Pg 1, Ln 8

General Fund appropriation to the Department on Aging for FY 2012.

DETAIL: This is a net increase of $5,457,263 and a decrease of 1.00 FTE position compared to estimated FY 2011. The changes include:

  • An increase of $8,486,698 to restore funds that were previously appropriated from the Senior Living Trust Fund (SLTF).
  • A decrease of $772,921 for a general reduction.
  • A decrease of $2,256,514 due to the elimination of Medicaid Case Management funds that will now be appropriated directly to Medicaid.
Pg 1, Ln 21Permits the use of funds appropriated in this Section to supplement federal funds for elderly services if those services are approved by an Area Agency on Aging. Requires local Area Agencies on Aging to match the funds for aging programs and services.
Pg 1, Ln 30Requires the Area Agencies on Aging to reduce administrative expenses by 10.00% in order to receive funding.
Pg 2, Ln 2Requires a transfer of $179,946 to the Iowa Commission on Volunteer Services in the Department of Economic Development for the Retired Senior Volunteer Program (RSVP).

DETAIL: This is no change compared to the FY 2011 allocation.
Pg 2, Ln 23Requires the Department on Aging to establish and enforce procedures related to expenditures of State and federal funds, complying with both State and federal law. An Area Agency on Aging is liable for any expenditures that are not in compliance with the law.
Pg 2, Ln 23Requires the Department on Aging to establish and enforce procedures related to expenditures of State and federal funds, complying with both State and federal law. An Area Agency on Aging is liable for any expenditures that are not in compliance with the law.
Pg 2, Ln 23Requires the Department on Aging to establish and enforce procedures related to expenditures of State and federal funds, complying with both State and federal law. An Area Agency on Aging is liable for any expenditures that are not in compliance with the law.
Pg 2, Ln 23Requires the Department on Aging to establish and enforce procedures related to expenditures of State and federal funds, complying with both State and federal law. An Area Agency on Aging is liable for any expenditures that are not in compliance with the law.
Pg 2, Ln 23Requires the Department on Aging to establish and enforce procedures related to expenditures of State and federal funds, complying with both State and federal law. An Area Agency on Aging is liable for any expenditures that are not in compliance with the law.
Pg 2, Ln 23Requires the Department on Aging to establish and enforce procedures related to expenditures of State and federal funds, complying with both State and federal law. An Area Agency on Aging is liable for any expenditures that are not in compliance with the law.
Pg 2, Ln 23Requires the Department on Aging to establish and enforce procedures related to expenditures of State and federal funds, complying with both State and federal law. An Area Agency on Aging is liable for any expenditures that are not in compliance with the law.
Pg 3, Ln 6General Fund appropriation to addictive disorders programs.

DETAIL: This is a net decrease of $6,011,967 and 5.00 FTE positions compared to estimated FY 2011. The General Fund changes include:
  • A decrease of $1,673,463 for a general reduction.
  • An increase of $500,000 to replace one-time funding in FY 2011 for substance abuse treatment from the Underground Storage Tank (UST) Fund in FY 2012.
  • An increase of $675,896 to partially restore the mid-year reduction in FY 2011.
  • A decrease of $5,514,400 to eliminate funding for tobacco-related programming with the exception of enforcement.
  • A decrease of 5.00 FTE positions to reflect current usage.
Pg 3, Ln 12Transfers $453,830 from the Department to the Alcoholic Beverages Division (ABD) in the Department of Commerce for enforcement of tobacco laws, regulations, and ordinances if HF 467 is enacted.

DETAIL: House File 467 is the DPH’s Department Omnibus Bill that transfers the authority of tobacco enforcement to the ABD.
Pg 3, Ln 17Limits tobacco programming in FY 2012 to the extent that funding is available.
Pg 3, Ln 22Allocates $20,249,360 for substance abuse and program gambling treatment and prevention.

DETAIL: The total FY 2012 gambling treatment, prevention, and support allocation is $3,116,852. This is a decrease of $599,678 compared to the FY 2011 allocation.
Pg 3, Ln 25Allocates $2,579,000 for problem gambling treatment and prevention.

DETAIL: This does not include funding for such things as information and referral services.
Pg 3, Ln 29Permits the Department to use a maximum of $100,000 for licensing of gambling treatment programs.
Pg 3, Ln 32Requires the DPH to implement a process to create a system for delivery of treatment services. Requires the process to include the establishment of joint licensure for gambling and substance abuse treatment programs.
Pg 4, Ln 9Requires the delivery system for substance abuse and problem gambling treatment to include problem gambling prevention.
Pg 4, Ln 11Requires the delivery system for substance abuse and problem gambling treatment to include 24-hour helpline services, public information and resources, and program evaluation.
Pg 4, Ln 15Requires the process to create a system for delivery of substance abuse and problem gambling treatment and prevention to be completed by July 1, 2012. Requires the Department to submit any necessary revisions that require legislation to the 2012 General Assembly.
Pg 4, Ln 22Requires the Department to expand the system for delivery of substance abuse and problem gambling treatment and prevention to expand to include substance abuse prevention by July 1, 2014.
Pg 4, Ln 25Permits the Department to use up to $100,000 for administrative costs to continue the process of developing the system for delivery of substance abuse and problem gambling treatment and prevention.
Pg 4, Ln 31Allocates $899,300 for substance abuse prevention programs for children and youth.

DETAIL: This is a decrease of $44,513 compared to the FY 2011 allocation.
Pg 4, Ln 35Allocates $427,539 for substance abuse prevention programs for children to be used for programs that utilize mentors. Requires the programs that receive funding to be verified within six months of receiving grants by the Iowa Commission on Volunteer Services as using effective standards for mentoring programs.

DETAIL: This is a decrease of $21,906 compared to the FY 2011 allocation.
Pg 5, Ln 8Allocates $426,839 for substance abuse prevention programs for children to be used to provide programs that include youth and character development and leadership. Requires the programs to be recognized as scientifically-based with evidence of effectiveness in reducing substance abuse in children.

DETAIL: This is a decrease of $22,616 compared to the FY 2011 allocation.
Pg 5, Ln 15Requires the DPH to issue a Request for Proposals (RFP) to determine grant recipients for the funds allocated for substance abuse prevention programs for children.
Pg 5, Ln 17Requires substance abuse prevention programs for children grant recipients to participate in program evaluations.
Pg 5, Ln 19Requires $44,922 of the amount allocated for substance abuse prevention programs for children to be used to administer prevention program grants and evaluations.
Pg 5, Ln 22Specifies it is the intent of the General Assembly that individuals with a diagnosis of both substance abuse and gambling addiction are required to be given priority in treatment services from the funds appropriated in this Section.
Pg 5, Ln 26Requires an allocation of $273,062 for three culturally competent substance abuse treatment pilot projects.

DETAIL: This is a decrease of $27,258 compared to the FY 2011 allocation.
Pg 6, Ln 6Specifies that the requirements of Code Section 123.53(3) are met by the appropriations made in this Act.
Pg 6, Ln 10Requires the Department to work with other State entities that provide funding for substance abuse treatment and prevention services to collectively meet the State MOE requirements for the federal Substance Abuse Prevention and Treatment Block Grant.
Pg 6, Ln 21General Fund appropriation to healthy children and families programs.

DETAIL: This is a net decrease of $88,313 and 4.0 FTE positions compared to estimated FY 2011. The General Fund changes include:
  • A decrease of $156,505 for a general reduction.
  • An increase of $68,192 to partially restore the mid-year reduction in FY 2011.
  • A decrease of 4.0 FTE positions to reflect current usage.
Pg 6, Ln 27Limits the General Fund amount used to fund the HOPES Program to $639,318. The funds are required to be distributed to the grantees that received funding in FY 2011.

DETAIL: This is a decrease of $98,885 compared to the FY 2011 allocation.
Pg 6, Ln 34Allocates $287,520 for the ABCD II Program.

DETAIL: This is a decrease $42,365 compared to the FY 2011 allocation.
Pg 7, Ln 5Allocates $31,597 for dental services for indigent elderly and disabled individuals.

DETAIL: This is no change compared to the FY 2011 allocation.
Pg 7, Ln 11Allocates $112,677 for childhood obesity programs.

DETAIL: This is a decrease of $16,602 compared to the FY 2011 allocation.
Pg 7, Ln 13
Allocates $163,760 for the Audiological Services for Kids Program.

DETAIL: This is a decrease of $24,130 compared to the FY 2011 allocation.
Pg 7, Ln 17General Fund appropriation to chronic conditions programs.

DETAIL: This is a net increase of $62,317 and 0.05 FTE position compared to estimated FY 2011. The General Fund changes include:
  • A decrease of $200,373 for a general reduction.
  • An increase of $15,000 to replace one-time funding in FY 2011 for child health specialty clinics from the Underground Storage Tank (UST) Fund in FY 2012.
  • An increase of $363,987 for increased funding for the Iowa Consortium for Comprehensive Cancer Control (ICCCC) Program.
  • A decrease of $116,297 to eliminate funding to the Prevention and Chronic Care Advisory Council.
  • A increase of 0.05 FTE position to reflect current usage.
Pg 7, Ln 23Allocates $136,808 for PKU assistance.

DETAIL: This is a decrease $23,774 compared to the FY 2011 allocation.
Pg 7, Ln 27Allocates $383,600 for continuation of the contracts from FY 2011 in the DPH Brain Injury Services Program.

DETAIL: This is a decrease of $58,082 compared to the FY 2011 allocation.
Pg 7, Ln 34Allocates $468,874 to the ADAP.

DETAIL: This is a decrease of $70,994 compared to the FY 2011 allocation.
Pg 8, Ln 3Allocates $31,254 for epilepsy education and support.

DETAIL: This is a decrease of $25,759 compared to the FY 2011 allocation.
Pg 8, Ln 8Allocates $770,791 for child health specialty clinics.

