House
File
766
-
Reprinted
HOUSE
FILE
766
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
HSB
253)
(As
Amended
and
Passed
by
the
House
April
11,
2019
)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
1
services
and
veterans
and
including
other
related
provisions
2
and
appropriations,
providing
penalties,
and
including
3
effective
date
and
retroactive
and
other
applicability
date
4
provisions.
5
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
6
HF
766
(3)
88
pf/rn/md
H.F.
766
DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2019-2020
2
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
3
the
general
fund
of
the
state
to
the
department
on
aging
for
4
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
5
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
6
to
be
used
for
the
purposes
designated:
7
For
aging
programs
for
the
department
on
aging
and
area
8
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
9
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
10
aging
and
disabilities
resource
center,
and
other
services
11
which
may
include
but
are
not
limited
to
adult
day
services,
12
respite
care,
chore
services,
information
and
assistance,
13
and
material
aid,
for
information
and
options
counseling
for
14
persons
with
disabilities
who
are
18
years
of
age
or
older,
15
and
for
salaries,
support,
administration,
maintenance,
and
16
miscellaneous
purposes,
and
for
not
more
than
the
following
17
full-time
equivalent
positions:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,191,441
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
27.00
20
1.
Funds
appropriated
in
this
section
may
be
used
to
21
supplement
federal
funds
under
federal
regulations.
To
22
receive
funds
appropriated
in
this
section,
a
local
area
23
agency
on
aging
shall
match
the
funds
with
moneys
from
other
24
sources
according
to
rules
adopted
by
the
department.
Funds
25
appropriated
in
this
section
may
be
used
for
elderly
services
26
not
specifically
enumerated
in
this
section
only
if
approved
27
by
an
area
agency
on
aging
for
provision
of
the
service
within
28
the
area.
29
2.
Of
the
funds
appropriated
in
this
section,
$279,000
is
30
transferred
to
the
economic
development
authority
for
the
Iowa
31
commission
on
volunteer
services
to
be
used
for
the
retired
and
32
senior
volunteer
program.
33
3.
a.
The
department
on
aging
shall
establish
and
enforce
34
procedures
relating
to
expenditure
of
state
and
federal
funds
35
-1-
HF
766
(3)
88
pf/rn/md
1/
92
H.F.
766
by
area
agencies
on
aging
that
require
compliance
with
both
1
state
and
federal
laws,
rules,
and
regulations,
including
but
2
not
limited
to
all
of
the
following:
3
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
4
or
services
received
or
performed
prior
to
the
end
of
the
5
fiscal
period
designated
for
use
of
the
funds.
6
(2)
Prohibiting
prepayment
for
goods
or
services
not
7
received
or
performed
prior
to
the
end
of
the
fiscal
period
8
designated
for
use
of
the
funds.
9
(3)
Prohibiting
prepayment
for
goods
or
services
not
10
defined
specifically
by
good
or
service,
time
period,
or
11
recipient.
12
(4)
Prohibiting
the
establishment
of
accounts
from
which
13
future
goods
or
services
which
are
not
defined
specifically
by
14
good
or
service,
time
period,
or
recipient,
may
be
purchased.
15
b.
The
procedures
shall
provide
that
if
any
funds
are
16
expended
in
a
manner
that
is
not
in
compliance
with
the
17
procedures
and
applicable
federal
and
state
laws,
rules,
and
18
regulations,
and
are
subsequently
subject
to
repayment,
the
19
area
agency
on
aging
expending
such
funds
in
contravention
of
20
such
procedures,
laws,
rules
and
regulations,
not
the
state,
21
shall
be
liable
for
such
repayment.
22
4.
Of
the
funds
appropriated
in
this
section,
at
least
23
$600,000
shall
be
used
to
fund
home
and
community-based
24
services
through
the
area
agencies
on
aging
that
enable
older
25
individuals
to
avoid
more
costly
utilization
of
residential
or
26
institutional
services
and
remain
in
their
own
homes.
27
5.
Of
the
funds
appropriated
in
this
section,
$812,000
shall
28
be
used
for
the
purposes
of
chapter
231E
and
to
administer
29
the
prevention
of
elder
abuse,
neglect,
and
exploitation
30
program
pursuant
to
section
231.56A
,
in
accordance
with
the
31
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
32
U.S.C.
§3001
et
seq.,
as
amended.
33
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
34
shall
be
used
to
fund
continuation
of
the
aging
and
disability
35
-2-
HF
766
(3)
88
pf/rn/md
2/
92
H.F.
766
resource
center
lifelong
links
to
provide
individuals
and
1
caregivers
with
information
and
services
to
plan
for
and
2
maintain
independence.
3
7.
Of
the
funds
appropriated
in
this
section,
$250,000
4
shall
be
used
by
the
department
on
aging,
in
collaboration
with
5
the
department
of
human
services
and
affected
stakeholders,
to
6
expand
the
pilot
initiative
to
provide
long-term
care
options
7
counseling
utilizing
support
planning
protocols,
to
assist
8
non-Medicaid
eligible
consumers
who
indicate
a
preference
9
to
return
to
the
community
and
are
deemed
appropriate
for
10
discharge,
to
return
to
their
community
following
a
nursing
11
facility
stay.
The
department
on
aging
shall
submit
a
report
12
regarding
the
outcomes
of
the
pilot
initiative
to
the
governor
13
and
the
general
assembly
by
December
15,
2019.
14
DIVISION
II
15
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2019-2020
16
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
17
appropriated
from
the
general
fund
of
the
state
to
the
office
18
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
19
1,
2019,
and
ending
June
30,
2020,
the
following
amount,
or
20
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
21
designated:
22
For
salaries,
support,
administration,
maintenance,
and
23
miscellaneous
purposes,
and
for
not
more
than
the
following
24
full-time
equivalent
positions:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,149,821
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
16.00
27
DIVISION
III
28
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2019-2020
29
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
30
from
the
general
fund
of
the
state
to
the
department
of
public
31
health
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
32
June
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purposes
designated:
34
1.
ADDICTIVE
DISORDERS
35
-3-
HF
766
(3)
88
pf/rn/md
3/
92
H.F.
766
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
1
and
other
drugs,
and
treating
individuals
affected
by
addictive
2
behaviors,
including
gambling,
and
for
not
more
than
the
3
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,110,000
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
6
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
7
$4,021,000
shall
be
used
for
the
tobacco
use
prevention
8
and
control
initiative,
including
efforts
at
the
state
and
9
local
levels,
as
provided
in
chapter
142A
.
The
commission
10
on
tobacco
use
prevention
and
control
established
pursuant
11
to
section
142A.3
shall
advise
the
director
of
public
health
12
in
prioritizing
funding
needs
and
the
allocation
of
moneys
13
appropriated
for
the
programs
and
initiatives.
Activities
14
of
the
programs
and
initiatives
shall
be
in
alignment
with
15
the
United
States
centers
for
disease
control
and
prevention
16
best
practices
for
comprehensive
tobacco
control
programs
that
17
include
the
goals
of
preventing
youth
initiation
of
tobacco
18
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
19
of
tobacco
cessation.
To
maximize
resources,
the
department
20
shall
determine
if
third-party
sources
are
available
to
21
instead
provide
nicotine
replacement
products
to
an
applicant
22
prior
to
provision
of
such
products
to
an
applicant
under
23
the
initiative.
The
department
shall
track
and
report
to
24
the
individuals
specified
in
this
Act,
any
reduction
in
25
the
provision
of
nicotine
replacement
products
realized
by
26
the
initiative
through
implementation
of
the
prerequisite
27
screening.
28
(2)
(a)
The
department
shall
collaborate
with
the
29
alcoholic
beverages
division
of
the
department
of
commerce
for
30
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
31
engage
in
tobacco
control
activities
approved
by
the
division
32
of
tobacco
use
prevention
and
control
of
the
department
of
33
public
health
as
specified
in
the
memorandum
of
understanding
34
entered
into
between
the
divisions.
35
-4-
HF
766
(3)
88
pf/rn/md
4/
92
H.F.
766
(b)
For
the
fiscal
year
beginning
July
1,
2019,
and
ending
1
June
30,
2020,
the
terms
of
the
memorandum
of
understanding,
2
entered
into
between
the
division
of
tobacco
use
prevention
3
and
control
of
the
department
of
public
health
and
the
4
alcoholic
beverages
division
of
the
department
of
commerce,
5
governing
compliance
checks
conducted
to
ensure
licensed
retail
6
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
7
ordinances
relating
to
persons
under
18
years
of
age,
shall
8
continue
to
restrict
the
number
of
such
checks
to
one
check
per
9
retail
outlet,
and
one
additional
check
for
any
retail
outlet
10
found
to
be
in
violation
during
the
first
check.
11
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
12
$21,089,000
shall
be
used
for
problem
gambling
and
13
substance-related
disorder
prevention,
treatment,
and
recovery
14
services,
including
a
24-hour
helpline,
public
information
15
resources,
professional
training,
youth
prevention,
and
program
16
evaluation.
17
(2)
Of
the
amount
allocated
under
this
paragraph,
$306,000
18
shall
be
utilized
by
the
department
of
public
health,
in
19
collaboration
with
the
department
of
human
services,
to
support
20
establishment
and
maintenance
of
a
single
statewide
24-hour
21
crisis
hotline
for
the
Iowa
children’s
behavioral
health
system
22
that
incorporates
warmline
services
which
may
be
provided
23
through
expansion
of
existing
capabilities
maintained
by
the
24
department
of
public
health
as
required
pursuant
to
2018
Iowa
25
Acts,
chapter
1056,
section
16.
26
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
27
by
the
appropriations
and
allocations
made
in
this
division
of
28
this
Act
for
purposes
of
substance-related
disorder
treatment
29
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
30
2019.
31
2.
HEALTHY
CHILDREN
AND
FAMILIES
32
For
promoting
the
optimum
health
status
for
children
and
33
adolescents
from
birth
through
21
years
of
age,
and
families,
34
and
for
not
more
than
the
following
full-time
equivalent
35
-5-
HF
766
(3)
88
pf/rn/md
5/
92
H.F.
766
positions:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,817,057
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
3
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
4
than
$734,000
shall
be
used
for
the
healthy
opportunities
for
5
parents
to
experience
success
(HOPES)-healthy
families
Iowa
6
(HFI)
program
established
pursuant
to
section
135.106.
The
7
funding
shall
be
distributed
to
renew
the
grants
that
were
8
provided
to
the
grantees
that
operated
the
program
during
the
9
fiscal
year
ending
June
30,
2018.
However,
the
department
10
shall
issue
a
request
for
proposals
and
distribute
grants
to
11
the
grantees
selected
to
operate
the
program
no
later
than
12
January
1,
2020.
The
department
shall
not
retain
any
portion
13
of
the
allocation
under
this
paragraph
for
administrative
14
costs.
15
b.
In
order
to
implement
the
legislative
intent
stated
16
in
sections
135.106
and
256I.9
,
priority
for
home
visitation
17
program
funding
shall
be
given
to
programs
using
evidence-based
18
or
promising
models
for
home
visitation.
19
c.
Of
the
funds
appropriated
in
this
subsection,
$3,075,000
20
shall
be
used
for
continuation
of
the
department’s
initiative
21
to
provide
for
adequate
developmental
surveillance
and
22
screening
during
a
child’s
first
five
years.
The
funds
shall
23
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
24
the
sites
are
fully
operational,
with
the
remaining
funds
25
to
be
used
for
expansion
to
additional
sites.
The
full
26
implementation
and
expansion
shall
include
enhancing
the
scope
27
of
the
initiative
through
collaboration
with
the
child
health
28
specialty
clinics
to
promote
healthy
child
development
through
29
early
identification
and
response
to
both
biomedical
and
social
30
determinants
of
healthy
development;
by
monitoring
child
31
health
metrics
to
inform
practice,
document
long-term
health
32
impacts
and
savings,
and
provide
for
continuous
improvement
33
through
training,
education,
and
evaluation;
and
by
providing
34
for
practitioner
consultation
particularly
for
children
with
35
-6-
HF
766
(3)
88
pf/rn/md
6/
92
H.F.
766
behavioral
conditions
and
needs.
The
department
of
public
1
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
2
and
the
child
health
specialty
clinics
to
integrate
the
3
activities
of
the
first
five
initiative
into
the
establishment
4
of
patient-centered
medical
homes,
community
utilities,
5
accountable
care
organizations,
and
other
integrated
care
6
models
developed
to
improve
health
quality
and
population
7
health
while
reducing
health
care
costs.
To
the
maximum
extent
8
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
9
as
matching
funds
for
medical
assistance
program
reimbursement.
10
d.
Of
the
funds
appropriated
in
this
subsection,
$64,000
11
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
12
funds
to
continue
the
donated
dental
services
program
patterned
13
after
the
projects
developed
by
the
lifeline
network
to
provide
14
dental
services
to
indigent
individuals
who
are
elderly
or
with
15
disabilities.
16
e.
Of
the
funds
appropriated
in
this
subsection,
$156,000
17
shall
be
used
to
provide
audiological
services
and
hearing
aids
18
for
children.
19
f.
Of
the
funds
appropriated
in
this
subsection,
$23,000
is
20
transferred
to
the
university
of
Iowa
college
of
dentistry
for
21
provision
of
primary
dental
services
to
children.
State
funds
22
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
23
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
24
department
of
public
health,
oral
and
health
delivery
system
25
bureau,
to
provide
dental
care
to
underserved
populations
26
throughout
the
state.
27
g.
Of
the
funds
appropriated
in
this
subsection,
$50,000
28
shall
be
used
to
address
youth
suicide
prevention.
29
h.
Of
the
funds
appropriated
in
this
subsection,
$40,000
30
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
31
of
children
who
experience
adverse
childhood
experiences
known
32
as
ACEs.
33
i.
Of
the
funds
appropriated
in
this
subsection,
up
to
34
$494,000
shall
be
used
for
childhood
obesity
prevention.
35
-7-
HF
766
(3)
88
pf/rn/md
7/
92
H.F.
766
3.
CHRONIC
CONDITIONS
1
For
serving
individuals
identified
as
having
chronic
2
conditions
or
special
health
care
needs,
and
for
not
more
than
3
the
following
full-time
equivalent
positions:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,223,519
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
9.00
6
a.
Of
the
funds
appropriated
in
this
subsection,
$153,000
7
shall
be
used
for
grants
to
individual
patients
who
have
an
8
inherited
metabolic
disorder
to
assist
with
the
costs
of
9
medically
necessary
foods
and
formula.
10
b.
Of
the
funds
appropriated
in
this
subsection,
$1,055,000
11
shall
be
used
for
the
brain
injury
services
program
pursuant
12
to
section
135.22B,
including
for
contracting
with
an
existing
13
nationally
affiliated
and
statewide
organization
whose
purpose
14
is
to
educate,
serve,
and
support
Iowans
with
brain
injury
and
15
their
families,
for
resource
facilitator
services
in
accordance
16
with
section
135.22B,
subsection
9,
and
for
contracting
to
17
enhance
brain
injury
training
and
recruitment
of
service
18
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
19
this
paragraph,
$95,000
shall
be
used
to
fund
one
full-time
20
equivalent
position
to
serve
as
the
state
brain
injury
services
21
program
manager.
22
c.
Of
the
funds
appropriated
in
this
subsection,
$144,000
23
shall
be
used
for
the
public
purpose
of
continuing
to
contract
24
with
an
existing
national-affiliated
organization
to
provide
25
education,
client-centered
programs,
and
client
and
family
26
support
for
people
living
with
epilepsy
and
their
families.
27
The
amount
allocated
in
this
paragraph
shall
be
matched
28
dollar-for-dollar
by
the
organization
specified.
29
d.
Of
the
funds
appropriated
in
this
subsection,
$809,000
30
shall
be
used
for
child
health
specialty
clinics.
31
e.
Of
the
funds
appropriated
in
this
subsection,
$384,000
32
shall
be
used
by
the
regional
autism
assistance
program
33
established
pursuant
to
section
256.35
,
and
administered
by
34
the
child
health
specialty
clinic
located
at
the
university
of
35
-8-
HF
766
(3)
88
pf/rn/md
8/
92
H.F.
766
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
1
interagency
collaboration
and
coordination
of
educational,
2
medical,
and
other
human
services
for
persons
with
autism,
3
their
families,
and
providers
of
services,
including
delivering
4
regionalized
services
of
care
coordination,
family
navigation,
5
and
integration
of
services
through
the
statewide
system
of
6
regional
child
health
specialty
clinics
and
fulfilling
other
7
requirements
as
specified
in
chapter
225D
.
The
university
of
8
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
9
indirect
costs
associated
with
the
regional
autism
assistance
10
program.
11
f.
Of
the
funds
appropriated
in
this
subsection,
$577,000
12
shall
be
used
for
the
comprehensive
cancer
control
program
to
13
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
14
detection,
effective
treatment,
and
ensuring
quality
of
life.
15
Of
the
funds
allocated
in
this
paragraph
“f”,
$150,000
shall
16
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
17
biorepository
and
registry,
basic
and
translational
melanoma
18
research,
and
clinical
trials.
19
g.
Of
the
funds
appropriated
in
this
subsection,
$97,000
20
shall
be
used
for
cervical
and
colon
cancer
screening,
and
21
$177,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
22
cancer
screening
program
to
include
provision
of
recommended
23
prevention
and
early
detection
measures
to
a
broader
range
of
24
low-income
women.
25
h.
Of
the
funds
appropriated
in
this
subsection,
$506,000
26
shall
be
used
for
the
center
for
congenital
and
inherited
27
disorders.
28
4.
COMMUNITY
CAPACITY
29
For
strengthening
the
health
care
delivery
system
at
the
30
local
level,
and
for
not
more
than
the
following
full-time
31
equivalent
positions:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,516,677
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
13.00
34
a.
Of
the
funds
appropriated
in
this
subsection,
$95,000
35
-9-
HF
766
(3)
88
pf/rn/md
9/
92
H.F.
766
is
allocated
for
continuation
of
the
child
vision
screening
1
program
implemented
through
the
university
of
Iowa
hospitals
2
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
3
The
program
shall
submit
a
report
to
the
department
regarding
4
the
use
of
funds
allocated
under
this
paragraph
“a”.
The
5
report
shall
include
the
objectives
and
results
for
the
6
program
year
including
the
target
population
and
how
the
funds
7
allocated
assisted
the
program
in
meeting
the
objectives;
the
8
number,
age,
and
location
within
the
state
of
individuals
9
served;
the
type
of
services
provided
to
the
individuals
10
served;
the
distribution
of
funds
based
on
service
provided;
11
and
the
continuing
needs
of
the
program.
12
b.
Of
the
funds
appropriated
in
this
subsection,
13
$48,000
shall
be
used
for
a
grant
to
a
statewide
association
14
of
psychologists,
that
is
affiliated
with
the
American
15
psychological
association,
to
be
used
for
continuation
of
a
16
program
to
rotate
intern
psychologists
in
placements
in
urban
17
and
rural
mental
health
professional
shortage
areas.
For
the
18
purposes
of
this
paragraph
“b”,
“mental
health
professional
19
shortage
area”
means
a
geographic
area
in
this
state
that
has
20
been
designated
by
the
United
States
department
of
health
and
21
human
services,
health
resources
and
services
administration,
22
bureau
of
health
professionals,
as
having
a
shortage
of
mental
23
health
professionals.
24
c.
Of
the
funds
appropriated
in
this
subsection,
the
25
following
amounts
are
allocated
to
be
used
as
follows
26
to
support
the
goals
of
increased
access,
health
system
27
integration,
and
engagement:
28
(1)
Not
less
than
$542,000
is
allocated
to
the
Iowa
29
prescription
drug
corporation
for
continuation
of
the
30
pharmaceutical
infrastructure
for
safety
net
providers
as
31
described
in
2007
Iowa
Acts,
chapter
218,
section
108,
and
for
32
the
prescription
drug
donation
repository
program
created
in
33
chapter
135M.
34
(2)
(a)
Not
less
than
$334,000
is
allocated
to
free
35
-10-
HF
766
(3)
88
pf/rn/md
10/
92
H.F.
766
clinics
and
free
clinics
of
Iowa
for
necessary
infrastructure,
1
statewide
coordination,
provider
recruitment,
service
delivery,
2
and
provision
of
assistance
to
patients
in
securing
a
medical
3
home
inclusive
of
oral
health
care.
However,
the
department
4
shall
issue
a
request
for
proposals
and
execute
a
contract
5
with
the
contractor
selected,
to
perform
the
activities
under
6
this
subparagraph
division
no
later
than
January
1,
2020.
The
7
department
shall
not
retain
any
portion
of
the
allocation
under
8
this
subparagraph
division
for
administrative
costs.
9
(b)
Not
less
than
$25,000
is
allocated
to
the
Iowa
10
association
of
rural
health
clinics
for
necessary
11
infrastructure
and
service
delivery
transformation.
However,
12
the
department
shall
issue
a
request
for
proposals
and
13
execute
a
contract
with
the
contractor
selected
to
perform
14
the
activities
under
this
subparagraph
division
no
later
15
than
January
1,
2020.
The
department
shall
not
retain
any
16
portion
of
the
allocation
under
this
subparagraph
division
for
17
administrative
costs.
18
(c)
Not
less
than
$205,000
is
allocated
to
the
Polk
county
19
medical
society
for
continuation
of
the
safety
net
provider
20
patient
access
to
specialty
health
care
initiative
as
described
21
in
2007
Iowa
Acts,
chapter
218,
section
109.
However,
the
22
department
shall
issue
a
request
for
proposals
and
execute
a
23
contract
with
the
contractor
selected
to
operate
the
initiative
24
under
this
subparagraph
division
no
later
than
January
1,
2020.
25
The
department
shall
not
retain
any
portion
of
the
allocation
26
under
this
subparagraph
division
for
administrative
costs.
27
(3)
The
department
may
combine
the
allocations
and
28
activities
specified
in
subparagraph
(2)
for
the
purposes
of
29
issuing
a
request
for
proposals.
30
d.
Of
the
funds
appropriated
in
this
subsection,
$191,000
31
is
allocated
for
the
purposes
of
health
care
and
public
health
32
workforce
initiatives.
33
e.
Of
the
funds
appropriated
in
this
subsection,
$96,000
34
shall
be
used
for
a
matching
dental
education
loan
repayment
35
-11-
HF
766
(3)
88
pf/rn/md
11/
92
H.F.
766
program
to
be
allocated
to
a
dental
nonprofit
health
service
1
corporation
to
continue
to
develop
the
criteria
and
implement
2
the
loan
repayment
program.
3
f.
Of
the
funds
appropriated
in
this
subsection,
$100,000
4
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
5
specified
in
section
142C.18
.
