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
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$
11,042,476
19
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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)
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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,
$750,000
5
shall
be
used
to
fund
continuation
of
the
aging
and
disability
6
resource
center
lifelong
links
to
provide
individuals
and
7
caregivers
with
information
and
services
to
plan
for
and
8
maintain
independence.
9
8.
Notwithstanding
section
8.39,
for
the
fiscal
year
10
beginning
July
1,
2017,
the
department
may
transfer
funds
11
within
or
between
the
allocations
made
in
this
division
of
this
12
Act
for
the
same
fiscal
year
in
accordance
with
departmental
13
priorities.
The
department
shall
report
any
such
transfers
14
to
the
individuals
specified
in
this
Act
for
submission
of
15
reports.
This
subsection
shall
not
be
construed
to
prohibit
16
the
use
of
existing
state
transfer
authority
for
other
17
purposes.
18
DIVISION
II
19
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2017-2018
20
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
21
appropriated
from
the
general
fund
of
the
state
to
the
office
22
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
23
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
24
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
25
designated:
26
For
salaries,
support,
administration,
maintenance,
and
27
miscellaneous
purposes,
and
for
not
more
than
the
following
28
full-time
equivalent
positions:
29
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$
1,160,281
30
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.
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
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$
24,985,831
9
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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
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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
$20,964,606
shall
be
used
for
problem
gambling
and
17
substance-related
disorder
prevention,
treatment,
and
recovery
18
services,
including
a
24-hour
helpline,
public
information
19
resources,
professional
training,
youth
prevention,
and
program
20
evaluation.
21
c.
The
requirement
of
section
123.17,
subsection
5,
is
met
22
by
the
appropriations
and
allocations
made
in
this
division
of
23
this
Act
for
purposes
of
substance-related
disorder
treatment
24
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
25
2017.
26
2.
HEALTHY
CHILDREN
AND
FAMILIES
27
For
promoting
the
optimum
health
status
for
children,
28
adolescents
from
birth
through
21
years
of
age,
and
families,
29
and
for
not
more
than
the
following
full-time
equivalent
30
positions:
31
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$
5,325,632
32
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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)
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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
H.F.
653
4.
For
field
operations:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
2
5.
For
general
administration:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
4
6.
For
state
child
care
assistance:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,866,826
6
a.
Of
the
funds
appropriated
in
this
subsection,
7
$26,328,097
is
transferred
to
the
child
care
and
development
8
block
grant
appropriation
made
by
the
Eighty-seventh
General
9
Assembly,
2017
session,
for
the
federal
fiscal
year
beginning
10
October
1,
2017,
and
ending
September
30,
2018.
Of
this
11
amount,
$200,000
shall
be
used
for
provision
of
educational
12
opportunities
to
registered
child
care
home
providers
in
order
13
to
improve
services
and
programs
offered
by
this
category
14
of
providers
and
to
increase
the
number
of
providers.
The
15
department
may
contract
with
institutions
of
higher
education
16
or
child
care
resource
and
referral
centers
to
provide
17
the
educational
opportunities.
Allowable
administrative
18
costs
under
the
contracts
shall
not
exceed
5
percent.
The
19
application
for
a
grant
shall
not
exceed
two
pages
in
length.
20
b.
Any
funds
appropriated
in
this
subsection
remaining
21
unallocated
shall
be
used
for
state
child
care
assistance
22
payments
for
families
who
are
employed
including
but
not
23
limited
to
individuals
enrolled
in
the
family
investment
24
program.
25
7.
For
child
and
family
services:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
27
8.
For
child
abuse
prevention
grants:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
29
9.
For
pregnancy
prevention
grants
on
the
condition
that
30
family
planning
services
are
funded:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,930,067
32
Pregnancy
prevention
grants
shall
be
awarded
to
programs
33
in
existence
on
or
before
July
1,
2017,
if
the
programs
have
34
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
35
-18-
HF
653
(2)
87
pf/hb/rn/md
18/
151
H.F.
653
pregnancy
prevention
programs
which
are
developed
after
July
1
1,
2017,
if
the
programs
are
based
on
existing
models
that
2
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
3
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
4
section
14,
subsections
1
and
2
,
including
the
requirement
that
5
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
6
the
awarding
of
grants
shall
be
given
to
programs
that
serve
7
areas
of
the
state
which
demonstrate
the
highest
percentage
of
8
unplanned
pregnancies
of
females
of
childbearing
age
within
the
9
geographic
area
to
be
served
by
the
grant.
10
10.
For
technology
needs
and
other
resources
necessary
11
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
12
management
requirements:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
14
11.
a.
Notwithstanding
any
provision
to
the
contrary,
15
including
but
not
limited
to
requirements
in
section
8.41
or
16
provisions
in
2016
or
2017
Iowa
Acts
regarding
the
receipt
and
17
appropriation
of
federal
block
grants,
federal
funds
from
the
18
temporary
assistance
for
needy
families
block
grant
received
by
19
the
state
and
not
otherwise
appropriated
in
this
section
and
20
remaining
available
for
the
fiscal
year
beginning
July
1,
2017,
21
are
appropriated
to
the
department
of
human
services
to
the
22
extent
as
may
be
necessary
to
be
used
in
the
following
priority
23
order:
the
family
investment
program,
for
state
child
care
24
assistance
program
payments
for
families
who
are
employed,
and
25
for
the
family
investment
program
share
of
costs
to
develop
and
26
maintain
a
new,
integrated
eligibility
determination
system.
27
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
28
expended
only
after
all
other
funds
appropriated
in
subsection
29
1
for
assistance
under
the
family
investment
program,
in
30
subsection
6
for
child
care
assistance,
or
in
subsection
10
31
for
technology
costs
related
to
the
family
investment
program,
32
as
applicable,
have
been
expended.
For
the
purposes
of
this
33
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
34
“a”,
for
transfer
to
the
child
care
and
development
block
grant
35
-19-
HF
653
(2)
87
pf/hb/rn/md
19/
151
H.F.
653
appropriation
are
considered
fully
expended
when
the
full
1
amount
has
been
transferred.
2
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
3
legislative
services
agency
and
department
of
management
of
4
the
amount
of
funds
appropriated
in
this
subsection
that
was
5
expended
in
the
prior
quarter.
6
12.
Of
the
amounts
appropriated
in
this
section,
7
$12,962,008
for
the
fiscal
year
beginning
July
1,
2017,
is
8
transferred
to
the
appropriation
of
the
federal
social
services
9
block
grant
made
to
the
department
of
human
services
for
that
10
fiscal
year.
11
13.
For
continuation
of
the
program
providing
categorical
12
eligibility
for
the
food
assistance
program
as
specified
13
for
the
program
in
the
section
of
this
division
of
this
Act
14
relating
to
the
family
investment
program
account:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,000
16
14.
The
department
may
transfer
funds
allocated
in
this
17
section
to
the
appropriations
made
in
this
division
of
this
Act
18
for
the
same
fiscal
year
for
general
administration
and
field
19
operations
for
resources
necessary
to
implement
and
operate
the
20
services
referred
to
in
this
section
and
those
funded
in
the
21
appropriation
made
in
this
division
of
this
Act
for
the
same
22
fiscal
year
for
the
family
investment
program
from
the
general
23
fund
of
the
state.
24
15.
With
the
exception
of
moneys
allocated
under
this
25
section
for
the
family
development
and
self-sufficiency
grant
26
program,
to
the
extent
moneys
allocated
in
this
section
are
27
deemed
by
the
department
not
to
be
necessary
to
support
the
28
purposes
for
which
they
are
allocated,
such
moneys
may
be
29
credited
to
the
family
investment
program
account
as
specified
30
under
subsection
1
of
this
section
and
used
for
the
purposes
of
31
assistance
under
the
family
investment
program
in
accordance
32
with
chapter
239B
in
the
same
fiscal
year.
33
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
34
1.
Moneys
credited
to
the
family
investment
program
(FIP)
35
-20-
HF
653
(2)
87
pf/hb/rn/md
20/
151
H.F.
653
account
for
the
fiscal
year
beginning
July
1,
2017,
and
1
ending
June
30,
2018,
shall
be
used
to
provide
assistance
in
2
accordance
with
chapter
239B
.
3
2.
The
department
may
use
a
portion
of
the
moneys
credited
4
to
the
FIP
account
under
this
section
as
necessary
for
5
salaries,
support,
maintenance,
and
miscellaneous
purposes.
6
3.
The
department
may
transfer
funds
allocated
in
7
subsection
4
to
the
appropriations
made
in
this
division
of
8
this
Act
for
the
same
fiscal
year
for
general
administration
9
and
field
operations
for
resources
necessary
to
implement
and
10
operate
the
family
investment
program
services
referred
to
in
11
this
section
and
those
funded
in
the
appropriation
made
in
this
12
division
of
this
Act
for
the
same
fiscal
year
for
the
family
13
investment
program
from
the
general
fund
of
the
state.
14
4.
Moneys
appropriated
in
this
division
of
this
Act
and
15
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
16
1,
2017,
and
ending
June
30,
2018,
are
allocated
as
follows:
17
a.
To
be
retained
by
the
department
of
human
services
to
18
be
used
for
coordinating
with
the
department
of
human
rights
19
to
more
effectively
serve
participants
in
FIP
and
other
shared
20
clients
and
to
meet
federal
reporting
requirements
under
the
21
federal
temporary
assistance
for
needy
families
block
grant:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
23
b.
To
the
department
of
human
rights
for
staffing,
24
administration,
and
implementation
of
the
family
development
25
and
self-sufficiency
grant
program
in
accordance
with
section
26
216A.107
:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
28
(1)
Of
the
funds
allocated
for
the
family
development
29
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
30
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
31
administration
of
the
grant
program.
32
(2)
The
department
of
human
rights
may
continue
to
implement
33
the
family
development
and
self-sufficiency
grant
program
34
statewide
during
fiscal
year
2017-2018.
35
-21-
HF
653
(2)
87
pf/hb/rn/md
21/
151
H.F.
653
(3)
The
department
of
human
rights
may
engage
in
activities
1
to
strengthen
and
improve
family
outcomes
measures
and
2
data
collection
systems
under
the
family
development
and
3
self-sufficiency
grant
program.
4
c.
For
the
diversion
subaccount
of
the
FIP
account:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
6
A
portion
of
the
moneys
allocated
for
the
subaccount
may
7
be
used
for
field
operations,
salaries,
data
management
8
system
development,
and
implementation
costs
and
support
9
deemed
necessary
by
the
director
of
human
services
in
order
to
10
administer
the
FIP
diversion
program.
To
the
extent
moneys
11
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
12
not
to
be
necessary
to
support
diversion
activities,
such
13
moneys
may
be
used
for
other
efforts
intended
to
increase
14
engagement
by
family
investment
program
participants
in
work,
15
education,
or
training
activities,
or
for
the
purposes
of
16
assistance
under
the
family
investment
program
in
accordance
17
with
chapter
239B.
18
d.
For
the
food
assistance
employment
and
training
program:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
20
(1)
The
department
shall
apply
the
federal
supplemental
21
nutrition
assistance
program
(SNAP)
employment
and
training
22
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
23
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
24
provisions
for
the
claiming
of
allowable
federal
reimbursement
25
funds
from
the
United
States
department
of
agriculture
26
pursuant
to
the
federal
SNAP
employment
and
training
program
27
for
providing
education,
employment,
and
training
services
28
for
eligible
food
assistance
program
participants,
including
29
but
not
limited
to
related
dependent
care
and
transportation
30
expenses.
31
(2)
The
department
shall
continue
the
categorical
federal
32
food
assistance
program
eligibility
at
160
percent
of
the
33
federal
poverty
level
and
continue
to
eliminate
the
asset
test
34
from
eligibility
requirements,
consistent
with
federal
food
35
-22-
HF
653
(2)
87
pf/hb/rn/md
22/
151
H.F.
653
assistance
program
requirements.
The
department
shall
include
1
as
many
food
assistance
households
as
is
allowed
by
federal
2
law.
The
eligibility
provisions
shall
conform
to
all
federal
3
requirements
including
requirements
addressing
individuals
who
4
are
incarcerated
or
otherwise
ineligible.
5
e.
For
the
JOBS
program:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,523,290
7
5.
Of
the
child
support
collections
assigned
under
FIP,
8
an
amount
equal
to
the
federal
share
of
support
collections
9
shall
be
credited
to
the
child
support
recovery
appropriation
10
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
11
assigned
child
support
collections
received
by
the
child
12
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
13
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
14
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
15
payments
account.
If
as
a
consequence
of
the
appropriations
16
and
allocations
made
in
this
section
the
resulting
amounts
17
are
insufficient
to
sustain
cash
assistance
payments
and
meet
18
federal
maintenance
of
effort
requirements,
the
department
19
shall
seek
supplemental
funding.
If
child
support
collections
20
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
21
determined
not
to
be
required
for
maintenance
of
effort,
the
22
state
share
of
either
amount
may
be
transferred
to
or
retained
23
in
the
child
support
payments
account.
24
6.
The
department
may
adopt
emergency
rules
for
the
family
25
investment,
JOBS,
food
assistance,
and
medical
assistance
26
programs
if
necessary
to
comply
with
federal
requirements.
27
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
28
is
appropriated
from
the
general
fund
of
the
state
to
the
29
department
of
human
services
for
the
fiscal
year
beginning
July
30
1,
2017,
and
ending
June
30,
2018,
the
following
amount,
or
31
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
32
designated:
33
To
be
credited
to
the
family
investment
program
(FIP)
34
account
and
used
for
family
investment
program
assistance
under
35
-23-
HF
653
(2)
87
pf/hb/rn/md
23/
151
H.F.
653
chapter
239B
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,004,480
2
1.
Of
the
funds
appropriated
in
this
section,
$7,947,597
is
3
allocated
for
the
JOBS
program.
4
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
5
allocated
for
the
family
development
and
self-sufficiency
grant
6
program.
7
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
8
beginning
July
1,
2017,
if
necessary
to
meet
federal
9
maintenance
of
effort
requirements
or
to
transfer
federal
10
temporary
assistance
for
needy
families
block
grant
funding
11
to
be
used
for
purposes
of
the
federal
social
services
block
12
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
13
receiving
federal
funding
or
to
implement,
in
accordance
with
14
this
division
of
this
Act,
activities
currently
funded
with
15
juvenile
court
services,
county,
or
community
moneys
and
state
16
moneys
used
in
combination
with
such
moneys;
to
comply
with
17
federal
requirements;
or
to
maximize
the
use
of
federal
funds,
18
the
department
of
human
services
may
transfer
funds
within
or
19
between
any
of
the
appropriations
made
in
this
division
of
this
20
Act
and
appropriations
in
law
for
the
federal
social
services
21
block
grant
to
the
department
for
the
following
purposes,
22
provided
that
the
combined
amount
of
state
and
federal
23
temporary
assistance
for
needy
families
block
grant
funding
24
for
each
appropriation
remains
the
same
before
and
after
the
25
transfer:
26
a.
For
the
family
investment
program.
27
b.
For
child
care
assistance.
28
c.
For
child
and
family
services.
29
d.
For
field
operations.
30
e.
For
general
administration.
31
This
subsection
shall
not
be
construed
to
prohibit
the
use
32
of
existing
state
transfer
authority
for
other
purposes.
The
33
department
shall
report
any
transfers
made
pursuant
to
this
34
subsection
to
the
legislative
services
agency.
35
-24-
HF
653
(2)
87
pf/hb/rn/md
24/
151
H.F.
653
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
1
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
2
organization
with
a
history
of
providing
tax
preparation
3
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
4
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
5
supply
this
assistance
to
underserved
areas
of
the
state.
6
5.
Of
the
funds
appropriated
in
this
section,
$60,000
shall
7
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
8
defined
in
441
IAC
100.1
,
relating
to
parental
obligations,
9
in
which
the
child
support
recovery
unit
participates,
to
10
support
the
efforts
of
a
nonprofit
organization
committed
11
to
strengthening
the
community
through
youth
development,
12
healthy
living,
and
social
responsibility
headquartered
in
13
a
county
with
a
population
over
350,000
according
to
the
14
latest
certified
federal
census.
The
funds
allocated
in
this
15
subsection
shall
be
used
by
the
recipient
organization
to
16
develop
a
larger
community
effort,
through
public
and
private
17
partnerships,
to
support
a
broad-based
multi-county
fatherhood
18
initiative
that
promotes
payment
of
child
support
obligations,
19
improved
family
relationships,
and
full-time
employment.
20
6.
The
department
may
transfer
funds
appropriated
in
this
21
section
to
the
appropriations
made
in
this
division
of
this
Act
22
for
general
administration
and
field
operations
as
necessary
23
to
administer
this
section
and
the
overall
family
investment
24
program.
25
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
human
27
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
28
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purposes
designated:
30
For
child
support
recovery,
including
salaries,
support,
31
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
32
the
following
full-time
equivalent
positions:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,586,635
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
35
-25-
HF
653
(2)
87
pf/hb/rn/md
25/
151
H.F.
653
1.
The
department
shall
expend
up
to
$24,329,
including
1
federal
financial
participation,
for
the
fiscal
year
beginning
2
July
1,
2017,
for
a
child
support
public
awareness
campaign.
3
The
department
and
the
office
of
the
attorney
general
shall
4
cooperate
in
continuation
of
the
campaign.
The
public
5
awareness
campaign
shall
emphasize,
through
a
variety
of
6
media
activities,
the
importance
of
maximum
involvement
of
7
both
parents
in
the
lives
of
their
children
as
well
as
the
8
importance
of
payment
of
child
support
obligations.
9
2.
Federal
access
and
visitation
grant
moneys
shall
be
10
issued
directly
to
private
not-for-profit
agencies
that
provide
11
services
designed
to
increase
compliance
with
the
child
access
12
provisions
of
court
orders,
including
but
not
limited
to
13
neutral
visitation
sites
and
mediation
services.
14
3.
The
appropriation
made
to
the
department
for
child
15
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
16
manner
necessary
for
purposes
of
cash
flow
management,
and
for
17
cash
flow
management
purposes
the
department
may
temporarily
18
draw
more
than
the
amount
appropriated,
provided
the
amount
19
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
20
4.
With
the
exception
of
the
funding
amount
specified,
the
21
requirements
established
under
2001
Iowa
Acts,
chapter
191,
22
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
23
be
applicable
to
parental
obligation
pilot
projects
for
the
24
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018.
25
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
26
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
27
in
effect
until
June
30,
2018.
28
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
29
FY
2017-2018.
Any
funds
remaining
in
the
health
care
trust
30
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
31
July
1,
2017,
and
ending
June
30,
2018,
are
appropriated
to
32
the
department
of
human
services
to
supplement
the
medical
33
assistance
program
appropriations
made
in
this
division
of
this
34
Act,
for
medical
assistance
reimbursement
and
associated
costs,
35
-26-
HF
653
(2)
87
pf/hb/rn/md
26/
151
H.F.
653
including
program
administration
and
costs
associated
with
1
program
implementation.
2
Sec.
11.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
3
2017-2018.
Any
funds
remaining
in
the
Medicaid
fraud
fund
4
created
in
section
249A.50
for
the
fiscal
year
beginning
5
July
1,
2017,
and
ending
June
30,
2018,
are
appropriated
to
6
the
department
of
human
services
to
supplement
the
medical
7
assistance
appropriations
made
in
this
division
of
this
Act,
8
for
medical
assistance
reimbursement
and
associated
costs,
9
including
program
administration
and
costs
associated
with
10
program
implementation.
11
Sec.
12.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
12
general
fund
of
the
state
to
the
department
of
human
services
13
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
14
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
15
to
be
used
for
the
purpose
designated:
16
For
medical
assistance
program
reimbursement
and
associated
17
costs
as
specifically
provided
in
the
reimbursement
18
methodologies
in
effect
on
June
30,
2017,
except
as
otherwise
19
expressly
authorized
by
law,
consistent
with
options
under
20
federal
law
and
regulations,
and
contingent
upon
receipt
of
21
approval
from
the
office
of
the
governor
of
reimbursement
for
22
each
abortion
performed
under
the
program:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,284,405,740
24
1.
Iowans
support
reducing
the
number
of
abortions
25
performed
in
our
state.
Funds
appropriated
under
this
section
26
shall
not
be
used
for
abortions,
unless
otherwise
authorized
27
under
this
section.
28
2.
The
provisions
of
this
section
relating
to
abortions
29
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
30
pursuant
to
chapter
249N
.
31
3.
The
department
shall
utilize
not
more
than
$60,000
of
32
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
33
health
insurance
premium
payment
program
as
established
in
1992
34
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
35
-27-
HF
653
(2)
87
pf/hb/rn/md
27/
151
H.F.
653
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
1
not
more
than
$5,000
may
be
expended
for
administrative
2
purposes.
3
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
4
of
public
health
for
addictive
disorders,
$950,000
for
5
the
fiscal
year
beginning
July
1,
2017,
is
transferred
6
to
the
department
of
human
services
for
an
integrated
7
substance-related
disorder
managed
care
system.
The
8
departments
of
human
services
and
public
health
shall
9
work
together
to
maintain
the
level
of
mental
health
and
10
substance-related
disorder
treatment
services
provided
by
the
11
managed
care
contractors.
Each
department
shall
take
the
steps
12
necessary
to
continue
the
federal
waivers
as
necessary
to
13
maintain
the
level
of
services.
14
5.
a.
The
department
shall
aggressively
pursue
options
for
15
providing
medical
assistance
or
other
assistance
to
individuals
16
with
special
needs
who
become
ineligible
to
continue
receiving
17
services
under
the
early
and
periodic
screening,
diagnostic,
18
and
treatment
program
under
the
medical
assistance
program
19
due
to
becoming
21
years
of
age
who
have
been
approved
for
20
additional
assistance
through
the
department’s
exception
to
21
policy
provisions,
but
who
have
health
care
needs
in
excess
22
of
the
funding
available
through
the
exception
to
policy
23
provisions.
24
b.
Of
the
funds
appropriated
in
this
section,
$100,000
25
shall
be
used
for
participation
in
one
or
more
pilot
projects
26
operated
by
a
private
provider
to
allow
the
individual
or
27
individuals
to
receive
service
in
the
community
in
accordance
28
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
29
(1999),
for
the
purpose
of
providing
medical
assistance
or
30
other
assistance
to
individuals
with
special
needs
who
become
31
ineligible
to
continue
receiving
services
under
the
early
and
32
periodic
screening,
diagnostic,
and
treatment
program
under
33
the
medical
assistance
program
due
to
becoming
21
years
of
34
age
who
have
been
approved
for
additional
assistance
through
35
-28-
HF
653
(2)
87
pf/hb/rn/md
28/
151
H.F.
653
the
department’s
exception
to
policy
provisions,
but
who
have
1
health
care
needs
in
excess
of
the
funding
available
through
2
the
exception
to
the
policy
provisions.
3
6.
Of
the
funds
appropriated
in
this
section,
up
to
4
$3,050,082
may
be
transferred
to
the
field
operations
or
5
general
administration
appropriations
in
this
division
of
this
6
Act
for
operational
costs
associated
with
Part
D
of
the
federal
7
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
8
of
2003,
Pub.
L.
No.
108-173.
9
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
10
may
be
transferred
to
the
appropriation
in
this
division
11
of
this
Act
for
medical
contracts
to
be
used
for
clinical
12
assessment
services
and
prior
authorization
of
services.
13
8.
A
portion
of
the
funds
appropriated
in
this
section
14
may
be
transferred
to
the
appropriations
in
this
division
of
15
this
Act
for
general
administration,
medical
contracts,
the
16
children’s
health
insurance
program,
or
field
operations
to
be
17
used
for
the
state
match
cost
to
comply
with
the
payment
error
18
rate
measurement
(PERM)
program
for
both
the
medical
assistance
19
and
children’s
health
insurance
programs
as
developed
by
the
20
centers
for
Medicare
and
Medicaid
services
of
the
United
States
21
department
of
health
and
human
services
to
comply
with
the
22
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
23
107-300.
24
9.
The
department
shall
continue
to
implement
the
25
recommendations
of
the
assuring
better
child
health
and
26
development
initiative
II
(ABCDII)
clinical
panel
to
the
27
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
28
services
healthy
mental
development
collaborative
board
29
regarding
changes
to
billing
procedures,
codes,
and
eligible
30
service
providers.
31
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
32
amount
is
allocated
to
supplement
the
incomes
of
residents
of
33
nursing
facilities,
intermediate
care
facilities
for
persons
34
with
mental
illness,
and
intermediate
care
facilities
for
35
-29-
HF
653
(2)
87
pf/hb/rn/md
29/
151
H.F.
653
persons
with
an
intellectual
disability,
with
incomes
of
less
1
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
2
personal
needs
allowance
of
$50
per
month
pursuant
to
section
3
249A.30A
.
4
11.
a.
Hospitals
that
meet
the
conditions
specified
5
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
6
expenditures
or
transfer
to
the
medical
assistance
program
7
an
amount
equal
to
provide
the
nonfederal
share
for
a
8
disproportionate
share
hospital
payment
in
an
amount
up
to
the
9
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
10
The
hospitals
that
meet
the
conditions
specified
shall
receive
11
and
retain
100
percent
of
the
total
disproportionate
share
12
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
13
as
approved
in
the
Medicaid
state
plan.
14
(1)
The
hospital
qualifies
for
disproportionate
share
and
15
graduate
medical
education
payments.
16
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
17
than
500
beds
and
eight
or
more
distinct
residency
specialty
18
or
subspecialty
programs
recognized
by
the
American
college
of
19
graduate
medical
education.
20
b.
Distribution
of
the
disproportionate
share
payments
21
shall
be
made
on
a
monthly
basis.
The
total
amount
of
22
disproportionate
share
payments
including
graduate
medical
23
education,
enhanced
disproportionate
share,
and
Iowa
24
state-owned
teaching
hospital
payments
shall
not
exceed
the
25
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
26
In
addition,
the
total
amount
of
all
disproportionate
27
share
payments
shall
not
exceed
the
hospital-specific
28
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
29
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
30
to
area
education
agencies
that
are
medical
assistance
31
providers
for
medical
assistance-covered
services
provided
to
32
medical
assistance-covered
children,
shall
be
made
from
the
33
appropriation
made
in
this
section.
34
13.
A
portion
of
the
funds
appropriated
in
this
section
35
-30-
HF
653
(2)
87
pf/hb/rn/md
30/
151
H.F.
653
may
be
transferred
to
the
appropriation
in
this
division
of
1
this
Act
for
medical
contracts
to
be
used
for
administrative
2
activities
associated
with
the
money
follows
the
person
3
demonstration
project.
4
14.
Of
the
funds
appropriated
in
this
section,
$349,011
5
shall
be
used
for
the
administration
of
the
health
insurance
6
premium
payment
program,
including
salaries,
support,
7
maintenance,
and
miscellaneous
purposes.
8
15.
a.
The
department
shall
implement
all
of
the
following
9
cost
containment
strategies:
10
(1)
An
adjustment
to
the
reimbursement
policy
in
order
11
to
eliminate
the
primary
care
physician
rate
increase
12
originally
authorized
by
the
federal
Health
Care
and
Education
13
Reconciliation
Act
of
2010,
section
1202,
Pub.
L.
No.
111-152,
14
42
U.S.C.
§1396a(a)(13)(C)
that
allows
qualified
primary
care
15
physicians
to
receive
the
greater
of
the
Medicare
rate
or
16
Medicaid
rate
for
a
specified
set
of
codes.
17
(2)
A
strategy
to
ensure
that
total
reimbursement
for
18
Medicare
Part
A
and
Medicare
Part
B
crossover
claims
is
limited
19
to
the
Medicaid
reimbursement
rate.
20
(3)
An
adjustment
to
Medicaid
reimbursement
rates
for
21
physician
services
by
applying
a
site
of
service
differential
22
to
reflect
the
difference
between
the
cost
of
physician
23
services
when
provided
in
a
health
facility
setting
and
the
24
cost
of
physician
services
when
provided
in
a
physician’s
25
office.
26
(4)
An
adjustment
to
the
inpatient
diagnostic
related
group
27
(DRG)
cost
threshold
formula
to
be
the
greater
of
two
times
the
28
statewide
average
DRG
payment
for
that
case
or
the
hospital’s
29
individual
DRG
payment
for
that
case
plus
$75,000.
30
(5)
An
adjustment
to
the
Medicaid
anesthesia
conversion
31
factor
to
be
equal
to
the
calendar
year
2017
Medicare
32
anesthesia
conversion
factor
as
adjusted
for
the
state,
and
33
converted
to
a
per
minute
amount.
Each
January
1,
thereafter,
34
the
department
shall
apply
the
applicable
Medicare
anesthesia
35
-31-
HF
653
(2)
87
pf/hb/rn/md
31/
151
H.F.
653
conversion
factor
adjusted
for
the
state,
and
converted
to
a
1
per
minute
amount.
2
(6)
An
alignment
of
billing
and
reimbursement
for
3
consultation
services
rendered
in
an
office,
other
outpatient,
4
or
inpatient
setting
with
Medicare
billing
and
reimbursement.
5
(7)
Elimination
of
the
three-month
retroactive
Medicaid
6
coverage
benefit
for
Medicaid
applicants
effective
October
1,
7
2017.
The
department
shall
seek
a
waiver
from
the
centers
for
8
Medicare
and
Medicaid
services
of
the
United
States
department
9
of
health
and
human
services
to
implement
the
strategy.
10
If
federal
approval
is
received,
an
applicant’s
Medicaid
11
coverage
shall
be
effective
on
the
first
day
of
the
month
of
12
application,
as
allowed
under
the
Medicaid
state
plan.
13
b.
The
department
shall
implement
the
cost
containment
14
strategies
specified
in
this
subsection
beginning
July
1,
2017,
15
or
as
otherwise
specified.
If
federal
approval
is
required,
16
the
strategy
shall
be
implemented
effective
upon
receipt
of
17
federal
approval.
18
c.
The
department
may
adopt
emergency
rules
to
implement
19
this
subsection.
20
16.
a.
The
department
may
increase
the
amounts
allocated
21
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
22
associated
with
the
medical
assistance
program,
as
necessary,
23
to
implement
cost
containment
strategies.
The
department
shall
24
report
any
such
increase
to
the
legislative
services
agency
and
25
the
department
of
management.
26
b.
If
the
savings
to
the
medical
assistance
program
from
27
cost
containment
efforts
exceed
the
cost
for
the
fiscal
28
year
beginning
July
1,
2017,
the
department
may
transfer
any
29
savings
generated
for
the
fiscal
year
due
to
medical
assistance
30
program
cost
containment
efforts
to
the
appropriation
31
made
in
this
division
of
this
Act
for
medical
contracts
or
32
general
administration
to
defray
the
increased
contract
costs
33
associated
with
implementing
such
efforts.
34
17.
For
the
fiscal
year
beginning
July
1,
2017,
and
ending
35
-32-
HF
653
(2)
87
pf/hb/rn/md
32/
151
H.F.
653
June
30,
2018,
the
replacement
generation
tax
revenues
required
1
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
2
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
3
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
4
to
and
supplement
the
appropriation
made
in
this
section
and
5
used
for
the
allocations
made
in
this
section.
6
18.
a.
Of
the
funds
appropriated
in
this
section,
up
7
to
$50,000
may
be
transferred
by
the
department
to
the
8
appropriation
made
in
this
division
of
this
Act
to
the
9
department
for
the
same
fiscal
year
for
general
administration
10
to
be
used
for
associated
administrative
expenses
and
for
not
11
more
than
one
full-time
equivalent
position,
in
addition
to
12
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
13
implementing
the
children’s
mental
health
home
project.
14
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
15
may
be
transferred
by
the
department
to
the
appropriation
made
16
to
the
department
in
this
division
of
this
Act
for
the
same
17
fiscal
year
for
Medicaid
program-related
general
administration
18
planning
and
implementation
activities.
The
funds
may
be
used
19
for
contracts
or
for
personnel
in
addition
to
the
amounts
20
appropriated
for
and
the
positions
authorized
for
general
21
administration
for
the
fiscal
year.
22
c.
Of
the
funds
appropriated
in
this
section,
up
to
23
$3,000,000
may
be
transferred
by
the
department
to
the
24
appropriations
made
in
this
division
of
this
Act
for
the
same
25
fiscal
year
for
general
administration
or
medical
contracts
26
to
be
used
to
support
the
development
and
implementation
of
27
standardized
assessment
tools
for
persons
with
mental
illness,
28
an
intellectual
disability,
a
developmental
disability,
or
a
29
brain
injury.
30
19.