DETAIL: This is a decrease of $17,512 compared to the FY 2011 allocation.
Pg 8, Ln 10Allocates $733,311 for the ICCC Program.

DETAIL: This is a net increase of $324,509 compared to the FY 2011 allocation. Of the total amount, $363,987 is required to be used to support various efforts in studying, tracking, and researching melanoma.
Pg 8, Ln 18Allocates $134,560 for cervical and colon cancer screening.

DETAIL: This is a decrease of $10,990 compared to the FY 2011 allocation.
Pg 8, Ln 20Allocates $421,782 for the Center for Congenital and Inherited Disorders Central Registry.

DETAIL: This is a decrease of $107,052 compared to the FY 2011 allocation.
Pg 8, Ln 23Allocates $129,937 for the Prescription Drug Donation Program.

DETAIL: This is a decrease of $19,675 compared to the FY 2011 allocation.
Pg 8, Ln 26

General Fund appropriation to community capacity programs.

DETAIL: This is a net decrease of $1,435,092 and 7.0 FTE positions compared to estimated FY 2011. The General Fund changes include:

  • A decrease of $325,386 for a general reduction.
  • An increase of $13,275 to partially restore the mid-year reduction in FY 2011
  • A decrease of $346,626 to eliminate funding to direct care worker initiatives
  • A decrease of $25,000 to eliminate funding to the Governor’s Council on Physical Fitness and Nutrition
  • A decrease of $143,466 to eliminate funding to the Health and Long-Term Care Access Advisory Council
  • A decrease of $607,889 to eliminate funding to the Healthy Communities Wellness Grant Program
  • A decrease of 7.0 FTE positions to reflect current usage.
Pg 8, Ln 32Allocates $33,081 for a child vision screening program through the University of Iowa Hospitals and Clinics in collaboration with Early Childhood Iowa areas.

DETAIL: This is a decrease of $30,511 compared to the FY 2011 allocation.
Pg 9, Ln 1Requires an allocation of $118,981 for a University of Iowa initiative to expand and improve the mental health treatment and services workforce. Requires an allocation of $107,420 for a similar initiative at the Mental Health Institute (MHI) at Cherokee.

DETAIL: Compared to the FY 2011 allocations these are decreases of $10,760 and $9,722 respectively.
Pg 9, Ln 12Requires the DPH to use $1,171,491 for core public health functions, including home health care and public health nursing services.

DETAIL: This is a decrease of $93,321 compared to the FY 2011 allocation.
Pg 9, Ln 17Allocates $121,817 to the Governmental Public Health System Fund.

DETAIL: This is a decrease of $8,397 compared to the FY 2011 allocation. The Fund is used for activities relating to the Department's Public Health Modernization initiative.
Pg 9, Ln 21Allocates $113,605 for the Mental Health Professional Shortage Area Program.

DETAIL: This is a decrease of $29,545 compared to the FY 2011 allocation.
Pg 9, Ln 24Allocates $40,900 for a rotation program for intern psychologists in urban and rural mental health professional shortage areas.

DETAIL: This is no change compared to the FY 2011 allocation.
Pg 9, Ln 31Provides for allocations to the Iowa Collaborative Safety Net Provider Network.
Pg 9, Ln 35Allocates $116,597 for the Iowa Collaborative Safety Net Provider Network.

DETAIL: This is an increase of $42,977 compared to the FY 2011 allocation.
Pg 10, Ln 4Allocates $68,332 for local board of health pilot programs in three counties to assist patients in finding an appropriate medical home.

DETAIL: This is a decrease of $6,185 compared to the FY 2011 allocation.
Pg 10, Ln 8Allocates $68,332 for three child and maternal health center pilot programs to assist patients in finding an appropriate medical home.

DETAIL: This is a decrease of $6,185 compared to the FY 2011 allocation.
Pg 10, Ln 12Allocates $113,754 for free clinics to assist patients in finding an appropriate medical home.

DETAIL: This is a decrease of $70,296 compared to the FY 2011 allocation.
Pg 10, Ln 17Allocates $101,264 for rural health clinics to assist patients in finding an appropriate medical home.

DETAIL: This is a decrease of $9,166 compared to the FY 2011 allocation.
Pg 10, Ln 22Allocates $238,420 for the safety net provider patient access to specialty care initiative.

DETAIL: This is a decrease of $56,060 compared to the FY 2011 allocation.
Pg 10, Ln 26Allocates $247,590 for the pharmaceutical infrastructure for safety net providers.

DETAIL: This is a decrease of $46,890 compared to the FY 2011 allocation.
Pg 10, Ln 30Permits the Iowa Collaborative Safety Net Provider Network to continue existing contracts to distribute the funding.
Pg 10, Ln 34Directs the Department to utilize, to the extent possible, federal funding received for direct care worker initiatives for continued implementation of the recommendations of the Direct Care Worker Task Force.

DETAIL: A federal grant of $2.3 million has been awarded to the DPH for a project period of FY 2011 to FY 2014 and will fund activities relating to direct care workers in two areas of the State.
Pg 11, Ln 8Permits the Department to utilize up to 1.00 FTE position for administration of activities related to the Iowa Collaborative Safety Net Provider Network.
Pg 11, Ln 12Permits the Department to utilize up $60,000 and 1.00 FTE position for administration of the Voluntary Health Care Provider Program.

DETAIL: This is a new funding allocation for FY 2012. In previous years, the Department received funding in the same amount from the Iowa/Nebraska Primary Care Association to fund this Program.
Pg 11, Ln 16General Fund appropriation to healthy aging programs (formerly referred to as elderly wellness).

DETAIL: This is a net decrease of $103,764 compared to estimated FY 2011. The General Fund changes include:
  • A decrease of $468,264 for a general reduction.
  • An increase of $403,500 to partially restore the mid-year reduction in FY 2011.
  • A decrease of $39,000 to reduce funds directed to non-elderly wellness initiatives.
Pg 11, Ln 22Allocates $2,009,187 for the Local Public Health Nursing Program.

DETAIL: This is a decrease of $200,509 compared to the FY 2011 allocation.
Pg 11, Ln 24Allocates $5,287,955 for the Home Care Aide Services Program.

DETAIL: This is a decrease of $548,128 compared to the FY 2011 allocation.
Pg 11, Ln 26General Fund appropriation to environmental hazards programs.

DETAIL: This is a net decrease of $20,689 and 0.50 FTE position compared to estimated FY 2011. The General Fund changes include:
  • A decrease of $51,943 for a general reduction.
  • An increase of $31,254 to partially restore the mid-year reduction in FY 2011.
  • A reduction of 0.50 FTE position to reflect current usage.
Pg 11, Ln 32Requires an allocation of $575,631 for childhood lead poisoning testing.

DETAIL: This is a decrease of $14,749 compared to the FY 2011 allocation.
Pg 11, Ln 34General Fund appropriation to infectious diseases programs.

DETAIL: This is a net decrease of $34,217 and 1.00 FTE position compared to estimated FY 2011. The General Fund changes include:
  • A decrease of $85,905 for a general reduction.
  • An increase of $51,688 to partially restore the mid-year reduction in FY 2011.
  • A decrease of 1.00 FTE position to reflect current usage.
Pg 12, Ln 5General Fund appropriation to public protection programs.

DETAIL: This is a net decrease of $238,715 and 7.15 FTE positions compared to estimated FY 2011. The General Fund changes include:
  • A decrease of $188,715 for a general reduction.
  • A decrease of $50,000 to eliminate one-time funding to the Emergency Medical Services Fund for education, training, testing, and other costs to conform to national standards for certification of emergency medical care providers.
  • A decrease of 7.15 FTE positions to reflect current usage.
Pg 12, Ln 11Requires $424,146 to be allocated to the Emergency Medical Services (EMS) Fund.

DETAIL: This is a decrease of $47,544 compared to the FY 2011 allocation. The funds are used for training and equipment provided through the EMS Program.
Pg 12, Ln 16Allocates $210,619 to provide program funding for sexual violence prevention.

DETAIL: This is an increase of $23,610 compared to the FY 2011 allocation.
Pg 12, Ln 24Requires an allocation up to a maximum of $485,520 for the State Poison Control Center.

DETAIL: This is a decrease of $48,938 compared to the FY 2011 allocation.
Pg 12, Ln 27Requires the Department to transfer $189,196 to the Department of Agriculture and Land Stewardship if HF 457 is enacted.

DETAIL: House File 457 transfers the duties of the Department relating to milk certification to the Department of Agriculture and Land Stewardship (IDALS). The Bill provides for transitional provisions to assist the Departments in accomplishing the transfer.
Pg 12, Ln 32General Fund appropriation to the Department’s resource management activities.

DETAIL: This is a net decrease of $52,312 and 3.00 FTE positions compared to estimated FY 2011 for a general reduction and to reflect current usage of FTEs.
Pg 13, Ln 3Prohibits the UIHC from receiving indirect cost reimbursement from General Fund appropriations to the DPH. Requires the UIHC to submit billings on a quarterly basis for FY 2012.
Pg 13, Ln 17
General Fund appropriation to the Department of Veteran Affairs.
DETAIL: This is an increase of $69,224 and 1.55 FTE positions compared to estimated FY 2011 for additional cemetery operational expenditures.
Pg 13, Ln 24
General Fund appropriation to the Iowa Veterans Home.