6
g.
Of
the
funds
appropriated
in
this
subsection,
$96,000
7
shall
be
used
for
continuation
of
a
grant
to
a
nationally
8
affiliated
volunteer
eye
organization
that
has
an
established
9
program
for
children
and
adults
and
that
is
solely
dedicated
to
10
preserving
sight
and
preventing
blindness
through
education,
11
nationally
certified
vision
screening
and
training,
and
12
community
and
patient
service
programs.
The
contractor
13
shall
submit
a
report
to
the
individuals
identified
in
this
14
Act
for
submission
of
reports
regarding
the
use
of
funds
15
allocated
under
this
paragraph
“g”.
The
report
shall
include
16
the
objectives
and
results
for
the
program
year
including
17
the
target
population
and
how
the
funds
allocated
assisted
18
the
program
in
meeting
the
objectives;
the
number,
age,
and
19
location
within
the
state
of
individuals
served;
the
type
of
20
services
provided
to
the
individuals
served;
the
distribution
21
of
funds
based
on
services
provided;
and
the
continuing
needs
22
of
the
program.
23
h.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
24
shall
be
deposited
in
the
medical
residency
training
account
25
created
in
section
135.175,
subsection
5,
paragraph
“a”,
and
26
is
appropriated
from
the
account
to
the
department
of
public
27
health
to
be
used
for
the
purposes
of
the
medical
residency
28
training
state
matching
grants
program
as
specified
in
section
29
135.176.
30
i.
Of
the
funds
appropriated
in
this
subsection,
$250,000
31
shall
be
used
for
the
public
purpose
of
providing
funding
to
32
Des
Moines
university
to
continue
a
provider
education
project
33
to
provide
primary
care
physicians
with
the
training
and
skills
34
necessary
to
recognize
the
signs
of
mental
illness
in
patients.
35
-12-
HF
766
(3)
88
pf/rn/md
12/
92
H.F.
766
j.
Of
the
funds
appropriated
in
this
subsection,
$400,000
1
shall
be
used
for
rural
psychiatric
residencies
to
support
the
2
annual
creation
and
training
of
four
psychiatric
residents
who
3
will
provide
mental
health
services
in
underserved
areas
of
the
4
state.
5
k.
Of
the
funds
appropriated
in
this
subsection,
$150,000
6
shall
be
used
for
psychiatric
training
to
increase
access
to
7
mental
health
care
services
by
expanding
the
mental
health
8
workforce
via
training
of
additional
physician
assistants
and
9
nurse
practitioners.
10
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
11
To
provide
public
health
services
that
reduce
risks
and
12
invest
in
promoting
and
protecting
good
health
over
the
13
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
14
vulnerable
populations:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,662,464
16
6.
INFECTIOUS
DISEASES
17
For
reducing
the
incidence
and
prevalence
of
communicable
18
diseases,
and
for
not
more
than
the
following
full-time
19
equivalent
positions:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,796,426
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
22
7.
PUBLIC
PROTECTION
23
For
protecting
the
health
and
safety
of
the
public
through
24
establishing
standards
and
enforcing
regulations,
and
for
not
25
more
than
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,093,383
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
142.00
28
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
29
than
$304,000
shall
be
credited
to
the
emergency
medical
30
services
fund
created
in
section
135.25
.
Moneys
in
the
31
emergency
medical
services
fund
are
appropriated
to
the
32
department
to
be
used
for
the
purposes
of
the
fund.
33
b.
Of
the
funds
appropriated
in
this
subsection,
up
34
to
$243,000
shall
be
used
for
sexual
violence
prevention
35
-13-
HF
766
(3)
88
pf/rn/md
13/
92
H.F.
766
programming
through
a
statewide
organization
representing
1
programs
serving
victims
of
sexual
violence
through
the
2
department’s
sexual
violence
prevention
program,
and
for
3
continuation
of
a
training
program
for
sexual
assault
4
response
team
(SART)
members,
including
representatives
of
5
law
enforcement,
victim
advocates,
prosecutors,
and
certified
6
medical
personnel.
However,
the
department
shall
issue
7
a
request
for
proposals
and
execute
a
contract
with
the
8
contractor
selected
to
provide
the
programming
and
training
9
as
specified
in
this
paragraph
no
later
than
January
1,
2020.
10
The
amount
allocated
in
this
paragraph
“b”
shall
not
be
used
11
to
supplant
funding
administered
for
other
sexual
violence
12
prevention
or
victims
assistance
programs.
The
department
13
shall
not
retain
any
portion
of
the
allocation
under
this
14
paragraph
for
administrative
costs.
15
c.
Of
the
funds
appropriated
in
this
subsection,
up
to
16
$500,000
shall
be
used
for
the
state
poison
control
center.
17
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
18
1140,
section
102
,
the
federal
matching
funds
available
to
19
the
state
poison
control
center
from
the
department
of
human
20
services
under
the
federal
Children’s
Health
Insurance
Program
21
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
22
administrative
cap
rule
of
10
percent
applicable
to
funding
23
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
24
included
within
the
department’s
calculations
of
the
cap.
25
d.
Of
the
funds
appropriated
in
this
subsection,
up
to
26
$504,000
shall
be
used
for
childhood
lead
poisoning
provisions.
27
8.
RESOURCE
MANAGEMENT
28
For
establishing
and
sustaining
the
overall
ability
of
the
29
department
to
deliver
services
to
the
public,
and
for
not
more
30
than
the
following
full-time
equivalent
positions:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
971,215
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
33
9.
MISCELLANEOUS
PROVISIONS
34
a.
The
university
of
Iowa
hospitals
and
clinics
under
35
-14-
HF
766
(3)
88
pf/rn/md
14/
92
H.F.
766
the
control
of
the
state
board
of
regents
shall
not
receive
1
indirect
costs
from
the
funds
appropriated
in
this
section.
2
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
3
department
shall
be
on
at
least
a
quarterly
basis.
4
b.
The
department
of
public
health
shall
collaborate
5
with
applicable
stakeholders
to
review
the
allocations,
6
grants,
and
other
distributions
of
funds
appropriated
under
7
this
division
of
this
Act
and
shall
submit
a
report
to
the
8
individuals
identified
in
this
Act
for
submission
of
reports
by
9
December
15,
2019,
regarding
a
proposal
for
the
distribution
10
of
funds
that
more
clearly
reflects
the
department’s
stated
11
priorities
and
goals,
provides
increased
flexibility
in
the
12
distribution
of
funds
to
meet
these
priorities
and
goals,
and
13
ensures
stakeholder
accountability
and
a
discernable
return
on
14
investment.
15
Sec.
4.
CONTRACTED
SERVICES
——
PROHIBITED
USE
OF
GENERAL
16
FUND
MONEYS
FOR
LOBBYING.
17
1.
The
department
shall
submit
a
report
to
the
individuals
18
identified
in
this
Act
for
submission
of
reports
by
January
1,
19
2020,
regarding
the
outcomes
of
any
program
or
activity
for
20
which
funding
is
appropriated
or
allocated
from
the
general
21
fund
of
the
state
to
the
department
under
this
division
of
22
this
Act,
and
for
which
a
request
for
proposals
process
is
23
specifically
required.
24
2.
The
department
shall
incorporate
into
the
general
25
conditions
applicable
to
all
award
documents
involving
funding
26
appropriated
or
allocated
from
the
general
fund
of
the
state
to
27
the
department
under
this
division
of
this
Act,
a
prohibition
28
against
the
use
of
such
funding
for
the
compensation
of
a
29
lobbyist.
For
the
purposes
of
this
section,
“lobbyist”
means
30
the
same
as
defined
in
section
68B.2;
however,
“lobbyist”
31
does
not
include
a
person
employed
by
a
state
agency
of
the
32
executive
branch
of
state
government
who
represents
the
agency
33
relative
to
the
passage,
defeat,
approval,
or
modification
of
34
legislation
that
is
being
considered
by
the
general
assembly.
35
-15-
HF
766
(3)
88
pf/rn/md
15/
92
H.F.
766
DIVISION
IV
1
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2019-2020
2
Sec.
5.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
3
appropriated
from
the
general
fund
of
the
state
to
the
4
department
of
veterans
affairs
for
the
fiscal
year
beginning
5
July
1,
2019,
and
ending
June
30,
2020,
the
following
amounts,
6
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
7
designated:
8
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
9
For
salaries,
support,
maintenance,
and
miscellaneous
10
purposes,
and
for
not
more
than
the
following
full-time
11
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,225,500
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
14
2.
IOWA
VETERANS
HOME
15
For
salaries,
support,
maintenance,
and
miscellaneous
16
purposes:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,162,976
18
a.
The
Iowa
veterans
home
billings
involving
the
department
19
of
human
services
shall
be
submitted
to
the
department
on
at
20
least
a
monthly
basis.
21
b.
Within
available
resources
and
in
conformance
with
22
associated
state
and
federal
program
eligibility
requirements,
23
the
Iowa
veterans
home
may
implement
measures
to
provide
24
financial
assistance
to
or
on
behalf
of
veterans
or
their
25
spouses
who
are
participating
in
the
community
reentry
program.
26
c.
The
Iowa
veterans
home
expenditure
report
shall
be
27
submitted
monthly
to
the
legislative
services
agency.
28
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
29
annual
discharge
report
applicant
information
to
provide
for
30
the
collection
of
demographic
information
including
but
not
31
limited
to
the
number
of
individuals
applying
for
admission
and
32
admitted
or
denied
admittance
and
the
basis
for
the
admission
33
or
denial;
the
age,
gender,
and
race
of
such
individuals;
34
and
the
level
of
care
for
which
such
individuals
applied
for
35
-16-
HF
766
(3)
88
pf/rn/md
16/
92
H.F.
766
admission
including
residential
or
nursing
level
of
care.
1
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
2
For
transfer
to
the
Iowa
finance
authority
for
the
3
continuation
of
the
home
ownership
assistance
program
for
4
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
5
the
United
States,
pursuant
to
section
16.54
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
7
Sec.
6.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
8
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
9
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
10
July
1,
2019,
and
ending
June
30,
2020,
the
amount
appropriated
11
from
the
general
fund
of
the
state
pursuant
to
that
section
12
for
the
following
designated
purposes
shall
not
exceed
the
13
following
amount:
14
For
the
county
commissions
of
veteran
affairs
fund
under
15
section
35A.16
:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
17
DIVISION
V
18
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2019-2020
19
Sec.
7.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
20
GRANT.
There
is
appropriated
from
the
fund
created
in
section
21
8.41
to
the
department
of
human
services
for
the
fiscal
year
22
beginning
July
1,
2019,
and
ending
June
30,
2020,
from
moneys
23
received
under
the
federal
temporary
assistance
for
needy
24
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
25
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
26
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
27
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
28
purposes
designated:
29
1.
To
be
credited
to
the
family
investment
program
account
30
and
used
for
assistance
under
the
family
investment
program
31
under
chapter
239B
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,524,006
33
2.
To
be
credited
to
the
family
investment
program
account
34
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
35
-17-
HF
766
(3)
88
pf/rn/md
17/
92
H.F.
766
program
and
implementing
family
investment
agreements
in
1
accordance
with
chapter
239B
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
3
3.
To
be
used
for
the
family
development
and
4
self-sufficiency
grant
program
in
accordance
with
section
5
216A.107
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
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,
2020,
the
13
moneys
shall
revert.
14
4.
For
field
operations:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
16
5.
For
general
administration:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
18
6.
For
state
child
care
assistance:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
20
a.
Of
the
funds
appropriated
in
this
subsection,
21
$26,205,412
is
transferred
to
the
child
care
and
development
22
block
grant
appropriation
made
by
the
Eighty-eighth
General
23
Assembly,
2019
session,
for
the
federal
fiscal
year
beginning
24
October
1,
2019,
and
ending
September
30,
2020.
Of
this
25
amount,
$200,000
shall
be
used
for
provision
of
educational
26
opportunities
to
registered
child
care
home
providers
in
order
27
to
improve
services
and
programs
offered
by
this
category
28
of
providers
and
to
increase
the
number
of
providers.
The
29
department
may
contract
with
institutions
of
higher
education
30
or
child
care
resource
and
referral
centers
to
provide
31
the
educational
opportunities.
Allowable
administrative
32
costs
under
the
contracts
shall
not
exceed
5
percent.
The
33
application
for
a
grant
shall
not
exceed
two
pages
in
length.
34
b.
Any
funds
appropriated
in
this
subsection
remaining
35
-18-
HF
766
(3)
88
pf/rn/md
18/
92
H.F.
766
unallocated
shall
be
used
for
state
child
care
assistance
1
payments
for
families
who
are
employed
including
but
not
2
limited
to
individuals
enrolled
in
the
family
investment
3
program.
4
7.
For
child
and
family
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
6
8.
For
child
abuse
prevention
grants:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
8
9.
For
pregnancy
prevention
grants
on
the
condition
that
9
family
planning
services
are
funded:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
11
Pregnancy
prevention
grants
shall
be
awarded
to
programs
12
in
existence
on
or
before
July
1,
2019,
if
the
programs
have
13
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
14
pregnancy
prevention
programs
which
are
developed
after
July
15
1,
2019,
if
the
programs
are
based
on
existing
models
that
16
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
17
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
18
section
14,
subsections
1
and
2
,
including
the
requirement
that
19
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
20
the
awarding
of
grants
shall
be
given
to
programs
that
serve
21
areas
of
the
state
which
demonstrate
the
highest
percentage
of
22
unplanned
pregnancies
of
females
of
childbearing
age
within
the
23
geographic
area
to
be
served
by
the
grant.
24
10.
For
technology
needs
and
other
resources
necessary
25
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
26
management
requirements:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
28
11.
a.
Notwithstanding
any
provision
to
the
contrary,
29
including
but
not
limited
to
requirements
in
section
8.41
or
30
provisions
in
2018
Iowa
Acts
or
2019
Iowa
Acts
regarding
the
31
receipt
and
appropriation
of
federal
block
grants,
federal
32
funds
from
the
temporary
assistance
for
needy
families
block
33
grant
received
by
the
state
and
not
otherwise
appropriated
34
in
this
section
and
remaining
available
for
the
fiscal
year
35
-19-
HF
766
(3)
88
pf/rn/md
19/
92
H.F.
766
beginning
July
1,
2019,
are
appropriated
to
the
department
of
1
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
2
the
following
priority
order:
the
family
investment
program,
3
for
state
child
care
assistance
program
payments
for
families
4
who
are
employed,
and
for
the
family
investment
program
share
5
of
system
costs
for
eligibility
determination
and
related
6
functions.
The
federal
funds
appropriated
in
this
paragraph
7
“a”
shall
be
expended
only
after
all
other
funds
appropriated
8
in
subsection
1
for
assistance
under
the
family
investment
9
program,
in
subsection
6
for
state
child
care
assistance,
or
10
in
subsection
10
for
technology
costs
related
to
the
family
11
investment
program,
as
applicable,
have
been
expended.
For
12
the
purposes
of
this
subsection,
the
funds
appropriated
in
13
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
14
and
development
block
grant
appropriation
are
considered
fully
15
expended
when
the
full
amount
has
been
transferred.
16
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
17
legislative
services
agency
and
department
of
management
of
18
the
amount
of
funds
appropriated
in
this
subsection
that
was
19
expended
in
the
prior
quarter.
20
12.
Of
the
amounts
appropriated
in
this
section,
21
$12,962,008
for
the
fiscal
year
beginning
July
1,
2019,
is
22
transferred
to
the
appropriation
of
the
federal
social
services
23
block
grant
made
to
the
department
of
human
services
for
that
24
fiscal
year.
25
13.
For
continuation
of
the
program
providing
categorical
26
eligibility
for
the
food
assistance
program
as
specified
27
for
the
program
in
the
section
of
this
division
of
this
Act
28
relating
to
the
family
investment
program
account:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
30
14.
The
department
may
transfer
funds
allocated
in
this
31
section
to
the
appropriations
made
in
this
division
of
this
Act
32
for
the
same
fiscal
year
for
general
administration
and
field
33
operations
for
resources
necessary
to
implement
and
operate
the
34
services
referred
to
in
this
section
and
those
funded
in
the
35
-20-
HF
766
(3)
88
pf/rn/md
20/
92
H.F.
766
appropriation
made
in
this
division
of
this
Act
for
the
same
1
fiscal
year
for
the
family
investment
program
from
the
general
2
fund
of
the
state.
3
15.
With
the
exception
of
moneys
allocated
under
this
4
section
for
the
family
development
and
self-sufficiency
grant
5
program,
to
the
extent
moneys
allocated
in
this
section
are
6
deemed
by
the
department
not
to
be
necessary
to
support
the
7
purposes
for
which
they
are
allocated,
such
moneys
may
be
8
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
9
funds
are
allocated
in
this
section
or
in
section
8
of
this
10
division
for
the
family
investment
program
account.
If
there
11
are
conflicting
needs,
priority
shall
first
be
given
to
the
12
family
investment
program
account
as
specified
under
subsection
13
1
of
this
section
and
used
for
the
purposes
of
assistance
under
14
the
family
investment
program
in
accordance
with
chapter
239B
,
15
followed
by
state
child
care
assistance
program
payments
for
16
families
who
are
employed,
followed
by
other
priorities
as
17
specified
by
the
department.
18
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
19
1.
Moneys
credited
to
the
family
investment
program
(FIP)
20
account
for
the
fiscal
year
beginning
July
1,
2019,
and
21
ending
June
30,
2020,
shall
be
used
to
provide
assistance
in
22
accordance
with
chapter
239B
.
23
2.
The
department
may
use
a
portion
of
the
moneys
credited
24
to
the
FIP
account
under
this
section
as
necessary
for
25
salaries,
support,
maintenance,
and
miscellaneous
purposes.
26
3.
The
department
may
transfer
funds
allocated
in
27
subsection
4,
excluding
the
allocation
under
subsection
4,
28
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
29
this
Act
for
the
same
fiscal
year
for
general
administration
30
and
field
operations
for
resources
necessary
to
implement
31
and
operate
the
services
referred
to
in
this
section
and
32
those
funded
in
the
appropriations
made
in
section
7
for
the
33
temporary
assistance
for
needy
families
block
grant
and
in
34
section
9
for
the
family
investment
program
from
the
general
35
-21-
HF
766
(3)
88
pf/rn/md
21/
92
H.F.
766
fund
of
the
state
in
this
division
of
this
Act
for
the
same
1
fiscal
year.
2
4.
Moneys
appropriated
in
this
division
of
this
Act
and
3
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
4
1,
2019,
and
ending
June
30,
2020,
are
allocated
as
follows:
5
a.
To
be
retained
by
the
department
of
human
services
to
6
be
used
for
coordinating
with
the
department
of
human
rights
7
to
more
effectively
serve
participants
in
FIP
and
other
shared
8
clients
and
to
meet
federal
reporting
requirements
under
the
9
federal
temporary
assistance
for
needy
families
block
grant:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
11
b.
To
the
department
of
human
rights
for
staffing,
12
administration,
and
implementation
of
the
family
development
13
and
self-sufficiency
grant
program
in
accordance
with
section
14
216A.107
:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
16
(1)
Of
the
funds
allocated
for
the
family
development
17
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
18
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
19
administration
of
the
grant
program.
20
(2)
The
department
of
human
rights
may
continue
to
implement
21
the
family
development
and
self-sufficiency
grant
program
22
statewide
during
fiscal
year
2019-2020.
23
(3)
The
department
of
human
rights
may
engage
in
activities
24
to
strengthen
and
improve
family
outcomes
measures
and
25
data
collection
systems
under
the
family
development
and
26
self-sufficiency
grant
program.
27
c.
For
the
diversion
subaccount
of
the
FIP
account:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
29
A
portion
of
the
moneys
allocated
for
the
diversion
30
subaccount
may
be
used
for
field
operations,
salaries,
data
31
management
system
development,
and
implementation
costs
and
32
support
deemed
necessary
by
the
director
of
human
services
33
in
order
to
administer
the
FIP
diversion
program.
To
the
34
extent
moneys
allocated
in
this
paragraph
“c”
are
deemed
by
the
35
-22-
HF
766
(3)
88
pf/rn/md
22/
92
H.F.
766
department
not
to
be
necessary
to
support
diversion
activities,
1
such
moneys
may
be
used
for
other
efforts
intended
to
increase
2
engagement
by
family
investment
program
participants
in
work,
3
education,
or
training
activities,
or
for
the
purposes
of
4
assistance
under
the
family
investment
program
in
accordance
5
with
chapter
239B
.
6
d.
For
the
food
assistance
employment
and
training
program:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
8
(1)
The
department
shall
apply
the
federal
supplemental
9
nutrition
assistance
program
(SNAP)
employment
and
training
10
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
11
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
12
provisions
for
the
claiming
of
allowable
federal
reimbursement
13
funds
from
the
United
States
department
of
agriculture
14
pursuant
to
the
federal
SNAP
employment
and
training
program
15
for
providing
education,
employment,
and
training
services
16
for
eligible
food
assistance
program
participants,
including
17
but
not
limited
to
related
dependent
care
and
transportation
18
expenses.
19
(2)
The
department
shall
continue
the
categorical
federal
20
food
assistance
program
eligibility
at
160
percent
of
the
21
federal
poverty
level
and
continue
to
eliminate
the
asset
test
22
from
eligibility
requirements,
consistent
with
federal
food
23
assistance
program
requirements.
The
department
shall
include
24
as
many
food
assistance
households
as
is
allowed
by
federal
25
law.
The
eligibility
provisions
shall
conform
to
all
federal
26
requirements
including
requirements
addressing
individuals
who
27
are
incarcerated
or
otherwise
ineligible.
28
e.
For
the
JOBS
program:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,018,258
30
5.
Of
the
child
support
collections
assigned
under
FIP,
31
an
amount
equal
to
the
federal
share
of
support
collections
32
shall
be
credited
to
the
child
support
recovery
appropriation
33
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
34
assigned
child
support
collections
received
by
the
child
35
-23-
HF
766
(3)
88
pf/rn/md
23/
92
H.F.
766
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
1
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
2
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
3
payments
account.
If
as
a
consequence
of
the
appropriations
4
and
allocations
made
in
this
section
the
resulting
amounts
5
are
insufficient
to
sustain
cash
assistance
payments
and
meet
6
federal
maintenance
of
effort
requirements,
the
department
7
shall
seek
supplemental
funding.
If
child
support
collections
8
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
9
determined
not
to
be
required
for
maintenance
of
effort,
the
10
state
share
of
either
amount
may
be
transferred
to
or
retained
11
in
the
child
support
payments
account.
12
6.
The
department
may
adopt
emergency
rules
for
the
family
13
investment,
JOBS,
food
assistance,
and
medical
assistance
14
programs
if
necessary
to
comply
with
federal
requirements.
