Senate File 505 - Reprinted SENATE FILE 505 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO SSB 1288) (As Amended and Passed by the Senate May 6, 2015 ) 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 date provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 SF 505 (3) 86 pf/rj
S.F. 505 DIVISION I 1 DEPARTMENT ON AGING —— FY 2015-2016 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, 2015, and ending June 30, 5 2016, 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 11,436,066 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 31.00 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 is 30 transferred to the economic development authority for the Iowa 31 commission on volunteer services to be used for the retired and 32 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 -1- SF 505 (3) 86 pf/rj 1/ 195
S.F. 505 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, at least 23 $250,000 shall be used to fund the unmet needs identified 24 through Iowa’s aging and disability resource center network. 25 5. Of the funds appropriated in this section, at least 26 $600,000 shall be used to fund home and community-based 27 services through the area agencies on aging that enable older 28 individuals to avoid more costly utilization of residential or 29 institutional services and remain in their own homes. 30 6. Of the funds appropriated in this section, $850,000 31 shall be used for the purposes of chapter 231E and section 32 231.56A, of which $325,000 shall be used for the office of 33 substitute decision maker pursuant to chapter 231E, and the 34 remainder shall be distributed equally to the area agencies on 35 -2- SF 505 (3) 86 pf/rj 2/ 195
S.F. 505 aging to administer the prevention of elder abuse, neglect, and 1 exploitation program pursuant to section 231.56A, in accordance 2 with the requirements of the federal Older Americans Act of 3 1965, 42 U.S.C. §3001 et seq., as amended. 4 DIVISION II 5 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2015-2016 6 Sec. 2. OFFICE OF LONG-TERM CARE OMBUDSMAN. 7 1. There is appropriated from the general fund of the state 8 to the office of long-term care ombudsman for the fiscal year 9 beginning July 1, 2015, and ending June 30, 2016, the following 10 amount, or so much thereof as is necessary, to be used for the 11 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,506,783 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 21.00 17 2. Of the funds appropriated in this section, $450,000 shall 18 be used to provide additional local long-term care ombudsmen. 19 3. The office of long-term care ombudsman and the department 20 of human services shall collaborate to develop a Medicaid 21 state plan amendment to provide for the claiming of federal 22 financial participation for office of long-term care ombudsman 23 activities that are performed to assist with administration of 24 the Medicaid program. The Medicaid state plan amendment shall 25 be submitted to the centers for Medicare and Medicaid services 26 of the United States department of health and human services in 27 a timely manner to allow for such claiming of federal financial 28 participation beginning January 1, 2016. 29 DIVISION III 30 DEPARTMENT OF PUBLIC HEALTH —— FY 2015-2016 31 Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriated 32 from the general fund of the state to the department of public 33 health for the fiscal year beginning July 1, 2015, and ending 34 June 30, 2016, the following amounts, or so much thereof as is 35 -3- SF 505 (3) 86 pf/rj 3/ 195
S.F. 505 necessary, to be used for the purposes designated: 1 1. ADDICTIVE DISORDERS 2 For reducing the prevalence of the use of tobacco, alcohol, 3 and other drugs, and treating individuals affected by addictive 4 behaviors, including gambling, and for not more than the 5 following full-time equivalent positions: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 27,263,690 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 8 a. (1) Of the funds appropriated in this subsection, 9 $5,248,361 shall be used for the tobacco use prevention 10 and control initiative, including efforts at the state and 11 local levels, as provided in chapter 142A . The commission 12 on tobacco use prevention and control established pursuant 13 to section 142A.3 shall advise the director of public health 14 in prioritizing funding needs and the allocation of moneys 15 appropriated for the programs and initiatives. Activities 16 of the programs and initiatives shall be in alignment with 17 the United States centers for disease control and prevention 18 best practices for comprehensive tobacco control programs that 19 include the goals of preventing youth initiation of tobacco 20 usage, reducing exposure to secondhand smoke, and promotion of 21 tobacco cessation. 22 (2) (a) Of the funds allocated in this paragraph “a”, 23 $453,067 is transferred to the alcoholic beverages division of 24 the department of commerce for enforcement of tobacco laws, 25 regulations, and ordinances and to engage in tobacco control 26 activities approved by the division of tobacco use prevention 27 and control of the department of public health as specified 28 in the memorandum of understanding entered into between the 29 divisions. 30 (b) For the fiscal year beginning July 1, 2015, and ending 31 June 30, 2016, the terms of the memorandum of understanding, 32 entered into between the division of tobacco use prevention 33 and control of the department of public health and the 34 alcoholic beverages division of the department of commerce, 35 -4- SF 505 (3) 86 pf/rj 4/ 195
S.F. 505 governing compliance checks conducted to ensure licensed retail 1 tobacco outlet conformity with tobacco laws, regulations, and 2 ordinances relating to persons under eighteen years of age, 3 shall continue to restrict the number of such checks to one 4 check per retail outlet, and one additional check for any 5 retail outlet found to be in violation during the first check. 6 b. Of the funds appropriated in this subsection, 7 $22,015,329 shall be used for problem gambling and 8 substance-related disorder prevention, treatment, and recovery 9 services, including a 24-hour helpline, public information 10 resources, professional training, and program evaluation. 11 (1) Of the funds allocated in this paragraph “b”, 12 $18,903,715 shall be used for substance-related disorder 13 prevention and treatment. 14 (a) Of the funds allocated in this subparagraph (1), 15 $899,300 shall be used for the public purpose of a grant 16 program to provide substance-related disorder prevention 17 programming for children. 18 (i) Of the funds allocated in this subparagraph division 19 (a), $427,539 shall be used for grant funding for organizations 20 that provide programming for children by utilizing mentors. 21 Programs approved for such grants shall be certified or must 22 be certified within six months of receiving the grant award 23 by the Iowa commission on volunteer services as utilizing the 24 standards for effective practice for mentoring programs. 25 (ii) Of the funds allocated in this subparagraph division 26 (a), $426,839 shall be used for grant funding for organizations 27 providing programming that includes youth development and 28 leadership services. The programs shall also be recognized as 29 being programs that are scientifically based with evidence of 30 their effectiveness in reducing substance-related disorders in 31 children. 32 (iii) The department of public health shall utilize a 33 request for proposals process to implement the grant program. 34 (iv) All grant recipients shall participate in a program 35 -5- SF 505 (3) 86 pf/rj 5/ 195
S.F. 505 evaluation as a requirement for receiving grant funds. 1 (v) Of the funds allocated in this subparagraph division 2 (a), up to $44,922 may be used to administer substance-related 3 disorder prevention grants and for program evaluations. 4 (b) Of the funds allocated in this subparagraph 5 (1), $272,603 shall be used for culturally competent 6 substance-related disorder treatment pilot projects. 7 (i) The department shall utilize the amount allocated 8 in this subparagraph division (b) for at least three pilot 9 projects to provide culturally competent substance-related 10 disorder treatment in various areas of the state. Each pilot 11 project shall target a particular ethnic minority population. 12 The populations targeted shall include but are not limited to 13 African American, Asian, and Latino. 14 (ii) The pilot project requirements shall provide for 15 documentation or other means to ensure access to the cultural 16 competence approach used by a pilot project so that such 17 approach can be replicated and improved upon in successor 18 programs. 19 (2) Of the funds allocated in this paragraph “b”, up 20 to $3,111,614 may be used for problem gambling prevention, 21 treatment, and recovery services. 22 (a) Of the funds allocated in this subparagraph (2), 23 $2,573,762 shall be used for problem gambling prevention and 24 treatment. 25 (b) Of the funds allocated in this subparagraph (2), up to 26 $437,852 may be used for a 24-hour helpline, public information 27 resources, professional training, and program evaluation. 28 (c) Of the funds allocated in this subparagraph (2), up 29 to $100,000 may be used for the licensing of problem gambling 30 treatment programs. 31 (3) It is the intent of the general assembly that from the 32 moneys allocated in this paragraph “b”, persons with a dual 33 diagnosis of substance-related disorder and gambling addiction 34 shall be given priority in treatment services. 35 -6- SF 505 (3) 86 pf/rj 6/ 195
S.F. 505 c. Notwithstanding any provision of law to the contrary, 1 to standardize the availability, delivery, cost of delivery, 2 and accountability of problem gambling and substance-related 3 disorder treatment services statewide, the department shall 4 continue implementation of a process to create a system 5 for delivery of treatment services in accordance with the 6 requirements specified in 2008 Iowa Acts, chapter 1187, section 7 3, subsection 4. To ensure the system provides a continuum 8 of treatment services that best meets the needs of Iowans, 9 the problem gambling and substance-related disorder treatment 10 services in any area may be provided either by a single agency 11 or by separate agencies submitting a joint proposal. 12 (1) The system for delivery of substance-related disorder 13 and problem gambling treatment shall include problem gambling 14 prevention. 15 (2) The system for delivery of substance-related disorder 16 and problem gambling treatment shall include substance-related 17 disorder prevention by July 1, 2016. 18 (3) Of the funds allocated in paragraph “b”, the department 19 may use up to $100,000 for administrative costs to continue 20 developing and implementing the process in accordance with this 21 paragraph “c”. 22 d. The requirement of section 123.53, subsection 5 , is met 23 by the appropriations and allocations made in this division of 24 this Act for purposes of substance-related disorder treatment 25 and addictive disorders for the fiscal year beginning July 1, 26 2015. 27 e. The department of public health shall work with all 28 other departments that fund substance-related disorder 29 prevention and treatment services and all such departments 30 shall, to the extent necessary, collectively meet the state 31 maintenance of effort requirements for expenditures for 32 substance-related disorder services as required under the 33 federal substance-related disorder prevention and treatment 34 block grant. 35 -7- SF 505 (3) 86 pf/rj 7/ 195