DETAIL: This is no change compared to estimated FY 2011. The estimated FY 2011 $2.0 million in excess funds beyond the cash flow $500,000 amount is available in FY 2012 for the $1.2 million of costs relating to the opening both buildings relating to Phase 1 of the Master Plan. This Act does not cap FTE positions. The tracking document indicates that there is an increase of 30.43 FTE positions compared to the estimated FY 2011 FTE positions.
Pg 13, Ln 27Requires the Iowa Veterans Home to submit monthly claims relating to Medicaid to the DHS.
Pg 13, Ln 30Requires a new employer to honor an existing collective bargaining agreement at the Iowa Veterans Home.
Pg 13, Ln 35Permits the Iowa Veterans Home to provide financial assistance to support participation in the community re-entry program within State and federal eligibility requirements.
Pg 14, Ln 7
General Fund appropriation for the State Educational Assistance for Children of Deceased Veterans Program.

DETAIL: This is no change compared to estimated FY 2011. There is approximately $110,000 in carryforward from previous fiscal years for this Program. Expenditures are limited due to federal educational benefits available for these children.
Pg 14, Ln 11
General Fund appropriation for the County Commissions of Veterans Affairs Fund.

DETAIL: This is an increase of $90,000 compared to estimated FY 2011 to replace one-time FY 2011 funding. Each of the 99 counties receives a $10,000 grant for veteran-related expenditures.
Pg 14, Ln 22TANF Block Grant Fund appropriations for FY 2012.

DETAIL: The federal government implemented Federal Welfare Reform on August 22, 1996. Federal Welfare Reform changed the funding for the Family Investment Program (FIP) from a matching program to a federal block grant. The TANF Program was reauthorized on February 8, 2006, with work participation rates extended to separate State programs and the elimination of high performance bonuses; however, Iowa's grant remains the same at $131,524,959 per year.
Pg 15, Ln 1TANF FY 2012 Block Grant appropriation for the FIP Account.

DETAIL: This is a decrease of $2,875,603 compared to estimated FY 2011. The decrease is due to a declining caseload and more carryforward funding available.
Pg 15, Ln 5TANF FY 2012 Block Grant appropriation for the PROMISE JOBS Program.

DETAIL: Maintains the current level of TANF support.
Pg 15, Ln 10Permits nonreversion of not more than 5.00% of funds allocated for contract services.
Pg 15, Ln 20TANF FY 2012 Block Grant appropriation for the Family Development and Self Sufficiency (FaDSS) Program.

DETAIL: Maintains the current level of TANF support.
Pg 15, Ln 24Requires nonreversion of funds allocated for the FaDSS Grant Program.
Pg 15, Ln 31TANF FY 2012 Block Grant appropriation for Field Operations.

DETAIL: Maintains current level of TANF support.

Pg 15, Ln 33TANF FY 2012 Block Grant appropriation for General Administration.

DETAIL: Maintains the current level of TANF support.
Pg 15, Ln 35TANF FY 2012 Block Grant appropriation for Child Care Assistance.

DETAIL: Maintains current level of TANF support.
Pg 16, Ln 2Requires the DHS to transfer $16,382,687 to the Child Care and Development Block Grant and to use $200,000 for training of registered child care home providers. Permits the DHS to contract with colleges or child care resource and referral centers and specifies requirements for funding the grants and the application form for the grant.
Pg 16, Ln 16TANF FY 2012 Block Grant appropriation for Mental Health and Developmental Disabilities Community Services.

DETAIL: Maintains the current level of TANF support.
Pg 16, Ln 19TANF FY 2012 Block Grant appropriation for Child and Family Services.

DETAIL: Maintains the current level of TANF support.
Pg 16, Ln 21TANF FY 2012 Block Grant appropriation for Child Abuse Prevention Grants.

DETAIL: Maintains the current level of TANF support
Pg 16, Ln 23
TANF FY 2012 Block Grant appropriation for pregnancy prevention grants if family planning services are funded.

DETAIL: Maintains the current level of TANF support.
Pg 16, Ln 26Requires the Department to award pregnancy prevention grants that are based on existing models and to programs that have demonstrated positive outcomes. Requires pregnancy prevention grants from the TANF to include the requirement that sexual abstinence be emphasized. Specifies that priority in awarding the grants should be given to programs in areas of the State that have the highest percentage of unplanned adolescent pregnancies within the geographic area served by the grant.
Pg 17, Ln 1TANF FY 2012 Block Grant appropriation for federal welfare reform reporting, tracking, and case management technology and resource needs.

DETAIL: Maintains the current level of TANF support.
Pg 17, Ln 5TANF FY 2012 Block Grant appropriation to fund community-based programs for children from birth to age five as developed by community empowerment areas.

DETAIL: Maintains the current level of TANF support.
Pg 17, Ln 11Requires the DHS to transfer TANF funds to the Child Care and Development Block Grant.
Pg 17, Ln 16CODE: Appropriates sufficient funding from the emergency TANF funds received under the American Recovery and Reinvestment Act of 2009 (ARRA) to the Family Investment Program and Child Care Assistance Program and allows carryforward of unspent funds.

DETAIL: The State does not anticipate receiving any additional emergency funds in FY 2012. The State estimated receipt of $17,678,279 in FY 2011, but updated projections estimate the State will receive $24,088,786.


Pg 18, Ln 2Requires the DHS to submit quarterly reports to the LSA and the Department of Management (DOM) regarding expenditures in this Section.
Pg 18, Ln 6Requires $12,962,008 of the federal TANF funds appropriated in this Section be transferred to the federal Social Services Block Grant appropriation.

DETAIL: Maintains the current level of TANF support.
Pg 18, Ln 10
TANF FY 2012 Block Grant appropriation to the Promoting Healthy Marriage Program.

DETAIL: This is a new appropriation for FY 2012. By implementing this Program, the Department is allowed to expand food assistance to families with incomes up to 160.00% of the Federal Poverty Level (FPL).


Pg 18, Ln 15Permits the DHS to transfer funds to General Administration and Field Operations for costs associated with TANF-funded programs and the FIP.
Pg 18, Ln 23Requires funds credited to the FIP Account for FY 2012 to be used as specified.
Pg 18, Ln 27Permits the DHS to use FIP funds for various administrative purposes.
Pg 18, Ln 30Permits the DHS to transfer funds to General Administration and Field Operations for costs associated with this Section.
Pg 19, Ln 2Requires the TANF Block Grant funds appropriated to the FIP Account to be allocated as specified.
Pg 19, Ln 5Allocates $20,000 to the DHS to be used for administrative services.

DETAIL: Maintains the current level of support.
Pg 19, Ln 12Allocates $5,342,834 of the FY 2012 General Fund appropriation and TANF funds to the Department of Human Rights for the FaDSS Grant Program.

DETAIL: This is a decrease of $54,417 compared to the FY 2011 allocation.
Pg 19, Ln 17Specifies that a maximum of 5.00% of the allocation be spent on administration of FaDSS Program grants.
Pg 19, Ln 21Permits the Department of Human Rights to continue to implement the FaDSS Grant Program in FY 2012.
Pg 19, Ln 24
Allocates $1,698,400 of FY 2012 TANF funds for the FIP Diversion Subaccount.

DETAIL: Maintains the current level of support.
Pg 19, Ln 26Allows a portion of the FIP Diversion funds to be used to administer the FIP Diversion Program.
Pg 19, Ln 31Allocates $66,588 of FY 2012 FIP funds to the Food Stamp Employment and Training Program.

DETAIL: This is a decrease of $1,471 compared to the FY 2011 allocation.
Pg 19, Ln 33Requires the Department to amend the Food Stamp Employment and Training State Plan to maximize federal matching funds received.
Pg 20, Ln 7Requires the DHS to continue food assistance program eligibility to persons with income up to 160.00% of the FPL. The DHS is to conform to all federal requirements including requirements addressing individuals that are incarcerated.
Pg 20, Ln 16Permits the DHS to allocate $20,235,905 of the FY 2012 General Fund appropriation and TANF funds for the PROMISE JOBS Program.

DETAIL: This is a decrease of $417,088 compared to the FY 2011 allocation.
Pg 20, Ln 18Requires the federal share of child support collections recovered by the State to be credited to the Child Support Recovery Unit. The remainder of support collected is credited to the FIP account, and the DHS is permitted to use a portion to increase recoveries and to sustain cash flow in the child support payments account.
Pg 20, Ln 35Permits the DHS to adopt emergency administrative rules for the FIP, Food Stamp Program, and Medical Assistance Program.
Pg 21, Ln 3
General Fund appropriation to the DHS for the FIP, to be credited to the FIP Account. The appropriation for the FIP Account also contains funding for the PROMISE JOBS and FaDSS Programs. The appropriation maintains the current FIP payment levels (maximum grants of $361 per month for a family with two persons and $426 for a family with three persons).

DETAIL: This is a net increase of $19,374,493 compared to estimated FY 2011. The changes include:
  • An increase of $25,501,745 to restore one-time ARRA funding.
  • A decrease of $2,632,239 due to a reduction in FIP caseloads.
  • A decrease of $3,485,949 due to available carryforward.
  • An increase of $146,072 for the Promoting Healthy Marriage Program.
  • An increase of $83,864 due to increased costs for Food Assistance EBT transfer contracts.
  • A decrease of $37,000 due to a reduction in Promise Jobs administrative costs.
  • An decrease of $202,000 due to increased recoveries of Promise Jobs allowances.
Pg 21, Ln 3
General Fund appropriation to the DHS for the FIP, to be credited to the FIP Account. The appropriation for the FIP Account also contains funding for the PROMISE JOBS and FaDSS Programs. The appropriation maintains the current FIP payment levels (maximum grants of $361 per month for a family with two persons and $426 for a family with three persons).

DETAIL: This is a net increase of $19,374,493 compared to estimated FY 2011. The changes include:
  • An increase of $25,501,745 to restore one-time ARRA funding.
  • A decrease of $2,632,239 due to a reduction in FIP caseloads.
  • A decrease of $3,485,949 due to available carryforward.
  • An increase of $146,072 for the Promoting Healthy Marriage Program.
  • An increase of $83,864 due to increased costs for Food Assistance EBT transfer contracts.
  • A decrease of $37,000 due to a reduction in Promise Jobs administrative costs.
  • An decrease of $202,000 due to increased recoveries of Promise Jobs allowances.
Pg 21, Ln 13General Fund allocation of $7,824,377 for the PROMISE JOBS Program.