15
Sec.
9.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
16
is
appropriated
from
the
general
fund
of
the
state
to
the
17
department
of
human
services
for
the
fiscal
year
beginning
July
18
1,
2019,
and
ending
June
30,
2020,
the
following
amount,
or
19
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
20
designated:
21
To
be
credited
to
the
family
investment
program
(FIP)
22
account
and
used
for
family
investment
program
assistance
under
23
chapter
239B
:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,365,037
25
1.
Of
the
funds
appropriated
in
this
section,
$6,606,198
is
26
allocated
for
the
JOBS
program.
27
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
28
allocated
for
the
family
development
and
self-sufficiency
grant
29
program.
30
3.
a.
Notwithstanding
section
8.39
,
for
the
fiscal
31
year
beginning
July
1,
2019,
if
necessary
to
meet
federal
32
maintenance
of
effort
requirements
or
to
transfer
federal
33
temporary
assistance
for
needy
families
block
grant
funding
34
to
be
used
for
purposes
of
the
federal
social
services
block
35
-24-
HF
766
(3)
88
pf/rn/md
24/
92
H.F.
766
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
1
receiving
federal
funding
or
to
implement,
in
accordance
with
2
this
division
of
this
Act,
activities
currently
funded
with
3
juvenile
court
services,
county,
or
community
moneys
and
state
4
moneys
used
in
combination
with
such
moneys;
to
comply
with
5
federal
requirements;
or
to
maximize
the
use
of
federal
funds;
6
the
department
of
human
services
may
transfer
funds
within
or
7
between
any
of
the
appropriations
made
in
this
division
of
this
8
Act
and
appropriations
in
law
for
the
federal
social
services
9
block
grant
to
the
department
for
the
following
purposes,
10
provided
that
the
combined
amount
of
state
and
federal
11
temporary
assistance
for
needy
families
block
grant
funding
12
for
each
appropriation
remains
the
same
before
and
after
the
13
transfer:
14
(1)
For
the
family
investment
program.
15
(2)
For
state
child
care
assistance.
16
(3)
For
child
and
family
services.
17
(4)
For
field
operations.
18
(5)
For
general
administration.
19
b.
This
subsection
shall
not
be
construed
to
prohibit
the
20
use
of
existing
state
transfer
authority
for
other
purposes.
21
The
department
shall
report
any
transfers
made
pursuant
to
this
22
subsection
to
the
legislative
services
agency.
23
4.
Of
the
funds
appropriated
in
this
section,
$195,000
shall
24
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
25
organization
with
a
history
of
providing
tax
preparation
26
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
27
of
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
28
to
supply
this
assistance
to
underserved
areas
of
the
state.
29
However,
the
department
shall
issue
a
request
for
proposals
and
30
execute
a
contract
with
the
contractor
selected
to
administer
31
the
program
no
later
than
January
1,
2020.
The
department
32
shall
not
retain
any
portion
of
the
allocation
under
this
33
subsection
for
administrative
costs.
34
5.
Of
the
funds
appropriated
in
this
section,
$70,000
shall
35
-25-
HF
766
(3)
88
pf/rn/md
25/
92
H.F.
766
be
used
for
the
continuation
of
the
parenting
program,
as
1
specified
in
441
IAC
ch.
100,
relating
to
parental
obligations,
2
in
which
the
child
support
recovery
unit
participates,
to
3
support
the
efforts
of
a
nonprofit
organization
committed
4
to
strengthening
the
community
through
youth
development,
5
healthy
living,
and
social
responsibility
headquartered
in
6
a
county
with
a
population
over
350,000
according
to
the
7
latest
certified
federal
census.
The
funds
allocated
in
this
8
subsection
shall
be
used
by
the
recipient
organization
to
9
develop
a
larger
community
effort,
through
public
and
private
10
partnerships,
to
support
a
broad-based
multi-county
fatherhood
11
parenthood
initiative
that
promotes
payment
of
child
support
12
obligations,
improved
family
relationships,
and
full-time
13
employment.
However,
the
department
shall
issue
a
request
for
14
proposals
and
execute
a
contract
with
the
contractor
selected
15
to
administer
the
program
no
later
than
January
1,
2020.
The
16
department
shall
not
retain
any
portion
of
the
allocation
under
17
this
subsection
for
administrative
costs.
18
6.
The
department
may
transfer
funds
appropriated
in
this
19
section,
excluding
the
allocation
in
subsection
2
for
the
20
family
development
and
self-sufficiency
grant
program,
to
the
21
appropriations
made
in
this
division
of
this
Act
for
general
22
administration
and
field
operations
as
necessary
to
administer
23
this
section,
section
7
for
the
temporary
assistance
for
needy
24
families
block
grant,
and
section
8
for
the
family
investment
25
program
account.
26
Sec.
10.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
27
from
the
general
fund
of
the
state
to
the
department
of
human
28
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
29
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
30
necessary,
to
be
used
for
the
purposes
designated:
31
For
child
support
recovery,
including
salaries,
support,
32
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
33
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,749,368
35
-26-
HF
766
(3)
88
pf/rn/md
26/
92
H.F.
766
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
459.00
1
1.
The
department
shall
expend
up
to
$24,000,
including
2
federal
financial
participation,
for
the
fiscal
year
beginning
3
July
1,
2019,
for
a
child
support
public
awareness
campaign.
4
The
department
and
the
office
of
the
attorney
general
shall
5
cooperate
in
continuation
of
the
campaign.
The
public
6
awareness
campaign
shall
emphasize,
through
a
variety
of
7
media
activities,
the
importance
of
maximum
involvement
of
8
both
parents
in
the
lives
of
their
children
as
well
as
the
9
importance
of
payment
of
child
support
obligations.
10
2.
Federal
access
and
visitation
grant
moneys
shall
be
11
issued
directly
to
private
not-for-profit
agencies
that
provide
12
services
designed
to
increase
compliance
with
the
child
access
13
provisions
of
court
orders,
including
but
not
limited
to
14
neutral
visitation
sites
and
mediation
services.
15
3.
The
appropriation
made
to
the
department
for
child
16
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
17
manner
necessary
for
purposes
of
cash
flow
management,
and
for
18
cash
flow
management
purposes
the
department
may
temporarily
19
draw
more
than
the
amount
appropriated,
provided
the
amount
20
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
21
Sec.
11.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
22
FY
2019-2020.
Any
funds
remaining
in
the
health
care
trust
23
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
24
July
1,
2019,
and
ending
June
30,
2020,
are
appropriated
to
25
the
department
of
human
services
to
supplement
the
medical
26
assistance
program
appropriations
made
in
this
division
of
this
27
Act,
for
medical
assistance
reimbursement
and
associated
costs,
28
including
program
administration
and
costs
associated
with
29
program
implementation.
30
Sec.
12.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
31
2019-2020.
Any
funds
remaining
in
the
Medicaid
fraud
fund
32
created
in
section
249A.50
for
the
fiscal
year
beginning
33
July
1,
2019,
and
ending
June
30,
2020,
are
appropriated
to
34
the
department
of
human
services
to
supplement
the
medical
35
-27-
HF
766
(3)
88
pf/rn/md
27/
92
H.F.
766
assistance
appropriations
made
in
this
division
of
this
Act,
1
for
medical
assistance
reimbursement
and
associated
costs,
2
including
program
administration
and
costs
associated
with
3
program
implementation.
4
Sec.
13.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
5
general
fund
of
the
state
to
the
department
of
human
services
6
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
7
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
8
to
be
used
for
the
purpose
designated:
9
For
medical
assistance
program
reimbursement
and
associated
10
costs
as
specifically
provided
in
the
reimbursement
11
methodologies
in
effect
on
June
30,
2019,
except
as
otherwise
12
expressly
authorized
by
law,
consistent
with
options
under
13
federal
law
and
regulations,
and
contingent
upon
receipt
of
14
approval
from
the
office
of
the
governor
of
reimbursement
for
15
each
abortion
performed
under
the
program:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,431,334,812
17
1.
Iowans
support
reducing
the
number
of
abortions
18
performed
in
our
state.
Funds
appropriated
under
this
section
19
shall
not
be
used
for
abortions,
unless
otherwise
authorized
20
under
this
section.
21
2.
The
provisions
of
this
section
relating
to
abortions
22
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
23
pursuant
to
chapter
249N
.
24
3.
The
department
shall
utilize
not
more
than
$60,000
of
25
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
26
health
insurance
premium
payment
program
as
established
in
1992
27
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
28
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
29
not
more
than
$5,000
may
be
expended
for
administrative
30
purposes.
31
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
32
of
public
health
for
addictive
disorders,
$950,000
for
33
the
fiscal
year
beginning
July
1,
2019,
is
transferred
34
to
the
department
of
human
services
for
an
integrated
35
-28-
HF
766
(3)
88
pf/rn/md
28/
92
H.F.
766
substance-related
disorder
managed
care
system.
The
1
departments
of
human
services
and
public
health
shall
2
work
together
to
maintain
the
level
of
mental
health
and
3
substance-related
disorder
treatment
services
provided
by
the
4
managed
care
contractors.
Each
department
shall
take
the
steps
5
necessary
to
continue
the
federal
waivers
as
necessary
to
6
maintain
the
level
of
services.
7
5.
a.
The
department
shall
aggressively
pursue
options
for
8
providing
medical
assistance
or
other
assistance
to
individuals
9
with
special
needs
who
become
ineligible
to
continue
receiving
10
services
under
the
early
and
periodic
screening,
diagnostic,
11
and
treatment
program
under
the
medical
assistance
program
12
due
to
becoming
21
years
of
age
who
have
been
approved
for
13
additional
assistance
through
the
department’s
exception
to
14
policy
provisions,
but
who
have
health
care
needs
in
excess
15
of
the
funding
available
through
the
exception
to
policy
16
provisions.
17
b.
Of
the
funds
appropriated
in
this
section,
$100,000
18
shall
be
used
for
participation
in
one
or
more
pilot
projects
19
operated
by
a
private
provider
to
allow
the
individual
or
20
individuals
to
receive
service
in
the
community
in
accordance
21
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
22
(1999),
for
the
purpose
of
providing
medical
assistance
or
23
other
assistance
to
individuals
with
special
needs
who
become
24
ineligible
to
continue
receiving
services
under
the
early
and
25
periodic
screening,
diagnostic,
and
treatment
program
under
26
the
medical
assistance
program
due
to
becoming
21
years
of
27
age
who
have
been
approved
for
additional
assistance
through
28
the
department’s
exception
to
policy
provisions,
but
who
have
29
health
care
needs
in
excess
of
the
funding
available
through
30
the
exception
to
the
policy
provisions.
31
6.
Of
the
funds
appropriated
in
this
section,
up
to
32
$3,050,082
may
be
transferred
to
the
field
operations
or
33
general
administration
appropriations
in
this
division
of
this
34
Act
for
operational
costs
associated
with
Part
D
of
the
federal
35
-29-
HF
766
(3)
88
pf/rn/md
29/
92
H.F.
766
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
1
of
2003,
Pub.
L.
No.
108-173.
2
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
3
may
be
transferred
to
the
appropriation
in
this
division
4
of
this
Act
for
medical
contracts
to
be
used
for
clinical
5
assessment
services
and
prior
authorization
of
services.
6
8.
A
portion
of
the
funds
appropriated
in
this
section
7
may
be
transferred
to
the
appropriations
in
this
division
of
8
this
Act
for
general
administration,
medical
contracts,
the
9
children’s
health
insurance
program,
or
field
operations
to
be
10
used
for
the
state
match
cost
to
comply
with
the
payment
error
11
rate
measurement
(PERM)
program
for
both
the
medical
assistance
12
and
children’s
health
insurance
programs
as
developed
by
the
13
centers
for
Medicare
and
Medicaid
services
of
the
United
States
14
department
of
health
and
human
services
to
comply
with
the
15
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
16
No.
107-300,
and
to
support
other
reviews
and
quality
control
17
activities
to
improve
the
integrity
of
these
programs.
18
9.
The
department
shall
continue
to
implement
the
19
recommendations
of
the
assuring
better
child
health
and
20
development
initiative
II
(ABCDII)
clinical
panel
to
the
21
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
22
services
healthy
mental
development
collaborative
board
23
regarding
changes
to
billing
procedures,
codes,
and
eligible
24
service
providers.
25
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
26
amount
is
allocated
to
supplement
the
incomes
of
residents
of
27
nursing
facilities,
intermediate
care
facilities
for
persons
28
with
mental
illness,
and
intermediate
care
facilities
for
29
persons
with
an
intellectual
disability,
with
incomes
of
less
30
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
31
personal
needs
allowance
of
$50
per
month
pursuant
to
section
32
249A.30A
.
33
11.
a.
Hospitals
that
meet
the
conditions
specified
34
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
35
-30-
HF
766
(3)
88
pf/rn/md
30/
92
H.F.
766
expenditures
or
transfer
to
the
medical
assistance
program
1
an
amount
equal
to
provide
the
nonfederal
share
for
a
2
disproportionate
share
hospital
payment
in
an
amount
up
to
the
3
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
4
The
hospitals
that
meet
the
conditions
specified
shall
receive
5
and
retain
100
percent
of
the
total
disproportionate
share
6
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
7
as
approved
in
the
Medicaid
state
plan.
8
(1)
The
hospital
qualifies
for
disproportionate
share
and
9
graduate
medical
education
payments.
10
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
11
than
500
beds
and
eight
or
more
distinct
residency
specialty
12
or
subspecialty
programs
recognized
by
the
American
college
of
13
graduate
medical
education.
14
b.
Distribution
of
the
disproportionate
share
payments
15
shall
be
made
on
a
monthly
basis.
The
total
amount
of
16
disproportionate
share
payments
including
graduate
medical
17
education,
enhanced
disproportionate
share,
and
Iowa
18
state-owned
teaching
hospital
payments
shall
not
exceed
the
19
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
20
In
addition,
the
total
amount
of
all
disproportionate
21
share
payments
shall
not
exceed
the
hospital-specific
22
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
23
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
24
to
area
education
agencies
that
are
medical
assistance
25
providers
for
medical
assistance-covered
services
provided
to
26
medical
assistance-covered
children,
shall
be
made
from
the
27
appropriation
made
in
this
section.
28
13.
A
portion
of
the
funds
appropriated
in
this
section
29
may
be
transferred
to
the
appropriation
in
this
division
of
30
this
Act
for
medical
contracts
to
be
used
for
administrative
31
activities
associated
with
the
money
follows
the
person
32
demonstration
project.
33
14.
Of
the
funds
appropriated
in
this
section,
$349,011
34
shall
be
used
for
the
administration
of
the
health
insurance
35
-31-
HF
766
(3)
88
pf/rn/md
31/
92
H.F.
766
premium
payment
program,
including
salaries,
support,
1
maintenance,
and
miscellaneous
purposes.
2
15.
a.
The
department
may
increase
the
amounts
allocated
3
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
4
associated
with
the
medical
assistance
program,
as
necessary,
5
to
sustain
cost
management
efforts.
The
department
shall
6
report
any
such
increase
to
the
legislative
services
agency
and
7
the
department
of
management.
8
b.
If
the
savings
to
the
medical
assistance
program
from
9
ongoing
cost
management
efforts
exceed
the
associated
cost
10
for
the
fiscal
year
beginning
July
1,
2019,
the
department
11
may
transfer
any
savings
generated
for
the
fiscal
year
due
12
to
medical
assistance
program
cost
management
efforts
to
the
13
appropriation
made
in
this
division
of
this
Act
for
medical
14
contracts
or
general
administration
to
defray
the
costs
15
associated
with
implementing
the
efforts.
16
16.
For
the
fiscal
year
beginning
July
1,
2019,
and
ending
17
June
30,
2020,
the
replacement
generation
tax
revenues
required
18
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
19
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
20
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
21
to
and
supplement
the
appropriation
made
in
this
section
and
22
used
for
the
allocations
made
in
this
section.
23
17.
a.
Of
the
funds
appropriated
in
this
section,
up
24
to
$50,000
may
be
transferred
by
the
department
to
the
25
appropriation
made
in
this
division
of
this
Act
to
the
26
department
for
the
same
fiscal
year
for
general
administration
27
to
be
used
for
associated
administrative
expenses
and
for
not
28
more
than
one
full-time
equivalent
position,
in
addition
to
29
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
30
implementing
the
children’s
mental
health
home
project.
31
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
32
may
be
transferred
by
the
department
to
the
appropriation
made
33
to
the
department
in
this
division
of
this
Act
for
the
same
34
fiscal
year
for
Medicaid
program-related
general
administration
35
-32-
HF
766
(3)
88
pf/rn/md
32/
92
H.F.
766
planning
and
implementation
activities.
The
funds
may
be
used
1
for
contracts
or
for
personnel
in
addition
to
the
amounts
2
appropriated
for
and
the
positions
authorized
for
general
3
administration
for
the
fiscal
year.
4
c.
Of
the
funds
appropriated
in
this
section,
up
to
5
$3,000,000
may
be
transferred
by
the
department
to
the
6
appropriations
made
in
this
division
of
this
Act
for
the
same
7
fiscal
year
for
general
administration
or
medical
contracts
8
to
be
used
to
support
the
development
and
implementation
of
9
standardized
assessment
tools
for
persons
with
mental
illness,
10
an
intellectual
disability,
a
developmental
disability,
or
a
11
brain
injury.
12
18.
Of
the
funds
appropriated
in
this
section,
$150,000
13
shall
be
used
for
lodging
expenses
associated
with
care
14
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
15
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
16
and
whose
income
is
at
or
below
200
percent
of
the
federal
17
poverty
level
as
defined
by
the
most
recently
revised
poverty
18
income
guidelines
published
by
the
United
States
department
of
19
health
and
human
services.
The
department
of
human
services
20
shall
establish
the
maximum
number
of
overnight
stays
and
the
21
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
22
based
on
the
state
employee
rate
established
by
the
department
23
of
administrative
services.
The
funds
allocated
in
this
24
subsection
shall
not
be
used
as
nonfederal
share
matching
25
funds.
26
19.
Of
the
funds
appropriated
in
this
section,
up
to
27
$3,383,880
shall
be
used
for
administration
of
the
state
family
28
planning
services
program
pursuant
to
section
217.41B,
and
29
of
this
amount,
the
department
may
use
up
to
$200,000
for
30
administrative
expenses.
31
20.
Of
the
funds
appropriated
in
this
section,
$1,545,530
32
shall
be
used
and
may
be
transferred
to
other
appropriations
33
in
this
division
of
this
Act
as
necessary
to
administer
the
34
provisions
in
the
division
of
this
Act
relating
to
Medicaid
35
-33-
HF
766
(3)
88
pf/rn/md
33/
92
H.F.
766
program
administration.
1
21.
The
department
shall
continue
to
implement
and
2
administer
the
provisions
of
2018
Iowa
Acts,
chapter
1056.
3
Of
the
funds
appropriated
in
this
section,
up
to
$39,069
may
4
be
transferred
to
the
department
of
inspections
and
appeals
5
for
inspection
costs
related
to
such
implementation
and
6
administration.
7
22.
Of
the
funds
appropriated
in
this
section,
up
to
8
$1,200,000
shall
be
used
to
implement
reductions
in
the
waiting
9
list
for
the
children’s
mental
health
home
and
community-based
10
services
waiver.
11
23.
Of
the
funds
appropriated
in
this
section,
a
sufficient
12
amount
shall
be
used
to
reinstate
cost-based
reimbursement
and
13
the
settlement
process
under
both
fee-for-service
and
managed
14
care
administration
of
the
Medicaid
program
for
critical
access
15
hospitals
in
the
state,
as
designated
pursuant
to
42
U.S.C.
16
§1395i-4,
to
provide
reimbursement
at
the
rate
provided
for
17
such
hospitals
under
the
federal
Medicare
program.
18
24.
Of
the
funds
appropriated
in
this
section,
the
19
department
shall
use
a
sufficient
amount
to
audit
all
20
prescription
drug
benefit
claims
managed
by
a
pharmacy
21
benefit
manager
under
the
Medicaid
program.
The
audit
shall
22
address
issues
including
but
not
limited
to
transparency
of
23
data
on
pharmacy
services,
the
relationship
between
pharmacy
24
reimbursement
and
overall
costs
to
the
Medicaid
program
or
25
spread
pricing,
any
potential
conflicts
of
interest
related
26
to
a
retail
pharmacy
chain
that
is
affiliated
with
a
pharmacy
27
benefit
manager
and
any
reported
reductions
in
pharmacy
28
reimbursements,
and
the
impact
of
reduction
in
pharmacy
29
reimbursement
on
access
to
care,
especially
in
rural
areas.
30
The
department
shall
report
the
findings
and
recommendations
of
31
the
audit
to
the
governor
and
the
general
assembly
by
December
32
15,
2019.
33
Sec.
14.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
34
general
fund
of
the
state
to
the
department
of
human
services
35
-34-
HF
766
(3)
88
pf/rn/md
34/
92
H.F.
766
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
1
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
2
to
be
used
for
the
purpose
designated:
3
For
medical
contracts:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,992,530
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,
$50,000
shall
12
be
used
for
continuation
of
home
and
community-based
services
13
waiver
quality
assurance
programs,
including
the
review
and
14
streamlining
of
processes
and
policies
related
to
oversight
and
15
quality
management
to
meet
state
and
federal
requirements.
16
3.
Of
the
amount
appropriated
in
this
section,
up
to
17
$200,000
may
be
transferred
to
the
appropriation
for
general
18
administration
in
this
division
of
this
Act
to
be
used
for
19
additional
full-time
equivalent
positions
in
the
development
20
of
key
health
initiatives
such
as
development
and
oversight
21
of
managed
care
programs
and
development
of
health
strategies
22
targeted
toward
improved
quality
and
reduced
costs
in
the
23
Medicaid
program.
24
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
25
shall
be
used
for
planning
and
development,
in
cooperation
with
26
the
department
of
public
health,
of
a
phased-in
program
to
27
provide
a
dental
home
for
children.
28
5.
a.
Of
the
funds
appropriated
in
this
section,
$573,000
29
shall
be
credited
to
the
autism
support
program
fund
created
30
in
section
225D.2
to
be
used
for
the
autism
support
program
31
created
in
chapter
225D
,
with
the
exception
of
the
following
32
amount
of
this
allocation
which
shall
be
used
as
follows:
33
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
34
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
35
-35-
HF
766
(3)
88
pf/rn/md
35/
92
H.F.
