Senate File 2418 - Reprinted SENATE FILE 2418 BY COMMITTEE ON APPROPRIATIONS (SUCCESSOR TO SSB 3222) (As Amended and Passed by the Senate May 4, 2018 ) 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 SF 2418 (2) 87 pf/rn/jh
S.F. 2418 DIVISION I 1 DEPARTMENT ON AGING —— FY 2018-2019 2 Section 1. 2017 Iowa Acts, chapter 174, section 40, 3 unnumbered paragraphs 1 and 2, are amended to read as follows: 4 There is appropriated from the general fund of the state 5 to the department on aging for the fiscal year beginning July 6 1, 2018, and ending June 30, 2019, the following amount, or 7 so much thereof as is necessary, to be used for the purposes 8 designated: 9 For aging programs for the department on aging and area 10 agencies on aging to provide citizens of Iowa who are 60 years 11 of age and older with case management for frail elders, Iowa’s 12 aging and disabilities resource center, and other services 13 which may include but are not limited to adult day services, 14 respite care, chore services, information and assistance, 15 and material aid, for information and options counseling for 16 persons with disabilities who are 18 years of age or older, 17 and for salaries, support, administration, maintenance, and 18 miscellaneous purposes, and for not more than the following 19 full-time equivalent positions: 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,521,238 21 11,042,924 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 27.00 23 Sec. 2. 2017 Iowa Acts, chapter 174, section 40, subsections 24 2, 4, 5, 6, and 7, are amended to read as follows: 25 2. Of the funds appropriated in this section, $139,973 26 $279,946 is transferred to the economic development authority 27 for the Iowa commission on volunteer services to be used for 28 the retired and senior volunteer program. 29 4. Of the funds appropriated in this section, at least 30 $125,000 shall be used to fund the unmet needs identified 31 through Iowa’s aging and disability resource center network. 32 5. Of the funds appropriated in this section, at 33 least $300,000 $600,000 shall be used to fund home and 34 community-based services through the area agencies on aging 35 -1- SF 2418 (2) 87 pf/rn/jh 1/ 112
S.F. 2418 that enable older individuals to avoid more costly utilization 1 of residential or institutional services and remain in their 2 own homes. 3 6. Of the funds appropriated in this section, $406,268 4 $812,537 shall be used for the purposes of chapter 231E and 5 section 231.56A , of which $175,000 shall be used for the office 6 of substitute decision maker pursuant to chapter 231E , and the 7 remainder shall be distributed equally to the area agencies on 8 aging to administer the prevention of elder abuse, neglect, and 9 exploitation program pursuant to section 231.56A , in accordance 10 with the requirements of the federal Older Americans Act of 11 1965, 42 U.S.C. §3001 et seq., as amended. 12 7. Of the funds appropriated in this section, $375,000 13 $1,000,000 shall be used to fund continuation of the aging 14 and disability resource center lifelong links to provide 15 individuals and caregivers with information and services to 16 plan for and maintain independence. 17 Sec. 3. 2017 Iowa Acts, chapter 174, section 40, subsection 18 8, is amended by striking the subsection. 19 Sec. 4. 2017 Iowa Acts, chapter 174, section 40, is amended 20 by adding the following new subsection: 21 NEW SUBSECTION . 9. Of the funds appropriated in this 22 section, $100,000 shall be used by the department on aging, 23 in collaboration with the department of human services and 24 affected stakeholders, to design a pilot initiative to provide 25 long-term care options counseling utilizing support planning 26 protocols, to assist non-Medicaid eligible consumers who 27 indicate a preference to return to the community and are 28 deemed appropriate for discharge, to return to their community 29 following a nursing facility stay. The department on aging 30 shall submit the design plan as well as recommendations for 31 legislation necessary to administer the initiative, including 32 but not limited to legislation to allow the exchange of contact 33 information for nursing facility residents appropriate for 34 discharge planning, to the governor and the general assembly by 35 -2- SF 2418 (2) 87 pf/rn/jh 2/ 112
S.F. 2418 December 15, 2018. 1 DIVISION II 2 OFFICE OF LONG-TERM CARE OMBUDSMAN —— FY 2018-2019 3 Sec. 5. 2017 Iowa Acts, chapter 174, section 41, is amended 4 to read as follows: 5 SEC. 41. OFFICE OF LONG-TERM CARE OMBUDSMAN. There is 6 appropriated from the general fund of the state to the office 7 of long-term care ombudsman for the fiscal year beginning July 8 1, 2018, and ending June 30, 2019, the following amount, or 9 so much thereof as is necessary, to be used for the purposes 10 designated: 11 For salaries, support, administration, maintenance, and 12 miscellaneous purposes, and for not more than the following 13 full-time equivalent positions: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 580,140 15 1,149,821 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 16.00 17 DIVISION III 18 DEPARTMENT OF PUBLIC HEALTH —— FY 2018-2019 19 Sec. 6. 2017 Iowa Acts, chapter 174, section 42, subsections 20 1, 2, 3, 4, 5, 6, 7, and 8, are amended to read as follows: 21 1. ADDICTIVE DISORDERS 22 For reducing the prevalence of the use of tobacco, alcohol, 23 and other drugs, and treating individuals affected by addictive 24 behaviors, including gambling, and for not more than the 25 following full-time equivalent positions: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 12,492,915 27 24,804,344 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 10.00 29 11.00 30 a. (1) Of the funds appropriated in this subsection, 31 $2,010,612 $4,021,225 shall be used for the tobacco use 32 prevention and control initiative, including efforts at the 33 state and local levels, as provided in chapter 142A . The 34 commission on tobacco use prevention and control established 35 -3- SF 2418 (2) 87 pf/rn/jh 3/ 112
S.F. 2418 pursuant to section 142A.3 shall advise the director of 1 public health in prioritizing funding needs and the allocation 2 of moneys appropriated for the programs and initiatives. 3 Activities of the programs and initiatives shall be in 4 alignment with the United States centers for disease control 5 and prevention best practices for comprehensive tobacco control 6 programs that include the goals of preventing youth initiation 7 of tobacco usage, reducing exposure to secondhand smoke, 8 and promotion of tobacco cessation. To maximize resources, 9 the department shall determine if third-party sources are 10 available to instead provide nicotine replacement products 11 to an applicant prior to provision of such products to an 12 applicant under the initiative. The department shall track and 13 report to the individuals specified in this Act, any reduction 14 in the provision of nicotine replacement products realized 15 by the initiative through implementation of the prerequisite 16 screening. 17 (2) (a) The department shall collaborate with the 18 alcoholic beverages division of the department of commerce for 19 enforcement of tobacco laws, regulations, and ordinances and to 20 engage in tobacco control activities approved by the division 21 of tobacco use prevention and control of the department of 22 public health as specified in the memorandum of understanding 23 entered into between the divisions. 24 (b) For the fiscal year beginning July 1, 2018, and ending 25 June 30, 2019, the terms of the memorandum of understanding, 26 entered into between the division of tobacco use prevention 27 and control of the department of public health and the 28 alcoholic beverages division of the department of commerce, 29 governing compliance checks conducted to ensure licensed retail 30 tobacco outlet conformity with tobacco laws, regulations, and 31 ordinances relating to persons under 18 years of age, shall 32 continue to restrict the number of such checks to one check per 33 retail outlet, and one additional check for any retail outlet 34 found to be in violation during the first check. 35 -4- SF 2418 (2) 87 pf/rn/jh 4/ 112
S.F. 2418 b. Of the funds appropriated in this subsection, 1 $10,482,303 $20,783,119 shall be used for problem gambling and 2 substance-related disorder prevention, treatment, and recovery 3 services, including a 24-hour helpline, public information 4 resources, professional training, youth prevention, and program 5 evaluation. 6 c. The requirement of section 123.17, subsection 5 , is met 7 by the appropriations and allocations made in this division of 8 this Act for purposes of substance-related disorder treatment 9 and addictive disorders for the fiscal year beginning July 1, 10 2018. 11 d. The department of public health, in collaboration with 12 the department of human services, shall engage a stakeholder 13 workgroup to review reimbursement provisions applicable 14 to substance use disorder services providers. The issues 15 considered by the workgroup shall include but are not limited 16 to the adequacy of reimbursement provisions including for 17 both outpatient and residential treatment, whether it is 18 appropriate to rebase reimbursement, whether there is equity in 19 reimbursement compared to the reimbursement methodologies used 20 for providers of similar behavioral health services, and access 21 to substance use disorder services providers including whether 22 the designated number of community mental health centers in the 23 state is sufficient. The workgroup shall review the reports 24 of previous workgroups including those authorized in 2014 Iowa 25 Acts, chapter 1140, section 3, subsection 1, and shall report 26 the workgroup’s findings and recommendations to the general 27 assembly on or before December 15, 2018. 28 2. HEALTHY CHILDREN AND FAMILIES 29 For promoting the optimum health status for children, 30 adolescents from birth through 21 years of age, and families, 31 and for not more than the following full-time equivalent 32 positions: 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,662,816 34 5,820,625 35 -5- SF 2418 (2) 87 pf/rn/jh 5/ 112
S.F. 2418 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 12.00 13.00 1 a. Of the funds appropriated in this subsection, not 2 more than $367,420 $734,841 shall be used for the healthy 3 opportunities for parents to experience success (HOPES)-healthy 4 families Iowa (HFI) program established pursuant to section 5 135.106 . The funding shall be distributed to renew the grants 6 that were provided to the grantees that operated the program 7 during the fiscal year ending June 30, 2018. 8 b. In order to implement the legislative intent stated in 9 sections 135.106 and 256I.9 , that priority for home visitation 10 program funding be given to programs using evidence-based or 11 promising models for home visitation, it is the intent of the 12 general assembly to phase in the funding priority in accordance 13 with 2012 Iowa Acts, chapter 1133, section 2, subsection 2, 14 paragraph “0b” . 15 c. Of the funds appropriated in this subsection, $1,537,550 16 $3,075,101 shall be used for continuation of the department’s 17 initiative to provide for adequate developmental surveillance 18 and screening during a child’s first five years. The funds 19 shall be used first to fully fund the current sites to ensure 20 that the sites are fully operational, with the remaining 21 funds to be used for expansion to additional sites. The full 22 implementation and expansion shall include enhancing the scope 23 of the initiative through collaboration with the child health 24 specialty clinics to promote healthy child development through 25 early identification and response to both biomedical and social 26 determinants of healthy development; by monitoring child 27 health metrics to inform practice, document long-term health 28 impacts and savings, and provide for continuous improvement 29 through training, education, and evaluation; and by providing 30 for practitioner consultation particularly for children with 31 behavioral conditions and needs. The department of public 32 health shall also collaborate with the Iowa Medicaid enterprise 33 and the child health specialty clinics to integrate the 34 activities of the first five initiative into the establishment 35 -6- SF 2418 (2) 87 pf/rn/jh 6/ 112