Of
the
funds
appropriated
in
this
section,
$150,000
31
shall
be
used
for
lodging
expenses
associated
with
care
32
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
33
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
34
and
whose
income
is
at
or
below
200
percent
of
the
federal
35
-33-
HF
653
(2)
87
pf/hb/rn/md
33/
151
H.F.
653
poverty
level
as
defined
by
the
most
recently
revised
poverty
1
income
guidelines
published
by
the
United
States
department
of
2
health
and
human
services.
The
department
of
human
services
3
shall
establish
the
maximum
number
of
overnight
stays
and
the
4
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
5
based
on
the
state
employee
rate
established
by
the
department
6
of
administrative
services.
The
funds
allocated
in
this
7
subsection
shall
not
be
used
as
nonfederal
share
matching
8
funds.
9
20.
Of
the
funds
appropriated
in
this
section,
up
to
10
$3,383,880
shall
be
used
for
administration
of
the
state
family
11
planning
services
program
as
enacted
in
this
2017
Act,
and
12
of
this
amount,
the
department
may
use
up
to
$200,000
for
13
administrative
expenses.
14
21.
The
department
shall
report
the
implementation
of
15
any
cost
containment
strategies
to
the
individuals
specified
16
in
this
division
of
this
Act
for
submission
of
reports
upon
17
implementation.
18
22.
The
department
shall
report
the
implementation
of
any
19
process
improvement
changes
and
any
related
cost
reductions
20
to
the
individuals
specified
in
this
division
of
this
Act
for
21
submission
of
reports
upon
implementation.
22
23.
The
Medicaid
managed
care
organizations
shall
explore
23
options
provided
by
national
human
services
nonprofit
24
organizations
that
provide
innovative
services
for
persons
with
25
behavioral
health
challenges
to
incorporate
assertive
community
26
treatment
teams
into
the
services
provided
to
individuals
with
27
severe
and
persistent
mental
illness
in
order
to
minimize
or
28
prevent
recurrent
acute
episodes
and
to
enhance
quality
of
life
29
and
functioning.
30
24.
The
department
of
human
services
shall
include
in
the
31
Medicaid
managed
care
contracts
beginning
with
the
contract
32
period
effective
July
1,
2017,
per
member
per
month
capitation
33
payments
to
managed
care
organizations
that
encourage
the
34
utilization
of
home
and
community-based
services
as
an
35
-34-
HF
653
(2)
87
pf/hb/rn/md
34/
151
H.F.
653
alternative
to
residential
care
for
members.
1
25.
The
department
of
human
services
shall
review
the
use
2
of
step
therapy
protocols
and
the
application
of
step
therapy
3
override
exceptions
under
the
Medicaid
program.
In
the
review,
4
the
department
may
consider
the
use
of
step
therapy
protocols
5
and
the
application
of
step
therapy
override
exceptions
as
6
provided
in
chapter
514F.7,
if
enacted
by
2017
Iowa
Acts,
House
7
File
233,
and
the
potential
for
improving
the
quality
of
life
8
of
Medicaid
members
and
increasing
efficiencies
in
the
Medicaid
9
program.
The
department
shall
report
findings
of
the
review
10
and
recommendations
to
the
individuals
designated
in
this
Act
11
for
submission
of
reports
by
November
15,
2017.
12
Sec.
13.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
13
general
fund
of
the
state
to
the
department
of
human
services
14
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
15
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
16
to
be
used
for
the
purpose
designated:
17
For
medical
contracts:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,626,464
19
1.
The
department
of
inspections
and
appeals
shall
20
provide
all
state
matching
funds
for
survey
and
certification
21
activities
performed
by
the
department
of
inspections
22
and
appeals.
The
department
of
human
services
is
solely
23
responsible
for
distributing
the
federal
matching
funds
for
24
such
activities.
25
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
26
be
used
for
continuation
of
home
and
community-based
services
27
waiver
quality
assurance
programs,
including
the
review
and
28
streamlining
of
processes
and
policies
related
to
oversight
and
29
quality
management
to
meet
state
and
federal
requirements.
30
3.
Of
the
amount
appropriated
in
this
section,
up
to
31
$200,000
may
be
transferred
to
the
appropriation
for
general
32
administration
in
this
division
of
this
Act
to
be
used
for
33
additional
full-time
equivalent
positions
in
the
development
of
34
key
health
initiatives
such
as
cost
containment,
development
35
-35-
HF
653
(2)
87
pf/hb/rn/md
35/
151
H.F.
653
and
oversight
of
managed
care
programs,
and
development
of
1
health
strategies
targeted
toward
improved
quality
and
reduced
2
costs
in
the
Medicaid
program.
3
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
4
shall
be
used
for
planning
and
development,
in
cooperation
with
5
the
department
of
public
health,
of
a
phased-in
program
to
6
provide
a
dental
home
for
children.
7
5.
Of
the
funds
appropriated
in
this
section,
$950,000
8
shall
be
credited
to
the
autism
support
program
fund
created
9
in
section
225D.2
to
be
used
for
the
autism
support
program
10
created
in
chapter
225D
,
with
the
exception
of
the
following
11
amounts
of
this
allocation
which
shall
be
used
as
follows:
12
a.
Of
the
amount
appropriated
in
this
section,
$202,000
13
shall
be
used
for
the
public
purpose
of
providing
a
one-year
14
grant
to
Drake
university
to
establish
a
master’s
program
in
15
applied
behavioral
analysis,
including
the
establishment
of
16
remote
learning
sites
and
a
remote
system
to
maximize
outreach
17
and
enrollment
in
the
program.
18
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
19
shall
be
used
for
the
public
purpose
of
continuation
of
a
20
grant
to
a
child
welfare
services
provider
headquartered
in
a
21
county
with
a
population
between
205,000
and
215,000
in
the
22
latest
certified
federal
census
that
provides
multiple
services
23
including
but
not
limited
to
a
psychiatric
medical
institution
24
for
children,
shelter,
residential
treatment,
after
school
25
programs,
school-based
programming,
and
an
Asperger’s
syndrome
26
program,
to
be
used
for
support
services
for
children
with
27
autism
spectrum
disorder
and
their
families.
28
c.
Of
the
funds
allocated
in
this
subsection,
$25,000
29
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
30
a
hospital-based
provider
headquartered
in
a
county
with
a
31
population
between
90,000
and
95,000
in
the
latest
certified
32
federal
census
that
provides
multiple
services
including
33
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
34
services
to
individuals
with
autism
spectrum
disorder
across
35
-36-
HF
653
(2)
87
pf/hb/rn/md
36/
151
H.F.
653
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
1
to
continue
the
pilot
project
to
determine
the
necessary
2
support
services
for
children
with
autism
spectrum
disorder
and
3
their
families
to
be
included
in
the
children’s
disabilities
4
services
system.
The
grant
recipient
shall
submit
findings
and
5
recommendations
based
upon
the
results
of
the
pilot
project
6
to
the
individuals
specified
in
this
division
of
this
Act
for
7
submission
of
reports
by
December
31,
2017.
8
Sec.
14.
STATE
SUPPLEMENTARY
ASSISTANCE.
9
1.
There
is
appropriated
from
the
general
fund
of
the
10
state
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
12
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
13
purpose
designated:
14
For
the
state
supplementary
assistance
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,372,658
16
2.
The
department
shall
increase
the
personal
needs
17
allowance
for
residents
of
residential
care
facilities
by
the
18
same
percentage
and
at
the
same
time
as
federal
supplemental
19
security
income
and
federal
social
security
benefits
are
20
increased
due
to
a
recognized
increase
in
the
cost
of
living.
21
The
department
may
adopt
emergency
rules
to
implement
this
22
subsection.
23
3.
If
during
the
fiscal
year
beginning
July
1,
2017,
24
the
department
projects
that
state
supplementary
assistance
25
expenditures
for
a
calendar
year
will
not
meet
the
federal
26
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
27
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
28
§1382g,
the
department
may
take
actions
including
but
not
29
limited
to
increasing
the
personal
needs
allowance
for
30
residential
care
facility
residents
and
making
programmatic
31
adjustments
or
upward
adjustments
of
the
residential
care
32
facility
or
in-home
health-related
care
reimbursement
rates
33
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
34
requirements
are
met.
In
addition,
the
department
may
make
35
-37-
HF
653
(2)
87
pf/hb/rn/md
37/
151
H.F.
653
other
programmatic
and
rate
adjustments
necessary
to
remain
1
within
the
amount
appropriated
in
this
section
while
ensuring
2
compliance
with
federal
requirements.
The
department
may
adopt
3
emergency
rules
to
implement
the
provisions
of
this
subsection.
4
Sec.
15.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
5
1.
There
is
appropriated
from
the
general
fund
of
the
6
state
to
the
department
of
human
services
for
the
fiscal
year
7
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
8
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
9
purpose
designated:
10
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
11
program
pursuant
to
chapter
514I
,
including
supplemental
dental
12
services,
for
receipt
of
federal
financial
participation
under
13
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
14
children’s
health
insurance
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,518,452
16
2.
Of
the
funds
appropriated
in
this
section,
$42,800
is
17
allocated
for
continuation
of
the
contract
for
outreach
with
18
the
department
of
public
health.
19
Sec.
16.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
20
from
the
general
fund
of
the
state
to
the
department
of
human
21
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
22
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
23
necessary,
to
be
used
for
the
purpose
designated:
24
For
child
care
programs:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
39,343,616
26
1.
Of
the
funds
appropriated
in
this
section,
$33,493,616
27
shall
be
used
for
state
child
care
assistance
in
accordance
28
with
section
237A.13
.
29
2.
Nothing
in
this
section
shall
be
construed
or
is
30
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
31
to
persons
who
are
eligible
for
assistance
due
to
an
income
32
level
consistent
with
the
waiting
list
requirements
of
section
33
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
34
this
section
is
limited
to
the
extent
of
the
funds
appropriated
35
-38-
HF
653
(2)
87
pf/hb/rn/md
38/
151
H.F.
653
in
this
section.
1
3.
A
list
of
the
registered
and
licensed
child
care
2
facilities
operating
in
the
area
served
by
a
child
care
3
resource
and
referral
service
shall
be
made
available
to
the
4
families
receiving
state
child
care
assistance
in
that
area.
5
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
6
shall
be
credited
to
the
early
childhood
programs
grants
7
account
in
the
early
childhood
Iowa
fund
created
in
section
8
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
9
community-based
early
childhood
programs
targeted
to
children
10
from
birth
through
five
years
of
age
developed
by
early
11
childhood
Iowa
areas
in
accordance
with
approved
community
12
plans
as
provided
in
section
256I.8
.
13
5.
The
department
may
use
any
of
the
funds
appropriated
14
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
15
expanding
child
care
assistance
and
related
programs.
For
16
the
purpose
of
expenditures
of
state
and
federal
child
care
17
funding,
funds
shall
be
considered
obligated
at
the
time
18
expenditures
are
projected
or
are
allocated
to
the
department’s
19
service
areas.
Projections
shall
be
based
on
current
and
20
projected
caseload
growth,
current
and
projected
provider
21
rates,
staffing
requirements
for
eligibility
determination
22
and
management
of
program
requirements
including
data
systems
23
management,
staffing
requirements
for
administration
of
the
24
program,
contractual
and
grant
obligations
and
any
transfers
25
to
other
state
agencies,
and
obligations
for
decategorization
26
or
innovation
projects.
27
6.
A
portion
of
the
state
match
for
the
federal
child
care
28
and
development
block
grant
shall
be
provided
as
necessary
to
29
meet
federal
matching
funds
requirements
through
the
state
30
general
fund
appropriation
made
for
child
development
grants
31
and
other
programs
for
at-risk
children
in
section
279.51
.
32
7.
If
a
uniform
reduction
ordered
by
the
governor
under
33
section
8.31
or
other
operation
of
law,
transfer,
or
federal
34
funding
reduction
reduces
the
appropriation
made
in
this
35
-39-
HF
653
(2)
87
pf/hb/rn/md
39/
151
H.F.
653
section
for
the
fiscal
year,
the
percentage
reduction
in
the
1
amount
paid
out
to
or
on
behalf
of
the
families
participating
2
in
the
state
child
care
assistance
program
shall
be
equal
to
or
3
less
than
the
percentage
reduction
made
for
any
other
purpose
4
payable
from
the
appropriation
made
in
this
section
and
the
5
federal
funding
relating
to
it.
The
percentage
reduction
to
6
the
other
allocations
made
in
this
section
shall
be
the
same
as
7
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
8
change
of
the
federal
funding
reduction,
as
applicable.
9
If
there
is
an
unanticipated
increase
in
federal
funding
10
provided
for
state
child
care
assistance,
the
entire
amount
11
of
the
increase
shall
be
used
for
state
child
care
assistance
12
payments.
If
the
appropriations
made
for
purposes
of
the
13
state
child
care
assistance
program
for
the
fiscal
year
are
14
determined
to
be
insufficient,
it
is
the
intent
of
the
general
15
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
16
in
order
to
avoid
establishment
of
waiting
list
requirements.
17
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
18
purposes
of
the
programs
developed
by
early
childhood
Iowa
19
areas,
advanced
for
purposes
of
wraparound
child
care,
or
20
received
from
the
federal
appropriations
made
for
the
purposes
21
of
this
section
that
remain
unencumbered
or
unobligated
at
the
22
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
23
remain
available
for
expenditure
for
the
purposes
designated
24
until
the
close
of
the
succeeding
fiscal
year.
25
Sec.
17.
JUVENILE
INSTITUTION.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
human
27
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
28
June
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purposes
designated:
30
1.
For
operation
of
the
state
training
school
at
Eldora
and
31
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
32
and
for
not
more
than
the
following
full-time
equivalent
33
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,350,443
35
-40-
HF
653
(2)
87
pf/hb/rn/md
40/
151
H.F.
653
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
189.00
1
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
2
be
used
for
distribution
to
licensed
classroom
teachers
at
this
3
and
other
institutions
under
the
control
of
the
department
of
4
human
services
based
upon
the
average
student
yearly
enrollment
5
at
each
institution
as
determined
by
the
department.
6
2.
A
portion
of
the
moneys
appropriated
in
this
section
7
shall
be
used
by
the
state
training
school
at
Eldora
for
8
grants
for
adolescent
pregnancy
prevention
activities
at
the
9
institution
in
the
fiscal
year
beginning
July
1,
2017.
10
Sec.
18.
CHILD
AND
FAMILY
SERVICES.
11
1.
There
is
appropriated
from
the
general
fund
of
the
12
state
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purpose
designated:
16
For
child
and
family
services:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
87,279,375
18
2.
The
department
may
transfer
funds
appropriated
in
this
19
section
as
necessary
to
pay
the
nonfederal
costs
of
services
20
reimbursed
under
the
medical
assistance
program,
state
child
21
care
assistance
program,
or
the
family
investment
program
which
22
are
provided
to
children
who
would
otherwise
receive
services
23
paid
under
the
appropriation
in
this
section.
The
department
24
may
transfer
funds
appropriated
in
this
section
to
the
25
appropriations
made
in
this
division
of
this
Act
for
general
26
administration
and
for
field
operations
for
resources
necessary
27
to
implement
and
operate
the
services
funded
in
this
section.
28
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
29
$35,736,649
is
allocated
as
the
statewide
expenditure
target
30
under
section
232.143
for
group
foster
care
maintenance
and
31
services.
If
the
department
projects
that
such
expenditures
32
for
the
fiscal
year
will
be
less
than
the
target
amount
33
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
34
the
excess
to
provide
additional
funding
for
shelter
care
35
-41-
HF
653
(2)
87
pf/hb/rn/md
41/
151
H.F.
653
or
the
child
welfare
emergency
services
addressed
with
the
1
allocation
for
shelter
care.
2
b.
If
at
any
time
after
September
30,
2017,
annualization
3
of
a
service
area’s
current
expenditures
indicates
a
service
4
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
5
target
under
section
232.143
by
more
than
5
percent,
the
6
department
and
juvenile
court
services
shall
examine
all
7
group
foster
care
placements
in
that
service
area
in
order
to
8
identify
those
which
might
be
appropriate
for
termination.
9
In
addition,
any
aftercare
services
believed
to
be
needed
10
for
the
children
whose
placements
may
be
terminated
shall
be
11
identified.
The
department
and
juvenile
court
services
shall
12
initiate
action
to
set
dispositional
review
hearings
for
the
13
placements
identified.
In
such
a
dispositional
review
hearing,
14
the
juvenile
court
shall
determine
whether
needed
aftercare
15
services
are
available
and
whether
termination
of
the
placement
16
is
in
the
best
interest
of
the
child
and
the
community.
17
4.
In
accordance
with
the
provisions
of
section
232.188
,
18
the
department
shall
continue
the
child
welfare
and
juvenile
19
justice
funding
initiative
during
fiscal
year
2017-2018.
Of
20
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
21
specifically
for
expenditure
for
fiscal
year
2017-2018
through
22
the
decategorization
services
funding
pools
and
governance
23
boards
established
pursuant
to
section
232.188
.
24
5.
A
portion
of
the
funds
appropriated
in
this
section
25
may
be
used
for
emergency
family
assistance
to
provide
other
26
resources
required
for
a
family
participating
in
a
family
27
preservation
or
reunification
project
or
successor
project
to
28
stay
together
or
to
be
reunified.
29
6.
Notwithstanding
section
234.35
or
any
other
provision
30
of
law
to
the
contrary,
state
funding
for
shelter
care
and
31
the
child
welfare
emergency
services
contracting
implemented
32
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
33
limited
to
$8,096,158.
34
7.
Federal
funds
received
by
the
state
during
the
fiscal
35
-42-
HF
653
(2)
87
pf/hb/rn/md
42/
151
H.F.
653
year
beginning
July
1,
2017,
as
the
result
of
the
expenditure
1
of
state
funds
appropriated
during
a
previous
state
fiscal
2
year
for
a
service
or
activity
funded
under
this
section
are
3
appropriated
to
the
department
to
be
used
as
additional
funding
4
for
services
and
purposes
provided
for
under
this
section.
5
Notwithstanding
section
8.33
,
moneys
received
in
accordance
6
with
this
subsection
that
remain
unencumbered
or
unobligated
at
7
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
8
shall
remain
available
for
the
purposes
designated
until
the
9
close
of
the
succeeding
fiscal
year.
10
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
11
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
12
court-ordered
services
provided
to
juveniles
who
are
under
the
13
supervision
of
juvenile
court
services,
which
expenses
are
a
14
charge
upon
the
state
pursuant
to
section
232.141,
subsection
15
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
16
$1,556,287
shall
be
made
available
to
provide
school-based
17
supervision
of
children
adjudicated
under
chapter
232
,
of
which
18
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
19
A
portion
of
the
cost
of
each
school-based
liaison
officer
20
shall
be
paid
by
the
school
district
or
other
funding
source
as
21
approved
by
the
chief
juvenile
court
officer.
22
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
23
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
24
services
provided
to
children
who
are
under
the
supervision
25
of
the
department,
which
expenses
are
a
charge
upon
the
state
26
pursuant
to
section
232.141,
subsection
4
.
27
c.
Notwithstanding
section
232.141
or
any
other
provision
28
of
law
to
the
contrary,
the
amounts
allocated
in
this
29
subsection
shall
be
distributed
to
the
judicial
districts
30
as
determined
by
the
state
court
administrator
and
to
the
31
department’s
service
areas
as
determined
by
the
administrator
32
of
the
department
of
human
services’
division
of
child
and
33
family
services.
The
state
court
administrator
and
the
34
division
administrator
shall
make
the
determination
of
the
35
-43-
HF
653
(2)
87
pf/hb/rn/md
43/
151
H.F.
653
distribution
amounts
on
or
before
June
15,
2017.
1
d.
Notwithstanding
chapter
232
or
any
other
provision
of
2
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
3
order
any
service
which
is
a
charge
upon
the
state
pursuant
4
to
section
232.141
if
there
are
insufficient
court-ordered
5
services
funds
available
in
the
district
court
or
departmental
6
service
area
distribution
amounts
to
pay
for
the
service.
The
7
chief
juvenile
court
officer
and
the
departmental
service
area
8
manager
shall
encourage
use
of
the
funds
allocated
in
this
9
subsection
such
that
there
are
sufficient
funds
to
pay
for
10
all
court-related
services
during
the
entire
year.
The
chief
11
juvenile
court
officers
and
departmental
service
area
managers
12
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
13
in
the
distribution
amounts
and
shall
cooperatively
request
the
14
state
court
administrator
or
division
administrator
to
transfer
15
funds
between
the
judicial
districts’
or
departmental
service
16
areas’
distribution
amounts
as
prudent.
17
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
18
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
19
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
20
entered
under
chapter
232
which
is
a
charge
upon
the
state
21
under
section
232.141,
subsection
4
.
22
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
23
$83,000
may
be
used
by
the
judicial
branch
for
administration
24
of
the
requirements
under
this
subsection.
25
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
26
shall
be
used
by
the
department
of
human
services
to
support
27
the
interstate
commission
for
juveniles
in
accordance
with
28
the
interstate
compact
for
juveniles
as
provided
in
section
29
232.173
.
30
9.
Of
the
funds
appropriated
in
this
section,
$12,253,227
is
31
allocated
for
juvenile
delinquent
graduated
sanctions
services.
32
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
33
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
34
services
administration
may
be
used
for
the
juvenile
delinquent
35
-44-
HF
653
(2)
87
pf/hb/rn/md
44/
151
H.F.
653
graduated
sanctions
services.
1
10.
Of
the
funds
appropriated
in
this
section,
$1,658,285
is
2
transferred
to
the
department
of
public
health
to
be
used
for
3
the
child
protection
center
grant
program
for
child
protection
4
centers
located
in
Iowa
in
accordance
with
section
135.118
.
5
The
grant
amounts
under
the
program
shall
be
equalized
so
that
6
each
center
receives
a
uniform
base
amount
of
$245,000,
so
that
7
$50,000
is
awarded
to
establish
a
satellite
child
protection
8
center
in
a
city
in
north
central
Iowa
that
is
the
county
9
seat
of
a
county
with
a
population
between
44,000
and
45,000
10
according
to
the
latest
certified
federal
census,
and
so
that
11
the
remaining
funds
are
awarded
through
a
funding
formula
based
12
upon
the
volume
of
children
served.
13
11.
If
the
department
receives
federal
approval
to
14
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
15
Security
Act
to
enable
providers
to
serve
children
who
remain
16
in
the
children’s
families
and
communities,
for
purposes
of
17
eligibility
under
the
medical
assistance
program
through
25
18
years
of
age,
children
who
participate
in
the
waiver
shall
be
19
considered
to
be
placed
in
foster
care.
20
12.
Of
the
funds
appropriated
in
this
section,
$4,025,167
is
21
allocated
for
the
preparation
for
adult
living
program
pursuant
22
to
section
234.46
.
23
13.
Of
the
funds
appropriated
in
this
section,
$227,337
24
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
25
a
nonprofit
human
services
organization
providing
services
to
26
individuals
and
families
in
multiple
locations
in
southwest
27
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
28
sensitive
support
and
forensic
interviews,
medical
exams,
needs
29
assessments,
and
referrals
for
victims
of
child
abuse
and
their
30
nonoffending
family
members.
31
14.
Of
the
funds
appropriated
in
this
section,
$300,620
32
is
allocated
for
the
foster
care
youth
council
approach
of
33
providing
a
support
network
to
children
placed
in
foster
care.
34
15.
Of
the
funds
appropriated
in
this
section,
$202,000
is
35
-45-
HF
653
(2)
87
pf/hb/rn/md
45/
151
H.F.
653
allocated
for
use
pursuant
to
section
235A.1
for
continuation
1
of
the
initiative
to
address
child
sexual
abuse
implemented
2
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
3
21
.
4
16.
Of
the
funds
appropriated
in
this
section,
$630,240
is
5
allocated
for
the
community
partnership
for
child
protection
6
sites.
7
17.
Of
the
funds
appropriated
in
this
section,
$371,250
8
is
allocated
for
the
department’s
minority
youth
and
family
9
projects
under
the
redesign
of
the
child
welfare
system.
10
18.
Of
the
funds
appropriated
in
this
section,
$1,136,595
11
is
allocated
for
funding
of
the
community
circle
of
care
12
collaboration
for
children
and
youth
in
northeast
Iowa.
13
19.
Of
the
funds
appropriated
in
this
section,
at
least
14
$147,158
shall
be
used
for
the
continuation
of
the
child
15
welfare
provider
training
academy,
a
collaboration
between
the
16
coalition
for
family
and
children’s
services
in
Iowa
and
the
17
department.
18
20.
Of
the
funds
appropriated
in
this
section,
$211,872
19
shall
be
used
for
continuation
of
the
central
Iowa
system
of
20
care
program
grant
through
June
30,
2018.
21
21.
Of
the
funds
appropriated
in
this
section,
$235,000
22
shall
be
used
for
the
public
purpose
of
the
continuation
23
and
expansion
of
a
system
of
care
program
grant
implemented
24
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
25
and
long-term
approach
for
helping
children
and
families
by
26
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
27
needs,
education
and
work,
family,
and
community.
28
22.
Of
the
funds
appropriated
in
this
section,
at
least
29
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
30
care
respite
pilot
program
in
which
postsecondary
students
in
31
social
work
and
other
human
services-related
programs
receive
32
experience
by
assisting
family
foster
care
providers
with
33
respite
and
other
support.
34
23.
Of
the
funds
appropriated
in
this
section,
$110,000
35
-46-
HF
653
(2)
87
pf/hb/rn/md
46/
151
H.F.
653
shall
be
used
for
the
public
purpose
of
funding
community-based
1
services
and
other
supports
with
a
system
of
care
approach
2
for
children
with
a
serious
emotional
disturbance
and
their
3
families
through
a
nonprofit
provider
of
child
welfare
services
4
that
has
been
in
existence
for
more
than
115
years,
is
located
5
in
a
county
with
a
population
of
more
than
200,000
but
less
6
than
220,000
according
to
the
latest
certified
federal
census,
7
is
licensed
as
a
psychiatric
medical
institution
for
children,
8
and
was
a
system
of
care
grantee
prior
to
July
1,
2017.
9
Sec.
19.
ADOPTION
SUBSIDY.
10
1.
There
is
appropriated
from
the
general
fund
of
the
11
state
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
a.
For
adoption
subsidy
payments
and
services:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,777,910
17
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
18
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
19
of
the
following
purposes:
20
(a)
For
adoption
subsidy
payments
and
related
costs.
21
(b)
For
post-adoption
services
and
for
other
purposes
under
22
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
23
(2)
The
department
of
human
services
may
transfer
funds
24
appropriated
in
this
subsection
to
the
appropriation
for
25
child
and
family
services
in
this
Act
for
the
purposes
of
26
post-adoption
services
as
specified
in
this
paragraph
“b”.
27
c.
Notwithstanding
section
8.33,
moneys
corresponding
to
28
the
state
savings
resulting
from
implementation
of
the
federal
29
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
30
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
31
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
32
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
33
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
34
purposes
designated
in
this
subsection
until
expended.
The
35
-47-
HF
653
(2)
87
pf/hb/rn/md
47/
151
H.F.
653
amount
of
such
savings
and
any
corresponding
funds
remaining
1
at
the
close
of
the
fiscal
year
shall
be
determined
separately
2
and
any
changes
in
either
amount
between
fiscal
years
shall
not
3
result
in
an
unfunded
need.
4
2.
The
department
may
transfer
funds
appropriated
in
5
this
section
to
the
appropriation
made
in
this
division
of
6
this
Act
for
general
administration
for
costs
paid
from
the
7
appropriation
relating
to
adoption
subsidy.
8
3.
Federal
funds
received
by
the
state
during
the
9
fiscal
year
beginning
July
1,
2017,
as
the
result
of
the
10
expenditure
of
state
funds
during
a
previous
state
fiscal
11
year
for
a
service
or
activity
funded
under
this
section
are
12
appropriated
to
the
department
to
be
used
as
additional
funding
13
for
the
services
and
activities
funded
under
this
section.
14
Notwithstanding
section
8.33
,
moneys
received
in
accordance
15
with
this
subsection
that
remain
unencumbered
or
unobligated
16
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
17
but
shall
remain
available
for
expenditure
for
the
purposes
18
designated
until
the
close
of
the
succeeding
fiscal
year.
19
Sec.
20.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
20
in
the
juvenile
detention
home
fund
created
in
section
232.142
21
during
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
22
30,
2018,
are
appropriated
to
the
department
of
human
services
23
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
24
2018,
for
distribution
of
an
amount
equal
to
a
percentage
of
25
the
costs
of
the
establishment,
improvement,
operation,
and
26
maintenance
of
county
or
multicounty
juvenile
detention
homes
27
in
the
fiscal
year
beginning
July
1,
2016.
Moneys
appropriated
28
for
distribution
in
accordance
with
this
section
shall
be
29
allocated
among
eligible
detention
homes,
prorated
on
the
basis
30
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
31
eligible
detention
homes
in
the
fiscal
year
beginning
July
32
1,
2016.
The
percentage
figure
shall
be
determined
by
the
33
department
based
on
the
amount
available
for
distribution
for
34
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
35
-48-
HF
653
(2)
87
pf/hb/rn/md
48/
151
H.F.
653
financial
aid
payable
by
the
state
under
that
provision
for
the
1
fiscal
year
beginning
July
1,
2017,
shall
be
limited
to
the
2
amount
appropriated
for
the
purposes
of
this
section.
3
Sec.
21.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
4
1.
There
is
appropriated
from
the
general
fund
of
the
5
state
to
the
department
of
human
services
for
the
fiscal
year
6
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
7
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purpose
designated:
9
For
the
family
support
subsidy
program
subject
to
the
10
enrollment
restrictions
in
section
225C.37,
subsection
3
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,069,282
12
2.
At
least
$787,500
of
the
moneys
appropriated
in
this
13
section
is
transferred
to
the
department
of
public
health
for
14
the
family
support
center
component
of
the
comprehensive
family
15
support
program
under
chapter
225C,
subchapter
V.
16
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
17
funding
available
for
the
family
support
subsidy
program
18
is
reduced
from
the
amount
initially
used
to
establish
the
19
figure
for
the
number
of
family
members
for
whom
a
subsidy
20
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
21
notwithstanding
section
225C.38,
subsection
2
,
the
department
22
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
23
of
funding
available.
24
Sec.
22.
CONNER
DECREE.
There
is
appropriated
from
the
25
general
fund
of
the
state
to
the
department
of
human
services
26
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
27
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
28
to
be
used
for
the
purpose
designated:
29
For
building
community
capacity
through
the
coordination
30
and
provision
of
training
opportunities
in
accordance
with
the
31
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
32
Iowa,
July
14,
1994):
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
34
Sec.
23.
MENTAL
HEALTH
INSTITUTES.
35
-49-
HF
653
(2)
87
pf/hb/rn/md
49/
151
H.F.
653
1.
There
is
appropriated
from
the
general
fund
of
the
1
state
to
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
3
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
4
purposes
designated:
5
a.
For
operation
of
the
state
mental
health
institute
at
6
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
7
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
8
more
than
the
following
full-time
equivalent
positions:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,870,254
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
162.00
11
b.
For
operation
of
the
state
mental
health
institute
at
12
Independence
as
required
by
chapters
218
and
226
for
salaries,
13
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
14
more
than
the
following
full-time
equivalent
positions:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,513,621
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
204.00
17
2.
Notwithstanding
sections
218.78
and
249A.11,
any
revenue
18
received
from
the
state
mental
health
institute
at
Cherokee
or
19
the
state
mental
health
institute
at
Independence
pursuant
to
20
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
21
health
institute.
22
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
23
a
Medicaid
member
residing
at
the
state
mental
health
24
institute
at
Cherokee
or
the
state
mental
health
institute
25
at
Independence
shall
retain
Medicaid
eligibility
during
26
the
period
of
the
Medicaid
member’s
stay
for
which
federal
27
financial
participation
is
available.
28
Sec.
24.
STATE
RESOURCE
CENTERS.
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,
2017,
and
ending
June
30,
2018,
the
following
32
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purposes
designated:
34
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
35
-50-
HF
653
(2)
87
pf/hb/rn/md
50/
151
H.F.
653
support,
maintenance,
and
miscellaneous
purposes:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,887,781
2
b.
For
the
state
resource
center
at
Woodward
for
salaries,
3
support,
maintenance,
and
miscellaneous
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,077,034
5
2.
The
department
may
continue
to
bill
for
state
resource
6
center
services
utilizing
a
scope
of
services
approach
used
for
7
private
providers
of
intermediate
care
facilities
for
persons
8
with
an
intellectual
disability
services,
in
a
manner
which
9
does
not
shift
costs
between
the
medical
assistance
program,
10
counties,
or
other
sources
of
funding
for
the
state
resource
11
centers.
12
3.