766
nonprofit
provider
of
child
welfare
services
that
has
been
in
1
existence
for
more
than
115
years,
is
located
in
a
county
with
2
a
population
between
200,000
and
220,000
according
to
the
most
3
recent
federal
decennial
census,
is
licensed
as
a
psychiatric
4
medical
institution
for
children,
and
provides
school-based
5
programming,
to
be
used
for
support
services
for
children
with
6
autism
spectrum
disorder
and
their
families.
7
Sec.
15.
STATE
SUPPLEMENTARY
ASSISTANCE.
8
1.
There
is
appropriated
from
the
general
fund
of
the
9
state
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purpose
designated:
13
For
the
state
supplementary
assistance
program:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,812,909
15
2.
The
department
shall
increase
the
personal
needs
16
allowance
for
residents
of
residential
care
facilities
by
the
17
same
percentage
and
at
the
same
time
as
federal
supplemental
18
security
income
and
federal
social
security
benefits
are
19
increased
due
to
a
recognized
increase
in
the
cost
of
living.
20
The
department
may
adopt
emergency
rules
to
implement
this
21
subsection.
22
3.
If
during
the
fiscal
year
beginning
July
1,
2019,
23
the
department
projects
that
state
supplementary
assistance
24
expenditures
for
a
calendar
year
will
not
meet
the
federal
25
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
26
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
27
§1382g,
the
department
may
take
actions
including
but
not
28
limited
to
increasing
the
personal
needs
allowance
for
29
residential
care
facility
residents
and
making
programmatic
30
adjustments
or
upward
adjustments
of
the
residential
care
31
facility
or
in-home
health-related
care
reimbursement
rates
32
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
33
requirements
are
met.
In
addition,
the
department
may
make
34
other
programmatic
and
rate
adjustments
necessary
to
remain
35
-36-
HF
766
(3)
88
pf/rn/md
36/
92
H.F.
766
within
the
amount
appropriated
in
this
section
while
ensuring
1
compliance
with
federal
requirements.
The
department
may
adopt
2
emergency
rules
to
implement
the
provisions
of
this
subsection.
3
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
4
this
section
that
remain
unencumbered
or
unobligated
at
the
5
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
6
available
for
expenditure
for
the
purposes
designated
until
the
7
close
of
the
succeeding
fiscal
year.
8
Sec.
16.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
9
1.
There
is
appropriated
from
the
general
fund
of
the
10
state
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
12
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
13
purpose
designated:
14
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
15
program
pursuant
to
chapter
514I
,
including
supplemental
dental
16
services,
for
receipt
of
federal
financial
participation
under
17
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
18
children’s
health
insurance
program:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,361,112
20
2.
Of
the
funds
appropriated
in
this
section,
$79,486
is
21
allocated
for
continuation
of
the
contract
for
outreach
with
22
the
department
of
public
health.
23
3.
A
portion
of
the
funds
appropriated
in
this
section
may
24
be
transferred
to
the
appropriations
made
in
this
division
of
25
this
Act
for
field
operations
or
medical
contracts
to
be
used
26
for
the
integration
of
hawk-i
program
eligibility,
payment,
and
27
administrative
functions
under
the
purview
of
the
department
28
of
human
services,
including
for
the
Medicaid
management
29
information
system
upgrade.
30
Sec.
17.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
31
from
the
general
fund
of
the
state
to
the
department
of
human
32
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
33
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
34
necessary,
to
be
used
for
the
purpose
designated:
35
-37-
HF
766
(3)
88
pf/rn/md
37/
92
H.F.
766
For
child
care
programs:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,816,931
2
1.
Of
the
funds
appropriated
in
this
section,
$34,966,931
3
shall
be
used
for
state
child
care
assistance
in
accordance
4
with
section
237A.13
.
5
2.
Nothing
in
this
section
shall
be
construed
or
is
6
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
7
to
persons
who
are
eligible
for
assistance
due
to
an
income
8
level
consistent
with
the
waiting
list
requirements
of
section
9
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
10
this
section
is
limited
to
the
extent
of
the
funds
appropriated
11
in
this
section.
12
3.
A
list
of
the
registered
and
licensed
child
care
13
facilities
operating
in
the
area
served
by
a
child
care
14
resource
and
referral
service
shall
be
made
available
to
the
15
families
receiving
state
child
care
assistance
in
that
area.
16
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
17
shall
be
credited
to
the
early
childhood
programs
grants
18
account
in
the
early
childhood
Iowa
fund
created
in
section
19
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
20
community-based
early
childhood
programs
targeted
to
children
21
from
birth
through
five
years
of
age
developed
by
early
22
childhood
Iowa
areas
in
accordance
with
approved
community
23
plans
as
provided
in
section
256I.8
.
24
5.
The
department
may
use
any
of
the
funds
appropriated
25
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
26
expanding
child
care
assistance
and
related
programs.
For
27
the
purpose
of
expenditures
of
state
and
federal
child
care
28
funding,
funds
shall
be
considered
obligated
at
the
time
29
expenditures
are
projected
or
are
allocated
to
the
department’s
30
service
areas.
Projections
shall
be
based
on
current
and
31
projected
caseload
growth,
current
and
projected
provider
32
rates,
staffing
requirements
for
eligibility
determination
33
and
management
of
program
requirements
including
data
systems
34
management,
staffing
requirements
for
administration
of
the
35
-38-
HF
766
(3)
88
pf/rn/md
38/
92
H.F.
766
program,
contractual
and
grant
obligations
and
any
transfers
1
to
other
state
agencies,
and
obligations
for
decategorization
2
or
innovation
projects.
3
6.
A
portion
of
the
state
match
for
the
federal
child
care
4
and
development
block
grant
shall
be
provided
as
necessary
to
5
meet
federal
matching
funds
requirements
through
the
state
6
general
fund
appropriation
made
for
child
development
grants
7
and
other
programs
for
at-risk
children
in
section
279.51
.
8
7.
If
a
uniform
reduction
ordered
by
the
governor
under
9
section
8.31
or
other
operation
of
law,
transfer,
or
federal
10
funding
reduction
reduces
the
appropriation
made
in
this
11
section
for
the
fiscal
year,
the
percentage
reduction
in
the
12
amount
paid
out
to
or
on
behalf
of
the
families
participating
13
in
the
state
child
care
assistance
program
shall
be
equal
to
or
14
less
than
the
percentage
reduction
made
for
any
other
purpose
15
payable
from
the
appropriation
made
in
this
section
and
the
16
federal
funding
relating
to
it.
The
percentage
reduction
to
17
the
other
allocations
made
in
this
section
shall
be
the
same
as
18
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
19
change
of
the
federal
funding
reduction,
as
applicable.
If
20
there
is
an
unanticipated
increase
in
federal
funding
provided
21
for
state
child
care
services,
the
entire
amount
of
the
22
increase,
except
as
necessary
to
meet
federal
requirements
23
including
quality
set
asides,
shall
be
used
for
state
child
24
care
assistance
payments.
If
the
appropriations
made
for
25
purposes
of
the
state
child
care
assistance
program
for
the
26
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
27
of
the
general
assembly
to
appropriate
sufficient
funding
for
28
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
29
requirements.
30
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
31
purposes
of
the
programs
developed
by
early
childhood
Iowa
32
areas,
advanced
for
purposes
of
wraparound
child
care,
or
33
received
from
the
federal
appropriations
made
for
the
purposes
34
of
this
section
that
remain
unencumbered
or
unobligated
at
the
35
-39-
HF
766
(3)
88
pf/rn/md
39/
92
H.F.
766
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
1
remain
available
for
expenditure
for
the
purposes
designated
2
until
the
close
of
the
succeeding
fiscal
year.
3
Sec.
18.
JUVENILE
INSTITUTION.
There
is
appropriated
4
from
the
general
fund
of
the
state
to
the
department
of
human
5
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
6
June
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
7
necessary,
to
be
used
for
the
purposes
designated:
8
1.
a.
For
operation
of
the
state
training
school
at
Eldora
9
and
for
salaries,
support,
maintenance,
and
miscellaneous
10
purposes,
and
for
not
more
than
the
following
full-time
11
equivalent
positions:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,920,757
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
207.00
14
b.
Of
the
funds
appropriated
in
this
subsection,
$91,000
15
shall
be
used
for
distribution
to
licensed
classroom
teachers
16
at
this
and
other
institutions
under
the
control
of
the
17
department
of
human
services
based
upon
the
average
student
18
yearly
enrollment
at
each
institution
as
determined
by
the
19
department.
20
c.
The
additional
full-time
equivalent
positions
authorized
21
in
paragraph
“a”
shall
include
1.00
youth
services
technician,
22
1.00
clinical
supervisor,
and
1.00
registered
nurse,
or
23
comparable
additional,
full-time
equivalent
positions.
24
2.
A
portion
of
the
moneys
appropriated
in
this
section
25
shall
be
used
by
the
state
training
school
at
Eldora
for
26
grants
for
adolescent
pregnancy
prevention
activities
at
the
27
institution
in
the
fiscal
year
beginning
July
1,
2019.
28
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
29
shall
be
used
by
the
state
training
school
at
Eldora
for
a
30
substance
use
disorder
treatment
program
at
the
institution
for
31
the
fiscal
year
beginning
July
1,
2019.
32
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
33
this
section
that
remain
unencumbered
or
unobligated
at
the
34
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
35
-40-
HF
766
(3)
88
pf/rn/md
40/
92
H.F.
766
available
for
expenditure
for
the
purposes
designated
until
the
1
close
of
the
succeeding
fiscal
year.
2
Sec.
19.
CHILD
AND
FAMILY
SERVICES.
3
1.
There
is
appropriated
from
the
general
fund
of
the
4
state
to
the
department
of
human
services
for
the
fiscal
year
5
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
6
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
7
purpose
designated:
8
For
child
and
family
services:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
89,071,761
10
2.
The
department
may
transfer
funds
appropriated
in
this
11
section
as
necessary
to
pay
the
nonfederal
costs
of
services
12
reimbursed
under
the
medical
assistance
program,
state
child
13
care
assistance
program,
or
the
family
investment
program
which
14
are
provided
to
children
who
would
otherwise
receive
services
15
paid
under
the
appropriation
in
this
section.
The
department
16
may
transfer
funds
appropriated
in
this
section
to
the
17
appropriations
made
in
this
division
of
this
Act
for
general
18
administration
and
for
field
operations
for
resources
necessary
19
to
implement
and
operate
the
services
funded
in
this
section.
20
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
21
$34,536,000
is
allocated
as
the
statewide
expenditure
target
22
under
section
232.143
for
group
foster
care
maintenance
and
23
services.
If
the
department
projects
that
such
expenditures
24
for
the
fiscal
year
will
be
less
than
the
target
amount
25
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
26
the
excess
to
provide
additional
funding
for
family
foster
27
care,
independent
living,
family
safety,
risk
and
permanency
28
services,
shelter
care,
or
the
child
welfare
emergency
services
29
addressed
with
the
allocation
for
shelter
care.
30
b.
If
at
any
time
after
September
30,
2019,
annualization
31
of
a
service
area’s
current
expenditures
indicates
a
service
32
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
33
target
under
section
232.143
by
more
than
5
percent,
the
34
department
and
juvenile
court
services
shall
examine
all
35
-41-
HF
766
(3)
88
pf/rn/md
41/
92
H.F.
766
group
foster
care
placements
in
that
service
area
in
order
to
1
identify
those
which
might
be
appropriate
for
termination.
2
In
addition,
any
aftercare
services
believed
to
be
needed
3
for
the
children
whose
placements
may
be
terminated
shall
be
4
identified.
The
department
and
juvenile
court
services
shall
5
initiate
action
to
set
dispositional
review
hearings
for
the
6
placements
identified.
In
such
a
dispositional
review
hearing,
7
the
juvenile
court
shall
determine
whether
needed
aftercare
8
services
are
available
and
whether
termination
of
the
placement
9
is
in
the
best
interest
of
the
child
and
the
community.
10
4.
In
accordance
with
the
provisions
of
section
232.188
,
11
the
department
shall
continue
the
child
welfare
and
juvenile
12
justice
funding
initiative
during
fiscal
year
2019-2020.
Of
13
the
funds
appropriated
in
this
section,
$1,717,000
is
allocated
14
specifically
for
expenditure
for
fiscal
year
2019-2020
through
15
the
decategorization
services
funding
pools
and
governance
16
boards
established
pursuant
to
section
232.188
.
17
5.
A
portion
of
the
funds
appropriated
in
this
section
18
may
be
used
for
emergency
family
assistance
to
provide
other
19
resources
required
for
a
family
participating
in
a
family
20
preservation
or
reunification
project
or
successor
project
to
21
stay
together
or
to
be
reunified.
22
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
23
amount
is
allocated
for
shelter
care
and
the
child
welfare
24
emergency
services
contracting
implemented
to
provide
for
or
25
prevent
the
need
for
shelter
care.
26
7.
Federal
funds
received
by
the
state
during
the
fiscal
27
year
beginning
July
1,
2019,
as
the
result
of
the
expenditure
28
of
state
funds
appropriated
during
a
previous
state
fiscal
29
year
for
a
service
or
activity
funded
under
this
section
are
30
appropriated
to
the
department
to
be
used
as
additional
funding
31
for
services
and
purposes
provided
for
under
this
section.
32
Notwithstanding
section
8.33
,
moneys
received
in
accordance
33
with
this
subsection
that
remain
unencumbered
or
unobligated
at
34
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
35
-42-
HF
766
(3)
88
pf/rn/md
42/
92
H.F.
766
shall
remain
available
for
the
purposes
designated
until
the
1
close
of
the
succeeding
fiscal
year.
2
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
3
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
4
court-ordered
services
provided
to
juveniles
who
are
under
the
5
supervision
of
juvenile
court
services,
which
expenses
are
a
6
charge
upon
the
state
pursuant
to
section
232.141,
subsection
7
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
8
$1,556,000
shall
be
made
available
to
provide
school-based
9
supervision
of
children
adjudicated
under
chapter
232
,
of
which
10
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
11
A
portion
of
the
cost
of
each
school-based
liaison
officer
12
shall
be
paid
by
the
school
district
or
other
funding
source
as
13
approved
by
the
chief
juvenile
court
officer.
14
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,000
15
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
16
services
provided
to
children
who
are
under
the
supervision
17
of
the
department,
which
expenses
are
a
charge
upon
the
state
18
pursuant
to
section
232.141,
subsection
4
.
19
c.
Notwithstanding
section
232.141
or
any
other
provision
20
of
law
to
the
contrary,
the
amounts
allocated
in
this
21
subsection
shall
be
distributed
to
the
judicial
districts
22
as
determined
by
the
state
court
administrator
and
to
the
23
department’s
service
areas
as
determined
by
the
administrator
24
of
the
department
of
human
services’
division
of
child
and
25
family
services.
The
state
court
administrator
and
the
26
division
administrator
shall
make
the
determination
of
the
27
distribution
amounts
on
or
before
June
15,
2019.
28
d.
Notwithstanding
chapter
232
or
any
other
provision
of
29
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
30
order
any
service
which
is
a
charge
upon
the
state
pursuant
31
to
section
232.141
if
there
are
insufficient
court-ordered
32
services
funds
available
in
the
district
court
or
departmental
33
service
area
distribution
amounts
to
pay
for
the
service.
The
34
chief
juvenile
court
officer
and
the
departmental
service
area
35
-43-
HF
766
(3)
88
pf/rn/md
43/
92
H.F.
766
manager
shall
encourage
use
of
the
funds
allocated
in
this
1
subsection
such
that
there
are
sufficient
funds
to
pay
for
2
all
court-related
services
during
the
entire
year.
The
chief
3
juvenile
court
officers
and
departmental
service
area
managers
4
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
5
in
the
distribution
amounts
and
shall
cooperatively
request
the
6
state
court
administrator
or
division
administrator
to
transfer
7
funds
between
the
judicial
districts’
or
departmental
service
8
areas’
distribution
amounts
as
prudent.
9
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
10
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
11
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
12
entered
under
chapter
232
which
is
a
charge
upon
the
state
13
under
section
232.141,
subsection
4
.
14
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
15
$83,000
may
be
used
by
the
judicial
branch
for
administration
16
of
the
requirements
under
this
subsection.
17
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
18
shall
be
used
by
the
department
of
human
services
to
support
19
the
interstate
commission
for
juveniles
in
accordance
with
20
the
interstate
compact
for
juveniles
as
provided
in
section
21
232.173
.
22
9.
Of
the
funds
appropriated
in
this
section,
$12,253,000
is
23
allocated
for
juvenile
delinquent
graduated
sanctions
services.
24
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
25
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
26
services
administration
may
be
used
for
the
juvenile
delinquent
27
graduated
sanctions
services.
28
10.
Of
the
funds
appropriated
in
this
section,
$1,658,000
is
29
transferred
to
the
department
of
public
health
to
be
used
for
30
the
child
protection
center
grant
program
for
child
protection
31
centers
located
in
Iowa
in
accordance
with
section
135.118
.
32
The
grant
amounts
under
the
program
shall
be
equalized
so
that
33
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
34
that
the
remaining
funds
are
awarded
through
a
funding
formula
35
-44-
HF
766
(3)
88
pf/rn/md
44/
92
H.F.
766
based
upon
the
volume
of
children
served.
To
increase
access
1
to
child
protection
center
services
for
children
in
rural
2
areas,
the
funding
formula
for
the
awarding
of
the
remaining
3
funds
shall
provide
for
the
awarding
of
an
enhanced
amount
to
4
eligible
grantees
to
develop
and
maintain
satellite
centers
in
5
underserved
regions
of
the
state.
6
11.
Of
the
funds
appropriated
in
this
section,
$4,025,000
is
7
allocated
for
the
preparation
for
adult
living
program
pursuant
8
to
section
234.46
.
9
12.
Of
the
funds
appropriated
in
this
section,
$227,000
10
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
11
nonprofit
human
services
organization,
providing
services
to
12
individuals
and
families
in
multiple
locations
in
southwest
13
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
14
sensitive
support
and
forensic
interviews,
medical
exams,
needs
15
assessments,
and
referrals
for
victims
of
child
abuse
and
their
16
nonoffending
family
members.
17
13.
Of
the
funds
appropriated
in
this
section,
$300,000
18
is
allocated
for
the
foster
care
youth
council
approach
of
19
providing
a
support
network
to
children
placed
in
foster
care.
20
14.
Of
the
funds
appropriated
in
this
section,
$202,000
is
21
allocated
for
use
pursuant
to
section
235A.1
for
continuation
22
of
the
initiative
to
address
child
sexual
abuse
implemented
23
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
24
21
.
25
15.
Of
the
funds
appropriated
in
this
section,
$630,000
is
26
allocated
for
the
community
partnership
for
child
protection
27
sites.
28
16.
Of
the
funds
appropriated
in
this
section,
$371,000
29
is
allocated
for
the
department’s
minority
youth
and
family
30
projects
under
the
redesign
of
the
child
welfare
system.
31
17.
Of
the
funds
appropriated
in
this
section,
$851,000
32
is
allocated
for
funding
of
the
community
circle
of
care
33
collaboration
for
children
and
youth
in
northeast
Iowa.
34
18.
Of
the
funds
appropriated
in
this
section,
at
least
35
-45-
HF
766
(3)
88
pf/rn/md
45/
92
H.F.
766
$147,000
shall
be
used
for
the
continuation
of
the
child
1
welfare
provider
training
academy,
a
collaboration
between
the
2
coalition
for
family
and
children’s
services
in
Iowa
and
the
3
department.
4
19.
Of
the
funds
appropriated
in
this
section,
$211,000
5
shall
be
used
for
continuation
of
the
central
Iowa
system
of
6
care
program
grant
through
June
30,
2020.
7
20.
Of
the
funds
appropriated
in
this
section,
$235,000
8
shall
be
used
for
the
public
purpose
of
the
continuation
9
and
expansion
of
a
system
of
care
program
grant
implemented
10
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
11
and
long-term
approach
for
helping
children
and
families
by
12
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
13
needs,
education
and
work,
family,
and
community.
14
21.
Of
the
funds
appropriated
in
this
section,
at
least
15
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
16
care
respite
pilot
program
in
which
postsecondary
students
in
17
social
work
and
other
human
services-related
programs
receive
18
experience
by
assisting
family
foster
care
providers
with
19
respite
and
other
support.
20
22.
Of
the
funds
appropriated
in
this
section,
$110,000
21
shall
be
used
for
the
public
purpose
of
funding
community-based
22
services
and
other
supports
with
a
system
of
care
approach
23
for
children
with
a
serious
emotional
disturbance
and
their
24
families
through
a
nonprofit
provider
of
child
welfare
services
25
that
has
been
in
existence
for
more
than
115
years,
is
located
26
in
a
county
with
a
population
of
more
than
200,000
but
less
27
than
220,000
according
to
the
latest
certified
federal
census,
28
is
licensed
as
a
psychiatric
medical
institution
for
children,
29
and
was
a
system
of
care
grantee
prior
to
July
1,
2019.
30
23.
If
a
separate
funding
source
is
identified
that
reduces
31
the
need
for
state
funds
within
an
allocation
under
this
32
section,
the
allocated
state
funds
may
be
redistributed
to
33
other
allocations
under
this
section
for
the
same
fiscal
year.
34
Sec.
20.
ADOPTION
SUBSIDY.
35
-46-
HF
766
(3)
88
pf/rn/md
46/
92
H.F.
766
1.
There
is
appropriated
from
the
general
fund
of
the
1
state
to
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
3
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
4
purpose
designated:
5
a.
For
adoption
subsidy
payments
and
services:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,596,007
7
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
8
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
9
of
the
following
purposes:
10
(a)
For
adoption
subsidy
payments
and
related
costs.
11
(b)
For
post-adoption
services
and
for
other
purposes
under
12
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
13
(2)
The
department
of
human
services
may
transfer
funds
14
appropriated
in
this
subsection
to
the
appropriation
for
15
child
and
family
services
in
this
Act
for
the
purposes
of
16
post-adoption
services
as
specified
in
this
paragraph
“b”.
17
c.
Notwithstanding
section
8.33
,
moneys
corresponding
to
18
the
state
savings
resulting
from
implementation
of
the
federal
19
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
20
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
21
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
22
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
23
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
24
purposes
designated
in
this
subsection
until
expended.
The
25
amount
of
such
savings
and
any
corresponding
funds
remaining
26
at
the
close
of
the
fiscal
year
shall
be
determined
separately
27
and
any
changes
in
either
amount
between
fiscal
years
shall
not
28
result
in
an
unfunded
need.
29
2.
The
department
may
transfer
funds
appropriated
in
30
this
section
to
the
appropriation
made
in
this
division
of
31
this
Act
for
general
administration
for
costs
paid
from
the
32
appropriation
relating
to
adoption
subsidy.
33
3.
