House File 2460 - Reprinted HOUSE FILE 2460 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO LSB 5014HB) (As Amended and Passed by the House April 20, 2016 ) A BILL FOR An Act relating to appropriations for health and human services 1 and veterans and including other related provisions and 2 appropriations, and including effective date and retroactive 3 and other applicability provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 HF 2460 (2) 86 pf/rh/rn/md

H.F. 2460 DIVISION I 1 DEPARTMENT ON AGING —— FY 2016-2017 2 Section 1. 2015 Iowa Acts, chapter 137, section 121, is 3 amended to read as follows: 4 SEC. 121. DEPARTMENT ON AGING. There is appropriated from 5 the general fund of the state to the department on aging for 6 the fiscal year beginning July 1, 2016, and ending June 30, 7 2017, the following amount, or so much thereof as is necessary, 8 to be used for the purposes designated: 9 For aging programs for the department on aging and area 10 agencies on aging to provide citizens of Iowa who are 60 years 11 of age and older with case management for frail elders, Iowa’s 12 aging and disabilities resource center, and other services 13 which may include but are not limited to adult day services, 14 respite care, chore services, information and assistance, 15 and material aid, for information and options counseling for 16 persons with disabilities who are 18 years of age or older, 17 and for salaries, support, administration, maintenance, and 18 miscellaneous purposes, and for not more than the following 19 full-time equivalent positions: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,699,866 21 11,436,066 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 31.00 23 1. Funds appropriated in this section may be used to 24 supplement federal funds under federal regulations. To 25 receive funds appropriated in this section, a local area 26 agency on aging shall match the funds with moneys from other 27 sources according to rules adopted by the department. Funds 28 appropriated in this section may be used for elderly services 29 not specifically enumerated in this section only if approved 30 by an area agency on aging for provision of the service within 31 the area. 32 2. Of the funds appropriated in this section, $139,973 33 $279,946 is transferred to the economic development authority 34 for the Iowa commission on volunteer services to be used for 35 -1- HF 2460 (2) 86 pf/rh/rn/md 1/ 109

H.F. 2460 the retired and senior volunteer program. 1 3. a. The department on aging shall establish and enforce 2 procedures relating to expenditure of state and federal funds 3 by area agencies on aging that require compliance with both 4 state and federal laws, rules, and regulations, including but 5 not limited to all of the following: 6 (1) Requiring that expenditures are incurred only for goods 7 or services received or performed prior to the end of the 8 fiscal period designated for use of the funds. 9 (2) Prohibiting prepayment for goods or services not 10 received or performed prior to the end of the fiscal period 11 designated for use of the funds. 12 (3) Prohibiting the prepayment for goods or services 13 not defined specifically by good or service, time period, or 14 recipient. 15 (4) Prohibiting the establishment of accounts from which 16 future goods or services which are not defined specifically by 17 good or service, time period, or recipient, may be purchased. 18 b. The procedures shall provide that if any funds are 19 expended in a manner that is not in compliance with the 20 procedures and applicable federal and state laws, rules, and 21 regulations, and are subsequently subject to repayment, the 22 area agency on aging expending such funds in contravention of 23 such procedures, laws, rules and regulations, not the state, 24 shall be liable for such repayment. 25 4. Of the funds appropriated in this section, at least 26 $125,000 $250,000 shall be used to fund the unmet needs 27 identified through Iowa’s aging and disability resource center 28 network. 29 5. Of the funds appropriated in this section, at 30 least $300,000 $600,000 shall be used to fund home and 31 community-based services through the area agencies on aging 32 that enable older individuals to avoid more costly utilization 33 of residential or institutional services and remain in their 34 own homes. 35 -2- HF 2460 (2) 86 pf/rh/rn/md 2/ 109