S.F. 2418 of patient-centered medical homes, community utilities, 1 accountable care organizations, and other integrated care 2 models developed to improve health quality and population 3 health while reducing health care costs. To the maximum extent 4 possible, funding allocated in this paragraph shall be utilized 5 as matching funds for medical assistance program reimbursement. 6 d. Of the funds appropriated in this subsection, $32,320 7 $64,640 shall be distributed to a statewide dental carrier to 8 provide funds to continue the donated dental services program 9 patterned after the projects developed by the lifeline network 10 to provide dental services to indigent individuals who are 11 elderly or with disabilities. 12 e. Of the funds appropriated in this subsection, $78,241 13 $156,482 shall be used to provide audiological services and 14 hearing aids for children. The department may enter into a 15 contract to administer this paragraph. 16 f. Of the funds appropriated in this subsection, $11,500 17 $23,000 is transferred to the university of Iowa college of 18 dentistry for provision of primary dental services to children. 19 State funds shall be matched on a dollar-for-dollar basis. 20 The university of Iowa college of dentistry shall coordinate 21 efforts with the department of public health, bureau of 22 oral and health delivery systems, to provide dental care to 23 underserved populations throughout the state. 24 g. Of the funds appropriated in this subsection, $25,000 25 $50,000 shall be used to address youth suicide prevention. 26 h. Of the funds appropriated in this subsection, $20,255 27 $40,511 shall be used to support the Iowa effort to address the 28 survey of children who experience adverse childhood experiences 29 known as ACEs. 30 i. The department of public health shall continue to 31 administer the program to assist parents in this state with 32 costs resulting from the death of a child in accordance with 33 the provisions of 2014 Iowa Acts, chapter 1140, section 22, 34 subsection 12 . 35 -7- SF 2418 (2) 87 pf/rn/jh 7/ 112
S.F. 2418 j. Of the funds appropriated in this subsection, up to 1 $494,993 shall be used for childhood obesity prevention. 2 3. CHRONIC CONDITIONS 3 For serving individuals identified as having chronic 4 conditions or special health care needs, and for not more than 5 the following full-time equivalent positions: 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,085,375 7 4,528,109 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 5.00 9 9.00 10 a. Of the funds appropriated in this subsection, $76,877 11 $153,755 shall be used for grants to individual patients who 12 have an inherited metabolic disorder to assist with the costs 13 of medically necessary foods and formula. 14 b. Of the funds appropriated in this subsection, $510,397 15 $1,055,291 shall be used for the brain injury services program 16 pursuant to section 135.22B , including for contracting with an 17 existing nationally affiliated and statewide organization whose 18 purpose is to educate, serve, and support Iowans with brain 19 injury and their families for resource facilitator services 20 in accordance with section 135.22B, subsection 9 , and for 21 contracting to enhance brain injury training and recruitment 22 of service providers on a statewide basis. Of the amount 23 allocated in this paragraph, $47,500 $95,000 shall be used to 24 fund one full-time equivalent position to serve as the state 25 brain injury services program manager. 26 c. Of the funds appropriated in this subsection, $72,048 27 $144,097 shall be used for the public purpose of continuing 28 to contract with an existing national-affiliated organization 29 to provide education, client-centered programs, and client 30 and family support for people living with epilepsy and their 31 families. The amount allocated in this paragraph in excess 32 of $50,000 $100,000 shall be matched dollar-for-dollar by the 33 organization specified. 34 d. Of the funds appropriated in this subsection, $404,775 35 -8- SF 2418 (2) 87 pf/rn/jh 8/ 112
S.F. 2418 $809,550 shall be used for child health specialty clinics. 1 e. Of the funds appropriated in this subsection, 2 $192,276 $384,552 shall be used by the regional autism 3 assistance program established pursuant to section 256.35 , 4 and administered by the child health specialty clinic located 5 at the university of Iowa hospitals and clinics. The funds 6 shall be used to enhance interagency collaboration and 7 coordination of educational, medical, and other human services 8 for persons with autism, their families, and providers of 9 services, including delivering regionalized services of care 10 coordination, family navigation, and integration of services 11 through the statewide system of regional child health specialty 12 clinics and fulfilling other requirements as specified in 13 chapter 225D . The university of Iowa shall not receive funds 14 allocated under this paragraph for indirect costs associated 15 with the regional autism assistance program. 16 f. Of the funds appropriated in this subsection, $288,687 17 $577,375 shall be used for the comprehensive cancer control 18 program to reduce the burden of cancer in Iowa through 19 prevention, early detection, effective treatment, and ensuring 20 quality of life. Of the funds allocated in this paragraph “f”, 21 $75,000 $150,000 shall be used to support a melanoma research 22 symposium, a melanoma biorepository and registry, basic and 23 translational melanoma research, and clinical trials. 24 g. Of the funds appropriated in this subsection, $48,766 25 $97,532 shall be used for cervical and colon cancer screening, 26 and $88,860 $177,720 shall be used to enhance the capacity of 27 the cervical cancer screening program to include provision 28 of recommended prevention and early detection measures to a 29 broader range of low-income women. 30 h. Of the funds appropriated in this subsection, $253,177 31 $506,355 shall be used for the center for congenital and 32 inherited disorders. 33 i. Of the funds appropriated in this subsection, $107,631 34 $225,263 shall be used by the department of public health 35 -9- SF 2418 (2) 87 pf/rn/jh 9/ 112
S.F. 2418 for reform-related activities, including but not limited to 1 facilitation of communication to stakeholders at the state and 2 local level, administering the patient-centered health advisory 3 council pursuant to section 135.159 , and involvement in health 4 care system innovation activities occurring across the state. 5 j. Of the funds appropriated in this subsection, $11,050 6 $322,100 shall be used for administration of chapter 124D 124E , 7 the medical cannabidiol Act. 8 4. COMMUNITY CAPACITY 9 For strengthening the health care delivery system at the 10 local level, and for not more than the following full-time 11 equivalent positions: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,453,888 13 4,970,152 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 13.00 15 a. Of the funds appropriated in this subsection, $47,787 16 $95,575 is allocated for continuation of the child vision 17 screening program implemented through the university of Iowa 18 hospitals and clinics in collaboration with early childhood 19 Iowa areas. The program shall submit a report to the 20 individuals identified in this Act for submission of reports 21 regarding the use of funds allocated under this paragraph 22 “a”. The report shall include the objectives and results for 23 the program year including the target population and how the 24 funds allocated assisted the program in meeting the objectives; 25 the number, age, and location within the state of individuals 26 served; the type of services provided to the individuals 27 served; the distribution of funds based on service provided; 28 and the continuing needs of the program. 29 b. Of the funds appropriated in this subsection, $52,828 is 30 allocated for continuation of an initiative implemented at the 31 university of Iowa to expand and improve the workforce engaged 32 in mental health treatment and services. The initiative shall 33 receive input from the university of Iowa, the department of 34 human services, the department of public health, and the mental 35 -10- SF 2418 (2) 87 pf/rn/jh 10/ 112
S.F. 2418 health and disability services commission to address the focus 1 of the initiative. 2 c. Of the funds appropriated in this section, $41,657 shall 3 be deposited in the governmental public health system fund 4 created in section 135A.8 to be used for the purposes of the 5 fund. 6 d. Of the funds appropriated in this subsection, $24,034 7 $48,069 shall be used for a grant to a statewide association 8 of psychologists that is affiliated with the American 9 psychological association to be used for continuation of a 10 program to rotate intern psychologists in placements in urban 11 and rural mental health professional shortage areas, as defined 12 in section 135.180 . 13 e. Of the funds appropriated in this subsection, the 14 following amounts are allocated to be used as follows to 15 support the Iowa collaborative safety net provider network 16 goals of increased access, health system integration, and 17 engagement. 18 (1) Not less than $260,931 $542,829 is allocated to the 19 Iowa prescription drug corporation for continuation of the 20 pharmaceutical infrastructure for safety net providers as 21 described in 2007 Iowa Acts, chapter 218, section 108 , and for 22 the prescription drug donation repository program created in 23 chapter 135M . 24 (2) Not less than $167,435 $334,870 is allocated to free 25 clinics and free clinics of Iowa for necessary infrastructure, 26 statewide coordination, provider recruitment, service delivery, 27 and provision of assistance to patients in securing a medical 28 home inclusive of oral health care. 29 (3) Not less than $12,500 $25,000 is allocated to the 30 Iowa association of rural health clinics for necessary 31 infrastructure and service delivery transformation. 32 (4) Not less than $50,000 $205,493 is allocated to the 33 Polk county medical society for continuation of the safety net 34 provider patient access to a specialty health care initiative 35 -11- SF 2418 (2) 87 pf/rn/jh 11/ 112
