House File 653 - Reprinted HOUSE FILE 653 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO HSB 206) (As Amended and Passed by the House April 19, 2017 ) A BILL FOR An Act relating to appropriations for health and human 1 services and veterans and including other related provisions 2 and appropriations, providing penalties, and including 3 effective date and retroactive and other applicability date 4 provisions. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 6 HF 653 (2) 87 pf/hb/rn/md

H.F. 653 DIVISION I 1 DEPARTMENT ON AGING —— FY 2017-2018 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, 2017, and ending June 30, 5 2018, 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 11,042,476 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 27.00 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- HF 653 (2) 87 pf/hb/rn/md 1/ 151

H.F. 653 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, $812,537 31 shall be used for the purposes of chapter 231E and section 32 231.56A , of which $350,000 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- HF 653 (2) 87 pf/hb/rn/md 2/ 151

H.F. 653 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 7. Of the funds appropriated in this section, $750,000 5 shall be used to fund continuation of the aging and disability 6 resource center lifelong links to provide individuals and 7 caregivers with information and services to plan for and 8 maintain independence. 9 8. Notwithstanding section 8.39, for the fiscal year 10 beginning July 1, 2017, the department may transfer funds 11 within or between the allocations made in this division of this 12 Act for the same fiscal year in accordance with departmental 13 priorities. The department shall report any such transfers 14 to the individuals specified in this Act for submission of 15 reports. This subsection shall not be construed to prohibit 16 the use of existing state transfer authority for other 17 purposes. 18 DIVISION II 19 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2017-2018 20 Sec. 2. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is 21 appropriated from the general fund of the state to the office 22 of long-term care ombudsman for the fiscal year beginning July 23 1, 2017, and ending June 30, 2018, the following amount, or 24 so much thereof as is necessary, to be used for the purposes 25 designated: 26 For salaries, support, administration, maintenance, and 27 miscellaneous purposes, and for not more than the following 28 full-time equivalent positions: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,160,281 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.00 31 DIVISION III 32 DEPARTMENT OF PUBLIC HEALTH —— FY 2017-2018 33 Sec. 3. DEPARTMENT OF PUBLIC HEALTH. There is appropriated 34 from the general fund of the state to the department of public 35 -3- HF 653 (2) 87 pf/hb/rn/md 3/ 151

H.F. 653 health for the fiscal year beginning July 1, 2017, and ending 1 June 30, 2018, the following amounts, or so much thereof as is 2 necessary, to be used for the purposes designated: 3 1. ADDICTIVE DISORDERS 4 For reducing the prevalence of the use of tobacco, alcohol, 5 and other drugs, and treating individuals affected by addictive 6 behaviors, including gambling, and for not more than the 7 following full-time equivalent positions: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 24,985,831 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 10 a. (1) Of the funds appropriated in this subsection, 11 $4,021,225 shall be used for the tobacco use prevention 12 and control initiative, including efforts at the state and 13 local levels, as provided in chapter 142A . The commission 14 on tobacco use prevention and control established pursuant 15 to section 142A.3 shall advise the director of public health 16 in prioritizing funding needs and the allocation of moneys 17 appropriated for the programs and initiatives. Activities 18 of the programs and initiatives shall be in alignment with 19 the United States centers for disease control and prevention 20 best practices for comprehensive tobacco control programs that 21 include the goals of preventing youth initiation of tobacco 22 usage, reducing exposure to secondhand smoke, and promotion 23 of tobacco cessation. To maximize resources, the department 24 shall determine if third-party sources are available to 25 instead provide nicotine replacement products to an applicant 26 prior to provision of such products to an applicant under 27 the initiative. The department shall track and report to 28 the individuals specified in this Act, any reduction in 29 the provision of nicotine replacement products realized by 30 the initiative through implementation of the prerequisite 31 screening. 32 (2) (a) The department shall collaborate with the 33 alcoholic beverages division of the department of commerce for 34 enforcement of tobacco laws, regulations, and ordinances and to 35 -4- HF 653 (2) 87 pf/hb/rn/md 4/ 151