DETAIL: This is a decrease of $417,088 compared to the FY 2011 allocation.
Pg 21, Ln 15General Fund allocation of $2,463,854 for the FaDSS Program.

DETAIL: This is a decrease of $54,687 compared to the FY 2011 allocation.
Pg 21, Ln 18Specifies that the DHS has the authority to transfer TANF funds to the Social Services Block Grant as necessary to meet Maintenance of Effort requirements.
Pg 22, Ln 10General Fund allocation of $195,678 to provide tax preparation assistance for low-income Iowans.

DETAIL: This is a decrease of $4,322 compared to the FY 2011 allocation.
Pg 22, Ln 16
General Fund appropriation to the DHS for the Child Support Recovery Unit.

DETAIL: This is an increase of $1,912,001 and 1.00 FTE position compared to the FY 2011 appropriation. The increase is due to replacement of one-time ARRA and UST funding.
Pg 22, Ln 26Requires the DHS to expend up to $24,329 during FY 2011 for a child support public awareness campaign. The funding limitation includes federal funds. The campaign is to be operated in cooperation with the Office of the Attorney General and is to emphasize parental involvement and financial support.

DETAIL: Maintains the current level of support.
Pg 22, Ln 35Specifies the process for utilization of receipts from federal Access and Visitation Grants.
Pg 23, Ln 5Permits the DHS to use the appropriation as necessary and draw more than appropriated if needed to solve any cash flow problems, provided the amount appropriated is not exceeded at the end of the fiscal year.
Pg 23, Ln 11Specifies that the Department is to continue to operate the Child Support Recovery Unit under the guidelines established in the 2001 Iowa Acts.
Pg 23, Ln 16
Appropriates the balance of the HCTF to the Medicaid Program for FY 2012.

DETAIL: It is estimated that there will be $100,300,000 available. This is a decrease of $6,616,532 compared to estimated FY 2011.
Pg 23, Ln 24
General Fund appropriation to the DHS for the Medical Assistance (Medicaid) Program.

DETAIL: This is a net increase of $503,553,963 compared to estimated FY 2011. The changes include:
  • An increase of $404,878,849 to replace one-time funding from various funding sources.
  • An increase of $57,523,302 to replace prior year carryforward.
  • An increase of $93,617,041 for growth in utilization and enrollment and changes in the FMAP rate.
  • A decrease of $166,600 to eliminate advertising and outreach dollars.
  • An increase of $4,554,163 due to the elimination of the Medicaid, hawk-i, and hawk-i expansion appropriation and the elimination of the transfer from the IDA.
  • An increase of $11,600,000 to rebase nursing facilities.
  • A decrease of $2,000,000 due to additional funds from the Medicaid Fraud Account.
  • A decrease of $2,000,000 due to a transfer from the Iowa Veteran's Home.
  • A decrease of $20,580,000 due to implementation of a portion of the cost containment strategies proposed by the Governor.
  • A decrease of $43,872,792 for a general reduction to Medicaid.
Pg 24, Ln 1Specifies conditions that permit the Medical Assistance Program to reimburse providers for abortion services.
Pg 24, Ln 8Requires the DHS to use a maximum of $60,000 of the funds appropriated for Medical Assistance to continue the AIDS/HIV Health Insurance Premium Payment as established during the Second Extraordinary Session in 1992.

DETAIL: Maintains the current level of General Fund support.
Pg 24, Ln 15Requires $950,000 of the Substance Abuse Grants appropriation to DPH to be transferred to the Medical Assistance Program in the DHS for continuation of the Managed Substance Abuse Treatment Program. Also, requires the DHS to assume management of the Program.

DETAIL: Maintains the current level of General Fund support. The Managed Substance Abuse Treatment Program was funded for the first time in FY 1996.
Pg 24, Ln 29Requires the DHS to aggressively pursue options for assisting special needs individuals that become ineligible for continued services under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program as a result of turning 21 years of age. The individuals are to have been approved for additional assistance through the DHS exception to policy process, but have health care needs exceeding available funding. This Section requires the Department to allocate $100,000 to fund one or more pilot projects focused on providing care in the community.

DETAIL: Maintains the current level of General Fund support.
Pg 25, Ln 18Permits the DHS to transfer up to $3,050,082 to Field Operations or General Administration for implementation costs of the new Medicare Part D prescription drug benefit and low-income subsidy application processes.
Pg 25, Ln 24Permits a maximum of $442,100 of Medicaid funds to be transferred to clinical assessment services.

DETAIL: Maintains the current allocation level.
Pg 25, Ln 28Permits the DHS to use a portion of the funds appropriated to carry out the Payment Error Rate Measurement (PERM) Program. This continues DHS compliance with the federal Improper Payments Information Act of 2002.
Pg 26, Ln 4Specifies legislative intent that the DHS continue to implement the recommendations of the ABCD II Clinical Panel for changes to billing procedures, codes, and eligible service providers.
Pg 26, Ln 11Requires the DHS to provide residents in nursing facilities, ICF/MRs, and ICF/MIs with a personal needs allowance of $50 per month.

DETAIL: There are no changes in this provision from FY 2011.
Pg 26, Ln 18Transfers Medicaid funds to the four Mental Health Institutes.

DETAIL: Maintains the current level of General Fund support.
Pg 26, Ln 25Allocates $7,425,684 of Medicaid funds for the State match for the Disproportionate Share Hospital (DSH) payment of $19,133,430. In addition, the UIHC is to either use Certified Public Expenditures or transfer $7,500,000 to the Medicaid Program to provide the nonfederal share of the DSH payment. The UIHC will retain 100.00% of the DSH payment of $26,633,430.
Pg 27, Ln 8Specifies that DSH payments are to be distributed on a monthly basis and the DSH payments are not to exceed the federal limit.
Pg 27, Ln 17Requires the UIHC to use Certified Public Expenditures or transfer funds to the Medicaid Program to fund the nonfederal share for increased Medicaid payments for inpatient and outpatient services of $9,900,000. The UIHC will retain 100.00% of the increased Medicaid payments.
Pg 27, Ln 25Transfers up to $4,480,304 of Medicaid funds to the IowaCare Program.
Pg 27, Ln 28Allocates $200,000 of Medicaid funds to the Iowa Chronic Care Consortium.
DETAIL: Maintains the current level of General Fund support.
Pg 27, Ln 32Allocates Medicaid funds to Area Education Agencies.
Pg 28, Ln 2Specifies that any new or renewed contract with a third party behavioral health administrator requires interest earned to be remitted to the DHS to offset costs of the Medicaid Program.
Pg 28, Ln 9Requires the DHS to continue the implementation of the federal Family Opportunity Act.

DETAIL: The Family Opportunity Act is a Medicaid buy-in Program for children with family income of up to 300.00% of the FPL and that also meet Supplementary Security Income (SSI) eligibility requirements.
Pg 28, Ln 15Specifies that a portion of the Medicaid funding may be transferred to Medical Contracts for administrative activities related to the Money Follows the Person Demonstration Project.
Pg 28, Ln 20Requires nonreversion of any funds received as part of the increased Medicare Clawback payment from the federal government through FY 2011.
Pg 28, Ln 35Allocates $349,011 to the Health Insurance Premium Payment Program.

DETAIL: This allocation was previously funded under a seperate appropriation.
Pg 29, Ln 5Allows the DHS to hire additional staff and support to implement cost containment efforts in Medicaid and allows the DHS to transfer any saving to Medical Contracts or General Administration to defray the costs of implementation. The DHS is to report any increases to the Legislative Services Agency and the Department of Management.
Pg 29, Ln 22Allows the DHS to implement cost containment strategies recommended by the Governor by using a sole source contract or expanding existing contracts.
Pg 29, Ln 28Requires the DHS to report implementation of any cost containment strategies on a quarterly basis.
Pg 29, Ln 32Requires the DHS to move Remedial Services to the Iowa Plan managed care contract.
Pg 30, Ln 1
General Fund appropriation to the DHS for Medical Contracts.

Detail: This is a net decrease of $3,187,961 and no change in FTE positions compared to estimated FY 2011. The changes include:
  • An increase of $88,375 due to inflation of contracts and increases in IT costs.
  • A decrease of $12,500 due to savings from the NevadaCare lawsuit.
  • A decrease of $176,349 due to the elimination of one-time IME transition costs.
  • An increase of $190,650 to implement the Preadmission Screening and Resident Review Program.
  • An increase of $1,721,863 for operating costs.
  • A decrease of $4,000,000 due to increased appropriations from the Pharmaceutical Settlement Account.
  • An decrease of $1,000,000 due to an increased appropriation from the Pharmaceutical Settlement Account.
Pg 30, Ln 11Requires the DIA to provide all State matching funds for survey and certification activities.
Pg 30, Ln 16General Fund appropriation to the DHS for State Supplementary Assistance.
DETAIL: This is a decrease of $1,408,488 compared to estimated FY 2011. The decrease is due to available carryforward.
Pg 30, Ln 24Requires the DHS to increase the personal needs allowance of residential care facilities residents at the same rate and time as federal SSI and Social Security benefits are increased. Permits the DHS to adopt emergency rules for implementation.
Pg 30, Ln 31Permits the DHS to adjust rates for State Supplementary Assistance to meet federal Maintenance of Effort requirements. Permits the DHS to adopt emergency rules for implementation.
Pg 31, Ln 12General Fund appropriation to the DHS for the Children's Health Insurance Program, also known as the hawk-i Program.