S.F. 505 2. HEALTHY CHILDREN AND FAMILIES 1 For promoting the optimum health status for children, 2 adolescents from birth through 21 years of age, and families, 3 and for not more than the following full-time equivalent 4 positions: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,331,602 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 7 a. Of the funds appropriated in this subsection, not more 8 than $734,841 shall be used for the healthy opportunities for 9 parents to experience success (HOPES)-healthy families Iowa 10 (HFI) program established pursuant to section 135.106 . The 11 funding shall be distributed to renew the grants that were 12 provided to the grantees that operated the program during the 13 fiscal year ending June 30, 2015. 14 b. In order to implement the legislative intent stated in 15 sections 135.106 and 256I.9 , that priority for home visitation 16 program funding be given to programs using evidence-based or 17 promising models for home visitation, it is the intent of the 18 general assembly to phase in the funding priority in accordance 19 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2, 20 paragraph 0b. 21 c. Of the funds appropriated in this subsection, $4,912,887 22 shall be used to expand statewide the department’s initiative 23 to provide for adequate developmental surveillance and 24 screening during a child’s first five years. The funds shall 25 be used first to fully fund the current sites to ensure that 26 the sites are fully operational, with the remaining funds 27 to be used for expansion to additional sites. The full 28 implementation and expansion shall include enhancing the scope 29 of the program through collaboration with the child health 30 specialty clinics to promote healthy child development through 31 early identification and response to both biomedical and social 32 determinants of healthy development; by monitoring child 33 health metrics to inform practice, document long-term health 34 impacts and savings, and provide for continuous improvement 35 -8- SF 505 (3) 86 pf/rj 8/ 195
S.F. 505 through training, education, and evaluation; and by providing 1 for practitioner consultation particularly for children with 2 behavioral conditions and needs. The department of public 3 health shall also collaborate with the Iowa Medicaid enterprise 4 and the child health specialty clinics to integrate the 5 activities of the first five initiative into the establishment 6 of patient-centered medical homes, community utilities, 7 accountable care organizations, and other integrated care 8 models developed to improve health quality and population 9 health while reducing health care costs. To the maximum extent 10 possible, funding allocated in this paragraph shall be utilized 11 as matching funds for medical assistance program reimbursement. 12 d. Of the funds appropriated in this subsection, $74,640 13 shall be distributed to a statewide dental carrier to provide 14 funds to continue the donated dental services program patterned 15 after the projects developed by the lifeline network to provide 16 dental services to indigent individuals who are elderly or with 17 disabilities. 18 e. Of the funds appropriated in this subsection, $111,995 19 shall be used for childhood obesity prevention. 20 f. Of the funds appropriated in this subsection, $162,768 21 shall be used to provide audiological services and hearing 22 aids for children. The department may enter into a contract 23 to administer this paragraph. 24 g. Of the funds appropriated in this subsection, $25,000 is 25 transferred to the university of Iowa college of dentistry for 26 provision of primary dental services to children. State funds 27 shall be matched on a dollar-for-dollar basis. The university 28 of Iowa college of dentistry shall coordinate efforts with the 29 department of public health, bureau of oral and health delivery 30 systems, to provide dental care to underserved populations 31 throughout the state. 32 h. Of the funds appropriated in this subsection, $50,000 33 shall be used to address youth suicide prevention. 34 i. Of the funds appropriated in this subsection, $50,000 35 -9- SF 505 (3) 86 pf/rj 9/ 195
S.F. 505 shall be used to support the Iowa effort to address the survey 1 of children who experience adverse childhood experiences known 2 as ACEs. 3 3. CHRONIC CONDITIONS 4 For serving individuals identified as having chronic 5 conditions or special health care needs, and for not more than 6 the following full-time equivalent positions: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,105,861 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 9 a. Of the funds appropriated in this subsection, $159,932 10 shall be used for grants to individual patients who have an 11 inherited metabolic disorder to assist with the costs of 12 medically necessary foods and formula. 13 b. Of the funds appropriated in this subsection, $891,644 14 shall be used for the brain injury services program pursuant to 15 section 135.22B , including for continuation of the contracts 16 for resource facilitator services in accordance with section 17 135.22B, subsection 9 , and to enhance brain injury training and 18 recruitment of service providers on a statewide basis. Of the 19 amount allocated in this paragraph, $95,000 shall be used to 20 fund one full-time equivalent position to serve as the state 21 brain injury services program manager. 22 c. Of the funds appropriated in this subsection, $547,982 23 shall be used as additional funding to leverage federal funding 24 through the federal Ryan White Care Act, Tit. II, AIDS drug 25 assistance program supplemental drug treatment grants. 26 d. Of the funds appropriated in this subsection, $149,823 27 shall be used for the public purpose of continuing to contract 28 with an existing national-affiliated organization to provide 29 education, client-centered programs, and client and family 30 support for people living with epilepsy and their families. 31 The amount allocated in this paragraph in excess of $100,000 32 shall be matched dollar-for-dollar by the organization 33 specified. 34 e. Of the funds appropriated in this subsection, $785,114 35 -10- SF 505 (3) 86 pf/rj 10/ 195
S.F. 505 shall be used for child health specialty clinics. 1 f. Of the funds appropriated in this subsection, $400,000 2 shall be used by the regional autism assistance program 3 established pursuant to section 256.35 , and administered by 4 the child health specialty clinic located at the university of 5 Iowa hospitals and clinics. The funds shall be used to enhance 6 interagency collaboration and coordination of educational, 7 medical, and other human services for persons with autism, 8 their families, and providers of services, including delivering 9 regionalized services of care coordination, family navigation, 10 and integration of services through the statewide system of 11 regional child health specialty clinics and fulfilling other 12 requirements as specified in chapter 225D . The university of 13 Iowa shall not receive funds allocated under this paragraph for 14 indirect costs associated with the regional autism assistance 15 program. 16 g. Of the funds appropriated in this subsection, $570,993 17 shall be used for the comprehensive cancer control program to 18 reduce the burden of cancer in Iowa through prevention, early 19 detection, effective treatment, and ensuring quality of life. 20 Of the funds allocated in this paragraph “g”, $150,000 shall 21 be used to support a melanoma research symposium, a melanoma 22 biorepository and registry, basic and translational melanoma 23 research, and clinical trials. 24 h. Of the funds appropriated in this subsection, $126,450 25 shall be used for cervical and colon cancer screening, and 26 $300,000 shall be used to enhance the capacity of the cervical 27 cancer screening program to include provision of recommended 28 prevention and early detection measures to a broader range of 29 low-income women. 30 i. Of the funds appropriated in this subsection, $676,864 31 shall be used for the center for congenital and inherited 32 disorders including to provide for surveillance of stillbirths 33 as defined in section 136A.2. 34 j. Of the funds appropriated in this subsection, $129,411 35 -11- SF 505 (3) 86 pf/rj 11/ 195
S.F. 505 shall be used for the prescription drug donation repository 1 program created in chapter 135M . 2 k. Of the funds appropriated in this subsection, 3 $215,263 shall be used by the department of public health 4 for reform-related activities, including but not limited to 5 facilitation of communication to stakeholders at the state and 6 local level, administering the patient-centered health advisory 7 council pursuant to section 135.159, and involvement in health 8 care system innovation activities occurring across the state. 9 l. Of the funds appropriated in this subsection, $25,000 10 shall be used for administration of chapter 124D, the medical 11 cannabidiol Act, or other Code provisions authorizing the 12 compassionate medical use of cannabis, if enacted by the 2015 13 regular session of the Eighty-sixth General Assembly. 14 4. COMMUNITY CAPACITY 15 For strengthening the health care delivery system at the 16 local level, and for not more than the following full-time 17 equivalent positions: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,719,716 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 11.00 20 a. Of the funds appropriated in this subsection, $99,414 21 is allocated for continuation of the child vision screening 22 program implemented through the university of Iowa hospitals 23 and clinics in collaboration with early childhood Iowa areas. 24 The program shall submit a report to the individuals identified 25 in this Act for submission of reports regarding the use of 26 funds allocated under this paragraph “a”. The report shall 27 include the objectives and results for the program year 28 including the target population and how the funds allocated 29 assisted the program in meeting the objectives; the number, 30 age, and location within the state of individuals served; 31 the type of services provided to the individuals served; the 32 distribution of funds based on service provided; and the 33 continuing needs of the program. 34 b. Of the funds appropriated in this subsection, $110,656 is 35 -12- SF 505 (3) 86 pf/rj 12/ 195
S.F. 505 allocated for continuation of an initiative implemented at the 1 university of Iowa and $99,904 is allocated for continuation of 2 an initiative at the state mental health institute at Cherokee 3 to expand and improve the workforce engaged in mental health 4 treatment and services. The initiatives shall receive input 5 from the university of Iowa, the department of human services, 6 the department of public health, and the mental health and 7 disability services commission to address the focus of the 8 initiatives. 9 c. Of the funds appropriated in this subsection, $1,164,628 10 shall be used for essential public health services that promote 11 healthy aging throughout one’s lifespan, contracted through a 12 formula for local boards of health, to enhance health promotion 13 and disease prevention services. 14 d. Of the funds appropriated in this section, $99,286 shall 15 be deposited in the governmental public health system fund 16 created in section 135A.8 to be used for the purposes of the 17 fund. 18 e. Of the funds appropriated in this subsection, $105,448 19 shall be used to continue to address the shortage of mental 20 health professionals in the state. 21 f. Of the funds appropriated in this subsection, 22 $50,000 shall be used for a grant to a statewide association 23 of psychologists that is affiliated with the American 24 psychological association to be used for continuation of a 25 program to rotate intern psychologists in placements in urban 26 and rural mental health professional shortage areas, as defined 27 in section 135.180 . 28 g. (1) Of the funds appropriated in this subsection, 29 $2,882,969 shall be allocated as a grant to the Iowa primary 30 care association to be used pursuant to section 135.153 for 31 the statewide coordination of the Iowa collaborative safety 32 net provider network. Coordination of the network shall 33 focus on increasing access by underserved populations to 34 health care services, increasing integration of the health 35 -13- SF 505 (3) 86 pf/rj 13/ 195