The
state
resource
centers
may
expand
the
time-limited
13
assessment
and
respite
services
during
the
fiscal
year.
14
4.
If
the
department’s
administration
and
the
department
15
of
management
concur
with
a
finding
by
a
state
resource
16
center’s
superintendent
that
projected
revenues
can
reasonably
17
be
expected
to
pay
the
salary
and
support
costs
for
a
new
18
employee
position,
or
that
such
costs
for
adding
a
particular
19
number
of
new
positions
for
the
fiscal
year
would
be
less
20
than
the
overtime
costs
if
new
positions
would
not
be
added,
21
the
superintendent
may
add
the
new
position
or
positions.
If
22
the
vacant
positions
available
to
a
resource
center
do
not
23
include
the
position
classification
desired
to
be
filled,
the
24
state
resource
center’s
superintendent
may
reclassify
any
25
vacant
position
as
necessary
to
fill
the
desired
position.
The
26
superintendents
of
the
state
resource
centers
may,
by
mutual
27
agreement,
pool
vacant
positions
and
position
classifications
28
during
the
course
of
the
fiscal
year
in
order
to
assist
one
29
another
in
filling
necessary
positions.
30
5.
If
existing
capacity
limitations
are
reached
in
31
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
32
a
special
need
for
which
a
payment
source
or
other
funding
33
is
available
for
the
service
or
to
address
the
special
need,
34
and
facilities
for
the
service
or
to
address
the
special
need
35
-51-
HF
653
(2)
87
pf/hb/rn/md
51/
151
H.F.
653
can
be
provided
within
the
available
payment
source
or
other
1
funding,
the
superintendent
of
a
state
resource
center
may
2
authorize
opening
not
more
than
two
units
or
other
facilities
3
and
begin
implementing
the
service
or
addressing
the
special
4
need
during
fiscal
year
2017-2018.
5
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
6
1.
There
is
appropriated
from
the
general
fund
of
the
7
state
to
the
department
of
human
services
for
the
fiscal
year
8
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
9
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purpose
designated:
11
For
costs
associated
with
the
commitment
and
treatment
of
12
sexually
violent
predators
in
the
unit
located
at
the
state
13
mental
health
institute
at
Cherokee,
including
costs
of
legal
14
services
and
other
associated
costs,
including
salaries,
15
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
16
more
than
the
following
full-time
equivalent
positions:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,464,747
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
112.00
19
2.
Unless
specifically
prohibited
by
law,
if
the
amount
20
charged
provides
for
recoupment
of
at
least
the
entire
amount
21
of
direct
and
indirect
costs,
the
department
of
human
services
22
may
contract
with
other
states
to
provide
care
and
treatment
23
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
24
violent
predators
at
Cherokee.
The
moneys
received
under
25
such
a
contract
shall
be
considered
to
be
repayment
receipts
26
and
used
for
the
purposes
of
the
appropriation
made
in
this
27
section.
28
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
29
general
fund
of
the
state
to
the
department
of
human
services
30
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
31
2018,
the
following
amount,
or
so
much
thereof
as
is
necessary,
32
to
be
used
for
the
purposes
designated:
33
For
field
operations,
including
salaries,
support,
34
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
35
-52-
HF
653
(2)
87
pf/hb/rn/md
52/
151
H.F.
653
the
following
full-time
equivalent
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,484,435
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,583.00
3
Priority
in
filling
full-time
equivalent
positions
shall
be
4
given
to
those
positions
related
to
child
protection
services
5
and
eligibility
determination
for
low-income
families.
6
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
7
from
the
general
fund
of
the
state
to
the
department
of
human
8
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
9
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
10
necessary,
to
be
used
for
the
purpose
designated:
11
For
general
administration,
including
salaries,
support,
12
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
13
the
following
full-time
equivalent
positions:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,033,040
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
16
1.
The
department
shall
report
at
least
monthly
to
the
17
legislative
services
agency
concerning
the
department’s
18
operational
and
program
expenditures.
19
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
20
be
used
to
continue
the
contract
for
the
provision
of
a
program
21
to
provide
technical
assistance,
support,
and
consultation
to
22
providers
of
habilitation
services
and
home
and
community-based
23
services
waiver
services
for
adults
with
disabilities
under
the
24
medical
assistance
program.
25
3.
Of
the
funds
appropriated
in
this
section,
$50,000
26
is
transferred
to
the
Iowa
finance
authority
to
be
used
27
for
administrative
support
of
the
council
on
homelessness
28
established
in
section
16.2D
and
for
the
council
to
fulfill
its
29
duties
in
addressing
and
reducing
homelessness
in
the
state.
30
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
31
be
transferred
to
and
deposited
in
the
administrative
fund
of
32
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
33
be
used
for
implementation
and
administration
activities
of
the
34
Iowa
ABLE
savings
plan
trust.
35
-53-
HF
653
(2)
87
pf/hb/rn/md
53/
151
H.F.
653
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
1
transferred
to
the
economic
development
authority
for
the
Iowa
2
commission
on
volunteer
services
to
continue
to
be
used
for
3
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
4
for
member
recruitment
and
training
to
improve
the
economic
5
well-being
and
health
of
economically
disadvantaged
refugees
in
6
local
communities
across
Iowa.
Funds
transferred
may
be
used
7
to
supplement
federal
funds
under
federal
regulations.
8
6.
Of
the
funds
appropriated
in
this
section,
$300,000
shall
9
be
used
to
contract
for
children’s
well-being
collaboratives
10
grants
for
the
development
and
implementation
of
children’s
11
well-being
collaboratives
to
establish
and
coordinate
12
prevention
and
early
intervention
services
to
promote
improved
13
mental
health
and
well-being
for
children
and
families,
as
14
enacted
in
this
2017
Act.
15
7.
Of
the
funds
appropriated
in
this
section,
$200,000
16
shall
be
used
to
continue
to
expand
the
provision
of
nationally
17
accredited
and
recognized
internet-based
training
to
include
18
mental
health
and
disability
services
providers.
19
Sec.
28.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
20
from
the
general
fund
of
the
state
to
the
department
of
human
21
services
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
22
June
30,
2018,
the
following
amount,
or
so
much
thereof
as
is
23
necessary,
to
be
used
for
the
purposes
designated:
24
For
salaries,
support,
maintenance,
and
miscellaneous
25
purposes
at
facilities
under
the
purview
of
the
department
of
26
human
services:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
28
Sec.
29.
VOLUNTEERS.
There
is
appropriated
from
the
general
29
fund
of
the
state
to
the
department
of
human
services
for
the
30
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
31
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
32
used
for
the
purpose
designated:
33
For
development
and
coordination
of
volunteer
services:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
35
-54-
HF
653
(2)
87
pf/hb/rn/md
54/
151
H.F.
653
Sec.
30.
GENERAL
REDUCTION.
For
the
period
beginning
July
1
1,
2017,
and
ending
June
30,
2018,
the
department
of
human
2
services,
in
consultation
with
the
department
of
management,
3
shall
identify
and
implement
a
reduction
in
expenditures
made
4
from
appropriations
from
the
general
fund
to
the
department
of
5
human
services
in
the
amount
of
$1,467,303.
6
Sec.
31.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
7
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
8
DEPARTMENT
OF
HUMAN
SERVICES.
9
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
10
2017,
the
department
shall
rebase
case-mix
nursing
facility
11
rates
effective
July
1,
2017,
to
the
extent
possible
within
the
12
state
funding,
including
the
$2,500,000,
appropriated
for
this
13
purpose.
14
(b)
For
the
fiscal
year
beginning
July
1,
2017,
non-case-mix
15
and
special
population
nursing
facilities
shall
be
reimbursed
16
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
17
prior
fiscal
year.
18
(c)
For
managed
care
claims,
the
department
of
human
19
services
shall
adjust
the
payment
rate
floor
for
nursing
20
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
21
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
22
rate
calculated
in
accordance
with
subparagraph
division
23
(a)
and
441
IAC
81.6.
The
department
shall
then
calculate
24
adjusted
reimbursement
rates,
including
but
not
limited
to
25
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
26
care
organizations
of
the
adjusted
reimbursement
rates
within
27
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
28
adjustment
of
reimbursement
rates
under
this
subparagraph
29
division
shall
be
budget
neutral
to
the
state
budget.
30
(d)
For
the
fiscal
year
beginning
July
1,
2017,
Medicaid
31
managed
care
long-term
services
and
supports
capitation
32
rates
shall
be
adjusted
to
reflect
the
rebasing
pursuant
to
33
subparagraph
division
(a)
for
the
patient
populations
residing
34
in
Medicaid-certified
nursing
facilities.
35
-55-
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653
(2)
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151
H.F.
653
(2)
For
any
open
or
unsettled
nursing
facility
cost
report
1
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
2
beginning
July
1,
2016,
including
any
cost
report
remanded
on
3
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
4
or
x-ray
costs,
the
department
shall
offset
all
reported
5
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
6
received
from
Medicare
or
other
revenue
source
for
any
purpose.
7
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
8
report
is
not
considered
open
or
unsettled
if
the
facility
did
9
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
10
any
appeal
rights
initiated
have
been
exhausted.
11
(3)
Medicaid
managed
care
organizations
shall
adjust
12
facility-specific
rates
based
upon
payment
rate
listings
issued
13
by
the
department.
The
rate
adjustments
shall
be
applied
14
retroactively
based
upon
the
effective
date
of
the
rate
letter
15
issued
by
the
department.
A
Medicaid
managed
care
organization
16
shall
honor
all
retroactive
rate
adjustments
including
when
17
specific
provider
rates
are
delayed
or
amended.
18
b.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
19
the
department
shall
establish
the
pharmacy
dispensing
fee
20
reimbursement
at
$10.02
per
prescription,
until
a
cost
of
21
dispensing
survey
is
completed.
The
actual
dispensing
fee
22
shall
be
determined
by
a
cost
of
dispensing
survey
performed
23
by
the
department
and
required
to
be
completed
by
all
medical
24
assistance
program
participating
pharmacies
every
two
years,
25
adjusted
as
necessary
to
maintain
expenditures
within
the
26
amount
appropriated
to
the
department
for
this
purpose
for
the
27
fiscal
year.
28
(2)
The
department
shall
utilize
an
average
acquisition
29
cost
reimbursement
methodology
for
all
drugs
covered
under
the
30
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
31
chapter
1133,
section
33
.
32
c.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
33
reimbursement
rates
for
outpatient
hospital
services
shall
34
be
rebased
effective
January
1,
2018,
subject
to
Medicaid
35
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151
H.F.
653
program
upper
payment
limit
rules,
and
adjusted
as
necessary
1
to
maintain
expenditures
within
the
amount
appropriated
to
the
2
department
for
this
purpose
for
the
fiscal
year.
3
(2)
For
the
fiscal
year
beginning
July
1,
2017,
4
reimbursement
rates
for
inpatient
hospital
services
shall
5
remain
at
the
rates
in
effect
on
June
30,
2017,
subject
to
6
Medicaid
program
upper
payment
limit
rules,
and
adjusted
7
as
necessary
to
maintain
expenditures
within
the
amount
8
appropriated
to
the
department
for
this
purpose
for
the
fiscal
9
year.
10
(3)
For
the
fiscal
year
beginning
July
1,
2017,
the
graduate
11
medical
education
and
disproportionate
share
hospital
fund
12
shall
remain
at
the
amount
in
effect
on
June
30,
2017,
except
13
that
the
portion
of
the
fund
attributable
to
graduate
medical
14
education
shall
be
reduced
in
an
amount
that
reflects
the
15
elimination
of
graduate
medical
education
payments
made
to
16
out-of-state
hospitals.
17
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
18
funds
in
procuring
health
care
services
for
low-income
Iowans,
19
funds
appropriated
in
this
Act
for
hospital
services
shall
20
not
be
used
for
activities
which
would
be
excluded
from
a
21
determination
of
reasonable
costs
under
the
federal
Medicare
22
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
23
d.
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
24
rates
for
hospices
and
acute
mental
hospitals
shall
be
25
increased
in
accordance
with
increases
under
the
federal
26
Medicare
program
or
as
supported
by
their
Medicare
audited
27
costs.
28
e.
For
the
fiscal
year
beginning
July
1,
2017,
independent
29
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
30
using
the
same
methodology
in
effect
on
June
30,
2017.
31
f.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
32
reimbursement
rates
for
home
health
agencies
shall
continue
to
33
be
based
on
the
Medicare
low
utilization
payment
adjustment
34
(LUPA)
methodology
with
state
geographic
wage
adjustments.
35
-57-
HF
653
(2)
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151
H.F.
653
The
department
shall
continue
to
update
the
rates
every
two
1
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
2
extent
possible
within
the
state
funding
appropriated
for
this
3
purpose.
4
(2)
For
the
fiscal
year
beginning
July
1,
2017,
rates
for
5
private
duty
nursing
and
personal
care
services
under
the
early
6
and
periodic
screening,
diagnostic,
and
treatment
program
7
benefit
shall
be
calculated
based
on
the
methodology
in
effect
8
on
June
30,
2017.
9
g.
For
the
fiscal
year
beginning
July
1,
2017,
federally
10
qualified
health
centers
and
rural
health
clinics
shall
receive
11
cost-based
reimbursement
for
100
percent
of
the
reasonable
12
costs
for
the
provision
of
services
to
recipients
of
medical
13
assistance.
14
h.
For
the
fiscal
year
beginning
July
1,
2017,
the
15
reimbursement
rates
for
dental
services
shall
remain
at
the
16
rates
in
effect
on
June
30,
2017.
17
i.
(1)
For
the
fiscal
year
beginning
July
1,
2017,
18
reimbursement
rates
for
non-state-owned
psychiatric
medical
19
institutions
for
children
shall
be
based
on
the
reimbursement
20
methodology
in
effect
on
June
30,
2017.
21
(2)
As
a
condition
of
participation
in
the
medical
22
assistance
program,
enrolled
providers
shall
accept
the
medical
23
assistance
reimbursement
rate
for
any
covered
goods
or
services
24
provided
to
recipients
of
medical
assistance
who
are
children
25
under
the
custody
of
a
psychiatric
medical
institution
for
26
children.
27
j.
For
the
fiscal
year
beginning
July
1,
2017,
unless
28
otherwise
specified
in
this
Act,
all
noninstitutional
medical
29
assistance
provider
reimbursement
rates
shall
remain
at
the
30
rates
in
effect
on
June
30,
2017,
except
for
area
education
31
agencies,
local
education
agencies,
infant
and
toddler
32
services
providers,
home
and
community-based
services
providers
33
including
consumer-directed
attendant
care
providers
under
a
34
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
35
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653
(2)
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151
H.F.
653
providers,
and
those
providers
whose
rates
are
required
to
be
1
determined
pursuant
to
section
249A.20
.
2
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
3
fiscal
year
beginning
July
1,
2017,
the
reimbursement
rate
4
for
anesthesiologists
shall
be
adjusted
to
implement
the
cost
5
containment
strategies
authorized
for
the
medical
assistance
6
program
in
this
2017
Act.
7
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
8
beginning
July
1,
2017,
the
average
reimbursement
rate
for
9
health
care
providers
eligible
for
use
of
the
federal
Medicare
10
resource-based
relative
value
scale
reimbursement
methodology
11
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
12
June
30,
2017;
however,
this
rate
shall
not
exceed
the
maximum
13
level
authorized
by
the
federal
government.
14
m.
For
the
fiscal
year
beginning
July
1,
2017,
the
15
reimbursement
rate
for
residential
care
facilities
shall
not
16
be
less
than
the
minimum
payment
level
as
established
by
the
17
federal
government
to
meet
the
federally
mandated
maintenance
18
of
effort
requirement.
The
flat
reimbursement
rate
for
19
facilities
electing
not
to
file
annual
cost
reports
shall
not
20
be
less
than
the
minimum
payment
level
as
established
by
the
21
federal
government
to
meet
the
federally
mandated
maintenance
22
of
effort
requirement.
23
n.
For
the
fiscal
year
beginning
July
1,
2017,
the
24
reimbursement
rates
for
inpatient
mental
health
services
25
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
26
June
30,
2017,
subject
to
Medicaid
program
upper
payment
limit
27
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
28
assistance
program
fee-for-service
rate
in
effect
on
June
30,
29
2017.
30
o.
For
the
fiscal
year
beginning
July
1,
2017,
community
31
mental
health
centers
may
choose
to
be
reimbursed
for
the
32
services
provided
to
recipients
of
medical
assistance
through
33
either
of
the
following
options:
34
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
35
-59-
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653
(2)
87
pf/hb/rn/md
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151
H.F.
653
(2)
In
accordance
with
the
alternative
reimbursement
rate
1
methodology
approved
by
the
department
of
human
services
in
2
effect
on
June
30,
2017.
3
p.
For
the
fiscal
year
beginning
July
1,
2017,
the
4
reimbursement
rate
for
providers
of
family
planning
services
5
that
are
eligible
to
receive
a
90
percent
federal
match
shall
6
remain
at
the
rates
in
effect
on
June
30,
2017.
7
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
8
for
the
fiscal
year
beginning
July
1,
2017,
the
upper
9
limits
and
reimbursement
rates
for
providers
of
home
and
10
community-based
services
waiver
services
shall
be
reimbursed
11
using
the
reimbursement
methodology
in
effect
on
June
30,
2017.
12
r.
For
the
fiscal
year
beginning
July
1,
2017,
the
13
reimbursement
rates
for
emergency
medical
service
providers
14
shall
remain
at
the
rates
in
effect
on
June
30,
2017.
15
s.
For
the
fiscal
year
beginning
July
1,
2017,
reimbursement
16
rates
for
substance-related
disorder
treatment
programs
17
licensed
under
section
125.13
shall
remain
at
the
rates
in
18
effect
on
June
30,
2017.
19
2.
For
the
fiscal
year
beginning
July
1,
2017,
the
20
reimbursement
rate
for
providers
reimbursed
under
the
21
in-home-related
care
program
shall
not
be
less
than
the
minimum
22
payment
level
as
established
by
the
federal
government
to
meet
23
the
federally
mandated
maintenance
of
effort
requirement.
24
3.
Unless
otherwise
directed
in
this
section,
when
the
25
department’s
reimbursement
methodology
for
any
provider
26
reimbursed
in
accordance
with
this
section
includes
an
27
inflation
factor,
this
factor
shall
not
exceed
the
amount
28
by
which
the
consumer
price
index
for
all
urban
consumers
29
increased
during
the
calendar
year
ending
December
31,
2002.
30
4.
Notwithstanding
section
234.38,
for
the
fiscal
31
year
beginning
July
1,
2017,
the
foster
family
basic
daily
32
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
33
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
34
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
35
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653
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151
H.F.
653
children
ages
12
through
15
years
shall
be
$19.10,
and
the
1
rate
for
children
and
young
adults
ages
16
and
older
shall
2
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
3
care,
the
preparation
for
adult
living
program
maintenance
rate
4
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
5
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
6
disallowance
of
additional
amounts
for
court
costs
and
other
7
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
8
chapter
1031,
section
408
,
shall
be
continued.
9
5.
For
the
fiscal
year
beginning
July
1,
2017,
the
maximum
10
reimbursement
rates
for
social
services
providers
under
11
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2017,
12
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
13
each
service,
whichever
is
less.
However,
if
a
new
service
14
or
service
provider
is
added
after
June
30,
2017,
the
initial
15
reimbursement
rate
for
the
service
or
provider
shall
be
based
16
upon
a
weighted
average
of
provider
rates
for
similar
services.
17
6.
a.
For
the
fiscal
year
beginning
July
1,
2017,
the
18
reimbursement
rates
for
resource
family
recruitment
and
19
retention
contractors
shall
be
established
by
contract.
20
b.
For
the
fiscal
year
beginning
July
1,
2017,
the
21
reimbursement
rates
for
supervised
apartment
living
foster
care
22
providers
shall
be
established
by
contract.
23
7.
a.
For
the
purposes
of
this
subsection,
“combined
24
reimbursement
rate”
means
the
combined
service
and
maintenance
25
reimbursement
rate
for
a
service
level
under
the
department’s
26
reimbursement
methodology.
Effective
July
1,
2017,
the
27
combined
reimbursement
rate
for
a
group
foster
care
service
28
level
shall
be
the
amount
designated
in
this
subsection.
29
However,
if
a
group
foster
care
provider’s
reimbursement
rate
30
for
a
service
level
as
of
June
30,
2017,
is
more
than
the
rate
31
designated
in
this
subsection,
the
provider’s
reimbursement
32
shall
remain
at
the
higher
rate.
33
b.
Unless
a
group
foster
care
provider
is
subject
to
the
34
exception
provided
in
paragraph
“a”,
effective
July
1,
2017,
35
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653
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151
H.F.
653
the
combined
reimbursement
rates
for
the
service
levels
under
1
the
department’s
reimbursement
methodology
shall
be
as
follows:
2
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
3
be
at
least
$84.17.
4
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
5
shall
be
at
least
$119.09.
6
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
7
be
at
least
$131.09.
8
8.
The
group
foster
care
reimbursement
rates
paid
for
9
placement
of
children
out
of
state
shall
be
calculated
10
according
to
the
same
rate-setting
principles
as
those
used
for
11
in-state
providers,
unless
the
director
of
human
services
or
12
the
director’s
designee
determines
that
appropriate
care
cannot
13
be
provided
within
the
state.
The
payment
of
the
daily
rate
14
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
15
which
service
is
provided.
16
9.
a.
For
the
fiscal
year
beginning
July
1,
2017,
the
17
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
18
emergency
services
implemented
to
provide
or
prevent
the
need
19
for
shelter
care
shall
be
established
by
contract.
20
b.
For
the
fiscal
year
beginning
July
1,
2017,
the
combined
21
service
and
maintenance
components
of
the
reimbursement
rate
22
paid
for
shelter
care
services
shall
be
based
on
the
financial
23
and
statistical
report
submitted
to
the
department.
The
24
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
25
department
shall
reimburse
a
shelter
care
provider
at
the
26
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
27
to
exceed
the
maximum
reimbursement
rate.
28
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
29
fiscal
year
beginning
July
1,
2017,
the
amount
of
the
statewide
30
average
of
the
actual
and
allowable
rates
for
reimbursement
of
31
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
32
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
33
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
34
2016.
35
-62-
HF
653
(2)
87
pf/hb/rn/md
62/
151
H.F.
653
10.
For
the
fiscal
year
beginning
July
1,
2017,
the
1
department
shall
calculate
reimbursement
rates
for
intermediate
2
care
facilities
for
persons
with
an
intellectual
disability
3
at
the
80th
percentile.
Beginning
July
1,
2017,
the
rate
4
calculation
methodology
shall
utilize
the
consumer
price
index
5
inflation
factor
applicable
to
the
fiscal
year
beginning
July
6
1,
2017.
7
11.
For
the
fiscal
year
beginning
July
1,
2017,
for
child
8
care
providers
reimbursed
under
the
state
child
care
assistance
9
program,
the
department
shall
set
provider
reimbursement
10
rates
based
on
the
rate
reimbursement
survey
completed
in
11
December
2004.
Effective
July
1,
2017,
the
child
care
provider
12
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
13
30,
2017.
The
department
shall
set
rates
in
a
manner
so
as
14
to
provide
incentives
for
a
nonregistered
provider
to
become
15
registered
by
applying
the
increase
only
to
registered
and
16
licensed
providers.
17
12.
For
the
fiscal
year
beginning
July
1,
2017,
affected
18
providers
or
services
shall
be
reimbursed
as
follows:
19
a.
For
fee-for-service
claims,
a
rate
or
reimbursement
20
shall
be
calculated
based
on
the
methodology
otherwise
21
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
22
2017,
for
the
respective
provider
or
service.
23
b.
For
claims
subject
to
a
managed
care
contract
with
24
the
exception
of
any
provider
or
service
to
which
a
rate
or
25
reimbursement
increase
is
applicable
for
the
fiscal
year
under
26
this
section,
the
rate
or
reimbursement
shall
be
based
on
the
27
methodology
established
by
the
managed
care
contract.
However,
28
any
rate
or
reimbursement
established
under
such
contract
29
shall
not
be
lower
than
the
rate
or
reimbursement
floor
30
established
by
the
department
of
human
services
as
the
managed
31
care
organization
rate
or
reimbursement
floor
for
a
respective
32
provider
or
service
in
effect
on
April
1,
2016.
33
13.
Notwithstanding
any
provision
to
the
contrary,
34
reimbursement
rates
and
methodologies
under
this
section
may
35
-63-
HF
653
(2)
87
pf/hb/rn/md
63/
151
H.F.
653
be
adjusted
as
necessary
to
implement
the
cost
containment
1
strategies
authorized
for
the
medical
assistance
program
in
2
this
2017
Act.
3
14.
The
department
may
adopt
emergency
rules
to
implement
4
this
section.
5
Sec.
32.
EMERGENCY
RULES.
6
1.
If
specifically
authorized
by
a
provision
of
this
7
division
of
this
Act,
the
department
of
human
services
or
8
the
mental
health
and
disability
services
commission
may
9
adopt
administrative
rules
under
section
17A.4,
subsection
10
3
,
and
section
17A.5,
subsection
2,
paragraph
“b”
,
to
11
implement
the
provisions
of
this
division
of
this
Act
and
12
the
rules
shall
become
effective
immediately
upon
filing
or
13
on
a
later
effective
date
specified
in
the
rules,
unless
the
14
effective
date
of
the
rules
is
delayed
or
the
applicability
15
of
the
rules
is
suspended
by
the
administrative
rules
review
16
committee.
Any
rules
adopted
in
accordance
with
this
section
17
shall
not
take
effect
before
the
rules
are
reviewed
by
the
18
administrative
rules
review
committee.
The
delay
authority
19
provided
to
the
administrative
rules
review
committee
under
20
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
21
shall
be
applicable
to
a
delay
imposed
under
this
section,
22
notwithstanding
a
provision
in
those
sections
making
them
23
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”
.
24
Any
rules
adopted
in
accordance
with
the
provisions
of
this
25
section
shall
also
be
published
as
a
notice
of
intended
action
26
as
provided
in
section
17A.4
.
27
2.
If
during
a
fiscal
year,
the
department
of
human
28
services
is
adopting
rules
in
accordance
with
this
section
29
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
30
rules
will
result
in
an
expenditure
increase
beyond
the
amount
31
anticipated
in
the
budget
process
or
if
the
expenditure
was
32
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
33
department
shall
notify
the
persons
designated
by
this
division
34
of
this
Act
for
submission
of
reports,
the
chairpersons
and
35
-64-
HF
653
(2)
87
pf/hb/rn/md
64/
151
H.F.
653
ranking
members
of
the
committees
on
appropriations,
and
1
the
department
of
management
concerning
the
rules
and
the
2
expenditure
increase.
The
notification
shall
be
provided
at
3
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
4
is
submitted
to
the
administrative
rules
coordinator
and
the
5
administrative
code
editor.
6
Sec.
33.
REPORTS.
Any
reports
or
other
information
7
required
to
be
compiled
and
submitted
under
this
Act
during
the
8
fiscal
year
beginning
July
1,
2017,
shall
be
submitted
to
the
9
chairpersons
and
ranking
members
of
the
joint
appropriations
10
subcommittee
on
health
and
human
services,
the
legislative
11
services
agency,
and
the
legislative
caucus
staffs
on
or
12
before
the
dates
specified
for
submission
of
the
reports
or
13
information.
14
Sec.
34.
TRANSFER
OF
MEDICAID
MODERNIZATION
SAVINGS
BETWEEN
15
APPROPRIATIONS
FY
2017-2018.
Notwithstanding
section
8.39,
16
subsection
1,
for
the
fiscal
year
beginning
July
1,
2017,
if
17
savings
resulting
from
the
governor’s
Medicaid
modernization
18
initiative
accrue
to
the
medical
contracts
or
children’s
health
19
insurance
program
appropriation
from
the
general
fund
of
the
20
state
and
not
to
the
medical
assistance
appropriation
from
the
21
general
fund
of
the
state
under
this
division
of
this
Act,
22
such
savings
may
be
transferred
to
such
medical
assistance
23
appropriation
for
the
same
fiscal
year
without
prior
written
24
consent
and
approval
of
the
governor
and
the
director
of
the
25
department
of
management.
The
department
of
human
services
26
shall
report
any
transfers
made
pursuant
to
this
section
to
the
27
legislative
services
agency.
28
Sec.
35.
EFFECTIVE
UPON
ENACTMENT.
The
following
29
provisions
of
this
division
of
this
Act,
being
deemed
of
30
immediate
importance,
take
effect
upon
enactment:
31
1.
The
provision
relating
to
section
232.141
and
directing
32
the
state
court
administrator
and
the
division
administrator
of
33
the
department
of
human
services
division
of
child
and
family
34
services
to
make
the
determination,
by
June
15,
2017,
of
the
35
-65-
HF
653
(2)
87
pf/hb/rn/md
65/
151
H.F.
653
distribution
of
funds
allocated
for
the
payment
of
the
expenses
1
of
court-ordered
services
provided
to
juveniles
which
are
a
2
charge
upon
the
state.
3
DIVISION
VI
4
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2017-2018
5
Sec.
36.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
6
appropriated
from
the
pharmaceutical
settlement
account
created
7
in
section
249A.33
to
the
department
of
human
services
for
the
8
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
2018,
9
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
10
used
for
the
purpose
designated:
11
Notwithstanding
any
provision
of
law
to
the
contrary,
to
12
supplement
the
appropriations
made
in
this
Act
for
medical
13
contracts
under
the
medical
assistance
program
for
the
fiscal
14
year
beginning
July
1,
2017,
and
ending
June
30,
2018:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
800,000
16
Sec.
37.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
17
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
18
subject
to
the
availability
of
funds,
there
is
appropriated
19
from
the
quality
assurance
trust
fund
created
in
section
20
249L.4
to
the
department
of
human
services
for
the
fiscal
year
21
beginning
July
1,
2017,
and
ending
June
30,
2018,
the
following
22
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
23
designated:
24
To
supplement
the
appropriation
made
in
this
Act
from
the
25
general
fund
of
the
state
to
the
department
of
human
services
26
for
medical
assistance
for
the
same
fiscal
year:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,705,208
28
Sec.
38.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
29
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
30
the
contrary
and
subject
to
the
availability
of
funds,
there
is
31
appropriated
from
the
hospital
health
care
access
trust
fund
32
created
in
section
249M.4
to
the
department
of
human
services
33
for
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
34
30,
2018,
the
following
amounts,
or
so
much
thereof
as
is
35
-66-
HF
653
(2)
87
pf/hb/rn/md
66/
151
H.F.
653
necessary,
for
the
purposes
designated:
1
To
supplement
the
appropriation
made
in
this
Act
from
the
2
general
fund
of
the
state
to
the
department
of
human
services
3
for
medical
assistance
for
the
same
fiscal
year:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
5
Sec.
39.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
6
FOR
FY
2017-2018.
Notwithstanding
section
8.33
,
if
moneys
7
appropriated
for
purposes
of
the
medical
assistance
program
for
8
the
fiscal
year
beginning
July
1,
2017,
and
ending
June
30,
9
2018,
from
the
general
fund
of
the
state,
the
quality
assurance
10
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
11
in
excess
of
actual
expenditures
for
the
medical
assistance
12
program
and
remain
unencumbered
or
unobligated
at
the
close
13
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
14
shall
remain
available
for
expenditure
for
the
purposes
of
the
15
medical
assistance
program
until
the
close
of
the
succeeding
16
fiscal
year.
17
DIVISION
VII
18
DEPARTMENT
ON
AGING
——
FY
2018-2019
19
Sec.
40.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
20
the
general
fund
of
the
state
to
the
department
on
aging
for
21
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
22
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
23
to
be
used
for
the
purposes
designated:
24
For
aging
programs
for
the
department
on
aging
and
area
25
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
26
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
27
aging
and
disabilities
resource
center,
and
other
services
28
which
may
include
but
are
not
limited
to
adult
day
services,
29
respite
care,
chore
services,
information
and
assistance,
30
and
material
aid,
for
information
and
options
counseling
for
31
persons
with
disabilities
who
are
18
years
of
age
or
older,
32
and
for
salaries,
support,
administration,
maintenance,
and
33
miscellaneous
purposes,
and
for
not
more
than
the
following
34
full-time
equivalent
positions:
35
-67-
HF
653
(2)
87
pf/hb/rn/md
67/
151
H.F.
653
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,521,238
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
27.00
2
1.
Funds
appropriated
in
this
section
may
be
used
to
3
supplement
federal
funds
under
federal
regulations.
To
4
receive
funds
appropriated
in
this
section,
a
local
area
5
agency
on
aging
shall
match
the
funds
with
moneys
from
other
6
sources
according
to
rules
adopted
by
the
department.
