory
council,
in
collaboration
with
the
board
14
of
direct
care
professionals
created
in
chapter
152F,
if
15
enacted
in
2013
Iowa
Acts,
Senate
File
232,
or
2013
successor
16
legislation,
shall
do
all
of
the
following:
17
(a)
Develop
and
conduct
necessary
outreach
and
education
18
for
individuals
providing
direct
care
services,
consumers,
19
training
providers
including
but
not
limited
to
community
20
college
health
occupation
and
training
centers,
employers,
and
21
other
interested
parties
to
provide
information
about
and
the
22
process
for
participation
in
direct
care
professional
voluntary
23
certification.
24
(b)
Determine
data
collection
needs,
collect
data,
and
25
track
and
analyze
data
to
determine
the
effect
of
certification
26
on
recruitment
and
retention,
turnover
rates,
the
cost
of
27
turnover,
consumer
and
employer
satisfaction,
and
public
28
protection.
The
analysis
of
the
data
collected
shall
also
be
29
used
to
inform
changes
in
the
certification
system
to
provide
30
for
continuous
improvement
for
direct
care
professionals,
31
consumers
and
employers,
and
the
public.
32
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
33
$207,750
shall
be
used
for
allocation
to
an
independent
34
statewide
direct
care
worker
association
under
continuation
35
-15-
SF
446
(7)
85
pf/jp/jh
15/
118
S.F.
446
of
the
contract
in
effect
during
the
fiscal
year
ending
June
1
30,
2013,
with
terms
determined
by
the
director
of
public
2
health
relating
to
education,
outreach,
leadership
development,
3
mentoring,
and
other
initiatives
intended
to
enhance
the
4
recruitment
and
retention
of
direct
care
workers
in
health
care
5
and
long-term
care
settings.
6
(2)
Of
the
funds
appropriated
in
this
subsection,
$75,000
7
shall
be
used
to
provide
scholarships
or
other
forms
of
8
subsidization
for
direct
care
worker
educational
conferences,
9
training,
or
outreach
activities.
10
(3)
Of
the
funds
appropriated
in
this
subsection,
up
11
to
$184,530
shall
be
used
for
the
board
of
direct
care
12
professionals
created
pursuant
to
chapter
152F,
if
enacted
in
13
2013
Iowa
Acts,
Senate
File
232,
or
2013
successor
legislation.
14
A
portion
of
the
amount
allocated
in
this
subparagraph
(3)
15
may
be
used
for
up
to
4.25
full-time
equivalent
positions
to
16
administer
the
board
of
direct
care
professionals.
17
j.
Of
the
funds
appropriated
in
this
subsection,
the
18
department
may
use
up
to
$58,175
for
up
to
one
full-time
19
equivalent
position
to
administer
the
volunteer
health
care
20
provider
program
pursuant
to
section
135.24
.
21
k.
Of
the
funds
appropriated
in
this
subsection,
$49,707
22
shall
be
used
for
a
matching
dental
education
loan
repayment
23
program
to
be
allocated
to
a
dental
nonprofit
health
service
24
corporation
to
develop
the
criteria
and
implement
the
loan
25
repayment
program.
26
l.
Of
the
funds
appropriated
in
this
subsection,
$105,823
27
shall
be
transferred
to
the
college
student
aid
commission
for
28
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
in
29
section
261.113
to
be
used
for
the
purposes
of
the
fund.
30
m.
Of
the
funds
appropriated
in
this
subsection,
$150,000
31
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
32
specified
in
section
142C.18.
33
n.
Of
the
funds
appropriated
in
this
subsection,
$100,000
34
shall
be
used
for
continuation
of
a
grant
to
a
nationally
35
-16-
SF
446
(7)
85
pf/jp/jh
16/
118
S.F.
446
affiliated
volunteer
eye
organization
that
has
an
established
1
program
for
children
and
adults
and
that
is
solely
dedicated
to
2
preserving
sight
and
preventing
blindness
through
education,
3
nationally
certified
vision
screening
and
training,
and
4
community
and
patient
service
programs.
The
organization
5
shall
submit
a
report
to
the
individuals
identified
in
this
6
Act
for
submission
of
reports
regarding
the
use
of
funds
7
allocated
under
this
paragraph
“n”.
The
report
shall
include
8
the
objectives
and
results
for
the
program
year
including
9
the
target
population
and
how
the
funds
allocated
assisted
10
the
program
in
meeting
the
objectives;
the
number,
age,
and
11
location
within
the
state
of
individuals
served;
the
type
of
12
services
provided
to
the
individuals
served;
the
distribution
13
of
funds
based
on
service
provided;
and
the
continuing
needs
14
of
the
program.
15
o.
Of
the
funds
appropriated
in
this
subsection,
$25,000
16
shall
be
used
for
the
establishment
of
wellness
council
under
17
the
direction
of
the
director
of
public
health
to
increase
18
support
for
wellness
activities
in
the
state.
19
p.
Of
the
funds
appropriated
in
this
section,
$1,158,150
20
is
allocated
to
the
Iowa
collaborative
safety
net
provider
21
network
established
pursuant
to
section
135.153
to
be
used
for
22
development
and
implementation
of
a
statewide
regionally-based
23
network
to
provide
an
integrated
approach
to
health
care
24
delivery
through
care
coordination
that
supports
primary
25
care
providers
and
links
patients
with
community
resources
26
necessary
to
empower
patients
in
addressing
biomedical
and
27
social
determinants
of
health
to
improve
health
outcomes.
The
28
Iowa
collaborative
safety
net
provider
network
shall
work
in
29
conjunction
with
the
department
of
human
services
to
align
the
30
integrated
network
with
the
health
care
delivery
system
model
31
developed
under
the
state
innovation
models
initiative
grant.
32
The
Iowa
collaborative
safety
net
provider
network
shall
submit
33
a
progress
report
to
the
individuals
designated
in
this
Act
for
34
submission
of
reports
by
December
31,
2013,
including
progress
35
-17-
SF
446
(7)
85
pf/jp/jh
17/
118
S.F.
446
in
developing
and
implementing
the
network,
how
the
funds
1
were
distributed
and
used
in
developing
and
implementing
the
2
network,
and
the
remaining
needs
in
developing
and
implementing
3
the
network.
4
q.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
5
be
deposited
in
the
area
health
education
centers
fund,
as
6
enacted
by
this
Act,
to
be
used
for
the
purposes
of
the
fund.
7
r.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
8
be
distributed
to
a
statewide
nonprofit
organization
to
be
used
9
for
the
public
purpose
of
supporting
a
partnership
between
10
medical
providers
and
parents
through
community
health
centers
11
to
promote
reading
and
encourage
literacy
skills
so
children
12
enter
school
prepared
for
success
in
reading.
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
803,870
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
29
Of
the
funds
appropriated
in
this
subsection,
$537,750
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
-18-
SF
446
(7)
85
pf/jp/jh
18/
118
S.F.
446
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,335,155
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,334,571
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
131.00
8
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
9
than
$454,700
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,
$203,032
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
$598,751
shall
be
used
for
the
state
poison
control
23
center.
24
d.
Of
the
funds
appropriated
in
this
section,
$368,000
shall
25
be
used
for
maintenance
of
environmental
health
programs
to
26
ensure
public
safety.
27
e.
Of
the
funds
appropriated
in
this
section,
$28,000
shall
28
be
used
as
one-time
funding
to
transition
the
licensing
of
29
orthotists,
prosthetists,
and
pedorthists
to
a
fee-supported
30
licensing
model.
31
f.
Of
the
funds
appropriated
in
this
section,
$28,644
shall
32
be
used
for
the
costs
of
the
emergency
medical
services
task
33
force
as
enacted
in
this
Act.
34
g.
Of
the
funds
appropriated
in
this
section,
$55,800
shall
35
-19-
SF
446
(7)
85
pf/jp/jh
19/
118
S.F.
446
be
used
as
one-time
funding
for
the
board
of
behavioral
science
1
to
incorporate
the
provisions
of
2013
Iowa
Acts,
House
File
2
569,
if
enacted,
relating
to
the
licensure
of
professionals
3
practicing
substance
and
addictive
disorder
counseling
or
4
providing
substance
and
addictive
disorder
prevention
services.
5
9.
RESOURCE
MANAGEMENT
6
For
establishing
and
sustaining
the
overall
ability
of
the
7
department
to
deliver
services
to
the
public,
and
for
not
more
8
than
the
following
full-time
equivalent
positions:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
804,054
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
11
The
university
of
Iowa
hospitals
and
clinics
under
the
12
control
of
the
state
board
of
regents
shall
not
receive
13
indirect
costs
from
the
funds
appropriated
in
this
section.
14
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
15
department
shall
be
on
at
least
a
quarterly
basis.
16
The
department
of
public
health
shall
submit
a
report
to
the
17
individuals
specified
in
this
Act
for
submission
of
reports
by
18
December
15,
2013,
providing
recommendations
for
improvements
19
in
the
intraoperability
and
interoperability
of
communications
20
technology
under
the
purview
of
the
department
to
improve
21
efficiency
and
reduce
costs.
22
DIVISION
IV
23
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2013-2014
24
Sec.
4.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
25
appropriated
from
the
general
fund
of
the
state
to
the
26
department
of
veterans
affairs
for
the
fiscal
year
beginning
27
July
1,
2013,
and
ending
June
30,
2014,
the
following
amounts,
28
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
29
designated:
30
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
31
For
salaries,
support,
maintenance,
and
miscellaneous
32
purposes,
including
the
war
orphans
educational
assistance
fund
33
created
in
section
35.8
,
or
a
successor
funding
provision
for
34
war
orphans
educational
assistance,
if
enacted,
and
for
not
35
-20-
SF
446
(7)
85
pf/jp/jh
20/
118
S.F.
446
more
than
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,093,508
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
3
2.
IOWA
VETERANS
HOME
4
For
salaries,
support,
maintenance,
and
miscellaneous
5
purposes:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,025,714
7
a.
The
Iowa
veterans
home
billings
involving
the
department
8
of
human
services
shall
be
submitted
to
the
department
on
at
9
least
a
monthly
basis.
10
b.
If
there
is
a
change
in
the
employer
of
employees
11
providing
services
at
the
Iowa
veterans
home
under
a
collective
12
bargaining
agreement,
such
employees
and
the
agreement
shall
13
be
continued
by
the
successor
employer
as
though
there
had
not
14
been
a
change
in
employer.
15
c.
Within
available
resources
and
in
conformance
with
16
associated
state
and
federal
program
eligibility
requirements,
17
the
Iowa
veterans
home
may
implement
measures
to
provide
18
financial
assistance
to
or
on
behalf
of
veterans
or
their
19
spouses
who
are
participating
in
the
community
reentry
program.
20
d.
The
Iowa
veterans
home
expenditure
report
shall
be
21
submitted
monthly
to
the
legislative
services
agency.
22
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
23
VETERANS
24
For
provision
of
educational
assistance
pursuant
to
section
25
35A.20
:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,416
27
4.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
28
For
transfer
to
the
Iowa
finance
authority
for
the
29
continuation
of
the
home
ownership
assistance
program
for
30
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
31
the
United
States,
pursuant
to
section
16.54:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,600,000
33
Sec.
5.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
34
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
35
-21-
SF
446
(7)
85
pf/jp/jh
21/
118
S.F.
446
appropriation
in
the
following
designated
section
for
the
1
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
2014,
2
the
amounts
appropriated
from
the
general
fund
of
the
state
3
pursuant
to
that
section
for
the
following
designated
purposes
4
shall
not
exceed
the
following
amount:
5
For
the
county
commissions
of
veteran
affairs
fund
under
6
section
35A.16
:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
8
DIVISION
V
9
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2013-2014
10
Sec.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
11
GRANT.
There
is
appropriated
from
the
fund
created
in
section
12
8.41
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2013,
and
ending
June
30,
2014,
from
moneys
14
received
under
the
federal
temporary
assistance
for
needy
15
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
16
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
17
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
18
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
19
purposes
designated:
20
1.
To
be
credited
to
the
family
investment
program
account
21
and
used
for
assistance
under
the
family
investment
program
22
under
chapter
239B
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,116,948
24
2.
To
be
credited
to
the
family
investment
program
account
25
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
26
program
and
implementing
family
investment
agreements
in
27
accordance
with
chapter
239B
:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,866,439
29
3.
To
be
used
for
the
family
development
and
30
self-sufficiency
grant
program
in
accordance
with
section
31
216A.107
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
33
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
34
subsection
that
remain
unencumbered
or
unobligated
at
the
close
35
-22-
SF
446
(7)
85
pf/jp/jh
22/
118
S.F.
446
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
1
for
expenditure
for
the
purposes
designated
until
the
close
of
2
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
3
encumbered
or
obligated
on
or
before
September
30,
2014,
the
4
moneys
shall
revert.
5
4.
For
field
operations:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
7
5.
For
general
administration:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
9
6.
For
state
child
care
assistance:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,382,687
11
The
funds
appropriated
in
this
subsection
shall
be
12
transferred
to
the
child
care
and
development
block
grant
13
appropriation
made
by
the
Eighty-fifth
General
Assembly,
2013
14
Session,
for
the
federal
fiscal
year
beginning
October
1,
15
2013,
and
ending
September
30,
2014.
Of
this
amount,
$200,000
16
shall
be
used
for
provision
of
educational
opportunities
to
17
registered
child
care
home
providers
in
order
to
improve
18
services
and
programs
offered
by
this
category
of
providers
19
and
to
increase
the
number
of
providers.
The
department
may
20
contract
with
institutions
of
higher
education
or
child
care
21
resource
and
referral
centers
to
provide
the
educational
22
opportunities.
Allowable
administrative
costs
under
the
23
contracts
shall
not
exceed
5
percent.
The
application
for
a
24
grant
shall
not
exceed
two
pages
in
length.
25
7.
For
distribution
to
counties
and
regions
through
the
26
property
tax
relief
fund
for
mental
health
and
disability
27
services
as
provided
in
an
appropriation
made
for
this
purpose:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
29
8.
For
child
and
family
services:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
31
9.
For
child
abuse
prevention
grants:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
33
10.
For
pregnancy
prevention
grants
on
the
condition
that
34
family
planning
services
are
funded:
35
-23-
SF
446
(7)
85
pf/jp/jh
23/
118
S.F.
446
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
1
Pregnancy
prevention
grants
shall
be
awarded
to
programs
2
in
existence
on
or
before
July
1,
2013,
if
the
programs
have
3
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
4
pregnancy
prevention
programs
which
are
developed
after
July
5
1,
2013,
if
the
programs
are
based
on
existing
models
that
6
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
7
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
8
section
14,
subsections
1
and
2,
including
the
requirement
that
9
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
10
the
awarding
of
grants
shall
be
given
to
programs
that
serve
11
areas
of
the
state
which
demonstrate
the
highest
percentage
of
12
unplanned
pregnancies
of
females
of
childbearing
age
within
the
13
geographic
area
to
be
served
by
the
grant.
14
11.
For
technology
needs
and
other
resources
necessary
15
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
16
management
requirements:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
18
12.
To
be
credited
to
the
state
child
care
assistance
19
appropriation
made
in
this
section
to
be
used
for
funding
of
20
community-based
early
childhood
programs
targeted
to
children
21
from
birth
through
five
years
of
age
developed
by
early
22
childhood
Iowa
areas
as
provided
in
section
256I.8
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,350,000
24
The
department
shall
transfer
TANF
block
grant
funding
25
appropriated
and
allocated
in
this
subsection
to
the
child
care
26
and
development
block
grant
appropriation
in
accordance
with
27
federal
law
as
necessary
to
comply
with
the
provisions
of
this
28
subsection.
29
13.
For
the
family
investment
program
share
of
the
30
costs
to
develop
and
maintain
a
new,
integrated
eligibility
31
determination
system:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,050,451
33
14.
a.
Notwithstanding
any
provision
to
the
contrary,
34
including
but
not
limited
to
requirements
in
section
8.41
or
35
-24-
SF
446
(7)
85
pf/jp/jh
24/
118
S.F.
446
provisions
in
2012
or
2013
Iowa
Acts
regarding
the
receipt
and
1
appropriation
of
federal
block
grants,
federal
funds
from
the
2
temporary
assistance
for
needy
families
block
grant
received
3
by
the
state
not
otherwise
appropriated
in
this
section
and
4
remaining
available
for
the
fiscal
year
beginning
July
1,
5
2013,
are
appropriated
to
the
department
of
human
services
to
6
the
extent
as
may
be
necessary
to
be
used
in
the
following
7
priority
order:
the
family
investment
program,
for
state
child
8
care
assistance
program
payments
for
individuals
enrolled
9
in
the
family
investment
program
who
are
employed,
and
for
10
the
family
investment
program
share
of
costs
to
develop
and
11
maintain
a
new,
integrated
eligibility
determination
system.
12
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
13
expended
only
after
all
other
funds
appropriated
in
subsection
14
1
for
the
assistance
under
the
family
investment
program,
in
15
subsection
6
for
child
care
assistance,
or
in
subsection
13
for
16
the
family
investment
program
share
of
the
costs
to
develop
and
17
maintain
a
new,
integrated
eligibility
determination
system,
as
18
applicable,
have
been
expended.
19
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
20
legislative
services
agency
and
department
of
management
of
21
the
amount
of
funds
appropriated
in
this
subsection
that
was
22
expended
in
the
prior
quarter.
23
15.
Of
the
amounts
appropriated
in
this
section,
24
$12,962,008
for
the
fiscal
year
beginning
July
1,
2013,
shall
25
be
transferred
to
the
appropriation
of
the
federal
social
26
services
block
grant
made
to
the
department
of
human
services
27
for
that
fiscal
year.
28
16.
For
continuation
of
the
program
providing
categorical
29
eligibility
for
the
food
assistance
program
as
specified
for
30
the
program
in
the
section
of
this
division
relating
to
the
31
family
investment
program
account:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
33
17.
The
department
may
transfer
funds
allocated
in
this
34
section
to
the
appropriations
made
in
this
division
of
this
Act
35
-25-
SF
446
(7)
85
pf/jp/jh
25/
118
S.F.
446
for
the
same
fiscal
year
for
general
administration
and
field
1
operations
for
resources
necessary
to
implement
and
operate
the
2
services
referred
to
in
this
section
and
those
funded
in
the
3
appropriation
made
in
this
division
of
this
Act
for
the
same
4
fiscal
year
for
the
family
investment
program
from
the
general
5
fund
of
the
state.
6
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
7
1.
Moneys
credited
to
the
family
investment
program
(FIP)
8
account
for
the
fiscal
year
beginning
July
1,
2013,
and
9
ending
June
30,
2014,
shall
be
used
to
provide
assistance
in
10
accordance
with
chapter
239B
.
11
2.
The
department
may
use
a
portion
of
the
moneys
credited
12
to
the
FIP
account
under
this
section
as
necessary
for
13
salaries,
support,
maintenance,
and
miscellaneous
purposes.
14
3.
The
department
may
transfer
funds
allocated
in
this
15
section
to
the
appropriations
made
in
this
division
of
this
Act
16
for
the
same
fiscal
year
for
general
administration
and
field
17
operations
for
resources
necessary
to
implement
and
operate
the
18
services
referred
to
in
this
section
and
those
funded
in
the
19
appropriation
made
in
this
division
of
this
Act
for
the
same
20
fiscal
year
for
the
family
investment
program
from
the
general
21
fund
of
the
state.
22
4.
Moneys
appropriated
in
this
division
of
this
Act
and
23
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
24
1,
2013,
and
ending
June
30,
2014,
are
allocated
as
follows:
25
a.
To
be
retained
by
the
department
of
human
services
to
26
be
used
for
coordinating
with
the
department
of
human
rights
27
to
more
effectively
serve
participants
in
the
FIP
program
and
28
other
shared
clients
and
to
meet
federal
reporting
requirements
29
under
the
federal
temporary
assistance
for
needy
families
block
30
grant:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
32
b.
To
the
department
of
human
rights
for
staffing,
33
administration,
and
implementation
of
the
family
development
34
and
self-sufficiency
grant
program
in
accordance
with
section
35
-26-
SF
446
(7)
85
pf/jp/jh
26/
118
S.F.
446
216A.107
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,500,000
2
(1)
Of
the
funds
allocated
for
the
family
development
and
3
self-sufficiency
grant
program
in
this
lettered
paragraph,
4
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
5
administration
of
the
grant
program.
6
(2)
The
department
of
human
rights
may
continue
to
implement
7
the
family
development
and
self-sufficiency
grant
program
8
statewide
during
fiscal
year
2013-2014.
9
c.
For
the
diversion
subaccount
of
the
FIP
account:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,698,400
11
A
portion
of
the
moneys
allocated
for
the
subaccount
may
12
be
used
for
field
operations
salaries,
data
management
system
13
development,
and
implementation
costs
and
support
deemed
14
necessary
by
the
director
of
human
services
in
order
to
15
administer
the
FIP
diversion
program.
To
the
extent
moneys
16
allocated
in
this
lettered
paragraph
are
not
deemed
by
the
17
department
to
be
necessary
to
support
diversion
activities,
18
such
moneys
may
be
used
for
other
efforts
intended
to
increase
19
engagement
by
family
investment
program
participants
in
work,
20
education,
or
training
activities.
21
d.
For
the
food
assistance
employment
and
training
program:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
23
(1)
The
department
shall
apply
the
federal
supplemental
24
nutrition
assistance
program
(SNAP)
employment
and
training
25
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
26
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
27
provisions
for
the
claiming
of
allowable
federal
reimbursement
28
funds
from
the
United
States
department
of
agriculture
29
pursuant
to
the
federal
SNAP
employment
and
training
program
30
for
providing
education,
employment,
and
training
services
31
for
eligible
food
assistance
program
participants,
including
32
but
not
limited
to
related
dependent
care
and
transportation
33
expenses.
34
(2)
The
department
shall
continue
the
categorical
federal
35
-27-
SF
446
(7)
85
pf/jp/jh
27/
118
S.F.
446
food
assistance
program
eligibility
at
160
percent
of
the
1
federal
poverty
level
and
continue
to
eliminate
the
asset
test
2
from
eligibility
requirements,
consistent
with
federal
food
3
assistance
program
requirements.
The
department
shall
include
4
as
many
food
assistance
households
as
is
allowed
by
federal
5
law.
The
eligibility
provisions
shall
conform
to
all
federal
6
requirements
including
requirements
addressing
individuals
who
7
are
incarcerated
or
otherwise
ineligible.
8
e.
For
the
JOBS
program:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,690,816
10
5.
Of
the
child
support
collections
assigned
under
FIP,
11
an
amount
equal
to
the
federal
share
of
support
collections
12
shall
be
credited
to
the
child
support
recovery
appropriation
13
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
14
assigned
child
support
collections
received
by
the
child
15
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
16
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
17
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
18
payments
account.
If
as
a
consequence
of
the
appropriations
19
and
allocations
made
in
this
section
the
resulting
amounts
20
are
insufficient
to
sustain
cash
assistance
payments
and
meet
21
federal
maintenance
of
effort
requirements,
the
department
22
shall
seek
supplemental
funding.
If
child
support
collections
23
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
24
determined
not
to
be
required
for
maintenance
of
effort,
the
25
state
share
of
either
amount
may
be
transferred
to
or
retained
26
in
the
child
support
payment
account.
27
6.
The
department
may
adopt
emergency
rules
for
the
family
28
investment,
JOBS,
food
assistance,
and
medical
assistance
29
programs
if
necessary
to
comply
with
federal
requirements.
30
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
31
is
appropriated
from
the
general
fund
of
the
state
to
the
32
department
of
human
services
for
the
fiscal
year
beginning
July
33
1,
2013,
and
ending
June
30,
2014,
the
following
amount,
or
34
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
35
-28-
SF
446
(7)
85
pf/jp/jh
28/
118
S.F.
446
designated:
1
To
be
credited
to
the
family
investment
program
(FIP)
2
account
and
used
for
family
investment
program
assistance
under
3
chapter
239B
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,894,380
5
1.
Of
the
funds
appropriated
in
this
section,
$7,824,377
is
6
allocated
for
the
JOBS
program.
7
2.
Of
the
funds
appropriated
in
this
section,
$3,621,020
is
8
allocated
for
the
family
development
and
self-sufficiency
grant
9
program.
10
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
11
beginning
July
1,
2013,
if
necessary
to
meet
federal
12
maintenance
of
effort
requirements
or
to
transfer
federal
13
temporary
assistance
for
needy
families
block
grant
funding
14
to
be
used
for
purposes
of
the
federal
social
services
block
15
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
16
receiving
federal
funding
or
to
implement,
in
accordance
with
17
this
division
of
this
Act,
activities
currently
funded
with
18
juvenile
court
services,
county,
or
community
moneys
and
state
19
moneys
used
in
combination
with
such
moneys,
the
department
20
of
human
services
may
transfer
funds
within
or
between
any
21
of
the
appropriations
made
in
this
division
of
this
Act
and
22
appropriations
in
law
for
the
federal
social
services
block
23
grant
to
the
department
for
the
following
purposes,
provided
24
that
the
combined
amount
of
state
and
federal
temporary
25
assistance
for
needy
families
block
grant
funding
for
each
26
appropriation
remains
the
same
before
and
after
the
transfer:
27
a.
For
the
family
investment
program.
28
b.
For
child
care
assistance.
29
c.
For
child
and
family
services.
30
d.
For
field
operations.
31
e.
For
general
administration.
32
f.
For
distribution
to
counties
or
regions
for
services
to
33
persons
with
mental
illness
or
an
intellectual
disability.
34
This
subsection
shall
not
be
construed
to
prohibit
the
use
35
-29-
SF
446
(7)
85
pf/jp/jh
29/
118
S.F.
446
of
existing
state
transfer
authority
for
other
purposes.
The
1
department
shall
report
any
transfers
made
pursuant
to
this
2
subsection
to
the
legislative
services
agency.
3
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
4
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
5
organization
with
a
history
of
providing
tax
preparation
6
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
7
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
8
supply
this
assistance
to
underserved
areas
of
the
state.
9
5.