S.F. 505 system and collaboration across the continuum of care with 1 a focus on safety net services, and enhancing the Iowa 2 collaborative safety net provider network’s communication and 3 education efforts. The amount allocated as a grant under this 4 subparagraph (1) shall be used as follows to support the Iowa 5 collaborative safety net provider network goals of increased 6 access, health system integration, and engagement: 7 (a) For distribution to safety net partners in the state 8 that work to increase access of the underserved population to 9 health services: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,025,485 11 (i) Of the amount allocated in this subparagraph division 12 (a), not less than $413,415 shall be distributed to the 13 Iowa prescription drug corporation for continuation of the 14 pharmaceutical infrastructure for safety net providers as 15 described in 2007 Iowa Acts, chapter 218, section 108. 16 (ii) Of the amount allocated in this subparagraph division 17 (a), not less than $348,322 shall be distributed to free 18 clinics and free clinics of Iowa for necessary infrastructure, 19 statewide coordination, provider recruitment, service delivery, 20 and provision of assistance to patients in securing a medical 21 home inclusive of oral health care. 22 (iii) Of the amount allocated in this subparagraph division 23 (a), not less than $50,000 shall be distributed to the Iowa 24 coalition against sexual assault to continue a training 25 program for sexual assault response team (SART) members, 26 including representatives of law enforcement, victim advocates, 27 prosecutors, and certified medical personnel. 28 (iv) Of the amount allocated in this subparagraph division 29 (a), not less than $213,748 shall be distributed to the Polk 30 county medical society for continuation of the safety net 31 provider patient access to a specialty health care initiative 32 as described in 2007 Iowa Acts, chapter 218, section 109. 33 (b) For distribution to safety net partners in the 34 state that work to increase health system integration, care 35 -14- SF 505 (3) 86 pf/rj 14/ 195
S.F. 505 coordination, and collaboration across the continuum of care 1 with a focus on safety net services. Such efforts shall 2 include but not be limited to community care coordination team 3 development and integration of medical and behavioral health 4 services. Efforts shall also include working, in conjunction 5 with the department of human services and the department 6 of public health, to support Medicaid managed care efforts 7 inclusive of the state innovation model through the continued 8 development and implementation of community care coordination 9 teams. Implementation of the community care coordination 10 teams shall be accomplished through a statewide regionally 11 based network that provides an integrated approach to health 12 care delivery through care coordination that supports primary 13 care providers and links patients with community resources 14 necessary to empower patients in addressing biomedical and 15 social determinants of health to improve health outcomes: 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,672,199 17 (c) For distribution to safety net partners in the state 18 that work to serve as a resource for credible, accurate 19 information on health care-related needs and services 20 for vulnerable populations in the state including the 21 Iowa association of rural health clinics for necessary 22 infrastructure and service delivery transformation and the Iowa 23 primary care association to support partner engagement, program 24 management, and statewide coordination of the network: 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 185,285 26 (2) The amount allocated under this paragraph “g” shall 27 not be reduced for administrative or other costs prior to 28 distribution. The Iowa collaborative safety net provider 29 network may continue to distribute funds allocated pursuant to 30 this paragraph “g” through existing contracts or renewal of 31 existing contracts. 32 (3) For each goal of the Iowa collaborative safety net 33 provider network, the Iowa primary care association shall 34 submit a progress report to the individuals designated in this 35 -15- SF 505 (3) 86 pf/rj 15/ 195
S.F. 505 Act for submission of reports by December 15, 2015, including 1 progress in developing and implementing the network, how the 2 funds were distributed and used in developing and implementing 3 the network, and the remaining needs identified to fully 4 develop and implement the network. 5 h. Of the funds appropriated in this subsection, $213,400 6 shall be used for continuation of the work of the direct care 7 worker advisory council established pursuant to 2008 Iowa Acts, 8 chapter 1188, section 69, in implementing the recommendations 9 in the final report submitted by the advisory council to the 10 governor and the general assembly in March 2012, including 11 by continuing to develop, promote, and make available on a 12 statewide basis the prepare-to-care core curriculum and its 13 associated modules and specialties through various formats 14 including online access, community colleges, and other venues; 15 exploring new and maintaining existing specialties including 16 but not limited to oral health and dementia care; supporting 17 instructor training; and assessing and making recommendations 18 concerning the Iowa care book and information technology 19 systems and infrastructure uses and needs. 20 i. (1) Of the funds appropriated in this subsection, 21 $216,375 shall be used for allocation to an independent 22 statewide direct care worker organization under continuation 23 of the contract in effect during the fiscal year ending June 24 30, 2015. 25 (2) Of the funds appropriated in this subsection, 26 $105,000 shall be used to provide scholarships or other 27 forms of subsidization for direct care worker educational 28 conferences, training, or outreach activities, and for the 29 mouth-care-matters oral health care project. 30 j. Of the funds appropriated in this subsection, the 31 department may use up to $58,175 for up to one full-time 32 equivalent position to administer the volunteer health care 33 provider program pursuant to section 135.24 . 34 k. Of the funds appropriated in this subsection, $100,000 35 -16- SF 505 (3) 86 pf/rj 16/ 195
S.F. 505 shall be used for a matching dental education loan repayment 1 program to be allocated to a dental nonprofit health service 2 corporation to continue to develop the criteria and implement 3 the loan repayment program. 4 l. Of the funds appropriated in this subsection, $105,823 is 5 transferred to the college student aid commission for deposit 6 in the rural Iowa primary care trust fund created in section 7 261.113 to be used for the purposes of the fund. 8 m. Of the funds appropriated in this subsection, $250,000 9 shall be used for the purposes of the Iowa donor registry as 10 specified in section 142C.18 . 11 n. Of the funds appropriated in this subsection, $100,000 12 shall be used for continuation of a grant to a nationally 13 affiliated volunteer eye organization that has an established 14 program for children and adults and that is solely dedicated to 15 preserving sight and preventing blindness through education, 16 nationally certified vision screening and training, and 17 community and patient service programs. The organization 18 shall submit a report to the individuals identified in this 19 Act for submission of reports regarding the use of funds 20 allocated under this paragraph “n”. The report shall include 21 the objectives and results for the program year including 22 the target population and how the funds allocated assisted 23 the program in meeting the objectives; the number, age, and 24 location within the state of individuals served; the type of 25 services provided to the individuals served; the distribution 26 of funds based on services provided; and the continuing needs 27 of the program. 28 o. Of the funds appropriated in this subsection, $25,000 29 shall be used for the continuation of a wellness council under 30 the direction of the director of public health to increase 31 support for wellness activities in the state. 32 p. Of the funds appropriated in this subsection, $2,000,000 33 shall be deposited in the medical residency training account 34 created in section 135.175, subsection 5, paragraph “a” , and 35 -17- SF 505 (3) 86 pf/rj 17/ 195
S.F. 505 is appropriated from the account to the department of public 1 health to be used for the purposes of the medical residency 2 training state matching grants program as specified in section 3 135.176 . However, notwithstanding any provision to the 4 contrary in section 135.176, priority in the awarding of grants 5 shall be given to sponsors that propose preference in the use 6 of the grant funds for psychiatric residency positions and 7 family practice residency positions. 8 5. HEALTHY AGING 9 To provide public health services that reduce risks and 10 invest in promoting and protecting good health over the 11 course of a lifetime with a priority given to older Iowans and 12 vulnerable populations: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,297,142 14 6. INFECTIOUS DISEASES 15 For reducing the incidence and prevalence of communicable 16 diseases, and for not more than the following full-time 17 equivalent positions: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,335,155 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 20 7. PUBLIC PROTECTION 21 For protecting the health and safety of the public through 22 establishing standards and enforcing regulations, and for not 23 more than the following full-time equivalent positions: 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,339,191 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 135.50 26 a. Of the funds appropriated in this subsection, not more 27 than $454,700 shall be credited to the emergency medical 28 services fund created in section 135.25 . Moneys in the 29 emergency medical services fund are appropriated to the 30 department to be used for the purposes of the fund. 31 b. Of the funds appropriated in this subsection, $203,032 32 shall be used for sexual violence prevention programming 33 through a statewide organization representing programs 34 serving victims of sexual violence through the department’s 35 -18- SF 505 (3) 86 pf/rj 18/ 195
S.F. 505 sexual violence prevention program. The amount allocated 1 in this paragraph “b” shall not be used to supplant funding 2 administered for other sexual violence prevention or victims 3 assistance programs. 4 c. Of the funds appropriated in this subsection, $598,751 5 shall be used for the state poison control center. Pursuant 6 to the directive under 2014 Iowa Acts, chapter 1140, section 7 102, the federal matching funds available to the state poison 8 control center from the department of human services under the 9 federal Children’s Health Insurance Program Reauthorization Act 10 allotment shall be subject to the federal administrative cap 11 rule of 10 percent applicable to funding provided under Tit. 12 XXI of the federal Social Security Act and included within the 13 department’s calculations of the cap. 14 d. Of the funds appropriated in this subsection, $537,750 15 shall be used for childhood lead poisoning provisions. 16 8. RESOURCE MANAGEMENT 17 For establishing and sustaining the overall ability of the 18 department to deliver services to the public, and for not more 19 than the following full-time equivalent positions: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 855,072 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 22 The university of Iowa hospitals and clinics under the 23 control of the state board of regents shall not receive 24 indirect costs from the funds appropriated in this section. 25 The university of Iowa hospitals and clinics billings to the 26 department shall be on at least a quarterly basis. 27 DIVISION IV 28 DEPARTMENT OF VETERANS AFFAIRS —— FY 2015-2016 29 Sec. 4. DEPARTMENT OF VETERANS AFFAIRS. There is 30 appropriated from the general fund of the state to the 31 department of veterans affairs for the fiscal year beginning 32 July 1, 2015, and ending June 30, 2016, the following amounts, 33 or so much thereof as is necessary, to be used for the purposes 34 designated: 35 -19- SF 505 (3) 86 pf/rj 19/ 195