Funds
7
appropriated
in
this
section
may
be
used
for
elderly
services
8
not
specifically
enumerated
in
this
section
only
if
approved
9
by
an
area
agency
on
aging
for
provision
of
the
service
within
10
the
area.
11
2.
Of
the
funds
appropriated
in
this
section,
$139,973
is
12
transferred
to
the
economic
development
authority
for
the
Iowa
13
commission
on
volunteer
services
to
be
used
for
the
retired
and
14
senior
volunteer
program.
15
3.
a.
The
department
on
aging
shall
establish
and
enforce
16
procedures
relating
to
expenditure
of
state
and
federal
funds
17
by
area
agencies
on
aging
that
require
compliance
with
both
18
state
and
federal
laws,
rules,
and
regulations,
including
but
19
not
limited
to
all
of
the
following:
20
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
21
or
services
received
or
performed
prior
to
the
end
of
the
22
fiscal
period
designated
for
use
of
the
funds.
23
(2)
Prohibiting
prepayment
for
goods
or
services
not
24
received
or
performed
prior
to
the
end
of
the
fiscal
period
25
designated
for
use
of
the
funds.
26
(3)
Prohibiting
the
prepayment
for
goods
or
services
27
not
defined
specifically
by
good
or
service,
time
period,
or
28
recipient.
29
(4)
Prohibiting
the
establishment
of
accounts
from
which
30
future
goods
or
services
which
are
not
defined
specifically
by
31
good
or
service,
time
period,
or
recipient,
may
be
purchased.
32
b.
The
procedures
shall
provide
that
if
any
funds
are
33
expended
in
a
manner
that
is
not
in
compliance
with
the
34
procedures
and
applicable
federal
and
state
laws,
rules,
and
35
-68-
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653
(2)
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151
H.F.
653
regulations,
and
are
subsequently
subject
to
repayment,
the
1
area
agency
on
aging
expending
such
funds
in
contravention
of
2
such
procedures,
laws,
rules
and
regulations,
not
the
state,
3
shall
be
liable
for
such
repayment.
4
4.
Of
the
funds
appropriated
in
this
section,
at
least
5
$125,000
shall
be
used
to
fund
the
unmet
needs
identified
6
through
Iowa’s
aging
and
disability
resource
center
network.
7
5.
Of
the
funds
appropriated
in
this
section,
at
least
8
$300,000
shall
be
used
to
fund
home
and
community-based
9
services
through
the
area
agencies
on
aging
that
enable
older
10
individuals
to
avoid
more
costly
utilization
of
residential
or
11
institutional
services
and
remain
in
their
own
homes.
12
6.
Of
the
funds
appropriated
in
this
section,
$406,268
13
shall
be
used
for
the
purposes
of
chapter
231E
and
section
14
231.56A
,
of
which
$175,000
shall
be
used
for
the
office
of
15
substitute
decision
maker
pursuant
to
chapter
231E
,
and
the
16
remainder
shall
be
distributed
equally
to
the
area
agencies
on
17
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
18
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
19
with
the
requirements
of
the
federal
Older
Americans
Act
of
20
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
21
7.
Of
the
funds
appropriated
in
this
section,
$375,000
22
shall
be
used
to
fund
continuation
of
the
aging
and
disability
23
resource
center
lifelong
links
to
provide
individuals
and
24
caregivers
with
information
and
services
to
plan
for
and
25
maintain
independence.
26
8.
Notwithstanding
section
8.39,
for
the
fiscal
year
27
beginning
July
1,
2018,
the
department
may
transfer
funds
28
within
or
between
the
allocations
made
in
this
division
of
this
29
Act
for
the
same
fiscal
year
in
accordance
with
departmental
30
priorities.
The
department
shall
report
any
such
transfers
31
to
the
individuals
specified
in
this
Act
for
submission
of
32
reports.
This
subsection
shall
not
be
construed
to
prohibit
33
the
use
of
existing
state
transfer
authority
for
other
34
purposes.
35
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DIVISION
VIII
1
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2018-2019
2
Sec.
41.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
3
appropriated
from
the
general
fund
of
the
state
to
the
office
4
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
5
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
6
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
7
designated:
8
For
salaries,
support,
administration,
maintenance,
and
9
miscellaneous
purposes,
and
for
not
more
than
the
following
10
full-time
equivalent
positions:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
580,140
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.00
13
DIVISION
IX
14
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2018-2019
15
Sec.
42.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
16
from
the
general
fund
of
the
state
to
the
department
of
public
17
health
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
18
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purposes
designated:
20
1.
ADDICTIVE
DISORDERS
21
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
22
and
other
drugs,
and
treating
individuals
affected
by
addictive
23
behaviors,
including
gambling,
and
for
not
more
than
the
24
following
full-time
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,492,915
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
10.00
27
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
28
$2,010,612
shall
be
used
for
the
tobacco
use
prevention
29
and
control
initiative,
including
efforts
at
the
state
and
30
local
levels,
as
provided
in
chapter
142A
.
The
commission
31
on
tobacco
use
prevention
and
control
established
pursuant
32
to
section
142A.3
shall
advise
the
director
of
public
health
33
in
prioritizing
funding
needs
and
the
allocation
of
moneys
34
appropriated
for
the
programs
and
initiatives.
Activities
35
-70-
HF
653
(2)
87
pf/hb/rn/md
70/
151
H.F.
653
of
the
programs
and
initiatives
shall
be
in
alignment
with
1
the
United
States
centers
for
disease
control
and
prevention
2
best
practices
for
comprehensive
tobacco
control
programs
that
3
include
the
goals
of
preventing
youth
initiation
of
tobacco
4
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
5
of
tobacco
cessation.
To
maximize
resources,
the
department
6
shall
determine
if
third-party
sources
are
available
to
7
instead
provide
nicotine
replacement
products
to
an
applicant
8
prior
to
provision
of
such
products
to
an
applicant
under
9
the
initiative.
The
department
shall
track
and
report
to
10
the
individuals
specified
in
this
Act,
any
reduction
in
11
the
provision
of
nicotine
replacement
products
realized
by
12
the
initiative
through
implementation
of
the
prerequisite
13
screening.
14
(2)
(a)
The
department
shall
collaborate
with
the
15
alcoholic
beverages
division
of
the
department
of
commerce
for
16
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
17
engage
in
tobacco
control
activities
approved
by
the
division
18
of
tobacco
use
prevention
and
control
of
the
department
of
19
public
health
as
specified
in
the
memorandum
of
understanding
20
entered
into
between
the
divisions.
21
(b)
For
the
fiscal
year
beginning
July
1,
2018,
and
ending
22
June
30,
2019,
the
terms
of
the
memorandum
of
understanding,
23
entered
into
between
the
division
of
tobacco
use
prevention
24
and
control
of
the
department
of
public
health
and
the
25
alcoholic
beverages
division
of
the
department
of
commerce,
26
governing
compliance
checks
conducted
to
ensure
licensed
retail
27
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
28
ordinances
relating
to
persons
under
18
years
of
age,
shall
29
continue
to
restrict
the
number
of
such
checks
to
one
check
per
30
retail
outlet,
and
one
additional
check
for
any
retail
outlet
31
found
to
be
in
violation
during
the
first
check.
32
b.
Of
the
funds
appropriated
in
this
subsection,
33
$10,482,303
shall
be
used
for
problem
gambling
and
34
substance-related
disorder
prevention,
treatment,
and
recovery
35
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HF
653
(2)
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151
H.F.
653
services,
including
a
24-hour
helpline,
public
information
1
resources,
professional
training,
youth
prevention,
and
program
2
evaluation.
3
c.
The
requirement
of
section
123.17,
subsection
5,
is
met
4
by
the
appropriations
and
allocations
made
in
this
division
of
5
this
Act
for
purposes
of
substance-related
disorder
treatment
6
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
7
2018.
8
2.
HEALTHY
CHILDREN
AND
FAMILIES
9
For
promoting
the
optimum
health
status
for
children,
10
adolescents
from
birth
through
21
years
of
age,
and
families,
11
and
for
not
more
than
the
following
full-time
equivalent
12
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,662,816
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
15
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
16
than
$367,420
shall
be
used
for
the
healthy
opportunities
for
17
parents
to
experience
success
(HOPES)-healthy
families
Iowa
18
(HFI)
program
established
pursuant
to
section
135.106
.
The
19
funding
shall
be
distributed
to
renew
the
grants
that
were
20
provided
to
the
grantees
that
operated
the
program
during
the
21
fiscal
year
ending
June
30,
2018.
22
b.
In
order
to
implement
the
legislative
intent
stated
in
23
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
24
program
funding
be
given
to
programs
using
evidence-based
or
25
promising
models
for
home
visitation,
it
is
the
intent
of
the
26
general
assembly
to
phase
in
the
funding
priority
in
accordance
27
with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2
,
28
paragraph
“0b”.
29
c.
Of
the
funds
appropriated
in
this
subsection,
$1,537,550
30
shall
be
used
for
continuation
of
the
department’s
initiative
31
to
provide
for
adequate
developmental
surveillance
and
32
screening
during
a
child’s
first
five
years.
The
funds
shall
33
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
34
the
sites
are
fully
operational,
with
the
remaining
funds
35
-72-
HF
653
(2)
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72/
151
H.F.
653
to
be
used
for
expansion
to
additional
sites.
The
full
1
implementation
and
expansion
shall
include
enhancing
the
scope
2
of
the
initiative
through
collaboration
with
the
child
health
3
specialty
clinics
to
promote
healthy
child
development
through
4
early
identification
and
response
to
both
biomedical
and
social
5
determinants
of
healthy
development;
by
monitoring
child
6
health
metrics
to
inform
practice,
document
long-term
health
7
impacts
and
savings,
and
provide
for
continuous
improvement
8
through
training,
education,
and
evaluation;
and
by
providing
9
for
practitioner
consultation
particularly
for
children
with
10
behavioral
conditions
and
needs.
The
department
of
public
11
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
12
and
the
child
health
specialty
clinics
to
integrate
the
13
activities
of
the
first
five
initiative
into
the
establishment
14
of
patient-centered
medical
homes,
community
utilities,
15
accountable
care
organizations,
and
other
integrated
care
16
models
developed
to
improve
health
quality
and
population
17
health
while
reducing
health
care
costs.
To
the
maximum
extent
18
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
19
as
matching
funds
for
medical
assistance
program
reimbursement.
20
d.
Of
the
funds
appropriated
in
this
subsection,
$32,320
21
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
22
funds
to
continue
the
donated
dental
services
program
patterned
23
after
the
projects
developed
by
the
lifeline
network
to
provide
24
dental
services
to
indigent
individuals
who
are
elderly
or
with
25
disabilities.
26
e.
Of
the
funds
appropriated
in
this
subsection,
$78,241
27
shall
be
used
to
provide
audiological
services
and
hearing
28
aids
for
children.
The
department
may
enter
into
a
contract
29
to
administer
this
paragraph.
30
f.
Of
the
funds
appropriated
in
this
subsection,
$11,500
is
31
transferred
to
the
university
of
Iowa
college
of
dentistry
for
32
provision
of
primary
dental
services
to
children.
State
funds
33
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
34
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
35
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653
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151
H.F.
653
department
of
public
health,
bureau
of
oral
and
health
delivery
1
systems,
to
provide
dental
care
to
underserved
populations
2
throughout
the
state.
3
g.
Of
the
funds
appropriated
in
this
subsection,
$25,000
4
shall
be
used
to
address
youth
suicide
prevention.
5
h.
Of
the
funds
appropriated
in
this
subsection,
$20,255
6
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
7
of
children
who
experience
adverse
childhood
experiences
known
8
as
ACEs.
9
i.
The
department
of
public
health
shall
continue
to
10
administer
the
program
to
assist
parents
in
this
state
with
11
costs
resulting
from
the
death
of
a
child
in
accordance
with
12
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
13
subsection
12
.
14
3.
CHRONIC
CONDITIONS
15
For
serving
individuals
identified
as
having
chronic
16
conditions
or
special
health
care
needs,
and
for
not
more
than
17
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,085,375
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
20
a.
Of
the
funds
appropriated
in
this
subsection,
$76,877
21
shall
be
used
for
grants
to
individual
patients
who
have
an
22
inherited
metabolic
disorder
to
assist
with
the
costs
of
23
medically
necessary
foods
and
formula.
24
b.
Of
the
funds
appropriated
in
this
subsection,
$510,397
25
shall
be
used
for
the
brain
injury
services
program
pursuant
26
to
section
135.22B,
including
for
contracting
with
an
existing
27
nationally
affiliated
and
statewide
organization
whose
purpose
28
is
to
educate,
serve,
and
support
Iowans
with
brain
injury
and
29
their
families
for
resource
facilitator
services
in
accordance
30
with
section
135.22B,
subsection
9,
and
for
contracting
to
31
enhance
brain
injury
training
and
recruitment
of
service
32
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
33
this
paragraph,
$47,500
shall
be
used
to
fund
one
full-time
34
equivalent
position
to
serve
as
the
state
brain
injury
services
35
-74-
HF
653
(2)
87
pf/hb/rn/md
74/
151
H.F.
653
program
manager.
1
c.
Of
the
funds
appropriated
in
this
subsection,
$72,048
2
shall
be
used
for
the
public
purpose
of
continuing
to
contract
3
with
an
existing
national-affiliated
organization
to
provide
4
education,
client-centered
programs,
and
client
and
family
5
support
for
people
living
with
epilepsy
and
their
families.
6
The
amount
allocated
in
this
paragraph
in
excess
of
$50,000
7
shall
be
matched
dollar-for-dollar
by
the
organization
8
specified.
9
d.
Of
the
funds
appropriated
in
this
subsection,
$404,775
10
shall
be
used
for
child
health
specialty
clinics.
11
e.
Of
the
funds
appropriated
in
this
subsection,
$192,276
12
shall
be
used
by
the
regional
autism
assistance
program
13
established
pursuant
to
section
256.35
,
and
administered
by
14
the
child
health
specialty
clinic
located
at
the
university
of
15
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
16
interagency
collaboration
and
coordination
of
educational,
17
medical,
and
other
human
services
for
persons
with
autism,
18
their
families,
and
providers
of
services,
including
delivering
19
regionalized
services
of
care
coordination,
family
navigation,
20
and
integration
of
services
through
the
statewide
system
of
21
regional
child
health
specialty
clinics
and
fulfilling
other
22
requirements
as
specified
in
chapter
225D
.
The
university
of
23
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
24
indirect
costs
associated
with
the
regional
autism
assistance
25
program.
26
f.
Of
the
funds
appropriated
in
this
subsection,
$288,687
27
shall
be
used
for
the
comprehensive
cancer
control
program
to
28
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
29
detection,
effective
treatment,
and
ensuring
quality
of
life.
30
Of
the
funds
allocated
in
this
paragraph
“f”,
$75,000
shall
31
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
32
biorepository
and
registry,
basic
and
translational
melanoma
33
research,
and
clinical
trials.
34
g.
Of
the
funds
appropriated
in
this
subsection,
$48,766
35
-75-
HF
653
(2)
87
pf/hb/rn/md
75/
151
H.F.
653
shall
be
used
for
cervical
and
colon
cancer
screening,
and
1
$88,860
shall
be
used
to
enhance
the
capacity
of
the
cervical
2
cancer
screening
program
to
include
provision
of
recommended
3
prevention
and
early
detection
measures
to
a
broader
range
of
4
low-income
women.
5
h.
Of
the
funds
appropriated
in
this
subsection,
$253,177
6
shall
be
used
for
the
center
for
congenital
and
inherited
7
disorders.
8
i.
Of
the
funds
appropriated
in
this
subsection,
9
$107,631
shall
be
used
by
the
department
of
public
health
10
for
reform-related
activities,
including
but
not
limited
to
11
facilitation
of
communication
to
stakeholders
at
the
state
and
12
local
level,
administering
the
patient-centered
health
advisory
13
council
pursuant
to
section
135.159
,
and
involvement
in
health
14
care
system
innovation
activities
occurring
across
the
state.
15
j.
Of
the
funds
appropriated
in
this
subsection,
$11,050
16
shall
be
used
for
administration
of
chapter
124D
,
the
medical
17
cannabidiol
Act.
18
4.
COMMUNITY
CAPACITY
19
For
strengthening
the
health
care
delivery
system
at
the
20
local
level,
and
for
not
more
than
the
following
full-time
21
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,453,888
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
24
a.
Of
the
funds
appropriated
in
this
subsection,
$47,787
25
is
allocated
for
continuation
of
the
child
vision
screening
26
program
implemented
through
the
university
of
Iowa
hospitals
27
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
28
The
program
shall
submit
a
report
to
the
individuals
identified
29
in
this
Act
for
submission
of
reports
regarding
the
use
of
30
funds
allocated
under
this
paragraph
“a”.
The
report
shall
31
include
the
objectives
and
results
for
the
program
year
32
including
the
target
population
and
how
the
funds
allocated
33
assisted
the
program
in
meeting
the
objectives;
the
number,
34
age,
and
location
within
the
state
of
individuals
served;
35
-76-
HF
653
(2)
87
pf/hb/rn/md
76/
151
H.F.
653
the
type
of
services
provided
to
the
individuals
served;
the
1
distribution
of
funds
based
on
service
provided;
and
the
2
continuing
needs
of
the
program.
3
b.
Of
the
funds
appropriated
in
this
subsection,
$52,828
is
4
allocated
for
continuation
of
an
initiative
implemented
at
the
5
university
of
Iowa
to
expand
and
improve
the
workforce
engaged
6
in
mental
health
treatment
and
services.
The
initiative
shall
7
receive
input
from
the
university
of
Iowa,
the
department
of
8
human
services,
the
department
of
public
health,
and
the
mental
9
health
and
disability
services
commission
to
address
the
focus
10
of
the
initiative.
11
c.
Of
the
funds
appropriated
in
this
section,
$41,657
shall
12
be
deposited
in
the
governmental
public
health
system
fund
13
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
14
fund.
15
d.
Of
the
funds
appropriated
in
this
subsection,
16
$24,034
shall
be
used
for
a
grant
to
a
statewide
association
17
of
psychologists
that
is
affiliated
with
the
American
18
psychological
association
to
be
used
for
continuation
of
a
19
program
to
rotate
intern
psychologists
in
placements
in
urban
20
and
rural
mental
health
professional
shortage
areas,
as
defined
21
in
section
135.180
.
22
e.
Of
the
funds
appropriated
in
this
subsection,
the
23
following
amounts
are
allocated
to
be
used
as
follows
to
24
support
the
Iowa
collaborative
safety
net
provider
network
25
goals
of
increased
access,
health
system
integration,
and
26
engagement.
27
(1)
Not
less
than
$260,931
is
allocated
to
the
Iowa
28
prescription
drug
corporation
for
continuation
of
the
29
pharmaceutical
infrastructure
for
safety
net
providers
as
30
described
in
2007
Iowa
Acts,
chapter
218,
section
108
,
and
for
31
the
prescription
drug
donation
repository
program
created
in
32
chapter
135M.
33
(2)
Not
less
than
$167,435
is
allocated
to
free
clinics
and
34
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
35
-77-
HF
653
(2)
87
pf/hb/rn/md
77/
151
H.F.
653
coordination,
provider
recruitment,
service
delivery,
and
1
provision
of
assistance
to
patients
in
securing
a
medical
home
2
inclusive
of
oral
health
care.
3
(3)
Not
less
than
$12,500
is
allocated
to
the
Iowa
4
association
of
rural
health
clinics
for
necessary
5
infrastructure
and
service
delivery
transformation.
6
(4)
Not
less
than
$50,000
is
allocated
to
the
Polk
county
7
medical
society
for
continuation
of
the
safety
net
provider
8
patient
access
to
a
specialty
health
care
initiative
as
9
described
in
2007
Iowa
Acts,
chapter
218,
section
109.
10
f.
Of
the
funds
appropriated
in
this
subsection,
11
$38,115
shall
be
used
by
the
department
in
implementing
12
the
recommendations
in
the
final
report
submitted
by
the
13
direct
care
worker
advisory
council
to
the
governor
and
the
14
general
assembly
in
March
2012,
including
by
continuing
to
15
develop,
promote,
and
make
available
on
a
statewide
basis
the
16
prepare-to-care
core
curriculum
and
its
associated
modules
17
and
specialties
through
various
formats
including
online
18
access,
community
colleges,
and
other
venues;
exploring
new
and
19
maintaining
existing
specialties
including
but
not
limited
to
20
oral
health
and
dementia
care;
supporting
instructor
training;
21
and
assessing
and
making
recommendations
concerning
the
Iowa
22
care
book
and
information
technology
systems
and
infrastructure
23
uses
and
needs.
24
g.
Of
the
funds
appropriated
in
this
subsection,
$95,594
25
shall
be
allocated
for
continuation
of
the
contract
with
26
an
independent
statewide
direct
care
worker
organization
27
previously
selected
through
a
request
for
proposals
process.
28
The
contract
shall
continue
to
include
performance
and
outcomes
29
measures,
and
shall
continue
to
allow
the
contractor
to
use
a
30
portion
of
the
funds
received
under
the
contract
to
collect
31
data
to
determine
results
based
on
the
performance
and
outcomes
32
measures.
33
h.
Of
the
funds
appropriated
in
this
subsection,
the
34
department
may
use
up
to
$29,087
for
up
to
one
full-time
35
-78-
HF
653
(2)
87
pf/hb/rn/md
78/
151
H.F.
653
equivalent
position
to
administer
the
volunteer
health
care
1
provider
program
pursuant
to
section
135.24
.
2
i.
Of
the
funds
appropriated
in
this
subsection,
$48,069
3
shall
be
used
for
a
matching
dental
education
loan
repayment
4
program
to
be
allocated
to
a
dental
nonprofit
health
service
5
corporation
to
continue
to
develop
the
criteria
and
implement
6
the
loan
repayment
program.
7
j.
Of
the
funds
appropriated
in
this
subsection,
$26,455
is
8
transferred
to
the
college
student
aid
commission
for
deposit
9
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
10
261.113
to
be
used
for
the
purposes
of
the
fund.
11
k.
Of
the
funds
appropriated
in
this
subsection,
$75,000
12
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
13
specified
in
section
142C.18
.
14
l.
Of
the
funds
appropriated
in
this
subsection,
$48,069
15
shall
be
used
for
continuation
of
a
grant
to
a
nationally
16
affiliated
volunteer
eye
organization
that
has
an
established
17
program
for
children
and
adults
and
that
is
solely
dedicated
to
18
preserving
sight
and
preventing
blindness
through
education,
19
nationally
certified
vision
screening
and
training,
and
20
community
and
patient
service
programs.
The
organization
21
shall
submit
a
report
to
the
individuals
identified
in
this
22
Act
for
submission
of
reports
regarding
the
use
of
funds
23
allocated
under
this
paragraph
“l”.
The
report
shall
include
24
the
objectives
and
results
for
the
program
year
including
25
the
target
population
and
how
the
funds
allocated
assisted
26
the
program
in
meeting
the
objectives;
the
number,
age,
and
27
location
within
the
state
of
individuals
served;
the
type
of
28
services
provided
to
the
individuals
served;
the
distribution
29
of
funds
based
on
services
provided;
and
the
continuing
needs
30
of
the
program.
31
m.
Of
the
funds
appropriated
in
this
subsection,
$436,327
32
shall
be
deposited
in
the
medical
residency
training
account
33
created
in
section
135.175,
subsection
5,
paragraph
“a”,
and
34
is
appropriated
from
the
account
to
the
department
of
public
35
-79-
HF
653
(2)
87
pf/hb/rn/md
79/
151
H.F.
653
health
to
be
used
for
the
purposes
of
the
medical
residency
1
training
state
matching
grants
program
as
specified
in
section
2
135.176.
3
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
4
To
provide
public
health
services
that
reduce
risks
and
5
invest
in
promoting
and
protecting
good
health
over
the
6
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
7
vulnerable
populations:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,098,939
9
6.
INFECTIOUS
DISEASES
10
For
reducing
the
incidence
and
prevalence
of
communicable
11
diseases,
and
for
not
more
than
the
following
full-time
12
equivalent
positions:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
823,213
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
15
7.
PUBLIC
PROTECTION
16
For
protecting
the
health
and
safety
of
the
public
through
17
establishing
standards
and
enforcing
regulations,
and
for
not
18
more
than
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,097,569
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
138.00
21
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
22
than
$152,350
shall
be
credited
to
the
emergency
medical
23
services
fund
created
in
section
135.25
.
Moneys
in
the
24
emergency
medical
services
fund
are
appropriated
to
the
25
department
to
be
used
for
the
purposes
of
the
fund.
26
b.
Of
the
funds
appropriated
in
this
subsection,
up
27
to
$121,630
shall
be
used
for
sexual
violence
prevention
28
programming
through
a
statewide
organization
representing
29
programs
serving
victims
of
sexual
violence
through
the
30
department’s
sexual
violence
prevention
program,
and
for
31
continuation
of
a
training
program
for
sexual
assault
32
response
team
(SART)
members,
including
representatives
of
33
law
enforcement,
victim
advocates,
prosecutors,
and
certified
34
medical
personnel.
The
amount
allocated
in
this
paragraph
“b”
35
-80-
HF
653
(2)
87
pf/hb/rn/md
80/
151
H.F.
653
shall
not
be
used
to
supplant
funding
administered
for
other
1
sexual
violence
prevention
or
victims
assistance
programs.
2
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
3
$287,813
shall
be
used
for
the
state
poison
control
center.
4
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
5
1140,
section
102
,
the
federal
matching
funds
available
to
6
the
state
poison
control
center
from
the
department
of
human
7
services
under
the
federal
Children’s
Health
Insurance
Program
8
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
9
administrative
cap
rule
of
10
percent
applicable
to
funding
10
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
11
included
within
the
department’s
calculations
of
the
cap.
12
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
13
$258,491
shall
be
used
for
childhood
lead
poisoning
provisions.
14
8.
RESOURCE
MANAGEMENT
15
For
establishing
and
sustaining
the
overall
ability
of
the
16
department
to
deliver
services
to
the
public,
and
for
not
more
17
than
the
following
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
485,607
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
20
9.
MISCELLANEOUS
PROVISIONS
21
The
university
of
Iowa
hospitals
and
clinics
under
the
22
control
of
the
state
board
of
regents
shall
not
receive
23
indirect
costs
from
the
funds
appropriated
in
this
section.
24
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
25
department
shall
be
on
at
least
a
quarterly
basis.
26
10.
GENERAL
REDUCTION
27
For
the
period
beginning
July
1,
2018,
and
ending
June
30,
28
2019,
the
department
of
public
health,
in
consultation
with
29
the
department
of
management,
shall
identify
and
implement
a
30
reduction
in
expenditures
made
from
appropriations
from
the
31
general
fund
of
the
state
to
the
department
of
public
health
in
32
the
amount
of
$640,683.
33
11.
TRANSFERS
34
Notwithstanding
section
8.39,
for
the
fiscal
year
beginning
35
-81-
HF
653
(2)
87
pf/hb/rn/md
81/
151
H.F.
653
July
1,
2018,
the
department
may
transfer
funds
within
or
1
between
any
of
the
allocations
or
appropriations
made
in
this
2
division
of
this
Act
for
the
same
fiscal
year,
to
be
used
in
3
accordance
with
departmental
priorities
as
specified
in
the
4
department’s
report
to
the
general
assembly
submitted
pursuant
5
to
2016
Iowa
Acts,
chapter
1139,
section
3.
The
department
6
shall
report
any
such
transfers
to
the
individuals
specified
7
in
this
Act
for
submission
of
reports.
This
subsection
shall
8
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
9
authority
for
other
purposes.
10
DIVISION
X
11
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2018-2019
12
Sec.
43.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
13
appropriated
from
the
general
fund
of
the
state
to
the
14
department
of
veterans
affairs
for
the
fiscal
year
beginning
15
July
1,
2018,
and
ending
June
30,
2019,
the
following
amounts,
16
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
17
designated:
18
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
19
For
salaries,
support,
maintenance,
and
miscellaneous
20
purposes,
and
for
not
more
than
the
following
full-time
21
equivalent
positions:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
571,278
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
24
2.
IOWA
VETERANS
HOME
25
For
salaries,
support,
maintenance,
and
miscellaneous
26
purposes:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,614,070
28
a.
The
Iowa
veterans
home
billings
involving
the
department
29
of
human
services
shall
be
submitted
to
the
department
on
at
30
least
a
monthly
basis.
31
b.
Within
available
resources
and
in
conformance
with
32
associated
state
and
federal
program
eligibility
requirements,
33
the
Iowa
veterans
home
may
implement
measures
to
provide
34
financial
assistance
to
or
on
behalf
of
veterans
or
their
35
-82-
HF
653
(2)
87
pf/hb/rn/md
82/
151
H.F.
653
spouses
who
are
participating
in
the
community
reentry
program.
1
c.
The
Iowa
veterans
home
expenditure
report
shall
be
2
submitted
monthly
to
the
legislative
services
agency.
3
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
4
annual
discharge
report
applicant
information
and
to
provide
5
for
the
collection
of
demographic
information
including
but
not
6
limited
to
the
number
of
individuals
applying
for
admission
and
7
admitted
or
denied
admittance
and
the
basis
for
the
admission
8
or
denial;
the
age,
gender,
and
race
of
such
individuals;
9
and
the
level
of
care
for
which
such
individuals
applied
for
10
admission
including
residential
or
nursing
level
of
care.
11
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
12
For
transfer
to
the
Iowa
finance
authority
for
the
13
continuation
of
the
home
ownership
assistance
program
for
14
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
15
the
United
States,
pursuant
to
section
16.54
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
17
Sec.
44.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
18
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
19
standing
appropriation
in
section
35A.16
for
the
fiscal
year
20
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
amount
21
appropriated
from
the
general
fund
of
the
state
pursuant
to
22
that
section
for
the
following
designated
purposes
shall
not
23
exceed
the
following
amount:
24
For
the
county
commissions
of
veteran
affairs
fund
under
25
section
35A.16
:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
473,962
27
DIVISION
XI
28
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2018-2019
29
Sec.
45.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
30
GRANT.
There
is
appropriated
from
the
fund
created
in
section
31
8.41
to
the
department
of
human
services
for
the
fiscal
year
32
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
moneys
33
received
under
the
federal
temporary
assistance
for
needy
34
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
35
-83-
HF
653
(2)
87
pf/hb/rn/md
83/
151
H.F.
653
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
1
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
2
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purposes
designated:
4
1.
To
be
credited
to
the
family
investment
program
account
5
and
used
for
assistance
under
the
family
investment
program
6
under
chapter
239B
:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,556,231
8
2.
To
be
credited
to
the
family
investment
program
account
9
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
10
program
and
implementing
family
investment
agreements
in
11
accordance
with
chapter
239B
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,787,846
13
3.
To
be
used
for
the
family
development
and
14
self-sufficiency
grant
program
in
accordance
with
section
15
216A.107
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
17
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
18
subsection
that
remain
unencumbered
or
unobligated
at
the
close
19
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
20
for
expenditure
for
the
purposes
designated
until
the
close
of
21
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
22
encumbered
or
obligated
on
or
before
September
30,
2019,
the
23
moneys
shall
revert.
24
4.
For
field
operations:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
26
5.
For
general
administration:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
28
6.
For
state
child
care
assistance:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,933,413
30
a.
Of
the
funds
appropriated
in
this
subsection,
31
$13,164,048
is
transferred
to
the
child
care
and
development
32
block
grant
appropriation
made
by
the
Eighty-seventh
General
33
Assembly,
2018
session,
for
the
federal
fiscal
year
beginning
34
October
1,
2018,
and
ending
September
30,
2019.
Of
this
35
-84-
HF
653
(2)
87
pf/hb/rn/md
84/
151
H.F.
653
amount,
$100,000
shall
be
used
for
provision
of
educational
1
opportunities
to
registered
child
care
home
providers
in
order
2
to
improve
services
and
programs
offered
by
this
category
3
of
providers
and
to
increase
the
number
of
providers.
The
4
department
may
contract
with
institutions
of
higher
education
5
or
child
care
resource
and
referral
centers
to
provide
6
the
educational
opportunities.
Allowable
administrative
7
costs
under
the
contracts
shall
not
exceed
5
percent.
The
8
application
for
a
grant
shall
not
exceed
two
pages
in
length.
9
b.
Any
funds
appropriated
in
this
subsection
remaining
10
unallocated
shall
be
used
for
state
child
care
assistance
11
payments
for
families
who
are
employed
including
but
not
12
limited
to
individuals
enrolled
in
the
family
investment
13
program.
14
7.
For
child
and
family
services:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,190,327
16
8.