Of
the
funds
appropriated
in
this
section,
$40,000
shall
10
be
used
to
fund
the
expansion
of
an
unfunded
pilot
project,
as
11
defined
in
441
IAC
100.1,
that
has
been
in
existence
for
at
12
least
six
months,
relating
to
parental
obligations,
in
which
13
the
child
support
recovery
unit
participates,
to
support
the
14
efforts
of
a
nonprofit
organization
committed
to
strengthening
15
the
community
through
youth
development,
healthy
living,
and
16
social
responsibility
in
a
county
with
a
population
over
17
350,000.
The
funds
allocated
in
this
subsection
shall
be
used
18
by
the
recipient
organization
to
develop
a
larger
community
19
effort,
through
public
and
private
partnerships,
to
support
20
a
broad-based
fatherhood
initiative
that
promotes
payment
of
21
child
support
obligations,
improved
family
relationships,
and
22
full-time
employment.
23
6.
The
department
may
transfer
funds
appropriated
in
this
24
section
to
the
appropriations
made
in
this
division
of
this
Act
25
for
general
administration
and
field
operations
as
necessary
26
to
administer
this
section
and
the
overall
family
investment
27
program.
28
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
29
from
the
general
fund
of
the
state
to
the
department
of
human
30
services
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
31
June
30,
2014,
the
following
amount,
or
so
much
thereof
as
is
32
necessary,
to
be
used
for
the
purposes
designated:
33
For
child
support
recovery,
including
salaries,
support,
34
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
35
-30-
SF
446
(7)
85
pf/jp/jh
30/
118
S.F.
446
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,173,770
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
3
1.
The
department
shall
expend
up
to
$24,329,
including
4
federal
financial
participation,
for
the
fiscal
year
beginning
5
July
1,
2013,
for
a
child
support
public
awareness
campaign.
6
The
department
and
the
office
of
the
attorney
general
shall
7
cooperate
in
continuation
of
the
campaign.
The
public
8
awareness
campaign
shall
emphasize,
through
a
variety
of
9
media
activities,
the
importance
of
maximum
involvement
of
10
both
parents
in
the
lives
of
their
children
as
well
as
the
11
importance
of
payment
of
child
support
obligations.
12
2.
Federal
access
and
visitation
grant
moneys
shall
be
13
issued
directly
to
private
not-for-profit
agencies
that
provide
14
services
designed
to
increase
compliance
with
the
child
access
15
provisions
of
court
orders,
including
but
not
limited
to
16
neutral
visitation
sites
and
mediation
services.
17
3.
The
appropriation
made
to
the
department
for
child
18
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
19
manner
necessary
for
purposes
of
cash
flow
management,
and
for
20
cash
flow
management
purposes
the
department
may
temporarily
21
draw
more
than
the
amount
appropriated,
provided
the
amount
22
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
23
4.
With
the
exception
of
the
funding
amount
specified,
the
24
requirements
established
under
2001
Iowa
Acts,
chapter
191,
25
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
shall
26
be
applicable
to
parental
obligation
pilot
projects
for
the
27
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
2014.
28
Notwithstanding
441
IAC
100.8,
providing
for
termination
of
29
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
30
in
effect
until
June
30,
2014.
31
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
32
FY
2013-2014.
Any
funds
remaining
in
the
health
care
trust
33
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
34
July
1,
2013,
and
ending
June
30,
2014,
are
appropriated
to
35
-31-
SF
446
(7)
85
pf/jp/jh
31/
118
S.F.
446
the
department
of
human
services
to
supplement
the
medical
1
assistance
program
appropriations
made
in
this
division
of
this
2
Act,
for
medical
assistance
reimbursement
and
associated
costs,
3
including
program
administration
and
costs
associated
with
4
program
implementation.
5
Sec.
11.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
6
general
fund
of
the
state
to
the
department
of
human
services
7
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
8
2014,
the
following
amount,
or
so
much
thereof
as
is
necessary,
9
to
be
used
for
the
purpose
designated:
10
For
medical
assistance
program
reimbursement
and
associated
11
costs
as
specifically
provided
in
the
reimbursement
12
methodologies
in
effect
on
June
30,
2013,
except
as
otherwise
13
expressly
authorized
by
law,
and
consistent
with
options
under
14
federal
law
and
regulations:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,301,686,445
16
1.
The
funds
appropriated
in
this
section
shall
be
used
17
in
accordance
with
2011
Iowa
Acts,
chapter
129,
section
10,
18
subsection
1.
19
2.
The
department
shall
utilize
not
more
than
$60,000
of
20
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
21
health
insurance
premium
payment
program
as
established
in
1992
22
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
23
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
24
not
more
than
$5,000
may
be
expended
for
administrative
25
purposes.
26
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
27
of
public
health
for
addictive
disorders,
$950,000
for
the
28
fiscal
year
beginning
July
1,
2013,
shall
be
transferred
29
to
the
department
of
human
services
for
an
integrated
30
substance-related
disorder
managed
care
system.
The
department
31
shall
not
assume
management
of
the
substance-related
disorder
32
system
in
place
of
the
managed
care
contractor
unless
such
33
a
change
in
approach
is
specifically
authorized
in
law.
34
The
departments
of
human
services
and
public
health
shall
35
-32-
SF
446
(7)
85
pf/jp/jh
32/
118
S.F.
446
work
together
to
maintain
the
level
of
mental
health
and
1
substance-related
disorder
treatment
services
provided
by
the
2
managed
care
contractor
through
the
Iowa
plan
for
behavioral
3
health.
Each
department
shall
take
the
steps
necessary
to
4
continue
the
federal
waivers
as
necessary
to
maintain
the
level
5
of
services.
6
4.
a.
The
department
shall
aggressively
pursue
options
for
7
providing
medical
assistance
or
other
assistance
to
individuals
8
with
special
needs
who
become
ineligible
to
continue
receiving
9
services
under
the
early
and
periodic
screening,
diagnostic,
10
and
treatment
program
under
the
medical
assistance
program
11
due
to
becoming
21
years
of
age
who
have
been
approved
for
12
additional
assistance
through
the
department’s
exception
to
13
policy
provisions,
but
who
have
health
care
needs
in
excess
14
of
the
funding
available
through
the
exception
to
policy
15
provisions.
16
b.
Of
the
funds
appropriated
in
this
section,
$100,000
17
shall
be
used
for
participation
in
one
or
more
pilot
projects
18
operated
by
a
private
provider
to
allow
the
individual
or
19
individuals
to
receive
service
in
the
community
in
accordance
20
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
21
(1999),
for
the
purpose
of
providing
medical
assistance
or
22
other
assistance
to
individuals
with
special
needs
who
become
23
ineligible
to
continue
receiving
services
under
the
early
and
24
periodic
screening,
diagnostic,
and
treatment
program
under
25
the
medical
assistance
program
due
to
becoming
21
years
of
26
age
who
have
been
approved
for
additional
assistance
through
27
the
department’s
exception
to
policy
provisions,
but
who
have
28
health
care
needs
in
excess
of
the
funding
available
through
29
the
exception
to
the
policy
provisions.
30
5.
Of
the
funds
appropriated
in
this
section,
up
to
31
$3,050,082
may
be
transferred
to
the
field
operations
or
32
general
administration
appropriations
in
this
division
of
this
33
Act
for
operational
costs
associated
with
Part
D
of
the
federal
34
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
35
-33-
SF
446
(7)
85
pf/jp/jh
33/
118
S.F.
446
of
2003,
Pub.
L.
No.
108-173.
1
6.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
2
may
be
transferred
to
the
appropriation
in
this
division
3
of
this
Act
for
medical
contracts
to
be
used
for
clinical
4
assessment
services
and
prior
authorization
of
services.
5
7.
A
portion
of
the
funds
appropriated
in
this
section
6
may
be
transferred
to
the
appropriations
in
this
division
of
7
this
Act
for
general
administration,
medical
contracts,
the
8
children’s
health
insurance
program,
or
field
operations
to
be
9
used
for
the
state
match
cost
to
comply
with
the
payment
error
10
rate
measurement
(PERM)
program
for
both
the
medical
assistance
11
and
children’s
health
insurance
programs
as
developed
by
the
12
centers
for
Medicare
and
Medicaid
services
of
the
United
States
13
department
of
health
and
human
services
to
comply
with
the
14
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
15
107-300.
16
8.
It
is
the
intent
of
the
general
assembly
that
the
17
department
continue
to
implement
the
recommendations
of
18
the
assuring
better
child
health
and
development
initiative
19
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
20
screening,
diagnostic,
and
treatment
services
healthy
mental
21
development
collaborative
board
regarding
changes
to
billing
22
procedures,
codes,
and
eligible
service
providers.
23
9.
Of
the
funds
appropriated
in
this
section,
a
sufficient
24
amount
is
allocated
to
supplement
the
incomes
of
residents
of
25
nursing
facilities,
intermediate
care
facilities
for
persons
26
with
mental
illness,
and
intermediate
care
facilities
for
27
persons
with
an
intellectual
disability,
with
incomes
of
less
28
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
29
personal
needs
allowance
of
$50
per
month
pursuant
to
section
30
249A.30A.
31
10.
Of
the
funds
appropriated
in
this
section,
the
following
32
amounts
shall
be
transferred
to
the
appropriations
made
in
this
33
division
of
this
Act
for
the
state
mental
health
institutes:
34
a.
Cherokee
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
9,098,425
35
-34-
SF
446
(7)
85
pf/jp/jh
34/
118
S.F.
446
b.
Clarinda
mental
health
institute
.
.
.
.
.
.
.
.
.
.
.
$
1,977,305
1
c.
Independence
mental
health
institute
.
.
.
.
.
.
.
$
9,045,894
2
d.
Mount
Pleasant
mental
health
institute
.
.
.
.
.
$
5,752,587
3
11.
a.
Of
the
funds
appropriated
in
this
section,
4
$7,969,074
is
allocated
for
the
state
match
for
a
5
disproportionate
share
hospital
payment
of
$19,133,430
to
6
hospitals
that
meet
both
of
the
conditions
specified
in
7
subparagraphs
(1)
and
(2).
In
addition,
the
hospitals
that
8
meet
the
conditions
specified
shall
either
certify
public
9
expenditures
or
transfer
to
the
medical
assistance
program
10
an
amount
equal
to
provide
the
nonfederal
share
for
a
11
disproportionate
share
hospital
payment
of
$7,500,000.
The
12
hospitals
that
meet
the
conditions
specified
shall
receive
and
13
retain
100
percent
of
the
total
disproportionate
share
hospital
14
payment
of
$26,633,430.
15
(1)
The
hospital
qualifies
for
disproportionate
share
and
16
graduate
medical
education
payments.
17
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
18
than
500
beds
and
eight
or
more
distinct
residency
specialty
19
or
subspecialty
programs
recognized
by
the
American
college
of
20
graduate
medical
education.
21
b.
Distribution
of
the
disproportionate
share
payments
22
shall
be
made
on
a
monthly
basis.
The
total
amount
of
23
disproportionate
share
payments
including
graduate
medical
24
education,
enhanced
disproportionate
share,
and
Iowa
25
state-owned
teaching
hospital
payments
shall
not
exceed
the
26
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
27
In
addition,
the
total
amount
of
all
disproportionate
28
share
payments
shall
not
exceed
the
hospital-specific
29
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
30
12.
The
university
of
Iowa
hospitals
and
clinics
shall
31
either
certify
public
expenditures
or
transfer
to
the
32
appropriations
made
in
this
division
of
this
Act
for
medical
33
assistance
an
amount
equal
to
provide
the
nonfederal
share
34
for
increased
medical
assistance
payments
for
inpatient
and
35
-35-
SF
446
(7)
85
pf/jp/jh
35/
118
S.F.
446
outpatient
hospital
services
of
$9,900,000.
The
university
of
1
Iowa
hospitals
and
clinics
shall
receive
and
retain
100
percent
2
of
the
total
increase
in
medical
assistance
payments.
3
13.
Of
the
funds
appropriated
in
this
section,
up
to
4
$11,921,225
may
be
transferred
to
the
IowaCare
account
created
5
in
section
249J.24
.
6
14.
One
hundred
percent
of
the
nonfederal
share
of
payments
7
to
area
education
agencies
that
are
medical
assistance
8
providers
for
medical
assistance-covered
services
provided
to
9
medical
assistance-covered
children,
shall
be
made
from
the
10
appropriation
made
in
this
section.
11
15.
Any
new
or
renewed
contract
entered
into
by
the
12
department
with
a
third
party
to
administer
behavioral
health
13
services
under
the
medical
assistance
program
shall
provide
14
that
any
interest
earned
on
payments
from
the
state
during
15
the
state
fiscal
year
shall
be
remitted
to
the
department
16
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
17
assistance
program.
18
16.
The
department
shall
continue
to
implement
the
19
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
20
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
21
section
55,
relating
to
eligibility
for
certain
persons
with
22
disabilities
under
the
medical
assistance
program
in
accordance
23
with
the
federal
Family
Opportunity
Act.
24
17.
A
portion
of
the
funds
appropriated
in
this
section
25
may
be
transferred
to
the
appropriation
in
this
division
of
26
this
Act
for
medical
contracts
to
be
used
for
administrative
27
activities
associated
with
the
money
follows
the
person
28
demonstration
project.
29
18.
Of
the
funds
appropriated
in
this
section,
$349,011
30
shall
be
used
for
the
administration
of
the
health
insurance
31
premium
payment
program,
including
salaries,
support,
32
maintenance,
and
miscellaneous
purposes.
33
19.
a.
The
department
shall
implement
the
following
cost
34
containment
strategies
for
the
medical
assistance
program
and
35
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shall
adopt
emergency
rules
for
such
implementation:
1
(1)
Notwithstanding
any
provision
of
law
to
the
contrary,
2
the
department
shall
integrate
medical
assistance
program
3
habilitation
services
into
the
Iowa
plan
contract
for
the
4
fiscal
year
beginning
July
1,
2013.
5
(2)
The
department
shall
require
prior
authorization
for
6
provision
of
any
home
health
services
for
adults
in
excess
of
7
one
hundred
visits
per
year.
8
(3)
The
department
shall
prohibit
coverage
for
elective,
9
nonmedically
necessary
cesarean
sections.
10
(4)
The
department
shall
require
prior
authorization
based
11
on
specified
criteria
before
providing
reimbursement
for
12
hospital
swing
bed
placements
and
continued
stays.
13
(5)
The
department
shall
align
payment
methodologies
and
14
rates
between
medical
and
nonmedical
transportation
services
15
through
the
transportation
brokerage
provider.
16
(6)
The
department
shall
require
that
all
fees
for
employee
17
records
checks
shall
be
paid
by
the
medical
assistance
home
and
18
community-based
waiver
services
consumer-directed
attendant
19
care
or
consumer
choices
option
provider,
with
the
exception
20
of
one
initial
state
records
check
per
employee
which
shall
be
21
paid
by
the
Iowa
Medicaid
enterprise.
22
(7)
The
department
shall
require
transition
of
the
23
provision
by
individual
providers
of
personal
care
under
the
24
consumer-directed
attendant
care
option
to
agency-provided
25
personal
care
services
and
shall
retain
the
consumer
choice
26
option
for
those
individuals
able
and
desiring
to
self-direct
27
services.
28
(8)
The
department
shall
require
that
persons
with
an
29
intellectual
disability
receiving
services
under
the
medical
30
assistance
program
receive
a
functional
assessment
utilizing
31
the
supports
intensity
scale
tool.
The
department
shall
32
contract
with
an
independent
entity
to
perform
the
functional
33
assessments.
The
department
shall
implement
a
tiered
resource
34
allocation
methodology
for
service
plans
under
the
medical
35
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assistance
home
and
community-based
services
waiver
for
persons
1
with
an
intellectual
disability.
2
(9)
The
department
shall
develop
a
new
reimbursement
3
methodology
for
medical
assistance
targeted
case
management
4
that
applies
appropriate
cost
limits.
5
(10)
The
department
shall
implement
an
integrated
health
6
home
approach
under
the
medical
assistance
program
for
persons
7
with
chronic
mental
illness.
The
approach
shall
integrate
the
8
functions
of
medical
assistance
targeted
case
management.
9
(11)
The
department
shall
expand
the
categories
of
diabetic
10
supplies
for
which
a
rebate
may
be
received.
11
(12)
The
department
shall
limit
initial
authorizations
12
for
institutional-based
care
to
30
days
for
members
following
13
discharge
from
a
hospital
if
the
member
previously
lived
in
a
14
community-based
setting.
15
b.
The
department
shall
not
implement
the
cost
containment
16
strategy
to
require
a
primary
care
referral
for
the
provision
17
of
chiropractic
services.
18
c.
The
department
may
increase
the
amounts
allocated
for
19
salaries,
support,
maintenance,
and
miscellaneous
purposes
20
associated
with
the
medical
assistance
program,
as
necessary,
21
to
implement
the
cost
containment
strategies.
The
department
22
shall
report
any
such
increase
to
the
legislative
services
23
agency
and
the
department
of
management.
24
d.
If
the
savings
to
the
medical
assistance
program
exceed
25
the
cost
for
the
fiscal
year,
the
department
may
transfer
any
26
savings
generated
for
the
fiscal
year
due
to
medical
assistance
27
program
cost
containment
efforts
to
the
appropriation
28
made
in
this
division
of
this
Act
for
medical
contracts
or
29
general
administration
to
defray
the
increased
contract
costs
30
associated
with
implementing
such
efforts.
31
e.
The
department
shall
report
the
implementation
of
32
any
cost
containment
strategies
under
this
subsection
to
33
the
individuals
specified
in
this
division
of
this
Act
for
34
submission
of
reports
on
a
quarterly
basis.
35
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446
20.
Of
the
funds
appropriated
in
this
section,
$11,549,479
1
shall
be
used
to
implement
reductions
in
the
waiting
lists
2
of
all
medical
assistance
home
and
community-based
services
3
waivers.
4
21.
a.
Of
the
funds
appropriated
in
this
section,
$900,000
5
shall
be
used
to
implement
the
children’s
mental
health
6
home
project
proposed
by
the
department
of
human
services
7
and
reported
to
the
general
assembly’s
mental
health
and
8
disability
services
study
committee
in
December
2011.
Of
this
9
amount,
up
to
$50,000
may
be
transferred
by
the
department
to
10
the
appropriation
made
in
this
division
of
this
Act
to
the
11
department
for
the
same
fiscal
year
for
general
administration
12
to
be
used
for
associated
administrative
expenses
and
for
not
13
more
than
one
full-time
equivalent
position,
in
addition
to
14
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
15
implementing
the
project.
16
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
17
may
be
transferred
by
the
department
to
the
appropriation
18
made
to
the
department
in
this
division
of
this
Act
for
19
the
same
fiscal
year
for
general
administration
to
support
20
the
redesign
of
mental
health
and
disability
services
and
21
the
state
balancing
incentive
payments
program
planning
and
22
implementation
activities.
The
funds
may
be
used
for
contracts
23
or
for
personnel
in
addition
to
the
amounts
appropriated
for
24
and
the
positions
authorized
for
general
administration
for
the
25
same
fiscal
year.
26
c.
Of
the
funds
appropriated
in
this
section,
up
to
27
$3,000,000
may
be
transferred
by
the
department
to
the
28
appropriations
made
to
the
department
in
this
division
of
29
this
Act
for
the
same
fiscal
year
for
general
administration
30
or
medical
contracts
to
be
used
to
support
the
development
31
and
implementation
of
standardized
assessment
tools
for
32
persons
with
mental
illness,
an
intellectual
disability,
a
33
developmental
disability,
or
a
brain
injury.
34
d.
For
the
fiscal
year
beginning
July
1,
2013,
and
ending
35
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446
June
30,
2014,
the
replacement
generation
tax
revenues
required
1
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
2
section
437A.8,
subsection
4,
paragraph
“d”,
and
section
3
437A.15,
subsection
3,
paragraph
“f”,
shall
instead
be
credited
4
to
and
supplement
the
appropriation
made
in
this
section
and
5
used
for
the
allocations
made
in
this
subsection.
6
22.
Of
the
funds
appropriated
in
this
section,
$250,000
7
shall
be
used
for
lodging
expenses
associated
with
care
8
provided
at
the
university
of
Iowa
hospitals
and
clinics
9
under
chapter
249J
for
patients
with
cancer
whose
travel
10
distance
is
30
miles
or
more
from
the
university
of
Iowa
11
hospitals
and
clinics.
The
department
of
human
services
12
shall
establish
the
maximum
number
of
overnight
stays
and
the
13
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
14
based
on
the
state
employee
rate
established
by
the
department
15
of
administrative
services.
The
funds
allocated
in
this
16
subsection
shall
not
be
used
as
nonfederal
share
matching
17
funds.
18
23.
The
department
shall
continue
to
administer
the
state
19
balancing
incentive
payments
program
as
specified
in
2012
Iowa
20
Acts,
chapter
1133,
section
14.
21
Sec.
12.
MEDICAL
CONTRACTS.
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,
2013,
and
ending
June
30,
24
2014,
the
following
amount,
or
so
much
thereof
as
is
necessary,
25
to
be
used
for
the
purpose
designated:
26
For
medical
contracts:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,225,569
28
1.
The
department
of
inspections
and
appeals
shall
29
provide
all
state
matching
funds
for
survey
and
certification
30
activities
performed
by
the
department
of
inspections
31
and
appeals.
The
department
of
human
services
is
solely
32
responsible
for
distributing
the
federal
matching
funds
for
33
such
activities.
34
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
35
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be
used
for
continuation
of
home
and
community-based
services
1
waiver
quality
assurance
programs,
including
the
review
and
2
streamlining
of
processes
and
policies
related
to
oversight
and
3
quality
management
to
meet
state
and
federal
requirements.
4
3.
Of
the
amount
appropriated
in
this
section,
up
to
5
$200,000
may
be
transferred
to
the
appropriation
for
general
6
administration
in
this
division
of
this
Act
to
be
used
for
7
additional
full-time
equivalent
positions
in
the
development
of
8
key
health
initiatives
such
as
cost
containment,
development
9
and
oversight
of
managed
care
programs,
and
development
of
10
health
strategies
targeted
toward
improved
quality
and
reduced
11
costs
in
the
Medicaid
program.
12
4.
Of
the
funds
appropriated
in
this
section,
$64,398
shall
13
be
used
for
provision
of
the
IowaCare
program
nurse
helpline
14
for
the
expansion
population
as
provided
in
section
249J.6.
15
5.
Of
the
funds
appropriated
in
this
section,
$80,000
shall
16
be
used
for
costs
related
to
audits,
performance
evaluations,
17
and
studies
required
pursuant
to
chapter
249J.
18
6.
Of
the
funds
appropriated
in
this
section,
$194,654
shall
19
be
used
for
administrative
costs
associated
with
chapter
249J.
20
7.
Of
the
funds
appropriated
in
this
section,
$1,000,000
21
shall
be
used
for
planning
and
development,
in
cooperation
with
22
the
department
of
public
health,
of
a
phased-in
program
to
23
provide
a
dental
home
for
children
in
accordance
with
section
24
249J.14.
25
8.
Of
the
funds
appropriated
in
this
section,
$270,000
shall
26
be
used
for
payment
to
the
publicly
owned
acute
care
teaching
27
hospital
located
in
a
county
with
a
population
of
over
350,000
28
that
is
a
participating
provider
pursuant
to
chapter
249J.
29
Disbursements
under
this
subsection
shall
be
made
monthly.
30
The
hospital
shall
submit
a
report
following
the
close
of
31
the
fiscal
year
regarding
use
of
the
funds
allocated
in
this
32
subsection
to
the
persons
specified
in
this
Act
to
receive
33
reports.
34
9.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
35
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be
used
for
continuation
of
an
accountable
care
organization
1
pilot
project.
2
10.
Of
the
funds
appropriated
in
this
section,
$75,000
shall
3
be
used
for
continued
implementation
of
a
uniform
cost
report.
4
11.
Of
the
funds
appropriated
in
this
section,
$3,300,000
5
shall
be
used
for
the
autism
support
program
created
in
chapter
6
225D,
as
enacted
in
this
Act.
7
12.
Of
the
funds
appropriated
in
this
section,
$534,000
8
shall
be
used
for
administration
of
the
state
innovation
models
9
initiative
grant
from
the
federal
government
to
support
the
10
development
and
testing
of
a
state-based
model
for
multi-payer
11
payment
and
health
care
delivery
system
transformation
to
12
improve
health
system
performance
resulting
in
improved
health,
13
improved
health
care,
and
lower
costs.
14
Sec.
13.
STATE
SUPPLEMENTARY
ASSISTANCE.
15
1.
There
is
appropriated
from
the
general
fund
of
the
16
state
to
the
department
of
human
services
for
the
fiscal
year
17
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
following
18
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
19
purpose
designated:
20
For
the
state
supplementary
assistance
program:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,512,174
22
2.
The
department
shall
increase
the
personal
needs
23
allowance
for
residents
of
residential
care
facilities
by
the
24
same
percentage
and
at
the
same
time
as
federal
supplemental
25
security
income
and
federal
social
security
benefits
are
26
increased
due
to
a
recognized
increase
in
the
cost
of
living.
27
The
department
may
adopt
emergency
rules
to
implement
this
28
subsection.
29
3.
If
during
the
fiscal
year
beginning
July
1,
2013,
30
the
department
projects
that
state
supplementary
assistance
31
expenditures
for
a
calendar
year
will
not
meet
the
federal
32
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
33
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
34
§
1382g,
the
department
may
take
actions
including
but
not
35
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446
limited
to
increasing
the
personal
needs
allowance
for
1
residential
care
facility
residents
and
making
programmatic
2
adjustments
or
upward
adjustments
of
the
residential
care
3
facility
or
in-home
health-related
care
reimbursement
rates
4
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
5
requirements
are
met.
In
addition,
the
department
may
make
6
other
programmatic
and
rate
adjustments
necessary
to
remain
7
within
the
amount
appropriated
in
this
section
while
ensuring
8
compliance
with
federal
requirements.
The
department
may
adopt
9
emergency
rules
to
implement
the
provisions
of
this
subsection.
10
Sec.
14.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
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,
2013,
and
ending
June
30,
2014,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purpose
designated:
16
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
17
program
pursuant
to
chapter
514I
,
including
supplemental
dental
18
services,
for
receipt
of
federal
financial
participation
under
19
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
20
children’s
health
insurance
program:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,806,102
22
2.
Of
the
funds
appropriated
in
this
section,
$141,450
is
23
allocated
for
continuation
of
the
contract
for
outreach
with
24
the
department
of
public
health.