S.F. 505 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 1 For salaries, support, maintenance, and miscellaneous 2 purposes, and for not more than the following full-time 3 equivalent positions: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,200,546 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 6 2. IOWA VETERANS HOME 7 For salaries, support, maintenance, and miscellaneous 8 purposes: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,594,996 10 a. The Iowa veterans home billings involving the department 11 of human services shall be submitted to the department on at 12 least a monthly basis. 13 b. If there is a change in the employer of employees 14 providing services at the Iowa veterans home under a collective 15 bargaining agreement, such employees and the agreement shall 16 be continued by the successor employer as though there had not 17 been a change in employer. 18 c. Within available resources and in conformance with 19 associated state and federal program eligibility requirements, 20 the Iowa veterans home may implement measures to provide 21 financial assistance to or on behalf of veterans or their 22 spouses who are participating in the community reentry program. 23 d. The Iowa veterans home expenditure report shall be 24 submitted monthly to the legislative services agency. 25 3. HOME OWNERSHIP ASSISTANCE PROGRAM 26 For transfer to the Iowa finance authority for the 27 continuation of the home ownership assistance program for 28 persons who are or were eligible members of the armed forces of 29 the United States, pursuant to section 16.54 : 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,500,000 31 Sec. 5. LIMITATION OF COUNTY COMMISSIONS OF VETERAN AFFAIRS 32 FUND STANDING APPROPRIATIONS. Notwithstanding the standing 33 appropriation in section 35A.16 for the fiscal year beginning 34 July 1, 2015, and ending June 30, 2016, the amount appropriated 35 -20- SF 505 (3) 86 pf/rj 20/ 195
S.F. 505 from the general fund of the state pursuant to that section 1 for the following designated purposes shall not exceed the 2 following amount: 3 For the county commissions of veteran affairs fund under 4 section 35A.16 : 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 990,000 6 DIVISION V 7 DEPARTMENT OF HUMAN SERVICES —— FY 2015-2016 8 Sec. 6. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 9 GRANT. There is appropriated from the fund created in section 10 8.41 to the department of human services for the fiscal year 11 beginning July 1, 2015, and ending June 30, 2016, from moneys 12 received under the federal temporary assistance for needy 13 families (TANF) block grant pursuant to the federal Personal 14 Responsibility and Work Opportunity Reconciliation Act of 1996, 15 Pub. L. No. 104-193, and successor legislation, the following 16 amounts, or so much thereof as is necessary, to be used for the 17 purposes designated: 18 1. To be credited to the family investment program account 19 and used for assistance under the family investment program 20 under chapter 239B : 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,136,995 22 2. To be credited to the family investment program account 23 and used for the job opportunities and basic skills (JOBS) 24 program and implementing family investment agreements in 25 accordance with chapter 239B : 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,138,178 27 3. To be used for the family development and 28 self-sufficiency grant program in accordance with section 29 216A.107 : 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,898,980 31 Notwithstanding section 8.33 , moneys appropriated in this 32 subsection that remain unencumbered or unobligated at the close 33 of the fiscal year shall not revert but shall remain available 34 for expenditure for the purposes designated until the close of 35 -21- SF 505 (3) 86 pf/rj 21/ 195
S.F. 505 the succeeding fiscal year. However, unless such moneys are 1 encumbered or obligated on or before September 30, 2016, the 2 moneys shall revert. 3 4. For field operations: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 31,296,232 5 5. For general administration: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,744,000 7 6. For state child care assistance: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 35,047,110 9 a. Of the funds appropriated in this subsection, 10 $26,328,097 is transferred to the child care and development 11 block grant appropriation made by the Eighty-sixth General 12 Assembly, 2015 Session, for the federal fiscal year beginning 13 October 1, 2015, and ending September 30, 2016. Of this 14 amount, $200,000 shall be used for provision of educational 15 opportunities to registered child care home providers in order 16 to improve services and programs offered by this category 17 of providers and to increase the number of providers. The 18 department may contract with institutions of higher education 19 or child care resource and referral centers to provide 20 the educational opportunities. Allowable administrative 21 costs under the contracts shall not exceed 5 percent. The 22 application for a grant shall not exceed two pages in length. 23 b. Any funds appropriated in this subsection remaining 24 unallocated shall be used for state child care assistance 25 payments for families who are employed including but not 26 limited to individuals enrolled in the family investment 27 program. 28 7. For distribution to counties and regions through the 29 property tax relief fund for mental health and disability 30 services as provided in an appropriation made for this purpose: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,894,052 32 8. For child and family services: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 32,084,430 34 9. For child abuse prevention grants: 35 -22- SF 505 (3) 86 pf/rj 22/ 195
S.F. 505 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 125,000 1 10. For pregnancy prevention grants on the condition that 2 family planning services are funded: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,930,067 4 Pregnancy prevention grants shall be awarded to programs 5 in existence on or before July 1, 2015, if the programs have 6 demonstrated positive outcomes. Grants shall be awarded to 7 pregnancy prevention programs which are developed after July 8 1, 2015, if the programs are based on existing models that 9 have demonstrated positive outcomes. Grants shall comply with 10 the requirements provided in 1997 Iowa Acts, chapter 208, 11 section 14, subsections 1 and 2, including the requirement that 12 grant programs must emphasize sexual abstinence. Priority in 13 the awarding of grants shall be given to programs that serve 14 areas of the state which demonstrate the highest percentage of 15 unplanned pregnancies of females of childbearing age within the 16 geographic area to be served by the grant. 17 11. For technology needs and other resources necessary 18 to meet federal welfare reform reporting, tracking, and case 19 management requirements: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,037,186 21 12. For the family investment program share of the costs to 22 continue to develop and maintain a new, integrated eligibility 23 determination system: 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,654,880 25 13. a. Notwithstanding any provision to the contrary, 26 including but not limited to requirements in section 8.41 or 27 provisions in 2014 or 2015 Iowa Acts regarding the receipt and 28 appropriation of federal block grants, federal funds from the 29 temporary assistance for needy families block grant received by 30 the state and not otherwise appropriated in this section and 31 remaining available for the fiscal year beginning July 1, 2015, 32 are appropriated to the department of human services to the 33 extent as may be necessary to be used in the following priority 34 order: the family investment program, for state child care 35 -23- SF 505 (3) 86 pf/rj 23/ 195
S.F. 505 assistance program payments for families who are employed, and 1 for the family investment program share of costs to develop and 2 maintain a new, integrated eligibility determination system. 3 The federal funds appropriated in this paragraph “a” shall be 4 expended only after all other funds appropriated in subsection 5 1 for the assistance under the family investment program, 6 in subsection 6 for child care assistance, or in subsection 7 12 for the family investment program share of the costs to 8 continue to develop and maintain a new, integrated eligibility 9 determination system, as applicable, have been expended. For 10 the purposes of this subsection, the funds appropriated in 11 subsection 6, paragraph “a”, for transfer to the child care 12 and development block grant appropriation are considered fully 13 expended when the full amount has been transferred. 14 b. The department shall, on a quarterly basis, advise the 15 legislative services agency and department of management of 16 the amount of funds appropriated in this subsection that was 17 expended in the prior quarter. 18 14. Of the amounts appropriated in this section, 19 $12,962,008 for the fiscal year beginning July 1, 2015, is 20 transferred to the appropriation of the federal social services 21 block grant made to the department of human services for that 22 fiscal year. 23 15. For continuation of the program providing categorical 24 eligibility for the food assistance program as specified for 25 the program in the section of this division of this 2015 Act 26 relating to the family investment program account: 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 25,000 28 16. The department may transfer funds allocated in this 29 section to the appropriations made in this division of this Act 30 for the same fiscal year for general administration and field 31 operations for resources necessary to implement and operate the 32 services referred to in this section and those funded in the 33 appropriation made in this division of this Act for the same 34 fiscal year for the family investment program from the general 35 -24- SF 505 (3) 86 pf/rj 24/ 195
S.F. 505 fund of the state. 1 Sec. 7. FAMILY INVESTMENT PROGRAM ACCOUNT. 2 1. Moneys credited to the family investment program (FIP) 3 account for the fiscal year beginning July 1, 2015, and 4 ending June 30, 2016, shall be used to provide assistance in 5 accordance with chapter 239B . 6 2. The department may use a portion of the moneys credited 7 to the FIP account under this section as necessary for 8 salaries, support, maintenance, and miscellaneous purposes. 9 3. The department may transfer funds allocated in 10 subsection 4 to the appropriations made in this division of 11 this Act for the same fiscal year for general administration 12 and field operations for resources necessary to implement and 13 operate the family investment program services referred to in 14 this section and those funded in the appropriation made in this 15 division of this Act for the same fiscal year for the family 16 investment program from the general fund of the state. 17 4. Moneys appropriated in this division of this Act and 18 credited to the FIP account for the fiscal year beginning July 19 1, 2015, and ending June 30, 2016, are allocated as follows: 20 a. To be retained by the department of human services to 21 be used for coordinating with the department of human rights 22 to more effectively serve participants in FIP and other shared 23 clients and to meet federal reporting requirements under the 24 federal temporary assistance for needy families block grant: 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 20,000 26 b. To the department of human rights for staffing, 27 administration, and implementation of the family development 28 and self-sufficiency grant program in accordance with section 29 216A.107 : 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,392,834 31 (1) Of the funds allocated for the family development 32 and self-sufficiency grant program in this paragraph “b”, 33 not more than 5 percent of the funds shall be used for the 34 administration of the grant program. 35 -25- SF 505 (3) 86 pf/rj 25/ 195