Federal
funds
received
by
the
state
during
the
34
fiscal
year
beginning
July
1,
2019,
as
the
result
of
the
35
-47-
HF
766
(3)
88
pf/rn/md
47/
92
H.F.
766
expenditure
of
state
funds
during
a
previous
state
fiscal
1
year
for
a
service
or
activity
funded
under
this
section
are
2
appropriated
to
the
department
to
be
used
as
additional
funding
3
for
the
services
and
activities
funded
under
this
section.
4
Notwithstanding
section
8.33
,
moneys
received
in
accordance
5
with
this
subsection
that
remain
unencumbered
or
unobligated
6
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
7
but
shall
remain
available
for
expenditure
for
the
purposes
8
designated
until
the
close
of
the
succeeding
fiscal
year.
9
Sec.
21.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
10
in
the
juvenile
detention
home
fund
created
in
section
232.142
11
during
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
12
30,
2020,
are
appropriated
to
the
department
of
human
services
13
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
14
2020,
for
distribution
of
an
amount
equal
to
a
percentage
of
15
the
costs
of
the
establishment,
improvement,
operation,
and
16
maintenance
of
county
or
multicounty
juvenile
detention
homes
17
in
the
fiscal
year
beginning
July
1,
2018.
Moneys
appropriated
18
for
distribution
in
accordance
with
this
section
shall
be
19
allocated
among
eligible
detention
homes,
prorated
on
the
basis
20
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
21
eligible
detention
homes
in
the
fiscal
year
beginning
July
22
1,
2018.
The
percentage
figure
shall
be
determined
by
the
23
department
based
on
the
amount
available
for
distribution
for
24
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
25
financial
aid
payable
by
the
state
under
that
provision
for
the
26
fiscal
year
beginning
July
1,
2019,
shall
be
limited
to
the
27
amount
appropriated
for
the
purposes
of
this
section.
28
Sec.
22.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
29
1.
There
is
appropriated
from
the
general
fund
of
the
30
state
to
the
department
of
human
services
for
the
fiscal
year
31
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
32
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purpose
designated:
34
For
the
family
support
subsidy
program
subject
to
the
35
-48-
HF
766
(3)
88
pf/rn/md
48/
92
H.F.
766
enrollment
restrictions
in
section
225C.37,
subsection
3
:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
949,282
2
2.
At
least
$819,275
of
the
moneys
appropriated
in
this
3
section
is
transferred
to
the
department
of
public
health
for
4
the
family
support
center
component
of
the
comprehensive
family
5
support
program
under
chapter
225C
,
subchapter
V.
6
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
7
funding
available
for
the
family
support
subsidy
program
8
is
reduced
from
the
amount
initially
used
to
establish
the
9
figure
for
the
number
of
family
members
for
whom
a
subsidy
10
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
11
notwithstanding
section
225C.38,
subsection
2
,
the
department
12
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
13
of
funding
available.
14
Sec.
23.
CONNER
DECREE.
There
is
appropriated
from
the
15
general
fund
of
the
state
to
the
department
of
human
services
16
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
17
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
18
to
be
used
for
the
purpose
designated:
19
For
building
community
capacity
through
the
coordination
20
and
provision
of
training
opportunities
in
accordance
with
the
21
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
22
Iowa,
July
14,
1994):
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
24
Sec.
24.
MENTAL
HEALTH
INSTITUTES.
25
1.
There
is
appropriated
from
the
general
fund
of
the
26
state
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
28
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
29
purposes
designated:
30
a.
(1)
For
operation
of
the
state
mental
health
institute
31
at
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
32
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
33
more
than
the
following
full-time
equivalent
positions:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,216,149
35
-49-
HF
766
(3)
88
pf/rn/md
49/
92
H.F.
766
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.00
1
(2)
The
additional
full-time
equivalent
positions
2
authorized
in
this
paragraph
“a”
shall
include
3.50
security
3
staff
and
3.00
support
staff,
or
comparable
additional,
4
full-time
equivalent
positions.
5
b.
(1)
For
operation
of
the
state
mental
health
institute
6
at
Independence
as
required
by
chapters
218
and
226
for
7
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
8
for
not
more
than
the
following
full-time
equivalent
positions:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,165,110
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
208.00
11
(2)
The
additional
full-time
equivalent
positions
12
authorized
in
this
paragraph
“b”
shall
include
3.50
security
13
staff,
or
comparable
additional,
full-time
equivalent
14
positions.
15
2.
Notwithstanding
sections
218.78
and
249A.11
,
any
revenue
16
received
from
the
state
mental
health
institute
at
Cherokee
or
17
the
state
mental
health
institute
at
Independence
pursuant
to
18
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
19
health
institute.
20
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
21
a
Medicaid
member
residing
at
the
state
mental
health
22
institute
at
Cherokee
or
the
state
mental
health
institute
23
at
Independence
shall
retain
Medicaid
eligibility
during
24
the
period
of
the
Medicaid
member’s
stay
for
which
federal
25
financial
participation
is
available.
26
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
27
this
section
that
remain
unencumbered
or
unobligated
at
the
28
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
29
available
for
expenditure
for
the
purposes
designated
until
the
30
close
of
the
succeeding
fiscal
year.
31
Sec.
25.
STATE
RESOURCE
CENTERS.
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
35
-50-
HF
766
(3)
88
pf/rn/md
50/
92
H.F.
766
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purposes
designated:
2
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
3
support,
maintenance,
and
miscellaneous
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,048,348
5
b.
For
the
state
resource
center
at
Woodward
for
salaries,
6
support,
maintenance,
and
miscellaneous
purposes:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,872,356
8
2.
The
department
may
continue
to
bill
for
state
resource
9
center
services
utilizing
a
scope
of
services
approach
used
for
10
private
providers
of
intermediate
care
facilities
for
persons
11
with
an
intellectual
disability
services,
in
a
manner
which
12
does
not
shift
costs
between
the
medical
assistance
program,
13
counties,
or
other
sources
of
funding
for
the
state
resource
14
centers.
15
3.
The
state
resource
centers
may
expand
the
time-limited
16
assessment
and
respite
services
during
the
fiscal
year.
17
4.
If
the
department’s
administration
and
the
department
18
of
management
concur
with
a
finding
by
a
state
resource
19
center’s
superintendent
that
projected
revenues
can
reasonably
20
be
expected
to
pay
the
salary
and
support
costs
for
a
new
21
employee
position,
or
that
such
costs
for
adding
a
particular
22
number
of
new
positions
for
the
fiscal
year
would
be
less
23
than
the
overtime
costs
if
new
positions
would
not
be
added,
24
the
superintendent
may
add
the
new
position
or
positions.
If
25
the
vacant
positions
available
to
a
resource
center
do
not
26
include
the
position
classification
desired
to
be
filled,
the
27
state
resource
center’s
superintendent
may
reclassify
any
28
vacant
position
as
necessary
to
fill
the
desired
position.
The
29
superintendents
of
the
state
resource
centers
may,
by
mutual
30
agreement,
pool
vacant
positions
and
position
classifications
31
during
the
course
of
the
fiscal
year
in
order
to
assist
one
32
another
in
filling
necessary
positions.
33
5.
If
existing
capacity
limitations
are
reached
in
34
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
35
-51-
HF
766
(3)
88
pf/rn/md
51/
92
H.F.
766
a
special
need
for
which
a
payment
source
or
other
funding
1
is
available
for
the
service
or
to
address
the
special
need,
2
and
facilities
for
the
service
or
to
address
the
special
need
3
can
be
provided
within
the
available
payment
source
or
other
4
funding,
the
superintendent
of
a
state
resource
center
may
5
authorize
opening
not
more
than
two
units
or
other
facilities
6
and
begin
implementing
the
service
or
addressing
the
special
7
need
during
fiscal
year
2019-2020.
8
6.
Notwithstanding
section
8.33
,
and
notwithstanding
9
the
amount
limitation
specified
in
section
222.92
,
moneys
10
appropriated
in
this
section
that
remain
unencumbered
or
11
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
12
but
shall
remain
available
for
expenditure
for
the
purposes
13
designated
until
the
close
of
the
succeeding
fiscal
year.
14
Sec.
26.
SEXUALLY
VIOLENT
PREDATORS.
15
1.
a.
There
is
appropriated
from
the
general
fund
of
the
16
state
to
the
department
of
human
services
for
the
fiscal
year
17
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
18
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
19
purpose
designated:
20
For
costs
associated
with
the
commitment
and
treatment
of
21
sexually
violent
predators
in
the
unit
located
at
the
state
22
mental
health
institute
at
Cherokee,
including
costs
of
legal
23
services
and
other
associated
costs,
including
salaries,
24
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
25
more
than
the
following
full-time
equivalent
positions:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,053,093
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
139.00
28
b.
The
additional
full-time
equivalent
positions
authorized
29
in
paragraph
“a”
shall
include
7.00
clinical
and
support
staff,
30
or
comparable
additional,
full-time
equivalent
positions.
31
2.
Unless
specifically
prohibited
by
law,
if
the
amount
32
charged
provides
for
recoupment
of
at
least
the
entire
amount
33
of
direct
and
indirect
costs,
the
department
of
human
services
34
may
contract
with
other
states
to
provide
care
and
treatment
35
-52-
HF
766
(3)
88
pf/rn/md
52/
92
H.F.
766
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
1
violent
predators
at
Cherokee.
The
moneys
received
under
2
such
a
contract
shall
be
considered
to
be
repayment
receipts
3
and
used
for
the
purposes
of
the
appropriation
made
in
this
4
section.
5
3.
Notwithstanding
section
8.33
,
moneys
appropriated
in
6
this
section
that
remain
unencumbered
or
unobligated
at
the
7
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
8
available
for
expenditure
for
the
purposes
designated
until
the
9
close
of
the
succeeding
fiscal
year.
10
Sec.
27.
FIELD
OPERATIONS.
11
1.
There
is
appropriated
from
the
general
fund
of
the
12
state
to
the
department
of
human
services
for
the
fiscal
year
13
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
14
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
15
purposes
designated:
16
For
field
operations,
including
salaries,
support,
17
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
18
the
following
full-time
equivalent
positions:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
55,396,906
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,539.00
21
2.
The
additional
full-time
equivalent
positions
authorized
22
in
subsection
1
shall
include
29.00
full-time
equivalent
staff
23
positions
to
relieve
caseloads
and
6.00
full-time
equivalent
24
positions
related
to
the
eligibility
integrated
application
25
solution
(ELIAS)
system.
26
3.
Priority
in
filling
full-time
equivalent
positions
27
shall
be
given
to
those
positions
related
to
child
protection
28
services
and
eligibility
determination
for
low-income
families.
29
Sec.
28.
GENERAL
ADMINISTRATION.
There
is
appropriated
30
from
the
general
fund
of
the
state
to
the
department
of
human
31
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
32
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purpose
designated:
34
For
general
administration,
including
salaries,
support,
35
-53-
HF
766
(3)
88
pf/rn/md
53/
92
H.F.
766
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
1
the
following
full-time
equivalent
positions:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,833,040
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
294.00
4
1.
The
department
shall
report
at
least
monthly
to
the
5
legislative
services
agency
concerning
the
department’s
6
operational
and
program
expenditures.
7
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
8
be
used
to
continue
the
contract
for
the
provision
of
a
program
9
to
provide
technical
assistance,
support,
and
consultation
to
10
providers
of
habilitation
services
and
home
and
community-based
11
services
waiver
services
for
adults
with
disabilities
under
the
12
medical
assistance
program.
13
3.
Of
the
funds
appropriated
in
this
section,
$50,000
14
is
transferred
to
the
Iowa
finance
authority
to
be
used
15
for
administrative
support
of
the
council
on
homelessness
16
established
in
section
16.2D
and
for
the
council
to
fulfill
its
17
duties
in
addressing
and
reducing
homelessness
in
the
state.
18
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
19
be
transferred
to
and
deposited
in
the
administrative
fund
of
20
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
21
be
used
for
implementation
and
administration
activities
of
the
22
Iowa
ABLE
savings
plan
trust.
23
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
24
transferred
to
the
economic
development
authority
for
the
Iowa
25
commission
on
volunteer
services
to
continue
to
be
used
for
26
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
27
for
member
recruitment
and
training
to
improve
the
economic
28
well-being
and
health
of
economically
disadvantaged
refugees
in
29
local
communities
across
Iowa.
Funds
transferred
may
be
used
30
to
supplement
federal
funds
under
federal
regulations.
31
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
32
shall
be
used
as
follows:
33
a.
To
fund
not
more
than
one
full-time
equivalent
position
34
to
address
the
department’s
responsibility
to
support
the
work
35
-54-
HF
766
(3)
88
pf/rn/md
54/
92
H.F.
766
of
the
children’s
system
state
board
and
implementation
of
the
1
services
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
2
section
13.
3
b.
To
support
the
cost
of
establishing
and
implementing
new
4
or
additional
services
required
pursuant
to
2018
Iowa
Acts,
5
chapter
1056,
and
any
legislation
enacted
by
the
2019
general
6
assembly
establishing
a
children’s
behavioral
health
system.
7
c.
Of
the
amount
allocated,
$32,000
shall
be
transferred
8
to
the
department
of
public
health
to
support
the
costs
of
9
establishing
and
implementing
new
or
additional
services
10
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
and
any
11
legislation
enacted
by
the
2019
general
assembly
establishing
a
12
children’s
behavioral
health
system.
13
Sec.
29.
DEPARTMENT-WIDE
DUTIES.
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,
2019,
and
ending
16
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purposes
designated:
18
For
salaries,
support,
maintenance,
and
miscellaneous
19
purposes
at
facilities
under
the
purview
of
the
department
of
20
human
services:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
22
Sec.
30.
VOLUNTEERS.
There
is
appropriated
from
the
general
23
fund
of
the
state
to
the
department
of
human
services
for
the
24
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
2020,
25
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
26
used
for
the
purpose
designated:
27
For
development
and
coordination
of
volunteer
services:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
29
Sec.
31.
CORPORATE
TECHNOLOGY.
There
is
appropriated
30
from
the
general
fund
of
the
state
to
the
department
of
human
31
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
32
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
33
necessary,
to
be
used
for
the
purposes
designated:
34
For
the
purchase
of
department-wide
technology
and
software
35
-55-
HF
766
(3)
88
pf/rn/md
55/
92
H.F.
766
update
needs:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
824,832
2
Sec.
32.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
3
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
4
DEPARTMENT
OF
HUMAN
SERVICES.
5
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
6
2019,
the
department
shall
rebase
case-mix
nursing
facility
7
rates
effective
July
1,
2019,
to
the
extent
possible
within
the
8
state
funding,
including
the
$27,479,942,
appropriated
for
this
9
purpose.
10
(b)
For
the
fiscal
year
beginning
July
1,
2019,
non-case-mix
11
and
special
population
nursing
facilities
shall
be
reimbursed
12
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
13
prior
fiscal
year.
14
(c)
For
managed
care
claims,
the
department
of
human
15
services
shall
adjust
the
payment
rate
floor
for
nursing
16
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
17
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
18
rate
calculated
in
accordance
with
subparagraph
division
19
(a)
and
441
IAC
81.6
.
The
department
shall
then
calculate
20
adjusted
reimbursement
rates,
including
but
not
limited
to
21
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
22
care
organizations
of
the
adjusted
reimbursement
rates
within
23
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
24
adjustment
of
reimbursement
rates
under
this
subparagraph
25
division
shall
be
budget
neutral
to
the
state
budget.
26
(d)
For
the
fiscal
year
beginning
July
1,
2019,
Medicaid
27
managed
care
long-term
services
and
supports
capitation
28
rates
shall
be
adjusted
to
reflect
the
rebasing
pursuant
to
29
subparagraph
division
(a)
for
the
patient
populations
residing
30
in
Medicaid-certified
nursing
facilities.
31
(2)
Medicaid
managed
care
organizations
shall
adjust
32
facility-specific
rates
based
upon
payment
rate
listings
issued
33
by
the
department.
The
rate
adjustments
shall
be
applied
34
prospectively
from
the
effective
date
of
the
rate
letter
issued
35
-56-
HF
766
(3)
88
pf/rn/md
56/
92
H.F.
766
by
the
department.
1
b.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
2
the
department
shall
establish
the
pharmacy
dispensing
fee
3
reimbursement
at
$10.07
per
prescription,
until
a
cost
of
4
dispensing
survey
is
completed.
The
actual
dispensing
fee
5
shall
be
determined
by
a
cost
of
dispensing
survey
performed
6
by
the
department
and
required
to
be
completed
by
all
medical
7
assistance
program
participating
pharmacies
every
two
years,
8
adjusted
as
necessary
to
maintain
expenditures
within
the
9
amount
appropriated
to
the
department
for
this
purpose
for
the
10
fiscal
year.
11
(2)
The
department
shall
utilize
an
average
acquisition
12
cost
reimbursement
methodology
for
all
drugs
covered
under
the
13
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
14
chapter
1133,
section
33
.
15
c.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
16
reimbursement
rates
for
outpatient
hospital
services
shall
17
remain
at
the
rates
in
effect
on
June
30,
2019,
subject
to
18
Medicaid
program
upper
payment
limit
rules,
and
adjusted
19
as
necessary
to
maintain
expenditures
within
the
amount
20
appropriated
to
the
department
for
this
purpose
for
the
fiscal
21
year.
22
(2)
For
the
fiscal
year
beginning
July
1,
2019,
23
reimbursement
rates
for
inpatient
hospital
services
shall
24
remain
at
the
rates
in
effect
on
June
30,
2019,
subject
to
25
Medicaid
program
upper
payment
limit
rules,
and
adjusted
26
as
necessary
to
maintain
expenditures
within
the
amount
27
appropriated
to
the
department
for
this
purpose
for
the
fiscal
28
year.
29
(3)
For
the
fiscal
year
beginning
July
1,
2019,
under
30
both
fee-for-service
and
managed
care
administration
of
the
31
Medicaid
program,
critical
access
hospitals
in
the
state,
32
as
designated
pursuant
to
42
U.S.C.
§1395i-4,
shall
receive
33
cost-based
reimbursement
utilizing
a
settlement
process
to
34
provide
reimbursement
at
the
rate
provided
such
hospitals
under
35
-57-
HF
766
(3)
88
pf/rn/md
57/
92
H.F.
766
the
federal
Medicare
program.
1
(4)
For
the
fiscal
year
beginning
July
1,
2019,
the
graduate
2
medical
education
and
disproportionate
share
hospital
fund
3
shall
remain
at
the
amount
in
effect
on
June
30,
2019,
except
4
that
the
portion
of
the
fund
attributable
to
graduate
medical
5
education
shall
be
reduced
in
an
amount
that
reflects
the
6
elimination
of
graduate
medical
education
payments
made
to
7
out-of-state
hospitals.
8
(5)
In
order
to
ensure
the
efficient
use
of
limited
state
9
funds
in
procuring
health
care
services
for
low-income
Iowans,
10
funds
appropriated
in
this
Act
for
hospital
services
shall
11
not
be
used
for
activities
which
would
be
excluded
from
a
12
determination
of
reasonable
costs
under
the
federal
Medicare
13
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
14
d.
For
the
fiscal
year
beginning
July
1,
2019,
reimbursement
15
rates
for
hospices
and
acute
psychiatric
hospitals
shall
be
16
increased
in
accordance
with
increases
under
the
federal
17
Medicare
program
or
as
supported
by
their
Medicare
audited
18
costs.
19
e.
For
the
fiscal
year
beginning
July
1,
2019,
independent
20
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
21
using
the
same
methodology
in
effect
on
June
30,
2019.
22
f.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
23
reimbursement
rates
for
home
health
agencies
shall
be
rebased,
24
to
the
extent
possible,
within
the
state
funding
appropriated
25
for
this
purpose,
and
shall
continue
to
be
based
on
the
26
Medicare
low
utilization
payment
adjustment
(LUPA)
methodology
27
with
state
geographic
wage
adjustments
to
reflect
the
most
28
recent
Medicare
LUPA
rates
to
the
extent
possible
within
the
29
state
funding
appropriated
for
this
purpose.
30
(2)
For
the
fiscal
year
beginning
July
1,
2019,
rates
for
31
private
duty
nursing
and
personal
care
services
under
the
early
32
and
periodic
screening,
diagnostic,
and
treatment
program
33
benefit
shall
be
calculated
based
on
the
methodology
in
effect
34
on
June
30,
2019.
35
-58-
HF
766
(3)
88
pf/rn/md
58/
92
H.F.
766
g.
For
the
fiscal
year
beginning
July
1,
2019,
federally
1
qualified
health
centers
and
rural
health
clinics
shall
receive
2
cost-based
reimbursement
for
100
percent
of
the
reasonable
3
costs
for
the
provision
of
services
to
recipients
of
medical
4
assistance.
5
h.
For
the
fiscal
year
beginning
July
1,
2019,
the
6
reimbursement
rates
for
dental
services
shall
remain
at
the
7
rates
in
effect
on
June
30,
2019.
8
i.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
9
reimbursement
rates
for
non-state-owned
psychiatric
medical
10
institutions
for
children
shall
be
based
on
the
reimbursement
11
methodology
in
effect
on
June
30,
2019.
12
(2)
As
a
condition
of
participation
in
the
medical
13
assistance
program,
enrolled
providers
shall
accept
the
medical
14
assistance
reimbursement
rate
for
any
covered
goods
or
services
15
provided
to
recipients
of
medical
assistance
who
are
children
16
under
the
custody
of
a
psychiatric
medical
institution
for
17
children.
18
j.
For
the
fiscal
year
beginning
July
1,
2019,
unless
19
otherwise
specified
in
this
Act,
all
noninstitutional
medical
20
assistance
provider
reimbursement
rates
shall
remain
at
the
21
rates
in
effect
on
June
30,
2019,
except
for
area
education
22
agencies,
local
education
agencies,
infant
and
toddler
23
services
providers,
home
and
community-based
services
providers
24
including
consumer-directed
attendant
care
providers
under
a
25
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
26
providers,
and
those
providers
whose
rates
are
required
to
be
27
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
28
mental
health
parity
requirements.
29
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
30
fiscal
year
beginning
July
1,
2019,
the
reimbursement
rate
for
31
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
32
30,
2019,
and
updated
on
January
1,
2020,
to
align
with
the
33
most
current
Iowa
Medicare
anesthesia
rate.
34
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
35
-59-
HF
766
(3)
88
pf/rn/md
59/
92
H.F.
766
beginning
July
1,
2019,
the
average
reimbursement
rate
for
1
health
care
providers
eligible
for
use
of
the
federal
Medicare
2
resource-based
relative
value
scale
reimbursement
methodology
3
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
4
June
30,
2019;
however,
this
rate
shall
not
exceed
the
maximum
5
level
authorized
by
the
federal
government.