25
Sec.
15.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
human
27
services
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
28
June
30,
2014,
the
following
amount,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purpose
designated:
30
For
child
care
programs:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
69,282,163
32
1.
Of
the
funds
appropriated
in
this
section,
$68,248,353
33
shall
be
used
for
state
child
care
assistance
in
accordance
34
with
section
237A.13
.
35
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118
S.F.
446
2.
Nothing
in
this
section
shall
be
construed
or
is
1
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
2
to
persons
who
are
eligible
for
assistance
due
to
an
income
3
level
consistent
with
the
waiting
list
requirements
of
section
4
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
5
this
section
is
limited
to
the
extent
of
the
funds
appropriated
6
in
this
section.
7
3.
Of
the
funds
appropriated
in
this
section,
$432,453
is
8
allocated
for
the
statewide
program
for
child
care
resource
9
and
referral
services
under
section
237A.26
.
A
list
of
the
10
registered
and
licensed
child
care
facilities
operating
in
the
11
area
served
by
a
child
care
resource
and
referral
service
shall
12
be
made
available
to
the
families
receiving
state
child
care
13
assistance
in
that
area.
14
4.
Of
the
funds
appropriated
in
this
section,
$936,974
15
is
allocated
for
child
care
quality
improvement
initiatives
16
including
but
not
limited
to
the
voluntary
quality
rating
17
system
in
accordance
with
section
237A.30
.
18
5.
Of
the
funds
appropriated
in
this
section,
$135,178
shall
19
be
used
to
conduct
fingerprint-based
national
criminal
history
20
record
checks
of
home-based
child
care
providers
pursuant
21
to
section
237A.5,
subsection
2,
through
the
United
States
22
department
of
justice,
federal
bureau
of
investigation.
23
6.
Of
the
amount
appropriated
in
this
section,
up
to
24
$25,000
shall
be
used
to
implement
a
searchable
internet-based
25
application
as
part
of
the
consumer
information
made
available
26
under
section
237A.25.
The
application
shall
provide
a
listing
27
of
the
child
care
providers
in
this
state
that
have
received
28
a
rating
under
the
quality
rating
system
implemented
pursuant
29
to
section
237A.30
and
information
on
whether
a
provider
30
specializes
in
child
care
for
infants,
school-age
children,
31
children
with
special
needs,
or
other
populations
or
provides
32
any
other
specialized
services
to
support
family
needs.
33
7.
Of
the
amount
appropriated
in
this
section,
up
to
$75,000
34
shall
be
used
by
the
department
to
conduct
an
independent
35
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118
S.F.
446
evaluation
of
Iowa’s
child
care
quality
rating
system.
The
1
evaluation
shall
address
the
system’s
strengths
and
weaknesses,
2
and
shall
provide
recommendations
for
change.
The
department
3
shall
submit
a
final
report
on
or
before
December
16,
2013,
to
4
the
governor
and
general
assembly
concerning
the
evaluation.
5
The
evaluation
shall
also
include
but
is
not
limited
to
all
of
6
the
following:
7
a.
An
assessment
of
the
validity
of
the
system’s
key
8
underlying
concepts.
9
b.
An
assessment
of
the
techniques
utilized
and
10
psychometric
properties
of
the
measures
used
in
the
system
to
11
assess
quality.
12
c.
An
analysis
of
the
outputs
quantified
by
the
rating
13
process.
14
d.
An
analysis
of
the
relationship
between
the
ratings
15
utilized
and
child
outcomes
realized.
16
8.
The
department
shall
change
the
standard
period
for
17
redetermining
the
eligibility
of
a
state
child
care
assistance
18
program
participant
to
12
months
and
increase
the
income
19
eligibility
for
employed
families
under
the
program
to
148
20
percent
of
the
federal
poverty
level,
in
accordance
with
the
21
amendments
in
this
Act
to
section
237A.13.
22
9.
The
department
may
use
any
of
the
funds
appropriated
23
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
24
expanding
child
care
assistance
and
related
programs.
For
25
the
purpose
of
expenditures
of
state
and
federal
child
care
26
funding,
funds
shall
be
considered
obligated
at
the
time
27
expenditures
are
projected
or
are
allocated
to
the
department’s
28
service
areas.
Projections
shall
be
based
on
current
and
29
projected
caseload
growth,
current
and
projected
provider
30
rates,
staffing
requirements
for
eligibility
determination
31
and
management
of
program
requirements
including
data
systems
32
management,
staffing
requirements
for
administration
of
the
33
program,
contractual
and
grant
obligations
and
any
transfers
34
to
other
state
agencies,
and
obligations
for
decategorization
35
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118
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446
or
innovation
projects.
1
10.
A
portion
of
the
state
match
for
the
federal
child
care
2
and
development
block
grant
shall
be
provided
as
necessary
to
3
meet
federal
matching
funds
requirements
through
the
state
4
general
fund
appropriation
made
for
child
development
grants
5
and
other
programs
for
at-risk
children
in
section
279.51
.
6
11.
If
a
uniform
reduction
ordered
by
the
governor
under
7
section
8.31
or
other
operation
of
law,
transfer,
or
federal
8
funding
reduction
reduces
the
appropriation
made
in
this
9
section
for
the
fiscal
year,
the
percentage
reduction
in
the
10
amount
paid
out
to
or
on
behalf
of
the
families
participating
11
in
the
state
child
care
assistance
program
shall
be
equal
to
or
12
less
than
the
percentage
reduction
made
for
any
other
purpose
13
payable
from
the
appropriation
made
in
this
section
and
the
14
federal
funding
relating
to
it.
The
percentage
reduction
to
15
the
other
allocations
made
in
this
section
shall
be
the
same
as
16
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
17
change
of
the
federal
funding
reduction,
as
applicable.
18
If
there
is
an
unanticipated
increase
in
federal
funding
19
provided
for
state
child
care
assistance,
the
entire
amount
20
of
the
increase
shall
be
used
for
state
child
care
assistance
21
payments.
If
the
appropriations
made
for
purposes
of
the
22
state
child
care
assistance
program
for
the
fiscal
year
are
23
determined
to
be
insufficient,
it
is
the
intent
of
the
general
24
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
25
in
order
to
avoid
establishment
of
waiting
list
requirements.
26
12.
Notwithstanding
section
8.33
,
moneys
advanced
for
27
purposes
of
the
programs
developed
by
early
childhood
Iowa
28
areas,
advanced
for
purposes
of
wraparound
child
care,
or
29
received
from
the
federal
appropriations
made
for
the
purposes
30
of
this
section
that
remain
unencumbered
or
unobligated
at
the
31
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
32
remain
available
for
expenditure
for
the
purposes
designated
33
until
the
close
of
the
succeeding
fiscal
year.
34
Sec.
16.
JUVENILE
INSTITUTIONS.
There
is
appropriated
35
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85
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46/
118
S.F.
446
from
the
general
fund
of
the
state
to
the
department
of
human
1
services
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
2
June
30,
2014,
the
following
amounts,
or
so
much
thereof
as
is
3
necessary,
to
be
used
for
the
purposes
designated:
4
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo
and
for
5
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
6
for
not
more
than
the
following
full-time
equivalent
positions:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,859,355
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
114.00
9
2.
For
operation
of
the
state
training
school
at
Eldora
and
10
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
11
and
for
not
more
than
the
following
full-time
equivalent
12
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,256,969
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
164.30
15
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
16
be
used
for
distribution
to
licensed
classroom
teachers
at
this
17
and
other
institutions
under
the
control
of
the
department
of
18
human
services
based
upon
the
average
student
yearly
enrollment
19
at
each
institution
as
determined
by
the
department.
20
3.
A
portion
of
the
moneys
appropriated
in
this
section
21
shall
be
used
by
the
state
training
school
and
by
the
Iowa
22
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
23
activities
at
the
institutions
in
the
fiscal
year
beginning
24
July
1,
2013.
25
Sec.
17.
CHILD
AND
FAMILY
SERVICES.
26
1.
There
is
appropriated
from
the
general
fund
of
the
27
state
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
following
29
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
child
and
family
services:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
96,613,770
33
2.
Up
to
$5,200,000
of
the
amount
of
federal
temporary
34
assistance
for
needy
families
block
grant
funding
appropriated
35
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118
S.F.
446
in
this
division
of
this
Act
for
child
and
family
services
1
shall
be
made
available
for
purposes
of
juvenile
delinquent
2
graduated
sanction
services.
3
3.
The
department
may
transfer
funds
appropriated
in
this
4
section
as
necessary
to
pay
the
nonfederal
costs
of
services
5
reimbursed
under
the
medical
assistance
program,
state
child
6
care
assistance
program,
or
the
family
investment
program
which
7
are
provided
to
children
who
would
otherwise
receive
services
8
paid
under
the
appropriation
in
this
section.
The
department
9
may
transfer
funds
appropriated
in
this
section
to
the
10
appropriations
made
in
this
division
of
this
Act
for
general
11
administration
and
for
field
operations
for
resources
necessary
12
to
implement
and
operate
the
services
funded
in
this
section.
13
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
14
$36,012,098
is
allocated
as
the
statewide
expenditure
target
15
under
section
232.143
for
group
foster
care
maintenance
and
16
services.
If
the
department
projects
that
such
expenditures
17
for
the
fiscal
year
will
be
less
than
the
target
amount
18
allocated
in
this
lettered
paragraph,
the
department
may
19
reallocate
the
excess
to
provide
additional
funding
for
shelter
20
care
or
the
child
welfare
emergency
services
addressed
with
the
21
allocation
for
shelter
care.
22
b.
If
at
any
time
after
September
30,
2013,
annualization
23
of
a
service
area’s
current
expenditures
indicates
a
service
24
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
25
target
under
section
232.143
by
more
than
5
percent,
the
26
department
and
juvenile
court
services
shall
examine
all
27
group
foster
care
placements
in
that
service
area
in
order
to
28
identify
those
which
might
be
appropriate
for
termination.
29
In
addition,
any
aftercare
services
believed
to
be
needed
30
for
the
children
whose
placements
may
be
terminated
shall
be
31
identified.
The
department
and
juvenile
court
services
shall
32
initiate
action
to
set
dispositional
review
hearings
for
the
33
placements
identified.
In
such
a
dispositional
review
hearing,
34
the
juvenile
court
shall
determine
whether
needed
aftercare
35
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446
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118
S.F.
446
services
are
available
and
whether
termination
of
the
placement
1
is
in
the
best
interest
of
the
child
and
the
community.
2
5.
In
accordance
with
the
provisions
of
section
232.188
,
3
the
department
shall
continue
the
child
welfare
and
juvenile
4
justice
funding
initiative
during
fiscal
year
2013-2014.
Of
5
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
6
specifically
for
expenditure
for
fiscal
year
2013-2014
through
7
the
decategorization
service
funding
pools
and
governance
8
boards
established
pursuant
to
section
232.188
.
9
6.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
used
for
emergency
family
assistance
to
provide
other
11
resources
required
for
a
family
participating
in
a
family
12
preservation
or
reunification
project
or
successor
project
to
13
stay
together
or
to
be
reunified.
14
7.
Notwithstanding
section
234.35
or
any
other
provision
15
of
law
to
the
contrary,
state
funding
for
shelter
care
and
16
the
child
welfare
emergency
services
contracting
implemented
17
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
18
limited
to
$7,616,048.
19
8.
Federal
funds
received
by
the
state
during
the
fiscal
20
year
beginning
July
1,
2013,
as
the
result
of
the
expenditure
21
of
state
funds
appropriated
during
a
previous
state
fiscal
22
year
for
a
service
or
activity
funded
under
this
section
are
23
appropriated
to
the
department
to
be
used
as
additional
funding
24
for
services
and
purposes
provided
for
under
this
section.
25
Notwithstanding
section
8.33
,
moneys
received
in
accordance
26
with
this
subsection
that
remain
unencumbered
or
unobligated
at
27
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
28
shall
remain
available
for
the
purposes
designated
until
the
29
close
of
the
succeeding
fiscal
year.
30
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
31
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
32
court-ordered
services
provided
to
juveniles
who
are
under
the
33
supervision
of
juvenile
court
services,
which
expenses
are
a
34
charge
upon
the
state
pursuant
to
section
232.141,
subsection
35
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4
.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
to
1
$1,556,287
shall
be
made
available
to
provide
school-based
2
supervision
of
children
adjudicated
under
chapter
232
,
of
which
3
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
4
A
portion
of
the
cost
of
each
school-based
liaison
officer
5
shall
be
paid
by
the
school
district
or
other
funding
source
as
6
approved
by
the
chief
juvenile
court
officer.
7
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
8
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
9
services
provided
to
children
who
are
under
the
supervision
10
of
the
department,
which
expenses
are
a
charge
upon
the
state
11
pursuant
to
section
232.141,
subsection
4
.
12
c.
Notwithstanding
section
232.141
or
any
other
provision
13
of
law
to
the
contrary,
the
amounts
allocated
in
this
14
subsection
shall
be
distributed
to
the
judicial
districts
15
as
determined
by
the
state
court
administrator
and
to
the
16
department’s
service
areas
as
determined
by
the
administrator
17
of
the
department’s
division
of
child
and
family
services.
The
18
state
court
administrator
and
the
division
administrator
shall
19
make
the
determination
of
the
distribution
amounts
on
or
before
20
June
15,
2013.
21
d.
Notwithstanding
chapter
232
or
any
other
provision
of
22
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
23
order
any
service
which
is
a
charge
upon
the
state
pursuant
24
to
section
232.141
if
there
are
insufficient
court-ordered
25
services
funds
available
in
the
district
court
or
departmental
26
service
area
distribution
amounts
to
pay
for
the
service.
The
27
chief
juvenile
court
officer
and
the
departmental
service
area
28
manager
shall
encourage
use
of
the
funds
allocated
in
this
29
subsection
such
that
there
are
sufficient
funds
to
pay
for
30
all
court-related
services
during
the
entire
year.
The
chief
31
juvenile
court
officers
and
departmental
service
area
managers
32
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
33
in
the
distribution
amounts
and
shall
cooperatively
request
the
34
state
court
administrator
or
division
administrator
to
transfer
35
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funds
between
the
judicial
districts’
or
departmental
service
1
areas’
distribution
amounts
as
prudent.
2
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
3
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
4
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
5
entered
under
chapter
232
which
is
a
charge
upon
the
state
6
under
section
232.141,
subsection
4
.
7
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
8
$83,000
may
be
used
by
the
judicial
branch
for
administration
9
of
the
requirements
under
this
subsection.
10
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
11
shall
be
used
by
the
department
of
human
services
to
support
12
the
interstate
commission
for
juveniles
in
accordance
with
13
the
interstate
compact
for
juveniles
as
provided
in
section
14
232.173
.
15
10.
Of
the
funds
appropriated
in
this
section,
$9,053,226
is
16
allocated
for
juvenile
delinquent
graduated
sanctions
services.
17
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
18
services
to
earn
federal
Tit.
IV-E
match
for
juvenile
court
19
services
administration
may
be
used
for
the
juvenile
delinquent
20
graduated
sanctions
services.
21
11.
Of
the
funds
appropriated
in
this
section,
$1,933,285
22
shall
be
transferred
to
the
department
of
public
health
to
be
23
used
for
equalization
and
renewal
of
the
grants
under
the
child
24
protection
center
grant
program
in
accordance
with
section
25
135.118
.
Of
the
amount
allocated
in
this
subsection,
$245,000
26
shall
be
used
for
a
center
in
the
Black
Hawk
county
area.
27
12.
If
the
department
receives
federal
approval
to
28
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
29
Security
Act
to
enable
providers
to
serve
children
who
remain
30
in
the
children’s
families
and
communities,
for
purposes
of
31
eligibility
under
the
medical
assistance
program,
children
who
32
participate
in
the
waiver
shall
be
considered
to
be
placed
in
33
foster
care.
34
13.
Of
the
funds
appropriated
in
this
section,
$3,256,980
is
35
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S.F.
446
allocated
for
the
preparation
for
adult
living
program
pursuant
1
to
section
234.46
.
2
14.
Of
the
funds
appropriated
in
this
section,
$1,000,000
3
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
4
in
this
subsection
shall
be
distributed
as
follows:
5
To
the
judicial
branch
for
salaries
to
assist
with
the
6
operation
of
juvenile
drug
court
programs
operated
in
the
7
following
jurisdictions:
8
a.
Marshall
county:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
99,540
10
b.
Woodbury
county:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
258,804
12
c.
Polk
county:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
430,843
14
d.
The
third
judicial
district:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
111,274
16
e.
The
eighth
judicial
district:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
99,539
18
15.
Of
the
funds
appropriated
in
this
section,
$227,337
19
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
20
a
nonprofit
human
services
organization
providing
services
to
21
individuals
and
families
in
multiple
locations
in
southwest
22
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
23
sensitive
support
and
forensic
interviews,
medical
exams,
needs
24
assessments,
and
referrals
for
victims
of
child
abuse
and
their
25
nonoffending
family
members.
26
16.
Of
the
funds
appropriated
in
this
section,
$200,590
27
is
allocated
for
the
foster
care
youth
council
approach
of
28
providing
a
support
network
to
children
placed
in
foster
care.
29
17.
Of
the
funds
appropriated
in
this
section,
$202,000
is
30
allocated
for
use
pursuant
to
section
235A.1
for
continuation
31
of
the
initiative
to
address
child
sexual
abuse
implemented
32
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
33
21.
34
18.
Of
the
funds
appropriated
in
this
section,
$630,240
is
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allocated
for
the
community
partnership
for
child
protection
1
sites.
2
19.
Of
the
funds
appropriated
in
this
section,
$371,250
3
is
allocated
for
the
department’s
minority
youth
and
family
4
projects
under
the
redesign
of
the
child
welfare
system.
5
20.
Of
the
funds
appropriated
in
this
section,
$1,436,595
6
is
allocated
for
funding
of
the
community
circle
of
care
7
collaboration
for
children
and
youth
in
northeast
Iowa.
8
21.
Of
the
funds
appropriated
in
this
section,
at
least
9
$147,158
shall
be
used
for
the
child
welfare
training
academy.
10
22.
Of
the
funds
appropriated
in
this
section,
$25,000
11
shall
be
used
for
the
public
purpose
of
continuation
of
a
12
grant
to
a
child
welfare
services
provider
headquartered
in
a
13
county
with
a
population
between
205,000
and
215,000
in
the
14
latest
certified
federal
census
that
provides
multiple
services
15
including
but
not
limited
to
a
psychiatric
medical
institution
16
for
children,
shelter,
residential
treatment,
after
school
17
programs,
school-based
programming,
and
an
Asperger’s
syndrome
18
program,
to
be
used
for
support
services
for
children
with
19
autism
spectrum
disorder
and
their
families.
20
23.
Of
the
funds
appropriated
in
this
section,
$25,000
21
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
22
a
hospital-based
provider
headquartered
in
a
county
with
a
23
population
between
90,000
and
95,000
in
the
latest
certified
24
federal
census
that
provides
multiple
services
including
25
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
26
services
to
individuals
with
autism
spectrum
disorder
across
27
the
lifespan.
The
grant
recipient
shall
utilize
the
funds
28
to
continue
the
pilot
project
to
determine
the
necessary
29
support
services
for
children
with
autism
spectrum
disorder
and
30
their
families
to
be
included
in
the
children’s
disabilities
31
services
system.
The
grant
recipient
shall
submit
findings
and
32
recommendations
based
upon
the
results
of
the
pilot
project
33
to
the
individuals
specified
in
this
division
of
this
Act
for
34
submission
of
reports
by
December
31,
2013.
35
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446
24.
Of
the
funds
appropriated
in
this
section,
$327,947
1
shall
be
used
for
continuation
of
the
central
Iowa
system
of
2
care
program
grant
through
June
30,
2014.
3
25.
Of
the
funds
appropriated
in
this
section,
$160,000
4
shall
be
used
for
the
public
purpose
of
the
continuation
of
5
a
system
of
care
grant
implemented
in
Cerro
Gordo
and
Linn
6
counties.
7
26.
Of
the
funds
appropriated
in
this
section,
at
least
8
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
9
care
respite
pilot
program
in
which
postsecondary
students
in
10
social
work
and
other
human
services-related
programs
receive
11
experience
by
assisting
family
foster
care
providers
with
12
respite
and
other
support.
13
27.
Of
the
funds
appropriated
in
this
section,
up
to
$25,000
14
shall
be
used
to
implement
a
children’s
cabinet
under
the
15
department
of
human
services,
if
enacted
by
2013
Iowa
Acts,
16
Senate
File
440
or
2013
successor
legislation.
17
Sec.
18.
ADOPTION
SUBSIDY.
18
1.
There
is
appropriated
from
the
general
fund
of
the
19
state
to
the
department
of
human
services
for
the
fiscal
year
20
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
following
21
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
22
purpose
designated:
23
For
adoption
subsidy
payments
and
services:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,644,083
25
2.
The
department
may
transfer
funds
appropriated
in
26
this
section
to
the
appropriation
made
in
this
division
of
27
this
Act
for
general
administration
for
costs
paid
from
the
28
appropriation
relating
to
adoption
subsidy.
29
3.
Federal
funds
received
by
the
state
during
the
30
fiscal
year
beginning
July
1,
2013,
as
the
result
of
the
31
expenditure
of
state
funds
during
a
previous
state
fiscal
32
year
for
a
service
or
activity
funded
under
this
section
are
33
appropriated
to
the
department
to
be
used
as
additional
funding
34
for
the
services
and
activities
funded
under
this
section.
35
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446
Notwithstanding
section
8.33
,
moneys
received
in
accordance
1
with
this
subsection
that
remain
unencumbered
or
unobligated
2
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
3
but
shall
remain
available
for
expenditure
for
the
purposes
4
designated
until
the
close
of
the
succeeding
fiscal
year.
5
Sec.
19.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
6
in
the
juvenile
detention
home
fund
created
in
section
232.142
7
during
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
8
30,
2014,
are
appropriated
to
the
department
of
human
services
9
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
10
2014,
for
distribution
of
an
amount
equal
to
a
percentage
of
11
the
costs
of
the
establishment,
improvement,
operation,
and
12
maintenance
of
county
or
multicounty
juvenile
detention
homes
13
in
the
fiscal
year
beginning
July
1,
2012.
Moneys
appropriated
14
for
distribution
in
accordance
with
this
section
shall
be
15
allocated
among
eligible
detention
homes,
prorated
on
the
basis
16
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
17
eligible
detention
homes
in
the
fiscal
year
beginning
July
18
1,
2012.
The
percentage
figure
shall
be
determined
by
the
19
department
based
on
the
amount
available
for
distribution
for
20
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
21
financial
aid
payable
by
the
state
under
that
provision
for
the
22
fiscal
year
beginning
July
1,
2013,
shall
be
limited
to
the
23
amount
appropriated
for
the
purposes
of
this
section.
24
Sec.
20.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
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,
2013,
and
ending
June
30,
2014,
the
following
28
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
the
family
support
subsidy
program
subject
to
the
31
enrollment
restrictions
in
section
225C.37,
subsection
3
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,092,955
33
2.
The
department
shall
use
at
least
$483,500
of
the
moneys
34
appropriated
in
this
section
for
the
family
support
center
35
-55-
SF
446
(7)
85
pf/jp/jh
55/
118
S.F.
446
component
of
the
comprehensive
family
support
program
under
1
section
225C.47
.
Not
more
than
$25,000
of
the
amount
allocated
2
in
this
subsection
shall
be
used
for
administrative
costs.
3
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
4
funding
available
for
the
family
support
subsidy
program
5
is
reduced
from
the
amount
initially
used
to
establish
the
6
figure
for
the
number
of
family
members
for
whom
a
subsidy
7
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
8
notwithstanding
section
225C.38,
subsection
2
,
the
department
9
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
10
of
funding
available.
11
Sec.
21.
CONNER
DECREE.
There
is
appropriated
from
the
12
general
fund
of
the
state
to
the
department
of
human
services
13
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
14
2014,
the
following
amount,
or
so
much
thereof
as
is
necessary,
15
to
be
used
for
the
purpose
designated:
16
For
building
community
capacity
through
the
coordination
17
and
provision
of
training
opportunities
in
accordance
with
the
18
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
19
Iowa,
July
14,
1994):
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,622
21
Sec.
22.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
22
from
the
general
fund
of
the
state
to
the
department
of
human
23
services
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
24
June
30,
2014,
the
following
amounts,
or
so
much
thereof
as
is
25
necessary,
to
be
used
for
the
purposes
designated:
26
1.
For
the
state
mental
health
institute
at
Cherokee
for
27
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
28
for
not
more
than
the
following
full-time
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,954,464
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
31
2.
For
the
state
mental
health
institute
at
Clarinda
for
32
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
33
for
not
more
than
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,751,868
35
-56-
SF
446
(7)
85
pf/jp/jh
56/
118
S.F.
446
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
86.10
1
3.
For
the
state
mental
health
institute
at
Independence
for
2
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
3
for
not
more
than
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,318,778
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
6
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
7
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
8
and
for
not
more
than
the
following
full-time
equivalent
9
positions:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,366,686
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
97.92
12
Sec.
23.
STATE
RESOURCE
CENTERS.
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,
2013,
and
ending
June
30,
2014,
the
following
16
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
17
purposes
designated:
18
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
19
support,
maintenance,
and
miscellaneous
purposes:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,502,425
21
b.
For
the
state
resource
center
at
Woodward
for
salaries,
22
support,
maintenance,
and
miscellaneous
purposes:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,631,359
24
2.
The
department
may
continue
to
bill
for
state
resource
25
center
services
utilizing
a
scope
of
services
approach
used
for
26
private
providers
of
ICFID
services,
in
a
manner
which
does
not
27
shift
costs
between
the
medical
assistance
program,
counties,
28
or
other
sources
of
funding
for
the
state
resource
centers.
29
3.
The
state
resource
centers
may
expand
the
time-limited
30
assessment
and
respite
services
during
the
fiscal
year.
31
4.
If
the
department’s
administration
and
the
department
32
of
management
concur
with
a
finding
by
a
state
resource
33
center’s
superintendent
that
projected
revenues
can
reasonably
34
be
expected
to
pay
the
salary
and
support
costs
for
a
new
35
-57-
SF
446
(7)
85
pf/jp/jh
57/
118
S.F.