S.F. 505 (2) The department of human rights may continue to implement 1 the family development and self-sufficiency grant program 2 statewide during fiscal year 2015-2016. 3 (3) The department of human rights may engage in activities 4 to strengthen and improve family outcomes measures and 5 data collection systems under the family development and 6 self-sufficiency grant program. 7 c. For the diversion subaccount of the FIP account: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 815,000 9 A portion of the moneys allocated for the subaccount may 10 be used for field operations, salaries, data management 11 system development, and implementation costs and support 12 deemed necessary by the director of human services in order 13 to administer the FIP diversion program. To the extent 14 moneys allocated in this paragraph “c” are not deemed by the 15 department to be necessary to support diversion activities, 16 such moneys may be used for other efforts intended to increase 17 engagement by family investment program participants in work, 18 education, or training activities. 19 d. For the food assistance employment and training program: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 66,588 21 (1) The department shall apply the federal supplemental 22 nutrition assistance program (SNAP) employment and training 23 state plan in order to maximize to the fullest extent permitted 24 by federal law the use of the 50 percent federal reimbursement 25 provisions for the claiming of allowable federal reimbursement 26 funds from the United States department of agriculture 27 pursuant to the federal SNAP employment and training program 28 for providing education, employment, and training services 29 for eligible food assistance program participants, including 30 but not limited to related dependent care and transportation 31 expenses. 32 (2) The department shall continue the categorical federal 33 food assistance program eligibility at 160 percent of the 34 federal poverty level and continue to eliminate the asset test 35 -26- SF 505 (3) 86 pf/rj 26/ 195
S.F. 505 from eligibility requirements, consistent with federal food 1 assistance program requirements. The department shall include 2 as many food assistance households as is allowed by federal 3 law. The eligibility provisions shall conform to all federal 4 requirements including requirements addressing individuals who 5 are incarcerated or otherwise ineligible. 6 e. For the JOBS program: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 17,540,398 8 5. Of the child support collections assigned under FIP, 9 an amount equal to the federal share of support collections 10 shall be credited to the child support recovery appropriation 11 made in this division of this Act. Of the remainder of the 12 assigned child support collections received by the child 13 support recovery unit, a portion shall be credited to the FIP 14 account, a portion may be used to increase recoveries, and a 15 portion may be used to sustain cash flow in the child support 16 payments account. If as a consequence of the appropriations 17 and allocations made in this section the resulting amounts 18 are insufficient to sustain cash assistance payments and meet 19 federal maintenance of effort requirements, the department 20 shall seek supplemental funding. If child support collections 21 assigned under FIP are greater than estimated or are otherwise 22 determined not to be required for maintenance of effort, the 23 state share of either amount may be transferred to or retained 24 in the child support payments account. 25 6. The department may adopt emergency rules for the family 26 investment, JOBS, food assistance, and medical assistance 27 programs if necessary to comply with federal requirements. 28 Sec. 8. FAMILY INVESTMENT PROGRAM GENERAL FUND. There 29 is appropriated from the general fund of the state to the 30 department of human services for the fiscal year beginning July 31 1, 2015, and ending June 30, 2016, the following amount, or 32 so much thereof as is necessary, to be used for the purpose 33 designated: 34 To be credited to the family investment program (FIP) 35 -27- SF 505 (3) 86 pf/rj 27/ 195
S.F. 505 account and used for family investment program assistance under 1 chapter 239B : 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 49,093,875 3 1. Of the funds appropriated in this section, $7,402,220 is 4 allocated for the JOBS program. 5 2. Of the funds appropriated in this section, $3,513,854 is 6 allocated for the family development and self-sufficiency grant 7 program. 8 3. Notwithstanding section 8.39 , for the fiscal year 9 beginning July 1, 2015, if necessary to meet federal 10 maintenance of effort requirements or to transfer federal 11 temporary assistance for needy families block grant funding 12 to be used for purposes of the federal social services block 13 grant or to meet cash flow needs resulting from delays in 14 receiving federal funding or to implement, in accordance with 15 this division of this Act, activities currently funded with 16 juvenile court services, county, or community moneys and state 17 moneys used in combination with such moneys, the department 18 of human services may transfer funds within or between any 19 of the appropriations made in this division of this Act and 20 appropriations in law for the federal social services block 21 grant to the department for the following purposes, provided 22 that the combined amount of state and federal temporary 23 assistance for needy families block grant funding for each 24 appropriation remains the same before and after the transfer: 25 a. For the family investment program. 26 b. For child care assistance. 27 c. For child and family services. 28 d. For field operations. 29 e. For general administration. 30 f. For distribution to counties or regions through the 31 property tax relief fund for mental health and disability 32 services as provided in an appropriation for this purpose. 33 This subsection shall not be construed to prohibit the use 34 of existing state transfer authority for other purposes. The 35 -28- SF 505 (3) 86 pf/rj 28/ 195
S.F. 505 department shall report any transfers made pursuant to this 1 subsection to the legislative services agency. 2 4. Of the funds appropriated in this section, $195,678 shall 3 be used for continuation of a grant to an Iowa-based nonprofit 4 organization with a history of providing tax preparation 5 assistance to low-income Iowans in order to expand the usage of 6 the earned income tax credit. The purpose of the grant is to 7 supply this assistance to underserved areas of the state. 8 5. Of the funds appropriated in this section, $80,000 shall 9 be used for the continuation of an unfunded pilot project, as 10 defined in 441 IAC 100.1, relating to parental obligations, 11 in which the child support recovery unit participates, to 12 support the efforts of a nonprofit organization committed to 13 strengthening the community through youth development, healthy 14 living, and social responsibility headquartered in a county 15 with a population over 350,000. The funds allocated in this 16 subsection shall be used by the recipient organization to 17 develop a larger community effort, through public and private 18 partnerships, to support a broad-based multi-county fatherhood 19 initiative that promotes payment of child support obligations, 20 improved family relationships, and full-time employment. 21 6. Of the funds appropriated in this section, $200,000 shall 22 be used as a grant to a nonprofit organization organized under 23 section 501(c)(4) of the Internal Revenue Code to implement a 24 youth development strategy through after-school programming 25 that promotes academic success, healthy lifestyles, good 26 character, and citizenship. The organization shall meet all of 27 the following criteria: 28 a. Operate statewide and provide services through more than 29 one location. 30 b. Provide the after-school programming for students ages 31 five through eighteen years of age who are members of families 32 eligible for the federal temporary assistance for needy 33 families program. 34 c. Provide evidence, based on measurable outcomes, that the 35 -29- SF 505 (3) 86 pf/rj 29/ 195
S.F. 505 after-school programming provided results in increased student 1 achievement. 2 7. The department may transfer funds appropriated in this 3 section to the appropriations made in this division of this Act 4 for general administration and field operations as necessary 5 to administer this section and the overall family investment 6 program. 7 Sec. 9. CHILD SUPPORT RECOVERY. There is appropriated 8 from the general fund of the state to the department of human 9 services for the fiscal year beginning July 1, 2015, and ending 10 June 30, 2016, the following amount, or so much thereof as is 11 necessary, to be used for the purposes designated: 12 For child support recovery, including salaries, support, 13 maintenance, and miscellaneous purposes, and for not more than 14 the following full-time equivalent positions: 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 14,663,373 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 464.00 17 1. The department shall expend up to $24,329, including 18 federal financial participation, for the fiscal year beginning 19 July 1, 2015, for a child support public awareness campaign. 20 The department and the office of the attorney general shall 21 cooperate in continuation of the campaign. The public 22 awareness campaign shall emphasize, through a variety of 23 media activities, the importance of maximum involvement of 24 both parents in the lives of their children as well as the 25 importance of payment of child support obligations. 26 2. Federal access and visitation grant moneys shall be 27 issued directly to private not-for-profit agencies that provide 28 services designed to increase compliance with the child access 29 provisions of court orders, including but not limited to 30 neutral visitation sites and mediation services. 31 3. The appropriation made to the department for child 32 support recovery may be used throughout the fiscal year in the 33 manner necessary for purposes of cash flow management, and for 34 cash flow management purposes the department may temporarily 35 -30- SF 505 (3) 86 pf/rj 30/ 195
S.F. 505 draw more than the amount appropriated, provided the amount 1 appropriated is not exceeded at the close of the fiscal year. 2 4. With the exception of the funding amount specified, the 3 requirements established under 2001 Iowa Acts, chapter 191, 4 section 3, subsection 5, paragraph “c”, subparagraph (3), shall 5 be applicable to parental obligation pilot projects for the 6 fiscal year beginning July 1, 2015, and ending June 30, 2016. 7 Notwithstanding 441 IAC 100.8, providing for termination of 8 rules relating to the pilot projects, the rules shall remain 9 in effect until June 30, 2016. 10 Sec. 10. HEALTH CARE TRUST FUND —— MEDICAL ASSISTANCE —— 11 FY 2015-2016. Any funds remaining in the health care trust 12 fund created in section 453A.35A for the fiscal year beginning 13 July 1, 2015, and ending June 30, 2016, are appropriated to 14 the department of human services to supplement the medical 15 assistance program appropriations made in this division of this 16 Act, for medical assistance reimbursement and associated costs, 17 including program administration and costs associated with 18 program implementation. 19 Sec. 11. MEDICAID FRAUD FUND —— MEDICAL ASSISTANCE —— FY 20 2015-2016. Any funds remaining in the Medicaid fraud fund 21 created in section 249A.50 for the fiscal year beginning 22 July 1, 2015, and ending June 30, 2016, are appropriated to 23 the department of human services to supplement the medical 24 assistance appropriations made in this division of this Act, 25 for medical assistance reimbursement and associated costs, 26 including program administration and costs associated with 27 program implementation. 28 Sec. 12. MEDICAL ASSISTANCE. 29 1. There is appropriated from the general fund of the 30 state to the department of human services for the fiscal year 31 beginning July 1, 2015, and ending June 30, 2016, the following 32 amount, or so much thereof as is necessary, to be used for the 33 purpose designated: 34 For medical assistance program reimbursement and associated 35 -31- SF 505 (3) 86 pf/rj 31/ 195