For
child
abuse
prevention
grants:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
18
9.
For
pregnancy
prevention
grants
on
the
condition
that
19
family
planning
services
are
funded:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
21
Pregnancy
prevention
grants
shall
be
awarded
to
programs
22
in
existence
on
or
before
July
1,
2018,
if
the
programs
have
23
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
24
pregnancy
prevention
programs
which
are
developed
after
July
25
1,
2018,
if
the
programs
are
based
on
existing
models
that
26
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
27
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
28
section
14,
subsections
1
and
2
,
including
the
requirement
that
29
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
30
the
awarding
of
grants
shall
be
given
to
programs
that
serve
31
areas
of
the
state
which
demonstrate
the
highest
percentage
of
32
unplanned
pregnancies
of
females
of
childbearing
age
within
the
33
geographic
area
to
be
served
by
the
grant.
34
10.
For
technology
needs
and
other
resources
necessary
35
-85-
HF
653
(2)
87
pf/hb/rn/md
85/
151
H.F.
653
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
1
management
requirements:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
3
11.
a.
Notwithstanding
any
provision
to
the
contrary,
4
including
but
not
limited
to
requirements
in
section
8.41
or
5
provisions
in
2017
or
2018
Iowa
Acts
regarding
the
receipt
and
6
appropriation
of
federal
block
grants,
federal
funds
from
the
7
temporary
assistance
for
needy
families
block
grant
received
by
8
the
state
and
not
otherwise
appropriated
in
this
section
and
9
remaining
available
for
the
fiscal
year
beginning
July
1,
2018,
10
are
appropriated
to
the
department
of
human
services
to
the
11
extent
as
may
be
necessary
to
be
used
in
the
following
priority
12
order:
the
family
investment
program,
for
state
child
care
13
assistance
program
payments
for
families
who
are
employed,
and
14
for
the
family
investment
program
share
of
costs
to
develop
and
15
maintain
a
new,
integrated
eligibility
determination
system.
16
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
17
expended
only
after
all
other
funds
appropriated
in
subsection
18
1
for
assistance
under
the
family
investment
program,
in
19
subsection
6
for
child
care
assistance,
or
in
subsection
10
20
for
technology
costs
related
to
the
family
investment
program,
21
as
applicable,
have
been
expended.
For
the
purposes
of
this
22
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
23
“a”,
for
transfer
to
the
child
care
and
development
block
grant
24
appropriation
are
considered
fully
expended
when
the
full
25
amount
has
been
transferred.
26
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
27
legislative
services
agency
and
department
of
management
of
28
the
amount
of
funds
appropriated
in
this
subsection
that
was
29
expended
in
the
prior
quarter.
30
12.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
31
for
the
fiscal
year
beginning
July
1,
2018,
is
transferred
to
32
the
appropriation
of
the
federal
social
services
block
grant
33
made
to
the
department
of
human
services
for
that
fiscal
year.
34
13.
For
continuation
of
the
program
providing
categorical
35
-86-
HF
653
(2)
87
pf/hb/rn/md
86/
151
H.F.
653
eligibility
for
the
food
assistance
program
as
specified
1
for
the
program
in
the
section
of
this
division
of
this
Act
2
relating
to
the
family
investment
program
account:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
4
14.
The
department
may
transfer
funds
allocated
in
this
5
section
to
the
appropriations
made
in
this
division
of
this
Act
6
for
the
same
fiscal
year
for
general
administration
and
field
7
operations
for
resources
necessary
to
implement
and
operate
the
8
services
referred
to
in
this
section
and
those
funded
in
the
9
appropriation
made
in
this
division
of
this
Act
for
the
same
10
fiscal
year
for
the
family
investment
program
from
the
general
11
fund
of
the
state.
12
15.
With
the
exception
of
moneys
allocated
under
this
13
section
for
the
family
development
and
self-sufficiency
grant
14
program,
to
the
extent
moneys
allocated
in
this
section
are
15
deemed
by
the
department
not
to
be
necessary
to
support
the
16
purposes
for
which
they
are
allocated,
such
moneys
may
be
17
credited
to
the
family
investment
program
account
as
specified
18
under
subsection
1
of
this
section
and
used
for
the
purposes
of
19
assistance
under
the
family
investment
program
under
chapter
20
239B
in
the
same
fiscal
year.
21
Sec.
46.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
22
1.
Moneys
credited
to
the
family
investment
program
(FIP)
23
account
for
the
fiscal
year
beginning
July
1,
2018,
and
24
ending
June
30,
2019,
shall
be
used
to
provide
assistance
in
25
accordance
with
chapter
239B
.
26
2.
The
department
may
use
a
portion
of
the
moneys
credited
27
to
the
FIP
account
under
this
section
as
necessary
for
28
salaries,
support,
maintenance,
and
miscellaneous
purposes.
29
3.
The
department
may
transfer
funds
allocated
in
30
subsection
4
to
the
appropriations
made
in
this
division
of
31
this
Act
for
the
same
fiscal
year
for
general
administration
32
and
field
operations
for
resources
necessary
to
implement
and
33
operate
the
family
investment
program
services
referred
to
in
34
this
section
and
those
funded
in
the
appropriation
made
in
this
35
-87-
HF
653
(2)
87
pf/hb/rn/md
87/
151
H.F.
653
division
of
this
Act
for
the
same
fiscal
year
for
the
family
1
investment
program
from
the
general
fund
of
the
state.
2
4.
Moneys
appropriated
in
this
division
of
this
Act
and
3
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
4
1,
2018,
and
ending
June
30,
2019,
are
allocated
as
follows:
5
a.
To
be
retained
by
the
department
of
human
services
to
6
be
used
for
coordinating
with
the
department
of
human
rights
7
to
more
effectively
serve
participants
in
FIP
and
other
shared
8
clients
and
to
meet
federal
reporting
requirements
under
the
9
federal
temporary
assistance
for
needy
families
block
grant:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
11
b.
To
the
department
of
human
rights
for
staffing,
12
administration,
and
implementation
of
the
family
development
13
and
self-sufficiency
grant
program
in
accordance
with
section
14
216A.107
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
16
(1)
Of
the
funds
allocated
for
the
family
development
17
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
18
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
19
administration
of
the
grant
program.
20
(2)
The
department
of
human
rights
may
continue
to
implement
21
the
family
development
and
self-sufficiency
grant
program
22
statewide
during
fiscal
year
2018-2019.
23
(3)
The
department
of
human
rights
may
engage
in
activities
24
to
strengthen
and
improve
family
outcomes
measures
and
25
data
collection
systems
under
the
family
development
and
26
self-sufficiency
grant
program.
27
c.
For
the
diversion
subaccount
of
the
FIP
account:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
29
A
portion
of
the
moneys
allocated
for
the
subaccount
may
30
be
used
for
field
operations,
salaries,
data
management
31
system
development,
and
implementation
costs
and
support
32
deemed
necessary
by
the
director
of
human
services
in
order
to
33
administer
the
FIP
diversion
program.
To
the
extent
moneys
34
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
35
-88-
HF
653
(2)
87
pf/hb/rn/md
88/
151
H.F.
653
not
to
be
necessary
to
support
diversion
activities,
such
1
moneys
may
be
used
for
other
efforts
intended
to
increase
2
engagement
by
family
investment
program
participants
in
work,
3
education,
or
training
activities,
or
for
the
purposes
of
4
assistance
under
the
family
investment
program
in
accordance
5
with
chapter
239B.
6
d.
For
the
food
assistance
employment
and
training
program:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
8
(1)
The
department
shall
apply
the
federal
supplemental
9
nutrition
assistance
program
(SNAP)
employment
and
training
10
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
11
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
12
provisions
for
the
claiming
of
allowable
federal
reimbursement
13
funds
from
the
United
States
department
of
agriculture
14
pursuant
to
the
federal
SNAP
employment
and
training
program
15
for
providing
education,
employment,
and
training
services
16
for
eligible
food
assistance
program
participants,
including
17
but
not
limited
to
related
dependent
care
and
transportation
18
expenses.
19
(2)
The
department
shall
continue
the
categorical
federal
20
food
assistance
program
eligibility
at
160
percent
of
the
21
federal
poverty
level
and
continue
to
eliminate
the
asset
test
22
from
eligibility
requirements,
consistent
with
federal
food
23
assistance
program
requirements.
The
department
shall
include
24
as
many
food
assistance
households
as
is
allowed
by
federal
25
law.
The
eligibility
provisions
shall
conform
to
all
federal
26
requirements
including
requirements
addressing
individuals
who
27
are
incarcerated
or
otherwise
ineligible.
28
e.
For
the
JOBS
program:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,761,645
30
5.
Of
the
child
support
collections
assigned
under
FIP,
31
an
amount
equal
to
the
federal
share
of
support
collections
32
shall
be
credited
to
the
child
support
recovery
appropriation
33
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
34
assigned
child
support
collections
received
by
the
child
35
-89-
HF
653
(2)
87
pf/hb/rn/md
89/
151
H.F.
653
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
1
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
2
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
3
payments
account.
If
as
a
consequence
of
the
appropriations
4
and
allocations
made
in
this
section
the
resulting
amounts
5
are
insufficient
to
sustain
cash
assistance
payments
and
meet
6
federal
maintenance
of
effort
requirements,
the
department
7
shall
seek
supplemental
funding.
If
child
support
collections
8
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
9
determined
not
to
be
required
for
maintenance
of
effort,
the
10
state
share
of
either
amount
may
be
transferred
to
or
retained
11
in
the
child
support
payments
account.
12
6.
The
department
may
adopt
emergency
rules
for
the
family
13
investment,
JOBS,
food
assistance,
and
medical
assistance
14
programs
if
necessary
to
comply
with
federal
requirements.
15
Sec.
47.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
16
is
appropriated
from
the
general
fund
of
the
state
to
the
17
department
of
human
services
for
the
fiscal
year
beginning
July
18
1,
2018,
and
ending
June
30,
2019,
the
following
amount,
or
19
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
20
designated:
21
To
be
credited
to
the
family
investment
program
(FIP)
22
account
and
used
for
family
investment
program
assistance
under
23
chapter
239B
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,502,240
25
1.
Of
the
funds
appropriated
in
this
section,
$3,973,798
is
26
allocated
for
the
JOBS
program.
27
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
is
28
allocated
for
the
family
development
and
self-sufficiency
grant
29
program.
30
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
31
beginning
July
1,
2018,
if
necessary
to
meet
federal
32
maintenance
of
effort
requirements
or
to
transfer
federal
33
temporary
assistance
for
needy
families
block
grant
funding
34
to
be
used
for
purposes
of
the
federal
social
services
block
35
-90-
HF
653
(2)
87
pf/hb/rn/md
90/
151
H.F.
653
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
1
receiving
federal
funding
or
to
implement,
in
accordance
with
2
this
division
of
this
Act,
activities
currently
funded
with
3
juvenile
court
services,
county,
or
community
moneys
and
state
4
moneys
used
in
combination
with
such
moneys;
to
comply
with
5
federal
requirements;
or
to
maximize
the
use
of
federal
funds,
6
the
department
of
human
services
may
transfer
funds
within
or
7
between
any
of
the
appropriations
made
in
this
division
of
this
8
Act
and
appropriations
in
law
for
the
federal
social
services
9
block
grant
to
the
department
for
the
following
purposes,
10
provided
that
the
combined
amount
of
state
and
federal
11
temporary
assistance
for
needy
families
block
grant
funding
12
for
each
appropriation
remains
the
same
before
and
after
the
13
transfer:
14
a.
For
the
family
investment
program.
15
b.
For
child
care
assistance.
16
c.
For
child
and
family
services.
17
d.
For
field
operations.
18
e.
For
general
administration.
19
This
subsection
shall
not
be
construed
to
prohibit
the
use
20
of
existing
state
transfer
authority
for
other
purposes.
The
21
department
shall
report
any
transfers
made
pursuant
to
this
22
subsection
to
the
legislative
services
agency.
23
4.
Of
the
funds
appropriated
in
this
section,
$97,839
shall
24
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
25
organization
with
a
history
of
providing
tax
preparation
26
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
27
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
28
supply
this
assistance
to
underserved
areas
of
the
state.
29
5.
Of
the
funds
appropriated
in
this
section,
$30,000
shall
30
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
31
defined
in
441
IAC
100.1
,
relating
to
parental
obligations,
32
in
which
the
child
support
recovery
unit
participates,
to
33
support
the
efforts
of
a
nonprofit
organization
committed
34
to
strengthening
the
community
through
youth
development,
35
-91-
HF
653
(2)
87
pf/hb/rn/md
91/
151
H.F.
653
healthy
living,
and
social
responsibility
headquartered
in
1
a
county
with
a
population
over
350,000
according
to
the
2
latest
certified
federal
census.
The
funds
allocated
in
this
3
subsection
shall
be
used
by
the
recipient
organization
to
4
develop
a
larger
community
effort,
through
public
and
private
5
partnerships,
to
support
a
broad-based
multi-county
fatherhood
6
initiative
that
promotes
payment
of
child
support
obligations,
7
improved
family
relationships,
and
full-time
employment.
8
6.
The
department
may
transfer
funds
appropriated
in
this
9
section
to
the
appropriations
made
in
this
division
of
this
Act
10
for
general
administration
and
field
operations
as
necessary
11
to
administer
this
section
and
the
overall
family
investment
12
program.
13
Sec.
48.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
14
from
the
general
fund
of
the
state
to
the
department
of
human
15
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
16
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purposes
designated:
18
For
child
support
recovery,
including
salaries,
support,
19
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
20
the
following
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,293,317
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
23
1.
The
department
shall
expend
up
to
$12,164,
including
24
federal
financial
participation,
for
the
fiscal
year
beginning
25
July
1,
2018,
for
a
child
support
public
awareness
campaign.
26
The
department
and
the
office
of
the
attorney
general
shall
27
cooperate
in
continuation
of
the
campaign.
The
public
28
awareness
campaign
shall
emphasize,
through
a
variety
of
29
media
activities,
the
importance
of
maximum
involvement
of
30
both
parents
in
the
lives
of
their
children
as
well
as
the
31
importance
of
payment
of
child
support
obligations.
32
2.
Federal
access
and
visitation
grant
moneys
shall
be
33
issued
directly
to
private
not-for-profit
agencies
that
provide
34
services
designed
to
increase
compliance
with
the
child
access
35
-92-
HF
653
(2)
87
pf/hb/rn/md
92/
151
H.F.
653
provisions
of
court
orders,
including
but
not
limited
to
1
neutral
visitation
sites
and
mediation
services.
2
3.
The
appropriation
made
to
the
department
for
child
3
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
4
manner
necessary
for
purposes
of
cash
flow
management,
and
for
5
cash
flow
management
purposes
the
department
may
temporarily
6
draw
more
than
the
amount
appropriated,
provided
the
amount
7
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
8
4.
With
the
exception
of
the
funding
amount
specified,
the
9
requirements
established
under
2001
Iowa
Acts,
chapter
191,
10
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
11
be
applicable
to
parental
obligation
pilot
projects
for
the
12
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019.
13
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
14
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
15
in
effect
until
June
30,
2019.
16
Sec.
49.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
17
FY
2018-2019.
Any
funds
remaining
in
the
health
care
trust
18
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
19
July
1,
2018,
and
ending
June
30,
2019,
are
appropriated
to
20
the
department
of
human
services
to
supplement
the
medical
21
assistance
program
appropriations
made
in
this
division
of
this
22
Act,
for
medical
assistance
reimbursement
and
associated
costs,
23
including
program
administration
and
costs
associated
with
24
program
implementation.
25
Sec.
50.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
26
2018-2019.
Any
funds
remaining
in
the
Medicaid
fraud
fund
27
created
in
section
249A.50
for
the
fiscal
year
beginning
28
July
1,
2018,
and
ending
June
30,
2019,
are
appropriated
to
29
the
department
of
human
services
to
supplement
the
medical
30
assistance
appropriations
made
in
this
division
of
this
Act,
31
for
medical
assistance
reimbursement
and
associated
costs,
32
including
program
administration
and
costs
associated
with
33
program
implementation.
34
Sec.
51.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
35
-93-
HF
653
(2)
87
pf/hb/rn/md
93/
151
H.F.
653
general
fund
of
the
state
to
the
department
of
human
services
1
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
3
to
be
used
for
the
purpose
designated:
4
For
medical
assistance
program
reimbursement
and
associated
5
costs
as
specifically
provided
in
the
reimbursement
6
methodologies
in
effect
on
June
30,
2018,
except
as
otherwise
7
expressly
authorized
by
law,
consistent
with
options
under
8
federal
law
and
regulations,
and
contingent
upon
receipt
of
9
approval
from
the
office
of
the
governor
of
reimbursement
for
10
each
abortion
performed
under
the
program:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$642,202,870
12
1.
Iowans
support
reducing
the
number
of
abortions
13
performed
in
our
state.
Funds
appropriated
under
this
section
14
shall
not
be
used
for
abortions,
unless
otherwise
authorized
15
under
this
section.
16
2.
The
provisions
of
this
section
relating
to
abortions
17
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
18
pursuant
to
chapter
249N
.
19
3.
The
department
shall
utilize
not
more
than
$30,000
of
20
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
21
health
insurance
premium
payment
program
as
established
in
1992
22
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
23
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
24
not
more
than
$2,500
may
be
expended
for
administrative
25
purposes.
26
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
27
of
public
health
for
addictive
disorders,
$475,000
for
28
the
fiscal
year
beginning
July
1,
2018,
is
transferred
29
to
the
department
of
human
services
for
an
integrated
30
substance-related
disorder
managed
care
system.
The
31
departments
of
human
services
and
public
health
shall
32
work
together
to
maintain
the
level
of
mental
health
and
33
substance-related
disorder
treatment
services
provided
by
the
34
managed
care
contractors.
Each
department
shall
take
the
steps
35
-94-
HF
653
(2)
87
pf/hb/rn/md
94/
151
H.F.
653
necessary
to
continue
the
federal
waivers
as
necessary
to
1
maintain
the
level
of
services.
2
5.
a.
The
department
shall
aggressively
pursue
options
for
3
providing
medical
assistance
or
other
assistance
to
individuals
4
with
special
needs
who
become
ineligible
to
continue
receiving
5
services
under
the
early
and
periodic
screening,
diagnostic,
6
and
treatment
program
under
the
medical
assistance
program
7
due
to
becoming
21
years
of
age
who
have
been
approved
for
8
additional
assistance
through
the
department’s
exception
to
9
policy
provisions,
but
who
have
health
care
needs
in
excess
10
of
the
funding
available
through
the
exception
to
policy
11
provisions.
12
b.
Of
the
funds
appropriated
in
this
section,
$50,000
13
shall
be
used
for
participation
in
one
or
more
pilot
projects
14
operated
by
a
private
provider
to
allow
the
individual
or
15
individuals
to
receive
service
in
the
community
in
accordance
16
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
17
(1999),
for
the
purpose
of
providing
medical
assistance
or
18
other
assistance
to
individuals
with
special
needs
who
become
19
ineligible
to
continue
receiving
services
under
the
early
and
20
periodic
screening,
diagnostic,
and
treatment
program
under
21
the
medical
assistance
program
due
to
becoming
21
years
of
22
age
who
have
been
approved
for
additional
assistance
through
23
the
department’s
exception
to
policy
provisions,
but
who
have
24
health
care
needs
in
excess
of
the
funding
available
through
25
the
exception
to
the
policy
provisions.
26
6.
Of
the
funds
appropriated
in
this
section,
up
to
27
$1,525,041
may
be
transferred
to
the
field
operations
or
28
general
administration
appropriations
in
this
division
of
this
29
Act
for
operational
costs
associated
with
Part
D
of
the
federal
30
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
31
of
2003,
Pub.
L.
No.
108-173.
32
7.
Of
the
funds
appropriated
in
this
section,
up
to
$221,050
33
may
be
transferred
to
the
appropriation
in
this
division
34
of
this
Act
for
medical
contracts
to
be
used
for
clinical
35
-95-
HF
653
(2)
87
pf/hb/rn/md
95/
151
H.F.
653
assessment
services
and
prior
authorization
of
services.
1
8.
A
portion
of
the
funds
appropriated
in
this
section
2
may
be
transferred
to
the
appropriations
in
this
division
of
3
this
Act
for
general
administration,
medical
contracts,
the
4
children’s
health
insurance
program,
or
field
operations
to
be
5
used
for
the
state
match
cost
to
comply
with
the
payment
error
6
rate
measurement
(PERM)
program
for
both
the
medical
assistance
7
and
children’s
health
insurance
programs
as
developed
by
the
8
centers
for
Medicare
and
Medicaid
services
of
the
United
States
9
department
of
health
and
human
services
to
comply
with
the
10
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
11
107-300.
12
9.
The
department
shall
continue
to
implement
the
13
recommendations
of
the
assuring
better
child
health
and
14
development
initiative
II
(ABCDII)
clinical
panel
to
the
15
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
16
services
healthy
mental
development
collaborative
board
17
regarding
changes
to
billing
procedures,
codes,
and
eligible
18
service
providers.
19
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
20
amount
is
allocated
to
supplement
the
incomes
of
residents
of
21
nursing
facilities,
intermediate
care
facilities
for
persons
22
with
mental
illness,
and
intermediate
care
facilities
for
23
persons
with
an
intellectual
disability,
with
incomes
of
less
24
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
25
personal
needs
allowance
of
$50
per
month
pursuant
to
section
26
249A.30A
.
27
11.
a.
Hospitals
that
meet
the
conditions
specified
28
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
29
expenditures
or
transfer
to
the
medical
assistance
program
30
an
amount
equal
to
provide
the
nonfederal
share
for
a
31
disproportionate
share
hospital
payment
in
an
amount
up
to
the
32
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
33
The
hospitals
that
meet
the
conditions
specified
shall
receive
34
and
retain
100
percent
of
the
total
disproportionate
share
35
-96-
HF
653
(2)
87
pf/hb/rn/md
96/
151
H.F.
653
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
1
as
approved
in
the
Medicaid
state
plan.
2
(1)
The
hospital
qualifies
for
disproportionate
share
and
3
graduate
medical
education
payments.
4
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
5
than
500
beds
and
eight
or
more
distinct
residency
specialty
6
or
subspecialty
programs
recognized
by
the
American
college
of
7
graduate
medical
education.
8
b.
Distribution
of
the
disproportionate
share
payments
9
shall
be
made
on
a
monthly
basis.
The
total
amount
of
10
disproportionate
share
payments
including
graduate
medical
11
education,
enhanced
disproportionate
share,
and
Iowa
12
state-owned
teaching
hospital
payments
shall
not
exceed
the
13
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
14
In
addition,
the
total
amount
of
all
disproportionate
15
share
payments
shall
not
exceed
the
hospital-specific
16
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
17
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
18
to
area
education
agencies
that
are
medical
assistance
19
providers
for
medical
assistance-covered
services
provided
to
20
medical
assistance-covered
children,
shall
be
made
from
the
21
appropriation
made
in
this
section.
22
13.
A
portion
of
the
funds
appropriated
in
this
section
23
may
be
transferred
to
the
appropriation
in
this
division
of
24
this
Act
for
medical
contracts
to
be
used
for
administrative
25
activities
associated
with
the
money
follows
the
person
26
demonstration
project.
27
14.
Of
the
funds
appropriated
in
this
section,
$174,505
28
shall
be
used
for
the
administration
of
the
health
insurance
29
premium
payment
program,
including
salaries,
support,
30
maintenance,
and
miscellaneous
purposes.
31
15.
a.
The
department
may
increase
the
amounts
allocated
32
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
33
associated
with
the
medical
assistance
program,
as
necessary,
34
to
implement
cost
containment
strategies.
The
department
shall
35
-97-
HF
653
(2)
87
pf/hb/rn/md
97/
151
H.F.
653
report
any
such
increase
to
the
legislative
services
agency
and
1
the
department
of
management.
2
b.
If
the
savings
to
the
medical
assistance
program
from
3
cost
containment
efforts
exceed
the
cost
for
the
fiscal
4
year
beginning
July
1,
2018,
the
department
may
transfer
any
5
savings
generated
for
the
fiscal
year
due
to
medical
assistance
6
program
cost
containment
efforts
to
the
appropriation
7
made
in
this
division
of
this
Act
for
medical
contracts
or
8
general
administration
to
defray
the
increased
contract
costs
9
associated
with
implementing
such
efforts.
10
16.
For
the
fiscal
year
beginning
July
1,
2018,
and
ending
11
June
30,
2019,
the
replacement
generation
tax
revenues
required
12
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
13
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
14
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
15
to
and
supplement
the
appropriation
made
in
this
section
and
16
used
for
the
allocations
made
in
this
section.
17
17.
a.
Of
the
funds
appropriated
in
this
section,
up
18
to
$25,000
may
be
transferred
by
the
department
to
the
19
appropriation
made
in
this
division
of
this
Act
to
the
20
department
for
the
same
fiscal
year
for
general
administration
21
to
be
used
for
associated
administrative
expenses
and
for
not
22
more
than
one
full-time
equivalent
position,
in
addition
to
23
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
24
implementing
the
children’s
mental
health
home
project.
25
b.
Of
the
funds
appropriated
in
this
section,
up
to
$200,000
26
may
be
transferred
by
the
department
to
the
appropriation
made
27
to
the
department
in
this
division
of
this
Act
for
the
same
28
fiscal
year
for
Medicaid
program-related
general
administration
29
planning
and
implementation
activities.
The
funds
may
be
used
30
for
contracts
or
for
personnel
in
addition
to
the
amounts
31
appropriated
for
and
the
positions
authorized
for
general
32
administration
for
the
fiscal
year.
33
c.
Of
the
funds
appropriated
in
this
section,
up
to
34
$1,500,000
may
be
transferred
by
the
department
to
the
35
-98-
HF
653
(2)
87
pf/hb/rn/md
98/
151
H.F.
653
appropriations
made
in
this
division
of
this
Act
for
the
same
1
fiscal
year
for
general
administration
or
medical
contracts
2
to
be
used
to
support
the
development
and
implementation
of
3
standardized
assessment
tools
for
persons
with
mental
illness,
4
an
intellectual
disability,
a
developmental
disability,
or
a
5
brain
injury.
6
18.
Of
the
funds
appropriated
in
this
section,
$75,000
7
shall
be
used
for
lodging
expenses
associated
with
care
8
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
9
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
10
and
whose
income
is
at
or
below
200
percent
of
the
federal
11
poverty
level
as
defined
by
the
most
recently
revised
poverty
12
income
guidelines
published
by
the
United
States
department
of
13
health
and
human
services.
The
department
of
human
services
14
shall
establish
the
maximum
number
of
overnight
stays
and
the
15
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
16
based
on
the
state
employee
rate
established
by
the
department
17
of
administrative
services.
The
funds
allocated
in
this
18
subsection
shall
not
be
used
as
nonfederal
share
matching
19
funds.
20
19.
Of
the
funds
appropriated
in
this
section,
up
to
21
$1,691,940
shall
be
used
for
administration
of
the
state
22
family
planning
services
program
as
enacted
in
this
2017
Act,
23
and
of
this
amount
the
department
may
use
to
up
$100,000
for
24
administrative
expenses.
25
20.
The
department
shall
report
the
implementation
of
26
any
cost
containment
strategies
to
the
individuals
specified
27
in
this
division
of
this
Act
for
submission
of
reports
upon
28
implementation.
29
21.
The
department
shall
report
the
implementation
of
any
30
process
improvement
changes
and
any
related
cost
reductions
31
to
the
individuals
specified
in
this
division
of
this
Act
for
32
submission
of
reports
upon
implementation.
33
Sec.
52.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
34
general
fund
of
the
state
to
the
department
of
human
services
35
-99-
HF
653
(2)
87
pf/hb/rn/md
99/
151
H.F.
653
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
1
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
2
to
be
used
for
the
purpose
designated:
3
For
medical
contracts:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,813,232
5
1.
The
department
of
inspections
and
appeals
shall
6
provide
all
state
matching
funds
for
survey
and
certification
7
activities
performed
by
the
department
of
inspections
8
and
appeals.
The
department
of
human
services
is
solely
9
responsible
for
distributing
the
federal
matching
funds
for
10
such
activities.
11
2.
Of
the
funds
appropriated
in
this
section,
$25,000
shall
12
be
used
for
continuation
of
home
and
community-based
services
13
waiver
quality
assurance
programs,
including
the
review
and
14
streamlining
of
processes
and
policies
related
to
oversight
and
15
quality
management
to
meet
state
and
federal
requirements.
16
3.
Of
the
amount
appropriated
in
this
section,
up
to
17
$100,000
may
be
transferred
to
the
appropriation
for
general
18
administration
in
this
division
of
this
Act
to
be
used
for
19
additional
full-time
equivalent
positions
in
the
development
of
20
key
health
initiatives
such
as
cost
containment,
development
21
and
oversight
of
managed
care
programs,
and
development
of
22
health
strategies
targeted
toward
improved
quality
and
reduced
23
costs
in
the
Medicaid
program.
24
4.
Of
the
funds
appropriated
in
this
section,
$500,000
shall
25
be
used
for
planning
and
development,
in
cooperation
with
the
26
department
of
public
health,
of
a
phased-in
program
to
provide
27
a
dental
home
for
children.
28
5.
Of
the
funds
appropriated
in
this
section,
$475,000
29
shall
be
credited
to
the
autism
support
program
fund
created
30
in
section
225D.2
to
be
used
for
the
autism
support
program
31
created
in
chapter
225D
,
with
the
exception
of
the
following
32
amounts
of
this
allocation
which
shall
be
used
as
follows:
33
a.
Of
the
funds
allocated
in
this
subsection,
$125,000
34
shall
be
deposited
in
the
board-certified
behavior
analyst
and
35
-100-
HF
653
(2)
87
pf/hb/rn/md
100/
151
H.F.
653
board-certified
assistant
behavior
analyst
grants
program
fund
1
created
in
section
135.181
,
to
be
used
for
the
purposes
of
the
2
fund.
3
b.
Of
the
funds
allocated
in
this
subsection,
$12,500
4
shall
be
used
for
the
public
purpose
of
continuation
of
a
5
grant
to
a
child
welfare
services
provider
headquartered
in
a
6
county
with
a
population
between
205,000
and
215,000
in
the
7
latest
certified
federal
census
that
provides
multiple
services
8
including
but
not
limited
to
a
psychiatric
medical
institution
9
for
children,
shelter,
residential
treatment,
after
school
10
programs,
school-based
programming,
and
an
Asperger’s
syndrome
11
program,
to
be
used
for
support
services
for
children
with
12
autism
spectrum
disorder
and
their
families.
13
c.
Of
the
funds
allocated
in
this
subsection,
$12,500
14
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
15
a
hospital-based
provider
headquartered
in
a
county
with
a
16
population
between
90,000
and
95,000
in
the
latest
certified
17
federal
census
that
provides
multiple
services
including
18
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
19
services
to
individuals
with
autism
spectrum
disorder
across
20
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
21
to
continue
the
pilot
project
to
determine
the
necessary
22
support
services
for
children
with
autism
spectrum
disorder
and
23
their
families
to
be
included
in
the
children’s
disabilities
24
services
system.
The
grant
recipient
shall
submit
findings
and
25
recommendations
based
upon
the
results
of
the
pilot
project
26
to
the
individuals
specified
in
this
division
of
this
Act
for
27
submission
of
reports
by
December
31,
2018.
28
Sec.
53.
STATE
SUPPLEMENTARY
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,
2018,
and
ending
June
30,
2019,
the
following
32
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purpose
designated:
34
For
the
state
supplementary
assistance
program:
35
-101-
HF
653
(2)
87
pf/hb/rn/md
101/
151
H.F.
653
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,186,329
1
2.
The
department
shall
increase
the
personal
needs
2
allowance
for
residents
of
residential
care
facilities
by
the
3
same
percentage
and
at
the
same
time
as
federal
supplemental
4
security
income
and
federal
social
security
benefits
are
5
increased
due
to
a
recognized
increase
in
the
cost
of
living.
6
The
department
may
adopt
emergency
rules
to
implement
this
7
subsection.
8
3.
If
during
the
fiscal
year
beginning
July
1,
2018,
9
the
department
projects
that
state
supplementary
assistance
10
expenditures
for
a
calendar
year
will
not
meet
the
federal
11
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
12
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
13
§1382g,
the
department
may
take
actions
including
but
not
14
limited
to
increasing
the
personal
needs
allowance
for
15
residential
care
facility
residents
and
making
programmatic
16
adjustments
or
upward
adjustments
of
the
residential
care
17
facility
or
in-home
health-related
care
reimbursement
rates
18
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
19
requirements
are
met.