446
employee
position,
or
that
such
costs
for
adding
a
particular
1
number
of
new
positions
for
the
fiscal
year
would
be
less
2
than
the
overtime
costs
if
new
positions
would
not
be
added,
3
the
superintendent
may
add
the
new
position
or
positions.
If
4
the
vacant
positions
available
to
a
resource
center
do
not
5
include
the
position
classification
desired
to
be
filled,
the
6
state
resource
center’s
superintendent
may
reclassify
any
7
vacant
position
as
necessary
to
fill
the
desired
position.
The
8
superintendents
of
the
state
resource
centers
may,
by
mutual
9
agreement,
pool
vacant
positions
and
position
classifications
10
during
the
course
of
the
fiscal
year
in
order
to
assist
one
11
another
in
filling
necessary
positions.
12
5.
If
existing
capacity
limitations
are
reached
in
13
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
14
a
special
need
for
which
a
payment
source
or
other
funding
15
is
available
for
the
service
or
to
address
the
special
need,
16
and
facilities
for
the
service
or
to
address
the
special
need
17
can
be
provided
within
the
available
payment
source
or
other
18
funding,
the
superintendent
of
a
state
resource
center
may
19
authorize
opening
not
more
than
two
units
or
other
facilities
20
and
begin
implementing
the
service
or
addressing
the
special
21
need
during
fiscal
year
2013-2014.
22
Sec.
24.
SEXUALLY
VIOLENT
PREDATORS.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
following
26
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purpose
designated:
28
For
costs
associated
with
the
commitment
and
treatment
of
29
sexually
violent
predators
in
the
unit
located
at
the
state
30
mental
health
institute
at
Cherokee,
including
costs
of
legal
31
services
and
other
associated
costs,
including
salaries,
32
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
33
more
than
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,142,979
35
-58-
SF
446
(7)
85
pf/jp/jh
58/
118
S.F.
446
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
124.50
1
2.
Unless
specifically
prohibited
by
law,
if
the
amount
2
charged
provides
for
recoupment
of
at
least
the
entire
amount
3
of
direct
and
indirect
costs,
the
department
of
human
services
4
may
contract
with
other
states
to
provide
care
and
treatment
5
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
6
violent
predators
at
Cherokee.
The
moneys
received
under
7
such
a
contract
shall
be
considered
to
be
repayment
receipts
8
and
used
for
the
purposes
of
the
appropriation
made
in
this
9
section.
10
Sec.
25.
FIELD
OPERATIONS.
There
is
appropriated
from
the
11
general
fund
of
the
state
to
the
department
of
human
services
12
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
13
2014,
the
following
amount,
or
so
much
thereof
as
is
necessary,
14
to
be
used
for
the
purposes
designated:
15
For
field
operations,
including
salaries,
support,
16
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
17
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,008,683
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
20
1.
As
a
condition
of
this
appropriation,
the
department
21
shall
make
every
possible
effort
to
fill
the
entire
number
of
22
positions
authorized
by
this
section
and,
unless
specifically
23
provided
otherwise
by
an
applicable
collective
bargaining
24
agreement,
the
department
is
not
subject
to
any
approval
25
requirement
external
to
the
department
to
fill
a
field
26
operations
vacancy
within
the
number
of
full-time
equivalent
27
positions
authorized
by
this
section.
The
department
shall
28
report
on
the
first
of
each
month
to
the
chairpersons
and
29
ranking
members
of
the
appropriations
committees
of
the
senate
30
and
house
of
representatives,
and
the
persons
designated
by
31
this
Act
for
submission
of
reports
concerning
the
status
of
32
filling
the
positions.
33
2.
Priority
in
filling
full-time
equivalent
positions
34
shall
be
given
to
those
positions
related
to
child
protection
35
-59-
SF
446
(7)
85
pf/jp/jh
59/
118
S.F.
446
services
and
eligibility
determination
for
low-income
families.
1
Sec.
26.
GENERAL
ADMINISTRATION.
There
is
appropriated
2
from
the
general
fund
of
the
state
to
the
department
of
human
3
services
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
4
June
30,
2014,
the
following
amount,
or
so
much
thereof
as
is
5
necessary,
to
be
used
for
the
purpose
designated:
6
For
general
administration,
including
salaries,
support,
7
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
8
the
following
full-time
equivalent
positions:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,231,171
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
11
1.
Of
the
funds
appropriated
in
this
section,
$63,543
12
allocated
for
the
prevention
of
disabilities
policy
council
13
established
in
section
225B.3
.
Of
the
amount
allocated
14
in
this
subsection,
$25,000
shall
be
passed
through
to
the
15
council
for
the
costs
involved
with
holding
a
summit
meeting
16
of
the
multiple
entities
providing
services
to
persons
with
17
disabilities.
The
focus
of
the
summit
meeting
shall
be
to
18
review
existing
disability
prevention
activities
in
order
to
19
identify
cost
effective
public
policy
options
for
reaching
20
the
greatest
number
of
children
and
adults
in
order
to
21
eliminate
the
risk
of
disabilities.
The
review
shall
also
22
address
options
for
health
care
services
available
to
youth
23
transitioning
to
the
adult
system
of
health
care.
24
2.
The
department
shall
report
at
least
monthly
to
the
25
legislative
services
agency
concerning
the
department’s
26
operational
and
program
expenditures.
27
3.
Of
the
funds
appropriated
in
this
section,
$132,300
shall
28
be
used
to
continue
the
contract
for
the
provision
of
a
program
29
to
provide
technical
assistance,
support,
and
consultation
to
30
providers
of
habilitation
services
and
home
and
community-based
31
services
waiver
services
for
adults
with
disabilities
under
the
32
medical
assistance
program.
33
4.
Of
the
funds
appropriated
in
this
section,
$176,400
shall
34
be
used
to
continue
the
contract
to
expand
the
provision
of
35
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nationally
accredited
and
recognized
internet-based
training
to
1
include
mental
health
and
disability
services
providers.
2
5.
Of
the
funds
appropriated
in
this
section,
$50,000
3
shall
be
transferred
to
the
Iowa
finance
authority
to
be
used
4
for
administrative
support
of
the
council
on
homelessness
5
established
in
section
16.100A
and
for
the
council
to
fulfill
6
its
duties
in
addressing
and
reducing
homelessness
in
the
7
state.
8
Sec.
27.
VOLUNTEERS.
There
is
appropriated
from
the
general
9
fund
of
the
state
to
the
department
of
human
services
for
the
10
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
2014,
11
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
12
used
for
the
purpose
designated:
13
For
development
and
coordination
of
volunteer
services:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,660
15
Sec.
28.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
16
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
17
DEPARTMENT
OF
HUMAN
SERVICES.
18
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2013,
19
the
total
state
funding
amount
for
the
nursing
facility
budget
20
shall
not
exceed
$271,712,511.
21
(2)
For
the
fiscal
year
beginning
July
1,
2013,
the
22
department
shall
rebase
case-mix
nursing
facility
rates
23
effective
July
1,
2013.
However,
total
nursing
facility
budget
24
expenditures,
including
both
case-mix
and
noncase-mix,
shall
25
not
exceed
the
amount
specified
in
subparagraph
(1).
When
26
calculating
case-mix
per
diem
cost
and
the
patient-day-weighted
27
medians
used
in
rate-setting
for
nursing
facilities
effective
28
July
1,
2013,
the
inflation
factor
applied
from
the
midpoint
29
of
the
cost
report
period
to
the
first
day
of
the
state
fiscal
30
year
rate
period
shall
be
adjusted
to
maintain
state
funding
31
within
the
amount
specified
in
subparagraph
(1).
32
(3)
The
department,
in
cooperation
with
nursing
facility
33
representatives,
shall
review
projections
for
state
funding
34
expenditures
for
reimbursement
of
nursing
facilities
on
a
35
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quarterly
basis
and
the
department
shall
determine
if
an
1
adjustment
to
the
medical
assistance
reimbursement
rate
is
2
necessary
in
order
to
provide
reimbursement
within
the
state
3
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
4
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
5
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
6
if
the
state
funding
expenditures
for
the
nursing
facility
7
budget
for
the
fiscal
year
is
projected
to
exceed
the
amount
8
specified
in
subparagraph
(1),
the
department
shall
adjust
9
the
reimbursement
for
nursing
facilities
reimbursed
under
the
10
case-mix
reimbursement
system
to
maintain
expenditures
of
the
11
nursing
facility
budget
within
the
specified
amount
for
the
12
fiscal
year.
13
(4)
For
the
fiscal
year
beginning
July
1,
2013,
special
14
population
nursing
facilities
shall
be
reimbursed
in
accordance
15
with
the
methodology
in
effect
on
June
30,
2013.
16
b.
(1)
For
the
fiscal
year
beginning
July
1,
2013,
17
the
department
shall
establish
the
pharmacy
dispensing
fee
18
reimbursement
at
$10.02
per
prescription.
Any
subsequent
19
actual
dispensing
fee
shall
be
established
within
the
range
20
determined
by
a
cost
of
dispensing
survey
performed
by
21
the
department
and
required
to
be
completed
by
all
medical
22
assistance
program
participating
pharmacies
every
two
years
23
beginning
in
FY
2014-2015.
24
(2)
The
department
shall
utilize
an
average
acquisition
25
cost
reimbursement
methodology
for
pharmacy
ingredient
cost
26
reimbursement
of
all
drugs
covered
under
the
medical
assistance
27
program
in
accordance
with
2012
Iowa
Acts,
chapter
1133,
28
section
33.
29
c.
(1)
For
the
fiscal
year
beginning
July
1,
2013,
30
reimbursement
rates
for
outpatient
hospital
services
shall
be
31
increased
1.5
percent
over
the
rates
in
effect
on
June
30,
32
2013,
subject
to
Medicaid
program
upper
payment
limit
rules.
33
(2)
For
the
fiscal
year
beginning
July
1,
2013,
34
reimbursement
rates
for
inpatient
hospital
services
shall
by
35
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446
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S.F.
446
increased
by
1.5
percent
over
the
rates
in
effect
on
June
30,
1
2013,
subject
to
Medicaid
program
upper
payment
limit
rules.
2
(3)
For
the
fiscal
year
beginning
July
1,
2013,
the
graduate
3
medical
education
and
disproportionate
share
hospital
fund
4
shall
be
increased
by
1.5
percent
over
the
amount
in
effect
on
5
June
30,
2013,
except
that
the
portion
of
the
fund
attributable
6
to
graduate
medical
education
shall
be
reduced
in
an
amount
7
that
reflects
the
elimination
of
graduate
medical
education
8
payments
made
to
out-of-state
hospitals.
9
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
10
funds
in
procuring
health
care
services
for
low-income
Iowans,
11
funds
appropriated
in
this
Act
for
hospital
services
shall
12
not
be
used
for
activities
which
would
be
excluded
from
a
13
determination
of
reasonable
costs
under
the
federal
Medicare
14
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
15
d.
For
the
fiscal
year
beginning
July
1,
2013,
reimbursement
16
rates
for
rural
health
clinics,
hospices,
and
acute
mental
17
hospitals
shall
be
increased
in
accordance
with
increases
under
18
the
federal
Medicare
program
or
as
supported
by
their
Medicare
19
audited
costs.
20
e.
For
the
fiscal
year
beginning
July
1,
2013,
independent
21
laboratories
shall
be
reimbursed
using
the
same
methodology
in
22
effect
on
June
30,
2013,
and
reimbursement
for
rehabilitation
23
agencies
shall
be
increased
by
1.5
percent
over
the
rates
in
24
effect
on
June
30,
2013.
25
f.
(1)
For
the
fiscal
year
beginning
July
1,
2013,
rates
26
for
home
health
services
shall
be
reimbursed
based
on
the
27
Medicare
low
utilization
payment
amount
(LUPA)
methodology
28
with
state
geographic
wage
adjustments.
The
Medicare
LUPA
29
per-visit
rates
in
effect
on
July
1,
2013,
shall
be
utilized
30
as
the
basis
for
establishing
the
initial
reimbursement
31
schedule.
The
department
shall
update
the
rates
every
two
32
years
to
reflect
the
most
recent
Medicare
LUPA
rates.
For
the
33
fiscal
year
beginning
July
1,
2013,
the
department
shall
adjust
34
the
reimbursement
rate
as
calculated
under
this
paragraph
to
35
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446
reflect
the
most
recent
Medicare
LUPA
rates
for
home
health
1
services,
not
to
exceed
an
additional
$2,765,655.
2
(2)
For
the
fiscal
year
beginning
July
1,
2013,
rates
for
3
private
duty
nursing
and
personal
care
services
under
the
4
early
and
periodic
screening,
diagnostic
and
treatment
program
5
benefit
shall
be
established
based
on
an
hourly
interim
rate
6
subject
to
cost
settlement
up
to
a
limit
calculated
by
the
7
department,
and
subject
to
approval
by
the
centers
for
Medicare
8
and
Medicaid
services
of
the
United
States
department
of
health
9
and
human
services.
10
g.
For
the
fiscal
year
beginning
July
1,
2013,
federally
11
qualified
health
centers
shall
receive
cost-based
reimbursement
12
for
100
percent
of
the
reasonable
costs
for
the
provision
of
13
services
to
recipients
of
medical
assistance.
14
h.
For
the
fiscal
year
beginning
July
1,
2013,
the
15
reimbursement
rates
for
dental
services
shall
be
increased
by
16
1.5
percent
over
the
rates
in
effect
on
June
30,
2013.
17
i.
(1)
For
the
fiscal
year
beginning
July
1,
2013,
18
state-owned
psychiatric
medical
institutions
for
children
shall
19
receive
cost-based
reimbursement
for
100
percent
of
the
actual
20
and
allowable
costs
for
the
provision
of
services
to
recipients
21
of
medical
assistance.
22
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
23
for
children,
reimbursement
rates
shall
be
based
on
the
24
reimbursement
methodology
developed
by
the
department
as
25
required
for
federal
compliance.
26
(3)
As
a
condition
of
participation
in
the
medical
27
assistance
program,
enrolled
providers
shall
accept
the
medical
28
assistance
reimbursement
rate
for
any
covered
goods
or
services
29
provided
to
recipients
of
medical
assistance
who
are
children
30
under
the
custody
of
a
psychiatric
medical
institution
for
31
children.
32
j.
For
the
fiscal
year
beginning
July
1,
2013,
unless
33
otherwise
specified
in
this
Act,
all
noninstitutional
medical
34
assistance
provider
reimbursement
rates
shall
be
increased
35
-64-
SF
446
(7)
85
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118
S.F.
446
by
1.5
percent
over
the
rates
in
effect
on
June
30,
2013,
1
except
for
area
education
agencies,
local
education
agencies,
2
infant
and
toddler
services
providers,
home
and
community-based
3
services
providers
including
consumer-directed
attendant
care
4
providers
under
a
section
1915C
or
1915I
waiver,
targeted
case
5
management
providers,
and
those
providers
whose
rates
are
6
required
to
be
determined
pursuant
to
section
249A.20
.
7
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
8
fiscal
year
beginning
July
1,
2013,
the
reimbursement
rate
for
9
anesthesiologists
shall
be
increased
by
1.5
percent
over
the
10
rate
in
effect
on
June
30,
2013.
11
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
12
beginning
July
1,
2013,
the
average
reimbursement
rate
for
13
health
care
providers
eligible
for
use
of
the
federal
Medicare
14
resource-based
relative
value
scale
reimbursement
methodology
15
under
that
section
shall
be
increased
by
1.5
percent
over
the
16
rate
in
effect
on
June
30,
2013;
however,
this
rate
shall
not
17
exceed
the
maximum
level
authorized
by
the
federal
government.
18
m.
For
the
fiscal
year
beginning
July
1,
2013,
the
19
reimbursement
rate
for
residential
care
facilities
shall
not
20
be
less
than
the
minimum
payment
level
as
established
by
the
21
federal
government
to
meet
the
federally
mandated
maintenance
22
of
effort
requirement.
The
flat
reimbursement
rate
for
23
facilities
electing
not
to
file
annual
cost
reports
shall
not
24
be
less
than
the
minimum
payment
level
as
established
by
the
25
federal
government
to
meet
the
federally
mandated
maintenance
26
of
effort
requirement.
27
n.
For
the
fiscal
year
beginning
July
1,
2013,
inpatient
28
mental
health
services
provided
at
hospitals
shall
be
increased
29
by
1.5
percent
over
the
rates
in
effect
on
June
30,
2013,
30
subject
to
Medicaid
program
upper
payment
limit
rules;
31
community
mental
health
centers
and
providers
of
mental
health
32
services
to
county
residents
pursuant
to
a
waiver
approved
33
under
section
225C.7,
subsection
3
,
shall
be
reimbursed
at
100
34
percent
of
the
reasonable
costs
for
the
provision
of
services
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446
to
recipients
of
medical
assistance;
and
psychiatrists
shall
be
1
reimbursed
at
the
medical
assistance
program
fee-for-service
2
rate.
3
o.
For
the
fiscal
year
beginning
July
1,
2013,
the
4
reimbursement
rate
for
providers
of
family
planning
services
5
that
are
eligible
to
receive
a
90
percent
federal
match
shall
6
be
increased
by
1.5
percent
over
the
rates
in
effect
on
June
7
30,
2013.
8
p.
For
the
fiscal
year
beginning
July
1,
2013,
the
upper
9
limits
on
reimbursement
rates
for
providers
of
home
and
10
community-based
services
waiver
services
shall
be
the
limits
11
in
effect
on
June
30,
2013,
pursuant
to
441
IAC
79.1(2)
based
12
on
federal
Medicare
rates,
federal
veterans
administration
13
rates,
or
the
dollar
amount
specified
in
the
rule,
increased
14
by
3
percent.
15
q.
For
the
fiscal
year
beginning
July
1,
2013,
the
16
reimbursement
rate
for
emergency
medical
services
providers
17
shall
be
increased
by
10
percent
over
the
rates
in
effect
on
18
June
30,
2013.
19
2.
For
the
fiscal
year
beginning
July
1,
2013,
the
20
reimbursement
rate
for
providers
reimbursed
under
the
21
in-home-related
care
program
shall
not
be
less
than
the
minimum
22
payment
level
as
established
by
the
federal
government
to
meet
23
the
federally
mandated
maintenance
of
effort
requirement.
24
3.
Unless
otherwise
directed
in
this
section,
when
the
25
department’s
reimbursement
methodology
for
any
provider
26
reimbursed
in
accordance
with
this
section
includes
an
27
inflation
factor,
this
factor
shall
not
exceed
the
amount
28
by
which
the
consumer
price
index
for
all
urban
consumers
29
increased
during
the
calendar
year
ending
December
31,
2002.
30
4.
a.
For
the
fiscal
year
beginning
July
1,
2013,
31
notwithstanding
section
234.38
,
the
foster
family
basic
daily
32
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
33
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
34
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
35
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446
children
ages
12
through
15
years
shall
be
$19.10,
and
the
1
rate
for
children
and
young
adults
ages
16
and
older
shall
be
2
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
care,
3
the
maximum
preparation
for
adult
living
program
maintenance
4
rate
shall
be
$602.70
per
month.
The
maximum
payment
for
5
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
6
and
the
disallowance
of
additional
amounts
for
court
costs
and
7
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
8
Acts,
chapter
1031,
section
408
shall
be
continued.
9
b.
(1)
For
the
fiscal
year
beginning
July
1,
2013,
the
10
reimbursement
rates
for
child
welfare
services
providers
shall
11
be
increased
by
5
percent
over
the
rates
in
effect
on
June
12
30,
2013,
and
the
maximum
reimbursement
rate
for
group
foster
13
care
providers,
including
service
and
maintenance
costs,
shall
14
be
rebased
to
be
equal
to
the
maximum
rate
allowed
for
each
15
service
level
as
of
June
30,
2013,
and
the
rebased
rate
shall
16
be
increased
by
5
percent
or
a
percentage
amount
identified
17
by
the
department
so
that
expenditures
for
group
foster
care
18
remain
within
the
state
expenditure
target
for
group
foster
19
care
maintenance
and
services
allocated
under
the
appropriation
20
made
in
this
division
of
this
Act
for
child
and
family
21
services,
whichever
percentage
amount
is
lower.
22
(2)
For
purposes
of
this
lettered
paragraph,
“child
welfare
23
services
providers”
means
the
resource
family
recruitment
and
24
retention
contractors,
the
family
safety,
risk,
and
permanency
25
services
(family-centered)
contractors,
the
child
welfare
26
emergency
services
contractors,
and
supervised
apartment
living
27
foster
care
providers.
The
reimbursement
rates
for
child
28
welfare
services
providers
and
group
foster
care
providers
in
29
succeeding
fiscal
years,
including
base
rates
and
incentive
30
payments,
shall
incorporate
an
inflation
factor.
The
inflation
31
factor
shall
be
equal
to
the
percentage
amount
by
which
the
32
annual
average
consumer
price
index
for
all
urban
consumers,
33
United
States
city
average,
issued
by
the
United
States
34
department
of
labor,
bureau
of
labor
statistics,
increased
35
-67-
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(7)
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pf/jp/jh
67/
118
S.F.
446
during
the
average
of
the
three
preceding
calendar
years
ending
1
December
31.
2
c.
For
the
fiscal
year
beginning
July
1,
2013,
the
maximum
3
reimbursement
rates
under
the
supervised
apartment
living
4
program
other
than
foster
care-related,
and
for
social
services
5
providers
under
contract,
shall
be
increased
by
5
percent
over
6
the
rates
in
effect
on
June
30,
2013,
or
the
provider’s
actual
7
and
allowable
cost
plus
inflation
for
each
service,
whichever
8
is
less.
However,
if
a
new
service
or
service
provider
is
9
added
after
June
30,
2013,
the
initial
reimbursement
rate
for
10
the
service
or
provider
shall
be
based
upon
a
weighted
average
11
of
provider
rates
for
similar
services.
12
d.
The
group
foster
care
reimbursement
rates
paid
for
13
placement
of
children
out
of
state
shall
be
calculated
14
according
to
the
same
rate-setting
principles
as
those
used
for
15
in-state
providers,
unless
the
director
of
human
services
or
16
the
director’s
designee
determines
that
appropriate
care
cannot
17
be
provided
within
the
state.
The
payment
of
the
daily
rate
18
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
19
which
service
is
provided.
20
5.
a.
For
the
fiscal
year
beginning
July
1,
2013,
the
21
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
22
emergency
services
implemented
to
provide
or
prevent
the
need
23
for
shelter
care
shall
be
established
by
contract.
24
b.
For
the
fiscal
year
beginning
July
1,
2013,
the
combined
25
service
and
maintenance
components
of
the
reimbursement
rate
26
paid
for
shelter
care
services
shall
be
based
on
the
financial
27
and
statistical
report
submitted
to
the
department.
The
28
maximum
reimbursement
rate
shall
be
$96.98
per
day.
The
29
department
shall
reimburse
a
shelter
care
provider
at
the
30
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
31
to
exceed
the
maximum
reimbursement
rate.
32
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
33
fiscal
year
beginning
July
1,
2013,
the
amount
of
the
statewide
34
average
of
the
actual
and
allowable
rates
for
reimbursement
of
35
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118
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446
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
1
on
recovery
of
unpaid
costs
shall
be
increased
by
$4.62
over
2
the
amount
in
effect
for
this
purpose
in
the
preceding
fiscal
3
year.
4
6.
For
the
fiscal
year
beginning
July
1,
2013,
the
5
department
shall
calculate
reimbursement
rates
for
intermediate
6
care
facilities
for
persons
with
intellectual
disabilities
7
at
the
80th
percentile.
Beginning
July
1,
2013,
the
rate
8
calculation
methodology
shall
utilize
the
consumer
price
index
9
inflation
factor
applicable
to
the
fiscal
year
beginning
July
10
1,
2013.
11
7.
For
the
fiscal
year
beginning
July
1,
2013,
for
child
12
care
providers
reimbursed
under
the
state
child
care
assistance
13
program,
the
department
shall
set
provider
reimbursement
rates
14
based
on
the
rate
reimbursement
survey
completed
in
December
15
2006.
The
department
shall
set
rates
in
a
manner
so
as
to
16
provide
incentives
for
a
nonregistered
provider
to
become
17
registered
by
applying
the
increase
only
to
registered
and
18
licensed
providers.
19
8.
Any
increase
specified
in
a
provider’s
reimbursement
20
rate
in
accordance
with
this
section
shall
be
used
to
increase
21
compensation
and
costs
of
employment,
including
benefits,
for
22
nonadministrative
staff.
23
9.
The
department
may
adopt
emergency
rules
to
implement
24
this
section.
25
Sec.
29.
EMERGENCY
RULES.
26
1.
If
specifically
authorized
by
a
provision
of
this
27
division
of
this
Act
for
the
fiscal
year
beginning
July
1,
28
2013,
the
department
of
human
services
or
the
mental
health
29
and
disability
services
commission
may
adopt
administrative
30
rules
under
section
17A.4,
subsection
3
,
and
section
17A.5,
31
subsection
2
,
paragraph
“b”,
to
implement
the
provisions
and
32
the
rules
shall
become
effective
immediately
upon
filing
or
33
on
a
later
effective
date
specified
in
the
rules,
unless
the
34
effective
date
is
delayed
by
the
administrative
rules
review
35
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446
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446
committee.
Any
rules
adopted
in
accordance
with
this
section
1
shall
not
take
effect
before
the
rules
are
reviewed
by
the
2
administrative
rules
review
committee.
The
delay
authority
3
provided
to
the
administrative
rules
review
committee
under
4
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
5
shall
be
applicable
to
a
delay
imposed
under
this
section,
6
notwithstanding
a
provision
in
those
sections
making
them
7
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”.
8
Any
rules
adopted
in
accordance
with
the
provisions
of
this
9
section
shall
also
be
published
as
notice
of
intended
action
10
as
provided
in
section
17A.4
.
11
2.
If
during
the
fiscal
year
beginning
July
1,
2013,
the
12
department
of
human
services
is
adopting
rules
in
accordance
13
with
this
section
or
as
otherwise
directed
or
authorized
by
14
state
law,
and
the
rules
will
result
in
an
expenditure
increase
15
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
16
expenditure
was
not
addressed
in
the
budget
process
for
the
17
fiscal
year,
the
department
shall
notify
the
persons
designated
18
by
this
division
of
this
Act
for
submission
of
reports,
19
the
chairpersons
and
ranking
members
of
the
committees
on
20
appropriations,
and
the
department
of
management
concerning
the
21
rules
and
the
expenditure
increase.