S.F. 505 costs as specifically provided in the reimbursement 1 methodologies in effect on June 30, 2015, except as otherwise 2 expressly authorized by law, including reimbursement for 3 abortion services which shall be available under the medical 4 assistance program only for those abortions which are medically 5 necessary: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,346,353,640 7 2. Medically necessary abortions are those performed under 8 any of the following conditions: 9 a. The attending physician certifies that continuing the 10 pregnancy would endanger the life of the pregnant woman. 11 b. The attending physician certifies that the fetus is 12 physically deformed, mentally deficient, or afflicted with a 13 congenital illness. 14 c. The pregnancy is the result of a rape which is reported 15 within 45 days of the incident to a law enforcement agency or 16 public or private health agency which may include a family 17 physician. 18 d. The pregnancy is the result of incest which is reported 19 within 150 days of the incident to a law enforcement agency 20 or public or private health agency which may include a family 21 physician. 22 e. Any spontaneous abortion, commonly known as a 23 miscarriage, if not all of the products of conception are 24 expelled. 25 3. a. Iowans support reducing the number of abortions 26 performed in our state. For an abortion covered under the 27 program, except in the case of a medical emergency, as defined 28 in section 135L.1 , for any woman, the physician shall certify 29 both of the following: 30 (1) That the woman has been given the opportunity to view an 31 ultrasound image of the fetus as part of the standard of care 32 before an abortion is performed. 33 (2) That the woman has been provided information regarding 34 the options relative to a pregnancy, including continuing the 35 -32- SF 505 (3) 86 pf/rj 32/ 195
S.F. 505 pregnancy to term and retaining parental rights following the 1 child’s birth, continuing the pregnancy to term and placing the 2 child for adoption, and terminating the pregnancy. 3 b. The provisions of this section relating to abortions 4 shall also apply to the Iowa health and wellness plan created 5 pursuant to chapter 249N . 6 4. The department shall utilize not more than $60,000 of 7 the funds appropriated in this section to continue the AIDS/HIV 8 health insurance premium payment program as established in 1992 9 Iowa Acts, Second Extraordinary Session, chapter 1001, section 10 409, subsection 6. Of the funds allocated in this subsection, 11 not more than $5,000 may be expended for administrative 12 purposes. 13 5. Of the funds appropriated in this Act to the department 14 of public health for addictive disorders, $950,000 for 15 the fiscal year beginning July 1, 2015, is transferred 16 to the department of human services for an integrated 17 substance-related disorder managed care system. The department 18 shall not assume management of the substance-related disorder 19 system in place of the managed care contractor unless such 20 a change in approach is specifically authorized in law. 21 The departments of human services and public health shall 22 work together to maintain the level of mental health and 23 substance-related disorder treatment services provided by the 24 managed care contractor through the Iowa plan for behavioral 25 health. Each department shall take the steps necessary to 26 continue the federal waivers as necessary to maintain the level 27 of services. 28 6. a. The department shall aggressively pursue options for 29 providing medical assistance or other assistance to individuals 30 with special needs who become ineligible to continue receiving 31 services under the early and periodic screening, diagnostic, 32 and treatment program under the medical assistance program 33 due to becoming 21 years of age who have been approved for 34 additional assistance through the department’s exception to 35 -33- SF 505 (3) 86 pf/rj 33/ 195
S.F. 505 policy provisions, but who have health care needs in excess 1 of the funding available through the exception to policy 2 provisions. 3 b. Of the funds appropriated in this section, $100,000 4 shall be used for participation in one or more pilot projects 5 operated by a private provider to allow the individual or 6 individuals to receive service in the community in accordance 7 with principles established in Olmstead v. L.C., 527 U.S. 581 8 (1999), for the purpose of providing medical assistance or 9 other assistance to individuals with special needs who become 10 ineligible to continue receiving services under the early and 11 periodic screening, diagnostic, and treatment program under 12 the medical assistance program due to becoming 21 years of 13 age who have been approved for additional assistance through 14 the department’s exception to policy provisions, but who have 15 health care needs in excess of the funding available through 16 the exception to the policy provisions. 17 7. Of the funds appropriated in this section, up to 18 $3,050,082 may be transferred to the field operations or 19 general administration appropriations in this division of this 20 Act for operational costs associated with Part D of the federal 21 Medicare Prescription Drug Improvement and Modernization Act 22 of 2003, Pub. L. No. 108-173. 23 8. Of the funds appropriated in this section, up to $442,100 24 may be transferred to the appropriation in this division 25 of this Act for medical contracts to be used for clinical 26 assessment services and prior authorization of services. 27 9. A portion of the funds appropriated in this section 28 may be transferred to the appropriations in this division of 29 this Act for general administration, medical contracts, the 30 children’s health insurance program, or field operations to be 31 used for the state match cost to comply with the payment error 32 rate measurement (PERM) program for both the medical assistance 33 and children’s health insurance programs as developed by the 34 centers for Medicare and Medicaid services of the United States 35 -34- SF 505 (3) 86 pf/rj 34/ 195
S.F. 505 department of health and human services to comply with the 1 federal Improper Payments Information Act of 2002, Pub. L. No. 2 107-300. 3 10. The department shall continue to implement the 4 recommendations of the assuring better child health and 5 development initiative II (ABCDII) clinical panel to the 6 Iowa early and periodic screening, diagnostic, and treatment 7 services healthy mental development collaborative board 8 regarding changes to billing procedures, codes, and eligible 9 service providers. 10 11. Of the funds appropriated in this section, a sufficient 11 amount is allocated to supplement the incomes of residents of 12 nursing facilities, intermediate care facilities for persons 13 with mental illness, and intermediate care facilities for 14 persons with an intellectual disability, with incomes of less 15 than $50 in the amount necessary for the residents to receive a 16 personal needs allowance of $50 per month pursuant to section 17 249A.30A . 18 12. Of the funds appropriated in this section, the following 19 amounts are transferred to the appropriations made in this 20 division of this Act for the state mental health institutes: 21 a. Cherokee mental health institute . . . . . . . . . . . $ 9,098,425 22 b. Clarinda mental health institute . . . . . . . . . . . $ 1,977,305 23 c. Independence mental health institute . . . . . . . $ 9,045,894 24 13. a. Of the funds appropriated in this section, 25 $8,596,650 is allocated for the state match for a 26 disproportionate share hospital payment of $19,133,430 to 27 hospitals that meet both of the conditions specified in 28 subparagraphs (1) and (2). In addition, the hospitals that 29 meet the conditions specified shall either certify public 30 expenditures or transfer to the medical assistance program 31 an amount equal to provide the nonfederal share for a 32 disproportionate share hospital payment of $7,500,000. The 33 hospitals that meet the conditions specified shall receive and 34 retain 100 percent of the total disproportionate share hospital 35 -35- SF 505 (3) 86 pf/rj 35/ 195
S.F. 505 payment of $26,633,430. 1 (1) The hospital qualifies for disproportionate share and 2 graduate medical education payments. 3 (2) The hospital is an Iowa state-owned hospital with more 4 than 500 beds and eight or more distinct residency specialty 5 or subspecialty programs recognized by the American college of 6 graduate medical education. 7 b. Distribution of the disproportionate share payments 8 shall be made on a monthly basis. The total amount of 9 disproportionate share payments including graduate medical 10 education, enhanced disproportionate share, and Iowa 11 state-owned teaching hospital payments shall not exceed the 12 amount of the state’s allotment under Pub. L. No. 102-234. 13 In addition, the total amount of all disproportionate 14 share payments shall not exceed the hospital-specific 15 disproportionate share limits under Pub. L. No. 103-66. 16 c. The university of Iowa hospitals and clinics shall either 17 certify public expenditures or transfer to the appropriations 18 made in this division of this Act for medical assistance an 19 amount equal to provide the nonfederal share for increased 20 medical assistance payments for inpatient and outpatient 21 hospital services of $9,900,000. The university of Iowa 22 hospitals and clinics shall receive and retain 100 percent of 23 the total increase in medical assistance payments. 24 d. Program payments for disproportionate share hospitals 25 and graduate medical education, and the upper payment limits 26 applicable to these programs shall be held harmless from the 27 impacts of Medicaid managed care and the governor’s Medicaid 28 modernization initiative. Payment methodologies utilized 29 for these programs may be adjusted or converted to other 30 methodologies or payment types in order to comply with this 31 hold harmless requirement. 32 14. One hundred percent of the nonfederal share of payments 33 to area education agencies that are medical assistance 34 providers for medical assistance-covered services provided to 35 -36- SF 505 (3) 86 pf/rj 36/ 195
S.F. 505 medical assistance-covered children, shall be made from the 1 appropriation made in this section. 2 15. Any new or renewed contract entered into by the 3 department with a third party to administer behavioral health 4 services under the medical assistance program shall provide 5 that any interest earned on payments from the state during 6 the state fiscal year shall be remitted to the department 7 and treated as recoveries to offset the costs of the medical 8 assistance program. 9 16. A portion of the funds appropriated in this section 10 may be transferred to the appropriation in this division of 11 this Act for medical contracts to be used for administrative 12 activities associated with the money follows the person 13 demonstration project. 14 17. Of the funds appropriated in this section, $349,011 15 shall be used for the administration of the health insurance 16 premium payment program, including salaries, support, 17 maintenance, and miscellaneous purposes. 18 18. a. The department may increase the amounts allocated 19 for salaries, support, maintenance, and miscellaneous purposes 20 associated with the medical assistance program, as necessary, 21 to implement cost containment strategies. The department shall 22 report any such increase to the legislative services agency and 23 the department of management. 24 b. If the savings to the medical assistance program from 25 cost containment efforts exceed the cost for the fiscal 26 year beginning July 1, 2015, the department may transfer any 27 savings generated for the fiscal year due to medical assistance 28 program cost containment efforts to the appropriation 29 made in this division of this Act for medical contracts or 30 general administration to defray the increased contract costs 31 associated with implementing such efforts. 32 c. The department of human services shall not implement 33 the following cost containment measures as recommended by the 34 governor for the fiscal year beginning July 1, 2015: 35 -37- SF 505 (3) 86 pf/rj 37/ 195