H.F. 653 engage in tobacco control activities approved by the division 1 of tobacco use prevention and control of the department of 2 public health as specified in the memorandum of understanding 3 entered into between the divisions. 4 (b) For the fiscal year beginning July 1, 2017, and ending 5 June 30, 2018, the terms of the memorandum of understanding, 6 entered into between the division of tobacco use prevention 7 and control of the department of public health and the 8 alcoholic beverages division of the department of commerce, 9 governing compliance checks conducted to ensure licensed retail 10 tobacco outlet conformity with tobacco laws, regulations, and 11 ordinances relating to persons under 18 years of age, shall 12 continue to restrict the number of such checks to one check per 13 retail outlet, and one additional check for any retail outlet 14 found to be in violation during the first check. 15 b. Of the funds appropriated in this subsection, 16 $20,964,606 shall be used for problem gambling and 17 substance-related disorder prevention, treatment, and recovery 18 services, including a 24-hour helpline, public information 19 resources, professional training, youth prevention, and program 20 evaluation. 21 c. The requirement of section 123.17, subsection 5, is met 22 by the appropriations and allocations made in this division of 23 this Act for purposes of substance-related disorder treatment 24 and addictive disorders for the fiscal year beginning July 1, 25 2017. 26 2. HEALTHY CHILDREN AND FAMILIES 27 For promoting the optimum health status for children, 28 adolescents from birth through 21 years of age, and families, 29 and for not more than the following full-time equivalent 30 positions: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,325,632 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 33 a. Of the funds appropriated in this subsection, not more 34 than $734,841 shall be used for the healthy opportunities for 35 -5- HF 653 (2) 87 pf/hb/rn/md 5/ 151

H.F. 653 parents to experience success (HOPES)-healthy families Iowa 1 (HFI) program established pursuant to section 135.106 . The 2 funding shall be distributed to renew the grants that were 3 provided to the grantees that operated the program during the 4 fiscal year ending June 30, 2017. 5 b. In order to implement the legislative intent stated in 6 sections 135.106 and 256I.9 , that priority for home visitation 7 program funding be given to programs using evidence-based or 8 promising models for home visitation, it is the intent of the 9 general assembly to phase in the funding priority in accordance 10 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2 , 11 paragraph “0b”. 12 c. Of the funds appropriated in this subsection, $3,075,101 13 shall be used for continuation of the department’s initiative 14 to provide for adequate developmental surveillance and 15 screening during a child’s first five years. The funds shall 16 be used first to fully fund the current sites to ensure that 17 the sites are fully operational, with the remaining funds 18 to be used for expansion to additional sites. The full 19 implementation and expansion shall include enhancing the scope 20 of the initiative through collaboration with the child health 21 specialty clinics to promote healthy child development through 22 early identification and response to both biomedical and social 23 determinants of healthy development; by monitoring child 24 health metrics to inform practice, document long-term health 25 impacts and savings, and provide for continuous improvement 26 through training, education, and evaluation; and by providing 27 for practitioner consultation particularly for children with 28 behavioral conditions and needs. The department of public 29 health shall also collaborate with the Iowa Medicaid enterprise 30 and the child health specialty clinics to integrate the 31 activities of the first five initiative into the establishment 32 of patient-centered medical homes, community utilities, 33 accountable care organizations, and other integrated care 34 models developed to improve health quality and population 35 -6- HF 653 (2) 87 pf/hb/rn/md 6/ 151

H.F. 653 health while reducing health care costs. To the maximum extent 1 possible, funding allocated in this paragraph shall be utilized 2 as matching funds for medical assistance program reimbursement. 3 d. Of the funds appropriated in this subsection, $64,640 4 shall be distributed to a statewide dental carrier to provide 5 funds to continue the donated dental services program patterned 6 after the projects developed by the lifeline network to provide 7 dental services to indigent individuals who are elderly or with 8 disabilities. 9 e. Of the funds appropriated in this subsection, $156,482 10 shall be used to provide audiological services and hearing 11 aids for children. The department may enter into a contract 12 to administer this paragraph. 13 f. Of the funds appropriated in this subsection, $23,000 is 14 transferred to the university of Iowa college of dentistry for 15 provision of primary dental services to children. State funds 16 shall be matched on a dollar-for-dollar basis. The university 17 of Iowa college of dentistry shall coordinate efforts with the 18 department of public health, bureau of oral and health delivery 19 systems, to provide dental care to underserved populations 20 throughout the state. 21 g. Of the funds appropriated in this subsection, $50,000 22 shall be used to address youth suicide prevention. 23 h. Of the funds appropriated in this subsection, $40,511 24 shall be used to support the Iowa effort to address the survey 25 of children who experience adverse childhood experiences known 26 as ACEs. 27 i. The department of public health shall continue to 28 administer the program to assist parents in this state with 29 costs resulting from the death of a child in accordance with 30 the provisions of 2014 Iowa Acts, chapter 1140, section 22, 31 subsection 12 . 32 3. CHRONIC CONDITIONS 33 For serving individuals identified as having chronic 34 conditions or special health care needs, and for not more than 35 -7- HF 653 (2) 87 pf/hb/rn/md 7/ 151