The
notification
shall
be
22
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
23
the
rules
is
submitted
to
the
administrative
rules
coordinator
24
and
the
administrative
code
editor.
25
Sec.
30.
REPORTS.
Any
reports
or
other
information
26
required
to
be
compiled
and
submitted
under
this
Act
during
the
27
fiscal
year
beginning
July
1,
2013,
shall
be
submitted
to
the
28
chairpersons
and
ranking
members
of
the
joint
appropriations
29
subcommittee
on
health
and
human
services,
the
legislative
30
services
agency,
and
the
legislative
caucus
staffs
on
or
31
before
the
dates
specified
for
submission
of
the
reports
or
32
information.
33
DIVISION
VI
34
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2013-2014
35
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118
S.F.
446
Sec.
31.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
1
appropriated
from
the
pharmaceutical
settlement
account
created
2
in
section
249A.33
to
the
department
of
human
services
for
the
3
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
2014,
4
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
5
used
for
the
purpose
designated:
6
Notwithstanding
any
provision
of
law
to
the
contrary,
to
7
supplement
the
appropriations
made
in
this
Act
for
medical
8
contracts
under
the
medical
assistance
program
for
the
fiscal
9
year
beginning
July
1,
2013,
and
ending
June
30,
2014:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,650,000
11
Sec.
32.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
12
1.
There
is
appropriated
from
the
IowaCare
account
13
created
in
section
249J.24
to
the
state
board
of
regents
for
14
distribution
to
the
university
of
Iowa
hospitals
and
clinics
15
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
16
2014,
for
the
program
period
beginning
July
1,
2013,
and
ending
17
December
31,
2013,
the
following
amount,
or
so
much
thereof
as
18
is
necessary,
to
be
used
for
the
purposes
designated:
19
For
salaries,
support,
maintenance,
equipment,
and
20
miscellaneous
purposes,
for
the
provision
of
medical
and
21
surgical
treatment
of
indigent
patients,
for
provision
of
22
services
to
members
of
the
expansion
population
pursuant
to
23
chapter
249J
,
and
for
medical
education:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,642,292
25
a.
Funds
appropriated
in
this
subsection
shall
be
used
26
in
accordance
with
2011
Iowa
Acts,
chapter
129,
section
35,
27
subsection
1,
paragraph
“a”.
28
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
29
the
amount
appropriated
in
this
subsection
shall
be
distributed
30
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
31
Medicaid
enterprise.
32
c.
The
university
of
Iowa
hospitals
and
clinics
shall
33
certify
public
expenditures
in
an
amount
equal
to
provide
34
the
nonfederal
share
on
total
expenditures
not
to
exceed
35
-71-
SF
446
(7)
85
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71/
118
S.F.
446
$10,000,000.
1
2.
There
is
appropriated
from
the
IowaCare
account
2
created
in
section
249J.24
to
the
state
board
of
regents
for
3
distribution
to
the
university
of
Iowa
hospitals
and
clinics
4
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
5
2014,
for
the
program
period
beginning
July
1,
2013,
and
ending
6
December
31,
2013,
the
following
amount,
or
so
much
thereof
as
7
is
necessary,
to
be
used
for
the
purposes
designated:
8
For
salaries,
support,
maintenance,
equipment,
and
9
miscellaneous
purposes,
for
the
provision
of
medical
and
10
surgical
treatment
of
indigent
patients,
for
provision
of
11
services
to
members
of
the
expansion
population
pursuant
to
12
chapter
249J
,
and
for
medical
education:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
26,284,600
14
Notwithstanding
any
provision
of
law
to
the
contrary,
the
15
amount
appropriated
in
this
subsection
shall
be
distributed
16
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
17
Medicaid
enterprise.
18
3.
There
is
appropriated
from
the
IowaCare
account
19
created
in
section
249J.24
to
the
state
board
of
regents
for
20
distribution
to
university
of
Iowa
physicians
for
the
fiscal
21
year
beginning
July
1,
2013,
and
ending
June
30,
2014,
for
the
22
program
period
beginning
July
1,
2013,
and
ending
December
31,
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
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,903,183
31
Notwithstanding
any
provision
of
law
to
the
contrary,
the
32
amount
appropriated
in
this
subsection
shall
be
distributed
33
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
34
Medicaid
enterprise.
Once
the
entire
amount
appropriated
in
35
-72-
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446
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85
pf/jp/jh
72/
118
S.F.
446
this
subsection
has
been
distributed,
claims
shall
continue
to
1
be
submitted
and
adjudicated
by
the
Iowa
Medicaid
enterprise;
2
however,
no
payment
shall
be
made
based
upon
such
claims.
3
4.
There
is
appropriated
from
the
IowaCare
account
created
4
in
section
249J.24
to
the
department
of
human
services
for
5
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
6
2014,
for
the
program
period
beginning
July
1,
2013,
and
ending
7
December
31,
2013,
the
following
amount,
or
so
much
thereof
as
8
is
necessary,
to
be
used
for
the
purposes
designated:
9
For
distribution
to
a
publicly
owned
acute
care
teaching
10
hospital
located
in
a
county
with
a
population
over
350,000
for
11
the
provision
of
medical
and
surgical
treatment
of
indigent
12
patients,
for
provision
of
services
to
members
of
the
expansion
13
population
pursuant
to
chapter
249J
,
and
for
medical
education:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
35,500,000
15
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
16
the
amount
appropriated
in
this
subsection
shall
be
distributed
17
based
on
claims
submitted,
adjudicated,
and
paid
by
the
Iowa
18
Medicaid
enterprise
plus
a
monthly
disproportionate
share
19
hospital
payment.
Any
amount
appropriated
in
this
subsection
20
in
excess
of
$32,500,000
shall
be
distributed
only
if
the
sum
21
of
the
expansion
population
claims
adjudicated
and
paid
by
the
22
Iowa
Medicaid
enterprise
plus
the
estimated
disproportionate
23
share
hospital
payments
exceeds
$32,500,000.
The
amount
paid
24
in
excess
of
$32,500,000
shall
not
adjust
the
original
monthly
25
payment
amount
but
shall
be
distributed
monthly
based
on
actual
26
claims
adjudicated
and
paid
by
the
Iowa
Medicaid
enterprise
27
plus
the
estimated
disproportionate
share
hospital
amount.
Any
28
amount
appropriated
in
this
subsection
in
excess
of
$32,500,000
29
shall
be
allocated
only
if
federal
funds
are
available
to
match
30
the
amount
allocated.
Pursuant
to
paragraph
“b”,
of
the
amount
31
appropriated
in
this
subsection,
not
more
than
$2,000,000
shall
32
be
distributed
for
prescription
drugs,
podiatry
services,
33
optometric
services,
and
durable
medical
equipment.
34
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
35
-73-
SF
446
(7)
85
pf/jp/jh
73/
118
S.F.
446
hospital
identified
in
this
subsection
shall
be
reimbursed
for
1
outpatient
prescription
drugs,
podiatry
services,
optometric
2
services,
and
durable
medical
equipment
provided
to
members
3
of
the
expansion
population
pursuant
to
all
applicable
4
medical
assistance
program
rules,
in
an
amount
not
to
exceed
5
$2,000,000.
6
c.
Notwithstanding
the
total
amount
of
proceeds
distributed
7
pursuant
to
section
249J.24,
subsection
4
,
paragraph
“a”,
8
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
9
1,
2013,
and
ending
June
30,
2014,
the
county
treasurer
of
a
10
county
with
a
population
of
over
350,000
in
which
a
publicly
11
owned
acute
care
teaching
hospital
is
located
shall
distribute
12
the
proceeds
collected
pursuant
to
section
347.7
between
13
July
1,
2013,
and
December
31,
2013,
in
a
total
amount
of
14
$19,000,000,
which
would
otherwise
be
distributed
to
the
county
15
hospital,
to
the
treasurer
of
state
for
deposit
in
the
IowaCare
16
account.
17
d.
Notwithstanding
the
amount
collected
and
distributed
18
for
deposit
in
the
IowaCare
account
pursuant
to
section
19
249J.24,
subsection
4
,
paragraph
“a”,
subparagraph
(1),
the
20
first
$19,000,000
in
proceeds
collected
pursuant
to
section
21
347.7
between
July
1,
2013,
and
December
31,
2013,
shall
be
22
distributed
to
the
treasurer
of
state
for
deposit
in
the
23
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.
Of
the
26
collections
in
excess
of
the
$19,000,000
received
by
the
acute
27
care
teaching
hospital
under
this
paragraph
“d”,
$2,000,000
28
shall
be
distributed
by
the
acute
care
teaching
hospital
to
the
29
treasurer
of
state
for
deposit
in
the
IowaCare
account
in
the
30
month
of
January
2014,
following
the
July
1
through
December
31
31,
2013,
period.
32
5.
There
is
appropriated
from
the
IowaCare
account
created
33
in
section
249J.24
to
the
department
of
human
services
for
34
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
35
-74-
SF
446
(7)
85
pf/jp/jh
74/
118
S.F.
446
2014,
for
the
program
period
beginning
July
1,
2013,
and
ending
1
December
31,
2013,
the
following
amount,
or
so
much
thereof
as
2
is
necessary
to
be
used
for
the
purpose
designated:
3
For
payment
to
the
regional
provider
network
specified
4
by
the
department
pursuant
to
section
249J.7
for
provision
5
of
covered
services
to
members
of
the
expansion
population
6
pursuant
to
chapter
249J
:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,993,183
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
6.
There
is
appropriated
from
the
IowaCare
account
created
16
in
section
249J.24
to
the
department
of
human
services
for
17
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
18
2014,
for
the
program
period
beginning
July
1,
2013,
and
ending
19
December
31,
2013,
the
following
amount,
or
so
much
thereof
as
20
is
necessary,
to
be
used
for
the
purposes
designated:
21
For
a
care
coordination
pool
to
pay
the
expansion
population
22
providers
consisting
of
the
university
of
Iowa
hospitals
and
23
clinics,
the
publicly
owned
acute
care
teaching
hospital
as
24
specified
in
section
249J.7
,
and
current
medical
assistance
25
program
providers
that
are
not
expansion
population
network
26
providers
pursuant
to
section
249J.7
,
for
services
covered
by
27
the
full
benefit
medical
assistance
program
but
not
under
the
28
IowaCare
program
pursuant
to
section
249J.6
,
that
are
provided
29
to
expansion
population
members:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,500,000
31
a.
Notwithstanding
sections
249J.6
and
249J.7
,
the
amount
32
appropriated
in
this
subsection
is
intended
to
provide
33
payment
for
medically
necessary
services
provided
to
expansion
34
population
members
for
continuation
of
care
provided
by
the
35
-75-
SF
446
(7)
85
pf/jp/jh
75/
118
S.F.
446
university
of
Iowa
hospitals
and
clinics
or
the
publicly
owned
1
acute
care
teaching
hospital
as
specified
in
section
249J.7
.
2
Payment
may
only
be
made
for
services
that
are
not
otherwise
3
covered
under
section
249J.6
,
and
which
are
follow-up
services
4
to
covered
services
provided
by
the
hospitals
specified
in
this
5
paragraph
“a”.
6
b.
The
funds
appropriated
in
this
subsection
are
intended
7
to
provide
limited
payment
for
continuity
of
care
services
for
8
an
expansion
population
member,
and
are
intended
to
cover
the
9
costs
of
services
to
expansion
population
members,
regardless
10
of
the
member’s
county
of
residence
or
medical
home
assignment,
11
if
the
care
is
related
to
specialty
or
hospital
services
12
provided
by
the
hospitals
specified
in
paragraph
“a”.
13
c.
The
funds
appropriated
in
this
subsection
are
14
not
intended
to
provide
for
expanded
coverage
under
the
15
IowaCare
program,
and
shall
not
be
used
to
cover
emergency
16
transportation
services.
17
d.
The
department
shall
adopt
administrative
rules
pursuant
18
to
chapter
17A
to
establish
a
prior
authorization
process
and
19
to
identify
covered
services
for
reimbursement
under
this
20
subsection.
21
7.
There
is
appropriated
from
the
IowaCare
account
created
22
in
section
249J.24
to
the
department
of
human
services
for
23
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
24
2014,
for
the
program
period
beginning
July
1,
2013,
and
ending
25
December
31,
2013,
the
following
amount,
or
so
much
thereof
as
26
is
necessary,
for
the
purposes
designated:
27
For
transfer
to
the
medical
contracts
appropriation
in
28
this
division
of
this
Act
to
be
used
for
administrative
29
costs
associated
with
chapter
249J
including
eligibility
30
determinations:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
371,552
32
8.
For
the
fiscal
year
beginning
July
1,
2013,
and
ending
33
June
30,
2014,
for
the
program
period
beginning
July
1,
2013,
34
and
ending
December
31,
2013,
the
state
board
of
regents
shall
35
-76-
SF
446
(7)
85
pf/jp/jh
76/
118
S.F.
446
transfer
$637,789
to
the
IowaCare
account
created
in
section
1
249J.24,
to
provide
the
nonfederal
share
for
distribution
to
2
university
of
Iowa
physicians
under
the
IowaCare
program.
The
3
university
of
Iowa
hospitals
and
clinics
shall
receive
and
4
retain
100
percent
of
the
total
increase
in
IowaCare
program
5
payments.
6
Sec.
33.
APPROPRIATIONS
FROM
NONPARTICIPATING
7
PROVIDER
REIMBURSEMENT
FUND
——
DEPARTMENT
OF
HUMAN
8
SERVICES.
Notwithstanding
any
provision
to
the
contrary,
and
9
subject
to
the
availability
of
funds,
there
is
appropriated
10
from
the
nonparticipating
provider
reimbursement
fund
created
11
in
section
249J.24A
to
the
department
of
human
services
for
12
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
13
2014,
for
the
program
period
beginning
July
1,
2013,
and
ending
14
December
31,
2013,
the
following
amount,
or
so
much
thereof
as
15
is
necessary,
for
the
purposes
designated:
16
To
reimburse
nonparticipating
providers
in
accordance
with
17
section
249J.24A
:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
19
Sec.
34.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
20
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
21
subject
to
the
availability
of
funds,
there
is
appropriated
22
from
the
quality
assurance
trust
fund
created
in
section
23
249L.4
to
the
department
of
human
services
for
the
fiscal
year
24
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
following
25
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
26
designated:
27
To
supplement
the
appropriation
made
in
this
Act
from
the
28
general
fund
of
the
state
to
the
department
of
human
services
29
for
medical
assistance
for
the
same
fiscal
year:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
28,788,917
31
Sec.
35.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
32
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
33
the
contrary
and
subject
to
the
availability
of
funds,
there
is
34
appropriated
from
the
hospital
health
care
access
trust
fund
35
-77-
SF
446
(7)
85
pf/jp/jh
77/
118
S.F.
446
created
in
section
249M.4
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
2
30,
2014,
the
following
amounts,
or
so
much
thereof
as
is
3
necessary,
for
the
purposes
designated:
4
1.
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
for
the
same
fiscal
year:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,288,000
8
2.
For
deposit
in
the
nonparticipating
provider
9
reimbursement
fund
created
in
section
249J.24A
to
be
used
for
10
the
purposes
of
the
fund:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
412,000
12
Sec.
36.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
13
FOR
FY
2013-2014.
Notwithstanding
section
8.33
,
if
moneys
14
appropriated
for
purposes
of
the
medical
assistance
program
for
15
the
fiscal
year
beginning
July
1,
2013,
and
ending
June
30,
16
2014,
from
the
general
fund
of
the
state,
the
quality
assurance
17
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
18
in
excess
of
actual
expenditures
for
the
medical
assistance
19
program
and
remain
unencumbered
or
unobligated
at
the
close
20
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
21
shall
remain
available
for
expenditure
for
the
purposes
of
the
22
medical
assistance
program
until
the
close
of
the
succeeding
23
fiscal
year.
24
DIVISION
VII
25
PRIOR
YEAR
APPROPRIATIONS
26
RESPITE
27
Sec.
37.
2011
Iowa
Acts,
chapter
129,
section
128,
as
28
amended
by
2012
Iowa
Acts,
chapter
1133,
section
22,
subsection
29
26,
is
amended
to
read
as
follows:
30
26.
Of
the
funds
appropriated
in
this
section,
at
least
31
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
32
care
respite
pilot
program
in
which
postsecondary
students
in
33
social
work
and
other
human
services-related
programs
receive
34
experience
by
assisting
family
foster
care
providers
with
35
-78-
SF
446
(7)
85
pf/jp/jh
78/
118
S.F.
446
respite
and
other
support.
Notwithstanding
section
8.33,
1
moneys
allocated
in
this
subsection
that
remain
unencumbered
or
2
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
3
but
shall
remain
available
for
expenditure
for
the
purposes
4
designated
until
the
close
of
the
succeeding
fiscal
year.
5
MEDICAL
ASSISTANCE
——
GENERAL
FUND
6
Sec.
38.
2011
Iowa
Acts,
chapter
129,
section
122,
7
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
8
For
medical
assistance
program
reimbursement
and
associated
9
costs
as
specifically
provided
in
the
reimbursement
10
methodologies
in
effect
on
June
30,
2012,
except
as
otherwise
11
expressly
authorized
by
law,
and
consistent
with
options
under
12
federal
law
and
regulations:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
914,993,421
14
968,276,514
15
MEDICAL
ASSISTANCE
——
IOWACARE
TRANSFER
ALLOCATION
16
Sec.
39.
2011
Iowa
Acts,
chapter
129,
section
122,
17
subsection
13,
as
amended
by
2012
Iowa
Acts,
chapter
1133,
18
section
10,
is
amended
to
read
as
follows:
19
13.
Of
the
funds
appropriated
in
this
section,
up
to
20
$8,684,329
$16,004,422
may
be
transferred
to
the
IowaCare
21
account
created
in
section
249J.24
.
22
ADOPTION
SUBSIDY
——
GENERAL
FUND
23
Sec.
40.
2011
Iowa
Acts,
chapter
129,
section
129,
as
24
amended
by
2012
Iowa
Acts,
chapter
1133,
section
23,
subsection
25
1,
is
amended
to
read
as
follows:
26
1.
There
is
appropriated
from
the
general
fund
of
the
27
state
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2012,
and
ending
June
30,
2013,
the
following
29
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
adoption
subsidy
payments
and
services:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,788,576
33
37,743,429
34
NURSING
FACILITY
REIMBURSEMENT
35
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446
Sec.
41.
2011
Iowa
Acts,
chapter
129,
section
141,
1
subsection
1,
paragraph
a,
subparagraph
(1),
as
amended
by
2
2012
Iowa
Acts,
chapter
1133,
section
32,
is
amended
to
read
3
as
follows:
4
(1)
For
the
fiscal
year
beginning
July
1,
2012,
the
total
5
state
funding
amount
for
the
nursing
facility
budget
shall
not
6
exceed
$237,226,901
$239,226,901
.
7
Sec.
42.
2012
Iowa
Acts,
chapter
1133,
section
55,
is
8
amended
to
read
as
follows:
9
SEC.
55.
REPLACEMENT
GENERATION
TAX
REVENUES
——
LEVY
RATES
10
FOR
FY
2011-2012
AND
FY
2012-2013.
11
1.
a.
For
the
fiscal
year
beginning
July
1,
2011,
and
12
ending
June
30,
2012,
and
for
the
fiscal
year
beginning
July
1,
13
2012,
and
ending
June
30,
2013,
the
replacement
generation
tax
14
revenues
required
to
be
deposited
in
the
property
tax
relief
15
fund
pursuant
to
section
437A.8,
subsection
4
,
paragraph
“d”,
16
and
section
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
17
be
credited
to
the
mental
health
and
disability
services
18
redesign
fund
created
in
this
division
of
this
Act.
19
b.
If
this
section
of
this
division
of
this
Act
is
enacted
20
after
the
department
of
management
has
reduced
county
certified
21
budgets
and
revised
rates
of
taxation
pursuant
to
section
22
426B.2,
subsection
3
,
paragraph
“b”,
to
reflect
anticipated
23
replacement
generation
tax
revenues,
and
the
enactment
date
is
24
during
the
period
beginning
May
1,
2012,
and
ending
June
30,
25
2012,
the
reductions
and
revisions
shall
be
rescinded
and
the
26
department
of
management
shall
expeditiously
report
that
fact
27
to
the
county
auditors.
28
2.
Except
as
otherwise
provided
in
subsection
1
for
29
department
of
management
reductions
of
certified
budgets
and
30
revisions
of
tax
rates
and
rescinding
of
those
reductions
and
31
revisions,
the
budgets
and
tax
rates
certified
for
a
county
32
services
fund
under
section
331.424A
,
for
the
fiscal
year
33
beginning
July
1,
2012,
shall
remain
in
effect,
notwithstanding
34
section
426B.3,
subsection
1
,
the
property
tax
relief
fund
35
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payment
and
other
services
fund
financing
changes
made
in
this
1
division
of
this
Act,
or
other
statutory
amendments
affecting
2
county
services
funds
for
the
fiscal
year
to
the
contrary.
3
Sec.
43.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
4
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
5
enactment.
6
Sec.
44.
RETROACTIVE
APPLICABILITY.
The
following
7
provision
of
this
Act
applies
retroactively
to
July
1,
2011:
8
1.
The
section
amending
2012
Iowa
Acts,
chapter
1133,
9
section
55.
10
DIVISION
VIII
11
CHILD
WELFARE
AND
CHILD
CARE
12
Sec.
45.
Section
232.142,
subsection
5,
Code
2013,
is
13
amended
to
read
as
follows:
14
5.
The
director
shall
approve
annually
all
such
homes
15
established
and
maintained
under
the
provisions
of
this
16
chapter
.
A
home
shall
not
be
approved
unless
it
complies
with
17
minimal
rules
and
standards
adopted
by
the
director
and
has
18
been
inspected
by
the
department
of
inspections
and
appeals.
19
The
statewide
number
of
beds
in
the
homes
approved
by
the
20
director
shall
not
exceed
the
number
of
beds
in
approved
homes
21
as
of
July
1,
2013.
22
Sec.
46.
Section
237A.13,
subsection
7,
paragraph
c,
Code
23
2013,
is
amended
to
read
as
follows:
24
c.
Families
with
an
income
of
more
than
one
hundred
percent
25
but
not
more
than
one
hundred
forty-five
forty-eight
percent
of
26
the
federal
poverty
level
whose
members
are
employed
at
least
27
twenty-eight
hours
per
week.
28
Sec.
47.
Section
237A.13,
subsection
8,
Code
2013,
is
29
amended
to
read
as
follows:
30
8.
Nothing
in
this
section
shall
be
construed
as
or
is
31
intended
as,
or
shall
imply,
a
grant
of
entitlement
for
32
services
to
persons
who
are
eligible
for
assistance
due
to
33
an
income
level
or
other
eligibility
circumstance
addressed
34
in
this
section
.
Any
state
obligation
to
provide
services
35
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pursuant
to
this
section
is
limited
to
the
extent
of
the
funds
1
appropriated
for
the
purposes
of
state
child
care
assistance.
2
The
standard
period
for
redetermining
the
eligibility
of
a
3
program
participant
is
twelve
months
after
the
date
of
the
4
initial
determination
of
eligibility
and
every
twelve
months
5
thereafter.
6
DIVISION
IX
7
AGING
8
Sec.
48.
Section
231.33,
subsection
21,
Code
2013,
if
9
enacted
by
2013
Iowa
Acts,
Senate
File
184,
section
22,
is
10
amended
to
read
as
follows:
11
21.
Comply
with
all
applicable
requirements
of
the
Iowa
12
public
employees’
retirement
system
established
pursuant
to
13
chapter
97B.
Notwithstanding
any
provision
to
the
contrary,
14
an
employee
of
an
area
agency
on
aging
that
was
enrolled
in
15
an
alternative
qualified
plan
prior
to
July
1,
2012,
may
16
continue
participation
in
that
alternative
qualified
plan
in
17
lieu
of
mandatory
participation
in
the
Iowa
public
employees’
18
retirement
system.
19
Sec.
49.
Section
231.42,
subsection
7,
paragraph
a,
Code
20
2013,
is
amended
to
read
as
follows:
21
a.
An
officer,
owner,
director,
or
employee
of
a
long-term
22
care
facility,
assisted
living
program,
or
elder
group
home
who
23
intentionally
prevents,
interferes
with,
or
attempts
to
impede
24
the
work
of
the
state
or
a
local
long-term
care
resident’s
25
advocate
is
subject
to
a
penalty
imposed
by
the
director
of
not
26
more
than
one
thousand
five
hundred
dollars
for
each
violation.
27
If
the
director
imposes
a
penalty
for
a
violation
under
this
28
paragraph,
no
other
state
agency
shall
impose
a
penalty
for
the
29
same
interference
violation.
Any
moneys
collected
pursuant
30
to
this
subsection
shall
be
deposited
in
the
general
fund
of
31
the
state
and
are
appropriated
to
the
office
of
long-term
care
32
resident’s
advocate
to
be
used
for
administration
and
the
33
duties
of
the
office
.
34
Sec.
50.
REPEAL.
Section
231E.13,
Code
2013,
is
repealed.
35
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Sec.
51.
TASK
FORCE
ON
ELDER
ABUSE
PREVENTION
AND
1
INTERVENTION.
2
1.
The
department
on
aging
shall
continue
a
task
force
3
on
elder
abuse
prevention
and
intervention
to
continue
the
4
work
of
the
elder
abuse
task
force
established
pursuant
to
5
2012
Iowa
Acts,
chapter
1056.
The
task
force
shall
include
6
representatives
of
the
department
on
aging,
the
office
of
7
long-term
care
resident’s
advocate,
the
department
of
human
8
services,
the
department
of
inspections
and
appeals,
the
9
department
of
public
health,
the
office
of
the
attorney
10
general,
the
department
of
veterans
affairs,
the
department
11
of
public
safety,
the
insurance
division
of
the
department
12
of
commerce,
a
county
attorney’s
office
with
experience
13
in
prosecuting
elder
abuse,
the
superintendent
of
banking,
14
the
courts,
the
elder
law
section
of
the
Iowa
state
bar
15
association,
and
other
affected
stakeholders.