DETAIL: This is a net increase of $9,290,112 compared to
estimated FY 2011. The changes include:
  • An increase of $4,685,814 due to increased costs and Program growth.
  • A decrease of $2,928,585 due to available carryforward from the hawk-i Trust Fund.
  • A decrease of $219,000 to eliminate advertising and outreach dollars.
  • An increase of $7,751,883 to eliminate the Medicaid, hawk-i, and hawk-i Expansion appropriation and move a portion of it to this budget unit.
Pg 31, Ln 24Requires the health insurance portion of the hawk-i Program to be fully funded before money is spent on the supplemental dental coverage.
Pg 31, Ln 29General Fund appropriation to the DHS for child care programs.

DETAIL: This is a net increase of $19,600,000 compared to estimated FY 2011. The General Fund changes include:
  • An increase of $15,755,256 to replace one-time funding from the American Recovery and Reinvestment Act (ARRA) of 2009 that will not be available in FY 2012.
  • An increase of $1,468,593 for increased caseload growth in the Child Care Assistance Program.
  • An increase of $9,575,738 to replace one-time carryforward funding from FY 2011 that will no longer be available in FY 2012.
  • An increase of $688,302 to restore the mid-year reduction in FY 2011.
  • A decrease of $2,000,000 to reduce funding to child care quality programming.
  • A decrease of $5,887,889 to the Child Care Assistance Program for a general reduction.
Pg 32, Ln 1Allocates $49,868,235 to provide child care assistance for low-income, employed Iowans. Specifies it is the intent of the General Assembly to appropriate sufficient funding to the Program in FY 2012 to avoid the DHS beginning a waiting list for services.

DETAIL: This is an increase of $18,911,698 compared to the FY 2011 allocation.
Pg 32, Ln 4Specifies that assistance from the Child Care Assistance Program is not an entitlement and the State's obligation to provide services is limited to the funds available.
Pg 32, Ln 11Allocates $432,453 for the Statewide Child Care Resource and Referral Program. Requires a list of the registered and licensed child care facilities to be made available by Child Care Resource and Referral Programs to families receiving assistance under the Child Care Assistance Program.

DETAIL: This is no change compared to the FY 2011 allocation.
Pg 32, Ln 18Allocates $936,974 for the Quality Rating System (QRS). Decreases the total State and federal expenditures on child care quality improvement initiatives by $2,000,000.

DETAIL: This is no change compared to the FY 2011 allocation for the QRS. The Department has the authority to apply the $2,000,000 reduction to the child care quality improvement activities.
Pg 32, Ln 25Permits funds appropriated for child care to be used as matching funds for federal grants. Specifies that funds are obligated when expenditures are projected or allocated to the DHS regions.

DETAIL: This provision was also in effect for FY 2011.
Pg 33, Ln 4Requires a portion of the State match for the federal Child Care and Development Block Grant to be provided from the State appropriation for child development grants and other programs for at-risk children.
Pg 33, Ln 9Requires the DHS to apply any reductions to the child care assistance appropriation, either State or federal, that result in a reduction to subsidy payments to families, in amounts equal to or less than the percentage of the reduction. Also requires any unanticipated increase in federal funding to be used only for the Child Care Assistance Subsidy Program. Specifies that it is the intent of the General Assembly to provide sufficient funding for the Program for FY 2012 to avoid the establishment of a waiting list.
Pg 33, Ln 29Requires nonreversion of FY 2012 Child Care Assistance Program funds.
Pg 34, Ln 6General Fund appropriation to the DHS for the Iowa Juvenile Home at Toledo.

DETAIL: This is a net increase of $1,216,334 and 14.00 FTE positions compared to estimated FY 2011. The General Fund changes are as follows:
  • An increase of $200,000 to replace one-time funding from the UST in FY 2011 with General Funds in FY 2012.
  • An increase of $280,652 to maintain the current number of beds.
  • An increase of $735,682 to restore the mid-year reduction in FY 2011.
Pg 34, Ln 11General Fund appropriation to the DHS for the State Training School at Eldora.

DETAIL: This is a net increase of $723,481 and 26.40 FTE positions compared to estimated FY 2011. The General Fund changes are as follows:
  • An increase of $400,000 to replace one-time funding from the UST in FY 2011 with General Funds in FY 2012.
  • An increase of $232,331 to maintain the current number of beds.
  • An increase of $91,150 to transfer funding for licensed classroom teachers that will later be transferred to the other DHS institutions for this purpose.
Pg 34, Ln 17General Fund allocation to the DHS for licensed classroom teachers in State institutions.

DETAIL: This is a decrease of $12,800 compared to the FY 2011 allocation.
Pg 34, Ln 22Requires a portion of the funds appropriated for the two juvenile institutions to be used for pregnancy prevention in FY 2012.

DETAIL: This provision was also in effect for FY 2011.
Pg 34, Ln 28General Fund appropriation to the DHS for child and family services.

DETAIL: This is a net increase of $4,154,613 compared to estimated FY 2011. The General Fund changes include:
  • An increase of $3,210,303 to restore one-time funding from various sources from FY 2011 that will not be available in FY 2012.
  • An increase of $687,996 to reflect updated estimates to federal Title-IV funding based on current eligibility rates and the projected FY 2012 FMAP rate.
  • An increase of $100,000 for one-time funding for the Child Welfare Provider Training Academy.
  • A decrease of $1,000,000 for shelter care as a result of one-time funding from the Cash Reserve Fund from FY 2011 that is not replaced and for a general reduction in FY 2012.
  • A decrease of $200,000 for a child care grant for exceptional children as a result of one-time funding from the UST Fund from FY 2011 that is not replaced.
  • A decrease of $600,000 for the Juvenile Court Graduated Sanctions Programs as a result of one-time funding from the UST Fund from FY 2011 that is not replaced.
  • A decrease of $100,000 for the Child Protection Center in Waterloo as a result of one-time funding from the UST Fund from FY 2011 that is not replaced.
  • An increase of $53,652 for increased caseload growth in the PALS Program.
  • An increase of $1,727,473 to restore the mid-year reduction from FY 2011.
  • An increase of $275,189 for the increased matching requirement for the SAMHSA Circle of Care Program.
Pg 34, Ln 35Allocates $5,200,000 of TANF funds for delinquency programs.

DETAIL: Maintains the current allocation level.
Pg 35, Ln 8Permits the DHS to transfer funds appropriated for Child and Family Services to Medicaid, the FIP, General Administration, or Field Operations to pay for costs associated with child welfare services in these areas.
Pg 35, Ln 18Allocates up to $30,169,129 for group care services and maintenance costs.

DETAIL: This is an increase of $936,123 compared to the FY 2011 allocation.
Pg 35, Ln 27Requires the group foster care expenditure target to be reviewed under certain conditions and requires review hearings when appropriate.
Pg 36, Ln 7Allocates $1,717,753 for decategorization services.

DETAIL: Maintains the current level of General Fund support.
Pg 36, Ln 14Permits a portion of the Child and Family Services appropriation to be used for emergency family assistance under specified conditions.
Pg 36, Ln 19Limits State funding for shelter care to $7,170,116. Permits the DHS to continue or amend provider contracts to include child welfare emergency services.

DETAIL: This is an increase of $724,031 compared to the FY 2011 allocation.
Pg 36, Ln 29Requires federal funds received in FY 2012 or FY 2013 for the expenditure of State funds in a previous fiscal year to be used for child welfare services. Requires nonreversion of funds through FY 2013 or FY 2014.
Pg 37, Ln 5Requires $3,696,285 to be used for protective child care assistance.

DETAIL: Maintains the current level of General Fund support.
Pg 37, Ln 7Provides the following allocations related to court-ordered services for juveniles:
  • Allocates up to $2,062,488 for court-ordered services provided to children that are under the supervision of juvenile court services. Maintains the current level of General Fund support.
  • Allocates $1,556,287 for school-based supervision of delinquent children, limits training funds to $15,000, and requires a portion of the cost for school-based liaisons to be paid by school districts. Maintains the current level of General Fund support.
  • Allocates $748,985 for court-ordered services provided to children that are under the supervision of the DHS. Maintains the current level of General Fund support.
Pg 37, Ln 24Requires allocations to the DHS districts to be made according to a formula determined by the State Court Administrator by June 15, 2011.
Pg 37, Ln 33Prohibits a court from ordering any service that is a charge to the State if there are insufficient funds to reimburse the service. Requires the Chief Juvenile Court Officer to use the funds in a manner that will cover the entire fiscal year and permits funds to be transferred between districts.
Pg 38, Ln 14Prohibits a district or juvenile court from ordering a county to pay for a service provided to a juvenile that is a charge to the State.
Pg 38, Ln 19Prohibits expenditure of more than $83,000 by the Judicial Branch for administration related to court-ordered services.

DETAIL: Maintains the current level of General Fund support.
Pg 38, Ln 22Allocates $17,000 for the DHS to support the Interstate Commission for Juveniles in accordance with the Interstate Compact for Juveniles.

DETAIL: Maintains the current level of General Fund support.
Pg 38, Ln 27Allocates $4,522,602 for juvenile delinquent graduated sanctions services. Permits any State funds saved as a result of increasing federal Title IV-E claims for Juvenile Court Services, as indicated by the Public Works Efficiency Report, to be used for graduated sanctions services.

DETAIL: Maintains the current level of General Fund support.
Pg 38, Ln 33Requires an allocation of $988,285 to be transferred to the DPH for the Child Protection Center Grant Program.

DETAIL: Maintains the current level of General Fund support.
Pg 39, Ln 2Requires children that receive in-home or community-based services under a federal Title IV-E waiver to be considered as placed in foster care in order to remain eligible for Medicaid, if the DHS receives federal approval to implement the waiver.
Pg 39, Ln 9Allocates $3,069,832 for the Preparation for Adult Living Service (PALS) Program.