H.F. 2460 6. Of the funds appropriated in this section, $406,833 1 $850,000 shall be used for the purposes of chapter 231E and 2 section 231.56A , of which $144,333 $350,000 shall be used for 3 the office of substitute decision maker pursuant to chapter 4 231E , and the remainder shall be distributed equally to the 5 area agencies on aging to administer the prevention of elder 6 abuse, neglect, and exploitation program pursuant to section 7 231.56A , in accordance with the requirements of the federal 8 Older Americans Act of 1965, 42 U.S.C. §3001 et seq., as 9 amended. 10 DIVISION II 11 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2016-2017 12 Sec. 2. 2015 Iowa Acts, chapter 137, section 122, is amended 13 to read as follows: 14 SEC. 122. OFFICE OF LONG-TERM CARE OMBUDSMAN. 15 1. There is appropriated from the general fund of the state 16 to the office of long-term care ombudsman for the fiscal year 17 beginning July 1, 2016, and ending June 30, 2017, the following 18 amount, or so much thereof as is necessary, to be used for the 19 purposes designated: 20 For salaries, support, administration, maintenance, and 21 miscellaneous purposes, and for not more than the following 22 full-time equivalent positions: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 638,391 24 1,276,783 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 17.00 26 2. Of the funds appropriated in this section, $110,000 27 $220,000 shall be used to continue to provide for additional 28 local long-term care ombudsmen. 29 DIVISION III 30 DEPARTMENT OF PUBLIC HEALTH —— FY 2016-2017 31 Sec. 3. 2015 Iowa Acts, chapter 137, section 123, is amended 32 to read as follows: 33 SEC. 123. DEPARTMENT OF PUBLIC HEALTH. There is 34 appropriated from the general fund of the state to the 35 -3- HF 2460 (2) 86 pf/rh/rn/md 3/ 109

H.F. 2460 department of public health for the fiscal year beginning July 1 1, 2016, and ending June 30, 2017, the following amounts, or 2 so much thereof as is necessary, to be used for the purposes 3 designated: 4 1. ADDICTIVE DISORDERS 5 For reducing the prevalence of the use of tobacco, alcohol, 6 and other drugs, and treating individuals affected by addictive 7 behaviors, including gambling, and for not more than the 8 following full-time equivalent positions: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 13,631,845 10 26,988,690 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 12 a. (1) Of the funds appropriated in this subsection, 13 $2,624,180 $5,248,361 shall be used for the tobacco use 14 prevention and control initiative, including efforts at the 15 state and local levels, as provided in chapter 142A . The 16 commission on tobacco use prevention and control established 17 pursuant to section 142A.3 shall advise the director of 18 public health in prioritizing funding needs and the allocation 19 of moneys appropriated for the programs and initiatives. 20 Activities of the programs and initiatives shall be in 21 alignment with the United States centers for disease control 22 and prevention best practices for comprehensive tobacco control 23 programs that include the goals of preventing youth initiation 24 of tobacco usage, reducing exposure to secondhand smoke, 25 and promotion of tobacco cessation. To maximize resources, 26 the department shall determine if third-party sources are 27 available to instead provide nicotine replacement products 28 to an applicant prior to provision of such products to an 29 applicant under the initiative. The department shall track and 30 report to the individuals specified in this Act , any reduction 31 in the provision of nicotine replacement products realized 32 by the initiative through implementation of the prerequisite 33 screening. 34 (2) (a) Of the funds allocated in this paragraph “a”, 35 -4- HF 2460 (2) 86 pf/rh/rn/md 4/ 109

H.F. 2460 $226,533 is transferred to the The department shall collaborate 1 with the alcoholic beverages division of the department of 2 commerce for enforcement of tobacco laws, regulations, and 3 ordinances and to engage in tobacco control activities approved 4 by the division of tobacco use prevention and control of the 5 department of public health as specified in the memorandum of 6 understanding entered into between the divisions. 7 (b) For the fiscal year beginning July 1, 2016, and ending 8 June 30, 2017, the terms of the memorandum of understanding, 9 entered into between the division of tobacco use prevention 10 and control of the department of public health and the 11 alcoholic beverages division of the department of commerce, 12 governing compliance checks conducted to ensure licensed retail 13 tobacco outlet conformity with tobacco laws, regulations, and 14 ordinances relating to persons under eighteen 18 years of 15 age, shall continue to restrict the number of such checks to 16 one check per retail outlet, and one additional check for any 17 retail outlet found to be in violation during the first check. 18 b. Of the funds appropriated in this subsection, 19 $11,007,664 $21,740,329 shall be used for problem gambling and 20 substance-related disorder prevention, treatment, and recovery 21 services, including a 24-hour helpline, public information 22 resources, professional training, youth prevention, and program 23 evaluation. 24 (1) Of the funds allocated in this paragraph “b”, $9,451,857 25 shall be used for substance-related disorder prevention and 26 treatment. 27 (a) Of the funds allocated in this subparagraph (1), 28 $449,650 shall be used for the public purpose of a grant 29 program to provide substance-related disorder prevention 30 programming for children. 31 (i) Of the funds allocated in this subparagraph division 32 (a), $213,769 shall be used for grant funding for organizations 33 that provide programming for children by utilizing mentors. 34 Programs approved for such grants shall be certified or must 35 -5- HF 2460 (2) 86 pf/rh/rn/md 5/ 109