The
task
force
16
shall
form
workgroups
as
necessary
to
address
the
specific
17
recommendations.
18
2.
The
task
force
shall
review
the
report
of
the
elder
19
abuse
task
force
submitted
in
December
2012,
develop
an
20
implementation
plan
for
the
recommendations,
and
make
any
21
additional
recommendations
as
necessary.
The
implementation
22
plan
and
additional
recommendations
shall
address
all
of
the
23
following:
24
a.
The
design
of
the
comprehensive
approach
to
elder
25
abuse
prevention
and
intervention
in
the
state
utilizing
the
26
prevention
of
elder
abuse
program
pursuant
to
section
231.56A
27
and
the
office
of
substitute
decision
maker
created
pursuant
28
to
chapter
231E.
The
design
shall
also
address
all
of
the
29
following:
30
(1)
Harmonization
of
the
approach
design
with
the
31
existing
dependent
adult
abuse
system
pursuant
to
chapter
32
235B,
including
but
not
limited
to
standardized
training,
33
collaboration
between
the
elder
abuse
approach
and
the
34
department
of
human
services
when
a
report
of
dependent
adult
35
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446
abuse
involves
an
older
individual,
and
the
membership
of
1
multidisciplinary
teams.
2
(2)
Incorporation
of
the
approach
design
into
other
3
existing
and
developing
components
of
the
system
including
4
the
area
agencies
on
aging,
the
mental
health
and
disability
5
services
regions,
local
public
health
departments,
the
local
6
offices
of
the
department
on
human
services,
the
courts,
and
7
other
appropriate
entities,
to
most
effectively
and
efficiently
8
address
the
needs
of
older
individuals.
9
b.
The
definition
of
elder
abuse
to
be
used
in
the
approach
10
to
elder
abuse.
The
task
force
shall
address
continued
use
11
of
the
definition
of
“elder
abuse”
as
specified
under
the
12
federal
Older
Americans
Act
and
utilized
by
the
prevention
of
13
elder
abuse
program
under
section
231.56A,
or
shall
provide
a
14
specific
alternative
definition.
15
c.
The
designation
of
a
single
point
of
contact
to
report
16
elder
abuse.
The
task
force
shall
specifically
address
17
utilizing
the
aging
and
disability
resource
center
network
as
18
the
single
point
of
contact.
19
d.
The
means
of
addressing
financial
exploitation
of
older
20
individuals,
including
those
relating
to
powers
of
attorney
and
21
conservatorships
as
described
in
the
2012
task
force
report.
22
e.
Promotion
of
public
awareness
of
elder
abuse
and
the
23
services
and
support
available
to
older
individuals
at
risk
of
24
or
experiencing
elder
abuse.
25
f.
Any
specific
changes
in
statute
and
rules
necessary
to
26
achieve
the
recommendations
of
the
task
force.
27
3.
The
task
force
shall
submit
a
progress
report
to
the
28
elder
abuse
prevention
and
intervention
legislative
interim
29
committee
established
pursuant
to
this
Act
for
review,
by
30
October
31,
2013,
and
shall
submit
a
final
report
of
its
31
recommendations
and
proposed
legislation
following
approval
32
by
the
legislative
interim
committee
to
the
governor
and
the
33
general
assembly
no
later
than
December
31,
2013.
34
Sec.
52.
LEGISLATIVE
INTERIM
COMMITTEE.
The
legislative
35
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council
is
requested
to
establish
a
legislative
interim
1
committee
on
elder
abuse
prevention
and
intervention
for
the
2
2013
legislative
interim
to
monitor
the
progress
of,
and
3
provide
direction
to,
the
task
force
on
elder
abuse
prevention
4
and
intervention
created
in
this
Act.
The
legislative
5
committee
shall
review
the
progress
report
and
approve
the
6
final
report
of
the
task
force
and
shall
submit
the
committee’s
7
recommendations
and
a
final
report
to
the
general
assembly
8
following
completion
of
the
committee’s
work.
9
Sec.
53.
PILOT
PROJECT
——
GUARDIANSHIP
AND
CONSERVATORSHIP
10
MONITORING.
The
department
on
aging
shall
collaborate
11
with
the
national
health
law
and
policy
resource
center
12
at
the
university
of
Iowa
college
of
law
to
establish
a
13
three-year
pilot
project
to
train,
recruit,
and
oversee
14
volunteers
to
assist
the
courts
in
monitoring
guardianships
and
15
conservatorships
and
to
provide
assistance
to
guardians
and
16
conservators.
The
pilot
project
shall
be
implemented
initially
17
in
the
sixth
judicial
district.
The
pilot
project
shall
be
18
utilized
to
establish
a
basis
for
an
ongoing
guardianship
and
19
conservatorship
monitoring
and
assistance
program
administered
20
through
the
department
on
aging.
The
department
on
aging
21
shall
submit
an
annual
report
to
the
individuals
identified
22
in
this
Act
for
submission
of
reports.
The
annual
report
23
shall
include
the
objectives
and
results
for
the
pilot
project
24
year,
how
the
funds
allocated
were
utilized
in
meeting
the
25
pilot
project’s
objectives,
the
number
of
individuals
served,
26
the
types
of
services
provided,
any
other
sources
of
funding
27
utilized
or
identified
as
available
for
the
pilot
project,
and
28
the
continuing
needs
of
the
pilot
project.
29
Sec.
54.
EFFECTIVE
UPON
ENACTMENT.
The
section
of
this
30
division
of
this
Act
establishing
a
task
force
on
elder
abuse
31
prevention,
being
deemed
of
immediate
importance,
takes
effect
32
upon
enactment.
33
Sec.
55.
EFFECTIVE
UPON
ENACTMENT.
The
section
of
this
34
division
of
this
Act
amending
section
231.33,
subsection
21,
35
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446
if
enacted
by
2013
Iowa
Acts,
Senate
File
184,
being
deemed
of
1
immediate
importance,
takes
effect
upon
enactment.
2
Sec.
56.
RETROACTIVE
APPLICABILITY.
The
section
of
this
3
division
of
this
Act
amending
section
231.33,
subsection
21,
4
if
enacted
by
2013
Iowa
Acts,
applies
retroactively
to
July
1,
5
2012.
6
DIVISION
X
7
EMS
TASK
FORCE
8
Sec.
57.
EMERGENCY
MEDICAL
SERVICES
TASK
FORCE
AND
REPORT.
9
1.
The
department
of
public
health
shall
establish
a
task
10
force
to
ensure
the
future
availability
of
quality
emergency
11
medical
services
for
the
state.
12
2.
The
members
of
the
task
force
shall
be
appointed
by
the
13
director
of
the
department
of
public
health,
or
the
director’s
14
designee,
as
follows:
15
a.
A
manager
of
a
rural
volunteer
emergency
medical
16
transport
service.
17
b.
A
manager
of
a
rural
paid
emergency
medical
transport
18
service.
19
c.
A
manager
of
an
urban
emergency
medical
transport
20
service.
21
d.
A
manager
of
a
nontransport
emergency
medical
service.
22
e.
A
representative
of
a
fire
department-based
emergency
23
medical
service.
24
f.
A
representative
of
a
hospital-based
emergency
medical
25
service.
26
g.
A
representative
of
a
private,
for-profit
emergency
27
medical
transport
service.
28
h.
A
representative
of
a
not-for-profit
emergency
medical
29
transport
service.
30
i.
A
representative
of
the
Iowa
emergency
medical
services
31
association
board
of
directors.
32
j.
A
representative
of
an
emergency
medical
services
33
training
agency.
34
k.
An
urban
emergency
department
physician.
35
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l.
A
rural
emergency
department
physician.
1
m.
A
representative
of
the
Iowa
emergency
nurses
2
association.
3
n.
A
representative
of
the
Iowa
alliance
in
home
care.
4
o.
A
representative
of
an
emergency
medical
service
air
5
ambulance.
6
p.
A
representative
of
the
Iowa
hospital
association.
7
q.
A
representative
of
the
private
insurance
industry.
8
r.
A
representative
of
the
Iowa
Medicaid
enterprise
9
division
of
the
department
of
human
services.
10
s.
A
representative
of
city
government.
11
t.
A
representative
of
county
government.
12
u.
A
representative
of
the
nursing
facility
industry.
13
v.
A
representative
of
the
Iowa
behavioral
health
14
association.
15
w.
A
consumer
of
emergency
medical
services.
16
x.
An
advanced
registered
nurse
practitioner.
17
3.
The
task
force
shall
discuss
the
current
state
of
18
emergency
medical
services
in
Iowa
and
make
recommendations
for
19
enhancement
of
Iowa’s
emergency
medical
services
system.
The
20
recommendations
shall
address
issues
facing
volunteer
and
paid
21
rural
emergency
medical
services,
cost
projections
including
22
administration
costs
for
all
recommendations,
the
Medicaid
23
reimbursement
fee
schedule
for
ambulance
services,
and
the
24
nature
and
scope
of
any
recommended
changes
in
regulations
25
governing
emergency
medical
services.
26
4.
The
task
force
shall,
by
April
30,
2014,
submit
a
final
27
report
of
its
findings
and
recommendations
to
the
governor,
28
the
general
assembly,
the
department
of
public
health,
and
the
29
emergency
medical
services
advisory
council.
The
emergency
30
medical
services
advisory
council
shall
review
the
report
and
31
make
recommendations
related
to
implementation
of
the
report’s
32
recommendations
to
the
director
of
the
department
of
public
33
health.
34
DIVISION
XI
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MEDICATION
THERAPY
MANAGEMENT
1
Sec.
58.
MEDICATION
THERAPY
MANAGEMENT
——
MEDICAID.
2
1.
As
used
in
this
section,
“medication
therapy
management”
3
means
a
systematic
process
performed
by
a
licensed
pharmacist,
4
designed
to
improve
quality
outcomes
for
patients
and
lower
5
health
care
costs,
including
emergency
room,
hospital,
6
provider,
and
other
costs,
by
optimizing
appropriate
medication
7
use
linked
directly
to
achievement
of
the
clinical
goals
of
8
therapy.
Medication
therapy
management
shall
include
all
of
9
the
following
services:
10
a.
A
medication
therapy
review
and
in-person
consultation
11
relating
to
all
medications,
vitamins,
and
herbal
supplements
12
currently
being
taken
by
an
eligible
individual.
13
b.
A
medication
action
plan,
subject
to
the
limitations
14
specified
in
this
section,
communicated
to
the
individual
and
15
the
individual’s
primary
care
physician
or
other
appropriate
16
prescriber
to
address
issues
including
appropriateness,
17
effectiveness,
safety,
drug
interactions,
and
adherence.
The
18
medication
action
plan
may
include
drug
therapy
recommendations
19
to
prescribers
that
are
needed
to
meet
clinical
goals
and
20
achieve
optimal
patient
outcomes.
21
c.
Documentation
and
follow-up
to
ensure
consistent
levels
22
of
pharmacy
services
and
positive
outcomes.
23
2.
a.
The
department
of
human
services
shall
utilize
a
24
request
for
proposals
process
and
shall
enter
into
a
contract
25
for
the
provision
of
medication
therapy
management
services
for
26
eligible
medical
assistance
program
recipients
who
meet
any
of
27
the
following
criteria:
28
(1)
An
individual
who
takes
four
or
more
prescription
drugs
29
to
treat
or
prevent
two
or
more
chronic
medical
conditions.
30
(2)
An
individual
with
a
prescription
drug
therapy
problem
31
who
is
identified
by
the
prescribing
physician
or
other
32
appropriate
prescriber,
and
referred
to
a
pharmacist
for
33
medication
therapy
management
services.
34
(3)
An
individual
who
meets
other
criteria
established
by
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the
Iowa
Medicaid
enterprise.
1
b.
The
fees
for
pharmacist-delivered
medication
therapy
2
management
services
shall
be
separate
from
the
reimbursement
3
for
prescription
drug
product
or
dispensing
services,
and
4
shall
be
reasonable
based
on
the
resources
and
time
required
5
to
provide
the
service.
6
c.
A
fee
shall
be
established
for
physician
reimbursement
7
for
services
delivered
for
medication
therapy
management
and
8
shall
be
reasonable
based
on
the
resources
and
time
required
9
to
provide
the
service.
10
d.
If
any
part
of
the
medication
therapy
management
11
plan
developed
by
a
pharmacist
incorporates
services
which
12
are
outside
the
pharmacist’s
independent
scope
of
practice
13
including
the
initiation
of
therapy,
modification
of
dosages,
14
therapeutic
interchange,
or
changes
in
drug
therapy,
the
15
express
authorization
of
the
individual’s
physician
or
other
16
appropriate
prescriber
shall
be
required.
17
Sec.
59.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
18
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
19
enactment.
20
DIVISION
XII
21
HOSPITAL
PROVIDER
TAX
22
Sec.
60.
Section
249M.5,
Code
2013,
is
amended
to
read
as
23
follows:
24
249M.5
Future
repeal.
25
This
chapter
is
repealed
June
30,
2013
2016
.
26
Sec.
61.
EFFECTIVE
UPON
ENACTMENT.
The
section
of
this
27
division
of
this
Act
relating
to
the
future
repeal
of
the
28
hospital
health
care
access
assessment
program
chapter,
being
29
deemed
of
immediate
importance,
takes
effect
upon
enactment.
30
DIVISION
XIII
31
ILL
AND
HANDICAPPED
WAIVER
NAME
CHANGE
32
Sec.
62.
Section
423.3,
subsection
18,
paragraph
f,
33
subparagraph
(1),
Code
2013,
is
amended
to
read
as
follows:
34
(1)
Ill
and
handicapped
Health
and
disability
waiver
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service
providers,
described
in
441
IAC
77.30.
1
DIVISION
XIV
2
MILLER
TRUST
3
Sec.
63.
Section
633C.2,
Code
2013,
is
amended
to
read
as
4
follows:
5
633C.2
Disposition
of
medical
assistance
special
needs
6
trusts.
7
Regardless
of
the
terms
of
a
medical
assistance
special
8
needs
trust,
any
income
received
or
asset
added
to
the
trust
9
during
a
one-month
period
shall
be
expended
as
provided
for
10
medical
assistance
income
trusts
under
section
633C.3
,
on
11
a
monthly
basis,
during
the
life
of
the
beneficiary.
Any
12
increase
in
income
or
principal
retained
in
the
trust
from
13
a
previous
month
may
be
expended,
during
the
life
of
the
14
beneficiary,
only
for
reasonable
and
necessary
expenses
of
15
the
trust,
not
to
exceed
ten
twenty-five
dollars
per
month
16
without
court
approval,
for
special
needs
of
the
beneficiary
17
attributable
to
the
beneficiary’s
disability
and
approved
by
18
the
district
court,
for
medical
care
or
services
that
would
19
otherwise
be
covered
by
medical
assistance
under
chapter
249A
,
20
or
to
reimburse
the
state
for
medical
assistance
paid
on
behalf
21
of
the
beneficiary.
22
Sec.
64.
Section
633C.3,
subsection
1,
unnumbered
paragraph
23
1,
Code
2013,
is
amended
to
read
as
follows:
24
Regardless
of
the
terms
of
a
medical
assistance
income
25
trust,
if
the
beneficiary’s
total
monthly
income
is
less
26
than
one
hundred
and
twenty-five
percent
of
the
average
27
statewide
charge
for
nursing
facility
services
to
a
private
28
pay
resident
of
a
nursing
facility,
then,
during
the
life
of
29
the
beneficiary,
any
property
received
or
held
by
the
trust
30
shall
be
expended
only
as
follows,
as
applicable,
and
in
the
31
following
order
of
priority:
32
Sec.
65.
Section
633C.3,
subsection
1,
paragraph
a,
Code
33
2013,
is
amended
to
read
as
follows:
34
a.
A
reasonable
amount
may
be
paid
or
set
aside
each
35
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month
for
necessary
expenses
of
the
trust,
not
to
exceed
ten
1
twenty-five
dollars
per
month
without
court
approval.
2
Sec.
66.
Section
633C.3,
subsection
2,
unnumbered
paragraph
3
1,
Code
2013,
is
amended
to
read
as
follows:
4
Regardless
of
the
terms
of
a
medical
assistance
income
5
trust,
if
the
beneficiary’s
total
monthly
income
is
at
or
above
6
one
hundred
and
twenty-five
percent
of
the
average
statewide
7
charge
for
nursing
facility
services
to
a
private-pay
resident,
8
then,
during
the
life
of
the
beneficiary,
any
property
received
9
or
held
by
the
trust
shall
be
expended
only
as
follows,
as
10
applicable,
in
the
following
order
of
priority:
11
Sec.
67.
Section
633C.3,
subsection
2,
paragraph
a,
Code
12
2013,
is
amended
to
read
as
follows:
13
a.
A
reasonable
amount
may
be
paid
or
set
aside
each
14
month
for
necessary
expenses
of
the
trust,
not
to
exceed
ten
15
twenty-five
dollars
per
month
without
court
approval.
16
Sec.
68.
APPLICABILITY.
The
sections
of
this
division
of
17
this
Act
amending
sections
633C.2
and
633C.3
apply
to
trusts
in
18
existence
on
or
after
July
1,
2013.
19
DIVISION
XV
20
FAMILY
PLANNING
WAIVER
——
STATE
PLAN
21
Sec.
69.
Section
249A.3,
subsection
2,
paragraph
a,
22
subparagraph
(10),
Code
2013,
is
amended
to
read
as
follows:
23
(10)
Individuals
eligible
for
family
planning
services
24
under
a
federally
approved
demonstration
waiver
or
state
plan
.
25
Sec.
70.
MEDICAID
STATE
PLAN
AMENDMENT
——
FAMILY
26
PLANNING.
The
department
of
human
services
shall
amend
the
27
medical
assistance
state
plan
to
include
the
family
planning
28
eligibility
group,
in
accordance
with
the
requirements
of
29
section
2303
of
the
federal
Affordable
Care
Act,
Pub.
L.
No.
30
111-148,
at
the
income
eligibility
level
specified
in
the
31
family
planning
section
1115
demonstration
waiver
in
effect
on
32
January
1,
2013,
to
be
effective
no
later
than
January
1,
2014.
33
Sec.
71.
2010
Iowa
Acts,
chapter
1192,
section
11,
34
subsection
24,
paragraph
a,
subparagraph
(1),
subparagraph
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division
(a),
is
amended
to
read
as
follows:
1
(a)
Are
uninsured
or
have
health
insurance
coverage
that
2
does
not
include
coverage
for
benefits
provided
under
the
Iowa
3
family
planning
network
subject
to
the
medical
assistance
4
program
being
the
payer
of
last
resort
.
5
Sec.
72.
EFFECTIVE
UPON
ENACTMENT
AND
CONTINGENT
6
IMPLEMENTATION.
The
sections
of
this
division
of
this
7
Act
relating
to
the
family
planning
waiver
and
state
plan
8
amendment,
being
deemed
of
immediate
importance,
take
effect
9
upon
enactment.
However,
the
department
of
human
services
10
shall
only
implement
those
sections
to
the
extent
the
11
department
receives
federal
approval
of
the
requests
relating
12
to
the
waiver
and
the
medical
assistance
state
plan
amendment
13
necessary
to
implement
those
sections.
14
DIVISION
XVI
15
MISCELLANEOUS
HEALTH
CARE
AMENDMENTS
16
Sec.
73.
Section
249A.2,
subsection
1,
Code
2013,
is
amended
17
by
striking
the
subsection.
18
Sec.
74.
Section
249A.2,
subsections
4
and
7,
Code
2013,
are
19
amended
to
read
as
follows:
20
4.
“Discretionary
medical
assistance”
means
mandatory
21
medical
assistance
or
additional
optional
medical
assistance
22
provided
to
medically
needy
individuals
whose
income
and
23
resources
are
in
excess
of
eligibility
limitations
but
are
24
insufficient
to
meet
all
of
the
costs
of
necessary
medical
25
care
and
services,
provided
that
if
the
assistance
includes
26
services
in
institutions
for
mental
diseases
or
intermediate
27
care
facilities
for
persons
with
an
intellectual
disability,
28
or
both,
for
any
group
of
such
individuals,
the
assistance
29
also
includes
for
all
covered
groups
of
such
individuals
at
30
least
the
care
and
services
enumerated
in
Tit.
XIX
of
the
31
federal
Social
Security
Act,
section
1905(a),
paragraphs
(1)
32
through
(5),
and
(17),
as
codified
in
42
U.S.C.
§
1396d(a),
33
pars.
(1)
through
(5),
and
(17),
or
any
seven
of
the
care
and
34
services
enumerated
in
Tit.
XIX
of
the
federal
Social
Security
35
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Act,
section
1905(a),
paragraphs
(1)
through
(7)
and
(9)
1
through
(18)
(24)
,
as
codified
in
42
U.S.C.
§
1396d(a),
pars.
2
paragraphs
(1)
through
(7),
and
(9)
through
(18)
(24)
.
3
7.
“Medical
assistance”
or
“Medicaid”
means
payment
of
all
4
or
part
of
the
costs
of
the
care
and
services
required
to
be
5
provided
by
made
in
accordance
with
Tit.
XIX
of
the
federal
6
Social
Security
Act
,
section
1905(a),
paragraphs
(1)
through
7
(5),
and
(17),
as
codified
in
42
U.S.C.
§
1396d(a),
pars.
(1)
8
through
(5),
and
(17)
and
authorized
pursuant
to
this
chapter
.
9
Sec.
75.
Section
249A.2,
Code
2013,
is
amended
by
adding
the
10
following
new
subsections:
11
NEW
SUBSECTION
.
6A.
“Mandatory
medical
assistance”
means
12
payment
of
all
or
part
of
the
costs
of
the
care
and
services
13
required
to
be
provided
by
Tit.
XIX
of
the
federal
Social
14
Security
Act,
section
1905(a),
paragraphs
(1)
through
(5),
15
(17),(21),
and
(28),
as
codified
in
42
U.S.C.
§
1396d(a),
16
paragraphs
(1)
through
(5),
(17),
(21),
and
(28).
17
NEW
SUBSECTION
.
7A.
“Medical
assistance
program”
or
18
“Medicaid
program”
means
the
program
established
under
this
19
chapter
to
provide
medical
assistance.
20
NEW
SUBSECTION
.
8A.
“Optional
medical
assistance”
means
21
payment
of
all
or
part
of
the
costs
of
any
or
all
of
the
care
22
and
services
authorized
to
be
provided
by
Tit.
XIX
of
the
23
federal
Social
Security
Act,
section
1905(a),
paragraphs
(6)
24
through
(16),
(18)
through
(20),
(22)
through
(27),
and
(29),
25
as
codified
in
42
U.S.C.
§
1396d(a),
paragraphs
(6)
through
26
(16),
and
(18)
through
(20),
(22)
through
(27),
and
(29).
27
Sec.
76.
Section
249A.3,
subsection
1,
unnumbered
paragraph
28
1,
Code
2013,
is
amended
to
read
as
follows:
29
Medical
Mandatory
medical
assistance
shall
be
provided
to,
30
or
on
behalf
of,
any
individual
or
family
residing
in
the
state
31
of
Iowa,
including
those
residents
who
are
temporarily
absent
32
from
the
state,
who:
33
Sec.
77.
Section
249A.3,
subsection
1,
paragraph
l,
34
subparagraph
(2),
Code
2013,
is
amended
to
read
as
follows:
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(2)
Additionally,
effective
July
1,
2009,
medical
1
assistance
shall
be
provided
to
Is
a
pregnant
woman
or
infant
2
whose
family
income
is
at
or
below
three
hundred
percent
of
the
3
federal
poverty
level,
as
defined
by
the
most
recently
revised
4
poverty
income
guidelines
published
by
the
United
States
5
department
of
health
and
human
services,
if
otherwise
eligible.
6
Sec.
78.
Section
249A.3,
subsection
2,
paragraph
a,
7
unnumbered
paragraph
1,
Code
2013,
is
amended
to
read
as
8
follows:
9
Medical
Mandatory
medical
assistance
may
also,
within
the
10
limits
of
available
funds
and
in
accordance
with
section
11
249A.4,
subsection
1
,
be
provided
to,
or
on
behalf
of,
12
other
individuals
and
families
who
are
not
excluded
under
13
subsection
5
of
this
section
and
whose
incomes
and
resources
14
are
insufficient
to
meet
the
cost
of
necessary
medical
care
and
15
services
in
accordance
with
the
following
order
of
priorities:
16
Sec.
79.
Section
249A.3,
subsection
2,
paragraph
a,
17
subparagraph
(1),
subparagraph
division
(a),
Code
2013,
is
18
amended
to
read
as
follows:
19
(a)
As
allowed
under
42
U.S.C.
§
1396a(a)(10)(A)(ii)(XIII),
20
individuals
with
disabilities,
who
are
less
than
sixty-five
21
years
of
age,
who
are
members
of
families
whose
income
is
less
22
than
two
hundred
fifty
percent
of
the
most
recently
revised
23
official
poverty
guidelines
published
by
the
United
States
24
department
of
health
and
human
services
for
the
family,
who
25
have
earned
income
and
who
are
eligible
for
mandatory
medical
26
assistance
or
additional
optional
medical
assistance
under
this
27
section
if
earnings
are
disregarded.
As
allowed
by
42
U.S.C.
28
§
1396a(r)(2),
unearned
income
shall
also
be
disregarded
in
29
determining
whether
an
individual
is
eligible
for
assistance
30
under
this
subparagraph.
For
the
purposes
of
determining
the
31
amount
of
an
individual’s
resources
under
this
subparagraph
32
and
as
allowed
by
42
U.S.C.
§
1396a(r)(2),
a
maximum
of
ten
33
thousand
dollars
of
available
resources
shall
be
disregarded,
34
and
any
additional
resources
held
in
a
retirement
account,
in
a
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medical
savings
account,
or
in
any
other
account
approved
under
1
rules
adopted
by
the
department
shall
also
be
disregarded.
2
Sec.
80.