In
addition,
the
department
may
make
20
other
programmatic
and
rate
adjustments
necessary
to
remain
21
within
the
amount
appropriated
in
this
section
while
ensuring
22
compliance
with
federal
requirements.
The
department
may
adopt
23
emergency
rules
to
implement
the
provisions
of
this
subsection.
24
Sec.
54.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
28
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purpose
designated:
30
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
31
program
pursuant
to
chapter
514I
,
including
supplemental
dental
32
services,
for
receipt
of
federal
financial
participation
under
33
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
34
children’s
health
insurance
program:
35
-102-
HF
653
(2)
87
pf/hb/rn/md
102/
151
H.F.
653
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,259,226
1
2.
Of
the
funds
appropriated
in
this
section,
$21,400
is
2
allocated
for
continuation
of
the
contract
for
outreach
with
3
the
department
of
public
health.
4
Sec.
55.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
5
from
the
general
fund
of
the
state
to
the
department
of
human
6
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
7
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
8
necessary,
to
be
used
for
the
purpose
designated:
9
For
child
care
programs:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,671,808
11
1.
Of
the
funds
appropriated
in
this
section,
$16,746,808
12
shall
be
used
for
state
child
care
assistance
in
accordance
13
with
section
237A.13
.
14
2.
Nothing
in
this
section
shall
be
construed
or
is
15
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
16
to
persons
who
are
eligible
for
assistance
due
to
an
income
17
level
consistent
with
the
waiting
list
requirements
of
section
18
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
19
this
section
is
limited
to
the
extent
of
the
funds
appropriated
20
in
this
section.
21
3.
A
list
of
the
registered
and
licensed
child
care
22
facilities
operating
in
the
area
served
by
a
child
care
23
resource
and
referral
service
shall
be
made
available
to
the
24
families
receiving
state
child
care
assistance
in
that
area.
25
4.
Of
the
funds
appropriated
in
this
section,
$2,925,000
26
shall
be
credited
to
the
early
childhood
programs
grants
27
account
in
the
early
childhood
Iowa
fund
created
in
section
28
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
29
community-based
early
childhood
programs
targeted
to
children
30
from
birth
through
five
years
of
age
developed
by
early
31
childhood
Iowa
areas
in
accordance
with
approved
community
32
plans
as
provided
in
section
256I.8
.
33
5.
The
department
may
use
any
of
the
funds
appropriated
34
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
35
-103-
HF
653
(2)
87
pf/hb/rn/md
103/
151
H.F.
653
expanding
child
care
assistance
and
related
programs.
For
1
the
purpose
of
expenditures
of
state
and
federal
child
care
2
funding,
funds
shall
be
considered
obligated
at
the
time
3
expenditures
are
projected
or
are
allocated
to
the
department’s
4
service
areas.
Projections
shall
be
based
on
current
and
5
projected
caseload
growth,
current
and
projected
provider
6
rates,
staffing
requirements
for
eligibility
determination
7
and
management
of
program
requirements
including
data
systems
8
management,
staffing
requirements
for
administration
of
the
9
program,
contractual
and
grant
obligations
and
any
transfers
10
to
other
state
agencies,
and
obligations
for
decategorization
11
or
innovation
projects.
12
6.
A
portion
of
the
state
match
for
the
federal
child
care
13
and
development
block
grant
shall
be
provided
as
necessary
to
14
meet
federal
matching
funds
requirements
through
the
state
15
general
fund
appropriation
made
for
child
development
grants
16
and
other
programs
for
at-risk
children
in
section
279.51
.
17
7.
If
a
uniform
reduction
ordered
by
the
governor
under
18
section
8.31
or
other
operation
of
law,
transfer,
or
federal
19
funding
reduction
reduces
the
appropriation
made
in
this
20
section
for
the
fiscal
year,
the
percentage
reduction
in
the
21
amount
paid
out
to
or
on
behalf
of
the
families
participating
22
in
the
state
child
care
assistance
program
shall
be
equal
to
or
23
less
than
the
percentage
reduction
made
for
any
other
purpose
24
payable
from
the
appropriation
made
in
this
section
and
the
25
federal
funding
relating
to
it.
The
percentage
reduction
to
26
the
other
allocations
made
in
this
section
shall
be
the
same
as
27
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
28
change
of
the
federal
funding
reduction,
as
applicable.
29
If
there
is
an
unanticipated
increase
in
federal
funding
30
provided
for
state
child
care
assistance,
the
entire
amount
31
of
the
increase
shall
be
used
for
state
child
care
assistance
32
payments.
If
the
appropriations
made
for
purposes
of
the
33
state
child
care
assistance
program
for
the
fiscal
year
are
34
determined
to
be
insufficient,
it
is
the
intent
of
the
general
35
-104-
HF
653
(2)
87
pf/hb/rn/md
104/
151
H.F.
653
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
1
in
order
to
avoid
establishment
of
waiting
list
requirements.
2
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
3
purposes
of
the
programs
developed
by
early
childhood
Iowa
4
areas,
advanced
for
purposes
of
wraparound
child
care,
or
5
received
from
the
federal
appropriations
made
for
the
purposes
6
of
this
section
that
remain
unencumbered
or
unobligated
at
the
7
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
8
remain
available
for
expenditure
for
the
purposes
designated
9
until
the
close
of
the
succeeding
fiscal
year.
10
Sec.
56.
JUVENILE
INSTITUTION.
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,
2018,
and
ending
13
June
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
14
necessary,
to
be
used
for
the
purposes
designated:
15
1.
For
operation
of
the
state
training
school
at
Eldora
and
16
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
17
and
for
not
more
than
the
following
full-time
equivalent
18
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,675,221
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
189.00
21
Of
the
funds
appropriated
in
this
subsection,
$45,575
shall
22
be
used
for
distribution
to
licensed
classroom
teachers
at
this
23
and
other
institutions
under
the
control
of
the
department
of
24
human
services
based
upon
the
average
student
yearly
enrollment
25
at
each
institution
as
determined
by
the
department.
26
2.
A
portion
of
the
moneys
appropriated
in
this
section
27
shall
be
used
by
the
state
training
school
at
Eldora
for
28
grants
for
adolescent
pregnancy
prevention
activities
at
the
29
institution
in
the
fiscal
year
beginning
July
1,
2018.
30
Sec.
57.
CHILD
AND
FAMILY
SERVICES.
31
1.
There
is
appropriated
from
the
general
fund
of
the
32
state
to
the
department
of
human
services
for
the
fiscal
year
33
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
34
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
35
-105-
HF
653
(2)
87
pf/hb/rn/md
105/
151
H.F.
653
purpose
designated:
1
For
child
and
family
services:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
43,639,687
3
2.
The
department
may
transfer
funds
appropriated
in
this
4
section
as
necessary
to
pay
the
nonfederal
costs
of
services
5
reimbursed
under
the
medical
assistance
program,
state
child
6
care
assistance
program,
or
the
family
investment
program
which
7
are
provided
to
children
who
would
otherwise
receive
services
8
paid
under
the
appropriation
in
this
section.
The
department
9
may
transfer
funds
appropriated
in
this
section
to
the
10
appropriations
made
in
this
division
of
this
Act
for
general
11
administration
and
for
field
operations
for
resources
necessary
12
to
implement
and
operate
the
services
funded
in
this
section.
13
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
14
$17,868,324
is
allocated
as
the
statewide
expenditure
target
15
under
section
232.143
for
group
foster
care
maintenance
and
16
services.
If
the
department
projects
that
such
expenditures
17
for
the
fiscal
year
will
be
less
than
the
target
amount
18
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
19
the
excess
to
provide
additional
funding
for
shelter
care
20
or
the
child
welfare
emergency
services
addressed
with
the
21
allocation
for
shelter
care.
22
b.
If
at
any
time
after
September
30,
2018,
annualization
23
of
a
service
area’s
current
expenditures
indicates
a
service
24
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
25
target
under
section
232.143
by
more
than
5
percent,
the
26
department
and
juvenile
court
services
shall
examine
all
27
group
foster
care
placements
in
that
service
area
in
order
to
28
identify
those
which
might
be
appropriate
for
termination.
29
In
addition,
any
aftercare
services
believed
to
be
needed
30
for
the
children
whose
placements
may
be
terminated
shall
be
31
identified.
The
department
and
juvenile
court
services
shall
32
initiate
action
to
set
dispositional
review
hearings
for
the
33
placements
identified.
In
such
a
dispositional
review
hearing,
34
the
juvenile
court
shall
determine
whether
needed
aftercare
35
-106-
HF
653
(2)
87
pf/hb/rn/md
106/
151
H.F.
653
services
are
available
and
whether
termination
of
the
placement
1
is
in
the
best
interest
of
the
child
and
the
community.
2
4.
In
accordance
with
the
provisions
of
section
232.188
,
3
the
department
shall
continue
the
child
welfare
and
juvenile
4
justice
funding
initiative
during
fiscal
year
2018-2019.
Of
5
the
funds
appropriated
in
this
section,
$858,876
is
allocated
6
specifically
for
expenditure
for
fiscal
year
2018-2019
through
7
the
decategorization
services
funding
pools
and
governance
8
boards
established
pursuant
to
section
232.188
.
9
5.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
used
for
emergency
family
assistance
to
provide
other
11
resources
required
for
a
family
participating
in
a
family
12
preservation
or
reunification
project
or
successor
project
to
13
stay
together
or
to
be
reunified.
14
6.
Notwithstanding
section
234.35
or
any
other
provision
15
of
law
to
the
contrary,
state
funding
for
shelter
care
and
16
the
child
welfare
emergency
services
contracting
implemented
17
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
18
limited
to
$4,048,079.
19
7.
Federal
funds
received
by
the
state
during
the
fiscal
20
year
beginning
July
1,
2018,
as
the
result
of
the
expenditure
21
of
state
funds
appropriated
during
a
previous
state
fiscal
22
year
for
a
service
or
activity
funded
under
this
section
are
23
appropriated
to
the
department
to
be
used
as
additional
funding
24
for
services
and
purposes
provided
for
under
this
section.
25
Notwithstanding
section
8.33
,
moneys
received
in
accordance
26
with
this
subsection
that
remain
unencumbered
or
unobligated
at
27
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
28
shall
remain
available
for
the
purposes
designated
until
the
29
close
of
the
succeeding
fiscal
year.
30
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
31
$1,645,000
is
allocated
for
the
payment
of
the
expenses
of
32
court-ordered
services
provided
to
juveniles
who
are
under
33
the
supervision
of
juvenile
court
services,
which
expenses
34
are
a
charge
upon
the
state
pursuant
to
section
232.141,
35
-107-
HF
653
(2)
87
pf/hb/rn/md
107/
151
H.F.
653
subsection
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
1
up
to
$778,143
shall
be
made
available
to
provide
school-based
2
supervision
of
children
adjudicated
under
chapter
232
,
of
which
3
not
more
than
$7,500
may
be
used
for
the
purpose
of
training.
4
A
portion
of
the
cost
of
each
school-based
liaison
officer
5
shall
be
paid
by
the
school
district
or
other
funding
source
as
6
approved
by
the
chief
juvenile
court
officer.
7
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
8
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
9
services
provided
to
children
who
are
under
the
supervision
10
of
the
department,
which
expenses
are
a
charge
upon
the
state
11
pursuant
to
section
232.141,
subsection
4
.
12
c.
Notwithstanding
section
232.141
or
any
other
provision
13
of
law
to
the
contrary,
the
amounts
allocated
in
this
14
subsection
shall
be
distributed
to
the
judicial
districts
15
as
determined
by
the
state
court
administrator
and
to
the
16
department’s
service
areas
as
determined
by
the
administrator
17
of
the
department
of
human
services’
division
of
child
and
18
family
services.
The
state
court
administrator
and
the
19
division
administrator
shall
make
the
determination
of
the
20
distribution
amounts
on
or
before
June
15,
2018.
21
d.
Notwithstanding
chapter
232
or
any
other
provision
of
22
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
23
order
any
service
which
is
a
charge
upon
the
state
pursuant
24
to
section
232.141
if
there
are
insufficient
court-ordered
25
services
funds
available
in
the
district
court
or
departmental
26
service
area
distribution
amounts
to
pay
for
the
service.
The
27
chief
juvenile
court
officer
and
the
departmental
service
area
28
manager
shall
encourage
use
of
the
funds
allocated
in
this
29
subsection
such
that
there
are
sufficient
funds
to
pay
for
30
all
court-related
services
during
the
entire
year.
The
chief
31
juvenile
court
officers
and
departmental
service
area
managers
32
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
33
in
the
distribution
amounts
and
shall
cooperatively
request
the
34
state
court
administrator
or
division
administrator
to
transfer
35
-108-
HF
653
(2)
87
pf/hb/rn/md
108/
151
H.F.
653
funds
between
the
judicial
districts’
or
departmental
service
1
areas’
distribution
amounts
as
prudent.
2
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
3
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
4
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
5
entered
under
chapter
232
which
is
a
charge
upon
the
state
6
under
section
232.141,
subsection
4
.
7
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
8
$41,500
may
be
used
by
the
judicial
branch
for
administration
9
of
the
requirements
under
this
subsection.
10
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
11
shall
be
used
by
the
department
of
human
services
to
support
12
the
interstate
commission
for
juveniles
in
accordance
with
13
the
interstate
compact
for
juveniles
as
provided
in
section
14
232.173
.
15
9.
Of
the
funds
appropriated
in
this
section,
$6,126,613
is
16
allocated
for
juvenile
delinquent
graduated
sanctions
services.
17
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
18
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
19
services
administration
may
be
used
for
the
juvenile
delinquent
20
graduated
sanctions
services.
21
10.
Of
the
funds
appropriated
in
this
section,
$829,142
is
22
transferred
to
the
department
of
public
health
to
be
used
for
23
the
child
protection
center
grant
program
for
child
protection
24
centers
located
in
Iowa
in
accordance
with
section
135.118
.
25
The
grant
amounts
under
the
program
shall
be
equalized
so
that
26
each
center
receives
a
uniform
base
amount
of
$122,500,
so
that
27
$25,000
is
awarded
to
establish
a
satellite
child
protection
28
center
in
a
city
in
north
central
Iowa
that
is
the
county
29
seat
of
a
county
with
a
population
between
44,000
and
45,000
30
according
to
the
2010
federal
decennial
census,
and
so
that
the
31
remaining
funds
are
awarded
through
a
funding
formula
based
32
upon
the
volume
of
children
served.
33
11.
If
the
department
receives
federal
approval
to
34
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
35
-109-
HF
653
(2)
87
pf/hb/rn/md
109/
151
H.F.
653
Security
Act
to
enable
providers
to
serve
children
who
remain
1
in
the
children’s
families
and
communities,
for
purposes
of
2
eligibility
under
the
medical
assistance
program
through
25
3
years
of
age,
children
who
participate
in
the
waiver
shall
be
4
considered
to
be
placed
in
foster
care.
5
12.
Of
the
funds
appropriated
in
this
section,
$2,012,583
is
6
allocated
for
the
preparation
for
adult
living
program
pursuant
7
to
section
234.46
.
8
13.
Of
the
funds
appropriated
in
this
section,
$113,668
9
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
10
a
nonprofit
human
services
organization
providing
services
to
11
individuals
and
families
in
multiple
locations
in
southwest
12
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
13
sensitive
support
and
forensic
interviews,
medical
exams,
needs
14
assessments,
and
referrals
for
victims
of
child
abuse
and
their
15
nonoffending
family
members.
16
14.
Of
the
funds
appropriated
in
this
section,
$150,310
17
is
allocated
for
the
foster
care
youth
council
approach
of
18
providing
a
support
network
to
children
placed
in
foster
care.
19
15.
Of
the
funds
appropriated
in
this
section,
$101,000
is
20
allocated
for
use
pursuant
to
section
235A.1
for
continuation
21
of
the
initiative
to
address
child
sexual
abuse
implemented
22
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
23
21
.
24
16.
Of
the
funds
appropriated
in
this
section,
$315,120
is
25
allocated
for
the
community
partnership
for
child
protection
26
sites.
27
17.
Of
the
funds
appropriated
in
this
section,
$185,625
28
is
allocated
for
the
department’s
minority
youth
and
family
29
projects
under
the
redesign
of
the
child
welfare
system.
30
18.
Of
the
funds
appropriated
in
this
section,
$568,297
31
is
allocated
for
funding
of
the
community
circle
of
care
32
collaboration
for
children
and
youth
in
northeast
Iowa.
33
19.
Of
the
funds
appropriated
in
this
section,
at
least
34
$73,579
shall
be
used
for
the
continuation
of
the
child
35
-110-
HF
653
(2)
87
pf/hb/rn/md
110/
151
H.F.
653
welfare
provider
training
academy,
a
collaboration
between
the
1
coalition
for
family
and
children’s
services
in
Iowa
and
the
2
department.
3
20.
Of
the
funds
appropriated
in
this
section,
$105,936
4
shall
be
used
for
continuation
of
the
central
Iowa
system
of
5
care
program
grant
through
June
30,
2019.
6
21.
Of
the
funds
appropriated
in
this
section,
$117,500
7
shall
be
used
for
the
public
purpose
of
the
continuation
8
and
expansion
of
a
system
of
care
program
grant
implemented
9
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
10
and
long-term
approach
for
helping
children
and
families
by
11
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
12
needs,
education
and
work,
family,
and
community.
13
22.
Of
the
funds
appropriated
in
this
section,
at
least
14
$12,500
shall
be
used
to
continue
and
to
expand
the
foster
15
care
respite
pilot
program
in
which
postsecondary
students
in
16
social
work
and
other
human
services-related
programs
receive
17
experience
by
assisting
family
foster
care
providers
with
18
respite
and
other
support.
19
23.
Of
the
funds
appropriated
in
this
section,
$55,000
20
shall
be
used
for
the
public
purpose
of
funding
community-based
21
services
and
other
supports
with
a
system
of
care
approach
22
for
children
with
a
serious
emotional
disturbance
and
their
23
families
through
a
nonprofit
provider
of
child
welfare
services
24
that
has
been
in
existence
for
more
than
115
years,
is
located
25
in
a
county
with
a
population
of
more
than
200,000
but
less
26
than
220,000
according
to
the
latest
certified
federal
census,
27
is
licensed
as
a
psychiatric
medical
institution
for
children,
28
and
was
a
system
of
care
grantee
prior
to
July
1,
2018.
29
Sec.
58.
ADOPTION
SUBSIDY.
30
1.
There
is
appropriated
from
the
general
fund
of
the
31
state
to
the
department
of
human
services
for
the
fiscal
year
32
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
33
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
34
purpose
designated:
35
-111-
HF
653
(2)
87
pf/hb/rn/md
111/
151
H.F.
653
a.
For
adoption
subsidy
payments
and
services:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,388,955
2
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
3
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
4
of
the
following
purposes:
5
(a)
For
adoption
subsidy
payments
and
related
costs.
6
(b)
For
post-adoption
services
and
for
other
purposes
under
7
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
8
(2)
The
department
of
human
services
may
transfer
funds
9
appropriated
in
this
subsection
to
the
appropriation
for
10
child
and
family
services
in
this
Act
for
the
purposes
of
11
post-adoption
services
as
specified
in
this
paragraph
“b”.
12
c.
Notwithstanding
section
8.33,
moneys
corresponding
to
13
the
state
savings
resulting
from
implementation
of
the
federal
14
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
15
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
16
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
17
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
18
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
19
purposes
designated
in
this
subsection
until
expended.
The
20
amount
of
such
savings
and
any
corresponding
funds
remaining
21
at
the
close
of
the
fiscal
year
shall
be
determined
separately
22
and
any
changes
in
either
amount
between
fiscal
years
shall
not
23
result
in
an
unfunded
need.
24
2.
The
department
may
transfer
funds
appropriated
in
25
this
section
to
the
appropriation
made
in
this
division
of
26
this
Act
for
general
administration
for
costs
paid
from
the
27
appropriation
relating
to
adoption
subsidy.
28
3.
Federal
funds
received
by
the
state
during
the
29
fiscal
year
beginning
July
1,
2018,
as
the
result
of
the
30
expenditure
of
state
funds
during
a
previous
state
fiscal
31
year
for
a
service
or
activity
funded
under
this
section
are
32
appropriated
to
the
department
to
be
used
as
additional
funding
33
for
the
services
and
activities
funded
under
this
section.
34
Notwithstanding
section
8.33
,
moneys
received
in
accordance
35
-112-
HF
653
(2)
87
pf/hb/rn/md
112/
151
H.F.
653
with
this
subsection
that
remain
unencumbered
or
unobligated
1
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
2
but
shall
remain
available
for
expenditure
for
the
purposes
3
designated
until
the
close
of
the
succeeding
fiscal
year.
4
Sec.
59.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
5
in
the
juvenile
detention
home
fund
created
in
section
232.142
6
during
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
7
30,
2019,
are
appropriated
to
the
department
of
human
services
8
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
9
2019,
for
distribution
of
an
amount
equal
to
a
percentage
of
10
the
costs
of
the
establishment,
improvement,
operation,
and
11
maintenance
of
county
or
multicounty
juvenile
detention
homes
12
in
the
fiscal
year
beginning
July
1,
2017.
Moneys
appropriated
13
for
distribution
in
accordance
with
this
section
shall
be
14
allocated
among
eligible
detention
homes,
prorated
on
the
basis
15
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
16
eligible
detention
homes
in
the
fiscal
year
beginning
July
17
1,
2017.
The
percentage
figure
shall
be
determined
by
the
18
department
based
on
the
amount
available
for
distribution
for
19
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
20
financial
aid
payable
by
the
state
under
that
provision
for
the
21
fiscal
year
beginning
July
1,
2018,
shall
be
limited
to
the
22
amount
appropriated
for
the
purposes
of
this
section.
23
Sec.
60.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
24
1.
There
is
appropriated
from
the
general
fund
of
the
25
state
to
the
department
of
human
services
for
the
fiscal
year
26
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
27
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
28
purpose
designated:
29
For
the
family
support
subsidy
program
subject
to
the
30
enrollment
restrictions
in
section
225C.37,
subsection
3
:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
534,641
32
2.
At
least
$393,750
of
the
moneys
appropriated
in
this
33
section
is
transferred
to
the
department
of
public
health
for
34
the
family
support
center
component
of
the
comprehensive
family
35
-113-
HF
653
(2)
87
pf/hb/rn/md
113/
151
H.F.
653
support
program
under
chapter
225C,
subchapter
V.
1
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
2
funding
available
for
the
family
support
subsidy
program
3
is
reduced
from
the
amount
initially
used
to
establish
the
4
figure
for
the
number
of
family
members
for
whom
a
subsidy
5
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
6
notwithstanding
section
225C.38,
subsection
2
,
the
department
7
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
8
of
funding
available.
9
Sec.
61.
CONNER
DECREE.
There
is
appropriated
from
the
10
general
fund
of
the
state
to
the
department
of
human
services
11
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
12
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
13
to
be
used
for
the
purpose
designated:
14
For
building
community
capacity
through
the
coordination
15
and
provision
of
training
opportunities
in
accordance
with
the
16
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
17
Iowa,
July
14,
1994):
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
19
Sec.
62.
MENTAL
HEALTH
INSTITUTES.
20
1.
There
is
appropriated
from
the
general
fund
of
the
21
state
to
the
department
of
human
services
for
the
fiscal
year
22
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
23
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
24
purposes
designated:
25
a.
For
operation
of
the
state
mental
health
institute
at
26
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
27
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
28
more
than
the
following
full-time
equivalent
positions:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,935,127
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
162.00
31
b.
For
operation
of
the
state
mental
health
institute
at
32
Independence
as
required
by
chapters
218
and
226
for
salaries,
33
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
34
more
than
the
following
full-time
equivalent
positions:
35
-114-
HF
653
(2)
87
pf/hb/rn/md
114/
151
H.F.
653
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,756,810
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
204.00
2
2.
Notwithstanding
sections
218.78
and
249A.11,
any
revenue
3
received
from
the
state
mental
health
institute
at
Cherokee
or
4
the
state
mental
health
institute
at
Independence
pursuant
to
5
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
6
health
institute.
7
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
8
a
Medicaid
member
residing
at
the
state
mental
health
9
institute
at
Cherokee
or
the
state
mental
health
institute
10
at
Independence
shall
retain
Medicaid
eligibility
during
11
the
period
of
the
Medicaid
member’s
stay
for
which
federal
12
financial
participation
is
available.
13
Sec.
63.
STATE
RESOURCE
CENTERS.
14
1.
There
is
appropriated
from
the
general
fund
of
the
15
state
to
the
department
of
human
services
for
the
fiscal
year
16
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
17
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
18
purposes
designated:
19
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
20
support,
maintenance,
and
miscellaneous
purposes:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,943,890
22
b.
For
the
state
resource
center
at
Woodward
for
salaries,
23
support,
maintenance,
and
miscellaneous
purposes:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,038,517
25
2.
The
department
may
continue
to
bill
for
state
resource
26
center
services
utilizing
a
scope
of
services
approach
used
for
27
private
providers
of
intermediate
care
facilities
for
persons
28
with
an
intellectual
disability
services,
in
a
manner
which
29
does
not
shift
costs
between
the
medical
assistance
program,
30
counties,
or
other
sources
of
funding
for
the
state
resource
31
centers.
32
3.
The
state
resource
centers
may
expand
the
time-limited
33
assessment
and
respite
services
during
the
fiscal
year.
34
4.
If
the
department’s
administration
and
the
department
35
-115-
HF
653
(2)
87
pf/hb/rn/md
115/
151
H.F.
653
of
management
concur
with
a
finding
by
a
state
resource
1
center’s
superintendent
that
projected
revenues
can
reasonably
2
be
expected
to
pay
the
salary
and
support
costs
for
a
new
3
employee
position,
or
that
such
costs
for
adding
a
particular
4
number
of
new
positions
for
the
fiscal
year
would
be
less
5
than
the
overtime
costs
if
new
positions
would
not
be
added,
6
the
superintendent
may
add
the
new
position
or
positions.
If
7
the
vacant
positions
available
to
a
resource
center
do
not
8
include
the
position
classification
desired
to
be
filled,
the
9
state
resource
center’s
superintendent
may
reclassify
any
10
vacant
position
as
necessary
to
fill
the
desired
position.
The
11
superintendents
of
the
state
resource
centers
may,
by
mutual
12
agreement,
pool
vacant
positions
and
position
classifications
13
during
the
course
of
the
fiscal
year
in
order
to
assist
one
14
another
in
filling
necessary
positions.
15
5.
If
existing
capacity
limitations
are
reached
in
16
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
17
a
special
need
for
which
a
payment
source
or
other
funding
18
is
available
for
the
service
or
to
address
the
special
need,
19
and
facilities
for
the
service
or
to
address
the
special
need
20
can
be
provided
within
the
available
payment
source
or
other
21
funding,
the
superintendent
of
a
state
resource
center
may
22
authorize
opening
not
more
than
two
units
or
other
facilities
23
and
begin
implementing
the
service
or
addressing
the
special
24
need
during
fiscal
year
2018-2019.
25
Sec.
64.
SEXUALLY
VIOLENT
PREDATORS.
26
1.
There
is
appropriated
from
the
general
fund
of
the
27
state
to
the
department
of
human
services
for
the
fiscal
year
28
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
29
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
30
purpose
designated:
31
For
costs
associated
with
the
commitment
and
treatment
of
32
sexually
violent
predators
in
the
unit
located
at
the
state
33
mental
health
institute
at
Cherokee,
including
costs
of
legal
34
services
and
other
associated
costs,
including
salaries,
35
-116-
HF
653
(2)
87
pf/hb/rn/md
116/
151
H.F.
653
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
1
more
than
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,732,373
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
112.00
4
2.
Unless
specifically
prohibited
by
law,
if
the
amount
5
charged
provides
for
recoupment
of
at
least
the
entire
amount
6
of
direct
and
indirect
costs,
the
department
of
human
services
7
may
contract
with
other
states
to
provide
care
and
treatment
8
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
9
violent
predators
at
Cherokee.
The
moneys
received
under
10
such
a
contract
shall
be
considered
to
be
repayment
receipts
11
and
used
for
the
purposes
of
the
appropriation
made
in
this
12
section.
13
Sec.
65.
FIELD
OPERATIONS.
There
is
appropriated
from
the
14
general
fund
of
the
state
to
the
department
of
human
services
15
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
16
2019,
the
following
amount,
or
so
much
thereof
as
is
necessary,
17
to
be
used
for
the
purposes
designated:
18
For
field
operations,
including
salaries,
support,
19
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
20
the
following
full-time
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,242,217
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,583.00
23
Priority
in
filling
full-time
equivalent
positions
shall
be
24
given
to
those
positions
related
to
child
protection
services
25
and
eligibility
determination
for
low-income
families.
26
Sec.
66.
GENERAL
ADMINISTRATION.
There
is
appropriated
27
from
the
general
fund
of
the
state
to
the
department
of
human
28
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
29
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purpose
designated:
31
For
general
administration,
including
salaries,
support,
32
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
33
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,016,520
35
-117-
HF
653
(2)
87
pf/hb/rn/md
117/
151
H.F.
653
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
1
1.
The
department
shall
report
at
least
monthly
to
the
2
legislative
services
agency
concerning
the
department’s
3
operational
and
program
expenditures.
4
2.
Of
the
funds
appropriated
in
this
section,
$75,000
shall
5
be
used
to
continue
the
contract
for
the
provision
of
a
program
6
to
provide
technical
assistance,
support,
and
consultation
to
7
providers
of
habilitation
services
and
home
and
community-based
8
services
waiver
services
for
adults
with
disabilities
under
the
9
medical
assistance
program.
10
3.
Of
the
funds
appropriated
in
this
section,
$25,000
11
is
transferred
to
the
Iowa
finance
authority
to
be
used
12
for
administrative
support
of
the
council
on
homelessness
13
established
in
section
16.2D
and
for
the
council
to
fulfill
its
14
duties
in
addressing
and
reducing
homelessness
in
the
state.
15
4.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
16
be
transferred
to
and
deposited
in
the
administrative
fund
of
17
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
18
be
used
for
implementation
and
administration
activities
of
the
19
Iowa
ABLE
savings
plan
trust.
20
5.
Of
the
funds
appropriated
in
this
section,
$100,000
is
21
transferred
to
the
economic
development
authority
for
the
Iowa
22
commission
on
volunteer
services
to
continue
to
be
used
for
23
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
24
for
member
recruitment
and
training
to
improve
the
economic
25
well-being
and
health
of
economically
disadvantaged
refugees
in
26
local
communities
across
Iowa.
Funds
transferred
may
be
used
27
to
supplement
federal
funds
under
federal
regulations.
28
6.
Of
the
funds
appropriated
in
this
section,
$100,000
29
shall
be
used
to
continue
to
expand
the
provision
of
nationally
30
accredited
and
recognized
internet-based
training
to
include
31
mental
health
and
disability
services
providers.
32
Sec.
67.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
33
from
the
general
fund
of
the
state
to
the
department
of
human
34
services
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
35
-118-
HF
653
(2)
87
pf/hb/rn/md
118/
151
H.F.
653
June
30,
2019,
the
following
amount,
or
so
much
thereof
as
is
1
necessary,
to
be
used
for
the
purposes
designated:
2
For
salaries,
support,
maintenance,
and
miscellaneous
3
purposes
at
facilities
under
the
purview
of
the
department
of
4
human
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,439,637
6
Sec.
68.
VOLUNTEERS.
There
is
appropriated
from
the
general
7
fund
of
the
state
to
the
department
of
human
services
for
the
8
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
9
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
10
used
for
the
purpose
designated:
11
For
development
and
coordination
of
volunteer
services:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
13
Sec.
69.
GENERAL
REDUCTION.
For
the
period
beginning
July
14
1,
2018,
and
ending
June
30,
2019,
the
department
of
human
15
services,
in
consultation
with
the
department
of
management,
16
shall
identify
and
implement
a
reduction
in
expenditures
made
17
from
appropriations
from
the
general
fund
to
the
department
of
18
human
services
in
the
amount
of
$733,651.
19
Sec.
70.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
20
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
21
DEPARTMENT
OF
HUMAN
SERVICES.
22
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
23
1,
2018,
case-mix,
non-case
mix,
and
special
population
24
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
25
methodology
in
effect
on
June
30,
2018.
26
(b)
For
managed
care
claims,
the
department
of
human
27
services
shall
adjust
the
payment
rate
floor
for
nursing
28
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
29
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
30
calculated
in
accordance
with
441
IAC
81.6.