H.F. 2460 be certified within six months of receiving the grant award 1 by the Iowa commission on volunteer services as utilizing the 2 standards for effective practice for mentoring programs. 3 (ii) Of the funds allocated in this subparagraph division 4 (a), $213,419 shall be used for grant funding for organizations 5 providing programming that includes youth development and 6 leadership services. The programs shall also be recognized as 7 being programs that are scientifically based with evidence of 8 their effectiveness in reducing substance-related disorders in 9 children. 10 (iii) The department of public health shall utilize a 11 request for proposals process to implement the grant program. 12 (iv) All grant recipients shall participate in a program 13 evaluation as a requirement for receiving grant funds. 14 (v) Of the funds allocated in this subparagraph division 15 (a), up to $22,461 may be used to administer substance-related 16 disorder prevention grants and for program evaluations. 17 (b) Of the funds allocated in this subparagraph 18 (1), $136,301 shall be used for culturally competent 19 substance-related disorder treatment pilot projects. 20 (i) The department shall utilize the amount allocated 21 in this subparagraph division (b) for at least three pilot 22 projects to provide culturally competent substance-related 23 disorder treatment in various areas of the state. Each pilot 24 project shall target a particular ethnic minority population. 25 The populations targeted shall include but are not limited to 26 African American, Asian, and Latino. 27 (ii) The pilot project requirements shall provide for 28 documentation or other means to ensure access to the cultural 29 competence approach used by a pilot project so that such 30 approach can be replicated and improved upon in successor 31 programs. 32 (2) Of the funds allocated in this paragraph “b”, up 33 to $1,555,807 may be used for problem gambling prevention, 34 treatment, and recovery services. 35 -6- HF 2460 (2) 86 pf/rh/rn/md 6/ 109

H.F. 2460 (a) Of the funds allocated in this subparagraph (2), 1 $1,286,881 shall be used for problem gambling prevention and 2 treatment. 3 (b) Of the funds allocated in this subparagraph (2), up to 4 $218,926 may be used for a 24-hour helpline, public information 5 resources, professional training, and program evaluation. 6 (c) Of the funds allocated in this subparagraph (2), up 7 to $50,000 may be used for the licensing of problem gambling 8 treatment programs. 9 (3) It is the intent of the general assembly that from the 10 moneys allocated in this paragraph “b”, persons with a dual 11 diagnosis of substance-related disorder and gambling addiction 12 shall be given priority in treatment services. 13 c. Notwithstanding any provision of law to the contrary, 14 to standardize the availability, delivery, cost of delivery, 15 and accountability of problem gambling and substance-related 16 disorder treatment services statewide, the department shall 17 continue implementation of a process to create a system 18 for delivery of treatment services in accordance with the 19 requirements specified in 2008 Iowa Acts, chapter 1187, section 20 3, subsection 4 . To ensure the system provides a continuum 21 of treatment services that best meets the needs of Iowans, 22 the problem gambling and substance-related disorder treatment 23 services in any area may be provided either by a single agency 24 or by separate agencies submitting a joint proposal. 25 (1) The system for delivery of substance-related disorder 26 and problem gambling treatment shall include problem gambling 27 prevention. 28 (2) The system for delivery of substance-related disorder 29 and problem gambling treatment shall include substance-related 30 disorder prevention by July 1, 2017. 31 (3) Of the funds allocated in paragraph “b”, the department 32 may use up to $50,000 for administrative costs to continue 33 developing and implementing the process in accordance with this 34 paragraph “c”. 35 -7- HF 2460 (2) 86 pf/rh/rn/md 7/ 109