DETAIL: This is an increase of $194,551 compared to the FY 2011 allocation.
Pg 39, Ln 12Allocates a total of $520,150 for Judicial Branch staff costs relating to juvenile drug courts.

DETAIL: Maintains the current level of General Fund support.
Pg 39, Ln 28Allocates $227,337 for Project Harmony for support of victims of child abuse and the nonoffending family members.

DETAIL: Maintains the current level of General Fund support.
Pg 40, Ln 1Requires an allocation of $125,590 to provide support for chapters for the ELEVATE support group for foster care children.

DETAIL: Maintains the current level of General Fund support.
Pg 40, Ln 4Allocates $202,000 for an initiative to address child sexual abuse.

DETAIL: Maintains the current level of General Fund support.
Pg 40, Ln 9Allocates $630,240 for the child welfare Community Partnership for Child Protection sites.

DETAIL: Maintains the current level of General Fund support.
Pg 40, Ln 12Allocates $371,250 for minority youth and family projects included in child welfare redesign.

DETAIL: Maintains the current level of General Fund support.
Pg 40, Ln 15Allocates $1,200,495 for the State match for the federal Substance Abuse and Mental Health Services Administration Circle of Care Grant.

DETAIL: This is an increase of $275,189 compared to the FY 2011 allocation.
Pg 40, Ln 19Allocates $147,158 for the child welfare provider online training academy.

DETAIL: This is an increase of $100,000 compared to the FY 2011 allocation.
Pg 40, Ln 32
General Fund appropriation to the DHS for the Adoption Subsidy Program.

DETAIL: This is an increase of $4,840,695 compared to estimated FY 2011. The General Fund changes include:
  • An increase of $3,614,010 to replace one-time funding from various sources in FY 2011 that will not be available in FY 2012.
  • An increase of $1,206,635 to reflect the annual federal FMAP adjustment.
  • An increase of $20,050 for increased caseload growth.
Pg 41, Ln 4Permits the DHS to transfer funds for adoption recruitment and services.
Pg 41, Ln 8CODE: Requires federal funds received in FY 2012 for the expenditure of State funds in a previous fiscal year to be used for Adoption Subsidy. Requires nonreversion of federal funds in this Subsection until the close of FY 2013.
Pg 41, Ln 19
CODE: Requires funds deposited in the Juvenile Detention Fund to be distributed to the Juvenile Detention Centers.

DETAIL: The fines deposited in the Fund will be approximately $3,900,000 in FY 2011. Fines in the Fund will be allocated to the detention centers based on FY 2012 projected budgets to be used for operations.
Pg 42, Ln 3General Fund appropriation for the Family Support Program.

DETAIL: Maintains the current level of General Fund support to the budget unit. The changes are as follows:
  • A decrease of $100,000 to the Family Support Subsidy Program due to the enrollment freeze enacted by SF 2088 (2010 Government Reorganization Act)
  • An increase of $100,000 to replace one-time funding in FY 2011 for the Children At Home Program that will not be available in FY 2012.
Pg 42, Ln 12Requires an allocation of $385,500 from the Family Support Subsidy appropriation to continue the Children-at-Home Program in current counties. Also, permits the DHS to expand the Program to additional counties if funds are available. Administrative funding is limited to $25,000.

DETAIL: This is an increase of $96,056 compared to the FY 2011 allocation.
Pg 42, Ln 17Requires the Department to revise funding available to participants in the Family Support Subsidy Program if available funds are less than anticipated.
Pg 42, Ln 25General Fund appropriation to the DHS for Conner Decree training requirements.

DETAIL: This is no change compared to estimated FY 2011. The funds are used for training purposes to comply with the Conner v. Branstad court decision mandating placement of persons in the least restrictive setting.
Pg 43, Ln 6General Fund appropriation to the Mental Health Institute at Cherokee.

DETAIL: This is an increase of $3,074,814 and no change in FTE positions compared to estimated FY 2011. The changes include:
  • An increase of $100,000 to replace one-time funding from the UST Fund.
  • An increase of $2,419,485 to replace the Institute's share of the $84.0 million dollar reduction.
  • An increase of $555,329 to maintain the current number of beds.
Pg 43, Ln 11General Fund appropriation to the Mental Health Institute at Clarinda.

DETAIL: This is an increase of $1,018,559 and no change in FTE positions compared to estimated FY 2011. The changes include:
  • An increase of $100,000 to replace one-time funding from the UST Fund.
  • An increase of $746,523 to replace the Institute's share of the $84.0 million dollar reduction.
  • An increase of $172,036 to maintain the current number of beds.
Pg 43, Ln 16General Fund appropriation to the Mental Health Institute at Independence.

DETAIL: This is an increase of $3,079,406 and no change in FTE positions compared to estimated FY 2011. The changes include:
  • An increase of $229,481 to replace one-time funding from the UST Fund and ARRA.
  • An increase of $2,394,374 to replace the Institute's share of the $84.0 million dollar reduction.
  • An increase of $432,188 to maintain the current number of beds.
  • An increase of $23,363 due to an FMAP adjustment.
Pg 43, Ln 21General Fund appropriation to the Mental Health Institute at Mt. Pleasant.

DETAIL: This is an increase of $297,294 and no change in FTE positions compared to estimated FY 2011. The changes include:
  • An increase of $50,000 to replace one-time funding from the UST Fund.
  • An increase of $247,294 to maintain the current number of beds.
Pg 43, Ln 27Requires the Department to review services provided by the State MHIs and modify services to provide cost-effective and necessary services. As part of the review, requires the DHS to look at subacute mental health care options and 16-bed units that meet Medicaid requirements. The DHS is also to increase student participation in the Institutions.
Pg 44, Ln 21General Fund appropriation to the State Resource Center at Glenwood.

DETAIL: This is an increase of $5,060,715 compared to estimated FY 2011. The changes include:
  • An increase of $3,676,779 to replace one-time ARRA funding.
  • An increase of $249,808 to maintain the current number of beds.
  • An increase of $1,134,128 for an annual adjustment to FMAP rates.
Pg 44, Ln 24General Fund appropriation to the State Resource Center at Woodward.

DETAIL: This is an increase of $4,547,192 compared to estimated FY 2011. The changes include:
  • An increase of $3,529,589 to replace one-time ARRA funding.
  • An increase of $180,274 to maintain the current number of beds.
  • An increase of $837,329 for an annual adjustment ot FMAP rates.
Pg 44, Ln 27Permits the DHS to continue billing practices that do not include cost shifting.
Pg 44, Ln 32Permits the State Resource Centers to expand time-limited assessment and respite services.

DETAIL: Time-limited assessments include analysis of patients' conditions and development of therapy plans to assist families in caring for individuals with mental retardation or developmental disabilities. Respite services provide care for special needs individuals for a limited duration to provide families with a temporary reprieve from caretaking responsibilities.
Pg 44, Ln 34Specifies that FTE positions may be added at the two State Resource Centers if projected revenues are sufficient to pay the salary and support costs of the additional positions.
Pg 45, Ln 15Permits a State Resource Center to open certain facilities if a service waiting list exists and funding is available.
Pg 45, Ln 25General Fund appropriation to the DHS for State Cases.

DETAIL: This is an increase of $874,275 compared to estimated FY 2011 to replace one-time UST funds.
Pg 45, Ln 35Requires $200,000 of the Community Mental Health Services Block Grant funds from FFY 2010, FFY 2011, or FFY 2012 to be used for the State Cases costs.
Pg 46, Ln 12CODE: Requires nonreversion of funds appropriated for State Cases.
Pg 46, Ln 17General Fund appropriation for the Mental Health Community Services Fund.

DETAIL: This is no change compared to estimated FY 2011.
Pg 46, Ln 27Allocates $14,187,556 from the Community Services appropriation to counties based on a formula considering the county's population and federal poverty guidelines.
Pg 46, Ln 31Requires the funds to be used for services to persons with mental illness, mental retardation, developmental disabilities, and brain injuries. Specifies that no more than 50.00% may be used for any one of these populations. Requires counties to use at least 50.00% of the funding received on contemporary services.
Pg 47, Ln 11Allocates $23,544 to support the Iowa Compass Program. The Program provides computerized information and referral services for Iowans with developmental disabilities and their families.

DETAIL: Maintains the current level of General Fund support.
Pg 47, Ln 15Allocates federal funds appropriated from the Social Services Block Grant for distribution to counties for local purchase of services for persons with mental illness, mental retardation, and developmental disabilities.
Pg 47, Ln 20Requires counties to expend Social Services Block Grant funds according to approved county management plans. Prohibits a county from receiving an allocation of Social Services Block Grant funds until the county's plan is approved.
Pg 47, Ln 25Requires the funds provided in this Subsection to be allocated to each county according to a specified formula.

DETAIL: The formula remains unchanged from the FY 1997 formula.
Pg 47, Ln 34Specifies that a county is eligible for State funding through the Community Mental Health Services Fund if it meets the requirements for receiving Property Tax Relief funds and Allowed Growth funds.
Pg 48, Ln 2Requires the Department to utilize the most recent population estimates for the distribution of these funds.
Pg 48, Ln 5
General Fund appropriation to the DHS for the Sexual Predator Commitment Program.

DETAIL: This is an increase of $1,125,596 and no change in FTE positions compared to estimated FY 2011. The changes include:
  • An increase of $800,000 to replace one-time funding from the UST Fund.
  • An increase of $325,596 to maintain the current number of staff.
Pg 48, Ln 19Permits the Unit for Commitment of Sexually Violent Predators to accept out-of-state clients when the entire cost is reimbursed.
Pg 48, Ln 33General Fund appropriation to the DHS for Field Operations staff and support.