S.F. 2418 as described in 2007 Iowa Acts, chapter 218, section 109 . 1 f. Of the funds appropriated in this subsection, $38,115 2 $15,000 shall be used by the department in implementing 3 the recommendations in the final report submitted by the 4 direct care worker advisory council to the governor and the 5 general assembly in March 2012, including by continuing to 6 develop, promote, and make available on a statewide basis the 7 prepare-to-care core curriculum and its associated modules 8 and specialties through various formats including online 9 access, community colleges, and other venues; exploring new and 10 maintaining existing specialties including but not limited to 11 oral health and dementia care; supporting instructor training; 12 and assessing and making recommendations concerning the Iowa 13 care book and information technology systems and infrastructure 14 uses and needs. 15 g. Of the funds appropriated in this subsection, $95,594 16 $176,188 shall be allocated for continuation of the contract 17 with an independent statewide direct care worker organization 18 previously selected through a request for proposals process. 19 The contract shall continue to include performance and outcomes 20 measures, and shall continue to allow the contractor to use a 21 portion of the funds received under the contract to collect 22 data to determine results based on the performance and outcomes 23 measures. 24 h. Of the funds appropriated in this subsection, the 25 department may use up to $29,087 $58,175 for up to one 26 full-time equivalent position to administer the volunteer 27 health care provider program pursuant to section 135.24 . 28 i. Of the funds appropriated in this subsection, $48,069 29 $96,138 shall be used for a matching dental education loan 30 repayment program to be allocated to a dental nonprofit health 31 service corporation to continue to develop the criteria and 32 implement the loan repayment program. 33 j. Of the funds appropriated in this subsection, $26,455 is 34 transferred to the college student aid commission for deposit 35 -12- SF 2418 (2) 87 pf/rn/jh 12/ 112
S.F. 2418 in the rural Iowa primary care trust fund created in section 1 261.113 to be used for the purposes of the fund. 2 k. Of the funds appropriated in this subsection, $75,000 3 $100,000 shall be used for the purposes of the Iowa donor 4 registry as specified in section 142C.18 . 5 l. Of the funds appropriated in this subsection, $48,069 6 $96,138 shall be used for continuation of a grant to a 7 nationally affiliated volunteer eye organization that has an 8 established program for children and adults and that is solely 9 dedicated to preserving sight and preventing blindness through 10 education, nationally certified vision screening and training, 11 and community and patient service programs. The organization 12 shall submit a report to the individuals identified in this 13 Act for submission of reports regarding the use of funds 14 allocated under this paragraph “l”. The report shall include 15 the objectives and results for the program year including 16 the target population and how the funds allocated assisted 17 the program in meeting the objectives; the number, age, and 18 location within the state of individuals served; the type of 19 services provided to the individuals served; the distribution 20 of funds based on services provided; and the continuing needs 21 of the program. 22 m. Of the funds appropriated in this subsection, $436,327 23 $2,000,000 shall be deposited in the medical residency training 24 account created in section 135.175, subsection 5 , paragraph 25 “a”, and is appropriated from the account to the department 26 of public health to be used for the purposes of the medical 27 residency training state matching grants program as specified 28 in section 135.176 . 29 n. Of the funds appropriated in this subsection, $250,000 30 shall be used for the public purpose of providing funding to 31 Des Moines university to establish a provider education project 32 to provide primary care physicians with the training and skills 33 necessary to recognize signs of mental illness in patients. 34 5. ESSENTIAL PUBLIC HEALTH SERVICES 35 -13- SF 2418 (2) 87 pf/rn/jh 13/ 112
S.F. 2418 To provide public health services that reduce risks and 1 invest in promoting and protecting good health over the 2 course of a lifetime with a priority given to older Iowans and 3 vulnerable populations: 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,098,939 5 7,662,464 6 6. INFECTIOUS DISEASES 7 For reducing the incidence and prevalence of communicable 8 diseases, and for not more than the following full-time 9 equivalent positions: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 823,213 11 1,796,426 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 13 7. PUBLIC PROTECTION 14 For protecting the health and safety of the public through 15 establishing standards and enforcing regulations, and for not 16 more than the following full-time equivalent positions: 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,097,569 18 4,095,139 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 138.00 20 141.00 21 a. Of the funds appropriated in this subsection, not more 22 than $152,350 $304,700 shall be credited to the emergency 23 medical services fund created in section 135.25 . Moneys in 24 the 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 $243,260 shall be used for sexual violence 28 prevention programming through a statewide organization 29 representing programs serving victims of sexual violence 30 through the department’s sexual violence prevention program, 31 and for 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 -14- SF 2418 (2) 87 pf/rn/jh 14/ 112
S.F. 2418 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 $500,000 shall be used for the state poison control 4 center. Pursuant to the directive under 2014 Iowa Acts, 5 chapter 1140, section 102 , the federal matching funds available 6 to 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 $504,796 shall be used for childhood lead poisoning 14 provisions. 15 8. RESOURCE MANAGEMENT 16 For establishing and sustaining the overall ability of the 17 department to deliver services to the public, and for not more 18 than the following full-time equivalent positions: 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 485,607 20 971,215 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 4.00 22 Sec. 7. 2017 Iowa Acts, chapter 174, section 42, subsections 23 10 and 11, are amended by striking the subsections. 24 DIVISION IV 25 DEPARTMENT OF VETERANS AFFAIRS —— FY 2018-2019 26 Sec. 8. 2017 Iowa Acts, chapter 174, section 43, is amended 27 to read as follows: 28 SEC. 43. DEPARTMENT OF VETERANS AFFAIRS. There is 29 appropriated from the general fund of the state to the 30 department of veterans affairs for the fiscal year beginning 31 July 1, 2018, and ending June 30, 2019, the following amounts, 32 or so much thereof as is necessary, to be used for the purposes 33 designated: 34 1. DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATION 35 -15- SF 2418 (2) 87 pf/rn/jh 15/ 112
S.F. 2418 For salaries, support, maintenance, and miscellaneous 1 purposes, and for not more than the following full-time 2 equivalent positions: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 571,278 4 1,150,500 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 15.00 6 2. IOWA VETERANS HOME 7 For salaries, support, maintenance, and miscellaneous 8 purposes: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,614,070 10 7,162,976 11 a. The Iowa veterans home billings involving the department 12 of human services shall be submitted to the department on at 13 least a monthly basis. 14 b. Within available resources and in conformance with 15 associated state and federal program eligibility requirements, 16 the Iowa veterans home may implement measures to provide 17 financial assistance to or on behalf of veterans or their 18 spouses who are participating in the community reentry program. 19 d. The Iowa veterans home shall continue to include in the 20 annual discharge report applicant information and to provide 21 for the collection of demographic information including but not 22 limited to the number of individuals applying for admission and 23 admitted or denied admittance and the basis for the admission 24 or denial; the age, gender, and race of such individuals; 25 and the level of care for which such individuals applied for 26 admission including residential or nursing level of care. 27 3. HOME OWNERSHIP ASSISTANCE PROGRAM 28 For transfer to the Iowa finance authority for the 29 continuation of the home ownership assistance program for 30 persons who are or were eligible members of the armed forces of 31 the United States, pursuant to section 16.54 : 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,000,000 33 2,000,000 34 Sec. 9. 2017 Iowa Acts, chapter 174, section 44, is amended 35 -16- SF 2418 (2) 87 pf/rn/jh 16/ 112
S.F. 2418 to read as follows: 1 SEC. 44. LIMITATION OF COUNTY COMMISSIONS OF VETERAN 2 AFFAIRS FUND STANDING APPROPRIATIONS. Notwithstanding the 3 standing appropriation in section 35A.16 for the fiscal year 4 beginning July 1, 2018, and ending June 30, 2019, the amount 5 appropriated from the general fund of the state pursuant to 6 that section for the following designated purposes shall not 7 exceed the following amount: 8 For the county commissions of veteran affairs fund under 9 section 35A.16 : 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 473,962 11 990,000 12 DIVISION V 13 DEPARTMENT OF HUMAN SERVICES —— FY 2018-2019 14 Sec. 10. 2017 Iowa Acts, chapter 174, section 45, is amended 15 to read as follows: 16 SEC. 45. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES BLOCK 17 GRANT. There is appropriated from the fund created in section 18 8.41 to the department of human services for the fiscal year 19 beginning July 1, 2018, and ending June 30, 2019, from moneys 20 received under the federal temporary assistance for needy 21 families (TANF) block grant pursuant to the federal Personal 22 Responsibility and Work Opportunity Reconciliation Act of 1996, 23 Pub. L. No. 104-193, and successor legislation, the following 24 amounts, or so much thereof as is necessary, to be used for the 25 purposes designated: 26 1. To be credited to the family investment program account 27 and used for assistance under the family investment program 28 under chapter 239B : 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,556,231 30 4,539,006 31 2. To be credited to the family investment program account 32 and used for the job opportunities and basic skills (JOBS) 33 program and implementing family investment agreements in 34 accordance with chapter 239B : 35 -17- SF 2418 (2) 87 pf/rn/jh 17/ 112