H.F. 653 the following full-time equivalent positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,170,750 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 3 a. Of the funds appropriated in this subsection, $153,755 4 shall be used for grants to individual patients who have an 5 inherited metabolic disorder to assist with the costs of 6 medically necessary foods and formula. 7 b. Of the funds appropriated in this subsection, $1,020,794 8 shall be used for the brain injury services program pursuant 9 to section 135.22B, including for contracting with an existing 10 nationally affiliated and statewide organization whose purpose 11 is to educate, serve, and support Iowans with brain injury and 12 their families for resource facilitator services in accordance 13 with section 135.22B, subsection 9, and for contracting to 14 enhance brain injury training and recruitment of service 15 providers on a statewide basis. Of the amount allocated in 16 this paragraph, $95,000 shall be used to fund one full-time 17 equivalent position to serve as the state brain injury services 18 program manager. 19 c. Of the funds appropriated in this subsection, $144,097 20 shall be used for the public purpose of continuing to contract 21 with an existing national-affiliated organization to provide 22 education, client-centered programs, and client and family 23 support for people living with epilepsy and their families. 24 The amount allocated in this paragraph in excess of $100,000 25 shall be matched dollar-for-dollar by the organization 26 specified. 27 d. Of the funds appropriated in this subsection, $809,550 28 shall be used for child health specialty clinics. 29 e. Of the funds appropriated in this subsection, $384,552 30 shall be used by the regional autism assistance program 31 established pursuant to section 256.35 , and administered by 32 the child health specialty clinic located at the university of 33 Iowa hospitals and clinics. The funds shall be used to enhance 34 interagency collaboration and coordination of educational, 35 -8- HF 653 (2) 87 pf/hb/rn/md 8/ 151

H.F. 653 medical, and other human services for persons with autism, 1 their families, and providers of services, including delivering 2 regionalized services of care coordination, family navigation, 3 and integration of services through the statewide system of 4 regional child health specialty clinics and fulfilling other 5 requirements as specified in chapter 225D . The university of 6 Iowa shall not receive funds allocated under this paragraph for 7 indirect costs associated with the regional autism assistance 8 program. 9 f. Of the funds appropriated in this subsection, $577,375 10 shall be used for the comprehensive cancer control program to 11 reduce the burden of cancer in Iowa through prevention, early 12 detection, effective treatment, and ensuring quality of life. 13 Of the funds allocated in this paragraph “f”, $150,000 shall 14 be used to support a melanoma research symposium, a melanoma 15 biorepository and registry, basic and translational melanoma 16 research, and clinical trials. 17 g. Of the funds appropriated in this subsection, $97,532 18 shall be used for cervical and colon cancer screening, and 19 $177,720 shall be used to enhance the capacity of the cervical 20 cancer screening program to include provision of recommended 21 prevention and early detection measures to a broader range of 22 low-income women. 23 h. Of the funds appropriated in this subsection, $506,355 24 shall be used for the center for congenital and inherited 25 disorders. 26 i. Of the funds appropriated in this subsection, 27 $215,263 shall be used by the department of public health 28 for reform-related activities, including but not limited to 29 facilitation of communication to stakeholders at the state and 30 local level, administering the patient-centered health advisory 31 council pursuant to section 135.159 , and involvement in health 32 care system innovation activities occurring across the state. 33 j. Of the funds appropriated in this subsection, $22,100 34 shall be used for administration of chapter 124D , the medical 35 -9- HF 653 (2) 87 pf/hb/rn/md 9/ 151