S.F. 505 (1) A measure to provide uniform rates of $.575 per mile 1 based on the 2015 Internal Revenue Service mileage rate and 2 of $9.29, the current statewide average, per one-way trip for 3 Medicaid program home and community-based services waivers. 4 (2) A measure to cap the total costs of all services 5 received by a recipient of the home and community-based 6 services waiver for individuals with an intellectual disability 7 at the daily intermediate care facility for persons with an 8 intellectual disability (ICF/ID) per diem rate of $346.39 per 9 day based on the 80th percentile of all ICF/ID rates. 10 (3) A measure to align individual requests for exceptions to 11 policy with the capped total cost of services for a recipient 12 of the home and community-based services waiver for individuals 13 with an intellectual disability as computed under subparagraph 14 (2). 15 (4) A measure to utilize the supports intensity scale 16 to determine payment amounts and a tiered payment system 17 for the services provided to adults served under the home 18 and community-based services waiver for individuals with an 19 intellectual disability. 20 (5) A measure to accelerate implementation of the provision 21 that beginning July 1, 2015, rather than July 1, 2016, the 22 department of human services requires services through the 23 consumer-directed attendant care option to be provided through 24 an agency or consumer choices option. 25 (6) A measure to reallocate funding for community-based 26 systems of care to instead support integrated health homes. 27 (7) A measure to increase the university of Iowa hospitals 28 and clinics state share responsibility for the supplemental 29 disproportionate share hospital payment to the university of 30 Iowa hospitals and clinics for the fiscal year beginning July 31 1, 2015. 32 d. The department shall report the implementation of 33 any cost containment strategies under this subsection to 34 the individuals specified in this division of this Act for 35 -38- SF 505 (3) 86 pf/rj 38/ 195
S.F. 505 submission of reports on a quarterly basis. 1 19. For the fiscal year beginning July 1, 2015, and ending 2 June 30, 2016, the replacement generation tax revenues required 3 to be deposited in the property tax relief fund pursuant to 4 section 437A.8, subsection 4, paragraph “d” , and section 5 437A.15, subsection 3, paragraph “f” , shall instead be credited 6 to and supplement the appropriation made in this section and 7 used for the allocations made in this section. 8 20. The department shall continue to administer the state 9 balancing incentive payments program as specified in 2012 Iowa 10 Acts, chapter 1133, section 14. 11 21. a. Of the funds appropriated in this section, $900,000 12 shall be used for continued implementation of the children’s 13 mental health home project proposed by the department of human 14 services and reported to the general assembly’s mental health 15 and disability services study committee in December 2011. Of 16 this amount, up to $50,000 may be transferred by the department 17 to the appropriation made in this division of this Act to the 18 department for the same fiscal year for general administration 19 to be used for associated administrative expenses and for not 20 more than one full-time equivalent position, in addition to 21 those authorized for the same fiscal year, to be assigned to 22 implementing the project. 23 b. Of the funds appropriated in this section, up to $400,000 24 may be transferred by the department to the appropriation made 25 to the department in this division of this Act for the same 26 fiscal year for Medicaid program-related general administration 27 planning and implementation activities. The funds may be used 28 for contracts or for personnel in addition to the amounts 29 appropriated for and the positions authorized for general 30 administration for the fiscal year. 31 c. Of the funds appropriated in this section, up to 32 $3,000,000 may be transferred by the department to the 33 appropriations made in this division of this Act for the same 34 fiscal year for general administration or medical contracts 35 -39- SF 505 (3) 86 pf/rj 39/ 195
S.F. 505 to be used to support the development and implementation of 1 standardized assessment tools for persons with mental illness, 2 an intellectual disability, a developmental disability, or a 3 brain injury. 4 22. Of the funds appropriated in this section, $250,000 5 shall be used for lodging expenses associated with care 6 provided at the university of Iowa hospitals and clinics for 7 patients with cancer whose travel distance is 30 miles or more 8 and whose income is at or below 200 percent of the federal 9 poverty level as defined by the most recently revised poverty 10 income guidelines published by the United States department of 11 health and human services. 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 of human services shall adopt rules to 19 provide for coverage of telehealth under the Medicaid program. 20 The rules shall provide that in-person contact between a 21 health care professional and a patient is not required as a 22 prerequisite for payment for services appropriately provided 23 through telehealth in accordance with generally accepted health 24 care practices and standards prevailing in the applicable 25 professional community at the time the services are provided. 26 Health care services provided through in-person consultations 27 or through telehealth shall be treated as equivalent services 28 for the purposes of reimbursement. 29 24. a. For inpatient and outpatient services provided 30 by hospitals on or after July 1, 2015, the department of 31 human services shall recalculate and prospectively apply an 32 updated cost-to-charge ratio upon the request of a hospital to 33 implement price or charge reductions, if all of the following 34 criteria are met: 35 -40- SF 505 (3) 86 pf/rj 40/ 195
S.F. 505 (1) The recalculation of an updated cost-to-charge ratio is 1 budget neutral to the state funding amount appropriated for the 2 respective fiscal year and maintains budget neutral payments or 3 revenue to all hospitals. 4 (2) The hospital requesting the price or charge reduction 5 submits a proforma cost report and charge master that reflects 6 the anticipated cost-to-charge reduction. 7 b. Based upon the proforma cost report submitted by the 8 requesting hospital, the department of human services shall 9 prospectively apply the recalculated cost-to-charge ratio as 10 appropriate to submitted claims for health care services. 11 25. The department of human services shall not adopt 12 emergency rules to implement Medicaid managed care or the 13 governor’s Medicaid modernization initiative. 14 26. The number of home and community-based services waiver 15 slots available during the fiscal year beginning July 1, 2015, 16 shall not be reduced below the number of such slots available 17 on January 1, 2015. 18 Sec. 13. MEDICAL CONTRACTS. There is appropriated from the 19 general fund of the state to the department of human services 20 for the fiscal year beginning July 1, 2015, and ending June 30, 21 2016, the following amount, or so much thereof as is necessary, 22 to be used for the purpose designated: 23 For medical contracts: 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 22,153,584 25 1. The department of inspections and appeals shall 26 provide all state matching funds for survey and certification 27 activities performed by the department of inspections 28 and appeals. The department of human services is solely 29 responsible for distributing the federal matching funds for 30 such activities. 31 2. Of the funds appropriated in this section, $50,000 shall 32 be used for continuation of home and community-based services 33 waiver quality assurance programs, including the review and 34 streamlining of processes and policies related to oversight and 35 -41- SF 505 (3) 86 pf/rj 41/ 195
S.F. 505 quality management to meet state and federal requirements. 1 3. Of the amount appropriated in this section, up to 2 $200,000 may be transferred to the appropriation for general 3 administration in this division of this Act to be used for 4 additional full-time equivalent positions in the development of 5 key health initiatives such as cost containment, development 6 and oversight of managed care programs, and development of 7 health strategies targeted toward improved quality and reduced 8 costs in the Medicaid program. 9 4. Of the funds appropriated in this section, $1,000,000 10 shall be used for planning and development, in cooperation with 11 the department of public health, of a phased-in program to 12 provide a dental home for children. 13 5. Of the funds appropriated in this section, $2,000,000 14 shall be used for the autism support program created in chapter 15 225D . 16 Sec. 14. STATE SUPPLEMENTARY ASSISTANCE. 17 1. There is appropriated from the general fund of the 18 state to the department of human services for the fiscal year 19 beginning July 1, 2015, and ending June 30, 2016, the following 20 amount, or so much thereof as is necessary, to be used for the 21 purpose designated: 22 For the state supplementary assistance program: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12,997,187 24 2. The department shall increase the personal needs 25 allowance for residents of residential care facilities by the 26 same percentage and at the same time as federal supplemental 27 security income and federal social security benefits are 28 increased due to a recognized increase in the cost of living. 29 The department may adopt emergency rules to implement this 30 subsection. 31 3. If during the fiscal year beginning July 1, 2015, 32 the department projects that state supplementary assistance 33 expenditures for a calendar year will not meet the federal 34 pass-through requirement specified in Tit. XVI of the federal 35 -42- SF 505 (3) 86 pf/rj 42/ 195
S.F. 505 Social Security Act, section 1618, as codified in 42 U.S.C. 1 §1382g, the department may take actions including but not 2 limited to increasing the personal needs allowance for 3 residential care facility residents and making programmatic 4 adjustments or upward adjustments of the residential care 5 facility or in-home health-related care reimbursement rates 6 prescribed in this division of this Act to ensure that federal 7 requirements are met. In addition, the department may make 8 other programmatic and rate adjustments necessary to remain 9 within the amount appropriated in this section while ensuring 10 compliance with federal requirements. The department may adopt 11 emergency rules to implement the provisions of this subsection. 12 Sec. 15. CHILDREN’S HEALTH INSURANCE PROGRAM. 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, 2015, and ending June 30, 2016, the following 16 amount, or so much thereof as is necessary, to be used for the 17 purpose designated: 18 For maintenance of the healthy and well kids in Iowa (hawk-i) 19 program pursuant to chapter 514I , including supplemental dental 20 services, for receipt of federal financial participation under 21 Tit. XXI of the federal Social Security Act, which creates the 22 children’s health insurance program: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 21,163,844 24 2. Of the funds appropriated in this section, $42,800 is 25 allocated for continuation of the contract for outreach with 26 the department of public health. 27 Sec. 16. CHILD CARE ASSISTANCE. There is appropriated 28 from the general fund of the state to the department of human 29 services for the fiscal year beginning July 1, 2015, and ending 30 June 30, 2016, the following amount, or so much thereof as is 31 necessary, to be used for the purpose designated: 32 For child care programs: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 56,638,030 34 1. Of the funds appropriated in this section, $48,818,603 35 -43- SF 505 (3) 86 pf/rj 43/ 195