H.F. 2460 d. The requirement of section 123.53 123.17 , subsection 1 5 , is met by the appropriations and allocations made in this 2 division of this Act for purposes of substance-related disorder 3 treatment and addictive disorders for the fiscal year beginning 4 July 1, 2016. 5 e. The department of public health shall work with all 6 other departments that fund substance-related disorder 7 prevention and treatment services and all such departments 8 shall, to the extent necessary, collectively meet the state 9 maintenance of effort requirements for expenditures for 10 substance-related disorder services as required under the 11 federal substance-related disorder prevention and treatment 12 block grant. 13 2. HEALTHY CHILDREN AND FAMILIES 14 For promoting the optimum health status for children, 15 adolescents from birth through 21 years of age, and families, 16 and for not more than the following full-time equivalent 17 positions: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,308,771 19 5,593,774 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 21 a. Of the funds appropriated in this subsection, not 22 more than $367,420 $734,841 shall be used for the healthy 23 opportunities for parents to experience success (HOPES)-healthy 24 families Iowa (HFI) program established pursuant to section 25 135.106 . The funding shall be distributed to renew the grants 26 that were provided to the grantees that operated the program 27 during the fiscal year ending June 30, 2016. 28 b. In order to implement the legislative intent stated in 29 sections 135.106 and 256I.9 , that priority for home visitation 30 program funding be given to programs using evidence-based or 31 promising models for home visitation, it is the intent of the 32 general assembly to phase in the funding priority in accordance 33 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2 , 34 paragraph “0b”. 35 -8- HF 2460 (2) 86 pf/rh/rn/md 8/ 109

H.F. 2460 c. Of the funds appropriated in this subsection, $1,099,414 1 $3,175,059 shall be used for continuation of the department’s 2 initiative to provide for adequate developmental surveillance 3 and screening during a child’s first five years. The funds 4 shall be used first to fully fund the current sites to ensure 5 that the sites are fully operational, with the remaining 6 funds to be used for expansion to additional sites. The full 7 implementation and expansion shall include enhancing the scope 8 of the program through collaboration with the child health 9 specialty clinics to promote healthy child development through 10 early identification and response to both biomedical and social 11 determinants of healthy development; by monitoring child 12 health metrics to inform practice, document long-term health 13 impacts and savings, and provide for continuous improvement 14 through training, education, and evaluation; and by providing 15 for practitioner consultation particularly for children with 16 behavioral conditions and needs. The department of public 17 health shall also collaborate with the Iowa Medicaid enterprise 18 and the child health specialty clinics to integrate the 19 activities of the first five initiative into the establishment 20 of patient-centered medical homes, community utilities, 21 accountable care organizations, and other integrated care 22 models developed to improve health quality and population 23 health while reducing health care costs. To the maximum extent 24 possible, funding allocated in this paragraph shall be utilized 25 as matching funds for medical assistance program reimbursement. 26 d. Of the funds appropriated in this subsection, $37,320 27 $74,640 shall be distributed to a statewide dental carrier to 28 provide funds to continue the donated dental services program 29 patterned after the projects developed by the lifeline network 30 to provide dental services to indigent individuals who are 31 elderly or with disabilities. 32 e. Of the funds appropriated in this subsection, $55,997 33 $111,995 shall be used for childhood obesity prevention. 34 f. Of the funds appropriated in this subsection, $81,384 35 -9- HF 2460 (2) 86 pf/rh/rn/md 9/ 109

H.F. 2460 $162,768 shall be used to provide audiological services and 1 hearing aids for children. The department may enter into a 2 contract to administer this paragraph. 3 g. Of the funds appropriated in this subsection, $12,500 4 $25,000 is transferred to the university of Iowa college of 5 dentistry for provision of primary dental services to children. 6 State funds shall be matched on a dollar-for-dollar basis. 7 The university of Iowa college of dentistry shall coordinate 8 efforts with the department of public health, bureau of 9 oral and health delivery systems, to provide dental care to 10 underserved populations throughout the state. 11 h. Of the funds appropriated in this subsection, $25,000 12 $50,000 shall be used to address youth suicide prevention. 13 i. Of the funds appropriated in this subsection, $25,000 14 $50,000 shall be used to support the Iowa effort to address the 15 survey of children who experience adverse childhood experiences 16 known as ACEs. 17 j. The department of public health shall continue to 18 administer the program to assist parents in this state with 19 costs resulting from the death of a child in accordance with 20 the provisions of 2014 Iowa Acts, chapter 1140, section 22, 21 subsection 12 . 22 3. CHRONIC CONDITIONS 23 For serving individuals identified as having chronic 24 conditions or special health care needs, and for not more than 25 the following full-time equivalent positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,477,846 27 4,930,692 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 29 a. Of the funds appropriated in this subsection, $79,966 30 $159,932 shall be used for grants to individual patients who 31 have an inherited metabolic disorder to assist with the costs 32 of medically necessary foods and formula. 33 b. Of the funds appropriated in this subsection, $445,822 34 $891,644 shall be used for the brain injury services program 35 -10- HF 2460 (2) 86 pf/rh/rn/md 10/ 109