H.F. 653 cannabidiol Act. 1 4. COMMUNITY CAPACITY 2 For strengthening the health care delivery system at the 3 local level, and for not more than the following full-time 4 equivalent positions: 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,907,776 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 7 a. Of the funds appropriated in this subsection, $95,575 8 is allocated for continuation of the child vision screening 9 program implemented through the university of Iowa hospitals 10 and clinics in collaboration with early childhood Iowa areas. 11 The program shall submit a report to the individuals identified 12 in this Act for submission of reports regarding the use of 13 funds allocated under this paragraph “a”. The report shall 14 include the objectives and results for the program year 15 including the target population and how the funds allocated 16 assisted the program in meeting the objectives; the number, 17 age, and location within the state of individuals served; 18 the type of services provided to the individuals served; the 19 distribution of funds based on service provided; and the 20 continuing needs of the program. 21 b. Of the funds appropriated in this subsection, $105,656 is 22 allocated for continuation of an initiative implemented at the 23 university of Iowa to expand and improve the workforce engaged 24 in mental health treatment and services. The initiative shall 25 receive input from the university of Iowa, the department of 26 human services, the department of public health, and the mental 27 health and disability services commission to address the focus 28 of the initiative. 29 c. Of the funds appropriated in this section, $83,315 shall 30 be deposited in the governmental public health system fund 31 created in section 135A.8 to be used for the purposes of the 32 fund. 33 d. Of the funds appropriated in this subsection, 34 $48,069 shall be used for a grant to a statewide association 35 -10- HF 653 (2) 87 pf/hb/rn/md 10/ 151

H.F. 653 of psychologists that is affiliated with the American 1 psychological association to be used for continuation of a 2 program to rotate intern psychologists in placements in urban 3 and rural mental health professional shortage areas, as defined 4 in section 135.180 . 5 e. Of the funds appropriated in this subsection, the 6 following amounts are allocated to be used as follows to 7 support the Iowa collaborative safety net provider network 8 goals of increased access, health system integration, and 9 engagement: 10 (1) Not less than $521,863 is allocated to the Iowa 11 prescription drug corporation for continuation of the 12 pharmaceutical infrastructure for safety net providers as 13 described in 2007 Iowa Acts, chapter 218, section 108 , and for 14 the prescription drug donation repository program created in 15 chapter 135M. 16 (2) Not less than $334,870 is allocated to free clinics and 17 free clinics of Iowa for necessary infrastructure, statewide 18 coordination, provider recruitment, service delivery, and 19 provision of assistance to patients in securing a medical home 20 inclusive of oral health care. 21 (3) Not less than $25,000 is allocated to the Iowa 22 association of rural health clinics for necessary 23 infrastructure and service delivery transformation. 24 (4) Not less than $100,000 is allocated to the Polk county 25 medical society for continuation of the safety net provider 26 patient access to a specialty health care initiative as 27 described in 2007 Iowa Acts, chapter 218, section 109. 28 f. Of the funds appropriated in this subsection, 29 $76,231 shall be used by the department in implementing 30 the recommendations in the final report submitted by the 31 direct care worker advisory council to the governor and the 32 general assembly in March 2012, including by continuing to 33 develop, promote, and make available on a statewide basis the 34 prepare-to-care core curriculum and its associated modules 35 -11- HF 653 (2) 87 pf/hb/rn/md 11/ 151

H.F. 653 and specialties through various formats including online 1 access, community colleges, and other venues; exploring new and 2 maintaining existing specialties including but not limited to 3 oral health and dementia care; supporting instructor training; 4 and assessing and making recommendations concerning the Iowa 5 care book and information technology systems and infrastructure 6 uses and needs. 7 g. Of the funds appropriated in this subsection, $191,188 8 shall be allocated for continuation of the contract with 9 an independent statewide direct care worker organization 10 previously selected through a request for proposals process. 11 The contract shall continue to include performance and outcomes 12 measures, and shall continue to allow the contractor to use a 13 portion of the funds received under the contract to collect 14 data to determine results based on the performance and outcomes 15 measures. 16 h. Of the funds appropriated in this subsection, the 17 department may use up to $58,175 for up to one full-time 18 equivalent position to administer the volunteer health care 19 provider program pursuant to section 135.24 . 20 i. Of the funds appropriated in this subsection, $96,138 21 shall be used for a matching dental education loan repayment 22 program to be allocated to a dental nonprofit health service 23 corporation to continue to develop the criteria and implement 24 the loan repayment program. 25 j. Of the funds appropriated in this subsection, $52,911 is 26 transferred to the college student aid commission for deposit 27 in the rural Iowa primary care trust fund created in section 28 261.113 to be used for the purposes of the fund. 29 k. Of the funds appropriated in this subsection, $150,000 30 shall be used for the purposes of the Iowa donor registry as 31 specified in section 142C.18 . 32 l. Of the funds appropriated in this subsection, $96,138 33 shall be used for continuation of a grant to a nationally 34 affiliated volunteer eye organization that has an established 35 -12- HF 653 (2) 87 pf/hb/rn/md 12/ 151