DETAIL: This is an increase of $7,635,396 compared the estimated FY 2011 appropriations and a decrease of 145.00 FTE positions. The General Fund changes include:
  • An increase of $6,635,396 to replace one-time funding from various sources in FY 2011 that will not be available in FY 2012.
  • An increase of $1,000,000 to help maintain the FY 2011 caseload levels.
Pg 49, Ln 3Requires priority to be given to child protection services and eligibility determinations when filling FTE positions.

DETAIL: This requirement was in place for FY 2011 for child protection services. The eligibility determination requirement was new for FY 2009.
Pg 49, Ln 11
General Fund appropriation to the DHS for General Administration.

DETAIL: This is an increase of $500,000 compared to the estimated FY 2011 appropriation and a decrease of 45.08 FTE positions. The increase in General Fund support will be directed to assist in expediting the Child Abuse Registry appeal process.
Pg 49, Ln 16
Allocates $43,700 to the Prevention of Disabilities Policy Council.

DETAIL: Maintains the current level of General Fund support.
Pg 49, Ln 19Requires the DHS to submit monthly expenditure reports to the LSA.
Pg 49, Ln 22
Allocates $150,000 for technical assistance for providers of habilitation services under the HCBS Waiver Program.

DETAIL: Maintains the current level of General Fund support.
Pg 49, Ln 27Allocates $200,000 for nationally accredited internet-based training for mental health and disibility services providers.

DETAIL: Maintains the current level of General Fund support.
Pg 49, Ln 31General Fund appropriation to the DHS for the development and coordination of the Volunteer Services Program.

DETAIL: Maintains the current level of General Fund support.
Pg 50, Ln 6Caps nursing facility reimbursements at $224,835,691 and requires the DHS to adjust the inflation factor in the case-mix reimbursement rate if expenditures exceed the cap.

DETAIL: The DHS is to rebase nursing facility rates effective July 1, 2011.

Pg 51, Ln 1Requires methodology for calculating reimbursement for special population nursing facilities to remain the same as the methodology in effect in FY 2011.
Pg 51, Ln 4Requires a reimbursement rate of $4.34 per prescription for pharmacist services using a single dispensing fee or the usual and customary fee, whichever is lower.

DETAIL: This no chanage compared to the FY 2011 rate.
Pg 51, Ln 8Requires the rate of reimbursement for outpatient services to be rebased effective January 1, 2012.
Pg 51, Ln 11Requires the rate of reimbursement for inpatient services to be rebased effective October 1, 2011.
Pg 51, Ln 14Specifies that the total amount of funding for the rebase shall not exceed $4,500,000.
Pg 51, Ln 18Requires the rate of reimbursement for graduate medical education and disproportionate share hospital fund to remain the same as the FY 2011 reimbursement rate.
Pg 51, Ln 21Requires funds appropriated for hospital activities to be used for activities pursuant to the federal Medicare program.
Pg 51, Ln 27Requires rural health clinics, hospice services, and acute mental hospitals to be reimbursed at the rate established under the federal Medicare Program for FY 2012.
Pg 51, Ln 32Requires reimbursement methodology for independent laboratories and rehabilitation agencies to remain the same as the methodology in FY 2011.
Pg 51, Ln 35Requires rates to home health agencies to remain at the rate in effect in FY 2011.
Pg 52, Ln 4Requires the DHS to reimburse federally qualified health centers for 100.00% of the reasonable costs for provision of services to Medical Assistance Program recipients.
Pg 52, Ln 8Requires the reimbursement rates for dental services to remain at the rate in effect in FY 2011.
Pg 52, Ln 11Requires the reimbursement rates for State-owned PMIC's to be reimbursed at 100.00% of allowable costs and non State-owned PMIC's to remain at the rate in effect in FY 2011.
Pg 52, Ln 18Requires the reimbursement rates for all noninstitutional Medical Assistance providers, with specified exceptions, to remain at FY 2011 rates.
Pg 52, Ln 25CODE: Requires the reimbursement rates for anesthesiologists to remain at the rate in effect in FY 2011.
Pg 52, Ln 29CODE: Requires the rates for health care providers eligible for the average rate reimbursement to remain at the rate in effect in FY 2011.
Pg 53, Ln 1Requires the reimbursement rates for residential care facilities to be no less than the minimum payment level required to meet the federal Maintenance of Effort requirement.
Pg 53, Ln 10Requires the reimbursement rate for inpatient mental health services to remain at the same rate in effect in FY 2011 and community mental health centers to be reimbursed at 100.00% of costs.
Pg 53, Ln 20Requires the reimbursement rates for Consumer-Directed Attendant Care to remain at the rate in effect in FY 2011.
Pg 53, Ln 23Requires the reimbursement rates for family planning services to remain at the rate in effect in FY 2011.
Pg 53, Ln 27Establishes the maximum FY 2012 reimbursement rate for in-home health-related care providers at the minimum payment level established by the federal government.
Pg 53, Ln 32Specifies that when the required reimbursement methodology for providers under this Section includes an inflation factor, the factor cannot exceed the increase in the Consumer Price Index (CPI) for Urban Consumers for the calendar year ending December 31, 2002.
Pg 54, Ln 3
Provides the daily family foster care rates, the maximum monthly rate for the PALS Program, and the maximum adoption subsidy rates for children by age range for FY 2012.
Pg 54, Ln 15Requires the maximum reimbursement rates for social service providers, including the Resource Family Recruitment and Retention Contractor, to be the same rate as provided in FY 2011, and provides for circumstances when the rates may be adjusted.
Pg 54, Ln 26Maintains foster care reimbursement rates for specified providers in FY 2012 at the same level as FY 2011.
Pg 54, Ln 32Requires the group foster care reimbursement rates paid for placement of children out-of-state to be calculated according to the same rate-setting principles as those used for in-state providers, unless the Director of the DHS determines that appropriate care cannot be provided in the State. Also, requires payment of the daily rate to be based on the number of days in the calendar month this service is provided.
Pg 55, Ln 5Requires the child welfare remedial service providers to be reimbursed under the FY 2011 methodology.
Pg 55, Ln 8Maintains the limit of the statewide average reimbursement rates paid to shelter care providers that was received in FY 2011. Provides for certain circumstances when the DHS may adjust the rates.
Pg 55, Ln 14Requires the FY 2011 combined service and maintenance components of the reimbursement rate paid to shelter care providers to be based on the cost report submitted to the DHS. Also, requires a maximum reimbursement rate of $92.36 per day, and requires the DHS to reimburse shelter care providers at the actual and allowable unit cost, plus inflation, not to exceed the maximum reimbursement rate.

DETAIL: This maintains the rate received in FY 2011.
Pg 55, Ln 22Maintains the limit of the statewide average reimbursement rates paid to shelter care providers that was received in FY 2010. This impacts the amount of charges that are reimbursed.
Pg 55, Ln 29Requires the DHS to calculate reimbursement rates for intermediate care facilities for persons with mental retardation (ICF/MRs) at the 80th percentile for FY 2012.
Pg 55, Ln 35Requires the DHS to set FY 2012 provider reimbursement rates for child care providers based on the rate reimbursement survey completed in December 2004. Requires rates to be set in a manner that will provide incentives for nonregistered providers to become registered.
Pg 56, Ln 10Requires the Department to adopt rules to replace the Medicaid drug reimbursement policy of using Average Wholesale Price (AWP) with a new methodology based on a survey of invoice costs.
Pg 56, Ln 20Specifies that the DHS may adopt emergency rules to implement this Section.
Pg 56, Ln 23Permits the DHS and the Mental Health, Mental Retardation, Developmental Disabilities, and Brain Injury Commission to adopt emergency rules when authorized.
Pg 57, Ln 7Requires the DHS to report to the Chairpersons and Ranking Members of the Appropriation Committees, the LSA, and the DOM at least 30 days prior to submitting rules that have a fiscal impact that was not addressed in the budget process.
Pg 57, Ln 21Requires any reports required by this Bill to be submitted to the Chairpersons and Ranking Members of the Health and Human Services Appropriations Subcommittee, Legislative Caucus Staffs, and the LSA.
Pg 57, Ln 28The provision requiring representatives of the DHS and juvenile court services to collaborate regarding group foster care expenditures is effective on enactment.
Pg 58, Ln 7Pharmaceutical Settlement Account appropriation to the DHS for medical contracts in Medicaid.

DETAIL: This is an increase of $1,000,000 compared to estimated FY 2011.
Pg 58, Ln 17
IowaCare Account appropriation to the University of Iowa Hospitals and Clinics (UIHC).

DETAIL: Maintains the current level of IowaCare Account support. IowaCare is an indigent care program for uninsured adults with incomes up to 200.00% of the federal poverty level. It was created during the 2005 Legislative Session in response to the elimination of federal Intergovernmental Transfers (IGTs). The appropriation was first funded in FY 2006. A portion of the funds are to be used for graduate medical education.
Pg 58, Ln 30Specifies the conditions that permit the Medical Assistance Program to reimburse providers for abortion services.

DETAIL: The rules regarding abortion that apply to the Medical Assistance Program also apply to IowaCare.
Pg 59, Ln 7Specifies the amount appropriated is to be distributed based on claims submitted, adjudicated, and paid by the Iowa Medicaid Enterprise.
Pg 59, Ln 11Specifies the UIHC is to use Certified Public Expenditures as the nonfederal share to match for a total amount of $46,000,000.
Pg 59, Ln 15IowaCare Account appropriation of an additional $49,020,131 to the State Board of Regents to be distributed to the UIHC.

DETAIL: This is no change compared to the estimated FY 2011 appropriation.
Pg 59, Ln 27Specifies the amount appropriated is to be distributed based on claims submitted, adjudicated, and paid by the Iowa Medicaid Enterprise.
Pg 60, Ln 2
IowaCare appropriation to the physicians at the UIHC to reimburse physicians for their services.