Section
249A.3,
subsection
2,
paragraph
a,
3
subparagraph
(3),
Code
2013,
is
amended
to
read
as
follows:
4
(3)
Individuals
who
are
receiving
care
in
a
hospital
or
5
in
a
basic
nursing
home,
intermediate
nursing
home,
skilled
6
nursing
home
or
extended
care
facility,
as
defined
by
section
7
135C.1
,
and
who
meet
all
eligibility
requirements
for
federal
8
supplemental
security
income
except
that
their
income
exceeds
9
the
allowable
maximum
therefor
for
such
eligibility
,
but
10
whose
income
is
not
in
excess
of
the
maximum
established
11
by
subsection
4
for
eligibility
for
discretionary
medical
12
assistance
and
is
insufficient
to
meet
the
full
cost
of
their
13
care
in
the
hospital
or
health
care
facility
on
the
basis
of
14
standards
established
by
the
department.
15
Sec.
81.
Section
249A.3,
subsection
2,
paragraph
b,
Code
16
2013,
is
amended
to
read
as
follows:
17
b.
Notwithstanding
the
provisions
of
this
subsection
18
establishing
priorities
for
individuals
and
families
to
19
receive
mandatory
medical
assistance,
the
department
may
20
determine
within
the
priorities
listed
in
this
subsection
which
21
persons
shall
receive
mandatory
medical
assistance
based
on
22
income
levels
established
by
the
department,
subject
to
the
23
limitations
provided
in
subsection
4
.
24
Sec.
82.
Section
249A.3,
subsection
3,
Code
2013,
is
amended
25
to
read
as
follows:
26
3.
Additional
Optional
medical
assistance
may,
within
27
the
limits
of
available
funds
and
in
accordance
with
section
28
249A.4,
subsection
1
,
be
provided
to,
or
on
behalf
of,
either
29
of
the
following
groups
of
individuals
and
families
:
30
a.
Only
those
individuals
and
families
described
in
31
subsection
1
of
this
section
;
or
.
32
b.
Those
individuals
and
families
described
in
both
33
subsections
1
and
2
.
34
Sec.
83.
Section
249A.4,
subsection
9,
unnumbered
paragraph
35
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1,
Code
2013,
is
amended
to
read
as
follows:
1
Adopt
rules
pursuant
to
chapter
17A
in
determining
the
2
method
and
level
of
reimbursement
for
all
medical
and
health
3
services
referred
to
in
section
249A.2,
subsection
1
or
7
4
to
be
provided
under
the
medical
assistance
program
,
after
5
considering
all
of
the
following:
6
Sec.
84.
Section
249B.1,
subsection
6,
Code
2013,
is
amended
7
to
read
as
follows:
8
6.
“Medical
assistance”
means
“
mandatory
medical
assistance”
,
9
“additional
“optional
medical
assistance”
,
“discretionary
medical
10
assistance”
or
“medicare
cost
sharing”
as
defined
in
section
11
249A.2
which
is
provided
to
an
individual
pursuant
to
chapter
12
249A
and
Tit.
XIX
of
the
federal
Social
Security
Act.
13
Sec.
85.
Section
249F.1,
subsection
1,
Code
2013,
is
amended
14
to
read
as
follows:
15
1.
“Medical
assistance”
means
“
mandatory
medical
16
assistance”,
“additional
“optional
medical
assistance”,
17
“discretionary
medical
assistance”,
or
“Medicare
cost
sharing”
18
as
each
is
defined
in
section
249A.2
which
is
provided
to
an
19
individual
pursuant
to
chapter
249A
and
Tit.
XIX
of
the
federal
20
Social
Security
Act.
21
Sec.
86.
Section
509.1,
subsection
7,
Code
2013,
is
amended
22
to
read
as
follows:
23
7.
A
policy
issued
to
the
department
of
human
services,
24
which
shall
be
deemed
the
policyholder,
to
insure
eligible
25
persons
for
medical
assistance,
or
for
both
mandatory
medical
26
assistance
and
additional
optional
medical
assistance,
as
27
defined
by
chapter
249A
as
hereafter
amended.
28
Sec.
87.
Section
514.1,
subsection
2,
Code
2013,
is
amended
29
to
read
as
follows:
30
2.
For
the
purposes
of
this
chapter
,
“subscriber”
means
an
31
individual
who
enters
into
a
contract
for
health
care
services
32
with
a
corporation
subject
to
this
chapter
and
includes
a
33
person
eligible
for
mandatory
medical
assistance
or
additional
34
optional
medical
assistance
as
defined
under
chapter
249A
,
with
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respect
to
whom
the
department
of
human
services
has
entered
1
into
a
contract
with
a
firm
operating
under
this
chapter.
For
2
purposes
of
this
chapter
,
“provider”
means
a
person
as
defined
3
in
section
4.1,
subsection
20
,
which
is
licensed
or
authorized
4
in
this
state
to
furnish
health
care
services.
“Health
care”
5
means
that
care
necessary
for
the
purpose
of
preventing,
6
alleviating,
curing,
or
healing
human
physical
or
mental
7
illness,
injury,
or
disability.
8
DIVISION
XVII
9
ALZHEIMER’S
COORDINATION
AND
STRATEGY
10
Sec.
88.
NEW
SECTION
.
135P.1
Definitions.
11
As
used
in
this
chapter,
unless
the
context
otherwise
12
requires:
13
1.
“Alzheimer’s
disease”
or
“Alzheimer’s”
means
a
14
progressive,
degenerative,
fatal
disorder
that
results
in
loss
15
of
memory,
loss
of
thinking
and
language
skills,
and
behavioral
16
changes.
“Alzheimer’s
disease”
includes
related
dementias
17
including
vascular
dementia,
Parkinson’s
disease,
dementia
18
with
Lewy
bodies,
frontotemporal
dementia,
Creutzfeldt-Jacob
19
disease,
normal
pressure
hydrocephalus,
and
mixed
dementia.
20
2.
“Department”
means
the
department
of
public
health.
21
Sec.
89.
NEW
SECTION
.
135P.2
Alzheimer’s
disease
——
22
state-level
coordination
and
comprehensive
response
strategy.
23
1.
The
department
shall
develop
and
administer,
and
24
provide
for
state-level
coordination
of,
a
comprehensive
25
Alzheimer’s
disease
response
strategy
in
accordance
with
the
26
recommendations
of
the
stakeholder
workgroup
convened
pursuant
27
to
2011
Iowa
Acts,
chapter
61.
The
response
strategy
shall
28
include
development
and
monitoring
of
short-term
and
long-term
29
objectives
and
action
steps
to
ensure
that
individuals
with
30
Alzheimer’s
disease
have
access
to
the
highest
quality
and
31
most
appropriate
care
at
all
stages
of
the
disease
and
in
32
all
settings
across
the
service
and
supports
continuum.
The
33
response
strategy
may
include
prioritization
of
objectives
34
and
action
steps
to
most
efficiently
utilize
resources
and
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funding.
The
department
shall
update
the
initial
response
1
strategy
biennially
and
shall
submit
a
progress
report
annually
2
in
January
to
the
governor
and
the
general
assembly.
3
2.
In
providing
state-level
coordination,
the
department
4
shall
integrate
public
and
private
resources
and
programs,
5
reduce
duplication,
evaluate
programs
and
services
to
ensure
6
that
evidence-based,
high-quality
programs
and
services
are
7
available
to
maximize
the
positive
impact
for
individuals
with
8
Alzheimer’s
and
their
families
and
caregivers,
and
promote
9
public
awareness.
10
3.
In
developing
the
comprehensive
Alzheimer’s
disease
11
response
strategy,
the
department
shall
do
all
of
the
12
following:
13
a.
Establish
an
Alzheimer’s
disease
coordinator
position
14
in
the
department
in
a
manner
similar
to
those
positions
15
that
address
other
chronic
conditions
in
the
state.
The
16
coordinator,
in
partnership
with
public
and
private
entities
17
and
the
multidisciplinary
advisory
council
convened
pursuant
to
18
paragraph
“b”
,
shall
do
all
of
the
following:
19
(1)
Implement
the
recommendations
of
the
Alzheimer’s
20
disease
stakeholder
workgroup
convened
pursuant
to
2011
Iowa
21
Acts,
chapter
61,
and
establish
standards
for
the
comprehensive
22
Alzheimer’s
disease
response
strategy.
23
(2)
Inform,
educate,
and
empower
the
public
regarding
the
24
impact
of
Alzheimer’s
disease,
in
order
to
increase
awareness
25
of
the
disease
and
in
particular
the
benefits
of
early
26
detection,
while
working
to
decrease
the
stigma
associated
with
27
Alzheimer’s
disease.
28
(3)
Monitor
the
prevalence
of
Alzheimer’s
disease
and
29
cognitive
impairment
in
the
state
through
data
collection
and
30
coordination
efforts.
Such
data
shall
be
made
available
to
31
and
used
to
assist
public
and
private
efforts
in
developing
32
evidence-based
programs
and
policies
that
address
Alzheimer’s
33
disease.
34
(4)
Evaluate,
and
promote
the
improved
effectiveness,
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accessibility,
and
quality
of,
clinical
and
population-based
1
Alzheimer’s
services.
The
evaluation
and
promotion
efforts
2
shall
include
coordination
of
services
to
reach
rural
and
3
underserved
areas
of
the
state.
4
(5)
Ensure
a
competent
public
and
private
sector
workforce
5
specific
to
the
challenges
of
Alzheimer’s
disease.
The
effort
6
shall
include
coordinating
existing
state
efforts
to
develop,
7
implement,
and
evaluate
curricula
and
training
requirements
8
for
providers
of
services
who
interact
with
individuals
with
9
Alzheimer’s
disease.
10
(6)
Act
as
a
liaison
to
the
aging
and
disabilities
resource
11
centers,
area
agencies
on
aging,
Alzheimer’s
association
12
chapters,
the
health
and
long-term
care
access
advisory
council
13
created
by
the
department
to
implement
the
directives
of
14
sections
135.163
and
135.164,
and
other
entities
to
ensure
15
Alzheimer’s
disease
is
appropriately
addressed
in
the
state.
16
(7)
Secure
public
and
private
funding
relating
to
dementia
17
to
fulfill
the
duties
specified
under
this
chapter.
18
b.
Convene
a
multidisciplinary
advisory
council.
The
19
council
shall
assist
and
advise
the
department
and
the
20
coordinator;
develop
partnerships
to
provide
coordination,
21
collaboration,
and
support
for
Alzheimer’s-related
services
22
and
programs
throughout
the
state;
and
advocate
on
behalf
of
23
persons
with
Alzheimer’s
disease
and
their
families.
The
24
advisory
council
shall,
at
a
minimum,
include
representation
25
from
individuals
with
Alzheimer’s
disease
and
their
families;
26
caregivers
and
other
providers
of
services
and
supports;
27
medical
providers
including
primary
and
specialty
care
28
providers,
which
shall
include
geriatricians,
neurologists,
29
and
others
with
expertise
in
Alzheimer’s
disease;
the
30
Alzheimer’s
association;
community-based
organizations
and
31
other
organizations
with
interest
or
expertise
in
Alzheimer’s
32
disease;
academic
institutions
and
programs
with
a
focus
33
on
Alzheimer’s
disease
and
dementia;
and
appropriate
state
34
agencies
including
but
not
limited
to
the
department
on
35
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446
aging,
the
department
of
human
services,
the
department
of
1
inspections
and
appeals,
the
department
of
public
safety,
and
2
the
department
of
workforce
development.
The
department
shall
3
enlist
private
entities
in
providing
staff
support
for
the
4
council.
5
Sec.
90.
REPEAL.
Section
135.171,
Code
2013,
is
repealed.
6
Sec.
91.
INCORPORATION
OF
EXISTING
STATE
DUTIES.
The
7
department
of
public
health
shall
incorporate
the
requirements
8
specified
in
section
135.171,
Code
2013,
into
the
comprehensive
9
Alzheimer’s
disease
strategy
developed
and
administered
10
pursuant
to
this
division
of
this
Act.
11
DIVISION
XVIII
12
AREA
HEALTH
EDUCATION
CENTERS
13
Sec.
92.
NEW
SECTION
.
135.179
Area
health
education
centers
14
fund.
15
An
area
health
education
centers
fund
is
created
in
the
16
state
treasury
as
a
separate
fund
under
the
control
of
the
17
department.
The
department
may
receive
appropriations,
18
contributions,
grants,
and
in-kind
contributions
to
support
19
the
purposes
of
the
fund.
The
fund
shall
be
separate
from
the
20
general
fund
of
the
state
and
shall
not
be
considered
part
of
21
the
general
fund
of
the
state.
The
moneys
in
the
fund
shall
22
not
be
considered
revenue
of
the
state,
but
rather
shall
be
23
moneys
of
the
fund.
The
moneys
in
the
fund
are
appropriated
24
to
the
department
to
be
distributed
to
a
publicly
owned
acute
25
care
teaching
hospital
located
in
a
county
with
a
population
26
over
three
hundred
fifty
thousand
that
shall
subcontract
27
with
health
care
entities
that
host
regional
area
health
28
education
centers
to
recruit
and
retain
a
skilled
health
care
29
workforce
in
rural
and
underserved
areas
of
the
state.
The
30
funds
distributed
shall
be
used
to
provide
the
nonfederal
31
funding
match
requirement
for
receipt
of
federal
grants
for
32
area
health
education
centers
from
the
federal
health
resources
33
and
services
administration
of
the
United
States
department
of
34
health
and
human
services
and
to
assist
with
continuation
of
35
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existing
educational
health
care
programs
and
activities.
The
1
moneys
in
the
fund
are
not
subject
to
section
8.33
and
shall
2
not
be
transferred,
used,
obligated,
appropriated,
or
otherwise
3
encumbered,
except
to
provide
for
the
purposes
of
this
section.
4
Notwithstanding
section
12C.7,
subsection
2,
interest
or
5
earnings
on
moneys
deposited
in
the
fund
shall
be
credited
to
6
the
fund.
7
Sec.
93.
CODE
EDITOR
DIRECTIVE.
The
Code
editor
shall
8
create
a
new
division
in
chapter
135
codifying
section
135.179,
9
as
enacted
in
this
division
of
this
Act,
as
the
area
health
10
education
centers
fund.
11
DIVISION
XIX
12
MEDICAID
BREAST
AND
CERVICAL
CANCER
13
Sec.
94.
Section
249A.3,
subsection
2,
paragraph
a,
14
subparagraph
(2),
Code
2013,
is
amended
to
read
as
follows:
15
(2)
(a)
As
provided
under
the
federal
Breast
and
Cervical
16
Cancer
Prevention
and
Treatment
Act
of
2000,
Pub.
L.
No.
17
106-354,
women
individuals
who
meet
all
of
the
following
18
criteria:
19
(i)
Are
not
described
in
42
U.S.C.
§
1396a(a)(10)(A)(i).
20
(ii)
Have
not
attained
age
sixty-five.
21
(iii)
Have
been
screened
for
breast
and
cervical
cancer
22
under
the
United
States
centers
for
disease
control
and
23
prevention
breast
and
cervical
cancer
early
detection
program
24
established
under
42
U.S.C.
§
300k
et
seq.,
in
accordance
25
with
the
requirements
of
42
U.S.C.
§
300n,
and
need
treatment
26
for
breast
or
cervical
cancer.
A
woman
An
individual
is
27
considered
screened
for
breast
and
cervical
cancer
under
this
28
subparagraph
subdivision
if
the
woman
individual
is
screened
29
by
any
provider
or
entity,
and
the
state
grantee
of
the
United
30
States
centers
for
disease
control
and
prevention
funds
under
31
Tit.
XV
of
the
federal
Public
Health
Services
Act
has
elected
32
to
include
screening
activities
by
that
provider
or
entity
33
as
screening
activities
pursuant
to
Tit.
XV
of
the
federal
34
Public
Health
Services
Act.
This
screening
includes
but
is
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not
limited
to
breast
or
cervical
cancer
screenings
or
related
1
diagnostic
services
provided
or
funded
by
family
planning
or
2
centers,
community
health
centers
and
breast
cancer
screenings
3
funded
by
the
Susan
G.
Komen
foundation
which
,
or
nonprofit
4
organizations,
and
the
screenings
or
services
are
provided
5
to
women
individuals
who
meet
the
eligibility
requirements
6
established
by
the
state
grantee
of
the
United
States
centers
7
for
disease
control
and
prevention
funds
under
Tit.
XV
of
the
8
federal
Public
Health
Services
Act.
9
(iv)
Are
not
otherwise
covered
under
creditable
coverage
as
10
defined
in
42
U.S.C.
§
300gg(c).
11
(b)
A
woman
An
individual
who
meets
the
criteria
of
this
12
subparagraph
(2)
shall
be
presumptively
eligible
for
medical
13
assistance.
14
Sec.
95.
MEDICAID
STATE
PLAN
AMENDMENT.
The
department
of
15
human
services
shall
submit
a
medical
assistance
state
plan
16
amendment
to
the
centers
for
Medicare
and
Medicaid
services
of
17
the
United
States
department
of
health
and
human
services
to
18
provide
for
applicability
of
the
federal
Breast
and
Cervical
19
Cancer
Prevention
and
Treatment
Act
of
2000,
Pub.
L.
No.
20
106-354,
to
both
men
and
women.
The
department
shall
implement
21
applicability
of
the
program
to
both
men
and
women
upon
receipt
22
of
federal
approval.
23
DIVISION
XX
24
HEALTH
AND
LONG-TERM
CARE
25
Sec.
96.
Section
135.164,
subsection
1,
paragraph
d,
Code
26
2013,
is
amended
by
striking
the
paragraph.
27
Sec.
97.
Section
135.164,
subsection
4,
Code
2013,
is
28
amended
by
striking
the
subsection.
29
Sec.
98.
COST
PROJECTION
REPORT
——
STRATEGIC
PLAN.
The
30
department
of
public
health
shall
develop
cost
projections
31
for
implementing
the
strategic
plan
for
health
care
delivery
32
infrastructure
and
health
care
workforce
resources
as
specified
33
in
section
135.164,
and
shall
submit
a
report
of
such
cost
34
projections
and
any
recommendations
to
the
individuals
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identified
in
this
Act
for
submission
of
reports
by
December
1
15,
2013.
2
DIVISION
XXI
3
AUTISM
SUPPORT
PROGRAM
4
Sec.
99.
NEW
SECTION
.
225D.1
Definitions.
5
As
used
in
this
chapter
unless
the
context
otherwise
6
requires:
7
1.
“Applied
behavioral
analysis”
,
“autism
service
provider”
,
8
“pharmacy
care”
,
“psychiatric
care”
,
“psychological
care”
,
9
“rehabilitative
care”
,
“therapeutic
care”
,
and
“treatment
plan”
10
mean
the
same
as
defined
in
section
514C.28.
11
2.
“Autism”
means
autism
spectrum
disorders
as
defined
in
12
section
514C.28.
13
3.
“Autism
support
fund”
or
“fund”
means
the
autism
support
14
fund
created
in
section
225D.2.
15
4.
“Behavioral
health
treatment”
means
clinically
relevant
16
counseling
and
treatment
programs,
including
applied
behavioral
17
analysis,
that
meet
both
of
the
following
requirements:
18
a.
Are
necessary
to
develop,
maintain,
or
restore,
to
the
19
maximum
extent
practicable,
the
functioning
of
an
individual.
20
b.
Are
provided
or
supervised
by
a
board-certified
behavior
21
analyst
or
a
licensed
psychologist,
as
long
as
the
psychologist
22
has
commensurate
education
or
training.
23
5.
“Clinically
relevant”
means
medically
necessary
and
24
resulting
in
the
development,
maintenance,
or
restoration,
25
to
the
maximum
extent
practicable,
of
the
functioning
of
an
26
individual.
27
6.
“Department”
means
the
department
of
human
services.
28
7.
“Diagnostic
assessment
of
autism
spectrum
disorders”
means
29
medically
necessary
assessment,
evaluations,
or
tests
performed
30
by
a
licensed
physician,
licensed
physician
assistant,
licensed
31
psychologist,
or
licensed
registered
nurse
practitioner,
with
32
expertise
and
special
training
in
developmental
disabilities
or
33
autism,
to
diagnose
whether
an
individual
has
autism.
34
8.
“Eligible
individual”
means
a
child
less
than
nine
years
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of
age
who
has
been
diagnosed
with
autism
based
on
a
diagnostic
1
assessment
of
autism
spectrum
disorders,
is
not
otherwise
2
eligible
for
coverage
under
the
medical
assistance
program,
is
3
not
eligible
for
coverage
under
section
514C.28
or
for
private
4
insurance
coverage,
and
whose
household
income
does
not
exceed
5
four
hundred
percent
of
the
federal
poverty
level.
6
9.
“Federal
poverty
level”
means
the
most
recently
revised
7
poverty
income
guidelines
published
by
the
United
States
8
department
of
health
and
human
services.
9
10.
“Household
income”
means
household
income
as
determined
10
using
the
modified
adjusted
gross
income
methodology
pursuant
11
to
section
2002
of
the
federal
Patient
Protection
and
12
Affordable
Care
Act,
Pub.
L.
No.
111-148.
13
11.
“Medical
assistance”
or
“Medicaid”
means
assistance
14
provided
under
the
medical
assistance
program
pursuant
to
15
chapter
249A.
16
12.
“Regional
autism
assistance
program”
means
the
regional
17
autism
assistance
program
created
in
section
256.35.
18
13.
“Treatment
of
autism”
means
treatment
that
is
19
identified
in
a
treatment
plan
and
includes
medically
necessary
20
behavioral
health
treatment,
pharmacy
care,
psychiatric
care,
21
psychological
care,
rehabilitative
care,
and
therapeutic
care
22
that
is
one
of
the
following:
23
a.
Prescribed,
ordered,
or
provided
by
a
licensed
24
physician,
licensed
physician
assistant,
licensed
psychologist,
25
licensed
social
worker,
or
licensed
advanced
registered
nurse
26
practitioner.
27
b.
Provided
by
an
autism
service
provider.
28
c.
Provided
by
a
person,
entity,
or
group
that
works
under
29
the
direction
of
an
autism
service
provider.
30
Sec.
100.
NEW
SECTION
.
225D.2
Autism
support
program
——
31
fund.
32
1.
The
department
shall
implement
an
autism
support
33
program
to
provide
payment
for
the
treatment
of
autism
for
34
eligible
individuals.
The
department
shall
adopt
rules,
35
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including
standards
and
guidelines
pursuant
to
chapter
17A
to
1
implement
and
administer
the
program.
In
adopting
the
rules,
2
standards,
and
guidelines
for
the
program,
the
department
shall
3
consult
with
and
incorporate
the
recommendations
of
an
expert
4
panel
convened
by
the
regional
autism
assistance
program
to
5
provide
expert
opinion
on
clinically
relevant
practices
and
6
guidance
on
program
implementation
and
administration.
The
7
expert
panel
shall
consist
of
families
of
individuals
with
8
autism;
educational,
medical,
and
human
services
specialists,
9
professionals,
and
providers;
and
others
with
interest
in
or
10
expertise
related
to
autism.
The
program
shall
be
implemented
11
and
administered
in
a
manner
so
that
payment
for
services
12
is
available
throughout
the
state,
including
in
rural
and
13
under-resourced
areas.
14
2.
At
a
minimum,
the
rules,
standards,
and
guidelines
for
15
the
program
shall
address
all
of
the
following:
16
a.
A
maximum
annual
benefit
amount
for
an
eligible
17
individual
of
thirty-six
thousand
dollars.
18
b.
A
maximum
of
twenty-four
months
of
applied
behavioral
19
analysis
treatment.
20
c.
Notwithstanding
the
age
limitation
for
an
eligible
21
individual,
a
provision
that
if
an
eligible
individual
reaches
22
nine
years
of
age
prior
to
completion
of
the
maximum
applied
23
behavioral
analysis
treatment
period
specified
in
paragraph
24
“b”
,
the
individual
may
complete
such
treatment
in
accordance
25
with
the
individual’s
treatment
plan,
not
to
exceed
the
maximum
26
treatment
period.
27
d.
A
graduated
schedule
for
cost-sharing
by
an
eligible
28
individual
based
on
a
percentage
of
the
total
benefit
amount
29
expended
for
the
eligible
individual,
annually.
Cost-sharing
30
shall
be
applicable
to
eligible
individuals
with
household
31
incomes
at
or
above
two
hundred
percent
of
the
federal
poverty
32
level
in
incrementally
increased
amounts
up
to
a
maximum
of
33
ten
percent.
The
rules
shall
provide
a
financial
hardship
34
exemption
from
payment
of
the
cost-sharing
based
on
criteria
35
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established
by
rule
of
the
department.
1
e.
Application,
approval,
compliance,
and
appeal
processes
2
for
eligible
individuals
as
necessary
to
operate
and
manage
the
3
program.
4
f.
Enrollment,
renewal,
and
reimbursement
of
claims
5
provisions
for
autism
service
providers
participating
in
the
6
program.
7
g.
A
requirement
of
family
engagement
and
participation
as
8
part
of
the
eligible
individual’s
treatment
plan.
9
h.
A
requirement
that
the
administrator
of
the
program
10
utilize
the
regional
autism
assistance
program
to
coordinate
11
interventions
between
eligible
individuals
and
their
families
12
receiving
support
through
the
autism
support
program
with
13
appropriate
medical,
educational,
and
treatment
providers,
14
including
integrated
health
homes.
The
regional
autism
15
assistance
program
shall
provide
for
family
navigation
and
16
coordination
and
integration
of
services
through
the
statewide
17
system
of
regional
child
health
specialty
clinics,
utilizing
18
the
community
child
health
team
model.
As
necessitated
by
19
the
availability
of
resources
in
the
community
where
services
20
are
delivered,
telehealth
may
be
used
in
delivering
and
21
coordinating
interventions
with
appropriate
providers.
To
the
22
extent
available
and
accessible
to
an
eligible
individual,
23
the
eligible
individual
shall
be
enrolled
in
an
integrated
24
health
home
that
is
an
approved
provider
enrolled
in
the
25
medical
assistance
program.
Health
home
services
that
are
26
covered
services
under
the
medical
assistance
program
shall
be
27
reimbursed
under
the
autism
support
program
at
rates
consistent
28
with
those
established
under
the
medical
assistance
program.
29
i.
Requirements
related
to
review
of
treatment
plans,
30
which
may
require
review
once
every
six
months,
subject
to
31
utilization
review
requirements
established
by
rule.