H.F. 653 program for children and adults and that is solely dedicated to 1 preserving sight and preventing blindness through education, 2 nationally certified vision screening and training, and 3 community and patient service programs. The organization 4 shall submit a report to the individuals identified in this 5 Act for submission of reports regarding the use of funds 6 allocated under this paragraph “l”. The report shall include 7 the objectives and results for the program year including 8 the target population and how the funds allocated assisted 9 the program in meeting the objectives; the number, age, and 10 location within the state of individuals served; the type of 11 services provided to the individuals served; the distribution 12 of funds based on services provided; and the continuing needs 13 of the program. 14 5. ESSENTIAL PUBLIC HEALTH SERVICES 15 To provide public health services that reduce risks and 16 invest in promoting and protecting good health over the 17 course of a lifetime with a priority given to older Iowans and 18 vulnerable populations: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,197,878 20 6. INFECTIOUS DISEASES 21 For reducing the incidence and prevalence of communicable 22 diseases, and for not more than the following full-time 23 equivalent positions: 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,646,426 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 26 7. PUBLIC PROTECTION 27 For protecting the health and safety of the public through 28 establishing standards and enforcing regulations, and for not 29 more than the following full-time equivalent positions: 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,195,139 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 138.00 32 a. Of the funds appropriated in this subsection, not more 33 than $304,700 shall be credited to the emergency medical 34 services fund created in section 135.25 . Moneys in the 35 -13- HF 653 (2) 87 pf/hb/rn/md 13/ 151

H.F. 653 emergency medical services fund are appropriated to the 1 department to be used for the purposes of the fund. 2 b. Of the funds appropriated in this subsection, up 3 to $243,260 shall be used for sexual violence prevention 4 programming through a statewide organization representing 5 programs serving victims of sexual violence through the 6 department’s sexual violence prevention program, and for 7 continuation of a training program for sexual assault 8 response team (SART) members, including representatives of 9 law enforcement, victim advocates, prosecutors, and certified 10 medical personnel. The amount allocated in this paragraph “b” 11 shall not be used to supplant funding administered for other 12 sexual violence prevention or victims assistance programs. 13 c. Of the funds appropriated in this subsection, up to 14 $575,627 shall be used for the state poison control center. 15 Pursuant to the directive under 2014 Iowa Acts, chapter 16 1140, section 102 , the federal matching funds available to 17 the state poison control center from the department of human 18 services under the federal Children’s Health Insurance Program 19 Reauthorization Act allotment shall be subject to the federal 20 administrative cap rule of 10 percent applicable to funding 21 provided under Tit. XXI of the federal Social Security Act and 22 included within the department’s calculations of the cap. 23 d. Of the funds appropriated in this subsection, up to 24 $516,982 shall be used for childhood lead poisoning provisions. 25 8. RESOURCE MANAGEMENT 26 For establishing and sustaining the overall ability of the 27 department to deliver services to the public, and for not more 28 than the following full-time equivalent positions: 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 971,215 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 31 9. MISCELLANEOUS PROVISIONS 32 The university of Iowa hospitals and clinics under the 33 control of the state board of regents shall not receive 34 indirect costs from the funds appropriated in this section. 35 -14- HF 653 (2) 87 pf/hb/rn/md 14/ 151