DETAIL: This is an increase of $10,000,000 compared to the estimated FY 2011 appropriation. The appropriation is funded by the federal match from current UIHC dollars.
Pg 60, Ln 8Requires all appropriations in this Subsection to be distributed based on claims adjudicated and paid by the Iowa Medicaid Enterprise (IME). Funds distributed in this subsection are limited to the appropriation provided.
Pg 60, Ln 15IowaCare Account appropriation to Polk County Broadlawns Medical Center.

DETAIL: This is no change compared to estimated FY 2011. Broadlawns transfers $38,000,000 of Polk County property tax proceeds to the State to draw down the federal match that funds the IowaCare Program.
Pg 61, Ln 35IowaCare regional provider network appropriation for FY 2012.

DETAIL: This is no change compared to the FY 2011 appropriation.
Pg 62, Ln 10Specifies the amount appropriated is to be distributed based on claims submitted, adjudicated, and paid by the IME. Claims are to be submitted even after all funds have been distributed so the DHS may collect data on the demand and types of services provided.
Pg 62, Ln 17IowaCare nonparticipating provider appropriation for FY 2012.

DETAIL: This is no change compared to the FY 2011 appropriation.
Pg 62, Ln 25Appropriations from the HCTA.

DETAIL: The HCTA was created as part of the agreement with the federal Centers for Medicare and Medicaid Services (CMS) to discontinue Iowa's IGTs during the 2005 Legislative Session. It is intended to fund the reforms specified in HF 841 (IowaCare and Medicaid Reform Act) enacted during the 2005 Legislative Session.
Pg 62, Ln 33Appropriation from the HCTA for medical examinations and personal improvement plans for IowaCare enrollees.

DETAIL: Maintains the current level of HCTA support.
Pg 63, Ln 1Appropriation from the HCTA for a medical information hotline for IowaCare enrollees.

DETAIL: Maintains the current level of HCTA support.
Pg 63, Ln 4Appropriation from the HCTA for other health partnership activities related to IowaCare.

DETAIL: Maintains the current level of HCTA support.
Pg 63, Ln 7Appropriation from the HCTA for costs related to audits, performance evaluations, and studies related to IowaCare.

DETAIL: Maintains the current level of HCTA support.
Pg 63, Ln 10Appropriation from the HCTA for IowaCare administrative costs.

DETAIL: Maintains the current level of HCTA support.
Pg 63, Ln 12Appropriation from the HCTA to the DHS and the DPH to provide a dental home for children program.

DETAIL: Maintains the current level of HCTA support.
Pg 63, Ln 16Appropriation from the HCTA for tuition assistance for individuals serving individuals with disabilities pilot program.

DETAIL: Maintains the current level of HCTA support.
Pg 63, Ln 21Appropriation from the HCTA for Medical Contracts.

DETAIL: This is an increase of $700,000 compared to estimated FY 2011.
Pg 63, Ln 23Appropriation from the HCTA for the Polk County Broadlawns Medical Center for the IowaCare Program. Requires distribution of the funds on a monthly basis.

DETAIL: Maintains the current level of HCTA support.
Pg 63, Ln 27Requires the DHS to make 12 monthly payments to Polk County Broadlawns Medical Center for the appropriation. Requires an FY 2011 report from the Medical Center.
Pg 63, Ln 32Permits the DHS to transfer funds to provide activities in this Section without the approval of the Governor or the Director of the DOM, but requires the DHS to report any transfers to the LSA.
Pg 64, Ln 5Medicaid Fraud Account appropriation to the DIA for inspections and certification of assisted living facilities and adult day care services.

DETAIL: Maintains the current level of Medicaid Fraud Account Support.
Pg 64, Ln 16Medicaid Fraud Account appropriation to the DHS to supplement the Medicaid.

DETAIL: This is a new appropriation for FY 2012.
Pg 64, Ln 26Appropriation from the Quality Assurance Trust Fund to supplement Nursing Facilities under the Medicaid Program.

DETAIL: This is an increase of $15,100,000 compared to estimated FY 2011.
Pg 65, Ln 3Appropriation from the Hospital Health Care Access Trust Fund to the Medicaid Program.

DETAIL: This is a decrease of $175,000 compared to estimated FY 2011.
Pg 65, Ln 15Appropriation from the Hospital Health Care Access Trust Fund to the IowaCare Nonparticipating Provider Reimbursement Fund.

DETAIL: This is an increase of $175,000 compared to estimated FY 2011. These funds are matched with federal dollars for a $2.0 million dollar appropriation from the IowaCare Account to providers who care for IowaCare patients but are not part of the IowaCare network.
Pg 65, Ln 19Requires nonreversion of funds from the Medicaid Program. The funds would remain within the appropriation to be used in the succeeding fiscal year.
Pg 65, Ln 34General Fund FY 2012 Mental Health Property Tax Relief appropriation.

DETAIL: This is no change compared to estimated FY 2011 appropriation, but a reduction of $7,200,089 compared to the standing appropriation.
Pg 66, Ln 11Specifies that the FY 2012 Mental Health Allowed Growth appropriation made in this Bill fulfills the requirement that the funding was to be enacted within 30 days of the 2011 Session covening date, January 10, 2011.
Pg 66, Ln 25General Fund FY 2012 Mental Health Allowed Growth
appropriation.

DETAIL: This is no change compared to the estimated FY 2011 appropriation.
Pg 67, Ln 5

Requires distribution of $12,000,000 of the Mental Health Allowed Growth funding to eligible counties that comply with the following:

  • Levy at least 90.00% of the maximum levy.
  • Levy at least $2.00 per $1,000 of the taxable assessed property value.
  • Maintain a Mental Health Services Fund balance for FY 2010 of 15.00% or less.
Pg 68, Ln 2Sets the expenditure target allocation for the Allowed Growth funding pool for FY 2012.
Pg 68, Ln 9Provides the annual distribution of the FY 2012 Mental Health Allowed Growth appropriation. Reflects appropriations from multiple sources with a single distribution. Requires $49,772,936 to be distributed to counties that levy at least 70.00% for the MH/MR/DD Services Fund and have limited Fund balances. Fund balances for the distribution formula are those from FY 2010. Those counties that have an ending Fund balance of between 10.00% and 25.00% will experience a reduction of $13,075,453 as a withholding target. Counties may also return a portion of their funds to the State in order to be eligible for Growth dollars and those dollars would be put back into the Growth Formula the following fiscal year. Funding received as part of ARRA in this Section is to be disregarded when calculating the distribution of funding.
Pg 71, Ln 12
CODE: Permits the Department of Veterans Affairs to accept applications for the Vietnam Veteran Bonus until May 1, 2011.

DETAIL: The Department of Veterans Affairs did not cease accepting applications on July 1, 2010, for the Vietnam Veteran Bonus as required by statute. This provides the Director appointed in January 2011 to continue to process those received since July 1, 2010, and to accept applications for the Bonus until May 1, 2011.
Pg 71, Ln 18
CODE: Carries forward the remaining funding for the Injured Veterans Grant Program to FY 2012.

DETAIL: An estimated $690,000 remains for the Program as of March 1, 2011, from the original $3,000,000 appropriation.
Pg 71, Ln 28Strikes the language requiring the DHS to review Medicaid Targeted Case Management expenditures on a quarterly basis.
Pg 72, Ln 21Retains the initial $500,000 of FY 2011 carryforward at the Iowa Veterans Home for FY 2012 expenditures. Transfers the remainder, estimated at $2,000,000, to the Medicaid Program for FY 2012 expenditures.
Pg 72, Ln 34Allows the DHS to add staff and support to begin implementation of the Governor's recommended cost containment efforts.
Pg 73, Ln 7Allows the Department to carryforward the FY 2011 State Supplementary Assistance appropriation.
Pg 73, Ln 15Strikes the language requiring the DHS to review Medicaid Targeted Case Management expenditures on a quarterly basis.
Pg 74, Ln 4
Provides a supplemental appropriation to the Medicaid Program from the Quality Assurance Trust Fund.

DETAIL: This is corrective to put in a number that should have been in the Health and Human Services Act in previous years.
Pg 75, Ln 1Transfers the estimated $57,000 FY 2011 Merchant Marine Bonus Fund appropriation to the Department of Cultural Affairs (DCA) from the DCA to the Department of Veterans Affairs (DVA) for FY 2011 general administration costs. Requires remaining funds that the DVA may not expend to transfer to the Veterans Trust Fund.
Pg 75, Ln 24
Requires the Sections in this Division to take effect upon enactment. These include:
  • Delay in the application deadline for the Vietnam Veteran Bonus.
  • Carryforward of the remaining Injured Veterans Grant Program funds to FY 2012.
  • Elimination of certain requirements of the FY 2011 appropriation to the Department on Aging relating to case management expenditure reimbursement for both the General Fund and Senior Living Trust Fund appropriations.
  • Eligibility that would be included under a Medicaid Program Family Planning Waiver application for FY 2012.
  • Use of the remaining FY 2011 Iowa Veterans Home funding in FY 2012.
  • Increase in the FY 2011 appropriation for Medicaid.
  • Carryforward of the FY 2011 State Supplementary Assistance Program for FY 2012 expenditures of the same Program.
  • Transfer of the FY 2011 Merchant Marine Bonus Fund appropriation from the Department of Cultural Affairs to the Department of Veterans Affairs for FY 2011 expenditure.
Pg 75, Ln 35CODE: Permits unexpended decategorization funding to carryforward for two succeeding fiscal years instead of the current one-year maximum limit beginning in FY 2012 with FY 2011 carryforward funding that will be permitted to carryforward through FY 2013.
Pg 76, Ln 12
CODE: Directs the hawk-i Board to adopt rules that establish for children of families with incomes between 200.00% and 300.0% of the FPL, family cost-sharing amounts and graduated premiums based on a rationally developed sliding fee schedule, in accordance with federal law.

DETAIL: This is a new directive for FY 2012.