H.F. 2460 pursuant to section 135.22B , including for continuation of the 1 contracts for resource facilitator services in accordance with 2 section 135.22B, subsection 9 , and to enhance brain injury 3 training and recruitment of service providers on a statewide 4 basis. Of the amount allocated in this paragraph, $47,500 5 $95,000 shall be used to fund one full-time equivalent position 6 to serve as the state brain injury services program manager. 7 c. Of the funds appropriated in this subsection, $273,991 8 $547,982 shall be used as additional funding to leverage 9 federal funding through the federal Ryan White Care Act, Tit. 10 II, AIDS drug assistance program supplemental drug treatment 11 grants. 12 d. Of the funds appropriated in this subsection, $74,911 13 $149,823 shall be used for the public purpose of continuing 14 to contract with an existing national-affiliated organization 15 to provide education, client-centered programs, and client 16 and family support for people living with epilepsy and their 17 families. The amount allocated in this paragraph in excess 18 of $50,000 $100,000 shall be matched dollar-for-dollar by the 19 organization specified. 20 e. Of the funds appropriated in this subsection, $392,557 21 $785,114 shall be used for child health specialty clinics. 22 f. Of the funds appropriated in this subsection, 23 $200,000 $400,000 shall be used by the regional autism 24 assistance program established pursuant to section 256.35 , 25 and administered by the child health specialty clinic located 26 at the university of Iowa hospitals and clinics. The funds 27 shall be used to enhance interagency collaboration and 28 coordination of educational, medical, and other human services 29 for persons with autism, their families, and providers of 30 services, including delivering regionalized services of care 31 coordination, family navigation, and integration of services 32 through the statewide system of regional child health specialty 33 clinics and fulfilling other requirements as specified in 34 chapter 225D . The university of Iowa shall not receive funds 35 -11- HF 2460 (2) 86 pf/rh/rn/md 11/ 109

H.F. 2460 allocated under this paragraph for indirect costs associated 1 with the regional autism assistance program. 2 g. Of the funds appropriated in this subsection, $285,496 3 $594,543 shall be used for the comprehensive cancer control 4 program to reduce the burden of cancer in Iowa through 5 prevention, early detection, effective treatment, and ensuring 6 quality of life. Of the funds allocated in this paragraph “g”, 7 $75,000 $150,000 shall be used to support a melanoma research 8 symposium, a melanoma biorepository and registry, basic and 9 translational melanoma research, and clinical trials. 10 h. Of the funds appropriated in this subsection, $63,225 11 $101,450 shall be used for cervical and colon cancer screening, 12 and $150,000 $300,000 shall be used to enhance the capacity 13 of the cervical cancer screening program to include provision 14 of recommended prevention and early detection measures to a 15 broader range of low-income women. 16 i. Of the funds appropriated in this subsection, $263,347 17 $526,695 shall be used for the center for congenital and 18 inherited disorders. 19 j. Of the funds appropriated in this subsection, $64,705 20 $129,411 shall be used for the prescription drug donation 21 repository program created in chapter 135M . 22 k. Of the funds appropriated in this subsection, $107,631 23 $215,263 shall be used by the department of public health 24 for reform-related activities, including but not limited to 25 facilitation of communication to stakeholders at the state and 26 local level, administering the patient-centered health advisory 27 council pursuant to section 135.159 , and involvement in health 28 care system innovation activities occurring across the state. 29 l. Of the funds appropriated in this subsection, $12,500 30 $25,000 shall be used for administration of chapter 124D , the 31 medical cannabidiol Act. 32 4. COMMUNITY CAPACITY 33 For strengthening the health care delivery system at the 34 local level, and for not more than the following full-time 35 -12- HF 2460 (2) 86 pf/rh/rn/md 12/ 109