S.F. 2418 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,787,846 1 5,412,060 2 3. To be used for the family development and 3 self-sufficiency grant program in accordance with section 4 216A.107 : 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,449,490 6 2,883,980 7 Notwithstanding section 8.33 , moneys appropriated in this 8 subsection that remain unencumbered or unobligated at the close 9 of the fiscal year shall not revert but shall remain available 10 for expenditure for the purposes designated until the close of 11 the succeeding fiscal year. However, unless such moneys are 12 encumbered or obligated on or before September 30, 2019, the 13 moneys shall revert. 14 4. For field operations: 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,648,116 16 31,296,232 17 5. For general administration: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,872,000 19 3,744,000 20 6. For state child care assistance: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 23,933,413 22 47,166,826 23 a. Of the funds appropriated in this subsection, 24 $13,164,048 $26,205,412 is transferred to the child care 25 and development block grant appropriation made by the 26 Eighty-seventh General Assembly, 2018 session, for the federal 27 fiscal year beginning October 1, 2018, and ending September 28 30, 2019. Of this amount, $100,000 $200,000 shall be used 29 for provision of educational opportunities to registered 30 child care home providers in order to improve services and 31 programs offered by this category of providers and to increase 32 the number of providers. The department may contract with 33 institutions of higher education or child care resource and 34 referral centers to provide the educational opportunities. 35 -18- SF 2418 (2) 87 pf/rn/jh 18/ 112
S.F. 2418 Allowable administrative costs under the contracts shall not 1 exceed 5 percent. The application for a grant shall not exceed 2 two pages in length. 3 b. Any funds appropriated in this subsection remaining 4 unallocated shall be used for state child care assistance 5 payments for families who are employed including but not 6 limited to individuals enrolled in the family investment 7 program. 8 7. For child and family services: 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,190,327 10 32,380,654 11 8. For child abuse prevention grants: 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,500 13 125,000 14 9. For pregnancy prevention grants on the condition that 15 family planning services are funded: 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 965,033 17 1,913,203 18 Pregnancy prevention grants shall be awarded to programs 19 in existence on or before July 1, 2018, if the programs have 20 demonstrated positive outcomes. Grants shall be awarded to 21 pregnancy prevention programs which are developed after July 22 1, 2018, if the programs are based on existing models that 23 have demonstrated positive outcomes. Grants shall comply with 24 the requirements provided in 1997 Iowa Acts, chapter 208, 25 section 14, subsections 1 and 2 , including the requirement that 26 grant programs must emphasize sexual abstinence. Priority in 27 the awarding of grants shall be given to programs that serve 28 areas of the state which demonstrate the highest percentage of 29 unplanned pregnancies of females of childbearing age within the 30 geographic area to be served by the grant. 31 10. For technology needs and other resources necessary 32 to meet federal welfare reform reporting, tracking, and case 33 management requirements: 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 518,593 35 -19- SF 2418 (2) 87 pf/rn/jh 19/ 112
S.F. 2418 1,037,186 1 11. a. Notwithstanding any provision to the contrary, 2 including but not limited to requirements in section 8.41 or 3 provisions in 2017 or 2018 Iowa Acts regarding the receipt and 4 appropriation of federal block grants, federal funds from the 5 temporary assistance for needy families block grant received 6 by the state and not otherwise appropriated in this section 7 and remaining available for the fiscal year beginning July 1, 8 2018, are appropriated to the department of human services to 9 the extent as may be necessary to be used in the following 10 priority order: the family investment program, for state child 11 care assistance program payments for families who are employed, 12 and for the family investment program share of system costs 13 to develop and maintain a new, integrated for eligibility 14 determination system and related functions . The federal funds 15 appropriated in this paragraph “a” shall be expended only after 16 all other funds appropriated in subsection 1 for assistance 17 under the family investment program, in subsection 6 for child 18 care assistance, or in subsection 10 for technology costs 19 related to the family investment program, as applicable, have 20 been expended. For the purposes of this subsection, the funds 21 appropriated in subsection 6, paragraph “a”, for transfer 22 to the child care and development block grant appropriation 23 are considered fully expended when the full amount has been 24 transferred. 25 b. The department shall, on a quarterly basis, advise the 26 legislative services agency and department of management of 27 the amount of funds appropriated in this subsection that was 28 expended in the prior quarter. 29 12. Of the amounts appropriated in this section, $6,481,004 30 $12,962,008 for the fiscal year beginning July 1, 2018, is 31 transferred to the appropriation of the federal social services 32 block grant made to the department of human services for that 33 fiscal year. 34 13. For continuation of the program providing categorical 35 -20- SF 2418 (2) 87 pf/rn/jh 20/ 112
S.F. 2418 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 14,236 5 14. The department may transfer funds allocated in this 6 section to the appropriations made in this division of this Act 7 for the same fiscal year for general administration and field 8 operations for resources necessary to implement and operate the 9 services referred to in this section and those funded in the 10 appropriation made in this division of this Act for the same 11 fiscal year for the family investment program from the general 12 fund of the state. 13 15. With the exception of moneys allocated under this 14 section for the family development and self-sufficiency grant 15 program, to the extent moneys allocated in this section are 16 deemed by the department not to be necessary to support the 17 purposes for which they are allocated, such moneys may be 18 credited used in the same fiscal year for any other purpose 19 for which funds are allocated in this section or in section 7 20 of this division for the family investment program account. 21 If there are conflicting needs, priority shall first be given 22 to the family investment program account as specified under 23 subsection 1 of this section and used for the purposes of 24 assistance under the family investment program under chapter 25 239B in the same fiscal year , followed by state child care 26 assistance program payments for families who are employed, 27 followed by other priorities as specified by the department . 28 Sec. 11. 2017 Iowa Acts, chapter 174, section 46, subsection 29 4, is amended to read as follows: 30 4. Moneys appropriated in this division of this Act and 31 credited to the FIP account for the fiscal year beginning July 32 1, 2018, and ending June 30, 2019, are allocated as follows: 33 a. To be retained by the department of human services to 34 be used for coordinating with the department of human rights 35 -21- SF 2418 (2) 87 pf/rn/jh 21/ 112
S.F. 2418 to more effectively serve participants in FIP and other shared 1 clients and to meet federal reporting requirements under the 2 federal temporary assistance for needy families block grant: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,000 4 5,000 5 b. To the department of human rights for staffing, 6 administration, and implementation of the family development 7 and self-sufficiency grant program in accordance with section 8 216A.107 : 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,096,417 10 6,192,834 11 (1) Of the funds allocated for the family development 12 and self-sufficiency grant program in this paragraph “b”, 13 not more than 5 percent of the funds shall be used for the 14 administration of the grant program. 15 (2) The department of human rights may continue to implement 16 the family development and self-sufficiency grant program 17 statewide during fiscal year 2018-2019. 18 (3) The department of human rights may engage in activities 19 to strengthen and improve family outcomes measures and 20 data collection systems under the family development and 21 self-sufficiency grant program. 22 c. For the diversion subaccount of the FIP account: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 407,500 24 749,694 25 A portion of the moneys allocated for the subaccount may 26 be used for field operations, salaries, data management 27 system development, and implementation costs and support 28 deemed necessary by the director of human services in order to 29 administer the FIP diversion program. To the extent moneys 30 allocated in this paragraph “c” are deemed by the department 31 not to be necessary to support diversion activities, such 32 moneys may be used for other efforts intended to increase 33 engagement by family investment program participants in work, 34 education, or training activities, or for the purposes of 35 -22- SF 2418 (2) 87 pf/rn/jh 22/ 112
S.F. 2418 assistance under the family investment program in accordance 1 with chapter 239B . 2 d. For the food assistance employment and training program: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 33,294 4 66,588 5 (1) The department shall apply the federal supplemental 6 nutrition assistance program (SNAP) employment and training 7 state plan in order to maximize to the fullest extent permitted 8 by federal law the use of the 50 percent federal reimbursement 9 provisions for the claiming of allowable federal reimbursement 10 funds from the United States department of agriculture 11 pursuant to the federal SNAP employment and training program 12 for providing education, employment, and training services 13 for eligible food assistance program participants, including 14 but not limited to related dependent care and transportation 15 expenses. 16 (2) The department shall continue the categorical federal 17 food assistance program eligibility at 160 percent of the 18 federal poverty level and continue to eliminate the asset test 19 from eligibility requirements, consistent with federal food 20 assistance program requirements. The department shall include 21 as many food assistance households as is allowed by federal 22 law. The eligibility provisions shall conform to all federal 23 requirements including requirements addressing individuals who 24 are incarcerated or otherwise ineligible. 25 e. For the JOBS program: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,761,645 27 12,139,821 28 Sec. 12. 2017 Iowa Acts, chapter 174, section 46, is amended 29 by adding the following new subsection: 30 NEW SUBSECTION . 7. The department of human services shall 31 convene a workgroup to review opportunities to increase state 32 engagement in the supplemental nutrition assistance program 33 (SNAP) employment and training program. The workgroup shall 34 explore the feasibility of expansion of the current pilot 35 -23- SF 2418 (2) 87 pf/rn/jh 23/ 112