H.F. 653 The university of Iowa hospitals and clinics billings to the 1 department shall be on at least a quarterly basis. 2 10. GENERAL REDUCTION 3 For the period beginning July 1, 2017, and ending June 30, 4 2018, the department of public health, in consultation with 5 the department of management, shall identify and implement a 6 reduction in expenditures made from appropriations from the 7 general fund to the department of public health in the amount 8 of $1,281,367. 9 11. TRANSFERS 10 Notwithstanding section 8.39, for the fiscal year beginning 11 July 1, 2017, the department may transfer funds within or 12 between any of the allocations or appropriations made in this 13 division of this Act for the same fiscal year, to be used in 14 accordance with departmental priorities as specified in the 15 department’s report to the general assembly submitted pursuant 16 to 2016 Iowa Acts, chapter 1139, section 3. The department 17 shall report any such transfers to the individuals specified 18 in this Act for submission of reports. This subsection shall 19 not be construed to prohibit the use of existing state transfer 20 authority for other purposes. 21 DIVISION IV 22 DEPARTMENT OF VETERANS AFFAIRS —— FY 2017-2018 23 Sec. 4. DEPARTMENT OF VETERANS AFFAIRS. There is 24 appropriated from the general fund of the state to the 25 department of veterans affairs for the fiscal year beginning 26 July 1, 2017, and ending June 30, 2018, the following amounts, 27 or so much thereof as is necessary, to be used for the purposes 28 designated: 29 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 30 For salaries, support, maintenance, and miscellaneous 31 purposes, and for not more than the following full-time 32 equivalent positions: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,142,557 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 35 -15- HF 653 (2) 87 pf/hb/rn/md 15/ 151

H.F. 653 2. IOWA VETERANS HOME 1 For salaries, support, maintenance, and miscellaneous 2 purposes: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,228,140 4 a. The Iowa veterans home billings involving the department 5 of human services shall be submitted to the department on at 6 least a monthly basis. 7 b. Within available resources and in conformance with 8 associated state and federal program eligibility requirements, 9 the Iowa veterans home may implement measures to provide 10 financial assistance to or on behalf of veterans or their 11 spouses who are participating in the community reentry program. 12 c. The Iowa veterans home expenditure report shall be 13 submitted monthly to the legislative services agency. 14 d. The Iowa veterans home shall continue to include in the 15 annual discharge report applicant information to provide for 16 the collection of demographic information including but not 17 limited to the number of individuals applying for admission and 18 admitted or denied admittance and the basis for the admission 19 or denial; the age, gender, and race of such individuals; 20 and the level of care for which such individuals applied for 21 admission including residential or nursing level of care. 22 3. HOME OWNERSHIP ASSISTANCE PROGRAM 23 For transfer to the Iowa finance authority for the 24 continuation of the home ownership assistance program for 25 persons who are or were eligible members of the armed forces of 26 the United States, pursuant to section 16.54 : 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,000,000 28 Sec. 5. LIMITATION OF COUNTY COMMISSIONS OF VETERAN AFFAIRS 29 FUND STANDING APPROPRIATIONS. Notwithstanding the standing 30 appropriation in section 35A.16 for the fiscal year beginning 31 July 1, 2017, and ending June 30, 2018, the amount appropriated 32 from the general fund of the state pursuant to that section 33 for the following designated purposes shall not exceed the 34 following amount: 35 -16- HF 653 (2) 87 pf/hb/rn/md 16/ 151

H.F. 653 For the county commissions of veteran affairs fund under 1 section 35A.16 : 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 947,925 3 DIVISION V 4 DEPARTMENT OF HUMAN SERVICES —— FY 2017-2018 5 Sec. 6. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 6 GRANT. There is appropriated from the fund created in section 7 8.41 to the department of human services for the fiscal year 8 beginning July 1, 2017, and ending June 30, 2018, from moneys 9 received under the federal temporary assistance for needy 10 families (TANF) block grant pursuant to the federal Personal 11 Responsibility and Work Opportunity Reconciliation Act of 1996, 12 Pub. L. No. 104-193, and successor legislation, the following 13 amounts, or so much thereof as is necessary, to be used for the 14 purposes designated: 15 1. To be credited to the family investment program account 16 and used for assistance under the family investment program 17 under chapter 239B : 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,112,462 19 2. To be credited to the family investment program account 20 and used for the job opportunities and basic skills (JOBS) 21 program and implementing family investment agreements in 22 accordance with chapter 239B : 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,575,693 24 3. To be used for the family development and 25 self-sufficiency grant program in accordance with section 26 216A.107 : 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,898,980 28 Notwithstanding section 8.33 , moneys appropriated in this 29 subsection that remain unencumbered or unobligated at the close 30 of the fiscal year shall not revert but shall remain available 31 for expenditure for the purposes designated until the close of 32 the succeeding fiscal year. However, unless such moneys are 33 encumbered or obligated on or before September 30, 2018, the 34 moneys shall revert. 35 -17- HF 653 (2) 87 pf/hb/rn/md 17/ 151