The
department
31
shall
then
calculate
adjusted
reimbursement
rates,
including
32
but
not
limited
to
add-on-payments,
annually,
and
shall
33
notify
Medicaid
managed
care
organizations
of
the
adjusted
34
reimbursement
rates
within
30
days
of
determining
the
adjusted
35
-119-
HF
653
(2)
87
pf/hb/rn/md
119/
151
H.F.
653
reimbursement
rates.
Any
adjustment
of
reimbursement
rates
1
under
this
subparagraph
division
shall
be
budget
neutral
to
the
2
state
budget.
3
(2)
For
any
open
or
unsettled
nursing
facility
cost
report
4
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
5
beginning
July
1,
2017,
including
any
cost
report
remanded
on
6
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
7
or
x-ray
costs,
the
department
shall
offset
all
reported
8
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
9
received
from
Medicare
or
other
revenue
source
for
any
purpose.
10
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
11
report
is
not
considered
open
or
unsettled
if
the
facility
did
12
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
13
any
appeal
rights
initiated
have
been
exhausted.
14
b.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
15
the
department
shall
establish
the
pharmacy
dispensing
fee
16
reimbursement
at
$10.02
per
prescription,
until
a
cost
of
17
dispensing
survey
is
completed.
The
actual
dispensing
fee
18
shall
be
determined
by
a
cost
of
dispensing
survey
performed
19
by
the
department
and
required
to
be
completed
by
all
medical
20
assistance
program
participating
pharmacies
every
two
years,
21
adjusted
as
necessary
to
maintain
expenditures
within
the
22
amount
appropriated
to
the
department
for
this
purpose
for
the
23
fiscal
year.
24
(2)
The
department
shall
utilize
an
average
acquisition
25
cost
reimbursement
methodology
for
all
drugs
covered
under
the
26
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
27
chapter
1133,
section
33
.
28
c.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
29
reimbursement
rates
for
outpatient
hospital
services
shall
30
remain
at
the
rates
in
effect
on
June
30,
2018,
subject
to
31
Medicaid
program
upper
payment
limit
rules,
and
adjusted
32
as
necessary
to
maintain
expenditures
within
the
amount
33
appropriated
to
the
department
for
this
purpose
for
the
fiscal
34
year.
35
-120-
HF
653
(2)
87
pf/hb/rn/md
120/
151
H.F.
653
(2)
For
the
fiscal
year
beginning
July
1,
2018,
1
reimbursement
rates
for
inpatient
hospital
services
shall
2
be
rebased
effective
October
1,
2018,
subject
to
Medicaid
3
program
upper
payment
limit
rules,
and
adjusted
as
necessary
4
to
maintain
expenditures
within
the
amount
appropriated
to
the
5
department
for
this
purpose
for
the
fiscal
year.
6
(3)
For
the
fiscal
year
beginning
July
1,
2018,
the
graduate
7
medical
education
and
disproportionate
share
hospital
fund
8
shall
remain
at
the
amount
in
effect
on
June
30,
2018,
except
9
that
the
portion
of
the
fund
attributable
to
graduate
medical
10
education
shall
be
reduced
in
an
amount
that
reflects
the
11
elimination
of
graduate
medical
education
payments
made
to
12
out-of-state
hospitals.
13
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
14
funds
in
procuring
health
care
services
for
low-income
Iowans,
15
funds
appropriated
in
this
Act
for
hospital
services
shall
16
not
be
used
for
activities
which
would
be
excluded
from
a
17
determination
of
reasonable
costs
under
the
federal
Medicare
18
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
19
d.
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
20
rates
for
hospices
and
acute
mental
hospitals
shall
be
21
increased
in
accordance
with
increases
under
the
federal
22
Medicare
program
or
as
supported
by
their
Medicare
audited
23
costs.
24
e.
For
the
fiscal
year
beginning
July
1,
2018,
independent
25
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
26
using
the
same
methodology
in
effect
on
June
30,
2018.
27
f.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
28
reimbursement
rates
for
home
health
agencies
shall
continue
to
29
be
based
on
the
Medicare
low
utilization
payment
adjustment
30
(LUPA)
methodology
with
state
geographic
wage
adjustments.
31
The
department
shall
continue
to
update
the
rates
every
two
32
years
to
reflect
the
most
recent
Medicare
LUPA
rates
to
the
33
extent
possible
within
the
state
funding
appropriated
for
this
34
purpose.
35
-121-
HF
653
(2)
87
pf/hb/rn/md
121/
151
H.F.
653
(2)
For
the
fiscal
year
beginning
July
1,
2018,
rates
for
1
private
duty
nursing
and
personal
care
services
under
the
early
2
and
periodic
screening,
diagnostic,
and
treatment
program
3
benefit
shall
be
calculated
based
on
the
methodology
in
effect
4
on
June
30,
2018.
5
g.
For
the
fiscal
year
beginning
July
1,
2018,
federally
6
qualified
health
centers
and
rural
health
clinics
shall
receive
7
cost-based
reimbursement
for
100
percent
of
the
reasonable
8
costs
for
the
provision
of
services
to
recipients
of
medical
9
assistance.
10
h.
For
the
fiscal
year
beginning
July
1,
2018,
the
11
reimbursement
rates
for
dental
services
shall
remain
at
the
12
rates
in
effect
on
June
30,
2018.
13
i.
(1)
For
the
fiscal
year
beginning
July
1,
2018,
14
reimbursement
rates
for
the
non-state-owned
psychiatric
medical
15
institution
for
children
shall
be
based
on
the
methodology
in
16
effect
on
June
30,
2018.
17
(2)
As
a
condition
of
participation
in
the
medical
18
assistance
program,
enrolled
providers
shall
accept
the
medical
19
assistance
reimbursement
rate
for
any
covered
goods
or
services
20
provided
to
recipients
of
medical
assistance
who
are
children
21
under
the
custody
of
a
psychiatric
medical
institution
for
22
children.
23
j.
For
the
fiscal
year
beginning
July
1,
2018,
unless
24
otherwise
specified
in
this
Act,
all
noninstitutional
medical
25
assistance
provider
reimbursement
rates
shall
remain
at
the
26
rates
in
effect
on
June
30,
2018,
except
for
area
education
27
agencies,
local
education
agencies,
infant
and
toddler
28
services
providers,
home
and
community-based
services
providers
29
including
consumer-directed
attendant
care
providers
under
a
30
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
31
providers,
and
those
providers
whose
rates
are
required
to
be
32
determined
pursuant
to
section
249A.20
.
33
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
34
fiscal
year
beginning
July
1,
2018,
the
reimbursement
rate
35
-122-
HF
653
(2)
87
pf/hb/rn/md
122/
151
H.F.
653
for
anesthesiologists
shall
be
adjusted
to
implement
the
cost
1
containment
strategies
authorized
for
the
medical
assistance
2
program
in
this
2017
Act.
3
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
4
beginning
July
1,
2018,
the
average
reimbursement
rate
for
5
health
care
providers
eligible
for
use
of
the
federal
Medicare
6
resource-based
relative
value
scale
reimbursement
methodology
7
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
8
June
30,
2018;
however,
this
rate
shall
not
exceed
the
maximum
9
level
authorized
by
the
federal
government.
10
m.
For
the
fiscal
year
beginning
July
1,
2018,
the
11
reimbursement
rate
for
residential
care
facilities
shall
not
12
be
less
than
the
minimum
payment
level
as
established
by
the
13
federal
government
to
meet
the
federally
mandated
maintenance
14
of
effort
requirement.
The
flat
reimbursement
rate
for
15
facilities
electing
not
to
file
annual
cost
reports
shall
not
16
be
less
than
the
minimum
payment
level
as
established
by
the
17
federal
government
to
meet
the
federally
mandated
maintenance
18
of
effort
requirement.
19
n.
For
the
fiscal
year
beginning
July
1,
2018,
the
20
reimbursement
rates
for
inpatient
mental
health
services
21
provided
at
hospitals
shall
be
rebased
effective
October
1,
22
2018,
subject
to
Medicaid
program
upper
payment
limit
rules;
23
and
psychiatrists
shall
be
reimbursed
at
the
medical
assistance
24
program
fee-for-service
rate
in
effect
on
June
30,
2018.
25
o.
For
the
fiscal
year
beginning
July
1,
2018,
community
26
mental
health
centers
may
choose
to
be
reimbursed
for
the
27
services
provided
to
recipients
of
medical
assistance
through
28
either
of
the
following
options:
29
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
30
(2)
In
accordance
with
the
alternative
reimbursement
rate
31
methodology
approved
by
the
department
of
human
services
in
32
effect
on
June
30,
2018.
33
p.
For
the
fiscal
year
beginning
July
1,
2018,
the
34
reimbursement
rate
for
providers
of
family
planning
services
35
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that
are
eligible
to
receive
a
90
percent
federal
match
shall
1
remain
at
the
rates
in
effect
on
June
30,
2018.
2
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
3
for
the
fiscal
year
beginning
July
1,
2018,
the
upper
4
limits
and
reimbursement
rates
for
providers
of
home
and
5
community-based
services
waiver
services
shall
be
reimbursed
6
using
the
reimbursement
methodology
in
effect
on
June
30,
2018.
7
r.
For
the
fiscal
year
beginning
July
1,
2018,
the
8
reimbursement
rates
for
emergency
medical
service
providers
9
shall
remain
at
the
rates
in
effect
on
June
30,
2018.
10
s.
For
the
fiscal
year
beginning
July
1,
2018,
reimbursement
11
rates
for
substance-related
disorder
treatment
programs
12
licensed
under
section
125.13
shall
remain
at
the
rates
in
13
effect
on
June
30,
2018.
14
2.
For
the
fiscal
year
beginning
July
1,
2018,
the
15
reimbursement
rate
for
providers
reimbursed
under
the
16
in-home-related
care
program
shall
not
be
less
than
the
minimum
17
payment
level
as
established
by
the
federal
government
to
meet
18
the
federally
mandated
maintenance
of
effort
requirement.
19
3.
Unless
otherwise
directed
in
this
section,
when
the
20
department’s
reimbursement
methodology
for
any
provider
21
reimbursed
in
accordance
with
this
section
includes
an
22
inflation
factor,
this
factor
shall
not
exceed
the
amount
23
by
which
the
consumer
price
index
for
all
urban
consumers
24
increased
during
the
calendar
year
ending
December
31,
2002.
25
4.
Notwithstanding
section
234.38,
for
the
fiscal
26
year
beginning
July
1,
2018,
the
foster
family
basic
daily
27
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
28
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
29
children
ages
6
through
11
years
shall
be
$17.43,
the
rate
for
30
children
ages
12
through
15
years
shall
be
$19.10,
and
the
31
rate
for
children
and
young
adults
ages
16
and
older
shall
32
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
33
care,
the
preparation
for
adult
living
program
maintenance
rate
34
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
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subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
1
disallowance
of
additional
amounts
for
court
costs
and
other
2
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
3
chapter
1031,
section
408
,
shall
be
continued.
4
5.
For
the
fiscal
year
beginning
July
1,
2018,
the
maximum
5
reimbursement
rates
for
social
services
providers
under
6
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2018,
7
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
8
each
service,
whichever
is
less.
However,
if
a
new
service
9
or
service
provider
is
added
after
June
30,
2018,
the
initial
10
reimbursement
rate
for
the
service
or
provider
shall
be
based
11
upon
a
weighted
average
of
provider
rates
for
similar
services.
12
6.
a.
For
the
fiscal
year
beginning
July
1,
2018,
the
13
reimbursement
rates
for
resource
family
recruitment
and
14
retention
contractors
shall
be
established
by
contract.
15
b.
For
the
fiscal
year
beginning
July
1,
2018,
the
16
reimbursement
rates
for
supervised
apartment
living
foster
care
17
providers
shall
be
established
by
contract.
18
7.
a.
For
the
purposes
of
this
subsection,
“combined
19
reimbursement
rate”
means
the
combined
service
and
maintenance
20
reimbursement
rate
for
a
service
level
under
the
department’s
21
reimbursement
methodology.
Effective
July
1,
2018,
the
22
combined
reimbursement
rate
for
a
group
foster
care
service
23
level
shall
be
the
amount
designated
in
this
subsection.
24
However,
if
a
group
foster
care
provider’s
reimbursement
rate
25
for
a
service
level
as
of
June
30,
2018,
is
more
than
the
rate
26
designated
in
this
subsection,
the
provider’s
reimbursement
27
shall
remain
at
the
higher
rate.
28
b.
Unless
a
group
foster
care
provider
is
subject
to
the
29
exception
provided
in
paragraph
“a”,
effective
July
1,
2018,
30
the
combined
reimbursement
rates
for
the
service
levels
under
31
the
department’s
reimbursement
methodology
shall
be
as
follows:
32
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
33
be
at
least
$84.17.
34
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
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shall
be
at
least
$119.09.
1
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
2
be
at
least
$131.09.
3
8.
The
group
foster
care
reimbursement
rates
paid
for
4
placement
of
children
out
of
state
shall
be
calculated
5
according
to
the
same
rate-setting
principles
as
those
used
for
6
in-state
providers,
unless
the
director
of
human
services
or
7
the
director’s
designee
determines
that
appropriate
care
cannot
8
be
provided
within
the
state.
The
payment
of
the
daily
rate
9
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
10
which
service
is
provided.
11
9.
a.
For
the
fiscal
year
beginning
July
1,
2018,
the
12
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
13
emergency
services
implemented
to
provide
or
prevent
the
need
14
for
shelter
care
shall
be
established
by
contract.
15
b.
For
the
fiscal
year
beginning
July
1,
2018,
the
combined
16
service
and
maintenance
components
of
the
reimbursement
rate
17
paid
for
shelter
care
services
shall
be
based
on
the
financial
18
and
statistical
report
submitted
to
the
department.
The
19
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
20
department
shall
reimburse
a
shelter
care
provider
at
the
21
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
22
to
exceed
the
maximum
reimbursement
rate.
23
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
24
fiscal
year
beginning
July
1,
2018,
the
amount
of
the
statewide
25
average
of
the
actual
and
allowable
rates
for
reimbursement
of
26
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
27
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
28
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
29
2017.
30
10.
For
the
fiscal
year
beginning
July
1,
2018,
the
31
department
shall
calculate
reimbursement
rates
for
intermediate
32
care
facilities
for
persons
with
an
intellectual
disability
33
at
the
80th
percentile.
Beginning
July
1,
2018,
the
rate
34
calculation
methodology
shall
utilize
the
consumer
price
index
35
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inflation
factor
applicable
to
the
fiscal
year
beginning
July
1
1,
2018.
2
11.
For
the
fiscal
year
beginning
July
1,
2018,
for
child
3
care
providers
reimbursed
under
the
state
child
care
assistance
4
program,
the
department
shall
set
provider
reimbursement
5
rates
based
on
the
rate
reimbursement
survey
completed
in
6
December
2004.
Effective
July
1,
2018,
the
child
care
provider
7
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
8
30,
2018.
The
department
shall
set
rates
in
a
manner
so
as
9
to
provide
incentives
for
a
nonregistered
provider
to
become
10
registered
by
applying
the
increase
only
to
registered
and
11
licensed
providers.
12
12.
For
the
fiscal
year
beginning
July
1,
2018,
affected
13
providers
or
services
shall
be
reimbursed
as
follows:
14
a.
For
fee-for-service
claims,
reimbursement
shall
be
15
calculated
based
on
the
methodology
otherwise
specified
in
this
16
section
for
the
fiscal
year
beginning
July
1,
2018,
for
the
17
respective
provider
or
service.
18
b.
For
claims
subject
to
a
managed
care
contract
with
the
19
exception
of
any
provider
or
service
to
which
a
reimbursement
20
increase
is
applicable
for
the
fiscal
year
under
this
section,
21
reimbursement
shall
be
based
on
the
methodology
established
by
22
the
managed
care
contract.
However,
any
rate
or
reimbursement
23
established
under
such
contract
shall
not
be
lower
than
the
24
rate
or
reimbursement
floor
established
by
the
department
25
of
human
services
as
the
managed
care
organization
rate
or
26
reimbursement
floor
for
a
respective
provider
or
service
in
27
effect
on
April
1,
2016.
28
13.
Notwithstanding
any
provision
to
the
contrary,
29
reimbursement
rates
and
methodologies
under
this
section
may
30
be
adjusted
as
necessary
to
implement
the
cost
containment
31
strategies
authorized
for
the
medical
assistance
program
in
32
this
2017
Act.
33
14.
The
department
may
adopt
emergency
rules
to
implement
34
this
section.
35
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Sec.
71.
EMERGENCY
RULES.
1
1.
If
specifically
authorized
by
a
provision
of
this
2
division
of
this
Act,
the
department
of
human
services
or
3
the
mental
health
and
disability
services
commission
may
4
adopt
administrative
rules
under
section
17A.4,
subsection
5
3
,
and
section
17A.5,
subsection
2,
paragraph
“b”
,
to
6
implement
the
provisions
of
this
division
of
this
Act
and
7
the
rules
shall
become
effective
immediately
upon
filing
or
8
on
a
later
effective
date
specified
in
the
rules,
unless
the
9
effective
date
of
the
rules
is
delayed
or
the
applicability
10
of
the
rules
is
suspended
by
the
administrative
rules
review
11
committee.
Any
rules
adopted
in
accordance
with
this
section
12
shall
not
take
effect
before
the
rules
are
reviewed
by
the
13
administrative
rules
review
committee.
The
delay
authority
14
provided
to
the
administrative
rules
review
committee
under
15
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
16
shall
be
applicable
to
a
delay
imposed
under
this
section,
17
notwithstanding
a
provision
in
those
sections
making
them
18
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”
.
19
Any
rules
adopted
in
accordance
with
the
provisions
of
this
20
section
shall
also
be
published
as
a
notice
of
intended
action
21
as
provided
in
section
17A.4
.
22
2.
If
during
a
fiscal
year,
the
department
of
human
23
services
is
adopting
rules
in
accordance
with
this
section
24
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
25
rules
will
result
in
an
expenditure
increase
beyond
the
amount
26
anticipated
in
the
budget
process
or
if
the
expenditure
was
27
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
28
department
shall
notify
the
persons
designated
by
this
division
29
of
this
Act
for
submission
of
reports,
the
chairpersons
and
30
ranking
members
of
the
committees
on
appropriations,
and
31
the
department
of
management
concerning
the
rules
and
the
32
expenditure
increase.
The
notification
shall
be
provided
at
33
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
34
is
submitted
to
the
administrative
rules
coordinator
and
the
35
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administrative
code
editor.
1
Sec.
72.
REPORTS.
Any
reports
or
other
information
2
required
to
be
compiled
and
submitted
under
this
Act
during
the
3
fiscal
year
beginning
July
1,
2018,
shall
be
submitted
to
the
4
chairpersons
and
ranking
members
of
the
joint
appropriations
5
subcommittee
on
health
and
human
services,
the
legislative
6
services
agency,
and
the
legislative
caucus
staffs
on
or
7
before
the
dates
specified
for
submission
of
the
reports
or
8
information.
9
Sec.
73.
TRANSFER
OF
MEDICAID
MODERNIZATION
SAVINGS
BETWEEN
10
APPROPRIATIONS
FY
2018-2019.
Notwithstanding
section
8.39,
11
subsection
1,
for
the
fiscal
year
beginning
July
1,
2018,
if
12
savings
resulting
from
the
governor’s
Medicaid
modernization
13
initiative
accrue
to
the
medical
contracts
or
children’s
health
14
insurance
program
appropriation
from
the
general
fund
of
the
15
state
and
not
to
the
medical
assistance
appropriation
from
the
16
general
fund
of
the
state
under
this
division
of
this
Act,
17
such
savings
may
be
transferred
to
such
medical
assistance
18
appropriation
for
the
same
fiscal
year
without
prior
written
19
consent
and
approval
of
the
governor
and
the
director
of
the
20
department
of
management.
The
department
of
human
services
21
shall
report
any
transfers
made
pursuant
to
this
section
to
the
22
legislative
services
agency.
23
Sec.
74.
EFFECTIVE
UPON
ENACTMENT.
The
following
24
provisions
of
this
division
of
this
Act,
being
deemed
of
25
immediate
importance,
take
effect
upon
enactment:
26
1.
The
provision
relating
to
section
232.141
and
directing
27
the
state
court
administrator
and
the
division
administrator
of
28
the
department
of
human
services
division
of
child
and
family
29
services
to
make
the
determination,
by
June
15,
2018,
of
the
30
distribution
of
funds
allocated
for
the
payment
of
the
expenses
31
of
court-ordered
services
provided
to
juveniles
which
are
a
32
charge
upon
the
state.
33
DIVISION
XII
34
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2018-2019
35
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653
Sec.
75.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
1
appropriated
from
the
pharmaceutical
settlement
account
created
2
in
section
249A.33
to
the
department
of
human
services
for
the
3
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
2019,
4
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
5
used
for
the
purpose
designated:
6
Notwithstanding
any
provision
of
law
to
the
contrary,
to
7
supplement
the
appropriations
made
in
this
Act
for
medical
8
contracts
under
the
medical
assistance
program
for
the
fiscal
9
year
beginning
July
1,
2018,
and
ending
June
30,
2019:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
400,000
11
Sec.
76.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
12
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
13
subject
to
the
availability
of
funds,
there
is
appropriated
14
from
the
quality
assurance
trust
fund
created
in
section
15
249L.4
to
the
department
of
human
services
for
the
fiscal
year
16
beginning
July
1,
2018,
and
ending
June
30,
2019,
the
following
17
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
18
designated:
19
To
supplement
the
appropriation
made
in
this
Act
from
the
20
general
fund
of
the
state
to
the
department
of
human
services
21
for
medical
assistance
for
the
same
fiscal
year:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,352,604
23
Sec.
77.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
24
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
25
the
contrary
and
subject
to
the
availability
of
funds,
there
is
26
appropriated
from
the
hospital
health
care
access
trust
fund
27
created
in
section
249M.4
to
the
department
of
human
services
28
for
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
29
30,
2019,
the
following
amounts,
or
so
much
thereof
as
is
30
necessary,
for
the
purposes
designated:
31
To
supplement
the
appropriation
made
in
this
Act
from
the
32
general
fund
of
the
state
to
the
department
of
human
services
33
for
medical
assistance
for
the
same
fiscal
year:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,960,277
35
-130-
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653
(2)
87
pf/hb/rn/md
130/
151
H.F.
653
Sec.
78.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
1
FOR
FY
2018-2019.
Notwithstanding
section
8.33
,
if
moneys
2
appropriated
for
purposes
of
the
medical
assistance
program
for
3
the
fiscal
year
beginning
July
1,
2018,
and
ending
June
30,
4
2019,
from
the
general
fund
of
the
state,
the
quality
assurance
5
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
6
in
excess
of
actual
expenditures
for
the
medical
assistance
7
program
and
remain
unencumbered
or
unobligated
at
the
close
8
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
9
shall
remain
available
for
expenditure
for
the
purposes
of
the
10
medical
assistance
program
until
the
close
of
the
succeeding
11
fiscal
year.
12
DIVISION
XIII
13
CHILD
CARE
FACILITY
FUND
——
USE
FOR
FIELD
OPERATIONS
14
Sec.
79.
CHILD
CARE
FACILITY
FUND
——
USE
FOR
FIELD
15
OPERATIONS.
Notwithstanding
section
237A.4A,
subsection
5,
16
Code
2017,
for
the
fiscal
year
beginning
July
1,
2017,
and
17
ending
June
30,
2018,
in
addition
to
the
costs
of
dedicated
18
staffing
to
perform
the
duties
described
in
section
237A.4A,
19
up
to
$590,082
of
the
moneys
in
the
child
care
facility
fund
20
may
be
used
by
the
department
of
human
services
for
additional
21
expenditures
of
the
child
care
regulatory
unit
within
the
22
department’s
field
operations.
23
Sec.
80.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
24
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
25
enactment.
26
DIVISION
XIV
27
BIOLOGICS
AND
GENETICALLY
TARGETED
DRUGS
——
MEDICAID
28
Sec.
81.
Section
249A.20A,
subsection
3,
Code
2017,
is
29
amended
to
read
as
follows:
30
3.
a.
The
pharmaceutical
and
therapeutics
committee
shall
31
recommend
a
preferred
drug
list
to
the
department.
32
b.
The
committee
shall
develop
the
preferred
drug
list
33
by
considering
each
drug’s
clinically
meaningful
therapeutic
34
advantages
in
terms
of
safety,
effectiveness,
and
clinical
35
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(2)
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151
H.F.
653
outcome.
1
c.
The
committee
shall
use
evidence-based
research
methods
2
in
selecting
the
drugs
to
be
included
on
the
preferred
drug
3
list.
4
d.
When
making
recommendations
or
determinations
regarding
5
beneficiary
access
to
drugs
and
biological
products
for
rare
6
diseases,
as
defined
in
the
federal
Orphan
Drug
Act
of
1983,
7
Pub.
L.
No.
97-414,
and
drugs
and
biological
products
that
are
8
genetically
targeted,
the
committee
shall
request
and
consider
9
information
from
individuals
who
possess
scientific
or
medical
10
training
with
respect
to
the
drug,
biological
product,
or
rare
11
disease.
12
e.
The
committee
shall
periodically
review
all
drug
classes
13
included
on
the
preferred
drug
list
and
may
amend
the
list
to
14
ensure
that
the
list
provides
for
medically
appropriate
drug
15
therapies
for
medical
assistance
recipients
and
achieves
cost
16
savings
to
the
medical
assistance
program.
17
f.
The
department
may
procure
a
sole
source
contract
18
with
an
outside
entity
or
contractor
to
provide
professional
19
administrative
support
to
the
pharmaceutical
and
therapeutics
20
committee
in
researching
and
recommending
drugs
to
be
placed
on
21
the
preferred
drug
list.
22
Sec.
82.
Section
249A.24,
Code
2017,
is
amended
by
adding
23
the
following
new
subsection:
24
NEW
SUBSECTION
.
2A.
When
making
recommendations
or
25
determinations
regarding
beneficiary
access
to
drugs
and
26
biological
products
for
rare
diseases,
as
defined
in
the
27
federal
Orphan
Drug
Act
of
1983,
Pub.
L.
No.
97-414,
and
28
drugs
and
biological
products
that
are
genetically
targeted,
29
the
commission
shall
request
and
consider
information
from
30
individuals
who
possess
scientific
or
medical
training
with
31
respect
to
the
drug,
biological
product,
or
rare
disease.
32
DIVISION
XV
33
PUBLIC
ASSISTANCE
PROGRAMS
OVERSIGHT
34
Sec.
83.
2017
Iowa
Acts,
House
File
531,
section
2,
35
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653
subsection
1,
as
enacted,
is
amended
to
read
as
follows:
1
1.
The
department
of
human
services
shall
review
state
2
efforts,
including
pilot
programs
related
to
data
sharing
3
between
states
and
technology-based
solutions
designed
to
curb
4
interstate
dual
participation,
to
address
program
integrity
5
for
public
assistance
programs
including
Medicaid,
the
family
6
investment
program
(FIP),
the
supplemental
nutrition
assistance
7
program
(SNAP),
and
the
child
care
assistance
program.
As
8
part
of
the
review,
the
department
shall
explore
opportunities
9
to
join
existing
pilot
efforts
in
collaboration
with
other
10
states
including
the
effort
involving
the
national
accuracy
11
clearinghouse,
or
to
develop
a
separate
pilot
effort
in
Iowa.
12
Sec.
84.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
13
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
14
enactment.
15
Sec.
85.
RETROACTIVE
APPLICABILITY.
This
division
of
this
16
Act
applies
retroactively
to
March
30,
2017.
17
DIVISION
XVI
18
BACKGROUND
CHECK
PRIVATE
SECTOR
ALTERNATIVES
19
Sec.
86.
BACKGROUND
CHECK
——
PRIVATE
SECTOR
20
ALTERNATIVES.
The
department
of
human
services
and
the
21
department
of
public
safety
shall
jointly
review
private
sector
22
alternatives
to
the
performance
of
state
mandated
criminal
23
background
checks
currently
performed
solely
by
the
department
24
of
public
safety.
The
departments
shall
submit
a
report
to
25
the
governor
and
the
general
assembly
by
December
15,
2017,
26
including
a
description
of
the
process
used
in
reviewing
27
private
sector
alternatives
to
perform
criminal
background
28
checks,
the
findings
from
the
review,
and
recommendations
for
29
utilizing
private
sector
entities
as
an
alternative
to
the
30
department
of
public
safety
in
performing
criminal
background
31
checks.
32
DIVISION
XVII
33
PSYCHIATRIC
BED
TRACKING
SYSTEM
34
Sec.
87.
DEPARTMENT
OF
HUMAN
SERVICES
PSYCHIATRIC
BED
35
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151
H.F.
653
TRACKING
SYSTEM.
The
department
of
human
services
shall
amend
1
its
administrative
rules
pursuant
to
chapter
17A
to
require
2
the
state
mental
health
institutes
and
hospitals
licensed
3
to
provide
inpatient
psychiatric
treatment
and
services
to
4
participate
in
the
psychiatric
bed
tracking
system
and
to
5
ensure
updates
are
made,
at
a
minimum,
two
times
per
day
to
6
the
psychiatric
bed
tracking
system.
Updates
shall
include
7
information
on
the
availability
of
inpatient
child,
adult,
8
and
geriatric
psychiatric
beds
staffed
and
available
and
9
information
on
the
gender
that
can
be
accepted
for
each
10
available
bed.
11
DIVISION
XVIII
12
CHILDREN’S
WELL-BEING
COLLABORATIVES
AND
ADVISORY
COMMITTEE
13
Sec.
88.
CHILDREN’S
WELL-BEING
COLLABORATIVES
——
GRANTS.
14
1.
The
department
of
human
services
shall
establish
a
15
request
for
proposals
process
which
shall
be
based
upon
16
recommendations
for
the
development
and
implementation
17
of
children’s
well-being
collaboratives
described
in
the
18
children’s
mental
health
study
report
submitted
by
the
19
department
to
the
general
assembly
on
December
15,
2016.
20
2.
A
well-being
collaborative
shall
consist
of
a
21
broad-based
group
of
entities
in
a
defined
geographical
area
22
represented
by
a
lead
agency.
Entities
in
the
well-being
23
collaborative
shall
include
a
broad-based
representation
of
key
24
providers
including
but
not
limited
to
providers
of
prevention
25
and
early
intervention
services
and
mental
health
services
to
26
the
target
population.
27
3.
A
well-being
collaborative
shall
be
responsible
for
28
developing
interagency
coordination
and
collaboration
for
29
the
provision
of
prevention
and
early
intervention
services
30
within
the
designated
geographic
area
and
shall,
at
a
minimum,
31
demonstrate
all
of
the
following:
32
a.
Experience
and
a
strong
understanding
of
how
best
to
33
engage
children
and
families
to
achieve
positive
mental
health
34
and
well-being
outcomes.
35
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653
b.
An
ability
to
provide
or
administer
prevention
services
1
for
the
improvement
of
children’s
mental
health
and
well-being.
2
c.
Experience
and
effectiveness
in
coordinating
the
3
collaborative
efforts
of
multiple
stakeholders
working
toward
4
a
common
goal
of
improving
the
effectiveness
of
the
group’s
5
efforts
to
achieve
measurable
improved
outcomes.
6
4.
A
well-being
collaborative
shall
build
and
maintain
7
intentional
collaboration
among
all
entities
with
the
goal
of
8
providing
measurable
improvements
in
outcomes
for
children
and
9
families.
10
5.
A
well-being
collaborative
shall
build
and
improve
11
coordination
and
effectiveness
among
entities
to
develop
and
12
provide
primary,
secondary,
and
tertiary
prevention
and
early
13
intervention
services
that
are
nonduplicative
and
that
are
14
aligned
to
meet
the
needs
of
children
and
families
in
the
15
geographic
area.
16
6.
A
well-being
collaborative
shall
provide
technical
17
assistance
to
a
diverse
array
of
stakeholders,
facilitate
18
the
distribution
of
public
awareness
materials
that
include
19
information
aimed
at
reducing
the
stigma
of
mental
illness,
20
and
provide
updates
on
changes
in
state
and
federal
policy
21
in
relation
to
prevention
and
early
intervention
efforts
22
concerning
children’s
mental
health
and
well-being.
23
7.
A
well-being
collaborative
shall
establish
or
enhance
24
collaborative
efforts
in
all
of
the
following
areas:
25
a.
The
selection
and
implementation
of
evidence-based
or
26
promising
prevention
and
early
intervention
models.
27
b.
Understanding
funding
sources
and
how
to
utilize
28
available
funding
most
effectively.
29
c.
The
adoption
or
development,
implementation,
and
30
analysis
of
community
needs
assessments.
31
d.
The
development,
implementation,
and
analysis
of
a
32
community
work
plan
based
on
the
results
of
the
community
needs
33
assessment.