H.F. 2460 equivalent positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,410,667 2 7,739,136 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 11.00 4 13.00 5 a. Of the funds appropriated in this subsection, $49,707 6 $99,414 is allocated for continuation of the child vision 7 screening program implemented through the university of Iowa 8 hospitals and clinics in collaboration with early childhood 9 Iowa areas. The program shall submit a report to the 10 individuals identified in this Act for submission of reports 11 regarding the use of funds allocated under this paragraph 12 “a”. The report shall include the objectives and results for 13 the program year including the target population and how the 14 funds allocated assisted the program in meeting the objectives; 15 the number, age, and location within the state of individuals 16 served; the type of services provided to the individuals 17 served; the distribution of funds based on service provided; 18 and the continuing needs of the program. 19 b. Of the funds appropriated in this subsection, $55,328 20 $110,656 is allocated for continuation of an initiative 21 implemented at the university of Iowa and $49,952 $99,904 22 is allocated for continuation of an initiative at the state 23 mental health institute at Cherokee to expand and improve the 24 workforce engaged in mental health treatment and services. 25 The initiatives shall receive input from the university of 26 Iowa, the department of human services, the department of 27 public health, and the mental health and disability services 28 commission to address the focus of the initiatives. 29 c. Of the funds appropriated in this subsection, $582,314 30 $1,164,628 shall be used for essential public health services 31 that promote healthy aging throughout one’s lifespan, 32 contracted through a formula for local boards of health, to 33 enhance health promotion and disease prevention services. 34 d. Of the funds appropriated in this section subsection , 35 -13- HF 2460 (2) 86 pf/rh/rn/md 13/ 109

H.F. 2460 $49,643 $99,286 shall be deposited in the governmental public 1 health system fund created in section 135A.8 to be used for the 2 purposes of the fund. 3 e. Of the funds appropriated in this subsection, $52,724 4 shall be used to continue to address the shortage of mental 5 health professionals in the state. 6 f. Of the funds appropriated in this subsection, $25,000 7 $50,000 shall be used for a grant to a statewide association 8 of psychologists that is affiliated with the American 9 psychological association to be used for continuation of a 10 program to rotate intern psychologists in placements in urban 11 and rural mental health professional shortage areas, as defined 12 in section 135.180 . 13 g. (1) Of the funds appropriated in this subsection, 14 $1,441,484 $1,210,770 shall be allocated as a grant to the Iowa 15 primary care association to be used pursuant to section 135.153 16 for the statewide coordination of the Iowa collaborative 17 safety net provider network. Coordination of the network 18 shall focus on increasing access by underserved populations 19 to health care services, increasing integration of the 20 health system and collaboration across the continuum of care 21 with a focus on safety net services, and enhancing the Iowa 22 collaborative safety net provider network’s communication and 23 education efforts. The amount allocated as a grant under this 24 subparagraph (1) shall be used as follows to support the Iowa 25 collaborative safety net provider network goals of increased 26 access, health system integration, and engagement: 27 (a) For distribution to safety net partners in the state 28 that work to increase access of the underserved population to 29 health services: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 512,742 31 1,025,485 32 (i) Of the amount allocated in this subparagraph division 33 (a), up to not less than $206,707 $413,415 shall be distributed 34 to the Iowa prescription drug corporation for continuation of 35 -14- HF 2460 (2) 86 pf/rh/rn/md 14/ 109

H.F. 2460 the pharmaceutical infrastructure for safety net providers as 1 described in 2007 Iowa Acts, chapter 218, section 108 . 2 (ii) Of the amount allocated in this subparagraph division 3 (a), up to not less than $174,161 $348,322 shall be distributed 4 to free clinics and free clinics of Iowa for necessary 5 infrastructure, statewide coordination, provider recruitment, 6 service delivery, and provision of assistance to patients in 7 securing a medical home inclusive of oral health care. 8 (iii) Of the amount allocated in this subparagraph division 9 (a), up to not less than $25,000 $50,000 shall be distributed 10 to the Iowa coalition against sexual assault to continue a 11 training program for sexual assault response team (SART) 12 members, including representatives of law enforcement, victim 13 advocates, prosecutors, and certified medical personnel. 14 (iv) Of the amount allocated in this subparagraph division 15 (a), up to not less than $106,874 $213,748 shall be distributed 16 to the Polk county medical society for continuation of the 17 safety net provider patient access to a specialty health care 18 initiative as described in 2007 Iowa Acts, chapter 218, section 19 109 . 20 (c) For distribution to safety net partners in the state 21 that work to serve as a resource for credible, accurate 22 information on health care-related needs and services 23 for vulnerable populations in the state including the 24 Iowa association of rural health clinics for necessary 25 infrastructure and service delivery transformation and the Iowa 26 primary care association to support partner engagement, program 27 management, and statewide coordination of the network: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 92,642 29 185,285 30 (2) The amount allocated under this paragraph “g” shall 31 not be reduced for administrative or other costs prior to 32 distribution. The Iowa collaborative safety net provider 33 network may continue to distribute funds allocated pursuant to 34 this paragraph “g” through existing contracts or renewal of 35 -15- HF 2460 (2) 86 pf/rh/rn/md 15/ 109