S.F. 2418 program to a statewide basis, the potential involvement of 1 community-based organizations to the extent allowed by federal 2 law, and the leveraging of state and private funding to match 3 available federal funds. The membership of the workgroup 4 shall include representatives of the department of human 5 services, community colleges, community-based organizations 6 serving SNAP recipients, philanthropic organizations, and other 7 stakeholders with relevant interest or expertise as determined 8 by the department. The workgroup shall submit a report of its 9 findings and recommendations to the governor and the general 10 assembly by December 15, 2018. 11 Sec. 13. 2017 Iowa Acts, chapter 174, section 47, unnumbered 12 paragraph 2, is amended to read as follows: 13 To be credited to the family investment program (FIP) 14 account and used for family investment program assistance under 15 chapter 239B : 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 21,502,240 17 40,365,715 18 Sec. 14. 2017 Iowa Acts, chapter 174, section 47, 19 subsections 1, 2, 4, and 5, are amended to read as follows: 20 1. Of the funds appropriated in this section, $3,973,798 21 $6,727,761 is allocated for the JOBS program. 22 2. Of the funds appropriated in this section, $1,656,927 23 $3,313,854 is allocated for the family development and 24 self-sufficiency grant program. 25 4. Of the funds appropriated in this section, $97,839 26 $195,678 shall be used for continuation of a grant to an 27 Iowa-based nonprofit organization with a history of providing 28 tax preparation assistance to low-income Iowans in order to 29 expand the usage of the earned income tax credit. The purpose 30 of the grant is to supply this assistance to underserved areas 31 of the state. 32 5. Of the funds appropriated in this section, $30,000 33 $70,000 shall be used for the continuation of an unfunded pilot 34 project the parenting program , as defined specified in 441 IAC 35 -24- SF 2418 (2) 87 pf/rn/jh 24/ 112
S.F. 2418 100.1 100 , relating to parental obligations, in which the child 1 support recovery unit participates, to support the efforts 2 of a nonprofit organization committed to strengthening the 3 community through youth development, healthy living, and social 4 responsibility headquartered in a county with a population 5 over 350,000 according to the latest certified federal 6 census. The funds allocated in this subsection shall be used 7 by the recipient organization to develop a larger community 8 effort, through public and private partnerships, to support a 9 broad-based multi-county fatherhood parenthood initiative that 10 promotes payment of child support obligations, improved family 11 relationships, and full-time employment. 12 Sec. 15. 2017 Iowa Acts, chapter 174, section 48, unnumbered 13 paragraph 2, is amended to read as follows: 14 For child support recovery, including salaries, support, 15 maintenance, and miscellaneous purposes, and for not more than 16 the following full-time equivalent positions: 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,293,317 18 14,586,635 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 459.00 20 Sec. 16. 2017 Iowa Acts, chapter 174, section 48, subsection 21 1, is amended to read as follows: 22 1. The department shall expend up to $12,164 $24,329 , 23 including federal financial participation, for the fiscal year 24 beginning July 1, 2018, for a child support public awareness 25 campaign. The department and the office of the attorney 26 general shall cooperate in continuation of the campaign. The 27 public awareness campaign shall emphasize, through a variety 28 of media activities, the importance of maximum involvement of 29 both parents in the lives of their children as well as the 30 importance of payment of child support obligations. 31 Sec. 17. 2017 Iowa Acts, chapter 174, section 48, subsection 32 4, is amended by striking the subsection. 33 Sec. 18. 2017 Iowa Acts, chapter 174, section 51, unnumbered 34 paragraph 2, is amended to read as follows: 35 -25- SF 2418 (2) 87 pf/rn/jh 25/ 112
S.F. 2418 For medical assistance program reimbursement and associated 1 costs as specifically provided in the reimbursement 2 methodologies in effect on June 30, 2018, except as otherwise 3 expressly authorized by law, consistent with options under 4 federal law and regulations, and contingent upon receipt of 5 approval from the office of the governor of reimbursement for 6 each abortion performed under the program: 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 642,202,870 8 1,337,841,375 9 Sec. 19. 2017 Iowa Acts, chapter 174, section 51, 10 subsections 3, 4, 5, 6, 7, 8, 14, 17, 18, and 19, are amended 11 to read as follows: 12 3. The department shall utilize not more than $30,000 13 $60,000 of the funds appropriated in this section to continue 14 the AIDS/HIV health insurance premium payment program as 15 established in 1992 Iowa Acts, Second Extraordinary Session, 16 chapter 1001, section 409, subsection 6 . Of the funds 17 allocated in this subsection, not more than $2,500 $5,000 may 18 be expended for administrative purposes. 19 4. Of the funds appropriated in this Act to the 20 department of public health for addictive disorders, $475,000 21 $950,000 for the fiscal year beginning July 1, 2018, is 22 transferred to the department of human services for an 23 integrated substance-related disorder managed care system. 24 The departments of human services and public health shall 25 work together to maintain the level of mental health and 26 substance-related disorder treatment services provided by the 27 managed care contractors. Each department shall take the steps 28 necessary to continue the federal waivers as necessary to 29 maintain the level of services. 30 5. a. The department shall aggressively pursue options for 31 providing medical assistance or other assistance to individuals 32 with special needs who become ineligible to continue receiving 33 services under the early and periodic screening, diagnostic, 34 and treatment program under the medical assistance program 35 -26- SF 2418 (2) 87 pf/rn/jh 26/ 112
S.F. 2418 due to becoming 21 years of age who have been approved for 1 additional assistance through the department’s exception to 2 policy provisions, but who have health care needs in excess 3 of the funding available through the exception to policy 4 provisions. 5 b. Of the funds appropriated in this section, $50,000 6 $100,000 shall be used for participation in one or more 7 pilot projects operated by a private provider to allow the 8 individual or individuals to receive service in the community 9 in accordance with principles established in Olmstead v. 10 L.C., 527 U.S. 581 (1999), for the purpose of providing 11 medical assistance or other assistance to individuals with 12 special needs who become ineligible to continue receiving 13 services under the early and periodic screening, diagnostic, 14 and treatment program under the medical assistance program 15 due to becoming 21 years of age who have been approved for 16 additional assistance through the department’s exception to 17 policy provisions, but who have health care needs in excess 18 of the funding available through the exception to the policy 19 provisions. 20 6. Of the funds appropriated in this section, up to 21 $1,525,041 $3,050,082 may be transferred to the field 22 operations or general administration appropriations in this 23 division of this Act for operational costs associated with Part 24 D of the federal Medicare Prescription Drug Improvement and 25 Modernization Act of 2003, Pub. L. No. 108-173. 26 7. Of the funds appropriated in this section, up to 27 $221,050 $442,100 may be transferred to the appropriation in 28 this division of this Act for medical contracts to be used 29 for clinical assessment services and prior authorization of 30 services. 31 8. A portion of the funds appropriated in this section 32 may be transferred to the appropriations in this division of 33 this Act for general administration, medical contracts, the 34 children’s health insurance program, or field operations to be 35 -27- SF 2418 (2) 87 pf/rn/jh 27/ 112
S.F. 2418 used for the state match cost to comply with the payment error 1 rate measurement (PERM) program for both the medical assistance 2 and children’s health insurance programs as developed by the 3 centers for Medicare and Medicaid services of the United States 4 department of health and human services to comply with the 5 federal Improper Payments Information Act of 2002, Pub. L. 6 No. 107-300 , and to support other reviews and quality control 7 activities to improve the integrity of these programs . 8 14. Of the funds appropriated in this section, $174,505 9 $349,011 shall be used for the administration of the health 10 insurance premium payment program, including salaries, support, 11 maintenance, and miscellaneous purposes. 12 17. a. Of the funds appropriated in this section, up 13 to $25,000 $50,000 may be transferred by the department to 14 the appropriation made in this division of this Act to the 15 department for the same fiscal year for general administration 16 to be used for associated administrative expenses and for not 17 more than one full-time equivalent position, in addition to 18 those authorized for the same fiscal year, to be assigned to 19 implementing the children’s mental health home project. 20 b. Of the funds appropriated in this section, up to 21 $200,000 $400,000 may be transferred by the department to 22 the appropriation made to the department in this division of 23 this Act for the same fiscal year for Medicaid program-related 24 general administration planning and implementation activities. 25 The funds may be used for contracts or for personnel in 26 addition to the amounts appropriated for and the positions 27 authorized for general administration for the fiscal year. 28 c. Of the funds appropriated in this section, up to 29 $1,500,000 $3,000,000 may be transferred by the department 30 to the appropriations made in this division of this Act 31 for the same fiscal year for general administration or 32 medical contracts to be used to support the development 33 and implementation of standardized assessment tools for 34 persons with mental illness, an intellectual disability, a 35 -28- SF 2418 (2) 87 pf/rn/jh 28/ 112
S.F. 2418 developmental disability, or a brain injury. 1 18. Of the funds appropriated in this section, $75,000 2 $150,000 shall be used for lodging expenses associated with 3 care provided at the university of Iowa hospitals and clinics 4 for patients with cancer whose travel distance is 30 miles or 5 more and whose income is at or below 200 percent of the federal 6 poverty level as defined by the most recently revised poverty 7 income guidelines published by the United States department of 8 health and human services. The department of human services 9 shall establish the maximum number of overnight stays and the 10 maximum rate reimbursed for overnight lodging, which may be 11 based on the state employee rate established by the department 12 of administrative services. The funds allocated in this 13 subsection shall not be used as nonfederal share matching 14 funds. 15 19. Of the funds appropriated in this section, up to 16 $1,691,940 $3,383,880 shall be used for administration of the 17 state family planning services program as enacted in this 2017 18 Act, and of this amount the department may use to up $100,000 19 up to $200,000 for administrative expenses. 20 Sec. 20. 2017 Iowa Acts, chapter 174, section 51, is amended 21 by adding the following new subsections: 22 NEW SUBSECTION . 22. Of the funds appropriated in this 23 section, $195,000 shall be used by the department of human 24 services through a request for proposals process to establish 25 a partnership between the university of Iowa hospitals 26 and clinics and a durable medical equipment provider and 27 manufacturer to provide new, refurbished, or repaired durable 28 medical equipment to Medicaid members in the state. Such 29 durable medical equipment provider and manufacturer shall be 30 authorized as a Medicaid provider in the state on or after 31 April 1, 2018, and shall have the capability to provide 32 assessments for customized wheelchairs, manufacture bathing aid 33 equipment and mobility bathing aids, offer in-home care, and 34 sell durable medical equipment at cost in Iowa and online. 35 -29- SF 2418 (2) 87 pf/rn/jh 29/ 112