6
m.
For
the
fiscal
year
beginning
July
1,
2019,
the
7
reimbursement
rate
for
residential
care
facilities
shall
not
8
be
less
than
the
minimum
payment
level
as
established
by
the
9
federal
government
to
meet
the
federally
mandated
maintenance
10
of
effort
requirement.
The
flat
reimbursement
rate
for
11
facilities
electing
not
to
file
annual
cost
reports
shall
not
12
be
less
than
the
minimum
payment
level
as
established
by
the
13
federal
government
to
meet
the
federally
mandated
maintenance
14
of
effort
requirement.
15
n.
For
the
fiscal
year
beginning
July
1,
2019,
the
16
reimbursement
rates
for
inpatient
mental
health
services
17
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
18
June
30,
2019,
subject
to
Medicaid
program
upper
payment
limit
19
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
20
assistance
program
fee-for-service
rate
in
effect
on
June
30,
21
2019.
22
o.
For
the
fiscal
year
beginning
July
1,
2019,
community
23
mental
health
centers
may
choose
to
be
reimbursed
for
the
24
services
provided
to
recipients
of
medical
assistance
through
25
either
of
the
following
options:
26
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
27
(2)
In
accordance
with
the
alternative
reimbursement
rate
28
methodology
approved
by
the
department
of
human
services
in
29
effect
on
June
30,
2019.
30
p.
For
the
fiscal
year
beginning
July
1,
2019,
the
31
reimbursement
rate
for
providers
of
family
planning
services
32
that
are
eligible
to
receive
a
90
percent
federal
match
shall
33
remain
at
the
rates
in
effect
on
June
30,
2019.
34
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
35
-60-
HF
766
(3)
88
pf/rn/md
60/
92
H.F.
766
for
the
fiscal
year
beginning
July
1,
2019,
the
upper
1
limits
and
reimbursement
rates
for
providers
of
home
and
2
community-based
services
waiver
services
shall
be
reimbursed
3
using
the
reimbursement
methodology
in
effect
on
June
30,
2019.
4
r.
For
the
fiscal
year
beginning
July
1,
2019,
the
5
reimbursement
rates
for
emergency
medical
service
providers
6
shall
remain
at
the
rates
in
effect
on
June
30,
2019.
7
s.
For
the
fiscal
year
beginning
July
1,
2019,
reimbursement
8
rates
for
substance-related
disorder
treatment
programs
9
licensed
under
section
125.13
shall
remain
at
the
rates
in
10
effect
on
June
30,
2019.
11
t.
For
the
fiscal
year
beginning
July
1,
2019,
assertive
12
community
treatment
per
diem
rates
shall
be
adjusted
to
13
reflect
an
actual
average
per
diem
cost
within
the
additional
14
$1,088,437
appropriated
for
this
purpose.
15
2.
For
the
fiscal
year
beginning
July
1,
2019,
the
16
reimbursement
rate
for
providers
reimbursed
under
the
17
in-home-related
care
program
shall
not
be
less
than
the
minimum
18
payment
level
as
established
by
the
federal
government
to
meet
19
the
federally
mandated
maintenance
of
effort
requirement.
20
3.
Unless
otherwise
directed
in
this
section,
when
the
21
department’s
reimbursement
methodology
for
any
provider
22
reimbursed
in
accordance
with
this
section
includes
an
23
inflation
factor,
this
factor
shall
not
exceed
the
amount
24
by
which
the
consumer
price
index
for
all
urban
consumers
25
increased
during
the
calendar
year
ending
December
31,
2002.
26
4.
Notwithstanding
section
234.38
,
for
the
fiscal
27
year
beginning
July
1,
2019,
the
foster
family
basic
daily
28
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
29
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
30
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
31
children
ages
12
through
15
years
shall
be
$19.10,
and
the
32
rate
for
children
and
young
adults
ages
16
and
older
shall
33
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
34
care,
the
preparation
for
adult
living
program
maintenance
rate
35
-61-
HF
766
(3)
88
pf/rn/md
61/
92
H.F.
766
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
1
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
2
disallowance
of
additional
amounts
for
court
costs
and
other
3
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
4
chapter
1031,
section
408
,
shall
be
continued.
5
5.
For
the
fiscal
year
beginning
July
1,
2019,
the
maximum
6
reimbursement
rates
for
social
services
providers
under
7
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2019,
8
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
9
each
service,
whichever
is
less.
However,
if
a
new
service
10
or
service
provider
is
added
after
June
30,
2019,
the
initial
11
reimbursement
rate
for
the
service
or
provider
shall
be
based
12
upon
a
weighted
average
of
provider
rates
for
similar
services.
13
6.
a.
For
the
fiscal
year
beginning
July
1,
2019,
the
14
reimbursement
rates
for
resource
family
recruitment
and
15
retention
contractors
shall
be
established
by
contract.
16
b.
For
the
fiscal
year
beginning
July
1,
2019,
the
17
reimbursement
rates
for
supervised
apartment
living
foster
care
18
providers
shall
be
established
by
contract.
19
7.
For
the
fiscal
year
beginning
July
1,
2019,
the
20
reimbursement
rate
for
group
foster
care
providers
shall
be
the
21
combined
service
and
maintenance
reimbursement
rate
established
22
by
contract.
23
8.
The
group
foster
care
reimbursement
rates
paid
for
24
placement
of
children
out
of
state
shall
be
calculated
25
according
to
the
same
rate-setting
principles
as
those
used
for
26
in-state
providers,
unless
the
director
of
human
services
or
27
the
director’s
designee
determines
that
appropriate
care
cannot
28
be
provided
within
the
state.
The
payment
of
the
daily
rate
29
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
30
which
service
is
provided.
31
9.
a.
For
the
fiscal
year
beginning
July
1,
2019,
the
32
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
33
emergency
services
implemented
to
provide
or
prevent
the
need
34
for
shelter
care
shall
be
established
by
contract.
35
-62-
HF
766
(3)
88
pf/rn/md
62/
92
H.F.
766
b.
For
the
fiscal
year
beginning
July
1,
2019,
the
combined
1
service
and
maintenance
components
of
the
reimbursement
rate
2
paid
for
shelter
care
services
shall
be
based
on
the
financial
3
and
statistical
report
submitted
to
the
department.
The
4
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
5
department
shall
reimburse
a
shelter
care
provider
at
the
6
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
7
to
exceed
the
maximum
reimbursement
rate.
8
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
9
fiscal
year
beginning
July
1,
2019,
the
amount
of
the
statewide
10
average
of
the
actual
and
allowable
rates
for
reimbursement
of
11
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
12
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
13
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
14
2018.
15
10.
For
the
fiscal
year
beginning
July
1,
2019,
the
16
department
shall
calculate
reimbursement
rates
for
intermediate
17
care
facilities
for
persons
with
an
intellectual
disability
18
at
the
80th
percentile.
Beginning
July
1,
2019,
the
rate
19
calculation
methodology
shall
utilize
the
consumer
price
index
20
inflation
factor
applicable
to
the
fiscal
year
beginning
July
21
1,
2019.
22
11.
Effective
July
1,
2019,
the
child
care
provider
23
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
24
30,
2019.
The
department
shall
set
rates
in
a
manner
so
as
25
to
provide
incentives
for
a
nonregistered
provider
to
become
26
registered
by
applying
any
increase
only
to
registered
and
27
licensed
providers.
28
12.
The
department
may
adopt
emergency
rules
to
implement
29
this
section.
30
Sec.
33.
CONTRACTED
SERVICES
——
PROHIBITED
USE
OF
STATE
31
FUNDING
FOR
LOBBYING.
32
1.
The
department
shall
submit
a
report
to
the
individuals
33
identified
in
this
Act
for
submission
of
reports
by
December
34
15,
2019,
regarding
the
outcomes
of
any
program
or
activity
for
35
-63-
HF
766
(3)
88
pf/rn/md
63/
92
H.F.
766
which
funding
is
appropriated
or
allocated
from
the
general
1
fund
of
the
state
to
the
department
under
this
division
of
this
2
Act,
and
for
which
a
request
for
proposals
process
is
required.
3
2.
The
department
shall
incorporate
into
the
general
4
conditions
applicable
to
all
award
documents
involving
funding
5
appropriated
or
allocated
from
the
general
fund
of
the
state
to
6
the
department
under
this
division
of
this
Act,
a
prohibition
7
against
the
use
of
such
funding
for
the
compensation
of
a
8
lobbyist.
For
the
purposes
of
this
section,
“lobbyist”
means
9
the
same
as
defined
in
section
68B.2;
however,
“lobbyist”
10
does
not
include
a
person
employed
by
a
state
agency
of
the
11
executive
branch
of
state
government
who
represents
the
agency
12
relative
to
the
passage,
defeat,
approval,
or
modification
of
13
legislation
that
is
being
considered
by
the
general
assembly.
14
Sec.
34.
LEGISLATIVE
INTERIM
COMMITTEE
——
HEALTH
DATA
15
COLLECTION.
The
legislative
council
shall
establish
a
16
legislative
interim
committee
to
review
the
collection,
17
maintaining,
and
disseminating
of
hospital
inpatient,
18
outpatient,
and
ambulatory
data
pursuant
to
section
135.166.
19
The
committee
shall
report
findings
and
recommendations
to
the
20
general
assembly
by
December
15,
2019.
21
Sec.
35.
EMERGENCY
RULES.
22
1.
If
specifically
authorized
by
a
provision
of
this
23
division
of
this
Act,
the
department
of
human
services
or
24
the
mental
health
and
disability
services
commission
may
25
adopt
administrative
rules
under
section
17A.4,
subsection
26
3
,
and
section
17A.5,
subsection
2
,
paragraph
“b”,
to
27
implement
the
provisions
of
this
division
of
this
Act
and
28
the
rules
shall
become
effective
immediately
upon
filing
or
29
on
a
later
effective
date
specified
in
the
rules,
unless
the
30
effective
date
of
the
rules
is
delayed
or
the
applicability
31
of
the
rules
is
suspended
by
the
administrative
rules
review
32
committee.
Any
rules
adopted
in
accordance
with
this
section
33
shall
not
take
effect
before
the
rules
are
reviewed
by
the
34
administrative
rules
review
committee.
The
delay
authority
35
-64-
HF
766
(3)
88
pf/rn/md
64/
92
H.F.
766
provided
to
the
administrative
rules
review
committee
under
1
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
2
shall
be
applicable
to
a
delay
imposed
under
this
section,
3
notwithstanding
a
provision
in
those
sections
making
them
4
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”.
5
Any
rules
adopted
in
accordance
with
the
provisions
of
this
6
section
shall
also
be
published
as
a
notice
of
intended
action
7
as
provided
in
section
17A.4
.
8
2.
If
during
a
fiscal
year,
the
department
of
human
9
services
is
adopting
rules
in
accordance
with
this
section
10
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
11
rules
will
result
in
an
expenditure
increase
beyond
the
amount
12
anticipated
in
the
budget
process
or
if
the
expenditure
was
13
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
14
department
shall
notify
the
persons
designated
by
this
division
15
of
this
Act
for
submission
of
reports,
the
chairpersons
and
16
ranking
members
of
the
committees
on
appropriations,
and
17
the
department
of
management
concerning
the
rules
and
the
18
expenditure
increase.
The
notification
shall
be
provided
at
19
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
20
is
submitted
to
the
administrative
rules
coordinator
and
the
21
administrative
code
editor.
22
Sec.
36.
REPORTS.
Any
reports
or
other
information
23
required
to
be
compiled
and
submitted
under
this
Act
during
the
24
fiscal
year
beginning
July
1,
2019,
shall
be
submitted
to
the
25
chairpersons
and
ranking
members
of
the
joint
appropriations
26
subcommittee
on
health
and
human
services,
the
legislative
27
services
agency,
and
the
legislative
caucus
staffs
on
or
28
before
the
dates
specified
for
submission
of
the
reports
or
29
information.
30
Sec.
37.
EFFECTIVE
UPON
ENACTMENT.
The
following
31
provisions
of
this
division
of
this
Act,
being
deemed
of
32
immediate
importance,
take
effect
upon
enactment:
33
1.
The
provision
relating
to
section
232.141
and
directing
34
the
state
court
administrator
and
the
division
administrator
of
35
-65-
HF
766
(3)
88
pf/rn/md
65/
92
H.F.
766
the
department
of
human
services
division
of
child
and
family
1
services
to
make
the
determination,
by
June
15,
2019,
of
the
2
distribution
of
funds
allocated
for
the
payment
of
the
expenses
3
of
court-ordered
services
provided
to
juveniles
which
are
a
4
charge
upon
the
state.
5
DIVISION
VI
6
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2019-2020
7
Sec.
38.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
8
appropriated
from
the
pharmaceutical
settlement
account
created
9
in
section
249A.33
to
the
department
of
human
services
for
the
10
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
2020,
11
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
12
used
for
the
purpose
designated:
13
Notwithstanding
any
provision
of
law
to
the
contrary,
to
14
supplement
the
appropriations
made
in
this
Act
for
medical
15
contracts
under
the
medical
assistance
program
for
the
fiscal
16
year
beginning
July
1,
2019,
and
ending
June
30,
2020:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
18
Sec.
39.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
19
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
20
subject
to
the
availability
of
funds,
there
is
appropriated
21
from
the
quality
assurance
trust
fund
created
in
section
22
249L.4
to
the
department
of
human
services
for
the
fiscal
year
23
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
24
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
25
designated:
26
To
supplement
the
appropriation
made
in
this
Act
from
the
27
general
fund
of
the
state
to
the
department
of
human
services
28
for
medical
assistance
for
the
same
fiscal
year:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,570,397
30
Sec.
40.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
31
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
32
the
contrary
and
subject
to
the
availability
of
funds,
there
is
33
appropriated
from
the
hospital
health
care
access
trust
fund
34
created
in
section
249M.4
to
the
department
of
human
services
35
-66-
HF
766
(3)
88
pf/rn/md
66/
92
H.F.
766
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
1
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
2
necessary,
for
the
purposes
designated:
3
To
supplement
the
appropriation
made
in
this
Act
from
the
4
general
fund
of
the
state
to
the
department
of
human
services
5
for
medical
assistance
for
the
same
fiscal
year:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
7
Sec.
41.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
8
FOR
FY
2019-2020.
Notwithstanding
section
8.33
,
if
moneys
9
appropriated
for
purposes
of
the
medical
assistance
program
for
10
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
11
2020,
from
the
general
fund
of
the
state,
the
quality
assurance
12
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
13
in
excess
of
actual
expenditures
for
the
medical
assistance
14
program
and
remain
unencumbered
or
unobligated
at
the
close
15
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
16
shall
remain
available
for
expenditure
for
the
purposes
of
the
17
medical
assistance
program
until
the
close
of
the
succeeding
18
fiscal
year.
19
DIVISION
VII
20
GRADUATED
SANCTION,
COURT-ORDERED,
AND
GROUP
FOSTER
CARE
21
SERVICES
AND
FUNDING
WORK
GROUP
22
Sec.
42.
GRADUATED
SANCTION,
COURT-ORDERED,
AND
GROUP
23
FOSTER
CARE
SERVICES
AND
FUNDING
WORK
GROUP.
24
1.
As
used
in
this
section,
unless
the
context
otherwise
25
requires:
26
a.
“Court-ordered
services”
means
the
defined
or
specific
27
care
and
treatment
that
is
ordered
by
the
court
for
an
eligible
28
child
and
for
which
no
other
payment
source
is
available
to
29
cover
the
cost.
30
b.
“Department”
means
the
department
of
human
services.
31
c.
“Eligible
child”
means
a
child
who
has
been
adjudicated
32
delinquent,
is
at
risk,
or
has
been
certified
by
the
chief
33
juvenile
court
officer
as
eligible
for
court-ordered
services.
34
d.
“Graduated
sanction
services”
includes
community-based
35
-67-
HF
766
(3)
88
pf/rn/md
67/
92
H.F.
766
interventions,
school-based
supervision,
and
supportive
1
enhancements
provided
in
community-based
settings
to
an
2
eligible
child
who
is
adjudicated
delinquent
or
who
is
at
risk
3
of
adjudication.
4
2.
The
division
of
criminal
and
juvenile
justice
planning
5
of
the
department
of
human
rights
shall
convene
and
provide
6
administrative
support
to
a
work
group
to
review
and
develop
7
a
plan
to
transfer
the
administration
of
graduated
sanctions
8
and
court-ordered
services
and
funding
and
the
oversight
of
9
group
foster
care
placements
for
eligible
children
from
the
10
department
to
the
office
of
the
state
court
administrator.
11
The
plan
shall
ensure
that
the
office
of
the
state
court
12
administrator
has
the
capacity,
resources,
and
expertise
to
13
manage
the
funding
and
services
effectively.
14
3.
a.
In
addition
to
a
representative
of
the
division
of
15
criminal
and
juvenile
justice
planning
of
the
department
of
16
human
rights,
the
membership
of
the
work
group
shall
include
17
but
is
not
limited
to
representatives
of
all
of
the
following:
18
(1)
The
judicial
branch,
including
the
state
court
19
administrator
or
the
state
court
administrator’s
designee,
20
a
juvenile
court
judge,
at
least
one
chief
juvenile
court
21
officer,
and
a
representative
with
fiscal
and
contract
22
experience.
23
(2)
The
department
of
human
services,
including
24
representatives
with
experience
managing
graduated
sanctions
25
funding
and
group
foster
care
placements.
26
(3)
The
department
of
justice.
27
(4)
The
juvenile
justice
advisory
committee.
28
(5)
Member
and
nonmember
agencies
of
the
coalition
for
29
family
and
children’s
services
in
Iowa.
30
(6)
Providers
of
community-based
services
for
eligible
31
children.
32
(7)
Providers
of
group
foster
care.
33
(8)
Attorneys
who
represent
children
in
juvenile
justice
34
proceedings.
35
-68-
HF
766
(3)
88
pf/rn/md
68/
92
H.F.
766
(9)
County
attorneys.
1
(10)
Federal
Title
IV-E
funding
and
services
subject
matter
2
experts.
3
(11)
Individuals
who
formerly
received
services
as
eligible
4
children
or
their
parents.
5
b.
In
addition,
the
work
group
membership
shall
include
6
four
members
of
the
general
assembly.
The
legislative
members
7
shall
serve
as
ex
officio,
nonvoting
members
of
the
work
group,
8
with
one
member
to
be
appointed
by
each
of
the
following:
the
9
majority
leader
of
the
senate,
the
minority
leader
of
the
10
senate,
the
speaker
of
the
house
of
representatives,
and
the
11
minority
leader
of
the
house
of
representatives.
12
c.
In
addition
to
the
members
specified,
the
division
13
of
criminal
and
juvenile
justice
planning
may
include
other
14
stakeholders
with
interest
or
expertise
on
the
work
group.
15
d.
Any
expenses
incurred
by
a
member
of
the
work
group
16
shall
be
the
responsibility
of
the
individual
member
or
the
17
respective
entity
represented
by
the
member.
18
4.
The
work
group
shall
do
all
of
the
following:
19
a.
Develop
an
action
plan
to
transfer
the
administration
20
of
juvenile
court
graduated
sanction
services,
court-ordered
21
services,
and
associated
funding
from
the
department
to
the
22
office
of
the
state
court
administrator.
23
b.
Develop
an
action
plan
to
transfer
the
oversight
of
24
group
foster
care
services
for
eligible
children
from
the
25
department
to
the
office
of
the
state
court
administrator
or
26
other
appropriate
state
entity
with
the
necessary
expertise
to
27
provide
such
services.
28
c.
Develop
an
action
plan
to
transfer
administration
of
the
29
juvenile
detention
home
fund
created
in
section
232.142
from
30
the
department
to
the
office
of
the
state
court
administrator
31
or
other
appropriate
state
entity.
32
d.
Evaluate
current
resources
to
determine
the
most
33
efficient
means
of
suitably
equipping
the
office
of
the
state
34
court
administrator
with
the
policies
and
legal
authority;
35
-69-
HF
766
(3)
88
pf/rn/md
69/
92
H.F.
766
staffing;
contracting,
procurement,
data,
and
quality
assurance
1
capabilities;
and
other
resources
necessary
to
manage
such
2
funds
and
associated
services
effectively.
The
evaluation
3
shall
require
collaboration
with
the
department
to
manage
4
transition
activities.
5
e.
Recommend
statutory
and
administrative
policies
and
6
court
rules
to
promote
collaborative
case
planning
and
quality
7
assurance
between
the
department
and
juvenile
court
services
8
for
youth
who
may
be
involved
in
both
the
child
welfare
and
9
juvenile
justice
systems
or
who
may
utilize
the
same
providers
10
or
services.
11
f.
Determine
the
impact
and
role
of
the
federal
Family
12
First
Prevention
Services
Act
relative
to
the
various
funding
13
streams
and
services
under
the
purview
of
the
work
group,
and
14
recommend
statutory
and
administrative
policies
and
rules
to
15
coordinate
the
duties
of
the
work
group
with
implementation
and
16
administration
of
the
federal
Act.
17
g.
Determine
the
role
of
the
decategorization
of
child
18
welfare
and
juvenile
justice
funding
initiative
pursuant
19
to
section
232.188
relative
to
the
other
funding
streams
20
and
services
under
the
purview
of
the
work
group,
and
make
21
recommendations
regarding
the
future
of
the
initiative
22
including
the
potential
transfer
of
administration
of
the
23
initiative
from
the
department
to
the
office
of
the
state
court
24
administrator.
25
h.
Consult
with
other
state
juvenile
court
systems
and
26
subject
matter
experts
to
review
administration
of
similar
27
programs,
to
glean
information
on
lessons
learned
and
best
28
practices,
and
to
determine
the
types
of
community
and
29
residential
services
that
have
demonstrated
effectiveness
for
30
eligible
children.
31
5.
The
division
of
criminal
and
juvenile
justice
planning
32
of
the
department
of
human
rights
shall
submit
a
report
of
the
33
findings
and
recommendations
of
the
work
group
to
the
governor
34
and
the
general
assembly
by
December
15,
2019.
35
-70-
HF
766
(3)
88
pf/rn/md
70/
92
H.F.
766
DIVISION
VIII
1
CO-OCCURRING
CONDITIONS
——
ENHANCED
DELIVERY
OF
SERVICES
REVIEW
2
Sec.
43.
REVIEW
TO
PROVIDE
ENHANCED
DELIVERY
OF
SERVICES
3
FOR
CO-OCCURRING
CONDITIONS.
The
director
of
the
department
4
of
public
health
and
the
director
of
the
department
of
human
5
services
shall
develop
recommendations
for
the
enhanced
6
delivery
of
co-occurring
conditions
services.