H.F. 2460 existing contracts. 1 (3) For each goal of the Iowa collaborative safety net 2 provider network, the Iowa primary care association shall 3 submit a progress report to the individuals designated in this 4 Act for submission of reports by December 15, 2016, including 5 progress in developing and implementing the network, how the 6 funds were distributed and used in developing and implementing 7 the network, and the remaining needs identified to fully 8 develop and implement the network. 9 h. Of the funds appropriated in this subsection, $106,700 10 $213,400 shall be used for continuation of the work of the 11 direct care worker advisory council established pursuant to 12 2008 Iowa Acts, chapter 1188, section 69 , in implementing the 13 recommendations in the final report submitted by the advisory 14 council to the governor and the general assembly in March 2012, 15 including by continuing to develop, promote, and make available 16 on a statewide basis the prepare-to-care core curriculum and 17 its associated modules and specialties through various formats 18 including online access, community colleges, and other venues; 19 exploring new and maintaining existing specialties including 20 but not limited to oral health and dementia care; supporting 21 instructor training; and assessing and making recommendations 22 concerning the Iowa care book and information technology 23 systems and infrastructure uses and needs. 24 i. (1) Of the funds appropriated in this subsection, 25 $108,187 $216,375 shall be used for allocation to an 26 independent statewide direct care worker organization selected 27 through a request for proposals process. The contract shall 28 include performance and outcomes measures, and shall allow the 29 contractor to use a portion of the funds received under the 30 contract to collect data to determine results based on the 31 performance and outcomes measures. 32 (2) Of the funds appropriated in this subsection, $37,500 33 $75,000 shall be used to provide scholarships or other forms of 34 subsidization for direct care worker educational conferences, 35 -16- HF 2460 (2) 86 pf/rh/rn/md 16/ 109

H.F. 2460 training, or outreach activities. 1 j. Of the funds appropriated in this subsection, the 2 department may use up to $29,087 $58,175 for up to one 3 full-time equivalent position to administer the volunteer 4 health care provider program pursuant to section 135.24 . 5 k. Of the funds appropriated in this subsection, $50,000 6 $100,000 shall be used for a matching dental education loan 7 repayment program to be allocated to a dental nonprofit health 8 service corporation to continue to develop the criteria and 9 implement the loan repayment program. 10 l. Of the funds appropriated in this subsection, $52,911 11 $105,823 is transferred to the college student aid commission 12 for deposit in the rural Iowa primary care trust fund created 13 in section 261.113 to be used for the purposes of the fund. 14 m. Of the funds appropriated in this subsection, $125,000 15 $250,000 shall be used for the purposes of the Iowa donor 16 registry as specified in section 142C.18 . 17 n. Of the funds appropriated in this subsection, $50,000 18 $100,000 shall be used for continuation of a grant to a 19 nationally affiliated volunteer eye organization that has an 20 established program for children and adults and that is solely 21 dedicated to preserving sight and preventing blindness through 22 education, nationally certified vision screening and training, 23 and community and patient service programs. The organization 24 shall submit a report to the individuals identified in this 25 Act for submission of reports regarding the use of funds 26 allocated under this paragraph “n”. The report shall include 27 the objectives and results for the program year including 28 the target population and how the funds allocated assisted 29 the program in meeting the objectives; the number, age, and 30 location within the state of individuals served; the type of 31 services provided to the individuals served; the distribution 32 of funds based on services provided; and the continuing needs 33 of the program. 34 o. Of the funds appropriated in this subsection, $1,000,000 35 -17- HF 2460 (2) 86 pf/rh/rn/md 17/ 109