S.F. 2418 NEW SUBSECTION . 23. The department of human services shall 1 expand Medicaid coverage to provide care for young adults with 2 complex medical conditions in a special population nursing 3 facility as specified by rule of the department pursuant to 4 this subsection. The department shall adopt rules pursuant to 5 chapter 17A to expand the criteria for a special population 6 nursing facility under the Medicaid program to include a 7 nursing facility that serves residents, 100 percent of whom are 8 aged 30 and under and require the skilled level of care, and to 9 include a nursing facility that serves residents, 100 percent 10 of whom require care from a facility licensed by the department 11 of inspections and appeals as an intermediate care facility 12 for persons with medical complexity as defined by rule of the 13 department. 14 NEW SUBSECTION . 24. Consistent with the informational 15 bulletin published May 9, 2017, by the centers for Medicare and 16 Medicaid services of the United States department of health and 17 human services, in implementing the regulation that finalized 18 criteria for home and community-based settings appropriate for 19 provision of home and community-based services, the department 20 of human services shall continue progress with the statewide 21 transition plan to be approved by March 17, 2019, but shall 22 extend the transition period to demonstrate compliance with 23 the home and community-based settings criteria until March 17, 24 2022, for those settings to which a transition period applies. 25 NEW SUBSECTION . 25. The department of human services shall 26 utilize $3,000,000 of the funds appropriated under this section 27 to adjust current supported community living provider daily 28 rate cells under the tiered rate reimbursement methodology 29 effective with dates of service beginning July 1, 2018. The 30 department shall work with the Medicaid program actuary to 31 evaluate the current tiered rates and the tiered rates phase-in 32 plan to determine the necessary apportionment of such funds. 33 In addition, the department, working with the Medicaid program 34 actuary, shall review the current tiered rates and the tiered 35 -30- SF 2418 (2) 87 pf/rn/jh 30/ 112
S.F. 2418 rates phase-in plan and shall propose recommendations for any 1 changes. The department shall convene the tiered rate provider 2 workgroup initially convened in the fiscal year beginning July 3 1, 2016, to review the actuarial findings and recommendations. 4 The tiered rates may be adjusted based upon the actuarial 5 findings and recommendations if such adjustments are budget 6 neutral. A report of the actuarial findings, recommendations, 7 and comments provided by the tiered rate provider workgroup 8 shall be submitted to the governor and the general assembly by 9 December 15, 2018. If additional funding is appropriated to 10 implement the recommendations, the additional funding shall be 11 incorporated into the managed care organization capitation rate 12 setting process for the fiscal year beginning July 1, 2019. 13 NEW SUBSECTION . 26. The department of human services shall 14 review all current Medicaid fee schedules and shall submit a 15 report to the governor and the general assembly by January 15, 16 2019, regarding how the current rates compare to the equivalent 17 Medicare fee schedules or other appropriate reimbursement 18 methodologies for specific services and including a plan for 19 phased-in implementation of any changes. 20 NEW SUBSECTION . 27. Of the funds appropriated in this 21 section, $1,545,530 shall be used and may be transferred to 22 other appropriations in this division of this Act as necessary 23 to administer the provisions in the division of this Act 24 relating to Medicaid program administration. 25 NEW SUBSECTION . 28. Of the funds appropriated in this 26 section, $876,015 shall be used and may be transferred to other 27 appropriations in this division of this Act as necessary to 28 administer the provisions of 2018 Iowa Acts, House File 2456, 29 as enacted. 30 Sec. 21. 2017 Iowa Acts, chapter 174, section 52, is amended 31 to read as follows: 32 SEC. 52. MEDICAL CONTRACTS. There is appropriated from the 33 general fund of the state to the department of human services 34 for the fiscal year beginning July 1, 2018, and ending June 30, 35 -31- SF 2418 (2) 87 pf/rn/jh 31/ 112
S.F. 2418 2019, the following amount, or so much thereof as is necessary, 1 to be used for the purpose designated: 2 For medical contracts: 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,813,232 4 16,603,198 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 12 $50,000 shall be used for continuation of home and 13 community-based services waiver quality assurance programs, 14 including the review and streamlining of processes and policies 15 related to oversight and quality management to meet state and 16 federal requirements. 17 3. Of the amount appropriated in this section, up to 18 $100,000 $200,000 may be transferred to the appropriation 19 for general administration in this division of this Act to 20 be used for additional full-time equivalent positions in the 21 development of key health initiatives such as cost containment, 22 development and oversight of managed care programs, and 23 development of health strategies targeted toward improved 24 quality and reduced costs in the Medicaid program. 25 4. Of the funds appropriated in this section, $500,000 26 $1,000,000 shall be used for planning and development, 27 in cooperation with the department of public health, of a 28 phased-in program to provide a dental home for children. 29 5. Of the funds appropriated in this section, 30 $475,000 $573,000 shall be credited to the autism support 31 program fund created in section 225D.2 to be used for the 32 autism support program created in chapter 225D , with the 33 exception of the following amounts of this allocation which 34 shall be used as follows: 35 -32- SF 2418 (2) 87 pf/rn/jh 32/ 112
S.F. 2418 a. Of the funds allocated in this subsection, $125,000 1 shall be deposited in the board-certified behavior analyst and 2 board-certified assistant behavior analyst grants program fund 3 created in section 135.181 , to be used for the purposes of the 4 fund. 5 b. Of the funds allocated in this subsection, $12,500 6 $25,000 shall be used for the public purpose of continuation 7 of a grant to a nonprofit provider of child welfare services 8 provider headquartered that has been in existence for more than 9 115 years, is located in a county with a population between 10 205,000 200,000 and 215,000 in 220,000 according to the latest 11 certified federal census that provides multiple services 12 including but not limited to , is licensed as a psychiatric 13 medical institution for children, shelter, residential 14 treatment, after school programs, and provides school-based 15 programming, and an Asperger’s syndrome program, to be used for 16 support services for children with autism spectrum disorder and 17 their families. 18 c. Of the funds allocated in this subsection, $12,500 19 shall be used for the public purpose of continuing a grant to 20 a hospital-based provider headquartered in a county with a 21 population between 90,000 and 95,000 in the latest certified 22 federal census that provides multiple services including 23 but not limited to diagnostic, therapeutic, and behavioral 24 services to individuals with autism spectrum disorder across 25 one’s lifespan. The grant recipient shall utilize the funds 26 to continue the pilot project to determine the necessary 27 support services for children with autism spectrum disorder and 28 their families to be included in the children’s disabilities 29 services system. The grant recipient shall submit findings and 30 recommendations based upon the results of the pilot project 31 to the individuals specified in this division of this Act for 32 submission of reports by December 31, 2018. 33 Sec. 22. 2017 Iowa Acts, chapter 174, section 53, unnumbered 34 paragraph 2, is amended to read as follows: 35 -33- SF 2418 (2) 87 pf/rn/jh 33/ 112
S.F. 2418 For the state supplementary assistance program: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,186,329 2 10,250,873 3 Sec. 23. 2017 Iowa Acts, chapter 174, section 53, is amended 4 by adding the following new subsection: 5 NEW SUBSECTION . 4. Notwithstanding section 8.33, moneys 6 appropriated in this section that remain unencumbered or 7 unobligated at the close of the fiscal year shall not revert 8 but shall remain available for expenditure for the purposes 9 designated until the close of the succeeding fiscal year. 10 Sec. 24. 2017 Iowa Acts, chapter 174, section 54, is amended 11 to read as follows: 12 SEC. 54. CHILDREN’S HEALTH INSURANCE PROGRAM. 13 1. There is appropriated from the general fund of the 14 state to the department of human services for the fiscal year 15 beginning July 1, 2018, and ending June 30, 2019, the following 16 amount, or so much thereof as is necessary, to be used for the 17 purpose designated: 18 For maintenance of the healthy and well kids in Iowa (hawk-i) 19 program pursuant to chapter 514I , including supplemental dental 20 services, for receipt of federal financial participation under 21 Tit. XXI of the federal Social Security Act, which creates the 22 children’s health insurance program: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,259,226 24 7,064,057 25 2. Of the funds appropriated in this section, $21,400 26 $42,800 is allocated for continuation of the contract for 27 outreach with the department of public health. 28 Sec. 25. 2017 Iowa Acts, chapter 174, section 55, unnumbered 29 paragraph 2, is amended to read as follows: 30 For child care programs: 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 19,671,808 32 40,816,931 33 Sec. 26. 2017 Iowa Acts, chapter 174, section 55, 34 subsections 1 and 4, are amended to read as follows: 35 -34- SF 2418 (2) 87 pf/rn/jh 34/ 112