The
directors
7
shall
examine
the
current
service
delivery
system
to
identify
8
opportunities
for
reducing
the
administrative
burden
on
the
9
departments
and
providers,
evaluate
the
use
of
an
integrated
10
helpline
and
website
and
improvements
in
data
collection
11
and
sharing
of
outcomes,
and
create
a
structure
for
ongoing
12
collaboration.
The
directors
shall
submit
a
report
including
13
findings,
a
five-year
plan
to
address
co-occurring
conditions
14
across
provider
types
and
payors,
and
other
recommendations
to
15
the
governor
and
general
assembly
by
December
15,
2019.
16
DIVISION
IX
17
MEDICAID
MANAGED
CARE
CONTRACTS
18
Sec.
44.
MEDICAID
MANAGED
CARE
CONTRACTS
——
NOTIFICATION
19
TO
GENERAL
ASSEMBLY.
The
department
of
human
services
shall
20
notify
the
chairpersons
and
ranking
members
of
the
joint
21
appropriations
subcommittee
on
health
and
human
services,
the
22
legislative
services
agency,
and
the
legislative
caucus
staffs
23
as
follows:
24
1.
Within
thirty
days
of
the
execution
of
a
Medicaid
managed
25
care
contract
or
amendment
to
a
Medicaid
managed
care
contract.
26
2.
Within
thirty
days
of
the
determination
by
the
27
department
during
each
measurement
year
whether
to
return
the
28
incentive
payment
withhold
amount
to
the
Medicaid
managed
care
29
organization
based
upon
performance
and
the
criteria
used
in
30
making
the
determination.
31
DIVISION
X
32
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING
33
Sec.
45.
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING.
The
34
department
on
aging
and
the
department
of
human
services
shall
35
-71-
HF
766
(3)
88
pf/rn/md
71/
92
H.F.
766
continue
to
collaborate
to
develop
a
cost
allocation
plan
1
requesting
Medicaid
administrative
funding
to
provide
for
the
2
claiming
of
federal
financial
participation
for
aging
and
3
disability
resource
center
activities
that
are
performed
to
4
assist
with
administration
of
the
Medicaid
program.
By
January
5
1,
2021,
the
department
of
human
services
shall
submit
to
6
the
centers
for
Medicare
and
Medicaid
services
of
the
United
7
States
department
of
health
and
human
services
any
Medicaid
8
state
plan
amendment
as
necessary
and
shall
enter
into
any
9
interagency
agreement
with
the
department
on
aging
to
implement
10
this
section.
11
DIVISION
XI
12
DECATEGORIZATION
FY
2017
CARRYOVER
FUNDING
13
Sec.
46.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2017
——
14
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
15
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
16
the
funding
pool
that
remained
unencumbered
or
unobligated
17
at
the
close
of
the
fiscal
year
beginning
July
1,
2016,
and
18
were
deemed
carryover
funding
to
remain
available
for
the
two
19
succeeding
fiscal
years
that
still
remain
unencumbered
or
20
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
21
2018,
shall
not
revert
but
shall
be
transferred
to
the
medical
22
assistance
program
for
the
fiscal
year
beginning
July
1,
2019.
23
Sec.
47.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
24
deemed
of
immediate
importance,
takes
effect
upon
enactment.
25
Sec.
48.
RETROACTIVE
APPLICABILITY.
This
division
of
this
26
Act
applies
retroactively
to
July
1,
2018.
27
DIVISION
XII
28
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS
29
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
(TANF)
30
Sec.
49.
2017
Iowa
Acts,
chapter
174,
section
45,
as
amended
31
by
2018
Iowa
Acts,
chapter
1165,
section
10,
is
amended
to
read
32
as
follows:
33
SEC.
45.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
34
GRANT.
There
is
appropriated
from
the
fund
created
in
section
35
-72-
HF
766
(3)
88
pf/rn/md
72/
92
H.F.
766
8.41
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
moneys
2
received
under
the
federal
temporary
assistance
for
needy
3
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
4
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
5
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
6
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
7
purposes
designated:
8
1.
To
be
credited
to
the
family
investment
program
account
9
and
used
for
assistance
under
the
family
investment
program
10
under
chapter
239B
:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,539,006
12
4,025,108
13
2.
To
be
credited
to
the
family
investment
program
account
14
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
15
program
and
implementing
family
investment
agreements
in
16
accordance
with
chapter
239B
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
18
5,192,060
19
3.
To
be
used
for
the
family
development
and
20
self-sufficiency
grant
program
in
accordance
with
section
21
216A.107
:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,883,980
23
2,898,980
24
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
25
subsection
that
remain
unencumbered
or
unobligated
at
the
close
26
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
27
for
expenditure
for
the
purposes
designated
until
the
close
of
28
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
29
encumbered
or
obligated
on
or
before
September
30,
2019,
the
30
moneys
shall
revert.
31
4.
For
field
operations:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
33
32,465,681
34
5.
For
general
administration:
35
-73-
HF
766
(3)
88
pf/rn/md
73/
92
H.F.
766
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
1
6.
For
state
child
care
assistance:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
3
a.
Of
the
funds
appropriated
in
this
subsection,
4
$26,205,412
is
transferred
to
the
child
care
and
development
5
block
grant
appropriation
made
by
the
Eighty-seventh
General
6
Assembly,
2018
session,
for
the
federal
fiscal
year
beginning
7
October
1,
2018,
and
ending
September
30,
2019.
Of
this
8
amount,
$200,000
shall
be
used
for
provision
of
educational
9
opportunities
to
registered
child
care
home
providers
in
order
10
to
improve
services
and
programs
offered
by
this
category
11
of
providers
and
to
increase
the
number
of
providers.
The
12
department
may
contract
with
institutions
of
higher
education
13
or
child
care
resource
and
referral
centers
to
provide
14
the
educational
opportunities.
Allowable
administrative
15
costs
under
the
contracts
shall
not
exceed
5
percent.
The
16
application
for
a
grant
shall
not
exceed
two
pages
in
length.
17
b.
Any
funds
appropriated
in
this
subsection
remaining
18
unallocated
shall
be
used
for
state
child
care
assistance
19
payments
for
families
who
are
employed
including
but
not
20
limited
to
individuals
enrolled
in
the
family
investment
21
program.
22
7.
For
child
and
family
services:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
24
8.
For
child
abuse
prevention
grants:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
26
9.
For
pregnancy
prevention
grants
on
the
condition
that
27
family
planning
services
are
funded:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
29
1,890,203
30
Pregnancy
prevention
grants
shall
be
awarded
to
programs
31
in
existence
on
or
before
July
1,
2018,
if
the
programs
have
32
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
33
pregnancy
prevention
programs
which
are
developed
after
July
34
1,
2018,
if
the
programs
are
based
on
existing
models
that
35
-74-
HF
766
(3)
88
pf/rn/md
74/
92
H.F.
766
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
1
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
2
section
14,
subsections
1
and
2
,
including
the
requirement
that
3
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
4
the
awarding
of
grants
shall
be
given
to
programs
that
serve
5
areas
of
the
state
which
demonstrate
the
highest
percentage
of
6
unplanned
pregnancies
of
females
of
childbearing
age
within
the
7
geographic
area
to
be
served
by
the
grant.
8
10.
For
technology
needs
and
other
resources
necessary
9
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
10
management
requirements:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
12
862,186
13
11.
a.
Notwithstanding
any
provision
to
the
contrary,
14
including
but
not
limited
to
requirements
in
section
8.41
or
15
provisions
in
2017
or
2018
Iowa
Acts
regarding
the
receipt
and
16
appropriation
of
federal
block
grants,
federal
funds
from
the
17
temporary
assistance
for
needy
families
block
grant
received
by
18
the
state
and
not
otherwise
appropriated
in
this
section
and
19
remaining
available
for
the
fiscal
year
beginning
July
1,
2018,
20
are
appropriated
to
the
department
of
human
services
to
the
21
extent
as
may
be
necessary
to
be
used
in
the
following
priority
22
order:
the
family
investment
program,
for
state
child
care
23
assistance
program
payments
for
families
who
are
employed,
and
24
for
the
family
investment
program
share
of
system
costs
for
25
eligibility
determination
and
related
functions.
The
federal
26
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
27
only
after
all
other
funds
appropriated
in
subsection
1
for
28
assistance
under
the
family
investment
program,
in
subsection
6
29
for
child
care
assistance,
or
in
subsection
10
for
technology
30
costs
related
to
the
family
investment
program,
as
applicable,
31
have
been
expended.
For
the
purposes
of
this
subsection,
the
32
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
33
to
the
child
care
and
development
block
grant
appropriation
34
are
considered
fully
expended
when
the
full
amount
has
been
35
-75-
HF
766
(3)
88
pf/rn/md
75/
92
H.F.
766
transferred.
1
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
2
legislative
services
agency
and
department
of
management
of
3
the
amount
of
funds
appropriated
in
this
subsection
that
was
4
expended
in
the
prior
quarter.
5
12.
Of
the
amounts
appropriated
in
this
section,
6
$12,962,008
for
the
fiscal
year
beginning
July
1,
2018,
is
7
transferred
to
the
appropriation
of
the
federal
social
services
8
block
grant
made
to
the
department
of
human
services
for
that
9
fiscal
year.
10
13.
For
continuation
of
the
program
providing
categorical
11
eligibility
for
the
food
assistance
program
as
specified
12
for
the
program
in
the
section
of
this
division
of
this
Act
13
relating
to
the
family
investment
program
account:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
15
13,000
16
14.
The
department
may
transfer
funds
allocated
in
this
17
section
to
the
appropriations
made
in
this
division
of
this
Act
18
for
the
same
fiscal
year
for
general
administration
and
field
19
operations
for
resources
necessary
to
implement
and
operate
the
20
services
referred
to
in
this
section
and
those
funded
in
the
21
appropriation
made
in
this
division
of
this
Act
for
the
same
22
fiscal
year
for
the
family
investment
program
from
the
general
23
fund
of
the
state.
24
15.
With
the
exception
of
moneys
allocated
under
this
25
section
for
the
family
development
and
self-sufficiency
grant
26
program,
to
the
extent
moneys
allocated
in
this
section
are
27
deemed
by
the
department
not
to
be
necessary
to
support
the
28
purposes
for
which
they
are
allocated,
such
moneys
may
be
29
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
30
funds
are
allocated
in
this
section
or
in
section
7
of
this
31
division
for
the
family
investment
program
account.
If
there
32
are
conflicting
needs,
priority
shall
first
be
given
to
the
33
family
investment
program
account
as
specified
under
subsection
34
1
of
this
section
and
used
for
the
purposes
of
assistance
under
35
-76-
HF
766
(3)
88
pf/rn/md
76/
92
H.F.
766
the
family
investment
program
under
chapter
239B
,
followed
by
1
state
child
care
assistance
program
payments
for
families
who
2
are
employed,
followed
by
other
priorities
as
specified
by
the
3
department.
4
FAMILY
INVESTMENT
PROGRAM
ADJUSTMENTS
5
Sec.
50.
2017
Iowa
Acts,
chapter
174,
section
46,
subsection
6
4,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
11,
is
7
amended
to
read
as
follows:
8
4.
Moneys
appropriated
in
this
division
of
this
Act
and
9
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
10
1,
2018,
and
ending
June
30,
2019,
are
allocated
as
follows:
11
a.
To
be
retained
by
the
department
of
human
services
to
12
be
used
for
coordinating
with
the
department
of
human
rights
13
to
more
effectively
serve
participants
in
FIP
and
other
shared
14
clients
and
to
meet
federal
reporting
requirements
under
the
15
federal
temporary
assistance
for
needy
families
block
grant:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,000
17
20,000
18
b.
To
the
department
of
human
rights
for
staffing,
19
administration,
and
implementation
of
the
family
development
20
and
self-sufficiency
grant
program
in
accordance
with
section
21
216A.107
:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
23
(1)
Of
the
funds
allocated
for
the
family
development
24
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
25
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
26
administration
of
the
grant
program.
27
(2)
The
department
of
human
rights
may
continue
to
implement
28
the
family
development
and
self-sufficiency
grant
program
29
statewide
during
fiscal
year
2018-2019.
30
(3)
The
department
of
human
rights
may
engage
in
activities
31
to
strengthen
and
improve
family
outcomes
measures
and
32
data
collection
systems
under
the
family
development
and
33
self-sufficiency
grant
program.
34
c.
For
the
diversion
subaccount
of
the
FIP
account:
35
-77-
HF
766
(3)
88
pf/rn/md
77/
92
H.F.
766
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
749,694
1
815,000
2
A
portion
of
the
moneys
allocated
for
the
subaccount
may
3
be
used
for
field
operations,
salaries,
data
management
4
system
development,
and
implementation
costs
and
support
5
deemed
necessary
by
the
director
of
human
services
in
order
to
6
administer
the
FIP
diversion
program.
To
the
extent
moneys
7
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
8
not
to
be
necessary
to
support
diversion
activities,
such
9
moneys
may
be
used
for
other
efforts
intended
to
increase
10
engagement
by
family
investment
program
participants
in
work,
11
education,
or
training
activities,
or
for
the
purposes
of
12
assistance
under
the
family
investment
program
in
accordance
13
with
chapter
239B
.
14
d.
For
the
food
assistance
employment
and
training
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
16
(1)
The
department
shall
apply
the
federal
supplemental
17
nutrition
assistance
program
(SNAP)
employment
and
training
18
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
19
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
20
provisions
for
the
claiming
of
allowable
federal
reimbursement
21
funds
from
the
United
States
department
of
agriculture
22
pursuant
to
the
federal
SNAP
employment
and
training
program
23
for
providing
education,
employment,
and
training
services
24
for
eligible
food
assistance
program
participants,
including
25
but
not
limited
to
related
dependent
care
and
transportation
26
expenses.
27
(2)
The
department
shall
continue
the
categorical
federal
28
food
assistance
program
eligibility
at
160
percent
of
the
29
federal
poverty
level
and
continue
to
eliminate
the
asset
test
30
from
eligibility
requirements,
consistent
with
federal
food
31
assistance
program
requirements.
The
department
shall
include
32
as
many
food
assistance
households
as
is
allowed
by
federal
33
law.
The
eligibility
provisions
shall
conform
to
all
federal
34
requirements
including
requirements
addressing
individuals
who
35
-78-
HF
766
(3)
88
pf/rn/md
78/
92
H.F.
766
are
incarcerated
or
otherwise
ineligible.
1
e.
For
the
JOBS
program:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,139,821
3
11,919,821
4
MEDICAL
ASSISTANCE
PROGRAM
ADJUSTMENT
5
Sec.
51.
2017
Iowa
Acts,
chapter
174,
section
51,
unnumbered
6
paragraph
2,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
7
section
18,
is
amended
to
read
as
follows:
8
For
medical
assistance
program
reimbursement
and
associated
9
costs
as
specifically
provided
in
the
reimbursement
10
methodologies
in
effect
on
June
30,
2018,
except
as
otherwise
11
expressly
authorized
by
law,
consistent
with
options
under
12
federal
law
and
regulations,
and
contingent
upon
receipt
of
13
approval
from
the
office
of
the
governor
of
reimbursement
for
14
each
abortion
performed
under
the
program:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,337,841,375
16
1,488,141,375
17
GROUP
FOSTER
CARE
REALLOCATION
18
Sec.
52.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
19
3,
paragraph
a,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
20
section
28,
is
amended
to
read
as
follows:
21
a.
Of
the
funds
appropriated
in
this
section,
up
to
22
$34,536,648
is
allocated
as
the
statewide
expenditure
target
23
under
section
232.143
for
group
foster
care
maintenance
and
24
services.
If
the
department
projects
that
such
expenditures
25
for
the
fiscal
year
will
be
less
than
the
target
amount
26
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
27
the
excess
to
provide
additional
funding
for
family
foster
28
care,
independent
living,
family
safety,
risk
and
permanency
29
services,
shelter
care
,
or
the
child
welfare
emergency
services
30
addressed
with
the
allocation
for
shelter
care.
31
SHELTER
CARE
ALLOCATION
32
Sec.
53.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
33
6,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
28,
is
34
amended
to
read
as
follows:
35
-79-
HF
766
(3)
88
pf/rn/md
79/
92
H.F.
766
6.
Notwithstanding
section
234.35
or
any
other
provision
of
1
law
to
the
contrary,
state
funding
Of
the
funds
appropriated
2
in
this
section,
a
sufficient
amount
is
allocated
for
shelter
3
care
and
the
child
welfare
emergency
services
contracting
4
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
5
shall
be
limited
to
$8,096,158
.
6
OTHER
FUNDING
FOR
CHILD
WELFARE
SERVICES
7
Sec.
54.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
8
6,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
28,
is
9
amended
by
adding
the
following
new
subsection:
10
NEW
SUBSECTION
.
24.
If
a
separate
funding
source
is
11
identified
that
reduces
the
need
for
state
funds
within
an
12
allocation
under
this
section,
the
allocated
state
funds
may
be
13
redistributed
to
other
allocations
under
this
section
for
the
14
same
fiscal
year.
15
Sec.
55.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
16
deemed
of
immediate
importance,
takes
effect
upon
enactment.
17
Sec.
56.
RETROACTIVE
APPLICABILITY.
This
division
of
this
18
Act
applies
retroactively
to
July
1,
2018.
19
DIVISION
XIII
20
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
PROGRAM
FUTURE
REPEAL
21
Sec.
57.
Section
249M.5,
Code
2019,
is
amended
to
read
as
22
follows:
23
249M.5
Future
repeal.
24
This
chapter
is
repealed
July
1,
2019
2021
.
25
Sec.
58.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
26
deemed
of
immediate
importance,
takes
effect
upon
enactment.
27
DIVISION
XIV
28
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
OF
FUNDS
29
Sec.
59.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
——
TRANSFER
30
OF
FUNDS.
Notwithstanding
section
331.432,
a
county
with
a
31
population
of
over
300,000
based
on
the
most
recent
federal
32
decennial
census,
may
transfer
funds
from
any
other
fund
of
the
33
county
to
the
mental
health
and
disability
regional
services
34
fund
for
the
purposes
of
providing
mental
health
and
disability
35
-80-
HF
766
(3)
88
pf/rn/md
80/
92
H.F.
766
services
for
the
fiscal
year
beginning
July
1,
2019,
and
1
ending
June
30,
2020.
The
county
shall
submit
a
report
to
2
the
governor
and
the
general
assembly
by
September
1,
2020,
3
including
the
source
of
any
funds
transferred,
the
amount
of
4
the
funds
transferred,
and
the
mental
health
and
disability
5
services
provided
with
the
transferred
funds.
6
DIVISION
XV
7
OPERATION
OF
BOARD
OF
MEDICINE,
BOARD
OF
NURSING,
BOARD
OF
8
PHARMACY,
AND
THE
DENTAL
BOARD
9
Sec.
60.
Section
135.11A,
subsection
1,
Code
2019,
is
10
amended
to
read
as
follows:
11
1.
There
shall
be
a
professional
licensure
division
within
12
the
department
of
public
health.
Each
board
under
chapter
147
13
or
under
the
administrative
authority
of
the
department,
except
14
the
board
of
nursing,
board
of
medicine,
dental
board,
and
15
board
of
pharmacy,
shall
receive
administrative
and
clerical
16
support
from
the
division
and
may
not
employ
its
own
support
17
staff
for
administrative
and
clerical
duties.
The
executive
18
director
of
the
board
of
nursing,
board
of
medicine,
dental
19
board,
and
board
of
pharmacy
shall
be
appointed
pursuant
to
20
section
135.11B.
21
Sec.
61.
NEW
SECTION
.
135.11B
Appointment
of
certain
22
executive
directors.
23
1.
The
director
shall
appoint
and
supervise
a
full-time
24
executive
director
for
each
of
the
following
boards:
25
a.
The
board
of
medicine.
26
b.
The
board
of
nursing.
27
c.
The
dental
board.
28
d.
The
board
of
pharmacy.
29
2.
Each
board
listed
in
subsection
1
shall
advise
the
30
director
in
evaluating
potential
candidates
for
the
position
of
31
executive
director,
consult
with
the
director
in
the
hiring
of
32
the
executive
director,
and
review
and
advise
the
director
on
33
the
performance
of
the
executive
director
in
the
discharge
of
34
the
executive
director’s
duties.
35
-81-
HF
766
(3)
88
pf/rn/md
81/
92
H.F.
766
3.
Each
board
listed
in
subsection
1
shall
retain
sole
1
discretion
and
authority
to
execute
the
core
functions
of
the
2
board
including
but
not
limited
to
policymaking,
advocating
3
for
and
against
legislation,
rulemaking,
licensing,
licensee
4
investigations,
licensee
disciplinary
proceedings,
and
5
oversight
of
professional
health
programs.
The
director’s
6
supervision
of
the
executive
director
shall
not
interfere
with
7
the
board’s
discretion
and
authority
in
executing
the
core
8
functions
of
the
board.
9
Sec.
62.
Section
147.80,
subsection
3,
Code
2019,
is
amended
10
to
read
as
follows:
11
3.
The
board
of
medicine,
the
board
of
pharmacy,
the
12
dental
board,
and
the
board
of
nursing
shall
retain
individual
13
executive
officers
pursuant
to
section
135.11B
,
but
shall
14
make
every
effort
to
share
administrative,
clerical,
and
15
investigative
staff
to
the
greatest
extent
possible.
16
Sec.
63.
Section
152.2,
Code
2019,
is
amended
to
read
as
17
follows:
18
152.2
Executive
director.
19
The
board
shall
appoint
retain
a
full-time
executive
20
director
,
who
shall
be
appointed
pursuant
to
section
135B.11
.
21
The
executive
director
shall
be
a
registered
nurse
and
shall
22
not
be
a
member
of
the
board
.
The
governor,
with
the
approval
23
of
the
executive
council
pursuant
to
section
8A.413,
subsection
24
3
,
under
the
pay
plan
for
exempt
positions
in
the
executive
25
branch
of
government,
shall
set
the
salary
of
the
executive
26
director.
27
Sec.
64.
Section
153.33,
subsection
2,
Code
2019,
is
amended
28
to
read
as
follows:
29
2.
All
employees
needed
to
administer
this
chapter
except
30
the
executive
director
shall
be
appointed
pursuant
to
the
merit
31
system.
The
executive
director
shall
serve
at
the
pleasure
of
32
the
board
be
appointed
pursuant
to
section
135.11B
and
shall
33
be
exempt
from
the
merit
system
provisions
of
chapter
8A,
34
subchapter
IV
.
35
-82-
HF
766
(3)
88
pf/rn/md
82/
92
H.F.