S.F. 505 shall be used for state child care assistance in accordance 1 with section 237A.13 . 2 2. Nothing in this section shall be construed or is 3 intended as or shall imply a grant of entitlement for services 4 to persons who are eligible for assistance due to an income 5 level consistent with the waiting list requirements of section 6 237A.13 . Any state obligation to provide services pursuant to 7 this section is limited to the extent of the funds appropriated 8 in this section. 9 3. Of the funds appropriated in this section, $432,453 10 is allocated for the statewide grant program for child care 11 resource and referral services under section 237A.26 . A list 12 of the registered and licensed child care facilities operating 13 in the area served by a child care resource and referral 14 service shall be made available to the families receiving state 15 child care assistance in that area. 16 4. Of the funds appropriated in this section, $936,974 17 is allocated for child care quality improvement initiatives 18 including but not limited to the voluntary quality rating 19 system in accordance with section 237A.30 . 20 5. Of the funds appropriated in this section, $6,350,000 21 shall be credited to the early childhood programs grants 22 account in the early childhood Iowa fund created in section 23 256I.11 . The moneys shall be distributed for funding of 24 community-based early childhood programs targeted to children 25 from birth through five years of age developed by early 26 childhood Iowa areas in accordance with approved community 27 plans as provided in section 256I.8 . 28 6. The department may use any of the funds appropriated 29 in this section as a match to obtain federal funds for use in 30 expanding child care assistance and related programs. For 31 the purpose of expenditures of state and federal child care 32 funding, funds shall be considered obligated at the time 33 expenditures are projected or are allocated to the department’s 34 service areas. Projections shall be based on current and 35 -44- SF 505 (3) 86 pf/rj 44/ 195
S.F. 505 projected caseload growth, current and projected provider 1 rates, staffing requirements for eligibility determination 2 and management of program requirements including data systems 3 management, staffing requirements for administration of the 4 program, contractual and grant obligations and any transfers 5 to other state agencies, and obligations for decategorization 6 or innovation projects. 7 7. A portion of the state match for the federal child care 8 and development block grant shall be provided as necessary to 9 meet federal matching funds requirements through the state 10 general fund appropriation made for child development grants 11 and other programs for at-risk children in section 279.51 . 12 8. If a uniform reduction ordered by the governor under 13 section 8.31 or other operation of law, transfer, or federal 14 funding reduction reduces the appropriation made in this 15 section for the fiscal year, the percentage reduction in the 16 amount paid out to or on behalf of the families participating 17 in the state child care assistance program shall be equal to or 18 less than the percentage reduction made for any other purpose 19 payable from the appropriation made in this section and the 20 federal funding relating to it. The percentage reduction to 21 the other allocations made in this section shall be the same as 22 the uniform reduction ordered by the governor or the percentage 23 change of the federal funding reduction, as applicable. 24 If there is an unanticipated increase in federal funding 25 provided for state child care assistance, the entire amount 26 of the increase shall be used for state child care assistance 27 payments. If the appropriations made for purposes of the 28 state child care assistance program for the fiscal year are 29 determined to be insufficient, it is the intent of the general 30 assembly to appropriate sufficient funding for the fiscal year 31 in order to avoid establishment of waiting list requirements. 32 9. Notwithstanding section 8.33 , moneys advanced for 33 purposes of the programs developed by early childhood Iowa 34 areas, advanced for purposes of wraparound child care, or 35 -45- SF 505 (3) 86 pf/rj 45/ 195
S.F. 505 received from the federal appropriations made for the purposes 1 of this section that remain unencumbered or unobligated at the 2 close of the fiscal year shall not revert to any fund but shall 3 remain available for expenditure for the purposes designated 4 until the close of the succeeding fiscal year. 5 10. Of the funds appropriated in this section, $100,000 6 is transferred to the department of public health to be used 7 to continue a program to assist parents in this state with 8 costs resulting from the death of a child in accordance with 9 this subsection. If it is less costly than administering the 10 program directly, the department shall issue a request for 11 proposals and issue a grant to an appropriate organization to 12 administer the program. 13 a. The program funding shall be used to assist parents who 14 reside in this state with costs incurred for a funeral, burial 15 or cremation, cemetery costs, or grave marker costs associated 16 with the unintended death of a child of the parent or a child 17 under the care of a guardian or custodian. The department 18 shall consider the following eligibility factors in developing 19 program requirements: 20 (1) The child was a stillborn infant or was less than age 21 eighteen at the time of death. 22 (2) The request for assistance was approved by the local 23 board or department of health or the county general assistance 24 director and may have been referred by a local funeral home. 25 (3) To be eligible, the parent, guardian, or custodian must 26 have an annual household income that is less than 145 percent 27 of the federal poverty level based on the number of people 28 in the applicant’s household as defined by the most recently 29 revised poverty income guidelines published by the United 30 States department of health and human services. 31 (4) The maximum amount of grant assistance provided to a 32 parent, guardian, or custodian associated with the death of 33 a child is $2,000. If the death is a multiple death and the 34 infants or children are being cremated, or buried together, the 35 -46- SF 505 (3) 86 pf/rj 46/ 195
S.F. 505 same limitation applies. 1 (5) To the extent the overall amount of assistance received 2 by a recipient for the costs addressed under this subsection 3 does not exceed the overall total of the costs, the recipient 4 may receive other public or private assistance in addition to 5 grant assistance under this section. 6 b. Notwithstanding section 8.33, moneys transferred by this 7 subsection that remain unencumbered or unobligated at the close 8 of the fiscal year shall not revert but shall remain available 9 for expenditure for the purposes designated until expended. 10 Sec. 17. JUVENILE INSTITUTIONS. There is appropriated 11 from the general fund of the state to the department of human 12 services for the fiscal year beginning July 1, 2015, and ending 13 June 30, 2016, the following amounts, or so much thereof as is 14 necessary, to be used for the purposes designated: 15 1. For the costs of security, building and grounds 16 maintenance, utilities, salary, and support for the facilities 17 located at the Iowa juvenile home at Toledo and for salaries, 18 support, maintenance, and miscellaneous purposes, and for not 19 more than the following full-time equivalent positions: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 372,766 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 2.00 22 2. For operation of the state training school at Eldora and 23 for salaries, support, maintenance, and miscellaneous purposes, 24 and for not more than the following full-time equivalent 25 positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,445,552 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 169.30 28 Of the funds appropriated in this subsection, $91,150 shall 29 be used for distribution to licensed classroom teachers at this 30 and other institutions under the control of the department of 31 human services based upon the average student yearly enrollment 32 at each institution as determined by the department. 33 Sec. 18. CHILD AND FAMILY SERVICES. 34 1. There is appropriated from the general fund of the 35 -47- SF 505 (3) 86 pf/rj 47/ 195
S.F. 505 state to the department of human services for the fiscal year 1 beginning July 1, 2015, and ending June 30, 2016, the following 2 amount, or so much thereof as is necessary, to be used for the 3 purpose designated: 4 For child and family services: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 98,182,179 6 2. Up to $5,200,000 of the amount of federal temporary 7 assistance for needy families block grant funding appropriated 8 in this division of this Act for child and family services 9 shall be made available for purposes of juvenile delinquent 10 graduated sanction services. 11 3. The department may transfer funds appropriated in this 12 section as necessary to pay the nonfederal costs of services 13 reimbursed under the medical assistance program, state child 14 care assistance program, or the family investment program which 15 are provided to children who would otherwise receive services 16 paid under the appropriation in this section. The department 17 may transfer funds appropriated in this section to the 18 appropriations made in this division of this Act for general 19 administration and for field operations for resources necessary 20 to implement and operate the services funded in this section. 21 4. a. Of the funds appropriated in this section, up to 22 $35,821,786 is allocated as the statewide expenditure target 23 under section 232.143 for group foster care maintenance and 24 services. If the department projects that such expenditures 25 for the fiscal year will be less than the target amount 26 allocated in this paragraph “a”, the department may reallocate 27 the excess to provide additional funding for shelter care 28 or the child welfare emergency services addressed with the 29 allocation for shelter care. 30 b. If at any time after September 30, 2015, annualization 31 of a service area’s current expenditures indicates a service 32 area is at risk of exceeding its group foster care expenditure 33 target under section 232.143 by more than 5 percent, the 34 department and juvenile court services shall examine all 35 -48- SF 505 (3) 86 pf/rj 48/ 195
S.F. 505 group foster care placements in that service area in order to 1 identify those which might be appropriate for termination. 2 In addition, any aftercare services believed to be needed 3 for the children whose placements may be terminated shall be 4 identified. The department and juvenile court services shall 5 initiate action to set dispositional review hearings for the 6 placements identified. In such a dispositional review hearing, 7 the juvenile court shall determine whether needed aftercare 8 services are available and whether termination of the placement 9 is in the best interest of the child and the community. 10 5. In accordance with