S.F. 2418 1. Of the funds appropriated in this section, $16,746,808 1 $34,966,931 shall be used for state child care assistance in 2 accordance with section 237A.13 . 3 4. Of the funds appropriated in this section, $2,925,000 4 $5,850,000 shall be credited to the early childhood programs 5 grants account in the early childhood Iowa fund created 6 in section 256I.11 . The moneys shall be distributed for 7 funding of community-based early childhood programs targeted 8 to children from birth through five years of age developed 9 by early childhood Iowa areas in accordance with approved 10 community plans as provided in section 256I.8 . 11 Sec. 27. 2017 Iowa Acts, chapter 174, section 56, is amended 12 to read as follows: 13 SEC. 56. JUVENILE INSTITUTION. 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 amounts, or so much thereof as is 17 necessary, to be used for the purposes designated: 18 1. For operation of the state training school at Eldora and 19 for salaries, support, maintenance, and miscellaneous purposes, 20 and for not more than the following full-time equivalent 21 positions: 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,675,221 23 12,762,443 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 189.00 25 Of the funds appropriated in this subsection, $45,575 26 $91,150 shall be used for distribution to licensed classroom 27 teachers at this and other institutions under the control of 28 the department of human services based upon the average student 29 yearly enrollment at each institution as determined by the 30 department. 31 2. A portion of the moneys appropriated in this section 32 shall be used by the state training school at Eldora for 33 grants for adolescent pregnancy prevention activities at the 34 institution in the fiscal year beginning July 1, 2018. 35 -35- SF 2418 (2) 87 pf/rn/jh 35/ 112
S.F. 2418 3. Of the funds appropriated in this subsection, $212,000 1 shall be used by the state training school at Eldora for a 2 substance use disorder treatment program at the institution in 3 the fiscal year beginning July 1, 2018. 4 Sec. 28. 2017 Iowa Acts, chapter 174, section 57, is amended 5 to read as follows: 6 SEC. 57. CHILD AND FAMILY SERVICES. 7 1. There is appropriated from the general fund of the 8 state to the department of human services for the fiscal year 9 beginning July 1, 2018, and ending June 30, 2019, the following 10 amount, or so much thereof as is necessary, to be used for the 11 purpose designated: 12 For child and family services: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 43,639,687 14 84,939,774 15 2. The department may transfer funds appropriated in this 16 section as necessary to pay the nonfederal costs of services 17 reimbursed under the medical assistance program, state child 18 care assistance program, or the family investment program which 19 are provided to children who would otherwise receive services 20 paid under the appropriation in this section. The department 21 may transfer funds appropriated in this section to the 22 appropriations made in this division of this Act for general 23 administration and for field operations for resources necessary 24 to implement and operate the services funded in this section. 25 3. a. Of the funds appropriated in this section, up 26 to $17,868,324 $34,536,648 is allocated as the statewide 27 expenditure target under section 232.143 for group foster care 28 maintenance and services. If the department projects that such 29 expenditures for the fiscal year will be less than the target 30 amount allocated in this paragraph “a”, the department may 31 reallocate the excess to provide additional funding for shelter 32 care or the child welfare emergency services addressed with the 33 allocation for shelter care. 34 b. If at any time after September 30, 2018, annualization 35 -36- SF 2418 (2) 87 pf/rn/jh 36/ 112
S.F. 2418 of a service area’s current expenditures indicates a service 1 area is at risk of exceeding its group foster care expenditure 2 target under section 232.143 by more than 5 percent, the 3 department and juvenile court services shall examine all 4 group foster care placements in that service area in order to 5 identify those which might be appropriate for termination. 6 In addition, any aftercare services believed to be needed 7 for the children whose placements may be terminated shall be 8 identified. The department and juvenile court services shall 9 initiate action to set dispositional review hearings for the 10 placements identified. In such a dispositional review hearing, 11 the juvenile court shall determine whether needed aftercare 12 services are available and whether termination of the placement 13 is in the best interest of the child and the community. 14 4. In accordance with the provisions of section 232.188 , 15 the department shall continue the child welfare and juvenile 16 justice funding initiative during fiscal year 2018-2019. Of 17 the funds appropriated in this section, $858,876 $1,717,753 18 is allocated specifically for expenditure for fiscal year 19 2018-2019 through the decategorization services funding pools 20 and governance boards established pursuant to section 232.188 . 21 5. A portion of the funds appropriated in this section 22 may be used for emergency family assistance to provide other 23 resources required for a family participating in a family 24 preservation or reunification project or successor project to 25 stay together or to be reunified. 26 6. Notwithstanding section 234.35 or any other provision 27 of law to the contrary, state funding for shelter care and 28 the child welfare emergency services contracting implemented 29 to provide for or prevent the need for shelter care shall be 30 limited to $4,048,079 $8,096,158 . 31 7. Federal funds received by the state during the fiscal 32 year beginning July 1, 2018, as the result of the expenditure 33 of state funds appropriated during a previous state fiscal 34 year for a service or activity funded under this section are 35 -37- SF 2418 (2) 87 pf/rn/jh 37/ 112
S.F. 2418 appropriated to the department to be used as additional funding 1 for services and purposes provided for under this section. 2 Notwithstanding section 8.33 , moneys received in accordance 3 with this subsection that remain unencumbered or unobligated at 4 the close of the fiscal year shall not revert to any fund but 5 shall remain available for the purposes designated until the 6 close of the succeeding fiscal year. 7 8. a. Of the funds appropriated in this section, up to 8 $1,645,000 $3,290,000 is allocated for the payment of the 9 expenses of court-ordered services provided to juveniles 10 who are under the supervision of juvenile court services, 11 which expenses are a charge upon the state pursuant to 12 section 232.141, subsection 4 . Of the amount allocated in 13 this paragraph “a”, up to $778,143 $1,556,287 shall be made 14 available to provide school-based supervision of children 15 adjudicated under chapter 232 , of which not more than $7,500 16 $15,000 may be used for the purpose of training. A portion of 17 the cost of each school-based liaison officer shall be paid by 18 the school district or other funding source as approved by the 19 chief juvenile court officer. 20 b. Of the funds appropriated in this section, up to $374,492 21 $748,985 is allocated for the payment of the expenses of 22 court-ordered services provided to children who are under the 23 supervision of the department, which expenses are a charge upon 24 the state pursuant to section 232.141, subsection 4 . 25 c. Notwithstanding section 232.141 or any other provision 26 of law to the contrary, the amounts allocated in this 27 subsection shall be distributed to the judicial districts 28 as determined by the state court administrator and to the 29 department’s service areas as determined by the administrator 30 of the department of human services’ division of child and 31 family services. The state court administrator and the 32 division administrator shall make the determination of the 33 distribution amounts on or before June 15, 2018. 34 d. Notwithstanding chapter 232 or any other provision of 35 -38- SF 2418 (2) 87 pf/rn/jh 38/ 112
S.F. 2418 law to the contrary, a district or juvenile court shall not 1 order any service which is a charge upon the state pursuant 2 to section 232.141 if there are insufficient court-ordered 3 services funds available in the district court or departmental 4 service area distribution amounts to pay for the service. The 5 chief juvenile court officer and the departmental service area 6 manager shall encourage use of the funds allocated in this 7 subsection such that there are sufficient funds to pay for 8 all court-related services during the entire year. The chief 9 juvenile court officers and departmental service area managers 10 shall attempt to anticipate potential surpluses and shortfalls 11 in the distribution amounts and shall cooperatively request the 12 state court administrator or division administrator to transfer 13 funds between the judicial districts’ or departmental service 14 areas’ distribution amounts as prudent. 15 e. Notwithstanding any provision of law to the contrary, 16 a district or juvenile court shall not order a county to pay 17 for any service provided to a juvenile pursuant to an order 18 entered under chapter 232 which is a charge upon the state 19 under section 232.141, subsection 4 . 20 f. Of the funds allocated in this subsection, not more 21 than $41,500 $83,000 may be used by the judicial branch for 22 administration of the requirements under this subsection. 23 g. Of the funds allocated in this subsection, $8,500 $17,000 24 shall be used by the department of human services to support 25 the interstate commission for juveniles in accordance with 26 the interstate compact for juveniles as provided in section 27 232.173 . 28 9. Of the funds appropriated in this section, $6,126,613 29 $12,253,227 is allocated for juvenile delinquent graduated 30 sanctions services. Any state funds saved as a result of 31 efforts by juvenile court services to earn a federal Tit. IV-E 32 match for juvenile court services administration may be used 33 for the juvenile delinquent graduated sanctions services. 34 10. Of the funds appropriated in this section, $829,142 35 -39- SF 2418 (2) 87 pf/rn/jh 39/ 112
S.F. 2418 $1,658,285 is transferred to the department of public health 1 to be used for the child protection center grant program for 2 child protection centers located in Iowa in accordance with 3 section 135.118 . The grant amounts under the program shall be 4 equalized so that each center receives a uniform base amount 5 of $122,500 $245,000 , so that $25,000 $50,000 is awarded to 6 establish a satellite child protection center in a city in 7 north central Iowa that is the county seat of a county with 8 a population between 44,000 and 45,000 according to the 2010 9 federal decennial census, and so that the remaining funds are 10 awarded through a funding formula based upon the volume of 11 children served. 12 11. If the department receives federal approval to 13 implement a waiver under Tit. IV-E of the federal Social 14 Security Act to enable providers to serve children who remain 15 in the children’s families and communities, for purposes of 16 eligibility under the medical assistance program through 25 17 years of age, children who participate in the waiver shall be 18 considered to be placed in foster care. 19 12. Of the funds appropriated in this section, $2,012,583 20 $4,025,167 is allocated for the preparation for adult living 21 program pursuant to section 234.46 . 22 13. Of the funds appropriated in this section, $113,668 23 $227,337 shall be used for the public purpose of continuing 24 a grant to a nonprofit human services organization providing 25 services to individuals and families in multiple locations in 26 southwest Iowa and Nebraska for support of a project providing 27 immediate, sensitive support and forensic interviews, medical 28 exams, needs assessments, and referrals for victims of child 29 abuse and their nonoffending family members. 30 14. Of the funds appropriated in this section, $150,310 31 $300,620 is allocated for the foster care youth council 32 approach of providing a support network to children placed in 33 foster care. 34 15. Of the funds appropriated in this section, $101,000 35 -40- SF 2418 (2) 87 pf/rn/jh 40/ 112