766
DIVISION
XVI
1
MEDICAID
PRIOR
AUTHORIZATION
——
UNIFORM
PROCESS
——
CENTRAL
2
PORTAL
3
Sec.
65.
MEDICAID
——
PRIOR
AUTHORIZATION
UNIFORM
4
PROCESS.
The
department
of
human
services
shall
adopt
rules
5
pursuant
to
chapter
17A
to
require,
and
shall
contractually
6
require,
that
both
managed
care
and
fee-for-service
payment
7
and
delivery
systems
utilize
a
uniform
process,
including
but
8
not
limited
to
uniform
forms,
information
requirements,
and
9
time
frames,
to
request
prior
authorization
under
the
Medicaid
10
program
no
later
than
October
1,
2019.
11
Sec.
66.
MEDICAID
MANAGEMENT
INFORMATION
SYSTEM
——
CENTRAL
12
PORTAL
——
REVIEW.
The
department
shall
review
the
costs
13
associated
with
expanding
the
medical
assistance
management
14
information
system
to
integrate
a
single,
statewide
system
15
to
serve
as
a
central
portal
for
submission
of
all
prior
16
authorization
requests
for
the
Medicaid
program.
The
portal
17
shall
not
be
designed
to
make
or
review
final
determinations
18
of
managed
care
organization
prior
authorization
requests,
but
19
shall
only
serve
as
a
conduit
to
deliver
prior
authorization
20
requests
to
the
appropriate
managed
care
organization.
The
21
results
of
the
study
shall
be
submitted
to
the
governor
and
the
22
general
assembly
no
later
than
March
31,
2020.
23
Sec.
67.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
24
deemed
of
immediate
importance,
takes
effect
upon
enactment.
25
DIVISION
XVII
26
HEALTH
AND
HUMAN
SERVICES
EXECUTIVE
BRANCH
ENTITIES
——
REFORM
27
IOWA
COLLABORATIVE
SAFETY
NET
PROVIDER
NETWORK
28
Sec.
68.
Section
135.24,
subsection
7,
paragraph
e,
Code
29
2019,
is
amended
to
read
as
follows:
30
e.
“Specialty
health
care
provider
office”
means
the
31
private
office
or
clinic
of
an
individual
specialty
health
32
care
provider
or
group
of
specialty
health
care
providers
as
33
referred
by
the
Iowa
collaborative
safety
net
provider
network
34
established
in
section
135.153
,
but
does
not
include
a
field
35
-83-
HF
766
(3)
88
pf/rn/md
83/
92
H.F.
766
dental
clinic,
a
free
clinic,
or
a
hospital.
1
Sec.
69.
Section
135.159,
subsection
1,
paragraph
h,
Code
2
2019,
is
amended
by
striking
the
paragraph.
3
Sec.
70.
REPEAL.
Section
135.153,
Code
2019,
is
repealed.
4
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
BOARD
5
Sec.
71.
Section
249M.4,
Code
2019,
is
amended
to
read
as
6
follows:
7
249M.4
Hospital
health
care
access
trust
fund
——
board
.
8
1.
A
hospital
health
care
access
trust
fund
is
created
9
in
the
state
treasury
under
the
authority
of
the
department.
10
Moneys
received
through
the
collection
of
the
hospital
health
11
care
access
assessment
imposed
under
this
chapter
and
any
12
other
moneys
specified
for
deposit
in
the
trust
fund
shall
be
13
deposited
in
the
trust
fund.
14
2.
Moneys
in
the
trust
fund
shall
be
used,
subject
to
15
their
appropriation
by
the
general
assembly,
by
the
department
16
to
reimburse
participating
hospitals
the
medical
assistance
17
program
upper
payment
limit
for
inpatient
and
outpatient
18
hospital
services
as
calculated
in
this
section
.
Following
19
payment
of
such
upper
payment
limit
to
participating
hospitals,
20
any
remaining
funds
in
the
trust
fund
on
an
annual
basis
may
be
21
used
for
any
of
the
following
purposes:
22
a.
To
support
medical
assistance
program
utilization
23
shortfalls.
24
b.
To
maintain
the
state’s
capacity
to
provide
access
to
and
25
delivery
of
services
for
vulnerable
Iowans.
26
c.
To
fund
the
health
care
workforce
support
initiative
27
created
pursuant
to
section
135.175
.
28
d.
To
support
access
to
health
care
services
for
uninsured
29
Iowans.
30
e.
To
support
Iowa
hospital
programs
and
services
which
31
expand
access
to
health
care
services
for
Iowans.
32
3.
The
trust
fund
shall
be
separate
from
the
general
fund
33
of
the
state
and
shall
not
be
considered
part
of
the
general
34
fund.
The
moneys
in
the
trust
fund
shall
not
be
considered
35
-84-
HF
766
(3)
88
pf/rn/md
84/
92
H.F.
766
revenue
of
the
state,
but
rather
shall
be
funds
of
the
hospital
1
health
care
access
assessment
program.
The
moneys
deposited
2
in
the
trust
fund
are
not
subject
to
section
8.33
and
shall
not
3
be
transferred,
used,
obligated,
appropriated,
or
otherwise
4
encumbered,
except
to
provide
for
the
purposes
of
this
chapter
.
5
Notwithstanding
section
12C.7,
subsection
2
,
interest
or
6
earnings
on
moneys
deposited
in
the
trust
fund
shall
be
7
credited
to
the
trust
fund.
8
4.
The
department
shall
adopt
rules
pursuant
to
chapter
9
17A
to
administer
the
trust
fund
and
reimbursements
and
10
expenditures
as
specified
in
this
chapter
made
from
the
trust
11
fund.
12
5.
a.
Beginning
July
1,
2010,
or
the
implementation
date
13
of
the
hospital
health
care
access
assessment
program
as
14
determined
by
receipt
of
approval
from
the
centers
for
Medicare
15
and
Medicaid
services
of
the
United
States
department
of
health
16
and
human
services,
whichever
is
later,
the
department
shall
17
increase
the
diagnostic
related
groups
and
ambulatory
patient
18
classifications
base
rates
to
provide
payments
to
participating
19
hospitals
at
the
Medicare
upper
payment
limit
for
the
fiscal
20
year
beginning
July
1,
2010,
calculated
as
of
July
31,
2010.
21
Each
participating
hospital
shall
receive
the
same
percentage
22
increase,
but
the
percentage
may
differ
depending
on
whether
23
the
basis
for
the
base
rate
increase
is
the
diagnostic
related
24
groups
or
ambulatory
patient
classifications.
25
b.
The
percentage
increase
shall
be
calculated
by
dividing
26
the
amount
calculated
under
subparagraph
(1)
by
the
amount
27
calculated
under
subparagraph
(2)
as
follows:
28
(1)
The
amount
under
the
Medicare
upper
payment
limit
for
29
the
fiscal
year
beginning
July
1,
2010,
for
participating
30
hospitals.
31
(2)
The
projected
expenditures
for
participating
hospitals
32
for
the
fiscal
year
beginning
July
1,
2010,
as
determined
by
33
the
fiscal
management
division
of
the
department,
plus
the
34
amount
calculated
under
subparagraph
(1).
35
-85-
HF
766
(3)
88
pf/rn/md
85/
92
H.F.
766
6.
For
the
fiscal
year
beginning
July
1,
2011,
and
for
1
each
fiscal
year
beginning
July
1,
thereafter,
the
payments
to
2
participating
hospitals
shall
continue
to
be
calculated
based
3
on
the
upper
payment
limit
as
calculated
for
the
fiscal
year
4
beginning
July
1,
2010.
5
7.
Reimbursement
of
participating
hospitals
shall
6
incorporate
the
rebasing
process
for
inpatient
and
outpatient
7
services
for
state
fiscal
year
2012.
However,
the
total
amount
8
of
increased
funding
available
for
reimbursement
attributable
9
to
rebasing
shall
not
exceed
four
million
five
hundred
thousand
10
dollars
for
state
fiscal
year
2012
and
six
million
dollars
for
11
state
fiscal
year
2013.
12
8.
Any
payments
to
participating
hospitals
under
this
13
section
shall
result
in
budget
neutrality
to
the
general
fund
14
of
the
state.
15
9.
a.
A
hospital
health
care
access
trust
fund
board
is
16
established
consisting
of
the
following
members:
17
(1)
The
co-chairpersons
and
the
ranking
members
of
the
joint
18
appropriations
subcommittee
on
health
and
human
services.
19
(2)
The
Iowa
medical
assistance
program
director.
20
(3)
Two
hospital
executives
representing
the
two
largest
21
private
health
care
systems
in
the
state.
22
(4)
The
president
of
the
Iowa
hospital
association.
23
(5)
A
representative
of
a
consumer
advocacy
group,
involved
24
in
both
state
and
national
initiatives,
that
provides
data
on
25
key
indicators
of
well-being
for
children
and
families
in
order
26
to
inform
policymakers
to
help
children
and
families
succeed.
27
b.
The
board
shall
do
all
of
the
following:
28
(1)
Provide
oversight
of
the
trust
fund.
29
(2)
Make
recommendations
regarding
the
hospital
health
care
30
access
assessment
program,
including
recommendations
regarding
31
the
assessment
calculation,
assessment
amounts,
payments
to
32
participating
hospitals,
and
use
of
the
moneys
in
the
trust
33
fund.
34
(3)
Submit
an
annual
report
to
the
governor
and
the
general
35
-86-
HF
766
(3)
88
pf/rn/md
86/
92
H.F.
766
assembly
regarding
the
use
and
expenditure
of
moneys
deposited
1
in
the
trust
fund.
2
c.
The
department
shall
provide
administrative
assistance
3
to
the
board.
4
ADVISORY
COMMITTEE
TO
THE
CENTER
FOR
RURAL
HEALTH
AND
PRIMARY
5
CARE
6
Sec.
72.
Section
135.107,
subsection
5,
Code
2019,
is
7
amended
by
striking
the
subsection.
8
Sec.
73.
Section
262.78,
subsection
3,
Code
2019,
is
amended
9
to
read
as
follows:
10
3.
The
president
of
the
university
of
Iowa,
in
consultation
11
with
the
president
of
Iowa
state
university
of
science
and
12
technology,
shall
employ
a
full-time
director
of
the
center.
13
The
center
may
employ
staff
to
carry
out
the
center’s
purpose.
14
The
director
shall
coordinate
the
agricultural
health
and
15
safety
programs
of
the
center.
The
director
shall
regularly
16
meet
and
consult
with
the
advisory
committee
to
the
center
for
17
rural
health
and
primary
care.
The
director
shall
provide
18
the
board
of
regents
with
relevant
information
regarding
the
19
center.
20
GOVERNMENTAL
PUBLIC
HEALTH
ADVISORY
COUNCIL
21
Sec.
74.
Section
135A.2,
subsection
2,
Code
2019,
is
amended
22
by
striking
the
subsection.
23
Sec.
75.
Section
135A.9,
subsection
1,
Code
2019,
is
amended
24
by
striking
the
subsection.
25
Sec.
76.
REPEAL.
Section
135A.4,
Code
2019,
is
repealed.
26
PATIENT-CENTERED
HEALTH
ADVISORY
COUNCIL
27
Sec.
77.
REPEAL.
Section
135.159,
Code
2019,
is
repealed.
28
COMBINING
STATE
MEDICAL
EXAMINER
ADVISORY
COUNCIL
WITH
THE
29
INTERAGENCY
COORDINATING
COUNCIL
30
Sec.
78.
Section
691.6B,
Code
2019,
is
amended
to
read
as
31
follows:
32
691.6B
Interagency
coordinating
council.
33
1.
An
interagency
coordinating
council
is
created
to
advise
34
do
all
of
the
following:
35
-87-
HF
766
(3)
88
pf/rn/md
87/
92
H.F.
766
a.
Advise
and
consult
with
the
state
medical
examiner
on
a
1
range
of
issues
affecting
the
organization
and
functions
of
the
2
office
of
the
state
medical
examiner
and
the
effectiveness
of
3
the
medical
examiner
system
in
the
state.
4
b.
Advise
the
state
medical
examiner
concerning
the
5
assurance
of
effective
coordination
of
the
functions
and
6
operations
of
the
office
of
the
state
medical
examiner
with
the
7
needs
and
interests
of
the
departments
of
public
safety
and
8
public
health.
9
2.
Members
of
the
interagency
coordinating
council
shall
10
include
the
all
of
the
following:
11
a.
The
state
medical
examiner,
or
when
the
state
medical
12
examiner
is
not
available,
the
deputy
state
medical
examiner
;
13
the
.
14
b.
The
commissioner
of
public
safety
or
the
commissioner’s
15
designee
;
the
.
16
c.
The
director
of
public
health
or
the
director’s
designee
;
17
and
the
.
18
d.
The
governor
or
the
governor’s
designee.
19
e.
Representatives
from
the
office
of
the
attorney
20
general,
the
Iowa
county
attorneys
association,
the
Iowa
21
medical
society,
the
Iowa
association
of
pathologists,
the
22
Iowa
association
of
county
medical
examiners,
the
statewide
23
emergency
medical
system,
and
the
Iowa
funeral
directors
24
association.
25
3.
The
interagency
coordinating
council
shall
meet
on
26
a
regular
basis
,
and
shall
be
organized
and
function
as
27
established
by
the
state
medical
examiner
by
rule
.
28
Sec.
79.
REPEAL.
Section
691.6C,
Code
2019,
is
repealed.
29
TOBACCO
USE
PREVENTION
AND
CONTROL
COMMISSION
——
MEMBERSHIP
——
30
MEETINGS
——
EXPENSES
31
Sec.
80.
Section
142A.3,
subsection
6,
Code
2019,
is
amended
32
to
read
as
follows:
33
6.
Citizen
members
shall
be
reimbursed
for
actual
and
34
necessary
expenses
incurred
in
performance
of
their
duties.
35
-88-
HF
766
(3)
88
pf/rn/md
88/
92
H.F.
766
Citizen
members
shall
be
paid
a
per
diem
as
specified
in
1
section
7E.6
.
Legislative
members
are
eligible
for
per
diem
2
and
expenses
as
provided
in
section
2.10
.
3
Sec.
81.
Section
142A.3,
subsection
9,
Code
2019,
is
amended
4
to
read
as
follows:
5
9.
The
commission
shall
elect
a
chairperson
from
among
its
6
voting
members
and
may
select
other
officers
from
among
its
7
voting
members,
as
determined
necessary
by
the
commission.
8
The
commission
shall
meet
regularly
no
more
than
quarterly
as
9
determined
by
the
commission,
upon
the
call
of
the
chairperson,
10
or
upon
the
call
of
a
majority
of
the
voting
members.
11
Sec.
82.
TOBACCO
USE
PREVENTION
AND
CONTROL
COMMISSION
——
12
MEMBERSHIP
REDUCTION.
The
tobacco
use
prevention
and
control
13
commission
shall
evaluate
the
membership
of
the
commission
14
and
shall
submit
to
the
department
of
public
health
the
15
commission’s
recommendation,
to
be
submitted
by
the
director
16
of
public
health
as
proposed
legislation
in
compliance
with
17
section
2.16
for
consideration
by
the
general
assembly
during
18
the
2020
legislative
session,
to
reduce
the
number
of
voting
19
members
from
nine
to
seven
members.
20
TRAUMA
SYSTEM
ADVISORY
COUNCIL
21
Sec.
83.
Section
147A.24,
subsection
2,
Code
2019,
is
22
amended
to
read
as
follows:
23
2.
The
council
shall
consist
of
seven
members
to
be
24
appointed
by
the
director
from
the
recommendations
of
25
the
organizations
in
subsection
1
for
terms
of
two
years.
26
Vacancies
on
the
council
shall
be
filled
for
the
remainder
of
27
the
term
of
the
original
appointment.
Members
whose
terms
28
expire
may
be
reappointed.
29
Sec.
84.
TRANSITION
PROVISIONS.
Notwithstanding
any
30
provision
of
section
147A.24,
subsection
2,
to
the
contrary,
a
31
member
of
the
trauma
system
advisory
council
on
July
1,
2019,
32
shall
continue
serving
until
the
expiration
of
that
member’s
33
term
or
until
a
vacancy
occurs
prior
to
the
expiration
of
the
34
applicable
term,
and
such
vacancy
shall
only
be
filled
to
the
35
-89-
HF
766
(3)
88
pf/rn/md
89/
92
H.F.
766
extent
consistent
with
and
necessary
to
maintain
the
total
1
number
of
members
of
the
council
specified
in
section
147A.24,
2
subsection
2,
as
amended
in
this
Act.
3
TELECONFERENCE
OPTION
FOR
STATE
ENTITIES
4
Sec.
85.
NEW
SECTION
.
135.11B
Statutory
board,
commission,
5
committee,
or
council
of
committee
——
teleconference
option.
6
Any
statutorily
established
board,
commission,
committee,
or
7
council
established
under
the
purview
of
the
department
shall
8
provide
for
a
teleconference
option
for
board,
commission,
9
committee,
or
council
members
to
participate
in
official
10
meetings.
11
ELIMINATION
OF
PAYMENT
OF
EXPENSES
FOR
PUBLIC
MEMBERS
OF
12
CERTAIN
STATE
ENTITIES
13
Sec.
86.
Section
105.3,
subsection
6,
Code
2019,
is
amended
14
by
striking
the
subsection.
15
Sec.
87.
Section
135.43,
subsection
2,
unnumbered
paragraph
16
1,
Code
2019,
is
amended
to
read
as
follows:
17
The
membership
of
the
review
team
is
subject
to
the
18
provisions
of
sections
69.16
and
69.16A
,
relating
to
political
19
affiliation
and
gender
balance.
Review
team
members
who
20
are
not
designated
by
another
appointing
authority
shall
be
21
appointed
by
the
state
medical
examiner.
Membership
terms
22
shall
be
for
three
years.
A
membership
vacancy
shall
be
filled
23
in
the
same
manner
as
the
original
appointment.
The
review
24
team
shall
elect
a
chairperson
and
other
officers
as
deemed
25
necessary
by
the
review
team.
The
review
team
shall
meet
upon
26
the
call
of
the
state
medical
examiner
or
as
determined
by
27
the
review
team.
The
members
of
the
team
are
eligible
for
28
reimbursement
of
actual
and
necessary
expenses
incurred
in
the
29
performance
of
their
official
duties.
The
review
team
shall
30
include
the
following:
31
Sec.
88.
Section
135.62,
subsection
2,
paragraph
e,
Code
32
2019,
is
amended
by
striking
the
paragraph.
33
Sec.
89.
Section
147A.3,
Code
2019,
is
amended
to
read
as
34
follows:
35
-90-
HF
766
(3)
88
pf/rn/md
90/
92
H.F.
766
147A.3
Meetings
of
the
council
——
quorum
——
expenses
.
1
Membership,
terms
of
office,
and
quorum
,
and
expenses
shall
2
be
determined
by
the
director
pursuant
to
chapter
135
.
3
Sec.
90.
Section
256I.3,
subsection
3,
Code
2019,
is
amended
4
by
striking
the
subsection.
5
ELIMINATION
OF
CHILD
WELFARE
ADVISORY
COMMITTEE,
CHILD
6
SUPPORT
ADVISORY
COMMITTEE,
CHILDREN’S
MENTAL
HEALTH
WAIVER
7
IMPLEMENTATION
COMMITTEE,
AND
PROPERTY
TAX
RELIEF
FUND
RISK
8
POOL
9
Sec.
91.
Section
217.3A,
subsection
1,
Code
2019,
is
amended
10
to
read
as
follows:
11
1.
General.
The
council
on
human
services
shall
establish
12
and
utilize
the
advisory
committees
committee
identified
in
13
this
section
and
may
establish
and
utilize
other
advisory
14
committees.
The
council
shall
establish
appointment
15
provisions,
membership
terms,
operating
guidelines,
and
other
16
operational
requirements
for
committees
established
pursuant
to
17
this
section
.
18
Sec.
92.
Section
217.3A,
subsections
3
and
4,
Code
2019,
are
19
amended
by
striking
the
subsections.
20
Sec.
93.
Section
426B.5,
subsection
1,
Code
2019,
is
amended
21
by
striking
the
subsection.
22
Sec.
94.
2005
Iowa
Acts,
chapter
117,
section
4,
subsection
23
3,
is
amended
by
striking
the
subsection.
24
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
25
Sec.
95.
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
——
VOTING
26
MEMBER
SUSPENSION.
Notwithstanding
any
provision
of
law
to
the
27
contrary,
if
a
representative
of
a
professional
or
business
28
entity,
a
public
member,
or
a
member
of
the
hawk-i
board
who
29
is
a
voting
member
of
the
medical
assistance
advisory
council
30
pursuant
to
section
249A.4B,
subsection
2,
is
absent
for
31
two
consecutive
meetings
of
the
medical
assistance
advisory
32
council,
the
member
shall
be
suspended
from
participation
in
33
the
deliberations
of
the
advisory
council
for
a
period
of
34
twelve
months
from
the
date
of
the
member’s
second
absence.
35
-91-
HF
766
(3)
88
pf/rn/md
91/
92
H.F.
766
During
the
member’s
suspension
period,
the
voting
rights
of
the
1
professional
or
business
entity,
consumer
group
or
consumer
2
organization,
or
the
hawk-i
board
shall
not
be
exercised,
but
3
the
vacancy
in
voting
membership
shall
not
prohibit
the
medical
4
assistance
advisory
council
from
achieving
a
quorum.
5
DIVISION
XVIII
6
MEDICAID
MANAGED
CARE
TERMINATION
——
EXPEDITED
CLAIMS
DISPUTE
7
PROCESS
8
Sec.
96.
MEDICAID
MANAGED
CARE
TERMINATION
——
EXPEDITED
9
CLAIMS
DISPUTE
PROCESS.
No
later
than
July
1,
2019,
the
10
department
of
human
services
shall
require
an
expedited
claims
11
dispute
process
for
all
outstanding
claims
to
be
applicable
12
if
a
managed
care
organization
terminates
coverage
under
the
13
Medicaid
program.
Such
an
expedited
claims
dispute
process
14
shall,
beginning
on
the
date
a
managed
care
organization
15
terminates
coverage,
allow
a
provider,
a
member,
or
a
member’s
16
authorized
representative
the
option
to
dispute
the
managed
17
care
organization’s
claim
adjudication
within
the
required
time
18
frames
and
consistent
with
this
section.
The
managed
care
19
organization
shall
report
all
disputed
claims
being
processed
20
and
the
outcomes
of
such
disputed
claims
to
the
department
on
a
21
monthly
basis
for
at
least
two
years
following
termination
of
22
the
managed
care
organization’s
contract
with
the
state.
23
-92-
HF
766
(3)
88
pf/rn/md
92/
92