A
more
32
or
less
frequent
review
may
be
agreed
upon
by
the
eligible
33
individual
and
the
licensed
physician
or
licensed
psychologist
34
developing
the
treatment
plan.
35
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j.
Recognition
of
the
results
of
a
diagnostic
assessment
of
1
autism
as
valid
for
a
period
of
not
less
than
twelve
months,
2
unless
a
licensed
physician
or
licensed
psychologist
determines
3
that
a
more
frequent
assessment
is
necessary.
4
3.
Moneys
in
the
autism
support
fund
created
under
5
subsection
5
shall
be
expended
only
for
eligible
individuals
6
who
are
not
eligible
for
coverage
for
the
same
treatment
7
services
under
the
medical
assistance
program,
section
514C.28,
8
or
private
insurance.
Payment
for
treatment
services
through
9
the
fund
shall
be
limited
to
only
those
services
that
are
10
clinically
relevant
and
only
to
the
extent
approved
under
the
11
guidelines
established
by
rule
of
the
department.
12
4.
This
section
shall
not
be
construed
as
granting
an
13
entitlement
for
any
program,
service,
or
other
support
for
14
eligible
individuals.
Any
state
obligation
to
provide
a
15
program,
service,
or
other
support
pursuant
to
this
section
16
is
limited
to
the
extent
of
the
funds
appropriated
for
the
17
purposes
of
the
program.
The
department
may
establish
a
18
waiting
list
or
terminate
participation
of
eligible
individuals
19
if
the
department
determines
that
moneys
in
the
autism
support
20
fund
are
insufficient
to
cover
future
claims
for
reimbursement
21
beyond
ninety
days.
22
5.
a.
An
autism
support
fund
is
created
in
the
state
23
treasury
under
the
authority
of
the
department.
Moneys
24
appropriated
to
and
all
other
moneys
specified
for
deposit
25
in
the
fund
shall
be
deposited
in
the
fund
and
used
for
the
26
purposes
of
the
program.
27
b.
The
fund
shall
be
separate
from
the
general
fund
of
the
28
state
and
shall
not
be
considered
part
of
the
general
fund
of
29
the
state.
The
moneys
in
the
fund
shall
not
be
considered
30
revenue
of
the
state,
but
rather
shall
be
funds
of
the
autism
31
support
program.
The
moneys
deposited
in
the
fund
are
not
32
subject
to
section
8.33
and
shall
not
be
transferred,
used,
33
obligated,
appropriated,
or
otherwise
encumbered,
except
to
34
provide
for
the
purposes
of
this
section.
Notwithstanding
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section
12C.7,
subsection
2,
interest
or
earnings
on
moneys
1
deposited
in
the
fund
shall
be
credited
to
the
fund.
2
c.
The
department
shall
adopt
rules
pursuant
to
chapter
17A
3
to
administer
the
fund
and
reimbursements
made
from
the
fund.
4
d.
Moneys
in
the
fund
are
appropriated
to
the
department
and
5
shall
be
used
by
the
department
for
the
purposes
of
the
autism
6
support
program.
The
department
shall
be
the
administrator
of
7
the
fund
for
auditing
purposes.
8
e.
The
department
shall
submit
an
annual
report
to
the
9
governor
and
the
general
assembly
no
later
than
January
1
10
of
each
year
that
includes
but
is
not
limited
to
all
of
the
11
following:
12
(1)
The
total
number
of
applications
received
under
the
13
program
for
the
immediately
preceding
fiscal
year.
14
(2)
The
number
of
applications
approved
and
the
total
amount
15
of
funding
expended
for
reimbursements
under
the
program
in
the
16
immediately
preceding
fiscal
year.
17
(3)
The
cost
of
administering
the
program
in
the
immediately
18
preceding
fiscal
year.
19
(4)
The
number
of
eligible
individuals
on
a
waiting
list,
if
20
any,
and
the
amount
of
funding
necessary
to
reduce
the
existing
21
waiting
list.
22
(5)
Recommendations
for
any
changes
to
the
program.
23
Sec.
101.
IMPLEMENTATION.
24
1.
The
department
of
human
services
shall
implement
the
25
autism
support
program
within
one
hundred
twenty
days
of
26
the
effective
date
of
this
division
of
this
Act,
subject
to
27
available
funding.
28
2.
Notwithstanding
section
8.47
or
any
other
provision
of
29
law
to
the
contrary,
the
department
may
utilize
a
sole-source
30
contract
and
utilize
the
managed
care
entity
under
contract
31
with
the
department
to
manage
behavioral
health
services
under
32
the
medical
assistance
program
to
administer
the
program.
33
Total
administrative
costs
of
the
program
shall
not
exceed
ten
34
percent
of
the
funds
expended
through
the
program,
annually.
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Sec.
102.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
1
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
2
enactment.
3
DIVISION
XXII
4
DEPARTMENT
OF
HUMAN
SERVICES
——
CHILD,
ADULT,
AND
FAMILY
5
SERVICES
6
Sec.
103.
Section
225C.38,
subsection
1,
paragraph
c,
Code
7
2013,
is
amended
to
read
as
follows:
8
c.
Except
as
provided
in
section
225C.41
,
a
family
support
9
subsidy
for
a
fiscal
year
shall
be
in
an
amount
determined
by
10
the
department
in
consultation
with
the
comprehensive
family
11
support
council
created
in
section
225C.48
.
The
parent
or
12
legal
guardian
receiving
a
family
support
subsidy
may
elect
13
to
receive
a
payment
amount
which
is
less
than
the
amount
14
determined
in
accordance
with
this
paragraph.
15
Sec.
104.
Section
225C.42,
subsection
1,
Code
2013,
is
16
amended
to
read
as
follows:
17
1.
The
department
shall
conduct
an
annual
evaluation
of
18
the
family
support
subsidy
program
in
conjunction
with
the
19
comprehensive
family
support
council
and
shall
submit
the
20
evaluation
report
with
recommendations
to
the
governor
and
21
general
assembly.
The
report
shall
be
submitted
on
or
before
22
October
30
and
provide
an
evaluation
of
the
latest
completed
23
fiscal
year.
24
Sec.
105.
Section
225C.47,
subsection
5,
unnumbered
25
paragraph
1,
Code
2013,
is
amended
to
read
as
follows:
26
The
department
shall
design
the
program
in
consultation
with
27
the
comprehensive
family
support
council
created
in
section
28
225C.48
.
The
department
shall
adopt
rules
to
implement
the
29
program
which
provide
for
all
of
the
following:
30
Sec.
106.
Section
225C.49,
subsection
4,
Code
2013,
is
31
amended
to
read
as
follows:
32
4.
The
department
shall
designate
one
individual
whose
sole
33
duties
are
to
provide
central
coordination
of
the
programs
34
under
sections
225C.36
and
225C.47
and
to
work
with
the
35
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comprehensive
family
support
council
to
oversee
development
and
1
implementation
of
the
programs.
2
Sec.
107.
Section
239B.5,
Code
2013,
is
amended
by
adding
3
the
following
new
subsection:
4
NEW
SUBSECTION
.
4.
a.
The
department
shall
implement
5
policies
and
procedures
as
necessary
to
comply
with
provisions
6
of
the
federal
Middle
Class
Tax
Relief
and
Job
Creation
Act
7
of
2012,
Pub.
L.
No.
112-96,
to
prevent
assistance
provided
8
under
this
chapter
from
being
used
in
any
electronic
benefit
9
transfer
transaction
in
any
liquor
store;
any
casino,
gambling
10
casino,
or
gaming
establishment;
or
any
retail
establishment
11
which
provides
adult-oriented
entertainment
in
which
performers
12
disrobe
or
perform
in
an
unclothed
state
for
entertainment.
13
For
purposes
of
this
paragraph,
the
definitions
found
in
the
14
federal
Middle
Class
Tax
Relief
and
Job
Creation
Act
and
15
related
rules
and
statutes
apply.
16
b.
Unless
otherwise
precluded
by
federal
law
or
regulation,
17
policies
and
procedures
implemented
under
this
subsection
shall
18
at
a
minimum
impose
the
prohibition
described
in
paragraph
“a”
19
as
a
condition
for
continued
eligibility
for
assistance
under
20
this
chapter.
21
c.
The
department
may
implement
additional
measures
as
may
22
be
necessary
to
comply
with
federal
regulations
in
implementing
23
paragraph
“a”
.
24
d.
The
department
shall
adopt
rules
as
necessary
to
25
implement
this
subsection.
26
Sec.
108.
Section
239B.14,
subsection
1,
Code
2013,
is
27
amended
to
read
as
follows:
28
1.
a.
An
individual
who
obtains,
or
attempts
to
obtain,
29
or
aids
or
abets
an
individual
to
obtain,
by
means
of
a
30
willfully
false
statement
or
representation,
by
knowingly
31
failing
to
disclose
a
material
fact,
or
by
impersonation,
or
32
any
fraudulent
device,
any
assistance
or
other
benefits
under
33
this
chapter
to
which
the
individual
is
not
entitled,
commits
34
a
fraudulent
practice.
35
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b.
An
individual
who
accesses
benefits
provided
under
1
this
chapter
in
violation
of
any
prohibition
imposed
by
the
2
department
pursuant
to
section
239B.5,
subsection
4,
commits
3
a
fraudulent
practice.
4
Sec.
109.
Section
249A.3,
subsection
1,
Code
2013,
is
5
amended
by
adding
the
following
new
paragraph:
6
NEW
PARAGRAPH
.
v.
Beginning
January
1,
2014,
is
an
7
individual
who
meets
all
of
the
following
requirements:
8
(1)
Is
under
twenty-six
years
of
age.
9
(2)
Was
in
foster
care
under
the
responsibility
of
the
state
10
on
the
date
of
attaining
eighteen
years
of
age
or
such
higher
11
age
to
which
foster
care
is
provided.
12
(3)
Was
enrolled
in
the
medical
assistance
program
under
13
this
chapter
while
in
such
foster
care.
14
Sec.
110.
Section
249A.3,
subsection
2,
paragraph
a,
15
subparagraph
(9),
Code
2013,
is
amended
by
striking
the
16
subparagraph.
17
Sec.
111.
Section
249J.26,
subsection
2,
Code
2013,
is
18
amended
to
read
as
follows:
19
2.
This
chapter
is
repealed
October
December
31,
2013.
20
Sec.
112.
Section
514I.4,
subsection
5,
paragraph
a,
Code
21
2013,
is
amended
by
striking
the
paragraph.
22
Sec.
113.
Section
514I.5,
subsection
7,
paragraph
f,
Code
23
2013,
is
amended
to
read
as
follows:
24
f.
Review,
in
consultation
with
the
department,
and
take
25
necessary
steps
to
improve
interaction
between
the
program
and
26
other
public
and
private
programs
which
provide
services
to
the
27
population
of
eligible
children.
The
board,
in
consultation
28
with
the
department,
shall
also
develop
and
implement
a
plan
29
to
improve
the
medical
assistance
program
in
coordination
with
30
the
hawk-i
program,
including
but
not
limited
to
a
provision
to
31
coordinate
eligibility
between
the
medical
assistance
program
32
and
the
hawk-i
program,
and
to
provide
for
common
processes
33
and
procedures
under
both
programs
to
reduce
duplication
and
34
bureaucracy.
35
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Sec.
114.
Section
514I.5,
subsection
8,
paragraphs
b
and
f,
1
Code
2013,
are
amended
by
striking
the
paragraphs.
2
Sec.
115.
Section
514I.7,
subsection
2,
paragraphs
a
and
g,
3
Code
2013,
are
amended
to
read
as
follows:
4
a.
Determine
individual
eligibility
for
program
enrollment
5
based
upon
review
of
completed
applications
and
supporting
6
documentation
as
prescribed
by
federal
law
and
regulation,
7
using
policies
and
procedures
adopted
by
rule
of
the
department
8
pursuant
to
chapter
17A
.
The
administrative
contractor
shall
9
not
enroll
a
child
who
has
group
health
coverage
,
unless
10
expressly
authorized
by
such
rules
.
11
g.
Create
and
Utilize
the
department’s
eligibility
system
12
to
maintain
eligibility
files
that
are
compatible
with
the
13
data
system
of
the
department
with
pertinent
eligibility
14
determination
and
ongoing
enrollment
information
including
,
but
15
not
limited
to
,
data
regarding
beneficiaries,
enrollment
dates,
16
disenrollments,
and
annual
financial
redeterminations.
17
Sec.
116.
Section
514I.7,
subsection
2,
paragraphs
c,
d,
e,
18
f,
and
k,
Code
2013,
are
amended
by
striking
the
paragraphs.
19
Sec.
117.
Section
514I.8,
subsection
1,
Code
2013,
is
20
amended
to
read
as
follows:
21
1.
a.
Effective
July
1,
1998,
and
notwithstanding
any
22
medical
assistance
program
eligibility
criteria
to
the
23
contrary,
medical
assistance
shall
be
provided
to,
or
on
behalf
24
of,
an
eligible
child
under
the
age
of
nineteen
whose
family
25
income
does
not
exceed
one
hundred
thirty-three
percent
of
the
26
federal
poverty
level,
as
defined
by
the
most
recently
revised
27
poverty
income
guidelines
published
by
the
United
States
28
department
of
health
and
human
services.
29
b.
Additionally,
effective
Effective
July
1,
2000,
and
30
notwithstanding
any
medical
assistance
program
eligibility
31
criteria
to
the
contrary,
medical
assistance
shall
be
provided
32
to,
or
on
behalf
of,
an
eligible
infant
whose
family
income
33
does
not
exceed
two
hundred
percent
of
the
federal
poverty
34
level,
as
defined
by
the
most
recently
revised
poverty
income
35
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guidelines
published
by
the
United
States
department
of
health
1
and
human
services.
2
c.
Effective
July
1,
2009,
and
notwithstanding
any
medical
3
assistance
program
eligibility
criteria
to
the
contrary,
4
medical
assistance
shall
be
provided
to,
or
on
behalf
of,
a
5
pregnant
woman
or
an
eligible
child
who
is
an
infant
and
whose
6
family
income
is
at
or
below
three
hundred
percent
of
the
7
federal
poverty
level,
as
defined
by
the
most
recently
revised
8
poverty
income
guidelines
published
by
the
United
States
9
department
of
health
and
human
services.
10
Sec.
118.
Section
514I.8,
subsection
2,
paragraph
c,
Code
11
2013,
is
amended
to
read
as
follows:
12
c.
Is
a
member
of
a
family
whose
income
does
not
exceed
13
three
hundred
percent
of
the
federal
poverty
level,
as
defined
14
in
42
U.S.C.
§
9902(2),
including
any
revision
required
by
15
such
section,
and
in
accordance
with
the
federal
Children’s
16
Health
Insurance
Program
Reauthorization
Act
of
2009,
Pub.
L.
17
No.
111-3.
The
modified
adjusted
gross
income
methodology
18
prescribed
in
section
2101
of
the
federal
Patient
Protection
19
and
Affordable
Care
Act,
Pub.
L.
No.
111-148,
to
determine
20
family
income
under
this
paragraph.
21
Sec.
119.
Section
514I.8,
subsections
3
and
4,
Code
2013,
22
are
amended
to
read
as
follows:
23
3.
In
accordance
with
the
rules
adopted
by
the
board,
24
a
child
may
be
determined
to
be
presumptively
eligible
for
25
the
program
pending
a
final
eligibility
determination.
26
Following
final
determination
of
eligibility
by
the
27
administrative
contractor
,
a
child
shall
be
eligible
for
a
28
twelve-month
period.
At
the
end
of
the
twelve-month
period,
29
the
administrative
contractor
shall
conduct
a
review
of
the
30
circumstances
of
the
eligible
child’s
family
shall
be
conducted
31
to
establish
eligibility
and
cost
sharing
for
the
subsequent
32
twelve-month
period.
33
4.
Once
an
eligible
child
is
enrolled
in
a
plan,
the
34
eligible
child
shall
remain
enrolled
in
the
plan
unless
a
35
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determination
is
made,
according
to
criteria
established
by
the
1
board,
that
the
eligible
child
should
be
allowed
to
enroll
in
2
another
qualified
child
health
plan
or
should
be
disenrolled.
3
An
enrollee
may
request
to
change
plans
within
ninety
days
of
4
initial
enrollment
for
any
reason
and
at
any
time
for
cause,
as
5
defined
in
42
C.F.R.
§
438.56(d)(2).
Otherwise,
an
enrollee
6
may
change
plan
enrollment
once
a
year
on
the
enrollee’s
7
anniversary
date.
8
Sec.
120.
Section
514I.8,
subsections
5
and
6,
Code
2013,
9
are
amended
by
striking
the
subsections.
10
Sec.
121.
Section
514I.9,
Code
2013,
is
amended
to
read
as
11
follows:
12
514I.9
Program
benefits.
13
1.
Until
June
30,
1999,
the
benefits
provided
under
the
14
program
shall
be
those
benefits
established
by
rule
of
the
15
board
and
in
compliance
with
Tit.
XXI
of
the
federal
Social
16
Security
Act.
17
2.
On
or
before
June
30,
1999,
the
hawk-i
board
shall
adopt
18
rules
to
amend
the
benefits
package
based
upon
review
of
the
19
results
of
the
initial
benefits
package
used.
20
3.
Subsequent
to
June
30,
1999,
the
The
hawk-i
board
shall
21
review
the
benefits
package
annually
and
shall
determine
22
additions
to
or
deletions
from
the
benefits
package
offered.
23
The
hawk-i
board
shall
submit
the
recommendations
to
the
24
general
assembly
for
any
amendment
to
the
benefits
package.
25
4.
2.
Benefits,
in
addition
to
those
required
by
rule,
may
26
be
provided
to
eligible
children
by
a
participating
insurer
if
27
the
benefits
are
provided
at
no
additional
cost
to
the
state.
28
Sec.
122.
REPEAL.
Section
225C.48,
Code
2013,
is
repealed.
29
Sec.
123.
EFFECTIVE
DATE.
The
following
provision
or
30
provisions
of
this
Act
take
effect
December
31,
2013:
31
1.
The
section
of
this
Act
amending
section
249A.3,
32
subsection
2,
paragraph
“a”,
subparagraph
(9).
33
DIVISION
XXIII
34
OPTIONS
——
PERSONS
WITH
AGGRESSIVE
OR
PSYCHIATRIC
BEHAVIORS
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Sec.
124.
FACILITY
FOR
PERSONS
WITH
AGGRESSIVE
OR
1
PSYCHIATRIC
BEHAVIORS
——
COMMITTEE
——
REPORT.
2
1.
The
department
of
inspections
and
appeals,
in
3
conjunction
with
the
department
of
human
services,
shall
4
establish
and
facilitate
a
committee
of
stakeholders
to
examine
5
options
for
designating
a
facility
to
provide
care
for
persons
6
in
this
state
who
are
sexually
aggressive,
combative,
or
have
7
unmet
psychiatric
needs.
8
2.
The
membership
of
the
committee
shall
include
but
is
not
9
limited
to
the
following:
10
a.
Representatives
of
the
departments
of
inspections
and
11
appeals,
human
services,
corrections,
and
public
health,
the
12
department
on
aging,
the
state
public
defender,
the
office
of
13
the
citizens’
aide,
the
office
of
the
state
long-term
care
14
resident’s
advocate,
and
the
judicial
branch.
15
b.
Consumers
of
services
provided
by
long-term
care
16
facilities
and
family
members
of
consumers.
17
c.
Representatives
from
leadingage
Iowa,
the
Iowa
health
18
care
association,
and
the
Iowa
association
of
community
19
providers.
20
d.
Direct
care
workers
employed
by
long-term
care
21
facilities.
22
e.
Representatives
from
Iowa
legal
aid.
23
f.
Representatives
from
AARP
Iowa.
24
g.
Representatives
from
the
Iowa
civil
liberties
union.
25
h.
Other
stakeholders
as
the
department
of
inspections
and
26
appeals
and
the
department
of
human
services
deem
appropriate.
27
3.
The
committee
shall
discuss
whether
a
long-term
care
28
facility,
as
defined
in
section
142D.2,
should
have
the
29
ability
to
refuse
admission
to,
or
discharge,
residents
who
30
are
sexually
aggressive,
combative,
or
have
unmet
psychiatric
31
needs.
The
committee
shall
consider
options
for
establishment
32
of
a
facility
to
provide
care
for
persons
who
are
sexually
33
aggressive,
combative,
or
have
unmet
psychiatric
needs.
The
34
committee
shall
identify
the
characteristics
of
residents
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for
such
a
facility,
options
for
creating
a
new
facility
1
to
house
such
residents,
options
for
the
expansion
of
an
2
existing
facility
to
house
such
residents,
options
for
using
3
any
alternative
facilities
for
such
residents,
the
workforce
4
and
training
necessary
for
the
workforce
in
such
facility,
5
options
to
qualify
a
facility
for
Medicaid
reimbursement,
cost
6
projections
for
any
recommendations,
and
other
information
7
deemed
relevant
by
the
department
of
inspections
and
appeals.
8
4.
The
committee
shall
provide
a
report
detailing
its
9
findings
and
recommendations
to
the
governor
and
the
general
10
assembly
by
December
15,
2013.
11
DIVISION
XXIV
12
SPORTS
INJURY
PREVENTION
13
Sec.
125.
MUNICIPAL
YOUTH
SPORTS
INJURY
PREVENTION
STUDY
14
AND
REPORT.
15
1.
A
municipal
youth
sports
injury
prevention
study
is
16
established
to
make
recommendations
regarding
how
cities
can
17
most
effectively
prevent
concussions
and
other
sports-related
18
injuries
in
children
participating
in
municipal
youth
19
sports
programs.
The
national
center
for
sports
safety
is
20
requested
to
administer
the
study
in
coordination
with
the
21
department
of
public
health
and
interested
parties
representing
22
cities,
municipal
youth
sports
programs,
parents,
coaches,
23
trainers,
and
other
stakeholders.
The
study
shall
include
24
recommendations
for
safety
equipment
for
participants
and
25
training
for
employees
and
volunteers
to
be
required
by
cities
26
as
part
of
municipal
youth
sports
programs.
27
2.
The
national
center
for
sports
safety
is
requested
to
28
submit
a
report
on
its
findings
and
recommendations
to
the
29
general
assembly
by
January
10,
2014.
30
DIVISION
XXV
31
SUICIDE
PREVENTION
32
Sec.
126.
Section
272.2,
Code
2013,
is
amended
by
adding
the
33
following
new
subsection:
34
NEW
SUBSECTION
.
19.
Adopt
rules
requiring
individuals
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applying
for
renewal
of
a
license,
certificate,
authorization,
1
or
statement
of
recognition
issued
by
the
board
who
provide
2
a
service
to
students
to
undergo
training
on
suicide
3
prevention
and
trauma-informed
care
prior
to
each
renewal.
In
4
coordination
with
the
department
of
education,
the
department
5
of
public
health,
and
stakeholders,
including
but
not
limited
6
to
mental
health
professionals,
school
administrators,
school
7
nurses,
and
guidance
counselors,
the
board
shall
select
8
qualified
programs
for
such
training.
For
purposes
of
this
9
subsection,
“trauma-informed
care”
means
services
that
are
based
10
on
an
understanding
of
the
vulnerabilities
and
triggers
of
11
individuals
who
have
experienced
trauma,
recognize
the
role
12
trauma
has
played
in
the
lives
of
those
individuals,
recognize
13
the
presence
of
trauma
symptoms
and
their
onset,
are
supportive
14
of
trauma
recovery,
and
avoid
further
traumatization.
15
DIVISION
XXVI
16
IOWACARE
——
ACCOUNT
FOR
HEALTH
CARE
TRANSFORMATION
17
Sec.
127.
Section
249J.8,
subsection
1,
paragraph
k,
Code
18
2013,
is
amended
to
read
as
follows:
19
k.
Premiums
collected
under
this
subsection
shall
be
20
deposited
in
the
premiums
subaccount
of
the
IowaCare
account
21
for
health
care
transformation
created
pursuant
to
section
22
249J.23
249J.24
.
23
Sec.
128.
Section
249J.23,
subsection
1,
Code
2013,
is
24
amended
to
read
as
follows:
25
1.
An
account
for
health
care
transformation
is
created
26
in
the
state
treasury
under
the
authority
of
the
department.
27
Moneys
received
from
sources
including
but
not
limited
to
28
appropriations
from
the
general
fund
of
the
state,
grants,
29
and
contributions
shall
be
deposited
in
the
account.
The
30
account
shall
include
a
separate
premiums
subaccount.
Revenue
31
generated
through
payment
of
premiums
by
expansion
population
32
members
as
required
pursuant
to
section
249J.8
shall
be
33
deposited
in
the
separate
premiums
subaccount
within
the
34
account.
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Sec.
129.
Section
249J.24,
subsection
1,
Code
2013,
is
1
amended
to
read
as
follows:
2
1.
An
IowaCare
account
is
created
in
the
state
treasury
3
under
the
authority
of
the
department
of
human
services.
4
Moneys
appropriated
from
the
general
fund
of
the
state
to
the
5
account,
moneys
received
as
federal
financial
participation
6
funds
under
the
expansion
population
provisions
of
this
7
chapter
and
credited
to
the
account,
moneys
received
for
8
disproportionate
share
hospitals
and
credited
to
the
account,
9
moneys
received
for
graduate
medical
education
and
credited
to
10
the
account,
proceeds
distributed
from
the
county
treasurer
as
11
specified
in
subsection
4
,
revenue
generated
through
payment
12
of
premiums
pursuant
to
section
249J.8,
and
moneys
from
13
any
other
source
credited
to
the
account
shall
be
deposited
14
in
the
account.
Moneys
deposited
in
or
credited
to
the
15
account
shall
be
used
only
as
provided
in
appropriations
or
16
distributions
from
the
account
for
the
purposes
specified
in
17
the
appropriation
or
distribution.
Moneys
in
the
account
shall
18
be
appropriated
to
the
university
of
Iowa
hospitals
and
clinics
19
and
to
a
publicly
owned
acute
care
teaching
hospital
located
in
20
a
county
with
a
population
over
three
hundred
fifty
thousand
21
for
the
purposes
provided
in
the
federal
law
making
the
funds
22
available
or
as
specified
in
the
state
appropriation
and
shall
23
be
distributed
as
determined
by
the
department.
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