S.F. 2418 $202,000 is allocated for use pursuant to section 235A.1 for 1 continuation of the initiative to address child sexual abuse 2 implemented pursuant to 2007 Iowa Acts, chapter 218, section 3 18, subsection 21 . 4 16. Of the funds appropriated in this section, $315,120 5 $630,240 is allocated for the community partnership for child 6 protection sites. 7 17. Of the funds appropriated in this section, $185,625 8 $371,250 is allocated for the department’s minority youth and 9 family projects under the redesign of the child welfare system. 10 18. Of the funds appropriated in this section, $568,297 11 $851,595 is allocated for funding of the community circle of 12 care collaboration for children and youth in northeast Iowa. 13 19. Of the funds appropriated in this section, at least 14 $73,579 $147,158 shall be used for the continuation of the 15 child welfare provider training academy, a collaboration 16 between the coalition for family and children’s services in 17 Iowa and the department. 18 20. Of the funds appropriated in this section, $105,936 19 $211,872 shall be used for continuation of the central Iowa 20 system of care program grant through June 30, 2019. 21 21. Of the funds appropriated in this section, $117,500 22 $235,000 shall be used for the public purpose of the 23 continuation and expansion of a system of care program grant 24 implemented in Cerro Gordo and Linn counties to utilize a 25 comprehensive and long-term approach for helping children 26 and families by addressing the key areas in a child’s life 27 of childhood basic needs, education and work, family, and 28 community. 29 22. Of the funds appropriated in this section, at least 30 $12,500 $25,000 shall be used to continue and to expand the 31 foster care respite pilot program in which postsecondary 32 students in social work and other human services-related 33 programs receive experience by assisting family foster care 34 providers with respite and other support. 35 -41- SF 2418 (2) 87 pf/rn/jh 41/ 112
S.F. 2418 23. Of the funds appropriated in this section, $55,000 1 $110,000 shall be used for the public purpose of funding 2 community-based services and other supports with a system of 3 care approach for children with a serious emotional disturbance 4 and their families through a nonprofit provider of child 5 welfare services that has been in existence for more than 6 115 years, is located in a county with a population of more 7 than 200,000 but less than 220,000 according to the latest 8 certified federal census, is licensed as a psychiatric medical 9 institution for children, and was a system of care grantee 10 prior to July 1, 2018. 11 Sec. 29. 2017 Iowa Acts, chapter 174, section 58, subsection 12 1, paragraph a, is amended to read as follows: 13 a. For adoption subsidy payments and services: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 20,388,955 15 40,445,137 16 Sec. 30. 2017 Iowa Acts, chapter 174, section 60, is amended 17 to read as follows: 18 SEC. 60. FAMILY SUPPORT SUBSIDY PROGRAM. 19 1. There is appropriated from the general fund of the 20 state to the department of human services for the fiscal year 21 beginning July 1, 2018, and ending June 30, 2019, the following 22 amount, or so much thereof as is necessary, to be used for the 23 purpose designated: 24 For the family support subsidy program subject to the 25 enrollment restrictions in section 225C.37, subsection 3 : 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 534,641 27 949,282 28 2. At least $393,750 $787,500 of the moneys appropriated in 29 this section is transferred to the department of public health 30 for the family support center component of the comprehensive 31 family support program under chapter 225C , subchapter V. 32 3. If at any time during the fiscal year, the amount of 33 funding available for the family support subsidy program 34 is reduced from the amount initially used to establish the 35 -42- SF 2418 (2) 87 pf/rn/jh 42/ 112
S.F. 2418 figure for the number of family members for whom a subsidy 1 is to be provided at any one time during the fiscal year, 2 notwithstanding section 225C.38, subsection 2 , the department 3 shall revise the figure as necessary to conform to the amount 4 of funding available. 5 Sec. 31. 2017 Iowa Acts, chapter 174, section 61, is amended 6 to read as follows: 7 SEC. 61. CONNER DECREE. There is appropriated from the 8 general fund of the state to the department of human services 9 for the fiscal year beginning July 1, 2018, and ending June 30, 10 2019, the following amount, or so much thereof as is necessary, 11 to be used for the purpose designated: 12 For building community capacity through the coordination 13 and provision of training opportunities in accordance with the 14 consent decree of Conner v. Branstad, No. 4-86-CV-30871(S.D. 15 Iowa, July 14, 1994): 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,816 17 33,632 18 Sec. 32. 2017 Iowa Acts, chapter 174, section 62, subsection 19 1, is amended to read as follows: 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 13,870,254 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 162.00 32 b. For operation of the state mental health institute at 33 Independence as required by chapters 218 and 226 for salaries, 34 support, maintenance, and miscellaneous purposes, and for not 35 -43- SF 2418 (2) 87 pf/rn/jh 43/ 112
S.F. 2418 more than the following full-time equivalent positions: 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,756,810 2 17,513,621 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 204.00 4 Sec. 33. 2017 Iowa Acts, chapter 174, section 63, subsection 5 1, is amended to read as follows: 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, 2018, and ending June 30, 2019, the following 9 amounts, or so much thereof as is necessary, to be used for the 10 purposes designated: 11 a. For the state resource center at Glenwood for salaries, 12 support, maintenance, and miscellaneous purposes: 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,943,890 14 16,858,523 15 b. For the state resource center at Woodward for salaries, 16 support, maintenance, and miscellaneous purposes: 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,038,517 18 11,386,679 19 Sec. 34. 2017 Iowa Acts, chapter 174, section 64, subsection 20 1, is amended to read as follows: 21 1. There is appropriated from the general fund of the 22 state to the department of human services for the fiscal year 23 beginning July 1, 2018, and ending June 30, 2019, the following 24 amount, or so much thereof as is necessary, to be used for the 25 purpose designated: 26 For costs associated with the commitment and treatment of 27 sexually violent predators in the unit located at the state 28 mental health institute at Cherokee, including costs of legal 29 services and other associated costs, including salaries, 30 support, maintenance, and miscellaneous purposes, and for not 31 more than the following full-time equivalent positions: 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,732,373 33 10,864,747 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 112.00 35 -44- SF 2418 (2) 87 pf/rn/jh 44/ 112
S.F. 2418 132.00 1 Sec. 35. 2017 Iowa Acts, chapter 174, section 65, is amended 2 to read as follows: 3 SEC. 65. FIELD OPERATIONS. There is appropriated from the 4 general fund of the state to the department of human services 5 for the fiscal year beginning July 1, 2018, and ending June 30, 6 2019, the following amount, or so much thereof as is necessary, 7 to be used for the purposes designated: 8 For field operations, including salaries, support, 9 maintenance, and miscellaneous purposes, and for not more than 10 the following full-time equivalent positions: 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 24,242,217 12 49,074,517 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 1,583.00 14 1,539.00 15 Priority in filling full-time equivalent positions shall be 16 given to those positions related to child protection services 17 and eligibility determination for low-income families. 18 Sec. 36. 2017 Iowa Acts, chapter 174, section 66, is amended 19 to read as follows: 20 SEC. 66. GENERAL ADMINISTRATION. There is appropriated 21 from the general fund of the state to the department of human 22 services for the fiscal year beginning July 1, 2018, and ending 23 June 30, 2019, the following amount, or so much thereof as is 24 necessary, to be used for the purpose designated: 25 For general administration, including salaries, support, 26 maintenance, and miscellaneous purposes, and for not more than 27 the following full-time equivalent positions: 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,016,520 29 13,833,040 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTEs 294.00 31 2. Of the funds appropriated in this section, $75,000 32 $150,000 shall be used to continue the contract for the 33 provision of a program to provide technical assistance, 34 support, and consultation to providers of habilitation services 35 -45- SF 2418 (2) 87 pf/rn/jh 45/ 112
S.F. 2418 and home and community-based services waiver services for 1 adults with disabilities under the medical assistance program. 2 3. Of the funds appropriated in this section, $25,000 3 $50,000 is transferred to the Iowa finance authority to be 4 used for administrative support of the council on homelessness 5 established in section 16.2D and for the council to fulfill its 6 duties in addressing and reducing homelessness in the state. 7 4. Of the funds appropriated in this section, $100,000 8 $200,000 shall be transferred to and deposited in the 9 administrative fund of the Iowa ABLE savings plan trust 10 created in section 12I.4 , to be used for implementation and 11 administration activities of the Iowa ABLE savings plan trust. 12 5. Of the funds appropriated in this section, $100,000 13 $200,000 is transferred to the economic development authority 14 for the Iowa commission on volunteer services to continue 15 to be used for RefugeeRISE AmeriCorps program established 16 under section 15H.8 for member recruitment and training to 17 improve the economic well-being and health of economically 18 disadvantaged refugees in local communities across Iowa. Funds 19 transferred may be used to supplement federal funds under 20 federal regulations. 21 7. Of the funds appropriated in this section, $300,000 shall 22 be used to contract for children’s well-being collaboratives 23 grants for the development and implementation of children’s 24 well-being collaboratives to establish and coordinate 25 prevention and early intervention services to promote improved 26 mental health and well-being for children and families, as 27 enacted in 2017 Iowa Acts, chapter 174, section 88. 28 8. The department of human services shall submit the 29 strategic plan to create and implement a children’s mental 30 health system submitted to the governor by the children’s 31 system state board established by Executive Order Number Two 32 issued April 23, 2018, to the general assembly by November 15, 33 2018. 34 Sec. 37. 2017 Iowa Acts, chapter 174, section 67, is amended 35 -46- SF 2418 (2) 87 pf/rn/jh 46/ 112