34
e.
The
adoption
or
development
and
implementation
of
a
35
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151
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653
uniform
family
assessment.
1
f.
The
utilization
of
research
and
data
analysis
to
guide
2
the
work
of
the
well-being
collaborative.
3
g.
The
provision
of
culturally
competent
services
and
the
4
ability
to
address
issues
relating
to
the
disproportionate
5
representation
of
a
population
group.
6
h.
The
development
of
public
awareness
and
training
7
programs,
including
programs
aimed
at
reducing
the
stigma
of
8
mental
illness.
9
i.
The
recruitment
and
retention
of
members
in
the
10
well-being
collaborative
with
a
focus
on
achieving
the
goals
11
and
outcomes
of
the
collaborative
and
supporting
all
members
in
12
the
collaborative.
13
8.
Each
grantee
shall
submit
reports
to
the
department
of
14
human
services
by
December
15,
2017,
and
April
15,
2018,
to
15
include
information
relating
to
the
accomplishments
and
future
16
plans
of
each
well-being
collaborative.
17
Sec.
89.
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
ADVISORY
18
COMMITTEE.
The
department
of
human
services
shall
create
and
19
provide
support
to
a
children’s
mental
health
and
well-being
20
advisory
committee
to
continue
efforts
relating
to
improving
21
children’s
mental
health
crisis
services
and
children’s
22
well-being
learning
labs
and
supporting
the
children’s
23
well-being
collaboratives.
24
DIVISION
XIX
25
STATE
FAMILY
PLANNING
SERVICES
PROGRAM
26
Sec.
90.
NEW
SECTION
.
217.41B
State
family
planning
27
services
program
——
establishment
——
discontinuation
of
Medicaid
28
family
planning
network
waiver.
29
1.
The
department
of
human
services
shall
discontinue
the
30
Medicaid
family
planning
network
waiver
effective
July
1,
2017,
31
and
shall
instead
establish
a
state
family
planning
services
32
program.
The
state
program
shall
replicate
the
eligibility
33
requirements
and
other
provisions
included
in
the
Medicaid
34
family
planning
network
waiver
as
approved
by
the
centers
for
35
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653
Medicare
and
Medicaid
services
of
the
United
States
department
1
of
health
and
human
services
in
effect
on
June
30,
2017.
2
2.
Distribution
of
family
planning
services
program
funds
3
under
this
section
shall
be
made
in
a
manner
that
continues
4
access
to
family
planning
services.
5
3.
Distribution
of
family
planning
services
program
funds
6
shall
not
be
made
to
any
entity
that
performs
abortions
or
that
7
maintains
or
operates
a
facility
where
abortions
are
performed.
8
For
the
purposes
of
this
section,
“abortion”
does
not
include
9
any
of
the
following:
10
a.
The
treatment
of
a
woman
for
a
physical
disorder,
11
physical
injury,
or
physical
illness,
including
a
12
life-endangering
physical
condition
caused
by
or
arising
from
13
the
pregnancy
itself,
that
would,
as
certified
by
a
physician,
14
place
the
woman
in
danger
of
death.
15
b.
The
treatment
of
a
woman
for
a
spontaneous
abortion,
16
commonly
known
as
a
miscarriage,
when
not
all
of
the
products
17
of
human
conception
are
expelled.
18
4.
Family
planning
services
program
funds
distributed
in
19
accordance
with
this
section
shall
not
be
used
for
direct
or
20
indirect
costs,
including
but
not
limited
to
administrative
21
costs
or
expenses,
overhead,
employee
salaries,
rent,
and
22
telephone
and
other
utility
costs,
related
to
providing
23
abortions
as
specified
in
subsection
3.
24
Sec.
91.
EMERGENCY
RULES.
The
department
of
human
services
25
may
adopt
emergency
rules
under
section
17A.4,
subsection
3,
26
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
implement
27
the
provisions
of
this
division
of
this
Act,
and
the
rules
28
shall
be
effective
immediately
upon
filing
unless
a
later
date
29
is
specified
in
the
rules.
Any
rules
adopted
in
accordance
30
with
this
section
shall
also
be
published
as
a
notice
of
31
intended
action
as
provided
in
section
17A.4.
32
Sec.
92.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
33
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
34
enactment.
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DIVISION
XX
1
MEDICAID
HOME
AND
COMMUNITY-BASED
SERVICES
PROVIDERS
——
TIERED
2
RATES
AND
DOCUMENTATION
CHANGES
3
Sec.
93.
MEDICAID
HOME
AND
COMMUNITY-BASED
SERVICES
4
PROVIDERS
——
TIERED
RATES
AND
DOCUMENTATION
CHANGES
——
5
EMERGENCY
RULES.
6
1.
Beginning
July
1,
2017,
the
department
of
human
7
services
shall
discontinue
application
of
the
retrospectively
8
limited
cost
settlement
methodology
based
on
submission
of
9
required
cost
reports
under
441
IAC
79.1,
and
shall
implement
10
tiered
rates
for
providers
of
supported
community
living,
11
day
habilitation
and
adult
day
services
for
persons
with
an
12
intellectual
disability
under
the
home
and
community-based
13
services
waiver
program.
The
tiered
rates
shall
be
implemented
14
in
a
phased-in
approach
to
accommodate
transition
of
providers
15
to
the
revised
reimbursement
model.
The
department
of
human
16
services
and
Medicaid
managed
care
organizations
may
also
17
establish
tiered
rates
for
other
services.
18
2.
The
department
of
human
services
shall
amend
441
IAC
19
24.4
relating
to
standards
of
service
for
providers
of
services
20
to
persons
with
mental
illness,
intellectual
disabilities,
or
21
developmental
disabilities
pursuant
to
chapter
225C
and
441
22
IAC
79.3(2)
relating
to
medical
clinical
records
for
providers
23
of
services
under
the
Medicaid
program
pursuant
to
chapter
24
249A,
to
provide,
effective
November
1,
2017,
that
in
addition
25
to
allowing
documentation
of
the
provision
of
services
or
26
standards
of
service
in
a
narrative
format,
the
following
27
providers
may
also
provide
documentation
in
a
checkbox
form
28
format
in
accordance
with
the
provider’s
organizational
29
policies
and
procedures
and
in
compliance
with
procedures
30
established
by
the
centers
for
Medicare
and
Medicaid
services
31
of
the
United
States
department
of
health
and
human
services:
32
a.
Advanced
registered
nurse
practitioners.
33
b.
Psychologists.
34
c.
Community
mental
health
centers.
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d.
Home
and
community-based
habilitation
services
1
providers.
2
e.
Behavioral
health
intervention.
3
f.
Case
management
services
including
home
and
4
community-based
services
case
management
services.
5
g.
Home
and
community-based
services
waiver
services.
6
h.
Behavioral
health
services.
7
i.
Community-based
neurobehavioral
rehabilitation
8
residential
services
and
intermittent
services.
9
3.
The
department
of
human
services
may
adopt
emergency
10
rules
under
section
17A.4,
subsection
3,
and
section
17A.5,
11
subsection
2,
paragraph
“b”,
to
implement
the
provisions
of
12
this
division
of
this
Act,
and
the
rules
shall
be
effective
13
immediately
upon
filing
unless
a
later
date
is
specified
in
the
14
rules.
Any
rules
adopted
in
accordance
with
this
section
shall
15
also
be
published
as
a
notice
of
intended
action
as
provided
16
in
section
17A.4.
17
Sec.
94.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
18
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
19
enactment.
20
DIVISION
XXI
21
TELEHEALTH
PARITY
INTERIM
COMMITTEE
22
Sec.
95.
TELEHEALTH
PARITY
INTERIM
COMMITTEE.
23
1.
The
legislative
council
is
requested
to
establish
24
a
study
committee
for
the
2017
interim
to
examine
issues
25
relating
to
telehealth
parity
for
private
insurance
and
state
26
employee
health
plans.
The
study
committee
shall
consult
with
27
stakeholders
to
evaluate
the
benefits
of
telehealth
parity
28
within
the
context
of
the
needs
of
Iowans
such
as
access
to
29
health
care,
review
existing
policies
related
to
telehealth
30
reimbursement
and
the
impact
on
private
insurance
and
state
31
employee
health
plans,
consider
the
costs
associated
with
32
telehealth
service
utilization,
consider
telehealth’s
potential
33
impact
to
economic
development
opportunities
for
Iowa’s
34
rural
communities,
and
evaluate
obstacles
such
as
broadband
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accessibility.
1
2.
The
members
of
the
committee
shall
include:
2
a.
Ten
members
of
the
general
assembly
as
voting
members.
3
(1)
Three
members
shall
be
appointed
by
the
majority
leader
4
of
the
senate,
two
by
the
minority
leader
of
the
senate,
three
5
by
the
speaker
of
the
house
of
representatives,
and
two
by
the
6
minority
leader
of
the
house
of
representatives.
7
(2)
The
legislators
appointed
shall
include:
8
(a)
The
chairpersons
and
ranking
members
of
the
general
9
assembly’s
committees
on
human
resources
or
a
member
of
the
10
committee
designated
by
the
chairperson
or
ranking
member.
11
(b)
The
co-chairpersons
and
ranking
members
of
the
joint
12
appropriations
subcommittee
on
health
and
human
services,
or
a
13
member
of
the
subcommittee
designated
by
the
co-chairperson
or
14
ranking
member.
15
b.
One
representative
of
each
of
the
following
16
organizations
as
nonvoting
members:
17
(1)
The
signal
center
for
health
innovation.
18
(2)
The
Iowa
hospital
association.
19
(3)
An
independent
medical
clinic.
20
(4)
The
Iowa
medical
society.
21
(5)
The
Iowa
health
care
association.
22
(6)
The
federation
of
Iowa
insurers.
23
(7)
AARP
Iowa.
24
(8)
The
Iowa
telecommunications
association.
25
(9)
A
mental
health
and
disability
services
region.
26
c.
The
following
agency
directors
or
commissioner
as
ex
27
officio
nonvoting
members:
28
(1)
The
director
of
public
health,
or
the
director’s
29
designee.
30
(2)
The
director
of
the
department
of
administrative
31
services,
or
the
director’s
designee.
32
(3)
The
director
of
the
department
on
aging,
or
the
33
director’s
designee.
34
(4)
The
commissioner
of
insurance
or
the
commissioner’s
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designee.
1
3.
The
interim
committee
may
request
information
and
2
assistance
from
state
agencies
as
applicable
to
the
purpose
of
3
the
interim
committee,
as
needed
to
complete
the
work
of
the
4
interim
committee.
5
4.
The
interim
committee
shall
submit
its
findings
and
6
recommendations
to
the
general
assembly
by
December
15,
2017,
7
for
consideration
during
the
2018
legislative
session.
8
DIVISION
XXII
9
ALZHEIMER’S
AND
OTHER
FORMS
OF
DEMENTIA
——
HEALTH
AND
10
RESILIENCE
OUTREACH
(HERO)
PROJECT
——
DEMENTIA-SPECIFIC
CARE
11
Sec.
96.
HERO
PROJECT.
The
department
of
public
health
12
shall
collaborate
with
stakeholders
that
support
individuals
13
with
Alzheimer’s
disease
to
identify
funding
opportunities
14
to
support
the
health
and
resilience
outreach
(HERO)
project
15
for
individuals
caring
for
a
family
member
with
Alzheimer’s
or
16
other
forms
of
dementia.
17
Sec.
97.
ACCESS
TO
DEMENTIA-SPECIFIC
CARE.
The
department
18
on
aging,
the
department
of
public
health,
the
department
of
19
inspections
and
appeals,
and
the
department
of
human
services
20
shall
jointly
analyze
and
make
recommendations
regarding
21
options
for
coordination
between
state
agencies
and
private
22
entities
to
promote
increased
access
to
dementia-specific
care
23
in
both
residential
and
home
and
community-based
settings.
The
24
analyses
and
recommendations
shall
address
barriers
to,
gaps
25
in,
and
opportunities
for
increased
access,
the
availability
of
26
services
in
home
and
community-based
settings
as
an
alternative
27
to
residential
settings,
and
any
changes
in
law
necessary
to
28
better
address
the
needs
of
individuals
with
dementia
and
their
29
families.
The
departments
shall
submit
a
joint
report
of
30
findings
and
recommendations
to
the
governor
and
the
general
31
assembly
by
December
15,
2017.
32
DIVISION
XXIII
33
OFFICE
OF
MINORITY
AND
MULTICULTURAL
HEALTH
——
REPEAL
34
Sec.
98.
Section
135.159,
subsection
3,
paragraph
i,
Code
35
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2017,
is
amended
to
read
as
follows:
1
i.
For
children,
coordinate
with
and
integrate
guidelines,
2
data,
and
information
from
existing
newborn
and
child
health
3
programs
and
entities,
including
but
not
limited
to
the
healthy
4
opportunities
for
parents
to
experience
success
–
healthy
5
families
Iowa
program,
the
early
childhood
Iowa
initiative,
6
the
center
for
congenital
and
inherited
disorders
screening
7
and
health
care
programs,
standards
of
care
for
pediatric
8
health
guidelines,
the
office
of
minority
and
multicultural
9
health
established
in
section
135.12
,
the
oral
health
bureau
10
established
in
section
135.15
,
and
other
similar
programs
and
11
services.
12
Sec.
99.
REPEAL.
Section
135.12,
Code
2017,
is
repealed.
13
DIVISION
XXIV
14
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PRIOR
PROVISIONS
15
ADOPTION
SUBSIDY
PAYMENTS
AND
SERVICES
16
Sec.
100.
2015
Iowa
Acts,
chapter
137,
section
139,
17
subsection
1,
as
amended
by
2016
Iowa
Acts,
chapter
1139,
18
section
17,
is
amended
by
adding
the
following
new
paragraph:
19
NEW
PARAGRAPH
.
c.
Notwithstanding
section
8.33,
20
moneys
corresponding
to
the
state
savings
resulting
from
21
implementation
of
the
federal
Fostering
Connections
to
Success
22
and
Increasing
Adoptions
Act
of
2008,
Pub.
L.
No.
110-351,
23
and
successor
legislation,
as
determined
in
accordance
with
24
42
U.S.C.
§673(a)(8),
that
remain
unencumbered
or
unobligated
25
at
the
close
of
the
fiscal
year,
shall
not
revert
to
any
fund
26
but
shall
remain
available
for
the
purposes
designated
in
this
27
subsection
until
expended.
The
amount
of
such
savings
and
any
28
corresponding
funds
remaining
at
the
close
of
the
fiscal
year
29
shall
be
determined
separately
and
any
changes
in
either
amount
30
between
fiscal
years
shall
not
result
in
an
unfunded
need.
31
DECATEGORIZATION
32
Sec.
101.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
33
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
34
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
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pool
that
remained
unencumbered
or
unobligated
at
the
close
1
of
the
fiscal
year
beginning
July
1,
2014,
and
were
deemed
2
carryover
funding
to
remain
available
for
the
two
succeeding
3
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
4
the
close
of
the
fiscal
year
beginning
July
1,
2016,
shall
5
not
revert
but
shall
be
transferred
to
the
medical
assistance
6
program
for
the
fiscal
year
beginning
July
1,
2017.
7
Sec.
102.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
8
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
9
enactment.
10
Sec.
103.
RETROACTIVE
APPLICABILITY.
This
division
of
this
11
Act
applies
retroactively
to
July
1,
2016.
12
DIVISION
XXV
13
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
AND
IOWACARE
14
ACCOUNT
——
BALANCES
——
REVERSIONS
15
Sec.
104.
NONPARTICIPATING
PROVIDER
REIMBURSEMENT
FUND
AND
16
IOWACARE
ACCOUNT
——
AVAILABILITY
——
REVERSIONS.
17
Notwithstanding
any
provision
of
law
to
the
contrary,
for
the
18
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
19
there
is
appropriated
from
the
IowaCare
account
established
in
20
section
249J.24,
Code
2013,
and
the
nonparticipating
provider
21
reimbursement
fund
established
in
section
249J.24A,
Code
22
2013,
to
the
department
of
human
services
medical
assistance
23
appropriation
in
this
2017
Act
any
unencumbered
or
unobligated
24
moneys
from
the
account
and
fund
to
be
used
for
the
purposes
of
25
the
IowaCare
account
as
provided
in
section
249J.24,
Code
2013.
26
Notwithstanding
section
8.33,
moneys
appropriated
in
this
27
section
that
remain
unencumbered
or
unobligated
at
the
close
of
28
a
fiscal
year
shall
not
revert
but
shall
remain
available
for
29
expenditure
for
the
purposes
designated
until
expended.
30
Sec.
105.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
31
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
32
enactment.
33
DIVISION
XXVI
34
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
PROGRAM
——
REPEAL
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653
Sec.
106.
Section
249M.5,
Code
2017,
is
amended
to
read
as
1
follows:
2
249M.5
Future
repeal.
3
This
chapter
is
repealed
July
1,
2017
2019
.
4
Sec.
107.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
5
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
6
enactment.
7
DIVISION
XXVII
8
CUSTODIAL
CARE
9
Sec.
108.
Section
249.12,
Code
2017,
is
amended
to
read
as
10
follows:
11
249.12
Cost-related
system.
12
1.
In
order
to
assure
that
the
necessary
data
is
available
13
to
aid
the
general
assembly
to
determine
appropriate
funding
14
for
the
custodial
care
program,
the
department
of
human
15
services
shall
develop
a
cost-related
system
for
financial
16
supplementation
to
individuals
who
need
custodial
care
and
who
17
have
insufficient
resources
to
purchase
the
care
needed.
18
2.
All
privately
operated
licensed
custodial
facilities
in
19
Iowa
shall
cooperate
with
the
department
of
human
services
to
20
develop
the
cost-related
plan.
After
the
plan
is
implemented,
21
state
supplemental
funds
shall
not
be
used
for
the
care
of
22
any
individual
in
facilities
that
have
not
submitted
cost
23
statements
to
the
department
of
human
services.
24
3.
Beginning
July
1,
2017,
privately
operated
licensed
25
custodial
facilities
in
Iowa
shall
be
reimbursed
based
on
the
26
maximum
per
diem
rates
established
by
the
general
assembly
27
through
the
appropriations
process.
28
DIVISION
XXVIII
29
JUVENILE
BEDS
CAP
30
Sec.
109.
Section
232.142,
subsection
5,
Code
2017,
is
31
amended
to
read
as
follows:
32
5.
The
director
shall
approve
annually
all
such
homes
33
established
and
maintained
under
the
provisions
of
this
34
chapter
.
A
home
shall
not
be
approved
unless
it
complies
with
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minimal
rules
and
standards
adopted
by
the
director
and
has
1
been
inspected
by
the
department
of
inspections
and
appeals.
2
The
statewide
number
of
beds
in
the
homes
approved
by
the
3
director
shall
not
exceed
two
hundred
sixty-two
seventy-two
4
beds
beginning
July
1,
2017
.
5
DIVISION
XXIX
6
TRANSFERS
OF
FUNDS
BETWEEN
DHS
INSTITUTIONS
7
Sec.
110.
Section
218.6,
Code
2017,
is
amended
to
read
as
8
follows:
9
218.6
Transfer
of
appropriations
made
to
institutions.
10
Notwithstanding
section
8.39,
subsection
1
,
without
the
11
prior
written
consent
and
approval
of
the
governor
and
the
12
director
of
the
department
of
management,
the
director
of
human
13
services
may
transfer
funds
between
the
appropriations
made
for
14
the
same
type
of
institution
institutions
,
listed
as
follows:
15
1.
The
state
resource
centers.
16
2.
The
state
mental
health
institutes.
17
3.
The
state
juvenile
institutions
consisting
of
the
state
18
training
school
and
the
Iowa
juvenile
home
.
19
4.
The
civil
commitment
unit
for
sexual
offenders.
20
DIVISION
XXX
21
PELVIC
EXAMS
——
PRIOR
CONSENT
22
Sec.
111.
NEW
SECTION
.
147.114
Prior
informed
consent
23
relative
to
pelvic
examinations
——
patient
under
anesthesia
or
24
unconscious
——
penalties.
25
1.
A
person
licensed
or
certified
to
practice
a
26
profession,
or
a
student
undertaking
a
course
of
instruction
27
or
participating
in
a
clinical
training
or
residency
program
28
for
a
profession,
shall
not
perform
a
pelvic
examination
on
an
29
anesthetized
or
unconscious
patient
unless
one
of
the
following
30
conditions
is
met:
31
a.
The
patient
or
the
patient’s
authorized
representative
32
provides
prior
written
informed
consent
to
the
pelvic
33
examination,
and
the
pelvic
examination
is
necessary
for
34
preventive,
diagnostic,
or
treatment
purposes.
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b.
The
patient
or
the
patient’s
authorized
representative
1
has
provided
prior
written
informed
consent
to
a
surgical
2
procedure
or
diagnostic
examination
to
be
performed
on
the
3
patient,
and
the
performance
of
a
pelvic
examination
is
within
4
the
scope
of
care
ordered
for
that
surgical
procedure
or
5
diagnostic
examination.
6
c.
The
patient
is
unconscious
and
incapable
of
providing
7
prior
informed
consent,
and
the
pelvic
examination
is
necessary
8
for
diagnostic
or
treatment
purposes.
9
d.
A
court
has
ordered
the
performance
of
the
pelvic
10
examination
for
the
purposes
of
collection
of
evidence.
11
2.
A
person
who
violates
this
section
is
subject
to
the
12
penalty
specified
under
section
147.86,
and
any
professional
13
disciplinary
provisions,
as
applicable.
14
DIVISION
XXXI
15
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
PAYMENT
LIMIT
16
ALTERNATIVE
PAYMENT
PROGRAM
17
Sec.
112.
2016
Iowa
Acts,
chapter
1139,
section
81,
is
18
amended
by
striking
the
section,
and
inserting
in
lieu
thereof
19
the
following:
20
SEC.
81.
Section
249L.2,
subsection
6,
Code
2016,
is
amended
21
to
read
as
follows:
22
6.
“Nursing
facility”
means
a
licensed
nursing
facility
as
23
defined
in
section
135C.1
that
is
a
freestanding
facility
or
24
a
nursing
facility
operated
by
a
hospital
licensed
pursuant
25
to
chapter
135B
,
but
does
not
include
a
distinct-part
skilled
26
nursing
unit
or
a
swing-bed
unit
operated
by
a
hospital,
or
27
a
nursing
facility
owned
by
the
state
or
federal
government
28
or
other
governmental
unit.
“Nursing
facility”
includes
a
29
non-state
government-owned
nursing
facility
if
the
nursing
30
facility
participates
in
the
non-state
government-owned
nursing
31
facility
upper
payment
limit
alternative
payment
program.
32
Sec.
113.
2016
Iowa
Acts,
chapter
1139,
section
82,
is
33
amended
to
read
as
follows:
34
SEC.
82.
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
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PAYMENT
LIMIT
SUPPLEMENTAL
ALTERNATIVE
PAYMENT
PROGRAM.
1
1.
The
department
of
human
services
shall
submit,
to
the
2
centers
for
Medicare
and
Medicaid
services
(CMS)
of
the
United
3
States
department
of
health
and
human
services
no
later
than
4
September
29,
2017
,
a
Medicaid
state
plan
amendment
to
allow
5
qualifying
non-state
government-owned
nursing
facilities
to
6
receive
a
supplemental
participate
in
an
alternative
payment
7
program
in
accordance
with
the
upper
payment
limit
requirements
8
pursuant
to
42
C.F.R.
§447.272
.
The
supplemental
alternative
9
payment
shall
be
in
addition
to
the
greater
of
the
payment
in
10
accordance
with
the
upper
payment
limit
requirements
pursuant
11
to
42
C.F.R.
§447.272
or
the
Medicaid
fee-for-service
per
diem
12
reimbursement
rate
or
the
per
diem
payment
established
for
the
13
nursing
facility
under
a
Medicaid
managed
care
contract.
14
2.
At
a
minimum,
the
Medicaid
state
plan
amendment
shall
15
provide
for
all
of
the
following:
16
a.
A
non-state
governmental
entity
shall
provide
the
state
17
share
of
the
difference
between
the
expected
supplemental
18
alternative
payment
and
the
Medicaid
fee-for-service
per
diem
19
reimbursement
rate
in
the
form
of
an
intergovernmental
transfer
20
to
the
state.
21
b.
The
state
shall
claim
federal
matching
funds
and
shall
22
make
supplemental
alternative
payments
to
eligible
non-state
23
governmental
entities
based
on
the
supplemental
alternative
24
payment
amount
as
calculated
by
the
state
for
each
nursing
25
facility
for
which
a
non-state
governmental
entity
owns
the
26
nursing
facility’s
license.
A
managed
care
contractor
shall
27
not
retain
any
portion
of
the
supplemental
alternative
payment,
28
but
shall
treat
the
supplemental
difference
between
the
29
expected
alternative
payment
and
the
Medicaid
fee-for-service
30
per
diem
reimbursement
rate
as
a
pass
through
component
of
31
the
capitated
payment
calculation
to
the
eligible
non-state
32
governmental
entity.
33
c.
The
supplemental
alternative
payment
program
shall
34
be
budget
neutral
to
the
state.
No
general
fund
revenue
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shall
be
expended
under
the
program
including
for
costs
of
1
administration.
If
payments
under
the
program
result
in
2
overpayment
to
a
nursing
facility,
or
if
CMS
disallows
federal
3
participation
related
to
a
nursing
facility’s
receipt
or
4
use
of
supplemental
alternative
payments
authorized
under
5
the
program,
the
state
may
recoup
an
amount
equivalent
to
6
the
amount
of
supplemental
alternative
payments
overpaid
or
7
disallowed.
Supplemental
Alternative
payments
shall
be
subject
8
to
any
adjustment
for
payments
made
in
error,
including
but
not
9
limited
to
adjustments
made
by
state
or
federal
law,
and
the
10
state
may
recoup
an
amount
equivalent
to
any
such
adjustment.
11
d.
A
nursing
facility
participating
in
the
program
shall
12
notify
the
state
of
any
changes
in
ownership
that
may
affect
13
the
nursing
facility’s
continued
eligibility
for
the
program
14
within
thirty
days
of
any
such
change.
15
e.
No
portion
of
the
supplemental
alternative
payment
16
paid
to
a
participating
nursing
facility
may
be
used
for
17
contingent
fees.
Expenditures
for
development
fees,
legal
18
fees,
or
consulting
fees
shall
not
exceed
five
percent
of
19
the
supplemental
alternative
funds
received,
annually,
and
20
any
such
expenditures
shall
be
reported
to
the
department
of
21
human
services,
and
included
in
the
department’s
annual
report
22
pursuant
to
subsection
3.
23
f.
The
supplemental
alternative
payment
paid
to
a
24
participating
nursing
facility
shall
only
be
used
as
specified
25
in
state
and
federal
law.
Supplemental
Alternative
payments
26
paid
to
a
participating
nursing
facility
shall
only
be
used
as
27
follows:
28
(1)
A
portion
of
the
amount
received
may
be
used
for
nursing
29
facility
quality
improvement
initiatives
including
but
not
30
limited
to
educational
scholarships
and
nonmandatory
training.
31
Priority
in
the
awarding
of
contracts
for
such
training
shall
32
be
for
Iowa-based
organizations.
33
(2)
A
portion
of
the
amount
received
may
be
used
for
nursing
34
facility
remodeling
or
renovation.
Priority
in
the
awarding
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of
contracts
for
such
remodeling
or
renovations
shall
be
for
1
Iowa-based
organizations
and
skilled
laborers.
2
(3)
A
portion
of
the
amount
received
may
be
used
for
health
3
information
technology
infrastructure
and
software.
Priority
4
in
the
awarding
of
contracts
for
such
health
information
5
technology
infrastructure
and
software
shall
be
for
Iowa-based
6
organizations.
7
(4)
A
portion
of
the
amount
received
may
be
used
for
8
endowments
to
offset
costs
associated
with
maintenance
of
9
hospitals
licensed
under
chapter
135B
and
nursing
facilities
10
licensed
under
chapter
135C
.
11
g.
A
non-state
governmental
entity
shall
only
be
eligible
12
for
supplemental
alternative
payments
attributable
to
up
to
10
13
percent
of
the
potential
non-state
government-owned
nursing
14
facilities
licensed
in
the
state.
15
3.
Following
receipt
of
approval
and
implementation
of
the
16
program,
the
department
shall
submit
a
report
to
the
governor
17
and
the
general
assembly,
annually,
on
or
before
December
15,
18
regarding
the
program.
The
report
shall
include,
at
a
minimum,
19
the
name
and
location
of
participating
non-state
governmental
20
entities
and
the
non-state
government-owned
nursing
facilities
21
with
which
the
non-state
governmental
entities
have
partnered
22
to
participate
in
the
program;
the
amount
of
the
matching
23
funds
provided
by
each
non-state
governmental
entity;
the
24
net
supplemental
payment
amount
difference
between
the
25
expected
alternative
payment
and
the
Medicaid
fee-for-service
26
per
diem
reimbursement
rate
received
by
each
participating
27
non-governmental
entity
and
non-state
government-owned
nursing
28
facility;
and
the
amount
expended
for
each
of
the
specified
29
categories
of
approved
expenditure.
30
4.
The
department
of
human
services
shall
work
31
collaboratively
with
representatives
of
nursing
facilities,
32
hospitals,
and
other
affected
stakeholders
in
adopting
33
administrative
rules,
and
in
implementing
and
administering
34
this
program.
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5.
As
used
in
this
section:
1
a.
“Non-state
governmental
entity”
means
a
hospital
2
authority,
hospital
district,
health
care
district,
city,
or
3
county.
4
b.
“Non-state
government-owned
nursing
facility”
means
a
5
nursing
facility
owned
or
operated
by
a
non-state
governmental
6
entity
for
which
a
non-state
governmental
entity
holds
7
the
nursing
facility’s
license
and
is
party
to
the
nursing
8
facility’s
Medicaid
contract.
9
Sec.
114.
2016
Iowa
Acts,
chapter
1139,
section
84,
10
subsection
1,
is
amended
to
read
as
follows:
11
1.
The
section
of
this
division
of
this
Act
directing
the
12
department
of
human
services
to
submit
a
Medicaid
state
plan
13
amendment
to
CMS
no
later
than
September
29,
2017,
shall
be
14
implemented
as
soon
as
possible
following
enactment,
consistent
15
with
all
applicable
federal
requirements.
16
Sec.
115.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
17
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
18
enactment.
19
Sec.
116.
RETROACTIVE
APPLICABILITY.
This
division
of
this
20
Act
applies
retroactively
to
May
27,
2016.
21
DIVISION
XXXII
22
LEGISLATIVE
INTERIM
——
OPIOID
EPIDEMIC
EVALUATION
23
Sec.
117.
LEGISLATIVE
INTERIM
STUDY
COMMITTEE
——
OPIOID
24
EPIDEMIC
EVALUATION.
25
1.
The
legislative
council
is
requested
to
establish
an
26
interim
study
committee
to
comprehensively
evaluate
the
state’s
27
response
to
the
opioid
epidemic
in
the
state.
28
2.
The
committee
shall
receive
input
from
agencies
and
29
entities
including
but
not
limited
to
all
of
the
following:
30
a.
Representatives
of
the
professional
licensing
boards
for
31
professionals
authorized
to
prescribe
controlled
substances.
32
b.
Representatives
of
public
safety
and
public
health
33
including
but
not
limited
to
the
office
of
the
state
medical
34
examiner,
the
division
of
criminal
investigation
of
the
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department
of
public
safety,
the
department
of
corrections
and
1
community-based
corrections,
law
enforcement
agencies,
the
2
governor’s
office
of
drug
control
policy,
and
the
department
3
of
public
health.
4
c.
Representatives
of
the
medical
community
and
health
5
insurance
payers
including
but
not
limited
to
the
Iowa
hospital
6
association,
the
Iowa
medical
society,
the
Iowa
osteopathic
7
medical
society,
the
Iowa
pharmacy
association,
and
America’s
8
health
insurance
plans.
9
d.
Consumers
and
representatives
of
consumers
including
but
10
not
limited
to
the
Iowa
substance
abuse
information
center,
the
11
Iowa
prescription
abuse
reduction
task
force,
and
addiction
12
treatment
centers
in
the
state.
13
3.
The
interim
committee’s
evaluation
shall
include
but
is
14
not
limited
to
a
review
of
the
protocols
and
practices
relating
15
to
the
prescribing
of
opioid
medications
and
the
treatment
16
options
available
including
medication-assisted
treatment.
17
4.
The
interim
committee
shall
submit
a
report,
including
18
findings
and
recommendations,
to
the
governor
and
the
general
19
assembly
by
November
15,
2017.
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